Meeting Date:

11/22/2010

Submitted For:

Dairen Sarmiento

Submitted By:

Dairen Sarmiento, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

---

Information

CAPTION

BACKGROUND

---

Fiscal Impact

FISCAL YEAR:

2010

ACCT. #:

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

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Erika Zamora	11/17/2010 01:08 PM
Veronica Ortiz	Veronica Ortiz	11/18/2010 02:31 PM
Auditor's Office	bmorales	11/18/2010 04:36 PM

Form Started By:

Dairen Sarmiento

Started On:

11/17/2010 11:09 AM

Final Approval Date:

11/18/2010