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Today's Date <br />08/01/2019 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />I ry <br />KUTITA4 CelL,y"J.V <br />-4Wbq3to <br />Agenda Date � lc;)oI i q <br />Contract/Grant Information <br />Contract /Grant Agency: KCPHD and Walla Walla County Department of Community Health <br />Period Begin Date: 07/01/2019 Period End Date: 06/30/2020 <br />Total Grant/Contract Amount: $10,000 <br />Grant/Contract Number: 19-33 _ <br />Contract/Grant Summary: <br />The Agreement is entered into by and between Walla Walla County Department of Community <br />Health for services relative to the Youth Marijuana Prevention and Education Program. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Sign <br />Administrator Date: q <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature df Prosecutor's, ce ate <br />SignYturWof Auditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $10,000.00 <br />State Funds $10,000.00 <br />Federal Funds $0 <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# N/A <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? No <br />Who owns equipment? <br />Grant/Contract Review Page 1 <br />