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Budget Information <br />Budget Amendment Needed? <br />Yeses attach budget fonn <br />No ❑ Why not: <br />New Division Created? No <br />Revenue Code: 001-30123933116838 <br />Expense Code: N/A <br />Pass Through Information <br />Agency to Pass Through <br />No <br />Amount to Pass Through <br />$0 <br />Sub -Contract A proved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes No ❑ CAMAS# 10508 <br />County Departments Impacted <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />Submitted <br />Signature: <br />Date: 3 -� <br />De <br />artment: <br />Sh riff <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant aPTlication <br />Reviewer I Date <br />Grant/Contract Review Page 2 <br />