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i <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Environment, <br /> Health,and Natural Resources Revision Number <br /> Division of General Services Division of Maternal and Child Health —" <br /> SFY--95--96 P.O.Number <br /> 2/1 / 96 6/30 96 9 6 5 1 0 7 0 0 6 8 <br /> Effective Date Termination Date ��Number <br /> Contractor: ORANGE COUNTY HEALTH DEPARTMENT Activity: Maternal Care Coordination <br /> Project Director: Biel B. Reimer Total Budget:$ 12,500.00 <br /> ITEM DESCRII''TION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: 12,500.00 <br /> X Salaries & Fringe Benefits SA/FR 1000 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment E UIP 5000 <br /> / <br /> E General Contracted or <br /> Purchased Services <br /> N School Health SCE€HF.TH ry 'S2C1fIy � �` <br /> D Cluuc <br /> ian <br /> I b / 6ic <br /> F <br /> Laboratory <br /> T RX SERV y <br /> Pharmacy Services _ <br /> IJ Transfer TXI?C <br /> R I Subtotal State Expend. $ 12,500.00-7 E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> TXIX TXIX 102 <br /> E Other Receipts <br /> OTHR REC 103 <br /> C $ 12,500.00 <br /> Subtotal Local Funds <br /> E STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P 1601 536961 —1510-5107—XXXX 12,500.00 <br /> T <br /> S $ " 12,500.00 <br /> Subtotal State/Federal/SPecial <br /> TOTAL RECEIPTS—equal to Total Expenditures $ <br /> Local Authorised Official Signature Date e� Division/Section Signature Date <br /> Date H � Fiscal Managernent Signature Dart <br /> Finance Officer Signature <br />