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LOCAL HEALTH DEPARTMENT BUfR&f, - � T <br />N.C. Department of Environment, <br />Health, and Natural Resources JUL 3 0 199�evision Number <br />Division of General Services <br />J�/Division SFy <br />of Maternal and Child Health <br />P. O. Number <br />07 / 91 06 / 92 9 2 5 4 0 r O b 8 <br />Effective Date Termination Date Contract Number <br />MCH Block Grant Nutrition <br />Contractor: Orange County Health Dept. Activity;. titrtrition Y-K <br />Project Director: Daniel B. Reimer <br />Total Budget: $ 1, 820 <br />Date <br />Branch Had <br />Health Director <br />Initial <br />Date <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM <br />AMOUNT <br />E <br />STATE EXPENDITURES: <br />X <br />Salaries & Fringe Benefits <br />SA/FR <br />1000 <br />Operating Expenses <br />OP EXP <br />2000 <br />1 $20 <br />P <br />Purchase of Equipment <br />E UIP <br />5000 <br />E <br />General l Con <br />G traded or <br />N <br />Purchased d Servi ces <br />1r <br />School Health <br />S;H <br />D <br />Clinician <br />15$63 <br />Y <br />Delivery Services <br />DEL SERA: <br />Laboratory <br />717.7. <br />..:..: <br />Pharmacy Services <br />ERA . <br />U <br />Transfer fer <br />T TX1X <br />:: ......:::::.:1.'.8.2.0......... <br />R <br />Subtotal State E nd. <br />$ <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />9000 <br />-0 <br />S <br />TOTAL EXPENDITURES -- <br />equal to Total Receipts <br />$ 1,820 <br />Authorized Official S <br />G <br />Finance Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/91) <br />Division /Section Signature' T' Date <br />G <br />yFisc�alMan ement Si re ate <br />Date <br />Branch Had <br />Initial <br />Date <br />Acccwn=t <br />Initial <br />Division /Section Signature' T' Date <br />G <br />yFisc�alMan ement Si re ate <br />