Orange County NC Website
GRANT AWARD <br />AGREEMENT <br />Page 7 <br />< < Signature Page > > <br />IN WITNESS HEREOF, the parties have executed this Agreement effective on the date <br />stated above. By signing this contract, signer represents that he/she is authorized to sign <br />on behalf of the Grantee organization or the Corporation. <br />GRANTEE: <br />Signed: _________________________________________________________ <br />Printed Name: _________________________________________________________ <br />Title: _________________________________________________________ <br />Date: _________________________________________________________ <br />Address: _________________________________________________________ <br />Phone: _________________________________________________________ <br />Fax: _________________________________________________________ <br />E-mail: _________________________________________________________ <br />I am _____ / am not _____ a U.S. citizen. <br />Recipients country of residence if not a US Citizen: _______________________________ <br />REINVESTMENT PARTNERS: <br />Signed: _________________________________________________________ <br />Printed Name: Joel R. Skillern <br />Title: Executive Director <br />Date: _________________________________________________________ <br />Docusign Envelope ID: F964269C-88BE-4735-9967-9B34A5FE425C <br />Travis Myren <br />1/28/2025 <br />County Manager