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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 95-96 Division of Maternal and Child Health ----- <br /> P.O.Number <br /> 2/1 / 96 6/30 / 96 9 6 5 1 0 7 0 0 68 <br /> Effective Date Termination Date Contract Number <br /> Contractor: ORANGE COUNTY HEALTH DEPARTIMT Activity: Maternal Care Coordination <br /> Project Director: Daniel B. Reiser Total Budget:$ 12,500.00 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 12,500.00 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased ServicesjAI, ` 'u <br /> School Health ;.: I BLT7:'? d` <br /> D Clinician y <br /> iwWirrw ui ui,w4uw. wiurr� itiwrw-�.� r. <br /> I 2 <br /> T, Laboratory $ ' <br /> Pharmacy Services -.7777 777 <br /> U Transfer TXIX <br /> R Subtotal State Expend. $ 12,500.00 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S <br /> TOTAL EXPENDITURES—equal to Total Receipts $ <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ 12,500.00 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P 1601 536961 -1510-5107-XXXX 12,500.00 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 12,500.00 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ <br /> Local Authorized Official Signature Date Division/Section Si tur Date <br /> w� ection 8� <br /> Finance Officer Signature 77- -, Fiscal Management Signature Date <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />