IJPd tii':I'IIiI'ili.. COURT ORDER # ~ ~ ~ ~ %~{ # ~/ (07123/01) BUDGET AMENDMENT REQUEST FORM DEPARTMENT NAME: Non Departmental UNEXPENDED REQUESTED EXPENSE CODE LINE ITEM DESCRIPTION CURRENT BUDGET CURRENT EXPENSE BUDGET BALANCE AMENDMENT INCREASEJ()DECREASE 10-409-401 Auto &In uest $43,000.00 `$ 6,690.00 $1,717.40 + $10,205.17 10-409-400 Inde endent Audit $18,000.00 $700.00 - $700.00 10-409-204 Workers Com ensation $66,353.67 $9,505.17 - $9,505.17 "-3 transports ~ $230.00 ea. _ $690.00 *-4 autopsy's @ $1,500.00 ea. _ $6,000.00 HEAD SIGNA 07/17!2001 DATE