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Percentage County Funds Matching Funds S CFDA# <br />tOO% $/IOth of !% tax <br />funds) <br />ln-Kind S <br />Explain <br />ls Equipment being purchased? <br />No <br />Who owns equipment? <br />New Personnel being hired? No Contact HR hiring - reporting requirements <br />Future impacts or liability to Kittitas County <br />Bu lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />Prosecutor Review <br />Budget Amendment Needed?Yes I attach budget form No n why not <br />New Division Created? <br />Revenue Code t05- 5lo05tt( o I <br />Expense Code 105 - s6031_34000 <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou De rtments lm acted <br />BOCC I Needed? <br />Assignment of Tra lnformation <br />Auditor Facilities Maintenance <br />Human Resourcelnformation Services <br />TreasurerProsecutor <br />NonYes I <br />Staff Member Presenting: Erin Moore <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2