Meeting Date:

06/14/2011

Submitted For:

Mike Escaname

Submitted By:

Mike Escaname, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

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Information

CAPTION

BACKGROUND

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Fiscal Impact

FISCAL YEAR:

2011

ACCT. #:

1-1100-441-00-340-003-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Erika Zamora	06/07/2011 11:49 AM
Auditor's Office	aduran	06/08/2011 08:48 AM

Form Started By:

Mike Escaname

Started On:

06/07/2011 09:16 AM

Final Approval Date:

06/08/2011