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• • LOCAL HEALTH DEPARTMENT BUDGET 064 <br /> N.C. Department of Human Resources Revision Number <br /> Division of Health Services Management Services <br /> SFy Office,Section or Branch <br /> P.0. Number <br /> 07 / 01 / 87 06 / 30 / 88 1 4 0 <br /> Effective Date Termination Date Contract Number <br /> (Excludes Animal Control, <br /> Contractor: Orange County Health Department Activity: General State Tb Grant) <br /> Project Director: Jerry Robinson Total Budget: $ 699,470 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 41 17 <br /> Operating Expenses OP EXP 2000 7,000 <br /> p Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> School Health <br /> :.< <br /> D <br /> Clinician <br /> I Delivery Services <br /> :` <br /> Laboratory - <br /> Pharmacy Services ,.x,•,,.;:.:::::.> :Y:: :}Z::::.:.::.:..:•>:;:•;:.;:.::.;:<.;.;=:.;;:;:.:<.: <br /> •• • 6864 •- - „ <br /> U Transfer TXIX/SSBG >;::..:.....::;•9 000 ,,:;: .;:; <br /> R Subtotal State Expend. $ 57,417 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 642,053 <br /> S <br /> TOTAL EXPENDITURES--equal to Total Receipts $69470 <br /> R LOCAL FUNDS: <br /> E Appropriation APPROP 101 460,564 <br /> TXIX/SSBG Fees . 102 9,000 <br /> C Other Receipts OTHR REC 103 172,489 <br /> E Subtotal Local Funds $642,053 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> p Health Aid-to-Counties 48,417 <br /> ,1 Transfer Title XIX/SSBG 9,000 <br /> 7116 - Title XIX Dental Fees <br /> S <br /> Subtotal State/Federal/Special $ 57,417 <br /> TOTAL RECEIPTS—equal to Total Expenditures $699,470 <br /> (*.■14_ (/eta[t iitif ' 6o 2-e1 Local Authorized Official Signature Date Bunch d S Section Chief Signa e Date <br /> budo <br /> 2:...,. 7 i F7 <br /> Finance Officer Signature te ACarnt DHS Budget Officer Signature Date <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/88) <br />