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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />10/23/2017 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Walla Walla Count, <br />Period Begin Date: 07/01/2017 <br />Total Grant/Contract Amount: $3000.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />LAgencla Date <br />and KCPHD <br />1 Period End Date: 06/30/2018 <br />10i ri I 'IN Cul ."I Y <br />The agreement is entered into, by, and between Walla Walla County and Kittitas County Public Health <br />Department for engagement and participation in the Greater Columbia Accountable Community of <br />Health Youth Marijuana Prevention and Education Program Planning Team. <br />Recommendation for Board of Health and Board of Health Review on <br />F_ <br />Department Head Signature: <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Signature of Board of Health member <br />Financial Information <br />Date <br />Date <br />Total Amount $3000.00 <br />State Funds $3000.00 <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />In -Kind $ <br />Explain <br />Grant/Contract Review Page 1 <br />