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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />04/24/2018 <br />Fund/Department <br />116 -Public Health <br />{ koo... 0 <br />srrrrr.tiy Fig,57 . <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Kittitas County and Heather Carballo-Depydt, MSNEd, RN, RYT <br />Period Begin Date: June 20, 2018 Period End Date: June 20, 208 <br />Total Grant/Contract Amount: $500.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The PSA between Kittitas County and Heather Carballo-Depydt, MSNEd, RN, RYT is to allow the <br />contractor to perform the following training "Mitigating Secondary Trauma and Burnout in the <br />Workplace: A Trauma Informed Approach" on June 20, 2018 from 10:OOam-12:OOpm at the Putnam <br />Centennial Center. <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 $ <br />State Funds $ <br />I <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />Grant/Contract Review Page 1 <br />