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t <br /> LOCAL HEALTH DEPARTMENT BUDGET 31 <br /> Revision Number <br /> — <br /> Health,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 5715 68 <br /> Effective Date Termination Date Contract Number <br /> Contractor: _ Orange County Health Department Activity Immunization Action Plan <br /> Project Director. Daniel B.Reimer Total Budget: S $24,914 <br /> Item Description CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries and Fringe Benefits SA/FR 1000 17,731 <br /> X Operating Expenses OP EXP 2000 7,183 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> D School Health SC1412LTH 6200 <br /> I Clinician CLN" 6863 ... ..,j: .. ,.. .. <br /> T <br /> U Laboratory LAB 6862 <br /> R Pharmacy Services RX SERV 6865 <br /> S Transfer TXIX 6864" <br /> Subtotal State Expenditures: 24,914 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> TOTAL EXPENDITURES-Equal to Total Receipts 0 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 0 <br /> E TXIX TXIX 102 0 <br /> C Other Receipts OTHR REC 103 0 <br /> E Subtotal Local Funds 0 <br /> I STATE/FEDERAUSPECIAL FUNDS: <br /> P <br /> T <br /> S <br /> Subtotal State/Federal/Special 24,914 <br /> TOTAL RECEIPTS-Equal to Total Expenditures 24,914 <br /> Local Authorized Official Signature Date Bn h Hed Division/Section Signature Date <br /> wad <br /> Finance Officer Signature Date Accountant Fiscal Management Signature Date <br /> Imod <br /> DEI INR 2943(Revised 2;93) <br /> General Semmes Lhvmon lRevtew 194) <br />