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Financial lnformation <br />B lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date <br />Prosecutor Review <br />TotalAmount $State Funds S Federal Funds S <br />Percentage Cou nty Funds Matching Funds 5 CFDA# <br />ln-Kind $ <br />Expla in <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?Contact HR hirin g - reporting requirements <br />Future impacts or liability to Kittitas County <br />Budget Amendment Needed? <br />New Division Created? <br />Yes I attach budget form No X why not <br />Revenue Code <br />Expense Code 11.6-612.39.19.54101 Professional Services <br />Has the Prosecutor reviewed this reement?Yes No <br />Cou De rtments lm acted <br />Submitted <br />Signature Date: <br />De rtment <br />Assignment of Trackin g lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office ?-+?/,+a? <br />Who Si ed the rant a ication <br />Grant/Contract Review Page 2 <br />Reviewer Date