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Financial Information <br />Total Amount $ <br />State Funds $ <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />116.612.94.346.26.65 SNAP Ed <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? <br />Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? <br />New Division Created? <br />Yes ® attach budget form <br />No ❑ why not <br />Revenue Code <br />Sub -Contract Approved <br />$15,409.00 <br />$5,600.00 <br />116.612.94.346.26.65 SNAP Ed <br />116.612.32.01.346.26.65 VFC Ops <br />116.612.39.23.346.26.65 <br />116.612.39.17.346.26.65 <br />ELC #4 <br />FPHS <br />$270,807.00 <br />$605,000.00 <br />Pass Through Information <br />Agency to Pass Through <br />Auditor <br />Amount to Pass Through <br />$ <br />Sub -Contract Approved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ <br />County Departments Impacted <br />BOCC Approval Needed? <br />Yes ® No ❑ <br />Staff Member Presenting: <br />ment of Tracking Intormation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />BOCC Approval Needed? <br />Yes ® No ❑ <br />Staff Member Presenting: <br />ment of Tracking Intormation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />