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Financial lnformation <br />Budget lnformation <br />Pass Th 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 ! attach budget form No E why not <br />New Division Created? <br />Revenue Code 105-568.334.04.68 , .j <br />Expense Code 105 - 568.s4101 <br />, ./,'1.. ; <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement?Yes No <br />Cou Departments lmpacted <br />BOCC Approval Needed? <br />Yes !NoE <br />Staff Member Presenting: <br />ment of Tracki 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