HomeMy WebLinkAboutItem_17K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
FINANCE DEPT. ONLY
Finance Committee approval required?
YES _____ NO _____
If so, date approved: _______________
City of Waterloo
Line-Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line-item budget
amendment for FYE submitted by the Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #Acct Name Proj Code Amount Fund Dept Activity Acct #Acct Name Proj Code Amount
TOTAL TOTAL
This amendment is being requested because:
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee)Date (Signature Finance Dept. Review)Date
Date Posted (Finance Dept.)
Completed forms should be routed directly to the Finance Dept.
27 Fire
010 12 1400 3871 Damage Claims 2,468.00 010 12 1405 1571 Fire Garage Parts 2,468.00
010 03 8900 3625 Insurance Refund 8,085.82 010 03 8900 1359 Liability Insurance Claims 8,085.82
10,553.82 10,553.82
Invoices were paid prior to receiving insurance payments. We are now replenishing those budget lines.
Bill Beck 9/9/26
Docusign Envelope ID: 62A720CC-7767-8F24-8295-2A3F5CFD7D51
X
9/21/26
9/21/26