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Form#:A-102 COUNTY OF HAWAII <br /> Revised:07/01 <br /> REQUEST TO TRANSFER FUNDS <br /> DEPARTMENT: PUBLIC WORKS DIVISION: Administration <br /> CONTACT: Aaron Brown PHONE: 961-8321 DATE: 06 / 30 / 17 <br /> FISCAL PERIOD: July 1, 20 16 to June 30, 20 17 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 020.911.5911.03.341 Vacation Pay-H, Misc,Charges (Hwy Fund) $ 20,000.00 <br /> TOTAL: $ 20,000.00 <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 020.911.5911.86.011 Workers Comp, Reg S&W (Hwy Fund) $ 20,000.00 <br /> TOTAL: $ 20,000.00 <br /> EXPLANATION (Provide complete explanation): <br /> Tranfers of S&W Funds needed to cover Workers Comp payments due to higher than normal claims, for the <br /> Fiscal Yr 2017. <br /> SUBMITT-4 BY: 1111,111k DATE: <br /> DATE: 06 / 30 l /7 <br /> ci v <br /> ■epartme -ad <br /> ACTION: Recommend Approval Recommend Deferral Recommend Denial <br /> SEP 1 8 2 017 <br /> Signed: � Ar- 01./ <br /> �- DATE: <br /> r Ifi� d✓ Director of Finance <br /> JAp9roved Deferred Denied <br /> Signed: DATE: / /7// /7 • <br /> Mme . <br /> 4` Managing Director <br /> Transfer No. $2 <br /> b po//� <br />