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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 />Total Amount State Funds $Federal Funds $ <br />Percentage County Funds Matching Funds 5 CFDA# <br />ln-Kind $ <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein h ired ?Contact HR hiri rting requirements-re <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed?Yes f attach budget form No E Why not <br />New Division Created? <br />Revenue Code 672.9 7.333. 10. 5 6, 6 1 2. 88. 3. 33 3, 93.069, 612.39 .27 .333.2t.02, <br />6L2.39.23.333.93.324, 6 1 2. 3 1.333. 93.439 , 612.22.333.93.994 <br />Expense Code 51001, 52001, 50099, 54L0I, 53115 <br />Has the Prosecutor reviewed this agreement?ves..Z-No ,f(6oo <br />County Departments lm cted <br />BOCC Approval Needed? <br />Yes I NoI <br />Staff Member Presenting <br />Assignment of Tracking lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office (/ 4 oa4rJ-(*\1r,4 H"_47/t/o- <br />Who Signed the grant application (I <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Reviewer Date <br />Grant/Contract Review Page 2