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Financial lnformation <br />Budget lnformation <br />Pass Th lnformation <br />Prosecutor Review <br />TotalAmount State Funds $Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />la in <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein hired?Contact HR hirin orting re-re uirements <br />Future impacts or liability to Kittitas County <br />Budget Amendment Needed? <br />New Division Created? <br />Yes f, attach budget form No E why not <br />No $ changes <br />Revenue Code 1.1.6.6L2.39. 26. 333.93.39 1 [4t <br />Expense Code 1"L6. 6L2.39 .26.5 41.0 1 <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date <br />e Prosecutor reviewed this agreement?Has th Yes No <br />County De a rtments lmpacted <br />BOCC A roval Needed? <br />Assi nment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasu rer <br />Yes I NoI <br />Staff Mem ber Presenting <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office t>tg+t (b <br />Who Signed the grant application <br />Reviewer Date <br />Professionai Service Agreement Amendment No. j. <br />Page 2