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Cinnnrinl Infnrmatinn <br />Total Amount $26,360.00 <br />State Funds $26,360.00 <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? <br />Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes ❑ attach budget form No ® why not <br />New Division Created? <br />Revenue Code 105.5683340468 <br />Expense Code 1105.56854101 ' <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />_Prosecutor Review <br />Has the Prosecutor reviewed this agreement? <br />County Departments Impacted_ <br />Auditor <br />Information Services <br />Prosecutor <br />BOCC Anoroval Needed? <br />Expense Code: <br />Yes ❑ No <br />Facilities Maintenance <br />Human Resource <br />Treasurer <br />Yes ® No <br />Staff Member Presenting: Kasey Knutson <br />Assignment of Tracking Information <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 <br />