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IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS <br /> Agency: North Carolina Arts Council Agency: North Carolina Arts Council <br /> Mail Address: 4632 Mail Service Center Street Address: 109 East Jones Street <br /> City,State,Zip:Raleigh,NC 27699-4632 City,State,Zip: Raleigh,NC 27601 <br /> Telephone: 919/807-6515 <br /> Fax: 919/807-6532 <br /> For the Grantee: <br /> IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS <br /> Name/Title: Nlctr�kci 5 Jka,n n o✓- Name/Title: Aar-Na--6 h a n h o n <br /> Company Name:Ov"Ac alv'n44 r4✓!s CgIM1t�K�}��`en Company Name: Oran e �4LavM► Sb+o+ti. <br /> Mail Address: 131 Irk`-Ma CAP-02A- 1-&^Q—r RrK a� Street Address: 131 W <br /> City,State,Zip: � 1166C'V-o Ik/K c x-1219 City,State,Zip: gy15 b0r-0 A/C a 7a y,f <br /> Tele hone: (90) <br /> Fax:glA) l 41q-300-' 30V <br /> Email:rAAannon @sv ecEt,�n�lt,�rc'' g <br /> [THIS SPACE INTENTIONALLY LEFT BLANK] <br /> Rev.7/2015 Governmental Page 8 of 9 <br />