Orange County NC Website
DocuSign Envelope ID:27BE0809-07F1-4358-A397-1F35DD236252 <br /> Contract 468-2009 <br /> Charles House Association <br /> contributions are contained in Family Services Manual Volume VI Chapter 111. If a client <br /> voluntarily contributes to the cost of service,the County will inform the Contractor of the amount <br /> of the contribution and of pny subsequent changes. The Contractor will establish a plan with the <br /> client for accepting the contribution on at least a month) basis; and when contributions are not <br /> received within ten days of the agreed upon date, will notify the client in writing and send a copy_ <br /> of the notification to the County. No other fees for services may be charged to the client. Client <br /> contributions are to be reported monthly to the County. <br /> F. Area to be served/Delivery site(s): Orange Coin <br /> DocuSigned by: DocuSigned by: <br /> Nate cy (hSfav, Patna, Ot t v�t,r <br /> BP�E1�1-9@AgaB4F6... 6Fz'&'FB385FC�488... <br /> Nancy Coston,Social Services Director (Signature of Contractor) <br /> 6/30/2015 6/25/2015 <br /> (Date Submitted) (Date Submitted) <br /> Contract-Scope of Work(06/04) Page 2of 2 <br />