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Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: <br /> Department: Public Works <br /> Executive Manager Signature: <br /> 1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br /> Reduce capital appropriation in SDC funds to match appropriation to revenue and increase balance <br /> available. <br /> 2. Fiscal Information <br /> Fund:. 3331336 Amountof 1X$ Request: $ -1,420,000.UO <br /> FTE Impact:. none Revenues Offset: $ <br /> Net Request: $ 0 <br /> 333-9332-61735-975014-922 - 5`30,000 <br /> 333-9332-61735-975394-000" -$740,000 <br /> 336-9332-61735-905121-00O 5150,000 <br /> RevenueObject Code(s) Expenditure Objeet Code(s) <br /> If Grant nvolved:_ Grant Number Fiscal Year Grazat Received <br /> Original Grant Amount.: $ <br /> Balance Remaizluig: (as of ) <br /> <br /> 3. Has a purchase order been issued on this request? Yes No _ <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 BJE # 68612 <br /> <br />