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NAY 1 8 'rid C4 22 <br /> LOCAL HEALTH DEPARTMENT BUDGET ►:'A I 1 <br /> N.C.Department of Human Resources Revision Number _,_ <br /> Division of Health Services Maternal and Child Care <br /> SFY Office,Section or Branch <br /> P.O.Number <br /> 07/ 89 06/ 90 _._6_.���____ <br /> �� <br /> Effective Date Termination Date Contract Number <br /> Contractor: . Orange Counti ea Department Activity. Family Planning <br /> Project Director: Daniel B. Reimer Total Budget:$ 397,891 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> Salaries &i <br /> X Fringe Benefits SA/FR 1000 68,148 <br /> Operating Expenses OP EXP 2000 <br /> 5.000 <br /> P Purchase of Equipment EQUIP 5000 _ . 0 <br /> E General Contracted or <br /> N Purchased Services GENERAL 6100 20 000 <br /> School Health w '.` " +VaA:° <br /> k ` <br /> > a <br /> = r-0 D Clinician C 6863 <br /> Delivery Services it V J f Es� 3` � A �• P` h :, <br /> T 3ry .ate $ <br /> � h�5S <br /> Pharmacy <br /> Services §g `~ F 1� <br /> U Transfer TXIX/SSBG h . /nw � il .����� ng-; <br /> *. ..,` <br /> R Subtotal State Expend. $ 9_1148 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 304,743 <br /> S TOTAL EXPENDITURES equal to Total Receipts <br /> $ 397 891 <br /> R LOCAL FUNDS: <br /> Appropriation APPROP 101 284,743 <br /> E TXIX/SSBG Fees 102 10,000 <br /> C Other Receipts OTHR REC 103 10,000 <br /> E , Subtotal Local Funds $ 304,743 <br /> I STATE/FEDERAL/SPECIAL FUNDS: <br /> P DH5 �uwcis --- ► G:4-v - t, t0c •- C,9tC� - X � 1 'v — 7 JG <br /> T <br /> 1-3 ..K Cl A f (.7 i".'i - 61 00 - (j`f L.1 ci _ ;1'.^( c .__ Is. Vs so <br /> S - 93,148 <br /> Subtotal State/Federal/Special $ 93,148 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 397,891 <br /> vt...ift i, as....04.02v.goretao siegdp <br /> Local Authorized Official Signature Date *ad DHS Section Chief Signature ignature Date <br /> Finance Officer Signature Date Aommant DHS Budget Officer Signature Date <br /> WNW <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/90) <br /> °° <br />