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Financial lnformation <br />Bu et lnformation <br />Pass Th lnformation <br />Prosecutor Review <br />Federal funds SState Funds StZ8,ggg.gOTotalAmount <br />CFDA#Matching Funds SPercentage CountY Funds <br />ln-Kind 5 <br />lain <br />Who owns equiPment?ls Equipment being Purchased? <br />Contact HR hirin requirementsortinNew Personnel being hired? <br />Future impacts or liability to Kittitas County: <br />Amendment Needed?Bu No Dl why notYes f attach budget form <br />New Division Created? <br />tt4 - 3.334.04.20Revenue Code <br />7r4-3.54122Expense Code <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />DateSub-Contract APProved <br />NoYesHas the Prosecutor revi ewed this agreement? <br />Cou Depa rtments lmPacted <br />BOCC Ap roval Needed? <br />ment of Tracki 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