ORDER NO.29679 BUDGET AMENDMENT SHERIFF'S DEPARTMENT Came to be heard this the 8th day of May, 2006, with a motion made by Commissioner Letz, seconded by Commissioners Baldwin, the Court unanimously approved by vote of 4-0-0 to transfer the following expense codes: Expense Code Description 10-560-480 Vehicle Insurance Amendment Increase/()Decrease + $87.00 10-560-330 Operating Expense - ($87.00) COURT ORDER # c2 ~ ~~9 # 3 (05/08/06) BUDGET AMENDMENT REQUEST FORM ~I~ ~'O'~ DEPARTMENT NAME: SHERIFF'S DEPARTMENT CURRENT CURRENT EXPENSE CODE LINE ITEM DESCRIPTION BUDGET EXPENSE UNEXPENDED BUDGET BALANCE REQUESTED AMENDMENT INCREASElQDECREASE 10-560-480 Vehicle Insurance $24,654.00 $87.00 $0.00 + $87.00 10-560-330 O eratin Ex ense $6,000.00 $3,724.81 ($87.00 FOR AUDITOR'S OFFICE USE ONLY LATE BILL FOR OS/( Q$/OB) WILL NEED A HANDCHECK 2010 VENDOR # PAID TO: AMOUNT: EXPENSE CODE: DESCRIPTION: INVOICE # TEXAS ASSOCIATION OF COUNTIES $87.00 70~60~180 TAC/Ins cvrg on 2 add'I veh's INV. NUMBER 4'06/SO-veh's INV. DATE: 04/21!06 RCVD DATE: 04/26/06 DUE DATE: 05/08/06 Property & Casualty Self-Insurance Fund P.O. Box 2731 Austin, Texas 78788 AUDITOR VERIFICATION DATE Ms. Mindy Williams Kerr County Auditor 700 Main, Room 103 Kerrville, TX 78028 Kerr County - #1330 Current Agreement Period: October 1, 2005 to October 1, 2006 Deductible: $1,000 Endorsement Effective: April 17, 2006 Accounting Post Date: Apri12006 INVOICE Apri121, 2006 Contribution for additional coverage endorsement, per attached schedule, is AUTO PHYSICAL DAMAGE COVERAGE Additions: 1996 CHEV PICKUP #2331 1999 DODGE PICKUP #9867 (~` (~ NET CONTRIBUTION DUE: $87 O/~~~ / Payment due date, without late penalty: May 21, 2006 Checks should be made payable to Texas Association of Counties Property & Casualty Self-Insurance Fund P. O. Box 2131 Austin, Texas 78768 PLEASE PAY ACCORDING TO INVOICE, CHANGES TO COVERAGE MUST BE MADE BY ENDORSEMENT. ANY REFUND OR ADDITIONAL CONTRIBUTION WILL BE INVOICED AT THAT TIME. Questions should be directed to Karen Baker, your TAC Service Representative, at 800-456-5974