HomeMy WebLinkAboutR 2017-263-E Health - Robert Dupuis for pharmacy services DocuSign Envelope ID:90CC09F4-5057-4B 1 F-AC03-CF23967BA7A0
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 7/1/2017 Approved by Board Yes No Agenda Date:
This agreement is approved as to to j flU flf ''�d� '�coo1ntent:
M tUAll 6/29/2017
Department Director's Signature Date:
3115n2co94664BF...
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 Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc n- . Nflfgtft_ 1 standards,specifications,and requirements:
U SA. rbY1A,t 16 7/3/2017
Office of the Risk Management Office 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited i e°tiff iPiVi quired by the Local Government Budget and Fiscal Control Act:
(71.4.,p ` nicid'`"L 7/3/2017
Office of the Chief Financial Officer 7D4E5181ACC1409... Date:
Legal Services
This agreement is approved as t e 91f `'a"' �(d-��sufficiency:
iktAi tL SCb 7/3/2017
Office of the County Attorney O7QM 52 CQ FB Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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