| A) | Current year dollar amount of item:
| No funding required. |
| B) | Is this item approved in the current budget? | N/A |
| C) | Is this a revenue or expense item? | N/A |
| D) | Is this Discretionary or Mandatory? | Mandatory Compliance with the requirements of FS 136.06(1). |
| E) | Will this item impact future budgets?
If yes, please include reasons in III(D) above.
| |
| F) | Fund:
Program:
Project:
Account Strings: |
| G) | Fund Type? | N/A |
| H) | Comments: |