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LOCAL HEALTH DEPARTMENT BUDGET <br />:.C. Depac~'i ni~of Environme S~~pL.~ <br />Health, and Natural Resouree~~' <br />`ivision of General Services ~ ~'if <br />~~~~ <br />Division of Maternal and Child Health <br />07 / 93 Qo/ 94 <br />Effective Date Termination Dace <br />~oncractor: Clranga Cn. HPa1 rh Deb r. <br />'rojectDirectoc: Daniel R. Reimer <br />3 <br />Revision Number _ _ <br />P. O. Number <br />~, ~[ 5 1 0 1 0~~ _g_, <br />Contract Number <br />Activity: Maternal Health <br />Total Budget: $ ~ > > " <br />ITEM DESCRIPI"ION CLASSIFICATION ITEM AMOUNT <br />E STATE EXPENDI'IURFS: <br />Salaries & Fringe Benefits ~ _ <br />SA/F'R ~ ~ 1000 ~ i 1 <br />X Operating Expenses OP EXP 2000 <br />P Purchase of Equipment EQUIP 5000 ~ ' <br />E General Contracted or <br />Purchased Services .-- ~ <br />GENERAL 6100 <br />N School Health ~; SCH;HLTH< .~ X6200 ~".,~ . Y ~ F ~ ~ .. _. <br />_.. .. .. <br />D Clinician ~ CLN 6863 <br /> M Y <br />.,..: x 8 ..:. >:,> <br />,I, Laboratory LAB 6862 <br /> Pharmacy Services RX SERV 6865 <br />jJ Transfer TXIX ~'•~~~~; ~<„n .mow; ~`~:enas, Q ' ~:fi664 ~~:~. <br />~ Subtotal State E. nd. $ 311 <br /> <br />LOCAL EXPENDITURES: ;~ <br />LOCAL EXP 9000 <br /> TOTAL EXPENDITURES -equal to Total Receipts $ 311 <br /> LOCAL FUNDS: <br />R Appropriation APPROP 101 <br />E Txvc Txlx l02 <br /> tither Recei u O"II-IR REC 103 <br />C <br />E Subtotal Local Funds $ <br /> <br /> STATE/FEDERAL/SPECIAL FUNDS: <br />I ~~ H'N~- ~ <br />1 <br />P <br />/~/~, 6ip,p_~D1 <br />~ -XxXX 3 1 <br />T <br /> <br />S <br /> Subtotal State/Federal/S cial $ <br /> TOTAL RECEIPTS -equal to Total Expenditures $ 311 <br /> <br />~ ~~'9 ~ ~,,,, 7 b s <br />Authorized Official Signa r Dace e~ H Division/Section Signa a ace <br />~~~.i <br />Finance Officer Signature <br />Date <br />~~^~^t Fiscal Management ign re Dace <br />wav <br />~EHNR 2948 (Revixd 2/93) <br />:renenl Services Division (Review Z/94) <br />