Meeting Date:

01/26/2021

Submitted For:

Eddie Olivarez

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

CALENDAR YEAR:

2020

ACCT. #:

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

FUNDS AVAILABLE Y/N?:

Y

MATCHING FUNDS Y/N?:

N

Attachments

• LIT

Form Review

Inbox	Reviewed By	Date
Budget and Management	Veronica Ortiz	01/20/2021 03:10 PM
Final Approval	Monica Salinas	01/22/2021 05:50 PM

Form Started By:

Mike Escaname

Started On:

01/19/2021 02:57 PM

Final Approval Date:

01/22/2021