Meeting Date:

09/05/2017

Submitted For:

Dairen Sarmiento

Submitted By:

Dairen Sarmiento, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

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Information

CAPTION

BACKGROUND

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Fiscal Impact

CALENDAR YEAR:

2017

ACCT. #:

7 1100 444 00 240 001 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	08/30/2017 04:29 PM
Final Approval	Monica Salinas	09/01/2017 03:00 PM

Form Started By:

Dairen Sarmiento

Started On:

08/30/2017 04:24 PM

Final Approval Date:

09/01/2017