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JUN 0 1 .87 CA <br /> • <br /> • JUN Gi '67 CA <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Human Resources Revision Number_.. — <br /> Division of Health Services and Child <br /> SFY Office,Section or Branch <br /> P. O. Number <br /> 07 / 01/ 87 06 / 30 / 88 _ 6 3 1 <br /> Effective Dace Termination Date Contract Number <br /> Contractor: Orange County Health Department Activity: Child Health • <br /> Project Director: <br /> Jerry Robinson Total Budget: $ 245,538 r <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: 1000 27,020 <br /> Salaries &x Fringe Benefits SA/FR • <br /> X Operating Expenses OP EXP 2000 --1-4-;900- II 000 . <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 5,000 <br /> Yy: <br /> ''': i}ii:i'ri::i<$r+?»"• ::ii:+i+::`-,'.' ::::': ::?iii:}:?: ::;;i:is j}-iv:Ciyii} "'•:}}:::}::_:_?}'}'--`:_ <br /> Y Delivery Services ='�-�-� -- - ���_ <br /> .Laboratory LAB 6862 <br /> T Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX/SSBG 6864 3 OOO 9J/3v <br /> R Subtotal State Expend. $ 54,509 <br /> E LOCAL EXPENDITURES: _ LOCAL EXP 9000 19_1 ,079 <br /> S TOTAL EXPENDITURES —equal to Total Receipts $ 245,538 , <br /> R LOCAL FUNDS: <br /> Appropriation APPROP 101 188,029 <br /> E TXIX/SSBG Fees 102 3,000 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds $191,029 <br /> I :A FEDEI.tAL/S5C NDS: <br /> p School rHealth - 8,489 DI3,5Funds 51,509 <br /> General MCH - 23,538 <br /> T 'Transfer TXIX/SSBG Fees <br /> Title XIX - 1,500-12g 3,000 <br /> S EP JT - 1 ,5110_ <br /> . Subtotal State/Federal/Special $ 54,509 <br /> TOTAL RECEIPTS—equal to Total Expenditures $245,538 ✓e3no .,„.. 6/g/P, <br /> . fl.iFt. g A1444-e-c ae.v. an„Local Au! 4 ed Official Signature Date .ch I DHS Secti dhief Signature Date <br /> Initial <br /> -F- <br /> inance Officer Signature to Aoun•nt DHS Budget Officer Signature Date <br /> initial <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/88) <br />