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Public Health
TOTAL # OF SIONATURE PAGES
9/12/95
GREEN SHEE��� N° 30591
�HmavonTe wmnvon�
oeraRTMEkroiRECroa �crtrcouHa�
cm nnon�v m cm c�rm
BUDGEr DIRECTOR Q FIN. & MGT. SEBVICES Dlfi.
MAYOR (OR ASSISTPNn O
(CLIP ALL LOCATIONS FOR SIGNATURE)
City siqnatures on Adminfstrative Order budget revision for special fund.
_ PLANNING COMMISSION _ CNIL SEflVICE CqMMI$SION
_ GIB COMMRTEE _
_ 5TAFf _
_ DISiRICTCOURT _
SUPPOATS WHICH COUNqL OBJECTVE?
PERSONAL SERYICE CONTRACTS MUST ANSWER TNE FOILOWING QUESTIONS;
1. Has this personfirm ever wwked ufWer a contrac[ for this department?
YES NO
2. Has this personffirm ever been a ciry employee?
YES NO
3. Does this personRirm OoSSaSS a skGl �ot narmally possesseE hy any curraM city empbyee?
YES NO
Expiain alt yes answers on separate sheet and attactl to green sheei
Spending authority is needed in Public Health's Tuberculosis for Computer Equtpment, in Well
Chtld for Office Supplies, in Famlly Ties for �ffice Supplies, in Lead Poisoning Gontrolfor
Data Processing Equipment and Community Nealth Education for photo SupplSes. There is spendi
authority in other object codes that couid be transferred.
There would be no deficit object codes and vendors would be paid.
RECEtVED
Vendors would not be paid.
AMOUNT OF TRANSACTION
�
COST/REVENUE BUDGE7ED (CIRCLE OtiE)
FI1NDIidG50URCE Receipts ACTIVITYNUMBER dPT0U5
FINANCIAL INFORMATION: (EXPLAIN)
SEP 151995
CfTY CtERK
YES NO
�