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VILI. Budget <br />VIII. Signatures <br />DATE <br />PROJECT D ECTOR <br />NAME TYPED OR PRI14TED <br />April 4, 1991 <br />DATE HEALTH DIRECTOR <br />WE. B. F <br />NAME TYPED OR PRINTED <br />DEHNR T673 (1/91) .9 <br />Injury Control. Section <br />22 <br />A. <br />Expenditures (Please detail major expenditures, <br />by line item.): <br />Dine Item pescription <br />hynount <br />1. <br />Injury Control Devices: Convertible Infant /Todd1w Seats <br />$4,944 <br />2. <br />Supplies and Materials: V3bEO, training materials <br />1,200 <br />3. <br />Other Operating Expenses: rt � <br />68 <br />4. <br />Equipment: <br />— <br />5. <br />Contractual Services: <br />_. <br />TOTAL: $6,212 <br />B. <br />Revenues <br />1. Funds requested from ICS: <br />$6,212 <br />2. Total other applicable funds: <br />Funding organization: <br />Amount: --- <br />Funding organization: <br />Amount: -- <br />TOTAL INJURY CONTROL PROJECT FUNDS <br />(MUST EQUAL EXPENDITURES) = <br />$6,212 <br />VIII. Signatures <br />DATE <br />PROJECT D ECTOR <br />NAME TYPED OR PRI14TED <br />April 4, 1991 <br />DATE HEALTH DIRECTOR <br />WE. B. F <br />NAME TYPED OR PRINTED <br />DEHNR T673 (1/91) .9 <br />Injury Control. Section <br />