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COVER PAGE <br /> Applicant Contact Information <br /> Applicant Organization's Legal Name: Piedmoht Wildlife Center <br /> Applicant Organization's Physical Address:364 Leigh Farm Rd Durham, NC 27707 <br /> Applicant Organization's Mailing Address:364 Leigh Farm Rd. Durham, N 27707 <br /> Applicant Organization's Web Address:WWW.PiedmontWildlifeoenter.ofq <br /> Executive Director:Karen McCall <br /> Telephone Number:919-489-0900 E-Mail:karenmlNpiedmontwildllfecenter.oTq <br /> Tax ID Number: <br /> mw <br /> Funding Request <br /> Please list all Fiscal Year 2023 Human Services tHS)funding requested for all Programs and the proposed use of funds <br /> 7Penonrel <br /> ,list program name only) _ <br /> m CarrhnrP- Chawl Orange Total <br /> HS Hill-HS County-HS <br /> epers Afferschool Program $3,000 $8850 $11,850 <br /> O erations rations <br /> Earthkeepers Afterschool program supplies $150 $150 <br /> Totals $3000 $%000 $12,000 <br /> Lover Page Page 3 of 21 <br />