HomeMy WebLinkAboutR 2016-343-E Animal Services - Claudia H. Sheppard, DVM for veterinary services DocuSign Envelope ID:2A1EB275-A6CB-484A-ABD4-C1F2E7C54E2B
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Claudia H. Sheppard, DVM, Party/Vendor Contact Person: Claudia H. Sheppard, DVM,
Contact Phone: 919-933-0713 Party/Vendor Address: 101 Autumn Drive City Chapel Hill State: NC Zip: 27516
Department: Animal Services Amount: 27.500.00 Purpose: Veterinary Services Budget Code(s): 10215020
629004 and 629010 Vendor # 52719 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/1/16 Approved by Board
Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and conte U�60�u Signed by:
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Department Director's Signature �513ZDU a2 Date:
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 sufficiency of insurance stand D�7 Aeations,and requirements:
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Office of the Risk Management Officer Date:
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: �
DocuSigned by:
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Office of the Chief Financial Officer 7o4 1ACC1409 Date:
Legal Services
This agreement is approved as to 1 a flMlla%ifficiency:
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Office of the County Attorney aoascBSSO cA4AS Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.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:
7
Rev. 6116