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New Personnel being hired? no I Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes E] attach budget form <br />New Division Created? <br />No ❑ Why not <br />Revenue Code <br />$ <br />EXPENSE CODE 105.568.54101 <br />Professional Service <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />$ <br />Sub -Contract Approved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? `Yes ❑ No ❑ <br />County Departments Impacted <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />Submitted <br />Signature: <br />department: <br />Assignment of Tracking Information <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />