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LOCAL HEALTH. DEPARTMENT BUDGET 28 <br />N.C. Department of Environment, <br />Health, and Natural Resources Revision Number — — <br />Division of General Services <br />SFY Division of Maternal and Child Health - - - -- <br />P. O. Number <br />07 / 91 06 / 92 9 2 __4_ _ __I 0 _L 8 <br />Effective Date Termination Date Contract Number <br />Contractor: .... Cg= .CrIlMY W9 7N nFPAR'iMFM- _ ! Activity: Child Health <br />Project Director: ' R04 -mr- - - . Total Budget: $ - 471,991 <br />Local Authorized Official Signature Date bumb ridd <br />bWW <br />Finance Officer Signature DaLe <br />DEHNR 2949 (Revised 2/90) ' <br />General Services Division (Review 2/93) <br />Division /Section Signature <br />Fiscal Management Signature <br />WWI <br />Date <br />Date <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM <br />AMOUNT <br />E <br />X <br />P <br />E <br />N <br />D <br />I <br />T <br />STATE EXPENDITURES: <br />Salaries S. Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />Clinician <br />Laboratory <br />ry <br />Pharmacy Services <br />r <br />T arufer TX1X <br />SA/FR <br />1000. <br />34 007 <br />OP EXP 2000 <br />EQUIP 5000 <br />Subtotal Local Funds $ <br />GENERAL 6100 <br />12,469 <br />SCH HLTH 6200 <br />I <br />CLN 6863. <br />0.. ... <br />P <br />_ <br />6862 <br />RX SERV 6665.. <br />65,572 <br />S <br />R <br />Subtotal State Expend. <br />TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 <br />$ 65 572 <br />E <br />LOCAL EXPENDITURES: <br />TTOCAL EXP <br />9000 <br />406.419 <br />S <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ 471,991 <br />Local Authorized Official Signature Date bumb ridd <br />bWW <br />Finance Officer Signature DaLe <br />DEHNR 2949 (Revised 2/90) ' <br />General Services Division (Review 2/93) <br />Division /Section Signature <br />Fiscal Management Signature <br />WWI <br />Date <br />Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 358,842 <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />_ <br />TXIX /SS_BG 102 4%,577. <br />OTHR REC 103 <br />C <br />E <br />Subtotal Local Funds $ <br />STATE /FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />65,572 <br />S <br />Subtotal State/Federal/Special $ 65,572 <br />TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 <br />Local Authorized Official Signature Date bumb ridd <br />bWW <br />Finance Officer Signature DaLe <br />DEHNR 2949 (Revised 2/90) ' <br />General Services Division (Review 2/93) <br />Division /Section Signature <br />Fiscal Management Signature <br />WWI <br />Date <br />Date <br />