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Financial lnformation <br />B lnformation <br />Pass Thro h lnformation <br />Prosecutor Review <br />TotalAmount s State Funds s Federal Funds SPercenCouFundsMatchiFunds S CFDA# <br />ln-Kind 5 <br />ls urchased?nt beingLIIme Who owns ui ent?New Personnel bei ng hired?Contact HR hi irementsreFuture impacts or t iability to Kittitas County: <br />Bu Amendm ent Needed? <br />New Division Created? <br />Yes f] attach budget form No E why not <br />Professional Services <br />(Professional Services105.568.54101 <br />Revenue Code: <br />nse Code <br />10s.568.33 4.04.68 <br />to Pass Throu <br />Amount to Pass Th <br />Sub-Contract roved <br />reement?aH ths e roP es cu to revr e dWC t h s Yes No <br />Cou Departments lm cted <br />Submitted <br />Assignment of Track ing lnformation <br />Auditor Facilities Mainten ancelnformation Se rvlces Human ResourceProsecutorTreasurer <br />re Date <br />rtment <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who S ed the plicationnt <br />Reviewer Date <br />Grant/Contract Review <br />Page 2