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North Carolina Department of Correction <br />Division of Community Corrections <br />Criminal Justice Partnership Program <br />Designated Authority <br />County Name: <br />Authorized County Official <br />Printed or Typed Name Title <br />Signature Date <br />Alternate Fiscal/Budgetary Signatory Designee <br />Printed or Typed Name and Title <br />Signature <br />Printed or Typed Name and Title <br />Printed or Typed.Name and Title <br />Signature <br />Signature <br />Item# 10 <br />Attachment number 1 <br />Page 52 of 199 <br />