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ATTACHMENT H. <br /> INDIAN RIVER COUNTY HEALTH DEPARTMENT <br /> Part 11 . Sources of Contributions to County Health Department <br /> October 1 , 2010 to September 30, 2011 <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 /> 007000 FIIV HOUSING FOR PEOPLE LIVING WITH AIDS 0 0 0 0 0 <br /> 007000 HIV INCIDENCE SURVEILLANCE 0 0 0 0 0 <br /> 007000 COLORECTAL CANCER SCREEN ING2009- 10 0 0 0 0 0 <br /> 007000 DIABETES PREVENTION & CONTROL PROGRAM 0 0 0 0 0 <br /> 007000 FAMILY PLANNING - TITLE X 0 0 0 0 0 <br /> 007000 FGTF/AIDS MORBIDITY 0 0 0 0 0 <br /> 007000 FGTF/BREAST & CERVICAL CANCER-ADMIN/CASE MAN 0 0 0 0 0 <br /> 007000 FGTF/FAMILY PLANNING TITLE X SPECIAL INITIATIVES 0 0 0 0 0 <br /> 015009 MEDIPASS WAIVER- FILTHY STRT CLIENT SERVICES 0 0 0 0 0 <br /> 015009 MEDIPASS WAIVER-SOBRA 0 0 0 0 0 <br /> 015075 SCHOOL HEALTH/SUPPLEMENTAL 98 ,347 0 98 , 347 0 98 ,347 <br /> 007055 ARRA Federal Grant - Schedule C 0 0 0 0 0 <br /> 015075 Inspections of Summer Feeding Program 0 0 0 0 0 <br /> FEDERAL FUNDS TOTAL 151605552 0 1 , 160, 552 0 11160, 552 <br /> 4, FEES ASSESSED BY STATE OR FEDERAL RULES - STATE <br /> 001020 TANNING FACILITIES 25129 0 2, 129 0 2° 129 <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 135481 0 13 ,481 0 135481 <br /> 001020 FOOD HYGIENE PERMIT 19,272 0 19,272 0 19,272 <br /> 001020 BIOHAZARD WASTE PERMIT 14, 590 0 14, 590 0 14, 590 <br /> 001020 PRIVATE WATER CONSTR PERMIT 0 0 0 0 0 <br /> 001020 PUBLIC WATER ANNUAL OPER PERMIT 31483 0 3 ,483 0 33483 <br /> 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 <br /> 001020 NON-SDWA SYSTEM PERMIT 0 0 0 0 0 <br /> 001020 SAFE DRINKING WATER 0 0 0 0 0 <br /> 001020 SWIMMING POOLS 541085 0 54,085 0 54, 085 <br /> 001092 OSDS PERMIT FEE 142, 164 0 142, 164 0 142, 164 <br /> 001092 I & 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 HEALTH FEES 5 ,285 0 5 ,285 0 53285 <br /> 001092 OSDS REPAIR PERMIT 0 0 0 0 0 <br /> 001 170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0 <br /> 001170 WATER ANALYSIS-POTABLE 0 0 0 0 0 <br /> 001 170 NONPOTABLE WATER ANALYSIS 0 0 0 0 0 <br /> 010304 MQA INSPECTION FEE 0 0 0 0 0 <br /> 001206 Central Office Surcharge 24,282 0 245282 0 24'282 <br /> FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 279 ,041 0 279 ,041 0 279 ,041 <br /> 5 , OTHER CASH CONTRIBUTIONS - STATE <br /> 010304 STATIONARY POLLUTANT STORAGE_ TANKS 94, 196 0 94, 196 0 94, 196 <br /> 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 349,606 0 34906 0 349, 606 <br /> OTHER CASH CONTRIBUTIONS TOTAL 44302 0 443 , 802 0 443 , 802 <br /> Version : 4 Page 3 of 7 <br />