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Financial lnformation <br />Budget lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />TotalAmount $State Funds $Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />Explain <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 I attach budget form No n why not <br />New Division Created? <br />Revenue Code <br />Expense Code rt6-6l2.39.19.54101 Professiona I Services <br />Agency to Pass Through <br />Amount to Pass Through s <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this a ement?Yes No <br />Cou <br />Submitted <br />D ments lmpacted <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Signature Date <br />artment: <br />Assi ment of Tracking lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office "tw <br />Who Signed the grant application )Irt <br />Grant/Contract Review Page 2 <br />Reviewer Date