Meeting Date:

11/19/2019

Submitted For:

Eddie Olivarez

Submitted By:

Mike Escaname, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

---

Information

CAPTION

BACKGROUND

---

Fiscal Impact

CALENDAR YEAR:

2019

ACCT. #:

9-1293-441-00-340-074-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT
• Sal n Fringe Analysis

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	11/06/2019 08:44 AM
Budget and Management	Veronica Ortiz	11/06/2019 08:44 AM
Final Approval	Monica Salinas	11/15/2019 05:55 PM

Form Started By:

Mike Escaname

Started On:

11/05/2019 02:18 PM

Final Approval Date:

11/15/2019