HomeMy WebLinkAboutInvoices - RenewVendor's Certificate. 1 hereby certify under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or
services furniso fhe to of Washington, an that all goods furnished and/or services rendered have been provided without discrimination because
of age, sex, m a/ status, ra e, reed, color, net al origin, he ndicap, religion, or Vietnam era or disabled veterans status.
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Reyna Gonzales 11/30/21
509 764-2660
A19 Effective 7/1/2021 through 6/30/2023 REVISED 712021
CURR DOC NO
DOC DATE
VENDOR NO.
AGENCY APPROVAL:
SWV0002426-00
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
Sarah Mariani, 360-725-9401, Sarah.Mariani@hca.wa.gov
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Grant Behavioral Health & Wellness
840 E. Plum Street
Moses Lake, WA 98837
Phone: (509) 765-9239
Fax: (509) 765-1582
Consent Agenda Week
Week of 12/6/2021
Item
A-19
Entity/Contracted Business
Health Care Authority
Contract Number
K3919 (Prevention)
Confidential
No
Description
This is an A-19 for Prevention in Moses Lake and Quincy for the month of
October 2021. The amount is $16,,404.47
Original Needed?
Yes, please email scanned copy and inner -office original
Copies Attached
This will be emailed by Friday.
Contact for Questions
Reyna Gonzales, Extension 5433
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