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Form#:A-102 COUNTY OF HAWAII <br /> Revised:07/01 <br /> REQUEST TO TRANSFER FUNDS <br /> DEPARTMENT: Environmental Management DIVISION: Solid Waste <br /> CONTACT: Greg Goodale PHONE: 961-8515 DATE: 06 / 28 / 11 <br /> FISCAL PERIOD: July 1, 20 10 to June 30, 20 11 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 075.901.5902.20.341 FICA Employer Share $ 57 <br /> TOTAL: $ 57 <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 075.901.5902.15.341 Health Benefits $ 57 <br /> TOTAL: $ 57 <br /> EXPLANATION (Provide complete explanation): <br /> Funds are available in the FICA Employer Share account. <br /> Funds are needed in the Health Benefits- Misc. Charges due to an increase in health benefit premiums in March <br /> 2011, resulting in a higher than anticipated expenditure amount. <br /> SUBMITTED BY: 714— DATE: 1 / I ) <br /> Department Head <br /> ACTION: /Recommend Approval _ Recommend Deferral _Recommend Denial <br /> Signed: ' DATE: 7 / / II <br /> -4)t--Director of Finance <br /> /Approved _Deferred _Denied <br /> 01 n1 �� <br /> Signed: DATE: / / <br /> (7/"Mayor <br /> Transfer No. 47 <br />