Meeting Date:

02/22/2011

Submitted For:

Mike Escaname

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

FISCAL YEAR:

2011

ACCT. #:

1-1100-441-00-340-003-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Erika Zamora	02/15/2011 11:28 AM
Auditor's Office	lfong	02/17/2011 04:48 PM

Form Started By:

Mike Escaname

Started On:

02/15/2011 10:24 AM

Final Approval Date:

02/17/2011