COURT ORDER # NQ A~-4 ~
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BUDGET AMENDMENT REQUEST FORM
DEPARTMENT NAME: Environmental Health

CURRENT CURRENT
EXPENSE CODE LINE ITEM DESCRIPTION BUDGET EXPENSE	UNEXPENDED
BUDGET
BALANCE		REQUESTED
AMENDMENT
INCREASE/ DECREASE
10-840 X10	Ofifice Su lies	$2,383.00	$O.DO	$1,581.53	+	$948.10
10-640-570	Ca italOutla	$20,022.22	$0.00	$948.10		($948.10
10-fi40-330	O eratin Ex nse	$1,283.00	$0.00	$793.65	+	$1,000.00
10-640-309	Posta a	$2,040.00	$0.00	$2,040.00		$1,000.00
						
						
						
						
						
						
ELECTED
SIG
~~ 3p ~
DATE