Orange County NC Website
DocuSign Envelope ID: 74839431 - 9216- 429F- BFA4- 2AC6473BD9D3 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />iv. <br />o Travel & Training <br />c Other Expenses <br />Does your agency budget show a Surplus or Deficit? Balanced budget <br />Is there a significant change? Yes /No No <br />Please provide a brief explanation for Surplus or Deficit, and significant changes. <br />What is your agency's fiscal year? <br />(Example: July 1, 2016 through June 30, 2017) <br />July 1 2018 — June 30, 2019 <br />Agency Information 1/23/2018 1 1:18:32 AM Page 13 of 30 <br />