Meeting Date:

11/22/2016

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:

2016

ACCT. #:

6-1100-441-00-340-001-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	11/18/2016 11:03 AM
Final Approval	Monica Salinas	11/18/2016 05:28 PM

Form Started By:

Mike Escaname

Started On:

11/18/2016 10:10 AM

Final Approval Date:

11/18/2016