HomeMy WebLinkAboutReimbursable Work Request - GRIS (003)Zti
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AGEM1CYNAME
Health Care Authority
6218th Avenue SE
Olympia, WA 98504
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Grant County
840 E Plum St
Mos es Lake, WA 98837
Agency No. Agrwment ID or Conbecl Number1070 K3919Als-tA
Vedrr's C"b""te. thereby Gedifyunderpenaltyafpejaythattheitems andtotals fortedhers'nareproperchages formaterials, merchandiseorservices
t-ished to the State of Washington, and that all goods furnished auto services rendered have been provided Wthart disMm nal/on because of age, sex,
marts, status, race, need, color, national origin, handicap, religi Vietnam era a 11 11,d vet ae status.
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TAX IDENTIFICATION NUMBER
"'1319
MONTH/VEAR OF SERVICE
Sep -20
RECEIVED BY
DATE RECEIVED
BARS PROGRI,Y AGTYRTnaYE
CLAP STRATEGY
Iam
SHBG OPS PFS 2018 PFS
C1Ry°V1r EP
DMA SOR NCE SGR SDR S.pp SGR II MHPP
PP General
TRW
11.1 Admin
0.00 581.58
1.461.88
2043.46
21 Community -Based Coadnamn-P.
Community -Based Process
Universal -Indirect
0.00
22.5 Community Co Iibon Coordmala
Ccmmunity-Basad Process
Universa -Direct
o co
22.5 Community Coallbm
Community -Based Process
Universal -Direct
0.00
22 11 C-rn-t, C -t- Coordinator- ML
Community -Based Process
Universal -erect
6.030 17
6,030.17
2Z5,1 1 Commurnty Coa,bon - MLCommunil
Based Process
Universal -Direct
317.93
317.93
221,2 PAX -Good Behavior Game - ML
Intametion Dissemination
Universal -Indirect
0.00
22.2.1 Positive Action - ML
Education
UniversakDiracl
0.00
22.2.1 Youth EmpoAerment - ML
Education
Universal -Direct
0.00
221,2 Outreach 8 Education -ML
Information Dissemination
Universal -Indirect
0.00
22.1.2 Talk. They Hear You- ML
Information Dissemination
Universal -Indirect
0.00
22.1.2 Udder The Influence Of YGu- ML
Information Dissemination
Universal -Indirect
0.00
22,1,2 Character Strap - ML
Information Dissemination
Universal -Indirect
0.o0
22.1.2 You Cal - ML
Information Dissemination
Universal -Indirect
D.00
22.6.2 Restorative Justice -ML
Envk--W
Universal-Irdirect
D.00
YP8P Trwma-Infamed Schools - ML
Environmental
Universal -Indirect
D.00
22.7.1 CoBlibaVCommunity Training- ML
Other
Universal -Direct
0.00
22.7.1 Coordinator Prolessional Development - ML
Otlner
Un-,Dkect
oB0
0.00
22.5.1 Community Coalition Coordinator - O
Coni-ly-Based Process
Universal -Direct
7,585.97
7,585.97
22.5.1 Corm N't Ceelioan-O
Commundr Based Process
UnivasaFDeect
0.00
22.2.1 Strengthening Families Progran-O
Education
Universal -Direct
0.00
22.2.1 eo'"ej°Education
Universal -Direct
2,51004
2,510.04
22.3.1 HedlhY Altanabves-O
ARerratives
Universal -Direct
0.00
22.1.1 ' Information Dissemination
Universal -Direct
2668.05
2,888.05
22,1,2 You Can - O
Information Dissemination
Universal -Indirect
O.DO
22.1.2 Under The Influence Of You- O
Information Dissemination
Universal -Indirect
O.DO
22.1.2 R sr. nNPer-G»rer°m wn.P-I.anvN N.e area
Information Dlsseninalkm
UniversakIrdiract
5.50948
5,509.48
22.1.2 Stats With Ons O
Information Dissemination
Universal -Indirect
().DD
22.6.2 Dnp Free Parks 'Q
Environmental
Universe46dkacl
0.00
22.6.2 OHS Disciplinary- O
Environmental
Universal -Indirect
0.00
22.7.1 Coalitlon/Cornmunity Trailing -O
Other
Universal -Direct
0.00
22.7.1 Coordinator Professional Devekprn-t - O
Oean
Universal -Direct
0.00
22.6.2 Px Sustamabdty Polley- O
Environmental
Universal -Indirect
0.00
22 72 Community Education Workshops -O
Other
Universal -Indirect
0.D0
0.00
o.00
0.00
0.00
0.00
0.00
0.00
0.00
0 00
6,348.10 581.58 0.D0 0.00 000
0.00 0.00 0 D 19.735.42 0.00 0.00 O.DO
26,865.10
PREPARED BY/ DATE
Rey- Go -Is 17I5I2020
TELEPHONE
509 7642660
A19 Effective 7/1119 through 6/30121 REVISED 1012020
CURR DOC NO
DOC DATE
VENDOR NO. AGENCY APPROVAL:
SWV0002426-00
Sarah Mariani, 360-725-9401, Sarah.Mariani hca.wa. ov
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
RECEIVED
NOV - 5 2020
GRANT COUNTY COMMISSIONERS
Rw7-tAa