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<br />Kittitas County – HB 1386 <br />Historic Document& Preservation Funds <br /> <br /> <br /> <br /> <br />When submitting for reimbursement, please complete the following information to accompany your <br />invoices. <br /> <br />Please send requests to: <br /> <br /> Kittitas County Auditor <br /> Attn: Accounting Department <br /> 205 West 5th – Suite 105 <br /> Ellensburg WA 98926 <br /> <br /> <br />Date <br /> <br /> <br />Name & Address of Organization <br />Requesting Reimbursement <br /> <br /> <br />Name of Person submitting Request <br />Contact number <br /> <br />Amount of Reimbursement <br /> <br /> <br /> <br /> <br /> <br />Auditor’s Office use only <br />Total Authorized $ <br />Amount of this request $ <br />Previous amount requested this year $ <br />Balance Left $ <br />Entered into Spreadsheet - initials <br />Auditing Officer initials <br /> <br /> <br /> <br /> <br /> <br />