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DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 i A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 19-50 years 2 1 1 <br /> 51-61 years 2 6 8 <br /> 62+ years 78 79 83 <br /> Total 82 86 92 <br /> �Geographic Location <br /> �'` `'' � �`'`' ' �` <br /> Durham City <br /> Durham County 8 8 8 <br /> Carrboro 5 6 7 <br /> Chapel Hill 9 12 13 <br /> Chapel Hill Public Housing Residents <br /> Orange County 53 54 56 <br /> Raleigh 1 1 1 <br /> Wake County & Other Counties- <br /> Alamance & Person 6 5 7 <br /> Total 82 86 92 <br /> nco ' foll sr ``�``� <br /> ([ i }-S �!���``��|�'.`��`'{'!�, `'�`� ```� <br /> < 3UY6 Area Median Income 25 27 28 <br /> 31-50% Area Median Income 36 35 37 <br /> 51-80% Area Median Income 17 19 22 <br /> > 80% Area Median Income 4 5 5 <br /> Total 82 80 92 <br /> Special Needs (Omit for HS) <br /> Elderly(Over 62) 78 80 85 <br /> Disabled (not elderly) 4 6 7 <br /> Homeless <br /> People with HIV/Aids <br /> Total 82 86 92 <br /> Main Application 1/25/2016 12:26:51 PM Page 2 of 21 <br />