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Budgetary Impact Analysis
Division ‘,/f-0:6-drA‘;#
Commission Meeting Date: �/Pe .�� 2e21/
Title and brief desc iption of legislation or attached ordin ce/reso ution:
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I . Is this item related to revenue? NO Yes ❑ (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
$
To
$
4. Comments:
Approved by:
Department Director/Designee
Date
APPROVALS
Verified by:
Dept. of Strategic Planning, Budgeting &
Performance,
Date:
Verified by CIP: (If applicable)
Director/Designee
Date: