2012-07-26
Regular July Term
Held July 26, 2012
THE STATE OF TEXAS
COUNTY OF CALHOUN
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BE IT REMEMBERED, that on this 26th day of July, A.D., 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil Fritsch
Kenneth W. Finster
Anita Fricke
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Judge
Pfiefer led the Piedge to the Texas Flag.
APPROVE MINUTES OF JANUARY 26, 2012, FEBRUARY 13, 2012 AND JUNE 14, 2012 MEETINGS:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
4
Regular January Term
Held January 26, 2012
COUNTY OF CALHOUN
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THE STATE OF TEXAS
BE IT REMEMBERED, that on this 26th day of January, A.D., 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil E. Fritsch
Kenneth W. Finster
Anita Fricke
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and
Commissioner Fritsch led the Pledge to the Texas Flag.
BID FOR INMATE TELEPHONE SERVICES:
Synergy Telecom Service Company, Inc, Infinity Networks, Consolidated Telecom, Inc, Securus Technologies -
Option A and Securus Technologies - Option B all placed bids for Inmate Telephone Services.
A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to award bids to Securus
Technologies - Option A for inmate telephone services for the period beginning the 15th day of February 2012
and ending the 14th day of February 2015 and authorized the County Judge to sign the contract and all
necessary documents. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
ADDENDUM 1 TO THE INSURANCE AND RISK MANAGEMENT CONSULTANT SERVICES RFP:
Regular February Term
Held February 13, 2012
COUNTY OF CALHOUN
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THE STATE OF TEXAS
BE IT REMEMBERED, that on this 13th day of February, A.D., 2012 there was begun and holden In the
Commissioners' Courtroom In the County Courthouse In the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil E. Fritsch
Kenneth W. Finster
Anita Fricke
county Jud~e
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation, Commissioner Finster led the Pledge to the us Flag and Judge
Pfeifer led the Pledge to the Texas Flag.
MEMORIAL MEDICAL CENTER REPORT:
Memorial Medical Center presented with their report for the month of December 2011. December's financial
operating results produced a net monthly loss of $61,314. The pre-audited net Income for 2011 is $15,717.
Total patient days were up from the prior month, as were many of the ancillary departments.
Regular June Term
Held June 14, 2012
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THE STATE OF TEXAS ~
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COUNTY OF CALHOUN ~
BE IT REMEMBERED, that on this 14th day of June, A.D., 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse In the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil Fritsch
Kenneth W. Finster
Anita Fricke
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Judge
Pfeifer led the Pledge to the Texas Flag.
APPROVE MINUTES OF MARCH 22,2012, APRIL 12, 2012, APRIL 26, 2012, MAY 10, 2012, MAY 24,
2012 MEETINGS AND MAY 10, 2012 WORKSHOP:
A Motion to accept the minutes was made by Commissioner Lyssy and seconded by Commissioner Fritsch.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted In favor.
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX - 202 S. ANN ST, STE B
PORT LA V ACA, TEXAS 77979
(361) 553-4610
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MEMORANDUM
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: July 19,2012
RE: AGENDA ITEM - JULY 26,2012
AGENDA ITEM
THURSDAY, JULY 26, 2012
~ Consider and take necessary action to award bid for 100% Fiberglass Boat with Motor
and Trailer that meets the requirements ofthe Operation Stonegarden Grant.(BB)
.f
AWARD BID FOR 100% FIBERGLASS BOAT WITH MOTOR AND TRAILER THAT MEETS THE
REQUIREMENTS OF THE OPERATION STONEGARDEN GRANT:
Donny Tran, owner of Tran's Fiberglass Boat offered a bid of:
Boat w/accessories:
Motor:
Aluminum Tandem Trailer:
Tax Exempt:
$ 25,290
$ 22,600
$ 3,850
$ 0
for a total of $51,740.00 for per the specifications for requirements of the Operation Stonegarden Grant.
No other bids were received.
A Motion was made by Commissioner Lyssy and seconded by Commissioner Galvan. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
;aUNT\', TEXAS BID SHEET- (100% FIBERGLASS BOAT WITH MOTOR & TRAILER
I
INVIT A TION TO BID
JIDDER
TRAN'S fiBERGLASS BOAT
11291st ST
PALACIOS TX 77465
BID ITEM 1100% FIBERGLASS BOAT WITH MOTOR & TRAILER I
YOU ARE INVITED TO SUBMIT A BID ONTHE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST,
3RD FLOOR, ROOM 301, PORT LAVACA TX 77979
SEALED BID- _.-.__....___._._.____ .-....-----.--.....
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: J.100~J'IB€.lJgL!!.~~_/'!Q!!LI!'f!H MOTOR 'AJ.fI!!H::lf.li
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, JULY 19, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUL Y 26,2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE BID
DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TOTHE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX, RELIGION. AGE OR HANDICAPPED STATUS IN
EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRE
BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
----------------------------------------------
SPECIFICATIONS: 100% FIBERGLASS BOAT WITH MOTOR & TRAILER
See attached Specifications and General Conditions of Submitting Seated Bids to Calhoun County, Texas
DEPARTMENT,
PRICE (Detailed Bid Attached)
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SHERIFF DEPT
The undersigned affirms that they are dilly authorized to execute this contract, that this company, corporation, firm,
partnership or Individual has not prepared this bid In collusion with any other or Bidder. and that the contents af this bid a:
prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged In this type of business prior to the official opening of this bid.
AUTllDRlZm SIGNATURE lITLE; U~h.-~
PRINlNAME: \:)\)......"'''' -Tv-c-.",- \
\
PLEASE lIST ANY EKCEPlIONS TO THE ABOVE SPECIfICATIONS:
DAn OF Bill: "'\ - 'S .. \?-.
TElEPHONE NUMBER: ;5 ~ \ - cy\)... . \, ~ J.. '\
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'2Y\' \ - b~S- -$"0 Ii
SPECIFICATIONS
FOR REQUISITION
100% FIBERGLASS BOAT wi MOTOR & TRAILER
-,'
BOAT, FIBERGLASS, VEE HULL CATAMARAN SHALLOW DRAFT DESIGN, RATED
FOR 200-300HP OUTBOARD MOTOR WITH ALUMINUM TRAILER TO
ACCOMMODATE THIS BOAT WTTIIOUT ANY MODIFICATIONS. MUST HANDLE AND
TRANSPORT TWO 4 WHEELER OR ATV IN FRONT BOW AREA. TO MEET OR
EXCEED THE FOLLOWING SPECIFICATIONS.
1.1 LENGTH OVERALL: 24'
1.2 BEAMWTTII(GUNWALE): 8'6"
1.3 DRAFT - STATIC HULL WTTII MOTOR RAISED 8"
1.4 HULL DESIGN: CATAMARAN HULL DESIGN WITH SELF-BAILING DECK.
SIDES ARE TO BE LOW FOR EASY ENTRY FROM WATER. SIDEWALL
FROM DECK TO TOP OF GUNWALE AT WIDEST POINT OF BEAM-
MAXIMUM OF 5.5" IN HEIGlIT.
1.5 HORSEPOWER RATING: UP TO 200-300 H.P.
1.6 FUEL STORAGE AND CAPACITY: FUEL CELL TO BE POLYURETHANE
WTTII 75 GALLON OR GREATER CAPACITY WITH ELECTRONIC FUEL
SENDING DEVICE.
1.7 CENTER CONSOLE: APPROXIAMATEL Y 34" WIDE WITH CLEAR PLEXI-
GLASS WINDSHIELD AND ANODIZED ALUMINUM GRAB RAIL. SEAT
MOUNTED BEHIND CONSOLE TO BE 3" TO 4" RAISED ANODIZED
ALUMINUM FRAME WTTII PADDED BACK REST TO FIT APPROXI00 QT.
MARINE GRADE ICE CHEST WITH PADDED SEAT CUSmON. ICE CHEST
IN FRONT OF THE CONSOLE WITH CUSHION AND HOLDER. HATCH
ENTRANCE IN FRONT OF CONSOLE.
1.8 FRONT DECK TO BE LEVEL WTTII GUNNEL TO TRANSPORT TWO 4WHEELER
OR ATV WTTII TIE DOWNS ON THE FLOOR BOARD.
1.9 HULL STRINGERS TO BE FIBERGLASS 10 INCHES WIDE FOAM FILLED
1.10 100% FIBERGLASS COMPOSITE CONSTRUCTION ON HULL, DECK AND
TRANSOM
1.11 COLOR: UPON REQUEST
1.12 TRANSOM HEIGHT: CAN ACCOMIDATE 20-25 INCH SHAFT
OUTBOARD POWER
1.13 ACCESSORIES:
A. Sea star HYDRAULIC STEERING
B. CLEATS: 5 cleats ss
C. RAISED TRANSOM DECK WITH FffiERGLASS HATCH SEALED
COMPARTMENTS TO MOUNT BATTERY OILER, AND HYDRAULIC
TRANSOM LIFT PUMP.
D. FffiERGLASS DECK COVERED WITH NON-SKID
E. RAISED BOW DECK TO GUNWALE LEVEL WITH 3
SEPARATE FffiERGLASS HATCH SEALED COMPARTMENTS.
F. LIGHTING TO MEET U. S. COAST GUARD REQUIREMENTS AND
BE APPROVED BY STATE AND FEDERAL REGULATIONS.
G. 4X6 T-TOP WI RADIO BOX
II. HYDRAULIC TRANSOM LIFT, BOB'S JACKPLATE
I. Lenco Trim tab
J. Aluminum leaning post wi backrest
K. Stainless racor fuel water separator
1.14 WARRANTY - MINIMUM SIX YEARS ON HULL
1.15 BOAT MUST CONFORM TO FEDERAL LEVEL FLOTATION
REQUIREMENTS FOR RECREATIONAL BOATS AS REQUIRED BY
PART 183 OF THE FEDERAL BOATING SAFETY ACT AND BE
CERTIFIED AND PLACARDED ACCORDINGLY.
1.16 MOTOR: SUZUKI 300HP 25 INCH SHAFT
A. TACHOMETER, FUEL, WATER PRESSURE GAUGES
B.ELECTRONIC SHIFTER, WIRlNG
C. 4 BLADE STAINLESS PROPELLAR
D. INSTALLED
1.17 TRAILER, ALUMINUM TO FIT ABOVE BOAT TO MEET
OR EXCEED THE FOLLOWING SPECIFICATIONS:
A. CAPACITY-SUITABLE TO FIT AND TRANSPORT BOAT AND MOTOR
B. TANDEM TORSION AXLE-GALV ANlZED TANDEM WITH BEARINGS,
LUBRICATED HUBS OR EQUAL.
C. TO INCLUDE MOUNTED SPARE WHEEL AND CARRIER, TIRES NEW,
WHEELS NEW AND GALVANIZED.
D. RETRACTABLE MECHANICAL JACK STAND WITH WHEEL
E. MECHANICAL WINCH WITH STRAP AND HOOK
F. LIGHTS LED WITH A 4 PRONG CONNECTOR
G. 2" BALL HITCH
H. SAFETY CHAINS, TRANSOM SAVER AND GUIDE POSTS
I. BOW STOP TO BE 3-PIECE HEAVY DUTY
J. All aluminum I beams and welded bunks
K. Coastline Trailer Mfg.
Boat wi accessories $25,290
Motor $22,600
Aluminum Tandem Trailer $3850
Tax Exempt $0
Total $51,740 ~.,.--,---
Bidder: Donny Trani Owner of l' ran Sports Boats Inc. \>~ \.l.r....-
\~'l" \'L
Susan Riley
From:
Sent:
To:
Subject:
Cindy Mueller [cindy.mueller@calhouncotx.org]
Tuesday, July 10, 20122:50 PM
'Susan Riley'
Agenda Item Request
Please place the following item on the agenda for July 26, 2012:
. CATNA on Independent Audit Report for the year ended December 31,2011 by Rutledge Crain & Company, PC,
Certified Public Accountants.
Susan,
Report is not yet available. Bound copies will be delivered day of presentation if not sooner.
Cindy Mueller
Calhoun County Auditor
202 S. Ann, Suite B
Port Lavaca, TX 77979
Phone 361.553.4610
Fax 361.553.4614
1
INDEPENDENT AUDIT REPORT FOR THE YEAR ENDED DECEMBER 31, 2011 BY RUTLEDGE CRAIN &
COMPANY PC, CERTIFIED PUBLIC ACCOUNTANTS:
The report for this item is not yet availabie. This item was skipped at this time.
Kenneth W. Finster
-;
County Commissioner
County of Calhoun
Precinct 4
July 13,2012
Honorable Michael Pfeifer
Calhoun County Judge
21] S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Pfeifer:
Please place the following item on the Commissioner's Court Agenda for July 26,2012.
. Consider and take any necessary action concerning the Application to Have
County Roadway Closed, Abandoned and Vacated on the County Road shown
on the plat attached to the Application at a point beginning on the southeasterly
most boundary of the ] 033.74 acre tract described in the Notice and
terminating at a point on the northwesterly boundary of said ]033.74 acre tract
owned by ForeStar USA Real Estate Group, Inc., said property being near the
intersection of State Highways 185 and 238 in Calhoun County, Texas.
Sincerely,
~w-#~
Kenneth W. Finster
KWF/at
P.O. Box 177' Seadl'ill, TX 77983' email: IWllny.tlnslet'@.ealholltletltx.ol'g' (361) 785-3141 . Fax (361) 785-5602
APPLICATION TO HAVE COUNTY ROADWAY CLOSED, ABANDONED AND VACATED ON THE COUNTY
ROAD SHOWED ON THE PLAT ATTACHED TO THE APPLICATION AT A POINT BEGINNING ON THE
SOUTHEASTERLY MOST BOUNDARY OF 1033.74 ACRE TRACT DESCRIBED IN THE NOTICE AND
TERMINATING AT A POINT ON THE NORTHWESTERLY BOUNDARY OF SAID 2033.74 ACRE TRACT
OWNED BY FORESTAR USA REAL ESTATE GROUP, INC, SAID PROPERTY BEING NEAR THE
INTERSECTION OF STATE HIGHWAYS 185 AND 238 IN CALHOUN COUNTY, TEXAS:
Having posted notice of the application at the County Courthouse and at/near the real estate the location of the
road, Roberts, Roberts, Odefey & Witte are applying to have the county roadway located at near the Intersection
of State Highways 185 and 238 in Calhoun County closed, abandoned and vacated.
James Dworaczyk, ForeStar (USA) Real Estate Group, Inc Jennifer Boedeker, Martin Sprague, Sr., Cynthia Alford,
Joseph E. Nunley, Audrey Bowman and Elmer DeForest, property owners and residents of Precinct 4, request the
road closure, abandonment and vacating of said road as the county road has not been used since State Highway
185 was constructed adjacent and parallel to the railway. The ciosure would allow for development of the entire
two adjacent tracts currently owned by ForeStar (USA) Real Estate Group, Inc.
Mr Roberts:
The acreage is currently owned by FourStar. There are individuals who intend to purchase and develop ranches
with an agreement with the water district. There has been a lot of work done by FourStar on the property, but
they have decided to sell.
A number of the principals have the ranches out at Falcon Point and made a decision to put the acreage on the
market. The property ends at the cattle guard and the other property owners have platted easements from the
cattle guard to get to their properties. This closure affects no one but the people who buy the ranch. This
property is also known as the Hardy Tract and the Parker Tract which totals a little over a 1,000 acres. There
are some easements for waterlines onto the property.
The old plat is from 1917. The road through the tract has long since been swallowed up and overgrown to the
point that it is no longer visible and there are no metes and bounds description for the road on the plats. There
is no one who remembers how the road transverses through the property. Requesting that only that portion of
the road that applies to the acreage to be sold. It may have been called "Old School Road" in the late 1800's to
eariy 1900's and may have gone down toward one of the schools towards Seadrift.
The title examinations for this particular acreage regarding the road through the property created concern and
therefore it makes it difficult to sell the property.
A Motion was made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
ROBERTS, ROBERTS, ODEFEY & WITTE, LLP
ATTORNEYS AT LAW
DAVID ROBERTS
WANDA ROBERTS
ANNE MARIE ODEFEY
SANDRA WITTE
2206 HIGHWAY 35 NORTH
POST OFFICE BOX 9
PORT LAVACA, TEXAS 77979
TEL: 361.552.2971
FAX: 361.552.5368
eARLY W WALL
June 27, 2012
HAND DELIVERED
The Clerk ofthe Commissioner's Court
Calhoun County Clerk's Office
211 S. Ann Street
Port Lavaca, Texas 77979
Attention: Anita Fricke
DECEIVED
n JLJN 27.2012
BY: ~J~
@.. 4-: 3& If'Y'1
Re: Application to Have County Roadway
Closed, Abandoned and Vacated
Dear Anita:
Attached hereto is the original Application to Have County Roadway Closed,
Abandoned and Vacated that I have posted a duplicate original of on the bulletin board at
the door to the Calhoun County Courthouse and at two places at or near the real estate
where the'road to be abandoned is located. I have visited with Commissioner Finster
concerning this matter and am sending you one as the Clerk of the Court. I have also
copied the County Judge, the four Commissioners and Mr. Shannon Salyer, Assistant
District Attorney of Calhoun County, Texas with copies of this Application.
By copy of this letter, I am requesting that Commissioner Finster, in whose
Precinct this property is located, request through the County Judge's Office that this be
placed on the Agenda for the July 26, 2012 meeting, as the statute requires at least 20
days between the posting of the notices and any action by the Commissioner's Court. I
will prepare the necessary Order as required by the statute for review by the Court's legal
counsel prior to the meeting in the event the Commissioners were to approve our
Application.
My suggested agenda item would be:
Consider and take any necessary action concerning the Application to Have
County Roadway Closed, Abandoned and Vacated on the County Road
shown on the plat attached to the Application at a point begInning on the
southeasterly most boundary of the 1033.74 acre tract described in the
Notice and terminating at a point on the northwesterly boundary of said
1033.74 acre tract.
,Tune 27, 2012
Page 2 of2
If you should have any questions, please feel free to contact me.
DR/kv
Enclosure
cc: Michael J. Pfeifer
Calhoun County Judge
VIA EMAIL
cc: Mr. Roger C. Galvan
Commissioner, Pct. #1
VIA EMAIL
cc: Mr. Vem Lyssy
Commissioner, Pct. #2
VIA EMAIL
cc: Mr. Neil Fritsch
Commissioner, Pct. #3
VIA EMAIL
cc: Mr. Kenneth Finster
Commissioner Pct. #4
VIA EMAIL
cc: Mr. Shannon Salyer
Assistant District Attorney
VIA EMAIL
Yours truly,
ROBERTS, ROBERTS, ODEFEY & WITTE, LLP
8:~1 hrid
David Roberts
APPLICATION TO HAVE COUNTY
ROADWAY CLOSED, ABANDONED AND VACATED
TO THE HONORABLE COMMISSIONER'S COURT OF CALHOUN COUNTY:
I,. James Dworaczyk, a resident and property owner of Precinct No.4, Calhoun
County, Texas, joined herein by ForeStar (USA) Real Estate Group, Inc. and seven (7)
other property owners and residents in Precinct 4, do hereby request under Sections
251.052 and 251.058 of the Texas Transportation Code, that the Court close, abandon
and vacate the following portions of that certain County Roadway upon, across and
through that certain tract of property owned by ForeStar (USA) Real Estate Group, Inc.,
the said property is described in Exhibit "A" attached hereto and made a part hereof for
any and all purposes as though fully set forth herein. The Roadway is that certain County
Road shown on that Plat in that certain Deed of Partition among Mrs. Lillie Roemer, et al
dated December 1, 1916 and recorded in Volume 8, Pages 535-540 of the Deed Records
of Calhoun County, Texas and as grounds for such would show unto the Court the
following:
1. The only record in the Office of the County Clerk of Calhoun County, Texas
reflecting this County Roadway is contained in the above described Partition Deed by a
map attached thereto and recorded in Volume 8, Page 540 of the Deed Records of
Calhoun County, Texas and at that time shown to be crossing Partition Tract No.5 in said
Partition Deed reference to which is herein made for any and all purposes.
2. The County Road has not been used since State Highway 185 was constructed
adjacent and parallel to the railway shown between Partition Tracts No.4 and No.5, the
said railroad being reflected on the same plat attached as Vol. 8, Page 540 of the Deed
Records of Calhoun County, Texas.
3. The only legal entity owning property that abuts the portion of the road being
closed, abandoned and vacated is ForeStal' (USA) Real Estate Group, Inc.
4. The herein described property and the plat of the road as shown on the above
referenced map are located entirely within Precinct 4 of Calhoun County, Texas. This
request for the roadway to be closed, abandoned and vacated is to allow for development
of the entire two adjacent tracts currently owned by ForeStar (USA) Real Estate Group,
Inc., the first tract being that certain 582.15 acre tract, more fully described in that certain
Warranty Deed from R. H. Parker and Lillian Ann Parker Underwood dated January ]7,
2007 and filed for record under Clerk's File #]02992 and the second tract being that
certain 451.63 acre tract, more fully described in that certain Warranty Deed from George
Pinckney Hardy, III, et al to ForeStar (USA) Real Estate Group, Inc. dated January 5,
2007 and filed for record under Clerk's File #102847, shown by re-survey to contain
451.59 acres, both tracts by re-survey totaling 1033.74 acres. The parties hereto make
this Application in order to avoid having to plat around the old no longer used County
Roadway as shown on the plat more fully described in Paragraph I hereof.
5, This Roadway is not necessary as a rneans of ingt'ess and egress for any
property owner, as all affected by this road closing, abandonment and vacating of the old
public road are in agreement regarding this request.
6. Having given proper notice as specified by Section 251.052 of the Texas
Transportation Code, we ask the Commissioner's Court, under the powers gl'anted to it
under Section 251.051 of the Texas Transportation Code, to consider this application for
abandonment and for vacating the hereinabove described properties in Calhoun County,
Texas and that the Commissioner's Court of Calhoun County, Texas issue an order
granting said request to close, abandon and vacate the heretofore described portions of
said roadway.
7. Notices were posted at: (a) the door of the Calhoun County Courthouse, (b) on
a gate post at the most southerly end of the Heiland Roadway and the northerly boundary
of the 1033.74 acre tract and (c) a gate post on the most southerly boundary line of the
fence separating the 1033.74 acre tract from State Highway 185, said gate posts being
located just north of the Drainage Ditch atljacent to the southerly most boundary of the
1033.74 acre tract. All posting locations, other than the required Calhoun County
Courthouse, are near th~j'oadway to be closed, abandoned and vacated. Said notices
were posted on the Z6 'day of :1" u...,J e ,2012.
8. The beginning and tet'mination points of the proposed road to be discontinued
by this closing, abandonment and vacating is at a point where the road enters the
boundary survey on the southeastern side of the 1033.74 acre tract to a point where the
roadway exits the property on the northwest side of the 1033.74 acre tract. All
requirements imposed by The Texas Transportation Code have been complied with.
9. Section 251.052 of the Texas Transportation Code requires that eight (8)
propeliy owners in the Precinct sign an Application for a road that is to be discontinued.
All but FOl'eStar (USA)Real Estate Group, Inc. are residents of property owners in the
Precinct. The property owner, ForeStal' (USA) Real Estate Group, Inc., has, in
accordance with Section 251.058 of the Texas Transportation Code, signed this
Application to show its conSent to close, abandon and vacate the Public County Road and
does hereby waive its right to seek compensation for damages caused by any depreciation
of the value of the property and any impairment to the property owners right of ingress to
or egress from the property.
Effective the I sl day of June, 2012.
2
Respectfully Submitted,
BY:~~ . 'TI(
. '~~;;P(iSC(--L-
Vice-President of ForeStar (USA) Real Estate
Group, Inc.
By:~)frM1e ~~y-~-
Printed' Name: C\~.H . t' e t -5-
Precinct 4 Pl'Opeliy Owner
-AtA-' VLL
By: ~~ L~*/
Printed me:. ~ 0 [, ('. 1-, /) 1-e.y
Precinct 4 Propeliy Ownel'
BY:~~
Printed Name: D 6''1 'ibDv.JYI"-N\!
Precinct 4 Property Owner
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By: \,.,.l,v.' t. 1.:---
Printed Name: L/')"" 4I.J~;,,<.j.-I".
Precinct 4 Property Owner
3
1033.74 ACRES
THE STATE OF TEXAS}
THE COUNTY OF CALHOUN}
BEING a 1033.74 acre tract of land situated in the Miguel Castillo Survey, Abstract 7, Calhoun
County, Texas, and being comprised of all of Tract I described as 144.32 Bcres, Tract 2 described
as 258 acres and Tract 3, descl'ibed as 19.8 acres BS conveyed from George Pinckney Hardy, et al
to Forestal' (USA) Real Estate Group, Inc. according to the document recorded in Instrument No.
102847 ofthe Official Records of Cslhoun County, Texas, and all of that certain 582.15 acre tract
of land as conveyed from Lillian Ann Underwood to Forestal' (USA) Real Estate Group, Ino.
according to the document recorded in Instrument No. 102992 of tbe Official Records of Calhoun
County, Texas, said 1033.74 acre tract ofland being more fully described by metes and bounds as
follows:
BEGINNING at a 5/8 inch diameter steel rebar with cap stamped "G & W" found in the current
southwest right-of.wayllne of State Highway No. 185 (120' R.O.w.), sBid rebat marking the
north comer of said Tract 2 and the east comer of the said 582.15 acre tract ofland;
THENCE, South 31 dog. 29' 19" East, with said right-of-way line, a distance of2509.97 feet to a
5/8 inch diameter steel rebaI' with cap stamped "G & W" found marking the east comer of said
Tract 1 and the herein described tract, same being the north comer of that certain 505.92 acre
tract of land as conveyed from Danny G. Diedam to Mig Land West, L.P. according to the
document recorded in Instrument No. 106149 ofthB Official Records of said County;
THENCE, South 55 deg. 00' 00" West, (Basis of Bearing) with the northwest line of the said
505.92. acre tract, passing at 8577.30 feet, a 5/8 inch diameter steel rebar set for a reference point
on the bank of the Intracoastal Water Way (Barge Canal) and continuing for an overall distance
of 8871.30 feet to a point for the south comer of said Tract I and the herein described tract;
THENCE, with the meanders of the original propetty line (now in the barge canal) as follows:
North 16 dog. SO' 00" Easl, adislance of608.30 feet;
North 06 deg. 14' 00" West, s distance of 241.00 feet;
North 02 dBg. 55' 00" East, a distance of 437.00 feet;
North 09 deg. 12' OO"East, a dialance of 545.97 feet;
North 02 deg. 08' 38" East, a distance of 380.05 feet;
North 73 deg. 3T41"West, a distancBof38.30 feet;
North 11 deg. 47' 41" West, a distance of 180.00 feet;
North 06 deg. 32' 19" Bast, a distance of 324.50 feel;
North 21 deg. 03' 41 " West, a distance of 114.30 feet;
And, North 07 deg. 56' 41" West, a distance of 304.95 feet to a point for the we,t comer ofsaid
Tract 3; .
THENCE, North 55 deg. 00' 00" East, a distal''''' of204.70 feet to a point for the south corner of
tlte said 582.1 5 acre tract, said point being 16.2 feet southeast of said barbed wire fence and being
on the east right-of-way line of the West Side CalltOun County Navigation District (400'
R.O.W.), said point also bears South 55 deg. 00' 00" West, a distance of 1140.28 feet from a 5/8
inch diameter steel rebar with cap stamped "G & W" found in the common line of said Tract 3
and the south Jine of said 582.15 acre tract for a reference point;
THENCE. with said tight-of-way line as foliows:
Exhibit "A"
Page 1 on
North 04 deg.48' 57" West, 169.46 feet;
North 08 deg. 08' 57" West, 200.20 feet;
NOl'th 12 deg. 08' 57" West, 200.00 feet;
North 15 deg. 40' 57" West, 200.00 feet;
North 18 deg. 15' 57" West, 100.00 feet;
North 21 deg. 15' 57" West, 200.00 leet;
North 23 deg. 49' 57" West, 95.00 feet;
North 26 deg. 19' 57" West, 105.00 feet;
North 28 deg. 57' 57" West, 100.20 feet;
North 22 deg. 19' 57" West, 450.00 feet;
NOIth 45 deg. 52' 57" West, 908.80 feet;
North 43 deg. 40' 57" West, 1173.70 feet to a point the east right-of-way line of the said West
Side Calhouu County Navigation District, said point being the west cornel' of the hel'ein described
tra"t and south corner of the l'emainder of that certain 11.08 aCl'e traot of land as conveyed to
BelleD. Smith according to instrument recorded in Volume 25, Page 158 of the Official Records
of said County;
THENCE, NOl'th 72 deg. 45' 03" East, with the common line of said 11.08 acre l'emaioder, a
distance of 651.30 feet to a concrete monnment found marking the east cornel' of said 11.08 aCre
remaindel' and an interior cornel' of the hel'eJn described tmct;
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THENCE, North 17 deg. 14' 57" West, a distance of 600.00 feet to a concrete monument found
msrking the nOlth corner of the said 11.08 acre remainder and" northwesterly COrner of the
herein described tract;
THENCE, North 72 deg. 50' 33" East, along a barbed wire fence, a distance of770.10 feet to a
called for fence post for an angle point;
THENCE, N0l1h 70 deg, 39' 13" East, a distance of 178.59 feet to a called for fellce post for an
angle point; .
THENCE, North 68 deg. 25' 47" East, a distance of 249.83 feet to a called for fence post for an
angle point;
THENCE, North 66 deg. 41' 49" East, a distance of 74.41 feet to a called for feuce post for an
angl. point;
THENCE, NOlth 56 deg. 31' 46" East, a distance of 254.74 fe.tto a called forfeuce post for an
angle point, ,aid fence post being on the r.cognized common line of said Miguel'Csstillo Survey
3ud the Pedro Mirando Leagu.;
THENCE, North 55 deg. 10' 25" East, along said common line and general direction of said
barbed wil'e fence, distance of 4670.83 feet to a fence cornel' po,t found maddng the I10lth comer
of the herein described tract, said fence post being in the sonthw.st right-of-way line of said State
Highway No. 185;
Exhibit uAn
Page 2 00
THENCE, South 31 deg, 31' 06" East, along said right-of-way line and barbed wire fence, a
distance of 2975.22 feet to a 5/8 inch diameter steel rebar set to mark the north comer of a 0.52
acre tract of land as conveyed to Virgil Claude Cassel according to instrument recordcd in
Volume 85, Page 411 of the Deed Records of said County;
THENCE, South 58 deg, 28' 54" West, a distauce of 150,00 feet to a 5/8 inch diameter steel
rebar set to mark the west corner of said 0.52 acre Iract;
THENCE, South 31 deg. 31' 06" East, a distance of 150.00 feet to a 5/8 inch diameter steelrebar
set to mark the south comer of said 0.52 acre tract;
THENCE, North 58 deg. 28' 54" East, a distance of 150.00 feet to a 5/8 inch diameter steel rebar
found marking the eaBt comer of said 0.52 acre tract and being in the southwest right-of-way line
of said State Highway No. 185;
THENCE, South 31 deg. 3]' 06" East, along said right-of-way line, a distauce of 404.]9 feet to
5/8 inch diameter steel rebar found marking the nortl, comer of a 1.00 acre tract of land as
. conveyed to Donald Leonard Lynch, et ux according to insbument recorded in Volume 206, Page
384 of the Deed Records of said County;
THENCE, Soutll 55 deg, 00' 54" West, a distance of 209.1 0 feet to a 518 inch diameter steel
rebar found marking the west oomer of said 1.00 acre tract;
THENCE, South 31 deg. 31' 06" East, a distance of208,71 feet to a 5/8 inch diameter steel rebaI'
found marking the south comer of said 1.00 acre tract;
THENCE, N011h 55 deg. 00' 54" East, a distanoeof209.1O feet to a 518 inch diameter steel rebar
found marking the east corner of the herein described tract, and being in the southwest right-of-
way line of said Slate Highway No. 185;
THENCE, South3! deg. 31' 06" East, along said right-of-way line, a distanceof40,1O feet to
the POINT OF BEGINNING, CONTAINING within these metes and bounds a ]033.74 aCre
tract ofland, more or less, of which 4.98 acres lies within the Intracoastal Waler Way Easemenl
All set 5/8 inch diameter steel rebaI' marked with yellow plastic cap atamped "URBAN
SURVEYING, lNC."
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Bearings are based on bearings of record recorded in Instrument No, 102992 of the Official
Reoords of Calhoun County, Texas.
The foregoing legal description and accompanying survey pIal were prepared from an actual
survey made on the ground under my supervision in March, 2005 and March, 2012 and are true
and correct to the best of my know ledge and bel ief.
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Urban Surveying, inc.
By: Wm. Patrick Hohlt
Registered Professionsl Land Surveyor
Texas No. 5523
S18462-C
Exhibit "A"
Page 3 of3
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CLOSE, ABANDON AND V ACA TE A COUNTY ROAD SHOWN ON THE PLAT
ATTACHED TO THE APPLICATION AND THIS ORDER, ACROSS THE
1033.74 ACRE TRACT MORE FULLY DESCRIBED IN THE NOTICE, SAID
PROPERTY BEING NEAR THE INTERSECTION OF ST ATE HIGHWAYS 185
AND 238 IN CALHOUN COUNTY, TEXAS, IN PRECINCT #4, CALHOUN
COUNTY, TEXAS
A Motion was made by Commissioner Finster and seconded by
Commissioner Fritsch to Close, Abandon and Vacate
portions of a County Road across the 1033.74 acre tract more fully described in the
notice, said property being near the intersection of state highways 185 and 238 in
Calhoun County, Texas in Precinct #4, Calhoun County, Texas as shown on the
following Order with exhibits attached.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer
all voted in favor.
Commissioners
NONE
voted not in favor.
ORDER DECLARING CLOSURE, ABANDONMENT AND VACATING OF A
COUNTY ROAD SHOWN ON THE PLAT ATTACHED TO THE APPLICATION
AND THIS ORDER, ACROSS THE 1033.74 ACRE TRACT MORE FULLY
DESCRIBED IN THE ATTACHED EXHIBIT "A", SAID PROPERTY BEING
NEAR THE INTERSECTION OF STATE HIGHWAYS 185 AND 238 IN
CALHOUN COUNTY, TEXAS, IN PRECINCT #4, CALHOUN COUNTY, TEXAS
AND BEING THE SAME COUNTY ROAD SHOWN AS AN ATTACHMENT TO
THAT CERTAIN PARTITION DEED DATED DECEMBER 1,1915 AMONG MS.
LILLIE ROEMER, ET AL, AS FILED FOR RECORD IN VOLUME 8, PAGE 535
OF THE DEED RECORDS OF CALHOUNCOUNTY, TEXAS
WHEREAS, on the 26th day of July, 2012 the Commissioner's Court of Calhoun
County, Texas considered the request of James Dworaczyk, et ai, being property owners
in Precinct 4 of Calhoun County, Texas, to close, abandon and vacate the following
County Road:
A County Road across the 1033.74 acre tract (the 1033.74 acre. tract being more fully
described in the attached exhibit "A"), said property being near the intersection of State
1
Highways 185 and 238 in Calhoun County, Texas, in Precinct #4, Calhoun County,
Texas and being the same County Road shown as an attachment to that certain partition
deed dated December I, 1915 among Ms. Lillie Roemer, et aI, as filed for record in
Volume 8, Page 535 of the Deed Records of Calhoun County, Texas, a copy of which
County Roadway to be closed, abandoned and vacated from that Partition Deed is
attached hereto and marked as Exhibit "B", said County Road being circled and marked
on said Exhibit "B".
The herein described property and the plat of the road as shown on the above
referenced map are located entirely within Precinct 4 of Calhoun County, Texas. This
request for the roadway to be closed, abandoned and vacated is to allow for development
of the entire two adjacent tracts currently owned by ForeStar (USA) Real Estate Group,
Inc., the first tract being that certain 582. I 5 acre tract, more fully described in that certain
Warranty Deed from R. H. Parker and Lillian Ann Parker UnderWood dated January 17,
2007 and filed for record under Clerk's File #102992 and the second tract being that
certain 45 I .63 acre tract, more fully described in that certain Warranty Deed from George
Pinckney Hardy, III, et al to ForeStar (USA) Real Estate Group, Inc. dated January 5,
2007 and filed for record under Clerk's File #102847, shown by re-survey to contain
451.59 acres, both tracts by re-survey totaling 1033.74 acres.
WHEREAS, Texas Transportation Code 9251.051 vests in the Commissioner's
Court the authority to close, abandon or vacate a portion of a Public Road; and
WHEREAS, the Commissioners have not previously classified the subject road as
either a first class or second class road, nor is the road listed on the current list of County
Roads for Calhoun County, Texas; and
WHEREAS, the Commissioner's actions to close, abandon and vacate the portions
of roadways have not been enjoined or sought to be enjoined by any party; and
WHEREAS, proper notice of the petition to close, abandon and vacate the portions
of roadway has been posted at the Courthouse door of Calhoun County, Texas and at two
other places in the vicinity of the roadway, being near the gate to the property located at
the intersection of Highways 185 and 238 and one at the gate entering the property from
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Heiland Road on the northwesterly side of the property, for at least twenty (20) days
before the date the application was made to the Court; and
WHEREAS, the Commissioners have voted unanimously to close, abandon and
vacate the portions of the roadway described in this Order as shown on the Plat attached
to the Partition Deed described hereinabove; and
WHEREAS, all requirements of Texas Transportation Code have been complied
with in declaring said roadway to be closed, abandoned and vacated.
NOW, THEREFORE, ON MOTION DULY MADE BY Commissioner
Finster and SECONDED by Commissioner
, and upon said Motion having been approved
by the Commissioner's Court in a properly posted public meeting;
Fritsch
IT IS ORDERED AND DECREED, that Calhoun County does hereby CLOSE,
ABANDON and VACATE those portions of the County Road described as a County
Road across the 1033.74 acre tract (the 1033.74 acre tract being more fully described in
the attached exhibit "A"), said property being near the intersection of State Highways 185
and 238 in Calhoun County, Texas, in Precinct #4, Calhoun County, Texas and being the
same County Road shown as an attachment to that certain partition deed dated December
1, 1915 among Ms. Lillie Roemer, et aI, as filed for record in Volume 8, Page 535 of the
Deed Records of Calhoun County, Texas, a copy of which County Roadway to be closed,
abandoned and vacated from that Partition Deed is attached hereto and marked as Exhibit
"B", said County Road being circled and marked on said Exhibit "B".
3
IT IS FURTHER ORDERED AND DECREED that on the date this Order is
signed, title to all of the portion of the roadway closed by this Order is vested in Forestar
(USA) Real Estate Group, Inc., the owners of the property that abuts both sides of the
closed, abandoned and vacated road, pursuant to Texas Transportation Code S251.058(b).
SIGNED THIS the 26th day of July, 2012.
CALHOUN COUNTY, TEXAS
H N IL E. FRITSCH
CO ISSIONER, PRECINCT NO.3
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HONORABLE KENNETH W. FINSTER
COMMISSIONER, PRECINCT NO.4
4
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"", ,) ATCfEj1>,l};\D TO BY:
" ......ANITK:FRICKE
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CALHOUN COUNTY CLERK
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'~-;I/:f;':':!~,;\, ',: . ':\~.~i, (<~:\,~~~,~:. -
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, Deputy Clerk
After Recording Return:
David Roberts
Roberts, Roberts, Odefey & Witte, LLP
P. O. Box 9
Port Lavaca, Texas 77979
5
1033.74 ACRES
TJflE STATE OF TEXAS}
TJflE COUNTY OF CALHOUN}
BEING a 1033.74 acre tract ofland situated in the Miguel Castillo Survey, Abstract 7, Calhoun
County, Texas, and being comprised of all of Tract 1 described as 144,32 acres, Tract 2 described
as 258 acres and Tract 3, desclibed as 19,8 acres as conveyed from George Pinclmey Hardy, et al
to Forestar (USA) Real Estate Group, Inc. according to the document recorded in Instrument No.
102847 of the Official Records ofCalhonn County, Texas, and all of that certain 582.15 acre tract
of land as conveyed from Lillian Ann Underwood to Forestar (USA) Real Estate Group, Inc.
according to the document recorded in Instrument No.1 02992 of the Official Records of Calhoun
County, Texas, said 1033.74 acre tract ofland being more fully described by metes and bounds as
follows:
BEGINNING at a 5/8 inch diameter steel rebar with cap stamped "G & W" found in the current
southwest light-of-way line of State Highway No. 185 (120' R.O.W.), said rebar marking the
north comer of said Tract 2 and the east comer of the said 582.15 acre tract of land;
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THENCE, South 31 deg. 29' 19" East, with said right-of-way line, a distance of2509.97 feet to a
5/8 inch diameter steel rebar with cap stamped "G & W" found marking the east comer of said
Tract 1 and the herein described tract, same being the north comer of that certain 505.92 acre
tract of land as conveyed from Danny G. Dierlam to Mig Land West, L.P. according to the
document recorded in Instmment No. 106749 of the Official Records of said County;
THENCE, South 55 deg. 00' 00" West, (Basis of Bearing) with the northwest line of the said
505.92 acre tract, passing at 8577.30 feet, a 5/8 inch diameter steel rebar set for a reference point
on the bank of tbe Intracoastal Water Way (Barge Canal) and continuing for an overall distance
of 8877.30 feet to a point for the south corner of said Tract 1 aud the herein desclibed tract;
North 16 deg. 50' 00" East, a distance of 608.30 feet;
North 06 deg. 14' 00" Wes~ a distance of 241.00 feet;
North 02 deg. 55' 00" East, a distance of 437.00 feet;
North 09 deg. 12' 00" East, a distance of 545.97 feet;
North 02 deg. 08' 38" East, a distance of380.05 feet;
North 73 deg. 37' 41" West, a distance of38.30 feet;
North 11 deg. 47' 41" West, a distance of 180.00 feet;
North 06 deg. 32' 19" East, a distance of 324.50 feet;
North 21 deg. 03' 41" West, a distance of 174.30 feet;
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THENCE, with the meanders ofthe original property line (now in the harge canai) as follows:
And, North 07 deg. 56' 41" West, a distance of 304.95 feet 10 a point for the west comer of said
Tract 3;
THENCE, North 55 deg. 00' 00" East, a dista~ce of204.70 feet to a point for the south comer of
the said 582. I 5 acre tract, said point being 16.2 feet southeast of said barbed wire fence and being
on the east right-of-way line of the West Side Calhoun County Navigation District (400'
R.O.W,), said point also bears South 55 deg. 00' 00" West, a distance of 1140.28 feet from a 5/8
il1ch diameter steel rebar with cap stamped "G & W" found in the common line of said Tract 3
and the south line of said 582. 15 acre tract for a reference point;
THENCE, with said light-of-way line as follows:
Exhibit (CA>>
Page 1 013
North 04 deg. 48' 57" West, 169.46 feet;
North 08 deg. 08' 57" West, 200.20 feet;
NOlth 12 deg. 08' 57" West, 200.00 feet;
North 15 deg. 40' 57" West, 200.00 feet;
North 18 deg. 15' 57" West, 100.00 feet;
North 21 deg. 15' 57" West, 200.00 feet;
Norih23 deg.49' 57" West, 95.00feet;
North 26 deg. 19' 57" West, 105.00 feet;
North 28 deg. 57' 57" West, 100.20 feet;
Northn deg. 19' 5:'/" West, 450,00 feet;
NOlih 45 deg. 52' 57" West, 908.80'feet;
North 43 deg. 40' 57" West, 1173.70 feet to a point the east right-of-way line of the said West
Side Calhonn County Navigation District, said point being the west comer of the herein described
tract and south comer of the remainder of that certain 11.08 acre tract of land as conveyed to
Belle D. Smith according to instrument recorded in Volume 25, Page 158 ofthe Official Records
of said County;
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THENCE, North 72 deg. 45' 03" East, with the common line of said 11.08 acre remainder, a
distance of 651.30 feet to a concrete monument found marking the east comer of said 11.08 acre
remainder and an interior comer of the herein described tract;
THENCE, North 17 deg. 14' 57" West, a distance of 600.00 feet to a concrete monument found
marking the north comer of the said 11.08 acre remainder and a northwesterly comer of the
herein described tract;
THENCE, North 72 deg. 50' 33" East, along a barbed wire fence, a distance of770.10 feet to a
cailed for fence post for an angle point;
TJEiENCJE, North 70 deg, 39' 13" East, a distance of 178.59 feet to a called for fence post for an
angle point;
TJ!l.ENCE, North 68 deg. 25' 47" East, a distance of 249.83 feet to a called for fence post for an
angle point;
TJillENCE, North 66 deg. 41' 49" East, a distance of 74.41 feet to a cailed for fence post for an
angle point;
THENCE, North 56 deg. 3!' 46" East, a distance of 254.74 feet to a called for fence post for an
angle point, said fence post being on the recognized common line of said Miguel'Castillo Survey
and the Pedro Mirando League;
THENCE, North 55 deg. 10' 25" East, along said common line and general direction of said
barbed wire fence, distance of 4670.83 feet to a fence comer post found marking the north comer
of the herein described tract, said fence post being in the southwest right.of-way line of said State
Highway No. 185;
Exhibit "AH
Page 2 of3
THENCE, South 31 deg. 31' 06" East, along said right-of-way line and barbed wire fence, a
distance of 2975.22 feet to a 5/8 inch diameter steel rebar set to mark the north comer of a 0.52
acre tract of land as conveyed to Virgil Claude Cassel according to illstrument recorded in
Volume 85, Page 411 oftheDeed Records of said County;
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THENCE, South 58 deg. 28' 54" West, a distance of 150.00 feet to a 5/8 inch diameter steel
rebar set to mark the west corner of said 0.52 acre tract;
TJErnNCIE, South 31 deg. 31' 06" East, a distance of 150.00 feel to a 5/8 inch diameter steel rebar
set to mark the south comer of said 0.52 acre tract;
TJErnNCE, North 58 deg. 28' 54" East, a distance of 150.00 feet to a 5/8 inch diameter steel rebar
found marking the east comer of said 0.52 acre tract and being in the southwest right-of-way line
of said State Highway No. 185;
THENCE, South 31 deg. 31' 06" East, along said right-of-way line, a distance of 404.19 feet to
5/8 inch diameter steel rebar found marking the north comer of a 1.00 acre tract of land as
conveyed to Donald Leonard Lynch, et ux according to instrument recorded in Volume 206, Page
384 ofthe Deed Records of said County;
THIENCE, South 55 deg. 00' 54" West, a distance of 209.10 feet to a 5/8 inch diameter steel
rebar found marking ihe west comer of said 1.00 acre tract;
THENCE, South 31 deg. 31' 06" East, a distance of208.71 feet to a 5/8 inch diameter steel rebar
found marking the south comer of said 1.00 acre tract;
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TI.{JENCE, North 55 deg. 00' 54" East, a distance of209.10 feet to a 5/8 inch diameter steel rebar
found marking the east comer of the herein described tract, and being in the southwest right-of-
way line of said State Highway No. 185;
THENCE, SouU,31 deg. 31' 06" East, along said right-of-Way line, a distance of40.1O feet to
the POINT OF l3EGINNING, CONTAINING within these metes and bounds a 1033.74 acre
tract ofland, more or less, of which 4.98 acres lies within the Intracoastal Water Way Easement.
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All set 5/8 inch diaineter steel rebar marked with yeliow plastic cap stamped "URBAN
SURVEYJNG, INC."
Bearings are based on bearings of record recorded in Instrument No. 102992 of the Official
Records ofCaihoun County, Texas.
The foregoing legal description and accompanying survey plat were prepared from an actual
survey made on the ground under my supervision in March, 2005 and March, 2012 and are true
and correct to the best of my knowledge and belief.
. ,
.... .'.
...1
Urban Surveying, Inc.
By: Wrn. Patrick Hohlt
Registered Professional Land Surveyor
Texas No. 5523
S I 8462-C
3. 'c??);2
Exhibit "A"
Page 3 on
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County Roadway to be closed,
abandoned and vacated
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COUiYI;y OOl.U't of ~"C'Hl Oo\Lry:t:~r. do heri,037 cffi:tif2~ tr.ut the
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A. .D. 1916, ttiti\ i~cs ce.):'ti~icc:t&s of n,'''c;,€:n~ic(!tion, -;ms iiled
EXHIBIT
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at 10 O'clo~]( j.:'., i'il ":::0 "C'!!1 :~r}.cor'\~ o~-:- i:: ill 'Jo;;({c~' in ':'olu::.e 8, ~ \~
on :;,..l~ j35-,;;-(,- '.:~'j'_;!'" .:!'_::.',Q. \, ~
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CALHOUN COUNTY COMMISSIONER, PRECINCT J
24627 State Hwy. 172 - OlivIa, Port Lavaca, Texas 77979 - Office (361) 893-5346 - Fax (361) 893-5309
Home (361) 552-3145 - Neil E. Fritsch, Cornrnk~ioner,Pct. 3 - Mobile (361) 920-5346
Emall: ccprct3@laward.com
July 19, 2012
To: Honorable Judge Michael Pfeifer
From: Neil Fritsch
Re: Agenda Item
Please place the following item on the Commissioner's Court Agenda for July 26, 2012:
"Discuss and take necessary action to Vacate and Abandon a 0.16 acre portion of "C" Street,
Olivia Townsite adjacent to Lots 1-4, Block 35, Calhoun County, Texas."
J
Respec~~I~~ .
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, Nli~ E: Fritsch
cc: Roger Galvan
Vern Lyssy
Kenneth Finster
Susan Riley
REQUEST TO VACATE AND ABANDON A 0.16 ACRE PORTION OF "C" STREET, OLIVIA TOWNSITE
ADJACENT OT LOTS 1-4, BLOCK 35, CALHOUN COUNTY, TEXAS:
William S. Lawton, property owner in Precinct 3, requests 0.16 acre portion of"C" Street in Olivia be abandoned
and vacated.
Commissioner Fritsch:
The roads have never been developed as a platted road and the petitioner owns both sides of the road.
Ty Zeller:
The abandonment has to do with the following item as well. The abandonrnent does not cut off anything and
leads to the petitioner's property.
A Motion was made by Commissioner Fritsch.
Discussion:
Judge Pfeifer:
Not vacating part of the street as the petitioner does not own both sides of the property facing the street. Mr.
Lawton and Mr. Treimont do not own Lots 11 and 12.
How does Lot 11 get access to his property? Through 5th Street and a public alley behind the iot. To get to Lots
11 and 12 the "C" Street access would change from a thirty foot (30') street to a twenty foot (20') street. There
is a house on the property, but it Is vacated at this time. It is just flat land.
It was decided that there is a need to get something in writing from owner of Lots 11 and 12 agreeing to the
closure of the street.
Pass on this item until written documentation Is presented.
NOTICE TO THE PUBLIC
Under the authority of Section 251.052 of the Texas Transportation Code, William S.
Lawton intends to petition the Commissioners Court of Calhoun County to abandon and
vacate a 0.16 acre portion of "C" Street for a total of 0.16 acres situated in the William
Arnold Survey, A-2, Calhoun County, Texas and being part of platted "C" Street adjacent
to Lots 1-4 in Block 35 of Olivia Townsite according to the plat recorded in Volume Z,
Page 138 of the Plat Records of Calhoun County, Texas. Petitioner as landowner of
property in the Precinct will ask the County to execute an order stating the roadway has
been abandoned and vacated by the Commissioners Court of Calhoun County, Texas.
William S. Lawton
361-893-5588
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CALHOUN COUNTY COMMISSIONER, PRECINCT 3
24627 state Hwy, 172 - Olivia, Port Lavaca, Texas 77979 - Office (361) 893-5346 - Fax (361) 893-5309
Home (361) 552-3145 - Neil E. fritsch, Commissioner, Pet. 3 - Mobile (361) 920-5346
Ernall: ccprct3@laward.com
July 19, 2012
To: Honorable Judge Michael Pfeifer
From: Neil Fritsch
Re: Agenda Item
Please place the following item on the Commissioner's Court Agenda for July 26,2012:
"Discuss and take necessary action to Vacate and Abandon a 0.24 acre portion of "C" Street,
Olivia Townsite adjacent to Lots 5-6, Block 35 and Lots 7-10, Block 34, Calhoun County,
Texas."
Respectfully,
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, ~~il E. Fritsch
cc: Roger Galvan
Vern Lyssy
Kenneth Finster
Susan Riley
REQUEST TO VACATE AND ABANDON A 0.24 ACRE PORTION OF "C" STREET, OLIVIA TOWNSITE
ADJACENT TO LOTS 5-6, BLOCK 35 AND LOTS 7-10, BLOCK 34, CALHOUN COUNTY, TEXAS:
Robert A. Triemert, property owner in Precinct 3, requests 0.24 acre portion of "C" Street in Olivia be abandoned
and vacated.
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
NOTICE TO THE PUBLIC
Under the authority of Section 251.052 of the Texas Transportation Code, Robert A.
Triemert intends to petition the Commissioners Court of Calhoun County to abandon and
vacate a 0.24 acre portion of "C" Street for a total of 0.24 acres situated in the William
Arnold Survey, A-2, Calhoun County, Texas and being part of platted "C" Street adjacent
to Lots 5-6 in Block 35 and Lots 7-10, Block 34 of Olivia Townsite according to the plat
recorded in Volume Z, Page 138 of the Plat Records of Calhoun County, Texas.
Petitioner as landowner of property in the Precinct will ask the County to execute an order
stating the roadway has been abandoned and vacated by the Commissioners Court of
Calhoun County, Texas.
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VACATE AND ABANDON A 0.24 ACRE PORTION OF "c" STREET IN OLIVIA
TOWNSITE ADJACENT TO LOTS 5-6, BLOCK 35 AND LOTS 7-10, BLOCK 34,
CALHOUN COUNTY, TEXAS.
A Motion was made by Commissioner Fritsch and seconded by Commissioner
Lyssy to Vacate and Abandon a 0.24 acre portion of "c" Street, Olivia
Townsite adjacent to Lots 5-6, Block 35 and Lots 7-10, Block 34, Calhoun County, Texas
as shown on the following Order with exhibits attached.
Commissioners Galvan, Lyssy. Fritsch. Finster and Judqe Pfeiffer
all voted in favor.
Commissioners None
voted not in favor.
ORDER DECLARING CLOSURE OF A 0.24 ACRE PORTION OF "c" STREET IN
OLIVIA TOWNSITE ADJACENT TO LOTS 5-6, BLOCK 35 AND LOTS 7-10, BLOCK 34,
CALHOUN COUNTY, TEXAS.
WHEREAS, on the 26th day of July, 2012 the Commissioner's Court of Calhoun
County, Texas considered the request of Robert A. Triemert, being a property owner in
Precinct 3 of Calhoun County, Texas, to abandon and vacate a 0.24 acre portion of "c"
Street, Olivia Townsite, Calhoun County, Texas, more fully hereinafter described and as
shown on Exhibit "A" which is attached to this order and incorporated by reference.
WHEREAS, Texas Transportation Code 251.051 vests in the Commissioner's
Court the authority to abandon or vacate a portion of the Public Road; and
WHEREAS, the Commissioners have not previously classified the subject road as
either a first class or second class road; and
WHEREAS, the Commissioner's actions to abandon or vacate the road has been
posted at the Courthouse door of Calhoun County, Texas and at other places in the
vicinity of the affected route, being at the Olivia Volunteer Fire Department, the Port
Lavaca Post Office and at a location near the roadway to be abandoned and vacated, for
at least twenty (20) days before the date the application was made to the Court; and
WHEREAS, the Commissioners have voted unanimously to abandon and vacate
the 0.24 acre portion of the road described on the attached Exhibit "A"; and
WHEREAS, all requirements of Texas Transportation Code 251.051 and 251.052
have been complied with in declaring said road to be abandoned and vacated.
NOW, THEREFORE, ON MOTION DULY MADE BY Commissioner Fritsch and
SECONDED by Commissioner Lyssy
, and upon said Motion having been
approved by the Commissioner's Court in a properly posted public meeting;
IT IS ORDERED AND DECREED, that Calhoun COl,lnty does hereby CLOSE,
ABANDON AND VACATE that 0.24 acre portion of "C" Street described on the attached
Exhibit "A".
IT IS FURTHER ORDERED AND DECREED that on the date this Order is signed,
,
title to the 0.24 acre portion of "C" Street closed by this Order is vested in Robert A.
I
Triemert, the owner of the property that abuts the east and west side of the closed road,
pursuant to Texas Transportation Code 251.058(b).
,
IT IS FURTHER ORDERED AND DECREED that a c~py of this Order be filed in .
,
the Official Records of Calhoun County, Texas and duly filed copy of this Order shall
,
serve as the official instrument of conveyance of the closed 0.24 acre portion of "C"
Street, Olivia Townsite, Calhoun County, Texas from CALHOUN COUNTY to Robert A.
Triemert, owner of the abutting property as set forth hereinabove, pursuant to Texas
Transportation Code 251.058(b).
SIGNED THIS d../E'" day of ~u.\'--\
,2012.
CALHOUN COUNTY TEXAS
J(~
~RAB~ MI HAEL J. PFEIFER,
. CALHOUN COUNTY JUDGE
ATTESTED TO BY:
ANITA FRICKE
CALHOUN COUNTY CLERK
BY:~L ~d~"",-
Depu Clerk
After Recording Return:
Ty Zeller
Attorney At Law
110 Suffolk
Hallettsville, TX 77964
Exhibit "A"
0.24 ACRE
William Arnold Survey,
Abstract No.2,
Calhoun County, Texas.
STATE OF TEXAS
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COUNTY OF CALHOUN
DESCRIPTION of a tract or parcel of land containing 0.24 acre situated in the William Arnold Survey, A-
2, Calhoun County, Texas and being part of platted "c" Street adjacent to Lots 7-8 in Block 34 and Lots 5
& 6 in Block 35 of Olivia Townsite according to the plat recorded in Volume Z, Page 138 of the Calhoun
County Plat Records. This 0.24 acre is more particularly described by metes and bounds as follows:
BEGINNING at an iron rod set at the Southwest corner of said Lot 7 in Block 34 in the North line of
Fourth Street which bears N 000 00' 00" W, 70.00 feet [North, 70 feet, Plat Call] from an existing iron rod
located at the Northwest corner of Lot 12 in Block 39 for the Southeast corner of this 0.24 acre being
described;
THENCE, S 900 00' 00" W [West, Plat Call], with the North line of said Fourth Street a distance of70.00
feet [70 feet, Plat Call] to an iron rod set at the Southeast corner of Lot 6 in Block 35 for the Southwest
corner of this 0.24 acre being described;
THENCE, N 000 00' 00" W [North, Plat Call] (Reference Bearing Line), with East line of Lots 6 & 5 in
Block 35 and the West line of "C" Street a distance of 1 00.00 feet [100 feet, Plat Call] to an iron rod set at
the Northeast corner of said Lot 5 and the Southeast corner of Lot 4 of Block 35 in the said West line of
"c" Street for the lower Northwest corner of this 0.24 acre being described;
THENCE, N 900 00' 00" E [East, Plat Call], a distance of 35.00 feet [35 feet, Plat Call] to a nail set in the
center of "c" Street for an interior corner of this 0.24 acre being described;
THENCE, N 000 00' 00" W [North, Plat Call], with the center of "C" Street a distance of 1 00.00 feet to a
nail set for the upper Northwest corner of this 0.24 acre being described;
THENCE, N 900 00' 00" E [East, Plat Call], a distance of 35.00 feet [35 feet, Plat Call] to an inch iron rod
set at the Northwest corner of Lot 10 and the Southwest corner of Lot 11 in Block 34 and in the East line
of "c" Street for the Northeast corner of this 0.24 acre being described;
THENCE, S 000 00' 00" E [South, Plat Call], with the East line of "c" Street and the West lines of said
Lots 10-7 in Block 34, a distance of 200.00 feet [200 feet, Plat Call] to the PLACE OF BEGINNING,
containing within these metes and bounds 0.24 acre. '
This field note description and a plat were prepared from a survey made on the ground under my
direction on April 17, 2012.
Dennis J. Ellis
Registered Professional
, ____I ......._.__~____ 1\.1_ A""J'''.....
Exhibit "Au.
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SURVEY PLAT SHOWING
0.16 ACRE BEING PART
OF PLATTED "Cn STREET
ADJACENT TO LOTS 1-4,
BLOCK 35 OF OUVlA TOWNSITE,
VOLUME Z, PAGE 138 OF
TIiE CALHOUN CO. PLAT
RECORDS, WILLIAM ARNOLD
SURVEY, ABSTRACT NO.2,
CALHOUN COUNTY, TEXAS
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DRA'!\1i 1m 1<"CO/J'O BY: OAll.'; SC".lE: ,.:ce NQ-.: uP.Ai'llNG <<0.,
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Kenneth W. Finster
I{)
County Commissioner
County of Calhoun
Precinct 4
July 18,2012
Honorable Michael Pfeifer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Pfeifer:
Please place the following item on the Commissioner's Court Agenda for July 26,2012.
· Consider and take necessary action on Final Plat of Seaport Lakes Phase One
Extension.
Sincerely,
~w.k
Kenneth W. Finster
KWF/at
P.O. Box 177 - Seadrift, TX 77983 - email: kennv.finsterlfficalhouncotx.or.. -1361\ 7R~-1141 -l?n (161\ 7R,"-<"""
FINAL PLAT OF SEAPORT LAKES PHASE ONE EXTENSION:
This item was skipped at this time. Waiting on more information.
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APPOINTMENT OF ELECTION JUDGES AND ALTERNATE JUDGES FOR A TWO YEAR TERM TO BEGIN
ON SEPTEMBER 1, 2012 AND TO EXPIRE ON AUGUST 31, 2014:
As per the State of Texas, Secretary of State Election Advisory, a list of Republican Party and Democratic Party
election judges and clerks was submitted for each county precinct for consideration by the Commissioners' Court
for appointment for the term of September 1, 2012 through August 31, 2014.
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
ORDER OF APPOINTMENT FOR ELECTION JUDGES AND ALTERNATES
The Commissioners Court of Calhoun County do hereby appoint the following election
judges and alternate judges for a two year term to begin on September 1, 2012 and
expire on August, 31, 2014
~iA~/
County Judg
~_.-;J w. ;;f~
Commissioner, Pct 4
lfJl lOlL UO; ICSp
(;Onnl9 Hunt
(361) 552-0917
REPUBLICAN PARTY ELECTION JUDGES/CLfRKS
Pet 1 Norma Tuttle Pet 14 Shirley Tucker/Monty
131 Elizabeth 361 Meadowview Dr
550-7433 552-2805/5580
Pct2 Judy Torres Pct 15 Georgia Mlkosh
516 Bonorden 121 Del Mar Dr
552-7592 552-6844/920-6844
Pet 3 (cornb w/pet 2) Pet 16 Tommie Corbell/Beth Woodall
104 Spyglass Hill / Rebecca Vaughn
Pet4 Mary Watkins!fom Tomlinson 552-1815
2211 Larry Dr
552-3995/972-9579 Pet 17 Margaret Hilscher/Kingsley Scott
506 Fairmont
Pet 5 Deborah Riley/Lake Watson 552-3233
18 La Lucia
552-2283/550-6792 Pet 18 Russ Torguson/Russ York
592 CR 311
Pct6 Joy Platte/Clay Stovall 746-5516
56 Omaha
552-4618 Pet 20 Ed Hunt/George Palmer
73 Schedler
Pet7 Don Tyson/Rose 552-0917
1917 Shofner
482-0647 Pet 21 Nancy Nunley
&22 1693 Sweetwater Rd
Pet 8 Mary Sue Woods/Lisa Peterson S52-3587
2113 McPherson
552-2091/550-7481 Pet 23 (Combine w/22)
Pet 9 Janie Hawkins/Jennifer Tomlinson Pet 24 Tanya DeForest
&10 1705 Ocean Or N, PO 1425 208 Washington 5t, Seadrift
552-9735 785-4095/550-9937
Pet 11 Janna Ralston/Debbie Davis Pet 25 Bill Moore/Caitlin Carter
211 Oakglen Dr 20 Bay St (PO 545), Port a/Connor
552-3356 983-4690
Pet 12 J.T. Kisian/Sara McClellan/Patti Fitzpatrick
346 Bay Meadows Ln
935--5910
Pet 13 Combine w/12
p,1
,
July 17, 2012
Commissioners Court
211 South Ann Street
Port Lavaca TX 77979
Gentlemen:
As per State of Texas, Secretary of State Election Advisory, the Democratic Party of the
CoUnty of Calhoun submits the following persons for consideration by Commissioners
Court for appointment and as Election Judges for the term September 1,2012 through
August 31, 2014, in those precincts where the candidate for the Democratic had the
highest number of votes in the November 2010 General Election or Alternate Election
Judge in those precincts where the Democratic Party candidate for governor did not carry
the highest number of votes in the November 2010 General Election. Also, I am
submitting herewith for your consideration and approval a list of members to be included
as part of the Early Voting Ballot Board, Signature Verification Committee and Central
County Station.
Precinct #1: Calhoun County Library
Judge Fanny Sanchez
1210 W. George, Port Lavaca
920.0797
Precinct #2: Old Roosevelt School
Judge Mary Sanchez
913 W. Mahan, Port Lavaca
552.4518
Precinct #3: Bethel Assembly of God Church
Judge Rosalinda Cuellar
Box 463 (210 Ave. C.), Port Lavaca
Port Lavaca TX 77979
Precinct #4: Heritage Building
Judge Lottie Hranicky
2218 Jackson, Port Lavaca
552.9260
Precinct #5: Judge Sandra Villarreal
207 Sand Dollar Dr., Port Lavaca
237.7383
y
Precinct #6: First Baptist Church lndianola
Judge Nancy Sharp
140 Silk Stocking St., Port Lavaca
552.6720
Precinct #7: Jackson Elementary School
Judge Patty Trevino
535 W. Main, Port Lavaca
676.2928
Precinct #8: Calhoun County Court House Annex
Judge Sammy Lerma
315 S. Trinity, Port Lavaca
746.8848
Precincts 9/10 Travis Middle School
Judge Florian (Bob) Koliba
813 N. San Antonio, Port Lavaca
552.2407
Precinct #11: Salem Lutheran Church
Judge Gail Venecia
2110 McPherson, Port Lavaca
746.8167
Precinct #12: Knights of Columbus
Judge Susie Daigle
495 Maxwell Lane, Pt. Lavaca
935.5812
Precinct #13: G. 1. Forum
Judge Ellie Garcia
1018 Porter Rd., Pt. Lavaca
552.7642
Precinct #14: Grace Episcopal Church
Judge Martha Barefield
106 E. Alice Wilkins, Port Lavaca
552.5533,482.9121
Precinct #15: City Hall
Judge Lois Perez
234 Bayou Dr., Port Lavaca
551.0518
Precinct #16: Bauer Community Center
Judge Val Torres
217 Travis, Port Lavaca
552.3254
Precinct #17: Bauer Community Center
Judge Benny Garcia
114 Holiday Lane, Port Lavaca
552.3342/676.3342
Precinct #18: Rick Brush Building, Point Comfort
Judge Mary Herrington
121 Lubbock (Box 524), Point Comfort 77978
987.2271
Precinct #19: Olivia-Port Alto Volunteer Fire Station
Judge Paul Machalik
1367 Co. Rd. 305, Port Lavaca
891.5339
Precinct 20/21 EMS
Judge Rose Marie Knobles
2856 South Hwy 238, Port Lavaca
552.3617
Precinct 22: Hatch Bend Country Club, Port Lavaca
Judge Delores Haverland
670 Matson Road, Port Lavaca
552.2231
Precinct 23: WCID #1 Office
Judge Emma Clay
2684 Farik Rd. (1502 Burkedale), Port Lavaca
552.3433/482.8875
Precinct 24: Seadrift City Hall
Judge Martha Madden
201 E. Toledo Street, Seadrift 77983
Precinct 25: Port O'Connor Fire Station
Judge Sherry Lambright
1201 Van Buren (Box 175), Port O'Connor 77982
983.2236/920.2236
Central Counting/Ballot Board/Signature Verification Board:
Evelyn Burleson
210 Tilley, Port Lavaca
552.2791
Minnie Cormier
2100 Vail Dr., Port Lavaca
552.5582/551.9585
Jack Burleson
210 Tilley, Port Lavaca
552.2791.
Should you have any questions, please let me know.
Respectfully submitted,
Evelyn Burleson, Chair
Calhoun County Democratic Party
210 Tilley Street
Port Lavaca TX 77979
552.2791
Susan Riley
From:
Sent:
To:
Subject:
/;A
rhonda kokena [rhonda.kokena@calhouncotx.org]
Monday. July 16. 2012 3:02 PM
susan riley
AGENDA ITEM
Please add the following to the agenda of July 26, 2012:
Approval and acceptance of the 2012-2013 Texas Association of Counties Health & Employee Benefits - Insurance Renewal
Contract and authorize Rhonda Kokena, Plan Administrator to sign.
RHONDA S. KOKENA
CALHOUN COlJNI'YI'REA8lJRER
2028. ANN ST.
PORI' LA VACA.. 7'X. 77979
361-553-4619 phone
361-553-4614/0."
Einjoy the little things"..For one day YOll will look back and realize
they were the big things.
1
2012-2013 TEXAS ASSOCIATION OF COUNTIES HEALTH & EMPLOYEE BENEFITS - INSURANCE
RENEWAL CONTRACT AND AUTHORIZE RHONDA KOKENA, PLAN ADMINISTRATOR TO SIGN:
Rhonda Kokena:
The percentage rate increase is 2.30%.
A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
TEXAS ASSOCIATION Of COUNTIES
I-hALTH AND EMPLOYEE BEN.El'lTS POOL
2012.2013 Renewal Notice and Benefit Confirmation
Group: 32810 - Calhoun County
Anniversary Date: 10/01/2012
Hired A~ .IO-ol-.;lr0,3
. Return to TAC by: 07/25/2012
Please Initial and complete each section confirming your group's benefits and fill out the contribution schedule according to your
group's funding levels. Fax to 1-512-481-8481 or emall to kellyk@county.org.
For any plan or funding changes other than those listed below, please contact Kelly KOlodzey at 1 -800-456-5974.
MEDICAL
Medical: Plan 1100 $25 Copay, $750 Ded, 80%, $3000 OOP Max RX Plan: Option 4B $10/25/40, $100 Dad
Your % rate increase is: 2.30% Your payroll deductions for medical benefits are: Pre Tax
Tier
Current
Rates
New Rates
Effective
10/1/2012
Employee Only $583.40 $596.82
Employee + Child $811.62 $830.28
Employee + Child(ren) $1.107.00 $1.132.46
Employee + Spouse $1,295.10 $1,324.88
Employee + Family $1,737.20 $1,777.16
'"{<1L . Initial to accept Medical Plan and New Rates.
New Amount
Employer
Pays
New Amount
Employee
Pays
New Amount
Retiree Pays
(Ifappllcable)
DENTAL
$ 001.50
$533.7J.
$ 5'75.4~
$ (ool.q(P
$ 0101.(.-.3'1
$ 4~ 3~
~
$ 55'7. 04-
$ 7;).-;:)..9d-.
$ It I ~. 70
. ..
.Dental: Plan fI 100% Prevent.. $50 Ded, 80% Basic, 50% Major
Your % rate increase Is: 2.20% Your payroll deductions for dental benefits are: Pre Tax
New Rates New Amount New Amount New Amount
Current Effective Employer Employee Retiree Pays
Tier Rates 10/1/2012 Pays Pays (if applicable)
Employee Only $21.28 $21.74 $ IQ.41 $ 01.38 $
Employee + Chlld(ren) $42.58 $43.52 $ t'1.164 $ ~6'.1./~ $
Employee + Spouse $46.84 $47.86 $ t7S1 $ 30 .1/5 $
Employee + Family . $68.10 $69.60 $ 15'.'1:3 $ 53.(01. $
"k'l- Initial to accept Dental Plan and New Rates.
32810 - Calhoun County, 2012-2013 Renewal Notice and Benefit Confirmation
TEXAS ASSOCIATION Of COUNTIES
HEALTH AND EMI'LOYEE BENEFITS POOL
2012 - 2013 Renewal Notice and Benefit Confirmation
Return to TAC by: 07/25/2012
Anniversary Date: 10/01/2012
Hired 13e~re,IO-oI-;20oa
Group: 32810 - Calhoun County
Please Initial and complete each section confirming your group's benefits and fill out the contribution scheduie according to your
group's funding levels. Fax to 1-512-481-8481 or emall to kellyk@county.org.
For any plan or funding changes other than those listed below, please contact Kelly Kolodzey at 1.800.456.5974.
MEDICAL
Medical: Plan 1100 $25 Copay, $750 Ded, 80%, $3000 OOP Max RX Plan: Option 48 $10/25/40, $100 Ded
Your % rate increase is: 2.30% Your payroli deductions for medical benefits are: Pre Tax
New Rates New Amount New Amount New Amount
Current Effective Employer Employee Retiree Pays
Tier Rates 10/1/2012 Pays Pays (if applicable)
Employee Only $583.40 $596.82 $ :mI. '50 $ qfi.?J:J.
Employee + Child $811.62 $830.28 $ q,q. fJ7 $ ..9,tl.~1
Employee + Child(ren) $1.107.00 $1.132.46 $ "8"if1. ?lJ $ ;)48.0~
Employee + Spouse $1,295.10 $1,324.88 $!o~r.4f1 $ .;l&i.7.1o
Employee + Family $1,737.20 $1,777.16 $/'-/.(pfp. (ji{..- $ ?; II. t;J.
~ Initial to accept Medical Pian and New Rates.
DENTAL
Dental: Plan Ii 100% Prevent., $50 Ded, 80% Basic, 50% Major
Your % rate Increase is: 2.20% Your payroll deductions for dental benefits are: Pre Tax
New Rates New Amount New Amount New Amount
Current Effective Employer Employee Retiree Pays
Tier Rates 10/1/2012 Pays Pays (if applicable)
Employee Oniy $21.28 $21.74 $ ICf.41 $ ~.38 $
Employee + Child(ren) $42.58 $43.52 $ 11-<64 $ ~rs. (P'6 $
Employee + Spouse $46.84 $47.86 $ 11.~1 $ BO.~~ $
Employee + Family $68.10 $69.60 $ ItS.'!?> $ ~3.I/l $
~\L-- Initial to accept Dental Plan and New Rates.
32810 - Calhoun County, 2012-2013 Renewal Notice and Benefit Confirmation
LIFE - BASIC
Basic Life Products:
(Rates are per thousand)
Coverage Volume per Employee: $10,000
Amount Amount
New Rates Employer Employee/
Current Effective Pays Retiree Pays
Rates 10/1/2012 (if applicable)
$0.280 $0.280 100% 0%
$0.035 $0.035 100% 0%
Basic Term Life
Basic AD&D
"KV-
Initial to accept New Basic Life Rates.
WAITIN!'> PERIOD
Wailing period appiies to all benefits.
Employees
60 days - Day following wailing period
Initial to confirm.
W-
Elected Officials
60 days - Day following waiting period
32810 - Calhoun County, 2012-2013 Renewal Notice and Benefit Confirmation
COBRA ADMINISTRATION
Please Indicate how your group manages COBRA administration:
lJ Self Administration on OASys lJ BCBS
if "Other", please Indicate COBRA Administrator: Cone..xis
1<1L- Initial to confirm COBRA Administration.
~her
~ ~ ~~ PLAN INFORMATION ~ ~ ~ ~
Please indicate your broker / agent's name, if applicable c'SM In~w(Jrs
. Retirees pay the same premium as active employees regardless of age for medical and dental.
. Rates based upon current benefits and enrollment. A substantial change in enrollment (10% over 30 days or 30% over 90
days) may result in a Change In rates.
. Form must be received by 07/25/2012 in order to avoid additional administrative fees.
. Signature on tha following page is required to confirm and accept your group's renewal.
32810 - Calhoun County, 2012-2013 Renewal Notice and Benefit Confirmation
TAC HEBP Member Contact Designation
Calhoun County
CONTRACTING AUTHORITY
As specified in the Inferlocal Participation Agreement. each Member Group hereby designates and appoints, as indicated in the
space provided beiow, a Contracting Authority of department head rank or above and agrees that TAC HEBP shall NOT be
required to contact or provide notices to ANY OTHER person. Further, any notice to. or agreement by. a Member Group's
Contracting Authority, with respect to service or ciaims hereunder, shall be binding on the Member. Each Member Group reserves
the right to change its Contracting Authority from time to time by giving written nolice to TAC HEBP.
Please list changes and/or correctIons below.
NamelTllle Honorable Rhonda S. Kokena, CIOlTreasurer
Address 202 South Ann Street, Suite A
Port Lavaca, TX 77979-4210
Phone 361-553-4620
Fax 361-553-4614
BILLING CONTACT
Emall rhonda.kokena@calhouncotx.org
Responsible for receiving all invoices relating to HEBP products and services.
Please list changes andlor corrections below.
Namemlle Honorable Rhonda S. Kokena, CIO/Treasurer
Address 202 South Ann Street, Suite A
Port Lavaca, TX 77979
Phone 361-553-4620
Fax 361-553-4614
Emall rhonda.kokena@calhouncotx.org
HIPAA Secured Fax
PRIMARY CONTACT
HEBP's main contact for daily matters pertaining to the health benefits.
Piease list changes andlor corrections below.
NamelTltle Honorable Rhonda S. Kokena, CIOlTreasurer
Address
Phone
Fax
202 South Ann Street, Suite A
Port Lavaca, TX 77979
361-553-4620
361-553-4614
Date: 1-d.5~d.Dld.
Sign ture of County JUdge or Co tracllng Authority
c.owrh(rre.a..suru / .vIM AdmLnisfr~-br
I
Please PRINT Name and Tille
The Texas Association of Counties would like to thank you for your membership in the oniy all county-owned and
county directed Health and Employee Benefits Pool in Texas.
32810 - Calhoun County, 2012-2013 Renewal Notice and Benefit Conflrmation
s USA N
TEXAS COMPTROLLER of PUBLIC ACCOUNTS
July 16,2012
13
COM B S
PO Box 13528. AUSTIN, TX 78711-3528
The Honorable Anita Fricke
County Clerk
Calhoun County
211 S. Ann St.
Port Lavaca, Texas 77979-4203
Dear Ms. Fricke:
Our office is in the process of compiling the 2013 Sheriffs' and Constables' Fees report as required
under Texas Local Government Code Section 118.131. This law requires each commissioners court to
set fees charged for civil services by the offices of the sheriff and constables and directs that these fees
be reported to the Comptroller.
By law, each year these fees must be set before Oct. 1, and reported to the Comptroller's office no
later than Oct. 15. We will compile and publish the report, and the new fees become effective on
Jan. 1,2013. Failure to meet this deadline will result in 2012 fees remaining in effect throughout 2013.
Enclosed are instructions for repOlting the 2013 fees to our office. To review and file your county's
revised fees, please use the following digit access ill code to gain__Please complete
the 2013 Sheriffs' and Constables' Fees report electronically by O~se be aware that
even if the county has no changes in fees, the county is still responsible for reporting that information
to the Comptroller's office.
The 2013 Sheriffs' and Constables' Fees repOlt will be available on our Texas Ahead website at
www.texasahead.org/lga/sheriffs on Jan. 1,2013.
If you need assistance completing the report, please contact Michelle Luera of our Economic
Development and Analysis Division at michelle.luera@cpa.state.tx.us or 1-800-531-5441, ext. 3-6053.
Sincerely,
~~~
Susan Combs
Enclosure
cc: The Honorable Michael J. Pfeifer
Michelle Luera, EDA Regional Representative
WWW.WINDOWSTATE TX us
512-463-4000 . TOLL FREE- 1-800-531-5441 . FAX 512-463-4965
2013 SHERIFF'S AND CONSTABLES' FEES:
The office of the Texas Comptroller of Public Accounts is in the process of compiling the 2013 Sheriffs' and
Constables' Fees report required under Texas Local Government Code Section 118.131. Commissioners' court is
to set fees charged for civil services by the offices of the sheriff and constables and those fees are to be
reported to the Comptroller. These fees must be set before October 1 and reported to the Comptroller no later
than October 15. Failure to set new fees by the deadline will result in 2012 fees remaining in effect throughout
2013.
Sheriff Browning:
Examined the fees charged by other counties and are getting in line with them by raising the following four (4)
areas:
Fee Name Current Raised
Fee Amount Fee Amount
Writ of Garnishment $100.00 $150.00
Forcible Detainer $ 75.00 $100.00
. Service Of/Attempted Service
of Civil Process document $ 75.00 $ 90.00
Offense Report (w/o attachments) $ 2.00 $ 3.00
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Sheriffs' and Constables' Fees Update
Due by Oct. 15,2012
ATTENTION:
County Judge and Commissioners Court
Changes to your Sheriffs' and Constables' fees for 2013, as authorized by Texas Local Government
Code Section 118.131, must be submitted to the Comptroller's office no later than Oct. 15,2012. To
meet this deadline and to comply with the law, you must:
· place this item on your commissioners court meeting agenda
· adopt the fees before Oct. 1, 2012.
ATTENTION:
County Clerk
To repOlt your 2013 fees go to .. ~._.. and click on the blue "Report Fee
Updates" button. This will bring up the Sheriffs' alid Constables' Fees reporting tool. Enter the access
code listed on the enclosed letter and select Submit. The 'new page will list current fees that are in effect for
your county.
· If there are no changes, please indicate by marking "Submit With No Fee or Address
Changes."
· Enter the required information and submit.
OR
· If the commissioners court adopted changes on or before Oct. 1, 2012, please indicate by
marking "Submit With Fee or Address Changes."
· Please enter the required information and use the submit button to go to the next page. ,
· Change or add any new fees your county may have adopted for 2013.
· Use the tool bar located above the list of fees to add new fees or to change the address and/or
phone number that you want to appear in the online repOlt.
· When all changes have been completed, use the submit button at the bottom of the page.
Thank you for your assistance with this matter. If you have questions, please contact your regional
representative at michelle.luera@cpa.state.tx.us or 1-800-531-5441, ext. 3-6053.
CALHOUN COUNTY Fees c20 I ;;2
"
Fee Name Fee
Amount
Notices:
Subpoenas $ 75.00
Summons $ 75.00
Writ of Attachment $ 150.00
Writ of Garnishment $ 100.00
Writ of Sequestration $ 150.00
Orders of Sale $ 150.00
....
Writ of Possession $ 150.00
Forcible Detainer $ 75.00
Precept to Serve $ 75.00
Temporary Restraining Order $ 75.00
Writ of Execution $ 150.00
Writ of Habeas Corpus $ 150.00
Turn Over Order $ 150.00
Writ ofInjullction $ 150.00
All Other Writs not Specified $ 150.00
.~.._.~
Service Fees:
Small Claims Citation $ 75.00
......
Justice Court Citation $ 75.00
All Other Comis' Citations $ 75.00
Other Service Fees:
Show Cause Notice $ 75.00
Probate Citation by Posting/Publication $ 25.00
Other Citation by Publication/Posting $ 75.00
m
Notice of Hearing $ 75.00
Notice of Sale $ 60.00
. - --~.-._- --------~.... ._-~.~--~---_...__._-"_..~ ..u_..w .--..-.-.-.... -.. .- ... _m._ _ _.___..
....150
..../DO
$ 60.00
$ 75.00 /<10
Notice of Sale Posting (per location)
Service of or Attempted Service of any Civil Process
document not listed
Clearance Letter/Background Check
Accident Report
$ 5.00
$ 4.00
II No fee assessed for serving or entering A-otective <::d
11111 ..lJ ....i
Fingerprints
i
Copy ofC.D.
Copy ofV.H.S. tape
Reprints of Photos (each)
Mugshots
Offense Report (without attachments)
$ 5.00
$ 5.00
$ 5.00
$ 2.00
$ 5.00
$ 2.00
I Each additional page $025 ::tJ
ULJ .!J
1A;~hi~~d~e~;rt~C;;~~'h~~~;-I~;-~~~~rt~;;t)"-----"'-I-~$lo~()o-
IAdd;~~;-l--=c_'-'~-'--'-===.~--=="==='==----"--'-'-'===,,=_=.c==~=_===____==
I __m_... -Titj~:rc;~ty-Ci;;;:k---_..__m______-~_.___mm
1---Acid;~~~;12ijs~~th~Stl:~~t----'-~--------~-----'-~
I-Af~~~~~r-~-~-~----~_._-~-~----~---~--
1....-city:-S~f~~I~~~~-~~~~~~~~x 7;~79-------'----'--'---~----
1-......Ph~~~;136i.~553~441i--_m_.__._-__.___m__~___~----
I-._....-F~~:
DO
---3
CALHOUN COUNTY 2013 FEES
Notices:
Subpoenas
Summons
Writ of Attachment
Writ of Garnishment
Writ of Sequestration
Orders of Sale
Writ of Possession
Writ of Execution
Writ of Habeas Corpus
Forcible Detainer
Precept to Serve
Temporary Restraining Order
Turn Over Order
Writ ofInjunction
All other Writs not specified
Service Fees:
Small Claims Citation
Justice Court Citation
All Other Courts' Citation
$75.00
$75.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$150.00
$100.00
$75.00
$75.00
$150.00
$150.00
$150.00
$75.00
$75.00
$75.00
Other Service Fees: Show Cause Notice $75.00; Probate Citation by
Posting/Publication $25.00; Other Citation by PublicationIPosting $75.00;
Notice of Hearing $75.00; Notice of Sale $60.00; Notice of Sale Posting
$60.00 (per location); Service of or Attempted Service of any Civil Process
Document not listed shall be $90.00; Clearance Letter/Background check
$5.00; Accident Report $4.00; Fingerprints $5.00; Offense Reports (without
attachments) $3.00; Copy ofC.D. $5.00; Copy ofVHS tape $5.00; Reprint
of photos $2.00 each; Mugshots $5.00; Archived reports $10.00 per hour
plus repOli costs; No fee assessed for serving or entering Protective Orders.
l'-f
CALHOUN COUNTY, TEXAS
COUNTY SHERIFF'S OFFICE
211 SOUTH ANN STREET
PORT LA V ACA, TEXAS 77979
PHONE NUMBER (361) 553-4646
FAX NUMBER (361) 553-4668
MEMO TO: MIKE PFEIFER, COUNTY JUDGE
SUBJECT: CALHOUN COUNTY SHERIFF'S OFFICE 2012
FORFEITED PROPERTY FUND
DATE: JULY 12, 2012
Please place the following item(s) on the Commissioner's Court agenda for the date(s)
indicated:
AGENDA FOR JULY 26, 2012
* To acknowledge the increase of the Calhoun County Sheriff's Office
Forfeited Property Fund-Buy Money (2860-999-60580) in the amount of$3,000.00 and a
decrease in the Calhoun County Sheriff's Office Forfeited Property Fund-Supplies-
Miscellaneous (2860-999-53992) in the amount of $3,000.00 to cover expenditures.
Sincerely,
~e
'--
B.B. Browning
Calhoun County Sheriff
ACKNOWLEDGE THE INCREASE OF THE CALHOUN COUNTY SHERIFF'S OFFICE FORFEITED
PROPERTY FUND-BUY MONEY (2860-999-60580) IN THE AMOUNT OF $3,000.00 AND A DECREASE
IN THE CALHOUN COUNTY SHERIFF'S OFFICE FORFEITED PROPERTY FUND-SUPPLIES-
MISCELLANEOUS (2860-999-999-53992) IN THE AMOUNT OF $3,000.00 TO COVER
EXPENDITURES:
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
COUNTY OF CALHOUN
SHERIFF B. B. BROWNING
211 SOUTH ANN STREET
PORT LAVACA, TEXAS 77979
COlnlnitted to Community dVeedi
Memo To: Mike Pfeifer, County Judge
Roger Galvan, Commissioner Precinct # 1
Vern Lyssey, Connnissioner Precinct #2
Neil Fritsch, Commissioner Precinct #3
Kenneth Finster, Connnissioner Precinct #4
Subject: Forfeited Property Fund
Date: July 12, 20.12
This letter is to inform of an increase in the Sheriff's Office Forfeited
Property Fund- Buy Money (2860.-999-60.580.) in the amount of $3,0.0.0..0.0. and a decrease
in the Sheriff's Office Forfeited Property Fund-Supplies-Miscellaneous
(2860.-999-53992) in the amount of$3,DDD.DD to cover expenditures.
Sincerely,
/;/6
<:::::-
B.B. Browning
Calhoun County Sheriff
Main Office (361) 553-4646
Facsimile (361) 553-4668
COUNTY REPORTS:
The following monthly reports were presented:
1) County Clerk: June 2012
2) Justices of Peace:
i. Justice of the Peace #2: June 2012
iI. Justice of the Peace #4: June 2012
iii. Justice of the Peace #5: June 2012
3) Calhoun County Library: Meeting Room Annual Usage Report 2011
Seadrift Branch Library Annual Usage Report 2011
A Motion was made by Judge Pfiefer and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION
OFFICE FUND - JUNE 2012
CIVIL FUNDS
Countv Fees
County Clerk's Fees
Recording
Probate
Civil
Total County Clerk's Fees
Judge's Fees
Probate
Civil
Totel Judge's Fees
Probate Fees (Education Fees)
Sheriffs Fees
Jury Fees
Law Library Fees
Beer Licenses
Appellate Fund (TGC)
Court Reporter Fees
Civil Indigent Fees
Record Management Fees (County Clerk)
Record Management Fees (County)
Security Fees (County)
Bond Forfeitures
Subtotel County Fees
$8,960.70
240.00
280.00
24.00
0.00
State Fees
Judicial Funds (CV$574.00 + PR$492.00)
Marriage License Fees
Birth Certificate Fees
Total State Fees
SUBTOTAL
Overpmt of Filing Fees to be Refunded by Co. Clk.
TOTAL CiVIL FUNDS COLLECTED
$9.480.70
24.00
30.00
450.00
0.00
455.00
0.00
65.00
195.00
170.00
1,470.00
85.00
388.00
0.00
$12,812.70
1.066.00
642.50
91.80
1.800.30
$14,613.00
$14.613.00
CRIMINAL FUNDS
Total Criminal Court Costs & Fines & Pre-Trial Diversion
TOTAL FUNDS RECEIVED (As per ACS Report)
Bank Interest Earned
$7,904.00
Less Refunds for Overpayment of Filing Fees
TOTAL FUNDS RECEIVED
ADJUSTED FUNDS RECEIVED
Plus Re-Deposil of NSF Checks (Not recorded in ACS)
Less NSF Checks (Not recorded in ACS)
Co. Clerk Check
AMOUNT DUE COUNTY TREASURER
$22.517.00
$22,517.00
$22,617.00 l
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION (con't)
OFFICE FUND - JUNE 2012
DISBURSEMENTS
CI<#
Pavable To
DescrlDllon
TOTAL DISBURSEMENTS
CASH ON HAND OFFICE FUND
Beginning Book Balance
Funds Received
Disbursements
Plus Redepos~ of NSF Checks
Less NSF Checks
Ending Book Balance
BANK RECONCILIATION. OFFICE FUND
Ending Bank Balance
Outstanding Deposits....
Outstanding Checks"'.
Plus Other Items."
Less Other Items"
Reconciled Bank Balance
$0.00
Amount
$0.00
$0.00
$0.00
$0.00
.-....-....-..-....-....-...-..-...-....-...-..-...-..-..--...-...-....-...-...--..-..-...-....-.
CASH ON HAND. TRUST FUND
Beginning Book Balance
Funds Received
Disbursements
Ending Book Balance
$22,494.63
BANK RECONCILIATION. TRUST FUND
Ending Bank Balance
Outstanding Deposits"
Outstanding Checks"
Reconciled Bank Balance
$22.494.63
"See Attached
~d~
SUBMITTED BY: Anita Fricke. County Clerk
$22.494.63
0.00
0.00
$22.494.63
APPROVED BY: Michael J. Pfeifer, County JUdge
ENTER COURT NAME:
ENTER MONTH OF REPORT
ENTER YEAR Of REPORT
DUE TO OTHERS:
DU~TO CC1SD ~'50% OLFi
DUE TO DA RESTITUTION
REFUND OF OVERPAYME
OUT.Of.COUNTY SERVICE FEE
CASH BONDS .
AMOUNT
621.40
- , -: _ \19G;40-:IRECORD ON TOTAL PAGE OF HiLL COUNTRY SOFTWARE MO. REPORT
$425;-00 -;RECORO ON TOTAl PAGE OF HiLL COUNTRY SOFTWARE MO. REPORT
TYPE:
TOTAL WARRANT FEES
ENTER LOCAL WARRANTFEESI .
STATE WARRANT F
PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT
PLEASE INClUDE D,R REQUESTING DISBURSEMENT
PLEASE INCLUDE C.R REQUESTlNGDISBURSEMENT
PLEASE INCLUDE C.R. REQUESTING DISBURSEMENT
PLEASE INCLUDE C.R. REQUESTING DISBURSEMENT {IF REQUIRED)
TREASURERS RECEIPTS FOR MONTH:
C SH. CHECKS. M.O.s & REDITCARDS
TOTAL TREAS. RECEIPTS
AMOUNT
;$19,677A5 Calculate from ACTUAL Treasurer's Receipts
19;677.45
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
7/10/2012 COURT NAME: JUSTICE OF PEACE NO.2
MONTH OF REPORT: JUNE
YEAR OF REPORT: 2012
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45012 FINES 7.335.15
CR 1000-001-44190 SHERIFF'S FEES 933.53
ADMINISTRA TIVE FEES:
DEFENSIVE DRiVING 148.50
CHILD SAFETY 0.00
TRAFFiC 194.87
ADMINISTRATIVE FEES 711.50
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 1,054.87
CR 1000-001-44010 CONSTABLE FEES-SERVICE 525.00
CR 1000-001-44062 JP FILING FEES 100.00
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-SEA TBEL T FINES 10.00
CR 1000-999-20745 DUE TO STATE-CHILD SEATBEL T FEE 0.00
CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00
CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 671.65
TOTAL FINES, ADMIN. FEES & DUE TO STATE $10.630.20
CR 2670-001-44062 COURTHOUSE SECURITY FUND $286.37
CR 2720-001-44062 JUSTICE COURT SECURITY FUND $95.46
CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $383.37
CR 2699-001-44062 JUVENILE CASE MANAGER FUND $440.00
STATE ARREST FEES
DPS FEES 144.69
P&W FEES 2.17
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 146.86
CR 7070-999-20610 CeC-GENERAL FUND 383.86
CR 7070-999-20740 CCC-STATE 3,454.68
DR 7070-999-10010 3,838.54
CR 7860-999-20610 STF/SUBC-GENERAL FUND 96.91
CR 7860-999-20740 STF/SUBC-STATE 1,841.28
DR 7860-999-10010 1,938.19
CR 7950-999-20610 TP-GENERAL FUND 142.95
CR 7950-999-20740 TP-STATE 142.94
DR 7950-999-10010 285.89
CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20
CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 22.80
DR 7480-999-10010 24.00
Page 1012
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
7/10/2012
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999-20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised 07/13/11
COURT NAME: JUSTICE OF PEACE NO.2
MONTH OF REPORT: JUNE
YEAR OF REPORT: 2012
DR 7865-999-10010
CRIM-SUPP OF IND lEG SVCS-GEN FUND
CRIM-SUPP OF IND lEG SVCS-STATE
188.20
TLlFTA-GENERAl FUND 59.28
TLlFTA-STATE 118.56
18.82
169.38
DR 7970-999-10010 177.84
JPAY - GENERAL FUND 56.47
JPAY - STATE 508.25
DR 7505-999-10010 564.72
JURY REIMB. FUND- GEN. FUND 37.72
JURY REIMB. FUND- STATE 339.49
DR 7857-999-10010
377.21
CiVil JUSTICE DATA REPOS.- GEN FUND
CiVil JUSTICE DATA REPOS.- STATE
0.63
5.72
DR 7856-999-10010
6.35
TOTAL (Distrib Req to Oper Acct)
$19,383.20
DUE TO OTHERS (Dist,ib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
PARKS & WilDliFE FINES
WATER SAFETY FINES
0.00
0.00
52.00
0.00
0.00
148.75
93.50
TOTAL DUE TO OTHERS
$294.25
TOTAL COLLECTED-ALL FUNDS
LESS: TOTAL TREASUER'S RECEIPTS
OVER/(SHORT)
$19,677 .45
$19,677.45
$0.00
Page 2012
ENTERCOURT NAME:
ENTER MONTH OF REPORT
ENTERYEf\R OF REPORT
CODE
CASH BONDS
ADMINI,S;rRA TION ,FEI;-- ADMF
BREATH ALCoHOL TESTING - BAT
CONSOLIDATED COURT COSTS -' CCC
COURTHOUSE SECURITY - CHS
CJP
_ '_ "," ,_gIVIL' J,USTICE DATA REP.;, MVF,/CJDR
CORRECTIONAL MANAGEMENT INSTITUTE - CMI
CR
CHILD SAFETY - CS
CHILD SEATBELT FEE- CSBF
CRIME VICTIMS COMPENSATION - CVC
DPSC/FAILURE TO APPEAR - OMNI- DPSC
FUGITIVE APPREHENSION - FA
GENERALREVENUE-GR
CRIM - IND LEGAL SVCS SUPPORT -IDF
JUYENILE CRIMI; & DI,:L1NQUEN9X M ,JCD
JUVENILE CASE MANAGER FUND - JCMF
JUSTICE COURT PERSONNEL TRAINING - JCPT
JUSTlcE-COURT,SEcURITY FOND -: JCSF
- JUROR SERVICE-,FEE - JSF
LOCAL ARREST FEES - LAF
LEM'I
LEOA
LEOC
OCL
PARKS & WILDLIFE ARREST FEES - PWAF
STATE ARRESTFEES - SAF
SCHOOL CROSSING/CHILD SAFETY FEE - SCF
SUBT'ITLE C M"SqBC
T ABC ,ARRESTFEES -: TAF
TECHNOLOGY FUND:: TF
TRAFFIC - TFC
TIME PAYMENT - TIME
IiOCAL-& STATEWARRAr~(r',_FEES ~ \.yRNT
COLLECTION:SERVICE ,FI;:E~MVBA -:'CS"V
, : DEFENSIVE DRIVING:QQURSE:',:POQ
- --, ,: -'" ,DJ;FER_REO FE:~-:~ OFF
DRIVING EXAM FEE- PROV DL
_, '~fiuNG, FEE::':-.FFi::E
FILlNG,FEE SMALL CLAIMS - FFSC
COPIES/CERTlFED COPIES - CC
.1NDIGENTFEe;~,CIFF or ,ltilDF
JUDGE P!\Y RAISE FEE -JPAY
SERVICE FEE - SFEE
OUT-OF-COUNTY SERVICE FEE
EXPUNGEMENTFEE,-EXPG
EX~IRED-RENEW~Jj,~EXPR
ABSTRACT OF JUDGEMENT - AOJ
ALL WRITS - WOP I WOE
DPS FTA FINE'- DPSF
LOCAL FINES - FINE
LICENSE & WEIGHT- FEES., 'L'NF
PARKS,& WILDLIFE FINES - PWF
SEATBELTMNRESTRAINED ,CHILDiFIN.E:-, ~EAT
, . OVERPAYMENT ($10 & OVER) - OVER
. OVERPAYMENT (LESS THAN $10) - OVER
RESTITUTION - REST
PARKS & WILDLIFE-WATER SAFETY FINES-WSF
, WCR
TOTAL_ACTUAL M.O~EY_RECEIVEp
TYPE:
TOTALWARRAt-HFE~S ", _ ,,:'i:-:'
- ENTER.LOCAL.wARRA~T:-FEESI
STATE WARRANT FEES
DUE TO OTHERS:
DUE-TO CC.lSD.; 5Q%,of,Fin~_on'Jy_,cases
DUE TCrDARESTFf,UTION FUND '
REFUNO OF OVERPAYMENTS,
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
I~T/..L-DUE TO:,i~-j-'HERS
'---" ,.
TREASURERS RECEIPTS FOR MONTH:
CASH, CHECKS, M.O.s & CREDIT CARDS
TOTAL-TREAS, RECEIPTS
JUSTICE OF PEACE NO.4
JUNE
2012
AMOUNT
Revised 07/13/11
1,044.99
86.79
1.20
0.50
15.00
117.46
5.00
51.40
0.50
100.00
2.00
25.69
97.09
28.35
13.92
86.22
360.00
106.79
36.00
61.36
209.94
374.70
9.90
100.00
132.00
20.00
344.00
1,935.90
70.00
105.00
$6,641.70
AMOUNT
209.94
0.00 IRECORD ONTOTALPAGE OF HILL COUNTRY SOFTWARE MO. REPORT
$209.94, : RECORD ON TOTAL PAGE OF HILL COUNTRY SOFlWARE MO. REPORT
PLEASE INCLUDE OR REQUESTING DISBURSEMENT
PLEASE INCLUDE DR REQUESTING DISBURSEMENT
PLEASE INCLUDE D.RREQUESTING01SBURSEMENT
PLEASE INCLUDE D.R REQUESTING DISBURSEMENT
PLEASE INCLUDE D.R REQUESTlNGDISBURSEMENT (IF REQUIRED)
AMOUNT
$5,541.70 Calculate from ACTUAL Treasurer's Receipts
.. $6.641]0
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
7/5/2012 COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: JUNE
YEAR OF REPORT: 2012
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45014 FiNES 2.306.15
CR 1000-001-44190 SHERiFF'S FEES 276.41
ADMINISTRA T1VE FEES:
DEFENSIVE DRIVING 9.90
CHILD SAFETY 0.00
TRAFFIC 36.00
ADMINiSTRATIVE FEES 120.00
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 165.90
CR 1000-001-44010 CONSTABLE FEES-SERVICE 0.00
CR 1000-001-44064 JP FlUNG FEES 0.00
CR 1000-001-44090 COPIES 1 CERTIFIED COPIES 0.00
CR 1000-001-4911 0 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 374.70
TOTAL FINES. ADMIN. FEES & DUE TO STATE $3,123.16
CR 2670-001-44064 COURTHOUSE SECURITY FUND $86.79
CR 2720-001-44064 JUSTICE COURT SECURITY FUND $25.69
CR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $106.79
CR 2699-001-44064 JUVENILE CASE MANAGER FUND $100.00
STA TE ARREST FEES
DPS FEES 59.23
P&W FEES 2.78
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 62.02
CR 7070-999-20610 CCC-GENERAL FUND 106.92
CR 7070-999-20740 CCC-STATE 962.27
DR 7070-999-10010 1,069.19
CR 7860-999-20610 STF/SUBC-GENERAL FUND 18.00
CR 7860-999-20740 STF/SUBC-STATE 342.00
DR 7860-999-10010 360.00
CR 7950-999-20610 TP-GENERAL FUND 30.68
CR 7950-999-20740 TP-STATE 30.68
DR 7950-999-10010 61.36
CR 7480-999-20610 CiVIL iNDiGENT LEGAL-GEN. FUND 0.00
CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 0.00
DR 7480-999-10010 0.00
Page 1 of 2
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
7/5/2012
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999-20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised 07/13/11
COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: JUNE
YEAR OF REPORT: 2012
5.14
46.26
CRIM-SUPP OF IND lEG SVCS-GEN FUND
CRIM-SUPP OF IND lEG SVCS-STATE
51.40
TLlFTA-GENERAl FUND 39.15
TLlFTA-STATE 78.31
DR 7865-999-10010
DR 7970-999-10010 117.46
JPAY - GENERAL FUND 13.20
JPAY-STATE 118.80
DR 7505-999-10010 132.00
JURY REIMB. FUND- GEN. FUND 9.71
JURY REIMB. FUND- STATE 87.38
DR 7857-999-10010
DR 7856-999-10010
97.09
CIVil JUSTiCE DATA REPOS.- GEN FUND
CIVil JUSTICE DATA REPOS.- STATE
0.00
TOTAL (Distr/b Req to Oper Acct)
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTiTUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
PARKS & WilDLIFE FINES
WATER SAFETY FINES
0.00
0.00
0.00
0.00
0.00
59.50
89.25
TOTAL DUE TO OTHERS
TOTAL COLLECTED-ALL FUNDS
LESS: TOTAL TREASUER'S RECEIPTS
OVER/(SHORT)
Page 2 012
0.00
0.00
$5,392.95
$148.75
$5,541.70
$5,541.70
$0.00
CALHOUN COUNTY
201 West Austin
Port Lavaca, Texas 77979
DISTRIBUTION
REQUEST
DR# 480 A41095
PAYEE
Name: Calhoun County Oper. Aeet.
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk
Justice of the Peace, Pet. 4
ACCOUNT NUMBER DESCRIPTION AMOUNT
7S44-999-20759-999 JP4 Monthly Collections - Distribution $5,392.95
JUNE
2012
V# 967
TOTAL 5,392.95
CALHOUN COUNTY
201 West Austin
Port Lavaca, Texas 77979
DISTRIBUTION
REQUEST
DR# 480 B 41095
PAYEE
Name: Texas Parks Et Wildlife
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk
Justice of the Peace, Pet. 4
ACCOUNT NUMBER DESCRIPTION AMOUNT
7544-999-20759-999 JP4 - Parks & Wildlife Fines S 484.50
JUNE
2012
V# 7603
TOTAL 484.50
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CALHOUN COUNTY
201 West Austin
Port Lavaca, Texas 77979
DISTRIBUTION
REQUEST
DR# 480 C 41095
PAYEE
Name: Texas Parks &. Wildlife
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk
Justice of the Peace, Pet. 4
ACCOUNT NUMBER DESCRIPTION AMOUNT
7544-999-20759-999 JP4 - Parks Il: Wildllfe- Water Safety Fines S 89.25
JUNE
2012
V# 7604
TOTAL 89.25
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07/05/2012 Money Distribution Report Page
---------------------------.--------------------------------------------------------------------------------------------------------
Receipt Cause/Defendant Code Amount I Code Amount Code Amount Code Amount Code Amount Code Amount I TotaL
I I
3929756 Z012-209 06-04-2012 CCC 40.00 I CHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 I 120.00
OIERLAM, DEREK DAN IDF 2.00 I FINE 50.00 JPAY 6.00 JCMF 5.00 I
Persona l Check I I
3929757 2012-208 06-04-201Z TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 I 120.00
DELEON DIAZ, CARLOS B JCSF 1.00 I JSF 4.00 IDF 2.00 CJOR 0.10 FINE 27.90 I
Money Order I I
3929758 2012-193 06-04-2012 TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 I 135.00
BROWN, BENJAMIN ADAM JCSF 1.00 I JSF 4.00 IDF 2.00 CJOR 0.10 FINE 31.90 JPAY 6.00 I
Cash JCMF 5.00 I I
39297592011-600A 06-04-2012 CCC 9.79 I CHS 0.98 SAF 1.22 WRNT 12.23 TF 0.98 OPSC 7.34 I 50.00
FULBERG, KATHLEEN MAC JCSF 0.24 I JSF 0.73 IDF 0.49 FINE 16.00 I
Cash I I
3929760 2012-207 06-05-2012 CCC 40.00 I CHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 I lZ0.00
MARTINEZ, RYAN MICHAEL IDF 2.00 I FINE 50.00 JPAY 6.00 JCMF 5.00 I
Credit Card I I
3929761 2012-192 06-06-2012 CCC 40.00 I CHS 3.00 LAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 305.00
MANTELL, CHARLES MATTHEW IOF 2.00 I FINE 235.00 JPAY 6.00 JCMF 5.00
Money Order I
3929762 2012-210 06-06-2012 TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 185.00
CISNEROS, JOSE LUIS JCSF 1.00 I JSF 4.00 IDF 2.00 CJOR 0.10 FINE 81.90 JPAY 6.00
Money Order JCMF 5.00 I
3929763 2008-161A 06-06-2012 JCPT 2.00 I CVC 15.00 CCC 17.00 FA 5.00 JCO 0.50 CHS 4.00 548.60
HEBERT, GREGORY JOHN JR CMI 0.50 I TF 4.00 OPSC 30.00 OPSF 344.00 CSRV 126.60
MVBA Persona L Check I
3929764 2012-204 06-07-2012 CCC 40.00 I CHS 3.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 175.00
STEHLING, ERIC JACOB IDF 2.00 I WSF 105.00 JPAY 6.00 JCMF 5.00
Cash I
3929765 2012-213 06-07-2012 CCC 40.00 I CHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 165.00
MORALES, JOE ANGEL IOF Z.OO I FINE 95.00 JPAY 6.00 JCMF 5.00 I
Cash I I I
3929766 2012-182 06-11-2012 CCC 40.00 I CHS 4.00 PWAF 5.00 TF 4.00 JCSF 1.00 I JSF 3.00 I 140.00
ZAMORA, JULIO IDF 2.00 I PWF 70.00 JPAY 6.00 JCMF 5.00 I I
Cash I I I
3929767 2012-214 06-11-2012 TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 I SUBC 30.00 I 135.00
SOLIS, JAVIER JCSF 1.00 I JSF 4.00 IDF 2.00 CJOR 0.10 FINE 31.90 I JPAY 6.00 I
Cash JCMF 5.00 I I I
3929768 2012-211 06-11-2012 CCC 40.00 I CHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 I JSF 4.00 I 120.00
RIVERA, JIMMY LEIJA IDF 2.00 I FINE 50.00 JPAY 6.00 JCMF 5.00 I I
Cred; t Card I I I
39Z9769 2012-212 06-11-2012 CCC 40.00 I CHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 I JSF 4.00 I 120.00
VILLARREAL, JOSE LEIJA IDF 2.00 I FINE 50.00 JPAY 6.00 JCMF 5.00 I I
Credit Card I I I
3929770 2012-196 06-11-2012 TFC 3.00 I CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 I SUBC 30.00 I 185.00
WALDROP, TIFFANY RENE JCSF 1.00 I JSF 4.00 IDF 2.00 CJOR 0.10 FINE 81.90 I JPAY 6.00 I
Money Order JCMF 5.00 I I I
3929771 Z012-186 06-11-2012 TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 I SUBC 30.00 I 165.00
GUERRERO, MARY ANN JCSF 1.00 I JSF 4.00 IDF 2.00 CJOR 0.10 FINE 61.90 I JPAY 6.00 I
Cash JCMF 5.00 I I I
39Z9772 2012-217 06-12-2012 TFC 3.00 I CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 I SUBC 30.00 I 190.00
HICKEY, JONI M JCSF 1.00 I JSF 4.00 IOF 2.00 CJOR 0.10 FINE 86.90 I JPAY 6.00 I
Money Order JCMF 5.00 I I I
3929773 2012-124 06-1Z-2012 TFC 3.00 I CCC 40.00 CHS 4.00 SAF 5.00 WRNT 50.00 I TIME 25.00 I 380.00
KLAMM, KEVIN JR. TF 4.00 I SUBC 30.00 JCSF 1.00 JSF 3.00 IDF 2.00 I CJOR 0.10 I
Jail Credit FINE 201.90 I JPAY 6.00 JCMF 5.00 I I
07/05/Z012 Money Distribution Report Page 2
------------------------------------ -----------------------------------------------------------------------------------------------
Receipt Cause/Defendant Code Amount Code Amount I Code Amount I Code Amount I Code Amount I Code Amount Total
I I I I
3929774 2009-623 06-13-2012 CCC 31.35 CHS 3.13 I PWAF 3.92 I WRNT 39.18 I TIME 19.59 I TF 3.13 105.00
HINOJOSA, EDWARD PONCIO JCSF D.78 JSF 2.35 I IOF 1.57 I I I
Cash I I I I
3929775 2012-159 06-13-2012 TFC 3.00 CCC 40.00 I CHS 4.00 I SAF 5.00 I TF 4.00 I SUBC 30.00 235.00
GONZALEZ, DANIEL MALDONADO JCSF 1.00 JSF 3.00 I IOF 2.00 I CJDR 0.10 I FINE 81.90 I OFF 50.00
Money Order JPAY 6.00 JCMF 5_00 I I I I
3929776 2012-200 06-13-2012 EXRF 20.00 I I I I 20.00
FRANK, MATTHEW ALLEN I I I I
Cash I I I I
3929777 2012-220 06-14-2012 CCC 40.00 CHS 3.00 I SAF 5.00 I TF 4.00 I JCSF 1.00 I JSF 4.00 120.00
SALAZAR, ALFREDO LYNN IOF 2.00 FINE 50.00 I JPAY 6.00 I JCMF 5.00 I I
Money Order I I I I
3929778 2009-454 06-19-2012 TFC 3.00 I CCC 40.00 I CHS 4.00 I SAF 5.00 I WRNT 50.00 I TIME 25.00 526.50
ALFORD, MICHAEL THOMAS TF 4.00 I SUBC 30.00 I DPSC 30.00 I JCSF 1.00 I JSF 3.00 I IDF 2.00
Cashier's Check I CJDR 0.10 I FINE 201.90 I CSRV 121.50 I JPAY 6.00 I I
3929779 2009-454A 06-19-2012 I CCC 40.00 I CHS 4.00 I SAF 5.00 I WRNT 50.00 I TF 4.00 I DPSC 30.00 548.60
ALFORD, MICHAEL THOMAS I JCSF 1.00 I JSF 3_00 I IOF 2.00 I FINE 277.00 I CSRV 126.60 I JPAY 6.00
Cashier's Check I I I I I I
3929780 2012-231 06-19-2012 I CCC 40.00 I CHS 3.00 I LAF 5.00 I TF 4_00 I JCSF 1.00 I JSF 4.00 100.00
MORALES, NATHAN I IDF 2.00 FINE 41.00 I I I I
Cash I I I I I
3929781 2011-600 06-19-2012 I FINE 50.00 I I I I 50.00
FULBERG, KATHLEEN MAC I I I I I
Cash I I I I I
3929782 201Z-175 06-21-2012 I CCC 25.61 CHS 2.56 I LAF 3.20 I WRNT 32.01 I TIME 16.01 I TF 2.56 105.00
PAORON, ZACHARY ANTHONY I DPSC 19.21 JCSF 0.64 I JSF 1.92 I IOF 1.28 I I
Cash I I I I I
3929783 2012-175 06-21-2012 I CCC 1.24 CHS 0.12 I LAF 0.15 I WRNT 1.52 I TIME 0.76 I TF 0.12 5.00
PAORON, ZACHARY ANTHONY I DPSC 0.91 JCSF 0.03 I JSF 0.09 I IOF 0.06 I I
Cash I I I I I
3929784 2012-208 D6-21-2012 I FINE 94.00 JPAY 6.00 I JCMF 5.00 I I I 105.00
DELEON DIAZ, CARLOS B I I I I I
Cash I I I I I
3929785 2012-228 06-25-2012 I TFC 3.00 cee 40.00 I CHS 3.00 I SAF 5.00 I TF 4.00 I SUBC 30.00 235.00
KEMP, MICHELLE MARIE I JCSF 1.00 JSF 4.00 I IOF 2.00 I CJDR 0.10 I FINE 81.90 I DFF 50.00
Money Order I JPAY 6.00 JCMF 5.00 I I I I
3929786 201Z-224 06-25-2012 I CCC 40.00 CHS 3.00 I SAF 5.00 ITF 4.00 I JCSF 1.00 I JSF 4.00 165.00
GALLAROO, MICHAEL MATTHEW I IDF 2.00 FINE 95.00 I JPAY 6.DD I JCMF 5.00 I I
Cash I I I I I
3929787 2012-073 06-25-2012 I WRNT Z5.00 I I I 25.00
JAMIE LEE HARTMAN I I I I
Cash I I I I
3929788 2012-222 06-25-2012 I TFC 3.00 CCC 40.00 I CHS 3.00 I SAF 5.00 TF 4.00 I SUBC 30.00 105.00
BERNAL, KRYSTAL LEANN I JCSF 1.00 JSF 4.00 I IOF 2.00 I CJDR 0.10 FINE 12.90 I
Cash I I I I
3929789 2012 - 230 06-25-2012 I TFC 3.00 CCC 40.00 I CHS 3.00 I LAF 5.00 TF 4.00 I SUBC 30.00 113.00
HILL, VIVIAN CANO I JCSF 1.00 JSF 4.00 I IDF 2.00 I CJDR 0.10 DDC 9.90 I JPAY 6.00
Cash I JCMF 5.00 I I I
392979D 2011-DZD 06-26-2012 I CCC 40.00 CHS 4.00 I LAF 5.00 I TIME 25.00 TF 4.00 I JCSF 1.00 160.00
COVARRUBIAS, ANDREW URESTE I JSF 3.00 IOF 2.00 I FINE 5.00 I CSRV 60.00 JPAY 6.00 I JCMF 5.00
CALHOUN COUNTY JA Jail Credit I I I I
07/05/2012 Money Distribution Report Page 3
----------------------------------------------------------------------------------------------------------------.-------------------
The following totals represent - Cash and Checks ColLected
Type Code Description Count Retained Disbursed Money-Totals
COST CCC CONSOLIDATED COURT COSTS 26 92.50 832.49 924.99
COST CHS COURT HOUSE SECURITY 26 77.79 0.00 77.79
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 12 0.12 1.08 1.20
COST CMI CMI 1 0.05 0.45 0.50
COST CVC CVC 1 1.50 13.50 15.00
COST OPSC DPS OMNIBASE FEE 6 38.76 78.70 117.46
COST FA FA 1 0.50 4.50 5.00
COST IDF INDIGENT DEFENSE FUND 25 4.54 40.86 45.40
COST JCD JCD 1 0.05 0.45 0.50
COST JCPT JCPT 1 0.20 1.80 2.00
COST JCSF JUSTICE COURT SECURITY FUND 25 22.69 0.00 22.69
COST JSF JUROR REIMBURSEMENT FEE Z5 8.51 76.58 85.09
COST LAF SHERIFFIS FEE 7 28.35 0.00 28.35
COST PWAF TEXAS PARKS & WILDLIFE 3 11.14 2.78 13.92
COST SAF OPS 15 56.98 14.24 71. 22
COST SUBC SUBT ITLE C 12 18.00 342.00 360.00
COST TF TECHNOLOGY FUND 26 94.79 0.00 94.79
COST TFC TFC 12 36.00 0.00 36.00
COST TIME TIME PAYMENT FEE 4 30.68 30.68 61.36
COST WRNT WARRANT FEE 7 209.94 0.00 209.94
FEES CSRV COLLECTION SERVICE FEE 3 374.70 0.00 374.70
FEES DOC DEFENSIVE DRIVING 1 9.90 0.00 9.90
FEES OFF DEFERRED FEE 2 100.00 0.00 100.00
FEES EXRF EXPIRATION RENEWAL FEE 1 20.00 0.00 20.00
FEES JCMF JUVENILE CASE MANAGER FEE 17 85.00 0.00 85.00
FEES JPAY DISTRICT JUDGE PAY RAISE FEE 19 11.40 102.60 114.00
FINE DPSF DPS FTA FINE 1 344.00 0.00 344.00
,
FINE FINE FINE 21 1,785.90 0.00 1,785.90
FINE PWF PARKS & WILDLIFE FINE 1 10.50 59.50 70.00
FINE WSF WATER SAFETY FINE 1 15.75 89.25 105.00
Money Totals 30 3,490.24 1,691.46 5,181.70
The following totals represent - Transfers CoLLected
COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00
COST CHS COURT HOUSE SECURITY 0 0.00 0.00 0.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00
COST CMI CMI 0 0.00 0.00 0.00
COST CVC CVC 0 0.00 0.00 0.00
COST DPSC DPS OMN I BASE FEE 0 0.00 0.00 0.00
COST FA FA 0 0.00 0.00 0.00
COST !OF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00
COST JCD JCD 0 0.00 0.00 0.00
COST JCPT JCPT 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00
COST JSF JUROR REIMBURSEMENT FEE 0 0.00 0.00 0.00
COST LAF SHERIFF IS FEE 0 0.00 0.00 0.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
07/05/Z012 Money Distribution Report Page 4
--~~~----------~-------------------------------------------------------------------------------------------------------------_.-.---
The following totals represent - Transfers Collected
Type Code Description Count Retained Disbursed Money-Totals
COST SUBC SUBT ITLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY fUNO 0 0.00 0.00 0.00
COST TFC TFC 0 0.00 0.00 0.00
COST TIME TIME PAYMENT fEE 0 0.00 0.00 0.00
COST WRNT WARRANT fEE 0 0.00 0.00 0.00
fEES CSRV COLLECTION SERVICE fEE 0 0.00 0.00 0.00
fEES ODC DEfENSIVE DRIVING 0 0.00 0.00 0.00
fEES Off DEfERRED fEE 0 0.00 0.00 0.00
FEES EXRf EXPIRATION RENEWAL fEE 0 0.00 0.00 0.00
fEES JCMf JUVENILE CASE MANAGER fEE 0 0.00 0.00 0.00
fEES JPAY OISTRICT JUDGE PAY RAISE fEE 0 0.00 0.00 0.00
fINE OPSf DPS fTA fINE 0 0.00 0.00 0.00
fINE fINE fINE 0 0.00 0.00 0.00
fINE PWf PARKS & WILDLIfE fINE 0 0.00 0.00 0.00
fINE WSf WATER SAfETY fINE 0 0.00 0.00 0.00
Transfer Totals 0 0.00 0.00 0.00
The following totals represent - Jai t Credit and Community Service
COST CCC CONSOLIDATED COURT COSTS 2 8.00 72.00 80.00
COST CHS COURT HOUSE SECURITY 2 8.00 0.00 8.00
COST CJOR CIVIL JUSTICE DATA RES\POSITORY fEE 1 0.01 0.09 0.10
COST CMI CMI 0 0.00 0.00 0.00
COST CVC CVC 0 0.00 0.00 0.00
COST DPSC DPS OMNIBASE fEE 0 0.00 0.00 0.00
COST fA fA 0 0.00 0.00 0.00
COST IDf INDIGENT DEfENSE fUND 2 0.40 3.60 4.00
COST JCD JCD 0 0.00 0.00 0.00
COST JCPT JCPT 0 0.00 0.00 0.00
COST JCSf JUSTICE COURT SECURITY fUND 2 2.00 0.00 2.00
COST JSf JUROR REIMBURSEMENT fEE 2 0.60 5.40 6.00
COST LAf SHERI FF I S FEE 1 5.00 0.00 5.00
COST PWAf TEXAS PARKS & WILDLIfE 0 0.00 0.00 0.00
COST SAf DPS 1 4.00 1.00 5.00
COST SUBC SUBTITLE C 1 1.50 28.50 30.00
COST TF TECHNOLOGY fUND 2 8.00 0.00 8.00
COST TfC TFC 1 3.00 0.00 3.00
COST TIME TIME PAYMENT fEE 2 25.00 25.00 50.00
COST WRNT WARRANT fEE 1 50.00 0.00 50.00
fEES CSRV COLLECTION SERVICE fEE 1 60.00 0.00 60.00
FEES DDC OEfENSIVE ORIVING 0 . 0.00 0.00 0.00
fEES Dff DEfERRED fEE 0 0.00 0.00 0.00
fEES EXRf EXPIRATION RENEWAL fEE 0 0.00 0.00 0.00
fEES JCMf JUVENILE CASE MANAGER fEE 2 10.00 0.00 10.00
fEES JPAY DISTRICT JUDGE PAY RAISE fEE 2 1.20 10.80 12.00
fINE DPSf DPS fTA fINE 0 0.00 0.00 0.00
fINE fINE fINE 2 206.90 0.00 206.90
fINE PWf PARKS & WILDLIfE fINE 0 0.00 0.00 0.00
fINE WSf WATER SAfETY fINE 0 0.00 0.00 0.00
07/05/2012 Money Distribution Report Page 5
________M~~___________________________________________------------------------------------------------------------------------------
The foLLowing totals represent - Jai L Credit and Community Service
Type Code Description Count Reta i ned 0; sbursed Money-Totals
Credit TotaLs 2 393.61 146.39 540.00
The folLowing totals represent - Credit Card Payments
COST CCC CONSOLIDATED COURT COSTS 3 12.00 108.00 120.00
COST CHS COURT HOUSE SECURITY 3 9.00 0.00 9.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00
COST CMI CMI 0 0.00 0.00 0.00
COST CVC CVC 0 0.00 0.00 0.00
COST DPSC DPS OMN I BASE FEE 0 0.00 0.00 0.00
COST FA FA 0 0.00 0.00 0.00
COST IOF INDIGENT OEFENSE FUND 3 0.60 5.40 6.00
COST JCD JCD 0 0.00 0.00 0.00
COST JCPT JCPT 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 3 3.00 0.00 3.00
COST JSF JUROR REIMBURSEMENT FEE 3 1.20 10.80 12.00
COST LAF SHERI FF I S FEE 0 0.00 0.00 0.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 3 12.00 3.00 15.00
COST SUBC SUBTI TLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 3 12.00 0.00 12.00
COST TFC TFC 0 0.00 0.00 0.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST WRNT WARRANT FEE 0 0.00 0.00 0.00
FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00
FEES DDC DEFENSIVE DRIVING 0 0.00 0.00 0.00
FEES DFF DEFERRED FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES JCMF JUVENILE CASE MANAGER FEE 3 15.00 0.00 15.00
FEES JPAY DISTRICT JUDGE PAY RAISE FEE 3 1.80 16.20 18.00
FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00
FINE FINE FINE 3 150.00 0.00 150.00
FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00
Credit Totals 3 216.60 143.40 360.00
The following totals represent Combined Money and Credits
COST CCC CONSOLIOATED COURT COSTS 31 112.50 1,012.49 1,124.99
COST CHS COURT HOUSE SECURITY 31 94.79 0.00 94.79
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 13 0.13 1.17 1.30
COST CMI CMI 1 0.05 0.45 0.50
COST cvc CVC 1 1.50 13.50 15.00
COST DPSC DPS OMN I BASE FEE 6 38.76 78.70 117.46
COST FA FA 1 0.50 4.50 5.00
COST IDF INDIGENT DEFENSE FUND 30 5.54 49.86 55.40
COST JCD JCD 1 0.05 0.45 0.50
COST JCPT JCPT 1 0.20 1.80 2.00
07/05/2012 Money Distribution Report Page 6
------------------------------------------------------------------------------------------------------------------------------------
The following totals represent Combined Money and Credits
Type Code Description Count Retained Disbursed Money-Totals
COST JCSF JUSTICE COURT SECURITY FUND 30 27.69 0.00 27.69
COST JSF JUROR REIMBURSEMENT FEE 30 10.31 92.78 103.09
COST LAF SHERIFF'S FEE 8 33.35 0.00 33.35
COST PWAF TEXAS PARKS & WILDLIFE 3 11.14 2.78 13.92
COST SAF DPS 19 72.98 18.24 91.22
COST SUBC SUBT I TLE C 13 19.50 370.50 390.00
COST TF TECHNOLOGY FUND 31 114.79 0.00 114.79
COST TFC TFC 13 39.00 0.00 39.00
COST TIME TIME PAYMENT FEE 6 55.68 55.68 111.36
COST WRNT WARRANT FEE 8 259.94 0.00 259.94
FEES CSRV COLLECTION SERVICE FEE 4 434.70 0.00 434.70
FEES DOC DEFENSIVE DRIVING 1 9.90 0.00 9.90
FEES OFF DEFERRED FEE 2 100.00 0.00 100.00
FEES EXRF EXPIRATION RENEWAL FEE 1 20.00 0.00 20.00
FEES JCMF JUVENILE CASE MANAGER FEE Z2 110.00 0.00 110.00
FEES JPAY DISTRICT JUDGE PAY RAISE FEE 24 14.40 129.60 144.00
FINE DPSF DPS FTA FINE 1 344.00 0.00 344.00
FINE FINE FINE Z6 2,142.80 0.00 2,142.80
FINE PWF PARKS & WILDLIFE FINE 1 10.50 , 59.50 70.00
FINE WSF WATER SAFETY FINE 1 15.75 89.25 105.00
Report Totals 35 4,100.45 1,981.25 6,081. 70
07/05/201Z Money Distribution Report Page 7
------------------------------------------------------------------------------------------------------------------------------------
OATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS REST nUT ION OTHER TOTAL
00-00-0000 Cash & Checks Collected 0.00 0_00 0.00 0.00 0.00 0.00 0.00
JaiL Credits & Comm Service 0.00 0.00 0.00 0.00 0_00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Col Lections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jai t. Credits & COrml Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TotaL of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1993 Cash & Checks ColLected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of alL CoLLections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TotaL of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1997 Cash & Checks CoLLected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JaiL Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
01-01-2004 Cash & Checks CoLlected 2,304.90 2,173.20 703.60 0.00 0.00 0.00 5,181.70
Jail Credits & Comm Service 206.90 251.10 82.00 0.00 0.00 0.00 540.00
Credit Cards & Transfers 150.00 177.00 33.00 0.00 0.00 0.00 360.00
Total of all Collections 2,661.80 2,601.30 818.60 0.00 0.00 0.00 6,081.70
TOTALS Cash & Checks Collected 2,304.90 2,173.20 703.60 0.00 0.00 0.00 5,181.70
Jail Credits & Comm Service 206.90 251.10 82.00 0.00 0.00 0.00 540.00
Credit Cards & Transfers 150.00 177.00 33.00 0.00 0.00 0.00 360.00
TotaL of all Collections 2,661.80 2,601.30 818.60 0.00 0.00 0.00 6,081.70
07/05/2012
DATE
PAYMENT-TYPE
State of Texas Quarterly Reporting Totals
Description
State Comptroller Cost and Fees'Report
Section I: Report for Offenses Committed
01 ~01-04 Forward
09-01-01 12-31-03
08-31-99 08-31-01
09-01-97 08-30-99
09-01-91 08-31-97
Ba it Bond Fee
DNA Testing Fee Convictions
DNA Testing fee Comm Supvn
DNA Testing fee Juvenile
EMS Trauma Fund (EMS)
Juvenile Probation Diversion Fees
Jury Reimbursement Fee
Indigent Defense Fund
Moving Violation fees
State Traffic Fine
Section II: As ApplicabLe
Peace Officer fees
Failure to Appear/Pay fees
Judicial Fund - Const County Court
Judicial Fund - Statutory County Court
Motor Carrier Weight Violations
Time Payment Fees
Driving Record Fee
Judicial Support fee
Report Sub Total
State ComptroLler CiviL Fees Report
CF: Birth Certificate fees
CF: Marriage license Fees
CF: Declaration of Informal Marriage
CF: Nondisclosure Fees
CF: Juror Donations
CF: Justice Court Indig Filing Fees
Cf: Stat prob Court Indig Filing Fees
CF: Stat Prob Court Judie Filing Fees
CF: Stat Cnty Court Indig Filing Fees
CF: Stat Cnty Court Judic Filing Fees
CF: Cnst Cnty Court Indig Filing Fees
CF: Cnst Cnty Court Judie Filing Fees
CF: Dist Court Divorce & Family law
CF: Dist Court Other Divorce/Family Law
CF: Dist Court lndig Legal Services
CF: Judicial Support Fee
Report Sub Total
Total Due For This Period
Money Distribution Report
FINES COURT-COSTS
FEES
BONDS RESTITUTION
Count
Col lected
Disbursed
Retained
34 1,067.99 106.80 961.19
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0_00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0_00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
28 97.09 9.71 87.38
28 51.40 5.14 46.26
12 1.20 0.12 1.08
12 360.00 18.00 342.00
21 100.14 80.11 20.03
6 117.46 38.76 78.70
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
4 61.36 30.68 30.68
0 0.00 0.00 0.00
22 132.00 13.20 118.80
167 1,988.64 302.52 1,686.12
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00. 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
167 1,988.64 302.52 1,686.12
Page
8
OTHER
TOTAL
07/09/2012 14:29 361-983-2461
CALHOUN CO PCT 5
Judge Nancy Pomykal
Justice of the Peace Pet. 5
Collections for the Month of JUJS:~ , 2012
Date: JULY 9,2012
Calhoun County Commissioner's Court
211 S. Ann Street
Port Lavaca, TX 77979
Fax no: 553-4444
Attention: Commissioner's Court
Attached is the June, 2012 Money Distribution Report for the
Justice of the Peace, Precinct 5 Court.
Faxing 9 Pages includiru~ this cover.
Signe
PAGE 01
07/09/2012 14:29
361-983-2461
CALHOUN CO PCT 5
PAGE 02
07/08/2012 Mo~ey Distribution R9PQrt pago 1
JUDGE NANCY POMYKA" - PCT 5 - JUNE 2012 REPORT
_____________________~~~___*_~_~"~~~____________________________ ~.M____W_~___________________________~w____.__~~_______------------
Rtceipt Cause/Defendant code Amount I tode Amount Coda AMount I code AlJ'lount cad. Amaun! I code Amount I Total
[ [ I
0374454 1l-0$-0187 06.04-2012 JS' 4.00 HC 3.00 ccc 40.00 CHS 3.00 $AF 5.00 [ 1F 4.00 I 185.00
D"UHOS, RODNEY LOUIS JPAY 6.00 IOF 2.00 mVF 0.10 FINE 81.90 SUBC 30.00 [ JCHF 5.00 I
17089 Per&ona l Cheek JtSF 1.00 I I
0374455 12-05-0180 06-04-2012 AFDA 10.00 I I 10.00
ELAH, FRANK WAYNE I I
7W2 Pel"t;ol'lftl check I I
0374456 12-05-0185 06-05-2012 JSF 4.00 TFC 3.00 CCC 40.00 CHS 3.00 SAP 5.00 I TF 4.00 I 113.00
BLANCO, VICTORINO SEVERO JPAY 6.00 IOF 2.00 mVF 0.10 OSC 9.90 SUBC 30.00 I JCHF 5.00 I
3753 PersonCll Chlllck JCSF 1.00 I I
0374457 12-06-0198 06-05-2012 JSF 4.00 tCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 I JCSF 1.00 I 120.00
KOENIG, TROY THOHAS JPAY 6.00 IOF 2.00 FINE SO.OO JCmF 5.00 I I
1019 Personal Chec;k I I I
0374458 12-0;-017~ 06-05-2012 JSF 4.00 1FC 3.00 I ccc 40.00 eHS 3.00 SAF 5.00 I TF 4.00 I 185.00
BRACHT, OAVIO PATRICK JPAY 6.00 IOF 2.00 I MVF 0.10 FINE 81.90 SUBC 30.00 I JCHF 5.00 I
Honey Order JCSF 1.00 I I I
0374459 12-04-0155 06-05-2012 JSF 4.00 TFC 3.00 I eec 40.00 eNS 3.00 SAF 5.00 I TF 4.00 I 113.00
COOKE, THERESA JEAN JPAY 6.00 IOF 2.00 I MVF 0.10 OSC 9.90 SUBC 30.00 I JCMF ~.OO I
157 PerlilQnl!lL Check JCSF 1.00 I [ I
0374460 12-06-0199 06-06-2012 JSF 4.00 cec 40.00 I eHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 I 120.00
e.AY, KENNETH RAY JPAY 6.00 IOF 2.00 I FINE 50.00 JCHF 5.00 I
578 Persano\ eneok I I I I
0374461 12-05-0188 06-06-2012 JSF 4.00 ecc 40.00 I CHS 3.00 I PWAf 5.00 [ TF 4.00 JCSf 1.00 I 165.00
CASTILLO, CHRISTOPHER SCOTT I JPAY 6.00 IOF 2.00 I WSF 95.00 I JCHF 5.00 I I
(:r~dit ClIrd I I I [ I
037446a 12-05-0190 06-12-l012 I JSF 4.00 CCC 40.00 I CHS 3.00 I PWAF 5.00 [ TF 4.00 JCSF 1.00 I 165.00
SHITH, HARSHALL JORDAN JPAY 6.00 IOF 2.00 WSF 95.00 I JCMF 5.00 [ I
1397 pe:l"tional Check I I I
0374463 12-05-0193 06-12-2012 JSF 4.00 CCC 40.00 eHS 3.00 I PWAF 5.00 I TF 4.00 JC$F 1.00 I 140.00
WARD, DANIEL ROBERT JPAY 6.00 IOF 2.00 WSF 70.00 I JCMF 5.00 I I
Money oroer I I I
0374464 12-02-0116 06-13-2012 JSF 2.71 TFC 2.04 CCC 27.16 I CHS 2.72 I SAF 3.40 TF 2.72 I 46.25
eNRICH, JESSY ANN JPAY 4.07 IDF 1.36 HVF 0.07 I I
personal Cheok I I I I
0374465 12-05-0192 06-13-2012 JSF 4.00 CCC 40.00 CHS 3.00 I PWAF 5.00 I TF 4.00 I JPAY 6.00 I 165.00
SITTER"E, FRANCIS JOSEPH JR lDF 2.00 WSF 95.00 JCMF 5.00 I JCSF 1.00 I I I
6457 Per$onaL check I I I I
0374466 12-06-0206 06-13-2012 JSF 4.00 cce 40.00 eHS 3.00 I PWAF 5.00 I TF 4.00 I JCSF 1.00 I 165.00
WALK~R, KAY 8 JPAY 6.00 IDF 2.00 WSF 95.00 I JCMF 5.00 [ I I
14035 persona~ Check [ I I I I I
0374467 12-06-0197 06-13-2012 I JSF 4.00 CCC 40.00 I eHS 3.00 I TF 4,00 [ JCS' 1.00 I JPAY 6.00 I 115.00
WALSH, KENN EDWARD I IDF 2.00 WSF 45.00 I JCHF 5.00 I PWAF 5.00 [ [ I
P'~$on.l choek I I I I I
0374468 12-06-0203 06-19-2012 I JSF 4,00 CCC 40.00 I eHS 3.00 I SAF 5.00 TF 4.00 I JCSF 1.00 I 120.00
HEYER, ROBERT 0 I JPAY 6.00 IOF 2.00 I FINE 50.00 I JCHF 5.00 I I
2667 Person. ~ enoek I I I I I
0374469 12-05-0177 06-19-2012 I J$F 4.00 cce 40.00 I CHS 3.00 I SAF 5.00 TF 4.00 I JPAY 6.00 I 120.00
HARTIN, JOSHUA MICHAEL I lOF 2.00 FINE 50.00 I JCMF 5.00 I JCSF 1.00 I I
Money Order I I I I I
0374470 12-06-0204 06-19-2012 I JSF 4.00 CCC 40.00 I CHS 3.00 [ PWAF 5.00 TF 4.00 I JCSF 1.00 I 370.00
HUYNH, THANH PHAT I JPAY 6.00 IOF 2.00 I PWF 300.00 I JCHF 5.00 I I
Money Order I I [ I I
0374471 12-06-0196 06-19-2012 I JsF 4.00 ece 40.00 I eHS 3.00 [ PWAF 5,00 TF 4.00 I JCSF 1.00 I 165.00
OALRYMP.e, PETER LAWRENCe I JPAY 6.00 IOF 2.00 I WSF 95.00 I JCHF 5.00 I I
6783 Personal Check I I I I I
07/09/2012 14:29
07/08/2012
361-983-2461
CALHOUN CO PCT 5
~oney ~iatributiQn Report
JUDGE NANCY POMYKA" - PCT 5 - JUNE 2012 REPORT
PAGE 03
Pogo 2
Receipt CaU&e!Defendmnt
_.~____~~______aM_____________"__--__~____ft-----____~__________.~______--.------------.------M--"----------~-----------------~--~---
Cod. Amount
Totol
0374472 12-04-0155 06-19-2012
COOKE, THERESA JEAN
158 Per.onol Cheok
0374473 09-03-0158 06-25-2012
WEATHERLY, BENJAMIN PAU"
56607 Compony Check
0374474 ~-03-0159 06-25-2012
WEATHERLY, BENJAMIN PAUL
58607 cOMpany Check
0374475 12-06-0206 06-25-2012
"UNA, ESMERALDA
Money Order
0374476 12-06-0209 06-26-2012
SHERMAN, MICHAEL HueH
cuh;er'$ Check
0374477 12-05-0194 06-26-2012
8ARRlI'R, ERIC 0
Money Order-
0374478 12-04-0156 06-27-2012
KRAUSE, CHARLOTTE GAl"
Money Order
0374479 12-06-0213-FED 06-27-2012
GOSSETT, GORDON SR.
Ca~h
0374480 12-02-0116 06-28-2012
ENRICH, JESSY ANN
1005 P*raonal Cheek
I
I
I FINE
I
I
I JSF
I JeSF
I
I JSF
I JCSF
I
I
I
I
I
I
I
I JSF
I IDF
I
I JSF
I IDf
I
I SFEE
I
I
I JSF
I JCSF
I JCMF
Cod. Amount I cod. Amount
I
72.00 I
I
I
4.00 I cec
1.00 I JPAY
I
4.00 I ccc
1.00 I JPAY
I
4.00 I TFC
1.00 I JPAY
5.00 I
4.00 Ieee
6.00 I IDF
I
4.00 I eCC
2.00 I WSP
I
4.00 I CCC
2.00 I FINE
I
75.00 I !FEE
I
I
1.29 I m
1.00 I JPAY
5.00 I
I Cod. Amount
I
I
I
I
40.00 I CHS
6.00 I IDF
I
40.00 I eHS
6.00 I lPF
I
3.00 I ecc
6.00 I IPF
I
40.00 I eHS
2.00 I WSP
40.00 I CHS
95.00 I JCMF
I
40.00 I CHS
50.00 I JCSF
I
6.00 I FIll
I
I
0.96 Ieee
1.93 I XDf
I
JSF
JCSF
JCHF
JSF
JPAY
cod. Amount I eoOO Amount
I
I
I
I
5.00 I TF 4.00
50.00 I eSRV 43.50
I
I
I
I
I
I
3.00 I SAf
2.00 I FINE
I
3.00 I sAF ~.OO I TF
2.00 I fINE 23~.00 I CS~Y
I I
40.00 I CHS 3.00 I LAf
2.00 I MY, 0.10 lose
I I
3.00 I PWAF 5.00 I TF
295.00 I JCMF 5.00 I
I I
3.00 I PWAF 5.00 TF
5.00 I JCSF 1.00
I
3.00 I SAF 5.00 TF
1.00 I 0000 60.00 JCMF
I
~5.00 I
I
I
12.84 I CHS 0.26 SAF
0.64 I MVF 0.03 FINE
I
4.00
99.00
5.00
9.90
4.00
I
I
4.00 I JPAY
I
I
4.00 I JPAY
5.00 I
I
I
I
I
1.60 I TF
81.90 I suac
I
72.00
DPSC 30.00
188.50
ppse 30.00
429.00
TP
suec
4.00
30.00 I
I
1.00 I
I
113.00
JCSF
365.00
6.00
165.00
6.00
200.00
106.00
1.26
30.00
138.75
07/09/2012 14:29
361-983-2461
CALHOUN CO PCT 5
PAGE 04
07{08{2012 Money niatribution Report page 3
JUDGE NANCY POMYKAL . PCT 5 . JUNE 2012 REPORT
___M~~~_______~_~_____M__~-___M_-~-------------~-~--------~-----~--~----~----------~---~_._-------~--------------------~--------~---
The folLowing totBl$ represent - Cash end ChecKs CQll~cted
Typo code Description CQunt Rttained Diabursed l1oney-Totale
The following totaLs represent - Cash and Cheeks Co~L.eted
COST CCC CONSOLIDATED COURT COSTS 23 88.00 792.00 esO.OO
cOST CHS COURTHOUSE SECURITY 23 66.00 0.00 66.00
COST DPSC DPS FAILURE TO APPEAR {OMNI FEES 2 19.80 40.20 60.00
COST IDF INDIGENT DEFENSE FUND 23 4.40 39.60 44.00
COST JCSF JUSTICE COURT SECURITY FUND 22 22.00 0.00 22.00
COST JPAY JUDGE PAY RAISE FEE 23 13.20 118.80 132.00
COST JsF JUROR SERVICE FUND 23 8.80 79.20 88.00
COST LAf SHERIFf'S FEE 1 5.00 0.00 5.00
COST MVF MOVING VIO,ATION FEE 1 0.06 0.54 0.60
COST PWAF TEXAS PARKS & WILDLIFE 9 36.00 9.00 45.00
COST SAF DPS 13 48.00 12.00 60.00
COST TF TECHNOLOGY FUND 23 88.00 0,00 88.00
COST 1FC 1fC 7 18.00 0.00 18.00
feES AFDA ADM FEE- DISMISSAL- ALL OTHERS 1 10.00 0.00 10.00
FEES CSRV COLLECTION SERVICES FEE 2 142.50 0.00 142.50
FEES DSC DRIVER SAFETY COURSE 01{2008 3 29.70 0.00 29.10
FEES FIll FILING FEE 1 25.00 0.00 25.00
FEES IfEE INDIGENT FEE 1 0.30 5.10 6.00
fEES JCHF JuVENILE CASE MANAGER FEE 20 100.00 0.00 100.00
FEES SFEE SERVICE FEE 1 75.00 0.00 75.00
FEU SUBC SUB TITLE C 6 9.00 171.00 180.00
FINE FINE PINE 11 m.70 0.00 852.70
FINE PWP PARKS & WILDLIFE FINE 1 45.00 255.00 300.00
FINE WsF WATER SAFETY FINE 8 132.75 752.25 BB5.00
OTHR 0000 oVERPAYHENT 1 BO.OO 0.00 80.00
Money Total6 26 1,919.21 2,275.29 4,194.50
The foLlowing totoL. rop....nt - T..n.f.ro con..tod
COST Cce CONSOLIDATED COURT cOSTS 0 0.00 0.00 0.00
COST CHS COURTHOUSE SEcURITY 0 0.00 0.00 0.00
COST DPSC oPS FAILURE TO APPEAR IOHNI FEES 0 0.00 0.00 0.00
cOST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SEcURITY FUND 0 0.00 0.00 0.00
COST JpAY JUDGE PAY RAISE fEE 0 0.00 0.00 0.00
COST JSF JUROR SERVICE fUND 0 0.00 0.00 0.00
COST LAF sHERIFF'S FEE 0 0,00 0.00 0.00
COST HVF MOVING VIOLATION FEE 0 0.00 0.00 0.00
COST PWM TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAP DFS 0 0.00 0.00 0.00
COST TP TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFC TFt 0 0.00 0.00 0.00
FEES AfDA ADM FEE- DISMIsSAL- ALL OTNERS 0 0.00 0.00 0.00
FEES cSRV COLLECTION sERVICES FEE 0 0.00 0.00 0.00
nES DSC DRIVER SAFETY COURSE 01{2008 0 0.00 0.00 0.00
fEES FIll FILING FEE 0 0.00 0.00 0.00
07/09/2012 14:29
351-983-2451
CALHOUN CO PCT 5
PAGE 05
07/08/2012 Money DistributiQn Report Page 4
JU~GE NANCY P~MYKAL . PCT S . JUNE 2012 REPORT
--------...------....-----.--------.------.-------..-----------------.-------------.--.----------------------.-----------..----.----
Th~ following tQt~~s repre$ent ~ Transfers Callectecd
Typ. code Descr"ipt10l"t count I\etellined Dhbl.lreed Money-TotaLs
fEES IfEE IN~IGENT fEE 0 0.00 0.00 0.00
fEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00
FEES SFEE SERVICE fEE 0 0.00 0.00 0.00
fEES suec SUB TITLE C 0 0.00 0.00 0.00
PINE FINE fiNE 0 0.00 0.00 0.00
fINE PWf PARKS & WIL~LIPE fINE 0 0.00 0.00 0.00
PINE WSf WATER SAfETY FINE 0 0.00 0.00 0.00
OTHR 0000 OVERPAYMENT 0 0.00 0.00 0.00
TrQn$fe~ TotaLs 0 0.00 0.00 0.00
Th~ following totels represent - Jail credit end com~unity service
COST CCC CONSOLI~ATED COURT COSTS 0 0.00 0.00 0.00
COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00
COST ~PSC ~PS FAILURE TO APPEAR 10MNI FEES 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE PUND 0 0.00 0.00 0.00
COST JCSf JUSTICE COURT SECURITY fUND 0 0.00 0.00 0.00
COST JPAY JUDGE PAY RAISE fEE 0 0.00 0.00 0.00
COST JSF JUROR SE~VICE FUND 0 0.00 0.00 0.00
COST LAF SHERiff'S FEE 0 0.00 0.00 0.00
COST MVf MOVING VIOLATION fEE 0 0.00 0.00 0.00
COST PWAf TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
COST TF TECHNOLOGY fUND 0 0.00 0.00 0.00
COST TfC TfC 0 0.00 0.00 0.00
FEES AfDA ADM fEE- DISMISSAL- ALL OTHERS 0 0.00 0.00 0.00
PEl'S CSRV COLL.CTION SERVICES FEE 0 0.00 0.00 0.00
FEES DSC DRIVER SAf.TY COURSE 01/2008 0 0.00 0.00 0.00
fEeS FIll fILING fEE 0 0.00 0.00 0.00
fEU IFEE INDIGENT FEE 0 0.00 0.00 0.00
FEES JCMf JUVENILE CAS. MANAGE~ fEE 0 0.00 0.00 0.00
fEES SfeE SERVICE FEe 0 0.00 0.00 0.00
feu suec SUB TIT~E C 0 0.00 0.00 0.00
fINE FINE FIN. 0 0.00 0.00 0.00
FINE PWf PARKS & WILDLIFE fiNE 0 0.00 0.00 0.00
FINE WSf WATER SAfETY FINE 0 0.00 0.00 0.00
OTHR 0000 OVERPAYMENT 0 0.00 0.00 0.00
credit Totals 0 0.00 0.00 0.00
Th. following tot.lo r.p....nt - c..dit Cord paymonts
COST tCC CONSOLIDATeD COURT COSTS 1 4.00 36.00 40.00
coBt CHS COURTHOUSE SECURITY 1 3.00 0.00 3.00
COST DPse DPS fAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00
COST IDF IN~IGENT DEfENse fUND 1 O.~o 1.80 2.00
COST JtSf JUSTICE COU~T SECURITY FUND 1 1.00 0.00 1.00
c;eST JPAY JU~GE PAV RA1S~ FEE 1 0.60 5.40 6.00
07/09/2012 14:29
361-983-2461
CALHOUN CO PCT 5
PAGE 06
07/08/2012 Money Qlotributlon Report Pii!lge ~
JUDGE NANCY POMYKAL . PCT 5 . JUNE 2012 REPORT
__~~w~_______~____~________~w_~____~_______~_______a_------------------------------~-------~------------~-------~--------~------~---
The following total. represent - Credit cord payments
TYPo CQde Ducriptiot'l Count Retained Disbursed t1oney-Totala
COST JSF JUROR SERVICE FUND 1 0.40 3.60 4.00
COST LAF SHERIFFlS FI!E 0 0.00 0.00 0.00
COST MVf MOVING VIOLATION FEE 0 0.00 0.00 0.00
COST PWAF TEXAS PARKS & WILDLIFE 1 4.00 1.00 5.00
COST SAF DPS 0 0.00 0.00 0.00
CO$T TF TECHNOLOGY FUND 1 4.00 0.00 4.00
COST TFC TFc 0 0.00 0.00 0.00
FEES APDA ADm FEE- QISMISSAL- ALL OTHERS 0 0.00 0.00 0,00
FEES CSRV COLLEcTION SERVICES FEE 0 0.00 0.00 0.00
FEES DSC QRIVER SAFETY COURSE 01/2008 0 0.00 0.00 0.00
FEES FIl.l FILING fEE 0 0.00 0.00 0.00
FEES ItEE INDIGENT FEE 0 0.00 0.00 0.00
FEES JCMF JUVENILE cAse MANAGER FEE 1 5.00 0.00 5.00
FEES SFEE SERVICE FEE 0 0.00 0.00 0.00
FEES SUBC SUB TITLE C 0 0.00 0.00 0.00
PINE fINE FINE 0 0.00 0.00 0.00
FINE PWF PARKS & WILDLIfE FINE 0 0.00 0.00 0.00
FINE WSF WATER SAFETY FINE 1 14.25 80,15 95.00
OTHR 0000 OVERPAYMENT 0 0.00 0.00 0.00
Credit Totol.. 36.45 128.55 165.00
rhe folLowing to~els rep~e&ent - Combined Money and credits
COST cce CONSOLIDATED COURT COSTS 24 92.00 628.00 920.00
COST CHS COURTHOUSE S~CURITY 24 69.00 0.00 69.00
COST QPSC DPS FAILURE TO APPEAR /DHNI fEES 2 19.60 40.20 60.00
COST !Df INDIGENT DEFENS~ FUND 24 4.60 41.40 46.00
COST JCSF JUSTICE COURT S~CURITY FUNQ 23 23.00 0.00 23.00
cOST JPAY JUDGE PAY RAISE fEE 24 13.BO 124.20 138.00
COST JSF JUROR SERVICE FUNQ 24 9.20 82.80 92.00
COST LAF SHERIFF'S FEE 1 5.00 0.00 $.00
COST HVF HOVING VIOlATION FEE 7 0.06 0.54 0.60
COST PWAF TEXAS PARKS & WILDLIFE 10 40.00 10.00 50.00
COST SAf QPs 13 4B.00 12.00 60.00
COST TF TECHNOI.OGY FUND 24 92.00 0.00 92.00
COST HC TFC 7 16.00 0.00 18.00
FEES AFM ADM FEE- DISMISSAL- ALL OTHeRS 1 10.00 0.00 10.00
FEES CSRV COLLECTION SERVICES FEE 2 142.$0 0.00 142.$0
FEES DSC DRIVER SAFETY COURSE 01/20~ 3 29.70 0.00 29.70
FEES fiLl FlUNG FE~ 1 2$.00 0.00 25.00
FEES IfE~ .NDIGENT F~E 1 0.30 5.70 6.00
FEES JCmF JUVENILE CASE MANAGER fEE 21 105.00 0.00 105.00
FEES SF~E SERVICE FEE 1 75,00 0.00 75.00
FEES SU8C SUB TITLE C 6 9.00 171.00 lBo.OO
FINE FINE FINE 11 852.70 0.00 852.70
FINE PWf PARKS ~ WILQLIFE FINE 1 45.00 255.00 300.00
FINE WSF WATER SAFETY FINE 9 141.00 833.00 980.00
OTHR 0000 OVERPAYMENT 1 BO.OO 0.00 Bo.Oo
07/09/2012 14:29
361-983-2461
CALHOUN CO PCT 5
PAGE 07
07/08/2012
Honey Dietribut;on Report
JUDOa NANCY POMYKAL - peT 5 - JUNE 2012 REPORT
page
6
__~~______________~__~__~w_~___~_w~------~-----~------~____~_~_____~______________~_____~____w____~_~_______----~~---_._~---------
Th, fDlLo~1"g tot.ls repr.sent - com~1n.d Monoy ond c,.dit.
Type Cod~ peBt~;pt1on
count
Retained
Disbu,..d Money-Totals
Report Totals
27
1,955.66
2,403.84 4,359.S0
07/09/2012 14:29
361-983-2461
CALHOUN CO PCT 5
PAGE 08
07/08/2012 Honey D1stribution Report page 7
JUDGE NANCY POMYKAL . PCT 5 . JUNE 2012 REPORT
_______~________w~r~-----------------~~~-----~~--------________w_____~_--~-____________~~___w~~--------------__uu__~_--------------
DAtE PAYMENT-TYPE FINES coURT-COSTS fEES BONDS RESTITUTION OTHER tOTAL
00-00-0000 cash & Cheok. Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Cr~d;t$ & comm Servioe 0.00 0.00 0.00 0.00 0.00 0.00 0.00
c~edit Card~ & Tran&fe~s 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tot.~ 01 all collection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1991 cosh & Cheoks collectod 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JaiL Cr,dits & comM service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit cards & Tranefer~ 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all ColLeetions 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1993 ~a$h & Ch~cka collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail credits & Comm se~vice 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Ct~d;t carde i Tranafer~ 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TQ~sL 01 all COllections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-199, C..h & Chocks colleoted 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jhil credit$ & Comm service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Card~ & Tran$f~rs 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of .ll Co~lections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1997 c.sh & Cheok. collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Cr,dit. & COMm Servl., 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit C5rd~ & Transfer, 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collectiona 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 ,~.h & Check. collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & comm service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Cr~dit card& & Tr~n81e~$ 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total 01 IiIll Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2001 co.h & Cheok. Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & CQmm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
credit C.rds & Transfer$ 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Colll!!GtioM 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0;>-01-2003 C..h & check. Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jeil Ct&dit$ & Comm s*rv;ce 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Card$ & Tt8fi$fers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tot<<l of all colleotions 0.00 0.00 0.00 0.00 0.00 0.00 0.00
01-01-2004 cash & Checks collected 2,037.70 1,508.60 566.20 0.00 0.00 80.00 4,194.,0
Jell credit. & CoMm service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
credit Card& & Tr.n,fer~ 95.00 65.00 5.00 0.00 0.00 0.00 16,.00
Totel 01 all Colleotions 2,132.70 1,,73.60 ,73.20 0.00 0.00 60.00 4,3,9.,0
TOTALS C..h & check. ,ollocted 2,0'7.70 1,,08.60 .68.20 0.00 0.00 80.00 4,194.50
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Card$ & Transfers ~"OO 6,.00 5.00 0.00 0.00 0.00 165.00
Total of all (;oLleQt:ions 2,132.70 1,573.60 573.20 0.00 0.00 80.00 4,359.'0
07/09/2012 14:29
361-983-2461
CALHOUN CO PCT 5
01108/~012
Money Di&tribution Roport
JUDGE NANCY POMYKAl . pcT 5 . JUNE 2012 REPORT
PAGE 09
Pog"
8
DATe
PAYMENT-TYPE
FINES coURT-COSTS
---~--------~-~---------~"~----~-----~---~-~--------~---------------~----~~-----~-----~----~---------------~----~-------------------
OTHER
TOTAL
Stote of Texas Quarterly Repo~ti~g Totals
Deacl"ipt'lol'l
CQunt
stat. Comptroll.r co.t and F... R.port
SeotiQn 1: Report for Offen~e$ Committed
01-01-04 Forward
09-01-01 - 12-31-03
08-31-99 - OS-31-01
09-01-97 - 08-30-99
09-01-91 - 08-31-91
eoH Bond F..
DNA Testing Fee - tonv'~tion$
DNA T.sting Fe! - Comm supvn
DNA Testing Fee - Juvenile
EMS Traum$ Fund (EM$)
Jvvenile Probation Diversion fee$
Jyry Rtimbursement Fee
Indigent Dofense FYOd
Moving ViQl~tion Fea$
State Traffi. Fin.
24
o
o
o
o
o
o
o
o
o
o
24
24
7
6
s..tion 11: A. Appli.able
PeeQe Officer Fee&
Failure to Appeer/Pay Fee.
J~dicial Fund - Const county Court
Judici"l Fund - statutory county Court
Motor Carrier weight Violftt;on~
Time payment Fees
Driving Aeoord F~o
Judicial Supp~rt Fee
Report sub Total
23
2
o
o
o
o
o
~4
134
$tate Comptr~lL.r Civil Fee$ Report
~F: Bi~th Certificate fees
Cf: Marri_at license Fees
CF: b.cLaration of Informal Ma~~i8ge
Cf: Nondisclosu~e fee$
Cf: Juror Donat1on$
CF: Jl.l$tiaEl: Court lndig Fi ling fees
CF: Stat Prob Court Indi~ Filing Fees
CF: Stat Prob Ceutt Judic Filing Fe.s
CF: Stat cnty Court Indig Filing F.a.
CP: Stat tnty Court Judie FiLina Fee$
Cf: Cnet Cnly Court Indig Filing Fee.
CF: Cn.t Cnty Court Judi. Filing F...
'P: Oist Court Divoroe & FaMily Law
CF: o;.t court Other Divorc./Family Law
Cf; Di$t Court Indig Legal Strvice$
cf: Judioisl Support Fee
Report Sub Total
o
o
o
o
o
1
o
o
o
o
o
o
o
o
o
o
1
TotaL D~e For This Period
135
FEES
BONDS RESTITUTION
coneoted
920.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
92.00
46.00
0.60
180.00
110.00
60.00
0.00
0.00
0.00
0.00
0.00
138.00
1,546.60
0.00
0.00
0.00
0.00
0.00
6.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
6.00
1,552.60
Retained
92.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
9.20
4.60
0.06
9.00
88.00
19.60
0.00
0.00
0.00
0.00
0.00
13.60
236.46
0.00
0.00
0.00
0.00
0.00
0.30
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.30
236.76
o ;aburted
828.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
82.80
41.40
0.54
171.00
Z2.00
40.20
0.00
0.00
0.00
0.00
0.00
124.Z0
1,310.14
0.00
0.00
0.00
0.00
0.00
5.70
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.70
1,315.84
To: Commissioners' Court
From: Noemi Cruz
Calhoun County Public Library System
(361) 552-7323
200 W. Mahan
Port Lavaca, Thxas 77979
/)
Subject Meeting Room Annual Usage Report 2011
Date
5-Jan
6-Jan
6-Jan
12-Jan
19-Jan
26-Jan
27 -Jan
8-Feb
9-Feb
15-Feb
16-Feb
17-Feb
22-Feb
23-Feb
24-Feb
24-Feb
1-Mar
2-Mar
3-Mar
3-Mar
8-Mar
9-Mar
10-Mar
15-Mar
23-Mar
24-Mar
29-Mar
30-Mar
6-Apr
7 -Apr to 16-Apr
20-Apr
27 -Apr
28-Apr
29-Apr
4-May
5-May
5-May
6-May to 14-May
Organization
Library - Storytime
Port Lavaca Book Club
Library Board
Library - Story time
Library - Story time
Library - Story time
Library - Family Movie Night
Calhoun County Historical Commission
Library - Storytime
The Harbor
Library - Storytime
Library - Family Movie Night
The Harbor
Library - Story time
Texas Injured Workers
Texas Historical Commission
The Harbor
Library - Storytime
The Harbor
Port Lavaca Book Club
The Harbor
Library - Storytime
Library Board
The Harbor
Library - Story time
Library - Family Movie Night
Genealogy Group - De Leon Family
Library - Story time
Library - Storytime
Friends of the Calhoun County Library (Book Sale)
Library - Storytime
Library - Story time
Library - Family Movie Night
Calhoun County Jail
Library - Storytime
Port Lavaca Book Club
Library Board
Friends of the Calhoun County Library (Scholastic Book Fair)
18-May
25-May
26-May
4-Jun
8-Jun
8-Jun
9-Jun
10-Jun
15-Jun
15-Jun
16-Jun
17-Jun
22-Jun
22-Jun
23-Jun
24-Jun
28-Jun
29-Jun
29-Jun
1-Jul
5-Jul
6-Jul
6-Jul
7-Jul
7-Jul
8-Jul
12-Jul
12-Jul
13-Jul
13-Jul
14-Jul
15-Jul
19-Jul
20-Jul
20-Jul
23-Jul
27-Jul
30-Jul
3-Aug
4-Aug
9-Aug
10-Aug
17-Aug
18-Aug
25-Aug
31-Aug
1-Sep
1-Sep
6-Sep
7-Sep
8-Sep
13-Sep
Library - Storytime
Library - Story time
Library - Family Movie Night
Library - Summer Reading Program Kickoff
Library - Story time
Library - Reader's Club
Library - Bilingual story
Library - Friday Flicks
Library - Storytime
Library - Reader's Club
Library - Bilingual story
Library - Friday Flicks
Library - Story time
Library - Reader's Club
Library - Bilingual story
Library - Friday Flicks
Knitting Club
Library - Story time
Library - Reader's Club
Library - Friday Flicks
Knitting Club
Library - Storytime
Library - Reader's Club
Port Lavaca Book Club
Library Board
Library - Friday Flicks
Knitting Club
Calhoun County Historical Commission
Library - Storytime
Library - Reader's Club
Peer to Peer
Library - Friday Flicks
Knitting Club
Library - Storytime
Library - Reader's Club
Calhoun County Historical Commission
Calhoun County Historical Commission
Calhoun County Sheriffs Office
Library - Storytime
Peer to Peer
Calhoun County Historical Commission
Library - Storytime
Library - Storytime
Peer to Peer
Library - Family Movie Night
Library - Story time
Port Lavaca Book Club
Library Board
Take Shape For Life
Library - Storytime
Peer to Peer
Calhoun County Historical Commission
14-Sep
21-Sep
22-Sep
22-Sep
28-Sep
4-0ct
4-0ct
5-0ct
6-0ct
6-0ct
11-0ct
11-0ct
12-0ct
12-0ct
13-0ct to 22-0ct
26-0ct
26-0ct
27-0ct
1-Nov
1-Nov
2-Nov
3-Nov
3-Nov
3-Nov
a-Nov
a-Nov
9-Nov
10-Nov
15-Nov
16-Nov
17-Nov
17-Nov
19-Nov
22-Nov
22-Nov
23-Nov
29-Nov
1-Dec
1-Dec
2 -Dec to 1 O-Dec
6-Dec
6-Dec
a-Dec
a-Dec
13-Dec
14-Dec
14-Dec
15-Dec
15-Dec
15-Dec
15-Dec
16-Dec
Library - Storytime
Library - Storytime
Peer to Peer
Library - Family Movie Night
Library - Story time
ESUGED
Take Shape For Life
Library - Storytime
ESUGED
Peer to Peer
ESUGED
Calhoun County Historical Commission
Library - Story time
Library - Program
Friends of the Calhoun County Library (Book Sale)
Library - Story time
Library - Program
Library - Halloween Costume Party
Take Shape For Life
ESUGED
Library - Storytime
Port Lavaca Book Club
Library Board
ESUGED
Elections
ESUGED
Library - Program
ESUGED
ESUGED
Library - Storytime
Peer to Peer
ESUGED
Library - Program
ESUGED
Library - Movie Day
Library - Game Day
ESUGED
ESUGED
Peer to Peer
Friends of the Calhoun County Library (Scholastic Book Fair)
Take Shape For Life
ESUGED
ESUGED
Girl Scouts
ESUGED
Library - Story time
Library - Program
Calhoun County Jail
ESUGED
The Harbor
Peer to Peer
Calhoun County Sheriffs Office
21-Dee
22-Dee
27-Dee
27 -Dee
28-Dee
28-Dee
29-Dee
Library - Game Day
Library - Movie Day
Calhoun County Jail
The Harbor
Library - Program
Library - Slorytime
Peer 10 Peer
Calhoun County Public Library System
(361) 552.7323
200 W. Mahan
Port Lavaca, lexas77979
To: Commissioners' Court
From: Noemi Cruz
Subject: Meeting Room Annual Usage Report 2011 - Seadrift Branch Library
Date
Organization
10-Sep
15-0ct
12-Nov
3-Dec
6-Dec
8-Dec
Private - Yesennia Haydee Rodriguez
Private - Cheryl Cain
Private - Janet Gohlke
Private - Kelly Penney
Seadrift Area Volunteer Emergency Services
Army Core of Engineers
PRE-APPROVE EXPENDITURES BY INCUMBENT COUNTY OR PRECINCT OFFICER(S) UNDER
COUNTY'S POLICY OF COMPLIANCE WITH LGC 130.908:
List of expenses totaling $39,339.38 were presented by the Calhoun County Sheriff's Office.
List of expenses totaling $55,425.86 were presented by the Calhoun County Adult Detention Center.
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch.
The pre-approved list for the Sheriff's Office and Adult Detention Center is an itemized expectation of
expenditures for the following month.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Vendor
Calhoun County Sheriffs Office
Bills to be approved on
July 26,2012
Description Amount
17
G.T Distributors Uniforms
760.80
G.T Distributors Law Enforcement Supplies
1157.50
Quill Office Supplies
1364.53
Wal-Mart Misc Supplies
200.00
Wal-Mart Office Supplies
200.00
Downtown Cleaners Uniforms
36.00
Credit Card Center Meal Allowance
1100.00
Credit Card Center Travel Out of County'
4000.00
Credit Card Center Law Enforcement Supplies
59.95
Credit Card Center Fuel
3000.00
Credit Card Center Misc service
199.99
Suncoast Fuel
13763.07
Shell Fuel
3000.00
Pitney Bowes Postage
87.00
Nextel Telephone Services
1747.95
Keep U Neat Uniforms
60.00
Keathley's Glass Vehicle Repairs
10.00
Ricoh Copier Rentals
970.95
Sam's Club/GECRB Dues
140.00
Uniform and Accessories Misc Service
120.01
Bruce's Auto Repair Vehicle Repairs
2415.87
Bruce's Auto Repair Mise Service
66.00
Announcements Plus Too Office Supplies
72.00
Cintas Mise Supplies
50.00
Aqua Beverage Company Misc Supplies
104.76
Vendor
Exxon
David Hensley PHD
Cintas First Aid & Safety
Radioiogy Unlimited
Port Lavaca Wave
CMllnc
Calhoun County Sheriffs Office
Bills to be approved on
July 26,2012
Description Amount
Fuel 3000.00
Physicals 300.00
Misc Supplies 275.00
Inmate Medical 280.00
Misc Service 200.00
Law Enforcement Supplies 598.00
Calhoun County Adult Detention Center
Bills to be approved on
July 26,2012
Vendor Description Amount
Gulf Coast Hardware Misc Supplies 319.96
Radiology Unlimited Inmate Medical 282.59
Supply Direct lnc Capital Outlay 199.92
Wal-Mart Misc Supplies 145.82
Wal-Mart Office Supplies 200.00
Downtown Cleaners Uniforms 112.00
Credit Card Center Meal Allowance 300.00
Correctional Management Registration Fees 235.00
Pitney Bowes Postage 87.00
Memorial Medical Center Inmate Medical 13777.00
David Hensley PHD Physicals 900.00
Cintas First Aid & Safety Infirmary Supplies 200.00
Ricoh Copier Rentals 906.00
Diamond Drugs Inmate Medical 1595.90
Coastal Medical Clinic Inmate Medical 5000.00
Port Lavaca Clinic Physicals 580.00
Port Lavaca Clinic Inmate Medical 467.00
Moore Medical Inmate Medical 300.00
Guard Master Fire & Safety Misc Service 396.00
Stericycle Misc Service 276.96
Ben Keith Co Groceries 9041.61
Hudson's Engraving Uniforms 66.50
Codex Misc Supplies 1225.50
Codex Capital Outlay 895.00
Calhoun County Adult Detention Center
Bills to be approved on
Juiy 26,2012
Vendor Description Amount
ICS Inmate Supplies 800.00
HEB Groceries 465.29
HEB Inmate Supplies 251.29
Allied Waste Jail Utilities 580.24
Gulf Coast Paper Jail Maintenance 850.00
Gulf Coast Paper Mise Supplies 1516.77
Gulf Coast Paper Inmate Supplies 152.93
Matera Jail Maintenance Supplies 846.45
Matera Mise Supplies 800.00
Quill Office Supplies 1666.39
Hill Country Dairy Groceries 1596.64
Dash Gioves Misc Supplies 1715.10
Port Lavaca Wave Mise Service 75.00
Glove Planet Misc Supplies 840.00
VCS Security Software Maintenance 260.00
Coastal Medicai Clinic Contract Medical 5000.00
Hobart Service Jail Maintenance 500.00
BILLS:
Claims In the amount of $1,243,556.76 for operating fund and $49,257.01 for indigent healthcare fund expenses
totaling $1,292,813.77 were presented by Memorial Medical Center and after reading and verifying same a
motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the bills and that
all said claims are approved for payment.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Claims totaling $3,531,417.96 were presented by the County Treasurer's office and after reading and verifying
same a motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the bills
and that all said claims are approved for payment.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Ciaims totaling $37,170.33 were presented by the Calhoun County Sheriff's Office and after reading and
verifying same a motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve
the bills and that all said claims are approved for payment.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ----- Julv 26, 2012
MEMORIAL MEDICAL CENTER OPERATING FUND
MEMORIAL MEDICAL CENTER WEEKLY CHECKS
Date Approved bv County Auditor (See attached lists)
6/21/2012 Weekly Payables
6/21/2012 Patient Refunds
6/27/2012 Weekly Payables
6/27/2012 Patient Refunds
7/5/2012 Weekly Payables
7/5/2012 Patient Refunds
7/12/2012 Weekly Payables
Total Payables and Patient Refunds
MEMORIAL MEDICAL CENTER PAYROLL
Date of Pavroll Run & Date Liabilitv Called In (See attached lists)
6/19/2012 Net Payroll
6/26/2012 Payroll Liabilities
7/3/2012 Net Payroll
7/5/2012 Net Payroll
7/10/2012 Payroll Liabilities
Total Net Payroll and Payroll Liabilities
GRAND TOTAL OPERATING FUND
APPROVED INDIGENT HEAL THCARE FUND EXPENSES
$ 192,878.92
1,684.58
242,360.94
32.72
151,279.89
3,583.54
85,711.64
215,830.54
71,463.16
208,928.32
81.76
69,720.75
$ 677 ,532.23
$ 566,024.53
$ 1,243,556.76
$ 49,257.01
IGRAND TQTALBILLS APPROVEP 7/26/2012
$1,292,813.771
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR """" Julv 26. 2012
INDIGENT HEAL THCARE FUND:
INDIGENT EXPENSES
Calhoun County Home Health
Coastal Medical Clinic
Community Pathology Associates
Refund from Community Pathology Associates
Michelle M Cummins MD
HEB Pharmacy
R",fund frClm HEBpharm?cy-Ch",ckrepeived
Refund from REB Pharmacy _ Credit on Bill
Memorial Medical Center (Out-patient $8,935.96 ER $9,811.12 In-patient $21 ,806.40)
Port Lavaca Anestesia Group
Port Lavaca Clinic
Radiology Unlimited PA
Victoria Surgical Associates
296.76
676.89
202.09
(630.80)
112.50
208.65
40,553.48
482.58
907.38
233.34
214.65
SUBTOTAL
42,976.40
Memorial Medical Center (Indigent Healthcare Payroll and Expenses)
5,368.69
TOTAL INDIGENT HEAL THCARE FUND EXPENSES (net of Refunds)
48,345.09
Refunds from Above
911.92
TOTAL APPROVEDINDIGENTHEALTHCARE FUND EXPENSES
49,257.01
**$350 in Co-Pays were collected by Memorial Medical Center in June
@IHS
Source Totals Report
Issued 07/13/2012
Calhoun Indigent Health Care
6-1-12 thh'lugh 6-30-12
For Vendor: All Vendors
Source Description
Amount Bllied
Amount Paid
01 Physician Services
01-2 Physician Services- Anesthesia
02 Prescription Drugs
05 Lablx -ray
08 Rural Health Clinics
10 Optional Services - Home Healt
11 Reimbursements
13 Mmc - inpatient Hospital
14 Mmc - Hospital Outpatient
15 Mmc - Er Bills
2,563.00
4,200.00
208.65
1,854.30
2,255.47
540.00
0.00
31,152.00
20,309.00
22,298.00
567.17
482.58
208.65
202.09
1,577.59
296.76
-1.73
21,806.40
8,935.96
9,811.12
Expenditures
Reimb/Adjustments
85,408.50
-28.08
43,916.40
-29.81
Grand Total
85,380.42
43,886.59
APPROVED
I3Y
JUL I 7 2012
Fiscal Year
251,649.96
CAI-NOUN COUNTY
AUDITOR
Payroll/Expenses
5,368.69
':i'VL014;~~{~
Calhoun County Indigent Coordinator
800 07182012 01 CALHOUN COUNTY,
iliililii!.ilii':mmmn::mm:::m:mm:mi'm ..,.'!.,,:....'!.'.':.'i.:.'!.".:!.':.'!.':.'!.',.',.':.".':.".':.!.:.'!.'!.'?;;
,....,'::::,:,:::",:",:,::'::::,':',':::'::,:,:,'::::':"":"
;: .::;: ;;~1~jH!ij ~mm;~;~:j~~;~;mm;mmmjHm~j~~t ; :mmHjHHHi HUilj: i1 jL:~' ;.:
ij::=f:;:i;,:jij,!,j:;: .... ,'.:.:;:;:;:;:::::~;:::U::::::::::::::;:::: "':~
..................:;:,:::;:;:::;:;:;:;:i:i:i:i:i:i:;';:i:i:,
}:~;.~j..~;.~;.~~.!i.h.:!i.:!i.!?::::: ... .. . . . . . . . . .. . .. . .'
. . . . . ." j, i, ~,' .,; 1,. ',' ','. i,::. '.'. !" i,!, i,~, .... :.:: i, i,. i,i: i,~:;, 1: i, 1,. i, 1: i,~:;, 1: :...~.:.~. ;:.
ii;i;i:i:i:iii:i;i:,:i:i:i:i:i ..
DATE:
7/18/2012
CC Indigent Health Care
VENDOR # 852
ACCOUNT
NUMBER
1000-800-98722-999
1000-001-46010
COUNTY AUDITOR
APPROVAL ONLY
APPROVED
BY
)UL 2 3 2012
CALHOUN COUNTY
AUDITOR
June Interest
$0.00
THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE
OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY
THIS OBLIGATION.
DEPARTMENT HEAD
DATE
I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME
IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY
THE ABOVE OBLIGATION.
7/18/12
DATE
TOTAL
PRICE
$48,345.09
$0.00
$48,345.09
2011 Calhoun Indigent Care Patient Caseload
Approved Denied Removed Active Pending
Jan 7 22 10 152
Feb 9 13 17 156
Mar 32 33 26 153
Apr 8 19 28 164
May 6 19 16 149
Jun 25 21 23 146
Jul 1 19 5 140
Aug 1 13 39 108 2
Sept 2 43 32 79 11
Oct 8 15 27 62 16
Nov 7 8 21 47 15
Dee 1 24 27 30 14
YTD 107 249 271 1386 58
12 Mo Avg 9 21 23 116 5
2012 Calhoun Indigent Care Patient Case load
Approved Denied Removed Active Pending
Jan 4 10 2 37 9
Feb 1 17 2 36 11
Mar 4 16 3 38 20
Apr 1 15 3 39 21
May 3 11 3 40 17
Jun 10 12 5 46 15
Jul
Aug
Sept
Oct
Nov
Dee
YTD 23 81 18 236 93
Monthly Avg 4 14 3 39 16
RUN DATE, 07/16/12
TUlli,09,48
MEMORIAL MEDICAL CENTER
RECEII'rS moo 06/01/12 TO 06/JO/12
PAGE 125
RCMREP
G/L
NUMBER
RECEII'r PAY
DATE NUMBER TYPE PAYER
CASH
AMOUNT
RECEII'r
W~UNT IIUMBER NAME
DISC COLL GL CASH
DATE !NIT CODE ACCOUNT
_____ _~_~~____ _ _ _ _n_ ~_____ _ ~__________~~___________________._____ ------------- ----.-- --- ----- - -- --- - --- .-- - - ----- ---.- ----- ---.----
50200.00006/29/12 HRP 2
50200.00006/29/12 CAll 2
50200.00006/29/12 CM! 2
50200.000 06/JO/12 CAll 2
50200.00006/JO/12 CM! 2
50200.00006/JO/12 CAll 2
50200.000 06/JO/12 CAll 2
50200.00006/30/12 CM! 2
50200.00006/JO/12 CAll 2
50200.00006/JO/12 CAll 2
50200.00006/30/12 CAll 2
UTOTAL** 50200
.
~@~ . pact
Delwenng' Flexible' ChoIce
10680 Treena Street, 5th Floor
San Diego, CA 92131
(858) 566-2727 Credit Memo
Invoice Date:
Invoice #:
Batch #:
6/15/2012
0612R108
To: HPLl 0
Monica Escalante
HEB - CALHOUN COUNTY
815 N. VIRGINIA ST
PORT LA V ACA, TX 77977
Phone: (361)552-0340
Fax:
Due Date: 6/15/2012
Quantity
REBATE
1
Item Code
Description
Price Each
Amount
1118
Monthly Rehates Distribution June 2012
-1.7300
Ml.73
-1.73
....1 ~ _ _. r
.dress:
~:tvledImpact.com, stating the following:
Invoice Total M~__M. >
1.73
Page 10f1
MedImpact Data Se~vioes
Report Date: 06/01/12
Client Distribution Summary
HPL10 HEB - CALHOUN COUNTY
MedIropaot Commercial
Rebate
06/01/2012
Qtr: 4Q2011
Manufacturer
Distributed
This Mo.
Gross Rec'd
This Mo.
Invoiced
lunount
Cum $ % Collected
Gross Rec'd to Invoiced
------------------------------------- -------------- -------------- ---------------------------- ------------
SCHERING
1. 73
1. 73
1. 73
1. 73
100.00
------------------------------------- -------------- -------------- ---------------------------- ------------
pian ~location This Quarter:
Cumulative % Collected:
Collected Rebate 1 Claim:
1. 73
92.97
O.OB
1.73
Plan Allocation This Month:
1. 73
Contains proprietary, privileged, or individually identifiable health information protected by the Health
Insurance Portability and Accountability Act (HIPAA) and other statutes, or confidential commercial or
financial data not subject to disolosure under the Freedom of Information Act.
MedDividend (tm) Rebate System
Page 1 of 1
MEMORIAL MEDICAL CENTER
Port Lavaca, 'Texas
MANUAL JOURNAL ENTRIES
MONTH OF
JUNE, 2012
Page _01_
Debit Credit
Acct# JE# Description Check # Amount Amount
10255000 Indigent Healthcare . 5,368.69
40450074 Reimbursement - Calhoun CN 4,142.65
40015074 Benefits - FICA 223.69
40025074 Benefits - FUT A . -
40040074 Benefits - Retirement 248.69
60320000 Benefits - insurance 745.68
40220074 Supolies - General 2.56
40225074 Supplies - Office 5.42
40230074 Forms -
40610074 Continuing Education -
40510074 Outside Services -
40215074 Freight -
40600074 Miscellaneous -
.~"::;''''u
13'
JUL I I iU1i:
CALHOON CQUN'r1!
AUUll UN
,
TOTALS 5,368.69 5,368.69
,/
v
/
./
/
EXPLANATION FOR ENTRY
~.IU> MtA.&k<rl;zc,eh; I.
REVERSING:
YES
NO V
JE#
0"'1215
Indigent Heallhcare Program
Incurred by MMC
JUNE, 2012
Indigent H'care Coordinator Salary # 40450074 14-Jun 2,172.72
# 40450074 28-Jun 1,785.61
# 40450074
( # 40000074 )
(#40000074 )
(#40010074 ) 184.32
I 4,142.651
Benefits: #40040074 I 248.691
FICA # 40015074 14-Jun 111.92
#40015074 28-Jun 111.77
#40015074 I 223.691 ;
"
;
FUTA
14-Jun
28-Jun I
Other Benefits (18 %) # 63200000 I 745.681
General Supplies # 40220074 I 2.561
Office Supplies # 40225074 I 5.421
Forms #40230074 I
Continuing Education #40610074 I
Outside Services #40510074 I
Freight #40215074 I
Travel #40600074 I
RUN DATE: 06/20/12
TIME: 13:25
I~E!<IORIAL 11EDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/03/12
PAGE: 1
APOPEN
VEND#.NAl1E.......................... .CLS.INVOICE#....... ..TRN DT.INV DT.DUE OT.CK DT..PC...... .GROSS.... .UISC..... .NO-PAY....... .NET
A1350 ACTION LUMSER
SUPPLIES PLANT OPS W 26420 053112 052912 062B12 11.B5 .00 11.8S'"
DEPT REPAIR ICU 26503 061112 060112 063012 5.40 .00 5.40 ./
TOTALS....................................... : 17.25 .00 17.25
A1430 ADVANCE !<IEDlCAL DESIGNS IN 29.75 .,/
SUPPLIES SURGERY !<I SI9S3698 061112 053112 062912 29.75 .00
TOTALS..............,...,.................... : 29.75 ,00 29.75
A1790 AFLAC
ONLINE BILLING W 23960 061512 061512 061212 3248.45 .00 3248.45 "./
TOTALS.................,..................... : 3248.45 .00 3248.45
A1680 AIRGAS-SOUTHWEST ./
MEDICAL GAS - CARDIO !I 107023655 061112 053012 062912 84.69 .00 B4.69 ./
MEDICAL GAS CARDIO 10705B510 061212 053112 063012 2084.93 .00 20B4.93./
MEDICAL GAS SURGERY 107058564 061212 053112 063012 221. 70 .00 221.70
TOTALS,...."..............,......,.......... : 2391. 32 .00 2391.32
A1360 AlIERISOURCESERGEN DRUG COR
PllARIlACEUTlCALS W 037-606927 061512 061312 062512 118.07 .00 IlB.07 ./
TOTALS,..........,.....,..,.......,.......... : 118.07 ,00 l1B.07
B2001 ANGIE BURGIN 66.60/
TRAVEL EXPENSE ER 23964 061912 051012 061012 66.60 ,00
TRAVEL EXPENSE ER 23965 061912 051012 061012 168.72 .00 168.72/
TOTALS,.....,..........,........,..."....... : 235.32 .00 235.32
A221B AQUA BEVERAGE CO!<lPANY 10.13/
OUTSIDE SRV iIDMEM CLINIC !I 401829 061912 053112 062512 10,13 .00
TOTALS...,................................... : 10.13 .00 10.13
A2276 ARTHROCARE I~EDICAL CORPORA 220.30 /
SUPPLIES SURGERY !I 90936256 061112 053012 062912 220,30 ,00
TOTALS...,......,..."......,............... .: 220.30 .00 220.30
10751 ARTISAN !IEDICAL 340.50/
SUPPLIES WO!lENS CLINIC BD-41937 061112 060212 062912 340.50 ,00
TOTALS..... to.. to...........,. to to... to......: 340.50 .00 340.50
10297 ARUP LABORATORIES 5290.24 ./
OUTSIDE SRV LAB 5042077B 061112 060112 070112 5290.24 .00
TOTALS..... to................... to to. to......: 5290.24 .00 5290.24
10719 AUSTIN !IEDlCAL PRACTICE 201B.20 /
OUTSIDE SRV WO!IEN CLINIC 4567 061512 060712 062212 201B.20 .00
TOTALS........................,...,.......... : 2018.20 .00 201B.20
A2600 AUTO PARTS & MACHINE CO. 1.29/
SUPPLIES PLANT OPS W 641866 061212 052912 062812 1.29 .00
SUPPLIES PLANT OPS 643170 061512 060812 070212 56.38 .00 56.38/
RUN DATE, 06/20/12
TUlE, 13,25
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/03/12
PAGE, 2
APOPEN
VEND~.NAl1E...........................CLS.INVOICE#.........TEN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO.PAY........NET
TOTALS.......................................: 57.67 .00 57.67
B1075 BAXTER HSALTHCARE CORP
SUPPLIES CS INV M 37465162 061112 052912 062812 332.26 .00 332.26 ./
PHARl4ACEUTICALS 37465244 061112 052912 062812 272.16 .00 272.16 ./
TOTALS... ................................. ,..1 604.42 .00 604.42
Bl220 BECKllAN COULTER INC 19.35 ./
SUPPLIES LAB M 102916266 061112 053012 062912 19.35 .00
SUPPLIES LAB 102916375 061112 053012 062912 5718.78 .00 5718.78 ./
SUPPLIES LAB 102923588 061112 060112 070112 3165.45 .00 3165.45 ...-/
SUPPLIES LAB 102925216 061112 060412 070312 11405.46 .00 11405.46:/
LEASE / SRV CONTRACT 5269377 061112 053112 063012 5382.13 .00 5382.13
TOTALS...................................... .1 25691.17 .00 25691.17
B1655 BOSTON SCIENTIFIC CORPORAT 306.00 ../
SUPPLIES SURGERY M 932781312 061112 060412 070312 306.00 .00
TOTALS.......... ..... ........................1 306.00 .00 306.00
C1010 CABLE ONE
OUTSIDE SRV VARIOUS W 061612-071512 061912 061612 062512 255.49 .00 255.49 ./
TOTALS....................................... I 255.49 .00 255.49
Cl030 CAL COM FEDERAL CREDIT UNI ./
EMPLOYSE DEDUCTION W 18190 061912 061912 061912 25.00 .00 25.00
TOTALS. ......... I... ... to...... II ..... .......: 25.00 .00 25.00
10650 CAREFUSION 2200, INC /
INSTRUMENTS DB 9103580169 061112 053012 062912 72.18 .00 72.18
TOTALS. .. .. . . ... .. . . . .. . . . . . . .... . .. .. ... .. . . : 72.18 .00 72.18
C1390 CENTRAL DRUGS 397.50 /
PHARllACEUTICALS lq 23957 061512 053112 061512 397.50 .00
TOTALS....................................... , 397.50 .00 397.50
10350 CENTURION ImDICAL PRODUCTS 830.68 ./
SUPPLIES CS INV 91031760 053112 053012 062912 830.68 .00
SUPPLIES VARIOUS 91035347 061212 060412 070312 226.27 .00 226.27 ./
lfO'1'AL8..o. ... II.... ........ I" .... It...O... ..: 1056.95 .00 1056.95
10105 CBRIS KOVAREK
SUPPLIES SOCIAL WORKER 23950 061512 061112 061112 26.52 .00 01'-/.60 ~
'1'O'1'AL8.......,..,............................ : 26.52 .00 . 2
C1510 CHUBB
OUTSIDE SRV SECURITY M 7020381645 061512 060812 060712 471.84 .00 471.84 ./
TOTALS..................................... ..I 471. 84 .00 471.84
C2510 CPSI 66.08/
STATEMENT PROCESSING M 730530 061912 060712 060712 66.08 .00
PRIVATE PAY SRV 730781 061912 060712 060712 12505.18 .00 12505.18 /
RUN DATE: 06/20/12
TnlE: 13:25
llEllORIAL J'lEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/03/12
PAGE: 3
APOPEN
VEND#.NAlIE.......................... .CLS.INVOICE#........ .TAN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... . NET
STATEMENT PROCESSING 732227 061912 061412 061412 82.01 .00 82.01'/
TECB SUPPORT A1206051378 061912 060512 060512 17481.00 .00 17481. 00 ,/
10% DOlni CPSI INTERFACE 23967 062012 061912 062012 900.00 .00 900.00 ,/'
TOTALS........................;.............. : 31034.27 .00 31034.27
S2896 DANETTE BETHANY 386.92/
FLEX SPEND REIl!BURSEfIENT W 23962 061512 061512 061512 386.92 .00
TOTALS. . . . . . . .. . . . . . . . . , . . . . . . I . , . .. . . . . . . . . . t 386.92 .00 386.92
T3075 DEBRA TRAHllELL 550.0~
FLEX SPEND REIMSURSEMENT 23961 061512 061512 061512 550.00 .00
TOTALS....................................... : 550.00 .00 550.00
10368 DE;ITTT POTH . SON
OFFICE SUPPLIES VARIOUS 334284-0 061512 061112 061512 263.66 .00 263.66 ./
TOTALS....................................... : 263.66 .00 263.66
D1608 DIVERSIFIED BUSINESS SYSTE
FORlIS LAB M 22139 053112 052912 062812 187.70 .00 187.70 ,/
TOTALS....................................... : 187.70 .00 187.70
D1752 DLE PAPER. PACKAGING ,/
SUPPLIES PF8 W 6542 061512 030612 040512 79.95 .00 79.95
TOTALS....................................... : 79.95 .00 79.95
10689 FASTHEALTH CORPORATION
SETUP FEE PAYlIENT 04SD12HMC 061512 052712 062612 583.33 .00 583.33....-'
SRV MONTHLY ;lERSITE JUNE 06A12lniC 061512 060112 063012 495.00 .00 495.00./
TOTALS....................................... : 1078.33 .00 1078.33
F1100 FEDERAL EXPRESS CORP.
FREIGHT CHG LAB 1'1 7-912-85032 061512 060712 062212 38.77 .00 38.77 ,/
TOTALS....................................... : 38.77 .00 38.77
F1300 FIRESTONE OF PORT LAVACA
DEPT REPAIR TRANSPORATION W 0010438 061512 052412 062312 784.49 .00 784,49 ./
TOTALS....................................... : 784.49 .00 784.49
FI400 FISHER HEALTHCARE
SUPPLIES LAB 1,1 1071834 061112 060112 063012 487.26 .00 487.26,/"
SUPPLIES LAB 0895548 062012 052912 062812 420.82 .00 420.82 ./
SUPPLIES LAB 0895549 062012 052912 062812 245.66 .00 245.66/
SUPPLIES LAB 0949574 062012 053012 062912 111. 57 .00 111. 57/'
SUPPLIES LAB 0949575 062012 053012 062912 123.55 .00 123.55 ../
SUPPLIES LAB 0949576 062012 052912 062812 1196.47 .00 1196.47./
SUPPLIES LAB 0949577 062012 053012 062912 143.78 .00 143.78./
SUPPLIES LAB 1010083 062012 053112 062912 444.63 .00 444.63/
TOTALS....,........................ to to......1 3173.74 .00 3173.74
F1653 FORT BEND SERVICES, INC 495.00 )
WATER/WASTE TREATMENT 0174857-IN 061212 060112 063012 495.00 .00
RUN DATE, 06/20/12
TIllE, 13,25
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/03/12
PAGE, 4
APOPEM
VEND#.NAME...........................CLS.INVOICE#.........TRM DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS...................................... .: 495.00 .00 495.00
G1870 GOLDEN CRESCENT COMllUNlCAT
SUPPLIES SECURITY M 32407 053112 052912 062812 12.50 .00 12.50 ,/
TOTALS....................................... , 12.50 .00 12.50
WI300 GRAINGER
SUPPLIES PLANT OPS H 9841746432 061112 053112 063012 23.42 .00 23.42 ......
TOTALS....................................... , 23.42 .00 23.42
G1050 GREENHOUSE FLORAL DESIGNER
HEALTBFAIR W 000023544 053112 052912 062812 175.00 .00 175.00 --
TOTALS....................................... , 175.00 .00 175.00
A1292 GULF COAST HARDWARE / ACE
DEPT REPAIR ICU W 069257 061112 060112 063012 12.99 .00 12.99V
SUPPLIES PLANT OPS 39284 061112 060412 070312 4.58 .00 4.58 ,../
DEPT REPAIR ICU 69260 061112 060112 063012 36.94 .00 36.94""'-
TOTALS.............. ..... ....................: 54.51 .00 54.51
G1210 GULF COAST PAPER COHPANY
SUPPLIES HOUSEKEEPING M 402028 053112 052912 062812 299.70 .00 299.70 ./
'1'O'1'AL8................. ......................: 299.70 .00 299.70
H0030 H E BUTT GROCERY
SUPPLIES DIETARY M 208111 061112 060212 070112 77.32 .00 ?~.'-il ~
SUPPLIES DIETARY 211003 061112 060412 070312 156.02 .00 156.02 '"
TOTALS....................................... : 233.34 .00 ~
..?.iI:i:.'I'l
H1399 HILL-ROH CO!WANY, INC ,,/
SUPPLIES !IED SURG M 7639424 061112 053112 063012 1710.00 .00 1710.00
TOTALS....................... ..... ..........., 1710.00 .00 1710.00
10344 INCISIVE SURGICAL 328.40/
SUPPLISS CS INV 73459 061112 060412 070312 328.40 .00
'l'OTALS....................................... : 328.40 .00 328.40
I0415 INDEPENDENCE 1.IEDICAL
SUPPLIES CS INV 26631901 053112 053012 062912 78.90 .00 78.90/
SUPPLIES CS INV 26631896 061112 053012 062912 68.70 .00 68.70./
TOTALS.................. .................. ...: 147.60 .00 147.60
I0950 INFOLAB INC
SUPPLIES LAB !! 3123628 061112 052912 062912 2263.59 .00 2263.59/
SUPPLIES LAB 3124517 061112 052912 063012 645.67 .00 645.67/
TOTALS............. ...........................: 2909.26 .00 2909.26
Ill00 INSTRUMENTATION LABORATORY
SUPPLIES LAB M 9101033770 061112 053012 063012 2327.08 .00 2327.08 "./
TOTALS....................................... : 2327.08 .00 2327.08
10285 JAMES A DANIEL /
JULY RENT 23954 061512 061512 061512 750.00 .00 750.00
RUN DATE: 06/20/12
TmE: 13:25
11EHORIAL IlEDICAL CENTER
AP OPEN INVOICE LIST TRRU DUE DATE OF 07/03/12
PAGE: 5
APOPEN
VEIlD#.NAlm...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 750.00 .00 750.00
L0700 LABCORP OF AlIERICA HOLDING 86.50 /
OUTSIDE SRV LAB H 37807922 061112 060212 070112 86.50 .00
OUTSIDE SRV LAB 37920194 061112 060212 070112 13.80 .00 13.80 ./
TOTALS...................................... .1 100.30 .00 100.30
J1350 H.C. JOHNSON COHPANY INC
SUPPLIES CS INV II 00236364 061112 052912 062912 102.78 .00 102.78V
TOTALS........................,......... .-,...: 102.78 .00 102.78
111511 IUUlKETLAB, IIlC
SUPPLIES BLOOD BANK 11 11636323 061112 053012 063012 321.30 .00 321.30 ......-
TOTALS...................................... .1 321.30 .00 321.30
112550 MELSTAN, INC.
SUPPLIES GROUNDS 11 1259996 053112 053112 063012 190.76 .00 190.76../
TOTALS...............,. I.................,...: 190.76 .00 190.76
M2590 MERCURY HEDICAL
SUPPLIES CS INV II 541633 061112 053012 062912 98.61 .00 98.61/
TOTALS...................................... .: 98.61 .00 98.61
M2650 NETLIFE /
INSURANCE 11 57J-990J1lNE 061512 060112 060112 258.52 .00 258.52
TOTALS..................................... ..I 258.52 .00 258.52
H2686 MICRO ASSIST, INC 298.25/
BACKGROUND CHK N 23953 061512 060412 060412 298.25 .00
TOTALS........ ...............................1 298.25 .00 298.25
10441 MIIC EMPLOYEE BENEFITS 30653.97/
llEEKLY CLAms 18191 062012 062012 062012 30653.97 .00
TOTALS...,....... to"'" ...... ,...........,.,: 30653.97 .00. 30653.97
10536 !IORRIS & DICKSON CO, LLC
PHARllACEUTICALS 3494013 061512 061212 062512 26.87 .00 /
26.87 /
PHARllACEUTICALS 3494014 061512 061212 062512 326.26 .00 326.26
PHARIlACEUTICALS 3503338 061512 061412 062512 2998.29 .00 2998.29'/
PHARIlACEUTICALS 3503339 061512 061412 062512 840.24 .00 840.24 ./
PHARIlACEUTICAL CREDIT 7336 061512 061212 062512 -289.02 .00 -289.02/
TOTALS...................................... .1 3902.64 .00 3902.64
1000S ONNI-PORT LAVACA 07, L.P.
JULY RENT 23955 061512 061512 061512 10320.70 .00 10320.70 ./
TOTALS.............. ........................., 10320.70 .00 10320.70
01496 OUTBURST ADVERTISING 893.10 /
EMPLOYEE PURCHASES 11 14062 061512 053112 061512 893.10 .00
TOTALS........... to..... ,..... to.............1 893.10 .00 893.10
OM425 01~NS & MINOR 46.80/
SUPPLIES CS INV 1938552 053112 052912 062812 46.80 .00
RUN DATE: 06120112
TIME: 13:25
MEMORIAL MEDICAL CENTER
AP OPEM INVOICE LIST THRU DUE DATE OF 07103112
PAGE: 6
APOPEM
VEND#.lIDIE.......................... .CLS.INVOICE#....... ..TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. .. ..DISC..... .NO-PAY....... .NET
SUPPLIES CS INV 1938571 053112 052912 062812 46.80 .00 46.80 ./
SUPPLIES SURGERY 193B604 053112 052912 062812 138.00 .00 138.00 .....
SUPPLIES VARIOUS 193B853 053112 052912 062812 141B.94 .00 1418.94 .../
SUPPLIES CS INV 1939584 053112 053012 062912 185.56 .00 185.56 ./
SUPPLIES SURGERY 1939857 053112 053112 063012 25.86 .00 25.86_
SUPPLIES CS INV 1939863 053112 053112 063012 24.40 .00 24.40 .-/
SUPPLIES VARIOUS 1939945 053112 053112 063012 125.91 .00 125.91./
SUPPLIES ER 1940012 053112 053112 063012 72.9B .00 72.98/
SUPPLIES CS INV 1940074 053112 053112 063012 6.40 .00 6.40./
SUPPLIES SURGERY 1940258 053112 053112 063012 136.02 .00 136.02/'
SUPPLIES VARIOUS 1940294 053112 053112 063012 lB57.11 .00 1857.11 .-/
SUPPLIES OS 1940371 053112 053112 063012 12.4B .00 12.4B ./'
TOTALS....................................... : 4097.26 .00 4097.26
10752 PHI, INC.
ENROLLMENT 23966 062012 062012 062012 50.00 .00 50.00/
TOTALS....................................... , 50.00 .00 50.00
10032 PHILIPS HEALTHCARE
INSTRU}IENT REPAIR 924310661 053112 053012 062912 200.76 .00 200.76'-/
TOTALS....................................... , 200.76 .00 200.76
10541 PLATINUM CODE
SUPPLIES LAS 141427 061112 052912 062812 134.09 .00 134.09 /'
TOTALS....................................... : 134.09 .00 134.09
P2100 PORT LAVACA WAVE 975.50)
ADVERTISING Ii 209 2012 061112 053112 063012 975.50 .00
TOTALS.........,.,.,....,..,...........,..... : 975.50 .00 975.50
P1725 PREMIER SLEEP DISORDERS CE 5625.00/
SLEEP STUDY llAY I! 112-12 061512 060412 070312 5625.00 .00
TOTALS....,.,...............,.,.............. : 5625.00 ,00 5625.00
P2370 PROGRESSIVE DYN~1ICS MEDIC 92.77/
SUPPLIES SURGERY l! 129287 061112 060112 063012 92.77 ,00
'l'O'l'ALS.......................................: 92.77 .00 92.77
Rl050 R G << ASSOCIATES INC 229.60/
SALT DELIVERY I-I 201095 053112 053112 063012 229.60 .00
'l'OTALS......... to.... ......... to.......,.....: 229.60 .00 229.60
10626 RAUSllANAJl !I0NDAY 94.36/
TRAVEL EXP PALACIOS CLINI 29351 061512 061312 061312 94.36 .00
TOTALS.................................,..... : 94.36 .00 94,36
R1321 RECEIVABLE I-IANAGEI!ENT, INC 577.22/
COLLECTIONS W 050112-053112 061112 053112 063012 577 . 22 .00
TOTALS...............,....................... : 577 . 22 ,00 577.22
10645 REVISTA ae VICTORIA 375.00/
ADVERTISING 06201229 061912 061812 062912 375.00 ,00
RUN DATE: 06/20/12
TIllE: 13:25
HEHORIAL IlEDICAL CEHTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/03/12
PAGE: 7
APOPEN
VEND#.NAl~E.......................... .CLS.INVOICE#. ....... ..TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY...... ..NET
TOTALS....................................... : 375.00 .00 375.00
10664 SAGEHT PBARllACEUTICALS, IN 1008.00/
PHARl4ACEUTICALS 246539 061112 053112 063012 1008.00 .00
TOTALS....................................... : 1008.00 .00 1008.00
J1381 SHELLY JENNIHGS
E~IPLO\'EE REFUND II 18187 061912 061812 061812 25.00 .00 25.00 ,../
'rOTALS... ,....................................: 25.00 .00 25.00
S1800 SHERIIIN lULLIA!IS
SUPPLIES PLANT OPS 1/ 7218-1 061112 060112 063012 8.49 .00 8.49 /
OEPT REPAIR ICU 7300-7 061112 060412 070312 20.12 .00 20.12/
TOTALS....................................... : 28.61 .00 28.61
S2400 SO TEX BLOOD & TISSUE CEHT
SUPPLIES BLOOD BANK CREDI M 20122402 061112 060112 063012 -972.00 .00 -972.00"""'-
SUPPLIES BLOOD BANK 20122466 061112 060112 063012 8817.00 .00 8817.00/
TOTALS....................................... : 7845.00 .00 7845.00
S3960 STERICYCLE, IMC 796.64/
\qASTE PICKUP HAY 4003429990 061212 053112 063012 796.64 .00
TOTALS....................................... : 796.64 .00 796.64
10735 STRYKER SUSTAINABILITY 200.64 .../
SUPPLIES SURGERY 1649673 061112 060412 070312 200.64 .00
TOTALS....................................... : 200.64 .00 200.64
S2951 SYSCO FOOD SERVICES OF 945.74/
SUPPLIES DIETARY II 206071689 061512 060712 062712 945.74 .00
SUPPLIES DIETARY 206141626 061912 061412 070312 953.51 .00 953.51/
TOTALS....................................... : 1899.25 .00 1899.25
T2539 T-SYSTEM, INC.
SRV COHTRACT ER l'I 17645 061112 053112 063012 4107.00 .00 4107.00'/
TOTALS. I..'.... '" I... '" II to..............,.: 4107.00 .00 4107.00
S2679 THE ST JOHN COMPANIES, INC
SUPPLIES RADIOLOGY M 07881846 061112 053012 062912 45.43 .00 45.43'/
SUPPLIES CS INV 07883847 061112 060112 063012 205.00 .00 205.00/
SUPPLIES CS INV 07885012 061212 060412 070312 22.95 .00 22.95/
TOTALS. ,........... II........ to... to... ,.,...1 273.38 .00 273.38
Vl050 THE VICTORIA ADVOCATE
ADVERTISING 1/ 053112 061512 053112 063012 966.48 .00 966.48/
'l'OTALS........'......... to................ to.: 966.48 .00 966.48
10732 THERACOM, LLC 975.00/
SUPPLIES 1I0MENS CLINIC 61712285-301 061112 052912 062812 975.00 .00
TOTALS..... "I......... II .....,........... II': 975.00 .00 975.00
T0801 TLC STAFFING 6818.51.J
COHTRACT NURSE 1/ 10211 053112 053012 062912 6818.51 .00
. '.
RUN DATE. 06/20/12
TIllE. 13.25
IIE!!ORIAL IIEDICAL CEllTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/03/12
PAGE. 8
APOPEN
VEND3.NA!lE.......................... .CLS.INVOICU........ . TUN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS....................................... , 6818.51 .00 6818.51
T3130 TRI-ANI!! HEALTH SERVICES I /
SUPPLIES CARDIO !! 60724721 061112 060312 070212 71.40 .00 71.40
TOTALS........ .... .................. II.......: 71. 40 .00 71.40
P2190 U S POSTAL SERVICE 1000.00 .-/
POSTAGE !!IP 23958 061512 061512 061512 1000.00 .00
TOTALS.................. ......... ............, 1000.00 .00 1000.00
Ul054 UNIFIRST HOLOINGS 32.54/
LAUNDRY MAINTENANCE W 8150572062 053112 052912 062812 32.51 .00
TOTALS........ ..............................., 32.54 .00 32.51
Ul064 UNIFIRST HOLDINGS INC
LAUNDRY HOUSEREEPING 8400126879 053112 052912 062812 182.19 .00 182.19....-"
LAUNDRY PLAZA 8400126SS0 053112 052912 062812 182.91 .00 182.94 ..-
LAUNDRY DB 8400126882 053112 052912 062812 86.70 .00 86.70"
LAUNDRY HOSPITAL LINEN 8400127106 061112 060112 070112 629.48 .00 629.48 "
LAUNDRY HOSPITAL LImN 8100126878 061212 052912 062812 929.49 .00 929.49'"
LAUNDRY DIETARY 8400126881 061212 052912 062812 199.61 .00 199.61-"
LAUNDRY HOUSEREEPING 8100126883 061212 052912 062912 41.31 .00 41.31-"
TOTALS....................................... , 2251.72 .00 2251.72
Ul056 UNIFORl1 ADVANTAGE
E!!PLOYEE PURCHASE W 4462457 061112 060112 063012 68.95 .00 68.95/
TOTALS.......;............................... . 68.95 .00 68.95
U0414 UNUN LIFE INS CO OF AIIERIC 1191.95/
INSUIlANCE 18185 061512 061212 061212 4191. 95 .00
TOTALS..................................... ... 1191.95 .00 4191.95
10172 US FOOD SERVICE 3909.27 -;;
SUPPLIES DIETARY 3908023 061512 060712 062712 3909.27 .00
SUPPLIES DIETARY 3908024 061512 060712 062712 54.19 .00 54.19 ........-
SUPPLIES DIETARY 3966883 061512 061112 070112 349.42 .00 319.12
SUPPLIES DIETARY 1027985 061912 061412 070312 3795.89 .00 3795.89/
TOTALS....................................... . 8108.77 .00 8108.77
V0555 VERIZON SOUTHWEST i
TELEPHONE 6/7-7/6 11 5512513060712 061912 060712 070212 196.11 .00 196.11/
TELEPHONE 6/7-7/6 5526713060712 061912 060712 070212 :::I /
1258.62 .00 ...."":1 1258.62 .-/
TELEPHONE 6/7-7/9 5528103060712 061912 060712 070212 47.91 .00 Jg~ 17.91
TELEPHONE 6/7-7/6 5537803060712 061912 060712 070212 294.91 .00 <lJC 294.91 ./
-::;>
TOTALS........ ........... .,.. II..... II... II to: 1797.55 .00 0..0 1797.55
-0
-:>
_Ib
10394 WILLIAII E HEIIWlP, TRUSTEE Q!ll~
<D. "
E!!PLOYEE DEDUCTION 18188 061912 061912 061912 400.00 .00 .s:::... '. 400.00'/
(,1
TOTALS....................................... . 400.00 .00 ~ 400.00
10429 WILLIAII E HEITKAlIP, TRUSTE
E!!PLOYSE DEDUCTION 18189 061912 061912 061912 495.00 .00 495.00 ,/
{Ylfu.IIIP TOTALS....................................... . 495.00 .00 495.00
GRAND TOTALS.................................. 192881.79 .00 192881.79
G-:Y7'(l......- CKS:lII'i\?Il$\l' +0 $\' 14 \i'll'll t'''k '2. <2.0~
-....... <...8 _
110.1>5 ~ Ii 1'1'6'123, p~ o.j 1'12,878"'12. v'
RUN DATE: 06/20/12
TIME: 13,53
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID-0001
PAGE ,
APCDEDIT
PATIENT
NUMBER
PAYEE NAME
DATE
062012 47.20/
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
1156.00 /
75.00/
50.00/
50.00/
125.20/
45.00/
57.06/
36.91/
42.21 ./
GL NUM
p-------------~-----------------------------------------------------------------
ARID-0001 TOTAL
1684.58
------------------------------.---------------------------------------------------------------------------------------------_._-----
TOTAL
c,ts~ N<lq~~
-/-'0
.jf I~q 51
1684.58 /
j H riJ~Ql!:rr
Michael ,I. Plf,!ler
Calhoun C. . Judge
Date:. b .~'j.1..C' 1'//
RUN DATE: 06/26/12
TIME' 16,03
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE, 1
APOPEN
VEND#.NAl~..........,........,.......CLS.INVOICE#........,TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS,....DISC,.....NO-PAY........NET
T2900 3M COIWANY
SOFTWARE
A1490 ADVERTISING ON AIR
ADVERTISING 6/6 - 8/6
A1790 AFLAC
SERVICE FEE
A1360 AMERISOURCESERGEN DRUG COR
PHARl~CEUTICALS W
PHARMACEUTICALS
PHARMACEUTICALS
A2345 AT&T MOBILITY
TELELPHONE
Bl075 BAXTER HEALTHCARE CORP
SUPPLIES CS INV
B1220 BECKllAN COULTER INC
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
S1800 BRIGGS HEALTHCARE
SUPPLIES ER
B0437 C R BARD INC
SUPPLIES CS INV
CI033 CAD SOLUTIONS, INC
CAD CASES MAY
10037 CAL SCIENTIFIC, INC
INSTRUlOENT REPAIR LAB
C1203 CALHOUN COUNTY WASTE MGMT
WASTE DISP IIAY
M SC64804 062212 060812 060812
TOTALS..........,..................,.,....... ,
7648-38 061512 060612 070512
TOTALS....,....,.,.........,..........,...... ,
W 060112-063012 062512 061512 070112
TOTALS.................,..................... ,
037-614752 062212 061912 071012
037-614754 062212 061912 071012
037-61753 062212 061912 071012
TOTALS..,..,...........................,..... ,
051212-061112 062512 061112 070612
TOTALS.................................,..... ,
M 37541811 061512 060712 070612
TOTALS.....,..,.,.......,..,..............,.. ,
M 102926462 061112 060512 070412
102927484 061112 060512 070412
102927487 061112 060512 070412
102925471 062212 060412 070412
TOTALS.....................,................. :
M 6579933RI 062212 060712 070712
TOTALS.....................,.,........,...... ,
M 43524766 061112 060612 070512
TOTALS.,............,.........,............,. ,
201659 062212 053112 063012
TOTALS..............................,........ ,
22787 062212 060612 062112
TOTALS......,..............,................. ,
326884
061512 060812 070712
11083.76
11083.76
165.00
165.00
130.00
130.00
73.91
12.99
13.25
100.15
2.24
2.24
589.49
589.49
4168.66
1875,80
2842.54
150.00
9037.00
259.42
259.42
134.7 5
134. 75
584.00
584.00
139.95
139.95
30.00
.00 11083.76 0/
,00 11083.76
---
.00 165.00
.00 165.00
.00 130.00/
.00 130.00
.00 73.91/
.00 12.99/
.00 13.25-"
.00 1,00.15
.00 2.24 /'
.00 2.24
.00 589.49'/
.00 589.49
.00 4168.66/
.00 lS75.80 /'
.00 2842.54 ,./
.00 150.00/'
.00 9037.00
.00 259.42 ,/
.00 259.42
.00 134.75 v'
.00 134.75
,00 584.00 ./
.00 584.00
.00 139.95/
.00 139.95
.00 30.00 ,/
RUN DATE: 06/26/12
TIllE: 16:03
!lEMORIAL HEDICAL CEMTER
AP OPEM INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE: 2
APOPEM
VEMD~.NM!E...........................CLS.INVOICE~.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 30.00 .00 30.00
A1825 CARDINAL HEALTH
SUPPLIES NUC MED H 08107926 062212 052512 052512 607.99 .00 607.99/
SUPPLIES NUC MED 08107947 062212 053112 053112 115.78 .00 115.78"""-
SUPPLIES NUC MED 08107960 062212 060812 060812 280.46 .00 280.46 ./
TOTALS....................................... : 1004.23 .00 1004.23
10650 CAREFUSIOH 2200, INC /
SUPPLIES SURGERY 9103583128 062212 052512 063012 48.25 .00 48.25
TOTALS....................................... : 48.25 .00 48.25
10350 CEMTURION I-IEDICAL PRODUCTS 573.10 ./
SUPPLIES CS INV 91040724 061512 061112 071012 573.10 .00
SUPPLIES CS INV 91037192 062512 060612 070512 540.02 .00 540.02 ./
TOTALS....................................... : 1113.12 .00 1113 .12
C1410 CERTIFIED LABORATORIES 156.42/'
SUPPLIES PLANT OPS I-I 755448 062212 061212 062212 156.42 .00
TOTALS....................................... : 156.42 .00 156.42
10105 CHRIS KOVAREK 223.67/
TRAVEL EXPENSES 23969 062212 062112 062112 223.67 .00
TOTALS...................................... .1 223.67 .00 223.67
C1510 CRUSB 27.56./"
FIRE ALARI1 110NITORING I-I 7020384601 062612 061912 063012 27.56 .00
TOTALS....................................... : 27.56 .00 27.56
Cl730 CITY OF PORT LAVACA
WATER II 050912-060812 062612 061912 070612 636.25 .00 636.25/
WATER & SE~IER 050912T0060812 062612 061912 070612 5683.85 .00 5683.85/
TOTALS....................................... : 6320.10 .00 6320.10
10556 CPP WOUND CARE ~28,LLC 23225.00/
WOUND CARE 13940 061512 061012 070912 23225.00 .00
TOTALS....................................... : 23225.00 .00 23225.00
C2510 CPSI 456.36/
ESOS N 731631 062212 061212 061212 456.36 .00
TOTALS....................................... : 456.36 .00 456.36
S2896 DANETTE BETllI\NY /
TRAVEL EXPENSE HEDSURG II 23975 062212 042712 042712 68.00 .00 68.00
TOTALS....................................... : 68.00 .00 68.00
10701 FAGAN ANSWERI~G SERVICE AN 86.61 /
OUTSIDE SRV IIOHE~S CLINIC 73285 062212 061512 061512 86.61 .00
TOTALS....................................... : 86.61 .00 86.61
G0100 GE HEALTHCARE 447.91/
SRV COMTRACT RADIOLOGY II 5392471 062212 060412 070312 447.91 .00
RUN DATE: 06/26/12
TmE: 16:03
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE: 3
APOPEN
VENDU.NAME......................... ..CLS.INVOICEU........ .TRN DT.INV DT.DUE DT.CK aT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET
SRV CONTRACT RADIOLOGY 5392472 062212 060412 070312 3504.39 .00 3504.39/
TOTALS....................................... : 3952.30 .00 3952.30
A1292 GULF COAST HARDWARE I ACE
SUPPLIES PLANT OPS \1 69360 061112 060612 070512 21.98 .00 21. 98/
SUPPLIES PLANT OPS 69382 061112 060712 070612 30.47 .00 30.41'"
SUPPLIES PLANT OPS 69396 061112 060812 070712 70.45 .00 70.45/
SUPPLIES PLANT OPS 69404 061112 060812 070712 5.99 .00 5.99/
SUPPLIES BIOMED 069323 061912 060512 070412 31.47 .00 31.47/
SUPPLIES PLANT OPS 069436 062512 061112 071012 14.99 .00 14.99/
TOTALS...................................... .1 175.35 .00 175.35
G1210 GULF COAST PAPER COMPANY 42.08/
SUPPLIES HOUSEKEEPING Ii 405608 061112 060512 070512 42.08 .00
TOTALS.................. .....................1 42.08 .00 42.08
H0030 H E BUTT GROCERY
SUPPLIES DIETARY II 222315 061512 061112 071012 125.43 .00 125.43 ,./
TOTALS....................................... , 125.43 .00 125.43
H0947 HALL WIRELESS
SUPPLIES IT 10065686 062212 060812 070712 17.35 .00 17.35/
TOTALS....................................... : 17.35 .00 17.35
H1100 HAYES ELECTRIC SERVICE
DEPT REPAIR ER \'I A2120611-07 062512 061112 071012 16.20 .00 16.20/
TOTALS....................................... : 16.20 .00 16.20
10334 HEALTH CARE LOGISTICS INC
SUPPLIES PHAJU!ACY 4469709 061212 060612 070612 111. 21 .00 l11.2Y
SUPPLIES ICU 4469314 061512 060612 070612 15.21 .00 15.21/
SUPPLIES PHAJU!ACY 4472112 061912 060812 070812 87.21 .00 87.21./
TOTALS....................................... : 213.63 .00 213.63
H0416 HOLOGIC INC
SUPPLIES MAlI!IO 6553187 061912 060712 070712 244.81 .00 244.81/
TOTALS.................. ................. to..: 244.81 .00 244.81
H1850 HOSPlRA WORLDWIDE, INC
PHARlIACEUTICALS II 916866886 061512 060512 070412 314.89 .00 314.89 /
TOTALS............................ ...........: 314.89 .00 314.89
I0950 INFOLAB INC 873.34/
SUPPLIES BLOOD BANK M 3126836 062212 060512 070412 873.34 .00
SUPPLIES LAB 3127237 062212 060612 070512 1568.27 .00 1568.27/
TOTALS................,...................... , 2441.61 .00 2441.61
J0150 J . J HEALTH CARE SYSTEMS, 610.56/
SUPPLIES SURGERY 907968992 061912 061112 071012 610.56 .00
TOTALS..................................... ..I 610.56 .00 610.56
K1231 KONlCA IIINOLTA IIEDICAL HIA 510.00/
SRV CONTRACT 5/1-5/31 10348 062212 052512 062512 510.00 .00
RUN DATE' 06/26/12
TII~E: 16:03
~mMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE: 4
APOPEN
VEND~.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
10028 LAUREL DRAEGER
TRAVEL EXPENSE
FLEX SPEND REIMBURSEMENT
L1640 Lo~re's HOME CENTERS INC
SUPPLIES PLANT OPS 11
R1452 llARISSA RUBIO
FLEX SPEND REIllBURSE~mNT w
10749 NCKESSON AUTOllATION INC.
AUTO ~lED DISPENSIMG
AUTO ~lED DISPENSING
M2485 MEDRAD INC
SUPPLIES CT SCAN M
~12499 MEDTRONIC USA, INC.
SUPPLIES SURGERY W
1~2659 MERRY X-RAY- SAN ANTONIO
SUPPLIES RADIOLOGY M
OUTSIDE SRV RADIOLOGY
D1781 MISTY PASSMORE
FLEX SPEND REIMBURSEIIENT W
M2621 I1MC AUXILIARY GIFT SHOP
El'IPLOYEE DEDUCTIONS 11
10441 MlIC EMPLOYEE BENEFITS
WEEKLY CLAIllS
ADHIN FEES
10757 MONEY FINDERS
RECOVERY SRV
10536 MORRIS & DICKSON CO, LLC
PHARMACEUTICAL
TOTALS.....................................,. ,
23671 062212 062112 062112
23970 062212 062212 062212
TOTALS....................................... ,
92084389 062212 060712 070612
TOTALS....................................... :
23974 062212 062212 062212
TOTALS....................................... :
3458127 062512 051712 061712
3458128 062512 051712 061712
TOTALS....................................... ,
139221681 061212 060612 070512
TOTALS....................................... :
2508308670 061912 061112 071012
TOTALS....................................... ,
474801 061112 060812 070712
473524 062212 052412 062312
TOTALS....................................... ,
23973 062212 062212 062212
TOTALS....................................... ,
23980 062512 062512 062512
TOTALS....................................... ,
18195 062612 062612 062612
18196 062612 062612 062612
TOTALS......................... ..............:
cm19 062512 062512 062512
TOTALS....................................... ,
3512675
062212 061812 071012
510.00
59.80
389.00
448.80
145.27
145.27
110.00
110.00
19277.50
12290.50
31568.00
528.51
528.51
130.00
130.00
174.13
149.50
323.63
155.36
155.36
134.83
134.83
35376.47
16026.75
51403.22
94.74
94.74
2076.09
.00 510.00
.00 59.80 ...--
.00 389.00/
.00 448.80
.00 145.27 ./
.00 145.27
.00 110.00/
.00 110.00
.00 19277.50 /
.00 12290.50"
.00 31568.00 "
.00 528.51/
.00 528.51
.00 130.00/
.00 130.00
.00 /
174.13/
.00 149.50
.00 323.63
/
.00 155.36
.00 155.36
.00 134.83 /
.00 134.83
.00 35376.47-j;
.00 16026.75
.00 51403.22
.00 94.74/
.00 94.74
.00 2076.09 /
RUN DATE: 06/26/12
TmE: 16:03
NEMORIAL !IEDlCAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE: 5
APOPEN
VEND#.1UU1E.....................,.....CLS.INVOICE#,........TRN DT.INV DT.DUE DT.CK DT..PC....,..GROSS.....DISC.....,MO-PAY........NET
PHARMACEUUCALS 3512676 062212 061812 071012 3728.54 .00 3728.54/
PHARMACEUTICALS 3512740 062212 061812 071012 18.85 .00 18.85 ./
PHARMACEUTICALS 3525834 062212 062112 071012 6.65 .00 6.65/
PHARMACEUTICALS 3525835 062212 062112 071012 1135.51 .00 1135.51/
PHARMACEUTICAL CREDIT 8416 062212 061912 071012 -190.59 .00 -190.59/
PHARMACEUTICAL CREDIT CM96374 062212 061812 071012 -876.88 .00 -876.88r
PHARMACEUTCAL CREDIT CN96830 062212 061912 071012 -1957.12 .00 -1957,12/
PHARl4ACEUTlCALS 3536041 062612 062512 071012 14.18 .00 14.18"
PHARMACEUTICALS 3536042 062612 062512 071012 404.59 .00 404,591'
PHARl4ACEUTlCALS 8775 062612 061912 071012 117.18 .00 117,18/
TOTALS..........,....,....................." : 4477 .00 .00 4477 . 00
10390 NATIONAL ASSOCIATION OF 225.00/
!IEl'BERSBIP DUES 23943 061112 060612 070512 225.00 .00
TOTALS....................................... : 225.00 .00 225.00
0101425 OIIENS & !IINOR
SUPPLIES CS INV 1941970 061112 060512 070412 180.00 .00 /
1S0.00/
SUPPLIES CS INV 1942002 061112 060512 070412 29.26 .00 29.26
SUPPLIES PT 1942034 061112 060512 070412 14.54 .00 14.54~
SUPPLIES ICU 1942045 061112 060512 070412 53.50 .00 53.50
SUPPLIES CS INV 1942066 061112 060512 070412 90.20 .00 90.20/
SUPPLIES CS INV 1942105 061112 060512 070412 147.61 .00 147 .61-----
SUPPLIES SURGERY 1942254 061112 060512 070412 851.48 .00 851.48 ....---
SUPPLIES VARIOUS 1942686 061112 060612 070512 2330.11 .00 2330.11/
SUPPLIES VARIOUS 1943106 061112 060712 070612 52.31 .00 52.31/
SUPPLIES CS INV 1943167 061112 060712 070612 33.86 .00 33.86/
SUPPLIES CS INV 1943213 061112 060712 070612 91.71 .00 91.71
SUPPLIES CS INV 1943242 061112 060712 070612 40.92 ,00 40.92/
SUPPLIES CS INV 1943243 061112 060712 070612 105.40 .00 105.40;::
SUPPLIES DB 1943252 061112 060712 070612 83.00 .00 83.00
SUPPLIES VARIOUS 1943583 061512 060712 070612 1410.30 .00 1410.30 ,/
SUPPLIES CREDIT CS INV 1945310 061512 061212 071012 -38.12 .00 -38.12./
TOTALS,..............,....................... : 5476.08 .00 5476.08
V1030 PEGGY VICKERY
TRAVEL EXPENSE 11 23977 062512 061112 061112 31.08 .00 31.OV
TOTALS,............,....,.................... : 31.0S .00 31.08
10032 PHILIPS HEALTKCARE 87.00 /
INSTRUMENT REPAIR SURGERY 924338464 061112 060512 070412 87.00 .00
TOTALS...................................... .: 87.00 ,00 87.00
R1268 RADIOLOGY UNLIMITED, PA 435.00~
READING FEES 11 23978 062512 042712 052612 435.00 .00
CASH READING FEES 23981 062512 062412 062412 505.00 .00 505.00
READING FEES 23986 062612 053112 655.00 .00 655.00 -//
TOTALS.........,......,...........,.......... : 1595.00 .00 1595.00
I0520 RICOH USA, INC. 4870.00 /
COPIER LEASE M 87149530 061912 060812 070512 4870.00 .00
RUN DATE. 06/26/12
TIME: 16.03
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE: 6
APOPEN
VEND#.NAIlE.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT..PC..,... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS.. t..... to Ot...... to.... ..... .... ......: 4870.00 .00 4S70.00
10431 ROY ALLEN MARTIN /
PROFESSIONAL FEES 23968 062212 062212 062212 3868,00 .00 3868.00
Il.-<..\ ",.r- p"",IYIo..:S+ TOTALS...... ......... ...................... ..1 3868,00 .00 3868.00
S1200 SEARS
SUPPLIES GROUNDS I! T225700 062212 050712 060712 254.51 .00 254.51 -
SUPPLIES GROUNDS T340690 062212 050912 060812 33.69 .00 33.69 -
SUPPLIES GROUNDS T559760 062212 053112 063012 17.13 .00 17.13
TOTALS.......... to...... eo.. ...... ......, ....1 305.33 .00 305.33
S1405 SERVICE SUPPLY OF VICTORIA /
DEPT REPAIR GROUNDS W 700623930 062512 061512 071012 92.67 .00 92.67
DEPT REPAIR SURGERY 700624000 062512 061512 071012 6.63 .00 6.63/
TOTALS...................................... .1 99.30 .00 99.30
S2001 SIEMENS ImDlCAL SOLUTIONS 697.58 ./
SRV CONTRACT 5/30 - 6/28 II 95693099 062212 053012 062912 697.58 .00
TOTALS......... ..............................1 697.58 .00 697.58
S2548 SOUTHWEST TEXAS EQUIPHENT
SUPPLIES PLANT OPS I! 1017111 062212 050812 060812 63.91 .00 63.91/
TOTALS.............................. to.......f 63.91 ,00 63.91
S2694 STANFORD VACUUlI SERVICE ./
GREASE TRAP JUNE II 728805 061512 060612 070512 320.00 .00 320.00
TOTALS...... ,....... to............,..........J 320.00 .00 320.00
Wl131 SUE \lILLIAIIS
FLEX SPEND REIIIBURSEMENT 23979 062512 062212 062212 328.80 .00 328.80 ,/
TOTALS..............,....................... .J 328.80 .00 328.80
S2903 SUN COAST RESOURCES, INC
GASOLINE IlAY2012 062212 060512 070412 410.20 .00 '-l'7/.7D 7
TOTALS....................................... : 410.20 .00 .20
10333 SUNTRUST EQUIPIIENT FINANCE
LEASE RADIOLOGY 1457680 062212 060612 070112 22688.57 .00 22688.57/
TOTALS....................................... : 22688.57 .00 22688.57
S2951 SYSCO FOOD SERVICES OF
SUPPLIES DIETARY I! 206210815 062512 062112 071012 1121.26 .00 1121. 26 /
SUPPLIES DIETARY 206250353 062612 062512 32.71 .00 32.71/
TOTALS......................................,' 1153.97 .00 1153.97
T2539 T-SYSTEI!, INC. 1021. 54 /
TRAVEL EXPENSES ER W 12320 062212 032612 042512 1021. 54 .00
TOTALS......................................, . 1021. 54 .00 1021. 54
T1450 TAC U!lEIIPLOWNT FUND 6470.29/
UNEMPLOYMENT FUND W 18194 062612 063012 063012 6470.29 .00
RUN DATE, 06/26/12
TnlE, 16,03
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE, 7
APOPEN
VEND~.NAlIE,............,...........,.CLS.INVOICE~.,.,..,.,TRN DT.INV DT.DUE DT,CK DT..PC.....,.GROSS.....DISC......NO-PAY...,....NET
10618 TEAM HEALTH MEDICAL CALL C
OUTSIDE SRV ER
T0500 TEAM REHAB
INTERIM BILLING
TOTALS....,............,.............,....... :
BAl1938 062212 053112 053112
TOTALS..,.................................... ,
W 23982 062512 062512 062512
TOTALS.......,............................... ,
T1880 TEXAS DEPARTMENT OF LICEMS
CERTIFICATE OF COMPLIANCE A/P 23983 062512 062512 062512
TOTALS.................,........,..........., ,
10627 TEXAS DEPARTI1ENT OF STATE
RADIATION CONTROL LICENSE
T1925 TEXAS DEPT OF STATE HEALTH
OUTSIDE SRV LAB
T2050 TEXAS HOSPITAL INS EXCHANG
DEDUCTIBLE PAYl1ENT W
T2204 TEXAS IWTUAL INSURANCE CO
INSURANCE 06/01-06/30 W
10732 THERACON, LLC
OUTSIDE SRV WOllEN CLINIC
T0801 TIC STAFFING
CONTRACT NURSING
D0415 TRACY DUNWOODY
CONTINUING EDUCATION OB
U1054 UNIFIRST HOLDINGS
LAUNDRY MAINTENANCE
U10H UNIFIRST HOLDINGS INC
LAUNDRY HOUSEKEEPING
LAUNDRY PLAZA
LAUNDRY DIETARY
LAUNDRY OB
23984 062512 062112 062112
TOTALS........,........,......,.............. ,
23976 062512 060612 070512
TOTALS....................................... ,
23963 061912 060412 070412
TOTALS....................................... ,
18193 062612 063012 071012
TOTALS........................,.....,........ ,
62200389-301 061512 060712 070612
TOTALS...................."................. ,
W 10251 061112 060512 070512
TOTALS....................................... ,
23972
062212 042712 052712
TOTALS....................................... :
W
8150572807
061112 060512 070412
TOTALS..... ... to... to... to. ... ,.... to........;
8400127232
8400127233
8400127234
8400127235
061112 060512 070412
061112 060512 070412
061112 060512 070412
061112 060512 070412
6470.29
.00
6470.29
2010.19
2010.19
.00
.00
2010.19 /
2010.19
15000.00
15000.00
.00
.00
15000.00./
15000.00
60.00 .00
60.00 .00
1972.00 .00
1972.00 .00
42.00 .00
42.00 .00
5000.00 .00
5000.00 .00
6167.00 .00
6167.00 .00
325.00 .00
325.00 .00
1701. 31 .00
1701. 31 .00
23.50 .00
23.50 .00
32.54 .00
32.54 .00
182.19 .00
57.69 .00
164.06 .00
86.70 .00
/
60.00
60.00
1972.00/
1972.00
42.00/
42.00
5000.00 /
5000.00
6167.00/
6167.00
325.00/
325.00
1701.31/
1701.31
23.50 ,/'
23.50
32.54
32.54
./
182.19 ./
57.69'/
164.06
86.70 ./
RUN DATE: 06/26/12
TIME: 16:03
IIEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/10/12
PAGE: 8
APOPEM
VEND#.NAI1E......................... ..CLS.INVOICE#........ .TRN OT.INV DT.DUE DT.CK DT..PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
LAUNDRY HOUSEKEEPING 8400127236 061112 060512 070412 41. 31 .00 41.31 ,../
LAUNDRY PLAZA 8400127289 061112 060512 070412 104.06 .00 104.06 /
LAUNDRY HOSPITAL LINEN 8400127290 061112 060512 070412 7S3.77 .00 783.77 /
LAUNDRY SURGERY 8400127467 061112 060812 070712 348.59 .00 348.59/
LAUNDRY HOSPITAL LINEM 8400127500 061112 060812 070712 806.76 .00 806.76/
TOTALS..................... ..................: 2575.13 .00 2575.13
U1350 UNITED PARCEL SERVICE
SHPPING CHARGES \1 0000778941242 062612 061612 062712 668.25 .00 668.25/
TOTALS....................................... : 668.25 .00 668.25
10172 US FOOD SERVICE /
SUPPLIES DIETARY 4152271 062512 062112 071012 3345.18 .00 3345.18/
SUPPLIES DIETARY 4152272 062512 062112 071012 417.99 .00 417.99
TOTALS....................................... : 3763.17 .00 3763.17
Yl000 YOUMG PLUMBIMG CO
IMSTRUMENT REPAIR SURGERY W 138533 061112 060512 070412
TOTALS....................................... :
79.05
79.05
.00
.00
79.05/
79.05
GRAND TOTALS.................................:
242299.44
.00
242299.44
tl<s f:l:: 148'lSg
+0
.:l:\: l'iq 038'
~~ '"' (<( '-lIb, 2.0/
( +LJ7{./O
.;{ 4,~V31o D. '11.\
~,~~~t[
-1~'?
\1<[" " -,
jllj\! /' I ?rH~
- ~ ',~ ,~l~,L
RUN DATE. 06/26/12
TIl~. 16.20
llEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID=OOOl
PAGE .
APCDEDIT
PATIENT
NUMBER
PAYEE lWlE
DATE
PAY PAT
AlIOUNT CODE TYPE DESCRIPTION
GL MUM
32.72
,/
---~--------------------------------------------------------------------------------------------------------------------------------
ARID=OOOl TOTAL
32.72
------------------------------------------------------------------------------------------------------------------------------------
TOTAL
32.72
(2,1<.. 4'f JLl- q () ,Y1
.'\ 'j
L 1
n flvr
v/vJ r
~ _/11./
1-,0
RUN DATE: 07/05/12
TIME: 10,25
ME!IORIAL llEDlCAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/17/12
PAGE: 1
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TEN DT.INV DT.DUE DT.CK DT..PC.......GHOSS.....DISC......NO-PAY........NET
A1680 AIRGAS-SOUTHWEST 48.60/
OXYGEN M 107105486 061912 061212 071212 48.60 .00
TOTALS....................................... : 48.60 .00 4S.60
A1360 MlSRISOURCEBSRGEN DRUG COR
Pl!.\mlACEUTICALS W 037-629052 062912 062812 071012 73.91 .00 73.91 ,/
TOTALS...............,............. to.. 0..... t 73.91 .00 73.91
A0777 ANDERSON CONSULTATION SERV
COLLECTIONS W MllC060512 062912 060512 070412 2732.79 .00 2732.79 ,/
TOTALS...................................... .: 2732.79 .00 2732.79
A2276 ARTHROCARE MEDICAL CORPORA 1429.82""-
SUPPLIES SURGERY 11 90944018 061912 061112 071112 1429.82 .00
SUPPLIES SURGERY 90949026 062512 061812 071712 220.30 .00 220;30,/
TOTALS. . . . . . .. . .. . . . . . ... .. . . . . . . . . . . . . ... . . . : 1650.12 .00 1650.12
A2345 AT.T MOBILITY
TELEPHONES X06262012 070312 062612 071312 545.56 .00 545.56 /'
TOTALS....................................... : 545.56 .00 545.56
A2600 AUTO PARTS. !lACHlNE CO. 37.16/
SUPPLIES PLANT OPS 1'1 643642 062512 061312 071212 37.16 .00
TOTALS....................................... : 37.16 .00 37.16
B1075 BAXTER HEALTHCARE CORP 659.52 /
SUPPLIES CS INV !l 37635412 062512 061812 071712 659.52 .00
LEASE PUMPS 37716244 063012 062812 071512 2767.00 .00 2767.00.....--
LEASE PilllP SOFTWARE 37716290 063012 062812 071512 190.50 .00 190.50 ,/
TOTALS....................................... : 3617.02 .00 3617.02
B1220 BECKllAN COULTER INC
SUPPLIES LAIl 11 102939736 062212 061212 071212 535.51 .00 535.51/
LEASE LAIl 5270378 062212 061212 071212 3440.19 .00 3440.19/
LEASE LAIl 5270379 062212 061212 071212 3933.48 .00 3933.48/
TOTALS....................................... : 7909.18 .00 7909.18
B1650 BOSART LOCK. KEY INC
SUPPLIES PLANT OPS 1'1 95751 062512 061412 071312 209.90 .00 209.90/
TOTALS....................................... : 209.90 .00 209.90
B1655 BOSTON SCIENTIFIC CORPORAT
SUPPLIES SURGERY M 932903040 061912 061312 071212 454.00 .00 454.00/
TOTALS....................................... : 454.00 .00 454.00
B1800 BRIGGS HEALTHCARE
OFFICE SUPPLEIS ER CLERK !l 6583304RI 062512 061112 071112 136.01 .00 136.01 ,/
TOTALS....................................... : 136.01 .00 136.01
C1030 CAL CO!1 FEDERAL CREDIT UNI 25.00/
EMPLOYEE DEDUCTION II 18198 070312 070312 070312 25.00 .00
RUN DATE: 07/05/12
TmE: 10:25
I!EHORIAL llEDICAL CEH'lER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/17/12
PAGE: 2
APOPEN
VEND#.NAI.lE...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CX DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 25.00 .00 25.00
A1825 CARDINAL HEALTB
SUPPLIES SUC MED II 08107978 052912 051512 051512 385.93 .00 385.93 ,/
SUPPLIES SUC MED 08107995 052912 052212 052212 753.95 .00 753.95 ,/
TOTALS....................................... : 1149.88 .00 1149.88
C1219 CAROLINA LIQUID CHEMISTRIE ,/
SUPPLIES LAB 0102041-IN 052212 061212 071112 95.05 .00 95.05
TOTALS.....o.,... ............... to...... t....: 95.05 .00 95.05
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES CS INV 91042534 061912 061312 071212 228.94 .00 228.94/
SUPPLIES CS INV 91045299 062512 061812 071712 677.08 .00 677.08./'
TOTALS....................................... : 906.02 .00 906.02
C1410 CERTIFIED LABORATORIES
SUPPLIES DIETARY H 766636 063012 062112 070112 269.50 .00 269.50 /
TOTALS....................................... : 269.50 .00 269.50
10105 CHRIS XOVAREX
FLEX SPEND REIMBURSEMSNT 23998 063012 063012 063012 175.00 .00 175.00 ./'
TOTALS....................................... : 175.00 .00 175.00
C1600 CITIZENS MEDICAL CENTER
PHARlIACEUTICALS W 050912 063012 053112 063012 227.00 .00 227.00./'
TOTALS....................................... : 227.00 .00 227.00
C1970 CONllED CORPORATION
SUPPLIES SURGSRY H 355987 061912 061312 071212 S7.50 .00 87.50 /
TOTALS....................................... : S7.50 .00 87.50
C2157 COOPER SURGICAL INC
SUPPLIES SURGERY II 2S9506S 061912 051212 071112 124.82 .00 124.82 ,/
TOTALS....................................... : 124.82 .00 124.82
C2510 CPSI
STATEHENT PROCESSING I! 733141 062912 062012 052012 40.71 .00 40.71 /
TOTALS....................................... : 40.71 .00 40.71
10368 DEWITT POTH << SON
OFFICE SUPPLIES PFS 334385-0 061912 061212 071512 14.51 .00 14.61 ./'
OFFICE SUPPLIES SURGERY 334489-0 061912 061312 071512 97.57 .00 97.57/
OFFICE SUPPLIES CS INV 333233-1 062512 061912 071512 2.78 .00 2.78/
OFFICE SUPPLIES CS INV 333577-1 062512 061912 071512 3.97 .00 3.97/
OFFICE SUPPLIES VARIOUS 334970-0 062512 061S12 071512 424.07 .00 424.07./
OFFICE SUPPLIES PFS 3349S3-0 062512 061812 071512 14.17 .00 14.17.-'
OFFICE SUPPLIES PFS 335011-0 062512 061812 071512 12.24 .00 12.24/'
OFFICE SUPPLIES PFS 3350S1-0 062512 061912 071512 4.44 .00 4.44/'
OFFICE SUPPLIES LAB 335110-0 062512 061912 071512 14.09 .00 14.09/
OFFICE SUPPLIES VARIOUS 335277-0 062512 062012 071512 154.23 .00 154.23 /
RUN DATE, 07/05/12
TIME: 10,25
llEMORIAL MEDICAL CENTER
AP OPEN IMVOICE LIST THRU DUE DATE OF 07/17/12
PAGE: 3
APOPEN
VEND#.NMJE...........................CLS.IMVOICE#.........TAM DT.IMV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........MET
OFFICE SUPPLIES DB 335391-0 062512 062112 071512 29.24 .00 29.24/
OFFICE SUPPLIES LAB 33540J-0 062512 062112 071512 146.95 .00 146.95/
OFFICE SUPPLIES ADMIN 335440-0 062612 062112 071512 115.11 .00 115.11/
OFFICE SUPPLIES CS IMV 335573-0 062912 062512 071512 37.25 .00 37.25./
OFFICE SUPPLIES LAB 335604-0 062912 062512 071512 20.58 .00 20.58---
OFFICE SUPPLIES ACCT 329421-1 063012 042612 051512 2.90 .00 2.90""'-
OFFICE SUPPLIES CS IMV 331576-0 063012 051612 061512 223.05 .00 223.05./
OFFICE SUPPLIES WOMEM CLI 335649-0 063012 062612 071512 32.12 .00 32.12 /
OFFICE SUPPLIES LAB 336079-0 063012 062712 071512 143.49 .00 143.4V'
OFFICE SUPPLIES CS IMV 336208-0 063012 062712 071512 359.82 .00 359.82/
OFFICE SUPPLIES RADIOLOGY 336225-0 063012 062812 071512 51.00 .00 51.00/
OFFICE SUPPLIES CS IMV 336259-0 063012 062812 071512 230.10 .00 230.10""""'-
OFFICE SUPPLIES CREDIT C248464-0 063012 063012 063012 -2.24 .00 -2.24/
OFFICE SUPPLIES CREDIT C277509-0 063012 063012 063012 -11. 04 .00 -11.04/
OFFICE SUPPLIES CREDIT C281985-0 063012 063012 063012 -35.44 .00 -35.44/
OFFICE SUPPLISS CREDIT C300202-0 063012 063012 063012 -122.18 .00 -122.18 V
OFFICE SUPPLIES CREDIT C318294-0 063012 063012 063012 -12.20 .00 -12.20/
OFFICE SUPPLIES CREDIT C8376-9846 063012 063012 063012 -52.74 .00 -52.74/
OFFICE SUPPLIES CREDIT CK147874 063012 063012 063012 -232.54 .00 -232.54./
OFFICE SUPPLIES CARDIO 336408-0 070312 070212 071512 64.15 .00 64.15/'
OFFICE SUPPLIES PFS 336439-0 070312 070212 071512 56.29 .00 56.29/
OFFICE SUPPLIES DIETARY 336466-0 070312 070212 071512 58.89 .00 58.89....
OFFICE SUPPLIES CS IMV 336468-0 070312 070212 071512 45.43 .00 45.43/
TOTALS....................................... : 1890.16 .00 1890.16
D1530 DIESEL OIL CO INC
OUTSIDE SRV PLANT OPS Ii 05820 062612 061212 071112 207.00 .00 207.00""""'-
TOTALS....................................... , 207.00 .00 207.00
D1752 DLE PAPER & PACKAGING 179.75/
FOAMS C8 W 6667 061512 061112 071112 179.75 .00
TOTALS....................................... : 179.75 .00 179.75
Dl710 DOWNTOWN CLEANERS
OUTSIDE SRV WOMEN CLINIC W 23985 062912 041612 051612 25.50 .00 25.50/
TOTALS..,.,..........,....................... , 25,50 .00 25.50
F1100 FEDERAL EXPRESS CORP. 18.24/'
SBIPPING CHG LAB W 7-928-00963 062912 062112 070612 18.24 .00
TOTALS..,... t....................,. " I..... It: 1S.24 ,00 18.24
10003 FILTER TECHNOLOGY CO, INC /
SUPPLIES PLANT OPS 71255 061912 061512 071512 96.48 .00 96.48 /
SUPPLIES PLANT OPS 71032 062512 061312 071512 871.89 .00 871.89
SUPPLIES PLANT OPS 71281 062512 061512 071512 116,20 .00 116.20/
SUPPLIES PLANT OPS 70411 063012 042712 052612 346.41 .00 346.41..-/
TOTALS........,...........,................ ..I 1430.98 .00 1430.98
F1400 FISHER HEALTHCARE
SUPPLIES LAB II. 4348291 062212 061312 071212 113.05 .00 113.05 ,/
SUPPLIES LAS 6051054 062212 061412 071312 497.74 .00 497.74 /
RON DATE: 07/05/12
TmE: 10:25
!,ElIORIAL llEDICAL CEIITER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/17/12
PAGE: 4
APOPEN
VEND#.NM;E......,.,..............,...CLS.INVOICE#........,TRN OT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES LAB CREDIT
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES SURGERY
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
G0401 GULF COAST DELIVERY
OUTSIDE SRV VARIOUS
A1292 GULF COAST HARDWARE / ACE
DEPT REPAIR !,ED SURG W
DEPT REPAIR MED SURG
SUPPLIES HOUSEKEEPING
G1210 GULF COAST PAPER CQt,pANY
SUPPLIES HOUSEKEEPING M
SUPPLIES HOUSEKEEPING
H0030 H E BUTT GROCERY
SUPPLIES DIETARY N
SUPPLIES DIETARY
10334 HEALTH CARE LOGISTICS INC
SUPPLIES PHAlUlACY
10756 IMPACT INSTRUMEIITATION INC
INSTRUl,EIIT REPAIR CARDIO
10415 INDEPENDENCE MEDICAL
SUPPLIES CS INV
SUPPLIES CS INV
10950 INFOLAB INC
SUPPLIES BLOOD BANK / LAB M
SUPPLIES LAB
11263 IVANS
COLLECTIONS PFS
J0150 J . J HEALTH CARE SYSTEMS,
SUPPLIES SURGERY
1195970 063012 060512 070512
1195972 063012 060512 070512
1195974 063012 060512 070512
1195976 063012 060512 070512
1273424 063012 060612 070612
1273425 063012 060612 070612
2633175 063012 061212 071212
TOTALS.........,.......................,..... ,
JUNE2012 063012 063012 071512
TOTALS...,....................,.............. :
069466 061912 061212 071112
069504 061912 061312 071212
069515 062512 061412 071312
TOTALS.................,......,.............. :
408967 062512 061212 071112
391500-1 062912 050812 060712
TOTALS....................................... :
227045 061912 061412 071312
233622 061912 061812 071712
TOTALS..................,.................... :
4474851
061912 061212 071212
TOTALS. I......................... ,...........:
108331 062512 061212 071112
TOTALS.....................,................. ,
26710606 061912 061312 071212
26732521 062612 061812 071712
TOTALS....................................... :
3129269 063012 061212 071212
3130553 070312 061512 071512
TOTALS.................,..................... :
W 12D0074507 062212 061212 071112
TOTALS........ to............,. II......... 11..1
907976032
061912 061312 071212
-2088.63
66.20
69.98
77.60
29.22
513.79
1097.49
376.44
150,00
150,00
43.80
31.93
50.86
126.59
101.48
32.55
134.03
190.12
24.70
214.82
98,19
98,19
495.00
495.00
76.28
23.33
99,61
918.38
20.00
938.38
137.36
137,36
291. 72
.00 -2088.63 /
.00 66.20'--
.00 69.98"
.00 77.60'/
.00 29.22 ..-/
.00 513.79---
.00 1097.49..-/
.00 376.44
.00 150.00 /'
.00 150.00
.00 43.80'/
.00 /
31.93.--
.00 50.86
.00 126.59
.00 10l.48/
.00 32.55 ./'
.00 134.03
/
.00 190.12
.00 24.70/
.00 214.82
,00 98.19/
.00 98.19
.00 495.00 /
.00 495.00
,00 ./
76.28 /'
,00 23.33
,00 99.61
.00 918.38/
.00 20.00/
.00 938.38
.00 137 .36 /
.00 137.36
./
.00 291. 72
RUN DATE. 07/05/12
TUIE. 10.25
MEMORIAL !~DICAL CEMTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/17/12
PAGE, 5
APOPEN
VEND#.MM~E...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES SURGERY 908014182 062512 061812 071712 194.94 .00 194.94 ,/
TOTALS..................................... ..I 486.66 .00 486.66
Ll001 lJU[DAUER INC 582.69/
OUTSIDE SRV RADIOLOGY 11 4106393 062912 061612 071212 5S2.69 .00
TOTALS...................................... .1 582.69 .00 582.69
10141 LAWSON PRODUCTS
SUPPLIES DIETARY 9300898657 062612 061212 071112 267.98 .00 267.98/
TOTALS.,........,... ,.,.....,. 0""""" 0...1 267.98 .00 267.98
10578 LUlIINANT ENERGY CDMPANY LL 1665.74/
GAS INV0513258 053112 053112 071712 1665.74 .00
TOTALS...................................... .: 1665.74 .00 1665.74
M1500 !UffiKS PLUlIBING PARTS 250.19/
DEPT REPAIR MED SURG !I 1128082 062512 061312 071212 250.19 .00
SUPPLIES PLANT OPS 1128420 062512 061312 071212 135.66 .00 135.66/
TOTALS...................................... .. 385.85 .00 385.85
!12485 11EDRAD mc
SUPPLIES CT SCAN M 139119046 063012 022812 032912 667.20 .00 667.20/
TOTALS...................................... .1 667.20 .00 667.20
N2550 MELSTAN, INC. 142.80/
SUPPLIES PLANT OPS W 1260165 062512 061212 071112 142.80 .00
TOTALS....................................... : 142.80 .00 142.80
N2827 NINNTECH CORPORATION 186.001
SUPPLIES SURGERY I! 1393965 062512 061412 071412 186.00 .00
TOTALS...................................... .. 186.00 .00 186.00
10441 M!IC EMPLOYEE BENEFITS
\'~EKLY CLAms 18201 070512 070512 070512 20907.34 .00 20907.34/
TOTALS..................................... ..I 20907.34 .00 20907.34
10536 MORRIS & DICKSON CO, LLC /
PHARl!ACEUTICALS 3540793 062912 062612 071012 20S.48 .00 208.48/
PHARMACEUTICALS 3549000 062912 062812 071012 781.08 .00 781.08
PHARl!ACEUTICAL CREDIT 9253 062912 062512 071012 -71.14 .00 -71.14 /
TOTALS... ..................................... 918.42 .00 918.42
M3866 NUSTAIN & ASSOCIATES
COLLECTIOMS II !!AY2012 063012 063012 063012 792.20 .00 792.20/
TOTALS...................................... .. 792.20 .00 792.20
10601 NOBLE MIERICAS ENERGY
ELECTRICITY 121770002399582 063012 062512 070512 38028.30 .00 38028.30 v
TOTALS....................................... : 38028.30 .00 38028.30
N1225 NUTRITION OPTIONS /
DIETICIAN W 23999 063012 062812 071512 3000.00 .00 3000.00
RUN DATE. 07/05/12
TIHE' 10:25
ME!IORIAL llEDICAL CElfl'ER
AP OPEM IMVOICE LIST TBRU DUE DATE OF 07/17/12
PAGE, 6
APUPEM
VEND#.1UU1E...........................CLS.IMVOICE#.........TRN DT.IMV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 3000.00 .00 3000.00
10709 ONESTAFF MEDICAL, LLC 2088.00 I
COlfl'RACT NURSE 5745 061512 061312 071312 2088.00 .00
TOTALS....................................... : 2088.00 .00 2088.00
OM425 OWEMS & MIMOR
SUPPLIES VARIOUS 1945311 061512 06n12 071112 128.64 .00 128.64,/'
SUPPLIES CS IMV 1945398 061512 061212 071112 38.16 .00 38.16 ./
SUPPLIES SURGERY 1945509 061512 061212 071112 352.45 .00 352.45 /
SUPPLIES VARIOUS 1945526 061512 061212 071112 3309.24 .00 3309.24/
SUPPLIES CS IMV 1945762 061912 061312 071212 3.86 .00 3.86 ,./
SUPPLIES CS IMV 1945845 061912 061312 071212 187.00 .00 187.00/
SUPPLIES PACU 1945931 061912 061312 071212 36.09 .00 36.09/
SUPPLIES SURGERY 1946279 061912 061312 071212 1192.31 .00 1192.31 ,/
SUPPLIES VARIOUS 1946280 061912 061312 071212 723.52 .00 723.52,/'
TOTALS. to......................., to..... to...: 5971.27 .00 597l.27
P1100 PC COl'lNECTION SALES CORP 888.39 /
OFFICE SUPPLIES ER !l 49165625 062512 061412 071312 888.39 .00
TOTALS...................................... .. 888.39 .00 888.39
10204 pHAR}mDIUM SERVICES LLC
PHAR}!ACEUTICALS A638674 062212 061212 071112 148.52 .00 148.52 ,./
TOTALS....................................... · 148.52 .00 148.52
10032 PHILIPS HEALTHCARE 3185.00 /'
SRV COlfl'RACT HAD 6/28 - 7 924371539 062212 061312 071212 3185.00 .00
TOTALS....................................... , 3185.00 .00 3185.00
P1800 PITNEY BOI~S IMC 207.00/
RElfl'AL PFS W 705617 062512 061612 071612 207.00 .00
TO'lALS....................................... : 207.00 .00 207.00
10541 PLATINUM CODE 134.59 /
SUPPLIES LAB 142692 063012 061812 071712 134.59 .00
TOTALS....................................... : 134.59 .00 134.59
P1876 POLYMEDCO INC. 608.70)
SUPPLIES LAB 11 1005752 062212 061412 071312 608.70 .00
TOTALS...................................... .. 608.70 .00 608.70
P2200 POWER ELECTRIC
SUPPLIES PLANT OPS 11 159363 062212 061212 071112 58.99 .00 58.99/
DEPT REPAIR !~D SURG 159359 062512 061212 071112 3.12 .00 3.12 /'
DEPT REPAIR GROUNDS 159391 062512 061412 071312 11.23 .00 11.23/
TOTALS....................................... : 73.34 .00 73.34
10326 PRINCIPAL LIFE 1894.54 /
INSURANCE 18192 062512 061712 070112 1894.54 .00
TOTALS....................................... · 1894.54 .00 1894.54
Rl050 R G & ASSOCIATES INC
SALT DELIVERY M 201434 061912 061412 071312 229.60 .00 229.60'/
RUM DATEl 07/05/12
TIl1El 10125
MEMORIAL MEDICAL CEMTER
AP OPEN INVOICE LIST TBRU DUE DATE OF 07/17/12
PAGEl 7
APOPEN
VEND~.NAlIE.......................... .CLS.INVOICE~........ .TRN DT,INV DT,DUE DT.CK DT. ,PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
SUPPLIES PLANT OPS 201285 065012 062612 062612 205.00 .00 205.00 ./
SUPPLIES PLANT OPS 201750 063012 062612 062612 229.60 .00 229.60'/
OUTSIDE SRV PLANT OPS 201993 063012 062612 062612 31,50 .00 31.50/
TOTALS............,...... 0...........,.......: 695.70 .00 695.70
R1268 RADIOLOGY UNLIMITED, PA
CALL PAY FOR JUNE VI 23996 063012 062812 062812 5500.00 .00 5500,00/
TOTALS...,......,.......................,... .1 5500.00 .00 5500.00
10528 RICK HART /
TRAVEL EXPENSES ADMIN 23999-1 063012 063012 063012 763.33 ,00 763.33
TOTALS......,............................... .1 763.33 .00 763.33
10431 ROY ALLEN MARTIN /
PBARI~CIST 23987 062912 062712 062712 3654.00 ,00 3654.00
TOTALS......,.,.........,............,....., .1 3654.00 .00 3654.00
S1800 SHER1'IIN WILLWIS
DEPT REPAIR MED SURG ~I 7698-4 062512 061212 071112 169.77 ,00 169.77/
DEPT REPAIR MED SURG 7709-9 062512 061212 071112 10.24 .00 10.24 ./
DEPT REPAIR MED SURG 7808-9 062512 061412 071312 113.18 ,00 113.18 :/
DEPT REPAIR MED SURG 7S55-0 062512 061512 071412 229.84 .00 229.84
SUPPLIES PLANT OPS 7943-4 062612 061812 071712 86.54 ,00 86.54 .-/
TOTALS......,..,........................ .....1 609.57 .00 609.57
D0350 SIEMENS HEALTHCARE DIAGNOS
INV LAB II 971194516 063012 061312 071212 3563.39 .00 3563.39/
TOTALS.................................,..... : 3563.39 .00 3563.39
S2001 SIEI1ENS IIEDlCAL SOLUTIOMS 941.58/
SRV COMTRACT 6/18-7/17 II 95701758 063012 061812 071712 941. 58 .00
TOTALS...........,.....................,.... .1 941.58 .00 941.58
10699 SIGN AD, LTD.
JULY BILLING 7/1-7/31 0701-0731 062912 070112 071012 350.00 .00 350.00 ------
TOTALS......,.........,...........,....,.... .1 350.00 .00 350.00
S2220 SKIP'S RESTAURANT EQUIPNEN
SUPPLIES DIETARY VI 44141 062612 061812 071712 74.60 .00 74.60/
TOTALS....,.,.....................,....,.... .1 74.60 .00 74.60
S2951 SYSCO FOOD SERVICES OF
SUPPLIES DIETARY II 206281151 062912 062812 071712 91S.32 .00 918.32 /
TOTALS....,.,............................... .1 918.32 .00 918,32
10239 T&R MECHANICAL 4900.00 /
I\NNUAL INSPECTIONS B12-0214 062912 041912 051912 4900.00 ,00
TOTALS........,........................,... ..I 4900.00 .00 4900,00
T2539 T-SYSTEM, INC. 868.49/
TRAVEL EXPENSES ~I 19124 062212 061512 071512 868.49 .00
RUN DATE: 07/05/12 MEMORIAL MEDICAL CENTER PAGE, 8
TII~E, 10,25 AP OPEM INVOICE LIST THRU DUE DATE OF 07/17/12 APOPEM
VEMD~.MA!IE...........................CLS.INVOICE~.........TRM DT.INV DT.DUE DT.CK DT..PC..... ..GROSS.....DISC......NO-PAY........MET
TOTALS......o..... to........ .0...............: 868.49 .00 868.49
10758 TEXAS SELECT STAFFING, LLC /
CONTRACT NURSE 0002357-51-079-I 063012 062812 062812 1993.75 .00 1993.75
TOTALS...................................... .: 1993.75 .00 1993.75
T2303 TG )
EMPLOYEE DEDUCTION W 18197 070312 070312 070312 131.97 .00 131. 97
TOTALS....................................... : 131.97 .00 131. 97
P2323 TBE PRODUCTION GROUP
SALAMCE - ADVERTISING w 62S23 062912 061712 071612 1905.00 .00 1905.00'/
TOTALS....................................... , 1905.00 .00 1905.00
S2679 THE ST JOHN COMPANIES, INC
SUPPLIES CS INV II 07S95079 062512 061512 071412 205.00 .00 205.00/
TOTALS....................................... : 205.00 .00 205.00
T0801 TLC STAFFING 4617.34/
COll'rRACT NURSE W 10275 061912 061212 071212 4617.34 .00
TOTALS....................................... : 4617.34 .00 4617.34
10579 TRE TEXAS, LLC 9.54/
OUTSIDE SRV OR IlT277995 062912 040512 050412 9.54 .00
TOTALS....................................... , 9.54 .00 9.54
Ul054 UNIFIRST HOLDINGS
LAUNDRY I1AINTENANCE II 815057156S 061512 061212 071112 32.54 .00 32.5v'
TOTALS.................,........,...,....... .1 32.54 .00 32.54
Ul064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN 08400127596 061512 061212 071112 888.89 .00 888.89 ::
LAUNDRY HOUSEKEEPING 8400127597 061512 061212 071112 182 .19 .00 182.19/
LAUNDRY PLAZA 8400127598 061512 061212 071112 156.60 .00 156.60
LAUNDRY DIETARY 8400127599 061512 061212 071112 227.40 .00 227.40/
LAUNDRY DB 8400127600 061512 061212 071112 86.70 .00 86.70 /
LAUNDRY HOUSEKEEPING 8400127601 061512 061212 071112 192.45 .00 192.45/
LAUNDRY HOSPITAL LINEN 8400127832 061912 061512 071412 711.37 .00 711.37/
LAUNDRY SURGERY 8400127833 061912 061512 071412 348.59 .00 348.591
TOTALS....................................... , 2794.19 .00 2794.19
10172 US FOOD SERVICE
SUPPLIES DIETARY 4110955 062512 061912 070912 20.94 .00 20.94 /
SUPPLIES DIETARY 4110957 062512 061912 070912 306.92 .00 306.92/
SUPPLIES DIETARY 4212569 062612 062512 071412 105.39 .00 105.39 ./
SUPPLIES DIETARY 4279132 062912 062812 071712 3591.27 .00 3591.27 ;:/
SUPPLIES DIETARY 4299949 063012 062912 071712 119.62 .00 119.62
SUPPLIES DIETARY 4299950 063012 062912 071712 76.43 .00 76.43/
SUPPLIES DIETARY 4299954 063012 062912 071712 24.63 .00 24.63
TOTALS....................................... , 4245.20 .00 4245.20
V0555 VERIZON SOUT~~ST 102.19 ,/
TELEPHONE M 5525926061612 062512 061612 071112 102.19 .00
RUN DATE, 07/05/12
TIME, 10:25
MEMORIAL MEDICAL CENTER
AP OPEM INVOICE LIST TBRU DUE DATE OF 07/17/12
PAGEl 9
APOPEM
VEMD~.NAME...........................CLS.INVOICE~.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TELEPHONE 6/19-7/18 1977697061912 062912 061912 071412 53.38 .00 53.38 ./
TELEPHONE 6/19-7/18 5521567061912 062912 061912 071412 43.43 .00 43.43./
TOTALS...................................... .1 199.00 .00 199.00
V0559 VERIZON \'IIRELESS
TELEPHONES 5522646061612 062512 061612 071112 103.26 .00 103.26./
BROADBAND CARDS 6748253424 062512 061612 071112 156.62 .00 156.62 --
TOTALS....................................... : 259.88 .00 259.88
K1751 VICKY KALISEK
FLEX SPEMD REIlffiURSEMENT \'I 23997 063012 063012 063012 260.80 .00 260.80/
'l'O'I'ALS.... ...................................: 260.80 .00 260.80
WI005 I~LMART COMMUNITY
VARIOUS \'I OS/24-0604 062512 061612 071212 186.44 .00 186.44~
TOTALS....................................... : 186.44 .00 186.44
10325 WHOLESALE ELECTRIC SUPPLY
SUPPLIES PLANT OPS 79-2874676 062512 061412 071312 /
437.95 .00 437.95
TOTALS....................................... : 437.95 .00 437.95
10394 WILLIAM E HEIKAlIP, TRUSTEE
El!PLOYEE DEDUCTION 18200 070312 070312 070312 400.00 .00 400.00
TOTALS..............,........................ : 400.00 .00 400.00
10429 WILLIAM E HEITKM!P, TRUSTE /
EIIPLOYEE DEDUCTION 18199 070312 070312 070312 495.00 .00 495.00
TOTALS....................... ................: 495.00 .00 495.00
GRAND TOTALS.................................: 151279.89 .00 151279.89/
CK~ ~ IY ~O~t>
+'0
:I:t IYQ)3:;;t.
V () I'DS
.y.. 'If '105\, :l:J: 1L.{'lb5?)
$lo14'H)5.3) ~1'tqOqt1l M: 14'1011
. fJ& fijl..f} Fp
Michael J. Pfeifer
Calhoun C0'r';, Judge
Dat0:.._q~0 ~ 1 L.:- .
tiS 20!2
RUN DATE: 07/05/1~
TmE: 07:15
IIEMORIAL IIEDICAL CENTER
EDIT LIST FOR PATIENT REFLniDS ARID=OOOI
PAGE ,
APCDEOIT
PATIENT
NUlffiER
PAYEE NAME
DATE
-~;;~~;-------;;;:~;~----------------------------------------------"-----------
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
070412 694.471
070412 380.80 /
070412 50.00/
070412 51. 99/
070412 236.00/
070412 743.50 I
070412 160.20/
070412 121.45/
070412 150.00/
070412 122.00 /
64.00/
274.36 ,/
126.48 ,/
47.20 /'
/
29.29 N
GL NUll
RUN DATE. 07/05/1~
TIME. 07.15
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID-OOOl
PAGE 3-
APCDEDIT
PATIENT
NUMBER
PAYEE NAME
DATE
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
OL NUll
~;~~~;........;~:;;:i'..........................................................
070412 6.35 ,/
070412 22.30'
-----------~~-----------------------------------------------------------------------------------------------------------------------
ARID-OOOl TOTAL
3583.54
------------------------------------------.-----------------------------------------------------------------------------------------
TOTAL
3583.54 ~
u 5
tK~* )tfq 133
+-D
::ll:- I LVi I S I
JJ&pl,!~
Michael J. Pfeifer
CalhclIn County Judge
".ho "2 ~/ ~ --1'7...--
L:.:->.~v. ,', ~.~-~~-_...
, .
RUN DATE' 07/12/12
THIE: 09:56
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/21/12
PAGE: 1
APOPEN
VEND#.NAIIE......................... ..CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT..PC..... ..GROSS.... .DISC.... ..NO-PAy....... .NET
A1130 ADVANCE MEDICAL DESIGNS IN
M SI9s6329 062512 061912 071812 23.10
TOTALS.-?~p).'.~o$..,....$.l+P. f\ t:?1j........: 23.10
A1680 AIRGAS-SOUTHWEST
M 107134109 062612 062112 072112 253.85
TOTALS.... .C?~.~:j~......................: 253.85
Al645 ALCON LABORATORIES INC
3114.00
20.00
3134.00
M 13619904 062512 061912 071812
13642000 062912 062112 072012
TOTALS. !'~.M~~9.,s.\'off1li~~.;-;..~ ~~ Iff j
10554 ALLIED WASTE SERVICES #847
1059.60
1059.60
0847-000448892 071112 062612 071612
TOTALS.t?;~.{?t:?,s,+:\... ;;!!.~:;..............,
A1960 AMERICAN MEDICAL ASSOCIATI
W
18212 071112 071112 071112 248.20
TOTALS.?.. .'1f:..? w,q;\<;::.(',\.'I'.+.:.'1f!. f{>,(..: 248.20
CPT Ass:S+..n+ c..cl.:n5 ReSb"'o:.e...
10676 AllNISURE INTERNATIONAL, LL
2697.83
2697.83
00721995 063012 062012 072012
TOTALS..~""foP.1 j ';P. r.. .\-.AA.............I
A2600 AUTO PARTS I< MACHINE CO.
W 644349 062912 061912 071812 12.65
644595 062912 062112 072012 17.74
TOTALS. .~Q,.i r:;\;!.................. ........: 30.39
B1800 BRIGGS HEALTHCARE
50.99
. 36.10
87.09
M 6596435 RI 062612 062012 072012
660315~I 063012 062512 072412
TOTALf.'S.~p.lit..$.,. w"'mM1'.~.. kA1\--\.el"
cPs...pppes C,S ::r:,,\\u-\-..<~
B0437 C R BARD INC
254.00
134.75
388.75
M
43547337 062912 062512 072412
43548013 062912 062512 072412
TOTALS..5.I+>f'f'.I;~.~.. ?.W:~M) .t!-. h~ ::c"".
10350 CENTURION MEDICAL PRODUCTS
91047582 062512 062012 071912 136.68
91047583 062512 062012 071912 520.00
TOTALSS?l.If.f' I ;e~.. .C.!'i>..;!:.<:\-.,l~;\f:}rJ 656.68
C1170 CHEK lIED SYSTEMS
M MMCX43 063012 062512 072412 230.00
TOTALS.$..""f.~)':'~.$. r.. ..$.<M:'\}'M".~...: 230.00
C1510 CHUBB
M 7020381602 062912 061912 071812 725.00
Q+r"l \Ii\A.;".. - !=:<.. A.\o.rl'V\ 6'1skl'Y\
.00 23.40 ,/
.00 23.40
.00 253.85v'
.00 253.85
.00 3114.00 ""
.00 20.00 ,/
.00 3134.00
.00 1059.60/
.00 1059.60
.00 218.20""-
.00 248.20
.00 2697.83 "./
.00 2697.83
.00 v'
12.65 ,/
.00 17.74
.00 30.39
.00 o 50.99v'
.00 @36.10/
.00 87.09
.00 254.00 .....
.00 134.75'/
.00 388.75
.00 136.68 -;
.00 520.00
.00 656.68
.00 230.00'/
.00 230.00
.00 725.00 /
RUN DATE, 07/12/12
TIME, 09,56
MEMORIAL MEDICAL CEN'rER
1.1> OPEN INVOICE LIST THRU DUE DATE OF 07/24/12
PAGE, 2
1.1>OPEN
VENO#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.C~ DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... t 725.00 .00 725.00
C2157 COOPER SURGICAL INC
M 2904254 063012 062212 072112 398.65 .00 398.65 ./
TOTALS Sk\.f{l.l. \ 1:.+. :. r? X';f.~. ~ j . . . . . . 1 398.65 .00 398.65
10006 CUSTOM MEDICAL SPECIALTIES 117.94/
139462 062612 062012 071912 117.94 .00
TOTALS.S\.to.ffl H ~~.. 7.. ~.""r,\ .p.I!;>~:J"" 117.94 .00 117.94
S2896 DANETTE BETHANY ,/
W 18204 070912 070912 070912 104.92 .00 104.92
TOTALS. .tle.l'. .SflM)J:\.j l7.~.. ~l".;m.\;>..., 104.92 .00 104.92
D1752 DLE P1.1>ER << PACKAGING 47.93/
W 6678.p, 062512 062012 071912 -\-t> 47.93 .00
TOTALS. ..~.!'t(. .::. .C.s... ;:!;~ll.<i':':';....\ ~ 47.93 .00 47.93
D1710 DOWNTOWN CLEANERS
W 18210 071112 051112 061012 70.00 .00 70.00"/
18211 071112 051812 061712 60.00 .00 60.00
TOTALS. .CM-tl!t:~ .?M:y.l.~.,,?,!i .-;'.\.R....m\!-l"~ 130.00 .00 130.00
Ce.1\..+e.r-
10417 EN'rRUST INSURANCE << BEllEFI .
EN022684 070912 070112 070112 14095.29 .00 14095.29 ,/
TOTALS.. .:;:;r;:;MfH':+!Ik~....... ........ ..., 14095.29 .00 14095.29
F1400 FISHER HEALTHCARE
M 8847998 063012 061912 071812 405.78 .00 405.7S?'
9336549 063012 062112 072112 947 .44 .00 947.44/
1195975 071012 060512 070512 243.66 .00 243.66
1195977 071012 060512 070512 67.43 .00 67.43/
1704746 071012 061112 071112 395.04 .00 395.04~
7160895 071012 061512 071512 49.83 .00 49.83
TOTALS..s......pr.t\~:: ...l,..~. ..........., 2109.18 .00 2109.18
W1300 GRAINGER 18.33 ./
. M 9856251385 062512 061912 071912 18.33 .00
TOTALS. JM1lP' t:.e.$:; . .~""ll'l-R............' 18.33 .00 18.33
A1292 GULF COAST BARDWIlllE 1 ACE 41.97 ./
W 069617 062612 062012 071912 Mo;./So.", 41.97 .00
069626 062612 062312 072212/llecl,o.<9 3.99 .00 3.991
069684 062612 062212 072112 Med S......~ 8.98 .00 8.98/
069688 062612 062312 07221271/1.,,0\- Df'S 33.94 .00 33.94'/
~:~~. . ~~\ n~~~~~~. ~~~~~~ . ~~~~~~ . . . . . ...1 30.97 .00 30.97
119.85 .00 119.85
G1210 GULF COAST P1.1>ER COMPANY
M 412220 062512 061912 071812 121.54 .00 121. 54 ./
412231 062512 061912 071812 136.32 .00 136.32/
t-\t:lI.\ "'-\. - 1-\0....5 e.~""~1 "S
RUN DATE' 07/12/12
TIME, 09,56
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/24/12
PAGE, 3
APOPEN
VEND#.NAME.......................... .CLS.INvOICE#....... ..TRN DT.INV DT.DUE DT.CK aT. .PC...... .GROSS... ..DISC..... .NO-PAY...... ..NET
'l'O'l'ALs.......................................: 257.86 .00 257.86
H0030 H E BUTT GROCERY /
M 235125 062512 061912 071812 9.90 .00 9.90
238322 062512 062112 072012 169.12 .00 169.12 /
'IOTALS.. D. .i.e:W.<'). ..;;:iHffl J.;. RS......... 179.02 .00 179.02
Hl050 HAVEL'S INCORPORATED
M 978582:; 062912 0621~2 072.011 278.95 .00 278.95 or
TOTALS..... ~pl.e.s..;".... .<;t,~'.<? .9:j.1'" 278.95 .00 278.95
10334 HEALTH CARE LOGISTICS INC 37.91 /
4482035 062912 062012 072012 37.91 .00
TOTALS... .,$Wl'l f.1 il'r~......................, 37.91 .00 37.91
H1850 HOSPlRA WORLDWIDE, IRC
M 916917965 063012 062012 071912 150.00 .00 150.000/
916926944 063012 062112 072012 375.00 .00 375.00/
TOTALS.. .f.~M .m~~.C'}i+.t,i.~~.l,.f........... 525.00 .00 525.00
10950 INFOLAB IRC 361.92/
M 3131725 063012 061912 071812 361.92 .00
TOTALS... ..?....y.r'.I. \ ~$..-: .l:R..~............. 361. 92 .00 361.92
10671 INNOVATIVE X-RAY SERVICES 458.33 ./
2012CL0515-5-3 070912 060112 070112 458.33 .00
2012CL051552 070912 051512 061412 158.33 .00 458.33/
TOTALS .~l>.,):\-h.~. M.{3:li. :". :::;.I.W:If...'1-: ;J: .~\:y 916.66 .00 916.66
J0150 J & J HEALTH CARE SYSTEMS,
908037971 062912 062012 071912 199.19 .00 499.19/
908066167 063012 062512 ~72112 307.69 .00 307.69
TOTALS. .. ..?"'1P-I:. M. ~ .. !'i'.. > ~ 1+1.~!91:~. 806.88 .00 s06.88
C2698 JACKSON CROSS 150.00/
18206 070912~62912 071212 150.00 .00
TOTALS. W\,Cd.nt. .-.... ..1.4.-0.+... 0. .p~..: 150.00 .00 150.00
H1502 JESUSITA S. HERNANDEZ
W 18213 071212 070412 071112 30.63 .00 30.63/
TOTALS.l\\;' 1;e..4.'1> ~.. J't",).<:I\~,.."......: 30.63 .00 30.63
M2620 MEMORIAL MEDICAL CENTSR
W 18209 071112 071112 07111~ 1051. 00 .00 1051.00/
TOTALS. fk..l':\t>... ;+;:m~. f."'li't.'.. ..hfRl'.'!\-t- 1051.00 .00 1051.00
10182 MERCEDES MEDICAL 'PO B,D" RU\-ta.1 !;.e, ;J ....\~ 2011- 2.b 13
1494399 063012 061t:2 071812 43.38 .00 43.38 )
TOTALS. ~lIffl.,.:.4-.!jo.';".... .....J<?........ .... 43.38 .00 43.38
M2659 MERRY X-RAY- SAN ANTONIO
N 475115 062612 062212 072112 1304.50 .00 1301.50 /
S'-'ffl~es - Ra..c:\:olo':}j
RUN DATE. 07/12/12
TIllE. 09.56
IIEMORIAL IIEDICAL CENTER
AP OPEN INVOICE LIST TBRU DUE DATE OF 07/24/12
PAGE. 4
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC..... .NO-PAY...... ..NET
lJ.'OTALS....................................... : 1304.50 .00 1304.50
M2621 !!MC AUXILIARY GIFT SHOP
W IS203 070912 070912 071212 70.20 .00 70.20 ---
TOTALS. f. m(l).Q~ t,<:.. .1I~cll+.~:f:;. R nS, 70.20 .00 70.20
10441 !!MC EMPLOYEE BENEFITS 14873.82 ,./
18207 071112 071112 07121t 14873.82 .00
TOTALS.. W.~I:-<I.<.\'I" ;:ens I.. {;.,. .Cl-ri mii> 14873.S2 .00 14873.82
10709 ONE STAFF MEDICAL, LLC 208S.00 /
5770 ~ 4r 062512 062012 072012 2088.00 .00
TOTALS.. .~.. .(%-.t:.. .t::;l.L,yr.~.:.!\~. ..... 2088.00 .00 2088.00
01496 OUTBURST ADVERTISING
W 14204 070912 070212 071712 24.90 .00 24.90'/
14207 070912 070212 071712 52.25 .00 52.25/
TOTALS.. f.-. ffip.l Flye.f?.. .::p,~.J.....C-* L"?n5 77.15 .00 77.15
,
OM425 OWENS & MINOR
1948383 062512 061912 071812 77.66 .00 77.66/
1948410 062512 061912 071812 148.97 .00 148.97-:/
1948427 062512 061912 071812 6.20 .00 6.20
1948479 062512 061912 071812 7.69 .00 7.69/
1948669 062512 061912 071812 1553.62 .00 1553.62/
1948726 062512 061912 071812 2582.14 .00 2582.14 ../
1949658 062512 062112 072012 218.S5 .00 218.85'/
1949769 062512 062112 072012 12.21 .00 12.21/
1949813 062512 062112 072012 -1926.94 .00 -1926.94
1949894 062512 062112 072012 17.42 .00 17.42 ./
1950107 062512 062112 072012 1918.80 .00 1918.80 ./
1951317 062912 062512 072412 12.24 .00 12.24/
1951625 062912 062512 072412 -24.41 .00 -24.41/
TOTALS.. .Suf'.p. .I,;.~..~. .\l.flr.<: i.Q.wA.... 4604.45 .00 4604.45
P2200 POWER ELECTRIC
W 159509 063012 062512 072412 7.06 .00 7.06 --
159511 063012 062512 072412 12.55 .00 12.55 ./
159534 063012 062612 072412 1.98 .00 1. 98 oJ
TOTALS..~IiL;'r;\.t...~. .A:t:I-r<\i.f;I.:.......... 21.59 .00 21.59
RI050 R G & ASSOCIATES INC
M 201778 062612 061912 071812 150.00 .00 150.00"--
201779 06~612 061912 071812 141.00 .00 141.00/
TOTALS. .. I':\\}( .~Ml.r!':Q.'ti. .(?f,"''''ie 291.00 .00 291.00
S",bl"o\rc-(on F,' l-l-er'
R1268 RADIOLOGY UNLIMITED, PA ./
W 18205 070912 042g2 052712 1345.00 .00 1345.00
TOTALS.. .Be.PrA..l.O.':;J... .~~..?.......... 1345.00 .00 1345.00
S1800 SHERWIN WILLIIIMS 69.78 ./
W 8159-6 063012 062212 072212 69.78 .00
/1'\0..\ n-l- - P 1....,,0\- DPs
RUN DATE: 07/12/12
TIME: 09:56
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/24/12
PAGE. 5
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TEN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY...... ..NET
S228-9 063012 062512 072412 r;.~s<<.r~ 25.47 .00 25.47 .,,-
8246-1 063012 062512 072412 AO",; " 56.59 .00 56.59 '/
8281-8 063012062612 072412 Mecl S...r~ 13.38 .00 13.38
TOTALS.. .l'V\b.I.I)...t.:............... ........... 165.22 .00 165.22
S2400 SO TEX BLOOD << TISSUE CENT
M 20122554 063012 062012 071912 -4131.00 .00 -4131.00 ......
20122621 063012 062012 071912 8019.00 .00 8019.00 ....
TOTALS.. .$."'1'pl;A-~. .~!I'lP.4. ~~ ~; 3888.00 .00 3888.00
S2830 STRYKER SALES CORP
M 62181A 062612 061912 07f812 778.70 .00 778.70 ,/
TOTALS. ?.<I<f".f. ,I)~$..;-.. .r.J:". '1" .9.'I1:"l.~f:J 778.70 .00 778.70
S2951 SYSCO FOOD SERVICES OF
M 20629099~ 062912 062912 071812 168.82 .00 168.82 ./
TOTALS.. .:e;*'t<l.t".1........ ."............... 168.82 .00 168.82
T0801 TLC STAFFING
W 10301 062612 061912 071912 6325.65 .00 6325.65 ,/
TOTALS. c,,,.f,\x(,<a.e..t:-. . .$. ~r. ~l. .<;.l!,$... . .. 6325.65 .00 6325.65
T1723 TOSBIBA AMERICA MEDICAL CR 9874.50 ./
10013425 063012 062012 072012 9874.50 .00
TOTALS.$.e.r/J lAe... .~:Tr.o,.,c;.:t::. .C:1. .?~q.M"'( 9874.50 .00 9874.50
10579 TEE TEXAS, LLC 25.00.1
MT284419 062912 062512 0724~ 25..00 .00
TOTALS";?~'I".l\~,$,. :-:..Q. f... J.t'.I).:.!+- 25.00 .00 25.00
Ul054 UNIFIRST HOLDINGS
W 8150574318 062512 061912 071812 32.54 .00 32.54 ---
TOTALS.. .L.~r:>.~,,~)' .-:..l'\ ~.. f),t,....... 32.54 .00 32.54
Ul064 UNIFIRST HOLDINGS INC
8400127953 062512 061912 071812 736.83 .00 736.83 ./
8400127954 062512 061912 071812 182.19 .00 182.19 ,/
8400127955 062512 061912 071812 165.91 .00 165.91/'
8400127956 062512 061912 071812 202.68 .00 202.68/
8400127957 062512 061912 071812 86.70 .00 86.70'/
8400127958 062512 061912 071812 131,62 .00 131.62./
8400128189 062612 062212 072112 636.54 .00 636.54 ./
s400128190 062612 062212 072112 348.59 .00 348.59'/
840-0127107 071112 060112 070112 348.59 .00 348.59
TOTALS.. J.a.......fld.<:'j'l'.. :0.9<1".\0M.$. .tH..p:l5 2839.65 .00 2839.65
Ul056 UNIFORM ADVANTAGE
W 4483970 071112 061912 071912 244.95 .00 244.95 .;
TOTALS. j:;.m..\?.I. (),'i .c..4!... }?~~:Y.! .I:m S 244.85 .00 244.85
V0555 VERIZON SOUTHWEST 103.26/
M 5522646 JOH12 071112 061612 071112 103.26 .00
"Ie /""fJ..o" e.
RUN DATE, 07/12/12
TIME: 09:56
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 07/24/12
PAGE' 6
APOPEN
VEND#.NAIlE.......................... .CLS.INVOICE#........ .TRN DT.INV M.DUE M.CK M. .PC...... .GROSS... ..DISC.... ..NO-PAy...... ..NET
TOTALS............................,.......... :
V0559 VERIZON WIRELESS
674825324.-.- 071112 061612 071112
TOTALS.. ..1."eLt:-/f/1P/I.of....................,
10472 VISA
2012JUNE 071112 062512 072012
TOTALS. . hli.S,9., . . . g.~ .p..Y.1:\$. !'f-,!j. . . . . . :
V1701 VITAL STATISTICS
103.26
156.62
156.62
5102.03
5102.03
iT 18202 070912 070512 071212 15.00
TOTALS.e..'.':\I1.(\.t}!.~. .R>.\.~ :l:h.. ~~.t.\ .Ii.l. CW\-e.. 15.00
GRAND TOTALS.................................I
tJ/{r #- jrf 9/,)3
f-i:J
.if 1'/1;209
~
::JtFI0f/11
f#
"l~ ~J ~ 'l/
P' fl--Ill'
85711.64
.00
103.26
.00
.00
156.62 .-
156.62
.00
.00
5102.03 .-
5102.03
.00
.00
15.00 ..-
15.00
.00
85711.64
Michael J. Pfeifer
Calhoun County Judge
D::;Y!9:
Run Date, 06/19/12
"Time; "13:14
HEHORI1\L MEDIC1\L COOER
Payroll Register I Bi-Weekly I
Pay Period 06/01/12 - 06/14/12 Run! 1
Page 82
P2REG
Final Sunrrnary
i__ Pay Cod e Sum mar y __~______________n_________________--___*__ De due t ion s Sum mar y n_____n____*
I payCd Description HIO IOTlsHIWEIHOlrnl Gross 1 Code Amount I
i_n____U.________________________________________________________________i________________________u___n____________u____u_*
1 REGU1l1R P~Y-Sl 1123.75 N N N 138375.71 A/R ?a5.00 AWARDS BOOTS
1 REGULAR PAY-Sl '1243.25 N N N N 39204.59 CAFE-C 660.26 CAFE-D 830.00 CAFE-F
1 REGU1l1R PAY-Sl m.50 Y N N 4420.53 CAFB-H 7635.00 CAPE-I 288.06 CAFE-L 410.14
2 REGULAR PAY-S2 2402.25 N N N 48499.08 CAFE-P -413.7S CANCER 12.68 CLINIC 50.00
2 REGULAR PAY-S2 107.50 Y N N 4196.58 CREDUI! 25.00 DEIIT1\L 491.36 DBP-LF 20U8
3 REGU1l1R PAY-S3 1457.25 11 11 11 32151.90 FEDTAX 32240.88 FIC~-M 4276.11 FICA-O 12385.99
3 REGU1l1R PAY-S3 100.50 Y N 11 4068.50 FLEX S 1547.74 FORT D FlITA
S SICK BONUS 144.00 N N N N 3145.32 GmS 241.68 GRANT GRP-IN 129.26
C C1\LL FAY 2467.50 N 1 N N 4935.00 GTL 1I0SP-I ml.58 ID TIT
E EXTRA ~IAG8S N N N N 639.03 LEAF IHSe O'I'HER 2144.59
E EXTRA W~GBS N 1 N II N 1560.00 PHI PR FIN 478.00 REPAY
F FUNERAL LEAVE 8.00 N 1 N N 92.24 ST-TX STUmm TSA-l
I mSBRVICE 41.00 N 1 N N 1358.15 TS~-2 TSA-C TSA-P
I IHSERVICB .50 Y 1 N N 24.77 TSA-R 21472.50 TUTlON UI/HOS
K EXTENDED- ILUlESS- EAllK 80.00 N 1 N N 874.42
P PAlO-TIME-OFF 1121.00 N 1 II N 21815.48
X CALL P~Y 2 64.00 N II N N 128.00
X CALL PAY 2 111.00 N 1 11 N 342.00
y YMCA/CURVES II II N N 30.00
Z CllLL PAY 3 96.00 N 1 11 N 288.00
t~________~~____~____ Grand 'fotals: 17367.00 -~~~--- 1 Gross: 306149.30 Deductions: 90918.16 Net: 215830.54 I
I Checks Count:- F'I' 159 PI 22 Other 31 Female 182 NaIe 38 Credit OVerAmt 16 ZeroNet Term Total: 2121
t~_______________H____~.______.___~_n_~____~________.______~~___________________.___________~.____._____.~n______~____________t
FED TAX 32,240.88
FICA 0 30,670.06
FICA M 8,552.22
TOTAL 71,463.16
Tax Payment Report Worksheet.
EFTPS Voice Response S, (Photocopy this worksheetforfuture use.)
U You dial:
EFTPS responds:
You enter:
1-800-555-3453
"Welcome to the Electronic Federal Tax Payment System"
"If you are calling from a Touch Tone phone, press 1."
1 (For Touch Tone phone)
"Enter your 9-digit Taxpayer Identification Number"
lJ;lli EFTPs.prompts:
You enter:
lTIlJlJ~[Q][QJwrn[z]ITJ
(9-digit Employer Identification Number)
~
~
EFTPS promt?:
Yuu enter:
. "Enter your 4-digit PIN"
digit Personal Identification Numb
~ EFTPS prompts:
You enter:
Lists the Main Menu Selections
11.'L,,~jl EFTPS prompts:
You enter:
Press 1 (to initiate a.tax pryment)
EFTPS responds:
"Enter the Tax Type number followed by the pound (#) sign."
wC3ZJ wOD D (3-to 6 digittaxtype number from
the IRS Tax Form-Table in Appendix A)
"You entered Tax Type/Tax Description (Based on the selection in step #5)
"Enter Tax Payment Typel'
[llmJ EFTPS prompts:
You enter:
1 digit number Tax Payment Type
(T'IX PaymentType specific to Tax Form Code in Appendix D)
1m[] EFTPS prompts:
You ~nter:
"Enter the 4-digit Tax FilIng Period starting with the year followed by month'"
[I] rn [[] IJL] (Valid 4-diglt Tax Period based on IRS Tax Form
Table inAppendix A) .
~ EFTPS prompts:
You enter:
"Enter the payment Amount followed by the pound (#) sign."
(You must enter cents even if you are reporting a whole dollar amount.)
$DD,D[[]rrJ;rnIJLJIIHIJW2J V
(Your payment amount cannot exceed $99,999,999.99) .
I!!iaJ EFTPS prompts:. Enter the 2-digit Verification Code."
DO Verification Code"
*(See Appendix E for Verification Co<!e Calculation)
IiImI EFTPS responds:
You enter:
.:\\\.0 '\ .
t \~ "-'D\.\.-\.:i\
Vrtc!UL-ct.\)-UtLCt Ill.ULt *
"Enter the 6-digit tax payment seWement date by month, day, year."
(Note, the next business date you enter must be at least one business day
in the future). .
[]]I]L] r:EJEIJIIJ tEl /
(6-digit tax payment settlement day in MMDDYY format)
(Continue)
t::J)(i'Tlli T-.::.r'J-
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10/11,,1, n
l\:")S
1'"1.
Run Date: 07/0J/12
Time: O~:10
Vinal SUl\\lllary
MENORlAL MEDICAL CElllER
Payroll Register {ai-weekly J
Pay Period 06/15/12 - 06/28/12 Runi 1
Page 83
P2RIlG
\
*__ P il Y Cod e Sum III a r y __n______n__n____m__m~____nnd_.t._ D e due t ion s Sum rn a r y ________n___i
I PayCd Description Hrs IOTISHI~IHIHOlcBI Gross I Code lImount' I
t _w_~__. "__~___.~~_d____________ ...__.___ ._______.~.. n._ _ _____~___+"_~. _"~ .n______________ ._.__________________~__. _n --------*
1
1
1
2
2
J
J
C
C
B
S
F
1
J
K
K
P
P
X
X
Z
Z
REGUL1\R PAY-S1
mU!J\R PAY-Sl
RllGIJLAR PAY-Sl
RHGiJ!J\R PAY-S2
RllGIJLAR PAY-S2
RHGiJ!J\R PAY-SJ
REGULAR PAY-S3
CALL PAY
CALL PAY
EXTRA WAGES
EXTRA WAGBS
FilllERA[,LEAVE
INSERVIC'E
J1JRY LEAVE
EXTIDIDED-ILlJIHSS-HAIlK
EXTENDED- ILLlmss- 8m
PAII}-1'IMlkOFF
PAID-TIMB-DFF
CALL PAY 2
CALL PAY 2
CALL PAY J
CALL PAY 3
7846.75 11
1149.15 11
161.75 Y
2432.15 11
60.25 Y
1533.15 11
9.00 Y
256.00 N
2018.15 11
11
11 1
8.00 11 1
JO.50 11 1
J.OO 11 1
2.00 11
44.00 11 J
12.00 11
1159.26 11 1
80.00 11
80.00 11 1
24.00 11
72.00 11 1
11 11
11 11 11
11 11
11 11
11 11
11 11
11 11
N N n
11 II
11 11 11
N N 11
11 11
11 11
11 11
11 11 11
11 11
N n M
11 11
Nun
11 11
11 II II
11 11
138949.8J
J5158.86
4925.81
49551.19
2251.91
J4819.05
351.47
512.00
40Jl.50
101.18
545.00
2JJ.20
813.41
44.1J
J9.26
lD6.24
J26.64
25-444.52
160.00
160.00
72.00
216.00
AIR
CAFE-C
CAFE-H
CAFE-P
CRHIl1JN
FEOTAX
FLHXS
GIFT S
GTL
LRAF
PHl
SHX
TiA-2
TiA-R
720.00 AWARDS
611.15 CAFH-D
1801.51 CAFB-l
502.42 CAIlCER
25.00 DHIIlAL
31390.95 FICA-M
1541.'14 FOR! D
9J.9H GRAlIT
RDSP-!
HlSC
1690.00 PR FIll
S11IDElI
TSA-C
20S8S.22 TU'lION
BOOTS
757.50 CAFE-F
288.06 CAFE-L
12.68 CLINIC
481.82 D8P-1F
4177 .45 FICA-Q
FUTA
GRP-IN
3972.96 ID TF'r
OTHER
488.04 RSPAY
131.S7 TSA-l
TSH
W/HDS
410.14
50.00
200.68
1210o.lS
12S.26
2518.22
i~~___.n.__n_____n Grand Totals; 16983,51 ---.--- (Gross: )00091.86 Deductions: nU3,54 .Net: 10892&.32 I
I Checks Count:- FT 159 PT 24 Other 31 Female 184 Male 30 Credit OVerArnt 10 ZeroNet Term Total: 214 I
*________.____uun__HHH..._.________nn____________H_____________________________H_H__H.....O._."_HHHH___H_H.HH_._._H_HHHHH._t
COMBINED TOTALS
31,390.95 /
FED TAX
FICAO
FICAM
TOTALS
29,972.18'"
8,357.62 /
69,720.75
1.)(1.:;
.-:. I
d; :)(.'
,.j:';;' /-;':\.I
Run Date: 01/05/12
Time: 11:21
Department 1117
MEHORIAL MEDICAL CEII!ER
Payroll Register ( ai-weekly)
Pay Period 06/15/12 - 06/28/12 Runff 2
Dept. Sequence
Page
P2REG
L~ E m p 1 0 Y e e nu~*u T i!l\ e _n_.~_.u......n__n.n_.._nn_._____nnL_ D e due t ion s _n._._.~.H.n.n__..___*
INun/Type/Name/Pay/ExemptIPayCd Dept Hra IOTlsNlwRIHOlcsl Rate Gross I Code l\Jrount I
i._____n...n.... .......*..___n________._____d.__..........___n_____________"*__.......___......___________... .......___..____r
15030 rr Hrly, 11.7000 P 017
S,OO N
N N N 1l,7000
9J ,60 FICA-M 1.36 FICH
3,S3TSH
6.55
_r Total: 8.00 ___._________H_ ( Gross:
SJ.60
Deductions:
11,84
Net,
81.16)
Department summary
in Pay Cod e Sum III a r y .__n___n..h......numn.nn_______*__ De 'd \I c t ion s Sum mar y _____u.__n_!
I Payed Description Hr, IOTISHIHEIHOlcsl Gross I Code. llmoumt I
*...__._______n____..._nn____..____________________________.__._._.n___*__________._~~___n~_u____..__..__.u______~~~.._HHi
P 11,00 N N N II 93,60 A/R AIIARDS BOOTS
CAFE-C CAFE-D CAFE-F
CAFE-H CAFH CAFE-L
CAFB-P CANCER CLINIC
CRBDUII DENTA!. DEP-LF
FEOTAX PICHI 1.36 FICA-O 3,93
FLEX S FORT 0 FUTA
GIPlS GRANT GRP-IN
GTL HOSP-[ 10 TIT
LEAF IHSC OIliER
PHI PR FIN mAY
ST-TX STUDEII TSA-I
TSA-2 TSA-C. TSA-P
TSH 6,55 TUTI0l1 llWIH08
*_u~_.___._~u. Department Totals; 8.00 HUUU { Gross: 93.60 Deductions: 11.84 Net: 81.16 1
I Checks Count:- FT 1 PT Other Female 1 Male Credit OverAmt ZeroNet Term Total: 1 I
t _~_ ._. __~__ _ ~~_.__.________________.__~ _.~ __ ..~_._ OH' _ ~~_____~__n__.___._ ..__.. ._~~ .__~.o O~__ ~~. H__._ __. _ _. __._____n_...~. _. _ *
Tax Payment Report Worksheet
EFTPS Voice Response S) (Photocopy this work'iheet for future use.)
rl )Jjl ' You dial:
EFTPS responds:
You enter:
1-800-555-3453
"Welcome to'the Electronic Federal Tax Payment System"
"If you are calling from a Touch Tone phone, press 1."
1 (FOl. Touch Tone phone),
"Enter your 9-digit Taxpayer Identification lIIumber"
M EFTPS prompts.
n"S.:..1::--J .
You enter;
ITIDlJEkJCQJfEJwoomm
(9-digit Employer Identification Number)
You enter:
digit Personal Identification Numb
~t''''''''
,: .}:,~
EFTPS promt~:
"Enter your 4-digit PIN"
~':\)!TIj EFTPS prompts:
-- ,
You enter:
Usts the Main Menu Selections
Press i (to initiate a tax pryment)
~ EFTPS prompts:
You enter:
EFTPS re~ponds: ,
~ EFTPS prompts:
You enter:
"Enter the Tax Type numberfollowed by the pound (!I) sign"
w[?l] [2JDD D (3-to 6 digittaxtype nuniberfrom
the IRS Tax Form-Table in Appendix A)
"You entered Tax Type/Tax Description (8ased on the selection in step !IS)
"Enter Tax Payment Type"
1 digit number Tax Payment Type
(Tax PaymentType specific to Tax Form Code in Appendix D)
~ EFTPS prompts:
You enter:
"Enter the 4--digitTax Filing Period starting with the year followed by month'"
if~ .
[IJ m I 0 113] (Valid 4-digit Tax Period based on IRS Tax Form
Table in AppendixA)
mI EFTPS prompts:,
You enter:
"Enter the payment Amount followed by the pound (#lsign."
(You must enter cents even if you are reporting a whole dollar amount.)
$DD,DDtlIKJIIJIIJIJIJ.WI3J ./
(Your payment amount cannot exceed $99,999,999.99)
IlEl EFTPS prompts:
Enter the 2-digit Verification Code."
DO Verification Code*
*(See Appendix E far Verification Code Calculation)
I~IEFTPS responds:
, r\'R-
, ' .L p
,\v\.\..l/j \'~\ \d
You enter:
"Enter the 6-digit tax payment settlement date by month, day, year."
(Note, the next business date you enter must be at least one business day
in the future). /
DilDJ ITJ[[]ITJ rrJ
(6-digit tax payment settlement day in MMDDYY format) (Continue)
" ,,,J_ .!" '1 'l' Ii
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{11.1Jlp/03S
July 26, 2012 2012 AFFROV AL LIST 30
COMMISSIONERS COURT MEETING OF 07/26/12
BALANCE BROUGHT FORWARD FROM PAGE 29 $ 2,249,640.30
FICA PIR $ 29,446.02
MEDICARE P/R $ 8,547.43
FWH P/R $ 27,357.74
AFLAC PIR $ 4,586.45
NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,904.98
OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT PIR $ 1,019.54
PRINCIPAL FINANCIAL GROUP P/R $ 3,231.87
TEXAS ASSOCIATION OF COUNTIES HEBP PIR $ 166,089.58
TMPA PIR $ 336.00
UNITED WAY OF CALHOUN COUNTY P/R $ 12.00
ALLIED WASTE SERVICES AlP $ 58.12
AT&T AlP $ 50.04
BANK OF TEXAS AlP $ 197,029.17
CABLE ONE AlP $ 538.94
CC INDIGENT HEALTII CARE AlP $ 48,345.09
CENTERPOINT ENERGY AlP $ 31.12
CPL RETAIL ENERGY AlP $ 62.78
CREDIT CARD CENTER AlP $ 8,895.92
EXXON MOBIL AlP $ 153.17
MCI AlP $ 315.45
RELIANT ENERGY SOLUTIONS AlP $ 2,449.93
U.S. BANK N.A. AlP $ 777,512.50
VERIZON SOUTHWEST AlP $ 2,803.82
TOTAL AMOUNT FOR APPROVAL $ 3,531,417.96
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2012 APPROVAL LIST
COMMISSIONERS COURT MEETING OF 07/12/12
DEPT. OF CALHOUN COUNTY SHERIFF B B BROWNING
(SHERIFFIJAIL)
BALANCE BROUGHT FORWARD FROM PAGE 5
TOTAL AMOUNT FOR APPROVAL
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Kenneth We Finster
,g
County Commissioner
County of Calhoun
Precinct 4
July 13,2012
Honorable Michael Pfeifer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Pfeifer:
Please place the following item on the Commissioner's Court Agenda for July 26,2012.
" Discuss and take necessary action to accept donation of $34,712 from Friends
of Seadrift Library for shelving for a total project plus furnishings value of
$319,706.42.
Sincerely,
~U/.~~
Kenneth W. Finster
KWF/at
(
\
\
1'.0. Box 177' Selldrlft. TX 77983' email: l<enny.linstel'@elllhonncotx.org' (361) 785-3141' FlIx (361) 785-5602
ACCEPT DONATION OF $34,712 FROM FRIENDS OF SEADRIFT LIBRARY FOR SHELVING FOR A
TOTAL PROJECT PLUS FURNISHINGS VALUE OF $319,706.42:
A Motion was made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Seadl'ift Library Building
Renovation Donated by Friends of Sea drift Library, Inc.
Total Project To Date
2006 2007 2006 2009 2010 2011 Total
Payments (See Note A)
Advantage Construction $ 10,500.00 $ 52,590.00 $ 63,090.00
Hayes Electric $ S,042.00 $ 5,042.00
Mitchell Glass Co. $ 7,100.00 $ 7,100.00
Steve Waghorne (reimburse
various supply invoices) $ 280.04 $ . 280.04
Tommy Henderson
(reimburse supply invoice-
Regional Steel) $ 865.92 $ 865.92
Jerry Amason-Framing $ 4,000.00 $ .1,592.00 $ 5,592.00
Jayson Amason-Ale $ 37,200.00 $ 37,200.00
Paradigm Diversifted-
Electrical, drywall, ceiling $ 50,527.11 $ 50,527.11
Robert C. Newsome-
Drywall, ceiling $ 6,984.06 $ 6,984.06
Dale Bunting Painting $ 6,300.00 $ 6,300.00
Ehder Puentes-Painting $ 1,700.00 $ 5,800.00 $ 7,500.00
Benny Resendez-Concrete $ 1,900.00 $ 1,900.00
Plumbing (Port Lavaca
Plumbing, various vendors) $ 3,500.00 $ 5,719.45 $ 9,219.45
Hurricane Fence-around
Ale units $ 1,325.00 $ 1,325.00
Abet Martinez-Cabinets $ 3,078.00 $ 3,078.00
Timmy J. Bi1ton~f1oor/tile $ 13,000.00 $ 7,481.00 $ 20,481.00
Alan Howard Doors $ 700.00 $ - $ 700.00
Various labor, services,
supplies $ 11,737.36 $ 18,726.48 $ 30,463.84
Contract labor-demolition
(based on FOSL general
ledger~no supporting
documents) $ 2,831.00 $ 2,831.00
Total Payments $ - $ 10,500.00 $ 52,590.00 $ 20,118.95 $ 139,543.53 $ 37,726.93 $ 260,479.42
In-Kind Donations
(See Note B)
Kathy Sayers~painting-31
hrs @ $75 $ 2,325.00 $ 2,325.00
Stephen Waghorne~
architectural services-200
hrs@$100 $ 20,000.00 $ 20,000.00
Bill Ball/Falcon Point Ranch-
Hardiplank-1500 sq.ft. @
$.75 $ 1,125.00 $ 1,125.00
G&W Engineers $ 65.00 $ 65.00
Dodie Murphey~architectural
services~10 hrs@$100 $ 1,000.00 $ 1,000.00
Total In-Kind $ 22,325.00 $ 1,125.00 $ - $ 1,065.00 $ . $ - $ 24,515.00
Grand Total $ 22,325.00 $ 11,625.00 $ 52,590.00 $ 21,183.96 $ 139,543.53 $ 37,726.93 $ 284,994.42
Shelving purchased 2/23/2012 with Johnson Foundation Grant and donated
by FOSL
$ 34,712.00
Total project plus shelving
$ 319,706.42
A) Based on documents provided by FOSL
B) Based on report prepared by FOSL (no supporting documents from donors)
County Auditor
5/22/2012
26
CALHOUN COUNTY, TEXAS
COUNTY SHERIFF'S OFFICE
211 SOUTH ANN STREET
PORT LA V ACA, TEXAS 77979
PHONE NUMBER (361) 553-4646
FAX NUMBER (361) 553-4668
MEMO TO: MIKE PFEIFER, COUNTY JUDGE
SUBJECT: SALVAGE AND RETIRE K-9 OFFICER MIRZA
DATE: JULY 12, 2012
Please place the following item(s) on the Commissioner's Court agenda for the date(s)
indicated:
AGENDA FOR JULY 26, 2012
* Consider and take neceSSlllY action to declare salvage K-9 Officer Mirza
refer to asset#565-0467 for health reasons and retire her into the care of her trainer,
Investigator Steve Delacruz,
Sincerely,
(ZIS
<
B.B. Browning
Calhoun County Sheriff
DECLARE SALVAGE K-9 OFFICER MIRZA REFER TO ASSET #565-0467 FOR HEALTH REASONS AND
RETIRE HER TO THE CARE OF HER TRAINER, INVESTIGATOR STEVE DELACRUZ:
A Motion was made by Commissioner Fritsch and seconded by Commissioner. Commissioners Galvan, Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
BUDGET ADJUSTMENTS:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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ACCEPT THE FOLLOWING DONATION TO THE CALHOUN COUNTY EMS:
$100,00 from Tomlea Incorporated dba Napa Auto Parts and Machine Company in memory of John C. LaQuay
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy, Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Page 1 of 1
From: "rhonda kokena" <rhonda,kokena@calhouncotx,org>
To: "Suzana Eckermann" <Suzana,Eckermann@calhouncotx,org>
Date: 07/26/201201:34 PM
Subject: Re: EMS Donation
NAPA Auto Parts & Machine Co,
cf 0 Tomlea Incorporated
$100,00 in Memory of John C LaQuay
RHONDA S. KOKENA
CALHOUN COUNTYTREASURER
202 S. ANN ST.
PORTLAVACA, TX. 77979
361-553-4619 phone
361-553-4614!ax
Enjoy the little things....For one day YOll wiII look back and realize
they were the big things.
----~Original Message-----
From: lfSuzana Eckermannll <Suzana.Eckermann@calhouncotx.org>
To: tlrhonda kokenall <rhonda.kokena@calhouncotx.org>
Date: Thu, 26 Jul 2012 10:45:34 -0500
Subject: EMS Donation
Rhonda,
Can you give me the information on the donation made to EMS.
Thank you,
Suzana
https:/lmai1.ca1houncotx.org/WorldClient.dll?Session=GYXRIBW & View=Message&Print.., 7/26/2012
City Council/Mayor
Ext. 221
City Manager
Ext. 222
City Secretary
Ex t. 224
Code Enforcement
Ext. 229
Finance
Ex t. 234
InspectionslPennits
Ext, 229
Municipal Court
Ext. 226
Personnel
Ext. 224
Utility Billing
Ext. 236
Animal Control
361-552-3788
Bauer Center
361-552-]234
Fire Station
361-552-324]
Parks & Recreation
Ext. 223
Police
361-552-3788
Purchasing
361-552-1529
Streets
361-552-3347
Utilities Operation
361-552-9256
Harbor Master
36]-552-2615
CITY OF
PORT LAVACA
~IA
202 N. Virginia, Port Lavaca, Texas 77979-0105, www,portlavaca.org
Main Number: 361-552-9793 Main Facsimile: 361-552-6062
July 9, 2012
Honorable Judge Mike Pfeifer
211 s. Ann
Port Lavaca, Texas 77979
Dear Mike:
This year's United Way Campaign will kick off in August. Would it be possible for the
Commissioner's Court to approve Wednesday, August 8, 2012 as United Way Day in
Calhoun County? This would be a great start to the CAMPAIGN AND THE
ANNOUNCEMENT FROM THE Commissioner's Court will let all our residents in Calhoun
County know that United Way is helping the entire county.
As always I appreciate all that you do for Port Lavaca and Calhoun County.
Sincerely,
DECLARE WEDNESDAY, AUGUST 8,2012 AS UNITED WAY DAY IN CALHOUN COUNTY:
The United Way Campaign wili kick off in August. The City of Port Lavaca requested that Commissioner's Court
designate Wednesday, August 8, 2012 as United Way Day to show the residents of the county that United Way
is heiping their community.
Judge Pfiefer read from the resolution,
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor,
RESOLUTION
UNITED WAY DAY IN
CALHOUN COUNTY
WHEREAS, In 1887, A Denver priest, two ministers and a rabbi recognized the need for
cooperativcaction to address their city's welfare pl'Oblems, and
WHEREAS, They createdlln organization to serve as an agent to collect funds for local
charities, as well as to coordinate relief services, counsel and refer clients to cooperating
agencies, and make emergency assistance grants in cases which could not be l'eferred; and
WHEREAS, That year, Denver raised $2 1,700 and created a movement that would spread
throl)ghoutthe country to become the United Way; and
WHEREAS, Over 118 years later, United Way is still focused on mobilizing the caring
power of communities and making a difference in people's lives; and
WHEREAS, In 2011, United Way of Calhoun County had one of the most successful
Campaigns in the history of the fifty~four year history of the organization; raising $250,0000,
NO,", THEREFORE, L]i;T IT BE RESOLVED, that August 8, 2012 is hereby Pl'OClaimed as
UNITED WAY DAY
in Clllh9un County, and all citizens and businesses are urged to support the 2012 campaign and
. fundraising efforts, .
SIGNED and SEALED this the 26th day of July, 2012.
fl1(1)44tA' ~ €ti/'
Michael J. [eifel' 0 nly Judge
Calhoun County, Texas
Vem Lyssy, Co nm' sioner
'";r: W, :L~
Kenneth W. Finster, Commissioner
Precinct No.4
PUBLIC DISCUSSION:
Mark Daigle:
On Tuesday, July 24, 2012 in Dallas, Texas at the Texas Sheriff's Association Banquet, Sheriff B, B. Browning was
awarded the Tom Tellepsen award which is the highest award bestowed on a sheriff in the State of Texas, Out
of 254 sheriffs, this award is presented once a year. Sheriff Browning received a plaque and check.
Commissioner Lyssy:
Commissioner Galvan and Commissioner Lyssy presented the The Library Summer Reading Program Awards on
Wednesday, July 25, 2012 to young readers, This year's participation was three times larger than past years
and the iibrary has been doing a good job keeping the kids reading,
Court was adjourned at 10:42am.