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HCCBG Budget DOA-T32A <br />North Carolina Division of Aging <br />Service Cost Computation Worksheet ea3zw>ae Fvzato <br />Provider; Gurus Couny DayaNn¢rd oT Commerce <br />Cwmy: Caearnq Caunry <br />BudgN Period' July 1. M09 d¢ouph June 30. Za10 <br />Revision _yes. X no, revisipt du¢ __ <br />$ervlfe5; <br /> <br />I. Projected Revenues Total Housinpl <br />Moms Repau <br />A. FeNttate FuMi From th¢ Dirision W A kt <br />R used Mnimum Match • Cash <br />t General FurW S <br />171/1!/1llNtl// <br />90S /1NIif1!! <br />IlJ/I1NA <br />If171f1/1/ x4.148 <br />11NN1J17NNr <br />4.BOS <br />2 0 IflllllN! <br />9 <br />Total R Idinimtan Match - sh <br />R MaNmum Matti • In.K4W 0 <br />905 <br />Il!!!!lNNflllr Jlll111111 <br />NrlJllll/ <br />lNfllllll <br />4805 <br />fflrfl71rIN1f! <br />1 0 1rllllNl! <br />2 0 1!!!1111/! <br />3 <br />Total R ufred MiNmum Match • IrviCmd <br />B. ToW R vred Mnimun Match ease • in-k 0 <br />0 <br />a 1NS 1l171f11J1 <br />!!/lN1111 <br />1!lf1N1f1 <br />D <br />4,905 <br />c. Subtotal, Fed/Slate/R wired Match Raven 49,oss mNrrul 49 033 <br />D. USDA Cash Su ltiylCommodi Valuation 0 /rnerrvr <br />B. OAA Title V Worker Wages, Fringe Benefi O /nrN1N1 <br />local Cash, N¢n-Matto NI!/Nlll!//fl 11//11111/ llfl/111N11111 <br />11 County General Funtl 0 11J!llllll <br />21 0 !fli11r11/ <br />9 0 Jl//1111N <br />4 O 1Ni!lJll/ <br />F. Subtotal, Local Cash, Non-Match 0 nNrNlrr 0 <br />Ofhx Rav¢nues. Nor~Milch lN1INI71!/111 f1111J11+1 I1NIlf/1!N/N <br />1 Donations 0 l8yllNr! <br />21 State InHome 0 lllflllll! <br />9 0 !!1/117111 <br />G. Subtotal, Other Revenues, Non-Match 0 munru 0 <br />Local In-Kind Resowees Intlutles V¢knteu Resources 7/1!11!//NNIl III11/7111 /1!/Ilflliflrll <br />t 0 11/rlllf// <br />z 0 lurrurrr <br />A 0 71llll/N! <br />H. Subtotal, Local In-kintl Resources, Non-M 0 rnNNN! 0 <br />1. Client Pr ram Income 0 Nmum a <br />~. Total Projected Revenues (Sum I C,D,E,F, 49,033 NNNNN 49,053 <br />Percent of Grand Total tioox 1oo.oax <br />F-1 <br />Attachment number 1 <br />Page 91 of 627 <br />