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Today's Date <br />08/03/2017 <br />Fund/Department <br />1116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />II Agenda Date <br />KI -1'I -I FAS i".II'" IT <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Kittitas County Public Health and Kittitas County Youth Services <br />Period Begin Date: October 1, 2017 Period End Date: December 31, 2017 <br />Total Grant/Contract Amount: $1520.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The PSA for Youth for Truth is established so that KCPHD will provide material and labor, coordinate with <br />school advisors for the Youth for Truth program, oversee and coordinate Youth for Truth teen mentor <br />training sessions, and provide evaluation information for project results /data sheet publications as <br />outlined in exhibit A. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator <br />Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />/_\JJ:i011M <br />Signature of Prosecutor's eyce Date <br />1:3;� . YX <br />Signatu e o ditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $1520.00 _ State Funds $ Federal Funds $1520.00 <br />Percentage County Funds Matching Funds $ CFDA#93.008 <br />Grant/Contract Review Page 1 <br />