Meeting Date:

10/10/2017

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

CALENDAR YEAR:

2017

ACCT. #:

7-1100-441-00-340-003-0-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	10/02/2017 10:56 AM
Final Approval	Monica Salinas	10/06/2017 03:02 PM

Form Started By:

Mike Escaname

Started On:

09/30/2017 02:37 PM

Final Approval Date:

10/06/2017