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Financial lnformation <br />Bu lnformation <br />Pass Thro ugh lnformation <br />Prosecutor Review <br />TotalAmount State Funds S Federal Funds $Percentage Cou nty Funds Matching Funds S CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel be ing hired?Contact HR hirin orting uirementsFuture i mpacts or liability to Kittitas County <br />Bud Amendment Needed ? <br />New Division Created ? <br />Yes I attach budget form No K Why not <br />Revenue Code 105 - 568,3340468 sbdL <br />Expense Code 105 - 568.54101 <br />Agency to Pass Through <br />Amount to Pass Thro ugh Expense Code <br />Sub-Contract Approved Date: <br />rosecutor reviewed this agreement?Has the P <br />Yes No <br />Cou Departments lm pacted <br />BOCC proval Needed? <br />Assi ment of Trackin lnformation <br />Auditor Facilities Maintenan celnformation Service s Human ResourceProsecutorTreasurer <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 <br />Page 2