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D00754CiiF 6F SAINT FADL wniie ciip clera � peilow dept nina finance depi No: ����-�_ ADi{iFiSRHAii�n OaDBH ^-�' Date: I L ' nliuGni &BYISI08 eDKiNiST&AiitiB GSDBn. Consisteni vith ihe authority Branted to tne Hayor in 9eciion i0,u7.4 ai ihe Ciip Charter and 6ased on iae reQUesi ai iue Director of t6e uepartaeni of Publ i c Heal th to asend ihe 19_95oud�eE oi ine SPecial Revenue Pund, Eue uirecior of ine Ueparimeni of r"inance ann Hanagenent Services is antnarizen io a¢end sain ouugei in tae ioilowinC aanner. Curreni Budgei �J POBLiC HnALT& "sFBCiRL &SVBNUn 3u3-3"si"s0-02fii 305-"s3i32-0309 3�5-"s32§4-6ila' 305-aa24�-0353 "sG5-3325G-02s1 305-3325G-0387 3u3-z3i54-G3o4 3G5-332aG-Qli1 aos-�az�o-o�ai 3ua-33238-02i9 aQ5-a"si54-Oiii S"rnC HLin "r&Od Si�"r S8u6 - LiABILiTF iHSil&ANCn 9BALTS &nC66�5 - Gnr"ICB SliPPLiEB BEFUGB& GA&B - NBDICAG FfifiS RBr"OGBB fiLTfl CABn - NBDICeL SUP"rLifiS d&LL CfliLG - FBINTiiIG k�BLL CAILD - PHOTO 30PPLIn9 GH&6riiC DISSASE "r&fiVBNTIGN - OFFiCfi 3GFr"GInS 3FSi� @LT6 "rBOd 3liFF. - F[iLL TiNB S"rBC riGTH F80J nUYP Yt41L1 TIHS RGfi�H'3 6"nALi6 GLSHiG - FESS GT8&B CflROEiIC DISfiASB P&fiVBATiGA - FAaS iiAB 30.OG S1,00G,0u i96,00G.00 sia,oao.ac 3i3Ou0.00 si,G40.00 S�.GO S2&,Io5.00 39,i61.00 s2s,coo,oa 32i,26S�00 Gnange $3,000,60 ;2,OQ0,00 s4a,aao,00 $'a,QGG,06 $9,5v0.00 32,000.00 3546.OG (�25,G00.67i i$S,OOO,GOi �mio,aoo.ao; i¢20,OOO,GGj 9i97,209 P6 }0,00 AOended 6udget 33,600,00 �"s,OG0,00 3i3"v,uu0,00 $i5,Gp0�00 35,500.OG 33,G00.00 ;500."v0 S3,i8'a.60 34,i6I.�0 si5,aoo.00 3i,26a,60 �i99,2P9,00 aHB&BAS, i6B PUBLiC HBALTH'3 SPBC &GTH "rSOd 8IIr"P NBBDS 5PBNDIHG RUTHO&iTY F6R LIABiLIiY iASGuANGB, riEALTA RuCu&D"a FOE 6FFSCE 3UPPLiB3, R�FUCB3 Ch$B RGR IiSDICAL FBBS AMD MfiDIC6L "a�7PPLiFS, G`SbL C$ILD F"v& P&In'�iNG AND F96T0 3JPPLI�i, CHEONiC DiSna9B FOa GFFICB 3UFPLInS, AAD GdBBBAS, TAfiRn I� 3FBHDiRG eDf60&iiF iN OS`HB& OBJnCT GODBB i�i 6PnC� HL?H SUFP, �GHni7'8 fiBALTA, AFD CABONIC DISBASB ifiAi CODLG BB TBANSFBRBSD Pri3&itx0&& 8B nnS6G`�6D, TrieT Tun lfAFOS ePFE6VnS SHfi GHehGfi T6 iHn 1595 Bi7DG&T, j�-�����--,. Pnn"rABBu BY: ACiIViiF MAHAG3z • 12-r-�_ `��-- _=--- 8&QUS3THD BF: D&Pa&Tl1BHT DIuBCTO& r� tf�-,--5�__ nP OPn"D : �dYOd - � j— 2 8 TS �--- D'aTn: _� _ . "iYYti�l �,v DEPAR7MENT/OFFIC UNqL DATE INRIATED � �_ � N° - 3 2 4 4 2 Publ i c Heal th GREEN SHEE _ _-. CONTAClPEAS�N & PHONE INITIAVDATE MRIAIJDATE Q DEPAFT�MENT DIflECTOfl � CRY COUNpI ASSIGM O(,Ry ATTOHNEY CRV CLERK NIIYBER FOR BY (D pp�p� O BUDGEf DIRECTOR fIN. 6 MGL SERVIGES DIR. � ORDEP � MAYOR (OR /SSISTANT) ❑ TOTAL # OF SIGNANRE PAGES 1 - (CLIP ALL LOCATIONS FOR SIGNATUR� ACf10N FlEQUESTED: ' City signatures on Admfnistrative Order budget reuision for Health Speci.al Revenue Fund. RECAIAMENDAiIONS: apprava fA) a Reject (R) PERSONAL SERVICE CONTRACTS MUST ANSWER 7HE FOLLOWING �UESTIONS: _ PLANNING COMMISSION _ qViL SEflVICE COMMISSION �� Hd5 thi5 pe�50Nfirm BVer worked under d COMf2Ct fOr thi5 depafiRlent? - _CIBCOMMfTTEE _ �'ES NO _ STAFF _ 2. Has thiS personffifin eVef been a City employ0e? YES NO _ DI57aICi COUa7 _ 3. Does this person/firm possess a skill not nortnally possessed by any current city employee? SUPPORTS WHIGH CAUNCIL OBJECTIVE? YES NO Explain all yes answers o� sepante sheet and attaeh to green aheet INITIATING PROBLEM, ISSUE.OPPORTUNI'fV (Who. What, N7ron, Where, Why): Various Health Special Revenue-actzvities need spending authority, Special Adm for Liablity Ins., Health Records for Office Supplies, Refuoee Care for Medica7 Fees and Supplies. Well- Child for printing and photo supplies and in Chronic Disease for office Supp37�s. There is spending authority in various other object codes that could be transferred. VANTAGES IFAPPROVED. There will be no deficit object codes. DISADVANTAGES IFAPPROVED: NONE RECEIVE� oEC - � tss� �rTY CLER� DISADVANTAGES IF NOTApPqOVED: Vendors will not be paid TOTALAMOUNTOFTRANSACTION E hn ,nna COST/REVENUEBUDGETED(CIHCLEONE) YES NO Specfal Funds Various FUNDIHG SOUHCE AC7IVITY NUMBER FINANCIAL INFOflMATION: (EXPLAIN) � � y � w�