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A1TACBMINT II <br />nimbi RIS', COUNTY IMAM D ARTMENT <br />Part II, Samos a otCcOddbatumr to County Dopartmant <br />October 1, 2014 to September BO, 2015 <br />State CEEB Camay Total Cad <br />Fond UBD twit Fund Odor <br />Scam Tana Sunil Ipeoh) ContrO %n, .'Ytita1:. <br />001206 ONSITE SEWAGE TRAINING CENTER 984 0 984 0 984 <br />001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 336 0 336 0 336 <br />001206 MOBILE HOME & RV PARK FEES 1,944 0 1,944 0 1,944 <br />FRES ASSESSED BY STATE OR FEDERAL RULES TOTAL 376,267 6,447 381,714 0 381,714 <br />5. OTHER CASH CONTRIBUTIONS - STATE! <br />0 0 0 0 0 <br />090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 47,806 0 47,305 0 47,905 <br />OTHER CASH CONTRIBUTION TOTAL 0 0 0 0 0 <br />8. MEDICAID • STATE/COUNTY: <br />001078 CHD CLINIC FEES <br />001081 CHD CLINIC FEES <br />001082 CHD CLINIC FEES <br />001083 CHD CLINIC FEES <br />001087 CHD CLINIC FEES <br />001089 CHD CLINIC FEES <br />001192 CHD CLINIC FEES <br />001199 CED CLINIC FEES <br />MEDICAID TOTAL <br />O 24,347 24,347 0 24,347 <br />O 172,580 172,580 0 172,580 <br />0 194,400 194,400 0 194,400 <br />0 118,059 113,069 0 118,059 <br />0 82,839 82,839 0 82,939 <br />0 23,039 23,039 0 23,039 <br />0 287,394 287,394 0 287,394 <br />0 149,396 148,885 0 149,936 <br />O 980,493 990,499 0 990.498 <br />7. ALLOCABLE REVENUE • STATE: <br />018000 CRD GENERAL REVENUE NON -CATEGORICAL 1,000 0 1,000 0 1,000 <br />MEDICAID TOTAL 1,000 0 1,000 0 1,000 <br />8.OTHER STATE CONTRIBUTIONS NOT IN CBD TRUST FUND • STATE <br />ADAP 0 0 0 246,300 246,300 <br />PHARMACY DRUG PROGRAM 0 0 0 68.898 63,639 <br />STD 0 0 0 0 0 <br />WIC PROGRAM 0 0 0 1,873,130 1,873,133 <br />BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 86,198 36,198 <br />IMMUNIZATIONS 0 0 0 354,724 354,724 <br />OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2,573,985 2,673,985 <br />9. DIRECT LOCAL CONTRIBUTIONS - BCCP AX DISTRICT <br />008020 CHIT LOCAL REVENUE & EXPENDITURES 0 L948,380 1,948,380 0 1,948,980 <br />008034 CIED LOCAL REVENUE & EXPENDITURES 0 534,521 634,521 0 634,521 <br />008040 HUMAN AND CHD,DRENS SERVICES PROGRAM 0 84,949 84,949 0 84,949 <br />008040 CHD FEDERAL & LOCAL INDIRECT EARNINGS 0 0 0 0 0 <br />DIRECT COUNTY CONTRIBUTIONS TOTAL 0 2,567,850 2,567,850 0 2,667,850 <br />10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY <br />D01080 VITAL STATISTICS CERTIFU.D RECORDS 0 93D 990 0 930 <br />001077 CUD CLINIC FEES 0 425,505 425,505 0 425,505 <br />001094 CHD STATEWIDE ENVIRONMENTAL FEES 0 75,805 75,805 0 75,806 <br />127 <br />Pepe 2 of 3 <br />