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HCCBG Budget <br />NAME AND ADDRESS Home and Community Care Block Grant for Older Adults <br />COMMUNITY SERVICE PROVIDER DOA -732 (Rev. Ill 3) <br />Cabarrus County Planning & Development County Funding Plan County Cabarrus <br />P O Box 707 July 1, 2014 through June 30, 2015 <br />Concord, NC 28026 Provider Services Summary <br />Services <br />Ser. Delivery <br />A <br />B <br />C <br />D <br />E <br />F <br />G <br />H <br />I <br />Block Grant Funding <br />Required <br />Local Match <br />Net' <br />Sery Cost <br />USDA <br />Subsidy <br />Total <br />Funding <br />Projected <br />HCCBG <br />Units <br />Projected <br />Reimburse. <br />Rate <br />Projected <br />HCCBG <br />Clients <br />Projected <br />Total <br />Units <br />(Check One) <br />Direct <br />Purch. <br />Access <br />In -Home <br />Other <br />Total <br />Housing/ Home Repair lz <br />X <br />36380 <br />1U11111111N1 <br />4042 <br />40422 <br />0 <br />40422 <br />#DIVIO! <br />#DIV /O! <br />40 <br />#DIV /O! <br />0 <br />11111N1111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />11111111111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\\m\%\\\\kJ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />11111111111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />11111111111111 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Total <br />1111111 <br />1111111 <br />0 1 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />11111111111111 <br />11111111 \\1111 <br />0 <br />0 <br />"Adult Day Care & Adult Day Health Care Net Service Cost <br />ADC ADHC <br />Daily Care Certification of required minimum local match <br />Transportation availability. Required local match wire be expended Authorize Sign ure, itle Date <br />Administrative simultaneously with Block Grant Funding. Comm Service Provider <br />Net Ser. Cost Total <br />Signature, County Finance Officer Date Signature, Chairman, Board of Commissioners Date <br />Attachment number 2 <br />F -5 Page 113 <br />