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Final Interlocal Agreement between Office of Superintendent and KCPHD
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2025-07-15 10:00 AM - Commissioners' Agenda
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Final Interlocal Agreement between Office of Superintendent and KCPHD
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Last modified
7/10/2025 12:06:38 PM
Creation date
7/10/2025 12:04:20 PM
Metadata
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Template:
Meeting
Date
7/15/2025
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve a Resolution to Authorize Execution of an Interlocal Agreement between the Office of Superintendent of Public Instruction and KCPHD
Order
15
Placement
Consent Agenda
Row ID
133196
Type
Resolution
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O docusign- <br />Certificate Of Completion <br />Envelope Id: 3968D7F6-CFB6-4E4E-9821-636E8A7B3BF9 Status: Sent <br />Subject: Complete with Docusign: 20250725 Kititas County Public Health District - Final docx, Attachment .. <br />Source Envelope: <br />Document Pages: 10 Signatures: 0 <br />Envelope Originator: <br />Certificate Pages: 4 Initials: 0 <br />Brenda Merritt <br />AutoNav: Enabled <br />Old Capitol Building <br />Envelopeld Stamping: Enabled <br />600 Washington St SE <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />Olympia, WA 98504 <br />Brenda Merritt@k12.wa.us <br />IP Address: 104.225.186.61 <br />Record Tracking <br />Status: Original <br />5/15/2025 1:13:10 PM <br />Security Appliance Status: Connected <br />Storage Appliance Status: Connected <br />Signer Events <br />Chelsey Loeffers <br />Chelsey.loeffers@co.kittitas wa.us <br />Public Health Director <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 6/13/2025 8:12:42 AM <br />ID:d7a652f5-fdbd-431a-a8e5-54acb2ea82d8 <br />Kyla Moore <br />kyla.moore@k12.wa.us <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via Docusign <br />In Person Signer Events <br />Editor Delivery Events <br />Agent Delivery Events <br />Intermediary Delivery Events <br />Certified Delivery Events <br />Carbon Copy Events <br />Brenda Merritt <br />brenda.merritt@k12.wa.us <br />Procurement Specialist <br />OSPI <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via Docusign <br />Holder: Brenda Merritt Location: DocuSign <br />Brenda. Merritt@k12 wa.us <br />Pool: FedRamp <br />Pool: State of Washington Office of Superintendent Location: Docusign <br />of Public Instruction <br />Signature Timestamp <br />Sent: 5/15/2025 1:17:57 PM <br />Viewed: 6/13/2025 8:12:42 AM <br />Signature Timestamp <br />Status Timestamp <br />Status Timestamp <br />Status Timestamp <br />Status Timestamp <br />Status Timestamp <br />PIED Sent: 5/15/2025 1:17:57 PM <br />Witness Events Signature Timestamp <br />
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