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Financial lnformation <br />Budget lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Federal Funds: 5State Fund s: 5q62,2q6.O0Total Amou nti 5462,246.00 <br />CFDA#Matching Funds SPercentage CountY Funds <br />ln-Kind 5 <br />rn <br />Who owns equiPment?ls Equipment being Purchased? <br />Contact HR hiri uirementstnhired?New Personnel bein <br />Future impacts or liability to Kittitas County: <br />Amendment Needed?Bu No E Why notttach budget formYes ! <br />New Division Created? <br />L1.4 334.O4.20 +Y+Revenue Code <br />codes,5410L, 54122lI4 - PayrollExpense Code <br />HopeSourceAgency to Pass Through <br />5237,O32 Expense Code: LL4 -254t22Amount to Pass Through <br />Date: ln processSub-Contract ApProved <br />NoYesHas the Prosecutor reviewed this agreement? <br />County ments lm cted <br />BOCC A roval Needed? <br />Assig nment of Trackin lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />NonYes ! <br />Staff Member Presenting <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant aPPlication <br />DateReviewer <br />Grant/Contract Review Page 2