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REQUEST FOR BUDGET AMENDMENT <br />BUDGET YEAR 2010 <br />Date: JANUARY 14, 2010 Date approved: <br />(To be completed by Auditor) <br />Department: SHERIFF OFFICE <br />Amount of Requested Budget Amendment $3,160 <br />Reason for budget amendment: <br />To provide funds to Kittitas Co Emergency Material Emergency Management to revise <br />the Hazardous Materials Response Plan, review and revise the county HIVA, and <br />prepare and conduct a mass -casualty -incident drill with a hazmat component. <br />In-kind match ($790.00) for grant — Salaries and Benefits for Management and <br />Supervision of Intern <br />Expenditures: Indicate by budget codes in detail the type of expenses that will be <br />associated with this budget amendment request: (salaries, benefits, supplies, capital <br />outlay, etc) <br />Salaries <br />001371251003 <br />$2,752.82 <br />FICA <br />001371252001 <br />$ 210.59 <br />L&I <br />001371252002 <br />$ 19.52 <br />WE <br />001371252006 <br />$ 17.07 <br />Office Supplies <br />001371253101 <br />$ 160.00 <br />$3,160.00 <br />Revenue: Indicate by budget codes in detail the type of revenue that will be funding the <br />above budget amendment request: (grants, fees, etc) <br />WA STATE DEPT MILIT (E10-149) 0013733320703 $3,160 <br />i�� Authorized Signature <br />Approved by Board of County Commissioners: <br />Date <br />