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DocuSign Envelope ID: COE7277A -DF52- 4508- 985D- E6BEFF540E10 <br />ORANGE COUNTY— DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: ForinsiVet Mobile Forensic and VeterinM Consulting, PLLC (Clarissa Noureddine, DVM) <br />Party/Vendor Contact Person: Clarissa Noureddine, DVM Contact Phone: Party /Vendor Address: PO Box <br />250 City Oak Ridge State: NC Zip: 27310 Department: Animal Services Amount: $2,500 Purpose: Veterinary <br />Services Budget Code(s): 10215020 629003 Vendor # (N /A if new vendor) Vendor is a BOCC <br />consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br />7/1/17 Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to teal,,, "I IF °n A ^ ^ntent: <br />g 1�1� DocuSigned by: <br />Department Director's Signature7D� duabia <br />C9B58115B7DD482... <br />Information Technologies <br />Date: <br />5/11/2018 <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigned by: <br />C17MCF9176800498. usa �l b 5/11/2018 <br />Office of the Risk Management Office Data: . <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 />Office of the Chief Financial Office lI A&. <br />7NE5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />DocuSigned by: f <br />Office of the County Attorne �Ut.UZ A.A.lrll, 'l bS(h <br />079A4D525COF4FB... <br />Clerk to the Board <br />5/14/2018 <br />Date: <br />Date: 5/14/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ singersail @oran�ecaunt`rnc.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 />