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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 Maternal and Child Health <br />07 / 91 06/ 99 <br />Effective Date Termination Date <br />Project Director: — Dial R_ RaiM <br />Ell <br />Revision Number — — <br />P. O. Number <br />92 5 4 3 0 0 6 8 <br />Contract Number <br />Activity: Family Planning <br />Total Budget: $ <br />Local Authorized Official Signature Dare B;; H- d Division/ 'On Signature Date <br />Finance Officer Signature Date Fiscal Management Signature Date <br />DEHNR 2948 (Revised 2/90) <br />Generd Services Division (Review 2/93) <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM <br />AMOUNT <br />E <br />STATE EXPENDITURES: <br />X <br />Salaries 6,. Fringe Benefits <br />SA/FR <br />1000 <br />63 885 <br />Operating Expenses <br />OP EXP <br />2000 <br />5,251 <br />P <br />Purchase of Equipment <br />E UIP <br />5000 <br />E <br />General Contracted or <br />N <br />Purchased Services <br />GENERAL <br />6100 <br />18 378 <br />School Health <br />SCH HLTH ' .. <br />g20L3.:::' <br />.:.... . <br />D <br />Clinician <br />CLN <br />6863 <br />. <br />0 <br />Y <br />. <br />;: ;.. <br />,r <br />Laboratory <br />:..: <br />{ 2 <br />.... > :.:;:;:::: <br />Pharmacy Services <br />:'RAC >:SF.AU <br />6865': <br />U <br />Transfer TXIX <br />R <br />Subtotal State Expend. <br />$ 87,514 <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />9000 <br />S <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ <br />Local Authorized Official Signature Dare B;; H- d Division/ 'On Signature Date <br />Finance Officer Signature Date Fiscal Management Signature Date <br />DEHNR 2948 (Revised 2/90) <br />Generd Services Division (Review 2/93) <br />