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DocuSign Envelope ID:A3E0213B-1DCD-43A3-9C41-A2EC55A8CA94 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Total 3930 4,116 4,116 <br /> Of the above, how many <br /> Hispanic/Latino 201 206 206 <br /> Of the above, how many non- <br /> Hispanic/Latino 3729 3910 3910 <br /> Total Households 3930 4,116 4,116 <br /> Age <br /> 0-4 0-5 years 1498 1578 1578 <br /> 5-17 6-18 years 2872 3045 3045 <br /> 18-64 19-50 years 6089 6315 6315 <br /> 65 +51-61 years 316 340 340 <br /> 62+ years <br /> Total 10,775 11,278 11,278 <br /> Geographic Location <br /> Durham City <br /> Durham County <br /> Carrboro <br /> Chapel Hill <br /> Chapel Hill Public Housing Residents <br /> Orange County 10,775 11,278 11,278 <br /> Raleigh <br /> Wake County <br /> Total 10,775 11,278 11,278 <br /> Income Level —See following chart <br /> (Omit for HS) <br /> < 30%Area Median Income <br /> 31-50% Area Median Income <br /> 51-80% Area Median Income <br /> > 80%Area Median Income <br /> Total 0 0 0 <br /> Special Needs (Omit for HS) <br /> Elderly(Over 62) <br /> Disabled (not elderly) <br /> Homeless <br /> People with HIV/Aids <br /> Total 0 0 0 <br /> Main Application 5/25/2016 9:39:17 AM P 10 of 22 <br />