HomeMy WebLinkAboutInvoices - Renew (002)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: Renew
DATE: 3/2 1 X24
REQUEST SUBMITTED BY: Sarah Nelson
PHONE:509-765-9329
CONTACT PERSON ATTENDING ROUNDTABLE: Dell Anderson
CONFIDENTIAL INFORMATION: DYES ®NO
❑Agreement / Contract
/RFPs /Quotes Award
Immumm
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[]Boards/Committees
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g y se
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® Invoices / Purchase Orders
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Requesting Strenghtening Familes Program Facilitation n payment for work completed
Total Cost: $27,476.48 Fund: 108.150-00-0000-564004100 (Professional Services
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D2:
D3:
DEFERRED OR CONTINUED TO:
Quincy Prevention
Today 's Date*
o3l 9/2024
Vendor: Ouincv School District
Receipt ;mate: ,3/14 20
Minerva Session Name* &renztheninz Families Prograin
1:1 Signed Supply Order Form
11 Scanned supporting documents
0 Budget Spending Tracker entry
13 Minerva Entry
0 Charged on A-19
D Itern/s, received
Item(s) Description Stree gkheniaLFam
Wes PLogram Facilitation E#yment
.
`charged to AiW Month*
0 July 2023
0 January 2024
0 August 2023
El February 2024
0 September 2023
ZMarch 2024
.2024
0 October 2023
0 April
0 November 2023
0 May 2024
0 December 2023
0 June 2024
Q Programs:
El Community Coalition 122.5.1
0 Strengthening Families Program 122-2.1
11 Youth Development 22.501
1:1 Healthy Alternatives 22-3.1
0. Starts with One (MAC) 122.1.2
0 Choose You (MAC) 122.1.2
0 Talk. They Hear You (MAC) 122-1.2
D Focus On (MAC) 122-1.2
0 No Shame in Your Brain (MAC) 122-1.2
Cl CA S' Sticker Shock 122.6.2
F-1 LCB Compliance Checks 122.6.2
El Coordinator Travel/Professional Dev. 122-7.1
Requested by: 6
Supervisor Signattur C*
Prevention Requisition Fomi
Revised 12/05/2023
Form of Payment
0 VISA **** 8832
0 Invoice (paid)
. ... . .... .
�voiehee
0 Other
0 Program Start-up Cost
El Food
0
Charge Account,
0 SABG CE (9050)
11 SUPTRS (9096)
19 SOR (9063)
19 COQ (9064)
0 Columbia Basin Foundation (CBF)
0 Other
$27476*48 1
Charge Amount:
$24,716-40 - OR $2,76o.o8 COQ
�I6� LA 100
Date: 03/19/2024
Date,
0*0
renew
C
Quincy School Distflet #144IInvoice No. 49 5
404 1st Ave SW
Quincy, WA 98848
509/787-4571 fax 509/787-4336
- - - --------
INVOICE
� Customer
Name Quincy Partnership for Youth
Address —
--------------- - - , .................. ............ . .... . .... -------------- - * ............... * ........ ..........................
........ .. . .....
city -,Q.ui,ncy Zip 98848
Attn: crncruz(a),qrantcoun at
Descriotion
'STIPEND FOR WORK DONE
Strengthening Families Program Facilitation
'Maria Valle - Stipend $3300/Benefits $631.01
1 'Lissett Tarnayo - Stipend $3300/Benefits $631.01
:Jessica Alcaraz - Stipend $3300/Benefits $631.01
2
'Nubia Ramirez - Stipend $3300/Benefits $631.01
2
I Kristina Mason - Stipend $3300/Benefits $590.42
Signature
Please make payable to Quincy School District
Please reference invoice number with payment
Ple6hem SG hothak he di
strict office has �a h� address*
,-e-tt
a
404 ist Avg Cuindy.WA 98648.
Tia Stoddard
I
FInv7oice Date
3119/2024
Ref. Date
Account#
31931.01
Description
ti nd �..y..N_.�.
Unit Price I
TOTAL
31931-01
31931.01
31931.01
-3,931 .
3193101 i --------- - -------------
71862-02
31931.01 f
- --------- - 7,862.02
31890.42
31890042
------------
A%3
`i itis Business Manager
Please Make Payment Payable To: Quincy School District
404 1 st Ave SW, Quincy WA 98848