State & Other Local Accounts Budget Transfer
Fields with * are required
*
Date:
(mm/dd/yyyy)
*
Account Name:
*
FOP 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 10,000 ONLY)
ITEM NAME
CODE
INCREASE
DECREASE
Retirement
621160
Other Fringe Benefits
611170
Contractual
710000
Travel
720000
Commodities
730000
Equipment
740000
Telecommunications
750000
Operation of Auto
760000
Awards and Grants
770000
Permanent Improvements
790000
Other Expenses
TOTAL:
INC & DEC must equal