Title
Dept/ Agency: Child and Family Well-Being
Action: (X) Ratifying (X) Authorizing ( ) Amending
Type of Service: Professional Service Open-Ended Contract
Purpose: Oral surgical and related services to individuals and families serviced within the Division of Medical Care Services
Entity Name: Jacques B. Lapeyrolerie, DDS
Entity Address: 127 Pine St., Montclair, NJ 07042
Contract Amount: $30,000.00
Funding Source: City of Newark Budget/ Child and Family Well-Being
Contract Period: November 1, 2009 through October 31, 2010
Contract Basis: ( ) Bid ( ) State Vendor (X) Prof. Ser. ( ) EUS
(X) Fair & Open ( ) Non-Fair & Open (X) RFP ( ) RFQ ( ) Private Sale
( ) Grant ( ) Sub-recipient ( ) n/a
Additional Information: N/A