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1 02 -11 -1992 10:43W FROM REG. CONS. SERVICES <br />IFoul Petition <br />Page 4 <br />TO 1919601 F.05 <br />Vj <br />To assist in the timely completion of tasks associated with the <br />implementation of the local JTPA program, one request that you provide the <br />f following information. The implementing agency(ies) indicated below may <br />or may not be tIze same agency(ies) selected by the PIC and CM to <br />administer the JT1PA. program once the 6DA is established. The use of an <br />implementing agency allows DST to address information to a single point. <br />1. Admiiuiatrative Entity: Agency Dame ^ idat SMices <br />Address P.O. Box 1883, 9shebora , N . C . 27204 --18 <br />Contact Person Janioe S. S2eboraugh, Executive Dire. <br />1 Typed Name (Title) <br />Telephone Number ( ) 144 <br />i <br />2. Grant Recipient." Agency Have =gegio..N ConsolUated SGruiCes <br />Address P.O. Box 1$63, Asheboro, g.C. 27204 -11 <br />Contact Person Janice S. Scarborough, Rxecutfve Dirt <br />(Typed 118-M Tstle <br />Telephone Number ( 219 3 6 4i <br />3. Agency Responsible for Private Industry Council development and <br />appp ist tmen to <br />Agency name Regional Co!jeol3datel Services <br />Addrpsa P.O. Box 1883, Asteboro, R.C. 2=4 -18E <br />Contact Person Jaofee S. ScaxbarotW,,h, Executive Jixe <br />Typed NMM3 (Title <br />Telephone Number ( 919 ) 629 -Si41 <br />TOTAL P-05 <br />