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State of Washington
ARS I I 1 1
Agreement ID or Contrac um ppE
A19 -1A
Invoice Voucher
Health Care Authority
621 8th Avenue SE
Olympia, WA 98504
Grant County
840 E Plum St
Moses Lake, WA 98837
:TAX IDENTIFICATION
NUMBER
MONTHNEAR OF SERVICE
9
5/1/2021 Supplemental #01
ACTIVII P"
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:Community -Based Coordination-Px
Community -Based Process
5 F F �111'9' -0. PAP' W1 SEEM= -
:Community Coalition Coordinator �iCommunity-Based
Process
Community Coalition
Community�Based Process
Flow ONCE
WIFIF90111par ___ 110-
101 EW
'Community Coalition Coordinator- M L
Community -Based Process
MIN �_a IM
-14
7
Community Coalition - M L 1,
Community -Based Process
Flow
Information Dissemination
Positive Action - M L
Youth Empowerment - M L
Outreach & Education- ML
Information Dissemination
T -alk. They Hear You- ML
Information Dissemination
�_U� The Influence Of You- ML
Information Dissemination
Character Strong - ML
Information Dissemination
11M KWTI = IT, I
Information Dissemination
Restorative Justice -ML
Environmental
M11T.
Trauma -Informed Schools - ML
Environmental
W's a: smi-m-0
Coalition/Community Training - ML -
Coordinator Professional Development - ML
Strengthening Families Program - ML
Community Coalition Coordinator - Q
Community -Based Process
Community Coalition - Q
Community -Based Process
Strengthening Families Program - Q
SPORT PPW- Q-
0 oil
Healthy Alternatives - Q
Alternatives
ROPER, �z�
Youth Development- Q-
Information Dissemination -NERV,
-
Information Dissemination
Under The Influence Of You- Q
Information Dissemination
Rx Safe Disposal - Q -
Information Dissemination
mrs-MR., �1
PON 01-1110,00
Starts With One- Q
Information Dissemination
Drug Free Parks - Q
Environmental
QHS Disciplinary - Q
Environmental
Coalition/Community Training - Q -
Coordinator Professional Development - Q
Px Sustainability Policy - Q l'
Environmental
MEMO M1
Community Education Workshops - Q
MINN. �_
Community Education Workshops - Q-
U-01 Irs ON I MINI
-$Noll
'PREPARED BY/ DATE
Reyna Gonzales 09108/21
,TELEPHONE
509 764-2660
A19 Effective 7/1119 through 6/30/21 REVISED 10/2020
0. 'AGENCY APPROVAL:
111 11 Sarah Mariani, 360-725-9401, Sarah.Marianiftcamapoy
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
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r,S 0 N E FAS
Rev 7-1-09