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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environments <br />Health, and Natural Resources Revision Number <br />Division of General Services <br />SFY 1993 Division of Eytdetniolo�g__! — — — P. O. Number <br />07 / 92 06 -- / _q;� 9 3 4 4_ 3 _L 0 6 8 <br />Effective Date Termir►ation Date Contract Number <br />Y <br />Activity: <br />Contractor: ORANGE COUNTY HEALTH DEPT. CDC_Communit Base Injury <br />__. <br />Project Director: DANIEL R E I M E R Total Budget- $ 6,720 <br />1 <br />4 ���� <br />d Official Sign' azure / <br />Signature <br />DEHNR 2949 (Revised 2/92) <br />Genera! Services Dwi*m (Review 2/94) <br />-dy -�k <br />Date a-UA r>e.d <br />(p - 3d -F9, <br />Date A=-m� <br />tnkw <br />Division /Section Signature Date <br />Fiscal Management Signature Date <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />r EM <br />AMOUNT <br />E <br />STATE EXPENDITURES: <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />C <br />Salaries & Fringe Benefits <br />E <br />SA/FR <br />1000 <br />I <br />X <br />Operating Farpertses <br />P <br />OP EN? <br />2000 <br />T <br />P <br />Purchase of Equipment <br />EQUIP <br />-- <br />E <br />General Contracted or <br />Subtotal Smte/Federal /S <br />TOTAL RECEIPTS — equal to Total Expenditures $ 6,720 <br />Purchased Services <br />GENERAL <br />6100 <br />, <br />School Health <br />=<S►C '3: <: .., .....::; >< <br />. .. >.; ::;; : >:: >::. > :::::.:..:; . <br />D <br />Clinician <br />- <br />I <br />T <br />Laboratory <br />r1' <br />Pharmacy Services <br />>:: V :> < .... <br />..................... <br />: .... <br />U <br />Transfer TXIX <br />............. :. <br />R <br />Subtotal State d. <br />-T <br />$ 6,720 <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />9000 <br />-0- <br />S <br />TOTAL EXPENDITURES -- equal to Total Receipts <br />$ fi _72n <br />1 <br />4 ���� <br />d Official Sign' azure / <br />Signature <br />DEHNR 2949 (Revised 2/92) <br />Genera! Services Dwi*m (Review 2/94) <br />-dy -�k <br />Date a-UA r>e.d <br />(p - 3d -F9, <br />Date A=-m� <br />tnkw <br />Division /Section Signature Date <br />Fiscal Management Signature Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />C <br />Subtotal Local Funds $ <br />E <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 Smte/Federal /S <br />TOTAL RECEIPTS — equal to Total Expenditures $ 6,720 <br />1 <br />4 ���� <br />d Official Sign' azure / <br />Signature <br />DEHNR 2949 (Revised 2/92) <br />Genera! Services Dwi*m (Review 2/94) <br />-dy -�k <br />Date a-UA r>e.d <br />(p - 3d -F9, <br />Date A=-m� <br />tnkw <br />Division /Section Signature Date <br />Fiscal Management Signature Date <br />