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-lip.. g a,:. n: ;ate �.� w.. r. r <br /> ►. .._ ° .. --'- .,,;... „_.:..,...o,;o, O7 2 0 '87.. ` <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. Department of Human Resources <br /> 0 CT Revision Number <br /> Division of Health Services Adult Health Services 2 8j <br /> SFY Office,Section or Branch 9 3 coo <br /> P. O. Number <br /> 09 / 01 / 87 06 / 30 / 88 $ y e <br /> . L► o o (n $ <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange County Activity: Health Promotion <br /> - 4 /'. <br /> Project Director: Charles L. Harper Total Budget:$ 17,462./3 _ <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries Sti Fringe Benefits SA/FR 1000 :. :17,462.23 <br /> Operating Expenses OP EXP -. 2000 <br /> p Purchase of Equipment �-,, EQUIP 5000 <br /> E General Contracted or :-7' r <br /> N Purchased Services GENERAL 6100 <br /> School Health _ ai ..,..;. <br /> D <br /> Clinician <br /> F.:3 � <br /> Delivery Servi ces ca <br /> _ <br /> ? ; - - <br /> EN <br /> TLaboratory , a . :�... �� .....:.t:w;:�.>.;.•...:.............."`"`�zt• :.v. <br /> Pharmacy Services i :<. . R " ,.:. ::>::;::: :<:<<« : .::,:s?... <br /> U Transfer TXIX/SSBG ,Y:-, . is,'` ` <br /> R Subtotal State Expend. - $ 17,46273 ,. <br /> • LOCAL EXPENDITURES: LOCAL EXP 9000 - <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 17,462.13 <br /> R LOCAL FUNDS: _ <br /> E Appropriation APPROP 101 <br /> TXIX/SSBG Fees 102 <br /> C Other Receipts OTHR REC 103 <br /> E Subtotal Local Funds , X1011 2137e, $ <br /> I ' STATE/FEDERAL/SPECIAL FUNDS: -'Va v `'� <br /> P DES Funds (Adult Heal th) F',�' 1��$��.d- 17,462. q ! <br /> ter- t.1V a Z3 <br /> T co �'' kisaVal - <br /> pivis+$e �y6 T� <br /> S /5/a- 4/o$ -5-to - e r .,w)ar. f-.-- <br /> Subtotal State/Federal/S cial L^ �, ,y ," '�"`. <br /> _ pe �, „ 1; $ 17,462.3 <br /> `mss <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 17,46213 <br /> • <br /> C'. ►,,eui e 9/po47 , YhC- _ m ids? <br /> Local Authorized Official Signature Date Bnnch -• DHS S ..Chief Signature Date <br /> g - --'-. . 2247 Finance Officer Signature ate Ac nro�. of S BifgetO Signature //to <br /> . ,vii <br /> fHS 2948(Revised 2.'M7) <br /> ■:++ntracts Administration(Review 2/88) <br />