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Department ,/ '4 %,,6 Division G�®il-li :/e CJO/,'
Commission Meeting Date:
Title and brief des9iption of legislation or Ej5.a.ched ordinance/re lu ion:
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1. 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:
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
ACCOUNT NUMBER
TOTAL
Project No./Index/Minor Object
From
_
$
From
$
To
$
To
$
4. Comments:
Approved by:
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Department Director/Designee
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Date
APPROVALS
Verified by:
Dept. of Strategic Planning, Budgeting & /
Performance.
Date:
erified by CIP: (If applicable)
tor/Designee
Date:
1