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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: Karrl@ Stockton CONTACT PERSON ATTENDING ROUNDTABLE: K81'f I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE: 8/29/2025 PHONE:2g37 11-n MAE K-121-03HR�11� ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment DARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ 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 Reg. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Reimbursement request from Renew on the American Rescue Plan Act (ARPA) in the amount of $11,739.51 for Suicide Prevention Services. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO W N/A DATE OF ACTION: I '- � 4 DEFERRED OR CONTINUED TO- WITHDRAWN - APPROVE: DENIED ABSTAIN D1:� D2: D3: 4/23/24 Open Year Journal Entry TRX Date Account Number ACCOUNT TRANSACTIONS - GJ REPORT FOR JULY 2025 Account Description Credit Amount Debit Amouni Reference 2025 1028537 7/31/2025 108.150.00.9000.566511100 MH... ARPA.REG SALARIES & WAGES 0.00000 5,881.74- - ALLOC SALARY JULY 2025 5,881.74 2025 1028539 7/31/2025 108.150.00.9000.566512100 MH... ARPA.RETIREMENT 0.00000 390.49eALLOC RETIREMENT JULY 2025 2025 1028540 7/31/2025 108.150.00.9000.566512200 MH... ARPA.SOCIAL SECURITY 0.00000 412.77*'ALLOC SOC SECURITY JULY 2025 2025 1028541 7/31/2025 108.150.00.9000.566512300 MH... ARPA.MEDICAL & LIFE INSURANCE 0.00000 1,422.2OeALLOC MED & LIFEINS JULY 2025 2025 1028542 7/31/2025 108.150.00.9000.566512301 MH... ARPA.STATEWIDE FMLA INSURANCE 0.00000 15.42fALLOC FMLA JULY 2025 2025 1028543 7/31/2025 108.150.00.9000.566512400 MH... ARPA.INDUSTRIAL INSURANCE 0.00000 23.25 "ALLOC INDUST INS JULY 2025 2,264.13 2025 1024182 7/16/2025 108.150.00.9000.566513100 MH... ARPA.SUPPLIES - OPERATING 0.00000 12.000'7348 - PREVENTION JUNE 2025 2025 1024182 7/16/2025 108.150.00.9000.5 66 513100 MH... ARPA.SUPPLIES - OPERATING 0.00000 339.00/1348 - PREVENTION JUNE 2025 2025 1024182 7/16/2025 108.150.00.9000.566513100 MH... ARPA.SUPPLIES - OPERATING 0.00000 1,415.28-lof348 - PREVENTION JUNE 2025 2025 1024182 7/16/2025 108.150.00.9000.566513500 MH... ARPA.MINOR EQUIP <$550 0.00000 86.78-4348 - PREVENTION JUNE 2025 2025 1026095 7/29/2025 108.150.00.9000.566514100 MENTAL HEALTH... ARPA.PROFESSIONAL SERVICES 0.00000 s 190.96.,eRenew 2025 1022384 7/8/2025 108.150.00.9000.566514200 MH... ARPA.COMMUNICATIONS 0.00000 41.3287333762696 2025 1026095 7/29/2025 108.150.00.9000.566514200 MH... ARPA.COMMUNICATIONS 0.00000 22.07,#►Renew 2025 1024182 7/16/2025 108.150.00.9000.566514917 MH... ARPA.MISC-TRAINING 0.00000 419.00..1348 -PREVENTION JUNE 2025 2,526.41000 TOTAL 10,672.28 ADMIN 10% 1,067.23 ` TOTAL FOR JULY 2025 SALARY/BENEFITS/EXPENSES FOR ARPA SUICIDE PRVENTION 11,739.51 ON -EXEMPT Printed Name: Pay Period: 22,2025 Employee ID #: 5630 i ri, Staff Signature Ab, Supervisor Signature:, SupetMsor initals for Non -Standard Workweek Pay Period: 6/2212025 (mm/ddlyyyy) Pay Date-. 7f1 1/2025 CLINICAL Jun 22 Jun 23 Jun 24 Jun 25 Jun 26 Jun 27 1 Jun 28i Jun 29 Jun 30 Jul 01 Jul 02 Ju1031 Jul4 I Jul 05 I I Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat TOTAL ARPA 9000 10.50 10-50 8.00 1 0.00 3.00 8.00 1 6.00 800 800 72.00 OTHER HOURS WORKED i JURY DUTY Total Worked Hrs 10.50 10.50 8.00 8.00 3.00 8.00 8.00 8.00 8.00 72.00 1,00 JANNUAL SICK HOLIDAY 8.00 -_ 8,00 OTHER (Bereavement I Military) FLEXICOMP TAKEN LWOP TOTAL HOURS 1 10.501 10.50 1 8.001 8.00 3.00 3.00 8.00 8.001 8.00 8.00 00 Total Worked Hrs Lit taken JGP ENTERED LEAVE PAYROLL SPREADS i EET 30M 10.00 4000 1 4000 LWOP 32.00 8-00 40.00 . . ....... . ........... milpayl Iongne annIne sickne snect I holne civil 1 sallyne bervnei 8 0.00 0.00 1 0. 0 =01 .Uu 0.00 I 0.00 174.00 ti 'PAYROLL PURPOSES - 00 NOT VYPJI*E IN THt$ SEC'nON '" Lei i7k I IMFV Printed Name: Bethany Pay Period: July 6, 2025 Employee ID #: 5630 Staff Signature: A 1), 11. A) Supervisor Signature- ----------- - - -Leave Slips (AIL, Supervisor Initials for Non-Standard',14orkweek Pay Period- 716/2025 (mmlddlyyyy) Pay Date, M5=5 CLINICAL Jul 06 Sun Jul 07 Jul 08 Jul 09 Jul 10 Jull'! JU112 Jul13 JU114 JU115 Jul 16 Jul 17 Jul 18 Jul 19 Mon Tue Wed Thu Fri sat Sun Mon Tue Wed Thu Fri Sat TOTAL ARPA 9000 9.00 9.00 9.00 9.00 9.00 5.00 9.00. 9.00 68.00 OTHER HOURS WORKED JURY DUTY iTotal Worked Hrs 9.00 9.00 9.00 9.00 9.00 5.00 9.00 9.00 68.00 1.00 ANNUAL 4.00 4.00 SICK HOLIDAY OTHER (Bereavement I Military) FLEXJCOMP TAKEN a.00 8.00 WOP LALHOURS j _ TOTAL -- I 9.00 9.001 4.00 9.00 1 9.00 i I I - 1 8.00 L9-001 too 9.00 9.001 80.00- Total Worked Firs --,,32-00 LV taken t &GO ,GP ENTERED LEAVE PAYROLLSPREADSHEET "'PAYROLL PURPOSES - 00 NOT WRITE IN THIS SECTION *" LWOP 40.00 32.00 8.00 40,00 American Rescue Plan (Cares Act — ARPA) Today's' Date,* 6/4/25 Vendor: Whats Your Grief El Received Supervisor Approval 0 Scanned supporting documents 0 File into binder El Item(s) received 6/ ReceiptDate. 4/25 Detailed Description: Grief Educational Pamphlets in English and Spanish - for grief kits `Charge to A19'Month: 0 July 2024 011 January 2025 El August 2024 0 February 2025 0 September 2024 0 March 2025 0 October 2024 11 April 2025 D November 2024 0 May 2025 ® December 2024 0 June 2025 Deliverables: 0 General Tas1dorce supplies 0 Goal 1: MH Literacy & PH Promotion 0 Goal 2: Post-vention 0 Goal 3. Perception/attitudes 0 Staff Travel / Professional Development Requested by: 5&62*t-t4L 4",1 Form of Payment 4z visA **** 7348 0 Invoice (paid) E-1 Invoice (needs paid) 17 Other: Charge Account: 0 ARPA (900o) 0 Other: 339.00 /0000/ Date: 6/4/25 6/4/2025 Supenrisor Signature: Date: Prevention Requisition Form Revised 07,2024 11 Food renewGram Uhavim-al "eckh & L"umas Supporting a Grieving Teen - 50 Pack Coping With Grief - 50 Pack Payment meefliod: GRIS PREVENTION GRANT COUNTY PO BOX 37 Ephrata., WA 98823 9nn7lQ9noon bt-navey@gt-antCOLintywa.gov Thanks for using whatsvou,rgrief.corn 100 $44.00 100 $44.00 $264.00 $75.00 via Flat rate Credit / Debit Card $339,00 Shipping address Bethany Avey (Escamillaj ATTN: Suicide Prevention 840 E Plum St Moses Lake, WA 98837 Whats your Grief — Built with WooCornmerce -2 Frill- 00o 2 - MH - 44 ------------- 5097935794 JASMINE ARROYO 5097935794 $51.51 MH -44 5097938959 ZULEMA GUTIERREZ-CONTRERAS 5097938959 $51.51 MH - 44 5098550383 ZACHERY NYGREN .... ...... 5098550383 ;,11-11. 1 ... _1 1___.._,_ 1 11. . - -1 - -.11 . "I'll I .. ....... $51.51 MH-44 5099893186 PATRICK. DRAPEAU 5099893186 ....... ... $51.51 . ..... - ------- - - ---- ........ ..... (No Level 2 node description) ......... .. ....... 5092981660 NICOLE REED . 5092981660 ------- ...... --- - ---- ....... .. ...... $35.48 ...... ...... -- ....... .. . (No Level 2 node description) . ....... ', ------- ---- .5092981661 ------- -- - -- ....... ...... .... ....... ........ - SUSAN CHAVES-BALBUENA ......... 5092981661 $35,49 ......... ......... . ....... ........ MH - 44 $1807.60 MOT - 8053 5097079264 ...... . ........ ------ MARISOL GONZALEZ . ... ....... 5097079264(8053) ........... ........ $ 41.32 MOT - 8053 5097079266 .. ......... ........ FERNANDO GALARZA ....... .... .. ..... . 11 . . ...... 5097079266(8053) - -- ---- $4132 MOT - 8053 5 99891 48 FERNANDO GALARZA 5099891048 $40,04 MOT - 8053 �5099893764 MARISOL GONZALES .. ........ ........ .... 5099893764 ...... $40.04 Total 8053 .. ......... $162-77. Prevention 9000 5097714324 BETHANY ESCAM ILLA 5097714324 $41-32 Prevention 9097 5097717634 ME AN WATSON 5097717634 $41.32 Prevention 9D&+ - ......... ........ - ...... 509�975242 ...... - CRYSTAL CRUZ . ..... 5097975242 ...... $41.32 Rec Coach - 8079 . ........ ......... ........... --- ----- 5097715038 .. ...... ...... .. ELEISER PANDO, .. .... . ..... ...... . ... .... ..... 5097715039 ......... $41-32 Re,c,,.Coa-c.h - 81079 5097930005 JAMIE MULLENIX $41.32 ...... ........ ...... . ......... ......... . ...... ......... ... ........ ........ ....... Total Rec Coach $82.64 SUD ......... HEIDI PINCKARD .... ........... .......... ........ ... 5094310572 .... .. . ... $8.33 SUD 5097079095 EDDY DEHERRERA 5097079095 (SUD Profess $41.32 SUP N.OE M,.1...GA1RC11A._-, .. 5097079162(SUD) ......... . ....... ......... 11 S41.32 .SUD .. . ...... 509,750-21545 ELA.INA_SANTACRUZ.. 15997502545 $51.51 SU........... ........ ........ 5097503006 ........ DALE WEAVER 5097503006 ...... 1 SLR 599 5 9926 KAT.HY1,1VERT.RE1ES, 5097509926 $51-51 SUD .5097703387 DARCI ALAMOS .5097703387 (SUD) $41.32 SUD .....1.....115-11 .. ....I...11 1.11.-1 01 9.1-71705969 .......... ELAN CLOY...... 5097705969 a......... $41.32 SLID 5098553215 ARASELI VERDUZCO ........... 5098553215 $51.51 SUD �509.85531276 MALEENA LOPEZ D 5098553281 IZAB ELLA VALDEZ 5098553281 $51-51 . ...... ...... - ...... .... ....... ........ ...... ....... --- --- . ........ .. ........ ...... ......... ....... ..... ... .... Total SUD $482.67 .WSe, 8059- 5..0..9...43-.1..7.240 ... I..,..... DE-EA-N....NA SANDOVAL .. .......... ......... ...... ..... ....... 5094317240(8059 ....... ......... ......... ....... $...41-32 WISe - 8059 5097073475 TATIANA HERNANDEZ 5097073475 ... . $41.32 WISe - 8059 5097602529 TYLER NAPIONTEK 5097602528 $41.32 WlSe - 8059 :5097604004 SELENE ACOSTA ....... ...... 5097604004 $51.51 WfSe - 8059 .5097611074 TAYLOR SCHRODT 5097611074 $41.32 ,W..[.S.e -,.8.0.59 ...... - . ... .. .... 5097611348 PALE PERKINS ....... 5097611348(8059) $41-32 81.-0.1.159 CASTILLEJ.. ...... ..... .........5------- 097611433(8059) ............---*.. ......... ----- $41.32 WISe - 8059 .WI .I.S...e.11 -1-1. 5097611607 1.. -..... -...... - JOSEPH FIELD i ....... ......- 1....... ........ .. ....... ........ ........ 509761107(8059) .......... ......... ....... ....... ......... .......... ......... $41.32 .W-IS,e 8Q59 5097700078 WISE SPANISH 5097700078(8059) ...... $4132 WISe - 8059 5097703407 ANAKAREN VAZOU EZ 5097703407 $41-32 .,WI.S.e - 8.0.59 5097703452 ROSARIO XOCHICALI CORTEZ .... . ..... 5097703452 . ....... I I .......... $41.32 .W11S.e - 8.0.59, .... . 7 7.0 4 3 3'.6 $41.32 WISe - 8OS9 5097704824 JESSICA CARLSON 5097704824 $41.32 W]Se - 8059 :5097705675 WISE ENGLISH 5097705675(8059) $41.32 WISe - 8059 5097715037 VERONICA GONZALEZ 5697715937 $41.32 WISe - 8059 1 ........ � I ....... ......... 5097715062 ARLENE BELTRAN 5097715062 ...... $41.32 LWISe - 8059 5097715334 CINTHIA LLAMAS $41.32 American Rescue Plan (Cares Act — ARPA) Today's Date: 6A/25 Vendor: Mental Health Center Kids El Received Supervisor Approval [I Scanned supporting documents [I File into binder [I Iteni(s) received x 6 11 Receipt Date: 6/4/25 Detailed Description: Grief Education for Children (Digital Copies) - for grief kits `Charge to A-ig'Month. 11 July 2024 0 January 2025 0 AUgUSt 2024 0 February 2025 0 September 2024 0 March 2095 Cl October 2024 0 April 2025 • November 2024 F-1 May 2025 • December 2024 0 June 9025 Deliverables: • General Taskforce supplies • Goal i: MH Literacy & BH Promotion • Goal 2.- Post 7ention • Goal 3: Perception/attitudes 11 Staff Travel / Professional Development Requested by:-,e5&4z0'Uf, 4—"Zf, Form of Payment jz vIsA **** 7348 0 In, :,oice (paid) Cl Invoice (needs paid) 0 Other: Charge Account: 1Z ARPA (g000) 0 Other: $ 12.00 Date- 6/4/25 6/25/2025 Supenisor Si*gnature: Date: Prevention Requisition Form Revised 07,2024 0 Food renew44hovia-el Roatth a UN&WIS Coping With The 5 Stages Of Grief x 1 I ftwp.�' Coping Skills For Grief x 1 Subtotal Shipping Taxes Total Customer information Billing address GRIS PREVENTION GRANT COUNTY PO BOX 37 Ephrata WA 98823 United States If you have any questions, reply to this email or contact us at mentalhealthcenterhome@gmail.com $3.00 0 -441% 2.00 USD 0 Amencan Rescue Plan (Cares Act — AR -PA) Today's Date: 6/26/25 Vendor: CAMS Care LLC Received Supervisor Approval 0 Scanned supporting documents F1 File into binder 0 Item(s) received Receipt Date,-6/26/25 D etaed escription. "CAMS Trained" virtual training for Bethany Avey ilD. `Charge to A:tg'Month,0 0 July 2024 0 January 2025 0 August 2024 0 February 2025 • September 2024 EJ March 2025 • October 2024 0 April 2025 • November 2024 0 May 2025 • December 2024 0 June 2025 Deliverables, 11 General Taskforce supplies ® Goal 1: MH Literacy & BH Promotion • Goal 2: Postvention • Goal 3: Perception/attitudes G( Staff Travel / Professional Development Requested by: 67 Super -visor Signature - Form of Payment 2 VISA **** 7348 0 Invoice (paid) 0 Invoice (needs paid) o other: ® Food Charge Account: 0 ARPA(g000) 11 Other: Date: 6/26/25 Date: 6/26/2025 Prevention Requisition Form 090 Revised 07.2024 renewaeora "*aid% stuallowls I Invoice number LOCIAOLI-0001 Receipt number 2742-1253 Date paid June 26, 2025 Payment method Visa - 7348 CAMS -care, LLC support@cams-care.com $419.00 paid on June 26, 2025 Bill to Bethany Avey bmavey@grantcountywa.gov Description Qty Unit price Amount CAMS Trained Paperback 1 $419,00 $419.00 Subtotal $419.00 Total $419.00 Amount paid $419.00 EIN - 46-5393746 CHECK: Please remit payment to: CAMS -care, LLC, 5712 Kingswood Road Bethesda, MD 20814, USA CREDIT CARD: Email support@cams-care.com include your name, phone number and invoice number ACH or WIRE TRANSFER: Capital One Bank, 10400 Old Georgetown Rd, Bethesda, MD, 20814, USA Account Number 13613 23560 ABA Routing Number 065000090 SWIFT CODE HIBKUS44 Thank you for joining us in our efforts to save lives with evidence based treatment, David Jobes & Colleen Kelly 2742-1253 . $419.00 paid on June 26, 2025 Page 1 of 1 American Rescue Plan (Cares Act — AR -PA) 4 P I Today's Date: 6/18/25 Vendor: Amazon Business 0 Received Supervisor Approval El Scanned supporting documents n File into binder © Item(s) received Receipt Date: 6/18/25 Detailed Description: Anker speaker/microphone `Charge to Aig'Month: El July 2024 0 January 2025 El August 2024 F February 2025 11 September 2024 1:1 March 2025 F October 2024 El April 2025 El November 2024 0 May 2025 0 December 2024 0 June 2025 Defiverables: 0 General TasUorce supplies 0 Goal 1: MH Literacy & BH Promotion 0 Goal 2: Post-vention 0 Goal 3: Perception/attitudes 0 Staff Travel / Professional Development Requested by: Supervisor Signature: Prevention Requisition Fon-n Revised 07.201-4 Form of Payment 2 VISA ****-7348 El Invoice (paid) 11 Invoice (needs paid) 11 Other: El Food Charge Account: U ARPA (goon) 13 Other: $ 86.78 Date: 6/18/25 Date: 6/18/2025 renewCk--'It ftivVier'o ""th 11 ULWurv".1 ama:on.com Details for Order #112-4837261-2637859 Order Placed: June 18, 2025 Amazon.com order number: 112-4837261-2637859 Order Total: $86.78 Not Yet Shipped Items Ordered 1 of: Anker PowerConf S330 USS Speakerphone, Conference Microphone for Home Office, Smart Voice Enhancement, Plug and Play, 36 0" Voice Coverage, Powerful Sound, Desktop PC Speaker, Online Meetings Sold by: AnkerDirect (seller 12rofile) Business Price Condition: New Shipping Address: Bethany Avey (Escamilla) 840 E PLUM ST MOSES LAKE, WA 98837-1874 United States Shipping Speed: FREE Prime Delivery Payment information Price $79.98 Payment Method: Itern(s) Subtotal: $79.98 Visa I Last digits: 7348 Shipping & Handling: $0.00 Billing address GRIS PREVENTION GRANT COUNTY Total before tax: $79.98 PO BOX 37 Estimated Tax: $6.80 EPHRATA, WA 98823-0037 United States Grand Total: $86.78 To view the status of your order, return to Order Summary . Conditions of Use I Privacy Notice @ 1996-2020, Arnazon.com, Inc. is 4 American Rescue Plan (Cares Act — ARPA) Today 's Date: 6/4/25 Vendor. Amazon Business Received Supervisor Approval 1-1 Scanned supporting documents 11 File into binder n Iteni(s) received Receipt Date: 6/4/25 Detailed Description: Brochure printer paper, essential oil, glass roller bottles, tissues, and shower steamers - items for grief kits `Charge to A19'Month: El JUIV 2024 1-1 January 2095 * August 2024 0 February 2025 * September 2024 0 March 2025 El October 2024 El April 2025 El November 2024 0 May 2025 11 December 2024 0 June 2025 Defiv-erables: 0 General Tasldorce supplies © Goal i: MH Literacy & BH Promotion 0 Goal 2: Poshrention 1 0 Goal 3 0 Percept' on/attitudes 0 Staff Travel / Professional Development Requested by: AA�e Supervisor Signature: 0 Prevention Requisition Forin Revised 07.2024 Form of Payment 4z visA **** 7348 0 Invoice (paid) F-1 Invoice (needs paid) [--I Other: 0 Food Charge Account: 1Z ARPA (goon) 0 Other: $ 1,415.28 Date: 6/4/25 Date: 6/4/25 *90 renewam* 94hovior,01 fitath a UJ*P111112 Billing address Total before tax: $1,304.57 GRIS PREVENTION GRANT COUNTY Estimated tax to be collected: $110.71 PO BOX 37 EPHRATA, WA 98823-0037 Grand Total: $11415.28 United States To view the status of your order, return to Order Summary. 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Order Placed: June 4, 2025 Amazon.com order number: 112-9868600-7584263 Order Total: $1,415.28 - - -- -------- - Not Yet Shipped Items Ordered 5 of: Ggbin .150 Packs Travel Size Tissues, 4 Ply Soft Facial Tissues Sold by: Ggbiners (seller profile) Supplied by: Other Business Price Price $24.99 Condition: Neva 30 of: Chenlion Chamomile Shower Steamers Aromatherapy 18 Pack, Relaxation Birthday Gifts for Women and Men, Organic $17.09 Essential Oils Shower Tablets with Individually Wrap, Relieve Stress, Relax Muscles Sold by: Chenhon-US (seller profile) Supplied by: Other Business Price Condition,- New 30 of: Chenlion Lavender Shower Steamers Aromatherapy 18 Pack, Relaxation Birthday Gifts for Women, Organic Essential Oils $17.09 Shower, Tablets with Individually tAlrap, Relieve Stress,, Relax Muscles Sold by: Chenlion-LIS (seller prortle) Supplied by: Other Business Price Condition: Nevv 3 of: Aura Cacia Ready -to -Use Lavender Essential Oil in Fractionated Coconut Oil I GCIMS Tested for Purity 1 4 fl. oz. $12.02 Sold by: TGSMO (seller profile) Supplied by: Other Condition: New 1 of: Essential Oils Roller Bottles I OOpcs 2ml 5/8 Dram Glass Roller Bottles Refillable Essential Oil Roller Bottles Amber, $29.99 Stainless Steel Roller Balls, Sample Roll On Bottles, Mini Roller Bottles, Vials Sold by, fonseca dorta 2021C LLC (seller proffle) Supplied by: Other Business Price Conditim Nevi 3 of: PPD 100 Sheets Inkjet Glossy Brochure and Flyer Paper 8.5x11 37ib.5 140gsm Professional Quality Double Sided Instant $29.39 Dry and Water -Resistant (PPD-72-1 00) Sold by, PhOLO Paper Direct (seller profile) Supplied by: Other Business Price Condition: New Shipping Address: Shipping Speed: Consolidated Shipping in fewest deliveries Payment information Payment Method: Item(s) Subtotal: Sif304.57 Visa ending in 7348 Shipping & Handling: $0.00 Contract #_ARPA SUICIDE PREVENTION Submitted to GC by: Reyna Gonzales Request for Reimbursement No. $11,739.51 Grant County's Subrecipient Checklist: State Auditor's Office Audit Procedures for Testing Activities Allowed And Not Allowed, As Published In 2007 Questions to ask before submitting a payment request Was the expenditure or cost: _X_ Made for an allowable activity under the grant guidelines? X Authorized (or not prohibited) under state or local laws or regulations? _X Approved by the federal awarding agency, if required? X Allowable per Circular A-87 (June 2004 version), Attachment B, items 1-43? For payroll transactions: X Does the employee's time and effort documentation meet the requirements of Circular A-122? _X_ Allocable to the program? (i.e., was the dollar amount charged to the program relative to the benefits received by the program? Is the federal grantor being charged its fair share of the cost?) _X_ Based on actual costs, not budgeted or projected amounts? _X_ Applied uniformly to federal and non-federal activities (i.e., is the federal government being charged the same amount as if non-federal funds were being used to pay the cost)? _X_ Given consistent accounting treatment within and between accounting periods? (Consistency in accounting requires that costs incurred for the same purpose, in like circumstances, be treated as either direct costs only or indirect costs only with respect to final cost objectives). _X_ Calculated in conformity with generally accepted accounting principles, or another comprehensive basis of accounting, when required under the applicable cost principles? _X_ Not included as a cost (or used to meet cost sharing requirements) of other federally -supported activities of the current or a prior period? _X_ Net of all applicable credits? (e.g., volume or cash discounts, insurance recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and scrap sales). _X_ Not included as both a direct billing and as a component of indirect costs? _X_ Properly classified (e.g., some costs may be incorrectly claimed as a direct cost instead of being incorporated as part of the indirect cost rate). _X_ Supported by appropriate documentation? (e.g., approved purchase orders, receiving reports, vendor invoices, canceled checks, and time and attendance records.) Documentation may be in an electronic form. _X_ Correctly charged to the proper account code and grant period? Page 1 Renew -July 2025 r$ Network& Security Services $ 1.186.19 System Administration Services $ 822,45 General Hetpdesk & Asset Management $ 14,548,80 System Ad ministration Services $ 1,265.62 Accounting Application- GP $ 663,84 Software as a Service $ 6,146.77 VOIP-PHONE 4,258.84 $ 24,63167 $ 28,8912.51 ACCOUNT 4152 $01.00 S 190.96 .108.150,00.0000.564.00,4152 564 122 23.249,22 108,150.000000.566,00.4152 566 0 - MHBO- 8053 2 381-92 Recovery Coach - Crisis - 8079 2 381.92 ARPA SUICIDE PREV BETHANY- 9000 1 000 190.916 0 HQLJSir1g--50%- CBRA 8078 0.25 47.74 Prevention - MC SUPTRS 9097 1 190-96 Prevention- City of Quincy 9064 1 190-96 7.25 24,633.67 Ednatics V01P Services (Phones] 1,93-00 4,258.84 ACCOUNT 22,07 4200 MHBG 182.00 564 4,016.11 SUD 0 566 - MH8G 2 8053 44.13 recovery each 2 8079 LW.13 ARPA SUICIDE PREY -Bet 1 9000.56651 22.07 Moses Lake 1 W97 22.07 4.148.51 $ 4,148.51 DCL- 3 8003 66.20, 8002 22-07 1. 8001 22,07 11. $ 4,253.84 $ 4,258.84 'A/ $0.00