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N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY <br />07 / 91 <br />Effective Date <br />LOCAL HEALTH DEPARTMENT BUDGET <br />Division of Maternal and Child Health <br />06 / 92 <br />Termination Date <br />8 <br />Revision Number —0_.2_2 <br />P. O. Number <br />_22_--5- 3 -- s --I -a 6 8 <br />Contract Number <br />Contractor: nt Activity: Child Health <br />Project Director: Total Budget: $ <br />ITEM DESCRIPTION CLASSIFICATION ITEM <br />E STATE EXPENDITURES: <br />AMOUNT <br />x <br />Operating Expenses <br />OP EXP <br />2000 <br />P <br />Purchase of Equipment <br />E UIP <br />5000 <br />E <br />General Contracted or <br />N <br />Purchased Services <br />GENERAL, <br />6100 <br />School Health <br />SCH HLTH <br />6200 <br />D <br />Clinician <br />CLN <br />6863 <br />I <br />..:...,. <br />T <br />Laborator Y <br />LAB <br />6862 <br />Pharmacy Services <br />RX SERV <br />6865 <br />U <br />Transfer TXIX <br />R Subtotal State Expend. $ 1 300 <br />E <br />S LOCAL EXPENDITURES: LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts $ , 1� rl n <br />Local Authorized Official Signature <br />Finance Officer Signature <br />DEHNR 2948 (Revised 2/90) IF <br />General Services Division (Review 2/93) <br />Date <br />a,rwi, had Division /Section Signature Date <br />w� <br />Date A� ' <br />wcw <br />Fiscal Management Signature Date <br />