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t LOCAL HEALTH DEPARTMENT BUDGET 29 <br /> N.C.Department of Environment, Revision Number_ <br /> Health,and Natural Resources <br /> Division of General Services Division of Adult Health <br /> SFY 19% <br /> 7 / 95 6 / 96 Activity: COMP.Breast& Cervical Cancer Control <br /> Effective Date TerminationDate <br /> Contractor. Orange qty Health Departmeztt ProjectDirector. Dwdel B. Reimer <br /> TOTALBUDGET: S S <br /> Screening Outreach <br /> P.0.Number P.O.Number <br /> 9 6 5452 0 6 8 9 6 5453 0 6 8 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM Contract Number Contract Number <br /> STATE EXPENDITURES: <br /> E Salaries&Fringe Benefits SA/FR 1000 13,664 <br /> X Operating Expenses OP EXP 2000 429 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 11,857 <br /> D School Health SCH HLTH 6200 <br /> I Clinician CLN 6863 <br /> T Laboratory LAB 6862 <br /> U Pharmacy Services RX SERV 6865 <br /> R TransferTXIX 6864 <br /> E Subtotal State Expend. 25,950 <br /> S LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> TOTAL EXPENDITURES—equal to Total Receipts <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> TM TXIX 102 <br /> E OtherReceipts OTHR REC 103 <br /> C Subtotal Local Funds <br /> E STATE/FEDERAL/SPECIAL <br /> I Screening 1545 6100 5452 0135 <br /> P FUND OBJ RCC PROG <br /> T Outreach 1545 6100 5458 0135 <br /> S FUND OBJ RCC PROG <br /> Subtotal State/Federa.USpecial 25,950 <br /> TOTAL RECEIPTS—equal to Total Expenditures 25,950 <br /> i <br /> Local Authorized OtficialSignature Date Branch Head Division/SectionSignature Date <br /> initial <br /> FinanceOtftcerSignature Date accountant Fiscal Manage:nentSignature Date <br /> initial <br />