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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health and Nara al R <br />r es %,es Revision Number <br />Division of General Services <br />SFY -2 / o/Division of Maternal and Child Health��� <br />G/ P. O. Number <br />07 / 91 06 / 923 <br />2_ ? 0 6 8 <br />Effective Date Termination Date Contract Number <br />Contractor: CRANZ 1UI1IY HF&M DEPARI= Activity: CSHS Urthopedic <br />Project Director: Total Budget $ _6w _ <br />R <br />E <br />C <br />E <br />I <br />P <br />T <br />S <br />LOCAL FUNDS: <br />Appropriation <br />TM /SSBG Fees <br />Other Receints <br />Subtotal Local Funds <br />STATE /FEDERAL /SPECIAL FUNDS- <br />Subtotal <br />APPROP 101 <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />15-'3 B — 1 � /6 0 — x"3 6/— >s,,,- Xy <br />0 <br />TOTAL RECEIPTS — equal to Total Expenditures $ 601 <br />Authorized Official Signature Date &%mh rifts Divis' n /Section Signature Date <br />Finance Officer <br />DEHNR 2948 (Revised 2/90) <br />Central Services Division (Review 2/93) <br />Li-17-11 &//-A d % <br />Date V Fiscal nagement Agnarure I to <br />