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M <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />12/14/2010 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: MOU between Kittitas County Head Start/Early Head Start/ECEAP and Kittitas <br />County Public Health Department <br />Period Begin Date: 12/01/2010 <br />Period End Date: 06/30/2013 <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />This MOU is entered into by Kittitas County Early Head Start and Kittitas County Public Health <br />Department to focus on preventive and restorative dental care for Medicaid eligible children from birth <br />to age six, with emphasis on enrollment by age one. Kittitas County Public Health Department will help <br />the students from the Kittitas County Head Start and ECEAP enroll with ABCD providers. <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 $None State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />