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In-Kind $ <br />Explain <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? YesD attach budget form No []I Why not <br />New Division Created? Included in 2016 Budget <br />Revenue Code <br />116-612.44.03.333.93.758 -$1000.00 <br />116-612.44.03.333.93.305 -$2000.00 <br />116-612.44.03.334.04.93 -$4000.00 <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? [ YesD No D <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted <br />Department: <br />! Date: I Signature: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />I Reviewer I Date <br />Grant/Contract Review Page 2