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HomeMy WebLinkAboutAgenda - 01-19-1993 - VIII-D 1 ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. V77T- D ACTION AGENDA ITEM ABSTRACT Meeting Date: January 19, 1993 SUBJECT: Community Health Advocacy Program (CHAP) Kellogg Grant Award DEPARTMENT: HEALTH PUBLIC HEARING: Yes X No ATTACHMENT(S) : INFORMATION CONTACT: HEALTH DIRECTOR'S OFFICE X2411 1. Award letter from UNC-SPH 2. Award letter from Kellogg to UNC (with Attachments) TELEPHONE NUMBER: 3. Year-1 Budget Projection Hillsborough -732-8181 4. 4-Year Budget Projection Chapel Hill -968-4501 Mebane -227-2031 Durham -688-7331 PURPOSE: To accept.a four-year grant from the Kellogg Foundation through the UNC School of Public Health to develop a Community Health Advocacy Program (CHAP) for the purpose of improving the health of minority populations in targeted communities. BACKGROUND: At the Board of Commissioners meeting of April 21, 1992, the Health Department was authorized to seek funding for the CHAP Program through the school of Public Health's Kellogg Foundation Grant Application. Enclosed is the notice of award from Kellogg to the UNC School of Public Health and the notice of a contractual award from UNC to the Orange County Health Department as fiscal agent for a coalition. This coalition includes the Health Department, the Joint Orange Chatham Community Action Agency (JOCCA) , the Orange Chatham Comprehensive Health Service (OCCHS) , the Cooperative Extension service (CES) , the UNC School of Public Health (UNC-SPH) and two community based organizations from the Efland community. The Orange County Coalition is part of a four-county consortium funded by Kellogg. The other counties are Chatham, Lee and Wake. The coalition agencies each have representatives on a steering committee charged with governing the Orange county project. The proposal outlines a method of encouraging communities to organize for the identification and solution of community health problems with the support and assistance of the coalition agencies. 2 The outcome and process objectives listed in the grant proposal, are as follows: OUTCOME OBJECTIVES: A. Reduce the indicators of tobacco, alcohol and drug abuse by 10% per year. B. Reduce the indicators of unwanted and unplanned pregnancies to the North Carolina State level. C. contingent upon additional, local funding, conduct at least one community wide health and development activity undertaken by community based organizations from Efland-Cheeks. D. Increase by 10% the number of students from targeted communities choosing advanced training in the health professions. E. For several health indicators, selected by the community advisory committee, reduce the disparity between the white and non-white sectors of the community. PROCESS OBJECTIVES: A. Recruit and train to 10 to 12 natural helpers from the Efland- Cheeks community as Community Health Advocates (CHA) by March 31, 1994 and an additional 10 to 12 by September 30, 1994 to provide the population of Efland-Cheeks with information and referral, emotional support and tangible assistance. B. Conduct an annual community health forum to identify and prioritize the health related concerns and to generate a list of intervention strategies that the community members have confidence will work. C. Facilitate the undertaking of a majority of the top ten strategies for projects by community based organizations, one of the coalition agencies, or by another organization. D. By year two, establish a program to introduce all 5th grade students from targeted communities to health careers and to track through high school those who express interest. Participate in the activities plan by the Wake AHEC for upward mobility of middle and upper school youth. The $285,408 dollars in the four-year grant will be used to support a full-time Health Educator and a half-time office Assistant, operating costs and sub-contracts to JOCCA and OCCHS for laision services. No matching county funds are required, however, continuation funding may be sought from the commissioners and other sources for a portion of the grant at the fourth year. Kellogg funded evaluation of the program is extensive and should provide justification for continuation funding, if the project is successful. RECOMMENDATION(S): The Manager recommends as follows: (1) The the grant funds from Kellogg via UNC-SPH be accepted (2) That time-limited, positions be established for a full-time Health Educator I and a half-time office Assistant. (3) That Orange County be authorized to enter into sub- contracts with JOCCA and OCCHS. 4 NC COMMUNITY BASED HEALTH INITIATIVE Orange County Coalition Revised Objectives OUTCOME OBJECTIVES A. Reduce the indicators of tobacco, alcohol and drug abuse by 10% per year. B. Reduce the indicators of unwanted and unplanned pregnancies to the North Carolina State level. C. Contingent upon additional, local funding, conduct at least one community wide health and development activity undertaken by community based organizations from Efland-Cheeks. D. Increase by 10% the number of students from targeted communities choosing advanced training in the health professions. E. For sereral health indicators, selected by the community advisory committee, reduce the disparity between the white and non- white sectors of the community. PROCESS OBJECTIVES A. Recruit and train 10 to 12 natural helpers from the Efland- Cheeks community as community health advocates (CHA) by March 31, 1994 and an additional 10 to 12 by September 30, 1994 to provide the populations of Efland-Cheeks with information and referral, emotional support and tangible assistance. B. Conduct an annual community health forum to identify and prioritize the health related concerns and to generate a list of intervention strategies that the community members have confidence will work. C. Facilitate the undertaking of a majority of the top ten strategies for projects by community based organizations, one of the coalition agencies, or by another organization. D. By year two, establish a program to introduce all 5th grade students from targeted communities to health careers and to track through high school those who express interest. Participate in the activities plan by the Wake AHEC for upward mobility of middle and upper school youth. 5 THE UNIVERSITY OF NORTH CAROLINA-- AT CHAPEL HILL School of Public Health CB#7400, Rosenau Hall Office of the Dean The University of North Carolina at Chapel Hill FAX(919)966.7141 Chapel Hill, N.C. 27599.7400 October 14, 1992 Ms. Jeannie Price Administrative Officer Orange County Health Department 300 West Tryon Street Hillsborough, NC 27278 Dear Ms. Price: We are pleased to inform you that the University of North Carolina at Chapel Hill School of Public.Health has been awarded a grant from the W. K. Kellogg Foundation for the Community-Based Public Health Initiative (CBPHI). A copy of the . award letter is enclosed. As you know, Orange County Health Department is a _ subcontractor.on this grant. To begin processing the subcontract, our Contracts and Grants Office will need 1) a detailed budget using the agreed upon format for the Kellogg pi oposal(see'attached) and'2) a-revised scope of work from your agency for year one. During the CBPHI Steering Committee meeting on September 21, 1992, all subcontractors agreed to prepare these documents for the November meeting of the committee. Orange County Health Department is represented by Dan Reimer. We look forward to working with you on this project. Iwo.; erely, IPP Eu:enia'a• • • • • - Professor Department of Health B- . -vior/ Health Education .)st-;;■ 771.1.ad Janice`Dodds Associate Professor Department of Nutrition EE/JD:sp • • 6 • YEAR ONE • BUDGET PROJECTION BY COUNTY COALITION AND ACADEMIC UNIT PERSONNEL Full Time Part Time Total Fringe Benefits TOTAL PERSONNEL COMMUNITY PROJECT SUPPORT OPERATING EXPENSES Training Supplies Telephone &Postage Printing&Advertising Travel Student Stipends Equipment Contracted Services TOTAL OPERATING TOTAL REQUESTED •••• po 1( ilf" RECEIVE I'/9 93 sip �b SEP 1 5 6992 OFFICE t3F SCH. GF PUBLIrE DEAN HEALTH Mr. H. Garland Hershey University of North Carolina at Chapel Hill • Office of the Vice Chancellor for Health Affairs Campus Box Number 8000 214 South Building Chapel Hill, NC 27599-8000 Dear Mr. Hershey: The W.K. Kellogg Foundation is pleased to provide a grant to the University of North Carolina at Chapel Hill in the amount of $2,250,000 to improve the health of Americans by reorienting public health professions education toward community-based health services. This letter is based on a proposal dated April 28, 1992, revised budget dated June 18, 1992, as well as 'your letter of support dated August 7, 1992. The project will run from October 1, 1992, through September 30, 1996, according to the following budget: Year 1 Year 2 Year 3 Year 4 Totals t�� �/ _' Personnel $ 83,400 4150,000 1150,000 $ 75,000 $ 458,400 WI�.KCL'WGG Tiraining 21,000 26,000 26,000 21,000 94,000 FOUNDATION olfies expenses 6,000 8,760 8,760 4,380 27,900 Travel 6,000 8,000 8,000 4,000 26,000 One Wichican • A8ri.ort committee 2,280 1,500 1,500 1,500 6,750 Avenue East Baffle Creek.MI tgaipeet 3,750 0 0 0 3,750 49017-4058 contracted serves Strengthening Strengthening Strengthening the USA 616-968-1611 Slack rally, Ina. 71,123 126,952 125,914 67,478 391,467 MD on site Orange County Health Tefer 4 028 Department 52,820 91.884 93,884 44,820 285,408 Facsimile 616-968-0413 Joint e'a Caeeeait7 Action h, >�!' 14,220 36,280 .. 36,250 29,476 160,196 Zee Conan•Ma1th .h _ .. .. •. . .. . Department 46,343 79,613;:. 76,426 50.366 214,170 , IMISC 67,694 121,692 123,692 63,281 • 320.959 •. !valuation 0 60,000 60,000 40,000 160,000 Totals • 4373,000 4736,653 $734.626 4403.521 $2,250,000 Forbeappkaftlad •kparledgebIlk • tan Aeepib 8 The first payment in the amount of $375,000 on this commitment will=be made on October 1, 1992. Prior to that date, we must receive a letter from you confirming agreement to this commitment letter, the enclosed "General Requirements," and the following conditions: 1. Funds provided by the Foundation shall be used exclusively for purposes specified in Section 170(c) (2) (B) of the Internal Revenue Code of 1986, as amended, or the corresponding provision of any future United States internal revenue law (the "Code") and shall not be expended for any activity described in Section 4945(d) (1) or (2) of the Code. Generally, funds must be used exclusively for charitable, scientific, literary or educational purposes, and shall not be used to carry on propaganda or otherwise attempt to influence legislation or to influence the outcome of any specific public election or to carry on, directly or indirectly, any voter registration drive. 2. Funds provided by the Foundation will be accounted for separately in the business office of your organization and will be used only for the purposes specified in the aforementioned budget. If at the end of this commitment there remain any unexpended funds or if the program is terminated at any other time, the unexpended cash balance is to be returned to the Foundation and may not be transferred to any other fund. Advance Foundation approval must be requested in-writing for disbursements deviating from the line items of the approved budget. 3. At the end of each project period, your organization will provide the Foundation with a report which will include (a) a narrative progress report of the program, including the progress in planning and executing project evaluation and the result of that evaluation to date focusing on the important questions for evaluation established for your project; and (b) a statement of expenses, prepared on the Foundation's Report Form, reflecting any unexpended funds, and certified correct by the Chief financial officer of your organization. The financial statements to the Foundation should report expenditures according to the line items in the aforementioned budget using consistent accounting practices'jcash or accrual) throughout the commitment. A • final report is to be provided to the Foundation not later than--three months-after:AA= close of the grant, unless an extension has .been granted. 4. No part of these funds shall be paid to any Kellogg Foundation Trustee, officer, or employee for any purpose. S. Your organization's records and supporting documents related to this grant will be made available for audit at the request and expense of the Foundation. • 6. Your organization is a governmental unit or an organization described under Internal Revenue Code -(IRC) section 501(c) (3) and is not a private foundation within the meaning of IRC Section 509(a) (1) , (2) , or (3) . This commitment does not change your statue under IRC Section 509(a) . You will notify the Foundation immediately of any change in your tax status, including any substantial or material change in your sources of support for any taxable year affected by this commitment, within the meaning of IRS Treasury Regulation S1.170A-9. Please refer to the important "Evaluation Questions" for your project and "Annual Progress Report Guidelines" (enclosed) which are necessary for preparing your annual report(s) . We believe it is important for you to acquaint the public with your project and encourage you to prepare a news release announcing the grant. If you choose to do so, you may find the news release guidelines sent to the project director to be helpful. If you would like assistance, please call our Communications Office. We would appreciate receiving a final copy of any news release you prepare. • We are proud to be associated with the University of North Carolina at Chapel Hill in this significant endeavor. Sincerely, Uranga McIt , DMD, MPH P •. am Director \J SUM/arb 00000004/WEEP'PROD/P0007935 Enclosures - General Requirement* Evaluation Questions Annual Progress Report Guidelines News Release Guidelines cc: Michel Ibrahim, M.D. 10 • • General Requirements The following general requirements also apply to Kellogg Foundation grants: 1. Successive payments under this commitment will be contingent upon(a)receipt of an annual report with a projection of plans and a line-item budget for the succeeding year,and(b)a demonstration to the Foundation of satisfactory progress in relation to the stated objectives of the project during the preceding year. 2. Any unexpended cash funds remaining from the Foundation payment at the dose of each project year will be deducted from the payment for each successive year. The Foundation will consider requests,included in subsequent annual budgets,to use these unexpended funds for purposes consis- tent with the original goals of this project. 3. Increases in salaries and in fringe benefits beyond the level approved in the bud t ry osal are to be determined and provided by your institution from sources other than Kellogg Foundation funds as part of the financial take-over in subsequent years. It is understood that any increases shown in the salary and fringe benefit line item of the budget reflect additional staff and staff time rather than salary increments. 4. Your institution agrees to disseminate through established channels of communication,or by special reports,pertinent information relating to the results,findings,or methods developed through this commitment. . .� ter.. ,--:= -S. Nopublications,instructional modules,or other products developed in connection with this project will provide royalties or otherwise inure to the personal benefit of individuals connected with this activity. 6. If funds are included in this commitment for fellowships,please note that the Foundation has a special interest in these individual awards. We would like to establish personal contact with the Fellows chosen under projects we are assisting. Mr.Robert DeVrles,Program Director,will be writing to you.for your assistance in providing information about these Fellows so that we can issue them a Fellowship Certificate at the completion of their studies. Persons may be referred to by you as Kellogg Fellows if they receive Kellogg Foundation funds for a graduate learning experience(actual study program)of at least a semester or summer session. We will appreciate your assistance in providing this information to Mr.DeVries. 7. If any funds from this commitment are to be used as awards to individuals,these awards are to g�byyour institution,In accordance with your established policies with resulting Payments being on an objective and no ndiscriarinatory basis. The Kellogg Foundatio will participate ins way in the selection of the r dpients of sr h awards or grants,nor.in the making of _ -payn1 ntsmo iL lividuals. . • • �••csx� • 4- i r- y) lr- 11 --)9 9 / EVALUATION QUESTIONS _ .• To provide for our mutual evaluation of the reports should address, but not be 1 t Proect, annual progress questions: invited to, these important 1. What is the nature of the consortium' partnership? leadership? s membership? p 2. What roles are the academic, practice, and community partners actually filling or serving? 3. Of the original WKip criteria which were most full which dropped, when and why? Y implemented, 4. What outcomes have been achieved organization, .involvement and in terms of community self-sufficiency in public health? 5. What is the evidence of sustained collaboration between constituent groups? en the three 6. What has been the enrollment of co nit youth) within the health and helping Y people (including P g professions? 7' Now many community people have been _ and -focal:-health a hired on university faculty 9ency staffs? 8.: What is the satisfaction of training experiences and the relevance of theirtrainin their practice? g to • 9. What has been the satisfaction level with the preparation for public health practice? graduate s 10. What changes are documented by status indicators? the individual consortia in health __ T • • �I r a CBPHI-KELLOGG-ORANGE COUNTY COALITION A. Personnel Proposed AWARDED Y1,11 YR 2 YR 3 Yn 4 T_OI AL 1.Full lime: Project Director(public Health Educator II) 30,000 15,000 30,000 30,000 13,950 88,950 2. Part time: Office Assistant ll(50%) 10,000 5,000 10,000 10,000 4,650 29,650 3. Fringe Benefils:(S0%) 12,000 6.000 12,000 12.000 5,500 35.500 Subtotal Personnel -; 52,000 26,000 52,000 52,000 24,100 154,100 ' 13. Community Ileailh Project Support 4,000 0 0 0 0 0 C. Operational Expenses 1.Tralning 1,500 750 1,000 1,000 500 3,250 2.Travel 1,350 700 1,143 1,143 600 3,586 3.Telephone/postage 500 250 500 500 250 1.500 4.8uppliesidupllcatlag 2,500 1,250 2,000 2,000 1,000 6,250 5.Furniture and equipment 8,000 5.000 0 0 0 5.000 Subtotal Operational 13,850 7,950 4,643 4,643 2,350 19,586 D. Contracted Services JOCCA- Community Outreach Worker 18,588 9,294 18,588 18,588 9,294 55,764 Fringe l 3,253 1,626 3,253 3,253 1,626 9,758 Community Project Support 51500 0 0 0 0 0 Travel 900 450 900 900 450 2,700 Operational expense 2,000 1,000 2.000 2,000 1.000 6.000 Subtotal-JOCCA 30,241 12,370 24,741 24,741 12,370 74,222 OCCI-15- project Llaison(33%) 11,200 5,600 11,200 11,200 5,600 33,600 Travel 800 400 600 600 200 1,800 Operational expense 1.000 500 700 700 200 2100 Subtotal-OCCNS 13,000 6,500 12,500 12,500 6,000 37,500 •�y Subtotal-Contracted Services 43,241 16,870 37,241 37,241 18,370 111,722 E. Total 113,091 52,820 93,884 93,684 44,820 285,408 N LOCAL HEALTH DEPARTMENT BUDGET 7 N.C.Department of Environment, ) V Health, and Natural Resources Revision Number Division of General Services SFy 93 Division of Epidemiology P. O.Number L2;/ 93 9/ 93 9 3 4 5 2 4 0 6 8 Effective Date Termination Date Contract Number Contractor: Orange County Health Department Activity: Immunization Action Plan Project Director: Daniel B. Reimer, Health Director Total Budget: $ 6,225 ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: Salaries & Fringe Benefits SA/FR 1000 6,225 X Operating Expenses OP EXP 2000 h Purchase of Equipment • EQUIP 5000 E General Contracted or N Purchased Services GENERAL ---6100 c S hool Health D Clinician Laboratory T Pharmacy ............ Transfe r - TXIX - R Subtotal State Expend. $ 6,225 E LOCAL EXPENDITURES: LOCAL EXP 9000 S TOTAL EXPENDITURES—equal to Total Receipts $ 6,225 LOCAL FUNDS: R Appropriation APPROP 101 E TXIX/SSBG Fees TXIX/SSBG 102 Other Receipts OTHR REC 103 C E Subtotal Local Funds $ STATE/FEDERAL/SPECIAL FUNDS: I P T S Subtotal State/Federal/Special $ 6,225 TOTAL RECEIPTS—equal to Total Expenditures $ 6,225 ,£A/Ad, 12-1-92 Local Authorized 0 icial Signatur/ Date Branch Had Division/Section Signature Date inl 12-1-92 Finance Officer Signature Date Fiscal Management Signature Date DEHNR 2948(Revised 2/92) General Services Division(Review 2/94) P � �-i9-Y3 AMENDMENT NUMBER 05 J P� to CONSOLIDATED CONTRACT ///0c9 between THE STATE and THE ORANGE COUNTY/DI'ST I - HEALTH DEPARTMENT This Contract covering the period from 12 1 92 to 6 30 93 (Month) (Day) (Year) (Month) (Day) (Year) is. hereby amended to add the following activities: ACTIVITIES Comp.Breast & Cervical Cancer Qtrol Immunization Action Plan 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 • 41 / William W. Cobey, Jr. , Secretary . Health Director Date By Finance Officer Date Department Head' s Signature or Authorized Agent I ! -/9-t3 Chairman of County , Date Commissioners / DEHNR 2946A (Revised 10/89 ) General Services Division (Review 10/90) V v N.C. Department of Environment, o -V l�J Health,and Natural Resources Revision Number 19 Division of General Services SFy 93 Division of Adult Health P. O.Number 12/1/ 92 12/30/93 9 3 5 4 5 2 0 6 8 Effective Date Termination Date Contract Number Contractor: Orange County Health Department Activity: COMP. Breast & Cervical Cancer Control Project Director: Daniel B. Reimer, Health Director Total Budget: $ 22,040 ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: - Salaries & Fringe Benefits SA/FR 1000 9,510 Operating Expenses OP EXP 2000 4,465 p Purchase of Equipment EQUIP 5000 E General Contracted or N . Purchased Services GENERAL 6100 2,5 5 5w::xw School Health .�>.�.:., S�: �" D Clinician CLN 6863 ;.:off:::„. .;: ::>�".: ;, ....�<:z.�i.':�' :•..: •..':. tea...::::»> ...,...:.:�..;:.t,..:.:::.,.::;::>.::::.;..:::;::.:.::.> >::;::>::�<:::;.::,;�:��:: Laboratory LAB 6862 Pharmacy Services tningiii :.:: ......... . :.fir<:<�.,�<.>;:><>: ;<.., U Transfer IX ..... ::: .::>;. E.:��.: .: ;. v TX IX Subtotal State Expend. $ 16,530 E LOCAL EXPENDITURES: _ LOCAL EXP 9000 : 5;510 S TOTAL EXPENDITURES—equal to Total Receipts $ 22,040 LOCAL FUNDS: R Appropriation APPROP 101 1•,885.. E TXIX/SSBG Fees TXIX/SSBG 102 --0= Other Receipts OTHR REC 103 3,625 C Subtotal Local Funds $ 5,510 E STATE/FEDERAL/SPECIAL FUNDS: I P $16,530 T S . Subtotal State/Federal/Special $ 16,530 TOTAL RECEIPTS—equal to Total Expenditures $ 22,040 Ault i l % / / //r-& Local Authorized Official Sign. r,r Date - Branch Head Division/Section Signature Date Initial Finance Officer Signature Date Accountant Fiscal Management Signature Date Initial DEHNR 2948(Revised 2/92) General Services Division(Review 2/94) . p, y))/.--JD /---/rq3 AMENDMENT NUMBER 4 to CONSOLIDATED CONTRACT between THE STATE and THE ORANGE COUNTY HEALTH DEPARTMENT This Contract covering the period from 7 1 92 6 30 93 • (Month) (Day) (Year) to (Month) (Day) (Year) is hereby. amended to add the following activities : ACTIVITIES 4510 CDC 5503 Health Promotion • All provisioins 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. CONTRACT SIGNATURES NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND . r NATURAL RESOURCES (///163 William W Cobey , Jr, Secretary Health Director Date By Finance Officer Date Department Head ' s Signature or Authorized Agent 1 / , 4/ / /r 9J Chairman of County Date DEHNR 2946A (REV , • ED 10/89 ) General Services Division (Review 10/90 ) LOCAL HEALTH DEPARTMENT BUDGET P )) )- 1). N.C.Department of Environment, 9.- J'3 Health, and Natural Resources Revision Number Q 1 Division of General Services SFY Division of Adult Health ----- P.O.Number 07 / 92 06 / 93 9 3 5 5 0 _3 0 6 8 Effective Date Termination Date Contract Number Contractor: Orange County Health Department Activity: Health Promotion Project Director: Daniel B. Reimer Total Budget: $ 3,914 ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: X Salaries & Fringe Benefits SA/FR 1000 Operating Expenses OP EXP 2000 3,914 P Purchase of Equipment EQUIP 5000 E General Contracted or Purchased Services GENERAL 6100 School Health :: H 'HL'IH <>; <><:�>� �,..... ..::::::: ::.....:.:�::. .... .:::... .. D Clinician ::> :' ....... I :.. Laboratory Pharmacy Services a h TX a s .. . . U Tr TX Transfer .. ... ':`:`36r 364.::;::;''><;<:;:;' ;':•; ` ' ': <:::.:::::: ::::�<:�: �:>>� '<::<�<>�;::: R Subtotal State Expend. $ 3,914 E LOCAL EXPENDITURES: LOCAL EXP 9000 S TOTAL EXPENDITURES—equal to Total Receipts $ 3,914 LOCAL FUNDS: R Appropriation APPROP 101 E TXIX/SSBG Fees TXIX/SSBG 102 Other Receipts OTHR REC 103 C Subtotal Local Funds $ STATE/FEDERAL/SPECIAL FUNDS: I P . T S Subtotal State/Federal/Special $ TOTAL RECEIPTS—equal to Total Expenditures $ 3,914 • 44411464- / //J Local Authorized Official i•'� . S � � e Date +H� Division/Section Signature Date barcial Finance Officer Signature Date ABM Fiscal Management Signature Date lakoal DE HNR 2948(Revised 2/92) General Services Division(Review 2/94) • LOCAL HEALTH DEPARTMENT BUDGET N.C.Department of Environment, 3 Health, and Natural Resources Revision Number—_ Division of General Services SFY Division of Epidemiology P.O.Number 07 / 92 06 / 93 9 3 4 5 1 0 0 6 8 Effective Date Termination Date Contract Number Contractor: Orange County Health Department Activity: Communicable Disease Project Director: Daniel B. Reimer Total Budget:$ 3,800 ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: X Salaries & Fringe Benefits SA/FR 1000 Operating Expenses OP EXP 2000 2,750 P Purchase of Equipment EQUIP 5000 E General Contracted or N Purchased Services GENERAL 6100 School Health D Clinician CLN 6863 I Laboratory LAB:.:;:::.:.:;.:: 6862::.:: Pharmacy Services RX SERV 6865 U Transfer TX IX R Subtotal State Expend. $ 3,800 E LOCAL EXPENDITURES: LOCAL EXP 9000 S TOTAL EXPENDITURES—equal to Total Receipts $ 3,800 LOCAL FUNDS: R Appropriation APPROP 101 E TXIX/SSBG Fees TXIX/SSBG 102 Other Receipts OTHR REC 103 C - E Subtotal Loral Funds $ .STATE/FEDERAL/SPECIAL FUNDS: I P T S Subtotal State/Federal/Special $ 3,800 TOTAL : CEIPTS—equal to Total Expenditures $ 3,800 ai eZ/Ad //f. - •W 'uthorized Official Signs., -i Date Division/Section Signature Date iftida Finance Officer Signature Date Fiscal Management Signature Date DEHNR 2948(Revised 2/90) General Services Division(Review 2/93)