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Total Amount S State Funds $Federal Funds $ <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />Expla in <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 />Financial lnformation <br />Budget 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 />Budget Amendment Needed?Yes f attach budget form No Dl why not <br />New Division Created? <br />Revenue Code 10s.5683340468 / <br />Expense Code 10s.s68s4101 / <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou De rtments lmpacted <br />BOCC Approval Needed? <br />Yes I NoE <br />Staff Member Presenting: Kasey Knutson <br />Assignment of Tracking lnformation <br />Facilities MaintenanceAuditor <br />lnformation Services Human Resource <br />Prosecutor Treasu rer <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office 'u \ ,-LLg +4, .84 /-\ <br />Who Signed the grant application /( <br />Grant/Contract Review Page 2 <br />Reviewer Date