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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 /> 10 . FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY <br /> 001077 Cl IILD CAR SEAT FROG 0 p <br /> 0 0 0 <br /> 001077 PERSONAL HEAL'T' H FEES 0 312 ,793 312 ,793 0 3129793 <br /> 001077 AIDS CO- PAYS 0 0 <br /> 0 0 0 <br /> 001094 ADULT ENTER. PERMIT FEES 0 0 0 0 0 <br /> 001094 LOCAL ORDINANCE FEES 0 709212 <br /> 70,212 0 70.212 <br /> 001114 NEW BIRTH CERTIFICATES 0 41 , 620 419620 0 414620 <br /> 001115 Vital Statistics - Death Certificate 0 157. 673 157 , 673 0 157 , 673 <br /> 001117 VITAL STATS-ADM . FEE 50 CENTS 0 21343 2 .343 0 21343 <br /> 001073 Co-Pay for the AIDS Care Program 0 00 0 0 <br /> 001025 Client Revenue from GRC 0 0 <br /> 0 0 0 <br /> 001040 Cell Phone Administrative FCC 0 0 0 0 0 <br /> FEES AUTHORIZED BY COUNTY TOTAL 0 586 , 849 586.849 0 586 , 849 <br /> 11 . OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY <br /> 001009 RETURNED CHECK ITEM 0 0 0 0 0 <br /> 001029 THIRD PARTY RF. IMBURSEMEN ' I' 0 95 , 141 95 , 141 0 95 , 141 <br /> 001029 HEALTH MAINTENANCE ORGAN ( I IMO) 0 0 0 0 0 <br /> 001054 MEDICARE PART D 0 0 0 0 0 <br /> 001077 RYAN W11ITE TITLE 11 0 0 0 0 0 <br /> 001090 MEDICARE PARI' B 0 36 ,907 36, 907 0 36. 907 <br /> 001190 Health Maintenance Organization 0 0 0 0 0 <br /> 005040 IN FERES"l� EARNED 0 9. 600 9 , 600 0 91600 <br /> 005041 INTEREST EARNED-STATE INVE'STMEN 'F ACCOUNT 0 0 0 0 0 <br /> 007010 U . S . GRANTS DIRECT 0 0 0 0 0 <br /> 008010 Contribution from City Government 0 0 0 0 0 <br /> 008020 Contribution lrom Health Care Fax not thru BCC 0 1176092 1 , 764 , 992 0 1 , 764, 992 <br /> 008050 School Board Contribution 0 0 0 0 0 <br /> 008060 Special Project Contribution 0 0 0 0 0 <br /> 010300 SALT OF GOODS AND SERVICES TO STATE AGENCIES 0 0 0 0 0 <br /> 010301 EXP WITNESS FEE CONSUL"TNT CHARGES 0 0 0 0 0 <br /> 010405 SALE OF PHARMACEU "FICA14S 0 0 0 0 0 <br /> 010409 SALE OF GOODS OUTSIDE STATE GOVERNMENT 0 0 0 0 0 <br /> 011001 HFAErI' HY START COALITION CONTRIBUTIONS 0 475 , 795 475 ,795 0 475 , 795 <br /> 011007 CASA DONATIONS PRIVATE 0 0 0 0 0 <br /> 012020 FINES AND FORFEITURES 0 0 0 0 0 <br /> 012021 RETURN CHECK CHARGE 0 0 0 0 0 <br /> 028020 INSURANCE RECOVFRIES-OTHER 0 0 0 0 0 <br /> 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 318 , 139 319 , 139 0 318 , 139 <br /> 011000 GRANT DIRECT-NOVA UNIVERSITY C1 11) TRAINING 0 0 0 0 0 <br /> 011000 GRANT- DIRECF 0 0 0 0 0 <br /> 011000 GRAN '1 ' DIRECT-COUNTY HEALTI I DEPARTMENT DIRECT SERVICES 0 0 0 0 0 <br /> 011000 DIRECT-ARROW 0 0 0 0 0 <br /> 011000 GRANT- DIRECT 0 0 0 0 0 <br /> 011000 GRANT- DIRF. 0"F 0 0 0 0 0 <br /> 011000 GRANT DIRECT-QUANTUM DENTAL 0 0 0 0 0 <br /> 011000 GRANT DIRECT- HEALTH CARE DISTRICT PAIIOKEF 0 0 0 0 0 <br /> 011000 GRANT- DIRECT United Way Dental 0 42 , 500 42 , 500 0 42 , 500 <br /> 011000 GRANT-DIRECT St Johns Water 0 23 ,862 23 . 862 0 23 . 862 <br /> Version : 2 Page 5 of 6 <br />