HomeMy WebLinkAbout1997 S Health - Amendment 1 - Consolidated Contract between The State of NC as Represented by the State Health Director AMENDMENT NUMBER
TO
CONSOLIDATED CONTRACT DEH N R
BETWEEN THE STATE OF NORTH CAROLINA Si_r 1 5
AND ?nrc iase Contract Sec.
THE CRAME COUNTYIDISTRICT
HEALTH DEPARTMENT
This contract covering the period from
07 01 97 TO 06 30 98
(MONTH) (LAY) (YEAR) (MONTH) (DAY) (YEAR)
Is hereby amended to add the following activities:
ACTIVITIES
SOMMFR FOOD PROGR M
All provisions and clauses set forth in the Contract are hereby incorporated in this
Amendment and constitute the terms and conditions applicable for the above activities
involving State funding.
CONTRACTOR SIGNATURES STATE OF NORTH CAROLINA
baa��
Health Director Date .
S ealth Director or
Tuthorized Agent
Finance Officer Date
A in
Chairman of County Date
Commissioners
A
LOCAL HEALTH DEPARTYEENT BUDGET
N.C.Department of Environment, �1
Health, and Natural Resources , / Revision Number—
Division of General Services Z 2 //
S FY Division of Environmental Health `� -L
P.O.Number
7 / 97 6 /98 9 —8 4 7 5 5 0 6 8
Effective Date Termination Date Contract Number
Contractor. 0tawe co- Health Department Activity: SUMMER FOOD PROGRAM
Project Director. Daniel B. Reimer Total Budget:$ 988.00
ITEM DESCRIPTION CLASSIFICATION ITEM AML OLINT
E STATE EXPENDITURES:
X Salaries & Fringe Benefits SA/FR 1000
Operating Expenses OP EXP 2C00 988,00
P Purchase of Equipment EQUIP 5CC0
E General Contracted or
N Purchased Services GENERAL 6100 _
School HealthC� z � � t
D
I Laboratory LAB 6862
Pharmacy ervicesE �.
cy
,
U Transfer TXIXF .. ". ., .. ... 6
R Subtotal State Expend. $ 988.00
E LOCAL EXPENDITURES: LOCAL EXP 9000
S TOTAL EXPENDITURES—equal to Total Receipts $ 988.00
LOCAL FUNDS:
R Appropriation APPROP 101
E TXD( TXIX 102
Other Receipts OTHR REC 103
C
E Subtotal Local Funds $
STATE/FEDERAL/SPECIAL FUNDS:
I
P
T
S
Subtotal State/Federal/Special S 988.00
TOTAL RECEIPTS—equal to Total E`cpenditures $ 988.00
713
Local Authorized Official Signature Date a D on/Secdon Signature Date
7z3zf 2
Finance Officer Si gna ture ate nccamoo Fiscal Manaemeat i
WdAL natur a Date
DEHNR 2948(Revised Z/93)
3eneral Serv%=Division(Review 2/94)