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Financial lnformation <br />Budget Information <br />Pass Thro h lnformation <br />Prosecutor Review <br />TotalAmount State Funds $Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind $ <br />ln <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein g hired?Contact HR hirin requirements-re rti <br />Future impacts or liability to Kittitas County <br />Bu et Amendment Needed? <br />New Division Created? <br />Yes ! attach budget form No fl why not <br />Revenue Code <br />Expense Code <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />e Prosecutor reviewed this agreement?Has th Yes No <br />County De rtments lm pacted <br />BOCC Approval Needed? <br />Assignment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes fl Non <br />Staff Member Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office ,??L8 t+k LI* <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2