Meeting Date:

10/25/2016

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:

2016

ACCT. #:

6-1293-441-10-340-008-6-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	10/12/2016 09:25 AM
Final Approval	Monica Salinas	10/21/2016 05:40 PM

Form Started By:

Mike Escaname

Started On:

10/12/2016 09:13 AM

Final Approval Date:

10/21/2016