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Is Equipment being purchased? Who owns equil <br />New Personnel being hired? Contact HR hirin <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes ❑ attach budget form <br />New Division Created? <br />Revenue Code <br />.. <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Throu h $ <br />Sub -Contract Approved Date: <br />nent? <br />— reporting reauirements <br />No ❑ Why not <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes ❑ No Fj <br />County departments I <br />Auditor <br />Information Services <br />Prosecutor <br />Submitted <br />Signature: <br />Department: <br />cted <br />ASSignment of Tracking Intormation <br />_ _ <br />Auditor's Office I <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application J <br />Reviewer <br />Facilities Maintenance <br />_Human Resource <br />Treasurer <br />Date: <br />Date <br />Grant/Contract Review Page 2 <br />