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LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. l5epartmenc of Environment, <br /> Health, and Natural Resources Revision Number_ <br /> Pivision of General Services F�f// <br /> SFy Division of Maternal and Child Health <br /> P. O. Number <br /> 07 / 93 06 / 94 1 q� 5 3 1 8 0 0 6 8 <br /> Effective Date Termination Date W Alin Contract Number <br /> 1' <br /> Contractor: Orange County Health Department Activity: Child Service Coordination <br /> Project Director: Daniel B. Reimer Total Budget: $ 133,413 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 51,377 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 <br /> School Health SCH HLTH 6200 <br /> D Clinician CLN 6863 <br /> I <br /> T Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> LJ Transfer TXIX <br /> R Subtotal State Expend. $51,377 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 82,036 <br /> S <br /> TOTAL EXPENDITURES—equal to To Receipts $133,413 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 27,316 <br /> E TXIX TXIX 102 54,770 <br /> Other Receipts OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ 82,036 <br /> STA'i h/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P Child Service Coordination 51,377 <br /> T <br /> IS <br /> Subtotal State/Federal/Special $ 51,377 <br /> I <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 133,413 <br /> i ' X��i 2/ 3 <br /> � ,/ � 7,,;t7,1-61,,, ,e_)- 7/ /L3 <br /> • . Authorized Official Si atur- , Date a �off�' Division/Section Signaturec <br /> Date <br /> .�� • _am* ��7 -7 3 r ).-',,y— 3 <br /> Finance Officer Signature Date A.W,.t Fiscal Management Signatgr Date <br /> wt;.1 <br /> DE} R 2948(Revised 2/93) <br /> General Services Division(Review 2/94) <br />