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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? YesD attach budget form No [Kl Why not <br />New Division Created? Will only need if actual amount billed exceeds <br />contract amount, will do at year end. <br />Revenue Code -105.5683340468 -$728,032.00 <br />Pass Th rough Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub-Contract Approved Date: <br />Prosecutor Review I Has the Prosecutor reviewed this agreement? I YesD 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: I <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 J Date <br />Grant/Contract Review Page 2