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N.C. Department of Environment, <br />.. Health, and Natural Resources <br />Division of General Services <br />SFY <br />Effective Date <br />LOCAL HEALTH DEPARTMENT BUDGET <br />Revision Number <br />Division of Maternal and Child Hedth — — -- — — <br />06 / 92 <br />Termination Date <br />Contractor: _orange County H P a 1 t h Delp t <br />Project Director: <br />P. O. Number <br />S2_ 5 4 0� 2 0 6$ <br />Contract Number <br />Activity— DICH..��q ant Nutrition <br />Total Budget: $ 1 5 75 <br />LOCAL FUNDS: <br />R Appropriation APPROP 101 <br />E TX1X /SSBG Fees TX1X/SSBG 102 <br />C Other Receipts OTHR REC 103 <br />E Subtotal Local Funds $ <br />STATE /FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />S <br />Subtotal State/Federal/s $ <br />TOTAL RECEIPTS — equal to Total Expenditures $ <br />(I -a9 -9Z-- <br />Date a <br />bam,► <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Division /Section Signature <br />"=oun� Fiscal Management Signature <br />Date <br />Date <br />ITEM DESCRIPTION <br />CLASSIFICATION <br />ITEM AMOUNT <br />E <br />STATE EXPENDITURES: <br />X <br />Salaries &. Fringe Benefits <br />SA/FR <br />_ 1000 575 <br />Operating Expenses <br />OP EXP <br />2000 <br />P <br />Purchase of Equipment <br />EQUIP <br />5000 <br />E <br />General Contracted or <br />N <br />Purchased Services <br />GENERAL <br />6100 <br />School Health <br />sckili i:m <br />D <br />Clinician <br />CLN <br />6863 <br />I <br />T <br />Laboratory <br />$ <br />6862 <br />Pharmacy Services <br />RX. SERV <br />6865 <br />LJ <br />Transfer TXIX <br />R <br />Subtotal State EnEnd. <br />$ <br />E <br />LOCAL EXPENDITURES: <br />LOCAL, EXP <br />9000 <br />S <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ 1,575 <br />LOCAL FUNDS: <br />R Appropriation APPROP 101 <br />E TX1X /SSBG Fees TX1X/SSBG 102 <br />C Other Receipts OTHR REC 103 <br />E Subtotal Local Funds $ <br />STATE /FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />S <br />Subtotal State/Federal/s $ <br />TOTAL RECEIPTS — equal to Total Expenditures $ <br />(I -a9 -9Z-- <br />Date a <br />bam,► <br />Finance Officer Signature Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Division /Section Signature <br />"=oun� Fiscal Management Signature <br />Date <br />Date <br />