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Financial lnformation <br />Budget lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />TotalAmount S906,343 State Funds $Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />la in <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?Contact HR hirin orting requirements-re <br />Future i acts or liability to Kittitas Cou <br />Budget Amendment Needed?Yes I attach budget form No E why not <br />Budgeted, & not using some funds til|2024, <br />will be in b <br />New Division Created? <br />Revenue Code <br />612.39.29.333,21.02F. . Vtz:a?Dvq. r se. >r . 0 >J <br />612.99.3.333.93.069 _ PH EPR LH j' <br />612.32.13.333, 93. 2688, - b 12.. 3-2. li. 313.',t 3. zLt <br />611.336.04.25 <br />612.22.L0.333,93.994 <br />- FAU,/\D t+Tto n rtlL ?7-AL/"C l+EALr/4 'Va <br />' /'rtAlEt>t14-L. *(rt(LD *{41n-l Sal?.vi ( t'.S <br />Expense Code 5 100L/5 10 02/ 5OO98/ 54199 for a I I <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 />County De artments lmpacted <br />BOCC roval Needed? <br />Ass nment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I NoI <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