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51 Johnston 000 <br />52 Jones 000 <br />53 Lee 000 <br />54 Lenoir 000 <br />55 Lincoln 000 <br />56 Macon 000 <br />57 Madison 000 <br />D4 M-T-W 000 <br />60 Mecklenburg 000 <br />62 Montgomery 000 <br />63 Moore 000 <br />64 Nash 000 <br />65 New Hanover 000 <br />66 Northampton 000 <br />67 Onslow 000 <br />68 Orange * 0 77,597 77,597 77,597 <br />69 Pamlico 000 <br />71 Pender 000 <br />73 Person 000 <br />74 Pitt 000 <br />75 Polk 000 <br />76 Randolph 000 <br />77 Richmond 000 <br />78 Robeson 000 <br />79 Rockingham 000 <br />80 Rowan 000 <br />D5 R-P-M 000 <br />82 Sampson 000 <br />83 Scotland 000 <br />84 Stanly 000 <br />85 Stokes 000 <br />86 Surry 000 <br />87 Swain 000 <br />D6 Toe River 000 <br />88 Transylvania 000 <br />90 Union 000 <br />92 Wake 000 <br />93 Warren 000 <br />96 Wayne 000 <br />97 Wilkes 000 <br />98 Wilson 000 <br />99 Yadkin 000 <br />Totals 155,194 155,194 155,194 <br />Sign and Date - DPH Program Administrator Sign and Date - DPH Section Chief <br />Sign and Date - DPH Contracts Office Sign and Date - DPH Budget Officer <br />Page 2 of 2WicGridPrint <br />12/3/2020https://atc.dhhs.state.nc.us/WICGridPrint.aspx <br />Sign and Date - DPH Program Adm <br />Si <br />12/4/2020 12/4/2020 <br />gn and Date - DPH Section Ch <br />ign and Date - DPH Contracts Office ign and Date - DPH Contracts Of <br />12/22/2020 <br />ign and Date - DPH Budget Officer gn and Date - DPH Budget Off <br />12/29/2020 <br />     <br /> <br />DocuSign Envelope ID: 36D07572-B1EC-4E6B-BB09-ECF88788B8AA