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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittilii$ Couily <br />Public Health <br />Deptr.tmsnt <br />Today's Date:1UAU2024 l$lr regar Request #:lt? l-Di n <br />Fund/Department:lTl1/1Oth of Mental Health Tax Agenda Date: <br />1 <br />Contract/ <br />Pass <br />lnformation <br />lnformation <br />lnformation <br />Contract/Agreement Agency: Thorp School District <br />Contract/Agreement Title: Providing Mental Health Services to the Students at Thorp School District <br />End Date: 1213112425Begin Date: UlA1l2O25 <br />Contract/Agreement *: PHM H-008TotalS Amount: $54,350.00 '/ <br />Contra ct/Agreement 5 umma ry: <br />111gth funding to Thorp School district to contract with a licensed mental health care provider to <br />provide mental health services to the students in Thorp School District. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />TO <br />/-/7-ts- <br />5 <br />) l,J( <br />Srenatftot Aud itor's Office,Date <br />105 - 560.3134000Revenue Code(s) <br />Expense Code(s)105 - 560.54101 <br />Not Checked (reason)r'Agency is not suspended/disbarred <br />Agency to PassThrough <br />Expense Code:Amount to Pass Through <br />5u b-Contract Approved Date: <br />ADMIN Version:0 Supersedes:0 Date Adopted : a2 I or 12024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers