ORDER N0.29041
BUDGET AMENDMENT AND LATE BILL
IN ROAD AND BRIDGE DEPARTMENT
On this the 14th day of February 2005, upon motion made by Commissioner Letz,
seconded by Commissioner Nicholson, the Court unanimously approved by a vote of 4-0-
0, to transfer $448.00 from Line Item No. 15-611-202 Group Insurance to Line Item No.
15-611-480 Insurance -Vehicles and payment of late bill with hand check to J.I.
Specialty Risk in the amount $2,854.00.
COURT ORDER # ,~~ ` ~"' ` -`~ ~~
(02/14105)
BUDGET AMENDMENT REQUEST FORM
DEPARTMENT NAME: Road & Bridge

CURRENT CURRENT
EXPENSE CODE LINE ITEM DESCRIPTION BUDGET EXPENSE	UNEXPENDED
BUDGET
BALANCE		REQUESTED
AM€NDMENT
INCREASE! DECREASE
15-611-480	Insurance -Vehicles	$22,118.00	$2,854.00	$2,406.00	+	$448.00
1511-202	Grou Insurance	$131,032.00		$91,157.00		$448.00
						
						
						
						
						
						
						
						
TURE
01 /31 /05
DATE
FOR AUDITOR'S OFFICE USE ONLY
LATE BILL FOR 01/14/05
WILL NEED A HANDCHECK
2904
VENDOR #
INVOICE #
PAID TO: J1 SPECIAL RISKS fNS. AGENCY
AMOUNT: 52,854.00
EXPENSE CODE: 15-611-d80
DESCRIPTION: Renewal:Storage Tank-Third Party Liab_
Policy--Policy Number: USC3584450-05
(policy dates: 02123/05-02/23/06)
INV. NUMBER USC3584450-05
INV, DATE:	01!27!05
RCVD DATE:	01/31!05
DUE DATE:	02/14/05
P.O. Box 26655	
Austin, Texas	78755-0655
	
JI Special Risks Ins. Agency ~~~C~ ~ L~J
1'. O. Box 26655
Austin, TX 78755-0655
(800) 541-5477
Tommy Tomlinson
Kerr County
700 Main # 103
Kerrville, TX 780285327
INVOICE
1
Storage Tank Pollution Liab
Policy No. USC3584450-OS
Effective Dates: 02/23/05-06
~~~~~~~D
JAN 91 2005

Please make checks payable to JI Special Risks Ins. Agency.
2,854.00
0.00
0.00
J~-~l~-~~~~
Invoice Date:	1/27/2005
Invoice No.:	016645
Customer No.:	KERB. CO
Due Date:	Due Upon Receipt
2,854.00