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Kittitas County <br />Review Form <br />~, (~,;;;\ <br />Grants & Contract Agreement # q i 4DT( 3 <br />loday's Date Agenda Date ) J-) Lj J I:} <br />10/23/2017 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Walla Walla County and KCPHD <br />Period Begin Date: 07/01/2017 1 I Period End Date: 06/30/2018 <br />Total Grant/Contract Amount: $3000.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />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 />Department Head Signature:~ffi . Administrator Date :~ 1 <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />,~.~ <br />Signature of Prosecutor's Office <br />~ <br />Signature 0 r's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $3000.00 State Funds $3000.00 Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In-Kind $ <br />E~plaln <br />Grant/Contract Review Page 1