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Form #:A-102 COUNTY OF HAWAI`1 <br />Revised: 07101 <br />DEPARTMENT: Environmental Management DIVISION: Wastewater <br />CONTACT: Robin Bauman PHONE: 808-961-8179 DATE: 10 / 15 / 2024 <br />FISCAL PERIOD: July 1, 20 23 to June 30, 20 24 <br />FROM: ACCOUNT NUMBER ACCOUNT TITLE <br />030.901.5902.15.341 Health Benefits, Misc Charges <br />TOTAL: $ 5000.00 <br />TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br />030.911.5911.86.011 Workers Comp, Misc Charges $ 5,000.00 <br />TOTAL: $ 5,000.00 <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 accounts due to vacancies. <br />ACTION: _ Recommend Approval _ Recommend Deferral <br />signed: t �. <br />Director of Finance <br />J Approved Deferred <br />Signed: Q -.& n <br />Mavor <br />DATE: <br />_ Recommend Denial <br />DATE: C,r-'f/ 1 5 024 <br />Denied <br />DATE: ib / 10 / v o94 <br />Transfer No. I <br />