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0 0 <br />BOOK 20 PAGE 694 <br />APPLICATION FOR FY 2006 SENIOR CENTER GENERAL PURPOSE <br />FUNDING <br />Applicant Information <br />Date: 10/10105 <br />Agency Name: Lee County Senior Services <br />Agency/Project Director: Debbie Davidson <br />Telephone Number: 919-776-0501 FAX: Number: 919-774-7593 <br />E-Mail: debbie.davidson@leecountync.com <br />Agency Address: 1615 S. Third Street, Sanford NC 27330 <br />Type of Agency Applying: ❑ Private ❑ Non-Profit X❑ Public <br />County Location of Project: Lee <br />ASSURANCES <br />Lee County Senior Services (hereinafter referred to as "Subgrantee") <br />HEREBY AGREES THAT it will comply with all Federal statutes relating to <br />nondiscrimination. These include but are not limited to: (a) Title VI of the Civil <br />Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of <br />race, color or national origin; (b) Title IX of the Education Amendments of 1972, <br />as amended (20 U.S.C. 1681-1683, and 1685-1686), which prohibits <br />discrimination on the basis sex; and (c) Section 504 of the Rehabilitation Act of <br />1973, as amended (29 .S.C. 4), wynch prohibit54iscrimination on the basis of <br />y✓i~r~'~ Date: I l I i) o 5 <br />Signature of Authorized Official <br />Title: Chairman, Board of County Commissioners <br />[e.g., Director, Board Chairman] <br />Triangle J Area Agency On Aging <br />