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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Natural Resources <br />f G cal Servi - <br />EA <br />Revision Number _-._ <br />r <br />Division Division of Matetual and Child Health — <br />SFY P. O. Number <br />07 / 91 05 / 92 <br />Effective Date Termination Date <br />Contractor: 902$e County Hea1t Dent. <br />Contract Number <br />MCH Block Grant Nutrition <br />Activity: °° -mx- <br />Project Director: Daniel B. Reimer. Total Budget: $ 1,820 <br />Health Director <br />ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br />E STATE EXPENDITURES: <br />Salaries Sc Fringe Benefits SA/FR 1000 $1,820 <br />X P�nepc OP EXP 2000 <br />P <br />N-1ko-"m�Lg <br />Purchase of Equipment <br />EQ� <br />000 <br />E <br />General Contracted ed OL <br />GENRAL'.:::''>` <br />` >'; ....... <br />,: ';? ' '!<'�:; >: <br />` <�;> ' <; <br />Purchased Services <br />N <br />School Health <br />SCH HLTH <br />620D, <br />D <br />Cliniciant <br />I <br />Delivery Services <br />DEL SERV <br />b869 <br />Laboratory <br />_ . <br />'!' :`; <br />T <br />Pharmacy Service s$ <br />U <br />Transfer TXIK:. <br />$ <br />1,820 <br />R <br />Subtotal State d. <br />E <br />LOCAL EXPENDTiURES: <br />LOCAL EXP <br />9000 <br />-0- <br />S <br />TOTAL EXPENDITURES -- equal to Total Receipts <br />$ <br />1,820 <br />LOCAL FUNDS: <br />APPROP <br />101 <br />R <br />Appropriation <br />'IXDt /sSBG Fees <br />TXIX /ssBC <br />l02 <br />E <br />Other Recei <br />OTHIt REC <br />103 <br />C <br />$ <br />-o- <br />Subtotal Local Funds <br />E <br />STATE/FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />MCH Block Grant <br />$ <br />1'820 <br />T <br />S <br />- <br />$ <br />1,s2o <br />Subtotal Smte/Federal/ <br />TOTAL RECEIPTS — equal to Total Expenditures <br />$ <br />1' 820 <br />Date <br />Date <br />Division /Section Signature <br />Loral Authorized Official Signature <br />^^°^� <br />Finance Officer Signature Date � <br />DE HM 2948 (Revised 2/90) <br />General Services Division (Review 2/91) <br />Fiscal Management Signature <br />Date <br />