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h, <br /> • . . LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. Department of Human Resources Revision Number <br /> Division of Health Services • E ''ioIogy <br /> SFY Office,Section or Branch <br /> P. O.Number <br /> 07/ 01 / 87 06 / 30 / 88 2 4 0 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity- Tuberculosis <br /> Project Director: • Jerry Robinson Total Budget $ 11,338 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> Salaries 6. Fringe Benefits SA/FR 1000 11,338 <br /> X Operating Expenses OP EXP 2000 <br /> p Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 4-.. <br /> N <br /> School Health <br /> D <br /> I Delivery Services <br /> ='::> : <br /> i- <br /> :5. <br /> i:�4-:?::::i::�:� ..M.CIA^M,::�::i}�:�:: :::i::�:::i}?::is� iii:: :: :':i::::��:{:i:::::i:::::�::•:�::: i�:::i:::::::�:-i�:���::: <br /> Laboratory . .... .... ...,.... <br /> 'I' :;>#ig 3 s;y.;>Y 7:`;::,.n....f.:xss;ri:::::::;:::i$i;:i ii iii t gi::::Ei:';: :;: <br /> Pharmacy Services :,•.' .:s.�.� r ;� .._:,:r,.y:�:. ,....::�::��,.:..,.::�s:•:.......... ....... ..........:.. ........... <br /> U Transfer TXIX/SSBG 6864 <br /> R Subtotal State Expend. $11,338 <br /> • <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 _ <br /> S TOTAL EXPENDITURES—equal to Total Receipts $11,338 _ <br /> R LOCAL FUNDS: <br /> Appropriation APPROP 101 <br /> E. TXIX/SSBG Fees 102 <br /> C Other Receipts OTHR REC_••-- 103 <br /> E Subtotal Local Funds <br /> I STATE/FEDERAL/SPECIAL FUNDS: `L' yr <br /> rn P DRS 1p �,0 �. <br /> T 81 001\��NU • 11,338 <br /> c'e-V:\,,_,„Subtotal State/Federal/Special � �``9/C�(.i71�`:4 $11,338 <br /> • TOTAL RECEI —equal to Total Expenditures $11,338 <br /> . .a:il G. /. .__:.r,. ' I// J' / 19��7 <br /> Local A d Official Signature Date �rinch lie" DHS Section Chief ignature 52 Date <br /> Intzial <br /> Finance Officer Signature ' " Date Aceoungsnt DHS Budget Officer Signature Date <br /> woo <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/88) <br />