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In -Kind $ <br />_ Exptain <br />Is Equipment being purchased? Who owns equipment? <br />i <br />New Personnel being hired? Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? I Yes ❑ attach budget form <br />New Division Created? <br />Revenue Code <br />105-5683340468 <br />Pass <br />Agent <br />h Information <br />to Pass Throu <br />Amount to Pass Thro <br />Sub -Contract Aoorov <br />Date: <br />NO U Why not <br />Included in the budgeting process <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes No Lj <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 Date <br />Grant/Contract Review Page 2 <br />