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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 />Bud get Information <br />Budget Amendment Needed? Yes[B attach budget form No 0 Why not <br />New Division Created? Will enter in the budget center <br />Revenue Code <br />105-568.334.04.68 -$738,941 <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub-Contract Approved Date: <br />Prosecutor Review <br />I Has the Prosecutor reviewed this agreement? I YesD No D <br />Cou nty De pa rtments Im pa cted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted I Signature: <br />Department : <br />I Date: <br />Assignment of Trackin g 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