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,. LOCAL HEALTH DEPARTMENT BUDGET <br />a N.C. Department of Environment, _ <br />Health, and Natural Resources Revisio Number --a Z <br />Division of General Services <br />SFY Division of Adult Health <br />P. O. Number <br />/ 06 / 92 �n p'� U .�./ �. � 5 5 0 � 0 6 8 <br />Effective Date Termination Date " ( Contract Number <br />n,l <br />Contractor: Health Dept. Activity: Adult Health <br />Project Director: Daniel B. Reimer <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 />R <br />E <br />C <br />E <br />I <br />P <br />T <br />S <br />ITEM DESCRIPTION <br />STATE EXPENDITURES: <br />Salaries St Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased Services <br />School Health <br />Clinician <br />Laboratory <br />Pharmacy Services <br />Transfer TXIX <br />Subtotal State <br />LOCAL EXPENDITURES: <br />Total Budget: $ <br />CLASSIFICATION ITEM <br />AMOUNT <br />SA/FR 1000 159 <br />OP EXP 2000 <br />EQUIP 5000 <br />GENERAL 6100 <br />CLN 6863 <br />........:: -: <br />B 6862....... <br />RX SERV 6865 <br />LOCAL EXP 9000 <br />P <br />TOTAL EXPENDITURES — equal to Total Receipts $ 159 <br />LOCAL FUNDS: <br />Appropriation APPROP 101 <br />TXIX /SSBG Fees TXIX /SSBG 102 <br />Other Receil2ts OTHR REC 103 <br />Subtotal Local Funds <br />STATE/FEDERAL /SPECIAL FUNDS: <br />Subtotal State/Fed <br />TOTAL RECEIPTS - equal to Total Expenditures <br />r,nance vtrlcer 5agnarure <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />$ <br />WS91 <br />U <br />ate aHAd Division /Section Signa a Date <br />W Fiscal Mana ent Signa ate <br />