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LOCAL HEALTH DEPARTMENT BUDGET 7 <br /> N.C. Department of Environment, <br /> Health,and Natural Resources Revision Number <br /> Division of General Services <br /> SFY Division of Environmental Health <br /> P.O.Number <br /> 9<1 61 t4 <br /> � / Q3 -- 4 7 5 2 0 L <br /> Effective Date Termination Date Contract Number <br /> Contractor: C Activity.Food and Lodging <br /> Project Director: an S ih e r Total Budget:$ 900 - 1-3 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 3, 0 n. n <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services .....GENERAL................... 6100............... <br /> School Health <br /> D <br /> X <br /> ........ ... <br /> ......... .. <br /> Clinician ..... X, <br /> .......... .... . .. ...' ..! ... <br /> ... ........ <br /> ............. . ...... <br /> .... ...... <br /> T Laboratory LAB 6862 <br /> Pharmacy Services <br /> U Transfer TXIX <br /> R Subtotal State Expend. $ <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S r TOTAL EXPENDITURES—equal to Total Receipts $ <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> C — <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P <br /> T <br /> Subtotal State/Federal/Special $ <br /> TOTAL RECEIPTS—equal to Total Expenditures $ '9 0 0 •-5' <br /> Local Authorized Official Signature Date Bench Heed Division/Section Signature Date <br /> ]nitW <br /> Finance Officer Signature Date A=mmt Fiscal Management Signature Date <br /> initw <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />