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hay t e .8.:,` CA
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<br /> LOCAL HEALTH DEPARTMENT BUDGET
<br /> N.C.Department of Human Resources Revision Number—
<br /> Division of Health Services ' Management Services 2 4, .z.LO
<br /> SPY Office,Section or Branch
<br /> P.O.Number
<br /> 07/ 89 06/ 90 r-1/ A ° C:\ b I 4 o _Oa (Q__JS_
<br /> Effective Date Tumination Date v 9, Contract Number
<br /> ...3
<br /> Contractor: Orange County jipa 1 th DApartment Activity: General
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<br /> projezt Director, nem i co R. lte tin p r Total Budget$--11.0B.,741
<br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
<br /> E STATE IVCPENDITURES:
<br /> Salaries & Fringe'Benefits SA/FR 1000 40,000
<br /> X Operating Expenses OP EXP 2000 12,037
<br /> p Purchase of Equipment . EQUIP 5000 .
<br /> E General Contracted or
<br /> Purchased Services GENERAL 6100
<br /> School Health :':'•.:-.:177::::::7:-..::: ZMT;iiHafg',V7):=07--AM:
<br /> -, , -:-. .........,, , . ,,.. ,mw4ve,
<br /> D Clinician :)2:4::,i1/::.:';:' .2.&L''',:::::';•trE4;'::;:...:::;.-"N:VS:P.•,'4*';' ,:grii
<br /> I Delivery Services :',-.::::f.f,75:.]:-E17.7.!'iigE:',...::::ffiad:E.:;i",:.L•••21. .7:..::-.X.....‘:W.Niratil:
<br /> r Laboratory
<br /> f Pharmacy Services ',::;::.::,..4..;;Ital-:";i:'L:::•.-Ls;.*::,..:::-..?'±aa'a.:;i:E,; .:;jE.:4;;T:Zi.Z. S142;•,
<br /> U Transfer TXIX/SSBG ';.:.::?:,. .L."..:.... .,I):.Eiq ./. .ii.Eikkffaxgi..EK:ztsAtqn
<br /> R Subtotal State Expend. $ 52,037
<br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 756,706
<br /> S
<br /> TOTAL EXPENDITURES—equal to Total Receipts $ 808,743
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<br /> R LOCAL FUNDS:
<br /> Appropriation APPROP 101 591,706
<br /> E TXDUSSBO Fees 102 5,000
<br /> i c Other Receipts OTHR REC 103 160,000
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<br /> E Subtotal Local Funds $ 756,706
<br /> / STATE/FEDERAL/SPEaAL FUNDS:
<br /> P
<br /> - T .
<br /> S / 3/' - toi - 1/ 7/ -oe,_ro 52,037
<br /> Subtotal State/Federal/S•- • $ 52 037
<br /> TOTAL RECEIPTS—equal to Total Expenditures $ 808 743
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<br /> I/6/- I / / . 1 (24c14,71 .)),,QA./tb-7;1214tS 6-*-1140
<br /> Au orized Official Signa Date ;•- tifed DHS Section Chief Si gna Date
<br /> ,,r0010-i-ole 7: •
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<br /> 6lY0A5 z.
<br /> Finance Officer Signature Date WoZPAnt DHS Budget Officer Signature Date
<br /> telthal
<br /> DRS 2948(Revised 2/87)
<br /> Contracts Administration(Review 2/90)
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