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SH21-003 EQUITABLE SHARIN AGREEMENT AND CERTIFICATION FORM
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2021-02-02 10:00 AM - Commissioners' Agenda
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SH21-003 EQUITABLE SHARIN AGREEMENT AND CERTIFICATION FORM
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Last modified
1/28/2021 1:32:20 PM
Creation date
1/28/2021 1:32:02 PM
Metadata
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Meeting
Date
2/2/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
g
Item
Request to Acknowledge the Equitable Sharing Agreement and Certification Form for FY2020
Order
7
Placement
Consent Agenda
Row ID
72272
Type
Agreement
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Equitable Sharing Funds Received From Other Agencies <br />Transferring Agency Name Justice Funds Treasury Funds <br />Other Income <br />Other Income Type Justice Funds Treasury Funds <br />Matching Grants <br />Matching Grant Name Justice Funds Treasury Funds <br />Transfers to Other Participating Law Enforcement Agencies <br />Receiving Agency Name Justice Funds Treasury Funds <br />Support of Community -Based Programs <br />Recipient <br />Non -Categorized Expenditures <br />Description Justice Funds Treasury Funds <br />Salaries <br />Salary Type Justice Funds <br />Treasury Funds <br />Paperwork Reduction Act Notice <br />Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a <br />valid OMB control number. We try to create accurate and easily understood forms that impose the least possible burden on <br />you to complete. The estimated average time to complete this form is 30 minutes. If you have comments regarding the <br />accuracy of this estimate, or suggestions for making this form simpler, please write to the Asset Forfeiture and Money <br />Laundering Section at 1400 New York Avenue, N.W., Washington, DC 20005. <br />Privacy Act Notice <br />The Department of Justice is collecting this information for the purpose of reviewing your equitable sharing expenditures. <br />Providing this information is voluntary; however, the information is necessary for your agency to maintain Program compliance. <br />Information collected is covered by Department of Justice System of Records Notice, 71 Fed. Reg. 29170 (May 19, 2006), <br />JMD-022 Department of Justice Consolidated Asset Tracking System (CATS). This information may be disclosed to contractors <br />when necessary to accomplish an agency function, to law enforcement when there is a violation or potential violation of law, or it <br />accordance with other published routine uses. For a complete list of routine uses, see the System of Records Notice as <br />amended by subsequent publications. <br />Single Audit Information <br />Independent Auditor <br />Name: Judy Pless <br />Company: Kittitas County Auditor's Office <br />Phone: 509-962-7502 Email: judy.pless@co.kittitas.wa.us <br />Date Printed: 01/13/2021 Page 2 of 5 <br />
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