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FEDERAL ASS
<br />1. TYPE
<br />a. NUMBER
<br />OF.
<br />❑ NOTICE OF INTENT
<br />SUBMISSION
<br />(OPTIONAL)
<br />Woo* n°
<br />to PREAPPLICATION
<br />CATION
<br />I&VAPPLICATION
<br />CE
<br />2. APPLI-
<br />CANT'S
<br />a. NUMBER
<br />ATE
<br />a. NUMBER
<br />APPLI-
<br />NONE
<br />APPLI.
<br />CATION
<br />Orange County, North Caroltna
<br />CATION
<br />_
<br />IDENTI.
<br />IDENTI-
<br />FIER
<br />PIER
<br />DATE
<br />FIER
<br />b. DATE
<br />b. PROJECT
<br />Year raaarA day
<br />NOM TO BE
<br />AMICNED
<br />ASSIGNED
<br />e
<br />19 91- r03 -25
<br />aysTATE
<br />MULTIPLE ❑
<br />Low
<br />SIae4
<br />19
<br />raw W.Wh dry.
<br />Enter oppropriote letter
<br />11. TYPE OF ASSISTANCE
<br />A -araie Crent D-Iaeunnaa
<br />B- suyplenrnwl Crnn& F Othw
<br />C -L.. Earrr opp epna.• brawn,
<br />14. TYt'E OF APPLICATION
<br />A-N. C -R+'zki. E- Auyorentatkm
<br />B - Reneral O..C+rurw.ttoa
<br />Saar opproprWir Ww
<br />17. TYPE OF CHANGE tpu /ar ar 14e,
<br />A- Inaeaae Ibelaea F -01her tSamoW
<br />B_De . Dnal
<br />C- Lrvtra� Duntwn
<br />D -!) sreaae ,=Uw,n,
<br />EJ:+.vaedruon
<br />f. Total 3 9 995 .00-1 id. DATE DUE TO Yew "°,,, °�
<br />FEDERAL AGENCY 19 E "rte °per �iwI�17A_,1
<br />19. FEDERAL AGENCY TO RECEIVE REQUEST pr an brren :r
<br />a. ORGANIZATIONAL UNIT (IF APPROPRIATE) b. ADMINISTRATIVE CONTACT (IF KNOWN) 20. EXISTING FEDERAL
<br />GRANT IDENT. NO.
<br />c.ADURES T1 aa0- x768 /Og
<br />101 Marietta Street, N.W. 21. REMARKS ADDED
<br />Atlanta Ga. 30303 11 Yes E_ No
<br />22. To Ne � army krwrled V ^„d belid dots a. YES. THIS NOTICE OF INTENT /PREAPPLICATION /APPLICATION WAS MADE AVAILABLE
<br />THE in this prerppliprtwNappric.tiun rye true TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
<br />APPLICANT r^d MTeM the dW ..L has Ittirn duly DATE
<br />CERTIFIES •"`I1°r'a''°d py �Q go.erninw poly u( the so. .
<br />THAT Y Ph-- and the appliana rdl mmply rich
<br />the ut.ahed aa.ura J the Maiara u
<br />approved
<br />zi TYPED NAME AND TITLE
<br />b. NO, PROGRAM IS NOT COVERED BY E.O. 12372 ❑
<br />OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW ❑
<br />REPRE. Moses Carey, Chair
<br />SEN_ TATIVE
<br />24. APPLICA- 6'•iar'ii�j{L c8di
<br />Trnry Yw 125. FEDM
<br />3 27. ACTION TAKEN
<br />I : a. AWA1tORD
<br />'CrEn
<br />C r r c Rt.`i 11RNr u FOIt
<br />AMh:NQMENT
<br />114 1 1 d st:YURNEQ POR
<br />-�• E.O. 1=n SUBML58ION
<br />Zx BY APPUCANTTO
<br />O V STATE
<br />1
<br />- . e. DEMLRED
<br />U3 • r E WMWIAWN
<br />28. FUNDING
<br />n. bVON iTURE
<br />IDENT. NO. 125. FEDERAL GRANT
<br />Ynr manrk r(ay
<br />29. ACTION DATE!« 19
<br />"LOCAL $ 00 31. CONTACT FOR ADDITIONAL
<br />00 INFORMATION uNna„ and w4pwwr n.a+er.,
<br />.00
<br />.00 00
<br />f. Total' S •00
<br />13 Year eao^rh darn
<br />RTING
<br />DATE 19
<br />32. Yea, a A daer
<br />ENDING
<br />DATE 19
<br />33. REMARKS ADDED
<br />❑ Y. [:] No
<br />PAGE 1
<br />Prreetlaalby OM9 Cuew/or A -Oat
<br />4. LEGAL APPLICANT/RECIPIENT
<br />-'
<br />x
<br />9- AREA OF PROJECT IMPACT ,damn °/: „r+ .*^^ ^nra .r^ra .rei
<br />a. Applicant Name ORANGE COUNTY
<br />5. EMPLOYER IDENTIFICATION NUMBER(EIN)
<br />Orange County, North Caroltna
<br />b. Organization Unit :County Government
<br />_
<br />H
<br />12. PROPOSED FUNDING 13. CONGRESSIONAL
<br />e. Street/P.O. Box : P.O. Box 8181
<br />a NUMBER
<br />b. PROJECT
<br />d. City HillsborouglaCotlncy Orange
<br />LGRAM
<br />2 . O
<br />e
<br />f. State . N.C. g. ZIP Code. 27278
<br />MA,
<br />MULTIPLE ❑
<br />c
<br />h. Contact Person w, Terri Tyson , RSVP Director
<br />b. TITLE
<br />12 u-sh,
<br />rrrrydtonrN.r a _
<br />Retired Senior
<br />a
<br />7. TITLE OF APPLICANT'S PROJECT (Use section IV of this form to provide a- summary
<br />description of the project.
<br />orange
<br />Volunteer Procrram
<br />A. TYPE OF APPLICANTIRECIPIENT
<br />W
<br />County - Chapel - Hill'Retired
<br />A-s"'
<br />c-SpedrPlrrp.,,Q;,,,;�
<br />Senior Volunteer Program-The project provides
<br />B- Inarer3t.ic
<br />C,/S.
<br />KyA etwnAdeary
<br />1- 1tigher Eduntwni Igatitulww
<br />Z�
<br />the means by which an ihdividual aged 60 or •.:-
<br />/""uwu
<br />vaMnrartan
<br />o- --anty
<br />J-Iadr Tube
<br />.a
<br />C6
<br />a
<br />or older may serve the Community as a voluntee
<br />E-cuy
<br />mac"" oi..t
<br />Enter oppropriote letter
<br />11. TYPE OF ASSISTANCE
<br />A -araie Crent D-Iaeunnaa
<br />B- suyplenrnwl Crnn& F Othw
<br />C -L.. Earrr opp epna.• brawn,
<br />14. TYt'E OF APPLICATION
<br />A-N. C -R+'zki. E- Auyorentatkm
<br />B - Reneral O..C+rurw.ttoa
<br />Saar opproprWir Ww
<br />17. TYPE OF CHANGE tpu /ar ar 14e,
<br />A- Inaeaae Ibelaea F -01her tSamoW
<br />B_De . Dnal
<br />C- Lrvtra� Duntwn
<br />D -!) sreaae ,=Uw,n,
<br />EJ:+.vaedruon
<br />f. Total 3 9 995 .00-1 id. DATE DUE TO Yew "°,,, °�
<br />FEDERAL AGENCY 19 E "rte °per �iwI�17A_,1
<br />19. FEDERAL AGENCY TO RECEIVE REQUEST pr an brren :r
<br />a. ORGANIZATIONAL UNIT (IF APPROPRIATE) b. ADMINISTRATIVE CONTACT (IF KNOWN) 20. EXISTING FEDERAL
<br />GRANT IDENT. NO.
<br />c.ADURES T1 aa0- x768 /Og
<br />101 Marietta Street, N.W. 21. REMARKS ADDED
<br />Atlanta Ga. 30303 11 Yes E_ No
<br />22. To Ne � army krwrled V ^„d belid dots a. YES. THIS NOTICE OF INTENT /PREAPPLICATION /APPLICATION WAS MADE AVAILABLE
<br />THE in this prerppliprtwNappric.tiun rye true TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
<br />APPLICANT r^d MTeM the dW ..L has Ittirn duly DATE
<br />CERTIFIES •"`I1°r'a''°d py �Q go.erninw poly u( the so. .
<br />THAT Y Ph-- and the appliana rdl mmply rich
<br />the ut.ahed aa.ura J the Maiara u
<br />approved
<br />zi TYPED NAME AND TITLE
<br />b. NO, PROGRAM IS NOT COVERED BY E.O. 12372 ❑
<br />OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW ❑
<br />REPRE. Moses Carey, Chair
<br />SEN_ TATIVE
<br />24. APPLICA- 6'•iar'ii�j{L c8di
<br />Trnry Yw 125. FEDM
<br />3 27. ACTION TAKEN
<br />I : a. AWA1tORD
<br />'CrEn
<br />C r r c Rt.`i 11RNr u FOIt
<br />AMh:NQMENT
<br />114 1 1 d st:YURNEQ POR
<br />-�• E.O. 1=n SUBML58ION
<br />Zx BY APPUCANTTO
<br />O V STATE
<br />1
<br />- . e. DEMLRED
<br />U3 • r E WMWIAWN
<br />28. FUNDING
<br />n. bVON iTURE
<br />IDENT. NO. 125. FEDERAL GRANT
<br />Ynr manrk r(ay
<br />29. ACTION DATE!« 19
<br />"LOCAL $ 00 31. CONTACT FOR ADDITIONAL
<br />00 INFORMATION uNna„ and w4pwwr n.a+er.,
<br />.00
<br />.00 00
<br />f. Total' S •00
<br />13 Year eao^rh darn
<br />RTING
<br />DATE 19
<br />32. Yea, a A daer
<br />ENDING
<br />DATE 19
<br />33. REMARKS ADDED
<br />❑ Y. [:] No
<br />PAGE 1
<br />Prreetlaalby OM9 Cuew/or A -Oat
<br />-'
<br />x
<br />9- AREA OF PROJECT IMPACT ,damn °/: „r+ .*^^ ^nra .r^ra .rei
<br />10. ESTIMATED NO. OF
<br />C.
<br />Orange County, North Caroltna
<br />PERSO48BOENEFITING
<br />H
<br />12. PROPOSED FUNDING 13. CONGRESSIONAL
<br />DISTRICT OF.
<br />a. FEDERAL 9,995 .aD a- APPLICANT
<br />b. PROJECT
<br />b. APPLICANT .00 Fourth
<br />Fourth
<br />c. STATE .00 15. PROJECT START
<br />16. PROJECT
<br />d. LOCAL 00 DATE r„ ,,. A day
<br />DURATION
<br />e. OTHER •00 19 9 1 -07 -0
<br />12 u-sh,
<br />Enter oppropriote letter
<br />11. TYPE OF ASSISTANCE
<br />A -araie Crent D-Iaeunnaa
<br />B- suyplenrnwl Crnn& F Othw
<br />C -L.. Earrr opp epna.• brawn,
<br />14. TYt'E OF APPLICATION
<br />A-N. C -R+'zki. E- Auyorentatkm
<br />B - Reneral O..C+rurw.ttoa
<br />Saar opproprWir Ww
<br />17. TYPE OF CHANGE tpu /ar ar 14e,
<br />A- Inaeaae Ibelaea F -01her tSamoW
<br />B_De . Dnal
<br />C- Lrvtra� Duntwn
<br />D -!) sreaae ,=Uw,n,
<br />EJ:+.vaedruon
<br />f. Total 3 9 995 .00-1 id. DATE DUE TO Yew "°,,, °�
<br />FEDERAL AGENCY 19 E "rte °per �iwI�17A_,1
<br />19. FEDERAL AGENCY TO RECEIVE REQUEST pr an brren :r
<br />a. ORGANIZATIONAL UNIT (IF APPROPRIATE) b. ADMINISTRATIVE CONTACT (IF KNOWN) 20. EXISTING FEDERAL
<br />GRANT IDENT. NO.
<br />c.ADURES T1 aa0- x768 /Og
<br />101 Marietta Street, N.W. 21. REMARKS ADDED
<br />Atlanta Ga. 30303 11 Yes E_ No
<br />22. To Ne � army krwrled V ^„d belid dots a. YES. THIS NOTICE OF INTENT /PREAPPLICATION /APPLICATION WAS MADE AVAILABLE
<br />THE in this prerppliprtwNappric.tiun rye true TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
<br />APPLICANT r^d MTeM the dW ..L has Ittirn duly DATE
<br />CERTIFIES •"`I1°r'a''°d py �Q go.erninw poly u( the so. .
<br />THAT Y Ph-- and the appliana rdl mmply rich
<br />the ut.ahed aa.ura J the Maiara u
<br />approved
<br />zi TYPED NAME AND TITLE
<br />b. NO, PROGRAM IS NOT COVERED BY E.O. 12372 ❑
<br />OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW ❑
<br />REPRE. Moses Carey, Chair
<br />SEN_ TATIVE
<br />24. APPLICA- 6'•iar'ii�j{L c8di
<br />Trnry Yw 125. FEDM
<br />3 27. ACTION TAKEN
<br />I : a. AWA1tORD
<br />'CrEn
<br />C r r c Rt.`i 11RNr u FOIt
<br />AMh:NQMENT
<br />114 1 1 d st:YURNEQ POR
<br />-�• E.O. 1=n SUBML58ION
<br />Zx BY APPUCANTTO
<br />O V STATE
<br />1
<br />- . e. DEMLRED
<br />U3 • r E WMWIAWN
<br />28. FUNDING
<br />n. bVON iTURE
<br />IDENT. NO. 125. FEDERAL GRANT
<br />Ynr manrk r(ay
<br />29. ACTION DATE!« 19
<br />"LOCAL $ 00 31. CONTACT FOR ADDITIONAL
<br />00 INFORMATION uNna„ and w4pwwr n.a+er.,
<br />.00
<br />.00 00
<br />f. Total' S •00
<br />13 Year eao^rh darn
<br />RTING
<br />DATE 19
<br />32. Yea, a A daer
<br />ENDING
<br />DATE 19
<br />33. REMARKS ADDED
<br />❑ Y. [:] No
<br />PAGE 1
<br />Prreetlaalby OM9 Cuew/or A -Oat
<br />
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