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State of North Carolina <br /> Division of Social Services <br /> Contract Application Page 2 of 7 <br /> E. Contract Identification: <br /> 1. Provider <br /> a. Name of Contract Administrator Dorothy Pennell <br /> Tel. # : (919) 644-1051 <br /> b. Name of Program Contact Person: Jimmy Modlin <br /> Tel. #: <br /> c. Program Name, Location and Mailing Address: Employment Security Commission <br /> 601 VAleg Forge Rd <br /> Hillsborough,NC 27278 <br /> d. Additional Service Delivery Sites: Skills Development/JobLink Center <br /> e. Status : (X) Public O Private,non-profit <br /> ( )Private, for Profit( ) Individual <br /> f. Provider Contract ID#: 68FO1 <br /> 2. County Department of Social Services <br /> a. Name of Contract Administrator: Nancy Coston <br /> Tel. # : (919) 245-2800 <br /> b. Name of Services Program Contact Person: Gwendolyn Price <br /> Tel. #: (919)245-2800 <br /> c. Address of County Department of Social Services: <br /> P. O. Box 8181 <br /> 300 W. Tryon St. <br /> Hillsborough,NC 27278 <br />