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Financial lnformation <br />Budget lnformation <br />Pass Through lnformation <br />Prosecutor Review <br />Federal Funds SState Funds 5TotalAmount <br />CFDA#Matching Funds $Percentage CountY Funds <br />ln-Kind S <br />tn <br />Who owns equiPment?ls Equipment being Purchased? <br />Contact HR hirin -re ln uirementshired?New Personnel <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed?No n Why notYes I attach budget form <br />New Division Created? <br />105 - 568.334.04.68Revenue Code <br />105 - 568.54L22Expense Code <br />Central Washington Disability ResourcesAgency to Pass Through <br />S 10L,700.00 Expense Code: 105 - 568.54101"Amount to Pass Through <br />DateSub-Contract APProved <br />NoYesHas the Prosecutor reviewed this agreement? <br />County De rtments lm <br />BOCC A I Needed? <br />Assign ment of Tracki lnformation <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />TreasurerProsecutor <br />NoEYes I <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