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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date 1 <br />10/10/2019 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />F ,` <br />NU VITA%f'�11.'*'I'7 <br />Contract /Grant Agency: KCPHD and Walla Walla County Department of Community Health Amendment <br />1 <br />Period Begin Date: 07/01/2019 <br />Total Grant/Contract Amount: $10, <br />Period End Date: 06/30/2020 <br />Grant/Contract Number: 19-33 Amendment #1 <br />Contract/Grant Summary: <br />The Amendment to the agreement changes who the billings are submitted to. KCPHD is to submit <br />billings to Walla Walla Community Health for services relative to the Youth Marijuana Prevention and <br />Education Program. <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 Date <br />Signature of Board of Health member <br />Financial Information <br />Date <br />Total Amount $10,000.00 <br />State Funds $10,000.00 <br />Federal Funds $0 <br />Percentage County Funds <br />Matching Funds $ <br />i CFDA# N/A <br />Grant/Contract Review Page 1 <br />