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Budgetary Impact Analysis
Division
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Commission Meeting Date: �� JZ�/ ��/' Z� 9
Title and brief description of legislation or attached ordinance/resolution:
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: $
Sufficient funds will be transferred from th
ACTION
ACCOUNT NUMBER
TOTAL
Project No./Index/Minor Object
From
$
From
$
To
$
To
S
4. Comments:
Approved by:
Department Director/Designee
Date
APPROVALS
Verified by:
Dept, of Strategic Planning, Budgeting &
Performance
Verified by CIP: (If applicable)
Director/Designee
Date: