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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 Needed? Yes D attach budget form No D Why not <br />New Division Created? <br />Revenue Code 105.334.04.68 $20,000.00 <br />Pass Thro ug h 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 Yes ·o 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 />Assignm ent of Tracki ng Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />I Reviewer ] Date <br />Grant/Contract Review Page 2