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LJ <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. Department of Environment, <br /> Health, and Natural Resources Revision Number—— <br /> Division of General Services <br /> SFY Division of Health Promotion ----- <br /> P. O. Number <br /> 7 / 97 6 / 98 9 8 5 5 0 2 0 0 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity: Adult Health <br /> Project Director: Daniel 8. Reimer Total Budget: $ 53,502 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 5,502 <br /> X Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 <br /> N School Health 8C ' <br /> D Clinician CLN 6863 <br /> I <br /> Laboratory LAB 6862 <br /> T Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX <br /> R Subtotal State Expend. $ 5,502 <br /> E LOCAL EXPENDITURES: LOCAL EX? 9000 <br /> S TOTAL EXPENDITURES —equal to Total Receipts $- <br /> LOCAL FUNDS: 0 <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 0 <br /> Other Receipts OTHR REC 103 0 <br /> C $ o <br /> Subtotal Local Funds <br /> E STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P DEHNR 5,502 <br /> T <br /> S $ 5,502 <br /> Subtotal State/Federal/Special <br /> TOTAL RECEIPTS —equal to Total Expenditures $ 5,502 <br /> Local Authorized Official Signature Date B��� Division/Section Signature Date <br /> Finance Officer Signature Date A� Fiscal Management Signature Date <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />