ORDER NO. 29338 BUDGET AMENDMENT INDIGENT HEALTH CARE Came to be heard this the 22nd day of August, 2005, with a motion made by Commissioner Baldwin, seconded by Commissioner Letz, the Court unanimously approved by vote of 3-0-0 declare an Emergency and move funds from Fund #50 Surplus Reserves to the following: Expense Code Description Amendment Increase/QDecrease 50-641-200 Eligible Expenses + $43,913.21 50-641-486 Third Party Administrator + $1,976.09 COURTORDER# r3.~133~ # 5 (08/22105) BUDGET AMENDMENT REQUEST FORM II3 ~~ DEPARTMENT NAME: INDIGENT HEALTH CARE 3-~ ~ CURRENT CURRENT EXPENSE CODE LINE ITEM DESCRIPTION BUDGET EXPENSE UNEXPENDED BUDGET BALANCE REQUESTED AMENDMENT INCREASE/ DECREASE 50-641-200 Eli ibie Ex enses $664,914.56 $43,913.21 $0.00 + $43,913.21 50-641-486 Third Pa Administrator $29,595.36 $1,976.09 $0.00 + $1,976.09 *-Declare an Emergency and move funds from Fund #50 Surplus Reserves. Aug 22, 2005 DATE