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OCAL HEALTH DEPARTMENT BUDGET <br /> N C. Deportment of Environment, <br /> Health, and Natural Resources Revision Number <br /> Division of General Services <br /> SFy ivision of Maternal and Child Health -- <br /> P. O.Number <br /> July 1 / 1994 June 30 / 1995 9 5 5 3 5 9 0 -0 –fL� <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity: EPSDT Outreach Project <br /> Project Director: Daniel Reimer 10,000 <br /> Total Budget: $ <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 10.000 <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 /> €:SCH::' L . <br /> D Clinician CLN 6863 <br /> I <br /> T Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> U <br /> Transfer <br /> TXIX <br /> R Subtotal State Expend. $ 10,000 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S <br /> r� TOTAL EXPENDITURES—equal to Total Receipts $ 10,000 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P <br /> i S3�- s35 - 3`76 3 <br /> T •�3S'- 53S''�i-3'7 i `f <br /> S <br /> Subtotal State/Federal/Special $ <br /> TOTAL RECEIPTS— equal to Total Expenditures $ 10,000 <br /> cep, IJ .30 9tF <br /> Local Authorized Official Signature Date Branch Hnd Division/Section Signature Date <br /> finance Officer Signature a e Accoununt Fiscal Management Si at a Date <br /> lnicial <br /> DEHNR 2948(Revised 2/93) <br /> :jeneral Services Division(Review 2/94) <br />