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Docusign Envelope ID : EA417244- 1B08-4F71 -884E-045B78625FB7 <br /> Article I I and Article 40 of North Carolina General Statute Chapter 66 . <br /> j . Notices . Any notice required by this Agreement shall be in writing and delivered by <br /> certified or registered mail , return receipt requested to the following : <br /> Orange County Provider ' s Name & Address <br /> Attention : Travis Myren Chad Parker <br /> P . O . Box 8181 613 Hillsborough Street <br /> Hillsborough , NC 27278 Raleigh, NC 27603 <br /> IN WITNESS WHEREOF , the Parties , by and through their authorized agents , have hereunder <br /> set their hands and seal , all as of the day and year first above written . <br /> ORANGE COUNTY : PROVIDER : <br /> DocuSigned by: p Doc uSigned by: <br /> By : Tra s A4,ytI , By : t o a� "CV <br /> Tra ' °My?LffisC1bunty Manager Ch `PSW 1g;managing Director, Raleigh <br /> Printed Name and Title � <br /> I <br /> i <br /> i <br /> s <br /> f <br /> i <br /> 7 <br /> t <br /> I <br /> I <br /> 9! <br /> i <br /> 3 <br /> Revised 01 / 24 $ <br />