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Financial lnformation <br />Bu lnformation <br />Pass lnformation <br />Prosecutor Review <br />Total Amount S630,542.00 state Funds s630,642.00 Federal Funds $ <br />Percentage County Funds Matchins Funds S CFDA# <br />ln-Kind $ <br />Explain <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?Contact HR hiring - reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budeet Amendment Needed?Yes f] attach budget form No E Why not <br />Only need if actual amount billed exceeds <br />contract amount at Vear end. <br />New Division Created? <br />Revenue Code: 105,568.334.04.68 <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?YesE[ ruo LJ <br />De rtments lm cted <br />Submitted <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />TreasurerProsecutor <br />Department: <br />s ature:Date: <br />ment of Tra lnformation <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />Auditor's Office <br />Human Resource <br />^-----..^^-,- A!Cr-^rluscLuLUr 5 \.,l ilLE <br />Who Signed the grant application