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o <br />Kiititas County <br />Kittitas CountY Public Health <br />Contract/Agreement Review Form <br />Public Health <br />Departm€nt <br />Fund/Department: <br />Today's Date <br />1 16-Public Health Agenda Date <br />0910912025 Legal Request #:11871 <br />Contract/ent Information <br />Bu lnformation <br />Begin Date: 06101125 <br />Total S Amount: Fee for Service <br />Co n tract/Agre m e nt Ti tle Ag reem ent for Services betwee n KC H N a nd Kittitas C o unty <br />Contract/Agreement AgencY: KCHN <br />Contract/Agreement #: PH DD-009 <br />End Date: 06/30/26 <br />Contract/Agreement Summa rY: <br />The purpose of this Agreement is as follows: To provide a coordinated and comprehensive state <br />and local program of Jervices for persons with developmental disabilities in accordance with <br />Revised Code of Washington chapter 714J4- <br />Signature secut s Office <br />Signature of Auditor's Office <br />Date <br />c1 o'75 <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APP FO <br />Date <br />Expense Code(s) <br />Revenue Code(s) <br />{Agency is not susPended/disba cl <br />105 - 568.54101 <br />105 - 568.334.04.68 <br />Not Checked (reason) <br />Amount to Pass Through <br />Agency to Pass Through <br />Sub-Contract APProved Date <br />Expense Code <br />Pass Throu lnformation <br />ADMIN Version: 0 Supersedes:0 Date Adopted : L2/ ol/2o24 Modified By: Katie Odi App roval By: Chelsey Loeffers