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N.C. Deparvnent of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY 1993 <br />LOCAL HEALTH DEPARTMENT BUDGET <br />_ Division of Epidemiola�y <br />07 / 92 - 06 _/ g -� <br />Effective Date Termination Date <br />Contractor: <br />Project Director: <br />ORANGE COUNTY HEALTH DEPT. <br />DANIEL REIMER <br />Revision Number <br />P. O. Number <br />9 3 4 .4_ 3 4 0 6 8 <br />Contract Number <br />Activity: CDC -Co comity Base Iniury <br />Total Budget. $ 6,720 <br />4ZA42�0 C"W")Al- <br />_ 6 -ag -fg <br />Local Authorized Official Si Date <br />7 <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/92) <br />Ckneral Servkm Divisim (Review 2/94) <br />H=d Division/Section Signature <br />bmEw <br />Fiscal Management Signature <br />t� <br />Date <br />Date <br />ITEM DESCRIVnON <br />CLASSIFICATION <br />ITEM <br />AMOUNT <br />E <br />STATE EXPENDITURES: <br />TXIX /SSBG 102 <br />Ocher RecciM <br />OTHR REC 103 <br />X <br />Salaries &. Fringe Benefits <br />E <br />SA/FR <br />1000 <br />STATE/FEDERAL /SPECIAL FUNDS: <br />Operating Expenses <br />OP EX? <br />2000 <br />DEHNR FUNDS <br />P <br />Purchase of Equipment <br />1440 -6100- 4434 --1312 <br />E UIP <br />5000 <br />E <br />General Contracted or <br />Subtotal State/Federal /S <br />N <br />r Services <br />6100 <br />$6,240 <br />School Health <br />_...'SGCE�N 3ElER'IIIAL H <br />D <br />Clinician <br />I <br />Laboratory <br />Pharmacy Servioes <br />::::= :, >: <br />I:..... <br />U <br />Transfer TXD( <br />R <br />Subtotal State Expend. <br />s 6,720 <br />E <br />LOCAL EXPENDTTURES: <br />LOCAL EXP <br />9000 <br />-0- <br />S <br />TOTAL EXPENDITURES -- equal to Total Receipts <br />4ZA42�0 C"W")Al- <br />_ 6 -ag -fg <br />Local Authorized Official Si Date <br />7 <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/92) <br />Ckneral Servkm Divisim (Review 2/94) <br />H=d Division/Section Signature <br />bmEw <br />Fiscal Management Signature <br />t� <br />Date <br />Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />E <br />TX1X /SSBG Fees <br />TXIX /SSBG 102 <br />Ocher RecciM <br />OTHR REC 103 <br />C <br />E <br />Subtotal Local Funds $ <br />STATE/FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />DEHNR FUNDS <br />T. <br />1440 -6100- 4434 --1312 <br />$6,720 <br />S <br />Subtotal State/Federal /S <br />TOTAL RECEIPTS — equal to Total Expenditures $ 6,720 <br />4ZA42�0 C"W")Al- <br />_ 6 -ag -fg <br />Local Authorized Official Si Date <br />7 <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/92) <br />Ckneral Servkm Divisim (Review 2/94) <br />H=d Division/Section Signature <br />bmEw <br />Fiscal Management Signature <br />t� <br />Date <br />Date <br />