Primary Department: Purchasing
Primary Department Head/Elected Official: Paige McInnis
Secondary Department: Public Health Services
Secondary Department Head/Elected Official: Leah Barton
Regular or Supplemental RCA: Regular RCA
Type of Request: Asset Management
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable):
Justification for 0% Grant Indirect Costs Rate (if applicable): Choose an item.
Request Summary (Agenda Caption):
title
Request for approval to remove inventory items listed on Auditor's Form 3351 for Public Health Services and the Public Defender's Office.
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Background and Discussion:
N/A
Expected Impact:
N/A
Alternative Options:
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County Strategic Plan Goal: Choose an item.
County Strategic Plan Objective: Choose an item.
Justice/Safety Initiative (Goal 1): Choose an item.
Infrastructure Initiative (Goal 2): Choose an item.
Economy Initiative (Goal 3): Choose an item.
Health Initiative (Goal 4): Choose an item.
Climate/Resilience Initiative (Goal 5): Choose an item.
Housing Initiative (Goal 6): Choose an item.
Additional notes related to the Strategic Plan:
Prior Court Action (if any): N/A
Date
Agenda Item #
Action Taken
Location:
Address (if applicable): N/A
Precinct(s): Choose an item.
Fiscal and Personnel Summary
Service Name
Current Fiscal Year Cost
Annual Fiscal Cost
Labor
Non-Labor
Total
Recurring Expenses
Funding Sources
Existing Budget
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$
$
$
$
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$
$
$
$
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$
$
$
$
Total Existing Budget
$
$
$
$
Additional Budget Request (Requires Fiscal Review Request Form)
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$
$
$
$
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$
$
$
$
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$
$
$
$
Total Additional Budget Request
$
$
$
$
Total Funding Sources
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