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Financial lnformation <br />Bud lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />TotalAmount State Funds 5 Federal Funds Sztz,3tg.oo <br />Percentage County Funds Matching Funds S CFDA# 2L.027 <br />ln-Kind S <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? <br />New Division Created? <br />Yes [] attach budget form No f] why not <br />Revenue Code 1.16.6L239273332102 <br />Expense Code 1L6.6123927 (s LOO]/ s200 1/s 00s 8 / s 4l1rl <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />DateSub-Contract Approved <br />Has the Prosecutor reviewed this agreement?Yes No <br />County Departments lmpacted <br />BOCC A I Needed? <br />Ass ment of Trackin lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Fluman Resource <br />Prosecutor Treasurer <br />NonYes I <br />Staff Member Presenting: Chelsey Loeffers <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office ."?L( ?+ F*t ,R* \^t"- Sr <br />Who Signed the grant application \U <br />Reviewer Date <br />Grant/Contract Review Page 2