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LOCAL HEALTH DEPARTMENT BUDGET <br />31 <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 -- — --- --- P. O. Number <br />07 / 91 06 / 92 —A 0 6 8 <br />Effective Date Termination Date Contract Number <br />Contractor: ORAL Activity. CSHS Orthopedic <br />Project Director: — DEalie.1 B. Re m?r Total Budget: $ <br />ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br />E STATE EXPENDITURES: <br />X <br />P <br />E <br />N <br />D <br />I <br />T <br />U <br />Salaries & Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />Clinician <br />Laboratory <br />Pharmacy Services, <br />Transfer TXIX <br />SA/FR 1000 221 <br />OP EXP 2000 <br />EQUIP 5000 <br />GENERAL 6100 230 <br />`SC>"1 HI:TH .... ..,:: 62 <br />CLN 6863 <br />.. . ; ...:........:. .::.. , ........ <br />LAB � 2 <br />RX SER_ _ V _ 6865 <br />R Subtotal State Ex <br />2Md. $601 -T E LOCAL EXPENDITURES: LOCAL EXP 9000 <br />S I TOTAL EXPENDITURES — equal to Total Receipts $ 601 <br />Local Authorized Official Signature Date <br />hwNd <br />Finance Officer Signature Date A=aummt <br />Wad <br />DEHNR 2948'(Revised 1/90) <br />General Semees Division (Review 2/93) <br />Division /Section Signature Date <br />Fiscal Management Signature Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101_ <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />TXIX /SSBG 102 ^" <br />OTHR REC 103 <br />C <br />Subtotal Loral Funds $ <br />E <br />STATE /FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />601 <br />S <br />Subtotal State/Federal /S $ fol <br />TOTAL RECEIPTS — equal to Total Expenditures $ 601 <br />Local Authorized Official Signature Date <br />hwNd <br />Finance Officer Signature Date A=aummt <br />Wad <br />DEHNR 2948'(Revised 1/90) <br />General Semees Division (Review 2/93) <br />Division /Section Signature Date <br />Fiscal Management Signature Date <br />