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aAY i is 04 CA
<br /> LOCAL HEALTH DEPARTMENT BUDGET MAY 22 *89 .-.
<br /> .--.-,----'
<br /> NC.Department of Human Resources Revision Number_
<br /> Maternal and Child Care
<br /> Division of Health Services
<br /> Office,Section or Branch
<br /> SFY
<br /> P.O.Number
<br /> 1
<br /> . ' C4 4? 0
<br /> 07/ 89 06/ 90
<br /> Effective Date Termination Date 11/ 01 / I Contract Number
<br /> G. Ch 9 •
<br /> Contractor: Orange Oounty_ Health Department Activity. Family Planning
<br /> Project Director: _Dani_el B, R eitagr .Total Budget:$ 397.891
<br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
<br /> E STATE EXPENDITURES:
<br /> Salaries & Fringe Benefits . SA/FR 1000 68,148
<br /> X Operating Expenses OP EXP 2000 5,000
<br /> p Purchase of Equipment EQUIP 5000 .0
<br /> . '
<br /> E General Contracted or
<br /> Purchased Services GENERAL 6100 20 000
<br /> N School Health -- ----,.- --••:1,,,-,--,,q,:c.t.-,::,..--:4-,7.1r.rOmirki7tWF3gF,'ZIWRORRAiii
<br /> ''-',..":1,'-•.;:. "i•'-;,zilti.....i.,:.,,,1;e•.,....,::::,m's....:-........tz.4...,...:4..,.,...,z,....:.....,,,,,,.-.3. ....- .
<br /> D Clinician 6863 0
<br /> MT52.,;,,,,-impa.17:,... ..,,,,:i.::;:.z:::,:7:,j2,•:.,:i43 ..,....;±;,g ;p....4;ri,o,,,,,12,,,,,c.
<br /> I Delivery Services
<br /> Laboratory ,.........,7,,,,,..,,,,,,•:-..,4.7•7:Kr.:•-z"..7..-- -•••7.: p.c•ft0:•1•...:•••:.? .:...2,1i1:,,....:..I..,1,?1,?;A:;';;;;ffma.
<br /> A6:421: p,.....:::1c::....,::...:2,....:.4. . ...,.....:, :.:.::.,,s 7:7::4-.::.....:4.4. 79k=
<br /> T Pharmacy Services •:-.:..:••=F;;;p75:-.7,1;:in•;;7.."Si..:::.1-....:,.• ',..:."-,'•..;-•".:'.ie.3.::•:\t',W *.:5.. ..:,...-,..... ,.e.:..,:i.,:.;,:.,,:;;;e.:./4.1.?? .
<br /> U Transfer TX3X/SSBG
<br /> R Subtotal State Expend. $ 93,148
<br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 304,743
<br /> S
<br /> TOTAL EXPENDITURES—equal to Total Receipts $ 397,891
<br /> - _
<br /> R LOCAL FUNDS:
<br /> Appropriation APPROP 101 284,743
<br /> E TXDC/SSBG Fees 102 10,000
<br /> c Other Receipts OTHR REC 103 10,000
<br /> E Subtotal Local Funds
<br /> $ 3040743
<br /> I STATE/FEDERAL/SPECIAL FUNDS: ASV--4 SX-3.2-
<br /> DHS 1:ThAv.ct-i 4-&-Lt-e - C2 too - 6'4'00 7
<br /> P .
<br /> Dl-4 - F "'"' '"I -I /104 - 6100 ---s-MILI oi _ /2 Ci 0 . 15 0
<br /> . o
<br /> T
<br /> S 93,148
<br /> Subtotal State/Federal/Special $ 93,148
<br /> TOTAL RECEIPTS—equal to Total Expenditures $ 397 891
<br /> /
<br /> Local Au oozed Official Signs bids]
<br /> , do..11041 or ge6500 Date
<br /> //-------6 7 Date/ DHS Section Chief Signature zt
<br /> .. ' .,,,,
<br /> • 6/30/37 '"`"4"4". '/
<br /> di-47-0-0e- 7 - ' / pi& 4.. DHS Budget Officer Signature Date
<br /> Finance Officer Signature
<br /> DHS 2948(Revised 2/87)
<br /> Contracts Administration(Review 2/90)
<br />
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