Orange County NC Website
Browse       Search
Reinvestment GRANT AWARD <br />P A R T N E R S <br />PEOPLE PLACES POLICY AGREEMENT <br />Signature Page <br />IN WITNESS HEREOF, the parties have executed this Agreement effective on the date <br />stated above. By signing this contract, signer represents that he /she is authorized to sign on <br />behalf of the Grantee organization or the Corporation. <br />GRANTEE: <br />Signed: <br />Printed Name: <br />Title: <br />Date: � �7 <br />Address: �C) q '� «f I(SbLYD�tG.�,i. i Jv L ;�ja�$ <br />Phone: � I, LCl q a — '�' I 0 <br />Fax: C) �'"`� �q-�'31,11i <br />E -mail: m tys ke&:, 4) oi wa6 -c f x P, ftc - m <br />I am / am not a U.S. citizen. <br />Recipients country of residence if not a US Citizen: <br />Signed: <br />Printed Name: J6el R. Skillern <br />Title: Executive Director <br />Date: °1) 11'0 1 Q0) <br />