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A19tA
•. Stateof Waehington
Inwice Voucher
AraacyNA.v�
Health Care Authority
6218th Avenue SE
Olympia, WA 98504
_ VEIn-o8CrwPfANT
Grant County
840E Plum 9
Moses Lake, WA 98837
%' • .; -Agency No. Agralnn-t lO or Contract Number
1070 K3919
Vendkl-'s Cadifcale. Iherebycaiifyunderpenal floe juryt and totals listed herein are proper charges for materials, merchandise or services
fumish o the S e ashingf and that all s /Pmisrc erarenderdhavebeenprovidedwithoutdiscriminationbrowseofagesexsteedeligin, a ,,cap eor disabled veferans stall.
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TAX 10E NTIFICATION NUMBER MONTHIYEAR OF SERVICE
^-1319 Oct-"
RECEIVED BY DATE RECEIVED
anis
PROGMMAcrrwTNAPE CeAPe7aA-
IOY
BANG GFS PF5201a PFS DMA so NCE SOR 9GR Stipp SOR II MHPP
c--, F.P PP Ganwal
Total
11.1
Admin
0 0 581.58 568.18 0.00 149,38
1,299.1 9
21
ComunRy-Based CoordinaeomPx Community -Based Process
m
Universal-Indirxl
0.00
225
Community Coalition Coordinator Community -Based Process
Universal -Direct
0 c
22.5
Community Coalition Community -Based Prxess
Universal -Direct
0.00
2251
Community Coellllon Coordinator -ML Cmnrunily-Based Process
Universal -Direct
6::08.24
B.00S.24
22.5.1
Community Coalition - ML Community -Based Process
Universal -Direct
13.51
19.51
22.1.2
PAX -Good Behavior Game -ML Information Dissemination
Universal -Indirect
0.00
22.2.1
Positive Action - ML Education
Universal -Direct
0.00
22.2.1
JYuth E.Po^en^ent-ML Education
Universal -Direct
0.00
22 1 2
Outreach 8 Education- ML Information Dissemination
Universal -Indirect
0.00
22.1 2
Talk. They Hear Yau- ML IMormaticn Dissemination
Universa-Indirxl
0.00
22. 1.2
Under The Influence OF Yc- ML Wonnabon Dissemirotion
Universal -Indirect
0.00
221 2
Cherxter Strang - ML Informe0on Dissemination
Universal-Indirxl
0.00
2212 You Can - ML Information Disseminaton
Universal -Indirect
0.00
22.6.2
Restorative Justice -ML Envronmxtal
UniversaHndirxt
0.00
22 .2
T-Inrarmed Schools - ML Environmental
Universal-Indtract
0.00
22.7.1
Coalition/Cammuntly Training - ML Other
Universal -Direct
0.00
22.7.1
Coordinator Professional DevebpmPnt-ML ou-
Universal -Direct
0.00
0.00
22.5.1
Community Gosh- Coordinalar - Q CommunitYBased Prxass
Universal -Dirac/
6,92189 1493.66
8,415.55
Community Cmilton- Q MISC fa v,Haal meetings Cammunlly-Based Prxess
UniversalDrect
18041
180.41
Strengthoning Families Program -Q Education
Unlwraal-Direct
LAOSPORT
PPW-Q- Education
Universal -Direct
0.00
K
Healthy Allamaliws-Q At -U-
Universal -Direct
0.Youth
De w,wt- Q- Information Dissemination
UnlNersal-D'art
0.00
Yau Can -D Iformation Dissemination
UnlversaHndirxt
0.00
Under The Influence Of You- Q Irdomution Dissemination
UnivasaHMiract
ODD
Id9ra oNa..Iosau�s PN.n rw Rx rive e.ox E.,n Informeticn Dissemination
Unhrorsa-Indirxl
37362
373.82
22,1.2 Starts With One -Q Information Dissemination
Universal -Indirect
0.00
22.6.2
Dng Free Parks - Q Envtranmental
Universal -Indirect
0.00
22.8.2
OHS Disciplinary• Q En* --ter
Universal -Indirect
0.00
22.7.1
CoditiorVCernmunity Trainig - Q Other
Universal -Direct
0.00
22.7.1
Coardirolor Plat -k ,al De wopment • Q Qatar
Uni-self-Direct
0.00
22.6.2
Pa Sustanablay Polley EnNranmmtal
Universal -Indirect
0.00
22.7.2
Carnmuray Education Workshops - Q Otter
Unlvxsal-Indirect
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0 00
0 .0
6,027.75 581.58 7,670.48 0.00 0.00 0.00 0.00 0.00 2,016.66 0.00 000 0.00
16.29647
PREPARED BY[ DATE
Reyro Gor¢aks 17J17/2020
TELEPHONE
509 764-2660
A79 Effective 711119 through 6130121 REVISED 1012020
CURR DOC NO
DOC DATE
VENDOR NO,
SWV0002426-00
AGENCY APPROVAL:
Sarah Mariani, 360-725-9401, Sarah.Mariani hca.wa. ov
ACCOUNTING
APPROVAL FOR PAYMENT/ DATE
17 202'0
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