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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: Karen Ishikane PHONE: 961-8459 DATE: 06 / 30 / 17 <br /> FISCAL PERIOD: July 1, 20 16 to June 30, 20 17 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 020.911.5912.43.341 Pub Saf Disaster/Emerg-H, Misc. Charges $ 75,000.00 <br /> TOTAL: $ <br /> TO: . ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 020.911.5911.86.341 Workers Comp, Misc. Charges $ 75,000.00 <br /> TOTAL: $ 75,000.00 <br /> EXPLANATION (Provide complete explanation): <br /> Transfer of S&W Funds needed to cover Workers Comp payments due to higher than normal claims, for the <br /> Fiscal Yr 2017. <br /> C)K2._ <br /> ., SUBMITTED BY: DATE: 9 / '�'r / 7 <br /> c, Department ead <br /> ACTION: /Recommend Approval Recommend Deferral Recommend Denial <br /> Signed: ,� / -----/n/"'—� DATE: �I / �S / •7 <br /> tt\A. „vSTrector of Finance <br /> /Appro ed Deferred Denied <br /> Signed: DATE: / / /7 <br /> "Warr' <br /> Managing Director Transfer No. 3 <br />