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LOCAL HEALTH DEPARTMENT BUDGET <br />- <br />N.C. Department of Environment, <br />14 <br />Health, and Natural Resources <br />Division of General Services <br />Revision Number r 4 <br />SFi' Division of Maternal and Child Health <br />/ AOL 0 6 / q? <br />P. O. Number <br />Effective Date wTermination Date <br />—9— -2— 5 1 0?- 0 6 $ <br />Contract Number <br />Contractor: orange Co Health De <br />t ActMry. Maternal Health <br />Project Director: D a n i e l B. Reimer <br />Total Budget: $ 10,494 <br />ITEM DESCRIPTION <br />CLASSIFICATION I'T'EM <br />E STATE EXPENDITURES: <br />AMOUNT <br />X -- Salaries & Fringe .Benefits_ _ ..- -- . - -.... __ -- -. <br />SA/FR 1000 <br />Operaring Expenses <br />OP EXP 200Q <br />_ <br />P Purchase of Equipment <br />E UIP 5000 <br />E General Contracted or <br />N Purchased Services <br />GENERAL 6100 <br />School Health <br />Clinician <br />I <br />CLN 6863 <br />,Z. Laboratory <br />Pharmacy Services <br />LAB 6862 <br />Z 1 Transfer TXIX <br />RX SERV 6865 <br />R Subtotal State E Pend. <br />E LOCAL EXPENDITURES: <br />$ <br />JL;CAALEXP <br />10 494 <br />S <br />9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ <br />4 4 <br />FUNDS: <br />J 7APPropriation <br />APPROP 101 <br />/SSBG Fees <br />TXIX /SSBG 102 <br />r Recei is <br />OTHR REC 103 <br />E Subtotal Lord Funds <br />STATE /FEDERAL /SPECL4L FUNDS: <br />$ <br />I <br />P <br />T <br />S <br />Subtotal State/Federal /S vial <br />$ <br />Q <br />TOTAL RECEIPTS — equal to Total Expenditures <br />$ <br />10,494 <br />Local Authorized Official Signature Date <br />+Had Division /Section Signature <br />w� <br />Date <br />Finance Officer Signature Date <br />1w� Fiscal Management Signature <br />Date <br />DERNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />