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Budgetary Impact Analysis
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Division fr�r-GT/Qh
Commission Meeting Date: a-/VZ// 2 '
Title and brief descr'pti n of legislation or attached ordinance/resolution:
,T7,1li/f � ,
l . Is this item related to revenue? NO [E' Yes ❑
2. Are there sufficient funds in Line Item?
CIP Project #:
(If applicable)
(If yes, skip to item #4)
Yes: Index Code: Minor: Amount:
No: Complete the following information:
3. Source of funds: Amount budgeted in the line item: $
Balance in line item: $
Amount needed in line item: $
Sufficient funds will be transferred from the following line items:
ACTION
ACCOUNT NUMBER
TOTAL
Project No./Index/Minor Object
From
$
From
$
To
$
To
$
4, Comments:
Approved by:
'41‘01)04\KS--1\-5(1V4VA
Department Director/Designee
Date
APPROVALS
Verified by:
Dept. of Strategic Planning, Budgeting &
Performance.
Date:
VerL ed by CIP: (If applicable)
DiFector/Designee
Date: