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Financial lnformation <br />Bu lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Total Amount State Funds $Federal Funds S <br />Percentage County Funds Matching Funds $CFDA# <br />ln-l(ind $ <br />la in <br />ls Equipment being purchased?Who ov"rns equipment? <br />New Personnel bein hired?Contact HR hirin u irements-re rti re <br />Future impacts or liability to Kittitas County: <br />Bud Amendment Needed? <br />New Division Created? <br />Yes I at.ach budget form No E Why not <br />Revenue Code L05-568.33 4.04.68 <br />Expense Code 105-5 68. 5 1 001" / 52001, / 5 41,01. / 5 4L22 <br />Agency to Pass Through Elmview and Entrust <br />Amount to Pass Throu gh Slza,qr.oo Expense Code: 1,05-568.541,22 <br />Sub-Contract Approved Date: ln Process <br />e Prosecutor reviewed this agreement?Has th 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 f,Nof <br />Staff Mem ber Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant ap plication <br />Reviewer Date <br />Grant/Contract Review <br />Page 2