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Financial lnformation <br />Budget lnformation <br />Pass Throu lnformation <br />Prosecutor Review <br />State Funds $TotalAmount $2,000 Federal Funds $2,000.00 <br />Percentage County Funds Matching Funds $CFDA# <br />ln-Kind S <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel bei hired?Contact HR hiri rti uirements-re re <br />Future impacts or liability to Kittitas County: <br />Amendment Needed?Bu <br />New Division Created? <br />Yes I attach budget form No E Why not <br />Revenue Code 10s-568.334.04.68 <br />Expense Code 105-568.54101 <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date: <br />Has the Prosecutor reviewed this agreement? <br />Co Departments lm pacted <br />BOCC I Needed? <br />Yes I <br />Staff Mem ber presenting: <br />Assignment of Trackin lnformation <br />Auditor's Office <br />Who Signed the grant application <br />Reviewer <br />Facilities Maintenance <br />lnformation Services <br />Auditor <br />Human Resource <br />Prosecutor Treasu rer <br />Nof, <br />Human Resource <br />Prosecutor's Office <br />Grant/Contract Review <br />Date <br />Page 2