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Budgetary Impact Analysis
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Commission Meeting Date: lede-7/.5�d�
Title and brief dess riptt on of legislation or att ched ordi ance/r solution:
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1. Is this item related to revenue? NO ii;K. Yes 0 (If yes, skip to item #4)
2, Are there sufficient funds in Line Item?
CIP Project #: (If applicable)
Yes: Index Code: Minor:
No: Complete the following information:
3. Source of funds:
Amount:
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 rrACCOUNT
NUMBER
TOTAL
Project No./Index/Minor Object
From
S
From
S
To
S
To
S
4. Comments:
Approved by:
Department Director/Designee
ate
`.
v
APPROVALS
Verified by:
Dept. of Strategic Planning, Budgeting &
Performance,
Date:
Art'fled by CIP: (If applicable)
A/./
rector/Designee
Date: