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LOCAL HEALTH DEPARTMENT BUDGET <br /> Department of Environment, <br /> iealth, and Natural Resources Revision Number_- <br />,ision of General Services <br /> i Division of Adult Health <br /> P. O. Number <br /> 07/ 94 06 / 95 9 5 5 _0 0 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> ntractor: Orange Co. Health Dept. Activity: Health Promotion <br /> eject Director: Daniel B. Reimer Total Budget:$ 63,033 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM _ AMOUNT <br /> STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 22 , 11.6 <br /> Operating Expenses OP EXP 2000 <br /> Purchase of Equipment EQUIP 5000 <br /> General Contracted or <br /> Purchased Services GENERAL 6100 <br /> School Health <br /> ch <br /> H . <6 <br /> Clinician x <br /> Laboratory <br /> Pharmacy c y Services <br /> Transfer T-XIX <br /> >VC7 ...:.....:.. . <br /> Subtotal State Expend. S 22,116 <br /> LOCAL EXPENDITURES: FLOCAL EXP 9000 40$917 <br /> TOTAL EXPENDITURES —equal to Total Receipts S 63,033 <br /> - LOCAL FUNDS: - -- -- <br /> Appropriation APPROP 101 38,542 <br /> TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 2,375 <br /> Subtotal Local Funds 40,917 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> DEHNR 22,116 <br /> V 1-43D 6/0o- -xXXsC <br /> Subtotal State/Federal/St)ecial $ 22,116 <br /> TOTAL RECEIPTS —equal to Total Expenditures $ 63,033 <br /> it bA to 9- ?Z <br /> Loiv AutnorizeJ Official Signature Date B Division/Secti Signatur Date <br /> 2 z_yy <br /> Finance Officer Signature Date Fiscal Management Si lure Date <br /> HWR 2948(Revised 2/93) <br />