Meeting Date:

08/14/2012

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

FISCAL YEAR:

2012

ACCT. #:

2-1293-441-00-340-012-2-xxx

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• Expenditure Worksheet
• LIT - REVISED

Form Review

Inbox	Reviewed By	Date
Budget and Management	mmunoz	08/01/2012 01:16 PM
Auditor's Office	Alejandro Garcia	08/10/2012 05:10 PM

Form Started By:

Mike Escaname

Started On:

08/01/2012 10:49 AM

Final Approval Date:

08/10/2012