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N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY <br />LOCAL HEALTH DEPARTMENT BUDGET <br />Division of General Services <br />07 / 91 / <br />Effective Date Termination Date <br />21 <br />Revision Number <br />P. O. Number <br />9 2 3 1 0 4 0 L <br />Contract Number <br />Contractor: Activity: General <br />Project Director: Total Budget: $ 474 - 609 <br />Local Authorized Official Signature <br />Date <br />bmta Had Division /Section Signature <br />bwtw <br />Finance Officer Signature Date A� Fiscal Management Signature <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Date <br />Date <br />