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23 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> �. Department of Environment, <br /> -iealth, and Natural Resources Revision Number_ — <br /> ision of General Services <br /> Division of Maternal and Child Health ----- <br /> P. O. Number <br /> 07 / 94 06 / 95 9 5 5 1 5 <br /> _1_ 0 0 6 $ <br /> Effective Date Termination Date Contract Number <br /> )ntractor: - Orange Co. Health pp- t-- Activit,: -Family Planning <br /> eject Director: Daniel B. Reimer Total Budget: $ 557,055 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> ? STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 116,562 <br /> Operating Expenses OP EXP 2000 <br /> Purchase of Equipment EQUIP 5000 <br /> General Contracted or <br /> Purchased Services GENERAL 6100 5,700 <br /> School Health <br /> Clinician CLN 6863 <br /> r Laboratory LAB` :.?:<.:::>:;::' <br /> Pharmacy Services b865 <br /> J Transfer TXIX <br /> Subtotal State Expend. $ 122,262 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 557,055 <br /> LOCAL FUNDS: <br /> Appropriation APPROP 101 397,212 <br /> E TXIX TXIX 102 26,201 <br /> Other Receipts OTHR REC 103 11,380 <br /> Subtotal Local Funds $ 434,793 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P HMHC Funds] 22,162 <br /> T Non–HMHC Funds] DEHNR 1515-6100-5151 100,100 <br /> Subtotal State/Federal/Special $ 122,262 <br /> TOTAL RECEIPTS—equal to Total Expenditures $557,055 <br /> Local Authorized Official Signature Date Branch Hnd Division/Section Si atur Date <br /> Iftimal <br /> Finance Officer Signature Date n=o�t�t Fiscal Management Signature Date <br /> wCW <br /> 'ENR 2948(Revised 2/93) <br /> ncr,l Services Division(Review 2/94) <br />