Meeting Date:

03/05/2019

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:

2019

ACCT. #:

9-1100-444-00-240-010-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	03/01/2019 03:49 PM
Final Approval	Monica Salinas	03/01/2019 05:24 PM

Form Started By:

Dairen Sarmiento

Started On:

03/01/2019 01:50 PM

Final Approval Date:

03/01/2019