HomeMy WebLinkAboutR 2019-602 Animal Svc - Claudia Sheppard, DVM court testifying DocuSign Envelope ID: F5F7C40B-2B2B-4B38-AF66-907D8AF2244C
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Claudia Sheppard, DVM Party/Vendor Contact Person: Claudia Sheppard Contact Phone:
919-933-0713 Party/Vendor Address: 101 Autumn Lane City Chapel Hill State: NC Zip: 27516 Department:
Animal Services Amount: 900 Purpose: Provide Animal Cruelty Testimony Budget Code(s): 101215020 629004
Vendor#52716 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New® Renewal ❑ Amendment ❑ Effective Date 09/01/2019 Approved by Board Yes❑No❑ Agenda
Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
Docu5igned by:
l
6 h046 9/3/2019
Department Director's Signature Date:
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Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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 sufficiency of insurance standards,specifications,and requirements:
D1 11� 1,}e 9/4/2019
Office of the Risk Management Officer[ Hy Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
u sip M by
Office of the Chief Financial Office �o Date:9/4/2019
Legal Services
This agreement is approved as to legal form and sufficiency:1AOffice of the County AttorneyEDecu3lgne 31
„At-l�tariG �3scn r ^i Date:9/4/2019
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18
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