Orange County NC Website
DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Actual 2015-16 Estimated 2016-17 Projected 2017-18 <br /> Total Cost of Program $6,872 $26,250 30,000 <br /> Total # of Individuals 70 135 200 <br /> Cost Per Individual $98.00 $194.00 $150.00 <br /> DO NOT SUBMIT THIS PAGE 12/15/2016 9:57:17 AMII'age 28 .r 32 <br />