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26 <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 Matemal and Child Health ————P. O. Number <br /> 07 / 94 06 / 95 9 5 5 4 0 2 0 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor: orange Co. Health Dept. Activity: MCH Block Grant Nutrition <br /> Project Director: __ Daniel B. Reimer Total Budget: $ 2,450 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries 8c Fringe Benefits SA/FR 1000 2,450 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E <br /> General Contracted or ` <br /> N Purchased Services GENF.Rf3L 6 I00 <br /> ; . <br /> School Health .'SCH HLTH 6200 <br /> D <br /> Clinician W3 : ,:.;,:..... ::. <br /> I <br /> ,1 Laboratory LAB::: .. 6862 .. <br /> Pharmacy Services RX SERV 6865 <br /> Transfer TXIX <br /> 6864 <br /> R Subtotal State Expend. $ 2,450 <br /> E LOCAL EXPENDITURES: --FLOCAL EXP 9000 <br /> S <br /> TOTAL EXPENDITURES —equal to Total Receipts $ 2,450 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P DEHNR 2,450 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 2,450 <br /> TOTAL RECEIPTS —equal to Total Expenditures $ 2,450 <br /> Local Authorized Official Signature Date B�6 H=d Division/Section Signature Date <br /> Finance Officer Signature Date Fiscal Management Signature Date <br /> DEHNR 2948(Revised 2/93) <br /> (n...:...,110d) <br />