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fiCCSG Budget <br />NAME AND ADDRESS Home and Community Care Block Gran! for Older Adults <br />COMMUNITY SERVICE PROVIDER DOA-732 (Rev. 02109) <br />Cabarrus County DSS County Funding Plan County Cabarrus <br />1303 South Cannon Blvd. July 1, 2009 through June 30.2010 <br />Kannapolis, NC 28083 Provider Services Summary <br /> A B C 0 E F G H I <br /> Ser. Delivery Projected Projected P <br />ct <br />d P <br /> <br />(Check <br />One) <br />Block Grant Fundin <br />g <br />Required <br />Net• <br />USDA <br />Total <br />HCCBG <br />Reimburse roje <br />e <br />HCCBG rojected <br />Tot <br />l <br />Services Direct Purch. Access In-Home Other Total Local Match Serv Cost Subsidy Funding Units . <br />Rate Clients a <br />Units <br />Trees 250 0 U111ffi111111 0 0 0 0 #DIV/O! #DIVl0! #DIV/0! <br />In-Home t-Home Mgmnt 0 11111\11111111 0 0 0 0 #DN/O! #DNI01 #DIV/Ot <br />In-Home 1-Respite 235 <br />i <br />H 0 11111\11111111 D 0 0 0 #DN/0! #DIV/0! #DIV/OI <br />n- <br />ome 11-Home Mgmnt 0 Ui11\1111U11 0 0 0 0 #DIV/O! #DIViD! #DIV/O! <br />In-Home II-Personal Care 042 <br />I <br />H <br />II 122488 11111UIU1111 13610 136098 0 136098 9146 14.8808 25 9149 <br />n- <br />ome <br />-Respite 236 0 11111111111111 0 0 0 0 #DIV10! #DIV101 #DIV/O! <br />In-Home III-Home Mgmnt 0 1\1\111111111V 0 0 0 0 #DNIO! #DIV/Ol #DIV/O! <br />in-Home III-Personal Care 045 0 1\111111111111 0 0 0 0 #DIViD! #DtV/0! #DIV/0! <br />In-Home III-Respfte 237 <br />I <br />H <br />N <br />H 0 1111111NI1H1 0 0 0 0 ;RDN/0! #DIVIO! #DIV/0l <br />m <br />ome <br />- <br />ome Mgmnt 046 0 111\1t\111H11 0 0 0 0 #DIV/O[ #DN/0! #DIV/O! <br />In-Home N-Respite 238 D HU1111111111 D 0 0 0 #DIV/Ot #DIV/0! #DIV/0! <br />Congregate 180 0 N111111111111 0 0 0 0 #DIV101 #ON/O! #DIV/O! <br />Home DeBvered 020 0 1111111111101 0 0 0 0 #DIV/01 #DIV/0! #DIV/0! <br />Info & Assist 040 0 11111111111111 0 0 0 0 #DIV/O! #DIV/0! #OtVIO! <br />Housing! Home Repair 14 0 0 0111111111111 0 0 0 0 #DIV/01 #DIV/0! #DIV/0! <br />Senior enter Operation 1 70 0 1111\11111101 0 0 0 0 #DIVIO! #DIV/O! #DIWO! <br /> 0\1\i\11111N 0 0 0 0 0 0 0 <br /> 11111\1\\11111 D 0 0 0 0 0 p <br /> aun11u~111 0 0 0 0 0 o D <br /> Inunlmul 0 0 0 0 0 0 0 <br /> 1u11~1uu111 0 0 0 0 0 0 0 <br />Total 111101 111\11\ <br />' 0 122488 0 122,488 13610 136098 0 136098 pU11100111 111110011111 25 #DIV/O! <br />Adult Day Care & Adult Day Health Care Ne t Service Cost <br />ADC ADHC <br />Daily Care <br />Transportation <br />Cerpfication of required minimum local match (,Q~ <br />avadabifi <br />Re <br />i <br />d f <br />l <br />4~sA <br /> <br />Administrative ry, <br />qu <br />re <br />oC S <br />match wtll be expendmf Authorized Signature, Id le Date <br /> simultaneously vrith Block Grant Funding. Community Service Prov ider <br />Net Ser. Cost Total <br /> Signature, County Finance Officer Date Signature, Chairman, Board of Commissioners Date <br />Attachment number 1 <br />F-1 Page 99 of 627 <br />