Orange County NC Website
Totals 88,986.00 88,986.00 <br />c)To the best of my knowledge and belief all information and data in this application is <br />true and current. The document has been duly authorized by the governing board of the <br />applicant. <br />Signature: January 23, 2018 <br /> Executive DirectorDate <br />Signature: January23,2018 <br />Board ChairpersonDate <br />EXHIBIT A: Provider's Outside Agency Application <br />DocuSign Envelope ID: 7399BACD-0CBF-4EF4-9068-B429A8CA12F8