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In -Kind $ <br />Is Equipment being purchased? Who owns equipment? <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? <br />New Division Created? <br />Revenue Code <br />116-612.91.334.06.902 - $5000 <br />Yes ❑x attach budget form No ❑ Why not <br />Will enter in budget center <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub -Contract Approved Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? <br />County Departments Impacted_ <br />Auditor _ <br />Information Services <br />Prosecutor <br />Submitted <br />Signature: <br />Department: <br />Assignment of Tra <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the Pranl <br />Information <br />application <br />Yes ❑ No ❑ <br />Facilities Maintenance <br />Human Resource <br />Treasurer <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />