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Exhibit B <br /> COVER PAGE <br /> Applicant Contact_Information <br /> Applicant Organization's Legal Name: Orange Co unty Veterans Memorial <br /> Applicant Organization's Physical Address:501 W Franklin St, Chapel Hill, NC 27516 <br /> Applicant Organization's Mailing Address: 169 Boone Square St #223 Hillsborough, NC 27278 <br /> Applicant Organization's Web Address:http://www.orangecountyveteransmemoriaLcom <br /> Executive Director: Bruce Runber <br /> Telephone Number: 919-928-4413 E-Mail: brunbergU@pmail.com <br /> Tax I❑ Number:82-1498867 <br /> Funding Request <br /> Please list all Fiscal Year 2020 Human Services(H5)funding requested for all programs and the <br /> proposed use of funds(please list program name only) <br /> Program Carrboro- Chapel Orange Total <br /> HS Hill-HS Count -HS <br /> Orange County Veterans Memorial $25,000 $50,000 $50,000 $125,000 <br /> Develop walkways and rest areas for visitors to the <br /> memorial park area to include seating and educational <br /> kiosks displays. <br /> Totals $25,000 $50,000 $50,000 $125,000 <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: Bruce Runber 1/22/2019 <br /> Executive Director(Committee Date <br /> Signature: Cnl�s Merritt 1/22/2019 <br /> Board Chairperson (Committee Co-Chair) Date <br /> Cover Page Page 5 ❑ f 19 <br />