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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date I Agenda Date <br />04/25/2018 r,., <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Age ncy: PSA between Jennifer DeWitt and Kittitas Coun t y Public Health <br />Period Begin Date: April 11, 2018 I j Period End Date: May 2, 2018 <br />Tota l Grant/Contract Amount : $400.00 (100 .00 p er class) <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />:tr ,· <br />The PSA between Jennifer DeWitt and KCPHD is established so the contractor shall facilitate Of Love and <br />Logic Parenting classes from 6pm-8pm at the Cle Elum Roslyn Elementary School April 11 th , 18th, 25 th , <br />and May 2nd , 2018. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: __________ Administrator Date :, __ _ <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROV ED AS TO FORM: <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ 400.00 State Funds $ Federal Funds $ <br />Pe rc entage County Funds Matching Funds$ CFDA# <br />In-Kind$ <br />Explain <br />Grant/Contract Review Page 1