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INDIgirRIVER dOUN�'Y HE TH'rDEPARTMENT <br />y11 K..4F v.y�l 40 <br />PareilMourcas o f4Cori rigi a to County Heeith n <br />�rTSt�• +Ch'sf ft��sc n <br />•ber 120" September 80,`2018 {a <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 />660 <br />1,698 <br />437,509 <br />O 660 <br />O 1,698 <br />O 437,509 <br />0 <br />0 <br />0 <br />660 <br />1,698 <br />• 437,609 <br />o 0 0 0 0 <br />O 0 0 0 0 <br />O 0 0 0 0 <br />O 133,403 133,403 0 133,403 <br />O 1,056,737 1,056,737 0 1,056,737 <br />O 1,190,140 1,190,140 0 1,190,140 <br />7. ALLOCABLE REVENUE - STATE: <br />001004 CHD STATEWIDE ENVIRONMENTAL FEES 2,336 0 2,336 0 2,336 <br />031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES 15,000 0 15,000 0 15,000 <br />ALLOCABLE REVENUE TOTAL 17,336 0 17,336 0 17,336 <br />8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND • STATE <br />ADAP 0 0 0 148,203 148,203 <br />PHARMACY DRUG PROGRAM 0 0 0 13,486 13,486 <br />WIC PROGRAM 0 0 0 1,770,055 1,770,055 <br />BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 21,548 21,548 <br />IMMUNIZATIONS 0 0 0 309,449 309,449 <br />OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2,262,741 2,262,741 <br />9. DIRECT LOCAL CONTRIBUTIONS • BCC/TAX DISTRICT <br />008005 HUMAN AND CHILDRENS SERVICES PROGRAM 0 64,692 64,692 0 64,692 <br />008005 CHD FEDERAL & LOCAL INDIRECT EARNINGS 0 10,826 10,826 0 10,826 <br />008020 CHD LOCAL REVENUE & EXPENDITURES 0 2,027,787 2,027,787 0 2,027,787 <br />008040 CHD LOCAL REVENUE & EXPENDITURES 0 632,970 632,970 0 632,970 <br />DIRECT COUNTY CONTRIBUTIONS TOTAL 0 2,736,276 2,736,275 0 2,736,276 <br />10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY <br />001026 CHD CLINIC FEES 0 8,881 8,881 0 8,881 <br />001077 CHD CLINIC FEES 0 248,848 248,848 0 248,848 <br />001094 CHD LOCAL ENVIRONMENTAL FEES 0 90,286 90,286 0 90,286 <br />001110 VITAL STATISTICS CERTIFIED RECORDS 0 223,173 223,173 0 223,173 <br />FEES AUTHORIZED BY COUNTY TOTAL 0 571,188 671,188 0 671,188 <br />11, OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY <br />001029 CHD CLINIC FEES 0 92,625 92,625 0 92,625 <br />001090 CHD CLINTC FEES 0 37,333 37,333 0 37,333 <br />006000 CHD LOCAL REVENUE & EXPENDITURES 0 6,920 6,920 0 6,920 <br />010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 1,675 1,675 0 1,675 <br />AttachmenLll_ParLll - Page 2 of 3 <br />P225 <br />