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ATTACHMENT II
<br />INDIAN RIVER COUNTY HEALTH DEPARTMENT A TRUE COPY
<br />:ERTIFICATION ON LAST PAGE
<br />Part If, Sources of Contributions to County Health Department '?YAN L. SUTLER, CLERK
<br />October 1, 2023 to September 30, 2024
<br />001206 TANNING FACILITIES
<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 />031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
<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 />ALLOCABLE REVENUE TOTAL
<br />8. 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 />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 />001077 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
<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 />001090 CHD CLINIC FEES
<br />010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT
<br />010300 MIGRANT LABOR HOUSING INSPECTION H -2A PROGRAM
<br />011000 BLUE FOUNDATION COUNTY GRANTS
<br />011000 REVENUE CONTRACT/MOA W/NO REPORTING REQUIREMENT
<br />011000 HEALTHY START NURSE FAM PARTNERSHIP EXPAND CHD
<br />State CHD
<br />County
<br />Total CHD
<br />Trust Fund
<br />CHD
<br />Trust Fund
<br />Other
<br />(cash)
<br />Trust Fund
<br />(cash)
<br />Contribution
<br />Total
<br />300
<br />0
<br />300
<br />0
<br />300
<br />1,565
<br />0
<br />1,565
<br />0
<br />1,565
<br />1,811
<br />0
<br />1,811
<br />0
<br />1,811
<br />505,814
<br />0
<br />505,814
<br />0
<br />505,814
<br />20,721
<br />0
<br />20,721
<br />0
<br />20,721
<br />313,845
<br />0
<br />313,845
<br />0
<br />313,845
<br />334,566
<br />0
<br />334,566
<br />0
<br />334,566
<br />0
<br />8,935
<br />8,935
<br />0
<br />8,935
<br />0
<br />21,280
<br />21,280
<br />0
<br />21,280
<br />0
<br />30,215
<br />30,215
<br />0
<br />30,215
<br />7,122
<br />0
<br />7,122
<br />0
<br />7,122
<br />7,122
<br />0
<br />7,122
<br />0
<br />7,122
<br />0
<br />0
<br />0
<br />416,874
<br />416,874
<br />0
<br />0
<br />0
<br />784
<br />784
<br />0
<br />0
<br />0
<br />2,555,183
<br />2,555,183
<br />0
<br />0
<br />0
<br />18,135
<br />18,135
<br />0
<br />0
<br />0
<br />48,623
<br />48,623
<br />0
<br />0
<br />0
<br />3,039,599
<br />3,039,599
<br />0
<br />775,604
<br />775,604
<br />0
<br />775,604
<br />0
<br />775,604
<br />775,604
<br />0
<br />775,604
<br />0
<br />345
<br />345
<br />0
<br />345
<br />0
<br />280
<br />280
<br />0
<br />280
<br />0
<br />266,626
<br />266,626
<br />0
<br />266,626
<br />0
<br />280,000
<br />280,000
<br />0
<br />280,000
<br />0
<br />547,251
<br />547,251
<br />0
<br />547,251
<br />0
<br />10,306
<br />10,306
<br />0
<br />10,306
<br />0
<br />4,780
<br />4,780
<br />0
<br />4,780
<br />0
<br />2,254
<br />2,254
<br />0
<br />2,254
<br />0
<br />1,782
<br />1,782
<br />0
<br />1,782
<br />0
<br />95,000
<br />95,000
<br />0
<br />95,000
<br />0
<br />20,502
<br />20,502
<br />0
<br />20,502
<br />0
<br />92,292
<br />92,292
<br />0
<br />92,292
<br />Attachment_II_Part_II - Page 2 of 3
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