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Form#:A-102 COUNTY OF HAWAII <br /> Revised:07/01 <br /> REQUEST TO TRANSFER FUNDS <br /> DEPARTMENT: Office of Housing& Comm. Devel DIVISION: Administration <br /> CONTACT: Christine Nguyen PHONE: 961-8379 DATE: 07 / 15 / 2020 <br /> FISCAL PERIOD: July 1, 20 20 to June 30, 20 21 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 152.461.5466.02.115 Office of Hsg,Misc Contract Svcs $ 15,000.00 <br /> TOTAL: $ /`-�",O°° • 0o <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 152.911.5911.86.341 Office of Hsg, Workers Comp Misc Chgs $ 15,000.00 <br /> TOTAL: $ 1 o 0 0 . OO <br /> EXPLANATION (Provide complete explanation): <br /> Transfer funds to cover estimated costs for a workman's compensation claim. <br /> SUBMITTED BY: -- DATE: I / / / <br /> rtment Head <br /> ACTION: Recommend Approval Recommend Deferral Recommend Denial <br /> fSigned: DATE: 0 r/ /1 / <br /> Director of Finance <br /> �pproved Deferred Denied <br /> Signed: DATE: I / 7t / <br /> Mayor <br /> Transfer No. f <br /> '�7) 91-7 <br />