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Financial lnformation <br />Bu lnformation <br />Pass Th lnformation <br />Prosecutor Review <br />Federal Funds Sstate Funds s237,032.00Total Amount S237,032.00 <br />CFDA#Matching Funds SPercentage County Funds <br />ln-Kind S <br />Who owns equipment?ls Equipment being purchased? <br />Contact HR hiri orti requirements-rehired?New Personnel bei <br />Future impacts or liability to Kittitas County <br />Budget Amendment Needed?No E] why notYes f] attach budgetform <br />New Division Created? <br />r14.3.334.04.20Revenue Code <br />V!.)L74.3.54122 t/Expense Code <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Date:Sub-Contract Approved <br />NoYesHas the Prosecutor reviewed this agreement? <br />County Departments I mPacted <br />BOCC roval Needed? <br />Assi ment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />No flYes ! <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