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
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