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Financial lnformation <br />lnformation <br />Pass Th rough lnformation <br />Prosecutor Review <br />TotalAmount S State Funds S Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />ls Equipment being purchased Who owns equipment? <br />New Personnel bein hired?Contact HR hirin uirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes [] attach budget form No n why not <br />Revenue Code <br />116.6L2.94.346.26.65 SNAP Ed 409.005 <br />1 16. 6 12. 3 2.01. 346. 26.65 VFC Ops Ss,6oo.oo <br />1 16.6 12. 39. 2 3. 346. 26.65 ELC #4 70,907.00 <br />1 16. 612. 39. 17. 346. 26.6s FPHS Seos,ooo.oo <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 />rtments lm cted <br />BOCC I Needed? <br />Ass ment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes []NoE <br />Staff Member Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office F.k.o-7:l- <br />Who Signed the grant application <br />Grant/Contract Review <br />Page 2 <br />Reviewer Date