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Financial Information <br />Total Amount NTE $123,000.00 <br />State Funds $ <br />Federal Funds NTE $123,000.00 <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# 93.421 <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? <br />New Division Created? <br />Revenue Code <br />Expense Code(s) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Yes ❑ attach budget form No W Why not <br />Already Budgeted <br />116.612.92.337.62 <br />612.92 / 612.35 / 612.40.2 (51001,52001,50098,54702) <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes El No ❑ <br />County Departments Impacted <br />Auditor <br />Information Services <br />Prosecutor <br />BOCC Approval Needed? <br />Yes ❑ <br />Staff Member Presenting: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer <br />Facilities Maintenance <br />Human Resource <br />Treasurer <br />Grant/Contract Review Page 2 <br />