HomeMy WebLinkAboutR 2016-324-E Health - Robert Dupuis for pharmacy services DocuSign Envelope ID:49BCBA8C-OE7D-4617-A6F3-B8BE01DA708F
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: ROBERT DUPUIS Party/Vendor Contact Person: ROBERT DUPUIS Contact Phone: 919-966-
4131 Party/Vendor Address: 205 KENILWORTH PLACE City CHAPEL HILL State: NC Zip: 27516 Department:
HEALTH Amount: $12.645 Purpose: PHARMACY SERVICES Budget Code(s): 10414020-630000 Vendor#47361
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New ❑ Renewal
® Amendment ❑ Effective Date 7/1/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to to c°8F'�i'Wftid content:
Department Director's Signature l4. � Date: 6/23/2016
Information Technolosies
(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 Chief Information Officer Date:
Risk Management
This agreement is approved for sufficient I iistandards, specifications,and requirements:
a Sa, r,Orv�c X16 6/24/2016
Office of the Risk Management Officer 7F DcFS1�s800498... Date:
Financial Services
This instrument has been pre-audited i t e fte?&iluired by the Local Government Budget and Fiscal Control Act:
Oq Office of the Chief Financial Officer Date: 6/27/2016
Li4E5181ACC1409.
Legal Services
This agreement is approved as to ga4Offififf d sufficiency:
4 '�� 6/27/2016
Office of the County Attorney im rpn'�n4ra44xi Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 4