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N.C. 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 x__92 <br />Effective Date Termination Date <br />Contractor: CRANAS 01JNIY <br />'i I- / <br />�l <br />Revision Number — — <br />P. O. Number <br />9 2 -=-4— .!t n <br />Contract Number <br />Activity: Maternal Health <br />Project Director: _ Daniel B. Reimer_ _ _ _ _ _ _, _ Total Budget: $ <br />v <br />q11 71q <br />orized Official Signatur Date a� Had Division/ on Signature Date <br />Finance Officer Signature Date Fiscal agement attire ate <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 />I <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 />Laboratory <br />Pharmacy Services <br />Transfer TXIX <br />SA/FR <br />1000 <br />54 653 <br />OP EXP 2000 <br />OTHR REC 103 0 <br />EQUIP _ 5000 <br />n <br />GENERAL 6100 <br />Subtotal Local Funds $ 2 <br />STATE /FEDERAL /SPECIAL FUNDS: <br />CLN 6863 <br />0 <br />- <br />LAB 6862 <br />0 <br />RX SERV 6865 <br />Q <br />- <br />R <br />Subtotal State Ennd. <br />wC. 'C. — 5101— Y"e-"e X. 76,976 <br />S <br />$ 76,976 <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />9000 <br />278,584 <br />S <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$355,560 <br />v <br />q11 71q <br />orized Official Signatur Date a� Had Division/ on Signature Date <br />Finance Officer Signature Date Fiscal agement attire ate <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />LOCAL FUNDS: <br />R A <br />Appropriation A <br />APPROP 101 224 <br />E T <br />TXIX /SSBG Fees T <br />TXIX /SSBG 102 53,875 <br />Other Receipts O <br />OTHR REC 103 0 <br />C O <br />E S <br />Subtotal Local Funds $ 2 <br />STATE /FEDERAL /SPECIAL FUNDS: <br />X <br />P <br />wC. 'C. — 5101— Y"e-"e X. 76,976 <br />S <br />Subtotal State/Federal/Special $ <br />TOTAL RECEIPTS -- equal to Total Expenditures $ <br />q11 71q <br />orized Official Signatur Date a� Had Division/ on Signature Date <br />Finance Officer Signature Date Fiscal agement attire ate <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />