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Financial lnformation <br />Bu lnformation <br />Pass lnformation <br />Prosecutor Review <br />Total Amount: $300 per month State Funds: S Federal Funds: S <br />Percentage County Funds Matching Funds: S CFDA# <br />In-Kind $ <br />Explain <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?lQtact HR hiring - reporting requirements <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 />Grant Funded <br />Expense Code tt6.6124A3 <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?Yes IYJ tto <br />County artments I <br />BOCC roval Needed? <br />Assignment of lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes !NoE <br />Staff Member Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office t'11'u,\s 1 <br />Who Signed the grant application i\\ <br />Reviewer Date <br />Grant/Contract Review Page 2