ORDER N0.28339
BUDGET AMENDMENT FOR
INDIGENT HEALTH CARE
On this the 22ND day of September, 2003 upon motion made by Commissioner Baldwin,
Seconded by Commissioner Letz, the Court unanimously approved by a vote of 4-0-0, to
Transfer $63,631.50 from Indigent Health Care Surplus Funds and put $134.23 into line item 50-
641-100 for Administrative, $60,135.34 into line item 50-641-200 for Eligible Expense and
$3361.93 into line item 50-641-486 for Third Party Administrator.
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COURT ORDER # ~ --~ -=
(09/22/03)
BUDGET AMENDMENT REQUEST FORM
DEPARTMENT NAME: INDIGENT HEALTH CARE

CURRENT CURRENT
EXPENSE CODE LINE ITEM DESCRIPTION BUDGET EXPENSE	UNEXPENDED
BUDGET
BALANCE		REQUESTED
AMENDMENT
INCREASE/ DECREASE
,SO-641-100	Administrative	$8,134.00	$i ,546.66	$1,412.43	+	$134.23
50-641-200	Eligible Ex nse	$509,332.21	$74,709.66	$14,574.32	+	$60,135.34
50-64186	Third Party Administrator	$23,617.79	$3,361.93	$0.00	+	$3,361.93
						
						
						
						
						
						
						
'-Funds to come from INDIGENT HEALTH CARE Surplus Funds
ELECTED OFFICIAL/DEPARTMENT HEAD SIGNATURE
09/12/03
DATE