Orange County NC Website
DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> ,0 e Ari <br /> MEALS,,Id!iWHEELS <br /> f, i ///, �,// <br /> ii/ / <br /> 1141 ILE 114 uCy <br /> ii <br /> coif,1, , 1 ;IAA 4 <br /> 1, IIIIIIIII2ILAI!JIIL, 1,144', ,„, de4;',711,4,, AAA,/ 1/IIII$IIIIIIIIII1j1III,IiIILLIIIIILIIIIII <br /> rf / ,4; r �%/ <br /> i f ' � iii�/ Rim" b�� � �f <br /> � ALL" J� 0wl`J"9,,Jp ✓4;rm,amw',4, A% f"UI� <br /> ,/a ',:,,4".1 rr,r rr,r r,i��vmua'�r;�j �j�, <br /> (� eke. aie� n�vv�rrca ^ �yntaiuuth <br /> 01'1111111, <br /> 1, �P �la�Pir Wpy VI M 5 <br /> i:/ ub rhr Mewu nYn�: e0,,: <br /> ir P.,t4,. �� P s�� r suer°enar'yau ^` ��v�6 �av+rtwrNi <br /> i <br /> w I y� p n A p i xp pTrr i/ r e rI rde'44447e4�AALL '114,414%. ➢444 <br /> N. I II .".I'�i 1�I. 14...di�k�I� I'.��'�:.L.0.V!I.. A o f,�'y �,�ll� n,�G',14n�V��/I �WUY4�'d tI� j�. l 6EY�w�` <br /> TOO MANY SENIORS IN NORTH CAROLINA ARE LEFT BEHIND, ALONE <br /> AND HUNGRY, STRUGGLING TO STAY INDEPENDENT AND HEALTHY. <br /> 4 e 0„:,3 143 seniors are isolated, living alone. 1 ;1,11( are threatened by hunger. <br /> 618,446 have difficulty paying for basic living needs. <br /> MEALS ON WHEELS DELIVERS THE SUPPORT THAT KEEPS <br /> SENIORS IN THEIR OWN HOMES, WHERE THEY WANT TO BE. <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................... <br /> 41 i 11 lir�ll,sb y it ( iill)lr�;\1111 <br /> ""gi l\ r',,))y 11 alakca. <br /> .��� 1 a�)A 11 le I �"a�m���))] II„ 171 IO „ 01,i111 ��w1kV my Ili, iir fr r 1 � on) <br /> SENIORS REMAINING AT HOME, OUT OF HOSPITALS AND NURSING <br /> HOMES, SAVES BILLIONS IN MEDICARE & MEDICAID COSTS. <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................... <br /> � �� � The cost of 1 YEAR [l, , ,,I 'WWI I `NII I <br /> �' for a senior to receive �,yl" €5111" I,ZII III "wy <br /> Meals on Wheels is less <br /> OW c, IHIl ll!IIIfiIC`' <br /> ,,ul c than 1 DAY in a hospital. <br /> \�, ,, , 1 DAY Psi"l(l E)(6Y" IIta9li)l"7. <br /> say Meals on Wheels <br /> improves their health <br /> Visit www.mealsonwheelsamerica.org/takeaction to learn more about how you can help in your state and community today. <br /> Main Application 5/24/2016 9:18:54 AM 0I:' a ; 5 0 f 2 it <br />