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N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY <br />07 / 91 <br />Effective Date <br />LOCAL HEALTH DEPARTMENT BUDGET <br />I tCEIVED <br />. AUG 7 1991 Revision Numbe <br />Division of E idemiol <br />i5ral I N <br />HFmi P O. Number <br />06 / 92 r ER 9 2 --.7 i O b 8 <br />Termination Date `Contract Number <br />Contractor: Orange County Health Department <br />" � Activity: GHSP -ED and Records Projects <br />Project Director. Daniel B. Reimer Tots] Budget: $ 5,117 - <br />Health Director - -- <br />ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br />E STATE EXPENDITURES: <br />X Salaries & Fringe Benefits SA/FR 1000 <br />Operating Expenses OP EXP 2000 <br />P Purchase of Equipment E UIp - -" $5 117 <br />5000 -0- <br />E General Contracted or <br />N Purchased Services GENERAL 6100 - <br />`�- <br />5L1~I> <br />D Clinician <br />Laboratory <br />Pharmacy Services <br />U Transfer T'XIX` <br />R Subtotal State E nd. <br />E LOCAL EXPENDITURES:. LOCAL EX <br />S <br />TOTAL EXPENDITURES — equal to Total Receipts <br />LOCAL FUNDS: <br />R Appropriation <br />APPROP <br />E TXIX /SSBG Fees TXIX /SSBG <br />C Other ReceitIts OTHR REC <br />E Subtotal Local Funds -- T' <br />STATE /FEDERAL /SPECIAL FUNDS: <br />DEE]NR kinds <br />P X6100- 520–A4qlr <br />T '140 IHS/ .31114/ <br />S <br />Subtotal State/Federal/Special <br />TOTAL RECEIPTS --- equal to Total Expenditures <br />-�_ -... •6. «444 - ! <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />$ $5,117 <br />9000 <br />101 <br />102 <br />103 <br />H <br />$ –0– <br />$5,117 <br />$ 5 117 <br />$ 5,117 <br />Date tw pi ' ' n "on Signature Dat <br />6 –z6 °ql <br />7- <br />Date <br />Date ement Signature Date <br />School Health ` <br />LOCAL FUNDS: <br />R Appropriation <br />APPROP <br />E TXIX /SSBG Fees TXIX /SSBG <br />C Other ReceitIts OTHR REC <br />E Subtotal Local Funds -- T' <br />STATE /FEDERAL /SPECIAL FUNDS: <br />DEE]NR kinds <br />P X6100- 520–A4qlr <br />T '140 IHS/ .31114/ <br />S <br />Subtotal State/Federal/Special <br />TOTAL RECEIPTS --- equal to Total Expenditures <br />-�_ -... •6. «444 - ! <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />$ $5,117 <br />9000 <br />101 <br />102 <br />103 <br />H <br />$ –0– <br />$5,117 <br />$ 5 117 <br />$ 5,117 <br />Date tw pi ' ' n "on Signature Dat <br />6 –z6 °ql <br />7- <br />Date <br />Date ement Signature Date <br />