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LOCAL HEALTH DEPARTMENT BUDGET <br /> N.0 Department of Environment, <br /> Health,and Natural Resources Revision Number— <br /> Division of General Services <br /> � <br /> , Division of General Services ———P.O.Number <br /> 07/ 94 9 5 4 1 2 5 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Co. Health Dept, Activity: Transfer of Escrow <br /> Project Director: Daniel R. R P.i m P r Total Budget:$ 101,041 <br /> ITEM DESCRIPTION CLASSIFICATION nTm AMOUNT <br /> XX <br /> E ST A TE EXPE NDITURES: <br /> NDITURES: <br /> y L �y�jj <br /> &� Benefits < <br /> Salaries Fringe <br /> X :<.: <br /> �a� Expense ::;:: . . <br /> t <br /> Purchase of Equipment <br /> t en <br /> E <br /> General Contracted or <br /> I <br /> Purchased Services ....... <br /> N ► <br /> < SCIEII.: <br /> School Heal th <br /> mo <br /> Clinician .EII~t "`'<` ``' <br /> I <br /> Laboratory LAB. .:: :;::.: <br /> T <br /> Pharmacy Services <br /> 5ER <br /> U Transfer TXIX 6864 <br /> R Subtotal State Expend. 3 30-3,043 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> $ TOTAL EXPENDITURES—equal to Total Receipts $ 303,043 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX/SSBG Fees TXIX/SSBG 102 <br /> Other Receipts OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> P Transfer TXIX ,)Us,� 303.043 <br /> $ <br /> Subtotal State/Federal/Special $ <br /> TOTAL RECEIPTS—equal to Tool Expenditures $303,043 <br /> Authorized Official Signatur Date anwh&Nma 'vision/Section Signature Date <br /> Wool <br /> Y-:2 z-�y �J'Yl ��'Z� <br /> Finance Officer Signature Date Fiscal Management Signature Date <br /> DEHNR 2946(Rew 2/92) <br /> C—Tal Services N- w—(Review 2/94) <br />