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-2- <br /> <br />Please complete the following: <br /> <br />Name of applicant: <br /> <br />Applicant's mailing address: <br /> <br /> ¢~.~, ¢~a,.1,1 ~ '"x ~..~'o~ ~ ~ o. ~,. ~o'% ('o~, ~c ~o~-o?o~. <br />Name of applicant's authorizing official: <br /> <br />Title of authorizing official: <br /> <br /> , <br /> <br />Terms of this contract agreed to on this date: .,19__ <br />Signature of authorizing official: <br /> <br />For Cabarrus Arts Council office use only <br /> <br />Grant #: 8990000- <br /> <br />Amount awarded: $ <br /> <br /> <br />