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11 <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 1 07/01 /27 <br />Fund/Department: 1/10th of Mental Health Tax <br />Contract/Agreement Information <br />Contract/Agreement Agency: Easton School District <br />Legal Request #: <br />Agenda Date: <br />Contract/Agreement Title: AFS between Kittitas County and Easton School District <br />Begin Date: 07/01 /26 <br />Total $ Amount: $17,900.00 <br />Contract/Agreement Summary: <br />End Date: 06/30/27 <br />Kittitas County <br />Public Health <br />Department <br />Contract/Agreement #: PHMH26-012 <br />The purpose of this Agreement allows the utilization of 1/10th funding to Easton School district to <br />contract with a licensed mental health care provider to provide mental health services to the <br />students in Easton School District. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office <br />Signature of Auditor's Office ,r <br />Ce <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 105 - 560.54101 <br />❑✓ Agency is not suspended/disbarred Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Expense Code: <br />Date <br />Date ,7 lg /24. <br />ADMINI I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />