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1 <br /> 19 <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 Maternal and Child Health P.O.Number <br /> SFY 1996 <br /> 7 / 95 6 / 96 96 5151 068 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County 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 122,262 <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 <br /> I Clinician CLN 6863 <br /> T _ <br /> U Laboratory <br /> R Pharmacy Services <br /> S Transfer TXIX <br /> Subtotal State Expenditures: $ 122,262 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 452,397 <br /> TOTAL EXPENDITURES-Equal to Total Receipts $ 574,659 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 407,039 <br /> E TXIX T= 102 33,118 <br /> C Other Receipts OTHR REC 103 12,240 <br /> E Subtotal Local Funds $ 452,397 <br /> I STATE/FEDERAUSPECIAL FUNDS: <br /> P <br /> T HMHC FUNDS: 1515-6100-5151-)CM 22,162 <br /> S NON HMHC FUNDS: 100,100 <br /> Subtotal State/Federal/Special $ 122,262 <br /> TOTAL RECEIPTS-Equal to Total Expenditures $ 574,659 <br /> Local Authorized Official Signature Date Bry kHad Division/Section Signature Date <br /> Finance Officer Signature Date ACQ~tut Fiscal Management Signature Date <br /> INWI <br /> DEEINR 2913(Revised 2/93) <br /> G.—I S.ry D-1" -1,94) <br />