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S <br /> Form#:A-102 COUNTY OF HAWAII <br /> Revised:07/01 <br /> REQUEST TO TRANSFER FUNDS <br /> DEPARTMENT: Public Works DIVISION: . Highways <br /> CONTACT: Karen Ishikane PHONE: 961-8459 DATE: 03 / 28 / 17 <br /> FISCAL PERIOD: July 1, 20 16 to June 30, 20 17 <br /> FROM: 'ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 020.901.5902.17.341 Retirement Benefits,Misc Charges $ 75,000.00 <br /> 020.901.5902.20.341 FICA Employer Share .75,000.00. <br /> TOTAL: $ 150,000.00 <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 020.911.5911.86.011 Workers Comp,Regular S&W $ 150,000.00 <br /> TOTAL: $ .150,000.00 • <br /> EXPLANATION (Provide complete explanation): <br /> Transfer of funds to cover shortfall in Workers Comp Acct. Projected to have balances left in Retirement <br /> benefits and FICA accounts at 6/30/17. <br /> SUBMITTED BY: FV>vv. L DATE: 3 / 2-6 / <br /> AP Department Head <br /> ACTION: Recom pproval Recommend Deferral Recommend Denial <br /> Signed: DATE: M4R 3 O/ 2017 <br /> Director of Finance <br /> Approved Deferred Denied <br /> ISigned: //,/ ,.___, <br /> DATE: 0) / 30 / Zp_1 <br /> Mayor <br /> Transfer No. 3' <br /> ISbb3o <br /> MAP R 0 2017 ,2,2,: <br />