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REAPPROPRIATION REQUEST FORM <br /> TO: Budget Office <br /> Date: October 19, 2003 <br /> ~ Department: Public Works Division: Administration -Peggy Hamlin <br /> Department Head Signature: <br /> BJE 40953 <br /> (1) Has a purchase order been issued on this request? <br /> <br /> ~ Yes No X <br /> <br /> ' If yes; Prior or Current Year purchase order? <br /> If prior year, has purchase order been included in the Reserve for Encumbrances? <br /> If not, please explain. <br /> (2) Fiscal Information needed: <br /> Fund: 312 Reappropriation Amount: 30 899 <br /> DVSW: 9332 Estimated Revenue Offset: <br /> Object: Service Category Title & Capita197 & Non Deut 99 <br /> FTE Impact: OCA: <br /> (3) Provide the following additional information: <br /> Object Code of estimated revenues: 43323 <br /> If grant involved: Grant Number 323 Fiscal Year Grant Received: FY03 <br /> Original Grant Amount: 40 600 <br /> Balance Remaining: $30.899 (as of 6/30/03) <br /> (4) Description of Reappropriation Request/Justification: (attach additional pages as needed) <br /> Recognize revenue from ODOT for the design and construction of a pedestrian refuge island at the <br /> intersection of 24~` Avenue East. The original recognition was included in FY03 SB3. The remaining <br /> Capital Project balance carried over fiscal year-end. The expenditure portion is included in FY03 year-end <br /> Capital Carry-overs. <br /> <br />