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Financial Information <br />Total Amount $103,420 State Funds $ <br />Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />100% (1/10th of 1% Funds) In -Kind $ <br />Explain <br />Is Equipment being purchased? Who owns equipment? <br />New Personnel being hired? Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes ❑ attach budget form <br />New Division Created? <br />No ❑ Why not <br />j Revenue Code 1 116.612.90.369,40 1 <br />Expense Code <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Throw <br />Sub -Contract Approved Date: <br />116.612.90.54101 <br />Expense Code: <br />Prosecutor Review <br />F—Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ <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: Marie Marchand <br />Assignment of Tracking Information_ <br />Auditor's Office <br />Human Resource 1 <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer <br />Date <br />Grant/Contract Review Page 2 <br />