Meeting Date:

01/12/2021

Submitted For:

Eddie Olivarez

Submitted By:

Mike Escaname, HEALTH & HUMAN SERVICES DEPT.

Department:

HEALTH & HUMAN SERVICES DEPT.

---

Information

CAPTION

BACKGROUND

---

Fiscal Impact

CALENDAR YEAR:

2021

ACCT. #:

1-1293-441-00-340-013-1-XXX

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

Y

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	01/06/2021 01:28 PM
Final Approval	Monica Salinas	01/08/2021 05:38 PM

Form Started By:

Mike Escaname

Started On:

01/06/2021 09:48 AM

Final Approval Date:

01/08/2021