HomeMy WebLinkAboutGrant Related - BOCC (003)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
. BOCC
REQUESTING DEPARTMENT. DATE:
REQUEST suBnnirrED BY: Janice Flynn
CONTACT PERSON ATTENDING MEETING: Janice Flynn
CONFIDENTIAL INFORMATION: ❑YES ®NO
10/12/2023
PHONE: Ext 2937
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ern �
A
� A ► �
❑Agreement / Contract
❑AP Vouchers
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El Emergency Purchase
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0 Grants — Fed/State/County
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❑WSLCB
/IAPPROVED DATE OF ACTION:"'
❑DENIED
❑TABLED/DEFERRED/NO ACTION TAKEN:
❑CONTINUED TO DATE:
❑OTHER
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Invoke Month/Year Grantee Name List Sub Grantee Names
I New Hope (August 1-31, 2023 ! ! I ! ! 1
Tota
Admin
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Total $10,444.35 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
County of Grant
3 5 C.ST NW
P,O. Box'37
Ephrata WA 98823
Vendor: MARCOS BALDOVINOS
403 W 14TH AVE
ELLENSBURG WA 98926
Document Number Purchase Order Number
...... - - — --------
Description:
Client EFA
Page 1/ 1
Invoice 0395571
Date 8123/2023
VendorlD Shipping Method
Subtotal
Mist
Tax
Freight
Trade Discount
Payment
Total Due
Payment Terms ID
Amount
$41000.00
$4,000.00
$0.00
$0.00
$0.00
$0,00
$01.00
$4)000"00
GRANT COUNTY
ti
ke
New Hope/Kids Hope K lids; Hop
p e
PROMISE TO PAY
Deposit with Pets 12500 100
I Total Amount $4000.00
All bills must be itemized in detail on this blank or itemized list attached herewith. When submitting claims for
rent be sure to specify dates claim is intended to cover..
For Submission for Payment -
ISSUED: Return Voucher To:
Grant County
New Hoe Kids Hope
New Hope/Kids Hope Advocate 311 W Third Avenue Moses Lake,
WA 98837
I hereby Certify on Honor, that the goods, merchandise, material or service charged for in the above bill have been
ftu-nished as herein charged.
DATE:
CANNOT BE USED FOR ALCOHOL, TOBACCO, Check one.* El Mau- Lmment . jQ, above j-d=j..
PRE -PAID OR GIFT CARD & Qaimant wi*.1,jj2*ck gnt at
I U0 j2mm
N.
Vouchers received, by 12:00 pm Wednesday will have payment avallable the followingThur sdqy.
EMERGENCY FINANCIAL ASSISTANCE FORM
SIGNED? YES 1:1 NOE]
FUNDING: .irl I Le
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: Coldwett Banker
1000 S Pioneer Way
Moses Lake WA 98837
Document NumberTUrchase Order Number
�i-
08012023-PG
Description
Ctient EFA
BK
VendorlD
Page 1 / 1
Invoice 0394217
Date 8/2/2023
Shipping .Method
Subtotat
Mist
Tax
Freight
Trade Discount
Payment
Tota t Due
NET
Payment Terms ID
Amount
$1 fflO.00
$1,600.00
$0.00
$0,00
$0.00
$0.00
$0.00
$1,600-00
G., ANT COUNTY � �L`
New Hopp
e/Kids Hoe Kids Rope �� `�
PROMISE TO PAY
Date
4*c1aimant:.
$�ost Office Address -
Total Amount $1 ortele
All Wills must be Itetnized. in detail on this blank or Itemized list attached herewith, Men submitting claims for
rent be sure to specify dates claim is intended to cover.
For Submsston for Pagent -
ISSUED Return s be r To:
ant county
New flopefficts Hope
-- ------ -----
Ne -w-1-14 1(idslid e voca%";;P 311 W Third Ave nue Moses Lake,
WA PAW.
DATI
I hereby Cerdby on Honor, that the goods, mercband'Lie, material or seivicecharged for in qie 6-bove+1111 have bee)l
furnished asherdn charged. Jr
j
Printed CWmant�tflame
CANNOT BE USED FOR ALCOHOL TOBACCO,
PRE -PAID OR GHT CARDS,
S
Check one; Mallpoyment to above address
Claimant Wit] ral6k ttU.ayment at
New I-IGpe
Vouchersreg cilved, by 12--00 phi Wedrtesday will -have pa's mi�nt available the following
flowing Thuniday,
F-MERGENCY FINANCIAL ASSISTANCE FORM.
SIGNED? YES NOD
FUN DI ING:
---------- -----------
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor.- HERNANDEZ PROPERTIES LLC
PO BOX 3123
OTHELLO WA 99344
Document Number Purchase Order Number
08012023 -PG
scrIption,
Ctint EFA
Page I / I
Invoke 0394218
Date 8/2/2023
Vendor ire I Shipping Method
Subtotal
Mise
Tax
Freight
Trade Discount
Payment
Total Due
Payment Terms ID
Amount
$1:750.00
$1,750.00
$0"00
$0. 0 0
$0.00
$0.00
$0.00
$11750.00
Amount requested $
I
f
Type client: # of Children:
I
bo�v OSA OCV 0 CAC
Client ID: L Client's Home City:
r
1%
• Background check for housing
• Children's needs
• Debt assistance
• Driver's license
• Education training
• Bus fare to return home
• Cell phone to seek work/housing
• Family well being
* Mortgage
* Service DVPO
# Utilities bills
* Security Assist
9 Rental Assist,
9 Car payments
* Food/Necessities
Include back up documentation: (Receipt, Copy of Check, W-9 if Applicable)
Updated: 07/27/2023
GRANT COUNTY
lew Hope/Kids Hope Idi Hop
PROMISE TO PAY
1 0711712023
Date -
Hemandez Properties LLC
A -07
I -lost OlfficeiNdd'11-ess:'.
0-+--
VXM5.
WoftwWwwwoft
00
Total Amount $175Q.0{}
All. W11.5 maLst be itemil lzed In deta.".,J on. tWlss blank - Itemized list attached hperewith. When subaillut'ng claims for
rent be sure to specify dates dllwiwa Is Ititended. to covien
.ForSubffulssion for Payment -
ED Rew-rn Voucher To.,
Grant, ColUnty
i
Paola Gil New tfope/K.ids- Hope
3 11 W Third Avenue Moses Lake,
imp Tiope/Kid.-s HGpe AdVoUtte WA 98937
1
hor e Certify on ff onor, that the goods, merchandise, rxerial or sem-Aloe charged for In the above bill have been.
furnished as hemin chargeaL
'- 07/17/2023
DAI E"-
CANNOT 13 Eli' USED FOR LCO'HO t TOBACCO,
PPI -PAID OR GIFTCARDS,
Mailpavnie nt, to above- ad,11 'ress
C heAt-2kone' : El
'A
19 cla-E'111411L will* jiicklup - a
at
New hffie
Vouchers received by 12:00 pm Wednesday will have payment ava*&bte the followlag Thkirsallay,
----
EME N FINANCIA 1, ASSISTANCE FORM
SIGNED? YESX NO[D
FUNDING:
r
£ lol escrip4Fon -� _ ....a. -. .... � '�Amount,
:.
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.ee. X�rAiH^'iTw•w! .rv:.. a..��ii/�.r:'�s..v_virir..s.i✓rrN.bi+...swJKr',F.r:wY.r-v�.wKVY.a::✓H.c:twawri..vw..»w,st/..�.oMi'dwKw..ri.-wx-.eNr wr.--�.:�.,�.w.s..:in.xas'switiwi-vx,.lY...io:swi-emt..�.i�s.-i�ww axe.•rYYi<irc.6vii�ir+sr�..wuiiux.,w+.v.,.ao.n.u+i+,roesaywa0✓nMi.,i�.u.rta.✓vwas+�+gs�.6cvw�4yX's�:N'wM/.r-✓. isyySNv:.:.. i.�vic .:. �.
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Move In Charge: Mgmt Held Security Deposits 1,49U0
Transaction Fee 52.17
Total paid 1,547.17
MMMMINIq IIII I
Amount
D }/yw c n jl}}. o,yam{,
i gs
�r�.vvtiai..,aw,�,ro:ronrxn..msr.ze.Gn?e>r�,mi:.:.o,,..an�re+,,..wc,.r4w... .:rrw.:.<ir�✓. ..-n.,.,xi�ry,xsu._ ... ,.s�er.,:v>~.. �,rww...o.,a�ax.,x.,z.Q.. nrea..r,>_w.>�.,e.,��..w,.zwY.r,,..m,e..•�,,.,ar,K«..�,,:x.,.,,��.>�.,,:w ,��ar...."..;-..uw*xv.nk,.F•....s..w.:.�.ny.,,n:w.,rwxsu»rr:.,:.,sr..�:.»-.r„�....ti..ry >_.,rxcn.x .-�,.�: .+.,.mss,,..: a«...w.:cMe.-.y-. .,o,.xi-:n.,:snu. .,:,;nu+rre w�.. ,r�s.-y<.�
Online Payment 1,495.00
Tr ns don Fee 52,1
`dotal paid 1,547.18
5; NJ RU5J
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