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HomeMy WebLinkAboutR 2014-536 Health - Naw Paw Paw Hser - Amendment to Services Agreement ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Naw Paw Paw Hser Party/Vendor Contact Person: Contact Phone: 919-904- 0735 Party/Vendor Address: 306 Estes Drive,Apt. C-12. City Carrboro State:NC Zip: 27710 Department: Health Amount: Purpose: Budget Code(s): Vendor#57963 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ❑ Amendment ® Effective Date 10/17/2014 Approved by Board Yes❑Nor-1 Agenda Date: This agreement is approved as to technic l form and e Department Director's Signature Date: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Director of Information Technology Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requiremen Office of Risk Management A.X-- i Date: *T 16 2014 10116 Financial Services By This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer /l A Date: 10 i l /y Lezal Services This agreement is approved as to legal form an s iency. Office of the County Attorney Date: l b Clerk to the Board Received for record retention: Office of the Clerk to the Board Date: