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22 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> 1 Department of Environment, <br /> -lealth, and Natural Resources Revision Number <br /> .,ision of General Services <br /> Division of Maternal and Child Health <br /> Y P.O. Number <br /> 07 _24_ 06 /95 0 <br /> Effective Date Termination Date Contract Number <br /> ;retractor: Orange Co. Health Dept. Activity: Maternal -Outreach <br /> eject Director: Daniel B. Reimer Total Budget:$ 370.087 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 74,483 <br /> Operating Expenses OP EXP 2000 <br /> Purchase of Equipment 5000 <br /> General Contracted or <br /> Purchased Services GENERAL 6100 <br /> School Health SCH.,-BL-TH- :6200� <br /> Clinician <br /> .-6863:,: <br /> Laboratory <br /> Pharmacy Services RX SERV <br /> Transfer TXIX <br /> 6864 <br /> Subtotal State Expend. $74,483 <br /> LOCAL EXPENDITURES: LOCAL EXF 9000 295'604 <br /> TOTAL EXPENDITURES—equal to Total Receipts $370,087 <br /> LOCAL FUNDS: <br /> Appropriation APPROP 101 172,296 <br /> TXIX T)UX 102 123,308 <br /> Other Receipts OTHR REC 103 0 <br /> Subtotal Local Funds $295,604 <br /> STATE/FEDERAL/SPECIAL, FUNDS: <br /> Prematurity Prevention DEHNR 14,306 <br /> Teen Pregnancy 1510-6100-5101 8,435 <br /> r Perinatal $74 483 15)784 <br /> 35,958 <br /> Subtotal State/FederaUSpecial $74,483 <br /> TOTAL RECEIPTS—equal to Total Expenditures $370,087 <br /> :_,oval Authorized Official Signature Date Branch Had Division/Section Signature Date <br /> WEW <br /> Finance Officer Signature Date �==t Fiscal Management Signature Date <br /> I INR 2948(Revised 2/93) <br /> -ieral Services Division(Review 2/94) <br />