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r--- <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? VesD attach budget form No []] Why not <br />New Division Created? Will only need if actual amount billed exceeds <br />contract amount -will do at year end. -Revenue Code <br />105-568.334.04.68 -$689,190 <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub-Contract Approved Date: <br />Prosecutor Review I Has the Prosecutor reviewed this agreement? I Yes 0 No 0 <br />county Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted <br />I_S~ig=n_a_t_u_re_: _______________________________ j Dat_e_: ________________________________ ~ <br />Department: . <br />A ssignment of Trackin g Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />[ Reviewer <br />Grant/Contract Review <br />I Date <br />Page 2