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Form#;A-102 COUNTY F HAWAH <br /> Revised 07,101 <br /> TRANSFERREQUEST TO <br /> DEPARTMENT: Office of Housing Comm. Ike%el DIVISIONAdministration <br /> on <br /> CONTACT: Christine g; PHONE, 961-8379 DATE: 8 123 12021 <br /> FISCAL PERIOD: ,Italy 3, 20 21 to June 3 , 20 �? <br /> FROM ACCOUNT NUMBER -ACCOUNT TITLE AMOUNT <br /> 151461.5466.0 .104 Office of I I sg Oce-TraveI— 10,000,00 <br /> Employes,Berieft s& LICA, I lealth Benefits, <br /> 152. 1.5902.13. 41 mise Charges 40.0K00 <br /> TOTAL, $50,000.00 <br /> TOACCOUNT DUMBER ��CCOUNT TITLE AMOUNT <br /> Of'f'ice of l-1s 91Aiscellaneous,Workers Cuanp <br /> 151911,5()l l.86,341 N'Iisc Cltgs 3(}_000,0 <br /> TOTAL: 50 000.00 <br /> EXPLANATION (Provide complete explanation), <br /> Transfer funds to cover estimated costs Cor waarkntan's compensation claim. <br /> Funds are,availabie in (ravel and Employee I:>enet ls, Employee health Flans clue to lower than aatticipatcd <br /> SUBMITTED EY. <br /> y 1-- ,�.}} [SATE; <br /> t 1 � 1 <br /> tJP .3 ead <br /> **5Y W <br /> ACTION, •f Recommend Approval � Recorimend Deferral �Recommend Denial <br /> Signed. _ DATE: AUP 2 412021 <br /> 9 erector of Finance <br /> Approv d Deferred � Denied <br /> Si <br /> greed: .. MATE; <br /> Mayor <br /> Transfer Net. <br /> i <br />