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Total Amount 5630,642.00 State Funds $Federal Funds S <br />Percentage Cou nty Funds Matching Funds S CFDA# <br />ln-Kind $ <br />tn <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein hired?Contact HR hiring - reporti uirementsre <br />Future impacts or liability to Kittitas County: <br />Bu lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Budget Amendment Needed? <br />New Division Created? <br />Yes ! attach budget form No n why not <br />Revenue Code 105.568.33 4.O4,68 <br />Expense Code 10s.s68.5410t /54122 <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 />Coun D rtments lm acted <br />BOCC Approval Needed? <br />Assignment of Tracki ng lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasu rer <br />Yes I NoE <br />Staff Member Presenting: Kasey Knutson <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office +t-LYkJ-,& $t*t <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2