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HCCBG Budget <br />NAME AND ADDRESS <br />Home and Community Care Block Grant for Older Adults <br />COMMUNITY SERVICE PROVIDER <br />DOA -732 (Rev, 1113) <br />Cabarrus County Transportation <br />County Funding Plan <br />County Cabarrus <br />1303 S Canno Blvd., <br />.July 1, 2014 through June 30, 2015 <br />Kannapolis, NC 28083 <br />Provider Services Summary <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 />Trans 250 <br />X <br />139932 <br />I111rI1U111111 <br />15548 <br />155480 1 <br />0 <br />0 <br />155480 <br />8086 <br />13.994 <br />4043 <br />181064 <br />I111111U11111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />111111111111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\\\\\\\\\\\W\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />111111111111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />r111111illllllt <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Total <br />1111111 <br />1111x11 <br />137477 <br />01 <br />137,4771 <br />15275 <br />152752 <br />0 <br />152752 <br />111x1111111111 <br />11110111111111 <br />4043 <br />181064 <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 />Transportation <br />availability. Required local match will be expended <br />Authorized 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 />Attachment number 2 <br />F -5 Page 101 <br />