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Financial lnformation <br />Budget lnformation <br />Budget Amendment Needed?Yes I attach budgetform No [| why not <br />New Division Created? <br />Expense Code 1L6.6L2.39.23.54I0i, <br />Pass Th Information <br />Prosecutor Review <br />TotalAmount State Funds S Federal Funds <br />Percentage County Funds Matching Funds $CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein hired?Contact HR hir - reportin uirementsre <br />Future impacts or liability to Kittitas County: <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou De rtments lm acted <br />BOCC Approval Needed? <br />Assi ment of Tracking lnformation <br />Grant/Contract Review page 2 <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes ffi - Resolution NoE <br />Staff Member Presenting: Jesse Cox <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer Date