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Financial lnformation <br />Bu lnformation <br />Pass T lnformation <br />Prosecutor Review <br />TotalAmount State Funds S 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?No n why notYes n attach budget form <br />New Division Created? <br />105 - s68.334.04.68Revenue Code <br />10s - s68.54101Expense Code <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />DateSub-Contract Approved <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou Departments lm acted <br />BOCC Approval Needed? <br />Yes I NoE <br />Staff Member Presenting: <br />Assi ent of Tracking lnformation <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />TreasurerProsecutor <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