HomeMy WebLinkAbout1995 S Health - Environmental Health Contract - Food & Lodging, Childhood Lead Poisoning Prevention -ZAhs
AMENDMENT NUMBER
to
CONSOLIDATED CONTRACT
between
THE STATE
and
THE ORANGE. COUNTY/DISTRICT
HEALTH DEPARTMENT
This Contract covering the period from
7/1/94 to - 6/30/95
(Month) (Day) (Year) (Month) (Day) (Year)
is hereby amended to add the following activities:
ACTIVITIES
(hildmod lead poisoning PLmmt1m Food and Lodging
Environmental Health
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
J-4onathan B. Howes, Secretary
Health Director eat
Ck
Fina a Officer Date Department-- Head's Signature
kIW, or Authorized Agent
X17 ?r
C i n of County Da e
Commissioners
DEHNR 2946A (Revised 3/93)
General Services Division (Review 10/95)
1
N.C.Department of Environment,Health,and Natural Resources Page 1 of
Division of General Services
FY 1995
CONTRACT ADDENDUM
Environmental Health 95-4751-0068
Office,Section,or Branch Contract Number
Orange County Health Department Environmental Health
Contractor
Activity
These funds will be used to maintain salaries for environmental health
staff that are competitive in the Triangle.
Reviewed by
DGHNR 3300 .Revised 2/90) 1� -712-y
General Servi::s Division (Review 1/95) Initials Date
LOCAL HEALTH DEPARTMENT BUDGET
N.C.Department of Environment,
Health,and Natural Resources Revision Number
Division of General Services ZZ73-5-
Environmental Division of Enviromental Health P.O.Number
2
/I
7 / 94 6 ,195 9- 5 4 7 5 1 0 0 6 8
Effective Date Termination Date Contract Number
Contractor: orange County Health Dept. Activity: Environmental Health
Project Director: Daniel B. Reiner Total Budget:$ 5580
ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
E STATE EXPENDITURES: 5580
X Salaries & Fringe Benefits SA/FR 1000
Operating Expenses OP EXP 2000
P Purchase of Equipment EQUIP 5000
E General Contracted or
N Purchased Services GENERAL 6100
School Health X-111 ......... ...................
D Clinician
I
T Laboratory LAB 6862
Pharmacy Services
U Transfer TXIX
R Subtotal State Expend. $ 5580
E LOCAL EXPENDITURES: LOCAL EXP 9000
S TOTAL EXPENDITURES—equal to Total Receipts $ 5580
LOCAL FUNDS:
R Appropriation APPROP 101
E TM TXIX 102
Other Receipts OT HR REC 103
Subtotal Local Funds $
E
STATE/FEDERAL/SPECIAL FUNDS:
P
T DEEINR 5580
S Subtotal State/Federal/Special $ 5580
TOTAL RECEIPTS—equal to Total Expenditures $ 5580
�2
Local Authorized Official Signature 'Date Breech Iiad Division/Section Signature Date
Inidal
?love
Finance Officer Signature Date Acco„emnt Fiscal Management Si tore Date
DEHNR 2948(Revised 2/93)
General Services Division(Review 2/94)
LOCAL HEAL'T'H DEPARTMENT BUDGET �ftetJ
-N.C.Department of Environment,
Health,and Natural Resources ;./� � Revision Numb
Division of General Services "�C J� ev � t�
SFY Division of Environmental Health J c _
7 / 94 6 95 P.O.Number
/ 9 5 4 7 5 2 0
Effective Date Termination Date Contract Number 0 6 8
Contractor: Orange County Health Dept. Activity:Food and Lodging
Project Director. Daniel B. Reimer 4,863.30
Total Budget:$
ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
E STATE EXPENDITURES:
X Salaries & Fringe Benefits SA/FR 1000
Operating Expenses OP EXP 2000 4,863 �n
P Purchase of Equipment EQLU
5000
E General Contracted or
N Purchased Services GENERAL 6100
School Health >a; :::;
BL ............. ...
linicia` }
::l>• :'::{•:} •:i:}.. :�fv,{ii 4:•:::::'i:'.:: ';:yY:•:,>.:::::{:!:{ .3:iJi
ii:J.•r :•fir:{r:
:............::.......:::::....
....... . .:: ....
.:.............:
Laboratory :.....:.............. .
T LAB 6862
Pharmacy
Services
U
Transfer
R Subtotal State Expend.
E LOCAL EXPENDITURES: --TLOCAL EXP 9000
S
TOTAL EXPENDITURES—equal to Total Receipts $ 4,863.30
LOCAL FUNDS:
R Appropriation APPROP 101
TXIX TXDC 102
E
C Other Receipts OTHR REC 103
E Subtotal Local Funds $
STATE/FEDERAL/SPECIAL FUNDS:
I
P
T DAR 4,863.30
S
Subtotal State/Federal/Special $
TOTAL RECEIPTS—equal to Total Expenditures $ AIRA'A 30
)06441,,44 . 7
Local Authorized Official Signature Date sry,ch Hod Division ection SignaAre Date
2 --7-4r ► ', �, . ��
Finance Officer Signature Date � Fiscal Management i hture Date
DEHNR 2948(Revised 2/93)
General Services Division(Review 2/94)
ti
LOCAL HEALTH DEPARTMENT BUDGET
N.C. Department of Environment, q Health, and Natural Resources X Revision Number 0 —1
Division of General Services l 1111-117--
SFy Division of Environmental Health 3/g
6 P. O. Number
7 / 94 6 / 95 _J 5 4 7 5 4
Effective Date Termination Date Contract Number
Orange County Health Department Childhood Lead Poisoning Prevention
Contractor: Activity:
Project Director: Daniel A_ Reimer Total Budget: $ 2,180.00
ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
E STATE EXPENDITURES:
X Salaries & Fringe Benefits SA/7R 1000 2,180
Operating Expenses OP =XP 2000
P Purchase of Equipment EQUIP 5000
E General Contracted or
N Purchased Services G ENE RAL 6100
School Health
Clinician
,I Laboratory LAB 6862
Pharmacy Services
..ER 5
Y <;.;:.
U
Transfer TXIX
6864';:. ;
R Subtotal State Expend. $ 2,180
E LOCAL EXPENDITURES: LOCAL. EXP 9000
S TOTAL EXPENDITURES— equal to Total Receipts $ 2,180
LOCAL FUNDS:
R Appropriation APFROP 101
E TXIX TXI:-: 102
Other Receipts OT-KR REC 103
C
E Subtotal Local Funds $
STATE/FEDERAL/SPECIAL FUNDS:
I 2,180
P DEHNR 4754
T
S
Subtotal State/Federal/Special $ 2,180
TOTAL RECEIPTS — equal to Total Expendir:-es $ 2,180
Local Authorized Official Signature Date a ch H a Division/Section Signature Date
Finance Officer Signature Date Fiscal Nfanagement Sig .tore Date
Ln,—1
DEI-NR 2948(Rcvtscd 2;'9=)
Central Sen•ices Division(Review 2 94)