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.. ., . . . JUN 0 1 '13 7 Ct, <br /> • j ii,.ja 7 ci,., <br /> . . • . . LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Human Resources . Revision Number— <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 ' 6 3 1 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity: Child Health <br /> Project Director: Jerry Robinson Total Budget:$ 245,538 i <br /> ITEM DESCRIPTION CLASSIFICATION ITEM . AMOUNT <br /> E STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 27,020 <br /> X <br /> Operating Expenses . OP EXP 2000 —14;949.9- Hi 000 opg <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 <br /> N School Health SCH HLTH 6200 8,489 . <br /> D Clinician CLN 6863 5,owl <br /> I Delivery Services iMMi, )Alp <br /> Laboratory LAB 6862 <br /> T - Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX/SSBG 6864 .3 000 ',Jets <br /> R Subtotal State Expend. $ 54,509 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 191 ,02.9 <br /> S <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 245,538 <br /> R LOCAL FUNDS: <br /> Appropriation APPROP 101 188,029 <br /> E - <br /> TXIX/SSBG Fees , 102 3,000 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ 191,029 <br /> I viANpuyttAL/sw NDS: <br /> p scgooi AsaitK •- 8;489 <br /> T. <br /> DHS Funds . 51,509 <br /> General MCH – 23,538 <br /> T - Transfer TXIX/SSBG Fees <br /> Title XIX – 1,500p <br /> S _ RPRDT — 1 ,500 3,000 <br /> . Subtotal State/Federal/Special $ 54,509 <br /> • - <br /> TOTAL RECEIPTS—equal to Total Expenditures $245,538 sy <br /> zwe,404 an,,,Date LI r?I 1 0 0 <br /> Local Authorized Official Signature te Breath Head DHS Secti dief Sigma-ate Date <br /> iiii.i.i <br /> Finance <br /> ce Officer Signature Date Account" DHS Budget Officer Signature Date <br /> Imp,' <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/88) <br />