Orange County NC Website
DocuSign Envelope ID:4D553CF7-2BBD-4F4E-B84E-E6B8B077A9AB <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 6. Program Budget Detail — Provide description of"other" budget items, not defined. <br /> 7. This program budget represents what percent of the agency budget? 3.74% <br /> 8. COST PER INDIVIDUAL <br /> This Cost per Individual must reflect the total program budget divided by the total number of program <br /> individuals in this application. <br /> Actual 201546 Estimated 2016-17 Pr ojected 2011.18 <br /> Total Cost of Program $417,679 $426,337 $433,300 <br /> Total #of Individuals 106 109 110 <br /> Cost Per Individual $3,940.37 $3,911.35 $3,939.09 <br /> DO NOT SUBMIT THIS PAGE 1/31/2017 1:07:05 PM Page 2 37 <br />