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Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: Mav 16.2006 <br /> Department: Public Works -Administration <br /> Executive Manager Signature: <br /> 1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br /> Please include the source of funds supporting the request and the specific project which requires <br /> completion. (ex: Request 1X$ from unspent resources to implement new technology that will incur <br /> longer term savings of $x per year.) <br /> Increase the pass through budget for MWMC, reflecting the regional rate increase, and in <br /> addition, the increased activity for the regional Wastewater System Development. <br /> 2. Fiscal Information <br /> - <br /> ,t. - <br /> .:r <br /> Fund: 332 ~L 533 Amount oI 1X~ Request: ~~05,000 <br /> FTl3 Impact: Rc~°enucs Offskt_ (~~05,000) <br /> i Nct ltecXucsL ~ 0 <br /> ~ -,"7_C~ - i< ~_cc - c c ~ <br /> l,~wenue. Object Cock(s) > ) )5,7 -45) JO F~pcndihire Obicct Cock(s) ~3~ ) l - )~30~ <br /> a 533-9951-1>99? 5;;,-991-99>0? <br /> 1l Grin1 invol~~cd: Grant Number I~'iscal 1'car Cram. l:eckived <br /> Original Grant An~oiant: <br /> <br /> i <br /> Balance.Remainin~~: (as of ) <br /> ~ I <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? If not, please <br /> explain. <br /> This does not need to be included in the Reserve for Encumbrance process because this is a pass <br /> .through charge that is reconciled at the end of each fiscal year. <br /> 4. Attach a prepared, signed BJE. <br /> ~3`~ i~ <br /> <br />