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Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br />TO: Budget Office DATE:. 10/19/2010 <br />Department: Public Works <br />Executive Manager Signature: <br />1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br />Subsequent to adoption of the FY11 budget, Public Works received new external revenue from <br />partner governmental agencies for funding specific projects. This is a request to authorize expenditure <br />of those external grant resources, the proceeds of which would be used for: <br />• Urban Trails grant for Amazon and Willamette River Path connectors <br />• Developer or neighborhood share of capital projects. <br />• West Bank Trail <br />• Airport Oregon Connect 3 <br />2. Fiscal Information <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. 72503 <br />