The URL can be used to link to this page

Home My WebLink AboutGrant 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: gOCC REQUEST SUBMITTED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kafl"12 Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 2/20/2025 PHONE:2937 jXPE(S) OF DOCUMENTS SUBMITTED: (CHECK ALL THAT APP"Y ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA 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 ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies []Thank You's ❑Tax Title Property ❑WSLCB S � E TED WORDING FOR A ENPA ` ,,, 'mho, What, When, Wh , Terra, cost, etReimbursement request from Renew on the Community Development Block Grant (CDBG) CV2 # 20-6221 C-1 11 in the amount of $8,569.75 for January 2025 expenses. If necessary, was this document reviewed by accounting? ❑ YES 2 LEGAL REVIEW: If this document requires legal review, route to legal for review prior If necessary, was this document reviewed by legal? ❑ YES ❑ NO DATE OF ACTION. '� 4 ;x) .5, APPROVE: DENIED ABSTAIN D1: J9 D2: D3: k�/ 4/23/24 El NO ON/A DEFERRED OR CONTINUED TO: WITHDRAWN: RECEIVED FEB 2 0 2025 GRANT COUNTY COMMISSIONERS Z Grenew iss PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 BILL TO: Grant County - CV-2 PO Box 37 Ephrata, WA 98823 Fax (509) 764-4124 DATE: February 19, 2025 INVOICE 1 /31 /2025 FOR: Jan-25 CV-2 DCR DESCRIPTION Amount Total Amount CV-2 DCR Salary & Benefits $ 8,315.41 $ 8,315.41 Oper Expenses $ 254.34 $ 254.34 Total $ 8,569.75 THANK YOU!!! STAGE M WASHING 'A DEPARTMENT OF CWAtt#9 y -y� I�: E R C E Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 415409 COMMERCE VENDOR OR CLAIMANT (Warrant payable to:) INSTRUCTION TO VENDOR OR CLAIMANT: Grant County DBA BOARD OF COMMISSIONERS Submit this form to claim payment for materials, merchandise or services. Show complete detail for each item. PO BOX 37 EPHRATA, WA 98823 Vendor's Certificate: The individual signing this voucher below warrants they have the authority to do so as authorized and on behalf of the entity identified in the Vendor/Claimant section, The individual Karrie Stockton (Vendor Contact Person) signing below certifies under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or 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, (509) 754-2011 (VendorContact Phone) kstockton@grantcountywa.gov (Vendor Contact Email) national origin, handicap, religion or Vietnam era or disabled veterans status. 03/27/20 - 06/30/25 (Contract Period) Karrie Stockton (Kstockton2) 2/20/2025 9:51:11 AM 01 /01 /25 - 01 /31 /25 (SUBMITTED BY) (SUBMIT DATE) (REPORT PERIOD) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Contract Total $929,365.00 $8,569.75 $7227361.45 $.00 $207,003.55 Non - Match Total: $929,365.00 $8,569.75 $7223361.45 $.00 $2079003.55 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 39195 TRANS REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID INDEX OBJ 622CO320 NZ 6221 C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 2/20/2025 9:43:54 AM Form 19-1A VOUCHER DISTRIBUTION AGENCY NUMBER Short Code Commerce Contract Number CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 415409 COMMERCE 0 All Expenses under $1,000 Paid by UBI Paid by Organization Name Paid to Contractor Paid to UBI Paid to Organization Name Paid to Org Type Expense Type Amount Type_ Subcontractor Total Sub Subcontractor Total Al VOUCHER FORM Voucher #8 'ST.{WASHINGTON STATE DEPARTMENT OF COMMERCE AGENCY NUMBER IDIS PROJECT NUMBER COMMERCE CONTRACT NUMBER A19 VOUCHER DISTRIBUTION 1030 107 20-6221 C-111 AGENCY NAME DEPARTMENT OF COMMERCE ATTN: CDBG-CV PO BOX 42525 OLYMPIA, WA 98504-2525 INSTRUCTION TO VENDOR OR CLAIMANT: Submit this form to claim payment for materials, merchandise or services. Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are proper charges for materials, merchandise or 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, national origin, handicap, religion or Vietnam era or disabled veterans status. VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY PO BOX 37 EPHRATA, WA 98823-0037 By: Karrie Stockton (SIGN IN BLUE INK) Grant Admin Specialist 2/20/2025 REPORTING PERIOD: Jan-25 (TITLE) (DATE) IDIS Activity ID DESCRIPTION ORIGINAL BUDGET PRIOR AMOUNT REQUESTED AMOUNT THIS INVOICE REMAINING BALANCE Add or delete budget tine items as needed. Includes CV1 and CV2 as applicable. 8310 2 1 A General Admin (Grant County Expenses Only) $ 227190.00 $ 1,917.94 $ 20,272.06 8311 05Q Public Services Admin. Budget (OIC) $ 96,367.84 $ 945077.46 $ 2,290.38 8311 05Q PS -Subsistence Payments (rent, mortage,utility) (OIC) $ 17500.00 $ 14606.12 $ 28,313.88 8312 05X PS- Housing Counseling and Admin. Budget (OIC) $ 110,715.59 $ 71,918.71 $ 38,796.88 8313 18C - Microenterprise Assistance Admin. (OIC) $ 126,034.57 $ 1005263.97 $ 255770.60 8313 18C - Microenterprise Financial Assistance. (OIC) $ 50,000.00 $ 25,697.02 $ 24,302.98 8313 18C - Microenterprise Training (OIC) $ 125000.00 $ - $ 125000.00 8706 050 - Urgent Need- Mental Health -General Public (Grant Co.) $ 304,900.00 $ 226,625.67 $ 8,569.75 $ 69,704.58 8706 050 - Urgent Need- Mental Health -Tele-Health (Grant Co.) $ 32,157.00 $ 32,157.00 $ - 8706 050 - Urgent Need- Mental Health -County Jail (Grant Co.) $ - $ - $ - Balances $ 929,365.00 $ 699,343.89 $ 8,569.75 $ 221,451.36 BELOW THIS LINE IS FOR DEPTARTMENT OF COMMERCE TRANS CODE M 0 D MASTER INDEX SUB OBJ SUB SUB OBJ GL ACCT SUBSID�% %� /%//ice/i'/ AMOUNT INVOICE NUMBER CI 622CO320 NZ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID: ACCOUNTING APPROVAL FOR PAYMENT DATE 000 renet j Grant Behavioral Health 8 Wellness CV-2- DCR- Jail BAR Acct. 108.150.00.7609.564.41.1100 108.150.00.7609.564.41.2100 108.150.00.7609.564.41.2200 108.150.00.7609.564.41.2300 108.150.00.7609.564.41.2301 108.150.00.7609.564.41.2400 Total- Payroll & Benefits 108.150.00.7609.564.41.1112 108.150.00.7609.564.41.4152 108.150.00.7609.564.41.4200 108.150.00.7609.564.41.4202 Total Exp. for 01/2025 2/19/2025 6,172.02 562.27 472.16 868.86 16.17 223.93 $ 81315.41_ 190.96 2 2.0 6 41.32 254.34 TOTAL BILLING FOR CV-2 JAIL $ 89569,75 2/20/2025 10:10