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LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. T)epartment of Environment, <br /> Health,and Natural Resources Revision Number <br /> Division of General Services <br /> SFY Division of Epidemiology <br /> 5 P.O.Number <br /> 07 / 94 06/ 95 <br /> 4 _Q 0 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Co. Health Dent. Activity: Tuberculosis <br /> Project Director: Daniel B. Reimer Total Budget:$ 13,218 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 13,218 <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 /> ........... <br /> ............ .......... ......... <br /> D <br /> Clinician <br /> X. <br /> T Laboratory <br /> Pharmacy Services <br /> U Transfer T= <br /> R Subtotal State Expend. $ 13,218- <br /> E LOCAL EXPENDITURES: LOCAL 'EXP 9000 <br /> S <br /> . TOTAL EXPENDITURES—equal to Total Receipts $ 13,218 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P A(- 5- �p/0 0— 4 551 a,/) DEHNR 13,218 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ <br /> L TOTAL REC S—equal to Total Expenditures <br /> $ 13,218 <br /> G� 2� qy ,�- �_��-s y <br /> Local Authorized Official Signature Date '1�2Initw*H PJvision/Section tgnature Date <br /> F—finance Officer Signature Date Accountant Fiscal Management SignAur—e Date <br /> Initial <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />