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N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY <br />Effective Date <br />LOCAL HEALTH DEPARTMENT BUDGET <br />Division of Maternal and Child Health <br />r�_ 06 / 92 <br />ermination Date <br />rMM 5 a low R-. <br />Project Director: rI)a n i A l --R_ <br />E <br />- X <br />P <br />E <br />N <br />D <br />I <br />T <br />U <br />R <br />E <br />S <br />ITEM DESCRIPTION <br />STATE EXPENDITURES: <br />.Salaries & Fringe Benefits_ - <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />Clinician <br />Laboratory <br />Pharmacy Services <br />Transfer TXLX <br />Subtotal State <br />6 <br />Revision Number_ <br />�P. O. Number <br />_ 9_ 2 5 4 0- 2 0 6 8 <br />Contract Number <br />Activity: Dtg ant Nutrition <br />Total Budget: $ 1 575 <br />CLASSIFICATION ITEM <br />AMOUNT <br />SAfFR- - - - 1.000 <br />OP EXP 2000 <br />E ULP 5000 <br />GENERAL <br />6100 <br />SCH " HLTH <br />620(? <br />CLN <br />6863 <br />LAB <br />6862 <br />RX SERV <br />6865 <br />LOCAL EXPENDITURES_. _ I LOCAL EXP <br />TOTAL EXPENDITURES — equal to Total Receipts <br />�IK s <br />R <br />$ 1,575 <br />Local Authorized Official Signature <br />Finance Officer Signature <br />DEKNR 2448 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Date sraftch HC§d <br />Date A=,n�t <br />Immal <br />Division /Secrion Signature Date <br />Fiscal Management Signature Date <br />