HomeMy WebLinkAbout_32K:\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 1405 3871 Damage Claims 4,374.18 010 12 1405 1571 Replacement Parts 4,374.18
4,374.18 4,374.18
Repairs were completed and paid for prior to receiving the insurance payment. We are now replenishing
those budget lines.
Bill Beck 9/23/26
Docusign Envelope ID: 9AE04D1C-71CB-8FF3-80F2-97C7E76B2C98
10/05/2026
X 10/05/2026