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[MAY I 8 88 cA <br /> ...------' JUN 6 89 C <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> NC Department of Human Resources Revision Number_ <br /> Division of Health Services Maternal and Child Care a/-' 0/ 0 <br /> SFY_______ Office,Section or Branch _.„4.... ___ ..'._____ <br /> 1 • 3 P.0.Number i ° .E_-3_,.1_ 0 b ....‘..r <br /> 07/ 89 06/90 l 10_9, . <br /> Effective Date Termination Date \-P sit Contract Number <br /> Contractor: nranv cLinnry.liPal rb Delararamit Activity: Child Hpai,th <br /> Project Director: Dan;Pl_ B. Roimear Total Budget$ 351,306 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> Salaries & Fringe Benefits SA/FR 1000 28,194 <br /> X Operating Expenses OP EXP 2000 8,250 <br /> p Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 10,000 <br /> N School Health SCH HLTH 6200 8,750 <br /> D Clinician loan' CLN 6863 0 <br /> I Delivery Services :',:7:::.:-.1.7<n.-::Tf.S.:1431,,7:5,'..:i...7.-e.: -7'.:' 1.;'';"-..y. <br /> Laboratory LAB 662 0 <br /> T Pharmacy Services RX SERV 6865 0 <br /> U Transfer TXDC/SSBG <br /> R Subtotal State Expend. $ 55,194 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 296,112 <br /> S <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 351,306 <br /> R LOCAL FUNDS: <br /> Appropriation APPROP 101 294 112 <br /> .. ; <br /> E TX1X/SSBO Fees 102 7,000 <br /> c Other Receipts OTHR REC 103 0 <br /> E Subtotal Local Funds $ 296,112 <br /> / STATE/FEDERAL/SPECIAL FUNDS: <br /> • <br /> P /..c A/02 - a/0, - svers? — C''PrXi( <br /> T <br /> ' <br /> S bhicS Pambs, 550_94 <br /> Subtotal State/Federal/S•-... $ 55,194 <br /> TOTAL RECEIPTS—equal to Total Expenditures $ 351,306 <br /> 1 --- <br /> d.di 4/FP AIL (.1„.., 2)4' h7(), Lilac/1i <br /> Local Authorized II' cial S'....fir' te alba* DHS Sectin%Chief Sige Date <br /> 1 01".' oh <br /> f4'4tZ <br /> Finance Officer Signature ;t:to . Aamlant DHS Budget Officer Signature Date <br /> Initial <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/90) . <br /> ■ <br />