ORDER NO. :3515 BUDGET AMENDMENT TO TRANSFER FUNDS IN INDIGENT HEALTH CARE TO COVER REPAYMENT DF FUNDS TRANSFERRED FROM GENERAL FUND On this the E6th day of A~_tgust 1998, upon motion made by Commissioner' Holekamp, seconded by Commissioner' Lehman, the Court unaniAOUSly approved by a vote of 4-0-0, to tr^ansfer X35, 000. 00 from Line Item No. .°.,0-700-015, Transfer out, to Line Item No. 10-390-015, Tr^ansfer In; X35, 000.00 from Line Item No. 10-700-015, Transfer' out to Line Item No. 50-390-015, Transfer In, to tr^ansfer^ $35, 000. 00 from Sur'plus Funds with X34,000.00 to Line Item No. 50-841-:~00 Eligible Expense and ~1, 000.00 to Line Item No. 50-841-488 Third F'arty r , Administration in Indigent Health Care. COURT ORDER #~ 3 J / ~ • # BUDGET AMENDMENT REQUEST FORM DEPARTMENT NAME: INDIGENT' HEALTH CARE GENERAL FUND i I I I UNEXPENDED I REQUE5TED I I CURRENT I CURRENT I BUDGET I AMENDMENT EXPENSE CODE I LINE ITEM DESCRIPTION I I BUDGET I EXPENSE I I I BALANCE I I I +INCR/f)DECR 50-390-015 I I TRANSFER IN I I I l~ 87,925.06 I I i i I I $ - 0 - I+ $ 35,000.00 10-390-015 I TRANSFER IN I I~ 87.925.06 I I I I I I $ 1,956.00 l+ $ 35,000.00 10-700-015 I TRANSFER OUT I$ 87,925.06 I I I I I I $ - 0 - I+_ $ 35,000.00 **50-700-015 I TRANSFER OUT I I I I I I I i I I I I I$ 87,925.06 I I 1 I I I I I I I I I I I I I I I I I I I I I I I I $ 1.956.00 I+ I I I I I I I I I I I I I I i I I I I I I I I I $ 35,000.00 **To cover repayment of funds transferred from General Fund. -•- ~l ELECTED OFFICI LIDEPARTMENT HEAD SIGNATURE August 13, 1996 DATE COURT ORDER # ~ 'J S BUDGET AMENDMENT REE+UEST FORM DEPARTMENT NAME: INDIGENT HEALTH CARE I I I I UNEXPENDED 1 REQUESTED I I CURRENT I CURRENT I BUDGET I AMENDMENT EXPENSE CODE I LINE ITEM DESCRIPTION I 1 ( BUDGET I EXPENSE I BALANCE I +INCR/{)DECR I I I 50-641-200 I I (Eligible Expense i$ 320,000.00 I I I I$ 15,280.681$ ( 16,162.64)1+ $ 34,000.00 I I I 611.231 ! 50-641-486 (Third Party Administr. I$ I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I 12,800.00 I$ 913.251$ 583.471+ $ 1,000.00 I I I I I I I I I I i I I I I i I I I I I 1 i I I I I i I 1 I I I I i I I I I I I I I I I I I *Flinds to come from Fund Surplus. ( F1~nds transferred in from General F1ind. ) ELECTED DF ICIAL/DEPARTMENT HEAD SIGNATURE August 13, 1996 DATE