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ATTAINT H <br />INDIAN RIVER COUNTY HEALTH DEPARTMENT <br />Part A Seamen Of Coutr huboum to County health Ilep b=ut <br />Octobas L 2014 is Septamher 80, 2015 <br />State CHD Couaip Total CHD <br />Truss Fund CHD Trust Fund Other <br />(COW Trust Fund (cash} Contribution Total <br />001206 ONSITE SEWAGE TRAINING CENTER <br />984 <br />0 <br />984 <br />0 <br />984 <br />001206 TATTO PROGRAM ENVIRONMENTAL HEALTH <br />336 <br />0 <br />336 <br />0 <br />336 <br />001206 MOBILE HOME & RV PARK FEES <br />1,944 <br />0 <br />1,944 <br />0 <br />1,944 <br />FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL <br />375,267 <br />6,447 <br />381,714 <br />0 <br />381,714 <br />5. OTHER CASH CONTRIBUTIONS - STATE: <br />0 <br />0 <br />0 <br />0 <br />0 <br />090001 DRAW DOWN FROM PUBLIC HEALTH UNIT <br />47,305 <br />0 <br />47,305 <br />0 <br />47,305 <br />OTHER CASH CONTRIBUTION TOTAL <br />0 <br />0 <br />0 <br />0 <br />0 <br />6. MEDICAID - STATE/COUNTY, <br />001078 CHD CLINIC FEES <br />0 <br />24,347 <br />24,347 <br />0 <br />24,347 <br />001081 CHD CLINIC FEES <br />0 <br />172,580 <br />172,580 <br />0 <br />172,580 <br />001082 CHD CLINIC FEES <br />0 <br />194,400 <br />194,400 <br />0 <br />194,400 <br />001083 CHD CLINIC FEES <br />0 <br />113,059 <br />113,059 <br />0 <br />113,059 <br />001087 CHD CLINIC FEES <br />0 <br />32,339 <br />32,339 <br />0 <br />32,339 <br />001089 CHD CLINIC FEES <br />0 <br />23,039 <br />23,039 <br />0 <br />23,039 <br />001192 CHD CLINIC FEES <br />0 <br />287,394 <br />287,394 <br />0 <br />287,394 <br />001193 CHD CLINIC FEES <br />0 <br />143,335 <br />143,335 <br />0 <br />143,335 <br />MEDICAID TOTAL <br />0 <br />990,493 <br />990,493 <br />0 <br />990,493 <br />7 ALLOCABLE REVENUE - STATE: <br />018000 CHD GENERAL REVENUE NON -CATEGORICAL <br />1,000 <br />0 <br />1,000 <br />0 <br />1,000 <br />MEDICAID TOTAL <br />1.000 <br />0 <br />1,000 <br />0 <br />1,000 <br />8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE <br />ADAP <br />0 <br />0 <br />0 <br />246,300 <br />246,300 <br />PHARMACY DRUG PROGRAM <br />0 <br />0 <br />0 <br />63,633 <br />63,633 <br />STD <br />0 <br />0 <br />0 <br />0 <br />0 <br />WIC PROGRAM <br />0 <br />0 <br />0 <br />1,873,130 <br />1,873,130 <br />BUREAU OF PUBLIC HEALTH LABORATORIES <br />0 <br />0 <br />0 <br />36,198 <br />36,198 <br />IMMUNIZATIONS <br />0 <br />0 <br />0 <br />354,724 <br />354,724 <br />OTHER STATE CONTRD3UTIONSTOTAL <br />0 <br />0 <br />0 <br />2,573,985 <br />2,573,985 <br />9. DIRECT LOCAL CONTRIBUTIONS - BCCITAX DISTRICT <br />008020 CHD LOCAL REVENUE & EXPENDITURES <br />0 <br />1,948,380 <br />1,948,380 <br />0 <br />1,948,380 <br />008034 CHD LOCAL REVENUE & EXPENDITURES <br />0 <br />534,521 <br />534,521 <br />0 <br />534,521 <br />008040 HUMAN AND CHILDRENS SERVICES PROGRAM <br />0 <br />84,949 <br />84,949 <br />0 <br />84,949 <br />008040 CHD FEDERAL & LOCAL INDIRECT EARNINGS <br />0 <br />0 <br />0 <br />0 <br />0 <br />DIRECT COUNTY CONTRIBUTIONS TOTAL <br />0 <br />2,567,850 <br />2,567,850 <br />0 <br />2,567,850 <br />10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY <br />001060 VITAL STATISTICS CERTIFIED RECORDS <br />0 <br />930 <br />930 <br />0 <br />930 <br />001077 CHD CLINIC FEES <br />0 <br />425,505 <br />425,505 <br />0 <br />425,505 <br />001094 CHD STATEWIDE ENVIRONMENTAL FEES <br />0 <br />75,805 <br />75,805 <br />0 <br />75,805 <br />Page 2 of 3 <br />