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HAWAII COUNTY FIRE DEPARTMENT <br />BUDGET REQUEST & JUSTIFICATION <br />Type or print clearly, <br />].REQUEST <br />A. Description: Utility ve ' I s v s ea <br />B. Describe features needed: 7 passenger vans,spgcr, Q0 file, <br />C. Cost (Estimate ate Only):_"4 ,000 00 Brand & Model Source (if known) <br />D. —Additional Item X Replacement For New Position <br />IF REPLACEMENT, GIVE THE FOLLOWING INFORMATION: <br />1. County ID# To be deteremined later_ 2. Item <br />3. Date Purchased <br />----------------------------------=___–_________________=____________=_ <br />II. USES <br />A. Item to be used for (Purposes): TO shuttle EMS personnel to outlying country-ai to ions. <br />B. Describe how work is currently performed: As above with older vehicles which needreolacir_1„7c , <br />C. Additional Justification: Due to ageeand distance involved vans need to be r a o <br />save on down time and repair cost. <br />Ill. Station Priority: 10 (Example: if 12 items (forms) are submitted by the station, they <br />should be numbered in order of importance from 1 to 12.) <br />Comments: <br />STATION: Ems Division DATE: 10-01-96 <br />STATION COMMANDER: B.C. P. Paiva REQUEST INITIATOR: <br />ACTION: * DEPT USE ONLY <br />_Budget as Dept Priority:_ _Do not budget <br />q7 --q ' Z <br />