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DocuSign Envelope ID:35E8DCE7-1CAA-4177-A55F-37F14DE3307B <br /> WicGridPript fittps:llatc.clhhs.st'-t€c.nc.us/WIC'GricIPriiit,aspx <br /> 491redeil C 0 p' <br /> 150 Jackson 0 C 0' <br /> 151 Johnston 0 C 0' <br /> 52 Jones 0 C 01 <br /> I:53 Lee 0 0 0' <br /> 54 Lenoir 0 0 0 <br /> 55 Lincoln 0 0 0 <br /> 56 Macon 0 0 0. <br /> 57 Madison 0 0 0 <br /> 04 M-T W 0 0 0 <br /> 60 Mecklenburg 0 �io 0€ <br /> 62 Montgomery 0 0 0; <br /> 163 Moore 01 0 0� <br /> 64 Nash 0 0 0 <br /> -,...............W <br /> 65 New Hanover 0 0 0, <br /> 66 Northampton 0 0 0. <br /> 67 Onslow 0 0 0. <br /> 68 Orange 0 77,597 77,597 77,597E <br /> 169 Pamlico 0 <br /> 71 Pender 0 0 0I <br /> 73 Person 0 0 01 <br /> 74 Pitt 0 0 <br /> 76 Randolph 0 01 0. <br /> 77 Richmond 0 0 0 <br /> 78 Robeson 0 _ 0 <br /> 79 Rockingham _ 0 0 0 <br /> 80 Rowan 0 0 0 <br /> ❑5 R-P-M 0 (3 0 <br /> 82 Sampson 0 0 0 <br /> 83 Scotland 0 0 0 <br /> 84 Stanly 0 0 0 <br /> 85 Stokes 0 0 0 <br /> 86 Surry 0 0 01 <br /> 87 Swain 0 0 0 <br /> D6 Toe River 0 0 0 <br /> 88 Transylvania 0 0 0 <br /> 90 Anion 0 0 <br /> 92 Wake 0 0 0 <br /> 93 Warren 0 0 0.. <br /> 96 Wayne 0 0 0 <br /> 97 Wilkes fl 0 0 <br /> 98 Wilson 0 0 0' <br /> 99 Yadkin 0 0 0' <br /> Totals I55,194 155,194155,194 <br /> Sign and Date.OPH Program Administrator Sign an ate-DraH Section W,11je <br /> Sfgn and pate-❑PH Cordracts dffice M <br /> Date ❑P 6udg UHfcar J � r <br /> -A <br /> 2 of 3l2612018,2:19 PM <br />