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A <br /> 6 <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Environment, <br /> Health,and Natural Resources Revision Number-.0— <br /> Division of General Services <br /> SFY Division of Maternal and Child Health ————— <br /> P.O.Number <br /> 5 3 5 1 0 6 <br /> Effective Date Termination Date Contract Number <br /> Contractor: r ah a e Cn ++-e c A o 4 Activity: Child Health <br /> Project Director: I rh Total Budget:$ f b S P <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 <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 SCH HLTH 6200 <br /> D Clinician CLN 6863 <br /> I <br /> T Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX 0864 <br /> R Subtotal State Expend. $ <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ / OS? <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 $ <br /> Local Authorized Official Signature Date B=ch Hnd Division/Section Signature Date <br /> >niall <br /> Finance Officer Signature Date A==a+t Fiscal Management Signature Date <br /> i„wW <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />