HomeMy WebLinkAboutR 2019-764 DEAPR - David Parker Halloween Spooktacular photographer DocuSign Envelope ID:89E47D23-2272-453A-B1C5-9FEEC567C3F3
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: David Parker Party/Vendor Contact Person: David Parker Contact Phone: (919) 931-1348
Party/Vendor Address: 3002 Quantum Lane City Cedar Grove State: NC Zip: 27231 Department: DEAPR-
Recreation Amount: 200.00 Purpose: Halloween Photogranhy Budget Code(s): 10511020 630000 Vendor#61193
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date 10/26/19 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
1P.,
DocuSigned by:
awl gawa 10/15/2019
Department Director's SignatureICFA1D507A495.. Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc -oocusigppned_by:
. 'ds, specifications,and requirements:
aUsa ( Q 6 10/17/2019
Office of the Risk Management Officer 7FDCF9176800498. Date:
Financial Services
This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act:
�,s� 10/17/2019
Office of the Chief Financial Officer �aNslacc,4as. Date:
Legal Services
This agreement is approved as t DocuSigned by: iciency:
�6� K6kkY S 10/17/2019
Office of the County Attorney EAA3D33ED8A905.. Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 12/18 4
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