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ATTACHMENT II <br />A TRUE COPY <br />INDIAN RIVER COUNTY HEALTH DEPARTMENT <br />CERTIFICATION ON LAST PAGE <br />F YAN L. <br />BUTLER, CLERK <br />Part II, Sources of Contributions to County Health Department <br />October 1, 2025 to September 30, 2026 <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 />FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL <br />505,270 <br />0 <br />505,270 <br />0 <br />505,270 <br />5. OTHER CASH CONTRIBUTIONS - STATE: <br />031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES <br />11,001 <br />0 <br />11,001 <br />0 <br />11,001 <br />090001 DRAW DOWN FROM PUBLIC HEALTH UNIT <br />0 <br />0 <br />0 <br />0 <br />0 <br />OTHER CASH CONTRIBUTION TOTAL <br />11,001 <br />0 <br />11,001 <br />0 <br />11,001 <br />6. MEDICAID - STATE/COUNTY <br />001057 CHD CLINIC FEES <br />0 <br />3,395 <br />3,395 <br />0 <br />3,395 <br />001148 CHD CLINIC FEES <br />0 <br />22,540 <br />22,540 <br />0 <br />22,540 <br />MEDICAID TOTAL <br />0 <br />25,935 <br />25,935 <br />0 <br />25,935 <br />7. ALLOCABLE REVENUE - STATE: <br />0 <br />0 <br />0 <br />0 <br />0 <br />ALLOCABLE REVENUE TOTAL <br />0 <br />0 <br />0 <br />0 <br />0 <br />8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE <br />ADAP <br />0 <br />0 <br />0 <br />279,623 <br />279,623 <br />PHARMACY DRUG PROGRAM <br />0 <br />0 <br />0 <br />1,348 <br />1,348 <br />WIC PROGRAM <br />0 <br />0 <br />0 <br />3,044,375 <br />3,044,375 <br />BUREAU OF PUBLIC HEALTH LABORATORIES <br />0 <br />0 <br />0 <br />3,325 <br />3,325 <br />IMMUNIZATIONS <br />0 <br />0 <br />0 <br />41,498 <br />41,498 <br />OTHER STATE CONTRIBUTIONS TOTAL <br />0 <br />0 <br />0 <br />3,370,169 <br />3,370,169 <br />9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT <br />008040 CHD LOCAL REVENUE & EXPENDITURES <br />0 <br />863,087 <br />863,087 <br />0 <br />863,087 <br />DIRECT COUNTY CONTRIBUTIONS TOTAL <br />0 <br />863,087 <br />863,087 <br />0 <br />863,087 <br />10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY <br />001077 CHD CLINIC FEES <br />0 <br />500 <br />500 <br />0 <br />500 <br />001094 CHD LOCAL ENVIRONMENTAL FEES <br />0 <br />379,838 <br />379,838 <br />0 <br />379,838 <br />001110 VITAL STATISTICS CERTIFIED RECORDS <br />0 <br />291,780 <br />291,780 <br />0 <br />291,780 <br />FEES AUTHORIZED BY COUNTY TOTAL <br />0 <br />672,118 <br />672,118 <br />0 <br />672,118 <br />11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY <br />001029 CHD CLINIC FEES <br />0 <br />4,200 <br />4,200 <br />0 <br />4,200 <br />001090 CHD CLINIC FEES <br />0 <br />2,425 <br />2,425 <br />0 <br />2,425 <br />010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT <br />0 <br />909 <br />909 <br />0 <br />909 <br />010300 MIGRANT LABOR HOUSING INSPECTION H -2A PROGRAM <br />0 <br />1,000 <br />1,000 <br />0 <br />1,000 <br />011000 BLUE FOUNDATION COUNTY GRANTS <br />0 <br />46,369 <br />46,369 <br />0 <br />46,369 <br />011000 REVENUE CONTRACUMOA W/NO REPORTING REQUIREMENT <br />0 <br />18,298 <br />18,298 <br />0 <br />18,298 <br />011001 CHD HEALTHY START COALITION CONTRACT <br />0 <br />2,090 <br />2,090 <br />0 <br />2,090 <br />090002 DRAW DOWN FROM PUBLIC HEALTH UNIT <br />0 <br />609,115 <br />609,115 <br />0 <br />609,115 <br />OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL <br />0 <br />684,406 <br />684,406 <br />0 <br />684,406 <br />12. ALLOCABLE REVENUE - COUNTY <br />0 0 0 0 0 <br />Attachment -11 -Part -11 - Page 2 of 3 <br />