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Financial lnformation <br />Bu lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />TotalAmount State Funds $29,t60.00 Federal Funds 5 <br />Percentage Cou nty Funds Matching Funds S CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei ng hired?Contact HR hirin uirementsrtin-re <br />Future impacts or liability to Kittitas County: <br />et Amendment Needed?Bu <br />New Division Created? <br />Yes I attach budget form No tr why not <br />Revenue Code 1 16. 6 15.03.8. 334.03. 1"00 <br />Expense Code 116.615.03.8 <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 De artments lm cted <br />BOCC A I Needed? <br />Assi ment of Trackin lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I NoI <br />Staff Member Presenting: <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