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2017-476-E Finance - Charles House Association - Outside Agency Performance Agreement
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2017-476-E Finance - Charles House Association - Outside Agency Performance Agreement
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Entry Properties
Last modified
6/27/2018 12:00:31 PM
Creation date
9/19/2017 11:49:20 AM
Metadata
Fields
Template:
Contract
Date
7/1/2017
Contract Starting Date
7/1/2017
Contract Ending Date
6/30/2018
Contract Document Type
Agreement - Performance
Agenda Item
6/20/17
Amount
$22,500.00
Document Relationships
R 2017-476-E Finance - Charles House Association - Outside Agency Performance Agreement
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2017
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DocuSign Envelope ID:8E4BA2A0-F8F0-406A-A380-E6C66CCD78B4 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> • Orange County Other (DO NOT Include HOME funding here) <br /> O Other Government Grants <br /> • Triangle United Way <br /> • State Government <br /> Federal Government (CDBG/HOME/etc.) <br /> • Private Foundation Grants <br /> O Other Revenue <br /> Expenditures <br /> O Compensation <br /> O Rent & Utilities <br /> O Supplies & Equipment <br /> O Travel & Training <br /> O Other Expenses <br /> iii. Does your agency budget show a Surplus or Deficit? Surplus <br /> Is there a significant change? Yes/No NO <br /> Please provide a brief explanation for Surplus or Deficit, and significant changes. <br /> iv. What is your agency's fiscal year? January 1 through December 31 <br /> (Example: July 1, 2016 through June 30, 2017) <br /> Agency Information 1/27/2017 4:52:00 PM Page 6 of 16 <br />
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