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<br />TEXAS DEPARTMENT OF HEALTH <br /> <br />RECEIVING AGENCY PROGRAM: ASSOCIATE COMMISSIONER FOR FAMILY HEALTH <br />PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br />CONTRACT TERM: 09/01/03 THRU: 08/31/04 BUDGET PERIOD: 09/01/03 THRU 08/31/04 <br />TDH DOC. NO. 7560022067 2oo401A CHG.03 <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 $41,625.00 $41.625.00 $83,250.00 <br />Fringe Benefits 11.655.00 11,655.00 23.310.00 <br />Travel 630.00 630.00 1,260.00 <br />Equipment 0.00 0.00 0.00 <br />Supplies 3,210.00 3.210.00 6,420.00 <br />Contractual 15.299.00 15,299.00 30,598.00 <br />Other 3,360.00 3,360.00 6.720.00 <br />Total Direct Charges $75.779.00 $75,779.00 $151.558.00 <br />Indirect Charges 0.00 0.00 0.00 <br />TOTAL $75.779.00 $75.779.00 $151,558.00 <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 $75,779.00 $75,779.00 $151,558.00 <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 due to extension of term from 2/29/04 to 8/31/04 and increased number to be served. <br />Revised Number to be ServedlUnits of Service: 1,200 <br /> <br />Form No. GC-9 <br /> <br />Financial status reports are due the 30th of December, 31st of March, 30th of June. and the 30th of November. <br />