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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment. <br />Health, and Natural Resources Revision Number A <br />Division of General Semces <br />Division of Maternal and Child Health Z— <br />SFY P. O. Number <br />07 / 90 06/ 91 -9 1 5 4 2 1 0 6, 8 <br />Effective Date Termination Date Contract Number <br />Contracton, MM 9M HU01 DEPARTMEM Activity: Child Health <br />Project Director: Daniel B. Re-Lm= Total Budget: $.3. eno Qg m <br />. <br />ITEM DESCRIPTION <br />CLASSIFICATION MM AMOUNT <br />.x <br />P <br />E, <br />N <br />D. <br />T <br />U <br />STATE EXPENDITURES: <br />Salaries I& Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />Clinician <br />Delivery Services <br />Laboratory <br />Pharmacy Services <br />Transfer TXIX <br />SA/FR 1000 <br />OP EXP 2000 <br />EQUIP 5000 <br />GENERAL 6100 <br />SCH HLTH 6200 <br />CLN 6863 <br />SERV <br />LAB 6862 <br />RX SERV 6865 <br />.7f4 I <br />R <br />Subtotal State fNnnd. <br />F- <br />LOCAL EXPENDIT`URES: <br />LOCAL Eyp M <br />$ <br />I <br />I TOTAL EXPENDITURES —equal to Total Receipts $ 1,909.00 <br />J <V'_2 —'C zn/ — <br />DEI-WR 2948 (Revised 2/90) <br />General Services Division (Review 2/91) <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />TXIX/SSBG 102 <br />E <br />TXIX/SSBG Fees <br />OTHR REC 103 <br />Other Receipts <br />C <br />.7f4 I <br />Subtotal Local Funds $ <br />E <br />A---t <br />LNCW <br />FL-cal Maizxent Signature <br />Date <br />STATE/FEDERAL/SPECIAL FUNDS: <br />P <br />T <br />1,909.00 M <br />S <br />Subtotal State/Federal/SLxcial $ 1,909.00 M <br />TOTAL RECEIPTS — equal to Total Expenditures $ 1,909.00 M <br />DEI-WR 2948 (Revised 2/90) <br />General Services Division (Review 2/91) <br />thori <br />LocVffized icial Si r <br />Off6aure <br />Date <br />Division/Section Sig;" <br />ti <br />Date <br />.7f4 I <br />Finance Officer Signature <br />Date <br />A---t <br />LNCW <br />FL-cal Maizxent Signature <br />Date <br />DEI-WR 2948 (Revised 2/90) <br />General Services Division (Review 2/91) <br />