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Agency to Pass Through <br />NA <br />Amount to Pass Through <br />$D <br />Sub -Contract Approved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes 12 No ❑ CAMAS# 11653 <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: C <br />Department: Sid iff <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />p pl ove J in crz& # 11CS3 <br />Who Signed the grant application <br />Reviewer I Date <br />Grant/Contract Review Page 2 <br />