Orange County NC Website
228,223$ -$ -$ -$ -$ -$ -$ <br />(69,208)$ (129,046)$ (11,111)$ (55,760)$ -$ -$ -$ <br />297,431$ 129,046$ 11,111$ 55,760$ -$ -$ -$ <br />Service Service Service Service Service Service Service <br />Information & Case AssistanceIn-Home Aide-Level II - Personal Care Adult Day Care Adult Day Health 0 0 0 <br />040 042 030 155 #N/A #N/A #N/A <br />297,431$ 129,046$ 11,111$ 55,760$ -$ -$ -$ <br />8,962 302 1,302 <br />-$ 14.3992$ 36.7914$ 42.8264$ -$ -$ -$ <br />297,431$ 129,046$ 11,111$ 55,760$ -$ -$ -$ <br />-$ -$ -$ -$ -$ -$ -$ <br />-$ -$ -$ -$ -$ -$ -$ <br />-$ -$ -$ -$ -$ -$ -$ <br />297,431$ 129,046$ 11,111$ 55,760$ -$ -$ -$ <br />- 8,962 302 1,302 - - - <br />-$ 14.3992$ 36.7914$ 42.8264$ -$ -$ -$ <br />- 8,962 302 1,302 - - - <br />- - - - - - - <br />- - - - - - - <br />- 8,962 302 1,302 - - - <br />Director, Department on Aging <br />Title Date <br />* The Division of Aging ARMS deducts reported program income from reimbursement paid to providers. Line III.D indicates the number of units that will have to be produced in addition to those stated on line III.C in order to earn the net revenues stated on <br />line I.C. <br />I certify to the best of my knowledge and belief that the information included in the cost computation above is accurate and complies with all laws and regulations. I also understand that material <br />deviations in reported cost information could limit funding, and also result in return of funds if the error or omission results in a higher than actual reported cost. <br />DocuSign Envelope ID: 16A1D963-40F9-46F1-A38B-8B0D62C87C54 <br />7/28/2021