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Signed Amendment Between Kittitas Co and Ellensburg Family Medicine
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2022-06-21 10:00 AM - Commissioners' Agenda
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Signed Amendment Between Kittitas Co and Ellensburg Family Medicine
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Entry Properties
Last modified
6/28/2022 11:26:00 AM
Creation date
6/28/2022 11:25:41 AM
Metadata
Fields
Template:
Meeting
Date
6/21/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
g
Item
Request to Approve the Professional Services Agreement between Kittitas County and Ellensburg Family Medicine (Modification of the Existing Agreement)
Order
7
Placement
Consent Agenda
Row ID
90804
Type
Agreement
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lN WTNESS WHEREOF, the parties have executed this Agreement this Yd., <br />of YX-L,', ZOZI. <br />Ellensburg Family Medicine COUNTYOF <br />natory <br />/ <br />Print Name <br />Contractor Address: <br />Ellensburg Family Medicine <br />2156 Payne Rd. <br />Ellensburg, WA 98926 <br />Contractor Contact: <br />Zach Deffinbaugh <br />Professional Services Agreement (Form rev- 0912412018) <br />Page2 of 21 <br />COUNTYOF KITTITAS <br />SHERIFF'S OFFICE <br />PL* rtte et <br />Clay Myfis, Sherff <br />of Board- Julie Kjorsvik <br />Deputy Clerk of the Board- Mandy <br />APPROVEDAS TO FORM <br />tF ,lr'"tto1"y <br />Douglas R. <br />Deputy Prosecuting Attorney <br />Gounty's Address: <br />Kittitas County <br />205 West 5rh Avenue, Suite 108 <br />Ellensburg, WA 98962 <br />Project Contact: <br />Steve Panattoni, Superintendent <br />509-962-7527 <br />!lllilrft <br />'{ <br />: <br />-J <br />Ii' <br />^-\ -r\,'Ft .----.'.1 . ,l !" <br />\'\" J q t' <br />tlli
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