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Total Amount: S145,320.00 State Funds: S108,990.00 Federal Funds S0 <br />Percentage County Funds: 25To Matching Funds: $36,330.00 CFDA# n/a <br />ln-Kind S <br />Explain <br />ls 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 />Financial lnformation <br />Bu lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date <br />Prosecutor Review <br />Budget Amendment Needed? <br />New Division Created? <br />Yes I attach budget form No E Why not - Already Budgeted <br />Reven ue Code 1L6-615.03.8.334.03. 10 <br />Has the Prosecutor reviewed this reement?Ye No <br />Cou Departments lm acted <br />Submitted <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasu rer <br />Signature:Date: <br />Department <br />Assi ment of Tracki lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office I \ <br />Who Signed the grant application \ <br />Reviewer Date <br />Grant/Contract Review Page 2