HomeMy WebLinkAbout1996 S Health - Consolidated Contract between Health Dept & UNC For Maternitty Care AMENDMENT NUMBER 3
to
CONSOLIDATED CONTRACT
between
THE STATE
and
THE ORANGE COUNTY COUNTY/DISTRICT
HEALTH DEPARTMENT
This Contract covering the period from
02 01' 96 to 06 30 96
(Month) (Day) (Year) (Month) (Day) (Year)
is hereby amended to add the following activities:
ACTIVITIES..'
Maternity Care Coordination (Medicaid)
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 NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
JJonathan B. Howes, Secretary
Health Director Date
t
pib o.G3rtend Sw%
7 .� if S� , L&J Ca
Finance Officer ate Department Head's Signature
or Authorized Agent
G �
4Ca an of ounty Da e
Commissioners
DE.w"NR 2946A (Revised 3/93)
General Services Division (Review 10/95)
DEHNR F & C
MAR 2 51996
i
LOCAL HEALTH DEPARTMENT BUDGET
N.C.Department of Environment,
Health,and Natural Resources Revision Number
Division of General Services Division of Maternal and Child Health —"
SFY--95--96 P.O.Number
2/1 / 96 6/30 96 9 6 5 1 0 7 0 0 6 8
Effective Date Termination Date ��Number
Contractor: ORANGE COUNTY HEALTH DEPARTMENT Activity: Maternal Care Coordination
Project Director: Biel B. Reimer Total Budget:$ 12,500.00
ITEM DESCRII''TION CLASSIFICATION ITEM AMOUNT
E STATE EXPENDITURES: 12,500.00
X Salaries & Fringe Benefits SA/FR 1000
Operating Expenses OP EXP 2000
P Purchase of Equipment E UIP 5000
/
E General Contracted or
Purchased Services
N School Health SCE€HF.TH ry 'S2C1fIy � �`
D Cluuc
ian
I b / 6ic
F
Laboratory
T RX SERV y
Pharmacy Services _
IJ Transfer TXI?C
R I Subtotal State Expend. $ 12,500.00-7 E LOCAL EXPENDITURES: LOCAL EXP 9000
S TOTAL EXPENDITURES—equal to Total Receipts $
LOCAL FUNDS:
R Appropriation APPROP 101
TXIX TXIX 102
E Other Receipts
OTHR REC 103
C $ 12,500.00
Subtotal Local Funds
E STATE/FEDERAL/SPECIAL FUNDS:
I
P 1601 536961 —1510-5107—XXXX 12,500.00
T
S $ " 12,500.00
Subtotal State/Federal/SPecial
TOTAL RECEIPTS—equal to Total Expenditures $
Local Authorised Official Signature Date e� Division/Section Signature Date
Date H � Fiscal Managernent Signature Dart
Finance Officer Signature