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Financial Information <br />Total Amount NTE State Funds $Federal Funds <br />Percentage County Funds Matching Funds $CFDA# <br />In-Kind $ <br />Explain <br />ls Equipment being Who owns equipment? <br />purchased? <br />New Personnel being hired?Contact HR hiring -reporting requirements <br />Budget Information <br />Budget Amendment Yes Attach budget No Why not? <br />Needed?form <br />New Division Created? <br />Revenue Code 116.612392633393391 <br />Expense Code 116.612392654101 <br />Pass Through Information <br />Agency to Pass <br />Through <br />Amount to Pass Expense Code: <br />Through <br />Sub-Contract Date: <br />Approved <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement?Yes O NoQ <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />BOCC Approval Needed? <br />Yes No <br />Staff Member Presenting: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Professional Services Agreement (rev.09/24/2018) <br />Page 2 of 20