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RCCBG Budger <br /> NAME AND ADDRESS Home and Community Care Block Grant for Older Adults <br /> COMMUNITY SERVICE PROVIDER DAAS-732(Rev.2/16) <br /> Cabarrus Cc DHS-Transportation County Funding Plan County Cabarrus <br /> 1303 S Cannon Blvd July 1,2017 through June 30,2018 <br /> Kannapolis,NC 28083 Provider Services Summary Revision#: Rev Date: <br /> A B C D E F G H I <br /> Ser. Delivery Projected Projected Projected Projected <br /> (Check One) Block Grant Funding Required Net" USDA Total HCCBG Reimburse. HCCBG Total <br /> Services Direct Purch. Access In-Home Other Total Local Match Sery Cost Subsidy Funding Units Rate Clients Units <br /> Trans 250 x 79207 \1111\1\\15\Il 8801 88008 0 88008 5396 16.3087 4664 48500 <br /> Medical Transp 033 x 64805 1N1U11111\11 7201 72006 0 72006 4040 17.8233 3816 36004 <br /> 11111111111111 0 0 0 0 0 0 0 <br /> 111111\111\111 0 0 0 0 0 0 0 <br /> 11\1\\\1\111\\ 0 0 0 0 0 0 0 <br /> 11111111111111 0 0 0 0 0 0 0 <br /> \1111111111111 0 0 0 0 0 0 0 <br /> Total \111111 1U1111 144012 0 0 144,012 16002 160014 0 160014 11\111111N111 11111\11N1111 8480 #DIV/0! <br /> 'Adult Day Care&Adult Day Health Care Net Service Cost y <br /> ADC ADHC <br /> Daily Care Certification of required minimum local match <br /> Transportation availability. Required local match will be expended Aulhonzed Signature,Title Date <br /> Administrative simultaneously with Block Grant Funding, Community Service Provider <br /> Net Ser.Cost Total <br /> Signature,County Finance Officer Date Signature, Chairman, Board of Commissioners Date <br /> Attachment number 1 \n <br /> F-4 Page 104 <br />