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ATTACHMENT II.
<br /> INDIAN RIVER COUNTY HEALTH DEPARTMENT
<br /> Part II. Sources of Contributions to County Health Department
<br /> October 1 , 2011 to September 30, 2012
<br /> State CHD County Total CHD
<br /> Trust Fund CHD Trust Fund Other
<br /> (cash) Trust Fund (cash) Contribution Total
<br /> 3 . FEDERAL FUNDS - State
<br /> 015075 ON SITE SEWAGE TREA' T' MENT & DISPOSAL SYS'T' EM 0 0 0 0 0
<br /> 015075 SCI TOOL HEALFH TITLE XXI 1529396 0 152 , 396 0 152 ,396
<br /> FEDERAL FUNDS TOTAL 1 , 129, 831 0 1 , 129, 831 0 1 , 1294831
<br /> 4 . FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
<br /> 001020 TANNING FACILITIES 2 ,214 0
<br /> 2 ,214 0 21214
<br /> 001020 BODY PIERCING 270 0 270 0 270
<br /> 001020 MIGRANT HOUSING PERMIT 0 0 0 0 0
<br /> 001020 MOBILE HOME AND PARKS 13 , 870 0 134870 0 13 ,870
<br /> 001020 FOOD HYGIENE PERMIT 16 ,798 0 16 , 798 0 16,798
<br /> 001020 BIOHAZARD WASTE PERMIT 15 , 530 0 15 , 530 0 151530
<br /> 001020 PRIVATE WAFER CON STR PERMIT 0 0 0 0 0
<br /> 001020 PUBLIC WATER ANNUAL OPER PERMIT 3 ,441 0 3 ,441 0 3 ,441
<br /> 001020 PUBLIC WATER CONSFR PERMIT 0 0 0 0 0
<br /> 001020 NON -SDWA SYSTEM PERMI "1' 0 0 0 0 0
<br /> 001020 SAFE DRINKING WATER 0 0 0 0 0
<br /> 001020 SWIMMING POOLS 54 , 085 0 54, 085 0 54, 085
<br /> 001092 OSDS PERMI I FEE 204 , 124 0 204. 124 0 204, 124
<br /> 001092 1 & M ZONED OPERATING PERMIT 0 0 0 0 0
<br /> 001092 AEROBIC OPERATING PERMIT 0 0 0 0 0
<br /> 001092 SEPTIC TANK SITE EVALUATION 0 0 0 0 0
<br /> 001092 NON SDWA LAB SAMPLE 0 0 0 0 0
<br /> 001092 OSDS VARIANCE FEE 0 0 0 0 0
<br /> 001092 ENVIRONMENTAL HEALTFI FEES 1 ,420 0 1 ,420 0 1 ,420
<br /> 001092 OSDS REPAIR PERMIT 0 0 0 0 0
<br /> 001170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0
<br /> 001 170 WATER ANALYSIS-POTABLE 0 0 0 0 0
<br /> 001 170 NONPOTABLE WAFER ANALYSIS 0 0 0 0 0
<br /> 010304 INSPECTION FF. E 34678 0 3 , 678 0 3 , 678
<br /> 001206 Central OfficC Surcharge 32 ,483 0 32,483 0 32.483
<br /> FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 347 ,913 0 347913 0 347 , 913
<br /> 5. OTHER CASH CONTRIBUTIONS - STATE
<br /> 010304 STATIONARY POLLUTAN "I S' T'ORAGE FANKS 60. 717 0 60, 717 0 60 , 717
<br /> 090001 DRAWDOWN FROM PUBLIC I IFALFH )INTI 273 . 707 0 273 707 0 2731707
<br /> OTHER CASH CONTRIBUTIONS TOTAL 334,424 0 334 ,424 0 334,424
<br /> 6. MEDICAID - STATE/COUNTY
<br /> 001056 MEDICAID PHARMACY 0 0 0 0 0
<br /> 001076 MEDICAID TB 0 0 0 0 0
<br /> 001078 MEDICAID ADMINIS"IRAFION OF VACCINE 21 .432 21 ,432 42 , 864 0 42 ,864
<br /> 001079 MEDICAID CASE MANAGEMENT 0 0 0 0 0
<br /> 001081 MEDICAID CI IILD HEALTH CHECK UP 138 , 866 176,308 315 , 174 0 315 , 174
<br /> 001082 MEDICAID DENTAL 188,968 239, 919 428 . 887 0 428 , 887
<br /> 001083 MEDICAID FAMILY PLANNING 17,297 155 ,669 172,966 0 172 . 966
<br /> 001087 MEDICAID STD 20 , 602 26, 158 46, 760 0 46 , 760
<br /> 001089 MEDICAID AIDS 10, 548 13 ,393 23 .941 0 23 ,941
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