C:iF2DE.R N0. ~'~~bt3
BUDGE:"f Atr+Eta1?MEC~"f TU TRANSFER F~UNDC:i FRUh1
FU;~Ji:i i:6 ~4_~ :[ tJi~ 1 UE_PI-i I•{C~(jL l-H C(-ERR SURF ~I_lJ5 t= UNDS
un tl~zr~ the :~~ttt-; day o1- Uc_tober 19y4, ~_ipnn matzan made by
Cammisszoner L_~zc~l{ey, ~seconcied by Commissioner L_etiman, the
t;a~_ir't ~inanimo~.rsly approved by a vote of 4-Ql-Q~, to tr'ansfer'
~s:~~. ~i. fir'am F ~.ind ;~ :~~~ 7:ndigent Health Care ;l~_rr^pl~_rs F~~_rnds to
Line here t~fo. ~Vo_f-~41 -1+~~[~, fadministr'ative expense, and
a~_rthor^i gat i on of a hand check.
the C;a~_~nty l~reas~_{rEar' ~~nci the Co~_~nty f~~_lditar are hereby
a~_ithuri~ed to cir-aw a va~.~cher' fat' $4.?,B, 14 made payable to
Szci F~eter'son Memorial Ho~spitGal tend ~b~16. 14 rnacie payable to
t~errvzlle Daily -I-imes - Retail.
COURT ORDER #
# .~
BUDGET AMENDMENT REQUEST FORM
DEPARTMENT NAME: INDIGENT HEALTH CARE
EXPENSE CODE
50-641-100
		1993-1994	1993-1994
I I 1993-1994	I 1993-1994	I UNEXRENDED	I REQUESTED
{ I CURRENT	1 CURRENT	t BUDGET	I AMENDMENT
I LINE ITEM DE5CRIPTION { BUDGET
1	I EXPENSE
I	i BALANCE
I	1 +INCR/{)DEGR
I
I
I I	1 76.14	!	I
(Administrative Exp. I$ 4,962.00
{ I
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i 1
I I
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I _1	I $ 438.14
I
I
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4
!
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1
1
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I
I
1
1
i	I$ ( 308.031
I
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1
1
1
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I
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{
1	1+ $ 822.31**
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1
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4
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*FUnds to come from 1TJND #50 INDIGENT HEALTH CARE Surplus Ftuids.
., !'
,~ ~ ; :+'/
ELECTED OFF IAL/DEPARTMENT HEAD SIGNATURE
_ October 19, 1994
DATE
'r `,
VENDOR # INVOICE #
PD. TO: SID PETERSON N1Er'IORIAL HOSPITAL
AMOUNT: $ 438.14
EXPENSE CODE: 50-641-100 /~~~"'"~ ~.
DESCRIPTION Amin exp:9' 94
INV. # 9' 94 /Admire - ~~ ~~
- I.D. 9/30/94 ~/~ ~~"''
Recvd. 10/13/94
DUE DATE:
.a APPLY DATE: 9/30/94
<f
fi
i
s
4
~;
ACCOUNT APPROVAL
AUDITOR
DATE
CLAIM NUMBER
. ".' ~
VENDOR # INVOICE #
PD. TO: KERRVILLE DAILY TIMES-RETAIL
AMOUNT: S 76.14
EXPENSE CODE: 50-641-100
DESCRIPTION Notice:Kerr Co Indigent
Health Care Program
INV.# 3 1
I.D. •9/30/94
~. DUE DATE: 10/24/94
.~
~A
ACCOUNT APPROVAL
AUDITOR
DATE
~~~,~,~ -
~~ ~~~P~
CLAIM NUMBER