Meeting Date:

11/09/2010

Submitted For:

Mike Escaname

Submitted By:

Mike Escaname, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

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CAPTION

BACKGROUND

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Fiscal Impact

FISCAL YEAR:

2010

ACCT. #:

0-1100-441-00-340-003-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Sylvia Solis	11/04/2010 07:38 AM
Veronica Ortiz	Veronica Ortiz	11/05/2010 10:08 AM
Auditor's Office	Alejandro Garcia	11/05/2010 10:21 AM
Veronica Ortiz	Veronica Ortiz	11/05/2010 12:25 PM

Form Started By:

Mike Escaname

Started On:

11/03/2010 03:43 PM

Final Approval Date:

11/05/2010