Orange County NC Website
DocuSign Envelope ID: F665A77C- 0534- 407D- A62A- E5FOCAE2E7C6 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Chelsea Dawn Landon, DVM Party/Vendor Contact Person: Chelsea Dawn Landon, DVM <br />Contact Phone: 919 -667 -3229 Party/Vendor Address: 3710 Cole Mill Road City Durham State: NC Zip: 27712 <br />Department: Animal Services Amount: 999.99 Purpose: Veterinary Services Budget Code(s): 10215020 629003 <br />Vendor # 64867 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br />New ❑ renewal ® Amendment ❑ Effective Date Approved by Board Yes[:] No❑ Agenda Date: <br />This agreement is approved as to tec' ' oocu5igned by:' - -- -,tent: <br />Department Director's Signature If 66 W6 <br />C9@5811567DD482... <br />Information Technologies <br />Date: <br />7/26/2018 <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 sufficienc- ^f aoc'u'si� pet- -,iards, specifications, and requirements: <br />9 nea y: <br />. ��Sa �,D��b 7/26/2018 <br />Office of the Risk Management Officer Date: <br />- 7FDCF917E800498_. <br />Financial Services <br />This instrument has been re- audited irr `" ••----- e by: <br />1> �ocu5igned by: <br />Office of the Chief Financial Officer c <br />7NE5181ACC1409... <br />the Local Government Budget and Fiscal Control Act: <br />Legal Services <br />This agreement is approved as to ' 079AOacuSigned by: 11 <br />Office of the County Attorney_[ � �� <br />79A4D525COFdFB... <br />Clerk to the Board <br />Date: 7/26/2018 <br />Date: 712712018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ Singersc�116ri oran; eeaur tyrre. rgv <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 />Revised 6118 5 <br />