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In-Kind$ <br />Explain <br />Is Equipment being purchased? no Who owns equipment? <br />New Personnel being hired? no Contact HR hiring -reporting requirements <br />Future impacts or liability to Kittitas County : <br />Budget Information <br />Budget Amendment Needed? Yes • attach budget form No []I Why not amend to increase funds <br />New Division Created? no <br />Revenue Code 116.612.91.334.06.902 <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? I Yes • No D <br />County Departments Im pacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted <br />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 />I Reviewer I Date <br />Grant/Contract Review Page 2