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LOCAL HEALTH DEPARTMENT BUDGET 25 <br />N.C. Department of Environment, <br />Health, and Natural Resources Revision Number <br />Division of General Services <br />Sfl, Division of Maternal and Child Health — --- -- P. O. Number <br />/ 92 06 / 93 yr, 3 5 3 2 3 -0- -6- a-- <br />Effective Date Termination Date Contract Number <br />Contractor: oranize County ,qty: CWS Orthopedic <br />Froie:ct Directcir: )nni l 'R- i m - Total Budget: $ 24 <br />ITEM DESCRIFMON <br />CLASSIFICATION rrEM AMOUNT <br />E <br />X <br />P <br />E <br />N <br />D <br />I <br />.r <br />U <br />STATE EXPENDITURES: <br />Salaries & Fringe Benefits <br />Operating Expenses <br />Purchase of Equipmmt <br />General Contracted or <br />Purchased Services <br />School Health <br />Cluuc& n <br />Laboratory <br />Pharmacy Services <br />Transfer TXLX <br />SA/FR 1000 225 <br />OP EXP 2000 <br />EQUIP -- 5000 n <br />_ .. <br />GENERAL. 6100 <br />• <br />CLN 6863 150 <br />- <br />LAB <br />RX SERV 6865 <br />68bi <br />R <br />Subtotal State d. S <br />E <br />LOCAL EXPENDI1W.ES: <br />LOCAL EX P 9000 0 <br />S <br />TOTAL EXPENDITURES =equal to Total Receipts $ 624 <br />Local Authorised Official Signature Date Mom& Had <br />bow <br />Finance Offica Signature Date <br />DEKW MS (Revised 2/92) <br />C,eawW Unim Dtmm (Review 2/%) <br />Division/Section Sigtnsum <br />Date <br />b" <br />b" Fiscal Management Signature Date <br />LOCAL FUNDS. <br />R <br />Appropriation <br />APPROP 101 <br />TXDVSSBG 102 <br />E <br />TXIX /SSBG Fees <br />OTHR REC 103 <br />Other Receipts <br />C <br />Subtotal Local Funds s <br />E <br />STATE/FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />S <br />Subtotal State/Federal s <br />TOTAL RECEIPTS -- equal to Total Expendirams $ <br />Local Authorised Official Signature Date Mom& Had <br />bow <br />Finance Offica Signature Date <br />DEKW MS (Revised 2/92) <br />C,eawW Unim Dtmm (Review 2/%) <br />Division/Section Sigtnsum <br />Date <br />b" <br />b" Fiscal Management Signature Date <br />