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3DJHRI <br />))$7$)250 <br />Subrecipient Agency <br />Grant and YearAgreement Number <br />Completed <br />by <br /> Name Title Telephone <br />Date Completed <br />STEP 1 <br />,V\RXUJUDQWDJUHHPHQWOHVVWKDQ" <br /><(6 <br />C <br />h <br />6723QRIXUWKHU <br />DQDO\VLVQHHGHG <br />*2WR6WHS <br />12 <br />C <br />h <br />*2WR6WHS <br />STEP 2 <br />,Q\RXUSUHFHGLQJILVFDO\HDUGLG\RXU <br />RUJDQL]DWLRQUHFHLYHRUPRUHRILWVDQQXDO <br />JURVVUHYHQXHVIURPIHGHUDOIXQGLQJ" <br /><(6 <br />C <br />h <br />*2WR67(3 <br />12 <br />C <br />h <br />6723QRIXUWKHU <br />DQDO\VLVQHHGHG*2WR <br />6WHS <br />STEP 3 <br />,Q\RXUSUHFHGLQJILVFDO\HDUGLG\RXU <br />RUJDQL]DWLRQUHFHLYHRUPRUHLQ <br />IHGHUDOIXQGLQJ" <br /><(6 <br />C <br />h <br />*2WR67(3 <br />12 <br />C <br />h <br />6723QRIXUWKHU <br />DQDO\VLVQHHGHG*2WR <br />6WHS <br />STEP 4 <br />'RHVWKHSXEOLFKDYHDFFHVVWRLQIRUPDWLRQDERXW <br />WKHWRWDOFRPSHQVDWLRQ RIVHQLRUH[HFXWLYHVLQ <br />\RXURUJDQL]DWLRQ" <br /><(6 <br />C <br />h <br />6723QRIXUWKHU <br />DQDO\VLVQHHGHG <br />*2WRVWHS <br />12 <br />C <br />h <br />*2WR67(3 <br />STEP 5 <br />([HFXWLYH1DPH <br />7RWDO&RPSHQVDWLRQDPRXQW <br />([HFXWLYH1DPH <br />7RWDO&RPSHQVDWLRQDPRXQW <br />([HFXWLYH1DPH <br />7RWDO&RPSHQVDWLRQDPRXQW <br />([HFXWLYH1DPH <br />7RWDO&RPSHQVDWLRQDPRXQW <br />([HFXWLYH1DPH <br />7RWDO&RPSHQVDWLRQDPRXQW <br />STEP 6 <br />,I\RXURUJDQL]DWLRQGRHVQRWPHHWWKHVHFULWHULDVSHFLILFDOO\LGHQWLI\EHORZeachFULWHULDWKDWLVQRWPHWIRU\RXU <br />RUJDQL]DWLRQ)RU([DPSOH2XURUJDQL]DWLRQUHFHLYHGOHVVWKDQ <br />SignatureBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Date <br /> 7RWDOFRPSHQVDWLRQUHIHUVWR <br />x 6DODU\DQGERQXVHV <br />x $ZDUGVRIVWRFNVWRFNRSWLRQVDQGVWRFNDSSUHFLDWLRQULJKWV <br />x 2WKHUFRPSHQVDWLRQLQFOXGLQJEXWQRWOLPLWHGWRVHYHUDQFHDQGWHUPLQDWLRQSD\PHQWV <br />x /LIHLQVXUDQFHYDOXHSDLGRQEHKDOIRIWKHHPSOR\HH <br />$GGLWLRQDO5HVRXUFHV <br />KWWSZZZZKLWHKRXVHJRYRPERSHQ <br />KWWSZZZKUVDJRYJUDQWVIIDWDKWPO <br />KWWSZZZJSRJRYIGV\VSNJ)5SGISGI <br />KWWSZZZJUDQWVJRY <br />County of Kittitas <br />5200 D17-1016 <br />Judy Pless Budget Finance Officer <br />509-962-7502 <br />December 5,2017 <br />✔ <br />✔ <br />We received less than 80% of our annual gross revenues from federal funding last fiscal year <br />December 5, 2017