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In-Kind$ <br />Exp lain <br />Is Eq u ip ment being purchased? Who owns equ ip ment? <br />New Personnel being hired? Contact HR hiring -reporti ng re q uirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? YesO attach budget form No[] Why not <br />New Division Created? Included in 2019/2020 budget process <br />Revenue Code 105.568.334.04.68 <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 0 <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />- <br />Submitted I Signature: <br />Department: <br />I Date: <br />Assignment of Tracking Information <br />- <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />I Reviewer I Date <br />Grant/Contract Review Page 2