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Today's Date <br />04/25/2018 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />h v�� <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Jennifer DeWitt and Kittitas <br />Period Begin Date: April 11, 2018 <br />Total Grant/Contract Amount: $400.00 (100.00 per class, <br />Grant/Contract Number: <br />Public Health <br />Period End Date: May 2, 2018 <br />Contract/Grant Summary: <br />The PSA between Jennifer DeWitt and KCPHD is established so the contractor shall facilitate Of Love and <br />Logic Parenting classes from 6pm-8pm at the Cie Elum Roslyn Elementary School April 11t" 18tH 25tH <br />and May 2nd, 2018. <br />f 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 A5 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 $ 400.00 State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In -Kind $ <br />Explain <br />Grant/Contract Review Page 1 <br />