Laserfiche WebLink
�,IvT Uh' <br />e/r Equitable • <br />S <br />G <br />Agreement • • <br />Certification <br />aumuer i iv-uu i i <br />Expires 7-31-2011 <br />O Police Department * Sheriff's Office O Task Force (Complete Table A, page2) <br />0 Prosecutor's Office 0 Other (specify) <br />Agency Name: KITTITAS COUNTY SHERIFF'S OFFICE <br />NCIC/ORI/Tracking Number: W A 0 1 9 10 10 1 0 -T -O-] <br />Street Address: 307 W UMPTANUM RD. <br />City: ELLENSBURG <br />Contact: Title: ADMIN ASSISTAI First: KIM <br />Contact: Phone: 509-962-7089 <br />Same as Preparer: First: KIM <br />® Contact Preparer: Phone: 509-962-7089 <br />State: WA Zip: 98926 <br />Last: DAWSON <br />E-mail: kim.dawson@co.kittitas.wa.us <br />Last: DAWSON <br />E-mail: kim.dawson@co.kittitas.wa.us <br />Last Fiscal Year End: 12/31/2010 Agency Current Fiscal Year Budget: $6,683,959.00 <br />O New Participant: Read the Equitable Sharing Agreement (page 4) and sign the Affidavit (page 5) <br />O Existing Participant: Complete the Annual Certification Report, read the Equitable Sharing Agreement (page 4), <br />and sign the Affidavit (page 5) <br />O Amended Form: Revise the Annual Certification Report, read the Equitable Sharing Agreement (page 4), <br />and sign the Affidavit (page 5). <br />Annual Certification Report <br />Summary of Equitable Sharinq Activitv Justice Funds' Treasury Funds <br />1 <br />Beginning Equitable Sharing Fund Balance (must match <br />Ending Equitable Sharing Fund Balance from prior FY) <br />$1,486.61 <br />2 <br />Federal Sharing Funds Received <br />3 <br />Federal Sharing Funds Received from Other Law Enforcement <br />Agencies and Task Forces (complete Table B, page 2) <br />4 <br />Other Income <br />5 <br />Interest Income Accrued Non -Interest Bearing <br />Interest Bearing O <br />6 <br />Total Equitable Sharing Funds (total of lines 1 - 5) <br />$1,486.61 <br />$0.00 <br />7 <br />Federal Sharing Funds Spent (total of lines a - m below) <br />$0.00 <br />$0.00 <br />8 j <br />Ending Balance (difference between line 7 and line 6) <br />$1,486.61 <br />Justice Agencies are: FBI, DEA, ATF, USPIS, USDA, DCIS, DSS, and FDA. <br />z Treasury Agencies are: IRS, ICE, CBP, USSS, and USCG. <br />Page 1 of 5 <br />December 2010 <br />Version 1.9 <br />