i <br /> Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: a 2 06 <br /> Department: Public Works -Administration <br /> Executive Manager Signature: <br /> 1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br /> Please include the source of funds supporting the request and the specific project which req fires <br /> completion. (ex: Request 1X$ from unspent resources to implement new technology that wi 1 incur <br /> longer term savings of $x per year.) <br /> Increase the pass through budget for MWMC, reflecting the regional rate increase, an in <br /> addition, the increased activity for the regional Wastewater System Development. <br /> 2. Fiscal Information <br /> 1 _.7.x.. _ <br /> . <br /> : is J:: v`1-`b.~N"'.+i~tiF'; <br /> `Y'~ 'fix. e ~ <br /> ...::._...i.. .x. : vx:. x..... Vii. r. rf3xiF.!„:TM:"~ k.s"!jj ::::Y. <br /> i <br /> ~ x v._.r.x-. .a : c.. vyA°^S f <~x..t:x <br /> ? v ..in. <br /> a .k ..e::: _F.... .e...z .w <br /> . .<xx..... ..x.... i <br /> ~YS.V xt'! =.h:" a.yXt . <br /> _ .:3.32 , _ . x : ~x~ : <br /> :.,a...:. :.xxe,.,:::i ~:.:`a K ~5., a .4:..:. <br /> ,Y <br /> x... <br /> :.:r~~:~; <br /> _i. <br /> ..d : <br /> x x <br /> vs' . <br /> _x x. a. ..::y.; _ - - <br /> ...:::.:r <br /> ..x ~ '..r~.r.. <br /> . <br /> ,y!~ x <br /> r:. . <br /> ::.F:.::r.:ix.: <br /> . .....'4 w ~ ..a <..,e.. <br /> 4. :i._c...... ~..::::.e-:.:..x:...... <br /> . <br /> Wll~~ <br /> .a: .r _ <br /> ' x. . <br /> x. a <br /> . x... .a. a r sS ......:~Ve ieii: i'l.'.d`f i~" 1 <br /> T +y ;fix, , <br /> FTL~- .t...... a...., ,~e~ttle~~Q>"fs <br /> ee <br /> x..: :.r .M :..i'.i: r': e''x:x.':.~ a <br /> ~S'^ ~ .x x...... w .x ~k:Nx. e.*"C..i: :.?`e: ^s.l~. ?A:d <br /> i ' <br /> x. . <br /> c. ~ <br /> .x _ . - <br /> -::x; :.JF::. .F~: }a. .SY:'ji _ .~:"ipL:(' ~~jj w.:}. ak. <r <br /> i $ <br /> +~tx @q1~C~ <br /> i.'r. a~..:•. ':v._i-. Aa't ~I'~I' :hnnnn~.i...IM?i'." ~.:x's <br /> . <br /> ...x:.:::~ ~ .v <br /> . _a t. ae .t :X:: <br /> x-..::'.Y~j~~r:x <br /> r ..v... K......... x. .a ..r-: v.::iv.: - <br /> x . _ <br /> .....x.... <br /> v;::.x..: - x x~ <br /> ~ x _ <br /> a ..y...:~~:. <br /> ,..,a= <br /> ~...x.:.v i <br /> ~ ~ u _ <br /> r_ <br /> ~.:.r: ~.::.:r . <br /> _ a _ <br /> _ <br /> . ..:...r. <br /> ~M. <br /> ~ :.r'. <br /> ...r::v....::::-::~ - <br /> t~."z <br /> t. ._:r..: n~.~:` <br /> x <br /> x.. - <br /> ,....x ....~l~ <br /> .:s::.: r.. s~~F: <br /> x x . , ' ~ <br /> - ~ ed":::0 C: _~._::x..:.i::.::~:. i~?4f?.'1~•".7.. `~.~`t#Sz... SS ~:IV , .-:x~~r'::r=:..:.;. <br /> < r <br /> . . <br /> . ....r:.:.. <br /> a.r: w..:ii .r: .e . <br /> _ ~ . _T:.: <i: . <br /> . i". <br /> 1 ~ <br /> . : ..1 : x <br /> is a: ii: <br /> ":r:~ ' <br /> . .r . ..n.... <br /> _ <br /> r x x <br /> . x. .x... _ <br /> :i <br /> ...x.. <br /> .x. v <br /> r a..aa <br /> . a .x r. N a~V. <br /> r. ......xRe..... :..a.:.... ..r. :.r:..:": <br /> . i. ....._5........ .r <br /> a-:. ^.::......r:. •.n... <br /> a... ..r... ri. - <br /> a~.. .~nOiltkt - . <br /> v... ..,.:x <br /> .,.n ..........f„ ...F <br /> -,:r <br /> . _ <br /> t. x <br /> . . <br /> - , <br /> . <br /> . <br /> : x.:,: <br /> . <br /> x.. <br /> .r.....: . <br /> ; <br /> _ <br /> ;:n:.. <br /> Balance.Re - <br /> tna~ng~ <br /> . . <br /> a:. <br /> - : <br /> ; . <br /> 3. Has a purchase order been issued on this request? Yes No <br /> If yes, Prior or Current Year purchase order? Current Year purchase order <br /> If prior year, has purchase order been included in the Reserve for Encumbrances? ~f not, pl ase <br /> explain. <br /> This does not need to be included in the Reserve for Encumbrance process because this is a ass <br /> through charge that is reconciled at the end of each fiscal year. <br /> <br /> 4. Attach a prepared, signed BJE. <br /> 53`I~~ <br /> <br />