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LOC,-",L HEALTH DEPART NIENT BUDGET <br /> N.C.Department of Environment, Revision Number <br /> Health,and Natural Resources j G? ��' <br /> Division of General Services p. t <br /> SFY Division of E idezniol / 1 P. O.Number <br /> 7 / 97 6 / 98 9 8 4 5 1 0 0 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity: Communicable Disease <br /> Project Director: <br /> Daniel B. Reimer Tom Budget:$ 32,806 <br /> ITEM DESCRIPTION TSA�7 SSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: 1000 17,018 <br /> Salaries &- Fringe Benefits <br /> X Operating Expenses P 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or 6100 <br /> P <br /> Put Services GENERAL <br /> ........... <br /> N School Health <br /> D <br /> Clinician <br /> CLN <br /> 6863 <br /> I :::::.:::..::.::::........................ <br /> Laboratory LAB 6862 <br /> Services _............................... <br /> T .. �..BERN..........:.::::.::::..::: 8.: :::;::;:;.;:::.;:.;:;.;:.:.;:;:;:;:::»:::::<:<:;>:::::::<:::::;::>::»::>::»»::><::»�::>::;>::::>:;:: <br /> Pharmacy <br /> U Transfer TXIX <br /> R Subtotal State Expend. $ 17,018 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 15,788 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ 32,806 <br /> LOCAL FUNDS: APPROP 101 0 <br /> R Appropriation 3,288 <br /> E TXIX TXIX 102 <br /> Oth <br /> OTHR REC 103 12,500 <br /> C er Receipts $ 15,788 <br /> Subtotal Local Funds <br /> E STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> T <br /> S $ 17,018 <br /> Subtotal State/Federal/S ecial <br /> TOTAL RECEIPTS-equal to Total Expenditures $ 32,806 <br /> r <br /> 5J- 2��--'7— ate - <br /> Local Authorized Official Signature ate Branch Hid Divi ' n/Section i ture <br /> �— Date Accou,uanr Fisc Management S ature ate <br /> Finance Officer Signature _ <br /> )EHM 2948(Revised 2/93) <br /> 3ener2l Services Division(Review 2/94) <br />