2018-03-14 CC MINUTESCalhoun County Commissioners' Court —March 1/1, 2018
CA1[eHOUN COUNTY C®MM ISSIONERS9 C®1[JRT
REGULAR 2018 TERM
0
March 14, 2018
BE IT REMEMBERED THAT ON JANUARY 25, 2018, THERE WAS BEGUN AND HOLDEN A
REGULAR TERM OF COMMISSIONERS' COURT.
1. CALL TO ORDER
This,meeting,was called to ordera. 16:00 AM
2. ROLL CALL
THE FOLLOWING MEMBERS WERE PRESENT:
Michael J. Pfeifer
David Hall
Vern Lyssy
Clyde Syma
Kenneth Finster
Anna Goodman
Catherine Blevins
Catherine Sullivan
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Deputy County Clerk
Deputy County Clerk
3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3)
Invocation — Commissioner David Hall
Pledge to US Flag & Texas Flag — Commissioner Kenneth Finster/Vern Lyssy
Page 1 of 17
Calhoun County Commissioners' Court— March 14, 201£3
4. Hear Report from Memorial Medical Center (AGENDA ITEM NO. 4)
Jason Anglin, CEO Memorial Medical Center, spoke on this matter.
Page 2 of 17
Memorial Medical Center - Port Lavaca, Texas
CEO Report
February 23, 2018
Financial Results:
In January, we had a Net Loss of $297,953.
In summary, January had higher volumes, especially at Memorial Medical Clinic but
unfortunately, payer mix was very unfavorable as private pay charges were up by over
$290,000 and we had a record $599,936 in charity care write-offs this month.
Texas Department of State Health Services designation of Memorial Mecial Center as a Level I
Neonatal Facility and Staff Recognition
We received our designation letter, please see attached. This took a lot of hard work to achieve. We
would like to recognize Donn Stringo and Jenise Svetlik for their hard work in achieving this designation.
Memorial Medical Center was also recognized in a Press Release by Senator Kolkhorst office for
achieving this designation. (See attached.)
Coastal Building:
The purchase of the building has been finalized and we have started doing things to prepare it for our
use.
MMC Clinic Updates:
We saw a new record for our clinic of 2,499 patient visits in January
We have been experiencing a problem with our phone Que where the que "resets'. We believe the
issue has been resolved as the phone service along with our I.T. Department have reprogram the phone
que. The issue we were having for example; I experienced it myself as I called and the que said I was
caller four, then updated me I was caller one. Next it rang and I thought a scheduler would answer, but
instead the phone system said I was caller five in the que.
In January, we increase coordination with hospital lab and imaging where clinic lab and x-ray have
improved coverage during lunch.
We had a call with a pediatrician resident and anticipate that he will come for a site visit in March
Dietary Updates:
We have a new Dietary Department Director, Robert Rodriquez who started February 2nd. He has been
in leader / management roles for approximately 24 years with 18 years in executive chef roles and 6
years as a restaurant business owner.
We are targeting for our "Grand Opening" of our "Luby's" Dietary Department in Mid -April. We expect
most all new equipment will be installed and the department will be painted, etc. by this time.
Supplemental Programs updates and IGT's
We received our Waiver Project's (DSRIP) funding of $1,834,011 from our $790,826 IGT.
Coming up next will be an IGT funding for Uncompensated Care (UC) in February of $262,261 in which
we will receive a UC payment of $608,213.
Then will be an IGT funding for the Disproportionate Share Hospital Program (DSH).
We attended Region 3 Waiver program Learning Collaborative in Houston.
Soon will be time for MMC to select which measure bundles we will use the next couple of years for the
Waiver DSRIP reporting.
Accountant:
I am happy to report we have hired a new person for the accountant position that will start in March.
This person will help our new controller and myself.
Telemedicine
We are working with St. David's to make the transition to telemedicine services in coordination with St.
David's.
Information on Board Items:
Staff Recognition:
We would like to recognize Donn Stringo and Jenise Svetlik for their hard work in achieving the Level I
Neonatal desination.
Closed Session:
We have closed sessions posted for Quality report, Legal, Product Lines and CEO.
Re�ctf Ily,
Jason An lin, CEO
Memorial Medical Center
v
Texas Department of State Health Services
January 30, 2018
Mr. Jason Anglin
Chief Executive Officer
Memorial Medical Center
815 North Virginia Street
Port Lavaca, Texas 77979
Dear Mr. Anglin:
Commissioner
It is with great pleasure that the Texas Department of State Health Services
designates Memorial Medical Center as a Level I Neonatal Facility (Well
Nursery) in Perinatal Care Region -S. This state designation is valid for a
three-year period. Your expiration date is January 1, 2021. Your hospital is
to be commended for its commitment to ensure quality care for neonatal
patients in your area.
Please contact Jane Guerrero, RN, Director, Office of EMS/Trauma System,
at (512) 834-6700 or via e-mail at: Jane.Guerrero@dshs.texas.gov if you
need further assistance regarding this matter.
Sincerely,
John Hellerstedt, M.D.
cc: Donn Stringo, RN, Neonatal Program Manager
Jeannine Griffin, M.D., Neonatal Medical Director
Carolyn Knox, RAC Chair
Ra Box 149347 • Auslfn.Texas 78214-9347 - Phone:888-963-7111 • TTY, 848-735-2869 - svaaw.dshs,texns,r9ov
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Memorial Medical Center
Financial Report
For the Month of: January 2018
Overview:
In January, we had a Net Loss of $297,953.
In summary January had higher volumes, especially at Memorial Medical Clinic but unfortunately,
payer mix was very unfavorable as private pay charges were up by over $290,000 and we had a
record $599,936 in charity care write-offs this month.
Statistics:
January Highlights on Volumes:
Key volumes Up in January include:
Average daily census up 58% to from 8.32 to 13.16.
ER Visits up 18% to 965 visits.
Clinic Visits 17% to 2,499 visits.
Surgery down 19%.
Imaging up 14%.
Lab up 10%.
Rehab up 13%.
Program Hope up 19%.
Sadly, Private Pay utilization increase by 26% to 17% of Revenue.
W.mm lCml., A, of January U. IAS Memorial Medial C-1.1 M of Oemmbx 31, 2017
Charity Care write-offs were huge for the month at $599,936.
Balance Sheet Highlights:
ASSETS
Bank Accounts Cash and Investment balances ended the month at $3,495,414, of which $328,250
is Cantex money. This leaves the hospital with $2,667,164 in cash plus $500,000 CD.
At the end of January, we had 45.75 days of cash expenses on hand in hospital funds.
Accounts Receivable Patient Accounts Receivable balances were $10,648,791 for the hospital and
$507,567 for the clinic.
Accounts Receivable — Other The balance in Other A/R decreased to $3,052,069.
Accounts Receivable Nursing Home The Cantex nursing homes ended January with $6,151,620 in
receivables.
Accounts Receivable Est. 31 Party Paver Settlements
Our books reflect a net due from third party payers of $206,724. This consist of $207,570 which is
an estimated amount due from Medicare for 2017 based on our monthly mini -cost report and
there is also a couple of small 31d party payable accounts totaling $846 in the totals.
LIABILITIES
Accounts Payable The balance in payments due to vendors and accruals at the end of the month
was $1,129,750 up by $155,300 from $974,450 in December. Accounts payable invoices received
are at $537,792 vs 734,181 at the end of December.
Due to Cantex The balance due to Nursing Homes increased to $6,151,620.
Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling
$1,017,484 up from $915,993 in December.
Accrued Intergovernmental Transfers IGT liability is $595,628 at the end of January.
Accrued Payable — Est. 3rd Party Payer For the first month of the year we have a payable of
$29,334.
Leases Payable The hospital has $882,667 in capital leases.
Long Term Debt, Net of Current: This consist of $2,803,027 in Pension liability and the long term
portion of leases.
Current Ratio The ratio between our current assets and current liabilities is 1.7 at the end of
January. This is lower than our benchmark of 2.3
Income Statement:
Gross patient revenue for hospital and clinic was $5,477,456 which is an increase of $326,810 from
December. Revenue Deductions were at 66.4% compared to 67.9% in December.
Total expenses (excluding nursing home) were up from December by $115,269. This was driven
by:
• Salary expense up by $52,797
• Benefits and PR Taxes cost up by $68,277 (higher employee health claims)
• Professional Fees were down by $54,444
• Purchased Services were up by $24,251
• Supplies were up by $30,543
• Insurance was down $112
• Utilities were up $12,188
• Other Expenses were down $18,251
• Depreciation was up by $21
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Description
Janis
YTD
Average
New Patient Clinic Visits
477
477
60
Existing Patient Clinic Visits
2,022
2,022
253
All Other Visits
Total RHC & Surgery Clinic Visits
2,499
2,499
312
Specialty Clinic Visits
352
352
44
Hospital OR Procedures
40
40
5
Total Visits & Procedures
2,891
2,891
361
No Shows
167
167
21
No Show%
6%
6%
Rural Health Clinic Revenue
410,516
410,516
51,314
Professional Fees
46,446
46,446
5,806
Specialty Clinic Revenue
53,349
53,349
6,669
Patient Revenue
510,311
510,311
63,789
Estimated Medicare Settlement
(2,721)
(2,721)
(340)
Contractual Adjustments
(121190)
(121190)
(15,149)
Net Revenue
386,399
386,399
48,300
Meaningful Use
-
-
Rent Revenue
650
650
81
340B Revenue
14,556
14,556
1,820
Total Miscellaneous Revenue
15,206
15,206
1,901
Total Net Revenue
401,605
401,605
50,201
Salaries- Regular
83,031
83,031
10,379
Salaries - Overtime
1,160
1,160
145
Salaries - PTO
8,916
8,916
1,114
Total Salaries
93,107
93,107
11,638
Benefits - FICA
6,378
6,378
797
Benefits- State Unemployment
-
-
-
Benefits- Federal Unemployment
613
613
77
Benefits - Retirement
7,644
7,644
955
Insurance -Hospitalization
18,934
18,934
2,367
Insurance - Other
951
951
119
Insurance -workers comp
478
478
60
Total Benefits
34,998
34,998
4,375
Total Salaries, Wages, and Benefits
128,105
128,105
16,013
Supplies - General
13,053
13,053
1,632
Supplies - Office
879
879
110
Supplies - Forms
160
160
20
Freight
159
159
20
Total Supplies
14,250
14,250
1,781
Pro Fees- Physicians
199,562
199,582
24,948
Purchased Services - Non -physician
28,188
28,188
3,523
Total Purchased Services
227,770
227,770
28,471
Interest Expense
-
-
-
Subscriptions
862
862
108
Total Other Practice Expenses
862
862
108
Leases & Rental
(9,058)
(9,058)
(1,132)
Equipment lg-other 81
Total Rent and Leases
(9,058)
(9,058)
(1,132)
Total Expenses
361,930
361,930
45,241
Net Operating Income
39,675
39,675
4,959
Depreciation
(16,000)
(16,000)
(2,000)
IGT Expense - - -
Community Benefits Contribution - Net Non-operating Income - - -
Contribution Margin 23,675 23,675 2,959
e
Description
Jan 18
YTD
Average
New Patient Clinic Visits
477
477
477
Existing Patient Clinic Visits
2,022
2,022
2,022
All Other Visits
-
Total Clinic Visits
2,499
2,499
2,499
Hospital OR Procedures
40
40
40
Total Visits & Procedures
2,539
2,539
2,539
No Shows/Missed Appointments
167
167
167
No Show%
6%
6%
Patient Revenue
410.516
410,516
410,516
Professional Fees
46,446
46,446
46,446
Estimated Medicare Settlement
(2,721)
(2,721)
(2,721)
Contractual Adjustments
(112670)
(112670)
(112670)
Net Revenue
341,571
341,571
341,571
340B Revenue
14,556
14,556
14,556
Total Miscellaneous Revenue
14,556
14,556
14,556
Total Net Revenue
356,127
356,127
356,127
Salaries- Regular
77,884
77,884
77,884
Salaries - Overtime
814
814
814
Salaries - PTO
9,195
9,195
9,195
Total Salaries
87,893
87,893
87,893
Benefits - FICA
6,013
6,013
6,013
Benefits- Federal Unemployment
578
578
578
Benefits - Retirement
7,190
7,190
7,190
Group Health
18,019
18,019
18,019
Other Insurance
871
871
871
Workers' Comp
451
451
451
Total Benefits
33,120
33,120
33,120
Total Salaries, Wages, and Benefits
121,013
121,013
121,013
Supplies - General
12,580
12,580
12,580
Supplies - Office
877
877
877
Freight
159
159
159
Total Supplies
13,775
13,775
13,775
Pro Fees - Physicians
Purchased Services - Non -physician
199,562
8,713
199,582
8,713
199,562
8,713
Total Purchased Services
208,295
208,295
208,295
Interest Expense
Subscriptions
-
862
-
862
-
862
Education
-
Total Other Practice Expenses
862
862
862
Leases & Rental
(9,246)
(9,246)
(9,246)
Total Rent and Leases
(9,246)
(9,246)
(9,246)
Total Expenses
334,700
334,700
334,700
Net Operating Income
21 427
21 427
21 427
Depreciation
(16,000)
(16,000)
(16,000)
IGT Expense
-
-
Community Benefits Contribution
-
Net Non-operating Income
-
-
Contribution Margin
5,427
5,427
5,427
Net RevenueNtsit
142.51
142.51
Breakeven Visits w/o Community Benefit
2,349
2,349
Breakeven Visits w/ Community Benefit
2,349
2,349
-5-
Specialty Clinic Revenue 216 216 216
Infusion Revenue 18,855 18,855 18,855
Wound Care Revenue 34,278 34,278 34,278
Contractual Adjustments (8,521) (8,521) (8,521)
Net Revenue 44,828 44,828 44,828
Rent 650 650 650
Total Miscellaneous Revenue 650 650 650
Total Net Revenue 45,478 45,478 45,478
Salaries -Regular
5,147
5,147
5,147
Salaries - Overtime
347
347
347
Salaries - PTO
(279)
(279)
(279)
Total Salaries
5,214
5,214
5,214
Benefits - FICA
366
366
366
Benefits - State Unemployment
-
-
-
Benefits - Federal Unemployment
35
35
35
Benefits - Retirement
454
454
454
Group Health
915
915
915
Other Insurance
80
80
80
Workers' Comp
27
27
27
Total Benefits
1,877
1,877
1,877
Total Salaries Wages and Benefits 7,092 7,092 7,092
Supplies - General 474 474 474
Supplies - Office 2 2 2
Supplies - Forms - - -
Freight - - -
Total Supplies 476 476 476
Pro Fees - Physicians - - -
Purchased Services - Non -physician 19,475 19,475 19,475
Total Purchased Services 19,475 19,475 19,475
Education -
Total Other Practice Expenses - -
Leases & Rental 188 188 188
Equipment leasing - other #1 - -
Total Rent and Leases 188 188 188
Total Expenses 27,231 27,231 27,231
Net Operating Income 18,248 18,248 18,248
IGT Expense -
Community Benefits Contribution - Net Non-operating Income - -
Contribution Margin 18,248 18,248 18,248
Me
Memorial Medical Center
Inpatient Volume Indicators
Admissions by Unit
Memorial Medical Center
Operating Statistics
13 -Month Trends
Outpatient Statistical Trends
2,500
2,OOo
1,919
1920,
2,102
_..
2,091
-. -.
11982
1,962
1,829.
1,695
- 1,681
2,028
-
1,986
..1.807
1,000
- 777 _-
673
B30...
- 744
745 -'
718 -
- 758
- 698 -
-700
- _. 798
_ .779 - -.
815
Soo=„_.
_..__ 81
465 476 581 451 472 519 401 380 426 401 349 381
0
Jan -17 Feb 17 Mar -17 Apr -17 May -17 Jun -17 Jul -17 Aug 17 Sep -17 Oct -17 Nowt] De,17
Outpatient Visits Emergency Room Visits :. -Specialty Clinic Vlel[z
Total Surgery & Endoscopy
. 200 __ ___
0 81-__.. -80 -85--_.. 69 -__._ -85. ..105_.-. 98 -..- __83.- 62. _ 107 109 _ 98 _-
Jan 17 Feb -17 Mar -17 Apr -17 May -17 Jun -17 10-17 Aug -17 5ep47 Oct -17 Nov -17 Dec -17
Radiology Procedures
2,000
e
1,000 - -
1,557- � - 1 461 - 1,4]0 1,433 1,460 1,307 1,291 1,152 1,237 1,429 1,332 1,230
0
Jan -17 Feb -17 Marl] Apr -17 May -17 Jun -17 Jul -17 Pug -17 Sep -17 Od-17 Nov -17 Dec -17
Total Laboratory Procedures '..
,.,40,000
3],158
20,000 32,]]9 .....30,816 33,92],_. -30,293- --29,262 ------ 31,017 -283892],1106 -.. 32,006---31,655 - 27,993
p
Jan -17 Feb -17 Mar -17 Apr -17 May 17 Jun -17 Jul -17 Aug -17 Sep -17 Oct -17 Nov -17 Dec -17 '.
Rehab Services Procedures
4,000 _-
2,000
2,750
' 1,945 2 153 1,926 2,120 1,851 2 001 - 1,849 1,]56_ '
._ ...__. -.- ___. Sd76- 1.218 .__1,408
Jan -17 Feb -17 Mar17Apr-17 May -17 Jun -17 Jul -17 Aug -17 Sep -17 Oct -17 Nov 17 Dec -17
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Memorial Medical Center YTD
YTD
YTD
1/31/2018
Statistical Comparison 01/31/16
01/31/17
01/31/18
OVER (UNDER) %OF
(1 month)
(1 month)
(1 month)
1/31/2017 CHANGE
Total Admissions
108
120
100
(20)
-16.7%
ER Admissions
63
72
64
(8)
-11.1%
Total Patient Days
414
473
408
(65)
-13.7%
AVERAGE DAILY CENSUS
Medical/Surgical/ICU
10.74
11.97
10.19
(1.77)
-14.8%
Obstetrics
0.68
0.84
0.71
(0.13)
-15.4%
Swing Bed
1.94
2.45
2.26
(0.19)
-7.9%
Total AVG Daily Census
13.35
15.26
13.16
(2.10)
-13.7%
Total AVG LOS - Acute Care
3.58
3.61
3.71
0.11
2.9%
Observation - Patients
46
55
29
(26)
-47.3%
Observation - Patients from ER
36
40
24
(16)
-40.0%
Newborns - Births
9
9
11
2
22.2%
MMC Clinic Visits
1,577
2,282
2,499
217
9.5%
Outpatient Visits
1,877
1,919
1,695
(224)
-11.7%
Emergency Room Visits
691
777
965
188
24.2%
Specialty Clinic Visits
456
465
352
(113)
-24.3%
Surgery & Endoscopy
87
81
79
(2)
-2.5%
Laboratory test
29,725
32,779
31,054
(1,725)
-5.3%
Radiology Procedures
679
810
679
(131)
-16.2%
RadiologyOP- Clinic
82
139
162
23
16.5%
Bone Density
10
18
23
5
27.8%
Nuclear Medicine
14
9
11
2
22.2%
Ultrasound
212
177
167
(10)
-5.6%
Ultrasound - Clinic
36
33
37
4
12.1%
CT Scans
204
254
197
(57)
-22.4%
MRI
102
97
66
(31)
-32.0%
Mammograms
42
20
62
42
210.0%
Total Radiology Procedures
11381
1,557
1,404
(153)
-9.8%
Respiratory Therapy Procedures
1,001
1,378
968
(410)
-29.8%
Stress Test
8
4
4
-
0.0%
EKG Exams
276
343
238
(105)
-30.6%
Sleep Studies
9
17
17
-
0.0%
Total Respiratory
1,294
1,742
1,227
(515)
-29.6%
Physical Therapy Services Procedures
1,803
1,945
1,591
(354)
-18.2%
Occupational Therapy Total
291
0
2
2
#DIV/01
Speech Therapy Total
50
142
94
(48)
-33.8%
Behavioral Health Patient Encounters
330
82
110
28
34.1%
Cardiac Rehab Procedures
0
16
76
60
375.0%
Pharmacy Total
11,847
14,026
11,084
(2,942)
-21.0%
Dietary Total
5,101 n.a.
3,306
-�1-
Memorial Medical Center
Payer Mix
Memorial Medical Center As of January 31, 2018
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Memorial Medical Center
Income Statement - Combined
For the Month Ended January 31, 2018
Revenue
9,136,365 10,712,353 9,824,012
2,812,824
Current Period
3,558,513
599,936
131,913
Year to Date
52,666
Actual This
Budget This
(116,037)
(179,067)
(229,650)
287,217
534,285
Month
Month
Last Year
4,223,418
Actual YTD
Budget YTD
Last Year YTD
1,124,722
1,323,508
1,570,708
Inpatient Revenues
1,124,722
1,323,508
1,570,708
2,530,813
3,957,990
2,860,631
Outpatient Revenues
2,530,813
3,957,990
2,860,631
1,821,922
1,835,766
2,032,000
ER Revenues
1,821,922
1,835,766
2,032,000
3,658,909
3,595,089
3,360,672
Resident Revenues
3,658,909
3,595,089
3,360,672
9,136,365 10,712,353 9,824,012
2,812,824
4,224,624
3,558,513
599,936
131,913
148,651
52,666
41,217
86,398
(116,037)
(179,067)
(229,650)
287,217
534,285
659,505
3,636,606
4,752,971
4,223,418
5,499,759 5,959,382 5,600,594
32,690 61,255 47,923
5,532,449 6,020,636 5,648,517
86,008 80,693 81,088
5,954,868 6,057,328 5,750,684
(422,418) (36,691) (102,167)
195 449 153
(3,535) (1,240) (2,295)
2,691
- - 455,741
127,805 113,021 -
124,465 114,921 453,599
(297,953) 78,230 351,432
Total Patient Revenue
Revenue Deductions
Contractuals
Charity
Indigent Care
DSH/UCC/DSRIP
Bad Debt
Total Revenue Deductions
Net Patient Revenue
Other Operating Revenue
Total Operating Revenue
Operating Expenses
Salaries & Wages
Employee Benefits & PR Taxes
Professional Fees
Purchased Services
Supplies
Insurance
Utilities
Other Expenses
9,136,365 10,712,353 9,824,012
2,812,824
Current Period
3,558,513
Actual This
Budget This
148,651
Month
Month
Last Year
810,206
936,360
839,512
310,303
290,193
270,774
347,767
329,900
448,997
306,078
379,870
305,872
280,771
297,325
277,822
3,037
5,716
2,851
40,123
46,105
50,640
47,763
96,076
112,456
3,722,812
3,595,089
3,360,672
5,868,860
5,976,635
5,669,595
86,008 80,693 81,088
5,954,868 6,057,328 5,750,684
(422,418) (36,691) (102,167)
195 449 153
(3,535) (1,240) (2,295)
2,691
- - 455,741
127,805 113,021 -
124,465 114,921 453,599
(297,953) 78,230 351,432
Total Patient Revenue
Revenue Deductions
Contractuals
Charity
Indigent Care
DSH/UCC/DSRIP
Bad Debt
Total Revenue Deductions
Net Patient Revenue
Other Operating Revenue
Total Operating Revenue
Operating Expenses
Salaries & Wages
Employee Benefits & PR Taxes
Professional Fees
Purchased Services
Supplies
Insurance
Utilities
Other Expenses
9,136,365 10,712,353 9,824,012
2,812,824
4,224,624
3,558,513
599,936
131,913
148,651
52,666
41,217
86,398
(116,037)
(179,067)
(229,650)
287,217
534,285
659,505
3,636,606
4,752,971
4,223,418
5,499,759 5,959,382 5,600,594
32,690 61,255 47,923
5,532,449 6,020,636 5,648,517
Year to Date
Actual YTD Budget YTD Last Year YTD
810,206
936,360
839,512
310,303
290,193
270,774
347,767
329,900
448,997
306,078
379,870
305,872
280,771
297,325
277,822
3,037
5,716
2,851
40,123
46,105
50,640
47,763
96,076
112,456
Nursing Home Fee
3,722,812
3,595,089
3,360,672
Total Operating Expenses
5,868,860
5,976,635
5,669,595
Depreciation
86,008
80,693
81,088
Total Expenses
5,954,868
6,057,328
5,750,684
Net Operating Income / (Loss)
Non Operating income/ (Exp)
Investment Income
Interest Expense
Contributions and Grants
IGT Expense
Service Contribution by SOSET
Nursing Home MPAP
Total Non -Operating Revenue
Total Net Income / (Loss)
-15-
(422,418) (36,691) (102,167)
195 449 153
(3,535) (1,240) (2,295)
2,691
- 455,741
127,805 113,021 -
124,465 114,921 453,599
(297,953) 78,230 351,431
Memorial Medical Center
Income Statement by Operating Unit
For the Month Ended January 31, 2018
Revenue
Operating Expenses
Current Period
Year to Date
Date
Nursing
Nursing
Nursing
Nursing
Hospital
Clinics
Homes
Combined
Combined
Hospital
Clinics
Homes
Combined
1,124,722
-
-
1,124,722
Inpatient Revenues
1,124,722
-
-
1,124,722
2,020,502
510,311
-
2,530,813
Outpatient Revenues
2,020,502
510,311
-
2,530,813
1,821,922
-
-
1,821,922
ER Revenues
1,821,922
-
-
1,821,922
-
-
3,658,909
3,658,909
Resident Revenues
-
-
3,658,909
3,658,909
4,967,146
510,311
3,658,909
9,136,365
Total Patient Revenue
4,967,146
510,311
3,658,909
9,136,365
280,771
3,037
-
-
Revenue Deductions
Insurance
3,037
-
-
2,688,913
123,911
-
2,812,824
Contractuals
2,688,913
123,911
-
2,812,824
599,936
-
-
599,936
Charity
599,936
55,958
-
599,936
52,666
-
-
52,666
Indigent Care
52,666
-
-
52,666
(116,037)
-
-
(116,037)
DSH/UCC
_(116,037)
1,784,118
-
(116,037)
287,217
-
16,000
287,217
Bad Debt
287,217
70,008
-
287,217
3,512,695
123,911
-
3,636,606
Total Revenue Deductions
3,512,695
123,911
-
3,636,606
1,454,451
386,399
3,658,909
5,499,759
Net Patient Revenue
1,454,451
386,399
3,658,909
5,499,759
17,484
15,206
-
32,690
Other Operating Revenue
17,484
15,206
-
32,690
1,471,935
401,605
3,658,909
5,532,449
Total Operating Revenue
1,471,935
401,605
3,658,909
5,532,449
Operating Expenses
-16-
Current Period
Year to
Date
Nursing
Nursing
Hospital
Clinics
Homes
Combined
Hospital
Clinics
Homes
Combined
717,099
93,107
-
810,206
Salaries & Wages
717,099
93,107
-
810,206
275,305
34,998
-
310,303
Employee Benefits &PR Taxes
275,305
34,998
-
310,303
148,185
199,582
-
347,767
Professional Fees
148,185
199,582
-
347,767
277,890
28,188
-
306,078
Purchased Services
277,890
28,188
-
306,078
266,520
14,250
-
280,771
Supplies
266,520
14,250
-
280,771
3,037
-
-
3,037
Insurance
3,037
-
-
3,037
40,123
-
-
40,123
Utilities
40,123
-
-
40,123
55,958
(81195)
-
47,763
Other Expenses
55,958
(8,195)
-
47,763
-
-
3,722,812
3,722,812
Nursing Home Fee
-
3,722,812
3,722,812
1,784,118
361,930
3,722,812
5,868,860
Total Operating Expenses
1,784,118
361,930
3,722,812
5,868,860
70,008
16,000
-
86,008
Depredation
70,008
16,000
-
86,008
1,854,126
377,930
3,722,812
5,954,868
Total Expenses
1,854,126
377,930
3,722,812
5,954,868
(382,191)
23,675
(63,903)
(422,418)
Net Operating Income (Loss)
(382,191)
23,675
(63,903)
(422,418)
Non Operating income / (Exp)
195
-
-
195
Investment Income
195
-
-
195
(3,535)
-
-
(3,535)
Interest Expense
(3,535)
-
-
(3,535)
Contributions and Grants
_
-
-
-
IGT Expense
_
-
-
-
Service Contribution by SOSEE
-
-
-
-
-
127,805
127,805
Nursing Home MPAP
-
127,805
127,805
(3,340)
-
127,805
124,465
Total Non -Operating Revenue
(3,340)
-
127,805
124,465
(385,531)
23,675
63,903
(297,953)
Total Net income/(Lass)
(385,531)
23,675
63,903
(297,953)
-16-
Memorial Medical Center
Capital Acquisitions
For the Month Ended January 31, 2018
Month
Description
Building Equipment
Total
1/31/18
Panda IRES Warmer W/Instrument Shelf
$ 22,530
22,529.93
1/31/18
Computers -January 2017
- 5,558
5,557.81
1/31/18
CPS[ Software needed for EMR requirements
118,790
118,790.00
Sub Total January
- 146,878
146,878
Sub Total February
Sub Total March
Sub Total April
Sub Total May
Sub Total June
Sub Total July
Sub Total August
Sub Total September
Sub Total October
Sub Total November
12/17
Sub Total December
Total
-17-
$ - $ 146,878 $ 146,878
m n o
w o
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0 o vow m n
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N
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Physician Revenue Trend
Memorial Medical Center
As of January 2018
Memorial Medical Center Clinic
966 ThuongThao
2099 Shefcik Traci
2927 Gains Michael
5966 Carol Andrus
9293 Serina Danielson
9294 John Durst
11005 Crowley William
19000 Arroyo Diaz Ric
22000 Rojas Peter P
41574 Hinds Frank
41596 Schultz Mercede
41743 Angela Dobbins
42320 Pfeil Michael
58001 Thurlkill Court
Hospitalist
130006 Hospitalist
Port Lavaca Clinic
1500 Lincoln Jewel
8800 Timu N Kwi
12000 Griffin Jeannin
13001 Falcon Leigh A
50001 Wrightlohn
320001 O'Donnell5hanna
Specialty Clinic
404 Adu Ayo
12100 Breech Donald
13000 Bunnell Don Pau
22000 Peter Rojas
70002 Richard Steiberg
90000 Dakshesh Pariskh
525225 Malik AzharMID
-19-
Jan -18
2018 YTD
PRIOR YEAR TD
$
97,368
$
97,368
$
117,647
$
29,760
$
29,760
$
71,722
$
12,569
$
12,569
$
100,554
$
124,225
$
78,159
$
503,203
$
503,203
$
707,714
$
321,756
$
321,756
$
445,413
$
88,471
$
88,471
$
271,454
$
137,298
$
137,298
$
203,471
$
203,471
$
195
$
30,728
$
30,728
$
33,774
$
33,774
$
42,803
$
1,190,425
$
1,190,425
$
1,959,886
24%
24%
30%
$
941,105
$
941,105
$
920,871
$
941,105
$
941,105
$
920,871
19%
19%
14%
19,453
19,453
$
293,819
115,827
115,827
182,584
23,224
23,224
$
29,697
105,124
105,124
$
237,080
208,199
208,199
$
378,353
25,508
25,508
$
40,793
$
497,334
$
497,334
$
1,162,326
10%
10%
18%
$
56,841
$
56,841
$
52,714
$
72,159
$
72,159
$
41,116
$
99,882
$
99,882
$
37,211
$
18,776
$
837
$
3,029
$
3,029
$
9,180
$
231,911
$
231,911
$
159,834
5%
5%
2%
-19-
Physician Revenue Trend
$
29,486
$
29,486
$
Memorial Medical Center
310001 Cummins Michell
$
3,689
$
3,689
As of January 2018
26,273
330000 Le Nhn MD
$
510
$
510
$
Jan -18
2018 YTD
PRIOR YEAR TD
Coastal Medical Clinic
33,685
$
50,708
806 William McFarland
1%
1%
$ 25,799
809 Delgado Ana
$
1,143
$
1,143
11000 McFarland, Tim R
$
7,232
$
7,232
$ 56,463
30,764
$
8,375
$
8,375
$ 82,262
$
30,764
0%
0%
1%
Independent
6000 Lin Mau Shong
$
29,486
$
29,486
$
24,196
310001 Cummins Michell
$
3,689
$
3,689
$
26,273
330000 Le Nhn MD
$
510
$
510
$
239
$
33,685
$
33,685
$
50,708
1%
1%
1%
Other Medical Staff
065002 George Boozalis
$
13,096
$
13,096
$
30,764
$
13,096
$
13,096
$
30,764
0%
0%
0%
Total E/R Physicians
$
1,616,392
$
1,616,392
$
1,758,344
$
1,616,392
$
1,616,392
$
1,758,344
33%
33%
27%
Other Ordering Physicians $
431,076 $
431,076 $
415,717
$
431,076 $
431,076 $
415,717
9%
9%
6%
Totals $
4,963,398 $
4,963,398 $
6,540,712
-20-
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Memorial Medical Center
Accounts Receivable Agings
Aging
0-30
31-60
61-90
91-120
121-150
151-180
181-365
Total Gross
%Over
% Over
% Under
% Under
Jan -17
2,386,450
285,860
1
1
1
1
1
1
120 Days
90 Days
60 Days
90 Days
Total
Jan -17 4,561,199 1,469,951 1,100,920 982,629 476,477 353,442 1,059,659 10,004,278 18.9% 28.7% 60.3% 71.3%
Feb -17 3,997,759 1,723,287 1,056,568 781,203 566,018 282,925 1,168,505 9,576,264 21.1% 29.2% 59.7% 70.8%
Mar173,773,839 1,907,190 1,179,335 704,554 297,877 283,398 973,224 9,119,417 17.0% 24.8% 62.3% 75.2%
Apr -17 3,596,810 1,887,117 1,343,950 698,284 391,335 182,383 958,124 9,058,003 16.9% 24.6% 60.5% 75.4%
May -17 3,664,157 1,711,890 1,085,916 791,862 432,566 229,471 1,151,230 9,067,092 20.0% 28.7% 59.3% 71.3%
Jun -17 3,969,048 1,754,014 1,170,853 743,100 444,307 267,135 1,008,115 9,356,572 18.4% 26.3% 61.2% 73.7%
Jul -17 4,046,347 1,934,970 1,108,644 650,999 470,901 273,275 1,048,009 9,533,146 18.8% 25.6% 62.7% 74.4%
Aug -17 3,439,090 2,250,858 1,350,173 824,841 477,805 299,293 1,123,377 9,765,436 19.5% 27.9% 58.3% 72.1%
Sep -17 3,476,932 1,831,638 1,338,123 1,019,649 658,678 261,460 1,158,721 9,745,201 21.3% 31.8% 54.5% 68.2%
Oct -17 3,950,901 1,447,764 1,309,557 1,078,059 726,276 449,970 1,138,219 10,100,747 22.9% 33.6% 53.4% 66.4%
Nov -17 4,031,951 1,942,996 963,012 820,502 674,549 479,208 1,092,091 10,004,309 22.4% 30.7% 59.7% 69.3%
Dec -17 3,369,155 1,776,876 1,329,611 957,231 668,287 422,688 1,322,641 9,846,490 24.5% 34.2% 52.3% 65.8%
Jan -18 4,037,071 1,509,038 1,276,575 1,102,392 622,606 469,173 1,322,009 10,338,864 23.3% 34.0% 53.6% 66.0%
E.\2018\JAN 2018\AR Monthly Analysis Board Packet -January 2018 -22-
Medicare
Jan -17
2,386,450
285,860
149,700
155,427
119,244
38,280
52,875
3,187,836
6.6%
11.5%
83.8%
88.5%
Feb -17
1,862,872
374,963
116,022
71,331
89,561
13,984
46,738
2,575,471
5.8%
8.6%
86.9%
91.49.
Mar -17
2,107,406
436,774
230,248
69,511
20,078
25,536
60,966
2,950,519
3.6%
6.0%
86.2%
94.0%
Apr -17
1,976,211
471,695
228,098
143,924
66,892
11,845
48,197
2,946,861
4.3%
9.2%
83.1%
90.8%
May -17
1,872,077
421,809
148,604
66,904
34,477
27,215
24,922
2,596,009
3.3%
5.9%
88.4%
94.1%
Jun -17
1,901,474
375,067
131,562
51,709
9,333
15,186
51,010
2,535,341
3.0%
5.0%
89.8%
95.0%
Jul -17
1,959,529
418,370
115,772
52,310
34,540
7,949
54,922
2,643,393
3.7%
5.7%
90.0%
94.3%
Aug -17
1,565,207
548,410
143,762
55,787
29,744
17,895
40,975
2,401,780
3.7%
6.0%
88.0%
94.0%
Sep -17
1,655,132
426,033
182,349
35,908
5,783
19,655
53,433
2,378,292
3.3%
4.8%
87.5%
95.2%
Oct -17
1,546,696
326,618
168,326
97,667
24,188
5,783
44,675
2,213,954
3.4%
7.8%
84.6%
92.2%
Nov -17
1,503,313
314,582
71,861
46,533
60,375
24,632
51,412
2,072,709
6.6%
8.8%
87.7%
91.2%
Dec -17
1,538,394
289,336
83,733
70,541
43,439
37,498
59,975
2,122,916
6.6%
10.0%
86.1%
90.0%
Jan -18
1,844,700
451,558
77,713
52,902
16,665
43,694
88,177
2,575,409
5.8%
7.8%
89.2%
92.2%
Medicaid
Jan -17
477,073
109,557
83,221
109,745
32,115
240
49,129
861,079
9.5%
22.2%
68.1%
77.8%
Feb -17
499,028
262,788
75,947
70,739
45,052
11,423
23,859
988,836
8.1%
15.3%
77.0%
84.7%
Mar -17
366,982
152,054
132,383
55,197
32,554
31,887
31,866
802,924
12.0%
18.9%
64.6%
81.1%
Apr -17
446,305
129,854
103,367
44,736
17,612
16,982
38,509
797,364
9.2%
14.8%
72.3%
85.2%
May -17
379,502
80,220
47,861
17,661
7,005
4,153
19,719
556,121
5.6%
8.7%
82.7%
91.3%
Jun -17
436,594
108,262
21,015
13,369
51,724
4,769
1,162
636,896
9.1%
11.2%
85.5%
88.8%
Jul -17
419,361
168,247
44,566
10,362
5,081
1,669
2,140
651,426
1.4%
3.0%
90.2%
97.0%
Aug -17
460,814
355,303
115,759
32,474
7,570
2,527
2,963
977,411
1.3%
4.7%
83.5%
95.3%
Sep -17
426,389
157,688
95,749
55,878
18,320
5,034
2,324
761,381
3.4%
10.7%
76.7%
89.3%
Oct -17
591,739
127,347
107,194
88,329
53,254
15,528
5,416
988,807
7.5%
16.4%
72.7%
83.6%
Nov -17
759,598
252,849
58,949
112,208
64,507
29,619
15,371
1,293,102
8.5%
17.1%
78.3%
82.9%
Dec -17
431,144
299,722
97,482
58,356
48,616
44,765
14,753
994,838
10.9%
16.7%
73.5%
83.3%
Jan -18
422,060
148,528
225,853
86,639
48,806
46,157
49,814
1,027,857
14.1%
22.5%
55.5%
77.5%
BCBS
Jan -17
320,493
84,311
20,250
14,367
5,700
2,621
15,461
463,205
5.1%
8.2%
87.4%
91.8%
Feb -17
269,307
46,555
27,028
9,863
15,810
5,545
9,349
383,456
8.0%
10.6%
82.4%
89.4%
Mar -17
247,112
75,199
12,097
22,972
1,057
8,981
23,522
390,939
8.6%
14.5%
82.4%
85.5%
Apr -17
194,701
66,632
11,211
6,873
2,935
1,057
28,239
311,648
10.3%
12.5%
83.9%
87.5%
May -17
242,780
26,109
17,740
10,674
1,381
2,735
32,665
334,083
11.0%
14.2%
80.5%
85.8%
Jun -17
248,545
88,197
20,152
7,449
1,480
1,545
19,779
387,147
5.97.
7.8%
87.0%
92.2%
Jul -17
208,352
47,463
6,757
5,350
3,303
383
21,144
292,752
8.5%
10.3%
87.4%
89.7%
Aug -17
164,226
16,122
25,208
5,446
1,896
3,303
19,975
236,175
10.7%
13.0%
76.4%
87.0%
Sep -17
223,860
51,453
10,158
4,197
2,583
3,249
30,060
325,560
11.0%
12.3%
84.6%
87.7%
Oct -17
407,975
17,747
10,268
3,174
3,375
236
37,470
480,246
8.6%
9.2%
88.6%
90.8%
Nov -17
290,129
118,230
9,065
8,522
369
1,488
18,526
446,330
4.6%
6.5%
91.5%
93.5%
Dec -17
373,181
37,769
104,059
3,292
9,976
369
23,522
552,169
6.1%
6.7%
74.4%
93.3%
Jan -18
314,301
41,036
15,097
99,861
3,229
3,315
21,609
498,447
5.6%
25.7%
71.3%
74.3%
E.\2018\JAN 2018\AR Monthly Analysis Board Packet -January 2018 -22-
Memorial Medical Center
Accounts Receivable Agings
Aging
0-30
31-60
61-90
91-120
121-150
151-180
181-365
Total Gross
% Over
% Over
% Under
Under
1
1
1
1
1
120 Days
I
90 Days
60 Days
90 Days
1%
Commercial
Jan -17 998,533 274,367 175,439 123,255 28,246 44,188 92,977 1,737,006 9.5% 16.6% 73.3% 83.4%
Feb -17 1,153,728 303,202 157,302 62,901 45,604 24,581 95,421 1,842,739 9.0% 12.4% 79.1% 87.6%
Mar17844,910 425,021 153,692 91,705 30,928 32,904 123,070 1,702,229 11.0% 16.4% 74.6% 83.6%
Apr -17 745,420 490,323 268,383 97,507 74,921 21,913 130,255 1,828,722 12.4% 17.7% 67.6% 82.3%
May -17 763,519 358,044 178,198 138,315 67,083 20,153 126,604 1,651,916 12.9% 21.3% 67.9% 78.7%
Jun -17 800,121 347,550 176,569 77,169 97,604 39,049 68,539 1,606,701 12.8% 17.6% 71.4% 82.4%
Jul -17 774,569 388,804 158,306 62,600 48,270 79,143 74,750 1,586,443 12.7% 16.7% 73.3% 83.3%
Aug -17 674,104 448,688 191,443 154,611 47,357 29,752 113,532 1,659,488 11.5% 20.8% 67.7% 79.2%
Sep -17 721,865 339,070 195,300 131,925 103,031 30,556 125,411 1,647,158 15.7% 23.7% 64.4% 76.3%
Oct -17 835,246 343,682 208,722 150,765 84,940 58,123 140,570 1,822,048 15.6% 23.8% 64.7% 76.2%
Nov -17 955,745 435,321 193,894 169,830 88,573 65,646 178,639 2,087,649 15.9% 24.1% 66.6% 75.9%
Dec -17 682,636 339,518 224,738 181,524 156,065 41,013 158,761 1,784,255 19.9% 30.1% 57.3% 69.9%
Jan -18 824,258 285,290 217,186 165,843 123,015 129,879 187,441 1,932,911 22.8% 31.4% 57.4% 68.6%
Private Pay
Jan -17 378,651 715,855 672,310 579,835 291,172 268,113 849,216 3,755,152 37.5% 52.9% 29.1% 47.1%
Feb -17 212,825 735,778 680,269 566,369 369,992 227,392 993,137 3,785,762 42.0% 57.0% 25.1% 43.0%
Mar -17 207,429 818,142 650,915 465,170 213,260 184,089 733,800 3,272,806 34.6% 48.8% 31.3% 51.2%
Apr 17 234,173 728,613 732,890 405,244 228,976 130,587 712,924 3,173,408 33.8% 46.6% 30.3% 53.4%
May -17 406,278 825,708 693,512 558,308 322,621 175,216 947,319 3,928,962 36.8% 51.0% 31.4% 49.0%
Jun -17 582,314 834,839 821,554 593,404 284,165 206,586 867,625 4,190,487 32.4% 46.6% 33.8% 53.4%
Jul -17 684;536 912,087 783,243 520,376 379,707 184,131 895,053 4,359,133 33.5% 45.4% 36.6% 54.6%
Aug -17 574,739 882,335 874,001 576,522 391,238 245,816 945,931 4,490,582 35.3% 48.1% 32.4% 51.9%
Sep -17 449,686 857,394 854,568 791,741 528,961 202,966 947,493 4,632,810 36.3% 53.3% 28.2% 46.7%
Oct -17 569,246 632,369 815,047 738,124 560,519 370,300 910,087 4,595,692 40.1% 56.1% 26.1% 43.9%
Nov -17 523,165 822,013 629,242 483,409 460,724 357,822 828,143 4,104,520 40.1% 51.9% 32.8% 48.1%
Dec -17 343,800 810,531 819,598 643,518 410,192 299,042 1,065,630 4,392,313 40.4% 55.1% 26.3% 44.9%
Jan -18 631,752 582,628 740,726 697,147 430,891 246,128 974,968 4,304,240 38.4% 54.6% 28.2% 45.4%
All Insured
Jan -17 4,182,549 754,096 428,610 402,794 185,305 85,329 210,443 6,249,126 7.7% 14.1% 79.0% 85.9%
Feb -17 3,784,935 987,509 376,299 214,834 196,026 55,533 175,367 5,790,503 7.4% 11.1% 82.4% 88.9%
Mar -17 3,566,410 1,089,047 528,420 239,384 84,617 99,309 239,424 5,846,611 7.2% 11.3% 79.6% 88.7%
Apr -17 3,362,637 1,158,504 611,060 293,040 162,359 51,796 245,200 5,884,595 7.8% 12.8% 76.8% 87.2%
May -17 3,257,878 886,181 392,404 233,555 109,945 54,255 203,911 5,138,130 7.2% 11.7% 80.7% 88.3%
Jun -17 3,386,734 919,175 349,298 149,696 160,141 60,549 140,490 5,156,084 7.0% 9.9% 83.3% 90.1%
Jul -17 3,361,811 1,022,884 325,400 130,623 91,194 89,145 152,956 5,174,014 6.4% 9.0% 84.7% 91.0%
Aug -17 2,864,351 1,368,523 476,171 248,319 86,567 53,477 177,446 5,274,853 6.0% 10.7% 80.2% 89.3%
Sep -17 3,027,246 974,244 483,555 227,908 129,716 58,494 211,228 5,112,391 7.8% 12.3% 78.3% 87.7%
Oct -17 3,381,655 815,395 494,510 339,935 165,757 79,670 228,132 5,505,055 8.6% 14.8% 76.2% 85.2%
Nov -17 3,508,786 1,120,983 333,770 337,093 213,825 121,386 263,948 5,899,789 10.2% 15.9% 78.5% 84.1%
Dec -17 3,025,355 966,345 510,013 313,713 258,095 123,645 257,011 5,454,177 11.7% 17.5% 73.2% 82.5%
Jan -18 3,405,319 926,411 535,849 405,246 191,715 223,045 347,040 6,034,625 12.6% 19.3% 71.8% 80.7%
E:\2018\IAN 2018\AR Monthly Analysis Board Packet -January 2018 -23
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Memorial Medical Clinics
Accounts Receivable Agings
Aging
0-30
31-60
61-90
91-120
121-150
151-180
181-365
ToW Gross
%Over
%Over
%Under
% Under
Jan -17
177,845
45,939
1
45,917
21,902
1
1
1
120 Days
90 Days
60 Days
90 Days
E:\2018\JAN 2018\Aft Monthly Analysis Board Packet -January 2018 -25-
Total
Jan -17
177,845
45,939
57,264
45,917
21,902
27,580
314,021
690,468
52.6%
59.3%
32.4%
40.7%
Feb -17
269,462
85,013
35,008
53,331
19,610
21,687
292,038
776,148
42.9%
49.8%
45.7%
50.2%
Mar -17
175,914
125,935
47,390
31,997
37,612
18,716
273,709
711,273
46.4%
50.9%
42.4%
49.1%
Apr -17
145,546
93,733
96,893
37,133
28,917
26,811
267,720
696,755
46.49.
51.8%
34.3%
48.2%
May -17
175,689
51,363
53,860
69,077
10,774
12,250
319,039
692,052
49.4%
59.491
32.8%
40.6%
Jun -17
204,495
59,325
28,792
31,725
50,647
17,575
268,259
660,818
50.9%
55.7%
39.9%
44.3%
Jul -17
188,913
77,816
36,857
18,734
8,625
29,129
142,000
502,074
35.8%
39.5%
53.1%
60.5%
Aug -17
243,288
83,211
44,944
29,131
14,703
8,905
162,924
587,105
31.8%
36.7%
55.6%
63.3%
Sep -17
271,781
60,841
37,973
28,154
15,045
13,523
126,132
553,448
28.0%
33.0%
60.1%
67.091
Oct -17
330,823
88,758
32,676
25,290
20,469
12,114
43,176
553,306
13.7%
18.3%
75.8%
81.7%
Nov -17
437,677
45,544
17,584
20,989
18,453
11,121
43,214
594,582
12.2%
15.8%
81.3%
84.2%
Dec -17
508,569
32,492
10,313
12,134
4,096
(512)
(2,879)
564,212
0.1%
2.3%
95.9%
97.7%
Jan -18
489,483
12,415
9,784
10,329
1,798
1,725
(7,453)
518,080
-0.8%
1.2%
96.9%
98.8%
E:\2018\JAN 2018\Aft Monthly Analysis Board Packet -January 2018 -25-
Medicare
Jan -17
17,840
1,017
1,820
599
324
(365)
(3,056)
18,179
-17.0%
-13.7%
103.7%
113.7%
Feb -17
42,441
1,388
1,009
1,100
309
374
(3,794)
42,828
-7.3%
-4.7%
102.3%
104.7%
Mar -17
23,433
1,151
-
225
433
30
(528)
24,744
-0.3%
0.6%
99.4%
99.4%
Apr -17
16,507
6,599
720
65
488
105
5,592
30,076
20.6%
20.8%
76.8%
79.2%
May -17
56,671
9,259
12,170
5,862
2,646
(377)
31,594
117,824
28.7%
33.7%
56.0%
66.3%
Jun -17
17,406
4,659
582
(74)
515
30
(171)
22,948
1.6%
1.3%
96.2%
98.7%
Jul -17
30,481
6,143
6,327
299
(530)
9,116
322
52,157
17.1%
17.7%
70.2%
82.3%
Aug -17
42,603
(3,362)
4,250
3,536
-
(520)
9,747
56,255
16.4%
22.7%
69.8%
77.3%
Sep -17
78,674
2,048
6,124
3,316
436
-
796
91,393
1.3%
5.0%
88.3%
95.0%
Oct -17
87,459
6,941
1,143
333
3,264
522
556
100,216
4.3%
4.7%
94.2%
95.3%
Nov -17
67,989
3,233
1,108
-
1,840
86
-
74,256
2.6%
2.6%
95.9%
97.4%
Dec -17
67,807
2,700
240
-
774
-
-
71,521
1.1%
1.1%
98.6%
98.9%
Jan -18
84,984
1,657
291
-
-
161
(463)
86,630
-0.3%
-0.3%
100.0%
100.3%
Medicaid
Jan -17
16,626
7,325
20,563
4,089
3,625
7,674
6,218
66,121
26.5%
32.7%
36.2%
67.3%
Feb -17
33,792
16,271
7,698
17,132
3,292
2,726
9,970
90,881
17.6%
36.4%
55.1%
63.6%
Mar -17
15,543
24,656
14,061
7,046
13,156
1,628
7,185
83,275
26.4%
34.8%
48.3%
65.2%
Apr -17
15,411
7,112
15,772
2,064
7,585
10,130
6,631
64,706
37.6%
40.8%
34.8%
59.2%
May -17
29,694
4,108
7,185
15,492
(341)
(1,957)
50,166
104,346
45.9%
60.7%
32.4%
39.3%
Jun -17
32,250
14,432
2,459
3,319
7,103
1,228
8,261
69,052
24.0%
28.8%
67.6%
71.2%
Jul -17
16,967
16,640
1,653
1,540
321
1,232
6,658
45,010
18.2%
21.7%
74.7%
78.3%
Aug -17
14,853
13,914
7,701
1,638
1,068
276
7,512
46,962
18.9%
22.3%
61.3%
77.7%
Sep -17
13,962
3,929
3,406
3,958
1,262
528
7,584
34,630
27.1%
38.5%
51.7%
61.5%
Oct 17
12,610
12,669
3,790
3,515
2,313
443
3,044
38,384
15.1%
24.3%
65.9%
75.7%
Nov -17
19,742
11,275
1,347
3,384
2,069
443
2,968
41,228
13.3%
21.5%
75.2%
78.5%
Dec -17
33,129
10,491
1,094
3,023
2,069
443
2,657
52,906
9.8%
15.5%
82.4%
84.5%
Jan -18
52,500
1,795
1,074
1,817
674
443
(84)
58,218
1.8%
4.9%
93.3%
95.1%
E:\2018\JAN 2018\Aft Monthly Analysis Board Packet -January 2018 -25-
Memorial Medical Clinics
Accounts Receivable Agings
Aging
0-30
31-60
61-90
91-120
121-150
151-180
181-365
Total Gross
% Over
%Over
% Under%Under
Jan -17
15,036
526
1,947
90
(181)
6,476
(11,195)
1
120 Days
I
90 Days
60 Days
90 Days
E:\2018\JAN 2018\AR Monthly Analysis Board Packet -January 2018 _26
BCBS
Jan -17
15,036
526
1,947
90
(181)
6,476
(11,195)
12,699
-38.6%
-37.9%
122.5%
137.9%
Feb -17
6,660
15,105
(326)
2,308
-
(394)
(5,372)
17,981
-32.1%
-19.2%
121.0%
119.2%
Mar -17
2,789
4,112
12,515
(733)
2,488
120
(1,286)
20,006
6.6%
2.9%
34.5%
97.1%
Apr -17
2,554
199
3,859
13,683
2,549
647
6,340
29,831
32.0%
77.8%
9.2%
22.2%
May -17
5,405
2,973
2,279
8,019
8,845
8,153
54,823
90,498
79.4%
88.2%
9.3%
11.8%
Jun -17
20,029
(4,508)
1,641
(268)
(24)
9,755
(1,972)
24,653
31.5%
30.4%
63.0%
69.6%
Jul -17
11,144
986
512
828
(268)
3,465
(1,756)
14,911
9.79/
15.2%
81.3%
84.8%
Aug -17
20,935
660
121
438
882
-
(1,639)
21,396
-3.5%
-1.5%
100.9%
101.5%
Sep -17
37,143
934
-
(751)
-
984
-
38,310
2.6%
0.6%
99.491
99.4%
Oct -17
32,005
2,293
112
-
161
-
-
34,570
0.5%
0.5%
99.2%
99.5%
Nov -17
57,757
622
88
-
-
-
-
58,467
0.0%
0.0%
99.8%
100.0%
Dec -17
58,955
582
48
(24)
-
-
(1,826)
57,735
-3.2%
-3.2%
103.1%
200.0%
Jan -18
50,641
-
48
(24)
-
-
(1,856)
48,808
-3.8%
-3.9%
103.8%
103.9%
E:\2018\JAN 2018\AR Monthly Analysis Board Packet -January 2018 _26
Commercial
Jan -17
45,282
6,706
13,671
3,579
5,265
9,645
18,586
102,734
32.6%
36.1%
50.6%
63.9%
Feb -17
53,630
13,122
4,215
16,080
3,342
8,519
13,977
112,884
22.9%
37.1%
59.1%
62.9%
Mar -17
61,118
42,365
4,785
2,228
5,522
3,111
1,749
120,878
8.6%
10.4%
85.69.
89.6%
Apr -17
26,405
37,256
25,653
5,173
(2,768)
3,190
(13,490)
81,418
-16.1%
-9.7%
78.2%
109.7%
May -17
5,066
2,181
12,858
16,131
(7,987)
(2,879)
(21,296)
4,074
-789.5%
-393.5%
177.9%
493.5%
Jun -17
111,604
31,936
11,222
12,838
16,527
353
(555)
183,925
8.9%
15.9%
78.0%
84.1%
Jul -17
104,116
29,081
6,553
4,327
224
3,687
(457)
147,532
2.3%
5.3%
90.3%
94.7%
Aug -17
126,645
39,727
8,364
6,807
1,778
126
(1,269)
182,177
0.3%
4.1%
91.3%
95.9%
Sep -17
124,179
39,183
12,093
2,047
1,173
932
2,381
181,989
2.5%
3.6%
89.8%
96.4%
Oct -17
168,711
48,813
13,956
9,875
677
910
2,813
245,755
1.8%
5.8%
88.5%
94.2%
Nov -17
236,703
15,336
5,680
8,157
324
450
2,438
269,088
1.2%
4.2%
93.7%
95.8%
Dec 17
266,196
9,379
2,670
2,715
196
(242)
(4,489)
276,424
-1.6%
-0.7%
99.7%
100.7%
Jan -18
235,748
2,981
1,877
2,438
92
1,736
(3,990)
240,882
-0.9%
0.1%
99.1%
99.9%
Private Pay
Jan -17
83,062
30,364
19,264
37,560
12,870
4,148
303,467
490,736
65.3%
73.0%
23.1%
27.0%
Feb -17
132,939
39,126
22,413
16,711
12,667
10,462
277,256
511,573
58.7%
62.0%
33.6%
38.0%
Mar -17
73,030
53,651
16,030
23,231
16,012
13,827
266,590
462,371
64.1%
69.1%
27.4%
30.9%
Apr -17
84,668
42,568
50,889
16,150
21,063
12,740
262,647
490,725
60.4%
63.7%
25.9%
36.3%
May -17
78,853
32,843
19,367
23,572
7,613
9,310
203,753
375,311
58.8%
65.1%
29.8%
34.9%
Jun -17
23,206
12,806
12,888
15,911
26,526
6,209
262,695
360,240
82.0%
86.4%
10.0%
13.6%
Jul -17
26,206
24,966
21,813
11,740
8,878
11,629
137,233
242,465
65.1%
69.9%
21.1%
30.1%
Aug -17
38,252
32,271
24,509
16,712
10,975
9,022
148,573
280,314
60.1%
66.1%
25.2%
33.9%
Sep -17
17,824
14,747
16,351
19,582
12,173
11,078
115,372
207,126
66.9%
76.4%
15.7%
23.6%
Oct -17
30,039
18,043
13,676
11,567
14,054
10,239
36,763
134,381
45.4%
54.0%
35.8%
46.0%
Nov -17
55,486
15,077
9,361
9,448
14,220
10,143
37,808
151,543
41.0%
47.3%
46.6%
52.7%
Dec -17
82,482
9,340
6,261
6,420
1,057
(712)
779
105,626
1.1%
7.1%
86.9%
92.9%
Jan -18
65,611
5,982
6,493
6,098
1,032
(615)
(1,060)
83,541
-0.8%
6.5%
85.7%
93.5%
All Insured
Jan -17
94,783
15,574
38,000
8,357
9,032
23,432
10,554
199,732
21.5%
25.7%
55.3%
74.3%
Feb -17
136,523
45,887
12,595
36,620
6,943
11,224
14,783
264,575
12.5%
26.3%
68.9%
73.7%
Mar -17
102,884
72,284
31,360
8,765
21,600
4,889
7,119
248,902
13.5%
17.0%
70.4%
83.0%
Apr -17
60,878
51,165
46,004
20,984
7,854
14,072
5,073
206,030
13.1%
23.3%
54.4%
76.7%
May -17
96,836
18,520
34,492
45,505
3,162
2,940
115,286
316,741
38.3%
52.7%
36.4%
47.3%
Jun -17
181,289
46,519
15,904
15,814
24,121
11,366
5,564
300,577
13.7%
18.9%
75.8%
81.1%
Jul -17
162,707
52,850
15,044
6,994
(253)
17,500
4,767
259,609
8.5%
11.2%
83.0%
88.8%
Aug -17
205,036
50,940
20,435
12,419
3,727
(117)
14,351
306,791
5.9%
9.9%
83.4%
90.1%
Sep -17
253,958
46,094
21,623
8,571
2,872
2,445
10,760
346,322
4.6%
7.1%
86.6%
92.9%
Oct -17
300,784
70,716
19,001
13,723
6,414
1,875
6,412
418,925
3.5%
6.8%
88.7%
93.2%
Nov -17
382,191
30,466
8,223
11,542
4,233
978
5,406
443,039
2.4%
5.0%
93.1%
95.0%
Dec -17
426,087
23,152
4,052
5,714
3,039
200
(3,658)
458,586
-0.1%
1.2%
98.0%
98.8%
Jan -18
423,872
6,433
3,291
4,231
766
2,340
(6,394)
434,538
-0.8%
0.2%
99.0%
99.8%
E:\2018\JAN 2018\AR Monthly Analysis Board Packet -January 2018 _26
0
RUN DATB:02/23/18
TIMB:13:34
BANK- -CHECK-----------------
CODE
--_-_____----
CODE NUMBER DATE AMOUNT
MEMORIAL MEDICAL CENTER
CHECK REGISTER
01/01/18 THEE 01/31/18
-------------------------
PAYEE
NHS * 000004 01/31/18 164,029.73 1EMORIAL MEDICAL CENTER
A/P 000961 01/03/18 522.13 MCKESSON
A/P 000962 01/09/18 1,538.16 14CKES90N
A/P 000963 01/17/18 2,362.06 MCKESSON
A/P 000964 01/23/18 2,723.03 14CKESSON
A/P * 000965 01/29/18 458.12 CARDINAL HEALTH
ICP * 012035 01/03/18 327.28CR ADO SPORTS MEDICINE CLINIC
ICP * 012037 01/04/18 12,522.17CR MEMORIAL MEDICAL CENTER
ICP 012043 01/03/18 250,73CR VICTORIA EYE CENTER
ICP * 012044 01/02/18 493.59CR MEDIMPACT HEALTHCARE SYS, INC.
ICP 012048 01/04/18 12,998,86CR MEMORIAL MEDICAL CENTER
ICP 012056 01/03/18 99.17 VICTORIA EYE CENTER
ICP 012057 01/03/18 151.56 VICTORIA EYE CENTER
ICP 012058 01/04/IB 327.78 ADO SPORTS MEDICINE CLI
ICP 012059 01/04/18 4,166.67 MEMORIAL MEDICAL CENTER
ICP 012060 01/04/18 4,166.67 MEMORIAL MEDICAL CENTER
ICP 012061 01/04/18 4,166.67 MEMORIAL MEDICAL CENTER
ICP 012062 01/04/18 715,81 MEMORIAL MEDICAL CENTER
ICP 012063 01/04/18 11,806.36 MEMORIAL MEDICAL CENTER
ICP 012064 01/04/18 678,32 MEMORIAL MEDICAL CENTER
ICP * 012065 01/04/18 12,320.54 MEMORIAL MEDICAL CENTER
PR- 062044 01/11/18 387.15 PAY -P.12/22/17 01/04/18
PR- 062045 01/11/18 382.61 PAY -P.12/22/17 01/04/18
PR- 062046 01/25/18 220.79 PAY -P.01/05/18 01/18/18
PR- 062047 01/25/18 1,917.61 PAY -P.01/05/18 01/18/18
PR- * 062048 01/25/18 608.27 PAY -P.01/05/18 01/18/18
A/P 172387 01/04/18 187,885.51 MMC OPERATING PROSPERITY ACC
A/P 172388 01/16/18 282,131.38 NEC OPERATING PROSPERITY ACC
A/P 172389 01/23/18 .00 M14C OPERATING PROSPERITY ACC
A/P 172390 01/24/18 165,715.13 MMC OPERATING PROSPERITY ACC
A/P 172391 01/31/18 993,930.93 MMC OPERATING PROSPERITY ACC
A/P * 172392 01/31/18 1,000,000,00 PRIVATE WAIVER CLEARING ACCT
A/P * 173332 01/15/18 182.000R THE TRIBUNE
A/P 173987 01/03/18 493.59 MEDIMPACT HEALTHCARE SYS, INC.
A/P 173988 01/04/18 2,439.30 BAXTER HEALTHCARE
A/P 173989 01/04/18 4,873.14 BAXTER HEALTHCARE CORP
A/P 173990 01/08/18 17,603.28 CALHOUN COUNTY INDIGENT ACCOUN
A/P 173991 01/08/18 23.16 ABBOTT NUTRITION
A/P 173992 01/08/18 1,400.00 ACUTE CARE INC
A/P 173993 01/08/18 1,832,47 AIRESPRING INC
A/P 173994 01/08/18 3,201.43 AIRGAS USA, LLC - CENTRAL DIV
A/P 173995 01/08/18 636,00 ALCON LABORATORIES, INC,
A/P 173996 01/08/18 5,279.20 ALERE NORTH AMERICA, LLC
A/P 173997 01/08/18 560.58 ALIMBD INC.
A/P 173998 01/08/18 398.00 AMERICAN APPLIANCE
A/P 173999 01/08/18 6,452.64 BANK OF THE NEST
A/P 174000 01/08/18 689.24 HARD PERIPHERAL VASCULAR
A/P 174001 01/08/18 933.09 BECKMAN COULTER INC
A/P 174002 01/08/18 125.95 BEEKLEY MEDICAL
A/P 174003 01/08/18 75,00 BHB MACHINE & PUMP REPAIR, LLC
-27-
PAGE 1
GLCKREG
RUN DATB:02/23/18 MEMORIAL MEDICAL CENTER PAGE 2
TI149:13:34 CHECK REGISTER GLCKREG
01/01/18 THEE 01/31/18
BANK --CHECK-------_-__ __----_---___--------_.-_---------
CODE NUMBER DATE AMOUNT PAYEE
-----------------------------------------------------------------------------------------------
A/P 174004 01/08/18 378.75 CARDINAL HEALTH 414,11C
A/P 174005 01/08/18 130.54 CAREFUSION 2200, INC
A/P 174006 01/08/18 189.01 CDI'I GOVERNMENT, INC.
A/P 174007 01/08/18 5,421.84 CENTURION MEDICAL PRODUCTS
A/P 174008 01/08/18 200.00 CHRIS KOVAREK
A/P 174009 01/08/18 85.00 CITIZENS MEDICAL CENTER
A/P 174010 01/08/18 5,759,25 CLINICAL PATHOLOGY LABS
A/P 174011 01/08/18 679.75 CONNED CORPORATION
A/P 174012 01/08/19 333,72 CONNED LINVATEC
A/P 174013 01/08/18 420.00 CONTROL SOLUTIONS
A/P 174014 01/08/18 57.20 COOK MEDICAL INCORPORATED
A/P 174015 01/08/18 206.00 CORPUS CHRISTI PROSTHETICS
A/P 174016 01/08/18 2,965.64 CSI LEASING INC
A/P 174017 01/08/18 713.00 CYGNUS MEDICAL LLC
A/P 174018 01/08/18 408,24 CYRACOM LLC
A/P 174019 01/08/18 5,746.40 DELTA HEALTHCARE PROVIDERS
A/P 174020 01/08/18 .00 VOIDED
A/P 174021 01/08/18 2,565.26 DEWITT TOTH & SON
A/P 174022 01/08/18 187,831.92 DISCOVERY MEDICAL NETWORK INC
A/P 174023 01/08/18 79.95 DIE PAPER & PACKAGING
A/P 174024 01/08/16 372,90 DOWNTOWN CLEANERS
A/P 174025 01/08/18 139.55 DYNATRONICS CORPORATION
A/P 174026 01/08/18 80,125.00 .EMERGENCY STAFFING SOLUTIONS
A/P 174027 01/08/18 21.40 E14ILIE KESTNER
A/P 174028 01/08/18 153.54 ERBF USA INC SURGICAL SYSTE143
A/P 174029 01/08/18 13,949.45 EVIDENT
A/P 174030 01/08/18 425.25 EVOQUA WATER TECHNOLOGIES LLC
A/P 174031 01/08/18 21.32 FILTER TECHNOLOGY CO, INC
A/P 174032 01/08/18 150.00 FIRST CLEARING
A/P 174033 01/08/18 1,799.63 FLDR DESIGNS LLC
A/P 174034 01/08/18 530.00 FORT BEND SERVICES, INC
A/P 174035 01/08/18 5,833.94 GARDNER & WHITE, INC.
A/P 174036 01/08/18 10.61 GE HEALTHCARE IITS USA CORP
A/P 174037 01/08/18 126.00 GENERAL HOSPITAL SUPPLY
A/P 174038 01/08/18 116.43 GENESIS DIAGNOSTICS
A/P 174039 01/08/18 300.00 GOLDEN CRESCENT RAC
A/P 174040 01/08/18 421.58 GRAINGER
A/P 174041 01/08/18 118.56 GRAPHIC CONTROLS LLC
A/P 174042 01/08/18 100,50 HEALTH CARE LOGISTICS INC
A/P 174043 01/08/18 21,319.55 HEALTHCARE EQUIPMENT FINANCE
A/P 174044 01/08/18 651,32 HILL -ROM COMPANY, INC
A/P 174045 01/08/18 517.12 HOLOGIC INC
A/P 174046 01/08/18 346.65 HOSPIRA WORLDWIDE, INC
A/P 174047 01/08/18 46.25 INTEGRATED MEDICAL SYSTEMS
A/P 174048 01/08/18 248.95 INTERSTATE ALL BATTERY CENTER
A/P 174049 01/08/18 62.85 INTOKIMETERS INC
A/P 174050 01/08/18 4,267.57 S & S HEALTH CARE SYSTEMS, INC
A/P 174051 01/08/18 29,64 7ESUSITA S. HERNANDEZ
A/P 174052 01/08/18 417.93 JOHNSTONE SUPPLY
A/P 174053 01/08/18 757.58 LANDAUER INC
A/P 174054 01/09/18 81.00 LANGUAGE LINE SERVICES
sm
RUN DATE;02/23/18 MEMORIAL MEDICAL CENTER PAGE 3
TIME:13:34 CHECK REGISTER GLCKREG
01/01/18 THRU 01/31/18
BANK --CHECK ----------------------------------------------------
CODE NN4BER DATE AMOUNT PAYEE
A/P 174055 01/08/18 443,65 LEGAL SHIELD
A/P 174056 01/08/18 50,02 LOWE'S HOME CENTERS INC
A/P 174057 01/08/18 2,330.00 M G TRUST
A/P 174058 01/08/18 105.35 N.C. JOHNSON C014PANY INC
A/P 174059 01/08/18 2,385.01 NARKS PLUMBING PARTS
A/P 174060 01/08/18 1,564.59 MARLIN BUSINESS BANK
A/P 174061 01/08/18 82.65 MARTIN PRINTING CO
A/P 174062 01/08/16 1,314,83 MCKESSON MEDICAL SURGICAL INC
A/P 174063 01/08/18 307,90 MEDELA INC
A/P 174064 01/08/19 120.00 RECIPROCITY
A/P 174065 01/08/18 6,240.77 MEDIVATORS
A/P 174066 01/08/18 1,017,52 NEDLINE INDUSTRIES INC
A/P 174067 01/06/18 54.00 MEGADYNE MEDICAL
A/P 174068 01/08/18 447.58 MEMORIAL MEDICAL CLINIC
A/P 174069 01/08/18 73.74 MERCEDES MEDICAL
A/P 174070 01/08/18 2,119.28 MERRY X-RAY/SOURCEONE HEALTHCA
A/P 174071 01/08/18 258.52 MHTLIFE
A/P 174072 01/08/18 445,90 MMC AUXILIARY GIFT SHOP
A/P 174073 01/08/18 27,307.87 MMIC EMPLOYEE BENEFIT PLAN
A/P 174074 01/08/18 .00 VOIDED
A/P 174075 01/08/18 .00 VOIDED
A/P 174076 01/08/18 15,449,33 MORRIS & DICKSON CO, LLC
A/P 174077 01/08/18 75,76 NAZARIO HERNANDEZ
A/P 174078 01/08/18 192.36 NURSES CHOICE CORPORATION
A/P 174079 01/08/18 3,750.00 NUTRITION OPTIONS
A/P 174080 01/08/18 185.22 OFFICE DEPOT
A/P 174081 01/08/18 1,297.97 OLYMPUS AMERICA INC
A/P 174082 01/09/18 2,548,93 ORTHO CLINICAL DIAGNOSTICS
A/P 174083 01/08/18 .00 VOIDED
A/P 174084 01/08/18 734.03 OWENS & MINOR
A/P 174085 01/08/18 1,507.50 PABLO GARZA
A/P 174086 01/08/18 845.00 PORT LAVACA HAVE
A/P 174087 01/08/19 416,40 PRECISION DYNAMICS CORP (PDC)
A/P 174088 01/08/18 3,975.00 PREMIER SLEEP DISORDERS CENTER
A/P 174089 01/08/18 1,625.00 RADSOURCB
A/P 174090 01/08/18 50.00 RAPID PRINTING LLC
A/P 174091 01/08/18 2,427.85 REVCYCLB+, INC.
A/P 174092 01/08/18 343,97 SHIRLEY KARNBI
A/P 174093 01/09/18 1,575.00 SIGN AD, LTD,
A/P 174094 01/08/18 155.00 SIEGLER, INC.
A/P 174095 01/08/18 3,359.02 SMITH & NEPHEW
A/P 174096 01/08/18 351,63 SMITHS MEDICAL ASD INC
A/P 174097 01/08/18 3,250.00 STANLEY ACCESS TECH LLC
A/P 174098 01/08/18 2,192.97 STERICYCLE, INC
A/P 174099 01/08/18 36.72 STERIS CORPORATION
A/P 174100 01/08/18 361.31 STRYKER SALES CORP
A/P 174101 01/08/18 691,96 STRYKER SUSTAINABILITY
A/P 174102 01/08/18 5,699.00 T -SYSTEM, INC
A/P 174103 01/08/18 3,127.48 TEXAS ASSOCIATION OF COUNTIES
A/P 174104 01/08/18 140.00 TEXAS DEPART14ENT OF LICENSING
A/P 174105 01/08/18 117.70 THE COMPLIANCE TEAM, INC
-29-
RUN DATE;02/23/18 MEMORIAL MEDICAL CENTER
TIME:13:34 CHECK REGISTER
01/01/18 THRB 01/31/18
BANK --CHECK______-__-____________-_____________
CODE NUMBER DATE AMOUNT PAYEE
A/P 174106 01/08/18 1,519.68 THE US CONSULTING GROUP
A/P
174107
01/08/18
293.12
TRI-ANIM HEALTH SERVICES INC
A/P
174108
01/08/18
225.00
U S POSTAL SERVICE
A/P
174109
01/08/18
59.50
UNIFIRST HOLDINGS
A/P
174110
01/08/18
2,510.56
UNIFIRST HOLDINGS INC
A/P
174111
01/06/18
308,65
UPS
A/P
174112
01/08/18
5,050.00
VICTORIA MEDICAL FOUNDATION
A/P
174113
01/08/10
3,981.10
WAGEWORKS
A/P
174114
01/08/18
6,918.62
WERFEN USA LLC
A/P
174115
01/08/18
424.00
WHER US, INC.
A/P
174116
01/11/18
74,520.08
MC EMPLOYEE BENEFIT PLAN
A/P
174117
01/12/18
623.96
A/P
174118
01/15/18
4,423.88
PRINCIPAL LIFE
A/P
174119
01/17/18
1,912.33
CHARLES S49M
A/P
174120
01/17/18
6,113.50
ASHFORD GARDENS
A/P
174121
01/17/18
51.01
A/P
174122
01/17/18
98.28
A/P
174123
01/17/18
12.00
A/P
174124
01/17/18
69.00
A/P
174125
01/17/18
16.12
A/P
174126
01/17/18
235.71
A/P
174127
01/17/18
15.35
A/P
174128
01/17/18
87.91
A/P
174129
01/17/18
40.00
A/P
174130
01/17/18
14.00
A/P
174131
01/17/18
550.00
A/P
174132
01/17/18
41.56
A/P
174133
01/17/18
16.52
do
A/P
174134
01/17/18
10.66
A/P
174135
01/17/18
206.00
40
A/P
174136
01/17/18
23.63
A/P
174137
01/17/18
23.12
IME
A/P
174138
01/17/18
17.60
A/P
174139
01/17/18
242.55
A/P
174140
01/17/18
90.24
djMMMMW
A/P
174141
01/17/18
400,00
A/P
174147.
01/17/18
21.89
A/P
174143
01/17/18
87.50
0 11
A/P
174144
01/17/18
13.03
dMommom
A/P
174145
01/17/18
11.89
A/P
174146
01/17/18
37.83
A/P
174147
01/17/18
70.46
A/P
174148
01/17/18
264.70
41
A/P
174149
01/17/18
400.00
dillMIJIUM
A/P
174150
01/17/18
15.00
A/P
174151
01/17/18
238,96
A/P
174152
01/17/18
22.54
A/P
174153
01/17/18
180.00
A/P
174154
01/17/18
115.00
A/P
174155
01/17/18
10.00
A/P
174156
01/17/18
56.00
-30-
PAGE 4
GLCKREG
RUN DATE:02/23/18 MEMORIAL MEDICAL CENTER PAGE 5
TIF19:13:34 CHECK REGISTER GLCKREG
01/01/18 TURN 01/31/18
BANK--CHECK----------------------------------------------------
CODE
---------_---__------_---_-_--------__-___--
CODE NUMBER DATE AMOUNT PAYEE
A/P
174157
01/17/18
4,277.00
SOLERA NEST
HOUSTON
A/P
174158
01/17/18
7,550.90
SOLERA NEST
HOUSTON
A/P
174159
01/17/18
2,444.64
SOLERA WEST
HOUSTON
A/P
174160
01/17/18
2,543.03
SOLERA WEST
HOUSTON
A/P 174161 01/17/18 50.00
A/P 174162 01/17/18 250.94
A/P 174163 01/17/18 3,619.00 THE BROADMOOR AT CREEK
A/P 174164 01/17/18 3,816.40 THE BROADMOOR AT CREEK
A/P 174165 01/17/18 1,316.00 THE BROADMOOR AT CREEK
A/P 174166 01/17/18 36.00
A/P 174167 01/17/18 104.83,,,,
A/P 174168 01/17/18 559.0(r WILLIAM J'CROWLEY
A/P 174169 01/17/18 56.00
A/P 174170 01/17/18 1,515.00 PABLO GARSA
A/P 174171 01/17/18 586.50 RITA DAVIS
A/P 174172 01/17/18 285.78 SHIRLEY KARNEI
A/P 174173 01/18/18 26,804.29 TXU ENERGY
A/P 174174 01/22/18 274.77 ACE HARDWARE 15521
A/P 174175 01/22/18 4,577.14 ACOSTA ELECTRIC
A/P 174176 01/22/18 226.09 AIRGAS USA, LLC - CENTRAL DIV
A/P 174177 01/22/18 795.00 ALCON LABORATORIES, INC.
A/P 174178 01/22/18 23,076.48 ALLSTATE
A/P 174179 01/22/18 168.10 ALPHA TBC SYSTEMS INC
A/P 174180 01/22/18 109.51 AMER INC
A/P 174181 01/22/18 13,00 ANNOUNCEMENTS PLUS TOO AGAIN
A/P 174182 01/22/18 11.59 AQUA BEVERAGE COMPANY
A/P 174183 01/22/18 272.48 AUTO PARTS & MACHINE CO.
A/P 174184 01/22/18 1,524.86 BAXTER HEALTHCARE
A/P 174185 01/22/18 36,241.52 BECKMAN COULTER INC
A/P 174186 01/22/18 1,287.67 BIRCH CCMM NICATIONS
A/P 174187 01/22/18 174.90 C R HARD, INC
A/P 174180 01/22/18 466.87 CABLE ONE
A/P 174189 01/22/18 40.36 CARDINAL HEALTH 414,LLC
A/P 174190 01/22/18 126.02 COW GOVERNMENT, INC.
A/P 174191 01/22/18 56.87 CBNTERPOINT ENERGY
A/P 174192 01/22/18 3,648.05 CENTURION MEDICAL PRODUCTS
A/P 174193 01/22/18 573.37
A/P 174194 01/22/18 623.90 CITY OF PORT LAVACA
A/P 174195 01/22/18 8,099.71 COASTAL OFFICE SOLUTONS
A/P 174196 01/22/18 2,313.82 COMBINED INSURANCE CO
A/P 174197 01/22/18 915.74 CONNED CORPORATION
A/P 174198 01/22/18 333.72 CONNED LINVATEC
A/P 174199 01/22/18 30.00 401
A/P 174200 01/22/18 446,80 CULLIGAN OF VICTORIA
A/P 174201 01/22/18 82.40 CUSTOM MEDICAL SPECIALTIES
A/P 174202 01/22/18 22,529.93 DATEX OHMKDA, INC
A/P 174203 01/22/18 10,451,79 DELTA HEALTHCARE PROVIDERS
A/P 174204 01/22/18 .00 VOIDED
A/P 174205 01/22/18 2,199.21 DEWITT ROTH & SON
A/P 174206 01/22/18 39,567.96 DISCOVERY MEDICAL NETWORK INC
A/P 174207 01/22/18 501.33 DLE PAPER & PACKAGING
-31-
RUN DATE:02/23/18 MEMORIAL MEDICAL CENTER PAGE 6
TIDIE:13:34 CHECK REGISTER GLCKREG
01/01/18 TURD 01/31/18
BANK --CHECK--__-__-_.-_-------_ _-_---------------------
CODE NUMBER DATE AMOUNT PAYEE
A/P 174208 01/22/18 105.00 DOWELL PEST CONTROL
A/P 174209 01/22/18 500.00 E -MDS, INC
A/P 174210 01/22/18 164.70 EDWARDS LIFESCIENCES
A/P 174211 01/22/18 40,062.50 EMERGENCY STAFFING SOLUTIONS
A/P 174212 01/22/18 80.39 EPIPHANY ARCHANGEL
A/P 174213 01/22/18 153,54 ERBF USA INC SURGICAL SYSTEMS
A/P 174214 01/22/18 44,227.17 EVIDENT
A/P 174215 01/22/18 221.01 HVOQUA WATER TECHNOLOGIES LLC
A/P 174216 01/22/18 104.64 '4+8DERAL EXPRESS CORP.
A/P 174217 01/22/18 75.00 FIRST CLEARING
A/P 174218 01/22/18 .00 VOIDED
A/P 174219 01/22/18 .00 VOIDED '
A/P 174220 01/22/18 19,064.70 FISHER HEALTHCARE
A/P 174221 01/22/18 2,767.96 FRONTIER
A/P 174222 01/22/18 1,128.00 BE HEALTHCARE
A/P 174223 01/22/18 1,928.42 GRAINGER
A/P 174224 01/22/18 2,505,25 GULF COAST PAPER COMIPANY
A/P 174225 01/22/18 500.00 GULF COAST REGIONAL
A/P 174226 01/22/18 46.59 HAYES ELECTRIC SERVICE
A/P 174227 01/22/18 452.22 HILL -ROM COMPANY, INC
A/P 174228 01/22/18 8,333.33 HITACHI MEDICAL SYSTEMS
A/P 174229 01/22/18 93.93 HOLOGIC INC
A/P 174230 01/22/18 11,25 HOSPIRA WORLDWIDE, INC
A/P 174231 01/22/18 191.07 INJOY HEALTH EDUCATION
A/P 174232 01/22/18 205.25 INTOXIMETERS INC
A/P 174233 01/22/18 4,661.44 J & J HEALTH CARR SYSTEMS, INC
A/P 174234 01/22/18 54.92 JACKSON & COMM LOCUM TERNS,
A/P 174235 01/22/18 359.24 JOHNSTONE SUPPLY
A/P 174236 01/22/19 443,65 LEGAL SHIELD
A/P 174237 01/22/18 3,296.83 LUMINANT ENERGY COMPANY LLC
A/P 174238 01/22/18 1,165.00 M G TRUST
A/P 174239 01/22/18 36.64 411
A/P 174240 01/22/18 37.15 MARTIN PRINTING CO
A/P 174241 01/22/18 .00 VOIDED
A/P 174242 01/22/18 6,447.16 MCKESSON MEDICAL SURGICAL INC
A/P 174243 01/22/18 3,110.16 MEDICAL DATA SYSTEMS, INC.
A/P 174244 01/22/18 .00 VOIDED
A/P 174245 01/22/18 .00 VOIDED
A/P 174246 01/22/18 .00 VOIDED
A/P 174247 01/22/18 .00 VOIDED
A/P 174248 01/22/18 .00 VOIDED
A/P 174249 01/22/18 .00 VOIDED
A/P 174250 01/22/18 .00 VOIDED
A/P 174251 01/22/18 11,221.28 MBDLINE INDUSTRIES INC
A/P 174252 01/22/18 191.29 MEMORIAL MEDICAL CLINIC
A/P 174253 01/22/18 111.15 MMC AUXILIARY GIFT SHOP
A/P 174254 01/22/18 18,510.27 INC EMPLOYEE BENEFIT PLAN
A/P 174255 01/22/18 .00 VOIDED
A/P 174256 01/22/18 11,292.14 MORRIS & DICKSON CO, LLC
A/P 174257 01/22/18 1,248,42 MAIDS MEDICAL INC
A/P 174258 01/22/18 57.93 NOVITAS SOLUTIONS -PART A
-32-
RUN DATE:02/23/18 MEMORIAL MEDICAL CENTER
TIME:13:34 CHECK REGISTER
01/01/18 THRU 01/31/18
BANK--CHECK-------------------------------
CODE
___----------__CODE NUMBER DATE A140UNT PAYEE
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/C
A/P
A/P
A/P
A/P
A/P
174259 01/22/18 426.56 OCCUPRO LLC
174260 01/22/18 .00 VOIDED
174261 01/22/18 .00 VOIDED
174262 01/22/18 5,341.96 OPIENS & MINOR
174263 01/22/18 3,177.34 PAETEC (WINDSTREAM)
174264 01/22/18 11,001.20 PORT LAVACA RETAIL GROUP LLC
174265 01/22/18 173.18 POWER HARDWARE
174266 01/22/10 1,667.00 RADSOURCE
174267 01/22/18 43.72 RED HAWK FIRE AND SECURITY
174268 01/22/18 4,785,00 ROBERTS, ROBERTS & ODEFEY, LLP
174269 01/22/18 291.16 SHERWIN WILLIAMS
174270 01/22/18 751,58 SIEMENS MEDICAL SOLUTIONS INC
174271 01/22/18 2,643.00 SKELETAL DYNAMICS, LLC
174272 01/22/18 3,432.76 SOUTH TEXAS BLOOD & TISSUE CEN
174273 01/22/18 2,193.22 STRYKER SUSTAINABILITY
174274 01/22/18 40.39 SYLVIA VARGAS
174275 01/22/18 10,000.00 T -SYSTEM, INC
174276 01/22/18 3,690.52 TEXAS ADVANTAGE COMMUNITY BANK
174277 01/22/18 2,035.00 TEXAS DEPARTMENT OF STATE
174278 01/22/18 77.00 TEXAS SOCIAL SECURITY PROGRAM
174279 01/22/18 8,579.00 THYSSENKRUPP ELEVATOR CORP
174280 01/22/18 7.48 TODD SAVOY
174281 01/22/18 1,435,53 TRIZETTO PROVIDER SOLUTIONS
174282 01/22/18 9,037.50 TRUSTAFF
174283 01/22/18 .00 VOIDED
174284 01/22/18 3,879.44 UNIFIRST HOLDINGS INC
174285 01/22/18 837.95 UNIFORM ADVANTAGE
174286 01/22/10 394.70 UPS
174287 01/22/18 6,546.22 US FOOD SERVICE
174288 01/22/18 40.00
174289 01/22/18 1,990.55 WAGEWORKS
174290 01/22/18 .00 VOIDED
174291 01/22/18 409.56 WALMART COMMUNITY
174292 01/22/18 294.58 WATERMARK GRAPHICS INC
174293 01/22/18 2,415.53 WERFEN USA LLC
174294 01/22/16 413.32 WEST INTERACTIVE SERVICES CORP
174295 01/22/18 30,264.96 ALLIED BENEFIT SYSTEMS
174296 01/23/18 296.92 MEDIMPACT HEALTHCARE SYS, INC.
174297 01/24/18 597.00 3PION, LLC
174298 01/24/18 33,46 ACE HARDWARE 15521
174299 01/24/18 2,537.16 AIRGAS USA, LLC - CENTRAL DIV
174300 01/24/18 5,199.96 AMERICAN CONSTRUCTION
174301 01/24/18 6,452.64 BANK OF THE WEST
114302 01/24/18 81.23 CALHOUN COUNTY
174303 01/24/18 210.00 CALHOUN COUNTY INDIGENT ACCOUN
174304 01/24/18 731.36 CARDINAL HEALTH 414, INC.
174305 01/24/18 75.00 CHRIS KOVAREK
174306 01/24/18 797.50 CHRISTINA ZAPATA-ARROYO
114307 01/24/18 660.00 CROSSROADS INSPECTION SERVICE
174308 01/24/18 86.67 CYRACOM LLC
174309 01/24/18 19,166.67 DIAMOND HEALTHCARE CORP
-33-
PAGE 7
GLCKREG
RUN DATE:02/23/10 MEMORIAL MEDICAL CENTER
TIME:13:34 CHECK REGISTER
01/01/18 THUD 01/31/18
BANK --CHECK____________________________
CODE NUMBER DATE MOUNT PAYEE
--------------------------------------------------------------------
A/P 174310 01/24/18 199.25 DOOR CONTROL SERVICES, INC
A/P 174311 01/24/18 1,046.00 FIRETROL PROTECTION SYSTEMS
A/P 174312 01/24/18 75.00 FIRST CLEARING
A/P 174313 01/24/18 3,236.62 GE HEALTHCARE
A/P 174314 01/24/18 95.00 GRACE PLUMBING
A/P 174315 01/24/18 126.64 GULF COAST PAPER COMPANY
A/P 174316 01/24/18 180.00 HEALTHCARE CODING & CONSULTING
A/P 174317 01/24/18 820.79 IRON MOUNTAIN
A/P 174318 01/24/18 424.47 JAQUELINE HERRERA
A/P 174319 01/24/18 101.37 KYLE DANIEL
A/P 174320 01/24/18 400.00 LAMAR COMPANIES
A/P 174321 01/24/18 1,165.00 M G TRUST
A/P 174322 01/24/18 907,29 MARLIN BUSINESS BANK
A/P 174323 01/24/18 65.08 MATTHEW BENDER & CO.,INC.
A/P 174324 01/24/18 1,470.00 ED REPORTS
A/P 174325 01/24/18 2,884.58 I42DICAL DATA SYSTEMS, INC.
A/P 174326 01/24/18 489.98 MEMORIAL MEDICAL CLINIC
A/P 174327 01/24/18 65.74 NMC AUXILIARY GIFT SHOP
A/P 174328 01/24/18 13,203.45 MMC EMPLOYEE BENEFIT PLAN
A/P 174329 01/24/18 3,000.00 NUTRITION OPTIONS
A/P 174330 01/24/18 1,137.51 OLYMPUS AMERICA INC
A/P 174331 01/24/18 48.47 OWENS & MINOR
A/P 174332 01/24/18 165.00 PALACIOS BEACON
A/P 174333 01/24/18 2,000,00 PARA
A/P 174334 01/24/18 5,625.00 PREMIER SLEEP DISORDERS CENTER
A/P 174335 01/24/18 3,334.00 RAD90URCE
A/P 174336 01/24/18 43,72 RED HAWK FIRE AND SECURITY
A/P 174337 01/24/18 9,062.16 RICOH USA, INC.
A/P 174338 01/24/18 1,664.50 SIEMENS MEDICAL SOLUTIONS INC
A/P 174339 01/24/18 5,000.00 SOUTHEAST TEXAS HEALTH SYS
A/P 174340 01/24/18 1,928.53 STERICYCLE, INC
A/P 174341 01/24/18 5,699.00 T -SYSTEM, INC
A/P 174342 01/24/18 1,638.00 THYSSENERUPP ELEVATOR CORP
A/P 174343 01/24/18 2,402.33 TRIZETTO PROVIDER SOLUTIONS
A/P 174344 01/24/18 420.00 TSICP
A/P 174345 01/24/18 1,136.50 UNIFIRST HOLDINGS INC
A/P 174346 01/24/18 35.99 UNIFORM ADVANTAGE
A/P 174347 01/24/18 29,036.70 VICTORIA ANESTHESIOLOGY
A/P 174348 01/24/18 510.00 VICTORIA RADIOWORKS, LTD
A/P 174349 01/24/18 2,353.98 WAGEWORKS
A/P 174350 01/24/18 41.37 WALMART COMMUNITY
A/P 174351 01/24/18 4,046.92 WERFEN USA LLC
A/P 174352 01/24/18 321.40 WEST INTERACTIVE SERVICES CORP
A/P 174353 01/24/18 14,575.00 WOUND CARE SPECIALISTS
A/P 174354 01/26/18 176.20 MEDIMPACT HEALTHCARE SYS, INC.
A/P 174355 01/31/18 1,275.00 PABLO GARZA
A/P * 174356 01/31/18 277.86 SHIRLEY KARNEI
PR- 999999 01/25/18 495,756,13
TOTALS: 4,606,770.40
-34-
PAGE 8
GLCKREG
-35-
MEMORIAL MEDICAL CENTER
Date: 1/23/18
Jan 2018 Payroll
PRTitle
PRDeptName
PRTotGross
REGISTERED NURSE
EMERGENCY ROOM
4,949.48
DEPARTMENTAL ASSIST
MAINTENANCE
2,499.90
ASST PURCHASE BUYER
CENTRAL SUPPLY
2,111.14
LICENSED VOCATIONAL
MEMORIAL MEDICAL CLINIC
2,375.52
PURCHASING SUPERVISR
CENTRAL SUPPLY
4,328.23
IP/EH/RM NURSE
INFECTION PREVENTION
5,700.17
REGISTERED NURSE
MED/SURG
3,461.63
ES AIDE
ENVIRONMENTAL SERVICES
2,011.89
REGISTERED NURSE
SURGERY
940.50
SURGERY MANAGER
SURGERY
6,797.58
REGISTERED NURSE
MED/SURG
7,559.07
LICENSED VOCATIONAL
OBSTETRICS
3,900.13
LICENSED VOCATIONAL
MED/SURG
3,557.75
REGISTERED NURSE
MED/SURG
5,316.89
REGISTERED NURSE
OBSTETRICS
3,156.84
REGISTERED NURSE
EMERGENCY ROOM
5,496.61
DIRECTOR OF INPT SVC
MED/SURG
6,798.36
REGISTERED NURSE
OBSTETRICS
5,219.17
LICENSED VOCATIONAL
MED/SURG
2,506.55
ADMINIST ASSISTANT
ADMINISTRATION
3,497.80
REGISTERED NURSE
ICU
4,527.60
PRE -ADMISSION NURSE
SURGERY
3,642.47
REGISTERED NURSE
MEMORIAL MEDICAL CLINIC
5,524.60
LICENSED VOCATIONAL
SURGERY
4,185.14
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
5,792.09
MEDICAL LAB TECH
LABORATORY
638.26
LAB DIRECTOR
LABORATORY
4,984.00
LAB ASSISTANT
LABORATORY
3,176.47
MEDICAL LAB TECH
LABORATORY
4,099.91
MEDICAL TECHNOLOGIST
LABORATORY
3,145.39
REGISTERED NURSE
EMERGENCY ROOM
410.94
REGISTERED NURSE
MED/SURG
371.00
BIRTH REG/TRANSCRIP
HEALTH INFORMATION MANAGEMENT
1,730.52
REGISTERED NURSE
OBSTETRICS
5,154.23
REGISTERED NURSE
OBSTETRICS
4,519.42
REGISTERED NURSE
OBSTETRICS
533.95
CLINICAL IT SPCLST
ADMINISTRATION -CLINICAL SERVIC
4,495.80
REGISTERED NURSE
OBSTETRICS
933.69
REGISTERED NURSE
OBSTETRICS
838.50
REGISTERED NURSE
OBSTETRICS
4,144.59
C N O
QUALITY ASSURANCE
7,164.20
REGISTERED NURSE
MED/SURG
4,241.65
LICENSED VOCATIONAL
MED/SURG
254.75
PRACT ADMINISTRATOR
MEMORIAL MEDICAL CLINIC
7,332.20
REGISTERED NURSE
ICU
24.00
MEDICAL LAB TECH
LABORATORY
2,986.52
NURSE PRACTIONER
MEMORIAL MEDICAL CLINIC
7,538.40
-35-
CERTIFIED NURSE AIDE
MED/SURG
1,449.75
REGISTERED NURSE
MED/SURG
2,619.50
CASE MANAGER/UR/DP
UTILIZATION REVIEW
4,397.12
REGISTERED NURSE
ICU
3,004.07
REGISTERED NURSE
MED/SURG
6,741.27
CERTIFIED NURSE AIDE
MED/SURG
209.75
REGISTERED NURSE
MED/SURG
5,245.91
REGISTERED NURSE
OBSTETRICS
4,862.59
CERTIFIED NURSE AIDE
MED/SURG
1,614.57
REGISTERED NURSE
MED/SURG
1,311.50
REGISTERED NURSE
MED/SURG
2,070.00
CERTIFIED NURSE AIDE
MED/SURG
1,548.37
REGISTERED NURSE
MED/SURG
3,314.44
LICENSED VOCATIONAL
MED/SURG
2,093.24
REGISTERED NURSE
MED/SURG
1,255.00
REGISTERED NURSE
MED/SURG
4,528.05
REGISTERED NURSE
ICU
4,545.51
REGISTERED NURSE
EMERGENCY ROOM
3,789.10
CERTIFIED NURSE AIDE
MED/SURG
2,001.80
OP/QA NURSE
SPECIALTY CLINIC
4,751.16
REGISTERED NURSE
ICU
5,364.15
REGISTERED NURSE
EMERGENCY ROOM
2,041.58
LICENSED VOCATIONAL
MED/SURG
78.63
REGISTERED NURSE
MED/SURG
3,655.30
REGISTERED NURSE
MED/SURG
3,992.29
REGISTERED NURSE
MED/SURG
3,839.87
LICENSED VOCATIONAL
MED/SURG
2,301.69
NURSE PRACTITIONER
MEMORIAL MEDICAL CLINIC
7,590.76
LICENSED VOCATIONAL
MEMORIAL MEDICAL CLINIC
1,644.75
CERTIFIED NURSE AIDE
MED/SURG
1,507.60
CERTIFIED NURSE AIDE
MED/SURG
2,441.04
NURSE SUPERVISOR
MEMORIAL MEDICAL CLINIC
2,772.63
CERTIFIED NURSE AIDE
MED/SURG
1,326.09
REG PHARM TECH SUPER
PHARMACY
2,572.52
NURSE PRACTIONER
MEMORIAL MEDICAL CLINIC
7,538.40
REGISTERED NURSE
ICU
2,445.35
REGISTERED NURSE
ICU
3,396.26
REGISTERED NURSE
ICU
1,118.44
REGISTERED NURSE
ICU
4,217.51
REGISTERED NURSE
ICU
5,670.54
REGISTERED NURSE
ICU
1,121.13
REGISTERED NURSE
ICU
4,366.91
REGISTERED NURSE
EMERGENCY ROOM
1,774.51
RN -OR SCRUB NURSE
SURGERY
4,683.79
0 R TECH
SURGERY
3,090.75
REGISTERED NURSE
SURGERY
5,776.29
RN -PERIOPERATIVE
SURGERY
5,538.64
CENTRAL STERILE TECH
SURGERY
1,611.68
CENTRAL SUPPLY TECH
CENTRAL SUPPLY
1,797.56
REGISTERED NURSE
EMERGENCY ROOM
6,722.85
DIRECTOR
EMERGENCY ROOM
8,328.40
REGISTERED NURSE
EMERGENCY ROOM
4,717.96
-36-
REGISTERED NURSE
EMERGENCY ROOM
2,603.39
REGISTERED NURSE
EMERGENCY ROOM
2,992.13
REGISTERED NURSE
EMERGENCY ROOM
1,463.89
REGISTERED NURSE
EMERGENCY ROOM
5,565.74
REGISTERED NURSE
EMERGENCY ROOM
6,003.37
REGISTERED NURSE
EMERGENCY ROOM
4,438.29
REGISTERED NURSE
EMERGENCY ROOM
1,731.75
GEN TECH SUPERVISOR
LABORATORY
4,176.30
MEDICAL LAB TECH
LABORATORY
435.54
LAB ASSISTANT
LABORATORY
1,293.88
REGISTERED NURSE
MED/SURG
4,570.67
MEDICAL LAB TECH
LABORATORY
4,370.67
TECHNICAL SUPERVISOR
MMC CLINIC - LABORATORY
4,139.27
LAB ASSISTANT
LABORATORY
248.88
MEDICAL TECHNOLOGIST
LABORATORY
4,570.63
LAB ASSISTANT
LABORATORY
2,102.42
LABORATORY ASSISTANT
LABORATORY
787.50
LAB ASSISTANT
LABORATORY
2,559.05
MEDICAL TECHNOLOGIST
LABORATORY
348.75
REGISTRATION CLERK
PATIENT FINANCIAL SERVICES
2,029.57
MEDICAL LAB TECH
LABORATORY
3,256.47
MEDICAL LAB TECH
LABORATORY
5,389.98
CERTIFIED NURSE AIDE
MED/SURG
91.00
REGISTERED NURSE
EMERGENCY ROOM
4,004.59
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
4,614.34
RECEPT/SECRETARY
DIAGNOSTIC IMAGING
1,928.27
RADIOLOGY SUPERVISOR
DIAGNOSTIC IMAGING
5,976.64
RADIOLOGY TECH
MMC CLINIC - DIAGNOSTIC IMAGIN
5,421.87
RADIOLOGYTECH
DIAGNOSTIC IMAGING
1,423.47
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
904.22
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
4,893.50
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
3,813.30
NUCLEAR MED TECH
DIAGNOSTIC IMAGING
6,772.13
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
4,262.79
RADIOLOGY TECH
DIAGNOSTIC IMAGING
718.50
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
1,383.00
RADIOLOGICAL TECH
DIAGNOSTIC IMAGING
3,776.44
LVN-CHG-CHARTAUDITR
PHARMACY
1,151.96
REGIST PHARMACY TECH
PHARMACY
3,121.46
REG PHARMACY TECH
PHARMACY
2,717.75
MEDICAL ASSISTANT
MEMORIAL MEDICAL CLINIC
2,219.71
MEDICAL ASSISTANT
MEMORIAL MEDICAL CLINIC
1,377.52
LICENSED VOCATIONAL
MEMORIAL MEDICAL CLINIC
2,987.79
RECEPTIONIST
CLINIC FS
2,669.61
INSURANCE CLERK
CLINIC FS
2,304.75
RECEPTIONIST
CLINIC FS
1,778.70
REFERRAL SPCLST / MA
MEMORIAL MEDICAL CLINIC
1,717.36
LICENSED VOCATIONAL
MEMORIAL MEDICAL CLINIC
1,786.08
OPERATOR
CLINIC FS
2,299.90
RECEPTIONIST
CLINIC FS
1,792.53
RECEPTIONIST
CLINIC FS
2,045.21
MEDICAL ASSISTANT
MEMORIAL MEDICAL CLINIC
2,201.36
-37-
OPERATOR
MEMORIAL MEDICAL CLINIC
1,766.70
LICENSED VOCATIONAL
MEMORIAL MEDICAL CLINIC
2,192.88
MEDICAL ASSISTANT
MEMORIAL MEDICAL CLINIC
2,108.76
REFERRAL SPCLST / MA
MEMORIAL MEDICAL CLINIC
3,104.09
MEDICAL ASSISTANT
MEMORIAL MEDICAL CLINIC
1,429.65
INSURANCE CLERK
CLINIC FS
2,204.88
NURSE PRACTITIONER
MEMORIAL MEDICAL CLINIC
7,538.40
MEDICAL ASSISTANT
MEMORIAL MEDICAL CLINIC
1,731.97
OFFICE COORDINATOR
PHYSICAL THERAPY
1,887.00
OCCUPATIONAL THERAPY
OCCUPATIONAL THERAPY
544.35
PTASSISTANT
PHYSICAL THERAPY
3,915.03
PT ASSISTANT
PHYSICAL THERAPY
4,859.03
DIRECTOR REHAB SERVC
PHYSICAL THERAPY
8,808.00
TEAM LEAD PTA
PHYSICAL THERAPY
4,751.25
REGISTERED NURSE
OBSTETRICS
6,494.26
RECEPTIONIST
PHYSICAL THERAPY
1,774.87
BEHAV. HEALTH THERA
BEHAVIORAL HEALTH
4,230.80
DISCHARGE ANALYST
HEALTH INFORMATION MANAGEMENT
1,371.42
CODING SPECIALIST
HEALTH INFORMATION MANAGEMENT
2,621.28
HIM SPECIALIST
HEALTH INFORMATION MANAGEMENT
1,296.98
MEDICAL ASSISTANT
MEMORIAL MEDICAL CLINIC
2,249.00
FOOD SERVICE STAFF
DIETARY
2,545.13
FOOD SERVICE STAFF
DIETARY
2,048.75
FOOD SERVICE STAFF
DIETARY
340.00
OPERATOR
CLINIC FS
1,534.34
FOOD SERVICE STAFF
DIETARY
1,640.00
FOOD SERVICE STAFF
DIETARY
3,505.68
FLOOR TECH / EVS
ENVIRONMENTAL SERVICES
1,719.98
SECURITY OFFICER
SECURITY
541.28
BIO-MED TECHNICIAN
BIO MEDICAL ENGINEERING
232.50
BIO-MED TECHNICIAN
BIO MEDICAL ENGINEERING
4,509.07
DIRECTOR
MAINTENANCE
5,548.20
SECURITY SUPERVISOR
SECURITY
2,329.03
ES AIDE
ENVIRONMENTAL SERVICES
1,976.04
FLOOR TECHNICIAN
ENVIRONMENTAL SERVICES
1,860.77
PLANT OPS SPECIALIST
MAINTENANCE
2,533.75
EVS AIDE
ENVIRONMENTAL SERVICES
1,716.18
FOOD SERVICE STAFF
DIETARY
2,338.75
ES AIDE
ENVIRONMENTAL SERVICES
1,643.76
LICENSED VOCAT NURSE
MED/SURD
2,673.02
E.S. TEAM LEADER
ENVIRONMENTAL SERVICES
2,356.07
EVS AIDE
ENVIRONMENTAL SERVICES
959.16
ES AIDE
ENVIRONMENTAL SERVICES
1,778.09
ES AIDE
ENVIRONMENTAL SERVICES
1,791.88
FLOOR TECHNICIAN
ENVIRONMENTAL SERVICES
1,833.07
ES AIDE
ENVIRONMENTAL SERVICES
1,649.16
EVS AIDE
ENVIRONMENTAL SERVICES
1,475.54
OR AIDE
SURGERY
1,625.80
SECURITY OFFICER
SECURITY
2,115.27
PLANT OPS SPECIALIST
MAINTENANCE
3,870.50
SECURITY OFFICER
SECURITY
640.40
REGISTERED NURSE
EMERGENCY ROOM
429.60
FIN CNSLR-COORDINATR
INDIGENT CARE PROGRAM
2,446.73
SELF PAY CLERK
PATIENT FINANCIAL SERVICES
1,904.37
OFFICE MANAGER
CLINIC FS
2,164.70
REGISTRATION CLERK
PFS - REGISTRATION
1,975.33
BILLING CLERK
PATIENT FINANCIAL SERVICES
1,740.84
REGISTRATION CLERK
PATIENT FINANCIAL SERVICES
1,509.25
REGISTRATION CLERK
PATIENT FINANCIAL SERVICES
1,960.80
REGISTRATION CLERK
PATIENT FINANCIAL SERVICES
1,603.68
REGISTRATION CLERK
PFS - REGISTRATION
1,300.38
CASHIER -SWITCHBOARD
PATIENT FINANCIAL SERVICES
1,706.32
INSUR COORDINATOR
PATIENT FINANCIAL SERVICES
1,676.85
MEDICARE COORDINATOR
PATIENT FINANCIAL SERVICES
1,860.08
HUMAN RESOURCES COOR
HUMAN RESOURCES/PUB. RELATIONS
2,610.77
RECEPTIONIST
CLINIC FS
2,299.02
TEAM LEADER
PATIENT FINANCIAL SERVICES
2,580.01
PFS DIRECTOR
PATIENT FINANCIAL SERVICES
3,546.20
REGISTRATION CLERK
PFS - REGISTRATION
2,249.09
REGISTRATION CLERK
PFS - REGISTRATION
480.72
SECURITY OFFICER
SECURITY
2,155.62
FINANCIAL COUNSELOR
INDIGENT CARE PROGRAM
2,325.23
REGISTRATION CLERK
PFS - REGISTRATION
2,060.88
DIRECTOR OF HIM
HEALTH INFORMATION MANAGEMENT
3,845.00
MEDICAID COORDINATOR
PATIENT FINANCIAL SERVICES
2,543.50
REGISTRATION CLERK
PFS - REGISTRATION
752.50
TRAUMA COORDINATOR
ADMINISTRATION -CLINICAL SERVIC
4,390.99
DIRECTOR
DIAGNOSTIC IMAGING
5,094.38
REGISTRATION CLERK
PFS - REGISTRATION
1,800.58
I.T. DIRECTOR
INFORMATION TECHNOLOGY
5,790.64
IT SYSTEM ANALYST
INFORMATION TECHNOLOGY
4,103.82
IT SYSTEM ANALYST
INFORMATION TECHNOLOGY
418.00
A -P / PAYROLL CLERK
ACCOUNTING
2,350.09
REGISTERED NURSE
EMERGENCY ROOM
2,258.56
CONTROLLER
ACCOUNTING
5,204.54
ACCOUNTANT
ACCOUNTING
4,855.36
ASSIST ADMINISTRATOR
ADMINISTRATION
9,152.00
C. E.O.
ADMINISTRATION
18, 003.92
ADMIN ASST TO AA-CNO
ADMINISTRATION -CLINICAL SERVIC
2,195.74
SPECIAL PROJECTS MGR
ADMINISTRATION
3,061.48
GROSS TOTAL:
744,827.30
-39-
QHS Source Totals Report
Issued 02/21/18 Calhoun Indigent Health Care
Batch Dates 02/01/2018 through 02/01/2018
For Vendor: All Vendors
Source Description Amount Billed
01
02
05
08
13
14
15
Physician Services
Prescription Drugs
Lab/x-ray
Rural Health Clinics
We - Inpatient Hospital
Mme - Hospital Outpatient
Mmc - Er Bilis
Expenditures
Reimb/Adjustments
Grand Total
Amount Paid
4,081.78
556.12
242.53
242.53
317.00
68.21
2,266,60
1,768,43
20,092.89
10,448.30
7,051.44
2,465.85
1,016.00
325.12
35,148.60
15,954.92
-80.36
-80.36
"I
35,068.24 15,874.56
EXPENSES 4,166.67
COPAYS
20,041.23
<200.00>
19,841.23
MEDICAID REIMBURSMENTS <2,690.88>
17,150.35
Calhoun County Indigent Care Patient Caseload 2018
Approved Denied Removed Active Pending
January 4 2 3 19 6
February
March
April
May
June
July
August
September
October
November
December
YTD
Monthly Avg
December 2017 Active 18
:1
Calhoun County Commissioners' Court— March 14, 2018
5. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 5)
On Contract with DACO Fire Equipment for the purchase of six (6) Commercial
Cab Pumper Trucks and authorize County Judge to sign. (MP)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pet 1
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Peggy Hall, County Auditor's Office, spoke on this matter.
Page 3 of 17
This agreement is made between Daco Fire Equipment, Inc., 6000 Huddleston Street, Fort Worth, Texas 76137
("Company") and Calhoun County, 211 S. Ann Street, 3rd Floor, Suite 301, Port Lavaca, Texas 77979 ("Buyer").
1. The Company agrees to sell and the Buyer agrees to purchase the fire apparatus and equipment (Apparatus)
described in the Company's Proposal and the Specifications attached hereto and hereby incorporated herein, all
in accordance with the terms and conditions of this Agreement. In the event of any conflict between the
Company's Proposal and the Buyer's Specifications, the Company's proposal shall prevail.
2. The Apparatus shall be delivered F.O.B. Fire Stations approximately 365 calendar days after execution of
this Agreement by Buyer and the receipt and execution of same by the Company at its offices in Ft. Worth,
Texas. It is agreed that such delivery is subject to delays caused by strikes, inability to obtain materials, and
other causes beyond control of the Company.
3. Buyer agrees to pay:
Purchase Price of $ 246,315.00 each including options approved.**See Page 3
$ 1,477,890.00 total price six pumpers
Less Trade-in's $ 95,000.00 (6 total).
Adjusted price deducting the trade-in's $1,382,890.00
(One million three hundred eighty two thousand eight hundred ninety dollars)
If the County elects to make a 100% prepayment at time the order is placed you will receive a total discount of $
40,974.00 ($6,829.00 per truck)
The County would need to submit a check in the amount of $ 1,341,916.00.
Unless otherwise specified, this Purchase Price is exclusive of all Federal, State or local taxes of any nature.
Any such taxes are the sole responsibility of the Buyer unless specifically added to the Purchase Price, at which
time they will be paid by the company; provided, however, if the Buyer claims exemptions from any tax, Buyer
agrees to furnish the applicable exemption certificate to the Company and to hold the Company harmless from
any damage which may result from the Company ultimately having any such tax assessed against it.
Buyer agrees that the terms of payment shall be 100% prepayment at time of order.
Page 113
Any payments not made when due shall bear interest at the rate of 18% per year, or the highest rate permitted by
law, whichever is less. If more than one apparatus is included and they are delivered on different dates, the
terms of payment shall apply to each shipment and an invoice covering each shipment shall be issued.
The Company and Buyer agree that title shall remain with the Company until the Purchase Price is paid in full.
In the event of default by the Buyer, the Company has the right to take possession of the Apparatus and all
payments made by the Buyer shall be applied as rent for use of the Apparatus until the date of retaking by the
Company. The Buyer further agrees that the Apparatus will not be placed in active service until the full purchase
price has been paid to the Company.
4. The Company warrants each new item of apparatus manufactured by it against defects in material and
workmanship, for a period of one year from the date of delivery to the original user/purchaser, all in accordance
with the Company's preprinted Statement of Warranty which is either attached to the Agreement or has
otherwise been delivered to Buyer. Buyer hereby acknowledges receipt of the Company's preprinted Statement
of Warranty.
With respect to any item of Apparatus which is not manufactured by the Company, such items shall not be
warranted by the Company but shall be subject to the warranty provided by the manufacturer.
Any used item of Apparatus is sold "As -Is" without any warranty by the Company.
These warranties are in lieu of all other warranties express or implied, including without limitation any implied
warranties of MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.
5. The parties to this Agreement designate Phone; (361)-553-4610 Auditor's Office as representative of the
Buyer and Wesley Dobmeier, (817)281-4172, as a representative of the Company for communications regarding
this Agreement.
6. This Agreement, including its attachments and exhibits, constitutes the entire understanding between the
parties relating to the subject matter contained herein and merges all prior discussions and agreements. No agent
or representative of the Company has authority to make any representations, statements, warranties or
agreements not herein expressed and all modifications or amendments of this agreement, including its
attachments and exhibits, must be in writing signed by an authorized representative of each of the parties hereto.
7. The Agreement shall not constitute a valid and binding obligation of the Company until accepted in writing
by an officer of the Company at its offices in Fort Worth, Texas. When requested by the Company, the Buyer
shall furnish a satisfactory written opinion of the Buyer's attorney that the Buyer has the power to make the
Agreement, that the individual signing is authorized to sign on behalf of the Buyer, and that this Agreement is a
valid, legal and enforceable obligation of the Buyer.
IN WITNESS WHEREOF, The Company and the Buyer have caused this Agreement to be executed by their
duly authorized representatives as of the date set forth by each.
Page 213
f J F
By:tY r
Title:' L.,,. Vj y`
Date r r;d. / t1 --?Cli 1/
By:
Title: (/ 9 -- 'r-suvvt
Date:'/ J
Base bid per truck
$ 239,344.00
Option Added
$ 3,087.00 (Extended LED Scene Lights, Pair Whelen PFAl ea. Side front of body)
Option Added
$ 2,116.00 (2 Hard Suction Hose Trays and (2) lengths 6" x 10' PVC Hose & Strainer)
Option Added
$ 640.00 (2 -E -Spot Fire Box rechargeable hand lights)
Option Added
$ 178.00 (10 ft. fiberglass handle pike pole)
Option Added
$ 950.00 (Black Turtle Tile & Yellow ramps, For shelves, trays, compartment floors)
Sub Total
$ 246,315.00 Total Truck Cost
Six (6) Pumpers
$1,477,890.00
Less (6) Trade -his
$ -95,000.00 (Trade-in's to have hard suction hose and ground ladders)
Sub Total 6 Pumpers $1,382,890.00
Option 100% Prepayment $-40,974.00
Total cost of Pumpers $1,341,916.00 (AFTER TRADE-IN'S AND 100% PREPAYMENT)
Page 313
Agenda Item for
Commissioners' Court — Wednesday, March 14, 2018
Consider and take necessary action to authorize the County Judge to sign the
contract with DACO Fire Equipment for the purchase of 6 Commercial Cab
Pumpers.
AGREEMENT
This agreement is made between Daco Fire Equipment, Inc., 6000 Huddleston Street, Fort Worth, Texas 76137
('Company") and Calhoun County, 211 S. Ann Street, 3'a Floor, Suite 301, Port Lavaca, Texas 77979 ("Buyer").
1. The Company agrees to sell and the Buyer agrees to purchase the fire apparatus and equipment (Apparatus)
described in the Company's Proposal and the Specifications attached hereto and hereby incorporated herein, all
in accordance with the terms and conditions of this Agreement. In the event of any conflict between the
Company's Proposal and the Buyer's Specifications, the Company's proposal shall prevail.
2. The Apparatus shall be delivered F.O.B. Fire Stations approximately 365 calendar days after execution of
this Agreement by Buyer and the receipt and execution of same by the Company at its offices in Ft. Worth,
Texas. It is agreed that such delivery is subject to delays caused by strikes, inability to obtain materials, and
other causes beyond control of the Company.
3. Buyer agrees to pay.,
Purchase Price of $ 246,315.00 each including options approved.**See Page 3
$ 1,477,890.00 total price six pumpers
Less Trade-in's $ 95,000.00 (6 total).
Adjusted price deducting the trade-in's $1,382,890.00
(One million three hundred eighty two thousand eight hundred ninety dollars)
If the County elects to make a 100% prepayment at time the order is placed you will receive a total discount of $
40,974.00 ($6,829.00 per truck)
The County would need to submit a check in the amount of $ 1,341,916.00.
Unless otherwise specified, this Purchase Price is exclusive of all Federal, State or local taxes of any nature.
Any such taxes are the sole responsibility of the Buyer unless specifically added to the Purchase Price, at which
time they will be paid by the company; provided, however, if the Buyer claims exemptions from any tax, Buyer
agrees to furnish the applicable exemption certificate to the Company and to hold the Company harmless from
any damage which may result from the Company ultimately having any such tax assessed against it.
Buyer agrees that the terms of payment shall be 100% prepayment at time of order.
Page 113
Any payments not made when due shall bear interest at the rate of 18% per year, or the highest rate permitted by
law, whichever is less. If more than one apparatus is included and they are delivered on different dates, the
terms of payment shall apply to each shipment and an invoice covering each shipment shall be issued.
The Company and Buyer agree that title shall remain with the Company until the Purchase Price is paid in fall.
In the event of default by the Buyer, the Company has the right to take possession of the Apparatus and all
payments made by the Buyer shall be applied as rent for use of the Apparatus until the date of retaking by the
Company. The Buyer further agrees that the Apparatus will not be placed in active service until the full purchase
price has been paid to the Company.
4. The Company warrants each new 'stem of apparatus manufactured by it against defects in material and
workmanship, for a period of one year from the date of delivery to the original user/purchaser, all in accordance
with the Company's preprinted Statement of Warranty which is either attached to the Agreement or has
otherwise been delivered to Buyer. Buyer hereby acknowledges receipt of the Company's preprinted Statement
of Warranty.
With respect to any item of Apparatus which is not manufactured by the Company, such items shall not be
warranted by the Company but shall be subject to the warranty provided by the manufacturer.
Any used item of Apparatus is sold "As -Is" without any warranty by the Company.
These warranties are in lieu of all other warranties express or implied, including without limitation any implied
warranties of MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.
5. The parties to this Agreement designate Phone; (361)-553-4610 Auditor's Office as representative of the
Buyer and Wesley Dobmeier, (817)281-4172, as a representative of the Company for communications regarding
this Agreement.
6. This Agreement, including its attachments and exhibits, constitutes the entire understanding between the
parties relating to the subject matter contained herein and merges all prior discussions and agreements. No agent
or representative of the Company has authority to make any representations, statements, warranties or
agreements not herein expressed and all modifications or amendments of this agreement, including its
attachments and exhibits, must be in writing signed by an authorized representative of each of the parties hereto.
7. The Agreement shall not constitute a valid and binding obligation of the Company until accepted in writing
by an officer of the Company at its offices in Fort Worth, Texas. When requested by the Company, the Buyer
shall furnish a satisfactory written opinion of the Buyer's attorney that the Buyer has the power to make the
Agreement, that the individual signing is authorized to sign on behalf of the Buyer, and that this Agreement is a
valid, legal and enforceable obligation of the Buyer.
IN WITNESS VV1 EREOF, The Company and the Buyer have caused this Agreement to be executed by their
duly authorized representatives as of the date set forth by each.
Page 213
By ( t By.
61 0
Title: �.G!' �� a j ` lb'AQ tQ Title:
Date:_art,� J f -20t q Date:
Base bid per track $ 239,344.00
Option Added $ 3,087.00 (Extended LED Scene Lights, Pair Whelen PFAl ea. Side front of body)
Option Added $ 2,116.00 (2 Hard Suction Hose Trays and (2) lengths 6" x 10' PVC Hose & Strainer)
Option Added $ 640.00 (2 -E -Spot Fire Box rechargeable hand lights)
Option Added $ 178.00 (10 ft., fiberglass handle pike pole)
Option Added $ 950.00 (Black Turtle Tile & Yellow ramps, For shelves, trays, compartment floors)
Sub Total $ 246,315.00 Total Truck Cost
Six (6) Pumpers $1,477,890.00
Less (6) Trade -Ins $ -95,000.00 (Trade-in's to have hard suction hose and ground ladders)
Sub Total 6 Pumpers $1,382,890.00
Option 100% Prepayment $40,974.00
Total cost of Pumpers $1,341,916.00 (AFTER TRADE-IN'S AND 100% PREPAYMENT)
Page 313
Calhoun County Commissioners' Court— March 14, 2018
6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 6)
On request to close, abandon and vacate a 20 foot alley in the Alamo Beach
Townsite, Block 40, Calhoun County, Texas. (DH)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pet 2
SECONDER: David Hall, Commissioner Pet 1
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syron, Finster
David Roberts spoke on this matter for Anne Marie Odefey.
Page 4 of 17
STATE OF TEXAS
§ KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF CALHOUN
NOTICE OF INTENT TO ABANDON A PORTION OF PUBLIC ROAD
IN ALAMO BEACH, CALHOUN COUNTY, TEXAS
Attached is a petition to abandon a portion of a public road located in Alamo Beach,
Calhoun County, Texas, which application is intended to be filed with the Calhoun County
Commissioner's Court and heard by the Commissioner's Court upon expiration of twenty
days after February 20, 2018, being the date that this Notice of Intent is posted at the
following locations: on the portion of the public road to be abandoned, at the Magnolia
Beach Fire Station, and the Courthouse door in Calja'�un County, Texas,
An 6Marie Odefey / U
Att r y for Sellers Lease Service, Inc.
P. . ox 9
Port Lavaca, Texas 77979
(361) 552-2971
STATE OF TEXAS §
§ KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF CALHOUN §
APPLICATION AND PETITION TO
ABANDON A PORTION OF A PUBLIC ROAD
TO THE HONORABLE COMMISSIONER'S COURT OF CALHOUN COUNTY:
NOW COMES, Sellers Lease Service, Inc., being the owner of Lots Six (6), Seven
(7), Eight (8), Thirteen (13), Fourteen (14), Fifteen (15) and part of Ten (10), Eleven (11)
and Twelve (12), Block Forty (40), Alamo Beach, Calhoun County, Texas, according to
the plat of said addition of record in Volume V, Page 01, of the Deed Records and Volume
Z, Page 13, Plat Records of Calhoun County, Texas, hereby petition Commissioner's Court
to abandon the following portion of a certain designated public road in said county pursuant
to Texas Transportation Code Section 251.051, to -wit:
A 20 -foot alley between Lots 6,7, and 8, and Lots 10, 13, 14 and 15, in Block
40 of the Alamo Beach subdivision, Volume V, Page 01, of the Deed Records
and in Volume Z, Page 13, of the Plat Records of Calhoun County, Texas;
and amended by the Plat recorded in Page 151 of the Surveyor's Notes of the
Official Public Records of Calhoun County, Texas, Said 20 -foot alley more
fully described by metes and bounds on the attached Exhibit "A".
In support hereof, the undersigned party, Sellers Lease Service, Inc., being the
owner of Lots Six (6), Seven (7), Eight (8), Thirteen (13), Fourteen (14), Fifteen (15) and
part of Ten (10), Eleven (11) and Twelve (12), Block Forty (40), Alamo Beach, Calhoun
County, Texas, will show the Court that:
a. There are no other property owners in said precinct whose property rights will
be affected by the abandonment of the above described portion of said road;
b. The county has never opened or maintained said portion of said road;
c. Texas Transportation Code Section 251.051 and Section 251.052 provide that a
county may alter an existing roadway; and
d. David and Glenda Duncan and Stephen J, and Sheryl A. Koster are the adjoining
landowners.
WHEREFORE, the undersigned party, Sellers Lease Service, Inc., being the owner
of Lots Six (6), Seven (7), Eight (8), Thirteen (13), Fourteen (14), Fifteen (15) and part of
Ten (10); Eleven (11) and Twelve (12), Block Forty (40), Alamo Beach, Calhoun County,
Texas, prays that after proper notice of this petition to abandon the following portion of a
certain roadway in said county pursuant to Texas Transportation Code Section 251.051 &
Section 251.052 has been posted at the Courthouse door of Calhoun County, Texas and at
other places in the vicinity of the affected route and on the site of the portion of the road to
be abandoned as required by law, that this Honorable Commissioner's Court enter an order
abandoning that portion of the road described above, to the Applicants pursuant to Texas
Transportation Code Section 251.051 & Section 251.052.
WITNESS OUR HANDS, this Zrok> day of February, 2018.
Sellers Lease Service, Inc.
By'.- Bo oe Sellers, President
STATE OF TEXAS
COUNTY OF §
This instrument was sworn to and acknowledged before me on this the 2jCi"day of
February, 2018, by Sellers Lease Service, Inc., by B�oob{jby, Joe Sellers, President.
AMANDA D. CASTANEDA Notary Public, State of Texas
k
�tiy4� Notary Publ{0, State o1 Texas
Cbmm. Expiraa 12.07-2020
9 q e..•
yii,�ol0,•: Notary ID 12603643•1
2
EXHIBIT
"Aa
STATE OF TEXAS
COUNTY OF CALHOUN
SURVEY OF A SECTION OF A 20 -FOOT ALLEY IN THE ALAMO BEACII
TOWNSITE, BLOCK 40
Field notes of a section ora 20 -foot alley between Lots 6,7 and 8, and Lots 10, 13,14 and
15, in Block 40 of the Alamo Beach Subdivision, as recorded in Volume "V", Page 01, of
the Deed Records and in Volume "2,". Page 13, of the Plat Records of Calhoun County,
Texas; and amended by the Plat recorded In Page 151 of the Surveyor's Notes of the Official
Public Records of Calhoun County, Texas;
Said portion of the 20 -foot alley being adjacent on both sides to the property described as
Tract I and Tract Il, conveyed to Sellers Lease Service, Inc, by Deed recorded in Clerk's File
No. 113754 of the Official Public Records of Calhoun County, Texas;
Said 20 -foot alley is comprised of a portion of the Narciso Cabazos Survey, Abstract 3, is
located approximately 2 miles southeast of the City of Port Lavaca, in the community of
Alamo Beach, in Calhoun County, Texas, and is described by metes and bounds as follows:
BEGINNING at a 5/8 inch Trim rod with surveyor's cap stamped "G & W Fog."
found in the east line of said 20 -foot alley, at the southwest comer of said Lot 8, the
northwest corner of Lot 9 of said Block 40, and the northwest comer of a 0.474 acres tract of
land described as Tract 2 in Deed to Stephen and Sheryl Kesler, recorded in Clerk's File No.
2017.00512 of the Official Public Records of Calhoun County, Texas; for the southeast
corner of this tract;
Thence N 11 013'45" W (called N10047'W) along the east line of said alley and the
west line of said Lot 8, for the east line of this tract, at 75 feet pass the northwest corner of
said Lot 8 and the southwest corner of said Lot 7, at 150 feet pass the northwest corner Of
said Lot 7 and the southwest comer of said Lot 6, in all a distance of 224.69 feet (called
225') to a 5/8 inch iron rod found at the northwest corner of said Lot 6 and the southwest
comer of Lot 5 of said Block 40; Lots 1 through 5, Block 40, being conveyed as Tract 1 to
David and Olwida Duncan by Deed recorded in Clerk's File No. 2017-01895 of the Official
Public Records of Calhoun County, Texas; for the northeast corner of this tract;
Thence S 7805011 W across said 20 -fool alloy and along the north line of this tract,
a distance of 19.98 feet (called 879° 13'W, 20') to a 5/8 inch iron rod found in the west line
of said 20 -foot alley, at the northeast comer of said Lot 15 and the southeast corner of said
Lot 3, for the northwest corner of this tract;
Thence S 11013'25"E along the west line of said 20 -foot alley, the east line of said
Lot 15, and the west line of this tract, at 50 feet pass the southeast comer of said Lot 15 and
the northeast corner of said Lot 14, at 100 feet pass the southeast comer of said Lot 14 and
the northeast comer of said Lot 13, at 150 feet pass the southeast corner of said Lot 13 and
the northeast corner of said Lot 10, in all a distance of 224.70 feet (called 225') to a 5/8 inch
iron rod with surveyor's cap stamped " G & W Eng." found at the southeast corner of said
Sellers Tract 1, and the northeast corner of a 0.26 acres tract of land described as Tract I in
said Deed to Stephen and Sheryl Kosler, for the southwest corner of this tract;
Thence N 78°49'31" E across said 20 -foot alley and along the south line of the track,
a distance of 20.00 feet (called N79013'E, 20') to (lie POINT OF BEGINNING,
comprising an area of 0.103 acres of land, more or less, subject to any and all easements and
agreements of record.
Distances are at surface and Bearings in this description are based on a GPS survey
conducted in the Texas Coordinate System. South Central Zone, NAD1983, in US Feet, with
a Combined Scale Factor of 0.99995332.
1, Michael J. Machmis, Registered Professional Land Surveyor of Texas, do hereby state
that this description represents an actual survey made on the ground, under my direction,
to the haat of my knowledge and ability, this the 12'h day of December, 2017.
171202-alley,doe
Registered Professional Land Surveyor
Texas Registration No. 5874
VACATE AND ABANDON A PORTION OF PUBLIC ROAD
IN ALAMO BEACH, CALHOUN COUNTY, TEXAS
A Motion was made by Commissioner # and seconded by
Commissioner VP r t to Vacate and Abandon a portion of a public road
in Alamo Beach, Calhoun County, Texas as shown on the following Order with exhibits
attached,
voted in favor of the motion,
ORDER DECLARING CLOSURE OF A PORTION OF PUBLIC ROAD IN
ALAMO BEACH, CALHOUN COUNTY, TEXAS
WHEREAS, on the 14i4 day of March, 2018, the Commissioner's Court of Calhoun
County, Texas considered the request of Sellers Lease Service, Inc„ being a property owner
in Precinct 1 of Calhoun County, Texas, to abandon and vacate the following portion of a
public road in Alamo Beach, Calhoun County, Texas more fully hereinafter described and
as shown on the Exhibit "A" which is attached to this order and incorporated by reference.
WHEREAS, Texas Transportation Code §251.051 vest in the Commissioner's
Court the authority to abandon and vacate a portion of the road; and
WHEREAS, the Commissioners have not previously classified the subject road as
either a first class or second class road; and
WHEREAS, the Commissioner's actions to abandon or vacate the road have not
been enjoined or sought to be enjoined by any party; and
WHEREAS, proper notice of the petition to abandon and vacate the road has been
posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity
of the affected route, being at the Magnolia Beach Fire Department and on the property at
the portion of the road to be abandoned and vacated, for at least twenty (20) days before
the date the application was made to the Court; and
WHEREAS, the Commissioners have voted unanimously to abandon and vacate the
portion of the road described on the attached Exhibit "A"; and
WHEREAS, all requirements of Texas Transportation Code §251.051 and §251.052
have been complied with in declaring said road to be abandoned and vacated.
NOW, THEREFORE, ON MOTION DULY MADE BY Commissioner
� 4wym) and SECONDED by Commissioner En �' �,�1, and upon
said Motion having been approved by the Commissioner's Court in a properly posted
public meeting;
IT IS ORDERED AND DECREED, that Calhoun County does hereby CLOSE,
ABANDON and VACATE that portion of street described on the attached Exhibit "A".
IT IS FURTHER ORDERED AND DECREED that on the date this Order is signed,
title to the portion of road closed by this Order is vested in Sellers Lease Service, Inc.,
pursuant to Texas Transportation Code §251.058(b).
IT IS FURTHER ORDERED AND DECREED that a copy of this Order is to be
filed in the Official Records of Calhoun County, Texas and a duly filed copy of the Order
shall serve as the official instrument of conveyance of the closed portion of the road, Alamo
Beach, Calhoun County, Texas fi•om CALHOUN COUNTY to the respective owners of
the abutting property as set forth hereinabove, pursuant to Texas Transportation Code
§251.058(b).
SIGNED THIS 1411 day of March, 2018.
ATTESTED TO BY:
ANNA GOODMAN
CALHOUN COUNTY, TEXAS
44 'f -C
HONORABLE MICHAEL J. PFEIFER,
CALHOUN COUNTY JUDGE
Deputy Clerk
STATE OF TEXAS
COUNTY OFCALHOUN
SURVEY OF A SECTION OF A 20 -FOOT ALLEY IN THE ALAMO BEACII
TOWNSITS, BLOCK 40
Field notes of a section of a 20 -foot alley between Lots 6,7 and 8, and Lots 10, 13,14 and
15, in Block 40 of the Alamo Beach Subdivision, as recorded in Volume "V", Page 01, of
the Deed Records and in Volume "Z". Page 13, of the Plat Records of Calhoun County,
Texas; and amended by the Plat recorded In Pago 151 of the Surveyor's Notes of the Official
Public Records of Calhoun County, Toxas;
Said portion of the 20 -foot alley being adjacent on both sides to the property described as
Traci I and Tract If, conveyed to Sellers Loose Service, fee. by Deed recorded in Clerk's File
No, 113754 of the Official Public Records of Calhoun County, Texas;
Sold 20 -foot alley is comprised of a portion of the Narciso Cabazos Survey, Abstract 3, is
located approximately 2 miles sonthoust cribs City of Fort Lavaca, In the community of
Alamo Bomb, in Calhoun County, Texas, and Is described by metes and bounds as follows:
BF,GINNING at a 5/8 inch Iron rod with surveyor's cap stamped 110 & W Eng."
found in the east line of said 20 -foot alley, at the southwest comer of said Lot 8, the
northwest comer of Lot 9 of said Block 40, and the northwest comer of a 0.474 nares tract of
land described as'IYact 2 in Decd to Stephen and Sheryl Koster, recorded in Clark's File No,
201700512 of the Official Public Records of Calhoun County, Taw; for the southeast
carrier of this tract;
Thence N 11913'45" W (called NI0947'W) along the east line of sold alley and the
west line of said Lot 8, for the east line of this tract, at 75 feet pass the northwest corner of
said Lot 8 and the southwest corner of sold Lot 7, at 150 feet pass the nothwesl corner of
suld Lot 7 and the southwest comer of sold Lot 6, in all a distance of 224,69 feet (called
225') to a 5/8 Inch Iron rod found at the northwest comer of said Lot 6 and the southwest
comer of Lot 5 of said Black 40; Lots I tbrough S. Block 40, being conveyed as Tract I to
David and Glenda Duncan by Dued recorded in Clerk's File No. 2017.01895 of the Official
Public Records of Calhoun County, Texas; fbr the northeast corner of this tract;
Thence S 780501111 1" W across said 20 -foot alley and along the north line of this tract,
a distance of 19,98 feel (called S79913' W, 2(y) to a 5/8 Inch iron rod found In the west line
of said 20 -foot alley, at ilia northeast corner of said Lot 15 and the southeast corner of sold
Lot 3. for the northwest comer of this tract;
Thence S 11913' 25" E along the west line of said 20 -foot alloy, the cast line of said
Lot 15, and the West line of this tract, at 50 foci pass the southeast comer of sold Lot 15 and
the northeast comer of said Lot 14, at 100 feet pass the southeast comer of sold Lot 14 and
the northeast oomer of said Lot 13, at ISO feet pass the southeast corner of said Lot 13 and _
the northeast corner of sold Lot 10, in all a distance of 224,70 feet (called 225') to a 518 inch-
iron
nchiron rod with surveyor's cap stamped" 0 & W Eng." found At the southeast comer of said
Sellers Tract I, and the northeast rumor of a 0.26 acres tract of land described As Tract 1 in
said Deed to Stephen and Sheryl Koster, for the southwest corner of this tract;
Thence N 78949'31" R across said 20 -foot alley and along the south line of the track,
a distance of 20.00 foot (called N7991YE, 20') to the POINT OF BEGINNING,
comprising on area of 0.103 Acres of land, mote orlCaa, subject to any and all easements and
Agreements of record.
Distances are at surface and Bearings in this description are based on it OPS smvey
conducted in the Texas Coordinate System. South Ceuiral Zone, NAD 1983, in US Feet, with
a Combined Scale Factor of 0.99995331
E"EXINISIT 1, Michael J. Muelnnis, Registered Professional Land Surveyor of Texas, do hereby state
that this description represents An Actual survey made on the ground, under my direction,
An
to the Best of my knowledge and ability, this the 12" day of December, 2017.
,
171202-alley,doo
FILEDLIAND®RECORDED
VAC Fee:842.00
03/14/2018 001:54PMcsullivan
,J,,I/
Anna Goodman, County Clerk
Calhoun County, Texas
Rogistorod Professional Gond Surveyor
Texas Regisiration No. 5874
F
I
a
I
Calhoun Count Commissioners' Court — March 14, 20185
7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7)
On petition to Vacate 1.28 acres, Part of Lot 3, Block 13, Port O'Connor
Townsite as recorded in File No. 149538 of the Official Records of Calhoun
County, Texas. (KF)
Pass
Page 5 of 17
Calhoun County Commissioners' Court —March 14, 2018
8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8)
On Petition to Vacate Lots 4, 5, 6, & 7, Block A, Swan Point Subdivision as
recorded in File No. 135604 of the Official Records of Calhoun County, Texas.
(KF)
Pass
Page 6 of 17
Calhoun County Commissioners' Court — March 14, 2018
9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9)
On request by Precinct #2 Road and Bridge to open credit account with
Alamo Concrete Products Company. (VL)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pet 2
SECONDER: David Hall, Commissioner Pet 1
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Page 7 of 17
5812 FM 1090
Port Lavaca, TX 77979
March 7, 2018
Honorable Michael Pfeifer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Pfeifer:
Vern Lyssy
County Commissioner, Precinct #2
(361) 552-9656
Fax (361) 553-6664
Please place the following item on the Commissioners' Court Agenda for March 12,
2018
• Discuss and take necessary action to open credit accounts with Alamo Concrete
Products
Since ly, Zj
Vern Lyssy
VL/Ij
Alarno Concrete Products Company
P. Q. Box 34210
San Antonio, TX 78265
(21Q) 208-1549 Fax: (210) 208.1650
Email: credit@alamoconcrete.com
Application for Commercial Credit Only
Applicant authorizes Alamo Concrete Products Company to cheek all credit references and Information provided and to
utilize all other credit resources deemed necessary byAlamo Concrete Products Company to determine the Applicant's
creditworthiness,
Legal Name of Business Calhoun County Pct 2
Trade Name
Malling Address 5812 FM 1090 N Port Lavaca TX 77979
Business Address 'Same
Telephone Number 361 _552 9656 Fax Number 361 _553 _6664
Check One: ❑ Proprietorship b Partnership ❑Cor oration ❑l imfked Liability Co.
What type_of Contractor are you? (gheck all that apply) (Residential ❑ Commercial ❑ Municipal
Email Address for Invoices &Statements Iesa iurek(Mcaihcunenlxorg
Alamo"s,S61es Contact
List Names of Owner/Partners/Officers: Their Titles /resident Address:
In Business Since Type of Business; County Government
Annual Sales _ Number of Employees
Credit References: (When possible„suppliers of similar type)
Name FaX Area codefrelephone.#i Email
(2)
t4� i — -
Banking informatlon:
Bank Contact
Prosperity Bank Fax Area Codeffelephone #
Checking ACCT# Savings Acct#
Loans: No Yes _ Securad: No _ Yos Collateral:
REVISED 10106/2017 (P?aVlous Editions obsolete) page 1
Alamo Concrete Products Company
CREDIT AGREEMENT
Calhoun(PPct, 2
Company Name {Print) ALAMO CONCRETE PRODUCTS COMPANY
Name
5812 PM 1090 N
Street Address
Port Lavaca, TX 77979
City, state, Zip
BUYER
6981 E. EVANS ROAD
P.O. BOX 34210
SAN ANTONIO, TX 76266
SELLER
The above Buyer desires to mainlaina credit account with Seller, and agrees to the following terms, charges and conditions:
1. Buyer understands its responsibility at the time of purchase necessary, to famish all Inform Properly Invoice Buyer
for any merchandise or service furnished by$oliet:
3. if the account is placed in the hands of an attorney forcollection,, or pursued through probate; bonkruptcy;or otherjudicial proceedings by
an attorney; Buyer, Its heirs, successor$ and assigns, agrees and promises to pay reasonable attomey's fee for collection, plus any and all
other costs and expenses of collection.
R, If Buyer is; not an
executed but subsequently become�,-1.r numPnny tLLU), mm�eo partnership, etc,) at the time the Credit Agreement (a
s an entity , with'or without the knowledge of Alamo-Conreta,Products Company, Buyer and ami shall be
bor ound by theseiterras and conditions and shall be liable to Alamo Concrete Products Company for indebtedness Incurred by, assumed oy;
commercial
er connection with such iiie purchase of goods for ente,personall, family or householddit dpu Alamo
obCut fa on extension of e Products credittforr businsssi or
commerolal purposes.
Revised 7,6/66117 (Previous; Edition$ Obsolate).
Authorized Signature
Vern Lvssv
Print'Name of Indlvi0oal Authorized to. Sign
(Must be officer or owner of company)
Commissioner
Intl—VI duUP Title,
_ 3!14/18
Page 2 Date
ALAMO CONCRETE PRODUCTS COMPANY
P. O. Box 84210
San Antonio, TX 78265
21(1.208-1549 Fax;, 210-208-1650
Emaik creditt"g alamoconcrete corn
CERTIFICATION & RELEASE AUTHORIZATION TO VERIFY CREDIT REFERENCES AND. BANK INFORMATION
I confirm that the information contained In this credit application Is true. and accurate. The information included In this
application is for the use by Alamo Concrete Products Company (Alamo) in determining the amoiint,and conditlons of
credit to be extended, I understand that Alamo may use, other sources,of data necessary to Make:a determination.
Further, I authorize the bank and trade references listed to release information necessary to assist Alamo in
establishing a fine of credit, in the event that there is any dispute hereunder, Seller (Alamo) may racquet attorney's
fees plus costs, including any additional 'coits fqr appeal and/or collection of anyjudgment obtained. I authorize Alamo
tq report my credit and: emoiovment!hlntAnt �nN F� .. I —
Name (Printed)
TItIe,
Date
INDIVIDUAL CONSUMER CREDIT REPORT RELEASE AUTHORIZATION
1 ne unggrsrgnen (I, acting in my
corporation, partnership, LLC or
consent(s) to Alamo Gonorate P.i
undersigned (Applicant) in orc
principal(s), proprietors) andlor;g
thiscredit application. 'The -u en
a consumer credit report on the
continuation of the buslness::ore
Credit Reporting Act and as defined
My LEGIBLE'; PRINTED NAME IS:
The name of the business Seeking
ividuai capacity even though theparty applying, for credit with Alamo may be a
er form. of business entity, referred to in this document as Applicant) he eb
lots Company (Alamoys use of a non -business, ,consumer credit report on the
to further evaluate the creditworthiness of the, undersigned (Applicant) as
antor(a) in connection with; the extension of business credit as contemplated by
ed (Applicant) hereby authorize(s) Alamo Concrete Products Company tq utilize
derslgned (Applicant) from time to time in connection with the extension or
represented by this credit application. The. undersigned (Applicant) as ;(an)-
ant to the use of such credit report consistent with the Federal Fair Credit
Q 1,681 at seq., By authorizing Alamo to obtain a consumer report on me,, I am
aggest that I am applying for consumer, credit with Alamo as defined by the Fair
y the Texas Finance Code.
Signed 'thIE day of 20
My Social Security No Is;
Alamo (if differentfrom named Applicant) is:
My relationship to the Entity applying,for 01`00 (from Alamo is As follows: Circle all that apply.to, you:
SHAREHOLDER OFFICER DIRECTOR MEMBER GENERAL PARTNER, LIMITED PARTNER SOLE', PROPRIETOR
devised 1618612DII Wrevious'Edlilons:Obsdletgl
Pagpl
Alamo Concrete Products Company
ALAMQ CONCRETE PRODUCTS COMPANY
CONTINUING PERSONAL GUARANTY
mmout, further authorization from or notice to guarantor; Creditor may grant credit to Debtor from time to time in such manner; on such
terms, and for such timos as it deems best, and may alter, compromise
any Indebtedness, , accelerate; extend or change the time or manner for the payment of
a. Notice of the acceptance of this Guaranty:
b. Notice of tho.oxistence Or creation efall or any Part Of the indebtednow
c; Presentment; hotted of dishonor, protest and all other notices whatsoever;
d.All iicaln,noitacUorlarprotactitlRUt, resort
to;brrealizationu
horaundundeer, ponthe Indeblednessor-any partthereof of any obligation
e> Any right of subrogation Until all Indebtedness herebyguaranteed hes bean nAld In adr.,
EXECUTED at this day of
20 _
This continuing Guaranty most be signed by a person In his INDiVIDUAL CAPACITY "ratherthanas an officer of arcorporation,
Revised IQ/0612017 (Previous 5dltlons Qbsotete) Pagip 4
Alamo Concrete Products Company
A4AMO CONCRETE PRODUCTS COMPANY
P.Q.;Bbz 34210
San Antonio, TQC 78265
(210)-2Q$-1549 FAX (21Q) 208=1650
CONTRACTOR PROJECT INFORMATION
YOUR COMPANY NAME &,ADDRESS:
Far, this project, are you the.
__ Qeperal centraetor _ Sub -Contractor Owner Other, axplaiw
Approximate number of yards required:, Project Scope: Start Data End Date.
GENERAL CONTRACTOR:,
Name
Address
City
Telephone #
PROJECT INFORMATION:
Project Natne
Exact Physical Address
Legal Description
City
County__
Mailing>Address
City
Telephone #,_
Farm;complete
MF TIME PROJECT IS BONDED, PROVIDE,
Name ofSurety:
Address:
Telephone:
Zip
Fax ft
Purchase Order Required? Y S NO PO#
It this project JAI BONDED, please provide a copy of the Bond
If this pmjectis NP, t•Taxalile,,plaase Provide n copy oftho T4.x Certificate.
ROVlsed t0106/2017 (1'rcvlou Edi lods Obsploia), Page 5
Zip
Calhoun County Commissioners' Court— March 14, 2018
10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10)
On Resolution authorizing Homestead Exemption of Twenty Percent (20%)
with an additional $64,000 deduction against total assessed value for
homeowners over 65 years or disabled. (MP)
RESULT: APPROVED [UNANIMOUS]
MOVER: Michael Pfeifer, Calhoun County Judge
SECONDER: Kenneth Finster, Commissioner Pet 4
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Page 8 of 17
CALHOUN COUNTY
APPRAISAL DISTRICT
426 West Main Street
P.O. Box 49
Port Lavaca, Texas 77979
March 1, 2018
County of Calhoun
The Honorable Judge Mike Pfeifer
211 S. Ann St.
Port Lavaca, Texas 77979
RE: Optional Homestead Exemption Agenda Item
Dear Judge Pfeifer:
CONSOLIDATED APPRAISAL
AND TAX SERVICES
Appraisal: (361) 552-8808
Collections: (361)552-4560
Fax: (361)552-4787
Web: www.ealhouncad.org
(�l
rzi
HVs'f
Please add the above item to your agenda for action at your next board, council or commissioners' court
meeting. This should be an annual agenda item each spring.
I have enclosed a listing of homestead exemptions currently granted for all taxing units in Calhoun
County. Please review your exemptions and notify the appraisal district no later than April 2, 2018: if
any changes are to be made for the 2018 tax year. Please be aware that any decrease in an exemption
amount will require the appraisal district to notify all affected property owners.
All taxing units, except counties, schools and cities, currently granting the optional 20% homestead
exemption may reduce the percentage of the exemption, but cannot increase the percentage. A county,
school or city cannot chane the percentar?e amount until after December 2019 once Qranted. A city,
county or school that has not granted an optional percentage homestead exemption may do so, but only
up to 20%. The optional 65 and over and disabled exemption may be increased or decreased. Taxing
units cannot change any veteran's exemption.
Should you have any questions or concerns please let me know.
Respectfully,
Jesse W. Hubbell
Chief Appraiser
Enclosures
JWWmed
cc: Ms. Gloria Ochoa
Tax Assessor/Collector
211 S. Ann St.
Port Lavaca, TX 77979
Mr. David Hall
Calhoun County Commissioner -Pct. 1
211 S Ann
Port Lavaca, TX 77979
Mr. Clyde Syma Mr. Kenneth Piaster
Calhoun County Commissioner -Pct. 3 Calhoun County Commissioner -Pct. 4
109 Timberline P.O. Box 177
Port Lavaca, TX 77979 Seadrift, TX 77983
Mr. Vern Lyssy
Calhoun County Commissioner -Pet. 2
5812 FM 1090
Port Lavaca, Texas 77979
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RESOLUTION AUTHORIZING
HOMESTEAD EXEMPTION OF TWENTY PERCENT
WHEREAS, the Calhoun County Commissioners' Court has the authority to grant an
additional homestead exemption pursuant to Section 11.13(n) of the State
Property Tax Code; and
WHEREAS, the Calhoun County Commissioners' Court desires to grant an additional
homestead exemption to all qualified homeowners.
NOW, THEREFORE, LET IT BE RESOLVED that the Calhoun County
Commissioners' Court does hereby grant an additional homestead
exemption of twenty percent (20%) of market value and in no case less than
five thousand ($5,000.00) to be effective for the 2018 tax roll on all
homesteads qualifying for such an exemption. Those homeowners over 65
years or disabled will receive an additional $64,000 deduction against total
assessed value.
ADOPTED THIS 14th DAY OF March, 2018.
t2.
Michael J. feife , ounty Judge
David Hall Vern Lyssy
Calhoun County Commissioner, Pct. 1 Calhoun County Comm sioner, Pct. 2
ClydeMynka Kenneth W. Finster
Calhoun County Commissioner, Pct. 3 Calhoun County Commissioner, Pet. 4
Attest: Anna Goodman, County Clerk
Calhoun County Commissioners' Court-- March 14, 201£3
11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11)
On additional insurance proceeds received from TAC for property damages
associated with Hurricane Harvey in the amount of $10,317.89. (MP)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pet 2
SECONDER: David Hall, Commissioner Pet 1
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Page 9 of 17
Suan Riley
From: candice.villarreal@calhouncotx.org -- Candice Villarreal
<ca nd ice.vi I larrea I@ca I hou ncotx.org>
Sent: Friday, March 2, 2018 10:51 AM
To: susan.riley@calhouncotx.org
Cc: Michael Pfeifer, David Hall; vern.lyssy@calhouncotx.org; Clyde Syma; David Hall;
cindy.mueller@calhouncotx.org
Subject: Agenda Item - Harvey Damage Insurance Proceeds
Attachments: Harvey Damage TAC Insurance Proceeds.pdf
Susan,
Please add the following agenda item for the next Commissioners Court.
• Consider and take necessary action on additional insurance proceeds received from TAC for property damages
associated with Hurricane Harvey in the amount of $10,317.89.
Thank you,
Candice Villarreal
Calhoun County Auditors Office
Phone: (361)553.4612
Fax: (361) 553-4614
candice.villarreal @calhouncotx.org
TEXASASSOCIATION OF COUNTIES 29624
HISKMANAGEMENT POOL-CLAIMS 2127/2018 29624
Calhoun County
��E
2127/2018 PR20173076-1 Harvey Damage $16,437.89
2/27/2018 PR20173076-1,- Deductible $-6,120.00
RISK MANAGEMENT POOL -CLAIMS
Calhoun County
202 S Ann St Ste B
Port Lavaca, TX 77979-4204
TO REORDER CALL: (706) 327-9550
W14SFOO1014M 10114
Calhoun County Commissioners' Court — March 14, 2018
12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12)
On insurance proceeds from TAC for property damages associated with
Precinct #2 fire in the amount of $186,337.89. (MP)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pet 1
SECONDER: Vern Lyssy, Commissioner Pet 2
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Page 10 of 17
Suan Riley
From: candice.villarreal@calhouncotx.org -- Candice Villarreal
<candice.vi I larrea I @cal houncotx.org>
Sent: Friday, March 2, 2018 11:00 AM
To: susan.riley@calhouncotx.org; Michael Pfeifer; David Hall; vern.lyssy@calhouncotx.org;
Clyde Syma; Kenneth Finster
Subject: Agenda Item - Insurance Proceeds - Fire 11132
Attachments: TAC Insurance Proceeds - Fire RB2.pdf
Susan,
Please add the following agenda item for the next Commissioners Court.
• Consider and take necessary action on insurance proceeds from TAC for property damages associated with the
Precinct #2 fire in the amount of $186,337.89.
Thank you,
Candice Villarreal
Calhoun County Auditors Office
Phone: (361)553-4612
Fax: (361) 553-4614
candice, villarreal@calhouncotx.org
TEXAS ASSOCIATION OF COUNTIES
RISK MANAGEMENT POOL -CLAIMS
2/27(2018
2/27/2018 1 29625
PR20183800-1 Pct 2 Fire Damage
29625
86,337.89
P 3sOcevs.
- - ..
�€1L`L
FROSTBANK
29625
}TEXAS
ASSOCIATION OF COUNTIES
�'�3
v as3o-sn14o
I�DOCH
RISK MANAGEMENT POOL+CLAIMS
1210 SAN ANTONIO STREET*
AUSTIN, TX 78701
OnuNi�
(512)478.8753
-
DATE
AMOUNT..`.
i
7/27/2018 -
$ 186,337.89
PAY ONE
HUNDRED EIGHTY-SIX THOUSAND THREE HUNDRED THIRTY-SEVEN AND 891100 DOLLARS,
-
VOIDAF 180 RAYS .
TO THE.
Calhoun County
ORDER'�yG"r'a1
1
OF:
202 S Ann St Ste B
-
Port Lavaca, TX 77979-4204
11'02962511
TEXAS ASSOCIATION OF COUNTIES
RISK MANAGEMENT POOL -CLAIMS
Calhoun County
202 S Ann St Ste B
Port Lavaca, TX 77979-4204
TO REORDER CALL: J706)327-9550
29625
W14SF001014M 10/14
Calhoun County Commissioners' Court — March 14, 2018
13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13)
To declare certain items of property at Precinct #3 as Surplus/Salvage.
Container of Miscellaneous computer cables, mice, keyboards and electronic
cords. (CS)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pet 1
SECONDER: Vern Lyssy, Commissioner Pet 2
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Page 11 of 17
Clyde Syma
Calhoun County Commissioner, Precinct 3
24627 State Hwy, 172—Olivia, Port Lavaca,'rexas 77979 — Office (361) 893-5346 — Fax (361) 893-5309
Email: clvde syina@calhouncotx.orx
March 8, 2018
Honorable Michael Pfeifer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: Agenda Item
Dear Judge Pfeifer,
Please place the following item on the Commissioner's Court Agenda for March 14, 2018
• Please Consider and Take Necessary Action to declare a container of miscellaneous
computer cables, mice, keyboards and electronic cords as Surplus Salvage.
Sincerely,
ane�j----
Clyde Syma, Commissioner, Pct.3
CS/Jv
Calhoun County Commissioners' Court— March 14, 2018
14. Accept reports of the following County Offices: (AGENDA ITEM NO. 14)
i. Calhoun Tax Assessor/Collector
ii. County Treasurer
iii. County Sheriff
iv. District Clerk
v. County Clerk
vi. Justices of Peace — JP#4 Feb 2018; JP#S Feb 2018
vii. County Auditor
viii. Floodplain Administration
ix. Extension Service
x. Adult Detention Center SHP Medical
RESULT: APPROVED [UNANIMOUS]
MOVER: Vein Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pct 1
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Page 12 of 17
03-08-18;09:39 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4
N
Page 1 of 2
31712018
COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT; FEBRUARY
YEAR OF REPORT: 2018
ACCOUNT NUMBER
ACCOVNTNAME
AMOUNT
OR
1000-001-45014
FINES
7,846.20
OR
1000-001-44190
SHERIFF'S FEES
595.30
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING
000
CHILD SAFETY
000
TRAFFIC
1926
ADMINISTRATIVE FEES
8000
EXPUNGEMENT FEES
000
MISCELLANEOUS
000
OR
1000-001-44364
TOTAL ADMINISTRATIVEF
ES
99.26
OR
1000-001.44010
CONSTABLE FEES -SERVICE
300.00
OR
1000-001-44064
JP FILING FEES
125.00
OR
1000-001-44090
COPIES / CERTIFIED COPIES
0.00
OR
1000-001.49110
OVERPAYMENTS (LESS THAN $10)
5.00
OR
1000.001-44145
SCHOOL CROSSINGICHILD SAFETY FEE
0.00
OR
1000-999-20741
DUE TO STATE -DRIVING EXAM FEE
0.00
OR
1000-999-20744
DUE TO STATE -SEATBELT FINES
49.95
OR
1000-999-20745
DUE TO STATE -CHILD SEATBELT FEE
0.00
OR
1000-999-20746
DUE TO STATE -OVERWEIGHT FINES
199.00
OR
1000-999-20770
DUE TO JP COLLECTIONS ATTORNEY
1,071,60
TOTAL FINES, ADMIN. FEES & DUE TO ST
TE
$10,291.31
CR
2670-001-44064
COURTHOUSE SECURITY FUND
$272.19
OR
2720-001-44064
JUSTICE COURT SECURITY FUND
$90.73
OR
2719-001-44064
JUSTICE COURT TECHNOLOGY FUND
$362.92
OR
2699-001-44064
JUVENILE CASE MANAGER FUND
$388.02
STATE ARREST FEES
DPS FEES
36
23
P&W FEES
6711
TABC FEES
000
OR
7020.999-20740
TOTAL STATE ARREST FEES
103.34
OR
7070.999-20610
CCC -GENERAL FUND
365.41
OR
7070-999-20740
CCC -STATE
3,286.74
DR 7070-999-10010
3,654.15
OR
7860-999.20610
STF/SUBC-GENERAL FUND
9.64
OR
7860-999.20740
STFISUBC-STATE
163.10
DR 7660-999-10010 192.74
CR
7950-999-20610
TP -GENERAL FUND
109.09
OR
7950-999-20740
TP -STATE
109.09
DR 7950-999-10010 218.18
OR
7480-999-20610
CIVIL INDIGENT LEGAL -GEN, FUND
1.50
OR
7480-999-20740
CIVIL INDIGENT LEGAL -STATE
1
28.50
DR 7480-999-10010 30.,00
Page 1 of 2
03-08-18;09:39 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4
3/7/2018
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999.20610
CR 7970-999.20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999.20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
CR 7502-999-20610
CR 7502-999-20740
CR 7998-999-20740
CR 7403-999-22889
REVISED 03/04/16
COURT NAME: JUSTICE OF PEACE NO. 4
MONTH OF REPORT: FEBRUARY
YEAR OF REPORT: 2018
CRIM-SUPP OF IND LEG SVCS -GEN FUND
CRIM-SUPP OF IND LEG SVCS -STATE
DR 7865-999-10010
TUFTA-GENERAL FUND
TUFTA-STATE
DR 7970-999-10010
JPAY-GENERALFUND
JPAY-STATE
18.15
120.00
240.00
64.44
DR 7505-999-10010
54
.37
JURY REIMS. FUND- GEN. FUND
36.29
JURY REIMB. FUND- STATE
326.63
DR 7857-998-10010
36�,
92
CIVIL JUSTICE DATA REPOS: GEN FUND
0.13
CIVIL JUSTICE DATA REPOS: STATE
1.13
DR 7856-999-10010LFUN
JUD/CRT PERSONNEL TRAINING FUND GEN
0.00
JUD/CRT PERSONNEL TRAINING FUND -STA
0.00
DR 7502-999-10010
00
TRUANCY PREV/DIV FUND -STATE
�
171.46
DR 7998-999-10010
17.46
ELECTRONIC FILING FEE
50.00
DR 7403-999-10010
50.00
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT -OF -COUNTY SERVICE FEE
CASH BONDS
PARKS & WILDLIFE FINES
WATER SAFETY FINES
TOTAL. (Distrlb Req to Oper A�ct) $17,275.05
5,797.00
8.55
$5,884.55
TOTAL COLLECTED -ALL FUNDS $23,159.60
LESS: TOTAL TREASUER'S RECEIPTS $23,159.60
OVER/(SHORT) $0.00
Page 2 of 2
03-08-18;09:39 ;From;Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4
CALHOUN
COUNTY
201 West Austin
DISTRIBUTION
REQUEST
DR# 480 A
PAYEE
PAYOR
Name: Calhoun County Oper. Acct.
Official: Wesley Hunt
Address:
Title: Justice of the Peace,
ct. 4
City:
State:
Zip:
Phone:
ACCOUNT NUMBER
DESCRIPTION
OUNT
7544-999-20759.999
JP4 Monthly Collections - Distribution
17,275.05
Signature of Official Date
03-06-18;17:47 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 , # 2/ 7
Money Diatributiou Report
03-06-2010 - Paye 1
CALHOUN J,P, 5
FEBRUARY
2018 REPORT
Receiiet Caune/Defondant
Codes\Amounts
Total
376290 1801 -0700 -DC
02-01-2018
IFEE
6.00
FILT
25.00
QPTF
5.00
2FP
10.00
46,00
CAPITAL ONE BANK (U.S.A.),
N.A.
Company Check
376259.:.'19.11-OG.G7:�::.�,;':'02-08-20�1'B:
JSF..�::.::'��4:..00'::.TF:C.'::a('i3',
..40: 66.
:;.:: r.:.:3:90?�
:SAF:- :':
��':5, Op:200,:00
. ....... ..
RUDELLAI`.,,iMORGAN;CLTZABETH'
TF,
,�4.00�.:
JCSF;':.:'1i00.':'::QPRX
i:;'.
':6:0:0',
...,:IDi'-:: "..':2:0.0
'0.::
z:
'
Comm' Servl,'oe'. :: :..:.
.: .: ::'.. .'..''SUBC
'
30,0.0."
TPOF,,r:2,0o'
AFF::: ":.:'r.84,
�0':
'' JCMF: •..•5:00:::'
,. „
•. ....
.. .
376260 1707-0538
02-09-2019
JSP
4.00
CCC
40.00
CHs
3-Oo
PWAP
5.00 .
TF
4.00
67.00
ARNOLD, TYLER B
JCSF
1,00
JPAY
6.00
IDP
2.00
TPDF
2.00
,Company Check
37.62'61' "1711-0.66'B�SC'.', '.025
09-201'8'.
AJPP::'::::'5..:00.':,,,.:
;,'.;: ,(,^f'.'.'.:'.
..:5:00'
": �'
DAVID. ROBERTS: ...... :.: ...
:.�: :. �.;.; ...
.. ..... ...:....
;.. ...:..
... ...
:. .. ..:
. .:...:.. .....
......:..:.:,:.:..::,.':
.
::.'':';.:.,';
;.. �.;'�
'. companyCheck:':.; .::�.:::..
�: �.:::'.:.:.:.>
:'::..
..:
... .. .......
..,:.:....:.:...:....:.:.:�....:.
...:.....:.
;.�'.:.:
...
,
374262 1802-0701
02-15-2010
JSP
4.00
CCC
40,00
CHS
3.00
LAF
5.00
IF
4.00
100.00
GUTIERREZ, CRISTIAN DAVID
JCSF
1.00
JPAY
6.00
IDF
2.00
MVP
0.10
TPDF
2.00
Cash
FINE
32.90
376263 LB01�0'G978:` �;;�� �'
02-45-201'8;
PINE'?.::
GS;.'OOr
..
•... ..:
� � ���� � � ��
:� �
� �
70.00
Cash: '::'.:.,..... ;,;,....:.
.:..:..:::: :. :....:...:..
...
......:.:.........:
:.:
.:......:.. ..
.. ..
:. ..:.:. :'
..::':. ....
.... ..
�:'
::..:..
376264 1602.0732
02.19-2018
JSP
4.00
CCC
40.00
CHS
3.00
LAP
5,00
TP
4.00
230.00
JUDICE, BRIAN LEE
JCSP
1,00
JPAY
6.00
IDF
7..00
TPDF
2.00
FINE
150.00
Credit Card
JCMF
5.00
376265 1708^0632;, ;::-02j20,^2018,
FINE,";
50; OOj�
�.
`50.00
ZUNTGA,. 4SAB,CLi:A:.M1IAR.IA
.:..: ".':.:::'
�.:.
.. :. ... .:
..
.....
... �... ......
.: .. ..
....;.,.
..
376266 1001-0670
02-21-7,018
JSF
4.00
TEC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
170.00
SNELLING, JAMES FRANK
TC
4.00
JCSF
1.00
JPAY
6.00
IDF
2.00
MVP
0,10
Personal Chock
30.00
TPDP
2.00
DPP
64,90
JCMF
5,00
...
376267 ','{1002=042'8:;:, ,,,:;. ;:02,-22
.. ..
j201B''JSF;;"
,SUBC
4.,00,''
CCQ,'; ,;`?0_.:00.:...
CI]5rf-`.".3?,.VO:
,.', P{d�AF"';::',5:,.09:
":'TF "':':.
X4:00":
350.00
;FYCRES-VEGAr...JOSE:'F.IDEL '::%';: '
JCSF; ,;;;'`1'.:OD.
,� IP Y. :'
:6ti00.::
.'.�DF7„
;.' 2..00-:.:TPDF::.':.'
2.U0
":PWF
270.00
. ... Cash ....... ..; .... :.
:: :::: '.
.JCMF:.'..,
5, 0'0''"
.. .. ..
.. ..
376268 1801.0675
02-22-2018
JSP
4.00
CCC
40.00
CHS
3,00
PWAF
5.00
TF
4.00
350.00
BURGOS, ABILIO JOSE
JCSF
1.00
JPAY
6.00
IDF
2,00
TPDF
2.DO
PWF
278,00
Cash
JCMF,
5.00
„
376269 . .1607.0233. x
JSP
4:00
_,
TFC.
,
CCC:
';'..
40:00;
'CH
;
,j:3.00.;
F
S'OO
.
..:. . .
GSTEB;:CASBY.MICHA-:...:
.. .:... ..:.
.;.....
TIMP
...
TF::.
'
4.D'
'CSF";,
..,
... '
.
,LA
Credit'Cdz3: .:' � Jr
l'.'.'�'�. ..
MVP �..'...
..
..0.:30.
�..3UBCI'I':`3'0.:00"
•TPDF:::�:.'<Zi
00
:"::FINE..:::..
6SL90::':
376270 1802-0726
02-27.2016
JSP
4.00
CCC
40,00
CHS
3.00
PWAF
5.00
TF
4.00
250,00
RODRIGUEZ-LARA, JOSE A
JCSF
1.00
JPAY
6.00
IDF
2.00
TPDP
2.00.
PWF
178.00
Cash
5.00
376271 .:'. 1802 0725' . :':.':02-27.2018:.JSF.!:;"'
,17CMF
4.00 ,
CCC'
;40.'0,0::
-CHS;;
,.; j3.d0;
':;PW1lC ;",.:
:5...0.0::'
TF: :'y(
.'�:4
350.00
RODRTGUE'L,-LARA,; JOEL*'A,'."';'.:
,...JCSC.;..',1...00
:',JPAY:.'':.:6.00;"Z,Or.":"::,:.7...00„�';TPDFr,;I;:.;'?::
0,0'?:
:'��RWF"
2.18::00,
JCMF
S:.00
..
:.
..
...
.. ..
..
.,
376272 1606-0197
02-20-2018
FINE
25.00
25.00
VASQUEZ, DAMIAN B
Cash
0-033 .:'02-28.=2018
376273 151 2'.
JSP'.'
.4.:00,'.TFC.:
..:':
3,00,;;
;CCC, �:-;40,.,00;;:;�;,C}IS:.;:':::::::3':.,00''..:
.. ...
WLLLIS,,;SONJA MICHELLE,:.,:
:.
credit. Card'.. '.
,,,,,,3,0;.0'0',::':JCS.F:;:�':�I:1`.
r .. ' .
MVF'
':0.10",.'
SUBC:..:;:
3'0':00'
.: TDDP.':'
/ 2.00
.� FYN&:, �
OG 'J 01 ..:
:C SRV ,
65:10'./
:
03-06-2010 - Paye 1
03-06-18;17:47 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 3/ 7
Money Digtribution Raport
CALHOUN S.P.
5 FEBRUARY
2010 REPORT
Typo
Code
Deacription
Count
Retained
Dioburood
Monay-Totalo
The following totalo roprooent - Caoh and Chcaka Collected
COST
CCC
CONSOLIDATED COURT COSTS
7
26.00
252.00
280.00
COST
CNS
COURTHOUSE SECURITY
7
21.00
0.00
21.00
COST
DPSC
DPS FAILURE TO APPEAR /OMNI FEES
0
0,00
0.00
0.00
COST
IDP
INDIGENT DEFENSE FUND
7
1.40
12.60
14.00
COST
JCSF
JUSTICE COURT SECURITY FUND
7
7.00
0.00
7.00
COST
JPAY
JUDGE PAY RAISM FEE
7
4.20
37.80
42.00
COST
JOT
JUROR SERVICE FUND
7
2.80
25.20
28.00
COST
LAF
SHERIFF'S FEE
1
5.00
0.00
5.00
COST
MVF
MOVING VIOLATION FEE
2
0.02
0,18
0.20
COST
PWAr
TRXAS PARKS & WILDLIFE
5
20.00
5.00
25.00
COST
SAF
DPS
1
4,00
1,00
5.00
COST
SUBC
SUB TITLE C
1
30.00
0.00
30.00
COST
IF
TECHNOLOGY FUND
7
28.00
0.00
26.00
COST
TFC
TFC
1
3.00
0.00
3.00
COST
TIME
TIME PAYMENT FEE -
0
0.00
0.00
0.00
COST
TPDF
TRUANCY PREVENTION & DIVERSION FUND
7
0.00
14.00
14,00
FEES
AJFF
ABSTRACT OF JUDGMENT FILING FEC
_ 1
5.00
0.00
5.00
FEES
CSRV
COLLECTION SERVICES FEE
0
0.00
0.00
0.00
FEES
DFF
DEFERRED FEE
1
64.90
0.00
64.90
FEES
EFF
ELECTRONIC FILING FEE
1
0.00
10.00
10.00
FEES
FTLI
FILING FEE
1
25.00
- 0.00
7.5.00
FEES
IFEE
INDIGENT FEE
1
0.30
5.70
6.00
FEES
JCMF
JUVENILE CASE MANAGER FEE
6
30.00
0.00
30.00
FEES
JPTF
JUDICIAL & COURT PERSONNEL TANS FEE -CV
1
- 0.00
5.00
5.00
FINE
FINE
FINE -
4
172.50
0.00
172.90
FINE
PWF
PARKS & WILDLIFE FINE
4
151.80
860.20
1,012,00
Money Totalo
12
604.32
1,228.68
1,833.00
The
following totalo repr000nt - Tranofarp Collected
COST
CCC
CONSOLIDATED COURT COSTS
0
0.00
0.00
0.00
COST
CHS
COURTHOUSE SBCURITY
0
0.00
0.00
0.00
COST
DPSC
DPS FAILURE TO APPEAR /OMNI FEES
0
0.00
0.00
0.00
COST
TDF
INDIGENT DEFENSE FUND
0
0.00
0.00
0.00
COST
JCSF
JUSTICE COURT SECURITY FUND
0
0.00
0.00
0.00
COST
JPAY
JUDGE PAY RAISE FER
0
0.00
0.00
0.00
COST
JSF
JUROR SERVICE FUND
0
0.00
0.00
0,00
COST
LAP
SIIVRIFF'S-FEE
0
0.00
0,00
0.00
COST
MVP
MOVING VIOLATION FEE
0
0.00
0.00
0.00
COST
PWAF
TEXAS PARKS & WILDLIFE
0
0.00
0.00
0,00
COST
SAF
DPS
0
0.00
0,00
0.00
COST
SUBC
SUB TITLE C
0
0.00
0.00
0,00
COST
TF
TECHNOLOGY FUND
0
0.00
0.00
0.00
COST
'PPC
TPC
0
0.00
0.00
0.00
COST
TIME
TIME PAYMENT FEE
0
0.00
0.00
0.00
COST
TPDF
TRUANCY PREVENTION & DIVERSION FUND
0
0.00
0.00
0.00
FEES
AJFP
ABSTRACT OF JUDGMENT FILING FEE
0
0.00
0.00
0.00
FEES
CSRV
COLLECTION SERVICES FEZ
0
0.00
0.00
0.00
FEES
DCF
DEFERRED FEE
0
0.00
0.00
0.00
FEES
EFF
ELECTRONIC FILING FEE
0
0.00
0.00
0.00
FEES
FILI
FILING FEE
0
0.00
0.00
0,00
FEES
IFEE
INDIGENT FEE
0
0.00
0.00
0.00
FECS
JCHP
JUVENILE CASE MANAGER FEE
0
0.06
0.00
.0.00
FEES
JPTF
JUDICIAL & COURT PERSONNEL TRNG FEE -CV
0
0.00
0.00
0.00
FINE
FINE
FINE
0
0.00
0.00
0.00
FINE
PWF
PARKS & WILDLIFE FINE
0
0,00
0.00
0.00
TrOnnfer Tctals
0
0.00
0.00
0.00
The following totaID ropraoont - Jail Credit and Community
Sorvico
COST
CCC
CONSOLIDATED COURT COST'S
1
4.00
36.00
40.00
COST
CHS
COURTHOUSE SECURITY
1
3.00
0.00
3.00
COST
DPSC
DPS FAILURE TO APPEAR /OMNI FEES
0
0.00
0,00
0.00
COST
IDF
INDIGENT DEFENSE POND
1
0.20
1.00
2.00
COST
JCSF
JUSTICE COURT SECURITY FUND
1
1,00
0.00
1.00
COST
JPAY
JUDGE PAY RAISE FEE
1
0.60
5.40
G.00
03-06-2016
Page 2
03-06-18;17;47 ;From:Calhoun County Pct, 5 To:5534444 ;3619832461 # 4/ 7
money Distribution Report
Credit Tocols 1 150.11 49.89 200.00
The Following totals rePzeoent - Credit Card Paymento
COST
CCC
CONSOLIDATED COURT COSTS
CALHOUN J.P.
6 FEBRUARY
2018 REPORT
120.00
COST
Code
Description
Count
Retained
Dioburoed
Monay-Totals
COST
JSF
JUROR SERVICE FUND
1
0.40
3.60
4.00
COST
LAP
SHERIFF'S FEE
0
0.00
0.00
0.00
COST
MVP
MOVING VIOLATION FEE
1
0.01
0109
0.10
COST
PWAB
TEXAS PARKS h WILDLIFE
0
0.00
0.00
0.00
COST
SAF
DFS
1
4.00
1.00
5.00
COST
SUBC
SUB TITLE C
1
30.00
0.00
30,00
COST
TF
TECHNOLOGY FUND
1,
4.00
0.00
4.00
COST
TFC
TFC
1
3.00
0.00
3.00
COST
TIME
TIME PAYMENT FEE
0
0.00
0.00
0,00
COST
TPDF
TRUANCY PREVENTION & DIVERSION FUND
1
0.00
2.00
2,00
FEES
AJFF
ABSTRACT OF JUDGMENT FILING FEE
0
0.00
0.00
0.00
FEES
CSRV
COLLECTION SERVICES FEE
0
O.DO
0.00
0.00
FEES
OFF
DEFERRED P'E2
1
94.90
0.00
94.90
PEES
EFF
ELECTRONIC FILING FEB
0
0.00
0.00
0.00
FEES
.PILI
FILING FEE
0
0.00
0.00
0.00
FEES
IFEE
INDIGENT FEE
0
0.00
0.00
0.00
FEE$
JCMF
JUVENILE CASE MANAGER PGE
1
5,00
0.00
5.00
FEES
JPTF
JUDICIAL & COURT PERSONNEL TRNG FEE -CV
0
0.00
0.00
0.00
FINE
FINE
FINE
0
0.00
0.00
0.00
PINE
PWF
PARKS & WILDLIFE FINE
0
0.00
0,00
0.00
Credit Tocols 1 150.11 49.89 200.00
The Following totals rePzeoent - Credit Card Paymento
COST
CCC
CONSOLIDATED COURT COSTS
3
12.00
100.00
120.00
COST
C148
COURTHOUSE SECURITY
3
9.00
0.00
9.00
COST
DPSC
DPS FAILURE TO APPEAR /OMNI FEES
1
9.90
20.10
30.00
COST
IDF
INDIGENT DEFENSE FUND
3
0.60
5.40
6.00
COST
JCSF
JUSTICE COURT SECURITY FUND
3
3.00
0.00
3.00
COST
JPAY
JUDGE PAY 1U125E PER
3
1.00
16.20
10.00
COST
JSF
JUROR SERVICE FUND
3
1.20
10,80
12.00
COST
LAF
SHERIFF'S FEE
3
15.00
0.00
15.00
COST
MVP
MOVING VIOLATION FEB
2
0.02
0.18
0.20
COST
PWAF
TEXAS PARKS & WILDLIFE
0
0.00
0.00
0.00
COST
SAF
DPS
0
0.00
0.00
0.00
COST
SUBC
SUB TITLE C
2
60,00
0.00
60.00
COST
TF
TECHNOLOGY FUND
3
12.00
0.00
12.00
COST
TEC
TFC
2
6.00
0.00
6.00
COST
TIME
TIME PAYMENT FEE
1
12.50
12.50
25,00
COST
TPDF
TRUANCY PREVENTION & DIVERSION FUND
3
0.00
6.00
6.00
FEES
AJFF
ABSTRACT OF JUDGMENT FILING FEE
0
0.00
0,00
0.00
FEES
CSRV
COLLECTION SERVICES FEE
1
65.10
0.00
65.10
FEES
AFF
DEFERRED FEE
0
0.00
0.00
0.00
FEES
EFF
ELECTRONIC FILING FEE
0
0,00
0.00
0.00
FEES
FILI
FILING FEE
0
0.00
0.00
0.00
FEES
IFEE
INDIGENT FEE
0
0.00
0.00
0.00
FEES
JCMF
JUVENILE CASE MANAGER FEF,•,
1
5.00
0.00
5.00
FEES
JPTF
JUDICIAL & COURT PERSONNEL TRNG FEE -CV
0
0.00
0.00
0.00
PINE
FINE
FINE
3
314.80
0.00
314.80
FINE
PEP
PARKS & WILDLIFE FINE
0
0.00
0.00
0.00
Credit Card Totalo
3
527.92
179,18
- 707.10
The
following totals ropreoont - Combined Money
COST
CCC
CONSOLIDATED COURT COSTS
10
40.00
360.00
400.00
COST
CNS
COURTHOUSE SECURITY
10
30.00
0.00
30.00
COST
DPSC
OPS FAILURE TO APPEAR /OMNI FEES
1
9.90
20.10
30.00
COST
SDP
INDIGENT DEFENSE FUND
10
2.00
18.00
20.00
COST
JCSF
JUSTICE COURT SECURITY FUND
10
10.00
0.00
10.00
COST
JPAY
JUDGE. PAY RAISE FEE
10
G.00
54.00
60.00
COST
JSF
JUROR SERVICE FUND
10
4.00
36.00
40.00
COST
LAF
SHEI2IF11"S FEE
4
20.00
0.00
20.00
COST
MVF
MOVING VIOLATION FEL•'
4
0.04
0.36
0.40
COST
PWAF
TEXAS PARKS & WILDLIFE
5
20.00
5.00
25.00
COST
SAP
DPS
1
4.00
1.00
5.00
COST
SUBC
SUB TITLE C
3
90.00
0.00
90.00
COST
TF
TECHNOLOGY FUND
10
40.00
0100
40.00
COST
TPC
TFC
3
9.00
0.00
9.00
COST
TIME
TIME PAYMENT FEE
1
12.50
12.50
25.00
03-06-2010
Page 3
03-06-18;17:47 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 5/ 7
Money Diatributioa R0901t
Money Totals 15 1,132.24 1,407.06 2,540.10
The E0110wing totalo re9eca0at - ComUincd Money and Credito
COST
CCC
CONSOLIDATED COURT COSTS
CALROUN J.P-
5 FEBRUARY
5010 REPORT
440.00
Type
Code
Dancription
Count
Retained
Disbursed
Money-Totnlp
COST
TPDF
TRUANCY PREVENTION & DIVERSION FUND
10
0.00
20.00
20.00
FEES
Ad FF
ABSTRACT OP JUDGMENT FILING FEE
1
5.00
0.00
5.00
FEES
CSRV
COLLECTION SERVICES FEE
1
65.10
0.00
65.10
FEES
OFF
DEFERRED FEE
1
64.90
0.00
64.90
FEES
EFF
ELECTRONIC FILING FEE
1
0.00
10.00
10.00
FEES
PILI
FILING FEE
1
25.00
0.00
25.00
FEES
IFEE
INDIGENT FEE
1
0.30
5.70
6.00
FEES
7CMF
JUVENILE CASE MANAGER FEE
7
35.00
0.00
35.00
FEES
JPTF
JUDICIAL & COURT PERSONNEL TEND FEE -CV
1
0.00
5.00
5.00
FINE
FINE
FINE
1
487.70
0.00
487.70
FINE
PWP
PARKS & WILDLIFE FINE
4
151.80
860.20
11012.00
Money Totals 15 1,132.24 1,407.06 2,540.10
The E0110wing totalo re9eca0at - ComUincd Money and Credito
COST
CCC
CONSOLIDATED COURT COSTS
11
44.00
396.00
440.00
COST
CHS
COURTHOUSE SECURITY
11
33.00
0.00
33.00
COST
DPSC
DPS FAILURE TO APPEAR /OMNI FEES
1
9.90
20.10
30.00
COST
IDP
INDIGENT DEFENSE FUND
11
2.20
19.00
22.00
COST
7CSF
JUSTICE COURT SECURITY FUND
11
11.00
0.00
11.00
COST
JPAY
JUDGE PAY RAISE FEC
11
6.60
59.40
66.00
COST
JSF
JUROR SERVICE FUND -
11
4.40
39.60
44.00
COST
LAF
SHERIFF'S FEE
4
20.00
0.00
20.00
COST
MVR
MOVING VIOLATION FEE
5
0.05
0.45
0.50
COST
PWAP'TEXAS
PARKS & WILDLIFE
5
20.00
5.00
25.00
COST
SAF
DPS
2
8.00
2.00
10.00
COST
SUBC
SUB TITLE C
4
120.00
0.00
120,00
COST
TF
TECHNOLOGY FUND
11
44.D0
0.00
44.00
COST
TFC
TFC
4
12.00
0.00
12.00
COST
TIME
TIME PAYMENT FEE
1
12.50
12.50
25.00
COST
TPDF
TRUANCY PREVENTION & DIVERSION FUND
11
0.00
22.00
22.00
FEES
AJFF
ABSTRACT OF JUDGMENT FILING FEE
1
5.00
0.00
5.00
FEES
CSRV
COLLECTION SERVICES FEE
1
65.16
0.00
65.10
FEES
OFF
DEFERRED FEE
2
159.60
0.00
159.80
FEES
EFF
ELECTRONIC FILING FEE
1
0.00
10.00
10.00
FEES
FILI
FILING FEE
1
25.00
0.00
25.00
FEES
IFEE
INDIGENT FEE
1
0.30
5.70
6.00
FEES
JCMF
JUVENILE CASE MANAGER FEE
0
40.00
0.00
40.00
FEES
JPTF
JUDICIAL & COURT PERSONNEL TRNO FEE -CV
1
0.00
5.00
5.00
FINE
FINE
FINE"
7
467.70
0.00
407.70
FINE
PWF
PARKS & WILDLIFR FINE
4
151.00
860.20
1,012.00
Report Totals
16
1,282.35
1,457.75
2,740.10
Page
03-06-18;17:47 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 6/ 7
Money Distribution Report
03-06-2010 Page 5
CALHOUN J.P.
5 FEBRUARY 2010 REPORT
Data
P ym t Ty)5e
Finea
court Costa
Fees
Bonds
ReatitntiOn
Other
Total
00.00.0000
Cash & Checks Collected
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm service
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Credit Cards & Transfers
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total of all Collections
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09-01-1991
Cash & Checks Collected
0.00
0.00
0.00
0.00
0.00
O.DO
0.00
Jail Credits & Comm Service
0.00
0.00
0.00
0.00
0.60
0.00
0.00
Credit Cards k TranaLOVO
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total of all Collections
0.00
0,00
0.00
0.00
0.00
0.00
0.00
D9 -o1-1993
Cash & Checka Collected
0.00
9.00
0.00
0.00
0.00
0.00
0.00
Jail credits & Comm service
9.00
0.00
0.00
0.00
0.00
9.99
o.DO
Credit Cards & TranOfera
0.00
0.00
0.99
0.00
0.00
0.00
0.00
Total of all Collections
0.00
0.00
0.00
0.00
0.00
O.OD
0.00.
09.01-1995
Cash & Chcoks CO110OCOd
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm Service
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Credit Cards & Transfers
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total 09 all Collections
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09-01-1997
Cash & Checks Collected
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm Service
0.00
0.00
D.OD
0.00
0.00
0.00
0.00
Credit Cards & Transfers
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Of all Collections
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09-01-1999
Canh & Checka Collected
0.00
O.DO
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm Service
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Credit Cards & Transfers
0.00
0.00
0.00
0100
0.00
0.00
0.00
Total OC all C011ootiorol
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09-01-2001
Cash & Checks Colleccod
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm service
0.00
0.00
0.00
0.00
0.00
0.06
0-00
Credit Cards & Transfers
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOCA1 of all Collections
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09-01.2003
Cash & Checks Collected
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm service
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Credit Cards & Transfers
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total of all Collections
0.00
0-00
0.00
0.00
0.00
0.00
0.00
01-01-2004
Cash & Checks Collected
1,10,1.90
502.20
3d5.90
0.00
0.00
0.00
1,033.00
Jail Credits & Comm Service
0.00
100.10
99.90
0.00
0.00
0.00
200.00
Credit Cards & TVAnsfora
314.90
322.20
70.10
0.00
0.00
0.00
707.10
Total of all Collections
1,499.70
924.50
315.90
0.00
0.00
0.00
2,740.10
TOTALS
Cash F. Checks Collected
1,104.90
$02.20
145.90
0.00
0.00
0.00
1,033.00
Jail Credits & Comm Service
0.00
100.10
99.90
0.00
0.00
0.00
200.00
Credit Card.! & Transfers
314.60
322.20
70.10
0.00
0.00
0.00
707.10
Total of all Collections
1,499.70
92d.50
315.90
0.00
0.00
0.00
2,740.10
03-06-2010 Page 5
03-06-18;17:47 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 7/ 7
Wonoy Diotribution Report
THE STATE OF TB%AS Before me, the undersigned authority, this day
County Of Calhoun County personally appeared Nancy Pomykal, Justice of the
Peace, ProcinOt No 5, Calhoun County, TO%a9, who
being duly sworn, deposes and gays that the above
a-? foregoing sport is us and correct
`.J/u-%
witness rn hand this ay „of A. � ....
" /lr "Cr / ."``�'0Gt L'pG"
she Peace,
County, Toxa% ••
NO
CALHOUN J.P.
5 FEBRUARY 2010
REPORT
Description
Count
0011eeted
Retained
Dinhurned
State of TOXaB Quarterly Reporting Total,
St'at'e Comptroller Cost and Fees Report
Section I: Report for Offenses Committed
01.01.04 Forward
13
490.00
130.00
360.00
09-01.01 - 12-31.03
0
0.00
0.00
0.00
06-31.99 - 08-31.01
0
0.00
0.00
0.00
09-01-97 - 00-30-99
0
0.00
0.00
O.DD
09-01-91 - 08.31-97
0
0.00
0.00
0.00
Bail Bond Fon
0
0.00
0.00
0.00
DNA Testing Foo - Convictione
0
0.00
0.00
0.00
DNA Testing Fee - Comm Supvn
0
0.00
0.00
0.00
DNA Testing POO - Juvenile
0
0.00
0.00
0.00
GMS Trauma Fund (EMS)
0
0.00
0.00
0.00
Juvenile Probation Divereion Fees
0
0.00
0.00
0.00
Jury Reimbursement Fee
10
90,00
4.06
36-00
Indigant Defanea Fund
10
20.00
7..00
16.00
Moving violation Fees
4
0.40
0.04
0.36
State Traffic Fine
0
0.00
0.00
0.00
Section II: As Applicable
Peace Officer Fees
6
30.00
29.00
6.00
Failure t0 APpoar/Pay Foos
1
30.00
9.90
20.10
Judicial Fund - Const County Court
0
0.00
0.00
0.00
Judicial Fund - Statutory County Court
0
0.00
0.00
0.00
Motor Carrier Woight Violations
0
0.00
0.00
0.00
Time Payment Fees
1
25.00
12.50
12.50
Driving Record Pee
0
0.00
0.00
0.00
Judicial Support Pao
10
60.00
6.00
54.00
Truancy Prevention and Diversion Fund
0
0.00
0.00
0.00
Report sub Total
55
695.40
108.44
506.96
State Comptroller Civil Fees Report
CF: Birth Certificate Fees
0
0.00
0.00
0.00
CFS Marriage License Fees
0
0.00
0.00
0.00
CF: Declaration of Informal Marriage
0
0.00
0.00
0.00
CP': Nondisclosure Fees
0
0.00
0.00
0.00
CF: Juror Donations
0
0.00
0.00
0.00
CF: Justice Court Indig Filing Fees
1
6.00
0.30
5.70
CF: Stat Prob Court Indiq Filing Fees
0
0.00
0.00
0.00
CF: Stat Prob Court Judie Piling Foos
0
0.00
0.00
0.00
CF: Stat Cnty court Indig Filing Fees
0
0.00
0.00
0.00
Cr: Stat Cnty Court Judic Filing Fees
0
0.00
0.00
0.00
CF! Cast Cnty Court Indig Filing Fees
0
0.00
0.00
0.00
CF; Cost Cnty Court Judic Filing Fees
0
0.00
0.00
0.00
CF: Dist Court DiVOroe & Family Law
0
0.00
0.00
0.00
CF; Dist Court Other Divorce/Family Law
0
0.00
0.00
0.00
CF, Diet Court Indig Legal Services
0
0.00
0.00
0.00
CF: Judicial Support Fee
0
0.00
0.00
0.00
CF: Judicial & Court Pere, Training Pee
0
0.00
0.00
0.00
Report Sub Total
1
6.00
0.30
5.70
Total Duo For This Period
56
701.40
480.74
512.66
THE STATE OF TB%AS Before me, the undersigned authority, this day
County Of Calhoun County personally appeared Nancy Pomykal, Justice of the
Peace, ProcinOt No 5, Calhoun County, TO%a9, who
being duly sworn, deposes and gays that the above
a-? foregoing sport is us and correct
`.J/u-%
witness rn hand this ay „of A. � ....
" /lr "Cr / ."``�'0Gt L'pG"
she Peace,
County, Toxa% ••
NO
Calhoun County Commissioners' Court — March 14, 2018
15. Approval of payroll. (AGENDA ITEM NO. 15)
Page 13 of 17
Calhoun County Commissioners' Court— March 14, 2014
16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16)
On budget adjustments.
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pet 2
SECONDER: David Hall, Commissioner Pet 1
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Pinter
Page 14 of 17
FUND NAME GENERAL FUND FUND NO: 1000
nuunnunnuuunuuuuunnuuOnOnnnuuOuunOnnmmmf0uwnummimm�pu00muunnunnnnnnuunuuuuunnuunnnnuuuuunuumnnnnnununuunumm�nuun
DEPARTMENT NAME: SHERIFF
DEPARTMENT
NO: 760
AMENOMENTNO: 4759 REgUESTORr COUNTYAUD/TOR
AMENDMENT REASON: JOVERDRAWN ACCOUNTS
FUND NAE
REVENUE
REVENUE
EXPENDITURE
EXPEND(URE
INCREASE
ACCTNO ACCT NAME GRANT NO GRANT NAME
INCREASE
DECREASE
INCREASE
DECREASE
(DECREASE]
53430 LAW ENFORCEMENT SUPPLIES 999 NO GRANT
$0
$0
$0
$1,743
$1,743
53995 UNIFORMS 999 NO GRANT
$0
$0
$0
$1,807
$1,807
70750 CAPITAL OUTLAY 999 NO GRANT
$0
$0
$0
$1,997
$1,997
74055 VEHICLES 999 NO GRANT
$0
$0
$5,547
$0
($5,547)
AMENDMENTN04769 TOTAL
$0
$0
$6647
SHERIFF TOTAL $0 $0 $6,547 $6,647 $0
$0 $0 $5,547 $5,547
Tuesday, Mamh 13, 2018 Page 1 of 1
9
.I
FUND NAME GENERAL FUND FUND. NO: 1000
nnunnu unu nn u n noon 0uuunn u u 0600111 I pII060I I1111IlIIlIn I l Ip 16111u umm l mm l pu a nu a noun n unn nu uunu nnunn nnuuu unn a nn nn n uuu nuu unnnn unnnu uuw
DEPARTMENT NAME: COMMISSIONERS COURT DEPARTMENT NO: 230
AMENOMENTNO: 4768 REQUESTOR: OVERDRAWN ACCOUNTS
AMENDMENT REASON: JOVERDRAWN ACCOUNTS
FUND RAE
REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE
ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE [DECREASE)
63920 MISCELLANEOUS 999 NO GRANT $0 $0 $0 $1,386 $1,386
70750 CAPITAL OUTLAY 999 NO GRANT $0 $0 $1,386 $0 ($1,386)
AMENDMENTN04768 TOTAL $0 $0 $1,386 $1,386 $0
COMMISSIONERS COURT TOTAL $0 $0 $1,386 $1,386 $0
1111111111111111111 I )IIIII )III I I I it 1111111111111111111111111111)III I I I IIIIIIIIIIII I I I )III 111111 I1111111111111111111111111111111111111111111I 111111 I I111111111I IIIIIIIII I II11111111IIIIIII III I II IIIIIIIII I IIIII I lilt l I I III I I )III I )IIIIIII
DEPARTMENT NAME: CONTINGENCIES DEPARTMENT NO: 240
AMENDMENT NO: 4765 REQUESTOR: COUNTYAUD/TOR
AMENDMENT REASON: JADJUST BUDGET FOR INSURANCE PROCEEDS FOR HARVEY DAMAGES - APPROVED IN CC 3114118
FUND UAL
REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE
ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE [DECAEASO
69755 HURRICANE HARVEY PREPIRESPO 591 HURRICANE HARVEY $0 $0 7$10,318 $0 ($10,318)
CONTINGENCIES TOTAL $0 $0 $10,318 $0 ($10,318)
11I111111)III111111111II II I MI I I II I I IIIIIIIII II )III I111111111I1111111I11111I I11111i1111111I I II sill II I IIIIIIIilill11111111111I I IIIII )IIIIIII I11111111III I I11111111111I MI II I I I I11111111111)III IIIII11111111)III I II sill I III II III11111111
DEPARTMENT NAME: COUNTY CLERK DEPARTMENT NO: 250
AMENOMENTNO; 4768 REQUESTOR. OVERORAWNACCOUNTS
AMENDMENT REASON: JOVERORAWN ACCOUNTS
FUND UAL
REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE
ACCT NO ACCT NAME CHANT NO GRANTNAME INCREASE DECREASE INCREASE DECREASE [DECREASE]
51540 TEMPORARY 999 NO GRANT $0 $0 $1,079 $0 ($1,079)
Tuesday, March 13, 2018 Page 1 Of 5
FUND NAME GENERAL FUND FUND NO: 1000
IIIunnunnna fill un 1111111111111111 IIIIn➢nI I HIII11111IInnu11I Ilull)1111111l[1111111]1RuunnnunnnnIII Ilnunuu a Hill III I H mIHIlID IIIIa nn Inmu uuu uu nn unnnuuuum unn unnuI
DEPARTMENT NAME: COUNTY CLERK DEPARTMENT NO: 250
AMENOMENTNO+ 4768 REQUESTORrOVERDRAWNACCOUNTS
IAMENDMENT REASON: IOVERDRAWN ACCOUNTS
REVENUE REVENUE EXPENDITURE EXPENDITURE INGDEASE
ACCT NO ACCI NAME GRANT ND GRANT NAME INCREASE DECREASE INCREASE DECREASE EDECRRUI
53090 OFFICE SUPPLIES 999 NO GRANT $0 $0 $0 $1,079 $1,079
COUNTY CLERK TOTAL
$0
$0
$1,079
$1,079
$0
nuunnuu n nn n n u nnuuuuu unu n u n nnnuu uIIIIIIIIIIII 111111 RIIIIIII m mIIIIImum 111 um unnn unmmu a nunu unnnnnuunu
nu
nu nnunnuuu nu u n unn unuuu
nnu nn a un
DEPARTMENT NAME: ELECTIONS
DEPARTMENT NO: 270
AMENDMENTNO: 476B REQUESTOR: OVERDRAWNACCOUNTS
AMENDMENT REASON: OVERDRAWN ACCOUNTS
FUND DAL
REVENUE
REVENUE
EXPENDITURE
EXPENDITURE
INCREASE
ACCF NO ACCT NAME GRANT No GRANT NAME
INCREASE
DECREASE
INCREASE
DECREASE
UIECREASEI
51613 OVERTIME BASE PAY 999 NO GRANT
$0
$0
$45
$0
($45)
53110 COMPUTER SUPPLIES 999 NO GRANT
$0
$0
$0
$45
$45
AMENDMENTN04768 TOTAL
$0
$0
$45
$45
$0
ELECTIONS TOTAL $0 $0 $46 $45 $0
II I111111IIIIIIIIIII II II II I IIII II I I IIII111IIIc 1111111 I111111I11I III I I I111111111111I I IIIIIIIIIII I I IIIIII1111I I I11111111111111111I IIIIIIIIII1111IIII111111I111111IIIIII1111I Ililillll IIII II I1111111111111III I I111111111II IIII11111I 1111111
DEPARTMENT NAME: EMERGENCY MEDICAL SERVICES DEPARTMENT NO: 345
AMENOMENTNO: 4768 REQUESTOR:OVERDRAWNACCOUNTS
AMENDMENT REASON: jovrRORAWN ACCOUNTS
FUND NAE
REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE
ACCT NO ACCT NAME GRANT NO GRANINAME INCREASE DECREASE INCREASE DECREASE UILUI ASB
53980 SUPPLIES/OPERATING EXPENSES 999 NO GRANT $0 $0 $0 $608 $608
Tuesday, March 13, 2018 Page 2 of 5
FUND NAME GENERAL FUND FUND NO: 1000
III unnuHIM] nIII uunuuunOnuHOnnunnu0uunnnnnnuuununuuu1111]1 nnuInn III nunwuIII] III [III nunuuIII III uununuunnOrnununuuunnuunuunuuuuunml
DEPARTMENT NAME: EMERGENCY MEDICAL SERVICES- DEPARTMENT NO: 345
AMENDMENT NO: 4766 REQUESTOR: DVERDRAWNACCOONTS
AMENDMENT REASON: JOVERDRAWN ACCOUNTS
FUND BAL
REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE
ACCT NO ACCT NAME GRANT NO GMNTNAME INCREASE DECREASE INCREASE DECREASE [DECREASE]
64400 OUTSIDE SERVICES 999 NO GRANT $0. $0 $608 $0 ($608)
EMERGENCY MEDICAL SERVICES TOTAL $0 $0 $608 $608 $0
nuunuuuununnnnunnunuuuunnnnnnuwmnimuummmunnnmuummmninimnnnuunuunuunnnunuuuuuunnnnuuuuuuuuunnuununuuuunnnnunnnnuu
DEPARTMENT NAME: REVENUE DEPARTMENT NO: 1
AMENDMENTNO: 4765 REQUESTOR: COUNTYAUD/TOR
AMENDMENT REASON: JADJUST BUDGET FOR INSURANCE PROCEEDS FOR HARVEY DAMAGES - APPROVED IN CC 3/14118
FUND DAL
REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE
ACCTND ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE U]ECREASE]
49150 RECOVERIES -INSURANCE 591 HURRICANE HARVEY $10,318 $0 $0 $0 $10,318
AMENDMENT NO: 4766 REQUESTON. COUNTYAUDITOR
AMENDMENT REASON: 1INSURANCE PROCEEDS FOR PRECINCT #2 FIRE DAMAGE - APPRVD IN CC 3114118
REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE
ACCT NO ACCT NAME GRANT No GRANT NAME INCREASE DECREASE INCREASE DECREASE UN CREASEI
49150 RECOVERIES -INSURANCE - 999 NO GRANT _ $186,336 $0 $0 $0 $186,33f
REVENUE TOTAL $196,656 $0 $0 $0 $196,656
Tuesday, March 13, 2018 1 Page 3 of 5
FUND NAME GENERAL FUND FUND NO: 1000
unnnnnnu00unnuuununuuOnnnOnmOnenuummDff Owunlummmm�pmwwmmnnnnnunuuuunnununnnnnuuuunmununnunnunuuuunnuuunnuuuuunu
DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #2 DEPARTMENT NO: 550
AMENOMENTNO: 4766 REQUESTOR., COUNTYAUO/TOR
AMENDMENT REASON: JINSURANCE PROCEEDS FOR PRECINCT #2 FIRE DAMAGE - APPRVD IN CC 3114118
FUND RAL
REVENUE REVENUE EXPENDITURE EXPEN UI URE INCREASE
ACCT NO ACCT NAME GRANT NO GRANTNAME INCREASE DECREASE INCREASE DECUEASE [DECREASE]
65462 REPAIRS- INSURANCE RECOVERY 999 NO GRANT $0 $0 $186,338 $0 ($186,338)
ROAD AND BRIDGE-PRECINCT#2 TOTAL
$0
$0
$186,338
$0
($186,338)
nuuuuuununnunnnuuuuuu0u0unnnnnuuwnimmmmnmrmunOmmlmmmmuuununnnnnnuuuuunununnnnnnunuuuunnnnnunnu0unuuuunnnnunuuuu
DEPARTMENT NAME: SHERIFF
DEPARTMENT NO: 760
AMENOMENTNO: 4768 REQUESTOR: OVERORAWNACCOUNTS
AMENDMENT REASON: JOVERDRAWN ACCOUNTS
FUND RAL
REVENUE
REVENUE
EXPENDITURE
EXPENDITURE
INCREASE
ACCT NO ACCT NAME GRANT NU GRANT NAME
INCREASE
DECREASE
INCREASE
DECREASE
IOECREAW
53020 OFFICE SUPPLIES 999 NO GRANT
$0
$0
$0
$467
$467
53030 PHOTO COPIESISUPPLIES 999 NO GRANT
$0
$0
$467
$0
($467)
AMENDMENTN04768 TOTAL
$0
$0
$467
$467
$0
SHERIFF TOTAL $0 $0 $467
GENERAL FUND TOTAL
FUND NAME JUSTICE COURT TECHNOLOGY FUND FUND NO: 2719
uu anon unn u u u u unu 0nn0 uun 0nnn Onw nnu0w a mnmlu n n m1u mmmm i mnp pnuu u u ununn anon a uuu mn nnnnnn nu0uuu ununnu n n uuu unu uumu mu n n 0u
DEPARTMENT NAME: NO DEPARTMENT DEPARTMENT NO: 999
Tuesday, March 13, 2018 Page 4 of 5
FUND NAME JUSTICE COURT TECHNOLOGY FUND FUND NO: 2719
[III 111111111 I nIIIIII II IIIIII 11111 hill 111111111111111111111111 III]] I lnnl II 1111111111111111111111 I IVIII VIII II III IIIIIIIII I IIIIIVIII VIII IIIII III IIIA 11111111111111111111 I IIIIIIIll 111111 [IH I In111111111 II I I I IIIIII 11111 H111111
DEPARTMENT NAME: NO DEPARTMENT DEPARTMENT NO: 999
AMENOMENTNO: 4767 REQUESTOR: JUSTICE COURT TECHNOLOGYFUND
IAMENDMENT REASON: IADJUST BUDGET FOR JANUARY 2018 REVENUE
NO DEPARTMENT TOTAL
$0
$0
$454
REVENUE
REVENUE
EXPENDITURE
EXPENDITURE
INURLI6SE
ACCT NO
ACCT NAME
GRANT NO
GRANT NAME
INCREASE
DECREASE
IN
DECREASE
(DECREASE]
70751
CAPITAL OUTLAY -JP PCT#1
999
NO GRANT
$0
$0
$64
$0
($64)
70752
CAPITAL OUTLAY -JP PCT#2
999
NO GRANT
$0
$0
$155
$0
($155)
70753
CAPITAL OUTLAY -JP PCT#3
999
NO GRANT
$0
$0
$46
$0
($46)
70754
CAPITAL OUTLAY -JP PCT #4
999
NO GRANT
$0
$0
$166
$0
($166)
70755
CAPITAL OUTLAY -JP PCT #5
999
NO GRANT
$0
$0
$23
$0
($23)
$0
$0
AMENDMENT NO 4767 TOTAL'
$0
$0
$454
$0
($464)
NO DEPARTMENT TOTAL
$0
$0
$454
$0
($464)
III I IIIIIIII I I I I IIIIIIII I I I IIIIIiII 111111111111 VIII II111111I IIII IIII II I MI111IIill I IIII II IIIA 1111111 VIII I IIIIIIIIIIIIIII I1111111I I IIII111111I III IIII1111111I I I111111II I
VIII I IM I I IIII IIIIIIIiI
I11111111I IIIIIIIIIII
II III IIII I I IIII
DEPARTMENT NAME: REVENUE
DEPARTMENT NO: 1
AMENOMENTNO: 4767 REQUESTORa✓USTICE COURT TECHNOLOGYFUND
AMENDMENT REASON: JADJUST BUDGET FOR JANUARY 2018 REVENUE
FUND AAL
REVENUE
REVENUE
EXPENDITURE
EXPENDITURE
INCREASE
ACCTND ACCT NAME GRANT ND GRANTNAME
INCREASE
DECREASE
INCREASE
DECREASE
DECREASE]
44061 FEES -JUSTICE OF PEACE-PRECINC 999 NO GRANT
$57
$0
$0
$0
$57
44062 FEES -JUSTICE OF PEACE PRECINC 999 NO GRANT
$138
$0
$0
$0
$138
44063 FEES -JUSTICE OF PEACE PRECINC 999 NO GRANT
$41
$0
$0
$0
$41
44064 FEES -JUSTICE OF PEACE PRECINC 999 NO GRANT
$147
$0
$0
$0
$147
44065 FEES -JUSTICE OF PEACE PRECINC 999 NO GRANT
$20
$0
$0
$0
$20
46020 INT INC -JUSTICE SYSTEM 999 NO GRANT
$51
$0
$0
$0
$51
AMENDMENT NO 4767 TOTAL
$454
$0
$0
$0
$454
REVENUE TOTAL $454 $0 $0 $0 $454
Grand Total $197,110 $0 $200,695 $7,585 $0
Tuesday, March 13, 2018 Page 5 of 5
March 14, 2018 2018 APPROVAL, LIST -2018 BUDGET 39
COURT MEETING OF
BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE
FICA
MEDICARE
FWH
AT&T MOBILITY
CARDMEMBER SERVICE - COUNTY
DIRECTV LLC
FRONTIER COMMUNICATIONS
LA WARD TELEPHONE EXC. INC.
MY MINI CASA, LLC
PORT LAVACA CHEVROLET
REPUBLIC SERVICES #847
SPRINT
TEXAS WAVENET WIRELESS
TISD, INC
VERN LYSSY
VOYAGER
03/14/18
38
$1,745,576.57
P/R
$
49,858.04
P/R
$
11,660.28
P/R
$
34,368.30
A/P
$
155.58
A/P
$
14,656.32
A/P
$
89.97
A/P
$
968.70
A/P
$
389.77
A/P
$
2,608.00
A/P
$
2,087.07
A/P
$
158.18
A/P
$
38.99
A/P
$
99.99
A/P
$
269.96
A/P
$
150.00
A/P
$
13,451.34
TOTAL VENDOR DISBURSEMENTS:
$
1,876,587.06
TOTAL AMOUNT FOR APPROVAL: $ 1,876,587.06
Calhoun County Commissioners' Court— March 14, 2018
17. Approval of bills. (AGENDA ITEM NO. 17)
Memorial Medical Center
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pet I
SECONDER: Vern Lyssy, Commissioner Pet 2
AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster
Page 15 of 17
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR -- March 14, 2018
TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES
TOTAL PAYABLES, PAYROLL ANd ELECTRONIC BANK PAYMENTS _ _ $ 349;270 45 .
TOTAL TRANSFERS BETWEEN FUNDS $ 130x319 05
TOTAL h1URSI�dG,HOME UFL EXPENSES , _ ,. \ , , $ 357752 09
TOTAL It�T�R GOYERNMBNTTRANSFERS � ' �,< $ 68556`68
GRAND;'TOTAL dISBURSEMEN�'S pPPROUED March 14, 2018., `` $, , 899;898, 27,-
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR -- March 14, 2018
PAYABLES AND PAYROLL
3/8/2018 Weekly Payables
220,569.29
3/12/2018 Credit Card -see attached
4,058.90
3/12/2018 McKesson -340B Prescription Expense
3,966.54
Electronic Bank Payments
3/6-3/9/18 IBC Electronic Payments (Credit Card & Lease Fees)
180.20
3/9/2018 Amerisource Berg Payment -340 B Drug Implementation Fee
150.00
Prosperity Electronics Payments
318-3/9/18 Credit Card & Lease Fees
2,266.69
3/7/2018 MORS -Retirement for February 2018
117,114.87
3/5/2017 Sales Tax for February 2018
963.96
TRANSFERS BETWEEN FUNDS
3/14/2018 Transfer from IBC Operating to Prosperity Operating 130,319.05
NURSING HOME UPL EXPENSES
3/12/2018 Nursing Home UPI 16,752.68
3/12/2018 Nursing Home UPI 249,698.73
3/12/2018 Nursinq Home UPI 85,300.68
INTER -GOVERNMENT TRANSFERS
3/7/2018 IGT DY6 DSRIP Pavment
GRAND-TOTALDi_SBU�SEMENTS APPROV�D,Marc1114rZ038 �: ,`. $ 899;89827:
file-///CJIJsers/cclevengerlensi/memmed.cnsinet.com/u82227/data 5/torn cw5reuort2812... 3/8/2018
MAR
0 0 2010
MEMORIAL MEDICAL CENTER
0 -CWhOffif �'01114yAudltor
03/08/2018
AP Open
Invoice List
11:54
ap_open_invoice.template
Due Dates Through:
03/21!2018
Vendor# Vendor Name Class
Pay Code
11283 ACE HARDWARE 15521✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
120267/ 02/19/20 02/16/20 03/16/20
25.47
0.00
0.00
25.47
SUPPLIES
120400a/ 02127/20 02/21/20 03/21120
22,99
0.00
0.00
22.99y/
SUPPLIES
/
59,99 V
120399 02/27/20 02/21/20 03/21/20
59.99
0.00
0.00
SUPPLIES
118529 03/06/20 12/20/20 01/20/20
40.05
0.00
0.00
40.05
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11283 ACE HARDWARE 15521
148.50
0.00
0.00
148.50
Vendor# Vendor Name Class
Pay Code
10950 ACUTE CARE INC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
23629 / 03/06/20 02/20120 03/02/20
1,400.00
0.00
0.00
1,400.00 v/
RFID FEE
Vendor Totale Number Name
Gross
Discount
No -Pay
Net
10950 ACUTE CARE INC
- 1,400.00
0.00
0.00
1,400.00
Vendor# Vendor Name Class
Pay Code
A1715 ALCO SALES & SERVICE CO V/ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
2722372IN �/ 03/05120 02/06/20 03/06/20
240.54
0.00
0.00
240.54 v/
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
A1715 ALCO SALES & SERVICE CO
240.54
0.00
0.00
240.54
Vendor# Vendor Name Class
Pay Code
Al 690 ALCON LABORATORIES, INC.. M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
9662943613,/ 03/05/20 02/12/20 03/13!20
636.00
0.00
0.00
636.00 V/
SUPPLIES
/
9652699804 ✓ 03/05/20 01/03/20 02/02/20
- 480.00
0.00
0.00
48000 ./
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
A1690 ALCON LABORATORIES, INC.
1,116.00
0.00
0.00
1,116.00
Vendor# Vendor Name/ Class
Pay Code
10814 ALLIED BENEFIT SYSTEMS ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D -Pay Gross
Discount
No -Pay
Net /
0000408548 03/06/20 02/23/20 03/15/20
34,770.23
0.00
0.00
34,770.23 ✓
INSURANCE
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
. 10814 ALLIED BENEFIT SYSTEMS
34,770.23
0.00
0.00
34,770.23
Vendorlb Vendor Name Class
Pay Code
11299 ALLSTATE ✓
Invoice# ✓Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net /
C044199600A 03/08/20 02/26/20 03/06/20
10,646.63
0.00
0.00
10,646.63 ✓
INSURANCE
file-///CJIJsers/cclevengerlensi/memmed.cnsinet.com/u82227/data 5/torn cw5reuort2812... 3/8/2018
Page 2 of 21
vendor Total: Number Name
Gross
Discount
No -Pay
Net
11299 ALLSTATE
10,646.63
0.00
0.00
10,646.63
Vendor# Vendor Name Class
Pay Code
A1746 ALPHA TEC SYSTEMS INC ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
INV00061280 ✓ 03/07/20 02/12/20 03/07/20
260.41
0.00
0.00
260.41 ✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
A1746 ALPHA TEC SYSTEMS INC
260.41
0.00
0.00
260.41
Vendor# Vendor Name Class
Pay Code
10419 AMBU INC,/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
218036683 ✓ 03/07/20 02/14/20 03/07/20
110.94
0.00
0.00
110.94,/
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10419 AMBU INC
110.94
0.00
0.00
110.94
Vendor# Vendor Name Class
Pay Code
✓
At 360 AMERISOURCESERGEN DRUG CORP W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
931594745 ✓ 03/06/20 01/29/20 02/04120
156.42
0.00
0.00
156.42 ✓
INVENTORY
j
931672078 ✓ 03/06/20 01/29/20 02/04/20
71.06
0.00
0.00
71.06 ✓
INVENTORY
931672077 ✓ 03/06/20 01/30/20 02/05/20
2,666.60
0.00
0.00
2,666.60
INVENTORY
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
A1360 AMERISOURCEBERGEN DRUG CORP 2,894.08
0.00
0.00
2,894.08
Vendor# Vendor Name Class
Pay Code
A2150 ANNOUNCEMENTS PLUS TOO AGAIN/ W
Invoice# Comment Tran Dt Inv Dt Due Ot
Check D Pay Gross
Discount
No -Pay
Net /
192✓ 03106120 01/19120 01/29/20
22.00
0.00
0.00
22.00
SUPPLIES FiLW L.li6tir, ML+rpAv- Aa0Y s�'i cKWh
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
A2150 ANNOUNCEMENTS PLUS TOO
AGAIN 22.00
0.00
0.00
22.00
Vendor# Vendor Name Class
Pay Code
11756 AYA HEALTHCARE INC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check 0' Pay Gross
Discount
No -Pay
Net
433034 02/13/20 02/01/20 03/15/20
5,237.75
0.00
0.00
5,237.75 r/
STAFFING SERVICES 1114116- 1 13 1118
437500 / 02/27/20 02/15/20 03/15/20
3,020.50
0.00
0.00
3,020.50 t/
STAFFING M1049- 0-2-100116
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11756 AYA HEALTHCARE INC
8,258.25
0.00
0.00
8,258.25
Vendor# Vendor Name Class
Pay Code -
B1150 BAXTER HEALTHCARE b/ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check O Pay Gross
Discount
No -Pay
Net
58104866 v/ 03/07/20 02108/20 03/05/20
791.47
0.00
0.00
791.47,/
SUPPLIES
68219452V/ 03107/20 02/15/20 03/12/20
460.01
0.00
0.00
460.01 v/
SUPPLIES
0.00
/
312.63
58251349,/ 03/07/20 02/19/20 03/16/20
312.63
0.00
f
SUPPLIES
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Page 3 of 21
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
B1150 BAXTER HEALTHCARE
1,564.11
0.00
0.00
1,564.11
Vendor# Vendor Name Class
Pay Code
81075 BAXTER HEALTHCARE CORP ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
58105058 03/05/20 02/08/20 03/10/20
21.16
0.00
0.00
21.16 v/
SUPPLIES
0.00
120.91 vl
58102407✓ 03/05/20 02108/20 03/10/20
120.91
0.00
SUPPLIES
0.00
112.07 ✓
58218259 vl 03/05/20 02/15/20 03/17/20
112.07
0.00
SUPPLIES
58217375✓ 03/05120 02/15/20 03/17/20
112.07
0.00
0.00
112.07 v1
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
81075 BAXTER HEALTHCARE CORP
366.21
0.00
0.00
366.21
Vendor# Vendor Name Class
Pay Code
M2485 BAYER HEALTHCARE ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dr Pay Gross
Discount
No -Pay
Net
6005982216! 03/07/20 02/14120 03107120
1,430.80
0.00
0.00
1,430.80✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
M2485 BAYER HEALTHCARE
1,430.80
0.00
0.00
1,430.80
Vendor# Vendor Name Class
Pay Code
81220 BECKMAN COULTER INC v/ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
4322995 ✓ 03/06/20 12/25/20 01/19/20
2,450.00
0.00
0.00
2,450.00 ✓
MAINT CONTRACT
✓
5382020 ✓ 03/06/20 12/30/20 01/24/20
3,507.27
0.00
0.00
3,507.27
SUPPLIES
106872436 v103/06/20 02/02/20 02/27/20
254.91
0.00
0.00
254.91
SUPPLIES
✓
106867189/ 03/06/20 02/07/20 03/04/20
130.44
0.00
0.00
130.44
SUPPLIES
/
5384202 / 03/06/20 02/12/20 03/09/20
4,233.46
0.00
0.00
4,233.46 v
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
81220. BECKMAN COULTER INC
10,576.08
0.00
0.00
10,576.08
Vendor# Vendor Name / Class
Pay Code
11844 BETTER GARDENS IRRIGATION & ✓ swice6
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net-
et03124
0312403/05/20 02/21/20 03/21/20
882.50
0.00
0.00
862.50 ✓
SPRINKLER SERVICES aa"?.a dVLAD
iVwVCcAM_ harVe.
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
11844 BETTER GARDENS IRRIGATION
& 882.50
0.00
0.00
882.50
Vendor# Vendor Name Class
Pay Code
11050 BIRCH COMMUNICATIONS ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D, Pay Gross
Discount
No -Pay
Net
26731572,/ 03/06/20 02/16/20 03110/20
1,288.86
0.00
0.00
1,288.86 ✓
PHONE
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
11050 BIRCH COMMUNICATIONS
1,288.86
0.00
0.00
1,288.86
file•111C'•IfT.ce:.q/enle,ve.nuer/cnsi/memmed.ensinet.com/u82227/data 5/tmo cw5renort2812... 3/8/2018
Page 4 of 21
Vendor# Vendor Name Class
Pay Code
10599 BKD, LLP f
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net /
BKO0841893 v 03/06/20 02/17/20 03/14/20
904.80
0.00
0.00
904.80
AUDITING FEES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10599 BKD, LLP
904.80
0.00
0.00
904.80
Vendor# Vendor Name / Class
Pay Code
81650 BOSART LOCK & KEY INC Y M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
/
113994/ 02/27/20 02/14/20 03/16/20
117.00
0.00
0.00
117.00 e/
SUPPLIES
Vendor Total: Number Name
Gross
Discount
NO -Pay
Net
81650 BOSART LOCK & KEY INC
117.00
0.00
0.00
117.00
Vendor# Vendor Name Class
Pay Code
C1010 CABLE ONE ,✓ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
10098762.021618 03/06/20 02/16/20 03/02/20
1,273.21
0.00
0.00
1,273.21 v
CABLE
(1./3 q
�q-iV
11813410"21618 03/06/20 02/16/20 03/02/20
15gl41
0.00
0.00
15041
TRANSFER
429.39 ti/
100951581.021618 03/06/20 02h16/20 03/02/20
429.39
0.00
0.00
CABLE
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
C1010 CABLEONE
1,85/01
0.00
0.00
1,85/01
Vendor# Vendor Name Class
Pay Code 1771"b
11224 CABLES AND SENSORS V
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
✓
46431✓ 03/05/20 02/13/20 03/13/20
75.00
0.00
0.00
75.00
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11224 CABLES AND SENSORS
75.00
0.00
0.00
75.00
Vendor# Vendor Name
Pay Code
`Class
11295 CALHOUN COUNTY INDIGENT ACCOUN a`
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
✓
030618 03/06/20 03/06120 03/06/20
230.00
0.00
0.00
230.00
INDIGENT COPAYS
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
11295 CALHOUN COUNTY INDIGENT
ACCOUN 230.00
0.00
0,00
230.00
Vendor# Vendor Name Class
Pay Code
10650 CAREFUSION 2200, INC ✓
Invoice#1 Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
9108320' H,Yy 03/05/20 02/08/20 03/10/20
143.62
0.00
0.00
143.62 V1
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
10650 CAREFUSION 2200, INC
143.62
0.00
0.00
143.62
Vendor# Vendor Name Class
Pay Code
C1992 COW GOVERNMENT, INC. ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
KSS5131 ✓ 03106120 11/08/20 12/08/20
731.86.
0.00
0.00
i
731.86 ✓
SUPPLIES
LJX4280 ✓ 03/06/20 01/11/20 02/10/20
155.16
0.00
0.00
155.16
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Page 5 of 21
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
C1992 COW GOVERNMENT, INC.
887.02
0.00
0.00
887.02
Vendor# Vendor Name Class
Pay Code
✓
E1270 CENTERPOINT ENERGY W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D* Pay Gross
Discount
No -Pay
Net
022718 03/05/20 02/27/20 03/14/20
53.96
0.00
0.00
53.96 ✓
GAS
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
E1270 CENTERPOINT ENERGY
53.96
0.00
0.00
53.96
Vendor# Vendor Name Class
Pay Code
10350 CENTURION MEDICAL PRODUCTS •/
Invoice# Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
Comment
0092447232, 03/07/20 02/09/20 03/11/20
823.74
0.00
0.00
823.74 1/
SUPPLIES
0092450048 ✓ 03/07/20 02/14/20 03/16/20
1,225.21
0.00
0.00
1,225.21
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
10350 CENTURION MEDICAL PRODUCTS
2,048.95
0.00
0.00
2,048.95
Vendor# Vendor Name Class
Pay Code
✓
10105 CHRIS KOVAREK
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
00011 03105/20 03/02/20 03/12/20
120.00
0.00
0.00
120.00
SB SOCIAL SERVICES
Vendor Total; Number Name
Gross
Discount
No -Pay
Net
10105 CHRIS KOVAREK
120.00
0.00
0.00
120.00
Vendor# Vendor Name Class
Pay Code
C1600 CITIZENS MEDICAL CENTER ✓ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
021618 03/06/20 02/16/20 03116/20
65.00
0.00
0.00
65.00 ✓
CPR CARDS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
C1600 CITIZENS MEDICAL CENTER
65.00
0.00
0.00
.65.00
Vendor# Vendor Name Class
Pay Code
C1730 CITY OF PORT LAVACA ✓ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
12131500-021518 03/05/20 02/15/20 03/05/20
26.31
0.00
0.00
26.31
WATER
21650501-021518 03/05/20 02/15/20 03105/20
316.19
0.00
0.00
316.19 ✓
UTILITIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
C1730 CITY OF PORT LAVACA
342.50
0.00
0.00
342.50
Vendor# Vendor Name Class
Pay Code
C1166 COASTAL OFFICE SOLUTONS ✓ W
Invoice# Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
!Comment
OE176531 ✓ 03/05/20 02/22/20 03/04/20
64.50
0.00
0.00
64.50 s/
SUPPLIES -
OE176231 s/ 03/05/20 02/22/20 03/04/20
64.50
0.00
0.00
64.50
SUPPLIES
OE177381 ✓ 03/07/20 02/20/20 03/02/20
349.90
0.00
0.00
349.90✓
SUPPLIES
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Page 6 of 21
OE178361 V 03/07/20 02/27/20 03/07/20
524.85
0.00
0.00
524.85
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
C1166 COASTAL OFFICE SOLUTONS
1,003.75
0.00
0.00
1,003.75
Vendor# Vendor Name Class
Pay Code
11030 COMBINED INSURANCE V
Invoices! Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
f
030118 03/07/20 03/01/20 03/01/20
1,784.85
0.00
0.00
1,784.85
INSURANCE
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
11030 COMBINED INSURANCE
1,784.85
0.00
0.00
1,784.85
Vendor# Vendor Name I Class
Pay Code
11287 DELTA HEALTHCARE PROVIDERS /
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
180750053 v 03/06/20 02/18/20 03/18/20
2,873.20
0.00
0.00
2,873.20,/
STAFFING
Vendor TotalsNumber Name
Gross
Discount
No -Pay
Net
11287 DELTA HEALTHCARE PROVIDERS 2,873.20
0.00
0.00
2,873.20
Vendor# Vendor Name/ Class
Pay Code
10368 DEWITT POTH & SON V
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
5291820 �/ 03/05/20 02/14/20 03/11/20
48.95
0.00
0.00
48.95
SUPPLIES
5295010. 03/05/20 02/20/20 03/17/20
9.16
0.00
0.00
9.16 v/
SUPPLIES
5295720 ✓ 03/05/20 02/20/20 03/17/20
16.32
0.00
0.00
16.32
SUPPLIES
5298000e/ 03/05/20 02/21/20 03/18/20
5.25
0.00
0.00
5.25 ✓
SUPPLIES
✓
5295721,/03/05/20 02/22/20 03/19/20
11.03
0.00
0.00
11.03
SUPPLIES
5272420 f 03106/20 01/25/20 02/19/20
102.08
0.00
0.00
102.08
SUPPLIES
5271610 ✓ 03/06/20 01/25/20 02/19(20
256.47
0.00
0.00
256.47✓/
SUPPLIES
0.00
237.68
5277110 03/07/20 01/31/20 02/25/20
237.68
0.00
SUPPLIES
5292020 v/ 03/07/20 02/14/20 03/11/20
42.59
0.00
0.00
42.59 s�
SUPPLIES
/
5297420 ✓ 03107/20 02/21/20 03/18/20
82.92
0.00
0.00
82.92 ✓
SUPPLIES
52956501/ 03/07/20 02/21/20 03/18/20
144.85
0.00
0.00
144.85✓/
SUPPLIES
Vendor Totals Number Name
- Gross
Discount
No -Pay
Net
10368 DEWITT POTH & SON
957.30
0.00
0.00
957.30
Vendor# Vendor Name Class
Pay Code
10789 DISCOVERY MEDICAL NETWORKING V/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
MMC083117A 03/06/20 08/31/20 08/31/20
869.39
0.00
0.00
869.39 ✓
PHYSICIAN SERVICES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10789 DISCOVERY MEDICAL NETWORK INC 869.39
0.00
0.00
869.39
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Vendor# Vendor Name Class
Pay Code
11291 DOWELL PEST CONTROL
Invoices Comment Tran or Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
6908 , 03/06/20 12/21/20 01/15/20
105.00
0.00
0.00
105.00 ✓
PEST CONTROL
Vendor Totak Number Name
Gross
Discount
No -Pay
Net
11291 DOWELL PEST CONTROL
105.00
0.00
0.00
105.00
Vendor# Vendor Name Class
Pay Code
D1785 DYNATRONICS CORPORATION
Invoice# / Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net /
998263 V 03/07/20 02/14/20 03/16/20
86.00
0.00
0.00
86.00,/
SUPPLIES
Vendor Total; Number Name
Gross
-Discount
No -Pay
Net
D1785 DYNATRONICS CORPORATION 86.00
0.00
0.00
86.00
Vendor# Vendor Name Class
Pay Code
E0500 EAGLE FIRE & SAFETY INC ,/ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
68452,/ 02/19/20 02/15/20 03/15/20
440.00
0.00
0.00
440-00
FIRE EXTINGUISHERS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
E0500 EAGLE FIRE & SAFETY INC
440.00
0.00
0.00
440.00
Vendor# Vendor Name Class
Pay Code
T0383 ERIN CLEVENGER/ W
Invoice# Comment Tran or Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
022618 031406/.20"" 02/28/20 03/14/20
253.21
0.00
0.00
253.21
''
TRAVEL &1 nttoo jbyot QU�ali�(y�J��
lwvwt1. i1�J o4tt?
y12Z'
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Vendor Totals Number Name lft6l�#✓4VA Q-utrthrvW
Zl'La Gross
Discount
No -Pay
Net
T0383 ERIN CLEVENGER
253.21
0.00
0.00
253.21
Vendor# Vendor Name Class
Pay Code
C2510 EVIDENT �/ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
T1802091378,/ 03/05/20 02/12/20 03/09/20
14,023.97
0.00
0.00
14,023.97 �.
PURCH SERV
940128/ 03/05/20 02/12/20 03/09/20
1,286.00
0.00
0.00
1,286.00
PURCH SERV
Vendor Totals -Number Name
Gross
Discount
No -Pay
Net
C2510 EVIDENT
15,309.97
0.00
0.00
15,309.97
Vendor# Vendor Name Class
Pay Code
S0501 EVOQUA WATER TECHNOLOGIES LLC ,/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
903339129✓ 0310612011/21/2012/16120
982.00
0.00
0.00
982.00 ✓
MAINT CONT
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
50501 EVOQUA WATER TECHNOLOGIES LLC 982.00
0.00
0.00
982.00
Vendor# Vendor Name Class
Pay Code
W
F1100 FEDERAL EXPRESS CORP. V/
Invoice# Comment Tran Dt Inv Dt Due or
Check D Pay Gross
Discount
No -Pay
Net
608211409./ 03/05/20 02/08/20 03/05/20
140.30
0.00
0.00
140.30 ✓
SHIPPING
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
F1100 FEDERAL EXPRESS CORP.
140.30
0.00
0.00
140.30
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Page 8 of 21
Vendor# Vendor Name Class
Pay Code
F1400 FISHER HEALTHCARE ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
6296208✓ 03/06/20 05/26/20 06/20/20
-210.13
0.00
0.00
-210.13 ✓
CREDIT
8909997 ✓ 03/06/20 02/01/20 02/26/20
68.04
0.00
0.00
68.04 ✓
SUPPLIES
0351023 ✓ 03/06/20 02/15/20 03/12/20
635.47
0.00
0.00
635.47 ✓
SUPPLIES
0.00
886.24
6131652 ✓ 03/07120 01/02/20 01/27/20
886.24
0.00
t/
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
F1400 FISHER HEALTHCARE
1,379.62
0.00
0.00
1,379.62
Vendor# Vendor Name Class
Pay Code
11183 FRONTIER e/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
021918 03/05/20 02/19/20 03/15/20
59.42
0.00
0.00
59.42 ✓
PHONE
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
11183 FRONTIER
59.42
0.00
0.00
59.42
Vendor# Vendor Name Class
Pay Code
/
10901 GENESIS DIAGNOSTICS
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
48253V 03/07/20 02/15/20 03/17/20
124.46
0.00
0.00
124.46/
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10901 GENESIS DIAGNOSTICS
124.46
0.00
0.00
124.46
Vendor# Vendor Name Class
Pay Code
WI 30() GRAINGER J M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D, Pay Gross
Discount
No -Pay
Net
9695707092 ✓ 03/05/20 02/09/20 03/11/20
15.80
0.00
0.00
/
15.80 V/
SUPPLIES
9703877432 03/05/20 02119/20 03/16/20
420.40
0.00
0.00
420.40 ✓
SYPPLIES
9703877424 ✓ 03/05/20 02119/20 03/16/20
233.43
0.00
0.00
233.43 ✓
SUPPLIES
9703877416 ✓ 03/05/20 02119/20 03/16/20
125.43
0.00
0.00
125.43
SUPPLIES
/
9709550488 Y 03/05/20 02/23/20 03/20/20
94.47
0.00
0.00
94.47 ✓
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
W1300 GRAINGER
889.53
0.00
0.00
889.53
Vendor# Vendor Name Class
Pay Code
G1210 GULF COAST PAPER COMPANY ✓ M
Invoice# / Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net /
1453038,/ 02/27/20 02/13/20 03/15/20
340.97
0.00
0.00
340.97 ✓
/- SUPPLIES
0.00
/
104.20
1452276 ✓ 03/05/20 02/12/20 03/14/20
104.20
0.00
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
G1210 GULF COAST PAPER COMPANY 445.17
0.00
0.00
445.17
Vendor# Vendor Name Class
Pay Code
file-///CJilsers/ecleven>rer/cnsi/memmed.cnsinet.com/u82227/data 5/tmD cw5renort2812... 3/8/2018
Page 9 of 21
10334 HEALTHCARE LOGISTICS INC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
75103 03/05/20 02/12/20 03/09/20
18.85
0.00
0.00
18.85 t/
SUPPLIES
6589586 ✓ 03/05/20 02/22/20 03/19/20
194.00
0.00
0.00
194.00 r%
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
10334 HEALTH CARE LOGISTICS INC
212.85
0.00
0.00
212.85
Vendor# Vendor Name Class
Pay Code
11852 INDIGENT HEALTHCARE SOLUTIONS
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
65705 03/06/20 02/23/20 03/01/20
388.00
0.00
0.00
388.00
CONFERENCE "�+L+joO,40 Iffd"
ewAkrWdL
Trru.0 q&&. ,
Vendor Total: Number Name►niy}y rag "Y' -,,J Q11Na
OVIVv.-, GGres f ,Discount
No -Pay
Net
36
11852 INDIGENT HEALTHCARE SOLUTIONS 6.40.(]
0.00
-0.00
388.00
Vendor# Vendor Name . / Class
Pay Code
11108 ITERSOURCE CORPORATION r�
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
4823 ✓ 03106/20 02/01/20 02/01/20
250.00
0.00
0.00
250.00/
1 PHONE SERVICES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
11108 ITERSOURCE CORPORATION
250.00
0.00
0.00
250.00
Vendor# Vendor Name Class
Pay Code
J0150 J & J HEALTH CARE SYSTEMS, INC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
91949968 V" 02/23/20 02/19/20 03/21/20
524.84
0.00
0.00
524.84 ✓
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
J0150 J &J HEALTH CARE SYSTEMS, INC 524.84
0.00
0.00
524.84
Vendor# Vendor Name Class
Pay Code
J1415 JOHNSTONE SUPPLY ✓ w
Invoice# / Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net /
6013232 ✓ 03/05/20 02/08/20 02/18/20
135.00
0.00
0.00
135.00 ✓
SUPPLIES
349.68
601323201 ✓ 03/05/20 02/20/20 03/02/20
349.68
0.00
0.00
SUPPLIES
6011768,/03/05/20 02/23/20 03/05/20
680.86
0.00
0.00
680.86/
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
J1415 JOHNSTONE SUPPLY
1,165.54
0.00
0.00
1,165.54
Vendor# Vendor Name Class
Pay Code
L0700 LABCORP OF AMERICA HOLDINGS M
Invoice# Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
/Comment
56037371 ✓ 03/06/20 07/29/20 08/23/20
78.85
0.00
0.00
76.85 ✓
LAB SERVICES
00057218648 r// 03/06/20 12/02/20 01/02/20
60.00
0.00
0.00
60.00 ✓
58098472 r// 03/06120 02/24/20 03121/20
45.00
0.00
0.00
45.00
LAB SERVICES
56178157 V/ 03/06/20 02/24/20 03/21120
79.25
0.00 -
0.00
79.25,/
LAB SERVICES
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Vendor Totals Number Name
Gross
Discount
No -Pay
Net
L0700 LABCORP OF AMERICA HOLDINGS
263.10
0.00
0.00
263.10
Vendor# Vendor Name Class
Pay Code
11167 LAMARCOMPANIES �//
Invoice# Fomment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
400.00
106895116 J 03/06/20 02/19120 03/21/20
400.00 -
0.00
0.00
AD
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11167 LAMAR COMPANIES
400.00
0.00
0.00
400.00
Vendor# Vendor Name Class
Pay Code
L1288 LANGUAGE LINE SERVICES W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
4238817,/ 03/06/20 01/31/20 02/25/20
-7 Ail 54/90
0.00
0.00 -1,"
5Y90
INTERPRETATION SERVICES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
L1288 LANGUAGE LINE SERVICES
I 540
0.00
0.00 -j."
54 80
Vendor# Vendor Name Class
Pay Code
10141 LAWSON PRODUCTS V/
Invoice# Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
Comment
9305606375 ✓ 03/05/20 02/19/20 03/01/20
85.77
0.00
0.00
85.77
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10141 LAWSON PRODUCTS
85.77
0.00
0.00
85.77
Vendor# Vendor Name Class
Pay Code
10720 LIFESOURCE EDUCATIONAL SRV LLC /
Involce#/ Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net /
1,170.00 ✓
18005 ✓ 03/06/20 02/27/20 03/04/20
1,170.00
0.00
0.00
RECERTIFICATIONS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10720 LIFESOURCE EDUCATIONAL SRV LLC 1,170.00
0.00
0.00
1,170.00
Vendor# Vendor Name Class
Pay Code
10578 LUMINANT ENERGY COMPANY LLC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net /
INVO546177 / 02/12/20 02/01120 03/19/20
3,926.94
0.00
0.00
3,928.94 ✓
GAS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10578 LUMINANT ENERGY COMPANY LLC 3,928.94
0.00
0.00
3,928.94
Vendor# Vendor Name Class
Pay Code
M1344 MAINE STANDARDS CO., LLC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
/
18-11797 ✓ 03106/20 02/06/20 03/06/20
257.33
0.00
0.00
257.33
DUES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
M1344 MAINE STANDARDS CO., LLC
257.33
0.00
0.00
257.33
Vendor# Vendor Name Class
Pay Code
M1950 MARTIN PRINTING CO W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
71572,71581 +/ 03/06/20 02/14/20 03/16/20
129.75
0.00
0.00
129.75 ✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
M1950 MARTIN PRINTING CO
129.75
0.00
0.00
129.75
Vendor# Vendor Name Class
Pay Code
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M2178 MCKESSON MEDICAL SURGICAL INC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
20118722,/ 02/13/20 02/01/20 03/15/20
139.24
0.00
0.00
13924 ✓
SUPPLIES
206.25
0.00
0.00
206.25/
17725831 V/ 03/06/20 12/31/20 01/30/20
21309231 / 03/0712002/1912003/21120
208.02
0.00
0.00
/
208.02 ✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
M2178 MCKESSON MEDICAL SURGICAL INC 553.51
0.00
0.00
553.51
Vendor# Vendor Name Class
Pay Code
M2827 MEDIVATORS ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
/
2968553 V 03/07/20 02/19/20 03/21120
263.60
0.00
0.00
263.60 ✓
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
M2827 MEDIVATORS
263.60
0.00
0.00
263.60
Vendor# Vendor Name Class
Pay Code
M2650 METLIFE ✓ w
Invoice# Comment Tran Dt Inv Dl Due Dt
Check D, Pay Gross
Discount
No -Pay
Net
030118 03/07/20 03/01/20 03/01/20
258.52
0.00
0.00
258.52 v
INS
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
M2650 METLIFE
258.52
0.00
0.00
258.52
Vendor# Vendor Name Class
Pay Code
10663 MIRELES TECHNOLOGIES, INC v/
Invo4# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
7194P, 03/07/20 03101/20 03/10/20
678.19
0.00
0.00
678.19 V /
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
10663 MIRELES TECHNOLOGIES, INC 678.19
0.00
0.00
678.19
Vendor# Vendor Name Class
Pay Code
M2621 MMC AUXILIARY GIFT SHOP w
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
030118 03!06120 03101/20 03/10/20
79.55
0.00
0.00
i
79.55,/
GIFT SHOP PAYROLL DED
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
M2621 MMC AUXILIARY GIFT SHOP
79.55
0.00
0.00
79.55
Vendor# Vendor Name Class
Pay Code
M2662 MMC VOLUNTEERS ✓/ w
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D- Pay Gross
Discount
No -Pay
Net /
671242 03/06/20 03/01/20 03110/20
109.31
0.00
0.00
109.31 of
CARD MACHINE
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
M2662 MMC VOLUNTEERS
109.31
0.00
0.00
109.31
Vendor# Vendor NameClass
Pay Code
/
10536 MORRIS & DICKSON CO, LLC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
CM94637 1/ 02/20/20 02/16/20 03/15/20
-732.81
0.00
0.00
-732.81
CREDIT
CM94638 / 02/20120 02116120 03/15/20
-1,729.10
0.00
0.00
-1,729.10 i/
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file:///C:/Users/ecievenger/cosi/menuned.ci)sinet.com/u82227/data 5/tmp cw5report2812... 3/8/2018
CREDIT
0933 /
03/06/20 01/23/20 02/02/20
-415.52
0.00
0.00
-415.52/
CREDIT
31.58
2332311
03/06/20 01/26/20 02/05/20
31.58
0.00
0.00
INVENTORY
2332538,/
03/06/20 01/26/20 02/05/20
166.46
0.00
0.00
166.46 ✓
INVENTORY
/
2332537 ✓
03/06/20 01/26/20 02/05/20
358.03
0.00
0.00
358.03 ✓
INVENTORY
/
2332310 ✓
03/06/20 01/26/20 02/05120
5.10
0.00
0.00
5.10 ✓
/
INVENTORY
- 250.90 ✓
2332536 ✓
03/06/20 01/26/20 02/05/20
250.90
0.00
0.00
INVENTORY
2339798 V
03/06/20 01/29/20 02108/20
415.21
0.00
0.00
415.21
INVENTORY
/�
2341140✓
0310612001/2912002108/20
98.36
0.00
0.00
98.36✓•
INVENTORY
23398011/
03/06/20 01/29/20 02/08/20
515.29
0.00
0.00
515.29 vl
INVENTORY
2338710✓
03/06/2001/29/2002/08/20
231.60
0.00
0.00
231.60V
INVENTORY
2339800
03/06/20 01/29/20 02/08/20
3,252.22
0.00.
0.00
3,252.22
INVENTORY
/;
2338707 ✓
03/06/20 01/29/20 02/08/20
5.10
0.00
0.00
5.10
INVENTORY
2339802 /
03/06120 01/29120 02/08/20
54.43
0.00
0.00
54.43 ✓
INVENTORY
2341139./
03/06/20 01/29/20 02/08/20
0.38
0.00
0.00
0.36
INVENTORY
2338709 ✓
03/06/20 01129/20 02/08/20
313.63
0.00
0.00
313.63
�
INVENTORY
/
527.87 ✓
2434152
03/06/20 02/20/20 03/02/20
X527.87
0.00
0.00
INVENTORY
2434156 v'03/06/20
02/20/20 03/02/20
44.58
0.00
0.00
44.58 v1
INVENTORY
2436655 /
03/06/20 02/20/20 03/02/20
120.33
0.00
0.00
120.33 1/
24341551/
INVENTORY
03/06/20 02/20/20 03/02/20
183.16
0.00
0.00
183.16 ✓
INVENTORY
22.20
2436656
03/06/20 02/20/20 03/02/20
22.20
0.00
0.00
INVENTORY
2434153 v1
03/06/20 02/20/20 03/02/20
1,058.73
0.00
0.00
1,058.73
INVENTORY
2434157✓
03/06120 02/20/20 03/02/20
12.06
0.00
0.00
12.06 //
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2436658
03/06/20 02/20/20 03/02/20
323.01
0.00
0.00
323.01
/
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4.28
2436659✓
03/06/20 02/20/20 03/02/20
428
0.00
0.00
/
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801.82
2436657 �/
03/06/20 02/20/20 03/02/20
801.82
0.00
0.00
INVENTORY
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24341541/
03/06/20 02/20/20 03/02/20
44.81
0.00
0.00
44.81/
file:///C:/Users/ecievenger/cosi/menuned.ci)sinet.com/u82227/data 5/tmp cw5report2812... 3/8/2018
, INVENTORY
2442378 V/ 03106/20 02121/20 03/03/20
INVENTORY
2442374 03/06120 02121/20 03/03/20
INVENTORY
2442379 ✓ 03/06/20 02/21/20 03/03/20
INVENTORY
2442377 03/06/20 02/21/20 03/03/20
INVENTORY
2442375/ 03/06/20 02/21/20 03/03/20
INVENTORY
2442376 V1 03/06/20 02/21/20 03/03/20
INVENTORY
2447605✓ 03/06/20 02/22/20 03/04/20
/ INVENTORY
2447607 V 03/06/20 02/22/20 03/04/20
INVENTORY
2445238 03/06/20 02/22/20 03/04120
INVENTORY
2447606 03/06120 02122/20 03/04/20
/ INVENTORY
2447604 ✓ 03/06/20 02/22/20 03/04/20
INVENTORY
2451564 03/06/20 02/23/20 03/05/20
INVENTORY
2451563 03/06/20 02/23/20 03/05/20
INVENTORY
2451565 03106/20 02/23/20 03/05/20
.INVENTORY
2451566 V 03/06/20 02/23/20 03/05/20
INVENTORY
2450231V/ 03106/20 02/23/20 03105/20
SUPPLIES
24585171/ 03/06/20 02/26/20 03108/20
INVENTORY
24585161/ 03106/20 02/26/20 03/08/20
INVENTORY
2457023,/ 03/06/20 02/26/20 03/08/20
INVENTORY
2458515v/ 03/06/20 02/26/20 03/08/20
INVENTORY
SC8139V/ 03/06/20 02126/20 03108/20
SERVICE CHARGE
24570251 03/06/20 02/26/20 03/08/20
INVENTORY
2457022 Y/ 03/06/20 02/26/20 03/08/20
INVENTORY
SC8140 ✓/ 03/06/20 02/26/20 03/08/20
` SERVICE CHARGE
2457024/ 03/06/20 02/26/20 03/08/20
INVENTORY
Page 13 of 21
22.20
0.00
0.00
22.20 ✓
393.28
0.00
0.00
393.28 ✓
61.66
0.00
0.00
61.66
25.28
0.00
0.00
25.28
86.64
0.00
0.00
86.64
1,796.14
0.00
0.00
1,796.14✓
1,006.06
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0.00
1,006.06 ✓
110.98
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0.00
110.98 ✓
37.21
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0.00
37.21 V//
✓
919.19
0.00
0.00
919.19
82.44.
0.00
0.00
82.44`x,/
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208.29
0.00
0.00
206.29
141.06
0.00
0.00
141.06 1/
1,266.74 "
1,266.74
0.00
0.00
8.39
0.00
0.00
8.39
105.36 t/
105.36
0.00
0.00
✓
732.35
0.00
0.00
732.35
155.60
0.00
0.00
155.60✓
231.60
0.00
0.00
231.60
150.19
0.00
0.00
150.19
209.75
0.00
0.00
209.75,//,
67.39
0.00
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67.39 V
6.76
0.00
0.00
6.76 Y/
✓
14.36
0.00
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14.36
115.80
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115.80 ✓
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2459189✓
03/06/20 02/26/20 03/08120
442.45
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0.00
442.45 ✓
INVENTORY
SC8138 ✓
03/05/20 02/27/20 03/09/20
53.05
0.00
0.00
53.05 ✓
SERVICE CHARGE
2464795
03/06/20 02/27/20 03/09/20
368.64
0.00
0.00
368.64 ✓
INVENTORY
2464794 ✓
03/06/20 02/27/20 03/09/20
3,896.46
0.00
0.00
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INVENTORY
0.00
108.91
2464796
03/06/20 02/27/20 03/09/20
108.91
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INVENTORY
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03/06/20 03/02/20 03/12/20
90.33
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0.00
90.33 ✓
/
INVENTORY
23.16 ✓
2481521 ✓
03/06/20 03/02/20 03/12/20
23.16
0.00
0.00
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2481522✓
03/06/20 03/02120 03/12/20
21.67
0.00
0.00
21.67 ✓
INVENTORY
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03/06/20 03/02/20 03/12120
94.57
0.00
0.00
94.57 ✓
INVENTORY
2479673 ✓
03/06/20 03102/20 03/12/20
79.90
0.00
0.00
79.90 ✓
INVENTORY
2488872 ✓
03/06/20 03/05/20 03/15/20
13.51
0.00
0.00
13.51
INVENTORY
248871
03/06/20 03/05/20 03/15/20
596.67
0.00
0.00
596.67
INVENTORY
2488874 ✓
03106/20 03/05/20 03/15/20
2,427.08
0.00
0.00
2,427.08
INVENTORY
2487777
03/06120 03/05/20 03/15/20
4.72
0.00
0.00
4.72 ✓
INEVNTORY
2488873 ✓/
03/06120 03/05/20 03/15/20
36.51
0.00
0.00
36.51-✓
INVENTORY
/
4075-1 V/03!06!20
03106120 03/06!20
15.00
0.00
0.00
15.00
REVERSE CREDIT
J
5794-1 ✓
03/06/20 03/06/20 03/06/20
3,204.94
0.00
0.00
3,204.94 ✓
1
REVERSE CREDIT
CN13149
03/06120 03/06/20 03106/20
946.91
0.00
0.00
946.91
REVERSE CREDIT
4960-1
03/06/20 03/06/20 03/06/20
6.25
0.00
0.00
6.25 J
REVERSE CREDIT
Vendor Total;
Number Name
Gross
Discount
No -Pay
Net
10536 MORRIS & DICKSON CO, LLC
26,349.16
0.00
0.00
26,349.16
Vendor# Vendor Name
Class
Pay Code
V
11404 NICHOLAS REGAN
& ROSS
Invoice#
Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
022018
03106120 02/20/20 03/15/20
400.00
0.00
0.00
400.00 ✓
HOSP SURVEY
Vendor Totals
Number Name
Gross
Discount
No -Pay
Net
11404 NICHOLAS REGAN & ROSS
400.00
0.00
0.00
400.00
Vendor# Vendor Name
Class
Pay Code
/
10868 NOVABIOMEDICAL✓
Invoice#
Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net /
!
90461176 ✓
03/07/20 02/07/20 03/07/20
400.00
0.00
0.00
400.00 ✓
SUPPLIES
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Page 15 of 21
Vendor TotalsNumber Name
Gross
Discount
No -Pay
Net
10868 NOVABIOMEDICAL
400.00
0.00
0.00
400.00
Vendor# Vendor Name Class
Pay Code
00920 OFFICE DEPOT ✓/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
106514982001 v// 03/07/20 02/12/20 03/12/20
123.48
0.00
0.00
123.48 J
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
00920 OFFICE DEPOT
123.48
0.00
0.00
123.48
Vendor# Vendor Name Class
Pay Code
01500 OLYMPUS AMERICA INC v/ M
Invoice# / Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
95256326 ✓ 03/07/20 02/07/20 03/04/20
204.34
0.00
0.00
,204.34
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
01500 OLYMPUS AMERICA INC
204.34
0.00
0.00
204.34
Vendor# Vendor Name / Class
Pay Code
01416 ORTHO CLINICAL DIAGNOSTICS t/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net /
1850567900, 03/07/20 02/07/20 03/09/20
202.09
0.00
0.00
202.09/
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
01416 ORTHO CLINICAL DIAGNOSTICS 202.09
0.00
0.00
202.09
Vendor# Vendor Name Class
Pay Code
11084 OUR LADY OF THE GULF/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net /
022018 03/06/20 02/20/20 03/10/20
100.00
0.00
0.00
100.00 ✓
HEALTHFAIR BOOTH
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11084 OUR LADY OFTHE GULF
100.00
0.00
0.00
t00.00
Vendor# Vendor Name Class
Pay Code
/
11069 PABLO GARZA ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
030618 03106/2003106/2003/16120
1,102.50
0.00
0.00
1,102.50
CONTRACT EMPLOYEE
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11069 PABLO GARZA
1,102.50
0.00
0.00
1,102.50
Vendor# Vendor Name Class
Pay Code
11142 PAETEC(WINDSTREAM)
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
9,408.80
69807133.1 03/05/20 02/22/20 03/13/20
9,408.80
0.00
0.00
PHONES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11142 PAEt'EC (WINDSTREAM)
9,408.80
0.00
0.00
9,408.80
Vendor# Vendor Name Class
Pay Code
10606 PENLON, INC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Or Pay Gross
Discount
No -Pay
Net /
OP0009112 1/ 03/05/20 02/08/20 03/08/20
79.00
0.00
0.00
79.00 ✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10606 PENLON, INC
79.00
0.00
0.00
79.00
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Vendor# Vendor Name Class
Pay Code
S0905 PERFORMANCE HEALTH ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
IN89972109 >/ 03/05/20 02/09/20 03/06/20
69.90
0.00
0.00
69.90,/
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
S0906 PERFORMANCE HEALTH
69.90
0.00
0.00
69.90
Vendor# Vendor Name Class
Pay Code
P2100 PORT LAVACA WAVE ✓ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
148.013118 03/06/20 01/31/20 02/25/20
845.00
0.00
0.00
845.00
ADS
Vendor Total; Number Name
Gross
Discount
No -Pay
Net
P2100 PORT LAVACA WAVE
845.00
0.00
0.00
845.00
Vendor# Vendor Name Class
Pay Code
10372 PRECISION DYNAMICS CORP (PDC)
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
4068100 � 03/07/20 02/05/20 03/07/20
54.24
0.00
0.00
54.24 ✓
SUPPLIES
Vendor Total; Number Name
Gross
Discount
No -Pay
Net
10372 PRECISION DYNAMICS CORP
(PDC) 54.24
0.00
0.00
54.24
Vendor# Vendor Name Class
Pay Code
/
11195 PSYCHEMEDICS CORPORATION �/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
/
505494 ✓ 03/06/20 01/31/20 03102/20
49.50
0.00
0.00
49.50 V/
LAB SERVICES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
11195 PSYCHEMEDICS CORPORATION 49.50
0.00
0.00
49.50
Vendor# Vendor Name Class
Pay Code
/
10896 QIAGEN INC J
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
98281010 J/ 03/07/20 02/05/20 03/07/20
213.39
0.00
0.00
213.39
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
10896 QIAGEN INC
213.39
0.00
0.00
213.39
Vendor# Vendor Name Class
Pay Code
R1321 RECEIVABLE MANAGEMENT, INC ,% W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
013118 03106/20 01/31/20 03/02120
45.00
0.00
0.00
45.00
COLLECTION EXPENSE
-
Vendor TotakNumber Name
Gross
Discount
No -Pay
Net
R1321 RECEIVABLE MANAGEMENT,
INC 45.00
0.00
0.00
45.00
Vendor# Vendor Name Class
Pay Code
10520 RICOH USA, INC. v// M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
100140837v/ 03/05/20 02/08/20 02/28/20
130.06
0.00
0.00
130.06 ✓
100140832 ✓ 03/05/20 02109/20 03/01/20
172.32
0.00
0.00
172.32 ✓
SUPPLIES
Vendor Totak Number Name
Gross
Discount
No -Pay
Net
10520 RICOH USA, INC.
302.38
0.00
0.00
302.38
Vendor# Vendor Name Class
Pay Code
file9//CJ[kers/celevenrler/ensi/memmed.cnsinet.com/u82227/data 5/tmD ow5renort2812... 3/8/2018
11164 RS CLARK& ASSOCIATES, INC V/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
20180131,/ 03/06/20 01/31/20 03104/20 161.02
COLLECTION FEES
Vendor Totals Number Name Gross
11164 RS CLARK & ASSOCIATES, INC 181.02
Vendor# Vendor Name / Class Pay Code
10625 SARARUBIO✓
Page 17 of 21
Discount No -Pay Net
0.00 0.00 181.02
Discount No -Pay Net
0.00 0.00 181.02
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
022818 03'/06/20 02/28/20 03/08120
41/4 "AA 0.00
TRAVEL 2+2^N it 141.41411 Sctivr EwM011
F tr a((A"5� COLKe,
Vendor Totals Number Name
Gross
Discount
10625 SARA RUBIO
�P/64 `k4.A 0.00
Vendor# Vendor Name Class Pay Code
No -Pay
Net
81405 SERVICE SUPPLY OF VICTORIA INC v/ W
263.48
No -Pay
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
700941702 03/05/2011121/2012121/20
263.48
0.00
SUPPLIES
269.29
No -Pay
700942973,/ 03/05/20 12/01/20 01/10/20
263.48
0.00
Vendor# Vendor Name / Class
Pay Code
/SUPPLIES
700943157 m� 03/05/20 12/05/20 01/04/20
-263.48
0.00
CREDIT
Invoice# Comment Tran Dt Inv Dt Due Dt
Vendor Totals Number Name
Gross
Discount
S1405 SERVICE SUPPLY OF VICTORIA INC
263.48
0.00
Vendor# Vendor Name Class Pay Code
CONTRACT EMPLOYEE
51600 SETON IDENTIFICATION PRODUCTS./ M
Vendor Totals Number Name
Invoice# C mment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
335979033 03/05/20 01/09/20 02/09/20
269.29
0.00
SUPPLIES
0.00
Vendor# Vendor Name Class
Vendor Totals Number Name
Gross
Discount
S1600 SETON IDENTIFICATION PRODUCTS
269.29
0.00
Vendor# Vendor Name Class Pay Code
W
51800 SHERWIN WILLIAMS V/
Invoice#Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
373661// 03/05/20 02/24/20 03/11/20
120.36
0.00
No -Pay Net
0.00 41.J4 711.(eti
No -Pay
Net
0.00
`,�'
414 VA
No -Pay
Net
0.00
263.48
0.00
263.48 vl
0.00
-263.48 V/
No -Pay
Net
0.00
263.48
No -Pay
Net
269.29
0.00
No -Pay
Net
0.00
269.29
No -Pay
Net
0.00
120.36 ✓
SUPPLIES
/
37606 y 03/05/20 02/24/20 03/11/20
21.10
0.00
0.00
SUPPLIES
37713 03/05/20 02/25/20 03/12/20
21.92
0.00
0.00
SUPPLIES
Vendor Total: Number Name
Gross
Discount
No -Pay
S1800 SHERWIN WILLIAMS
163.38
0.00
0.00
Vendor# Vendor Name / Class
Pay Code
K0536 SHIRLEY KARNEI J
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
030618 03/06/20 03/06/20 03116/20
567.60
0.00
0.00
CONTRACT EMPLOYEE
Vendor Totals Number Name
Gross
Discount
No -Pay
K0536 SHIRLEY KARNEI
567.60
0.00
0.00
Vendor# Vendor Name Class
Pay Code
10936 SIEMENS FINANCIAL SERVICES
21.10
21.92
Net
163.38
Net
567.60
Net
567.60
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Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net /
/
4647042v/ 03/06/20 02/06/20 02/24/20
1,350.66
0.00
0.00
1,350.664
LEASE
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10936 SIEMENS FINANCIAL SERVICES 1,350.66
0.00
0.00
1,350.66 ✓
Vendor# Vendor Name Class
Pay Code
/
10699 SIGN AD, LTD. d
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay.
Net
/
/
d
222491 ,( 03/06/20 02/15/20 02/25/20
380.00
0.00
0.00
380.00
AD
222482 Y 03/06/20 02/15/20 02/25/20
795.00
0.00
0.00
795.00 V/
AD
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10699 SIGN AD, LTD.
1,175.00
0.00
0.00
1,175.00
Vendor# Vendor Name Class
Pay Code
82362 SMITH & NEPHEW
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
9400167132✓ 03/0712002/02/2003107/20
1,077.98
0.00
0.00
1,077.98 1//
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
52362 SMITH & NEPHEW
1,077.96
0.00
0.00
. 1,077.98
Vendor# Vendor Name Class
Pay Code
11296 SOUTH TEXAS BLOOD & TISSUE CEN
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
/
90033571 Y 03/06/20 02/19/20 03/16/20
-1,380.00
0.00
0.00
-1,380.00 v/
CREDIT
/
90033669,// 03/06/20 02/19/20 03/16/20
5,588.00
0.00
0.00
5,588.00 J
BLOOD
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11296 SOUTH TEXAS BLOOD & TISSUE
CEN 4,208.00
0.00
0.00
4,208.00
Vendor# Vendor Name Class
Pay Code
11772 STERIS INSTRUMENT MANAGEMENT
Invoice# . Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
Q52M 03/05/20 02/12/20 03/12/20
48.85
0.00
0.00
48.85 v/
I4114,vt
SUPPLIES
8952897. 03/05/20 02/13/20 03/13/20
236.00
0.00
0.00
236.00
14410VV SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11772 STERIS INSTRUMENT MANAGEMENT 284.85
0.00
0.00
284.85
Vendor# Vendor Name Class
Pay Code
52830 STRYKER SALES CORP d` M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
33750A f 03107/20 02/13/20 03/15/20
110.04
0.00
0.00
110.04 ✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
52830 STRYKER SALES CORP
110.04
0.00
0.00
110.04
Vendor# Vendor Name Class
Pay Code
10611 TELE -PHYSICIANS, P.A. (TX),/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
TX0003203 v/ 03/06/20 02/01/20 03/03/20
2,752.90
0.00
0.00
2,752.90
PRO FEES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
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10611 TELE -PHYSICIANS, P.A. (TX)
2,752.90
0.00
0.00
2,752.90
Vendor# Vendor Name Class
Pay Code
/
11800 TEXAS INDUSTRIAL MEDICAL, LLC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
44696 02/27/20 02/19/20 03/19/20
- 63.00
0.00
0.00
63.00 >/
FITTESTING
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11800 TEXAS INDUSTRIAL MEDICAL,
LLC 63.00
0.00
0.00
63.00
Vendor# Vendor Name / Class
Pay Code
D1641 THE DOCTORS'CENTER ✓ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
01884013118 03/06/20 01/31/20 02/25/20
75.00
0.00
0.00
75.00
LAB SERVICE
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
D1641 THE DOCTORS' CENTER
75.00
0.00
0.00
75.00
Vendor# Vendor Name Class
Pay Code
/
T2250 THYSSENKRUPP ELEVATOR CORP ✓ 'M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net /
5000826230:✓ 03/05/20 02/14/20 02/14/20
754.00
0.00
0.00
754.00 ✓
ELEVATOR
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
T2250 THYSSENKRUPP ELEVATOR CORP 754.00
0.00
0.00
754.00
Vendor# Vendor Name Class
Pay Cade
/
T0801 TLC STAFFING ,/ W
Invoice#/ Comment Tran Dl Inv Dt Due Dt
Check.D Pay Gross
Discount
No -Pay
Net
23075 - 03/06/2012/12#2003/12/20
✓
493.60
0.00
0.00
493.60
STAFFING
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
T0801 TLC STAFFING
493.60
0.00
0.00
493.60
Vendor# Vendor NameClass -
Pay Code
/
11169 TXU ENERGY ✓
Invoice# Comment Tran Dl Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
055801938335 ✓ 03105/20 02/20/20 03/12/20
25,056.47
0.00
0.00
/
25,056.47 d
ENERGY
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11169 TXU ENERGY
25,056.47
0.00
0.00
25,056.47
Vendor# Vendor Name Class
Pay Code
U1054 UNIFIRST HOLDINGS - w
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
8150781661 / 03/05/20 10/17/20 11/11/20
17.00
0.00
0.00
17.00
LAUNDRY
- Vendor Totals Number Name
Gross
Discount
No -Pay
Net
01054 UNIFIRST HOLDINGS
17.00
0.00
0.00
17.00
Vendor# Vendor Name Class
Pay Code
-
/
U1064 UNIFIRST HOLDINGS INC
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D' Pay Gross
Discount
No -Pay
Net
8400268025 V 03/05/20 02/16/20 03/13/20
21.25
0.00
0.00
/
21.25 V
LAUNDRY
8400268029 .! 03/05/20 02/16/20 03/13/20
803.17
0.00
0.00
803.17
LAUNDRY
8400268004 / 03/05/20 02116/20 03/13/20
148.95
0.00
0.00
148.95
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LAUNDRY
0.00
/
17.00
8400268002 v/ 03/05/20 02/15/20 03/13/20
17.00
0.00
✓
LAUNDRY
/
8400268201 �/ 03/05/20 02/20/20 03/17/20
47.15
0.00
0.00
47.15
LAUNDRY
8400268198d 03/05/20 02/20/20 03/17/20
94.29
0.00
0.00
94.29 V'
LAUNDRY8400268240)
0.00
955.15 V
03/05/20 02/20/20 03/17/20
955.15
0.00
LAUNDRY
03/05/20 02/20/20 03/17/20
8400268202 03/05120
44.24
0.00
0.00
/
44.24 d
LAUNDRY
8400268200%1 03/05/20 02/20/20 03/17/20
111.61
0.00
0.00
11 L61
LAUNDRY
/
97.18
8400268278,/ 03/05/20 02/20/20 03/17/20
97.18
0.00
0.00
LAUNDRY
84002682331 03/05/20 02/20/20 03/17/20
66.70
0.00
0.00
66-70
LAUNDRY
/
8400268491 03/05/20 02/23/20 03/20/20
17.00
0.00
0.00
17.00
L/�UNDRY
21.251/
8400268514 y 03/05/20 02123/20 03/20/20
21.25
0.00
0.00
UNDRY
0.00
747.75
8400268519 03/05120 02/23/20 03/20/20
747.75
0.00
LAUNDRY
8400268492✓ 03/05/20 02/23/20 03/20/20
148.95
0.00
0.00
148.95
/UNDRY
/
137.91
8400268199 °° 03/06/20 02/20/20 03/17/20
137.91
0.00
0.00
LAUNDRY
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
U1064 UNIFIRST HOLDINGS INC
3,479.55
0.00
0.00
3,479.55
Vendor# Vendor Name Class
Pay Code
U1056 UNIFORM ADVANTAGE ✓/ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay
Gross
Discount
No -Pay
Net
/
/
8471378/ 03105/20 02121/20 03/08/20
262.18
0.00
0.00
262.18+/
UNIFORMS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
U1056 UNIFORM ADVANTAGE
262.18
0.00
0.00
262.18
Vendor# Vendor Name Class
Pay Code
/
V0554 VCS SECURITY SYSTEMS J W
Involce# Comment Tran Dt Inv Dt Due Dt
Check D Pay
Gross
Discount
No -Pay
Net /
/
115643 ✓ 03/05/20 12/25/20 02/23120
495.00
0.00
0.00
495.00 V
FIRE MONITORING
/
250.00
117023 03/06/20 02/14/20 03114/20
250.00
0.00
0.00
�/
FIRE INSPECTION
Vendor Total=.Number Name
Gross
Discount
No -Pay
Net
V0554 VCS SECURITY SYSTEMS
745.00
0.00
0.00
745.00
Vendor# Vendor Name / Class
Pay Code
W1005 WALMART COMMUNITY V W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay
Gross
Discount
No -Pay
Net /
01992 03/07/20 02/01/20 03/01/20
11.34
0.00
0.00
11.34
SUPPLIES
/
01991 03/07/20 02/01/20 03/01/20
10.56
0.00
0.00
10.56
SUPPLIES
fileJ//C:/1Jsers/ccleven:ler/cosi/memmed.cnsinet.com/u82227/data 5/tmn cw5re=12812... 3/8/2018
Page 21 of 21
15041 -
69='76 +
54^90 -
7-20 .r
4164
29<64
APPROVED
ON
MAR 0 8 2018
C0UNTYAUDYTOR
CAI,FOUN COUNTY, TEXAS
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V
06032 03/07/20 02/08/20 03/08/20
6.00
0.00
0.00
6.00
SUPPLIES
0.00
/
5.21
06007 03/07/20 02/08/20 03/08/20
5.21
0.00
✓
SUPPLIES
06008 03/07/20 02/08/20 03/08/20
7.63
0.00
0.00
7.63
SUPPLIES
06009 03/07/20 02/08/20 03/08/20
2.00
0.0o
0.00
2.00
SUPPLIES
06006 03/07/20 02/08/20 03/08120
3.36
0.00
0.00
3.36
SUPPLIES
Vendor Total; Number Name
Gross
Discount
No -Pay
Net
W1005 WALMART COMMUNITY
46.10
0.00
0.00
46.10
Vendor# Vendor Name Class Pay Code
11110 WERFEN USA LLC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross
Discount
No -Pay
Net
9110484615 ✓ 03/06/20 02115/20 03/12/20
1,571.67
0.00
0.00
1,571.67✓
LEASE
9110486429 ./ 03/06/20 02/20/20 03117/20
13,902.07
0.00
0.00
13,902.07/
SUPPLIES
289.63
9110483152 d/ 03/07/20 02/13/20 03/10/20
289.63
0.00
0.00
>/
SUPPLIES
Vendor Total; Number Name
Gross
Discount
No -Pay
Net
11110 WERFEN USA LLC
15,763.37
0.00
- 0.00
15,763.37
Vendor# Vendor Name/ Class Pay Code
11792 WINSTON WILSON ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross
Discount
No -Pay
Net
000706 02/20/20 02/20/20 03/20/20
265.88
0.00
0.00
265.88
PT REFUND
Vendor TotalE Number Name
Gross
Discount
No -Pay
Net
11792 WINSTON WILSON
265.88
0.00
0.00
265.88
Report Summary
Grand Totals: Gross Discount
No -Pay
Net
220,709.64 0.00
0.00
220,709.64
p� � C01'Yui1W1
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CAI,FOUN COUNTY, TEXAS
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fileJ//C:/1Tsers/ccleventrer/cnsi/memmed.ensinet.com/u82227/data 5/tmv ew5revort2812... 3/8/2018
March 2018 Statement
Open Date: 02/06/2018 Closing Date: 03/05/2018
$6,227.12
Payments
Visa® Business Card
Other Credits
MEMORIAL MEDICAL CNT
Purchases +
JASON W ANGLIN (CPN
1510)
$0.00
Advances
$0.00
ft�mimstm'Payinent Aue
; X41 QO
Fees Charged
$0.00
Interest Charged
1E=uu
New Balance =
$4,058.90
Past Due
? 0 ^ 0 1
0 2
1=�tit1 -
1
171 .'
>D=ti0
60 OU
i
2 'r 0
i G 6,
055 ^ <..
Payment Options:
Paqe 1 of 4
Account:` 4378
Cardmember Service tl 1-866-552-8855
BUS 30 ELN 78 t 3
Activity Summary
Previous Balance +
$6,227.12
Payments
$6,227.12CR
Other Credits
$0.00
Purchases +
$4,058.90
Balance Transfers
$0.00
Advances
$0.00
Other Debits
$0.00
Fees Charged
$0.00
Interest Charged
$0.00
New Balance =
$4,058.90
Past Due
$0.00
Minimum Payment Due
$41.00
Credit Line
$10,000.00
Available Credit
$5,941.10
Das in Billing Period
28
H, 0 GV10 I �v/,
APPILN YD wM r"I
MAR 17 2018
CLUNTYAUDtTOn
Mail payment coupon Pay online at tI Paybyphone
with a check �-�� myaccoumacwss.cam it 1-866-552-8855
Please detach and send coupon with check payable to: Cardmemher Service CPN 001171510
1y�` 00479851017535743780D00D41000004058909
Ela l� Account Number 4378
Payment Due Date 4/0112018
24 -Hour Cardmember Service; 1-866-552-8855 New Balance $4,058.90
Minimum Payment Due $41.00
fft . to pay by phone
Ir , to change your address
Amount Enclosed $-
000023005 01
00002300501 SP 000638800289526 P Y
MEMORIAL MEDICAL CNT
JASON W ANGLIN
202 S ANN ST#A
PORT LAVACA TX 77979A204
m4h.,111111111mIP11h6�rh1411gthuil4'ithhulpl
Cardmember Service
P.O. Box 790408
St. Louis, MO 63179-0408
III- n1[,11-11i,h.pp,1h.d,q„1111111„hll1.p W"1,1..11
Pi
N
March 2018 Statement 02/06/2018-03105/2018 Page 2 of 4
MEMORIAL MEDICAL CNT Cardmember Service 1, 1-866-552-8855
JASON W ANGLIN (CPN 1510)
�.. t �. f'f � t to '� �'�
+'•f�'dlylt �ES�,��P.�r�+e. v. �f.- fa ..._'�....,r r �.,.... 1�,T.. f �.... .* �Y .,xw �_,? : ',. � -..? ,. Vii.. -. €..... _!..c,.
Paying Interest: You have a 24 to 30 day interest-free period for Purchases provided you have paid your
previous balance in full by the Payment Due Date shown on your monthly Account statement. In order to
avoid additional INTEREST CHARGES on Purchases, you must pay your new balance in full by the
Payment Due Date shown on the front of your monthly Account statement.
There is no interest-free period for transactions that post to the Account as Advances or Balance Transfers
except as provided in any Offer Materials. Those transactions are subject to interest from the date they post
to the Account until the date they are paid in full.
Annual Account Summary tool can help you review your spending and plan ahead. An updated monthly
report is available at the beginning of each month, it provides a clear picture of your spending pattern for
year -to- date purchases and the prior two years. Yearend summary of charges, Expense by category and
print feature for tax reporting are a few of the many features available to you. For details, log in to
myaccountaccess.com/AAS.
Monitor purchases and manage spending activity. An easy way to monitor your spending is with the Spend
Analysis tool. A more convenient way to view and monitor your credit card spending history. With Spend
Analysis, you can securely view your transaction and spending information online. IVs a valuable tool that will
helpyyou manage your expenses from the convenience of your computer! See enclosed insert for more
detalls.
Ti'anSa FL1C311S `� r,+'
Payments and Other Credits
Post Trans
Date Date Ref# Transaction Description
03/01 PAYMENT THANK YOU
TOTAL THIS PERIOD
Purchases and Other Debits
Amount
$6,227.12CR
$6,227.12cR
Notation
Post
Date
Trans
Date
Ret#
Transaction Description
Amount
Notation
i
02106
02/05
4775
NPDB NPDB.HRSA.GOV 800-767-6732 VA
$16.00
✓$8.00
02106
02/05
4858
NPDB NPDB.HRSA.GOV 800-767-6732 VA
02/08
02/06
7774
HOLIDAY INN EXPRESS PORT LAVACA TX
/$268.94
V
02/04/18 FOR 02 NIGHTS
FOLIO: 17247708
02109
02/08
7051
PTOT FACILITIES 512-305.6900 TX
220.00
02109
02/08
2450
MARRIOTT MARQUISHOUSTO HOUSTON TX
x$797.55
v
02/05/18 FOR 03 NIGHTS
FOLIO: 025014
$350.00
02112
02/09
0032
TEXAS HOSPITAL ASSOC 512-465-1000 TX
V
02112
02110
3281
WESTIN NEW ORLEANS 504-5667006 LA
�y691.02
02/10/18
FOLIO: 331021012470179
$121.90
02115
02113
1282
WYNDHAM AUSTIN & WOODW AUSTIN TX
02/12/18 FOR 01 NIGHTS
FOLIO: 21202128
02/23
02/21
3848
SOUTHWES 5261416512071800-435-9792 TX
x/$171.96
ANGLIN/JASON 05/14/18
HOUSTN HOBBY TO NEW ORLEANS
NEW ORLEANS TO HOUSTN HOBBY
02/23
02/21
3855
SOUTHWES 5261416512072 800-435-9792 TX
171.96
SVETLIK/JENISE 05/14/18
HOUSTN HOBBY TO NEW ORLEANS
Continued on Next Page
s
March 2018 Statement 02/06/2018-03/05/2018 Page 3 of 4
MEMORIAL MEDICAL CNT Cardmember Service 1-866-552-8855
JASON W ANGLIN (CPN 510)
r. Y :.° .. T a. .
Purchases and Other Debits
Post Trans
Date Date Ref# Transaction Description
TOTAL THIS PERIOD
Amount Notation
$171.96 V
x$15.00
NEW ORLEANS TO HOUSTN HOBBY
02123 02121 3863
SOUTHWES 5261416512073 800-435-9792 TX
15.00
STRINGO/DONN 05/14/18
15.00
HOUSTN HOBBY TO NEW ORLEANS
$15.00
15.00
NEW ORLEANS TO HOUSTN HOBBY
02/23 02/21 3871
SWA*EARLY5265576331608 800.435-9792 TX
02123 02/21 3889
SWA*EARLY5266576331607 800435-9792 TX
02123 02/21 3897
SWA-EARLY5265576331606 800-435-9792 TX
02/23 02121 3905
SWA*EARLY5265576331605800-435-9792 TX
02123 02121 3913
SWA*EARLY5265576331604 800-435-9792 TX
02/23 02121 3921
SWA*EARLY5265576331603 800=435-9792 TX
02/23 02121 8365
CPSI 251-639-8100 AL
02/23 02/22 5657
PEST PESLCOM WI
03/01 02/28 0543
PROGRESSIVE BUSINESS C 800-9646033 PA
03/02 03/01 7115
AmazonPrime Membership amzn.com/prme WA
03102 03/01 9787
ADOBE SYSTEMS, INC. 800-833-6687 CA
03105 03/02 9783
TX CII RX PADS 512-305-8014 TX
03/05 03/03 3110
AMA*CREDENTIALING 800-621-83351L
TOTAL THIS PERIOD
Amount Notation
$171.96 V
x$15.00
Accounting Code:
15.00
15.00
15.00
$15.00
15.00
—V
V 300.00
199.99
199.00
JA9g.00
---
7.05
Expires
48.57
Subject to Interest
106.00
NZ
$4,058.90
Interest Rate Variable Charge
S --1 £'dC'�BLB , s �,�r. .
Total Fees Charged in 2018 $0.00
Total Interest Charged in 2018 $0.00
n
t ,
Signature/Approval:
Accounting Code:
r
Your Annual Percentage Rate (APR) is the annual interest rate on your account.
APR for current and future transactions.
Balance
Annual
Expires
Balance
Subject to Interest
Percentage
with
Balance Type By Type
Interest Rate Variable Charge
Rate
Statement
**BALANCE TRANSFER $0.00
$0.00 YES $0.00
11.24%
**PURCHASES $4,058.90
$0.00 YES $0.00
11.24%
**ADVANCES $0.00
$0.00 YES $0.00
25.24%
Continued on Next Page
.MBMORYAL MEDICAL CENTER
PURCRME ORDER.
Ball To: 815 N. VIRGRVIA ST.
Ship To: 815 N. VIRGINIA ST.
FORT L AVACA TX 77979
FORT LAVACA TX 77979
PHONE: (361)'552-6-713
PHONE- (361) 552-6713
FAX: (361) 552--03.12
FAM (361) 552-0312
c
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VendoxName: La(c �i�
Date: _ -3 Ig I I
Vendor Address:
VendorPhone#:
Vendor Far, 4.
P.O. #
Account #
Iniflated By:
.Form#9401
DateRequlied )1xpeuse# Depaihnent Dd7iwrTo r;,
Line
No.
Qty.
CatalogNember
Descaption
Unit Cost
Unit
Meas.
Bxtendcd
Cost
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Ij�l'jyY�iCG
-
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Dept. Director
Quoted By:
Din N+ ba
Adm -M. Clinical
Buyer.
B.T.A.
CFC-
v
v
..MEMORTAL MEDICAL CENTER
PURCBME ORDER.
Bill To: 815 N. VIRGINIA ST.
PORT LAVACA, TX 77979
PHONE: (361)'552-6713
FAX- (361)552-03-^12'j�
Vendor -game:
Vendor Address:
Vendor Phone#:
Vendor Fax,#:
Ship To: 815 N. VIRGINIA ST.
PORT LAVACA, TX 77979
PHONE: (361) 552-6713
FAX: p(361)) 552-0312
Date: 3/ O (1 U
190
Account #
HdatcdBy:
Pont# 940,
.
DateReguited Expense# Department DBEVWTo o;,
Iane
No
Qty.
CatslogNn bw
-
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Contact: I Date:
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Buyer: I E.T.A. I - I Adm.M-. Cl
TOTAL COST IL66�" -_? v
,.MEMORIAL MEDICAL CENTER
PURCHA E ORDER
Bill To: 815 N. V7RGRUA ST.
PORT LAVACA, TX 77979
PHONE: (361)'552-6-713
FAX:- (361)=-03-12
Vendor Name:
Vendor Address:
Vendor Phone#:
Vendor Fax 4.
Ship To: 815 N. VJRGIM ST.
j?MT LAVACA, TX 77979
MOM (361) 552-6713
FAX: tQ('36%1) 552-0312
Date: 3l gl l
U
P.O. #
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F,=419401 .-
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Iinc
No.
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CetalogN,.bar
Description
IInit Cost
Tont
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1
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rnme, f rhr, Aril► r,'s
Contact Date:
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Buyer: E.T.A. Adm.D'u. Clinical
CFO
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WEN. d' ab
..MEMORIAL MEDICAL CENTER
• QURCR"E ORDER
BM To: 815 N. V1RG1iiM ST
PORT LAVACA, TX 77979
PHONE:
(361)'552-6713
FAX:
Vendor Name:
(361) 55222}--X�03,.11,2�/�
Unit Cost
Vendox Address:
Tixtouded
Cost
Vendor Phone#:
Vendor Fax.#:
Ship To: 815 N. VIRGMU ST.
PORT LAVACA, TX 77979
PHONE: (361) 552-6713
FAX: (361) 552-0312
Date: 3 M �
G
P.O. #
Account #
WflatedBy:
.Form#9401
DateRequimd $xpeusetk Department Defive To r:.
Tine
No.
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CatalogNumLer
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Unit
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Est. Freight $st. Total Cost TOTAL COST
NOTES:
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Contact:
Date:
Quoted By: I ( Dir. Nutsing—
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MEMORIAL MEDICAL CENTER
IBC
ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- Mar 3, 2018 - MARCH 9, 2018
Date Bank Description MMC Notes Amount
3/6/2018 ACH Payment- VIVONETACQUISIT PAYMENT - Credit Card Machine Lease Expense 99.00�p0-1D
03/09/18 ACH Payment - CLOVER APP MRKT CLOVER APP - Credit Card Machine Lease Expense 81.20
03/09/18 ACH Payment-AMERISOURCE BERG PAYMENTS - 340 B Drug Implementation Fee 150.00
Total Electronic Payments: 330.20
I March 12, 2018
Jason Anglin, CE
Memorial Medical Center
PROSPERITY BANK
ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT-- March 3, 2018 -MARCH 9, 2018
Date
Bank Descrlpilon
MMC Notes
Amount
3/5/2018
ACH
Payment FDGL LEASE PYMT 052-0802937-000410001262883
- Credit Card Machine Lease Expense
86.30
3/5/2018
ACH
Payment FDGL LEASE PYMT 052-0802938-000410001262883
-Credit Card Machine Lease Expense
59.25
3/5/2018
ACH
Payment FDGL LEASE PYMT 052-0802939-000410001262883
- Credit Card Machine Lease Expense
59.25
3/5/2018
ACH
Payment FDGL LEASE PYMT 052-1479213-000410001263127
-Credit Card Machine Lease Expense
43.26
3/5/2018
ACH
Payment FDGL LEASE PYMT 052-1479214000410001263127
- Credit Card Machine Lease Expense
40.02
3/5/2018
ACH
Payment FDGL LEASE PYMT 052 -1479468 -GW 410001263130
-Credit Card Machine Lease Expense
69.24 Ct.
3/6/2018
ACH
Payment MCKESSON DRUG AUTO ACH ACH03395739910000111
- 3408 Drug Program Expense
1,989.381 Wvw ea
3/6/2018
ACH
Payment MERCH BNKCO DISCOUNT 9711609108831149025200
- Credit Ca rd Processing Fee
26.55
3/6/2018
ACH
Payment MERCH BNKCD DISCOUNT 9711609118811149025200
- Credit Card Pmcessing Fee
18.73'
3/6/2018
ACH
Payment MERCH BNKCD DISCOUNT 9711609138871149025200
- Credit Card Processing Fee
106.85
3/6/2018
ACH
Payment MFRCH BNKCD DISCOUNT 9711609148853149025200
- Credit Card Processing Fee
80.08
3/6/2018
ACH
Payment MERCH BNKCD DISCOUNT 9711609158821149025200
- Credit Card Processing Fee
196.58
3/6/2018
ACH
Payment MERCH BNKCD FEE 971160910883114902520001494
- Credit Card Processing Fee
21.93
3/6/2018
ACH
Payment MERCH eNKCD FEE 971160911881114902520001495
- Credit Card Processing Fee
32.91
3/6/2018
ACH
Payment MERCH BNKCD FEE 971160912889114902520001496
-Credit Card Processing Fee
9.95
3/6/2018
ACH
Payment MERCH eNKCD FEE 971160913887114902520001497
- Credit Card Processing Fee
114.78
3/6/2018
ACH
Payment MERCH BNKCO FEE 971160914885114902520001498
- Credit Card Processing Fee
34.77
3/6/2018
ACH
Payment MERCH BNKCD INTERCHNG 971160910883114902520
- Credit Card Processing Fee
998.89
3/6/2018
ACH
Payment MERCH BNKCD INTERCHNG 971160911881114902520
- Credit Card Processing Fee
78.40
3/6/2018
ACH
Payment MERCH BNKCD INTERCHNG 971160913887114902520
- Credit Card Processing Fee
77.22
3/6/2018
ACH
Payment MERCH BNKCD INTERCHNG 971160914885114902520
- Credit Card Processing Fee
65.23
3/7/2018
ACH
Payment FDGL LEASE PYMT 052-1300412-000410001227641
- Credit Card Machine Lease Expense
30.25
3/7/2018
ACH
Payment STATE COMPTRLRTEXNET 29824969/803062100002
-IGT- DY6 DSRIP Payment
68,556.68—
3/9/2018
ACH
Payment CLOVER APP MRKT CLOVER APP 899-9043311-0001
- Credit Card Machine Lease Expense
16.25
3/9/2018
ACH
Payment PAYROLL ON LINE TRF PAYROLL 113122650991893
-Payroll
p
256,524.61 Aq"V+a
Total:
329,337.36
}
/FM>'
Match 12, 2018
Jason Anglin, CEO
Memorial Medical Center
PROSPERITY BANK
ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT—ANTICIPATED ACH PAYMENTS UP TO MARCH 21, 2018
3/7/2018 TCORS REHREMENT
3/5/2017 ACH Payment WEDFILE TAX PYMT D0902/2953072221000027441
S �1n[
Jason Anglin, CEO
—
Memorlal Medical Center
CrrPdl% 2, 5 6 52 11 6 1
CU 6 {.
- Reporting Feb 2018 payroll 117,114.87 ACH Payout scheduled on the 15th
-Sales Tax 963.96 ACH Paymt scheduled on the 19th
Tatal: 118,078.83
March 12, 2018
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Calhoun County Commissioners' Court— March 14, 2018
18. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 18)
On single source, emergency and public welfare purchases and bills.
N/A
Page 16 of 17
Calhoun County Commissioners' Court—March 14, 2014
19. Public discussion of County matters.
Bill DiLibero, City Manager Interim, spoke.
COURT ADJOURNED: 10:24 AM
Page 17 of 17