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• Form#:A-102 COUNTY OF HAWAII <br /> Revised: 07/01 <br /> REQUEST TO TRANSFER FUNDS <br /> DEPARTMENT: ENVIRONMENTAL MANAGEMENT DIVISION: WASTEWATER <br /> CONTACT: DORA BECK PHONE: 808-961-8513 DATE: 09 /25 / 18 <br /> FISCAL PERIOD: July 1, 20 17 to June 30, 20 18 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 030.901.5902.15.341 Health Benefits, Misc. Charges $ 2,000 <br /> TOTAL: $ 2,000 <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 030.911.5911.86.341 Workers Comp, Misc. Charges $ 2,000 <br /> TOTAL: $ 2,000 <br /> EXPLANATION (Provide complete explanation): <br /> Transfer is requested to cover actual workers comp claims and expenses incurred. Funds are available in the <br /> Health Benefits account due to lower than expected expenditures. <br /> SUBMITTED BY: DATE: 9 /(727/ <br /> Department Head <br /> ********************************************************************************************************************* <br /> ACTION: /Recommend Approval _ Recommend Deferral _ Recommend Denial <br /> Sig ed: �� �'�— DATE: OCT / 4 20)8 <br /> �— Director of Finance <br /> Approved _Deferred _ Denied <br /> Signed: � DATE: <br /> /1/ �( / (P' <br /> Managing Director .5y Mayor <br /> Transfer No. gc, <br /> 1 'f+ ^ 11 2013 :11(14 <br />