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DocuSign Envelope ID: 8E8982E7 -EFF8- 4214- 979D- 9D572ED220CC <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />h) Agency Budget <br />Is your agency currently receiving and /or requesting other (non -Human <br />Services) local (Town of Carrboro, Town of Chapel Hill, Orange County) <br />government funding? (Yes /No) Yes <br />If yes, please list below: <br />Include all programs that have funding requests /awards /totals from Carrboro, <br />Chapel Hill, and Orange County governments (other than Human Services). <br />Program <br />FY17 -18 <br />Award <br />FY18 -19 <br />Request <br />Source <br />HAC support <br />9,750 <br />16,500 <br />OC Outside Agency Grant <br />HAC support <br />10,000 <br />16,500 <br />Town of Hillsborough <br />HAC Support <br />4,847 <br />5,000 <br />OC Arts Commission <br />Last Fridays <br />12,935 <br />12,935 <br />Hillsborough Tourism Board <br />Art Walk <br />1,474 <br />700 <br />Hillsborough Tourism Board <br />Art Walk <br />1,113 <br />300 <br />OC Arts Commission <br />River Park Concert <br />5,000 <br />5,000 <br />Hillsborough Tourism Board <br />Plein Air: Paint it Orange <br />500 <br />500 <br />Hillsborough Tourism Board <br />Agency Information 2/11/2018 4:28:29 PM P a g e 1 0 o f 2 6 <br />