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2018-04-11NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, April 11, 2018 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. 2. Invocation. 3. Pledge of Allegiance. 4. Approve Minutes of February 28, 2018 and March 7, 2018 Meetings. 5. Award Bid for Bulk Fuel to be delivered for the period beginning April 16, 2018 and ending May 15, 2018. 6. Hear from Lindsey Smith of the Coastal Bend Association of REALTORS and Consider and take necessary action on donation from Coastal Bend Association of REALTORS in the amount of $1,200 for the purchase of CCSO SWAT Team bullet Proof Vests. (MP) 7. Consider and take necessary action on matter of revising the definition of Recreational Vehicles (RV's) in the Flood Damage Prevention Order to add that RV's have to be titled as an RV with valid license plates and permanent lighting and delete the words either and or in the description and authorize the Court to sign. (MP) Consider and take necessary action on Proposal from G & W Engineers, Inc. for Phase 2 - Precincts #1 and #2 Pier Damage Repairs and authorize all necessary signatures. (DH) 9. Consider and take necessary action on Emergency Medical Services (EMS) Provider License Application, Declaration Form, and List of Station Locations Form and authorize County Judge and EMS Director Dustin Jenkins to sign appropriate documents. (MP) 10. Consider and take necessary action on Field Internship Affiliation Agreement between Calhoun County Emergency Medical Service (EMS) and LifeSource Educational Services, LLC and authorize EMS Director Dustin Jenkins to sign Agreement. (MP) 11. Consider and take necessary action to appoint MMC Chief of Staff Leigh Ann Falcon, M.D. to the Board of Managers. (MP) Page 1 of 2 12. Consider and take necessary action to declare certain items of County property in the Precinct #3 as Surplus/Salvage and remove from Inventory: (CS) (1) Kodak Scanner and software. Inventory #23-0207. Works well but not with Windows 10. 13. Accept reports of the following County Offices: i. Calhoun Tax Assessor/Collector ii. County Treasurer iii. County Sheriff iv. District Clerk v. County Clerk vi. Justices of Peace vii. County Auditor viii. Floodplain Administration ix. Extension Service x. Adult Detention Center SHP Medical Consider and take action on any necessary budget adjustments. 14. Approval of bills and payroll. 15. Consider and take necessary action on single source, emergency and public welfare purchases and bills. 16. Public discussion of County matters. Michaelfe qty Judge Calhoun County, Texas The above is a true and correct copy of the original notice, which original notice was posted by me at a place convenient and readily accessible to the general public at all times, to -wit: on a bulletin board by the front door in the County Courthouse in Port Lavaca, Calhoun County, Texas on April 6, 2018 at a.m. Page 2 of 2 Calhoun County Commissioners' Court—April 11, 2014 CA LII OUN COUNTY C®MMISSIONS S' CURT REGULAR 2018 TERM 0 APRIL 11, 2018 BE IT REMEMBERED THAT ON APRIL 11, 2018, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting was called to order at 10:00 AM1' 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer David Hall Vern Lyssy Clyde Syma Kenneth Finster Anna Goodman Catherine Sullivan County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 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 15 Calhoun County Commissioners' Cour--April 11, 2015 4. APPROVE MINUTES OF FEBRUARY 28, 2018 AND MARCH 7, 2018 MEETINGS. (AGENDA ITEM NO. 4) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 2 of 15 Calhoun County Commissioners' Court —February 28, 2018 CALHOUN COUNTY COMMISSIONERS'COURT REGULAR 2018 TERM FEBRUARY 28, 2018 BE IT REMEMBERED THAT ON FEBRUARY 28, 2018, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER }Nsreet7ng vua ssa11221;'u oer<tM9�O.UO�YI 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 CountyJudge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County perk 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 23 Calhoun County Commissioners' Court — March 07, 2018 CAL HOUN COUNTY COMMISSIONERS' COURT REGULAR 2018 TERM MARCH 07,, 2018 BE IT REMEMBERED THAT ON MARCH 07, 2018, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER 7hJs' n¢ A cifei� '�'r e 9 *0 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer CountyJudge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Clyde Syma Commissioner, Precinct #3 Kenneth Finster Commissioner, Precinct #4 Anna Goodman County Clerk Catherine Blevins Deputy County Clerk Catherine Sullivan 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 I of 6 Calhoun County Commissioners' Court ---April 21, 2018 5. Award Bid for Bulk Fuel to be delivered for the period beginning April 16, 2018 and ending May 15, 2018. (AGENDA ITEM NO. 5) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 3 of 15 AGENDA ITEM WEDNESDAY, APRIL 11, 2018 Consider and take necessary action to award bid for Bulk Fuel to be Delivered for the period beginning April 16, 2018 and ending May 15, 2018. N W m W m r- 0 0 0 0 z 0 o e, m m O 0 0 Z n �4 i_ Cin FU M lL W C r O m r m m 0 W � m N = N = O � O Ox9 W O W O N O N O o a o a FU M lL W C r O m r m m 0 CALHOUN COUNTY, TEXAS BIO SHEET- FUEL -BULK BELIUEREO YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL IPFEIMR, C4LH011NC01hNTYIUDGE, 211 SANNST, 3RD FLOOR, SU/TE301, PORT LAVACA TX 77P7P —- BIDS SHOULD BE SUBMITTED INA SEALED ENVELOPE PLAINLY MARKED: SEALED B/D- jFUEL-BULK DEL/VERED--- - - ,A BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: IOr00AM THURSDAY, APRIL 5, 2018 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: WEDNESDAY, APRIL 11, 2018 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN BID /TEM: FUEL -BULK DELIVERED DEPARTMENT.• VARIOUS DELIVERY FOB COUNTY FUEL TANKS ESTINATION VARIOUS ----------------------------------------------- 3PEcwicAvoms: DIESEL FUEL >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER UNIT UNIT PRICE GALLON 2.5 R ----------------------------------------------- spEcocATioivs: REGULAR UNLEADED GASOLINE >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fee's and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT U,�NIjjT PRICE GALLON 4!f s L f LOW TO BE COMPLETED BYBIDDER DATE OF BID: AUTHORQEOSICNATURE AND TITLE- PRINT ITLEPRINT NAME- -AYh DIF-;; L- TEIEPHDNENUMBER:_, _ PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: Calhoun County Commissioners' Court — April 11, 20113 6. Hear from Lindsey Smith of the Coastal Bend Association of REALTORS and consider and take necessary action on donation from Coast Bend Association of REALTORS in the amount of $1,200 for the purchase of CCSO SWAT Team bullet proof vests. (AGENDA ITEM NO. 6) Lindsey Smith spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Kenneth Finster, Commissioner Pet 4 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 4 of 15 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: APPLICATION FOR DONATION DATE: APRIL 11, 2018 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR APRIL 11, 2018 • Consider and take necessary action to allow the Sheriff s Office to accept a donation from the Coastal Bend Association of REALTORS in the amount of $1,200.00 for the purpose of purchasing SWAT vest. Sincerely, Bobbie Vickery Calhoun County Sheriff COASTAL BEND ASSOCIATION OF REALTORS .' \ T of T Coastal Bend Association of Realtors 602 N. Virginia St. Port Lavaca, TX 77979 April 4, 2018 Calhoun County CCSO SWAT Team 211 S. Ann St. Port Lavaca, TX 77979 Dear Calhoun County, On Thursday, March 22nd the Coastal Bend Association of REALTORS held their annual fundraiser at the Lavaca Bluffs Winery. Each year our main goal is to raise money for local charities or organizations in need. After hearing the CCSO K-9 unit may be in need of bullet proof vests, I contacted Sherriff Vickery to get more information. He proceeded to tell me that the vests were already purchased and I asked if there was anything else we could do for them which is how we came about raising the money for the CCSO SWAT Team bullet proof vests. We are asking that you please accept our proposed donation of $1,200 in the form of a check that is being mailed. We appreciate all the Sherriffs Office does to keep us safe and hope that this check will aide in helping protect our officers. Thank you for your consideration, 4 Lindsey Sm jasrsident Coastal Bend Association of REALTORS Cal Iioun County Commissioners' Court —April 11, 201£3 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) On matter of revising the definition of Recreational Vehicles (RV's) in the Flood Damage Prevention order to add that RV's have to be titled as an RV with valid license plates and permanent lighting and delete the word either and or in the description and authorize the Court to sign. (MP) LaDonna Thigpen (Emergency Management/Flood Plain) and Shannon Salyer (Assistant DA) spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 5 of 15 Calhoun County Emergency Management 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org Match 27, 2018 Commissioner's Court RF.,: Agenda Item Please place this revision of the Flood Damage Prevention Order on the Commissioners' Court agenda for April 11, 2018. "Discuss and take necessary action on revising the definition of Recreational Vehicles (RV's) in the Flood Damage Prevention Order to add that RV's have to be titled as an RV with valid license plates and permanent lighting and delete the words either and or in the description and authorize the Cgpn ge to sign." (?a -r + Thank you, LaDonna Thigpen 60.3(d) 8s (e) FLOOD DAMAGE PREVENTION ORDER ARTICLE I STATUTORY AUTHORIZATION, FINDINGS OF FACT, PURPOSE AND METHODS SECTION A. STATUTORY AUTHORIZATION The Legislature of the State of Texas has in the Flood Control Insurance Act, Texas Water Code, Section 16.315 delegated the responsibility of local governmental units to adopt regulations designed to minimize flood losses. Therefore, the Commissioners' Court of Calhoun County, Texas does ordain as follows: SECTION B. FINDINGS OF FACT (1) The flood hazard areas of Calhoun County are subject to periodic inundation, which results in loss of life and property, health and safety hazards, disruption of commerce and governmental services, and extraordinary public expenditures for flood protection and relief, all of which adversely affect the public health, safety and general welfare. (2) These flood losses are created by the cumulative effect of obstructions in floodplains which cause an increase in flood heights and velocities, and by the occupancy of flood hazard areas by uses vulnerable to floods and hazardous to other lands because they are inadequately elevated, floodproofed or otherwise protected from flood damage. SECTION C. STATEMENT OF PURPOSE It is the purpose of this order to promote the public health, safety and general welfare and to minimize public and private losses due to flood conditions in specific areas by provisions designed to: (1) Protect human life and health; (2) Minimize expenditure of public money for costly flood control projects; (3) Minimize the need for rescue and relief efforts associated with flooding and generally undertaken at the expense of the general public; (4) Minimize prolonged business interruptions; (5) Minimize damage to public facilities and utilities such as water and gas mains, electric, telephone and sewer lines, streets and bridges located in floodplains; (6) Help maintain a stable tax base by providing for the sound use and development of flood -prone areas in such a manner as to minimize future flood blight areas; and (7) Insure that potential buyers are notified that property is in a flood area. SECTION D. METHODS OF REDUCING FLOOD LOSSES In order to accomplish its purposes, this Floodplain Order uses the following methods: (1) Restrict or prohibit uses that are dangerous to health, safety or property in times of flood, or cause excessive increases in flood heights or velocities; (2) Require that uses vulnerable to floods, including facilities which serve such uses, be protected against flood damage at the time of initial construction; (3) Control the alteration of natural floodplains, stream channels, and natural protective barriers, which are involved in the accommodation of flood waters; (4) Control filling, grading, dredging and other development which may increase flood damage; (5) Prevent or regulate the construction of flood barriers which will unnaturally divert flood waters or which may increase flood hazards to other lands. 2 ARTICLE 2 DEFINITIONS Unless specifically defined below, words or phrases used in this order shall be interpreted to give them the meaning they have in common usage and to give this order its' most reasonable application. APPEAL — means a request for a review of the Floodplain Administrator's interpretation of any provision of this Order or a request for a variance. ALLUVIAL FAN FLOODING - means flooding occurring on the surface of an alluvial fan or similar landform which originates at the apex and is characterized by high -velocity flows; active processes of erosion, sediment transport, and deposition; and unpredictable flow paths. APEX - means a point on an alluvial fan or similar landform below which the flow path of the major stream that formed the fan becomes unpredictable and alluvial fan flooding can occur. APPURTENANT STRUCTURE — means a structure which is on the same parcel of property as the principal structure to be insured and the use of which is incidental to the use of the principal structure AREA OF FUTURE CONDITIONS FLOOD HAZARD — means the land area that would be inundated by the 1 -percent -annual chance (100 year) flood based on future conditions hydrology. AREA OF SHALLOW FLOODING - means a designated AO, AH, AR/AO, AR/AH, or VO zone on a community's Flood Insurance Rate Map (FIRM) with a 1 percent or greater annual chance of flooding to an average depth of 1 to 3 feet where a clearly defined channel does not exist, where the path of flooding is unpredictable and where velocity flow may be evident. Such flooding is characterized by ponding or sheet flow. AREA OF SPECIAL FLOOD HAZARD - is the land in the floodplain within a community subject to a 1 percent or greater chance of flooding in any given year. The area may be designated as Zone A on the Flood Hazard Boundary Map (FHBM). After detailed rate making has been completed in preparation for publication of the FIRM, Zone A usually is refined into Zones A, AO, AH, Al -30, AE, A99, AR, AR/A1-30, AR/AE, AR/AO, AR/AH, AR/A, VO, V1-30, VE or V. BASE FLOOD - means the flood having a 1 percent chance of being equaled or exceeded in any given year. 3 BASE FLOOD ELEVATION (BFE) -The elevation shown on the Flood Insurance Rate Map (FIRM) and found in the accompanying Flood Insurance Study (FIS) for Zones A, AE, AH, Al -A30, AR, V1 -V30, or VE that indicates the water surface elevation resulting from the flood that has a 1% chance of equaling or exceeding that level in any given year - also called the Base Flood. BASEMENT - means any area of the building having its floor subgrade (below ground level) on all sides. BREAKAWAY WALL - means a wall that is not part of the structural support of the building and is intended through its design and construction to collapse under specific lateral loading forces, without causing damage to the elevated portion of the building or supporting foundation system. COASTAL HIGH HAZARD AREA - means an area of special flood hazard extending from offshore to the inland limit of a primary frontal dune along an open coast and any other area subject to high velocity wave action from storms or seismic sources, including, but not limited to hurricane wave wash or tsunamis. The area is designed on the FIRM as Zone V 1-30, VE, or V. CRITICAL FEATURE - means an integral and readily identifiable part of a flood protection system, without which the flood protection provided by the entire system would be compromised. DEVELOPMENT - means any man-made change to improved and unimproved real estate, including but not limited to buildings or other structures, mining, dredging, filling, grading, paving, excavation or drilling operations or storage of equipment or materials. ELEVATED BUILDING - means, for insurance purposes, a non -basement building, which has its lowest elevated floor, raised above ground level by foundation walls, shear walls, posts, piers, pilings, or columns. ENCLOSURE - that portion of an elevated building below the lowest elevated floor that is either partially or fully shut in by ridged walls. EXISTING CONSTRUCTION - means for the purposes of determining rates, structures for which the "start of construction" commenced before the effective date of the FIRM or before January 1, 1975, for FIRMs effective before that date. "Existing construction" may also be referred to as "existing structures." EXISTING MANUFACTURED HOME PARK OR SUBDIVISION - means a manufactured home park or subdivision for which the construction of facilities for servicing the lots on which the manufactured homes are to be affixed 4 (including, at a minimum, the installation of utilities, the construction of streets, and either final site grading or the pouring of concrete pads) is completed before the effective date of the floodplain management regulations adopted by a community. EXPANSION TO AN EXISTING MANUFACTURED HOME PARK OR SUBDIVISION - means the preparation of additional sites by the construction of facilities for servicing the lots on which the manufactured homes are to be affixed (including the installation of utilities, the construction of streets, and either final site grading or the pouring of concrete pads). FLOOD OR FLOODING - means a general and temporary condition of partial or complete inundation of normally dry land areas from: (1) the overflow of inland or tidal waters. (2) the unusual and rapid accumulation or runoff of surface waters from any source. FLOOD ELEVATION STUDY - means an examination, evaluation and determination of flood hazards and, if appropriate, corresponding water surface elevations, or an examination, evaluation and determination of mudslide (i.e., mudflow) and/or flood -related erosion hazards. FLOOD INSURANCE RATE MAP (FIRM) - means an official map of a community, on which the Federal Emergency Management Agency has delineated both the special flood hazard areas and the risk premium zones applicable to the community. FLOOD INSURANCE STUDY (FIS) - see Flood Elevation Study FLOODPLAIN OR FLOOD -PRONE AREA - means any land area susceptible to being inundated by water from any source (see definition of flooding). FLOODPLAIN MANAGEMENT - means the operation of an overall program of corrective and preventive measures for reducing flood damage, including but not limited to emergency preparedness plans, flood control works and floodplain management regulations. FLOODPLAIN MANAGEMENT REGULATIONS - means zoning ordinances, subdivision regulations, building codes, health regulations, special purpose order (such as a floodplain order, grading order and erosion control order) and other applications of police power. The term describes such state or local regulations, in any combination thereof, which provide standards for the purpose of flood damage prevention and reduction. 5 FLOOD PROTECTION SYSTEM - means those physical structural works for which funds have been authorized, appropriated, and expended and which have been constructed specifically to modify flooding in order to reduce the extent of the area within a community subject to a "special flood hazard" and the extent of the depths of associated flooding. Such a system typically includes hurricane tidal barriers, dams, reservoirs, levees or dikes. These specialized flood modifying works are those constructed in conformance with sound engineering standards. FLOOD PROOFING - means any combination of structural and non-structural additions, changes, or adjustments to structures which reduce or eliminate flood damage to real estate or improved real property, water and sanitary facilities, structures and their contents. FLOODWAY - see Regulatory Floodway FUNCTIONALLY DEPENDENT USE - means a use, which cannot perform its intended purpose unless it is located or carried out in close proximity to water. The term includes only docking facilities, port facilities that are necessary for the loading and unloading of cargo or passengers, and ship building and ship repair facilities, but does not include long-term storage or related manufacturing facilities. HIGHEST ADJACENT GRADE - means the highest natural elevation of the ground surface prior to construction next to the proposed walls of a structure. HISTORIC STRUCTURE - means any structure that is: (1) Listed individually in the National Register of Historic Places (a listing maintained by the Department of Interior) or preliminarily determined by the Secretary of the Interior as meeting the requirements for individual listing on the National Register; (2) Certified or preliminarily determined by the Secretary of the Interior as contributing to the historical significance of a registered historic district or a district preliminarily determined by the Secretary to qualify as a registered historic district; (3) Individually listed on a state inventory of historic places in states with historic preservation programs which have been approved by the Secretary of the Interior; or (4) Individually listed on a local inventory or historic places in communities with historic preservation programs that have been certified either: G7 (a) By an approved state program as determined by the Secretary of the Interior or; (b) Directly by the Secretary of the Interior in states without approved programs. LEVEE - means a man-made structure, usually an earthen embankment, designed and constructed in accordance with sound engineering practices to contain, control, or divert the flow of water so as to provide protection from temporary flooding. LEVEE SYSTEM - means a flood protection system which consists of a levee, or levees, and associated structures, such as closure and drainage devices, which are constructed and operated in accordance with sound engineering practices. LOWEST FLOOR - means the lowest floor of the lowest enclosed area (including basement). An unfinished or flood resistant enclosure, usable solely for parking or vehicles, building access or storage in an area other than a basement area is not considered a building's lowest floor; provided that such enclosure is not built so as to render the structure in violation of the applicable non -elevation design requirement of Section 60.3 of the National Flood Insurance Program regulations. MANUFACTURED HOME/MOBILE HOME - means a structure transportable in one or more sections, which is built on a permanent chassis and is designed for use with or without a permanent foundation when connected to the required utilities. The term "manufactured home" does not include a "recreational vehicle". MANUFACTURED HOME/ MOBILE HOME PARK OR SUBDIVISION - means a parcel (or contiguous parcels) of land divided into two or more manufactured home lots for rent or sale. MEAN SEA LEVEL - means, for purposes of the National Flood Insurance Program, the North American Vertical Datum (NAVD) of 1988 or other datum, to which base flood elevations shown on a community's Flood Insurance Rate Map are referenced. MODULAR BUILDING - a building that is usually transported to its site on a steel frame or special trailer because it does not have a permanent chassis like a manufactured (mobile) home. NEW CONSTRUCTION - means, for the purpose of determining insurance rates, structures for which the "start of construction" commenced on or after the effective date of an initial FIRM or after December 31, 1974, whichever is later, 7 and includes any subsequent improvements to such structures. For floodplain management purposes, "new construction" means structures for which the "start of construction" commenced on or after the effective date of a floodplain management regulation adopted by a community and includes any subsequent improvements to such structures. NEW MANUFACTURED HOME PARK OR SUBDIVISION - means a manufactured home park or subdivision for which the construction of facilities for servicing the lots on which the manufactured homes are to be affixed (including at a minimum, the installation of utilities, the construction of streets, and either final site grading or the pouring of concrete pads) is completed on or after the effective date of floodplain management regulations adopted by a community. Utilities must include electricity, water, and sewer. PRIMARY FRONTAL DUNE - means a continuous or nearly continuous mound or ridge of sand with relatively steep seaward and landward slopes immediately landward and adjacent to the beach and subject to erosion and overtopping from high tides and waves during major coastal storms. The inland limit of the primary frontal dune occurs at the point where there is a distinct change from a relatively steep slope to a relatively mild slope. RECREATIONAL VEHICLE - means a vehicle which is (i) built on a single chassis; (ii) 400 square feet or less when measured at the largest horizontal projections; (iii) designed to be self-propelled or permanently towable by a light duty truck; and (iv) designed primarily not for use as a permanent dwelling but as temporary living quarters for recreational, camping, travel, or seasonal use. RECREATIONAL VEHICLE PARK - means a recreational vehicle park for which recreational vehicles are to be parked and the space rented for RV use or an existing RV that is being rented. The installation of utilities must include electricity, water and sewer. REGULATORY FLOODWAY - means the channel of a river or other watercourse and the adjacent land areas that must be reserved in order to discharge the base flood without cumulatively increasing the water surface elevation more than a designated height. RIVERINE - means relating to, formed by, or resembling a river (including tributaries), stream, brook, etc. SAND DUNES - mean naturally occurring accumulations of sand in ridges or mounds landward of the beach. SPECIAL FLOOD HAZARD AREA - see Area of Special Flood Hazard 8 START OF CONSTRUCTION - (for other than new construction or substantial improvements under the Coastal Barrier Resources Act (Pub. L. 97-348)), includes substantial improvement and means the date the building permit was issued, provided the actual start of construction, repair, reconstruction, rehabilitation, addition placement, or other improvement was within 180 days of the permit date. The actual start means either the first placement of permanent construction of a structure on a site, such as the pouring of slab or footings, the installation of piles, the construction of columns, or any work beyond the stage of excavation; or the placement of a manufactured home on a foundation. Permanent construction does not include land preparation, such as clearing, grading and filling; nor does it include the installation of streets and/or walkways; nor does it include excavation for basement, footings, piers or foundations or the erection of temporary forms; nor does it include the installation on the property of accessory buildings, such as garages or sheds not occupied as dwelling units or not part of the main structure. For a substantial improvement, the actual start of construction means the first alteration of any wall, ceiling, floor, or other structural part of a building, whether or not that alteration affects the external dimensions of the building. STRUCTURE - means, for floodplain management purposes, a walled and roofed building, including a gas or liquid storage tank, that is principally above ground, as well as a manufactured home. SUBSTANTIAL DAMAGE - means damage of any origin sustained by a structure whereby the cost of restoring the structure to its before damaged condition would equal or exceed 50 percent of the market value of the structure before the damage occurred. SUBSTANTIAL IMPROVEMENT - means any reconstruction, rehabilitation, addition, or other improvement of a structure, the cost of which equals or exceeds 50 percent of the market value of the structure before "start of construction" of the improvement. This term includes structures which have incurred "substantial damage", regardless of the actual repair work performed. The term does not, however, include either: (1) Any project for improvement of a structure to correct existing violations of state or local health, sanitary, or safety code specifications which have been identified by the local code enforcement official and which are the minimum necessary to assure safe living conditions or (2) Any alteration of a "historic structure", provided that the alteration will not preclude the structure's continued designation as a "historic structure." UTILITIES - whether inside an attached garage or outside the building, all utilities, appliances and equipment must be elevated above the BFE or protected against flood damage. Utilities include plumbing, electrical, gas lines, fuel tanks, heating and air condition equipment. 9 VARIANCE - means a grant of relief by a community from the terms of a floodplain management regulation. (For full requirements see Section 60.6 of the National Flood Insurance Program regulations.) VIOLATION - means the failure of a structure or other development to be fully compliant with the community's floodplain management regulations. A structure or other development without the elevation certificate, other certifications, or other evidence of compliance required in Section 60.3(b)(5), (c)(4), (c)(10), (d)(3), (e)(2), (e)(4), or (e)(5) is presumed to be in violation until such time as that documentation is provided. WATER SURFACE ELEVATION - means the height, in relation to the North American Vertical Datum (NAVD) of 1988 (or other datum, where specified), of floods of various magnitudes and frequencies in the floodplains of coastal or riverine areas. 10 ARTICLE 3 GENERAL PROVISIONS SECTION A. LANDS TO WHICH THIS ORDER APPLIES The order shall apply to all areas of special flood hazard with the jurisdiction of Calhoun County. SECTION B. BASIS FOR ESTABLISHING THE AREAS OF SPECIAL FLOOD HAZARD The areas of special flood hazard identified by the Federal Emergency Management Agency in the current scientific and engineering report entitled, "The Flood Insurance Study (FIS) for Calhoun County, Texas, and Incorporated areas" dated October 16, 2014, with accompanying Flood Insurance Rate Maps (FIRM) dated October 16, 2014 and any revisions thereto are hereby adopted by reference and declared to be a part of this order. SECTION C. ESTABLISHMENT OF DEVELOPMENT PERMIT A Floodplain Development Permit shall be required to ensure conformance with the provisions of this order. SECTION D. COMPLIANCE No structure or land shall hereafter be located, altered, or have its use changed without full compliance with the terms of this order and other applicable regulations. SECTION E. ABROGATION AND GREATER RESTRICTIONS This order is not intended to repeal, abrogate, or impair any existing easements, covenants, or deed restrictions. However, where this order and another order, easement, covenant, or deed restriction conflict or overlap, whichever imposes the more stringent restrictions shall prevail. SECTION F. INTERPRETATION In the interpretation and application of this order, all provisions shall be; (1) considered as minimum requirements; (2) liberally construed in favor of the governing body; and (3) deemed neither to limit nor repeal any other powers granted under State statutes. 11 SECTION G. WARNING AND DISCLAIMER OR LIABILITY The degree of flood protection required by this order is considered reasonable for regulatory purposes and is based on scientific and engineering considerations. On rare occasions greater floods can and will occur and flood heights may be increased by man-made or natural causes. This order does not imply that land outside the areas of special flood hazards or uses permitted within such areas will be free from flooding or flood damages. This order shall not create liability on the part of the community or any official or employee thereof for any flood damages that result from reliance on this order or any administrative decision lawfully made hereunder. 12 ARTICLE 4 ADMINISTRATION SECTION A. DESIGNATION OF THE FLOODPLAIN ADMINISTRATOR The Floodplain Administrator is hereby appointed to administer and implement the provisions of this order and other appropriate sections of 44 CFR (Emergency Management and Assistance - National Flood Insurance Program Regulations) pertaining to floodplain management. SECTION B. DUTIES & RESPONSIBILITIES OF THE FLOODPLAIN ADMINISTRATOR Duties and responsibilities of the Floodplain Administrator shall include, but not be limited to, the following: (1) Maintain and hold open for public inspection all records pertaining to the provisions of this order. (2) Review permit application to determine whether to ensure that the proposed building site project, including the placement of manufactured homes, will be reasonably safe from flooding. (3) Review, approve or deny all applications for development permits required by adoption of this order. (4) Review permits for proposed development to assure that all necessary permits have been obtained from those Federal, State or local governmental agencies (including Section 404 of the Federal Water Pollution Control Act Amendments of 1972, 33 U.S.C. 1334) from which prior approval is required. (5) Where interpretation is needed as to the exact location of the boundaries of the areas of special flood hazards (for example, where there appears to be a conflict between a mapped boundary and actual field conditions) the Floodplain Administrator shall make the necessary interpretation. (6) Notify, in riverine situations, adjacent communities and the State Coordinating Agency which is the Texas Water Development Board (TWDB) and also the Texas Commission on Environmental Quality (TCEQ), prior to any alteration or relocation of a watercourse, and submit evidence of such notification to the Federal Emergency Management Agency. 13 (7) Assure that the flood carrying capacity within the altered or relocated portion of any watercourse is maintained. (8) When base flood elevation data has not been provided in accordance with Article 3, Section B, the Floodplain Administrator shall obtain, review and reasonably utilize any base flood elevation data and floodway data available from a Federal, State or other source, in order to administer the provisions of Article 5. (9) When a regulatory floodway has not been designated, the Floodplain Administrator must require that no new construction, substantial improvements, or other development (including fill) shall be permitted within Zones Al -30 and AE on the community's FIRM, unless it is demonstrated that the cumulative effect of the proposed development, when combined with all other existing and anticipated development, will not increase the water surface elevation of the base flood more than one foot at any point within the community. (10) Under the provisions of 44 CFR Chapter 1, Section 65.12, of the National Flood Insurance Program regulations, a community may approve certain development in Zones Al -30, AE, AH, on the community's FIRM which increases the water surface elevation of the base flood by more than 1 foot, provided that the community first completes all of the provisions required by Section 65.12. SECTION C. PERMIT PROCEDURES (1) Application for a Floodplain Development Permit shall be presented to the Floodplain Administrator on forms furnished by him/her and may include, but not be limited to, plans in duplicate drawn to scale showing the location, dimensions, and elevation of proposed landscape alterations, existing and proposed structures, including the placement of manufactured homes, and the location of the foregoing in relation to areas of special flood hazard. Additionally, the following information is required: (a) Elevation (in relation to mean sea level), of the lowest floor (including basement) of all new and substantially improved structures; (b) Elevation in relation to mean sea level to which any nonresidential structure shall be floodproofed; (c) A certificate from a registered professional engineer or architect that the nonresidential floodproofed structure shall meet the floodproofing criteria of Article 5, Section B (2); 14 (d) Description of the extent to which any watercourse or natural drainage will be altered or relocated as a result of proposed development; (e) Maintain a record of all such information in accordance with Article 4, Section (B) (1); (2) Approval or denial of a Floodplain Development Permit by the Flooplain Administrator shall be based on all of the provisions of this order and the following relevant factors: (a) The danger to life and property due to flooding or erosion damage; (b) The susceptibility of the proposed facility and its contents to flood damage and the effect of such damage on the individual owner; (c) The danger that materials may be swept onto other lands to the injury of others; (d) The compatibility of the proposed use with existing and anticipated development; (e) The safety of access to the property in times of flood for ordinary and emergency vehicles; (f) The costs of providing governmental services during and after flood conditions including maintenance and repair of streets and bridges, and public utilities and facilities such as sewer, gas, electrical and water systems; (g) The expected heights, velocity, duration, rate of rise and sediment transport of the floodwaters and the effects of wave action, if applicable, expected at the site; (h) The necessity to the facility of a waterfront location, where applicable; (i) The availability of alternative locations, not subject to flooding or erosion damage, for the proposed use. SECTION D. VARIANCE PROCEDURES (1) The Appeal Board, as established by the community, shall hear and render judgment on requests for variances from the requirements of this order. (2) The Appeal Board shall hear and render judgment on an appeal only when it is alleged there is an error in any requirement, decision, or determination 15 made by the Floodplain Administrator in the enforcement or administration of this order. (3) Any person or persons aggrieved by the decision of the Appeal Board may appeal such decision in the courts of competent jurisdiction. (4) The Floodplain Administrator shall maintain a record of all actions involving an appeal and shall report variances to the Federal Emergency Management Agency upon request. (5) Variances may be issued for the reconstruction, rehabilitation or restoration of structures listed on the National Register of Historic Places or the State Inventory of Historic Places, without regard to the procedures set forth in the remainder of this order. (6) Variances may be issued for new construction and substantial improvements to be erected on a lot of 1/2 acre or less in size contiguous to and surrounded by lots with existing structures constructed below the base flood level, providing the relevant factors in Section C (2) of this Article have been fully considered. As the lot size increases beyond the 1/2 half acre, the technical justification required for issuing the variance increases. (7) Upon consideration of the factors noted above and the intent of this order, the Appeal Board may attach such conditions to the granting of variances as it deems necessary to further the purpose and objectives of this order (Article 1, Section C). (8) Variances shall not be issued within any designated floodway if any increase in flood levels during the base flood discharge would result. (9) Variances may be issued for the repair or rehabilitation of historic structures upon a determination that the proposed repair or rehabilitation will not preclude the structure's continued designation as a historic structure and the variance is the minimum necessary to preserve the historic character and design of the structure. (10) Prerequisites for granting variances: (a) Variances shall only be issued upon a determination that the variance is the minimum necessary, considering the flood hazard, to afford relief. (b) Variances shall only be issued upon: (i) showing a good and sufficient cause; (ii) a determination that failure to grant the variance would result in exceptional hardship to the applicant, and (iii) a determination that the granting of a variance will not result in increased flood heights, additional threats 16 to public safety, extraordinary public expense, create nuisances, cause fraud on or victimization of the public, or conflict with existing local laws or orders. (c) Any application to which a variance is granted shall be given written notice that the structure will be permitted to be built with the lowest floor elevation below the base flood elevation, and that the cost of flood insurance will be commensurate with the increased risk resulting from the reduced lowest floor elevation. (11) Variances may be issued by a community for new construction and substantial improvements and for other development necessary for the conduct of a functionally dependent use provided that (i) the criteria outlined in Article 4, Section D (1)-(9) are met, and (ii) the structure or other development is protected by methods that minimize flood damages during the base flood and create no additional threats to public safety. 17 ARTICLE 5 PROVISIONS FOR FLOOD HAZARD REDUCTION SECTION A. GENERAL STANDARDS In all areas of special flood hazards the following provisions are required for all new construction and substantial improvements: (1) All new construction or substantial improvements shall be designed (or modified) and adequately anchored to prevent flotation, collapse or lateral movement of the structure resulting from hydrodynamic and hydrostatic loads, including the effects of buoyancy; (2) All new construction or substantial improvements shall be constructed by methods and practices that minimize flood damage; (3) All new construction or substantial improvements shall be constructed with materials resistant to flood damage; (4) All new construction or substantial improvements shall be constructed with electrical, heating, ventilation, plumbing, and air conditioning equipment and other service facilities that are designed and/or located so as to prevent water from entering or accumulating within the components during conditions of flooding; (5) All new and replacement water supply systems shall be designed to minimize or eliminate infiltration of flood waters into the system; (6) New and replacement sanitary sewage systems shall be designed to minimize or eliminate infiltration of flood waters into the system and discharge from the systems into flood waters; and, (7) On-site waste disposal systems shall be located to avoid impairment to them or contamination from them during flooding. SECTION B. SPECIFIC STANDARDS In all areas of special flood hazards where base flood elevation data has been provided as set forth in (i) Article 3, Section B, (ii) Article 4, Section B (8), or (iii) Article 5, Section C (3), the following provisions are required: (1) Residential Construction - new construction and substantial improvement of any residential structure shall have the lowest floor (including 18 basement), elevated to or above the base flood elevation. A registered professional engineer, architect, or land surveyor shall submit a certification to the Floodplain Administrator that the standard of this subsection as proposed in Article 4, Section C (1) a., is satisfied. (2) Nonresidential Construction - new construction and substantial improvements of any commercial, industrial or other nonresidential structure shall either have the lowest floor (including basement) elevated to or above the base flood level or together with attendant utility and sanitary facilities, be designed so that below the base flood level the structure is watertight with walls substantially impermeable to the passage of water and with structural components having the capability of resisting hydrostatic and hydrodynamic loads and effects of buoyancy. A registered professional engineer or architect shall develop and/or review structural design, specifications, and plans for the construction, and shall certify that the design and methods of construction are in accordance with accepted standards of practice as outlined in this subsection. A record of such certification which includes the specific elevation (in relation to mean sea level) to which such structures are floodproofed shall be maintained by the Floodplain Administrator. (3) Enclosures in Zone A - new construction and substantial improvements, with fully enclosed areas below the lowest floor that are usable solely for parking of vehicles, building access or storage in an area other than a basement and which are subject to flooding shall be designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwaters. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or meet or exceed the following minimum criteria: (a) A minimum of two openings on separate walls having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. (b) The bottom of all openings shall be no higher than 1 foot above grade. (c) Openings may be equipped with screens, louvers, valves, or other coverings or devices provided that they permit the automatic entry and exit of floodwaters. (4) Manufactured Homes/Mobile Homes/Manufactured Buildings - (a) Require that all manufactured homes to be placed within Zone A on a community's FIRM shall be installed using methods and practices which 19 minimize flood damage. For the purposes of this requirement, manufactured homes must be elevated and anchored to resist flotation, collapse, or lateral movement. Methods of anchoring may include, but are not limited to, use of over -the -top or frame ties to ground anchors. This requirement is in addition to applicable State and local anchoring requirements for resisting wind forces. (b) Require that manufactured homes that are placed or substantially improved within Zones Al -30, All, and AE on the community's FIRM on sites (i) outside of a manufactured home park or subdivision, (ii) in a new manufactured home park or subdivision, (iii) in an expansion to an existing manufactured home park or subdivision, or (iv) in an existing manufactured home park or subdivision on which a manufactured home has incurred "substantial damage" as a result of a flood, be elevated on a permanent foundation such that the lowest floor of the manufactured home is elevated to or above the base flood elevation and be securely anchored to an adequately anchored foundation system to resist flotation, collapse, and lateral movement. (c) Require that manufactured homes be placed or substantially improved on sites in an existing manufactured home park or subdivision with Zones Al -30, AH and AE on the community's FIRM that are not subject to the provisions of paragraph (4) of this section be elevated so that either: (i) the bottom of the I-beam of the manufactured home is at or above the base flood elevation, or (ii) the manufactured home chassis is supported by reinforced piers or other foundation elements of at least equivalent strength that are no less than 36 inches in height above grade and be securely anchored to an adequately anchored foundation system to resist flotation, collapse, and lateral movement. (5) Recreational Vehicles - Require that recreational vehicles placed on sites within Zones AI -30, AH, and AE on the community's FIRM (i) be on the site for fewer than 180 consecutive days, (ii) be fully licensed and titled as an RV with valid license plates, permanent lighting and ready for highway use, or (iii) meet the permit requirements of Article 4, Section C (1), and the elevation and anchoring requirements for "manufactured homes" in paragraph (4) of this section. A recreational vehicle is ready for highway use if it is on its wheels or jacking system, is attached to the site only by quick disconnect type utilities and security devices, and has no permanently attached additions. (6) Recreational Vehicle Parks — must comply with the requirements discussed below. (1) A written emergency evacuation plan that includes maps and alternate vehicular access and egress routes. The plan must be 20 approved by the Floodplain Administrator and must be posted at various locations throughout the RV Park and shall be distributed to the RV operator/ owner upon entering the Park (2) An emergency warning procedure. Examples include a public address system, siren or on-site resident. (3) RV's shall be required to remain moveable. No RV shall be allowed to remain in the Park when placed on permanent blocks, when tires are revoked, or when tires are flat. (4) Egress of RV's should not be prevented by stored or fixed items, including but not limited to stairs or porches. (5) Each RV should be capable of evacuation at all times. For those RV's that are self -powered, they should be kept in running condition. For those RV's that are dependent on external power, a tow -axle vehicle that is kept in running condition must accompany them. (6) All permanent structures at the Park, including but not limited to, restrooms, office facilities and laundry facilities must meet the local requirements to include elevation, sewerage and utilities of the Calhoun County Floodplain Order. (7) Roads and streets in the RV Park shall be at least 20 feet wide and shall be constructed of suitable materials to ensure the roads remain passable in all weather conditions. SECTION C. STANDARDS FOR SUBDIVISION PROPOSALS (1) All subdivision proposals including the placement of manufactured home/mobile home parks and subdivisions shall be consistent with Article 1, Sections B, C, and D of this order. (2) All proposals for the development of subdivisions including the placement of manufactured home/mobile home parks and subdivisions shall meet Floodplain Development Permit requirements of Article 3, Section C; Article 4, Section C; and the provisions of Article 5 of this order. (3) Base flood elevation data shall be generated for subdivision proposals and other proposed development including the placement of manufactured home/mobile home parks and subdivisions which is greater than 50 lots or 5 acres, whichever is lesser, if not otherwise provided pursuant to Article 3, Section B or Article 4, Section B (8) of this order. 21 (4) All subdivision proposals including the placement of manufactured home/mobile home parks and subdivisions shall have adequate drainage provided to reduce exposure to flood hazards. (5) All subdivision proposals including the placement of manufactured home/mobile home parks and subdivisions shall have public utilities and facilities such as sewer, gas, electrical and water systems located and constructed to minimize or eliminate flood damage. SECTION D. FLOODWAYS Floodways - located within areas of special flood hazard established in Article 3, Section B, are areas designated as floodways. Since the floodway is an extremely hazardous area due to the velocity of flood waters which carry debris, potential projectiles and erosion potential, the following provisions shall apply: (1) Encroachments are prohibited, including fill, new construction, substantial improvements and other development within the adopted regulatory floodway unless it has been demonstrated through hydrologic and hydraulic analyses performed in accordance with standard engineering practice that the proposed encroachment would not result in any increase in flood levels within the community during the occurrence of the base flood discharge. (2) If Article 5, Section E (1) above is satisfied, all new construction and substantial improvements shall comply with all applicable flood hazard reduction provisions of Article 5. (3) Under the provisions of 44 CFR Chapter 1, Section 65.12, of the National Flood Insurance Program Regulations, a community may permit encroachments within the adopted regulatory floodway that would result in an increase in base flood elevations, provided that the community first completes all of the provisions required by Section 65.12. The areas along the Guadalupe River are in a Floodway. All development North or South of Highway 35 to include Guadalupe Oaks Subdivision and River Ranch Development and all areas South of Highway 35 between Goff Bayou and the Guadalupe River would be considered a floodway and require a No Rise Certification from an engineer to build or develop this area. 22 SECTION E. COASTAL HIGH HAZARD AREAS Located within the areas of special flood hazard established in Article 3, Section B, are areas designated as Coastal High Hazard Areas (Zones V1-30, VE, and/or V). These areas have special flood hazards associated with high velocity waters from tidal surges and hurricane wave wash; therefore, in addition to meeting all provisions outlined in this order, the following provisions must also apply: (1) Obtain the elevation (in relation to mean sea level) of the bottom of the lowest structural member of the lowest floor (excluding pilings and columns) of all new and substantially improved structures, and whether or not such structures contain a basement. The Floodplain Administrator shall maintain a record of all such information. (2) All new construction shall be located landward of the reach of mean high tide. (3) All new construction and substantial improvements shall be elevated on pilings and columns so that: (i) the bottom of the lowest horizontal structural member of the lowest floor (excluding the pilings or columns) is elevated to or above the base flood level; (ii) the pile or column foundation and structure attached thereto is anchored to resist flotation, collapse and lateral movement due to the effects of wind and water loads acting simultaneously on all building components. Water loading values used shall be those associated with the base flood. Wind loading values used shall be those required by applicable State or local building standards. A registered professional engineer or architect shall develop or review the structural design, specifications and plans for the construction, and shall certify that the design and methods of construction to be used are in accordance with accepted standards of practice for meeting the provisions of (3)(i) and (ii) of this Section. (4) Provide that all new construction and substantial improvements have the space below the lowest floor either free of obstruction or constructed with non -supporting breakaway walls, open wood lattice -work, or insect screening intended to collapse under wind and water loads without causing collapse, displacement, or other structural damage to the elevated portion of the building or supporting foundation system. For the purpose of this section, a breakaway wall shall have a design safe loading resistance of not less than 10 and no more than 20 pounds per square foot. Use of breakaway walls which exceed a design safe loading resistance of 20 pounds per square foot (either by design or when so required by local or State codes) may 23 be permitted only if a registered professional engineer or architect certifies that the designs proposed meet the following conditions: (i) breakaway wall collapse shall result from a water load less than that which would occur during the base flood; and (ii) the elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement, or other structural damage due to the effects of wind and water loads acting simultaneously on all building components (structural and nonstructural). Water loading values used shall be those associated with the base flood. Wind loading values used shall be those required by applicable State or local building standards. Such enclosed space shall be useable solely for parking of vehicles, building access, or storage. Such space shall not be used for human habitation. (5) Prohibit the use of fill for structural support of buildings. (6) Prohibit man-made alteration of sand dunes and mangrove stands that increase potential flood damage. (7) Manufactured Homes/Mobile Homes/Trailers - Prohibit the placement of manufactured homes/mobile homes/trailers in V Zones. (8) Recreational Vehicles - Require that recreational vehicles placed on sites within Zones V1-30, V, and VE on the community's FIRM (i) be on the site for fewer than 180 consecutive days, (ii) be fully licensed and titled as an RV with valid license plates, permanent lighting and ready for highway use, or (iii) meet the requirements in Article 3, Section C of this order and paragraphs (1) through (6) of this section. A recreational vehicle is ready for highway use if it is on its wheels or jacking system, is attached to the site only by quick disconnect type utilities and security devices, and has no permanently attached additions. SECTION F. SEVERABILITY If any section, clause, sentence, or phrase of this Order is held to be invalid or unconstitutional by any court of competent jurisdiction, then said holding shall in no way affect the validity of the remaining portions of this Order. 24 SECTION G. PENALTIES FOR NON COMPLIANCE No structure or land shall hereafter be constructed, located, extended, converted, or altered without full compliance with the terms of this court order and other applicable regulations. Violation of the provisions of this court order by failure to comply with any of its requirements (including violations of conditions and safeguards established in connection with conditions) shall constitute a misdemeanor. Any person who violates this court order or fails to comply with any of its requirements shall upon conviction thereof be fined not more than $500 for each violation, and in addition shall pay all costs and expenses involved in the case. Nothing herein contained shall prevent Calhoun County from taking such other lawful action as is necessary to prevent or remedy any violation. 25 Flood Damage Prevention Order SECTION I. CERTIFICATION OF ADOPTION APPROVED: Michael J. Pfegqy Calhoun County Judge David Hall Precinct #1 Calhoun County Commissioner Clyde yma Precinct #3 Calhoun County Commissioner PASSED: Adopted April 11, 2018 /2 Vern Lyssy Pr mct #2 Calhoun County Comm=issioner Kenneth W. Finster Precinct #4 Calhoun County Commissioner ORDER BECOMES EFFECTIVE ON: April 11, 2018 I, the undersigned, County Clerk, do hereby certify that the above is a true and correct copy of an order duly adopted by the Calhoun County Commissioners' Court, at a regular meeting duly convened on April 11, 2018. jam Anna Good an Calhoun County Clerk 26 Calhoun County Commissioners' Court— April 11, 2014 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On Proposal from G & W Engineers, Inc. for Phase 2 — Precincts #1 and #2 Pier Damage Repairs and authorize all necessary signatures. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 6 of 15 G&WENGINEERS,INC. 205 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987 TBPE Firm Registration No. F-4188 April 5, 2018 Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 Attn: Commissioners David Hall and Vern Lyssy RE: Phase 2 - Precincts #1 and #2 Pier Damaee Repairs G&W Engineers is pleased to submit this proposal for the preparation of construction plans, technical specifications, bid documents and assisting with bid process for the Hurricane Harvey damage repairs for the following three (3) piers: Magnolia Beach 215` Street Fishing Pier, the Indianola Fishing Pier and the Six Mile Park Pier in Calhoun County Precincts #1 and 92. We understand the scope of work to be as follows: 1. Prepare construction plans for pier repairs including details and representative photos for applicable in kind replacement (except as noted for fastener material and angle clips). 2. Prepare Technical Specifications, bid and contract documents and assist with bid process. Based on the completed Phase 1 site survey, we have preliminarily determined that the following repairs will be required to the Fishing Piers. Six Mile Park Pier Area. • Complete new deck secured with 316 stainless steel (SS) screws • All new handrails with 316 SS bolts • New stringers on the Tee head section • Replacement of the galvanized pile/cap bolts with 316 SS bolts. • Stringers will be secured to the cap beam with 316 SS angle clips & 316 SS bolts. • All new lighting system that includes wiring, lights and light poles. • Cleaning station replacement. • Extension of the two damaged piles and replace pile caps. Maenolia Beach • All new handrails on the Tee head section • Approximately 75% of the Tee head will need new stringers and several pile caps • New decking on Tee head section • Approximately 75 % handrail replacement on the access walkway. • Stringer replacement on access walkway • Existing fasteners shall be properly tightened Engineering Consulting Planning Surveying ENGINEERS, INC. Indianola Fishing Pier • Repairs will be minor and generally consisting of replacing several handrail members • Existing fasteners shall be properly tightened Clarifications P.2of2 1. In general, all items recommended for repair/replacement shall be replaced in kind according to previous design(s) except as noted. All required fasteners shall be 316 stainless steel. The following items are noted as Exclusions and are not included in the below estimated fee. These items can be provided at an additional cost if so desired. Additional fees will be based upon the current rate schedule. 1. Construction involvement including coordination, oversite and/or inspections G&W Engineers, Inc. proposes to perform the Phase 2 Scope of Work on a time and material basis for a total fee not to exceed $14,500. Fees will be based upon the current rate schedule. If this is agreeable to you, please sign below and return to G&W Engineers, Inc. as acknowledgement of Notice to Proceed with the project. Sincerely, G&W Engineers, Inc. Client Client Printed Name Date Signature Date G&WENGINEERS,INC. 206 W. Live Oak • Port Lavaca, TX 77979 • p: (361)662-4609 • f: (361)552-4987 TBPE Firm Registration No. F-4188 February 26, 2018 Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 Attn: Commissioners David Hall and Vern Lyssy RE: Phase 1- Precincts #1 and #2 Pier Damage Assessments G&W Engineers is pleased to submit this proposal to perform field inspection and assessment of Hurricane Harvey damages for the following three (3) piers : Magnolia Beach 21i1 Street Fishing Pier, the Indianola Fishing Pier and the Six Mile Park Pier in Calhoun County Precincts 41 and #2. Proposed Scone of Work Phase I : 1. Utilize 2 man crew and motorized boat to perform field inspection, gather photos and document findings for each of the Magnolia Beach 21st Street Fishing Pier, the Indianola Fishing Pier and the Six Mile Park Pier, 2. Perform engineer's assessment of survey findings and provide recommendation for scope of pier(s) repairs for review and approval by Calhoun County; 3. Upon approval, provide a subsequent and separate estimate for design associated with Phase 2. Phase 2 : 1. Phase 2 includes the preparation of construction plans, technical specifications, bid documents and assisting with bid process for the approved scope of pier(s) repairs for the Magnolia Beach 21" Street Fishing Pier, the Indianola Fishing Pier and the Six Mile Park Pier, G&W Engineers, Inc, proposes to perform the Phase 1 Scope of Work on a time and material basis for a total fee not to exceed $4,300. An estimate for the design associated with Phase 2 will be provided separately. Fees will be based upon the attached hourly rate schedule. If this is agreeable to you, please sign below and return to me via scan/email to ijanda@gwenpineers.com as acknowledgement of Notice to Proceed with the project. Sincerely, G&W Engineers, Jose A. JZ4, P.E, Project Engineer "ands _ RwenQineers.com Engineering Consulting Planning Surveying G& Y V ENGINEERS, INC. P.2of2 Client Printed Client att; Individual .Rate Schedule i Date I �r ` t Dale Calhoun County Commissioners' Court—April 11, 2014 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) On Emergency Medical Services (EMS) Provider License Application, Declaration Form, and List of Station Locations Form and authorize County Judge and EMS Director Dustin Jenkins to sign appropriate documents. (MP) Dustin Jenkins spoke on this matter. 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 15 Suan Riley From: Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins<Dustin.Jenkins@calhouncotx.org> Sent: Thursday, April 5, 2018 3:18 PM To: Susan Riley Cc: Lori McDowell Subject: 2018 DSHS Provider License Renewal Attachments: EMSProviderApplication20l8-Filled_Out.pdf, EMSDeclaration Form2018-Filled_Out.pdf Susan, The two attached documents are going to need signatures from both myself and Judge Pfeifer, could you add this to next weeks agenda for authorization to sign? Thanks, Dustin J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 Suan Riley From: Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins <Dustin.Jenkins@calhouncotx.org> Sent: Friday, April 6, 2018 11:40 AM To: Susan Riley Subject: Provider Licensing Renewal Update Susan, Just found out, since we are renewing online, our application is the online submission and we will not need a signature. Therefore, the one page document entitled EMSProviderApplication2018 will not need to be signed at all. You can remove it completely from the agenda. The other two, "EMSDeclarationForm2018 and EMSStationl-ocationl-ist2018" will still need approval to be signed. Thanks, Dustin J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@ealhouncotx.org (361) 571-0014 R TEXAS ri Health and Human Services Texas Department of State Health Services EMERGENCY MEDICAL SERVICES PROVIDER LICENSE APPLICATION REVISED: 09/07/2017 This application and the appropriate fee and supplemental documents should be submitted to EMS Certification and Licensing Group in Austin. For the appropriate cover sheet and general mailing instructions, see htti):Uwwwdshs.state.tx.us/emstraumasystems/i)rovfro.shtm. ❑ Initial Applicant Elrt2enewal Applicant (Please Use Online Service Application) Name of Legal Entity or CALHOUN COUNTY EMS Federal Tax ID (FEIN): (9 Digits xx-xxxxxxx) Person Applying for License: 74-6001923 Entity Assumed or Operating Name: CALHOUN COUNTY EMS Mailing Address: 705 Henry Barber Way City, County, State, Zip: Port Lavaca, Calhoun, Texas, 77979 CEO/Owner Name Michael J. Pfeifer Te(inccludelucle 361-553-4600 arrea code) Email Address: mike.pfeifer@calhouncotx.org Administrator of Record Name: J. Dustin Jenkins Telephone:361-552-1140 e area code) (inncludcludar E-mail Address: dustin.jenkins@calhouncotx.org Medical Directors Name: Don Paul Bunnell Telephone: 361-552-6713 (include area code) Medical Director's G3196 License#: E-mail Address: dpaul@cableone.net Application Fee -Initial: $500 per application plus $180 per vehicle (nonrefundable). W Make Payment to: TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS FUND ZZ100-160 Total Amount: $ 1410.00 Total Number of vehicles to be operated: 5 ❑ Fee exemption: Provider is staffed with at least 75% volunteer personnel, has no more than five full-time staff, and is IRS 501(c)(3). On behalf of the above named legal entity, I hereby affirm and declare I am authorized to make this Emergency Medical Services Provider application and/or declaration and all information submitted on this form and any supplemental documents are true and correct. I attest and understand the legal entity and I are accountable and responsible for the accuracy of all answers and statements on this form. I attest the legal entity listed on this form meets all requirements for the type of license requested. Further, I understand it is a Class A misdemeanor violation of Texas Penal Code Sec. 37.10 to submit a false statement to a governmental agency. I have read and understand Health and Safety Code Chapter 773 and Texas Administrative Code Title 25, Chapter 157, and agree to adhere to those statutes le , nd all other applicable statutes and rules. Sign re of ' istrator of Record flgon,t��,rLYAAner J. Dustin Jenkins Michael J. Pfeifer)) ) �( Printed Name of Administrator of Record Date Printed Name of CEO/Owner Date PRIVACY NOTIFICATION Publication M F01-13067 - Electronic Publication M EF01-13067 With a few exceptions, you have the right to request and be informed about information that the State of Texas collects about you. You are entitled to receive and review the Information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. See htto://www.dshs.stato.tx.us for Information on Privacy Notification. (Reference Government Code, Section 552.021, 552.023 and 559.004) ., TEXAS EMERGENCY MEDICAL SERVICES ,v i Texas Department of State PROVIDER LICENSE fv Health and Human Services Health Services DECLARATION FORM REVISED: 2/16/2018 Submit the completed form to the appropriate address and with the appropriate cover sheet when mailing or upload with your online renewal application All Forms Are Available On The EMS -Trauma System Webpage: httr)://www.dshs.state.tx.us/emstraumasystems/provfro.shtm Fax Number: 512-834-6714 Email: EMSProviderFRO(c>dshs.texas.gov Privacy Notification: With a few exceptions, you have the right to request and be informed about information the State of Texas collect about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. See htto://www.dshs.state.tx.us for more information on Privacy Notification. (Reference: Government Code, Section 552.021, 552.023 and 559.004) TYPE OR PRINT IN BLACK INK Application Type: 0 Initial Application ED Renewal Application LJ Other Fill in Requested Information: DSHS License Number: 029008 (Leave blank if initial application.) Federal Employer Identification Number: 746001923 National Provider Identifier Number: 1245338433 Section 1 — Name of Legal Entity Applying for License CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Publication #: FO1-13066 Page 1 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 2 — Entity Assumed or Operating Name(s), list all if applicable. If applicable, attach copies of all assumed name certificates. Section 4 — Chief Executive Officer/Owner or Hi hest Elected Official Government Name: MICHAEL J. PFEIFER Title: COUNTY JUDGE Address: 211 S. ANN STREET City: PORT LAVACA County: CALHOUN State: TX Zip: 77979 Phone: (361) 553-4646 11 Email: mike.pfeifer@calhouncotx.org Section 5 — Administrator of Record Name: J. DUSTIN JENKINS Address: 4395 STATE HWY 238 City: PORT LAVACA County: ICALH.OUN State: TX Zip: 77979 Phone: (361) 552-1140 Email: dustin.jenkins@calhouncotx.org TX EMS Certification/ID# or SSN: LP-ID#:149931 & SS#:455952260 Date of Birth: 12/10/1978 ❑ A completed EMS Administrator of Record Form is attached or has been included. Government entities are exempt from submitting the additional form. Publication #: F01-13066 - Page 2 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 6 —Alternate Contact The person who can answer questions' if administrator is unavailable. Name: LORI MCDOWELL Title: ASSISTANT DIRECTOR/TRAINING COORDINATOR Address: 705 Henry Barber Way City: Port Lavaca County: Calhoun State: TX Zip: 77979 Phone: (361) 552-1140 11 Email: I lori.mcdowell@calhouncotx.org Section 7 -Designated Infection Control Officer Name: KELLY STALOCH Title: Supervisor/Infection Control Officer Address: 705 Henry Barber Way City: Port Lavaca County: Calhoun State: TX zip: 77979 Phone: (361) 552-1140 11 Email: kelly.staloch@calhouncotx.org Section 8.- Physician Medical Director Address must be where the physician receives mail Name: Don Paul Bunnell TX Medical License #: G3196 Address: 815 N. Virginia St City: jPort Lavaca County: Icalhoun TX Zip: 77979 Phone: (361) 552-6713 Itidpaul@cableone.net Publication #: F01-13066 - Page 3 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 9 — Vehicle Authorizations List the number of vehicle authorizations requested at each level and the total. Basic Life Support (BLS) 0 BLS with ALS Capability 0 BLS with MICU Capability 5 Advanced Life Support (ALS) 0 ALS with MICU Capability 0 Mobile Intensive Care Unit (MICU- Ground) 0 Rotor -Wing (MICU) 0 Fixed Wing (MICU) 0 Specialized 0 TOTAL NUMBER OF AUTHORIZATIONS REQUESTED 5 1j) Governmental Entity Please Select Type of Government Entity: e City B County 8 ESD - Emergency Service District Hospital District ® State Agency 8 Hospital 8 Private 8 Other (Must Explain) Government Entity Other (Must Explain) U For Profit 0 Non -Profit 501c3 Publication #: F01-13066 - Page 4 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10-C: Response Type: You must check only one. Emergency/ 911 8 Non-Emergency/Non-911 ® Both 10-D: Subscription Program: Does your organization offer a subscription program? ® Yes No *If yes, please submit all required documentation and information. Air Medical Providers are excluded from this requirement. 10-E: Emergency Medical Task Force (EMTF) Participant: ❑ Yes a No (This is for planning purposes only. Participation not required.) Attach a copy of a letter of credit issued by a federally insured bank (FDIC) or savings institution. An emergency medical services provider that is directly operated by a governmental entity is exempt from this section. Institution Name: Date of Letter: Amount of required credit: (must select one) 8 $100,000 for the initial license and for renewal of the license on the second anniversary of the date the initial license is issued $75,000 for renewal of the license on the fourth anniversary of the date the initial license is issued B $50,000 for renewal of the license on the sixth anniversary of the date the initial license is issued 8 $25,000 for renewal of the license on the eighth anniversary of the date the initial license is issued 13 Not required, Explain Ei Exempt - Governmental Entity Publication #: F01-13066 - Page 5 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10-G: Medicaid Provider Surety Bond EMS providers are required to provide a surety bond as a condition of participation in the Medicaid program and as required by the Texas Health and Humans Services Commission. An EMS provider that is directly operated by a governmental entity is exempt from this section. 01 Yes ® No 0 Exempt (Governmental Entity) If No, please explain: Bond Number: Bond Effective Date: Name of institution issuing bond and contact telephone number: 10-H.- EMS Personnel: Compensation Status: M Paid/Non-Volunteer 11 Volunteer ❑ Mixed (You may check only one.) M I attest on behalf of the legal entity mentioned above, that all licensed or certified EMS personnel have completed a juris prudence examination approved by DSHS. ----or ---- 8 I attest on behalf of the legal entity mentioned above, that all licensed or certified EMS personnel have NOT completed a juris prudence examination approved by DSHS but will ensure that all EMS Personnel will complete upon the renewal of their EMS Personnel Certification. FA I attest on behalf of the legal entity mentioned above, that the entity, applicant, management staff, medical director and/or employees are not excluded from participation in the Medicare and/or Medicaid program. Publication #: F01-13066 - Page 6 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10-3: Headquarters/ Physical Primary Location: ® I attest on behalf of the legal entity mentioned above, that no other licensed EMS Provider is located at the Headquarters/Primary Physical Location Street Address. ED I attest on behalf of the legal entity mentioned above, that the entity owns or has a lease agreement for the Headquarters/Primary Physical Location address. p I attest on behalf of the legal entity mentioned above, that the entity understands it must have permission from DSHS to relocate from the Headquarters/Primary Physical Location address prior to moving. ED I attest on behalf of the legal entity mentioned above, that the entity owns or has a lease for all of the medical equipment that will be used. E9 I attest on behalf of the legal entity mentioned above, that the entity has enough medical equipment so that each vehicle has its own set of medical equipment to operate at the level authorized by DSHS. 211 attest on behalf of the legal entity mentioned above, that the entity owns or has a lease for all of the vehicles that will be used. [11 I attest on behalf of the legal entity mentioned above, that the entity and/or management staff understand that authorized vehicles are considered response ready unless the vehicle is designated as being out of service using the form provided by the department. RE I attest on behalf of the legal entity mentioned above, that the entity has a plan for the going out of business to ensure the maintenance of the medical records. Publication #: F01-13066 - Page 7 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES ®• I attest on behalf of the legal entity mentioned above, that the applicant, including its management staff possesses sufficient professional experience and qualifications related to EMS including: having at least one year of experience each in emergency medical dispatch processes, EMS billing processes, medical control accountability, and quality improvement processes for EMS operations. 90 I attest on behalf of the legal entity mentioned above, that the entity and/or management staff have read the Texas Emergency Healthcare Act and the Texas Administrative Code 157. III I attest on behalf of the legal entity mentioned above, that the entity or its management staff participate in a Regional Advisory Council. M I attest on behalf of the legal entity mentioned above, the entity provides 24/7/365 of their declared service. --- OR --- 8 I attest on behalf of the legal entity mentioned above, is NOT available 24/7/365 and has written agreements with other EMS providers for coverage of their declared service area and has notified all the emergency service agencies in the designated service area. M I attest on behalf of the legal entity mentioned above, that the entity and its management staff understand that an EMS provider is prohibited from expanding operations to or stationing any EMS vehicles in a municipality or county other than the municipality or county from which the provider obtained the letter of approval under until after the second anniversary of the date the provider's initial license was issued, unless the expansion or stationing occurs in connection with: (A) a contract awarded by another municipality or county for the provision of EMS; (B) an emergency response made in connection with an existing mutual aid agreement; or (C) an activation of a statewide emergency or disaster response by the department. Publication #: F01-13066 Page 8 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES M I attest on behalf of the legal entity mentioned above, the legal entity mentioned above has stations locations. R1 I attest on behalf of the legal entity mentioned above, understand that the entity must maintain motor vehicle liability insurance as required under the Texas Transportation Code. 911 attest on behalf of the legal entity mentioned above, understand that the entity must maintain professional liability insurance coverage in the minimum amount of $500,000 per occurrence, or as necessary per state law during the license period. Section 11 — Service Area Provide the City(s) and County(s) you plan to operate in. If you need more space Please provide all of the required information on a separate piece of paper. 11 Additional Sheet(s) attached: 1. City: Port Lavaca County: Calhoun 2. City: Point Comfort County: Calhoun 3. City: Seadrift County: Calhoun 4. City: County: 5. City: County: 6. City: County. 7. City: County: 8. City: County: Publication #: F01-13066 - Page 9 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 12 —Governmental Recognition List and attach recognition from governmental entities. This section does not apply to renewal of an emergency medical services provider license or a municipality, county, emergency services district, hospital, or emergency medical services volunteer provider organization in this state that applies for an emergency medical services provider license. If you need more space, please provide all of the required information on a separate piece of paper. Additional Sheet(s) attached: 11 1. City: City: County: County: 2. City: Zip: County: Telephone #: 3. City: County: 4. City: County: S. City: County: 6. City: County: 7. City: County: 8. City: County: Section 13 — Addresses Headquarters/ Physical Primary Location Street Address: Address: 705 HENRY BARBER WAY City: PORT LAVACA County: CALHOUN 11 State: TEXAS Zip: 77979 Telephone #: (361) 571-1140 Fax #: Please list the days and hours of normal operation or a designated day and time when personnel are present so the public may ask questions. MONDAY -FRIDAY 7:30AM-11:30AM & 12:OOPM- 4:OOPM H1 I attest on behalf of the legal entity mentioned above, these hours are posted for public viewing on the outside of the building. Publication #: F01-13066 - Page 10 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Business Mailing Address: Address: 705 HENRY BARBER WAY City: PORT LAVACA County: CALHOUN State: TEXAS Zip: 77979 Telephone #: (361) 571-1140 Fax #: 77979 Records Location Street Address: O Same as headquarters Address: CALHOUN COUNTY SHERIFFS OFFICE City: 211 S. ANN STREET County: PORT LAVACA State: CALHOUN Zip: 11 Telephone #: 77979 Fax #: Billing Office Street Address: IN Same as headquarters Dispatching Agency: CALHOUN COUNTY SHERIFFS OFFICE Address: 211 S. ANN STREET City: PORT LAVACA County: CALHOUN State: 11 Zip: IF 77979 Telephone #: Fax #: Dispatch Location Street Address: 13 Same as headquarters Dispatching Agency: CALHOUN COUNTY SHERIFFS OFFICE Address: 211 S. ANN STREET City: PORT LAVACA County: CALHOUN State: TEXAS Zip: 77979 Telephone #: Fax #: Publication #: F01-13066. - Page 11 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 14 — Ownership & Type of Legal Entity Complete the following to indicate the type of legal entity and responsible persons: In Government Entity Unincorporated Association of People Sole Proprietorship Partnership/General Partnership Corporation Limited Liability Company Limited Partnership El Limited Liability Partnership F1 Other (must explain) Please complete this information for all officers, general partners and limited partners of the legal entity. Government Entities should complete this information for the chief elected official (i.e. city mayor or county judge) or appointed officials that are responsible for the entity (i.e. emergency service district or hospital district board members). Name: Michael J. Pfeifer Title: County Judge Mailing address: 211 S. Ann St City: Port Lavaca State: TX Zip: 77979 Name: Title: Mailing address: City: State: Zip: Name - Title: Mailing address: City: State: Zip: El Additional Persons are listed on separate sheet attached. Publication #: FO1-13066 - Page 12 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES On behalf of the above named legal entity, I hereby affirm and declare I am authorized to make this Emergency Medical Services Provider application and/or declaration and all information submitted on this form and any supplemental documents are true and correct. I attest and understand the legal entity and I are accountable and responsible for the accuracy of all answers and statements on this form. I attest the legal entity listed on this form meets all requirements for the type of license requested. Further, I understand it is a Class A misdemeanor violation of Texas Penal Code Sec. 37.10 to submit a false statement to a governmental agency. I have read and understand Health and Safety Code Chapter 773 and Texas Administrative Code Title 25, Chapter 157, and agree to adhere to those statutes rules, and all other applicable statutes and rules. Of Apt inistrator of Record Signature f 60/Owner J. Dustin Jenkins Michael J. Pfeifer Printed Name of Administrator of Record Printed Name of CEO/Owner My name is man iP.od'A' , my date of birth is 101 and my address is All S. (Street) (City) (State) (Zip Code) and LASS . I declare under penalty of perjury that the foregoing is true (Country) and correct. Executed in CWhWA County, State of T , on the 1A day of AP61 R01 . (Month) (Year) ,�"�',"p°�., AMANDA RODRIGUEZ 1\BEfl/\ pp/ "ft, fV1 VA lAX., �04P... �g�.r, za; ,�,fi Notary Public, State of Texe —Jignature of Dec arar 'vF ..;.§dam Comm. Expires 70-26.2020 moo,.,°f..,b� Notary ID 730874794 Publication #: F01-13066 - Page 13 of 13 TEXAS t: Health and Human �f Services EMERGENCY MEDICAL SERVICES Texas Department of State PROVIDER LICENSE Health Services LIST OF STATION LOCATIONS REVISED: 09/07/2017 Complete for all locations/stations where in service ambulances are housed. A list of station locations may be submitted without this form if all information requested below is provided for each station. Print additional pages if needed. Fax Number: 512-834-6714 Email: EMS ProviderFRO(sldshs.texas.00v If submitting by U.S. Mail please use appropriate mailing cover sheet, posted at: htto•//www dshs state.tx.us/emstraumasystems/provfro.shtm: ❑ Add ❑ Remove 8 New List ❑ Additional Sheets Attached Page 1 of Name of Legal Entity: CALHOUN COUNTY EMS Assumed Name: CALHOUN COUNTY EMS Provider License # 029008 1 Date: 04/05/2018 Station Title: CENTRAL STATION Number of Vehicles at this location, 4 Street Address: 705 HENRY BARBER WAY City: PORT LAVACA County: CALHOUN State:TX Zip: 77979 Telephone #: 361-552-1140 1 Fax #: 361-553-4800 Station Title: SOUTH STATION Number of Vehicles at this location, 1 Street Address: 6084 STATE HIGHWAY 185 EAST City: SEADRIFT County: CALHOUN State: TX Zip: 77983 Telephone #: 361-785-2000 Fax #: 361-785-2001 On behalf of the above named legal entity, I hereby affirm and declare I am authorized to make this Emergency Medical Services Provider application and/or declaration and all Information submitted on this form and any supplemental documents are true and correct. I attest and understand the legal entity and I are accountable and responsible for the accuracy of all answers and statements on this form. I attest the legal entity listed on this form meets all requirements for the type of license requested. Further, I understand it is a Class A misdemeanor violation of Texas Penal Code Sec. 37.10 to submit a false statement to a governmental agency. I have read and understand Health and Safety Code Chapter 773 and Texas Administrative Code Title 25, Chapter 157, and agree to adhere to those statutes rules, and all other applicable statutes and rules. Signature of Administrator of J. Dustin Jenkins Printed Name of Administrator of Record Date Privacy Notification: With a few exceptions, you have the right to request and be Informed about information the State of Texas collect about you. You are entitled to receive and review the Information upon request. You also have the right to ask the state agency to correct any information that is determined to incorrect. See http,//`www.dshs.state.tx.us for more information on Privacy Notification. (Reference: Government Code, Section 552.021, 552.023 and 559.004) EMS Provider Station Location - Continuation Sheet Station Title: Number of Vehicles at this location: Street Address: City: County: State: Zip: Telephone #: Fax #: Station Title: Number of Vehicles at this location: Street Address: City: County: State: Zip: Telephone #: Fax #: Station Title: Number of Vehicles at this location: Street Address: City: County: State: Zip: Telephone #: Fax #: Station Title: Number of Vehicles at this location: Street Address: City: County: State: Zip: Telephone #: Fax #: Publication #: F01-13066 - Electronic Publication #: EF01-13066 Continued ► Calhoun County Commissioners' Court—April 11, 2018 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) On Field Internship Affiliation Agreement between Calhoun County Emergency Medical Service (EMS) and LifeSource Educational Services, LLC and authorize EMS Director Dustin Jenkins to sign Agreement. Lori McDowell spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pet 4 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 8 of 15 FIELD INTERNSHIP AFFILIATION AGREEMENT BETWEEN Calhoun County Emergency Medical Service 705 County Road 101 Port Lavaca, Texas 77979 361.552.1140 AND LifeSource Educational Services, LLC PO Box 3544 Victoria, Texas 77904 361.649.7567 It is mutually agreed by Calhoun County Emergency Medical -Service, Port Lavaca, Texas, hereinafter referred to as "affiliate" and LifeSource Educational Services, LLC hereinafter referred to as "LES", that the field internship experience for students enrolled in the Emergency Medical Service Program at LES will be provided at Calhoun County Emergency Medical Service. It is agreed that LES and the affiliate will jointly select and assign learning experiences. LES will provide the service with a list of learning objectives and schedule of student assignments prior to the beginning of each experience. LES and Calhoun County Emergency Medical Service are affirmative action/equal opportunity Institutions In regards to all programs and activities. No discrimination shall be made between individuals with regard to race, color, religion, national origin, sex, age, or handicap. OBJECTIVE AND SCOPE OF FIELD INTERNSHIP: The field internship is a period of supervised experience on an EMS vehicle which provides the student a progression of increasing patient care responsibilities proceeding from observation, to supportive roles, and finally acting as a team member. The affiliate must be licensed by the Texas Department of State Health Services as an EMS Provider and the vehicle must be staffed, equipped, and operate at least at the level the student is in training; i.e. BLS vehicle for EMT -Basic students, ALS for EMT -Intermediate students, and MICU for Paramedic students. This agreement supports the training for EMT -Basic and students being trained at the Advanced level (ex: EMT -Intermediate). The student must at all times be under the direction and supervision of an assigned preceptor. The preceptor must be currently certified to at least the level of which the student is in training. The initial student role shall be that of observer. After participating in actual patient care, the student may finally function as a patient care leader. However, the student shall not be placed in a position of being a necessary part of the regular EMS team. The team shall function without any necessary use of the student. LES RESPONSIBILITIES: LES EMS Program agrees to: a. Place only those students who are registered and academically qualified for Internship experience for the purpose of learning in the field setting. b. Confer with the affiliate's administration, prior to registration for each semester, concerning the assignment of students to the service. C. Provide the affiliate with a detailed schedule including student name, date & times of assignment, and level of student training. d. Conduct administrative and educational activities of the EMS Program according to the established policies of LES. These include provisions for students_ health; keeping records of students' experiences, such as records of rotations, attendance. and proficiency; and evaluation and counseling of students with regard to performance. e. Guarantee that each student has a report of current Immunizations and TB test results. The report shall include immunization history for diphtheria/tetanus, measles/mumps/rubella, and if applicable, HBV. TB tests results must be within one year of program entry and must be repeated annually throughout the program. f. Guarantee that each student and faculty member has professional liability insurance coverage. Terms of coverage or copies of the policy are available at the LES office. g. Guarantee that each faculty member and student agrees to abide by the policies and procedures as set forth by the affiliate and LES. h. If a student sustains injury, sudden illness, or exposure to communicable disease or bodily fluids occurs during performance of duties; said injury, illness, or exposure will be handled according to LES and affiliate policy. The student is responsible for any cost of medical treatment. AFFILIATE RESPONSIBILITIES; The Calhoun County Emergency Medical Service agrees to: a. Provide for EMS Program students, without compensation to the student, assignments to the affiliate for purpose of field internship experience. Provide and assign preceptors for each student experience. b. Provide overall control and supervision of patient care. C. Provide orientation of assigned EMT Program students. d. Maintain a qualified staff, vehicles, and equipment as required by the Texas Department of State Health Services. e. Evaluate student field performance and communicate the results to the EMS Program Clinical Coordinator. The field preceptor is the person responsible for overseeing the student's activities during an ambulance rotation. Preceptors must be certified to at least the level of certification the student is currently seeking. Preceptors will be jointly approved and oriented by LES and the affiliate. The preceptor does not have to be present during basic, non-invasive care, but must direct and witness any invasive procedure. Preceptors are also responsible for evaluating student clinical performance and reporting to the LES Program Clinical Coordinator. A list of approved preceptors will be maintained by the affiliate. SCHEDULING: Date and time perimeters will be finalized prior to scheduling any rotations. If the affiliate has or establishes any other affiliations, assignments will be coordinated to avoid duplication of schedules. Students will schedule rotations through the LES EMS Program's Clinical Coordinator according to date/time perimeters set by the affiliate, preceptor availability, and their personal schedule. LES will submit to the affiliate, a schedule Indicating the date, times, student name, and training level. TERMS OF AGREEMENTa This affiliation will be effective when all parties have signed this agreement. It will be effective for a one year period beginning/ending 4/1/18-12/31/18; provided however, this agreement may be terminated at any time for cause and/or violations of the terms herein. Furthermore, either parry may terminate this agreement upon ninety (90) days written notice to the other party. A new agreement may be initiated if major changes or revisions in policies are considered necessary by LES or the affiliate. (Z � Z/ Chris Ramirez, Jr. Date EMS Program Director LifeSource Educational Services j g> , _ Z-fyyrc-5 Date CAC Ih N � (,,-- ,T y Calhoun County Commissioners' Court— April 11, 2014 11. Consider and take necessary action (AGENDA ITEM NO. 11) To appoint MMC Chief of Staff Leigh Ann Falcon, MD to the Board of Managers. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pet 4 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 9 of 15 Good afternoon Susan, Leigh Ann Falcon, M.D. has been voted as the new Chief of Staff and should be appointed to the Board of Managers. Would you please place on the agenda for Commissioner's Court. Thank you. Yam ` dapwde Administrative Assistant Memorial Medical Center 815 N Virginia Street Port Lavaca, TX 77979 (361) 552.0222 (3 61) 552.0220 Fax pvillafuerleawnimcPor•llavoca. com Calhoun County Commissioners' Court — April 11, 2018 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA NO. 12) To declare certain items of County property in the Precinct # as Surplus/Salvage and remove from inventory: (CS) 1. Kodak Scanner and software. Inventory #23-0207. Works well but not with Windows 10. RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pet 3 SECONDER: Kenneth Finster, Commissioner Pet 4 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 10 of 15 Clyde Syma Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 —Office (361) 893-5346 —Fax (361) 893-5309 Email: c1vde.syma(7calhmmcotx.ors April 2, 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 April 11, 2018 • Please Consider and Take Necessary Action to declare the following as Surplus Salvage: o Kodak Scanner and software. Works well but not with Windows 10. o IVN #23-0207 Sincerely, Clyde Syma, Commissioner, Pct.3 CSAv Calhoun County Conirnissioners' Court—April 11, 2018 13. Accept reports of the following County Offices: (AGENDA ITEM NO. 13) I. Calhoun Tax Assessor/ Collector ii. County Treasurer iii. County Sheriff — Mar 2018 iv. District Clerk v. County Clerk vi. Justices of Peace —JP#1 Mar 2018; JP#2 Mar 2018; JP#3 Mar 2018; JP#4 Mar 2018; JP#5 Mar 2018 vii. County Auditor viii. Floodplain Administration ix. Extension Service x. Adult Detention Center SHP Medical RESULT: APPROVED [UNANIMOUS] MOVER: Judge Michael Pfeifer, County Judge SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 11 of 15 0.00 0.00 1,960.30 198.53 0.00 3.06 0.00 0.00 0.00 0.00 576.92 0.00 0.00 0.00 98.76 0.00 103.79 0.00 196.53 137.56 0.00 0.00 0.00 128,00 0.00 84.34 0.00 687,28 .....1:0.00 197.53 67.70 501.76 84.27 1,315.65 ".2,414.40 39.60 414.60 0.00 180.00 0.00 0.00 0.00 `..'.36,00 306.82 150.00 0.00 <60.00 0.00 20.00 0.00 0.00 .290.00. 6,785.00 0.00 5,00 0.00 0.00 <L'0.00 0.00 0.00 0.00 0.00 ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/2/2018 COURT NAME: JUSTICE OF PEACE NO. 1 ACCOUNT NUMBER CR 1000-001-45011 CR 1000-001-44190 CR 1000-001-44361 CR 1000-001-44010 CR 1000-001-44061 CR 1000-001-44090 CR 1000-001-49110 CR 1000-001-44145 CR 1000-999-20741 CR 1000-999-20744 CR 1000-999-20745 CR 1000-999-20746 CR 1000-999-20770 MONTH OF REPORT: MARCH YEAR OF REPORT: 2018 ACCOUNTNAME AMOUNT 6,975.75 1,457.40 541.90 150.00 180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 DUE TO JP COLLECTIONS ATTORNEY 2,414.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $11,719.45 CR FINES COURTHOUSE SECURITY FUND SHERIFF'S FEES $148.90 ADMINISTRATIVE FEES: 2720-001-44061 DEFENSIVE DRIVING 39.60 CHILD SAFETY 2719-001-44061 0.00 TRAFFIC 167.70 $197.53 ADMINISTRATIVE FEES 2699-001-44061 434.60 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 TOTAL ADMINISTRATIVE FEES CONSTABLE FEES -SERVICE DPS FEES JP FILING FEES 80.15 COPIES / CERTIFIED COPIES P&W FEES OVERPAYMENTS (LESS THAN $10) 0.00 SCHOOL CROSSING/CHILD SAFETY FEE TABC FEES DUE TO STATE -DRIVING EXAM FEE 0.00 DUE TO STATE -SEATBELT FINES 7020-999-20740 DUE TO STATE -CHILD SEATBELT FEE 80.15 CR DUE TO STATE -OVERWEIGHT FINES AMOUNT 6,975.75 1,457.40 541.90 150.00 180.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 DUE TO JP COLLECTIONS ATTORNEY 2,414.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $11,719.45 CR 2670-001-44061 COURTHOUSE SECURITY FUND $148.90 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $49.63 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $197.53 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $103.79 STATE ARREST FEES DPS FEES 80.15 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 80.15 CR 7070-999-20610 CCC -GENERAL FUND 208.83 CR 7070-999-20740 CCC -STATE 1,879.47 DR 7070-999-10010 2,088.30 CR 7860-999-20610 STF/SUBC-GENERAL FUND 34.36 CR 7860-999-20740 STF/SUBC-STATE 652.92 DR 7860-999-10010 687.28 CR 7950-999-20610 TP -GENERAL FUND 250.88 CR 7950-999-20740 TP -STATE 250.88 DR 7950-999-10010 501.76 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 1.80 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 34.20 DR 7480-999-10010 36.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/2/2018 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 7998-999-20740 7403-999-22889 REVISED 03/04/16 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: MARCH YEAR OF REPORT: 2018 'TRUANCY PREVENT/DIV FUND - STATE 84.27 DR 7998-999-10010 84.27 ELECTRONIC FILING FEE - CV STATE 60.00 DR 7403-999-22889 60.00 TOTAL (Distrib Req to OperAcct) $16,939.15 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD CRIM-SUPP OF IND LEG SVCS -GEN FUND DA - RESTITUTION 9.88 REFUND OF OVERPAYMENT: CRIM-SUPP OF IND LEG SVCS -STATE OUT -OF -COUNTY SERVICE FI 88.88 DR 7865-999-10010 0.00 98.76 4.25 WATER SAFETY FINES TL/FTA-GENERAL FUND 192.31 TL/FTA-STATE 384.61 DR 7970-999-10010 576.92 JPAY - GENERAL FUND 30.68 JPAY - STATE 276.14 DR 7505-999-10010 306.82 JURY REIMB. FUND- GEN. FUND 19.65 JURY REIMB. FUND- STATE 176.88 DR 7857-999-10010 196.53 CIVIL JUSTICE DATA REPOS: GEN FUND 0.31 CIVIL JUSTICE DATA REPOS: STATE 2.75 DR 7856-999-10010 3.06 JUD/CRT PERSONNEL TRAINING FUND- GEN FUN[ 0.00 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 'TRUANCY PREVENT/DIV FUND - STATE 84.27 DR 7998-999-10010 84.27 ELECTRONIC FILING FEE - CV STATE 60.00 DR 7403-999-22889 60.00 TOTAL (Distrib Req to OperAcct) $16,939.15 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 100.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 4.25 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $104.25 TOTAL COLLECTED -ALL FUNDS $17,043.40 LESS: TOTAL TREASUER'S RECEIPTS $17,043.40 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 43193 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Address: Title: City: State: Zip: Phone: Hope Kurtz Justice of the Peace, Pct. 1 :ACCOUNT NUMBER DESCRIPTION ': AMOUNT 7541.999-20759-999 JP1 Monthly Collections - Distribution $16,939.15 MARCH 2018 V# 967 Signature of Official Date TOTAL 16,939.15 COUNTY 201 West Austin DISTRIBUTION REQUEST DR# 450 D 43193 PAYEE Name: Address: City: State: Zip: Phone: JCALHOUN COUNTY ISD i SANDCRAB BLVD. PORT LAVACA I TEXAS 77979 _ 361-552-3775 PAYOR E Official: Hope Kurtz E Title: Justice of the Peace, Pct. 1 ACCOUNT NUMBER DESCRIPTION ! AMOUNT 7541.999.20759.999 JP1 - PARENT CONTRIBUTING - CARLOS GONZALES It ROXANNE YBARRA $ 100.00 MARCH 2018 Sienature of Official J TOTAI-ji 100.00 Date ENTER COURT NAME: I JUSTICE OF PEACE NO.2 ENTER MONTH OF REPORT' March ENTER YEAR OF REPORT 2018 CODE AMOUNT CASH BONDS 0.00 REVISED 03/04/76'. ADMINISTRATION FEE ADMF 000 BREATH ALCOHOL TESTING'- BAT 0.00 CONSOLIDATED COURT COSTS' -CCC. 2,083.49 COURTHOUSE SECURITY.- GHS 208.39 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -:CJDR 3.32 CORRECTIONAL MANAGEMENT INSTITUTE, CMI 0.00 '. CR 0.00 CHILDSAFETY-CS 0.00 CHILD SEATBELT FEE-CSBF 0.00 CRIME VICTIMS COMPENSATION - CVG 0.00 OPSCIFAILURE TO APPEAR -OMNI -;OPEC -412.55 ELECTRONIC FILING FEE 50.00 FUGITIVE APPREHENSION - FA 0.00 GENERAL REVENUE -GR 0.00 CRIM-. IND LEGAL SVCS SUPPORT -IDF 104.19 JUVENILE CRIME & DELINQUENCY'S. JCD 0.00 JUVENILE CASE MANAGER FUND-JCMF .113.72 .JUSTICE COURT PERSONNEL TRAINING -'.JCPT 0.00 JUSTICE COURT SECURITY FUND -.JCSF 0.00 JUROR SERVICE FEE .-JSF 208.39 LOCAL ARREST FEES -LAF '9321 LEMI 0.00 LEGA 000 LEOC 0.00 I OCL 0.00 PARKSWILDLIFE ARREST FEES -PWAF 16.74 STATE ARREST FEES- SAF 120.51 SCHOOL CROSSING/CHILD SAFETY FEE -SCF 0.00 SUBTITLE C -SUBIC 509.03 TABC ARREST FEES • TAF 0.00 TECHNOLOGYFUND TF 208.39 TRAFFIC -TFC '50.84 TIME PAYMENT -TIME :440.04 TRUANCY PREVENT/DIVERSION FUND -TPDF '.99.40 LOCAL '& STATEWARRANT FEES -WRNT 789.27 COLLECTION SERVICE FEE-MVSA-:CSRV ; :1,896.18 DEFENSIVE DRIVING COURSE -DDC ' ` 19.80 DEFERREDFEE-DFF '. 0.00 DRIVING EXAM FEE PROV DL 0.00 FILINGFEE-FFEE 242.00 FILING FEE SMALL CLAIMS- FFSC '.' 0.00 '. COPIESICERTIFED COPIES CC 0.00 INDIGENT FEE- CIFForINDF 80.00 JUDGE PAY RAISE FEE-JPAY '.312.54 SERVICE FEE SFEE 375.00 OUT -OF -COUNTY SERVICE FEE 0.00 EXPUNQEMENT FEE -EXPG 0,00 EXPIRED RENEWAL EXPR 30.00 ABSTRACT OF JUDGEMENT: -ACU ` 0.00 ALL .WRITS -WOPf.WOE 0.00 DP$FTA FINE -DPSF 990.00 LOCAL FINES +FINE `:6,748.40 LICENSE& WEIGHT FEES-LWF 0.00 tPARKS &WILDLIFE FINES -PWF .725.00 ;$EATBELT/UNRESTRAINED CHILD FINE SEAT 0.00 V- JUDICIAL & COURT PERSONNEL TRAINING FUND- JCPT 0.00 ' OVERPAYMENT ($10 & OVER) - OVER 0.00 * OVERPAYMENT (LESS THAN $10) - OVER 0.00 RESTITUTION -;REST 0.00 PARKS& WILDLIFE -WATER SAFETY FINES-WSF 55.00 WCR 0.00 TOTAL ACTUAL MONEY RECEIVED 576;836.40 TYPE: AMOUNT TOTAL WARRANT FEES 78927 ENTER LOCAL WARRANT FEES :41660 RECORD ONTOTALPAGE OFHILL COUNTRYSOFTP/ARE MO. REPORT STATE WARRANT FEES$a7�87 = RECORD ONTOTALPAGEOFHILL COUNTRYSOFTWARE MO REPORT DUE TO OTHERS: AMOUNT DUE TO CGISD- 597P Of FI0e 00 JV mses 0.00 PIFASEINCLUDE URREOUESTING DISBURSEMENT DIIETO DA RESTITUTION FUND "000 PLEASEINCLUDE O.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 0,00PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OLIT-OF COUNTY SERVICE FEE 0.00'. PUEASEINCLUDE UR. REQUESTING DISBURSEMENT CASH BONDS 0.00 PLEASEINCWDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERS :: 0.00 TREASURERS RECEIPTS FOR MONTH-. + AMOUNT CASH, CHECKS, M.O.s & CREDIT CARDS '.: $18,935.40. Calculate from ACTUAL Treasumes Receipts TOTAL TREAS. RECEIPTS $78936.40 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/2/2018 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: March YEAR OF REPORT: 2018 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 7,855.40 CR 1000-001-44190 SHERIFF'S FEES 917.75 Page 1 of 2 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 19.80 CHILD SAFETY 0.00 TRAFFIC 50.84 ADMINISTRATIVE FEES 30.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 100.64 CR 1000-001-44010 CONSTABLE FEES -SERVICE 375.00 CR 1000-001-44062 JP FILING FEES 242.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,896.18 TOTAL FINES, ADMIN. FEES & DUE TO STATE $11,386.97 CR 2670-001-44062 COURTHOUSE SECURITY FUND $156.29 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $52.10 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $208.39 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $113.72 STATE ARREST FEES DPS FEES 98.64 P&W FEES 3.35 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 101.98 CR 7070-999-20610 CCC -GENERAL FUND 208.35 CR 7070-999-20740 CCC -STATE 1,875.14 DR 7070-999-10010 2,083.49 CR 7860-999-20610 STF/SUBC-GENERAL FUND 25.45 CR 7860-999-20740 STF/SUBC-STATE 483.58 DR 7860-999-10010 509.03 CR 7950-999-20610 TP -GENERAL FUND 220.02 CR 7950-999-20740 TP -STATE 220.02 DR 7950-999-10010 440.04 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 1.50 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 28.50 DR 7480-999-10010 30.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS TOTAL (Distrib Req to OperAcct) $16,272.40 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 4/2/2018 COURT NAME: JUSTICE OF PEACE NO.2 0.00 REFUND OF OVERPAYMENT' 0.00 OUT -OF -COUNTY SERVICE FI MONTH OF REPORT: March 0.00 PARKS & WILDLIFE FINES 616.25 WATER SAFETY FINES YEAR OF REPORT: 2018 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 10.42 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 93.77 DR 7865-999-10010 104.19 CR 7970-999-20610 TUFTA-GENERAL FUND 137.52 CR 7970-999-20740 TUFTA-STATE 275.03 DR 7970-999-10010 412.55 CR 7505-999-20610 JPAY - GENERAL FUND 31.25 CR 7505-999-20740 JPAY -STATE 281.29 DR 7505-999-10010 312.54 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 20.84 CR 7857-999-20740 JURY REIMB. FUND- STATE 187.55 DR 7857-999-10010 208.39 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.33 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 2.99 DR 7856-999-10010 3.32 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 99.40 DR 7998-999-10010 99.40 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 50.00 DR 7403-999-10010 50.00 TOTAL (Distrib Req to OperAcct) $16,272.40 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT' 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 616.25 WATER SAFETY FINES 46.75 TOTAL DUE TO OTHERS $663.00 TOTAL COLLECTED -ALL FUNDS $16,935.40 LESS: TOTAL TREASUER'S RECEIPTS $16,935.40 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 43193 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Calvin Anderle Justice of the Peace, Pct. 2 ACCOUNT NUMBER DESCRIPTION AMOUNT 7542-999-20759-999 JP2 Monthly Collections - Distribution $16,272.40 March 2018 V# 967 Signature of Official Date TOTAL 16,272.40 1,344.07 134.41 2.02 217.88 90.00 67.20 95.00 10.00 134.38 98.22 35.00 34.81 609.40 134.41 '. `60.95 111.63 56.68 563.13 961.50 29.70 225.00 54.00 201.61 l'.300.00 10.00 290.00 3,158.60 1,003.00 35.00 113.00 OF PEACE NO.3 ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO REPORT ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT DR. REQUESTING DISBURSEMENT DR. REQUESTING DISBURSEMENT DR. REQUESTING DISBURSEMENT (IF REQUIRED) MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/5/2018 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: MARCH YEAR OF REPORT: 2018 Page 1 of 2 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 3,616.00 CR 1000-001-44190 SHERIFF'S FEES 672.54 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 29.70 CHILD SAFETY 0.00 TRAFFIC 60.95 ADMINISTRATIVE FEE 10.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 100.65 CR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 CR 1000-001-44063 JP FILING FEES 225.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-00149110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 961.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,875.69 CR 2670-001-44063 COURTHOUSE SECURITY FUND $100.81 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $33.60 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $134.41 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $95.00 STATE ARREST FEES DPS FEES 51.62 P&W FEES 7.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 58.62 CR 7070-999-20610 CCC -GENERAL FUND 135.41 CR 7070-999-20740 CCC -STATE 1,218.66 DR 7070-999-10010 11354.07 CR 7860-999-20610 STF/SUBC-GENERAL FUND 30.47 CR 7860-999-20740 STF/SUBC-STATE 578.93 DR 7860-999-10010 609.40 CR 7950-999-20610 TP -GENERAL FUND 55.82 CR 7950-999-20740 TP -STATE 55.81 DR 7950-999-10010 111.63 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 2.70 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 51.30 DR 7480-999-10010 54.00 Page 1 of 2 0 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/5/2018 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 7502-999-20740 CR 7998-999-20740 CR 7403-999-22889 REVISED 03/04/16 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: MARCH YEAR OF REPORT: 2018 CRIM-SUPP OF IND LEG SVCS -GEN FUND 6.72 CRIM-SUPP OF IND LEG SVCS -STATE 60.48 DR 7865-999-10010 67.20 TL/FTA-GENERAL FUND 72.63 TL/FTA-STATE 145.25 DR 7970-999-10010 217.88 JPAY - GENERAL FUND 20.16 JPAY - STATE 181.45 DR 7505-999-10010 201.61 150 DR 7857-999-10010 DR 7856-999-10010 DR 7502-999-10010 DR 7998-999-10010 DR 7403-999-10010 JURY REIMB. FUND- GEN. FUND 13.44 JURY REIMB. FUND- STATE 120.94 134.38 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.20 CIVIL JUSTICE DATA REPOS.- STATE 1.82 JUD/CRT PERSONNEL TRAINING FUND -STAT 35.00 35.00 TRUANCY PREVENT/DIVERSION FUND 56.68 56.68 ELECTRONIC FILING FEE �s TOTAL (Distrib Req to OperAcct) $9,232.00 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY IS 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAI 0.00 OUT -OF -COUNTY SER 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FII 852.55 WATER SAFETY FINE; 96.05 TOTAL DUE TO OTHERS $948.60 TOTAL COLLECTED -ALL FUNDS $10,180.60 LESS: TOTAL TREASUER'S RECEIPTS $10,180.60 OVER/(SHORT) $0.00 Page 2 of 2 04-02-18;15:52 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 1/ 4 FAX COVER SHEET April 2, 2018 FROM: Justice Court Pct 4, Calhoun County 103 W. Dallas Street, P.O. Box 520 eadrift, Texas 77983 PHONE: 385-7082_ FAX: 361-785-2179 TO: Susan Riley REF: Money Distribution Report FAX: -3 -EL -553-4444 NN- TE: ,The March 2018 report is attached Please g ive me a call i-ou have au questions _ Pages To Follow: 4 Including This Cover_ Thank you, Judge Wesley J. Hunt 04-02-18;15:52 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4 i 10.00 2,106.39 221.14 1.80 1.00 30,00 240.00 40.00 10.00 102.68 1.00 221.43 4.00 213,14 136,20 40.14 376.47 221.14 37.00 232.13 100.60 160M 914.10 4,00 100.00 24.00 316.71 76.00 88&00 4,079.30 706.00 2,014.00 Timpommes SO;;REMO.REPORT OOMARE MO, REPORT REQUIRED) 04-02-18;15:52 ;From:Calhoun County JP4 To:5534444 ;3617852179 4/2/2018 ACCOUNTNUMBER OR 1000-001-45014 OR 1000-001-44190 OR 1000-001-44364 OR 1000.001-44010 OR 1000.001-44064 OR 1000-001-44090 CR 1000-001-49110 CR 1000.001-44145 OR 1000-999-20741 OR 1000.999-20744 OR 1000-999-2o745 CR 1000-999-20746 CR 1000-999-20770 CR 2670-001-44064 OR 2720-001-44064 OR 2719-001-44064 CR 2690-001-44064 OR 7020-999-20740 OR 7070-999-20610 OR 7070-999-20740 CR 7860-999-20610 OR 7860.999-20740 OR 7950-999.20610 CR 7950-999-20740 CR 7480-999-20610 CR 7480-999-20740 COURT NAME: JUSTICE OF PEACE NO, 4 MONTH OF REPORT: MARCH YEAR OF REPORT: 2018 ADMINISTRATIVE FEES: DEFENSIVE DRIVING CHILD SAFETY TRAFFIC ADMINISTRATIVE FEES EXPUNGEMENT FEES MISCELLANEOUS STATE ARREST FEES OPS FEES P&W FEES TABC FEES DR 7070.999-10010 OR 7860-999-10010 DR 7950.999.10010 DR 7480-999-10010 ACCOUNTNAME FINES SHERIFF'S FEES Ell # 3/ 4 AMOUNT 6,457.40 370.40 TOTAL ADMINISTRATIVE FEES 52.76 CONSTABLE FEES -SERVICE 75.00 JP FILING FEES 100.00 COPIES / CERTIFIED COPIES 0.00 OVERPAYMENTS (LESS THAN $10) i 0.00 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 DUE TO STATE -DRIVING EXAM FEE 0.00 DUE TO STATE -SEATBELT FINES 0.00 DUE TO STATE -CHILD SEATBELT FEE 0.00 DUE TO STATE -OVERWEIGHT FINES 398.00 DUE TO JP COLLECTIONS ATTORNEY I 914.10 TOTAL FINES, ADMIN, FEES & DUE TO STATE $8,367,66 COURTHOUSE SECURITY FUND $165.86 JUSTICE COURT SECURITY FUND $55.29 JUSTICE COURT TECHNOLOGY FUND $221.14 JUVENILE CASE MANAGER FUND $221.43 CCC -GENERAL FUND STF/SUBC-GENERAL FUND TP -GENERAL FUND CIVIL INDIGENT LEGAL -GEN, FUND Page 1 of 2 26.03 46,03 221.14 18,92 116,07 1.20 04-02-18;15;52 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4 4/2/2018 OR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 OR 7970-999-20740 OR 7505-999-20610 OR 7505-999-20740 CR 7857-999-20610 OR 7657-999-20740 OR 7856.999-20610 OR 7856-999-20740 OR 7502-999-20610 OR 7502-999.20740 OR 7998-999-20740 OR 7403-999-22889 REVISED 03/04/16 :PORT OF COLLECTIONS AND DISTRISU i COURT NAME: JUSTICE OF PEACE NO, 4 MONTH OF REPORT: MARCH YEAR OF REPORT: 2018 CRIM-SUPP OF IND LEG SVCS -GEN FUND DR 7865-999-10010 10.26 DR 7998-999-1 0 01 0 DR 7403.999.10010 DUE TO OTHERS (Distr/b Req Attchd) CALHOUN COUNTY ISD DA - RESTITUTION REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS PARKS $ WILDLIFE FINES WATER SAFETY FINES TOTAL (D1Strib Req to Oper 2,221 TOTAL COLLECTED -ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS Page 2 of 2 $12,957.20 $2,221.90 $15,179.10 $15,179,10 TL/FTA-GENERAL FUND I 80.00 DR 7970-999-10010 TI./FTA-STATE i160,00 240,00 JPAY- GENERAL FUND j 31.57 DR 7505.999-10010 JPAY-STATE 28414 395.71 JURY REIMB. FUND- GEN. FUND 21.31 JURY REIMB. FUND- STATE ( 191.83 DR 7857-999-10010 213.94 CIVIL JUSTICE DATA REPOS.- GEN FUND I 0.18 CIVIL JUSTICE DATA REPOS. -STATE 1 1.62 DR 7856-999-10010 180 JUD/CRT PERSONNEL TRAINING FUND- GEN FUN JUD/CRT PERSONNEL TRAINING FUND -STATE 2.00 18.00 DR 7502-999-10010 DR 7998-999-1 0 01 0 DR 7403.999.10010 DUE TO OTHERS (Distr/b Req Attchd) CALHOUN COUNTY ISD DA - RESTITUTION REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS PARKS $ WILDLIFE FINES WATER SAFETY FINES TOTAL (D1Strib Req to Oper 2,221 TOTAL COLLECTED -ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS Page 2 of 2 $12,957.20 $2,221.90 $15,179.10 $15,179,10 04-04-18;15:53 From;Calhoun County Pct. 5 To:5534444 ;3619832461 # 1/ 9 ANP A&M&E FDR A1.4,,.. DATE April 4. 2018 FAX COVER SHEET JUDGE NANCY POMYKAL P 0 BOX 454 PORT 0' CONNOR, TX.77982 (361)983-2351 -TELEPHONE (361)983-2461 - FAX COUNTY OF CALHOUN JUSTICE COURT PCT. 5 PAGES: 9 Including this cover TO: JUDGE MIKE PFEIFER & COUNTY COMMISSIONERS ATT: SUSAN FAX NUMBER(S) 361-5534444 SUBJI=CT: MARCM 2018 — MONEY DISTRIBUTION REPORT NOTE Susan I am faxing the above report for March 2018 Please give me a call if you have any questions. Thank you, 9P T Zz" poofexld THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S) named in this message, This communication is intended to be and to remain confidential and may be subject to applicable attorney/client and/or work product privileges. If you are not the intended recipient of this message, or if this message has been addressed to you in error, please immediately alert the sender by fax and then destroy this message and its attachments, Do not deliver, distribute or copy this message and/or any attachments and if you are not the intended recipient, do not disclose the contents or take any action in reliance upon the information contained in this communication or any attachments. 04-04-18;15:53 ;From:Calhoun County Pct, 5 To:5534444 ;3619832461 # 2/ 9 1 Money Distribution Report 374206 1003-0245 03-26-2019 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 IF O,qBQRIJ, JERRY LEE UR JCSF 1.00 JPAY 6.00 lor 2.00 TPDP 2.00 PWF Cash '� '...:...03„26.'601 .*:.11 .. .J. C.M. P... ..... . 0.00 17l2fl7;' nj n74e -. 376288 1709-0639 03-26.2018 JSP 1.09 CCC 10.87 CHS 0.02 SAP VA$QTJCZ, DAMIAN B TV 1.09 JCSF 0.27 JPAY 1,63 IDY 4.00 170.00 90.00 1.36 TIME 6.79 25.00 0.54 TPDF 0.54 Y 376290 1612-0303A 03-20-2010 JSP 4.00 CCC 40.00 CHS 3.00 LAP 5.00 WRNT 50.00 529.10 PLANCARTB, MARTIN GYJZMAN IF 1.00 JCSF 1.00 JPAY 6,00 IDP 2.00 TPDF 2.00 Company Check OMVC 4.00 OMND 20.00 OMNO G.00 FIND 260.00 CSRV 222.10 CCSO CK. 3762.91: 4039.1 0�:20A2018�;USV:: ,4A.,00, I. C(.'C 11 0 V.1 i 0" -"50', 0 4,::}":Y';3t,''2'.;. S ico 4 00 LfCrF �'I' 0 0 'dPAX.:- �66:11 LANChUTE,. 44ARTIN ,M P 2.!..o 0 00r::'.:...; ..... .. .... ... . ... ..... MNC;' d!*::6e`..j�:lO 562, lv. 0 TOMNOI!, N-. 379292 1003-0747 03-26-2010 JSF 4.00 TFC 3.60 CCC 40100, CHS 3.00 LAP 5.00 135.00 BBRKrNMEIR, MARK EDWIN IF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVF 0.10 Company. Check SUBC 30.00 TPI)P• 2.00 DFF 29.90 Q7CMF 5.00 ZiN ........ . . 3715294 2407-0361 03-2.9-2019 T$ P 4.00 TFC 3.00 CCC 40.00 CHS 3,00 SAP 5.00 314.90 ROSAS. LUCAS OUAUALUPE TIME 25.00 IF 4.00 DPBC 30.00 JCSF 1.00 JPAY 6.00 Cradit Card X101, 2.00 MVF 0.10 atmic 30.00 TPOV 2.00 FINE @G.00 CSRV 72.60 37.6-295 03- 9-2010t YSP',' ... 1! 4 -Oa b0T:F,;CCC' s:00...+•0:(::,:'331150 I, 1,F I . �0 1 : 1, r. 1, 7 g . . . . ...... ... .:0.0 04-03-2010 pay* 1 ,F.!: Ft CALHOUN J.P. 5, KARCH 2018 REPORT Comm RaccipL Cauno/Dofdadanla CodatAhmountu Total 376274 04-08-0322 03-05-2010 WRNT 50.00 TIME 25.00 FINE 45.00 CSRV 13.30 376270 1707-050 133 .50. RAMIREZ, CHARLES ALAN CCC 40.00 CHS 3.00 PWAF 5.00 TIME 25.00 245.00 CLIFTON, JOHN MICHAEL TV Company. check JCSF 1.00 JPAY 6.00 )CUP 2.00 TPDF 2.00 Comm service PWF 31-6:75 i.446i, 621 40 .. .90 C.NO. , DWI! 2.79- 17 7-05 Sl-- .: 1,50 RAMIREZ,,' . CHA LES ALAN TV '4 00 VIk*1.:l. 53!;;00�70 OSR -1: L SO .; , . 1. ... ,.',':f..1 ... ,• .. ".., . M. ' CO.,: ..... ........ 376276 1311-0654 03.0? -2019 jgF' 4- 0� CCC 40,00 CHS 3.00 LAP 5.00 IF 4.00 461,50 BETANCOURT, HUGO CESAR TR. DPSC 30:00 JCSF 1100 JPAY 6.00 TOP 2.00 VINE 260.00 9.00 IDF 2.00 MVF 0.10 Credit Card csnv 106.50 SUBC 30.00 TPDF 2.00 OMNC 4.00 OMND 20.00 OMMO 15.00 374206 1003-0245 03-26-2019 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 IF O,qBQRIJ, JERRY LEE UR JCSF 1.00 JPAY 6.00 lor 2.00 TPDP 2.00 PWF Cash '� '...:...03„26.'601 .*:.11 .. .J. C.M. P... ..... . 0.00 17l2fl7;' nj n74e -. 376288 1709-0639 03-26.2018 JSP 1.09 CCC 10.87 CHS 0.02 SAP VA$QTJCZ, DAMIAN B TV 1.09 JCSF 0.27 JPAY 1,63 IDY 4.00 170.00 90.00 1.36 TIME 6.79 25.00 0.54 TPDF 0.54 Y 376290 1612-0303A 03-20-2010 JSP 4.00 CCC 40.00 CHS 3.00 LAP 5.00 WRNT 50.00 529.10 PLANCARTB, MARTIN GYJZMAN IF 1.00 JCSF 1.00 JPAY 6,00 IDP 2.00 TPDF 2.00 Company Check OMVC 4.00 OMND 20.00 OMNO G.00 FIND 260.00 CSRV 222.10 CCSO CK. 3762.91: 4039.1 0�:20A2018�;USV:: ,4A.,00, I. C(.'C 11 0 V.1 i 0" -"50', 0 4,::}":Y';3t,''2'.;. S ico 4 00 LfCrF �'I' 0 0 'dPAX.:- �66:11 LANChUTE,. 44ARTIN ,M P 2.!..o 0 00r::'.:...; ..... .. .... ... . ... ..... MNC;' d!*::6e`..j�:lO 562, lv. 0 TOMNOI!, N-. 379292 1003-0747 03-26-2010 JSF 4.00 TFC 3.60 CCC 40100, CHS 3.00 LAP 5.00 135.00 BBRKrNMEIR, MARK EDWIN IF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVF 0.10 Company. Check SUBC 30.00 TPI)P• 2.00 DFF 29.90 Q7CMF 5.00 ZiN ........ . . 3715294 2407-0361 03-2.9-2019 T$ P 4.00 TFC 3.00 CCC 40.00 CHS 3,00 SAP 5.00 314.90 ROSAS. LUCAS OUAUALUPE TIME 25.00 IF 4.00 DPBC 30.00 JCSF 1.00 JPAY 6.00 Cradit Card X101, 2.00 MVF 0.10 atmic 30.00 TPOV 2.00 FINE @G.00 CSRV 72.60 37.6-295 03- 9-2010t YSP',' ... 1! 4 -Oa b0T:F,;CCC' s:00...+•0:(::,:'331150 I, 1,F I . �0 1 : 1, r. 1, 7 g . . . . ...... ... .:0.0 04-03-2010 pay* 1 ,F.!: Ft Comm 376270 1707-050 03-07-2020 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TIME 25.00 245.00 CLIFTON, JOHN MICHAEL TV 4.00 JCSF 1.00 JPAY 6.00 )CUP 2.00 TPDF 2.00 Comm service PWF 133.00 2.79- 17 7-05 Sl-- .: 420191:0Pf I ; .., :4 DO C6C*'I,*- : .".. '4'1b..i).6; . ... , , ". - - ,. 1 ...; "I9o!"...:;. :, .; , . 1. ... ,.',':f..1 ... ,• .. ".., . YF. . ."0�..;::...'.:r. PDD CO.,: ..... ........ 376280 1705-0469 03-13-2010 JSF 4.00 TFC 3.00 CCC OFF. N1. 40.00 CRS 3.00 LAP 5.00 170,00 DROWN, JUSTIN COLE TF 4.00 JCSF 1.00 JPAY 9.00 IDF 2.00 MVF 0.10 Company Check SUBC 30.00 TPDF 2.00 OMNC 4.00 OMND 20.00 OMMO 15.00 VINE 39.90 376281• �,t705; .... JSF-.,, 4 ADC. TFIC Ae 5,06 k . . -I!, UP, .. . ... . . .... F. .... . -1 ..... 2 . . ..". OMOC. ... .. 0b:. 9.00 qq CSRV'. ". 0 IF 376282 180-0743 03.10-2010 JSP 4.00 TFC 3.00 CCC 40.00 CHS 3.00 LAP 5.00 170.00 PATEL, AAXASH SCArSH TF 4.00 JCSF 1.00 JPAY 6.00 rnp 2.00 MVP 0.10 Co sh SUBC .. 30.00 TPDF 2.00 FINE 54,90 icmr 5�00 3,7 420-3: -17124694- : '. CCC � .' 1. . I F. ..! ..... ' " . .... ... .. .. ..... ... A, .... . .1 ghGUSIN�F'LOUX&�RVRB F. w. 376264 1003-0749-FVD 03-22-2010 SFEE: 75.00 XPEr 6.00 FILL 25.00 JPTF 9.00 EPP 10,00 121.00 HBILKPR, ANITA WALTON 374206 1003-0245 03-26-2019 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 IF O,qBQRIJ, JERRY LEE UR JCSF 1.00 JPAY 6.00 lor 2.00 TPDP 2.00 PWF Cash '� '...:...03„26.'601 .*:.11 .. .J. C.M. P... ..... . 0.00 17l2fl7;' nj n74e -. 376288 1709-0639 03-26.2018 JSP 1.09 CCC 10.87 CHS 0.02 SAP VA$QTJCZ, DAMIAN B TV 1.09 JCSF 0.27 JPAY 1,63 IDY 4.00 170.00 90.00 1.36 TIME 6.79 25.00 0.54 TPDF 0.54 Y 376290 1612-0303A 03-20-2010 JSP 4.00 CCC 40.00 CHS 3.00 LAP 5.00 WRNT 50.00 529.10 PLANCARTB, MARTIN GYJZMAN IF 1.00 JCSF 1.00 JPAY 6,00 IDP 2.00 TPDF 2.00 Company Check OMVC 4.00 OMND 20.00 OMNO G.00 FIND 260.00 CSRV 222.10 CCSO CK. 3762.91: 4039.1 0�:20A2018�;USV:: ,4A.,00, I. C(.'C 11 0 V.1 i 0" -"50', 0 4,::}":Y';3t,''2'.;. S ico 4 00 LfCrF �'I' 0 0 'dPAX.:- �66:11 LANChUTE,. 44ARTIN ,M P 2.!..o 0 00r::'.:...; ..... .. .... ... . ... ..... MNC;' d!*::6e`..j�:lO 562, lv. 0 TOMNOI!, N-. 379292 1003-0747 03-26-2010 JSF 4.00 TFC 3.60 CCC 40100, CHS 3.00 LAP 5.00 135.00 BBRKrNMEIR, MARK EDWIN IF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVF 0.10 Company. Check SUBC 30.00 TPI)P• 2.00 DFF 29.90 Q7CMF 5.00 ZiN ........ . . 3715294 2407-0361 03-2.9-2019 T$ P 4.00 TFC 3.00 CCC 40.00 CHS 3,00 SAP 5.00 314.90 ROSAS. LUCAS OUAUALUPE TIME 25.00 IF 4.00 DPBC 30.00 JCSF 1.00 JPAY 6.00 Cradit Card X101, 2.00 MVF 0.10 atmic 30.00 TPOV 2.00 FINE @G.00 CSRV 72.60 37.6-295 03- 9-2010t YSP',' ... 1! 4 -Oa b0T:F,;CCC' s:00...+•0:(::,:'331150 I, 1,F I . �0 1 : 1, r. 1, 7 g . . . . ...... ... .:0.0 04-03-2010 pay* 1 04-04-18;15:53 ;From:Calhoun County Pot. 5 To:5534444 ;3619832461 # 3/ 9 Noney DiOtvibution Report MUM J.P. g, MARCH 2010 REPORT Reecint Cuvww C Page 04-04-18;15:53 ;From:Calhoun County Pot. 5 To:5534444 ;3619832461 # 4/ 9 Money Diatribution Report CALROUN J.P, 5, MARCH 2030 REPORT T"a Code Description Count Retained Disburaed Mone -Totals The 90110wing t0talo represent - Canh eod Chaoka C01Io0ted COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST TDF INDIGENT DEFENSE PUMP COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSP JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVP MOVING VIOLATION FEE COST OMNC DP$ OMNI FEB - COUNTY COST OMND DPS OMNI FEE - DPS C08T OMNO DPS OMNI FEE - OMNYDASE COST PWAF TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUB TITLE C COST TF TECHNOLOGY FUND COST TFC TPC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION COST WANT WARRANT FRE FEES CSRV COLLECTION SERVICES FEE FEES DDC DRIVER SAFETY COURSE - 2013 FEES OFF DEFERRED FEE FEES EFF ELECTRONIC FILING FRE FEES FILI PILING FEE FEES IFEN INDIGENT FEE FEES JCMF JUVENILE CASE MANAGER FEE FEES JPTF JUDICIAL & COURT PERSONNEL TRNO FEES SPEC SERVICE FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE PINE MOnOy Totala FUND PEE -CV The following totalo rcproeent - Transfera Collected COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST OPEC DPS FAILURE TO APPEAR /OMNI FEES COST TDP INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND :OST LAP SHERIPP'S FEE 20ST MVP MOVING VIOLATION FEE :OST OMNC DPS OMNI FEE - COUNTY OST OMND DPS OMNI FEE - UPS :OST OMNO DPS OMNI FEE - OMNIBASE :OST PWAF TEXAS PARKS & WILDLIFE :OST SAF Ova :OST SUBC SUE TITLE C :OST TF TECHNOLOGY FUND :OST TFC TFC :OST TIME TIME PAYMENT FEE :OST TPDF TRUANCY PREVENTION & DIVERSION :OST WRNT WARRANT FEE 'EES CSRV COLLECTION SERVICES FEE 'EES DDC DRIVER SAFETY COURSE - 2013 'EES OFF bEFERRED PER 'CGS EFF BLRCTRONIC FILING FEE 'EES FILI FILING FEE 'EES IEEE INDIGENT FEE 'EES JCMF JUVENILE CASE MANAGER FEE 'EES JPTF JUDICIAL & COURT PERSONNEL TRNG 'EBD SPED SERVICE PDE 'INE FINE FINE 'INR PEP PARKS & WILDLIFE FINE FUND FEE -CV 12 43.09 307.78 430.07 11 30.02 0100 30.82 0 0.00 O.DO 0.00 10 I,es 16.69 10.54 10 9.27 0.00 9.27 10 5.56 50.07 55.63 10 3.71 33.36 37,09 7 35.00 0.00 35.00 4 0.04 0,36 0.40 4 16.00 0.00 16,00 4 0.00 00.00 00.00 4 0.00 24,00 24.00 3 12,00 3.00 15.00 2 5.09 1.27 6.36 4 120.00 0.00 120,00 11 41.09 0.00 41.09 4 12.00 0.00 12,00 S 53.39 53.40 106.79 10 0.00 18.54 16.54 4 200.00 0.00 200.00 5 362.10 0.00 362.10 0 0.00 0.00 0.00 1 29.90 0,00 29.90 1 0.00 10.00 10.00 1 25.00 0.00 25.00 1 0.30 5.70 6,00 5 25.00 0.00 25.00 1 0.00 5.00 5.00 1 75.00 0.00 75.00 7 035.70 0.00 035.70 3 37,65 213.35 251.00 14 1,979.56 902.54 2,882.10 0 0.00 0.00 0,00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0100 0 0.00 0.00 0.60 0 0.00 0.00 0,00 0 0.00 0.00 0.00 0 0.00 0.00 9.90 0 0.00 0,00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0,00 0.00 0.00 0 0,00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0,00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 D.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 O.OD 0.00 0 0.00 0,00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0,00 0.00 0.00 0 0.00 0100 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 Ole Page 04-04-18;15:53 ;From:Calhoun County Pct, 5 To:5534444 ;3619832461 # 5/ 9 Money Diatributien Report CA73l�aM J E 5 MARCH 2016 REPORT Typo Code Description Count Retained pioburaed NOae -TO talo TYAnafer Totalp - 0 0.00 0.00 0.00 The 90110wizO totals repreoent - Jail Credit and Community Service COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSP JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAF SHERIFF'S FEE COST MVR MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI FEE - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PWAP TEXAS PARKS & WILDLIFE COST SAF Des COST SUBC SUB TITLE C COST TP TECHNOLOGY FOND COST TPC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT'FEE PEES CSRV COLLECTION SERVICES FEE FEES DDC DRIVER SAFETY COURSE - 2013 FEES OFF DEFERRED FEE FEES EFF ELECTRONIC FILING FEE FEES FILL FILING FEE FEES IFEE INDIGENT FEE FEES JCMP JUVENILE CASE MANAGER PEE FEES JPTF JUDICIAL & COURT PERSONNEL TANG FEE -CV FEES UPON SERVICE FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE 3 3 0 3 3 3 3 0 0 0 0 0 3 0 0 3 0 3 3 0 0 0 0 0 0 0 0 0 0 0 3 12.00 9.00 0.00 0.60 3.00 1.80 1.20 0.00 O.DO 0.00 0.00 0.00 12.00 0.00 0.00 12.00 0.00 37.50 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 60.85 100.00 0.00 0.00 5.40 0.00 16.20 10.86 0.00 0.00 0.00 0.00 0.00 3.00 D.00 0.00 0.00 0.00 37.50 6.00 0.00 0.00 D.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 390.15 120.00 9.00 0.00 6.00 3.00 18.00 12.00 0.00 0.00 0.00 0.00 0.00 15.00 0.00 0.00 12.00 0.00 75.00 6.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 459.00 Credit Totals 3 157.95 577.05 735.00 The following tobalc repreoent - Credit Card Paymento COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST TDP INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S PEE COST MVP MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI PEE - DPS COST OMNO DPS OMNI FEE - OMNYSASE COST PWAP TEXAS PARKS 6& WILDLIFE :OST SAP DPS :OST SUBC SUB TITLE C COST TP TECHNOLOGY FUND :OST ,TFC TFC 'OST TIMR TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST WENT WARRANT FEE ?EES CSRV COLLECTION SERVICES FEE ?EES DOC DRIVER SAFETY COURSE - 2013 TEES DPP DEFERRED PEE ?EES EFF ELECTRONIC FILING FEE FEES rILI FILING FEE PEPS IPEE INDIGENT PEE FEES JCMP JUVENILE CASE MANAGER FEE "EES MPTP JUDICIAL & COURT PERSONNEL TEND PEE -CV FEES SPEE SERVICE FEE PINE FINE FINE PINE PWP PARKS & WILDLIFE PINE 5 5 3 5 S 5 5 1 4 1 1 1 0 4 4 8 4 3 3 0 4 1 0 0 0 0 1 0 0 5 0 20.00 15.00 29.70 1.00 5.00 3.00 2.00 5.00 0.05 4.00 0.00 0.00 0.00 16.00 120.00 20.00 12.00 37.50 0.00 0.00 315.60 I1.90 0.00 0.00 0.00 0.00 5.00 0.00 0.00 G06.60 D.OD 180.00 0.00 60.30 9.00 0.00 27.00 10.00 0.00 0.45 0.00 20.00 6.00 0.00 4.00 0.00 0.00 0.00 37.50 6.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 200.00 15.00 90.00 10.00 5.00 30.00 20.00 S.00 0.50 4.00 20.00 6.00 0.00 20.00 120.00 20.00 12.00 75.00 6.00 0.00 315.60 11.90 0.00 0.00 0.00 0.00 5.00 0.00 0.00 60G.GD 0.00 Page 04-04-18;15:53 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 6/ 9 Money Diotxibution Report Typo Code neaoription CALHOUN J.p. 5, MARCH Count R t Anod 2010 "PORT Dimbure d M y Totals Credit Card Totnle 5 1,229.35 368.25 _ 1,597.60 Thu f0110wing totals roprtaent - Combined Money COST CCC CONSOLIDATED COURT COSTS 17 63.09 COST CHS COURTHOUSE SECURITY 16 45.82 567.78 0.00 630.87 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 3 29.70 45.82 COST IDF INDIGENT DEFENSE POND SS 60.30 90,00 2,a5 25.69 20.54 COST JCSF JUSTICE COURT SECURITY FUND 15 14,27 0.00 COST JPAY JUDOS PAY RAISE FEE 15 8.56 77,07 14.27 85.63 COST TSF JUROR SERVICE FUND 15 5.71 51.30 57.09 COST LAP SHERIFF'S FEE 0 40.00 0.00 40.00 COST MVP MOVING VIOLATION FEE 0 0.09 0.81 0.90 COST OMNC DES OMNI FEE - COUNTY 5 20.00 0.00 20.00 COST OMND DPS OMNI FEE - up5 5 0,00 100.00 100.DO COST OMNC, DPS OMNI FEE - OMMISASE 5 O.DO 30.00 30,00 COST PWAF TEXAS PARKS & WILDLIFE 3 12.00 3,00 15.00 COST SAF DPS 6 21.09 5.27 26.36 COST SUeC SUB TITLE C a 240.00 0.00 240.00 COST TF TECHNOLOGY FUND 16 61.09 0.00 61.09 COST TFC TEC 8 24,00 0.00 24.00 COST TIME TIME PAYMENT FEE a 90.09 90.90 101.79 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 13 0.00 24.54 COST WRNT WARRANT PEE 4 200.00 0,00 24,54 200.00 FEES CSRV COLLECTION SRRVYCES FEE 9 677.70 0.00 677,70 FEES DDC DRIVER SAFETY COURSE - 2013 1 11.90 0.00 11.90 FEES DFP DEFERRED FEE 1 29.90 0.00 29.90 FEES EFF ELECTRONIC FILING FEE 1 0.00 10.00 10.00 FEES FILM 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 6 3040 0.00 FEES JPTr JUDICIAL & COURT PERSONNEL TRNG FEE -CV 1 0.00 30.00 FEES APSE SERVICH FEE 1 75.00 5.00 0.00 5,00 75.00 FINE FINE FINE 12 1,442,30 0.00 1,442.30 P114E PWF PARKS & WILDLIFE FINE 3 37,65 213.35 251.00 Money Totala 19 31200.91 11270.79 4,477.70 Thu following totals reproocnt - Cem)>inad Money and Cradita , COST CCC CONSOLIDATED COURT COSTS 20 75.09 675.70 750.87 COST CRS COURTHOUSE SECURITY 19 54.82 0.00 54,82 COST DPSC DPS FAILURE TO APPEAR /OMNY FEES 3 29,70 60.30 90.00 COST TDF INDIGENT DEFENSE FUND 10 3.45 31.09 34.54 COST JCSF JUSTICE COURT SECURITY FUND is 17.27 0.00 17.27 COST JPAY JUDGE PAY RAISE FEE 10 10.36 93.27 103,63 COST JSP JUROR SERVICE FOND 10 6.91 62.18 69.09 COST LAP SHERIFF'S FEE 8 40.00 0,00 40.00 COST MVP MOVING VIOLATION FEE 8 0,09 0.81 0.90 COST OMNC DPS OMNI FEE - COUNTY 5 20.00 0.00 20.00 COST DMND DPS OMNI FEE DPS 5 0.00 100.00 100.00 .OST OMNO DPS OMNI FEE - OMNIDASE 5 0.00 30.00 30.00 COST PWAF TEXAS PARKS & WILDLIFE 6 24.00 6.00 30.00 :OST SAP DPS 6 21.09 5.27 26.36 :OST SUDC SUE TITLE C a 240.00 0.00 240.00 :OST TF TECHNOLOGY FUND 19 73.09 0.00 73.09 :OST TFC TFC 8 24,00 0.00 24,00 :OST TIME TIME PAYMENT FEE 11 126.39 128,40 256.79 .OST TPDF TRUANCY PREVENTION & DIVERSION FUND 16 0,00 30,54 30.54 :OST WRNT WARRANT FEE 4 200.00 0.00 200,00 ?DES CSRV COLLECTION SERVICES FEE 9 677.70 0,00 677.70 'EES DDC DRIVER SAFETY COURSE - 7.013 1 11.90 0,00 11,90 HERS DFF DEFERRED FEE 1 29,90 0.00 29.90 ZEES EFF ELECTRONIC PILING FEE 1 0.00 10.00 10.00 SEES FTLI FILING FEB 1 25.00 0.00 25.00 IESS IFEE INDIGENT FEE 1 0.30 5.70 6,00 FEES JCMF JUVENILE CASE MANAGER FEE 6 30.00 0.00 30.00 'EES JPTF JUDICIAL & COURT PERSONNEL TRNG FEE -CV 1 0.00 5.00 5.00 +EES SPEC SERVICE PEE 1 75.00 0,00 75.00 'INE FINE PINE 12 1,442.30 0.00 1,442.30 'INE PWF PARKS & WILDLIFE FINE 6 106.50 603.50 710.00 Page 04-04-18;15;53 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 7/ 9 Money Distribution Repeat OA ROON 17.p. 51 MTRCR 2016 REPORT Typo Code Description Count ROtsinad Di b d Monay-T C to Report Totals 22 3,366.86 1„847,04 5,21.6,76 04.03-2018 Pnge 04-04-18;15:53 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 8/ 9 Money Diptribution Report 04-03-2010 Page 7 CALROVM ,7.P, 5. MARCH 2015 REPORT Data payment Type Finn Court Coote reea Bonds ReatitUtiOn Other Total o0-00-0000 Cash & Checks Collocted 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 O,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 0100 0.00 0.00 0.00 09-01-1991 Cash & Checks Collected 0100 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 D.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Trannfer0 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 09-01-1993 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 & Tranafera 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 09-01-1995 Cash & Chocks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 nail 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 0.06 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.06 0.00 0.00 0,00 09-01-1997 Cash & Checks Colleotod 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 O.OD 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Chocks Collected O.OD 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 09.01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Sorvioo 0.60 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 09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Jail Crodita & Comm Service 0.00 0.00 0.00- 0.00 0.00 0.00 0.00 Credit CardO & 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 & Chocks Collected 1,006.70 1,257.40 536.00 0.00 0.00 0.00 2,002.10 Jail Credits & Comm service 459.00 276.00 0.00 0,00 0.00 0.00 735,00 Credit Cards & Transfers 606.60 658.50 332.50 0.00 0.00 0.00 11597.60 Total Of all C011ectlono 2,152.30 2,191.90 870.50 0.00 0.00 0.00 6,214.70 TOTALS Cash & Checks Collected 1,056.70 1,257.40 ,538.00 0.00 0.00 0.00 21002,10 - Jail Credits & Comm Service 459.00 276.00 0.00 0.00 0.00 0.00 735.00 Credit Cards & TrenofOro 606.60 658.50 .332,50 0.00 0.00 0.00 1,597.60 Total of all Collections 2,152.30 2,191.90 070.50 0,00 0.00 O.DO 5,214.70 04-03-2010 Page 7 04-04-18;15;53 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 9/ 9 Nonay Distribution Report Section II: As Applicable CALR009 J.F. 5. MARCH 2010 RZPOhT Description Count Collected Retained Diuburoad State of Texan Quarterly Reporting Totals 8 190.00 29.70 160.30 State Comptroller COOL and roes Report 0 0.00 0.00 0.00 Section I: Report toY 0££ansee Committed 0 0100 0.00 0.00 01-01-04 Forward 25 070.87 301.09 567,70 09-01.01 - 12-31-01 0 0.00 0.00 D.00 00-31-99 - 08-31-01 0 0.00 0.00 0.00 09.01-97 - 00-30-99 0 0.00 0.00 0.00 09.01-91 - 08-31-97 0 0,00 0,00 0100 Bail Bond Foe 0 0.00 0.00 0.00 DNA Tenting Fee - Convictions 0 0.00 0.00 0.00 DNA Testing Fee - Comm SUpVft 0 0.00 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 Jury Reimbursement Fee 15 57.09 5.71 51,30 Indigent Defense Fund 15 28.54 2.85 25.159 Moving Violation Fees 0 0.90 0.09 0,01 State Traffic Fine 0 0.00 0.00 0.00 Section II: As Applicable Peace Officer Fees 9 41.36 33.09 0.27 Failure to Appear/Pay Fees 8 190.00 29.70 160.30 Judicial Fund - Const County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0100 0.00 0.00 Motor Carrier weight Violations 0 0.00 0.00 0.00 Time Payment Pena 8 181.79 90.89 90.90 Driving Record Fee 0 0.00 0.00 0.00 Judicial Support Fee 1S 05.63 8.56 77.07 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Report Sub Total 103 1,456.10 413.98 982.20 State Comptroller Civil Fees Report CF: Birth Certificate Foes 0 0.00 0.00 0.00 CF: Marriage License Fees 0 0.00 0100 0.00 CP, Declaration 09 Informal Marriage 0 0.00 0.00 0.00 CF: Nondisaloaure Fees 0 0.00 0.00 0.00 CF: Juror Donations 0 0.00 0.00 0.00 CF: Justice Court Indig Filing Foes 1 - 6.00 0.30 5.70 CF: Stat Prob Court Indig Filing Faso 0 0.00 0.00 0.00 CF: Stat Prob Court Judie Filing Fees 0 0.00 0.00 0100 CF, StaC Cnty Court Indig riling Feew 0 0.00 0.00 0.00 CF: Stat Cnty Court Judic Filing Fans 0 0.00 0.00 0.00 CPi Cnet Cnty Court Indig Filing Fe00 0 0.00 0.00 0.00 CF: Cnst Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CP: Dist Court Divorce 8 Family Law 0 0.00 0.00 0.00 CF: Diet 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 d Court Pere. Training Fee 0 0.00 0.00 0.00 Report Sub Total _ 1 6.00 0.30 5.70 Total Due For This Period 104 1,462.10 474.28 907.90 THE STATE OF TEXAS EBlore me, the undersigned authority, this day County o£ Calhoun County personally appeared Nancy Pomykal, Justice of the Pence, Precinct No 5, Calhoun County, Texas, who being duly sworn, deposes and says that the above .an,Q Coregoing report ie r Ge and correct. witneea my hand this y of�ct� P Juoe ce o Psnee, ecine No 5 Calhoun COY o y, Texac SHERIFF'S OFFICE MONTHLY REPORT Mar -18 BAIL BOND FEE $ 1,485.00 CIVIL FEE $ 421.00 JP#1 $ 100.00 JP#2 $ - JP#3 $ JP#4 $ JP#5 $ PL MUN. $ COUNTY COURT $ SEADRIFT MUN. $ PC MUN. $ OTHER(PL WAVE) $ - PROPERTY SALES $ DISTRICT $ - CASH BOND $ TOTAL: $ 2,006.00 Calhoun County Commissioners' Court—April 11, 2018 14. CONSIDER AND TAKE ACTION (AGENDA ITEM NO.) On any necessary budget adjustments. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 2 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 12 of 15 Calhoun County Commissioners' Court—April 11, 2014 15. APPROVAL OF BILLS AND PAYROLL. (AGENDA ITEM NO. 15) Memorial Medical Center RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vein Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 13 of 15 FUND NAME GENERAL FUND FUND NO: 1000 [11 In [I 11111II II 1111111111111111111111111 IIII I II11HUM III III III] 111 11 I IIIII IMM] 111111]]11111IIIIIIIIIIII I III 1111111I111111111I1Iilill 111 IIII III]] I IIII IIIII I I III] 1111[111111111111 11HUH MI In In In In III] [II] 11 DEPARTMENT NAME: BUILDING MAINTENANCE DEPARTMENT NO: 170 AMENDMENT NO: 4780 REQUESTOR: COUNTYAUDITOR AMENOMENT REASON: (TRANSFER FOR HURRICANE HARVEY EXPENSES I REVENUE REVENUE EXPENDITURE EXPENDITURE IRGNLAR ACCT NO ACCT NAME CRANTNO GRANT NAME INCREASE DECREASE INCREASE DECREASE R)ECREASEI REPAIRS -AG BUILDING MAINTENANCE TOTAL $0 $0 $1,942 $0 ($1,942) nuunuu u n n nnn n nnnnuuuuu n 000 nnnnnuu0u00 nn0I1IlII111IInnnIIOII]]]]11111 mmumu nnnnu a unuuu unn n umnnunn nn a ununu nnnnnnuu0u nu a un nnu nnnnu DEPARTMENT NAME: CONTINGENCIES DEPARTMENT NO: 240 AMENDMENTNO: 4780 REDUESTOR. COUNTYAUDITOR AMENDMENT REASON: ITRANSFER FOR HURRICANE HARVEY EXPENSES FUND UAL REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE [DECRUISEI 62755 HURRICANE HARVEY PREP/RESPO 591 HURRICANE HARVEY $0 $0 $0 $44,361 $44,361 AMENOMENTNO4780 TOTAL $0 $0 $0 $44,361 $44361 CONTINGENCIES TOTAL $0 $0 $0 $44,361 $44,361 IIII I III 1 1 1 1 1 1 III I IIIII I ililllllill I I IIIIIIIII I111111111IIIII I I IIIIIIiI I IIIIIIIIIIII I II IIII I IIIII II I IIII (IIIII I Iilllllllllll I Iillllllll l IIIIIIIIIIII IIIII II I III I IIIII I IIII IIIII I IIII I IIII I IIIII 1111111 11111111 II I I IIIi11111111111111II I I DEPARTMENT NAME: ELECTIONS DEPARTMENT NO: 270 AMENDMENTNO. 4789 REOUESTORr COUNTYAUDITORIOVERDRAWNACCOUNTS AMENDMENT REASON: IOVERDRAWN ACCOUNTS FUND BAL REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCI NU ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE [DECREASE] 51540 TEMPORARY 999 NO GRANT $0 $0 $2,000 $0 ($2,000) 51545 PART-TIME EMPLOYEES 999 NO GRANT $0 $0 $0 $2,000 $2,000 Tuesday, April 10, 2018 Page 1 of 5 FUND NAME GENERAL FUND FUND NO: 1000 nu000UnnOnnIII un0unnunOn00nnnnnnfill l00000un00000u0n0Unnn000nnOnn0III III nn I I I I I I nnnOlilt nOHIM III] n000000u[III III n0Unnn0Un00III nO[III DEPARTMENT NAME: ELECTIONS DEPARTMENT NO: 270 JAMENDMENTNO: 4781 1 REQUESTOR:COUNTYAUD/TOR/OVERDRAWNACCOUNTS AMENDMENT REASON: IOVFRDRAWN ACCOUNTS FUND RAL REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE [DECREASE] AMENDMENTN04781 TOTAL $0 $0 $2,000 $2,000 $0 ELECTIONS TOTAL $0 $0 $2,000 $2,000 $0 1111111 II II I I I1111IIII1III Ilii) I I II11111111111111111111111111111111I I IIIIIIIIIII I 11111111 111111 I I hill hill I11I Illillll l 1111111 Iill I IIIIIIIIIIIIIIIIII 111111 lil I11111IIIA I VIII IIII 1111111 I III VIII I I I IIII I IIII I11111111I 111111 IIII I III DEPARTMENT NAME: JUSTICE OF PEACE -PRECINCT #3 DEPARTMENT NO: 470 AMENDMENTNO: 4781 I REQUESTOR. COUNTYAUD/TOR/OVERDRAWNACCOUNTS AMENDMENT REASON: JOVERDRAWN ACCOUNTS FUND RAL REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE (DECREASE] 53020 OFFICE SUPPLIES 999 NO GRANT $0 $0 $0 $571 $571 72350 EQUIPMENT -OFFICE 999 NO GRANT $0 $0 $571 $0 ($571) AMENDMENTN04781 TOTAL $0 $0 $571 $571 $0 JUSTICE OF PEACE-PRECINCT#3 TOTAL $0 $0 $571 $571 $0 I1111IIIilll I11111Illlii II 1111111 IIIII I I I11IIIil I I111111111IIII1111111111111I I IIII11111111I IIIIIIIIIIII I 11111111 I1IIIIIIIIIIII I I IIIII I11111111111II Inll l IIII I III 111111 I (IIIIIIIIIIII I 1111111 II IIIIIIIIIIII I I I IIIIIiIII IIII IIII I I I Ilnll DEPARTMENT NAME: LIBRARY DEPARTMENT NO: 140 AMENOMENTNO: 4780 REQUE5T0R. COUNTYAUD(TOR AMENDMENT REASON: ITPANSFER FOR HURRICANE HARVEY EXPENSES FUND RAL REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE GECREASE INCREASE DECREASE [DECREASE] 65470 REPAIRS -MAIN LIBRARY 591 HURRICANE HARVEY $0 $0 $5,000 $0 ($5,000) Tuesday, ApdI 10, 2018 Page 2 of 5 FUND NAME GENERAL FUND FUND NO: 1000 III u00uOn01111000OOn0000nn 1111111111 n11u00001111110 ❑nn un00 uuuunuu 0 0 11111111111 [IIOnOOOlin [IIIIIIIII un nu kill] III I I11111111111111111111111111111111111111111[11il a Iln pill] I Mill DEPARTMENT NAME: LIBRARY DEPARTMENT NO: 140 AMENDMENTNO: 4780 1 REOUESTORs COUNTYAUD/TOR AMENDMENT REASON: ITRANSFER FOR HURRICANE HARVEY EXPENSES FUND RAE REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT NO ACCT NAME GRANT NO CHANT NAME INCREASE DECREASE INCflEASE DECREASE [DECREASE] LIBRARY TOTAL $0 $0 $5,000 $0 ($5,000) I IIII I III I I 111111 1111111111111111111111 fill 1111111 111111111111111111111111IIIIIII I IIIIIII I I III [if] I I I fill 111111111111111111111IIIIIIIIIII I I I I I I ]IIII III III IIIIIII I I I I I I I IIII 111111111111111 1111111111111111111111111111111111 DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #1 DEPARTMENT NO: 540 AMENDMENTNO: 4780 1 REOUESTOR: COUNTYAUD/TOR AMENDMENT REASON: ITRANSFER FOR HURRICANE HARVEY EXPENSES FUND UAL REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT NO ACCT NAND: GRANT NO GRANT NAME INCREASE DECREASE INCREASE WICREASE [DECREASE] 53210 MACHINERY PARTS/SUPPLIES 591 HURRICANE HARVEY $0 $0 $739 $0 ($739) 53550 LUMBER 591 HURRICANE HARVEY $0 $0 $261 $0 ($261) 53992 SUPPLIES -MISCELLANEOUS 591 HURRICANE HARVEY $0 $0 $121 $0 ($121) 60370 BLDG REPAIRS -PARKS 591 HURRICANE HARVEY $0 $0 $28,625 $0 ($28,625) 62660 GARBAGE COLL-MAGNOLIA BEACH 591 HURRICANE HARVEY $0 $0 $1,071 $0 ($1,071) 70750 CAPITAL OUTLAY 591 HURRICANE HARVEY $0 $0 $2,000 $0 ($2,000) AMENDMENT NO 4780 TOTAL $0 $0 $32817 $0 ($32,817) ROAD AND BRIDGE-PRECINCT#1 TOTAL $0 $0 $32,817 $0 ($32,817) IIIIIIIII IIII II II I IIIIIIII I II11111111IIIIIIIII IIIIIIIII III II Ill I I I I IIIIIIII I I 1111111 IIIIIII I I IIIIIIIIIII I IIIII111111I II I I III I Ilii I11111111II II hill I Ilii III I111111111111I 1111111 it I IIII II1111111111I 111111 I I I III Ilii I I I I IIIIIIII II111111 DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #2 DEPARTMENT NO: 550 Tuesday, Apel 10, 2018 Page 3 of 5 FUND NAME GENERAL FUND FUND NO: 1000 unnnnuuuuununnuuuuuuuunnuuunnnnuunnn00nnunuuuuuuu00000000nnnnnuunnnnnnnununuuunuuunuunuunnnnuuuunnnunuuuuuunuuunuuun DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #2 DEPARTMENT NO: 550 IAMENDMENTNO+ 4751 1 REQUESTOR:COUNTYAUDITORIOVERDRAWNACCOUNTS $0 $0 $2,807 AMENDMENT REASON: OVERDRAWN ACCOUNTS $0 III1I IIIIIIII I ]III I I111111111111111IIIIIIill11 it ]III ]III 1111111 ]III II I111IIIiill 111111 11111 I I I I IIIIIIII11111III I I I I 1111 11111 I11I II II ililllilll I ]III I it IIIiI 1111111 VIII I IIIIIIII III11 111111 ]111111 ]III ]III II I ]III1111I IIIIIIIIII II I I I III DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #3 DEPARTMENT NO: 560 AMENDMENT NO: 4778 REQUESTOR: COMMISSIONER PRECINCT1f3 DECREASE IDECREASEI 53590 SIGNS 591 HURRICANE HARVEY $0 $0 AMENDMENT REASON: ILINE ITEM ADJUSTMENT $0 ($45) AMENDMENTN04780 TOTAL $0 FUND UAL $45 ACCT NO ACCT NAME GRANT NO GRANT NAME 62672 GARBAGE COLL-OLIVIA 999 NO GRANT 63530 MACHINERYIEQUIPMENT REPAIRS 999 NO GRANT REVENUE REVENUE EXPENDRURE EXPENDITURE INCREASE ACCTND ACCT NAME CRATONO GRANT NAME INCREASE DECREASE INCREASE DECREASE [DECREASE] 53510 ROAD 8 BRIDGE SUPPLIES 999 NO GRANT $0 $0 $0 $2,807 $2,807 63530 MACHINERY/EQUIPMENT REPAIRS 999 NO GRANT $0 $0 $2,778 $0 ($2,778) 63920 MISCELLANEOUS 999 NO GRANT $0 $0 $29 $0 ($29) AMENDMENT NO 4781 TOTAL $0 $0 $2,807 $2,807 $0 ROAD AND BRIDGE-PRECINCT#2 TOTAL $0 $0 $2,807 $2,807 $0 III1I IIIIIIII I ]III I I111111111111111IIIIIIill11 it ]III ]III 1111111 ]III II I111IIIiill 111111 11111 I I I I IIIIIIII11111III I I I I 1111 11111 I11I II II ililllilll I ]III I it IIIiI 1111111 VIII I IIIIIIII III11 111111 ]111111 ]III ]III II I ]III1111I IIIIIIIIII II I I I III DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #3 DEPARTMENT NO: 560 AMENDMENT NO: 4778 REQUESTOR: COMMISSIONER PRECINCT1f3 DECREASE IDECREASEI 53590 SIGNS 591 HURRICANE HARVEY $0 $0 AMENDMENT REASON: ILINE ITEM ADJUSTMENT $0 ($45) AMENDMENTN04780 TOTAL $0 $0 $45 ACCT NO ACCT NAME GRANT NO GRANT NAME 62672 GARBAGE COLL-OLIVIA 999 NO GRANT 63530 MACHINERYIEQUIPMENT REPAIRS 999 NO GRANT REVENUE INCREASE $0 $0 REVENUE DECREASE $0 $0 EXPENDITURE INCREASE $0 $1,000 EXPENDITURE DECREASE $1,000 $0 FUNDBAL INCREASE EBECREASE] $1,000 ($1,000) AMENDMENTN04778 TOTAL $0 $0 $1,000 $1,000 $0 AMENDMENTNO: 4780 1 REQUESTOR, COUNTYAUDITOR IAMENDMENT REASON: ITRANSFER FOR HURRICANE HARVEY EXPENSES I REVENUE REVENUE EXPENDITURE EXPENDRURE INCREASE ACCT NO ACCT NAME GRANT NO CRANTNAME INCREASE DECREASE INCREASE DECREASE IDECREASEI 53590 SIGNS 591 HURRICANE HARVEY $0 $0 $45 $0 ($45) AMENDMENTN04780 TOTAL $0 $0 $45 $0 ($45) Tuesday, April 10, 2018 Page 4 of 5 FUND NAME GENERAL FUND FUND NO: 1000 11111111111111111111111[11111101I I Unit 11111 it till 11111111111III 1111111111111111 Unit III I I I uuunu I I HHH 111111111 III aunnnon I I IIII II in 111111111111111111111111111111111 I111111 I I IIIIIIIIIRM Ila I HnIIH II IIII II1111111I I I III DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #3 DEPARTMENT NO: 560 ROAD AND BRIDGE-PRECINCT#3 TOTAL $0 $0 $1,045 $1,000 ($46) 11111111111II11111I I11111111111I I I I I I IIIIIIIII 1111111 I 1111111 IIIII I IIIIIIIII I I I I II 1111111 IIIII I II1111111111I IIIIIIIIIII I I II II 111111 I I11111111111I IlilllIIII I IIIIIIIIl11111I IIIIIIIIIIII II IIII I IIIII 111111111 I IIII 111111 I IIIIIIIIIIII IIII DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #4 DEPARTMENT NO: 570 REVENUE AMENDMENT N0: 4780 REQUESTOR: COUNTYAUD/TOR EXPENDITURE EXPENDITURE INCREASE ACCT ND ACCT NAME GRANT ND GRANT NAME INCREASE AMENDMENT REASON: TRANSFER FOR HURRICANE HARVEY EXPENSES INCREASE DECREASE (DECREASE] 53020 OFFICE SUPPLIES 999 NO GRANT $0 $0 $250 $0 ($250) FUND DAL $0 REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE IUECREASEI 53550 LUMBER 591 HURRICANE HARVEY $0 $0 $692 $0 ($692) 53610 BUILDING SUPPLIES/PARTS 591 HURRICANE HARVEY $0 $0 $1,703 $0 ($1,703) 60520 BUILDING REPAIRS 591 HURRICANE HARVEY $0 $0 $2,162 $0 ($2,162) AMENDMENTN04780 TOTAL $0 $0 $4567 $0 ($4,667) ROAD AND BRIDGE-PRECINCT94 TOTAL $0 $0 $4,557 $0 ($4,557) I II II I I11111111111IM I III1[1II1011111I 1111111 IIIII IIII II I IIII II11I I IIII1IIIn11111111I 111111111 I I MI11111111I I IIIII I IIIII I II I1111111111I I III IIIII I II II II IIII I II IIIIIiII IIIII II 11111111 IIIIII1[11111111111111II IIIIIIIIII I II1111111111 DEPARTMENT NAME: VETERANS SERVICES DEPARTMENT NO: 790 AMENDMENT NO: 4779 1 REQUESTORe VETERAN SERV/CES 4MENDMENT REASON: ILINE ITEM TRANSFER FOR NEW PRINTER AND INK FUND BAE REVENUE REVENUE EXPENDITURE EXPENDITURE INCREASE ACCT ND ACCT NAME GRANT ND GRANT NAME INCREASE DECREASE INCREASE DECREASE (DECREASE] 53020 OFFICE SUPPLIES 999 NO GRANT $0 $0 $250 $0 ($250) 66316 TRAINING TRAVEL OUT OF COUNTY 999 NO GRANT $0 $0 $0 $250 $250 AMENDMENT NO 4779 TOTAL $0 $0 $250 $250 $0 VETERANS SERVICES TOTAL $0 $0 $250 $250 $0 Grand Total $0 $0 $50,989 $50,989 $0 Tuesday, April 10, 2018 Page 5 of 5 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- April 11, 2018 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $: 477,256.99 TOTAL TRANSFERS BETWEEN FUNDS $ TOTAL NURSING HOME UPL EXPENSES $ 386,862.39 TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED April 11, 2018 $ 864,119.38 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- April 11, 2018 PAYABLES AND PAYROLL 4/5/2018 Weekly Payables 383,279.48 4/6/2018 Transfer to Ashford Gardens -deposit error of QIPP Comp 1 for FEB 2018 35,776.16 4/6/2018 Transfer to Fortbend Healthcare -deposit error of QIPP Comp 1 for FEB 2018 10,296.92 4/6/2018 Transfer to The Crecsent-deposit error of QIPP Comp 1 for FEB 2018 2,555.44 4/6/2018 Transfer to Solera West Houston -deposit error of QIPP Comp 1 for FEB 2018 9,545.32 4/6/2018 Transfer to Goldencreek Healthcare -deposit error of QIPP Camp 1 for FEB 2018 24,311.03 4/6/2018 Credit Card -see attached 6,741.12 4/9/2018 McKesson -340B Prescription Expense 2,056.54 4/9/2018 Payroll Liabilities (Payroll Taxes) 290.96 4/9/2018 Payroll 1,249.01 Electronic Bank Payments 4/4/2018 IBC Electronic Payments (Credit Card & Lease Fees) 99.00 Prosperity Electronics Payments 4/4-4/5/18 Credit Card & Lease Fees 1,056.01 TOTAL TRANSFERS BETWEEN FUNDS $ NURSING HOME UPL EXPENSES 4/9/2018 Nursing Home UPI 151,057.29 4/9/2018 Nursing Home UPI 204,025.49 4/9/2018 Nursing Home UPI 31,056.39 QIPP/INTEREST CHECKS TO MMC 4/9/2018 Ashford 125.62 4/9/2018 Golden Creek 111.23 4/9/2018 Fort Bend 42.94 4/9/2018 Solera 144.03 4/9/2018 Broadmoor 197.10 4/9/2018 Crescent 102.30 TOTAL NURSING HOME UPL EXPENSES $ ', 386,862.39 TOTAL INTER-GOVERNMENTTRANSFERS $ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- April 11, 2018 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES;' PAYROLL AND ELECTROtJ1C BANK PAYMEJJ�i'S ,$ •; _477,256.99 TOTAL NURSING }SOME, UPL EXPENSES � _ - $ ; 386,862.39;; TATAL lNXER GOVERNMENT TR�,NSFERS $ ; GRAND TOTAL DISBURSEtINTS ARPROVED Apra! 11;:2018 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- April 11 2018 PAYABLES AND PAYROLL 4/5/2018 Weekly Payables 383,279.48 4/6/2018 Transfer to Ashford Gardens -deposit error of QIPP Comp 1 for FEB 2018 35,776.16 4/6/2018 Transfer to Fortbend Healthcare -deposit error of QIPP Comp 1 for FEB 2018 10,296.92 4/6/2018 Transfer to The Crecsent-deposit error of QIPP Comp 1 for FEB 2018 2,555.44 4/6/2018 Transfer to Solera West Houston -deposit error of QIPP Comp 1 for FEB 2018 9,545.32 4/6/2018 Transfer to Goldencreek Healthcare -deposit error of QIPP Comp 1 for FEB 2018 24,311.03 4/6/2018 Credit Card -see attached 6,741.12 4/9/2018 McKesson -3408 Prescription Expense 2,056.54 4/9/2018 Payroll Liabilities (Payroll Taxes) 290.96 4/9/2018 Payroll 1,249.01 Electronic Bank Payments 4/4/2018 IBC Electronic Payments (Credit Card & Lease Fees) 99.00 Prosperity Electronics Payments TOTAL TRANSFERS BETWEEN FUNDS $ NURSING HOME UPL EXPENSES 4/9/2018 Nursing Home UPI 151,057.29 4/9/2018 Nursing Home UPI 204,025.49 4/9/2018 Nursing Home UPI 31,056.39 QIPP/INTEREST CHECKS TO MMC 4/9/2018 Ashford 125.62 4/9/2018 Golden Creek 111.23 4/9/2018 Fort Bend 42.94 4/9/2018 Solera 144.03 4/912018 Broadmoor 197.10 4/9/2018 Crescent 102.30 TOTAL INTER GOVERNMENT TRANSFERS. BRAND TOTAL Dl8_B,URSEMENTS,;4PPR0\/ED Apri111,-2Q78, '.. $. 864,119.38 i file:///C:/Users/Celevenger/cpsi/memmed.cpsinet.conVu82227/data 5/tmp_cw5report2572... 4/5/2018 Cv 14 r' APfr�nvEn oON0g ff' APR 0 5 2040 t t. APR 05 2098 APR MEMORIAL MEDICAL CENTER 04/05!2018 0 CAwiM Cd$tPitj'lia3tOC' AP Open Invoice List 09:03 COUNTYAUDITOR ap_open_invoice.template CALHOUN COUNPY, •i�r� &a Dates Through: 04/18/2018 Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE 15521 t// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121040,/ 04/03/20 03/13/20 03/23/20 15.78 0.00 0.00 15.78 V/ SUPPLIES 121031 V 04/03/20 03/13/20 03/23/20 4.36 0.00 0.00 4.36 J SUPPLIES 121055 04/03/20 03/14/20 03/24/20 20.38 0.00 0.00 20.38/ SUPPLIES 121287A 04/04/20 03/22/20 03/22/20 21.04 0.00 0.00 21.04 SUPPLIES Vendor Total Number Name - Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 61.56 0.00 0.00 61.56 Vendor# Vendor Name Class Pay Code 10814 ALLIED BENEFIT SYSTEMS f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0000409816 03/20/2003/15/2004/15/20 36,110.55 0.00 0.00 36,110.55 t/ INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 10814 ALLIED BENEFIT SYSTEMS 36,110.55 0.00 0.00 36,110.55 Vendor# Vendor Name Class Pay Code A2150 ANNOUNCEMENTS PLUS TOO AGAIN v// W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 201 J 04/04/20 03114/20 03/24/20 83.97 0.00 0.00 83.97,/ w;RQRH1ES (3D grown 3X6 PLAL-ab R.,»�wK Vendor Total: Number Name Gross Discount No -Pay Net A2150 ANNOUNCEMENTS PLUS TOO AGAIN 83,97 0.00 - 0.00 83.97 Vendor# Vendor Name Class Pay Code 11816 ASHFORD GARDENS V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032218 04/03/20 03122/20 03/22/20 7,198.24 0.00 0.00 7,198.24 V/ TRANSFER PU�pM,hr L>¢.K-1- -�y KiNL- It2CrV0V_ Vendor Total: Number Name Gross Discount No -Pay Net 11816 ASHFORD GARDENS 7,198.24 0.00 0.00 7,19824 Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 446783 v� 6V }-} ,, 03/26/20 03/15/20 04115/20 2,883.50 0.00 0.00 2,883.50 �/ STAFFING S)7_110-3( S-(1 S Vendor Total< Number Name Gross Discount No -Pay Net 11756 AYA HEALTHCARE INC 2,883.50 0.00 0.00 2,883.50 Vendor# Vendor Name Class Pay Code 10938 BANK OF THE WEST V1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 4437854 V/ 04/04/20 03/12/20 04/01/20 6,452.64 0.00 0.00 6,452.64 V/ LEASE Vendor Total; Number Name Gross Discount No -Pay Net 10938 BANKOFTHEWEST `.6,452.64 0.00 0.00 6,452.64 file:///C:/Users/Celevenger/cpsi/memmed.cpsinet.conVu82227/data 5/tmp_cw5report2572... 4/5/2018 Page 2 of 14 Vendor# Vendor Name Class Pay Code 81150 BAXTER HEALTHCARE IN Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net f 58662721 04/03/20 03/21/20 04/15/20 199.36 0.00 0.00 199.36 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 61150 BAXTER HEALTHCARE 199.36 0.00 0.00 199.36 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC V1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 5385710 ✓ 04/03/20 03/12/20 04/06/20 4,233.46 0.00 0.00 4,233.46 CONTRACT 106942291 ✓ 04/04/20 03/17/20 04/11/20 74.29 0.00 0.00 74.29 ✓ SUPPLIES Vendor Total; Number Name Gross Discount No -Pay Net 61220 BECKMAN COULTER INC 4,307.75 0.00 0.00 4,307.75 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 25923568 V1 04/03/20 03/16/20 04/01/20 1,289.05 0.00 0.00 1,289.05 V/ PHONE Vendor Total: Number Name Gross Discount No -Pay Net 11050 BIRCH COMMUNICATIONS 1,289.05 0.00 0.00 1,289.05 Vendor# Vendor Name Class Pay Code 81650 BOSART LOCK & KEY INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 114181 ✓ 04/03/20 03/14/20 04/13/20 764.60 0.00 0.00 764.60 v/ LOCK AND KEY SERV COAST] Vendor Totals Number Name Gross Discount No -Pay Net 81650 BOSART LOCK & KEY INC 764.60 0.00 0.00 764.60 Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 0322186 04/03/20 03/22/20 03/22/20 4,772.50 0.00 0.00 4,772.50 ✓ TRANSFER PAi(ItVY4 Scrv} -to ll we 1 K taw 032218C 04/03120 03122/20 03/22/20 210.50 0.00 0.00 210.50 TRANSFER p 4 jW Lv\i ytrkl- 1v NUV-(- (vk c.rvl)r 032218D 04/03/20 013/22/20 03/22/20 4,526.80 0.00 0.00 4,526.80 ✓ TRANSFER QAYIY 16__,Cn4_ .h MWU_ 1A LbrvI' 032618 04/03/2003/2212003/2y6'/20 1,125.00 0.00 0.00 1,125.00 ✓ TRANSFER V A�MMT /4tyt_J-" W P404- IC2 C"r- 032718 04/03/20 03/27/20 03/27/20 109.47 0.00 0.00 109.47✓ TRANSFER0 .. lA W I)tr+ JV fA" Ih P.Mv - 032218A 0410/20 03�127/20 03/27/20 6,073.00 0.00 0.00 / 6,073.00 r/ TRANSFER TAyfti.IVtt4U,- -6 NkA kL_ irk CWY7V' / 032718A 04/03/20 03/27/20 03/27/20 4,020.00 0.00 0.00 4,020.00 V TRANSFER �-fin(.- .� p/1.{ttiL Ih f hov- Vendor Totals Number Name Gross Discount No -Pay Net 11832 BROADMOORATCREEKSIDE PARK 20,837.27 0.00 0.00 20,837.27 Vendor# Vendor Name /Class Pay Code C1010 CABLE ONE V w Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net file:///C:/Users/celevenger/cpsi/memmed.cpsinet. com/n82227/data_5/tmp_cw5report2572... 4/5/2018 9 Page 3 of 14 file:///C:/Users/cclevenger/epsihne>nmed.cpsinet.comlu82227/data_5/tmp_cw5report2572... 4/5/2018 031618 04/03/20 03/16/20 03/16/20 66.07 0.00 0.00 66.07✓ CABLE INN 30 !jt' -t 5,? 0 000858 04/04/20 03/16/20 04/16/20 -47532 0.00 0.00 -475.22. CABLE W(tpay FCC Nixi(,(+" FCG . 000857 04/04120 03116/20 04/16/20 11150.00 0.00 0.00 1,150.00✓ CABLE Vendor Total: Number Name Gross Discount No -Pay Net C1010 CABLE ONE 1,691.29 0.00 0.00 1,691.29 Vendor# Vendor Name class Pay Code 10105 CHRIS KOVAREK r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 12 04/04/20 03/30/20 04101/20 200.00 0.00 - 0.00 200.00 SWING BED SOCIAL SERV Vendor Totals Number Name Gross Discount No -Pay Net 10105 CHRIS KOVAREK 200.00 0.00 0.00 200.00 Vendor# Vendor Name Class Pay Code 11372 CHUBB GROUP ON INSURANCE CO V/ Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 3009852 ✓ 04/04/20 03/30/20 04/01/20 44.00 0.00 0.00 44,00 v/ LEGAL Vendor Totals Number Name Gross Discount No -Pay Net 11372 CHUBB GROUP ON INSURANCE CO 44.00 0.00 0.00 44.00 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 032318 04/04/20 03/23/20 04/03/20 30.00 0.00 0.00 / 30.00 t/ CPR CARDS 032618 04/04/20 03/26/20 04/06/20 40.00 0.00 0.00 40.00 V/ CPR CARDS Vendor Total: Number Name Gross Discount No -Pay Net 01600 CITIZENS MEDICAL CENTER 70.00 0.00 0.00 70.00 Vendor# Vendor Name Class Pay Code C1166 COASTAL OFFICE SOLUTONS V1 W Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net / OE178531 r/ 04/03/20 03/13/20 03/23/20 64.50 0.00 0.00 64.50 ✓ SUPPLIES OE179681A ti/ 04/04/20 03/09/20 03/09/20 349.90 0.00 0.00 349.90 SUPPLIES W0239761AV/ 04/04/20 03/12/20 04/12/20 58.61 0.00 0.00 58.61 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net C1166 COASTAL OFFICE SOLUTONS 473.01 0.00 0.00 473.01 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON I/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 5319830 V1 04/03/20 03114/20 04/08/20 23.64 0.00 0.00 23.64 / SUPPLIES 6320610 ✓ 04/03/20 03/15/20 04/09/20 132.64 0.00 0.00 132.64 / SUPPLIES 5320930 .% 04/03120 03/15/20 04/09/20 219.18 0.00 0.00 219.18 ✓ SUPPLIES file:///C:/Users/cclevenger/epsihne>nmed.cpsinet.comlu82227/data_5/tmp_cw5report2572... 4/5/2018 Page 4 of 14 file:///C:/Users/celevenger/cpsi/Memmed.cpsinet.coin/u82227/data 5/tmp`cw5report2572... 4/5/2018 5322260 r% 04/03/20 03/19/20 04/13/20 97.96 0.00 0.00 97.96 V SUPPLIES 5322500 04/03/20 03/19/20 04/13/20 13.50 0.00 0.00 13.50 ✓ / SUPPLIES 5163720 Y 04/04/20 10/02/20 10/27/20 58.54 0.00 0.00 58.54 SUPPLIES 5212170 ✓/ 04/04/20 11/20/20 12/15/20 437.54 0.00 0.00 437.54 J SUPPLIES / 5243430 V 0404/20 12/27/20 01/21/20 378.78 0.00 0.00 378.78 SUPPLIES / 5243440 04/04/20 12/27/20 01/21/20 48.41 0.00 0.00 48.41 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 1,410.19 0.00 0.00 1,410.19 Vendor# Vendor Name Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC f Invoice# CP mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net MMCo33118✓ 04/04/20 03/19/20 03/31/20 99,114.86 0.00 0.00 99,114.88 PHYSICIAN SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 99,114.88 0.00 0.00 99,114.88 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 36268 V 04/03/20 02/28/20 02/28/20 250.00 0.00 0.00 250.00 J HOSP FEES 211! 36269 V/ 04103/2003/31/2003/31/20 6,050.00 0.00 0.00 6,050.00 HOSPITALIST FEES 3119 -'6111 36253 04/04120 03/31/20 04110120 40,062.50 0.00 0.00 40,062.50 ER STAFFING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 46,362.50 0.00 0.00 46,362.50 Vendor# Vendor Name Class Pay Code C2510 EVIDENT ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net T1803091378 V1 04/03/20 03/09/20 04/03/20 13,240.72 0.00 0.00 13,240.72 V/ CPSI Vendor Total; Number Name Gross Discount No -Pay Net C2510 EVIDENT 13,240.72 0.00 0.00 13,240.72 Vendor# Vendor Name Class Pay Code S0501 EVOQUA WATER TECHNOLOGIES LLC I/ Invoice# Comment Tran or Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 903329038 / 04/04/20 11/10/20 12/05/20 711.30 0.00 0.00 711.30 v1 FILTERS Vendor Total: Number Name Gross Discount No -Pay Net 50501 EVOQUA WATER TECHNOLOGIES LLC 711.30 0.00 0.00 711.30 Vendor# Vendor Name Class Pay Code RI 185 FARAH JANAK f Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 032718 2it1191}4" 04/04/20 03/27/20 04/01/20 723.30 0.00 0.00 723.30 TRAVEL $lµn) (Ov._t W(_ g1jallej - 4dylt6 Vendor Total: Number Name Gross Discount No -Pay Net file:///C:/Users/celevenger/cpsi/Memmed.cpsinet.coin/u82227/data 5/tmp`cw5report2572... 4/5/2018 Page 5 of 14 R1185 FARAH JANAK - 723.30 0.00 0.00 723.30 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. t// w Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 608979451 ✓ 04/04/20 02/15/20 03/12/20 31.06 0.00 0.00 31.06 SHIPPING 611108674 v// 04/04/20 03/08/20 04/02/20 10.36 0.00 0.00 10.36 �9HIPPING ✓ 609695728 04/05/20 02/22/20 03/19/20 129.80 0.00 0.00 129.80 SHIPPING Vendor Totals Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 171.22 0.00 0.00 171.22 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE V/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 6823865 ✓ 04104/20 03/06/20 03/31/20 379.82 0.00 0.00 379.82 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 379.82 0.00 0.00 379.82 Vendor# Vendor Name Class Pay Code 11820 FORTBEND HEALTHCARE CENTER r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032218 04103/20 03/22/20 03/22/20 9,743.15 0.00 0.00 9,743.15 1/ TRANSFER StAjj0 Wa IY\P. or ' Vendor Totals Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTHCARE CENTER 9,743.15 0.00 0.00 9,743.15 Vendor# Vendor Name Class Pay Cade 11183 FRONTIER V Invoice# .Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 031918 04/03/20 03/19/20 04/12/20 50.42 0.00 0.00 50.42 PHONE Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER 50.42 0.00 0.00 50.42 Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 032218 04/03/20 03/221201.03122/20 2,285.12 0.00 (Loo 2,285.12 TRANSFER payyw.kt /4ilv1 b MMJ� IYl CMV - 0322188 04103/20 03/22/20 03/22/20 4,465.69 0,00 0.00 4,465.69 TRANSFER QA jWq*i, - 6p,hj_ A-V MWV_ Iy� "" r 032218A 04/03120 03/22/20 03/22/20 865.46 0.00 0.00 865.46 v1 TRANSFER ?AyW�_elkl-yam}- -F tYl CMV - f 032818 04/03/20 03/26/20 03/28/20 1,790.69 0.00 0.00 1,790.69 TRANSFER p&jWtKt ,�C, � ,K Lm, - 032618 04/03/20 03/26/20 03/26/20 4,193.50 0.00 0.00 4,193.50 TRANSFER PAJWKA--r�,�.`- tNYv�- ihCVV0V- V Vendor Totals Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 13,600.46 0.00 0.00 13,600.46 Vendor# Vendor Name Class Pay Code G0401 GULF COAST DELIVERY v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u822271data_51tmp_cw5report2572... 4/5/2018 Page 6 of 14 033018 04/03/20 03/30/20 04/15/20 50.00 - 0.00 0.00 50.00 V/ DELIVERY SERVICES Vendor Total: Number Name Gross Discount No -Pay Net G0401 GULF COAST DELIVERY 50.00 0.00 0.00 50.00 Vendor# Vendor Name Class Pay Code 61210 GULF COAST PAPER COMPANY ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1467984 v 03/27/20 03/13/20 04/12/20 557.11 0.00 0.00 557.11 v/ Vendor Total: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 557.11 0.00 0.00 557.11 Vendor# Vendor Name Class Pay Code 10720 LIFESOURCE EDUCATIONAL SRV LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 000858 04/04/20 04/02/20 04107/20 650.00 0.00 0.00 650.00 ✓ CONT ED Vendor Total Number Name Gross Discount No -Pay Net 10720 LIFESOURCE EDUCATIONAL SRV LLC 650.00 0.00 0.00 650.00 Vendor# Vendor Name Class Pay Code M2280 MEAD JOHNSON NUTRITION t/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 94452522 �/ 04/03/20 03/12/20 04/12/20 230A0 0.00 0.00 / 230.40 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2280 MEAD JOHNSON NUTRITION 230.40 0.00 0.00 230.40 Vendor# Vendor Name Class Pay Code 11860 MED -PRO DISTRIBUTORS, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 9701 V/ 04/04/20 03/02/20 04/02/20 1,802.91 0.00 0.00 1,802.91 ✓ INVENTORY 9735 04/04/20 03/08120 04/08/20 5,342.22 0.00 0.00 5,342.22 INVENTORY Vendor Total: Number Name Gross Discount No -Pay Net 11860 MED -PRO DISTRIBUTORS, LLC 7,145.13 0.00 0.00 7,145.13 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 1846601267 1/ 04/03/20 03/16/20 04/10/20 17.60 0.00 0.00 17.60 V1 SUPPLIES 1847091719 t/ 04/04/20 03/23120 04/17/20 -13.60 0.00 0.00 -13.60 t// CREDIT Vendor Total=, Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 4.00 0.00 0.00 4.00 Vendor# Vendor Name / Class Pay Code 11604 MICHAEL PFIEL ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 032718 04/04/20 03/27/20 03/27/20 115.00 0.00 0.00 115.00 NURSE LICENSE RENEWAL Vendor Tofale Number Name Gross Discount No -Pay Net 11604 MICHAEL PFIEL 115.00 0.00 0.00 115.00 Vendor# Vendor Name Class Pay Code 10810 MMC EMPLOYEE BENEFIT PLAN,/ file:///C:/Users/cclevenger/cpsi/menmied.cpsinet.com/u82227/data 5/tmp_cw5report2572... 4/5/2018 Page 7 of 14 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 040218 04/03/20 04/02/20 04/02/20 17,980.08 0.00 0.00 17,980.08 ✓ INSURANCE Vendor Total: Number Name Gross Discount No -Pay Net 10810 MMC EMPLOYEE BENEFIT PLAN 17,980.08 0.00 0.00 17,980.08 Vendor# Vendor Name Class Pay Code 10680 MMC EMPLOYEES ACTIVITES TEAM Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 040218 04/03/20 03122/20 04/02/20 2,200.00 0.00 0.00 2,200.00 r/ RELAY FOR LIFE T SHIRTS Vendor Total: Number Name Gross Discount No -Pay Net 10680 MMC EMPLOYEES ACTIVITIES TEAM 2,200.00 0.00 0.00 2,200.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 0716 03/20/20 03/13/20 04/12/20 -1,463.21 0.00 0.00 -1,463.21 CREDIT 2576092 04/04/20 03/26/20 04/05/20 19.30 0.00 0.00 19.30 INVENTORY 2576096,/04/04/20 03/26/20 04/05/20 22.20 0.00 0.00 22.20 / INVENTORY 2576094 V 04/04120 03/26/20 04/05/20 451.53 0.00 0.00 451.53 r/ /INVENTORY 2576093 V 04/04/20 03/26/20 04/05120 23.16 0.00 0.00 23.16 r/ INVENTORY 2576091 04/04/20 03/26/20 04/05/20 4,931,73 0.00 0.00 4,931.73 / INVENTORY / ✓ SC8417 ✓ 04/04/20 03/26/20 04/05/20 48.53 0.00 0.00 48.53 / SERVICE CHARGE SC8418 ✓ 04/04/20 03/26/20 04/05/20 51.92 0.00 0.00 51.92 SERVICE CHARGE / 2576095 v/ 04/04/20 03/26/20 04/05/20 1,314.25 0.00 0.00 1,314.25✓ / INVENTORY / ✓ 2582409 ✓ 04/04/20 03/27/20 04/06/20 320.66 0.00 0.00 320.66 INVENTORY l 2582408 ✓ 04/04/20 03/27/20 04/06/20 514.72 0.00 0.00 514.72 INEVNTORY 25824071/04/04/20 03/27/20 04/06/20 2.53 0.00 0.00 2.53 INVENTORY 2587512 V/ 04/04/20 03/28/20 04/07/20 29.07 0.00 0.00 29.07 V/ INVENTORY 2587997 v1 04/04/20 03/28120 04/07/20 499.42 0.00 0.00 499.42 / INVENTORY J 2587996 v 04/04/20 03/28/20 04/07/20 30.88 0.00 0.00 30.88 y / INVENTORY 2591159) 04/04/20 03/29/20 04/08/20 202.65 0.00 0.00 202.65 v. /INVENTORY J 2593043 v 04/04/20 03/29/20 04/08/20 17.08 0.00 0.00 17.08'/ INVENTORY � 2593041 04104/20 03/29/20 04/08/20 30.98 0.00 0.00 30.98 t% INVENTORY file:///C:/Users/celevenger/cpsi/memmed.cpsinct.com/u82227/data 5/tmp_cw5repoi22572... 4/5/2018 Page 8 of 14 file:///C:/Users/celevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5repoA2572... 4/5/2018 2593040 ✓ 04/04/20 03/29/20 04/08/20 71.90 0.00 0.00 71.90 1/ INVENTORY 2593039 04(04120 03/29/20 04/08/20 1,062.59 0.00 0.00 1,062.59/ INVENTORY / 11.19 2593038,/ 04/04/20 03/29/20 04108/20 11.19 0.00 0.00 / INVENTORY CM22682 ✓ 04/04/20 03/30/20 04/09/20 -2.14 0.00 0.00 -2.14 CREDIT J ✓ CM22683 04/04/20 03130/20 04/09/20 -2.14 0.00 0.00 -2.14 CREDIT / ✓ 2604569 04/04/20 04102/20 04112/20 175.80 0.00 0.00 175.80 / INVENTORY 2602719 % 04/04/20 04/02/20 04/12120 0.39 0.00 0.00 0.39 ✓ INVENTORY / V 2604568./ 04/04/20 04/02/20 04/12/20 964.57 0.00 0.00. 964.57 INVENTORY / ✓ 26045701/04/04/20 04/02/20 04/12/20 797.56 0.00 0.00 797.56 INVENTORY 2604567 04/04/20 04/02/20 04/12/20 1,842.53 0.00 0.00 1,842.53 V/ / INVENTORY V 2602718 ✓ 04/04/20 04/02/20 04/12/20 15.85 0.00 0.00 15.85 /INVENTORY 2611405 V 04/04120 04/03/20 04/13/20 102.53 0.00 0.00 102.53 /INVENTORY 2608120 / 04/04/20 04/03120 04/13/20 18.34 0.00 0.00 18.34 V/ INVENTORY 2610191 r// 04/04/20 04/03/20 04/13/20 488.99 0.00 0.00 488.99 ✓ INVENTORY / 2608121 ✓ 04/04/20 04/03/20 04113/20 110.01 0.00 0.00 110.01 v /INVENTORY 2610190 V 04/04/20 04/03/20 04/13/20 15.07 0.00 0.00 15.07/ J INVENTORY 2610192 ✓ 04/04/20 04/03/20 04/13/20 220.15 0.00 0.00 220.15 V INVENTORY 2608119 ✓/ 04/04/20 04/03/20 04/13/20 111.27 0.00 0.00 / 111.27 J INVENTORY 2611404 04/04/20 04/03/20 04/13/20 15.83 0.00 0.00 15.83 ✓ INVENTORY 2610193 ✓ 04/04/20 04/03/20 04/13/20 11.82 0.00 0.00 11.82 f INVENTORY 2608118 V 04/04/20 04/03/20 04/13/20 55.01 0.00 0.00 55.01 ✓ INVENTORY - VendorTotalENumber Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON GO, LLC 13,134.52 0.00 0.00 13,134.52 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINOR ✓ Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2027104140 04/03120 05/01/20 05131/20 -92.88 0.00 0.00 -92.88 CREDIT 2028104492 V/ 04/03/20 06/08/20 07/08/20 -84.65 0.00 0.00 -84.65 ✓ CREDIT / 2028957322 v/ 04/03120 07/11/20 08/10120 -27.34 0.00 0.00 -27.34 r/ file:///C:/Users/celevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5repoA2572... 4/5/2018 Page 9 of 14 CREDIT 2028997414 �/ 04/03/20 07/12/20 08/11/20 -18.07 0.00 0.00 -18.07 r/ CREDIT 2029408257 V1 04/03/20 07/27/20 08/26/20 -119.22 0.00 0.00 -119.22 1/ C/REDIT / 2029739049 t/ 04/03/20 08/09120 09/08/20 -26.57 0.00 0.00 -26.57 CREDIT 2030073753 d 04/03/20 08/22/20 09/21/20 -6.14 0.00 0.00 -6.14 CREDIT 2030771219 04/03/20 09118/20 10/18/20 -40.89 0.00 0.00 / -40.89 ✓ CREDIT / 2035870026 V/ 04/03/20 03M 3120 04/12/20 120.48 0.00 0.00 120.48 ✓ SYPPLIES / 2031731424 ✓ 04/0412010/19/20 11/18/20 -3.05 0.00 0.00 -3.05 ✓ CREDIT 20227407531/ 04/04/20 11121/2012121/20 -23.00 0.00 0.00 -23.00 C/gEDIT 2035877922 ✓ 04/04/20 03/13/20 04/12/20 1,232.05 0.00 0.00 1,232.05 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net OM425 OWENS & MINOR 910.72 0.00 0.00 910.72 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 040418 04/04/20 04/04/20 04/04/20 1,290.00 0.00 0.00 1,290.00 CONTRACT EMPLOYEE �)uile-k131t� . Vendor Totals Number Name Gross Discount No -Pay Net 11069 PABLO GARZA 1,290.00 0.00 0.00 1,290.00 Vendor# Vendor NameClass Pay Code ! 11142 PAETEC(WINDSTREAM) ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 69926974 / 04/03/20 03/22/20 04/05/20 9,410.19 0.00 0.00 9,410.19 t/ PHONE Vendor Totals Number Name Gross Discount No -Pay Net 11142 PAETEC (WINDSTREAM) 9,410.19 0.00 0.00 9,410.19 Vendor# Vendor Name Class Pay Code 10032 PHILIPS HEALTHCARE ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 936199932 dc04/04/20 02/27/20 03/24120 2,627.00 0.00 0.00 2,627.00 SERVICE AGREEMENT Vendor Totals Number Name Gross Discount No -Pay Net 10032 PHILIPS HEALTHCARE 2,627.00 0.00 0.00 2,627.00 Vendor# Vendor Name Class Pay Code 11480 PORT LAVACA PLUMBING y// Invoice#% Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7915 J 04/03/20 03/05/20 04/05120 250.00 0.00 0.00 250.00 PURCH SERV Vendor Totals Number Name Gross Discount No -Pay Net 11480 PORT LAVACA PLUMBING 250.00 0.00 0.00 250.00 Vendor# Vendor NameFlass Pay Code P1725 PREMIER SLEEP DISORDERS CENTER r/ M file:///C:/Users/cclevenger/cpsilinemmed.cpsinet.com/u82227/data_5/tmp_cw5report2572... 4/5/2018 Page 10 of 14 Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 00069 04/03/20 03/27/20 04/11/20 2,275.00 0.00 0.00 / 2,275.00 SLEEP STUDIES Vendor Totals Number Name Gross Discount No -Pay Net P1725 PREMIER SLEEP DISORDERS CENTER 2,275.00 0.00 0.00 2,275.00 Vendor# Vendor Name Class Pay Code 11680 RADSOURCE Invoicelt / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SC56908 ✓ 04/04/20 03/12/20 04106/20 1,667.00 0.00 0.00 1,667.00 V1 EQUIPMENT Vendor Total: Number Name Gross Discount No -Pay Net 11080 RADSOURCE 1,667.00 0.00 0.00 1,667.00 Vendor# Vendor NameClass Pay Code 10645 REVISTA de VICTORIA /✓ Invoice# Comment Tran Dl Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ,/ 02201824A 04/04/20 01/17/20 02/17/20 240.00 0.00 0.00 240.00 AD J 03201824 >/ 04!04120 03!16/20 04/16120 240.00 0.00 0.00 240.00 AD Vendor Totals Number Name Gross Discount No -Pay Net 10645 REVISTA de VICTORIA 480.00 0.00 0.00 480.00 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 100184273 ✓ 04/03/20 02/22/20 03/19/20 5,909.84 0.00 0.00 5,909.84 LEASE / 100284392 04/04/20 03/13/20 04101120 172.32 0.00 0.00 172.32 RENTAL Vendor Total: Number Name Gross Discount No -Pay Net 10520 RICOH USA, INC. 6,082.16 0.00 0.00 6,082.16 Vendor# Vendor Name Class Pay Code / 11764 ROBERT RODRIGUEZ ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 032418 04/04/20 03!16/20 03/24/20 10.00 0.00 0.00 10.00 FOOD SUPPLIES Vendor Totals Number Name - Gross Discount No -Pay Net 11764 ROBERT RODRIGUEZ 10.00 0.00 0.00 10.00 Vendor# Vendor Name / Class Pay Code S1800 SHERWIN WILLIAMS ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 42861 ,/ 03/27/20 03/09/20 04/15/20 253.52 0.00 0.00 253.52 V/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 51800 SHERWIN WILLIAMS 253.52 0.00 0.00 253.52 Vendor# Vendor Name Class Pay Code K0536 SHIRLEY KARNEI i Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 032118 04104/20 04/03120 04/03/20 517.33 0.00 0.00 517.33 CONTRACT EMPLOYEE 941llib-`4116 f Vendor Totals Number Name Gross Discount No -Pay Net K0536 SHIRLEY KARNEI 517.33 0.00 0.00 517.33 Vendor# Vendor Name Class Pay Code file:///C:/Userslcclevengerlcpsilnienuned.cpsinet.comlu82227/data_5/tmp_cw5report2572... 4/5/2018 Page 11 of 14 10699 SIGN AD, LTD. >% Invoice# Comment Tran Dt Inv Dt Due Dl Check D' Pay Gross Discount No -Pay Net / 223488 ✓ 04/03/20 03/16/20 03/26/20 1,195.00 0.00 0.00 1,195.00 1/ / AD / 223496 ✓ 04/03/20 03/16/20 03/26/20 380.00 0.00 0.00 380.00 t� AD Vendor Total; Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD. 1,575.00 0.00 0.00 1,575.00 Vendor# Vendor Name Class Pay Code 52270 SMILE MAKERS M Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / ✓ 8266510 v 04/03/20 03/13/20 04/07/20 58.92 0.00 0.00 56.92 STICKERS Vendor Total: Number Name Gross Discount No -Pay Net S2270 SMILE MAKERS 58.92 0.00 0.00 58.92 Vendor# Vendor Name/ Class Pay Code 11828 SOLERA WEST HOUSTON ✓ Invoice# Comment Tran Dt Inv Dt Due Dt , Check D Pay Gross Discount No -Pay Net 032218 04/03/20 03/22/20 03122/20 2,137.05 0.00 0.00 2,137.05 TRANSFER ? AJ VJsi.} YCCWt l- q kWLt, l V,, ( B0 ` . 032618 04/03/20 03/27/20 03/27/20 6,000.00 0.00 0.00 6,000.00 TRANSFER VAIKV V YL-t/� b� to l Ili t.VyW Vendor Total= Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOUSTON 8,137.05 0.00 0.00 8,137.05 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 90034271 + 04/04/20 03/19/20 04/13/20 6,002.00 0.00 0.00 6,002.00 /BLOOD 90034170 ✓ 04/04120 03/19/20 04/13/20 -2,530.00 0.00 0.00 -2,530.00 CREDIT Vendor Totals Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 3,472.00 0.00 0.00 3,472.00 Vendor# Vendor Name Class Pay Code S2692 STACY SYSTEMS INC t/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1803128 03/26/20 03/13/20 04/13/20 2,745,00 0.00 0.00 2,745.00 GAS INSPECTION Vendor Totals Number Name Gross Discount No -Pay Net S2692 STACY SYSTEMS INC 2,745.00 0.00 0.00 2,745.00 Vendor# Vendor Name Class Pay Code 11140 TEXAS ADVANTAGE COMMUNITY BANK Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 728832-032118 04/04/20 03/12/20 04/12120 3,690.52 0.00 0.00 3,690.52 ✓ LOAN PAYMENT Vendor Total: Number Name Gross Discount No -Pay Net 11140 TEXAS ADVANTAGE COMMUNITY BANK 3,690.52 0.00 0.00 3,690.62 Vendor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 1000203778 04/03/20 03/11/20 04/02/20 3,473.00 0.00 0.00 3,473.00 ✓ file:///C:/Users/celevenger/opsi/memmed.opsinet.com/u82227/data 5/tmp_cw5repoA2572... 4/5/2018 Page 12 of 14 INS 1000194026 04/04120 03/23/20 04/01/20 10.00 0.00 0.00 10.00 LATE FEE Vendor Total: Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 3,483.00 0.00 0.00 3,483.00 Vendor# Vendor Name Class Pay Code / 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 032218 04/03/20 03/22/20 03/22/20 3,884.76 0.00 0.00 3,884.76 t/ TRANSFER VPj 1/ K( 6Xr,} J} VKWL- k tWV V- . Vendor Totals Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 3,884.76 0.00 0.00 3,884.76 VendOf# Vendor Name Class Pay Code D1641 THE DOCTORS' CENTER t/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 01884022818 04/04/20 02t28/20 03/25/20 75.00 0.00 0.00 75.00 ONSITE COLLECT Vendor Total: 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 11067 TRIZETTO PROVIDER SOLUTIONS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 35FK031800 V/ 04/04/2003101/2003/26120 812.00 0.00 0.00 812.00 ✓ PT STATEMENTS Vendor Total; Number Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDER SOLUTIONS 812.00 0.00 0.00 812.00 Vendor# Vendor Name Class Pay Code 11002 TRUSTAFF✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 388729 ,i 03/20/20 03/16/20 04/15/201,893.75 0.00 0.00 1,893.75 t% kOY 1/1'141 {B' I J A I 1``/ STAFFING Uy ? 388732 ✓� 03/20/20 03116/20 04/15/20 5,456.25 0.00 0.00 5,456.25 STAFFING Wuf - slro"'-3tfll� Vendor Totals Number Name Gross Discount No -Pay Net 11002 TRUSTAFF 7,350.00 0.00 0.00 7,350.00 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8400270193y/ 03/26/20 03/20120 04/14/20 125.55 0.00 0.00 125.55 LAUNDRY 8400269992 ./ 04/03/20 03/16/20 04/10/20 148.95 0.00 0.00 148.95 LAUNDRY 8400269990 ✓ 04/03/20 03M6120 04/10/20 19.38 0.00 0.00 19.38/ LAUNDRY 8400270013 04/03/20 03/16/20 04/10/20 21.25 0.00 0.00 21.25 LAUNDRY 8400270017 v 04/03/20 03/16/20 04/10/20 794.92 0.00 0.00 794.92 v/ UNDRY / 8400270195 04/03120 03/20/20 04/14/20 47.15 0.00 0.00 47.15 v/ LAUNDRY / 8400270192 V/ 04/03/20 03/20/20 04/14/20 94.29 0.00 0.00 94.29 v LAUNDRY file:///C:/Users/ecievenger/cpsi/meinmed.cpsinct.com/u82227/data 5/tmp_cw5report2572... 4/5/2018 Page 13 of 14 8400270227 V 04/03/20 03/20/20 04/14/20 66.70 0.00 0.00 66.70 Y UNDRY / ✓ 8400270268 04/03/20 03/20/20 04/14/20 102.12 0.00 0.00 102.12 LAUNDRY 8400270196 ✓ 04/03/20 03/20/20 04/14/20 8400270196,7 44.24 0.00 0.00 44.24 LAUNDRY 632.71 8400270233 r 04/03/20 03/20/20 04/14/20 632.71 0.00 0.00 UNDRY / ✓ 8400270194 04/03/20 03/20/20 04/14/20 139.93 0.00 0.00 139.93 UNDRY v/ 8400270506 04/03/20 03/23/20 04/17/20 777.67 0.00 0.00 777.67 LAUNDRY 8400270501 r// 04/03120 03/23/20 04/17/20 21.25 0.00 0.00 21.25 v UNDRY ` ✓ 8400270479 04/03/20 03/23120 04/17/20 148.95 0.00 0.00 148.95 UNDRY 19.38 8400270478 04/03/20 03/23/20 04/17/20 19.38 0.00 0.00 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net 01064 UNIFIRST HOLDINGS INC 3,204.44 0.00 0.00 3,204.44 Vendor# Vendor Name Class Pay Code U1350 UPS a/NW Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000078941078 04/03/20 02/17/20 03/17/20 299.55 0.00 0.00 299.55 SHIPPING Vendor Totals Number Name Gross Discount No -Pay Net U1350 UPS 299.55 0.00 0.00 299.55 Vendor# Vendor Name Class Pay Code 11872 US ALLERGY LABS V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032518 04/04/20 03/25/20 03/25/20 2,778.14 0.00 0.00 2,778.14 LAB SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11872 US ALLERGY LABS 2,778.14 0.00 0.00 2,778.14 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 9110460406 ✓ 0404120 12/15/20 01/09/20 1,571.67 0.00 0.00 1,571.67 y CONTRACT 9110476654 V/ 04/04/20 01/29/20 02/23/20 2,545.44 0.00 0.00 2,545.44 SUPPLIES - VendorTotalsNumber Name' Gross Discount No -Pay Net 11110 WERFENUSALLC 4,117.11 0.00 0.00 4,117.11 Vendor# Vendor Name Class Pay Code 11580 WILLIAM CROWLEY III, DO V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 033018 04/0412003/3012004/01/20 1,583.00 0.00 0.00 1,583.00 HOSPITALIST 317/tj(g . Vendor Totals Number Name Gross Discount No -Pay Net 11560 WILLIAM CROWLEY III, DO 1,583.00 0.00 0.00 1,583.00 Report Summary file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report2572... 4/5/2018 Grand Totals: Gross Discount 383,279.40 0.00 cOUNTY AUDITOR CALHOUN COUNTY, TERAS No -Pay 0.00 P J � (JxveL+i ✓I Page 14 of 14 Net 383,279.40 <416:22`> + +15 10 file:///C:/Users/celevenger/rpsi/menimed.cpsinet.com/u82227/data 5/tmp_cw5report2572... 4/5/2018 Page 1 of I MEMORIAL MEDICAL CENTER 04/05/2016 0 AP Open Invoice list 11:05 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11816 ASHFORD GARDENS Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 032218 04/03/2003122/2003/22/20 7,198.24 0.00 0.00 7,198.24 TRANSFER 03291 04105E Q0317a1200QP3$/20 357Z6M6 , 3�QQ .A_`O(1 _r-3fi7 8 16 .., TRANSFER Vendor Totals Number Name Gross Discount No -Pay Net 11816 ASHFORD GARDENS 42,974.40 0.00 0.00 42,974.40 Report Summary Grand Totals: Gross Discount No -Pay Net 42,974.40 0.00 0.00 42,974.40 35, 1'l6 i APPROVED ON 2 • 0 f2018 COUNWAUDMR file:ll/C:/Users/cclevengerlcpsi/memmed.cpsinet.com/u822271data_5/tmp_cw5report9060... 4/5/2018 Page 1 of 1 MEMORIAL MEDICAL CENTER 04/05/2018 11:06 AP Open Invoice List Dates Through: 0 o en invoice.tem late ap_ p p — Vendor# Vendor Name Class Pay Code 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check D'Pay Gross Discount No -Pay Net 032218 04/03/20 03/22/20 03/22/20 9,743.16 0.00 0.00 9,743.15 TRANSFER ' 032818 -.. rL'F/(f5%2 9372679 0.411-9 _9s TRANSFER Vendor Totals Number Name Gross 11820 FORTBEND HEALTHCARE CENTER 20,0$07 Discount No -Pay 0.00 0.00 Net 20,0 ..07 Report Summary Grand Totals: Gros Discount 20,074/(07 0.00 No -Pay Net 0.00 20,047 APPROVED ON APR 0 6 2618 C0UNTTAUDrf0R CAMOUN COUWY,'I' AS ATrOVA FOr so, RUIV_ wtI - file:!/lC:/Users/cclevenger/epsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report6066... 4/5/2018 Page 1 of 1 MEMORIAL MEDICAL CENTER 04/05!2018 0 AP Open Invoice List 11:04 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032218 04/0312003/22/2003!22!20 3,884.76 0.00 0.00 3,884.76 TRANSFER TRANSFER Vendor Totals Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 6,440.20 0.00 0.00 6,440.20 ReportSummary Grand Totals: Gross Discount 6,440.20 0.00 ,. APR A i COUMYAXWMR ea a No -Pay Net 0.00 6,440.20 file:NC:lUsers/cclevengerlcpsi/memmed.cpsinet.com/u82227/data_5/tmp_ew5report2867... 4/5/2018 Page 1 of 1 MEMORIAL MEDICAL CENTER 04105/2018 0 AP Open Invoice List 11.19 ap_open_invo Ice.template Invoice Dates Through: 03!28/2018 Vendor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check D* Pay Gross Discount No -Pay Net 031518 03/26/20 03115120 03115120 04/04/20 P 2,925.00 0.00 0.00 2,925.00 TRANSFER 031918 03/26120 03119/20 03/19/20 04104/20 P 2,535.00 0.00 0.00 2,535.00 TRANSFER 032218 04/03/20 03/22120 03/22/20 2,137.05 0.00 0.00 2,137.05 TRANSFER 032618 04/03/20 03/27/20 03/27/20 6,000.00 0.00 0.00 6,000.00 TRANSFER �-04j05f�2D0 17�8Y�"O, f- '� 'T,� 5s 2, _ OQ;, 6M0 �xns,_ .?J.5%}OM, _7120 _ TRANSFER Vendor Total: Number Name Gross / Discount No -Pay Net 11828 SOLERA WEST HOUSTON 23,1437 0.00 0.00 23,1 Report Summary Grand Totals: Gross/ Discount No -Pay Ne 23,142 37 0.00 0.00 23, �. 2.37 APPROVED ON APR 0 6 2016 cOUNTYAUDYtOR CAMOUN COUNTY, TMMS r r"VaV-uv �1t5 5.3� on[ . file://!C:/Usersleclevenger/cpsilmemmed.cpsinet.coralu82227/data_5/tmp_cw5report8894... 4/5/2018 Page 1 of 1 495.0{J - t U 0 -r - ii i; - L[ :1 J ` 5(2. "- 49 3 00 r 13 09'i 1'i - 2,28 IZ 865 46 1,790-69 Ap�lvval -ivlr a�+31103 onl�., t ;xr ON APR 1 2018 file:///C:(Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report4164... 4/5/2018 MEMORIAL MEDICAL CENTER 04/0512018 0 AP Open Invoice List 11:20 ap_open_invoice.tempiate Invoice Dates Through: 03/28!2018 Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 031518 03/26/20 03/15/20 03/15/20 03/29/20 P 493.00 0.00 0.00 493.00 TRANSFER 031918 03/26/20 03/19/20 03/19/20 03/29/20 P 13,097.00 0.00 0.00 13,097,00 TRANSFER 031518A 03/29/20 03/15/20 03115/20 04/04/20 P 493.50 0.00 0.00 493.50 TRANSFER CM031518 03/29/20 03/15/20 03/15/20 03/29/20 P -493.00 0.00 0.00 -493.00 TRANSFER 031918A 03/29/20 03/15/20 03/15/20 04/04/20 P 13,097.17 0.00 0.00 13,097.17 TRANSFER CM031918 03/29/20 03/19120 03/19/20 03/29/20 P -13,097.00 0.00 0.00 -13,097.00 TRANSFER 032218B 04/03/20 03/22/20 03/22/20 4,465.69 0.00 0.00 4,465.69 TRANSFER 032218 04/03/20 03/22/20 03/22/20 2,285.12 0.00 0.00 2,285.12 TRANSFER 032218A 04103/20 03/22/20 03/22/20 865.46 0.00 0.00 865.46 TRANSFER 032818 04/03120 03128120 03/28120 1,790.69 0.00 0.00 1,790.69 TRANSFER TRANSFER Vendor Totals Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 47,3 8.60 0.00 0.00 47,308.66 .Report Summary Grand Totals: Gross/ Discount No -Pay Net 47,30&66 0.00 0.00 47,30866 495.0{J - t U 0 -r - ii i; - L[ :1 J ` 5(2. "- 49 3 00 r 13 09'i 1'i - 2,28 IZ 865 46 1,790-69 Ap�lvval -ivlr a�+31103 onl�., t ;xr ON APR 1 2018 file:///C:(Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report4164... 4/5/2018 Pi ri s April 2018 Statement i? Open Date: 03/06/2018 Closing Date: 04/04/2018 Visa® Business Card MEMORIAL MEDICAL CNT JASON W ANGLIN 510) 2=00 2 - 0 `I • ij li 6 111+�ti:- 1 C., ij is 0 ii ;_ tl 2 [l tS =0'0 6 Account: Cardmember Service BUS 30 ELN a Activity Summary Previous Balance + Payments Other Credits Purchases + Balance Transfers Other Debits Fees Charged interest Charged New Balance = Past Due Minimum Payment Due Credit Line Available Credit Days in Billing Period $t -jq 1.11- APPROVED .02APPROVED ON COWITAUDITOR CAT.EiOUN COUNTY, TLS US Page 1 of 4 4378 1-866-552-8855 3 $4,058.90 $4,058.90CR $0.00 $6,741.12 $0.00 $0.00 $0.00 $0.00 $0.00 $6,741.12 $0.00 $68.00 $10,000.00 $3,258.88 im, W It iiia bj �-. Mail payment coupon Payonline al, Pay by phone syph k a check myaoeounlac.S,i.com `l 1-866-552-8855 r Please detach and send coupon with check payable to: Cardmember Service CPN 001171510 ❑047985100535743780000068000006741120 24 -Hour Cardmember Service: 1-866-552-8855 //I . to pay by phone {i . to change your address 000015369 01 SP 000638815804749 P Y MEMORIAL MEDICAL CNT JASON W ANGLIN 202 S ANN ST # A PORT LAVACA TX 779794204 .1,glh�th�Illupl,.h.glhlnLllll•IIIIUpinpq,lul,.l Account Number 1378 Payment Due Date 5/01/2018 New Balance $6,741.12 Minimum Payment Due $68.00 Amount Enclosed Cardmember Service P.O. Box 790408 St. Louis, MO 63179-0408 Plhnl,hddII[1.[. lh hirhd ld 111111111^11111 Elam April 2018 Statement 03/0612018-04/04/2018 Page 2 of 4 MEMORIAL MEDICAL CNT Cardmember Service `: 1-866-552-8855 E :c JASON W ANGLIN 1510) 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. Transa¢iaons.ru Trans h Payments and Other Credits Date Post Trans Date Date Ref# Transaction Description Amount Notation 03/15 PAYMENT THANK YOU VJ4,058.90cR TOTAL THIS PERIOD $4,058.90cR Purchases and Other Debits Post Trans Date Date Ref# Transaction Description Amount Notation 03106 03/05 9972 NPDB NPDB.HRSA.GOV 800-767-6732 VA d$2.00- 03/06 03/05 0038 NPDB NPDB.HRSA.GOV 800-767-6732 VA V$2.00 03/07 03106 7737 TEXAS SOCIETY OF INFEC 512-7223717 TX 4520.00 03/14 03/13 1835 FERGUSON ENT 9787 VICTORIA TX. 1513`L6.40 03115 03114 6395 NPDB NPDB.HRSA.GOV 800-767-6732 VA �y2.00 �— 03115 03/14 9377 SQ *ADVANCED PRACTI 877-417-4551 CA f$ ,098.00 03/15 03/14 2790 SQ `ADVANCED PRACTI 877-417-4551 CA ,098.00 03115 03/14 3169 IN *OCCUPRO, LLC 866-4704440 WI�,$�}25.36 03/15 03115 1422 AMA*CREDENTIALING 800-621-83351E V$43.00 03/19 03/14 0736 THE GALLERY COLLECTION 201-6417900 NJ 63.86- 03/22 03121 0428 DIYAWARDS 800-810.1216 CT 132.96 T787.62 03/23 03121 6773 HYATT REGENCY SAN ANTO SAN ANTONIO TX 03/18/18 FOR 03 NIGHTS FOLIO: 27587237 03/23 03122 0925 PTOT FACILITIES 512-305-6900 TX 220.00 03/26 03/22 0119 AMERICAN 0012179984853 FORT WORTH TX 550.00 TURNER/LARKIN 04/09/18 MOBILE ALA TO DALLAS DALLAS TO HOUSTN HOBBY HOUSTN HOBBY TO DALLAS DALLAS TO MOBILE ALA / $/110.00 03126 03/23 2396 WPY"KnowledgeConnex 855469-3729 CA ,/ 03127 03/26 5648 SAFETYPRODUCTS 760-944-1048 CA .,$179.31 03/27 03126 1186 FREDPRYOR CAREERTRACK 800-5563012 KS IA199.00 03/27 03126 1350 FREDPRYOR CAREERTRACK 800-5563012 KS 1 9.00 03/27 03/27 0669 AMA"CREDENTIALING 800-621-8335 IL 86.00 ✓ 03/28 03/27 0386 PUBLIC CHARTERS WWW.PUBLICCHA PA $200.00 �- 03/28 03/27 2805 AMAZON.COM AMZN.COM/BI AMZN.COM/BILL WA 44.99 03/29 03128 0541 NPOB NPDB.HRSA.GOV 800-767-6732 VAv/ 2 00 03/29 03/28 0624 NPDB NPDB.HRSA.GOV 800-767-6732 VA 2.00 03129 03/28 0707 NPDB NPDB.HRSA.GOV 800-767-6732 VA 2.00 03/30 03/29 3029 BADGE BUDDIES 954-931-8544 FL $35.62 —�— Continued on Next Page April 2018 Statement 03/06/2018 - 04/04/2018Page 3 of 4 MEMORIAL MEDICAL CNT Cardmember Service (: 1-866-552-8855 JASON W ANGLIN 1510) Purchases and Other Debits Post Trans Date Date Ref # Transaction Description Amount Notation TOTAL THIS PERIOD $6,741.12 201& 7otalsYear to la1L Total Fees Charged in 2018 $0,00 Total Interest Charged in 2018 $0.00 Signature/Approval; Accounting Code: aA 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 $0100 YES $0.00 11.49% "PURCHASES $6.741.12 $0.00 YES $0.00 11,49% -ADVANCES $0.00 $0.00 YES $0.00 25.49% Continued on Next Page .MEMORT_A_L, MEDICAL CENTER PURCII"E ORDER . Bill To: 87 5 N. VM(3M A ST. PORT LAVACA, TX 77979 PHONB: (361) 552-6713 FAN: (361) 5552--0,3,.1.2Q VendorName: Vendor Address: VendorPhono#: Vendor Far,#: Ship To: 815 R VI GRUA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX: (361) 552-0312 Date: q1 511 P.O. # 1 Acoonut# 7nitiatedBy al-y� V .Four#9401 DateRevhi A 8xpense# Department DelivuTo Tine No. Qty. CatalogNnmter Desmipfion UuitCost Umi Meas, Rdeaded Cost NPbe) - i Pr6vlde✓ a• �o 2 0�'f' Prnv. 5aa.00 4 i_ m� . fG�JM^b0�d- 9fl-/-,i t., lb'1 D� c 4- � s Nwyrat RMce - r 61-, IP -99. DO 5a M Lk ed &A �t,- @Vt I wt a�ttc (vet �.oa 9 10 �7�G+ucrdnn(4, ��7�''J^_Pi�Crtini Ln Dccu.�o Uc ^ Re4w4b ays %)�.' ! , (�{ t Est Freieht Rct. Total Cost TOTAL COST J I/ MEMORIAL MEDICAL CENTER. J PURCHA„E ORDER BM To: 815 N. VJRG1kA ST. Ship To: 815 N" VSRGINIA ST. PORTLAVACA TX77979 PORTLAVACA TX77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX: (361) 552-0312 FAX: (361)552.-0312 VendorNama: }l�iYi �UlC4� Date: Vendor Address: VendorFhone#: Vendor Fax.#: P.O. # Account# Mtiated$y: 11=49401 DataRequicad Hxpansa# Deparhnent DdivorTo 7Y(Ifl Qty• Ca4lagNeantar Description . ihutCost Unit lixtcecd Meas. Cost No. ® AMA - ,I-nrt t Cb + ryw • � �a z 1 nGt .4 �V '% lY✓r �/l� ►�2 .C/� 64 rv. i3a.ab 6 8 i - aor8 NAM 9 mfr/ ^ _ ��3�t�1lb 3I?dll8 ( F- �.1t'tY� 10 pro,-- '" . - " . ' TOTAL COST 1. 1 Est. Freight Est. Total Cost NOTES: rwd f s & Contact. Date- QuotedDy: • Duyar: B.T-L I • i Dept Director Dir.Nuising — Adua-Mr. Clinical A.duvnishator N V ;MEMORIAL MEDICAL CENTER PURCHME ORDERIi Bill To: 815 N. VIRGINIA. ST. PORT LAVACA, TX 77979 PHONE: (361)'552-6713 FAX:(361) 552-03-172 VendorName: Vendor Address: Vendor Phone. M Vendor Bax,#: Ship To: 815 N. VRGIl,UA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX: (361) 552-0312 / Date: � 15 I I U P.O. # Account# InitiatedBy. ,Form.�9401 .. DateRepb:aa Bxpense# Department Ddivmn rc, Lina No. Qty_ CatalogN='b= Description ULIt Cost Unrt Meas. Bxto¢dcd cost 1 1 � Ary)wizig-p Airlines- L tAQn 2 1 t.� s�n� - L' PS t fyv, ;0vI,)I 1 3 ® PftDSjrx-di uyh ' V Wi 4 5 �'j�/lAtli(5 - c,,D e- I�YYIS '3 1 6 S?m;rare AI►STY-, bb 7 (G 9 ��YY1G1.S ! OY) 10 O Est. 17reigltt � �-6) Est. Total Cost _ TOTAL COST.4?W5 J V/ I/ .✓ ..MBMORML MEDICAL CENI`ER PURCHASE ORDER Bill To: 815 N. VIRGINIA ST PORT LAVACA, TX77979 PHONE: (361)'552,6713 PAX:(361) 552-0312 VendorName:�m Vendor Address: Vendor Phone#: Vendor Fax,#: Ship To: 815 N. VIRGINIA ST. PORTLAVACA, TX77979 PHONE: (361) 552-6713 FAX: (361) 55�2+"-0312 Date: I t! — �'J P.O. # ACGoiitlt # Initiated By: _Fomt#9401 .. Dateitegiilced $xpense# Depadment DeliverTo r;, Lane No. Qty. CatslogNimibm - Dm4tion Unit Cost Unit Meas. Bended Cost 1 -� f�t,f�l►`G Ci�.�-�-�s - �i�h--f- a�.oa 2 n CGl �vr✓nn e•,,-� Thr C-�P 3 `! /Eli + T �[ t YLLI✓Yt I 1 ✓1` 6; I �25r r e s,,, Q— �I J, 411.99 11. 1 J .4 - N PDA 5 ^ l� L� D. 00 6 ' 8 9 fica1�10� r t-,} 0141-! 10 I Est. Freight W. Total Cost TOTAL COST XM:I� .12 � Oki § � ` {ELUZ ! > ^ / N # § )00 - §§®�o:A ;§| )k E ECIF : e \ k )/ « w k l \ - § \) )t \2 W W L0 k k �( " E ( w � ) \ 0 (n � ) f ` d } ) \§ § m Is CO O � � � cli � � � t =\ N q4 v LLm C Et' QC m V N VI N V m O P M O! au. 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N Yq N.N <45 igN mLL E QS Z tn tn ui ,,he+ V� v a r m m N O m 0 0 N t0 V N m h N o) o erni r V� V o N 41 m O N n O M W N N M N orn o�na mlo m rn uC N cy o a N N h O V r r O v U U U U V V U U C U it Y m r m Y mm o o M a tO t m N m m` N m m rn o 0 0 o q 0 0 0 0 0 0 0 0 y 0 0 0 0 0 0 0 0 N p n Q � N N N N N N m 0 LL N n N N N o m w rn ro w� m m r M M m v v w a a E (o ro to m m m m m w m m m m m m m m a ° ❑ U b° m m m m m M m m N II N O g O O O O O O N N N N N N N N N 6 N O O O O O O O O O N aav�ra `v vv E �+, v g o 0 0 0 0 0 0 p N N N M y N N tp 0 0 0 0 0 0 0 0 U a o 0 0 0 0 0 o LL A" m n U a U 0 Q O L 00 c 0 Z tn tn ui ,,he+ V� v a r m m N O m 0 0 N t0 V N m h N o) o erni r V� V o N 41 m O N n O M W N N M N orn o�na mlo m rn uC N cy o a N N h O V r r O v U U U U V V U U C U it Y m r m Y mm o o M a tO t m N m m` N m m rn o 0 0 o q 0 0 0 0 0 0 0 0 y 0 0 0 0 0 0 0 0 N p n Q � N N N N N N m 0 LL N n N N N o m w rn ro w� m m r M M m v v w a a E (o ro to m m m m m w m m m m m m m m a ° ❑ U b° m m m m m M m m N II N O g O O O O O O N N N N N N N N N 6 N O O O O O O O O O N aav�ra `v vv E �+, v g o 0 0 0 0 0 0 p N N N M y N N tp 0 0 0 0 0 0 0 0 U a o 0 0 0 0 0 o LL A" m n U a U 0 Q O L TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL. SYSTEM: 1-800-572-8683) "ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4 -DIGIT PIM' F "MAKE A PAYMENT, PRESS 1" El"ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" D"IF FEDERAL TAX DEPOSIT ENTER 1" E"ENTER 2 -DIGIT TAX FILING YEAR" "ENTER 2 -DIGIT TAX FILING ENDING MONTH" IST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec 0 "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6 -DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: C711= L y� El $ 290.96 1 $ 177.38 $ 41.48 $ 72.10 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: K:VFinance SnarOAP-Payroll Files\Payroll Taxes12018Mf3 MMC TAX DEPOSIT WORKSHEET RUN 2 2.12.18 4/9/2018 Run Date: 04/09/18 MEMORIAL MEDICAL CENTER Page 7 Time: 12:16 Payroll Register ) Hi -Weekly 1 P2REG Pay Period 03/16/18 - 03/29/18 RUnp 2 Final Summary r-- P a y C o d e S u m m a r y----------------------------------------'-- D e d u c t i o n s S u m m a r y -------------' PayCd Description Hrs IOTISHIWEIHOICBI Gross I Code Amount i-"-"".....................................•..---.---.......----•.......s---_.-----•-....-...---.-------_--------'--'----_---e 1 REGULAR PAY -S1 1,25 N N N N 51.09 A/R A/R2 A/R3 C CALL PAY 252,00 N N N N 504,00 AOVANC AWARDS BOOTS E EXTRA WAGES 9,00 N N N N 237,96 CAFE H CAFE -1 CAFE -2 K EXTENDED -ILLNESS -BANK 50.00 N N N N 500.00 CAFE -3 CAFE -4 CAFH-5 P PAID -TIME -OFF 13,75 N N N N 137.50 CAFE -C CAFE -D CAFE -F CAFE -H CAFE -I CAPE -L CAFE -P CANCER CHILD CLINIC CORBIN CRBDNN DO ADV DENTAL DBP -LF DIS -LF BAT RATCSH FEDTAX 72.10 FICA -M 20,74 FICA -0 88.70 FIRSTC FLEX S FLX FE FORT 0 - FUTA GIFT S GRANT GRP -IN GTL HOSP-I ID TFT LEAF LEGAL MASA 14BALS MISC MISC/ INCSHR OTHER PHI PHI+'+* PR FIN RELAY REPAY SAMS SCRUBS SIGNOR ST -TX STONDF STONE STONE2 STUDEN TSA -1 TSA -2 TSA -C TSA -P TSA -R TUTION UNIFOR UW/HOS +--•---------------- Grand Totals: 326.00 ------- 1 Gross: 1430.55 Checks Count:- FT 4 PT Other Female 3 Male 1 Credit -------------------------- --------------------- Deductions: 181.54 Net: 1249,01 ) p OverAmt 2eroNet Term Total: 4 - -------------------------------- --------r 4ft31o� MEMORIAL MEDICAL CENTER IBC ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT-- Mar 31, 2018 -Apr 6, 2018 Date Bank Description 4/4/2018 ACH Payment - VIVONET ACQU ISIT PAYMENT Roshanda Thomas Memorial Medical Center MMC Notes Amount Credit Card Machine Lease Expense 99.00 Total Electronic Payments; 99.00 April 9, 2018 MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- March 31st, 2018 -April 6th, 2018 Date Bank Description 4/5/2018 ACH Payment FDGL LEASE PYMT 052-0802937-000 410001227018 4/5/2018 ACH Payment FDGL LEASE PYMT 052-0802938-000 410001227018 4/5/2018 ACH Payment FDGL LEASE PYMT 052-0802939-000410001227018 4/5/2018 ACH Payment FDGL LEASE PYMT 052-1479213-000410001227257 4/5/2018 ACH Payment FDGL LEASE PYMT 052-1479214-000410001227257 4/5/2018 ACH Payment FDGL LEASE PYMT 052-1479468-000 410001227259 4/3/2018 ACH Payment MCKESSON DRUG AUTO ACH ACH03422178 910000134 4/4/2018 ACH Payment MERCH BNKCD DISCOUNT 9711609108831149025200 4/4/2018 ACH Payment MERCH BNKCD DISCOUNT 9711609138871149025200 4/4/2018 ACH Payment MERCH BNKCD DISCOUNT 971160914885 1149025200 4/4/2018 ACH Payment MERCH BNKCD DISCOUNT 9711609158821149025200 4/4/2018 ACH Payment MERCH BNKCD FEE 971160910883 114902520002456 4/4/2018 ACH Payment MERCH BNKCD FEE 971160911881 114902 5 20 00245 7 4/4/2018 ACH Payment MERCH BNKCD FEE 971160912889 114902520002458 4/4/2018 ACH Payment MERCH BNKCD FEE 971160913887 114902520002459 4/4/2018 ACH Payment MERCH BNKCD FEE 971160914885 114902520002460 4/4/2018 ACH Payment MERCH BNKCD INTERCHNG 971160910883114902520 4/4/2018 ACH Payment MERCH BNKCD INTERCHNG 971160911881114902520 4/4/2018 ACH Payment MERCH BNKCD INTERCHNG 971160913887114902520 4/4/2018 ACH Payment MERCH BNKCD INTERCHNG 971160914885 114902520 4/6/2018 ACH Payment PAYROLL ONLINE TRF PAYROLL 113122652979397 Memorial Medical Center 9Rryoea Of.04.1b Cc MMCNotes Amount -Credit Card Machine Lease Expense 86.30 - Credit Card Machine Lease Expense 59.25 - Credit Card Machine Lease Expense 59.25 - Credit Card Machine Lease Expense 43.25 -Credit Card Machine Lease Expense 40.02 -Credit Card Machine Lease Expense 69.24 - 340B Drug Program Expense 2,462.41'r - Credit Card Processing Fee 19.95 - Credit Card Processing Fee 132.55 - Credit Card Processing Fee 114.46 - Credit Card Processing Fee 68.15 - Credit Card Processing Fee 11.04 - Credit Card Processing Fee 29.90 - Credit Card Processing Fee 9.95 - Credit Card Processing Fee 136,89 - Credit Card Processing Fee 50.96 - Credit Card Processing Fee 8.12 - Credit Card Processing Fee 20.01 - Credit Card Processing Fee 81.67 - Credit Card Processing Fee 15.04 -Payroll 266,851.01'°.x' Total Electronic Payments: 270,369.43 2`t62=�;1 - ". 1+056^01 <, 86 0 59.25 p UtG.A+ tLA 3.26 "C6Kt Irak o - 02 s'; 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[ § � m m ` ) ) #Ka{ )��{§ E'i2 � m m u �+ MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 04/11/17 FOR ACCT. USE ONLY Y 11Imprest Cash APPHOWD ON []A/P Check E APR 09 20m ❑ Mail Check toVendor E - F] Return Check to Dept CCUidTY AUDFtOR. CALUOUN COXMW, TEXI A AMOUNT $125.62 G/L NUMBER: 21000012 EXPLANATION: Ashford - To transfer funds for interest earned. REQUESTED BY: Maria D. Ortiz AUTIiORIZED BY: u MEMORIAL MEDICAL. C'ENT'ER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 04/11/17 FOR ACCT. USE ONLY Y SOOWD N IlImprest Cash Check E[]A/P AP09 20I8 []Mail Check to Vendor E cOUNTYAUDITOR Return Check to Dept CA€ HOUN COUNTY, Tff-M AMOUNT $111.23 6/L NUMBER: 21000013 EXPLANATION: Golden Creek -To transfer funds for interest earned. AG REQUESTED BY: Maria D. Ortiz �� AUTHORIZED BY:)! '✓'+! JI/ —� MEMORIAL MEDICAL. CENTER CHECK REQUEST B Memorial Medical Center Operating04/11/17 -Date Requested: A FOR ACCT. USE ONLY Y WO ON IlImprestCash F]A/P Check E APR 0 9 2018 LI Mail Check to Vendor E COUNTYAUDITOR DReturn Check to Dept CAMOUN COUNTY, TERM AMOUNT $42.94 G/LNUMBER: 21000008 EXPLANATION: Fort Bend - To transfer funds for interest earned. REQUESTED BY: Maria D. Ortiz AUTIAORIZED MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 04/11/17 FOR ACCT. USE ONLY Y014 '� IlImprestCash []A/P Check E APR 0 9 2018 F]Mail Check to Vendor E .� COUNrYAUDTT011 Return Check to Dept CALHOM OOVNIT, TgXU AMOUNT $144.03 GA NUMBER: 21000011 EXPLANATION: Solera - To transfer funds for interest earned. REQUESTED BY: Maria D. Ortiz v _ AUTHORIZED BY: A}ylt S y MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 04/09/17 A FOR ACCT. USE ONLY Y'QAV�D DImprestCash E APR 0 9 2018 []A/P check D Mail Check to Vendor EC®UN1R'A[RiiTOR �ReturnChecktaDept ._._, CALHOUN COUNTY, 2mas AMOUNT $197.10 G/LNUMBER: 11000009 EXPLANATION: Broadmoor -To transfer funds for interest earned. REQUESTED BY: Maria D. Ortiz AUTHORIZED BY: P A Y E B MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: 04/11/17 AMOUNT $102.30 FOR ACCT. USE ONLY A'8VED 11ImprestCash ON []A/P Check APR 09 2018 []Mall Check to Vendor Return Check to Dept CO'Wi TYAE)YDTiYYYi CALIKOUN COIUNW, TEM G/LNUMBER: 21000010 EXPLANATION: Crescent - To transfer funds for interest earned. REQUESTED BY: Maria D. Ortiz AUTHORIZED BY: April 11, 2018 2018 APPROVAL LISP- 2018 BUDGET 1 COURT MEETING OE 04/11/18 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 38 $133,010.83 FICA P/R $ 48,926.24 MEDICARE P/R $ 11,442.40 FWH P/R $ 34,073.25 CABLE ONE A/P $ 156.82 CARDMEMBER SERVICE - COUNTY A/P $ 6,700.45 FRONTIER COMMUNICATIONS A/P $ 1,297.81 GBRA A/P $ 43.22 KATHERINE SUTHERLAND - REIMBURESMENT - SUPPLIES $ 42.79 LA WARD TELEPHONE EXC. INC. A/P $ 389.24 PATRICK ROGER dba R&A CONTRACTING- RB3- PHASE 2 REBUILDING OF HATERIUS PRK A/P $ 8,000.00 PORT O'CONNOR IMPROVEMENT A/P $ 441.55 REPUBLIC SERVICES #847 A/P $ 68.20 RHONDA S KOKENA A/P $ 1,151.68 TEXAS WAVENET WIRELESS A/P $ 244.97 TISD, INC AT $ 269.96 VICTORIA ELECTRIC CO-OP A/P $ 1,698.13 VOYAGER A/P $ 10,752.34 TOTAL VENDOR DISBURSEMENTS: $ 259,094.23 TOTAL TRANSFERS BETWEEN FUNDS: PAYROLL FOR P/R TOTALPAYROLLAN10tNT: $ - TOTAL AMOUNT FOR APPROVAL: $ 259,094.23 0 0 O W O O n 6 0 00 00 yc >C a B 0 z z O ti 0 o In 0 z c r � � I C � o � N n � w � m o a_ J N N N b A A q q q P n O4 R p C:q p nC jC w Mm m O O O n O O ur w>y0 z z z m n n nN ON 73 v W W N N E% < H '0 O P N O y Y A 0 0 O' n W� N N A n -10a o tiaa raid Baa �`Qv Naa bnrd ?pan om od am �v yam ma cv iy i �o� ,,t_ rn b r_n� _ my oagc) o� 9 0 0 mo o mwo �.o oK non o� �,�3 X03 3. 3 0 xox Na Coa 74 O, OJu yrs nw rNw .yw w w w 1 �. 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CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) On single source, emergency and public welfare purchases and bills. N/A Page 14 of 15 Calhoun County Commissioners' Court—April 11, 2018 17. Public discussion of County matters. (AGENDA ITEM NO. 17) Caitlynn Davenport, Ashley Waghorne, and Garrett Broome spoke concerning the speed limit on Wooldridge Road in Seadrift. Dustin Jenkins spoke concerning the face that Unit #5 of the EMS is back in service. COURT ADJOURNED: 10:20 AM Page 15 of 15