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Amount to Pass Through $0 <br />Sub -Contract Approved I Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement?I Yes N No ❑CAMAS# 11801 <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: /D , z e _ A <br />Department: Sher' f <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />PhtoliJED iN LAs #/I8o I <br />Who Signed the grant application <br />Reviewer I Date <br />Grant/Contract Review Page 2 <br />