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ATTACHMENT II
<br />A TRUE COPY
<br />INDIAN RIVER COUNTY HEALTH DEPARTMENT CERTIFICATION ON LAST PAGE
<br />RYAN L. BUTLER, CLERK
<br />Part II, Sources of Contributions to County Health Department
<br />October 1, 2024 to September 30, 2025
<br />State CHD County Total CHD
<br />Trust Fund CHD Trust Fund Other
<br />(cash) Trust Fund (cash) Contribution Total
<br />001206 TANNING FACILITIES 300 0 300 0 300
<br />001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 1,565 0 1,565 0 1,565
<br />001206 MOBILE HOME & RV PARK FEES 2,413 0 2,413 0 2,413
<br />FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 482,954 0 482,954 0 482,954
<br />5. OTHER CASH CONTRIBUTIONS - STATE:
<br />031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
<br />031005 CHD GENERAL REVENUE NON -CATEGORICAL
<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 />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 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 />011001 CHD HEALTHY START COALITION CONTRACT
<br />11,000
<br />0
<br />11,000
<br />0
<br />11,000
<br />0
<br />0
<br />0
<br />0
<br />0
<br />137,724
<br />0
<br />137,724
<br />0
<br />137,724
<br />148,724
<br />0
<br />148,724
<br />0
<br />148,724
<br />0
<br />5,284
<br />5,284
<br />0
<br />5,284
<br />0
<br />21,763
<br />21,763
<br />0
<br />21,763
<br />0
<br />27,047
<br />27,047
<br />0
<br />27,047
<br />9,564
<br />0
<br />9,564
<br />0
<br />9,564
<br />9,564
<br />0
<br />9,564
<br />0
<br />9,564
<br />0
<br />0
<br />0
<br />200,806
<br />200,806
<br />0
<br />0
<br />0
<br />1,298
<br />1,298
<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 />45,753
<br />45,753
<br />0
<br />0
<br />0
<br />2,821,175
<br />2,821,175
<br />0
<br />806,623
<br />806,623
<br />0
<br />806,623
<br />0
<br />806,623
<br />806,623
<br />0
<br />806,623
<br />0
<br />318
<br />318
<br />0
<br />318
<br />0
<br />277,347
<br />277,347
<br />0
<br />277,347
<br />0
<br />280,000
<br />280,000
<br />0
<br />280,000
<br />0
<br />557,665
<br />557,665
<br />0
<br />557,665
<br />0
<br />3,693
<br />3,693
<br />0
<br />3,693
<br />0
<br />2,576
<br />2,576
<br />0
<br />2,576
<br />0
<br />1,000
<br />1,000
<br />0
<br />1,000
<br />0
<br />70,000
<br />70,000
<br />0
<br />70,000
<br />0
<br />22,380
<br />22,380
<br />0
<br />22,380
<br />0
<br />99,512
<br />99,512
<br />0
<br />99,512
<br />0
<br />2,141
<br />2,141
<br />0
<br />2,141
<br />Attachment _II_Part_II - Page 2 of 3
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