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HCCBG Budget <br />North Carolina Division of Aging DOA -732A <br />Service Cost Computation Worksheet c:732A.xls FY 2013 <br />Provider: Cabarrus County Human Services <br />County: Cabarrus <br />Budget Period: July 1, 2012 through June 30, 2013 <br />Revision _yes, _no, revision date <br />Services; <br />I. Projected Revenues <br />Grand Total <br />CDS 500- Care <br />Advisor <br />CDS 501- <br />Personal <br />Assistant <br />CDS 503- <br />Fiscal Inter <br />CDS 504 - <br />Personal <br />Care, <br />Nutrition <br />Supplements <br />& <br />environment <br />CDS 505- <br />Home <br />Delivered <br />Meals <br />CDS 506- <br />Emergency <br />Response <br />Equipment <br />CDS 507 - <br />Medical <br />Adaptive <br />Equipment <br />A. Fed /State Funding From the Division of Aging <br />46,022 <br />/ / / / / / / /// <br />3,686 <br />36,965 <br />3,236 <br />134 <br />964 <br />631 <br />406 <br />Required Minimum Match - Cash <br />1 County General Fund <br />5,115 <br />/ / / / / / / /// <br />410 <br />4,108 <br />360 <br />15 <br />107 <br />70 <br />45 <br />2 <br />0 <br />3 <br />0 <br />Total Required Minimum Match - Cash <br />5,115 <br />/ / / / / / / /// <br />410 <br />4,108 <br />360 <br />15 <br />107 <br />70 <br />45 <br />Required Minimum Match - In -Kind <br />1 <br />0 <br />2 <br />0 <br />3 <br />0 <br />Total Required Minimum Match - In -Kind <br />0 <br />/ / / / / / / /// <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />B. Total Required Minimum Match cash + in -kind <br />5,115 <br />/ / / / / / / /// <br />410 <br />4,108 <br />360 <br />15 <br />107 <br />70 <br />45 <br />C. Subtotal, Fed /State /Required Match Revenu <br />51,137 <br />(((((((((( <br />4,096 <br />41,073 <br />3,596 <br />149 <br />1,071 <br />701 <br />451 <br />D. USDA Cash Subsidy /Commodity Valuation <br />0 <br />E. OAA Title V Worker Wages, Fringe Benefits <br />0 <br />Local Cash, Non -Match <br />1) County General Fund <br />0 <br />2 <br />0 <br />3 <br />0 <br />4 <br />0 <br />F. Subtotal, Local Cash, Non -Match <br />0 <br />/ / / / / / /u/ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Other Revenues, Non -Match <br />1 Donations <br />0 <br />2 State In -Home <br />0 <br />3 <br />0 <br />G. Subtotal, Other Revenues, Non -Match <br />0 <br />/ / / / / / /u/ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Local In -Kind Resources Includes Volunteer Resources <br />1 <br />0 <br />2 <br />0 <br />3) <br />0 <br />H. Subtotal, Local In -kind Resources, Non -Ma <br />0 <br />/ / / / / / /u/ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />I. Client Program Income <br />0 <br />/ / / / / / /u/ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />.l. Total Projected Revenues (Sum I C,D,E,F,G, <br />51,137 <br />(((((((((( <br />4,096 <br />41,073 <br />3,596 <br />149 <br />1,071 <br />701 <br />451 <br />Percent of Grand Total <br />100% <br />1 8.01%1 <br />80.32%1 <br />7.03% <br />0.29% <br />2.09% <br />1.37% <br />0.88% <br />46022 <br />F -3 Page 68 <br />