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Financial lnformation <br />Bu et lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />Total Amou nt 5i.27,741.33 Stat: Fund s 5L2l,l 41.33 Federal Funds S <br />Percentage County Funds Matching Funds $CFDA# <br />ln-Kjnd $ <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bein hired?Contact HR hiri ing-re uirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? <br />Yes f] attach budget form No E why not <br />Already Budgeted <br />Revenue Code 1 16-6 15.03.8.334.03, 100 38)L SL^, <br />Expense Code 1 16-€ 1s.03.8.s 1001/s2001/s0098 6ss>Lgr.^ r,fr <br />Agency to Pass Through <br />Amount to Pass Through Expense Code <br />Sub-Contract Approved Date: <br />e Prosecutor reviewed this agrement?Has th Yes No <br />County De artments lm acted <br />BOCC roval Needed? <br />Assignment of Trackin g lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <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 a pplication <br />Reviewer Date <br />Grant/Contract Review <br />Page 2