Meeting Date:

11/06/2012

Submitted For:

Eddie Olivarez

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:

2012

ACCT. #:

2-1293-441-00-340-005-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	mmunoz	10/24/2012 04:39 PM
Veronica Ortiz	Veronica Ortiz	11/01/2012 01:34 PM
Auditor's Office	Monica Salinas	11/02/2012 04:03 PM

Form Started By:

Mike Escaname

Started On:

10/24/2012 03:48 PM

Final Approval Date:

11/02/2012