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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 Needej <br />Yes ❑ attach budget form <br />No ❑ why not <br />New Division Created? <br />Revenue Code 116.612.44.334.04.93 <br />Information Services <br />Human Resource <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Througl <br />Sub -Contract Approved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ ❑ <br />County Departments Impacted <br />Submitted <br />Signature: <br />Department: <br />Assignment of Tracking Intormation <br />Auditor's Office I <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer I Date <br />Grant/Contract Review Page 2 <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />Submitted <br />Signature: <br />Department: <br />Assignment of Tracking Intormation <br />Auditor's Office I <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer I Date <br />Grant/Contract Review Page 2 <br />