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Financial lnformation <br />B lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />TotalAmount State Funds S ,..;,.1, I, r) -.., ii; .r 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? <br />New Division Created? <br />Yes I attach budget form No [-l whv not <br />Revenue Code <br />Expense Code 10s - s68.s4101 / s4L22 / 57OOL / s200t / s4s9t / <br />105 - 568-334.04.68 <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?Yes Ll No <br />Cou De rtments lmpacted <br />BOCC roval Needed? <br />Assignment of Trackin lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes I Non <br />Staff Member Presenting: <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