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L.UL.3L tIL�Llri Utt'AlCi_ti1L.v 1 0�, uuc,l l� <br /> N.C. De-pa rcnent of Environment. <br /> Health, and Natural Resources Revision Number _ <br /> Division of General Services ____ <br /> SrY 98 Division of Epidemiology* P. O. Number <br /> 7 / 97 6 98 9 8 4 -- 5 3 3 1 0 6 8 <br /> Eirective Date Termination Date Contract Number <br /> Con=cor: Orange County Health Department Activity: AID-TO-COUNTY (FEDERAL) <br /> Project Director: Daniel B. Reimer 'Total Budget: $ 31,000 <br /> ITEM. DESCRIPTION I CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> Salaries &. Fringe Benefits SA/FR 1000 29,750 <br /> X Operating F--cpenses OP EXP 2CC0 1 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GEIERAL 6100 <br /> Sclhool Health SCf HL'£ .: 6ZE I <br /> D Clinician LI ' ...:;. €.......... . .,'6n63;. <br /> I <br /> Laboratory Imo$ Z <br /> T Pharmacy Services <br /> U Transfer TXL`{ fFi4 <br /> R Subtotal State E.r_end. $ 31,000 <br /> E LOCAL EXPENDITURES: I LOCAL EXP 9000 0 <br /> S TOTAL E=N--D ITURES —equal to Total Receipts $ 31,000 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 0 <br /> E TXIX TXIX 102 0 <br /> Other Receipts OTHR REC 103 0 <br /> C Subtotal Local Funds $ 0 <br /> E <br /> STATE/FEDERAL/SPECI.AL FUNDS: <br /> I <br /> P DEHNR 31,000 <br /> .I. 1601-1450-536961-4533-1177 <br /> S <br /> Subtotal State./F� 31,000 eral/Soecial $ <br /> TOTAL RECEIPTS —equal to Total Expenditures $ 31,000 <br /> Local Authorized Official Signature Date erArla Hnd Division/Section Signature Date <br /> Finance Officer Signature Dare Ac�vaw Fiscal Management Signature Date <br /> )EHNR 2948(Revised 2/93) <br /> 3eneral Services Division(Review 2/94) <br />