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Kittitas County <br />Review Form ---�— ---� <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />05/18/2016 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Kittitas County Community Network and Coalition and Kittitas <br />County <br />Period Begin Date: May 10, 2016 I Period End Date: June 30, 2016 <br />Total Grant/Contract Amount: $2000.00 <br />Grant/Contract Number: Youth for Truth- Marijuana <br />Contract/Grant Summary: <br />The PSA between Kittitas County Community Network and Coalition and Kittitas County establishes <br />scope of work for the Marijuana Prevention and Education Program needs assessment and <br />compensation. <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 <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $2000.00 State Funds $2000.00 Federal Funds $ <br />Percentage County Funds I Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />