HomeMy WebLinkAboutReimbursable Work Request - BOCC (002)PREPARED BY/ ATE TELEPHONE
Reyna Gonzales; 0412512019 (509) 784-2660 A19 Effective 711/17 through 6/30/19 REVISED 12/31/18
CURR DOC NO DOC DATE VENDOR NO. --FFiWCY APPROVAL:
VCA SWV0002426-19 I Sarah Marial 360-725-3774 sarah.mariani(phca.wa.gov
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
RECEIVED
2.6 2019
19 Biennium Contract Page 1
State of Washington
*'7 77 7 T
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l
1763-94250
-Invoice Voucher
it W
Health Care Authority
PO Box 42691
vercors Certificate. I hereby certify under Peri ofper jury that the Items
and totals listed herein are
Proper charges for materials, merchandise or services furthered
Olympia VIA 98504
to the Sets of Washington. and that all goods funhistraid and/or services rendered have been Provided Wthout discrimination because of age, sex marital status. race.
creed, color, national origin, handicap, religion, or Vismarn era disabled veterans status
-or
—Zff=l —C-1
Grant County
70-
840 E Plum Street
Tom Taylor, CC Chair
(sign in ink)
Moses Lake, WA 98837
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(title)
(data)
TAX IDENTIFICATION NUMBER
MONTH 01 SERVICE
RECEIVED BY DATE RECEIVED
Feb-19
4
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111 Adnmn
24133
390.62 1.14278
21 CommunlymBased Coord,nabon-Px
Community -Based Process Universal -Indirect
V Mc„ i'MS 1
2245 Community Coalition Coordinator
Community -Based Process Universal -Direct
22.5 Community Coalition
Community -Based Process Universal-D,ract
77 7 7
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22 51 Community Coalition Coordinator -ML
Community -Based Process universal -Direct
6,06645
6,06645
225,1 Community Coalition -ML
Community -Based Process Universal -Direct
27094
27094
22 701 CADCA Boot Camp- Meals -ML
Other Universal -Direct
4950
4950
225 1 Community Coalition Coordinator -Quincy
Community -Based Process Universal -Direct
2,74091
3,758.47 6,49928
22.51 lCommunity Coalition -Quincy
C7,',
_T,nl,,11,-d Process 11n,wrealk",rac,
r,,777�77,717,1 226
272.75 49899
22.�7.;j 1 CADCA Boot Camp -Meals -Quincy -Quincy
r I U,,i—i-oi,ect
J 49. 50
M44-1
49050
2; WA-SAPT Training, Hotel, Registration and Meals
other Universal -Direct I
E
PREPARED BY/ ATE TELEPHONE
Reyna Gonzales; 0412512019 (509) 784-2660 A19 Effective 711/17 through 6/30/19 REVISED 12/31/18
CURR DOC NO DOC DATE VENDOR NO. --FFiWCY APPROVAL:
VCA SWV0002426-19 I Sarah Marial 360-725-3774 sarah.mariani(phca.wa.gov
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
RECEIVED
2.6 2019
19 Biennium Contract Page 1