Meeting Date:

01/13/2009

Submitted For:

Dairen Sarmiento

Submitted By:

Dairen Sarmiento, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

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CAPTION

BACKGROUND

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Fiscal Impact

FISCAL YEAR:

2009

ACCT. #:

9-1100-444-00-240-001-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

Attachments

• $6500.00

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Lopez	01/09/2009 02:43 PM
Veronica Ortiz	Veronica Ortiz	01/09/2009 03:31 PM
Auditor's Office		01/09/2009 05:20 PM

Form Started By:

Dairen Sarmiento

Started On:

12/31/2008 08:25 AM

Final Approval Date:

01/09/2009