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Financial lnformation <br />Bud lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Total Amount S176,957.00 State Funds Stz6,gSZ.00 Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?Contact HR hirin ortin uirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed ? <br />New Division Created? <br />Yes ! attach budgetform No f] why not <br />Reven u e Code : L1,6.6L2.40.3.334.04.9i.0 <br />Agency to Pass Through <br />Amount to Pass Through 5 <br />Sub-Contract Approved Date <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou Departments I d <br />BOCC A I Needed? <br />Assignment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes ffi NoI <br />Staff Member Presenting: Chelsey Loeffers <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office (# "-1? <br />A ((,,*t\5 (\ <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2