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Today's Date <br />04/05/2017 <br />Fund/Department <br />116-Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date 'r <br />Contract/Grant Information <br />Contract /Grant Agency: Cannon Solutions America <br />() 111- <br />Period Begin Date: 04/01/2017 I I Period End Date: 04/01/2022 <br />Total Grant/Contract Amount: Total lease amount for 60 months is $11,361.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The agreement between Cannon Solutions and KCPHD is for sale/lease ofthe Cannon copy machine <br />from 04/01/2017-04/01/2022. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatur~·::..:J~.:.....~~~==~-;t::.:::;-:Administrator Date:~ 1 <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPRO ED AS TO FORM : <br />Date <br />s Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $11,361.00 State Funds $ Federal Funds $ <br />Percentage County Funds 100% Matching Funds $ CFDA# <br />In-Kind $ <br />Explain <br />Is Equipment being purchased? No Who owns equipment? Cannon Solutions <br />New Personnel being hired? No Contact HR hiring -reporting requirements <br />Grant/Contract Review Page 1