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t <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas C0rnty <br />Public Health <br />llepdriment <br />Today's Date 07123126 Legal Request #11781 <br />Fu nd/Depa rtment:I 16-Public Health Agenda Date <br />Contract/Agreement I nformati on <br />Bu lnformation <br />Pass Throu lnformation <br />Contract/Agreement Agency: El mview <br />Contract/Agreement Title: Agreement for Services between KC and Elmview <br />Begin Date: Upon Signature End Date: 09/30/26 <br />Total $ Amount: 12,600.00 Contract/Agreement #: PH DD-007 <br />Co ntract/Agreem ent Su m ma ry: <br />The purpose of this agreement is to provide school to work services, per contractual <br />requirements of the Washington State Department of Vocational Rehabilitation including but not <br />limited to intake, assessment, job placement along with required deliverables. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />DAS <br />y-zt 4 <br />DateSignature of Office <br />DateSignature of AuNitor's at <br />105 - 568.02.334.04.68Revenue Code(s) <br />Expense Code(s)105 - 568.02.54122 <br />Not Checked (reason)M ngency is not suspended/disbarred <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date <br />ADMIN Version: 0 Supersedes:0 Date Adopted : 12/ Ot/2O24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers