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21 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. Department of Environment, <br /> Health, and Natural Resources Revision Number-- <br /> Division of General Services <br /> SFy Division of Epidemiolo¢y —————. <br /> P.O. Number <br /> 07 / qA 06 / 95_. - 5 4 5 4 50 6 $_ <br /> Effective Date Termination Date Contract Number <br /> Contractor: _Orange Co. Health Dept. Activity: Aids (federal) <br /> Project Director: Daniel B. Reimer Total Budget.$ 28.000 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 28.000 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment u 3DQ0 <br /> E <br /> G en 0 <br /> General Contracted r <br /> N Purchased Services ;b1W <br /> School Health ::5�'�i HL 4 ? <br /> Clinician <br /> T. Laboratory LAB 2 .: <br /> Pharmacy Services R3t.;smY ..ZOO <br /> U Transfer TXIX <br /> R Subtotal State Expend. $ 28,000 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S TOTAL EXPENDITURES —equal to Total Receipts $ 28,000 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TX1X/SSBG Fees TX1X/SSBG 102 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P DEHNR 28,000 <br /> T <br /> S <br /> Subtotal State/Federal/S $ 28,000 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ <br /> Local Authorized Official Signature Date brmb&Hmd Division/Section Signature Date <br /> Finance Officer Signature Date mw Fiscal Management Signature Date <br /> DFRWR 2948(Revired 2/92) <br /> Gmeral Services Dt-W=(Review 2/'94) <br />