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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 />Pass Through Information <br />f Agency to Pass Through <br />Amount to Pass Througl <br />Sub -Contract Approved <br />Date: <br />No ❑ Why not <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes El 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 />nment of Tracking Intormation <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 />