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Financial lnformation <br />Bud lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />TotalAmount NTE S State Funds $Federal Funds S <br />Percentage County Funds Matching Funds $CFDA# <br />ln-Kind S <br />tn <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein g hired?Contact HR hiring - re rti n uirementsre <br />Future impacts or liability to Kittitas County: <br />Bud Amendment Needed? <br />New Division Created? <br />Yes f] attach budget form No n why not <br />Revenue Code 116.612.39.26.333.93.391 ./ <br />Expense Code 1L6.6I2.39.26.s4L01. ./ <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 acted <br />BOCCApproval Needed? <br />nment of Tracking lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasu rer <br />Yes I No[] <br />Staff Member Presenting: Kasey Knutson <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