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JUN 01 'F7 C: <br /> ° , LOCAL HEALTH DEPARTMENT BUDGET JUN 05 'ei CA <br /> N.C. Department of Human Resources Revision Number <br /> Division of Health Services Adult Health Services <br /> SFY Office,Section or Branch <br /> P.O.Number <br /> 07 / 01 / 87 06 / 30 / 88 _ 5 1 0 <br /> Effective Date Termination Date Contract Number <br /> Contractor: . Orange County Health department Activity: Adult Health <br /> Project Director: Jerry Robinson Total Budget: $ 65,901 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries 6t Fringe Benefits SA/FR 1000 3.,017 <br /> Operating Expenses OP EXP 2000 <br /> p Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 <br /> School Health -" •• . • <br /> D Clinician CLN 6863 ......._.__....... ................................... <br /> I Delivery Services - <br /> ,I, Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX/SSBG 6864 . <br /> R Subtotal Stare Expend. $ 3'017 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 62,884 <br /> $ TOTAL EXPENDITURES—equal to Total Receipts $ 65,901 <br /> • <br /> • <br /> R LOCAL FUNDS: <br /> Appropriation APPROP 101 62,884 <br /> E TXIX/SSBG Fees 102 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $ 62,884 <br /> j STATE/F DERAL/SPECIAL FUNDS: <br /> P 3,017 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 3,017 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ <br /> 65,901 <br /> • <br /> 7 <br /> ocal A Official Signature Date tmi Section Chief Signature Date <br /> ..,. 7 7/r7 <br /> Finance Officer Signature Date wit DHS Budget Officer Signature Date <br /> Inmal <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/88) <br />