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Financial lnformation <br />Bud lnformation <br />Pass Thr h lnformation <br />Federal Funds SState Funds STotalAmount <br />CFDA#Matching Funds SPercentage CountY Funds <br />ln-Kind S <br />ain <br />Who owns equiPment?ls EquiP ment being Purchased? <br />Contact HR hiring - re orting re irements?n h dreonrsnebeWeegPN <br />Future imPacts or liabi lity to Kittitas CountY: <br />Amendment Needed?Bu No E why notYes I attach budget form <br />New Division Created? <br />1"05.5683340468Revenue Code <br />1.05.56854122 /Expense Code <br />Agency to Pass Through <br />Expense Code:Amount to Pass Through <br />DateSub-Contract APProved <br />NoYesHas the Prosecutor reviewed this agreem ent? <br />Prosecutor Review <br />CountY De rtments lmPacted <br />BOCC A I Needed? <br />Assign ment of Tracki lnformation <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />Treasu rerProsecutor <br />NoIYes I <br />Staff Member Presenting: Kasey Knutson <br />Auditor's Office <br />Human Resource <br />rL d-\Prosecutor's Office <br />Who Sign ed the grant aPPlication <br />DateReviewer <br />Grant/Contract Review <br />Page 2