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I <br />Kittitas CountY Public Health <br />Contract/Agreement Review Form <br />Kitt;tJ: aorn(y <br />Public Health <br />!eprrlmert <br />Today's Date:1210412024 lfii, regar Request#:\t? l-Din <br />Fund/Department:1/1Oth of Mental Health Tax Agenda Date: <br />lnformation <br />Contract /Agreement Agen cy : Thorp School District <br />Contract/Agreement DistrictSchoolatStudentsServicesIththetoThorpHeaMentalTitle:Providing <br />End Date: 1213112025Begin Date: 0110112025 <br />Contract,/Agreement #: PHMH-0 08Total $ Amount: $54,350.00 r' <br />Contra ct/Agreement Summa rY: <br />1/1Oth funding to Thorp School district to contract with a licensed mental health care provider to <br />prouid" mentlt health services to the students in Thorp School District" <br />Kittitas €ountY Prosecutor and Auditor Review and Comment: <br />)1,)r- <br />5 <br />Dateof Audito/sSign <br />Bud lnformation <br />Pass lnformation <br />Revenue code{s)105 - 560.3'134000 <br />Expense Code(s)105 - 560.54',|01 <br />./Agency is not sus rred Not Checked (reason) <br />Agency to PassThrough <br />Expense Code:Amount to Pass Through <br />5ub-Contract APProved Date <br />ADMIN Version: 0 Supersedes: 0 Date Adopted : 121 0t/ 2024 Modified By: Katie odiaga Approval BY:Chelsey Loeffers