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EXHIB IT "A" <br />Chalto; CFDA ~ BARS Fundilig Period C UI~(en t Change rotal <br />ACCO:_JnlS fh~vel-IUe (LHJ Use O'iiV) C Ollsidera~ion inrrp.ase Consideration <br />Program Nillne Code Start Date End Date (+l <br />or ritle <br />Youth Tobacco N/A 3340493 01/01/15 OGnO/l S 5750 (U94) 4,456 <br />Prevent'on <br />FFYl4 PHBG 93758 333 .93 75 01/01/15 09/30/15 11,750 (4.478) 7,272 <br />CBP Tobacco·- <br />PPHF <br />FFY15 PHBG 93758 333~93 75 10/01/15 09/30/16 1,000 478 1,478 <br />CBP Tobacco- <br />PPHF <br />FreY15 CDC 93305 33393 30 03/29/15 03/28/16 2,000 (452) 1548 <br />Tobacco <br />Prevention <br />Youth Tobacco N/A 334049, 07/01/15 06/10/Hi 4,000 (188.97) 3811 .03 <br />Prevention <br />FFYl5 PHBG 93 .758 333.93.75 7/01/2016 6/30/2017 0 6250 6250 <br />CBP Tobacco - <br />PPHF <br />FFY15 CDC 93.305 333.93.30 03/29/16 3/28/2017 0 4000 4000 <br />Tobacco <br />Prevention <br />Youth Tobacco N/A 334.04.93 7/01/2016 6/30/2017 4500 4500 <br />Prevention - <br />Vaping <br />TOTAlS 24,500 8,815 .03 33,315.03 <br />Bil ling Info rmati o n: <br />All A-19 Invoice billings with original Signatures and detailed documentation attached ;are to be sent to <br />Grant County Health District 1038 W Ivy Ave Suite I, Moses Lake WA 98837 attn: Ryan Brimacombe. <br />Please indicate the costs for each separate component on your A-19. <br />Billings should be submitted monthly within 30 days after the close of a month. Exception: For the <br />month after a funding source's expiration date please have the billing submitted within 25 days after the <br />close of the month. <br />Youth Tobacco Inte ragency Agreement -Kittitas Arnendment#2 <br />10/28/16 Page 6