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Today's Date <br />10/23/2017 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />-- <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: Walla Walla County and KCPHD <br />Period Begin Date: 07/01/2017 Period End Date: 06/30/2018 <br />Total Grant/Contract Amount: $3000.00 -� <br />Grant/Contract Number: — - - <br />Contract/Grant Summary: - The agreement is entered into, by, and between Walla Walla County and Kittitas County Public Health <br />Department for engagement and participation in the Greater Columbia Accountable Community of <br />Health Youth Marijuana Prevention and Education Program Planning Team. <br />Recommendation for Board of Health and Board of Health Review on <br />De artment Head Signature: ' Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature o di is Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $3000.00 <br />Percentage County Funds <br />State Funds $3000.00 <br />Matching Funds $ <br />In -Kind $ <br />Federal Funds $ <br />CFDA# <br />Grant/Contract Review �Y Page 1 <br />