HomeMy WebLinkAboutInvoices - Renew (002)Forma . ""r� State of Washington
A19 -1A �_i S4`' Invoice Voucher
AGENCY'NAME
Health Care Authority
621 8th Avenue SE
Olympia, WA 98504
Agency No i4greemenf tDorConttact Number
1070 K5536
Vendor's Certificate. /hereby certify under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or
services furnished to the State of Washington, and that all goo s is ed and/or services rendered have been provided without discrimination
because of age, sex, maxi 1 status, race, creed, color, nation itigin, ha n ap, religion, or Vietnam era or disabled veterans status.
BY
Community -Based Coordination-Px
Community -Based Process
Community Coalition Coordinator
Community -Based Process
Community Coalition
Commun ity-Based Process
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Dissemination
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Information Dissemination
Information Dissemination
information Dissemination
®AlternativesAlternatives
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Alternatives
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Problem Identification & Referral
Problem Identification & Referral
Problem Identification &-Referral
Problem Identification & Referral
Comrnu-nit-y-Do—ali-tion- Start-up Costs
Community -Based Process
Community Coalition- Supplies/snacks for data team meeting
Community -Based Process
Community -Based Process
Community -Based Process
Environmental
Environmental
Environmental
Environmental
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