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COUNT O~DEI~ #
~ J
BUDGET AhiENDMEMT FEQUEST FORM
DE~'A~TI~EhIT hIAI~E: NQN DEPARTMENTAL			
I	I I	I UhIEX~'EI~DED !	FiEC~UEDTED
I	I CU~~E>~IT I CUC~>~EIdT	I DUDGET I	AhiE~IDl~EI~IT
E~F~EI'~~E CQDE i LIME ITEM DESC~I~'TI01~
i	I DUDGET I EXG~EI~GE
I I	i DALAhICE I
! f	+IhfCf~/ tl DECFi
I
10-409-220 I Employee Medicals	I I
I $ 240.00 I $ 100.00	1 I
1$ - 0 -1	
+ $ 100.00

10-409-400 I Independent Audit
I I
!
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I I
I I
i f
I I
I I
I !
i !
i I
I ~ I	I
I $ 18,704.781 $ - 0 -
I
l i
I ~
I
i
I
I
I
I
! ~
I
i	i I
1$ 2,154.781
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I
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I !
I ~ I
I I
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I I
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! i	~
($ 100.00
,~ ;~ f
ELECTED 01~ E C I AL/DE~A~rThIEhIT HEAD S I GI~ATUC~E
Mai 3 , .1994
u~r+r~m~rr~~orrmrrr
DATE