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� CITY OF
k REXBURG
A,"". P-1, CF..u.ftY
BUDGET ADJUSTMENT REQUEST FORM
Department: 'Pad/ -5 Fiscal Year Affected:
Expense Account to receive Increased Budget:
Account#:38438%35
Amount:$
2,240
Account#:,
943$7K4
Amount:$
fSlcoo
Account #:
3939c{ '10
Amount:
$ 782f 000
Account#:
Amount:$
Account where budget is coming from:
Account #: 3A439`f9 Amount: $ OW, 000
Account #: Amount: $
Account#: Amount:$
Account #: Amount: $
202 0
Name: '?4fks S/_ y 4PAAfe
Name:�—
Name: -Fa.d /ai 641: ✓
Name:
Name: -F4 TFr2 is &c:ehcV OL4ad
Name:
Name:
Name:
Coming from: Contingency:
Other Expense: , BIXJr Coo
New Revenue:
Total Amount of Increase:
Reason
4 CfD R �6 µw,t�- � ^+feie �f ..�j csP u ,5 % ;7_o3o. Ne", ru
signed:Rd fla-/--6.PPa-,2cQ4(reaa/yiv -y/9.
Department Head: Date:
Reviewed by CFO: Date:
Balance of Contingency before above request:
Approved by Mayor:
Approved by the City Council ('if necessary) on Date:
Date:
-k' N 'o
4edi 6^u A''
47 sr. iu
'City Council approval required if:
1) $10,000 or more is taken from contingency.
2) $50,000 or more is a change in object for a capital purchase.
3) New Full -Time Regular personnel positions, additional Full -Time Regular personnel, and new types of
major programs.