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Home My WebLink AboutGrant Related - BOCC (003)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST SUBMITTED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: ❑YES ONO DATE: 3/11/2024 PHONE:ext. 2937 °' -------------------------------- ► e r r ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ®ABPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase El Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑Minutes ❑Ordinances ❑Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑Recommendation ❑Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB ,...,iii %,... �. b -W 1tlCha �'1t11"h� .�l.It'h,. � . +gin .. h T� Reimbursement request from Renew on the American Rescue Plan Act (ARPA) Grant in the amount of $9,067.71 for January 2024 Suicide Prevention expenses. DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: J D2: D3. DEFERRED OR CONTINUED TO: &*ftL _404& Alfth. 9E 7% orant Behavloml Newth a Wellness PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 Fax (509) 764-4124 BILL TO: Grant County Attention: Karrie S. Stockton PO Box* 37 Ephrata,, WA 98823 DATE: February 28, 2024 INVOICE # l/l/2024 FOR: Jan -24 Thank youH kk 1DESCRIPTIQX ..... ml "'A "dUft I 'Amoulit I- rl z ........... -------- - ARPA FUNDS -SUICIDE PREVENTIO 9061.71 1 9 1 gW Bethany Escamilla r { L3:t zr �,!T R A 'g RX V-,5` r f iz i,e qi -Nr '. 0_1�r Y.41 pA; -1 om,_ i, R Total Thank youH amRIF e u , Grahc "ho.vtorat H00101 flMe" SUICIDE PRE E NT O_ A R 'A. Jan -2.4 „'t .'y� �... r -w �{.,.y.`Y*k"rsi. jr-'u9..L4MYt` l+'b1 'aF sE 't`•ir::+x - e 'L• ;x! f i .. .. ..'--�.•-.. , .r rva - .. .s...,. ... ,:..�.... .. ... B4P .... '''�=� :.....,.-. .. y r... _.. esx , +:' Wit' .rJ� wr�ay . 7•- .,. .. .. 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L_�.., 2.�9- 'a'�«„ f '4'c �Sn {'�i-�'F:`.`+e �l:'Sh �.�•1.fn'r �Y.S t>Y'�°'S.W .:tYJwXf�f_R'ii'Vr'.....:'!?MF,,,�6_._:...uf?i;.�xM�2...o. .Y�.. .1.h'tke��Y�.-_.._ ,,..J,1.._..iflu'M.�i'..,._._...tN,__.._.'.�f. _,Sc.:r_.el..�, : ....-� 108.150.00.900011550.51..1100 .SALAR-- ..am lla $ 5,404.1.3 1 -Jan 103.150.00.9000.566.51.1. 202 OVERTIME 108.150.00.9000.5.66.51.2100 Retirement 515.02' 108-150.00.9000.566-51.2200 SSI .332.85 108.150.00.9000.566.51.2300 Medical $ 1.1334.91 1 108.1.50.00.9000.566.51.2301 FM LA $ 11.42 105.1.50.00.9000.556.51..240 L&I 13.60 -.._.,.. .....,c ...... -,. a •., ... ..:. _ •.a .... ,' .:::� .. fJ,-M.,.... 1 ..'.,_A.. �,xf i a -. 1�i{\ -,iW,. �M Y✓: k .:' ..: .. �r-.: .. .. .a'.. '... _,a' .. .:-a 'r'f- .a •.':: i_ ��_}} a.. {�,_... :,.f. >'f -.. . {t t 7--',^^,4 l �f .<.. ,2 s'lF. Y(t -� ,•�J J 5. a i'd': •,5. F. •. :.1.. ir,. ,Xr .�-. l.r. H1 a,Q. :.A..,J ty Vii. 2'. J - �Y �' \:..5 tiJ`• .Y. <Pv f,M .'+ 11a.' .. t 4 t .`te .\_ l 4 x` 4, Y' a5• l '.v. t h n' -e•i - sa'.,p':vJ .f .i .. r.: '.�'v h aw y �iw.i 4K. l¢K �;„r..si `a+•a. .�• fi - yY•. .S .� -a.. 7. .2>r.�..6 v✓,. viF -?�� f k. Y `i•r., .,I �r � Fy�i” <',, J� .-Yt... r r:.� ,.t" :'I - .d- . ,v.G - . ..�. _ a� l ri. ori [ � F. .:3 y i D 41,. ,1) Y 8 �uyf{��[0}�y s�( rr��`` S.E'.`.rVtCE's, 'c►rtl�rr! 10�r1SOr00■904►Or566a51r1124 r .r S S. .t, t t t -t �15 3: J - G \ �. l o ion 4, ' I a'. � ".. -•4: 108.150.00.9000.566.51.4152 , 1 .f 1 i 1 vo 1 r 1 t` i ! 5 4� r r 2 - :L r t r. Lr - 1 - � \ `` , 108.150.00.9000.566.51.4200 1,( r .=t nt r x 1 •I` 1• y . f -i 10VQ .150.00.9000.566.51.4202.�> 108.`150.00.9000.566.51..3100 Capasity Building -Smile Face stress balls $ ti, : Z57 :.. 4 - t 1OSr150.00r9t00r56+6.51.r31.0Q` Taskforc�litar�-4 Flash le0.=1 I t {: ? �'ti Ifs j}'�► a - a'D'Al.fC7?'UPPLIFSr . b'2�Yq. M+Lff+[SMIMP"7,P� MIW Ci^.ERIC- LT� .„,r��°:r• 10 796.84 2/28/2024.114-17 EMP# NAME Pay source Salary BEHAVIORAL HEALTH JOURNAL ENTRIES 1/31/2024 Salaries- Benefits ARPA GRANT COUNTY PREV 9000 DEBIT CRIEDIT 108.150.00,9000.566,5 1.1100 $5,404.13 108,150m00.9000.566.51.1201 $0.00 108-150-00.9000.566.51.1202 $0.00 10 .150.00.9 .566.51.210 $515.02 10 .150.00. 000.555.51.2200 $392.85 10 .150.00.900 .555.51.2300 $12334.91 108.150.00.9000-566.51.,2301 $11.42 108.150.00. 000.555-51.2400 $13.60 108.150.00-0000-564.00.1100 $534{ 4.13 108.150.00.0000.564.00.1201 $0.00 108.150.00.0000.564.00.1202 $0.00 108.150.00.0000.564.00.2100 $515.02 108.150.00.0000.564.00.2200 $392.85 108.150.00.0000.564.00.2300 $19334.91 108.150.00-0000.564.00.2301 $11.42 108.150. 0.0000.564.00. 400 $13.60 $7(671.93 $7.7671.93 $0.00 1131/2024 Posted By Posting Month En tere d Posted 6 IJ reneuu Opant; sohaviwaf 14"th- a w0fl"V* Printed Name: Bethany Escamilla Pay Period: January 7, 2024 Employee ID #a. J9 l, Staff Signaturei Al * Supervisor Signature: . ***Leavy Slips Supervisor Initials for Non -Standard Workweek E Pay Period: 117/2024 mlddlyyyy) Pay Date: =204,, - - --------- OTHER (Bereavement I Military) , Jan,-. 0 n.1 Jan" 20 0 . 2 a,. -:t3 .Jan:,l Jan;19 n.101 �ja_n 7'Jan :J n CLINICAL Sun Mon Tue Wed Thu. Fri Sat S.un,--., - - ----------a. Tue, Wed Thu Fri Sat TOTAL 1: Atilliff - ------ - t .w yy toY OTHER HOURS WORKED JURY DUTY Totallwo*ed .Hrs' 0, 't zj, 4.6011- 0 ".60 00• 1.001 SAM' V - - --------- OTHER (Bereavement I Military) Total Worked Hrs 32.00 --- - ------------ J --- ------ LV taken 8,00 M.11pay] lonpp. �s dvil salyna anntne.� _.Itkne snect,. b0ne bervne PEENTERED LEAVE 0.0 0.00 0.00 -5 80.00.0 O.Oo .309150 0. TAYROLLSPREADSHEET A z FOR PAYROLL PURPOSE ONLY -DO NOT WRITEIN THIS AREA 28.5® 11.50 40-00 TOTAL HOURS 1: Atilliff - ------ - Total Worked Hrs 32.00 --- - ------------ J --- ------ LV taken 8,00 M.11pay] lonpp. �s dvil salyna anntne.� _.Itkne snect,. b0ne bervne PEENTERED LEAVE 0.0 0.00 0.00 -5 80.00.0 O.Oo .309150 0. TAYROLLSPREADSHEET A z FOR PAYROLL PURPOSE ONLY -DO NOT WRITEIN THIS AREA 28.5® 11.50 40-00 renew NON-EXEMPT Leave Printed Name: Bethany Escamilla Slips (AIL, ,Pay Period: December 24, 2023 JeN Employee ID #: Staff Signature: oil vad Supervisor Initials for Non -Standard Workweek rti - Supervisor Signature: Pay Period: 12124/2023 (mm/dd/yyyy) Pay Date. COMMUNITY COALITION SPECIALIST :. 24": ' ' .-.. ef,",' A e 29 Dei. . ...... ...... Jan 03 Sun Wed Thu Fri Sat Sun Tue Wed Thu. Fri Sat TOTAL 7. ------- 1- .r ,-r. _ a R W _. .> t ,_ < .. _S. .r. -z .. .< ... _o _ _ -_. a ,, i. eta k ,7. vu�VLf 32 �914E-. OTHER HOURS WORKED .BURY DUTY" Total'or ked firs. - ANNUA�71 4 t�' 0 wo -- ------------ - --- ---- 8.00: &00 24'eOO SICK: HOLIDAY OTHER (BEREAVIWENT LEAVE.....) FLEXICOMP TAKEN LWOP ,TOTAL,HOURS f 8.00' 8.001 1 ----------- 8.00, 8,00 '800 8.00'' 8100 a 00 -so-00 Total Worked Hrs LV aken 411 LEAVE PAYROLL. SPREADSHEET LWOP 0 tom. 32.00 8,00 40.00 SUD 212024fibrIanuar, ploy Per. emplo, SUD 8,263.67 122 67.74 9 8055 71112.18 9055 60.9.62 MHBG 80'53 1.35.47 'Recovery Coach 8079 .67.74 ARPA. DCR Ricl(.Gamez .9000 .67.74 -P -e- L, `M'Bet any I tsca-Mil I'a AR A�,--S. Skil I -C 0 PPx 'h 67,07V SLS PTR S- ML 9097, 67-74 SUPTRS- Q. 9096 67.74 ARPA- SL 9100 B7074 TOTAL 81263.67- rig Grant C t-. S , 1.,11m.an. -mesources HUAIAN QE'-,S0LJR('fF-S Invoice for Human Resources Services In advance of summer grant deadlines, Human Resources is asked to use headcount reports to set a cost-sharing amount for each non -general fund budgets utilizing HR services. Department Renew Invoice Date 01/01/24 Contact Reyna Gonzales Invoice Amount: Renew $8,263.67 Renew (DCL) $1,761.48 This invoice will be used for departments to generate vouchers for revenue payment to Human Resources. Processing questions should be directed to the Auditor's Office - Accounting Department, Kirk Eslinger FIR Director Revna Gonzales From: Tina "GG" Brdssey Send: Thursday, February 8, 2024 756 AM To: Reyna Gonzales Subject: H R Services 01-20 .4 Attachments: 2024 -01 -Renew - R. Gonzales.pdf Happy Thursday a Here you go PO Box 87 Ephrata, WA 98828 509-754-2011 ext 4993 1 44L W -Est ma ppolt ��:�',(2024 Renew Users.:: 15.1 712 --- z1aGnaf,1V Vanessa Brown 7 .50.51 105,060.89 Re'new NETWORLN-VICUS. 54 701 9,129814614 qn6k�3P'. Users., Mai 71.05 147,7g4,00r 78 ��6';4102564 7,835.45 $ Z -6h.82 Jeremy. Hall Mi!5 7,Z t. abo6o,3� ------------ - Network & Security Services Hrs/Vear Hourly Rate Total. Yearly Quarterly montFly $ 865.46 . 1 $ 179,836.801 1641877 1 $ 4104.6,9 1 � 1,368.23 John Martin 2090,001 , . , 2 q3 '16,418.77 4,104.69 1;368: 2.3 ar Y., H rs/v ear,' cOrlY Rate H .Ke Ith Con le, 2080,001 _7_4,56 165,404.80 9,267.I5 2,.316.79 772.2.6 -2 72 26' g & .i ain..-7K zZiNP5 - � L14- Ednetics VOW 'Servicet (Pho'n6s) 199,00.1 S 23,061 $4,588.94 S's i4rhtAdministfition*'Services .. J a I" . SjhY' Q, y n Vanessa Brown 2086,00 $ .50.51 105,060.89 22m1,515 -5,570-29 $ 1,856.76 Ricky Gutierrez .2080,00 $ 71.05 147,7g4,00r 649.11 7,835.45 $ Z -6h.82 Jeremy. Hall 2080,00 63,09 131,227,20. 271830.49 6,957,62 $ -2,319,21 Evan Little 2080.00 72.7.9 32,109,39. 8,027.35 2,675.78 Seth Sampson 2086*'00 '61.68 128,294.40 $ 432.19 $ 6, 8'02,13 2267,38, Alex, sukhovetskly 2080.00 62.03 $ 129,022.40 $ 27,36190 6,840.72 1,280.24 54851- $ 182,84 4'a S's i4rhtAdministfition*'Services .. Total. -Cost Years '18.00 45.99. Quarterly Monthly Tearmvjewer (Year. 1 -of 3 Year Contract) 34,773.61 3= 11591.120 649.11 1.62.28 54409. Prcgdss;.WbatsUp KetViork,& Inventory Monitoring 28,856.08 1.00 $ 28,856.08 1, . 615.94. 403.99 134.66 Eaneltt6s/smARtnet'tv'la!4en.a'nce' 3000.36- 1,00, $ 1,S3 L28 .1,728.74 432.19 $ 144.06 I: NeiippStora'ge Hard . �y . are-Sov- ce 1 39.,79-.01, 1 00- 39,179,0i . 2194.02 $ 54851- $ 182,84 E*WdOne 34i753,21' 1.00 3053.21- 1,946.18 $ 486.54, $ 161.18 VMWare� 4 $ 18, 37.73 100 18,437.7 3, 1,0324 1 $ 258.13 Prevention - SL 9100 Rubrik(Replaced Wearn) 1 157.03 20,100135 3.:00: i7.2 188,142 9,64155 2,410. 03\55 8002 1 157.03 8001 410P .4 er .;,.:,Accou nting Ap yr, Total Cost Years, - 'Tot/ IV, Dvhamics GP 1 131,301.95 1 1.001 $ - 1311301.95 1 $ 8,4 2 5.79 1 ,104.201$ 70t'401 se El chan'gebnllnLi Plan IG' S,618.25 '18.00 45.99. 827.02 -4 206.96 68,59 6tfide 3,65 G-3, $ 190,005,75 132160.$ _311,'3 $ .56- 4.1,0'9$. Jgg 3,0443 20273. Ajdj' Active Dtreit"i6rV P'r Plan 1 -50,589.00 Accountlingg, Application 69 07, 42j. 40 57. 2,607 39 .86913, M6�b,'*rObd'i Pro:' 23.06 �24.d ,7 87" 8. .2 ldO 175, 23,712.13 1,S3 L28 .$ 4 dO '92" 4* :6 rc alV a'm 13 rracticfa 'Emall'A W�erah' _Ant]�Sp 34 '512-50- '48,47 10 1, 57034 1" 29-74 $0 Blue .Bear r Recovery Coach - Crisis -8079 1$9.59510 9. S .Op�re 1 157.03 Ittv, ;L1.111 Z4 TS VOW Network & Security Services Phone SeNtces 4,588.94, system Administration Services 772.26 General Helpdesk & Asset Management 1 108.150.00,8053.564A4.4200 1-4,011,19 Systems Administration Services 23.06 1,567.42 Accountlingg, Application SUPTRS- Quincy 9097 701440 Software as a Service 23.06 9100 23,06 .8079 23,712.13 108.150.00xKxx.xxxxA.4152 115,30 151{. �A'�. X47 -q 23.05 8OSS 109 17,116.70 9055 10 1, 57034 MH3G-8053 2 314.07 Recovery Coach - Crisis -8079 2 814.07 S .Op�re 1 157.03 1 157.03 Prevention- Quincy 9096 1 157.03 Prevention - SL 9100 1 157.03 20,100135 8003 21 3,297.71 8002 1 157.03 8001 1 157.03 3,61138 42 23,712.13 9,36f 07 5.3 W rau, go 4200 VOW 23,06 Phone SeNtces 4,588.94, 5 108-150.00.9055.566,00,4200 230.6 1 108.150.00,8053.564A4.4200 46,12 1 -RPA Pt;R_9 23.06 i-1 using -.8062 11,53 SUPTRS- Quincy 9097 23,06 ML SUPTR,S- 9096 23.06 9100 23,06 .8079 46.12., $ 449.67 8003 115,30 8002 23.05 8001 23.06 ? 61412 4,5$8.94 $28,301.07 $01,00 Invoice 127017 , y riveIce• mate 111012024 ° Rte Cate 21912D24 VOI C Terms Ret 30 .,,,' Account Number 101748 Contract V-60-WAOCCH-01008-1S Arad fro.1 9713 Clesrmter Loop, Post Falls, ID 83864 Oustomer PO # EV -60- AGOGH-010818-1 B Amd Orem County Grant County %�s Po Box, Ephrata. WA 98823-0037 , United States x TOTAL Ari1ic YNT DUE . $1 7t57O.-65 Mam ,Curr nt Charges Man"thly, Chorges QTY PRICE EXTENDED tond•ard User 76Z $18.50 •'14,WI= Total 4 `2 ..� %xas and Fees 1 � Y � "� +u•r 1 �� FederW. LISA $ Federdl Regulatory Marge Sales 'fax $1,281,04 WA State &9,11 � � $190,50 WA County. E-011 l `, `� �`" QUA 'tete 988 � l $304,80 1{ M Local Utility Tax 1-1) , � $674,69 FW lea• ulAto Fie $2,88 9 � TOM I ur&uv invoi-ca Summary Durrant Charges Total Amwnt Duo s 7VO.f5 Ednetics Customer Portal Engage the Ednetlos team, track usage data., request support, generate printer frlenljy repo*, search re nis and more - 6I1: f O'M the custome$ portal. Contact your account'Managar to activate your -account Ougtomar service and blIfIng InquIdes 1.,888-809-4609 or recelvablas@ednefticom - Ednatics Ino. 971 S. Clearwater Loop, Post Falls, Idaho 83864 1 at I ACTS — Grant County Technology Services TXc;HHMv*Y ZARYMm* PO Box 37 3 5 C ST NW, Suite 3 08 EPHRATA, WA 98823 Bill To Renew 840 E Plum Moses Lake, WA 98837 Invoice Date Invoice 1131/2024 42-24 American Rescue Plan (Cares Act — ARP.) Todag's Date: Vendor: hw�a,,,%z N,_��Ar JL Detailed Description: 11 Received SuperrvisorAppi -oval 0 Scamied supporting dOCL[MelItS El File into binder El Item(s) received Receipt t Date. 'Charge to A-ig'Month: 0 JuIT2023 A 2024 0 August X023 3 0 February 2024 0 S erptemb er2023 0 March -202-4 El October 2023 El April 2024 11 NoVeniber.21.023 Cl M',Iy 2024 0 December 023 0 June X024 Deliver fibles: 0 Ta8kfOrce Coe-dition. (supplies) 11 Outreach / Marketing / Adveiti.sing 11 Environmental Strategies Capacity Building (workshops & education) C 1:1 Staff Travel / Professional Development Requested by: Q� Super visor Signature - Prevention Requisition Forill Revised Okg,2()-')3 Form of Payment SA,. InvOice (pa'd) 0 Invoice (needs paid) 0 Other: 0 Food. Charge Account: 0 Other: L $ �,�.�13 Date: } i �... Date.- Jan 17, 2024 e* renew ruv.- " "U if Bethany M. Escamilla From: Amazon.com <auto-confirm@amazon.com> Sent: Wednesday, January 17, 2024 20-09 PM To: Bethany M, Escamilla Subject: Your Annazon,com order of "100 Pcs Smile Face Stress... a maes Your Account Amazon.com xonbusin Order Confirmation Order #113-4911855-3129806 Hello Bethany Escamilla, Thank you for shopping with us. We'll send a confirmation once your item has shipped. Your order details are Indicated below, The payment details of your transaction can be found on the order invoice. If you would like to view the status of your order or make any changes to it, please visit Your Orders on Arnazon.com. This order is placed on behalf of Grant County. !, Rt Order Details Order #113-4911855-3129806 Placed on today, January 17 Order Total: $37.93 two 100 Pes Smile Face Stress Balls Bulk 2 Inch $34.99 AVI; 14, !16-,.. Funny Face Stress Relief Balls Mini Foam Smile "AN �'i - %4,- " ON 4 Face Toys for Finger Exercise, School Prizes, Party Bag Fillers (Yellow) Vp Sold by Diute w -6� ngsom toll• Condition: New Order Total: $37.93 two Dethanv M. Escamilla From: Amazon.com <auto-conflrrn@arnazon.com> Sent: Wednesday, January 17, 024 2:09 PM To: Bethany M. Escarnilla Subject. Your Amazon.com order of "10.0 Pcs Smile Face Stress ... 44. amazolnbusine-ss %Nft- �--1 Your Account Amazon.com Order Confirmation Order #113-4911855-3129806 Hello Bethany E iii , Thank you for shopping With us. We'll send a confirmation once your item has shipped. Your order detallsare indidated below, The payment details of your transaction can be found on the order invoice. If you would like to view the status of your order or make any changes to It, please visit Your Orders on Arnazoncom. This order is placed on behalf of Grant County. F614 ftldh Ydu'r guaranteed delivery date i$: Your order will be sent to-, Friday,- January 19 Address Confidential Your shipping speed: (For privacy reasons, the reciplenVs address [a not 4PV'meFREE Prime Delivery displayed.) Order Details Order #113-4911855-3129806 Placed on today, January 17 Order Total, $37.93 1 100 Pos Smile Face Stress Balls;.Bulk 2 Incli $34.99 1 %1A $k 'All A > " V Funny Face Stress Relief Bells MIM Foam Smile Face Toys for Finger Exercise, School Prizes, A �� Party Bag Fillers (Yellow) Sold by Dutengs om Condition: New Order Total, $37.93 1 r Orunt Be hQuIval PI a al th A Wellem o +W rtAt Namew Bethany Escamill a Date: 1/17/2024 Item(s) Requested (include a photo if you need a specific item),, 100 Pr, stres balls 5 Approximate Cost,, $34,99 Funding Source,, if known: ABPA . . . ........... .. Reason for Request: Program_ supplies Date Needed Bym Asap 1/17/2024 Supet°visoi's Signature Date Please have your supervisor sign the form and then submit it to finance, 20�0401 1 7 1 41252 WOOPO" Final Audit Report Created: 2024-01-17 By: Bethany Escamilla (bmescamilla@granteountywa.gov) Status: Signed Transaction [D: CBJCHBOAABAAOAbxTnHeRrLgLlIU-rUCt6Y3bTZaGE6 "24240717_'141252" History Document created by Bethany Escamilla (bmescamilla@granteountywa.gov) 2024-01-17 - 10:21:27 PM GMT F24 Document emailed to Dayana Ruiz (druiz@grantcountywa.gov) for signature 2024-01-17 -10:22:3+ PMI GMT Email viewed by Dayana Ruiz (druiz@grantcountywa.gov) 2024-01-17 - 10:36:08 PM GMT 459F Document e -signed by Dayana Ruiz (druiz@grantcountywa.gov) Signature Date: 2024-01-17 -10:36:30 PM GMT - Time Source: server Agreement completed. 2024-01-17 - 10:36:30 PM GMT a Adobe Acrobat Sign 2024-01-17 American Rescue Plan ems h 0 Received Supervisor Approval (Cares Act — ARPA) portiIng documents El Scanned stup 0 I File into Wnde I Lei-n(s) received r R k Tbday-'sDate. Recet Dat ZP Vendor: �. Detailed Desb 1ption.- (,,JA 'Charge to A191 Month: n July 9 - 09 .3 JanUary,'2-024 ® A119USt 2023 El Februali y 9024 0 Septeinber 2023 El MaWC11 0,024 • October -qu-,i 0 0 Apri12 - ..24 • November 2023 El MlaY 2024 El 0 904 December,2093. June 9 Dell"Verables: Tasldorce Coalition -(supplies) 13 Outreach / Marketin,g Advertising El Environmentale Strat .. . gies, 0 Capacity Building (worksbops & education) 0 Staff Travel / Professional Development s Form ofPa y*ment --I 18-A, 0 Invoice (paid) 0 Invoic.e (needs paid) D Other: Is Charge AccountO AR (9 -o -o 0 Otber: Reqnested. by: Date. Supelwisor Signature. D ate. Prevention Riquisiflon Form Revised 08.2023 El Food ey till v f Thank -V W l l .I. f. I. d el., -ter, �i C{ 1i ice• r:•sr :s; i•.• ' �•t;�. .1 ►d',Lr P4 T MOSES STO 02007 OPY 009034 TE#'311 'rp# o4ogg ITEW $01-0 1 TC# 5778 8569 9461 4791 48-b- SURTOTA 0. 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