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Financial lnformation <br />Budget lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />Prosecutor Review <br />TotalAmount State Funds NTE 535,000 Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?Contact HR hiri orting uirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed?Yes ! attach budgetform No E Why not <br />New Division Created? <br />Revenue Code 105.568.334.04.68 =^tptz- cta- D D <br />Expense Code 10s.s68.s410 I0S. Elo1su lo) Dew,Loomep\h.0 Dt\oLr l'ht <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou De ments lm acted <br />BOCC Approval Needed? <br />Assignment of Tracki ng lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes !NoE <br />Staff Member Presenting <br />Reviewer Date <br />Grant/Contract Review Page 2