HomeMy WebLinkAboutAgreements/Contracts - BOCC (002)K21-008
NAME OF ORGANIZATION
DATE SUBMITTED
GRANT COUNTY
1.29.2021
PROJECT DESCRIPTION
CONTRACT NUMBER
FY21 SECO County Coordinator Professional
Chair, BOCC
Christal White
E21-018
Development (CPD) Contract
1. AUTHORIZING AqEHORITY
SIGNATURE
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
D.T. Donaldson
Cindy Carter
Chair, BOCC
Christal White
IMACC Financial Mana er
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT A-19
SIGNATURE
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
D.T. Donaldson
MACC Director
&L w L -t- U
Christal White
IMACC Financial Mana er
Please complete form with any new contract or any time personnel changes.
Submit one original to State E911 Office
Si� Q6Cc_, I--I`i-d-1
"- X77
A
CLAIMS PAYMENT REQUEST aqj- 1 `-1 monm- County
Batch #
AGENCY Multi Agency Communications Center
DATE 01113/2021 BATCH 09-10 TYPE Purchases Page 1 of 1
Agency
Voucher # Vendor # Invoice # Vendor Name Account # Amount
13001 TNAMC 90135838 TACT NORTH AMERICA INC USA 307 001 00 0000 528 70 48.00 3,91269
CERTIFICATION
I do hereby certify under penalty of perjury, that the materials have been fumished, the services rendered or the labor performed as described herein, and that the
claim is a just, due and unpaid obligation againstthe agency. I am authorized to authenticate and certify to said claims. Materials backing up these claims will be
retained by the district according to state law and are available to the public on request f
Signature Title
BOARD AUTHORIZATION
As the board for this agency, we have reviewed the claims listed above (including original backup materials) totaling 3,912.69
for the period ending 01/14/2021 _.We approve payment with our signatures below.
airman Date Board Member Date Hoard Member
Date
this t day of 20
Board of County missioners
Grant County, Washington
Approve Disapprove Abstain
I
Dist #1 d16 Dist # 1 Dist # 1
Dist #2Z> 1 Dist # 2 Dist # 2
Dist #3 _� Dist # 3 Dist # 3
Page Total 3,912.69
Cumulative Total 3,912.89
2