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Pass Through Information <br />Agency to Pass Through <br />NA <br />Amount to Pass Through <br />$0 <br />Sub -Contract Approved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? [Yes® No❑ CAMAS# 10268 <br />County Departments Impacted <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />Submitted <br />Signature: <br />Date:-8— <br />Department: She f <br />HJSir,r1F111UHL UI 1 fdGKlrlg IrllUFFI]dliUrl <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 <br />