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NAMI~ANDAI)I)I~.I;,SS Home and Community Care Block Grant for Older Adults <br />COMMUNI'I~f SERVI CE PI~.OVI I)1';I~ <br />L.I.F.E. Center, Ific. County Funding Plan <br />30 Union Street, N <br />'~Jg~ord',' ~c--386~5 ........ Provider Services Summary <br /> <br />DOA-732 (Rev. 1/94) <br />County. Cabarrus <br /> <br />July 1. 1994 through Jtmc 30, 1995 <br /> <br /> A B C D F <br /> Service Delivery Required Required <br /> Check( )One Block Grant Funding Ix)cai Match I..ocal Match Net* 'lblal <br /> <br />Services Direct Purchased ln-llome C&'d~ In-Kind Serv Cosl Subsidy Funding <br /> 6939 69388 69388 <br /> <br /> G II <br /> <br />Projccled l~'r oj Net <br />Units Unit Cost <br />3304 .0012 <br /> <br />Total \\\\\\\\\\\\\ \\\\\\\\\\\\\ 6939 69388 <br /> <br />*Adult Day Care Net Service Cost <br /> <br />Daily (?arc <br /> <br />'l'rauspor tation <br /> <br />Adufiuistrativc <br /> <br />Total <br /> <br />Certification of required miuim um It)cai match availability. <br />Required k)cal match will he expeudcd simuhancously <br />with BItmk Grant Fundiug. <br /> <br />S~gnalnrc y <br /> <br /> 69388 3304 <br /> <br />Anthorizcd Signaturc,'litlc c,~ , l)atc ,, <br />Community Service Provider <br /> <br />Signature. Chairmau. IIoard of Coumlissioncrs Date <br /> <br /> <br />