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Financial Information <br />B lnformation <br />Pass Th lnformation <br />Prosecutor Review <br />TotalAmount State Funds S Federal Funds S <br />Percentage County Funds Matching Funds S CFDA# <br />LOO% (L/LOth of I%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 />Budget Amendment Needed?Yes I attach budget form No n why not <br />New Division Created? <br />Revenue Code tn 6 - gfboS'rlo I 6aa- <br />Expense Code 105 - 5603134000 <br />Agency to Pass Through <br />Expense Code:Amount to Pass Through <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?Yes No L-l <br />Cou rtments lm acted <br />BOCC A roval Needed? <br />ment of Trackin lnformation <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />TreasurerProsecutor <br />Yes I No[] <br />Staff Member Presenting: Erin Moore <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Grant/Contract Review Page 2