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Financial lnformation <br />Bu lnformation <br />Pass Thro lnformation <br />Prosecutor Review <br />TotalAmount S State Funds S Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />tn <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?Contact HR hirin rti irementsre-re <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes f] attach budget form No E why not <br />Revenue Code L16.672392354LOL <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 No rljrf' <br />Co rtments lm <br />BOCC Approval Needed? <br />ent of Tracking lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes fl Non <br />Staff Member Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office \3& <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2