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N.C7 Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY <br />LOCAL HEALTH DEPARTMENT BUDGET <br />Division of Maternal and Child Health <br />07 / 91 06 / 92 <br />Effective Date Termination Date <br />Contractor: _ CIIRA= CC(%= da'P'AT T14 DEMMEM <br />Revision Number — .- <br />_,9.Z 5�6 O <br />S/ P. O. Number <br />9 2 0 6 8 <br />Contract Number <br />Activity: Child Health <br />Project Director: —D=4-el- R Re;mer -- Total Budget: $ _ 471,991 <br />(7/� / f <br />Au orized Official Signature Date bmrwj� H=d Division/SectioM Signatu`�' rLo Date <br />wo.t <br />Finance Officer Signature Date Viscal Mana cnt Signa a Da e <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM <br />AMOUNT <br />E <br />X <br />P <br />E <br />N <br />D <br />Y <br />,, <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 />Laboratory <br />Pharmacy Services <br />f <br />Transfer TXIX <br />SA/FR <br />1000 <br />34, 7 <br />OP EXP 2000 <br />10,907 _ <br />EQUIP 5000 <br />Subtotal Local Funds $ <br />GENERAL 6100 <br />12,469 <br />SCH HLTH 6200 <br />RP994 _ <br />CLN ....... 6863.... .. <br />0 ............................ . <br />P <br />LAS 6862 <br />T <br />RX SERV 6865 .. <br />... . ........... .. ........ ... <br />68ft+ '.> :`: <' >= >;>::. <br />::>> ::''` .. <br />R <br />Subtotal State E nd. <br />TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 <br />$ 65 572 <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />9000 <br />406.419 <br />S <br />I TOTAL EXPENDITURES — equal to Total Receipts <br />$ 471,991 <br />(7/� / f <br />Au orized Official Signature Date bmrwj� H=d Division/SectioM Signatu`�' rLo Date <br />wo.t <br />Finance Officer Signature Date Viscal Mana cnt Signa a Da e <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 - - __3.58842 .. _. <br />TXIX /SSBG 102 -- - -- 4.7.577 -- -- . <br />E <br />TXLX /SSBG Fees <br />Other Receipts <br />OTHR REC 103 <br />C <br />Subtotal Local Funds $ <br />E <br />STATE /FEDERAL /SPECIAL FUNDS: <br />Y <br />P <br />T <br />53,s/ - tXX)' <br />65,572 <br />S <br />Subtotal State/Federal/§ $ 65,572 <br />TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 <br />(7/� / f <br />Au orized Official Signature Date bmrwj� H=d Division/SectioM Signatu`�' rLo Date <br />wo.t <br />Finance Officer Signature Date Viscal Mana cnt Signa a Da e <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />