Orange County NC Website
S <br /> { Rsseartct �Ryr <br /> F <br /> GRANT AWARD AGREEMENT <br /> 4J <br /> 4PPOR7VIiiTY <br /> Signature Page <br /> IN WITNESS HEREOF, the parties have executed this Agreement effective on the date <br /> stated above. By signing this contract, signer represents that he/she is authorized to <br /> sign on behalf of the Grantee organization or the Corporation. <br /> GRANTEE: <br /> Signed: <br /> Printed Name: <br /> Title: Coo 4 a <br /> Date: 4 <br /> Address: b �I 1 <br /> Phone: <br /> Fax: <br /> E-mail: <br /> I am_�X /am not a U.S. citizen. <br /> Recipient's country of residence if not a U.S. Citizen: <br /> CCAP, INC <br /> Signed: <br /> Printed Name: Cynthia Wilson <br /> Title: Chief Executive Officer j <br /> Date: /y" <br /> / <br /> VITA Agreement 6 of 6 <br />