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32 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> Revision Number__ <br /> N.C.Department of Environment, <br /> I lealth,and Natural Resources <br /> Division of General Services Division of Epidemiology P.O.Number <br /> SFY 1996 <br /> 7 / 95 6 / 96 96 5715 068 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity Immunization Action Plan <br /> Project Director: Daniel B.Reimer Total Budget: S $17,731 <br /> Item Description CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries and Fringe Benefits SA/FR 1000 17,731 <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 SCH HLTH 6200 <br /> I Clinician CLN 6863 <br /> T <br /> U Laboratory LAB 6862 <br /> R Pharmacy Services RX SERV 6865 <br /> S Transfer TXIX 6864 <br /> Subtotal State Expenditures: $ 17,731 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 0 <br /> TOTAL EXPENDITURES-Equal to Total Receipts $ 17,731 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TM 102 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ 0 <br /> I STATENEDERAL/SPECIAL FUNDS: <br /> P <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 17,731 <br /> TOTAL RECEIPTS-Equal to Total Expenditures $ 17,731 <br /> Local Authorized Official Signature Date smack Hnd Division/Section Signature Date <br /> Finance Officer Signature Date Acmmtmt Fiscal Management Signature Date <br /> w� <br /> DEI INR 29.13(Revised 2.93) <br /> G—I St ..D,,—(Rv—L94 <br />