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Financial Information <br />Budget lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />Total Amou nt S25,878.00 State Funds S Federal Funds S25,878.00 <br />Percentage County Funds 10O%Matching Funds $CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein hired?Contact HR hiri ortin requirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed?Yes I attach budget form No E why not <br />Already BudgetedNew Division Created? <br />Revenue Code 61.2.39.27 .333.2L.02 / 67s.02.03.334.4.9 / 612.39.24.333.93. 268 <br />Expense Code 5 1001,52001,50099 <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 />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />County Departments lm pacted <br />BOCC roval Needed? <br />Assign ment of Tracking I nformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Yes I NoK <br />Staff Mem ber Presenting: <br />Reviewer Date <br />Grant/Contract Review Page 2