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LOCAL HEALTH DEPARTMENT BUDGET <br /> Department of Environment, <br /> italth, and Natural Resources Revision Number <br /> .,ision of General Services G <br /> 1' Division of Epidemiology a <br /> J!' P. O. Number <br /> 07 / 94 06 / 95 9 5 4 5 1 0 0 Q 6 8 <br /> Effective Date Termination Date Contract Number <br /> retractor: Orange Co. Health Dept. Activity: Communicable Disease <br /> )ject Director: Daniel B. Reimer Total Budget:$ 178,699 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> ? STATE EXPENDITURES: " <br /> Salaries & Fringe Benefits SA/FR 1000 A, 13 3 <br /> Operating Expenses OP EXP 2000 <br /> ? Purchase of Equipment EQUIP 5000 <br /> General Contracted or <br /> Purchased Services GENERAL_ 6100 <br /> School_ 1 <br /> 0o Health <br /> Clinician CLN 6863 <br /> PENN <br /> Laboratory 6862:..:.:;:.:. <br /> Pharmacy Services RX SERV 6865 <br /> J <br /> Transfer r <br /> TXIX <br /> Z Subtotal State Expend. $ 4,133 <br /> LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> 3 <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 178,699 <br /> LOCAL FUNDS: <br /> Z Appropriation APPROP 101 156,519 <br /> TXIX TXIX 102 3,047 <br /> Other Receipts OTHR REC 103 15,000 <br /> J <br /> Subtotal Local Funds $ 174,566 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> 5-0— 6100— X510— 0095 <br /> i DEHNR 4,133 <br /> Subtotal State/Federal/Special $4,133 <br /> TOTAL REC IPTS—equal to Total Expenditures $178,699 <br /> 0 1 Authorized Official Signature Date sue„d,Hnd ivision/Section 9I�ature Date <br /> w� <br /> inance Officer Signature Date Arco cwt Fiscal Management SignatL6 Date <br /> :-IR 2948(Revised 2/93) <br /> icral Services Division(Review 2/94) <br />