Laserfiche WebLink
Financial Information <br />Total Amount $ 117,548 State Funds $ 1,500 Federal Funds $ 116,048 <br />Percentage County Funds Matching Funds $ CFDA# 10.561 SnapEd; <br />In -Kind $ 93.069 EPR PHEP; 93.268 Immz Rate <br />Explain 93.994 MCHGB <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 ❑ attach budget form No ] why not—already in budget <br />New Division Created? <br />Revenue Code 612.94.333.10.56 <br />612.88.3.333.93.06 <br />612.22.333.93.99 <br />612.334.04.93 <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub -Contract Approved Date: <br />SNAP ED <br />EPR PHEP <br />MCHBG LHJ <br />LEAD ENVIRONMT <br />$23,603 ($19,745+$858+$3,000) <br />$48,249 <br />$44,196 <br />$ 1,500 <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ <br />County Departments I <br />Auditor <br />Information Services <br />Prosecutor <br />Submitted <br />Signature: <br />Department: <br />ed <br />Assignment of Tracking Intormation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Facilities Maintenance <br />Human Resource <br />Treasurer <br />Date: <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />