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LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Environment, <br /> Health,and Natural Resources Revision Number— <br /> Division of General Services / (f —Z Z��(� <br /> SFY Division of Epidemiology r o 7 <br /> 1 T.O.Number . <br /> 07/ 94 06 / 95 � 4 5 . 2 4 0 () .6,__8__ <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Co. Health Dept. Activity: Immunization Action Plan <br /> Project Director: Daniel B. Reimer Total Budget:$ 11 ,861 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 110861 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 <br /> School Health ':�:��' '1 ': ;€z� >':.............................. <br /> D <br /> Clinician <:: : <br /> I <br /> ................ <br /> Laboratory <br /> T .:.................. <br /> Pharmacy Services <br /> ................................................ <br /> U Transfer TXIX <br /> R Subtotal State Expend. $ 111861 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ 11,861 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXDC TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P DEHNR 11,861 <br /> T 4- <br /> S <br /> Subtotal State/Federal/Special $ 11,861 <br /> TOTAL CEIPTS—equal to Total Expenditures $ 11,861 <br /> tko <br /> ZAWut�orizedOfficial Signa Date Branch Hmd Di ' ion/Section Sign tore Date <br /> Initial <br /> Y-22-41( <br /> Finance Officer Signature Date n«o=tant Fiscal Management Signatu Date <br /> Initial <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />