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Budget Information <br />Budget Amendment Needed? <br />Yes[] attach budget form <br />No ® why not —Already budgeted <br />New Division Created? NO <br />Revenue Code <br />Expense Code <br />00130070156409 <br />NA <br />Pass Through Information <br />Agency to Pass Through <br />NA <br />Amount to Pass Through <br />$0 <br />Sub -Contract Approved <br />Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? YesER No ❑ CAMAS# 12192 <br />County Departments Impacted <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />ITreasurer <br />Submitted <br />Signature: <br />Date: A I! 9G <br />Department: Sh riff <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office APPROVED IN LRS #12192 <br />Who Signed the grant application <br />ReviewerI Date <br />Grant/Contract Review Page 2 <br />