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Kittitas County <br />Review Form <br />Ii11 I t'.l4 VII <br />Today's Date <br />06/19/2018 <br />Fund/Department <br />116 -Public Health <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: Kittitas County DDA County Services Amendment 2 <br />Period Begin Date: May 1, 2018 Period End Date: June 30, 2018 <br />Total Grant/Contract Amount: -$8,442.00 <br />Grant/Contract Number: 1763-98187 <br />Contract/Grant Summary: <br />The contract agreement revises the program agreement budget by decreasing the budget by $8,442.00. <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 />Signature of Board of Health member <br />Financial Information <br />Date <br />Date <br />Total Amount $-8,422 <br />State Funds $-8,422 <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? <br />Contact HR hiring — reporting requirements <br />Grant/Contract Review Page 1 <br />