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20 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> 1 Department of Environment, <br /> -icalth, and Natural Resources Revision Number <br /> vision of General Services <br /> Y Division of Epidemiology <br /> P. O. Number <br /> 07 / 94 06/ 95 __L 4 5 5 1 0 0 6 8 <br /> Effective Date 'I ermination.Date Contract Number <br /> )retractor: Orange Co. Health Dept, Activity: Tuberculosis <br /> 3ject Director: Daniel B. Reimer Total Budget:$ 13,218 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 13,218 <br /> Operating Expenses OP EXP 2000 <br /> Purchase of Equipment EQUIP 5000 <br /> General Contracted or <br /> Purchased Services GENERAL 6100 <br /> School Health ...... ......... <br /> Clinician ......... <br /> .. . . ...... ..... ........ <br /> Laboratory <br /> ................. <br /> X <br /> Pharmacy Services 6-5: <br /> Transfer TX1X <br /> Subtotal State Expend. $ 13,218 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 13,218 <br /> LOCAL FUNDS: <br /> Appropriation APPROP 101 <br /> TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> Subtotal Local Funds <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> DEHNR 13,218 <br /> Subtotal State/Federal/Special $ <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 13,218 <br /> -ocal Authorized Official Signature Date B—d,Had Division/Section Signature Date <br /> Finance Officer Signature Date Accoun=t Fiscal Management Signature Date <br /> Inaial <br /> HNR 2948(Revised 2/93) <br /> leral Services Division(Review 2/94) <br />