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DocuSign Envelope lD: FF'l 48287 -E90C-42B9-840F-A1 4FAo0E82AFChampion(s) travel/expenses to Development Day, Seattle (Coordinator participation in thismeeting optional but recommended)Year TwoYear OneComputer SupporVTech ServicesRenVlnsu ra nce/Ja nitoria l/Ma intenanceUtilitiesOperating Expenses Subtotallndirect CostsTOTAL EXPENSESFUNDING SOURCESother Funding (United way, Grants, community Development Block Grant, etc.)Agency Funds and/or ln-KindCurrent Health Care Authority ContractTOTAL FUNDINGHCA Contract No.: K2747-O4Page 20 of 20