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Get FY 2017-2018 BUDGET AMENDMENT REQUEST FORM

Fund Please select from these Fund types Type of Movement Between categories of appropriations within a budget entity s. 216. 292 2 a 1. F.S. Between budget entities within identical appropriation categories s. 216. 292 2 a 2. TOTALS Provide a brief justification for this request Date Authorized Signature PLEASE RETURN COMPLETED FORM TO JAC BUDGET OFFICE BUDGET JUSTICEADMIN.ORG. FY 2017-2018 BUDGET AMENDMENT REQUEST FORM USE FOR 5 OR 250 000 BUDGET MOVEMENT BTR-0812 Rev.06/06/17 Requesting Agency Please select from this list. Fund Please select from these Fund types Type of Movement Between categories of appropriations within a budget entity s. 216. 292 2 a 1. F.S. Between budget entities within identical appropriation categories s. 216. 292 2 a 2. F.S. Move to entity Recurring Impact Yes No 5-Day Unlimited Transfer s. 216. 292 2 b 1. F.S. NOTE When entering dollar amounts in the Amount From and Amount To columns do not use dollar signs negative signs commas or other punctuation marks. F.S. Move to entity Recurring Impact Yes No 5-Day Unlimited Transfer s. 216. 292 2 b 1. F.S. NOTE When entering dollar amounts in the Amount From and Amount To columns do not use dollar signs negative signs commas or other punctuation marks. Please enter whole numbers only. no cents. CATEGORY REVENUE SOURCE AMOUNT FROM AMOUNT TO Salaries and Benefits 010000 Lease or Lease Purchase Equipment 105281 Amount totals are automatically calculated. Totals MUST balance out to 0.

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