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J <br />LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Natural Resources <br />Division of General Services Revision Number <br />SFY Division of Maternal and Child Health <br />/ <br />06 /92 P. O. Number <br />1� 1. 0 6 8 <br />Effective Date Termination Date <br />Contract Number <br />Contractor: --Orange Co Health De t Activity: Maternal Health <br />Project Director: Daniel _, B. Reimer Total Budget: $ 10 4 9 4 <br />jAppropriation FUNDS: <br />R <br />E /SSBG Fees Receipts <br />C <br />E Subtotal Local Funds <br />I STATE /FEDERAL /SPECIAL FUNDS: <br />P <br />T <br />S <br />Subtotal <br />TOTAL <br />Finance Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />APPROP 101 <br />Txix /SSBG 102 <br />OTHR RE—C— 103 <br />— equal to Total Expenditures <br />$ 10,494 <br />V Date h <br />!''°�' Division /Section Signature Date <br />Date Fiscal Management Signature Date <br />