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HCCBG BUdget <br />NAME ANDADDRESS <br />Home and Community Care Block Grant for Older Mulls <br />COMMUNITY SERVICE <br />PROVIDER <br />DAAS-732 (Rev. 2113) <br />Cebme WPaNg am oweiownen wwnmao <br />County Funding Plan <br />County Cabamrs <br />P.O. Box 707 <br />July 1, 2016 through June 30, 2011 <br />Concord, NC 28026 <br />Provider Services Summary <br />Revision#: Rev Data: <br />A B <br />C <br />D E <br />F G <br />Ser. Delivery <br />Projecletl ProjeGetl F <br />(Check One) Block Gram Funtling Raqulretl <br />Net' <br />USDA Total <br />HCCBG Reimburse. <br />S.M.. <br />Direct Punch. Access In-Hom <br />Ober Total Local Math <br />Seng Cost Subsitly Funtling <br />Units Rate <br />Hwalrq/IMuaeesv+40 <br />x <br />08015 \\\1\1\\\1\\1\ 53M <br />53350 <br />0 53350 <br />lsDIV101 #DIV/01 <br />10\1MnW 0 <br />0 <br />0 a <br />0 0 <br />1\1\1\\\\1%9 0 <br />0 <br />0 0 <br />0 0 <br />1\1\\\1\\101\ 0 <br />0 <br />0 0 <br />0 0 <br />991\9W\\1 0 <br />0 <br />0 0 <br />0 0 <br />1\1\\\1\1\1111 0 <br />0 <br />0 0 <br />0 0 <br />TOW <br />11\fl\\ \\R\1\ 0 0 <br />43,015 48.015 5335 <br />53MG <br />0 53350 <br />\1\1\1\\\N1\1 l\\\\\\11\1\\\ <br />'Adult Day Care 8 Adult <br />Day Healb Care Net Service Cost <br />ADC ADHC <br />- ,14 t 1 (�`�I <br />Daffy Care <br />Ceaitleatlun of requiretl minimum In match <br />�a <br />Fieqously lxflmtlehGrant <br />-sisimultaneously <br />Y(6 M, <br />A etl Sig re,Ttle <br />AdmmsTransportetlon <br />Atlminisimlive <br />Fwnwa <br />simultaneously Hib Bloch Grant Funtling. <br />Cwnmuniry S#Mce Provider <br />Net Ser. Coal Total <br />Signature. County Frence Of cos Data <br />Signature, Chaimlan. Board of Comm <br />Attachment number 1 \n <br />F-2 <br />