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ti <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. Department of Environment, q Health, and Natural Resources X Revision Number 0 —1 <br /> Division of General Services l 1111-117-- <br /> SFy Division of Environmental Health 3/g <br /> 6 P. O. Number <br /> 7 / 94 6 / 95 _J 5 4 7 5 4 <br /> Effective Date Termination Date Contract Number <br /> Orange County Health Department Childhood Lead Poisoning Prevention <br /> Contractor: Activity: <br /> Project Director: Daniel A_ Reimer Total Budget: $ 2,180.00 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/7R 1000 2,180 <br /> Operating Expenses OP =XP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services G ENE RAL 6100 <br /> School Health <br /> Clinician <br /> ,I Laboratory LAB 6862 <br /> Pharmacy Services <br /> ..ER 5 <br /> Y <;.;:. <br /> U <br /> Transfer TXIX <br /> 6864';:. ; <br /> R Subtotal State Expend. $ 2,180 <br /> E LOCAL EXPENDITURES: LOCAL. EXP 9000 <br /> S TOTAL EXPENDITURES— equal to Total Receipts $ 2,180 <br /> LOCAL FUNDS: <br /> R Appropriation APFROP 101 <br /> E TXIX TXI:-: 102 <br /> Other Receipts OT-KR REC 103 <br /> C <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I 2,180 <br /> P DEHNR 4754 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 2,180 <br /> TOTAL RECEIPTS — equal to Total Expendir:-es $ 2,180 <br /> Local Authorized Official Signature Date a ch H a Division/Section Signature Date <br /> Finance Officer Signature Date Fiscal Nfanagement Sig .tore Date <br /> Ln,—1 <br /> DEI-NR 2948(Rcvtscd 2;'9=) <br /> Central Sen•ices Division(Review 2 94) <br />