Meeting Date:

01/12/2021

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:

2021

ACCT. #:

1-1100-444-00-240-001-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• line item transfer

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	01/07/2021 02:38 PM
Final Approval	Monica Salinas	01/08/2021 05:38 PM

Form Started By:

Dairen Sarmiento

Started On:

01/07/2021 02:16 PM

Final Approval Date:

01/08/2021