HomeMy WebLinkAboutGrant Related - BOCC (005)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: KarrieStockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kaff I@ Stockton
CONFIDENTIAL INFORMATION: ❑YES 0 NO
DATE. 4/18/2024
PHONE:
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-Reimbursement request from New Hope on the Emergency Housing Fund (EHF)
grant # 24-4619D-1 06 in the amount of $15,678.97 for March expenses.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO
If necessary, was this document reviewed by legal? ❑ YES ❑ NO
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
4/8/24
DEFERRED OR CONTINUED TO:
Q
❑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
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�.�,/i��., moi._- �, /-^moi, . ; i.
i, /� -,. �. / /_
t
-/,.
-Reimbursement request from New Hope on the Emergency Housing Fund (EHF)
grant # 24-4619D-1 06 in the amount of $15,678.97 for March expenses.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO
If necessary, was this document reviewed by legal? ❑ YES ❑ NO
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
4/8/24
DEFERRED OR CONTINUED TO:
Q
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Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
24-4619D-106
391541
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
Contact Phone)
services furnished to the State of Washington, and that all goods
(Vendor
furnished and/or services rendered have been provided without
discrimination because of age, sex, marital status, race, creed, color,
<kstockton@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 4/18/2024 1:59:08 PM
03/01/24 - 03/31 /24
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(REPORT PERIOD)
(SUBMITTED BY) (SUBMIT DATE)
DESCRIPTION :BUDGET
REQUESTED
EXPENDED TO
AMOUNT THIS AWARD
_AMOUNT
DATE
INVOICE: REMAINING
Admin - Unassigned $120,383.00
$2,684.71
$52,874.51
$.00 $677508.49
Operations - Unassigned $6813156.00
$12,239.59
$214,396.48
$.00 $466,759.52
Rent - Unassigned $27,153.00
$754.67
$4,829.71
$.00 $22,323.29
Facility Support - Unassigned $3251646.00
$.00
$163,296.06
$.00 $162,349.94
Non - Match Total: $1,154,338.00
$15,678.97
$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. N0.
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 lKarrie
Stockton (Kstockton2)
DATE
4/18/2024 1:45:05 PM
Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
24-4619D-'106
391541
COMMERCE
0 All Expenses under $1,000
Paid by UBl
Paid by
Organization Name
Paid to
Contractor
Paid to U131Amount
Paid to
Organization Name
Paid to
Org Type
Expense
Type
Type
Subcontractor Total
Sub Subcontractor Total