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LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C. Depaitnent of Environment, <br /> Health, and Natural Resources Revision Number_ <br /> Division of General Services <br /> SFY Division of Maternal and Child Health <br /> P. O. Number <br /> 07 / 93 06 / 94 9 4 5 4 0 2 0 0 6 8 <br /> Effective Date Termination Date Contract Number <br /> Contractor: Orange Cnrn.ty Health LIpar-nent Activity; MCH Block Grant Nutrition <br /> Project Director: lbni el B, Reimer Total Budget: $ 2,450 <br /> I'IEM DESCRIPTION CLASSIFICATION I"l'hM AMOUNT <br /> E STA'I E EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 2,450 <br /> Operating Expenses OP EXP 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N <br /> Purchased Services GE ,'ERA;j 6I00 <br /> School Health SCH .FILTH .. X6200 <br /> D Clinician Ch 1 6863 . <br /> I <br /> Laboratory LA:B 6862 <br /> T Pharmacy Services RX SERV'> :6865 <br /> U Transfer TXIX <br /> R Subtotal State Expend. $2,450 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 <br /> S <br /> TOTAL EXPENDITURES—equal to Total Receipts $2,450 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 <br /> E TXIX TXIX 102 <br /> Other Receipts OTHR REC 103 <br /> C <br /> E Subtotal Local Funds $ <br /> STA I E/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P MCH Block Grant Nutrition 2,450 <br /> T <br /> S <br /> Subtotal State/Federal/Special $2,450 <br /> TOTAL RECEIPTS — equal to Total Expenditures $2,450 . <br /> littd /AO -. 5/ .2/53 <br /> •cal A.thorize. Official Signa �, Date sr„d,H d Division/Section Sig attire Date <br /> w� <br /> / / <br /> _ � 42-i_ ,/:?...i'LL 6/1„0-w--yt.... 1 -2 <br /> Finance Officer Signature Date A r,rn Fiscal Management Signature Date <br /> 1114¢21 <br /> r,rvwm 'In A /n_.___.,-,roes <br />