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T y� <br />LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of En%ironment, > <br />Health, and Narural esourccs Revision Numbcr .L- <br />Di,. ision of Genera] Services /f 11 <br />S^l' 6 / Division of Gcner-&l Services <br />P. O. Number <br />9 3 4 1 1 0 0 6 8 <br />Contract Number <br />07 / 92 06 / 93 <br />Effective Date Termination Date <br />Conmactor: Orange County Health Department Activity <br />Project Director: <br />Daniel B. Reiner <br />General <br />Toes] Budget: $ 5 4 9. 0 0 <br />Laboratory <br />Pharmacy Services <br />Transfer TXIX <br />Subtotal State <br />LOCAL EXPENDITURES: I LOCAL EXP <br />TOTAL EXPENDITURES — equal to Total Receipts <br />x <br />S 549.00 <br />S 549.00 <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM AMOUNT <br />E <br />STATE EXPENDITURES: <br />TXIX /SSBG Fern <br />Other Receipts <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />X <br />Salaries & Fringe Benefits <br />E <br />SA/FR <br />1000 <br />STATE/FEDERAL /SPECIAL FLTNDS: <br />Operating Expenses <br />I <br />OP EXP <br />2 0 0 0 5 4. 9 . on <br />P <br />Purchase of Equipment <br />T <br />„ _ _ . _._ <br />5000 <br />E <br />General Contracted or <br />S <br />N <br />Purchased Services <br />Subtotal Suu/Fedenl /S S 549 <br />GENERAL <br />6100 <br />School Health <br />:< > <br />.. <br />5a0.......... :...:.:.:.:.::: ..::::....::... :....:.......... _. <br />Clinician <br />: ? :'' ` >:: <:.' >: -" :``<; <br />5863''::::: >:?'> > >'> `' . ;' <br />... :........ .................... . <br />Laboratory <br />Pharmacy Services <br />Transfer TXIX <br />Subtotal State <br />LOCAL EXPENDITURES: I LOCAL EXP <br />TOTAL EXPENDITURES — equal to Total Receipts <br />x <br />S 549.00 <br />S 549.00 <br />Local uthorixcd Of7Sir E6te <br />Finance Officer Signature w� gate <br />DES NR 2948 (Revised 2/92) <br />C-mrral Services Divicbo (Review 2/94) <br />blcx:k Zr Division /Section Signature <br />~�— F' Mans ent Signs re <br />u <br />bate <br />Dace <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />E <br />TXIX /SSBG Fern <br />Other Receipts <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />C <br />E <br />Subtotal Local Funds S <br />STATE/FEDERAL /SPECIAL FLTNDS: <br />I <br />P <br />T <br />S <br />Subtotal Suu/Fedenl /S S 549 <br />TOTAL RECEIPTS --- equal to Total Expendinnres $ 549. 0 0 <br />Local uthorixcd Of7Sir E6te <br />Finance Officer Signature w� gate <br />DES NR 2948 (Revised 2/92) <br />C-mrral Services Divicbo (Review 2/94) <br />blcx:k Zr Division /Section Signature <br />~�— F' Mans ent Signs re <br />u <br />bate <br />Dace <br />