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DocuSign Envelope ID: 07FEE1A8- E83F- 44CF- 99C4- 61A6E4C39BD2 <br />EXHIBIT A - PROVIDER'S OUTSIDE AGENCY APPLICATION <br />OCDAC Operating Budget <br />Expenses <br />Salaries <br />24000 <br />Office Supplies <br />2600 <br />Printing <br />1600 <br />Insurance <br />2000 <br />Postage <br />300 <br />Travel <br />750 <br />Revenue <br />Grants <br />Orange County <br />7,000 <br />Town of Chapel Hill <br />4,000 <br />Town of Carrboro <br />5,000 <br />Stroud Roses <br />2,000 <br />Agency Generated <br />1,500 <br />Total Revenue Grants <br />19500 <br />Revenue Workshops <br />4000 <br />Revenue Donations <br />500 <br />Total Revenue 24,000 <br />