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Today's Date <br />04/05/2017 <br />Fund/Department <br />116 -Public Health <br />Kittitas County` <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: Cannon Solutions America <br />Period Begin Date: 04/01/2017 Period End Date: 04/01/2018 <br />Total Grant/Contract Amount: Total lease amount for 60 months is $11,361.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The agreement between Cannon Solutions and KCPHD is for sale/lease of the Cannon copy machine <br />from 04/01/2017-04/01/2017. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: Administrator Date: <br />FKttitas County Prosecutor, Auditor, and Board of Health Review and Comm <br />PROVED 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 $11,361.00 _ State Funds $ <br />Percentage County Funds 100% Matching Funds $ <br />Federal Funds $ <br />CFDA# <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? No <br />Who owns equipment? Cannon Solutions <br />New Personnel being hired? No <br />Contact HR hiring — reporting requirements <br />Grant/Contract Review Page 1 <br />