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le and Addmss <br />~munity Service Provider <br /> <br />~arrus Co. Dept. of Aging <br /> O. Box 1005 <br /> <br />~cord, N.C. 28026 <br /> <br />Home and Community Block Grant for Older Adults <br />County Funding Plan <br /> <br /> Provider Services Summary <br /> <br /> DO^-732 Rev. 1194) <br />County Cabarrus <br />July I. 1995 through June 30. 1996 <br /> <br /> A B C D E F G H I <br /> Ser. Deliver~ Req Locat Req Loc Proj Net <br /> Check ( ) one Block Grant Funding Match Match Net* USDA Total Proj Unit Proj <br /> vices Direct Purch. Access In-Home Other Total Cash In-Kind Serv Cost Subsidy Funding Units Cost Clients <br /> ion X 88,.187.. \\\\\\\\\\\\\\\\\ 9,86~'" 98.,056 98,056 26,000 3.7714 350 <br /> X 103~781 \\\\\\\\\\\\\\\\\ 11.,531 115~312 26~36.0. 141r672 43~520 2.6496 400 <br /> ~lemental X 10,000 ~\\\\\\\\\\\\\\\\ 1,111 ..... 11,111 5,854 16,965 9,665 1.1496 50 <br /> -HomeAide X 29,'943 \\\\\\\\\\\\\\\\\ 3,327 33,270 33,270 4,122 8.0713 25 <br /> e X 7 ~068 \\\\\\\\\\\\\\\\\ ,7.85 7 ~853 7 ~853 N/A N/A 25. <br /> <br /> ....... \\\\\\\\\\\\\\\\\ , I <br /> <br /> Total \\\\\\\\\\ \\\\\\\\\\ 88,187 ~.7,011 113,781 26,623 265,602 32~214 297~816 <br /> <br />dui' Day Care Net Service Cost '.~' ~/,~'_ ~'~ V/ /~'f' <br />lily Care certification of required minimumum local Match evailability. Z 7 <br />ansportation Requiredlocelmatchw~llbeexpendedsirnultaneously Aul~brized $igna-lure.~ Title[ ,/ Date <br />lministrative v~m Block Grant Funding. Community Service Provider <br /> <br /> gnatuSe '- - Date ' Signature, Chairman, '"' Date <br /> County Flanance Officer Board of Commissioners , · <br /> <br /> <br />