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Financial lnformation <br />B lnformation <br />Pass Thro lnformation <br />Prosecutor Review <br />Federal Funds SState Funds STotalAmount <br />CFDA#Matching Funds SPercentage County Funds <br />ln-Kind S <br />Who owns equipment?ls Equipment being purchased? <br />Contact HR hiri - reporti uirementsNew Personnel bein hired? <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed?No E why notYes I attach budget form <br />New Division Created? <br />10s - 568.334.04.68Revenue Code <br />105 - 568.54722Expense Code <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />DateSub-Contract Approved <br />Yes NoHas the Prosecutor reviewed this agreement? <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />TreasurerProsecutor <br />County Departments lm cted <br />BOCC roval Needed? <br />Assign ment of Tracking lnformation <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />NonYes ! <br />Staff Member Presenting <br />DateReviewer <br />Grant/Contract Review Page 2