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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Ki{tit35 Cou.riy <br />Public Health <br />l)spartrnent <br />Today's Date 07t02125 ffi tegal Request #11750 <br />Fu nd/Department:1 16-Public Health ffi Agenda Date: <br />Contract/Agreement Agency: Elmview <br />Contract/Agreement Title: Agreement for Services between Elmview and Kittitas County <br />End Date: 06130126Begin Date: OG|O1l25 <br />Contract/Agreement #: PH DD-004TotalS Amount: Fee for service <br />Contract/Agreement Su m m a ry: <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 />Budget lnformation <br />Revenue Code(s) <br />Expense Code(s) <br />Agency is not suspended/disbarred f] Not Checked (reason) <br />Pass Th h lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Su b-Contract Approved Date <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />fll*7"sl er <br />S ien affl6-rjFFIo! ecutb r's otficeV/ <br />,t{'a",lAt-. En ps <br />Date <br />E r (.zr <br />Signatu re of Auditor's offiLe Date <br />ADMIN Version:0 Supersedes: 0 Date Adopted : 72/oI/202a Modified By: Katie Odiaga Approval By: Chelsey Loeffers