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Home My WebLink AboutGrant Related - BOCC (003)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:K Stockton CONTACT PERSON ATTENDING ROUNDTABLE, Karrie Stockton CONFIDENTIAL INFORMATION: E]YES ® NO DATE. 10/20/2026 PHONE: 2937 ElAgreement / Contract EIAP Vouchers EAppointment / Reappointment RARPA Related El Bids / RFPs / Quotes Award 713id Opening Scheduled 7 Boards / Committees 0 Budget ElComputer Related El County Code E]Emergency Purchase E]Employee Rel. El Facilities Related El Financial El Funds El Hearing El Invoices / Purchase Orders ® Grants — Fed/State/County Ell -eases EIMOA / MOU ElMinutes 00rdinances El Out of State Travel El Petty Cash 1:1 Policies 7 Proclamations E]Request for Purchase 7 Resolution ❑ Recommendation E]Professional Serv/Consultant 7 Support Letter ElSurplus Req. DTax Levies 0Thank You's F-1Tax Title Property [:IWSLCB Reimbursement request from Renew on the American Rescue Plan Act (ARPA) in the amount of $12,138.32 for September 2026 Suicide Prevention services. El If necessary, was this document reviewed by accounting? 7 YES 1:1 NO R N/A I II I I it i :4 4 If necessary, was this document reviewed by legal? 1:1 YES 1:1 NO 7 N/A eZi.Z"��s'v'�Y,GI/��-/%� - �i � � �� ,s .. a3E%'� : i��0,4��.��/%��.°�''s%%/ ' _�... , /�-�'�?' '�. �2��1%/'/�.k???"-.�.G � i/%�:��!?%�-2�%� " ..�� DATE OF ACTION - loll DEFERRED OR CONTINUED M APPROVE: DENIED ABSTAIN D1: D2: D3: WITHDRAWN - 4/23/24 I I t:�Uu PO Box 1057 DATE: October 20, 2026 Moses Lake, WA 98837 INVOICE# 9/112026 Phone (509) 764-2643 Fax (509) 764-4124 BILL TO: FOR: Sep-20 Grant County Attention: Karrie S. Stockton PO Box 37 Ephrata, WA 98823 DESCRIPTION Amount units Total Amount ARPA FUNDS - SUICIDE PREVENTION SALARY & BENEFITS OPERATING EXPENSES $ 11,034.84 11,084.84j, ADMIN 11103.48 1,10148 Total 12,138-32 Thank you 1, 1. ACCOUNT TRANSACTIONS GL - TYLER REPORT 9000 YEAR PERIOD INVOICE DATE VENDOR VENDOR NAME ACCOUNT ACCOUNT DESC DOCUMENT TYPE STATUS AMOUNT FULL DESC WARRANT CHECK NO INVOICE 2026 9 9/3/2026 10643 CHELAN-DOUGLAS 108.0000.9000.566000OS41000, PROFESSIONAL SERVICES 33709 INV P *$2,775,00 1A100,.1.4 YMHFA Training RN092326 501316367 1002 501316101 2026 Prev Conf Casiq 2026 9 9/10/2026 9999 Mayra Casique 108.0000.9000.5660000.543000. TRAVEL 33296 INV P # $75.75 10.4302.5.4 Wenatchee RN091526 RN091526 501316100 2026 Prev Conf Slush 2026 9 9/10/2026 9999 Jesse SLusher 108.0000.9000.5660000_543000. TRAVEL 33295 INV P 0$75.75 10A302.5 A Wenatchee RN091526 501316099 2026 Prev Conf Tafoy 2026 9 9/10/2026 9999 Esperanza Tafoya 108.00=9000.5660000543000. TRAVEL 33294 INV P e$75.75 10.4302,5A Wenatchee 2026 9 9/3/2026 9999 GRANT CO 108.0000.9000,5660000.543000. TRAVEL 34358 INV P 41$202.27 1-4301.7.9 Davana Ruiz homewood suites duplicate 0 34358 2026 9 913/2026 9999 GRANT CO 108.0000.9000.5660000.543000. TRAVEL 34359 INV P #$179.67 10A301.1.11 Fernando Galarza homewood suites dupf 0 34359 2026 9 9/312026 9999 GRANT CO 108.0000.9000.5660000.543000. TRAVEL 34360 INV P 1* $202.27 10.4301.1.11 Marlsol Gonzales homewood suites dupl 034360 2026 9 9/3/2026 9999 GRANT CO 108.0000.9000.S660000.543000. TRAVEL 34373 INV P -$202.27 10.4301.1.11 Marisol Gonzalez homewood suites refu 0 34373 2026 9 9/10/2026 10814 CRYSTAL CRUZ 108.0000.90005660000.543000, TRAVEL 33293 INV P v $75.75 10.4202.SA RN091526 501316103 2026 Prev Conf 2026 9 9/9/2.026 11297 FERNANDO GALARZ 108.0000,9000.5660000.543000. TRAVEL 33308 INV P 0$182.15 10A302.5,4, 10A303.5A RN091526 50131610S 2026 Prev Conf 2026 9 9/10/2026 11435 MARISOLGONZALE 108.0000.90003660000.543000, TRAVEL 33291 INV P * $75.75 10A302.5.4 Wenatchee RN091526 501316106 2026 Prev Conf 2026 9 9/1/2026 15172 CMEDIA PRODUCTIONS 108.0000.9000,5660000,544000. ADVERTISING 32483 INVP a $7,317.00 10A100t1A RN090926 501315639 18-903963319 TOTAL EXPENSES 0912026 - 9000 $11j034.84 ADMIN 10% $1,103.48 777777 C"M .7,7777-7,4,4 , T., .", 1� f IN Contract #—ARPA SUICIDE PREVENTION Submitted to GC by: Joseph Coe Request for Reimbursement No. $12,138.32 Grant oun 's Subreci ient 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: 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----W Allowable per Circular A-87 (,dune 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-1 22? _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 (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) irements) 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 7; F R YOUTH DATE: TO September 3, 2026 INVOICE # 1002 4-1 f 00 * ( . q Dayana Ruiz Renew Behavioral Health 1441 E Yonezawa Blvd Moses Lake, WA 988337 T E ALL CHECKS PAYABLE TO: TOGETHER FOR YOUTH ij U M Together for Youth I PO Box 3525 1 Wenatchee WA 98807 1 Phone,: 509-662-7201 www.togethercd.org Type of Request* Supply Request (to be ordered by Renew Finance TeafTl) Gift Card Request Renew Credit Card Check Out (Employee to get card and ordf-,,-r) Prevention Credit Card Check Out. Prevention Promotion Credit Card Check Out Employee., * Dayana Ruiz Employee E-mail!�, druizOo-graritcountywa.gov Office to Deliver to; Item(s) Requested Item Requested* Quantity'* INVOIU; Togetherl for Youth Invoice If you do not have link, upload photo below If no link Is available please upload picture of request here Drao and drof.,) up ua 10 files fjore, uo '..w or Files (2 uploaded) InvooLe odt Link *0 elo;-s re **,new, Date Time 09/09/2026 Approximate Cost 2,7 7 5, 00 40,89KB 1221 - I 8KB Funding Source, if known: 112 9000 Reason for Request: Youth Mental Health First Aid facilitation costs for November 12, 2026. Date Needed By: * 10112/2026 ED Manager/Supervisor- * For Manager/Supervisor to complete Approve Deny Priority High Medium Low Supervisoes Signaturo * For Finance to complete Would you like Laserfiche to send an email with instructions? Total Paid `Yes No Expected Delivery Date Delivery Location MM/DD/YYYY 05 Finance Comments (for printing) Date 001111/2026 212 I TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: Imayra"casique Claimant's Dept.: IRENEW Purpose of Travel: 12026 Rural Prevention Conference j Destination: Wenatchee, WA MEALS DATE BF L D IE TOTAL 10 /1/2026 $12.00 $0.00 $21,00 $3.75 $36.75 10/2/2026 $0.00 $14.25 $21.00 $3.75 $39.00 $0,00 $0.00 $0.00 $0,00 $0.00 TOTAL 1 $75.75 1 CERTIFICATION 1, the undersigned, do hereby certify under penalty of perjury that the Maim is a just, due and unpaid obligation against the County, and that I am authorized to certify to said claim. Claimant Signature: Date: 0 TRAVEL VERIFICATION 0 0 1 0 TO BE COMPLETED UPON RETURN ONLY 1 .0 0 0 1, the undersigned, do hereby certify under penalty of perjury that the oplanned travel referenced on this form did, in fact, occur on and for the 0 (duration of the dates provided on this form. Additionally, I attest that I 00 the allowance provided prior to travel was rightfully owed to me as a. oresult of thI is travel. 0 Claimant Name: I 0 IClaimant Signature: 0 —0 IDate: I 0 rDepartments shall maintain a copy of this form. The travel verification 0 section must be completed, on the Department's copy, upon the I 0 employee's return from travel. The department shall retain the fully I (completed copy for six years or in accordance with the Washington StateO I Records Retention Sched mwj�11L�� ev w 2 �O� =-1�4�mR AWOW.ANWAr Ar2LArMNWffA=WJJ MILEAGE DATE FROM (CITY, ST) TO (CITY, ST) MILES RATE TOTAL $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 TOTAL I_ , $0-2__J *TOTAL REIMBURSEMENT CLAIM [' .::$75-752:] *Amount may be different due to rounding* Authorization required for Employees-, ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature: Date: Authorization required .for County Commissioners or Elected Officials: COUNTYAUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: a AN Training Travel Request S adva-re Empfoyoe Narni�: Today" s Date Crystal M, Cruz 08/07/2026 Employee Frnaif cmcruz@grantcounty.wa.gov Traininc N a m Location, 2026 Rural Prevention Conference Wenatchee, WA Who will be registering you';I* C,Opy and Paste link here h ttps:/Ilp. c on s ta nt c on tactp ages. co mle'v/ reg/93c 5m6x/l p/d 540501 c- 6e 5c -4346-830f- 66071 3e 1 a2.9 b If no di9dal sc�m and chop flyer- hire. Reqistraflon cost, 4 People (Jesse Slusher, Esperanza Tafoya-, Mayra Casique, and Crystal Cruz) $1251person $500 SUPTRS Will you be travolmo for this trili` 01 (1( Starl" of training, 10/01/2026 10:00 AM Travel lfifo Departing Date 10/01/2026 Hotel, Tr,insportation. Ecmd of tr-alwo"q, 04-:00 PIMA 10102/2026 renew 10/02/2026 hotel" .-Iny roorn block`� fm Ith's tVain' NIA (if requesting to take persons ll car, direct ,upervi!:mr. Si?,I)ATUte- 6 1'eqOff ed hiflow) Airfare-. How will this training add value to the organization? Crystal Cruz (Coalition Coordinator), Jesse Slusher, Esperanza Tafoya, and Mayra Casique (coalition members) plan to attend. This training will srrengt'hen our coalition's capacity by providing practical strategies and proven approaches that align with our work in youth engagement, family support, mental IMP health, rural prevention, community partnerships, and policy change. The knowledge, resources, and connections gained w.11 be shared wilth coalition members and applied to future programs and prevention planning in Quincy. ManagerlSo pervts- or Direct Swpervisor Sigtlaftjres P MA Director Co Send tav for approYv'al' Executive Staff Approval: Executive Staff Signaft.,frip. j TO BE COMPLETED BY DIRECT SUPERVISOR 08/25/2026 TO BE COMPLETED BY EXECUTIVE STAFF D 08/27/2026 TO BE COMPLETED BY FINANCE DEPARTMENT Notes for Fit -lance Department (To be Printed.+ Coniments, Crystal, please move forward with registering those that will be attending. You will need to contact Pipe, (or the credit card and I will move forward with lodging and per diem. RF 8/27/2026 COUNTY AUDITOR GRANT COUNTY, WASHINGrt"ON A 6�4> Pr � 0 0 0 Claimant: besse Slush Claimant's Dept... J NE",, Purpose of Travel. 202,6 Rural Prevention Conference I Dest'nation: Eenatchee, WA MFAI,lq DATE. B 1.1 1, 1) 1 E 10/1/2026 121.0 0 $0.00 $2 1.00 $3,75 t3&75 410/2/2026 $0,00 $ 14.2 "S $1.1.00 S1,75 $39,00 ------- ---- --- --- --- $000 tW 0 TOTAL 1, S75-75_1 CERTIFICATION 13 the, undersigned. do 4-relay cerbft1,141ti'der Penalty of Perjury that' the daim .s 41 iust dvue .1nd 1111plid Obhgltl()Vl AgaillSt the and' that 1 ai'n auth-orized to cortify tu s3le, im. 0ate. AWAUNWAP A~,W AWW AV'JWAW4'.*W AW AWW.V4PMWAr4~.W AWW10 WW*V."WW *00 *vow TRAVEL VERIFICATION it Ica Omp-mm- Vin—vauumy Q=_y fl'4 the undersigned, (Io hereby cerd, under penalty of perjury that the planned travel on tbis form did. in fact, occur on .and Mir the dul-atioa of th� daws pf-ovided on this form. Addiuoriallyb 1. attem that #theallliuwa rice provided prim to trave-1 was rightfully owd to me. as a fresult, of this Lravel_ Claimant Nanie: I.Cllaima t Signature. Fate: AW.OWW AV.WMW W.09W.W OWW 0 AWWW AP-AWNW.W 4~4�AMW AV A0001W Aftor dW .terW AW 40OW AV :-�4 0 Departments shall i-maintain a copy of this form. The trawel ver'Ification p section must he completed, on flie Dqmrkrnent*s copy: upon the eTnployee's iw-u rn frot r, r. ravel. The d e paru-ne tit shill retain the I'L11111y l"�mmileted Copy for or in accordanCe with the Washingtoll Statel 0 . irds Retention ScheduILLGS20 I I -'184 Rev, L,r ."W'W � Ar ~. 4W AWW aW AWW 4W.WW 4W."WAW 4 1w '"W AV takwff 40W -Ar 2�1 .W .00W.0 Amw Al NIMEAGR D Al E, FROM st) TO t(Ary, N.-n mi 1, L rl S I A 1 * TOTAL jJ Lo *TOTAL REIMBURSEMENT CLAIM ft., �tw to roundulf't Aathorlizart-Jon requo,,'ed for .ELECTED OFFICIAL, DEPARTNWNT HEAD, OR DESIGNEE' Name (Pri 11 Led).. Date- 01 It IA,uthorMaf,1011 I-etILUrf?d 1,01- COUNTY AUDITOR Ime (printed):' signawrt�: Dite: Authorization requit�ed for 6� Cou.ntyAud"-1.W)1. Department Head,,, mealrs- expense s omtskk� of lxavel zltw' and mit of SW'Urxijvel;,' COUNTY COMMISSIONERS commissioner: ChAirt-rian BOCC. Date: SEP 0 3 2�26 } k Training Travel Request renew 1 N-1 S T- bC. r Lto I rZCt'- vit-ot vy Employee Narne, To a Y, s pry Crystal M. Cruz '08107/2026 Employee Fmall cmcruzOmararr-countywa,gov Training Name- '2026 Rural Prevention Conference Wenatchee, WA wl"to "011 be registering you"? A F- Copy and Pa,,sto. Registration link hipre. https://Ip.cotistantcontactpage!i.comle.,v/reg/93c5ni6x,/Ip/d540501c-6e$c-4-'*14,46-8�Of-660713ela29b If no digital :>c-anT an(,f drop flye( 1114re. 4 ji .9 - - ( I 'e s G, OfLadt, "di Registration Cost, 4 People (Jesse Slusber, Esperanza Tafoya, Mayra-roque, and Crystal Cru.-Z) S125/person 0 )p $-0 SL TR Will you be traveling fo! this t4rainion? Start of tfaining ;End of trairnrIT4 10/01/2026 10:00 AM 10/02/2026 '04:00 PM Travel Info Departing Date 10/01/2026 Hotel, 17 Tranfsportation R; Qetuirninu 10 IT 2 / 2. 0 42 6 1 wil A ; % , i i . Arc, I hr-?rn, any rown bl,,,- k, f Or thl s Iraii Ong ---i c ho tr�� N/A Of reqs, e!atlns to tales`' Car, dfre(t Airf are-, 'How will this training add value to the 4.)rqianization? ...... .... . . ........... Crystal Cruz (Coalition Coordinator), Jesse Slusher, Esperanza Tafoya, and Mayra Casique (coalition rnernber5) plan to attend. This training will strengthen our coalft-lon's capacity by providing practical strategies and proven approaches that align with our work in youth engagement, family support. mental health, rural prevention, community partnerships, and policy change. The knowledge, resMrces, and connections gained will be shared with coalition members and applied to future programs and prevention planning in Quincy. Ru:/ TO BE COMPLETED BY DIRECT SUPERVISOR Manager/Supervisor E-mail druiz@gramcountywa,gov Estimated CostFunding suurcv. 9000 Training Approved - A` 4" y (- " s " -. Nr', Direct Supervl�,or Siynfattjrc'� A If 4�,M4 4 Director to send to for approval. De .......... Executive Staff Approval, "y r - 08/25/2020, TO BE COMPLETED BY EXECUTIVE STAFF Executive Staff Signature. Date. 08/27/20M _26 bell Av�eyA.*sool fri._ TO BE COMPLETED BY FINANCE DEPARTMENT Notes for Finance Department To be Printed CoryimenLs: Crystal, please move forward with registering those that will be attending. You will need to contact Piper for the credit card and I will move forward with lodging and per diem. RF 8/27/2026 Ci COUNTY AUDITOR GRANT COUNTY, WASH I INGTON A- tz..,P AF /,� Cl i a t r za TaLoja Claimant's Dept.; REN EW Purpose of Travel: 1 ?--0--2-6- -Rural Prevention Conference j Destinat'ion: e-natchee, WA MEALS D A1 "' H BF L I E TOTAL 10/1/2026 $12,00 $0.00 521-00 $3.75 $36,75 10/4"'/2026 S0,00 $14,25 S21-00 $3,75 S39J)o "0,00 - - ---- - ----- -------- --- ----- - -- - --- -- $0.00 TOTAL 1 1 -$75.75 1 CERTIFICATION I 1z UIC andersigined,, do heret)y cerWV under penia'4 ofperjury. 1,hot the claim is a just, dua and unpaid Obligation ag"1111st the County, and that I am authorized to certl�y to salid clairil. Claimant SignatureJ A-1 L 1w, 4", AW 40"W ir vow 10, J00W AW j~;4K A~ A0 4wwo' 4ww� I " '.' ..' ,60- �6" ' ,.w " '00W A. W r TRAVEL VERIFICATION M ff OBL!L ETEP U20S UI:UBN ONLY kin c ensined, do hereby certify under penalty of perjtitry that dut 1pla:rindd travel refeTr-.nced on th's form did.. in fact, occur on and tor flie Idaration of ill dates, provided on this fbrtn� Additionally, 1. ate-.�t that itbe alkla�rance prov'lded prior to travell was righdful'*owed -z - o me as a fresult of uhis travel, ,Clal,manr Signawre: 0 Da tc: 1W Ar d~4f "M NP 4MWW A~ 0 dOW ArAMW W?* Ar AMW AW AWMr.0- AWW dV AMW dW AMW Ar MOW A-40"W4 Departeats shall maintair. a ctipy of tbis, forin.Tfie travel veri.fication SerCtforl, MuSt be cMplet(ld, on the E)ep.a.rtmenCs rt py. utpml the omploy-ee's return. rrntn truvel. The dopartinent sh4ll retwain orle t'llilly it -tee mnn for six years or in acL()1-d51'VCW"Nashington UatJ CC= -U .-h t the ' Records Retentiun S". hedule (GS20 11- 184 Rev. L r AP AWW W 40W Ar,~,W MW Wr'.*WW ~ AWftft ,W A~,W A~ *0 AWWJ,W iLl O.ANWW AW a~ MILEAGE DATE, FROkA o-nry,, s-r) T cs"r# ry; vt MILES R AT E 1*0TA L t1025 SOA10 -i 0. 7 2:')' 1$ 0, 0 01 $0725 $ojlf) — — A *TOTAL REIMBURSEINIENT CLAIM [.$75.7L,�j "Arnount Authorization required for 'Eniployee,,�- ELECTED OFFICIAL, DEPARTMENT HEADo OR DESIGNEE Na.ni.e (printed): SiulUitff e Date: 1COUNTY AUDITOR IName I n ted). Signature: D;atel, Authorizatrion requf4rk-d for t-he Courity Auditor He;itk, expenses q 10,L1u;idr- of travel .4�tatus, and ow, of state trave.' COUNTY COMM ISSIONERS commissic-Mer Chalrma.n 13OCC: Date. SEP 03 2026 Training Travel Request T r 'w"ki nc' (Must bu� r�%cejvecl 30 days ir, adjwirwe) Wu-st be receAjori 90 is Avar(Q) Employec- Name, To d a y "s D a t e Crystal M. CrUZ 08/07/2026 Em. ail,* crncruv@)grantcountywa.gov Training Name L o c a 411'. o 2026 Rural Prevention Conference Wenatchee, WA Who wM be registenng yotO', F Copy and Paste Regisfiraticin IHA herre- fittp�:/Ilp.cot)stantcontactpages.Com/ev,reg/93c:5m6xAp/d54O5O1 C46e5C-4346-830f-6607130 a29b I f no digital reowstrafion, ajro t:'jrop 4yor Prre, o�,-I 1jP (c., 10 lnvt c' to LIP110,1-d of, F I 1r d d) Regi-stration Cost---"" 4 People (Jesse Slusher, E-speranza Tatoya, Mayra Casiclue, and Crystal Cruz) $125/person� v5oo surm Will YOU be. traveling for th6-* lr&tinitqf� Nr� Shut of training Eiid of traIm,.cq 10/QT/2026 10: 00 ANI 10/02/2026 04:00 PM Travel Info 0 e P a rl in a Mahe e :10/01/2026 Ret-Jrnmg Date Am thero anii woln blocks for thi, 1'---auoinq ml a N/A (if requesting to towke pe, car, direct s,-a; e., V`v�� ' I f U How will this training add value to the organization? Crystal Cruz (Coalition Coordinator), Jesse Slusher, Esperanza Tafoya, and Mayas Casique (coalition mernbers) plan to attend, This training will strengthen our coalition's capacity by providing practical strategies and proven approaches that .ilign with our work in youth engagernent, family support, mental health, rural prevention, COMMUnity partnersh'ps, and policy change. The knowledge, resources, and connections gained w4l be shared with coalition mernbers and applied to future programs and prevention planning in Quincy, Man age r/Su pervisot, Javavma P,f TO BE COMPLETED BY DIRECT SUPERVISOR Managerf$upc,rvisor E-mail d ru'z@g I grantcountywagov Estimated cest., Raiding sourcv: 9000 Training Approved-, ye F D i r e, c t Supervisor Signature. 08/2'5/2026 Diroctor to send to for approval, Executive Staff Approval yc-'4 Executive Staff Sigflature. �ell AoJe.-Y-3ool M.C�, ORC-o TO BE COMPLETED BY EXECUTIVE STAFF Date 0 812-71420 2 6 TO BE COMPLETED BY FINANCE DEPARTMENT Notes for Finance Department (To be Prmtcdl Crystal, please move forward WILh registering thane that will be attending, You will need to contact Piper for the credit card and 1 will move forward with lodging and per diem. RF 8/271 026 . . . ...................... ............. . 7127126, 11.37 AM Manage Reservation - 81550956 I You're all set, Piper! Confirmation number: 81550956 We sent the details to p****sGgrantcountywagov.. Hotel Information Homewood Suites by Hilton New Braunfels 620 Oxford Drive New Braunfels, Texas 78130 USA +1830-627-4424 Stay Information AUG AUG I MON WED Check -in: 3 pm Check-out: 11 am Early check -'in cannot be guaranteed. Contact the hotel to inquire about early check -in or late check-out. 3 rooms for 6 adults Room and rate I 1 King Studio Suite Nosmok $328.00 Honors Discount Room and rate 2 1 King Studio Suite Nosmok $328.00 Honors Discount Room and rate 3 1 King Studio Suite Nosmok $328,00 Honors Discount Total room charge $984,00 Total taxes and government charges $149.97 Guest information Piper Scroggins Hilton Honors#-. 2842651255 Room 1 additional guest: DAYANA RIZ Room 2 additional guest: FERNANDO GALARZA Room 3 additional guest: I' AR GONZALEZ Total for stay: $1,133.97 httnq,//www-hilton.com/en/book/reservation/mana.qe/ 1/2 7/27/26, 11:37 AM Manage Reservation - 61550956 Payment 'VisA 6613 Sep 2027 Guarantee policy There is a Credit Card required for this reservation. If you use a debit/credit card to check in, a hold may be placed on your card account for the full anticipated amount to be owed to the hotel, including estimated 'Incidentals, through your date of check-out and such hold may not be released for 72 hours from the date of check-out or longer at the discretion of your card issuer. Cancellation policy Free cancellation before 11:59 PM local hotel time on 09 Aug 2026. At check in, the front desk will verify your check-out date. Rates quoted are based on check -in date and length of stay. Should you choose to depart early, price is subject to change. We reserve the right to cancel or modify reservations where it appears that a customer has engaged in fraudulent or inappropriate activity or under other c'ircurnstances whereit appears that the reservations contain or resulted from a mistake or error. Totals listed here are estimated based on current taxes, government charges and exchange rates (if applicable) and do not include additional fees/charges that may be incurred during your stay. Optional services for an additional charge Self parking Complimentary Pets Pets allowed, $125.00 non-refundable fee httn.c;-//www.hilton.com/en/book./reservation/manaqe/ 2/2 7/27/26, 9-55 Al new braunfels civic center to homeNood suites new braunfels - Google Search I ro.*) ve new braunfels civic center to homewoo X Y Lis 0 0, W 6#0 Al Mode All Maps Images News Forums Shopping More Tools "k Get there 0 New Braunfels Civic/Convention Center, 3-/ oo d Suites by Hilton New Braunfel 11m (4.2 m-1) via 135 N Frontage Rd and FM1101 N Public transport Walk 1h 32m Of Cycle 28m v People also ask Is Homewood Suites a luxury hotel? What famous people live in New Braunfels? What is the majority race in New Braunfels, Texas? What is the home2 suite in New Braunfels? httr)s://WWW.QoOQle.com/search?q=new+braunfels+civic+center+to+homewood+sultes+new+braunfels&sca esv=f94dlec99919efdf&rlz=lCIGCEAe... Pipler M. Scroq2ins 0 From: Homewood New Braunfels <nbhomewood@gmaiI.corn> Sent: Tuesday, September 1, 2026 2:17 PM To: Piper M. Scroggins Subject: Re: Action Needed- Request for Written Explanation of Credit Card Charges Hello Piper, Of course; you can use the following: Piper Scroggins made reservations with me (Chris Brooks) at the per them rate for three rooms and I was instructed to cancet the reservations she had already made. I went to make those canceLizations and could not find them, I thought maybe she had canceled them or was mistaken. I meant to reach back out to Piper to resolve the issue but another task took my attention. Those 3 reservations were still in our system and went to a no show status, charging the first night. Piper contacted the hotel after check out to ask about those extra charges and we found that those were the reservations that were supposed to have been canceled. We refunded those no show charges on 8/30 as they should not have been charged and should have been canceled previously, I apologize for the time needed to resolve this. Thank you for reaching back out about the issues, we hope to see you back at Homewood Suites New Braunfels soon, o Christopher Brooks Commercial Sales Leader Homewood Suites by Hilton 620 Oxford Drive New Braunfels, TX 78130 Vk A (830) 62Z4424 F (830) 62Z4417 On Tue, Sep 1, 2026,at 4:00 PM Piper M. Scroggins <pn-)sci-ogginsgrant cOLintyw,-r).go\/> wrote: Hello, I wanted to reach out and thank you for your assistance in resolving the charges on our credit card and for issuing the appropriate refunds, For our records, our Accounting team is requesting some additional documentation regarding 'the charges. Would you please email me a brief but detailed explanation of what occurred with the extra charges on our credit card, including what the charges were for and why they were initially applied? I previously reached out by email regarding the charges so that we would have documentation of the issue, and we appreciate your assistance with this. As of now, we are simply looking to have a written explanation from the hotel for auditing purposes and accounting records. A brief email outlining what occurred would be greatly appreciated. Thank you again for your help, and please let me know if you need any additional information from me. Sincerely, Accounting Technician Finance Department Ph: 509.765.9239 ext. 5353 1441 E. Yonezawa Blvd. Sf,e. 3 Moses Lake, WA 98837 0 IMMIMMI .dmmki.. ^ Grant �k.-hovloral Hao%t� 6 2 Piper M. Scroggins ------- From: Piper M. Scroggins Sent: Tuesday, September 1, 2026 2:01 PM To: nbhomewood@gmall.com Cc: Piper M. Scroggins Subject: Action Needed- Request for Written Explanation of Credit Card Charges Hello, I wanted to reach out and thank you for your assistance in resolvinct the charges on our credit card and for issuing the appropriate refunds. For our records, our Accounting team is requesting some additional documentation regarding the charges. Would you please email me a brief but detailed explanation of what occurred with the extra charges on our credit card, including what the charges were for and why they were 'Initially applied? previously reached out by email regarding the charges so that we would have documentation of the issue, and we appreciate your assistance with this. As of now, we are simply looking to have a* written explanation from the hotel for auditing purposes and accounting records, A brief email outlining what occurred would be greatly appreciated. Thank you again for your help, and please let me knowif you need any additional information from me, Sincerely, Accounfing Techn*16an Finance Department Ph: 509.765.9239 ext. 5353 1441 E. Yonezawa Blvd. Ste. 3 Moses Lake, WA 98837 Gront Seboviceol Health $ wlul!nw�s 8/28/26, 4:50 PM Sent Items - Piper M. Scroggins - Outlook *_ Outlook Credit Card Charges From Piper M. Scroggins <pmscroggins@grantcountywa,9ov> Date Fri 8/28/2026 4A9 PM To nbhomewood@gmaii.com <nbhomewood@9rna11.com> Dear Hotel Management, I am writing regarding a billing issue surrounding several reservations I made for three of my employees: Dayana Ruiz, MarisQl Gonzales, and Fernando Galarza, for stays from August 10-12, 2026. When I initially contacted the hotel to make these reservations, i was told that I needed to speak with the Sales Manager because I needed the government rate. I was also instructed to provide a work order to verify that the employees were traveling for business purposes rather than leisure. I provided the requested documentation, but I had to call back several times before I was able to reach the Sales Manager. Before I was able to speak with the Sales Manager, I was advised by front desk staff that, in order to secure the rooms and ensure that rooms would be available for my employees, I should make the reservations online. I was specifically told that once I did so, the Sales Manager would be able to update those reservations to the government rate. I followed those instructions and subsequently spoke with the Sales Manager. Ne explained that he needed to create a. separate reservation for our group in order to apply the government rate. However, I was assured that the original reservations I had made online would be canceled. Based on that assurance, I believed everything had been taken care of and that there would be no duplicate charges. Unfortunately, when reviewing my credit card statement, I discovered that I was charged six times. I contacted the front desk and was informed that the original %0 reservations had not actually been canceled. Instead, my clients were marked as no- shows and I was charged no-show fees, in addition to being charged for the actual stays under the new reservations. I understand that the hotel may have policies regarding no-show reservations, but in this situation, I relied on the 'instructions and assurances provided by hotel staff. l did httn%-Ilotitlook.office.comlmaillsentitemslidlAAkALgAAAAAAHYQDEapmEc2byACqAC%2FEWgOA9ZliiLe2rU2S7CmZtOWYIAABX3BPxQAA?nativeV... 1/2 8/28/26, 4:50 PM Sent Items - Piper M. Scroggins - Outlook not 'Intentionally maintain duplicate reservations, nor was I informed that, the original reservations had remained active. The front desk attendant I spoke with was very helpful and advised me that she would discuss the matter with her manager in the morning and request that the no-show charges be refunded. I am following up in writing to formally request that the duplicate/no-show charges be reviewed and refunded. I have the confirmation numbers for all of the reservations, as well as the amounts of each charge, and I would be happy to provide those details to assist with your review. Please let me know if you need any additional documentation, 'Including the work order or credit card statement, to resolve this matter, Thank you for your time and assistance. I appreciate your help in correcting this billing issue. Sincerely, Accounting Technician Finance Department Ph: 509.765.9239 ext, 5353 1441 E. Yonezawa Blvd. Ste. 3 Moses Lake, WA 98837 AO*& G;rorkt 00-houlot-Iol Heoith 6 Wellrooms httos:lloutlook.office,comlmaillsentitemsll.dIAAkALgAAAAAAHYQDEapmEc2byACqAC%2FEWgOA9Z 1 iiLe2rU2S7CmZtOWYIAABX3BPxQAA?nativeV.,. W2 Aoe 831) " �p21 - 492� �tYu� r�funder�i our acc,ota,�t- �uY - 910 Toll 0 '6 0 9 1. L L 1 10 7, *7A I L> & f 4- -1 z; -PP , 'i A COUNTY AUDITOR GRANT COUNTY, WASHINGTON (lainiant.- I crystal (','rLIZ claimant's Dept.: [�l w Purpose of Travel: 12026 Rural Prevention Conference Desti nation: [Wenatchee, WA MPALS DATF.- B F L D 1E TOTAL 10/1/2Mai 26 $1 2-, u 0 $0.00 snoo $3,75 536.75 10 2:0:2 6 $0.00 $1L 4.25 ------------ $2LOO $3.75 V3 9 - 0 0 U.00 $0.00 TOTAL 1 $75,75 j MILEACE FROINIKITY'S'll TO! :-Jm ?41 L F, S JOTE TOTAL *50.725 $0J00 Sf)SOW $V25 $0.00 $ 0. 0112 5P $0.0, TOTAI-j- SO-00 I *TOTAL REIMBURSEMENT CLAIM $75,7 5) 4kriu,unt may be (Iitlercmt due to roundlng* C ,c " EWIFICATION Ar ut-homal ior rqw eeLir 'EnrA , fo't 1 1. ye 1. the undersignvd,- dohereby certi6,unrler pvnalty Of PCITIJUI-yrtrlalL ELECTED OFFICIAL, DEPAIATIM.. IT HEAL), OR DESIGNEE ,.]i,iim is a)uit, due aod unpaid oblig'al"Joll agmw",( 0he CouOtY, and that I arn audwrized to cert-Ify to,,;aid claim. Name (printvd)-, vKf Sigmtum 7 D a 't q 110 12,� r W AVOW AWAWW JWAMW A*~ APJ"OWAW "OWAO'A~ AV -0�,0+4WW TRAVEL VERIFICATION 'U V L20—BLO"I ...Q IJPON,RE7' N,Qi�V.LY #1 the un,dersigmed, do herioby cert�,, under jr.-wilaity of perjury that the ItAmmed travel referenced on this form clid, in hart,. vmuon and A.jr tfie Idgyration of the dairev. pr(wided on this form., Additionally, I atte,,¢t that itie. allowance prcivided prior to traveL mis rightfidly owed w tile as a iresult of this trjvcl f0airnwit Name: ,Ckairnant- Sionature: Mt iDate- 0 A# ANW.AW ANWA'A~ W AWW W AftV W AMW W I~ W AVOW W."w AV Abftwl�w 44mw 40 4 1 DvpartmenLs shall maintain a copy of this form. The travel vvriffi(aumi secdon Imust be completed, on. the Dcpx-tmvm'� co P *V, upon thu, Ic mpleted copy fur six yf.,,ar.s tw in aCcordancu with the 'A,ashington Statol A uthorl-4ii T, i oi 1�1-eq tit iree, for County C(mmissfollers, or Plected official''S.- COUNTY AUDITOR lNarrie (printed): Signature: Date; Auttit z,,ithm reounred for the Coomw I 4 .. Au&tor- ()epartment Heads, rnel-fls lou(side of travel Status, do d out of tatle travel. COUNTY COMMISSIONERS Commissioner Commis,stour: Gar in? BOCC. D LA t e,, Training Travel Request Employee NarnA. Tc)day's Dato Crystal M. Crur 08/07/2026 Employee Eniall MCrU7@grantcountywa.gov Training Name, 2,026 Rural Prevention Conference Wenatchee, WA Who will be rf!gisterinq You'? Copy and Pwste Regisftation fink hi,,rel ,9 https://1p,t,o nstantc 0 n ta c tp ages � c /ev'r omeg/9 3 c Sm 6x/l p/d 540501 c-6eSc-4346-830f-16,6071 3el a2 b If no digital ron alfon. s'cafl ar'ul drop flyeir bere. -i3Mv', d dvc-qp up in 10 1110- 1-07r` L. L J Regis t ra tion Cost-� 4 People (Jesce Slusher, Esperanza Tafoya, Mayra Cacique, and Crystal Cruz) S125/person aw $500 Si,. PTRS Will you be travefling for this tratir-giog' Start Of (rill(1111 "J 10/01 /2026 10:00 AM Travell Info Departing Date 10/01/2026 1.1 rn A E'Ail of tralf-fil,19 10102/2026 04:00 PM I W02/2026 A A r p q, h e t e any top ,-, biork; (ior N/A 'Itt �nL (If requesting to t3ke Pe WWI Of', dlf'e(t _1 � ;S feCjud'ed 1>'_'kAA Airfare: yfTS How will this training odd value to the orrani zzation? Crystal Cruz (Coalition Coordinator), Jesse Slusher, EsperanZa Tafoya, and Mayra Casique (coalition members) plan to 0-ttend. This training will strengthen our coalition's capacity by providing practical strategies and proven approaches that align with our work it) youth CrIgaigernent, family support.mental, health, rural prevention, community partnerships, and policy charge. The knoMedge, resources, and connections gatned w1,11 t)e soared with coaliti.0r) members and applied to future programs and prevention planning in Quincy. a r iai a P, r! S u pe ry i %o Dayf-jr-,,! R;Wz TO BE COMPLETED BY DIRECT SUPERVISOR manager/supervisor E-mail drui.z@graritcouiitywa.gov Estimated Cow ICI Training Approvea- Direct Supervisor signa"kIrc". 08/25/2026 Director to send tci tot appl-aval 0ga! i Af i-; ( 'S TO BE COMPLETED BY EXECUTIVE STAFF Executive Staaff Approval-, Executive Staff Signature: Date 08/27/2026 bell n TO BE COMPLETED BY FINANCE DEPARTMENT Notes for Finance Department jo be Printed' W ""RAVEL ALLOWANCE CLAIM C, COUNTY AUDITOR ;ij, GRANT COUNTY, WASHINGTON 4,e 9 " Ll Claimant, do Galarza Claimant's Dept.: RE N EW Purpose of Travel: 2026 Rural Prevention Conferenc Destinatioll., -hee Fwnatc '`A MEALS DATE BF L It." TOTAL 10/1/2026 $12.00 $0,00 -D $21.00 $3.75 $36.75 10/2/2026 $0.00 -- -- ---------- $14,25 $21.00 $ 3. 75 $39,00 $0.00 $0.00 $0.00 $0. - 0 - o ----- TOTAL 1 $75.75J CERTIFICATION 1, the undersigned, do heret)y ceitify tinder penalty of per that0e 0 clalm is a)ust, due and unpaid, obligatiour arizinst the County, and that I am authotized to certif I y to sat clalzn. Claimant Signature: Date .ff AUWW4ftWW AMWoW "W WAMW W#01W WAWWW4ftNWW ~Wa"W WJ"WW MW W IMM -W.IMW TRAVEL VERIFICATION TO HE CRRPLEM, 0 UEDA RMRN- QN,0f fl, the underidgaed, do hereby certify under pen-alty ofperjury that the 0 1planned travel referenced on this form did, In fact, occur on and for the I oduration of the dates provided on this form, Additionally, I attest that the 0 1 0allowance provided prior to travel was rightfully owed to me a�, a result 0 1.0f this travel. Claimant Name:, 0 010aimant Signature: 'Tate: #*,MWOWAWWJWAWWAW^WWAWW4W4MWWAMW aWAWW AV Departments shall maintain a copy of 01s form. The travel verification section must be completed, on the Department's copy, upon the 0 employee's return from travel. The depa-runewit shall retair, the fully 0 completed copy for six years or in accordance with the Washlogton State Records Retention Schedide (GS AA0181wl 1 - 1 11,40R e v L.•.�M.....~A'rAWWAPAMW4r�.W.~4W.MWWAMW AWMW 4~4��Ar.=W.WAWWJ MILVAGI? DATE PRONt (CITY, S-4) TO (ciTy,.eir) M I LES RATE TOTAL 10/1/2026 Moses Lake, WA Wenatchee, WA 70.00 $0*760 $53,20 10/2/2026 Wetiatchee, WA Moses L41ce, W,A 70.00 $0.760 S.") 3 . 2 0 $0,760 S0,00 $0.760 $0.(-)o [$01 601 $0.00 TOTAL 1 $1.06,40 1 REIMBURSEMENT CLAIM $182.1 s- *Amount may be different due to rounding' - -------- -- --- --- Autliorization required for Hniployeest- ELECTED OFFICIAL, DEPARTMENT READ, OR DESIGNEE Name (priTIted): Signature; Date: Ilb- Z �2 Author izatkon required for County Commissioners or Elected Official.qY COUNTY AVDITOR IName (printed): Signature: MCI t e -* Authorization reqtjlred for the County Auditor, Department Fle4ds,, ule& expenses outside of travel stattLi, and otit of state travel: COUNTY COMMISSIONERS Commissioner: Chairman BOM, Date: rs a Training Travel Request -State Training -of State Trai n OLA ning (Must., be received 30 days in advance), (Must be received 90 days is advance) Employee Name:* Fernando F_ Galarza Employee Email* ffgalarza@grantcount.yvia.gov Training Name: Small Towns, Big Impact: 2026 Rural Prevention Conference Who will be registering you?* I am already registered, I 011 register myself prior to event, Finance department will register me. Copy and Paste Registration link here: https,,//Ip.coristant,,contactpages.com/ev/reg/93c5i-n6x If no digital registration, scan and drop flyer here. Registration Cost: $125 Will you be traveling for this training? Yes No Start of training 10/01/2026 ff—I hh:mm A 01 Travel Info renew ` Vebinar V Today's Date. JUL 2026 06/26/2026 rV Location. Confluence Technology Center, 285 1'echnologv Center Way, Wenatchee.. WA Drag and drop up tc) 10 files hefe- to woload tar End of training: 10/02/2026 121 hh-mrn A Do -parting Date: Returning Date: 10/0,112026 E, hh,.mm A MMIDDIW(Y hfurtun A 01r Hotel: * Are there any room blocks for this training at a specific hotel?* Yes No N/A Transportation-, * Personal Car Company Car Not Applicable (if requesting to take personal car, direct supervisor signature is required below) Airfare;` Yes No 112 Now will this training add value to the organization? * learning more about rural prevention that will help us in our community outreach in Grant County, ManagerlSupervisoT * ManagerlSupervisor E-mail druiz@grantcountywa.gov Estimated Cost: Training Approved:* Yes No TO BE COMPLETED BY DIRECT SUPERVISOR Funding Source: to1Hl3H Direct Supervisor Signature: Datc * If 0612612,026 PIMA- .4LP Date-, * 06/2612026 C3 Does this need to go to Manager before approval? Yes, to Manager prior to ELT No, To ELT directly ELT approved, send to finance direcOW I Director to send to for approval:* Dell Anderson TO BE COMPLETED BY EXECUTIVE STAFF Executive Staff Approval:* Yes No Executive Staff Signature,* Date. * bell AoJe(�oAl M.al LMC 061026/2026 rf!l 212 Raque- Fide From: Dayana Ruiz Sent.: Thursday, August 27, 2026 2:35 PM To: Raquel Fike; Reyna Gonzales Cc: Marisol Gonzalez; Fernando F. Galarza Subject: Rural Conference He lox Recognizing that the block grant has already approved for MOT to travel to Rural Conference., I woutd like to confirm that travel costs will. be designated to ARP A (9000). These expected costs may include lodging, meals, registration, and mileage, If you have any questions, ptease feet free to reach out to me. Thank you, Dayana Ruiz Performance Exce(Lence & Communications Manager Ph: 509.765.9239 x5335 1441 E Yonezawa B[vd - Moses Lake E-MAIL CONFIDENTIALITY NOTICE: TfAe contents of thintail and any attaclinionts care intended solely for tfie addressee(si and qm,ay coa,mairl confidential and/or Legally priv'teg is Of f is n,-iessage has been adr1ressed to I ,ed infowmation. It you are, not the intended recip on" of Mi '0 *'f th' you in error, please 'untriediately alert flie sendeir by 4reply e- mail and then delete tlns, rritelsscage and amy attarctiment, s. If you are nr,;,+ vrw inrPnOrn recipient, you are notiflcd that acny wic, disswinnination, distribution, copywq-,' or slciraole of tf)is 1.1- 3 r n chni ct i I S -ST rlt�- t ty liUM'A 1 r TRAVEL ALLOWANCE CLAIM 626 COUNTY AUDITOR V. GRANT COUNTY, WA H I TON ---------- N Claimanta Mari Gonzalez Claimant's Dept.0 IREN E Purpose of Travel: 12026 Rural Prevention Confereiice Destination: I Wenatchee, WA MEALS DATE BF L 19 I-E Torl *AL_ 10/1/2026 $12.00 $0.00 $21.00 $3.75 S �3 6.7 5 10/2/2026 $0.00 $14.25 $21.00 $3.75 $39.00 $0.00 API 0.00 $0,00 $0.00 $0.00 CERrl"IFICATION 1, the undersigned, do hereby certify under penalty of perjury that 01C claim is a just, due and unpaid oblirgation agar inst the u L-h-aL am authorized to certify tosaid-claim. Claimant Signature. rMWAW.MWWAMMO WA0WWAftW.V4MW 0 TRAVEL VERIFICATION TO BECOWLETE L) - UPON RETURN ONL Y 0 0 1l, the undersigned, do hereby certify under penalty of perjury that the I oplanned travel referenced on this form did, in fact, occur on and for the o Iduration of the dates provided on this form. Additionally, I attest that I f the allowance provided prior to travel was rightfully owed to MeRS iJ 0 $result of this travel. ICIMmant Name: lClainiant Signature: 0 jDate 0 F ~A►.MW 0 A 4r AW W.MW W AMW W *"W W ~ W AMW r jOW WftW W AMW W ~ W~~ AWr 0 Departments shall innintain a copy of this form *rhe travel verification. 0 SeCdOil MUSt be C0111PICLed. Oil Lhe Department's copy, upon the 0 1 Clinployee'S ITAUI-11 frol'11 travel. The department shall retain the fully I ocompleted copy for six years or in accordance with thc� Washingtoti Statef l Records Retention Schedule C.S2011-184 Rev. 3). 1 104ir AMW A AWNWAF 4MWArAMW MW Ar AV ANOW 4W4MW AF 4MW A10b AMW.RP AMW JP'40W W ANWMr AMW Ar AM MILEAGE DATE F RO N'T if c rry, ST J TO (ci ry, s-1 MILES RATE TOTAL W725 $0.00 $0.725 $0,00 $0,725 $0,00 ------ ------ S '0 _725 MOO $0'.7125 $0.00 *TOTAL REIMBURSEMENT CLAIM 75.75/ a "Amount ni-ay he (fifferent due to rounding* uthorization required for Eniployces: JELECTED OFFICIAL� DEPA RTNLEATIlEAD4 OR DESIGNEE Name (printed): sig'natilre: Date-, Atithorizatiori required for CoutiLy Commissioners or Elected Officials; COUNTY AUDITOR INarne (prinLed): Signature: 0 Date: Authorization required for the CnllnLy Auditor, Department Heads, meals expenses r outside of t-avel status, and out of state travel, COUNTY COMMISSIONERS Commissioner Cot,nmissioner: Chairman BOCC: Date.- a Is Training Travel Request In -State Training Out -of State Training (Must be received 30 days in advance) (Must be received 90 days is advance) Employee Name: Marisol Gonzalez Employee Email mgonzalez0grantcountywa.gov Training Name: * Rural Prevention Confrence Who will be registering you? I any already registered. I will register myself prier to event. Finance department will register me. Today's Date, 06/26/2026 Locatiow * Wentachee Copy and Paste Registration link here: https-,//lp,coristantcoritar,tpage.s.com/`e-v./reg/93c5m6xilp/0540501 c-6e5c-4346-$30f-6607,13e I al Ifrio digital registration, scan and drop flyer here. Registration Cost*.* 125.00 Will you be traveling for this training? Yes No Start of training 10101/2026 C-5 08-00 AM 011 Travel Info Drag and drop up to 10 files here to upload or t2i Webinar End of training: 0'71021202 l 05:00 PM renew Departing Date: Returning Date: 10101/2026 -3 - 07:00 PM 1 W0212026 C 06,00 Pki G; Hotel: Are there any room blocks for this training at a specific hotel? Yes No no Transportation.- * Personal Car Conipar.y Car Not Applicable (if requesting to take personal Car, direct supervisor signature is reqwred below) Airfare: Yes No 1/2 How will this training add value to the organization? * Connect with prevention professionals, educators, behavioral health providers, coalition members, youth -serving organizations, community leaders, and partners working together to build healthier, stronger rural communities. Manager/Supervisor * Manager/Supervisor E-mail druiz@grantcountyw-a.gov Estimated Cost: Training Approved: Yes No TO BE COMPLETED BY DIRECT SUPERVISOR Funding Source: MHBH Direct Supervisor Signature-. Date: * MA- 061,126/2026 Date: * 06126/2026 t5 Does this need to go to Manager before approval? Yes, to Manager prior to ELT No, To ELT directly ELT approved, send to finance directly Director to send to for approval: Dell Anderson TO BE COMPLETED BY EXECUTIVE STAFF Executive Staff Approval: i- Yes No, Executive Staff Signature: Date-, bell A .cj.f UNC 06/26/2026 2/2 Subject Invoice; Creative Package (1 of 2 Installments) Item Type Description Branding Connected Care Initiative - Create Package - 1st Insallment 15172 ODDOG 9000 4100 10.4100.1.4 Notes For invoices over $2,000, payment via mailed check or A is preferred. Please make checks payable to: Odd Dog Media 118 N 36th St., Suite 6 Seattle, WA 98103 Fr ni Odd Dog Media 118 N 36th St., Suite 6 Seattle, WA 98103 Invoice ID 18-903963319 Issue Date 09/01/2026 Due Date 09/01/2026 Quantity Unit Price Amount 1.00 `if 6t750.00 $6t750.00 SlIjbtotat $6,1750.00 Amount Due Pay online $7,317.00 oe� Page 1 of 1 '" Mimi 't[rr^ Type of Request* Supply Request (to be ordered by Renew Finance Team) Gift Card Request Renew Credit Card Check Out (Employee to got card and order) Prevention Credit Card Check Out Prevention Promotion Credit Card Check Out Employee: 6 Dayana Rviz Employee E-mail* drulz@grantcounWia.gov Office to Deliver to: Itern(s) Requested itern Requested* INVOICE, Odd Dog Media if you do not have a link, upload photo belovi If no link is available please upload picture of request .here renew Date Time 0910Z/2026 Quantity Link Approximate Cost I bti.,Ps://odddcj.g,har,,testape. comictienVirivoices/71, S 71,317,00 Drag and drop up to 10 files here to upfoi)d or, 0 Files 0 uploaded) 91 (2D Funding Source,if known: 19000 Reason for Request, Increase access to telehealth behavioral health services via a marketing campaign. Date Needed By- 09/01/2026 02-9.92KS' Manager/Supervisor: * 1/2 For Manager/Supervisor to complete Approve Deny Priority High Medium Low Supervisor's Signature Date 0119/02/2026 �el I AAJPY�014 I M -Cil LAC For Finance to complete Would you like Laserfiche to send an ernail with instructions? Yes No Expected Delivery Date Delivery Location MMIDD/Vf" i Finance Comments (for printing) 212