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<br />, ^ <br /> DEPARTMENT OF STATE HEALTH SERVICES <br />RECE~:; ~GENCY PROGRAM: COMMUNITY HEALTH SERVICES SECTION <br />PERFO G AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br />CONTRAC r TERM: 09/01/04 THRU: 08/31/05 BUDGET PERIOD: 09/01/04 THRU 08/31/05 <br />DSHS DOl . NO. 7560022067 200502A CHG.07 <br />REVISED ONTRACT BUDGET <br /> FINANCIAL ASSISTANCE <br />OBJE T CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED <br /> BUDGET (A) REQUESTED (B) BUDGET (C) <br />Personnel $80,160.00 $0.00 $80,160.00 <br />Fringe B, efilS 19,840.00 0.00 19,840.00 <br />Travel 1,477.00 0.00 1,477.00 <br />Equipme't 0.00 0.00 0.00 <br />Supplies 10,940.00 20,546.00 31,486.00 <br />Contractu I 30,500.00 0.00 30,500.00 <br />Other 8,641.00 7,359.00 16,000.00 <br />Total Dir ct Charges $151,558.00 $27,905.00 $179,463.00 <br />Indirect C harges 0.00 0.00 0.00 <br />TOTAl $151,558.00 $27,905.00 $179,463.00 <br />PERFOR oIING AGENCY SHARE: <br />Progran Income 0.00 0.00 0.00 <br />Other W atch 0.00 0.00 0.00 <br />RECEIVI '1G AGENCY SHARE $151,558.00 $27,905.00 $179,463.00 <br />PERFOR oIING AGENCY SHARE $0.00 $0.00 50.00 <br />Detail ( n Indirect Cost Rate Type: <br /> Rate 0.00 Base $0.00 Total $0.00 <br />Budget Ie titication: Increase contract to provide more services to current clients. <br /> Form No. GC-9 ECPS - Rev. 10/04 <br />Financial s atus reports are due the 30th of December, 30th of March, 30th of June, and-lhe 30th of November. <br />