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Commission Meeting Date:
Budgetary Impact Analysis
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Division &f:1-etC-Z.;/j
Title d brief description of legislation or att hed ordinance/reso tion:
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I . Is this item related to revenue? NO Yes 0 (If yes, skip to item #4)
2. Are there sufficient funds in Line Item?
CIP Project #: (If applicable)
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: $
will be transferred from the following line items:
ACTION
ACCOUNT NUMBER
TOTAL
Project No./Index/Minor Object
From
$
From
$
To
S
To
$
4. Comments:
Approved by:
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Department Director/Designee
Date
APPROVALS
Verified by:
Dept. of Strategic Planning, Budgeting &
Performance
Date:
Ver�i'ied by CIP: (If applicable)
irector/Designee
Date: