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LOCAL HEALTH DEPARTMENT BUDGET <br />► N.C. D"rtment of Environment, <br />Health, and Natural Resources <br />Division of General Services Division of Maternal and Child Health <br />SFY <br />07 / 99 06/ 93 <br />Effective Date Termination Date <br />23 <br />Revision Number <br />P. O. Number <br />S35 1 0 1 0 6—L <br />Contract Number <br />Contractor: Orange Co. Health Dept. <br />Project Director: Daniel B. Reimer <br />Activity; Maternal Health <br />Total $ <br />ITEM DESCRIPTION <br />CLASSMCAT ION ITEM AMOUNT <br />E <br />STATE EXPENDITURES: <br />Salaries & Fringe Benefits <br />SA/FR 1000 7 9.111 <br />X <br />Operating Ewpenw <br />2000 <br />p <br />Purchase of Equipment <br />E UTP 5000 <br />E <br />General Contracted or <br />0 <br />Purchased Services <br />GENERAL 6100 <br />N <br />School Health <br />W <br />D <br />Clinician <br />CLN 6863 <br />I <br />Laboratory <br />LAB 6862 <br />Pharmacy Services <br />RX ERV 5 <br />Z j <br />Transfer TXIX <br />R <br />Subtotal State Expend. <br />E 79,111 <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EV 9000 273,677 <br />S <br />tnT A T W VF0C'n.TM1mn TO C C— <br />.,•..101 •n drAV21 11 0"irrte SIR? - 7 R R <br />LOCAL FUNDS: <br />R Appropriation APPROP 101 200,102 <br />E TX1X /SSBG Foes T= /SSBG 102 <br />Other R OTHR REC 103 <br />C <br />E Subtotal Local Funds S2 <br />STATE/'FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />S $ 79 11 <br />Subtotal Snu/Fedesal/ <br />TOTAL RECEIPTS — equal to Total Expendinn•es $ jjzj <br />Loral Andmn- r Official swature Dau � NEd�+ Division/Sec ion Sip�awe <br />Date <br />esw <br />Finance Officer Signature Date <br />Fiscal Management S*anue Date <br />bow <br />DE KNR 2948 (Rew.ed VV2) <br />CONES1 5etvi= DNU604 (Review 219w) <br />