HomeMy WebLinkAboutReimbursable Work Request - Renew/f
Form State of Washington
Al 9-1 A Invoice Voucher
Health Care Authority
621 8th Avenue SE
Olympia, WA 98504
Grant County
840 E Plum St
Moses Lake, WA 98837
W
TAX IDENTIFICATION NUMBER
MONTHIYEAR OF SERVICE
12/11/2020 Supp 01
RECEIVED BY DATE RECEIVED
Community -Based Coordination-Px
Community -Based Process
Community Coalition Coordinator
Community -Based Process
Community Coalition
Community -Based Process
MEEMMEM
Community Coalition Coordinator- ML
Community -Based Process -
Community Coalition - ML
Community -Based Process
MIER �0�
'PAX -Good Behavior Game - ML-
Information Dissemination
Positive Action - ML
Youth Empowerment - ML
Outreach & Education- ML
Information Dissemination
Talk. They Hear You- ML
Information Dissemination
R.�
Under The Influence Of You --
p Information Dissemination
Character Strong ML
1, Information Dissemination
F M-411ITTY
Information Dissemination
Restorative Justice -ML
EnVironmental
Trauma -informed Schools - ML
Environmental
OEM
�1 W -Coordinator Professional Development- ML
Community Coalition Coordinator - Q
I Community -Based Process
Community Coalition - 0 MISC for Artual meetiI Take Back
Community -Based Process
Strengthening Families Program - Q
S PORT PPW- Q -
Healthy Alternatives - Q
OEM
Youth Development- Q- -----1!-Infbrmation
Dissemination
Information Dissemination
"Mr. �M
Under The Influence Of You- Q
Information Disse mination
Information Dissemination
ROM MR
Starts With One- Q
Information Dissemination
D rug Free Parks - Q
Environmental
-QHS Disciplinary - Q
Environmental—
Coordinator Professional Development - Q
0 -
11111IMM Sol
Px Sustainability Policy - Q
EnVironmental
EfflMn. wo
community Education Workshops - Q
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PREPARED BY/ DATE
Reyna Gonzales 31212021
:;TELEPHONE
509 764-2660
A19 Effective 711/19 through 6130/21 REVISED 10/2020
,VENDOR NO. 'AGENCY APPROVAL:
111 11 Sarah Mariani, 360-725-9401, Sarah. Mariani@hca.wa.qqv
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
N..
[;4AR - 2 202-1
2009-11 Biennium Contract Page I GRANT Co'OUNTY COMMIS Ra - -09
SIMERS