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LOCAL HEALTH DEPARTMENT BUDGET <br />r -y. <br />C. Depar anent of Environment, <br />Health; 'aod Natural Resources . -' Revision Number ...g_._L _ <br />Division of General Services <br />SF�_ f Division of Maternal and Child Health <br />P. O. Number <br />07/ 21 06/92 _�.� 3 5 0 6 8_ <br />Effective Date Termination Date Contract Number <br />Contractor: orang��t�rit�C. ur?�prtwen -- Activity: Child Health <br />Project Director: Total Budget: $ <br />E <br />x <br />P <br />E <br />N <br />D <br />I <br />T <br />U <br />R <br />E <br />S <br />ITEM DESCRIPTION <br />STATE EXPENDITURES: <br />Salaries & Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased SeEnan Q <br />School H(R1 C <br />Clinician <br />Laborarorgjv <br />Pharmacy` ervices <br />Transfer TXIX <br />Subtotal State <br />CLASSIFICATION ITEM <br />AMOUNT <br />LAB <br />RX SERV <br />LOCAL EXPENDITURES: I LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />15,466 <br />$ 15/466 <br />SA/FR _ _ 1000 15,466 <br />OP EXP 2000 <br />Appropriation <br />EQUIP 5000 <br />E <br />GENERAL 6100 <br />TXIX /SSBC 102 <br />SCH HLTIH 6200 <br />C <br />CLN686.3 .... ............. ............ <br />LAB <br />RX SERV <br />LOCAL EXPENDITURES: I LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />15,466 <br />$ 15/466 <br />Local Authorized Official Signa Date smm:h Held Division /Section ignature Date <br />z 121,4 <br />Finance Officer Signature bate fiscal M ement Sign re L. E�a te <br />DEHNIR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />E <br />TXIX /SSBG Fees <br />Other Receipts <br />TXIX /SSBC 102 <br />OTHR REC 103 <br />C <br />Subtotal Local Funds $ <br />E <br />STATE /FEDERAL /SPECLAL FUNDS: <br />I <br />P <br />T <br />S <br />Subtotal State/Federal/S $ 15,466 <br />TOTAL RECEIPTS — equal to Total Expenditures $ Q <br />Local Authorized Official Signa Date smm:h Held Division /Section ignature Date <br />z 121,4 <br />Finance Officer Signature bate fiscal M ement Sign re L. E�a te <br />DEHNIR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />