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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Natural Resources Revision Number' —2-1. <br />Division of General Services <br />SFY Division of Maternal and Child Health <br />P. O._ Number <br />Effective Date Termination Date Contract Number <br />Contractor: o r -_n q e C n» n t r Ti e a 1 t h - 1) a pa r� man't Ac'tiviry. Child Health <br />Project Director: - Tla n i o) R- R a i me r _ Total Budget: $ <br />ITEM DESCRIPTION <br />E STATE EXPENDITURES: <br />X - Salaries &. Fringe Benefits,- - -- <br />Operating Expenses <br />P Purchase of Equipment <br />E General Contracted or <br />N Purchased Services <br />School Health <br />D Clinician I t t e 1 1 <br />X <br />Laboratory <br />T Pharmacy ScrDiew whin � <br />er f <br />rans <br />U T �► <br />R Subtotal State EMEnd. <br />E LOCAL EXPENDITURES: <br />tii <br />CLASSIFICATION ITEM AMOUNT <br />OP EXP 2000 <br />EQUIP 5000 <br />GENERAL 6100 <br />SCH HLTH 6200 - -- _ _,....1 3 () n <br />CLN 6B63.. <br />LAB 6862 <br />RX 5E <br />RV <br />6865 <br />$ 1,300 <br />LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ <br />LOCAL FUNDS: <br />R Appropriation APPROP 101 <br />E TXIX /SSBG Fees TXIX /SSBG 102 <br />C Other Recei is OTHR REC 103 <br />E Subtotal Loral Funds $ <br />STATE /FEDERAL /SPECIAL FUNDS: <br />Y <br />T <br />S <br />Subtotal State/Federal /S $ <br />TOTAL RE IPTS — equal to Total Expenditures $ <br />i <br />RRsT1 <br />ante Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Servlees Division (Review 2/93) <br />Date hda Division /Section gnarl ate <br />w� <br />' 3 a "y <br />Date cal Mana ent Signa re Date <br />w <br />..- SA/FR- - - <br />- -.1000 -. <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ <br />LOCAL FUNDS: <br />R Appropriation APPROP 101 <br />E TXIX /SSBG Fees TXIX /SSBG 102 <br />C Other Recei is OTHR REC 103 <br />E Subtotal Loral Funds $ <br />STATE /FEDERAL /SPECIAL FUNDS: <br />Y <br />T <br />S <br />Subtotal State/Federal /S $ <br />TOTAL RE IPTS — equal to Total Expenditures $ <br />i <br />RRsT1 <br />ante Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Servlees Division (Review 2/93) <br />Date hda Division /Section gnarl ate <br />w� <br />' 3 a "y <br />Date cal Mana ent Signa re Date <br />w <br />i <br />RRsT1 <br />ante Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Servlees Division (Review 2/93) <br />Date hda Division /Section gnarl ate <br />w� <br />' 3 a "y <br />Date cal Mana ent Signa re Date <br />w <br />