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` LOCAL HEALTH DEPARTMENT BUDGET 24 <br />N.C. Department of Environment, <br />Health, and Natural Resources Revision Number — <br />Division of General Services _ _ _ <br />Ste, Division of Epidemiola�* 7N — <br />P. O. Number <br />/ 06 / 92 9 2 5 2 2 2 _a _fL_ _EL_ <br />Effective Date Termination Date Contract Number <br />Contractor: ,CB user =-- -4-R 2–mm <br />Project Director: Daniel B. Reimer <br />Activity: Aids (federal) <br />Total Budget: $ 30Z25 <br />Local Authorized Official Signature <br />Date a Kr�e <br />Division /Section Signature Date <br />Finance Officer Signature Date Aammumma Fiscal Management Signature Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM AMOUNT <br />E <br />STATE EXPENDITURES: <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />OTHR REC 103 <br />C <br />Salaries & Fringe Benefits <br />SA/FR <br />1000 2900M <br />X <br />Operating Expenses <br />I <br />OP EXP <br />2000 p <br />P <br />urchase of Equipment <br />5x00 <br />28,000 <br />S <br />E <br />General Contracted or <br />Subtotal State/Federal/S $ 28,000 <br />TOTAL RECEIPTS — equal to Total Expenditures $ 30,525 <br />Purchased Services <br />N <br />School Health <br />D <br />Clinician <br />CLN <br />T <br />Laboratory <br />T <br />Pharmacy Services <br />RX V'' <br />fa8f, <br />U <br />Transfer TXIX <br />R <br />Subtotal State Erpmd. <br />$ 28,000 <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />9000 <br />S <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$30,525 <br />Local Authorized Official Signature <br />Date a Kr�e <br />Division /Section Signature Date <br />Finance Officer Signature Date Aammumma Fiscal Management Signature Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 2,525 <br />TXIX /SSBG 102 0 <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />OTHR REC 103 <br />C <br />Subtotal Local Funds $ <br />E <br />STATE/FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />28,000 <br />S <br />Subtotal State/Federal/S $ 28,000 <br />TOTAL RECEIPTS — equal to Total Expenditures $ 30,525 <br />Local Authorized Official Signature <br />Date a Kr�e <br />Division /Section Signature Date <br />Finance Officer Signature Date Aammumma Fiscal Management Signature Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />