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Financial lnformation <br />Bud lnformation <br />Pass lnformation <br />Prosecutor Review <br />TotalAmount State Funds S Federal Funds $ <br />Percentage County Funds Matching Funds S CFDA# <br />tOO% (UI}th of I% tax <br />fu nds) <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 />Budget Amendment Needed?Yes I attach budget form No n why not <br />New Division Created? <br />105-56054101Revenue Code <br />105 - s603134000Expense Code <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />DateSub-Contract Approved <br />Has the Prosecutor reviewed this agreement?Yes I No <br />County Departments lm <br />BOCC Approval Needed? <br />Yes I NoE <br />Staff Member Presenting: Erin Moore <br />Assi ment of Tracking lnformation <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />TreasurerProsecutor <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