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N.C.,Department of Natural and Economic Resources <br /> Division of Law and Order _.� SUBGR.INT <br /> P.O. Box 27637 <br /> Raleigh,North Carolina 27611 ADJUSTNTENT REQUEST <br /> SUBGRANTEE((game and Address) SUBGRANTTYP£ <br /> Orange County Board of Commissioners <br /> Orange County FIACTION DISCRETIONARY []PA ;, <br /> North Carolina <br /> PROTECT tiAStE SU6GRAN I AmOUNT CONTRW NUMBER <br /> [Orange -County Shelter Home 87,221. 77-01-FCk3-1289 <br /> F <br /> Ef3R il�STRiICTLO [S SEE stEeAS E:SiD>; <br /> The following type(s)of change,amendment,of adjustment to the above referenced project is(are)requested <br /> ❑PROGRA_tit b10LHFICATION <br /> ❑:IEW PROJECT PERSONNEL. <br /> `i a BUDGET REVISION <br /> ❑SUnGRANT PERIOD E..XTEC7 ION <br /> ❑SUBGRANT AMOUNT ADJUSTMENT/CANCELLATION � A <br /> Explanation of and lustrriction for Requested Change(s): <br /> Sub-Grant is to be administered by Janus House, Inc., by Contract <br /> and with the Sub-Grantee, Orange County. Original Grant would <br /> have required detailed accounting by Orange County. The Sub-Grant <br /> Adjustments will permit line item;accounting by Janus House, Inc., <br /> and reporting to the State by the summary item kept by the County. <br /> SUBM TED BY: COUNTERSIGNED BY: <br /> DIRECTOR 1'1 deal Evans <br /> PROJECT �— Cotten FINANC€AL OFFICER <br /> TITLE �' _ TITLE Finance Officer <br /> SIGNATURE <br /> SIGNATURE DATE L <br />