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<br />i }._If_ <br />I SOURCES OF PROGRAM REVENUE (ALL SOURCES) <br /> <br /> $41,379 <br />DJJDP/JCPC Funds <br /> 30% <br /> Local Match Rate <br /> County Cash <br /> Local Cash <br />$ 35,322 <br /> Local In-Kind <br /> Other <br /> Other <br /> Other <br /> <br />Note: This is the amount of your request on your application <br /> <br />Is the Local Match Rate 10%, 20% or 30%? <br /> <br />(Specify Source) <br /> <br />(Specify Source) <br />Daymark Recovery Services, Inc. <br />(Specify Source) <br /> <br />(Specify Source) <br /> <br />(Specify Source) <br /> <br />(Specify Source) <br /> <br />$76,701 <br />TOTAL <br /> <br />$ <br /> <br />12,414 <br /> <br />$ <br /> <br />35,322 <br /> <br />Local MatQ <br />Revenuil;' <br />Totall;ll( <br /> <br /> <br />Local Match Provided <br />TRUE <br />TRUE <br />TRUE <br /> <br />This document has been reviewed and recommended for fundina <br />This is to certify that the Department of Juvenile Justice and Delinquency Prevention funds in this Program Agreement will not be used to <br />duplrcate or to supplant other programs whose primary intent is to provide community based alternatives for delinquents, undisciplined youth or <br />youth at risk of juvenile delinquency. <br />This agreement may be terminated in whole or in part by the Department of Juvenile Justice and Delinquency Prevention in the event that state <br />or federal funds which have been allocated to the Department of Juvenile Justice and Delinquency Prevention are eliminated or reduced to such an <br />extent that, in the sole determination of the Department, continuation of the obligations at the levels stated herein may not be maintained. <br />We, the undersigned agree to comply with allProvisions of this agreement, including the Indemnification and Hold Harmless Grantee Audit <br />Requirement Affirmative Action Termination of Aareement and Acknowledaemenfound on the Provision page of this agreement and.with the <br />policy guidelines for the Community Based Alternatives Program as codified in the North Carolina Administrative Procedures 9 NCAC 5C and 9 <br />NCAC 5D. <br /> <br />Secretary, Department of Juvenile Justice and Delinquency Prevention <br /> <br />Date <br /> <br /> <br />Chair <br /> <br />nty Board of Commissioners or County Finance Director <br />" <br /> <br />Date <br /> <br />Sj-v/<:>f::, <br />Date <br /> <br />",:..J ~. -d h <br />ae <br /> <br />F-15 <br /> <br />Page 10 of 10 <br />