Orange County NC Website
DocuSign Envelope ID: E546BA93-2CAA-4121-B91A-3F2107563B4D <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 4. COST PER INDIVIDUAL <br /> This Cost per Individual must reflect the total program budget divided by the total number of <br /> program individuals in this application. <br /> Actual 201646 Estimated 2 47 ? Projected 2017-18 <br /> Total Cost of Program N/A $4000.00 $134,750.00 <br /> Total #of Individuals.......... .. . ....._......m ._..._.........N/A.. _. 100 500 <br /> Cost Per Individual N/A $40.00 $269.50 <br /> PROGRAM INFORMATION 1/31/2017 3:24:15 PM 99292 25 of 29 <br />