Orange County NC Website
LOCAL HEALTH DEPARTMENT BUDGET <br />z2 <br />N.C. Department of Environment, Revision Number — <br />Health, and Natural Resources <br />Division of General Services <br />SF.1, Division of General Services <br />P. O. Number <br />07 / 91 06 / 92 9 2 3 1 0 9 0 6 8 <br />Effective Date Termination Date Contract Number <br />Contractor: Activity: Transfer of Escrow <br />Project Director: Total Budget: S <br />E <br />X <br />P <br />E <br />N <br />D <br />I <br />T <br />U <br />R <br />E <br />S <br />ITEM DESCRIPTION <br />STATE EXPENDITURES: <br />Salaries & Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />Clinician <br />Delivery Services <br />Laboratory <br />Pharmacy Services <br />Transfer TXIX <br />Subtotal State <br />LOCAL EXPENDITURES: <br />121,070 <br />CLASSIFICATION <br />ITEM AMOUNT <br />R <br />SA/FEL <br />1000 <br />OP EXP <br />2000 <br />E UIP <br />5000 <br />Other Receipts <br />GENER.AL <br />SCH HLTH ;.:.:..6200 <br />Subtotal Loral Funds $ <br />CiN <br />DEL SERV <br />STATE /FEDERAL /SPECIAL FUNDS: <br />........ <:::...:: :. . > : ! ...... <br />IX. SERV <br />6864 i ,), mn -- <br />LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />EJ <br />$121,070 <br />Local Authorized Official Signature Date Bmr4h mew <br />Wmal <br />Finance Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/91) <br />Date <br />Division /Section Signature <br />man, Fiscal Management Signature <br />Initial <br />Date <br />Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />TXIX /SSBG 102 <br />E <br />TXIX /SSBG Fees <br />OTHR REC 103 <br />Other Receipts <br />C <br />Subtotal Loral Funds $ <br />E <br />STATE /FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />TRANSFER XIX <br />121,070 <br />T <br />S <br />Subtotal State/Federal/Special $ 121,070 <br />TOTAL RECEIPTS — equal to Total Expenditures $ 121,070 <br />Local Authorized Official Signature Date Bmr4h mew <br />Wmal <br />Finance Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/91) <br />Date <br />Division /Section Signature <br />man, Fiscal Management Signature <br />Initial <br />Date <br />Date <br />