G O ~ ~ r ~ ~ C tg ~r ~ w r w •° l0 N N ~ W J ~ .p O 1t P1 ~ rt r• C1ftDEF MU. rr".?~.i4:LGi T31.1D(a'k::1" 4il"IE:NDME.M'T' 7N NUhI vf::r~~r~Fn•II~N'T'f-1L Uri this day the 13th day o~f Tuly, 19'3U upon motion made by Commi.scaioncrr T:ta].dwi.n, s>econcled by C:ommi:L, 13t7. 7,`.i to Line Itc+m hlo. ].CA•-~aUO'J•-•c~E74 Worke•r•~s Comperrication. COURT ORDER #~~~ i~ #~ (7/13/98) BUDGET RMENDMENT REQUEST FORM DEPARTMENT NAME: NON DEPARTMENTAL I 1 I I 1 CURRENT I EXPENSE CODE I LINE ITEM DESCRIPTION I BUDGET I 1 I 1 i I I 10-409-204 (Workers Co~ensation I$ 32,000.00 1 I i I 10-409-207 I TAC Unerta~loyment Ins. I $ 12,500.00 1 I I 1 10-401-571 (Contingency 1$ 7,857.66 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 1 I 1 I I i I 1 I I __ I UNEXPENDED I REQUESTED CURRENT i BUDGET I AMENDMENT EXPENSE I BALANCE I +INCR/ODECK I I I I I $ ( 1,130.75 )1 + $ 1,130.75 I I I S ( 2,643.15 )I + $ 2,643.15 I I 1 $ 4,695.99 I ( S 3,773.90 1 I 1 I I I 1 I I I I I I I I I I I I I I I I I I I o~,~.~~h. d0YY.iCs%1f~lX~'~' ELECTED OFF CIRL/DEPARTMENT HERD SIGNATURE July 6, 1998 DATE