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Financial lnformation <br />Budget lnformation <br />Pass Throu gh lnformation <br />Prosecutor Review <br />TotalAmount State Funds S Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />tn <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein hired?Contact HR hirin requ irements-re orti <br />Future impacts or liability to Kittitas County <br />Bud Amendment Needed? <br />New Division Created? <br />Yes I 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 artments lmpacted <br />BOCC Ap roval Needed? <br />Assignment of Tracki ng lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I Non <br />Staff Mem ber Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office + .tLE t+k L1* <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2