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LOCAL HEALTH DEPARTMENT BUDGET 30 1 <br /> Revision Number__ <br /> N.C.Department of Environment, <br /> Health,and Natural Resources _ <br /> Division of General Services Division of Adult Health P.O.Number <br /> SFY 1996 <br /> 7 / 95 6 / 96 96 5502 068 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity Adult Health <br /> Project Director: Daniel B.Reimer Total Budget: $ $108,562 <br /> Item Description CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries and Fringe Benefits SA/FR 1000 5,502 <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 /> S Transfer TXIX .- . <br /> Subtotal State Expenditures: $ 5,502' <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 103,060 <br /> TOTAL EXPENDITURES-Equal to Total Receipts $ 108,562 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 103,060 <br /> E TXIX TXIX 102 0 <br /> C Other Receipts OTHR REC 103 0 <br /> E Subtotal Local Funds $ 103,0601 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> P <br /> T DEHNR 5,502 <br /> S <br /> Subtotal State/Federal/Special $ 5,502 <br /> TOTAL RECEIPTS-Equal to Total Expenditures $ 108,562 <br /> Local Authorized Official Signature Date BnmKh Hed Division/Section Signature Date <br /> INhd <br /> Finance Officer Signature Dale Amt-( Fiscal Management Signature Date <br /> wad <br /> DEHIIR 2948(Revised 2,93) <br /> Gen"Servsn Dew n(Rvmu ;.94) <br />