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28 <br /> LOCAL HEALTH DEPARTMENT BUDGET , <br /> �. Department of Environment, <br /> -iealth, and Natural Resources - Revision Number—— <br /> ision of General Services <br /> 1. Division of Adult Health ————— <br /> P. O. Number <br /> 07/ 94 06 / 95 —Q--a_Q 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> ,ntractor: O3nize Co. Health Dept, Activity: Health Promotion <br /> eject Director: Daniel B. Reimer Total Budget: $ 63,033 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 <br /> Operating Expenses OP EXP 2000 <br /> Purchase of Equipment EQUIP 5000 <br /> General Contracted or <br /> 1 Purchased Services GENERAL 6100 <br /> School Health SCH HI:TH ' :::::<:::62a0.: . <br /> Clinician C) .:,. ;,::' 3::::- <br /> Laboratory LAB <br /> r Pharmacy Services RX::::SERV. ;:: :.6865..::.::: <br /> 7 <br /> Transfer TXIX .::..6854.. <br /> Subtotal State Expend. S 22,116 <br /> L LOCAL EXPENDITURES: LOCAL EXP 9000 40,917 <br /> TOTAL EXPENDITURES — equal to Total Receipts S 63,033 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 38,542 <br /> TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 2,375 <br /> E Subtotal Local Funds S 40,917 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P DEHNR 22,116 <br /> T <br /> S <br /> Subtotal Sr-are/Federal/Special S 22,116 <br /> TOTAL RECEIPTS —equal to Total Expenditures S 63,033 <br /> Local Authorized Official Signature Date Branch Hod Division/Section Signature Date <br /> ininal <br /> Finance Officer Signature Date n�vmant Fiscal Management Signature Date <br /> Wml <br /> cHNR 2948(Revised 2/93) <br /> -nr21 Services Division(Review 2/94) <br />