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<br /> r LOCAL HEALTH DEPARTMENT BUDGET
<br /> N.C.Department of Human Resources i0 CT Revision Number —
<br /> Adult Health Services 2 '87' CA 9 .2 3 .__6___.pivision of Health Services O{.Bce,Section or Branch
<br /> SFY�__— P.O. Number
<br /> 09 / 01 / 87 06 / 30 / 88 I 5 :4 o c (O B
<br /> Effective Date Termination Date Contract Number
<br /> Orange County Activity: Health Promotion
<br /> Contractor:
<br /> Project Director: Charles L. Harper Total Budget:$ 17.,462 73
<br /> `
<br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
<br /> E. STATE EXPENDITURES: 17,462.23
<br /> Salaries & Fringe Benefits SA/FR 1000
<br /> X :;:: Operating Expenses OP EXP 2000
<br /> p Purchase of Equipment ,5- ,;:w .7" EQUIP 5000
<br /> E General Contracted or i4�: 6100
<br /> t..
<br /> _ GENERAL
<br /> Purchased Services �k�� ,;: �>;;v
<br /> :s
<br /> C�
<br /> 7[+ tt f v
<br /> V ,py..
<br /> School
<br /> Health �-
<br /> L
<br /> C :i5::h
<br /> G'. Yi
<br /> .:PG?:i�i?;?2�i•i22a�Gi:'$it:�f>:#:': '�i#:i:c#::'>:; ....
<br /> �n :';'Snit%• ........
<br /> i"
<br /> Clinician
<br /> 4 a
<br /> gib. - ......
<br /> I Delivery Services w :.�;:::;:. <..;.:
<br /> Laboratory J, �.: s:>. <;L::s:<::•::• :,:,,::
<br /> T
<br /> G�" �+F,i:i�:?;Y�:°. :;$'"t f:ht;:j v�;,'...,.,.,C::�i??�: ....::4.{.�?..X...o:A'8Y'.
<br /> U Pharmacy Ser ices � r ::�z°•'�'�'�>'•..v:::;:�:;•.:�:,. ..
<br /> Transfer TXIX/SSBG f C:1 i) y 1,6� 6864
<br /> R Subtotal State Expend. $ 17,462./3
<br /> E LOCAL EXPENDITURES: LOCAL EXP 9000
<br /> S 17,462. '0".':,
<br /> TOTAL EXPENDITURES .—equal to Total Receipts $
<br /> R LOCAL FUNDS: --- .
<br /> Appropriation APPROP 101
<br /> E TXIX/SSBG Fees 102
<br /> C Other Receipts ' OTHR .REC 103 =`r
<br /> 4:31:11112/3
<br /> E Subtotal Local Funds �v ' `
<br /> I . STATE/FEDERAL/SPECIAL FUNDS: \'-'$1 �. q .1,- --.../
<br /> p DHS .Funds (Adult Health) t; . '-,1L13- c 17,462.7'3
<br /> r '
<br /> pp • N Dv'Sv$etvic^ •
<br /> Subtotal State/Federal/Special c Ate.- _^' �
<br /> TOTAL RECEIPTS—equal to Total Expenditures $ 17,462.h
<br /> Ci s e g cg%7 ' 1' M 16,8?
<br /> Local Authorized Official Signature Date Branch}1 DHS Sr-Chief Signature Date
<br /> i:*4t r J �,7 / r�r7 � , �1`—< /046
<br /> Date Acfnranr fl"S B L i get Officer Signature
<br /> Finance Officer Signature _ ,dad
<br /> PHS 2948(Revised 2:87)
<br /> ('nntracts Administranan(Review 2.`88)
<br />
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