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07-L(2) Health Chg Ord
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07-L(2) Health Chg Ord
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Last modified
9/11/2012 3:39:05 PM
Creation date
7/9/2004 5:18:25 PM
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Template:
AGENDA
Item Number
07-Lā(2)ā Health Contr
AGENDA - Type
RESOLUTION
Description
Health Contract Change Notice
AGENDA - Date
7/12/2004
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TEXAS DEPARTMENT OF HEALTH <br />RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION <br />PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTWNT <br />CONTRACT TERM: 01/01/04 THRU: 12/31/04 BUDGET PERIOD: 01/OIl/04 THRU 12/31/04 <br />TDH DOC. NO. 7560022067 200501A CHG. 01 <br />REVISED CONTRACT BUDGET <br />FINANCIAL ASSI <br />S tANCE <br />OBJECT CLASS CATEGORIES <br />CURRENT APPROVED <br />BUDGET (A) <br />CHANGE <br />REQUESTED (B) <br />NEW OR REVISED <br />BUDGET (C) <br />Personnel <br />$14,541.00 <br />' $4,998.00 <br />$19,539.00 <br />Fringe Benefits <br />4,362.00 <br />2,488.00 <br />6,850.00 <br />Travel <br />1,090.00 <br />(423.00) <br />667.00 <br />Equipment <br />0,00 <br />0.00 <br />0.00 <br />Supplies <br />3,464.00 <br />536.00 <br />4,000.00 <br />Contractual <br />250.00 <br />83.00 <br />333.00 <br />Other <br />1,305.00 <br />, 695.00 <br />2,000.00 <br />~ <br />Total Direct Charges <br />$25,012.00 <br />$8,377.00 <br />$33,389.00 <br />Indirect Charges <br />0.00 <br />0.00 <br />0.00 <br />TOTAL <br />$25,012.00 <br />' $8,377.00 <br />$33,389.00 <br />PERFORMING AGENCY SHARE: <br />' <br />Program Income <br />0.00 <br />0.00 <br />0.00 <br />Other Match <br />0.00 <br />0.00 <br />0.00 <br />RECENING AGENCY SHARE <br />$25,012.00 <br />$8,377.00 <br />$33,389.00 <br />PERFORMING AGENCY SHARE <br />$0.00 <br />$0.00 <br />$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 />Form No. GC-9 <br />Financial status reports aze due the 30th of April, 30th of July, 30th of October, aind the 30th of March. <br />
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