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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: 06 / 26 / 19 <br /> FISCAL PERIOD: July 1, 20 18 to June 30, 20 19 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 030.901.5902.15.341 Health Benefits, Misc. Charges $ 20,000.00 <br /> t� C. _ TOTAL: $ 20,000.00 <br /> TO" —�AGCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> C-030 91_x.5911.86.341 Workers Comp, Misc. Charges $ 20,000.00 <br /> CD <br /> w r <br /> Cr w <br /> CD <br /> TOTAL: $ 20,000.00 <br /> EXOUANATION (1:1rovide 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: a ,c� � DATE. <br /> Department Head <br /> ACTION: VRecommend Approval _Recommend Deferral _ Recommend Denial <br /> JUL 0 1 2019 <br /> Signed: e.------ / DATE: <br /> Director of Finance <br /> App ved _ Deferred _ Denied <br /> 4 <br /> 49, <br /> Signed: DATE: <br /> Man mg Director Mayor <br /> Transfer No. D <br />