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20 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> Revision Number__ 4 <br /> N.C.Department of Environment, <br /> Health,and Natural Resources <br /> Division of General Services Division of Maternal and Child Health P.O.Number <br /> SFY 1997 <br /> 7 / 96 6 / 97 97 5151 068 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Cody Health Department Activity Family Planning <br /> Project Director. Daniel B.Reimer Total Budget: S $574,659 <br /> Item Description CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries and Fringe Benefits SA/FR 1000 140,656 <br /> X Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> D School Health SCHELTH 6200' <br /> I Clinician CLN 6863 <br /> T - <br /> U Laboratory LAB ' 6862 <br /> R Pharmacy Services RX SERV 6865 <br /> S Transfer TXIX 6864 <br /> Subtotal State Expenditures: 140,656 <br /> LOCAL EXPENDITURES: LOCAL EX? 9000 434,003 <br /> TOTAL EXPENDITURES-Equal to Total Receipts 574,659 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 395,504 <br /> E TX1X T= 102 23,741 <br /> C Other Receipts OTHR REC 103 14,758 <br /> E Subtotal Local Funds 434,003 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> P FP $41,802 <br /> T WHSF $0 <br /> S HMHC $98,854 <br /> Subtotal State/Federal/Special 140,656 <br /> TOTAL RECEIPTS Equal to Total Expenditures 574,659 <br /> Local Authorized Official Signature Date amneh Head Division/Section Signature Date <br /> ,p Imud <br /> Finance Officer Signature to Accuwtmt Fiscal Management Signature Date <br /> ImaJ <br /> DEl INR 29.18(Revised 2.93) <br /> Omemi 5emca LhY—I R--:.941 <br />