HomeMy WebLinkAboutInvoices - GRIS (002)ZZ)
Form
A19-tA
State ct WaMirgh
3
Inwice Voucher
Health Care Authority
621 8th Avenue SE
WA 98504
Grant County
640 E
Lake,
Moses Lake, WA 98837
9
Agency No. A6reement ID c, Contract Number
1070 K3919
rd�'. rtifier 1 h y certify under penaperjrythat the I endtotals llstdharem —IonWcharges for materiels, merchandise orservicesOlympia,
Ne to of Woe d that all Nmish0 n rendered have been proNdad without tlisalminefion because a/ge,' r , ealam at origin, ap bligion, W ere or cisrsabld veterans statusV6NGtMGRCIAA1gVT
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TAX IDENTIFICATION NUMBER MONTHlYEAR OF SERVICE
"""1319 9/112020 SuoplemenW #1
RECEIVED BY DATE RECEIVED
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Ce mmunayBasad Coordbhauon-Px Community -Based Process
Universal-Imd,-
0.00
22.5
Community Coalition Coordinator Community -Based Process
Universal -Direct
0.00
22.5
Community Coalition Community -Based Process
Universal.Direct
G 00
22.5.1
Community Coalition Coordinator -ML Community -Based Process
Universal -Direct
Goo
22.5.1
Coarxurdty Codillon -ML Community -Based Process
UN—.A- irect
709.09
709,09
24 1 2
PAX -Good Behavior Game - ML Information Dissemination
Universal -Indirect
Goo
22.2.1
Positive Action -ML Education
Universal -Divot
no
22.2.1
Youth Ernpowennent - ML Education
Universal -Direct
0.o0
22.1.2
Oulrah&Education-ML Information Dissemination
Universal -Indirect
0.00
22.1.2
Tek. They Hear You ML Information Dissemination
Universal -Indirect
o.00
24,1,2
Under The Influence Of You ML Information Dissemination
Universal -Indirect
0.o0
22.1.2
Ct—W Strong - ML Information Dissemination
Universal -Indirect
0.110
22.1.2
You Can -ML Information Dissemination
Universal -Indirect
o.o0
2284
Restorative Justice -ML Eno—memal
Universal -Indirect
Goo
22.8.2
Traumalnfor—el Schools - ML Emi—mental
UNver-Andirect
O.00
22.7.1
CoaliUWCanmunity Trainig - ML Otter
Universal -Direct
0.00
22.7.1
Coordinator Professional Development - ML Otter
Uniwrs*Dract
0.00
0100
22.5.1
Community Coalition Co'c"nelnr - O CcmmunitNBased Process
Universal -Direct
0.00
22.5.1
Conmunity Coalition - O CcmmunityBsed Process
Universal -Direct
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222.1SaengthenagF
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Universal -Deet[
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22.2.1'p°'°°""""""�iv°oo°e101rye'BiM1°'"°" Education
Universal-Dkect
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22.3.1
HmMy Aft—dies-O Alternatives
Universal-DYect
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22.1.1
Information Dissemination
Universal -Direct
0.00
22.1.2
You Can - O Information Dissemination
UNversal-Indirect
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22,1.2
Under The Influlaxe Of You- O Information Dissomir-an
Universal -Indirect
0.00
22.1.2
Rxsw llrpoc°'"o'P'°a""su°u'm luuaeO MM Bap Information Dissemination
Universal -Indirect
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22.1.2
Starts With Ona O Information Dissemination
Universal -Indirect
22.6.2
Drug Free Parks -O Enveerm W
Universal -Indirect
22.6.2
OHS Di.iPOnary - O Environmental
Universal-Irtdirect
22.7.1
CoalitiaNCanmunily Tratndlg - O OMer
Universal-Dnect
fl�.owo
22.7.1
Coordinator Praia.." Development- O Other
Universal -Di -t
22.8.2
Px Sustainability Policy- O Erni—ental
Universal -Indirect
22.7.2
Ocn at Education Workshops- O Other
UalvarsA-Indirect
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o.00
o.00
0100
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709.09 0.00 0.00 0.D0 0100 0.00 0.00 0.00 0.00 0.00 0.00 0.00
709.09
PREPARED BY( DATE
Reyna Gorvaks 12/15I2020
TELEPHONE
50978az5so
A19 Effective 7l1119 through 6/30121 REVISED 1012020
CURR DOC NO
DOC DATE
VENDOR NO.
SWV0002426-00
AGENCY APPROVAL'
Sarah Mariani, 360-725-9401, Sarah.Mariani hca.wa. ov
ACCOUNTING APPROVAL FOR PAYMENT/ DATE
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NT' 1 6 21120 1
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