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LOCAL HEALTH DEPARTMENT BUDGET 31 <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 5503 068 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity Health Promotion <br /> Project Director: Daniel B.Reimer Total Budget: S 0 63,849 <br /> Item Description CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries and Fringe Benefits SA/FR 1000 22,116 <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 " <br /> Ivy <br /> T <br /> U Laboratory <br /> R Pharmacy Services { <br /> S Transfer TXIX '� <br /> Subtotal State Expenditures: $ 22,116 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> TOTAL EXPENDITURES-Equal to Total Receipts $ <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 39,358 <br /> E TXIX T= 102 0 <br /> C Other Receipts OTHR REC 103 2,375 <br /> E Subtotal Local Funds $ 41,733 <br /> I STATENEDERAL/SPECIAL FUNDS: <br /> P <br /> T DEHNR 22,116 <br /> S <br /> Subtotal State/Federal/Special $ 22,116 <br /> TOTAL RECEIPTS-Equal to Total Expenditures $ 63,849 <br /> Local Authorized Official Signature Date BtwnHnd Division/Section Signature Date <br /> imtw <br /> Finance Officer Signature Date Amountut Fiscal Management Signature Date <br /> ITUw <br /> DEIWR 2918(Revised 2.93) <br /> GmwW 5e —Diw lR—L94) <br />