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2015-166
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Last modified
3/30/2017 4:38:42 PM
Creation date
10/8/2015 1:18:00 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/15/2015
Control Number
2015-166
Agenda Item Number
8.R.
Entity Name
Florida Dept. of Health
Indian River County Health Department
Subject
Contract
Year 2015-2016
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ATTACHMENT II <br />INDIAN RIVER COUNTY HEALTH DEPARTMENT <br />Part II, Sources of Contributions to County Health Department <br />October 1, 2015 to September 30, 2016 <br />State CHD County Total CHD <br />Trust Fund CHD Trust Fund Other <br />(cash) Trust Fund (cash) Contribution Total <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 />700 <br />1.620 <br />423.449 <br />O 700 <br />O 1.620 <br />O 423,449 <br />0 <br />0 <br />0 <br />700 <br />1.620 <br />423.449 <br />O 0 0 0 0 <br />99.500 0 99 500 0 99.500 <br />99,500 0 99.500 0 99.500 <br />O 306,283 306.283 0 306.283 <br />O 787,007 787 007 0 787 007 <br />0 1,093,290 1.093,290 0 1,093.290 <br />7 ALLOCABLE REVENUE - STATE: <br />018000 CHD GENERAL REVENUE NON -CATEGORICAL 500 0 500 0 500 <br />ALLOCABLE REVENUE TOTAL 500 0 500 0 500 <br />8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND • STATE <br />ADAP 0 0 0 227,339 227 339 <br />PHARMACY DRUG PROGRAM 0 0 0 75,553 75.553 <br />WIC PROGRAM 0 0 0 1,967,472 1,967,472 <br />BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 21.806 21.806 <br />IMMUNIZATIONS 0 0 0 476.775 476.775 <br />OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2.768.945 2.768.945 <br />9. DIRECT LOCAL CONTRIBUTIONS • BCC/TAX DISTRICT <br />008005 HUMAN AND CHILDRENS SERVICES PROGRAM 0 59.945 59,945 0 59,945 <br />008005 CHD FEDERAL & LOCAL INDIRECT EARNINGS 0 10.568 10.568 0 10.568 <br />008020 CHD LOCAL REVENUE & EXPENDITURES 0 1.948,380 1,948,380 0 1,948,380 <br />008040 CHD LOCAL REVENUE & EXPENDITURES 0 561,247 561,247 0 561.247 <br />DIRECT COUNTY CONTRIBUTIONS TOTAL 0 2.580.140 2,580.140 0 2,580.140 <br />10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY <br />001025 CHD CLINIC FEES 0 6.189 6.189 0 6.189 <br />001077 CHD CLINIC FEES 0 339,934 339,934 0 339.934 <br />001094 CHD LOCAL ENVIRONMENTAL FEES 0 90.666 90.666 0 90.666 <br />001110 VITAL STATISTICS CERTIFIED RECORDS 0 217.885 217.885 0 217.885 <br />FEES AUTHORIZED BY COUNTY TOTAL 0 654.674 654.674 0 654.674 <br />11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY <br />001029 CHD CLINIC FEES 0 120,601 120.601 0 120,601 <br />001090 CHD CLINIC FEES 0 42,408 42.408 0 42.408 <br />004010 CHD CLINIC FEES 0 20 20 0 20 <br />005000 CHD LOCAL REVENUE & EXPENDITURES 0 15,467 15,467 0 15.467 <br />010400 CHD CLINIC FEES 0 1,811 1.811 0 1.811 <br />Attachment_II_Part_II - Page 2 of 3 <br />
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