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Financial Information <br />Total Amount NTE $100,000 State Funds$ Federal Funds $100,000 <br />Percentage County Funds Matching Funds$ CFDA# 93.268 <br />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 D attach budget form No 1K] Why not <br />New Division Created? Funds already budgeted <br />Revenue Code 116.61239243339332 <br />Expense Code 116.612392454101 <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />Prosecutor Review <br />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 [Kl I No □ <br />Staff Member Presenting: Chelsey Loeffers <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Grant/Contract Review Page 2