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ATTACHMENT II <br />0 <br />0 <br />INDIAN RIVER COUNTY HEALTH DEPARTMENT <br />0 <br />487,020 <br />Part II, Sources of Contributions to County Health Department <br />487,020 <br />October 1, 2021 to September 30, 2022 <br />487,020 <br />487,020 <br />State CHD County <br />Total CHD <br />0 <br />Trust Fund CHD <br />Trust Fund <br />Other <br />(cash) Trust Fund <br />(cash) <br />Contribution <br />001206 SEPT[C TA:NK RESEARCH SURCHARGE 7,142 0 <br />7,142 <br />0 <br />001206 PUBLIC SWIMMING POOL PERMIT FEES- 10% HQ TRANSFER 6,339 0 <br />6,339 <br />0 <br />001206 DRINKING WATER PROGRAM OPERATIONS 374 0 <br />374 <br />0 <br />001206 REGULATION OF BODY PIERCING SALONS 30 0 <br />30 <br />0 <br />001206 TANNING FACILITIES 190 0 <br />190 <br />0 <br />001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 1,070 0 <br />1,070 <br />0 <br />001206 MOBILE HOME & RV PARK FEES 1,540 0 <br />1,540 <br />0 <br />FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 563,928 0 <br />563,928 <br />0 <br />S. OTHER CASH CONTRIBUTIONS - STATE: <br />0 <br />0 <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 />001004 CHD STATEWIDE ENVIRONMENTAL FEES <br />031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES <br />ALLOCABLE REVENUE TOTAL <br />S. 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 PROGRAX1 <br />008005 CHD FEDERAL & LOCAL INDIRECT EARNINGS <br />008040 CHD LOCAL REVENUE & EXPENDITURES <br />DIRECT COUNTY CONTRIBUTIONS TOTAL <br />10, FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION COUNTY <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 />Total <br />7,142 <br />6,339 <br />374 <br />30 <br />1.90 <br />1,070 <br />1,540 <br />563,928 <br />0 <br />0 <br />0 <br />0 <br />0 <br />487,020 <br />0 <br />487,020 <br />0 <br />487,020 <br />487,020 <br />0 <br />487,020 <br />0 <br />487,020 <br />0 <br />8,380 <br />8,380 <br />0 <br />8,380 <br />0 <br />41,149 <br />4.1,149 <br />0 <br />41,149 <br />0 <br />49,529 <br />49,529 <br />0 <br />49,529 <br />4,200 <br />0 <br />4.200 <br />0 <br />4.200 <br />10,00 <br />0 <br />10,000 <br />0 <br />10,000 <br />14.200 <br />0 <br />14,200 <br />0 <br />14.200 <br />0 <br />0 <br />0 <br />51,468 <br />51,468 <br />0 <br />0 <br />0 <br />350 <br />350 <br />0 <br />0 <br />0 <br />1,542,956 <br />1,542,956 <br />0 <br />0 <br />0 <br />18,135 <br />18.135 <br />0 <br />0 <br />0 <br />51,666 <br />51,666 <br />0 <br />0 <br />0 <br />1,664,575 <br />1,664,575 <br />0 <br />76,680 <br />76,680 <br />0 <br />76,680 <br />0 <br />14,061 <br />111,061 <br />0 <br />14,061, <br />0 <br />658,764 <br />658,764 <br />0 <br />658.764 <br />0 <br />749,505 <br />749,505 <br />0 <br />719,505 <br />0 <br />3,140 <br />3,140 <br />0 <br />3,140 <br />0 <br />270,031 <br />270,031 <br />0 <br />270,031 <br />0 <br />220,000 <br />220,000 <br />0 <br />220,000 <br />0 <br />493,171 <br />493,171 <br />0 <br />493.171 <br />0 8,188 8,188 096 8.188 <br />Attaehment_It_Part__II - Page 2 of 3 <br />