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Financial lnformation <br />Bud lnformation <br />Pass Th lnformation <br />Prosecutor Review <br />Total Amount NTE Sss,000.oo State Funds S Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind 5 <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?Yes I attach budget form No E why not <br />New Division Created? <br />L05.568.334.04.68 v a4tnRevenue Code <br />105.568.5410t (Professional Services)0{/.-r./Expense Code <br />Agency to Pass Through <br />Expense Code:Amount to Pass Through <br />DateSub-Contract Approved <br />Has the Prosecutor reviewed this agreement?Yes-Z- ruo {L( t+( <br />County Departments lm cted <br />BOCC A Needed? <br />Assi ment of Tracking lnformation <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />Prosecutor Treasurer <br />NoEYes I <br />Staff Member Presenting: Kasey Knutson <br />Auditor's Office <br />Human Resource <br />-r( +-t\E2a I{ ** Hn,k,-{/nhwProsecutor's Office <br />(0tWho Signed the grant application <br />Grant/Contract Review Page 2 <br />Reviewer Date