HomeMy WebLinkAbout*Other - GRISForm State of Washington
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1070 K3919
Al 9-1 A Invoice Voucher
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Health Care Authority
621 8th Avenue SE
Vendor' ertifi ate. 1 reby certify under penal fperjuryth he items and totals listed herein are Proper charges for materials, merchandise or services
Olympia, WA 98504
turnis. ed to thState of hing on, and that all o sfurnishad d1or services rendered have been provided Without discrimination because of age, sex,
marl alstatus, ce, crqed, c or, iational origin, a 'a,rellgio, Vietnam era or disabled veterans status.
Grant County
840 E Plum St
BY
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Cindy Cartel-BOCC Chair
Moses Lake, WA 98837
(date)
TAX IDENTIFICATION NUMBER MONTH/YEAR OF SERVICE
RECEIVED BY DATE RECEIVED
1319 3/21/2021 Supplemental #1
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22.5 Community Coalition Coordinator Community -Based Process Universal -Direct
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22.5 Community Coallbon Community -Based Process Universal -Direct
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22.5.1 Community Coalition Coordinator- MLCommunity-Based Process Universal -Direct
Community
0.00
22.5.1 Coalition - ML Community -Based Process Universal -Direct
22.1.2 PAX -Good Behavior Game - ML- Informallon Dissemination Universal -Indirect
1,438.49
0.00
22.2.1 Positive Action - ML1,438.49
Education Universal -Direct
V-1
22.2.1 Youth Empowerment - ML Education Universal -Direct
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0.00
22.1.2 Outreach & EducaUon- ML0.00
Information Dissemination Universal -Indirect
0.00
22.1.2 Talk. They Hear You- ML InformaUon Dissemination Universal -Indirect
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22.1.2 Under The Influence Of You- ML Information Dissemination Universal -Indirect
;_11151
0.00
22.1.2 Character Strong - ML Information Dissemination Universal -Indirect
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0.00
0.00
22.1.2You Can - ML Information Dissemination Universal -Indirect
22.6.2 Restorative Justice -ML Environmental Universal -Indirect
0.00
22.6.9 Trauma -Informed Schools - ML Environmental Universal -Indirect
0.00
22.7.1 Coalition/Community Training - M L -Other Universal -Direct
0.00
22.7.1 Coordinator Professional Development - ML Other Universal -Direct
0.00
22.2.1 Strengthening Families Program - ML Education Universal -Direct
0.00
22.5.1 Community Coalition Coordinator - Q Community -Based Process Universal -Direct
0.00
22.5.1 Community Coalition - Q Community -Based Process Universal -Direct
0.00
0.00
22.2.1 Strengthening Families Program - Q- Start-up Program Educaflon Universal -Direct
22.2.1 SPORT PPW- Q- Education Universal -Direct
0.00
0.00
22.3.1 Healthy Alternatives - Q AltennaUves Universal -Direct
22.1.1 Youth Development- Q- Information Dissemination Universal -Direct
0.00
22,1.2 You Can - Q Informafion Dissemination Universal -Indirect
0.00
211.2 Under The Influence Of You- Q Information Dissemination Universal -Indirect
TFI 02R
0.00
22.1.2 Rx Safe Disposal - Q - InformaUon Dissemination Universal -Indirect
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0.00
0.00
22.1.2 Starts With One- Q Information Dissemination Universal -Indirect
22.6.2 Drug Free Parks - Q0.00
Environmental Universal -Indirect
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22.6.20.00 Disciplinary Q
Environmental Universal -Indirect
0.00
22,7.1 Coalition/Community Training - Q- Other Universal -Direct
VIAPRH
0.00
22.7.1 Coordinator Professional Development - Q Other Universal -Direct
Px Sustainability
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22.6.2 Policy - Q Environmental Universal -Indirect
22.7.2 Community Educafion Workshops - Q Other Universal -Indirect
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PREPARED BY/ DATE TELEPHONE
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Reyna Gonzales 610112021 509 764-2660
A19 Effective 7/1119 through 6/30121 REVISED 10/2020
CURR DOC NO
DOC DATE
VENDOR NO.
AGENCY APPROVAL:
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I SWV0002426-00
Sarah Marian!, 360-725-9401, Sarah.Marianl@hcama.ov
9
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
12Z
2021
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4 1 1-
2009-11 Biennium Contract Page 1 0-1 , -