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ATTAINT II <br />M AN RIVER COUNTY HEALTH DEPARTMENT <br />Pert U. B Mnm of Coutdbuiions to County Health Dsparism mt <br />Oetober I, 2014 to SWUmber 80, 2I16 <br />Stale CHD County Total CHD <br />Timet Fund CHD Trust Fund Other <br />6W Trust Fund flus Combibution <br />001114 VITAL STATISTICS CERTIFIED RECORDS 0 32,903 32,903 0 <br />001115 VITAL STATISTICS CERTIFIED RECORDS 0 165,172 165,172 0 <br />001117 VITAL STATISTICS CERTIFIED RECORDS 0 1,867 1,867 0 <br />FEES AUTHORIZED BY COUNTY TOTAL 0 702,182 702,182 0 <br />11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY <br />001029 CHD CLINIC FEES <br />001090 CHD CLINIC FEES <br />005041 CHI) LOCAL REVENUE & EXPENDITURES <br />011000 CHD CLINIC FEES <br />011000 CHD CASH DONATION / NON-SPECIFIC <br />011000 CHD GENERAL REVENUE NON -CATEGORICAL <br />011000 ST JOHNS RIVER WATER MANAGEMENT DISTRICT <br />011000 UNITED WAY CONTRACTS WITH CHDS <br />011001 CHI) HEALTHY START COALITION CONTRACT <br />090002 DRAW DOWN FROM PUBLIC HEALTH UNIT <br />OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL <br />12. ALLOCABLE REVENUE - COUNTY <br />COUNTY ALLOCABLE REVENUE TOTAL <br />13. BUILDINGS - COUNTY <br />ANNUAL RENTAL EQUIVALENT VALUE <br />OTHER (Specify) <br />UTILITIES <br />BUILDING MAINTENANCE <br />GROUNDS MAINTENANCE <br />INSURANCE <br />OTHER (Specify) <br />OTHER (Specify) <br />BUILDINGS TOTAL <br />14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND, COUNTY <br />EQUIPMENT / VEHICLE PURCHASES <br />VEHICLE INSURANCE <br />VEHICLE MAINTENANCE <br />OTHER COUNTY CONTRIBUTION (SPECIFY) <br />OTHER COUNTY CONTRIBUTION (SPECIFY) <br />OTHER COUNTY CONTRIBUTIONS TOTAL <br />GRAND TOTAL CHD PROGRAM <br />Tutsi <br />32,903 <br />165,172 <br />1,867 <br />702,182 <br />0 103,084 <br />103,084 <br />0 <br />103,084 <br />0 60,509 <br />60,509 <br />0 <br />60,509 <br />0 3,800 <br />3,800 <br />0 <br />3,800 <br />0 1,936 <br />1,936 <br />0 <br />1,936 <br />0 2,000 <br />2,000 <br />0 <br />2,000 <br />50 0 <br />50 <br />0 <br />50 <br />0 11,297 <br />11,297 <br />0 <br />11,297 <br />0 45,500 <br />45,500 <br />0 <br />45,500 <br />0 2,520 <br />2,520 <br />0 <br />2,520 <br />0 262,291 <br />262,291 <br />0 <br />262,291 <br />50 492,937 <br />492,987 <br />0 <br />492,987 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />329,005 <br />329,005 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />181,645 <br />181,645 <br />0 0 <br />0 <br />127,663 <br />127,663 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />638,313 <br />638,313 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />0 0 <br />0 <br />0 <br />0 <br />3,416,879 4,759,909 8,176,7883,212,298 11,389,086 <br />Page 3 of 3 <br />