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�,i�Departrnent <br />County <br />Kittitas County Public Health APHealth <br />Contract/Agreement Review Form <br />Today's Date: 06/16/2026 Legal Request# 12126_ <br />Fund/Department: 1/10th of Mental Health Tax Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Damman School District <br />Contract/Agreement Title: AFS between Kittitas County and Damman School District <br />Begin Date: 07/01/2026 End Date: 06/30/2027 <br />Total $ Amount: $9,900.00 Contract/Agreement #: PHMH26-0005 <br />Contract/Agreement Summary: <br />1/10th funding to Damman School <br />�rct with a Da manlicensed <br />School District, <br />lhealth care provider <br />to provide mental health services to the studetsn <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />euaRnvFn ASJO FORM: ] <br />Date <br />'s AOffice <br />Signatute of Auditor' <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 105 - 560.54101 <br />yj Agency is not suspended/disbarred <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Not. Checked (reason) <br />Expense Code: <br />Date <br />ADMIN Version: 0 Supersedes: 0 Date Adopted: 12/01/2024 Modified By: Katie Odiaga Approval By: Ch2ls.ey Loeffers <br />