HomeMy WebLinkAbout120 96JEFFERSON COUNTY
STATE OF WASHINGTON
IN THE MA~ OF }
HEARING NOTICE: PROPOSED }
BUDGET APPROPRIATIONS/EXTENSIONS }
VARIOUS COUNTY DEPARTlVlENTS }
RESOLUTION NO. 120-96
WHEREAS, requests have been made on behalf of various Jefferson County Funds
for budget appropriations and extensions for their 1996 budgets due to additional expenditures,
which were not anticipated at the time of preparing said budgets, and budget extensions to allow
expenditures of unanticipated reimbursements received from fees, or grants from the State and
Federal govemment; and
WHEREAS, it appears to the Board of County Commissioners that a need and
emergency exists that could not have been foreseen or contemplated at the time of preparing the
budgets for 1996 and the following sums are needed for appropriation from the unencumbered
balances of the funds listed:
CURRENT EXPENSE FUNDS:
District Court
$10,000.00
OTHER FUNDS:
Community Services
Construction & Renovation
Facilities Management
Mental Health
Operating Transfers
Parks & Recreation
6,200.00
25,000.00
35,700.00
5,170.00
61,586.46
1,245.00
NOW, THEREFORE, BE IT RESOLVED, that an emergency is hereby
declared, and that appropriations/extensions be made for the above noted funds.
BE IT FURTHER RESOLVED, that a public hearing be held on the said emergency
appropriations and extensions and that said hearing be held in the Lower Level Conference Room at
the Courthouse, Port Townsend Washington, on the 13th day of January 1997, at the hour of
2:00 p.m., and that notice of said hearing be published in the official newspaper of Jefferson
County, and that at said hearing any interested taxpayer may appear and be heard for or against the
appropriations/extensions for such alleged emergency.
SEAL:
ATFEST:
AP..PROVFff) ~is ~.J' day of December, 1996.
1'.
TO: BOARD OF COUNTY COMMISSIONERS
RE: REQUEST FOR EMERGENCY APPROPRIATION
12/20/96
Date
Gentlemen:
Please be advised that after a thorough examination of my current budget it appears that the amount
allocated in BARS Account No. see attain.ed of the
category is insufficient to pay necessary expenses of this department for this year. After a careful
examination of all the expenditures within the department budget with respect to present and future
needs, I find there are no funds available to transfer into the deficient account. Therefore, I request
an emergency appropriation in the amount of $~~.J~._ for this current year for the following
reason(s) as outlined below:
BARS Acct. NO. Cateqory Amount
SEE AT~ACRk'~
Reason for ApproFriation:
District Court
Department
Revised 7/91
REQUEST FOR EMERGENCY APPROPRIATION (cont.)
Below is a listing by category of the line items that show as over-spent. While the over-spent categories
seem substantial, there is sufficient money in other areas of my budget that will help make up the
difference. With the increase experienced by this depamaent this year, the reasons for over-spending
seems obvious. With more filings, comes more of everything, paper-work, telephone calls, files, copy
paper, jury expenditures, etc. The larger we become, the more it will cost.
You will notice that I ha~,e over-spent the total appropriation by an estimated $10,000.00 or2 %. To
hold the expenditures at a 2% increase when we have experienced an approximate 35% increase in
caseload was a challenge. To help offset the expenditures, however, I am pleased to report that we
collected an estimated $25,391.00 or 5 % over what was anticipated in revenue.
BARS Acct.. No. Category ~
512.40.31.0010 Office Supplies 7761.56*
512.40,41,0040 Pro Tem Services 3640.00**
512.40.41.0030 Court Apptd. Attorney 4987.50**
512.40.41.0020 1-800 line/long distance 800.17
512.40.43.0000 Travel 433.74
512.40.48.0000 Repair 206.72
512.40.49.0040 School 433.00
512.40.49.0020 Jury 2,787.87
512.40.31.0020 Printing 3,423.07
** There has been a coding error in the pro tem services and court appointed attorney categories. Some
of the over-expenditure in the court appointed attorney line is actually expeuditures for pro tern services.
* $3,500.00 of this over expenditure was for the purchase of a new Lanier Court Recorder, The old one
could no longer be repaired. That kind of expenditure was not anticipated when the 1996 budget was
prepared.
The amount column does not include what I will need in January to cover December expenditures, but the
bottom line I am requesting does.
TO: Board of County Commissioners
RE:
Request for Emergency Appropriation
DATE:
December/%, 1996
Please be advised that after a thorough examination of my current budget it
appears that the amount allocated in BARS Account No. 112-OOO-O10 of the
allocations to community services is insufficient to pay necessary expenses of
this department for this year. After a careful examination of all the
expenditures within the department budget with respect to present and
future needs, I find there are no funds available to transfer into the deficient
account. Therefore, I request an emergency appropriation in the amount of
$6,200.00 for this current year for the following reason(s) outlined below:
BARS ACCT
Community Services
112-000-010
Reason for Extension:
CATEGORY
519.80/%9.90
519.90/%9./%0
555.00/%9.30
519.90/%2.10
Fair Association
Domestic Violence
PT Senior Assoc
Postage
519.90/%/%.00 Advertising
557.10 35.00 Office Equip
total
AMOUNT
$3,250.00
$1,16/%.00
$ 891.63
$ 213.12
$ 10/%.51
$ 576.7/%
$6,200.00
Overage due to unanticipated payments to Fair Association, Domestic
Violence, Port Townsend Senior Association and miscellaneous other costs.
Community Services has no cash flow problem to pay for these expenditures.
Respectfully submitted,
Department
TO:
Board of County Commissioners
RE:
DATE:
Request for Emergency Appropriation
December 3, 1996
Please be advised that after a thorough examination of my current budget it
appears that the amount allocated in BARS Account No. 130-OOO-O10
56z~.OO.Z~l.O1OO $5,170.OO of the professional services category is
insufficient to pay necessary expenses of this department for this year. After
a careful examination of all the expenditures within the department budget
with respect to present and future needs, I find there are no funds available
to transfer into the deficient account. Therefore, I request an emergency
appropriation in the amount of $5,170.OO for this current year for the
following reason(s) outlined below:
BARS ACCT NO.
CATEGORY
AMOUNT
130-000-010
Mental Health
5 6Zl..OO.Zl. l.O l O0
Professional Services - JCCC
$5,170.00
Reason for Appropriation:
Due to excess revenue received in 1996 from the DNR Timber Sales, Mental
Health (aka Jefferson County Community Counseling) has more cash available
than originally budgeted to spend. Because JCCC is entitled to receive all tax
dollars collected, appropriation request reflects full remittance of collections
during 1996.
Resvectffully subrrfi~ed, ,~
Department
TO: Board of County Commissioners
Request for Emergency Appropriation
DATE:
December 19, 1996
Please be advised that after a thorough examination of my current budget it appears that
the amount allocated in BARS Account No. 301-000-010 of the allocations to
Construction & Renovation is insufficient to pay necessary expenditures of this
department for this year. After a careful examination of all the expenditures within the
department budget with respect to present and future needs, I fmd there are no funds
available to transfer into the deficient account. Therefore, I request an emergency
appropriation in the amount of $25,000 for this current year for the following reason(s)
outlined below:
BARS ACCT NO.
Construction & Renovation
301-000-010
CATEGORY
594.10 41.00 Prof Services
594.10.62.00 Building Improv.
AMOUNT
$20,000.00
$ 5,OOO.OO
total $25,000.00
Reason for Extension:
Overage due to Facilities Plan Project and Jail Septic Project costs were higher than
budgeted amount. The real estate exise tax amount for 1996 is approximately $40,000
higher than budgeted and it will cover costs of these projects. No additional amount will
be requested from the general fund.
Respectf~y submitted,
Department
TO: Board of County Commissioners
Request for Emergency Appropriation
DATE:
December 19, 1996
Please be advised that after a thorough examination of my current budget it appears that
the amount allocated in BARS Account No. 183-000-010 of the allocations to Facilities
Management is insufficient to pay necessary expenditures of this department for this
year. After a careful examination of all the expenditures within the department budget
with respect to present and future needs, I fred there are no funds available to transfer
into the deficient account. Therefore, I request an emergency appropriation in the amount
of $35~000 for this current year for the following reason(s) outlined below:
BARS ACCT NO.
Facilities Management
183-000-010
CATEGORY
518.30.47.00 Utilities
~j~r.~,.48.00 Repair & Maint.
AMOUNT
$16,000.00
$19,700.00
Total $35,700.00
Reason for Extension:
Overage due to repair and maintenance and utilities costs higher than budgeted amount.
Unanticipated repairs include gutter repairs at Clearwater, Tri Area hot water tank,
elevator repairs and several other emergency repairs. The $35,700 will be requested as
an operating transfer from the general fund. This will leave the Facilities Fund with a
fund balance of $71,000 which is approximately 10% of the 1997 budget.
Respectful.ly submitted,
Department
TO:
Board of County Commissioners
RE:
Request for Emergency Appropriation
DATE:
December 3, 1996
Please be advised that after a thorough examination of my current budget it
appears that the amount allocated in BARS Account No. 001-261-000
597.00.97.0180 $15,000.00 of the Operating Transfer category is
insufficient to pay necessary expenses of this department for this year. After
a careful examination of all the expenditures within the department budget
with respect to present and future needs, I find there are no funds available
to transfer into the deficient account. Therefore, I request an emergency
appropriation in the amount of $15,000.00 for this current year for the
following reason(s) outlined below:
BARS ACCT NO.
CATEGORY
AMOUNT
001-261-000
Operating Transfers Out
597.00.97.0180
Brinnon/Quilcene Flood Control
$15,000.00
Reason for Appropriation:
Brinnon Flood Control $ 5,000.00
Quilcene Flood Control $10,000.00
Appropriation makes up for allocations made in February of 1996 for Flood
Boards and other expenditures. Allocation was overlooked and not budgeted
during the 1996 budget cycle.
Re.spectfuily su~bmitted, ~ ,,~
Department
TO: Board of County Commissioners
Request for Emergency Appropriation
DATE:
December 19, 1996
Please be advised that after a thorough examination of my current budget it appears that
the amount allocated in BARS Account No. 000-261-000 of the allocations to Operatine
Transfers is insufficient to pay necessary expenditures of this department for this year.
After a careful examination of all the expenditures within the department budget with
respect to present and future needs, I fred there are no funds available to transfer into the
deficient account. Therefore, I request an emergency appropriation in the amount of
$35,700 for this current year for the following reason(s) outlined below:
BARS ACCT NO.
Operating Transfers
000-261-000
CATEGORY
597.00.97.170
Operating Trans.-Facil
AMOUNT
$35,700.00
Reason for Extension:
To cover budget appropriation for Facilities Management.
Respectfully submitted,
Departm~ent -
TO: Board of County Commissioners
Request for Emergency Appropriation
DATE:
December 20, 1996
Please be advised that after a thorough examination of my current budget it appears that
the amount allocated in BARS Account No. 001-261-000 of the allocations to Ooeratine
Transfers is insufficient to pay necessary expenditures of this department for this year.
After a careful examination of all the expenditures within the department budget with
respect to present and future needs, I fred there are no funds available to transfer into the
deficient account. Therefore, I request an emergency appropriation in the amount of
$10,886.46 for this current year for the following reason(s) outlined below:
BARS ACCT NO.
Operating Transfers
001-261-000
CATEGORY
562.00.31.20 Operating Trans-Health
AMOUNT
$10,886.46
Reason for Extension:
Reimbursement for vaccine replacement. (See Attached)
Respectfully submitted,
ma*
Jefferson County Health & Human Services
CASTLE HILL CENTER" 615 SHERIDAN · PORT TOWNSEND, WA · 98368
December 16, 1996
TO: Board of County Commissioners
FROM: David A. Specter ~"" ?' 4~''':~7
-~..? ., :.
SUBJECT:
Final Request for 1996 Budget Appropriation
Reimbursement for Vaccine Replacement
On June 10, 1996 our laboratory refrigerator door was left ajar, causing the unit to overcool and spoil most of the
vaccine supply on hand. The total cost to replace the spoiled vaccine was $10,886,46.
A request for insurance reimbursement of the replacement cost was submitted to Risk Management. Since, the
amount of the claim is below the deductible amount for County Risk Pool coverage, we have been directed by Risk
Management to submit the request for reimbursement through the budget appropriation process. Therefore, I am
requesting an appropriation in the amount of $10,886.46 for this current year to cover this loss, as follows:
BARS Acct. No. Category. Amount
562.00.31.20 Supplies $10,886.46
Attached is supporting documentation regarding costs to replace the spoiled vaccine, as well as our communication
with Risk Management.
Please let me know if you have any questions or need any additional information.
HEALTH
DEPARTMENT
360/385-9400
ENVIRONMENTAL DEVELOPMENTAL ALCOHOL/DRUG
HEALTH DISABILITIES ABUSE CENTER FAX
360/385-9444 360/385-9400 360/385-9435 360/385-9401
Jefferson County Health & Human Services
CASTLE HILL CENTER · 615 SHERIDAN · PORT TOWNSEND, WA · 98368
InterOffice Memo
To: David Goldsmith
From: Judi Morris,.,.J ~'/
Date: August 29, 1996
Subject: Vaccine replacement
Attached are the invoices reflecting monies paid to purchase vaccines that were damaged
June 10, 1996. The total expenditure is $10,886.49.
The incident was reported to you June 17, 1996. After some investigation you asked that
we provide invoices once all the vaccines had been purchased. Those invoices would
enable you to file a claim and have our department reimbursed. The purchasing is
complete and we have paid the invoices through the normal warrant process.
Please take whatever steps are appropriate to submit our claim for reimbursement.
I am available for additional information should it be needed.
CC: David Specterw/o attachments
HEALTH
DEPARTMENT
360/385-9400
ENVIRONMENTAL
HEALTH
360/385-94,44
DEVELOPMENTAL
DISABILITIES
360/385-9400
ALCOHOL/DRUG
ABUSE CENTER
360/385-9435
FAX
360/385-9401
CONNAUGHT
/LAB ORATO RIEL, !NC.
]% PASTEUR MI~RIEUX COMPAH'Y"
onnaught Laboratories
· 0. Box 60244
Charlotte, NC 28260-0244
0302
15915700 1382066 7/08/96
Dis¢oun't: Due Date 8/07/96
Amoun'l: Paid
PLEASE RETURN THIS STUB WITH YOUR REMITTANCE TO INSURE PROPER CREDIT
'lled To: Shipped To: Oul' Number ts - 1-800-822-2463
OEFFERSON COUNTY re, TH DEPT. JEFFERSON COUNTY ~,Tfi DEFT. 8AM-SPM (EST) Monday-Friday
CASTLE HILL CENTER CASTbE HILL CENTER
615 SLERIDAN ST 615 SRERIDAN ST
PORTTO~SEND WA 98368 PORTTO~SEND WA 98368 Connaught Laboratories Inc.
Packing List/Invoice
687843
15915700 ANITA SHEPARD
50-10 1 IMOVAX RABIES 1ML VIA~ 112.4500 104.0000 104.00
hot# Kl172
This order was carefully checked by
Please call within 48 hours of receipt
if any discrepancies are noted
Amount Subject to Cash Discount..
104.00
A 2% Cash Discount of $2.08 is available on the Amount
Subject to Cash Discount when paid on or before 8/07/96.
Total Due by 8/08/96.
Invoice Questions?
Call: Wend¥
To:
CONNAUGHT
LABORATORIES, INC.
A PASTEUR M~'RIEUX COMPANY
Connaught_~gratories
P.O. Box 6oz~
Charlotte, NC 28260-0244
PLEASE RETURN THIS
i11.d To:
JEFFERSON COUNTY KnTE DEFT.
CASTLE HILL CENTER
6t5 S~ERIDANST
PORTTO~NSEND
WA 98368
0302
15915700 1378412 7/O]~/96
Discount Due Date 7/31/96
Amount Paid
STUB WITH YOUR REMITTANCE TO INSURE PROPER CREDIT
Shi~p,d To: Our Number is - 1-800-822-2463
JEFFERSON COUNTY 5nTH DEFT. 8AM-B?M (E~) Monday-Friday
CA,nE HILL CE~ER
615 S~RID~ ST
PORTTO~SED WA 9~68 Co~ught ~borato~es Inc,
Pack'nC List/Invoice
/ ''/UP~'"Or~U'~d" ' ' ' ' '' I 1 ~
15915700 ANITA SHEPHERD ~ 7/01/,96 .... ~ 1378412
251-20
Lot# K1047
IMOVAX RABIES I.D. O.1ML/SYR
52.3500 52.3500 157.05
This order was carefully checked by
Flease call within 48 hours of receipt
if any discrepancies are noted
A 2% Cash Discount of
Subject to Cash Discount
Total Due by 8/01/96.
$3.14 is available on the Amount
when paid on or before 7/31/96.
Amount Subject to Cash Discount..
"I Invoice Questions? '"
,, ~ Call: Wendy
I
157,05
0302
Remit To:
Connaught Laboratories
P.O. Box 60244
Charlotte, NC 28260-0244
15915700 1378602 7/0,.~/96
Discoun~ Due D,.~e 7/31/96
Amount: Pmid
PLEASE RETURN THIS STUB WITH YOUR REMITTANCE TO INSURE PROPER CREDIT
illed To: Shipped To: Our N,;mber is - 1-800-822-2463
JEFFERSON COUNTY ~LTH DEPT. JEFFERSON COIINTY ~T~ DEPT. 8AM-SPM (EST) Monday-Friday
CASTLE HILL CENTER CASTLE }{ILL CENTER
615 S~ERIDAN ST 615 S~ERIDAN ST
PORTTOWNSEND WA 98368 PORTTOWNSEND WA 98368 Connaught Laboratories Inc,
Packing List/Invoice
684215 I 1055363 UPS Ground 1 1
!
15915700 IANITA sHEpHERD / 7/0~/9~ ' I 1378602
251-20 ~OVAX RABIES I.D.O.1ML/SYR 52.3500 52.3500 471.15
Lot# K1047
489-01 ACYW135 1DOSE TP 46. ] 000 46.1000 230.50
Lot# 6081107
912-01 SODIUM C~LORIDE 5XO. 6~ .0000 .0000 . O0
Lot~ 6B01124
915-01 YF-VAX S/G 5X1D 188.9500 188.9500 188.95
Lot~ 6E71140
This order was carefully checked by
Please call within 48 hours of receipt
if any discrepancie~ are noted
Amount Subject to Cash Discount..
890.60
A 2% Cash Discount of
Subject to Cash Discount
Total Due by 8/01/96.
$17.81 is available on the Amount
when paid on or before 7/31/96.
Call: Wend¥
DATE: 07/15/96 HEALTH CARE PROVIDER COPY
TO: JEFFERSON HEALTH DEPARTMENT
615 SHERIDAN AVE
PORT TOWNSEND, WA 98368
CODE:
161
PUBLIC
ATTN: LISA MC KENZIE
(360) 385-9400
FROM: WASHINGTON STATE IMMUNIZATION PROGRAM
AIRDUSTRIAL PARK BLDG 1
P 0 BOX 47843
OLYMPIA WA 98504-7843
(360) 753-3495
VACCINE SHIPMENT NOTICE
VACCINE LOT NUMBER EXPIRES DOSES (Vials)
DT 5H71008 ~ 08/28/97 ~ 20~( 2) V
HEP B ENG2072A2~ 01/26/99~ 50~( 50) V
HEP m 0517D~ 12/09/97v' 72~( 12) A
IPV L0704 ~ 05/03/98v' 20'¢( 20) V
OPV 0742B ~ * 02/28/97 / 50~( 50) A
SY-1 25 237844 / 12/31/99~ 400 ( 400) C
TD 6B81036*J 02/05/98¢ 90~( 9) A
ACTUAL
COST
$4 60
$435 so
$523 44
$1os 6o
$113 33
$23 12
$17
TOTAL FOR THIS SHIPMENT:
VALUE OF SHIPMENT RE FEDERAL FUNDS:
VALUE OF SHIPMENT RE STATE FUNDS:
VALUE OF SHIPMENT RE [/~./OTHER FUNDS:
VALUE OF SHIPMENT RE HEP B FUNDS:
ALLOCATION FOR CURRENT ALLOCATION YEAR:
VALUE OF ALL SHIPMENTS TO DATE:
BALANCE AVAILABLE AFTER THIS SHIPMENT:
THIS INVOICE
$653.87)
$23 .12)
":F 5- '¢--/b', ?o
$o.oo
YEAR TO DATE
$4,785.93)
$5,602.92)
~ 7 .t,.3/, ~'_~'
$o.oo
$30,226.00
~/7
/ .z .J.5_¢._<o'
IMPORTANT NOTES
Vaccines are shipped Monday through Wednesday with shipments to
Eastern Washington having priority. Orders are filled as quickly
as possible after receipt, and always within two weeks.
RECEIVING INSTRUCTIONS: When the shipment arrives:
1) Check for presence of ice or dry ice in shipping container.
2) Check QuanSities/Lot numbers/Expiration dates against the invoice.
3) CALL THE I~2~UNIZATION PROGRAM ABOUT ANY DISCREPANCIES.
4) Place OPV in freezer compartment with oldest dates in front.
5) Place DTP and o~hers in refrigerator with oldest dates in front.
6) Mail signed Vaccine Receipt form to State Health Department.
When vaccines associated with public funding are spoiled or expired,
return them to the Immunization Program. If you anticipate that any
vaccine will expire before it can be used, notify the Immunization
Program at least two months in advance of the expiration date.
WYETH-AYERST LABORATORIES
At: 180Z BRIERLY WAY
SPARKS NV 89431
n SHIPPED TO OR RETURNED BY ~
JEFFERSON CO HLTH DEPT
J FISCHNALLER M D
615 SHERIDAN ST
PORT TOWNSEND WA 98368
CO. DEA.'NO. RW0213570
F SOLD TO OR CREDITED
JEFFERSON CO HLTH DEPT
J FISCHNALLER M D
615 SHERIDAN ST
PORT TOWNSEND WA 98368
PAGE ~'~
INVOICE
DOCUMENT NO.
2?07147
DA~
JUL 29,199~
CUST. REFERENCE NO.
P.O. NO.
TERR. NO. ] CUST. NO. SUFFIX
67'434460753
uC ND~ .....
0008-
(3849-35
I ORDER NUMBER ACCESS NO.
06/1,,6/96
CLASS SC TAX I CUST. DEA NO,
5:_--:[ ~0 t
DESCRIPTION
SIZE
ADVANCE ORDER SHIPMENT
REFERENCE NOTICE DATED 07102/96
136 FLUSHIELD - VIAL
8:A~ 5 ML 15.75
AMOUNT
2142.00
A PRESCRIPTION PRODUCT IS SOLD WITH THE UNDERSTANDING
IT WILL BE ADMINISTERED BY OR UNDER THE INDIVIDUAL DIRECTION
OF A PHYSICIAN. PURCHASER ASSUMES THE OBLIGATION OF
ADVlSI~O .]2-~PlENTS OF CONTRAINDICATIONS AND POSSIBLE
ADVERSE REACTIu~3 7-mnRTEDLY ASSOCIATED WITH THE PRODUCT.
SEE REVERSE SIDE. -
NDC:'S 084.9-35 AND 0849-45 ARE NOT RETURNABLE.
THANK YOU - WE APPRECIATE CUSTOMERS SUCH AS YOU
SUBJECT TO CONDITIONS
ON REVERSE SIDE
TERMS ~>1 ~'~'m~ p,~¥ ?t"'v:/~; ~ 44 BY (3q '?7/~g r'l~, Ti-iT,~I l'~Y (]~/?'P/q~':,
PLF-.~S-~-~iF}E-C-~ O'FII~I~AS OR INO-Ol~ll~S TO?
PLEASE SEND REMITTANCE STUB WITH PAYMENT T.'OT-~
WYETH-A YERST LABORATORIES
P.O. BO>( 17T3
PAOLI, PA. 19301-1773
PHONE:
1-800- BSS-T44B
WYETH-AYERST I. ABOR~TORIES AC'I~ AS A BILLING AGENT FOR LEDERI.~ I..ABORATORIES/L,EDERLE.pRAXIS BIOLOGICALS/f'TORZ OPH77tALM1CS
AHR/ESI - WYETH-AYERST LABORATORIES ACTS AS A BILLING AGENT FOR A.H. ROBINS COMPANY, INC. AND
FOR ELKINS-SINN, A DIVISION OF A.H. ROBINS COMPANY, INC.
AWPI - WYETH-AYERST LABORATORIES (PUERTO RICO), INC. ACT~ AS A BII-J-.JNG AGENT IN PUERTO RICO '
FOR AY'ERST/WYETH PHARMACEUTICALS, INC., GUAYAMA, PUERTO RICO,
THE MANUFACTURER OF THESE PRODUCTS.
WYETH-AYERSTLABORATORIES
P.O. BOX ~0576
EL MONTE, CA 91735
AYERST
PLEASE PA","
SOLD TO
Ao~F~RSON CO H[iNtOI~E ~.PT INVOICE DA~
~0~ ~. 1~ m,; ...... ,~...'o~ OR TOTAL ~'~ .... - .'o,- .......
REMITTANCE STUB
IF CREDIT AMOUNT IS SHOWN
ADJUST NEX~ REMH-rANCE
INVOICE TOTAL AMOUNT
~14~. 00
WYETH-AYERST LABORATORIES
At: 180'2 BR I ERLY NAY
~ SPARKS NV 89431
F- SHIPPED TO OR RETURNED BY -~
JEFFERSON CO HLTH DEPT
J FISCHNALLER M D
615 SHERIDAN ST
PORT TOWNSEND WA 98368
CUST. REFERENCE NO.
UC
CO. DEA. NO. RNOZ135TO
F SOLD TO OR CREDITED
JEFFERSON CO HLTH DEPT
J FISCHNALLER M D
615 SHERIDAN ST
PORT TOWNSEND WA 98368
PAGE ~
INVOICE
DOCUMENT NO.
5Z
COST. NO. SUFFIX CL
67434460753
6743446075:: .
ORDER NUMBER I ACCESS NO.
C 140002,0_.
SS SC TAX COST. DEA NO.
DESCRIPTION
2.909.246
DA'I~
JUL 31,199.
. ~t~ SIZE IUNIT PRICE I AMOUNT
0(.]08-
· ';'5 3 6- 0':'_,
8 TRIPHASIL-Z8 CLINIC USE
1 '>.'-28 . (')4 .32
i- RECEIVED. '
7WANK YOU - WE APPRECIATE CUSTOMERS S~rCH AS YOU
, CONDmOflS
~ SIDE
T~RUS PLEASE PAY
PLEASE DIRECT ORDERS OR INQUIRIES TO:
WYETH-A YERST LABORATORIES
· .,. :. .' . P.O. BID>', 1773
,...,.,....; ?.; PAOLI, PA. 19301-177'3
'HONE: 1-800-666-TP'48
.31 BY 08130/96 OR TOTAL BY 08131196
TOTAL
PLEASE SEND REMI]-I'ANCE STUB WITH PAYMENT TO:
WYETH-AYERSTLABORATORIES
P.O. BOX 60576
EL NONTE, CA 91735
r.,"TH-A~ LABORATORIES ACTS AS A BII..ZJNG AGENT FOR LEDERLE I-ABORATORIEE/LEDERLE-PRA. X1S BIOLOGICAI..,[/STORZ OPHTHALM]CS
AHR/ESI - WY'ETH-AYERST LABORATORIES ACTS AS A BILLING AGENT FOR A,H. ROBINS COMPANY, INC. AND
FOR ELJFJNS-SINN, A DIVISION OF A.H. ROBINS COMPANY, INC.
AWPI - WYETH-AYERST I. ABORATORI~ES (PUERTO RICO), INC. ACTS AS A BII..J. JNG AGENT IN PUERTO RICO
FOR AIr'ERST/WYETH PHARMACEUTICALS, INC., GUAYAMA, PUERTO RICO,
THE MANUFACI'URER OF THESE PRODUCTS.
fWYETH
AYERST
PLEASE PAY
SOLD TO
JEFFERSON CO HLTH DEPT
ACCOUNT NO. INVOICE NO.
.... 4.:,44o~3 .,' w.-, -',';, F~,~-:, .eL ."
INVOICE DATE
0 7,.-":31 ,.."'.-.-' 6
IF CREDIT AMOUNT IS SHOWN
ADJUST NEXT REMITTANCE
INVOICE TOTAL AMOUNT
· :32
31 B"I" 08,.."3Ft.."'.;'6 OR TOTAL B"r' k~o,.._-'-' "q 1,-"q'.. ,>'
REMITTANCE STUB
X X X
jCREDITED TO:
EFFERSON CO HLTH DEPT
J FISCHNALLER M O
615 SHERIOAN ST
PORT TQNNSENO NA 98368
CO, DEA NU,
--- RETURNED BY:
JEFFERSON CO HLTH DEPT
J FISCHNALLER M U
615 SHERIDAN ST
PORT TOWNSEND ~A 98368
CREDIT
5077820
JUL 25t1996
IST. REFERENCE NO. I C ],y 5~0 ~{,4lOADER NUMBER ACCESS NO.
107/25/96{ 5021675
TERR. NO, 6743446075 ~cusT' NO. SUFFIX CLASS SC TAX { CUST. DEA NO.
674344.6075~ 581 560
0008-
21 0848-01
......... RETURN-GOODS .... RETURNED': TO --50
35 FLUSHIELD - VIAL
R-1 NUMBER HAL352122
SIMPLEX:
SiZE { UNIT PRICE { AMOUNT
5ML 17.75 ~2~5CP
[ RE*CEIvED"--
/
- 6 I Ot3
J
L .... H,:c,:_~-~ t3EPT, . --
TIIANK YOU - WE APPRECIATE CUSTOMERS SUCII AS YOU
JBJECT TO CONOITIONS
REVERSE SIDE
TERMS
~TLLoZSCR
PLEASE DIRECT ORDERS OR INQUIRIES TO:
WYETH-AYERST LABORATORIES
PoO. BOX 1773
PAOLI~ PA 19301-1773
F.ONE: 1--800--666--7248
PLEASE SEND REMITTANCE STUB WITH PAYM~
WYETH-AYERST LABORATORIES
WI"~IYt-AYE. R, ST LABOF. ATORIF~ ACT~ AS A ~O Ai~NT FOR ~ ~~~-p~s ~~/~ OP~
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A{r ETH JEFFERSON CO HLTH OEPT ADJUSTNEXTREM'TTANCE
, AYERST ACCOUNT NO INVOICE NO INVOICE DATE INVOICE TOTAL AMOUNT
6743~460753 5077820 07/25/96 621eZSCR
REMITTANCE STUB
PLEASE DETACH AND SEND WITH PAYMENT
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DATE: 06/19/96
HEALTH CARE PROVIDER COPY
TO:
JEFFERSON HEALTH DEPARTMENT
615 SHERIDAN AVE
PORT TOWNSEND, WA 98368
CODE:
161
PUBLIC
ATTN: LISA MC KENZIE
(360) 385-9400
FROM: WASHINGTON STATE IMMUNIZATION PROGRAM
AIRDUSTRIAL PARK BLDG 1
P O BOX 47843
OLYMPIA WA 98504-7843
(360) 753-3495
VACCINE
LOT NUMBER
VACCINE SHIPMENT NOTICE
EXPIRES DOSES (Vials)
ACTUAL
COST
HEP B-A 1196B*
ol/26/98 3 ( l) A
TOTAL FOR THIS SHIPMENT:
$76.26
VALUE OF SHIPMENT RE FEDERAL FUNDS:
VALUE OF SHIPMENT RE STATE FUNDS:
VALUE OF SHIPMENT RE J~/OTHER FUNDS:
VALUE OF SHIPMENT RE HEP B FUNDS:
ALLOCATION FOR CURRENT ALLOCATION YEAR:
VALUE OF ALL SHIPMENTS TO DATE:
BALANCE AVAILABLE AFTER THIS SHIPMENT:
THIS INVOICE
$76.26)
$o.oo
$o.oo
YEAR TO DATE
$4,132.06)
$5,579.S0)
$o.oo
$30,226.00
IMPORTANT NOTES
Vaccines are shipped Monday through Wednesday with shipments to
Eastern Washington having priority. Orders are filled as quickly
as possible after receipt, and always within two weeks.
RECEIVING INSTRUCTIONS: When the shipment arrives:
1) Check for presence of ice or dry ice in shipping Container.
2) Check Quantities/Lot numbers/Expiration dates against the invoice.
3) CALL THE I~IINIZATION PROGRAM ABOUT ANY DISCREPANCIES.
4) Place OPV in freezer compartment with oldest dates in front.
5) Place DTP and others in refrigerator with oldest dates in front.
6) Mail signed Vaccine Receipt form to State Health Department.
When vaccines associated with public funding are spoiled or ext~ired,
return them to the Immunization Program. If you anticipate that any
vaccine will expire before it can be used, notify the Immunization
Program at least two months in advance of the expiration date.
DATE: 06/10/96
HEALTH CARE PROVIDER COPY
TO:
JEFFERSON HEALTH DEPARTMENT
615 SHERIDAN AVE
PORT TOWNSEND, WA 98368
CODE:
161
PUBLIC
ATTN': LISA MC KENZIE
(360) 385-9400
FROM: WASHINGTON STATE IMMUNIZATION PROGRAM
AIRDUSTRIAL PARK BLDG 1
P O BOX 47843
OLYMPIA WA 98504-7843
(360) 753-3495
VACCINE
LOT NUMBER
%VACCINE SHIPMENT NOTICE
EXPIRES DOSES (Vials)
ACTUAL
COST
DT 5K71049 * 10/02/97
DTP 5M61085 * 12/19/96
HEP B ENG2072A2 01/26/99
HEP B 0895B* 06/30/97
HIB M010LP * 12/31/96
IPV L0227 01/18/98
OPV 0740C 01/31/97
TD 6B81036 02/05/98
3o/( 3) c
210 ~( 14) A
6ovi 6o) v
90)/~ 15) A
160 16)~ v
4o/( 4o) v
150'/( 150) C
!40 ~( 1~) V
TOTAL FOR THIS SHIPMENT:
VALUE OF SHIPMENT RE FEDERAL FUNDS:
VALUE OF SHIPMENT RE STATE FUNDS:
VALUE OF SHIPMENT RE V F~/OTHER FUNDS:
VALUE OF SHIPMENT RE HEP B FUNDS:
ALLOCATION FOR CURRENT ALLOCATION YEAR:
VALUE OF ALL SHIPMENTS TO DATE:
BALANCE AVAILABLE AFTER THIS SHIPMENT:
THIS INVOICE
( $1,889.70)
( $346.89)
$0.00
$6 90
$1,251 6O
$522 60
$638 10
$761 60
$211 2o
$339 99
$26 60
YEAR TO DATE
( $3,715.81)
( $5,919.79)
$0.00
$30,226.00
( ~/6 ;.-q 1. ~' )
¢,/3
IMPORTANT NOTES
Vaccines are shipped Monday through Wednesday with shipments to
Eastern Washington having priority. Orders are filled as quickly
as possible after receipt, and always within two weeks.
RECEIVING INSTRUCTIONS: When the shipment arrives:
1) Check for presence of ice or dry ice in shipping container.
2) Check Quantities/Lot numbers/Expiration dates against the invoice.
3) CALL THE I~4IAVIZATION PROGRAM ABOUT ANY DISCREPANCIES.
4) Place OPV in freezer compartment with oldest dates in front.
5) Place DTP and others in refrigerator with oldest dates in front.
6) Mail signed Vaccine Receipt form to State Health Department.
When vaccines associated with public funding are spoiled or expired,
return them to the Immunization Program. If you anticipate that any
vaccine will expire before it can be used, notify the Immunization
Program at least two months in advance of the expiration date.
DATE: 06/05/96
~LTH CARE PROVIDER COPY
TO:
JEFFERSON HEALTH DEPARTMENT
615 SHERIDAN AVE
PORT TOWNSEND, WA 98368
CODE:
161
PUBLIC
ATTN:'LISA MC KENZIE
(360) 385-9400
FROM: WASHINGTON STATE IMMUNIZATION PROGRAM
AIRDUSTRIAL PARK BLDG ~
P 0 BOX 47843
OLYMPIA WA 98504-7843
(360) 753-3495
VACCINE SHIPMENT NOTICE
VACCINE LOT NUMBER EXPIRES
DT
DTP
HEP B
IPV
0PV
DOSES (Vials)
5K71049 *
5M61085 *
ENG2036A2
L0702
10/02/97 ~ 10 (
12/19/96 ~120 (
12/o~/98 v 60 (
05/03/98 20 (
"~ /~'~ '~50 (
~/ ~/ ~
/~/~/~ ~
1) c
8) V
60) V
2O) C
50) A
TOTAL FOR THIS SHIPMENT:
VALUE OF SHIPMENT RE FEDERAL FUNDS:
VALUE OF SHIPMENT RE STATE FUNDS:
VALUE OF SHIPMENT RE V~c~OTHER FUNDS:
VALUE OF SHIPMENT RE HEP B FUNDS:
ALLOCATION FOR CURRENT ALLOCATION YEAR:
VALUE OF ALL SHIPMENTS TO DATE:
BALANCE AVAILABLE AFTER THIS SHIPMENT:
THIS INVOICE
( $113.33)
( $107.90)
$/z3 7.~~
$o.oo
ACTUAL
COST
$2.30
$715.20
$522.60
SzOS.6o
$113.33
YEAR TO DATE
( $1, 826.11)
( $5,572.90)
~ ~ / 3.3. eS
$o.oo
$30,226.00
IMPORTANT NOTES
Vaccines are shipped Monday through Wednesday with shipments to
Eastern Washington having priority. Orders are filled as quickly
as pos'sible after receipt, and always within two weeks.
RECEIVING INSTRUCTIONS: When the shipment arrives:
1) Check for presence of /ce or dry /ce in shipping container.
2) Check Quantities/Lot numbers/Expiration dates against the invoice.
3) CALL THE I~FUNIZATION PROGRAM ABOUT ANY DISCREPANCIES.
4) Place OPV in freezer compartment with oldest dates in front.
5) Place DTP and others in refrigerator with oldest dates in front.
· 6) Mail signed Vaccine Receipt form to State Health Department.
When vaccines associated with public funding are spoiled or expired,
return them to the Immunization Program. If you anticipate that any
vaccine will expire before it can be used, notify the Immunization
Program at least two months in advance' of the expiration date.
~DATE: 05/08/96
HEALTH CARE PROVIDER COPY
TO:
JEFFERSON HEALTH DEPARTMENT
615 SHERIDAN AVE
PORT TOWNSEND, WA 98368
CODE:
161
PUBLIC
ATTN: LISA MC KENZIE (360) 385-9400
FROM: WASHINGTON STATE IMMUNIZATION PROGRAM
AIRDUSTRIAL PARK BLDG 1
P 0 BOX 47843
OLYMPIA WA 98504-7843
(360) 753-3495
VACCINE SHIPMENT NOTICE
VACCINE LOT NUMBER EXPIRES DOSES (Vials)
H BIG 95-187-DK * 11/01/97 1) A
ACTUAL
COST
$33.03
TOTAL FOR THIS SHIPMENT:
( $33.03)
VALUE OF SHIPMENT RE FEDERAL FUNDS:
VALUE OF SHIPMENT RE STATE FUNDS:
VALUE OF SHIPMENT RE /OTHER FUNDS:
VALUE OF SHIPMENT RE HEP B FUNDS:
ALLOCATION FOR CURRENT ALLOCATION YEAR:
VALUE OF ALL SHIPMENTS TO DATE:
BALANCE AVAILABLE AFTER THIS SHIPMENT:
THIS INVOICE
$33.03)
$o.oo
$o.oo
$o.oo
YEAR TO DATE
( $1,712.78)
( 46_ . oo)
$o.oo
$30,226.00
( ~// 073,~3~
IMPORTANT NOTES
Vaccines are shipped Monday through Wednesday with shipments to
Eastern Washington having priority. Orders are filled as quickly
as possible after receipt, and always within two weeks.
RECEIVING INSTRUCTIONS: When the shipment arrives:
1) Check for presence of /ce or dry /ce in shipping container.
2) Check Quantities/Lot numbers/Expiration dates against the invoice.
3) CALL THE IN~4UNIZATION PROGRAM ABOUT ANY DISCREPANCIES.
4) Place OPV in freezer compartment with oldest dates in front.
5) Place DTP and others in refrigerator with oldest dates in front.
6) Mail signed Vaccine Receipt form to State Health Department.
When vaccines associated with public funding are spoiled or expired,
return them to the Immunization Program. If you anticipate that any
vaccine will expire before it can be used, notify the Immunization
Program at least two months in advance of the expiration date.
Claim #
FOR DAMAGES
Tim Claim Form is provided sole~ as an accommodation to claimants, and the County makes no representations as to its legal
sufficiency. Responsibility for complying with all requirements of State law regarding cica'ms rests with the claimant No
County Employee is authorized to advise a claimant in completing this form or reviewing its sufficiency. The County expressly
~cJairm responsibility for any such advice or review. (If more space is needed to answer any iterr~, attach additional sheets
and specify the item number.) ~
TO:
RISK MANAGER
JEFFERSON COUNTY COURTHOUSE
1820 JEFFERSON STREET
P.O. BOX 1220
PORT TOWNSEND, WA 98368
STATE OF WASHINGTON )
) SS
COU1WI'Y OF JEFFERSON )
Jud±th g. MorrSs , BEING FIRST DULY SWORN ON OATH, DEPOSES
AND SAYS THAT I AM THZ CLAI}YIANT HEREIN AND BEI.IEVE ~ CONTENTS OF THIS ~ TO BE
TRU~ I HEREBY PRESENT A CLAIM FOR DAMAGES AGAINST JEFFERSON COUNTY, WASHINGTON,
BASED UPON THE FOLLOWING INFORMATION AS REQUIRED BY RCW 36.45.020:
MY ACTUALRESIDENCEANDPHONENUB{BER AT TH]gTEM~OFPRESENTINGANDFIIING
THIS CLAIM~:
Business address 615 Sheridan
Port Townsend, WA 98368
(360) 385-9400
MY ACTUAL RESIDENCE DURING TI-[E SIX (6) MONTHS I3'IME. DIATELY PRIOR TO THE TIME
TI[IS CLAIM ACCRUED WAS:
SAHE
TH~ INCIDENT FOR WllICH I MAKE ~ AGAINST lVzIE COUNTY OCCURRED ON THE
7th DAYOF June ,1996 ,AT 5:00 fi-MJP.NL
TliE INCIDENT OCCUR1LED AT TliE FOLLOWING LOCATION:
615 Sheridan Port Townsend, WA 98368 in the lab.
MY INJURY OR DAMAGES WERE CAUSED OR HAPPENED AS FOLLOWS:
Damages: Refrigerated vaccines were spoiled as a result of the door
being left ajar. That caused the unit to over cool the contents. The freezing
that occurred mined the vaccines which must be kept at a minimum and maximum
temperature range. The listing of spoiled vaccines is attached.
The spoilage was not discovered until Monday morning June 10, 1996 at 8:30 AM.
THE NATURE OF THE INJURY OR DAMAGES I SUSTAINED ARE:
See attached list
THE AMOUNT OF DAMAGES I SUSTAINED ARE 1TEM~. (A BILLING OR TWO (2) ESTIMATES OF
THE COST OF REPAIRS MUST BE ATTACHED TO THIS CLa2M):
The total expenditure to replace damaged vaccines is $10,886.49.
8. "['HE NAME OF MY INSURANCE AGENCY ISi
DAY OF ~'~"~'~ ~____~_1~'~1'.
TrrLE COMrAN
JEFFERSON COUNTY BOARD OF COMMISSIONERS
District No. I Commissioner:
District No. 2 Commissioner:
District No. 3 Commisslouer:
Clerk of the Board:
Director of Public Services:
Deputy Director of Public Services:
0~,, il
dEFF. CO. I~E~
Robert Hinton, Member
Glen Hunting/ord, Member
Richard Wojt,Chalnnan
Lorna L. Delaney
Gary A. Rowe
David R. Goldsmith
MINUTES
Week of October 7, 1996
The meeting was called to order by Commissioner Robert ltinton in the absence of
Chairman Richard Wojt. Commissioner Glen Ituntingford was present.
coMMISSIONERS' BRIEFING SESSION
District Court re: Voice Mail: Commissioner Huntingford stated that he doesn't feel that
District Court's plan for implementing voice mail fits within tile guidelines established by tile Board. He
feels that people will hang up before they are helped and be frustrated in the process.
Judge Tom Majhan explained that the greatest number of calls to their offices are for information and
their voice mail plan includes options for the callers to get that information without having to speak with
a District Court Clerk.
Anne Sears, Information Services, stated that if the Board approves District Courts use the voice mail
auto attendant feature, they can work with them to design a plan that will only include four options in
each menu tree, which is in compliance with the Board's policy for the voice mail system.
The Board concurred that the District Court work with the phone company and Information Services to
implement voice mail within the guidelines established by the Board.
APPROVAL OF THE MINUTES: Commissioner Huntingford moved to approve the
minutes of September 23, 1996 as presented. Commissioner Hinton seconded the motion which carried
by a unanimous vote.
PUBLIC SERVICES BRIEFING: Public Services Director Gary Rowe reported:
The draft Comprehensive Plan is scheduled for release in mid-October. The Transportation
Element and tile Capital Facilities Plan are being reviewed and should be on track with the
schedule for the Comprehensive Plan.
Last week the Law and Justice Departments met to discuss funding needs. A meeting will be set
with all of these offices and the Board to review their recommendations, after prelminary budget
reviews, which are scheduled for next week.
Page 1
Commissioners Meeting Minutes: Week Of October 7, 1996
The Public Service management team met last week and reviewed and updated their goals for
1996. They will meet with the Board in November to review the status of these goals and
objectives.
PUBLIC COMMENT PERIOD: The following comments were made: Due to a lack of
a community plan for the Irondale/Tfi Area, the request was made that the citizens be allowed to vote on
incorporation of the area; and a question was raised on a building permit issued in Quilcene for a truck
scale structure as a grandfathered use when the property was not used for the grandfathered activity.
APPROVAL AND ADOPTION OF THE CONSENT AGENDA: Commissioner
Huntingford moved to delete items 12 and 13 and to approve and adopt the balance of the items on the
consent agenda as submitted. Commissioner Hinton seconded the motion which carried by a unanimous
vote.
1. RESOLUTION NO. 88-96 re: In the Matter of Income to the County from the Sale of Surplus
Property
2. RESOLUTION NO. 89-96 re: In the Matter ora Notice of Intention to Establish a Road
Improvement District; Located in the Eaglemount Area; RID. #4, Country Ridge
3. RESOLUTION NO. 90-96 re: In the Matter ora Hearing Notice; Proposed Budget Exten-
sions/Appropriations; Various County Departments; Hearing Set for October 28, 1996 at 2:00
p.m., Commissioners' Chambers
4. AGREEMENT, Intergovernmental IGA//150-97 re: Mediation Funding for Designat-
ing and Conserving Forest Land Under the Growth Management Act; lefferson County
Public Services; Office of Financial Management (OFM)
5. AGREEMENT re: Load and Haul Rock for Owl Creek Road Emergency Bank Protection
Project No. XO1266; Jefferson County Public Works; Winney Construction
6. AGREEMENT, Supplement No. 2 re: Survey of'Route Change and Revise Survey Documents,
Larry Scott Memorial Trail, Project No. CR1069; Jefferson County Public Works; R.H. Winters
Co.
7. AGREEMENT, Supplemental No. 6 re: Additional Construction Surveying for West Egg & I
Road Project No. CR 1117; Jefferson County Public Works; Polaris Engineering and Surveying,
Inc.
8. AGREEMENT re: Infant Toddler Early Intervention Program; Jefferson County Health and
Human Services; Department of Social and Health Services (D.S.H.S.), Division of Develop-
mental Disabilities
9. AGREEMENT re: To Provide School Health Services, Birth to Three Services, and Child Find
Services; Jefferson County Health and Human Services; Port Townsend School District No. 50
10. Final Short Plat Approval, SPA93-0012; to Divide 3.9 Acres into 2 Residential Lots; Located at
Tala Point offofEast Ludlow Ridge Road, Port Ludlow; Robert Knutson, Applicant
11. Request for 6 Month Extension of Okie Doke Acres Short Plat SUB95~0092; To Divide 5.2
Acres into 2 Lots; Located Adjacent to Thorndyke Road; Francis M. Johnson, Applicant
12. DELETE Shoreline Substantial Development Permit, 8DP96-0004; Restoration Project; Located at 181 S. Bay Way,
Port Ludlow; Jim Nuerenberg, Applicant
13. DELETE Reject Claim #C-03-96, $1,304.37; Damaged Vehicle; Patricia O'Meara
14. Reject Claim #C-14-96, $3,000,000; Defamation; Ricky and Annabel Roberts
~r:-~f~*~Rejeet'Clai~fi #C-I 5~96, $10,886.49; Spoiled Vaccines; Jefferson County Health and Human ~
'~Services
16. Application for Assistance from the Veteran's Relief Fund; American Legion Post #26 for
$100.00
17. Application for Assistance from the Veteran's Relief Fund; Jefferson County Service Officers
Association for $300.00
18. Letter to Staffofthe Jefferson County Auditors Office re: Thanks for Long Hours Worked
During Primary Election
Page 2
TO:
RE:
Board of County Commissioners
Request for Emergency Appropriation
DATE:
December 19, 1996
Please be advised that after a thorough examination of my current budget it appears that
the amount allocated in BARS Account No. 001-125-000 of the allocations to Parks &
Recreation Fund is insufficient to pay necessary expenditures of this department for this
year. After a careful examination of all the expenditures within the department budget
with respect to present and future needs, I find there are no funds available to transfer
into the deficient account. Therefore, I request an emergency appropriation in the amount
of $1,245 for this current year for the following reason(s) outlined below:
BARS ACCT NO.
Parks & Recreation
001-125-000
CATEGORY
574.20.10.00 Salaries
AMOUNT
$ 1,245.00
Reason for Extension:
Overage due to budgeted amount for Facilities Manger (including all funds) shorted in the
budget by this amount.
Respectfully submitted,
Department