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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />S.y Division of Epidemiology <br />07 / 91 <br />Effective Date <br />06/ 92 <br />Termination Date <br />26 <br />Revision Number — <br />P. O. Number <br />--q -2– -L 2 3 0 _Q__� _8_ <br />Contract Number <br />Contractor: MAn MJM HFXT[-t DEPAR2= _ Activity: Tuberculosis <br />Project Director: Vim;P] R_ Reiman „_ _..� Total Budger. $1.57- W - - -- <br />LOCAL FUNDS: <br />R Appropriation APPROP 101 <br />E TXIX /SSBG Fees TXIX /SSBG 102 2 978 <br />Other Receipts OTHR REC 103 0 <br />C <br />E Subtotal Local Funds $ 144,752 <br />I STATE /FEDERAL /SPECIAL FUNDS: <br />P <br />T <br />S <br />Subtotal State/Federal/Special $ 124M <br />TOTAL RECEIPTS — equal to Total Expenditures $ 1 <br />Local Authorized Official Signature Date anmb& Had <br />Inuad <br />Finance Officer Signature <br />DEHh-R 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Date <br />rma <br />Division /Section Signature Date <br />Fiscal Management Signature Date <br />