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30 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> U.C.Department of Environment, <br /> Health,and Natural Resources Revision Number <br /> Division of General Services <br /> SFY Division of Maternal and Child Health ————P. O. Number <br /> o7 /94 or, / 45 3 _5_ 5 3 5 1 0 n <br /> Effective Date Termination Date Contract Number <br /> Contractor: C)rqngo Cn_ Naa 1 th nP!t_ Activity: Child Health <br /> Project Director: n n n i P l R- R P i m a r Total Budget: $ 3 9 A,R 51 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> 1 E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 39,980 <br /> Operating Expenses OP EX? 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> School Health SCH HLTH 6200 9,725 <br /> D Clinician CLN 6863 <br /> I <br /> T Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX ;:,< :< :;°::<; ::::' :< 6864 <br /> R Subtotal State Expend. $ 49,705 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 347,146 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 315,996 <br /> E TXIX TXIX 102 9R,1 5 6 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ 347,146 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> 1 9,725 <br /> P School Health DEHNR $49,705 35,958 <br /> T HM/HCBG 4,022 <br /> General <br /> S <br /> Subtotal State/Federal/Special $ 49,705 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 396,851 <br /> Local Authorized Official Signature Date Branch H=d Division/Section Signature Date <br /> mtual <br /> Finance Officer Signature Date w=o—tmt Fiscal Management Signature Date <br /> wtW <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />