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DocuSign Envelope ID: DC772236-D8A9-4F9B-9103-015EA03E6B9A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ForinsiVet Mobile Forensic and Veterinary Consulting,_PLLC(Clarissa„Noureddine, DVMk <br /> Party/Vendor Contact Person: Clarissa Noureddine,DVM Contact Phone: PartylVendor Address:PO Box <br /> 250 City Oahe State: N!C Zip; 27310 Department: Animal Services Amount:$L500 Purpose:Veterinary <br /> Services Budget Code(s): 10215020 629003 Vendor # 65138 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑NoZ Contract Type: (Check one) New Renewal ❑ Amendment [] Effective Date <br /> 7/1/18 Approved by Board YesE]No❑ Agenda Date: <br /> This agreement is approved as to to ,¢Q,a4 W#sidd content: <br /> Department Director's Signatur f jb�a �l al^b{f0 Date: 11/1/2018 <br /> Information Technologies <br /> (Applicable only to ha)-d"parelsoj?4,are ptrr-chases 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 sufi icienc d * %§;.tandards,specifications,and requirements: <br /> Office of the Risk Management Office Q�tSa b Date: 11/1/2018 <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 <br /> q� Date; 11/1/2018 <br /> Legal Services € <br /> This agreement is approved as sufficiency: <br /> Office of the County Attorney U079MD525COWB"k hayit. TS(h Date:11/1/2018 <br /> . <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion Q sin eg i•soll@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 /> i <br />