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BUDGET TRANSFER REQUEST FORM Please note the following guidelines: e — A shortage of less than $750 per line can be satisfied with this form requesting a budget transfer(s) between lines that are within the responsibility of a single Department Head. These will require the approval of the Supervisor. e — A shortage of $750 or more per line can be satisfied with this form requesting a budget transfer(s) between lines that are within the responsibility of a single Department Head. These will require the approval of the Town Board. e A shortage of any amount can be satisfied with this form requesting a budget transfer(s) between lines which fall under the responsibility of different Department Heads. These will require the approval of the Town Board. e Budget transfers must be made PRIOR to the expenditure. e _ All budget transfers must be submitted to the Supervisor’s Office using this form. DEPARTMENT HEAD (printed): Jeanne-Vi SIGNATURE: / — vr) DATE: 10/13/2026 (_~ | 1. $600.00 FROM: A1410.413 Town Clerk — PT Contractual $1,027 ACCT NO. ACCT TITLE CURRENT BALANCE TO: A1410.107 Town Clerk — Part Time Help ($765) ACCT NO. ACCT TITLE CURRENT BALANCE REASON: Transfer to help address overdrawn account 2. $2,000 FROM: A1990 Contingent Fund $23,088.24 ACCT NO. ACCT TITLE CURRENT BALANCE TO: A1410.107 Town Clerk — Part Time Help ($765) ACCT NO. ACCT TITLE CURRENT BALANCE REASON: Transfer to help address unanticipated labor needs and prevent overdrawn line 3.§$ FROM: ACCT NO. ACCT TITLE CURRENT BALANCE TO: ACCT NO. ACCT TITLE CURRENT BALANCE REASON: 4.$ FROM: ACCT NO. ACCT TITLE CURRENT BALANCE TO: ACCT NO. ACCT TITLE CURRENT BALANCE REASON: 5 .§$ FROM: ACCT NO. ACCT TITLE CURRENT BALANCE TO: ACCT NO. ACCT TITLE CURRENT BALANCE REASON: APPROVALS: SUPERVISOR SIGNATURE : Date: TOWN BOARD MEETING APPROVAL DATE: Action #: h:\mlibrock\TC Budget Transfers\Budget Transfer 107 PT Help.doc