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Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: 05/2/2008 <br /> Department: Public Works <br /> Executive Manager Signature: <br /> 1. Description of 1X$ Request/Justification: (atta 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 /> This request would increase the appropriation for General Capital Planning by $40,000, in order to <br /> allow the project teams to respond to requests from neighborhood associations and other City <br /> departments for transportation capital planning support for projects such as siting a hospital in Eugene <br /> and for develo in cost estimates to im rove unim roved streets such as Bond Lane. Fundin would <br /> p g p p g <br /> come from the small balance available in this fund. <br /> 2. Fiscal Information <br /> Fund: 312 Amoiult of 1X$ Request: $ 40,000 <br /> FTE Impact: 0 Revenues Offset: $ <br /> Net Request: $ 40,000 <br /> Revenue Object Code(s) Expenditure Object Code(s)312-9332-6.1735-915040 <br /> If Grant involved: Grant Number Fiscal Year Grant Received <br /> Original Grant Amount: $ <br /> Balance Remaining: (as of ) <br /> 3. Has a purchase order been issued on this. request? Yes No X <br /> If yes, Prior or Current Year purchase order? <br /> If prior year, has purchase order been included in the Reserve for Encumbrances? If not, please <br /> explain. <br /> <br /> 4. Attach a prepared, signed BJE. 61929 <br /> . <br /> _ <br /> <br />