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2021-383-Health-Durham HomeCare & Hospice-Outside Agency
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2021-383-Health-Durham HomeCare & Hospice-Outside Agency
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Last modified
7/21/2021 10:12:56 AM
Creation date
7/21/2021 10:12:26 AM
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Template:
Contract
Date
7/1/2021
Contract Starting Date
7/1/2021
Contract Ending Date
7/2/2021
Contract Document Type
Agreement
Amount
$1,134.00
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Program Budget <br />Operating Budget for Program <br /> Actual <br />2018-19 <br /> Estimated <br />2019-20 <br /> Projected <br />2020-21 <br />Percent <br />Change <br />14,844$ -$ -$ 0 <br />2,605$ 2,000$ 2,100$ 5% <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />-$ -$ -$ 0 <br />Private Foundation Grants -$ -$ -$ 0 <br />-$ -$ -$ 0 <br />17,449$ 2,000$ 2,100$ 5% <br />80,119$ 96,461$ 100,320$ 4% <br />26,488$ 23,473$ 24,647$ 5% <br />5,778$ 7,407$ 7,777$ 5% <br />972$ 5,224$ 5,485$ 5% <br />7,485$ 12,145$ 12,752$ 5% <br />120,843$ 144,710$ 150,981$ 4% <br />(103,393)$ (142,710)$ (148,881)$ -4% <br />Other - Town of Carrboro <br />PROGRAM NAME:Duke Bereavement <br />PROGRAM REVENUE <br />Private Donations <br />Program Generated Revenue <br />Local Government Grants: <br />Human Services - Town of Carrboro <br />State Government <br />Human Services - Town of Chapel Hill <br />Other - Town of Chapel Hill <br />Human Services - Orange County <br />Other - Orange County <br />Other - Granville County <br />Other Government Grants <br />Triangle United Way <br />Supplies & Equipment <br />Federal Government (CDBG/HOME/etc.) <br />Other Revenue <br />Total Program Revenue <br />PROGRAM EXPENSES <br />Compensation <br />Rent & Utilities <br />SURPLUS/(DEFICIT) FOR PERIOD: <br />Travel & Training <br />Other Expenses: <br />Total Program Expenses <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: B433F56A-34C6-4EFE-BD1E-7683C2CA0514
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