Laserfiche WebLink
HCCBG nudger <br />D <br />m <br />3 <br />7 <br />7 <br />C <br />NAML AND ADDRESS Home and Community :are Block Grant for Older Adults <br />COMMUNITY SERVICE PROVIDER <br />DAAS -732 (Rev_ W1 ti) <br />Caharrus Meals On Wheels <br />County Funding Plan <br />County Cabarrus <br />1701 S Main St, <br />July 1, 2015 through June 30, 2017 <br />Kannapolis, NC 28081 <br />Provider Services Summary REVISION # DATE <br />A <br />B <br />C <br />D <br />e <br />F <br />G <br />H <br />I <br />Se(. Delivery <br />Projected <br />Projected <br />Projected <br />Projected' <br />Block Grant <br />Funding <br />Recuired <br />Net <br />USDA <br />Total <br />HCCBG <br />Reimburse. <br />HCCBG <br />Total <br />(Check One) <br />Services <br />Local Match <br />Sery Cost <br />Subsidy <br />Funding <br />Units <br />Mate <br />Clients <br />Units <br />Direct <br />IPurch <br />Access 'lo-Home <br />Other <br />Total <br />Home Delivered 020 <br />X <br />70630 <br />11111111111111 <br />7848 <br />78478 <br />36000 <br />0 <br />114478 <br />15872 <br />4.9343 <br />80 <br />118999 <br />1111111111111N <br />0 <br />0 <br />0 <br />0 <br />a <br />0 <br />1141UIg1111�. <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />ff <br />111LMH111111 <br />0 <br />0 <br />4 <br />0 <br />0 <br />0 <br />0 <br />1111110111111 <br />C <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />1110111111111 <br />0 <br />0 <br />a <br />0 <br />0 <br />0 <br />0 <br />Total <br />5111111 <br />10011 <br />a <br />70630 <br />9 <br />70,630 <br />3848 <br />78478 <br />3800(3 <br />114478 <br />01010000 <br />11111111111111 <br />80 <br />#DIV /0! <br />'Adult Day Care & Adult Day Health Care Net Service Cost <br />ADC ADHC <br />r <br />Daily Care <br />Certification of required minimum local match <br />Transportation <br />availabiilty. Required brat match 411 be expertded <br />Authorized Sig Lure, Title <br />Date <br />Administrative <br />simultaneously with Block Grant Funding. <br />Community Service Provider <br />6 <br />Net Ser. Cost Total <br />Signature, County Finance Officer Date <br />Signature, Chairman, Board of Commissioners Date <br />F -6 <br />Page 168 <br />