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Financial lnformation <br />Budget lnformation <br />Pass Throu gh lnformation <br />Prosecutor Review <br />Total Amount S20,481.00 State Funds 520,+gt.OO Federal Funds $ <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind $ <br />atnEX <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein g hired?Contact HR hirin - reporti requirements <br />Future impacts or I iability to Kittitas County <br />Bud t Amendment Needed? <br />New Division Created? <br />Yes I attach budget form No E Why not <br />Already Bud geted <br />Revenue Code 11,6.6L2.40.3.334, 04. 910 <br />Expense Code 1"16.612.40.3 ./ <br />Agency to Pass Through <br />Amount to Pass Throu gh Expense Code: <br />Sub=Contract Approved Date <br />osecutor reviewed this agreement?Has the Pr Yes No <br />County Departments lm pacted <br />BOCC A roval Needed? <br />Assignment of Tracki ng lnformation <br />Auditor Faci lities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I No[] <br />Staff Member presenting: Chelsey Loeffers <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