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BK:00024 PG:0817 <br />[Please sign in blue ink.] <br />x Date <br />Signature, Library Director <br />(Printed Name) / <br />x / .cam � Date 3 - 19 - 12 <br />Signa r , Local Government or Governing Board Representative <br />(Prince Name /Title) Linda A. Shook Chairman <br />x Date <br />Signature, Cal Shepard, State Librarian <br />Mail this formiwith original signatuies'in blue ink to: <br />'LSTA Grant Agreements; Library Development Section, State Library of North Carolina; <br />4640 Mail Service Center; Raleigh, NC 27699 -4640. <br />LSTA NC Cardinal Grant Agreement 2011/2012 - Lee County Library page 4 of 5 <br />