State & Other Local Accounts Budget Transfer
Fields with * are required
*
Date:
(mm/dd/yyyy)
*
Account Name:
*
Account No.
*
Requested By
(must be fiscal agent/alternate)
*
Phone Ext.
*
Email Address
(must be fiscal agent/alternate)
*
Reason for Transfer:
(Enter Dollars Only. Do Not Enter Cents. Each Value Should Between 1 to 1000 ONLY)
ITEM NAME
CODE
INCREASE
DECREASE
Retirement
1160
Other Fringe Benefits
1170
Contractual
1200
Travel
1290
Commodities
1300
Equipment
1500
Telecommunications
1700
Operation of Auto
1800
Awards and Grants
4400
Permanent Improvements
6600
Other Exp/Fund Reductions
9000
TOTAL:
INC & DEC must equal