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REAPPROPRIATION REQUEST FORM <br /> TO: Budget Office <br /> Date: October 19, 2003 <br /> i Department: Public Works Division: Administration -Peggy Hamlin <br /> Department Head Signature: <br /> BJE 40952 <br /> (1) Has a purchase order been issued on this request? <br /> i <br /> Yes No X <br /> If yes; Prior or Current Year purchase order? <br /> i <br /> ~ If prior year, has purchase order been included in the Reserve for Encumbrances? <br /> <br /> ~I If not, please explain. <br /> <br /> i <br /> <br /> ( (2) Fiscal Information needed: <br /> Fund: 187 Reappropriation Amount: 3 211 <br /> DVSW: 9335 Estimated Revenue Offset: <br /> Object: Service Category Title & Capital 97 & Non Dept 99 <br /> FTE Impact: OCA: <br /> (3) Provide the following additional information: <br /> Object Code of estimated revenues: 43322 <br /> If grant involved: Grant Number 322 Fiscal Year Grant Received: FY03 <br /> Original Grant Amount: 3 500 <br /> Balance Remaining: $3,211 (as of 6/30/03) <br /> (4) Description of Reappropriation Request/Justification: (attach additional pages as needed) <br /> Recognize revenue from the Oregon Community Foundation. Funds are to maintain and preserve the <br /> Veterans Memorial on Skinners Butte, Shelton McMurphy House and surrounding park areas. The <br /> original recognition was included in FY03 SB 1. The remaining Capital Project balance carried over fiscal <br /> year-end. The expenditure portion is included in FY03 year-end Capital Carry-overs. <br /> <br />