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Financial lnformation <br />Bu lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Total Amount 5300,000.000 State Funds S Federal Funds S300,000.000 <br />Percentage County Funds Matching Funds $CFDA# <br />ln-Kind $ <br />tn <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?Contact HR hirin - reporti u irementsre <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes I attach budgetform No E why not <br />No cost amendment <br />Revenue Code @ tllz Io\2b4,'LJa.7bV.q13q I <br />Expense Code <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date <br />Has the Prosecutor reviewed this agreement?Yes No <br />County De rtments lm ed <br />BOCC A I Needed? <br />Assignment of Tracki ng lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes f,NoE <br />Staff Member Presenting: <br />Reviewer Date <br />Grant/Contract Review Page 2