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LOCAL HEALTH DEPARTMENT BUDGET <br />.N C. Department of Environment, - <br />Health, and Natural Resources .,� _ _ Revision Number ...0-.�.r -_ <br />Division of General Services / <br />SFY I i Division of Maternal and Child Health JCL - a <br />`) ( P. O, Number <br />_ 07/_91 _ 06/g7 .�2 3 5 0 6 8 <br />Effective Date Termination Date Contract Number <br />Contractor: OrAnae rnlint��L umalth Spart-r„Pnt Activity: Child Health <br />Project Director: Daniel 'R_ "RPirrK-r Total Budget:$ ti <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 EXPENDITURIS: <br />Salaries 6t Fringe Benefits <br />Operating Expenses <br />Purchase of Equipment <br />General Contracted or <br />Purchased 5errn�e� V <br />School Hit C <br />Clinician <br />Pharmac "Sv Q �FfS H!cNt <br />Y <br />Transfer TXIX <br />Subtotal State <br />LOCAL EXPENDITURES: <br />CLASSIFICATION ITEM <br />AMOUNT <br />SA/FR 1000 15,466 <br />OP EXP 2000 <br />EQUIP 5000 <br />GENERAL 6100 <br />SCH HLTH 6200 <br />CLN 6863 <br />LAB <br />RX SERV <br />LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ 15,466 <br />$ 15,466 <br />1 ? Z-- _ x 1J� 7114 9 z.- -- <br />Local Authorized Official Signa Date Brumh h-d Division /Section ignature Date <br />2 11,6 <br />finance Officer Signature bate Fliscal M ement Sign re 5ate <br />r)EHNR 2948 (Revised 2/90) <br />General Service* Division (Review 2/93) <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />E <br />TXIX /SSBG Fees <br />Other Recei is <br />TXIX /SSBG 102 <br />OTHR REC 103 <br />C <br />E <br />Subtotal Local Funds $ <br />STATE /FEDERAUSPECIAL FUNDS: <br />I <br />P <br />T <br />S <br />Subtotal State/Federal/Spechd $ <br />TOTAL RECEIPTS — equal to Total Expenditures $ a <br />1 ? Z-- _ x 1J� 7114 9 z.- -- <br />Local Authorized Official Signa Date Brumh h-d Division /Section ignature Date <br />2 11,6 <br />finance Officer Signature bate Fliscal M ement Sign re 5ate <br />r)EHNR 2948 (Revised 2/90) <br />General Service* Division (Review 2/93) <br />