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I <br />Financial lnformation <br />Budget lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />TotalAmount S State Funds $Federal Funds S <br />Percentage Cou nty Funds Matching Funds S CFDA# <br />ln-Kind S <br />Expla in <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?Contact HR hiring - reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed?Yes ! attach budget form No n Why not <br />New Division Created? <br />Revenue Code <br />Expense Code 11"6-612.39.19.54101 Professional Services <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date <br />Has the Prosecutor reviewed this a greement?Yes No <br />Cou Departments lm acted <br />Submitted <br />Signature:Date: <br />Department <br />nment of Track lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office w I <br />Who Signed the grant application )l{ <br />Grant/Contract Review Page 2 <br />Reviewer Date