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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />- <br />Today's Date Agenda Date / J.} Lj J J:} 10/23/2017 <br />Fund/Department <br />116-Public Health <br />Cont ract /Grant Information <br />Contract /Grant Agency: Walla Walla County and KCPHD <br />Period Begin Date: 07/0 1/2 017 I j Period End Date: 06/30/2018 <br />Total Grant/Contract Amount: $3000 .00 <br />Gran t /Contract Number: <br />Contract/Grant Summary: <br />-L/Dtc/3 <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 />. · A1JJ I\ .. . . ~ Department Head S1gnature:Shkv =-, Administrator Date: .lt:(.JJn <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FOR M : <br />/)i:/_d ,:/ #/J , <br />'-✓ /~w~ ~ {d'4'Plt'ev,';,-.,, <br />Sign ature of Prosecutor's Office <br />. I /J ~,, <br />t'; ~ p -t.:.,d.-/ <br />Signature o Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $3000.00 State Funds $3000.00 Federal Funds S <br />Perce ntage Co u nty Funds Matching Funds$ CFDA# <br />In -Kind$ <br />E~~la ln <br />Grant/Contract Review Page 1