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LCAL HEALTH DEPARTMENT BUDGET 17 <br />� N.C. DCparn'nent of Environment, O _ <br />Health, and Natural Resources <br />Division of General Services Revision Number — <br />SFY — Division of Environmental Health AL <br />/ UZ 06 / 92 P. O. Number <br />9 2 4 7 5 <br />Effective Date Termination Date 2 0 6 $ <br />Contract Number <br />Contractor: Orange Gdultty Health Deparment Activity: Food and Lodging <br />Project Director; Daniel B. Reimer Total B 3,385.87 <br />Budget: $ <br />ITEM DESCREMON TE SSIiiCATIMN ITEM <br />E STATE EXP <br />AMOUNT <br />X Salaries 6t. Fringe Benefits SA/FR 1000 — - Operating - <br />l� 2000 795.87 <br />P Purchase of Equipment U� 5000 <br />2 590.00 <br />E General Contracted <br />N <br />W6 <br />Purchased Services <br />GENERAL <br />School HealthH. <br />D <br />Clinician <br />I <br />T <br />Laboratory <br />LAB <br />Pharmacy Sa►jcea <br />U <br />Transfer TXT?CV <br />R <br />btotal State d. <br />E <br />L <br />LOCAL EXP <br />S <br />''J <br />......... <br />TOTAL EXPENDTI'1,JRFS equal to Total ReeepeB <br />LOCAL FUNDS: <br />R Appropriation <br />E T= /SSBG Fees <br />C Other Receipts <br />E Subtotal Local Funds <br />STA'1 E/FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />S <br />. re <br />APPROP 101 <br />T 7SSBG 102 <br />OTHIt REC 103 <br />$ 3,385.87 <br />$ 3,385.87 <br />Ej <br />Subtotal SMire/Federal/S w $ 3,385.87 <br />TOTAL RECEIPT'S -- equal to Total Expenditures <br />$ 3,385.87 <br />Local Authorized Official Signature <br />Finance Officer Signature <br />DEKNR 2948 (Revia 2/90) <br />Cameral Services Division (Rcview 2/93) <br />Date s�.6 ri_a <br />hAw <br />Division /Section Signature Date , <br />Date Fiscal Management Signature Date <br />