Orange County NC Website
DocuSign Envelope ID:80528E57-64B2-4BCE-A558-776533408604 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 12.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 2017- <br /> 16 17 18 <br /> Total Cost of Program $4824 $6371 $6371 <br /> Total # of Individuals 35 30 30 <br /> Cost Per Individual $137.83 $212.37 $212.37 <br /> PROGRAM INFORMATION 2/9/2017 1:10:02 PM "1 6 II 11 <br />