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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 Maternal and Child Health <br /> P.O.Number <br /> 07 97 06 98 9 8 5 1 0 1 0 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity., Maternal Health <br /> Project Director: Rosemary L. Summers, MPH, DrPH Total Budget:$ 1,845 <br /> interim Health Director <br /> ITEM DESCRIP'T'ION I CLASSIFICATION ITEM A,)4OUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 <br /> Operating Expenses OP EXP 2000 845 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 1,000 <br /> School Health � � � �' ��2 <br /> D Clinician CLN 6863 <br /> T Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX . , ...: s <br /> R Subtotal State d. $ 1,845 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 - <br /> S TOTAL EXPENDITURES—equal to Total Receipts: $ <br /> 1,845 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> Other Receiam OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 1,845 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 1,845 – <br /> 3 ff <br /> Local Autho ' Official Signature ace B Hed Division/Section Signature Date <br /> Finance Officer Signature Date „ bIkQ Fiscal Management Signature Date <br /> DCHNR 2948(RcvC Z/93) <br />