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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Natural Resources Revision Number --Q-Z- <br />Division of General Services <br />hL 5FY % ivision of Enviroumetnmal Health <br />P. O. Number <br />Effective Date Termination Date <br />. e:_,!! •1. I,I WA: I a 1. a 7,01•:d1,15,1 <br />Project Director: <br />Contract Number <br />Activity: Environmental Health <br />Total Budget: $ 100-00 m <br />ff EM DESCLt1P'T1ON <br />CLASSIFICATION ITEM AMOUNT <br />E <br />X <br />P <br />E <br />N <br />D <br />j <br />T <br />U <br />STATE EXPENDITURES: <br />Salaries & Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />Clinician <br />Delivery Services <br />Laboratory <br />Pharmacy Services <br />Transfer TXIX <br />SA/FR ' 1000 <br />OP EXP 2000 - y_• •�'� —.' . <br />EQUIP 5000 /00. o o - <br />- <br />GENERAL -6100 l <br />SCH : HJ-TH .::: <.;::' � 6200 :' . � , . :.::.: : :...:..::<:;:.,; :,► ; i <br />- - <br />`: I�EL . SERV ;' 6869:. ......... <br />LAB 6862 <br />RX`:SERV ..::;.:::::;.;. 6865> ' <br />-:: �::. >�.; -; < .:::..:; :.::::::;:: -.. <br />�,.;:.:;._:::.:::::.,. ; <br />R <br />Subtotal State Exnend. it <br />E LOCAL EXPENDITURES: LOCAL EXP <br />S TOTAL EXPENDITURES — equal to Total Receipts <br />$100.00 m . <br />utho ' ffi ' Signature Date. <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/90) <br />GeneraT Service Division (Review 2/91) <br />3-1 "°d - Division /Section.- Signatur Date <br />X44— Fiscal Manageinent Signature Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP : 101 <br />E <br />TXDVSSBG Fees <br />Other Receipts <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />C <br />E <br />Subtotal Local Funds - $ <br />STATE/FEDERAL/SPECIAL FUNDS: <br />P <br />T <br />100.00 m <br />S <br />Subtotal State/Federal/Special $ 160,0Q M <br />TOTAL RECEIPTS -- equal to Total Expenditures $ 1 <br />utho ' ffi ' Signature Date. <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/90) <br />GeneraT Service Division (Review 2/91) <br />3-1 "°d - Division /Section.- Signatur Date <br />X44— Fiscal Manageinent Signature Date <br />