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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, 1, 11AC1 <br />Health, and Natural Resources <br />Division of General Services Revision Number <br />SFY Avision of Maternal and Child Health Z2—.O- <br />Number <br />P,. O. Number <br />07 / 91 / 9 2 //_ 0_68 <br />Effective Date Termination Date Contract Number <br />Contractor: ;E Q= HEAM DEpa Activity: Family Planning <br />Project Director: Total Budget: $ 499 - 712 <br />LOCAL FUNDS: <br />R Appropriation <br />E Txix /SSBG Fees <br />C Other Receipts <br />E Subtotal Local Funds <br />I STATE /FEDERAL /SPECIAL FUNDS: <br />P <br />T D C_" lZ 1-5 G l c o— 51 51 <br />S <br />Subtotal Stare/F�ri�rsl /c.,w:.t <br />APPROP 101 323,198 <br />Txix /SSBG 102 <br />OTHR REC 103 0 „^ <br />— X x x X <br />TOTAL RECEIPTS — equal to Total Expenditures <br />$ 338,198 <br />X87 51 <br />$ 87,51 <br />$ 425,712 <br />1 thortxed Official Signature Date BrLrwh Hmd <br />Division /S coon Signature Date <br />�3 <br />Finance Officer Signature � y <br />Date �� iscal Ma gement Signa a Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />