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LOCAL HEALTH DEPARTMENT BUDGET <br /> ,I.C.Department of Environment, <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 9S 5 1 0 <br /> Effective Date Termination Date Contract Number <br /> Contractor• (lranoa r.n. Naal rh na=r Activity: Child Health <br /> Project Director: na ry i a 1 R- R a i ma r Total Budget:$ -196.8 51 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> STATE EXPENDITURES: <br /> E Salaries & Fringe Benefits SA/FR 1000 39,980 <br /> X 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 SCH H]JH 6200 9,725 <br /> D Clinician CLN 6863 <br /> I <br /> Laboratory y ..LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> U <br /> Transfer <br /> TXIX <br /> R Subtotal State Expend. $ 49,705 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 347,146 <br /> S TOTAL EXPENDITURES—equal to Total Receipts $ S <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 315,996 <br /> E TXIX TXIX 102 ?'g 1.56 <br /> Other Receipts OTHR REC 103 - <br /> C <br /> E Subtotal Local Funds $ 347,146 <br /> I STATE/FEDERAL/SPECIAL FUNDS: — d —S�.S�.—�C1C�CX 9 725 <br /> P School Health DEHNR $49,705 35,958 <br /> T HM/HCBG 4,022 <br /> General yq 7,'s- <br /> S <br /> Subtotal State/Federal/Special $ 49,705 <br /> 4b, 0'1-- " / �TOTAL RECEIPTS—equal to Total Expenditures $ 396,851 <br /> 2/ ql _717.1 1li " V�o- 6 <br /> tocal Authorized Official Signatu Date B=6 Had Division/Section Signature Date <br /> mitW <br /> �titS -7 <br /> r_- �'—2 Z 9y / <br /> finance Officer Signature Date A�=t <br /> f' Fiscal Management 8fgnap6re Dat <br /> m;mt <br /> DEHNR 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />