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,lame and Address <br />;ommunity Service Provider <br /> <br />L.I.F.E. Center, Inc. <br />30 Union St., N <br />Concord, NC 28025 <br /> <br />Home and Community Block Grant for Older Adults <br />County Funding Plan <br /> <br /> Provider Services Summary <br /> <br /> DOA-732 Rev. 1/94) <br /> Courtly Cabarrus <br /> <br />July 1, 1995 Ihmugh June 30. $996 <br /> <br />Services <br /> <br />Ser. Delivery <br />Check ( ) Oriel <br /> <br />Total <br /> <br />*Adult Day Care Net Service Cost <br />Daily Care 7 0,0 3 8 <br />Transportation <br />Administrative <br /> <br />Total 70,038 <br /> <br />A B <br /> <br />Ilock Grant Funding <br /> <br />Req Local <br />Match <br /> <br />63~034 <br /> <br />Access In-I-tome Other Total Cash <br /> <br />i63,034 <br /> <br /> D F <br /> <br /> Net" USDA Total <br />Serv Cost Subsidy Funding <br /> <br />Cedification of required minimumum local Match availahirity. <br />Required local match will be expended simultaneously <br />v~th Block Grant Funding. <br /> <br />Counly Flanance Officer <br /> <br />Dale <br /> <br />Aulhorized <br />Community Service Provider <br /> <br />Signature, Chairman, <br />Board of Commissioners <br /> <br />Dale <br /> <br />Date <br /> <br /> <br />