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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Department <br />Today's Date 12t0412024 ffi tegat Request #:IYLW\N <br />Fund/Department 1/1Oth of Mental Health fax ffi Agenda Date <br />Contract/Agreement Agency: Kittitas County Friends of Animals <br />Contract/Agreement Title: Promoting Mental Health through Companion Animal Veterinary Support <br />End Date: 1213112026Begin Date: 0110112025 <br />Total 5 Amount: $60,000.00 Contract/Agreement *: PH M H-003 <br />Contract/Agreement Summa ry: <br />1l10th of 1o/o Mental Health and Chemical Dependency Tax funding award to provide financial <br />veterinary assistance to animals owned by youth, veterans and seniors in Kittitas County. <br />Contract/Agreement I nformation <br />Budget Information <br />Pass Through 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 />VED FORM <br />#trrt^/-// ){ <br />Sign iTu re dt'eiosfor{o r's officyf <br />A*urI^ ttps <br />Date <br />l-(t'zr <br />Signature of Auditor"s' Office Date <br />Revenue Code(s)105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />t/Agency is not suspended/disbarred WU [ ruot Checked (reason) <br />ADMIN Version:0 Supersedes: 0 Date Adopted : 72/ 01,/202a Modified By: Katie Odiaga Approval By: Chelsey Loeffers