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Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: 5/7/2009 <br /> Department: Public Works <br /> .a <br /> Executive Manager Signature: <br /> 1. Description of 1X$ 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 /> This request would increase the appropriation for General Capital Planning by $100,000 and Right of <br /> Way Vacations and Sales by $10,000 in order to allow-the project teams to respond to requests from <br /> the public and other City departments for transportation capital planning support for projects such as <br /> developing cost estimates to improve unimproved streets such as Bond Lane, providing <br /> engineering analyses and cost estimates for street concepts for the Walnut Mixed Use Center, <br /> and preparing project applications for transportation economic stimulus funds. <br /> The revenue was received from the University of Oregon for utility work in the right of way. <br /> 2. Fiscal Information <br /> l und:` 312 Amount of 1X$ Request: $ l 10,000 <br /> Fl E Impact: 0 Revenues Offset:. $ 110,000 <br /> Net Request: $ 0.00 <br /> <br /> . Revenue Object Code(s) 312-9332-43990 Expenditure Code(s) 312-9332-61735-915040 $100 000 <br /> 312-9332=61735-965000$ 10 000 <br /> ~I Ll~ Gra~7tinvolved: Grant Number ' Fiscal <br /> Year Grant ReceivUd <br /> i <br /> Ori~~inal Cirant Amount: 5 <br /> Ha[ance Remaizung: (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 /> 4. Attach a prepared, signed BJE. 66311 <br /> <br />