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LULAL HEAL I11 1 ISL i r , I <br /> N.C.Department of Environment, Revision Number 0 1 <br /> Health,and Natural Resources —Division of General Services Division of Adult Health <br /> SFY <br /> 7 / 94 10 / 95 Activity: COMP. Breast& Cervical Cancer Control <br /> Effective Date TerminationDate <br /> Contractor: ORANGE COUNTY HEALTH DEPT. Project Director: DANIEL B. REINER <br /> TOTAL BUD GET: $ $ <br /> Screening Outreach <br /> P. O.Number P. O.Number <br /> 95 5452068 955453 068 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM Con tractNumber Contract Number <br /> STATE EXPENDITURES: <br /> E Salaries&Fringe Benefits SA/FR 1000 1,463 <br /> X Op elating Expenses OP EXP 2000 <br /> 675 <br /> P Purchase of Equipment EQUIP 5000 - <br /> E General Contracted or <br /> N Purchased Services GENERAL- 6100 1,236 <br /> School Health SCH HLTH 6 O0 <br /> I Clinician CLN 6863 <br /> T <br /> Laboratory ;LAB 6862 <br /> U Pharmacy Services RX SERV 6865 <br /> R Transfer TXUK 6864 <br /> E Subtotal State Expend. <br /> S LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> TOTAL EXPENDITURES—equal to Total Receipts <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> TXIX TXIX 102 <br /> •E Other Receipts OTHRREC 103 <br /> C Subtotal Local Funds <br /> E STATE/FEDERAL/SPECIAL <br /> Screening <br /> P FUND OBJ RCC FROG <br /> T Outreach <br /> S FUND OBJ RCC PROG <br /> Subtotal State/FederaUSpecial 1,236 2,138 . <br /> TOTAL RECEIPTS—equal to Total Expenditures 1,236 2,138 <br /> Local Authorized Official Signature Date Branch Head D ivision/Section Signature Date <br /> Initial <br /> Finance Officer Signature Date Accountant Fiscal Management Signature Date <br /> Initial <br /> DEHNR 2948(Revised 7/94) <br /> General Service,Division(Review/96) <br />