Orange County NC Website
DocuSign Envelope ID:2A1EB275-A6CB-484A-ABD4-C1F2E7C54E2B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Claudia H. Sheppard, DVM, Party/Vendor Contact Person: Claudia H. Sheppard, DVM, <br /> Contact Phone: 919-933-0713 Party/Vendor Address: 101 Autumn Drive City Chapel Hill State: NC Zip: 27516 <br /> Department: Animal Services Amount: 27.500.00 Purpose: Veterinary Services Budget Code(s): 10215020 <br /> 629004 and 629010 Vendor # 52719 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/1/16 Approved by Board <br /> Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and conte U�60�u Signed by: <br /> �I.A.V'b{fb <br /> Department Director's Signature �513ZDU a2 Date: <br /> Information Technolosies <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 of insurance stand D�7 Aeations,and requirements: <br /> Q�Sa COV'ln,t,{fb <br /> Office of the Risk Management Officer Date: <br /> r-ec-�ssee��e. <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 /> DocuSigned by: <br /> �on.�aosz <br /> Office of the Chief Financial Officer 7o4 1ACC1409 Date: <br /> Legal Services <br /> This agreement is approved as to 1 a flMlla%ifficiency: <br /> 4��q <br /> Office of the County Attorney aoascBSSO cA4AS Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.gov <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 /> 7 <br /> Rev. 6116 <br />