Orange County NC Website
Browse       Search
APPLICATION SUMMARY FORD! <br /> • <br /> 1. APPLICANT O O <br /> a. Name of local government County of Orange <br /> b. City or County (circle one) <br /> c. Address <br /> Street/P.O. Box 106 Bast Margaret Lane <br /> City Hillsborough, N.C. <br /> Zip Code 27278 <br /> d. County Orange <br /> e. Contact Person Tara L. Pikes <br /> Telephone Number (919)732-8181 <br /> 2. SUMMARY OF PROPOSED ACTIVITIES <br /> Organization or <br /> Subrecipient Operation Service Rehabilitation <br /> Name Funds Requested Funds Requested Funds Requested <br /> Inter-Faith Council $4,250 $750 <br /> Total $4,250 $750 <br /> 3. CERTIFICATION b. Typed Name and Title of <br /> Chief Elected Official <br /> a. To the best of my knowledge and belief, <br /> data in this application is true and correct. Shirley B. Marshall, Chair <br /> The document has been duly authorized by the Orange County Board of <br /> governing body of the applicant and the Commissioners <br /> applicant will comply with the attached c. Signature <br /> certification' if the assistance is <br /> approved. <br /> d. Date 3-27,87 <br /> FOR NRCD USE ONLY <br /> DATE REC'D --------- ACTION TAKEN P nndad AMT. FUNDED Rehab.$ <br /> Not Funded Operations $ <br /> APPLICATION NUMBER Withdrawn Services $ <br /> ESC? #101 (3/87) <br />