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22 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> Revision Number � <br /> N.C.Department of Environment, —— <br /> Health.and Natural Resources <br /> Division of General Services Division of Epidemiology P.O.Number <br /> SFY 1997 <br /> 7 / 96 6_/_97 97 4545 68 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Countv Health Department Activity Aids(Federal) <br /> Project Director. Daniel B.Reimer Total Budget: S $31,000 <br /> Item Description CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries and Fringe Benefits SA/FR 1000 29,750 <br /> X Operating Expenses OP EX? 2000 1,250 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> D School Health SC14 HLTH 620Q <br /> I Clinician CLN 6$63 <br /> T <br /> U Laboratory LAB 6862 <br /> R Pharmacy Services RX SERV 6865 <br /> S Transfer TXIX 6864 <br /> Subtotal State Expenditures: 31,000 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 0 <br /> TOTAL EXPENDITURES-Equal to Total Receipts 31,000 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 0 <br /> E TXIX TM 102 0 <br /> C Other Receipts OTHR REC 103 0 <br /> E Subtotal Local Funds 0 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> iP <br /> T DEHNR 31,000 <br /> IS <br /> Subtotal State/Federal/Special 31,000 <br /> TOTAL RECEIPTS-Equal to Total Expenditures 31,000 <br /> Local Authorized Official Signature Date amnch Ifead Division/Section Signature Date <br /> buhat <br /> Finance Otficer Signature 4De lcco-mt Fiscal Management Signature Date <br /> Waal <br /> DG11NR 29.18(Revised 2.93) <br /> i 7enenJ Smica Ulinon 1 Revmw:.aJl <br />