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14-E Health Contract CO3
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14-E Health Contract CO3
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Last modified
11/8/2005 11:22:07 AM
Creation date
2/3/2004 2:00:18 PM
Metadata
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Template:
AGENDA
Item Number
14-E
AGENDA - Type
RESOLUTION
Description
Health Contract - Contract Change Notice No. 3
AGENDA - Date
2/9/2004
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TEXASDEPARTMENT 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 TKRU 08/31/04 <br />TDH DOC. NO. 7560022067 20040 [ A 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 ~1,025.00 ~41,6~,00 $$3,250.00 <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 $75 379.00 $75 379.00 $151,558.00 <br />PERFORMING AGENCY SHARE $0.00 $0.00 $0.00 <br /> <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 Served/Units of Service: 1,200 <br /> Form No GC.~, <br /> <br />Financial status reports are due the 30th of December, 31st of March, 30th of June, and the 30th of November. <br /> <br /> <br />
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