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Form#:A-102 COUNTY OF H AI`I <br /> Revised:07/01 <br /> TRANSFERREQUEST TO FUNDS <br /> DEPARTMENT: Environmental Management DIVISION: Wastewater <br /> CONTACT Robin Bauman PHONE: 808-961-8179 DATE: 05 / 26 t 2022 <br /> FISCAL PERIOD: July 1, 20 21 to June 30, 20 22 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 030.901.5902,15.341 Health Benefits,Misc Charges $ 62,000.00 <br /> TOTAL: $ 62 400.00 <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 030.911.5911.86.011 Workers Camp,Misc Charges $ 62,000.00 <br /> TOTAL: $ 62 040.40 <br /> EXPLANATION (Provide complete explanation): <br /> Funds are needed in the Workers Compensation account as actual expenses incurred were higher than <br /> anticipated. Funds are available in the Health Benefits account due to vacancies. <br /> SUBMITTED �° � � --- DATE: ' <br /> 4::� Department Head <br /> *,t�` <br /> ACTION: �/ Recommend Approval _ Recommend Deferral _Recommend Denial <br /> ,Signed: ��` �r DATE: <br /> Director of Finance <br /> Approved _Deferred _Denied <br /> Signed: � 1 DATE: S l 3 l I <br /> Managine Director 4ojtiM`ayor <br /> Transfer No. -2— <br /> - <br />