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LOCAL HEALTH DEPARTMENT BUDGET 22 <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 1996 <br /> 7 / 95 —6—/-96 96 4545 068 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity Aids(Federal) <br /> Project Director: Daniel B.Reimer Total Budgi 5 $31,000 <br /> Item Description CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries and Fringe Benefits SA/FR 1000 $31,000 <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 LAB 6862 <br /> R Pharmacy Services RX SERV 6865 <br /> E <br /> $ Transfer TXIX 6864 <br /> Subtotal State Expenditures: $31,000 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 50 <br /> TOTAL EXPENDITURES-Equal to Total Receipts 531,000 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 50 <br /> E T= TX1X 102 So <br /> C Other Receipts OTHR MC 103 50 <br /> E Subtotal Local Funds 50 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> P <br /> T DEHNR 531,000 <br /> S <br /> Subtotal State/Federal/Special 531,000 <br /> TOTAL RECEIPTS-Equal to Total Expenditures $31,000 <br /> Local Authorized Official Signature Date Blond Had Division/Section Signature Date <br /> WW <br /> Finance Officer Signature Date Accom m Fiscal Management Signature Date <br /> DEHNR 2948(Revised 393) <br /> Gm"Saw"D�r�rwe R[vuw:111 <br />