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Financial lnformation <br />lnformation <br />Pass Th lnformation <br />Prosecutor Review <br />TotalAmount 5750,000 state Funds s Federal Funds 5 <br />Percentage County Funds Matching Funds S CFDA# <br />ln-Kind S <br />ExDlain <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 />Budget Amendment N eeded?No E why notYes I attach budget form <br />New Division Created? <br />L72- LL2A23L327 /34126 <br />tL4 - 34127 /341270 \hLl3412702Revenue Code <br />114 & LL2-54LOL <br />v <br />Expense Code <br />Agency to Pass Through <br />Expense Code:Amount to Pass Through <br />DateSub-Contract Approved <br />Has the Prosecutor reviewed this agreement?ves I No <br />Cou rtments lm <br />BOCC I Needed? <br />ment of lnformation <br />Facilities MaintenanceAuditor <br />Human Resourcelnformation Services <br />TreasurerProsecutor <br />NoXYes ! <br />Staff Member Presenting: <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