Laserfiche WebLink
Form #:A-102 COUNTY OF HAWAII <br />Revised: 07/01 <br />DEPARTMENT: Public Works DIVISION: Administration <br />CONTACT: Sharilynn Olivar PHONE: 961-8463 DATE: 9 12 /20 <br />FISCAL, PERIOD: July 1, 20 19 to June 30, 20 20 <br />FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br />020.911.5912.43,341 Public Safety Disaster/Emergency $ 23,000.00 <br />TOTAL: $ 23,000.00 <br />TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br />020.91 l .591 1.86.341 Workers Comp, Misc. Charges $ 23,000.00 <br />.--.,-- ._u �� w �� �� _ � � w � _M_. � � .._� � TOTAL: $ 23,000.00 _. <br />EXPLANATION (Provide complete explanation): <br />Funds needed to cover shortfall in Workers Comp expenditures. Funds are available from the Public Safety <br />Disaster/Emergency account due to lower than anticipated expenditures. <br />SUBMITTED BY: DATE: <br />Dpartnlent Head <br />ACTION: 7fRecommend Approval Recommend Deferral Recommend Denial <br />Signed: .-.� -""""^ DATE: `-i 0 3 / 2020 <br />Director of Finance <br />ZApproved Deferred Denied <br />-Z��9 <br />Signed: %/_a0A <br />b 0 DATE: _ 1 <br />Transfer No. <br />RM <br />