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h i AY 1 8 3 C <br /> . MAI 24 .13a <br /> ...------ <br /> LOCAL HEALTH DEPARTMENT BUDGET <br /> N.C.Department of Human Resources Revision Number <br /> Division of Health Services Maternal and Child Care c) <br /> SFY - • Office,Section or Branch str, --,,-..,--——c--— <br /> 07 / 89 06/ 90 P.0.Number <br /> ,.. ' ., n9 I ' ,-7_1_s_....s _ _22_ 6 L <br /> 1\</ - <br /> Effective Date Termination Date k d ' Contract Number <br /> - j). • <br /> Contractor: Orange County Health Department Activity: rAus - Drithnppdir <br /> Project Director: Daniel B. Reimer Total Budget:$ 584 <br /> ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> Salaries 6r.. Fringe Benefits SA/FR 1000 234 <br /> X Operating Expenses OP EXP 2000 0 <br /> p Purchase of Equipment EQUIP 5000 n . <br /> E General Contracted or <br /> Purchased Services GENERAL 6100 200 <br /> N School Health ',E.,..g.51.E.-iffarafigNIfihiragaMfi;.;.qg,. .75,gk ,TA:;;!,r4 <br /> Clinician CLN 6863 150 <br /> I Delivery Services '!.111:Ea,27-MENg7f1MTANN-#47f,:aij.F1.1.'"7:igv,a:;, <br /> • T Laboratory LAB 6862 0 <br /> Pharmacy Services RX SERV 6865 0 <br /> U Transfer TXIX/SSBG Iiiill•AiMMINZiTTedrik.IiirailiWriaiM.F1, <br /> R Subtotal State Expend. $ 584 <br /> E Local, EXPENDITURES: LOCAL EXP 9000 0 <br /> S <br /> TOTAL EXPENDITURES—equal to Total Receipts $ 584 <br /> R LOCAL FUNDS: <br /> Appropriation APPROP 101 0 <br /> E TX1XISSBG Fees 102 0 <br /> c Other Receipts QTHR REC 103 0 <br /> E Subtotal Local Funds 4-_ $ <br /> / STATE/FEDERAL/SPECIAL FUNDS: <br /> P <br /> • T /...,CY..5*- 4-/b 0 - ..574..cia - .,\-->ex,e• <br /> S 584 <br /> Subtotal State/Federal/Special $ <br /> TOTAL REC —equal to Total Expenditures $ 584 <br /> IIPTS <br /> /36 07 hi ,,Jor / - • -• - <br /> d?-s(s1 <br /> . Local Authorized Official Signe -/ te ,. All -• DHS Section Chief Signature Date <br /> ....r. • <br /> Finance Officer Signature a:te ' AgaMtgat DHS Budget Officer Signature Date <br /> Initial <br /> DHS 2948(Revised 2/87) <br /> Contracts Administration(Review 2/90) <br /> I <br /> Firiammermenessezerww-- <br />