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LOCAL HEALTH DEPARTMENT BUDGET <br /> C. Departs of Environme SA�,L 3 <br /> Health, and Natural Resource , Revision Number_._ <br /> -C <br /> )ivision of General Services � 'if <br /> FY <br /> l Division of Maternal and Child Health <br /> P. O. Number <br /> 07 / 93 06/94 ___9___4_ 5 1 0 1 0 _p__6__8__ <br /> Effective Date Termination Date Contract Number <br /> contractor: nranap Co. Heal th Dept. Activity: Maternal Health <br /> Jroject Director: Daniel R. Reimer. Total Budget: $ 311 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR• . 1000 311 <br /> Operating Expenses OP EXP 2000 <br /> p Purchase of Equipment EQUIP 5000 • <br /> E General Contracted or <br /> Purchased Services •- GENERAL • 6100 <br /> N School Health 1 SCI:HLTH :a .......,. 6200>,. . . .. <.. <br /> D CIiiucian k CLN 6863 _ <br /> Iy <br /> T Laboratory LAB 6862 <br /> Pharmacy Services • RX SERV 6865 <br /> U Transfer TXIX : : -6864<< :,:.fi , <br /> R Subtotal State Expend. $ 311 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S TOTAL EXPENDITURES —equal to Total Receipts $ 311 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TX IX 102 <br /> Other Receipts OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ <br /> STATE/I±DERAL/SPECIAL FUNDS: <br /> I )�117`N/4-- <br /> ; P 3 11 <br /> S <br /> Subtotal State/Federal/Special $ <br /> TOTAL RECEIPTS —equal to Total Expenditures $ 311 <br /> .1AIA/ • .4..dIA 6A�9 4/� 7 6 i <br /> Local Authorized Official Si a,'r ir Dace sr H / 'i Q!/� <br /> gn / w�i Division/Section Stgnan(ke ate 7XF/9cJ <br /> Finance Officer Signature Date Ac Fiscal Management t �xEure Date <br /> wo.t g Bn <br /> DE}.IR 2948(Revised 2/93) <br /> 3cncrai Services Division(Review 2/94) - . <br />