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A' A€HmENT <br />�� ii':•�. '��J <br />7AN=RIVER° COUNTY.IHEALTH DEPARTME_. <br />�.: ..F:�c"� ia'%•:n i'F '�„'TY"_e`-a..h.l��ai.3 ��-4'i' �jY }�G:t <br />grt�II Source oethitiibutione;to:County-Health:Departmenti:-41 <br />.`M-�;.i57F-i: ••[ �'lac'¢R"'�,a?-"'�j:; "'iiar'+=,1?t ..�,»z: �*, =:fes trn.�.-',.,,.r"f, <br />403.tolier, ,,2015 to4Sep iiiik 30; 2016' <br />001206 TATTO PROGRAM ENVIRONMENTAL HEALTH <br />001206 MOBILE HOME & RV PARK FEES <br />FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL <br />5. OTHER CASH CONTRIBUTIONS - STATE• <br />090001 DRAW DOWN FROM PUBLIC HEALTH UNIT <br />OTHER CASH CONTRIBUTION TOTAL <br />6. MEDICAID - STATE/COUNTY <br />001057 CHD CLINIC FEES <br />001148 CHD CLINIC FEES <br />MEDICAID TOTAL <br />7 ALLOCABLE REVENUE - STATE: <br />018000 CHD GENERAL REVENUE NON -CATEGORICAL <br />ALLOCABLE REVENUE TOTAL <br />,.. <br />?,sT_4State <br />CHD,,,--;.; `�Total'CHD <br />s+ RF °T �r ^£tar. ew.x <br />;gTruet!Fund r`CHDt ~;TiuetFun <br />F'ui �.ft!!,-f-='."j, <br />,• (ca�h)?� Tiuet Func12,� ;,-(cae <br />M 1; <br />8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE <br />ADAP <br />PHARMACY DRUG PROGRAM <br />WIC PROGRAM <br />BUREAU OF PUBLIC HEALTH LABORATORIES <br />IMMUNIZATIONS <br />OTHER STATE CONTRIBUTIONS TOTAL <br />9 DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT <br />008005 HUMAN AND CHILDRENS SERVICES PROGRAM <br />008005 CHD FEDERAL & LOCAL INDIRECT EARNINGS <br />008020 CHD LOCAL REVENUE & EXPENDITURES <br />008040 CHD LOCAL REVENUE & EXPENDITURES <br />DIRECT COUNTY CONTRIBUTIONS TOTAL <br />10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY <br />001025 CHD CLINIC FEES <br />001077 CHD CLINIC FEES <br />001094 CHD LOCAL ENVIRONMENTAL FEES <br />001110 VITAL STATISTICS CERTIFIED RECORDS <br />FEES AUTHORIZED BY COUNTY TOTAL <br />11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY <br />001029 CHD CLINIC FEES <br />001090 CHD CLINIC FEES <br />004010 CHD CLINIC FEES - <br />005000 CHD LOCAL REVENUE & EXPENDITURES <br />010400 CHD CLINIC FEES <br />700 <br />1,620 <br />423,449 <br />0 <br />99,500 <br />99,500 <br />0 700 <br />0 1,620 <br />0 423,449 <br />0 <br />0 <br />0 <br />O 306,283 <br />0 787,007 <br />O 1,093,290 <br />0 <br />99,500 <br />99,500 <br />306,283 <br />787,007 <br />1,093,290 <br />500 0 500 <br />500 0 500 <br />O 0 0 <br />O 0 0 <br />o 0 0 <br />O 0 0 <br />0 0 0 <br />0 0 0 <br />0 59,945 59,945 <br />O 10,568 10,568 <br />O 1,948, 380 1,948, 380 <br />O 561,247 561,247 <br />0 2,580,140 2,580,140 <br />0 6,189 6,189 <br />0 339,934 339,934 <br />O 90,666 90,666 <br />0 217,885 217,885 <br />0 654,674 654,674 <br />O 120,601 120,601 <br />O 42,408 42,408 <br />0 20 20 <br />0 15,467 15,467 <br />O 1,811 1,811 <br />.4Other i 4 <br />COIItributlon* sig P{ iTOtal'i <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />700 <br />1,620 <br />423,449 <br />0 <br />99,500 <br />99,500 <br />0 306,283 <br />0 787,007 <br />0 1,093,290 <br />0 <br />0 <br />227,339 <br />75,553 <br />1,967,472 <br />21,806 <br />476,775 <br />2,768,945 <br />500 <br />500 <br />227,339 <br />75,553 <br />1,967,472 <br />21,806 <br />476,775 <br />2,768,945 <br />0 59,945 <br />0 10,568 <br />0 1,948,380 <br />0 561,247 <br />0 2,580,140 <br />0 6,189 <br />0 339,934 <br />0 90,666 <br />0 217,885 <br />0 654,674 <br />0 <br />0 <br />0 <br />0 <br />0 <br />120,601 <br />42,408 <br />20 <br />15,467 <br />1,a1174 <br />Attachment_II Part_ll - Page 2 of 3 <br />