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N.C. Deparraenc of Environment, Revision Number <br /> Health, and Natural Resources <br /> Division of General Services Division of E idemiol <br /> SFY P. O. Number <br /> 7 / 97 6 / 98 9 8 4 5 1 0 0 0 6 8 <br /> Effective Dare Termination Date <br /> Contract Number <br /> Contractor: <br /> Orange county Health Department Acrivity: Communicable Disease <br /> Project Director: <br /> Daniel B. Reimer Total Budget:$ 32,806 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: SA/FR 1000 17,018 <br /> Salaries & Fringe Benefits 2C00 <br /> X Operating Expenses OP EXP 5000 <br /> P Purchase of Equipment E UIP <br /> E General Contracted or 6100 <br /> Purchased <br /> Services <br /> GENERAL <br /> School Health `` ' <br /> D C CLN 6863 <br /> Clinician <br /> Laboratory LAB 6862 <br /> T Ph armscY Services R...x..: ERV 6.8.•6..5: <br /> LT Transfer TXIX <br /> S 17,018 <br /> R Subtotal State Expend. <br /> E LOCAL EXP 9000 15,788 <br /> LOCAL EXPENDITURES: <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ 32,806 <br /> LOCAL FUNDS: 101 0 <br /> R Appropriation APPROP <br /> E TXIX <br /> - �{ 102 3,288 <br /> Other Receipts OTHR REC 103 <br /> C S 15,788 <br /> Subtotal Local Funds <br /> E STATF/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P <br /> T <br /> S S 17,018 <br /> Subtotal smte/Federal/S ecial <br /> TOTAL RECEIPTS —equal to Total Expenditures - 32,806 <br /> Local Authorized Official Signature Date B�+ � Division/Section Signature Date <br /> Finance Officer Signature Date Fiscal Management Signature Dace <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Rcvicw Z/94) <br />