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Financial lnformation <br />lnformation <br />Pass lnformation <br />Prosecutor Review <br />Total Amount s13,259.00 State Funds S13,258.00 Federal Funds $ <br />Percentage County Funds Matching Funds S CFDA# 93.994 <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel be hired?Contact HR hiri uirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes f] attach budget form No E why not <br />lncluded in 2022 budget <br />Revenue Code: LL6.GL2.Z2, 14.333.93.994 <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 />BOCC <br />Departments lm <br />I Needed? <br />nt 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 ) <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2