Orange County NC Website
DocuSign Envelope ID:A13A145D-D67A-4FF7-ABA9-312E380D8DD9 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <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 2015-16 Estimated 2016-17 Projected 2017-18 <br /> Total Cost of Program $254,172 $258,064 $270,092 <br /> Total # of Individuals 172 179 195 <br /> Cost Per Individual $1,478 $1,442 $1,385 <br /> PROGRAM INFORMATION 2/8/2017 10:03:24 AM II ' age 2 If <br />