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Financial lnformation <br />B lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />TotalAmount S State Funds S 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 hired?Contact HR hiri tn requirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes ! attach budgetform No n why not <br />Revenue Code 1L6.6L2392354101 <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?Yes El'ruo k fir+'( <br />Cou rtments lmpacted <br />BOCC Approval Needed? <br />Assignment of Tracki 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 4-\T7) <br />Who Signed the grant application \l <br />Grant/Contract Review Page 2 <br />Reviewer Date