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Financial lnformation <br />Bu lnformation <br />Pass Thro h lnformation <br />Prosecutor Review <br />Total Amount NTE 525,000 State Funds $Federal Funds SZS,OOO <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?Contact HR hiring-tn requirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes ! attach budget form No E why not <br />Revenue Code 6L2.39.26.333.93.391 <br />Expense Code 6L2.39.26.54L0t <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 Departments lm acted <br />BOCC A roval Needed? <br />Assignment of Tracki ng lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I NoX <br />Staff Member Presenting: Kasey Knutson <br />Reviewer Date <br />Grant/Contract Review Page 2