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DocuSign Envelope ID:7E3AF63A-2F47-4028-951A-OOBA2A7COOB2 <br /> Applicant Contact Information <br /> Appiicant 0 rga nizatio n's Legal Name: Inter-Faith Council for Social Service <br /> Applicant Orga nizatio n's Physical Address:110 W Main St.,Carrboro NC 27510 <br /> Applicant Organizations Mailing Address:110 W.Main 5t. Carrhoro NC 27510 <br /> Applicant❑rganization's Web Address:www.ifr-web.or <br /> Executive Director:lackie Jenks <br /> Telephone Number:919-929-6380 x41 E-Mail:lienks ifcrnailbox_or <br /> Tax ID Number:59-1224041 <br /> Funding Request <br /> Please list all Fiscal Year 2020 Human Services(HS)funding requested for all programs and the <br /> proposed use of funds(please list program name only) <br /> Program Carrboro- chapel pranEE Total <br /> HS Hill-HS County-H5 <br /> Food for the Summer $1,500 $1,500 $1.SQ0 $4,500 <br /> Totals <br /> To the best of my knowledge and belief all information and data in this application is true and <br /> current. The document has been duly authorized by the governing board of the applicant. <br /> Signature: C,)�&,,- Jam'~—' l Z 1 <br /> Executive Director Hate <br /> Signature: Z i I 2_ <br /> card 6hairperson Date <br /> C�zvera��e P a ❑ _- <br />