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;- LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Natural Resources Revision Number — <br />Division of General Services <br />SFY Division of E idemiol <br />.Number <br />07 / 91 00 / 92 9 2 <br />Effective Date Termination Date ^ Contract Number <br />7// i : Aids (federal) <br />Contractor: —.CR v'�' ^'vmmv T�'sT ..iE,.AF=I � Activity. _ _. <br />Project Director: <br />Daniel B' Reimer Total Budget: $ 30,525 <br />D <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM AMOUNT <br />E <br />STATE EXPENDITURES: <br />TXIX /SSBG Fees <br />Other Receipts <br />rI <br />Laboratory <br />C <br />Salaries & Fringe Benefits <br />SA/FR <br />1000 2$ pp <br />a <br />X <br />Operating Expenses <br />Transfer TXIX <br />._.OP...EXP <br />2000 <br />PtPurchase <br />of Equipment <br />p <br />::::<:» <:::» <br />"$ ....... > »' <i' > > » >;< ;;''` >;;' > >«' <br />E <br />General Contracted or <br />S <br />28,000 <br />S <br />Purchase Services <br />Subtotal State/Federal/S $ 28,000 <br />:.rI�RA,L.. <br />t# <br />N <br />h 1 Health <br />D <br />Clinician <br />1. < »' > >> <br />I <br />APPROP 101 2,525 <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />rI <br />Laboratory <br />C <br />............. <br />Pharmacy Services <br />E <br />STATE/FEDERAL /SPECIAL FUNDS: <br />U <br />Transfer TXIX <br />R <br />Subtotal State EgEnd. <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />S <br />28,000 <br />S <br />TOTAL EXPENDITURES -- equal to Total Receipts <br />nm <br />K -3 <br />Authorized Official Signatur ww <br />Date � <br />Finance Officer Si a /cure Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />-7-T- 9 <br />L�iviion /Section SignatVre Date <br />agement Signature / Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 2,525 <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />TXIX /SSBG 102 0 <br />OTHR REC 103 0 <br />C <br />Subtotal Local Funds $ <br />E <br />STATE/FEDERAL /SPECIAL FUNDS: <br />x <br />P <br />T <br />28,000 <br />S <br />Subtotal State/Federal/S $ 28,000 <br />TOTAL RECEIPTS — equal to Total Expendi es $ 30,525 <br />Authorized Official Signatur ww <br />Date � <br />Finance Officer Si a /cure Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />-7-T- 9 <br />L�iviion /Section SignatVre Date <br />agement Signature / Date <br />