Orange County NC Website
LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SFY Division of Maternal and Child Health <br />07 / 91 <br />Effective Date <br />06 / 92 <br />Termination Date <br />Revision Number ? <br />P. O. Number <br />42- --5-d= -1-1 0 5 �L_" <br />Contract Number <br />Contractor: moan Activity: Child Health <br />Project Director: Dani.pL -B - ,.Rp1_MLz Total Budget: $ <br />LOCAL FUNDS: <br />R Appropriation <br />E TXIX /SSBG Fees <br />C Other Receipts <br />E Subtotal Local Funds <br />STATE /FEDERAL/SPECIAL FUNDS: <br />Y <br />P <br />T <br />S <br />APPROP 101 <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />Subtotal State/Federal/Special <br />TOTAL RECEIPTS — equal to Total Expenditures <br />E: <br />� ay -sa <br />1 Authorized Official Signature Date aruwch Hed Division /Section Signature <br />Finance Officer Signature ` <br />Date Fiscal Management Signature <br />bwW <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />Date <br />Date <br />