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" - N. LOCAL HEALTH DEPARTMENT BUDGET <br />C. Department of Environment, <br />Healrh, and Natural Resources <br />Division of General Services <br />SFY Revision Number <br />Division of Adult Health 22-A 12—' <br />07 / g 06 / 92 / . O. Number <br />Effective Dare y / <br />Termination Date 9? 5 5 0 0 6 8 <br />Contractor: <br />Contract Number <br />Project Director: y �� <br />ITEM DESCRIPTION <br />E STATE EXPENDITURES: <br />x Salaries Bc Fringe Benefits <br />Operating Expenses <br />P Purchase of Equipment <br />E General Contracted or <br />N Purchased Services <br />School Health <br />D Clinician <br />T Laboratory <br />T Pharmacy Services <br />U Transfer TXIX <br />R Subtotal State E nd. <br />E LOCAL EXPENDITURES: <br />S <br />Activity: H� Promotion <br />Total Budget: $ 52, <br />CLASSIFICATIO IN <br />SA/FR 1000 <br />OP EXP r <br />1pni Irn 2� !1 <br />GENERAL <br />6100 <br />R Appropriation <br />E TXIX /SSBG Fees <br />tX <br />101 <br />LOCAL EXp <br />TOTAL EXPENDITURES — equal to Total Receipts <br />� 1 II <br />17 <br />$ 52,555 <br />AMOUNT <br />LOCAL FUNDS: <br />R Appropriation <br />E TXIX /SSBG Fees <br />APPROP <br />101 <br />Ocher Recei rs <br />C <br />7XIX /SSBG <br />102 31 686 <br />C REC <br />103 0 <br />E Subtotal Local Funds <br />STATE /FEDERAL /SPECIAL <br />I FUNDS: <br />$ 34 <br />P <br />T <br />S <br />Subtotal State/Federal /S <br />cial <br />17$69 <br />TOTAL RECEIPTS equal ro Total Expenditures <br />$ <br />� 52 555 <br />I uthorized Official Signature <br />71Ql <br />(may <br />Date b,.ncn ►+ua <br />b„wl <br />6 ��y�y/ <br />Division /Section Signature Date <br />Finance Officer Signature <br />Date <br />4.— <br />DEHNR 2938 (Revised 2/90) <br />General Services Division <br />Sinai <br />—�� <br />fiscal Management Signature Date <br />(Review 2/93) <br />