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1. CITY OF HOBOKEN - NEW REQUEST SUMMARY BUDGET YEAR: 2010
DEPARTMENT: Health & Human Services
Type of Request
Gain Loss Origin Cost Impact Yes/No
N/A
Refer to new as GAIN and any old programs or functions being substituted as LOSS.
Example of ORIGIN are: request from residents, employees, Dept Sub Committee.
Note: This form must be printed, signed by your department head and sent to my office via email.
Department Head: Fiscal Monitor:
2. CITY OF HOBOKEN - PERSONNEL REQUEST BUDGET YEAR: 2010
DEPARTMENT: Health & Human Services - Director's Office
Current Year Proposed
Number of Positions Budget Inc./ Dec. Inc. / Dec.
Positions Positions Budget* Requested Request* Positions Budget*
Full Time - Civi 2 0
Full Time - Uniform
Permanent Part Time
Seasonal
Retirees
Replacements
Totals 2 0 0 0 0 0
Position Titles (Detail Job Titles and number of each in your department)
Director 1
Administrative Clerk 1
Justification:
Instructions: * Finance office Attach documentation / additional sheets as necessary
Department Head: Recommend
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