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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Depament of Environment, <br />Health, and Natural Resources <br />Division of CMWW Serviars <br />SFY Division of Maternal and Child Health <br />QZ / 92 06 / 93 <br />Effective Date Termination Date <br />Cantraetror: - - -Aa P ap t <br />ProjectDiractor Daniel B. Reimer <br />Activity: <br />28 <br />S <br />Revision Number _ _ <br />P. O. Numb. <br />3 5 4 0? 0 6 8 <br />Contract Number <br />REH Block Grant Nutrition <br />Taal Budeet•. I <br />Local Authorised Official Signature Date bow Division/Sect)aa swum= Date <br />Fb%= Officer Si U=c Date � Fisd Management Suture Date I <br />bow <br />DF.HWR 2948 (Revised 2/92) <br />Canard Services Divis m (Review 2/94) <br />rrW DE.SCREPTION <br />CLAS MCATION <br />T11?M AMOUNT <br />E <br />STATE EXPENDITURES: <br />E <br />T= /SSBG Fees <br />OTHR REC 103 <br />X <br />Salaries & FftV BmeSts <br />C <br />SA/FR -- <br />1000 z a 5 n <br />Subtotal Local Funds $ <br />Operating Ezpmm <br />STATE/FEDERAL /SPECIAL FUNDS: <br />OP EXP <br />7000 <br />p <br />Purchase of Equipment <br />T <br />EQ,__.,,,,.,,,.,..,swo <br />s <br />E <br />General Contra [ted of <br />TOTAL RECEIPTS -- equal to Total Expenditure $ 2450 <br />Pus Sefvices <br />4 :''i <br />School Health'FI::: <br />D <br />Clinician <br />I <br />.......` <br />T <br />Lbvrawry <br />:...LAB :::.: ':::::.. <br />Pharmcy Services <br />. <br />U <br />Tmrafa TXIX <br /><.. <br />R <br />Subtotal Sate <br />E <br />LOCAL EXPENDPf'l TM: <br />LOCAL. EXP <br />9000 <br />S <br />j TOTAL E XPWDITURES — ague! to Taal Receipts <br />2450 <br />Local Authorised Official Signature Date bow Division/Sect)aa swum= Date <br />Fb%= Officer Si U=c Date � Fisd Management Suture Date I <br />bow <br />DF.HWR 2948 (Revised 2/92) <br />Canard Services Divis m (Review 2/94) <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />TXIX /SSBG 102 <br />E <br />T= /SSBG Fees <br />OTHR REC 103 <br />Other Receipts <br />C <br />Subtotal Local Funds $ <br />E <br />STATE/FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />s <br />$ Subtotal State/Federav <br />TOTAL RECEIPTS -- equal to Total Expenditure $ 2450 <br />Local Authorised Official Signature Date bow Division/Sect)aa swum= Date <br />Fb%= Officer Si U=c Date � Fisd Management Suture Date I <br />bow <br />DF.HWR 2948 (Revised 2/92) <br />Canard Services Divis m (Review 2/94) <br />