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HCCBG Budget <br /> NAME AND ADDRESS Home and Commurity Care Block Grant for Older Adults <br /> COMMUNITY SERVICE PROVIDER DA-AS-732(Rev.2116) <br /> Cabarrus Meals on Wheels County Funding Plan County Cabarrus <br /> 1701 S Main Street July 1,2017 through June 30,2018 <br /> Kannapolis NC 28081 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 /> Home Delivered 020 X 70630 \1111111111111 7848 78478 36000 114478 15872 4.9443 80 116999 <br /> 11\111\1111111 0 0 0 0 0 0 0 <br /> W\\\"\W\\1 0 0 0 0 0 0 0 <br /> 11111111\1\111 0 0 0 0 0 0 C <br /> 111111111\1111 0 0 0 0 0 0 0 <br /> 11111\11111111 0 0 0 0 0 0 0 <br /> Total 1\\H\\ 1111111 C 70630 0 70,630 7848 78478 36000 114478 11\1111\\\1111 111\1\11111111 80 1 #DIV 10! <br /> 'Adult Day Care&Adult Day Health Care Net Service Cost <br /> ADC ADHC <br /> Daily Care Certification of required minimum local match uy1 �7 <br /> Transportation availability. Required local match will be expended ut orized Sign�re,Title ate <br /> Administrative simultaneously with Block Grant Funding. Community Service Provider <br /> Net Ser.Cost Total <br /> Signature,County Fiiance Officer Date Signature.Chairman,Board of Commissioners Date <br /> Attachment number 1 \n <br /> F-4 Page 142 <br />