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Is Equipment being purchased? TWho owns equipment? <br />New Personnel being hired? I Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes ❑ attach budget form <br />New Division Created? <br />Revenue Code <br />116-612.91.334.06.902 - $3000.00 <br />Pass Through Information <br />(to Pass Through <br />Amount to Pass Through 1 $ <br />quo-wnLract r+ppruveu i uate: <br />Prosecutor Review <br />Nox❑ Why not <br />Not an increase in bottom line, shifting of <br />revenues <br />Has the Prosecutor reviewed this agreement?.1 Yes❑ No ❑ <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted <br />Signature: Date: <br />Department: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer I Date <br />Grant/Contract Review Page 2 <br />