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Financial Information <br />Total Amount $ 11,829 <br />State Funds $5,800 <br />Federal Funds $ 6,029 <br />Percentage County Funds _ <br />Matching_ Funds $ CFDA# 10.561 & 93.268 <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? <br />Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes E]attach budget form No F-1Whynot <br />New Division Created? <br />Revenue Code 116.612.94.333.10.56 $ 429 Snap -Ed <br />116.612.32.3.333.93.268 $ 5,600 VFC Ops <br />116.615.05.334.04.91 $ 971 Zoonotics-GFS (June 2019) <br />116.615.05.334.04.91 $ 4,029 Zoonotics-GFS 07/01/19-06/30/21 <br />116.615.2.2.346.26.64 $ 400 Group A Water (FS) SS Federal <br />116.615.2.2.346.26.65 $ 400 Group A Water SS State <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? Yes ❑ No ❑ <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted_ <br />Signature: <br />Department: <br />Assignment of Tracking Information <br />Auditor's Office <br />Grant/Contract Review Page 2 <br />