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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 Epidemiolozy <br />Z P. O. Number <br />oZ/ 91 OFi,/ 9? ����,_ 0 6 $ <br />Effective Date Termination Date - �� Contract Number <br />Ink WMIDUINkMh <br />Activity: <br />HCFA- Influenza <br />Project Director: Total Budget: $ <br />y �7 /q/ <br />Local Authorized Official Signature Date <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Di - i n /Section Si ' e Date <br />� rr <br />Ara -um ^' a ent Signature D to <br />