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JUN 01 17 vr. <br /> ` ' 067 LOCAL HEALTH DEPARTMENT BUDGET J- C L '8 7 CA <br /> N.C. Department of Human Resources Revision Number <br /> • <br /> Division of Health Services Maternal and Child Care <br /> SFY Office,Section or Branch <br /> P. O. Number <br /> 07 / 01 / 87 06 / 30 / 88 _��2____ <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity: Maternal Health <br /> Project Director: Jerry Robinson Total Budget: $ 207.709 '' <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits _SA/FR 1000 52,119 <br /> Operating Expenses OP EXP 2000 16,500 <br /> p Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> School Health _A. .44,;....:.:;, ; ::•}..:>:::=_ . <br /> D Clinician CLN 6863 u...... . ..... :=::w >? :............... <br /> I Delivery Services DEL SERV 6869 8 993 <br /> , , . Laboratory LAB b862 8,993 <br /> • Pharmacy Services RX SERV 6865 <br /> •U Transfer TXIX/SSBG 6864 <br /> 1,500 _ <br /> R Subtotal State Expend. <br /> $ 84.112 <br /> E LOCAL EXPENDITURES: I LOCAL EXP 9000 <br /> S 123,597 <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 207,709 <br /> • <br /> R LOCAL FUNDS: <br /> E Appropriation APPROP 101 119.997 <br /> TXIX/SSBG Fees <br /> 102 1,500 <br /> C Other Receipts OTHR REC 103 2.100 _ <br /> E Subtotal Local Funds $ 123,597 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> p Teen Pregnancy — 19,991 <br /> Delivery — 8,993 <br /> T Perinatal — 15 784 <br /> General MCH — 23 538 HS Funds 82,612 <br /> S Transfer TXIX/SSBG Funds_MI.Virtoilwe,.t • 1,500 <br /> Subtotal State/Federal/Special $ 84,112 <br /> TOTAL RECEIPTS--equal to Total Expenditures ' $ 207.709 <br /> Local Authorized Official Signature J ""4 a 4 �Q 6/7/x7 <br /> gnature Date Bnah Hnd DHS Sectioi Chief Signa're Date <br /> Finance Officer Signature Datea, <br /> ���u„� DHS Budget Officer Signature Dare <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/88) <br />