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HCCBG Budget <br />NAME AND ADDRESS Home and Community Care Block Grant for Older Adults <br />COMMUNITY SERVICE PROVIDER <br />OAAS -732 (Rev. 2J16) <br />Cabarrus Active Living and Parks <br />County Funding Plan <br />County Cabarrus <br />P O Box 707 <br />July 1, 2016 through June 30, 2017 <br />Concord NC 28026 -0707 <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 />Ser. Delivery <br />Projected <br />Projected <br />Projected <br />Projected <br />(Check One) <br />Block Grant <br />Funding <br />Required <br />Net" <br />USDA <br />Total <br />HCCBG <br />Reimburse. <br />HCCBG <br />Total <br />Services <br />Local Match <br />Sery Cost <br />Subsidy <br />Funding <br />Units <br />Rate <br />Clients <br />Units <br />Direct <br />Purch. <br />Access <br />In-Home <br />Other <br />Total <br />Senior Center Operation 17 <br />x <br />67301 <br />\NW\NN\WW <br />9700 <br />97001 <br />0 <br />0 <br />97001 <br />#REFI <br />#REFI <br />4500 <br />#REF! <br />illllll1111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />iXXXXIXII <br />0 <br />4 <br />C <br />0 <br />0 <br />D <br />0 <br />11111111111X1 <br />0 <br />0 <br />a <br />0 <br />0 <br />0 <br />0 <br />1'i111111111X1 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />N%\%W\W <br />0 <br />0 <br />D <br />0 <br />0 <br />0 <br />0 <br />Total <br />\N\w1 <br />%\w <br />0 <br />0 <br />87,301 <br />87,301 <br />9700 <br />97001 <br />0 <br />97001 <br />\\W\ IXXN <br />llllXll]11111 <br />4500 <br />#DIV10! <br />"Adult Day Care & Adult Day Health Care Net Service Cost <br />ADC ADHC <br />Daily Care <br />Certification of required minimum local match <br />! <br />Transportation <br />availability. Required local match will be expended <br />Atrthd ized Signature, Title <br />Date <br />Administrative <br />simultaneously with Block Grant Funding. <br />Community Service Provider <br />Net Ser. Cost Total <br />Signature, County Finance Officer Date <br />Signature, Chairman, Board of Commissioners Date <br />D <br />m <br />n <br />3 <br />m <br />a <br />m <br />F -6 <br />Page 115 <br />