Orange County NC Website
B. The grantee shall insert in the space provided below the site(s) for <br />the performance of work done in connection with the specific grant; <br />Place of Performance (Street address, city, county, state, zip code) <br />P. • Box 8181, Hillsborough, <br />410 Caldwell Street, Chapel Hill, N. C. 27516 <br />Typed or Printed Name And Title Of Authorized Applicant <br />Representative (A copy of the governing body's authorization for you <br />to sign this certification as official representative must be on file <br />in the applicant's office.) <br />ZZ <br />Signature Date <br />Moses Carey, Chair <br />Orange County Ccnrdssioners <br />�___Z <br />