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Form #:A-102 COUNTY OF HAWAH <br />Revised: 07/01 <br />• ' , <br />DEPARTMENT: Environmental Management DIVISION: Wastewater <br />CONTACT: Robin Bauman PHONE: 808-961-8179 DATE: 01 / 31 / 2025 <br />FISCAL PERIOD: July 1, 20 24 to June 30, 20 25 <br />FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br />030.901.5902.15.341 Health Benefits, Misc Charges $ 125,000.00 <br />TOTAL: $ 125 000.00 <br />TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br />030911.5911.86.011 Workers Comp, Misc Charges $ 125,000.00 <br />TOTAL: $ 125,000.00 <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 />RECEIVED <br />FEB 10 2025 <br />MAYOR - HILO <br />SUBMITTED B DATE: t <br />epartment Head <br />ACTION: _ Recommend Approval _ Recommend Deferral _ Recommend Denial <br />JAN 3 1 202 <br />igned: DATE: <br />hector of Finance <br />Approved <br />Signed: <br />_ Deferred <br />Denied <br />DATE: ( 51 20� <br />Transfer No. 13?> <br />�7,� E <br />