HomeMy WebLinkAboutGrant Related - BOCC (002)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: DYES ONO
DATE -4/3/2024
PHONE:eXt. 2937
OMNIA
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FA
------------
Reimbursement request
from Hopesource on the Emergency Housing Fund (EHF)grant
# 24-4619D-106 in the amount of $24,577.96 for October 2023 expenses.
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1. {
D2:
D3:
DEFERRED OR CONTINUED TO:
f
ti
Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
24-4619D-106
390194
COMMERCE
VENDOR OR CLAIMANT (Warrant payable to:)
INSTRUCTION TO VENDOR OR CLAIMANT:
Grant County Board of Commission
Submit this form to claim payment for materials, merchandise or
PO BOX 37
services. Show complete detail for each item.
EPHRATA, WA98823-0037
Vendor's Certificate: The individual signing this voucher below
warrants they have the authority to do so as authorized and on behalf
Kerrie Stockton
of the entity identified in the Vendor/Claimant section. The individual
(Vendor Contact Person)
signing below certifies under penalty of perjury that the items and
totals listed herein are proper charges for materials, merchandise or
(509) 754-2011 ext 2937
(Vendor Contact Phone)
services furnished to the State of Washington, and that all goods
furnished and/or services rendered have been provided without
discrimination because of age, sex, marital status, race, creed, color,
<kstocktonC@,grantcountywa.gov>
(Vendor Contact Email)
national origin, handicap, religion or Vietnam era or disabled veterans
status.
07/01/23 - 06/30/24
(Contract Period)
Karrie Stockton Kstockton2 4/3/2024 1:34:46 PM
10/01/23 - 10/31/23
(REPORT PERIOD)
(SUBMITTED BY) (SUBMIT DATE)
DESCRIPTION
BUDGET REQUESTED
EXPENDED TO
AMOUNT THIS.AWARD
AMOUNT
DATE
INVOICE
REMAINING
Admin - Unassigned
$120,383.00 $2,580.68
$52,874.51
$.00
$67,508.49
Operations - Unassigned
$681,156.00 $19,489.99
$214,396.48
$.00
$466,759.52
Rent - Unassigned
$27,153.00 $.00
$4,829.71
$.00
$22,323.29
Facility Support - Unassigned
$325,646.00 $21507.29
$163,296.06
$.00
$162,349.94
Non - Match Total:
$1,154,338.00 $24,577.96
$435,396.76
$.00,
$718,941.24
PROGRAM APPROVAL
Date
(The individual signing this voucher warrants they have the authority to sign this voucher.)
DOC DATE
CURRENT
REFERENCE DOC NO.
VENDOR NUMBER and SUFFIX
DOC. NO.
SWV0002426 03,
ACCOUNT NO.
ASD NUMBER
VENDOR MESSAGE
45761
TRANS
REV
MASTER
SUB
SUB.,
MG
MS
GL ACCT
SUB
AMOUNT
PROGRAM
CODE
CODE
INDEX
OBJ
SUB
SID
INDEX
OBJ
46ECO220
NZ
4620C
READY to BATCH PREPARER
DATE
WARRANT TOTAL
CREATED BY
Karrie Stockton (Kstockton2)
DATE
4/3/2024 1:31:04 PM
Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
24-4619D-106
390194
COMMERCE
Fx-1 All Expenses under $1,000
Paid by U131
Paid b Y
Organization Name
Paid to
Contractor
Type
Paid to ]BI
Paid to
Organization Name
Paid to
Org Type
Expense
Type
Amount
Subcontractor Total
Sub Subcontractor Total
0 11108 WA4 Ow I
f
As the lead grantee for this contract, / certify that the sub grantee expenses listed above have been reviewed and are accurate.
Lead grantee staff name: Karrie Stockton
Date: 4/1/2024
Lead Grantee Name: Grant County
Totals
Invoice Period (Month/Year): Oct -23
Organization Name: Hopesource
Date : 4/1/2024
-27" a-
068
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gSn
era tiolh ;51, -A 'A M
-9 9
FO i ity, t:
C S V13 139 91":
507.2 9
.Ren t.
000
Totals $241577.96 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Invoice Total: $24,577.96
0 11108 WA4 Ow I
f
As the lead grantee for this contract, / certify that the sub grantee expenses listed above have been reviewed and are accurate.
Lead grantee staff name: Karrie Stockton
Date: 4/1/2024