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Financial lnformation <br />Budget lnformation <br />Pass Thro h 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?Yes I attach budget form No E why not <br />New Division Created? <br />Revenue Code 10s - 568.334.04.68 <br />Expense Code 105 - 568.54!22 t,i i <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 cted <br />BOCC Approval Needed? <br />Yes !NoE <br />Staff Member Presenting: <br />ment 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