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JUN 01 '87 CA <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Human Resources JUN 24'X37 CA Revision Number- <br /> Division of Health Services Maternal and Child Care <br /> SFY Office,Section or Branch <br /> a . P. O. Number <br /> 07 / 01 / 87 06 / 30 / 88 6 4 0 <br /> Effective Date Termination Date Contract Number <br /> • <br /> Contractor: Orange County Health Department <br /> Activity: Family Planning <br /> Project Director: Jerry Robinson _ Total Budget:$ 265,918 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 61,109 <br /> Operating Expenses OP EXP 2000 6,000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 10 000 <br /> N- School ;.;:::::.. ........�...... <br /> S ool Health <br /> 00:... - <br /> D Clinician CLN ::..6863 10,00.Q.::..=:;:............... <br /> I <br /> Delivery. Services es x: :::»>` ::<.;. <br /> Laboratory <br /> G �T <br /> Pharmacy Services ce <br /> c er i <br /> S <br /> U Transfer TXIX/SSBG 6864 10,543 <br /> R Subtotal State Expend. $ 97,652 <br /> E LOCAL EXPENDITURES: - LOCAL EXP 9000 168,266 <br /> S <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 265,918. . <br /> R LOCAL FUNDS: <br /> E Appropriation APPROP 101 145,766 <br /> TXIX/SSBG Fees 102 2,500 _ <br /> C - Other Receipts OTHR REC 103 20,000 <br /> E Subtotal Local Funds <br /> $ 168,266 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> P DHS Funds $ 87,109 <br /> ,I. 'I'XIX/SSBG Fees $ 10,543 <br /> FP TXIX $ 2,500 <br /> S SSBG (FP TXx) $ 8,043 <br /> Subtotal State/Federal/Special $ 97,652 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 265,918 <br /> � r <br /> � 91$°7 8i,. _ /� ,rz* ),Na6 a 64 ? <br /> L 1 A horized Official Signature Date Drench H.d DHS Section Chief Signature <br /> iMn.i Date <br /> ,�.„. -°7. /mss/P7 <br /> Finance Officer Signature Date Accwntanc DHS Budget Officer Signature Date <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/88) <br />