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N.0 ;'Department of Environment, <br />Health, and Natural Resources <br />Division of General Services <br />SF Y <br />LOCAL HEALTH DEPARTMENT BUDGET <br />Division of General Services <br />07 /91 -06 / 92 <br />Effective Date Termination Date <br />Contractor: Orange County Health Dept . <br />�r <br />tO� <br />Revision Number 2 <br />3 —,:0 <br />1-4 1/0 P. O. Number <br />,9 2 0 6 8 <br />Contract Number <br />Activity: General <br />Project Director: n a n ; p 1 13. Reimer _ ___ _ _ Total Budget: $1 , 5 9 3 <br />ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT <br />E STATE EXPENDITURES: <br />Salaries & Fringe Benefits SA/FR <br />Operating Expenses OP EXP <br />P Purchase of Equipment - EQUIP 5000 ^ 1,593 <br />M <br />•9 <br />E <br />General Contracted or <br />R <br />Appropriation <br />APPROP 101 <br />Purchased Services <br />E <br />GENERAL <br />6100 <br />C <br />School Health <br />- - >�=> 'I # <br />E <br />D <br />Clinician <br />I <br />-:- - -- <br />................. ............................... <br />I <br />- . <br />Laboratory <br />LAH::: > > >;f <'':'= <br /><6852: <br />T <br />Pharmacy Services <br />Subtotal State/Federal/Special <br />TOTAL RECEIPTS — equal to Total Expenditures $ <br />jU <br />Transfer TXIX <br />R <br />Subtotal State EnEnd. <br />E <br />LOCAL EXPENDITURES: <br />LOCAL EXP <br />9000 <br />S <br />TOTAL EXPENDITURES <br />— equal to Total Receipts <br />ji4& <br />4111�� an�491� <br />cal Authorized Official Sign Date Bmmh Division /Section Signature bate <br />Z / <br />finance Officer Signature Date Managemek <br />i Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />LOCAL FUNDS: <br />R <br />Appropriation <br />APPROP 101 <br />TXIX /SSBG 102 <br />E <br />TX1X /SSBG Fees <br />Other Receipts <br />OTHR REC 103 <br />C <br />Subtotal Local Funds $ <br />E <br />STATE /FEDERAL /SPECIAL FUNDS: <br />I <br />P <br />T <br />S <br />Subtotal State/Federal/Special <br />TOTAL RECEIPTS — equal to Total Expenditures $ <br />ji4& <br />4111�� an�491� <br />cal Authorized Official Sign Date Bmmh Division /Section Signature bate <br />Z / <br />finance Officer Signature Date Managemek <br />i Date <br />DEHNR 2948 (Revised 2/90) <br />General Services Division (Review 2/93) <br />