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LOCAL HEALTH DEPARTMENT BUDGET 5 <br /> N.C.Department of Environment, Revision Number 0 1 <br /> Health,and Natural Resources <br /> Division of General Services Division of Adult Health <br /> SFY <br /> 7 / 94 10 / 95 Activity: COMP.Breast&Cervical Cancer Control <br /> Effective Date Termination Date <br /> Contractor: ORANGE COUNTY HEALTH DEPT• Project Director: DANIEL B. REINER <br /> TOTAL BUDGET: $ $ <br /> Screening Outreach <br /> P.O.Number P.O.Number <br /> 91. 5452 Q69 9 5 5453 0__.€$ <br /> ITEM DESCRIPTION CLASSIFICATION I1'EM Contract Number" Contract Number <br /> STATE EXPENDITURES: <br /> E Salaries&Fringe Benefits SA/FR 1000 1,463 <br /> X Operating Expenses OP EXP 2000 675 <br /> P Purchase of Equipment EQUIP 5000 - <br /> E General Contracted or <br /> N Purchased Services GENERAL. 6100 1 ,216 <br /> School Health SCH HLTH 6200 <br /> D <br /> I Clinician CLN 6863 <br /> T Laboratory ;LAB 6862 <br /> U Pharmacy Services RX SERV 6865 <br /> R TransferTXlX 6864 ,.!: 0 ' '' . <br /> E Subtotal State Expend. <br /> S LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> TOTAL EXPENDITURES—equal to Total Receipts <br /> LOCAL FUNDS: <br /> RAppropriation APPROP 101 <br /> TXIX TXJX 102 <br /> E Other Receipts OTHRREC 103 <br /> C Subtotal Local Funds <br /> E STATE/FEDERAL/SPECIAL <br /> I Screening <br /> P FUND OBJ RCC PROG <br /> T Outreach <br /> S _ FUND OBJ RCC PROG <br /> Subtotal State/Federal/Special 1,236 2,138 , <br /> TOTAL RECEIPTS—equal to Total Expenditures 1,236 2,138 <br /> Local Authorized Official Signature Date • Branch Head Division/Section Signature Date <br /> Initial <br /> Finane,e Officer Signature Date Accountant Fiscal Management Signature Date <br /> Initial <br /> DEHNR 2948(Revised 7/94) <br /> General Services Division(Review/96) <br />