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Financial lnformation <br />B lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Total Amount NTE 532,500.00 State Funds 532,SO0.OO Federal Funds $ <br />Percentage County Funds Matching Funds $CFDA# <br />ln-Kind $ <br />tn <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?Contact HR hiring -uirementsortin <br />Future impacts or liability to Kittitas County <br />Bud Amendment Needed? <br />New Division Created? <br />Yes I attach budget form No K why not <br />Already Budgeted <br />Revenue Code 1.16.6L2.44.334. 04.93 <br />Expense Code 116.612.44. 04. 53 1 15 / 1L6.6t2.44.0s.s 1001 <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 />Cou D rtments lm ed <br />BOCCApproval Needed? <br />Assignment of Trackin lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I NoE <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