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LOCAL HEALTH DEPARTMENT BUDGET 31 <br /> N.C. Depar—ent of Environment, <br /> Health, and Natural Resources Revision Number_ — <br /> Division of General Services <br /> SFY Division of Maternal and Child Health ————P. O. Number <br /> 7 / 97 6 / 98 9 8 5 7 1. 5. 0 0, 6 8 <br /> Effec--,-e Date Termination Date Contract Number <br /> Orange County Health Department P,�� Immunization Action Plan <br /> Contractor: Activity: <br /> Project Dire---or: Daniel B. Reimer Total Budget: $ 24,369 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> diaries 6z Fringe Benefits SA/FR 1000 17,560 <br /> X Operating Expenses OP EXP 2000 6,809 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 <br /> N <br /> Sczool Health . <br /> D <br /> Clinician <br /> I <br /> Pharmacy Services V _.. <br /> U T:ansfer TXIX ;:;.>;:::::::>::>: <br /> ........ $ ..... <br /> :...::.......: .:...: <br /> R Subtotal State Expend. $ 24,369 <br /> E LOC.-L EXPENDITURES: LOCAL EXP 9000 0 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ 24,369 <br /> LOC.-J-FUNDS: <br /> R A.-propriation APPROP 101 0 <br /> E T-!x TXIX 102 0 <br /> C lzer Receipts OTHR REC 103 0 <br /> C <br /> Subtotal Local Funds $ <br /> E <br /> STA?--/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 24,369 <br /> TOTAL RECEIPTS —equal to Total Expenditures $ 24,369 <br /> Local Aul7orized Official Signature Date BrAwh Hod Division/Section Signature Date <br /> Finance Cifficer Signature Date Aem =' Fiscal Management Signature Date <br /> DEHNR 294,s(Revised Z/93) <br /> General Sermon Division(Review 2/94) <br />