Orange County NC Website
DocuSign Envelope ID: 984lA83A- 9421 - 4883 - 8867- 7170C15EC4EB <br />ORANGE COUNTY -- DEPARTMENT USE ONLY <br />Department <br />Party /Vendor Name: Mikaela Archambeaul# DV M Party/Vendor Contact Person: Mikaela Archambeaul# DVM <br />Contact Phone: 919- 434 -9725 Party/Vendor Address: 836 Ember Drive City Durham State: NC Zip: 27703 <br />Department: Animal Services Amount: 10,000 Purpose: Veterinary Services Budget Code(s): 10215020 629010 <br />and 629004 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br />(Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br />Agenda Date: <br />This agreement is approved as to n A to OocuSigned by: content: <br />Department Director's Signatur CC9B58115BTDD482 6 d�-al•W6 <br />.. <br />Information Technologies <br />Date: <br />7/5/2018 <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 sufficient- aocu5igned by: c — l-rds, specifications, and requirements: <br />C17FDCF9176800498 Cisa Office of the Risk Management Office �6 Date: 7 /5/2018 <br />... <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 />A. &I. 7/5/2018 <br />Office of the Chief Financial Officer 1ACC1409 Date: <br />704E518... <br />Legal Services <br />This agreement is approved as i Docusigned by: <br />§tnd k ftaYit, TM66 <br />Office of the County Attorne <br />079A4D525C0F4F @... <br />Clerk to the Board <br />Date: 7/5/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ 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 />Rev 06118 <br />