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2019-01-09 CC MINUTES
Calhoun County Corn missione rs' Court —January 09, 2019 CAL H[OUN COUNTY COMMISSJ[ONl RS' COURT REGULAR 2019 TERM JANUARY 09, 2019 BE IT REMEMBERED THAT ON JANUARY 09, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting. was called to: order at 10 -00AM 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Clyde Syma Commissioner, Precinct #3 - ABSENT Gary Reese Commissioner, Precinct #4 Anna Goodman 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 Gary Reese/Vern Lyssy 4. APPROVE MINUTES OF DECEMBER 26, 2018 & JANUARY 02, 2019 MEETING. (AGENDA ITEM NO. 4) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese Page 1 of 5 Calhoun County Commissioners' Court —January 09, 2019 S. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 5) To authorize loan in the amount of $296,382 from General fund to Hurricane Harvey DR -4332 FEMA capital project fund. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Reese 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 6) On the following FY 2019 Interlocal Agreements and authorize payment of purchase orders and authorize County Judge to sign. (RM) 1. Calhoun County Soil and Water Conservation District No. 345 $ 7,750 2. Gulf Bend Center $26,000 3. Rabies Control, City of Port Lavaca $65,000 4. Calhoun County Senior Citizen's Association, Inc. $35,000 S. The Harbor Children's Alliance & Victim Center $28,500 6. Calhoun County Crime Stoppers $ 11000 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Gary Reese, Commissioner Pet 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese Page 2 of 5 Calhoun County Commissioners' Court —January 09, 2019 7. ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: (AGENDA ITEM NO. 7) i. Calhoun Tax Assessor/ Collector ii. County Treasurer — Nov 2018 iii. County Sheriff iv. District Clerk v. County Clerk vi. Justices of Peace - #1 Dec 2018; #2 Dec 2018; #4 Dec 2018 vii. County Auditor viii. Floodplain Administration — Dec 18 ix. Extension Service x. Adult Detention Center SHP Medical A. Constable Pct #3 2018 Racial Profiling Report — Jan — Dec 18 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Gary Reese, Commissioner Pet 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On any necessary budget adjustments. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Gary Reese, Commissioner Pet 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese Page 3 of 5 Calh0L]n County Commissioners' Court—January 09, 2019 9. Approval of bills and payroll. (AGENDA ITEM NO. 9) MMC BILLS RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese COUNTY BILLS RESULT: MOVER: SECONDER: AYES: PAYROLL RESULT: MOVER: SECONDER: AYES: APPROVED [UNANIMOUS] David Hall, Commissioner Pet 1 Vern Lyssy, Commissioner Pet 2 Judge Meyer, Commissioner Hall, Lyssy, Reese APPROVED [UNANIMOUS] David Hall, Commissioner Pet 1 Vern Lyssy, Commissioner Pet 2 Judge Meyer, Commissioner Hall, Lyssy, Reese Page 4 of 5 Calhoun County Commissioners' Court—January 09, 2019 10. PUBLIC DISCUSSION OF COUNTY MATTERS. COURT ADJOURNED: 10: 08 AM Page 5 of 5 Calhoun County Commissioners' Court January 09, 2019 REGULAR 2019 TERM § JANUARY 09, 2019 BE IT REMEMBERED THAT ON JANUARY 09, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meetingmas called to order at'.10 OO AM' 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Clyde Syma Commissioner, Precinct #3 - ABSENT Gary Reese Commissioner, Precinct #4 Anna Goodman 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 Gary Reese/Vern Lyssy Page 1 of 8 Calhoun County Commissioners` Court—January 09, 2019 4. APPROVE MINUTES OF DECEMBER 26, 2018 & JANUARY 02, 2019 MEETING. (AGENDA ITEM NO. 4) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese Page 2 of 8 Calhoun County Cornmissioners' Court — December 26, 2018 CALHOUN COUNTY COIb MISSIONERS' COURT REGULAR 2018 TERM § DECEMBER 26, 2018 BE IT REMEMBERED THAT ON DECEMBER 26, 2018, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT, 1. CALL TO ORDER 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer County Judge 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 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 4. APPROVE MINUTES OF DECEMBER 19, 2018 MEETING. (AGENDA ITEM NO. 4) RESULT: APPROVED [UNANIMOUS) MOVER: Michael Pfeifer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Fluter Page 1 of 5 Cdhoun County Commissioners' Court—January 02, 2019 REGULAR 2018 TERM L, JANUARY 02, 2019 BE IT REMEMBERED THAT ON JANUARY 02, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER Tiis7ri��Ing Wad cllclo4r�QA 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Clyde Syma Gary Reese 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 Gary Reese/Vern Lyssy 4. HEAR REPORT FROM MEMORIAL MEDICAL CENTER. (AGENDA ITEM NO. 4) Jason Anglin and Diane Moore presented report. Page 1 of 6 Calhoun County Commissioners' Court --January 09, 2019 S. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 5) To authorize loan in the amount of $296,382 from General fund to Hurricane Harvey DR -4332 FEMA capital project fund. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Finster Page 3 of 8 Suan Rilev From: cindy.mueller@calhouncotx.org (Cindy Mueller) <cindy.mueller@calhouncotx.org> Sent: Thursday, January 3, 2019 3:51 PM To: 'Susan Riley'; Clyde Syma; david.hall@calhouncotx.org; Gary Reese; Richard Meyer; vern lyssy Subject: Agenda Item Request Please place the following item on the agenda for January 9, 2019: • Consider and take necessary action to authorize loan in amount of $296,382 from general fund to Hurricane Harvey DR -4332 FEMA capital project fund. tnfoiniation: Large projects awarded by FEMA are not funded in advance and invoices Hurst be subenitted for reimbursement when work is completed. Loan amount =.90% federal share of FLAIIA's estimated project costs for Colonia Road and Bill Sanders Roast. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 Cak)ouii COU(Ity C0111rnissioners' Court _. January 09, 201.9 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 6) On the following FY 2019 Interlocal Agreements and authorize payment of purchase orders and authorize County Judge to sign. (RM) 1. Calhoun County Soil and Water Conservation District No. 345 $ 7,750 2. Gulf Bend Center $26,000 3. Rabies Control, City of Port Lavaca $65,000 4. Calhoun County Senior Citizen's Association, Inc. $35,000 S. The Harbor Children's Alliance & Victim Center $28,500 6. Calhoun County Crime Stoppers $ 11000 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Gary Reese, Commissioner Pet 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese Page 4 of 8 INTERLOCAL AGREEMENT between CALHOUN COUNTY and CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infin. Having found the above elements fully satisfied, COUNTY may contract with the CALHOUN SOIL & WATER CONSERVATION DISTRICT so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, hereinafter referred to as CALHOUN SOIL dam' WATER CONSERVATION DISTBICT #345, is engaged in various functions involving agricultural production - including livestock, crops, aquaculture, horticulture and forestry and providing services for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 to COUNTYin exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, CALHOUN SOIL & WATER CONSERVA71ON DISTRICT #345 shall be entitled to a sun not to exceed $7,750.00 per annum. Such amount shall be disbursed by COUNTY to CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 after January 1, 2019, upon written request from CALHOUN SOIL & WATER CONSERVATION DISTRICT #345. 2. Insurance: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall at all times maintain a policy of liability insurance for premises liability for personal injury. The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Services: CALHOUN SOIL & W/ATER CONSERVATION DISTRICT #345 shall provide services to the residents of COUNTY by providing diverse services including the following: providing secretarial help to the Natural Resource Conservation Service, which in turn provides technical time for assistance to our local government, drainage districts, industry, local businesses, farmers and ranchers, in addition to developing and carrying out programs for the conservation, protection and development of soil, water, and related plant and animal resources and shoreline erosion projects with the County. 4. Most Recent Financial and Performance Reports: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345's most current independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT#345 fiscal year ending in calendar year 2018, within 30 days of the approval of this contract. CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 gives details of services provided and clients served for the previous COUNTY fiscal year, within 30 days after the approval of this contract. 6. Prospective Financial and Performance Reports: CALHOUN SOIL dam' WATER CONSERVA77ON DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL dam' WATER CONSERVA77ON DISTRICT #345's fiscal year ending in calendar year 2018, by the earliest of thirty days following its receipt by CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 or by September 30, 2019. CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 gives details of services provided and clients served for CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's fiscal year ending in calendar year 2018, by September 30, 2019. 7. Term: The Term of this contract is to begin on January 1, 2019 and end on December 31, 2019, unless earlier terminated by either party on thirty days written notice. 8. Books and Records: All books and records of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall be open for inspection during normal business hours to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 9. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 10. Non -Discrimination: CALHOUN SOIL & EATER CONSERVA7TON DISTRICT #345 agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 11. Sexual Harassment Prohibited: CALHOUN SOIL & EATER CONSERVATION DISTRICT #345 agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 12. Applicable Laws: CALHOUN SOIL dam' WIATFR CONSERVATION DISTRICT #345 agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on CALHOUN SOIL dam' VATER CONSERVATION DISTRICT #345. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 13. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this 'contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, not shall any single or partial exercise of any right, power or privilege constitute such a waiver not exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 14. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective hens, legal representatives, successors and assigns; provided that CALHOUN SOIL dam' iVATER CONSERVATION DISTRICT #345 may not assign this contract without COUNTY's prior written consent. 15. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 16. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 17. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 18. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345, and CALHO UN SOIL & WATER CONSERVATION DISTRICT #345 shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 19. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and CALTIOUN SOIL dam' WATER CONSERVA71ON DISTRICT #345, except as herein otherwise provided. 20. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY /i i✓'�i ,f _ By Date: �� f CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 By: Date: NOTICES COUNTY: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 Calhoun County Judge 211 S. Ann Street, Suite 301 P.O. Box 553 Port Lavaca, Texas 77979 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract as accepted and agreed to by the Commissioners' Court of Calhoun County on VIA ,2019. By d Deputy Clerk Date: 01-0-11 CALHOUN SOIL and WATER CONSERVATION DISTRICT NO. 345 P. 0. Box 553 Port Lavaca, Texas 77979 December 20, 2018 Michael Pfeifer, Judge Calhoun County Commissioners Court 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 Dear Sirs: Enclosed are the two signed original copies of the contract between Calhoun County Commissioners Court and Calhoun Soil and Water Conservation District. Also a copy of District's proof of insurance and a letter requesting the 2019 allocation funds. Thank you for your support of the district and our natural resources. Sincerely, e6�4 Dennis Klump Chairman CALHOUN SOIL and WATER CONSERVATION DISTRICT NO. 345 Post Office Box 553 Port Lavaca, Texas 77979 November 20, 2018 Michael Pfeifer, Judge Calhoun County Commissioners Court 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 Dear Judge Pfeifer and Commissioners: Calhoun Soil and Water Conservation District is making request to receive the allocation from Calhoun County Commissioners Court that was allocated in its 2019 budget. Thank you for your assistance. Sincerely, Dennis Klump Chairman DK/jm -(Policy Provisions: WCOOOOOOC) INFORMATION PAGE WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INSURER: The Hartford Underwriters Insurance Company ONE HARTFORD PLAZA HARTFORD CT 06155 NCCI Company Number: 10456 Company Code: 6 POLICY NUMBER: 65 WEC EX0998 Previous Policy Number: 65 WEC EX0998 i w'4g ' ® ' Suffix LARS RENEWAL 18 1. Named Insured and Mailing Address: CALHOUN SOIL & WATER CONSERVATION DISTR #345 (No., Street, Town, State, Zip Code) P.O. BOX 553 PORT LAVACA TX 77979 FEIN Number: 74-6223695 State Identification Number(s): The Named Insured is: Non Profit Business of Named Insured: Portfolio Management Other workplaces not shown above: 38 COUNTY RD 101 PORT LAVACA TX 77979 2. Policy Period: From 05/24/18 To 05/24/19 ANNUAL 12:01 a.m., Standard time at the insured's mailing address. Producer's Name: PURIFOY INSURANCE AGENCY LTD PO BOX 1088 TEMPLE TX 76503 Producer's Code: 65812615 Issuing Office: THE HARTFORD BUSINESS SERVICE CENTER 3600 WISEMAN BLVD SAN ANTONIO TX 78251 (877)853-2582 Total Estimated Annual Premium: $214 Deposit Premium: Policy Minimum Premium: $189 TX Audit Period: ANNUAL Installment Term: Full Pay (100%Down) The policy is not binding unless countersigned by our authorized representative. Countersigned by ��� C� 04/14/18 Authorized Representative Date Form WC 00 00 01 A (1) Printed in U.S.A. Page 1 (Continued on next page) Process Date: 04/14/18 Policy Expiration Date: 05/24/19 i 7 ® A� ® CERTIFICATE OF LIABILITY INSURANCE UATE 16/22/2917 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Pudfoy &Company Insurance CONTACT Pat Ebarh NAME: gIGNNo Ext : (254)773-6844 FAX No : (254)773-6551 E-MAIL Pat@purifoyinsurance.com P.O. Box 1088 INSURER(S) AFFORDING COVERAGE NAIC# Port Lavaca TX 77979 INSURERA: The Hartford Insurance Group Temple TX 76503-1088 INSURED INSURER B: Hartford Fire Insurance Company INSURERC: State Sall & Water Conservation Districts INSURER 0: 1497 Country View Ln INSURER E: 1 INSURER F: Temple TX 76504 rcwrnaoco. Cl 17102203047 REVISION NUMBER: COVERAGES Z,L. ,, ,vr,. �.. v..... �. �. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD' INDICATED, NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITR TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY INSD SOUR WVD POLICY NUMBER POLICYEFF MMIDD POLICYEXP MMIDD LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE HD7ERTED_ PREMISES Ea cccunence $ 300,000 P.O. Box 553 CLAIMS -MADE 1:1OCCUR Port Lavaca TX 77979 ij-kEY4..—,o MED EXP (Any one erson) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A 65UENIX8801 01/01/2018 01/01/2019 GENT AGGREGATE LIMIT APPLIES PER: PRO LOC X POLICY ❑ JECT GENERALAGGREGATE $ 2.000,000 PRODUCTS -MP/OPAGG $ 2.000,000 CO $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 50Q000 BODILY INJURY (Par Person) $ ANY AUTO BODILY INJURY(Per accident $ A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY 65ULNIX8801 01/01/2018 01/01/2019 PROPERTY DAMAGE $ Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE 5 EXCESS LIAB CLAIMS -MADE DED RETENTIONS WORKERS COMPENSATION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE EL DISEASE - EA EMPLOYEE $ OFFICEREMBER EXCLUDED? /M ❑ (Mandatory in NH) NIA E.L. DISEASE -POLICY LIMIT $ If yes, d.acmmunder DESCRIPTION OF OPERATIONS below Each Employee 10,000 8 Employee Theft 65BDDHT7558 01/01/2018 01/01/2021 Deductible 500 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is a Named Insured. CANCELLATION UtKI IFIUA It IYVLUGR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Calhoun SWCD #345 P.O. Box 553 AUTHORIZED REPRESENTATIVE Port Lavaca TX 77979 ij-kEY4..—,o @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CALHOUN COUNTY 201 West Austin. Port Lavaca, Taxas 77979 VENDOR CLk kC)L�ry Sa,\ C�wo- G Name: ('a,j 9a_, -'j,. s C Address: V 0 - 9G)c Ss -3 City: P`L-A State: -T�_ Zip: 1-1 `i Phone: .l q Purchase Order No. (a,(D --q/ 0 Z�D_3 CHECK REQUISITION/ ,PURCHASE ORDER Departmenfs'-j, i C yN4 I r7n r n lisey ug {; Address: City: _ State:_ Phone: Zip: ACCOUNT NO. I DESCRIPTION I UNIT PRICEI QTY. TOTAL TBEJTMTSORSE.RVICESEffORN"OWA"NEEDEDINMEDISCHARGE Taxes-State/County Deducted OFMY OFPMCIALDUTM AND I CERTHYTHATFUNDSAREAVAM"LE TO PAYTffiS OBLIGATION.ICICRTNYTHATTBEABOVEFPEMSORSERWCES TOTAL WERE RECEIVED BYMEIN GOOD CONDITIONAND REQMl TTB.ECOUNTY ' TREASURER TO PAY THEABOVE OBLIGATION. 11%4 lZU � ��% 9 d-'oD'.� �' . �ATUR ri DATE SIGNATURE DATE J CONTRACT between CALHOUN COUNTY and GULF BEND CENTER STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county fluids proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, iifa. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concent to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, GULF BEND CENTER, hereinafter referred to as GULF BEND CENTER is engaged in providing services to persons with chronic and persistent mental illness and mental retardation, including crisis response and stabilization services, outpatient mental health services, and renders support to the county and district courts in the determination of competency and case disposition involving persons with mental illness and mental retardation who are involved in the criminal justice system, as well as multiple community support services for persons with mental retardation. GULF BEND CENTER is thereby providing for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fait consideration from GULF BEND CENTER to COUNTYin exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, GULF BEND CENTER shall be entitled to a sum not to exceed $26,000.00 per annum. Such amount shall be disbursed by COUNTY to GULF BEND CENTER after January 1, 2019, upon written request for GULF BEND CENTER. 2. Insurance: The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Services: GULP BEND CENTER, hereinafter referred to as GULP BEND CENTER is engaged in providing services to persons with chronic and persistent mental illness and mental retardation, including crisis response and stabilization services, outpatient mental health services, and renders support to the county and district courts in the determination of competency and case disposition involving persons with mental illness and mental retardation who are involved in the criminal justice system, as well as multiple community support services for persons with mental retardation. 4. Term: The Term of this contract is to begin on January 1, 2019 and end on December 31, 2019, unless earlier terminated by either party on thirty days written notice. S. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 6. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of GULF BEND CENTER, and GULF BEND CENTER shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to GULF BEND CENTER by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 7. Modification; Termination: This contract may be amended, modified, terminated of released only be written instrument executed by COUNTY and GULF BEND CENTER, except as herein otherwise provided. CALHOUN COUNTY /-'2 r� Date: GULF BEND CENTER By: Date: /� / COUNTY: Michael J. Pfeifer Calhoun County Judge 211 S. Ann Street, Suite 301 Port Lavaca, Texas 77979 NOTICES GULF BEND CENTER Jeffery Tunnell Executive Director 6502 Nursery Drive Victoria TY 77901 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Couunissioners' Court of Calhoun County on 0f �1�-N ,2019. ld) g`C,, B : ,( ;h Y O Deputy Clerk �, Date: I C Gulf Bend Center Gulf Bend Center Attn: Accounts Receivable 6502 Nursery Drive, Ste 100 Victoria, TX 77904 Phone: (361)576-0611 Calhoun County Courthouse The Honorable Judge Michael J. Pfeifer 211 South Ann Street, Ste 301 Port Lavaca, TX 77979 INVOICE IPooice Date 9/1/2018 Invoice 3534 Printed on 10/17/2018 Page 1 Calhoun County Courthouse The Honorable Judge Michael J. Pfeifer 211 South Ann Street, Ste 301 Port Lavaca, TX 77979 ------------------------------------------ ¢Iran&.. and rewmtticpwtioo,ssi---miannrs_________________-___________________-. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711 CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2018-424255 Gulf Bend Center Victoria, TX United States Date Filed: 11/09/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2019 Providing services to persons with chronic and persistent mental illness and mental retardation, including crisis response and stabilization services, outpatient mental health services. 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION -y'� ('7 '7 My name is-�c51ffry�t� / u!I� (JY(--�^L� and my date of birth is V /r/ d My address is �J � (VL�J.6P4I DR SIF/tN Ui[;ldjeig K , `779&q , USP/ . (street) (city) (state) (zip code) (country) I declare under penalty perjury that the foregoing is true and correct. ..-r' leI Executed in t�` i C- e'% %q County, State of ! 6 K , on the _Lday of l." 1, , 20JL. re (month) (year) ,,%ignfry of au[h ized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711 PTCDEC05 TCDECII TEXAS COUNCIL RISK MANAGEMENT FUND TC WF DECLARATIONS OF COVERAGE Member Name: Gulf Bend Center Contract Number: 00009 Declarations Effective Date: 09/01/18 12:01 AM Fund Year: 2018-2019 Declarations of Coverage Number: 1:18-19 A. WORKERS' COMPENSATION Effective Date Coverage Basis Statutory Volunteers Yes Elected / Appointed Officials Yes Piece -Rate Client Workers No Wage -Earning Client Workers (less than minimum wage) Yes Annual Contributions (Estimated) $ 48,874 Per Claim Deductible N/A Annual Aggregate Deductible N/A Effective Date 09/01/18 12:01 AM Expiration Date 09/01/19 12:01 AM Original Inception Date 11/01/88 12:01 AM B. LIABILITY COVERAGES Automobile Liability Coverage Per Occurrence Limit of Liability $ 1,000,000 Annual Aggregate N/A Deductible $ 1,000 Annual Contribution $ 18,810 Effective Date 09/01/18 12:01 AM Expiration Date 09/01/19 12:01 AM Original Inception Date 10/01/88 12:01 AM Additional Per Occurrence and Annual Aggregate Limit of Liability $ 1,000,000 in Excess of $1,000,000 $ 181 Additional Contribution Excess Layer(s) Effective Date Expiration Date Notes $1M xs $1M 09/01/18 12:01 AM 09/01/19 12:01 AM 09/01/19 12:01 AM 09/01/16 Original Eff Date (END -1) ENDORSEMENTS Non -Owned AL Endorsement See Endorsement Worksheet Uninsured/Underinsured Motorists - New Rates Eff 12/31/01 See Endorsement Worksheet Pagel of 6 54181 F..d Year 18 -19 -Renewal Gulf Bend Center B. LIABILITY COVERAGES (continued) 00009 Errors and Omissions Liability Coverage Per Claim Limit of Liability $ 1,000,000 Annual Aggregate $ 1,000,000 Deductible $ 2,500 Annual Contribution $ 18,830 Retro Active Date 10/01/198812:01 AM Effective Date 09/01/18 12:01 AM Expiration Date 09/01/19 12:01 AM Original Inception Date 10/01/88 12:01 AM Additional Per Claim and Annual Aggregate Limit of Liability in Excess of $1,000,000 Additional Contribution $ 1,000,000 $ 183 Excess Layer(s) Effective Date Expiration Date Notes $1M xs $1M 09/01/18 12:01 AM 09/01/19 12:01 AM 09/01/16 Original Eff Date ENDORSEMENTSfEND-1j Expanded Employment Practices C. PROPERTY COVERAGES See Endorsement Worksheet Coverage Basis All Risk (PR 1) Valuation Method for Loss Adjustment Real and Personal Property Replacement Cost (PR -2) Mobile Equipment & Automobile Physical Damage Catastrophe Coverage Actual Cash Value Blanket Limit Each Occurrence Blanket Per Occurrence Deductible Annual Contribution Effective Date Expiration Date Original Inception Date ENDORSEMENTS (END -1) Boiler & Machinery Endorsement ptcde053 TCDEC13 Page 3 of 6 $ 14,508,866 $ 5,000 (PR -1) $ 35,134 09/01/18 12:01 AM 09/01/19 12:01 AM 09/01/88 12:01 AM Not Elected 54181 Fund Year 18-19 - Renewal Gulf Bend Center Footnotes 00009 END -1 Reference individual endorsement worksheet for additional information. LB -1 GL Annual Aggregate Applicable to Products, Completed Operations, Contractual and Personal Injury Coverages. PR -1 Windstorm Coverage — Named Storm Wind: 1. Tier 1 Windstorm: Windstorm coverage is excess of the maximum amount of coverage available from the Texas Windstorm Insurance Association (TWIA) in the 14 eligible counties designated as Tier 1, subject to a $4,424,000 minimum deductible per occurrence per Location (Total TIV at location). 2. Harris County and Fort Bend County Windstorm: 3% per occurrence per Location (Total TIV at location) deductible, subject to a $100,000 minimum deductible per Location (Total TIV at location) shall apply for all locations in Harris County and Fort Bend County. 3. Location shall mean all properties, regardless as to the number scheduled with the Fund, at the same physical address. Total insured values (TIV) at the location shall mean the sum of all replacement cost values for buildings, contents and property in the yard without regard to the sublimit, at the location. 4 For properties not located in Tier 1 or in Harris County or in Fort Bend County, the Wind/Hail Coverage Deductible — Other than Named Storm Wind would apply. 5. Named Storm Wind is defined as the direct action of wind, including wind driven rain, when associated with or occurring in conjunction with a storm or weather disturbance that has been declared and named by the National Weather Bureau, National Hurricane Center, National Weather Service or any other recognized meteorological authority to be a Hurricane, Typhoon, Tropical Cyclone, Tropical Storm, or Tropical Depression whether or not such storm or weather disturbance is named prior to the loss or damage. Wind/Hail Coverage Deductible — Other than Named Storm Wind: The deductible for wind or hail losses from weather events other than Named Storm Wind as defined above is 1% of the building TIV, subject to a $25,000 per building maximum and $50,000 aggregate maximum per occurrence. Flood Coverage: 1. Flood Coverage is excluded for property located in the 100 year flood zone A, zone V and zones prefixed A or V as shown in the most recent documentation published by the Federal Emergency Management Agency (FEMA), or other qualified and recognized authority in the absence of FEMA. 2. For property at locations other than the 100 year flood zones, the member's standard deductible will apply for flood coverage. 3. The aggregate limit for loss by flood in any single Fund Year shall not exceed $10,000,000 at all locations not situated within the 100 year flood zone A, zone V, and zones prefixed A or V as shown in the most recent documentation published by the Federal Emergency Management Agency (FEMA), or other qualified and recognized authority in the absence of FEMA. PR -2 Coverage for buildings is provided on a replacement cost basis unless otherwise noted on the building and contents schedule. PR -3 Coverage for mobile equipment is provided on an actual cash value basis unless otherwise noted on the mobile equipment schedule. ptcde055 TCDEC15 Page 5 of 6 54181 Fund Year 18-19 - Renewal O\l�( CA H' ' O N COUNT Purchase Order No. 3(-oo _,01/G L 201 West Austin j-U—� ' �Q Port Lavaca, Texas 77979 CHECK REQUISITION/ VENDOR Name: L7 ,leC, nJ � Lel �,ic HiQ Address(OSo'a iUU.rs��o pr;kxjS�: .ibo City: U C. -O C G State: Zip: Phone:_S -15- 0 (,\ l ACCOUNT NO. PURCHASE ORDER Department: 1ivCX 4e bec f 4 cc (C Address: City: Phone: DESCRIPTION Zip: UNIT PRIGS QTY. TOTAL THE TPEMS OR SERVICES BROWNABOVEARB NEEDED IN ME DISCBARGE Taxes-State/County Deducted OFMY OFFICIAL DUTIESAM I CERTIFYTMTFUNDSA"AVA71LABLE TO - PAYTMOBLIGATIONICERTHYTMTTBEABOVEITEMSORSERVICES TOTAL WERE RECEIVED BY ME IN GOOD CONDITIONAND REQUEST THE COUNTY ' TREASURERTO PAX TOEABOVE OBLIGATION <. �� NI N TUM DATE SIGNATURE DATE INTERLOCAL AGREEMENT FOR ANIMAL CONTROL SERVICES STATE OF TEXAS § COUNTY OF CALHOUN § THIS Interlocal Agreement, entered into to be effective on the 1st day of January, 2013, by and between the CITY of PORT LAVACA, Texas, a Texas Home Rule City, of Calhoun County (hereinafter "CITY"), by and through its duly authorized City Manager or Mayor, and by and between the COUNTY OF CALHOUN, through its duly authorized County Judge, (hereinafter "COUNTY" ), such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act." WHEREAS, the COUNTY to secure for unincorporated areas of the County the benefits of Animal Control; and, WHEREAS, the CITY being in possession of equipment, trained personnel and licensed facilities for the use in small animal control; and WHEREAS, CITY has authority to enter into contracts providing for small animal control services for citizens outside its jurisdictional limits; and WHEREAS, COUNTY is desirous of obtaining said animal control services to protect the health and safety of residents in the unincorporated areas of County; and WHEREAS, for the small animal control services rendered hereunder, the COUNTY shall pay to CITY the amount of ($65,000) for the below described small animal control services in the unincorporated areas of Calhoun County; and, 1 NOW, THEREFORE, for and in consideration of the mutual benefit to be derived by each of the parties hereto, said parties agree and covenant as follows: 1. SERVICES AND CONDITIONS 1.1 The CITY will provide personnel, equipment and facilities for the control, impoundment and euthanasia of animals according to the laws of the State of Texas. 1.2 The CITY shall maintain its equipment and facilities in accordance with all laws applicable to such and shall train its Animal Control Officer(s) as required by law, all of which are at CITY expense. 1.3 The CITY shall respond to calls from County residents and the Calhoun County Sheriff's Office for detainment, impoundment and euthanasia of small animals. 1.4 The CITY shall maintain applicable insurance coverage on each of its motor vehicles and personnel. 1.5 It is the intent of the parties that this Agreement covers small animals such as dogs, cats, etc. Large animals, like livestock, are not covered by this Agreement. 2. INDEMNITY CLAIMS 2.1 All claims for workers compensation benefits arising out of this agreement shall be the sole responsibility of the party who is the general employer of the employee filing such claim. 2.2 At no time shall the employees of a responding party be considered to be borrowed servants or on loan to the requesting party under this agreement. 2 3. TERM and TERMINATION 3.1 This Agreement shall be for one (1) year beginning January 1, 2013. This agreement shall automatically be renewed for a one year period unless any party hereto shall give the other party written notice on or before October 1 st of each year. 3.2 Notwithstanding any notice to terminate, all rights, duties, and responsibilities of the parties are unaffected for the remainder of the term. 4. ENTIRE AGREEMENT This agreement shall take the place of and supersede any previous agreements; it shall only be amended in writing and signed by all parties. Approved at a duly called meeting of the City of Port Lavaca on the 15 day of October, 2012. ATTEST: MANDY GRANT CITIY SPCRETA� l VF. . %."L0<W' MAYOR - 9 Approved at a duly called meeting of the Commissioner's Court of Calhoun County on the _2:T day of 0 C." 6gX , 2012 ATTEST: WL Anita Fricke, Calhoun County Clerk By: Deputy Clerk KW -1 A1, a YJn4� MICHAEL J. PFLqFtW, CCRJNTY JUDGE 4 CALHOUN COUNTY --- 201 West Austin I I q Port Lavaca, Texas 77979 Purchase Order CHECK REQUISITION/ PURCHASE ORDER Department: 0(-) Address: n'y IM `OUL% zs�rC�r�- �y✓�L�' Address: �QU +U U i4- ,LAI- AICity: City:. PO c4— 1 A-V&c- A State: Phone: Zip: S S 2L-] 7) 1-3 Purchase Order CHECK REQUISITION/ PURCHASE ORDER Department: 0(-) Address: n'y IM `OUL% City: State: Phone: Zip: I ACCOUNT NO. I DESCRIPTION I UNIT PRICEI QTY.1 TOTAL I TBErTWgS OR SFRWcM SHoWN"OVE ARE NFJCDFD IN THE DfSCMRGF Taxes - State/County Deducted OF MY OFFT.CAI, DUTIES AND I CERTJFY TMT FUNDS ARE AITAH ABLE TO - PAYTIRSOBLIGAUON.ICERM?YTMATTHEABOVEPPEMSORSERVICES TOTAL WERE RECEIVED BY ME IN GOOD CONDMONAND REQUEST TEE COUNTY �'L TREASURER TO PAY TBE AtOVE ORTMATION. SLUR VAJ 1: SIGNATURE DATE CONTRACT Between CALHOUN COUNTY and THE CALHOUN COUNTY SENIOR CITIZENS ASSOCIATION, INC. STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly; has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, irfa. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, The Calhoun County Senior Citizens Association, Inc., a Texas nonprofit corporation, hereinafter referred to as SENIOR CITIZENS, is engaged in restoring and providing an economic development area for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from SENIOR CITIZENS to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, SENIOR CITIZENS shall be entitled to a sum not to exceed $35,000.00 per annum. Such amount shall be disbursed by COUNTY to SENIOR CITIZENS on or after January 1, 2019, upon written request by SENIOR CITIZENS. 2. Insurance: The County will require documentation of General Liability insurance coverage with adequate limits to be determined individually, depending on exposure. 3. Services: SENIOR CITIZENS shall provide services at the Heritage Center and two satellite centers in the County a network for individualized assistance including meals, meal delivery for shut-ins, transportation, minor home repairs, life -line telephones when funding allows, preparing application forms, counseling, advocacy, check writing and various other needs. 4. IRS Classification: SENIOR CITIZENS'Internal Revenue Service, non-profit classification is 501(c)(3) and its IRS EIN is 74-192-1482. 5. Most Recent Financial and Performance Reports: SENIOR CI777-ENS shall submit to COUNTY Auditor and COUNTY Judge each a copy of SENIOR CITIZENS' most current independent financial audit or end -of -year financial report of all expenditures and income for the period of SENIOR CITIZENS fiscal year ending in calendar year 2014, within 60 days of the approval of this contract. SENIOR CITIZENS shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which SENIOR C17TZENS gives details of services provided and clients served for the previous COUNTY fiscal year ending on December 31, 2018, on or before March 1, 2019, 6. Prospective Financial and Performance Reports: SENIOR CITIZENS shall submit to COUNTY Auditor and COUNTY Judge each a copy of SENIOR CITIZENS' independent financial audit or end -of -year financial report of all expenditures and income for the period of SENIOR CI77ZF,NS' fiscal year ending in calendar year 2018, within thirty days following its receipt by SENIOR CITIZENS. SENIOR CITIZENS shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which SENIOR CITIZENS gives details of services provided and clients served for SENIOR CITIZENS' fiscal year ending in calendar year 2018, by March 1, 2019. 7. Term: The Term of this contract is to begin on January 1, 2019 and end on December 31, 2019, unless earlier terminated by either party on thirty days written notice. 8. Books and Records: All books and records of SENIOR CITIZENS shall be open for inspection during normal business hours to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 9. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 10. Non -Discrimination: SENIOR CITIZENS agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 11. Sexual Harassment Prohibited: SENIOR C177ZE-NS agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 12. Applicable Laws: SENIOR CITIZENS agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on SENIOR CITIZENS. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 13. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, not shall any single or partial exercise of any right, power or privilege constitute such a waiver not exhaust the some, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 14. Successors and Assigns: This contract shall ince to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that SENIOR CITIZENS may not assign this contract without Coivtty'r prior written consent. 15. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 16. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 17. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or die application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 18. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUIVIY have any obligation or liability whatsoever with respect to any debts, obligations or liability of SENIOR MYZENS, and SENIOR CITIZENS shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to SENIOR C177ZE-NS by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 19. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and SENIOR CITIZENS, except as herein otherwise provided. 20. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY CALHOUN COUNTY SENIOR CITIZENS ASSOCIATION, INC. r � By:�,. rw�1 . - By: Date:' j _ Date: 1 dr NOTICES COUNTY: SENIOR CITIZENS: Calhoun County Judge Chairman of the Board Michael J. Pfeifer P.O. Box 128 211 S. Ann Street, Suite 301 2104 W. Austin Street Port Lavaca, Texas 77979 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was acce ted and agreed to by the Commissioners' Court of Calhoun County on �I A By: Qn / � �^ ,k� ¢� Deputy Clerk Uma e Date: U"D-IJl� � C t, 0 2104 W. Austin e P.O. Box 128 o Port Lavaca, Texas 77979 (361) 552-3350 ® (361) 552-4991 © (361) 552-6477 Funding Sources Grt Calhmm (nuns, Senior Citizens Aeaociati m.Inc Federal and Seale funds from the 1965 Older Americana Act Governed by the Golden ('resent Regional Plennin, ('ninmi"ion Supported locally by the (, rum ("We,., nr Pon Lavaca. Point ('omfn, and Scadn(:. United Way, client donallnna anc Ornate conlrihm inns "i'eaac Publin'I'ranapnnatinn Funds. November 26, 2018 Honorable Michael J. Pfeifer Calhoun County Judge and Calhoun County Commissioners 211 South Ann Street Port Lavaca, TX 77979 Dear Judge Pfeifer and Commissioners Court Members, The Board- of Directors and I would like to thank you for the support you have given to the Calhoun County Senior Citizens Association, Inc. in the past fiscal year. The Center was again a busy place. In 2018, we have provided approximately 36,000 congregate and home delivered meals - this number reflects those served at our satellite location of Port O'Connor as well as our primary location in Port Lavaca. Our Transportation Department has provided 8,714 trips. The usage of our facility and services by Calhoun County seniors and other community residents, has been gratifying to all of us who continue to strive to provide a venue for residents of our county, particularly senior citizens, to maintain their independence for as long as possible. As we continue to serve Calhoun County seniors and the community, we are grateful for the financial support of the Commissioners Court. The support we receive from you allows us to continue to provide for the seniors and citizens of our county. I respectfully ask the Commissioner's Court to consider the Calhoun County Senior Citizens at their next meeting and grant us the funds set aside for the Center for 2019. Thank you for your time! Sincerely, Monica Pelech Executive Director hnp Forms provided by Texas Ethics Commission www.ethics.state.tx.us version v1.6.6iii CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2018-427754 Calhoun County Senior Citizens Association, Inc. Port Lavaca, TX United States Date Filed: 11/26/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Senior Citizens Association, Inc. Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2019 Yearly Allocation Congregate and Home Delivered Meals, Transportation Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is _ �_Q� 1 \ C, -W T 1/J� o and my date ofbirth is �-� �n 1f, �> \ (� —1 My address is i LE La f f t lit V) o I < A.rl'. b r r �(�V nliriLJ ' r( (street) (city) (state) (zip code) (country) I declare under perjury that the for is true and correct. %penalty /o�f --r-' I Executed in V l A Y A & -� -) County, State of 1 L; �� , on theat„jday of 10()\/. , 20jff. (month) (year) J�f1LLtd6 ° �� l YJ" Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us version v1.6.6iii CALHOUN COUNTY �� ✓� , 201 West Aus6 Pori Lavaca, Texas 77979 VENDOR Name: J,00 - V, ,uC,Q, o, l3 o)C 1 ZS' Address: O `! LJ A,. 5 A, w City: 0,, { L Ail t --\CA State: Zip: Phnna• > LI G ci I Purchase Order No. -1 W) 1/0 06 , . CHECK REQUISITI®NJ ,PURCHASE ORDER Department: Address: City: State: Zip: Phone: ACCOUNT NO. n ACCOUNT UNIT PRICE QTY. TOTAL r mmmsoRamwcmsUovMAB0wA"NFDEDmr=DrscmRcE Taxes-State/County Deducted )FMXOFF MLDUTIFSANDICERTWTMTFUNDSAREAVAII,ABLETO -7 AYTMSOBLIGATION.Ic.ERMYTHATTBEABOVETIEMS OR SERVICES TOTAL VERB RECEIVED BYYMN GOOD COMMONAND REQUEST ME COUNTY REASURERTO PAY THE ABOVE OBLIGATION SIGNATURE J DATE SIGNATURE DATE CONTRACT between CALHOUN COUNTY and THE HARBOR CHILDREN'S ALLIANCE AND VICTIM CENTER STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infix. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, COUNTY, a political subdivision of the State of Texas, has the authority and duty to conduct necessary investigations, enforce the laws and under legislative mandate, through its district attorney, assist all victims of crime, and further, pursuant to '264.402, Texas Family Code, the authority to establish children's advocacy centers, which centers shall provide certain services to and support of the children of COUNTY who are victims of child abuse and neglect, and FURTHER, that COUNTY has determined such activities serve valuable public purposes and constitutes county business, and WHEREAS, COUNTY, pursuant to ' ' 264.403 and 264.406, Texas Family Code, has the authority to develop, maintain and support, through the children's advocacy center, an environment that emphasizes the best interests of abused and neglected children and that provides investigatory and rehabilitative services, and further, to enter into contracts to provide certain services to and support of the children of COUNTY who are the victims of child abuse and neglect, and FURTHER, that COUNTYhas determined such activities serve valuable public purposes, and constitute county business, and WHEREAS, The Harbor Children's Alliance and Victim Center, a Texas nonprofit corporation, hereinafter referred to as THF HARBOR, is engaged in providing investigations of child abuse and assisting the child victims of abuse and neglect, along with their families, and desires to enter into such a contract for the provision of certain services to and support of the children and adults of COUNTY who are victims of physical/sexual abuse and neglect; said services being considered by both parties to this contract as fair consideration from THE HARBOR to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, THE HARBOR shall be entitled to a sum not to exceed $28,500.00 per annum. Such amount shall be disbursed by COUNTY to THE HARBOR after January 1, 2019, upon written request for THE HARBOR. 2. Insurance: The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Services: THE HARBOR shall provide services to the residents of COUNTY as follows: a. To provide the children and adults residing in COUNTY and surrounding counties with a facility where children and adults who are the victims of sexual and/or physical abuse and their non -offending family members can go for evaluation, intervention and counseling. b. To provide the agencies and professionals of COUNTY and surrounding counties who work with abused children with a forum where they can gather and work together in assisting victims and their families. C. To provide a resource center for training and education in the area of child abuse, domestic violence and victimization. d. To provide a warm, non -threatening environment in which the victims of physical/sexual abuse and victimization and their families can work with law enforcement or protection services in preparation for their court appearances. e. To provide a location where local and area law enforcement agencies and those assisting them may obtain evidence to be used to investigate and prosecute those accused of child abuse, domestic violence, family violence and neglect. 4. IRS Classification: THE HARBOR's Internal Revenue Service, non-profit classification is 501(c)(3) and its IRS EIN is 74-2578679 5. Most Recent Financial and Performance Reports: THE HARBOR shall submit to COUNTY Auditor and COUNTY Judge each a copy of THE HARBOR's most current independent financial audit or end -of -year financial report of all expenditures and income for the period of THE HARBOR's fiscal year ending in calendar year 2018, within 60 days of the approval of this contract. THE HARBOR shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which THE HARBOR gives details of services provided and clients served for the previous COUNTY fiscal year ending on December 31, 2018, on or before March 1, 2019. 6. Prospective Financial and Performance Reports: THE HARBOR shall submit to COUNTY Auditor and COUNTY Judge each a copy of THE HARBOR's independent financial audit or end -of -year financial report of all expenditures and income for the period of THE HARBOR's fiscal year ending in calendar year 2018, within thirty days following its receipt by THE HARBOR. TUE HARBOR shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which THE HARBOR gives details of services provided and clients served for THE HARBOR's fiscal year ending in calendar year 2018, by March 1, 2019. 7. Term: The Term of this contract is to begin on January 1, 2019 and end on December 31, 2019, unless earlier terminated by either party on thirty days written notice. 8. Use of Funds: No moneys paid to THE HARBOR shall be expended for any purpose other than for the provision of certain services to and support of the victims of COUNTY who are victims of physical/sexual abuse and neglect; provides, however, that no exception of the person who shall conduct all of the child interviews and provide training to volunteers. 9. Books and Records: All books and records of THE HARBOR shall be open for inspection during normal business hours to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 10. Non -Exclusion: This contract is not exclusive and COUNTY reserves the right to contract with additional parties for the provision of certain services to and support of the victims of COUNTY who are victims of physical/sexual abuse and neglect in the area covered by this contract. 11. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 12. Non -Discrimination: THE HARBOR agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit disnimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 13. Sexual Harassment Prohibited: a policy that prohibits sexual harassment. material breach of this contract. THE HARBOR agrees to adopt and maintain Any act of sexual harassment constitutes a 14. Applicable Laws: 771E HARBOR agrees to comply with any and all applicable laws, local, state and federal; regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on THE HARBOR. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 15. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, nor shall any single or partial exercise of any right, power or privilege constitute such a waiver nor exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 16. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that THE HARBOR may not assign this contract without COUNTY's prior written consent. 17. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 18. Notices: Any notice or communication hereundu must be in writing, and may be given by registered or certified mall; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 19. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 20. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUN7Yhave any obligation or liability whatsoever with respect to any debts, obligations or liability of THE HARBOR, and THE HARBOR shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to THE HARBOR by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 21. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and THE HARBOB, except as herein otherwise provided. 22. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the patties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY f r _ By: 1f Date: /- f FI/ COUNTY: Calhoun County Judge 211 S. Ann Street, Suite 301 Port Lavaca, Texas 77979 THE HARBOR CHILDREN'S ALLIANCE AND VICTIM CENTER z By: Date: J 4 i '3 0 NOTICES THE HARBOR: President of the Board P.O. Box 1300 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on 01 -¢T > 2019. By: Deputy Clerk Date: tx-01-111 diEVANSTON INSURANCE COMPANY MARKEL® DECLARATIONS - SPECIFIED MEDICAL PROFESSIONS INSURANCE POLICY Claims Made: Under certain Coverage Portsof this policy, the coverage afforded is limited to liability for Only those Claims that are first made against the Insured during the Policy Period or the Extended Reporting Period, if exercised, and reported to the Company pursuanttotheterms herein. Refer to each Coverage Pad's opening page to determine if that Coverage Part is Claims Made. Notice: All Coverage Pad of this policy contain provisions that reduce thelimits of liability stated in the policy by the costs of legal defense and permit legal defense costs to be applied against the deductible, unless othervdse endorsed. Please read the policy carefully. POLICY NUMBER: SM927346 RENEWAL OF POLICY: SM921640 NAMED INSURED: CHILD WELFARE ALLIANCE OF CALHOUN COUNTY DBA: THE HARBOR CHILDREN'S ALLIANCE & VICTIM CENTER 2. BUSINESS ADDRESS: 215 W RAILROAD STREET PORT LAVACA, TX 77979 3. POLICY PERIOD: From 08/22/2018 to 08171/2019 12:01 A.M. Standard Time at address of Insured stated above 4. PROFESSIONAL SERVICES AND SPECIFIED PRODUCTS, GOODS, OPERATIONS OR PREMISES: A. Professional Services: Crisis Intervention Information and Referral Senrices B. Specked Products, Goods, Operations or Premises: Not Purchased IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, THE COMPANY AGREES IMTH THE NAMED INSURED TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Producer Number, Name and Address 43230 U.S. Risk, LLC tzL//moi/ 9017 South Capital of Texas Highway, Suite 450 Austin, TX 78746 MDSM 6013 0915 Page 1 of 3 9. The Insured is not a proprietor, superintendent, executive oifcer, director, partner, trustee or employee of any hospital, sanitarium, clinicwith bed -and -board facilities, laboratory, or any business enterprise not named in Item 1. hereinabove, except as follows: None 10. ENDORSEMENTS ATTACHED AT POLICY INCEPTION: See MDIL 1001 08 10, attached. 11. NOTICES: Notices required to be provided to the Company under this policy shall be by email, fax or mail addressed to: CLAIM OR DISCOVERYCLAUSENOTICES: ALL OTHER NOTICES: Claims Service Center Markel Mid South Region, a division of Markel MARKEL SERVICE, INCORPORATED Service, Incorporated Tena North North 7500 Dallas Parkway, Sude 400 Deerfield, Illinois 60015 Plano, TX 75024-4018 Telephone: (866) 681-6691 (469) 241-340.0 E-mail: newelaims@markelcorp.com Fax: (866) 730-3615 Fax: (855) 662-7535 These declarations, together with the Common Policy Conditions, Coverage Part(s), any Endorsement(s) and any application(s) complete the above numbered policy. Countersigned: 8/21/2018 V, 1�' (Date) By: AUTHORIZED REPRESENTATIVE MDSM 6013 0915 Page 3 of 3 children'sThe Harbor ivictim center December 18, 2018 Judge Mike Pfeifer 211 S. Ann Street Port Lavaca, TX 77979 Judge Pfeifer, Thank you, for allowing me to submit this request for support for The Harbor Children's Alliance & Victim Center. Our request is for $ 28,500 to support the operation of the center to enable us to provide services for victims of child abuse, sexual assault and domestic violence. I have enclosed the proof of insurance and will send the financial report and performance review as soon as the reports are completed. Abuse touches all of us. It can occur among people of all ages, genders, races, educational background and socioeconomic groups. The crimes of child abuse, sexual assault, and family violence do not just affect those to whom the violence is directed, but affect all of society as well. We strive to be a non-profit victim center that meets the needs of the community. We see our ; task as offering services to victims who have been abused; and also facilitating an environment of awareness, prevention and safety. 'Assessment of our community has led us to revise our program,by expanding our services, education and outreach to the underserved members of our community. As a small rural center with a staff of six, we are cross trained to allow each member to provide services to anyone who seeks assistance whether it is for child abuse, domestic violence, sexual abuse and any other need. We sincerely appreciate the county leaders assisting us in providing services to citizens in Calhoun County. Thank you again for your support. Sincerely, Maria T. Walton, Executive Director 215 W. Railroad Port Lavaca; Texas 77979 Bus. Office 361/552-1982 Fax 361 /552-4309 Hotline 361/552-4357 cactX om�m r, 3wo.aw eEtinez ccr t D=aze CHILDREN S ALLIANCE — CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, S. and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2018-435514 The Harbor Children's Alliance & Victim Center Port Lavaca, TX United States Date Filed: 12/19/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or Identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2019 Contribution The Harbor provides services to victims of crime and their non -offending family members as well as a place for them to go for assistance. Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary The Harbor Children's Alliance & Victim Center Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. El 6 UNSWORN DECLARATION . ff ( My name is � r ! � �"' w� � � �/� �' ' -'F`'' ,and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty perjury that the foregoing is true and correct. ttof Executed in U t C c County, State of I t 7G`�- `� , on the •; CO day of -f P C , 20k�12 (month) (year) ^\ Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711 CAROUN COUNTY Y 201 West Austin. Port Lavaca, Texas 77979 VENDOR Name: \Aa<1bcy(" C'_k" CJ�e�S Alk"r aces U:c4;ms (ZT, Address: City: Au ACA State: Zip: `)') q'A °t Purchase Order Floe _glayo f CHECK REQUISITION/ ,PURCHASE ORDER Department (L Ix On, E( f'" Address: City: State: Zip: Phone: ACCOUNT NO. DESCRIPTION I UNIT PRICEI QTY.J TOTAL . 0 Tie- bvc THE ITM OR SERVICES SHOINNABOVBARENEEDED IN ME DISCHARGE Taxes-State/County Deducted ORMY OFFICPA7' DUTIES AND ICERTiEYYTMTYUNDSAREAVAM"LE TO PAYTffi50BLIGA7iONICERMTYTHATTBEABOVBMWORSERWCE,g TOTAL WERE RECEIVED BYMEIN GOOD CONDMONAND REQUMT THE COUNTY . PREASURERTO PAY THE ABOVE OBLIGATION SIGNATURE DATE i AGREEMENT between CALHOUN COUNTY and CALHOUN COUNTY CRIMESTOPPERS STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or,.by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein,infra. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, CALHOUN COUNTY CRIMESTOPPERS, hereinafter referred to as CRIMESTOPPERS is engaged in providing set -vices to Law Enforcement, offering rewards for information helpful to Law Enforcement personnel. CRIMESTOPPERS is thereby providing for the betterment of Calhoun County, and desires to enter into such a contract for the 'provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from C&MESTOPPERS to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, CALHOUN COUNTY CRIMESTOPPERS shall be entitled to a sum not to exceed $1,000.00 per annum. Such amount shall be disbursed by COUNTY to CRIMESTOPPERS after January 1, 2019, upon written request for CFJzWF.STOPPER S. 2. Bond: The County will require documentation of a Surety Bond, with adequate limits to be determined individually, depending on exposure. 3. Services: CALII0UN COUNTY CRIMESTOPPERS, hereinafter referred to as CRIMESTOPPERS is engaged in providing services to Law Enforcement, offering rewards for information helpful to Law Enforcement personnel. 4. Term: The Term of this contract is to begin on January 1, 2019 and end on December 31, 2019 unless earlier terminated by either party on thirty days written notice. S. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 6. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of CALHOUN COUNTY CnWESTOPPFRS, and CFTMESTOPPERS shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to CALHOUN COUNTY CRIMESTOPPERS by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 7. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and CALHOUN COUNTY CRIMESTOPPERS, except as herein otherwise provided. CALHOUN COUNTY CALHOUN COUNTY CRIMESTOPPERS By; L _ By: 5g�}d Date: „_ _ �" Date: �'✓` COUNTY: Calhoun County Judge 211 S. Ann Street, Suite 301 Port Lavaca, Texas 77979 NOTICES CALHOUN COUNTY CRIMESTOPPERS Attn: Susan Riley, President 211 S. Ann Street, Suite 301 Port Lavaca TY 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Cornmissioners' Court of Calhoun County on at --t7 -0 .2019. ' J co (tp By: e N Deputy Clerk X "- -f m ?j Date: CE UN Ge CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2018-422625 Calhoun County Crimestoppers Port Lavaca, TX United States Date Filed: 11/06/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 01-10-2019 Crime Stopper rewards for information to Law Enforcement Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is Susan Riley , and my date of birth is 09/27/1957 My address is 211 S. Ann Street, Suite 301 PortLavaca TX 77979 USA (street) (city) (stale) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Calhoun County, State of Texas , on the 6 day of November 1 20 18 (month) (year) /(, I Signature of authorized agent of (Declarant)` ontracting business entity Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.U.tir11 CALHOUN COUNTY Purchase Order No. 201 West Austin Port Lavaca, Texas 77979 CHECK REQUISITION/ PURCHASE ORDER Name: Address: , (�• t�� IN) c, -k City: P,PC+ %Af A State: �x Zip: —)-79-)q Phone: - . --q /0S Department: �o rn -Lr+ Address: City: State: Zip: Phone: ACCOUNT NO. DESCRIPTION I UNIT PRICE QTY. TOTA4 1)c TN umooRsERvieFssDowNABovEARENEEDEDiNTHEDrscHARCE Taxes - State/County Deducted ORMY OMCIALDUTM AND I CEE RTHY MATEUNDSAREAVAH.ABLE TO - PAY TWSOBLIGATION. I CERTHYTHAT TREABOVEZTEMS OR SERVICES 'TOTAL -..�. WERE RECEIVED BYMEIN GOOD COMMONAND REQUEST THE COUNTY TREASURER TO PAY TBEABOVE OBLIGATION. / DEPARTMENT � A1TUR ly�� � DATE `e SIGNATURE ®ATE CalllOull County Commissioners' COUrt —_January 09, 2019 7. ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: (AGENDA ITEM NO. 7) i. Calhoun Tax Assessor/ Collector ii. County Treasurer — Nov 2018 iii. County Sheriff iv. District Clerk v. County Clerk vi. Justices of Peace - #1 Dec 2018; #2 Dec 2018; #4 Dec 2018 vii. County Auditor viii. Floodplain Administration — Dec 18 ix. Extension Service x. Adult Detention Center SHP Medical xi. Constable Pct #3 2018 Racial Profiling Report — Jan — Dec 18 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hail, Lyssy, Reese Page 5 of 8 0110412019 14:25 CALHOUN CO AUDITREAS (FAX)3615534614 P.0011003 CALHOUN COUNTY, TEXAS COUNTY T TIRE 1 T MONTH OF: NOVEM09R1018 BEGINNING ENDING FUND PUND BALANCE BECEmn DJSBUBSBMEN7B FUND BALANCE OPERATING FUNDS: GENERAL S 22,113,874.27 S 7,488,381,96 S 8,134,039.90 S 21,468,216.33 AIRPORT MAINTENANCE 24,142J3 144.72 3,085.61 21,201,84 APPELLATE JUDICIAL SYSTEM 1,706.99 153.16 - 1,860.15 COASTAL PROTECTION PUND 660,026.65 1,225,59 63,897,00 598,255.24 COUNTY AND DIST COURT TECH FUND 5,011.05 60.69 - 5,071.74 COUNTY CHILD ABUSE PREVENTION FUND 59DA3 2.47 592.60 COUNTY CHILD WELFARE BOARD FUND 4,10536 89.35 - 4,593.71 COURTHOUSE SECURITY 240,522.80 11581.9D 242,104.70 COURT INITIATED GUARDIANSHIP FUND 5,052.86 94.93 - 8,147.79 DIST CLK RECORD PRESERVATION FUND 25,D22,82 416.39 - 25,439.21 CO CLK RECORDS ARCHIVE FUND 211,364.32 5,112.06 - 216,476.44 DONATIONS 76,293.50 342.80 425.08 76,211.22 DRUOJDWI COURT PROGRAM FUND -LOCAL 17,001,36 257.55 17,258.91 JUVENILE CASE MANAGER FUND 9,302.75 552.75 733.88 9,121.62 FAMILY PROTECTION FUND 10,507,69 109.48 - 10.617.17 JUVENILE DELINQUENCY PREVENTION FUND 8,126.37 16,19 81742.50 GRANTS 693,158.33 81,530.93 317,965.51 457,723.75 JUSTICE COURT TECHNOLOGY A0,301.37 720.29 - 81,021.66 JUSTICE COURT BUILDING SECURITY FUND 1,826.94 146.93 - 2,973.87 LATERAL ROAD PRECINCT 81 4,326.27 A.03 - 4,334,30 LATERAL ROAD PRECINCT 82 4,326.28 8.03 - 4,334.31 LATERAL ROAD PRECINCT 03 4,326.27 8.03 - 4,334.30 LATERAL ROAD PRECINCT 84 4,326.28 8.03 - 4,334.31 JUROR DONATIONS -HUMANE SOCIETY 1,806.00 192.00 1,996.00 PRETRIAL SERVICES FUND 76,081.74 441.08 - 16,522.82 LAW LIBRARY 205,945,77 1,396.91 978.02 206,364.66 LAW ENF OFFICERS STD. EDUC. (LEOSE) 36,439.95 67.58 - 36,507.46 POCCOMMUNITYCENTER 39,852.23 723.94 2,758.14 31,818.03 RECORDS MANAGEMENT -DISTRICT CLERK 6,807.01 186.01 6,993.98 RECORDS MANAGEMENT -COUNTY CLERK 121,798.49 4,984.70 - 126,783.10 RECORDS MOMT & PRESERVATION 17,215.15 456.74 17,671.89 ROAD &BRIDGE GENERAL 1,611,516.11 18,845.04 - 1,630,361.15 ROAD& BIUDOE FUND PRECINCT 94 - - SHMUFF FORFEITED PROPERTY 6MILE PIER/BOAT RAMP INSUR/MAINT 44,321.11 82.19 - 44,403.30 CAPITAL PRO) -RB INFRASTRUCTURE 56,417,81 25,000.00 31,417,81 CAPITAL PRO)- COUNTY ENERGY TRZ41 - - - - CAPITAL PRO) - AIRPORT RUNWAY IMPROV 78,472.13 78,472.13 CAPITAL PRO] -EMB SUBSTATION 5,68794 - - 5,697,34 CAPITAL PROD -FIRE TRUCKS & SAFETY UQUIPM1 158,084.00 - 158,084.00 CAPITAL PROJ-GREEN LAKE PARK 7,160.74 - - 7,160,74 CAPITAL PROJ • HATERIUS PARKMOAT RAMP 20,242.36 - 20,242.36 CAPITAL PRO] -ODYSSEY CASE MOMT SOFTW 104.00 - - 104,00 CAPITAL PROD- CITY PT.COMF WATER TRTMNT 1 - - - - CAPITALPROJ -PORT ALTO PURL BEACH -STORM 223,132.58 - - 223,132,58 CAPITAL PROJ-IMPROVEMENTS-LTTILEUSAGES P 478,321.94 - 62,890.65 415,431.29 CAPITAL PROJ• PORT O'CONNOR LIBRARY (0.00) - - (0.00) CAPITAL PROJ-MMC LOANS 4,000,000.00 - - 4,000,000.00 ARREST FEES 393.83 192.09 - 58592 BAIL BOND FEES (HB 1940) 30.00 1,320.00 - 1,350.00 CONSOLIDATED COURT COSTS (NEW) 3DE0 7,313.57 7,343.57 DNA TESTING FUND 250.00 3.13 - 253.13 DRUG COURT PROGRAM FUND -STATE0.31 226.02 226.33 $ 3140!254.94 3 7618402.26 S 8611773.79 S 30407863.41 SUBTOTALS Page 1 of 3 01/0412019 14:26 CALHOUN CO AUD/TREAS (FAX)3615534614 P.0021003 COUNTY TREASURER'S REPORT MONTH OF: NOVEMBER 2018 BEGINNING BNDINO FUND PUNDRAIANCE BBCBJPTS DJ,SBUR5EMEN2S FUNDBALINCE OPERATING FUNDS -BALANCE FORWARD S 31,401,254.94 $ 7,618,402.26 S 8,611,773.79 S 30,407,883.41 ELECTION SERVICES CONTRACT 72,757.34 134,98 5,259.10 67,633,22 ELECTRONIC FILING FEE FUND 0.00 1,571.26 1,571.26 EMS TRAUMA FUND 126.57 337.04 - 463.61 FINES AND COURT COSTS HOLDING FUND 7.947.31 - - 7,847.31 INDIGENT CIVIL LEGAL SERVICE 24,30 367,56 - 391.86 JUDICIAL FUND (ST. COURT COSTS) JUDICIAL& COURT PERSONNELTRAININO FUND 0.00 14.49 172.91 261.07 - 172.91 273.56 JUDICIAL SALARIES FUND 0,02 2,440.37 2,440.39 JUROR DONATION -TX CRIME VICTIMS FUND 308.00 24.00 - 332.00 JUVENILE PROBATION RESTITUTION 90.60 211,81 30LBI LIBRARY OIFT AND MEMORIAL 55,702,60 128.30 - 55.830.90 MISCELLANEOUS CLEARING 11,480.31 105,822,44 107,647.42 9,655,33 REFUNDABLE DEPOSITS 2,000.00 - - 2,000.00 STATE CIVIL FEE FUND 0.00 2,427.21 2,427.21 CIVIL JUSTICE DATA REPOSITORY FUND 0.00 9.93 - 9.95 JURY REIMBURSEMENT FEE 0.00 612,37 - 612.37 SUBTITLE C FUND 7.77 2.631.67 2,639.44 SUPP OF CRIM INDIGENT DEFENSE 0.00 313.37 - 313.37 TIMEPAYMENT$ 0.05 1,192.36 - L192.41 TRAFFIC LAW FAILURE TO APPEAR 0.00 658,91 658,91 UNCLAIMED PROPERTY 8.049.49 14.92 8,064.41 TRUANCY PREVENTION AND DIVERSION FUND 25.25 249.73 274.98 BOOT CAMP/JJAEP 147.43 - - 147,43 JUVENILE PROBATION 130054,99 23946.44 16157.54 97943.89 S 31,689,890.86 1 7,761,930.93 S 8,780,837.85 S 30,670,983.94 SUBTOTALS TAXES IN ESCROW 1,096,939.93 7090720,37 0.00 8187680.30 S 32186850.79 S 14,65 651.10 S 8780937.85 8 38858664.24 TOTALOPERATING FUNDS OTHER FUNDS D A FORFEITED PROPERTY FUND 29,823.49 11.03 - 29,834.52 SHERIFF NARCOTIC FORFEITURES 4,867.38 1.78 255.98 4,610,18 CERT OF OS-CRTHSE REF SERIES 2010 67,260,49 256,957,68 324,218.17 CERT OF OB•CRTHOUSE I&S SERIES 2012 87.903.71 333,875.88 421,779,63 CAL. CO. FEES & FINES 93 129.37 84 809.42 98 321.92 79613.97 MEMORIAL MEDICAL CENTER OPERATING 1,662,795.46 3,717,189.83 3,956,299.48 S 1,424,085.81 INDIOENTHEALTHCARE 14,218.70 182.57 10,440.02 3,96135 REFUND IMPREST ACCOUNT 3,061.64 - - 5,061,64 PRIVATE WAIVER CLEARING FUND 604,882.71 100,167.66 704,782.71 267.66 CLINIC CONSTRUCTION SERIES 2014 100.19 0,04 100,63 NH ASFORD 150,467.15 611,291.88 559,431.45 202,331.58 NH 13ROADMOOR 118,734.65 638,783.12 602,983.19 154,534.18 NH CRESCENT 74,171.72 492,000.00 484,101.20 81,466.12 NH FOkT BEND 34,186,80 251,439.72 213,605.94 72,020,58 NH80LBRA 125.810.07 768,581.12 786,498.01 107,933.18 NH OOLOEN CREEK 77,603.59 299,875.49 248,654.78 129,884.29 NHSOLBRADACA 0.00 - - 0.00 NH ASHFORD DACA 0.00 - 0.00 S 2868133.01 $ 6879915,43 $ 756740,78 S 2180647,72 TOTAL MUMORIAI, MEDICAL, CENTER FUNDS DRAINAGE DISTRICTS NO.6 30,823.85 S 1,375,19 S S 32,199.04 NO.8 115,392.95 6,626.10 - 112,019.45 NO. 10•MAINTONANCE 112,23010 8,861.08 146.42 160,944.76 MO- II-MAINTENANCIJOPERA'TING 267,791.94 70,672.72 15,588,04 319,576.62 NO, I I•RESERVE 130611.08 48.31 130.619.39 S 696949.92 $ 87583,80 S 19034,46 $ 765399,26 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY WCJD N1 OPERATINO ACCOUNT S 321,666.03 29,234,44 20,953.48 $ 329,944.99 PAYROLL TAX S 971.45 0.00 134.10 S 83731 $ 323637.48 29234,44 21089,55 $ 530782,34 TOTALWCIDFUNDS $ 62139.29 S 16857.99 $ 10270.67 S 68726.61 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING FROST DANK DANK $ 3605.87 S $ 5,00 $ 3600,87 TOTAL MMC, DIL DIST., NAV. DIST, WCID & FROI 1 3,953,365.63 S 7,013,591.66 5 7617 800.49 S 3,349,166,80 S 37,023,199.90 S 22,641,898.75 S 16,497,219.14 1 43,067,879.51 TOTALALLFUNDS Page 2 of 3 0110412019 14:26 CALHOUN CO AUDITREAS (FAX)3615534614 P.0031003 COUNTY TREASURER'S REPORT MONTH F. NOVEMBER2088 RANKRECONCILIATION LESS: CERT.OFDEP/ FUND OUISTNDODEP/ PLUS, CHECKS BANK FOND BALANCE OTHER /TENS 0117STANDING BALANCE OPERATING" S 38.858,664.24 $ 31,006,174.91 $ 608,558.49 S 8,467,047.82 OTHER D A FORFEITED PROPERTY FUND 29,834.52 - 29,834.52 SHERIFF NARCOTIC FORFEITURES 4,610.16 - - 4,610,18 CERT OF OR•CRTHSE REP SERIES 2010 324,218.17 - 324,218.11 CERT OF OB-CRTHOUSE I0$E1UF$2012 421,779.63 -421,779.63 CAL. CO FEES & PINES 79,615.97 18,496,00 6,469.66 67,559.63 MEMORIAL MRDICAL CENTER OPERATING3 1,424,085.81 - 586,958,65 2,005,044.46 INDIGENT HEALTHCARE 3,961.25 571.40 4,532.65 REFUND IMPREST ACCOUNT 5,061.64 - 5,061,64 PRIVATE WAIVER CLEARING FUND 267.66 - - 267.66 CLINIC CONSTRUCTION SERIES 2014 100.63 100.63 NH ASHFORD 202,331.38 - 202,331.58 NHBROADMOOR 154,534,5E 134,534.58 NH CRESCENT 81,466.52 - 81,466.52 NH FORT BEND 72,020,58 - 7)020.58 NH 80LEEA 107,933.18 - - 107,933.18 NH GOLDEN CRERK 128,084,29 - - 12&884.29 NHSOLERADACA 0.00 - 0.00 NHASHFORDDACA 0,00 - - 0.00 DRAINAGE DISTRICT, NO, 6 32,199.04 3$199.04 NO.a 122,019.45 - - 122,019,45 NO, 10 MAINTENANCE 160,944.76 - 160,944.76 NO. 11 MAINTENANCE10PERATING 319.516.62 - 319,576.62 NO. I I RESERVE 130,659.39 - 130,659.39 CALHOUN COUNTY WCID 01 OPERATING ACCOUNT 329,944.99 329.944.99 PAYROLLTAX 837.35 - 937,35 CALHOUN COUNTY PORT AUTHORITY MAINTRNANCEIDPERATINO "•• 68,726.61 - 68,726,61 CALHOUN COUNTY FROST BANK 3,60D,87 - 3,600.87 TOTAL3 is 43067879.51 19 3101S610.91 /19635820 15 13.20W66,80 CDs -OPERATING FUND $31,000,000,00 .".. THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LAVACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS 15 PROSPERITY BANK • PORT LAVACA ' •"•• THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported may not urrent en -to-data due to non -co pliance by other county offices. I hereby certify that the current balances are Oct to all me ie�that ee r eived by the Copnly Treasurer as of the date of this report. I , n// COUNTY TREASURER Pago 3 of 3 ENl c;Y OURT NAME; i ".. JUSTICE OF PEACE NO. 1 ENTER MONTH OF REPORT DECEMBER ENTER YEAR OF REPORT p18 CODE AMU CASH BONDS 0.00 REVISED 03/04/16 ADMINISTRATION FEE ADMF 0.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS-CCC 1,555.35 COURTHOUSE SECURITY -CHS ...'155.54 ' CJP. 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 3.29 CORRECTIONAL MANAGEMENT INSTITUTE, CMI `. 0.00 CR 0.00 CHILD SAFETY-CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 : CRIME VICTIMS COMPENSATION-CVC ':'0.00 DP$C/FAILURE TO APPEAR- OMNI -DPSC 30.00 ELECTRONIC FILING FEE -EEF 0.00 FUGITIVE APPREHENSION -FA' : 0.00 GENERAL REVENUE-GR' `0.00 '.CRIM- IND LEGAL SVCS SUPPORT -IDF 77.77 JUVENILE CRIME & DELINQUENCY JCD L00 JUVENILE CASE MANAGER :FUND JCMF 131.40. JUSTICE COURT PERSONNEL TRAINING -JCPT -0.00. JUROR SERVICE FEE -JSF: 155.64. LOCAL ARREST FEES -LAF 127.61 LEMI 0.00 LEGA 0.00 LEOG 0.00 OCC 0.00 PARKS& WILDLIFE ARREST FEES -PWAF. -`0.00 STATE ARREST FEES-SAF :65.71 SCHOOL CROSSING/CHILD SAFETY FEE-SCF ':0.00 SUBTITLE C -SUBC 799.47: TABC ARREST FEES-TAF 0.00 TECHNOLOGY FUND TF 155.54' TRAFFIC TFC ? 79.69 TIME PAYMENT-TIME 331.87. TRUANCY PREVENTION/DIVERSION FUND TPDF :75.21 LOCAL & STATE WARRANT FEES - WRNT .125.19 COLLECTION SERVICE FEE-MVBA-CSRV '. .'145.50 DEFENSIVE DRIVING COURSE -DDC .19.60 DEFERRED FEE - OFF 1 259.70 DRIVING EXAM FEE- PROV DL' 0.00:. FILING FEE -FFEE 90.00: FILING FEE SMALL CLAIMS FFSC 0.00 JURY FEE JF 0.00 COPIESICERTIFED;COPIES -CC 0.00. INDIGENT FEE - CIFF or INDIF 18.00 JUDGE PAY RAISE FEE -JPAY 231.62 SERVICE FEE SFEE 150.00 OUT-OF-COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE EFF CV ': 30.00. EXPUNGEMENT FEE EXPG 000. EXPIRED RENEWAL EXPR < 10.00: ABSTRACT OF JUDGEMENT -AOJ :0.00: ALL WRITS - WOP / WOE i' 450.00 DPS FTA FINE- DPSF : 0.00. LOCAL FINES FINE:'. 3,08680 LICENSE$ WEIGHT. FEES -LWF `, 0.00 PARKS & WILDLIFE FINES -PWF 0.00: SEATBELT/UNRESTRAINED CHILD FINE SEAT : 0.00 -JUDICIAL '.& COURT PERSONNEL TRAININGJCPT ' 0.00 OVERPAYMENT (OVER $10) OVER 0.00. ' OVERPAYMENT ($10 AND LESS-OVER:' 0.00. RESTITUTION-REST ` :0.00' PARKS & WILDLIFE-WATER SAFETY FINES-WSF 0.00: MARINE SAFETY PARKS & WILDLIFE-MSO '0.00 TOTAL ACTUAL MONEY RECEIVED Si 8,360.60 s TYPE; AMOUNT: TOTAL WARRANT FEES -. 125.19 -. ENTER LOCAL WARRANT FEES 64.03 RECORD ON TOTAL PAGE OF HILLCOUNTRY SOFTWARE MO. REPORT STATE WARRANT FEES $151,151 RECORD ON TOTAL PAGEOF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS: AMOUNT'i DUE TO CCiSD- 50% of Fine on JV cases 0.00PtEASE INCL UDE D.R. REQUESTING DISBURSEMENT DUE TO DA RESTITUTION. FUND 0 OOd PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 0.00°, PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OUT-OF-COUNTY SERVICE FEE 0.001 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS 0.00: PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERSE 0.00 TREASURERS RECEIPTS FOR MONTH: I AMOUNT': CASH, CHECKS, M.O.s & CREDIT CARDS$8 BI D I'D Calculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS s: 8,360.60 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/3/2019 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2018 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 3,086.80 CR 1000-001-44190 SHERIFF'S FEES 293.14 Page 1 of 2 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 19.60 CHILD SAFETY 0.00 TRAFFIC 79.89 ADMINISTRATIVE FEES 269.70 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 369.19 CR 1000-001-44010 CONSTABLE FEES -SERVICE 600.00 CR 1000-001-44061 JP FILING FEES 90.00 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 145.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $4,584.63 CR 2670-001-44061 COURTHOUSE SECURITY FUND $116.66 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $38.89 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $155.54 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $131.40 STATE ARREST FEES DPS FEES 25.37 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 25.37 CR 7070-999-20610 CCC -GENERAL FUND 155.53 CR 7070-999-20740 CCC -STATE 1,399.82 DR 7070-999-10010 1,555.35 CR 7860-999-20610 STF/SUBC-GENERAL FUND 39.97 CR 7860-999-20740 STF/SUBC-STATE 759.50 DR 7860-999-10010 799.47 CR 7950-999-20610 TP -GENERAL FUND 165.94 CR 7950-999-20740 TP -STATE 165.93 DR 7950-999-10010 331.87 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 0.90 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 17.10 DR 7480-999-10010 18.00 Page 1 of 2 TOTAL (Distrib Req to OperAcct) $8,360.60 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 1/3/2019 COURT NAME: JUSTICE OF PEACE NO. 1 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2018 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 7.78 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 69.99 DR 7865-999-10010 77.77 CR 7970-999-20610 TL/FTA-GENERAL FUND 10.00 CR 7970-999-20740 TUFTA-STATE 20.00 DR 7970-999-10010 30.00 CR 7505-999-20610 JPAY - GENERAL FUND 23.16 CR 7505-999-20740 JPAY-STATE 208.46 DR 7505-999-10010 231.62 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 15.55 CR 7857-999-20740 JURY REIMB. FUND- STATE_ 139.99 DR 7857-999-10010 155.54 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.33 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.96 DR 7856-999-10010 3.29 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 37.61 7998-999-20701 JUVENILE CASE MANAGER FUND 37.61 DR 7998-999-10010 75.21 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 30.00 DR 7403-999-22889 30.00 TOTAL (Distrib Req to OperAcct) $8,360.60 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 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $8,360.60 LESS: TOTAL TREASUER'S RECEIPTS $8,360.60 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 COUNTY 201 West Austin DISTRIBUTION REQUEST DR# 450 A 43468 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Hope Kurtz Justice of the Peace, Pct. 1 ACCOUNT :NUMBER DESCRIPTION :'. AMOUNT 7541-999-20759-999 JP1 Monthly Collections - Distribution $8,360.60 DECEMBER 2018 967 TOTAL 8,360.60 Signature of Official Date ENTER COURT NAME. JUSTICE OF PEACE NO. 2 ENTER MONTH OF REPORT December ENTER YEAR OF REPORT 2018 CODE AM NT CASH BONDS 0.00 REVISED 03104/16 ADMINISTRATION FEE -ADMF 000 BREATH ALCOHOL TESTING- BAT 0.00 CONSOLIDATED COURT COSTS -.CCG 1,429.45 ':. COURTHOUSE SECURITY =.CHS 14295 i CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 1.88 CORRECTIONAL MANAGEMENT INSTITUTE' -CMI 0.00 CR 0.00 CHILD SAFETY CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION -. CVC 0.00 DPSC/FAILURE TO APPEAR, OMNI DPSC 205.09 ELECTRONIC FILING FEE 90.00 FUGITIVE APPREHENSION - FA 0.00 GENERAL REVENUE -GR 0.00 CRIM -i]NO LEGAL SVCS SUPPORT .-IDF 71.49 JUVENILE CRIME & DELINQUENCY* JCD 0.00 JUVENILE CASE MANAGER FUND -JCMF 70.00 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUSTICE COURT SECURITY FUND -JCSF 0.00 JUROR SERVICE FEE-JSF 1142.95 LOCAL ARREST FEES'. LAE 65.37 LEMI 0.00 LECA 0.00 LEOC 0.00 +OCL 0.00 PARKS& WILDLIFE ARREST FEES -PWAF ': 4.62 STATE ARREST FEES: -SAF ` 88.69 SCHOOL CROSSING/CHILD:: SAFETY FEE: SCF 0.00 SUBTITLE SUBC 371.93 TABC ARREST FEES' -TAF 0.00 TECHNOLOGY FUND -TF:14295 TRAFFIC - TFC 37.18 TIME PAYMENT -TIME '-112.02 TRUANCY PREVENT/DIVERSION FUND -TPDF . 66.88 LOCAL& STATE WARRANT FEES -WRNT -49572 COLLECTION SERVICE FEE-MVBA-CERV .`:757.00 DEFENSIVE OR WING COURSE:. DDC '19.80 DEFERRED FEE -DFF 299.80 DRIVING EXAM FE& PROV DIL : 0.00 'FILINGFEE -IFFEE '270.00 FILING FEE SMALL CLAIMS FFSC 0.00 -. COPIESICERTIFED COPIES, CC J 0.00 INDIGENT FEE -CIFF or1NDF `-54.00 JUDGE PAY RAISE FEE -JPAY 214.43 SERVICE FEE -.$FEE '.525.00 OUT -OF -COUNTY SERVICE FEE - 0.00 EXPUNGEMENT FEE -EXPG 0.00 EXPIRED RENEWAL -EXPR :'.10.00 ABSTRACT OF:JUDGEMENT -AOJ 5.00 ALL WRITS -WOP/;WOE ': 0.00 ,OPS FTA FINE -:DFSF ":594.00 LOCAL FINES -:FINE ; 3,281.80 LICENSE$ WEIGHT FEES -LWF 0.00 PARKS & WILDLIFE FINES iPWF .1348.00 ,SEATBELT/UNRESTRAINED {CHILD FINE -SEAT 0.00 V -JUDICIAL& COURT PERSONNEL TRAINING FUND-JCPT -.0.00 OVERPAYMENT ($10 & OVER) - OVER x10.00 * OVERPAYMENT (LESS THAN $10) - OVER 1`. 0.00 RESTITUTION -REST ? 0.00 PARKS & WILDLIFE -WATER SAFETY FINE&WSF ''20.00 WCR ' 0.00 TOTAL ACTUAL MONEY RECEIVED $9,848A0 TYPE: AMOUNT TOTAL WARRANT FEES : 495.72 :. ENTER LOCAL WARRANT FEES 133.21 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT STATE WARRANTIFEE$ $362.51+ RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS' AMOUNT DUE TO CCISD. 50% of Fine on JV cases : 0.00: PLEASE INCLUDE D.R.REQUESTING DISBURSEMENT DUE TO DA RESTITUTIONiFU14D : 0,00.: PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS :10.00 ` PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0,001 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS I: 0,001 PLEASE INCLUDE DR REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERSL :.10.00 TREASURERS RECEIPTS FOR MONTH: AMOUNT CASH, CHECKS, M.O.s &CREDIT CARDS.:$9,948.00 Calculate from ACTUAL Treasurers Receipts TOTAL:TREAS. RECEIPTS $8`84&00 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS Page 1 of 2 1/2/2019 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: December YEAR OF REPORT: 2018 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 3,931.00 CR 1000-001-44190 SHERIFF'S FEES 563.24 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 19.80 CHILD SAFETY 0.00 TRAFFIC 37.18 ADMINISTRATIVE FEES 309.80 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 366.78 CR 1000-001-44010 CONSTABLE FEES -SERVICE 525.00 CR 1000-001-44062 JP FILING FEES 275.00 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 757.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,418.02 CR 2670-001-44062 COURTHOUSE SECURITY FUND $107.21 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $35.74 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $142.95 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $70.00 STATE ARREST FEES DPS FEES 90.24 P&W FEES 0.92 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 91.16 CR 7070-999-20610 CCC -GENERAL FUND 142.94 CR 7070-999-20740 CCC -STATE 1,286.51 DR 7070-999-10010 1,429.45 CR 7860-999-20610 STF/SUBC-GENERAL FUND 18.60 CR 7860-999-20740 STF/SUBC-STATE 353.33 DR 7860-999-10010 371.93 CR 7950-999-20610 TP -GENERAL FUND 56.01 CR 7950-999-20740 TP -STATE 56.01 DR 7950-999-10010 112.02 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 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS TOTAL (Distrib Req to OperAccQ $9,625.20 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 1/2/2019 COURT NAME: JUSTICE OF PEACE NO. 2 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: MONTH OF REPORT: December OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS YEAR OF REPORT: 2018 PARKS & WILDLIFE FINES 295.80 CR 7865-999-20610 17.00 CRIM-SUPP OF IND LEG SVCS -GEN FUND 7.15 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE $9,948.00 64.34 LESS: TOTAL TREASUER'S RECEIPTS $9,948.00 DR 7865-999-10010 OVER/(SHORT) 71.49 CR 7970-999-20610 TL/FTA-GENERAL FUND 68.36 CR 7970-999-20740 TL/FTA-STATE 136.73 DR 7970-999-10010 205.09 CR 7505-999-20610 JPAY - GENERAL FUND 21.44 CR 7505-999-20740 JPAY -STATE 192.99 DR 7505-999-10010 214.43 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 14.30 CR 7857-999-20740 JURY REIMB. FUND- STATE 128.65 DR 7857-999-10010 142.95 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.19 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 1.69 DR 7856-999-10010 1.88 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 7998-999-20701 JUVENILE CASE MANAGER FUND 33.44 CR 7998-999-20740 TRUANCY PREWDIV FUND - STATE 33.44 DR 7998-999-10010 66.88 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 90.00 DR 7403-999-10010 90.00 TOTAL (Distrib Req to OperAccQ $9,625.20 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 10.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 295.80 WATER SAFETY FINES 17.00 TOTAL DUE TO OTHERS $322.80 TOTAL COLLECTED -ALL FUNDS $9,948.00 LESS: TOTAL TREASUER'S RECEIPTS $9,948.00 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 43468 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 $9,625.20 December 2018 V# 967 Signature of Official Date TOTAL 9,625.20 01-02-19;11:59 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 1/ 4 FAX COVER SHEET January 2, 2018 FROM: Justice Court Pct. 4, Calhoa County 103 W. Dallas Street, P.O. Box 520 Seadrift, Texas 77983 PHONE: 361-785-7082 FAX: 361-785-2179 TO: Susan RileX REF: Money Distribution Roo FAX: 361-553-4444 NOTE: The December 201.8 -re -port is attached. Please gLye me a call if you have any questions. Pages To Follow: 4 Including This Cover. Thank you, Judge Wesley J. Hunt 01-02-19;11:59 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4 IT..'NAME::. JUS, EH OF REPORT DECI PF -REPORT '. 2018 CODEAMOUE CASH BONDS .!ADMINISTRATION.FM-AOMF 30.00 ' BREATH' ALCOHOL TESTING. -SAT CONSOLIDATED COURT COSTS -OCC 620.42 . COURTHOUSESECURITY-CHB 52.04 'CIVILJUSTICEDATA�REP-MVF/OJDR 0.44 CORRECTIONAL.MANAGEMENT. INSTITUTE - CHILD SAF,ET CHILD.SEATBELT'FEE - ' :CRIME . VICTIMS:COMPENSATION, DPSC/FAILURE'TO'APPEAR ;.OMNI.=: F.ELECTRONIOFILING FEE FUGITIVE APFREHENSIO1 GENERAI.;REVENUE GRIM - IND LEGAL'5VCS-SUP,POR1 JUVENILE CRIME.&:DELINQUENCY JUVENILE CASE MANAGER FUND .. JUSTICE COURT PERSONNEL TRAINING - JUROR;SERVICE'FEE LOCALARREST.FEES. PARKS 8 WILDLIFE ARREST FEES - 1 ' ,; STATE ARREST. FEES .: ?SCHOOL;CROSSING/CHIIA:SAFET'Y• FEE' .SUBTITLE C TABC'ARRESTFEES' ';','.TECHNOLOGY AFPIC FUNI TIME PAYMENT- ' TRUANCY'PREVEN/DIVER.FUND: LOCAC B;.3TATE. WARRANT. FEES'' -;V :. COLLECTION SERVICE FEE-MVBA'-I DEFENSIVE. DRIVING '• :000RSE ".'i! DEFERRED:FEE: 'DI2IVING EXAM.FEE: PRC (:'`: FILING FEE - FILING FEE SMALL CLAIMS .COPIESICERTIF. ED'OOPIE£ I.NDIGENT:FEE-,CIFF Or JUOGEPAYRAISE FEE' JSERVICE,FEE: I'„OUT-OF-CCUNTY:SERVECE EXPUNGEMENTPEE,''l1 ... ,:'.: EXPIRED.RENEWAL'�.I ABSTRACTOEUUDGEMENP.; %ALL' WRITS'-.WOP f DP.S'FTA FINE= I ..1.LOOAUFINES 'LICENSE & WEIGHT.FEES;- '_.'PARKS &WILDLIFE FINF3. 120,00 20,00 20.02. ' 60,06 62.04 31.02 REVISED.DW04A8 ..r:4' +I:RESTITUTION.4REST PARKS&WILDLIFE-WATER S'nFE7Y:FiNES-WSF 50.00. .. . ,.. .,.,:WCR • '.' : TOTA4ACTUAI MDNEY'RECEIVED• •: 54A73, 0. ,; � , �' ,. .. TYPE+.AMOUNT' TOTAL WARRANT. FEES.. r :64.30 ' ENTER LOCAL WARRANT -FEES, ,RECORD ON TOTAL FACT OF H,0. COUNTRY 60TTWM[ MO, REPORT STATE. WARRANT' FEES. $64.30 ACCORD ON TOTAL PAGE WHILLCOUNTRYSOFTWAAEMO.REPORT DUE. TO OTHERS:. AMOUNT' ' DUE TO CCI50,Z 50%,Of,FIDOOR JV CO408 •-::. 0.00 PLLR"uE INCLUDE D.R. REQUESTING OISOVRDEMENi DUE TO DA RESTJTUTION.FUN[1'!5: ' ,0:00 FLEADEN6wDE 0,R.REQUESTINGM00004MENT REFUND,OF,OVERPAYMENTS ji PLEADEWCLUDE DAREOVOIRIODISURSEMENT OUT-OF-COUNTYSERVICE:'FEE•" PLEAEEHCLUOE D.R. AEgVEOiINC 0190UR0EMENT CA$H.BONDS ”"', ,;y{ -v, :."' ''"PLFnsE INCLUDE D.Po PEOUEST(NOOIesVRDEMENTQPREOUIREO) riTOTAI.DUETO:OTHERS'-' TREA$URERS RECEIPT$FOR:MONTH: AMOUNT' ' .: .... . . CASH, ECKS, M.O.D REDIT CARD •473.10 CRICUlolO from ACTUAL Troasuror0 RoColpti 'i' TOTAL':TRDAS..RECEIPTS � �� � '473.70 ' -. ' 01-02-19;11;59 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/2/2019 COURT NAME: JUSTICE OF PEACE NO, 4 MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2018 ACCOUNT NUMBER ACCOUNTNAME AMOUNT OR 1000-001-45014 FINES 2,394.20 OR 1000-00144190 SHERIFFS FEES 101.86 Page 1 of 2 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0,00 TRAFFIC 10.14 ADMINISTRATIVE FEES 30.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 40.14 OR 1000-001-44010 CONSTABLE FEES -SERVICE 0.00 CR 1000-001.44064 JP FILING FEES 50.00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-001.44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-2D744 DUE TO STATE -SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 531.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $3,117.20 OR 2670.001-44064 COURTHOUSE SECURITY FUND $39.03 OR 2720-001-44064 JUSTICE COURT SECURITY FUND $13.01 OR 2719-001.44064 JUSTICE COURT TECHNOLOGY FUND $52.04 OR 2699-001-44064 JUVENILE CASE MANAGER FUND $50.05 STATE ARREST FEES DPS FEES 11.86 P&W FEES 5.63 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 17.49 OR 7070-999-20610 CCC -GENERAL FUND 52.04 OR 7070-999-20740 CCC -STATE 468.38 DR 7070-999-10010 520.42 OR 7860-999-20610 STF/$UBC-GENERAL FUND 5.08 CR 7860-909-20740 STF/SUBC-STATE 96A5 DR 7860-999-10010 101.53 OR 7960-999-20610 TP -GENERAL FUND 87,63 CR 7950-999-20740 TP -STATE 87.62 DR 7950.999-10010 175.25 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 11.40 DR 7480.999-10010 1200 Page 1 of 2 01-02-19;11:59 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4 DUE TO OTHERS (Distrib Req Adchd) CALHOUN COUNTY ISD MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 1/2/2019 COURT NAME; JUSTICE OF PEACE NO, 4 0.00 CASH BONDS 0.00 MONTH OF REPORT- DECEMBER 0.00 WATER SAFETY FINES 4250 YEAR OF REPORT, 2018 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 2,60 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 23.42 DR 7865-999-10010 26.02 CR 7970-999-20610 TUFTA-GENERAL FUND 40.00 CR 7970-999-20740 TUFTA-STATE 80.00 DR 7970-999-10010 120.00 CR 7505-999-20610 JPAY-GENERALFUND 7.81 CR 7605-999-20740 JPAY-STATE 70.25 DR 7505-999-10010 78.06 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 5.20 CR 7857-999-20740 JURY REIMB, FUND- STATE 46.84 DR 7857-999.10010 52.04 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.04 CR 7856.999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.40 DR 7856-999-10010 0,44 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 10.00 DR 7502-999-10010 10.00 7998.999-20701 JUVENILE CASE MANAGER FUND 13,01 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 13.01 DR 7998-999-10010 26.02 CR 7403-999-22889 ELECTRONIC FILING FEE 20.00 DR 7403-990.10010 20.00 TOTAL (Distrlb Rog to OperAcct) $4,430,60 DUE TO OTHERS (Distrib Req Adchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 4250 TOTAL DUE TO OTHERS $42.50 TOTAL COLLECTED -ALL FUNDS $4,473.10 LESS: TOTAL TREASUER'S RECEIPTS $4,473.10 REVISED 03/04/16 _ OVER/(SHORT) $0.00 Page 2 of 2 Calhoun Co un ty Flo o dplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: mary.orta@calhouncotx.org December 2018 Development Permits New Homes -3 Renovations -0 Mobile Homes -0 Boat Barns/Storage Buildings/Garages-2 Commercial Buildings/RV Site -0 Total Fees Collected: $300.00 M Brace Blevins Constable Precinct 3 Calhoun County Texas 211. South Ann, Suite 303 Port Lavaca, Texas 77979 January 2, 2019 361-553-4607 Dear Sirs: - The following information is data collected fiom traffic stops that occurred from January 1, 2018 thru December 31, 2018. During this time period 244 traffic stops were made. The following are categories with information about the traffic stops. Drivers Traffic stops Warnings Citations White Males 116 115 1 Hispanic Males 51 51, 0 Black Males 2 2 0 Asian Males 4 4 0 White Females 39 39 0 Hispanic Females 31 31 0 Black Females 1 1 0 Asian Females 0 0 0 Totals 244 i. 243 1 M Bruce Blevins Constable Precinct 3 Calhoun County Texas 211. South Ann, Suite 303 Port Lavaca, Texas 77979 361-553-4607 A list is given below with specific information for each category where a citation was issued: White male Speeding: 70 mph in a 45 mph zone The average speed of the drivers who were issued citations for speeding was 25 M.P.H. over the posted speed limit. Written or verbal warnings were given in 99% of the violations.. No. vehicle searches were conducted in any of these traffic stops. Sincerely Yours, Bruce Blevins Calhoun County Commissioners' Court -- January 09, 2019 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On any necessary budget adjustments. RESULT: APPROVED [UNANIMOUS) MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese Page 6 of 8 z O 0 m T m m z O a r a J m q ~ � N N C IM m o =00 m 'n ' n y nM mi m < A z =!m z � �m a D O O O o O O O z z z ti 3 mX 43 Z y ° N .$a 3 m m O z O O a � O m �a � c 1 N g m W C C 0 m i C y m o Z c m T 3 m z I z �o R C m z m 03 n °z m m n C z O c O n m m m a C O rR J 0 0 CIE O = m O = z O== A � = Ad O N = a J m q ~ � N N C IM m o =00 m 'n ' n y nM mi m < A z =!m z � �m a D O O O o O O O z z z ti 3 mX 43 Z y ° N .$a 3 m m O z O O a � O m �a � c 1 N g m W C C 0 m i C y m o Z c m T 3 m z I z �o R C m z m 03 n °z m m n C z O c O n m m m a C O rR J 0 0 2 zi CL 0 I20� 20 0 SI a: v m V a m z I z 0 J O T O V V O TT X� d � A S C N 0 0 o a ol�l� V 0 SI a: v m V a m z I z 0 J O T O V V O TT X� d � A S C N IAV N H fR ds0 EA T V V O O O N O N 0 SI a: v m V a m z I z 0 M $ § § ) � §§§ M z k ƒ k \ k v ( k % % f § § § % ) }b z \}� ■ : z % M § (/ \ ) � § C:MC: in ; ;\± G-[ !o _ _ , % o \}� ■ m \\ R k §\) 9 |/§ § ];,§ �2� M § k ``�§ ® B ;< ; G ; ■ I s§ _8 � m ; «im e_■ m■■ BS■ o § ƒ M $ § § ) � §§§ M z k ƒ k \ k v ( k % % f § § § % ) m m A' A m 0 m a 1 m z z 0 N i0 O IP O Lim w 4 w T fA d1 Efl '*+ 0 0 0 m z a 0 C z 1 U! 11 O N O O W r O z 0 3 D Z m m z D z m m i 0 D r J 01 W W W U1 U1 W A A A tD WNW O A 0 0? 00 C x x x K z� m m m m y m Z c �v'nC)-0 � oL>��0oz mtncn���� D 0 Li m Z c C A=0 o�m� W o U): v y y = v Z;D G) cC Ai 0 0 0 m x�c maz Z F 0 e zzzzzz 000000 G)G�)7G�7)GAA G)G) z D D D D D Z Z Z Z Z Z 3 T T z Q a fA fA0 f9 E9 fAMT ^r'i 0 0 0 0 0 0 0 0 0 P 0 C z N 3 a Z m z z 0 m v m a m z I z O V O c n m m m n r C v T �4 Ci T fA di EA fA (A EA fA fA EA 0 0 0 0 0 0 0 0 0 Of � V N OD O fA fA E9 J T Vl 0 0 0 0 N fT T W N O O O O N O O P 0 C z N 3 a Z m z z 0 m v m a m z I z O V O c n m m m n r C v Ci I� 000�IJ P 0 C z N 3 a Z m z z 0 m v m a m z I z O V O c n m m m n r C v I� o m z 3 O E 3 m z X Z o -I: 3E m: r O ® z€ 0 m 1 i z O 3 0 i 1 M: c)? m m m p � �i Oe Z: i a c a€ I�o e c Z .I cn p m m€ fl€ vml 0 0 z n W r m m 0 z 0 i w 0 D r O O 8 3 v 3 m m Z 7n: r z ® r 0 m 1 i z O gl`T)G)G`G) m z i 1 -�: m m m m �i i a c M: a m c Z: D m 1 O " cn O ZE * m z — a: z z 3; Z 0 W O L M: O 3 m 8 it t7 ok I= O z ® r 0 m 1 i z O gl`T)G)G`G) z co i 1 8 0 it t7 ok I= O N z ® r 0 m 1 i gl`T)G)G`G) 3 i m m m m �i �z z 1 Z 0 fA 0 E9 fA fA 0 0 0 m c pp D m 1 O co T * m O — tn z z f m A W O L O 3 m 0 t7 i m2000 (A m 1 fq O gl`T)G)G`G) f9 E9 f9 0 0 0 m m y Y Y Y Z Z Z i i � T z 1 Z 0 fA 0 E9 fA fA 0 0 0 N pp 3 1 O O T a — tn C v n m G) m n c v m C� T fq O fA o f9 E9 f9 0 0 0 IT I� W C � T m EA O fA 0 E9 fA fA 0 0 0 S a — tn A A W O L O �4 W W A W f A TIN N O O O O O T m a O m zi O O W O V C v n m G) m n c v LN I N 3 IE 4 T x HIM g o z a < m m 0 0 z z a a a 0 cc m N O 0 C Z i C A c n m m m n C v N N NO I� A W O ~ O O N C O O A m z (n M D M m w O O (n 1 m Oa m m z IH D ^' T Z z n o Z N03 O O O O D 3 e m rn 0 0 0 0 3 0 G) G) A 2 n Z1-f1� z z z z 4 o N ME 1 y 4 a r r g o z a < m m 0 0 z z a a a 0 cc m N O 0 C Z i C A c n m m m n C v x O O O O O IT (� x �m T O O O O O T T � T T O O O O O � C TIF g o z a < m m 0 0 z z a a a 0 cc m N O 0 C Z i C A c n m m m n C v v m A D O O O = m r z m m y z M y D z 3 O T m N N N N N� M m m 0 0 ; O H O N N N N C cn mOaa 0170 (n(n n(nC NN a�ZN(n U D D nFnc11 c 000 22a.00 A z Z -I y z O a a 3 Z C C T o0 a 00 C A A O L � O { O O O O O O z e z z z z z 00000 AO O G)00 z z z z z Z 3 IT e�T W C fA EA fA E9 EA T T 0 0 0 0 0 O O � Z � �IsO f9 ffl En EA F O r n O z -i z O m z 0 N O a r n (y 3 T 0 x x c n z m a x "o m z y m z 3 n 0 z z o m z � y s 0 v m n m z 'I 0 N A O rt FE .f L O O I I w v n 0 0 0 T fA (A fA T 0 0 0 T 0 x x c n z m a x "o m z y m z 3 n 0 z z o m z � y s 0 v m n m z 'I 0 N A O rt FE .f L O O _ -n B B � § §§ k z % . 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Approval of bills and payroll. (AGENDA ITEM NO. 9) MMC BILLS RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Meyer, Commissioner Hail, Lyssy, Reese COUNTY BILLS RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese PAYROLL RESULT: MOVER: SECONDER: AYES: APPROVED [UNANIMOUS] David Hall, Commissioner Pet 1 Vern Lyssy, Commissioner Pet 2 Judge Meyer, Commissioner Hall, Lyssy, Reese Page 7 of 8 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- January 09, 2019 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES,; PAYROLL AND ELECTRONIC BANK PAYMENTS $ 859,235.36 TOTAL TRANSFERS BETWEEN FUNDS $ TOTAL NURSING HOME UPL EXPENSES $ 1,015,117.34 TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED January 99,;2019 $ 1,874,352.70 r MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 09, 2019 PAYABLES AND PAYROLL 1/4/2019 Weekly Payables 315,519.57 1/8/2019 McKesson -340B Prescription Expense 6,767.50 1/8/2019 McKesson -3408 Prescription Expense 22,776.54 1/8/2019 Amerisource Bergen -3408 Prescription Expense 7,085.90 1/8/2019 Amerisource Bergen -3408 Prescription Expense 5,256.53 1/8/2019 Gulf Coast Paper Company 113.65 1/8/2019 Texas Mutal Insurance Co -Insurance 4,854.98 1/8/2019 Payroll Liabilities (Payroll Taxes) 90,170.33 1/8/2019 Payroll 278,586.82 Prosperity Electronic Bank Payments 1/8/2019 Credit Card & Lease Fees 520.58 1/8/2019 TCDRS - Estimated Retirement 127,552.61 1/8/2019 Pay Plus -Patient Claims Processing Fee 30.35 TOTAL TRANSFERS BETWEEN FUNDS $ - NURSING HOME UPL EXPENSES 1/8/2019 Nursing Home UPI 839,549.47 1/8/2019 Nursing Home UPI 83,298.04 QIPP/INTEREST CHECKS TO MMC 1/8/2019 Ashford 35,172.68 1/8/2019 Solera 10,015.00 1/8/2019 Crescent 6,810.20 1/8/2019 Broadmoor 6,850.26 1/8/2019 Fort Bend 14,381.54 1/8/2019 Golden Creek 18,201.05 1/8/2019 Ashford -interest Earned 160.08 1/8/2019 Solera-Interest Earned 213.21 1/8/2019 Crescent -Interest Earned 148.76 1/8/2019 Broadmoor -Interest Earned 159.56 1/8/2019 Fort Bend -Interest Earned 59.66 1/8/2019 Golden Creek -Interest Earned 97.83 TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED January 09, 2019 $ 1,874,352.70 JAN Q 3 20j9 01/03/2019 trs dtcaY Ctttf f"ff sq)19k 4 MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dates Through: 01/16/2019 0 ap_open_invoioe.template Page 1 of 24 Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE 15521 V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 129853 ✓ 12/12/2012/09/2001/09/20 89.43 0.00 0.00 89.43 ✓ SUPPLIES (Cli Ki c) 130045 ✓ 12/31/20 12/14/20 01/14/20 0.45 0.00 0.00 0.45 ✓ SUPPLIES (_Pk\jzj aj'11,Av-pj) 130064+/ 12/31/2012/14/2001/14/20 26.17 0.00 0.00 26.17 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 116.05 0.00 0.00 116.05 Vendor# Vendor Name Class Pay Code 11564 ACOSTA ELECTRIC v1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7058 / 12/31/20 12/12/2012/12/20 472.00 0.00 0.00 472.00 ✓ ELECTRICALWORK UIVIS,Jjad Wklsj'S @ lay loLklio S) Vendor Totals Number Name Gross Discount No -Pay Net 11564 ACOSTA ELECTRIC 472.00 0.00 0.00 472.00 Vendor# Vendor Name Class Pay Code A1690 ALCON LABORATORIES, INC. ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9654780724 ✓ 12/19/20 12104/20 01/03/20 84.80 0.00 0.00 84.80 ✓ SUPPLIES 9654811151 y/ 12/19/20 12/07120 01106/20 795.00 0.00 0.00 795.00 S PPLIES / 1,547.70 9654830251 12/31/2012/11120 01/10/20 1,547.70 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1690 ALCON LABORATORIES, INC. 2,427.50 0.00 0.00 2,427.50 Vendor# Vendor Name Class Pay Code 10814 ALLIED BENEFIT SYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0000420890 12/19/2012/17/2001/15/20 34,142.42 0.00 0.00 34,142.42 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 10814 ALLIED BENEFIT SYSTEMS 34,142.42 0.00 0.00 34,142.42 Vendor# Vendor Name Class Pay Code 11299 ALLSTATE V Invoice# Comment Tran Dl Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net C041293000 ✓ 12/31/20 12/03/20 01/03/20 12,056.30 0.00 0.00 12,056.30 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11299 ALLSTATE 12,056.30 0.00 0.00 12,056.30 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY M Involce#Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 874833 ✓ 12/19/20 12/06/20 01105/20 46.95 0.00 0.00 46.95 Wake 4- "l fez_ 01F S -O() file:///C:[Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report6171... 1/3/2019 Page 2 of 24 Vendor Total: Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 46.95 0.00 0.00 46.95 Vendor# Vendor Name Class Pay Code A2271 ARTHREX, INC IN Invoice# Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net /Comment 94596628 �/ 12/31/20 12/14/20 01/02/20 295.00 0.00 0.00 295.00 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net A2271 ARTHREX, INC 295.00 0.00 0.00 295.00 Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE CO. V1 w Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓ 884619 12/31/20 12/21/20 01/05/20 22.98 0.00 0.00 22.98 / SUPPLIES 884964 ✓ 12/31/2012/28/20 01/12/20 15.78 0.00 0.00 15.78 r1 SUPPLIES Vendor Total Number Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO. 38.76 0.00 0.00 38.76 Vendor# Vendor Name Class Pay Code W150 BAXTER HEALTHCARE v1 w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 11536241 v/ 12/11/20 06/02/20 01/10/20 -2,767.00 0.00 0.00 / -2,767.00 r/ CREDIT / 61606353 12/19/20 12/10/20 01/04/20 339.41 0.00 0.00 339.41 SUPPLIES 61647010 / 12/31/2012/13/2001/07/20 697.78 0.00 0.00 697.78 SUPPLIES 61673527 v/ 12/31/20 12/17/20 01/11/20 459.54 0.00 0.00 459.54 /SUPPLIES / 2,367.50 ✓ 61726993✓ 12131/2012/2112001115120 2,367.50 0.00 0.00 EASE 61727018 12131/20 12/21/20 01/15/20 629.50 0.00 0.00 629.50 ,LEASE 61720765✓/ 12/31/20 12/21/20 01/15/20 728.48 0.00 0.00 728.48 INVENTORY Vendor Total: Number Name Gross Discount No -Pay Net 81150 BAXTER HEALTHCARE 2,455.21 0.00 0.00 2,455.21 Vendor# Vendor Name Class Pay Code M2485 BAYER HEALTHCARE V1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 6006918566 ✓ 1213112012/12/20 01/12/20 572.32 0.00 0.00 572.32 SUPPLIES ( kppiq A1.1Y Vendor Totale Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 572.32 0.00 0.00 572.32 Vendor# Vendor Name Class Pay Code 81220 BECKMAN COULTER INC M Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 107439825 f 12121/2012/04/2012129/20 3,721.63 0.00 0.00 3,721.63 SUPPLIES 107438996✓ 12/21/2012/04/2012129/20 1,009.18 0.00 0.00 1,009.18 SUPPLIES 107443350 V/ 12121/20 12105120 12130/20 6,691.07 0.00 0.00 6,691.07 file:///C:/Users/celevenger/cpsi/memmed.opsinet.com/u82227/data 5/tmp cw5repoA6171... 1/3/2019 SUPPLIES Net 0.00 615.95 107442397 1// 12/21/20 12/0512012/30/20 Net 14,567.71 0.00 S rplitS Net 0.00 0.00 107441952 7 12/21/20 12/05/20 12130/20 224.50 0.00 SUPPLIES 107443497 v/ 12/21120 12/06/20 12131/20 2,546.79 0.00 �UPPLIES 107448702 12121/20 12/10/20 01/04/20 128.66 0.00 SUPPLIES 107451753✓ 1212112012!11/2001/05/20 339.57 0.00 ySUPPLIES 107455019 �/ 12l21/2012I12/2001/06l20 4,233.46 - 0.00 SUPPLIES Vendor Totals Number Name Gross Discount 81220 BECKMAN COULTER INC 33,462.57 0.00 Vendor# Vendor Name Class Pay Code 81320 BEEKLEY MEDICAL/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount INV1229317 J 12/31/20 12/13120 01/13/20 615.95 0.00 SUPPLIES 6Vt:rpiNJ I%,KS Vendor Totals Number Name Gross Discount 81320 BEEKLEY MEDICAL 615.95 0.00 Vendor# Vendor Name Class Pay Code 11050 BIRCH COMMUNICATIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 27028285 f 12131/20 12/16/20 12/16/20 0.00 0.00 @, w � Vendor Totals Number Name Gross Discount 11050 BIRCH COMMUNICATIONS 0.00 0.00 Vendor# Vendor Name Class Pay Code 10599 BKD, LLP >/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount BKO0973210 y/ 12/31/2012/17/2001/11120 6,500.00 0.00 PRO FEES Vendor Totals Number Name Gross Discount 10599 BKD, LLP 6,500.00 0.00 Vendor# Vendor NameClass Pay Code 81650 BOSART LOCK & KEY INC ✓/ M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount / 1163361/ 12131/2012/1312001/12/20 339.80 0.00 SUPPLIES ylate ►oLIan9 dour h[usclL, (-Owai4in9 rootnS 116374 / 12/31120 12/14/20 01/13/20 17.75 0.00 SUPPLIES Vendor Totals Number Name Gross 81650 BOSART LOCK & KEY INC 357.55 Vendor# Vendor Name Class Pay Code 12292 BRANDY'S BAG OF AIR Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross / 23856 �/ 12/31/20 12/11/20 01/11120 198.95 SUPPLIES (,llSCtifV bX 0vV3 fro(L4hf �) Vendor Totals Number Name J Gross Page 3 of 24 0.00 14,567.71 ✓ 0.00 224.50 V 0.00 2,546.79 r/ / 0.00 128.66 0.00 339.57 0.00 4,233.46 No -Pay Net 0.00 33,462.57 No -Pay Net 0.00 615.95 v� No -Pay Net 0.00 615.95 No -Pay Net 0.00 0.00 No -Pay Net 0.00 0.00 No -Pay Net 0.00 6,500.00 No -Pay Net 0.00 6,500.00 No -Pay Net 0.00 339.80 0.00 17.75 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay Net 357.55 Net 198.95 Net file:///C:/Users/cclevenizer/cpsi/memmed.cpsinet.com/u82227/data 5/tmp cw5report6171... 1/3/2019 Page 4 of 24 12292 BRANDY'S BAG OFAIR 198.95 0.00 0.00 198.95 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 122018 12/31/2012/20/2012/20/20 3,182.50 0.00 0.00 3,182.50 ✓ TRANSFER Q 4 / .� .�-0 1NM,L j Vi CMV - Vendor Totals Number Name VV Gross Discount No -Pay Net 11832 BROADMOORATCREEKSIDE PARK 3,182.50 0.00 0.00 3,182.50 Vendor# Vendor Name Class Pay Code / D1040 C R BARD, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 78891762 ✓ 12/31/2012117/2001/07/20 135.38 0.00 0.00 135.38 e� SUPPLIES �XyojtA rj.gj Vendor Totals Number Name �1 Gross Discount No -Pay Net 1)1040 C R BARD, INC 135.38 0.00 0.00 135.38 Vendor# Vendor Name / Class Pay Code C1010 CABLE ONE W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121618 12/31/20 12/16/20 01/15/20 418.83 0.00 0.00 418.83 ✓ CABLE 1216186 12/31/2012/16/2001/15/20 1,150.43 0.00 0.00 1,150.43 CABLE 121618A 12/31/2012/16/2001/15/20 71.85 0.00 0.00 71.85 CABLE Vendor Total: Number Name Gross Discount No -Pay Net C1010 CABLE ONE 1,641.11 0.00 0.00 1,641.11 Vendor# Vendor Name Class Pay Code / A1825 CARDINAL HEALTH 414,LLC J M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8001809969 12/31/20 11/30/20 12/30/20 636.41 0.00 0.00 636.41 SUPPLIES pC11V lg'1.5-D 8001818069 ✓ 12/31/21) 12/08/20 01/07/20 342.75 0.00 0.00 342.75 SUPPLIES bGl1Vt.vt'� I1' .VT 8001823587 / 12/31/21812/15/20 01/14/20 915.55 0.00 0.00 915.55 SUPPLIES VtIljVt , I�4•� 00 Vendor Totals Number Name Gross Discount No -Pay Net A1825 CARDINAL HEALTH 414,LLC 1,894.71 0.00 0.00 1,894.71 Vendor# Vendor Name Class Pay Code C1992 COW GOVERNMENT, INC. ✓/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net QFJ7097,/ 12/31/20 11/30/20 12/30/20 961.92 0.00 0.00 961.92 f EQUIPMENT �IKVVjVl N'MA W#V10 lar prlMw i J QKG1344✓ 12/31/2012/14/2001/13/20 239.14 0.00 0.00 239.14. LAUNDRY t1du1+pjyjG I-I.t7 I.Pn1Nd- CAr+rldqL) J ' Vendor Totals Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 1,201.06 0.00 0.00 1,201.06 Vendor# Vendor Name / Class Pay Code 10105 CHRIS KOVAREK I/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 021 1/ 12/31/20 01/02/20 01/02/20 320.00 0.00 0.00 320.00✓ SWINGBED SERVICES Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Users/eclevenger/cpsi/Memmed.cpsinet.com/u82227/data 5/tmp cw5report6171... 1/3/2019 Page 5 of 24 10105 CHRIS KOVAREK 320.00 0.00 0.00 320.00 Vendor# Vendor Name Class / Pay Code C1730 CITY OF PORT LAVACA r// W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 010718 12/31/20 12/18/20 01/07/20 4,202.18 0.00 0.00 4,202.18 WATER µ.q,/1.6 / 010718A 12/31/20 12/31/20 01/07/20 22.71 0.00 0.00 22.71 L/ WATER MV-(- i5vvinlcl. 011,Fcrv1 0107188 12/31/2012/31/2001/07/20 43.59 0.00 0.00 43.59 WATER 124-1A.h Vendor Totals Number Name Gross Discount No -Pay Net C1730 CITY OF PORT LAVACA 4,268.48 0.00 0.00 4,268.48 Vendor# Vendor Name Class Pay Code 10723 CLIA LABORATORY PROGRAM Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 112118 12/31/20 01/05/20 01/05/20 2,040.00 0.00 0.00 2,040.00 COMPLIANCE FEE C4J 17114" Yl) Vendor Total: Number Name Gross Discount No -Pay Net 10723 CLIA LABORATORY PROGRAM 2,040.00 0.00 0.00 2,040.00 Vendor# Vendor Name Class Pay Code 10786 CLINICAL PATHOLOGY ✓ Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2018110 ✓ 12/31/20 11/30120 12/25/20 12,841.01 0.00 0.00 12,841.01 LAB SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 10786 CLINICAL PATHOLOGY 12,841.01 0.00 0.00 12,841.01 Vendor# Vendor Name Class Pay Code 11956 CMT MEDICAL v// Invoice#Comment Tran Dt Inv Dl Due Dt Check D Pay Gross Discount No -Pay Net 4566516 r/ 12/31/2011/28/2012128/20 6,360.82 0.00 0.00 6,360.82 EQUIPMENT sh;wyl Utf.3Y Vendor Totals. Number Name ,j Gross Discount No -Pay Net 11956 CMT MEDICAL 6,360.82 0.00 0.00 6,360.82 Vendor# Vendor Name Class Pay Code 11030 COMBINED INSURANCE V1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 010118 12/31/20 01/01/20 01/01/20 1,269.82 0.00 0.00 1,269.82,/ INSURANCE Vendor Total: Number Name Gross Discount No -Pay Net 11030 COMBINED INSURANCE 1,269.82 0.00 0.00 1,269.82 Vendor# Vendor Name / Class Pay Code C1970 CONMED CORPORATION ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net '(79098 12/31/2012/1812001/08120 125.52 0.00 0.00 125.52 SUPPLIES Vendor Totals, Number Name Gross Discount No -Pay Net C1970 CONMED CORPORATION 125.52 0.00 0.00 125.52 Vendor# Vendor Name / Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 247765 12/31/2012/12/2001/12/20 141A3 0.00 0.00 141.13 file:///C:[Users/celevenRer/cosi/memmed.cl)sinet.com/u82227/data 5/tmp cw5report6171... 1/3/2019 SUPPLIES Sj{ yr(i(t, H.Uq •I Pay Code 10175 DSHS CENTRAL LAB MC2004 V Vendor Total: Number Name Gross Discount No -Pay 10006 CUSTOM MEDICAL SPECIALTIES 141.13 0.00 0.00 Vendor# Vendor Name / Class Pay Code Vendor Total: Number Name Gross 10368 DEWITT POTH & SON ✓ 751.70 Vendor# Vendor Name Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay / Check D Pay Gross 55685101/ 12/01/20 12/10/20 01/04/20 684.60 0.00 0.00 SUPPLIES 5504070 12/31/20 10/02/20 10/27/20 524.85 0.00 0.00 /SUPPLIES 5550660 V 12/31/20 11/19/20 12/14/20 379.55 0.00 0.00 SUPPLIES 5570780 12/31/20 12/11/20 01/05/20 79.64 0.00 0.00 SUPPLIES 5571940 12131/20 12/12/20 01/06/20 48.38 0.00 0.00 /SUPPLIES 5572510✓ 12/31/20 12/13120 01/07/20 35.58 0.00 0.00 SUPPLIES 5573580 L/ 12/3112012/14/2001/08/20 35.58 0.00 0.00 / SUPPLIES 5573780 ✓ 12/31/20 12/14/20 01/08/20 19.01 0.00 0.00 / SUPPLIES 5576490 12/3112012/17/2001/11/20 315.22 0.00 0.00 SUPPLIES 5576550 12/3112012117/2001/11/20 139.13 0.00 0.00 / SUPPLIES 5576800// 12/3112012117/2001/11/20 101.53 0.00 0.00 / SUPPLIES 5576790V 12/31/2012117/2001/11/20 16.49 0.00 0.00 SUPPLIES / 121918 ✓ 12/31/20 12/19/20 01113/20 37.94 0.00 0.00 SUPPLIES 5578641 V/ 12/31/2012/19/2001113/20 12.13 0.00 0.00 SUPPLIES 5581800 12/31/20 12/20/20 01/14/20 79.80 0.00 0.00 /SUPPLIES 5582550 ✓ 12/31!2012/21/20 01/15120 66.25 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay 10368 DEWITT POTH & SON 2,575.68 0.00 0.00 Vendor# Vendor Name Class Pay Code 10175 DSHS CENTRAL LAB MC2004 V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 112018A 12/31/2011/20/2012/15/20 199.30 LAB SERVICES 112018 12/31120 11/20/20 12115120 552.40 LAB SERVICES 0.00 Vendor Total: Number Name Gross 10175 DSHS CENTRAL LAB MC2004 751.70 Vendor# Vendor Name Class Pay Code 0.00 0.00 D1785 DYNATRONICS CORPORATION Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Page 6 of 24 Net 141.13 Net / 684.60 ✓ 524.85 V/ 379.55 79.64 � 48.38 ✓// 35.581/ 35.58 1 19.01 V/ 315.22 139.13 ✓ 101.53 16.49 ✓ 37.94 V// 12.13 ✓ 79.80 ✓ 66.25/ Net 2,575.68 Discount No -Pay Net 0.00 0.00 199.30 0.00 0.00 552.40 Discount No -Pay Net 0.00 0.00 751.70 Discount No -Pay Net file:///C:/Users/cr,levenver/cosi/Mennned.cl)sinet.com/u82227/data 5/Imp cw5report6171... 1/3/2019 Page 7 of 24 IN919552 V/ 12/31/20 12/12/20 01/12/20 86.87 0.00 0.00 86.87 V1 §UPPLIES 012117/2001/17/20 `,2/31! IN1920049 ✓SUPPLIES 33.93 0.00 0.00 33.93 t/ fljykVl0•01 Vendor Totals Number Name Gross Discount No -Pay Net D1785 DYNATRONICS CORPORATION 120.80 0.00 0.00 120.80 Vendor# Vendor Name Class Pay Code 11046 E -MDS, INC Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 25697,/12/31/20 12/13/20 12/13/20 8,670.00 0.00 0.00 8,670.00 ✓ SUBSCRIPTION (I I I j19- 31311,1) /HOSTING 25680 ✓ 12131/2012/13/2012/13/20 220.00 0.00 0.00 220.00 SUBSCRIPTION Gljljt9-1113oj1q) Vendor Totals Number Name Gross Discount No -Pay Net 11046 E -MDS, INC 8,890.00 0.00 0.00 8,890.00 Vendor# Vendor Name Class Pay Code W1167 ELITECH GROUP INC (WESCOR) ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 646521 ✓ 12/31/20 11/21/20 12/20/20 95.52 0.00 0.00 95.52 y1 SUPPLIES fYl,i3V V ja•_J�- Vendor Totals Number Name Gross Discount No -Pay Net W1167 ELITECH GROUP INC (WESCOR) 95.52 0.00 0.00 95.52 Vendor# Vendor Name Class Pay Code / 10042 ERBE USA INC SURGICAL SYSTEMS y Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 519710 v1 12/31/20 12111/20 01/11/20 156.41 0.00 0.00 156.41 SUPPLIES y,�%ppill� 1411 Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 156.41 0.00 0.00 156.41 Vendor# Vendor Name Class Pay Code C2510 EVIDENT ✓7 M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net T1812081378A ✓ 12/19/20 12/09/20 01/03/20 700.00 0.00. 0.00 700.00,/ BUSINESS SERVICES / 71 81 20 91 378 �/ 12/19/20 12/09/20 01/03/20 7,445.09 0.00 0.00 7,445.09 1/ Consul-im Scwiaf, Vendor Total: Number Name Gross Discount No -Pay Net C2510 EVIDENT 6,145.09 0.00 0.00 8,145.09 Vendor# Vendor Name/ Class Pay Code 11037 FIRSTCLEARING ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 122018 12/31/20 12/20/20 12/20/20 75.00 0.00 0.00 75.00 PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net 11037 FIRSTCLEARING 75.00 0.00 0.00 75.00 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE/ M Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 4208343 ✓ 12/31120 12/07/20 01/01/20 2,732.08 0.00 0.00 / 2,732.08 SUPPLIES �Wppfvl 1'd.U47-i 0.00 / 34.34 4490299%% 12/31/202/10/2001/04/20 34.34 0.00 V/ file:///C:/Users/eclevenp-er/c-osi/Memmed.cDsinct.com/u82227/data 5/tmp cw5report6171... 1/3/2019 Page 8 of 24 SUPPLIES 300.00 4490291// 12/31/20 12/10/20 01/04/20 300.00 0.00 0.00 SUPPLIES / 4758648 ./ 12/31/20 12/11/20 01/05/20 1,267.45 0.00 0.00 1,267.45 /SUPPLIES GWVV!nh 41,4 J12/13120 5336223 1/ 12/3l/2001/07/20 10.64 0.00 0.00 10.64 /SUPPLIES 5537884 ✓ 12/31/20 12/14/20 01/08/20 650.09 0.00 0.00 650.09/ / SUPPLIES 6� kVVI n 5537881/ 12131/20J12/1412001/08/20 289.26 0.00 0.00 289.26 V/ SUPPLIES C WVVIYli) tllt / 0.00 93.90 L/ 5698890✓ 12/31/2012/17/2001/11/20 93.90 0.00 SUPPLIES ENVVIV16 4a� 6199414 V/ 12/31/20 12/18/20 01/12/20 12.20 0.00 0.00 12.20 V/ / SUPPLIES / 6916562 V/01/02/20 12/19/20 01/13/20 56.30 0.00 0.00 56.30 r/ SUPPLIES CjWVVIn5I9•00 Vendor Total Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 5,446.26 0.00 0.00 5,446.26 Vendor# Vendor Name Class Pay Code 12300 GE MEDICAL SYSTEMS ULTRASOUND V/ Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 520700161 ✓ 12/31/20 12117/20 01/07/20 1,216.00 0.00 0.00 1,216.00 PRINTER Vendor Total: Number Name Gross Discount No -Pay Net 12300 GE MEDICAL SYSTEMS ULTRASOUND 1,216.00 0.00 0.00 1,216.00 Vendor# Vendor Name Class Pay Code 10956 GETINGE USA SALES LLC L/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6990861700 v/ 12/31120 12/12/20 01/12/20 203.20 0.00 0.00 203.20 V SUPPLIES fY45NLV n.1,9 ' Vendor Total Number Name Gross Discount No -Pay Net 10956 GETINGE USA SALES LLC 203.20 0.00 0.00 203.20 Vendor# Vendor Name Class Pay Code / W1300 GRAINGER✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9027823930 / 12119/20 12/10/2001/04/20 10.29 0.00 0.00 10.29 v" SUPPLIES 9031412845 V1 12/31/20 12/13/20 01/07/20 24.30 0.00 0.00 24.30 v1 SUPPLIES 0.00 116.95 V/ 9036117886 12/31/20 12/18/20 01/12/20 ✓ 115.95 0.00 SUPPLIES Vendor Total; Number Name Gross Discount No -Pay Net W1300 GRAINGER 150.54 0.00 0.00 150.54 Vendor# Vendor Name / Class Pay Code G0401 GULF COAST DELIVERY 1/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 121918 12/31/2012/14/2001/13/20 75.00 0.00 0.00 75.00 ✓ DELIVERY SERVICES (3 Qt46 Vendor Total: Number Name Gross Discount No -Pay Net G0401 GULF COAST DELIVERY 75.00 0.00 0.00 75.00 Vendor# Vendor Name Class Pay Code file:///C:/Users/ccleveneer/ci)si/memmed.cDsinct.com/u82227/data 5/tmp cw5report6171... 1/3/2019 Page 9 of 24 G1210 GULF COAST PAPER COMPANY ✓ M Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 1597680 ✓ 12/01/20 12/04/20 01/03/20 831.63 0.00 0.00 831.63 t/ / SUPPLIES 1601356 ✓ 12/01/20 12/11/20 01/10/20 732.01 0.00 0.00 732.01 / SUPPLIES 1582684 V 12/31/20 11/01/20 12/01/20 143.30 0.00 0.00 143.30 V1 / SUPPLIES 1588875 V 12/31/20 11/13/2012/13/20 690.85 0.00 0.00 690.85 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 2,397.79 0.00 0.00 2,397.79 Vendor# Vendor Name Class Pay Code / H1100 HAYES ELECTRIC SERVICE V/ W invoice# Co ment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 99.99 A218122601 12/31/2012/26/2001/05120 99.99 0.00 0.00 PARTS Vendor Total: Number Name Gross Discount No -Pay Net H1100 HAYES ELECTRIC SERVICE 99.99 0.00 0.00 99.99 Vendor# Vendor Name Class Pay Code / 10334 HEALTH CARE LOGISTICS INC ✓ Involce# Comment Tran Dt Inv Dt Due Dt Check Q Pay Gross Discount No -Pay Net / / 6945335 ✓ 12/31/20 12/14/20 01/08/20 115.35 0.00 0.00 115.35 ✓ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOGISTICS INC 115.35 0.00 0.00 115.35 Vendor# Vendor Name/ Class Pay Code 11267 HEALTH EFILINGS LLC ✓ Invoice# c7ment Tran Dl Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net MEM0042009 12/31120 01/01/20 01/01120 6,665.00 0.00 0.00 6,665.00 Favidcv aL ;int,.. K14,� Vendor Totals Number Name Gross Discount No -Pay Net 11267 HEALTH EFILINGS LLC 6,665.00 0.00 0.00 6,665.00 Vendor# Vendor Name Class Pay Cade 11552 HEALTHCARE EQUIPMENT FINANCE V/ Invoice# C9mment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 7,154.17 ✓ 100071357 V 12/31/20 12111/20 01/01/20 7,154.17 0.00 0.00 L/EASE (,MaKMO) 100071356 ✓ 12/31/20 12/11/20 01/01/20 4,919.41 0.00 0.00 4,919.41 t/ LEASE ( DIJKVOY yJV*L) 100071358 ✓ 12131/2012/11/2001/01/20 3,334.17 0.00 0.00 3,334.17 V//LEASE ,t �, [aA h(AN) Vendor Total: Number Name Gross Discount No -Pay Net 11552 HEALTHCARE EQUIPMENT FINANCE 15,407.75 0.00 0.00 15,407.75 Vendor# Vendor Name Pay Code /Class H1227 HEALTHSURE INSURANCE SERVICES r/ Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 547 12/12/20 12112/20 01/12/20 200.00 0.00 0.00 200.00 RENEWALSOLERA 01 ++ ) 549 12/12/20 12/12/20 01/12120 250.00 0.00 0.00 250.00 ✓ RENEWAL FORT BEND (,( LW.W(al O'FHYwd) file:///C:/Users/cclevenaer/c-osi/memmed.ci)sinet.com/u82227/data 5/tmp cw5report6171... 1/3/2019 Page 10 of 24 Vendor Totals Number Name Gross Discount No -Pay Net H1227 HEALTHSURE INSURANCE SERVICES 450.00 0.00 0.00 450.00 Vendor# Vendor Name Class Pay Code H1399 HILL -ROM COMPANY, INC M Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 772405 ✓ 12/31/20 12/11/20 01/10/20 334.20 0.00 0.00 334.20 LAUNDRY GWppinll aJ.n (4x4 repairs) Vendor Total; Number Name Gross Discount No -Pay Net H1399 HILL -ROM COMPANY, INC 334.20 0.00 0.00 334.20 Vendor# Vendor Name Class Pay Code 10298 HITACHI MEDICAL SYSTEMS Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net PJIN0127637 12/19/2012/15/2001/15/20 8,333.33 0.00 0.00 8,333.33 SMA FEE Vendor Totals Number Name Gross Discount No -Pay Net 10298 HITACHI MEDICAL SYSTEMS 8,333.33 0.00 0.00 8,333.33 Vendor# Vendor Name Class Pay Code / H0416 HOLOGIC INC ✓ invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 8839065 ✓ 12/31/20 12/14/20 01/14/20 500.00 0.00 0.00 500.00 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H0416 HOLOGIC INC 500.00 0.00 0.00 500.00 Vendor# Vendor Name Class Pay Code 12196 ICU MEDICAL, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 11.25 1892410 r// 12/31/20 12/12/20 01/12/20 11.25 0.00 0.00 SERVICE CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 12196 ICU MEDICAL, INC 11.25 0.00 0.00 11.25 Vendor# Vendor Name Class Pay Code J0150 J & J HEALTH CARE SYSTEMS, INC ✓ Invoice#Qomment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓ 920340953 12/31/20 12/12/20 01/11/20 568.16 0.00 0.00 568.16 SUPPLIES 920340952✓/ 12/31/20 12/12/20 01/11/20 721.40 0.00 0.00 721.40 SUPPLIES eilp 0 W- 00 Vendor Totals Number Name Gross Discount No -Pay Net J0150 J & J HEALTH CARE SYSTEMS, INC 1,289.56 0.00 0.00 1,289.56 Vendor# Vendor Name Class Pay Code J1415 JOHNSTONE SUPPLY ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 6020568 �/ 12/31/20 12/13/20 12/23/20 8.39 0.00 0.00 8.39 ✓ SUPPLIES / 6020607 v/ 12/31/20 12/13/20 12/23/20 167.87 0.00 0.00 167.87 r/ SUPPLIES Vendor Totals Number Name Gross J1415 JOHNSTONESUPPLY 176.26 Vendor# Vendor Name Class Pay Code L0700 LABCORP OF AMERICA HOLDINGS ✓ M filwitly"WAKV- Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 61019014 12/21/20 12101/20 12/26/20 (1j,w 4 -28 -.62 - Discount No -Pay Net 0.00 0.00 176.26 Discount No -Pay Net 0.00 0.00 4.28:03- (5, 0 D file:///C:/tJsers/celevenizer/cpsi/Memmed.cpsinet.com/n82227/data 5/hnp cw5re-oort6171... 1/3/2019 Page 11 of 24 SAB SERVICES 60817327 ✓ 12/31/20 12/01/20 12/26/20 295.34 0.00 0.00 295.34 LAB SERVICES Vendor Total; Number Name Gross Discount No -Pay Net L0700 LABCORP OF AMERICA HOLDINGS 310.3y 42/6 0.00 0.00 42/36 Vendor# Vendor Name Class Pay Code L1640 LOWE'S HOME CENTERS INC G�(,��y.'-g� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 37017 12/31/2011/19/2012119/20 �jQ�, (1j 32Y.215 0.00 0.00 32 2 $0'{: (?j // SUPPLIES Vendor Total; Number Name Gross Discount No -Pay Net L1640 LOWE'S HOME CENTERS INC 329.22 0.00 0.00 329.22 Vendor# Vendor Name / Class Pay Code 10972 M G TRUST �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 122018 12131/20 12/20/20 12/20/20 1,295.00 0.00 0.00 1,295.00 PAYROLLDED Vendor Total: Number Name Gross Discount No -Pay Net 10972 M G TRUST 1,295.00 0.00 0.00 1,295.00 Vendor# Vendor NameClass Pay Code M1950 MARTIN PRINTING CO ✓/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 73195 ✓ 12/19/20 12/06/20 01/05/20 65.03 0.00 0.00 65.03 SUPPLIES ( g*TU ReJ2t. Uants fW Loot) W tgk� tl•o3 / 73240 12131/20 12/17/20 01/16/20 402.00 0.00 0.00 402.00 V SUPPLIES(y-bUpWt, Citvtl5G4t1+•%O'DOnntt()PC-Lj()-TrxOKyr DiU2, 6ckuli1-r StMOKS) Vendor Total: Number Name Gross Discount No -Pay Net M1950 MARTIN PRINTING CO 467.03 0.00 0.00 467.03 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC v1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 40453879 12/31/20 11/14/20 12/14120 548.87 0.00 0.00 548.87 1 SUPPLIES GV 1.1$4 70.00 Vendor Total: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 548.87 0.00 0.00 548.87 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC v1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1865140225,/ 12/21/2012/1112001/05/20 68.24 0.00 0.00 68.24 SUPPLIES 1865140228 V/ 12121/20 12/11/20 01/05/20 265.86 0.00 0.00 265.86 r/ SUPPLIES 1865140231,/ 12121/20 12/11/20 01/05/20 97.82 0.00 0.00 97.82 SUPPLIES 1865140233 12/21/20 12/11/20 01/05/20 57.83 0.00 0.00 57.83 SUPPLIES 1865140230 / 12/21/20 12/11/20 01/05/20 90.95 0.00 0.00 90.95 SUPPLIES / 18651402274/ 12/2112012/11/2001/05/20 10.06 0.00 0.00 10.06 SUPPLIES 1865140226 r/ 12/21/2012/11/2001/05/20 45.93 0.00 0.00 45.93 file:///C:/Users/cclevenizer/cpsi/memmed.cpsinct.com/u82227/data 5/tmp cw5report15171... 1/3/2019 Page 12 of 24 SUPPLIES J'6tW�- lJ 5 1865140232 V1 12121/20 12/11/20 01/05/20 46.91 0.00 0.00 48.91 V/ SUPPLIES / 1865140234 ✓ 12/21/20 12/11/20 01/05/20 1,914.12 0.00 0.00 1,914.12 ✓ S PPLIES / 3,570.15 ✓ 1865140236 12121/2012/11/2001/05/20 3,570.15 0.00 0.00 SUPPLIES ✓ 3.62 ✓ 1860534610 12131/20 10/09/2011/03120 3.62 0.00 0.00 S PPLIES 1865140239 12/31/2012/11/2001/05/20 86.85 0.00 0.00 86.85 SUPPLIES FYI. OW1 1`}•a'J 1865140237 12131/2012/11/2001/05/20 982.92 0.00 0.00 982.92 V/ SUPPLIES 1865234123 V1 12/31/20 12/12/20 01/06/20 91.08 0.00 0.00 91.08 ✓ UP SPLIES YY(:j$kV J3.aq 1865234125 ✓ 12/12120 01/06/20 148.83 0.00 0.00 148.83 {12/31/20 S/UpPLIES ytj�Ki [5�� 1865234115 t/ 12/31/2012/12/2001/06/20 25.58 0.00 0.00 25.58 �/ SUPPLIES (ydgj& Q,n 1865234121 ,// 12/31/2012,//12/20 01/06/20 149.33 0.00 0.00 149.33 SUPPLIESVIjyl&y1 1) 40 ' 1865234118 ✓ 12/3112012112/2001/06/20 57.69 0.00 0.00 57.69 ✓ W( I JV t g,�� SUPPLIES 1865234113 ✓ 12/3112012/12//2001/06/20 146.83 0.00 0.00 148.83 SUPPLIES �Y1,1'kV J1?7•t I1 1865234120 ✓ 12/31120 12/12/20 01106/20 84.83 0.00 0.00 84.83 SUPPLIES fy&pt 1865286895 ✓ 12/31120 12/13/20 01107/20 100.33 0.00 0.00 100.33 SUPPLIES 1865286877 12/31120 12113/20 01/07/20 784.74 0.00 0.00 784.74 ✓ S PPLIES 21.28 1865286896 12/31120 12/13/20 01/07/20 21.28 0.00 0.00 SUPPLIES 30.95 1865286874 V1 12/31120 12/13/20 01/07/20 30.95 0.00 0.00 SUPPLIES 1865286876 ✓ 12/31120 12113/20 01/07/20 53.18 0.00 0.00 53.18 f'liylt. i3•%^1865286875 7PPLIES 1865286875 ✓ 12/31120 12/13/20 01/07/20 77.91 0.00 0.00 77.91 S PPLIES 1 1865286891 12/31/20 12/13/20 01/07/20 113.90 0.00 0.00 113.90 S PPLIES 1865286890 12/31/20 12/13/20 01/07/20 93.03 0.00 0.00 93.03 PPLIES W%IJKl-16 TV SU / 1865286884 ✓ 12131120 12/13/20 01/07/20 1;722.64 0.00 0.00 1,722.64 ✓ 7PPLIES / 37.14 1865286894 12131/20 12/13/20 01/07/20 37.14 0.00 0.00 PPLIES dL 1865405237✓ 'tl 20.15 0.00 0.00 20.16 v/ (12/31/2201221114/2001/08/20 SUPPLIES ffelgtL jl,� o OI/tgq) IhK (IAJXl chanh�) 1865699404, 90.09 0.00 0.00 90.09✓ (12'/31/2012/18/2001/12/20 SUPPLIES hCj kt 1;.IM 1865786859 V/ 12/31/2012119/2001/13/20 8.18 0.00 0.00 8.18 ✓ file:///C:/Users/cclevenRer/cnsi/memmed.evsinet.com/u82227/data 5/torp cw5report6171... 1/3/2019 Page 13 of 24 SUPPLIES / "1865786867 �/ 12131/20 12/19/20 01!73120 22.57 0.00 0.00 22.51 V SUPPLIES fyUyjtt IQ.,N upl U.'bl ?nA(.c+ (iVKWWyfif7w,ykwtaw) / 0.00 159.63 ✓ 1865786874 1/ 12/31/20 12/19/20 01/13120 159.63 0.00 SUPPLIES 1VdgKI ZB,Vj 18657868524/ 12/31/20 12/19/20 01/13/20 1,091.62 0.00 0.00 1,091.627/ SUPPLIE 1865786823 ✓/ 12/31/20 12/19/20 01/13/20 270.42 0.00 0.00 270.42 SUPPLIES 51.98 ✓ 1865786832 V1 12/31/20 12/19/20 01/13/20 51.98 0.00 0.00 SUPPLIES 1865786833 V/ 12131/2012/19!20 01/13/20 13.81 0.00 0.00 13.81 ✓ SUPPLIES 1865786866 V1 12!31/2012/19/2001/13120 4.50 0.00 0.00 4.60 v/ SUPPLIES 1865786824 V/ 12/31/20 1,2/!19120 01/13/20 38.94 0.00 0.00 38.94 SUPPLIES �ylAgKr 1p.Jq ✓ 1865786856 12/31/20 12/19/20 01/13120 60.56 0.00 0.00 60.56 SUPPLIES fYtiyV+'y'($!( 1865804478 12/31/20 12/19/20 01/13/20 8.85 0.00 0.00 8.85 ✓ SIPPLIES 15.38 1865786865✓ 12/31/20 12/19/20 01/13/20 15.38 0.00 0.00 1,/ SUPPLIES ✓ 81.77 ✓ 1865786850 12131/20 12119/20 01/13/20 81.77 0.00 0.00 SyPPLIES 1865786871 ✓ 12131I20 12119/�A20 01/73/20 24.17 0.00 0.00 24.17✓ SUPPLIES h(,jyJ.L1 i'1•D� DVI 4./bi( Immoviiiur i hl'mitu7') 1865786872 7/ 12131/20 12/19/20 01/13/20 100.33 0.00 0.00 100.33 ✓ SUPPLIES F4Uyttk ".% 1865786830 V1 12131/2012/19/2001113120 334.72 0.00 0.00 334.72 SU PLIES 'y{,jyk� Zi •g4 1865786829 12/19/20 01113/20 78.33 0.00 0.00 78.33 SUPPLIES �12131120 1'YlAyk,l I�,g� 18657868254/ 12!31/2012119/2001113/20 342.42 0.00 0.00 342.42 SUPPLIES 1865786870 V/ 12131/20 12/19120 01/13/20 331.56 0.00 0.00 331.56 ✓ SyPPLIES (YdjV.V ll0.1� 1865786875 7/ 12131120 12119/20 01/13/20 216.84 0.00 0.00 216.84 ✓ SUPPLIES fVtiyk f 1�,aj . 1865786834/ 12/3112012/19/2001/13120 35.58 0.00 0.00 35.58 ✓ SUPPLIES 18657868637/ 12/31/20 12/19120 01/13/20 44.72 0.00 0.00 44.72✓ SUPPLIES 186578684671 12/3112012/19/2001/13120 3,739.09 0.00 0.00 3,739.09 V1 SUPPLIES 1865786869 7/ 12/31/20 12/19/20 01/13/20 78.39 0.00 0.00 78.39/ SYPPLIES f 1/IAJHLV 10 11 / 1,966.05 1865843500 12/31/20 12/20/20 01174/20 1,966.05 0.00 0.00 7/ SyPPLIES ✓ 1865843512✓ 12131/2012/20!2001/14/20 52.59 0.00 0.00 82.59 SUPPLIES fy(�Kt 24111 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Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net file:///C:/Users/celevenizer/cosi/menuned.cDsinct.conl/u82227/data 5/tmD cw5re-oort6171.., 1/3/2019 Page 19 of 24 filec///C:/iisers/cclevensrer/ensi/memmed.cnsinct.com/u82227/data 5/tmn cw5renort6171... 1/3/2019 MLVAC44809 ✓ 12/31/20 12/04/20 12/29/20 1,976.50 0.00 0.00 1,976.50 CODING SERVICE Vendor Total= Number Name Gross Discount No -Pay Net 10987 REVCYCLE+, INC. 1,976.50 0.00 0.00 1,976.50 Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIQUEZ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 121018 12/31/20 12/10/20 12/10/20 30.42 0.00 0.00 30.42 ✓ FOOD SUPPLIES 121918 12/31/20 12/19120 12/19/20 9.00 0.00 0.00 9.00 >/ FOOD Vendor Total: Number Name Gross Discount No -Pay Net 11764 ROBERTRODRIQUEZ 39.42 0.00 0.00 39.42 Vendor# Vendor Name Class Pay Code G0425 ROBERTS, ODEFEY, WITTE & WALL V1 W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 93 v1 12/31/20 12/19/20 12/19/20 159.50 0.00 0.00 159.50 LEGAL / 64 12/31/20 12/19/20 12/19/20 687.50 0.00 0.00 687.50 ✓ LEGAL 166 ✓ 12/31/2012/19/2012/19/20 1,534.50 0.00 0.00 1,534.50 LEGAL Vendor Total: Number Name Gross Discount No -Pay Net G0425 ROBERTS, ODEFEY, WITTE & WALL 2,381.50 0.00 0.00 2,381.50 Vendor# Vendor Name Class Pay Code / 10343 SCAN SOUND, INC v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 107597 V/ 12/31/20 10/25/20 11/25/20 46.41 0.00 0.00 46.41 ✓ SUPPLIES 6WVV(fl ''d,r.+l Vendor Total: Number Name Gross Discount No -Pay Net 10343 SCAN SOUND, INC 46.41 0.00 0.00 46.41 Vendor# Vendor Name Class Pay Code 51800 SHERWIN WILLIAMS v/ W Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 71381 �/ 12/31/2012/14/2012/29/20 135.17 0.00 0.00 135.17 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 51800 SHERWIN WILLIAMS 135.17 0.00 0.00 135.17 Vendor# Vendor Name Class Pay Code S2270 SMILE MAKERS M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8471095 // 12/31/20 12/18/20 01/12/20 72.96 0.00 0.00 72.96 ✓ SUPPLIES �6)V V JjAq ' Vendor Total: Number Name Gross Discount No -Pay Net S2270 SMILE MAKERS 72.96 0.00 0.00 72.96 Vendor# Vendor Name Class Pay Code S2362 SMITH & NEPHEW V Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 921601889 // 12/31/20 12/11/20 01/11/20 327.32 0.00 0.00 327.32 l✓ SUPPLIES 1Vk(ypl.'i II1•'bv J ' Vendor Totals Number Name Gross Discount No -Pay Net filec///C:/iisers/cclevensrer/ensi/memmed.cnsinct.com/u82227/data 5/tmn cw5renort6171... 1/3/2019 Page 20 of 24 52362 SMITH & NEPHEW 327.32 0.00 0.00 327.32 Vendor# Vendor Name Class Pay Code v 11296 SOUTH TEXAS BLOOD & TISSUE CEN Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 90041768 / 12/31/2012/1712001/11/20 8,253.00 0.00 0.00 8,253.00 ✓ SUPPLIES 90041662 12/31/20 12/17/20 01/11/20 -3,450.00 0.00 0.00 -3,450.00 CREDIT Vendor Totals Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 4,803.00 0.00 0.00 4,803.00 Vendor# Vendor Name Class Pay Code S2834 STRYKER SALES CORP V/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 255633�1v1 12131/20 12/11120 01/11/20 210.18 0.00 0.00 210.18 1/ t�- REPAIRS Vendor Totals Number Name Gross Discount No -Pay Net 52834 STRYKER SALES CORP 210.18 0.00 0.00 210.18 Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 3520093✓ 12/31/20 12112/20 01/11/20 680.15 0.00 0.00 680.15.✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10735 STRYKER SUSTAINABILITY 680.15 0.00 0.00 680.15 Vendor# Vendor Name Class Pay Code T2539 T -SYSTEM, INC ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 205EV44469✓ 12/31/2012/31/2001/30/20 1,144.00 0.00 0.00 1,144.00 CLOUD HOSTING Vendor Totals Number Name Gross Discount No -Pay Net T2539 T -SYSTEM, INC 1,144.00 0.00 0.00 1,144.00 Vendor# Vendor Name Class Pay Code 10962 TAMMY KARASEK ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121918 12/31/2012/19/2012/19/20 166.22 0.00 0.00 168.22 ✓ RETURN CHECK (tLWO t IOL&J , 6LU.OLO,_t) ' Vendor Totals Number Name Gross Discount No -Pay Net 10962 TAMMY KARASEK 168.22 0.00 0.00 168.22 Vendor# Vendor Name Class Pay Code T1809 TARHC - 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11908 TMS SOUTH V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 577851 V/ 12131/20 12113/20 01/13/20 418.20 0.00 0.00 418.20 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11908 TMS SOUTH 418.20 0.00 0.00 418.20 Vendor# Vendor Name Class Pay Code T4400 TORCH ✓ W Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 19136) 12/31/20 01/01/20 01/01/20 3,660.00 0.00 0.00 3,660.00 HOSPITAL DUES Vendor Total: Number Name Gross Discount No -Pay Net T4400 TORCH 3,660.00 0.00 0.00 3,660.00 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8400289354 v1 12/12/20 12110/20 01/04/20 1,100.29 0.00 0.00 1,100.291/ LAUNDRY 8400289313 V/ 12/12/20 12110/20 01/04/20 120.39 0.00 0.00 120.39 1/ LAUNDRY / 8400289316 ✓ 12/12/20 12/10/20 01/04/20 47.15 0.00 0.00 47.15 ✓ LAUNDRY / 8400289347 V/ 12/12/20 12/10/20 01/04/20 77.89 0.00 0.00 77.89 V/ LAUNDRY 8400289385 12/12/20 12/10/20 01/04/20 82.57 0.00 0.00 82.57 LAUNDRY 0.00 583.33 8400289317 V/ 12/12/20 12110/20 01/04/20 583.33 0.00 v/ �UNDRY 8400289314 ✓ 12/12/20 12/10/20 01104/20 134.72 0.00 0.00 134.72 L UNDRY ✓ 0.00 130.02 8400289315 12/12/20 12/10/20 01/04/20 130.02 0.00 LAUNDRY / 8400289636 V/ 12/18/20 12/13/20 01/07/20 17.00 0.00 0.00 17.00 1/ L1jUNDRY 968.67 8400289679 �/ 12118/20 12/13/20 01/07!20 968.67 0.00 0.00 LAUNDRY file:///C:/1Jsers/ccicvenger/ensi/mommed.CDsinct.com/u82227/data 5/tmn ew5reroort6171... 1/3/2019 Page 22 of 24 file:///C:/Users/celevenger/eDsi/memmed.cDsinet.com/u82227/data 5/tmn cw5renort6171... 1/3/2019 160.59 +' 8400289639 t/ 12/18/20 12/13/20 01107/20 160.59 0.00 0.00 LAUNDRY 8400289841 12118/20 12/17/20 01/11/20 96.40 0.00 0.00 96.40 V/ LA NDRY / 8400285693 1213112010122/2011/16/20 89.24 0.00 0.00 89.24 L/AUNDRY 8400285661 ✓ 12/31/20 10/22/20 1r1//16/20 127.00 0.00 0.00 127.00 LAUNDRY $VLXLIt1k j Yl6lV/LL� S 8400286534 V/ 12131/2011101/2011126120 1,084.48 0.00 0.00 1,0811.48 (p/UNDRY 17.00 8400286494 ✓ 12/31/20 11/01/20 11/26/20 17.00 0.00 0.00 I FOUNDRY ✓ 174.38 8400286496 12/31/20 11/01120 11/26/20 174.38 0.00 0.00 LAUNDRY 8400289872 r/ 12/31/20 12/17/20 01/11120 77.89 0.00 0.00 77.89 LAUNDRY 8400289878 12/31/20 12/17/20 01/11/20 1,065.58 0.00 0.00 1,065.58 LAUNDRY / 87400289844 V1 12/31/20 12/17/20 01/11/20 56.21 0.00 0.00 56.21 ✓ LAUNDRY 8400289906 V1 12/31/20 12117120 01/11/20 123.13 0.00 0.00 123.13 LAUNDRY 8400289840✓/ 12/31/20 12117/20 01/11/20 120.39 0.00 0.00 120.39 LAUNDRY 8400289843 %,/ 12/31120 12117/20 01/11/20 47.15 0.00 0.00 47.15 V1 LAUNDRY 8400289842 V1 12/31/20 12/17/20 01/11/20 119.22 0.00 0.00 119.22 Z LAUNDRY 8400290214 / 12/31/20 12120/20 01/14/20 1,070.86 0.00 0.00 1,070.86 V/ LAUNDRY 840029017V 12/31/20 12120/20 01/14/20 160.59 0.00 0.00 160.59 LAUNDRY 0.00 / 17.00 8400290171 ✓ 12/31/20 12/20/20 01/14120 17.00 0.00 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 7,80.14 0.00 0.00 7,869.14 Vendor# Vendor Name - 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SUPPLIES / 112918 12131/20 11/29/20 11/29/20 384.00 0.00 0.00 384.00 y/ SUPPLIES 120518 12/31/20 12105/20 12/05/20 6.48 0.00 0.00 6.48 SUPPLIES 121618 12/31/2012!16/2012/16!20 0.04 0.00 0.00 0.04 1/ LATE FEE Vendor TotalE Number Name Gross Discount No -Pay Net W1005 WALMART COMMUNITY 1,049.43 0.00 0.00 1,049.43 Vendor# Vendor Name Class Pay Code W1040 WATERMARK GRAPHICS INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 122758 Y 12/31/20 11127/20 12127/20 999.45 0.00 0.00 999.45 f SUPPLIES 122814 v/ 12/31120 11/29/20 12129/20 36.25 0.00 0.00 36.25 / SUPPLIES 0.00 1,585.20 f 122815V 12131/2011129/2012129/20 1,586.20 0.00 / SUPPLIES 122964 ✓ 12131/2012/06/2001/05/20 69.50 0.00 0.00 69.50 PAYROLL DED / 122963✓ 12/31/2012/0612001/05/20 69.50 0.00 0.00 69.50 / SUPPLIES 0.00 -72.70 123027 ✓ 12/31120 12111/20 01/10120 -72.70 0.00 CREDIT Vendor Totals Number Name Gross Discount No -Pay Net W1040 WATERMARK GRAPHICS INC 2,688.20 0.00 0.00 2,688.20 Vendor# Vendor Name/ Class Pay Code 11110 WERFEN USA LLC ✓ Invoice# c mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9110608721 12/21/20 12/14/20 01/08/20 1,571.67 0.00 0.00 1,571.67✓ LEASE 0.00 188.24 ✓ 9110610339,/ 12131/2012!1812001/12120 188.24 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,759.91 0.00 0.00 1,759.91 Vendor# Vendor Name Class Pay Code 11166 WEST INTERACTIVE SERVICES CORP Invoice# Comment Tran Dl Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/IJser.9/celevenger/ensi/memmed.ei3sinct.com/u82227/data 5/tmn ew5renort6171... 1/3/2019 INVO02048792 ✓ 12/31/20 11/30/20 12/30/20 443.20 HOUSE CALLS Vendor Total; Number Name Gross 11166 WEST INTERACTIVE SERVICES CORP 443.20 Report Summary Page 24 of 24 0.00 0.00 443.20 Discount No -Pay Net 0.00 0.00 443.20 Grand Totals: Gross Discount No -Pay 315,656.68 0.00 0.00 F6 10 uYva --fM 315,656.68 + 128.02 15^00 + 329.22 — 304^13 + 1084.48 1+085°48 +' 315 519.57 p5 II Lovva-Nvvl p9 n ovine -c h vv1 Net 315,656.68 <taUa*> X15,00 �� 3a�•aa� t 3D'-1.1-6 llogg.L 5 410K5.gV � 315) EI -5"1 file:///C:/Users/celevenger/cosi/memmed.cosinct.com/u82227/data 5/tmo cw5renort6171... 1/3/2019 0 0 ((D `/ JJ + T * I Ih :h 10 (O 0. d U% a ON M N M M O Va ti¢ Uh (O m m «= o w 2 m u e 3< o n `u °'� •mom H c£ BE o m o v a •_C a SOI ? 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U n M M m0 w r w w v IR b w o a v o N Y C m M m 0 o ro m o w v o 0 t� r r ai m of m ei of .- � V V m o N O m r m N bm n m w? m m w m E m m m m m m m m m m m b m VI m m b b o m b - - - - •- a- - - - - ej I U ' Y O O .-mw mmw.-m w m E m m m w m $ N o O O O N O N M r r r m i 2 � 0. ❑ 8 � iL LL �j n m O O M b m M m II m m w b b r r n M M ly ap M m m w w w b m w b b m m m m m m p b b m n n w w w N N w w w w w w w w o o E 00000000.-.- �nl`nl=`n nnl�nl= — ❑ w w w w w w w w w w V O O p O O O O O O O m N � m O O O O O O O O O O C L m E N N N N N N N a v v m m n n n m m o +O' U - -^ - N N N N N N N N N N O - N a h a N NLL 4 = q 4 a e= � b w O O N O O n 0 0 N T NO O N N N V O r M M h b U O rV'f f �1 lX1 124 -g �m Aa0 U � o dEo ZT U F. gEm v 4o Wz m (D j- �¢ y o 5 uc O °-r E 1O @ 8E kro C L o U ¢ m 0 a m$a F` N N Uy �•,�+ N u Q� U ❑ T fp M h O N N N V O r M M h b U O rV'f f �1 lX1 t 6 O f 00 W a T a T .a .a (0 0 0 O RS z ® b U m r n rV'f f �1 lX1 t U � in YI r e F Q �� o W (D �¢ S/ o 5 QTca O ZF o a C L o U ¢ m W a T a T .a .a (0 0 0 O RS v f �1 lX1 t r C, N v VJ �1 lX1 t o] C, N 0 o � (D N N' 0 00 00 �I m ma ❑ w a n m w f V <0 o QM Nm N N m m m m W aim ;v IL 2 YV'r rr PN o a o 0 0 N 0 � J a mmE �E KZ 1�nl�nrnl` v m 00= m 0 00 b c� o„ pE ��n9 �v❑i m u .- P � � ter. -moi N m m m ..w f� m r V ❑ gy p ❑� du. 0 o � mm ur m m m a Q ` M a m t❑n V nmi N O N m m M � N V' ❑ O' � N O �O =nU Ori-Or'Nm p m � N �O U❑ M 0 0 00 U O O D U O 6 > > > > Y > > > C C G C G C C ❑ m YI 10 10 10 ^ Y N OI m C C'J p N U N m w c � ❑ m oQ y E o.M-.�-.m- 0 � .r- lO C 0 0 0 0 0 0 x N Wwo Q < 0 O M�1! N O O O N O O mmrn�m m a u a F a L w n Qc i� tt�l1..�. E a NTN 4°000000 �€ S� W L „m., S rN- a ❑ G7 c u � ❑E o m €j m ON Mvm v0 11 �/✓ ry ONl m W m m M m �` Q Vj m pmj O 0 � ❑ m m Z e N� H Q N N N N N N Ng yO F- �U NF m >NNmmm N e! mmmm d Z W �j �• • m— O O O O O O O m �. Q pp N o a o 0 0 0 � �p Lu J J d' E OI O 'w6 o ryM� 5) O$ z y a o 0 o a o o E o T o �0 c Q 117 U 0 tY O N� N N M Y ❑ N N O Q E O' m❑ V eN- O O O 00 d O IL d r 6 O UFF m g r � O M U r r�'/R� oUYM o U a m •- pW/ o 0 w a E o o = � m O. U o G O O n n n n n n n w m m m m m m m w W m m W m m w w m m m m m m m m m m m m m m m m Q ❑ F U ❑ 9 Z UFF m g r 0r M U r r�'/R� oUYM (A U N UBN LL J 12§ m pW/ ��> !iy VI S0 �zF '�. ® W U`OK 2 O o = � m O. U m 14 o.LL C E" m LV A� U❑ 0 6 J a W m O C W V W N O W N N m Irivoai of vi ei.o <a vn m M N n N m ti M b W m m N M N N N r m h O M n W N w n m m O N m h V) M W W m m C V m N m n m N m M N N m s ? N w m' m Y m w I� O m n m O m w m m 7 M a a a m m a m a a m a m a m U U V U U U U U U U U U U .O O O O O O O O -0 O O 'O '0- x O m m m m m m m m m m m m m m c .'1 V Y W rn m m O m � M O N m W m ry m m m m m m m m m m m m m N N N N N N N N N N N N N N N N N N N N N N N N N N x x x lx x x x x x n n n x x x x x x x x x x x x x x E m m m m m m m m m m m m m M p x a m U 5 $� IL m w w w w m w m m w w m W o m W m w m m m m m w W m m m a o m a o 0 0 0 0 0 0 o m a M M M m M M M M M M M M m U O O O O O O O O O O O O O - Z 3 o. p m m rn M m rn m rn m m m rn w O p m o a o 0 0 0 0 0 0 0 0 0 0 y o 0 0 0 0 0 0 0 0 0 o a o n o 0 0 0 0 0 0 0 0 0 0 0 0 -EJ d z m m m m m m m W w m m m m m o 0 0 0 0 0 0 0 0 0 0 0 o E Q N N N N N U r e O N M M M M M M M M M M M M M U i m w m M w N m F O N m C W m M M O N M V w n m rn O N M d' m m o G O O n n n n n n n w m m m m m m m w W m m W m m w w m m m m m m m m m m m m m m m m n >m 0 0 0 0 0 0 0 0 0 0 0 0 0 M M M M M M M M M M M M M `m 0-- 0 0 0 0 0 0 0 = H v « KZ r�-n n nn i=n nnnn o.LL C E" m LV A� U❑ 0 6 J a W m O C W V W N O W N N m Irivoai of vi ei.o <a vn m M N n N m ti M b W m m N M N N N r m h O M n W N w n m m O N m h V) M W W m m C V m N m n m N m M N N m s ? N w m' m Y m w I� O m n m O m w m m 7 M a a a m m a m a a m a m a m U U V U U U U U U U U U U .O O O O O O O O -0 O O 'O '0- x O m m m m m m m m m m m m m m c .'1 V Y W rn m m O m � M O N m W m ry m m m m m m m m m m m m m N N N N N N N N N N N N N N N N N N N N N N N N N N x x x lx x x x x x n n n x x x x x x x x x x x x x x E m m m m m m m m m m m m m M p x a m U 5 $� IL m w w w w m w m m w w m W o m W m w m m m m m w W m m m a o m a o 0 0 0 0 0 0 o m a M M M m M M M M M M M M m U O O O O O O O O O O O O O - Z 3 o. p m m rn M m rn m rn m m m rn w O p m o a o 0 0 0 0 0 0 0 0 0 0 y o 0 0 0 0 0 0 0 0 0 o a o n o 0 0 0 0 0 0 0 0 0 0 0 0 -EJ d z m m m m m m m W w m m m m m o 0 0 0 0 0 0 0 0 0 0 0 o E Q N N N N N U r e O N M M M M M M M M M M M M M U 0 0 0 O O m O O � r w i m w m M w N m F O N m C W m M M O W N o G O O M O O N N O N Q N m = H v « 0 N 0 0 0 O O m O O � r w Olt, m w m w N O N m C m O . O O o G m E I O N Q N o = H v « 0 0 0 O O m O O � r w Olt, S . w ti � N ma O W a �rn t m M �,� �U U� Up rnnm voi vyi yi �M m h � W Q o W W M M M tp tp t0 l0 'O' v a pc M= n.. N n 0 0 r r r r .i mq ; ay Nm �pWOMMM MMM 0 m J O oo r ���.-•- E tea' m aF dE E 8€ a°''Z m o ocl c uNi p' „ aN t a LyCJ 3 O O N N O pl M N fO W (� Ip 0 0 o d❑ y N ._ m m d !O! � ..r F.rW-• O = (p O O O n H� N 0� 0 ❑� F N N O� �� •• y Em M f0 n N N 6� Qy U O 6S na a a o N V M M W ro O a El rn Eoff n n N ao p0• EE N r N N 00 � 7 n N M r O M 01 M O Ol N p� C N M M N O .0RM O U O O N W UO r O •C y 0 � Q O F on `o `o U U U U �• C c C C C m C rn m 0 p W H N ' 'V •V 'V pj ;E Ft R d N o i O N U N W O . II o U o 0 O M O v n r d' z Q o ML N N N N N K O O U U UUUU e o � y U U LL LL 5 Q W C g IL F C 0 0OS O E N p N h W O M W r W y II V y Oi tp N �O tp M M M M ly V, Q >W O W W O M KM- O O 2 i �- r e- r �- �- �- �- U n r r r n n n n n N M r m O N y W ¢ y > N OU y m rn m m rn rn m rn p' a J n N O O O O O O O O O II CV Q N N N N N N N N N N N 6 Z 0•✓ N W W W [O W V' Y f0 m ji w oo a o00000 oao E ®O ® pppd'III® WzE W m 0.o z o orn `m rn om om ooo om mE iC N N N N N N N N pai Om m�No Ul yU`O Wo —e zPpU ' cO N M< V 0 c o U�>Wa cm -iso o o o 0 o o ao ti mn V r a o 0 0 0 0 0 o a li O .N- 0 m a m O O O N a m V O m � N o m O O O N 4° ¢ C m C m F O� O N x T U � W O N 4° ¢ C m C o � m W oQ m m N m M W � 7 N ❑ E a a T a T N � O x m a g m r N LU J J Q m =0 zg m xm»g m m O� O N N O N � m C � N oQ m m N m M vi co N N a a T a T N � O m m N O O O O O m 0 0 r m O� O N O N � m C O oQ N s`Q a a T a T O O O O O m 0 0 r Amer�isourceBergen° STATEMENT AMERISOURCEBERGEN DRUG CORP Activity Type • 12727 NEST AIRPORT BLVD 12-24-2018 SUGAR LAND TX 77478-6101 866-051-9655 Invoice AMERISOURCEBERGEN DRUG CORP 12-24-2018 PO Box 905223 0.00 CHARLOTTE NO 282905223 Number: 57524316 Date: 12-28-2018 1 of 1 WALGREENS $12494 3408 Reference Number MEMORIAL MEDICAL CENTER Activity Type 1302 N VIRGINIA Sr 12-24-2018 PORT LAVACA TX 77979-2509 ACCOUNT. 10 013 5294 1 037028189 Invoice 12-24-2018 Not Yet Due: 0.00 Current: 7,085.90 Past Due: 0.00 Total Due: 7,085.90 Account Balance: 7,085.90 Account Activity Activity Due Date Date Reference Number Purchase Order Number Activity Type Amount 12-24-2018 01-04-2019 3017797547 141192 Invoice 12-24-2018 01-04-2019 3017797548 141202 Invoice [[48.14./ V�,,S'46V 12-24-2018 01-04-2019 3017797549 141203 Invoice - 1'xl!80.73./ 12-24-2018 01-04-2019 3017840971 141255 Invoice X,79.53x� 12-26-2018 01-04-2019 3017848111 141265 Invoice 0/3W85,/ 12-26-2018 01-04.2019 3017897069 141278 Involce X26, 12-27-2018 01-04-2019 3017957968 141326 Invoice !`29.25x/ r9.22,f' 12-28-2018 01-04-2019 3018024288 141403 Invoice `[6 ✓079.72,/ Thank You for Your Payment Date Payment Number Amount 12-28-2018 (4,438.90) Reminders Due Date A unt D,_D4-26,9- .,..7,965.90' J Total Due: 7ZT8 .90 Terms: Monday - Friday due in 7 days V (�b Che.c \-J\ *k-- 1 U0,2� G L NGc- .+�-- (,o 031 D 000 COUNTYAUDMR CALHOUN COUNTY, rro,ymxws,r awn.imvo ne.w.ryo.: oe.m.m.,w meiminsss AmisourceBergen- STATEMENT AMERISOURCEBERGEN DRUG CORP 12727 WEST AIRPORT BLVD _ SUGAR LAND TX 77478-6101 866-051-9655 AMERISOURCEBERGEN DRUG CORP PO Bax 906223 CHARLOTTE NO 28290-5223 Number: 57555964 Date: 01-04-2019 1 of 1 WALGREENS #12494 3408 Reference Number MEMORIAL MEDICAL CENTER Activity Type 1302N VIRGI NIA ST 12-31-2018 PORTLAVACA TX 77979-2509 ACCOUNT: 1001352841037028186 Invoice �489.02,f 12-31-2018 Not Yet Due: 0.00 Current 5,256.63 Past Due: 0.00 Total Due: 5,266.53 Account Balance: 5,256.53 Account Activity Activity Due Date Date Reference Number Purchase Order Number Activity Type Amount 12-31-2018 01-11-2019 3018062661 141415 Invoice �489.02,f 12-31-2018 01-11-2019 3018062662 141424 Invoice /;514.79 1/ 12-31-2018 01-11-2019 3018062663 141416 Invoice �79.83,/ 12-31-2018 01-11-2019 3018104189 141477 Invoice .372.06,/ 01-02-2019 01-11-2019 3018112734 141484 Invoice X.328.77, 01-02.2019 01-11-2019 3018112735 141485 Invoice�0.91,/ 01-02-2019 01-11-2019 3018163395 141493 Invoice .�61.97,/ 01-03-2019 01-11-2019 3018194184 141503 Invoice 004.50,/ 01-03-2019 01-11-2019 3018194185 141504 Invoice4.12,1 01-04-2019 01-11-2019 3018241736 141511 Invoice A60.66./ Thank You for Your Payment Reminders Date Payment Number Amount Due Date 01-04-2019 (7,085.90) 01-11-2019 Terms: Mnndav - Frid G L R c -c --® (o 0310 0 00 JAN 0 8 2019 COUNTY AUDTPDR CMZoUN couNTt, TMTA8 xmnn,�= mmwi,xmx ma.,.,nux ,.-•-�w.�n m,m,mmrm Due: Ow Page 1 of 1 42 Uit + 7165 + file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report5025... 1/8/2019 MEMORIAL MEDICAL CENTER 01/08!2019 - AP open Invoice List 0 Og;27 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code / G1210 GULF COAST PAPER COMPANY / M Invoice# Comment Tran Dt I✓✓✓nv Dt que Dt Check D, Pay Gross Discount No -Pay Net 1597680 12/01/20 12104/20 01103/20 01/09/20 P 831/ 0.00 0.00 83/63 SUPPLIES / 1601356 12/01/20 12/11/20 01/10/20 01/09/20 P 73/01 / 0.00 0.00 73/01 SUPPLIES 1597672 12/01120 12/19/20 01/18120 60/6 0.00 0.00 • 6Y4 /SUPPLIES 42.00 ✓ 1581381 t� 12/31/20 10/30/20 11/29!20 42.00 0.00 0.00 SUPPLIES 1582684 12131/2011/01/2012/0112001/09/20 P 143 0.00 0.00 143 /SUPPLIES ` ' 71;65 ': 1585258 V 12131/2011/06/2012/06/20 71.65 0.00 0.00 SUPPLIES 1588875 12/31/20 11/13/20 12/13/20 01/09/20 P � 690 a4 my 0.00 ��_1ff 690. 5 SUPPLIES �� / 0.00 // 47.30 1604750 12!3112012/18/2001/17/20 4470 0.00 SUPPLIES 1607267 12131/2012/2612001/25/20 �_1�/ 57.00 0.00 0.00 ",� 5gr.00 / SUPPLIES ( 1607266 12/31/2012126/2001/25/20 53/ 34 0.00 0.00 57. 4 SUPPLIES Vendor Total: Number Name G1210 GULF COAST PAPER COMPANY Gross / 4,109.1 Discount 0.00 No -Pay 0.00 Net 4,10 .54 Report Summary / Grand Totals: Gross Discount 1 I �y 11 No -Pay Net I 4,10 4 0.00 0.00 4,109 4 42 Uit + 7165 + file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report5025... 1/8/2019 01(03/2019 MEMORIAL MEDICAL CENTER 15:02 AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code T1450 TEXAS ASSOCIATION OF COUNTIES W Invcicog Comment Tran Dt Inv Dt Due Dt Check DPay Gross 292 12/31/2001/0312001/03/20 4,854.98 UNEMPLOYMENTFUN Vendor Tolals Number Name Gross T1450 TEXAS ASSOCIATION OF COUNTIES 4,854.98 ReportSummary Grand Totals: Gross Discount 4,854,98 0.00 COUNTYAUDITOR CALHOUNCOUNTY, TEXAS Page 1 of 1 0 ap_open_lnvofce.lemplate Discount No -Pay Net 0.00 0.00 4,854.98 41scount No -Pay Net 0.00 0.00 4,854.98 No -Pay Net 0.00 4,854.98 file:///C:/Useislcclevenger/cpsi/memmed. cpsinet. com/u82227/data_5/tmp_cw5report6569... 1/3/2019 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-672-8683) "ENTER 9 -DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4 -DIGIT PIN" "MAKE A PAYMENT, PRESS 1" F]"ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" El"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2 -DIGIT TAX FILING YEAR" "ENTER 2 -DIGIT TAX FILING ENDING MONTH" 1ST 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 "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" ❑ 11 6 -DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: 941 # $ 90,170.33 1 $ 46,315.00 $ 10,831.74 $ 33,023.59 CHECK 1 $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: I J L FO K:1Flnance SharMP-Payroll FileslPayroll Taxes12019M MMC TAX DEPOSIT WORKSHEET 01.03.19 117/2019 Run Date; 01/07/19 Time; 10:50 Final Summary *-- Pa y Code Summary I Payed Description REGULAR PAY -SI REGULAR PAY -81 REGULAR PAY -SI REGULAR PAY -81 REGULAR PAY -52 REGULAR PAY -52 REGULAR PAY -S3 REGULAR PAY -S3 CALL PAY EXTRA WAGES EXTRA WAGES FUNERAL LRAVE INSERVICE EXTENBRD-ILLNESS-BANK PAID -TING -OFF CALL PAY 2 YMCA/CURVES MENARIAL MEDICAL CENTER Page 108 Payroll Register I Bi -weekly ) P2R60 Pay Period 12/21/18 - 01/03/19 Runes 1 ---.._- ._._.*.- D e d u c t ions Busse r y --•----•-.---` Ere IOTISHIUSIHOICBI Gross I Code Amount 6847.75 1491.50 5.00 74.00 2559.75 32.25 1665.50 53.25 2309.00 24.00 8,00 2.00 145.77 3423.68 96.00 CALL PAY 3 184.00 PAID TIME OFF - PROBATION 200.DD PHONE & DATA 1 1 i 1 1 1 1 1 1 N N N N Y N N N N N N N N N N N N N N N N N N N N N 134095.44 60059.93 154.50 1912.03 57573.55 1284.12 44423.11 2260.57 4618.00 777.45 1058.15 214.64 52.00 2980.97 80415.16 192.00 30.00 552.00 3927.63 1025.00 *-------------------- Grand Totals: 19121.45 =------ i Gross: 397606.85 I Checks Count:- FT 203 PT 9 Other 30 Female 208 Male 33 Credit A/R 925.10 A/R2 ADVANC AWARDS CAPE H CAFE -1 CAFE -3 CAFE -4 CAPE -C CAPS -D CAFE -H 18769.64 CAPE -I CAPE -P 231.57 CANCER CLINIC 15.00 COMBIN DD ADV DENTAL DIS -LF EAT FEDTAX 33023.59 FICA-M- FINNIC 75.00 FLEX S FORT D FUTA GRANT GRP -IN HOSP-I ID TFT LEGAL 464.28 NASA NISC HISC/ NATFMh 359.30 DMR PHI*** PR FIN REPAY SAMS SIGHON ST -TX STONE STONE2 TRA -1 TSA -2 TSA -P TSA -R UNIPOR 491.51 UN/NOS 289.90 A/R3 BOOTS -223.81 CAFE -2 CAFE -5 1623.21 CAFE -F CAFE -1, CHILD 652.71 CRBDUN DSP -LF EATCSII 5415.87 FICA -0 23157.50 2329.33 FIX FS GIFT S 272.33 65.76 GTL LEAP 559.50 MEALS 172.28 MMCSHR 950.64 PHI 270.53 RELAY SCRUBS STONDF 1295.00 STUBBS TSA -C 27834.29 TUTION Deductions: 119020.03 Net: 278586.82) Pan pato OverAmt 4 Eerollat Term Total: 241 ( Q1��`I Iq ________________________________-_..__ * t t cC-o \- -7_lq 1 �N N O 0 0m VI O V1 N �/1 m r O m m a o 0 o r ad o vi m e ai r �n v ry m n � vmi EN m n Q + r + N 00 r co .o a O CO CD N .f� w w v v z w v v w w w v v u a j %p%, LL LL LL LL LL W t'SW C C C C C N u u Z m m m o o o 0 o Q a mw w m mma a`4`a`a`am m 6 X X T T N m m m m T _~~u❑ m 0 o o m ai mvvva'v v m m v a a p m m w v w N V U❑ N n N O O O O v1 M 0 0 0 n m N rv� N o o ti 0 ry N m m a o v ti n N m m m N m m r N N N N r a o m o a a o 0 0 o m m m m m o b ONO c o N vi N v m Q g0 n m p 0 cM-I �� m S O m 0 0 o M r top V u Z�rv.�-i .-i-i om mn'v uu n n m N ❑ N O O¢ N N Z Z m m Z a» LL o o< m M O O m N N¢ m w 4' ~~ gy m a' m❑❑ LL LL Z J U V V U U V Z U 4 4❑ U V 5 y X X Y Y �' 70¢ a a Z¢¢ O Z Z Z Z Z 0 O J M. F F- O M m p m m m m m 0 NJ J¢¢ N J J Z u m04'^'"waa m u u u uu�++ w m O 7 Y w¢ m m m m I- �¢ E E E E E E E E E E E E E E E a a 6 a a a 6 a 6 a 6 6 4 4 6 2 u S U u u u u u Z U u u u u U U V V U U U U U U U U V V U Q Q Q Q 6¢¢¢¢ Q¢¢ 4 Q 6 m m m m m m m m m o� � as ti m ti H N 'i N 'i rl ei rl ei 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N N N N N N N N N N ry ry N N N \ \ \ \ \ \ \ \ \ \ \ \ \ \ M1� m m rl N N N N m M N N N M \ \ \ \ \ \ \ \ \ \ \ \ e -I N ay 0 N N I 1 N N O Q Z Y a Z ❑ m w v 4 Q G W 6 _ O i N a K H a Z O W 0 m O S u¢ r ;J Z � a 4-1 m w 6 '4 O LL K LL s Z Q J i Z YTS 3J �° 9 u E� �S N N O Q Cid J v 4 G _ U u m N a (}' O W 0 m ❑ N _ U .Q c E m v o � Memorial Medical Center Nursing Home UPL Weekly Contest Transfer Prosperity Accounts 1/7/2019 Paton. - Todays Amoum.ee A..0AM OeQinntnH PendinQCkto "'hating Transferred. N i N Number B I �Tmmf Out / Transferin MMCforglPP Pendlnenepmas Balm. Nunlna Home �tlferd GBMeQS j 236,1116.16 235,980.90 195,355.75 - - 195,561.01/ 160,12805 October Bandl Interest 54.63 / Bsnkealaace 195561.01 g_auNno Information foraahlbrd 6ardem• Ash7ord Health care Cmterttdro 1P Mar9on Chase Bank ABA A. Peanuts previous 9Wnnbng AM 226,105.ea - 964,688.13 V 964,901.71 1/ 359,98854 120,2879 sA2D,082.76 ✓211196198 - 91,184.47 %/ 93043.23 ✓ 126.23978 F vH I f ati f U /Sal W KH /fo B d/8madm.ar• CantrxN<aleh core Cerrterslll Qe IPMoroan Goseeank AB/ An _... Vada. - U.In Balance 100.00 MMCParNan QIPP1 35,122.68 MMCPardan QIPP1 - 14MCP9rdontLPP2 - MMcP0,11 nt8PP3 10,015.00 st October Bandl Interest 54.63 / Novemberemklnterest December Bank Interest 50.63 ✓/ 54.82/ 1 Adjust Splana/fmnsfer Amt 160.12&25 f T4dPfa Amaentto8a Desitin, TrzMened. C24me PmB0a-Federal ManA Balance Buscaglia.. 100.00 226,336.65 / 216,008,44 Bankealance 226,336.65 Variance MMCPgrtlan QIPP2 'F MMCPnRMa QIPP3 Una in Balance I00.00 / MMCPemi0nt11PP1 10,015.00 st MMC Pottle, (IPP 2 - MMC1,04NangIPP3 839 s 549 - 11 / OQaber Bankhameat 65A2✓ November Bankinteren December Bank Interest 65.03 81.96 y Adjust Beance7rcanstetAmt 216,UOB.44 - 153,574.94 /146,515.98 Bankaalance 153,574.94 Y Varian. Lane lnBalance 100.00 MMCPardan QIPP3 6,810.20 MMCPordan QIPP1 - MMCPordanQIPP3 - OemberBankinterest 40.81 Y/ / Navembef Bank Interest .t V December Bank interest 62.36✓ Adjust Balanm/rranskr Amt 146$]5.98 ✓ - 212,168.80/ 205,056.98 Bank Balance 212,16680 1 Variance - Lung lnBalance 100.00 MMCParthmolp" 6,&50.26 MMCPordan DIPP2 MMCPmdan QIPP3 oaobereankmterest 64.15 Navembereankintermt 40.67✓/ Decemberisankinterest Adjuat Balance,7ransfe,Amt 205,056.98 V/ • 126,383.02 /311,839.82 Bank Balance 126,383.02 Y Valance 160,128-25 teamIn Balance 100.00 2 1 6 e 008 > 4 4 _ MMCPONon WPP1 MMC1,00000QIPPl 14,30L54 146 , 5 1 5- 98 MMCPgrtlan QIPP2 'F MMCPnRMa QIPP3 r 205 , 056. 98 ocinhm Banklntereet Ngvembm Bankinterest 21.60[/ 19.56 v 1 1 1 s 839 - 8 2 December Bank Interest + Adjustaslance/rransfer Mat 18.42 131,039.02 839 s 549 - 11 / TOTALTBANsnm 839,549.4) Natl:ONybalanru o7over$;OOawillbe mar lerrtdto thenwsbaghaw. Nate 2: Each acmunth.a base baba.^o/5100 that MMCdepashed to open memat K:\NHkVUMYTransfcn\NHUPLTmnlWSummary\Zol9yanuary\NHUPLTnmfersumm gDla7-19 Approved; Diane Moore, CFD p /7/2029 _ COUNTYAUDYPOiIY .... ..: . ..... CAMOUN COUNTY, TERAS K:\NH Weekly Transfers\Cantex Bank O0swl0ad\2019Vanuary\Contex Prosperity Download 12-28-18 Tian 01-0619 l 14sY1ioTT7;�eYdens 1/3/2019 Deposit 1/3/2019 Deposit 1/3/2019 ACH Deposit UnitedHealtheam HCCLAIMPMT746003411124384 1/2/2019 CM Wire Domes cWIRE OUTASHFORD HEALTH URECENTER LTD 1/2/2019 ACH Deposit Anedgroup TXSC HCCIAIMPMT 33593376U 121000 11/31/2018 Acct Earning Pymt Added to Account 12/31(2018 ACH Deposit UNITEDHEALTHCARE HCCIAIMPMT74600341112A384 12/31/2018 ACH Deposit UHC COMMUNFrY PL HCCIAIMPMT 746003411930000 11/28/2018 ACH Deposit Unitedifealthcare HCCLAIMPMT746003411124384 12/28/2018 ACH Deposit UnitedHealthcans HCCLAIMPMT746003411124384 12/28/2018 ACH Deposit MOLINA HEALTHCAR MOUNAACH 0079643842ODDO15 12/78/2018 ACH DepositAMERIGROUPCORPO6PAYMENTEE51772052111000 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCIAIMPMT746DO3411910000 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT74600341191WDO 12/28/2018 ACH DepositUHC COMMUNITY PLHCCUIMPMT7460034119100DO 11/28/2018 ACH Deposit NOVTTASSOLUTION HCCIAIMPMT675423420000199 12/28/2018 ACH Deposit HEALTH HUMAN SVC HCCLAIMPMT 174600341130052 1/4/2019 ACH Deposit UnhedHeaithcare HCCLAIMPMT 746003411124394 1/4/2019 ACH Deposit AARP Supplements HCCLAIMPMT746003421124394 3/4/2019 ACH Deposit AARP Supplements HCCLAIMPMT 74 60 03 411 124384 1/4/2019 Credit Adj SQ1161E01940 1/3/2019 Deposit 1/3/2019 Deposit 1/3/2019 ACH Deposit UnitedHealth s re HCCLAIMPMT746003411124384 1/3/2019 ACH Deposit MRP Supplements HCCLAIMPMT746003411124394 1/2/2019 CM Wire Domestic WIRE OUT CANTEX HEALTH URE CENTERS III 3/2/2019 ACH Deposit HUMANA INS CO EFPAYMENT3908616300005009583 1/2/2019 ACH Deposit HUMANA INS CO EFPAYMENT 390861830000SO06246 12/31/2018 Accr Eaming Pymt Addedto Account 12/31/2018 ACH Deposit Unitedileahhcare HCCLAIMPMT 746003411124384 12/31/2018 ACH Deposit HUMANA INS CO HCCLAIMPMT39086183000OSS5973 12/31/2D18 ACH DepasR WHIP HCCIAIMPMT 39086191000032245052 DISDATA 12/31/2018 ACH Deposit HEALTH HUMAN SVC HCCLAIMPMT 174 6 003 413 30 0 4 2 12/28/2018 ACH Deposit UmtedHealthcare HCCLAIMPMT 746OD3412124304 12/28/2028 ACH Deposit UnitedHealthcare HCCLAIMPMT 746OD3411124384 12/28/2018 ACH Deposit MOLINA HEALTHCAR MOLINMCH 0079664942000015 12/28/2018 ACH Deposit AMERIGROUP CORPO E -PAYMENT EF51772055113000 12/28/2018 ACH Deposit UMR HCCLAIMPMT 746003411324384870737150 12/28/2018 ACH Deposh UHC COMMUNITY PL HCCLAIMPMT746OD3411910000 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT746003411910000 12/28/2018 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 676357420000199 12/28/2018 ACH Deposit HEALTH HUMAN SVC HCCIAIMPMT 174600341130042 12/28/2018 ACH Deposit MRP Supplements HCCLAIMPMT 746OD34111243114 1/4/2019 ACH Deposit UHC Community PI HCCIAIMPMT 74003411910000 1/3/2019 Deposit 1/3/2019 Deposit 1/3/2019 ACH Deposit MANAGEANDNET1718 MNS PMNT WOOOOOD000326841 1/3/2019 ACH Deposit UnhedHealthcare HCCLAIMPMT 74GOD3411124384 3/3/2019 ACH Deposit HUMANA INS CO HCCLAIMPMT 390864830000541280 1/2/2019 CM Wire Domestic W IBE OUT UNTEX HEALTHCARE CENTERS fil 12/31/2018 Accr Earning PYmt Added to Account 12/31/2018 ACH Deposit UNITEDHEALTHURE HCCLAIMPMT746003411124384 12/31/2018 ACH Deposit UnhedHeaithcare RCCLAIMPMT746003411124384 12/28/2018 ACH Deposit Unitedflealthcare HCWIMPMT746003411124384 12/28/2018 ACH Deposit MOLINA HEALTHCAR MOUNMCH 0079661042000D15 12/28/2018 ACH Deposit AMERIGROUP CORPO &PAYMENT EE51772054111000 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 7460034U 910000 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411910000 12/28/2018 ACH Deposit U14C Community PI HCCLAIMPMT 746003411 910 0 0 0 Pagel 364,501.71 ' MMC PORTION 213,961.98 Tmnsfer-Out Transfer -In QIPP/Compi QIPP/Cnmp2 QIPP/Comp3 QIPP TI NH PORTION QIPP/Comp3 QIPP/Comp2 :QIPP/Comp3 QIPPTI 81,578.03 - 81,578.03 49,573.25 953.33 - 953.33 2,047.08 - 14,870.00 - 14,870.0D 235,980.90 3,771.50 ' 476.71 - 476.71 54.82 - 54.82 6,150.00 6,150.00 5,808.61 - 6,808.61 21,413.20 - 21,413.20 390.00 390.00 12,810.02 - 12,810.02 22,362.66 - 22,362.66 10,874.03 - 10,874.03 3,139.68 3,139.68 8,151.33 8,15133 ?,00101 1,00101 4,322.32 4,322.32 235,980.90 195,355.75 195,355.75 MMC PORTION Tra naf.r-Out Transfer -In QIPP/Compi QIPP/Cnmp2 QIPP/Comp3 QIPPTI NH PORTION 7,182.00 - 7,182.00 5,192.50 - 5,192.50 1,005.00 1,005.0 0.33 0.33 91,18197 - 91,18197 3,750.00 - 3,750.00 1,325.00 1,325.00 5,192.50 - 5,192.50 120,082.75 - 8,597.88 8,597.88 8,34165 8,341.65 54.74 - 54.74 13,404,00 - 13,404.00 3,986.90 - 3,986.90 2,851.52 2,85152 2,064.83 - 2,064.83 8,316.00 - 8,316.00 8,569.50 - 8,569.50 2,494.89 2,494.89 4,355.37 - 4,355.37 7,560.00 - 7,560.00 1,005.00 - 1,005.00 5,168.55 5,168.55 3,653.72 - 3,653.72 4,355.00 - 4,355.00 12,353.13 12,353.13 364,501.71 ' 120,OH2.75 213,961.98 - 213,961.98 5,472.50 MMC PORTION 7,400.00 Transfer -Out Tmnsfer-In QIPP/Comp3 QIPP/Comp2 :QIPP/Comp3 QIPPTI NH PORTION 1,110.00 - 1,110.00 49,573.25 49,673.25 24,669.97 - 21,669.97 2,047.08 - 2,047.08 37,840.00 - 37,840.00 3,77150 - 3,771.50 364,501.71 ' 62.36 - 6136 5,472.50 - 5,472.50 7,400.00 7,400.00 5,920.00 - 5,920.00 2,480.30 - 2,480.30 4,329.90 4,329.90 1,570.88 1,570.88 1,860.80 - 1,860.80 5,180.00 - 5,181LOO 364,501.71 153,30854 153,380.54 KANH Weekty Transfers\Cantex Bank Dowload\2019uanuary\Cantex Prosperity Download 12-28-18 Thur 01-06-19 Fort B$nd •1/3/2019 Deposit 2/3/2019 ACH Deposit UHC COMMUNITY PLHCCLAIMPMT746003411910000 1/3/2019 ACH Deposit HUMANA INS CO HCCLAIMPMT390863 830000541279 1/2/2039 CM Wire Dome;Uc WIRE OUTCANTEX HEALTHCARE CENTERS III 2/2/2019 ACH Deposit HUMANA INS CO EFPAYMENT 390863830MOS009583 1/2/2019 ACH Deposit HEALTH HUMAN SVC HCCLAIMPMT 174600341130062 12/31/2018 Aar Earning Pymt Added to Amount 12/28/2018 ACH Deposit MOLINA HEALTHCAR MOUNAACH 0079647742000015 12/28/2018 ACH Deposit AMERIGROUP CORPO E-PAYM ENT EES1772051111000 12/28/2038 ACH Deposit UNC COMMUNITY PL HCCLAIMPMT 746003411910000 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCIAIMPMT 746003411930000 12/28/2018 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 67566342DOOD09 iia -s, t Houston 1/4/2019 ACH Deposit UnitedHealthcare HCCIAIMPMT746003411 1243 8 4 1/4/2019 ACH Deposit Unfte lHealthare HCCLAIMPMT746003411124384 1/4/2019 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 676110420000184 1/4/2019 ACH Deposit AARP Supplem ente HCCLAIMPMT 746003411124384 1/3/2019 Deposit 1/3/2019 Deposit 1/3/2019 ACH Deposit UHC Community PI HCCLAIMPMT 746003411910000 110019 CM Wire Domestic WIRE OUTCAMX HEALTHCARE CENTERS III 1/2/2019 ACH Deposit HUMANA INS CO EFPAYMENT3908628300005006246 7/2/1019 -ACH Deposit HHP EFPAYMENT39086291000012248001DISDATA 12/31/2018 Accr Eaming Pymt Addedto Account 22/31/2018 ACH Deposit Unitedilealthare HCCLAIMPMT 746003411114394 12/31/2018 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 676330420000194 12/28/2018 ACH Deposit MOLINA HEALTHCAR MOUNAACH 0079658942000015 12/28/2018 ACH Deposit AMERIGROUP CORPO E -PAYMENT ESIM053 WOOD 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411 910 0 0 0 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411910000 12/28/2018 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411910000 12/28/2018 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 676310420000199 12/28/2018 ACH Deposit HEALTH HUMAN SVC HCCLAIMPMT 374 6 0 0 3 4113 0 07 2 12/28/2038 ACH Deposit AARP Supplements HCCLAIMPMT 746003431 U4394 TOTALS Pa8e2 MMC PORTION Transfer -Out Tmnsfer•In QIPP/[ompl gIPP/Comp2 gIPP/Comp3 QIPP TI NH PORTION 87,617.38 87,617.38 1,134.45 1X4.45 342.67 - 342.67 91,043.23 1/764.36 - 1A64.36 561.55 - 56155 18.42 - 18.42 5,237.81 - 5,237.81 9,143.73 - 9,143.73 8,086.20 8,086.20 3,744.63 3,744.63 8,888.58 - 81888.58 Transfer -Out Transfer-InI NPP/ComPl 0JPP/Comp2 CUPP/Comp3 ._. OIPPTI I NHPORNON 9,020.00 9,020.00 364.00 - 369.00 331.35 - 311.35 3,015.00 - 3,015.00 50,968.44 - 50,968.44 23,360.00 23,360.00 7,295.00 - 7,195.00 596,659.30 - - 6,478.65 6,478.65 13,775.52 - 19,77552 81.96 - 8196 27,790.05 - 27,290.05 6,164.71 - 6,164.71 3,647.50 - 3,64750 6,367.50 - 6,367.50 6,611.28 - 6,61L28 7,872.50 7,87150 17,379.00 - 17,379.00 9,997.39 - 9,997.39 7,762.01 - 7,762.01 18,143.54 - 18,443.54 596,659.30 226,IOSAO 226,IOSAO 1,408267.89 913,051A5 913,051.45 1/6/2019 1119111 - ALL ACCOUNTS FAVORITES * Checking MEMORIAL MEDICAL CENTER / NH ASHFORD -4381 to MEMORIAL MEDICAL CENTER / NH BROADMOOR '4403 * MEMORIAL MEDICAL CENTER / NH CRESCENT -4411 * MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON '4430 * MEMORIAL MEDICAL CENTER/ NH FORT BEND -4u6 https://pbsItK.secure.fundsxpress.com/fAweb/app/N/home Digital Banking Avallable Previous Day $195,890.66 $195561.01 $212,166.80 $212,166.80 $153,574.94 $153,574.94 $230,406.65 $226,336.65 $131,393.79 $126,381.02 TOTAL $2,294,633.12 $2.236,67464 saa By: Account Number 111 f § � ` § \ } } ƒ } t/ |)}■! ;! Golden Geek 1/3/2019 Mllit 1/3/2019 Dfp R 1/2/2019 CM Wire Domestic WIRE ODE LIMON HEALTH AT GOLDEN CREEK 12/31/2018 AccrEeming Pymt Added W Arment 12/LI/2018 AM DepwitCeMenc Manageme CCM 388884633110020174369 12/29/2019 AOI Oepwit NOWA95OLMON HCCIAIMPMT VM741W00199 MMCPORTION TanslePOut Tmn#eM WPP/COMPl 41PP/Wmp2 0.1PP/Co-P3 QIPPTI NHPOATION 6],17).91 - 67,57/91 3,13496 - 3,13456 10.5,90&85 3153 3253 18,101.05 - 18}01.05 14.8855) - 14,885.57 14590695 101531.62 101,931.62 1/6/2019 Digital Banking Home ALL ACCOUNTS FAVORITES * Checking Available MEMORIAL MEDICAL/ NH GOLDEN CREEK HEALTHCARE -4454 * https://pbsltx.secure.fundsxpress.comlfxweb/app/#/home Pml... Day $101,696.92 $101,696.92 TOTAL $2,294,633.12 $2235,674.64 sonny: Account Number 1/1 MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center OperatingJanuary 9, 2019 Date Requested: A FOR ACCT. USE ONLY Y APP4 •❑ImprestCash E JAN 0 8 2019 ❑A/P Check Mail Check to Vendor E COUNTYAUDiTOR.I 11Return Check to Dept CAMOUN COUNTY, TE A9 AMOUNT $35,332.76 G/LNUMBER: 21000012 EXPLANATION: Ashford—To transfer funds for October Component I— QIPP Payments -$35,172.68 and October Thru December 2018 Interest -$160.08 REQUESTED BY: Andy De Los Santos AUTHORIZED BY: I i MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center OperatingDate Requested: January 9, 2019 A APPROVED FOR ACCT, USE ONLY y ON ElImprestCash JAN 0 0 2019 ❑A/P Check E Mail Check to Vendor E COUNTY®DDTTOYt TEXAS Return Check to Dept CALHOUN COUNTY, AMOUNT $10,228.21 G/LNUMBER: 21000011 EXPLANATION: Solera—To transfer funds for October Component 1—QIPP Payments-$10,015.00 and OctoberThru December 2018 Interest-$213.21 V REQUESTED BY: Andy De Los Santos AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical center OperatingDate Requested: January 9, 2019 A FOR ACCT. USE ONLY Y ON 11lmprestCash nA/P Check E JAN d 8 2019 Mail Check to Vendor E OOLiN'P.Y VDrW$ Return Check to Dept CALUOU tCGUD x 7cxt8 AMOUNT $6,958.96 G/LNUMBER: 21000010 EXPLANATION: Crescent—To transfer funds for October Component 1—QIPP Payments-$6,810.20 and October Thru December 2018 Interest-$148.76 REQUESTED BY: Andy De Los Santos AUTHORIZED BY: (% r MEMORIAL MEDICAL CENTER CHECK REQUEST fi P Memorial Medical center Operating Date Requested: January 9, 2019 A Y E E AMOUNT $7,009.82 AWHOM ON JAN 0 g 2019 COUNTYAUD1TOH FOR ACCT. USE ONLY nImprest Cash nA/P Check n Mail Check to Vendor Return Check to Dept CALHOUN COUNTY, TMEM G/L NUMBER: 21000009 EXPLANATION: Broadmoor—To transfer funds for October Component I— QIPP Payments -$6,850.26 & October Thru December 2018 Interest -$159.56 REQUESTED BY: Andy De Los Santos AUTHORIZED BY: v, iu MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center OperatingJanuary Date Requested: 9, 2019 A FOR ACCT. USE ONLY srAPPROVED Y ON IjImprestCash E JAN 06 2019 ❑A/P Check nMail Check to Vendor E COUNTYAUDITOR Return Check to Dept CALROUN COUNTY, TEXAd AMOUNT $14,441.20 G/LNUMBER: 21000008 EXPLANATION: Fort Bend—To transfer funds for October Component I— QIPP Payments-$14,381.54 and October Thru December 2018 Interest-$59.66 REQUESTED BY: Andy De Los Santos AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center OperatingDate Requested: January 9, 2019 A FOR ACCT, USE ONLY y I]Imprest Cash 'AVMVW RA/P Check E ON nMall Check to Vendor E JAN d 2W Return Check to Dept CCU NTY AUDITOR AMOUNT $18.298.88 CALHOUN%O, V W21000013 EXPLANATION: Golden Creek—To transfer funds for October Component 1— QIPP Payments -$18,201.05 and October Thru December 2018 Interest -$97.83 i REQUESTED BY: Andy De Los Santos AUTHORIZED BY: V January 9, 2019 2019 APPROVAL LIST - 2018 BUDGET COMMISSIONERS COURT MEETING OF BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 32 FICA MEDICARE CITY OF POINT COMFORT FRONTIER COMMUNICATIONS PORT O'CONNOR IMPROVEMENT REPUBLIC SERVICES #847 01/09/19 $261,841.21 P/R $ 60.56 P/R $ 14.18 A/P $ 32.20 A/P $ 467.94 A/P $ 338.51 A/P $ 1,038.64 TOTAL VENDOR DISBURSEMENTS: $ 263,793.24 TOTAL AMOUNT FOR APPROVAL: $ 263,793.24 January 9, 2019 2019 APPROVAL, LIST- 2019 BUDGET COMMISSIONERS COURT MEETING OF BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 11 01/09/19 $436,648.44 AFLAC P/R $ 3,502.39 PRINCIPAL FINANCIAL GROUP P/R $ 2,041.43 CABLE ONE A/P $ 210.61 CALHOUN COUNTY APPRAISAL DISTRICT - TAXA/C-IST QTR-APPRAISAIJCOLLECTIONA/P $ 77,047.34 GUERRERO CONSTRUCTION RB2- LABOR FOR BLDG & SHOP A/P $ 9,500.00 LA WARD TELEPHONE EXC. INC. 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Calhoun County Commissioners' Court—January 09, 2019 10. PUBLIC DISCUSSION OF COUNTY MATTERS. COURTAD]OURNED: 10:08 AM Page 8 of 8