FY2011 - FY2015
CAPITAL EXPENDITURE/ITEM REQUEST FORM
PLEASE PREPARE AND SUBMIT TWO (2) COPIES TO THE TOWN ADMINISTRATOR'S OFFICE
How will expenditure be funded?
Will the expenditure produce new revenue?
If yes, please identify how and how much revenue:
12. What will be the additional annual operating cost?
Will this expenditure remove property from the tax list?
If yes, please provide cost/benefit analysis:
Please be sure to provide backup information.
Backup information attached
Description of Project/Equipment/Item/Expenditure:
Need for Project/Equipment/Item/Expenditure:
Design of Plan
Estimated Completion/Receipt Date:
Estimated Start/Purchase Date:
State Funds Federal Funds
Please identify specific funds (Grants, Taxation, Rates, etc)
or will submit by:
4th & Future Year