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LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. DepaiunLent of Environment, /3 . <br /> Health, and Natural Resources 1 Revision Number_r. <br /> Division of General Services ✓, • <br /> sF ( , Division of Maternal and Child He lth P. 0. Number <br /> 07 / 93 06/ 94 5 3 2 3 0 0 6. 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Cnnty Heal th Department Activity: CSHS Orthopedic <br /> m <br /> Project Director: Tani e1 R. Reiner Total Budget: $ 628 <br /> ITEM DESCRIPTION CLASSIFICATION I't"EM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 388 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or - <br /> N Purchased Services GENERAL 6100 75 <br /> School Health ';SCI '; II..TI-I . >6200$;. .w <br /> D Clinician CLN 6863 165 <br /> I <br /> T Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br /> U Transfer TXIX 6864 <br /> R Subtotal State Expend. $628 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S TOTAL EXPENDITURES —equal to Total Receipts $ -0- <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> C <br /> Subtotal Local Funds $ <br /> E STA'1 E/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P Scoliosis Clinic 628 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 628 <br /> TOTAL REC • S — equal to Total Expenditures $ 628 <br /> ii, `g661/i/.dee )1/27 ') G}u> \Y �. 7/.- e�.�>,te ) . 7/7/ ', <br /> Local Authorized Official Signa , Date aR'a;H � Division/Section Signature Date Inical <br /> // ( c- iI--q'S <br /> /9-/2/1/1,;.-(71- �%77-1 -2/51195 <br /> Finance Officer Signature • Date accou ur Fiscal Management Signatur Date <br /> wiixl <br /> rrtnrn -,nAo m _.___I-I inoN • <br />