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Financial lnformation <br />lnformation <br />Pass lnformation <br />Prosecutor Review <br />TotalAmount State Funds $Federal Funds <br />Percentage County Funds Matching Funds $CFDA# <br />ln-Kind S <br />Explain <br />ls 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 Amendment Needed? <br />New Division Created? <br />Yes ! attach budget form No Dl why not <br />ExpenseCode 1I6.6L2.39.23.54LOt <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou De rtments lm cted <br />BOCC roval Needed? <br />ment of Track lnformation <br />Reviewer Date <br />Grant/Contract Review page 2 <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I NoE <br />Staff Member Presenting: Chelsey Loeffers <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application