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Financial lnformation <br />Bud lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date <br />Prosecutor Review <br />TotalAmount State Funds $Federal Funds S <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 hired?Contact HR hiring - re rti uirementsre <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes ! attach budget form No E why not <br />Revenue Code I 4,tl o\(- 9D <br />Expense Code r05, 5L8,5q I ?)bv go <br />Has the Prosecutor reviewed this agreement?Yes No <br />County Departments Im pacted <br />BOCC A roval Needed? <br />ment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes !Non <br />Staff Mem ber Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office a K )I * <br />Who Signed the grant application I \I <br />Reviewer Date <br />Grant/Contract Review Page 2