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HCCBG Budqet <br />NAME AND ADDRESS <br />COMMUNITY SERVICE PROVIDER <br />Cabarrus County Parks Department <br />Home and Community Care Block Grant for Older Adults <br />DOA -732 (Rev. 03/12) <br />County Funding Plan County Cabarrus <br />July 1, 2012 through June 30, 2013 <br />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 />Senior Center Ops 170 <br />X <br />95379 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />10598 <br />105977 <br />105977 <br />N/A <br />N/A <br />4500 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Total <br />\ \ \ \ \ \\ <br />\ \ \ \ \ \\ <br />1 0 <br />1 0 <br />1 95,379 <br />95,3791 <br />10598 <br />1 105977 <br />1 0 <br />1 105977 <br />\ \ \ \ \ \ \ \ \ \ \ \ \\ <br />\ \ \ \ \ \ \ \ \ \ \ \ \\ <br />4500 <br />1 <br />0 <br />Certification of required minimum local match <br />availability. Required local match will be expended <br />simultaneously with Block Grant Funding. <br />Signature, County Finance Officer Date <br />Authorized Signature, Title Date <br />Community Service Provider <br />Signature, Chairman, Board of Commissioners Date <br />F -3 Page 75 <br />