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Lu <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Environment, ' <br /> Health,and Natural Resources Revision Number—— <br /> Division of General Services <br /> SF, Division of Maternal and Child Health <br /> P.O.Number <br /> 7 / 97 6 / 98 9 8 5 3 2 3 0 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor. Orange County Health Department Activity: CSHS Orthopedic <br /> Project Director. Daniel B. Reimer Total Budget:$ 634.00 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> School Health SCHILTH..4 b20Q . <br /> D Clinician CLN 6863 <br /> I -.: <br /> T Laboratory LAB 6862 634.00 <br /> Pharmacy Services RX SERV 6865 <br /> U Transfer T?QX <br /> R Subtotal State Expend. $-T E LOCAL EXPENDITURES: LOCAL EX? 9000 0 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ 634.0 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 0 <br /> E TXIX TM 102 0 <br /> Other Receipts OTHR REC 103 0 <br /> C <br /> E Subtotal Local Funds $ 0 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P <br /> T <br /> S <br /> Subtotal State/Federal/Special $ <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 634.00 <br /> Local Authorized Official Signature Date $rmeh Hed Division/Section Signature Date <br /> Finance Officer Signature Date Acwun=x Fiscal Management Signature Date <br /> Inmal <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />