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Amount to Pass Through <br />$0 <br />Sub -Contract Approved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? YesGJ No ❑ CAMAS# 10621 <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted <br />Signature: ' <br />Date: _ 13 - Y <br />Department: SherifoK <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />%4 Y vS v� <br />Who Signed the grant application <br />Reviewer I Date <br />Grant/Contract Review page 2 <br />