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Financial lnformation <br />Bud lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code <br />Sub-Contract Approved Date: <br />Prosecutor Review <br />Total Amount S25,386.00 State Funds $Federal Funds 5 <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind $ <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?Contact HR hirin - reportin 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 116.612.24.1.333.937 78 ( Fed ) <br />7L6.6L2.24. L.334.06901 (State) <br />Expense Code LI6.612.24.1. <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou De rtments lm <br />BOCC Approval Needed? <br />Assignment of Tracking lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I NoE <br />Staff Member Presenting: Audi Martinez <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office t ')u 'tlr' <br />Who Signed the grant application (\J <br />Grant/Contract Review Page 2 <br />Reviewer Date