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DocuSign Envelope ID:390B2169-33EB-4DAB-9E22-31B302CF919C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <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: $37,150 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 7/1/17 Approved by Board <br /> YesE No❑ Agenda Date: <br /> This agreement is approved as to tec nii,galstsmond content: <br /> har <br /> Department Director's Signatur 154 b{{b Date: 7/6/2017 <br /> C9B58115B7DD482... <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 of insurance standards,specifications,and requirements: <br /> Docu igned"by:'11 <br /> Office of the Risk Management Office a�Sa r,OVtit t{�b Date: 7/6/2017 <br /> 7FDCF9176800498... <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 Office �onnf.�aosz 7/6/2017 <br /> ('� A Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney ILIAL haVtt, SC6 Date: 7/6/2017 <br /> "—079A4D525C0F4 FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydc orangecountync.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. 4/17 <br />