Meeting Date:

05/02/2017

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

CALENDAR YEAR:

2017

ACCT. #:

7-1100-441-00-340-003-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	04/19/2017 03:13 PM
Final Approval	Monica Salinas	04/28/2017 05:30 PM

Form Started By:

Mike Escaname

Started On:

04/19/2017 03:02 PM

Final Approval Date:

04/28/2017