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DocuSign Envelope ID:49A9FB4E-B4DB-4l D7-9D86-2BCC9A1AB9EF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Amanda McKee-Sheridan, DVM Party/Vendor Contact Person: Amanda McKee-Sheridan, <br /> DVM Contact Phone: 919-819-5258 Party/Vendor Address: 604 Ironwoods Drive City Chapel Hill State: NC <br /> Zip: 27516 Department: Animal Services Amount: $17,000 Purpose: Veterinary Services Budget Code(s): <br /> 10215020 629010 and 629004 Vendor# (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 /> DocuSigned by: <br /> This agreement is approved as to technical forth and content: EC9B58115B7DD482 6 �LA.V' 6 <br /> Department Director's Signature . 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 /> MOCUS i neft <br /> This agreement is approved for sufficiency of insurance standards, sp r,7FDCF917680049EDate:atro s, quirements: <br /> S& <br /> Office of the Risk Management Officer <br /> Financial Services <br /> This instrument has been pre-audited in the manner require �o� g Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to leg or°tn°auk uficiency: <br /> 1 � <br /> Office of the County Attorney 4o3scBS334CA4A9 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 />