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
•
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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
•
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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. .
•
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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
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�I
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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)