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N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY <br />07 / 91 <br />Effective Date <br />LOCAL HEALTH DEPARTMENT BUDGET <br />M <br />Termination Date <br />Division of Adult Health <br />32 <br />Revision Number <br />P. O. Numbe <br />9 2 5 5 0 0 0 6 <br />Contract Number <br />Contractor: IGE Q7IM g8LT1 D):PARDM <br />Activity: <br />Adult Health <br />Project Director: Daniel B. Reimer <br />Total Budget: $ Al 241; <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM <br />EXPENDITURES:ies <br />AMOUNT <br />TSTATE <br />& Fringe Benefits <br />SAXFR <br />1000 <br />ating Expenses <br />hase of Equipment <br />OP EXP <br />2000 <br />E ULr <br />5000 <br />E <br />General Contracted or <br />N <br />Purchased Services <br />GENERAL, <br />6100 <br />D <br />School Health <br />I <br />Clinician <br />CLN <br />6863 <br />0 <br />T <br />Laboratory <br />for Y <br />Pharmacy Services <br />LAB <br />........ <br />U <br />Transfer TXIX <br />RV <br />SE.... ' ` <br />5 <br />. <br />:: <br />R <br />Subtotal State E nd. <br />E <br />S <br />FLOCEAL E XPENDITURES: <br />LXP <br />gOp O <br />$ <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$81 246 <br />LOCAL FUNDS: <br />R <br />Appropriation <br />TAPPROP <br />101 <br />E <br />TXIX /SSBG Fees <br />Other Recei <br />?C1X _G <br />102 <br />75 105 <br />C <br />is <br />OTHR R <br />103 <br />E <br />Subtotal Local Funds <br />STA7E/FEDERAL /SPECIAL FUNDS: <br />$76 005 <br />I <br />P <br />T. <br />T <br />S <br />5 241 <br />Subtotal State/Federal /S - <br />$ 5 241 <br />TOTAL RECEIPTS — equal to Total Expenditures <br />$ $1,246 <br />Local Authorized Official Signature <br />Date <br />e—A Division /Section Signature Date <br />IRMW <br />Finance Officer Signature Date Aacma,,, <br />Fiscal Management Signature D eat <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2193) <br />