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Agency to Pass Through NA <br />Amount to Pass Through $0 <br />Sub -Contract Approved Date: NA <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes nX No ❑ CAMAS# 12062 <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: iI , jt j5 - ,- <br />Department: S h,@11rff <br />HSJIgr1rTlCrll UI I TdGKiflr, IMUFFTIMIUrI <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office APPROVED IN LRS #12062 <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />