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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Departrnent <br />Today's Date 07102125 Legal Request #11750 <br />Fund/Department 1 16-Public Health Agenda Date <br />Contract/Agreement Agency: Elmview <br />Contract/Agreement Title: Agreement for Services between Elmview and Kittitas County <br />Begin Date: OAl01l25 End Date: 0613012€0 <br />TotalS Amount: Fee for service Contract/Agreement #: PH DD-004 <br />Contract/Agreement Su mmary: <br />The purpose of this Agreement is as follows: To provide a coordinated and comprehensive state <br />and local program of services for persons with developmental disabilities in accordance with <br />Revised Code of Washington chapter 71A.14. <br />Contract/Agreement I nformation <br />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 />7'.tr s r <br />Sienaftf6 ff Piosecutbr's otticeVl <br />,r[u"il^ fitpr <br />Date <br />8'r t,zr <br />Signature of Auditor's OffiLe Date <br />Revenue Code(s) <br />Expense Code(s) <br />Agency is not suspended/disbarred Not Checked (reason) <br />Pass Through lnformation <br />ADMIN Version: 0 Su 0 Date Ad Modified Katie Odi Approval By: Chelsey Loeffers