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Financial Information <br />Total Amount$ 11,829 State Funds $5,800 Federal Funds $ 6,029 <br />Percentage County Funds Matching Funds$ CFDA# 10.561 & 93.268 <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? YesO attach budget form No D Why not <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 I <br />116.615.05.334.04.91 $ 971 Zoonotics-GFS (June 2019) <br />116.615.05.334.04.91 $4,029 Zoonotics-G FS 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 />I Has the Prosecutor reviewed this agreement? I Yes D 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 />I Auditor's Office I <br />Grant/Contract Review Page 2