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LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. Department of Environment, `j� <br /> Health, and Natural Resources Revision Number_ <br /> Division of General Services �� <br /> SFY Division of Maternal and Child Health <br /> P. O. Number <br /> 07 / 94 06 / 95 9 5 5 4 0 2 0 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Co. Health Dept Activity: MCH Block Grant Nutrition <br /> Project Director: naniel B. Reimer Total Budget:$__2,450 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 2,450 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E Contracted General C tract <br /> ed <br /> or <br /> Purchased <br /> Services <br /> es <br /> GENE'; <br /> N <br /> School <br /> Health <br /> S : <br /> CH TH : <br /> D <br /> Clinician can <br /> I <br /> Laboratory <br /> ry <br /> 5862` <br /> T ::,..:.:.:......:.: ..:::::.:. . . <br /> m Y <br /> Pha r ac Services <br /> 5855_:` <::;: ;>:>::<:<::>:<;«»::::»;. ::<:<;°:<;>: ;>::::: :::,..;:;.:;:;:<>:::::.::::::.. <br /> U <br /> Transfer <br /> TXIX <br /> R Subtotal State Expend. $ 2,450 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 2,450 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P DEHNR 2,450 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 2,450 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 2P450 <br /> 004M-M"-� Y a/ q <br /> c <br /> icial Signature Date B 6 tu <br /> H-d Division/Section Signature Date <br /> Finance Officer Signature Date Fiscal . <br /> agement Signature ate <br /> DEHN'R 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />