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O <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas courtty <br />Public Health <br />Depar{nrent <br />Today's Date:01t13126 I tegat Request#:12126 <br />Fu nd/Department:1/1Oth of Mental Health Tax I Agenda oate: <br />lnformation <br />Contract/Agreement Agency; Easton School District <br />Contract/Agree ment Title: PSA between Kittitas County and Easton School District Amend 1 <br />End Date: 06130126Begin Date: 12131125 <br />Contract/Agreement *: PH M H-006Total $ Amount: $8,950.00 <br />Contract/Agreement Summary: <br />1/1gth funding to Easton School district to contract with a licensed mental health care provider to <br />provide mentil health services to the students in Easton School District. The Amendment <br />provides 6 month amended compensation budget of unspent original funding of $8,950'00. <br />Original contract was for $19,300.00. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />2 <br />Date <br />?10 <br />s Office <br />Dateof Auditor's <br />B lnformation <br />Revenue Code(s)105 - 560.3134000 <br />Expense Code(s)105 - 560.5410'1 <br />Agency is not suspended/disbarred Not Checked (reason) <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date: <br />Pass Thro lnformation <br />LoeffersBy:Modified By: KatieDateADMVersion:0 es:0Su