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Del Norte County Schools
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Budget Change Request
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Complete Shaded Areas
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Note: Use this form when requesting a change in the budget that affects fund balance, or when realigning
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unrestricted budgets with changes more than 10%, For restricted budgets the appropriate year's
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Budget Sheet.
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Requestor:Date:
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Department:
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New/additional funding
Realignment of existing funds
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REASON FOR REQUEST:
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Summary explanation of budgetary item(s) being increased and/or decreased and reason(s) for change:
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FINANCIAL IMPACT:
(Attach Budget Sheet with Itemized Narrative, if needed)
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Fiscal Year(s):
Ongoing(Yes or No)
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Funding source:
Resource
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 Object $ Narrative
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Certificated Salaries
1000
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Classified Salaries2000
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Benefits3000
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Supplies4000
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Contracts/Other5000
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Equipment over $50K
6000
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Total Budget Request
 $ -
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DISTRICT APPROVAL:
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Administrator/Manager Name
Signature
Date
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Date of Board Approval (for District Budgets)
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Jeff Napier
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Assistant Superintendent (Business)
Signature
Date
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COUNTY APPROVAL:
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Jeff Harris
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Superintendent (for County Budgets)
Signature
Date
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After approval provide to Director of Fiscal Services for budget adjustment
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