Orange County NC Website
DocuSign Envelope ID:945A770B-410E-432F-13277-2CW18086138 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Claudia H. Sheppard,DVM,MS Party/Vendor Contact Person: Claudia H. Sheppard,DVM, <br /> MS Contact Phone: 919-933-0713 Party/Vendor Address: 101 Autumn Lane City Chapel Hill State: NC Zip: <br /> 27516 Department: Animal Services Amount: 27,500.00 Purpose:Veterinary Services Budget Code(s): 10215020 <br /> 629010 Vendor# 52719 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/1/15 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to tec ca of(qcusi °anc�yq��9qntent: <br /> OIL 11 btfb <br /> Department Director's Signature C9B591159=482. Date: <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency o � ;>� 5ards,specifications,and requirements: <br /> Q0 <br /> Office of the Risk Management Officer Date: <br /> 7F6CFg17 ... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer 1P 9i9nFF Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: DocuSigned by: <br /> Office of the County Attorney 4035CB83046A4A9.. Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollop orangecoun nc. ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Page 6 of 6 <br />