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DocuSign Envelope ID: E9553E7D-3748-4C37-A9D7-602D42934ACC t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 51-61 years 17-24% 17-24% 18-24% <br /> 62+ years 12— 16% 12— 16% 12— 16% <br /> Total 73 75 77 <br /> Geographic Location <br /> Durham City 10- 15% 10- 15% 10- 14% <br /> Durham County 2—3% 2—3% 2—3% <br /> Carrboro 23—34% 24—36% 24—35% <br /> Chapel Hill 19—29% 19—28% 19—28% <br /> Chapel Hill Public Housing Residents Unknown Unknown Unknown <br /> Orange County 10— 15% 11 — 16% 11 — 16% <br /> Raleigh 2—3% 2—3% 2—3% <br /> Wake County 1 — 1% 1 — 1% 1 — 1% <br /> Total 65—93% 67—93% 69—93% <br /> Income Level —See following chart <br /> (Omit for HS) <br /> < 30%Area Median Income Unknown unknown unknown <br /> 31-50% Area Median Income Unknown unknown unknown <br /> 51-80% Area Median Income Unknown unknown unknown <br /> > 80%Area Median Income Unknown unknown unknown <br /> Total 0 0 0 <br /> Special Needs (Omit for HS) <br /> Elderly(Over 62) 12— 16% 12— 16% 12— 16% <br /> Disabled (not elderly) 1 — 1% 1 — 1% 1 — 1% <br /> Homeless 0 0 0 <br /> People with HIV/Aids Unknown unknown unknown <br /> Total 13- 18% 13- 18% 13- 18% <br /> Main Application 5/25/2016 10:00:47 AM .. • of 2 <br />