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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittilai Coit.ril{ <br />Public Health <br />lleprrtnert <br />Today's Date 12t04t2024 tffi Legal Request #:\1 <br />'r- <br />I tl <br />Fund/Department 1/1Oth of Mental Health Tax l*6] ngenoa oate Dl'4 'hs <br />Contract/Agreement Agency: Easton School District <br />Contract/Agreement Title: Providing Mental Health Services to the Students at Easton School District <br />End Date: 1213112025Begin Date: 0110112025 <br />Contract/Agreement *: PH M H-006ooTotal $ Amount:t 3oo <br />Contract/Agreement Summa rY: <br />1/1oth funding to Easton School district to contract with a licensed mental health care provider to <br />provide mental health services to the students in Easton School District. <br />Contract/ement lnformation <br />lnformation <br />Pass Thro lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APP <br />l-s t.z-s_ <br />DateofPr's OffiSign <br />Dateof Auditor's <br />Revenue Code(s):105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />Agency is not suspended/disbarred I tttot Checked (reason) <br />ADMIN Version:0 Supersedes: 0 Date Adopted : 721A7/202a Modified By: Katie Odiaga Approval By: Chelsey Loeffers