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TotalAmount state Funds $Federal Funds 5 <br />Percentage County Funds Matching Funds $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 />Financial lnformation <br />Bu lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code <br />DateSub-Contract Approved <br />Prosecutor Review <br />Budget Amendment Needed? <br />New Dlvision Created? <br />Yes f, attach budget form No E why not <br />Revenue Code 10s - 558.334.O4.68 <br />Expense Code 105 - 56854r.01 v" <br />Has the Prosecutor reviewed this agreement?Yesl I ruo I I <br />Cou Departments lmpacted <br />BOCC Needed? <br />ment of Tracki lnformation <br />Auditor Facilities Maintenance <br />lnformation Services <br />Prosecutor <br />Human Resource <br />Treasurer <br />Yes !No[l <br />Staff Member Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer <br />Grant,/Contract Review <br />Date <br />Page 2