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Designation of Agent Form <br />As the County Manager of Orange <br />following person: <br />Name: Nick Waters <br />I appoint the <br />Title: Director- Orange County Emergency Management <br />Address: P • 0 - Box 8181 ,. <br />City & Zip: Hillsborough, 27278 <br />Phone: 919-968-2050 <br />Fax: 919-968-4066 <br />E-mail nwatersC~co.orange.nc.us <br />to be my Designated Agent for the DHS FY2003 SHSGP. The above-listed person may sign and <br />submit documents related to this grant. <br />Restrictions (If none, write none): .None <br />~~- ~~ <br />Cou Mana er' Signature Date <br />NCEM recommends that the County Emergency Manager <br />be identified as the Designated Agent. <br />This form must be returned to the DHS FY2003 SHSGP Manager no later than August 29, <br />2003. <br />DHS FY2003 SHSGP Memorandum of Agreement Annex B: Designated Agent and POC Page 2 of 5 <br />