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LOCAL HEALTH DEPARTMENT BUDGET <br />N.C. Department of Environment, <br />Health, and Narural Resources <br />Division of General Services Revisio Number 0 -1- <br />SFY Division of Adult Health <br />/ 06 / 92 ' P. O. Number <br />Effective Date liU ri 2 g p 6 <br />Termination Date � <br />~ <br />Contract Number <br />Contractor lth � <br />ea De t. 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 & 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 Set-vices <br />Transfer TXIX <br />Subtotal State <br />LOCAL EXPENDITURES: <br />Total Budget: $ IqQ <br />CLASSIFICATION ITEM <br />AMOUNT <br />SA/FR 1000 159 <br />OP EXP 2000 <br />EQUIP 5000 <br />GENERAL 6100 <br />CLN 6863 <br />LAB . <br />...........6862 <br />RX SERV 6865 <br />LOCAL EXP 9000 <br />TOTAL EXPENDITURES — equal to Total Receipts <br />$ 159 <br />LOCAL FUNDS; <br />Appropriation APPROP 101 <br />TX1X /SSBG Fees TXIX /SS$G 102 <br />Other Receipts OTHR REC 103 <br />Subtotal Local Funds <br />STATE/FEDERAL /SPECIAL FUNDS: <br />Subtotal <br />TOTAL RECEIPTS — equal to Total Expenditures <br />Finance Officer Signature <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />$ <br />6�y q2- l_. - <br />' � /j gz <br />ate s,.r N4a Division /Section Signa a Date <br />Insai <br />Date A«o�w,j <br />W tW YFiscal M ana ent LSigna ate <br />