Orange County NC Website
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]. SuR: #Ot FT'c staffer POZiliOn lillez: POOIic HealRr NURel, Social WO~ker ll, Inlake an0 <br />Relertal WcMer <br />5 <br />#pf paR-0me 9aryl Ppsilien titles: C!(ce Assi9ant <br />#ot v0lunleers_ #a(Valunteer M1OUrs: <br />8. TotalProject GasC §j51~$T] Total SmdR Slart fuMS rtyvezteR: :LS~612 <br />Tptel Matctling FmGS Ptpvi0e0: 811$,46 <br />(MmdM FuW mY N meR v.4et v Me NAeI <br />9. Other SOU¢es oflmtls for tpis projeR Only: <br />Funtl'n0 Source pesctl do Total AmOUnt <br />ImkinO FunCs <br />LeverageNBlenEetl FUn0.s F.~~ <br />Cazll y~rl <br />ONer <br />AGENCY NFOftMAT ON' <br />Legal Name of pgenry: Orange COOnry MeaXh OepaRment <br />Type of a9enry: QPrWate, nanprofg, 5g1(c)] pFpr Pmfll (z7 PONic <br />pppllcation OOpfaCl: Eilcen Kugler rNe: Personal Health ServlOes Director <br />Atltlnae: ]OO Wezl Try00 Slrtet HiIISW mugR NC 3T2]3 <br />Telephone: (919)98]-9251 a#.2sOt Fu: (9t9)SH-3p0] <br />Type Ol Agency; OPMale, non pmfp. 501([)(3) pFOrpmin (x)POGic <br />FeEeral lop: 53800072] <br />putFarizin93ignature: //~Q!'1/ .UA ~L~zY~+tt!t~ <br />siFaa~.elc nlvrany.cyoa.m~ <br />rrcla:~x~-r^+l~ueC{~y oaa: 30 ~ <br />9:~-v+rs'I~eN~Mpraem <br />