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Financial lnformation <br />lnformation <br />Pass lnformation <br />Prosecutor Review <br />Total Amount SNTE 522,024.00 State Funds $Federal Funds 5 <br />Percentage Cou nty Funds Matching Funds S CFDA# <br />ln-Kind 5 <br />Explain <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?Contact HR hiring - reporting re quirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes I attach budget form No n why not <br />Revenue Code EXPENSE Code: 001.43,116.05.51001, etc <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this ement?Yes No <br />rtments lm cted <br />Submitted <br />Signature:Date: <br />rtment: <br />Assignment of Trac king lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office J 4 2t8'+'Y ?{",t <br />Jto Signed the grant application I <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />P v,7-a}{t f_C)fep_r-Treasu rer <br />Reviewer Date <br />Grant/Contract Review Page 2