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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Penny Reddy Party/Vendor Contact Person: Contact Phone: 919-724-6555 <br /> Party/Vendor Address: 125 Cedar Elm Rd. City Durham State: NC Zip: 27713 Department: Health Amount: <br /> Purpose: Budget Code(s): Vendor # 55738 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date <br /> 10/17/2014 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and ent: <br /> Department Director's Signature Date:4*0 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requireme VCT 4 Office of Risk Management / t, Date: 14 <br /> lo�t� <br /> By__ <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer iy"`^-. Date: a (7 Y <br /> tolls, <br /> Legal Services <br /> This agreement is approved as to leg rm and sufficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />