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Form #:,4 -102 COUNTY OF HAWAII <br />Revised: 07/01 <br />REQUEST TO TRANSFER FUNDS <br />DEPARTMENT: PUBLIC WORKS DIVISION: HIGHWAY <br />CONTACT: CY YOSHIOKA <br />FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br />020.911.5911.86.341 HIGHWAY MISC. WORKERS COMP $ 29,876.00 <br />MISC. CHARGES <br />TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br />020.901.5902.15.341 HIGHWAY EMPLOYEE BENFITS $ 29,876.00 <br />HEALTH BENEFITS <br />EXPLANATION (Provide complete explanation): <br />FUNDS AVAILABLE IN WORKERS COMP (LESS THAN ANTICIPATED CHARGES) TO COVER <br />HEALTH BENEFIT CHARGES (UNDERESTIMATED CHARGES). <br />SUBMITTED BY: <br />ACTION: <br />Signed: <br />Approved <br />FISCAL PERIOD: July 1, 20 09 to June 30, 20 10 <br />Viitt,41-41itc. <br />Oci. Department Head <br />Director of Finance <br />PHONE: 961 -8781 DATE: 06 / 25 / 10 <br />Deferred <br />008707 <br />DATE: / / <br />TOTAL: $ 29,876.00 <br />TOTAL: $ 29,876.00 <br />DATE: 4/ <br />Recommend Approval _ Recommend Deferral _ Recommend Denial <br />Denied <br />J <br />Signed: i/ $I/I DATE: JUN / 8 2r3 <br />Mayor <br />Transfer No. <br />38 <br />