Orange County NC Website
DocuSign Envelope ID: 571863E8-F892-43F0-B73F-4AB062ACBOBF XHIBIT 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 2015- Estimated 2016- Projected 2 017 <br /> 16 17 18 <br /> Total Cost of Program 35,000 40,000 35,625 <br /> Total # of Individuals 75 75 85 <br /> Cost Per Individual 466.66 533.33 419.12 <br /> DO NOT SUBMIT THIS PAGE 1/26/2017 11:10:15 AMIII'age 28 .0 31 <br />