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TotalAmount $State Funds $Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />Expla in <br />ls Equipment being purchased? No Who owns equipment? <br />New Personnel being hired? No Contact HR hir rtin requirements-re <br />Future impacts or liability to Kittitas County: <br />Budget lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Budget Amendment Needed?Yes I attach budgetform No K Why not <br />Time extension onlyNew Division Created? <br />Revenue Code 7L6.6L2.95.333.93.7 7 8 <br />Expense Code rt6.6 12.9s .s rcoL I s2o0 1/5 009 8 <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 artments lm acted <br />BOCC Approval Needed? <br />Assignment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I Notr <br />Staff Mem ber Presenting <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