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16 <br />State of North Carolina .. <br />Division of Social Services <br />Contract Application <br />E. Contract Identification: <br />1. Provider <br />a. Name of Contract Administrator <br />Tel. # : (919) 967-0177 <br />Pennell <br />b. Name of Program Contact Person: Same <br />Tel. #: <br />c. Program Name, Location and Mailing Address: Employment Security Commission <br />110 W. Main St. <br />Carrboro~, NC 27510 <br />d. Additional Service Delivery Sites: <br />e. Status : (X )Public ()Private, non-profit <br />( )Private, for Profit ()Individual <br />f. Provider Contract ID #: 68E01 <br />2. County.Department of Social Services <br />a. Name of Contract Administrator: Marti Pryor-Cook <br />Tel. # : (919) 732-8181 <br />b. Name Services Program Contact Person: Gwendolyn Price <br />Tel. #: (919) 732-8181 <br />c. Address of County Department of Social Services: <br />P.O. Box 8181 <br />304 W. Tryon St. <br />Hillsborough, NC 27278 <br />State of North Carolina <br />