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<br />TEXASDEPARTMENTOFHEAL~H <br /> <br />RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION <br />PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br />CONTRACT TERM: 01/01/04 THRU: 12/31/04 BUDGET PERIOD: 01/01/04 THRU 12/31/04 <br />TDH DOC. NO. 7560022067 200501A CHG. 01 <br /> <br />REVISED CONTRACT BUDGET <br /> <br /> FINANCIAL ASSISTANCE <br />OBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED <br /> BUDGET (A) REQUESTED (B) BUDGET(C) <br />Personnel $14,541.00 $4,998.00 $19,539.00 <br />Fringe Benefits 4,362.00 2,488.00 6,850.00 <br />Travel 1,090.00 ( 423.00 ) 667.00 <br />Equipment 0.00 0.00 0.00 <br /> .. <br />Supplies 3,464.00 536.00 4,000.00 <br />Contractual 250.00 83.00 333.00 <br />Other 1,305.00 695.00 2,000.00 <br /> .J <br />Total Direct Charges $25,012.00 $8,377.00 $33,389.00 <br />Indirect Charges 0.00 0.00 0.00 <br />TOTAL $25,012.00 $8,377 .00 $33,389.00 <br />PERFORMING AGENCY SHARE: <br />Program Income 0.00 0.00 0.00 <br />Other Match 0.00 0.00 0.00 <br />RECEIVING AGENCY SHARE $25,012.00 $8,377.00 $33,389.00 <br />PERFORMING AGENCY SHARE $0.00 $0.00 $0.00 <br />Detail on Indirect Cost Rate Type: <br />Rate 0.00 Base $0.00 Total $0.00 <br />Budget Justification: Increase is to budget additional funds to conduct services through 08/31/2004. <br /> <br />Financial status reports are due the 30th of April, 30th of July, 30th of October, and the 30th of March. <br /> <br />Form No. GC-9 <br />