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i <br />Kittitas County Public Health Kittitas County <br />Public Health <br />Contract/Agreement Review Form Department <br />Today's Date: 12/04/2024 Legal Request #: i j <br />Fund/Department: I 1/10th of Mental Health Taxl Agenda Date: <br />contractlAgreement inrormanon <br />Contract/Agreement Agency: Kittitas County Friends of Animals <br />Contract/Agreement Title: Promoting Mental Health through Companion Animal Veterinary Support <br />Begin Date: 01/01/2025 <br />Total $ Amount: $60,000.00 <br />Contract/Agreement Summary: <br />End Date: 12/31/2026 <br />Contract/Agreement#: PHMH-003 <br />1 /10th of 1 % Mental Health and Chemical Dependency Tax funding award to provide financial <br />veterinary assistance to animals owned by youth, veterans and seniors in Kittitas County. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO F9'� el. 0 it?, � W ORM: <br />4;4 X, <br />Signature & Or- -0 dcu &r's 0ffit Date <br />/—( 7 •Z!;' <br />Signature of Auditors Office I Date <br />n. . A --& 1..4F F:.... <br />Revenue Code(s): <br />105 - 560.3134000 <br />Expense Code(s): <br />105 - 560.54101 <br />0 <br />Agency is not suspended/disbarred 1V <br />Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Expense Code: <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01./2024 I Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />