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Budgetary Impact Analysis
Division A'_,j1,
Commission Meeting Date: 406r
Title and brief description of legislation or attached ordinance/resolution:
n: 1 4A.
1. 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: $
e items:
ACTION
ACCOUNT NUMBER
TOTAL
Project No./Index/Minor Object
From
$
From
$
To
$
-
To
$
4. Comments:
Approved by:
ifiNQikk l(\a\ck
Department Director/Designee
_�_
APPROVALS
Verified by:
Dept. of Strategic Planning, Budgeting &
Performance
Date:
Date
erified by CIP: (If applicable)
irector/Designee
Date:
i