Meeting Date:

06/28/2022

Submitted For:

Eddie Olivarez

Submitted By:

Mike Escaname, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

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CAPTION

BACKGROUND

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Fiscal Impact

CALENDAR YEAR:

2022

ACCT. #:

2-1100-441-00-340-001-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	06/15/2022 02:51 PM
Final Approval	Monica Salinas	06/24/2022 05:59 PM

Form Started By:

Mike Escaname

Started On:

06/15/2022 12:53 PM

Final Approval Date:

06/24/2022