III
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<br /> Part II Sources oCont ba��ansy��e h e�artme� M
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<br /> 3. FEDERAL FUNDS - State
<br /> 015009 MEDIPASS WAIVER-HLTHY STRT CLIENT SERVICES 0 0 0 0 0
<br /> 015009 MEDIPASS WAIVER-SOBRA 0 0 0 0 0
<br /> 007055 ARRA FEDERAL GRANT = SCHEDULE C 0 0 0 0 0
<br /> 015075 SCHOOL HEALTH TITLE XXI 1505068 0 150, 068 0 150,068
<br /> 015075 SUMMER FOOD PROGRAM INSPECTIONS 0 0 0 0 0
<br /> FEDERAL FUNDS TOTAL 1 , 172, 865 p
<br /> 1 , 172, 865 p 15172, 865
<br /> 4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
<br /> 001020 TANNING FACILITIES 2,239 0 2,239 0 21239
<br /> 001020 BODY PIERCING 270 0 270 0 270
<br /> 001020 TATTOO PERMIT 45446 0 43446 0 4,446
<br /> 001020 MOBILE HOME AND PARKS 153318 0 15 ,318 0 15,318
<br /> 001020 FOOD HYGIENE PERMIT 16,339 0 165339 0 161339
<br /> 001020 BIOHAZARD WASTE PERMIT 165645 0 16,645 0 16,645
<br /> 001020 PRIVATE WATER CONSTR PERMIT 0 p
<br /> 0 0 0
<br /> 001020 PUBLIC WATER ANNUAL OPER PERMIT 3 , 564 0 3 , 564 0 3 , 564
<br /> 001020 PUBLIC; WPTER 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 543085 0 54,085 0 54,085
<br /> 001092 OSDS PERMIT FEE 210,618 0 210618 0 210,618
<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 p
<br /> 0 0 0
<br /> 001092 ENVIRONMENTAL, HEALTH FEES 2, 575 p
<br /> 25575 0 21575
<br /> 001092 OSDS REPAIR PERMIT 0 0 0 0 0
<br /> 001170 LAB FEE CHEMICALANALYSIS 0 0 0 0 0
<br /> 001170 WATER ANALYSIS-POTABLE 0 p
<br /> 0 0 0
<br /> 001170 NONPOTABLE WATER ANALYSIS 0 0 0 0 0
<br /> 010304 MQA INSPECTION FEE 0 p
<br /> 0 0 0
<br /> 001206 CENTRAL OFFICE SURCHARGE 319973 0 31 ,973 0 31 ,973
<br /> FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 35813072 0 358,072 0 3581l072
<br /> 5. OTHER CASH CONTRIBUTIONS - STATE
<br /> 010304 STATIONARY POLLUTANT STORAGE TANKS 0 p
<br /> 0 0 0
<br /> 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 49,686 0 495686 0 49,686
<br /> OTHER CASH CONTRIBUTIONS TOTAL 49,686 0 493686 0 495686
<br /> 6. MEDICAID - STATE/COUNTY
<br /> 001056 MEDICAID PHARMACY 0 p
<br /> 0 0 0
<br /> 001076 MEDICAID TB 0 p
<br /> 0 0 0
<br /> 001078 MEDICAID ADMINISTRATION OF VACCINE 0 411l361 415361 0 415361
<br /> 001079 MEDICAID CASE MANAGEMENT 0 p
<br /> 0 0 0
<br /> 001081 MEDICAID CHILD HEALTH CHECK UP 0 385 ,998 385,998 0 3857998
<br /> 001082 MEDICAID DENTAL 0 3905093 390,093 0 390,093
<br /> /ersion : 1 Page 3 of 7
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