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DocuSign Envelope ID: 28872B9E- 993A- 44CA- 8A5E- OBDA1F6178CB <br />Exhibit A: Provider's Outside Agency Application <br />MAIN APPLICATION <br />OCDAC Operating Budget <br />Expenses <br />Salaries 24000 <br />Office Supplies 1750 <br />Printing 1000 <br />Insurance 2200 <br />Postage 300 <br />Travel 750 <br />Total Expenses <br />30000 <br />Revenue <br />Grants <br />Orange County <br />3,500 <br />Town of Chapel Hill <br />1,000 <br />Town of Carrboro <br />2,500 <br />Town of Hillsboro <br />400 <br />ADA Project <br />650 <br />Total Revenue Grants <br />8050 <br />Revenue Workshops <br />4000 <br />Revenue Donations <br />500 <br />Total Revenue 12.550 <br />Main Application1 1l27 /2017 8:00:40 PM t <br />