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2012-04-26 . . Regular April Term Held April 26, 2012 -,..,," THE STATE OF TEXAS ~ !i COUNTY OF CALHOUN ~ BE IT REMEMBERED, that on this 26th day of April, 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: Ronald McDonald gave the Invocation and Commissioner Finster led the Pledge to the United States Flag and Commissioner Lyssy led the Pledge to the Texas Flag. MEMORIAL MEDICAL CENTER REPORT: February's financial operating resulted in a net monthly income of $79,339. Total patient days were down from the prior month, as were many of the ancillary departments. Memorial Medical Center 4 CFO Report Month of: February 2012 Overview: February's financial operating resulted in a net monthly.income of $79,339. Total patient days were down from the prior month, as were many of the ancillary departments. Statistics: For the month, total hospital inpatient days were down 136 days from January's totals. Acute days were down 133 days while swing bed days were down 3 days. Average Daily Census was down to 14.76 ADC, reflecting a decrease of 3.43% under January. Observation hours were up 193 hours, up 104% for the month. Clinic visits were down 18 total visits but total surgeries were up 23. Births were down 4 January. laboratory, Respiratory Therapy, Physical Therapy and Pharmacy recorded less patient volume in February over the January results, with only Radiology showing increased volume for the month. Balance Sheet: Cash showed an increase from the prior month, down by $157,300. MMC has $1,904,000 in cash, consisting or $1,404,000 in Operating Funds and $500,000 in CD investments, providing almost 34 days of cash on hand Cash Medicare Payable Net Cash After Deducting Medicare Payable MMC continues to monitor what the impact would be on its cash balance if the estimated amount due Medicare were to be taken from its current cash balance. The impact is shown, below: October November December January February $2,717,807 $1,959,429 $1,920,778 $1,746,789 $1,904,095 $1,217,522 $ 443,500 $ 740,068 $ 997,606 * $1,112,772* $1,500}285 $1,515,929 $1,180,710 $ 749,183 $791,323 Estimated Cash Increase / (Decrease) From the Prior Month $ 9,539 $ 15,644 ($335,219) ($431,527) $ 42,140 * Estimated Liability artificially high due to seasonality. As stated last in last month's report, it is not unusual for the 3rd party liability to remain high during this time of year, due to higher year-to-date census and revenue. However, this will begin to level out later in the year when lower patient volume and gross patient charges decrease. Further, CMS has provided official notification that It has reviewed MMC's interim cost report filing for 2011, has recognized the interim rates have been excessive and will adjust MMC's interim payment rate, beginning the first of March, which will also begin to reduce the overpayment MMC has experienced over the past 12+ months. Income Statement: Gross patient revenue showed a decrease of over $328,000 from January. Contrasted to February 2011, this month's revenue exceeded last year's total for the same month by over 24%, consistent with the significant rate increase MMC implemented last March. Reductions of revenue were down from January's totals by $336,000. Medicare and Indigent Care reported significant decreases while bad debt increased significantly. This change is, in part, due to a larger private pay payer mix experienced in February than January. Total expenses were down from the prior month by $72,300, with salaries} purchased services and other expenses showing the largest decreases from January. Year-to-Date, MMC's net income through February is $72,000, contrasted to the budgeted ytd net income of $25,100 and February ytd's net income of $21,200. "-. N ~ N 0 N M 0 N 0 ~ N M = 0 N M .... 0 N 0 M .. 0 N M '" 0 N 0 M ... 0 N ~ '" 0 '" N .... '" N '" '" N '" = = 0 N 0 ... ... '" '" N M ~ 0> ... '" 0> 0 0 0 0 0> 0 00 om 0 '" :! Sl lli '" 0 ::\. t;; m. 0 0 :g = 0 ... M ... &l ., 0 '" 0 '" ... N 0 0 0 '" ... ... M = 0 N. 0 ... 00 0 0> '" 0 0 '" ... 0 ~ 0... uS ~ 01 0 ~ NO M ;i Ri ~ ~ [:i :g ~ ~ g ~ g ~ ., N ri ;i 0> ~. 0 :! !:;: :g m ~ ~ ~ ... ... 10 '" M N ... ... <D M ... N "'!:n ri rim ... ri ... uS uS N ~ ~ ~ :: :: 0 N :: 00 0 00 ~ ~ ~ '" <D ... M ~-~ '" M N 0 0> ... M .. N ... ;; 0> 0> M ~ oS ~ M ., 0 = M ; ... 0 ... m. 0 '" .. 0 = 0 M '" N ... N ... 0 ... 0 0 M ... 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'" '" - rti.~ ri rim ... ~ ri ri uS <D ~ N :: - - - z - -' '" I- Z W ~ ~ '" '" ~ N ~ W ;; ~ ~ t> N 0 <( t;; ::> I< I< ..:. lil :l: I- Z w Z I w I I 0 ~ I- W '" t) 0 :I: ~ '" <( .;, .;, en t) ~ t) ~ I- W -' w t) z oJ Ow g Z W u l!! :l: ~ l;;: ~ ~ ;l: Z :) w I'" l- I>. g iii ~ 5 ~ t) <( ~ ...J W m <( I< w '" '" o ~ ~ ~ I>. o '" M t:i w w ~ iii o w I< ~ I- -' ~ Z w ::E z I< w ~ i) lD " )!: ffi if I- '" ;:; I- 0 Z w ::> ::> 01< t) t) t) t) <( <( w I< '" ::> t) ~ I- '" zif ll!o '" i!! a :5 to- ~ w w 0-' CI) ~ ~ E ~ ~ iJj ~ ~ :3 g ~ I: w '" I< ~ - ~ ~E~ ~ 0: [f ~~~~~ wtio~~ a:: w ~ ~ ~ ~ ~ fil ~ @ a:: m ::l ::> :J ~~555 ~~~~~ '" '" l- I< w 0 ~ l- I- t;; ~ Z Z Z I- w 0 ~~ z " ::E ~ w 0 I>. '" 5 U '" I< :l: a w '" ::> >- w '" <( t) lD '" '" I>. -' '" 0 I< I- w ~ w w 0 0 '" I l- I- Z 0 I>. I- 0 ::> :5 <( Iii 0 "' lD W 0 >- "' I>. I- co -' I- ~ :5 -' I< '" co ~ '" I- ~ ~ 0 <( w z '" ::> ;;: ffi '" 0 w ::E 0 I>. I t) I>. ::> I- w w I '" 0 t) > '" I- <( '" ~ ;:; I>. 0 t) I>. I- Z W '" '" ::> t) u.. o I- W Z ,..: lD W o ::E '" w l- e> z g '" w ;:: ::J iii <( ::J -' ~ o I- ~ w ~ ~ ~ ~ M ~ [0. c ~ ~~~~ ~ ~ ~ ~ t; tu ~ tu z z ~ z '" I- W '" '" <( I- W Z o z <( '" w ;:: ::J iii <( ::J -' ;:: o I- '" w ;:: ::J ffi ~ ~ X I- ::1 ~ ffi o co '" '" w '" >- -'::> <( <( t) I>. "'-, @ fiJ ;:: ~ fE g o t) t) t) <( <( l!! w '" ~ ~ o I- -1- Memorial Medical Center Income Statement For the Month Ended FEBRUARY 29, 2012 Current Period Revenue Fiscal Year To Date Actual This Budget This last Year Month Month Actual Actual YTD Budget YTD last Year YTD $1,282,163 $1,403,735 $1,229,657 Inpatient Revenues $2,864,992 $2,807,470 $2,535,687 $2,991,238 $2,781,930 $2,212,782 Outpatient Revenues $6,010,174 $5,563,860 $4,404,880 $4,273,401 $4,185,665 $3,442,439 . Total Patient Revenue $8,875,166 $8,371,330 $6,940,567 Revenue Deductions $1,757,282 $1,757,733 $1,414,369 Contractuals $4,019,858 $3,515,466 $2,823,298 $57,557 $175,941 $115,767 Charity $131,166 $351.882 $182,158 -$41 ,296 $43,800 $59,257 Indigent Care $12,278 $87,600 $146,374 -$41,853 -$47,202 -$46,294 Disproportionate Share -$83,706 -$94,404 -$92,588 $916,182 $568,606 $308,054 Bad Debt $1,552,322 $1,137,212 $684,941 $2,647,872 $2,498,878 $1,851,153 Total Revenue Deductions $5,631,918 $4,997,756 $3,744,183 $1,625,529 $1,686,787 $1,591,286 Net Patient Revenue $3,243,248 $3,373,574 $3,196,384 $31,105 $32,733 $31,575 Other Operating Revenue $72,819 $65,466 $61,296 $1,656,634 $1,719,520 $1,622,861 Total Operating Revenue $3,316.067 $3,439,040 $3,257,679 Current Period Operating Expenses Fiscal Year To Date Actual This Budget This last Year Month Month Actual Actual YTD Budget YTD last Year YTD $631,010 $675,183 $617,792 Salaries & Wages $1,317,737 $1,382,419 $1,310,669 $235,314 $195,097 $137,928 Employee Benefits & PR Taxes $410,486 $403,650 $465,919 $301,896 $268,181 $295,608 Professional Fees $574,660 $536,362 $517,093 $166,632 $125,655 $102,210 Purchased Services $365,179 $251,310 $220,070 $196,520 $201,248 $203,976 Supplies $393,972 $402,496 $369,160 $4,860 $7,367 $5,747 Insurance $16,405 $14,734 $12,617 $37,518 $40,327 $41,549 Utilities $80.544 $80,654 $82,262 $61,063 $102,945 $91,406 Other Expenses $183.146 $205,890 $189,834 $1,634,813 $1,616,003 $1,496,213 Total Operating Expenses $3,342,1~9 $3,277,515 $3,167,621 $84,291 $95,620 $72,160 Depreciation $168,398 $191,240 $144,232 $1,719,104 $1,711;623 $1,568,373 Total Expenses $3,510,527 $3,468,755 $3,311,853 -$62,470 $7,897 $54,488 Net Operating Income I (loss) -$194,460 -$29,715 -$54,174 Non Operating Income I (Exp) $366 $944 $580 Investment Income $540 $1,888 $1,651 -$2,143 -$4,678 -$2,747 Interest Expense -$4,337 -$9,356 -$5,542 $24,500 $2,500 $0 Contributions and Grants $24.498 $5,000 $75 -$68,503 "$111,284 -$89,458 IGT Expense -$116,138 -$222,568 -$169,654 $187,589 $139,926 $119,756 Service Contribution by SOH $361,906 $279,852 $248,872 $141,809 $27,408 $28,131 Total Non-Operating Revenue $266,469 $54,816 $75,403 $79,339 $35,305 $82,620 Total Net Income I (loss) $72,011 $25,101 $21,229 -2- N M rl r-- r-- 00 l!) 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Ol ~ll~ 2 i 0.<( [;] [;] <t <( :i:~U .~~.:~~~::!~ 20 U OUlI- I mffi~ ...J -...J 0: ~ CIl ::;;>-~ w m'ii..!!~~~EQ) ~ Ol", '" ~b w ~ W<tO '" <l~~ .. ~md:~~:E35 e a. ;;: :;;Cu. 0 e I- Ol- e 0 0 -5- MEMORIAL MEDICAL CENTER CAPITAL ACQUISITIONS FOR PERIOD ENDED 02/29/12 MONTH DESCRIPTION DEPT BUILDING EQUIPMENT TOTAL 01/12 N/A - - - SUB TOTAL JANUARY - - - 02/12 MEMORIAL WOMEN'S CENTER 027 33,665 - 33,665 SUB TOTAL FEBRUARY 33,665 - 33,665 TOTAL $ 33,664,96 $ - $ 33,664,96 -6- MEMORIAL MEDICAL CENTER PATIENT ACCOUNTS RECEIVABLE FEBRUARY, 2012 AGED TRIAL BALANCE: ORIGINAL - Based on time of admission I FINANCIAL CLASS < 30 31 > 60 61 > 90 91 > 120 > 121 TOTAL MEDICARE $ 1,983,874 609,296 259,308 101,725 445,992 3,400,195 ' % 58.4% 17.9% 7.6% 3,0% 13.1% 37.2% $ 454,708 137,263 78,169 22,519 125,817 818,476 MEDICAID % 55,6% 16.8% 9,6% 2.8% 15.4% 9.0% $ 388,042 160,685 96,350 54,512 242,661 942,252 BCBS % 41.2% 17.1% 10.2% 5.8% 25,8% 10.3% . COMMERCIAL $ ]29,366 388,297 187,811 87,767 555,484 1,948,725 % 37.4% 19.9% 9.6% 4.5% 28.5% 21.3% PRIVATE $ 615,989 461,905 286,277 331,542 590,632 2,030,955 % 17.8% 22.7% 14.1% 16.3% 29.1% 22.2% TOTAL $ 3,916,589 1,757,445 907,916 598,064 1,960,588 9,140,602 % 42.9% 19.2% 9.9% 6.5% 21.5% 100.0% NOTE - Amounts and percentages may sum to '+' or '-' 1 and 1 % of the total or 100%, respectively, of their particular category due to rounding. AVERAGE DAYS IN PATIENTACCOUNTS RECEIVABLE: DECEMBER 2011 JANUARY FEBRUARY MARCH APRIL MAY JUNE GROSS 61.64 65.11 63.57 #REF! #REF! #REF! #REF! JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER #REF! #REF! #REF! #REF! #REF! #REF! AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS SOURCE: ACCOUNTANT'S REPORT I FINANCIAL CLASS I < 30 31 > 60 61 > 90 91 ~ 120 > 121 TOTAL MEDICARE $ 1,415,972 338,779 124,904 52,099 154,817 2,086,571 % 67.9% 16.2% 6,0% 2.5% 7.4% 22.8% MEDICAID $ 466,300 175,348 86,262 26,998 75,469 830,377 % 56.2% 21.1% 10.4% 3.3% 9,1% 9.1% BCBS $ 330,137 81,509 57,416 8,898 25,284 503,244 % 65.6% 16.2% 11.4% 1.8% 5.0% 5.5% COMMERCIAL $ 678,570 376,501 144,771 52,068 232,465 1,484,376 % 45.7% 25.4% 9.8% 3.5% 15.7% 16.2% PRIVATE PAY $ 897,368 753,534 493,343 477,867 1,415,550 4,037,662 % - 22,2% 18.7% 12.2% 11.8% 35.1% 44.2% IN HOUSE $ 279,758 2,684 34,873 259 34,809 352,384 % 79.4% 0.8% 9.9% 0.1% 9.9% 3.9% CREDITS $ (154,011 ) - - - - (154,011) . % 100.0% 0.0% 0.0% 0.0% 0.0% -1.7% HOME HEALTH $ - - - - - - % TOTAL 3,914,096 1,728,354 941,568 618,190 1,938,394 9,140,602 % 42.8% 18.9% 10.3% 6.8% 21.2% 100.0% NOTE - Amounts and percentages may sum to '+' or '-' 1 and 1 % of the total or 100%, respectively, of their particular category due to rounding. - 7 _ VI w I.!:l 0:: <( ::J: U V'I V'll'! 0.-1 0::0 ~:. wa: ;:)<l: ~~ >ffi w... 0:: Z <( U Vi ~ ::J: Q.. >- 0:: l1. w O'~ ::l '" ...J <l: Z w o ::l Vi Z '" w w> ... w 00:: 0:: l1. w ::l 0:: Z _ w w> w 0:: w ::l l1. 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(1) 0 0 0 0 m 0 0 0 0 N 0 0 0 '" 0 0 0 0 0 <0 <:t 0 (1) 0 0 ri 0 0 0 0 0) 0 0 0) 0 0) 0 00 ..... 0 0 0 0 00 0 0 0 0 -9- PAGE 1 GLCKREG MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ------------------------------------------------------------------------------------------------------ ----------------------- RUN DATE:03/20/12 TIME:15:47 A/P 147055 02/02/12 A/P 147056 02/02/12 A/P 147057 02/02/12 A/P 147058 02/02/12 A/P 147059 02/02/12 A/P 147060 02/02/12 A/P 147061 02/02/12 A/P 147062 02/02/12 A/P 147063 02/02/12 A/P 147064 02/02/12 A/P 147065 02/02/12 A/P 147066 02/02/12 A/P 147067 02/02/12 A/P 147068 02/02/12 A/P 147069 02/02/12 A/P 147070 02/02/12 A/P 147071 02/02/12 A/P 147072 02/02/12 A/P 147073 02/02/12 A/P 147074 02/02/12 A/P 147075 02/02/12 A/P 147076 02/02/12 A/P 147077 02/02/12 A/P 147078 02/02/12 A/P 147079 02/02/12 A/P 147080 02/02/12 A/P 147081 02/02/12 A/P 147082 02/02/12 A/P 147083 02/02/12 A/P 147084 02/02/12 A/P 147085 02/02/12 A/P 147086 02/02/12 A/P 147087 02/02/12 A/P 147088 02/02/12 AlP 147089 02/02/12 A/P 147090 02/02/12 A/P 147091 02/02/12 A/P 147092 02/02/12 A/P 147093 02/02/12 A/P 147094 02/02/12 A/P 147095 02/02/12 A/P 147096 02/02/12 A/P 147097 02/02/12 A/P 147098 02/02/12 A/P 147099 02/02/12 A/P 147100 02/02/12 A/P 147101 02/02/12 A/P 147102 02/02/12 A/P 147103 02/02/12 A/P 147104 02/02/12 108.29 46.90 1,769.62 423.75 1,044.65 400.00 495.00 11,896.34 .00 21,549.31 107.09 2,200.34 230.77 110.00 298.00 100.00 1.00 2,458.54 3.58 102.40 382.46 61.75 747.30 36.95 25.00 2,480.50 436.33 2,475.00 822.30 217.96 622.00 150.80 171. 00 196.74 12.96 3,494..67 948.42 459.38 138.71 681.10 2,168.62 186.00 3,000.00 .00 5,196.90 3,975.00 43.25 213.20 212.31 27.37 FILTER TECHNOLOGY CO, I PHILIPS HEALTHCARE RELAYHEALTH, INC. NATUS MEDICAL INC CENTURION MEDICAL PRODU WILLIAM E HElKAMP, TRUS WILLIAM E HEITKAMP, TRU MMC EMPLOYEE BENEFITS VOIDED MORRIS & DICKSON CO, LL GULF COAST PHARMACEUTIC BKD, LLP TX CHILD SUPPORT SDU SAN ANTONIO ENA T-SYSTEM INC MEMORIAL WOMEN'S CENTER MEMORIAL WOMEN'S CLINIC AUREUS HEALTHCARE LLC PORT LAVACA HARDWARE ACTION LUMBER AMERISOURCEBERGEN DRUG ALlMED INC. C R BARD INC BAXTER HEALTHCARE CORP CAL COM FEDERAL CREDIT CDW GOVERNMENT, INC. CPSI DELL MARKETING L.P. DIVERSIFIED BUSINESS SY DLE PAPER & PACKAGING EAGLE FIRE & SAFETY INC EMERGENCY MEDICAL PRODU GE MEDICAL SYSTEMS, INF GULF COAST PAPER COMPAN H E BUTT GROCERY HOLOGIC INGENIX, INC JOHNSON & JOHNSON MARKETLAB, INC MEDTRONIC USA, .INC. MERRY X-RAY- SAN ANTONI MINNTECH CORPORATION NUTRITION OPTIONS VOIDED OWENS & MINOR PREMIER SLEEP DISORDERS POWER ELECTRIC R G & ASSOCIATES INC MARIA D RESENDEZ SHERWIN WILLIAMS -10- MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE RUN DATE:03/20/12 TlME:15:47 PAGE 2 GLCKREG ------------------------------------------------------------------------------------------------------------------------------------ A/P 147105 02/02/12 25.00 SOUTHWEST TEXAS EQUIPME A/P 147106 02/02/12 410.00 THE ST JOHN COMPANIES, A/P 147107 02/02/12 2,400.00 STACY SYSTEMS INC A/P 147108 02/02/12 74.20 STRICTLY BUSINESS A/P 147109 02/02/12 2,582.52 TLC STAFFING A/P 14 7110 02/02/12 197.08 TEXAS CHILD SUPPORT SDU A/P 147111 02/02/12 2,035.00 TEXAS DEPARTMENT OF HEA A/P 147112 02/02/12 6,098.00 TEXAS MUTUAL INSURANCE A/P 147113 02/02/12 150.00 TEXAS TRAUMA COORDINAT. A/P 147114 02/02/12 144.69 TG A/P 147115 02/02/12 32.54 UNIFIRST HOLDINGS A/P 147116 02/02/12 2,620.63 UNIFIRST HOLDINGS INC A/P 147117 02/02/12 1,000.00 US POSTAL SERVICE A/P 147118 02/02/12 164.32 VERIZON SOUTHWEST A/P 147119 02/02/12 221. 88 VERIZON WIRELESS A/P 14 7120 02/02/12 169.61 DEBORAH WITTNEBERT A/P 147121 02/02/12 2,514.86 MARK MEYER A/P 147122 02/02/12 222.35 JO KUBECKA A/P 147123 02/02/12 38.50 LAURA CRAIN A/P 147124 02/02/12 12.00 JAMES L HIGHBERG JR A/P 147125 02/02/12 29.29 CHARLES WATKINS JR A/P 147126 02/02/12 39.40 AMANDA PLUMMER A/P 147127 02/02/12 1,301.80 TOMMY ANDREWS A/P 147128 02/03/12 600.00 SAN ANTONIO EN! A/P 147129 02/03/12 1,000.00 SOUTHEAST TEXAS HEALTH A/P 147130 02/09/12 63.63 CUSTOM MEDICAL SPECIALT A/P 147131 02/09/12 4,113.13 US FOOD SERVICE A/P 147132 02/09/12 546.26 4IMPRINT A/P 14 7133 02/09/12 22,688.57 SUNTRUST EQUIPMENT FINA A/P 147134 02/09/12 1,116.50 CENTURION MEDICAL PRODU A/P 147135 02/09/12 .00 VOIDED A/P 147136 02/09/12 .00 VOIDED A/P 147137 02/09/12 .00 VOIDED A/P 147138 02/09/12 3,178.03 DEWITT POTH & SON A/P 147139 02/09/12 58.60 HARDY DIAGNOSTICS A/P 147140 02/09/12 870.10 LAQUINTA INNS & SUITES A/P 147141 02/09/12 12,777.21 MMC EMPLOYEE BENEFITS A/P 147142 02/09/12 77.94 INTERSTATE ALL BATTERY A/P 147143 02/09/12 6,506.61 ALERE NORTH AMERICA INC A/P 147144 02/09/12 2,193.88 MORRIS & DICKSON CO, LL A/P 147145 02/09/12 252.71 IPC, INC A/P 147146 02/09/12 1,020.80 ALLIED WASTE SERVICES # A/P 147147 02/09/12 3,754.60 LUMINANT ENERGY COMPANY A/P 147148 02/09/12 44.40 GLENN CRISP A/P 147149 02/09/12 24,937.06 NOBLE AMERICAS ENERGY A/P 147150 02/09/12 1,800.00 TELE-PHYSICIANS, P.A. A/P 147151 02/09/12 7,424.00 JACKSON NURSE PROFESSIO A/P 147152 02/09/12 375.00 REVISTA de VICTORIA A/P 147153 02/09/12 217.61 DYNASTHETICS A/P 147154 02/09/12 384.20 INSIDE SKIES A/P 147155 02/09/12 625.00 JOHN E. PAUL -11- MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE RUN DATE:03/20/12 TIME:15:47 PAGE 3 GLCKREG ----------------------------------------------------------------------------------------------------~------------------------------- A/P 147156 02/09/12 3,~14.63 AUREUS HEALTHCARE LLC A/P 147157 02/09/12 200.36 ACTION LUMBER A/P 147158 02/09/12 160.31 AMERISOURCEBERGEN DRUG A/P 147159 02/09/12 175.00 AHIMA A/P 147160 02/09/12 609.35 ALCON LABORATORIES INC A/P 147161 02/09/12 78.00 AFLAC A/P 147162 02/09/12 636.31 CARDINAL HEALTH A/P 147163 02/09/12 13.00 ANNOUNCEMENTS PLUS TOO A/P 147164 02/09/12 1,193.38 ARTHROCARE CORPORATION A/P 147165 02/09/12 633.19 AT&T MOBILITY A/P 147166 02/09/12 1,201. 70 AT&T A/P 147167 02/09/12 67.90 C R BARD mc A/P 14 7168 02/09/12 3,607.32 BAXTER HEALTHCARE CORP A/P 147169 02/09/12 43.00 BRUCE'S AUTO REPAIR A/P 147170 02/09/12 8,539.79 BECKMAN COULTER INC A/P 147171 02/09/12 616.00 CAD SOLUTIONS, INC A/P 147172 02/09/12 125.28 CERTIFIED LABORATORIES A/P 147173 02/09/12 825.00 CHUBB SECURITY SYSTEMS A/P 147174 02/09/12 298.00 COLLEGE OF AMERICAN PAT A/P 147175 02/09/12 2,040.00 CLIA LABORATORY PROGRAM A/P 147176 02/09/12 92.83 THE COUNCIL COMPANY A/P 147177 02/09/12 509.30 CPSI A/P 147178 02/09/12 2,139.66 CUSTOM INTERIORS A/P 147179 02/09/12 89.72 SIEMENS HEALTHCARE DIAG A/P 147180 02/09/12 393.92 PATRICIA DIEBEL A/P 147181 02/09/12 2,357.52 FISHER HEALTHCARE A/P 14 7182 02/09/12 25.00 GULF COAST DELIVERY A/P 147183 02/09/12 130.18 GULF COAST PAPER COMPAN A/P 147184 02/09/12 341. 66 H E BUTT GROCERY A/P 147185 02/09/12 17.97 HALL WIRELESS A/P 147186 02/09/12 71.05 HAYES ELECTRIC SERVICE A/P 147187 02/09/12 61.50 INDEPENDENCE MEDICAL A/P 147188 02/09/12 3,203.95 INFOLAB mc A/P 147189 02/09/12 57.60 LABCORP OF AMERICA HOLD A/P 147190 02/09/12 101. 75 LOWE'S HOME CENTERS INC A/P 147191 02/09/12 1,062.15 MARKS PLUMBING PARTS A/P 147192 02/09/12 319.66 MEDELA mc A/P 147193 02/09/12 4,024.05 MEDRAD INC A/P 147194 02/09/12 581. 25 MMC AUXILIARY GIFT SHOP A/P 147195 02/09/12 5,189.16 MERRY X-RAY. SAN ANTONI A/P 147196 02/09/12 59.42 MISSION RESTAURANT SUPP A/P 147197 02/09/12 3,456.60 MERIDIAN BIOSCIENCE A/P 147198 02/09/12 135.00 PATRICIA OWEN A/P 147199 02/09/12 354.63 ON-SITE TESTING SPECIAL A/P 147200 02/09/12 .00 VOIDED A/P 147201 02/09/12 5,577.57 OWENS Ii MINOR A/P 147202 02/09/12 186.81 PENTAX MEDICAL COMPANY A/P 147203 02/09/12 136.23 POWER ELECTRIC A/P 147204 02/09/12 482.50 R G & ASSOCIATES INC A/P 147205 02/09/12 941. 58 SIEMENS MEDICAL SOLUTIO A/P 147206 02/09/12 7,979.00 SO TEX BLOOD Ii TISSUE C -12- RUN DATE:03/20/12 TlME:15:47 MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK---"------------------------------------------------ CODE NUMBER DATE AMOUNT PAYEE . ____________________ ---------------------------------------------------------------------------------------------------------------- PAGE 4 GLCKREG AlP 147207 02/09/12 22.95 THE ST JOHN COMPANIES, AlP 147208 02/09/12 955.40 SYSCO FOOD SERVICES OF AlP 147209 02/09/12 66.00 STERIS CORPORATION AlP 147210 02/09/12 18,901.11 TEAM REHAB AlP 147211 02/09112 2,083.05 TLC STAFFING AlP 147212 02/09/12 170.10 TEXAS ELECTRICAL SUPPLY AlP 147213 02/09/12 133.90 TEXAS WIRED MUSIC INC AlP 147214 02/09/12 32.54 UNIFIRST HOLDINGS AlP 147215 02/09/12 403.76 UNIFORM ADVANTAGE AlP 147216 02/09/12 2,493.94 UNIFIRST HOLDINGS INC AlP 147217 02/09/12 426.91 UNITED PARCEL SERVICE AlP 147218 02/09/12 96.81 VERIZON SOUTHWEST AlP 147219 02/09/12 160.00 THE VICTORIA ADVOCATE AlP 147220 02/09/12 214.52 GRAINGER AlP 147221 02/09/12 49.55 YOUNG PLUMBING CO AlP 147222 02/09/12 252.40 ROYAL NEIGHBORS OF AMER AlP 147223 02/09/12 931. 52 AETNA AlP 147224 02/16112 10,320.70 OMNI-PORT LAVACA 07, L. AlP 147225 02/16/12 3,185.00 PHILIPS HEALTHCARE AlP 147226 02/16/12 4,221.00 DIXIE MEDICAL, INC AlP 147227 02/16/12 4,306.08 US FOOD SERVICE AlP 147228 02/16/12 148.52 PHARMEDIUM SERVICES LLC AlP 147229 02/16/12 8,360.00 T&R MECHANICAL AlP 147230 02/16/12 750.00 JAMES A DANIEL AlP 147231 02/16/12 9,166.67 HITACHI MEDICAL SYSTEMS AlP 147232 02/16/12 132.00 WHOLESALE ELECTRIC SUPP AlP 147233 02/16/12 1,103.63 CENTURION MEDICAL PRODU AlP 147234 02/16/12 .00 VOIDED AlP 147235 02116112 1,236.14 DEWITT POTH & SON AlP 147236 02/16/12 . 400.00 WILLIAM E HElKAMP, TRUS AlP 147237 02/16/12 495.00 WILLIAM E HEITKAMP, TRU AlP 147238 02/16/12 3,000.00 MMC EMPLOYEE BENEFITS AlP 147239 02/16/12 2,300.35 VISA AlP 147240 02/16/12 177.69 LESLIE ANN SOLIS AlP 147241 02/16/12 .00 VOIDED AlP 147242 02/16/12 26,017.85 MORRIS & DICKSON CO, LL AlP 147243 02/16/12 375.00 ROGERS HOME MEDICAL AlP 147244 02/16/12 10,985.46 BKD, LLP AlP 147245 02/16/12 41. 30 QUEST DIAGNOSTICS AlP 147246 02/16/12 214.76 TX CHILD SUPPORT SDU AlP 147247 02/16/12 260.73 CENTURYLINK AlP 147248 02/16/12 624.00 SAGENT PHARMACEUTICALS, AlP 147249 02/16/12 583.34 FASTHEALTH CORPORATION AlP 147250 02/16/12 75.00 FAGAN ANSWERING SERVICE AlP 147251 02116/12 2,088.00 ONESTAFF.MEDlCAL, LLC AlP 147252 02116/12 33.30 ANNA POINDEXTER AlP 147253 02116/12 4,567.31 ARDUS MEDICAL INC. AlP 147254 02/16/12 2,290.75 AUREUS HEALTHCARE LLC AlP 147255 02/16/12 38.32 ABBOTT NUTRITION AlP 147256 02/16/12 741. 00 JOHN CARAWAY AlP 147257 02/16/12 21. 56 PORT LAVACA HARDWARE -13- MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE RUN DATE:03/20/12 TIME:15:47 PAGE 5 GLCKREG ---------------------- ---------------------------------------------------------- ---------------------------------------------------- I I I I. i AlP 147258 02/16/12 A/P 147259 02/16/12 A/P 147260 02/16/12 A/P 147261 02/16/12 A/P 147262 02/16/12 A/P 147263 02/16/12 A/P 147264 02/16/12 A/P 147265 02/16/12 A/P 147266 02/16/12 A/P 147267 02/16/12 A/P 147268 02/16/12 A/P . 147269 02/16/12 A/P 147270 02/16/12 A/P 147271 02/16/12 A/P 147272 02/16/12. A/P 147273 02/16/12 A/P 147274 02/16/12 A/P 147275 02/16/12 A/P 147276 02/16/12 A/P 147277 02/16/12 A/P 147278 02/16/12 A/P 147279 02/16/12 A/P 147280 02/16/12 A/P 147281 02/16/12 A/P 147282 02/16/12 A/P 147283 02/16/12 A/P 147284 02/16/12 A/P 147285 02/16/12 A/P 147286 02/16/12 A/P 147287 02/16/12 A/P 147288 02/16/12 A/P 147289 02/16/12 A/P 147290 02/16/12 A/P 147291 02/16/12 A/P 147292 02/16/12 A/P 147293 02/16/12 A/P 147294 02/16/12 A/P 147295 02/16/12 A/P 147296 02/16/12 AlP 147297 02/16/12 AlP 147298 02/16/12 AlP 147299 02/16/12 A/P 147300 02/16/12 A/P 147301 02/16/12 A/P 147302 02/16/12 A/P 147303 02/16/12 A/P 147304 02/16/12 A/P 147305 02/16/12. A/P 147306 02/16/12 A/P 147307 02/16/12 A/P 147308 02/16/12 70.00 100.38 16.00 190.02 24.35 349.83 3,453.01 5,753.80 223.25 215.00 25.00 336.00 27.56 731.43 409.17 23,239.46 171.00 1,032.26 35.00 2,800.00 25.45 1,887.81 62.40 1,973.80 263.45 208.76 214.64 1,371. 89 345.00 3,577.79 635.08 76.70 117.52 194.46 126.95 134.10 258.52 1,026.96 195.00 .00 7,266.11 2,275.00 17.66 497.64 150.00 904.54 243.00 212.31 25.19 118.82 20.97 ACTION LUMBER AMERISOURCEBERGEN DRUG ANITA FRICKE - COUNTY C ALCON LABORATORIES INC AQUA BEVERAGE COMPANY ARROW INTERNATIONAL INC BAXTER HEALTHCARE CORP BECKMAN COULTER INC BOSART LOCK & KEY INC BOSTON SCIENTIFIC CORPO CAL COM FEDERAL CREDIT CARROLL. SIGN MASTERS CHUBB SECURITY SYSTEMS CONMED CORPORATION CDW GOVERNMENT, INC. CPSI CUSTOM INTERIORS SIEMENS HEALTHCARE DIAG DARLING INTERNATIONAL I EDWARDS PLUMBING INC EMERGENCY MEDICAL PRODU FISHER HEALTHCARE GE MEDICAL SYSTEMS, INF GREAT AMERICA LEASING C H E BUTT GROCERY HUBERT COMPANY INFOLAB INC INSTRUMENTATION LABORAT JECKER FLOOR & GLASS JOHNSON & JOHNSON LANDAUER INC LOWE'S HOME CENTERS INC MARKS PLUMBING PARTS MARKETLAB, INC MEDLEARN MEDTRONIC USA, INC. METLIFE MERRY X-RAY- SAN ANTONI NATIONAL RECALL ALERT C VOIDED OWENS & MINOR PREMIER SLEEP DISORDERS POWER ELECTRIC R G & ASSOCIATES INC RADIOLOGY UNLIMITED, PA RECEIVABLE MANAGEMENT, MARISSA RUBIO MARIA D RESENDEZ SEARS SHERWIN WILLIAMS SMILE MAKERS -14- PAGE 6 GLCKREG MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ----------------------------------------------------~-------------------------------------------------------.----------------------- RpN DATE:03/20/12 TIME:15:47 A/P 147309 02/16/12 4,972.00 A/P 147310 02/16/12 15,000.00 A/P 147311 02/16/12 3,335.79 A/P 147312 02/16./12... 9,874.50 A/P 147313 02/16/12 197.08 A/P 147314 02/16/12 116.63 A/P 147315 02/16/12 140.44 A/P 147316 02/16/12 271.14 A/P 147317 02/16/12 525.00 A/P 147318 02/16/12 4,075.35 A/P 147319 02/16/12 32.54 A/P 147320 02/16/12 2,960.06 A/P 147321 02/16/12 144.01 A/P 147322 02/16/12 576.12 A/P 147323 02/16/12"~C-~-~ 101. 66 A/P 147324 02/16/12 132.66 A/P 147325 02/16/12 100.00 A/P 147326 02/16/12 95.00 A/P 147327 02/16/12 104.09 A/P 147328 02/16/12 100.00 A/P 147329 02/16/12 105.21 A/P 147330 02/24/12 848.30 A/P 147331 02/24/12 97.30 A/P 147332 02/24/12 4,185.04 A/P 147333 02/24/12 546.00 A/P 147334 02/24/12 3,604.39 A/P 147335 02/24/12 324.78 A/P 147336 02/24/12 21,093.20 A/P 147337 02/24/12 233.88 A/P 147338 02/24/12 4,678.77 A/P 147339 02/24/12 26,875.00 A/P 147340 02/24/12 1,500.00 A/P 147341 02/24/12 1,788.50 A/P 147342 02/24/12 2,304.00 A/P 147343 02/24/12 33,443.25 A/P 147344 02/24/12 928.13 A/P 147345 02/24/12 139.85 A/P 147346 02/24/12 495.00 A/P 147347 02/24/12 350.00 A/P 147348 02/24/12 2,189.50 A/P 147349 02/24/12 100.00 A/P 147350 02/24/12 503.05 A/P 147351 02/24/12 16,954.21 A/P 147352 02/24/12 4,015.74 A/P 147353 02/24/12 44.63 A/P 147354 02/24/12 1,113.00 A/P 147355 02/24/12 2,330.15 A/P 147356 02/24/12 3,547.36 A/P 147357 02/24/12 220.30 A/P 147358 02/24/12 1. 70 A/P 147359 02/24/12 135.51 SO TEX BLOOD & TISSUE C TEAM REHAB TLC STAFFING TOSHIBA AMERICA MEDICAL TEXAS CHILD SUPPORT SDU TEXAS GLASS & TINTING TG TRI-ANIM HEALTH SERVICE TORCH UNUM LIFE INS CO OF AME UNIFIRST HOLDINGS UNIFIRST HOLDINGS INC VERIZON SOUTHWEST WALMART COMMUNITY WESCOR INC GRAINGER JOHN CALZADA MARIA OROZCO KEVIN P HARLAN HERMAN NOVAK TRACIE GUINN DEPINE CUSTOM MEDICAL SPECIALT PHILIPS HEALTHCARE US FOOD SERVICE ATRIUM MEDICAL CORP ARUP LABORATORIES HEALTH CARE LOGISTICS I MMC EMPLOYEE BENEFITS ALERE NORTH AMERICA INC MORRIS & DICKSON CO, LL CPP WOUND CARE #28,LLC BKD, LLP TEAM HEALTH MEDICAL CAL JACKSON NURSE PROFESSIO MICHAEL J. DICLEMENTE, CAREFUSION 2200, INC AMNISURE INTERNATIONAL, FASTHEALTH CORPORATION SIGN AD, LTD. ONE STAFF MEDICAL, LLC MAGNACOUSTICS VIDACARE CORPORATION AUREUS HEALTHCARE LLC ANDERSON CONSULTATION S PORT LAVACA HARDWARE ALCON LABORATORIES INC AIRGAS-SOUTHWEST AFLAC ARTHROCARE CORPORATION AT&T MOBILITY AUTO PARTS & MACHINE CO -15- MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK.:-CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE RUN DATE:03/20/12 TlME:15:47 PAGE 7 GLCKREG ------------------------------------------------------------------------------------------------------------------------------------ A/P 147360 02/24/12 509.40 C R BARD mc A/P 147361 02/24/12 332.44 BAXTER HEALTHCARE CORP A/P 147362 02/24/12 5,721.85 BECKMAN COULTER INC A/P 147363 02/24/12 287.14 ANGIE BURGIN A/P 147364 02/24/12 108.41 CONMED CORPORATION A/P 147365 02/24/12 875.84 CDW GOVERNMENT, INC. A/P 147366 02/24/12 825.89 CPSI A/P 147367 02/24/12 2,510.01 FISHER HEALTHCARE A/P 147368 02/24/12 495.00 FORT BEND SERVICES, INC A/P 147369 02/24/12 530.47 GULF COAST PAPER COMPAN A/P 147370 02/24/12 208.10 H E BUTT GROCERY A/P 147371 02/24/12 85.95 HALL WIRELESS A/P 147372 02/24/12 43.67 INDEPENDENCE MEDICAL A/P 147373 02/24/12 4,690.00 IKON FINANCIAL SERVICES A/P 147374 02/24/12 2,400.16 INFOLAB INC A/P 147375 02/24/12 678.93 JOHNSON I< JOHNSON A/P 147376 02/24/12 37.00 THE LAUNDROMAT A/P 147377 02/24/12 22.32 LANGUAGE LINE SERVICES A/P 147378 02/24/12 50.75 TERESA MILLER A/P 147379 02/24/12 45.70 MELSTAN, INC. A/P 147380 02/24/12 329.50 MMC AUXILIARY GIFT SHOP A/P 147381 02/24/12 110.80 MES INC A/P. 147382 02/24/12 2,062.84 MERRY X-RAY- SAN ANTONI A/P 147383 02/24/12 1,010.34 MUSTAIN I< ASSOCIATES A/P 147384 02/24/12 .00 VOIDED A/P 147385 02/24/12 .00 VOIDED A/P 147386 02/24/12 8,959.90 OWENS I< MINOR A/P 147387 02/24/12 491.00 PORT LAVACA WAVE A/P 147388 02/24/12 105.54 POWER ELECTRIC A/P 147389 02/24/12 75.12 R I< D BATTERIES INC A/P 147390 02/24/12 8.38 SHERWIN WILLIAMS A/P 147391 02/24/12 697.58 SIEMENS MEDICAL SOLUTIO A/P 147392 02/24/12 343.64 SUN COAST RESOURCES, IN A/P 147393 02/24/12 2,259.59 SYSCO FOOD SERVICES OF A/P 147394 02/24/12 776.17 STERICYCLE, INC A/P 147395 02/24/12 806.30 TLC STAFFING A/P 147396 02/24/12 1,012.98 THYSSENKRUPP ELEVATOR C A/P 147397 02/24/12 4,291.00 T-SYSTEM, INC. A/P 147398 02/24/12 367.30 TRANE COMPANY A/P 147399 02/24/12 65.08 UNIFIRST .. HOLDINGS A/P 147400 02/24/12 4,190.82 UNIFIRST HOLDINGS INC A/P 147401 02/24/12 1,200.00 US POSTAL SERVICE A/P 147402 02/24/12 1,802.21 VERIZON SOUTHWEST A/P 147403 02/24/12 71.23 GRAINGER A/P 147404 02/24/12 363.00 RICHARD ARNT A/P 147405 02/24/12 50.00 DENNIS QUINN A/P 147406 02/24/12 632.82 AGAPITO ROBLES A/P 147407 02/24/12 15.79 STEPHEN MARTINKA A/P 147408 02/24/12 48.82 JIMMY HAYES A/P 147409 02/24/12 138.51 AUDELIA SANCHEZ A/P 147410 02/24/12 20.00 BEVERLY J SMITH -16- MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK--------------------~------------------------------- CODE NUMBER DATE AMOUNT PAYEE RUN DATE:03/20/12 TlME:15:47 PAGE 8 GLCKREG ------------------------------------------------------------------------------------------------------------------------------------ A/P 147411 02/24/12 56.00 JO KUBECKA A/P 147412 02/29/12 421. 00 CHRIS KOVAREK A/P 147413 02/29/12 425.00 EVENT PROMOTIONS NOW A/P 147414 02/29/12 307.42 LAWSON PRODUCTS A/P 147415 02/29/12 10,023.74 US FOOD SERVICE A/P 147416 02/29/12 148.52 PHARMEDIUM SERVICES LLC A/P 147417 02/29/12 184.00 WHOLESALE ELECTRIC SUPP A/P 147418 02/29/12 1,754.70 PRINCIPAL LIFE A/P 147419 02/29/12 1,413.04 CENTURION MEDICAL PRODU A/P 147420 02/29/12 400.00 WILLIAM E HElKAMP, TRUS A/P 147421 02/29/12 495.00 WILLIAM E HEITKAMP, TRU A/P 147422 02/29/12 4,932.34 MMC EMPLOYEE BENEFITS A/P 147423 02/29/12 177.69 LESLIE ANN SOLIS A/P 147424 02/29/12 720.00 RICK HART A/P 147425 02/29/12 .00 VOIDED A/P 147426 02/29/12 16,511.11 MORRIS & DICKSON CO, LL A/P 147427 02/29/12 605.00 RELAY FOR LIFE A/P 147428 02/29/12 600.00 TELE-PHYSICIANS, P.A. A/P 147429 02/29/12 192.00 RAUSHANAH MONDAY A/P 147430 02/29/12 230.77 TX CHILD SUPPORT SDU A/P 147431 02/29/12 75.00 FAGAN ANSWERING SERVICE A/P 147432 02/29/12 3,964.40 VIVONET INCORPORATED A/P 147433 02/29/12 2,201.50 AUREUS HEALTHCARE LLC A/P 147434 02/29/12 64.62 PORT LAVACA HARDWARE A/P 147435 02/29/12 5,370.34 AMERISOURCEBERGEN DRUG A/P 147436 02/29/12 165.00 ADVERTISING ON AIR A/P 147437 02/29/12 190.80 AMERICAN ACADEMY OF PED A/P 147438 02/29/12 140.00 AFLAC A/P 147439 02/29/12 100.14 AUTO PARTS & MACHINE CO A/P 147440 02/29/12 1,078.09 BAXTER HEALTHCARE CORP A/P 147441 02/29/12 12,102.26 BECKMAN COULTER INC A/P 147442 02/29/12 134.25 BOSART LOCK & KEY INC A/P 147443 02/29/12 324.96 CABLE ONE A/P 147444 02/29/12 25.00 CAL COM FEDERAL CREDIT A/P 147445 02/29/12 23.50 MONICA CARR A/P 147446 02/29/12 27.56 CHUBB SECURITY SYSTEMS A/P 147447 02/29/12 535.52 CONMED CORPORATION A/P 147448 02/29/12 763.51 CPSI A/P 147449 02/29/12 81. 03 AMY DAY A/P 147450 02/29/12 70.00 DARLING INTERNATIONAL I A/P 147451 02/29/12 172.18 DLE PAPER & PACKAGING A/P 147452 02/29/12 77.14 DYNATRONICS CORPORATION A/P 147453 02/29/12 200.00 MONICA ESCALANTE A/P 147454 02/29/12 3,540.62 FISHER HEALTHCARE A/P 147455 02/29/12 171. 00 GE MEDICAL SYSTEMS, INF A/P 147456 02/29/12 53.18 GETINGE USA A/P 147457 02/29/12 327.39 GULF COAST PAPER COMPAN A/P 147458 02/29/12 100.00 GOLDEN CRESCENT RAC A/P 147459 02/29/12 221. 29 H E BUTT GROCERY A/P 147460 02/29/12 52.72 HUBERT COMPANY A/P 147461 02/29/12 1,764.87 INFOLAB INC -17- MEMORIAL MEDICAL CENTER CHECK REGISTER 02/01/12 THRU 02/29/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE RUN DATE:03/20/12 TlME:15:47 PAGE 9 GLCKREG ------------------------------------------------------------------------------------------------------------------------------------ A/P 147462 02/29/12 A/P 147463 02/29/12 A/P 147464 02/29/12 A/P 147465 02/29/12 A/P 147466 02/29/12 A/P 147467 02/29/12 A/P 147468 02/29/12 AlP 147469 02/29/12 AlP 147470 02/29/12 AlP 147471 02/29/12 AlP 147472 02/29/12 A/P 147473 02/29/12 AlP 147474 02/29/12 AlP 147475 02/29/12 AlP 147476 02/29/12 AlP 147477 02/29/12 AlP 147478 02/29/12 AlP 147479 02/29/12 A/P 147480 02/29/12 . AlP 147481 02/29/12 AlP 147482 02/29/12 AlP 147483 02/29/12 AlP 147484 02/29/12 AlP 147485 02/29/12 AlP 147486 02/29/12 AlP 147487 02/29/12 AlP 147488 02/29/12 AlP 147489 02/29/12 Alp. 147490 02/29/12 AlP 147491 02/29/12 AlP 147492 02/29/12 AlP 147493 02/29/12 AlP 147494 02/29/12 AlP 147495 02/29/12 A/P 147496 02/29/12 A/P 147497 02/29/12 A/P 147498 02/29/12 A/P 147499 02/29/12 AlP 147500 02/29/12 TOTALS: 104.95 67.08 2,774.85 160.95 -' 86.04 138.71 186.00 3,000.00 160.00 .00 .00 4,261. 50 23.50 55.96 92.67 375.00 212.31 35.00 116.78 20.00 4.00 343.75 90.00 638.75 345.28 197.08 142.87 34.44 186.88 2,683.86 164.35 221.88 68.32 50.00 50.00 22.63 59.48 56.05 1,282 :85 768,624.85 INTOXlMETERS mc IVANS JOHNSON & JOHNSON TERRY W. MADDUX MARKS PLUMBING PARTS MARKETLAB, INC MINNTECH CORPORATION NUTRITION OPTIONS ORKIN PEST CONTROL VOIDED VOIDED OWENS & MINOR PAM PARRISH POWER ELECTRIC PROGRESSIVE DYNAMICS ME RADIOLOGY UNLIMITED, PA MARIA D RESENDEZ SAM'S CLUB DIRECT SHERWIN WILLIAMS THE ST JOHN COMPANIES, STRICTLY BUSINESS STRYKER SALES CORP STRYKER SALES CORP SYSCO FOOD SERVICES OF TLC STAFFING TEXAS CHILD SUPPORT SDU TG UNIFIRST HOLDINGS UNIFORM ADVANTAGE UNIFIRST HOLDINGS INC VERIZON SOUTHWEST VERIZON WIRELESS GRAINGER ANGEL MORALES DEREK MCMAHAN MlLAGROS ECLE KENNETH R CROBER DEREK MCMAHAN BOB B BONAR , I I -18- RUN DATE: 02/23/12 TIME: 15:50 PRTitle PRDeptName SUPERVISOR-PURCH/CS PURCHASING REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE EMERGENCY ROOM DEPARTMENTAL ASSIST MAINTENANCE CS TECH CENTRAL SUPPLY CENTRAL STERILE TECH SURGERY IMAGING TECH HEALTH INFORMATION MANAGEMENT DIRECTOR PFS PATIENT FINANCIAL SERVICES CS TECHNICIAN CENTRAL SUPPLY ES AIDE ENVIRONMENTAL SERVICES SHIFT SUPERVISOR DIETARY PATIENT ACCT SUPERV. PATIENT FINANCIAL SERVICES IC/EH/RM NURSE INFECTION CONTROL REGISTERED NURSE MED/SURG FOOD SERVICE STAFF DIETARY o R AIDE SURGERY ES AIDE ENVIRONMENTAL SERVICES REGISTERED NURSE EMERGENCY ROOM A.M. SHIFT SUPERVISO ENVIRONMENTAL SERVICES RN TRAUMA COORDINATO EMERGENCY ROOM RN/PACU SUPERVISOR SURGERY REGISTERED NURSE ICU LVN OBSTETRICS SHIFT SUPERVISOR-AM ENVIRONMENTAL SERVICES MANAGER-SURGERY-OPC SURGERY C,N,O, ADMINISTRATION-CLINICAL SERVIC PAYROLL CLERK ACCOUNTING REGISTERED NURSE MED/SURG LVN OBSTETRICS REGISTERED NURSE ICU REGISTERED NURSE OBSTETRICS REGISTERED NURSE MED/SURG REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS LVN MED/SURG ADMINIST ASSISTANT ADMINISTRATION REGISTERED NURSE ICU LVN/SCRUB NURSE/OFFI SURGERY LVN-phRT PHARMACY REGISTERED NURSE ICU REGISTERED NURSE SPECIALTY CLINIC LVN SURGERY MEDICAL SONOGRAPHER RADIOLOGY REGISTERED NURSE EMERGENCY ROOM RADIOLOGICAL TECH RADIOLOGY RADIOLOGY TECH RADIOLOGY MICRO MT LABORATORY MEDICAL LAB TECH LABORATORY LAB DIRECTOR LABORATORY LAB ASSISTANT LABORATORY MEDICAL LAB TECH LABORATORY LAB SECRETARY . LABORATORY REGISTERED NURSE EMERGENCY ROOM PT TECH II PHYSICAL THERAPY MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DB019 ~ b ,eLl. J'f L.1( .,2.(j l z.. PAGE 1 PRTotGross 3137.60 4437.88 4262.93 2390.67 1797.90 2833.86 762,20 3812,80 80.00 1632.85 1938.33 2142.40 5288.94 2035.15 1385.03 1578.84 2000.28 1867.69 2666.65 5266.39 5434,15 2358.00 234.38 1527.00 6181,22 6428,41 3413,66 4678,00 3209.04 4021.14 2839,64 4792,32 5655.95 3294.51 2033.72 3150.40 5877.06 3011.34 642.87 4708,00 6518,05 3312,77 5200.76 4414.46 5011. 60 853.71 768.64 676.50 4935.12 2171. 48 3734,80 1982.40 4883.78 1617.12 -19- RUN DATE: 02/23/12 TIME: 15:50 PRTitle PRDeptName PT ASSISTANT PHYSICAL THERAPY PT TECH II PHYSICAL THERAPY PLANT OPS SUPERVISOR MAINTENANCE ADMINISTRATIVE ASST, ADMINISTRATION-CLINICAL SERVIC REGISTERED NURSE OBSTETRICS ED MANAGER EMERGENCY ROOM REGISTERED NURSE MED/SURG REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS DIRECTOR-UR/QA/IC/RM QUALITY ASSURANCE LVN MED/SURG REGISTERED NURSE SURGERY CERTIFIED NURSE AIDE MED/SURG DIRECTOR-MS/ICU/OB MED/SURG REGISTERED NURSE ICU REGISTERED NURSE MED/SURG SUPERVISOR LVN/RPhT PHARMACY REGISTERED NURSE MED/SURG REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE MED/SURG CERTIFIED NURSE AIDE MED/SURG LVN MED/SURG REGISTERED NURSE ICU REGISTERED NURSE EMERGENCY ROOM LVN MED/SURG REGISTERED NURSE MED/SURG REGISTERED NURSE MED/SURG CERTIFIED NURSE AIDE MED/SURG LVN MED/SURG REGISTERED NURSE MED/SURG REGISTERED NURSE OBSTETRICS REGISTERED NURSE EMERGENCY ROOM LVN MED/SURG CERTIFIED NURSE AIDE MED/SURG LVN MED/SURG REGISTERED NURSE ICU REGISTERED NURSE ICU REGISTERED NURSE ICU REGISTERED NURSE ICU REGISTERED NURSE MED/SURG REGISTERED NURSE ICU RN/OR-PACU SURGERY REGISTERED NURSE SURGERY LVN SURGERY o R TECH SURGERY TRANSCRIPTIONIST HEALTH INFORMATION MANAGEMENT REGISTERED NURSE SURGERY OUT-PT PACU NURSE SURGERY PRESCRIPTION CLERK INDIGENT CARE PROGRAM ASSISTANT BUYER TRANSPORTATION OP COORDINATOR PFS - REGISTRATION REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE EMERGENCY ROOM CERTIFIED NURSE AIDE MED/SURG MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DB019 PAGE 2 PRTotGross 922,25 721.86 5252.68 2388.80 3591. 60 5295,28 3339.05 5557.44 4965,89 3677.52 5729.61 2082,23 5067.85 1948,13 6191. 41 4887.83 3258.19 3357.58 3033.94 2702.94 3530,93 1483.80 2120.13 419.25 3894.55 2376.38 3758.02 3616.99 1751. 53 1081. 26 372.75 3871. 61 4394,14 2446.63 2493.06 2065.89 853,69 3905.65 4296.67 6274.85 3078.50 4452,45 1512.07 4810.16 2791.99 2882.21 2155.76 5432,92 1274.44 1482.58 1687.88 1917.92 4209,25 4703,04 1792.73 -20- RUN DATE: 02/23/12 TIME: 15:50 PRTitle PRDeptName -------------------------------------------------------------------- PRTotGross REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE EMERGENCY ROOM MEDICAL TECHNOLOGIST LABORATORY MT TECH SUPR LABORATORY MEDICAL TECHNOLOGIST LABORATORY LABORATORY ASSISTANT LABORATORY MEDICAL LAB TECH LABORATORY MEDICAL LAB TECH LABORATORY MEDICAL TECHNOLOGIST LABORATORY MEDICAL TECHNOLOGIST LABORATORY LAB ASSISTANT LABORATORY LAB ASSISTANT LABORATORY MEDICAL TECHNOLOGIST LABORATORY MEDICAL LAB TECH LABORATORY MEDICAL LAB TECH LABORATORY LAB ASSISTANT LABORATORY REGISTERED NURSE MED/SURG LICENSED VOCATIONAL MEMORIAL WOMEN'S CENTER REGISTERED NURSE MED/SURG RADIOLOGICAL TECH RADIOLOGY RADIOLOGICAL TECH RADIOLOGY RADIOLOGICAL TECH RADIOLOGY RECEPT/SECRETARY RADIOLOGY RADIOLOGY TECH RADIOLOGY RADIOLOGY TECH RADIOLOGY DIRECTOR-RADIOLOGY RADIOLOGY RADIOLOGY SUPERVISOR RADIOLOGY RADIOLOGY TECH RADIOLOGY RADIOLOGY TECH RADIOLOGY RADIOLOGY TECH, RADIOLOGY RADIOLOGICAL TECH RADIOLOGY SECRETARY/RECEPTION MEMORIAL WOMEN'S CENTER LVN-CPhT PHARMACY REGIST PHARMACY TECH PHARMACY PHARMACIST PHARMACY REGISTERED NURSE EMERGENCY ROOM PT TECH II PHYSICAL THERAPY PT ASSISTANT PHYSICAL THERAPY PT SEC/RECEPTIONIST PHYSICAL THERAPY PT TECH 1 PHYSICAL THERAPY PT ASSISTANT PHYSICAL THERAPY. PT TECH 1 PHYSICAL THERAPY CIHCP COORDINATOR INDIGENT CARE PROGRAM TRANSCRIPTION LEADER HEALTH INFORMATION MANAGEMENT HIM DIRECTOR HEALTH INFORMATION MANAGEMENT TRANSCRIPTIONIST/BR HEALTH INFORMATION MANAGEMENT CODING SPECIALIST HEALTH INFORMATION MANAGEMENT FOOD SERVICE STAFF DIETARY FOOD SERVICE STAFF DIETARY FOOD SERVICE STAFF DIETARY SHIFT SUPERVISOR DIETARY FOOD SERVICE STAFF DIETARY CERTIFIED NURSE AIDE MED/SURG. FOOD SERVICE STAFF DIETARY FOOD SERVICE STAFF DIETARY MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DB019 554.25 2575.50 3628.80 3803,16 3616.73 635.15 3351.17 3043.94 775,00 1224,50 1417.67 1545.60 1l00,50 3229.13 931. 50 2039.59 3659.39 701. 50 3324,45 4693.81 3907.50 4623.52 1902.32 444.00 655.36 5981. 85 5642.68 3245.24 4168.84 175.50 1885.88 1795,96 2932.98 2941.69 10400.00 4413 . 63 126.75 3995.43 1857.77 227,50 302.50- 1314.75 1841. 76 2996.09 3208.00 1508.75 2441.60 1419.20 1031. 38 1178,45 1600,00 1435.50 1903.01 1059.13 1231. 34 -21- PAGE 3 .."".:-:~..---:::.-_.;:~:. RUN DATE: 02/23/12 TIME: 15:50 PRTitle PRDeptNarne -------------------------------------------------------------------- PRTotGross DIRECTOR OF DIETARY DIETARY BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING GROUNDSKEEPR/PAINTER MAINTENANCE PLANT OPS SPECIALIST MAINTENANCE SECURITY SUPERVISOR SECURITY FLOOR TECHNICIAN ENVIRONMENTAL SERVICES ES MANAGER ENVIRONMENTAL SERVICES DIR OF PLANT SERVICE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES FLOOR TECHNICIAN ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES SECURITY OFFICER SECURITY SECURITY OFFICER SECURITY SOCIAL WORKER SOCIAL WORK/DISCHARGE PLANNING INSURANCE FU CLERK PATIENT FINANCIAL SERVICES CASHIER/SWITCHBOARD PATIENT FINANCIAL SERVICES UNIT SECRETARY MED/SURG REGISTRTION CLERK PATIENT FINANCIAL SERVICES INSURANCE COORDINATO PATIENT FINANCIAL SERVICES MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES REGISTERED NURSE EMERGENCY ROOM REGISTRATION CLERK PFS - REGISTRATION REGISTRATION CLERK PFS - REGISTRATION REGISTRATION CLERK PFS - REGISTRATION LVN MED/SURG SECURITY OFFICER SECURITY REGISTRATION CLERK PFS - REGISTRATION OP CODER/ROI HEALTH INFORMATION MANAGEMENT REGISTRATION CLERK PFS - REGISTRATION MEDICAID COORDINATOR PATIENT FINANCIAL SERVICES REGISTRATION CLERK PFS - REGISTRATION REGISTERED NURSE EMERGENCY ROOM RADIOLOGY TECH RADIOLOGY REGISTRATION CLERK PFS - REGISTRATION REGISTRTION CLERK PFS - REGISTRATION REGISTRATION CLERK PFS - REGISTRATION REGISTRATION CLERK PFS - REGISTRATION R,O.I,/R.I.T. HEALTH INFORMATION MANAGEMENT REGISTRATION CLERK PFS - REGISTRATION I,T, SPECIALIST INFORMATION TECHNOLOGY DIRECTOR OF I, T. INFORMATION TECHNOLOGY REGISTRATION CLERK PATIENT FINANCIAL SERVICES ACCOUNTANT ACCOUNTING C.F,O, ADMINISTRATION C.E,O. ADMINISTRATION ADMINISTR. OFFICER ADMINISTRATION DIRECTOR MM,AP CLERK PURCHASING Grand totals Total lines = 217 MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DB019 PAGE 4 3460,80 510.00 4374.82 2571,88 3406,61 1962.29 1522.56 2199,48 4646.40 1478,01 1704.34 1442.13 1435.42 1182,15 1244.23 1140.87 1420.00 1562,00 1207,28 5138.80 1304.00 1457.38 1050.58 243.84 1465.14 1840,00 4169,78 1271,85 10.78 178.93 1583.83 1510,17 414.51 2299,20 798,00 1467,24 548.95 4817.09 3338,50 1282,83 1044.36 1243,92 1309,18 835.32 1156.81 4312,33 5462,12 1482.31 4384.00 10150.00 11888,46 3692,80 3769.60 .1 601095.23 -22- @IHS Source Totals Report Issued 03/20/2012 Calhoun Indigent Health Care 2-1-12 through 2-29-12 For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 02 Prescription Drugs 08 Rural Health Clinics 13 Mmc - Inpatient Hospital 14 Mmc - Hospital Outpatient 15 Mmc - Er Bills 1,753.00 337.68 1 ,545.00 58,674.52 7,840.00 7,033.00 423.28 297.68 901.74 41,072.16 3,507.02 3,094.52 Expend itu res Rei m b/ Adj ustments 77,183.20 0.00 49,296.40 0.00 Grand Total 77,183.20 49,296.40 Fiscal Year $93,348,89 Payroll/Expenses $6,115.32 fvt611\A'UV ~ ~7:/l; Calhoun County Indigent Coordinator -23- 2012 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Pending Jan 4 10 2 37 9 Feb 1 17 2 36 11 Mar Apr May Jun Jul Aug Sept Oct Nov Dee YTD 5 27 4 73 20 -24- MEMORIAL MEDICAL CENTER AND CALHOUN COUNTY TO JOIN REGION THREE REGIONAL HEALTH CARE PARTNERSHIP AS PART OF WAIVER 1115: Jason Anglin, CEO for Memorial Medical Center does not agree with the composition of counties in your RHP Region as being 4. Memorial Medical Center desires to be in RHP 3. Historically they participate in various networking activities with hospital's in RHP 3. They have established relationships through the old private UPL program with hospitals in RHP 3 and would like to maintain them. Also they participate in other networking with hospitals in RHP 3 including South East Texas Hospital Association. Jason Anglin said typically people who need medical care beyond Memorial Medical Center's ability will go to Houston rather than Corpus Christi. A Motion was made by Judge Pfeifer and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. u Regional Healthcare Partnership (RHP) Region Confirmation Form April 2, 2012 Purpose: The purpose of this form is to obtain confirmation from each anchor of its RHP Region as mapped on page 2, with counties listed on p. 3. If there is disagreement on the composition of a region, feedback must be submitted on this form as outlined in the directions below and based on the RHP principles listed on pages 4-6. The updated map on page 2 is not the final map, but is the next step towards drawing the final map. HHSC is asking for RHP regional geographic boundaries and anchors be determined by May 1, 2012, to ensure regions will have sufficient time for participants to work together to develop the RHP regional plans (Le., to assess community needs, select corresponding Delivery System Reform Incentive Payment (DSRIP) projects, and determine funding levels). HHSC continues to encourage participating entities to decide in which RHP they will participate consistent with the parameters of the waiver as outlined below. Additional information regarding the Texas Healthcare Transformation and Quality Improvement Program - 1115 Waiver can be found onthe HHSC website at http://www.hhsc.state.tx.us/1115-wa iver .shtm I. Directions: The anchor for each RHP region completes one form for the RHP region. In RHP regions where an anchor has not been decided by the local community, HHSC encourages the potential anchors and RHP participants to discuss and come to agreement on one anchor based on the RHP principles listed on pages 4-6. HHSC will be providingwebinarsjteleconferences for each region between April 9 and April 20 to answer questions. Participation in an RHP under the 1115 waiver is completely voluntary. However, participation is required for entities seeking to access federal funds through the waiver effective October 1, 2012. Although counties and providers may choose not to participate, the map will show every county in Texas as located within an RHP region. If a county disagrees with its placement in a region, one form will be accepted from each county in response to only its own county's placement. HHSC does not require the county form to be submitted from a particular entity. 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Q) ro > 0",0:: I:: I:: "0 ro .[ij Q) Cl..a:a: .... "0 .... I:: :J ro "0 .J:: N 0 '" I:: 0 g-~~ '" Q) .J:: U >.g I:: 1:: till 0 Q) 8 ~ .0 ro Q) :::;zz Q) I:: Ot; B 51 .!: :J u > > <l: ~ .0 .~ ~ ~] 'E VlVl VI I- Q; ~ Q)- - ro ~~ o "0 I:: ro ',p "- '" 0 :JO <l:U '" I:: Cu,S c .0"'1::.8 E~'E~ ~liiroo UlD:::C:::C I:: o '" Q) .... c.Q) "'~ ~~ ro ro I:: .- ~ 2 tIIlro I:: .... <l:CO Q) Q) till I:: ~~:C o~~ ~-EIJ") ~ 'E .a a:Vli= .-1.....t~;~~,~.~r..:oo,~ci.....Nmo:tVlI.Or..:cxiOlci......N.....N~~.~I.Or..:oo,~ci.....Nmo:tu)l.Or..:cxioici,.".....tN ~ .~...~w,~ v,............................................................NN~ ..,~w, v,............................................................N~ Ill: Ill: a: REGIONAL HEAL THCARE PARTNERSHIPS: Updated Map& Next Steps In early April 2012, the Texas Health and Human Services Commission (HHSC) issued an updated map outlining proposed Regional Healthcare Partnership (RHP) boundaries under the Texas Healthcare Transformation and Quality Improvement 1115 waiver ("the 1115 waiver"). The updated map incorporates feedback HHSC received from a February 2012 survey distributed to Executive Waiver Committee members, public and private hospitals, counties, and other interested stakeholders, as well as additional input received at public meetings and via the waiver email address(TXHealthcareTransformation@hhsc.state.tx.us). This updated map is not the final map, but is the next step towards drawing the final map. HHSC is asking for RHP regional geographic boundaries and anchors be determined by May 1, 2012, to ensure regions will have sufficient time for participants to work together to develop the RHP regional plans (Le., to assess community needs, select corresponding Delivery System Reform Incentive Payment (DSRIP) projects, and determine funding levels). HHSC continues to encourage participating entities to decide in which RHP they will participate consistent with the parameters of the waiver as outlined below. HHSC Approach to Updating the RHP Map In reviewing hundreds of responses, including conflicting information, HHSC considered the following information when updating the RHP map: 1. Compared the preliminary map and stakeholder feedback to consider potential changes and identify outliers- counties not contiguous or areas with conflicting stakeholder input. 2. Reviewed funding considerations, including intergovernmental transfers (IGT) available under the upper payment limit (UPL) program for fiscal year 2011. 3. Identified RHP feedback trends - including acceptance of or concern over counties' placement on the preliminary map, suggested anchor entities, possible IGT concerns, and justification for suggested changes to preliminary RHPs. 4. Created three new RHPs (#17, #18 and #19) in response to feedback that the needs ofthese regions are viewed by the regions as being materially different from the regions in which counties were placed on the preliminary map. 5. Determined placement of outlier counties based on: (1) a county's own preference, (2) historical patient flow, (3) potentiallGT levels in each RHP, and (4) geographical proximity. Next Steps RHP geographic boundaries and anchors need to be finalized by May 1, 2012, to enable RHP plan development to move forward. To assist in meeting this deadline, HHSC will schedule a conference call with an optional online webinar component by April 20, 2012, for each of the 19 geographic regions identified on the updated map. On these conference calls, HHSC will discuss how each region abides by the requirements and principles listed below and receive feedback from potential RHP participants in each proposed region. HHSC will accept proposed amendments to this updated map that are consistent with the RHP requirements and principles outlined below. HHSC will provide a form that can be submitted via the waiver email address to confirm RHP regions and anchors. Based on feedback received in April, HHSC plans to announce the final map on or around May 1, 2012. 4 What is a Regional Health care Partnership? I. Defining an RHP - As outlined in the 1115 waiver's Special Terms and Conditions (STCs), RHPs will be developed throughout the State to deliver care more effectively and efficiently and provide increased access to care for low-income Texans. Each RHP will include a variety of healthcare providers to adequately respond to the needs of the community, and the process of forming each RHP will evidence meaningful participation by all interested providers. a. RHPs must reflect patient flow and geographic proximity - The activities funded by DSRIP are to be based in RHPs that are directly responsive to the needs and characteristics of the populations and communities comprising the RHP. Each RHP will have geographic boundaries. HHSC is currently working with CMS to determine if entities may participate in more than one regional plan based on certain principles. For instance, to reflect existing patient flow patterns, HHSC intends for specialty providers, such as children's hospitals and burn care, to be able to participate in more than one RHP. b. RHP responsibilities - The RHP plan will identify community needs, the projects and investments under DSRIP to address those needs, community healthcare partners, the healthcare challenges and quality objectives within the RHP, and the metrics described in State protocol associated with each project and quality objective. Within each RHP plan, each IGT entity will specify what providers it will support for uncompensated care (UC) and what specific DSRIP projects it will fund. The State and CMS must approve each RHP plan. c. Participation is voluntary - Participation in an RHP under the 1115 waiver is completely voluntary. However, participation is required for entities seeking to access federal funds through the waiver effective October 1, 2012. Although counties and providers may choose not to participate, the map will show every county in Texas as located within an RHP region. Entities may choose to participate in an RHP plan as an anchor, IGT provider, and/or performing provider receiving funds for UC or DSRIP, or as a general stakeholder involved in RHP planning meetings. d. Healthcare delivery system transformation is a key goal of the waiver, and inclusion will contribute to RHP success - A key goal of the waiver is for local entities to have the opportunity to receive new federal matching funds for projects that transform the Texas health care delivery system while improving the quality of care provided. Meaningful improvement by providers participating in an RHP is essential to the success of DSRIP projects in each RHP, RHPs limiting participation-and as a result limiting potentiallGT -also limit potential for such transformation. In addition, the waiver sets benchmarks for how much funding each year is to be spent on UC vs, DRSIP. For rural and suburban areas, participating in a region with a larger metropolitan area or other entity with substantiallGT likely will assist with reaching the benchmarks for DSRIP spending. As a result, HHSC encourages RHPs to be as inclusive as possible. II. Anchoring entities coordinate-but do not control-RHPs and do not control participant IGT funding -In convening stakeholders, guiding the development of RHP plans, and reporting on the progress of the entire RHP to HHSC and CMS,anchors have an important role in RHP development. However, the role of . an anchor is administrative. Anchors are to coordinate efforts within an RHP, but cannot dictate i conditions of another entity's IGT plan. Each transferrim~ entitv with IGT funds determines how to use its I own public funds within the parameters of UC and DSRIP waiver reauirements. 5 e. Each RHP must have one anchoring entity - Anchors may delegate administrative functions (where there is not conflict of interest), such as data collection and reporting, but may not delegate to a contracting entity any decision-making authority that is specifically assigned to the governmental entity under the waiver, HHSC policy or rules, or state law. f. Potential anchoring entities - As outlined in the waiver, in RHPs with a public hospital, the anchoring entity should be a public hospital. In regions without a public hospital, the following entities may serve as the anchor: I. A hospital district. II. A hospital authority. III. A county. IV. A State university with a health science center or medical school. g. Anchors need financial solidity -In regions with multiple eligible entities that express interest in the anchor role, a consideration in selecting the anchor should be IGT capacity, as the waiver envisions that one of the anchor's roles is to financially anchor the RHP. h. Anchor funding - Because anchors will incur additional expenses in fulfilling their responsibilities, HHSC is working with CMS to determine the best mechanism to compensate them for allowable administrative expenses, provided the anchor puts up the corresponding IGT. In particular, HHSC is working with CMS to figure out on how a non-hospital anchor may get paid for its responsibilities. The anchor may be eligible to receive a portion of the DYl DSRIP funding for its allowable expenses as anchor, but the plan is for most of that funding to be available for DSRIP participants. 6 s- RHP REGION CONFIRMATION FORM Respondent Name: Jason Anglin, CEO Type of Respondent: o Anchor 0 County [gI Other: County Hospital Organization: Memorial Medical Center Phone Number: Physical Address: 361-552-0240 Email Address: ja ngl in@mmcportlavaca.com 815 N Virginia Mailing Address (if different from Physical Address) PO BOX 25 City, Zip: Port Lavaca City, State, Zip: 77979 1. What is your RHP Region number indicated on the map provided on p. 2? 4 2. Do you agree with the composition of counties in your RHP Region? DYES ~ NO If NO, please provide the following: a. Anchors: list the counties in your proposed RHP Region. b. Anchors: describe the reason(s) why you are proposing a different RHP Region, based on the RHP principles listed on pages 4-6. c. Counties/Other: describe the reason(s) why you are proposing a different RHP Region for your county, based on the RHP principles listed on pages 4-6. Memorial Medical Center desires to be in RHP 3. Historically we participate in various networking activities with hospital's in RHP 3. We have established relationships thru the old private UPL progam with hospitals in RHP 3, We would like to maintain these. Also we participate in other networking with hospitals in RHP 3 including South East Texas Hospital Association. 7 ~ 3. OPTIONAL Anchors: List the preliminary Intergovernmental Transfer (IGT) providers in the RHP that will be participating in waiver funding. The finallGT providers, along with providers to receive funding through the RHP, will be submitted in the RHP Plan due by September 1, 2012. IGT Provider Thank you! Please save this form as a Word document and email to TXHealthcareTransformation@hhsc.state.tx.us or fax to 512-491-1972, ATTN: Shanece Collins by Tuesdav, April 24, 2012. 8 APPROVE SPECIFICATIONS AND AUTHORIZE THE COUNTY AUDITOR TO ADVERTISE FOR BIDS FOR ASPHALTS, OILS AND EMULSIONS: Cindy Mueller, County Auditor for Calhoun County, requested Commissioners Court approve specifications and authorize the County Auditor to advertise for bids for Asphalts, Oils and Emulsions for the period beginning the 1 st day of July 2012 and ending the 3rt day of December 2012. Bids will be due Thursday, the 7tn day of June 2012 and considered for award on Thursday, the 14tn of June 2012. A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. {j; CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY CALHOUN COUNTY COURTHOUSE ANNEX II - 202 S. ANN. ST. PORT LA V ACA, TEXAS 77979 (361) 553-4610 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE ~ PEGGY HALL DATE: RE: AGENDA ITEM - APRIL 26, 2012 AGENDA ITEM THURSDAY, APRIL 26, 2012 ~ Consider an~ take necess~y action to approve specifications and authorize the Co~ty A~dIt?r to advertIse for bids for Asphalts, Oils and Emulsions for the penod begmmng July 1,2012 and ending December 31, 2012. Bids will be due Thursday, June 7,2012 and considered for award on Thursday, June 14,2012. (CM) llER lOR s lUCY M DID, CPA 1ST ASSISTANT AUDITOR April 26, 2012 202 SANN EI PORT lAVACA, TEXAS 11919 TElEPHONE (361) 553-4610 FAX (361) 553-4614 PEGGY HAll CRISTINA P TUAZON CANDICE A FALTESEI ASSISTANT AUDITORS Re: ASPHAL TS, OILS AND EMULSIONS Please find the following information enclosed. . Return Instructions · Invitation To Bid Form (Return this form and Product Data Sheet for each item bidding on) fiir RETURN the original "Invitation To Bid Form" AND the Product Data Sheetfor each item you are bidding on in a sealed 9 x 12 or larger envelope. (Product Data Sheet details the product ingredients.) " The outside of the sealed envelope must be marked: "Sealed Bid-Asphalts, Oils and Emulsions" · All Asphalts, Oils & Emulsions Bids may be returned in one sealed envelope · /fyou send your bid by UPs, FEDEX, etc, the outside of this envelope must be marked "Sealed Bid - Asphalts. Oils & Emulsions. " · Specifications for Asphalts, Oils" and Emulsions (Do Not Return with Bid) · General Conditions of Bidding (Do Not Return with Bid) · Copy of ad - "Invitation to Bid" (Do Not Return With Bid) If you have questions on the asphalts, oils and emulsions item(s), please contact one of the Commissioners at the following numbers: Roger Galvan, Commissioner, Precinct #1: Vern Lyssy, Commissioner, Precinct #2: Neil Fritsch, Commissioner, Precinct #3: Kenny Finster, Commissioner, Precinct #4 361-552-9242 361-552-9656 361-893-5346 361-785-3141 Questions regarding the bid Packages can be answered by calling Peggy at 361-553-4610 in the County Auditor's Office, Courthouse Annex II, 202 S. Ann St, Ste B, Port Lavaca, TX 77979 (Email: peggy.hall@calhouncotx.org). ~ PEGGY HAll CRISTINA P TUAlON CANDICE A FAllESEI ASSISTANT AUDITORS lUCY M DID. CPA 1ST ASSISTANT AUDITOR April 26, 2012 202 S ANN EB PORT iliACI, TEXAS 11919 TELEPHONE (361] 553-4610 FAX (361) 553-4614 RETURN INSTRUCTIONS When Submitting a Bid for Asphalts, Oils & Emulsions RETURN THE FOLLOWING INFORMATION FOR EACH BID ITEM: DO NOT FOLD Bid(s) or Data Sheet(s) Submit Bid(s) ina 9 X 12 or larger envelope Return the followina bv 10:00 AM. Thursdav. June 7. 2012 ~ Invitation To Bid Form ~ Product Data Sheet All Asphalts, Oils & Emulsions Bids may be returned in the same sealed envelope. Do Not Fold any information. Bid(s) must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid - Asphalts, Oils & Emulsions". If you send your bides) by UPS, FEDEX, etc, the outside of this envelope must be marked "Sealed Bid - Asphalts, Oils & Emulsions". Bids are due on or before 10:00 AM, Thursday, June 7, 2012 at the following address: Michael J Pfeifer Calhoun County Judge 211 S Ann St 3rd Floor, Room 301 Port Lavaca TX 77979 SPECIFICATIONS FOR ASPHALTS, OILS AND EMULSIONS 1. The County of Calhoun is requesting sealed bids for Asphalts, Oils and Emulsions as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area or Jobsites Precinct #2, Six Mile Area or Jobsites Precinct #3, Olivia Area or Jobsites Precinct #4-P, Port O'Connor Area or Jobsites Precinct #4-S, Seadrift Area or Jobsites 2. The bid shall be in effect for a period of Six (6) Months Beginning July 1, 2012 and ending December 31,2012. 3. Materials shall meet or exceed TDOT Specifications for construction of highways, roads and bridges. Materials shall conform to the Texas Highway Department Item #300 entitled "Asphalt, Oils and Emulsions." (Also see Invitation to Bid form.) The Bid Items are: - Primer Oil Must Meet All TXDOT Specifications -Item 300, Asphalts, Oils and Emulsions: [AC-5] Must Meet All TXDOT Specifications -Item 300, Asphalts, Oils and Emulsions:(RC250) Must Meet All TXDOT Specifications -Item 300, Type CRS-2, Emulsified Asphalt (Cationic Rapid Setting) Must Meet All TXDOT Specifications -Item 300, Type CRS-2P, Emulsified Asphalt (Cationic Rapid Setting) Must Meet All TXDOT Specifications Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plan, terminal, shipping container and any other source they deem necessary to insure reliability of the products. 4. Delivery shall be FOB Destination to Jobsite. All charges (including freight) must be included in bid price. No other charges may be added to the bid price when invoiced unless noted as an exception on the bid form. 5. NO PERSON has the authority to verbally alter these specifications. Any changes to Specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. Page 1 of6 6. If any further information is needed concerning specifications, contact Commissioner Roger Galvan, Precinct 1, 361-552-9242 Commissioner Vem Lyssy, Precinct 2,361-552-9656 Commissioner Neil Fritsch, Precinct 3,361-893-5346 Commissioner Kenneth Finster, Precinct 4,361-785-3141 7. To request a bid package, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Peggy Hall 202 S. Ann St., Ste B Port Lavaca TX 77979 Phone: (361) 553-4610 Fax: (361) 553-4614 Email: peggy.hall@calhouncotx.org Page 2 of6 GENERAL CONDITIONS OF BIDDING FAILURE TO COMPLY WITH THESE GENERAL CONDITIONS OF BIDDING MAY RESULT IN THE BID BEING DISQUALIFIED, 1. BIDDING IEF RETURN: Original of the "Invitation to Bid Form" IF RETURN: Product Data sheet(s) detailing each product that is being bid on Failure to return the product data sheet(s) may result in your bid(s) being disqualified. Product data sheet lists the description and physical properties, specifications and storage and handling of the product. A. All bids must be on the "Invitation To Bid Forms" furnished by the County Auditor's Office and must be written in ink or by typewriter. B. DUE - TIME AND DATE: Sealed bids must be in the office of the County Judge by 10:00 AM, Thursday, June 7,2012. 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. A late delivery with an early postmark will not suffice. Be sure you have allowed ample time for postal delivery. The County will not be responsible for the delivery of your bid to the office of the County Judge. If you choose to send your bid by postal delivery, then it is recommended that you call the County Judge's office at 361-553-4600 to verify receipt of your bid prior to bid opening. Calhoun County does not accept faxed or emailed bids. All Bids are due on or before 10:00 AM, Thursday, June 7,2012 at the following address: Honorable Michael J Pfeifer Cal houn County Judge 211 S Ann St 3rd Floor, Room 301 Port Lavaca TX 77979 Sir Mark the outside of the sealed 9x12 or larger envelope: Sealed Bid - Asphalts, Oils & Emulsions If you send your bid by UPS, FEDEX, etc, the outside of this envelope must be marked "Sealed Bid - Asphalts, Oils & Emulsions. 11 Page 3 of6 C. WITHDRAWAL OF BID: A bidder may withdraw their bid before County acceptance of the bid without prejudice to himself/herself, by submitting a written request for its withdrawal to the County Judge. D. Bids should show unit price. All charges (includine: freie:ht)must be included in bid price. No other chare:es may be added to the bid price when invoiced unless noted as an exception on the bid form. E. No change in price will be considered after bids have been opened. F. Bidders are invited to be present at the opening of bids on Thursday, June 7, 2012 at 10:00 AM in the Judge's office, 211 S Ann St, 3rd Floor, Room 301, Port Lavaca, TX 77979. Bids will be considered for award on Thursday, June 14,2012 during Commissioners' Court. 2. BIDS: Bids are for a six (6) month period beginning July 1,2012 and ending December 31, 2012. 3. BID FORMS: The "Invitation to Bid Form" must be signed and dated by an officer (or employee) who is authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Vendor, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid 4. EXCEPTIONS: If exceptions are being taken to any part of specifications, have them listed on the Invitation to Bid Form or on your letterhead and manually sign it. 5. TAXES: The County is exempt from Federal Excise Tax and State Sales and Use Tax. The bid price must not include the above mentioned taxes. 6. AWARD Commissioners' Court reserves the right to waive technicalities, reject any or all bids, to accept the bid deemed most advantageous to Calhoun County and to be the sole judge in determining which bids will be most advantageous to Calhoun County. In the event of tie bids, the winning bid is determined per the Texas Local Government Code 262.027(b). 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. Page 4 of6 7. DELIVERIES: B. Unless otherwise stated in the bid form or specifications, deliveries must consist only of new and unused merchandise. In the event that the deliveries of the supplies or products covered in the proposal are not made within the number of days specified, or in the event that the supplies or products delivered are rejected, and are not removed and replaced within the number of days specified in the official notice of rejection, the County reserves the right to purchase said supplies from the next lowest bidder who meets the specifications. Upon any such breach of contract, the County reserves the right to proceed against the successful bidder and/or the surety on his bond for any and all damages occasioned by the breach. A. 8. REJECTIONS: Articles not in accordance with samples and specifications must be removed by the bidder at his expense. All disputes concerning quality of supplies delivered under this proposal will be determined by Commissioners' Court or their designated representative. 9. BILLING: All bills are subject to approval by the Auditor's office. Payment of all invoices will be made after the delivery and inspection of the item or items are satisfactory to the County and the purchase order and invoice are properly and timely submitted to the Treasurer's office by the appropriate County Department. Commissioners' Court meet the 2nd and 4th Thursday of each month to approve bills. Each County Department is responsible for submitting their purchase orders for payment and the purchase orders are due by 3 :00 PM in the Treasurer's Office the Thursday before each Commissioners' Court Meeting. No payment can be mailed out until approved by Commissioners' Court. Commissioners' Court dates are subject to change. 10. CONDITIONS PART OF BID: The general conditions of bidding defined herein shall be a part of the attached bid. 11. CONTRACT: A. No formal contract will be executed. The following will comprise the contract between the County and the successful bidder. 1. General Specifications 2. General conditions to bidding 3. The signed Invitation To Bid Form with bid amount 4. Letter awarding the bid B. In case of conflict, the specifications shall be controlling. Page 5 of6 12. OSHA REQUIREMENTS: The vendor or contractor hereby guarantees to the County of Calhoun, Texas that all material, supplies and equipment as listed on the proposal, contract or purchase order meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. 13. PROTEST PROCEDURES: Any actual or prospective bidder or proposer who believes they are aggrieved in connection with or pertaining to a bid or proposal may file a protest. The protest must be delivered in writing to the Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: 1. Name, mailing address and business phone number of the protesting party; 2. Appropriate identification of the bid or proposal being protested; 3. A precise statement of the reasons for the protest; and 4. Any documentation or other evidence supporting the protest and any alleged claims. The Auditor's Office will attempt to resolve the protest, including at the Auditor's option, meeting with the protesting party. Ifthe protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. If additional information is desired, Commissioners' Court may notify the necessary party or parties to the protest to provide such information. The decision of Commissioner's Court will be final. 14. PUBLIC INFORMATION ACT: A. All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. B. To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S. Ann St, Ste B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org Page 6 of6 PLEASE NOTE: On the Invitation To Bid Forms, under Department and Destination columns, the Precincts are not listed in numerical order by Precinct. The precincts are listed in alphabetical order bv area. Precinct 1 Precinct 3 Precinct 4-P Precinct 4-S Precinct 2 Fairgrounds Area Olivia Area Port O'Connor Area Seadrift Area Six Mile Area Be very careful when submitting bids. Precinct 2 is listed last. CALHOUN COUNTY. TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS I INVll A liON 10 BID BIDDER BID ITEM 'PRIMER Oil t pmIDDFROM: JULY 1, 2012 PERIIDTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 810- I PRIMER OIL BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: PRIMER OIL MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY UIIl UIIlP. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORum SIGNATURE TITLE: PRINT NAME: DATE OF BII: TELEPHONE and EMAIl: PLEASE UST ANY EXCEPTIINS TO SPECRATmNS: CALHOUN COUNTY, TEXAS BID SHEET -IASPHAL TS, OILS AND EMULSIONS INVII A liON 10 BID I -\ I ! 1 \ I BIDDER BID ITEM JAC-S I PERIOOFROM: JULY 1,2012 PEUlOTO: DECEMBER 31,2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I AC-5 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14,2012 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS, ----------------------------------------------- SPECIFICA nONS: AC-5 MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY /lIlT /lllTP. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORlZm SIGNATURE TITLE: PRINT NAME: OA IE OF 811: TELEPHONE and EMAIl.: PLEASE LIST ANY EXCEPTIONS TO SPECRATIONS: ~\.. CALHOUN COUNTY. TEXAS BID SHEET -IASPHALTS. OILS AND EMULSIONS I INVII A liON 10 BID BIDDER BID ITEM tRC250 t PERIOD FROM: JULY 1, 2012 PERIOD TO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LA V ACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- , RC250 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA TlONS: RC250 MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY UIIl UIIlPR. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORum SIGNATURE TITLE: PRINT NAME: DA IE OF HII: TELEPHONE and EMAIL: PLEASE UST ANY EXCEPTIONS TO SPECHATIDNS: CALHOUN COUNTY. TEXAS BID SHEET -IASPHALTS. OILS AND EMULSIONS I INVII A liON 10 BID BIDDER BID ITEM lCRS-2 I PERIOD FROM: JULY 1,2012 PERIIDTO: DECEMBER 31,2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- I CRS-2 i BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14,2012 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: CRS-2 MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports, County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY 11II1 11II1 PHil PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORllm SINA TURE TITLE: PRINT NAME: DATE OFBII: TElIPHONE and EMAIl.: PLEASE LIST ANY EXCEPTIONS TO SPECifICATIONS: CAUtOUN COUNTY. TWS BID SHEET -IASPHALTS. OILS AND EMULSIONS I INVIT A TION TO BID BIDDER BID ITEM ICRS-2P I PERIOOFROM: JULY 1,2012 PERIODTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I CRS-2P I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ------------------------------------------------ SPECIFICATIONS: CRS-2P MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports, County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY UII1 UII1 PIllE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORlZm SIGNATURE IDLE: PRINT NAME: DATE OF Bn TELEPHONE and EMAII.: PLEASE LIST ANY EXCEPTIINS TO SPECRAmNS: .{. INVITATION TO BID Notice is hereby given that the County of Calhoun, Texas will receive bids for the following items: (1) ASPHALTS, OILS & EMULSIONS (2) ROAD MATERIALS (3) INSECTICIDES All three bid items are for the period beginning July 1,2012 and ending December 31, 2012. SEALED BIDS are DUE in the Judge's office on or before 10:00 AM, Thursday, June 7, 2012. Mailing/Physical Address: Michael J Pfeifer, Calhoun County Judge, 211 S Ann St, 3rd Floor, Rm 301, Port Lavaca, TX 77979 Bid packages may be obtained from the Calhoun County Auditor's Office, Courthouse Annex 11,202 S, Ann St., Ste B, Port Lavaca, TX 77979 or by calling Peggy at 361-553-4610 or email: peggy,hall@calhouncotx.org, Commissioners' Court reserves the right to waive technicalities, reject any or all bids, to accept the bid deemed most advantageous to Calhoun County and to be the sole judge in determining which bids will be most advantageous to Calhoun 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, CINDY MUELLER, COUNTY AUDITOR CALHOUN COUNTY, TEXAS APPROVE SPECIFICATIONS AND AUTHORIZE THE COUNTY AUDITOR TO ADVERTISE FOR BIDS FOR INSECTICIDES FOR MOSQUITO CONTROL: Cindy Mueller, Calhoun County Auditor, requested Commissioners Court approve specifications and authorize the County Auditor to advertise for bids for Insecticides for Mosquito Control for the period beginning the 1st day of July 2012 and ending the 31st day of December 2012. Bids will be due Thursday, the 7th day of June 2012 and considered for award on Thursday the 14th day of June 2012. A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX II - 202 S. ANN ST. PORT LA V ACA, TEXAS 77979 (361) 553-4610 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE ~ PEGGY HALL DATE: RE: AGENDA ITEM - APRIL 26,2012 AGENDA ITEM THURSDAY, APRIL 26, 2012 ~ Consider and take necessary action to approve specifications and authorize the Co~ty Au,dit?r to advertise for bids for Insecticides for Mosquito Control for the penod begmnmg July 1,2012 and ending December 31,2012. Bids will be due Thursday, June 7, 2012 and considered for award on Thursday, June 14,2012. (CM) .; PEGGY HAll CRISTINA P TUAZOII CANDICE A fALTESEK ASSISTAIIT AUDITORS lUCY M 010. CPA 1ST ASSISTAIIT AUDITOR April 26, 2012 202 SAIl E B PORT LAIACA. TEXAS n9l9 TELEPHOIIE 13611 553-4610 fAX 13611 553-4614 Re: INSECTICIDES FOR MOSQUITO CONTROL Please find the following information enclosed. . Return Instructions . Invitation To Bid Form (Return this form and Product Data Sheet for each item bidding on) rifF RETURN the original "Invitation To Bid Form" AND the Product Data Sheetfor each item you are bidding on in a sealed 9 x 12 or larger envelope. (Product Data Sheet details the product ingredients.) rifF The outside of the sealed envelope must be marked: "Sealed Bid-Insecticides for Mosquito Control" · All Insecticides for Mosquito Control Bids may be returned in one sealed envelope · If you send your bid by UPS, FEDEX, etc, the outside of this envelove must be marked "Sealed Bid - Insecticides for Mosquito Control. " · Specifications for Insecticides for Mosquito Control (Do Not Return with Bid) . General Conditions of Bidding (Do Not Return with Bid) . Copy of ad - "Invitation to Bid" (Do Not Return With Bid) If you have questions on the Insecticides for Mosquito Control item(s), please contact one of the Commissioners at the following numbers: Roger Galvan, Commissioner, Precinct #1: Vem Lyssy, Commissioner, Precinct #2: Neil Fritsch, Commissioner, Precinct #3: Kenny Finster, Commissioner, Precinct #4 361-552-9242 361-552-9656 361-893-5346 361-785-3141 Questions regarding the bid Packages can be answered by calling Peggy at 361-553-4610 in the County Auditor's Office, Courthouse Annex II, 202 S. Ann St, Ste B, Port Lavaca, TX 77979 (Email: peggv.hall@calhouncotx.org). I I ' llER lOR s \ I I I ; LUCY M 010, CPA 1ST ASSISTANT AUDITOR April 26, 2012 202 SANN EI PORT lAVACA, TEXAS 11919 TElEPHONE (361) 553-4610 FU (361) 553-4614 PEGGY HAll CRISTINA P TDAZON CANDICE A FAllESEK ASSISTANT AUDITORS RETURN INSTRUCTIONS When Submitting a Bid for Insecticides for Mosquito Control RETURN THE FOLLOWING INFORMATION FOR EACH BID ITEM: DO NOT FOLD Bid(s) or Data Sheet(s) Submit Bid(s) in a 9 X 12 or larger envelope Return the followina bv 10:00 AM. Thursdav. June 7.2012 ~ Invitation To Bid Form ~ Product Data Sheet AI/Insecticides for Mosquito Control Bids may be returned in the same sealed envelope. Do Not Fold any information. Bid(s) must be returned in a sealed 9 x 12 or larger envelope clearly marked: Sealed Bid -Insecticides for Mosquito Control. If you send your bid(s) by UPS, FEDEX, etc, the outside of this envelope must be marked "Sealed Bid -Insecticides for MOSQuito Control". Bids are due on or before 10:00 AM, Thursday, June 7,2012 at the following address: Michael J Pfeifer Calhoun County Judge 211 S Ann St 3rd Floor, Room 301 Port Lavaca TX 77979 A ., CALHOUN COUNTY, TEXAS - Invitation To Bid Form INSECTICIDES FOR MOSQUITO CONTROL All Calhoun County Precincts JULY 1,2012 Thru DECEMBER 31,2012 ~ Return this Form and the Product Data Sheet(s) for each Insecticide you are listing below: Print or Type - All information must be legible PRODUCT DATA UNIT UNIT PRICE SHEET INCLUDED BID ITEM MINERAL OIL Yes No MALATHION Yes No 30-30 UL V Yes No Yes No Yes No Yes No Yes No Yes No You may list additional insecticides you wish to bid on that are not listed above. If additional space is needed to list insecticides, you may copy this form as needed. If copies are made, each page must be signed. All charJ!es must be included in bid price. No other charees may be added to the bid price when invoiced unless noted as an exception on the bid form. Sf' See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to 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. NAME OF COMPANY: ADDRESS: Authorized Signature & Title: Print Name & Title: Date of Bid: Telephone Number: Email: List any exceptions to the given bid specifications: Fax Number: Page 1 of 1 .: SPECIFICATIONS FOR INSECTICIDES FOR MOSQUITO CONTROL 1. The County of Calhoun is requesting sealed bids for Insecticides for Mosquito Control as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area or Jobsites Precinct #2, Six Mile Area or Jobsites Precinct #3, Olivia Area or Jobsites Precinct #4-P, Port O'Connor Area or Jobsites Precinct #4-S, Seadrift Area or Jobsites 2. The bid shall be in effect for a period of Six (6) Months Beginning July 1,2012 and Ending December 31,2012. 3. Bid Items: · Mineral Oil · Malathion · 30-30 ULV · ANY ADDITIONAL INSECTICIDES YOU WISH TO BID ON Please list additional insecticides, if any, your company would like to submit a bid on and their prices on the Invitation To Bid Form. The Product Data Sheet listing the active ingredients must be included, Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing arid to perform random audits of test reports. County representatives may sample material from the manufacturing plan, terminal, shipping container and any other source they deem necessary to insure reliability of the products. 4. Delivery shall be FOB Destination to Jobsite. All charges must be included in bid price. No other charges may be added to the bid price when invoiced unless noted as an exception on the bid form. 5. NO PERSON has the authority to verbally alter these specifications. Any changes to Specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. 6. If any further information is needed concerning specifications, contact Commissioner Roger Galvan, Precinct 1,361-552-9242 Commissioner Vern Lyssy, Precinct 2,361-552-9656 Commissioner Neil Fritsch, Precinct 3,361-893-5346 Commissioner Kenneth Finster, Precinct 4, 361-785-3141 7. To request a bid package, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Peggy Hall 202 S. Ann St., Ste B Port Lavaca TX 77979 Phone: (361) 553-4610 Fax: (361) 553-4614 Email: peggy.hall@calhouncotx.org Page 1 of 5 I I I ". I GENERAL CONDITIONS OF BIDDING I i \ I I I , , FAILURE TO COMPLY WITH THESE GENERAL CONDITIONS OF BIDDING.MAY RESULT IN THE BID BEING DISQUALIFIED. 1. BIDDING .. Return: "Invitation to Bid Form" Eir Return: Product Data sheet(s) detailing each Insecticide that is being bid on Failure to return the product data sheet(s) may result in your bid(s) disqualified. Product Data Sheet details the product. A. All bids must be on the "Invitation To Bid Forms" furnished by the County Auditor's Office and must be written in ink or by typewriter. B. DUE - TIME AND DATE: Sealed bids must be in the office of the County Judge on or before 10:00 AM, Thursday, June 7, 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. A late delivery with an early postmark will not suffice. Be sure you have allowed ample time for postal delivery. The County will not be responsible for the delivery of your bid to the office of the County Judge. If you choose to send your bid by postal delivery, then it is recommended that you call the County Judge's office at 361-553-4600 to verify receipt of your bid prior to bid opening. Calhoun County does not accept faxed or emailed bids. All Bids are due on or before 10:00 AM, Thursday, June 7,2012 at the following address: Honorable MichaelJ Pfeifer Calhoun County Judge 211 S Ann St Third Floor, Room 301 Port Lavaca TX 77979 IiF Mark the outside of the sealed 9 x 12 or Jarfler enveJooe: Sealed Bid - Insecticides for Mosquito Control If you send your bid by UPS, FEDEX, etc, the outside of this envelope must be marked "Sealed Bid -Insecticides for Mosquito Control" '- C. WITHDRA W AL OF BID: A bidder may withdraw their bid before County acceptance of the bid without prejudice to himself/herself, by submitting a written request for its withdrawal to the County Judge. Page 2 of5 I. F. Bids should show unit price. All charJ!es must be included in bid price. No other char2:es may be added to the bid price when invoiced unless noted as an exception on the bid form. No change in price will be considered after bids have been opened. Bidders are invited to be present at the opening of bids on Thursday, June 7, 2012 at 10:00 AM in the Judge's office, 211 S Ann St, 3rd Floor, Room 301, Port Lavaca, TX 77979. Bids will be considered for award on Thursday, June 14,2012. D. E. 2. BIDS: Bids are for a six (6) month period beginning July 1,2012 and ending December 31,2012. 3. BID FORMS: The "Invitation to Bid Form" must be signed and dated by an officer (or employee) who is authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Vendor, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. 4. EXCEPTIONS: If exceptions are being taken to any part of specifications, have them listed on the Invitation to Bid Form or on your letterhead and manuallv sign it. 5. TAXES: The County is exempt from Federal Excise Tax and State Sales and Use Tax. The bid price must not include the above mentioned taxes. 6. AWARD Commissioners' Court reserves the right to waive technicalities, reject any or all bids, to accept the bid deemed most advantageous to Calhoun County and to be the sole judge in determining which bids will be most advantageous to Calhoun County. In the event of tie bids, the winning bid is determined per the Texas Local Government Code 262.027(b). 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. 7. DELIVERIES: A. Unless otherwise stated in the bid form or specifications, deliveries must consist only of new and unused merchandise. Page 3 of 5 I _ I B. In the event that the deliveries of the supplies or products covered in the propos.al are not made within the number of days specified, or in the event that t~e ~upphes or products delivered are rejected, an~ are ~ot remo.ved. and replaced wIthm the number of days specified in the officIal notice of reJection, the County reserves the right to purchase said supplies from the next lowest bidder who meets t~e specifications. Upon any such breach of contract, the Coun~y reserves the nght to proceed against the successful bidder and/or the surety on hIS bond for any and all damages occasioned by the breach. 8. REJECTIONS: Articles not in accordance with samples and specifications must be removed by the bidder at his expense. All disputes concerning quality of supplies delivered under this proposal will be determined by Commissioners' Court or their designated representative. 9. BILLING: All bills are subject to approval by the Auditor's office. Payment of all invoices will be made after the delivery and inspection of the item or items are satisfactory to the County and the purchase order and invoice are properly and timely submitted to the Treasurer's office by the appropriate County Department. Commissioners' Court meet the 2nd and 4th Thursday of each month to approve bills. Each County Department is responsible for submitting their purchase orders for payment and the purchase orders are due by 3 :00 PM in the Treasurer's Office the Thursday before each Commissioners' Court Meeting. No payment can be mailed out until approved by Commissioners' Court. 10. CONDITIONS PART OF BID: The general conditions of bidding defined herein shall be a part of the attached bid. 11. CONTRACT: A. No formal contract will be executed. The following will comprise the contract between the County and the successful bidder. 1. General Specifications 2. General conditions to bidding 3. The signed Invitation To Bid Form with bid amount 4. Letter awarding the bid B. In case of conflict, the specifications shall be controlling. 12. OSHA REQUIREMENTS: The vendor or contractor hereby guarantees to the County of Calhoun, Texas that all material, supplies and equipment as listed on the proposal, contract or purchase order meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Page 4 of 5 ~ 13. PROTEST PROCEDURES: Any actual or prospective bidder or proposer who believes they are aggrieved in connection with or pertaining to a bid or proposal may file a protest. Th~ protest mu~t be delivered in writing to the Auditor's Office, in person or by certified mall return receIpt requested prior to award. The written protest must include: 1. Name, mailing address and business phone number of the protesting party; 2. Appropriate identification of the bid or proposal being protested; 3. A precise statement of the reasons for the protest; and 4. Any documentation or other evidence supporting the protest and any alleged claims. The Auditor's Office will attempt to resolve the protest, including at the Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. If additional information is desired, Commissioners' Court may notify the necessary party or parties to the protest to provide such information. The decision of Commissioner's Court will be final. 18. PUBLIC INFORMATION ACT: A. All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. B. To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S. Ann St., Ste B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org Page 5 of 5 INVITATION TO BID Notice is hereby given that the County of Calhoun, Texas will receive bids for the following items: (1) ASPHALTS, OILS & EMULSIONS (2) ROAD MATERIALS (3) INSECTICIDES All three bid items are for the period beginning July 1,2012 and ending December 31,2012, SEALED BIDS are DUE in the Judge's office on or before 10:00 AM, Thursday, June 7, 2012. MailinglPhysical Address: Michael J Pfeifer, Calhoun County Judge, 211 S Ann St, 3rd Floor, Rm 301, Port Lavaca, TX 77979 Bid packages may be obtained from the Calhoun County Auditor's Office, Courthouse Annex 11,202 S, Ann St., Ste B, Port Lavaca, TX 77979 or by calling Peggy at 361-553-4610 or email: peggy,hall@calhouncotx.org, Commissioners' Court reserves the right to waive technicalities, reject any or all bids, to accept the bid deemed most advantageous to Calhoun County and to be the sole judge in determining which bids will be most advantageous to Calhoun 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. CINDY MUELLER, COUNTY AUDITOR CALHOUN COUNTY, TEXAS APPROVE SPECIFICATIONS AND AUTHORIZE THE COUNTY AUDITOR TO ADVERTISE FOR BIDS FOR ROAD MATERIALS: Cindy Mueller, Calhoun County Auditor, requested Commissioners Court approve specifications and authorize the County Auditor to advertise for bids for road materials for the period beginning the 1st day of July 2012 and ending the 31st day of December 2012. Bids will be due Thursday, the 7tn day of June 2012 and considered for award on Thursday, the 14th day of June 2012. A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY CALHOUN COUNTY COURTHOUSE ANNEX II - 202 S ANN ST PORT LA V ACA, TEXAS 77979 (361) 553-4610 <6' MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE ~ PEGGY HALL DATE: RE: AGENDA ITEM - APRIL 26,2012 AGENDA ITEM THURSDAY, APRIL 26, 2012 ~ Consider an~ take necessary action to approve specifications and authorize the County AudItor to a~vertise for bids for Road Materials for the period beginning July 1, 2?12 and endmg December 31, 2012. Bids will be due Thursday, June 7, 2012 and consIdered for award on Thursday, June 14,2012. (CM) . .' llER lOR s lUCY M DID. CPA 1ST ASSISTANT AUDITOR April 26, 2012 202 S ANN irE B PORT lAVACA, TEUS 17919 TELEPHONE 13611 553-4610 FU 13611 553-4614 PEGGY HAll CRISTINA P TUAZON CANDICE A FALTESEI ASSISTANT AUDITORS Re: ROAD MATERIALS Please find the following information enclosed. . Return Instructions · Invitation To Bid Form (Return this form and Product Data Sheet for each item bidding on) w RETURN the original {(Invitation To Bid Form" AND the Product Data Sheet/or each item you are bidding on in a sealed 9 x 12 or larger envelope. (Product Data Sheet details the product ingredients.) go The outside o/the sealed envelope must be marked: {(Sealed Bid-Road Materials" e All Road Material Bids may be returned in one sealed envelope e1fyou send your bid by UPs, FEDEX, etc, the outside of this envelolJe must be marked "Sealed Bid - Road Materials, " · Specifications for Road Materials (Do Not Return with Bid) · General Conditions of Bidding (Do Not Return with Bid) · Copy of ad - "Invitation to Bid" (Do Not Return With Bid) If you have questions on the road material item(s), please contact one of the Commissioners at the following numbers: Roger Galvan, Commissioner, Precinct #1: Vern Lyssy, Commissioner, Precinct #2: Neil Fritsch, Commissioner, Precinct #3: Kenny Finster, Commissioner, Precinct #4 361-552-9242 361-552-9656 361-893-5346 361-785-3141 Questions regarding the bid Packages can be answered by calling Peggy at 361-553-4610 in the County Auditor's Office, Courthouse Annex II, 202 S. Ann St, Ste B, Port Lavaca, TX 77979 (Email: peggv.hall@calhouncotx.org). PEGGY HALL CRISTINA P TUUON CANDICE A FALTESEK ASSISTANT AUDITORS lUCY M 010. CPA 1ST ASSISTANT AUDITOR April 26, 2012 202 SANN EI PORT lAVACA, TEXAS n9l9 TElEPHONE (3611 553-4610 FAX (3611 553-4614 RETURN INSTRUCTIONS When Submitting a Bid for Road Materials RETURN THE FOLLOWING INFORMATION FOR EACH BID ITEM: DO NOT FOLD Bid(s) or Data Sheet(s) Submit Bid(s) in a 9 X 12 or larger envelope Return the followinQbv 10:00 AM. Thursdav. June 7. 2012 ~ Invitation To Bid Form ~ Product Data Sheet All Road Material Bids may be returned in the same sealed envelope. Do Not Fold any information. Bid(s) must be returned in a sealed 9 x 12 or larger envelope clearly marked: ltSealed Bid - Road Materials". If you send your bid(s) by UPS, FEDEX, etc, the outside of this envelope must be marked ltSealed Bid - Road Materials". Bids are due on or before 10:00 AM, Thursday, June 7, 2012 at the following address: Michael J Pfeifer Calhoun County Judge 211 S Ann St 3rd Floor, Room 301 Port Lavaca TX 77979 -. SPECIFICATIONS FOR ROAD MATERIALS 1. The County of Calhoun is requesting sealed bids for Road Materials as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area or Jobsites Precinct #2, Six Mile Area or Jobsites Precinct #3, Olivia Area or Jobsites Precinct #4-P, Port O'Connor Area or Jobsites Precinct #4-S, Seadrift Area or Jobsites 2. The bid shall be in effect for a period of Six (6) Months Beginning June 1,2012 and Ending December 31,2012. 3. Materials shall meet or exceed TDOT Specifications for construction of highways, roads and bridges. Calhoun County Specifications for Road Materials, Specifications on the Invitation To Bid Form and General Conditions of Bidding must also be met/followed. The Bid Items are: - Item 350, Type D (Hot-Mix Cold Laid Asphaltic Concrete Pavement) -Item 330, Limestone Rock Asphalt -Item 332, Limestone Rock Asphalt -Item 330, Type D (Pre-Mix Limestone) -Item 304, Type PE (Topping Rock), Grade 4 -Item 302, Type PE (Topping Rock), Grade 3 -Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) -Item 249, Type A Limestone, Grade 3 [1 ~ Inch] -Type PB (Topping Rock), Grade 4 -Limestone-3/4 Inch to Dust -Fly Ash Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. -Bottom Ash Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. ~ Bid Items continued on page 2 Page 1 of7 -Fly AshlBottom Ash (Petcoke Fly Ash;Circulating Fluidized Bed(CFB)Combustion Ash) Product Ingredients: Components: Calcium Sulfate 40-6?%,. CAS N~ber ~778-18-9; GHS Classification-Not Hazardous According to GHS cntena; CalcIum OXIde 30-50 lIo, CAS Number 1305-78-8, GHS Classification-Corrosive 1 B H3314; Carbon 5:0' .CAS Number 7440-44-0 GHS Classification-Not Hazardous According to GHS cntena; Silicon Dioxide <5%, CAS Number 14808-60-7, GHS Classification-Carc. lA, STOT- RE2; H350, H373; Magnesium Oxide <4%, CAS Number 1309-48-4, GHS Classification-Not Hazardous According to GHS criteria. Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing pla~t, termi~al,. . shipping container and any other source they deem necessary to Insure relIabIlIty of the product. , \ \ ~ -Top Wash Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. -Topping Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. 4. Delivery shall be FOB Destination to Jobsite. All charf!es must be included in bid price. No other chare:es may be added to the bid price when invoiced unless noted as an exception on the bid form. 5. Regarding all bid items: Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product(s). 6. NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. 7. If any further information is needed concerning specifications, contact Commissioner Roger Galvan, Precinct 1, 361-552-9242 Commissioner Vern Lyssy, Precinct 2,361-552-9656 Commissioner Neil Fritsch, Precinct 3, 361-893-5346 Commissioner Kenneth Finster, Precinct 4, 361-785-3141 Page 2 of7 .. 8. To request a bid package, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Peggy Hall 202 S Ann St, Ste B Port Lavaca TX 77979 Phone: (361) 553-4610 Fax: (361) 553-4614 Email: peggy.hall@calhouncotx.org Page 3 of7 ~ GENERAL CONDITIONS OF BIDDING FAILURE TO COMPLY WITH THESE GENERAL CONDITIONS OF BIDDING MAY RESULT IN THE BID BEING DISQUALIFIED. 1. BIDDING IF Return: "Invitation To Bid Form" IF Return: Product Data Sheet(s) detailing each product that is being bid on Failure to return the product data sheet(s) may result in your bid(s) being disqualified. Product Data Sheet details the product. A. All bids must be on the "Invitation To Bid Forms" furnished by the County Auditor's Office and must be written in ink or by typewriter. B. DUE - TIME AND DATE: Sealed bids must be in the office of the County Judge on or before 10:00 AM, Thursday, June 7, 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. A late delivery with an early postmark will not suffice. Be sure you have allowed ample time for postal delivery. The County will not be responsible for the delivery of your bid to the office ofthe County Judge. If you choose to send your bid by postal delivery, then it is recommended that you call the County Judge's office at 361-553-4600 to verify receipt of your bid prior to bid opening. Calhoun County does not accept faxed or emailed bids. All Bids are due on or before 10:00 AM, Thursday, June 7, 2012 at the following address: Honorable Michael J Pfeifer Calhoun County Judge 211 S Ann St 3rd Floor, Room 301 Port Lavaca TX 77979 Ii;=" Mark the outside of the sealed 9 x 12 or larger envelope: Sealed Bid - Road Materials If you send your bid by UPS, FEDEX, etc, the outside of this envelope must be marked "Sealed Bid - Road Materials." Page 4 of7 C. WITHDRA W AL OF BID: A bidder may withdraw their bid before County acceptance of the bid without prejudice to himself/herself, by submitting a written request for its withdrawal to the County Judge. D. Bids should show unit price. All CharJ!es must be included in bid price. No other chare:es may be added to the bid price when invoiced unless noted as an exception on the bid form. E. No change in price will be considered after bids have been opened. F. Bidders are invited to be present at the opening of bids on Thursday, June 7, 2012 at 10:00 AM in the Judge's office, 211 S Ann St, 3rd Floor, Room 301, Port Lavaca, TX 77979. Bids will be considered for award on Thursday, June 14,2012 during Commissioners' Court. 2. BIDS: Bids are for a six (6) month period beginning June 1,2012 and ending December 31, 2012. 3. BID FORMS: The "Invitation to Bid Form" must be signed and dated by an officer (or employee) who is duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Vendor, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid 4. EXCEPTIONS: If exceptions are being taken to any part of specifications, have them listed on the Invitation to Bid Form or on your letterhead and manually sign it. 5. TAXES: The County is exempt from Federal Excise Tax and State Sales and Use Tax. The bid price must not include the above mentioned taxes. 6. AWARD Commissioners' Court reserves the right to waive technicalities, reject any or all bids, to accept the bid deemed most advantageous to Calhoun County and to be the sole judge in determining which bids will be most advantageous to Calhoun County. In the event of Tie Bids, the winning bid is determined per the Texas Local Government Code 262.027(b). 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. Page 5 of7 7. DELIVERIES: A. Unless otherwise stated in the bid form or specifications, deliveries must consist only of new and unused merchandise. B. In the event that the deliveries of the supplies or products covered in the proposal are not made within the number of days specified, or in the event that the supplies or products delivered are rejected, and are not removed and replaced within the number of days specified in the official notice of rejection, the County reserves the right to purchase said supplies from the next lowest bidder who meets the specifications. Upon any such breach of contract, the County reserves the right to proceed against the successful bidder and/or the surety on his bond for any and all damages occasioned by the breach. 8. REJECTIONS: Articles not in accordance with samples and specifications must be removed by the bidder at his expense. All disputes concerning quality of supplies delivered under this proposal will be determined by Commissioners' Court or their designated representative. 9. BILLING: All bills are subject to approval by the Auditor's office. Payment of all invoices will be made after the delivery and inspection of the item or items are satisfactory to the County and the purchase order and invoice are properly and timely submitted to the Treasurer's office by the appropriate County Department. Commissioners' Court meet the 2nd and 4th Thursday of each month to approve bills. Each County Department is responsible for submitting their purchase orders for payment and the purchase orders are due by 3:00 PM in the Treasurer's Office the Thursday before each Commissioners' Court Meeting. No payment can be mailed out until approved by Commissioners' Court. 10. CONDITIONS PART OF BID: The general conditions of bidding defined herein shall be a part of the attached bid. 11. CONTRACT: A. No formal contract will be executed. The following will comprise the contract between the County and the successful bidder. 1. Specifications for Road Materials 2. General conditions to bidding 3. The signed Invitation To Bid Form with bid amount 4. Letter awarding the bid B. In case of conflict, the specifications shall be controlling. Page 60f7 12. OSHA REQUIREMENTS: The vendor or contractor hereby guarantees to the County of Calhoun, Texas that all material, supplies and equipment as listed on the proposal, contract or purchase order meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. 13. PROTEST PROCEDURES: Any actual or prospective bidder or proposer who believes they are aggrieved in connection with or pertaining to a bid or proposal may file a protest. The protest must be delivered in writing to the Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: 1. Name, mailing address and business phone number of the protesting party; 2. Appropriate identification of the bid or proposal being protested; 3. A precise statement of the reasons for the protest; and 4. Any documentation or other evidence supporting the protest and any alleged claims. The Auditor's Office will attempt to resolve the protest, including at the Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. If additional information is desired, Commissioners' Court may notify the necessary party or parties to the protest to provide such information. The decision of Commissioner's Court will be final. 18. PUBLIC INFORMA nON ACT: A. All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. B. To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S Ann St, Ste B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org Page 7 of7 PLEASE NOTE: On the Invitation To Bid Forms, under Department and Destination columns, the Precincts are not listed in numerical order by Precinct. The Precincts are listed in alohabetical order bv area. Precinct 1 Precinct 3 Precinct 4-P Precinct 4-5 Precinct 2 Fairgrounds Area Olivia Area Port O'Connor Area 5eadrift Area Six Mile Area Be very careful when submitting bids. Precinct 2 is listed last. CALuOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A TION TO BID BIDDER BID ITEM ITEM 350, TYPE D (HOT-MIX COLD LAID ASPHALTIC CONCRETE PAVEMENT) PERIIIIFROM: JULY 1, 2012 PERIIO TO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- l'TEM 350, TYPE D (HOT-MIX COLD LAID ASPHAL TIC I CONCRETE PAVEMENT) BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 350, TYPE 0 (HOT-MIX COLD LAID ASPHALTIC CONCRETE PAVEMENT) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTlNA TION DELIVERY UIIl UIIlPRg PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORIZED SIGNATURE TITLE: PRINT NAME: DATE OF HII: TELEPHONE and EMAIL: PLEASE UST ANY EXCEPTIONS TO SPECflCA TIONS: CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INUIT A TION TO BID BIDDER BID ITEM l'TEM 330, LIMESTONE ROCK ASPHALT I pmIlJOFBOM: JULY 1, 2012 PEBIODTD: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 330, LIMESTONE ROCK ASPHAL T BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14,2012 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER, THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS No FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS, ----------------------------------------------- SPECIFICATIONS: ITEM 330, LIMESTONE ROCK ASPHALT Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY 11II1 IIII1P. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORlZm SIGNATURE TITLE: PRINT NAME: DATE OF 8B1: TELEPHONE and EMAIl: PLEASE LIST ANY EXCEPTIONS TO SPECRATIONS: CALHOUN COUNTY, TEXAS BID SHEET - titOAO MATERIALS I INVIT A liON TO BID BIDDER BID ITEM liTEM 332, LIMESTONE ROCK ASPHALT I PERIOOFROM: JULY 1, 2012 PERIOOTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- !iTEM 332, L1MEST.ONE ROCK ASPHAL T BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS, ----------------------------------------------- SPECIFICATIONS: ITEM 332, LIMESTONE ROCK ASPHALT Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY IDIl IDIlPR6E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORum SINA TURE TITLE: PRINT NAME: DATE OF om: TELEPHONE and EMAII.: PLEASE UST ANY EXCEPTIINS TO SPECIn:ATIONS: CALHOUN COUNTY, TEXAS 810 SHEET-IRnAD MATERIALS I INVII A liON 10 BID BIDDER BID ITEM l'TEM 330, TYPE D (PRE-MIX LIMESTONE) ~ PERIODFROM: JULY 1, 2012 PERIODTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 330~ TYPE 0 (PRE-MIX LIMESTONE) BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 330, TYPE D (PRE-MIX LIMESTONE) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY lIlT UIIl PRI:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORIZED SIGNATURE TITLE: PRINT NAME: DATE OFBUJ: TELEPHONE and EMAIl.: PlIASE UST ANY EXCEPTIONS TO SPECRATIONS: CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A liON TO BID BIDDER BID ITEM l'TEM 304, TYPE PE (TOPPING ROCK), GRADE 4~ pmIOOFROM: JULY 1, 2012 PERI8DTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- liTEM 304, TYPE PE (TOPPING ROCK), GRADE 4 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 304, TYPE PE (TOPPING ROCK), GRADE 4 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY ///IT ///ITP. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORlZm SIGNATURE TITLE: PRINT NAME: DATE OF BID: TELEPHONE and EMAlL: PLEASE O8T ANY EXCEPTIONS TO SPECIICA TIONS: CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS I INVII A liON TO BID BIDDER BID ITEM liTEM 302, TYPE PE (TOPPING ROCK), GRADE 3~ PERIOOFROM: JULY 1,2012 PERIOD TO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 302, TYPE PE (TOPPING ROCK), GRADE 3 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AW ARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, JUNE 14, 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 TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 302, TYPE PE (TOPPING ROCK), GRADE 3 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UII1 UII1 PI/6 PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORlZm SINA TURE TITLE: PRINT NAME: DATE OF BIJ: TELEPHONE and EMAIl: PLEASE UST ANY EXCEPTIONS TO SPECRATIINS: CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVII A liON TO BID BIDDER BID ITEM ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) PERIOD FRDM: JULY 1,2012 PERIUOTD: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- lITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), I GRADE 3:(MIN PI 6) BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ---------------------------~------------------- SPECIFICATIONS: ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl UIIlPag PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHDRlZm SIGNATURE TITLE: PRINT NAME: DATE OF 8HJ: TELEPHONE and EMAIl; PLEASE LIST ANY EXCEPTIONS TO SPECIFICA TlUNS: CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A liON TO BID BIDDER BID ITEM ITEM 249, TYPE A LIMESTONE, GRADE 3 [11/2 INCH] PERIOD FROM: JULY 1, 2012 PERIOD TO: DECEMBER 31,2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LA V ACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCH] I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCH] Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY DIIT UllTP_ PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORlZm SIGNA JURE TITLE: PRINT NAME: DATEOFBIJ: TELEPHONE and EMAIL: PLEASEUSJANYEXCEPnoNSJOSPECmcAJION~ CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A TION TO BID BIDDER BID ITEM ITYPE PB (TOPPING ROCK), GRADE 4 I pmlOD FROM: JULY 1, 2012 PERIODTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- I TYPE PB (TOPPING ROCK), GRADE 4 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: TYPE PB (TOPPING ROCK), GRADE 4 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl UIIl PHIE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AumORlZm SIGNATURE TITLE: PRINT NAME: DA IE OF 811: TELEPHONE and EMAII.: PLEASE LIST ANY EXCEPTIONS TO SPECIFICA lIONS: CALHOUN COUNTY. TEXAS BID SHEET-IROAD MATERIALS I INVII A liON 10 BID BIDDER BID ITEM IlIMESTONE-3/4 INCH TO DUST ~ PERIOOfROM: JULY 1, 2012 PERlDTO: DECEMBER 31,2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I L1MESTONE-3/4INCH TO. DUST BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14,2012 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: L1MESTONE-3/4INCH TO DUST Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports, County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UII1 UII1 PIlE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, parfnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to 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. AUTHORlZm SIGNATURE TITLE: PRINT NAME: DATE OF BID: TELEPHONE and EMAIl: PLEASE UST ANY EXCEPTIINS TO SPECRATKlNS: CALHOUN COUNTY. TEXAS BID SHEET-loOAD MA TEOIALS I INVIT A TION TO BID BIDDER BID ITEM IFL V ASH I pmIIllFROM: JULY 1,2012 PERHlDTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- I FL Y ASH I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS, ----------------------------------------------- SPECIFICA TIONS: FLY ASH Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl UIIlP_ PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORum 81NA TURE TITLE: PRINT NAME: DATE OFBn TELEPHONE and EMAD.: PLEASE UST ANY EXCEPTHlNS TO 8PECIFICA THINS: CALHOUN COUNTY, TEXAS BID SHEET- lROAD MATERIALS I INVII A liON TO BID BIDDER BID ITEM ~BOTTOM ASH I pmlOD FROM: JULY 1, 2012 PERHlDTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- I BOTTOM ASH BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA TlONS: BOTTOM ASH Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UII1 UII1 PIllE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD The undersigned affirms that they are duly 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 of this bid as to 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. AumORlZm SIGNATURE nUE: PRINT NAME: DATE OF Oil: TELEPHONE and EMAIL: PLEASE LIST ANY EXCEPTmNS TO SPECIFICATIONS: CALHOUN COUNTY, TEXAS om SHEET -IROAD MATERIALS I IIVlI A liON TO BID BIDDER BID ITEM FLY ASH/BOTTOM ASH (PETCOKE FLY ASH; CIRCULATING FLUIDIZED BED (CFB) COMBUSTION ASH) PERIOOFROM: JULY 1,2012 PERIOD TO: DECEMBER 31,2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- Y ASH/BOTTOM ASH (PETCOKE FL Y ASH; I RCULA TING FLUIDIZED BED ICFBl COMBUSTION ASHl BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: FLY ASH/BOTTOM ASH (PETCOKE FLY ASH; CIRCULATING FLUIDIZED BED (CFB) COMBUSTION ASH) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports, County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY IIIIl IIIIl PR~ PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly 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 of this bid as to 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. AumORlZm SIGNATURE TRLE: PRINT NAME: DATE OF BII: TELEPHONE and EMAIL: PUASEUSTANYEXCEPTmNSTOSPECmEATION~ CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVII A liON TO BID BIDDER BID ITEM ITOP WASH I PERIllO FROM: JULY 1, 2012 PERI8DTO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- I TOP WASH BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER, THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA nONS: TOP WASH Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIT UllTP. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD The undersigned affirms that they are duly 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 of this bid as to 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. AmORlZm SIGNATURE TITLE: PRINT NAME: DA IE OF 8B1: TELEPHONE and EMAIL: PLEASE LIST ANY EXCEPTIONS TO SPECIFICATIONS: -, CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS INVIT A liON 10 BID I BIDDER BID ITEM ~TOPPING I pmIIlDFROM: JULY 1,2012 PERIOD TO: DECEMBER 31, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 810- I I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JUNE 7,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JUNE 14, 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 TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER, THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: TOPPING Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY 11II1 11II1 PHil PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD The undersigned affirms that they are duly 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 of this bid as to 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. AUTHORlZm SIGNATURE TffLE: PRINT NAME: DATEOFBII: TELEPHONE and EMAIl: PLEASE UST ANY EXCEPTnJNS TO SPECIICATIONS: INVITATION TO BID ~~ Notice is hereby given that the County of Calhoun, Texas will receive bids for the following items: (1) ASPHALTS, OILS & EMULSIONS (2) ROAD MATERIALS (3) INSECTICIDES All three bid items are for the period beginning July 1, 2012 and ending December 31, 2012. SEALED BIDS are DUE in the Judge's office on or before 10:00 AM, Thursday, June 7, 2012. MailinglPhvsical Address: Michael J Pfeifer, Calhoun County Judge, 211 S Ann St, 3rd Floor, Rm 301, Port Lavaca, TX 77979 Bid packages may be obtained from the Calhoun County Auditor's Office, Courthouse Annex 11,202 S, Ann St" Ste B, Port Lavaca, TX 77979 or by calling Peggy at 361-553-4610 or email: peggv.hall@calhouncotx,org, Commissioners' Court reserves the right to waive technicalities, reject any or all bids, to accept the bid deemed most advantageous to Calhoun County and to be the sole judge in determining which bids will be most advantageous to Calhoun 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, CINDY MUELLER, COUNTY AUDITOR CALHOUN COUNTY, TEXAS APPROVE ADDENDUM 1 TO THE RESIDENT BANKING SOFTWARE, COMMISSARY SERVICE & FIDUCIARY MANAGEMENT SERVICES BID: The Addendum #1 Calhoun County, Texas Adult Detention Center Request for Bid Resident Banking Software, Commissary Service & Fiduciary Management Services was submitted to Calhoun County regarding the bid for Resident Banking Software, Commissary Service a& Fiduciary Management Services for the Adult Detention Center. A List of all the Commissary Items were included as well as Monthly Sales for January 2011 through December 2011. The Current Contract was attached that was dated and signed between Calhoun County Judge, Michael J. Pfeifer and Keafe Commissary Network on the 20th day of May 2009. A Motion 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 ~ MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE ~ PEGGY HALL DATE: April I?, 2012 RE: AGENDA ITEM - APRIL 26,2012 AGENDA ITEM THURSDAY, APRIL 26,2012 ~ Cons~der and take necessary action to approve Addendum 1 to th R 'd t Bankm S :ft C' '. e eSI en g 0 ware, om!ll1Ssary ServIce & FIduciary Management Services bid. (CM) ~ ADDENDUM #1 Calhoun County, Texas Adult Detention Center Request for Bid Resident Banking Software, Commissary Service & Fiduciary Management Services The following questions have been submitted to Calhoun County regarding the bid for Resident Banking Software, Commissary Service & Fiduciary Management Services for the Adult Detention Center. 1. What is the facility bed capacity? 144 Beds 2. Are you currently a retail account (does the facility receive a commission check from the current commissary provider)? Yes 3. Can the facility provide a current copy of the menu? Yes - See Attached list of Commissary Items - Sales Tax Rate should be 0.0825 (8,25%) 4, Is the facility requesting a clerk to manage commissary, inmate's accounts and or checkbook? No 5. Is the facility looking for indigent packs within the scope of service? No, not at this time 6. What JMS System (Jail Management System) is the facility currently using? Southern Software 7. What phone provider is the facility using? Securus 8. Does the facility currently charge the inmates receivables? Inmate accounts are charged upon placement of commissary orders 9, Can the facility provide a sales average report for the last year (4/1/2011 to 4/1/2012)? See Attached Monthly Sales January 2011 thru December 2011 10, Can we take a tour of the facility? Yes, Must be scheduled with Lt. Musgrave in advance (361-553-4481) 11. What is the current commission rate the facility is receiving from it commissary provider? See Attached Current Contract 12. Are you requesting an on-site store (related to inventory reporting)? No 13. Who is your current commissary provider? Keefe Commissary Network I ' List of Commissary Items Sales Tax Rate should be 8.25% I ., Items List With Price and Tax \ as of 4/13/2012 \ I Max Qtv Item Price Tax Rate Tax Amount I Alias Item Description UNASSIGNED ORDER FORM 40Z SHAMPOO 0 1.00 0,08 0,08 0001 0 1.00 0.08 0.08 0002 40Z CONDITIONER 2,65 0.08 0,22 0015 SUAVE SHAMPOO 150Z 0 4.15 0.00 0,00 0030 SULFUR 8 SHAMPOO 0 0036 D&L PERM CREAM RLXR KIT 0 10.25 0.08 0,85 0050 HAIRDRESS 5 OZ 0 2.10 0.08 0,17 0051 HAIRDRESS & PRESS OIL 0 2.10 0.08 0.17 0055 PRO GLO GEL POMADE 0 2,10 0,08 0.17 0068 LUSTER PINK OIL MOIST 80Z 0 5.40 0.08 0.45 0098 2 OZ UNSCENTED CLR DEOD 0 1.60 0.08 0.13 0106 P-UP WOMENS AlP DEODORANT 0 2.95 0.08 0.24 0107 P-UP COOL ZONE DEODORANT 0 2.95 0.08 0,24 0200 40Z BABY POWDER 0 1.35 0.08 0.11 0205 40Z BABY OIL 0 1.15 0.08 0,09 0210 40Z SKIN CARE LOTION 0 0.95 0.08 0.08 0214 COCOA & SHEA COND LOTION 0 2.50 0,08 0,21 0220 10Z PETROLEUM JELLY 0 1.15 0,08 0,09 0240 GEN STRIDEX(HTG SKIN CRM) 0 2,00 0.00 0,00 0242 ACNE TREATMENT CREME 0 3.25 0,00 0,00 0251 GEN TINACTIN(TOLNAFT CRM) 0 2.05 0.00 0,00 0270 CHAPSTICK 0 1.25 0.08 0,10 0320 REG MAGIC CREAM SHAVE 0 3,80 0,08 0.31 0331 PRO- TECTION SHAVE CREAM 0 1.90 0.08 0.16 0355 SHAMPOO W/ALOE-GINSENG 0 2,80 0,08 0.23 0357 DAIL Y SHAMPOO W /ECLP MINT 0 2,95 0,08 0,24 0358 CONDITIONER-ALMOND/SHEA 0 2,95 0,08 0.24 0362 DANDRUFFSHAMPMLMNDSHEA 0 4,50 0,00 0,00 0363 STYLING GEL W/ALOE VERA 0 2,50 0,08 0.21 0367 THERAPY BODY LTN W/SHEA 0 2.25 0,08 0.19 0416 DIAL BODYW ASH 0 5,50 0,08 0.45 0452 CRAWFORD CLEAR SHOWER GEL 0 1.60 0,08 0.13 0500 80Z MOUTHWASH MINT (NON-A 0 1.60 0,08 0.13 0520 COLGATE TOOTHPASTE 0 2.75 0.08 0,23 0530 COOL WAVE CLR TOOTHPASTE 0 2.25 0.08 0.19 0557 ANTISHANK TOOTHBRUSH 0 0.80 0,08 0.07 0580 TOOTHBRUSH HOLDER 0 0,55 0,08 0.05 0595 2,50Z EFFERGRIP 0 4,00 0,08 0.33 0640 TUMS 3ROLL PACK - ORIGNAL 0 2,75 0.08 0,23 0641 ROLAIDS ORIGINAL FLAVOR 0 0,95 0,08 0,08 0645 2PK ALKA SELTZER 0 0,70 0.08 0,06 0671 GEN CGH DROPS-CHRY 30/CT 0 1.50 0.08 0.12 0710 TAMPONS IBX 0 7.50 0,08 0.62 0711 SANITARY NAPKINS lO/BOX 0 3.45 0.00 0.00 0720 FOOT POWDER 0 2,90 0,08 0,24 0800 5 INCH COMB 0 0.50 0,08 0.04 0815 HAIRBRUSH W/O HANDLE 0 1.50 0,08 0,12 0821 PALM BRUSH 0 0,50 0.08 0.04 0854 FOAM ROLLERS LRG. 0 2.00 0.08 0.17 0966 LOVE CARD 0 1.55 0.08 0,13 1001 LARGE STAMPED ENVELOPE 0 0.58 0,00 0,00 1004 (l/EA)ONE CENT STAMP 0 0,01 0,00 0.00 1010 #10 WHITE ENVELOPE 0 0.05 0,08 0,00 1015 MANILLA ENVELOPE 0 0.35 0,08 0,03 1049 1 EACH 1 ST CLASS STAMP 0 0.45 0.00 0.00 1050 BOOK OF TEN STAMPS 0 4,50 0,00 0,00 1060 8,5 X 11 LETTER PAD WHT 0 1.35 0,08 0.11 Max Qtv Item Price Tax Rate Tax Amount ~lias Item Descriotion 0 2.70 0.08 0,22 1072 DOCUMENT FILE 0 0,50 0,08 0,04 1085 BEVELED ERASER 0 3.60 0.08 0.30 1086 POCKET DICTIONARY II 0 0,40 0,08 0.03 1Q89 PEN CLEAR (BLACK INK) 0 0.40 0,08 0.03 1090 PEN CLEAR (BLUE INK) 0 1.55 0,08 0.13 1100 BIRTHDAY CARD 0 1.55 0,08 0,13 1110 FRIENDSHIP CARD - ACETATE 0 1.55 0.08 0,13 1115 ANNIVERSARY CARD 0 1.55 0.08 0.13 1120 THANK YOU CARD 1.55 0.08 0.13 1121 SEASONAL GREETING CARD 0 2,25 0,08 0.19 1300 PLAYING CARDS 0 1310 DOUBLE SIX DOMINOES 0 4.00 0,08 0.33 1321 CHESS&CHECKER COMBO 0 8,50 0,08 0.70 1327 UNO 0 7.25 0,08 0.60 1400 BOWL 0 0.95 0,08 0,08 1412 INSL TD COFFEE MUG/LID 0 1.95 0.08 0,16 1415 PLASTIC CUP 220Z 0 0.85 0,08 0,07 1417 SPOON (PLASTIC) 0 0.10 0.08 0,01 1438 FRESHCENT ALL IN ONE 0 1.25 0,08 0,10 1455 SM DLX VELCRO SLIP-ON 0 3,50 0.08 0.29 1456 MED DLX VELCRO SLIP-ON 0 3,50 0.08 0.29 1457 LRG DLX VELCRO SLIP-ON 0 3.50 0,08 0.29 1458 XLRG DLX VELCRO SLIP-ON 0 3,50 0.08 0.29 1464 LEMON DlSW ASHING LIQUID 0 2.00 0,08 0.17 1504 SMALL T-SHIRT 0 3.75 0.08 0.31 1505 MED T-SHIRT 0 3,75 0.08 0.31 1506 LG T-SHIRT 0 3,75 0.08 0.31 1507 XLG T-SHIRT 0 3.75 0.08 0.31 1508 XXLG T -SHIRT 0 5.75 0,08 0.47 1509 3X LARGE T-SHIRT 0 5,75 0,08 0.47 1510 T-SHIRT 4XLG 0 8.50 0,08 0,70 1514 MEN BRIEFS SMALL 0 2,75 0,08 0.23 1515 MEN BRIEFS MED 0 2,75 0,08 0,23 1516 MEN BRIEFS LRG 0 2.75 0,08 0.23 1517 MEN BRIEFS XL 0 2.75 0.08 0.23 1518 MEN BRIEFS 2XL 0 4.75 0.08 0.39 1529 SM BOXER SHORTS WHITE 0 4,00 0.08 0.33 1530 MED BOXER SHORTS WHITE 0 4,00 0,08 0.33 1531 LG BOXER SHORTS WHITE 0 4,00 0,08 0.33 1532 XLG BOXER SHORTS WHITE 0 4,00 0.08 0.33 1533 2XLG BOXER SHORTS WHT 0 6.00 0,08 0,50 1534 3XLG BOXER SHORTS WHT 0 6,00 0,08 0.50 1540 TUBE SOCK (ONE SIZE FITS 0 1.50 0,08 0,12 1550 MEN THERMAL TOP SMALL WHT 0 5.25 0.08 0.43 1551 MED THERMAL TOP 0 5.25 0,08 0.43 1552 LRG THERMAL TOP 0 5.25 0.08 0.43 1553 XL THERMAL TOP 0 5.25 0,08 0.43 1554 2XL THERMAL TOP 0 7.50 0.08 0,62 1555 3XL THERMAL TOP 0 7,50 0,08 0,62 1560 SMLTHERMALBOTTOMS 0 5,25 0,08 0.43 1561 MED THERMAL BOTTOMS 0 5.25 0.08 0.43 1562 LRG THERMAL BOTTOMS 0 5.25 0.08 0.43 1563 XLRG THERMAL BOTTOMS 0 5.25 0,08 0.43 1564 MEN THERMAL BOTTOM 2XLRG 0 7.50 0.08 0.62 1565 MEN 3XL THERMAL BOTTOM 0 7.50 0.08 0,62 1625 SPORTS BRA SMALL 0 8,00 0,08 0,66 1626 SPORTS BRA MEDIUM 0 8.00 0,08 0,66 1627 SPORTS BRA LARGE 0 8,00 0,08 0,66 1628 SPORTS BRA XLARGE 0 8.00 0.08 0,66 1650 SZ 6 WOMENS PANTIES 0 1.95 0,08 0,16 1651 SZ 8 WOMENS PANTIES 0 1.95 0,08 0,16 1652 SZ 10 WOMENS PANTIES 0 1.95 0.08 0,16 Max Qtv Item Price Tax Rate Tax Amount Alias Item Description -s- O 1.95 0,08 0.16 1653 SZ 11 WOMENS PANTIES 0 3.50 0,08 0.29 1697 WOMEN'S PANTIES 2XLG 0 0.45 0.00 0,00 2000 S.S. KEEFE COFFEE 0 4.35 0.00 0.00 2015 FD COFFEE CLRPKW/ZIP 30Z 0 4.50 0.00 0,00 2016 NESCAFE 40Z CLRPK W IZIP 0 0.40 0,00 0,00 2035 SALT 10PK 0 0.40 0,00 0.00 2036 PEPPER 10PK 0 2,25 0,00 0,00 2041 BC FRNCH V AN CAPPUCCNO 0 0.45 0.08 0.04 2070 S.S, HOT COCOA 0,75 0,00 0.00 2078 SUGAR 10/PACK 0 NON DAIRY CREAMER 10PK 0 0.75 0,00 0.00 2087 0.45 0.08 0.04 2100 N/S SS ORANGE DRNK 0 2105 N/S SS TEA WILEMON 0 0.45 0.08 0.04 2110 N/S S,S FRUIT PNCH 0 0.45 0.08 0,04 2120 N/S SS LEMONADE 0 0.45 0.08 0,04 2200 S.S. ORANGE BREAKFAST DRI 0 0.45 0,08 0,04 2205 S,S. TEA WILEMON 0 0.45 0,08 0,04 2210 S.S, FRUIT PUNCH 0 0.45 0,08 0.04 2214 10/PK SWEETMA TE PINK 0 0.75 0.08 0,06 2215 S,S. CHERRY DRINK 0 0.45 0,08 0,04 2220 S,S, LEMONADE 0 0.45 0,08 0,04 2311 60Z GRAPE KOOL-AID CLEAR 0 2,10 0.08 0,17 2330 60Z TR PUNCH KOOLAID CLR 0 2.10 0.08 0,17 2334 KOOL AID - CLR CHERRY 60Z 0 2.10 0.08 0,17 2664 MACARONI & CHEESE 3 OZ 0 1.35 0.00 0,00 2665 SPICY MAC & CHEESE 3 OZ 0 1.35 0,00 0.00 2666 CHEESY RICE 2 OZ 0 1.05 0,00 0,00 2667 SPICY CHEESY RICE 2 OZ 0 1.05 0.00 0.00 2668 CHEESY REFRIED BEANS 0 1.45 0,00 0,00 2669 SPICY CHEESY REFRID BEANS 0 1.45 0.00 0,00 2670 SPICY REFRIED BEANS&RICE 0 1.45 0.00 0,00 2775 BC SPICY GROUND BEEF 0 3.50 0,00 0.00 3004 ZC PB CREME COOKIES 6 OZ 0 1.45 0.08 0,12 3010 ZC SOFT CHOC CHIP COOKIES 0 0.90 0,08 0,07 3015 SOFT OATMEAL RAISIN COOKI 0 0.90 0.08 0.07 3020 OREO SANDWICH COOKIES 0 0,90 0.08 0.07 3030 ZC VNILLA CRM COOKIES 60Z 0 1.45 0.08 0.12 3031 ZC ORNG-PNAPPLE CRMS 60Z 0 1.45 0.08 0,12 3035 ZC CHOC CHIP COOKIES 60Z 0 1.45 0,08 0.12 3040 ZC ICED OA TML COOKIES 60Z 0 1.45 0,08 0.12 3045 ZC DUPLEX CREMES 60Z 0 1.45 0,08 0.12 3107 (BOX)SAL TINE CRACKERS 0 2.75 0,08 0,23 3114 SNACK CRACKERS (LIKE RITZ 0 2.85 0.08 0,24 3115 CHEEZ ITS CRACKERS 1.50Z 0 0.95 0.08 0,08 3124 PEANUT BUTTER CRKRS (SL V) 0 0.80 0,08 0.07 3130 CHEESE SAND CRKRS(SLEEVE) 0 0.80 0.00 0.00 3200 BANANA MARSHMALLOW PIE 0 0,85 0.08 0,07 3201 STRAWBERRY MOON PIES 0 0,85 0.08 0,07 3205 CHOCOLATE MARSHMALLOW PIE 0 0.85 0,08 0,07 3210 FUDGE BROWNIE 3,250Z 0 0,85 0,08 0,07 3226 ZC CHOCOLATE ICED ZU ZU 0 1.15 0.08 0,09 3230 (EA) ZC PB WAFERS 0 0,60 0,08 0.05 3231 (EA) ZC YUM YUM"S 0 0,50 0.08 0,04 3236 (EA) ZC SWISS ROLLS 0 0.60 0.08 0.05 3245 (EA)ZC D-DUNX 0,. 0,60 0,08 0,05 3248 ZC ICED SWIRL 0 1.15 0,08 0,09 3261 ZC MEGA BUNEEZ 0 1.15 0,08 0,09 3270 ZC CHOC CREME CUPCAKE 0 1.15 0.08 0.09 3274 ZC MONSTER ICED BUNEEZ 0 1.25 0.08 0.10 3291 ZC WHAM WHAMS 0 1.15 0.08 0,09 3295 ZC BLUEBERRY ZU ZU 6/PK 0 2,85 0,08 0.24 3500 BB HONEY 120Z CYLINDER 0 2,80 0.00 0.00 i \ Item Price Tax Rate Tax Amount \ ~lias Item Description Max Qtv I 0.08 0,70 5XL CREWNECK T-SHIRT 0 8.50 l 3652 0 1.10 0.08 0.09 4000 M&M PLAIN 0 1.10 0.08 0.09 4001 M&M PEANUT 0 1.10 0.08 0,09 4005 BUTTERFINGER 0 1.10 0,08 0,09 4010 SNICKERS BAR 0 1.10 0.08 0.09 4013 MILKY WAY CANDY BAR 0 1.10 0.08 0,09 4015 NESTLES CRUNCH 0 0,50 0,08 0,04 4019 CHICK 0 STICK 0 1.10 0.08 0,09 4032 THREE MUSKETEER BAR 1.10 0,08 0.09 4035 REESES P/BUTTER CUP 0 1.10 0,08 0.09 4036 HERSHEY"S CHOCOLATE BAR 0 4037 HERSHEY"S W/ALMONDS 0 1.10 0,08 0.09 4039 KIT KAT 0 1.10 0,08 0.09 4040 SKITTLES 0 1.10 0.08 0,09 4100 BUTTERSCOTCH BUTTONS 0 1.30 0.08 0,11 4103 BIT 0 HONEY 0 1.30 0.08 0.11 4110 LEMON DROPS 0 1.30 0,08 0.11 4120 ROOTBEER BARRELS 0 1.30 0,08 0.11 4130 SUGAR FREE MINTS lIROLL 0 1.20 0,08 0.10 4145 STARLITE MINTS 3.750Z 0 1.30 0,08 0,11 4146 ATOMIC FIRE BALLS 0 1.30 0,08 0,11 4150 SOUR FRUIT BALLS 4.250Z 0 1.30 0.08 0,11 4155 SUGAR FREE WILD FRUIT 1.7 0 1.30 0,08 0,11 4160 TOOTSIE ROLLS 0 1.30 0.08 0.11 4430 ZC BLUEBERRY CHS DANISH 0 1.15 0,08 0,09 4431 ZC STRAWBERRY CHS DANISH 0 1.15 0.08 0,09 6000 CWE CHICKEN RAMEN NOODLE 0 0.90 0,00 0,00 6002 CWE BEEF RAMEN NOODLE 0 0,90 0,00 0,00 6003 CWE CAJUN SHRIMP W ILlME 0 0,90 0,00 0,00 6004 CWE TEXAS BEEF RAMEN 0 0.90 0.00 0.00 6005 CWE CHILI RAMEN NOODLE 0 0.90 0,00 0,00 6011 CWE HOT & SPICY VEG RAMEN 0 0.90 0.00 0,00 6016 LIME CHILI W ISHRIMP RAMEN 0 0.90 0.00 0,00 6050 KK INSTANT RICE 0 1.30 0,00 0,00 6078 JALAPENO PRETZEL PIECES 0 1.10 0,00 0.00 6079 WHOLE SHABANG 1.5 OZ 0 1.10 0.00 0.00 6083 WHTCHEDDARPOPCORN50Z 0 2,10 0,00 0.00 6100 POT A TO CHIPS 0 1.10 0,00 0,00 6105 BBQ POT A TO CHIPS 0 1.10 0,00 0,00 6111 CA HOT &SPICY CORN CHIPS 0 1.10 0,00 0,00 I 6114 HOT FRIES (ANDY CAPP) 0 0,95 0.00 0,00 6116 CHEESE PUFFS 0 1.10 0,00 0,00 6120 NACHO TORTILLA CHIPS 0 1.10 0.00 0,00 6126 SOUR CREAM ONION 1,5 OZ 0 1.10 0.00 0.00 6127 HOT SPICY PORK RINDS 0 1.50 0.00 0,00 6134 ML CARAMEL POPCORN 0 1.80 0.00 0,00 6159 CHEETOS FLMN HOT 1.75-0Z 0 1.25 0.00 0,00 6167 CHEETOS 2-0Z 0 1.25 0.00 0,00 6172 BC CHILI NO BEANS 0 2,75 0,00 0,00 6173 BC CHILI WI BEANS 0 2,75 0,00 0,00 6174 BC HOT CHILI WI BEANS 0 2,75 0.00 0,00 6176 BC BEEF STEW 0 2,75 0,00 0,00 6178 FC MACKERAL 0 2.10 0,00 0,00 6190 FC FISHSTKS/GREEN CHILlS 0 2,10 0,00 0.00 6191 FC SALMON FLAKES 0 2,50 0,00 0,00 6193 BC BBQ BEEF 0 2.75 0,00 0,00 6195 PREMIUM CHICKEN BREAST 0 4,00 0,00 0,00 6196 BC LASAGNA W/BEEF 0 2.75 0.00 0,00 6208 STUDENT MIX 3,75 OZ, 0 1.50 0,00 0,00 6212 SPICY CAJUN MIX 3.50Z 0 1.50 0.00 0,00 6220 CORNNUTS CHILI PICANTE 0 0.90 0,00 0,00 6234 CORNNUTSRANCH 0 0.90 0.00 0.00 -- -~- -.--..-- - .- ~lias Item Description Max Otv Item Price Tax Rate Tax Amount 6250 ONION DIP 3,50Z 0 1.10 0.00 0.00 6255 CC JALAPENO NACHO CHS DIP 0 1.45 0,00 0.00 6262 MAYONNAISE 12PK 0 1.05 0.00 0,00 6263 MUSTARD 12PK 0 1.05 0.00 0,00 6264 BAGO KETCHUP 12PK 0 1.05 0,00 0.00 6268 HOT SAUCE 12PK 0 1.05 0.00 0.00 6300 TWIN BEEF STICK 0 1.29 0,00 0.00 6305 LIL CHUB HIGH HEAT 1.630Z 0 1.25 0,00 0.00 6310 PEPPERONI SUMMER SAUSAGE 0 1.25 0.00 0.00 6320 BEEF & CHEESE STICK 0 1.13 0,00 0,00 : 6412 GRAPE JELL Y 1 OZ, 0 0,50 0.00 0.00 6415 SS PEANUT BUTTER 0 0.60 0,00 0,00 6428 CA SHARP CHDR CHS SQUEEZE 0 1.30 0.00 0,00 6429 CA JALAP CHEESE SQUEEZE 0 1.30 0,00 0.00 6500 PICKLE (HOT) 0 1.10 0,00 0.00 6501 PICKLE (MILD) 0 1.10 0,00 0.00 ! 6507 SLICED JALAPENO PEPPERS 0 0.65 0.00 0,00 6540 ZC STRAWBERRY CEREAL BAR 0 0.75 0,00 0,00 6600 FLOUR TORTILLAS 0 1.90 0.00 0,00 i 6606 SALTED PEANUTS 1.75 OZ 0 0,80 0.00 0,00 6647 CHICKEN VIENNA SAUSAGE 0 2,75 0.00 0,00 6700 SV REFRIED BEANS 0 2,25 0.00 0,00 6711 HOT CHILI REFRI BEAN&RICE 0 1.30 0.00 0.00 6721 FISH STEAKS IN HOT SAUCE 0 2.10 0,00 0.00 6757 HORMEL SP AM - 30Z POUCH 0 2,10 0,00 0,00 6759 BC ROAST BEEF & GRAVY 0 4.00 0,00 0.00 6770 BF SUMMER SAUSAGE ORG FL V 0 3.30 0,00 0.00 6773 BEEF SALAMI SUMR SAUSAGE 0 3.30 0.00 0,00 6826 FRESH CATCH TUNA 4,23 OZ. 0 2.50 0,00 0.00 Monthly Sales January 2011 - December 2011 ============================================================== Calhoun County ============================================================== General Ledger Report for Account "COMMISSARY CLRG" Friday, April 13, 2012 @10:30 ================================================================================ For the Duration of the Year 2011 ---------------------------------------- -------------------------------------------------- ------------------------------------ MONTH ACCT EVENT DEBIT CREDIT TOTAL ------------------------------------------------------ --------------------------- Begin Balance: --------------- --------------- January ERF 19.37 January EPR 2180.91 January CSTIETAX 0.00 January CSITEREFTAX 0.00 January CSITEREF 0.00 January CSITE 0.00 January CREFUNDTAX 0.00 January CREFUND 11.50 January CPURCHTAX 78.17 January CPURCHASE 2102.74 --------------- --------------- -2200.28 2192.41 February ERF 58.77 February EPR 3332.08 February CSTIETAX 0.00 February CSITEREFTAX 0.00 February CSITEREF 0.00 February CSITE 0.00 February CREFUNDTAX 2.29 February CREFUND 65.35 February CPURCHTAX 119.87 February CPURCHASE 3212.21 --------------- --------------- 3390.85 3399.72 March ERF 9.57 March EPR 2577.88 March CSTIETAX 0.00 March CSITEREFTAX 0.00 March CSITEREF 0.00 March CSITE 0.00 March CREFUNDTAX 0.47 March CREFUND 5.75 March CPURCHTAX 96.14 March CPURCHASE 2481. 74 --------------- --------------- 2587.45 2584.10 April ERF 25.51 April EPR 1813.44 April CSTIETAX 0.00 April CSITEREFTAX 0.00 April CSITEREF 0.00 April CSITE 0.00 April CREFUNDTAX 0.66 April CREFUND 23.65 April CPURCHTAX 64.22 April CPURCHASE 1749.22 --------------- --------------- 1838.95 1837.75 May ERF 3.50 May EPR 3224.70 May CSTIETAX 0.00 May CSITEREFTAX 0.00 May CSITEREF 0.00 May CSITE 0.00 May CREFUNDTAX 0.00 May CREFUND 8.05 May CPURCHTAX 121. 29 May CPURCHASE 3103.41 --------------- --------------- 3228.20 3232.75 June ERF 2.43 June EPR 2592.36 June CSTIETAX 0.00 June CSITEREFTAX 0.00 June CSITEREF 0.00 June CSITE 0.00 June CREFUNDTAX 0.18 June CREFUND 2.25 June CPURCHTAX 94.75 -1. 00 -7.87 8.87 -3.35 -1.20 4.55 -----------------------------------------------------------------------------------------------------------------------------_. Page 1 ~============================================================= Calhoun County -------=======================~ ~==============================------- General Ledger Report for Account "COMMISSARY CLRG" Friday, April 13, 2012 @10:30 ================================================================================ For the Duration of the Year 2011 -------------------- ---------------------------- -----------------------------------------------~~;;;----------~~~;;;---------- TOTAL MONTH ACCT EVENT June CPURCHASE July ERF July EPR July CSTIETAX July CSITEREFTAX July CSITEREF July CSITE July CREFUNDTAX July CREFUND July CPURCHTAX July CPURCHASE August ERF August EPR August CSTIETAX August CSITEREFTAX August CSITEREF August CSITE August CREFUNDTAX August CREFUND August CPURCHTAX August CPURCHASE September ERF September EPR September CSTIETAX September CSITEREFTAX September CSITEREF September CSITE September CREFUNDTAX September CREFUND September CPURCHTAX September CPURCHASE October ERF October EPR October CSTIETAX October CSITEREFTAX October CSITEREF October CSITE October CREFUNDTAX October CREFUND October CPURCHTAX October CPURCHASE November ERF November EPR November CSTIETAX November CSITEREFTAX November CSITEREF November CSITE November CREFUNDTAX November CREFUND November CPURCHTAX November CPURCHASE December ERF December EPR December CSTIETAX December CSITEREFTAX December CSITEREF December CSITE December CREFUNDTAX December CREFUND -------------------- -------------------- --------------------- ---------------------------- 2497.61 2594.79 2594.79 0.00 41.24 3010.48 0.00 0.00 0.00 0.00 3.07 37.20 113.48 2897.00 3051.72 -0.97 3050.75 15.20 2602.81 0.00 0.00 0.00 0.00 0.37 15.80 90.12 2512.69 2618.01 2618.98 0.97 16.31 3262.19 0.00 0.00 0.00 0.00 1. 06 15.25 130.20 3131.99 3278.50 3278.50 0.00 27.45 2404.02 0.00 0.00 0.00 0.00 0.00 12.85 92.07 2311.95 2431. 47 2416.87 -14.60 31. 93 3211.30 0.00 0.00 0.00 0.00 0.44 46.09 119.21 3092.09 3243.23 3257.83 14.60 7.58 2903.12 0.00 0.00 0.00 0.00 0.58 7.00 -------------------------------------------------------------------------------------------- Page 2 ~============================================================= Calhoun County ~============================================================= General Ledger Report for Account "COMMISSARY CLRG" Friday, April 13, 2012 @10:30 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------ For the Duration of the Year 2011 MONTH ------------------------------------------------------------------------------------------------------------------------------. ACCT EVENT DEBIT CREDIT TOTAL December December CPURCHTAX CPURCHASE 106.76 2796.36 2910.70 2910.70 -0.00 Totals For Year: 33374.15 33375.15 1. 00 End Balance: 0.00 'iI. --------------- ------------ ---------------- ---------------- --------------- ---------------- Page 3 -.. ---~- ~ '----'--- -~--, ---- - -- .- , \ \ I i , , I '" Current Contract " CONTRACf FOR RESIDENT BANKING SOFTWARE, COMMISSARY SERVICE & FIDUCIARY MANAGEMENT SERVICES This agreement made and entered into as of this ~day of V'\'\c..-l by and between \~ At ~ C;n,,,,-,,,,,,,H e...., ~<4.. -\-\k)t)( ~ Name of Vendor (If~") and the Calhoun County Adult Detention Center, a correctional institution in the State of Texas, (If Jail") ,2009, Whereas, \~C-~ is in the business of supplying food and other related Name of Vendor products to inmate commissary departments of correctional facilities throughout the United States, including the Jail. Whereas, the parties wish to enter into a Commissary Network Agreement to facilitate the ordering of commissary supplies by Inmates and the payment of thereof. Now, thereof, in consideration of the mutual promises and conditions herein contained, it is agreed between the parties: 1. HARDWARE AND SOFTWARE During the term of this Agreement 'l c.. N shall supply Calhoun Name of Vendor County Adult Detention Center with such. computer equipment and software to enable the Jail to access the \~c.... N ~ti-..J"'-""''t'' to acCount for Name of Vendor inmate welfare funds maintained by the Jail and effect purchases by inmates from commissary supplied by ~C-N . During the term of this Name of Vendor Agreement, such hardware will be Installed and maintained by ~L.N Name of Vendor and shall remain the sole property of the Jail. At termination ofthis Agreement, all such computer hardware and software shall be returned by the Jail to \lc- t4 in the same condition, reasonable wear Name of Vendor and tear excepted, as existed at the time such equipment was installed. Name of Vendor Calhoun County agrees to employ the necessary staff person(s) necessary to operate the commissary, software, and distribute all commissary orders ~-Q..-\~~-r,^ 2. OPERATION OF COMMISSARY NETWORK BY This Agreement supersedes all other agreements between the parties for the provision of Commissary Management Service. IN WITNESS WHEREOF, the parties have executed this Commissary Network Agreement as of the year and date written. This contract begins June 1, 2009 and ends on May 31, 2010 with the option to renew yearly for up to 2 additional years. This option must be executed before the end date of contract. /~ Calhoun County Adult Detention Center Name of Company ~--~ By: (S~Jre) By:_f'i~J ~ fI- Michael J Pfeifer I ~~ Sc,~~ce:.,t2Cb/~NttL tI/'. Typed or Printed Name of Individual & Title Michael J Pfeifer, Calhoun County Judge :s'/ t/;V ~ '7~dO'1- Date. Date ~- < Exhibit A flOW COMMISSIONS ARE CALCULATED The commission will be based on the weekly, adjusted gross commissary sales. Adjusted gross sales are gross sales less postage sales or other noncommissioned sales. GROSS MONTHLY SALES LESS POSTAGE SALES LESS ADJUSTMENTS LESS SALES TAX * * * * * * * * * * * * * * * * * * * * $ = ADJUSTED COMMISSIONABLE SALES 28.5% PROPOSED COMMISSION RATE * * Keeping current operation 23.5% PROPOSED COMMISSION RATE * * Utilizing scan system proposed ******************** = Calhoun County Sheriff's Office Commissary Profit $ PUBLIC HEARING REGARDING PETITION TO VACATE A 19.56 ACRE PORTION OF LOT 13, WESTERLUNDS SUBDIVISION: . The Public Hearing began at 10:17 A.M. to vacate a 19.56 acre portion of Lot 13, Westerlunds Subdivision as recorded in Volume N, Page 642 of the Deed Records of Calhoun County, Texas, Sterling Estates. No comments were made from the public. The Public Hearing ended at 10:18 A.M. Kenneth W. Finster 10 County Commissioner County of Calhoun Precinct 4 April 19, 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 April 26, 2012. · Public Hearing regarding Petition to Vacate a 19.56 acre portion of Lot 13, Westerlunds Subdivision as recorded in Volume N, Page 642 of the Deed Records of Calhoun County, Texas, (Sterling Estates). Sincerely, ~lt/.~~ Kenneth W. Finster KWF/at "(;? ~ PETITION TO V ACA TE A 19.56 ACRE PORTION OF LOT 13 WESTERLUNDS SUBDIVISION STATE OF TEXAS COUNTY OF CALHOUN KNOW ALL MEN BY THESE PRESENTS: That the undersigned, being the designated agent of the owner of the property described as a 19.56 acre portion of Lot 13, Westerlunds Subdivision as recorded in Volume N, Page 642 of the Deed Records of Calhoun County, Texas, do hereby petition the Calhoun County Commissioners Court to vacate that portion of said Lot 13 as described by Exhibit A attached hereto, in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehide Park Regulations Amended by Calhoun County Commissioners Court on December 13,2007. The property is proposed to be replatted in accordance with a plat submitted to the Calhoun County Commissioners Court. The petition will be considered by the Calhoun County Commissioners Court on Apri126th, 2012, at 10:00 a.m. T T. Ru dick, R.P.L.S. Urban Surveying,.Inc. 2004 N. Commerce Victoria, TX 77901 (361) 578-9837 ~ ... EXBJBIT A 19.56 ACRES THE STATE OF TEXAS} THE COUNTY OF CALHOUN} BEING a 19.56 acre tract of land situated in the Ysidro Benavides League, Abstract 28, Calhoun County, Texas and being a portion of Lot 13, Westerlunds Subdivision according to the Map or Plat of said Subdivision recorded in Volume N, Page 642 of the Deed Records of said County, and being comprised of those certain tracts of land designated Tract I and Tract IT as conveyed by Waymon Lewis Boyd and wife, Ann F. Boyd to Melissa K. Sterling according to Warranty Deed recorded in Volume 345, Page 317 of the Official Public Records of Calhoun County, Texas, said 19.56 acre tract of land being more fully described by metes and bounds as follows: BEGINNING, at a 5/8 inch diameter rebar found marking the point at which the southwest right-of- way line of Farm-to-Market Road No. 2433 intersects the northwest right-of-way line of Sweetwater Road, same being the east comer of said Tract I; THENCE, South 53 deg. 30'00" West, along said northwest line of Sweetwater Roa~ same being the southeast line of said Tract L a distance of 1633.35 feet to an iron rod found marking the east comer of that certain tract of land described as 2.63 acres as conveyed by Waymon Lewis Boyd, et ux to Randy L. Boyd according to instrument recorded in Volume 391, Page 700 of the Deed Records of said County; THENCE, North 54 deg. 13' 00" West, along the northeast line of said 2.63 acre tract, a distance of 600.62 feet to an iron rod found marking the north comer of said 2.63 acre tract in southeast line of that certain tract of land described as 5.90 acres recorded in Volume 282, Page 776 of the Deed Records of said County; THENCE, North 53 deg. 29' 49" East, along the southeast line of said 5.90 acre tract, a distance of 1283.50 feet to an iron rod found marking the west comer of that certain tract ofland described as 1.90 acres as conveyed by Waymon Lewis Boyd and wife, Ann F. Boyd to Wayne Allen Boyd and wife Tammie Jo Boyd according to instrument recorded in Volume 364, Page 139 of the Deed Records of said County; THENCE, South 36 deg. 27' 54" East, along the southwest line of said 1.90 acre tract, a distance of 214.52 feet to an iron rod found marking the south comer of said 1.90 acre tract; THENCE, North 53 deg. 30' 00" East, along the southeast line of said 1.90 acre tract, a distance of 418.61 feet to a 5/8 inch diameter rebar (with yellow plastic cap stamped "URBAN SURVEYING, INC." set to mark the east comer of said 1.90 acre tract in the aforesaid southwest right-of-way line of Farm-to-Market Road No. 2433; THENCE, South 54 deg. 12' DO" East, along said southwest right-of-way line, a distance of 375.46 feet to the POINT OF BEGINNING, containing within these metes and bOUnds 19.56 acres of land, more OT less. FINAL PLAT OF STERLING ESTATES: Commissioner Finster requested Commissioners Court take action to approve the Final Plat of Sterling Estates. The Legal Description is 18.20 acre tract and 5.90 acre tract of land both situated in the Ysidro Benavides League in Calhoun County. A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to approve the final plat of Sterling Estates. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 April 19, 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 April 26, 2012. · Consider and take necessary action to approve the Pinal Plat of Sterling Estates. Sincerely, ~~.~ Kenneth W. Finster KWF/at 1~~g... . :H! ~i :i. ., . .....;f.'. 'f- ;f~ ~~ ~ h ~~ ii -<x i<lj gg a ;s::.z i i:n I ~g o~ ~ ~-< .,; !~ ",. -l :II .~ ~ gae~! e!I"~; ~ili~ .-i-'S ~ !i. ,,- ;I!;; m j~~::l ?= 'i~i c ~.'g g: ,::~n g ~;;:i1. _ t;l~I:.. "'tI il';~. ::! ~~;;~, g ~~b ' 'i!~ ~n . .! 11; .- ! ~~fffil W~~ ~~ i~~~: ~~ .iiii ~~ ~iiS. i. . ';1 _ij :j;ii: ~;; ~~"':: ~i :~:h ~~ .~bii 'I ~'i~~ ;~ ~I;~fi ~! 'S~I~~ ~! ~."~ ~a ~~~~! " i~~ !~ m ~~::~ ~. i~ :g~i~! :::E.. ~B ;AF::: AC~E::! p .:: i:i Ii ~ lilii~ ~l!i i!ii~ ..:!;;~~ e Hi .........- C != :1i.. -;I; . ~;;!':"~ -;; ~ .ii~ '" ill' e~~ ~g ~~~~;~? g ,c ,," i i:! i, .. iN' .- ~ jii ~~ ~~ --- T i~ ~~ ti :~ 'I ~! ~~ ~~ ;! i~ i. .~ ~ ~ H ! ~i!ii m i j ~~+~Ei 8 ~ ti;i Ii: ~ :g "8 :~~~i1 e-~'j ~ "' ~. ~ Ii ~ ~ z o -l m <n I' ,~ fi' ~ I Ii .i ill; ~I ~I g ~~ :s::: ~~ :s::: ~:n en .1;. "6 m~ ~ ma ~ p ~!!'j ~~i' 'I. !; ~.fi I' -~ ;~ i1~' . ~~. :~ :.. :i '. .~ i: ~. .1 Iii ;~~ "TI ~~~ :; ~~~ ~ liji 5: ,-a ~ 2aj:! ).. ;;:!';;: 0 .u ;< ~~~ -~ .i~i :-i 's' .~ !.i d i~1 :II Ii' . ~~ . eIOCX',lCTlHU CAVlOUNCOIlNT'f,reU!. STERLING ESTATES . i ~E~i , gi~"i ',! ; '. . ~- ~ !' ~ ~. . I . ,.... a' --:;.~ l! :: ',~ . __~.:r1 ~~, . ,:._.~~;tl if"l ~ ~. ~~... ,-:<," . . ~'il, i~~~.~9",f ,~ C:'. .. ~ ~~~l. !!:;1' .~.- "'1',0\ ;;:-1~ ..~.. w"~~",,,,. . fJ' ~ ~---::::--~ ~ .' i !~ :; ~ . .w,;::;c~ . i~ ,:: ~!-~-'~"J.d ~ ~~;:(o.t\.~, .~ j ~ ~f~:';~. ;. ."~~-1 ~ ~~~~~(::1~~! l~'i\~~ .~~ :,.~~"'it~<~~,~:~_ ~ I;: ~~ . ~ -. . .:::.;..::;::::____,~...,' 0': = ~ . ij I', ..-.... .~""~".. .. ... . fl~. - ~:( 'k~~'~~;'\." '~ " _ ~:[C-- . .~~;;:;;~~_l~. ".' '"'~.... Ql.lIPJ..l.~ __,~1i ~;;;: i:' ~!l i~'65\ ~ , ,i" .. i~~::.:j~...::;... tL ;".~;:~~-/ . ;;:,.:t.."",t!to~,~ 21.(.52 ~ Ii" · ~i:'~~.;i~~i~;;;h ~ .n .:' ~ '>.1 ~",!l!!a:; ti~#-]'!. ,t" " - -I ... i " ;; ~ i ll"IP,,:::!-:01-- Ii' . Ql.~V'\~'lj j _~;._c; c; 1,^~'ljY'\- 'J-'~ . 1.. Q"'O~ }.. , <;.<;.v ~ T, , . ~ 5:1: "1. . if:! . '!~r !~ i~Q8! ~~ !i~h it ~ - leg:-:, ::D ~I:gi ~ : :iiif~ 0 ~il 0 I ~!. 0 i 0., m ':..~~j' ~ i"~i :;; . i~ij ~ II;~ ~ . ij~~; ;,i. i~l: Ausi. ... . URBAN SURVEYING INC. z... N, eQNN~~e~ n, f'CTQ~I~, rUAI nil' . /...,...-.....u u..."....... . '" N. nPl~N~Q(, 'eUf~O. nUl HIli'- C"'JtH-tU" ...... (..'I."....... AMENDMENT TO COASTAL MANAGEMENT PROGRAM GRANT MANAGEMENT SERVICES CONTRACT WITH SMARTTGRANTS: A Proposal, by Kathy Smartt, for Grant Management Services for the Subrecipient Grant Agreement between Calhoun County and the General Land Office for the Coastal Management Program, grant entitled "Calhoun County Master Plan proposed duties to perform for a cost not to exceed $4500. A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to approve the $1000 amendment to Coastal Management Program grant management services contract with SmarttGrants. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ..- Susan Riley /3 From: Sent: To: Subject: Mike Pfeifer [mike.pfeifer@calhouncotx.org] Monday, April 16, 2012 10:16 AM 'Susan Riley' FW: Use of unobligated CMP funds for Master Plan From: Kathy Smartt rmailto:smarttgrants(Ci)sbcqlobal.net] Sent: Monday, April 16, 2012 10: 13 AM To: Mike Pfeifer Cc: Susan Riley; Cindy Mueller Subject: Use of unobligated CMP funds for Master Plan Judge, As you know, $14,100 remains un-obligated in the CMP grant. I had requested a proposal from three entities for project outreach materials. Bill Harvey was the only one interested and he will be submitting a proposal to you this week. I hope you will add consideration of his proposal to the April 26 Commissioners Court agenda. I will attend the meeting and can answer any questions as to use of the $14,100. Bill will print and frame digital maps of all the boat ramps, piers, and proposed kayak trails in Calhoun County and create a visitor's brochure showing all the existing access points and their respective amenities. I had asked for a quote for 20 pictures because none of the commissioners had responded back to me as to the quantity needed. Printing costs for 1000 brochures will be provided, although more can be printed if needed. The number of pictures can be decreased because he is providing a cost per picture price. Bill's proposal is between $4,000 and $8,000, depending on which option and the number of pictures the Court chooses. Atkins will only be providing three hard copies of the final plan--one for the GLO, one for you and one for the audit file. Since an electronic version will also be provided, I suggest we use some CMP funds to print up hard copies for all the commissioners and mayors. The master plan can be posted on the county's website. Bill and I are discussing how to improve it by posting more than just the plan. We would like to see some county pictures and the spreadsheet that will list all the amenities at each access point. I would like to meet with the county webmaster to discuss this. There should be sufficient funds available to hire an independent webmaster to create the pages, but I don't know if there is enough time before the grant ends. When I originally submitted my contract proposal, I did not know that the grant would be extended or that I would be overseeing all of these outreach activities. Almost all the funds in my contract have been expended. I would like the Court to consider increasing my contract by an additional $1,000. There are sufficient funds remaining in the CMP grant to cover all the activities listed above. In fact, it is highly likely that the county will still be returning some of the grant funding, even after all these expenses are paid. Please let me know if you have any questions. Kathy 1 May 9, 2011 Michael J. Pfeifer Calhoun County Judge 211 South Ann Street Port Lavaca, TX RE: PROPOSAL FOR GRANT MANAGEMENT SERVICES This proposal is for general administrative services for the Subrecipient Grant Agreement between Calhoun County (County) and the General Land Office (GLO) for the Coastal Management Program (CMP) grant entitled "Calhoun County Master Plan''. GLO Contract No. 11-023.000-4321 (Agreement). Proposed duties include, but are not limited to, the following: · Prepare a Request for QualificationslRequestfor Proposals for the solicitation and selection of a professional services provider (PSP) to fulfill the tasks required under the Work Plan of the Agreement. . Prepare a written request to the GLO to extend Work Plan deliverable due dates. . Prepare and submit to the GLO monthly CMP progress reports, HUB reports, and a Grant Closeout Form as required under the Agreement. . Review and approve all PSP invoices. . Prepare all Invoices for CMP Federal Expenditures. . Review and comment on all drafts of the Master Plan. . Submit all deliverables to the GLO as required under the terms of the Agreement. . Attend at least two Calhoun County Commissioner Court meetings to report on the status of the grant. I propose to perform all work for a cost not to exceed $4,500.00. Time will be billed hourly at a rate of$85.00 per hour. Billable time will include all time for grant management services such as preparation of documents, research, review of materials prepared by others, attendance at meetings, and communication with the County and other parties in connection with the Agreement. Mileage will be charged for trips to Port Lavaca at $.58 per mile. Proposed by: Kathy Smartt Accepted By: t:~~b TItle. { '" Date: 0""" 7? J I / PROPOSAL BY BILL HARVEY DBA RED HUMMINGBIRD PHOTOGRAPHY FOR PHOTOGRAPHY SERVICES FOR COASTAL MANAGEMENT PROGRAM: Kathy Smartt approached Commissioners Court in regards to the proposal by Bill Harvey doing business as Red Hummingbird Photography for photography services for Coastal Management Program. The Proposal is for Shoreline Access Outreach Brochure and Display Maps. The Access Point Brochure Layout would be a two-sided full-colored brochure where the outside page would consist of photographs of Calhoun County landmarks and the inside page would be a matrix of the access points and information about those points taken from the Calhoun County Shoreline Access Inventory. The layout and design cost would be $175. The Access Point Brochure Printing of 1000 would be $600 which would be printed by Port Lavaca Wave and turnaround time would be about a week. Kathy emphasized how much she did not think 1000 would be enough. Commissioner Fritsch agreed that 3000 would be more appropriate. The Display Maps are available in different sizes and styles. Option I is a standout mounting is an inexpensive relative to framing and takes up much less wall space. There is no glass and the edges do not dent. The grant ends June 30th money has to be spent or it goes back. Option II is a wood frame with glass. Option III is wood framing with acrylic and Option IV is wood framing with acrylic and single mat. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to move forward with the proposal and the Commissioners would let Kathy know by Monday, the 30th of April, 2012 which Options they choose for the display maps. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. __ ------------c- '- -__ ...-----;....~;--=--- -.......--- Proposal for Shoreline Access Outreach Brochure and Display Maps 1. Access Point Brochure Layout . Two-sided full-color brochure . Outside page would be consist of photographs of Calhoun County landmarks . Inside page would be a matrix of the access points and information about those points taken from the Calhoun County Shoreline Access Inventory . Layout/Design Cost of $175.00 2. Access Point Brochure Printing · 1,000 Brochures = $600 · Printing turnaround approx. one week · Printed by Port Lavaca Wave 3. Display Maps Option I · Standout Mounts (recommended) "Standout" mounting is new display option that looks very good, is inexpensive relative to framing and takes up much less wall space. Photographs are pressured mounted to lightweight, black-bordered material that is % inches thick and pre-drilled for flat mounting to walls. Considering the office sizes of Commissioners and County Judge, these would take much less wall space. Also, these mounts are very durable and survive will little damage when accidentally dislodged from a wall. They can be mounted beautifully with Velcro, so one does not even have to put holes in walls to mount them. There is no glass to break and the edges do not dent. Very space efficient compared to other mounting, as an example, a 20 x 24 Standout takes up 480 sq. inches on a wall. A 20 x 24 framed print will take up a minimum of 572 sq. inches and a matted 20 x 24 would cover 780 sq. inches. Print Size Price per Standout Mount Total for 20 Prints 16 x 20 16 x 24 20 x 20 20 x 24 $87.70 $131.50 $132.50 $133.00 $1,754 $2,630 $2,650 $2,660 Option II . Wood Frame with Glass Print Size 16 x 20 16 x 24 20 x 20 20 x 24 Option III Price per Framed Print $198.10 $249.90 $272.15 $277.40 . Wood Framing With Acrylic Print Size 16 x 20 20 x 24 Option IV Price per Framed Print $195.30 $277.00 · Wood Framing With Acrylic and Single Mat Print Size 16 x 20 20 x 24 Price per Framed Print $225.30 $315.30 Total for 20 Prints $3,962 $4,998 $5,443 $5,548 Total for 20 Prints $3,907 $5,541 r Total for 20 Prints $4,507 $6,306 ./ RELEASE OF INITIAL DEPOSIT BY CARSON &. BARNES CIRCUS COMPANY. Carson & Barnes Circus Company utilized the fairgrounds for the Circus. The condition of the fairgrounds were acceptable and properly maintained. A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to release the $1000 initial deposit by Carson & Barnes Circus Company. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. /l( April 19, 2012 To: Honorable Judge Micheal Pfeifer From Roger C. Galvan, County Commissioner Please add the following line item on the agenda for the scheduled meeting of Thursday, April 26, 2012. Discuss and take necessary action to approve the release of $1,000.00 initial deposit to Carson & Barnes Circus Company. Conditions of the fairgrounds after use were acceptable and properly maintained. Cc: Comm. V. Lyssy - Pct 4 Comm. Neil Fritsch - Pct 3 Comm. K. Finster - Pct 4 HEAR FROM DR. JUAN MOYA ON THE CALHOUN COUNTY MASTER PLAN FINAL DOCUMENT AND TAKE ANY ACTION DEEMED NECESSARY: Dr. Juan Moya with Akins North America, Inc presented his report for the Calhoun County Master Plan. In his report he provided the geologic history, physical processes, habitat inventories and enviornmental recommendations as well as the distribution of boat ramps, kayaking sites, fishing piers and observation decks. Dr. Juan Moya explained that Calhoun County has more than 200 miles of paddling trails. Commissioner Lyssy asked if the green dot indicators on the maps can be done as yellow stars or squares because of how unclear it is on the map that Dr. Moya provided. Dr. Moya explained his intention is to make the green dot indicators yellow. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to accept the report for the Calhoun County Master Plan Final Document from Dr. Juan Moya. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 4-d-~ -/ L I~ Hear from Juan Moya with Atkins North America, Inc. on the Calhoun County Master Plan Final Document and take any action deemed necessary. (MP) ,. ATKINS Calhoun County Texas Shoreline Access Plan Appendix B f /'- . . Geologic History, Physical Processes, Habitat Inventories and Environmental . , Recommendations ';-y'.,;.' -,-<... ",i. , I .;, ,t .r '";.''' 't-.~ :r', . ,',' .\, --.\ _.~. ~ c~ ~~, --::l~ .J.,...- . -' \\ . ~ _ ,= - i \ I \\ - r-' '" -fZ6:=:r- =....-, ' - \ \c ~ .' . ,,' 'r":, Document Prepared by: Juan Moya, Matthe Mahoney and Thomas Atkins North Ame iea, Coastal Planning and RestJattoa Group 6504 Bridge Point Parkwa~ Suite 200 Austin, Texas 787 0 Photo: Seadrift Shoreli e Park 1 Ta ble of Contents Page G eo logy ...................................................................................................................................................... .......................... 2 G en era I Physica I Cond ition s .................................................................................................................................................. 5 - Bay Water Circulation .................................. ............................................... ...................... ......... .............. .... ... ....... 5 - Shoreli n e Typ es ................................................................................................................................................. .......7 - Shoreli n e Retreat Rates ........................................................................................................... ................................8 Coastal Natural Resources in Calhoun County Bays and Shorelines ...................................................................................9 Additional Information on Resources and Potential Regulatory Concerns ...................................................................... 12 Zone A Environmental and Recreational Improvements ................................................................................................. 16 Zone B Environ mental and Recreationa I Improvements.. ...... ............ ....... ... .... ..................... ...................... ......... .... ....... ...19 Zone C Environmental and Recreational Improvements .................................................................................................. 22 Zone 0 Environmental and Recreational Improvements ...................................................................................................25 Zone E Environmental and Recreational Improvements ................................................................................................... 27 Shoreline Access Along the Gulf Intracoastal Waterway (GIWW) and Navigation Safety in Calhoun County.............. 29 OAT All.................................................................................................................................. .............................................. XX 2 Geology. The evolution of the Calhoun County shorelines is associated with the deposition of several river deltas in the last 125,000 years. This deposition was a response to the sea level changes occurred in the Gulf of Mexico as the result of climatic variations, which were expressed on how the rivers interacted with a changing coast (McGowen et al. 1976). On the east side of the county, the San Antonio and Guadalupe River Delta systems controlled the geologic deposition of the region. On the west side, the Lavaca- Navidad River System left extensive fluvial and deltaic deposits as well. These fluvial (river deposits) and delta systems (delta deposits) controlled the landscape in the county leaving a flat fluvial-deltaic coastal plain environment. The changes in the sea level curve in the Gulf of Mexico for the past 125,000 years, created transgressions (sea level moving up) and regressions (sea level moving down), which are directly expressed the coastal morphological features of Calhoun County (White and Morton 1987): Figure B1 shows the geology of the county, which is manifested by different types of sediments as response to the sea level rise adjustments. According to the models forecasting the relative seal level rise, it is expected that the process of coastal change will continue in the future years. Although in the short-term these changes are not expected to be noticeable by the public, in the medium-term will be noticeable with the respective adaptation of human activities and natural habitats (Anderson 2007). In general the geologic evolution of Calhoun County can be divided into two main general time dominated units: the units formed in the Pleistocene between 125,000 to -10,000 before present (BP) and the geologic units formed in modern times (Holocene) between -10,000 years (BP) and the present (McGowen et al. 1976). The following description of the geology shows the geographic distribution of geologic units expressed on the shorelines (Figure B1): Pleistocene Fluvial Deltaic System. The Pleistocene Fluvial-Deltaic system is mapped on the northern side of Calhoun County and consist of original delta streams that controlled the coastal plain (McGowen et al. 1976). These deltaic sediments consist mainly from highly consolidated mud and clays, which when eroded by modern shoreline erosion, leave steep slopes (cliffs) along the shorelines (Figure B1). Pleistocene Marine Reworked Delta Sediments: The Marine Reworked Delta Sediments consist of materials that were eroded from the original delta system when the Gulf coast used to be located north of Port O'Connor (McGowen et al. 1976). These sediments are 3 as consolidated as the fluvial deltaic system deposits and also consist mainly from mud and clays, which when eroded by modern shoreline erosion, also leave steep slopes (cliffs) along the shorelines (Figure B3). Figure B1. Simplified shoreline geologic map units in Calhoun County as mapped by the University of Texas Bureau of Economic Geology (McGowen et al. 1976). Pleistocene Strand Plain System. The Strand Plain System consist of the ancient sandy shorelines of the Gulf of Mexico (McGowen et al. 1976). The area mapped as the strand system consists of a former Gulf of Mexico barrier island. The shorelines of this geologic unit consist of semi consolidated and loose sands, which tend to be highly erodible (Figure 81). Modern Delta System. The Modern Delta System corresponds to the recent delta sediments deposited in the last few thousand years (McGowen et al. 1976). For a few thousands of years, the deltas were growing due to the natural inputs of fluvial sediments. However, in the last 100 years, these deltas started to get affected by erosion and local subsidence due to the limited amount of sediment inputs generated by 4 human impacts. The sediments forming these deltas consist of unconsolidated mud and sands, which tend to be removed easily by erosion (Figure B1). Modern Marsh System. The modern marsh system deposits consist of the organic and fine sediments that compose the marshes and wetlands present on the modern shorelines, bayous, and creeks in the region. These sediments are loose and highly erodible (Figure B1). Modern Shoreline Beaches. Although not presented in the geologic map due to their limited presence, the modern shorelines have pockets of sand and sandy shells that are highly unconsolidated and highly erodible. These sandy beaches tend to be affected by shoreline erosion and are in constant migration. General Physical Conditions Bay Water Circulation Shoreline processes are associated with geology-shoreline composition, wind, waves, and bay water circulation (White and Morton 1987). The bay water circulation is the process that generates the general trends of sediment transport due to the longshore drift. A basic bay water circulation model was developed by McGowen et al. (1976) for the region and shows the general trends of water circulation in the bays of Calhoun County (Figure B2). As can be seen in Figure B2, the cumulative wind direction during the year dictates very importantly the bay water circulation processes and the erosion and accumulation affecting the shorelines. From the wind data observed by the Texas Coastal Ocean Observing Network (TCOON), it can be concluded that the shorelines of Calhoun County are affected by two sets of winds: winds coming from the north- northeast and from the south-southeast. Winds from the north-northeast are common in the winter time and can extend up to 5 months. Winds from the south-southeast are common on the summer time and can reach up to 7 months in duration (TCOON 2012). 5 r:':',;;;:-;-'---'- - ---.--.....-.----:::::-.:.~?:.::;;;i:-,;:;,:: --..- - -- ---'---1 .,. l:ICSAUUD SA, If cmaJ\.A. 'no!<.. ", '. -_....-~ -",,~.-,. f ~...;' T.....~~.~hl'lO<<l'ril~.wf..... ~ ":Ar!.. ~.~.~rillI-~"....U.t..,."-.n1 _... -"~ ' -;:or,' -,......'--.,............ _. __._ .. ./.' // \ II r"'i ~,"IF....~~- .~""~ - ,- A~ .......- .,;il _1 .. '. ..//7' -'\'~ ' /-- i --.-,.~-- "~ '~Il4t~,.~~...~ /' ", ,~. / 1 ~.. ....... ~~ ..... .....,....... '*.......... .,/ \ i . I ....,,~tJll1ri_[H...!tI~ ." :~.-~"".r' r~<' . --........-..... /~"\.~\\ "/' I ~--......-.._- ~~., .J ~_...... ~-~I-- \" \.. ~"'::.'='=:..'t.,,---_ '- ' ' wi" ! -...,.,---- ,,"LB/ ~ -1 \ a A _ VJ - - -~ J. ~ fl ~ ~ I ~~:~ #. .:~~\.Jr)[fJ-) ,,-5:':;, ~~." / /'-->,:". ~ \,. _ .-4=... '~ \~: j-",~:~ j;\ ~f3 ~~ ESB '," - ~. ~\. -~' MB"; I\. -.if" "" ",...._ \ - :!,.~.~\,,~_ " "" i'\ -'- -...~,-" / - - ", .;: .....-.:'lIt'---.~..... _' ,. '\~.~., -} ,", ....... ,... ~.f' '<<"-,'"".' ,- \\ . <.~,._._~,. \ \ ""', h . < <"-~. .,,\:" ,"#f!. ~ > . \'- '. ,i'" . J' G~I;:~~:;:'~3>~<7~t'.;~,.i -_"'::::'__.1 Figure B2. Generalized Water Bay Circulation from McGowen et al. (1976). SAB: San Antonio Bay; GB: Guadalupe Bay; ESB: Espiritu Santo Bay; MB: Matagorda Bay; LB: Lavaca Bay; KB: Keller Bay; and CB: Carancahua Bay. San Antonio Bay (SAB). In general, for SAB, the shorelines on the east side of the county appear to be protected from the prevailing winds (SE) (Figure 82). The longshore bay circulation appears to be mainly towards the north along these shorelines. An active area of wave and circulation energy appears to be on the southeast corner of the county at the intersection of the Gulf Intracoastal Waterway (GIWW) and SAB in the area called Welder Flats Wildlife Management Area, where extensive marshes and seagrasses cover the area on public and private lands. Also, in SAB the upper part of the bay including Guadalupe Bay (GB) appear to be influenced by fresh water inputs coming from the San Antonio and Guadalupe Rivers. In both bays the longshore processes appear to move the sediments from the shorelines preferentially to the north (McGowen et al. 1976) (Figure B2). For Espiritu Santo Bay (ESB), the shorelines of the county are protected by the GIWW from wind effects. On the areas located south of the GIWW, in contact with SAB, the sediment longshore circulation appear to be predominantly from east to west. An area of Gulf flow intrusion near the Port O'Connor area appear to come from Pass Cavallo, which may have some influence on the circulation patterns on the shorelines (McGowen et al. 1976). 6 For the shorelines of Matagorda Bay (MB), the McGowen et al. (1976) model suggests that the general longshore sediment and flow circulation on the east shorelines of Calhoun County move the sediments from north to south from Magnolia Beach to Port O'Connor. On the north side of MB, south of Port Alto, the model suggests that the longshore processes move sediments along the shorelines from east to west. However, local geomorphologic features observed in recent years near Magnolia Beach show that longshore sediment circulation has been to the north as expressed on the sediment accumulation occurred on fishing pies and rock groins at King Fisher Beach Park and Indianola and Magnolia Beaches. For Lavaca Bay (LB), the McGowen et al. (1976) model suggests different shoreline longshore cells around the bay shorelines. Starting at the west side at Alamo Beach on West Lavaca Bay, the model suggests that longshore processes move from south to north until the longshore circulation reaches Chocolate Bayou (See Figure 5). North of Chocolate Bayou the model suggests that longshore sediment transport tends to be from north no south. This is confirmed by the sand accumulation observed on the north side of an abandoned fishing pier located a 0.6 miles south of Lighthouse Park. The McGowen et al. (1976) model also suggests that for Keller Bay (KB), a counter clock wise longshore circulation cell controls the longshore processes, which when LB is intersected, produces a local longshore circulation cell that tends to move from north to south towards MB. Carancahua Bay (CB) presents the same counter clock wise circulation pattern (See Figure B2). Shoreline Types The shorelines of the west portion of Calhoun County have been classified by McGowen and Brewton (1975) according to their morphologic characteristics. The classification includes (Figure B3): Cliffed Shorelines with Pleistocene deposits exposed in the swash zone. These features correspond to shorelines composed from hard Pleistocene clays, which are expressed by steep cliffs. The submerged shorelines also tend to be hard clays and soft mud. Shell and rock fragments beaches. The shell and rock fragments shorelines correspond to cumulative beaches with high content of gravels, sandy shells, calcareous debris, broken and entire bay shells. These beaches are located in areas 7 where shells are an important component of the shallow beaches, and tend to be accumulated by wave actions. Terrigenous sand beaches. Sandy beaches, sometimes acting as pocket beaches, are common in localized areas in the County shorelines. These areas tend to be small but important in the general sediment accumulation occurring on the bay shorelines. Marsh-dominated strandline. These shorelines correspond to the modern marshes, wetlands, and vegetated bayous in contact with the bays. Marsh dominated modern shorelines(*). These modern shorelines are not connected to the marshes on the strandline. These are areas that have marshes in different areas where creeks, coves and bayous have developed marshes connected to the bay tides in restricted or protected areas. (*) Added in this report. Shoreline altered by human activities. These shorelines correspond to the shorelines already modified by human activities through dredging and the construction of bulkheads, rock revetments, groins, boat ramps etc. (McGowen and Brewton 1975). Shoreline Retreat Rates The shoreline processes affecting the bays include erosion and accumulation processes. Shoreline erosion is a common problem in Texas bays. The rates or retreat or accretion are measured in ftlyr, and are determined by the Bureau of Economic Geology of the University of Texas at Austin, which has conducted different historic studies on the shorelines of Calhoun County. Although some data on the shoreline processes is historic, the general shoreline erosion trends tend to be steady due to the lack of regional modifications (Figure B4). 8 Figure B4. Erosion and accretion rates in ft/yr are from source (1) McGowen and Brewton (1975) in white numbers, and source (2) White and Morton (1987) in yellow numbers. Source (1) consists of erosion and accretion rates based on shoreline profiles run in 1971-1972 then compared with data from 1-956-1957. Source (2) consists of average rates that were compared from data collected in the period 1859-60 and compared with the data collected in the period of 1974-1982. No recent data was found available. Two sets of data are available in Calhoun County: 1. the study conducted by McGowen and Brewton (1975) for Lavaca and Matagorda bays; 2. the study from White and Morton (1987) for San Antonio and Espiritu Santo bays (Figure 84). The study conducted by McGowen and Brewton (1975) consisted of erosion and accretion rates based on shoreline profiles run in 1971-1972 then compared with data from 1956-1957. The study conducted by White and Morton (1987) consists of average rates that were compared from data collected in the period 1859-60 and compared with the data collected in the period of 1974-1982. There is no recent data collected for these bays. The rates in Figure 6 show that there are a few areas in the bay with high erosion rates that exceed >20 ft/yr of shoreline retreat, but the general trend are erosion rates between -2 and -5 ft.yr. 9 Coastal Natural Resources in Calhoun County Bays and Shorelines Calhoun County's coastal areas contain abundant and valuable natural resources (Figure B5). These natural resources attract many user groups. with different recreational goals. Visitors to the shoreline access points should consIder that m~~y areas have natural processes and habitats and over visitation may impact some specific resources. In some instances, a coastal natural resource is protected under both state and federal regulations. Several coastal natural resources are represented in Figure B5 and described below. Tidal wetlands. Wetland areas are influenced by the ebb and flow of tidal flows and energies. Depicted as hatched blue lines in Figure 7, this resource is protected under both federal and state regulations. These areas can include brackish marshes, tidal mud and salt flats, salt marshes, etc. Any discharge of fill within tidal wetlands would require a Clean Water Act (CWA) Section 404 permit through the US Army Corp of Engineers (USACE), any work or construction in tidal wetlands. would require authorization under Section 10 of the Rivers and Harbors Act (RHA, also regulated by USACE), and coordination with the Texas GLO would be necessary as it is considered a Coastal Natural Resource Area (CNRA) protected through the Coastal Zone Management Act (CZMA). The data presented in Figure B5 was derived from US Fish and Wildlife Services (USFWS) National Wetland Inventory (NWI) data. Oyster reefs. Oyster reefs are abundant in the bays surrounding Calhoun County. The areas where these resources are abundant are depicted as yellow polygons in Figure 7. These fish and natural habitats are also protected under Section 404 of the CWA, Section 10 of the RHA, and CZMA. The data presented in Figure B5 was derived from National Oceanic Atmospheric Administration's (NOAA) National Marine Fisheries Services (NMFS) databases. Seagrass. Shoal grass (Hadule beaudettei) and turtle grass (Thalassia testudinum) are the typical species in the area and provide important ecological functions, including provision of nursery habitat for estuarine-dependent species, provision of organic biomass for coastal food webs, coastal erosion and sedimentation stabilization, and also is part of the general coastal nutrient and water cycling processes. Boat propeller scarring is noticed in aerial photos next to the shorelines of Calhoun County where seagrass is abundant. During low tides or in shallow areas, boat propels tend to destroy important areas of seagrass. Coastal visitors should notice that fish productivity and seagrass stability are factors that go together, so the protection of seagrass areas should be considered part of the success of coastal fisheries. The data presented in Figure 7 was derived from National Oceanic Atmospheric Administration's (NOAA) National Marine Fisheries Services (NMFS) databases. The location of seagrasses is 10 presented in Figure B5 as yellow polygons, which are also protected under Section 404 of the CWA, Section 10 of the RHA, and CZMA. Figure B5. Habitats located around the shorelines of Calhoun County. Sources: National Oceanic Atmospheric Administration's (NOAA) National Marine Fisheries Services (NMFS) databases; Texas Parks and Wildlife Department's Natural Diversity Database and Texas GLO spatial databases. Rookeries. These are large nesting areas for colonial waterbirds. Colonial waterbirds tend to be isolated and protected from predators. These habitats tend also to be isolated islands away from human activities as well. These habitat areas are protected under the Migratory Bird Treaty Act (MBT A), and usually construction or visitation in or immediately near a rookery is avoided during breeding season (generally April through August). The data presented in Figure B5 was derived from Texas Parks and Wildlife Department's Natural Diversity Database and Texas GLO spatial databases. The protection of nests under the MBTA includes any nest (such as those found in shrubs, trees, and brush). Active nests should be checked by visitors during visitation, mainly if visitation takes place between April and August (the general nesting season for migratory bird species). 11 The locations of resources depicted in Figure B5 should only be used as a reference for general location. For example, recent field visits to project sites revealed area.s of seagrass and oyster reefs along the shorelines of Boggy Creek Park; however, neither of these resources are shown in various state and federal spatial inventories. The natural resource agencies and the county should make sure that inventories are current and data is available to the public for limited impacts to the habitats. State submerged lands. These are areas under tidal influence, which are owned or managed by the Texas GLO. Depending on the nature of the area, activities that may impact submerged public lands areas may require Texas GLO coordination and approval. The GLO is in charge for the enforcement of the Texas Coastal Zone Management Program, which includes the. policies apply directly to these coastal submerged lands. State-submerged land spatial data depicted in Figure 7 was obtained through Texas GLO website. Additional Information on Resources and Potential Regulatory Concerns Habitat for federally-protected species under the Endangered Species Act also occurs in Calhoun County. Although several federally-listed species are known to potentially occur in and around Calhoun County and its waters, the primary species that would be scrutinized during a coastal access improvement project would likely be the piping plover (Charadrius melodus). The piping plover uses many types of tidal shoreline interfaces including beachfronts, tidal and mud flats, etc. Many potential visitation and recreational areas contain suitable plover habitat. Piping plovers winter in Texas and are typically around from October through March. A survey for potential piping plover habitat is recommended for future shoreline access project to determine new shoreline access areas. The distribution of tidal wetlands are displayed in Figure B5, some non-tidal waters (including streams, wetlands, rivers, etc.) are protected under Section 404 of the Clean Water Act (where the discharge of fill into such waters would require a permit). A survey for potentially-regulated waters should be developed on any shoreline access initiative. 12 ATKINS Calhoun County Texas Shoreline Access Plan Appendix C Distribution of Boat Ramps, Kayaking Sites, Fishing Piers and Observation Decks " in Calhoun COl;lnty, Texas. ~. . _ "... .1 ;.->' _..- ~~:::;:~;~~;> ~\J -#- .<1 "" t ~~f. .~. " _ _ .J.-'" . ' . ... . ' ~) ., . . ~ -;. ~ ". . ,~ ~---=,"",-', r .. ~..;: "'-'.~ \: '" t j~, . .~ a. " " " " "-. Document Prepared by: Juan Moya, Matthe M~honey and Thomas D on Atkins North Amera Coastal Planning and Resto .t1:0" Group 6504 Bridge Point Parkwayulte 200 Austin, Texas 7873 Photo: Seadrift Shoreline Park >. ..... C ::J o U C ::J o ..c m U c "0 ()) ..... m u o rn a.. E ~ ..... m o CO ~ U ()) ..... ::J .2> u.. ..-:-< t. , .ll \..' '111 ,.''J ..to' ,:. t,. ~ "",;.:.,1 \.. ... va. ~ /' 1i /#~\ ~ .(.~;., -It: '\.- ..it ,~. . f;.. ~ ...~ I ' .--" ..~ lifl~ ~~ , .:,*, ../'\ C\i "'0 .... 0>> 0)(\1 20J ro :2 . I .e~ ':.lofo' .(:. -;:<- . 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CIS ~ Q) ..c +-' - o c o :.;:::; CIS U o ....J N U Q) ..... :J .2'> u. :>. +-' C :::J o U C :::J o ..c rn u c (/) ~ u Q) "0 C o +:: ctl > .... Q) (/) ..c o ~ "0 .~ "0 C ctl (/) .... Q) .0.. 0> C :.c (/) tt= Q) > 13 ctl Q) ..c +-' ...... o c o +:: ctl u o -l C") U Q) .... :::J ,2> u.. (J) .... :J 1:5 :J .... +-' en Ctl .... '+- C en en (J) () () Ctl ..c +-' .~ >- +-' C :J o U C :J o ..c ro u c en 'm .... I- 0> C -c -c Ctl a.. (J) ..c +-' '+- o C o ~ CI:l () o ...J "'=t U (J) .... :J 0> u: .-.i. .-.i. <' ^lK~N5 Calhoun County Preliminary Inventory (Update) of Shoreline Access Infrastructure TECHNICAL MEMORANDUM Atkins Coastal Plannin and Restora .on Group Atkins Job N 100023672 ~ THIS TECHNICAL MEMORANDUM WAS PRE'R..rED FORTfI...fC ASTAL COO~DIN ON COUNCIL PURSUANT TO NATIONAL OCEA :c AND ATM9SPH ~IC ADMINI .. ATION AWARD NO. NA10NOS4190207. .. j ,,~ Decem ber 011 Contents Page 1. Introduction ....................... ............. .......... ...................... ....... ............. ....................... ......... ...................... 1 2. Methodology.. ......................................................... ...................... ............ ....... ................................... ..... 2 3. I nventory Update ............. ................ ......... ................. ................. ................... .......... .................. ...... ........ 7 4. Resu Its......... .................. ......... ............... ............... ........... ................. ................................... ....................... 7 - Zone A: San Antonio Bay and West Calhoun County ........................................................................ 9 - Zone B: Gulf Intracoastal Waterway (GIWW) .................................................................................. 21 - Zo ne C: So uth lava ca Bay........................................... .......................................... ...............................32 - Zone D: North lavaca Bay .................................................................................................................. 52 - Zone E: East Ca Ihoun Cou nty ............................................................................................................. 74 5. References ...............................................................................................................................................81 Document Prepared by: Juan Moya, Matthew Mahoney and Thomas Dixon Atkins North America Coastal Planning and Restoration Group 6504 Bridge Point Parkway Suite 200 Austin, Texas 78730 *Front page photo: King Fisher Park Fishing Pier at Port O'Connor Calhoun County Preliminary Inventory ii - 1. Introduction With the population growth and the privatization of the shorelines, a large portion of the Texas coast is receiving high pressures on its public shoreline access and the recreational activities that go with it. The growth in visitation and population in Calhoun County (County) is just one example of these coastal trends. Public access for recreation, public safety and other uses has been an increasing problem for the County in the last 20 years. As a response to these problems the County is developing this Calhoun County Shoreline Access Master Plan in order to have a long-term approach to the problems and potential solutions. associated with the access to the shorelines in Calhoun County. This document is a preliminary inventory of the conditions of existing shoreline access points and it provides suggestions for site improvements. A Comprehensive Recreation, Conservation and Access Master Plan was prepared in 2006 for the West Side Calhoun County Navigation District (Public Management Inc., 2006). The study served as a planning document to assist the navigation district in improving conditions for its citizens, but it also covered some of the shoreline infrastructure needed for the County to respond to the visitation, population and economic growth. The report developed an inventory of recreational facilities and locations associated with various shoreline areas, such as boat ramps, piers, pavilions, beach areas, camping, fishing, bicycling, hunting, wildlife viewing and bird watching. Based on the conclusions of the Public Management report and the regional needs to resolve the shoreline access issues related to comprehensive solutions, Atkins has prepared the update of the shoreline access points as the first step to identify alternatives and solutions to public access. This preliminary assessment and evaluation of currently mapped county coastal access locations includes an inventory of the available infrastructure at each location ,potential expansion or revitalization, and the potential for multi-use recreational activities such as beach areas, camping, fishing, bird watching, etc. At the request of the County, Atkins specifically addressed three main topics: 1. Boat Ramps. Identification of the general conditions of the available boat ramps and potential areas for future development of new single- or multi-use boat ramps. Calhoun County Preliminary Inventory 1 2. Fishing Piers. Identification of the general conditions of the available fishing piers and potential areas for future development of new single- or multi-use fishing piers. 3. Paddling Trails or Areas. Identification of the general conditions of the available paddling trails and kayaking access points and potential areas for future development of new single- or multi-use paddling trails and kayaking access. The county is surrounded by four bays (Figure 1): Lavaca and Matagorda Bays on the east side, Espiritu Santo Bay on the south side, and San Antonio Bay on the west side. The county is also in contact with the Gulf of Mexico through Matagorda Island, which is south of the Espiritu Santo Bay. The county has a total land area of about 1,032 sq mi (2,673 km2). The total area of county waters is about 520 sq mi (1,347 km2). The shorelines in these bays have excellent conditions for public shoreline infrastructure. 2. Methodology Atkins analyzed the available inventory of existing bay and estuary access points and their available infrastructure as presented in the Texas Beach and Bay Access Guide (Guide) developed by the Texas General Land Office (TGLO) which is available at: h Up:/ /www.glo.state.tx.us/O C/Beach _ Access/pdf/04-Golden Crescent. pdf. The guide was designed to help coastal visitors locate a variety of public access sites, National Wildlife Refuges, and Wildlife Management Areas along the Texas coast ( see Figure 2). As mentioned in the guide, public access sites may provide either direct or indirect access to the coast or bay. A brief description of primary recreational activities was provided. The guide included location maps showing available marinas, county/state/federal parks, boat ramps, and areas of recreational interest. v-___~~ -- ~-lIi:~~:".'.",;>,""~ '" ~~~'- .~,.~4~<;':-" .~. ~,;. ._~"'p~ w~~~--~<~1: -'~....~~-:-~. ~-- ~~ Calhoun County Preliminary Inventory 2 APPROVE A LOAN fROM THE GENERAL FUND TO 2011 HOMElA.ND SECURITY GRANT SHSP: Lucy Dio requested Commissioners Court consider and take necessary action to approve a loan of $20,993.02 from the General Fund to 2011 Homeland Security Grant SHSP for communication equipment. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to approve the loan of $20,993.02 from the General Funds to the 2011 Homeland Security Grant SHSP. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. SIA .~_~~aln RUey from: Sent: To: Cc: Subjec~: Attachments: -=->-=- Importance: Lucy Dio [Iucy.dio@calhouncotx.org] Monday, April 23. 2012 8:32 AM susan. riley@calhouncotx.org 'La Donna Thigpen' agenda item doc20120423082246.pdf High Please add the following: "Consider and take necessary action to approve a loan of $20,993.02 from the General Fund to 2011 Homeland Security Grant SHSP for Communication Equipment." I will bring over the PO for the loan for the Judge to sign shortly. Thanks! GOVERNOR'S DIVISION OF IEMERGIENCY MANAGEMENT HOMELAND SECURITY GRANTS ADMINISTRATION HOMELAND SECURITY GRANT PROGRAM PROGRESS REPORT 1. SUBGRANTEE (AGENCY) NAME 2. AGENCY GRANT NUMBER 3. REPORT Calhoun County 1SHSP80S7 o 1st Semi-Annual January 1 o 2nd Semi-Annual July 1 o Anal Report 4. GRANT TITLE S. AMOUNT OF GRANT AWARD 26.11 SHSP $_20,993.02: 6. TOTAL EXPENDITURES TO DATE 7. TOTAL ENCUMBRANCES (OUTSTANDING 8. UNOBLIGATED BALANCE TO DATE PURCHASE ORDERS) TO DATE $2,033.98 $18,959.04 $0.00 9. DATE OF REPORT April 21, 2012 COUNTY REPORTS: The County Clerks Office presented their monthly report for the month of March, 2012. The Treasurer's Office presented their monthly report for the month of February, 2012. Justice of the Peace No.1 gave their monthly report for the month of March, 2012. Justice of the Peace No.2 gave their monthly report for the month of March 2012. A Motion was made by Judge Pfeifer 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 - MARCH 2012 CIVIL FUNDS County Fees County Clerk's Fees Recording Probate Civil Total County Clerk's Fees Judge's Fees Probate Civil Total 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 Subtotal County Fees $10,200.20 320.00 520.00 $11,040.20 34.00 34.00 40.00 400.00 22.00 735.00 105.00 315.00 275.00 1,570.00 140.00 462.00 0.00 $15,138.20 State Fees Judicial Funds (CV$1066 + PR$656) Marriage License Fees Birth Certificate Fees Total State Fees SUBTOTAL CIVIL ESCROW ACCOUNT I APPEAL JP#1 TOTAL CIVIL FUNDS COLLECTED 1,722.00 440.00 100.80 2,262.80 $17,401.00 $17,401.00 $17,401.00 CRIMINAL FUNDS Total Criminal Court Costs & Fines & Pre-Trial Diversion TOTAL FUNDS RECEIVED (As per ACS Report) Bank Interest Earned $9,956.00 TOTAL FUNDS RECEIVED $27,357.00 Less Refunds for Overpayment of Filing Fees ADJUSTED FUNDS RECEIVED Plus Re-Deposit of NSF Checks (Not recorded in ACS) Co. Clerk Check AMOUNT DUE COUNTY TREASURER I $27,357.00 I .,j' 1~ ANITA FRICKE - COUNTY CLERK MONTHLY REPORT RECAPITULATION (con't) OFFICE FUND - MARCH 2012 DISBURSEMENTS CK# Pavable To Description Amount TOTAL DISBURSEMENTS $0.00 CASH ON HAND. OFFICE FUND Beginning Book Balance Funds Received Disbursements Plus Redeposit of NSF Checks Less NSF Checks Ending Book Balance $0.00 BANK RECONCILIATION. OFFICE FUND Ending Bank Balance Outstanding Deposits." Outstanding Checks.. Plus Other Items"" Less Other Items.. Reconciled Bank Balance $0.00 CASH ON HAND. TRUST FUND Beginning Book Balance Funds Received Disbursements Ending Book Balance $22,499.63 BANK RECONCILIATION. TRUST FUND Ending Bank Balance Outstanding Deposits.. Outstanding Checks.. Reconciled Bank Balance $22,494.63 0.00 0.00 $22,494.63 (5.00) $22,494.63 "See Attached ~~~~ SUBMITTED BY: Anita Fricke, County Clerk -' - 0---1, ~- - /(P ANNUAL REPORT FOR LOCAL FISCAL YEAR 2011 This report is due at the Texas State Library and Archives Commission by April 30, 2012. All data applies to your library's 2011 fiscal year. We strongly urge libraries to report no later than March 31. 2012. to provide time to make any necessary revisions. SECTION 1: tllBRARY INFORMATION - Central/Administrative Library 1.1 Library Name Calhoun County Public Library 1.2 County Calhoun Mailing Address 200 W Mahan St Port Lavaca 77979 3327 1.3 Street or PO Box 1.4 City 1.5 zip code 1.6 4-dlglt zip ext. Street Address (if different) 200 W Mahan St Port Lavaca ;~.._::\ ,,;:1.7979 ~.~ -: J:~.~? 1~!tzipiode ,~'<';,~ ",".' ":')!;',;..h!, 3327 (Area code) Phone number 1.10 4-dlglt zip exl. 1.7 Street or PO Box 1.8 City 1.11 Phone' (Area code) Phone number 3615527323 X 1.12 Listed Telephone '~:;l<",,;~'> - Is this a number that can be accessed through Directory ASsistac~!?tlf?_:r DNo 1.13 Telefax ~'~.::-;:~~)"'. "\,;.,'.'.-', ...;". . "V7:'~ ~ :)615524926 ~Y, . '. ;.;.:;;,. ~.,,,,. 1.14 Admin E-mail Address nCJuZ@c~library.org.,-;'" t"/1:~~'.:':'- "''-';f'~*', - t":"j,;; '1 <i<.:,\ 1.15 E-mail Address (Library),~.j',:':- staff@cgtl.hrary.org ~V"f:~., . ,,~,}. '\_~..,::~;r.;~~~::; ~\ 1.16lnternetlWeb Address . ~~'~:.-~ ::~~':%~~?it~i:~~:..~, ':~}, /"\:>_..,."..--,, v'; ;~..::,> . btt.'p:// www.cclibrary.org t"'.>:'<.." Head librarian "'~:": Noemi "~;~};;~} Cruz .,,;{~,; 1.17 First~~me 1.18 Last Name 1.19 Is the information"'pr()yided ir:!~:1: 1 through 1.18 correct? ~"t\(~~~Ji., ,. '::-:]i'" ";i~_\~:-),., _.,,!.'? Contact Person (person completing report) . >-:.'.'{;~~,:,<; No Noemi Cruz 1.20 First Name 1.21 Last Name Board Chair Sue Thomae 1.22 First Name 1.23 Last Name Friends of the library President Sandra Witte 1.24 First Name 1.25 Last Name Texas Public Libraries Annual Report Page 1 XAccreditation-related question '... . SECTION 2: OUTLETS 2.1 BRANCH LIBRARIES. Number of branch libraries 3 2.2 BOOKMOBILES. Number of bookmobiles in use 0 2.3 RENOVATIONS, EXPANSION, NEW CONSTRUCTION. Has the main library building{s) or any branch library been renovated expanded or I[z]ves DNo new construction completed within the period covered by this report? 2.4 SQUARE FOOTAGE OF THE MAIN LIBRARY. .4;i~t:i1. 13,200 This is the area on all floors enclosed by the outer walls of the library. sqft ,o<-:,,'_,"',<.,i SECTION 3: EXPENDITURES OPERA TING EXPENDITURES ~J)f "'!~~tf;,", .~~.t'.::~:" ~':,"iJ?:" ~',i;\'", (~(i'iI:"~$ "'t;.F1- STAFF EXPENDITURES 3.1 Salaries and Wages Expenditures - This,,51FT;1Qu,nt ShOUldb~!,!h~ salaries and wages for all library staff . \"(~J,';'<.)lt'~;",.;~~ "~':<)';'z'. $257,069 'f-;~it;. ""...,,:;,.~.'t;F5;-"f~'_" ,",.' :;, 3.2 Employee Benefits Expenditures - These ~~~l~h~,~?r:~fiii':::;,;' outside of salary and wages paid and a~~!~!;Jto empIOy~t:fs. $83,755 !, \,-;:;~.I>' ~~'::~';.f' "'i;:;""\ ~~.;,~:;.:;;(t COLLECTION EXPENDITURES ~':,' ,~~;;,;,~" ::';';:i, \. ::"'t-", L"';;i2':'~~ ':t;r'.',r:",\ -"i';i:':-~'~" 3.4 Print Materials'J=xpenditures,,..BookS~ serial back files, current serial subscriptions,g()yemment docUmEmts, and any other print $35,879 acquisitions.'.f,:t::>,,, Ait;/ 3.5 Electronic MateriaIS'~R4!n,(j(tures - Report all operating' expenditures for electronic (digital) materials. $5,539 ",-~, ~,':. " ,",,' }~;i"{;:~,,},i'q' ,.'" Totc!t~taf!.J;~penditures (Total of 3.1 and 3.2)340,,8~4., . ..',;.,-:.' '''" '-'I~:. "-,s" ""';:" "'~",'{' , __ :"',,-: _', ,c"",ri ',,' .'., ",<t'.,.: ,>> , 3.6 Other Materials Expenditures - Report all operating expenditures for other materials, such as microforms, audio, video, DVD, and materials in $6,309 new formats. 3.7 Total Collection Expenditures (Total of 3.4 through 3.6) $47,727 3.8 Other Operating Expenditures - This includes all expenditures other than those reported for Total Staff Expenditures (Question 3.3) and Total Collection Expenditures (Question 3.7). $76,577 3.9 Total Direct Operating Expenditures (Total of 3.3 + 3.7 + 3.8) $465,1'28 Texas Public Libraries Annual Report Page 2 XAccreditation-related question 3.10 Indirect Costs (Optional - attach documentation if claimed) This should only be reported when a library has failed to meet the Maintenance Of Effort requirement for accreditation in state library system. 00 NOT include capital expenditures. If you are claiming indirect expenditures and are uncertain $0 whether an expenditure may be claimed, please contact TLSAC staff. '., ',' 3.11 Total Operating Expenditures (Total of 3.9 +3.10) $4,~S;t2~< 3.12 Capital Outlay (Do not include operating expenditures reported above) These would be one-time only or extraordinary expenditures. These are major capital expenditures (the acquisition of or additions to fixed assets). Examples include expenditures for building sites, ,'. ."...."..... .' ,. new buildings and additions to or renovations of library buildings. $54;970 . Report actual expenditures, not budgeted or estimated amounts. .{ !!;~, . ; ';..,., .""". " SECTION 4: LOCAL FINANCIAL EFFORT j~[i," \'Y.. ,.,,,"'!_.-~;;~' ";~:>';~7~~ This section contains questions which will help determine wh~~er the Iibiary meets the minimum "",..,J '\'_ -C' '. accreditatl.on cn.ten'a. "Y-">C;;',:"" I ' '.,~'J;', r) _ .....'if ,~'-' ir ~=~\- ;~,. X 4.1 Local Expenditures on Collections. - Of the arnpunt ~h6wn in Total Library Collection Expenditures (Question 3.7), how much was expended ftplJ1!bcal funds. Local Expenditures on Col/ections is a subset of L()cal Operai/i1'i}lExpenditures and should be included in Question 4.2.:'0">.:;;1>> './~' k\ :, :.>:',.. .,t,'" ': $42,551 :...... ."'~~ '--',<;,...,. .:>.".,_."".. ,I X 4.2 Local Operating Expenditures - Ofthe~~mouritstiO\rininTotal Operating Expenditures (Question 3.11), how much was expencled from locaifi.mds~ :' J;/;; :i:~ :i;t.,!~!, ' ;~~':: , .S} "f X 4.3 Local Government Ex~ih~itUf.'it~:oifI'fEiamount shown in Total Operating Expenditures (Question 3.11), how ml!~~ was e*p~iided from local government funds. "---,<;.-,1,.J,,,','-:. "';J<<", Local Gov~mment 17xRfl,~dit,!i9SJ~"~ subs~tl!f Local Funds Expenditures and should be Included I('Questlon 4.2t:~;"!'(!;j", $458,067 ,.or -:y..~ ~- ~ .J~~.'~,t\ ~)t .~ ,;," }M~ SECTION 5: LlB~~Y ~15"ENUE BY SOURCE :;'..,'i. OPERA TING REVENUE City, Cities, or Library District (include revenue from other 5.1 $0 cities) County or Counties (include revenue from other counties) 5.2$458,067 School Districts 5.3$0 5.4 Subtotal-Local Government Operating Revenue (5.1 + 5.2 + 5.3) ~5g,06? ..... it. .' . . " , "'... 'r'-, '" Texas Public Libraries Annual Report Page 3 HAccreditation-related question " Loan Star Libraries grant award 5.5 $0 Other state funds 5.6 $0 Subtotal of State Operating Revenue (5.5 + 5.6) Federal Library Services & Technology Act Funds (LST A) 5.7$0 Other Federal funds 5.8$0 5.12 Subtotal of Other operatin,~t~fe~nue (5.1 0 ~~:h) $18~05~ 5.13 TOTAL OPERATING REVENUE (5:t't~:,~:;ff6 + 5.9 +5.12) ~16,11() 5.9 Subtotal of Federal Operating Revenue (5.7 + 5.8) $0,' , Foundation and corporate grants Other local sources (interest, fines, donations from individuals) 5.10 $0 .../i~~ CAPITAL REVENUE >'I'~:':' ':~. :~~.,,<: . '_/i', ~ ,,:.,:::,., ',,)> City, Cities, or Library Distric~,~~~c(ude~r~venue frOT other cities) C,"',',. ",r"" "i"~ liAt~',~,.~_ _,'ii~?~f;1:~:}'":'~'.h'~',,-,~~. , . _'~';-~,;::~ County or Counties (include reV~!1l!e. ft'pmothefCi:)linties) ~~,;"."" - . 5.14$0 5.15 $272 School Districts 5.16 $0 ~ ~t~ .~< Loan Star Librari~$;g~ant award Other state funds Federal Library Services &'Technology Act Funds (LSTA) 5.17 $8,360 5.18 $50,000 5.19 $0 Other Federal funds 5.20 $0 Foundation and corporate grants 5.21 $0 Other local sources (interest, fines, donations from individuals) 5.22$0 5.23 TOTAL CAPITAL REVENUE (5.14 through 5.22) $58,632 Texas Public Libraries Annual Report Page 4 XAccreditation-related question 5.24 Other cities or counties funding the Library: If the Ii~rary ~eceived funds from a city or county other than the one in wh~ch.the library IS located, list the appropriate cities or counties separately and indicate the total of the funds received from each city or county. 5.25 Amt. received: City or County Name: \':f;:;:~ .OJ,:- . <','.>, SECTION 6: LIBRARY COLLECTION ", }~'~";i)~;,.". ";:;.,( ...,. ....i'. ,....i>'..., "'>':'~-;_"~'~:"':""~"'_~ -".',.' '. ./~.~,.'],'..'" (",:~.,/., X 6.0 Does the library have a catalogj)fjtsholdin~l{l:j\iailable to the public that is searchable, either 'manually or electronically, at a,~~~Lmum ~luthor,t~:, and subject? .f Yes No . ,,~:: ;..~ #,".'l~. Books in Print ~i~':'~'i,~_~". .. .~.:~~~,,~,,"A' Books are non-serial Printedp~~licatiOn~:'(il1cluding music and maps) that are bound in hard or soft covers, or in loose-leaf format. Inclu,g,~: non~se~~,I@overi'l"!1ent documents. DO NOT count un-cataloged paperbacks. . .!.~-~;;:.".. .,:"-',"'f,~ 'i'i,. 1;.-!- \0, 6.1 Number of Titles ",o,j';' 6.2 Number of Volumes, Items, or Physical Units .~'i:it> 76,633 113,232 Audio Materials-Phy!iieal Materi~" These are materials circulate&l{ji! fii~i{ physical format on which sounds (only) are stored (recorded) and that can be reproduced (played back) mecl:t,anlcally, electronically, or both. Do not include downloadable electronic audio files. 6.3 Number of Titles 6.4 Number of Volumes, Items, or Physical Units 3,548 Audio Materials-Cataloged Downloadable 6.5 0 Audio Materials-Downloadable Report the number of all titles that are available onlv through a link on the library's website to a third party vendor. 6.6 0 Texas Public Libraries Annual Report Page 5 XAccreditation-related question Video Materials-Physical Materials These are materials drculated in a fixed. physical fonnat on which moving pictures are recorded. with or without sound. Do not include downloadable electronic video files. 6.8 Number of Volumes, Items, or Physical Units 6,685 6.7 Number of Titles 6,554 Video Materials-Cataloged Downloadable 6.9 0 Video Materials-Downloadable 6.100 Electronic Books - Do not include TexShare holdings. 6.14 Other Licensed Databases ';'~'~'~;;~'~;~:\1;:;!":~"," '<_':.:\ __,(~;)f" 6.15 All LiC!,n'$e~,patabjl~f'~UBTOTAL (6.12+6.13+6.14) ~("lfJ:~:j' 'tt~~\ -~~~~~ 6.11 37,337 Databases 6.12 Local Licensed Databases 6.13 State Library Licensed Databases 6.13 49 6.140 6.16 Number of Titles (6.1 +6.3+6.7) "'.f X 6.1 j Number of Volumes, Items. or Physical Units (6.2+6.4+6.5+6.6+6.8+6.9+6.10+6.11 +6.12) 11. 't~~\~"i'~'; Current Print SeriarS~~scriptio~;- if~~:~".j.~. }:..ij:f':i' ';,,_.~.< \~.....!::-~f:::' 6.18162 Current Electronic Serial SQtiscriptions Do not include TexShare holdings. 6.190 SECTION 7: LOCAL LIBRARY SERVICES Reference and Circulation 7.1 Number of Reference Transactions 7.1 3,346 7.2 Circulation of Children's Materials. This figure is a subset of Total Circulation in QuesUon 7.3. 7.229,385 Texas Public Libraries Annual Report Page 6 XAccreditation-related question -!'-'- 7.3 Total Circulation ',,'~" :~. . "",;,r \ '. 1.3 9~,~56 '. . . ::":"'>/'j,'''" I 1",;;"_' Programs and Program attendance 7.4 Total number of Children's Programs provided by the library - This figure is a subset of the Total Number of Ubrary Programs in Question 7.6 7.5 Total number of Young Adult Programs provided by the library - This figure is a subset of the Total Number of Ubrary Programs in Question 7.6 7.6 Total number of Library Programs 7.4133 17.58 7.7 Attendance at Children's Programs provided by the library This figure is a subset of the Total Attendance at Library Programs in Question 1.9. .~ 4~~_~~~~.~ 7.8 ii~' 7.8 Attendance at Young Adult Programs provided by thtJ.~ fl/)f~""1' library. This figure is a subset of the Total Attendance at Libr;:Jry/ Programs in Question 1.9. .<~;" ,. ,.' ~. -.::. . , ['7.93+13 '.. ~..' '. , ~- \'!',' , .' 7.9 Total Attendance at Library Programs Count all program attendees, including those reported in 7.7 and ,"~.. Visits and Borrowers 7.10 Number of Library Visits (gate count) , ' J'}' '~.:,',:.'.,..':"~'_"?'.' ,M~:;ic'f'-... 7.11 Number of Registered ~~froWe'l({:;1ij~:"7>'''~I' :;~~:t~5:~;"'>;"<J;"'~'J.Z":';':\.:} 93,424 10,678 X 7.12 Does the IibratfH~ve>a:Lo~g;2Range Plan? ..,4!?1;~1:~' ~'\1!:~f'~~ ~ ~~;~\~:'i.'~' X 7.13 Does the 'll~ta,ry have availlble a "photocopier for use by staff? ...........,']"...:4." c":,>'-::} X 7.14 Does the Iibrar~Vtii:lye a,v~ii~ble a photocopier for use by the public? ;~'~:~~j?J. -(::~l" No No SECTION 8: LIBRARY STAFFING AND SALARIES 8.1 With Master's Degree from program accredited by ALA _ 8.1 Total hours worked per week. 0.00 8.2 Other persons holding title of Librarian Total hours worked per week 8.2 40.00 8.3 All other Paid Staff Total hours worked per week 8.3 301.00 8.4 Total Paid Library Staff (8.1+8.2+8.3) " 34.1.00 . . "{' . ":',,' Texas Public Libraries Annual Report Page 7 XAccreditation-related question 8.6 How many hours last year did Volunteers work in your library? 1,172 8.6 What was the Head librarian's Annual Rate Of Salary? $37,620 X 8.7 How many hours per week is the Head Librarian currently employed in 40 library duties? . X 8.8 Has the Head Librarian obtained a minimum of 10 hours of I[{] Yes l J No continuing education credits within this reporting period? SECTION 9: RESOURCE SHARING 4f,~, _-,{.~~:(j'T-' Interlibrary Loans "'" '('/<>. X 9.1 Is your library willing to borrow materials from an.o ,..,t. n, library for Y~~~~.. llJ patrons?;f;';P_,. . .f Ves .+~~....-4-c- ~. X 9.2 Is your library willing to lend materials to anottJ;'o'. ra~loftheir patrons? ' """'):;~~j,:'~)/" Interlibrary loan (ILL) requests 9.3 How many loans were received from otH~,~ iibttnes:z" '~i:t~~"!Jl;~ p' .,,:.... -:~-'_;, "-''''_ ';:':i'II"-:'ic 9.4 How many loans were provid,~d (o'q~her Iibr'€lnes? ,.;;'i~;;i' ~. J~~._",';:~~ "\, ';}%;~;~~i5\cf;YL)\;,z~,p'. SECTION 1 0: IN,..E~NI;J ANQ ELECTRONIC SERVICES No No ,"",1.. 151 o ,,".~<<\(;:' ..,(t;-o:'14-;;~ ;e,'J;":I~ X 10.1 Does YOlJf~ii6rary have ~l~mpljiE;r with Internet access for the use lli.Jves DNo ~- .-.:f\, ""_. by staff?"y~,~ fJ ""-....:':". k,'~'~ X 10.2 Does your Iibisty,have ~~ebmputer with Internet access for the use UiJves DNo by the public?')::';~"._f'\>' ,~,:>~,,,' '-;.,~,"'- 10.3 How many tenninals'are used to access the Internet by general public? 63 10.4 What was the total number of uses of Public Internet Computers in the 24,811 library during the year? This is for in-library use only 10.6 How many persons were trained in the use of electronic resources (formal and informal) 60 SECTION 11: LIBRARY HOURS The local fiscal year covered by this report 11.1 began 01/01/2011 and 11.2 ended 12/31/2011 Texas Public Libraries Annual Report Page 8 XAccreditation-related question ~ 11.3 Annual Total of Public Service Hours - Central library Only 2,006 11.4 Annual Total of Public Service Weeks - Central library Only 52 11.5 Total hours library open during ReaularWeek - Central library Only. 40 11.6 Total hours library open during Summer Week - Central library Only 40 If same as regular schedule, please put same hours as in 11.5. X 11.7 How many unduplicated hours is the library and its branches open per 9 week during a regular scheduled week? , Texas Public Libraries Annual Report Page 9 XAccreditation-related question -~ DEADLINE FOR REPORT AND APPLICATION SUBMISSION Texas Administrative Code, Title 13, Chapter 1, Rule ~ 1.85 regarding the Annual Report. A public library shall file a current and complete annual report with the Texas State Library and Archives Commission by April 30. Revisions to the annual report which would affect membership status for the next fiscal year will not be accepted after July 31. Staff vacancies that occur after the report is filed shall not adversely affect applications for system membership in the next fiscal year. Staff vacancies that occur prior to filing the report which affict system membership must be filled and. reported prior to July 31. Wi//fitl falsification of annual reports shall cause the library to be disqualified for one year in the first instance and disqualified for three years in the second instance. ..l3" To be considered for accreditation, the library must submit the annu~~1~~ort no later than April 30 and complete the Accreditation in State Library System APPlicati~nti;,'qn~~ completed, the application should be sent to the Library Development & Networking Divi~ion( Th~'apRlication can be found on . " ..JI:~ -'\'-~,t.<:,~ our webslte at: httDS:/IWWW.tsl.state.tx.uslld/Dubs/arsmal.lI1dex.html.ltis also on the homepage of the Texas LibPas website when you 10g:{I1':' ":,t.>,. , 'iff;! _....(.,..;:...'.,~.~,. <~~t;:~i;';"' .,,' We encourage libraries to either scan and email, or fax th~~~p~d~~tion to us. We do not need the original. f.;~;l~;;ii~".", ";'~~~;1'; Email theapplicationtovgreenwood@tsr:state~tx.us; orf~~) ~~::#;,;:.43.,\,j';i':'~~~l':k'. Fax the application to 512-936-2306,'attentioriValfcia Greenwood' or Mail the application to POB~~'~~2927,~~~ltin Texas 78711-2927.' ,~':t!p%V ~~~~~~t '~~!f~\' <.,c';'!,', c': '. Texas Public libraries Annual Report Page 10 XAccreditation-related question ._---~. Annotations Capital Revenue - Other State Funds 2011 rocker Foundation Grant--20l2-03-29 Electronic Books In September 20 II, we purchased, Apollo, a circulation program, that provides electronic books to our patrons. Our previous circulation program did not provide electronicbooks.--20l2-03-24 Head Librarian's annual rate of salary There were no salary increases for the year.--2012-03-24 Texas Public Libraries Annual Report Page 11 XAccreditation-related question --~, SECTION 12: LIBRARY INFORMATION - Branch and/or Bookmobile 12.1 (check one) Branch D Bookmobile 12.2 Library Branch Name Point Comfort Branch Library PO Box 382 Mailing Address Point Comfort 77978 0382 12.6 4-digit zip ext Street Address (if different) 12.3 Street or PO Box I Lamar St 12.4 City 12.5 zip code Point Comfort 77978 12.11 Phone "~1'fi.) J~.9 zip code 12.10 4-digit zip ext 'A-~;""~~) ,.,./;.;':;F;> __ 3619872954 12.12 Til~f~I)~6l9872374 (Area code) Phone number .<f .,' "~JArea code) Phone number i~,\".:.li~, 'i,,", ,.<~>>:'..... gbradley@cclib~:6~,g\,;>.,~~ , <1;..:i'~" .~ 12.7 Street or PO Box 12.8 City 12.13 E-mail Address Librarian Grace Bradley 12.15 Last Name 12.14 First ..~:.t_.~ 12.16 What is the square footage of the 'briHchlibrary? ~;~\,~,?1P~,';~:~~;> 3,867 12.17 Does the branch have an'eitibl.ished".chedule in which services of the staff are available to t~~~,:~tibIiC? lt~1"~~':,~", .f Yes D No 12.18 Annual Total of Pu6J!~>~e.!tjce'Ho'ilrs"'~'Branch Or Bookmobile Only . '\"~~F";!fF-' 1,526 - ."- .~..",.. "( "'" ";~ 12.19 Annual !:~~J;~f~iJi!lt~ S~fy.J~~ Weeks - Branch Or Bookmobile Only N .~~ ~ 52 sq ft -:~ '-",. I ~ I I SECTION 12: LIBRARY INFORMATION - Branch and/or Bookmobile 12.1 (check one) Branch o Bookmobile 12.2 Library Branch Name Port O'Connor Branch Library PO Box 424 Mailing Address Port O'Connor 77982 0424 12.6 4-digit zip ext Street Address (if different) 12.3 Street or PO Box Hwy 185 & 6th St 12.4 City 12.5 zip code Port O'Connor 77982 12.11 Phone 3619834365 (Area code) Phone number /1:; 12.12.Tele *"* "l~:~... '<., :f;!!i:f~" ,- sgordon@ccIibr~t9fg ,,~:;: ~f-' 4,1{'~ ..,ll"f'''zip code 12.10 4-digit zip ext 619832014 :.:.(~rea code) Phone number 12.7 Street or PO Box 12.8 City 12.13 E-mail Address Shirley 12.1~ First Nanii#J(k't .-"- [~._~ ..l':_~_';;?',_ 12.16 What is the square footage of the"~t~rit/;!Jj1?rary? \~~! ,"''''': ". Librarian 12.15 Last Name 1,786 4_:~'~~~:""~t?to,-':" ~;1i,,';)"t:\:~"-:!_'{ii 12.17 Does the branch have ~Q;'es lished" '.hedule in which services of the staff are available to th~,~UbliC? ",jI',*,"' 12.18 Annual Total of pa~ll~ se~leir'Hou~~)'Branch Or Bookmobile Only sq ft .; Yes ONO 1,526 ":1>'."~.:~~'::"_~'___.._;,-:::" 12.19 Annual ~~~i'OfPU~JJ~~~~~~~~~ Weeks - Branch Or Bookmobile Only ...;....;, 52 .~ ~ SECTION 12: LIBRARY INFORMATION -Branchand/or Bookmobile 12.1 (check one) Branch D Bookmobile 12.2 Library Branch Name Seadrift Branch Library PO Box 567 Mailing Address Seadrift 77983 0567 Street Address (if different) 12.3 Street or PO Box 502 S. 4th St. 12.4 City 12.5 zip code 12.6 4-digit zip ext Seadrift 77983 12.7 Street or PO Box 12.8 City .<~\ 12.9 zip code 12.10 4-digit zip ext ~';'.r(.y 12.11 Phone 3617854241 ,:r;(",~!S1<: 12 12 ;r..f':I\>~f;;';;i'~~617852346 ..... e e ax.:...., (Area code) Phone number ...i'''''. ". . ';:'(~rea code) Phone number . "". io(~::?" robbie.bess@ccli.l?~.org .f."'.)/ 12.13 E-mail Address Librarian Robbie Bess 12.14 First .,,;,,.','':i'~>, 12.16 What is the square footage of the :bra'hoh library? . .:1h, :~~t:,;:t;?o/t;:l:~?~p 12.15 Last Name 7,560 12.17 Does the branch have a,.(ti'ti'blished;$~hedule in which services of the staff are available to t~3;9libIiC? )~<~;~. .f Yes D No 12.18 Annual Total of pli60~.Ser'ft~n"OiJrs:>)Branch Or Bookmobile Only \~::i;>O;f '.~ 1,526 ,.~< i.~i"'i~'+::i;.::,'.f':--' '-, ",,,w,.:.,j,-} 12.19 Annual T()!afof PU~.!!.c Serv~~e Weeks - Branch Or Bookmobile Only :JfJ>~<i' )~},"'J; 52 sq ft ,/f CALHOUN COUNTY, TEXAS CALHOUN COUNTY TREASURER'S REPORT MONTH OF: FEBRUARY 2012 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE GENERAL $ 23,886,929.27 $ 4,143,341.81 $ 1,275,930.46 $ 26,754,340.62 ArnPORTNUUNTENANCE 62,175.69 266.62 2,946.58 59,495.73 APPELLATE JUDICIAL SYSTEM 185.16 175.85 0.00 361.01 COASTAL PROTECTION FUND 33,400.73 8.93 0.00 33,409.66 COUNTY AND DIST COURT TECH FUND 350.76 45.60 0.00 396.36 COUNTY CHILD WELFARE BOARD FUND 858.05 70.23 696.00 232.28 COURTHOUSE SECURITY 192,853.01 1,352.28 0.00 194,205.29 DIST CLK RECORD PRESER V A TION FUND 1,693.92 210.30 0.00 1,904.22 CO CLK RECORDS ARCHIVE FUND 3,640.00 0.00 0.00 3,640.00 DONATIONS 123,255.20 6,295.40 8,949.49 120,601.11 DRUGill~COURTPROGRAMFUND-LOCAL 2,213.87 184.92 0.00 2,398.79 JUVENILE CASE MANAGER FUND 12,527.36 626.66 0.00 13,154.02 F AMIL Y PROTECTION FUND 4,655.39 51.46 0.00 4,706.85 JUVENILE DELINQUENCY PREVENTION FUND 8,516.81 2.28 0.00 8,519.09 GRANTS 175,322.59 111,963.00 9,121.50 278,164.09 JUSTICE COURT TECHNOLOGY 51,187.61 640.93 0.00 51,828.54 JUSTICE COURT BUILDING SECURITY FUND 13,172.21 71.45 0.00 13,243.66 LATERAL ROAD PRECINCT #1 4,231.28 1.13 0.00 4,232.41 LATERAL ROAD PRECINCT #2 4,231.28 1.13 0.00 4,232.41 LATERAL ROAD PRECINCT #3 4,231.28 1.13 0.00 4,232.41 LATERAL ROAD PRECINCT #4 4,231.29 1.13 0.00 4,232.42 PRETRIAL SERVICES FUND 57,942.36 15.49 0.00 57,957.85 LAW LIBRARY 178,674.33 1,297.07 623.70 179,347.70 LAW ENF OFFICERS STD. EDUC. (LEOSE) 17,278.55 4.62 153.50 17,129.67 POC COMMUNITY CENTER 47,492.99 1,862.69 1,871.15 47,484.53 RECORDS MANAGEMENT-DISTRICT CLERK 1,977.92 154.44 0.00 2,132.36 RECORDS MANAGEMENT-COUNTY CLERK 175,195.43 3,641.83 0.00 178,837.26 RECORDS MGMT & PRESERVATION 68,877.23 305.20 0.00 69,182.43 ROAD & BRIDGE GENERAL 967,129.65 135,279.35 0.00 1,102,409.00 ROAD & BRIDGE PRECINCT #3 8.61 0.00 0.00 8.61 ROAD MAINTENANCE PRECINCT #4 643.78 0.17 0.00 643.95 SHERIFF FORFEITED PROPERTY 1,271.26 0.34 0.00 1,271.60 6MILE PlERlBOAT RAMP INSURlMAINT 63,683.28 17.02 0.00 63,700.30 CAPITAL PROJ - COASTAL MANAGEMENT PGM 71,221.89 26,402.86 16,365.37 81,259.38 CAPITAL PROJ - ClAP COASTAL IMPROVEMENTS 118,703.74 72,500.00 1,581.72 189,622.02 CAPITAL PROJ-NEW EMS BLDG 18,041.52 0.00 0.00 18,041.52 CAPITAL PROJ-OLIV/PT ALTO FD BLDG 0.25 0.00 0.25 0.00 CAPITAL PROJ-PARKING LOT 80,543.81 0.00 0.00 80,543.81 CAP PROJ-PCT 2 - STORM REPAIRS 17,796.13 0.00 0.00 17,796.13 CAPITAL PROJ-RB INFRASTRUCTURE 142,769.35 0.00 0.00 142,769.35 CAPTIAL PROJ-PCTl OCEAN DR IMPRfTCDBG (5,200.00) 0.00 0.00 (5,200.00) CAPITAL PROJ-SWAN POINT PARK 5,096.40 0.00 0.00 5,096.40 CAPITAL PROJ-ArnPORT RUNWAY IMPROV 140,613.76 19,073.37 0.00 159,687.13 CAPITAL PROJ-EMER COMM SYS 30,848.06 0.00 0.00 30,848.06 CAP PROJ-HATERIUS PRK BOAT RAMP-STRM REP 0.25 0.00 0.25 0.00 CAP PROJ-PORT ALTO PUBL BEACH-STORM REP 30,384.78 0.00 0.00 30,384.78 CAPITAL IMPROVEMENT PROJECTS 444,758.74 0.00 0.00 444,758.74 CAP PROJ- SEADRIFT LIBRARY 769.00 0.00 0.00 769.00 CAP PROJ- ANNEX II 25,755.89 0.00 0.00 25,755.89 CAP PROJ-ANNEX RENOVATION 16,831.40 0.00 550.00 16,281.40 CAP PROJ-HEALTH DEPT RENOVATIONS 116,438.08 0.00 0.00 116,438.08 CAP PROJ - ENERGY EFFEClENCY/SECO STIMULUS 85,810.50 0.00 4,587.65 81,222.85 CPROJ - MMC BUSINESS IMPROVEMENT LOAN 1,500,000.00 0.00 0.00 1,500,000.00 CAP PROJ - MAGNOLIA BEACH JETTY CONSTRUCT 168,000.00 0.00 0.00 168,000.00 CAP PROJ - OLIVIA/PORT ALTO AMBULANCE (55,400.00) 56,000.00 0.00 600.00 ARREST FEES 0.00 329.36 0.00 329.36 BAIL BOND FEES (HB 1940) (450.00) 750.00 0.00 300.00 CONSOLIDATED COURT COSTS (NEW) 0.01 7,440.36 0.00 7,440.37 DRUG COURT PROGRAM FUND - STATE (0.01 184.32 0.00 184.31 SUBTOTALS $ 29123371.70 ~ 4590570.73 $ 1 323 377.62 'I: 32390564.81 Page 1 of3 COUNTY TREASURER'S REPORT MONTH OF: FEBRUARY 2012 BEGINNING ENDING FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE FUND 29,123,371.70 $ 4,590,570.73 $ 1,323,377.62 $ 32,390,564.81 OPERATiNG FUND - BALANCE FORWARD $ 37,133.54 37,123.61 9.93 0.00 ELECTiONS CONTRACT SERVICE 134.21 240.27 0.00 374.48 EMS TRAUMA FUND 7,847.31 0.00 0.00 7,847.31 FiNES AND COURT COSTS HOLDiNG FUND 0.00 214.00 0.00 214.00 iNDIGENT CIVIL LEGAL SERVICE 0.00 158.85 0.00 158.85 JUDICIAL FUND (ST. COURT COSTS) 0.00 2,537.52 0.00 2,537.52 JUDICAL PERSONNEL TRAiNiNG 102.00 0.00 0.00 102.00 JUROR DONATiON-TX CRiME VICTIMS FUND 147.02 4,635.00 477.02 4,305.00 JUVENILE PROBATION RESTiTUTiON 47,461.63 12.69 0.00 47,474.32 LIBRARY GIFT AND MEMORIAL 381,813.61 13,177.39 MISCELLANEOUS CLEARiNG 47,166.83 347,824.17 REFUNDABLE DEPOSITS 2,000.00 0.00 0.00 2,000.00 STATE CIVIL FEE FUND 0.00 2,607.99 0.00 2,607.99 CIVIL JUSTICE DATA REPOSITORY FUND 0.00 8.78 0.00 8.78 JURY REIMBURSEMENT FEE 0.00 603.79 0.00 603.79 SUBTITLE C FUND 0.00 2,723.99 0.00 2,723.99 SUPP OF CRIM iNDIGENT DEFENSE 0.00 326.91 0.00 326.91 TIME PAYMENTS 0.00 1,583.12 0.00 1,583.12 TRAFFIC LAW FAILURE TO APPEAR 0.00 519.39 0.00 519.39 UNCLAIMED PROPERTY 4,018.55 3.07 0.00 4,021.62 BOOT CAMP/JJAEP 65,815.90 0.00 65,798.93 16.97 JUVENILE PROBATION 183238.94 17259.98 24314.24 176 184.68 SUBTOTALS $ 29,518,427.70 $ 4,971,840.18 $ 1,795,781.42 $ 32,694,486.46 TAXES iN ESCROW - 0.00 0.00 0.00 TOTAL OPERATING FUNDS $ 29518.427.70 $ 4 971 840.18 $ 1795,781.42 $ 32 694.486.46 D A FORFEITED PROPERTY FUND 13,559.17 1.54 0.00 13,560.71 SHERIFF NARCOTiC FORFEITURES 3,158.52 0.40 0.00 3,158.92 CONSTRUCTION (JAIL) SERIES 2003 - I & S 565,677.10 160,137.18 131,841.25 593,973.03 CERT. OF OB-CRTHSE REN: I&S FUND SERIES 2004 259,447.95 98,526.65 6,900.00 351,074.60 CAL. CO. FEES & FiNES 114,285.78 138,002.88 99,449.15 152,839.51 OCEAN DRIVE IMPROVEMENTS 1.00 0.00 0.00 1.00 CERT OF OB-CRTHSE REF SERIES 2010 123 150.30 45 791.58 83 800.00 85 141.88 TOTA 1 . FIJNnS $ 1.079.279.112 $ AA" H:n"., $ ~'H 0011 <1.11 '" 1 MEMORIAL MEDICAL CENTER: OPERATiNG $ 1,756,354.84 $ 1,806,411.87 $ 1,655,934.50 $ 1,906,832.21 REFUND IMPREST ACCOUNT 5,065.15 0.64 0.00 5,065.79 iNDIGENT HEALTHCARE 84.44 50000.00 50000.00 84.44 TOTALS $ 1 761 504.43 $ 1856412.51 $ 1,705 934.50 $ 1,911 982.44 DRAINAGE DISTRICTS NO.6 $ 15,441.54 $ 275.93 $ 74.78 $ 15,642.69 NO.8 114,504.03 4,285.37 13,298.32 105,491.08 NO.I0-MAiNTENANCE 105,169.62 2,041.73 159.50 107,051.85 NO. II-MAiNTENANCE/OPERATiNG 164,920.07 26,873.50 8,021.55 183,772.02 NO. 11-RESERVE 129 524.19 16.42 0.00 129540.61 TOTALS $ 529559.45 $ 33 492.95 $ 21554.15 $ 541 498.25 CALHOUN COUNTY WCID #1 OPERATiNG ACCOUNT $ 346290.18 216923.78 36205.46 $ 527 008.50 CALHOUN COUNTY PORT AUTHORITY MAiNTENANCE AND OPERATiNG $ 237512.71 $ 14 530.62 $ 8365.57 $ 243,677. 76 CALHOUN COUNTY FROST BANK $ 4992.51 $ - $ - $ 4992.51 TOTAL MMC, DR. DIST., NA V. DIST & WCID $ 2.1174.1166.77 '" ') 1 "1 "':0 .", $ 1 77') Illi.O {;II '" ~ ')')<1. 1{;{; 0'" TOTAL ALL FUNDS $ 37118403.06 Page 2 of3 COUNTY TREASURER'S REPORT I MONTH OF: FEBRUARY 2012 BANK RECONCILIATION LESS: CERT.OF DEP/ FUND OUTSTNDG DEP/ PLUS: CHECKS BANK BALANCE OTHER ITEMS OUTSTANDING BALANCE FUND $ 32,694,486.46 $ 29,755,242.40 $ 169,400.14 $ 3,108,644.20 OPERATING * D A FORFEITED PROPERTY FUND 13,560.71 0.00 0.00 13,560.71 SHERIFF NARCOTIC FORFEITURES 3,158.92 0.00 0.00 3,158.92 CONSTRUCTION (JAIL) SERIES 2003 - I & S 593,973.03 5,188.89 0.00 588,784.14 CERT. OF OB-CRTHSE REN. I&S FUND SERIES 2004 351,074.60 3,102.40 0.00 347,972.20 CERT OF OB-CRTHSE REF SERIES 2010 85,141.88 1,425.66 0.00 83,716.22 CAL. CO FEES & FINES 152,839.51 44,844.41 99,783.95 207,779.05 OCEAN DRIVE IMPROVEMENTS- CAP PROJ 1.00 0.00 0.00 1.00 MEMORIAL MEDICAL CENTER: 199,992.91 1,606,825.12 OPERATING; 1,906,832.21 500,000.00 REFUND IMPREST ACCOUNT 5,065.79 0.00 0.00 5,065.79 INDIGENT HEAL THCARE 84.44 50,000.00 50,930.17 1,014.61 DRAINAGE DISTRICT: NO.6 15,642.69 0.01 0.00 15,642.68 NO.8 105,491.08 190.22 0.00 105,300.86 NO. 10 MAINTENANCE 107,051.85 0.05 0.00 107,051.80 NO. 11 MAINTENANCE/OPERATING 183,772.02 5,530.66 0.00 178,241.36 NO. 11 RESERVE 129,540.61 0.00 0.00 129,540.61 CALHOUN CO. WCID #1 OPERATING ACCOUNT 527,008.50 0.00 0.00 527,008.50 CALHOUN CO. NAVIGATION DIST: MAINTENANCE/OPERATING **** 243,677.76 0.00 0.00 243,677. 76 CALHOUN COUNTY FROST BANK 4,992.51 0.00 0.00 4,992.51 TOTALS $ 37 123 395.57 ~ 30365524.70 ~ 520107.17 $ 7 277 978.04 Page 3 of3 ~ " ;; "'" ~, MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/5/2012 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: MARCH YEAR OF REPORT: 2012 ~i ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 8,295.85 CR 1000-001-44190 SHERIFF'S FEES 1,357.10 ADMIN/STRA T1VE FEES: DEFENSIVE DRIVING 59.40 CHILD SAFETY 3.70 TRAFFIC 134.59 ADMINISTRATIVE FEES 720.64 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 918.33 CR 1000-001-44010 CONSTABLE FEES-SERVICE 150.00 CR 1000-001-44061 JP FILING FEES 105.00 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-SEATBEL T FINES 0.00 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 2,082.52 TOTAL FINES, ADMIN. FEES & DUE TO STATE $12,908.80 CR 2670-001-44061 COURTHOUSE SECURITY FUND $329.29 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $22.73 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $331.48 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $367.56 STA TE ARREST FEES DPS FEES 158.25 P&W FEES 0.00 T ABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 158.25 CR 7070-999-20610 CCC-GENERAL FUND 335.50 CR 7070-999-20740 CCC-ST ATE 3,019.45 DR 7070-999-10010 3,354.95 CR 7860-999-20610 STF/SUBC-GENERAL FUND 67.31 CR 7860-999-20740 STF/SUBC-STATE 1,278.90 DR 7860-999-10010 1,346.21 CR 7950-999-20610 TP-GENERAL FUND. 349.01 CR 7950-999-20740 TP-ST A TE 349.00 DR 7950-999-10010 698.01 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 1 of 2 .;. ... MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/5/2012 'l 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 7/13/2011 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: MARCH YEAR OF REPORT: 2012 DR 7865-999-10010 CRIM-SUPP OF IND lEG SVCS-GEN FUND CRIM-SUPP OF IND lEG SVCS-STATE 159.39 TUFTA-GENERAl FUND 220.64 TUFT A-STATE 441.28 15.94 143.45 DR 7970-999-10010 661.92 JPAY - GENERAL FUND 45.72 JPAY - STATE 411.52 DR 7505-999-10010 457.24 JURY REIMB. FUND- GEN. FUND 30.00 JURY REIMB. FUND- STATE 270.02 DR 7857-999-10010 300.02 CIVil JUSTICE DATA REPOS.- GEN FUND CIVil JUSTICE DATA REPOS.- STATE 0.47 4.23 DR 7856-999-10010 4.70 TOTAL (Distrib Req to Oper Acct) $21,124.55 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO DA - RESTITUTION REFUND OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS PARKS & WilDLIFE FINES WATER SAFETY FINES 0.00 113.05 0.00 0.00 0.00 84.15 0.00 TOTAL DUE TO OTHERS $197.20 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $21,321.75 $21,321.75 $0.00 \ '\ Page 2 of2 \. '\ ." \ '" MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/3/2012 COURT NAME: JUSTICE OF PEACE NO.2 MONTH OF REPORT: MARCH YEAR OF REPORT: 2012 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 9,771.79 CR 1 000-001-44190 SHERIFF'S FEES 1,696.17 ADMINISTRA TIVE FEES: DEFENSIVE DRIVING 89.10 CHILD SAFETY 5.08 TRAFFIC 163.03 ADMINISTRATIVE FEES 719.51 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1 000-001-44362 TOTAL ADMINISTRATIVE FEES 976.72 CR 1000-001-44010 CONSTABLE FEES-SERVICE 150.00 CR 1 000-001-44062 JP FILING FEES 50.00 CR 1 000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1 000-001-44145 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 51.95 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 2,571.94 TOTAL FINES, ADMIN. FEES & DUE TO STATE $15,268.57 CR 2670-001-44062 COURTHOUSE SECURITY FUND $345.02 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $0.00 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $356.89 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $310.79 STA TE ARREST FEES DPS FEES 269.93 P&W FEES 4.54 T ABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 274.47 CR 7070-999-20610 CCC-GENERAL FUND 362.67 CR 7070-999-20740 CCC-ST ATE 3,264.00 DR 7070-999-10010 3,626.67 CR 7860-999-20610 STF/SUBC-GENERAL FUND 77.04 CR 7860-999-20740 STF/SUBC-STATE 1,463.67 DR 7860-999-10010 1,540.71 CR 7950-999-20610 TP-GENERAL FUND 271.56 CR 7950-999-20740 TP-ST ATE 271.55 DR 7950-999-10010 543. 11 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 11.40 DR 7480-999-10010 12.00 Page 1 of2 .. I~ ~.'" ....'Q!i".~ ,(II';' ~ ~ ____ w I ~ MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/3/2012 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: MARCH YEAR OF REPORT: 2012 15.32 137.88 DR 7865-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 153.20 TUFTA-GENERAL FUND 296.92 TUFT A-STATE 593.83 DR 7970-999-10010 890.75 JPAY - GENERAL FUND 46.34 JPAY - STATE 417.03 DR 7505-999-10010 463.37 JURY REIMB. FUND- GEN. FUND 31.07 JURY REIMB. FUND- STATE 279.67 DR 7857-999-10010 310.74 CIVIL JUSTICE DATA REPOS.- GEN FUND CIVIL JUSTICE DATA REPOS.- STATE 0.45 4.04 DR 7856-999-10010 4.49 TOTAL (Distrib Req to Oper Acct) $24,100.78 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 0.00 301.75 0.00 TOTAL DUE TO OTHERS $301.75 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $24,402.53 $24,402.53 $0.00 Page 2 of2 BILLS: Claims totaling $1,354,595.37 were presented by Memorial Medical Center and claims totaling $408,185.82 were presented by the County Treasurer's 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. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----- April 26. 2012 MEMORIAL MEDICAL CENTER OPERATING FUND MEMORIAL MEDICAL CENTER WEEKLY CHECKS Date Approved bv County Auditor (See attached lists) 3/22/2012 Weekly Payables 3/22/2012 Weekly Payables 3/22/2012 Patient Refunds 3/22/2012 Weekly Payables 3/29/2012 Weekly Payables 3/29/2012 Patient Refunds 4/2/2012 Weekly Payables 4/5/2012 Weekly Payables 4/11/2012 Weekly Payables 4/11/2012 Patient Refunds Total Payables and Patient Refunds $ 36.29 138,625.42 95.74 4,140.37 149,625.16 832.89 22,688.57 219,648.52 213,169.46 320.74 $ 749,183.16 MEMORIAL MEDICAL CENTER PAYROLL Date of Pavroll Run & Date Liabilitv Called In (See attached lists) 3/20/2012 Net Payroll 3/20/2012 Net Payroll 3/26/2012 Net Payroll 3/28/2012 Net Payroll 3/30/2012 Net Payroll 3/30/2012 Net Payroll 4/3/2012 Payroll Liabilities 4/10/2012 Net Payroll 4/12/2012 Net Payroll 4/18/2012 Payroll Liabilities Total Net Payroll and Payroll Liabilities 917.32 4,686.68 209,930.39 418.00 533.22 364.82 . 72,906.76 206,832.87 214-.12 68,986.42 $ 565,790.60 GRAND TOTAL OPERATING FUND $ 1,314,973.76 APPROVED INDIGENT HEAL THCARE FUND EXPENSES $ 39,621.61 IGRAND TOTAL BILLS APPROVED 4/26/2012 $ 1,354,595.371 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- April 26. 2012 INDIGENT HEAL THCARE FUND: INDIGENT EXPENSES Donald Breech MD PA Coastal Medical Clinic 672.84 Community Pathology Associates 57.74 HEB Pharmacy (March). .. . . ... . . . .... ........ ~Q3.~! .8~f.ymI~9mIHf~-elP,.f;]ilIfr~]y._.;"._(~rQ..~lli~)l Memorial Medical Center (Out-patient $16,476.06 ER $8,779.32 In-patient $5,74560) 31,000.98 Port Lavaca Clinic 603.36 Radiology Unlimited PA 253.16 ~efuhas from R~aiolofYil!JnlillJl!~"a (.1P.O~)J Memorial Women's Center 117.76 SUBTOTAL 31,448.89 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) 6,111.80 TOTAL INDIGENT HEAL THCARE FUND EXPENSES (net of Refunds) 37,560.69 , ''" 2rQ!2r[~] **$200 in Co.pays were collected by Memorial Medical Center in March Prior month unfunded paid in current month = $9,020.70 ".~ ..c,.,,:'c '.... :....~ ,,' "" __,-,",,',:.:1'-' @IHS Souroe Totals Report Issued 04/18/2012 Calhoun Indigent Health Care 3-1-12 through 3-31-12 For Source Group Indigent Health Care For Vendor: All Vendors Souroe Desoription Amount Billed Amount Paid 01 Physician Services 02 Prescription Drugs 05 Lab/x-ray 08 Rural Health Clinics 13 Mmc - Inpatient Hospital 14 Mmc - Hospital Outpatient 15 Mmc - Er Bills 1,950.00 803.97 606.00 1,975.00 8,208.00 37,291.60 19,953.00 370.92 803.97 57.74 1,276.20 5,745.60 16,476.06 8,779.32 Expenditu res Relmb/ Adjustments 70,834.35 -46.78 33,556.59 -46.78 Grand Total 70,787.57 33,509.81 APPROVED BY Fiscal Year $126/858.70 APR 1 9' 2012 CALHOUN COUNTY AUDITOR Payroll/Expenses $6,111.80 ~-l-cJ ~ {~Pt.Ath Calhoun County Indigent Coordinator 800 04192012 01 CALHOUN COUNTY, DATE: 411912012 CC Indigent Health Care VENDOR # 852 ACCOUNT NUMBER 1000 800-98722-999 1000-001 46010 COUNTY AUDITOR APPROVAL ONLY APPROVED BY APR 1 9 2012 Commissioners a total of for March 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. CALHOUN COUNTY AUDITOR BY: DEPA 4 19/12 DATE TOTAL PRICE $37,560.69 0.00 $37,560.69 2012 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Pending Jan 4 10 2 37 9 Feb 1 17 2 36 11 Mar 4 16 3 38 20 Apr May Jun Jul Aug Sept Oct Nov Dee YTD 9 43 7 111 40 Monthly Avg 3 14 2 37 13 /er 12/1/2011 11:18:25 AM PAGE 2/005 Fax s~rver ,.his patient for radiology unlimited was paid with an error in the modi~jer- I entere~ 6~ Instead ~O that makes a difference in the amount that is payable, The date of servIce of the claim IS Form 110 ()-11 COUNTY INDIGENT HEALTH CARE PROGRAM - CLAIM PROCESSING NOTIFICATION T ,. From' 0: RADIOLOGY UNLIMITED CALHOUN INDIGENT HEALTH CARE P.O. BOX 3432 P.O. BOX 25 VICTORIA TX 77903 PORT LAVACA. TX 77979 , 08/08/2011 (1st Date Original Claim Received) 08/24/2011 (Date Form 110 is Issued) 005490 (CIHCP Case Number) The attached claim cannot be processed for payment due to the following checked item(s): 1.) 2.) 3.) 4.) 5.) 0 6.) n 7.) [:] 8.) C :; , 9.) 0 10.) [] 11.) E?: o This claim was not received within the CIHCP 95-day billing timeframe. o This client was not eligible for CIHCP on the date(s) of servlce listed on the attached claim. [] This client has reached the $30,000 or 3D-day maximum liability. o This claim Is from a non-mandated provider, who did not follow the appropriate CIHCP provider notification requirements. [See Chapter 61, Health and Safety Code, 99 61.031 and 61.032.J This claim Is not for a CIHCP basic or department approved optional service. ~is claim must be submitted on the following claim form: n CMS-1500 n UB-04 The services on this claim are not itemized. The client is now Medicaid eligible. ID # ADD Date: The c/lent has applied for SSI/Medlcald benefits. Claim will be held until a decision is received. The attached Form 113.nwst be completed, signed, and dated. Other: This Claim was processed recently although therew8s an error in the payable ;amount for the second charge of $45.00, our office processed it with modifier 62 Instead of 26 which made the payable amount of $22.45 instead of $6.42 so we are asking for a refund to the County in the amount of $16.03 as soon as possible. ~ ~ "'::'1 " Thlsclain'lmay not be "resubmitted. If the above-checked items are corrected, this claim may be resubmitted and will be processed for payment if it is received by this office by; If the corrected claim is not received by this deadline date, we will assume that your office is not interested in pursuing payment. If you have any questions regarding this claim, please contact our office at: 361-552-0340 Sincerely, MedImpact Data Services Report Date: 03/01/12 Client Distribution Summary HPL10 REB - CALHOUN COUNTY MedImpact Commercial Rebate 03/01/2012 Qtr: 3Q2011 Manufacturer Distributed This Mo. Gross Rec'd This Mo. Invoiced Amount cum $ Gross Rec'd 'l> Co1lected to Invoiced BMS MERCK NOVO NOlIDISK TPNA (TAKEDA) 36.54 36.54 36.54 36.54 100.00 9.95 9.95 8.95 9.95 100.00 121. 42 121. 42 121.42 121.42 100.00 346.21 346.21 346.21 346.21 100.00 Plan Al1ocation This Quarter: cumulative % Col1ected: Collected Rebate / Claim: 513.12 65.23 1.38 513.12 Qtr: 2Q201l Manufacturer Distributed This Mo. Gross Rec'd This Mo. Invoiced Amount Cum $ Gross Reo'd % Co11ected to Invoiced AZ SEROQUEL 150.60 150.60 150.60 150.60 100.00 Plan Allooation This Quarter: Cumulative % Collected: Collected Rebate / Claim: 150.60 91.33 1.91 150.60 Plan Allocation This Month: 663.72 t;J"~f< -- 2 >,'S'it.. 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 disc10sure under the Freedom of Information Act. MedDividend(tm) Rebate System Page 1 of 1 MedImpact Data Services Report Date: 01/03/12 C1ient Distribution summary HPL10 HEB - CALHOUN COUNTY MedImpact Commeroial Rebate 01/01/2012 Qtr: 2Q2011 Manufacturer Distributed This Mo. ABBOTT BMS DAIICHI-SANKYO PHARMA ELI-LILLY GLAXOSMITHRLrNE MERCK TPNA I TAKEDA) 14.95 49.53 32.69 22.20 20.20 27.54 732.05 Plan Allocation This Quarter: Cumulative % Coll~ctad: Collected Rebate / Claim: 899.16 69.25 1.45 Plan Allocation This Month: 899.16 ill'/:, /-lldd ", J ~.!."".. "'.;;Il Gross Rec' d ThiS Mo. Invoiced Amount Cum $ Gross Rec'd % Collected to Invoiced 14.95 49.53 32.69 22.20 20.20 27.54 732.05 14.95 49.53 32.69 22.20 20.20 27.54 732.05 14.95 49.53 32.69 22.20 20.20 27.54 732.05 100.00 100.00 100.00 100.00 100.00 100.00 100.00 899.16 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 disc10sure under the Freedom of Information Act. MedDividendltm) Rebate System Page 1 of 1 ~...~-.. MadI~paot Data Services Report Date: 02/01/12 Client Distribution Summary RPL10 REB - CALHOUN COUNTY . Med1:mpact Commercial. Rebate 02/01/2012 Qtr: 3Q2011 Manufactu;re;r Distributed This Mo. Gross Rec'd 'l'hi s Mo. Invoioed A:mount Cum $ % Collected Gross Rec'd to Invoioed DAIICHI-SANKYO PIlARMA ELI-LILLY TEVA 9.83 12.13 18.42 9.83 12.13 18.42 9.83 12.13 18.42 9.83 12.13 18.42 100.00 100.00 100.00 Plan Allocation This Quarter: Cumulative % Collected: Collected Rebate / Claim: 40'.38 4.76 0.10 40.38 Qtr: 2Q2011 Manufacturer Distributed This Mo. Gross Rec' d This Mo. Invoiced A:mount Cum $ % Collected Gross Rec'd to Invoiced ------------------------------------- ~------------- BOEHRINGER INGELHEIM 4.11 4.11 4.11 4.11 100.00 J .& J LEVAQUIN 5.00 5.00 5.00 5.00 100.00 NOVO NORDISK 167.86 167.86 167.86 167.86 100.00 SCflERING 14.56 14.56 14.56 14.56 100.00 TEVA 18.42 18.42 18.42 18.42 100.00 ------------------------------------- -------------- Plan Allocation This Quarter: Cumulative % Collected: Collected Rebate / Claim: 209.95 62.11 1.72 209.95 Plan Allooation This Month: 250.33 : t, 4PR - l '" il RfCfJVEO' MAR .. 5 ID12 Contains proprietary, privileged, or individually identifiable health inrormation protected by the Hea~th Insurance Portability and Acoountability Act iHIPAA) and othe;r statutes, o;r confidential commercial or finanoial data not subject to disclosure under the Freedom of Information Act. 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I). ... r;o-ftl.tJ jCJ7-fr)rt RUll DATE: 04/05/12 TIM];: 08 :50 MEMORIAL MEDICAL ctNTER RECEIPTS FROM 03/01/12 TO 03/31/12 PAGE 129 RCMREP G/L NUMBER RECEIPT PP.Y DATE NUMBER TYPE PAYER CASH P.MOUN'J' RECEIPT AMOillIT NUMBER NA."1E DISC COLL GL CASH DATE INIT CODE ACCOUNT MEMORIAL MEDICAL CENTER Port Lavaca, Texas MANUAL JOURNAL ENTRIES MONTH OF MARCH, 2012 Page _of_ Debit Credit Acct # JE# Descriotion Check # Amount Amount 10255000 Indioent Heal1hcare 6,111.80 40450074 Reimbursement - Calhoun Ctv 4,769.69 40015074 Benefits - FICA 222.71 40025074 Benefits - FUT A 5.10 40040014 Benefits - Retirement 246.06 60320000 Benefits -Insurance 858.54 40220074 Supplies - General 8.56 40225074 Supplies. Office 1.14 4023q074 Forms - 40610074 Continuina Education . 40510074 Outside Services - 40215074 Freioht - 40600074 Miscellaneous - , APPROVED Of APR 1.9 1m? _.. - AUDITOR TOTALS 6,111.80 6,111.80 ,/ ,/ ,/ v. V ./ EXPLANATION FOR ENTRY .,SU A#A.~ ()-tI-4:I. REVERSING: YES NO~ JE # D612./S Indigent Healthcare Program Incurred by MMC MARCH, 2012 Indigent H'eare Coordinator Salary # 40450074 8-Mar 2,207.02 # 40450074 22-Mar 2,231.47 # 40450074 ( # 40000074 ) ( # 40000074 ) (#40010074 ) 331.20 I 4,769.691 Benefits: #40040074 I 246.061 FICA #40015074 8~Mar 109.57 #40015074 22-Mar 113.14 # 40015074 I 222.71 , FUTA 8-Mar 2.51 22-Mar 2,59 I 5.10 I Other Benefits ( 18 % ) # 63200000 I 858.54 ( General Supplies # 40220074 I 8.561 Office Supplies # 40225074 I 1.141 Forms , #40230074 I Continuing Education #40610074 I Outside SelVices #40510074 I Freight #40215074 I Travel #40600074 I RUN DATE: 04/08/12 l~\jORIAL MEDICAL CENTER PAGE 1 TIME: 12: 26 GL DETAIL REPORT - COST CEII,.ER SEQUENCE GLGLDC FOR: 03/01/12 - 03/31/12 ACcr NUMBER . DEBC DATE 141!l1O REFERENCE JOORN~.L CS# /BAT / SEQ AcrrVITY BALANCB 40000074 SALARIES REG PROD -CALHOUN C 40000014 SALARIES REG PROD -CALHO BEGINNING BALANCE AS OF: 03/01/12 9,218.51 03/01/12 REVERSE ACCRUAL FR 192472 351 -959.58 03/08/12 PAY-P.02i24/12 03/08/12 FR 19 2479 161 2,200.13 / 03/22/12 PAY-P.03/09/12 03/22/12 PR 19 2488 35 2,223.71/ 03/31/12 Accrual--Days= 9 PR 19 2488 357 1,429.56 03/31 ACTIVITY/END BALANCE 4,893.82 14,112.33 40005074 SALARIBS OVERTl1<IB -CALHO BEGINNING BAIA'KE AS OF: 03/01/12 13.17 03/08/12 PAY-P. 02/24/12 03/08/12 PR 19 2479 188 6.89 " 03/22/12 PAY-P.OJ/09/12 03/22/12 PR 19 2488 61 7.76/ 03/31/12 AccrualuDays= 9 PR 19 2488 409 4,95 03/31 ~.CTIVITY/BND BALANCB 19.60 33.31 40010074 S~.LARIES PTO/BIB - CALHO BEGINNING BALANCB AS OF: OJ/Ol/12 695.38 03/01/12 REVERSE ACCROllL PR 192472 435 -69.12 03/0a/12 Auto PR Bene Accrual Re PR 19 2473 87 -1,040.32 03/0a/12 Auto PR Bene Accrual PR 19 2479 85 1,046.73 03/08/12 PAY-P. 02/24/12 03/08/12 PR 19 2419 207 165.60 / 03/22/12 Auto PR Bene Accrual Re PR 19 2479 87 -1,046,73 03/22/12 Auto PR Bene Acorual PR 19 2487 85 1,053.15 03/22/12 PAY-P.OJ/09/l2 03/22/12 PR 19 2488 84 165.60/ 03/31/12 Accrual--Days= 9 PR 19 2488 455 106.47 03/31 ACTIVITY/E1ID BALANCE 381.38 1,076.76 40015074 Fm -CALHO BEGINNING BAl,ANCE AS OF: 03/01/12 31.96 03/01/12 REVERSE ACCROllL PR 19 2472 615 -38.82 03/01/12 REVERSE ACCRUAL PR 19 2472 677 -9.06 03/08/12 PAY-P.02/24/12 0]/08/12 PR 19 2479 454 20.71" 03/08/12 PAY-P.02/24/12 03/08/12 PR 192m 485 88.80/ 03/22/12 PAH.03/09/12 03/22/12 PR 19 2488 497 21. 45 / 03/22/12 PAH.03/09/12 03/22/12 PR 19 2488 528 91.69 /' 03/31/12 Accrua1--Days= 9 PR 19 2488 Hl 58.95 03/31/12 AccrualuDays= 9 PR 19 2488 703 13.71 03/31 ACTIVITY /END BAL.~CE 247.55 279.51 40025074 FlJT -CALHO BEGINNING BALA.~CE AS OF: 03/01/12 5.81 03/01/12 REVERSB ACCRUAL PR 19 2472 143 -1.08 03/08/12 PAY-P.02/24/12 01/08/12 PR 19 2479 516 2.51/" 03/22/12 PAH.03/09/12 03/22/12 PR 19 2488 559 2.59 ' 03/31/12 AecrualuDays= 9 PR 19 2488 765 1.71 03/31 ACTIVITY lEND BALANCE 5.73 11.54 40040074 RETIROONT -CP.LHO BilGINNING BALANCE .lIS OF: 03/01/12 35.62 03/01/12 REVERSE ACCRUAL PR 19 2472 803 -53.22 RUN DATE: 04/08/12 TIME: 12 :26 MEMORIAL II.EDICAL CENTER GL DETAIL REPORT - COST CENTER SEQUENCE FOR: 03/01/12 - 03/31/12 ACCI NUMBER & DESC DATE 10010 REFERENCE JOURNAL CSB /BAT / SEQ ACTIVITY 40040074 RETIREMENT -CALHOON C 03/08/12 PAY-P.02/24/J2 03/08/12 PR 19 2479 547 122.12 /' 03/22/12 PAY-P.03/0S/12 03/22/12 PR 19 2488 590 123.94 ./ 03/31/12 Accrual--DaY6: 9 PR 19 248B 825 79.65 03/31 ACTIVITY/END BALANCE 272.49 40220074 SUPPLIES GEII'ERAL -CALHO BEGINNING BA1Ac~CE AS OF: 03/01/12 03/31/12 AUT()-fRAN/EXP . REPORT 000000 MM 89 504 25 03/31 AC'IIVITYJEIID BAL!lNCE 8.56 I' B.56 40225074 OFFICE SUPPLIES -000 BEGINNING BALANCE AS OF: 03/01/12 03/31/12 AUTO-TRAN/EXP . REPORT 000000 M!4 89 504 53 03/31 AC'T'IVITY /1lllD BAL.4NCE 1.14/ . 1.14 40450074 REDlBlJRSBMENT BEGINNING AND ENDING BALl\NCE: COST CENTER TOTAL: 5,m.21 ENDING BALANCE GRAND roTAL: GRAND TOTAL ACTIVITY: PAGE 2 GLGLDC BALANCE 308.11 .00 8.56 -5.09 -3.95 -9,246.68 6,579.55 5,830.21 RUN DATE:03/21/12 TIME:08:49 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH SS~ 0713 CRT#556 TRANSACTION SEQUENCE PAGE 1 GLEDIT ACCOUNT A..H.A. SEQ. NUMBER NUMBER TRANS DATE JOlJRAAL AMOUNT SUB-LED REFERENCE MEMO G.t. ACCOUNT DESCRIPTION 1 10000000 20000000 03/21/12 CD 03/21/12 CD ------------------------------------------------------------------------------------------------------------------------------------ A/PC147680 POJO'S LIQUOR &; GIFTS A/PC147680 POJO'S LIQUOR & GIFTS OPERATING -CASH ACCOUNTS PAYABLE -A/P 30000000 - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRMO COUNT DEBIT CD 1203 2 36.29 TOTAL 2 36.29 ACCOUNT TOTAL RECAP ON NEXT PAGE 36.29CR P1877 36.2.9 P1877 CREDIT 36.29 36.29 3754 295360 US;n R-O(' 1Vl\)(;'t'\S O~ Be.-+Q.d.l ne. SOI~.t.:6t'l el (r'Y\. e.d ~ Co : ne. ) C~ 14'7tt><6D 2 AUDiTOR Michael J. PIa ar ~ Calhoun County JUdge Date: _$ -..2~ ~ J L I - RUN DATE: 03/21/12 TIME: 16:24 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/03/12 PAGE: 1 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET A1790 AFLAC 3562.06 ,/ INSURANCE W 591263 032012 031912 040112 3562.06 .00 TOTALS.... 11........t.. .... It... 11..1 I" II"': 3562.06 .00 3562.06 A1680 AIRGAS-SOUTHWEST 598.40 v' NITROUS OXIDE M 107600231 022912 022712 032812 598.40 .00 MEDICAL GAS 107639670 030912 022912 032812 2085.86 .00 2085.86 V' MEDICAL GAS 107639725 030912 022912 032812 220.34 .00 220.34 ", TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2904.60 .00 2904.60 10533 ALERE NORTH AMERICA INC 6580.31 / SUPPLIES LAB INVENTORY 9001239173 031212 022812 032812 6580.31 .00 TOTALS. . . , . . . . . . , . , . . . . . . . . . . . . . . . . . . . , . . , . , . : 6580.31 .00 6580.31 10676 AMNISURE INTERNATIONAL, LL / SUPPLIES LAB 00720181 022912 022912 032912 1567.69 .00 1567.69 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . : 1567.69 .00 1567.69 A0777 ANDERSON CONSULTATION SERV 2905.77 ./ COLLECTIONS W MMC022912 030912 022912 032812 2905.77 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . : 2905.77 .00 2905.77 A2260 ARROW INTERNATIONAL INC 516.531 SUPPLIES CS INV M 4089510 031212 030112 033112 516.53 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 516.53 .00 516.53 10297 ARUP LABORATORIES OUTSIDE SRV - LAB 50398186 022912 030112 033112 6012.05 .00 6012.05 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6012.05 .00 6012.05 10719 AUSTIN MEDICAL PRACTICE OUTSIDE SRV WOMEN'S CLINI 4411 030912 030112 033112 1700.00 .00 1700.00 V OUTSIDE SRV.WOMEN'S CLINI 4412 030912 030112 033112 468.98 .00 468.98 .,/ TOTALS. . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . : 2168.98 .00 2168.98 A2600 AUTO PARTS & MACHINE CO. BIO MED SCRAPER GASKET W 18129 022912 022712 032812 5.49 .00 5.49 ./ TOTALS...................................... .: 5.49 .00 5.49 B1075 BAXTER HEALTHCARE CORP CENTRAL SUPPLIES INVENTOR M 33924393 022912 022712 032812 578.98 .00 578.98/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 578.98 .00 578.98 B1220 BECKMAN COULTER INC 439.38/ OUTSIDE SRV LAB M 102751509 022912 022712 032812 439.38 .00 OUTSIDE SRV LAB CREDIT 102753285 022912 022712 032812 -1595.70 .00 -1595.70 V OUTSIDE SRV 102762025 031212 030112 040112 1479.65 .00 1479.65/ LEASE I SRV LAB 5261357 031212 022912 032912 5382.13 .00 5382.13 ,,/ TOTALS....................................... : 5705.46 .00 5705.46 B1559 BMI OUTSIDE SERVICE 22061047 031312 030212 040212 435.00 .00 435.00/ RUN DATE: 03/21/12 TIME: 16: 24 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/03/12 PAGE; 2 APOPEN VEND~ NAME CLS INVOICE~ ...TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET 1t. ,............,............., tt...... TOTALS. . . . . . . . I . . . . , . , . . , , . . , . , . . . , . . . . . . . . I . : 435.00 .00 435.00 Cl0l0 CABLE ONE 324.96 ,/ OUTSIDE SRV VARIOUS 3/16- W 31612-041512 032012 031612 032512 324.96 .00 TOTALS. . . . . . . . , . . . . . . . . . . , . . . . . . I . . . . . . . . . . . . : 324.96 .00 324.96 10650 CAREFUSION 2200, INC 31.34 / SUPPLIES SURGERY 9103402290 032012 022712 032612 31.34 .00 TOTALS. . . . . , . . . . . . . . . , . , . . . . . . . . I . . . . , . . . . . . , : 31.34 .00 31. 34 C1390 CENTRAL DRUGS PHARMACEUTICALS W 23758 031912 022912 031512 199.50 .00 199.50 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 199.50 .00 199.50 10350 CENTURION MEDICAL PRODUCTS CENTRAL SUPPLY INVENTORY 90962859 022912 022712 032812 359.70 .00 359.70 .......... SUPPLIES CS INV 90966084 030912 030112 033112 548.27 .00 548.27./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 907.97 .00 907.97 10661 CENTURYLINK LONG DISTANCE 1204384551 031912 030312 040212 274.96 .00 274.96 ".. TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . : 274.96 .00 274.96 10105 CHRIS KOVAREK FLEX SPEND REIMBURSEMENT 23767 032112 032012 032012 281.00 .00 281.00 .,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 281.00 .00 281. 00 C1510 CHUBB SECURITY SYSTEMS INC OUTSIDE SRV M 7020372426 031312 030212 040212 27.56 .00 27.56 V TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 27.56 .00 27.56 10723 CLIA LABORATORY PROGRAM CERTIFICATE -2/13/12 - 2/ 23759 031912 021312 031312 150.00 .00 150.00 ,,/ TOTALS....................................... : 150.00 .00 150.00 10467 CLINICAL << LABORATORY SUBSCRIPTION LAB 74974 022912 022912 032912 278.50 .00 278.50 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 278.50 .00 278.50 C1945 COMPUTER COMMAND CORPORATI SUPPLIES IT 19673 022912 022912 032912 205.00 .00 205.00"""'- TOTALS. . . . . . . . . . I . . . , " . . I . . . . . . . . . . . . . . . . . . . . : 205.00 .00 205.00 C1970 CONMED CORPORATION SURGERY SUPPLIES l~ 298583 022912 022712 032812 188.00 .00 188.00 ,.r- TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 188.00 .00 188.00 10556 CPP WOUND CARE #28,LLC PROF FEES WOUND CARE 13650 031912 031012 031512 17825.00 .00 17825.00 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 17825.00 .00 17825.00 C2510 CPSI SUPPLIES CS M 710063 031212 030212 040212 186.60 .00 186.60 ,/ ~ RUN DATE: 03/21/12 TIME: 16:24 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/03/12 PAGE: 3 APOPEN VEND#.NAME. . . . . . . . . . . . . . . . . . . . ., . . . . .CLS. INVOICE#. . . . . . . . . TRN DT. INV DT . DUE DT .CK DT.. PC. . . . . . . GROSS . . . . . DISC. . . . . .NO-PAY. . . . . . . . NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 186.60 .00 186.60 10006 CUSTOM MEDICAL SPECIALTIES 56.83 V SUPPLIES RADIOLOGY 133284 030912 022912 032912 56.83 .00 TOTALS. . . . . , . . . . . . . . . . . , I . , . . . . . . . . , . . . . . . , . . : 56.83 .00 56.83 D1608 DIVERSIFIED BUSINESS SYSTE 172.08 ,/ SUPPLIES WOMEN'S CLINIC M 21622 031212 022912 032912 172.08 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 172.08 .00 172.08 D1752 DLE PAPER & PACKAGING FORMS CS INV W 6537 031212 030212 040112 172.18 .00 172.18 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . : 172.18 .00 172.18 Dl7l 0 DOWNTOWN CLEANERS LAUNDRY WOMEN'S CLINIC W 23760 031912 030212 040212 322.00 .00 322.00........ TOTALS............. I..'.... I.........,.......; 322.00 .00 322.00 D1785 DYNATRONICS CORPORATION ,/ SUPPLIES PT 573533 031212 030212 040112 64.20 .00 64.20 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 64.20 .00 64.20 Fl050 FASTENAL COMPANY SUPPLIES PLANT OPS M txpotl05528 031212 022812 032912 19.43 .00 19.43 ./ TOTALS I . . . . . . . . . . . . I . . . . . . . . . I . . . . . . . . . . . . . . . : 19.43 .00 19.43 10689 FASTHEALTH CORPORATION MONTHLY WEBSITE FOR MARCH 03A12MMC 031212 030112 033112 495.00 .00 495.00V'" TOTALS.. I...............................,.. ": 495.00 .00 495.00 Fll00 FEDERAL EXPRESS CORP. POSTAGE W 7-815-32630 031912 030812 032312 49.92 .00 49.92 ....... TOTALS....................................... : 49.92 .00 49.92 F1400 FISHER HEALTHCARE SUPPLIES LAB M 7425529 031212 022912 032912 123.57 .00 123.57 ./ SUPPLIES LAB 7548724 031212 030112 033112 419.90 .00 419.90'/ SUPPLIES LAB 7548725 031212 030112 033112 590.40 .00 590.40./ TOTALS....................................... : 1133.87 .00 1133.87 F1653 FORT BEND SERVICES, INC MONTHLY SERVICE MARCH 0172844-IN 030612 030112 033112 495.00 .00 495.00/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 495.00 .00 495.00 W1300 GRAINGER SUPPLIES PLANT OPS M 9767450274 031212 022912 033012 194.69 .00 194.69 ,/ TOTALS. . . . . . . . . . . . . . . t . . . . . . I . . . . . , , . . . . . . . . . : 194.69 .00 194.69 G1210 GULF COAST PAPER COMPANY 195.09/ SUPPLIES HOUSEKEEPING M 353742 022912 022812 032812 195.09 .00 TOTALS....................................... : 195.09 .00 195.09 I0950 INFOLAB INC I SUPPLIES BLOOD BANK M 3090213 022912 022812 032812 318.25 .00 318.25 RUN DATE: 03/21/12 TIME: 16:24 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/03/12 PAGE: 4 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET 195.80 .00 195.80/ 514.05 .00 514.05 SUPPLIES LAB 3090214 022912 022812 032812 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : I0955 INGENIX, INC 312.90 ,/ SUPPLIES HIM W 80010944404 032012 022212 030512 312.90 .00 TOTALS. , . . . . . . . t . , . . . . . . . , , . . . . . . . , . . . . . , . . . . : 312.90 .00 312.90 Il100 INSTRUMENTATION LABORATORY 1825.54 ./ SUPPLIES LAB M 9100977117 022912 022812 032812 1825.54 .00 SUPPLIES LAB 9100978049 031212 022912 032912 98.75 .00 98.75 ./ TOTALS. . . I . . . . . . . . . . . . . . . . . . , . . . . I . . I . . . . . . . . : 1924.29 .00 1924.29 10442 INTERSTATE ALL BATTERY CEN 236.80/ SUPPLIES VARIOUS 1901102001172 031212 030112 033112 236.80 .00 TOTALS. . . . . , . . I . . . . . . . I . . . . . . . . . . , . . . . . . . . . . . : 236.80 .00 236.80 J1201 JACK L. MARCUS, INC 91.92 ./ EMPLOYEE SCRUB 70313 032012 030112 040112 91. 92 .00 TOTALS, . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 91.92 .00 91. 92 J1400 JOHNSON & JOHNSON SUPPLIES SURGERY 907301186 031212 022912 032812 255.44 .00 255.44/ SUPPLIES SURGERY 907395208 031912 031412 031312 42.00 .00 42.00'/ TOTALS. t . . . . . . . . . . . . I . . . . I . . . . , . . . . . . . . . . . . . . : 297.44 .00 297.44 M1511 MARKETLAB, INC SUPPLIES LAB W M607876 032012 031212 031112 201.78 .00 201.78 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . f . . . . . . . . . . . . . . ; 201. 78 .00 201.78 M1500 MARKS PLUMBING PARTS SUPPLIES PLANT OPS M 1099267 031212 022912 032812 69.63 .00 69.63 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 69.63 .00 69.63 M2485 MEDRAD INC / SUPPLIES CT SCAN M 138806542 031912 050311 060211 267.20 .00 267.20 TOTALS. . . . . . . . . . . , . . . . . . . . . . . . . I . . . . . . . . . , . . . : 267.20 .00 267.20 M2550 MELSTAN, INC. SUPPLIES GROUNDS W 1259413 031212 030121 040112 29.96 .00 29.96 .,- TOTALS....................................... : 29.96 .00 29.96 M2659 MERRY X-RAY- SAN ANTONIO / MONTLY SRV M 470799 022912 022912 032912 109.00 .00 109.00 SUPPLIES ULTRASOUND 471429 022912 022912 032912 161. 82 .00 161.82/" SUPPLIES VARIOUS 471957 031212 022912 032812 1028.26 .00 1028.26/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1299.08 .00 1299.08 M2650 METLIFE INSURANCE W 23762 031912 031512 030112 258.52 .00 258.52 ./ TOTALS.. ..... II. ,.. II .,1. II '" "" ..... II....: 258.52 .00 258.52 10441 MMC EMPLOYEE BENEFITS WEEKLY CLAIMS 18138 032012 032012 032012 18745.48 .00 18745.481 RUN DATE: 03/21/12 MEMORIAL MEDrCAL CENTER TIME: 16:24 AP OPEN INVOICE L!ST THRU DUE DATE OF 04/03/12 CLS INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET VEND"#.-,NA:M.E.,... ,'I' .......-,... '-f_' '" It ....... ... ..- . 18745.48 10536 MORR!S & DICKSON COtLLC PHARMACEUTICALS PHARMACEUTICALS PHARMCEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTI.CAL CREDIT PHARMACEUTICALS PHAR.MCEUTlCALS PHARMACEUTICAL CREDIT P~CEqTrCAL CREDIT . . . TOTALS.... .',.. 't_.'" i1......... .,.'...'.f....... . .", ,f'" 3183215 3184186 3184187 31.84404 3192303 J193559 3193560 3193563 3682 3183217 CM59934 CM59935 CM59936 031912 OJ1212 032512 031912 031312 032512 031912 031312 032512 031912 031312 032512 031912 031512 032512 03.1912 031512 032512 031912 031512 032512 031912 031512 032512 031912 031212 032512 032012 031312 032512 032012 031912 0325.12 032012 031912 041011 03201203~912 032512 ~OTALSI,. 1.1 _,It,I' It ,-,. .;... ,-,. 1" ...... .,-, I' It. It.: 01496 OUTBURST ADVERTISING SUPPLIES HR W13680 031212 030312 040312 ']", S h; r "STOTALS . . . . .. . .. . . .. . . . . . . . . . .. .. . . . .. . . . ... . . l' Nel.o\) tfa..t\o'fee. Or:t..~+~:OI" . OM425 OWENS & MINOR SUPPLIES SURGERY SUPPLIES DIETARY SUPPLIES WOMEN CENTER SUPPLIES SURGERY CENTRAL SUPPLIES INVENTOR SUPPJ:.IES.MED SURG SUPPLIES VARIOUS SUPPLIES VARIOUS SUPPLIES SURGERY SUPPLIES VARIOUS SUPPLIESJ:.AB. SUPPLIES HOUSEKEEPING SUPPJ:.IES CS INV SUPPLIES SURGERY SUPPLIES VARIOUS SUPPLIES PT SUPPLIESCARDIO Pll02 PC MALL OFFICE SUPPLIES WOMEN'S C 10032 PHILIPS HEALTHCARE SUPPLIESCARDIO SUPPLIES ICl1 A1292 PORT LAVACA HARDWARE SUPPLIES PLANT OPS 1897814 1897966 1898044 1.898053 1898173 1898200 1898291 1899184 1898037 1586828 1666624-1 1689725-1 1729189-1 173.0624 1753212 1842931 1875757 022912 022812 032912 022912 022812032912 022912 022812 032912 022912 022812 032912 022912 022812032912 022912 022812 032912 022912 022912 032912 031212 030112 040112 031912 022812 032812 032012 062210 072210 032012 111810 121810 032012 122910 012911 032012 030811 040811 032012030911 040911 032012 041911 051911 032012 102711 112711 032012 011112 021i12 TOTAJ:.S. . . . . . . .. . . . . ; . . . . ; . . . . ; .. . ... . . . . . . ; ... . : J81206300101 031912 012312 022212 TOTALS. . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . .. . ; . . . . .: 923906851 923928637 'rOTALS.... 'f" t' ,'........................f.:.......: 031212 022812 032912 031212 030212 040112 W 067759 030912 030112 033112 PAGE: 5 APOPEN 18745.48 .00 434.03 .00 434.03 / 6..39 .00 6.39.1 1889.94 .00 1889.94 :I 819.29 .00 819.29 / 506.93 .00 506.93 I 188.83 .00 188.83 / 2940.43 .00 2940.43 24.31 .00 24.31/ -40.82 .00 -40.82 ./ 1767..28 .00 1767.28 ,/ -206.49 .00 -206.49/ -586.05 .00 -586.05,1' -2.83 .00 -2.83/ 7741.24 .00 7741.24 291.52 .00 291.52 ./ 291. 52 .00 291.52 1586.61 .00 1586.61V' 102.71 .00 102.71 ".. 498.72 .00 498.72) 18.89 .00 18.89 ,/ 16.88 .00 16.88 / 18.40 .00 18.40 ,/ 2302.79 .00 2302..79 / 2092.01 .00 2092.01 ,/ 47.24 .00 47.24/ 1199.85 .00 1199.85 Ii"'" 53.61 .00 53.6.1./' 43.76 .00 43.76 ,,/ 23.99 .00 23.99 ,./ 201.67 .00 201.67/' 1961. 27 .00 1961.27 ,/ 27.80 .00 27.80 ./ 50.42 .00 50.42 ./ 10246.62 .00 10246.62 201.00 .00 201.00/ 201. 00 .00 201. 00 57.4.0 .00 57.40 / 97.30 .00 97...30./ 154.70 .00 154.70 12.26 .00 12.26 / ~~ RUN DATE: 03/21/12 TIME: 16124 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/03/12 PAGE: 6 APOPEN VENDII.NAME.......................... .CLS.INVOICEII........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . : 12.26 .00 12.26 P2100 PORT LAVACA WAVE 635.50 ,/ ADVERTISING W 183 031212 022912 032912 635.50 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 635.50 .00 635.50 P2200 POWER ELECTRIC / SUPPLEIS PLANT OPS W 158033 031212 022912 032912 51.98 .00 51. 98 TOTALS. . . . . . . . . . . . . . . , , . . . . . . . . I . . . . . . . . . . , . . : 51. 98 .00 51.98 P2370 PROGRESSIVE DYNAMICS MEDIC 92.67 ./ SUPPLIES SURGERY M 128898 031912 022912 032912 92.67 .00 TOTALS..........,..... I.'............ I..'....,: 92.67 .00 92.67 10718 QUALITY CARE STAFFING, INC 599.70 ........- CONTRACT NURSE MED/SURG 1018 031912 031212 031212 599.70 .00 TOTALS. . . . . . . . . . . . . . . . t . . . . . . . . . . . . . . . I . . . . . . : 599.70 .00 599.70 R1321 RECEIVABLE MANAGEMENT, INC COLLECTIONS W 020112-022912 031212 022912 032912 891. 67 .00 891. 67 ./ TOTALS, . . . . . . . . . t . . . . . . . . . . . . . . . . . . . . . I , . . t . . : 891.67 .00 891.67 Sl.800 SHERWIN WILLIAMS 12.64/ SUPPLIES PLANT OPS W 3359-7 031212 022812 032812 12.64 .00 TOTALS. . . I , . . . I . , . , . . . . . . . . . . . . . . . t . . . . . . . . . . : 12.64 .00 12.64 S2001 SIEMENS MEDICAL SOLUTIONS SRV CONTRACT 2/28-3/29 M 95654721 022912 022812 032812 697.58 .00 697.58 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 697.58 .00 697.58 S2400 SO TEX BLOOD ~ TISSUE CENT SUPPLIES BLOOD BANK CREDI M 20121065 032012 030212 040212 -2673.00 .00 -2673.00"/ SUPPLIES BLOOD BANK 20121302 032012 030212 040112 6561.00 .00 6561. 00 ,/" TOTALS....................................... : 3888.00 .00 3888.00 S3960 STERICYCLE, INC OUTSIDE SRV HOUSEKEEPING 4003231670 031212 022912 032912 589.56 .00 589.56 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 589.56 .00 589.56 S2830 STRYKER SALES CORP SUPPLIES SURGERY M 791994A 031212 022812 032912 126.60 .00 126.60 ,./ TOTALS. . . . . t . . . , . . . . . , . . . . . . . . . , . . . . . . . . . , . , . : 126.60 .00 126.60 C2299 SUDDENLINK MEDIA ADVERTISING INV-404962 031212 022812 032812 1440.00 .00 1440.00 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1440.00 .00 1440.00 S2903 SUN COAST RESOURCES, INC FUEL FEB2011 031912 022912 032912 343.55 .00 343.55/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 343.55 .00 343.55 S2951 SYSCO FOOD SERVICES OF SUPPLIES DIETARY M 203080503 031212 030812 032812 1626.63 .00 1626.63 V RUN DATE: 03/21/12 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/03/12 TIME: 16:24 CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET VEND#.N>>1E, . . . . . .. , . .. . . . . t . . I , , . , . . . 1626.63 .00 1626.63 PAGE: 7 APOPEN TOTALS. . . , . . , . . t . . . . . . . . . . , . . . . . . . . . . . . , . . t . . . T2539 T-SYSTEM, INC. 022912 022912 033012 4291. 00 .00 4291.00 ,I SFTW LIC ER W 10360 4291. 00 TOTALS. I . . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4291.00 .00 10618 TEAM HEALTH MEDICAL CALL C 1648.50 .00 1648.50 v' SURVEY CALLS BA11424 031212 022912 032912 TOTALS....................................... : 1648.50 .00 1648.50 10725 THE METHODIST HOSPITAL .00 200.00...... REGISTRATION-STRINGO/RAGU 23765 031912 031512 031512 200.00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 200.00 .00 200.00 S2679 THE ST JOHN COMPANIES, INC 205.00 / SUPPLIES CS INV M 07812781 031912 030212 040112 205.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t . . . . . : 205.00 .00 205.00 T0801 TLC STAFFING 1019.73/ CONTRACT NURSE W 9929 022912 022812 032912 1019.73 .00 TOTALS....................................... : 1019.73 .00 1019.73 T3130 TRI-ANIM HEALTH SERVICES I 70.37 ./ SUPPLIES EKG M 60534664 032012 121511 011512 70.37 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . t . . . . . . . I . . . . . : 70.37 .00 70.37 U1054 UNIFIRST HOLDINGS 32.54/ LAUNDRY MAINTENANCE W 8150562386 022912 022812 032812 32.54 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 32.54 .00 32.54 U1064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN 8400122265 022912 022812 032812 736.21 .00 736.21....... LAUNDRY HOUSEKEEPING 8400122266 022912 022812 032812 174.44 .00 174.44....... LAUNDRY PLAZA 8400122267 022912 022812 032812 114.04 .00 114.04 ./ LAUNDRY DIETARY 8400122268 022912 022812 032812 131.76 .00 131.76 ~ LAUNDRY OB 8400122269 022912 022812 032812 86.70 .00 86.70/ LAUNDRY HOUSEKEEPING 8400122270 022912 022812 032812 52.03 .00 52.03 LAUNDRY HOSPITAL LINEN 8400122468 032112 030212 040212 698.88 .00 698.88/ LAUNDRY SURGERY 8400122469 032112 030212 040212 428.81 .00 428.81./ TOTALS. . . . . , . . , . , . I . . . . , . , . . , . . . . . . . . . . . . . . . I : 2422.87 .00 2422.87 U1056 UNIFORM ADVANTAGE 641.66/ EMPLOYEE PURCHASE SCRUB W 4330221 022912 022912 032912 641. 66 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 641. 66 .00 641.66 U0414 UNUM LIFE INS CO OF !MERIC LIFE INSURANCE 18137 031912 031512 031512 4182.73 .00 4182.73 ./ TOTALS, . . . . . . . . . . . . , , . . . . , . . . , . . . . . . . . . . . . . . . : 4182.73 .00 4182.73 10172 US FOOD SERVICE SUPPLIES DIETARY 5173452 031212 030812 032812 4453.45 .00 4453.45 ....... 03/21/12 16:24 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/03/12 PAGEl 8 APOPEN JII.NAl1E......... ..... ............ .CLS .INVOICEII. ....... . TRN DT .INV DT.DUE DT.CK DT. .PC. ..... .GROSS. ... .DISC..... . NO-PAY ....... .NET TOTALS. . . . . . . . , . . . . t . . . . . . '" . . . . . . I . . . . . . . . . . . : 4453.45 U2000 US POSTAL SERVICE POSTAGE 23764 032112 032012 032012 1200.00 1200.00 'TOTALS. . . . "t . . . if. . . . . I . . . . . '. . , . . . . , . . 'f . . . .f ,e" : V05SS VERIZON SOUTHWEST TELEPHONE TELEPHONES TELEPHONE TELEPHONE M 5512513030712 031912 030712 040112 5526713030712 031912 030712 040112 5528103030712 031912 030712 040112 5537803030712 031912 030712 040112 TOTALS... H....... H.. H................. H..I 195.23 1262.11 47.94 295.21 1800.49 K17S1 VICKY KALISEK FLEX SPEND REIMBURSEMENT W 032112 032012 032012 159.17 159.17 23766 TOTALS....................................... : 10472 VISA MISCELLANEOUS 012612-022512 032112 022512 032112 5211.84 5211.84 TOT,ALS,.".. ,',...,.. t,' -f ,'.",.:,. I t"" ............ ,', I: GRAND TOTALS. '. . . . . . . . . . . , . . . . . . . . . . . . . . . t -f' . . : 138625.42 (2,\0 ~ {~7~)?1 to :iJ lti i7(Ptr> ~ it /'-1110// dt 1t11f'Z- .00 4453.45 .00 1200.00 ./ .00 1200.00 .00 195.23 V" .00 1262.11 ./ .00 47.94_ .00 295.21 ,/ .00 1800.49 , .00 159.17 .00 159.17 .00 5~11.84 ,/" .00 5211. 84 .00 138625.42 ~f2Y/L Mlchael..l. Pfeifer calhou. n Cou~ty. Judge Date:---3~..1L-'/7 .. APPROVED MAR 2. 2. 2012 COUNTY AUDITOR RUN DATE: 03/21/12 TIME: 16:42 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT ~EFUNDS ~ID=OOOl PAGE . APCDEDIT PATIENT NUMl3ER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUM -~----------------------- 032112 95.74 ./ 95.74 ... __...... --- --... -_... -_... -_.o--.-'-... .......'.. ___ __......... __ __... ___ _____... .....-...... --... --- --- --..................... --... --- --............ --..... ---.-----.. ---... --...--- -- --.-.......- ......... .....--............ ---... TOTAL 95.74 Cj<::# /tJ776 7 Michael J. Pfeifer Calhoun County Judge Date :---2-:.=..,)~:.:.J..J.,.- RUN DATE:03/22/12 TIME:15:03 ACCOUNT A.H.A. SEQ. NUMBER NUMBER MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 0721 CRT#556 TRANSACTION SEQUENCE PAGE 1 GLEDIT TRA.~S DATE JOURNAL AMOUNT SUB-LED REFERENCE MEMO G.L. ACCOUNT DESCRIPTION .. -_.- .... --.-...... --......-... ...'..... -- -''''''''' -.-.-.. -.-............ --... ---...... --................................................ -...... --................... --....... ...- -.-......-............................... --................. --.............. -.--....-... --.-............................. 1 10000000 20000000 30000000 03/22/12 CD 03/22/12 CD - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRMO COUNT DEBI'l' CD 1203 2 4,140.37 TOTAL 2 4,140.37 ACCOUNT TOTAL REO.P ON NEXT PAGE 4,140.37CR 10647 4,140.37 10647 CREDIT 4,140.37 4,140.37 A/PC147768 MICHAELJ. l)ICLEMENTE, OPERATING -CASH A/PC147768 MICHAEL J. DICLEMENTE, ACCOUNTS PAYABtE -AlP 21294 295536 "":Re.\ 't't\b. .(;" r P (.C. f' n ~ -\- c.t.re ttJ^ cL D+-~~e.e.. De-GO ra...+~O^S C ~411 ~1"71~~ APPROVED MAR 2.2 2012 COUNTY AUDITOR 'l\ivi / P ) Pteiter M\Chae\ " . .. ty Judge ca\riO\.1n~O~j~_ oate:~ RUN DATE: 03/29/12 MEMORIAL MEDICAL CENTER 09 13 AP OPEN INVOICE LIST THRU DUE DATE OF 04/10/12 TIME: : CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO~PAY........NET VEND#.NAME.......................... . PAGE: 1 APOPEN A1350 ACTION LUMBER 031912 030612 040612 104.00 .00 104.00 ./ SUPPLIES PLANT OPS W 24584 104.00 TOTALS.,.........,...,........... t. t.....,...: 104.00 .00 A1430 ADVANCE MEDICAL DESIGNS IN 29.75 .00 29.75./ SUPPLIES SURGERY M SI971509 031212 030612 040612 TOTALS. . . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . . , . . . . : 29.75 .00 29.75 A1790 AFLAC .00 140.00 ./ INSURANCE W 219727ER 032712 031512 040112 140.00 TOTALS....................................... : 140.00 .00 140.00 A1680 AIRGAS-SOUTHWEST 1022.73 ,./ MEDICAL GAS M 107430134 032612 tl1912 021812 1022.73 .00 TOTALS....,...........,...,........ I.... t.. I': 1022.73 .00 1022.73 A1645 ALCON LABORATORIES INC 477.00 ./ LENSES M 13018365 031912 030612 040612 477.00 .00 TOTALS....,.,........ t............... t.......: 477.00 .00 477.00 A1360 AMERISOURCEBERGEN DRUG COR 31. 08 ./ PHARMACEUTICALS W 037-479543 031912 031612 041012 31.08 .00 TOTALS. . . . . . . . . . . . . . . . . , , . t . . . . . I . . . . . . . . . . . , : 31. 08 .00 31. 08 A0777 ANDERSON CONSULTATION SERV COLLECTIONS W 1032 031212 030712 040712 785.17 .00 785.17 ;/ 'l'OTALS............... t. I.........,...........; 785.17 .00 785.17 A2345 AT&T MOBILITY / TELEPHONE X03192012 032212 031112 040612 1.03 .00 1.03 TOTALS..............,..............,.,....... : 1.03 .00 1.03 A2600 AUTO PARTS & MACHINE CO. SUPPLIES GROUNDS W 632069 031912 030612 040612 44.39 .00 44.39 ;/ TOTALS....................................... : 44.39 .00 44.39 Bl075 BAXTER HEALTHCARE CORP SUPPLIES CS INV M 34042666 031212 030712 040712 187.68 .00 187.68 V'" LEASE 34055722 031312 030812 040712 36.95 .00 36.95'/ SUPPLIES CS INV 34057161 031912 030812 040812 274.94 .00 274.94 ,/ PHARMACEUTICALS 34069871 031912 030912 040812 156.67 .00 156.67/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 656.24 .00 656.24 B1220 BECKMAN COULTER INC OUTSIDE SRV LAB M 102764538 031212 030512 040512 9520.28 .00 9520.28'/ OUTSIDE SRV LAB 102763552 032012 030212 040512 8451. 28 .00 8451. 28 OUTSIDE SRV LAB 102764539 032012 030512 040412 318.60 .00 318.60 ~ OUTSIDE SRV LAB 102772672 032012 030812 040712 292.25 .00 292.25 OUTSIDE SRV LAB 102781467 032012 031312 041012 584~.50 .00 584.50 / OUTSIDE SRV LAB 102781522 032012 031312 041012 292.25 .00 292.25~ OUTSIDE SRV LAB 102781524 032012 031312 041012 19.35 .00 19.35 RUN DATE: 03/29/12 TIME: 09:13 CLS INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET VENDi.NAD.......I................... . 301.02 .00 301.02 / 3933.48 .00 3933.48 ,/ 23713.01 .00 23713.01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/10/12 PAGE: 2 APOPER OUTSIDE SRV LAB LEASE / MAINTENANCE LAB 102781632 5262437 032012 031312 041012 032012 031212 041012 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : B1655 BOSTON SCIENTIFIC CORPORAT 215.00 .00 215.00 ./ M 931800653 031912 030912 040612 SUPPLIES SURGERY 215.00 .00 215.00 TOTALS, . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . , . . . : 10497 BR HEALTHCARE SERVICES .00 3000.01 RETAINER - ORTHO 23794 032812 032812 032812 3000.00 TOTALS.............,...... I'" ...,.,.........: 3000.00 .00 3000.00 B0437 C R BARD IRe 381. 65 .,/ SUPPLIES SURGERY M 43409175 031212 030512 040512 381. 65 .00 TOTALS.................................. I....: 381. 65 .00 381.65 C1030 CAL COM FEDERAL CREDIT UNI /' EMPLOYEE DEDUCTION W 18142 032712 032612 032612 25.00 .00 25.00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . , . , . . . I . . . . . . . . . : 25.00 .00 25.00 10650 CAREFUSION 2200, INC ) INSTRUMENTS WOMEN'S CLINI 9103427145 031912 030912 040812 223.42 .00 223.42 / INSTRUMENTS SURGERY 9103421570 032012 030712 040612 66.06 .00 66.06 TOTALS.......... ........"...................: 289.48 .00 289.48 10350 CENTURION MEDICAL PRODUCTS 324.90 ./ SUPPLIES CS INV 90968146 031212 030512 040512 324.90 .00 SUPPLIES CS INV 90970465 031212 030712 040712 489.68 .00 489.68 ./ TOTALS.. ............................... .,....: 814.58 .00 814.58 10720 CHRIS RAMIREZ, JR. CONTINUING EDUCATION VARI 12010 032312 022312 032312 450.00 .00 450.00 .,./ CONTINUING EDUCATION VARI 12011 032312 030212 040112 225.00 .00 225.00 ",/ 'l'OTALS.......,.... I""'" I.'.....,..........: 675.00 .00 675.00 C1166 COASTAL OFFICE PRODUCTS, I 3059.00 ./ FURNITURE WOMEN'S CLINIC W 131786 032212 021012 031512 3059.00 .00 TOTALS....................................... : 3059.00 .00 3059.00 C1871 COLLECTIONS INCORPORATED COLLECTIONS FEB W 23782 032712 032212 032212 668.81 .00 668.81 c/ COLLECTIONS FEB 23784 032712 032212 032212 416.68 .00 416.68 ./' TOTALS....................................... : 1085.49 .00 1085.49 C2510 CPSI OUTSIDE SRV PFS M 709330 032712 022912 022912 443.46 .00 443.46/ PRIVATE PAY 710844 032712 030712 030712 10398.23 .00 10398.23 ./ STATEMENT PROCESSING 711026 032712 030812 030812 46.02 .00 46.02/ EBOS 711939 032712 031212 031212 533;60 .00 533.60/ ELECTRONIC PAYSTUB - JAR/ 713811 032712 032112 032112 290.85 .00 290.85/ TOTALS. . . . . . . . . . . . . . . . . . I . . . . I I . . . . . . . . . . . . . . : 11712.16 .00 11712.16 S2896 DANETTE BETHANY 35.00 / FLEX SPEND REIMBURSEMENT W 23774 032712 032612 032612 35.00 .00 RUN DATE: 03/29/12 TIME: 09:13 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/10/12 PAGE: 3 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS...,.........,.........,........,..,... : 35.00 .00 35.00 El090 EDWARDS LIFESCIENCES SUPPLIES CS INV M 1818242 031912 030912 040812 84.00 .00 84.00 v' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 84.00 .00 84.00 10417 ENTRUST INSURANCE' BENEFI 14277.98 /" INSURANCE FOR APRIL EN022169 032812 032812 040112 14277 .98 .00 TOTALS. . . . I . . . . . . . . . . . . . . . . t , . . . . . . . . . . . . . . , , : 14277.98 .00 14277.98 T0383 ERIN CLEVENGER 194.50/ TRAVEL EXPENSES W 23768 032912 031312 031312 194.50 .00 TOTALS. " " , , " " , " , . , I , , , , , , , . . , . . , . . , . . . , , . , , , . ; 194.50 .00 194.50 10701 FAGAN ANSWERING SERVICE AN OUTSIDE SRV WOMEN'S CLINI 72006 032712 032312 032312 76.95 .00 76.95 ,/ TOTALS." ."."".".""""".""........".".."""""" ,,,: 76.95 .00 76.95 Fl050 FASTENAL COMPANY DEPT REPAIR ER M TXPOT105916 031912 030912 040812 34.99 .00 34.99 ,/ TOTALS" . . , , . , , . , , . , , , . . , . . , t , . . , I , , , , , . , , . . , , : 34.99 .00 34.99 F1400 FISHER HEALTHCARE SUPPLIES LAB M 7831560 032012 030612 040512 51.15 .00 51.15 ,/ SUPPLIES LAB 7831563 032012 030612 040512 729.64 .00 729.64,/ SUPPLIES LAB 7916972 032012 030712 040612 155.73 .00 155.73 ..- SUPPLIES LAB 8070387 032012 030912 040812 126.60 .00 126.60/ SUPPLIES LAB 8070388 032012 030912 040812 2289.57 .00 2289.57/ TOTALS.,....."...,,,..,,..,,,, '''''........""."",.,,: 3352.69 .00 3352.69 G0120 GE MEDICAL SYSTEMS, INFO T SRV CONTRACT HIM 4/1-4/30 7367958 031912 030912 040812 171.00 .00 171.00 ./ TOTALS....................................... : 171.00 .00 171.00 G0930 GRAPHIC CONTROLS LLC 122.59~ SUPPLIES ULTRASOUND M KM7561 031912 030912 040812 122.59 .00 TOTALS."."".",,,,,,........,,..,,....,,..,,,,,,,.,,... : 122.59 .00 122.59 G1210 GULF COAST PAPER COMPANY SUPPLIES HOUSEKEEPING M 357852 031212 030612 040512 51.60 .00 51.60 ./ SUPPLIES HOUSEKEEPING 357854 031212 030612 040512 29.00 .00 29.00....... SUPPLIES HOUSEKEEPING 357870 031212 030612 040512 110.75 .00 110.75 -- TOTALS..........,...,." I'" I."."""""""..".".",,: 191.35 .00 191.35 H0030 H E BUTT GROCERY SUPPLIES DIETARY M 068613 031212 030612 040512 95.18 .00 95.18 /' TOTALS" . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 95.18 .00 95.18 10520 IKON FINANCIAL SERVICES 4870.00/ LEASE COPIERS VARIOUS M 86638271 031912 030912 040512 - 4870.00 .00 TOTALS. . . . , . . . . , . . . . . , . . , . . , . . . . . . . . . . . . , . . . . : 4870.00 .00 4870.00 10415 INDEPENDENCE MEDICAL SUPPLIES CS INV 26200176 031312 030512 040512 336.55 .00 336.55 / ..;..:...::~:~~ MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 0~/10/12 PAGE: ~ APOPEN TOTALS. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 10950 INFOLAB INC 28~0.~9 .,/ SUPPLIES BLOOD BANK/LAB M 3092869 032012 030612 0~0512 28~0.~9 .00 TOTALS, . . t . . . . t . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2840.~9 .00 2840.49 10708 INSIDE SKIES 146.90/ SUPPLIES WOMEN'S CLINIC 521 031912 030712 040612 146.90 .00 TOTALS t . . . . . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . : 146.90 .00 146.90 10442 INTERSTATE ALL BATTERY CEN 239.85 ./ SUPPLIES VARIOUS 1901102001210 031212 030612 040512 239.85 .00 TOTALS. , . . . . , , . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . : 239.85 .00 239.85 10632 JACKSON NURSE PROFESSIONAL 2304.00 -;/ CONTRACT NURSE L~D .45453384 032312 021112 021112 2304.00 .00 CONTRACT NURSE L~D 45754447 032312 030312 030312 2304.00 .00 2304.00 CONTRACT NURSE L~D 45854447 032812 031012 031012 2304.00 .00 2304.00'/ TOTALS......... t........,... I.......".......: 6912.00 .00 6912.00 10341 JENISE SVETLIK FLEX SPEND REIMBURSE 23778 032712 032612 032612 220.00 .00 220.00 ./ TOTALS. I . . . , . . . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . : 220.00 .00 220.00 J1400 JOHNSON ~ JOHNSON SUPPLIES SURGERY 907329208 031212 030512 040412 84.39 .00 ./ 84.39 / SUPPLIES SURGERY 907365098 031912 030912 040812 626.16 .00 626.16 TOTALS. . . . . . . . . . . . . . . . I . . . . . . . , . . . . . . . . . . . . . . : 710.55 .00 710.55 M1500 MARKS PLUMBING PARTS SUPPLIES PLANT OPS M 1100506 031912 030512 040412 28.70 .00 28.70 ./ SUPPLIES PLANT OPS 1088408 032612 012612 022512 100.30 .00 100.30/ TOTALS...............,....................... : 129.00 .00 129.00 M2590 MERCURY MEDICAL SUPPLIES CS INV M 528399 031912 030712 040612 98.51 .00 98.51 / TOTALS....................................... : 98.51 .00 98.51 M3656 MERIDIAN BIOSCIENCE SUPPLIES LAB 720936 032012 030712 040612 2044 .10 .00 2044.10 ../ TOTALS....................................... : 2044.10 .00 2044.10 M2659 MERRY X-RAY- SAN ANTONIO SUPPLIES RADIOLOGY M 472094 031212 030612 040512 61.48 .00 61.48 ,./ SUPPLIES RADIOLOGY 472196 031912 030912 040812 72 .35 .00 72.35./ TOTALS..................................., ",: 133.83 .00 133.83 M2621 MMC AUXILIARY GIFT SHOP EMPLOYEE PURCHASE W 23775 032712 032612 032612 123.40 .00 123.40 ./ RUN DATE: 03/29/12 TIME: 09:13 u . CLS INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET VEND".NAME........................... . 123.40 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST TRRU DUE DATE OF 04/10/12 PAGE: 5 APOPEN TOTALS... . ..................... I.....'...,...: 123.40 .00 10441 MMC EMPLOYEE BENEFITS .00 20800.30'/ WEEKLY CLAIMS 18143 032812 032812 032812 20800.30 TOTALS...................... I......,........,: 20800.30 .00 20800.30 10536 MORRIS & DICKSON CO, LLC 18.53 / PHARMACEUTICAL 3203774 032012 031912 041012 18.53 .00 3203776 032012 031912 041012 96.43 .00 96.43 ./ PHARMACEUTICALS 53.77 ./ PHARMACEUTICAL 3203777 032012 031912 041012 53.77 .00 PHARMACEUTICALS 3204337 032012 031912 041012 183.47 .00 183.47 -"" PHARMACEUTICALS 3204338 032012 031912 041012 2221.62 .00 2221. 62 / ./ PHARMACEUTICAL 3212948 032312 032112 041012 149.37 .00 149.37 ./ PHARMACEUTICALS 3212949 032312 032112 041012 1243.12 .00 1243.12 PHARMACEUTICALS 3217717 032312 032212 041012 76.73 .00 76.73'/ PHARMACEUTICALS 3217718 032312 032212 041012 1778.15 .00 1778.15 / ./ PHARMACEUTICAL CREDIT CM61054 032312 032112 041012 -78.34 .00 -78.34 TOTALS. . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . : 5742.85 .00 5742.85 A2252 NADINE GARNER 99.90/ TRAVEL EXPENSES W 23769 032312 032212 032212 99.90 .00 TOTALS................,................ I.....: 99.90 .00 99.90 10709 ONESTAFF MEDICAL, LLC 2088.00 /' CON'I'RACT NURSE 5319 031212 030712 040612 2088.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . : 2088.00 .00 2088.00 OM425 OWENS , MINOR 40.26/ SUPPLIES CS INV 1901152 031212 030612 040512 40.26 .00 SUPPLIES SURGERY 1901329 031212 030612 040512 397.74 .00 397.74~ SUPPLIES VARIOUS 1901336 031212 030612 040512 2522.41 .00 2522.41 SUPPLIES PACU 1901494 031212 030612 040512 218.85 .00 218.85 vi SUPPLIES ER 1901502 031212 030612 040512 100.10 .00 100.10/ SUPPLIES CS INV 1901508 031212 030612 040512 21.28 .00 21.28./ SUPPL.IES CS INV 1901536 031212 030612 040512 33.86 .00 33.86/ SUPPLIES CS INV 1901599 031212 030712 040612 4.07 .00 4.07/ SUPPLIES SURGERY 1901707 031212 030712 040612 107.21 .00 107 .21 ~ SUPPLIES RADIOLOGY 1901709 031212 030712 040612 70.62 .00 70.62 SUPPLIES EKG 1902110 031212 030712 040612 60.29 .00 60.29/ SUPPLIES WOMEN'S CLINIC 1902163 031212 030712 040612 89.86 .00 89.86 ./ SUPPLIES CS INV 1901114 031912 030612 040512 48.53 .00 48.53 -"" SUPPLIES VARIOUS 1883015 032612 012612 022512 29.46 .00 29.46 .", SUPPLIES CS INV 1872989 032712 010512 020412 189.33 .00 189.33...... SUPPLIES CS INV 1908275 032712 032112 041012 78.89 .00 78.89/' SUPPLIES INV CS 1908430 032712 032112 041012 -189.33 .00 -189.33 -"" TOTALS.......... .............................: 3823.43 .00 3823.43 10727 PALACIOS COMMUNITY MEDICAL MON'I'HLY REN'I' 1 DICLEMENTE 23795 032812 032812 032812 180.00 .00 180.00 ./ TOTALS............................... I.......: 180.00 .00 180.00 00450 PATRICIA OWEN FLEX SPEND REIMBURSE W 23776 032712 032612 032612 198.84 .00 198.84 I RUN DATE: 03/29/12 TIME: 09:13 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/10/12 PAGE: 6 APOPEN VEND#;NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET FLEX SPEND REIMBURSE 23777 032712 032612 032612 30.52 .00 30.52/ TOTALS.......,.........,........ I............,: 229.36 .00 229.36 P1260 PENTAX MEDICAL COMPANY 201.31/ SUPPLIES SURGERY M 91885227 031912 030612 040512 201. 31 .00 TOTALS. . . . , . . . . . . . , . . . . . . . . . . . . . , . . . , . . . . . . . . : 201. 31 .00 201. 31 10032 PHILIPS HEALTHCARE 242.20/ DEPT REPAIR ER 923945446 031212 030612 040512 242.20 .00 TOTALS...,..,............,................... : 242.20 .00 242.20 A1292 PORT LAVACA HARDWARE SUPPLIES PLANT OPS W 067788 031912 030512 040512 6.99 .00 6.99/ DEPT REPAIR ER 583 031912 030812 040812 90.42 .00 90.42 - TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 97.41 .00 97.41 P2200 POWER ELECTRIC SUPPLIES PLANT OPS W 158103 031912 030612 040512 6.75 .00 6.75 ..,..; DEPT REPAIR OD 158120 031912 030712 040612 17.48 .00 17.48/ DEPT REPAIR ER 158149 031912 030912 040812 5.39 .00 5.39/ DEPT REPAIR ER 158153 031912 030912 040812 3.12 .00 3.12/ 'l'OTALS. . . . . . . . . . . . . . . f . . . . . . . . . . . . . . . . . . . . . . , : 32.74 .00 32.74 10326 PRINCIPAL LIFE 1737.09/ INSURANCE 18139 032612 031712 040112 1737.09 .00 TOTALS...".,..................,.........,... : 1737.09 .00 1737.09 P2370 PROGRESSIVE DYNAMICS MEDIC 148.98 I SUPPLIES SURGERY M 128938 031912 030712 040612 148.98 .00 TOTALS.........,.... t......,......... t.......: 148.98 .00 148.98 R1045 R << D BATTERIES INC DEPT REPAIR PT M 962080 031212 030612 040612 207.67 .00 207 . 67 / TOTALS.............. f.......,...,......,....,: 207.67 .00 207.67 R1050 R G << ASSOCIATES INC 172.20 ./ SUPPLIES PLANT OPS M 197673 031912 030812 040712 172.20 .00 TOTALS....................................... : 172.20 .00 172.20 R1268 RADIOLOGY UNLIMITED, PA 465.00 ../ READING FEES W 23773 032612 123011 013012 465.00 .00 TOTALS....................................... : 465.00 .00 465.00 10645 REVISTA de VICTORIA ADVERTISING 03201236 032712 031712 032012 375.00 .00 .375.00 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 375.00 .00 375.00 S1405 SERVICE SUPPLY OF VICTORIA SUPPLIES PLANT OPS W 700606804 032312 031412 041012 126.86 .00 126.86 /' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 126.86 .00 126.86 S1800 SHERWIN WILLIAMS DEPT REPAIR NURSING W 3681-4 031912 030812 040712 58.99 .00 58.99 ../ RUN DATE: 03/29/12 TIME: 09:13 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/10/12 PAGE: 7 APOPEN VEND#.NAME..........,.,..............CLS.INVOICE#.........TRN DT.INV Dr.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS......,.,..,.....,..,.............,.... : 58.99 .00 58.99 D0350 SIEMENS HEALTHCARE DIAGNOS /' SUPPLIES LA1I M 971009188 032012 030812 040712 180.77 .00 180.77 INV LAB 971013842 032012 030912 040812 3115.16 .00 3115.16 /' TOTALS............,.......................... : 3295.93 .00 3295.93 10699 SIGN AD, LTD. 350,00/' ADVERTISING 152760 032612 030112 031012 350.00 .00 TOTALS. . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . , . . . . I . . : 350.00 .00 350.00 S2694 STANFORD VACUUM SERVICE GREASE TRAP PUMP M 927127 031912 030812 040712 320.00 .00 320.00/ TOTALS...,., .....,...........",.............: 320.00 ,00 320.00 T2539 T-SYSTEM, INC. ) OUTSIDE SRV ER W 12011 032012 030912 040812 2632.00 .00 2632.00 TOTALS.....,.....,..,.,.,............... .....,: 2632.00 .00 2632.00 T0500 TEAM REHAB INTERIM BILLING W 23779 032712 032612 032612 15000,00 .00 15000.00/ TOTALS... I ......,............,..............,: 15000.00 .00 15000.00 10611 TELE-PHYSICIANS, P.A. 600.00/ TELE-NEUROLOGY FEB 07-1908 032712 022912 030312 600.00 .00 TOTALS...................,................... : 600.00 .00 600.00 T1900 TEXAS ELECTRICAL SUPPLY SUPPLIES PLANT OPS M 24866 031912 030612 040512 299.42 .00 299.42/ SUPPLIES PLANT OPS 2486912011 031912 030612 040512 67.95 .00 67.95 TOTALS.................,..,..,............ I": 367.37 .00 367.37/ T2303 TG EMPLOYEE DEDUCTION W 18140 032712 032612 032612 143.80 .00 143.80 ,/ TOTALS. . . . . . . . . . . . . , . , , . , , . . . . . , . . . . , . . . . . . , . : 143.80 .00 143.80 S2679 THE ST JOHN COMPANIES, INC SUPPLIES MED/SURG M 07818498 031912 030912 040812 20.00 .00 20.00 ,/ TOTALS......,....................,........... : 20.00 .00 20.00 T0801 TLC STAFFING CONTRACT NURSE MEn/SURG W 9957 031212 030612 040512 470.30 .00 470.30 / TOTALS. . . . . . . . . . . . . I . . . . . . , . . . . . . , . . . . . . . . . . . : 470.30 .00 470.30 T3130 TRI-ANIM HEALTH SERVICES I SUPPLIES ER M 60624010 031212 030512 040412 159.22 .00 ./ 159.22 SUPPLIES CARDIO 60637694 032612 031512 040312 64.19 .00 64.19 ./ TOTALS....................................... : 223.41 .00 223.41 U1054 UNIFIRST HOLDINGS LAUNDRY MAINTENANCE W 8150563142 031212 030612 040612 32.54 .00 32.54 / 03/29/12 ,.'!ME: 09:13 f MEMORIAL MEDICAL CEN'l'ER AP OPEN INVOICE LISf THRU DUE DAfE OF 04/10/12 PAGE: 8 APOPEN c' lEND3.~lE.......................... .CLS.INVOICE#....... ..TP.N DT.INV OT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET U1064 UNIFIRSf HOLDINGS INC LAUNDRY HOSPITAL LINEN LAUNDRY OR LAUNDRY HOSPITAL LINEN LAUNDRY HOUSEKEEPING LAUNDRY PLAZA LAUNDRY DIETARY LAUNDRY OB LAUNDRY HOUSEKEEPING U1056 UNIFORM ADVANTAGE EMPLOYEE PURCHASE SCRUB W V0559 VERIZON WIRELESS TELEPHONE K1751 VICKY KALISEK FLEX SPEND REIMBURSE V1701 VITAL STATISTICS OUTSIDE SRV 10429 WILLIAM E HEITKAMP, TRUSTE EMPLOYEE DEDUCTION 'rOTALS.. . . . . . . . . . . '" . . . . . . . .. . . . . . . .. . . . . . .. . '. . . . , : 8400122820 8400122821 8400122617 8400122618 8400122619 8400122620 8400122621 8400122622 031912 030912 040812 031912 030912 040812 032912 030612 040612 032912 030612 040612 032912 030612 040612 032912 030612 040612 032912 030612 040612 032912 030612 040612 TOTALS. . . . . . . . . . . . .. . . . . .. . . ,. , . . , . . . . .'. . 10 . . . : 4340805 TOTALS. . . .., . . . , ... . .., .. . . .. . It . . . . . . . . .. '.. . . . . . : 032312 030712 040712 5522646031612 032712 031612 041012 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : W 23780 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 032712 032612 032612 w 23781 TOT.ALS. . . . . . . . . . .. . . . . . . . . . . . .. . .. . . . ... . . . . f . : 032712 032612 032612 18141 032712 032612 032612 TOT.ALS. . . f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : GRA,lqD TOTALS.. I , . . . . . . . . , i . . . . '. . . . . . . " It . . . .. . : CKS ~ I 477&.Cf, +0 d:il tl1 <6 53 ~ JI. ( f.J {lr/2.. Ji 1~1'b29 ti-l<f7~2'1 APPROVED MAR 29 2012 COUNTY AUDITOR 32.54 32.54 .00 786.60 .00 404.64 .00 788.17 .00 174.44 .00 114 . 04 .00 131.76 .00 86.70 .00 52.03 .00 2538.38 .00 237.91 .00 237.91 .00 108.66 .00 108.66 .00 117.04 .00 117.04 .00 15.00 .00 15.00 .00 495.00 .00 495.00 .00 149625.16 .00 ,,/ 786.60 404.64 / 788.17 :-- 174.44 114.04/' 131. 76 ,/ ;' 8.6.70 / 52.03 2538.38 237.91./ 237.91 108.66/ 108.66 117.04 ../ 117.04 15.00 /' 15.00 495.00 495.00 ./ 149625.16 t/ CMiC'hhael J. Pfeifer aoun Co Date' ';:0-_ untyJUdge .~ nUN DATE: 03/29/12 TIME: 08:10 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl PAGE , APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE 't\'PE DESCRIPTION GL NUM ARID=OOOl TOTAL --------------------------------------------------------------------------------------------~-----._------~----_._---------------~~- 032912 78.64/ 032912 12..50 ./ 032912 51.72 ,/ 032912 10.45 I 032912 476.50.; 032912 22.39 I 032912 17.82/ 032912 36.96/ 032912 25.91 ./ 032912 100.00 ",.. 832.89 ........ --.. --.. -.... -- --- ---.......... --.. -- ---.... --.. .... ...-.. --.. --...... -........... ..._,....... -... --........ ..""'/.......... --.. ---- -.-.... --.... _.- --.. --...... --.. --............ --.. --... --- --....- TOTAL 832.89 / APPROVED MAR 29 2012 COUNTY AUDITOR tl<S-:# ly,<(?5Y- 40 -/Jz{ ,_~ #- ~ 4. 'L ~ to~ Michaer J~ = CalhOun County J Date~ '} _-.. ,,: udge '-~-;$'.a.::...L~ RUN DATE:04/02/12 TIME:10:47 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 0741 CRT#556 TRANSACTION SEQUENCE PAGE 1 GLEDI'l' ACCOUNT A.H.A. SEQ. NUMBER NUMBER TRANS DATE JOURNAL AMOUNT SUB-LED REFERENCE MEMO G.t. ACCOUNT DESCRIPTION --------------------------------------------------------------------------.---------------------------------------------------------- 1 10000000 20000000 04/02/12 CD 04/02/12 CD 22,68a.57CR 10333 22,688,57 10333 A/PC147864 SUN'l'RUST EQUIPMENT FIN! OPERATING -CASH A/PC147864 SUN'l'RUST EQUIPMENT FIN! ACCOUNTS PAYABLE -A/P 30000000 20666 295728 - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRMO COUNT DEBIT CD 1204 2 22,688.57 TOTAL 2 22,688.57 CREDIT 22,688.57 22,688.57 Lea $ e fa,:Y"Y1 e.A\ + ACCOUNT TOTAL RECAP ON NEXT PAGE APPROVED APR;D 2 2012 COONTY AUDITOR - VVv-~ tt ~ MlehaelJ. Pfeifer Calhoun County Judge Date: 'I" 1/)' I 1....- '- \ RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE; 1 APOPEN VEND#.NAME...........................CLS.INVOlCE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET A1680 AIRGAS-SOUTHWEST 1974.33/' BULK OXYGEN M 107697259 032212 031412 041312 1974.33 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . I . . . . , . . . . . . . . : 1974.33 .00 1974.33 10554 ALLIED WASTE SERVICES #847 1059.60 /' WASTE PICKUP 0847-000430005 040412 032612 041512 1059.60 .00 TOTALS. .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . : 1059.60 .00 1059.60 A1760 AMERICAN ACADEMY OF PEDIAT 27.95/ Ol'FICE SUPPLIES NURSERY W 5487970-1A 040512 031412 041312 27.95 .00 TOTALS..................... I.............. t..: 27.95 .00 27.95 10730 AMERICAN COLLEGE OF RADIOL 1475.00"""'- ACCREDITATION RAD 23807 040412 033012 041512 1475.00 .00 TOTALS. . . . . , . . . , , . . . . . . . , . . . , . . . . . . . . . . , . , . . . : 1475.00 .00 1475.00 A1360 AMERISOURCEBERGEN DRUG COR PHARMACEUTICALS W 037-493829 033112 032712 041012 271.20 .00 271. 20 ....... TOTALS......................................, : 271.20 .00 271.20 A2218 AQUA BEVERAGE COMPANY OUTSIDE SRV WOMEN'S CLINI M 389643 031912 031612 041512 17.22 .00 17.22 v' TOTALS. . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 17.22 .00 17.22 10724 ASI BUSINESS GROUP SUPPLIES RADIOLOGY 68707 032612 031312 041312 2151.85 .00 2151.85 V"'" SUPPLIES RADIOLOGY 68708 032612 031312 041312 1232.92 .00 1232.92 ,../ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3384.77 .00 3384.77 A2345 AT&T MOBILITY TELEPHONE Z03262012 033112 031812 041312 712.54 .00 712.54 V' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 712.54 .00 712.54 10719 AUSTIN MEDICAL PRACTICE 2000.00 ,./ COLLECTIONS THRU FEB 4446 040412 031412 033012 2000.00 .00 3RD PAYMENT OF 4 4460 040412 040112 041512 1700.00 .00 1700.00/ TOTALS.. I.............................,......: 3700.00 .00 3700.00 12600 AUTO PARTS & MACHINE CO. SUPPLIES PLANT OPS W 629046 033112 020912 030912 34.18 .00 34.18 .,/ SUPPLIES PLANT OPS 625372 040412 010612 020512 3.49 .00 3.49/ TOTALS...................... .............. ...: 37.67 .00 37.67 B1075 BAXTER HEALTHCARE CORP SUPPLIES CS INV M 34086550 031912 031212 041112 89.62 .00 ,,/ 89.62 / SUPPLIES CS INV 34086551 033112 031212 041112 137.47 .00 137.47 TOTALS....................................,.. : 227.09 .00 227.09 B1220 BECKMAN COULTER INC ~ OUTSIDE SRV LAB M 102781419 032012 031312 041212 407.72 .00 407.72 LEASE 1 MAINTENANCE 5262434 032012 031212 041112 3440.19 .00 3440.19 .....-.. RUN DA~E: 04/05/12 ~IME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIS~ THRU DUE DA~ OF 04/17/12 PAGE: 2 APOPEN VEND#.NAME...........................CLS.INVOICE#.........~RN D~.INV D~.DUE ~.CK ~..PC.......GROSS.....DISC......NO-PAY........NE~ RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE: 3 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS....,.......,.,.....,.........., .......: 965.00 .00 965.00 L1430 CONMED LINVATEC 64.00/' SUPPLIES SURGERY M 1026659 032212 031412 041312 64.00 .00 TOTALS....................,............,..... : 64.00 .00 64.00 C2157 COOPER SURGICAL INC 590.76 /' SUPPLIES SURGERY M 2822909 032612 031512 041412 590.76 .00 TOTALS....................................... : 590.76 .00 590.76 10646 COVIDIEN 3240.00/' SUPPLIES SURGERY 17070211 032612 031512 041412 3240.00 .00 TOTALS. . . . . . . . . . . . . . . . " . . . , . . . . . . . . . . . . . . . . . . : 3240.00 .00 3240.00 C2510 CPSI STATEMENT PROCESSING M 712692 033112 031512 031512 73.75 .00 73.75 ./ SOFTWARE 713051 033112 031912 031912 4760.00 .00 4760.00/ EBOS 714327 033112 032212 032212 292.34 .00 292.34,./ STATEMENT PROCESSING 713572 040412 032112 032112 107.38 .00 107.38 ./ SUPPLIES PT 715438 040412 032812 032812 198.00 .00 198.00 ./ TOTALS......... t.........,.".,...,......... I: 5431. 4 7 .00 5431.47 10006 CUSTOM MEDICAL SPECIALTIES SUPPLIES RADIOLOGY 134107 032212 031412 041412 56.83 .00 56.83 ./ TOTALS.... ......,....,.................. I"": 56.83 .00 56.83 C1443 CYGNUS MEDICAL LLC 229.00/ SUPPLIES SURGERY M 74744 032712 031512 041412 229.00 .00 TOTALS. . . . . . . . . . . . . . . . . . .. . . . . . . . . . ,. . . . . . I . , : 229.00 .00 229.00 D1500 DELL MARKETING L.P. 2244.63/ SUPPLIES VARIOUS M XFP773T88 031912 031412 041312 2244.63 .00 TOTALS.,.,.................."....,..., f.....: 2244.63 .00 2244.63 10368 DEWITT POTH &: SON 130.15/ OFFICE SUPPLIES CS INV / 304048-01 012712 090711 101511 130.15 .00 OFFICE SUPPLIES SURGERY 324177-0 031912 030812 041512 14.11 .00 ./ 14.11 /' OFFICE SUPPLIES DIETARY 324246-0 031912 030812 041512 18.73 .00 18.73 / OFFICE SUPPLIES CS INV 324545-0 031912 030912 041512 357.50 .00 357.50/ OFFICE SUPPLIES SURGERY 324555-1 031912 030912 041512 10.43 .00 10.43 ./ OFFICE SUPPLIES WOMEN'S C 324596-0 031912 031212 041512 17.95 .00 17.95 OFFICE SUPPLIES RADIOLOGY 324714-0 031912 031212 041512 41. 03 .00 41.03/ OFFICE SUPPLIES ACCT 324755-0 031912 031312 041512 99.01 .00 99.01~ OFFICE SUPPLIES RADIOLOGY 324890-0 031912 031412 041512 61.78 .00 61.78 OFFICE SUPPLIES ADMIN 325113-0 031912 031612 041512 42.28 .00 42.28 ./ OFFICE SUPPLIES HIM 321646-0 032012 021612 041512 198.25 .00 198.25.~1 OFFICE SUPPLIES ER 325151-0 032212 031612 041512 161. 58 .00 161.58 OFFICE SUPPLIES SURGERY 325357-0 032212 031912 041512 35.21 .00 35.21/ OFFICE SUPPLIES PFS 325576-0 032612 032112 041512 9.99 .00 9.99/ OFFICE SUPPLIES CS INV 325582-0 032612 032112 041512 187.42 .00 187.42 -j- OFFICE SUPPLIES HIM 325792-0 033112 032712 041512 181. 69 .00 181.69 RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE: 4 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET OFFICE SUPPLIES PFS 326074-0 033112 032612 041512 9.99 .00 9.99............ OFFICE SUPPLIES ULTRASOUN 326099-0 033112 032612 041512 21.81 .00 21.81 .- OFFICE SUPPLIES QUALITY 326100-0 033112 032612 041512 34.53 .00 34.53 ...- OFFICE SUPPLIES PFS 326280-0 033112 032712 041512 23.57 .00 23.57 ........- OFFICE SUPPLIES ER CLERK 326316-0 033112 032712 041512 6.96 .00 6.96 .-- OFFICE SUPPLIES CS INV 326518-0 033112 032812 041512 178.75 .00 178.75 r OFFICE SUPPLIES RADIOLOGY 309492-0 040412 102411 111511 183.35 .00 183.35 ,/ OFFICE SUPPLIES LAB 315944-0 040412 122811 011512 23.14 .00 23.14 ........- OFFICE SUPPLIES lCU 318487 -1 040412 011912 021512 247.26 .00 247.26/ OFFICE SUPPLIES FIM 320242-0 040412 020312 021512 24.43 .00 24.43" OFFICE SUPPLIES WOMEN'S C 325707 -0 040412 032212 041512 4.20 .00 4.20/ TOTALS....................................... : 2325.10 .00 2325.10 S0419 DIAGNOSTlCA STAGO, INC. SUPPLIES LAB 113174573 032712 031312 041212 1270.32 .00 1270.32 ,/ TOTALS. . . . . . . . . . . . . . . . . . . .. . .. . . . .. . .. . . . . . . . : 1270.32 .00 1270.32 D1752 DLE PAPER & PACKAGING FORMS LAB W 6557 031912 031612 041512 93.88 .00 93.88 ,...- TOTAI..S............,.....,.................... : 93.88 .00 93.88 Fll00 FEDERAL EXPRESS CORP. SHIPPING CHARGES W 7-823-02269 032212 031512 041512 36.22 .00 36.22 / TOTALS........... I....................,......: 36.22 .00 36.22 F1400 FISHER HEALTHCARE 107.46 / SUPPLIES LAB M 8215613 032012 031312 041212 107.46 .00 SUPPLIES LAB 8215614 032012 031312 041212 465.01 .00 465.01 ,./ SUPPLIES LAB 8285626 032012 031312 041212 77.31 .00 77. 31 ~ SUPPLIES LAB 8416666 032712 031612 041512 407.05 .00 407.05 "/ SUPPLIES LAB 8416667 032712 031612 041512 1020.34 .00 1020.34 TOTALS. . . . . . .. . . , .. . .. . . . . . . . . . . . . . . . . . . ~ . . . . : 2077 .17 .00 2077.17 G0100 GE HEALTHCARE 860.40 / DEPT REPAIR RADIOLOGY W 5312319 033112 030212 040212 860.40 .00 SRV CONTRACT 3/1 - 3/31 5319799 033112 030512 040412 3387.33 .00 3387.33 ./ SRV CONTRACT 3/1 - 3/31 5319800 033112 030512 040412 435.75 .00 435.75 ./ TOTALS. .. . ., .. . .. , . . . . . . . . . . .. . . . ,.. . . . . . . .. . : 4683.48 .00 4683.48 Gl001 GETINGE USA SUPPLIES SURGERY 7748341 031912 031312 041212 57.93 .00 57.93 / SUPPLIES SURGERY 7748852 032312 031512 041412 69.36 .00 69.36/ TOTALS....................................... : 127.29 .00 127.29 10598 GLENN CRISP 44.40 J TRAVEL EXPENSE 23808 040412 033112 033112 44.40 .00 TOTALS....................................... : 44.40 .00 44.40 W1300 GRAINGER 114.68 / DEPT REPAIR HOUSEKEEPING M 9779089664 032312 031512 041412 114.68 .00 TOTALS...... .................................: 114.68 .00 114.68 G0930 GRAPHIC CONTROLS LLC 121.30 ) SUPPLIES EKG M KM8755 032312 031412 041212 121.30 .00 RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE: 5 APOPEN VEND#.NAME.......................... .CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET TOTALS....................................... : 121. 30 .00 121.30 G0401 GULF COAST DELIVERY 275.00/ OUTSIDE SRV 23806 033112 032912 041512 275.00 .00 TOTALS....................................... : 275.00 .00 275.00 G1210 GULF COAST PAPER COMPANY / SUPPLIES HOUSEKEEPING M 361180 031912 031312 041212 39.07 .00 39.07 / SUPPLIES HOUSEKEEPING 361188 031912 031312 041212 279.62 .00 279.62 SUPPLIES HOUSEKEEPING 345663 033112 021412 031312 25.19 .00 25.19 ",..--- TOTALS....................................... : 343.88 .00 343.88 H0030 H E BUTT GROCERY 17.44 /' PHARMACEUTICALS M 078652 031312 031212 041212 17.44 .00 SUPPLIES DIETARY 072424 033112 030812 040712 74.48 .00 74.48/ SUPPLIES DIETARY 073927 033112 030912 040812 35.76 .00 35.76.......... SUPPLIES DIETARY 081978 033112 031412 041312 155.93 .00 155.93 /' TOTALS...........,................,......... .1 283.61 .00 283.61 H0947 HALL WIRELESS OFFICE SUPPLIES IT 10063861 031912 031512 041412 69.98 .00 69.98/ TOTALS....................................... : 69.98 .00 69.98 Hl148 HEALTH FORCE MEDICAL STAFF 407.88/ CONTRACT NURSE MED/SURG W 7628 032712 031612 041512 407.88 .00 TOTALS.......... ...............,..........,..: 407.88 .00 407.88 H1661 HOO 284.00/' DUES J. ANGLIN 6/1 - 5/31 23761 031912 031912 041712 284.00 .00 TOTALS....................................... : 284.00 .00 284.00 I0415 INDEPENDENCE MEDICAL SUPPLIES CS INV 26250628 032312 031412 041312 33.24 .00 33.24 ../ TOTALS....................................... : 33.24 .00 33.24 I0950 INFOLAB INC SUPPLIES BLOOD BANK M 3095963 032012 031412 041312 858.23 .00 / 858.23/ SUPPLIES LAB 3096825 033112 031612 041512 1072.29 .00 1072.29 TOTALS....................................... : 1930.52 .00 1930.52 10541 IPC, INC SUPPLIES LAB 136866 032012 031212 041112 133.33 .00 133.33 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 133.33 .00 133.33 I1263 IVANS COLLECTIONS FEB W 12DOO19472 032712 031212 041112 65.55 .00 65.55 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 65.55 .00 65.55 10632 JACKSON NURSE PROFESSIONAL 2304.00/ CONTRACT NURSE 45954447 033112 031712 031712 2304.00 .00 '!'O'1'ALS......................, ................: 2304.00 .00 2304.00 10341 JENISE SVETLIK 220.00/ FLEX SPEND REIMBURSEMENT 23800 033112 032912 032912 220.00 .00 RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CEN'rER AP OPEN INVOICE LIST 'rHRU DUE DATE OF 04/17/12 PAGE: 6 APOPEN VEND# NAME CLS I,n'OICE# ..TRN DT.INV D'l'.DUE D'l'.CK DT..PC.......GROSS.....DISC......NO-PAY........NET . .....................,..... t ..'V' ....... TOTALS. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . : 220.00 .00 220.00 J1400 JOHNSON & JOHNSON 284.32/ SUPPLIES SURGERY 907400825 032612 031512 041412 284.32 .00 TOTALS.............,..............,.......... : 284.32 .00 284.32 K1231 KONICA MINOLTA MEDICAL IMA 1020.00/ SRV CON'rRACT 2/1 - 3/31 3533 033112 031412 041312 1020.00 .00 TOTALS. . , . . . . . . . . , . . . , . . . . . . , . . . . . . . . . , . . . . . . : 10.20.00 .00 1020.00 10378 LAQUIN'rA INNS & SUITES 1336.79/ TRAVEL EXPENSE eRNA 619114 64 033112 030912 040912 1336.79 .00 TOTALS........ ...............................: 1336.79 .00 1336.79 10729 LAURIE HARVEY 117.04 /' TRAVEL EXPENSE 23798 033112 033012 033012 117.04 .00 TO'rALS. . t . . , . . . . . , . . . . . . . . . . . . . , . . . . . . . . . . . . . : 117.04 .00 117. 04 L1295 LEEDS PRECISION INSTRUMEN 22.001 SUPPLIES LAB M 381665 040412 112811 122711 22.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 22.00 .00 22.00 10578 LUMINANr ENERGY COMPANY LL 3220.00/ GAS INV511462 031212 030112 041612 3220.00 .00 TO'l'AI.S..... t............,....................: 3220.00 .00 3220.00 M1500 MARKS PLUMBING PARTS SUPPLIES PLANT OPS M 1104334 032312 031612 041512 71.80 .00 71.80~ SUPPLIES PLANT OPS 1104598 032312 031912 041712 31.12 .00 31.12 TOTALS........,.............................. : 102.92 .00 102.92 10339 MATTHEW BOYLE 125.43/ TRAVEL EXPENSES 23811 040412 040412 040412 125.43 .00 TOTALS. . , . 'f . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . : 125.43 .00 125.43 M2499 MEDTRONIC USA, INC. 130.001 SUPPLIES PLANT OPS W 2507947991 032612 031512 041412 130.00 .00 TOTAL-S. . . . . . . .. . .. . .. . .. , , , . . . . . . . , , . . . . . . . . . : 130.00 .00 130.00 M2550 MELSTAN, INC. 29.96/ SUPPLIES GROUNDS W 1259634 033112 031512 041412 29.96 .00 TOTALS... I...................................: 29.96 .00 29.96 M2659 MERRY X-RAY- SANAN'l'ONIO ,/ SUPPLIES RADIOLOGY M 471119 031912 031612 041512 53.18 .00 53.19 SUPPLIES VARIOUS 472302 031912 031612 041512 1589.99 .00 1589.99~ SUPPLIES PT 472095 032612 031512 041412 94.51 .00 94.51/ SUPPLIES MAMMO 469894 033112 123011 012912 267.85 .00 267.85/ SUPPLIES RADIOLOGY 71417 033112 021612 031612 56.09 .00 56.09 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2061.62 .00 2061.62 M2827 MINN'l'ECH CORPORATION J SUPPLIES SURGERY M 1340715 032312 031212 041112 356.00 .00 356.00 RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE: 7 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS. . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 356.00 .00 356.00 10441 MMC EMPLOlEE BENEFITS 15712. 50~ ADMIN FEE'S FOR APRIL 18145 040412 040212 040212 15712.50 .00 WEEKLY CLAIMS 1814 7 040412 040312 040312 20575.64 .00 20575.64 TOTALS..........................,............ : 36288.14 .00 36288.14 10536 MORRIS << DICKSON CO, Ltc 48.50 ./ PHARMACEUTICAL 3226467 033112 032612 041012 48.50 .00 PHARMACEUTICALS 3226468 033112 032612 041012 1429.67 .00 1429.67/ PHARMACEUTICAL 3227134 033112 032612 041012 10.37 .00 10.37 .,/ PHARMACEUTICAL 3227135 033112 032612 041012 63.46 .00 63.46~ PHARMACEUTICALS 3227553 033112 032612 041012 164.28 .00 164.28/ PHARMACEUTICALS 3232555 033112 032712 041012 7092.73 .00 7092.73 ./ PHARMACEUTICALS 3232556 033112 032712 041012 3555.89 .00 3555.89 / PHARMACEUTICALS 3232647 033112 032712 041012 1638.58 .00 1638.58 / PHARMACEUTICALS 3232895 033112 032712 041012 31.98 .00 31.98 / PHARMACEUTICALS 3242015 033112 032912 041012 79.24 .00 79.24 PHARMACEUTICALS 3242016 033112 032912 041012 2689.28 .00 2689.28 ./ PHARMACEUTICALS 3242264 033112 032912 041012 8551.36 .00 8551.36 / PHARMACEUTICAL CREDIT CM62296 033112 032312 041012 -3.86 .00 -3.86/ PHARMACEUTICAL CREDIT CM62297 033112 032312 041012 -193.80 .00 -183.80~ SERVICE CHARGE CS7937 033112 032612 041012 11.49 .00 11.49 /' PHARMACEUTICALS 3246511 040412 033012 041012 599.70 .00 599.70 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 25768.87 .00 25769.97 10289 NACC SOUTH CENTRAL CONFERENCE REGISTRATION 23804 040412 031512 041512 100.00 .00 100.00 .,./ TOTALS............... t.......................: 100.00 .00 100.00 A2252 NADINE GARNER / TRAVEL EXPENSES W 23797 033112 031312 031312 23.00 .00 23.00 TOTALS. . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . .. . . . . . . . : 23.00 .00 23.00 10601 NOBLE AMERICAS ENERGY ELECTRICITY 120830002237881 033112 032312 040112 24540.73 .00 24540.73 ./ TOTALS. . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 24540.73 .00 24540.73 N1225 NUTRITION OPTIONS 3750.00 / DIE'rICIAN W 23805 033112 032912 032912 3750.00 .00 TOTALS...,............ I.............,....... t: 3750.00 .00 3750.00 10709 ONESTAFF MEDICAL, LLC 2089.00/ CONTRACT NURSE OB 5346 031912 031412 041312 2088.00 .00 TOTALS....................................... : 2098.00 .00 2088.00 OM425 OWENS << MINOR SUPPLIES CS INV 1904286 031912 031312 041212 105.62 .00 105.62/ SUPPLIES CS INV 1904355 031912 031312 041212 8.82 .00 8.82 V SUPPLIES SURGERY 1904434 031912 031312 041212 232.04 .00 232.04 / SUPPLIES VARIOUS 1904447 031912 031312 041212 1636.51 .00 1636.51 / RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE: 8 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET SUPPLIES VARIOUS 1904590 031912 031312 041212 106.63 .00 106.63 ~ SUPPLIES CS INV 1904640 031912 031312 041212 546.69.00 546.69 ./ SUPPLIES EKG 1904757 031912 031312 041212 60.29 .00 60.29 ,/ SUPPLIES VARIOUS 1904892 031912 031412 041312 23.12.00 23.12 -- SUPPLIES VARIOUS 1904983 031912 031412 041312 127.69 .00 127.69 ~ SUPPLIES VARIOUS 1905467 031912 031412 041312 2224.85 .00 2224.85........... SUPPLIES SURGERY 1905469 031912 031412 041312 673.54.00 673.54 /' SUPPLIES CS INV 1904430 032712 031312 041212 48.40 .00 48.40"/ SUPPLIES CS INV 1881600 033112 012412 022312 47.50 .00 47.50........ SUPPLIES CS INV 1910478 033112 031712 041612 21.28 .00 21.28......... TOTALS.......................................: 5862.98 .00 5862.98 D1531 PATRICIA DIEBEL 94.90 / TRAVEL EXPENSE LAB W 23803 033112 032912 94.90 .00 TOTALS. , . . , . . . . . . . . . . . . . , . . . . . . . , . . . . . . . , . . . . : 94.90 .00 94.90 P1260 PENTAX MEDICAL COMPANY 79.07/ SUPPLIES SURGERY M 91886446 032312 031412 041312 79.07 .00 TOTALS....................................... : 79.07 .00 79.07 10204 PHARMEDIUM.SERVICES LLC 148.52 ./ PHARMACEUTICALS A599561 032012 031312 041212 148.52 .00 TOTALS...........,..,....... t.....,....,.....: 14 8.52 .00 148.52 10032 PHILIPS HEALTHCARE / SRV CONTRACT RAD 923972347 033112 031312 041212 3185.00 .00 3185.00 TOTALS......................,...",.......... : 3185.00 .00 3185.00 A1292 PORT LAVACA HARDWARE RENOVATION W 067894 031212 031212 041212 18.68 .00 18.68/ SUPPLIES PLANT OPS 067926 032212 031312 041212 14 .64 .00 14.64/ SUPPLIES PLANT OPS 067977 032212 031512 041412 9.49 .00 9.49/ SUPPLIES BOARD ROOM 67988 033112 031612 041512 71.04 .00 71.04/ DEPT REPAIR DIETARY 065421 040412 101411 111411 14.46 .00 14.46/ SUPPLIES PLANT OPS 066571 040412 121911 011812 3.35 .00 3.35 ./ SUPPLIES PLANT OPS 066574 040412 121911 011912 22.96 .00 22.96 - SUPPLIES PLANT OPS 066668 040412 122311 012212 2.90 .00 2.90..,,/' TOTALS. . . . . . . . . . .. . . . . . . . . . .. . . .. . . . . . .. . . . . . : 157.52 .00 157.52 P2370 PROGRESSIVE DYNAMICS MEDIC SUPPLIES SURGERY M 128949 031912 031212 041112 148.56 .00 148.56 / TOTAI.S. . . . . . . . . f . . . . . . t . . . . . . . . . . . . . . . . . . . . . . : 148.56 .00 148.56 10543 ROGERS HOME MEDICAL SUPPLIES PT 35933 032312 031612 041512 225.00 .00 225.00 ........-- SUPPLIES PT 35934 032312 031612 041512 50.00 .00 50.00/ TOTALS, f . . . . I . . , . . . . . . . . . . , . . . , , . , , . . . . . , , . . . : 275.00 .00 275.00 S1405 SERVICE SUPPLY OF VICTORIA SUPPLIES PLANT OPS W 700609054 033112 032712 041012 151. 90 .00 151.90 ./ TOTALS....................................... : 151. 90 .00 151.90 S1800 SHERWIN WILLIAMS SUPPLIES BOARD ROOM W 4007-1 033112 031612 041512 51.11 .00 51.11 ./ RUN DATE: 04/05/12 TIME: 10:10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE: 9 APOPEN VENDi.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE M.CK DT. .PC...... .GROSS.... .DISC..... . NO-PAY. ...... .NET TOTALS..................................,.... : 51.11 .00 51.11 D03S0 SIEMENS HEALTHCARE DIAGNOS 130.64 .......- SUPPLIES LAB M 970779483 033112 111011 121011 130.64 .00 SUPPLIES LAB 971021755 033112 031412 041312 41. 20 .00 41.20__ TOTALS....................,.................. : 171.84 .00 171.84 S2001 SIEMENS MEDICAL SOLUTIONS 941.58 ,/ SRV CONTRACT 3/18 - 4/17 M 95664191 033112 031812 041712 941.58 .00 TOTALS. . . . . . . . . . . . . . . . . . I . . t . . . . . . . . . . . . . . . . . : 941. 58 .00 941.58 10699 SIGN AD, LTD. ADVERTISING 4/1 - 4/30 153664 040412 040112 041012 350.00 .00 350.00/ TOTALS........,.............................. : 350.00 .00 350.00 S2830 STRYKER SALES CORP 756.43/ SUPPLIES PT M 835595A 032612 031612 041512 756.43 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 756.43 .00 756.43 C2299 SUDDENLINK MEDIA 2880.00/ ADVERTISING 105074 033112 033012 040212 2880.00 .00 TOTALS........................,...........,.. : 2880.00 .00 2880.00 S2951 SYSCO FOOD SERVICES OF SUPPLIES DIETARY M 203150470 033112 031512 040412 903.40 .00 903.40/ SUPPLIES DIETARY 203220450 033112 032212 041012 957.30 .00 957.30 .......- TOTALS.......,............................... : 1860.70 .00 1860.70 '1'1450 TAC UNEMPLOYMENT FUND UNEMPLOYMENT W 18144 033112 032912 032912 7592.96 .00 7592.96 .,/ TOTALS. . . . . . . . , . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . : 7592.96 .00 7592.96 '1'2204 TEXAS MUTUAL INSURANCE CO INSURANCE W 18146 040412 033112 041512 9432.00 .00 9432.00/ TOTALS.............,.....,.............,.,... : 9432.00 .00 9432.00 '1'2198 TEXAS STATE BOARD OF PHARM LICENSE - DENISE CHANEY W 23799 033112 033112 033112 396.00 .00 396.00 ./ TOTALS....................................... : 396.00 .00 396.00 '1'0801 TLC STAFFING 1218.37/ CONTRACT NURSE lCU W 9962 031912 031312 041212 1218.37 .00 TOTALS.....,..,.......,..,.............,.... .1 1218.37 .00 1218.37 T3130 TRI-ANIM HEALTH SERVICES I SUPPLIES CS INV M 60644507 033112 032112 041012 271.10 .00 271.10:; SUPPLIES CARDIO 60655095 033112 032912 71. 32 .00 71.32 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 342.42 .00 342.42 Ul054 UNIFIRST HOLDINGS 32.54 / LAUNDRY MAINTENANCE W 8150563872 031912 031312 041212 32.54 .00 MEMORIAL MEDICAL CENTER AP OpEN INVOICE LIST THRU DUE DATE OF 04/17/12 PAGE: 10 APOPEN 04/05/12 /' TIME: 10:10 / CLS INVOICE# TRN DTINV DT.DUE DT.CICDT..PC.......GROSS.....IlISC......NO-PAy........NET WNO#.NA!4E.........................,...., '.. . .......... . 32.54 U1064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN LAUNDRY HOUSEKEEPING LAUNDRY PLAZA LAUNDRY DIETARY LAUNDRY OB LAUNDRY HOUSEKEEPING LAUNDRY HOSPITAL LINEN LAUNDRY SURGERY U1350 UNITED PARCEL SERVICE POSTAGE 10172 US FOOD SERVICE SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY V0555 VERIZON SOUTHWEST TELEPHONE TELEPHONE TELEPHONE V0559 VERIZON WIRELESS TELEPHONE W1005 ~1ALMART COMMUNITY SUPPLIES VARIOUS (!.~~ IA.l72G;.f> +0 ~ I Li 1'tlc'l ~bIDS ~ d!. 147~ 13 .* \l{ica1L[ ~ 'tot.., CZ>1 5 ~\41'$"9 ~ 14 1 ~ t{.$ . . . TOTALS.......I t.. II' "' f II II... .'. ........ 1'1" II' 8400122966 8400122967 8400122968 8400122969 8400122970 8400122971 8400123172 8400123173 031912 031312 041212 031912 031312 041212 031912 031312 041212 031912 031312 041212 031912031312 041212 031912 031312 041212 032612 031612 041512 032612 031612 041512 TOTALS.-.....I.... II.. I" I.... Ii. II....... I" ',_".: W 0000778941112 033112 031712 041312 TOTALS.......... t.............. ......... ,', ... _f..: 5255179 5276826 5301993 5325109 5401564 5402720 5423248 5450091 5483485 033112 031312 040112 033112 031312 040112 033112 031512 040512 033112 031612 040512 033112 032012 040812 033112 032112 040912 033112 032212 041012 033112 032312 041112 033112 032612 041512 TOTALS. . . . . . . . t' . . . . . . . . -. . . . . . . . . . , '. . . . . . ,; . . II : M 1977697031912 033112 031912 041312 5521567031912 033112 031912 041312 5525926031612 033112 031612 041012 TOTALS...................................... .: 6709551034 TOTALS........................... i... ... ii. It..: 032712 031612 041112 W 021412-031212 033112 031212 041112 TOTALS. . . . . . . " . . '. . . t.' . . . . . . . .; . , . Ii . . .. . t.. . . .....f . : 32.54 .00 880.03 .00 174.44 .00 152.49 .00 131.76 .00 103.20 .00 52.03 .00 853.31 .00 359.80 .00 2707.06 .00 294.16 .00 294.16 .00 181.33 .00 58.61 .00 3485.90 .00 91.05 .00 58.61 .00 78.10 .00 3857.63 .00 168.43 .00 335.47 .00 8315.13 .00 53.18 .00 43.43 .00 68.85 .00 165.46 .00 221.48 .00 221.48 .00 880.15 .00 880 :.15 .00 GRAND TOTALS..........A~P.RO\lELl.....: 219349.78 .00 APR','O. 5 2.n ~2.. -r'\ ql>O ~ -n< 1;: le.<:r+,.: C(l.l Ul s'v.-ff'I'f Co.- 'WOTl"'le.<"l'S Cen4-u COUNTY AUDITOR Ex p~ ~,-W~- Michael J. Pfeifer Calhoun County Judge Oate:~..:::J -1.-- 880..03/ 174.44 .......... 152.49/ 131.76 ,.....- 103.20'/ 52.03/ 853.31/ 359.80/ 2707.06 294.16/ 294.16 181. 33 / 58.61- 3485.90 /' 91.05/' ,/ 58.61/, 78.10/, 3857.63 ./ 168.43/' 335.47 8315.13 53.18/' 43.43/ 68.85 - 165.46 221.48 / 221. 48 880.15 .,/ 880.15 219349.78 + ~q2.11..v" :2 J<t~4 8'.52. RUN DATE: 04/11/12 TIME: 08:39 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/24/12 PAGE: 1 APOPEN # CLS INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY...,....NET VEND .NAD........................... . A1645 ALCON LABORATORIES INC 1564.50 .00 1564.50 I LENSES M 13098272 032712 032012 041912 20.00 /" SHIPPING CHARGES FOR LENS 13124898 033112 032212 042112 20.00 .00 TOTAI..S...........,......,.... e'.'.....,......: 1584.50 .00 1584,50 10733 AMANDA BISSET 23.50 ./ NRP ONLINE EXAM FEES 18153 041012 040912 041212 23.50 .00 TOTALS....,...................,..........,... ; 23.50 .00 23.50 A2276 ARTHROCARE CORPORATION 635.61/ SUPPLIES SURGERY M 90883862 032712 031912 041812 635.61 .00 SUPPLIES SURGERY 90883863 032712 031912 041812 955.85 .00 955.85 ..,/ TOTALS, . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . : 1591. 46 .00 1591.46 A2600 AUTO PARTS & MACHINE CO. 521.79 "../ SUPPLIES PLANT OPS W 634103 032712 032212 042112 521.79 .00 TOTALS. . . . . . . , , . . . . . . . . . I . . . . . . . . t . . . . . . . . . . , : 521. 79 ,00 521.79 Bl075 BAXTER HEALTHCARE CORP 43.73 / SUPPLIES CS INV M 34832417 032712 032112 042012 43.73 .00 SRV CONTRACT VARIOUS 3/22 34860220 032712 032212 042212 904.20 ,00 904.20../' SUPPLIES CS INV 34861524 032712 032212 042112 467.39 .00 467.39~ PHARMACEUTICALS 34832416 933112 032112 042012 272.16 .00 272.16 'TOTALS. . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . . : 1687.48 .00 1687.48 81655 BOSTON SCIENTIFIC CORPORAT SUPPLIES SURGERY M 931895355 032712 031912 041812 744.00 .00 744.00 ,,/ TOTALS..,.,.."....,........,...,..........., : 744.00 .00 744.00 Cl030 CAL COM FEDERAL CREDIT UNI 25.00/ EMPLOYEE PAYROLL DEDUCTI W 18149 041012 041010 041212 25.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 25.00 ,00 25.00 C1203 CALHOUN COUNTY WASTE MGMT 30.00/ DISPOSAL FOR MARCH 326881 041012 040212 041212 30.00 .00 TOTALS.................."...........,......, : 30.00 .00 30.00 10650 CAREFUSION 2200, INC 58.12/ SUPPLIES SURGERY 9103448148 033112 032112 042012 58.12 .00 TOTALS....................................... : 58.12 .00 58.12 C1994 CCI 210.00/ RECERTIFICATION CNOR S RU 23810 040412 032212 042212 210.00 .00 TO'1'AI.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 210.00 .00 210.00 C1992 CDW GOVERNMENT, INC. SUPPLIES IT M F393646 033112 020312 030412 743.64 .00 743.64 SUPPLIES IT CREDIT G999563 033112 031212 041112 -743.64 .00 -743.64 OFFICE SUPPLIES WOMEN'S C H335431 033112 032012 041912 422.09 .00 422.09/ TOTALS............... ........................: 422.09 .00 422.09 C1390 CENTRAL DRUGS PHARMACEUTICALS W 23770 032212 032012 042012 210.00 .00 210.00 / RUN DATE: 04/11/12 TIME: 08:39 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/24/12 PAGE: 2 APOPEN CLS INVOICE# .......TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET VEND#.NAltm.. I....... t.....,........... .. TOTALS.."........................,.......... : 210.00 .00 210.00 10350 CENTURION MEDICAL PRODUCTS 142.50 .00 142.50/ SUPPLIES CS INV 90977979 032712 031912 041812 ",.,/' 90980282 032712 032112 042012 534,60 .00 534.60 .../ SUPPLIES CS INV 90981305 033112 032212 042112 292.28 .00 292.28 SUPPLIES CS INV TOTALS......................."........,..... : 969.38 .00 969.38 C1510 CHUBB SECURITY SYSTEMS INC 725.00 ~ SRV CONTRACT 3/1/12 - 5/3 M 7020374862 033112 032512 042412 725.00 .00 TOTALS................,..........,........... : 725.00 .00 725.00 C2297 COVER ONE 154.00/ SUPPLIES ADMIN M 7392 033112 031612 041912 154.00 .00 TOT'ALS..'............,'.,.... t.., ........,.,.: 154 . 00 .00 154.00 10731 CVS CAREMARK 650.00 / PHARMACEUTICALS 58262009-301 033112 032312 042212 650.00 .00 TOTALS.......... I.......,..."............. I"': 650.00 .00 650.00 10509 DA&E / ACCOUNTING SERVICES 23812 040412 042312 042212 866.00 .00 866.00 TOTALS. . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . , . . . . . . . : 866.00 .00 866.00 D1785 DYNATRONICS CORPORATION SUPPLIES PT 577723 032712 032112 042012 14 7.50 .00 147.50/ TOTALS.. .......,.......... t..................: 147.50 .00 147.50 E1070 EDWARDS PLUMBING INC 12907.00 / DEPT REPAIR - WATER TANK W 51511 033112 032312 042212 12907.00 .00 DEPT REPAIRS PLANT OPS 51520 033112 032312 042212 412.00 .00 412.00 TOTALS. . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . : 13319.00 .00 13319.00 F1100 FEDERAL EXPRESS CORP. DELIVERY FEE FOR ACCTING W 7-838-18754 041012 032912 041212 17.91 .00 17.91 ,,/' TOTALS. . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 17.91 .00 17.91 F1400 FISHER HEALTHCARE SUPPLIES LAB M 8526549 033112 032012 041912 672.48 .00 672.48 /" SUPPLIES LAB 8526557 033112 032012 041912 601.43 .00 601.43,,/' SUPPLIES LAB 8526561 033112 032012 041912 228.13 .00 228.13 / SUPPLIES LAB 8591174 033112 032012 041912 128.18 .00 128.18 / SUPPLIES LAB 8656227 033112 032112 042012 338.57 .00 338.57/ TOTALS. . . . I . . . I I . I . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1968.79 .00 1968.79 10678 FIVE STAR STERILIZER SERVI 477.34 / INSTRUMENT REPAIR SURGERY 1891 032612 032012 041912 477.34 .00 TOTALS....................................... : 477 .34 .00 477.34 G1870 GOLDEN CRESCENT COMMUNI CAT / SUPPLIES PLANT OPS M 32129 033112 032112 042012 300.00 .00 300.00 RUN DATE: 04/11/12 TIME: 08:39 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/24/12 PAGE: 3 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET RUN DATE: 04/11/12 TIME: 08:39 MEMORIAL MEDICAL CENTER AP OP:flN INVOICE LIST THRU DUE DATE OF 04124/12 PAGE: 4 APOPEN VEND#.NAME.......... H.............. .CLS.INVOICE#........ .TRNDT.INV D'l1.DUE DT.CK DT'. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET M2499 MEDTRONIC USA, INC. SUPPLIES SURGERY W M2659 MERR'i X-RAY- SAN ANTONIO SUPPLIESRADIOLOGY M M2685 MICROTEK MEDICAL INC SUPPLIES CS INV M 10441 MMC EMPLOYEE BENEF!TS WEEKLY INSURANCE CLAIMS A2252 NADINE GARNER M : 1 fCl."l e. 'R..~1 /'A...~ 10709 ONE STAFF MEDICAL. LLC CONTRACTNtJRSE OB OM425 OWENS, & MINOR SUPPLIESCSINV SUPPLIESCS INV SU}iPLIES SURGERY SUPPLIES VAlfI,OUS SUPPLIES CS INV SUPPLIES PT SUPPLIES SURGERY SUPPLIES SURGERY SUPPLIES PT SUPPLIES CS INV SUPPLIES CS INV SUPPLIES ERG SUPPLIES VARIOUS SUPPLIES VARIOUS SUPPLIES CSINV CREDIT SUPPLIES CSINV SUPPLIES VARIOUS A1292 PORTLAVACA HAIUlWARE SUPPLIES BOARD ROOM SUPPLIES BOARD ROOM P2200 POWER ELECTRIC SUPPLIES PLANT OPS TOTAL-S. . . . . . . . . . . . . . . . . . . . . . . . . . 'f . . . . . . t-' . . . . : 2507862176 TOTALS. It ....... .:-.. ......... .,t"..., t '"......... .'..: 032712031912 041812 4,72392 TOTALS,.. t. ................... I..... ",'-" .'.........: 032712 032112 042012 2819554 TOTALS. . . . . . . t' . . . . . . '.f I t t.. . . . t 'f . . . 'f .f 'f .,. . I to it . . : 032712 032112 042012 18148 TOT.ALS... .'.... It.. "' ........ .... ....'.-.. 1.1 ..,.: 041012 040512 041212 w 18156 TOTALS.. t'........ 1.1... ,.,. ...,.....,...... '_'" t.: 041012 041010 041212 5373 TOTALS........... ............................: 033112 032112 042012 1907326 1907348 1907380 1907384 1907444 1907450 1907574 190768,6 1907692 1908432 1908527 1908544 1908868 1902627 1906719 1908621 1907603 032712 032012 041912 032712 032012 041912 032712 032012041912 032712 032012 ~41912 032712 032012 041912 032712 032012 041912 032712 032012 041912 032712 032012 041912 032712 032012 041912 032712 032112 042012 032712 032212 042112 032712 032212042112 032712 032212 042112 ~33112 030812 040112 033112 031912 041812 033112 032212 042112 040412 032012 041912 TOTALS. . . 'f ,,' . . . . t_. . . of t_. . . . . . "., . . . .. . . . . . . . . . . . : W 068035 068044 TOTALS. . . . 1,1 'f ~ . -f. . . . .f . . . . . . . . .:.:, , . . . . . .... . . . . . : 033112 032012 041912 033112 032112 042012 W 158307 033112 032312 042212 275.45 130.00 130.00 644.13 644.13 211. 0.0 211.00 9424.41 9424.41 31. 08 31;08 2117.00 2117.00 26..01 66.75 113.58 161.51 36.38 214.70 785.76 201.69 139.90 28.32 312.12 91.28 571.50 1108;36 -48.42 8.82 1945.32 5763.58 38.97 16.58 55.55 26..32 .00 275.45 .00 .00 130.00 ,/ 130.00 .00 .00 644.13 / 644.13 .00 .00 211. 00 ./' 211.00 .00 .00 9424.41 ,/ 9424.41 .00 .00 31.08 / 3.1.08 .00 .00 2117.00 2117.00 .00 ..00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 26.01 ./' 66.75 ~ 113.58 / 161. 51 ./' 36.38/ 214.70 ::::: 785.76. 201. 69........... 139.90/. 28.32 .......... 312.12 ./ 91.28........ 571.50 ,,/ 1108.36 / -48.42 ,.. 8.82 -- 1945.32/ 5763.58 .00 .00 .00 ./ 38.97 16.58 / 55.55 .00 26.32/ RUN DATE: 04/11/12 TIME: 08:39 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/24/12 PAGE: 5 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET SUPPLIES GROUNDS 158312 033112 032312 042212 7.49 .00 7.49 --- TOTALS.......... fl...........,........,.......: 33.81 .00 33.81 P2370 PROGRESSIVE DYNAMICS MEDIC 148.98/ SUPPLIES SURGERY M 128980 032712 031912 041812 148.98 .00 '1'O'rALS. . . . . . . . . , . . . . . . . . . . . . . , . , . . . . , " , . , . . . . : 148.98 .00 148.98 R1050 R G i ASSOCIATES INC 73.80 I SALT DELIVERY M 198066 033112 032212 042112 73.80 .00 TOTALS.............." t..........,...,.......: 73.80 .00 73.80 R1268 RADIOLOGY UNLIMITED, PA 320.00/' READNG FEES DR MALEK W 18155 041012 020112 030112 320.00 .00 CALL PAY FOR DR MALEK 18156 041012 041012 041212 5500.00 .00 5500.00/, READING FEE DR MALEK 18157 041012 041012 041212 25.00 .00 25.00 TOTALS.................,....,.....,..... t....: 5845.00 .00 5845.00 10626 RAUSHANAH MONDAY FLEXIBLE SPENDING 18158 041112 041112 041212 212.00 .00 212.00 / TOTALS.......",...............,.........,... : 212.00 .00 212.00 S1200 SEARS 423.99 / SUPPLIES PALACIOS CLINIC M 026175211448 032612 031912 041812 423.99 .00 TOTALS. 10....................,.,....... I......: 423.99 .00 423.99 10602 SERVICE ORGANIZATION SER ORG 3 MONTH COLLECTIO 18152 041012 040612 041212 136754.71 .00 136754.7Y" TOTALS..,..........,...,... I..'.......,......: 136754.71 .00 136754.71 S2400 SO TEX BLOOD & TISSUE CENT SUPPLIES BLOOD BANK CREDI M 20121412 033112 031912 041812 -2430.00 .00 -2430.00"""'- SUPPLIES BLOOD BANK 20121477 033112 031912 041812 5078.00 .00 5078.00 -- TMALS. . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . , . . . . . . . : 2648.00 .00 2648.00 S2785 STRICTLY BUSINESS SUPPLIES ADMIN W 027819 032312 031912 041812 29.97 .00 29.97 / TOTALS...........,........,.................. : 29.97 .00 29.97 T0500 TEAM REHAB PHYSICAL THERAPY PAYMENT W 18157 041012 041012 041212 9181.16 .00 9181.16 /' TOTALS. . . , . . , . . . . . I . . . . . . . . . . . . . . . . . . . . . , . . . , : 9181.16 .00 9181.16 S2679 THE ST JOHN COMPANIES, INC 205.00 / SUPPLIES CS INV M 07829659 033112 032312 042212 205.00 .00 TOTALS..... I.....'......,...............,....: 205.00 .00 205.00 T0801 TLC STAFFING 1965.95/ CONTRACT NURSE MED SURG W 10002 033112 032012 041912 1965.95 .00 TOTALS. . . . . . . . . . . . . . . I . . . . . . . . . . . . , , . . . . . . . , , : 1965.95 .00 1965.95 U10S4 UNIFIRST HOLDINGS LAUNDRY MAINTENANCE W 8150564621 032612 032012 041912 32.54 .00 32.54 ./ / / . DATE: 04/11/12 TIME: 08:39 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST TIlRU DUE DATE OF 04/24/12 PAGE: 6 APOPEN VENDi.NAME.......................... .CLS.INVOICElt........ .TRN DT.INV DT.DUEDT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... . NET U1064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN LAUNDRY HOUSWEPING LAUNDRY DIETARY LAUNDRY OB LAUNDRY HOUSEKEEPING LAUNDRY HOSPITAL LINEN LAUNDRY SURGERY U2000 US POSTAL SERVICE POSTAGE METER TOTALS.... .',.............. t...... ,f..... t,.....: 32,'54 8400123320 8400123321 8400123323 8400123324 8400123325 8400123525 8400123526 032612 032012 041912 032612 032012 041912 032612 032012 041912 032612 032012 041912 032612 032012 041912 032612 032312 042212 032612 032312 042212 'rO'1'ALS. -tot. . .. . of . . . . . , . . . , . . . . . . . . .. t . . . 'f . -, .. to: 18154 041012 040212 041212 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . to , .. 'f . : 10394 WILLIAM E HElKAMP. TRUSTEE . &...-n 'f' l ~ 'i e. e bed.~+;...,18150 041012 041012 041012 TO'l'ALS... ...............,............. I......: 10429 WILLIAM E HEITRAMP, TRUSTE E fli\.fll:>\./ ee '"'bedlt..e+:.oll\ 18151 041012 041012 041212 TOT.ALS.. . , . 'f' . . 'f' .... .. . . .. . .. .. . . . . . . . . . . . . . . . : GRAND TOTALS........................... _f f . . . ._': /JjLvJJ ~lff Michael J. Pt9ifer Calhoun pt.unry. JUdge Date: - /II ~ I z..-=. APPROVED APR 1 1. 2012 COUNTY AUDITOR 846. 36 174.44 130.02 86.70 53.03 722.15 348.59 2361.29 1000.00 1000.00 400.00 400.00 495.00 495.00 213169.46 .00 32.54 .00 846.36/ .00 ,/ 174.44 /'" .00 130.02 ,/ .00 86.70 / .00 53.03 .00 /" 722.15 / .00 348.59 .00 2361.29 .00 1000.00 ----- .00 1000.00 .00 400.00 -- .00 400.00 ./ .00 495.00 .00 495.00 .00 v! 213169.46 / C-,\<.S. ~ 1 Y7 q k. ~ ;-0 ~ \ L\;<6 Od1 ~ jJ J ~g~(3 p /L.{<601'i RUN DATE: 04/10/12 TIME: 13:36 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl PAGE 2 APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NOM 041012 34.08 ) 041012 129.00 041012 50.00/ 041012 77.06/ __ __ ______ _..,'::.....__..;.'~' ~_ .,::1._...._ _'.....;;;;:~__~.. """,,;,,__ ___ ..._....... .......... ...----- ----------- -- --.....-....-.--.. ... ---- ... ARID=OOOl TOTAL 320.74 7 - uuun_____U___________uu_.._____...... -.....---------------------------------------------....--------------------.-......----------------------.-------------.--...--------...------ TOTAL 320.74 QKs #- I <..} <?D30 -to #}L{'6D3~ !JMJtJ_-fJii!- Michael J. Pfeifer Calhoun County Judge Date: '1-- f It ~ 17/ APPROVED APR \ 1:2012 COUNTY AUmTOR Department 020 MEMORIAL MEDICAL CENTER Payroll Register ( Bi -Weekly) Pay Period 03/09/12 - 03/22/12 Runt 2 Dept. Sequence Page P2REG Run Date: 03/20/12 Time: 14:40 .__ Em p 1 0 Y e e -----.-- Tim e --------------------------------------------.-- De due t ion 5 _______________________00. INum/Type/Name/Pay/Exempt!PayCd Dept Hrs IOTlsHIWEIHOlcBI Rate Gross I Code Amount I t _ ~ ~.. ......... _____........ ..___ .*___ __................... ........_ __.._._.. __ __ _.. ___ _____.._.._........ ......-- ..t....._.......... -.. -............ --........-..-............- -.... -- ..-- ..-......-.. * 020 4.00 N N N N 22.6800 90.72 A/R 25.00 CAFR-C -46.20 CAPR-D 13 .92 020 4.00 N N N N 22.6800 90.72 CAFR-H 97.50 FEDTAX 153.45 FICA-II. 24.16 020 63.00 N N N N 22.6800 1428.84 FICA-O 69.97 MISC 110.00 OTHER 244.88 2 020 5.00 N N N N 24.1800 120.90 TS1\-R 121.18 'Check# : 61445 3/21/12-' Total: 76.00 ---------------- ( Gross: 1731.18 Deductions: 813.86 Net: 917.32 ) Department Summary '00 Pay Cod e 8 u m mar y n__nn_________________________________*-_ De d u c t ion s Sum mar y ______h_____* I PayCd Description Hrs jOTlsHlwE!HOICBI Gross I Code Amount I f.. ___"_" ...... ..... _...... "'.. _...... ___........_ __.... ___ ___ _..... __.......... __....... _____ ...... _____.. _..t _.._.. _____ _.._____.......... __...... __ __...... _____.. ....__.. ......-......-* 1 REGULAR PAY-S1 63.00 N N N N 1428.84 AIR 25.00 AWARDS BOOTS 2 REGULAR PAY -82 5.00 N N N N 120.90 CAFE-C -46.20 CAFE-D 13.92 CAFE-F K EXTENDED- ILLNESS -BANK 4.00 N N N N 90.72 CAFE-H 97.50 CAFE-I CAFE-L P PAID-TIMg-OFF 4.00 N N N N 90.72 CAFE - P CANCER CREDUN DENTAL DEP-LF FEDTAX 153.45 FICA-M 24.16 FICA-O 69.97FLEXS FORT D FUTA GIFT S GRAlIT GRP-IN GTL HOSP-I ID TFT LEAF MISC 110.00 OTHER 244.88 PR FIN REPAY S'1'-TX STUDEN TSA-1 '1'S1\-2 TSA-C . TSA-P '1'SA-R 121.18 TUTION UW /HOS L_u___u______ Department Totals: 76.00 ------- ( Gross: 1731.18 Deductions: 813.86 Net: 917.32 l I Checks Count: - FT 1 PT Other Female 1 I~ale Credit OverAmt ZeroNet Term Total: 1 I t. ____.. ~ ._. _____... "__.o_.. ___ __ ..___ _,______...... ___ __ _______ __.. __.o_"" ___ .____ __ __ __.. __ __ __.. __ ____...... _.... __ ____.......... ___.. _____.o_ ___.._ ___i :::- Department 080 MEMORIAL MEDI CA1 CENTER Payroll Register ( Bi -Weekly l Pay Period 03/09/12 - 03/22/12 Runij 3 Dept. Sequence Page P2REG Run Date: 03/20/12 Time: 16: 36 *__ E III ploy e e -----,-- Tim e ____n______________________________________*__ De due t ion S ___n__n________________* INum/Type/Name/Pay/ExemptIPayCd Dept Hrs IOTISH\WEIHOjcal Rate Gross I Code Amount I i...... _ M _...._. w_ ". _." ,,_ __ _...i. __" __.__ ...______ "_______,, _... __" _............ ___ __._"..".. ..__ __.. __*___...... __ __.. --------.. ----.. -.. --." ----...- __wOO'O_.. ---,". * 080 74.00 Ii N N N 29.8200 080 69.26 Ii N N N 29.B200 OBO 80.00 N N N N 29.B200 ~ 080 128.00 N N N N 2.0000 *___________________n_______' Total; 351.26 'w' High Net Pay ( Gross: 2206.68 A/R 75 .00 CAFE- D 15.00 CAFE-R 140.00 2065.31 FEDTAX 1131.12 FICA-M 98.00 FICA-O 283. B6 2385.60 TSA-R 483.95 256. 00 6913.61 Deductions ; 2226.93 Net; 4686.68 ) Department SUlllIIlary *-- Pay Cod e Sum mar y _____u________u________________________*__ De d u c t ion s Sum mar y -------------* I Payed Description Hrs IOTlsHlwEIHOlcal Gross I Code Amount I *_...... ____ _____ ____.._ ___ "..._".. __ __.. __ ___.._.. _____... ___ ___.._ ____.... __.. __ __...._ __ _i__.. __ _._.. _ ...___.._ ___ _.. _ __..._ _.. __...._..._.... __w __.... ___ .._.._.,* 1 REGUIJR PAY -S1 74.00 N N N N 220 6.6B A/R 75.00 AWARDS BOOTS C CALL PAY 128.00 N N N N 256.00 CAFE -C CAFE -D 15.00 CAFE-F P PAID-TIME-OFF 69.26 N N N N 2065.33 CAFE -R 140.00 CAFE- I CAFE- L R SEVERANCE PAY 80.00 N N N N 2385.60 CAFE-P CANCER CREOON DENTAL DEP-LF FEDTAX 113 1.12 FrCA-M 98.00 FICA-O 283. B6 FLEX S FORT 0 FUTA GIFT S GRANT GRP - IN GTL HOSP-I 10 TFT LEAF MISC OTHER PR FIN REPAY ST-T>: STUDEN T8A-1 TSA-2 TSA-C TSA-P TSA-R 483.95 TUTION ON IHOS *--------------- Department Totals: 351.26 ------- ( GraBs: 6913.61 Deductions: 2226.93 Net; 4686.68 l I Checks Count; - FT 1 PT Other Female Male 1 Credit OverAmt 1 ZeroNet Term Total: 1 I .. w ~.... __ ...... ........ .... .. .. w.... w.. w .. .. __ _ _ .. .. _ .. .. ..... .. .. ........ .. _ _ _.. .... '... .......... .... .. .. ...... .......... ...... .... .. .. .... .... .... ...... ...... .... .. ............ .................... .. .... .... .. ...... ........... ........ ...... t ~~, i\, .-.u" , I (' v..1 ~"- .. ,,;., --,~"'.- & J Lf' 'f (p Run Date: 03/26/12 MEMORIAL MEDICAL CENTER Page 83 Time: 13 :26 Payroll Register ( Bi-Weekly I P2REG Pay Period 03/09/12 - 03/22/12 Run# 1 Final Summary 'u Pay Cod e Sum mar y .....0000.._________..__________......___.__ D e due t ion s Sum mar y 0000_________. I PayCd Description Hrs lOTI SHIWEIHOI CBI Gross I Code Amount I t ____ _ __ __ __............... __.... __ ___.._ __.... ___ ..___.... -.. --- --...... ......... -- ........---..-.... --- --*-- -..- -...-.. -..- --- -- -- -----..- ----..-.. -...---... ---.. --- ------* 1 REGULAR PAY-S1 7136.75 II N N 12877G.75 AIR 691. 01 AWARDS BOOTS 1 REG1J1J\R PAY-S1 1115.75 N N N II 33928.51 CAFE-C CAFE-D 787.50 CAFE- F 1 REGULAR PAY-Sl 110 . 00 Y II N 3045.87 CAFE- H 7917.50 ClIPE- I CAFE-L 2 REGULAR PAY - S2 2426.25 N N N 47944.68 CAFE- P CANCER CREDUN 25.00 2 REGULAR PAY-S2 72.00 Y II N 2369.48 DKlITAL 465.00 DEP-LF FEDTAX 32112.52 3 REGULAR PAY-S3 1486. SO N II N 33719.44 FIClI-M 4156.67FICA-0 12039.96 FLEX S 3 REGU1J\R PAY-S3 83.25 Y N N 3282.53 FORT D FUTA GrIT S 346.42 C CALL PAY 54.00 N N N N 108.00 GRANT GRP- IN GTL C CALL PAY 2143.50 N N N 42B7.00 HOSP- I 4110.00 ID TFT LEAF E EXTRA WAGES N N N N 4349.28 MISC 60.00 OTHER 1909.89 PR FIN R EXTRA WAGES N 1 N N N 1175.00 REPAY SHX STUDEN 143.80 I INSERVICE 85.00 II 1 N II 1980.43 '1SA-1 TSA-2 TSA-C I INSERVICE 1.50 Y 1 II II 46.87 TSA-P TSA-R 20676.01 TDTION J JURY LEAVE 2.00 N 1 N N 29.42 UW /HOS K EXTENDED- ILLNESS - BANK 80.00 N N N N 1194.40 K EXTENDED- ILLNESS - BANK 276 . 00 N N N 5277.76 M MEAl RE IMBURSEMENT N N N N 18.00 P PAID-TIMB-OFF 136. 00 N N N N 2391.41 P PAID-'l'IMIl-OFF 1142.00 N N N 20805.96 X CALL PAY 2 16.00 N N N N 32.00 X CALL PAY 2 140.00 N 1 N N 280.00 Y YMClI/ CURVES N N N N 15.00 Z CALL PAY 3 48.00 N N N N 144 . 00 Z CALL PAY 3 48.00 N N N 144.00 d Decon Training 3.00 N N N 31.88 L___________________ Grand Totals: 16605.50 n_____ (Gross: 295371.67 Deductions ; 85441.28 Net: 209930.39 ) I Checks Count: - FT 156 PT 22 Other 31 Female 178 Male 31 Credi t OverAmt 15 ZeroNet Term Total: 209 I t --- - ___ ____ __ __ ________ __ ___ ~_ __ ____Oo____.. ___ __...... ___ ____.. __ _____ __ __ __ ____ __ _______ ________ __...... _'_ __ ___ ____.. ___ ___ _____ ___......_t FED TAX 32,112.52 FICA 0 29,813.30 FICA M 8,313.34 TOTAL 70,239.16 Department 005 MEMORIAL MEDICAL CENTER Payroll Register ( Bi-Weekly 1 Pay Period 03/09/12 . 03/22/12 Run# 4 Dept. Sequence page P2REG Run Date: 03/28/12 Time: 13 :27 ... Em p 1 0 Y e e .....L_ Tim e ..-----......---...............--.............. De d u c t ion s .............-............ INum/Type/Name/Pay/ExemptIPayCd Dept Hrs IOTlsHIWEIHOICBI Rate Gross \ Code Amount I t_~ _W~...M._.. _M ..._ __.. ___*__...... ____.. __ __ __..... __._...... ..__........ _____....__ _oO ,o__.... ____ __i__ ..._..,o_ ____...... __ _oO ___ _..__ ____.. ___........ --.- --- ---.. t 18.00 ~ N N N 27.5900 496.62 FEDTAX 15.80 FICA.M TSA.R 34.76 7.20 FICp,.O 20.86 _...._______u__________.._u. weal: 18.00 ..-.-.........-. (Gross: 496.62 Deduct ions: 78.62 Net: 418.00 ) Department SUl1'mary t__ Pay Cod e Sum mar y __...u_.u__m..__...._.......mm...L. De d u c t ion s Sum mar y _____...m... \ Payed Description Hrs IOTlsH\WEIHO\eBI Gross I Code /\mount I t.. __........,o_ ___............ __ __.. __...._.... _.. ___ ..__...... ...._ __.. ._______ _,ow _____ ____ _.. ..._.. ..i..__.. .._,o.. ___ __ __.._ ..._ __ __.. __ _.. __ __" ____.... _.... ____.. ........i P 18.00 N N N N 496.62 A/R AWARDS BOOTS CAFE.C CAFE.D CP.FE.F CAFE-H CAFE. I CAFE-L CAFE-P CANCER CREDUIl DENTAL DEp. LF PEDTAX 15.80 PICA.M 7.20 FICA.O 20.86 FLEX S PORT D ?UTA GIFT S GRPJIT GRp. IN GTL HOSP' I ID TFT LEAF IUSC OTHER PR FIN REPAY ST.TX STUDEN TSA.l TSA-2 TSA.C TSA-P TSA.R 34.7(; TUTION 1JW IHOS ...........m.. Department Totals: 18.00 __om. { Gross: 496.62 Deductions: 78.62 Net: 418.00 ) I Checks Count:. FT 1 PT Other Female 1 Male Credit Over/\mt ZeroNet Tem Total: 1 I ..... .._.............0....0 _ _...._.. _.... _..... _..._.... ......... ,..... _ ._..... ..__..._ .... 0........... ..... ._..'_ ._.__ .......... ct.~ to 14~~ Department 005 MEMORIAL MEDICAL C&NTER Payroll Register ( Bi -Weekly I Pay Period 03/09/12 - 03/22/12 Runt 5 Dept. Sequence Page P2REG Run Date: 03/30/12 Time: 14: 02 . > L. Em ploy e e _____t.. Tim e _.___________.__n___.____.__n.___________..._ De d u c t 1 0 n S ______n__________n_____ INum/Type/Name/pay/Exempt IPayCd Dept Hrs \OT\SHIWEIHOICBI Rate Gross I Code Amount I t ~ ~ ~ .... _ _ ...... .... .... ~.. .. .. .. .... .... .. t .. .... .. .. .... .. .... .... ...... .. .......... ...... ...... .... .......... .... .... .... .. .. .. ........ .... .... .. .. .... t.. .. .. .... .................. .. .. .. .... ........ ........ .. .. ...... .... .... ...... .. -- .... .. .. ...... t 1 005 1.75 II II N N 22.7800 39.87 DENTAL 2. SO FEDTAX 25. 06 FICA-l~ 9.72 1 005 7.75 N II II N 24.0300 186.23 FlCA-O 28.17 HOSp. I 25.00 TSA-R 46.94 2 005 B .25 N II N N 26.0300 214.75 3 005 B.50 II II II N 27.0300 229.76 .. - -.-..' ---- ---.- - .-.... -' --* Total: 26.25 .-...-...--..... ( Gross: 670.61 Deductions: 137.39 Net: 533.22 ) Department SUlIunary L_ Pay Cod e Sum mar y ..___.____..________..._..n.______.__._.*__ De d U c t ion s Sum mar y --.------..--> I PayCd Description Hrs IOr\SH\WEIHOlcBI Gross \ Code Amount I *_...... ........ _.. _.. __.._........ ___...... ..__.. _.. ______.... _.._.........._ _.... _..__.._ ........_ _.._.._ __ ___ _* __.... _.._ ____ _........ ........ __ ___...... __.... ....___ _...._.. __ _...... ___ w" REGULAR PAY-S1 9.50 N N N N 226.10 AIR AWARDS BOOTS REGULAR PAY -S2 8.25 II II N N 214.75 CAFB-C CAFE-D CAFE-F REGULAR PAY-53 B.50 II II II II 229.76 CAFE-H CAFE - I CAFE-L CAFE - P CANCER CREDUN DENTAL 2.S0DEP-LF FE[1J'AX 2S.06 FICA.M 9.72 FICA-O 28.17 FLEX S FORT D FUTA GIFT S GRANT GRP- IN GTL HOOP. I 25.00 ID TIT LEAF MISC OTHER PR FIN REPAY ST.TX STUDEIl TSA-1 TSA-2 TSA-C TSA-P TSA-R 46.94 TUTION UW/HOS L____m...m. Department Totals: 26.25 .-...-- ( Gross: 670.61 Deductions: 137.39 Ilet: 533.22 I L~~=:~~_~~~~:::_~____~__~.nn_~:~=:.. Female 1 Male Credit OverAmt Zerollet Term Total: 1 I ...... .. ...... .... .... .... .... .. ........ ...... --...... .. -.... .... ...... ....... .. .. .. ...... ...... .. .. .... .... .... ...... .... ...... .... ........ .......... .. ...... -..... ...... .... C2J~ ~{4-S0 Department 002 MEMORIAL MEDICAL CENTER Payroll Register ( Bi -weekly l Pay Period 03/09/12 - 03/22/12 Runff 6 Dept. Sequence Page P2REG Run Date: 03/30/12 Time: 14:55 *__ Ern p 1 0 y e e uu_t.. Tim e uu____._________.u__uuu.U__u..uU___*u 0 e due t ion s ---.------------------.--* INurn/Type/Name/Pay!ExernptjPayCd Dept Brs IOTjSHlwEIHOlcBj Rate Gross I Code Amount I t... ..... ...... .. __............ ...." .... ...... .. i.... _.... .... .... ...... .. ...... .......... ........ .... .. .. .. .... .......... .. .. .... .... .. .... ...... .. .. .. ....... t.. .. .. .. ............ .. .... .._ .. .............. ...... .. ..... .......... ......... ..... ..................... t 12 32.00 N N N N 13.3900 m.48 FEDTA>: TSA-R 9.46 FlCA.M 29.99 6.21 FlCA-O 18.00 :al: 32.00 ____m____m__ ( Gross: 428.48 Deductions: 63.66 Net: 364.82 ) Department Summary *.. Pay Cod e S u.rn mar y uu.___m__________mm________..____*__ De d \l C t ion s Sum mar y ._.__.____m* I PayCd Description Hrs IOTISHlwEIHOICBI Gross I Code Amount I t___ _____.._ ___ _..__.. _.......... ... ......... ......... ....__.. _.._....... _..._ ..__......... __.. _.........._ _.... __ ____ ..t....... _... _..._.. ..____ ___ __...__.... ..___ .._.._..__...... .....-..-.. ............ -...... 32.00 N N N N 428.48 A/R AWARDS BOOTS CAFE -C CAFE - 0 CAFE.F CAFE-H CAFE- I CAFE-L CAFE - P CANCER CREDUN DENTP1 DEP'LF FEDTAX 9.46 FICA-M 6.21 FICA.O 18.00 FLEX S FORT D FUTA GIFT S GRANT GRP'IN GTL HOSp. I ID TFT LEAF MISC OTHER PR FIN REPAY ST-T>: STUDEN TSA-1 TSA-2 TSA.C TSA-P TSA-R 29.99 TUTION UW /HOS L____m_______ Department Totals: 32.00 __m__ ( Gross: 428.48 Deductions: 63.66 Net: 364.62 ) J Checks Count:. FT 1 PT Other Female 1 Male Credit OverArnt ZeroNet Term Total: 1 I -- --..,,--..-..~... ........... ----- .......... -...- ......- -..-.... --.............. ........_-......-.... ~.. ..-- --.. _.. -- -....-.......-.. --- -.. ......_~_..... ----...... ..-......... ...-- .......... ....---.. -----.....* c1<- -:t! Ie / 'I~I / It Tax Payment Report Worksheet EFTPS Voice Response S, (Photocopy this worksheet for future use.) I!lll You dial: EFTPS responds: You enter: ;,y~tj EFTPS prompts: You enter: t::~(..~ .\!.~J;: EFfPS promts: 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) I Enter your 9-digit Taxpayer Identification Number' [LJ1J[][k][Q][Q]mmmm (9-digit Employer Identification Number) "Enter your 4-digit PIN" digit Personal Identification Numb Lists the Main Menu Selections I8!E1 HTPS prompts: - ~ You enter: ~ EFTPS prompts: ~'.\.:s.\;:' You enter: Press 1 (to initiate a tax pryment) "Enter the Tax Type number followed by the pound (#) sign." m [3Z] [2] r--r D D (3- to 6 digit tax type number from the IRS Tax Form-Tab1e"'i'ilAppendlx A) EFTPS.responds: "You entered Tax Type/Tax Description (Based on the selection in step #5) - ~ EFTPS prompts: . You enter: "Enter Tax Payment Type" 1 digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code in Appendix D) IIEl EFTPS prompts: You enter: 1m EFTPS prompts: v ou enter: "Enter the 4-digit Tax FiIi"!g Period starting with the.year followed by ~onth'" rn [Q::] []] [2] (Valid 4-digit Tax Period base~ on IRS Tax Form Table in Appendix A) "Enter the payment Amount followed by the pound (#) sign." (You must enter cents even if you are reporting a whole dollar amount.) $D D,D CtJ lIJ,nM[(IJ C[J.[1] ILL] (Your payment amount cannot exc~9,999,999.99) . . EFTPS prompts: Enter the 2-digit Verification Code." D D Verification Code* *(See Ap.~endix E for Verification Co~e Calculation) g EFTPS responds: - You enter: \\\.\\\.0' ~ \ 'Q...; "9/2- 9 .\-'<bttf~ vtLrJ 1il Ai J.:jJcJ I'M Mi b,1J ~ t-. "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). . [[J G:l [Q] ItTl l:C:JO . . (6-dlgit tax payment ~ment day in MMOOYV format) (Continue) ~LJ-/hh ,) 11:1 CCtetut J.-lt-. 41 ~? II J.-.. c1, ~~:-"O:I Run Date; 04/10/12 Time: 09:57 MEMORIAL MEDICAL CKN1'ER Payroll Register ( Bi -lleekly I Pay Period 03/23/12 - 04/05/12 Runff 1 Page 82 P2P.!lG Final Summary ,-- Pay Cod e Sum mar y n_n_n_nn_____u_n____u__u_n__u_.__ D e due t ion s Sum mar y __n___n__n. I Payed Description Brs IOTIBHIWEIHOICBI Gross I Code Amount I toO ______ _ ____.._.. ..____ _ _ .._...___ __.. ___________ __ __ _ __ _ ___ _____ ___ ______ __ __ _ _ _ t___ _ ____ ______ _ __ _____ __ __ ___ ____ _ ___ ___...__ __ _______* 1 REGULAR PAY-Sl mS.75 N N N 135955.78 A/R 685.00 Ai/ARDS BOOTS 1 REGULAR PAY -SI 1258.00 N N N N 36700.91 CArE-C 660,26 CAFE-D 838.62 CAFE- F 1 REGUIJIR PAY-Sl 100.25 Y N N 3306.04 CAFE-R 7832.50 CAFE-! 280.78 CAFE. L 424.57 1 REGUIJIR PAY -Sl 1.50 Y Il N N 70.72 CAPE-P 444,30 Cl>,NCER 12.68 CLIN!C 50.00 2 REGUL.n.R PAY-S2 2413,00 N N N 47148.20 CRllDUN 25.00 DEliTAL 457.20 DEP-LF 237.36 2 REGULAR PAY'S2 77 .50 Y N N 2697.88 FEDTAX 31275.Q1 FlCA-M 4105.77 FICA'O 11892.55 3 REGUIJlR PAY. S3 1559.50 N N N 35543.00 FLEX S 1547.74 FORT D FUTA 3 P.EGUl.>AR PAY-Sl 76.00 Y N N 2832.90 GIFT S 143.80 GRANT GRP- IN 129.26 C CALL PAY 1877.2 5 N 1 N N 3754.50 GTL HOSP- I 4031.60 ID TFT D DOUBLE TIlIJl 12.00 N Il N N 679.60 LEAF MISC 40.00 OTHER 2130.97 E EXTRA WAGES N N N N 742.00 PR FIN 443 . 64 REP~.Y SHX E EXTRA WAGES N N N N 840.00 STUDEN TSA-1 TSA- 2 F FUNERALLEAVIl 48.00 N N N 1187.52 TSA-C TSA.P TSA-R 20663.01 I INSERVICIl 43.50 N N N 1114.96 TOT ION OW/HOS I INS&RVICIl 3.50 Y N N 140.86 K BXT81IDED. ILLNESS. BANK 80.00 N N N N 1194.40 K RXTElIDRD- ILLNESS - BANK 190.00 N N N 3722.36 M MEAL RE lMElJRSEMENT N N N N 36.00 P PAID-TrMll-0FF 161.37 N N N N 24B1.06 P PAID-TIME-0PF 728.40 N N N 14397.86 X CALL PAY 2 160.00 N N N 320.00 y YMCA/ CURVES N N N N 30.00 Z. CALL PAY 3 96.00 N 1 N N 2BB.00 ._..n__n...._.om_ Grand Totals: 16304.52 m'n' ( Gross: 295184.55 Deductions; 88351.68 }let: 206832.87 I I Checks Count;. FT 155 PT 25 Other 28 Female 176 Male 32 Credit OverAmt 12 ZeroNet Term Total: 208 I . - ~--- ~--...___ - - - ____ __ __w... ___ ____ ______ ___... ______ _ __ __ _______...___ _ __ ________ _____ _ ___ ___ __... _ _... _... _ _ _ _ _ _ __...'" __ __ _ ______ f 2. &. </'. 00 COMBINED TOTALS ...;_. ....~,.- ,--_.~...-..,.....- :? 9 5:. +~';l: g~. FED TAX 31,291.5_9-. FICA 0 29,475.67 FICAM 821920 V' "ItoS: '17 r. '2 ,. 3. .z ~ :;( ;.., ;~: :- t]':I.(!, Sy "-h~t~::~~~_. 007 rl-~ :tvi /I~ TOTAL 68,986.42 ~. 3'~ ,v~? 9 ~i ,. :5 ;~') ')" :29,(i-?5.~.,6.l H;J219"2U 00.3 / 6 e , 9 r:r is '" I!_? 6.6 U -:- ? f. +- f-.; .~~ t~ ,- 6 ? ,(, H :~,'} i' ~.;U + :;;HO.'lt~ 'T !+ :? {~ ~' ~) 7 !.; I.; {.~. ' ::5 () + J:S.L~7"7l~ '1- '; ? :~ U ? f~ ~ :'j' (~. 2. ':I. Sf ~-f.' z '~i: ./6 ,"/: ~;.: CfJl (1.~ oJl? ~r: t.. f Department 065 MEMORIAL MEDICAL CENTER Payroll Register ( Bi 'Weekly ) Pay Period 03/23/12 . 04/05/12 Run# 2 Dept. Sequence Page P2REG Run Date: 04/12/12 Time: 11:36 ... Em p 1 0 y e e ..-..... Tim e ........___....____.....__n__..........____L. De d u c t ion s ..................--...... INum/Type(Name/Pay/ExemptIPayCd Dept Hrs 10TlsHIWEIHOICBI Rate Gross I Code Amount I t ............ ....... .. .... .... .......... .... .. .... .. *...... .. .. ......... .. .... .. .. ...... .. ....... ...... .............. .... .. .. .. .... .... .. .. .. .............. .. .... ....... .. t.... ...... .. ...... .... .... .. .......... .. .. ...... .... .. ....... .. .... .. .. .. ............. .. .. .......... t 55 32.00 N N N II 8.2500 264.00 FEDTAX TSA.R 16.48 FICA.M 18.48 3.83 FICA.O 11.09 ...............-.............. Total: 32.00......----..--.. ( Gross; 264.00 Deductions; 49.88 Net; 214.12 ) Department Summary L. Pay Cod e Sum mar y .n.___.___._...__...__..n.....___.._....... De due t ion s Sum mar y .....m...__. I PayCd Description Hrs IOTISHIWF.IHOICBI Gross 1 Code Amount I t.... __...... w____.. _wOo __.._ __.. ____ __.. _.. __ _w___ ___ __ w__.. __.. __WOo .."'.. _..__00_.. __.......... ....._ _........ ______.._____ ____ __ __.. w__.... -.. ..-----..-- -.. ........... ....j P 32.00 N N N N 264.00 AIR AWARDS BOOTS CAFE-C CAFE .D CAFE. F CAFE.H CAFE. I CAFE-L CAFE-? CANCER . CLINIC CREDUN DENTAL DEp.LF FEDTAX 16.48 FICA.M 3.83 FICA'O fLEX S FORT D FUTA GIFT S GRANT GRP'IN GTL HOSp.I ID TFT LEAF MISC OTHER PR FIN REPAY ST-TX STUDEN TSA.1 TSA.2 TSA-C TSH TSA.R TUTION OW /HOS . 11.09 18.48 .__.m....__... Department Totals: 32.00 m.m ( Gross; 264.00 Deductions; 49.88 Net: 214.12 ) !.~~ecks Count;. FT 1 PT Other Female 1 Male Credit OVerAmt ZeroNet Term Total: 1 I .... .--... ........ ..-.. -..-.-. ...... ............ .... .....-.-- .._......__ _... _u. .._ _....... ___ __.. _..... ____ __..... _ __._ ..._f ct>~ ~ ~ Iq$-3 Tax Payment Report Worksheet EFTPS Voice Response 5, (Photocopy this worksheet for future 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" ILllI EFTPS prompts: You enter: ILJGZJ []2][Q][QJ mmrn [ZJ V (9-digit Employer Identification Number) lL.1illl.... . '. ....:gj EFTPS promts: "Enter your 4-digit PIN" ,/ You enter: digit Personal Identification Numb II. j] EFTPS prompts: You enter: Lists the Main Menu Selections Press 1 (to initiate a tax pryment) .,/. 1L]ti EFTPS prompts: l~Ehter the Tax Type number followed by the pound (#) sign." You enter: V"rn ~ [2] r-t D D (3- to 6 digit tax type number from the IRS Tax Form-Ta~ppendix A) EFTPS responds: "You entered Tax Type/Tax Description (Based on the selection in step #5) \L2jJ EFTPS prompts: . You enter: "Enter Tax Payment Type" v{ digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code in Appendix D) ID1 EFTPS prompts: You enter: )Enter the 4-dig9ax Filing Period starting with the year followed by ~onthll' rn [IJ rn ITI (Valid 4-digit Tax Period based on IRS Tax Form Table in Appendix A) IIZ!1I 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,DrnIL],[f][TI~.[t]rn (Your payment amount cannot exceed $99,999,999.99) ~ EFTPS prompts: X Enter the 2-digit Verification Code." D D Verification Code* *(See Appendix E for Verification Code Calculation) Dl EFTPS responds: You enter: "Enter the 6-digit tax payment settlement date by month, day, year." (Note, the next business date you enter must be pt !lEast one business day ;n the future). v QJ [fJ rn II] [Z] [EJ (6-digit tax payment settlement day in MMDDYV format) (Continue) /1. ., IL \ 4/ t1 (P J. ~ J.fpJ;/) uJltlL ~,In ~ ~L II }n i~.I&i?/VVNd / e%r>r-- .'IM' {I I Ct1Vt,~.Jj; 3 41 if gt1 03 1\ " -4/I15( J-J)J)/ 1; E-< (/) ::J ~ > (/)0 < ~ ;.< g; 0 ~ ~ ~ ;':;gu.. "'" ..8 ::;3 ~ 16 ~ o ;g ~ U~_ Z ': 0 ;;J " , O.g'g 5~s < 01 U g " o "0 r;; o ~ ;a " u - :0 " o c .9 P- '!:: u '" " o c .g 16 ~ ~ 1:1 ~~ u e o " OZ " e '" z .... o "0 C " > ~I G ~ E::: ....l o (/) >-~ UU Z- ~~ ~;;3 ~~ ~U tha ~~ !I o o " ';::l f=: P- " o ~ ~ Z ~ ~ r-: - o - , Of) r-: 000 ~~ ~u.. (J~ <, , - - - ~~ M:::: , .... 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Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- <l.l <l.l Cl Z Z Z Z Z Z Z Z Z Z Z Z Z ~ April 26, 2012 2012 APPROV AL LIST PAGE 41 COMMISSIONERS COURT MEETING OF 04/26/2012 BALANCE BROUGHT FORWARD FROM PAGE 40 $ 182,210.49 FICA PIR $ 30,209.65 MEDICARE PIR $ 8,423.90 FWH P/R $ 28,700.80 NATIONWIDE RETIREMENT SOLUTIONS PIR $ 2,919.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT PIR $ 1,044.92 ALLIED WASTE SERVICES AlP $ 280.24 AT&T AlP $ 50.36 BEN E. KEITH FOODS AlP $ 4,134.72 CABLE ONE AlP $ 695.43 CALHOUN COUNTY GENERAL FUND AlP $ 11,541.34 CALHOUN COUNTY INDIGENT HEALTH CARE AlP $ 37,560.69 CENTERPOINT ENERGY AlP $ 3,255.34 CITY OF PORT LA V ACA AlP $ 2,714.30 CP&L AlP $ 87.07 EXXON MOBIL AlP $ 108.09 MCI AlP $ 318.01 RELIANT ENERGY SOLUTIONS AlP $ 2,582.40 SHELL AlP $ 372.74 STATE COMPTROLLER AlP $ 81,181.83 VERIZON SOUTHWEST AlP $ 1,873.13 VICTORIA COUNTY HEALTH DEPT AlP $ 7,250.00 VICTORIA FIRE & SAFETY AlP $ 87.60 W AL-MART AlP $ 582.79 TOTAL AMOUNT FOR APPROVAL $ 408,185.82 BUDGET ADJUSTMENTS: A Motion was made by Judge Pfeifer and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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Iii l'? iI~~~~ zzz... ~~~~ (9(9(900:: 0000 zzzifi = ~ Z(J)(J)(J)'l1: -(J)(J)(J) a(J)(J)(J) llII ::::> LL ...J ~ en w w z . ~ ~ :::lifE ~ tiien ~ ~(9 LL Cz en ii: 0::: wenW W~LL ~~~ (90:::<( ZWo::: wa..~ =1'<1"00 _10'<1"...... ~'<I"COO ~N'<t...... CCOCO(J) o c c ~ ~ ~ !;# ~ ~ ..-:...... It) ~ ~ Ift:t" ~ ~ CCl ..... ~ N N It) "lI' "It C ~ :. ~ ~ ~ CCl ..... ~ a ~ ~ o c "'" ~ ~ ~ ,.: ~ ..J .... ~ ~ s ~ ~ (!. ~ ... ~ z 0 111 w ::> - ~ e: (!) 0:: ~ ~ 0 w 0 c ~ o ... Z LIJ ..., ~ ~ l.lJ :$ .... o ~ (!) ~ ..:; o It a.: ~ .... N 15 .... N Q) Cl '" a. 'l N o N ...,- N .~ <( >. '" "0 en Q) c: "0 ~ PUBLIC DISCUSSION: Ronald McDonald, prior County Judge for 14 years in Bastrop County, Texas announced to the Court that he was running for U.S. Congress District 27. COURT WAS ADJOURNED AT 10:54 A.M. ) j 1 1 ~.~. ~~~~,~--- 4