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. . /WY 1089
<br /> eA
<br /> LOCAL HEALTEIDEPARTMENT BUDGET
<br /> N.C.Department of Human Resources Revision Number—
<br /> Division of Health Services Epidemiology . i6 _...6._.6.'
<br /> SFY— Office,Section or Branch
<br /> P.O.Number
<br /> 07/ 89 ow 90 7 94) ..2-_4__11.12 ° a__
<br /> Effective Date Termination Date 1' I o I , Contract Number
<br /> Lo lit
<br /> Contractor: Orange County Health Department Activity- Tubeva.41 osi s
<br /> Project Director: Daniel B. Reimer Total Budget:$ 97,514
<br /> •
<br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
<br /> E STATE EXPENDITURES: -
<br /> Salaries Cc Fringe Benefits SA/FR 1000 12,135
<br /> X
<br /> Operating Expenses .. 013 EXP 2000 0
<br /> p Purchase of Equipment ,,C. 57 8 fr. EQUIP 5000 . 0 • .
<br /> A rui
<br /> E _ General Contracted or41, --ir• r2
<br /> Purchased Service k MAY19140 SS GENERAL 6100 0
<br /> N School Health u'' -P' .,:-.---. .:ififf17•::.::;;Ecf.NWT.i7gardilifOrigSaW.
<br /> D Clinician re,;-:. 11/BERowssis z.t; -
<br /> .c -) CONTROL 61' P-14 .__............, 6863 0
<br /> I Delivery Services c...) t' '''.":T....11,,--1•L: :.:1_ :ir.i.77f-5.7.aiMW&:Eigfai .,,,, •§-`33 .76f:: ;
<br /> „.„ Laboratory LAB 6862 0
<br /> -I. Pharmacy Services '--C-4.„,,,.. ityle/ RX SERV 6865 0
<br /> U Transfer TXIX/SSBG '''f'-'4.4.V-`"'"'" .?:1, 12i7V.-,'..:.2:.?.:,"etfi-i.F.77....Z..'7,1:4'.tar6,0,19;14340,HM., .:,,,,,,,m4-tis-i.,?--......-r...---.-. 7,---"•',-*1-:
<br /> R Subtotal State Expend. $ 12,135
<br /> E LOCAL EXPENDITURES: LOCAL FM 9000 85,379
<br /> S
<br /> TOTAL EXPENDITURES—equal to Total Receipts $ 97,51 4 _
<br /> •
<br /> R. LOCAL FUNDS:
<br /> Appropriation APPROP 101 85,379
<br /> E TXIX/SSBG Fees 102 0
<br /> Other Receipts OTHR REC 103 0
<br /> E _ Subtotal Local Funds $ 85,379
<br /> —.
<br /> /
<br /> STATE/FEDERAL/SPECIAL FUNDS:
<br /> P
<br /> T
<br /> S . _ 12,135
<br /> Subtotal State/Federal/Special $
<br /> TOTAL RECEIPTS—equal to Total Expenditures $ 97,514
<br /> ' IIIIMOININIIMIIMMNI.11■■■•■■■■•=1111.1••••••■
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<br /> AU jr ALA/ •' ,446/delit _,Pe3/... ig_. LiDh'tY\ ,ri.OADivntrwit; , -10-?`?
<br /> Local Autho • Official Signs it / Date Hail HS Section Chief Signature Date
<br /> Z 4q
<br /> haul
<br /> re,g■ --15---2?
<br /> Finance Officer Signature Da Accaunom DHS Budget Officer Signature Date
<br /> kilisil
<br /> DHS 2948(Revised 2/87)
<br /> Camoncts Administration(Review 2/90)
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