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LOCAL HEALTH DEPARTMENT BUDGET <br />C. Department of Environment, <br />Health, and Natural Reso ces _ Revision Number <br />Division of General Services Division of Maternal and Child Health <br />SFY I bI� P. O. Number <br />06 9 9-2 5 1 0 J- - 0 6 8 <br />Effective Date Termination Date Contract Number <br />Contractor: Orange Co Health Dent Activity: Maternal Health <br />Project Director: Daniel B. Reimer Total Budget: $ - 10 -L 4 99 -- - <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 />-- <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />C <br />1 <br />Clinician ;� 1'3g'.. <br />Laboratory Ry1U. 0� F15C�►� <br />Pharmacy Services <br />Transfer TXIX <br />Subtotal State <br />CLASSIFICATION ITEM <br />AMOUNT <br />- -SA/FR --- ------ <br />_..�_.i_._ <br />OP EXP 2000 <br />EQUIP 5000 <br />GENERAL <br />6100 <br />.SCH ..HLTH' <br />R <br />CLN <br />6863 <br />TXIX /SSBG 102 <br />E <br />- - -- - <br />- <br />LAB <br />6862 -- r -- <br />RX SERV <br />6865. . <br />Subtotal Loral Funds $ <br />LOCAL EXPENDITURES: I LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />E1 <br />r <br />;� I- 9 2, <br />Local Authorized Offidal Signature Date r> <br />6 rid. ?z AL <br />Finance Officer Signature V Date <br />'DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Division /Section Si a Date <br />7I6yz <br />sral Mtn ement Si Lure Date <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />TXIX /SSBG 102 <br />E <br />TXIX /SSBG Fees <br />OTHR REC 103 <br />Other Receipts <br />C <br />Subtotal Loral Funds $ <br />E <br />STATE /FEDERAL /SPECIAL FUNDS: <br />I <br />,-1A <br />P <br />y <br />T <br />S <br />Subtotal State/Federal/Special $ g a <br />TOTAL REC — equal to Total Expenditures $ 10,494 <br />r <br />;� I- 9 2, <br />Local Authorized Offidal Signature Date r> <br />6 rid. ?z AL <br />Finance Officer Signature V Date <br />'DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Division /Section Si a Date <br />7I6yz <br />sral Mtn ement Si Lure Date <br />