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HCCBG Budget <br />NAME AND ADDRESS <br />Home and Community Cam Stock Grant for Older Multi <br />COMMUNITY SERVICE <br />PROVIDER <br />DAAS-732 (Rev. 2116) <br />Cabarrus County DHS <br />County Funding Plan <br />County Cabarrus <br />1303 S. Gamont Blvd <br />July 1, 2018 through June 30, 2019 <br />Kannapolis, NC 28083 <br />Provider Services Summary <br />serrations. Rev Dara: <br />A B C <br />D <br />E F G <br />Ser. Delivery <br />Projected Projected <br />Pro <br />Check One) Block Grant <br />Funding Required Net' <br />USDA <br />Total HCC13G Reimburse. <br />HC <br />Services <br />WrecI Puroh. Access In -Home <br />Other I Total Local Match Sam Cost <br />Subsidy Funding Units Rate <br />O. <br />Ir,HMIe lb Parentl awe 042 <br />x 144690 <br />\\\\\\\P1\\\\ 18077 180767 <br />0 <br />180767 8851 18.1637 <br />IM1Hwae III Penaael care 016 <br />x 47555 <br />\\\\\\\H\\\\\ 5284 52839 <br />0 <br />52839 2567 20.5811 <br />Cweraoate leo <br />x <br />107168 \\\\\\\\\\\\\\ 11908 119076 <br />28628 <br />14T704 11246 10.5878 <br />A4W Day can mo <br />x <br />20613 \q\\P\t%\ 2290 22903 <br />0 <br />22903 667 34.3373 <br />m ft nay 1laaeh 155 <br />x <br />118764 \\0\\p\0\\\ 13196 131960 <br />0 <br />131960 3201 41.2223 <br />\e\\pum\\ 0 0 <br />0 <br />0 0 0 <br />a\\\o\eo\t 0 0 <br />0 <br />0 0 0 <br />1\ %%it% o 0 <br />0 <br />0 0 0 <br />1\\\\1\1\11\\\ o 1 o <br />1 g <br />1 o 1 0 0 <br />Total <br />1 vm%\\\1\11 0 197245 <br />246,545 4M,7901 48755 1 4875451 <br />28628 <br />1 5161731 26532 <br />'Adult Day Care S Mull <br />Day Health Care Net Service Cost <br />Dally Cara <br />ADC ADHC <br />Ceniflcetlon of required minimum local match <br />K o CW— � <br />Transportation <br />hal <br />wastabsimultaneously <br />Authorized Signature. <br />Administrative <br />Win Blomatcck Grant <br />slmultaneausly v4th Block Gmnt Funding. <br />oyid <br />Community Service Provider <br />Net Ser. Cost Total <br />Signature, County Finance Officer Date <br />Signature, Chairman, Board of Commis: <br />Attachment number 1 \n <br />F-2 <br />