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Today's Date <br />05/17/2016 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Kittitas County and Elmview Amendment 1 <br />Period Begin Date: June 1, 2016 1 1 Period End Date: June 30, 2016 <br />Total Grant/Contract Amount: $2700.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The amendment to the PSA between Kittitas County and Elmview increases the original agreement <br />amount of 1950.00 to $2700.00 for the "Youth for Truth" program and extends contract period until <br />June 30, 2016. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: , 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 Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In -Kind $ <br />Grant/Contract Review Page 1 <br />