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Fi'nancial I nformation <br />Bud lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Total Amount State Funds S Federal Funds S <br />Percentage County Fu nds Matching Funds S CFDA# <br />ln-Kind 5 <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?ortingContact HR hirin uirements-re <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes I attach budget form No E Why not <br />Revenue Code 105 - 568,3340468 StrJa- <br />Expense Code 105 - 568.54L01 <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 <br />Cou Departments lm acted <br />BOCC Approval Needed? <br />Assignment of Trackin g lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasu rer <br />Yes I Non <br />Staff Mem ber Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2