HomeMy WebLinkAboutGrant Related - BOCC (003)roan p.,s State of Washington
A19-tA Invoice Voucher
.AGE cl 111
Ith Care Authority
Box 42691
mpia WA 98504
Grant County
840 E Plum Street
Moses Lake, WA 98837
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Agreement ID or Contract Number
070
1763-94250
Vendor's Certificate I hereby certify under, penak/ of perjury that the items and totals listed herein are proper charges for materials, merchandise or services furnished
tate of Washington, and that all Dods fumished and/or services rendered have been d—di,id without discrimination because of age, sex marital status rac
creed, c national ongm. handicap, rrgow or YeNam era or disabled veterans status e
Cindy CAter, Vice -Chair Richard Stevens, Member
Ititlel
M
ME
TAX IDENTIFICATION NUMBER
MONTH OF SERVICE
RECEIVED BY
DATE RECEIVED
BARS PROGRAM AOTNITY NAME
OSAP STRATEGY
IOM
SABG
DMA
GFS PFS 1!013 PF52016 STR SOR
ESP PP General
Total
11.1 Ad—
- --- 1"=5
'5542
21 Community -Based Coordination-Fx
Community -Based Process
Universal -Indirect
22.5 Community Coalition Coordinator
Community -Based Process
Universal -Direct
22.5 Community Coalition
Community -Based Process
Universal-Di•ect
225 1 Community Coalition - ML
Community -Based Process
Universal -Dina
- --
6.222.46
2251 Community Coalition - ML
Community -Based Process
Universal -Direct
'2.48
282.48
2271 PAX GBG Training -Facilitator- ML
Other
Universal -Direct
-"-
25000
22 5 1 Community Coalition Coordinator- Quincy
Community -Based Process
Universal -Direct
22 5 1 Community Coalition- Quincy
Communny-Basetl Process
Universal -Direct
1 `_52 12
1 558 12
6.504.94
510.83 1,682.77 250.00 - 2000
8.968.54
PREPARED BY/ DATE Reyna Gonzales 02.26.2019
TELEPHONE
(509)764-2660
Al Effective 711117 through 6130/19 REVISED 12/31/18
CURR DOC NO
VCA
;DOC DATE
VENDOR NO.
SWV0002426-19
AGENCY APPROVAL
Sarah Mariani 360-725-3774 sarah.m ariani hca.wa. Qv
ACCOUNTING APPROVAL FOR PAYMENT/ DATE