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c (itlitrs CourllY <br />Kittitas CountY Public Health <br />Contract/Agreement Review Form <br />Public Health <br />0eparlm?nl <br />Legal Request #:12t0412024Today's Date <br />Agenda Date:1/1Oth of Mental Health TaxFund/DePa ftment: <br />1i 1oth funding to Ellensburg School district to contract with a licensed mental health care <br />provider to provide mental iealth ="ruices'io-ttie siuOents in Ellensburg School District' <br />Co lnformation <br />Contract/Agreement 5um m a rY <br />Signature t's <br />of Auditot's <br />Bu lnformation <br />Pass Throu lnformation <br />Age ncy to Pass Through <br />Amount to Pass Through <br />Di strictsbuchooSEllenrgnCoracy:AgenAgreementct/DistrictSchoolEntsensburgdStudthetoervicessHealthMentalProvdiTitngnCotractlAgreemen <br />End Date: 1213112026Begin Date: A1lO1l2O25 <br />0f:t H-01MPHContractlAgreemenTotal 5 Amount: $313,750.00 <br />AP <br />r Review and CommenhKittitas CountY Prosecutor and Audito <br />l'sr 'rr <br />Date <br />Date <br />Revenue code(s)10s - 560.3134000 <br />105 - 560.54101 <br />Not Checked (reason <br />tl Agency is not susPen disbarredded <br />Expense Code(s) <br />Expense Code; <br />Date AioPted: 121Supersedes:0ADM]N Version: O <br />5ub-Contract APProved Date <br />Modifled BY: Katie Odiaga Approva By