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HCCBG Budoe2 <br />NAME AND ADDRESS <br />Home and CommunityCace Block Grant for Calder Adults <br />COMMUNITY SERVICE PROVIDER <br />DOA -732 (Rev. 1113) <br />Active Living and Parks <br />County Funding Plan <br />County Cabarrus <br />P O Box 707 <br />July 1, 2014 through June 30, 2015 <br />Concord, NC 28026 -0707 <br />Provider Services Summary <br />A <br />8 <br />C <br />D <br />E <br />F <br />G <br />H <br />Ser. Delivery <br />Projected <br />(Projected <br />Projected <br />Projected <br />(Check One) <br />8tock Grant Funding <br />Required <br />Net' <br />USDA <br />Total <br />HCCBG <br />Reimburse. <br />HCCBG <br />Total <br />Services <br />Local Klatch <br />Sery Cost <br />Subsidy <br />Funding <br />Units <br />Rate <br />Clients <br />Units <br />Direct <br />JPurch. <br />Access <br />In-Home <br />Other <br />1 Total <br />Senior Center Operatlor 1 <br />X <br />83060 <br />MWWA01 <br />9229 <br />92289 <br />0 <br />0 <br />92289 <br />#DIVlOI <br />#DIVIO! <br />4500 <br />#DIV70! <br />11111111111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />110M00111 <br />0 <br />0 <br />0 <br />0 <br />01 <br />0 <br />0 <br />1N1140410N <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />111101101111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />1111101111111 <br />0 <br />0 <br />0 <br />0 <br />01 <br />0 <br />0 <br />Total <br />111104 <br />10410 <br />35821 <br />158977 1 <br />321,468 <br />516,266' <br />57363 <br />573629 <br />12419 <br />58 48 <br />41044illlllll <br />1011111111111 <br />4500 <br />#DIV101 <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 />�r P <br />Transportation <br />availability. Required local match will be expended <br />Authorized Signature, Title <br />--1� Date <br />Administrative <br />simultaneously with Block Grant Funding. <br />Community Service Provider <br />�! <br />Net Ser. Cost Total <br />Signature, County f=inance Officer Date <br />Signature, Chairman, Board of Commissioners Date <br />Attachment number 3 <br />F -5 Page 137 <br />