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Form#:A-102 COUNTY OF HAWAII <br /> ' Revised:07/01 <br /> REQUEST TO TRANSFER FUNDS <br /> DEPARTMENT: DEPT OF ENVIRONMENTAL MGMT DIVISION: WASTEWATER DIVISION <br /> CONTACT: KARA NITTA PHONE: 981-8325 DATE: 05 / 07 / 12 <br /> FISCAL PERIOD: July 1, 20 11 to June 30, 20 12 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 030.901.5902.15.341 HEALTH BENEFITS: MISC CHARGES $ 20,000.00 <br /> TOTAL: $ 20,000.00 <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 030.911.5911.86.341 WORKERS COMP: MISC CHARGES $ 20,000.00 <br /> TOTAL: $ 20,000.00 <br /> EXPLANATION (Provide complete explanation): <br /> Additional funds needed for worker's compensation benefits to cover actual costs which were higher than <br /> budgeted due to unforseen injuries. <br /> Funds are available in Health Benefits: Misc Charges due to vacancies. <br /> SUBMITTED BY: DATE: t'-‘, / tr / - <br /> Department Head <br /> ************** *,**********,**********,***************,*,********************************************************** <br /> ACTION: Recommend Approval Recommend Deferral Recommend Denial <br /> Signed: DATE: / / <br /> Direc or of Fi nce ?A' <br /> /Ap•roved _Deferred _Denied <br /> I <br /> Signed: <br /> 1(10 / DATE: f t <br /> fi Mayor <br /> Transfer No. 32 <br />