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Total Amount $82,051.00 State Funds $ Federal Funds $82,051 <br />Percentage County Funds Matching Funds $ CFDA# various (see below) <br />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? Yes 0 attach budget form No []I Why not <br />New Division Created? Not an increase in bottom line <br />Revenue Code <br />116-612.88.3.333.93.069 -$29,749 <br />116.612.32.9.336.04.25 -$42,000 <br />116.612.94.333.10.561-$10,302 <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 Yes 0 No D <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted I Signature: <br />Department: <br />I Date: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Grant/Contract Review Page 2