2011-10-27
Regular October Term
Held October 27, 2011
THE STATE OF TEXAS
COUNTY OF CALHOUN
~
!i
~
BE IT REMEMBERED, that on this 27th day of October, A.D., 2011 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at
10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were
present on this date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil Fritsch
Kenneth W. Finster
Anita Fricke
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and
Judge Pfeifer led the Pledge to the Texas Flag.
DECLARATION OF VFIS AS SINGLE SOURCE FOR EMERGENCY SERVICE ORGANIZATION
GENERAL UABIUTY /MALPRACTICE AND EMERGENCY VEHICLE FLEET INSURANCE:
Calhoun County Auditor, Cindy Mueller, requested the Commissioners Court to consider approving the
Declaration of VFIS as the single source for emergency service organization general liability/malpractice
and emergency vehicle fleet insurance. A Motion was made by Commissioner Lyssy and seconded by
Commissioner Galvan to declare VFIS as the single source for emergency service organization general
liability/malpractice and emergency vehicle fleet insurance. Commissioners Galvan, Lyssy, Fritsch, Finster
and Judge Pfeifer all voted in favor.
DECLARATION TWIA A SINGLE SOURCE FOR COMMERCIAL PROPERTY WINDSTORM/HAIL
INSURANCE:
Calhoun County Auditor, Cindy Mueller requested Commissioners Court to approve a Declaration TWIA a
Single source for Commercial Property Windstorm/Hail Insurance. A Motion was made by Commissioner
Lyssy and seconded by Commissioner Galvan to declare TWIA a Single Source for Commercial Property
Windstorm/Hail Insurance. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in
favor.
Susan Riley
From:
Sent:
To:
Cc:
Subject:
If
Cindy Mueller [cindy.mueller@calhouncotx.org]
Thursday, October 13, 20114:10 PM
'Susan Riley'
'Lucy Dio'
Agenda Item Request
Please place the following item on the agenda for October 27,2011:
. Consider and take necessary action to declare VFIS a single source for Emergency Service Organization General
Liability/Malpractice and Emergency Vehicle Fleet Insurance.
Cindy Mueller
Calhoull County Auditor
202 S. Ann, Suite B
Port Lavaca, TX 77979
Phone 361.553.4610
Fax 361.553.4614
Susan Riley
From:
Sent:
To:
Cc:
Subject:
Cindy MLleller [cindy.mueller@calhouncotx.org]
Thursday, October 13, 2011 4:09 PM
'Susan Riley'
'Lucy Dio'
Agenda Item Request
Please place the following item on the agenda for October 27,2011:
s
· Consider and take necessary action to declare TWIA a single source for Commercial Property Windstorm/Hail
Insurance.
Cindy Mueller
Calhoull County Auditor
202 S. Ann, Suite B
Port Lavaca, TX 77979
Phone 361.553.4610
Fax 361.553.4614
BIDS FOR EXCESS WINDSTORM INSURANCE FOR CALHOUN COUNTY FOR PERIOD
BEGINNING JANUARY 1, 2012:
Bids for Excess Windstorm Insurance for Calhoun County for period beginning the 1st day of January 2012
were requested by Cindy Mueller to advertise. Bids will be due 10:00 A.M. Monday the 12th day of
December 2011 and considered for award on Monday the 19th day of December 2011. A Motion was
made by Commissioner Lyssy and seconded by Commissioner Fritsch to approve specifications and
authorize the County Auditor to advertise for bids for Excess Windstorm Insurance for Calhoun County for
period beginning the 1st day of January 2012. 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
Co
MEMORANDUM
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE ~ PEGGY HALL
DATE: OCTOBER 17,2011
RE: AGENDA ITEM - OCTOBER 27,2011
AGENDA ITEM
THURSDAY, OCTOBER 27, 2011
~ Consider and take necessary action to approve specifications and authorize
the County Auditor to advertise for bids for Excess Windstorm Insurance for
Calhoun County for the period beginning January 1,2012. Bids will be
due 10:00 AM, Monday, December 12, 2011 and considered for award on Monday,
December 19, 2011. (CM)
PEGGY HAll
CRlmo P TOAZOH
CANDICE A FAlTESEK
ASSISTANT AUDITlBS
LUCY M 010, CPA
1$1 ASSISTUT AUDITOR
202S ANN ,STEB
PORT lAIACA TEXAS1J919
TELEPHONE (3611 553-4810 fAX (3611 553-4614
October 27, 2011
Request for Pr()Dosals for the followine::
Excess Windstorm for Calhoun County
Specifications for Excess Windstorm for Calhoun County are enclosed. Specifications are
also available in PDF Format. If you would like to receive the specifications in PDF Format,
please contact our office:
Calhoun County Auditor's Office
Attn:Peggy
202 5 Ann 5t, 5te B
Port Lavaca TX 77979
(361) 553-4610
peqQv.hall@calhoUhcotx.orQ
Questions regarding the specifications should be directed to:
Lucy Dio
1 st Assistant Auditor
(361) 553-4612
lucv.dio@calhouncotx.ora
CAlIIUN CIINTY, TEXAS BID SHED - IINSURANCE ~
INUIT A liON TO BID
BIDDER
BID OEM ~INSURANCE
I
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/NSURANCE
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, MONDAY, DECEMBER 12,2011
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON:MONDAY, DECEMBER 19, 2011
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.
BID ITEM: INSURANCE
SPECIFICATIONS: INSURANCE
SEE PROPOSAL SPECIFICATIONS
PROPOSAL SPECIFICATIONS MAY BE OBTAINED IN PDF FORMAT --If interested in submitting a proposal, contact the
following office:
CALHOUN COUNTY AUDITOR'S OFFICE, ATTN: PEGGY, 361-553-4610, 202 S ANN ST, STE B, PORT LAVACA TX 77979;
email: peggy.hall@calhouncotx.org
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation,
firm, partnership or individual has not prepared this proposal in collusion with any other Proposer or Bidder, and
that the contents of this proposal or bid as to prices, terms or conditions of said proposal/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 proposal.
AUlllDRIlBl SRAlURE TIIlf:
pRftT NAME:
DA IE OF BII:
PlfASE lIST ANY EX~ TO DIE ABOVE SPECHA1IINS:
TELEPHONE NUMBHI:
Tuesday, October25,2011
IIIIlIIBI
GENERAL CONDITIONS
OF SUBMITTING SEALED PROPOSALS
TO CALHOUN COUNTY, TEXAS
FAILURE TO COMPLY WITH THESE GENERAL CONDITIONS OF SUBMITTING
PROPOSALS TO CALHOUN COUNTY MAY RESULT IN THE PROPOSAL BEING
DISQUALIFIED.
1. PROPOSAL: ~ SUBMIT ORIGINAL PROPOSAL AND 1 COpy
A. DUE - TIME AND DATE: Sealed proposals must be in the office of the County
Judge, by 10:00 AM, MONDAY, DECEMBER 12, 2011. The clock in the
County Judge's office is the official clock that will be used in determining the time
that a proposal is received and the time that proposals will be opened. A late
delivery with an early postmark will not suffice. Be sure you have allowed ample
time (or postal delivery. The County will not be responsible for the delivery of your
proposal to the office of the County Judge. If you choose to send your proposal by
postal delivery, then it is recommended that you call the County Judge's office at
361-553-4600 to verify receipt of your proposal prior to the opening date. Calhoun
County accepts no financial responsibility for any cost incurred by any vendor in the
course of responding to these specifications. Calhoun County does not accept
faxed or em ailed proposals.
All PROPOSALS ARE DUE on or before 10:00 AM. MONDAY.
DECEMBER 12. 2011 at the following address:
Honorable Michael J Pfeifer, County Judge
Calhoun County Courthouse
211 S Ann St
Third Floor I Ste 301
Port Lavaca TX 77979
~ Mark outside of envelope:
SEALED PROPOSAL - "EXCESS WINDSTORM FOR CALHOUN COUNTY"
If you send your bid by UPS, FEDEX, etc, the outside of this envelope or box must be marked
"Sealed Proposal- Excess Windstorm for Calhoun County."
B. WITHDRA W AL OF PROPOSAL: A vendor may withdraw his/her proposal before
County acceptance of his /her proposal without prejudice to himselflherself, by
submitting a written request for its withdrawal to the County Judge.
C. PROPOSAL OPENING & A WARD: Vendors are invited to be present at the
opening (acknowledgement) of proposals on Monday, December 12,2011. The
proposals will be considered for award on Monday, December 19,2011 during
Commissioners' Court.
Page 1 of3
D. The proposal 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 proposal in collusion with any other Vendor, and
that the contents of this proposal as to prices, terms or conditions of said proposal
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
proposal.
2. AWARD
Commissioners' Court reserves the right to waive technicalities, reject any or all proposals,
to accept the proposal deemed most advantageous to Calhoun County and to be the sole
judge in determining which proposal 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.
3. DELIVERIES:
Upon any breach of proposal/contract, the County reserves the right to proceed against the
successful vendor for any and all damages occasioned by the breach.
4. REJECTIONS:
All disputes concerning this bid will be determined by Commissioners' Court or their
designated representative.
5. CONDITIONS PART OF PROPOSALS:
The General Conditions of Submitting Proposals defined herein shall be a part of the
attached proposal.
6. PROTEST PROCEDURES:
Any actual or prospective vendor who believes they are aggrieved in connection with or
pertaining to a 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 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.
Page 2 of3
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.
7. 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
Page 3 of3
CALHOUN COUNTY,
TEXAS
PROPOSAL SPECIFICATIONS
FOR
Excess Windstorm for Calhoun County
Inception Date:
January 1, 2012
Proposal Due: 10:00 AM, Monday,
December 12, 2011
"1
.'f.
"-",
CALHOUN COUNTY, TEXAS
Excess Windstorm Insurance
Competitive Sealed Proposal Instructions & Conditions
INSTRUCTIONS
1. Sealed proposals shall be received in the office of the County Judge until 10:00 AM, Monday,
December 12, 2011 at which time and place they will be opened and made available for study until
Commissioners' Court considers them for award on Monday, December 19, 2011. Propers are
responsible for the delivery of their sealed proposals by the date and time set for the closing of
proposal acceptance, whether by mail or other means of deliver. Calhoun County will not be
responsible for the delivery of your proposal to the office of the County Judge. If you choose to send
your proposal by postal delivery, it is recommended that you call the County Judge's office at 361-
553-4600 to verify receipt of your proposal prior to the time of the opening. The clock in the County
Judge's office is the official clock that will be used in determining the time that a proposal is received and the
time that proposals will be opened. No faxed or emailed proposals will be accepted. Any proposals received
after 10:00 AM, December 12, 2011 will not be accepted and shall be returned to the proposer unopened.
Sealed proposals should be addressed as follows:
Calhoun County
Attn: Honorable Michael J Pfeifer, County Judge
211 S Ann St
3rd Floor, Ste 301
Port Lavaca TX 77979
2. The original and 1 copy of the proposal shall be in a sealed envelope plainly marked "SEALED
PROPOSAL - Excess Windstorm for Calhoun County, TX. If you send your proposal by UPS, FED EX,
etc, the outside of this envelope or box must be marked "SEALED PROPOSAL - Excess Windstorm for
Calhoun County, TX.
3. The Policy will have an effective date of January 1, 2012.
4. The proposal must include the appropriate copies of the insurance company's quotations, all of
which must be located in front of the proposal. Any proposal which does not strictly adhere to the
requirements set forth in these specifications, instructions, and conditions will not be considered.
5. Any questions relating to these specifications, instructions, and conditions should be directed to:
Cindy Mueller, County Auditor
Calhoun County Courthouse Annex II
202 S Ann St, Ste B
Port Lavaca TX 77979
Phone: (361) 553-4610
Fax: (361) 553-4614
E-mail: cindy.mueller@calhouncotx.org
TERMS AND CONDITIONS
1. The procedures used by Calhoun County will be in accordance with the "Competitive Sealed
Proposal" procedures. Throughout these specifications, when the term proposal, bidder or vendor is
used, it refers to a competitive sealed proposal.
2. Calhoun County Commissioners' Court reserves the right to waive any technicalities, accept or
reject any or all proposals, waive any formalities in the proposal process and award the proposal to
best serve the interest of Calhoun County and to negotiate with any providers as deemed advisable
or necessary for the best interest of the County. Since there are important considerations involved in
selecting insurance companies and services in addition to rates, Calhoun County is not required to
accept the lowest proposal.
3. All contracts shall be for a minimum of one (1) year beginning January 1, 2012, with rates and
costs guaranteed for at least twelve (12) months. Nothing in these specifications shall prohibit
Calhoun County from negotiating longer terms, or from automatically renewing coverage for
additional years if service is satisfactory and renewal terms are agreed upon by both parties.
Calhoun County specifically requests rates for each of the two (2) succeeding policy years, if
applicable and available. Calhoun County shall have the opportunity to cancel contracts at each
policy anniversary with no penalties for unearned premium. At the end of the contract period,
policies may be renewable by mutual consent of Calhoun County Commissioners' Court and the
awardee. Renewal pricing and currently valued loss reports must be provided to Calhoun County.
4. All proposals must be an exact duplication of the existing plans unless otherwise specifically
indicated. Any plan of insurance, additional information, different method of handling coverage,
increased protection, etc., not in the specifications, shall be welcomed, but must be submitted
separately as an alternate proposal.
5. Copies of all policy forms which do not comply with Texas Standard Forms or ISO Standard
Forms must be included with proposal; e.g., Public Officials Liability Insurance.
6. The basis of premium payment including down payment, number of installments, installment
amounts, and finance charges must be outlined.
7. Cancellation by the proposing insuarance company shall require sixty (60) days notice, (unless
specifically noted) to the County for any reason other than nonpayment.
8. Premium quoted must be inclusive of state taxes, fees and any other costs of the insurance policy.
PROPOSER QUALIFICATIONS
1. Agents and companies submitting proposals must be licensed in Texas and have an organization
of permanence with adequate personnel and experience.
2. All agents and companies must have the capability of corresponding and exchanging file via
e-mail.
3. Proposers must have an Errors and Omissions Policy with a minimum limit of $1,000,000 per
occurrence. A Certificate of Insurance must be included with the proposal.
4. Agents and companies should have representation available to assist Calhoun County with the
processing and monitoring of claims, with reports, applications, interpretations of coverage, changes
in law and correspondence with the insurance company(ies).
5.. Agents and insurance companies must be able to provide Loss Prevention and Engineering
Services if requested by Calhoun County.
6. Agents and insurance companies must furnish local or toll free phone numbers for claims
assistance during and after normal business hours or have web site available for reporting.
7. All insurance companies proposing coverage must have an A. M. Best Rating of at least A- VIII (as
published in the most recent edition of the Rating Guide) to be considered.
8. A self-funded program or plan organized under the Interlocal Cooperation Act, shall also be
acceptable. The most recent audited consolidated financial statements, pool retentions, and
re-insurance must be included with the proposal.
9. Agents and companies must provide copies of Texas licenses.
PROPOSER CERTIFICATION
AND
DECLARATION OF COMPLIANCE
The undersigned, as Proposing Agent/Insurance Company, does hereby declare that they have read
the specifications, instructions, and conditions for Calhoun County's Insurance Programs, and with
full knowledge of the requirements, does hereby agree to furnish all services and afford all provisions
of coverage in full accordance with the specifications and requirements.
The Proposer affirms that, to the best of their knowledge, the proposal has been arrived at
independently and is submitted without collusion to obtain information or gain any favoritism that
would in any way limit competition or give an unfair advantage over other proposers in the award of
this insurance.
INSURANCE AGENT'S ERRORS AND OMISSIONS
Insurance Company:
Dates:
Deductible:
Are limits at least $1,000,000 per occurrence?
If you choose not to submit a proposal, check the appropriate response below and return this
completed form.
I wish to remain on the vendors' list: YES
NO
Vendor's Name
Authorized Company Officials's Name (PRINTED)
Signature of Company Official
Date
Telephone
Fax Number
Email Address
~<-
CALHOUN COUNTY
EXCESS WINDSTORM
Statement of Values for the three (3) locations that the County needs to
purchase Excess Windstorm Coverage are as follows:
Location 1
Courthouse
211 S Ann St
Port Lavaca TX
Building
$10,156,155
Contents
$ 633,596
Location 2
Memorial Medical Center
815 N Virginia St
Port Lavaca TX
$10,218,256
$4,781,749
Location 3
Adult Detention Center
a ail)
302 W Live Oak St
Port Lavaca TX
$ 8,067,869
$ 500,000
TOTAL TN: $ 28,442,280.00 Building Coverage
$ 5,915,345.00 BPP/Contents
TWIA has total of $4,154,000 per location (Bldg/Contents combined)
Excess Windstorm Coverage will need to be in Excess of TWIA Limits
CURRENT LIST OF POLICIES
FOR
CALHOUN COUNTY, TEXAS
10/24/11
Calhoun County - Policy List
Policy Dates Company :!:m! Policv #
1-1-11/1-1-12 Argonaut Package PE460123008
1-1-10/1-1-11 Argonaut Package PE460123007
1-1-09/1-1-10 Argonaut Package PE460123006
1-1-08/1-1-09 Argonaut Package PE460123005
1-1-07/1-1-08 Argonaut Package PE460123004
1-1-11/1-1-12 Argonaut Auto BA460123008
1-1-10/1-1-11 Argonaut Auto BA460123007
1-1-09/1-1-10 Argonaut Auto BA460123006
1-1-08/1-1-09 Argonaut Auto BA460123005
1-1-07/1-1-08 Argonaut Auto BA460123004
1-1-11/1-1-12 ACE Prop & Cas Airport Owners Lia AAPN0097781 0-008
1-1-10/1-1-11 ACE Prop & Cas Airport Owners Lia AAPN0097781 0-007
1-1-09/1-1-10 ACE Prop & Cas Airport Owners Lia AAPN0097781 0-006
1-1-08/1-1-09 ACE Prop & Cas Airport Owners Lia AAPN0097781 0-005
1-1-07/1-1-08 ACE Prop & Cas Airport Owners Lia AAPN00977810-004
1-1-11/1-1-12 Indian Harbor Law Enforcement LEI9517012-03
1-1-10/1-1-11 Indian Harbor Law Enforcement LEI9517012-02
1-1-09/1-1-10 Indian Harbor Law Enforcement LEI9517012-01
1-1-08/1-1-09 Indian Harbor Law Enforcement LEI9517012
1-1-07/1-1-08 Arch Specialty Law Enforcement LEL5013700
1-1-11/1-1-12 TWIA Wind 19158516
1-1-1 0/1-1-11 TWIA Wind 19158515
1-1-09/1-1-10 TWIA Wind 19158514
1-1-08/1-1-09 TWIA Wind 19158513
1-1-07/1-1-08 TWIA Wind 19158512
1-1-11/1-1-1'2 Lloyds of London Excess Wind ARM27413
1-1-10/1-1-11 Landmark American Excess Wind LHD365337
1-1-09/1-1-10 Landmark American Excess Wind LHD360352
1-1-08/1-1-09 Landmark American Excess Wind LHD355908
1-1-07/1-1-08 Landmark American Excess Wind LHD350379
6-24-11/6-24-12 Fidelity National Flood - Jail 421150461685-01
6-24-10/6-24-11 Fidelity National Flood - Jail 421150461685-00
6-24-09/6-24-10 Fidelity National Flood - Jail 427700980208-03
6-24-08/6-24-09 Fidelity National Flood - Jail 427700980208-02
6-24-07/6-24-08 Fidelity National Flood - Jail 427700980208-01
8-29-11/8-29-12 Fidelity National Flood-POC Fire 421150057457-02
8-29-10/8-29-11 Fidelity National Flood-POC Fire 421150057457-01
8-29-09/8-29-10 Fidelity National Flood-POC Fire 421150057457-00
8-29-08/8-29-09 Fidelity National Flood-POC Fire 42251016106604
8-29-07/8-29-08 Fidelity National Flood-POC Fire 42251016106603
8-30-11/8-30-12 Fidelity National Flood-JP5 Bldg 421150059203-02
8-30-10/8-30-11 Fidelity National Flood-JP5 Bldg 421150059203-01
8-30-09/8-30-10 Fidelity National Flood-JP5 Bldg 421150059203-00
8-30-08/8-30-09 Fidelity National Flood-JP5 Bldg 42440000610000
10/24/11
Calhoun County
Policv Dates Company ~ Policy #
1-1-1111-1-12 Evanston E&O-Hartgrove E0845535
1-1-10/1-1-11 Evanston E&O-Hartgrove E0842309
1-1-09/1-1-10 Evanston E&O-Hartgrove E0838902
1-1-08/1-1-09 Evanston E&O-Hartgrove E0835311
1-1-07/1-1-08 Evanston E&O-Hartgrove E0831857
1-1-1111-1-12 Evanston E&O-Fricke E0845536
1-1-10/1-1-11 Evanston E&O-Fricke E0842310
1-1-09/1-1-10 Evanston E&O-Fricke E0838876
1-1-0811-1-09 Evanston E&O-Fricke E0835313
1-1-07/1-1-08 Evanston E&O-Fricke E0831856
1-11-1111-11-12 Endurance Amer.Spec. Storage Tank Pollution ESTl 0 100504202
1-11-10/1-11-11 Endurance Amer.spec. Storage Tank Pollution ESTI0100504201
1-11-09/1-11-10 Endurance Amer.spec. Storage Tank Pollution ESTl 0 1 00504200
1-11-08/1-11-09 Gulf Underwriters Storage Tank Pollution FUT6115474
1-11-07/1-11-08 Gulf Underwriters Storage Tank Pollution FUT6110562
1-1-11/1-1-12 Hartford Steam boiler Boiler-Hospital FBP2291807
1-1-10/1-1-11 Hartford Steamboiler Boiler-Hospital FBP2291807
1-1-09/1-1-lQ Hartford Steamboiler Boi ler- Hospital FBP2291807
1-1-08/1-1-09 Hartford Steamboiler Boiler-Hospital FBP2291807
1-1-0711-1-08 Hartford Steamboiler Boiler-Hospital FBP2291807
1-1-11/1-1-12 State National Public Officials Liab UDAI046075.1I
1-1-10/1-1-11 State National Public Officials Liab UDA1046075.1O
1-1-09/1-1-10 State National Public Officials Liab UDA1046075.09
1-1-08/1-1-09 State National Public Officials Liab UDA 1046075.08
1-1-07/1-1-08 Diamond State Public Officials Liab POLB173538
10-16-09/10-16-10 Zurich N.A. BIdr's Risk-Fire-Sdft Lib BR69064451
11-24-09/9-9-10 TWIA Bldr's Risk-WS-Sdft Lib 69205100
1-28-11/1-28-12 Westchester Surplus Lines County Public Piers (fire) D37374829-002
1-28-1011-28-11 Westchester Surplus Lines County Public Piers (fire) D37374829-001
9-1-1 119-1-14 CNA Surety TaxA/C Honesty Bond Pending
9-1-08/9-1-11 Fidelity & Deposit Co ofMD TaxA/C Honesty Bond CCP92II95705
9-1-11 /9-1-14 CNA Surety SheriffDept. Honesty Bond Pending
9-1-08/9-1-11 Fidelity & Deposit Co ofMD Sheriff Dept. Honesty Bond CCP921195805
9-1-1 119-1-14 CNA Surety Public Empl Honesty Bond Pending
9-1-08/9-1-11 Fidelity & Deposit Co ofMD Public Empl Honesty Bond CCP921195605
2
10/24/11
Calhoun County EMS
Policy Dates Comoanv :!:m! Policy #
1-1-11/1-1-12 VFlS Package VFISTR2061811-03
1-1-10/1-1-11 VFIS Package VFISTR2061811-02
1-1-09/1-1-10 VFIS Package VFISTR2061811-01
1-1-08/1-1-09 VFIS Package VFISTR2061811-00
1-1-07/1-1-08 VFIS Package VFISTR0022711-4
1-1-11/1-1- )2 VFIS Auto VFISCM 1 057256-03
1-1-10/1-1-11 VFIS Auto VFISCM 1 057256-02
1-1-09/1-1-10 VFIS Auto VFISCMI057256-01
1-1-08/1-1-09 VFIS Auto VFISCM 1 057256-00
1-1-07/1-1 -08 VFIS Auto VFISCMI019315-1
2-1-10/2-1-11 VFIS Accident VFD46444259D-l
2-1-10/2-1- II VFIS Accident VFD46444259D-0
2-1-08/2-1-10 VFIS Accident VFP21448469COO-02
2-1-05/2-1-08 VFIS Accident VFP21448469COO-0 I
3
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Q.)
BASE OPERATORj AIRPORT MANAGER CONTRACT WITH CALHOUN AIR CENTER, LLC:
Precinct #2 requested Commissioners Court to consider entering into a Base Operator/Airport Manager
Contract with Calhoun Air Center, LLC. A Motion was made by Commissioner Lyssy and seconded by
Commissioner Galvan to approve and authorize County Judge Pfeifer to sign Base Operator/Airport
Manager Contract with Calhoun Air Center, LLC. Commissioners Galvan, Lyssy, Fritsch, and Finster and
Judge Pfeifer all voted in favor.
Vern Lyssy
1
Calhoun County Commissioner, Precinct #2
5812 PM 1090
Port Lavaca, TX 77979
(361) 552-9656
Fax (361) 553-6664
October 20, 2011
The Honorable Mike Pfeifer
Calhoun County Judge
201 S. Ann Street
Port Lavaca, Texas 77979
Re: Agenda Items for Next Commissioners' Court Meeting
Dear Judge,
Please place the following matters on the agenda for the next meeting:
"Consider and take necessary action to enter into a Base Operatorl Airport
Manager Co~tract with Calhoun Air Center, LLC; and authorize the County Judge
to sign all necessary documents.
The contract and lease are enclosed. '
Thank you in advance for your attention to this matter.
Sincerely,
U fJ -
vemL;;~
VUrm
Encl: as stated
ORIGINIl
BASE OPERATOR/AIRPORT MANAGER CONTRACT L
THE STATE OF TEXAS
COUNTY OF CALHOUN
THIS CONTRACT made and entered into as ofthis 1 s t day of November, 2011, by
and between CALHOUN COUNTY, TEXAS, a body politic, hereinafter referred to as
OWNER, and Calhoun Air Center, LLC, of Calhoun County, Texas, hereinafter
referred to as OPERATORJMANAGER.
PRELIMINARY STATEMENT
OWNER and OPERATORJMANAGER entered into an Amended and Restated Base
Operator/Airport Manager Contract dated October 12, 2009. This agreement is in
renewal and extension of this prior agreement that was set to expire under Article II on
November 1,2011.
WITNESSETH:
WHEREAS, OWNER is the owner of a public airport, commonly known as the Calhoun
County Airport, situated in the Valentine Garcia Survey, A-I?, in Calhoun County,
Texas, which airport includes a hangar, lights, beacon, an improved runway, taxi-ways,
apron and other improvements,
WHEREAS, OPERA TORJMANAGER has been named Lessee on a Fixed Base
operation Lease Agreement (the "Lease") of even date herewith between
OPERATORJMANAGER as lessee and owner as lessor, for certain real and personal
property described herein.
WHEREAS, OWNER deems it necessary to appoint an Airport Operator/Manager;
NOW, THEREFORE, in return for the execution ofthe Lease and other considerations,
including the mutual benefits accruing to the parties hereto, the sufficiency of which
benefits are hereby acknowledged by each party, OWNER and Operator/Manager do
hereby contract and agree as follows:
1.
OWNER does hereby appoint Calhoun Air Center LLC. as Airport
OPERA TORJMANAGER of the Calhoun County Airport for a period of 3 years,
commencing on the first day of November, 2011, and continuing through the 1st day of
November, 2014, subject to the terms, conditions and/or provisions herein contained with
an option to renew for an additional 3 year term upon reasonable re-negotiated terms and
conditions.
Page 1 of 4
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II.
In its capacity of Operator/Manager, Operator/manager shall:
1. Be responsible for the complete supervision of the daily operation of said
airport, and the rules, regulations and requirements of the Commissioners' Court of
Calhoun County, Texas, (the "Rules") as the same are now in effect and to such other
reasonable Rules as hereafter exist, and also subject to the rights granted to any Fixed
Base Operator, now or hereafter.
2. Advise and consult with OWNER in order to promote and develop the use
of said airport and satellite enterprise.
3. Cause the Unicorn radio and system to be kept in operation, the same to be
operated by an operator duly licensed by the proper governmental authority; and cause
such operator to maintain a radio station log as required by the Federal Communications
Commission.
4. Subject to the terms hereof and the Lease, maintain in their present
condition, all of the facilities at said airport and provide all maintenance on the airport
hangar.
5. Correspond with OWNER and all others concerned with and concerning
the proper operation of said airport.
6. Be responsible for liaison between OWNER and the Federal Aviation
Administration and the Texas Aeronautics Commission and abide by all rules and
regulations of the Federal Aviation Administration and the Texas Aeronautics
Commission.
7. Subject to the terms hereof and the Lease, require the
OPERA TORlMANAGER of any leased premises at said airport, as well as any users
thereof, to maintain such premises free of all debris, rubble and junk, including, but not
limited to, requiring the OPERA TORlMANAGER of the hangar facility and office space
to keep the same clean and maintain a business like appearance.
8. Pay electric bills for the runway, beacon, runway lights and existing
hangar until such time as separate meters are installed to separate electric usage for the
hangar. Separation of meters shall occur with runway lights upgrade to system and upon
completion operator/manager shall be responsible only for electricity to the hangar.
9. Provide a single performance bond in the amount of $10,000.00 (or a
certificate of deposit or other satisfactory security in the amount of at least $10,000.00) to
ensure the performance of its obligations under this agreement and the Lease.
Page 2 of 4
10. At OPERATORfMANAGER'S option, build additional hangars at the
airport if it deems the same needed. If any such hangars are built, the construction will be
conditioned on the execution of a new lease agreement covering the ownership, use and
rental of any or all such new hangars to be built.
11. Monitor and record storm water runoff.
III.
The Owner shall be responsible for mowing the grass and maintaining the condition of
the grass on runways 14/32 and 5/32 on the area commencing at the edge ofthe runways
and extending for a sufficient width to include the runway lights, and on an area fifteen
feet (15') wide on each end of said runway; also be responsible for mowing the grass on
an area fifteen feet (15') wide along the sides and ends of all other paved area; it being
expressly provided that OPERATOR/MANAGER shall have the right, acting reasonably,
to determine when and how often such mowing shall be accomplished. OWNER shall
have the right to bail hay on this property. Particular attention shall be paid to making
sure that all grass around the runway lights shall be mowed so as to not to impede the
light illuminating there from.
IV.
The OWNER shall:
I. Do, at its expense, such maintenance work as it deems necessary on its
facilities at said airport as said maintenance is available for reimbursement under the
RAMP grant for the repair and maintenance of the hangar, radios, runways, access ramps,
taxi ramps or other airport facilities.
2. Provide a fixed asset inventory list as maintained by the County Auditor.
3. Provide maintenance to the public parking area and garbage pickup.
V.
OPERA TOR/MANAGER shall be under the direct supervision of the Commissioners'
Court of Calhoun County, Texas. Any disputes will be settled by the Commissioner's
Court.
VI.
The parties hereto agree that OPERA TOR/MANAGER is an independent contractor
providing services to OWNER under this contract alone, and OPERA TOR/MANAGER
Page 3 of 4
is not to be considered an employee of OWNER for any purpose. The parties agree that a
breach of this agreement is also a breach of the Lease.
VII.
In the event of breach by OPERATOR/MANAGER of one or more of the terms,
conditions and/or provisions hereof, OWNER shall notify OPERATOR/MANAGER of
such matters causing such breach whereupon OPERATOR/MANAGER shall have ten
(10) days from the receipt of notice to remedy such breach or such further period oftime
as may be reasonably necessary to cure the same, provided that
OPERATOR/MANAGER expeditiously cures the same, provided however, except for
such things as OPERA TOR/MANAGER should do, or discontinue doing, or correct,
which create a danger or are derogatory to aviation activities, in which event the breach
shall be cured by OPERATOR/MANAGER immediately. In the event
OPERA TOR/MANAGER fails to remedy any such breach within the specified time, then
OWNER, may, at its option, terminate this contract in its entirety. Failure of OWNER to
so terminate this contract in anyone instance of breach shall not constitute a waiver of
OWNERS right to terminate this contract in any subsequent instance of breach.
The term derogatory as herein used shall mean those things which unreasonably hinder or
render aviation activities inconvenient.
It is further expressly provided that either party hereto may terminate this contract for
cause by giving 30 days written notice to the other party. Cause for Lessee may include
changes in the Governing Rules made by Lessor after the date hereof, which are
unacceptable to Lessee.
EXECUTED in multiple originals as of this 1st day of November, 2011.
OWNER:
CALHOUN COUNTY, Texas
Byft:t~~J,Iof~
ATTEST:
~~~
Anita Fricke, County Clerk
OPERATOR/MANAGER:
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Calhoun Air Center LLC.
By Dianna Stanger
Member/Manager
Page 4 of 4
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Novetber 21 2811 18:37 At!
ThisDoculent has been received by.this Office for
Recording into the Official Public Records. Ile do
he1'l!by swear that we do notdiscrilinate due to
Race, C1'I!I!d, Color, Sex 01' National Origin.
Filed for Record in: fj}
Calhoun County
Honorable Anita Fricke
County Clerk
Instr.: 127829
Stalps: 5 Page(s)
'>
BASE OPERATORj AIRPORT MANAGER LEASE AGREEMENT WITH CALHOUN AIR CENTER,
LLC:
Precinct #2 requested Commissioners Court enter into a Fixed Base Operation Lease Agreement with
Calhoun Air Center, LLC. A Motion was made by Commissioner Lyssy and seconded by Commissioner
Galvan to approve and authorize County Judge Pfeifer to sign Base Operator/Airport Manager Lease
Agreement with Calhoun Air Center LLC. Commissioners Galvan, Lyssy, Fritsch, and Finster and Judge
Pfeifer all voted in favor.
Vern Lyssy
Calhoun County Commissioner, Precinct #2
5812 FM 1090
Port Lavaca, TX 77979
(361) 552-9656
. Fax (361) 553-6664
October 20,2011
The Honorable Mike Pfeifer
Calhoun County Judge
20 I S. Ann Street
Port Lavaca, Texas 77979
Re: Agenda Items for Next Commissioners' Court Meeti~g
Dear Judge,
\
Please place the following matters on the agenda for the next meeting:
Consider an~ .take necess~ action to enter into a Fixed Base Operation Lease
~greement WIth Ca1~oun Air Center, LLC; and authorize the County Judge to
SIgn all necessary documents."
The contract and lease are enclosed.
Thank you in advance for your attention to this matter.
Sincerely,
v~~~
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Encl: as stated
FIXED BASE OPERATION LEASE AGREEMENT
OR/G/jlJ
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THE STATE OF TEXAS
COUNTY OF CALHOUN
THIS LEASE AGREEMENT made and entered into as of this 21 day ofah~ '
2011, by and between CALHOUN COUNTY, TEXAS, a body politic, hereinafter referred to as
LESSOR, Calhoun Air Center, LLC., of Calhoun County, Texas, hereinafter referred to as
LESSEE.
PRELIMINARY STATEMENT
LESSOR and LESSEE entered into an Amended and Restated Fixed Base Operation Lease
Agreement dated as of the 12th day of October, 2009 for the airport as described in said lease
(the "Prior Lease"). LESSOR and LESSEE agreed to enter into this Fixed Base Operation Lease
Agreement as an extenuation of the Prior Lease.
WITNESSETH:
ARTICLE I
Lessee has been named Lessee on a Base Operator/Airport Manager Contract (the "Contract") of
even date herewith between Lessor as Owner and Lessee as Operator Manager.
Lessor does hereby lease and rent unto Lessee, and Lessee does hereby lease and rent from
Lessor, for the period of time hereinafter stated and in accordance with the terms, covenants,
conditions and provisions hereinafter contained, the following described property located (the
"airport") in Calhoun County, Texas, to wit:
(1) The following described real property:
Tract 1: All that certain tract or parcel ofland containing 1.917 acres out of Lot 30 of
the Phillips Investment Company Subdivision of the Valentine Garcia Survey, A-17,
Calhoun County, Texas, and being shown on the plat marked Exhibit "A" attached
hereto, together with the following improvements located thereon:
(a) Two (2) tanks and two (2) pumps for regular aviation fuel together with the fuel
pits and hoses and any other equipment incidental thereto.
(b) The Airport Hangar
Tract 2: All that certain tract or parcel ofland containing 0.588 of an acre out of
Lot 30 of the Phillips Investment Company Subdivision of the Valentine Garcia
Survey, A-17, Calhoun County, Texas.
SUBJECT, HOWEVER, TO THE FOLLOWING:
I. Regarding the automobile parking area on the above described Tract, Lessee and
Lessee's employees, agents, and customers shall the full right to use said parking area in
common with others, it being understood that Lessor reserves the right for its officers,
agents and employees and others utilizing the Airport to also park automobiles on said
parking area.
2. Regarding the waiting room and restroom facilities in the Airport hangar, Lessee and
Lessee's employees, agents and customers shall have the full right to use said waiting
room and restrooms in common with others, it being understood that Lessor reserves the
right for its officers, agents and employees and the general public to also have the use of
said waiting room and restrooms.
3. Lessor reserves the right to inspect the Airport at any time.
ARTICLE II
The term of this lease shall be for a period of three (3) years, commencing on the I st day of
November, 2011, and continuing through the 1st day of November, 2014 with the option in
Lessee to renew for three (3) additional 3 year terms upon further negotiated reasonable terms
and conditions.
ARTICLE III
The rental for said leased property shall be the sum of $250.00 per month, the first payment of
which shall be due and payable on or before the 1st day of November, 2011 and a like payment
due the first day of each month thereafter until the lease expires.
ARTICLE IV
Lessee shall use the leased property for the purposes hereinafter set out, to wit:
I. Lessee shall have the, exclusive use of and obligates himself to furnish at the leased
premises the following services, to wit:
a. Flight instruction program, available by appointment, the scope of which instruction
shall be available to enable a student to obtain a private pilot license.
b. Fixed wing aircraft mechanic available by appointment, capable of performing FAA
approved inspections and overhauls on airplanes.
c. Air taxi service available by appointment.
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d. Sale of regular and jet aviation fuel on a 24 hour a day basis with the use of the
automated fuel system.
e. Sale of aviation oil and lubricants.
f. Storage of airplanes in said hangar and/or the rental of space therein to others for the
storage of airplanes.
2. Lessee shall have the right to furnish at the leased premises the following services, to wit:
a. Sale of aircraft and accessories or supplies.
b. Painting and maintenance of aircraft.
c. Aerial photography, survey and pipeline patrol and seismographic services.
d. Car Rental.
e. Aircraft storage and hangar services.
f. Any other service normally associated with aircraft operations.
g. Fuel truck.
h. Aircraft tug.
1. Transient hangar space.
J. Ground power unit for aircraft.
k. Catering services.
I. Signage for the airport subject to approval of the Calhoun County Commissioner's
Court.
ARTICLE V
For all services, Lessee's operation shall be open and services available seven (7) days a week
for at least nine (9) hours per day (8:00 o'clock A.M. to 5:00 o'clock P.M.)
ARTICLE VI
Regarding the furnishings of the services enumerated in Article IV above; it is agreed and
understood as follows:
1. Lessee shall furnish good, prompt and efficient service to the public.
2. Lessee shall furnish said services on a fair, equal and not unjustly discriminatory basis to
all users thereof.
3. Lessee shall charge fair, reasonable and not unjustly discriminatory prices for each unit or
service; provided, that Lessee may make reasonable and nondiscriminatory discounts,
rebates, or other similar types of price reductions to volume purchasers.
4. Lessee shall provide space, not hangar space, to Lessor for parking equipment and
vehicles at the airport during a storm, hurricane or other emergency.
5. Lessee shall comply with all the terms and conditions of the Contract and it is understood
that a breach of that agreement is a breach of this Contract.
6. Lessee shall have the right to refuse services to any person that Lessee believes will be,
or conduct activities what will be, detrimental to public health, safety, or welfare or who
may create a nuisance or expose Lessee or Lessor to liability.
7. Lessee agrees to pay electric bills for runway, lights and hangar until such time as
separate meters are installed to separate electric usage for the hangar. Separation of
meters shall occur with runway lights upgrade to system and upon completion lessee
shall be responsible only for electricity to the hangar.
ARTICLE VII
Lessee, in carrying out the terms of this agreement and in exercIsmg any of the rights or
privileges herein granted to him, shall not on the grounds of race, color, or national origin
discriminate or permit discrimination against any person or group of persons in any manner
prohibited by Part 21 of the Regulations of the Secretary of Transportation, Lessor is hereby
granted the right to take any such action, anything to the contrary herein notwithstanding, as the
United States may direct to enforce this nondiscrimination covenant.
ARTICLE VIII
It is understood and agreed by Lessee that no right or privilege has been granted which would
operate to prevent any person, firm or corporation operating aircraft on said airport from
performing any services on his, her or its own aircraft with his, her or its own regular employees
(including, but not limited to maintenance and repair) that they or it may choose to perform,
provided the conduct of such services are in compliance with all applicable laws, rules and
regulations and will not create a dangerous condition or expose Lessee or any other party to
liability from such activities.
ARTICLE IX
Except as provided in Article IV, notwithstanding anything herein contained that may be or
appear to the contrary, it is expressly understood and agreed that the rights to granted under this
r
agreement are non-exclusive and Lessor herein reserves the right to grant similar privileges to
another operator or other operators on other parts of the airport property (other than the 1.97
acres) so long as said the similar privileges granted to another operator do not conflict with,
interfere with or compete directly with, the privileges, services and activities of the Lessee or any
does not change any runway in the Airport (in order to protect the grass on the runway).
ARTICLE X
Lessee hereby agrees to protect, indemnify and hold Lessor harmless from and against any and
all claims, demands and causes of action of every kind and character (including the amounts of
judgments, penalties, interest, court costs and legal fees incurred by Lessee in defense of same)
arising in favor of governmental agencies or third parties (including, but not limited to,
employees of Lessee) on account of permits, claims, debts, personal injuries, deaths or damages
to property, and without limitation by enumeration, any and all other claims or demands of every
character occurring or in anywise incident to or in connection with or arising out of the
convenants performed (or to be performed) by Lessee under and pursuant to the terms of this
agreement, or arising out of any other conduct of Lessee at the Airport.
ARTICLE XI
Lessee shall at all times carry insurance coverage as follows:
1. Airport Liability of at least $500,000.00 for each person and $1,000,000.00 for each
occurrence for bodily injury or death and $250,000.00 for each occurrence for injury to or
destruction of property, which coverage shall include insurance coverage for the fight
instruction program, the rental of aircraft, services or aircraft mechanics and inspectors,
air taxi service, sale of fuel, oil and lubricants and any and all other services and/or
products that Lessee offers to the public. Such insurance may contain a deductible of up
to $50,000.00. This policy will include coverage for completed operations, products
liability and hangar keeper's liability.
2. An additional Insured Endorsement must be included extending all insurance coverage to
Calhoun County, as owner of the airport.
3. In the event the Texas Tort Claims Act should ever be amended so as to increase the
limits or scope of liability of a unit of government, then the foregoing insurance coverage
shall be increased to at least equal the limits and cover the scope of Lessor's liability
under such act.
4. Lessee will provide a single performance bond or equivalent in the amount of$lO,OOO.OO
to ensure the performance of its obligations under this lease agreement and the Contract.
All of such insurance must meet with Lessor's reasonable approval, and prior to taking
possession of the leased property, Lessee shall furnish Lessor with a Certificate of Insurance
(with 10 day notice Clause) showing is has such insurance; and if requested by Lessor, Lessee
shall submit its insurance policies to Lessor for inspection. Lessee shall list Calhoun County on
the insurance policy and include provision for notification to Calhoun County in the event of
termination of coverage by Lessee.
Lessee shall require each airplane owner who hangars its airplane in the Calhoun County Hangar
to provide proof of liability insurance in the minimum amount of $500,000.00. This proof of
insurance will be kept on file and will be available for viewing for each airplane in the hangar.
ARTICLE XII
/
In the event of breach by Lessee of one or more of the terms, covenants and/or conditions to be
performed hereunder, Lessor shall notify Lessee of such matters causing such breach, whereupon
Lessee shall have ten (10) days form the receipt of notice to remedy such breach, or such further
reasonable period of time as may be necessary to render such breach, if it cannot be remedied in
such ten (10) day period, provided Lessee diligently cures such breach, provided that for such
things as Lessee should do, or discontinue doing, or correct, which create a danger or are
derogatory to aviation activities, in which event the breach shall be cured by Lessee immediately.
In the event Lessee fails to remedy any such breach within the specified time, then Lessor may,
at its option, terminate this Lease Agreement in its entirety. Failure of Lessor to so terminate this
Lease Agreement in anyone instance of breach not constitute a waiver of Lessor's right to so
terminate this Lease Agreement in any subsequent instance of breach.
The term derogatory, as herein used, shall mean those things which hinder or render aviation
activities inconvenient.
ARTICLE XIII
Lessee shall not assign this lease not sublet the leased property without the written consent of
Lessor, and said consent is not to be unreasonably withheld.
ARTICLE XIV
Lessor shall furnish Lessee with garbage pickup service at the airport for municipal solid waste.
Lessor shall provide maintenance to the public parking area.
ARTICLE XV
Lessor shall during the term of this lease maintain the hanger facility as funds are provided for
reimbursement under the RAMP grants. As to all other publicly owned facilities at the airport,
including but not limited to the runways, taxi ways and aprons, Lessor reserves the right with
reasonable notice to Lessee, but shall not be obligated to, to maintain, repair, or rebuild the same,
together with the right to control all activities of Lessee in this regard, provided such activities do
not unreasonably interfere with Lessee's right hereunder.
ARTICLE XVI
Lessee represents that is has inspected all of the Airport premises and improvements, including
the property herein leased, and that is accepts the condition of same as is and fully assumes all
risks incident to the use thereof. Lessor shall not be liable to Lessee for any damages or injuries
to the property or person of Lessee which may result from hidden, latent, or other dangerous
conditions on or at said airport.
ARTICLE XVII
Provided the same does not unreasonably interfere with Lessee's use thereof, Lessor, upon
reasonable notice to Lessee, reserves the right to the further develop or improve any area of the
Airport as it sees fit, regardless of the desires or view of the Lessee, and with no interference or
hindrance by Lessee. All improvements made by Lessee must be made with the permission of
the Calhoun County Commissioner's Court and said permission is not to be unreasonably
withheld.
ARTICLE XVIII
Lessor reserves the right to take any action it considers necessary to protect the aerial approaches
of said airport against obstruction.
ARTICLE XIX
Lessee shall take good care of the Airport, and at the termination of this lease shall deliver the
same to Lessor in as good condition as same were in at the beginning of the term of this lease, or
as same were in after any subsequent repairs or maintenance, loss by storm, accidental fire,
inevitable accident, and normal wear and tear alone excepted. Lessee shall also keep the Airport
neat and clean at all times.
ARTICLE XX
If the Airport hangar should be destroyed, or damaged to such an extent as to make same
untenantable, by fire, act of God, accident or other casualty, Lessor may, at its option, either
repair or rebuild the same or terminate the lease, provided however, that the Lease shall continue
if Lessee elects to rebuild the same. If Lessee so elects to rebuild, it may utilize any insurance
proceeds it or the Lessor receives for such loss. If Lessor or Lessee elect to rebuild or repair said
hangar, the rental shall be abated from the date of such damage or destruction to the date when
said hangar has been rebuilt or repaired so as to make the same suitable for use and occupancy
by Lessee for the purposes of contemplated by this lease. If said hangar shall be damaged but
shall remain tenantable and suitable for use by Lessee, then this lease shall continue in full force
and effect and Lessor or Lessee as the case may be, shall promptly repair said hangar, provided
that from the date of such damage and until said hangar has been repaired by Lessor or Lessee,
as the case may be, the rental shall be abated in proportion to the amount of floor space which is
rendered unusable to Lessee.
ARTICLE XXI
It is understood and agreed by the parties hereto that the Airport, together with all of its
improvements, constitutes a public airport that has been built for the purpose of serving the
public, and Lessee shall conduct its fixed base operation on this premise.
ARTICLE XXII
It is understood and agreed that this Lease Agreement is subject to and subordinate to and
controlled by the provisions, stipulations, covenants, and agreements contained in those certain
contracts, agreements, resolutions and actions of the Commissioner's Court of Calhoun County,
Texas, and the United States of America and/or the State of Texas, and their agents, including,
but not limited to, the Federal Aviation Administration and the Texas Aeronautics Commission,
and all regulations now or hereafter imposed on Calhoun County, Texas, (the "Governing
Rules"), the Lessor herein; and that this Lease Agreement and all applicable laws, rules,
regulations, orders and/or requirements of the Federal Government, the State of Texas, the
Commissioner's Court of Calhoun County, Texas, and any duly authorized governmental
agency, including but not limited to, the Federal Aviation Administration and the Texas
Aeronautics Commission, as such laws, rules, regulations, orders and/or requirements now or
hereafter exist (the "Governing Rules") and Lessor shall not be liable to Lessee on account of
any of the foregoing matters; and all of the aforesaid laws, rules, regulations, orders and/or
requirements, as the same now or hereafter exist, and all of the aforesaid contracts, agreements,
resolutions and actions of said Commissioner's Court are incorporated herein by reference.
ARTICLE XXIII
Notwithstanding anything contained in this Lease Agreement which might be construed to the
contrary, it is controlling, provided and understood and agreed by and between the parties hereto
that this agreement is a lease in the strict legal interpretation, and that Lessee, while performing
the services contemplated under this Lease Agreement, shall not be deemed or considered a
servant, agent or employee of Lessor.
If is further expressly provided that either party may terminate this contract for cause by giving
30 days written notice to the other party. Cause for Lessee may include changes in the
Governing Rules made by Lessor after the date hereof, which are unacceptable to Lessee.
EXECUTED in multiple originals as of this ..21.- day of (Y~~/----' ,2011.
LESSOR:
CALHOUN COUNTY, TEXAS
ATTEST:
LESSEE:
~~ ~
Calhoun Air Center, LLC.-
By Dianna Stanger
Member/Manager
2011 CHAPTER 59 ASSET FORFEITURE REPORT BY ATTORNEY REPRESENTING THE STATE:
Criminal District Attorney for Calhoun County, Dan W Heard's Criminal District Attorney Assistant Shannon
E. Salyer requested the 2011 Chapter 59 Asset Forfeiture Report by Attorney Representing the State be
reviewed by Commissioners Court for their approval and certification. A Motion was made by
Commissioner Lyssy and seconded by Commissioner Fritsch for 2011 Chapter 59 Asset Forfeiture Report
by Attoney Respresenting the State. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all
voted in favor.
,..
Criminal District Attorney
Calhoun County, Texas
A
ALICIA FLORES
Victim Assistance Coordinator
DAN W. HEARD
Criminal District Attorney
~
Half Moon Reef Lighthouse
RANDY R. CRIDER
Investigator
SHANNON E. SALYER
Assistant Criminal District Attorney
DAIN WHITWORTH
Assistant Criminal District Attorney
JAMES D. HENDERSON
Assistant Criminal District Attorney
October 11, 2011
Ms. Susan Riley
Calhoun County Judge's Office
RE: Item for Commissioners Court Agenda
Dear Susan:
I am requesting that the following item be placed on the Commissioners Court agenda on
October 27, 2011, for their approval and certification:
2011 Chapter 59 Asset Forfeiture Report by Attorney Representing the State
Thank you for your assistance.
Sincerely,
ANNON E. SALYER,
Assistant Criminal District Attorney
For Calhoun County, Texas
SES:jam
FY 2011 Chapter S9 Asset Forfeiture Report
by Attorney Representing the State
Agency Name:
Calhoun County Criminal District Reporting Period: 09-01-10 to 08-31-11
Attorney's Office (example: 9/1110- 08/31/11)
Agency Mailing
Address:
P.O. Box 1001
Por~ Tsv~~~, TexaR 77Q7Q
County:
Calhoun
Phone number:
(361) 553-4422
dan.heard@calhouncotx.org
(This should be a pennanent agency email address)
Email Address
NOTE: PLEASE ROUND ALL DOLLAR AMOUNTS TO NEAREST WHOLE DOLLAR.
I. SEIZED FUNDS
A) Beginning Balance:
Instructions: Include total amount of seized funds on hand (in your agency's possession) at the
beginning of the reporting period including interest. Include funds that may have been forfeited but
have not been transferred to your agency's forfeiture account. Do not include funds that are in an
account held by another agency, e.g. a police department's account. S 17~'830
B) Seizures During Reporting Period:
,
I) Amount Seized By Employees of Your Agency:
Instructions: Include only those seizures which occurred during the reporting period and where the 0
seizure affidavit required by Article 59.03 is sworn to by a peace officer employed by your agency. $
2) Amount Seized by Other Agencies:
Instructions: Include only amounts seized by other agencies in your jurisdiction and which have 6, 723
been transferred to your office for custody pending forfeiture. $
C) Forfeiture Petitions Filed For All Agencies You Represent:
Instructions: Enter the total amount of seized funds for which forfeiture petitions were filed
during the reporting period. Do not include amounts seized if a petition has not been..fiIed. Note: this
may include all or part of the funds listed in B above due to the 30 day limitations period on filing 6, 723
petitions. (This should be a currency amount, for example $1,000). $
D) Forfeitures Pending For All Agencies You Represent:
Instructlous: Enter the total amount of seized funds at the end of the reporting period where a 259
forfeiture petition has been filed but no final judgment has been entered. Include amounts subject
to petitions filed in prior reporting periods. (This should be a currency amount, for example $ I ,000). $
E) Interest Earned on Seized Funds During Reporting Period:
Instructions: Include only the arnountofinterest earned on seized funds or funds that may have been 0
forfeited but not yet transferred to your forfeiture account. Do not include interest earned on seized
funds that are on deposit in an account that does not belong to your agency. $
F) Amount Returned To DefendantslRespondents: $ 0
G) Amount Transferred to Forfeiture Account:
Instructions: Include all amounts in your agency's possession forfeited during the reporting period 0
and transferred to your forfeiture account. $
Fann Date 06114/11
Page I
~
H) Ending Balance:
Instructions: Add lines A, B( I), B(2) and E, subtract lines F and G, place IOtal in line H.
$ 24,553
II. FORFEITED FUNDS
A) Beginning Balance:
Instructions: Include total amount of forfeited funds that bave been forfeited to your agency and
are on band (in your agency's account or in your agency's possession) at tbe beginning of the
reporting period including interest. Do Dot include funds that bave been forfeited but have not yet $ 17,830
been received by your agency.
B) Amount Forfeited For All Agencies You Represent and Covered by Local Agreement:
Instructions: Enter the total amount forfeited by all forfeiture judgments in your jurisdiction for tbe
reporting year. Do not include judgments tbat are not yet final due to appeal or motions for new trial. 8,514
Include interest that was forfeited as part of the judgment. $
I) Amount Forfeited and Transferred to all Agencies Covered by Local Agreement:
Instructions: Do not include amounts forfeited but not yet transferred to these agencies. Include 0
interest that has been forfeited as part of the judgment. $
2) Amount Forfeited and Received by Your Agency:
Instructions: Do not include amounts forfeited but not yet received by your agency. Do not include 3,406
amounts awarded to other agencies. Include interest that was forfeited as part of the judgment. $
C) Interest Earned on Forfeited Funds During Reporting Period:
Instructions: Include only the amount of interest earned on forfeited funds or interest earned on
funds derived from the sale offorfeited property. Do not include interest amounts that were reported
in line B2 above. Do not include interest eamed if funds are on deposit in an account that does not 88
belong to your agency. $
D) Proceeds Received by Your Agency From Sale of Forfeited Property:
Instructions: Include amounts received for all property sold during the reporting period, even if 0
the subject property was forfeited in a prior reporting period. S
E) Total Expenditures of Forfeited Funds During Reporting Period: 19,144
Instructions: From Total on Section VI. $
F) Amount deposited to State Treasury to tbe Credit of the General Revenue Fund Due to Lack of Local 0
Agreement (Art. 59.06 (a)): $
G) Ending Balance: 2,180
Instructions: Add lines A, B(2), C and D, subtract lines E and F, place total in line G. . $
Fonu Date 04114/11
Page 2
-..
~..' ..,,<
.... .,"1,',':.
-- .
III.
OTHER PROPERTY
Instructions: List the number of cases filed, pending, or disposed for the following categories. List as "pending" only cases where
a petition was filed. List as "seized" only those seizures where a seizure is made by a peace officer employed by your agency.
If property is sold list under "Proceeds Received by Your Agency from Sale of Forfeited Property" in Section II (D) in the
reporting year in which the proceeds are received.
Please Note: these MOTOR VEHICLES REAL PROPERTY COMPUTERS FIREARMS (Include OTHER
should be a number, not (Include cars, (Count each parcel Include computer only fireanns seized (Include
a currency amount. For motorcycles. tractor seized as one item) and attached system for forfeiture under description)
example: 4 pending, 3 trailers, etc.) components, such as Chpt. 59. Do not
seized. 12 new printers and monitors include weapons
petitions, etc.... as one item) disposed of under
Chpt. 18)
Pending for all agencies
at beginning of 0 0 0 0 0
reporting period:
';;t" . .:. ... . . . !J... .. ".
Seized by your agency 0 0 0 0 0
during reporting period: .
New petitions filed for 1
all agencies during 5 0 3 0 televisi ::>
reporting period:
Forfeited to your 1
agency during reporting 1 0 3 0 televisip:
period:
Put into service by your 0 0 0 0 0
agency during reporting
period:
Pending for all agencies
at end of reporting 4 0 0 0 0
period:
n)
n)
IV. FORFEITED PROPERTY RECEIVED FROM ANOTHER AGENCY
Instructions: Enter the total number of items transferred to your agency where the forfeiture judgment
awarded ownersbip of the property to another agency prior to the transfer.
Motor Vehicles (tbe number of vehicles, not a currency amount):
o
o
o
o
o
A)
B)
C)
D)
E)
Real Property (the number of separate parcels of property, not a currency amount):
Computers (the number of computers, not a currency amount);
Firearms (the number of firearms, not a currency amount);
Other (the number of items, not a currency amount):
V. FORFEITED PROPERTY TRANSFERRED OR LOANED TO ANOTHER AGENCY
Instructions: Enter the total number of items transferred from your agency where the forfeiture judgment
awarded ownership of the property to your agency prior to the transfer.
A) Motor Vehicles (the number of vehicles, not a currency amount):
o
o
B) Real Property (the Dumber of separate parcels of property, not a currency amount):
Fonn Da.e 06114/]]
Page 3
E) Other (the number of items, not a currency amount):
o
o
o
C) Computers (the number of computers, not a currency amount):
D) Firearms (the number offireanns, not a currency amount):
VI.
EXPENDITURES
Instructions: This category is for Chapter S9 expenditures SOLELY for the official purposes
of the office of the attorney representhig the state - not for expenditures made pursuant to your
general budget. List the total amount expended for each of the following categories. If proceeds
are expended for a category not listed, state the amount and nature of the expenditure under the
Other Category. .
A)
SALARIES
1. Increase of Salary, Exp.ense, orA1lowance for E!TIployees (Salary Supplements):
$19,144
$ 0
4
2. Salary Budgeted Solely From Forfeited Funds:
3. Number of employees Paid Using Forfeiture Funds:
TOTAL SALARIES PAID OUT OF CHAPTER S9 FUNDS:
$19,144
B) OVERTIME
1. For employees Budgeted by Governing Body: $ 0
2. For Employees Budgeted Solely out of Forfeiture Funds: $ 0
3. Number of employees Paid Using Forfeiture Funds: 0
TOTAL OVERTIME PAID OUT OF CHAPTER S9 FUNDS: $ 0
C) EQUIPMENT
l. Vehicles: $ 0
2. Computers: $ 0
3. Firearms, Vests, Personal Equipment: $ 0
4. Furniture: $ 0
5. Software: $ 0
6. Maintenance Costs: $ 0
7. Uniforms: $ 0
8. K9 Related Costs: $ 0
9. Other (Provide Detail on Additional Sheet): $ 0
.- 0
TOTAL EQUIPMENT PURCHASED WITH CHAPTER S9 FUNDS: ~ $
D) SUPPLIES
l. Office Supplies:
I $
o
Fonn Oat. 06114/11
Page 4
2. Cellular Air Time:
3. Internet
4. Other (Provi.!!!?.Detail on Additional Sheet):
TOTAL SUPPLIES PURCHASED WITH CHAPTER 59 FUNDS:
$
$
$
o
o
o
$
o
E)
TRAVEL
1. Total In State Travel $ 0
a) Lodging: $ 0
b) Air Fare: $ 0
c) Meals (including per diem): $ 0
d) Car Rental: $ 0
2. Total Out of State Travel $ 0
a) Lodging: $ 0
b) Air Fare: $ 0
c) Meals (including per diem): $ 0
d) Car Rental: $ 0
3. Fuel: $ 0
4. Parking: $ 0
5. Other (Provide Detail on Additional Sheet): $ 0
TOTAL TRAVEL PAID OUT OF CHAPTER 59 FUNDS: $ 0
F) TRAINING
I. Fees (Conferences, Seminars): $ 0
2. Materials (Boo~, CDs, Videos, etc.): $ 0
3. Other (Provide Detail on Additional Sheet): $ 0
TOTAL TRAINING PAID OUT OF CHAPTER 59 FUNDS: $ 0
G) INVESTIGATIVE COSTS
I. Informant Costs: $ 0
2. Buy Money: $ 0
3. Lab Expenses: $ 0
4. Other (Provide Detail on Additional Sheet): $ 0
TOTAL INVESTIGATIVE COSTS PAID OUT OF CHAPTER 59 FUNDS: $ 0
Fonn Date 06114/11
Page S
H) PREVENTIONfTREA TMENT PROGRAMSIFINANCIAL ASSISTANCE
(pursuant to Articles 59:06 (h), (1),0>, (n), (0)) .
I. Total PreventionlTreabnent Programs (pursuant to 59.06 (h), (n. (j)): $ 0
2. Total Financial Assistance (pursuant to 59.06 (n) and (0)): $ 0
TOTAL PREVENTION/TREATMENT PROGRAMS/FINANCIAL
ASSIST ANCE(PURSUANT TO ARTICLES 59.06(h), (I), (j), (n), (0)): $ 0
I) FACILITY COSTS
I. Building Purchase: $ 0
2. Lease Payments: $ 0
3. Remodeling: $ 0
4. Maintenance Costs: $ 0
5. Utilities: $ 0
6. Other (Provide Detail on Additional Sheet) : $ 0
TOTAL FACILITY COSTS PAID OUT OF CHAPTER 59 FUNDS: $ 0
J) MISCELLANEOUS FEES
I. Court Costs: $ 0
2. Filing Fees: $ 0
3. Insurance: $ 0
4. Witness Fees: $ 0
5. Audit Costs and Fees: $ 0
6. Other (Provide Detail on Additional Sheet) : $ 0
TOTAL MISCELLANEOUS FEES PAID OUT OF CHAPTER 59 FUNDS: $ 0
K. TOTAL PAID TO COOPERATING AGENCY(IES) PURSUANT TO
LOCAL AGREEMENT: $ 0
L) TOTAL OTHER PAID OUT OF CHAPTER 59 FUNDS (provide detailed 0
descriptions on additional sheet(s) and attach to this report): $
M) TOTAL EXPENDITURES: S 19,144
FOJD1 Dale 06114/11
Page 6
BOTH THE COMMISSIONERS COURT AND ATTORNEY REPRESENTING THE STATE
CERTIFICATIONS MUST BE COMPLETED
NOTE: ART. 59.06(g)(I) requires the Commissioners Court to perform the audit.
CERTIFICA TION
I swear or affirm that the Commissioners Court has conducted the audit required by Article 59.06 ofthe Code of Criminal
Procedure, unless after due inquiry, it has been determined that no accounts, funds or other property pursuant to Chapter
59 of the Code of Criminal Procedure are being held or have been transacted in the relevant fiscal year by the agency
for which this report is being completed, and that upon diligent inspection of all relevant documents and supporting
materials, I believe that this asset forfeiture report is true and correct and contains all of the required information.
COUNTY JUDGE (Printed Name):
Michael J. Pfeifer
SIGNA TURE:
COUNTY:
Calhoun
DATE:
10-27-lL
CERTIFICA TION
I swear or affirm, under penalty of perjury, that I have accounted for the seizure, forfeiture, receipt, and specific
expenditure of all proceeds and property subject to Chapter 59 of the Code of Criminal Procedure, and that upon diligent
inspection of all relevant documents and supporting materials, I believe that this asset forfeiture report is true and correct
and contains all information required under Article 59.06 of the Code of Criminal Procedure. I further swear or affirm
that all expenditures reported herein were lawful and proper, and were made in accordance with Texas law.
ATTORNEY REPRESENTING THE
ST A TE (Elected Official) (Printed
Name):
Dan W. Heard
SIGNA TURE:
DATE:
10-27-11
RETURN COMPLETED FORM TO:
Office ofthe Attorney General
Criminal Prosecutions Division
P.O. Box 12548
Austin, TX 78711-2548
Attn: Kent Richardson
(5 I 2)936-1348
E-mail: kent.richardson{aloag.state.tx.us
WE CANNOT ACCEPT FAXED OR EMAILED COPIES. PLEASE MAIL
THE SIGNED, ORIGINAL DOCUMENT TO OUR OFFICE AT THE
ADDRESS ABOVE.
Form Date 06114/1 J
Page 1
FREQUENTL Y ASKED QUESTIONS
WHO IS REQUIRED TO FILL OUT THIS FORM?
Any agency that has the authority to receive property forfeited under Chapter 59 of the Code of Criminal Procedure or
has the authority to hire peace officers is required to fill out this form and return to the Office of the Attorney General
(OAG). This includes but is not limited to:
1)
2)
3)
4)
5)
6)
7)
8)
Airport Police
City Attorney.
City Marshal
Constables
County Attorney
District Attorneys
Fire Departments / Fire Marshal
Hospital Distril,:ts
9)
10)
II)
12)
13)
14)
15)
Police Departments
Public Universities and Junior Colleges
School Districts with Police Departments
Sheriff Departments
State Agencies
Task Forces
Water Districts
· City attorneys are only required to fill out this foirn if their city has a population over 250,000.
WHO IS REQUIRED TO PERFORM THE AUDIT?
If an agency is governed by a Commissioner's Court or City Council, the Commissioners Court or City Council is
required to perform the audit pursuantto Art. 59.06(g)( I) ofthe Code ofCriIilinal Procedure. For attorneys representing
the state, this means that the Commissioners Court shall perform the audit (in a multi-county district, all commissioners
courts in the district shall perform the audit).
MY AGENCY IS REQUIRED TO FILL OUT THE FORM,BUTDOESN'T SEIZE ANY ASSETS -WHAT DO
I DO?
You may use the Chapter 59.069(1) Certification (available on our website) or simply fill out the form with zeros, sign,
and return to the OAG.
WHEN IS THE REPORT DUE?
Per the statute the report is due 60 days after the end of the agency's fiscal year except for District Attorneys. District
Attorney reports are due 60 days after the end of the state fiscal year (08/31). The OAG may give one fifteen day
extension.
WHAT TYPE OF SEIZURES AND EXPENDITURES TO REPORT:
You are only required to report those seizures made pursuant to Chapter 59 of the Code of Criminal Procedure. You
are only required to report those expenditures made out of funds forfeited pursuant to Chapter 59. You do not report
federal seizures on this form.
WHA T IF I HA VE CONFIDENTIAL EXPENDITURES THA T MIGHT COMPROMISE INVESTIGA TIONS
IF DETAILED IN THE REPORT?
Ifbreaking out confidential informant payments and buy money as shown on the form might compromise investigations,
please fill out only the Total Investigative Costs line and attach an explanation of the reasons for this to the report.
RENEWAL RATES FOR UNITED HEALTHCARE RETIREE MEDICAL BENEFITS PACKAGE:
Rhonda Kokena, Calhoun County Treasurer requested the Commissioners Court approve and accept
Renewal Rates for United Healthcare Retiree Medical Benefits Package. Current Medical Rates are
$194.00 with new rates, effective the 1st day of January 2012, going up to $201.36. Current Prescription
Rates are $167.00 with new rates, effective the 1't day of January 2012, going up to $179.99. A motion
was made by Commissioner Galvan and seconded by Commissioner Lyssy to renew rates for United
Healthcare Retiree Medical benefits Package and to authorize the Courity Treasurer to sign the renewal
notice and benefits confirmation for 2012. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer
all voted in favor.
Susan Riley
From:
Sent:
To:
Subject:
rhonda kokena [rhonda. kokena@calhouncotx.org]
Thursday, October 20, 2011 3:42 PM
susan riley
AGENDA ITEM
/D
On next agenda, please ......
To approve and accept renewal rates for United Healthcare Retiree medical benefits package and
authorize County Treasurer to sign renewal notice and benefit confirmation for 2012.
RHONDA S. KOKENA
CALHOUN COUNTY TREASURER
202 S. ANN ST.
PORT LA VACA, TX. 77979
361-553-4619 phone
361-553-4614fax
Enjoy the little things....For one day you will look back and realize
they were the big things.
I
"
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10/24/2011 12:39
fMJ
P .0011005
('.~ '!""1,J~4
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/0
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Texas Aaaodatlon ofCountie8
Retiree Medical Program
UnitedHealthcare
2012 Renewal Notice and Benefit Confirmation
Return to TAC by: October 28,2011
Listed below are the new renewal rates for UnitedHealthcare Retiree Medical
and Prescription drug coverage.
Current Rates New Rates
Effective 1/1/2012
$194.00 $201.36
MEDICAL
RX
Current Rates New Rates
Effective 11112012
$167.00 $179.99
Please sign below confirming your group's acceptance of the 2012 renewal rates.
lure of County Judge or Contracting Authority
ID- a8- [ I
Date
'.
'i<.HaJDA '5. I<.DKE.NA, . ~~wn-y~e?V5l..UU:R.
Please PRINT Name and 'Title
CCS . UnitedHnlthcarc Ranewal Notice. 'Benefit ConArm.tton
Revbecll012011
CountyChoi~e Silver
UnitedHealthcare
Member Contact Designations
Contracting Authority; As spedfied In the Intetlocal Participation Agree.ment, each Member
hereby designates and appoints, as indicated In the space provided below, a Contracting
Authority of department head rank or above and agrees that TAC HEBP shall NOT be required
to t:ontact or provide notices to ANY OlliER perlon. Further, any notice to, or agreement by, a
Member's Contracting Authority, with respect to service or claims hereunder, shall be binding on
the Member. 'Each Member reserves the right to change its Contracting Authority from time to
time by givin~tten notice to TAC HEUP.
Name: 1d1onA~ 6. ~OKe..nCL
Title: Cou..n-bLtFea.. ~LJ.re.t'
Adm- ~L~~~~~
~ "'frZ'3-4lJ,(3
.&1-~S5..~
rhG!1IJl1L- Iwli~b~1 ~t)Urt~1iE..~
Phone:
Pax:
EmaiI: m~'y.bonu.~Ca.I"'t:)~. o"'s.-
~
~;;;
10/24/2011 12:39
Phone:
Pax:
EmalI:
Primary Con
Name:
Title:
Address:
(f~
P .0021005
Billing con~sp~le f~cei~ all invoices relating to retiree benefits.
Name: 1 CJ t1 . I ~e~J
Title:
Address:
Phone:
~ "
( ~a.MA.L Q.fJ aJ.xWJe., )
1()-~8d1
S hue of C01lDty Judge r Contradins Authority Date
iJJffiNQJ4- S. ~t'ft.tJ*., ~UJJTI:t ~t<..
Please PRINT Name and TItle
CCS -VnltedHealthc:are Renewal Notice ~ Ber1e6t Conii~tion
ft_..t__.J ...^""^....
"
.'
10/24/2011 12:39
f~
P .003/005
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1..) I! l'~'r
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Texas Association of Counties
Retiree Medical Program
UnitedHealthcare Retiree Medical Program
PROGRAM REQUIREMENTS &: PROCEDURES
(Group Name) acknowledges the attached
document has been read d agrees to comply with the retiree program
re ulrements and procedures.
Sf ature of County Judge r Contracting Authority
QnEJrJDA ~ ~ClLE.A>A
Print Name
_IQ ..d({-II
Date
~ry --r-R.SA~~R...
Title
If there are questions about requirements and procedures please contact Melissa
Lopez at 800-456-5974 ext. 3629.
PLEASE PROVIDE A COpy OF THIS NOTICE TO YOUR
PRIMARY CONTACT AND BILLING CONTACT
CCS -UnimlHeallhc:are Prosram Requfremen18 ac ~we.
ReviNd 1012011
~~
10/24/2011 12:39
f~
P .0041005
., ./
(.)1 .per
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Texas Association of Counties
Retiree Medic1l1 Ptogwn
UnitedHealthcare Supplement Plan
Program Requirements & Procedures
The Texas Association of Counties Health and Employee Benefits Pool (T AC
HEBP) offers a Retiree Medical Benefits Program for Medicare eligible retirees
through UnitedHealthcare (UHC). The following contains program information
along with requirements that must be met in order to partidpate in the UHC
t'etiree program.
Eligibility Requirements
· Partidpants must meet the group's retirement qualifications and must be
enrolled in Medicare Parts A & B.
. UHC will be the only retiree medical program offered to your Medicare
eligible retirees. (No other Medicare supplement or Medicare Advantage
program or group plan will be offered to your retirees.)
. This coverage cannot be offered to any ACTIVE employee, regardless of age.
. This program offers two Opti011S for medical and prescription drug coverage.
The group must elect one option to be offered to all retirees.
1. Medical Only - allows retirees to select their own prescription
coverage at their own expense.
2. Medical and Prescription - prescription coverage provided by
UHC to all retirees.
NOTE: Stand alone prescription drug coverage is not available.
Billing Options
. Group must sign authorization form to confirm billing option selected.
Below are the three options available.
LIST (the Employer pays 100% of premiums)i the monthly bill is sent to the
Employer.
~ DIRECT (the Employer pays $0 premium); the bill is sent to the retiree
monthly.
SPLIT (the Employer pays a portion of the premium)i employer must
indicate the contribution levels for Employer and for Retirees. Bills will be
created and sent to the Employer for the Employer portion and to the Retiree
for any remaining balance.
CCS -UnitecIHealthcare Program RlaqvJ.tementt at Procedures
RevlMd 1012011
2
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10/24/2011 12:39
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P .0051005
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Texa8 Aaaoclation ofCOUIities
Retiree Medical Program
New Enrollments
· Group will be responsible for providing the retiree enrollment packet at the
time the employee retires.
· Benefits will be effective the first of the month following the date application
is received.
Termination Reporting
T AC HEBP Group Health Terminations
· All group health employee terminations must be processed by the group
prior to the UHC effective date.
· Terminations processed via the T AC HEBIV s Online Administrative System
(OASYS) must be submitted by the group within the allowed 5 day grace
period.
· Terminations reported after the 5th of the next month will be extended to the
end of the following month, and the employer is responsible for these
contributions.
UnitedHealthcare Terminations
· Termination requests must be submitted in writing to TAC HEBP.
· Termination will be effective the first of the month following the date
application is received.
Open Enrollment Entries
Open enrollment for current and new members begins October 15th through
December 7th of this year. This is the only time election changes will be accepted
by the Centers for Medicare and Medicaid Services (CMS); midyear changes will
no longer be accepted.
CCS -1Jn1tec:IH:eaIthcare Pro,stam Requlremente ac ProcedU1"e8
Rev1eed 10/2011
)
SWITCH SERVICE AGREEMENT WITH SURE CALL TELECOM INC:
A request was made for Commissioners Court to authorize County Judge Pfeifer to sign on Switch Service
Agreement with Sure Call Telecom Inc. Coverage Period for this Agreement would be 12 months
beginning the 29th day of September 2011 and ending the 28th day of September 2012.
A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to authorize the
County Judge to sign on Switch Service Agreement with Sure Call Telecom Inc. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
\~
SWITCH SERVICE AGREEMENT
AGREEMENT between Sure Call Telecom Inc, hereinafter designated as the "Company" and
Customer indicated below hereinafter designated as the "Customer".
Company: Sure Call Telecom Inc.
Address: 9720 Coit Rd, Suite 220-215
PIano TX 75025
Company Contact: Wayne Page
Phone: 254-315-7890
Fax: 214-872-3447
Email: surecallcom@yahoo.com
Customer: Calhoun County
Address: 211 S Ann
Port Lavaca Texas 77979
Customer Contact: LaDonna Thigpen
Phone: 361-553-4400
Fax: 361-553-4444
Email: ladonna.thigpen@calhouncotx.org
1. Telephone Switch EQuipment Specs and Port Counts:
System: Nortel Meridian llC Cabinet System (2 Cabinets)
Physical Location: 211 S Ann, Port Lavaca, TX
Software: Release 4.0
Wired Base Ports: 248
Analog Station Ports: 80
IP Station ISMs: 0
Analog Trunk Ports: 0
Digital Station Ports: 144
Digital Trunk Ports: 24
Voice Gateway Media Card Ports: 0
Meridian Mail Ports: 4
Call Pilot Ports: 0
Power: AC Power with 1 battery backup per cabinet (total of 8 cells)
Other/Mise:
Signaling Servers: 0
2. ReQuested Covera2e Schedule:
. Note: Pricing for these services is based on the wired port size of the customer PBX system
and associated equipment. If system size is expanded via addition of new hardware, Last
Call Telecom Inc. reserves the right to adjust maintenance contract pricing accordingly.
(a) Technician on call Monday through Friday 8am-5pm. *
Note: If service is desired before 8AM, after 5PM, or on weekends/holidays, that service will
be billable at then current labor rates. * *
(b) Nortel Switching System Hardware.
* Response by telephone/dial up to major service affecting failure within 2 hours. An onsite
visit will be scheduled once it is collectively determined by both the Company and the
Customer that remote troubleshooting via telephone/dial up did not resolve the failure. Minor
(non-emergency) trouble will be scheduled for a time agreeable to both the customer and the
company.
Labor cost for covered services is included in this contract.
STC company confidential/labor rates/ telephone switch service agreement/Calhoun County, Port Lavaca TX
Page 2 of 8
** Response by telephone/dial up to major service affecting failure within 4 hours. An onsite
visit will be scheduled once it is collectively determined by both the Company and the
Customer that remote troubleshooting via telephone/dial up did not resolve the failure. Minor
(non-emergency) trouble will be scheduled for a time agreeable to both the customer and the
company.
Labor cost will be charged at then current rates. Applicable overtime and/or
weekendlholiday rates may be charged.
3. Reauested Services:
Services
Base (Mon-Fri, 8-5, parts & labor) *
On-site service after 5
On-site service weekends, holidays
House cabling/jacks
Plant cabling
2xxx Digital phones
39xx Digital phones
MACs Included
Included
Yes
No
No
No
No
No
No
No
Quarterly Cost:
Yearly Cost:
$1,750.00
$7,000.00
*Note1: As per customer request, this contract only provides labor Monday to Friday, 8:00AM to 5:00
PM. At customer request, service visits can be performed at other times, but labor will be billable at
then standard rates.
Coverage Period: 12 Months (Sep 29, 2011 through Sep 28, 2012)
Note: First month's payment due prior to start of coverage. (Terms and Conditions, Item # 7)
Billing Frequency: Yearly or Quarterly
4. Terms and Conditions:
This Agreement is to be performed in accordance with Sure Call Telecom Inc. Standard Terms and
Conditions attached hereto and incorporated herein.
STC company confidential/labor rates/ telephone switch service agreement/Calhoun County, Port Lavaca TX
Page 3 of8
'-
Sure Call Telecom Inc.
SWITCH SERVICE AGREEMENT TERMS AND CONDITIONS
1. DEFINITIONS: As used in this Service Agreement ("Agreement"): (A) "SCT' shall mean Sure Call Telecom Inc.; (B) "Customer" shall
mean the party requesting SCT 's services; (C) 'The Parties" or "a Party" shall mean either Customer, SCT, or both.
Z. ELIGIBILITY/INSPECTION: All equipment that has experienced a lapse in SCT service coverage (or factory warranty coverage), or has had no
service history with SCT within the previous ninety (90) days, is subject to inspection by SCT prior to eligibility for any service under this Agreement.
Customer is subject to charges for this inspection service at SCT's then current time and materials rates.
3. AGREEMENT TERMS: (A) Agreement term shall commence on the date indicated in the service agreement, unless service has commenced prior to
date of service agreement or prior to contract signing, and remain in effect at initial price to end of period covered; (B) For multi-year contracts, this
agreement may be terminated by either party by giving written notice of their intent to terminate thirty (30) days prior to the natural anniversary date.
4. RENEWAL: (A) Each year SCT shall submit a written notice, sixty (30) days prior to the anniversary date, covering any changes to the original
Agreement if such changes occur. Customer is required to submit signed renewal documents approving changes in equipment and price ten (10) days
prior to expiration date. Renewals not signed and submitted by the anniversary date are subject to immediate cancellation whereby SCT reserves
the right to refuse to provide service until Agreement is signed and returned. Annual price may be adjusted on the renewal date from the original
approval date, to reflect the current market conditions and results of a historical cost analysis associated with Customer's prior contracts; (B) For
any additional services outside the Scope of Services purchased under this Agreement, Customer shall be billed at SCT's then current time and
materials rates.
S. HOURS OF SERVICE: (A) Base telephone system support will be performed during normal working hours, Monday - Friday, 8:00 a.m. - 5:00
p.m., or as otherwise agreed; (Please review sections 2 & 3 of this switch service agreement)
6. EXCLUSIONS/SERVICE TYPES: (A) See Exhibit A for specific equipment and components not covered by this Agreement.
7. PAYMENT TERMS: Payment for this Agreement shall be net thirty (30) days from invoice date at the applicable contract rates. One full prepayment
for all Agreements is required prior to the start of service and is based on billing terms. All Agreements totaling five-thousand dollars ($5,000.00) or
less per annum are subject to annual billing. Late fees of one and one-half percent (1.5%) per month of total invoice amount will be charged for
payments received after agreed upon due dates. SCT reserves the right to discontinue its services any time payments have not been received by
SCT on or before the due date as indicated on the invoice.
8. TAX: SCT 's price is exclusive of any applicable tax. If LCT is required to payor collect any tax or government charges in connection with the
services or materials furnished under this Agreement, whether existing or imposed in the future, an additional charge will be made therefore and paid
by Customer unless SCT is provided with a proper tax exemption certificate.
9. SCT 'S REPRESENTATIONS, WARRANTIES, AND RESPONSIBILITIES: (A) (Customer), during the term of this Agreement, will maintain the
aforementioned equipment during its normal operation, and perform whatever service may be necessary to guard against malfunctions and
breakdowns of said equipment. SCT will perform remote troubleshooting, and onsite repairs only if authorized by SCT management. (B) All repairs
by SCT shall comply with the equipment manufacturer's published standards and/or speCifications. Repairs shall return failed/inoperative equipment
to operative condition. Failed/inoperative parts/equipment shall be replaced with equivalent (Iike-for-like) parts/equipment. If like-for-like parts are
no longer available (due to manufacturer discontinuance, vintage, recall, etc.), STC is not required to upgrade, expand, or re-engineer said
parts/equipment. (C) Maintenance of the telephone switching system shall comply with the recommendations published by the manufacturer. If
maintenance is not possible due to customers schedule then SCT shall not be held responsible for maintenance not completed due to circumstances
beyond its control; (D) SCT shall not be required to perform tests, install any items, or make modifications that may be required or directed by
insurance companies, government, state, municipal, or other agency having jurisdiction unless requested by Customer as an additional service to be
billed separately at SCT 's then current time and materials rates; (E) SCT shall not be required to enable or disable fire protection systems or security
systems in order to perform installation or maintenance, remedial inspections, troubleshooting, or repairs to said equipment; (F) SCT shall not be
liable for damages to the equipment if Customer authorizes service, operation, and/or modification of said equipment by another party whereby it
results in a shut down, removal or alteration of the equipment by the other party. In the event of such occurrence, SCT reserves the right to
immediately terminate the maintenance Agreement, or if SCT agrees to continue services, then SCT will invoice separate of this Agreement for costs
incurred to return the equipment to industry standards, in accordance with SCT 's then current time and materials rates, and SCT shall not be liable for
future damages arising from the services performed by the Customer-authorized third party; (G) SCT shall not be liable for repairs or service to the
STC company confidential/labor rates/ telephone switch service agreement/Calhoun County, Port Lavaca TX
Page 4 of 8
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equipment if damaged by any acts of god including hurricane, fire, lightening, tornado, sandstorm, hail, explosion, earthquake, smoke, aircraft, motor
vehicle, building collapse, riot, vandalism, power failure, neglect, misuse, accident, failure of the Customer to perform such acts of service on its part
required to be performed in accordance with the manufacturer's recommendations for the equipment in question or under this Agreement, failure of
other equipment not covered by this Agreement which is either attached, connected to, or otherwise supports the operation of the equipment covered
by this Agreement, or misuse or abuse of the equipment by the Customer or a Customer-authorized third party.
SCT 's obligations hereunder are in lieu of and exclude all warranties, express or implied, including, without limitation, warranties of merchantability
or fitness for a particular purpose.
10. CUSTOMER'S REPRESENTATIONS, WARRANTIES, AND RESPONSIBILITIES: (A) The Customer hereby warrants that, prior to the effective
date of this Agreement, the equipment which is the subject of this Agreement has been properly maintained and serviced in accordance with the
manufacturer's recommendations. If SCT determines the equipment subject to this Agreement has not been properly maintained and/or has a pre-
existing condition whereby SCT must perform maintenance to bring the equipment up to such standards, then all costs shall be born by the Customer
at SCT 's then current time and materials rates; (B) Customer is liable for all parts, labor, and expenses (at SCT's then current time and materials
rates) incurred by SCT to evaluate, diagnose, and repair equipment found defective due to faulty manufacture within the terms of each equipment
manufacturer's warranty; (C) Customer shall be liable for all parts and labor not covered by this Agreement; (D) Customer shall arrange access to
the buildings, arrange use of building services, keep areas adjacent to the equipment free of extraneous materials, move any fixtures, walls, or
partitions needed to perform the work under this Agreement, and promptly notify SCT of any unusual operating conditions prior to the time when
SCT is scheduled to be on site. Customer shall indemnify SCT for any damages incurred by SCT, including attorneys fees, resulting from
Customer's failure to secure a right of access for SCT to any service site; (E) SCT shall not be liable for equipment damage resulting from a lapse in
time created by Customer delays of prior scheduled services. In the event of such occurrence, SCT may require Customer to pay all costs, including
but not limited to, parts and labor associated with bringing the equipment back to industry standards. Invoicing for such occurrence shall be separate
of this Agreement and be at SCT 's then current time and materials rates; (F) Customer shall notify SCT within a reasonable time if a Customer-
authorized third party is scheduled to be on-site so that SCT may accompany said third party, subject to SCT's then current time and materials rates.
11. SUBCONTRACTING: SCT reserves the right to subcontract any portion of the services provided for under this Agreement without the prior
Consent of Customer.
12. SAFETY PERSONNEL: (A) If OSHA or any other federal, state or local government, trade association, or contractual regulations or standards
require a "safety person" to be on site during Installation, Maintenance or other services, Customer shall be responsible for advising SCT of same
and providing for such a person at the site at Customer's cost and Customer shall indemnify SCT for any damage caused by SCT in the event
Customer fails to do so. If SCT agrees, in writing, to provide for a safety person, Customer will be billed for such person's time at SCT 's then current
time and materials rates; (B) In the event Customer does not notify SCT of any unusual operating conditions and/or unusual equipment location,
then SCT may refuse to perform services, void, or make necessary changes to Agreement if said unusual conditions threaten the safety of SCT's
employees. Such refusal to perform or changes to this Agreement shall not in any way diminish Customer's duties under Paragraphs 7 and 10 above.
13. FORCE MAJEURE: (A) During the term of this Agreement, the Customer assigns its rights as the owner of the equipment to SCT for the purpose of
obtaining parts and support services from the manufacturer. SCT shall act as Customer's agent in this regard; (B) SCT shall not be liable for delays in
obtaining parts or providing services caused by situations beyond its control, including but not limited to acts of God, epidemics, war, riots,
transportation delays, acts of terrorism, strikes, lockouts, or the inability to obtain parts from its normal suppliers. In the event of a delay caused by
any of the above, SCT's time to perform said services shall be reasonably extended.
14. LIMITATION OF DAMAGES: SCT's annual liability for any cause whatsoever shall not exceed in value the total of the annual service charges paid
by the Customer, except in the event that such damage to the equipment has been caused by SCT's personnel while at the site of the Customer
performing an examination, maintenance, or emergency service; and then, only to the extent of the replacement parts and the
installation thereof. In no event shall SCT be liable for the loss of profits, indirect, special, consequential, or other similar damages, including but not
limited to loss of use of associated equipment, investment cost of substitute facilities, rental of equivalent equipment, or claims of the Customer for
damage arising out of any breach of this Agreement or obligations under this Agreement.
15. INDEMNIFICATION: SCTand Customer shall defend, indemnify, and hold harmless each other, each other's officers, employees, and agents, from
and against any and all claims, liabilities, damages, demands, losses, causes of action and suits, including reasonable attorney's fees incident thereto, to
the extent they result directly from or out of (A) Any injury or death of any person or damage to or destruction of any property caused by the negligent
acts, errors, omissions, or willful misconduct of either party; or (B) Any violation of federal or state regulations, orders, rules or the violation of any
STC company confidential/labor rates/ telephone switch service agreement/Calhoun County, Port Lavaca TX
Page 5 of 8
other governmental entity by either party, its agents or employees; or (C) Any breach of Warranty or any negligent performance by either party of its
obligations under this Agreement.
16. DISPUTE RESOLUTION/TERMINATION: (A) In the event of unsatisfactory performance or breach of any portion of this Agreement, by either
party to this Agreement, the parties agree to negotiate promptly, in good faith, and according to the agreements herein as to proper adjustment for said
unsatisfactory performance or breach, except for any breach for non-payment which shall be governed by Paragraph 7 above, and shall commence
negotiations within seven (7) days of receipt of written demand by either party. Each party shall have the right to cancel this Agreement only upon
failure of mutual agreement, within thirty (30) days of receipt of any written demand specified above; (B) If termination by Customer occurs prior to
the natural expiration date and is without cause then all monies owed to SCT for the full term must be paid in full at time of termination. Monies not
paid at time of termination will accrue at one and one-half percent (1.5%) interest per month; (C) In the event the settlement of any controversy
or claim arising out of or related to this Agreement as to breach thereof cannot be concluded by the parties to the Agreement within thirty (30) days,
and if neither party decides to cancel the Agreement, such claims shall be submitted to Arbitration. Such arbitration shall be in accordance
with commercial arbitration rules then in effect by the American Arbitration Association; and both parties agree to abide by the decision resulting
from such arbitration. If necessary, the decision of the American Arbitration Association may be enforced by the courts having jurisdiction
over this Agreement; (D) In the event arbitration or legal action is brought by either party to this Agreement, the prevailing party shall be entitled
to reimbursement of costs and attorney's fees by ihe other party; (E) The laws of the State of Rhode Island shall apply and bind the parties
in any and all questions arising hereunder, regardless of the jurisdiction in which the action or proceeding may be initiated or maintained.
17. MODIFICATIONS/WAIVERS: Reference to Customer's request for quotation or other documents is made part of this Agreement only to the extent
such items or terms are consistent with this Agreement. No agent or employee of SCT shall have authority to waive any clause of this Agreement
unless approval is obtained from SCT in writing and signed by an authorized representative of SCT.
18. MERGER/INTEGRATION: This Agreement, including the attached Exhibit(s), all pages attached hereto, and any amendments hereto, represent the
sole Agreement between the parties, with neither party relying upon any representation or promises not incorporated in writing herein. No
modification of this agreement, or waiver hereunder, shall be binding unless the same is in writing and duly executed by the authorized
representatives of the parties hereto.
19. ASSIGNMENT/DELEGATION: Neither Customer nor SCTmay assign this Agreement or_any of its rights,hereunder without prior written consent
of the other. Such consent shall not be unreasonably withheld. This Agreement shall be binding on the parties hereto, their heirs, successors, and
assigns.
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20. SEVERABILITY: If any section or part of these_Terms and Conditions is or becomes illegal, unenforceable, or invalid, then such part or section
shall be struck from these Terms and Conditions and the remainder of this Agreement shall remain in full force and effect.
IN WITNESS THEREOF, the Parties have set their hands and seals on the date below.
Agreement Accepted by (Customer Rep):
Nome, (futiJ..PfF Ghk-.
' ,
Agreement Offered by (SCT Rep):
Name: Wayne Page
Title: Calhoun County Judge
Title: Technical Director, Sure Call Telecom Inc.
Phone:361-553-4600
Phone: 254-315-7890
Email:mike. pfeifer@calhouncotx.org
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Sig:
Michael J. Pfeifer
Date: 10-27-11
STC com an confidential/Jabor rates/ tele hone switch service a reement/Calhoun Count" Port Lavaca TX
Page 6 of 8
I
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ORDER APPOINTING CYNTHIA L. MUELLER COUNTY AUDITOR ENTERED INTO MINUTES:
The Appointment of County Auditor for Calhoun County expires on the 31st day of October 2011 for Cindy
Mueller. The order appointing Cynthia L. Mueller as County Auditor was signed and approved on the 6th
day of October 2011 by Joseph P. Kelly, Judge, 24th District; by Stephen Williams III, Judge, 135th District;
and by Skipper Koetter, Judge, 267th District. A Motion was made by Commissioner Lyssy and seconded
by Commissioner Galvan to enter into minutes the Order Appointing Cynthia L. Mueller County Auditor
and entering this into the minutes. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all
voted in favor.
{i< t
10) ill@&.""R W ~ ;/il
1m OCT 1 4 2011 &
BY: .......t??:J&:.
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RRSTASSI$Tm AlJIlTOR
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PEII' UU
CDI.IEFAlTEsd
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ASSI$TAIIT AUIIl11n
October 5,2011
Honorable Stephen Williams
Judge, 13Sth Judicial District,
Victoria County Courthouse
Yic1<ma; Texas 77901
. / ',..
-'.~ "--",~";~';~~-:'f.:"':'" "~"'k
Dear Judge Williams:
My appointment as County Auditor for Calhoun County expires on October 31, 2011.
Assuming that I am to be reappointed, I have taken the liberty of enclosing for your
review an order reappointing fie as Calhoun County Auditor.
In accordance with Local Government Code ~84.00g5, I certify to you that I have
completed 40 hours of continuing education which have been approved by the Texas State
Board (>f public Accountancy fOr continuing education and which I feel relate to the duties
of the County Auditor.
DESCRIPTION
T ACA 64th Annual FaIl Conference
Texas Open Meetings and Public Information
Act trainin sessions
52nd COUD Auditors Institute
$3td C9Ull... Auditors Institute
DATE
COMPLETED
10/23/2009
CPE
HOURS
13
~...cl'J1"'" ~
..
10/23/2009
$/7/2010
.5/6/2011
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44;4
ShoUld you have any questions or comments concerning the above, please contact me at
your convenience.
Respectfully yours,
(), , -~~
~eller
County Auditor
..,......;;.,;,-;"...-
'"
COUNTY OF CALHOUN
STATE OF TEXAS
ORDER APPOINTING CYNTHIA L. MUELLER COUNTY AUDITOR
We, Joseph P. Kelly, Stephen Williams, III and Skipper Koetter, Judges of the 241h, 13Slh,
and 26th Judicial Courts respectively of Calhoun County, Texas, and having jurisdiction in the County
of Calhoun, State of Texas, which said County has a population of more than 10,000 inhabitants according
to the last preceding Federal Census, this day having considered the appointment of an Auditor of Accounts
. - .-.... ."
...
and. Finances for sa~d' ~~~~J<;!r.a term of T~o Years,. beginning N.:oy~niber 1; 20 11.and ending. October,.,," .
31,2013, do after consideration appoint Cynthia L. Mueller CountyAuditor in and for Calhoun County,
Texas for the said term and until her successor shall have been appointed and qualified.
IT IS ORDERED that said Cynthia L. Mueller shall before entering upon her duties, execute a
good and sufficient bond as provided by law.
IT IS FURTHER ORDERED that this appointment shall be recorded in the Minutes of the District
Courts ofCalhouil County, Texas; and the clerk is directed to certify the same to the Commissioners' Court
of Calhoun County for observance.
SIGNED AND APPROVED on this the
~
t day of October, A.D., 2011.
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OISTRICTCLERK, CAlHOUN COUNTY TEXAS ~;;I':/i;n;;' ';j~~"..,,<'~
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:
BALLOT FOR CALHOUN COUNTY APPRAISAL DISTRICT DIRECTORS AND ADOPT
RESOLUTION:
This is selection year for the Board of Directors of the Calhoun County Appraisal District which consists of
5 members who serve 2 year terms beginning the 1st day of January 2012 and ending the 31st day of
December 2013. Candidates are William Bauer, Roger Galvan, Kevin Hill, Jessie Rodriquez and William
Swope. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy for a
Resolution of Calhoun County Voting in the Election of Members of the Board of Directors of the Calhoun
County Appraisal District for 2012-2013. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer
all voted in favor.
CALHOUN COUNTY
ApPRAISAL DISTRICT
426 West Main Street
P.O. Box 49
Port Lavaca, Texas 77979
CONSOLIDATED APPRAISAL
AND TAX SERVICES
Appraisal: (361) 552-8808
Collections: (361) 552-4560
Fax: (361) 552-4787
Web: www.calhouncad.org
October 14,2011
(~
RECE\VED
UC \ 18 20'11
Honorable Michael Pfeifer, County Judge
Calhoun County
211 S. Ann St.
Port Lavaca, TX 77979
Mike Pfeifer .
t Judg~
Ca\houn Coun Y -'
~ --=<..,...
-'
,.___ ""-c- 0.__
" _p~~ ~uqgeJ)~eifer:.
Enclosed is the ballot for the selection of (5) five Calhoun County Appraisal District Directors.
Also attached is a vote allocation and a resolution form for your convenience. .
All votes may be cast for (1) one candidate or distributed among the candidates listed on the
ballot. It should be noted that it takes 834 votes to elect a Director. Please comply with the
following:
. The votes must be cast by written resolution.
. A copy of the resolution must accompany the completed ballot.
. Return the completed ballot and resolution before December 15,2011.
You will be notified of the results as soon as the returned ballots are summarized. If you have
any questions, please feel free to call me.
Sincerely,
fZ~JP~
Jerry Daum
Chief Appraiser
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JD:med
Enclosures
cc:
Commissioner Roger Galvan
Calhoun County Commissioner - Pct I
2213 Vail St, Port Lavaca, TX 77979
Commissioner Vern Lyssy
Calhoun County Commissioner - Pct 2
5812 FM 1090, Port Lavaca, TX 77979
Commissioner Neil E. Fritsch
Calhoun County Commissioner - Pct 3
24627 ST HWY 172, Port Lavaca, TX 77979
. Commissioner Kenneth Finster
Calhoun County Commissioner - Pct 4
P. O. Box 177, Seadrift, TX 77983
>-.,
A RESOLUTION OF
CALHOUN COUNTY
VOTING IN THE ELECTION OF MEMBERS OF THE BOARD OF DIRECTORS
OF THE
CALHOUN COUNTY APPRAISAL DISTRICT
2012-2013
RESOLUTION No.
,
.~
WHEREAS, this is selection year for the Board of Directors of the Calhoun
. .0--' ~ County ~pprai~al District;. and
WHEREAS, the Board of Directors consists of five members who serve two-
year terms, beginning January I, 2012 through December 31,
2013; and
WHEREAS, CALHOUN COUNTY is a voting unit entitled to vote for up to
five candidates from a ballot submitted by the Calhoun County
Appraisal District, if so desired.
NOW THEREFORE, BE IT RESOLVED BY THE PRESIDING BODY OF THIS
VOTING UNIT, THAT:
,
The n~ber of votes cast for the candidate(s), as exhibited in the
attached ballot, be submitted.. by the CALHOUN COUNTY
COMMISSIONERS COURT to the Calhoun County Appraisal
District.
PASSED AND APPROVED by the CALHOUN COUNTY COMMISSIONERS
COURT
this ~ day of October ,2011.
ATTEST:
CALHOUN COUNTY APPRAISAL DISTRICT
2012-2013
Board of Directors Election
Section 6.03 Board of Directors (
Formula of Voting Entitlement I Calendar
Step 1 Subsection (d) 2010
, ^ 'VotinoDistricts' Levv x 1000 x 5 = # of Votes
Total of all Voting Districts' Levy
2010
Step 2 Subsection (e) Chief Appraiser calculates number of votes of each entitled taxing unit
(other than a conservation and reclamation district) and delivers written
notice to each unit of its voting entitlement before October 1,2011.
Step 3 Subsection (g) Each unit other than a conservation and reclamation district that is
entitled to vote may nominate by resolution one candidate for each
position on the board. The presiding officer of each unit shall submit
the names of the nominees to the Chief Appraiser before October 15,
2011.
Step 4 Subsection 0) Before October 30, 2011 the Chief Appraiser prepares ballot (alpha
order) and delivers it to the presiding officer of each entitled unit.
I
Step 5 Subsection (k) Before December 15, 2011, the governing body shall submit to the
Chief Appraiser its vote.
Step 6 Subsection (k) Chief Appraiser counts votes and submits results to each governing
body before December 31,2011.
10-13-11
I.
,
CALHOUN COUNTY APPRAISAL DISTRICT
Board of Directors Election
2012-2013
BALLOT
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.------ ~
VOTING UNIT AND
ALLOCATED VOTES
VOTES NEEDED TO
REELECT -834
,
i.
CANDIDATES COUNTY TOTAL VOTES
1377 1377
BAUER, WILLIAM
GALVAN, ROGER 1377 1377
HILL, KEVIN
RODRIGUEZ, JESSIE
SWOPE, WILLIAM
,
,
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CALHOUN COUNTY APPRAISAL DISTRICT
Entity Vote Allocations
2012-2013 Board of Directors Election
2010 .Not Round~'d
Entit Le Amount Percent
County of Calhoun $ 14,302,220 27.548% 1377 .390771 1377
Calhoun County ISO $ 33,318,665 64.176% 3208.790007 3209
- ~ --. .. ..~--- 48
City of Point Comfort $ 501,803 0.967% 48.3266552
City of Port Lavaca $ 3,562,676 6.862% 343.1073346 343
City of Seadrift $ 232,438 0.448% 22.38523228 23
TOTAL $ 51,917,802 100.00% 5000 5000
VOTES NECESSARY TO ELECT
Times Number of Members
Minimum Votes Necessary
Votes Remaining
8341
5
4170
830
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* Vote Allocation calculated based on prior years levy percentage pursuant to Section 6.03(e)
of The Property Tax Code
10/13/2011
l
24 MONTH CONTRACT WITH AT&T FOR CELLULAR SERVICE FOR PRECINCT #4:
Precinct #4 ask that the Commissioner Court discuss and take necessary action to approve a 24 month
contract with AT&T for cellular service for Precinct 4. A motion was made by Commissioner Finster and
seconded by Commissioner Lyssy to to take action to approve a 24 month contract with AT&T for cellular
service for Precinct #4. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
County Commissioner
County of Calhoun
Precinct 4
Kenneth W. Finster
/<-1
October 19, 2011
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 October 28,2011.
· Discuss and take necessary action to approve 24 month contract with AT&T for cellular
service for Precinct 4.
Sincerely,
4uzt~~
Kenneth W. Finster
._. ~~~\f.!21~~.-ti:W_.II~"~.l.ii;.Elf
at&t
AT&T MOBILE BUSINESS AGREEMENT
VERSION 9-B
Contract Request Number:
1443703
Company Legal Name ("Customer")
D/B/A
Street Address
CALHOUN COUNTY TEXAS
202 S ANN ST # A
City, State, Zip Code
Main Telephone Number
Authorized Representative & Primary Contact Name
Email Address
Personal Identification Number
PORT LAVACA, TX 77979
KENNETH FINSTER
kenneth.finster@gmail.com
43230
This AT&T Mobile Business ("AMB~') Agreement between Customer and AT&T Mobility National Accounts LLC ("AT&T"),
on behalf of itself and as agent for the Carriers, consists of (a) the AT&T Mobile Business Program Description set
forth below (the "Program Description"), (b) the General Terms and Conditions in effect on the Effective Date and
found at the Program Website (the "General Terms and Conditions"), and (c) all materials incorporated by reference in
the General Terms and Conditions, such as applicable Sales Information and Attachments (collectively, the
"Agreement"). The Program Website is att.com/amb. -
The Agreement is for an initial term beginning on the Effective Date and continuing for a period of two ye~rs; A~ the
end of this initial term the Agreement will automatically continue on a month-to-month basis unless one a ty ives
notice to the other party of its intention to allow the Agreement to expire within thirty days prior to the expiration of
the then current term. The "Effective Date" is the date Customer accepted the Agreement via AT&T's electronic AMB
Agreement Acceptance process.
PROGRAM DESCRIPTION
1. Service. AT&T, through Carriers, will provide Service (as defined, along with other terms used herein, in n3 of the
General Terms and Conditions) to Customer and its current W-2 employees and/or individuals who receive a
K-l form from Customer (collectively, "Employees"). Employees may receive Service either: (a) under Customer's
account ("Corporate Responsibility Users" or "CRUs"); or (b) under individual accounts in accordance with the
Sponsorship Program described in 94 below ("Individual Responsibility Users" or "IRUs"). CRUs and IRUs are, at
times, referred to collectively as "End Users".
2. AT&T Mobile Business Program Eligibility Requirement; CRU Term.
2.1 Eligibility Requirement. Customer must have at all times during the term of this Agreement at least one
CRU.
2.2 CRU Term. Each CRU must have a Service term of two-. one-. or zero-years selected by a CRU or by
Customer on behalf of such CRU (each. a "CRU Term"). The CRU Term begins on the date the corresponding
CRU is (a) activated on Service or (b) upgraded to new Equipment (with or without a migration to a different
Plan) under the Agreement.
3. Service Discount. Subject to this 93, AT&T will provide Customer with an eight percent discount on Service (the
"Service Discount"). The Service Discount is available only when Customer has and maintains a minimum of five
seoarate End Users receiving Service in AT&T Markets. of which at least one is a CRU ("Discounting Minimum">.
A T& T will monitor the number of End Users and CRUs associated with the Agreement once each month. When
Customer meets the Discounting Minimum. AT&T will apply the Service Discount with respect to Customer's
qualified End Users. as described below. within thirty days from the date of AT&T's monthlv monitoring: provide~
however. that (a) it may take up to two billing cycles from the date of A T& T 's monthly monitoring for the Servic_
Discount to appear on qualified End Users' invoices. and (b) the Service Discount will not be applied retroactively.
When Customer does not meet the Discounting Minimum. AT&T may immediately discontinue providing the Service
Discount with respect to Customer's qualified End Users. To qualify for application of the Service Discount.
Customer's End Users must be active on eligible Plan{sl with a monthly service charge (Le.. the set acce~s fe~
charged monthly for use of a particular plan. or "MSC") of $30 or higher (each. a "Qualitying Plan"). AT& wil
apply the Service Discount only to the MSC of each eligible End User's Qualifying Plants) and not to any oth;r
charges of any kind (including. without limitation charges for any other Plans or features!. AT&T ~;y res~ict
certain Plans or certain other discount programs from qualifying for the Service Discount and will advise .
Customer when such restrictions apply.
4. Sponsorship Program. Customer's Employees may participate in the Sponsorship Program. All such Employees
will be IRUs under this Agreement. Customer acknowledges and agrees that Employees must be validated in
order to participate in the Sponsorship Program, and that any Employees not so validated will not be IRUs under
the Agreement and will not receive corresponding program benefits.
4.1 Sponsorship Program Activation Processes and Procedures. Each IRU participating in the Sponsorship
Program must: (a) enter into, and be individually responsible for complying with, a separate, two-year service
agreement with an eligible Plan (each, an ':IRU Service Agreement") including, without limitation, the
corresponding obligations to comply with all of the terms and conditions of the Plan and to pay all charges
incurred under the IRU Service Agreement; and (b) follow the activation, validation, migration, upgrade and
related policies, procedures and processes established by A T& T from time to time, including without
limitation paying any applicable enrollment fees.
4.2 Sponsorship Program Features. Under the Sponsorship Program: (a) IRUs may choose from seLect Service
PLans available to Customer within each AT&T Market (provided they qualify for the chosen Plan); and (b)
when Customer meets the Discounting Minimum, qualified IRUs may receive the Service Discount in
accordance with ~3 above.
4.3 Marketing Assistance. Customer will participate with AT&T in efforts to obtain eligible Employees'
participation in the Sponsorship Program.
S. Financial Responsibility. Customer must pay for all amounts incurred under the Agreement. regardless of
whether such amounts were incurred by Customer or Its CRUs. Customer is not liable for any amounts incurred
by IRUs under this Agreement or any IRU SerVice Agreement.
6. Corporate Responsibility User Invoicing. With respect to Service provided to Customer and its CRUs, A T& T will
provide Corporate Responsibility User Invoicing. Under Corporate Responsibility User Invoicing, AT&T will provide
an invoice each month to Customer's CRUs as directed by Customer and as required by the specific Plants)
seLected by Customer. Such invoices will set forth the CRUs' Voice Service and/or Wireless Data Service charges
for the preceding monthly billing cycle.
7. Cancellation Fee. For each CRU that Is terminated from Service more than thirty (3D) days after activation but
prior to the expiration of the applicable one-year or two-year CRU Term. Customer agrees to pay A T& T with
respect to each device identifier or N'umber assigned to such CRU. in addition to all other amounts owed. a
Cancellation Fee in the amount specified beLow ("Cancellation Fee"). If the CRU Term includes the purchase of
certain specified Equipment on or after June 1. 2010. the Cancellation Fee will be $325 minus $10 for each full
month toward the CRtJ Term that the CRU completes {For a compLete list of the specified Equipment check
att.com/equipmentETF. Otherwise. the Cancellation Fee will be $150 minus $4 for each full month toward the
CRU Term that the CRU completes. Notwithstanding the foregoing. for CRU Terms including Equipment
purchased prior to June 1. 2010. the Cancellation Fee will be $175 minus $5 for each full month toward the CRU
Term that the CRU completes The Cancellation Fee Is not a penalty. but rather a charge to compensate AT&T
for Customer's failure to satisfy the CRU Term. For the avoidance of doubt. Customer will not pay any
Cancellation Fee{sl for CRUs on a zero-year CRU Term. Customer acknowLedges and agrees that porting a CRU's
Number to a non-AT&T service provider before the end of the applicable CRU Term constitutes a termination
subiect to the Cancellation Fee. Customer may terminate a CRU's Service within the first thirty (3D) days after
activation without incurring a Cancellation Fee. but equipment restocking or other fees may apply. Customer
should refer to A T& 1's returns policy at wireless att com/ceLl-phone-service/le!JaL/return-p~licy jsp. or ~uch other
site as A T& T may designate from time to time. for additional details.
8. Customer's Representations and Warranties. Customer represents and warrants that (a) it is a bona fide
business entity; and (b) all of its End Users are, and will continue to be throughout the term of the Agreement,
valid Employees.
9. Resale and Other Prohibited Uses. Customer and its CRUs are not permitted to resell. reproduce. retransmit. or
disseminate Service or any other program components to third parties whether directly or indirectly. including.
without limitation. through machine-to-machine transmissions.
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10. Premier. Subject to Customer's continuing compliance with the terms and conditions of the Agreement
(Including the restrictions set forth in this ~10), AT&T will provide Customer with access to AT&T's Premier online
ordering and fulfillment portal ("Premier").
'10.1 Hyperlink/URL Access to Premier is provided by means of (a) a hyperlink from Customer's Intranet to
Premier that is created and maintained by Customer using a URL provided by AT&T (the "HyperLink") and/or
(b) a URL provided by AT&T to Customer that Customer is responsible for distributing only to its eligible
Employees (the "URL"). The Hyperlink must not result in any framing of Premier. AT&T reserves the right to
approve the Hyperllnk, and Customer will provide an actual representation of the Hyperlink including,
without limitation, any text, icons. graphics and design, to AT&T for such approvaL Customer may only
access Premier through the Hyperlink and/or URL. and Customer will not access any information other than
Service information through Premier. Customer will ensure that its Employees comply with the provisions of
this HO.l.
10.2 Username and Password. AT&T will coordinate with Customer to establish a unique username and
password (the "Password") for accessing and using Premier to purchase Service and Equipment for CRUs.
Customer may modify its username and Password at its discretion. Customer is responsible for maintaining
the cOllfidentiallty of its Password. and Customer accepts responsibility for all activity that occurs through
Premier in connection with that Password. AT&T may rely on the authority of anyone accessing Customer's
account, through Premier or otherwise, using Customer's Password.
10.3 Modification of Premier. AT&T may, at any time, and in its sole discretion, modify, enhance, discontinue
and/or add to Premier and any and all aspects thereof.
By accepting the Agreement on behalf of Customer, I am representing and warranting that:
(a). aU Customer information is complete and accurate;
(b). I have reviewed and understand, and agree on behalf of Customer to. all of the terms and conditions of the
Agreement. including. without limitation. the Program Description set forth above and the General Terms and
Conditions incorporated by reference and found at att.com/amb:
(c). I am authorized to sign the Agreement for Customer. and I intend to form a legally binding contract on its
behalf. I agree to be personally and primarily responsible for, and guarantee payment and performance under, the
Agreement, jointly and severally with Customer, if I am not so authorized or if any information provided by me is
false.
I understand Customer will not be able to participate In, or obtain wireless service under, the AT&T Mobile
Business Program until I sign the Agreement via AT&T's electronic AMB Agreement Acceptance process.
CUSTOMER SIGNATURE
By Authorized Representative
Via AT&T's Electronic AMB
Agreement Acceptance Process
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Welcome to the AMB Agreement Acceptance process. You have requested an AT&T Mobile Business Agreement for
your company. In order to process your request, you must first sign the AT&T Mobile Business Agreement
electronically on behalf of your company. thereby making your company AT&T's "Customer" and enabling your
company to purchase wireless service or equipment from AT&T. This document will provide some important
information about the AMB Agreement Acceptance process and will provide instructions on how to sign the AT&T
Mobile Business Agreement. Please read on.
Your sales representative has provided you with a copy of the proposed AT&T Mobile Business Agreement (Program
Description portion) for your company. Accompanying this information and instruction sheet are copies of certain
web-based components of the AT&T Mobile Business Agreement:
a) copy of the General Terms and Conditions found at att.com/amb (the "Program Website") as of today's date and
b) copies of select materials found at the Program Website as of today's date, such as a copy of the current Plans
list and caples of select Attachments for optional products, services, equipment and programs offered for sale In,
or applicable to purchases through, AT&T retail stores.
PLEASE NOTE THAT THE ATTACHED COPIES ARE PROVIDED FOR REFERENCE PURPOSES ONLY AND REFLECT
ONLY A PORTION OF THE MATERIALS INCORPORATED BY REFERENCE IN THE AT&T MOBILE BUSINESS
AGREEMENT. For example:
· The AT&T Mobile Business Agreement also incorporates by reference any other Attachments found at the
Program Website for products, services, equipment and programs selected by your company from time to time.
Attachments contain additional pricing, terms and conditions that can change from time to time and,
accordingly, you are advised to check the Program Website periodically for updates to all applicable
Attachments.
. The AT&T Mobile Business Agreement also incorporates by reference the Sales Information for the products,
services, equipment and programs your company selects from time to time. Sales Information contains
additional pricing, terms, and conditions that can change from time to time and, accordingly, you are advised to
review all applicable Sales Information periodically for updated information.
PLEASE ALSO NOTE: By signing the AT&T Mobile Business Agreement, you are agreeing, on behalf of your company,
to be bound by (i) the General Terms and Conditions found at att.com/amb on the date you signed and (ii) the other
web-based terms, conditions and information found at att.com/amb as they may change from time to time during
the term of the AT&T Mobile Business Agreement. (See sections 2 and 4.2 of the General Terms and Conditions for
more details.) To ensure that the copy of the General Terms and Conditions you received is the same version
incorporated into the agreement you signed, you must sign the AT&T Mobile Business Agreement TODAY. If you
delay in signing the AT&T Mobile Business Agreement, the General Terms and Conditions may be updated to a new.
version-in that case, you are advised to review and print a copy of the updated General Terms and Conditions
BEFORE you complete the AMB Agreement Acceptance process;
AT&T uses a variety of electronic contract acceptance methods. You must sign the AT&T Mobile Business Agreement
on behalf of your company using one of the following processes:
1. AT&T In-store Signature Capture: if you requested to sign Terms and Conditions acceptance via the in-store
signature capture device, but then leave the AT&T retail store without signing the AT&T Mobile Business
Agreement on behalf of your company, you will have to start the contract request process over.
2. AT&T IVR Acceptance: Call: 1 800.497.2545. Please have the following information available when you call:
a. Contract Request Number. Your company has been assigned a unique Contract Request Number. This
number is located at the top of the Program Description portion of the AT&T Mobile Business Agreement.
b.. PIN. You have been assigned a unique Personal Identification Number (PIN) for use in accessing the AT&T
Agreement Acceptance Line. This PIN is also located on the Program Description portion of the AT&T Mobile
Business Agreement. (Note: Once you have successfully completed the AMB Agreement Acceptance process,
this PIN will be deleted and a new PIN will be sent to the email address on file. If no email address exists, no
new PIN will be sent.)
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1. Service.
1.1 AT&T Markets. Service is available for purchase only In AT&T Markets, as may be modified by AT&T from
time to time.
1.2 Availability/Interruption. Service will be available only within the operating range of each Carrier's wireless
system In AT&T Markets and where roaming is available through other carriers (each, a "Service Area"). AT&T
may from time to time add or delete Service Areas, and AT&T may terminate Service to Customer's CRU(s) in any
such deleted Service Area and/or terminate the Agreement if the Service Area deletion affects all of Customer's
CRUs. Gaps in Service occur within the Service Areas shown on coverage maps, which, by their nature, are only
approximations of actual coverage; therefore, AT&T does not guarantee Customer uninterrupted Service. Unless
prohibited by law, Service may be interrupted, delayed or otherwise limited for a variety of reasons. including
environmental conditions. unavailability of radio frequency channels. system capacity, priority access by National
Security and Emergencv Preparedness personnel in the event of a disaster or emerqency. coordination with other
systems. equipment modifications and repairs. and problems with the facilities of interconnectinQ carriers. AT&T
may block access to certain cateaories of numbers (e.a.. 976, 900 and international destinations) at its sole
discretion. In addition. AT&T may interrupt or terminate Service without notice: Ca) for any conduct that AT&T
believes violates this Aqreement or any terms and conditions of Customer's Plan; Cbl if Customer's representative
or CRU behaves in an abusive. deroqatorv. or similarly unreasonable manner with any of AT&T's representatives;
Cel for Customer's nonpayment of charges. provision of inaccurate credit information. and/or refusal to pay any
reQuested advance payment or deposit when AT&T believes that Customer's credit has deteriorated; or Cd) if AT&T
has reasonable cause to believe that Customer's Equipment is beina used for an unlawful purpose or in a way that
(j) is harmful to. interferes with. or may adversely affect the Service. AT&T's owned network or the network of any
other provider, (ij) interferes with the use or enioyment of Services received by other customers. (i1i) infrinqes
intellectual property riqhts, (iv) results in the publication of threateninq or offensive material. or (v) constitutes
spam or other abusive messaqinQ or callinq. a security risk or a violation of privacy.
2. Plans; Sales Information. . Customer may choose from Voice Service and Wireless Data Service Plans found at the "Plans
page of the Program Website, as may be modified by AT&T from time to time. The pricing, terms and conditions of the
Service depend upon the Plan, feature, promotion or other offer (including, without limitation, any Supplemental Service)
selected when Service is activated or changed. End Users must qualify for the chosen Service. If End Users lose their
eliqibilitv for a particular Plan. AT&T may chanae their Plan to one for which they qualify. Customer is subiect to the
terms and conditions are set forth in the Enterprise Customers: Additional Service and Equipment Related Terms found
at att.com/abs-addtl-terms. as well as applicable product-specific pricinq and/or additional product-specific terms and
conditions set forth in (j) separate product briefs and rate brochures. (iil at attcom/abs-addtl-terms or
wireless.att.com/businesscenter. or such other site that AT&T may desiqnate). and/or Wi) in other AT&T marketing
materials. Such Enterprise Customers: Additional Service and EQuipment Related Terms and other online and printed
product materials are referred to collectively in the Aqreement as "Sales Information" and incorcorated herein by
reference. Customer can contact its AT&T representative for copies of the Sales Information. Service Cincludina without
limitation. eliaibility requirements, Plans. pricinQ. features. promotions. offers. and/or Service Areas) is subiect to chanQe
without notice. Any provisions in the terms and conditions governing the Plan, feature, promotion or other offer which,
by their terms, are to exist for a specified period of time, will survive any termination or expiration of this Agreement.
3. Equipment.
3.1 Availability. With respect to Numbers provisioned from AT&T Markets, Customer may purchase available
Equipment found at the "Equipment" page of the Program Webslte, the list of which may be modified by A T& T
from time to time. Specific models of Equipment are subject to availability limitations.
3.2 General. Customer is responsible for all phones and other Equipment containing a SIM assigned to Customer
and/or its CRUs under Customer's account. Equipment must be compatible with, and not interfere with, the Service
and must comply with all applicable laws, rules, and regulations. Customer is responsible for the purchase and
maintenance of any additional hardware, software and/or Internet access from PCs required to use the Service.
Equipment not purchased from AT&T or its authorized distributors (a) may not provide some or all of the features
included in the Service; and (b) may not allow use of features and functions when off of AT&T's wireless network,
including those that work while on AT&T's wireless network, and CALLS TO 911 MAY NOT GO THROUGH ON ANY
NETWORK.
AT&T may periodically program Customer's Equipment remotely with system settings for roaming service, to direct
Customer's Equipment to use network services most appropriate for Customer's CRUs' typical usage, and other
features that cannot be changed manually. Equipment purchased for use on AT&T's system are designed' for use
exclusively on AT&T's system. Customer agrees that Customer and/or its CRUs won't make any modifications to
the Equipment or programming to enable the Equipment to operate on any other system. AT&T may, at its sole
and absolute discretion, modify the programming to enable the operation of the Equipment on other systems.
Customer is solely responsible for complying with U.S. Export Control laws and regulations and the import laws
and regulations of foreign countries when CRUs are traveling Internationally with Customer's Equipment. Call
timers included in the Equipment are not an accurate representation of actual billed usage.
3.3 Shipping, Title and Risk of Loss. Subject to availability, and AT&T's receipt of complete order information. AT&T
will ship Equipment ordered by Customer and/or its End Users to the address specified in the order within two (2)
to five (5) business days of AT&T's receipt of the order. Title and risk of loss will pass to Customer upon delivery of
the Equipment to the address specified in the order.
4. Activation and Other Processes.
4.1 Service and Equipment. Customer will follow the policies and processes established by AT&T to purchase, activate,
migrate, terminate, or otherwise modify Service or to purchase Equipment, as may be modified from time to time.
Customer authorizes AT&T to provide information about and to make changes to Customer's account, Including
adding new Service, upon the direction of any individual representative of Customer able to provide information
AT&T deems sufficient to identify Customer. Any order for Service and/or Equipment that Customer's representativE
submits to AT&T will be binding upon Customer pursuant to the terms and conditions of this Agreement. AT&T
may reasonably rely on the authority of any person who executes an order on Customer's behalf. Customer
consents to the use by AT&T or its authorized agents of regular mail, predictive or autodialing equipment, email,
text messaging, facsimile or other reasonable means to contact Customer and/or its CRUs to advise Customer
and/or its CRUs about AT&T's Services or other matters AT&T believes may be of interest to Customer and its
CRUs. In any event, AT&T reserves the right to contact Customer and/or its CRUs by any means regarding
customer service-re"lated notifications, or other such information.
4.2 Additional Products, Services, Equipment, and Programs. AT&T may make additional products, services,
Equipment and/or programs available to Customer through Attachments posted under the "A~ditional Products,
Services, Equipment and Programs" section of the Program Website. To the extent Customer orders. pays for, or
otherwise receives the benefit of any products, services, Equipment and/or proorams. Customer will be bound by
the rates. terms and conditions set forth in the corresponding Attachment. as well as in any Sales Information
referenced therein, as such rates, terms and conditions may be modified by AT&T from time to time. all of which
are incorporated herein by reference.
4.3 Identification and Password. Before Customer may use certain AT&T online activation, enrollment, configuration
and/or support services, an authorized representative of Customer must register with AT&T and create a login
identification ("ID") and password. Use of this login ID and password will enable Customer and/or its employees
and agents to make certain changes to Customer's and/or CRUs' account(s). Customer is solely responsible for
maintaining adequate security and control of any and all IDs, passwords, or any other codes that are created by
Customer, or issued to Customer by AT&T. for purposes of giving Customer access to activation. enrollment.
configuration and support services. AT&T is entitled to rely on information it receives from Customer or its
agents and may assume that all such information was submitted by or on behalf of Customer.
4.4 Supplemental Services. AT&T may also make available to Customer certain services, features or software
applications provided by third parties ("Supplemental Services"), which the third parties have authorized AT&T to
resell to Customer and distribute to Customer, or provide Customer with instructions to obtain, the third party's
end user license agreement ("EULA") and associated warranties and/or maintenance service terms, if any.
Available Supplemental Services are listed at att.com/abs-addtl-terms, as modified by AT&T from time to time,
and may include, without limitation, products that enable fleet tracking, mobile productivity, or workforce
automation and/or messaging, email, email forwarding or other server software-based services (collectively,
"Supplemental Services"). Customer acknowledges that (a) Customer is subject to the rates, terms and conditions
set forth in the applicable Sales Information for the Supplemental Services selected by Customer and/or its CRUs,
as such rates, terms and conditions may be modified by AT&T from time to time, all of which are incorporated
herein by reference, and (b) Customer Is also subject to the third party's EULA and other terms and conditions for
any Supplemental Service selected by Customer and/or its CRU. Supplemental Services are subject to change
without notice.
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5. Payment and Charges.
5.1 Payment. Customer must pay aU charaes. inctudina. without limitation. airtime. roamina. recurrina monthly service.
activation. optional feature charaes. license fees. toll. collect call and directory assistance charaes. Eauipment.
Supplemental Services. and any other charges or calls billed to a CRU's phone number. Customer may be billed
for multiple types of usaae Simultaneously. Customer must also pay applicable taxes and Qovernmental fees
(reaardless of whether they are imposed on Customer. a CRU. AT&T or a Carrier), administrative and late payment
fees. restoral and reactivation charaes. and any Other Monthly Charges (as defined below), For any termination
OnctudinQ when a Number is switched to another carrier), Customer will be responsible for payment of all fees
and charaes throuah the end of the billina cycle in which termination occurs. Payment is due upon receipt of the
Invoice.
5.1.1 Other Monthly Charges. In addition to the monthly cost of the Plan and any selected features. AT&T
imposes the following charaes: (al a Reaulatory Cost Recovery Charae of UP to $1.25 to help defray its
cost incurred in complYina with obliaations and charaes imposed by state and federal telecom reaulations.
(b) a aross receipts surcharae. (c) state and federal universal ser.vice charaes, and (d) other aovernmental
assessments on A T& T. These fees are not taxes or aovernment-required charaes. Customer understands
and aarees that state and federal universal service fees and other aovernmentallY imposed fees, whether
or not assessed directly upon Customer. may be increased based upon the aovernment's or AT&T's
calculations.
5.2 Charges.
5.2.1 Generally. If Eauipment is shipped to Customer or a CRU. Services may be activated before delivery of
the Equipment so that it can be used promptly upon receipt. Thus. Customer may be charQed for Services
while the Equipment is still in transit. Except as provided below. monthly service and certain other charaes
are billed one month in advance. and there is no proration of such charaes if Service is terminated on other
than the last day of the applicable billina cycle. Monthly service and certain other charaes are billed in
arrears if Customer is a former customer of AT&T Wireless and maintain uninterrupted service on select
Plans; however. if Customer elects to receive invoices for Service combined with Customer's wireline phone
bill (where available). Customer will be billed in advance as provided above. Unless otherwise provided in
the correspondina Sales Information. if a selected Plan includes a predetermined allotment of services
(e.a.. a predetermined amount of airtime. data. meaabvtes or text messaaes). any unused allotment of such
services from one billina cycle will not carry over to any other billlna cycle. AT&T may bill Customer in a
format as AT&T determines from time to time. Additional charges may apply for additional copies of
invoices. or for detailed information about Customer's usace of Services. All data and messaaina allowances
must be used in the billinc period in which the allowance is provided. Blllina of usaae for calls. messaaes.
data or other services (such as usaqe when roamina on other carriers' networks. includina internationally)
may occasionally be delayed. Such usaae charaes may appear in a later billina cycle. will be deducted from
Anytime monthly minutes or other Service allotments for the month when the usaae is actuallv billed. and
may result in additional charaes for that month. Those minutes will be applied against Customer's Anytime
monthly minutes in the month In which the calls appear on Customer's bill Customer also remains
responSible for payina the monthly service fee if Service is suspended for nonpayment. AT&T may reauire
payment by money order. cashier's check. or a similarly secure form of payment at A T& T's disc'retion.
Billina cycle end dates may chance from time to time. When a billinc cycle covers less than or more than
a full month. AT&T may make reasonable adjustments and prorations. Service charaes mav differ by Service
Area. Particular Services. Equioment and Suoolemental Services may incur charges in a different manner
than set forth herein. and AT&T will advise Customer of any such differences in the correspondinQ
Attachment and/or Sales Information. Certain Supplemental Services and non-stocked Equipment may be
billed to Customer's or its CRUs' invoices. as applicable. by AT&T on behalf of the third party provider
pursuant to the terms and conditions of A T& T's Alliance Billlna Service Attachment found at the ProQram
Website. AT&T will advise Customer when the Alliance BilIina Service applies.
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5.2.2 Voice St;!rvice Charges. AIRTIME AND OTHER MEASURED USAGE ("CHARGEABLE TIME") IS BILLED IN
FULL-MINUTE INCREMENTS, AND ACTUAL AIRTIME AND USAGE ARE ROUNDED UP TO THE NEXT FULL-
MINUTE INCREMENT AT THE END OF EACH CALL FOR BILLING PURPOSES. AT&T CHARGES A FULL MINUTE
OF AIRTIME USAGE FOR EVERY FRACTION OF THE LAST MINUTE OF AIRTIME USED ON EACH WIRELESS
CALL UNLESS OTHERWISE PROVIDED IN THE SALES INFORMATION FOR A PARTICULAR PLAN OR FEATURE,
MINUTES WILL BE DEPLETED ACCORDING TO USAGE IN THE FOLLOWING ORDER: NIGHT AND WEEKEND
MINUTES, MOBILE TO MOBILE MINUTES, ANYTIME MINUTES AND ROLLOVER, EXCEPT THAT MINUTES THAT
ARE PART OF BOTH A LIMITED PACKAGE AND AN UNLIMITED PACKAGE WILL NOT BE DEPLETED FROM THE
LIMITED PACKAGE. Chargeable Time begins for outgoing calls when pressing SEND (or similar key) and for
incoming calls when a signal connection from the caller is established with AT&T's facilities. Chargeable
Time ends after pressing END (or similar key), but not until the Equipment's signal of call disconnect is
received by AT&T's facilities and the call disconnect signal has been confirmed. All outgoing calls on
AT&T's wireless network for which AT&T's systems receive answer supervision or which have at least thirty
(30) seconds of airtime or other measured usage shall incur a minimum of one (1) minute airtime charge.
Answer supervision Is generally received when a callis answered; however, answer supervision may also
be generated by voice mail systems.private branch exchanges, and interexchange switching equipment.
Chargeable Time may (a) include time for AT&T to recognize that only one party has disconnected from
the call,. time to clear the channels in use, and ring time, and (b) occur from other uses of AT&T's facilities,
including by way of example, voice mail deposits and retrievals, and call transfers. Calls that begin in one
rate period and end in another rate period may be billed in their entirety at the rates for the period in
which the call began.
5.2.3 Wireless Data Service Charges. DATA TRANSPORT IS CALCULATED IN FULL-KILOBYTE INCREMENTS, AND
ACTUAL TRANSPORT IS ROUNDED UP TO THE NEXT FULL-KILOBYTE INCREMENT AT THE END OF EACH DATA
SESSION FOR BILLING PURPOSES. AT&T CALCULATES A FULL KILOBYTE OF DATA TRANSPORT FOR EVERY
FRACTION OF THE LAST KILOBYTE OF DATA TRANSPORT USED ON EACH DATA SESSION. TRANSPORT IS
BlUED EITHER BY THE KILOBYTE ("KB") OR MEGABYTE ("MB"). IF BILLED BY MB, THE FULL KBs CALCULATED
FOR EACH DATA SESSION DURING THE BILLING PERIOD ARE TOTALED AND ROUNDED UP TO NEXT FULL MB
INCREMENT TO DETERMINE BILLING. IF BILLED BY KB, THE FULL KBs CALCULATED FOR EACH DATA SESSION
DURING THE BILLING PERIOD ARE TOTALED TO DETERMINE BILLING. NETWORK OVERHEAD, SOFTWARE
UPDATE REQUESTS, EMAIL NOTIFICATIONS AND RESEND REQUESTS CAUSED BY NETWORK ERRORS CAN
INCREASE MEASURED KILOBYTES. Utilizing compression solutions mayor may not Impact the amount of
kilobytes calculated for data transport. For Wireless Data Service that permits Voice Service usage at pay
per use rates, airtime and other measured usage will be billed in full minute increments and rounded up to.
the next full minute Increment at the end of each call. Customer is responsible for all Wireless Data Service
usage sent through AT&T's wireless network and associated with Equipment regardless of whether the
Equipment actually receives the information. Network overhead, software update requests, and resend
requests caused by network errors can Increase measured kilobytes. Data sent and received includes, but
is not limited to, downloads, emaH, overhead and software update checks. If Customer or a CRU chooses
to connect Equipment to a PC for use as a wireless modem. standard Wireless Data Service charges will
apply in accordance with the corresponding Plan. Wireless Data Service usage Is compiled as often as
once per hour or only once every 24 hours. AT&T's system will then create a billing record representing (a)
the Wireless Data Service usage for each data gateway or service accessed (e.g. WAP, RIM) while on AT&T's
wireless network; (b) the usage for each Carrier's domestic network; and (c) the Wireless Data Service usage
for each international network. In some situations billing for Wireless Data Service usage may be delayed;
any delayed usage will create additional billing records for the actual day of the usage. Usage on networks
not owned by AT&T is limited as provided in Customer's Wireless Data Service Plan. Unless designated for
international or Canada use, Plan prices and included use apply to access and use on AT&T's wireless
network and the wireless networks of other companies with which AT&T has a contractual relationship
within the United States and its territories (Puerto Rico and the U.S. Virgin Islands), excluding areas within
the Gulf of Mexico.
5.3 Software. Any software licensed seoarately by AT&T to Customer and/or its CRUs for use with the Service will be
governed by the written terms and conditions aoplicable to such software. Title to software remains with AT&T or
its supplier. Customer must comply with all such terms and conditions and they take precedence over this
Agreement as to such software. For the avoidance of doubt. software referred to herein does not include Software
as defined in the Enterprise Customers: Additional Service and EquipmenfRelated Terms found at
att.com/abs-addtl-terms or any Supplemental Service.
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5.4 Disputed Charges. Except as otherwise provided by law with respect to unauthorized charges, disputed charges
must be disputed to AT&T in writing within six (6) months after the date of the affected Invoice, or the right to dis-
pute is waived. In the event of a disputed invoice. Customer will pay the entire undisputed amount of the invoice.
AT&T, Customer and Carriers will use their good faith efforts to reconcile the dispute within sixty (60) days of sub-
mission of the dispute to AT&T.
5.4.1 Unauthorized Charges to Equipment. (California Customers Only) Customer is not liable for charges it:did
not authorize, but the fact that a call was placed from a CRU's Equipment is evidence that the call was
authorized. Customer may submit documents, statements and other information to show any charges were
not authorized. Unauthorized charges may include calls made to or from a CRU's Equipment after it was
lost or stolen. If Customer notifies us of any charges on its bill it claims are unauthorized, AT&T will
investigate. AT&T will advise Customer of the result of its investigation within 30 days. If Customer does
not agree with the outcome, Customer may file a complaint with the California Public Utilities Commission
and Customer may have other legal rights. While an investigation is underway, Customer does not have to
pay any charges it disputes or associated late charges, and AT&T will not send the disputed amount to
collection or file an adverse credit report about it.
5.5 Late Payment Fee. Late payment charaes are based on the state to which the area code of the first Number
asslaned to Customer's billina account is assianed by the North American Numberina Plan Administration (for
area code assianments. see nationalnanpa.com/area code maps). If Customer has a single consolidated invoice
across multiple billina accounts. the late payment fee will be calculated based on the Customer address associated
with the Customer's foundation accbunt profile.Customer will pay AT&T a late payment fee equal to the lesser of
UP to one and one-half percent (1.5%) per month (prorated daily) of any amount not paid by the due date. or the
hiahest amount allowed by applicable state law or tariff; provided. however. that. with respect to amounts not paid
by Customer in accordance with li5.4 above. A T& T and Customer agree that the late payment fee will accrue on
the unpaid disputed amount as set forth above during the dispute resolution process but that Customer will only
be liable for the late payment fee to the extent the dispute is resolved in favor of A T& T. In the event Customer
fails to pay billed charges when due and it becomes necessary for AT&T to refer Customer's account(s) to a third
party for collection, AT&T will charge a collection fee at the maximum percentage permitted by applicable law,
but not to exceed 18% to cover the internal collection-related costs AT&T has incurred on such account(s)
through and including the date on which AT&T refer(s) the account(s) to such third party.
5.6 Advance Payments and/or Deposits. AT&T may require Customer to make deposits or advance payments for
Service, which AT&T may offset against any unpaid balance on Customer's account. Interest won't be paid on
advance payments or deposits unless required by law. AT&T may require additional advance payments or deposits
if AT&T determines that the initial payment was inadequate. Based on Customer's creditworthiness as AT&T
determines it. A T& T may establish a credit limit and restrict Service. If Customer's account balance goes beyond
the limit AT&T set for Customer, AT&T may immediately interrupt or suspend Service until Customer's balance is
brought below the limit. Any charges incurred by Customer's CRUs' in excess of Customer's limit become
immediately due. If Customer has more than one account with AT&T, Customer must keep all accounts in good
standing to maintain Service. If one account is past due or over its limit. all accounts in Customer's name are
subject to interruption or termination and all other available collection remedies. AT&T will charge Customer up
to $30 (depending on applicable law) for any check or other instrument (including credit card charge backs)
returned unpaid for any reason.
6. Default, Termination, Cure and Remedies.
6.1 Default and Termination. If either party fails to perform or observe any material term or condition of this
Agreement. then such Darty will be in default of the Agreement. and the non-defaultina party may terminate
the Aareement in accordance with the terms and conditions of ~6.2 below.
6.2 Notice and Opportunity to Cure. The party seeking to terminate the Agreement under ~6.1 above must notify
the defaulting party in writing at least thirty (30) days prior to the proposed termination date. This written notice
must specify the default(s) giving rise to the right to terminate the Agreement and must specify a proposed
termination date. The defaulting party will have thirty (30) days in which to cure the default(s), unless such cure
period is extended by agreement of the parties. If the default is not cured within this thirty (30) day cure period
or any extension thereof, then the Agreement will automatically terminate at the close of business on the
termination date specified in the written notice or any agreed extension.
6.3 Termination for Deletion of Service Area. If the deletion of any Service Area materially reduces the Service
provided to Customer hereunder, then Customer, within thirty (30) days of the effective date of the Service Area
deletion. must notify AT&T in writing of its intent to terminate. Such written notice must specify the material Service
Area deletion and must specify a proposed termination date no earlier than thirty (30) days from the date of the
notice.
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6.4 Remedies. Upon termination for any reason, the parties may seek any remedies available at law or in equity.
and Customer will pay to AT&T all amounts incurred hereunder as of the termination date. including any
Cancellation Fee's). In addition, Customer will pay to AT&T all collection costs and expenses. including reasonable
attorneys' fees and costs. incurred by AT&T in exercisinq any of its riqhts and remedies when enforcing any
provisions of this Agreement.
7. DISCLAIMERS AND LIMITATIONS OF LIABILITY
1.1 Disclaimer of Warranties. AT&T MAKES NO REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, AND
SPECIFICALLY DISCLAIMS ANY REPRESENTATION OR WARRANTY OF MERCHANTABILITY, FITNESS FOR A
PARTICULAR PURPOSE, TITLE, NON-INFRINGEMENT. OR ANY WARRANTY ARISING BY USAGE OF TRADE OR
COURSE OF DEALING. FURTHER, AT&T MAKES NO REPRESENTATION OR WARRANTY THAT WIRELESS CALLS OR
OTHER TRANSMISSIONS WILL BE ROUTED OR COMPLETED WITHOUT ERROR OR INTERRUPTION (INCLUDING
CALLS TO 911 OR ANY SIMILAR EMERGENCY RESPONSE NUMBER), OR GUARANTEE REGARDING NETWORK
SECURITY, THE ENCRYPTION EMPLOYED BY ANY SERVICE, EQUIPMENT OR SUPPLEMENTAL SERVICE, THE
INTEGRITY OF ANY DATA THAT IS SENT, BACKED UP, STORED OR SUBJECT TO LOAD BALANCING, OR THAT
AT&T'S SECURITY PROCEDURES WILL PREVENT THE LOSS OR ALTERATION OF, OR IMPROPER ACCESS TO,
CUSTOMER'S DATA AND INFORMATION. AT&T DOES NOT AUTHORIZE ANYONE TO MAKE A WARRANTY OF
ANY KIND ON ITS BEHALF, AND CUSTOMER SHOULD NOT RELY ON ANYONE MAKING SUCH STATEMENTS. AT&T
IS NOT THE MANUFACTURER OF EQUIPMENT PURCHASED BY OR PROVIDED TO CUSTOMER IN CONNECTION WITH
USE OF THE SERVICE AND/OR SUPPLEMENTAL SERVICE.
7.2 Limitation of Liability
(a) AT&T'S ENTIRE LIABILITY, AND CUSTOMER'S EXCLUSIVE REMEDY, FOR DAMAGES ARISING OUT OF MISTAKES,
OMISSIONS, INTERRUPTIONS, DELAYS, ERROR OR DEFECTS IN THE SERVICE OR SUPPLEMENTAL SERVICE THAT
LAST MORE THAN TWENTY-FOUR (24) HOURS, AND NOT CAUSED BY CUSTOMER'S NEGLIGENCE, WILL IN NO
EVENT EXCEED THE RECURRING SERVICE CHARGES FOR THE PERIOD DURING WHICH SUCH MISTAKE,
OMISSION, INTERRUPTION, DELAY, ERROR OR DEFECT OCCURS AND CONTINUES. IN NO EVENT SHALL AT&T
BE LIABLE TO CUSTOMER FOR ANY DAMAGES ARISING OUT OF MISTAKES, OMISSIONS, INTERRUPTIONS,
DELAYS, ERROR OR DEFECTS THAT LAST LESS THAN TWENTY FOUR (24) HOURS.
(b) 9 7.2(a) WILL NOT APPLY TO:
(i) BODILY INJURY, DEATH, OR DAMAGE TO REAL OR TANGIBLE PROPERTY DIRECTLY CAUSED BY AT&T'S
NEGLIGENCE;
(ii) BREACH OF 912 (Publicity and Advertising) OR 913.6 (Confidential Information); OR
(iii) DAMAGES ARISING FROM AT&T'S GROSS NEGLIGENCE OR WILLFUL MISCONDUCT.
(c) NEITHER AT&T NOR CUSTOMER WILL BE LIABLE TO THE OTHER PARTY FOR ANY INDIRECT, INCIDENTAL,
CONSEQUENTIAL, PUNITIVE, RELIANCE, OR SPECIAL DAMAGES, INCLUDING, WITHOUT LIMITATION,
DAMAGES FOR LOST PROFITS, ADVANTAGE, SAVINGS OR REVENUES, OR INCREASED COST OF OPERATIONS.
1.3 Disclaimer of Liability. AT&T WILL NOT BE LIABLE FOR ANY DAMAGES, EXCEPT TO THE EXTENT CAUSED BY
AT&T'S GROSS NEGLIGENCE OR WILLFUL MISCONDUCT, ARISING OUT OF OR RELATING TO: INTEROPERABILlTY,
ACCESS OR INTERCONNECTION OF THE SERVICE, EQUIPMENT OR SUPPLEMENTAL SERVICE WITH APPLICATIONS,
EQUIPMENT, SERVICES, CONTENT OR NETWORKS PROVIDED BY CUSTOMER OR THIRD PARTIES; SERVICE DEFECTS,
SERVICE LEVELS, DELAYS OR INTERRUPTIONS (EXCEPT FOR LIABILITY FOR SUCH EXPLICITLY SET FORTH IN THIS
AGREEMENT); ANY INTERRUPTION OR ERROR IN ROUTING OR COMPLETING CALLS OR OTHER TRANSMISSIONS
(INCLUDING 911 CALLS OR ANY SIMILAR EMERGENCY RESPONSE NUMBER); lOST OR ALTERED MESSAGES OR
TRANSMISSIONS; OR UNAUTHORIZED ACCESS TO OR THEFT, ALTERATION, LOSS, OR DESTRUCTION OF
CUSTOMER'S, ITS AFFILIATE'S, END USERS', OR THIRD PARTIES' APPLICATIONS, CONTENT. DATA, PROGRAMS,
INFORMATION, NETWORK, OR SYSTEMS.
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1.4 Premier. CUSTOMER AGREES THAT AT&T WILL HAVE NO LIABILITY TO CUSTOMER FOR ANY UNAUTHORIZED
INTERCEPTION OF AND/OR ACCESS TO PREMIER. AT&T's security features for Premier include secure socket
layer (SSL) encryption technology and password restrictions. In addition, CUSTOMER AGREES THAT AT&T WILL
HAVE NO LIABILITY TO CUSTOMER FOR ANY DELAYS IN PROVIDING INFORMATION ON PREMIER OR ANY
FAILURE OF PREMIER. CUSTOMER'S SOLE AND EXCLUSIVE REMEDY FOR ANY DAMAGES, LOSSES, CLAIMS,
COSTS AND EXPENSES ARISING OUT OF OR RELATING TO PREMIER WILL BE THE TERMINATION OF CUSTOMER'S
ACCESS TO PREMIER.
1.5 Application and Survival. The disclaimer of warranties and limitations of liability set forth in this Agreement
will apply regardless of the form of action, whether in contract, equity, tort, strict liability or otherwise and
whether damages were foreseeable, and will apply so as to limit the liability of AT&T, Customer and their
respective Affiliates, employees, directors, subcontractors, and suppliers. The limitations of liability and
disclaimers set out in this 97 will survive failure of any exclusive remedies provided in this Agreement.
8. Force Majeure. Except for payment of amounts due, neither party will be liable for any delay, failure in performance,
loss or damage due to fire, explosion, cable cuts, power blackout, earthquake, flood, strike, embargo, labor disputes,
acts of civil or military authority, war, terrorism, acts of God, acts of a public enemy, acts or omissions of carriers or
suppliers, acts of regulatory or governmental agencies, or other causes beyond such party's reasonable control.
9. Arbitration. The parties agree to exercise their best efforts to settle any disoute arisina out of or related to this
Aareement throuah aood faith neaotiation. Any dlsoute arisina out of or related to this Aareement that cannot be
resolved by neaotiation shall be resolved by blndina arbitration administered by the American Arbitration Association
("AAA") under its Commercial Arbitration Rules in effect at the time that a dlsoute Is submitted for resolution (the
"Rules"), as modified by this Aareement. Judament on the award rendered by the arbltrator(s) may be entered in any
court havlna lurlsdictlon thereof. Such arbitration shall be held In New York. New York. The oarties shall. within
(twenty) 20 days of the issuance of a written notice of intent to arbitrate. as orovided by the Rules. lointly select
one (11 independent arbitrator licensed to practice law and familiar with the wireless telecommunications industry.
If the oarties cannot aaree on an arbitrator within the specified 20-day oeriod. then the selection shall oromotlv be
made by the AM in accordance with the Rules and the criteria set forth above. This AQreement evidences a
transaction in interstate commerce. and thus the Federal Arbitration Act. 9 U.S.C. ~ 1, et sea, aoverns the interpretation
and enforcement of this provision. In the event of a conflict between the FAA and the RuLes. the FAA shall aovern.
In no event shall the arbitrator have the authority to make any award that is in excess of or contrary to what the
Aareement provides. THE PARTIES AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN ITS INDIVIDUAL
CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING.
Furthermore. unless both oartles agree otherwise. the arbitrator may not consolidate more than one oerson's claims.
and may not otherwise oreside over any form of a reoresentative or class oroceedina. If this soeciflc proviso is found
to be unenforceable. then the entirety of this arbitration orovision shall be null and void.
If Customer is a Puerto Rico customer and AT&T cahnot resolve the Issue. in addition to bindlnQ arbitration. Customer
may notify the Telecommunications Reaulatorv Board of Puerto Rico of the arlevance. Mail: 500 Ave Roberto H. Todd,
(Parada 18>. San Juan, Puerto Rico 00907-3941-; Phone: 1-787-756-0804 or 1-866-578-5500; Online:. irtor.qobierno.pr.
In addition to usinQ bindinQ arbitration or small claims court to resolve the dispute.
10. No Class Actions. All claims between AT&T and Customer related to this Agreement will be litigated individually, and
Customer will not consolidate or seek class treatment for any claim unless previously agreed to In writing by AT&T.
11. Use of Service.
11.1 Changes to Numbers. Except as otherwise orovided by law, Customer has no property riQhts to any Number. and
AT&T may change any such Number.
11.2 Fraud Prohibited. Customer and its respective CRUs' and IRUs (If applicable) will not use or assist othersto use
the Servl<:e or Equipment for any unlawful, unauthorized, abusive or fraudulent purpose. If Customer's Equipment
is lost or stolen, Customer and/or its CRUs can report the Equipment as lost or stolen and suspend Service withol
a charge by contacting AT&T at the phone number listed on the monthly invoice or at wireless.atlcom. Customer
is responsible for all charges incurred until Customer or its CRU reports the theft or loss to A T& T except as
otherwise provided by law, and Customer remains responsible for complying with all other obligations under this
Agreement Including, but not limited to, paying the Monthly Service Charge while the Equipment is suspended.
Any Carrier may cancel Service to any Number if A T& T or that Carrier believes the Number is being used in an
unlawful, abusive or fraudulent manner. Before a Carrier cancels any Service under this paragraph, the Carrier will
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attempt to give Customer notice of its intent to cancel. In the event Customer instructs the Carrier to retain
Service. Customer will be responsible for paying all charQes, authorized. unauthorized or fraudulent. associated with
such Number. including but not limited to charQes incurred by any clone or duplication of that Number; provided,
however, that Customer will not be liable for IRUs' charges under any such circumstance. Additionally, Customer
agrees to adopt, at no additional charge to Customer, any reasonable fraud prevention or fraud reduction processes
or products recommended by AT&T or, if not adopted by Customer, to be responsible for any unauthorized charges
on Numbers which do not adopt such processes or products.
11.3 Acceptable Use; Restrictions Regarding Service. All use of AT&T's wireless network arid Service is governed by
AT&T's Acceptable Use Policy, which can be found at att.com/AcceptableUsePollcy, as determined solely bv AT&T.
AT&T can revise its Acceptable Use Policy at any time without notice. Use of Service Is also sublect to any
restrictions and/or prohibited uses described in the applicable Sales Information.
11.4 Ownership. AT&T owns or leases the exclusive rights to the frequencies related to the Service, Numbers and
transmission facilities used by AT&T in the provision of Service to AT&T customers. FCC regulations strictly forbid
any party that is not a wireless communications licensee from altering, enhancing or maintaining cellular radio
signals. FCC regulations require AT&T to maintain control over any transmitting device that operates within AT&T's
assigned frequencies. Customer may not install anv amplifier, enhancer, repeater or other device or system on
AT&T's wireless network or frequencies without AT&T's prior written approval.
11.5 Content. Customer Is solely responsible for all content that it permits to be posted or transmitted onto or through
the Service or any of AT&T's systems, including materials, code, data, text (whether or not perceptible by End Users),
multimedia information (including, but not limited to, sound, data, audio, video, graphics, photographs or artwork),
e-mail, chat room content, bulletin board postings, or any other items or materials accessible through the Service or
any of AT&T's systems ("Content"). Customer has sole responsibility for any losses resulting from Customer's or
CRUs' downloading, access to, or use of any third-party Content, or from Customer's or CRUs' access to or use of
the Service or the Internet, in any manner and for any purpose whatsoever. In providing Service, AT&T may permit
End Users to transmit, receive and host content over its network and the Internet and may act as a "services
provider" as defined in the Digital Millennium Copyright Act.
11.6 Customer's Notices to End Users. Customer will advise all its End Users that they must read all collateral
materials concerning Service and use of the Equipment. Including, without limitation, the Welcome Guide, Plan
brochures, coverage maps, and materials related to Equipment and accessories. AT&T will make copies of such
materials available to Customer upon request. Customer will also provide to End Users, and advise End Users to
read, any additional printed. materials and consumer information reasonably requested by AT&T from time to time
to be so provided. Similarly, for purposes of determining which jurisdiction's taxes and other assessments to
collect, federal law requires AT&T to obtain End User's Place of Primary Use ("PPU"), which must be their
residential or business street address and which must be within a Carrier's licensed Service Area. Customer agrees
to provide its respective CRUs' PPU when ordering Service on behalf of such person(s), and to inform its End Users
that they must provide their proper PPU when ordering Service in connection with this Agreement. If a CRU
doesn't provide AT&T with a PPU, or if it falls outside AT&T's licensed Service Area, AT&T may reasonably designate
a PPU within the licensed Service Area for such CRU. Each CRU must live and have a mailing address within AT&T's
owned network coverage area.
11.7 Location-Based Services. AT&T collects information about the approximate location of Equipment in relation to
AT&T's cell towers and the Global Positioning System ("GPS"). AT&T uses that information, as well as other usage
and performance information also obtained from AT&T's network and the Equipment, to provide Voice Services and
Wireless Data Services and to maintain and improve AT&T's network and the quality of customers' wireless
experience. AT&T may also use location information to create aggregate data from which End Users' personally
identifiable information has been removed or obscured. Such aggregate data may be used for a variety of
purposes such as scientific and marketing research and services such as vehicle traffic volume monitoring. It is
Customer's responsibility to notify all CRUs on Customer's account that AT&T may collect and use location
information from their Equipment. The Equipment is also capable of purchasing and using optional goods,
content and services (at Customer's request or the request of a CRU on Customer's account) offered by AT&T or
third parties that make use of the Equipment's location information ("location-Based Services"). Customer should
review, and will advise all of its CRUs to read, the Sales Information and the associated privacy policy for each
Location-Based Service to learn how the location information will be used and protected. Customer and its CRUs
may refer to AT&T's privacy policy at att.com/privacy for additional details.
11.8 AT&T 411 Info. AT&T's directory assistance service (411) may use the location of Equipment to deliver relevant
customized 411 information based upon an End User's request for a listing or other 411 service. Customer
understands, and will advise all of its CRUs, that by using this directory assistance service, the CRU Is consenting
to AT&T's use of the CRU's location information for such purpose. This location information may be disclosed to a
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third party to perform the directory assistance service and for no other purpose. Such location information will be
retained only as long as is necessary to provide the relevant customized 411 information and will be discarded
after such use. Customer and its CRUs may refer to AT&T's privacy policy at att.com/prlvacy for additional details.
11.9 American Recovery and Reinvestment Act. Under certain circumstances, funds provided under the American
Recovery and Reinvestment Act of 2009 ("ARRA") may be subject to certain restrictions, requirements and reporting
obligations. A T& T may be subject to some of these restrictions, requirements and reporting obligations when Service,
Equipment and/or Supplemental Services are purchased with ARRA funds. In order to comply with the restrictions,
requirements and reporting obligations associated with the use of ARRA funds (if any), AT&T must be apprised of them
before provisioning the Service, EqJipment and/or Supplemental Services. Accordingly, the Service, Equipment and/or
Supplemental Services provided under this Agreement shall not be used to sURPort the performance of any portion of
a project or program which has been funded in whole or in part with grants, loans or payments made pursuant to the
ARRA, without the prior written agreement of AT&T and Customer regarding any specifically applicable terms, conditions
and requirements. Customer shall provide AT&T with prior written notice before placing any order that may be funded
in whole or in part with ARRA funds. If Customer fails to provide such prior written notice of ARRA funding; or if the
parties cannot agree on the terms and conditions (If any) applicable to an ARRA funded order; or if any terms,
conditions or requirements (other than those to which AT&T specifically agrees in such separate writing) are found to
be applicable, then AT&T may, in its sole discretion, reject such order or immediately terminate the provision of any
affected Service, Equipment and/or Supplemental Service without further liability or obligation.
12. Publicity and Advertising. Neither party will publish or use any advertising, sales promotion, press release or other
publicity that uses the other party's name, logo. trademarks or service marks without the prior written approval of the
other party.
13. Miscellaneous.
13.1 Defined Terms. Unless specifically excepted, all defined terms, regardless of where defined, will have the same
meaning In all documents comprising this Agreement Including, without limitation, the Cover Page (if applicable),
the Program Description, the General Terms and Conditions and all attachments. In addition to the terms defined
elsewhere, these terms will have the following meanings in the Agreement:
13.1.1 "Affiliate" means and,;ncludes legal entities controlling or controlled by or under common control with
AT&T.
13.1.2 "Carrier" or "Carriers" means a licensed Affiliate of AT&T that operates commercial mobile radio
telecommunications systems in the geographic areas covered by the Agreement and, with respect to
~8 of these General Terms and Conditions, includes the Carriers' respective employees, officers, agents
and subcontractors.
13.1.3 "AT&T" or "party" when it refers to AT&T, includes AT&T, its Affiliates, and their respective employees,
officers, agents and subcontractors.
13.1.4 "AT&T Markets" means a geographic area served by Affiliates under common control with AT&T.
13.1.5 "Equipment" means the wireless receiving and transmitting equipment or SIM (Subscriber Identity
Module) Card that AT&T has authorized to be programmed with a Number or Identifier, and any accessories.
13.1.6 "Messaging Services" means optional text/instant messaging and picture/video messaging features
available with qualified Plans for use with Messaging Service-capable Equipment.
13.1.7 "Number" or "Identifier" means any number, IP address. e-mail address or other identifier provisioned by
Carriers, their agents or the Equipment manufacturer to be used with Service.
. 13.1.8 "Plan" means a wireless calling plan, Service plan or rate plan from AT&T.
13.1.9 "Service" means commercial mobile radio service, including without limitation Voice Service, Wireless
Data Service and Messagin'g Services. For the avoidance of doubt, Service does not include Equipment
or Supplemental Services.
13.1.10 "Voice Service" means wireless voice telecommunications services.
13.1.11 "Wireless Data Service" means wireless data telecommunications services.
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13.2 Assignment. This Agreement may not be assigned by either party without the prior written consent of the other
and such consent will not be unreasonably withheld. However, either party may. without the other party's consent,
assign this Agreement to an Affiliate or to any entity that acquires substantially all of the party's business or stock
and AT&T may assign its right to receive payments hereunder. Subject to the foregoing, this Agreement will be
binding upon the assignees of the respective parties.
13.3 Compliance with Laws. AT&T and Customer agree to comply with all applicable federal. state and local laws and
regulations in the performance of their respective obligations under this Agreement.
13.4 Entire Agreement. Unless specifically set forth herein, this Agreement is the entire agreement between the
parties with respect to the subject matter herein and supersedes all prior agreements, proposals. representations,
statements, or understandings, whether written or oral. Any change. modification or waiver of any of the terms
and conditions of the Agreement will not be binding unless made in a writing manually signed by both parties.
If the terms contained in this Agreement conflict or are inconsistent with the terms of any purchase order or othel
document provided by Customer, the terms of this Agreement will control.
13.5 Governing Law. This Agreement is subject to applicable federal laws. federal or state tariffs, if any, and the
laws of the State of Georgia. Where Service terms and conditions are regulated by a state agency or the FCC,
the applicable regulations are available for inspection. If there is any inconsistency between the Agreement and
those regulations, this Agreement will be deemed amended as necessary to conform to such regulations.
13.6 Confidentiality. The terms and conditions of this Agreement are confidential and will not be disclosed by a
party to any third party without the other party's prior written consent (except that each party may disclose the
terms and conditions of this Agreement to its employees and, in the case of AT&T, its agents and subcontractors,
who have a direct need to know the terms and conditions of the Agreement.) Nothing herein will prevent AT&T
or Customer from supplying such information or making such statements or disclosures relating to this Agreement
before any competent governmental authority, court or agency, or as such party may consider necessary in order
to satisfy its obligations under applicable laws, regulations or generally accepted accounting principles (including.
without limitation. statements or disclosures to such party's lawyers or accountants). Such party will furnish
notice thereof to the other party prior to such disclosure unless such disclosure is in response to a lawfuL
requirement or request from a court or governmental agency regarding a criminal inquiry or matter, in which
case no prior notice will be required.
13.1 Notices. All notices and communications required or permitted under the Agreement may be sent by first class
mail (to Customer at the address indicated on the Cover Page (or, in the case of online versions of the Agreement,
to Customer at the address confirmed during the online contracting process) and to AT&T at the address indicated
below). electronic messaging (to Customer at the email. address indicated on the Cover Page (or, in the case of
online versions of the Agreement, to Customer at the legal notice email address confirmed during the online
contracting process), bill inserts or other reasonable means. Notwithstanding the foregoing, any such notice or
communication with respect to non-renewal, disputes, breach and/or termination under the Agreement must be
in writing and will be deemed to have been duly made and received when personally served or delivered by
facsimile with a confirmation report, or when mailed by overnight delivery service or certified mail, postage
prepaid, return receipt requested. to Customer at the address indicated on the Cover Page (or, in the case of
online versions of the Agreement, to Customer at the address provided during the online contracting process) and
to AT&T at the address(es) indicated below. A party may change its address upon thirty (30) days' prior written
notice to the other party.
(If via regular or certified mail)
AT&T Mobility National Accounts. llC
P.O. Box 97061
Redmond, WA 98073
Attn: Offer, Development & Negotiation
Facsimile Number: 425-580-9886
(If via overnight delivery)
AT& T Mobility National Accounts, llC
16331 NE 72nd Way, RTC 1
Redmond, WA 98052
Attn: Offer, Development & Negotiation
With a copy to AT&T Legal
Facsimile Number: 908-532-1263
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13.8 Severability. If any portion of this Agreement is found to be unenforceable, the remaining portions will remain
in effect and the parties will begin negotiations for a replacement of the invalid or unenforceable portion.
13.9 Survival. The terms and provisions of this Agreement which by their nature require periormance by either party
after the termination or expiration of this Agreement, including, but not limited to, limitations of liability,
exclusions of damages, and indemnities, will be and remain enforceable notwithstanding such termination or
expiration of this Agreement for any reason whatsoever.
13.10 Third Party Beneficiaries. Other than as expressly set forth herein, this Agreement will not be deemed to
provide third parties with any remedy, claim, right of action, or other right.
13.11 No Waiver. Neither the acceptance by AT&T of any payment, partial payment or any other performance by
Customer, nor any act or failure of AT&T to act or to exercise any rights, remedies or options in anyone or more
instances will be deemed a waiver of any such right, remedy or option or of any breach or default by Customer
then existing or thereafter arising. No claimed waiver by AT&T of any rights, remedies or options will be binding
unless the same is in a writing signed by AT&T.
13.12 TTY Users. Although some digital wireless phones and nvs are compatible, the FCC recommends TTY users
consider other options when calling 911, including using a wireline phone or Telecommunications Relay Services.
13.13 Remedies Nonexclusive. Except where otherwise expressly provided, no remedy conferred upon either party in
the Agreement is intended, nor shall it be construed, to be exclusive of any other remedy provided in the
Agreement or as allowed by law or in equity; rather, all such remedies shall be cumulative.
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PLANS
Last Revised 8/21/11
These Plans are available through all sales channels:
VOICE SERVICE PLANS (1)
· AT&T Nation Plans
A T& T Viva Mexico Nation Plans
AT&T Nation with Canada Plans
. Any other generally available post-paid Plan within each AT&T Market for which the Customer or End User qualifies
WIRELESS DATA SERVICE PLANS
· AT&T Data Plans, Including, without limitation:
· Data Connect Plans (9) (11)
- DataPlus Personal Plans (9)
- DataPro Personal Plans
- DataPro Personal with Tethering Plans
- DataPro Enterprise Plans
- DataPro Enterprise with Tethering Plans
· Any other generally available post-paid Plan within each AT&T Market for which the Customer or End User qualifies
These Plans are available only in select channels (exceptions noted): (1)
· AT&T FamilyTalk Plans (2)
· AT&T Viva Mexico FamilyTalk Plans (2)
· AT&T FamilyTalk with Canada Plans (2)
· Business Pooled Nation Plans (3)
BusinessTalk Plans (3) (8)
· Shared Business Solution Plans (with a Maximum Number of 60 or more Corporate Responsibility Users) (3) (5)
· Pooled DataConnect Plans (3) (4)
· Business Connect Plans (3) (4)
Data Plan for iPhone (first-generation only) (7)
· DataPro Enterprise for iPhone (10)
· DataPro Enterprise with Tethering for iPhone (10)
· Enterprise Data Plan for iPhone (first-generation only) (3)
DataConnect Enterprise Plans for iPad
· DataConnect International Enterprise Plan for iPad
· DataConnect Personal Plans for iPad (6)
· DataConnect Enterprise Plans for Tablets
!
· I DataConnect International Enterprise Plan for Tablets
· DataConnect Personal Plans for Tablets (6)
(1) With respect to both Corporate Responsibility Users (CRUs) and Individual Responsibility Users (IRUs), the Service
Discount described in your Agreement is NOT available on any unlimited Voice Service Plans (such as AT&T Nation
Unlimited and AT&T Unlimited FamilyTalk), regardless of the device used with such Plans. In addition, with respect to
IRUs only, the Service Discount is NOT available on any other Voice Service Plan used with a first-generation iPhone.
(2) The Service Discount described in your Agreement is NOT available with FamilyTalk Plans unless you have started a
new FamilyTalk Group on, or changed price points to, a FamilyTalk Plan other than AT&T Unlimited FamilyTalk after
3/31/08.
(3) Not available to Individual Responsibility Users (a.k.a. IRUs).
(4) Not available in retail channels.
(5) Not available in retail channels or through Premier.
(6) The Ser.vice Discount described in your Agreement is NOT available with these Plans.
(7) Not available to CRUs, and not available to IRUs through Premier. The Service Discount described in your
Agreement is not available with these Plans.
(8) The Service Discount described in your Agreement will only apply to the primary line of eligible plans.
(9) With respect to both Corporate Responsibility Users (CRUs) and Individual Responsibility Users (IAUs), the Service
Discount described in your AT&T business Agreement is NOT available on the DataPlus Personal 515 Plan. In addition,
the DataPlus Personal $15 Plan is not available for CRUs.
(10) Ineligible for use with original iPhone.
(11) S50 5GB DataConnect for use with AT&T Mobile Hotspot devices, 4G Netbooks, 4G Notebooks, 4G USB devices,
and 4G Aircards
$60 5GB DataConnect for use with A T& T Mobile Hotspot devices, 3G Netbooks, 3G Notebooks. 3G usa devices, and
3G Aircards
Pricing, coverage, terms and conditions depend upon the Plan, feature, promotion or other offer selected.
Certain terms and conditions that apply to all Plans are set forth in the Sales Information entitled "Enterprise
Customers: Additional Service and Equipment Related Terms" found at att.com/abs-additional-terms.
Product-specific pricing and/or additional product-specific terms and conditions are set forth in their respective
product-specific Sales Information.
at&t
1. General. Pursuant to the terms and conditions of the Agreement and this Attachment, AT&T will provide the IPhone
Solution and the iPad Solution, as described more fully below.
1.1 iPhone Solution. AT&T will provide iPhones and post-paid Service for iPhones (collectively, the "iPhone Solution")
to Customer and its qualified End Users.
1.2 iPad Solution. AT&T will provide iPads and post-paid Wireless Data Service for iPads (collectively,. the "jPad
Solution") to Customer and its qualified CRUs and IRUs.
2. Contribution Toward Program Requirements. Customer's CRUs with either or both of the iPhone Solution and/or
the iPad Solution will be included for purposes of determining whether Customer meets the program eligibility
requirements set forth in the Agreement. Furthermore, to the extent the Agreement provides for IRUs to be included
for such pu.rposes, Customer's IRUs with the iPhone and/or the IPad Solution will be included as well.
3. Plans. The iPhone Solution requires subscription to qualified Voice Service and Wireless Data Service. Plan
requirements depend on whether the End User has an iPhone that is compatible with (a) the AT&T GSM/GPRS/EDGE
network only ("OriginaIIPhone"), (b) the AT&T 3G (HSDPA/UMTS) network ("3G iPhone"), or (c) the AT&T HSPA+
network ("HSPA+ iPhone"). Certain legacy Voice Service Plans (including, without limitation, TDMA and analog Plans)
are not available for use with iPhones. Subscription to Wireless Data Service is optional for the iPad Solution.
iPads do not support Voice Service (including vOlcemail), SMS, or multi-media messaging services.
3.1 Plan Requirements for OriginallPhone.
3.1.1 CRUs. CRUs must have (a) an eligible Voice Service Plan with a minimum Monthly Service Charge of
$39.99 (or an AT&T FamilyTalk Add-a-Line Plan, a Shared Business Solutions Add-a-lIne Plan, or other
business-only Voice Service Plan for which they qualify), and (b) an Original iPhpne-eliglble Enterprise
Data Plan for iPhone.
3.1.2 IRUs. IRUs must have (a) an eligible Voice Service Plan with a minimum Monthly Service Charge of
$39.99 (or an AT&T FamilyTalk Add-a-Line Plan), and (b) an Original iPhone-eligible Data Plan for iPhone.
3.2 Plan Requirements for 3G iPhone. End Users must have (a) an eligible Voice Service Plan with a minimum
Monthly Service Charge of $39.99 (or an AT&T FamilyTalk Add-a-Line Plan, a Shared Business Solutions
Add-a-Line Plan, or other business-only Voice Service Plan for which they qualify), and (b) a 3G iPhone-
eligible Wireless Data Service Plan. Use of 3G iPhone to access corporate email, company Intranet sites, and/or
other business applications requires a 3G iPhone-eligible Enterprise Data Plan for iPhone, a 3G iPhone-ellgible
International Business Data Global Plan, or such other Wireless Data Service Plan as AT&T may designate from
time to time for such use.
3.3 Plan Requirements for HSPA+ iPhone. End Users must have (a) an eligible Voice Service Plan with a minimum
Monthly Service Charge of $39.99 (or an AT&T FamilyTalk Add-a-L1ne Plan, a Shared Business Solutions Add-a-line
Plan, or other business-only Voice Service Plan for which they qualify), and (b) a HSPA+ iPhone-eligible Wireless
Data Service Plan. Use of HSPA+ iPhone to access corporate email, company Intranet sites, and/or other business
applications requires a HSPA+ iPhone-eligible Enterprise Data Plan for iPhone, a HSPA+ iPhone-eligible
International Business Data Global Plan, or such other Wireless Data Service Plan as AT&T may designate from
time to time for such use.
3.4 Plan Requirements for iPad. To receive Wireless Data Service as part of the iPad Solution, End Users must
have an iPad-eligible Enterprise Data Plan for iPad, or such other Wireless Data Service Plan as AT&T may
designate from time to time. The IPad Solution is not available with pre-paid Wireless Data Services.
-~
{ -
4. Additional iPhone and iPad Terms and Conditions. Both the IPhone Solution and the iPad Solution utilize third
party software and, accordingly, are subject to certain additional terms and conditions (including Apple and other
third party terms and conditions). With respect to Customer's CRUs with the iPhone Solution. Customer acknowledges
and agrees to the IPhone Terms and Conditions found in the IPhone box and at
http://apple.com/legaljsla/docs/iphone.pdf, as may be modified from time to time. With respect to Customer's CRUs
with the iPad Solution, Customer acknowledges and agrees to the IPad Terms and Conditions found in the iPad box
and at http://images.apple.com/legaljsla/docs/iPadSoftwareLlcense.pdf, as may be modified from time to time.
5. CRU Terms. To the extent the Agreement requires each of Customer's CRUs to have a two, one or zero-year CRU
Term, Customer is hereby advised that (a) the iPhone Solution is available only with a zero-year or two-year CRU
Term, and (b) the iPad Solution is available only with a zero-year CRU Term.
6. Service Discount.
6.1 Original iPhone.
6.1.1 CRUs. Except as otherwise provided in the Agreement regarding Voice Service Plans that do not qualify for
the Service Discount, AT&T will provide the Service Discount, and any applicable CRU-related credit or
waived fee described in the Agreement, with respect to CRUs activated on the Plans referenced in 93.1.1
above.
6.1.2 IRUs. Notwithstanding anything to the contrary in the Agreement, AT&T will not provide the Service
Discount, or any credit or waived fee described in the Agreement, to IRUs activated on the Plans
referenced in 93.1.2 above.
6.2 3G iPhone and HSPA+ iPhone. Except as otherwise provided in the Agreement regarding Voice Service Plans that
do not qualify for the Service Discount, AT&T will provide the Service Discount, and any applicable credit or waived
fee described in the Agreement, with respect to End Users activated on the Plans referenced in 993.2 and 3.3 above.
6.3 iPad. AT&T will provide the Service Discount with respect to End Users activated on the Plan referenced in 93.4
above.
7. Equipment Discount. Notwithstanding anything to the contrary in the Agreement, Customer and its End Users will not
receive the Equipment Discount, or any other discount or promotion described in the Agreement, on iPhones, iPads or
Apple-branded accessories.
8. Restrictions. The IPhone Solution and the iPad Solution are not compatible with any Wireless Data Service Plans not
referenced herein and may not be compatible with certain additional features (e.g., OfficeReach'" and Unified
Messaging), which will be disabled or removed at time of activation. The iPhone Solution includes Visual Voicemail,
which requires End Users to establish a new voice mail box. All current voice mail messages will be erased at the
time of iPhone activation, so End Users are advised to listen to any existing voice mails before completing the
activation process.
9. Policies and Processes. Customer and its End Users must follow the policies and processes established by A T& T to
purchase or upgrade iPhones and iPads and to activate, migrate, terminate or otherwise modify the iPhone Solution
and/or the iPad Solution, as such policies and processes may be modified from time to time. Such policies and
processes may include, without limitation, (a) purchasing and activating iPhones and iPads only in select A T& T sales
channels, and (b) completing the activation through iTunes. iPhone and iPad returns are subject to a restocking fee,
except where prohibited. iPad returns must occur within 14 days of purchase but are not subject to the restocking
fee if returned unopened and Customer did not purchase the Plan specified in 93.4 above. For complete details,
Customer should refer to http://att.com/returnpolicy.
10. Discontinuation. Notwithstanding anything to the contrary elsewhere in the Agreement, AT&T may (a) discontinue
offering or providing the iPhone Solution at any time for any reason upon at least 30 days written notice to Customer,
and (b) discontinue offering or providing the iPad Solution at any time for any reason without notice.
11. Incorporation of Agreement. The terms, conditions and defined terms set forth in all documents comprising the
Agreement (including, without limitation, this Attachment) apply throughout all such documents. In the event of any
expressly conflicting provisions between this Attachment and the remainder of the Agreement, the terms and
conditions of this Attachment control but only with respect to the subject matter of this Attachment.
..-.....~~~~~'lN..,.~"',;.....,.,.~___1r.~,,::'>l."'_._~__J,.'-"-~~~__.._._~._~__u._~_
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at&t
ALLIANCE BilLING SERVICE ATTACHMENT
1. Allhmce Billing Service. As a billing convenience, A T& Twill biU-on-behalf-of qualified third-party alliance vendors
("Merchants") with respect to select products, services, solutions, Equipment and/or programs. AT&T, acting as the
Merchants' agent for the limited purposes of billing for and collecting and remitting payments to the Merchants, will
include the charges for Customer's purchases from the Merchants on Customer's monthly invoice(s). When Customer
pays its A T& T bill, the payments applicable to Merchant charges will be processed by Chase Manhattan Bank
Delaware ("Payment Processor") and paid to the applicable Merchant(s). This is called the "Alliance Billing Service."
Use of the Alliance Billing Service is required for some products, services, solutions, Equipment and/or programs,
including without limitation non-stocked Equipment ordered through AT&T Industry & Mobility Alliance Program
members and select Supplemental Services, but is optional for others. Unless Customer Indicates otherwise at the
time of purchase, Customer will be deemed to have authorized purchases from Merchants to be billed to Customer's
wireless bill, and AT&T will automatically enable the Alliance Billing Service pursuant to the terms and conditions of
the Agreement and this Attachment.
2. Charges and Payment.
2.1 Charges. In addition to the provisions of 95 of the General Terms and Conditions regarding payment of
charges, Customer acknowledges and agrees that Customer also will pay all Merchant charges Included on the
wireless bill using the ALliance Billing Service, whether such charges are incurred by Customer or Its Corporate
Responsibility Users ("CRUs").
2.2 Payment. Failure by Customer to pay its wireless bill in full may lead to suspension or cancellation of
Service. In addition, If Customer makes a partial payment of the total amount due on Its wireless bill. AT&T may
allocate, In its sole discretion, the funds received from Customer to the amounts owed directly to AT&T and the
amounts to be paid to Merchants, and Customer will remain liable to each Merchant for the amount owed to the
Merchant. Upon Customer's payment of Merchant charges, AT&T will transfer the applicable funds and the related
payment data to the Payment Processor. The Payment Processor will complete a payment to a Merchant only if it
is Informed by AT&T that Customer has remitted the funds to AT&T that are reflected on the Customer's monthly
bill. The Payment Processor may select the appropriate payment transmission method (such as check or wire) for
completing the payments to Merchants. The Payment Processor may rely upon Information provided by Customer
to AT&T for completing payments to Merchants. If AT&T and/or Payment Processor Is unable to process
Customer's requested payment to a Merchant, Customer will receive a corresponding credit on the next month's.
AT&T bill. AT&T or the Payment Processor may refuse to complete a requested payment, and the funds will be
returned to Customer. Payments made by Customer through the Alliance Billing Service are not eligibLe for stop
payment, recall, refund or reversal. IN NO EVENT WILL AT&T OR THE PAYMENT PROCESSOR BE LIABLE TO
CUSTOMER FOR DAMAGES ARISING DIRECTLY OR INDIRECTLY FROM THE ALLIANCE BILLING SERVICE IF IT ACTS IN
GOOD FAITH AND IN ACCORDANCE WITH THIS ATTACHMENT IN PROCESSING (OR DECLINING TO PROCESS) THE
REQUESTED PAYMENTS TO MERCHANTS. Nothing in this Attachment shall be deemed to establish an account, a
deposit or any similar relationship between Customer and AT&T or between Customer and the Payment Processor.
Nothing in this Attachment shall constitute an extension of credit to Customer by AT&T. a Merchant, or the
Payment Processor.
3. Billing and Technical Inquiries. All billing inquiries regarding Alliance Billing Service purchases, including credit
or refund requests, must be directed to AT&T's Customer Care at wireless.att.com/support or by calling
1-800-888-7600. A T& T may limit the amount of time during which a refund may be requested. All technical inquiries
about the purchases should be directed to the appropriate Merchant.
4. Privacy. AT&T collects, and Customer consents to the collection of, the Information Customer provides or
confirms upon activation of the Alliance Billing Service, as well as information about Customer's purchases and other
transaction information. AT&T discloses that information, and Customer consents to such disclosure, to those
Merchants invoLve.d in the transaction, the merchant bank, merchant aggregators, and other vendors, companies or
service providers used to facilitate or complete the transaction ("Third Parties"). Information about Customer received
by those Third Parties will be governed by their own privacy policies, not this Attachment or AT&T's Privacy Polley
found at att.com/privacy or such other site as AT&T may designate from time to time. Whenever third parties have
a role in any transaction, Customer should review their privacy policies and practices. Customer consents to Third
Parties sharing information about Customer with AT&T to facilitate Alliance BiUing Service transactions. Customer
understands and agrees that the Payment Processor will have access to information about Customer to the extent
necessary to perform its payment processing functions hereunder. In addition, Customer authorizes AT&T, Payment
Processor and their respective suppliers to collect, access, exchange and process the information provided or
confirmed by Customer at activation or other information about the transactions as required to provide the Alliance
BiLLing Service and related benefits to Customer or its CRUs.
5. Merchant Relationships. Customer understands and agrees that in providing the Alliance Billing Service: (a) A T& T
is only facilitating Customer's access to and purchases from the participating Merchants and is not responsible for any
of the transactions or purchases made using the ALLiance Billing Service; (b) AT&T is not a third party beneficiary of or
guarantor of performance with respect to any such transactions; and (c) AT&T IS NOT LIABLE TO CUSTOMER FOR THE
FAILURE OF ANY MERCHANT, OR FOR THE FAILURE OF CUSTOMER, TO ENTER INTO OR COMPLETE SUCH
TRANSACTION. In addition, Customer understands and agrees that A T& T may, from time to time and In its sole
discretion, modify, substitute, or terminate the Payment Processor and/or its payment processing functions hereunder.
6. Additional Disclaimers. IN ADDITION TO THE DISCLAIMERS SET FORTH ELSEWHERE IN THE AGREEMENT, THE
ALLIANCE BILLING SERVICE IS PROVIDED TO CUSTOMER ON AN "AS IS" AND "AS AVAILABLE" BASIS. AT&T, PAYMENT
PROCESSOR AND THEIR RESPECTIVE SUPPLIERS EXPRESSLY DISCLAIM ALL WARRANTIES AND CONDITIONS OF ANY
KIND, WHETHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT WITH RESPECT TO THE
ALLIANCE BILLING SERVICE.
7. Additional Limitations of Liability. IN ADDITION TO THE LIMITATIONS OF LIABILITY SET FORTH ELSEWHERE IN
THE AGREEMENT, AT&T, PAYMENT PROCESSOR AND THEIR RESPECTIVE SUPPLIERS ARE NOT LIABLE FOR ANY
DAMAGES, LOSSES, COSTS OR EXPENSES CAUSED OR ARISING OUT OF: (a) ACTS OR OMISSIONS OF ANY OF THE
PARTICIPATING MERCHANTS OR THIRD PARTIES, OR ANY OF THEIR RESPECTIVE AGENTS, INCLUDING THE
INACCURACY OR MISDELIVERY OF ANY OFFERS MADE BY SUCH MERCHANTS OR THIRD PARTIES; (b) INTERRUPTIONS
OR PROBLEMS WITH ACCESSING THE ALLIANCE BILLING SERVICE; OR (c) DEACTIVATION OR TERMINATION OF THE
ALLIANCE BILLING SERVICE FOR ANY OR ALL THIRD PARTY CHARGES. IN NO EVENT WILL AT&T, PAYMENT
PROCESSOR OR THEIR RESPECTIVE SUPPLIERS BE LIABLE FOR ANY INCIDENTAL, CONSEQUENTIAL OR OTHER
INDIRECT DAMAGES OF ANY KIND (INCLUDING LOSS OF PROFITS OR DATA) ARISING OUT OF THIS ATTACHMENT OR
CUSTOMER'S USE OR INABILITY TO USE THE ALLIANCE BILLING SERVICE, REGARDLESS OF WHETHER AT&T, PAYMENT
PROCESSOR OR THEIR RESPECTIVE SUPPLIERS WAS MADE AWARE OF THE POSSIBILITY OF SUCH DAMAGES, AND
REGARDLESS OF WHETHER SUCH DAMAGES ARISE IN CONTRACT, TORT (INCLUDING NEGLIGENCE) OR OTHERWISE.
8. Incorporation of Agreement. The terms, conditions and defined terms set forth in all documents comprising the
Agreement (including, without limitation, this Attachment) apply throughout all such documents.
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TEXAS FOREST SERVICE CHECK IN THE AMOUNT OF $153,531.00 FROM MAGNOLIA BEACH
VOLUNTEER FIRE DEPARTMENT FOR REIMBURSEMENT:
A check was written in the amount of $153/531.00 for cost-share assistance for the acquisition of a
tanker from Texas Forest Service. Magnolia Beach Volunteer Fire Department is requesting this money
get accepted by Commissioners Court to reimburse 90% of Fire Truck cost in accordance with Interlocal
agreement dated the 5th day of June 2011. A Motion was made by Commissioner Galvan and seconded by
Commissioner Fritsch to accept Texas Forest Service check in the amount of $153/531.00 from Magnolia
Beach Volunteer Fire Department to reimburse 90% of Fire Truck cost in accordance with Interlocal
Agreement. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
ROGER C. GALVAN
I~
211 S. Ann
Port Lavaca, TX 77979
(361) 552-9242
Fax (361) 553-8734
Pager (361) 579-7915
Mobile (361) 935-3552
October 14,2011
To: Honorable Judge M. Pfeifer 0
From: Commissioner Roger C. Galvr tffJ.O"
Re: Agenda Item "-_.....-fj
Please add the following line item to the scheduled Commissioners Court meeting on
Thursday, October 27,2011.
Consider and take necessary action to accept from Magnolia Beach Volunteer Fire
Department a Texas Forest Service check in the amount of$153,531.00 to reimburse
90% of fire truck cost in accordance with interlocal agreement dated 7/5/11.
TEXAS
FOREST"~"SERVICE
The Texas A8rM University System
October 6, 2011
MAGNOLIA BEACH VFD
PO BOX 318
PORTLAVACA,TX 77979
Dear Chief:
Enclosed is a check in the amount of 153,531.00 for cost-share assistance
for the acqusition of a tanker.
Please call if you have questions or need further assistance.
Sincerely,
PAMELA DARNELL
HB 2604 Accounting
979-458-5534
I=nrod kloC'nnrrA Prntat""tinn
John B. Connally Bldg..
301 Tarrow, Ste 304
College Station, TX 77840-7896
Tel 979-458-7352 Fax 979-845-6160
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RELEASE OF COUNTY'S LIEN ON 2012 KENWORTH FIRE TRUCK:
Calhoun County Precinct #1 requests Commissioners Court to release the county's lien on a 2012
Kenworth Fire Truck. Lien date is the 28th day of July 2011. A Motion was made by Commissioner Galvan
and seconded by Commissoner Lyssy to release County's lien on 2012 Kenworth Fire Truck VIN
#2NKHLN9XDCM286882. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in
favor.
ROGER C. GALVAN
Calhoun County Commissioner Precinct #1
211 S. Ann
Port Lavaca, TX 77979
(361) 552-9242
. Fax (361) 553-8734
Pager (361) 579-7915
Mobile (361) 935-3552
October 14,2011
To: Honorable Judge M. Pfeifer ~
From: Co~~oner Roger C. Galvt1ag
Re: Agenda Item
Please add the followirig line item to the scheduled Commissioners Court meeting on
Thursday, October 27,2011.
Consider and take necessary action to release county's lien on 2012 Kenworth Fire truck
Vin #2NKRLN9XDCM286882.
ACCEPTANCE OF OWNERSHIP OF 2012 KENWORTH FIRE TRUCK:
Precinct #1 also requests the Commissioners Court accept ownership of the 2012 Kenworth Fire Truck
from Magnolia Beach Volunteer Fire Department. A Motion was made by Commissioner Galvan and
seconded by Commissioner Fritsch to accept ownership of 2012 Kenworth Fire Truck VIN
#2NKHLN9XDCM286882 from Magnolia Beach Volunteer Fire Department. Commissioners Galvan, Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
ROGER C. GALVAN
211 S. Ann
Port Lavaca, TX 77979
(361) 552-9242
Calhoun County Commissioner Precinct #1
.
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Fax (361) 553-8734
Pager (361) 579-7915
Mobile (361) 935-3552
October 142011
To: Honorable Judge M. Pfeifer .. ;-- .,}
From: Commissioner Roger C. Galvan{ ~a ~
Re: Agenda Item ~_/
Please add the following line item to the scheduled Commissioners Court meeting on
Thursday, October 27,2011.
Consider and take necessary action to accept ownership of2012 Kenworth Fire truck
Vin #2NKHLN9XDCM286882 from Magnolia Beach Volunteer Fire Department.
ORDER TO PROHIBIT OUTDOOR BURNING:
On this day, the 27th day of October 2011 The Commissioners Court finds that circumstances present in
all or part of the unincorporated areas of the County create a public safety hazard that would be
exacerbated by outdoor burning. A Motion was made by Commissioner Fritsch and seconded by
Commissioner Lyssy to reinstate the burn ban and prohibit outdoor burning. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
ORDER PROHIBITING
OUTDOOR BURNING
WHEREAS, On the 27th day of October, 2011 The Commissioners' Court finds that
circumstances present in all or part of the unincorporated areas of the County create a public
safety hazard that would be exacerbated by outdoor burning.
IT IS HEREBY ORDERED by the Commissioners' Court of Calhoun County that all
outdoor burning is prohibited in the unincorporated area of the County for 90 days from the date
of adoption of this Order, unless the restrictions are terminated earlier based on a determination
made by the Texas Forest Service or this Court.
(I) Household Trash may be burned in a closed or screened container.
This Order is adopted pursuant to Local Government Code S352.081, and other applicable
statutes. This Order does not prohibit outdoor burning activities related to public health and
safety that are authorized by the Texas Commission on Environmental Quality for: (1)
firefighter training: (2) public utility, natural gas pipeline or mining operations; (3) planting or
harvesting of agricultural crops; or, (4) bums that are conducted by a prescribed burn manager
certified under Section 153.048, Natural Resources Code, and meet the standards of Section
153.047, Natural Resources Code.
In accordance with Local Government Code S352.081(h), a violation ofthis Order is a
Class C misdemeanor, punishable by a fine not to exceed $500.00.
The County Judge may rescind this Order upon a determination that the circumstances that
required the Order no longer exists.
ADOPTED this 27th Day of October, 2011 by a vote of J ayes and ~
nays.
ATTEST:
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Keetch-Byram Drought Index
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Rec 1
County
Name CALHOUN
couni PORT LAVACA
Seat
KBDl
Mean 633.8933
KBDl
Maximum 733
KBDl
Minimum 522
Date 10-25-2011
"-- ~
Selected Map Tool: Zoom In
http://sslarcims.tamu.edu/website/kbdi/viewer.htm
10/27/2011
~~
~1
-9
General Counsel
(continuedfrom page 6)
a burn-ban. This created a problem
when rainfall brought temporary
relief. Agricultural producers were
forced to await a meeting and action
by the commissioners court before
initiating crop or brush burning.
During the recent regular ses-
sion, legislation was adopted to
provide an additional option for the
lifting of a burn-ban order. House
~...~~J.
",;:.,-,": ---~: \:~~.
~~:, -"...., .
Bill 1174 by Rep. Workman/Sen.
Wentworth and Senate Bill 1233 by
Sen. West/Rep. Coleman contain
identical language to amend Section
352.081, Local Government Code.
Both bills were signed by the gov-
ernor, effective June 17, 2011.
Under this legislation, the com-
missioners court may authorize
either the county judge or the county
~uriJ"'lii;~;;'..ment Services:
:~ttl,:'~'iilr#1~1~i1~~~~~~~~~ct.
I i; COUNTY PROGRESS I SEPTEMBER 2011
1<6
fire marshal to rescind a county burn-
ban order. To implement this legisla-
tion, the commissioners court should
include the following language in the
adoption, amendment, or extension
of its burn-ban order:
"The County Judge/County Fire
Marshal (select one) may rescind
this Order upon a determination that
the circumstances that required the
Order no longer exist."
While such action by the county
judge or county fire marshal does not
require any public notice, the media
should be notified. Action by the
commissioners court will be required
to re-instate or renew the burn-ban
order after it i~ lifted by the county
judge or county fire marshal.
For more information, please
call me at 1-800-733-0699.
. I
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COUNTY REPORTS:
The County Clerk's Office presented their monthly report for the month of August 2011 and September
2011 and The Treasurer's Office presented their monthly report for the month of August 2011. A Motion
was made by Commissioner Galvan and seconded by Commissioner Fritsch to accept said reports as
presented. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION
OFFICE FUND - AUGUST 2011
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
$12,799.55
280.00
600.00
32.00
State Fees
Judicial Funds (CV$1230.00 + PR$738.00)
Marriage License Fees .
Birth Certificate Fees
Total State Fees
SUBTOTAL
Overpmt of Filing Fees to be Refunded by Co. Clk.
TOTAL CIVIL FUNDS COLLECTED
$13,679.55
32.00
45.00
325.00
0.00
840.00
0.00
120.00
360.00
330.00
2,130.00
165.00
599.00
0.00
$18,625.55
1 ,968.00
390.00
124.20
2,482.20
$21,107.75
$21,107.75
0.00
$21,107.75
CRIMINAL FUNDS
Total Criminal Court Costs & Fines & Pre-Trial Diversion
TOTAL FUNDS RECEIVED (As per ACS Report)
Bank Interest Earned
5,958.00
Less Refunds for Overpayment of Filing Fees
TOTAL FUNDS RECEIVED $27,065.75
(12.00)
ADJUSTED FUNDS RECEIVED $27,053.75
Plus Re-Deposit of NSF Checks (Not recorded in ACS)
Less NSF Checks (Not recorded in ACS)
Co. Clerk Check
AMOUNT DUE COUNTY TREASURER I $27,053.75 ~
_ ,:i
,j ,- '\."".
<L
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION (con't)
OFFICE FUND - AUGUST 2011
DISBURSEMENTS
CK#
Pavable To
DescriDtion
Amount
$0.00
$0.00
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
--..-..-.. -..--. -. --.---. -.. -..-..-.. -..-.. -..--. - ..-.. - ..-.. - ..-.. -..-
(5.00)
$22,529.63
BANK RECONCILIATION. TRUST FUND
Ending Bank Balance
Outstanding Deposits..
Outstanding Checks..
Reconciled Bank Balance
$22,529.63
0.00
0.00
$22,529.63
CASH ON HAND. TRUST FUND
Beginning Book Balance
Funds Received
Disbursements
Ending Book Balance
$22,534.63
..See Attached
~d:du
SUBMITTED BY: Anita Fricke, County Clerk
. ~ '" ~.. ~
. ~ '" ~.. ~
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION
OFFICE FUND - SEPTEMBER 2011
CIVIL FUNDS
County Fees
County Clerk's Fees
Recording
Probate
CMI
Total County Clerk's Fees
Judge's Fees
Probate
CMI
Total Judge's Fees
Probate Fees (Education Fees)
Sheriffs Fees
Jury Fees
Law Library Fees
Beer Licenses
Appellate Fund (TGC)
Court Reporter Fees
CMllndigent Fees
Record Management Fees (County Clerk)
Record Management Fees (County)
Security Fees (County)
Bond Forfeitures
Subtotal County Fees
$8,817.60
320.00
360.00
$9,497.60
36.00
36.00
40.00
500.00
0.00
595.00
0.00
85.00
255.00
225.00
1,515.00
120.00
426.00
0.00
$13,294.60
State Fees
Judicial Funds (CV$.OO + PR$.OO)
Marriage License Fees
Birth Certificate Fees
Total State Fees
SUBTOTAL
Overpmt of Filing Fees to be Refunded by Co. Clk.
TOTAL CIVIL FUNDS COLLECTED
1,394.00
510.00
68.40
1,972.40
$15,267.00
$15,267.00
0.00
$15,267.00
CRIMINAL FUNDS
Total Criminal Court Costs & Fines & Pre- Trial Diversion
TOTAL FUNDS RECEIVED (As per ACS Report)
Bank Interest Eamecl
$6,725.00
Less Refunds for Overpayment of Filing Fees
TOTAL FUNDS RECEIVED $21,992.00
(28.00)
ADJUSTED FUNDS RECEIVED $21,964.00
Plus Re-Deposit of NSF Checks (Not recorded in ACS)
Less NSF Checks (Not recorded in ACS)
Co. Clerk Check
AMOUNT DUE COUNTY TREASURER I $21,984.00 I
~... ,..". _.
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION (con't)
OFFICE FUND - SEPTEMBER 2011
DISBURSEMENTS
CK#
Pavable To
Descriotion
Amount
$0.00
$0.00
$0.00
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
BANK RECONCILIATION. OFFICE FUND
Ending Bank Balance '
Outstanding Deposits**
Outstanding Checks**
Plus other Items**
Less other Items**
Reconciled Bank Balance
. -..-.. -.. -..-.. -.. -.. -.. -.. -.. -.. -. --.. -.. -.. -. --. - -... - -.. -.... -.. --.. -..-
CASH ON HAND. TRUST FUND
Beginning Book Balance
Funds Received
Disbursements
Ending Book Balance
$22,529.63
(5.00)
$22,524.63
BANK RECONCILIATION. TRUST FUND
Ending Bank Balance
Outstanding Deposits**
Outstanding Checks"
Reconciled Bank Balance
$22,524.63
$22,524.63
**See Attached
~~~
SUBMITTED BY: Anita Fricke, County Clerk
CALHOUN COUNTY, TEXAS
CALHOUN COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2011
BEGINNING ENDING
FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE
GENERAL $ 20,962,015.88 $ 415,416.10 $ 1,822,613.80 $ 19,554,818.18
iAmPORT MAINTENANCE 71,624.93 1,015.98 4,318.96 68,321.95
!APPELLATE JUDICIAL SYSTEM 1,294.20 176.03 0.00 1,470.23
ANIMAL CONTROL-CA WS 164.77 0.04 0.00 164.81
CHAMBER TOURISM CENTER 264.79 0.06 0.00 264.85
'COASTAL PROTECTION FUND 32,988.76 7.36 0.00 32,996.12
COUNTY CHILD WELFARE BOARD FUND 91.82 33.80 0.00 125.62
COUNTY AND DIST COURT TECH FUND 383.28 90.09 0.00 473.37
COURTHOUSE SECURITY 190,575.26 1,659.06 0.00 192,234.32
DIST CLK RECORD PRESERVATION FUND 680.15 150.15 0.00 830.30
CO CLK RECORDS ARCHIVE FUND 3,640.00 0.00 0.00 3,640.00
DONATIONS 137,125..83 2,708.15 5,142.26 134,691.72
DRUGIDWI COURT PROGRAM FuND-LOCAL 1,023.12 184.63 0.00 1,207.75
JUVENILE CASE MANAGER FUND 7,042.54 927.20 0.00 7,969.74
F AMIL Y PROTECTION FUND 4,371.82 32.94 0.00 4,404.76
JUVENILE DELINQUENCY PREVENTION FUND 8,503.91 1.90 0.00 8,505.81
GRANTS 277,876.63 6,991.91 21,321.90 263,546.64
HWY 87/FMI090 10,312.28 2.30 0.00 10,314.58
JUSTICE COURT TECHNOLOGY 51,014.92 991.46 293.28 51,713.10
JUSTICE COURT BUILDING SECURITY FUND 12,234.33 193.40 0.00 12,427.73
LATERAL ROAD PRECINCT #1 4,283.43 0.96 0.00 4,284.39
LATERAL ROAD PRECINCT #2 4,283.43 0.96 0.00 4,284.39
LATERAL ROAD PRECINCT #3 4,283.43 0.96 0.00 4,284.39
LATERAL ROAD PRECINCT #4 4,283.43 0.96 0.00 4,284.39
PRETRIAL SERVICES FUND 56,395.13 512.58 0.00 56,907.71
LAW LIBRARY 174,530.91 1,283.13 594.00 175,220.04
LAW ENF OFFICERS STD. EDUC. (LEOSE) 17,327.34 3.86 75.00 17,256.20
POC COMMUNITY CENTER 32,133.63 1,407.17 3,017.08 30,523.72
RECORDS MANAGEMENT-DISTRICT CLERK 1,139.33 112.84 0.00 1,252.17
RECORDS MANAGEMENT -COUNTY CLERK 151,875.98 3,488.37 0.00 155,364.35
RECORDS MGMT & PRESERVATION 64,572.41 704.01 0.00 65,276.42
ROAD & BRIDGE GENERAL 1,314,487.76 26,163.50 0.00 1,340,651.26
ROAD & BRIDGE PRECINCT #3 13,531.78 3.02 0.00 13,534.80
ROAD MAINTENANCE PRECINCT #4 642.80 0.14 0.00 642.94
SHERWF FORFEITED PROPERTY 1,269.34 0.28 0.00 1,269.62
6MILE PIER/BOAT RAMP INSUR/MAINT 63,586.93 14.18 0.00 63,601.11
CAPITAL PROJ - COASTAL MANAGEMENT PGM - 99,091.00 680.00 98,411.00
CAPITAL PROJ - ClAP COASTAL IMPROVEMENTS - 45,000.00 6,430.11 38,569.89
CAPITAL PROJ-NEW EMS BLDG 18,041.52 0.00 0.00 18,041.52
CAPITAL PROJ-OLIVIPT ALTO FD BLDG 0.25 0.00 0.00 0.25
CAPITAL PROJ-P ARKING 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 79,000.48 0.00 0.00 79,000.48
CAPITAL PROJ-SWAN POINT PARK 5,096.40 0.00 0.00 5,096.40
CAPITAL PROJ-AlRPORT RUNWAY IMPROV 130,014.75 0.00 0.00 130,014.75
CAPITAL PROJ-EMER COMM SYS 36,287.16 0.00 5,439.10 30,848.06
CAP PROJ-HATERIUS PRK BOAT RAMP"STRM REp. 0.25 0.00 0.00 0.25
CAP PROJ-PORT ALTO POOL BEACH-STORM REP 30,384.78 0.00 0.00 30,384.78
CAPITAL IMPROVEMENT PROJECTS 434,439.00 0.00 0.00 434,439.00
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 30,019.00 0.00 3,000.00 27,019.00
CAP PROJ-HEALTH DEPT RENOVATIONS 116,438.08 0.00 0.00 116,438.08
CAP PROJ - ENERGY EFFICIENCY/SECO STIMULUS 63,644.96 0.00 11,693.45 51,951.51
CPROJ - MMC BUSINESS IMPROVEMENT LOAN 2,000,000.00 0.00 0.00 2,000,000.00
ARREST FEES 0.00 392.27 0.00 392.27
BAIL BOND FEES (HB 1940) 0.00 1,050.00 120,00 930.00
CONSOLIDATED COURT COSTS (NEW) 0.01 11,234.07 0.00 11,234.08
DRUG COURT PROGRAM FUND-STATE (0.01' 184.58 0.00 184.57
SUBTOTALS $ 26750087.74 .$ 621 231.40 $ 1884738.94 $ 25 486 580.20
Page 1 of3
COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2011
BEGINNING ENDING
FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE
OPERATING FUND - BALANCE FORWARD $ 26,750,087.74 $ 621,231;40 $ 1,884,738.94 $ 25,486,580.20
ELECTIONS CONTRACT SERVICE 34,971.68 7.38 0.00 34,979.06
FINES AND COURT COSTS HOLDING FUND 7,847.31 0.00 0.00 7,847.31
INDIGENT CIVil.. LEGAL SERVICE 0.00 256.00 0.00 256.00
JUDICIAL FUND (ST. COURT COSTS) 0.00 266.91 0.00 266.91
JUDICAL PERSONNEL TRAINING 0.01 2,892.16 0.00 2,892.17
JUROR DONATION-IX CRIME VICTIMS FUND 30.00 0.00 0.00 30.00
JUVENil..E PROBATION RESmUTION 1,603.67 843.04 1,756.71 690.00
LmRARYGWTANDMEMOR~ 47,174.98 110.52 0.00 47,285.50
MISCELLANEOUS CLEARING 1,175.15 23,350.68 9,264.36 15,261.47
REFUNDABLE DEPOSITS 2,000.00 0.00 0.00 2,000.00
STATE CIVil.. FEE FUND 0.00 2,286.61 0.00 2,286.61
CIVil.. JUSTICE DATA REPOSITORY FUND 0.00 12.60 0.00 12.60
JURY REIMBURSEMENT FEE 0.00 821.14 0.00 821.14
SUBTITLE C FUND 0.00 4,112.13 0.00 4,112.13
SUPP OF CRIM INDIGENT DEFENSE 0.00 475.24 0.00 475.24
TIME PAYMENTS 0.00 2,059.71 0.00 2,059.71
TRAFFIC LAW F Ail..URE TO APPEAR 0.00 1,153.83 0.00 1,153.83
UNCL~EDPROPERTY 3,155.86 0.70 0.00 3,156.56
BOOT CAMPmAEP 77,445.32 17.27 7,967.10 69,495.49
JUVENil..E PROBATION 150596.22 435.59 33493.63 117538.18
SUBTOTALS $ 27,076,087.94 $ 660,332.91 $ 1,937,220.74 $ 25,799,200.11
TAXES IN ESCROW - 0.00 0.00
TOTAL OPERATING FUNDS $ 27076.087.94 $ 660 332.91 $ 1 937220.74 $ 25 799200.11
- 0.40- .- i:140.35 2,179.73
D A FORFEITED PROPERTY FUND 3,919.68
SHERWF NARCOTIC FORFEITURES 3,320.5 I 0.48 0.00 3,320.99
CONSTRUCTION (JAll.,) SERIES 2003 - I & S 1,105,046.58 4,975.28 967,631.87 142,389.99
CERT. OF OB-CRTHSE REN. I&S FUND SERIES 2004 100,367.55 1,329.64 98,474.99 3,222.20
CAL. CO. FEES & FINES 204,868.49 98,589.79 102,710.68 200,747.60
OCEAN DRIVE IMPROVEMENTS 1.00 0.00 0.00 1.00
CERT OF OB-CRTHSE REF SERIES 2010 149651.00 5 357.67 149650.00 5 358.67
. TnT AT . FlJNDS 'i: 1,.0;67.174.111 'i: 110.253.26 'I: 1 .."n "n" QO 'i: 3<;7 220 1R
MEMORIAL MEDICAL CENTER: 2,022,746.40 .~_. .... 2,330,464.72
OPERATING $ 2,437,368.49 $ $ $ 2,129,650.17
REFUND IMPREST ACCOUNT 5,061.78 1,778.83 1,748.10 5,092.51
INDIGENT HEALTHCARE (172 750.61 173017.20 114554.52 (114287.93'
TOTALS $ 2269679.66 $ 2 197542.43 $ 2446767.34 $ 20204505
DRAINAGE DISTRICTS . 115.94
NO.6 $ 13,701.60 $ 35.41 $ $ 13,621.07
NO.8 103,074.42 588.01 2,383.88 101,278.55
NO.I0-MAINTENANCE 93,558.72 48.64 156.41 93,450.95
NO. 11-MAINTENANCE/OPERATING 94,288.31 1,714.40 10,578.56 85,424.15
NO. 11-RESERVE 129 434.93 18.69 0.00 129453.62
TOTALS $ 434057.98 $ 2405.15 $ 13 234.79 $ 423 228.34
CALHOUN COUNTY WCID #1 - 2 843.64 451962.11
OPERATING ACCOUNT $ 454 691.67 114.08 $
CALHOUN COUNTY PORT AUTHORITY 11 633.89
MAINTENANCE AND OPERATING $ 220312.37 $ 3533.47 $ $ 212211.95
TOTAL MMC, DR. DIST., NAV. DIST & WCID 'I: 3.3711.741.68 'I: ""n.. COC 1.. 'I: ., d7d d7Q r..r.. 'i: ., H\" D~" 1~
TOTAL ALL FUNDS $ 29264 277.44
Page 2 of3
COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2011
BANK RECONCILIATION
LESS: CERT.OF DEP/
FUND OUTSTNDG DEP/ PLUS: CHECKS BANK
FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE
OPERATING * $ 25,799,200.11 $ 25,239,291.12 $ 231,473.79 $ 791,382.78
D A FORFEITED PROPERTY FUND 2,179.73 0.00 0.00 2,179.73
SHERIFF NARCOTIC FORFEITURES 3,320.99 0.00 0.00 3,320.99
CONSTRUCTION (JAil-) SERIES 2003 - 1 & S 142,389.99 i,512.72 0.00 140,877.27
CERT. OF OB-CRTHSE REN. I&S FUND SERIES 2004 3,222.20 441.54 0.00 2,780.66
CERT OF OB-CRTHSE REF SERIES 2010 5,358.67 5,340.60 0.00 18.07
CAL. CO FEES & FINES 200,747.60 28,644.43 103,543.33 275,646.50
OCEAN DRIVE IMPROVEMENTS- CAP PROJ 1.00 0.00 0.00 1.00
MEMORIAL MEDICAL CENTER:
OPERATING :/: 2,129,650.17 595,111.00 494,039.18 2,028,578.35
REFUND IMPREST ACCOUNT 5,092.51 0.00 0.00 5,092.51
INDIGENT HEAL THCARE (114,287.93) 0.00 115,524.96 1,237.03
DRAINAGE DISTRICT:
NO.6 13,621.07 33.43 .0.00 13,587.64
NO.8 101,278.55 0.09 0.00 101,278.46
NO. 10 MAINTENANCE 93,450.95 0.00 0.00 93,450.95
NO. 11 MAINTENANCE/OPERATING 85,424.15 202.64 0.00 85,221.51
NO. 11 RESERVE 129,453.62 0.00 0.00 129,453:62
CALHOUN CO. WCID #1
OPERATING ACCOUNT 451,962.11 0.00 0.00 451,962.11
CALHOUN CO. NA VIGA TION DIST:
MAINTENANCE/OPERATING **** 212,211.95 0.00 0.00 212,211.95
TOTALS $ 29264277.44 $ 25870577.57 $ 944581.26 $ 4 338 281.13
.i
,
**** THE FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LA V ACA
THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LA V ACA
Court costs and fees collected and reported AUGUST not be curr nd up-to-date due to non-compliance by other county
offices. I hereby certify that the current balances are correct t all mo ies that haveye,.n Ii c ved by the County Treasurer
as of the date of this report. ~,
ONDA S. KOKENA
COUNTY TREASURER
Page 3 of3
APPROVAL OF BILLS:
Claims Posted General Ledger Transactions Approval Lists 2011 total amount for approval is $461,445.74.
Memorial Medical Center Approval List for the 27th day of October, 2011 Grand Total Bills Approved is
$2,035,518.66. $1,985,518.66 being Grant Total Operating Fund and $50,000 being approved Indigent
Healthcare Fund Expenses. A motion was made by Commissioner Fritsch and seconded by Commissioner
Lyssy to approve all bills for the month of August 2011. Commissioners Galvan, Lyssy, Fritsch, Finster
and Judge Pfeifer all voted in favor.
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October 27,2011
2011 APPROVAL LIST
35
COMMISSIONERS COURT MEETING OF 10/27/2011
BALANCE BROUGHT FORWARD FROM PAGE 34
FICA
MEDICARE
FWH
AFLAC
NATIONWIDE RETIREMENT SOLUTIONS
OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT
PRINCIPAL FINANCIAL GROUP
TEXAS ASSOCIATION OF COUNTIES - HEBP
ALLIED WASTE
AT&T
CABLEONE
CENTERPOINT
CITY OF PORT LA V ACA
CP&L
CREDIT CARD CENTER
EXXON
RELIANT ENERGY
SHELL
US BANK
VERIZON
WASTE MANAGEMENT
CC INDIGENT HEALTH CARE
TEXAS AGRILIFE EXTENSION BOOKSTORE
P/R
PIR
P/R
PIR
P/R
PIR
P/R
PIR
AP
AP
AP
AP
AP
AP
AP
AP
AP
AP
AP
AP
AP
AP
AP
TOTAL AMOUNT FOR APPROVAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
146,489.55
28,564.86
8,120.42
27,577.78
4,734.96
2,824.98
1,596.46
3,094.38
170,454.64
28.00
49.49
547.48
1,023.73
4,654.70
85.20
4,615.47
268.76
1,501.79
103.82
323.25
2,549.71
2,628.39
49,400.87
207.05
$
461,445.74
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ----- October 27.2011
MEMORIAL MEDICAL CENTER OPERATING FUND
. .
MEMORIAL MEDICAL CENTER WEEKLY CHECKS
Date Approved bv County Auditor (See attached lists)
9/9/2011 Weekly Payables
9/15/2011 Weekly Payables
9/15/2011 Patient Refunds
9/16/2011 Weekly Payables
9/20/2011 Weekly Payables
9/22/2011 Weekly Payables
9/22/2011 Patient Refunds
9/28/2011 Weekly Payables
9/28/2011 Patient Refunds
10/6/2011 Weekly Payables
1.0/13/2011 Weekly Payables
Total Payables and Patient Refunds
$ 117,865.00
323,655.81
552.60
13,732.13
9,919.31
191,429.12
3,305,61
171,754.70
485.20
210,381,63
315,245.53
$ 1,358,326.64
MEMORIAL MEDICAL CENTER PAYROLL
Date of Pavroll Run & Date Liability Called In (See attached lists)
9/20/2011 Payroll Liabilities
9/27/2011 Net Payroll
10/4/2011 Payroll Liabilities
10/11/2011 Net Payroll
10/12/2011 Net Payroll
10/13/2011 Payroll Liabilities
Total Net Payroll & Payroll Liabilities
$ 70,212.91
208,870.58
69,256.33
208,818.34
428.51
69,605.35
$ 627,192.02
~G:~N DITL0]AI![0P.E~;Y;1 N(3]F..O N 0 ~f9.85r5j.8!6_6f
r~P.P.R0~ED]INDI~ENjI"i8E~U.ljf.lG~REIF...OND]EXP.ENSES_;000!00.
Total brought forward from next page
I G ~~ I)}TL0..1Tr~LIlBIl!l!Sl~P'P'g0)f.El)l1.0/27./20.i111
$,..-.jr ~ :li n iTj ~ ~I
~,035,5.:18.66
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---- October 27.2011
INDIGENT HEAL THCARE FUND:
INDIGENT EXPENSES
Donald Breech MD PA 55.41
Cardiovascular Associates of Victoria 33.27
Coastal Medical Clinic 873.77
.~efUffi:JlfromlGoastallMedical_(598!08)]
Community Pathology Associates 157.70
Gulf Coast Foot Clinic PA 122.57
HEB Pharmacy (Partial August & September) 659.37
B Vijaya Kumar MD 112.50
Haresh Kumar MD 79.62
Mau-Shong Un MD 479.78
Memorial Medical Center (Out-patient $6,310.12 ER$9, 183.97 In-patient $24,001.97) 39,496.06
Port Lavaca Clinic 616.72
Radiology Unlimited PA 60.16
Victoria Surgical Associates 1,061.36
SUBTOTAL
43,210.21
Memorial Medical Center (Indigent Healthcare Payroll and Expenses)
6,191.71
ITOTAL INDIGENT HEAL THCARE FUND EXPENSES (net of Refund)
49,401.921
~<mml~ ~ ,- . ~
'lif.o~r~I!~)N[)I(;EN:rlf.tE~l!oT.f.t(:;~~E~EXP..ENSES_5J~TO:0:0!0:011
Total Indigent Healthcare Fund Expenses includes $1,343.58 absorbed by Memorial
Medical Center on September Indigent Healthcare Report
**$210 in Co-Pays were collected by Memorial Medical Center in August
@IHS
Source Totals Report
Issued 10/26/2011
Calhoun Indigent Health Care
9-1-11 through 9-30-11
For Vendor: All Vendors
Source Description
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
8,110.00
659.37
920.00
2,121.00
67,030.40
12,979.80
18,742.80
2,144.20
659.37
157.70
1,350.96
24,001.97
6,310.12
9,183.97
Expenditures
Reimb/ Adj ustments
110,720.67
-157.30
43,965.59
-157.30
Grand Total
I 110,563.37
43,808.29
$1,294,877.63
Fiscal Year
r APPROVED
BY
OCT 2 1 2011
(new unduplicated expenses are $42,464.71)
(unfunded amount from prior month $1,343.58)
CALHOUN COUNTY
AUDITOR
fvLnu'uv ~ ~7:!:v
Calhoun County Indigent Coordinator
............... .....--.... ....--....... r\. ~
~(Q)~~
:':':.:..::.:::::'::"::::<:::::::::;;:::>:~~~W~ ~~~i
........'........
........ .
:;:":::;':::;:;:;
: : :: : : : : : :
: : : : : : . . : : :
: : :' :
:
DATE:
J!~~
; ~ n
CC Indigent Health Care
VENDOR # 852
ACCOUNT
NUMBER DESCRIPTION OF GOODS OR SERVICES QUANTITY
1000-800-98722-999 Transfer to bills for
Indi ent Health Care a roved b
Commissioners Court on 10/27/2011 for
a total of $49,401.92
Total bills are 50,000 - refund of 598.08
1000-001-46010
COUNTY AUDITOR
APPROVAL ONLY
APPROVED
BY
OCT 2 7 2011
CALHOUN COUNT'if
AUDITOR
Se t. Interest
($1. 05)
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 cmm.I.~LQN. Aml. RF.Q1TF.g'J'~ THE...COIJN.TY_ TREASURE.lLTQ~PAYu
THE ABOV OBLIGATION.
10/27/11
DATE
BY:
DEPARTMENT
.. .... ..
..... ..
. ... ..
........ .... .
.. .: . :'.. .'.
.. ... ......
... ... .....
. . ....... ..'
.... .
TOTAL
PRICE
$49,401. 92
($1.05)
$49,400.87
Approved Cases
Indigent Cases for September 2011
2
Denied Cases
43
Active Cases Removed
32
Active Clients
79
MEMORIAL MEDICAL CENTER
Port Lavaca, Texas
MANUAL JOURNAL ENTRIES
MONTH OF
September, 2011
\
Page
of
Debit Credit
Acct # JE# Description Check # Amount Amount
10255000 IndiQent Healthcare 6,191.71
40450074 Reimbursement - Calhoun Cty 4,674,08
40015074 Benefits - FICA 216.19
40025074 Benefits - FUT A 4.93
40040074 Benefits - Retirement 230.29
60320000 Benefits - Insurance 841.33
40220074 Supplies - General -
40225074 Supplies - Office 0.78
40230074 Forms -
40610074 Continuing Education -
40510074 Outside Services -
40215074 FreiQht -
40600074 Miscellaneous 224.11
, APPROVED .
. !P11
nr:T 21 2011
......!
AUDITOR
TOTALS 6,191.71 6,191,71
EXPLANATION FOR ENTRY
REVERSING:
YES
NO
JE#
",ft, nl.mllllO no Ino 111
M1l'MnIlTaT. M1l'nTl'aT. l'1i!liI'Jl1i!1I
l'1l'l'ltl;l;/;
PAGE 1
RUN DATE:09/09/11
TIME:10:34
MEMORIAL MEDICAL CENTER
EDIT LIST FOR BATCH 556 0358
CRT#556
TRANSACTION SEQUENCE
PAGE 1
GLEDIT
ACCOUNT A.H.A.
SEQ. NUMBER NUMBER
TRANS
DATE JOURNAL
AMOUNT SUB-LED REFERENCE MEMO
G.L. ACcouNT DESCRIPTION
------------------------------------------------------------------------------------------------------------------------------------
1 10000000
20000000
09/09/11 CD
09/09/11 CD
117,865.00CR T3067
117,865.00 T3067
A/PC145211 TRAILBLAZER HEALTH ENTE OPERATING -CASH
A/PC145211 TRAILBLAZER HEALTH ENTE ACCOUNTS PAYABLE -A/P
30000000
6134
290422
- - - - - - - - - -R E C A P- - - - - - - - - -
JOURNAL YRMO COUNT DEBIT
CD 1109 2 117,865.00
TOTAL 2 117,865.00
CREDIT
117,865.00
117,865.00
M. e.d ~ t ~ r e... r e-C l,A..('\ ~ pGl.A.f MeA. 0\-
DI'" Dve....(..?CU;1 ~,~-tS.
ACCOUNT TOTAL RECAP ON NEXT PAGE
~ ;;L-II
r;iG tt ILl
. ~~f~O
,. ~~()\~~""~.,.
p~p
ft t'\'0~'\
St.\" \1;; [v \ \
p A\}Oi1()~
r....)U\~.r\! '
I),;%<
j!/JtiiJ9- /YJ .
Michael J. Pf~
Calhoun County Judge
Date: q - .J./J-~I
RU!i DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 1
APOPEN
VEND#.NAME. ...... .................. ..CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT..PC...... .GROSS. ... .DISC..... .NO-PAY....... .NET
10006 CUSTOM MEDICAL SPECIALTIES
SUPPLIES RADIOLOGY 123988 083111 082411 092311 62.56 .00 62.56 v'
TOTALS. . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . , . . . . . . . : 62.56 .00 62.56
10032 PHILIPS HEALTHCARE
SRV CONTRACT HUC CAMERA 923039363 091411 081311 091311 3185.00 .00 3185.00...-'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3185.00 .00 3185.00
10042 ERBE USA INC SURGICAL SYST
SUPPLIES SURGERY 192720 083111 082411 092311 178.09 .00 178.09/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 178.09 .00 178.09
10060 DETAR HOSPITAL
PHARMACEUTICALS ICP 050411 091211 082411 092311 1416.52 .00 1416.52 .,/
PHARMACEUTICALS 051311 091211 082411 092311 57.90 .00 57.90,,/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1474.42 .00 1474.42
10204 PHARMEDIUM SERVICES LLC
PHARMACEUTICALS A513629 090211 082411 092311 144.20 .00 144.20 ,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 144.20 .00 144.20
10297 ARUP LABORATORIES
OUTSIDE SERVICES 50348010 091311 080111 083111 6732.58 .00 6732.58/'
RESUBMISSION AT NO CHARGE CM50348010 091311 080111 083111 -200.02 .00 -200.02 ,-
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6532.56 .00 6532.56
10298 HITACHI MEDICAL SYSTEMS 9166.67 ./
SRV CONTRACT MRI PJIN0028448 083111 081511 092511 9166.67 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 9166.67 .00 9166.67
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES CS INVENTORY 90824447 083111 082211 092111 390.82 .00 390.82"/
SUPPLIES CS INVENTORY 90826711 083111 082411 092311 219.41 .00 219.41 ,/
TOTALS....................................... : 610.23 .00 610.23
10368 DEWITT POTH & SON
OFFICE SUPPLIES LAB 303858-0 091211 090211 091511 133.70 .00 133.70./
OFFICE SUPPLIES ER 303979-0 091211 090611 091511 5.89 .00 5.89 .....
OFFICE SUPPLIES CS INVENT 304039-0 091211 090711 091511 357.50 .00 357.5011'
OFFICE SUPPLIES CARDIO 304323-0 091311 090811 091511 126.02 .00 126.02/
OFFICE SUPPLIES ACCT 304341-0 091311 090811 091511 8.39 .00 8.39/
OFFICE SUPPLIES ER 304362-0 091311 090811 091511 140.00 .00 140.00......
OFFICE SUPPLIES ER 304507-0 091311 090911 091511 2.33 .00 2.33/
OFFICE SUPPLIES CS INV 304611-0 091311 091211 091511 310.26 .00 310.26 /
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1084.09 .00 1084.09
10394 WILLIAM E HEIKAMP, TRUSTEE
PAYROLL DEDUCTION 17916 091311 091311 091311 150.00 .00 150.00 ,/
TOTALS....................................... : 150.00 .00 150.00
10419 AMBU INC /
SUPPLIES CS INVENTORY 211059884 083111 082611 092511 111.72 .00 111.72
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 2
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 111.72 .00 111.72
10429 WILLIAM E HEITKAMP, TRUSTE
PAYROLL DEDUC'l'ION 17915 091311 091311 091311 495.00 .00 495.00V"
TOTALS....................................... : 495.00 .00 495.00
10441 MMC EMPLOYEE BENEFITS
EMPLOYEE BENEFITS 17911 091211 090711 090711 98925.69 .00 98925.69 ,/
EMPLOYEE BENEFITS 17919 091311 091311 091311 12036.37 .00 12036.37 ../
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 110962.06 .00 110962.06
10478 LESLIE ANN SOLIS
PAYROLL DEDUCTION 17914 091311 091311 091311 177.69 .00 177.69/
TOTALS....................................... : 177.69 .00 177.69
10509 DME 1860.00/
MEDICARE REIMBURSEMENT PR 23423 083111 082611 092511 1860.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1860.00 .00 1860.00
10528 RICK HART
17741 022811 022011 030911 2795.13 .00 2795.13
17741CR 031111 022011 030911 -2795.13 .00 -2795.13
TOTALS....................................... : .00 .00 .00
10536 MORRIS & DICKSON CO, LLC
PHARMACEUTICALS 2559390 091211 090611 092511 187.70 .00 187.70.......
PHARMACEU'l'ICALS 2559391 091211 090611 092511 1893.58 .00 1893.58 '"
PHARMACEUTICAL CREDIT CM74314 091211 090611 092511 -217.47 .00 -217.47.....-
PHARMACEU'l'ICAL CREDIT CM74315 091211 090611 092511 -1473.96 .00 -1473.96 ./
PHARMACEUTICALS 2568298 091311 090811 092511 21.12 .00 21.12 .....-
PHARMACEUTICALS 2568299 091311 090811 092511 1749.08 .00 1749.08/
PHARMACEUTICALS 2568493 091311 090811 092511 126.78 .00 126.78/
PHARMACEU'l'ICALS 2568740 091311 090811 092511 242.31 .00 242.31/
PHARMACEU'l'ICALS 2578855 091311 091211 092511 96.57 .00 96.57/
PHARMACEU'l'ICALS 2578856 091311 091211 092511 2729.26 .00 2729.26/
SPLITBILL LICENSE FEE 6511 091311 090711 092511 1000.00 .00 1000.00/
PHARMACEUTICAL CREDIT 7775 091311 091211 092511 -701. 80 .00 -701. 80,1
PHARMACEU'l'ICAL CREDIT CM74693 091311 090711 092511 -6282.26 .00 -6282.26/
PHARMACEUTICALS 2547609 091411 090111 092511 18.58 .00 18.58.1
PHARMACEU'l'ICALS 2547610 091411 090111 092511 3717.36 .00 3717.36/
TOTALS....................................... : 3106.85 .00 3106.85
10599 BKD, LLP
AUDITING FEES 055448 083111 082211 092111 11674.30 .00 11674.30 ",
AUDITING FEES 056747 083111 082411 092311 20000.00 .00 20000.00/
AUDITING FEES 057216 083111 082411 092311 970.00 .00 970.00'/
TOTALS....................................... : 32644.30 .00 32644.30
10617 LIQUID AGENTS HEALTHCARE 2088.00/
CONTRAC'l' NURSE 3713-33016 091211 090411 091111 2088.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2088.00 .00 2088.00
10618 TEAM HEALTH MEDICAL CALL C 1928.50 /
MEDICAL CALL CENTER BAl0429 091211 090711 090711 1928.50 .00
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 3
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 1928.50 .00 1928.50
10639 TX CHILD SUPPORT SDU
PAYROLL DEDUCTION 17912 091311 091311 091311 230.77 .00 230.77 ../
TOTALS....................................... : 230.77 .00 230.77
10642 GLAXOSMITHKLINE PHARMACUET
PHARMACEUTICALS 30218570 091211 082211 092211 1121.21 .00 1121.21 ,/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1121.21 .00 1121.21
10650 CAREFUSION 2200, INC
SURGICAL INSTRUMENTS 9102998469 083111 082411 092311 2458.41 .00 2458.41 /
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2458.41 .00 2458.41
A0400 AUREUS HEALTHCARE LLC
CONTRACT LAB TECH 503418 091211 081811 091711 2474.00 .00 2474.00 II'
CONTRACT LAB TECH 504711 091211 082511 092411 2490.46 .00 2490.46 V
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4964.46 .00 4964.46
A1292 PORT LAVACA HARDWARE
DECON JOB ER W 064440 083111 082411 092311 14.83 .00 14.83 /
DECON JOB ER 064442 083111 082411 092311 56.35 .00 56.35 ,/
DECON JOB ER 064445 083111 082411 092311 15.00 .00 15.00 ,./
DECON JOB ER 064463 083111 082511 092411 34.53 .00 34.53 --
DECON JOB ER 064325 091311 081811 091711 30.99 .00 30.99 ---
DECON JOB ER 064356 091311 081911 091811 35.42 .00 35.42 /'
DECON JOB ER 064357 091311 081911 091811 2.00 .00 2.00.,/
TOTALS....................................... : 189.12 .00 189.12
A1360 AMERISOURCEBERGEN DRUG COR
PHARMACEUTICALS W 037-212873 091311 090911 092511 43.78 .00 43.78 V""
TOTALS....................................... : 43.78 .00 43.78
A1645 ALCON LABORATORIES INC 795.00 -./
LENSES M 11921091 083111 082511 092411 795.00 .00
LENSES 11921095 083111 082511 092411 159.00 .00 159.00 ,.,
TOTALS....................................... : 954.00 .00 954.00
A1680 AIRGAS-SOUTHWEST
MEDICAL GAS M 107759634 083111 082411 092311 41.54 .00 41.54 ./
MEDICAL GAS 107763975 083111 082511 092411 133.92 .00 133.92 ,,/
TOT'ALS..................................... 1.1: 175.46 .00 175.46
A1825 CARDINAL HEALTH
SUPPLIES NUC MED M 08107272 091411 082611 082611 737.97 .00 737.97 V
SUPPLIES NUC MED 08107292 091411 083111 083111 75.12 .00 75.12/'
TO'rALS....,.................................. : 813.09 .00 813.09
A2218 AQUA BEVERAGE COMPANY 16.18/
SUPPLIES LAB M AUG2011 LAB 091211 083111 092511 16.18 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 16.18 .00 16.18
B0437 C R BARD INC
SUPPLIES SURGERY M 22285263 083111 082411 092311 250.25 .00 250.25/
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 4
APOPEN
VEND#.NAME................ ,......... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
SUPPLIES CS INVENTORY 43191833 083111 082411 092311 134.75 .00 134.75 ./
TOTALS....................................... : 385.00 .00 385.00
Bl075 BAXTER HEALTHCARE CORP
PUMP RENTAL M 32169995 083111 082311 092211 904.20 .00 904.20 /'
PUMP LEASE 32182982 083111 082411 092311 800.88 .00 800.88 "..
PUMP RENTAL 32196291 083111 082511 092411 1278.20 .00 1278.20/'
SUPPLIES CS INVENTORY 32335432 091311 090811 092311 137.47 .00 137.47/'
SUPPLIES CS INVENTORY 32335433 091311 090811 092311 270.82 .00 270.82 ""
TOTALS....................................... : 3391. 57 .00 3391. 57
B1220 BECKMAN COULTER INC
SHIPPING CHARGES LAB M 102399382 091211 082411 092311 17.03 .00 17.03/'
TOTALS....................................... : 17.03 .00 17.03
Cl030 CAL COM FEDERAL CREDIT UNI
PAYROLL DEDUCTION W 23441 091311 091311 091311 25.00 .00 25.00 /'
TOTALS....................................... : 25.00 .00 25.00
C1510 CHUBB SECURITY SYSTEMS INC
MONTHLY SRV M 7020355064 083111 082311 092211 26.25 .00 26.25 /'
TOTALS....................................... : 26.25 .00 26.25
C1970 CONMED CORPORATION
SUPPLIES SURGERY M 198812 083111 082411 092311 87.50 .00 87.50/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 87.50 .00 87.50
C2157 COOPER SURGICAL INC
SUPPLIES CS INVENTORY M 2658523 091211 082511 092411 415.65 .00 415.65 V
TOTALS.................................,..... : 415.65 .00 415.65
C2297 COVER ONE 148.50'/
OFFICE SUPPLIES ADMIN M 6981 083111 082411 092311 148.50 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . : 148.50 .00 148.50
C2510 CPSI -23.63/
PRIVATE PAY CREDIT APRIL M 668416 083111 082411 082411 -23.63 .00
PRIVATE PAY CREDIT MAY 668417 083111 082411 082411 -332.65 .00 -332.650/
HDWR/SFTWR/TECH SUPPORT A1109061378 091211 090611 090611 13725.00 .00 13725. OO~
STATEMENT PROCESSING 670200 091311 083111 091511 106.20 .00 106.20
STATEMENT PROCESSING 671235 091311 090711 091511 115.64 .00 115.64 .....-
PRIVATE PAY SERVICE 671349 091311 090811 090811 12474.10 .00 12474.10 ;/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 26064.66 .00 26064.66
D1785 DYNATRONICS CORPORATION
SUPPLIES PT 524821 083111 082211 092111 49.21 .00 49.21 ,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 49.21 .00 49.21
El151 MONICA ESCALANTE 224.11 ,,/"
TRAVEL REIMBURSEMENT W 23442 091311 090711 091311 224.11 .00
TOTALS....................................... : 224.11 .00 224.11
F1100 FEDERAL EXPRESS CORP.
SHIPPING CHARGES W 7-621-47970 091311 090811 092311 49.66 .00 49 . 66"",,,
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 5
APOPEN
VEND#.N1ME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 49.66 .00 49.66
F1300 FIRESTONE OF PORT LAVACA 592.78 ,/
REPAIR FORD VAN AC W 0007671 083111 082511 092411 592.78 .00
TOTALS....................................... : 592.78 .00 592.78
F1400 FISHER HEALTHCARE
SUPPLIES LAB M 3734530 091211 082311 092211 72.11 .00 72.11 ,,/
SUPPLIES LAB 3830610 091211 082411 092311 1925.49 .00 1925.49/'
SUPPLIES LAB 3830611 091211 082411 092311 455.51 .00 455.51/
SUPPLIES LAB 3934312 091211 082511 092411 162.68 .00 162.68/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2615.79 .00 2615.79
F1403 FISHER & PAYKEL HEALTHCARE
SUPPLIES NURSERY M 10909272 083111 082511 092411 55.00 .00 55.00 ,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 55.00 .00 55.00
G0401 GULF COAST DELIVERY
22923 022811 022411 030211 125.00 .00 125.00
22923CM 022811 022411 030211 -125.00 .00 -125.00
TOTALS......................,................ : .00 .00 .00
G0930 GRAPHIC CONTROLS LLC
SUPPLIES CS INVENTORY M KH4279 083111 082611 092511 62.83 .00 62.83 /
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 62.83 .00 62.83
G1001 GETINGE USA
0023716262 030911 022311 032511 45.19 .00 45.19
0023716262CR 031011 022311 032511 -45.19 .00 -45.19
TOTALS....................................... : .00 .00 .00
G1210 GULF COAST PAPER COMPANY
SUPPLIES HOUSEKEEPING M 254001 083111 082311 092211 65.10 .00 65.10 ,/
SUPPLIES HOUSEKEEPING 254016 083111 082311 092211 150.32 .00 150.32 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . : 215.42 .00 215.42
H0030 H E BUTT GROCERY
SUPPLIES DIETARY M 736166 083111 082211 092111 120.09 .00 120.09/
SUPPLIES DIETARY 736762 083111 082211 092111 47.30 .00 47.30 /
SUPPLIES DIETARY 742574 083111 082611 092511 217.10 .00 217.10/
TO'l'ALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 384.49 .00 384.49
H0416 HOLOGIC ./
SUPPLIES MAMMO 6296649 083111 082511 092411 895.30 .00 895.30
TOTALS....................................... : 895.30 .00 895.30
10415 INDEPENDENCE MEDICAL
SUPPLIES CS INVENTORY 0024974376 083111 082411 092411 45.00 .00 45.00/
TOTALS....................................... : 45.00 .00 45.00
10950 INFOLAB INC 197.24 /
SUPPLIES LAB M 3018000 091211 082311 092211 197.24 .00
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 6
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 197.24 .00 197.24
J1400 JOHNSON & JOHNSON
SUPPLIES SURGERY 1 ER 906069806 083111 082311 092211 519.52 .00 519.52 /
SUPPLIES SURGERY 906088994 083111 082411 092311 833.22 .00 833.22 ,,-
TOTALS.................................,..... : 1352.74 .00 1352.74
L0700 LABCORP OF AMERICA HOLDING
OUTSIDE SRV LAB M 350358091 091211 082711 092611 236.79 .00 236.79 /'
OUTSIDE SRV LAB 35246030 091211 082711 092611 55.20 .00 55.20 /
OUTSIDE SRV LAB 35380624 091211 082711 092611 110.40 .00 110.40 .,/
OUTSIDE SRV LAB 35380662 091211 082711 092611 121. 00 .00 121. 00 ./
TOTALS....................................... : 523.39 .00 523.39
M0500 MEMORIAL MEDICAL CENTER
CAFETERIA SALES W 23430 091211 090911 090911 75.00 .00 75.00 /'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 75.00 .00 75.00
M1511 MARKETLAB, INC 263.11 )
SUPPLIES LAB W M536167 091211 082411 092311 263.11 .00
TOTALS....................................... : 263.11 .00 263.11
M2485 MEDRAD INC
SUPPLIES RADIOLOGY M 138924125 083111 082411 092311 1522.60 .00 1522.60/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1522.60 .00 1522.60
M2659 MERRY X-RAY- SAN ANTONIO
SUPPLIES RADIOLOGY M 465761 083111 082511 092411 2496.11 .00 2496.11'/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2496.11 .00 2496.11
M2827 MINNTECH CORPORATION 254.141
SUPPLIES SURGERY M 1262941 083111 082511 092411 254.14 .00
TOTALS................................,...... : 254.14 .00 254.14
00450 PATRICIA OWEN 330.00 /
FLEX SPEND REIMBURSEMENT W 23431 091211 090911 090911 330.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 330.00 .00 330.00
01500 OLYMPUS AMERICA INC 31870.37 v'"
CAPITAL EQUIPMENT DR DECL M 12783477RI 083111 082211 092111 31870.37 .00
CAPITAL EQUIPMENT DR DICL 12791110RI 083111 082411 092311 33600.00 .00 33600.00/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 65470.37 .00 65470.37
OM425 OWENS & MINOR 110.40/
SUPPLIES CS INVENTORY 1812091 083111 082311 092211 110.40 .00
SUPPLIES SURGERY 1812172 083111 082311 092211 7.31 .00 7.31/
SUPPLIES CS 1 PT 1812205 083111 082311 092211 39.21 .00 39.21/
SUPPLIES SURGERY 1812403 083111 082311 092211 399.68 .00 399.68./
SUPPLIES HOUSEKEEPING 1812627 083111 082411 092311 21. 28 .00 21.28 ,,-
SUPPLIES CS INVENTORY 1812832 083111 082411 092311 33.76 .00 33.76......
SUPPLIES VARIOUS DEPT 1812957 083111 082411 092311 2124.74 .00 2124.74""
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 7
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.ex DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES HOUSEKEEPING 1812958 083111 082411 092311 45.08 .00 45.08 "../
SUPPLIES CS INVENTORY 1812175 091211 082311 092211 25.84 .00 25.84 /
SUPPLIES VARIOUS DEPT 1813711 091211 082511 092411 2949.63 .00 2949.63 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 5756.93 .00 5756.93
P1260 PENTAX MEDICAL COMPANY
SUPPLIES SURGERY M 91856836 083111 082211 092111 533.25 .00 533.25 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 533.25 .00 533.25
P2200 POWER ELECTRIC /
DECON JOB ER W 155631 083111 082511 092411 7.29 .00 7.29/
SUPPLIES GROUNDS 155632 083111 082511 092411 11.41 .00 11.41 /
SUPPLIES MAINTENANCE 155633 083111 082511 092411 14.99 .00 14.99
SUPPLIES GROUNDS 155647 083111 082611 092511 12.89 .00 12.89/
DECON JOB ER 155648 083111 082611 092511 30.71 .00 30.71 /'
SUPPLIES GROUNDS 155517 091311 081811 091711 30.35 .00 30.35 ......-
DECON JOB ER 155526 091311 081811 091711 4.51 .00 4.51....
SUPPLIES MAINTENANCE 155527 091311 081811 091711 8.99 .00 8.99/
TOTALS....................................... : 121.14 .00 121.14
R1321 RECEIVABLE MANAGEMENT, INC
COLLECTIONS W 23433 091211 073111 083111 439.88 .00 439.88./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 439.88 .00 439.88
R1469 MARIA 0 RESENDEZ
PAYROLL DEDUCTION 17917 091311 091311 091311 166.15 .00 166.15/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . .' . . . . . . . . . . . . . : 166.15 .00 166.15
R1471 RESPIRONICS, INC.
RENTAL OMNI LAB CARDIO M 911847405 091211 042711 052711 179.88 .00 179.88 vi'
RENTAL OMNI LAB CARDIO 912600546 091211 072711 082611 179.88 .00 179.88 /'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 359.76 .00 359.76
S2001 SIEMENS MEDICAL SOLUTIONS
SRV CONTRACT ULTRASOUND M 95573671 091411 081811 091711 941.58 .00 941.58 /
TOTALS....................................... : 941.58 .00 941.58
S2679 THE ST JOHN COMPANIES, INC
SUPPLIES CS INVENTORY M 07655698 083111 082411 092311 45.90 .00 45.90/
TOTALS....................................... : 45.90 .00 45.90
TOSOO TEAM REHAB
INTERIM BILLING W 23439 091311 091211 091511 15000.00 .00 15000.00 /'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 15000.00 .00 15000.00
Tl729 TONE /
CNO MEMBERSHIP DUES W 23434 091211 090111 090111 120.00 .00 120.00
TOTALS....................................... : 120.00 .00 120.00
T1751 TEXAS CHILD SUPPORT SDU
PAYROLL DEDUCTION W 17913 091311 091311 091311 197.08 .00 197.08 ./
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 8
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 197.08 .00 197.08
T2230 TEXAS WIRED MUSIC INC
A639585 091311 090111 090111 59.95 .00 ./
MUSIC SERVICE W 59.95 ./
MARKETING ON HOLD MUSIC A639586 091311 090111 090111 73.95 .00 73.95
TOTALS....................................... : 133.90 .00 133.90
T2303 TG 127.87 /
PAYROLL DEDUCTION W 17918 091311 091311 091311 127.87 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . : 127.87 .00 127.87
Ul054 UNIFIRST HOLDINGS 34.44 "./'
LAUNDRY MAINTENANCE W 8150542439 083111 082311 092211 34.44 .00
TOTALS....................................... : 34.44 .00 34.44
Ul056 UNIFORM ADVANTAGE
SCRUBS EMPLOYEE PURCHASE W 4061267 091311 082411 092311 225.91 .00 225.91/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 225.91 .00 225.91
Ul064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN 8400113014 083111 082311 092211 824.65 .00 824.65/
LAUNDRY HOUSEKEEPING 8400113015 083111 082311 092211 246 .78 .00 246.78/
LAUNDRY PLAZA 8400113016 083111 082311 092211 174.28 .00 174.28/
LAUNDRY DIETARY 8400113017 083111 082311 092211 100.41 .00 100.41/
LAUNDRY OB 8400113018 083111 082311 092211 86.70 .00 86.70/
LAUNDRY HOUSEKEEPING 8400113019 083111 082311 092211 57.05 .00 57.05 /
LAUNDRY HOSPITAL LINEN 8400113227 083111 082611 092511 717.88 .00 717.88~
LAUNDRY SURGERY 8400113228 083111 082611 092511 340.57 .00 340.57
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2548.32 .00 2548.32
U1400 UNITED WAY OF CALHOUN COUN
PAYROLL DEDUCTION W 23440 091311 091311 091311 151.50 .00 151.50 /'
TOTALS....................................... : 151.50 .00 151.50
U1800 UTAH MEDICAL PRODUCTS INC
SUPPLIES NURSERY M 749348 083111 082511 092411 197.23 .00 197.23'/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 197.23 .00 197.23
V0555 VERIZON SOUTHWEST
TELEPHONES M 5512101090111 091211 090111 092611 707.58 .00 707.58 /
TELEPHONES 5520220082811 091211 082811 092211 102.38 .00 102.38/
TELEPHONES 5523521090111 091211 090111 092611 40.34 .00 40.34 /
TOTALS. . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . : 850.30 .00 850.30
Vl050 THE VICTORIA ADVOCATE 12.40/
WEEKLY SUBSCRIPTION W 793826 083111 071011 080911 12.40 .00
WEEKLY SUBSCRIPTION 796991 083111 071711 081611 12.40 .00 12.40/
WEEKLY SUBSCRIPTION 797435 083111 072411 082311 12.40 .00 12.40./
WEEKLY SUBSCRIPTION 800791 083111 073011 082911 9.00 .00 9.00/
WEEKLY SUBSCRIPTION 802859 083111 080611 090511 12.40 .00 12.40/'
WEEKLY SUBSCRIPTION 805592 083111 081311 091211 12.40 .00 12.40 /
RUN DATE: 09/14/11
TIME: 11:27
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 09/27/11
PAGE: 9
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
V1107 VICTORIA COLLEGE
REGISTRATION FEE
W 23435
091211 083011 091111
12.40 .00
12.40 .00
95.80 .00
195.00 .00
195.00 .00
250.00 .00
250.00 .00
323655.81 .00
-'"
12.40 ./"
12.40
95.80
WEEKLY SUBSCRIPTION
WEEKLY SUBSCRIPTION
808777 091311 082711 092611
806038 091411 082011 091911
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
195.00
195.00
/'
Z0850 CARMEN C. ZAPATA-ARROYO
SPEECH - LANGUAGE PATHOLO W
23437 091211 090811 090811
./
250.00
250.00
TOTALS....................................... :
GRAND TOTALS.................................:
323655.81
APPROVED
SEP 1 5 2011
C~.s.ji 14 5;(\ ~
+D
1i II.{ 5J94
COUNTY AUDKrOA
V D \~S
:t1/~>J..~7
~/ 15';).1 :z-
.:I:f ILt 5 ?.9 S - ~ 1'15 ~q't
Michael J. eif r
calhoun~ounty J1ge
Date: ~_)
,
RUN DATE: 09/14/11
TIME: 12:56
MEMORIAL MEDICAL CmER
EDIT LIST FOR PATIm REFUNDS ARID=OOOl
PAGE 2
APCDEDIT
PATIENT
NUMBER
PAYEE NAME
DATE
.PAY PAT
AMOUNT CODE TYPE DESCRIPTION
GL NOM
i------------------------------~-------------------------------------------------
1091411 130.07/
1
\091411 91.07/
:091411 194.80 ~
i
I
i 100.00.1
- :091411
,
091411 36.66 /
--------------------------------------------------------------------------------
ARID=OOOl TOTAL
552.60
------------------------------------------------------------------------------------------------------------------------------------
TOTAL
552.60
C~-.S* J~ S 300
+t>
!t Il\S3c4
j;$),~)R~~ ~~ CD \f ~~~f]5
'. H ."".'('.'f'"
I~ [UH
~
;(;:~1)t~~{~r~r \f i>>.,(~jjrj))}.;'r(Pt{~.
.
-1)1(~~
Michael _.
CalhOun ~ Pfeifer
Date,,-~
..._. _"M~_^^'"~/''''
~U^ftY~'. ~nY~~'_ ~,~~~
"'D",II~~"
Dro~1!
RUN DATE:09/16/11
TIME:09:51
MEMORIAL MEDICAL CENTER
EDIT LIST FOR BATCH 556 0382
CRT#556
TRANSACTION SEQUENCE
PAGE 1
GLEDIT
ACCOUNT A.H.A.
SEQ. NUMBER NUMBER
TRANS
DATE JOURNAL
AMOUNT SUB-LED REFERENCE MEMO
G.!.. ACCOUNT DESCRIPTION
------------------------------------------------------------------------------------------------------------------------------------
1 10000000
20000000
09/16/11 CD
09/16/11 CD
13,732.13CR 10656
13,732.13 10656
A/PC145305 ACE MART RESTAURANT SUP OPERATING -CASH
A/PC145305 ACE MART RESTAURANT SUP ACCOUNTS PAYABLE -AlP
30000000
21312
290610
- - - - - - - - - -R E C A P- - - - - - - - - -
JOURNAL YRMO COUNT DEBIT
CD 1109 2 13,732.13
TOTAL 2 13,732.13
CREDIT
13,732.13
13,732.13
D ; .s l L0 a..5. k. e.. r-
.
)OS
tKf\Lt~
ACCOUNT TOTAL RECAP ON NEXT PAGE
APPr~OVEO
q::O i b ~:lnH
\...J',~,""r. ~ L..
COUNTY. AlmrrOR
_J1A 'uL~~
~
!Yi/~haei ~<,. - . ..
.a..a.I"""'; , J. Pfeifer . . .
".fl""'~n C
ge~~
D'''' nll"'Tl'. na I?n /11
MTl'Mn12TlIT. MTl'nT(,lIT, (,Tl'\\IIIITl'12
RUN DATE:09/20/11
TIME:l0:12
MEMORIAL MEDICAL CENTER
EDIT LIST FOR BATCH 556 0386
ACCOUNT A.H.A.
SEQ. NUMBER NUMBER
TRANS
DATE JOURNAL
AMOUNT SUB-LED REFERENCE MEMO
G.L. ACCOUNT DESCRIPTION
1 10000000
20000000
09/20/11 CD
09/20/11 CD
9,919.31CR 10499
9,919.31 10499
30000000
- - - - - - - - - -R E C A P- - - - - - - - - -
JOURNAL mo COUNT DEBIT
CD 1109 2 9,919.31
TOTAL 2 9,919.31
CREDIT
9,919.31
9,919.31
ACCOUNT TOTAL RECAP ON NEXT PAGE
~ 1<-1 <6 3D(P
\
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~ :\ {i~
c>:-,,'
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V
('1211':11:<<;<<;';
'Dl/!1l'
CRT#556
TRANSACTION SEQUENCE
PAGE 1
GLEDIT
A/PC145306 THE DOCTOR'S COMPANY
A/PC145306 THE DOCTOR'S COMPANY
OPERATING -CASH
ACCOUNTS PAYABLE -A/P
20998
290612
MI'11C!.. jJor..fiOi'\ of rvla.( fJrqe-l-:c e..
;,.,.s u ra.nce... tor J)r (!rotJll7::f
(Jer a:Jre.eA7I~-+
/lt11 d./ 0 I2jL
Michael J. Pf~e; .
Calhoun County JUdge
Date:..__!~ J-1--11
,
RUN DATE: 09/21/11
TIME: 14:09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 1
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
10032 PHILIPS HEALTHCARE
SUPPLIES MED/SURG 923129646 091211 090211 100111 117.60 .00 117.60 ..,/
TOTALS....................................... : 117.60 .00 117.60
10060 DETAR HOSPITAL
PHARMACEUTICALS ICP 072011 091211 083111 093011 26.09 .00 26.09 ,,/
TOTALS...................................... ..: 26.09 .00 26.09
10101 RELAYHEALTH, INC.
EPREMIS MEDICARE DIRECT T752716 091311 083111 093011 2153.44 .00 2153.44 V"
TOTALS....................................... : 2153.44 .00 2153.44
10172 US FOOD SERVICE
SUPPLIES DIETARY 4724467 091511 090111 092111 3327.20 .00 3327.20/
SUPPLIES DIETARY 4777570 091511 090211 092211 114.88 .00 114.88'/
SUPPLIES DIETARY 4846606 091511 090811 092811 3382.00 .00 3382.00/
SUPPLIES DIETARY 4909122 091511 091211 093011 54.40 .00 54.40/
SUPPLIES DIETARY 4933445 091511 091311 100111 185.90 .00 185.90/
SUPPLIES DIETARY 4975711 091911 091511 100411 3328.80 .00 3328.80/
TOTALS....................................... : 10393.18 .00 10393.18
10325 WHOLESALE ELECTRIC SUPPLY
SHIPPING CHARGES 2636683 091211 090711 093011 6.85 .00 6.85....
SUPPLIES PLANT OPS 79-2636683 091211 090111 093011 136.00 .00 136.00"""'"
SUPPLIES MED/SURG 79-2636696 091211 090111 093011 22.07 .00 22.07'/
TCYrALS....................................... : 164.92 .00 164.92
10333 SUNTRUST EQUIPMENT FINANCE
OPEN MRI 1419892 091411 090611 100111 22688.57 .00 22688.57.....
TOTALS....................................... : 22688.57 .00 22688.57
10339 MATTHEW BOYLE
SHOTS ACROSS TEXAS DIETAR 23444 091511 091411 092111 86.35 .00 '?)5: ~3 ~5
TOTALS....................................... : 86.35 .00 8 .35
10350 CENTURION MEDICAL PRODUCTS
OFFICE SUPPLIES LAB 90831883 091211 083111 093011 336.00 .00 336.00V
SUPPLIES CS INVENTORY 90833497 091211 090211 100111 827.97 .00 827.97/
SUPPLIES CS INVENTORY 90829145 091411 082911 092811 1110.78 .00 1110.78/
TOTALS....................................... :. 2274.75 .00 2274.75
10352 NUANCE COMMUNICATIONS, INC
DICTATION 70015195 092111 082711 092611 26869.84 .00 26869.84 ,/'
TOTALS....................................... : 26869.84 .00 26869.84
10378 LAQUINTA INNS & SUITES 1681.44 /
TRAVEL CRN! 61911212 091211 090611 093011 1681.44 .00
TOTALS...............,....................... : 1681.44 .00 1681.44
10441 MMC EMPLOYEE BENEFITS
EMPLOYEE BENEFITS 17921 092111 092011 100111 16938.23 .00 16938.23 V
RUN DATE: 09/21/11
TIME: 14:09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 2
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 16938.23 .00 16938.23
10507 JASON ANGLIN
TRAVEL EXPENSE REIMBURSEM 23453 092111 091911 100111 178.70 .00 178.70~
TOTALS................ I......................: 178.70 .00 178.70
10528 RICK HART
17741 022811 022011 030911 P 2795.13 .00 2795.13
17741CR 031111 022011 030911 P -2795.13 .00 -2795.13
17741-2 092111 022011 030911 P 2795.13 .00 2795.13
CM17741 092111 022011 030911 P -2795.13 .00 -2795.13
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
10536 MORRIS & DICKSON CO, LLC
PHARMACEUTICALS 2587555 091911 091411 092511 6537.89 .00 6537.8V
PHARMACEUTICALS 2587556 091911 091411 092511 3079.85 .00 3079.85/
TOT'ALS....................................... : 9617.74 .00 9617.74
10548 FARNAM STREET FINANCIAL
525628 030911 030111 040111 980.00 .00 980.00
525628CR 030911 030111 040111 -980.00 .00 -980.00
TOTALS...................,................... : .00 .00 .00
10556 CPP WOUND CARE #28,LLC
PROFESSIONAL FEES WOUND C 13183 091911 083111 093011 15425.00 .00 15425.00/
PROFESSIONAL FEES WOUND C 13188 091911 083111 093011 150.00 .00 150.0ov'
WOUND CARE CREDIT CMl006 091911 083111 093011 -190.00 .00 -190.00/
TOTALS....................................... : 15385.00 .00 15385.00
10579 TRE TEXAS
REPAIR INSTRUMENT SURGERY TT013145 091211 083111 093011 154.50 .00 154.50 V
TOTALS....................................... : 154.50 .00 154.50
10599 BKD, LLP 1227.50 v'
ACCOUNTING FEES 061066 091211 083011 092911 1227.50 .00
TOTALS....................................... : 1227.50 .00 1227.50
10617 LIQUID AGENTS HEALTHCARE
CONTRACT NURSE 3713-33296 091911 091111 091811 1392.00 .00 1392.00 V
TOTALS....................................... : 1392.00 .00 1392.00
10632 JACKSON NURSE PROFESSIONAL 2304.00/'
CONTRACT NURSE 43151580 091911 090311 100211 2304.00 .00 .
TOTALS....................................... : 2304.00 .00 2304.00
10646 COVIDIEN
CAPITAL EQUIPMENT OB 16444775 091211 083111 093011 146.53 .00 146.53 v'
TOTALS....................................... : 146.53 .00 146.53
10650 CAREFUSION 2200, INC 260.46/
SURGICAL INSTRUMENT 9103018440 091311 090111 100111 260.46 .00
RUN DATE: 09/21/11
TIME: 14: 09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 3
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS....................................... : 260.46 .00 260.46
A1292 PORT LAVACA HARDWARE
DEPT REPAIR DIETARY W 064521 083111 082911 092811 2.49 .00 2.49~
SUPPLIES PLANT OPS 064592 091311 090111 093011 39.24 .00 39.24/
SUPPLIES PLANT OPS 064601 091311 090111 093011 9.77 .00 9.77
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 51.50 .00 51. 50
A1350 ACTION LUMBER
REPAIR ADMIN W 21217 091211 083111 093011 32.00 .00 32.00/
TOTALS....................................... : 32.00 .00 32.00
A1680 AIRGAS-SOUTHWEST
MEDICAL GAS M 107786846 091311 083111 093011 58.64 .00 58.64 v"
MEDICAL GAS 107786847 091311 083111 093011 78.10 .00 78.10/
MEDICAL GAS 107814638 091311 083111 093011 1937.33 .00 1937.33/'
MEDICAL GAS 107814695 091311 083111 093011 200.70 .00 200.70/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2274.77 .00 2274.77
A1790 AFLAC
INSURANCE W 23454 092111 092011 100111 3639.54 .00 3639.54/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3639.54 .00 3639.54
B0435 BARD PERIPHERAL VASCULAR 67.90/
SUPPLIES CT SCAN M 09045312 091211 082911 092811 67.90 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 67.90 .00 67.90
B0437 C R BARD INC 134.75/
SUPPLIES CS INVENTORY M 43203061 091211 090211 100111 134.75 .00
TOTALS....................,.................. : 134.75 .00 134.75
Bl075 BAXTER HEALTHCARE CORP 196.51 ./
SUPPLIES CS INVENTORY M 32260479 091211 090111 093011 196.51 .00
'l'OTALS. . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . : 196.51 .00 196.51
B1220 BECKMAN COULTER INC
LEASE LAB M 5243885 083111 083111 093011 5382.13 .00 5382.13 V
TOTALS....................................... : 5382.13 .00 5382.13
B1800 BRIGGS CORPORATION 114.07/
OFFICE SUPPLIES RECOVERY M 6189237RI 091211 083111 093011 114.07 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 114.07 .00 114.07
B2001 ANGIE BURGIN
22948 031511 030311 032511 P 273.00 .00 273.00
22948CR 031711 030311 032511 P -273.00 .00 -273.00,,/
TRAVEL REIMBURSEMENT 23450 091911 091911 092311 33.30 .00 33.30
TOTALS....................................... : 33.30 .00 33.30
Cl033 CAD SOLUTIONS, INC 472.00 )
CAD CASES 201597 091411 083111 093011 472.00 .00
RUN DATE: 09/21/11
TIME: 14: 09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 4
APOPEN
VEND#.NAME......;....................CLS.INVOICE#.........TRN DT.INV DT.DUE DT CK DT PC GROSS DISC NO-PAY NET
. II ....... ..... ...... ........
TOTALS. . . . . . . . . . . . . t . . . . . . . . . . . . . . . . . . . . . . , . . : 472.00 .00 472.00
C1203 CALHOUN COUNTY WASTE MGMT
WASTE MANAGEMENT 326872 091411 090111 093011 20.00 .00 20.00 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 20.00 .00 20.00
C1410 CERTIFIED LABORATORIES
SUPPLIES HOUSEKEEPING M 475885 091911 090811 091811 131. 27 .00 131.27 ,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 131.27 .00 131.27
C1510 CHUBB SECURITY SYSTEMS INC
FIRE ALARM MONITORING M 7020355980 091311 090111 093011 27.56 .00 27.56 ,/
TOTALS....................................... : 27.56 .00 27.56
C1992 CDW GOVERNMENT, INC.
OFFICE SUPPLIES RADIOLOGY M ZMR6865 091211 083111 093011 302.58 .00 302.58 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . : 302.58 .00 302.58
C2157 COOPER SURGICAL INC 155.47 ./
SUPPLIES NURSERY M 2659947 091211 082911 092811 155.47 .00
TOTALS....................................... : 155.47 .00 155.47
C2510 CPSI 150.00/
SUPPLIES PHARMACY M 671718 091911 091211 091211 150.00 .00
ELECTRONIC PAYSTUBS 673048 091911 091511 093011 145.25 .00 145.25/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 295.25 .00 295.25
D0350 SIEMENS HEALTHCARE DIAGNOS
SUPPLIES M 970593753 092111 082511 092511 6904.99 .00 6904.99 ,/
LAB INVENTORY CREDIT 996020641 092111 082611 092611 -481. 62 .00 -481.62 /
TOTALS....................................... : 6423.37 .00 6423.37
D1125 AMY DAY 29.42 ,/
TRAVEL REIMBURSEMEMT W 23451 091911 091911 092311 29.42 .00
TOTALS....................................... : 29.42 .00 29.42
D1664 DOLPHIN TALK 187.50/
ADVERTISEMENT DR DICLEMEN W 826-08 083111 082911 092811 187.50 .00
TOTALS....................................... : 187.50 .00 187.50
D1781 MISTY PASSMORE 218.97/
FLEX SPEND REIMBURSEMENT W 23446 091911 091611 091611 218.97 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 218.97 .00 218.97
F1400 FISHER HEALTHCARE 11. 02 /
SUPPLIES LAB M 4186942 083111 082911 092811 11.02 .00
SUPPLIES LAB 4412618 083111 083111 093011 350.96 .00 350.96/
SUPPLIES LAB 4338093 091211 083011 092911 50.87 .00 50.87'/
SUPPLIES LAB 4338094 091211 083011 092911 122.45 .00 122.45 ./
SUPPLIES CREDIT LAB 4493585 091211 090111 100111 -54.10 .00 -54.10 ,/
SUPPLIES LAB 4493586 091211 090111 100111 842.34 .00 842.34/
RUN DATE: 09/21/11
TIME: 14:09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 5
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.ex DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1323.54 .00 1323.54
F1653 FORT BEND SERVICES, INC 450.00V"
MONTHLY SERVICE 0169236-IN 091311 090111 093011 450.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 450.00 .00 450.00
G0100 GE HEALTHCARE
SRV CONTRACT RADIOLOGY W 5173344 091411 090511 100411 3387.33 .00 3387.33/
SRV CONTRACT RADIOLOGY 5173345 091411 090511 100411 435.75 .00 435.75 ,,/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3823.08 .00 3823.08
G0401 GULF COAST DELIVERY
22923 022811 022411 030211 125.00 .00 125.00
22923CM 022811 022411 030211 -125.00 .00 -125.00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
Gl00l GETINGE USA
0023716262 030911 022311 032511 45.19 .00 45.19
0023716262CR 031011 022311 032511 -45.19 .00 -45.19
TOTALS....................................... : .00 .00 .00
H0030 H E BUTT GROCERY 100.82/'
DIETARY SUPPLIES M 748725 083111 083011 092911 100.82 .00
SUPPLIES DIETARY 750144 083111 083111 093011 80.73 .00 80.73 ../
FOOD SUPPLIES 751805 091411 090111 093011 41.48 .00 41.48....-'
TOTALS....................................... : 223.03 .00 223.03
H0947 HALL WIRELESS 25.46/"
SUPPLIES IT 10059455 091411 090111 093011 25.46 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 25.46 .00 25.46
I0415 INDEPENDENCE MEDICAL
SUPPLIES CS INVENTORY 0025019866 091311 083111 093011 71.41 .00 71.41/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 71.41 .00 71.41
I0950 INFOLAB INC 862.19/
SUPPLIES BLOOD BANK M 3020761 083111 083011 092911 862.19 .00
SUPPLIES LAB 3020762 083111 083011 092911 1009.45 .00 1009.45/
TOTALS....................................... : 1871.64 .00 1871.64
I1100 INSTRUMENTATION LABORATORY
SUPPLIES LAB M 9100877680 091211 082911 092811 3209.08 .00 3209.08~
LAB SUPPLIES CREDIT 93000024193 091211 062511 072411 -1033.54 .00 -1033.54
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . : 2175.54 .00 2175.54
J1300 JECKER FLOOR & GLASS 1483.001
DEPT REPAIR OB W 65832 083111 082911 092811 1483.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1483.00 .00 1483.00
J1400 JOHNSON & JOHNSON 1043.94 ./
SUPPLIES OB / SURGERY 906115587 091211 083011 092911 1043.94 .00
" ,
RUN DATE: 09/21/11
TIME: 14:09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10104/11
PAGE: 6
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES SURGERY 906121591 091211 093011 092911 284.32 .00 284.32/
TOTALS....................................... : 1328.26 .00 1328.26
K1751 VICKY KALlSEK 568.64/
FLEX SPEND REIMBURSEMENT W 23445 091911 091611 091611 568.64 .00
TOTALS....................................... : 568.64 .00 568.64
L1430 CONMED LINVATEC
INSTRUMENT SURGERY M 861672 091211 090111 100111 1173.00 .00 1173.00a/
TOTALS....................................... : 1173.00 .00 1173.00
M2550 MELSTAN, INC. 31.80/
SUPPLIES MAINTENANCE W 1251713 091211 090211 100111 31. 80 .00
TOTALS....................................... : 31.80 .00 31.80
M2621 MMC AUXILIARY GIFT SHOP
EMPLOYEE PURCHASES W 23448 091911 091911 100111 173.40 .00 173.40 -
TOTALS................ ."......................: 173.40 .00 173.40
M2650 METLIFE 275.32/
INSURANCE w 23455 092111 090111 091911 275.32 .00
TOTALS...............................,....... : 275.32 .00 275.32
M2659 MERRY X-RAY- SAN ANTONIO )
EQUIPMENT SERVICE M 11307 091411 083011 092911 240.00 .00 240.00/
EQUIPMENT SERVICE 464921 091411 083011 092911 80.00 .00 80.00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , : 320.00 .00 320.00
01410 ON-SITE TESTING SPECIALIST 184.65/
SUPPLIES LAB W 12608 083111 083011 092911 184.65 .00
TOTALS....................................... : 184.65 .00 184.65
01414 ORKIN PEST CONTROL 269.50~
MONTHLY PEST CONTROL SRV 67091870 091911 081511 091411 269.50 .00
MONTHLY PEST CONTROL SRV 67092223 091911 081511 091411 47.70 .00 47.70
TOTALS...................................,... : 317.20 .00 317.20
01496 OUTBURST ADVERTISING
MMC SHIRTS EMPLOYEE PURCH W 13012 091411 083011 092911 1431.50 .00 0/"
1431.50 /
SUPPLIES OB BIRTH CERTIFI 13069 091911 091311 092811 84.92 .00 84.92
TOTALS....................................... : 1516.42 .00 1516.42
01500 OLYMPUS AMERICA INC
SRV CONTRACT M 128094548RI 091211 083111 093011 216.66 .00 216.66/
TOTALS..............."""""",.,."""" : 216.66 .00 216.66
OM425 OWENS & MINOR 32.20 j
SUPPLIES LAB 1814787 091211 082911 092811 32.20 .00
SUPPLIES CS INVENTORY 1815312 091211 083011 092911 31.08 .00 31.08 ')
SUPPLIES CS INVENTORY 1815330 091211 083011 092911 30.22 .00 30.22
SUPPLIES CS 1 PT 1815349 091211 083011 092911 333.52 .00 333.52/
RUN DATE: 09/21/11
TIME: 14:09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 7
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES CS INVENTORY 1815395 091211 083011 092911 47.50 .00 47 .50 ,/
SUPPLIES VARIOUS DEPT 1815424 091211 083011 092911 101.01 .00 101.01./
SUPPLIES SURGERY 1815575 091211 083011 092911 566.45 .00 566.45/'
SUPPLIES VARIOUS DEPT 1815650 091211 083011 092911 2444.63 .00 2444.63 ,/
SUPPLIES CS INVENTORY 1816014 091211 083111 093011 76.96 .00 76.96/
SUPPLIES VARIOUS DEPT 1817312 091211 090211 100111 2280.37 .00 2280.37 ,,-
TOTALS....................................... : 5943.94 .00 5943.94
P0706 PALACIOS BEACON
ADVERTISEMENT W 23452 091911 090111 093011 286.00 .00 286.00/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 286.00 .00 286.00
P2100 PORT LAVACA WAVE 1409.43/"
ADVERTISEMENT w 170 091911 083111 093011 1409.43 .00
TOTALS....................................... : 1409.43 .00 1409.43
P2200 POWER ELECTRIC
REPAIR ADMIN W 155714 091211 083111 093011 6.10 .00 6.10 ,/
SUPPLIES MAINTENANCE 155716 091211 083111 093011 8.99 .00 8.99'/
DEPT REPAIR ADMIN 155720 091211 083111 093011 5.55 .00 5.55/
SUPPLIES ER 155516 091511 081811 091711 71.68 .00 71.68
SUPPLIES GROUNDS 155752 091511 090111 100111 4.64 .00 4.64.'/
SUPPLIES GROUNDS 155761 091511 090111 100111 12.54 .00 12.54 ............
SUPPLIES PLNAT OP 155765 091511 090111 100111 6.12 .00 {p,t ~ ~
SUPPLIES ER 155780 091511 090211 100211 27.00 .00 27.00""'"
SUPPLIES ER 155781 091511 090211 100211 6.80 .00 6.80'/
TOTALS....................................... : 149.42 .00 -1~
l'i'\.l.fq
Rl050 R G , ASSOCIATES INC 31.50 /
MIXED BED SVC FEE M 190107 083111 082911 092811 31.50 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 31. 50 .00 31. 50
R1268 RADIOLOGY UNLIMITED, PA
CALL PAY DR MALEK W 23438 091211 083011 092911 5500.00 .00 5500.00/'
XRAY READING 23443 091311 083011 093011 25.00 .00 25.00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . : 5525.00 .00 5525.00
R1321 RECEIVABLE MANAGEMENT, INC 483.741
COLLECTIONS w 23432 091211 083111 093011 483.74 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 483.74 .00 483.74
R1471 RESPIRONICS, INC. 58.00 /
SUPPLIES CARDIO M 912653989 091511 080411 090311 58.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 58.00 .00 58.00
S0402 DIANA SAUCEDA 95.00 J
FLEX SPEND REIMBURSEMENT 23447 091911 091611 091611 95.00 .00
TOTALS....................................... : 95.00 .00 95.00
S1200 SEARS 34.05 /
DEPT REPAIR PLANT OPS M T688159 091211 090511 100411 34.05 .00
RUN DATE: 09/21/11
TIME: 14:09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 8
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 34.05 .00 34.05
S2951 SYSCO FOOD SERVICES OF 698.52 ./
SUPPLIES DIETARY M 109010429 091511 090111 092111 698.52 .00
SUPPLIES DIETARY 109080522 091511 090811 092811 1179.93 .00 1179.93.,/'
SUPPLIES DIETARY 109150805 091911 091511 100411 977.02 .00 977 .02./
TOTALS....................................... : 2855.47 .00 2855.47
S3960 STERICYCLE, INC
MEDICAL WASTE PICKUP 4002829450 091311 083111 093011 661. 89 .00 661. 89 ./
TOTALS....................................... : 661.89 .00 661. 89
T1724 TOSHIBA AMERICA MEDICAL SY
SRV CONTRACT CT SCANNER 2523580 091411 090111 093011 9874.50 .00 9874.50V"
TOTALS. . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 9874.50 .00 9874.50
T2539 T-SYSTEM, INC.
ELECTRONIC DOC SYSTEM ER W 205EV0267952 083111 083111 100111 3922.00 .00 3922.00/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3922.00 .00 3922.00
T3130 TRI-ANIM HEALTH SERVICES I
M 60209343 033111 020211 030211 137.34 .00 137.34
RTOO7724 033111 020711 030611 -137.34 .00 -137.34
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
U0414 UNUM LIFE INS CO OF AMERIC
LIFE INSURANCE 17920 092111 091211 100111 3381.31 .00 3381.31 ,,/
TOTALS....................................... : 3381.31 .00 3381. 31
Ul054 UNIFIRST HOLDINGS
LAUNDRY MAINTENANCE W 8150543169 083111 083011 092911 32.54 .00 32.54 ./
TOTALS. . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 32.54 .00 32.54
Ul056 UNIFORM ADVANTAGE
SCRUBS EMPLOYEE PURCHASE W 4068139 091911 082911 092811 238.86 .00 238.86/
TOTALS....................................... : 238.86 .00 238.86
Ul064 UNIFIRST HOLDINGS INC 705.06 /
LAUNDRY HOSPITAL LINEN 8400113353 091211 083011 092911 705.06 .00
LAUNDRY HOUSEKEEPING 8400113354 091211 083011 092911 246.78 .00 246.78/
LAUNDRY PLAZA 8400113355 091211 083011 092911 184.55 .00 ./
184.55 /
LAUNDRY DIETARY 8400113356 091211 083011 092911 100.41 .00 100.41
LAUNDRY OB 8400113357 091211 083011 092911 86.70 .00 86.70/
LAUNDRY HOUSEKEEPING 8400113358 091211 083011 092911 57.05 .00 57.05 ./"
LAUNDRY HOSPITAL LINEN 8400113558 091211 090211 100111 797.64 .00 797.64/
LAUNDRY SURGERY 8400113559 091211 090211 100111 340.57 .00 340.57/
TOTALS....................................... : 2518.76 .00 2518.76
U1460 THE UNIFORM CONNECTION
SCRUBS EMPLOYEE PURCHASE 155189 091211 090211 100111 92.60 .00 92.60 /
SCRUBS EMPLOYEE PURCHASE 155594 091211 090211 100111 151.20 .00 151.20/
-
RUN DATE: 09/21/11
TIME: 14: 09
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/04/11
PAGE: 9
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
V0555 VERIZON SOUTHWEST
TELEPHONES
TELEPHONES
TELEPHONES
TELEPHONES
V1050 THE VICTORIA ADVOCATE
WEEKLY SUBSCRIPTION
Wl131 SUE WILLIAMS
TRAVEL REIMBURSEMENT
W1300 GRAINGER
SUPPLIES ER
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
M 5512513090711
5526713090711
5528103090711
5537803090711
091911 090711 100211
091911 090711 100211
091911 090711 100211
091911 090711 100211
TOTALS....................................... :
W 747316
747755
747316CR
747755CR
811758
022811 021211 031411
022811 011911 032111
031111 021211 031411
031111 021911 032111
091311 090311 100211
TCYrALS....................................... :
23449
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
091911 091911 092311
M 9624617305
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
091211 083011 093011
GR.AND TOTALS.................................:
C-ks:l::lIL(S 3D 7
-to
:il1'153'11
va I 1) S
-
~ I '-\5 3lpg
243.80 .00 243.80
146.81 .00 146.81 ..-/
1263.89 .00 1263.89 -
47.86 .00 47.86 ~
292.27 .00 292.27/
1750.83 .00 1750.83
125.70 .00 125.70
138.10 .00 138.10
-125.70 .00 -125.70
-138.10 .00 -138.10
12.40 .00 12.40/
12.40 .00 12.40
63.71 .00 63.71 /
63.71 .00 63.71
55.27 .00 55.27/
55.27 .00 55.27
191430.17 .00 191430.17
f'3 \ .[ <. ~". 35 {
c...~: IS"'V'- +-~5 ,23
\' "It 1 { <'t 1 ~. ~ ~ f
~c..--\- ~ rlV'... _+ I t.t'l .., 9 ./
I cll) l\ 2 q. \:L
~JffL-
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Calho\Jr;' C:ounw Judge
Dat6~~.._..~ft.~ J-C/- ~ )
APPROVED
SEP 2 2 20H
C(H_JN"~"'t AuorrOR
RUN DATE: 09/22/11
TIME: 09:49
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID=OOOl
PAGE 2
APCDEDIT
PATIENT
NUMBER
PAYEE NAME
PAY PAT
DATE AMOUNT CODE TYPE DESCRIPTION
,-----------------------------------------------------------
!092211 79.81 ;I
GL~
;
i092211
115.80 ,,/
1092211
3110.00/
~--------------------------------------------------------------------------------
ARID=OOOl TOTAL
3305.61
TOTAL
3305.61
/
CKs.a 1453'l2
+0
-J! Ilf S 3'1 'f
.JA&. c4 "f Q IJfc- C-
~~fe~1i?h) j pt~:..:,.,.
,~~' f ;)'':':Ij.,;:;;t,.", : 1'1; ~:'1ge
;[j{lj'i&;_ ~~i- j
~
AUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 1
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT PC GROSS DISC NO-PAY NET
II ....... ..... ...... ........
10032 PHILIPS HEALTHCARE
SUPPLIES lCU 923147535 091311 090711 100611 147.70 .00 147.70 ,..,.-
TOTALS....................................... : 147.70 .00 147.70
10037 CAL SCIENTIFIC, INC
DEPT REPAIR LAB 22558 092611 091611 093011 164.95 .00 164.95 ,/
TOTALS.................... ....................: 164.95 .00 164.95
10172 US FOOD SERVICE
SUPPLIES DIETARY 4870534 092611 090811 092811 58.84 .00 58.84........
SUPPLIES DIETARY 5115039 092611 092211 100711 3793.87 .00 3793.870/
TOTALS....................................... : 3852.71 .00 3852.71
10175 DSHS CENTRAL LAB MC2004
OUTSIDE SERVICES LAB 23457 092611 090611 100511 172.50 .00 172.50 ,,/
TOTALS....................................... : 172.50 .00 172.50
10204 PHARMEDIUM SERVICES LLC
PHARMACEUTICALS A518989 091511 090811 100711 235.00 .00 235.00/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 235.00 .00 235.00
10297 ARUP LABORATORIES
OUTSIDE SERVICE LAB 50355046 092611 090111 100111 8779.02 .00 8779.0Y
TOTALS....................................... : 8779.02 .00 8779.02
10326 PRINCIPAL LIFE 1799.57/
INSURANCE 17921 092611 091711 100111 1799.57 .00
TOTALS....................................... : 1799.57 .00 1799.57
10339 MATTHEW BOYLE
SHOTS ACROSS TEXAS DIETAR 23444 091511 091411 092111 102211 P X.3$ .00 86.35
SHOTS ACROSS TEXAS DIETAR CM23444 102211 091411 092111 102211 P -'~ .00 -86.35
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : /.0 .00 .00
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES CS INVENTORY 90836358 091211 090711 100711 608.07 .00 608.07/
TOTALS....................................... : 608.07 .00 608.07
10371 LOFTIN EQUIPMENT COMPANY 1350.00 ./
YEARLY GENERATOR TEST SRVCE020689 092611 082911 092811 1350.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1350.00 .00 1350.00
10374 HARDY DIAGNOSTICS /
SUPPLIES LAB 044274-0 092711 070511 080411 33.92 .00 33.92/
SUPPLIES LAB 050291-0 092711 072811 082711 55.14 .00 55.14
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 89.06 .00 89.06
10394 WILLIAM E HEIKAMP, TRUSTEE 150.00/
PAYROLL DEDUCTION 17925 092711 092711 092711 150.00 .00
TOTALS....................................... : 150.00 .00 150.00
10429 WILLIAM E HEITKAMP, TRUSTE 495.00 j
PAYROLL DEDUCTION 17926 092711 092711 092711 495.00 .00
RUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 2
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 495.00 .00 495.00
10441 MMC EMPLOYEE BENEFITS 32492.89 /
EMPLOYEE BENEFITS 17931 092811 092711 100111 32492.89 .00
TOTALS....................................... : 32492.89 .00 32492.89
10478 LESLIE ANN SOLIS
PAYROLL DEDUC'l'ION 17924 092711 092711 092711 177 .69 .00 177.69 ,,/
TOTALS....................................... : 177 .69 .00 177.69
10528 RICK HART
17741 022811 022011 030911 P .00 2795.13
17741CR 031111 022011 030911 P .00 -2795.13
17741-2 092111 022011 030911 P .00 2795.13
CM17741 092111 022011 030911 P .00 -2795.13
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00
10536 MORRIS & DICKSON CO, LLC 693.38 .,,/
PHARMACEUTICALS 2594890 091911 091611 101011 693.38 .00
PHARMACEUTICALS 2591596 092611 091511 092511 1109.66 .00 1109.66 :;:
PHARMACEUTICALS 2601939 092611 091911 101011 3608.84 .00 3608.84
PHARMACEUTICALS 2601940 092611 091911 101011 3887.96 .00 3887.96::::
PHARMACEUTICALS 2608958 092611 092011 101011 59.78 .00 59.78/
PHARMACEUTICALS 2609342 092611 092011 101011 42.58 .00 42.58
PHARMACEUTICALS 2610411 092611 092011 101011 4561. 64 .00 4561.64~
PHARMACEUTICALS 2610410 092711 092111 101011 1666.41 .00 1666.41
PHARMACEUTICALS 2614 728 092711 092211 101011 13.40 .00 13.40:/
PHARMACEUTICALS 2614729 092711 092211 101011 1998.67 .00 1998.67/
PHARMACEUTICALS 2614817 092711 092211 101011 136.55 .00 136.55 ./'
PHARMACEUTICALS 2623117 092711 092611 101011 49.92 .00 49.92
PHARMACEUTICALS 2623118 092711 092611 101011 14.79 .00 14.79/'
PHARMACEUTICALS 2623119 092711 092611 101011 1955.44 .00 1955.44.........
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 19799.02 .00 19799.02
10541 IPC, INC 125.97/
SUPPLIES LAB 125219 092611 080911 090811 125.97 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 125.97 .00 125.97
10548 FARNAM STREET FINANCIAL
525628 030911 030111 040111 .00 980.00
525628CR 030911 030111 040111 .00 -980.00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00
10598 GLENN CRISP
TRAVEL EXPENSES 23455 092611 082811 092811 44.40 .00 44.40/
TRAVEL EXPENSES PT 23459 092611 091111 101011 44.40 .00 44.40/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 88.80 .00 88.80
10611 TELE-PHYSICIANS, P.A. 2400.000/
TELE NEUROLOGY CONSULT 07-1749 092611 083111 093011 2400.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2400.00 .00 2400.00
10617 LIQUID AGENTS HEALTHCARE 1392.00/
CONTRACT NURSE 3713-33495 092611 091811 092511 1392.00 .00
RUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 3
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 1392.00 .00 1392.00
10619 ADAM BESIO
EMPLOYEE REIMBURSEMENT 0603085 092811 092711 100111 96.98 .00 96.98/
~O( Vh6fte/~e~ - TOTALS....................................... : 96.98 .00 96.98
~~">3~
10632 JACKSON NURSE PROFESSIONAL
CONTRACT NURSE 43251580 092611 091011 091011 2304.00 .00 2304.00 ",..
CONTRACT NURSE 43351580 092711 091711 091711 2304.00 .00 2304.00 ,,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4608.00 .00 4608.00
10634 JACKLYN S HUDSON
TRAVEL EXPENSE REIMBURSEM 23469 092711 092611 100111 44.30 .00 .33. 3D :r!0
TOTALS....................................... : 44.30 .00 .30
10639 TX CHILD SUPPORT SDU
PAYROLL DEDUCTION 17922 092711 092711 092711 230.77 .00 230.77 ,,/
TOTALS....................................... : 230.77 .00 230.77
10645 REVISTA de VICTORIA
ADVERTISING 09201126 091211 090711 100611 375.00 .00 375.00...........
TOTALS.....................................,. : 375.00 .00 375.00
10650 CAREFUSION 2200, INC 2664.50/
SUPPLIES SURGERY 9103018439 092711 090111 100111 2664.50 .00
SUPPLIES SURGERY 9103021909 092711 090211 100211 48.25 .00 48.25/
TOTALS....................................... : 2712.75 .00 2712.75
10654 AESCULAP
INSTRUMENTS SURGERY 902928133 091311 090811 100811 970.00 .00 970.00 ,/
TOTALS....................................... : 970.00 .00 970.00
10655 GYRUS AOMI, L.P. 7871.94 v'
CAPITAL EQUIPMENT 101417776 092611 090811 100711 7871.94 .00
SUPPLIES SURGERY 101417777 092711 090811 100811 361.00 .00 361.00/'
TOTALS............................,.......... : 8232.94 .00 8232.94
10659 AABB
MEMBERSHIP RENEWAL 23460 092611 092011 092311 272.00 .00 272.00 ,/
TOTALS... .,. .,. ...... II I" .,.... II .,.. II.....: 272.00 .00 272.00
10660 ADVANCED MEDICAL INNOVATIO /
SUPPLIES SURGERY 10261 092711 081611 091511 290.45 .00 290.45
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 290.45 .00 290.45
10661 CENTURYLINK
TELEPHONE 1179083182 092711 090311 100311 262.66 .00 262.66'"
TOTALS....................................... : 262.66 .00 262.66
A0400 AUREUS HEALTHCARE LLC 2474.00/
CONTRACT LAB TECH 506023 092611 090111 100111 2474.00 .00
RUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 4
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
CONTRACT LAB TECH 507321 092611 090811 100811 1855.50 .00 1855.50/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4329.50 .00 4329.50
A0777 ANDERSON CONSULTATION SERV
COLLECTIONS W MMC090711 091311 090711 100611 1990.96 .00 1990.96 ...--
TOTALS....................................... : 1990.96 .00 1990.96
A1292 PORT LAVACA HARDWARE
SUPPLIES GROUNDS W 064714 091311 090811 100711 24.95 .00 24.95/
TOTALS....................................... : 24.95 .00 24.95
A1350 ACTION LUMBER
REPAIR PILOT HOUSE W 21219 092611 083111 093011 5.95 .00 5.95 ......--
TOTALS....................................... : 5.95 .00 5.95
A1360 AMERISOURCEBERGEN DRUG COR ".22~
PHARMACEUTICALS W 037-231655 092711 092311 101011 46.22 .00
PHARMACEUTICALS 037-231656 092711 092311 101011 533.34 .00 533.34
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 579.56 .00 579.56
A1680 AIRGAS-SOUTHWEST 134.37/
MEDICAL GAS M 107846958 091311 090711 100711 134.37 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 134.37 .00 134.37
A1746 ALPHA TEC SYSTEMS INC
SUPPLIES LAB M 203997 092611 081511 091411 324.30 .00 324.30......--
TOTALS....................................... : 324.30 .00 324.30
A1790 AFLAC 78.00 /
AFLAC FEES W 23464 092711 091511 100111 78.00 .00
TOTALS....................................... : 78.00 .00 78.00
A2345 AT&T MOBILITY 4.56/
TELEPHONE 826431294X091920 092611 091111 100611 4.56 .00
TOTALS..........,............................ : 4.56 .00 4.56
B0437 C R BARD INC /
SUPPLIES SURGERY M 09051343 091211 090611 100511 189.15 .00 189.15 ./
SUPPLIES SURGERY 22292899 091911 090611 100611 250.26 .00 250.26
TOTALS....................................... : 439.41 .00 439.41
B1075 BAXTER HEALTHCARE CORP 36.95,/'
PUMP RENTAL ANESTHESIA M 32319455 091211 090711 100711 36.95 .00
TOTALS....................................... : 36.95 .00 36.95
B1220 BECKMAN COULTER INC 138.00'/
OUTSIDE SERVICE LAB M 102424414 092611 090611 100511 138.00 .00
OUTSIDE SERVICE LAB 102424415 092611 090611 100511 593.99 .00 593.99/
OUTSIDE SERVICES LAB 102424416 092611 090611 100511 885.44 .00 885.44 .;
OUTSIDE SERVICES LAB 102424920 092611 090711 100611 8982.18 .00 8982.181
OUTSIDE SERVICES LAB 102424921 092611 090711 100611 4494.33 .00 4494.33 v'
RUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 5
APOPEN
VEND#.NlME...........................CLS.INVOlCE#.........TRN DT.INV DT.DUE OT.ex DT..PC.......GROSS.....DISC......NO-PAY........NET
OUTSIDE SERVICE LAB 102426136 092611 090711 100611 505.62 .00 505.62 ;../
OUTSIDE SERVICE LAB 102430933 092611 090911 100811 1275.80 .00 1275.80 V""
LEASE AND MAINTENANCE LAB 5245093 092611 091211 101111 3440.19 .00 3440.19 ~
LEASE AND MAINTENANCE LAB 5245094 092611 091211 101111 3933.48 .00 3933.48
TOTALS....................................... : 24249.03 .00 24249.03
B2001 ANGIE BURGIN
22948 031511 030311 032511 P 7( .00 273.00
22948CR 031711 030311 032511 P -27 00 .00 -273.00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .~ .00 .00
Cl030 CAL COM FEDERAL CREDIT UN! /
PAYROLL DEDUCTION W 17929 092711 092711 092711 25.00 .00 25.00 .,/
TOTALS. . . . . . . . . . . . . . t . . . . . . . . . . . . . . . . . . . . . . . . : 25.00 .00 25.00
C2157 COOPER SURGICAL INC 316.76/
SUPPLIES SURGERY M 2671370 092611 091211 101111 316.76 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 316.76 .00 316.76
C2510 CPSI
STATEMENT PROCESSING M 672932 092611 091511 091511 34.81 .00 34.81'/
DIAGNOSTIC WORKSTATION 673544 092711 092011 092011 15732.90 .00 15732.90/
TO'rALS....................................... : 15767.71 .00 15767.71
D1125 AMY DAY 6.00/
SUPPLIES NURSERY W 23467 092711 083011 093011 6.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6.00 .00 6.00
D1200 DETAR HOSPITAL 26.091
PHARMACEUTICALS W 072011 092711 083111 093011 26.09 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 26.09 .00 26.09
D1784 DUBIN MEDICAL INC 321.16 .,/
PHARMACEUTICALS W 0064179-IN 092611 091311 092811 321.16 .00
TOTALS....................................... : 321.16 .00 321.16
E1617 E Z GRAPH OF VICTORIA INC /
SUPPLIES MED/SURG W 16021 091911 090911 100911 163.05 .00 163.05
TOTALS....................................... : 163.05 .00 163.05
F1400 FISHER HEALTHCARE 712. 78~
SUPPLIES LAB M 1766582 092611 092011 100911 712.78 .00
SUPPLIES LAB SHIPPING CRE 2339504 092611 092111 092111 -16.93 .00 -16.93
SUPPLIES LAB SHIPPING CRE 2339505 092611 092111 092111 -20.59 .00 -20.59:/
SUPPLIES LAB 4671762 092611 090611 100511 672.48 .00 672.48
SUPPLIES LAB 4779377 092611 090711 100611 788.41 .00 788.41 i
SUPPLIES LAB 4905826 092611 090811 100711 109.06 .00 109.06
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2245.21 .00 2245.21
G0120 GE MEDICAL SYSTEMS, INFO T
MAINTENANCE HIM 7358473 092611 090811 100711 171.00 .00 171. 00 v'
RUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 6
APOPEN
VEND#.NAME...........................CLS.INVOlCE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
G0401 GULF COAST DELIVERY
22923
22923CM
022811 022411 030211
022811 022411 030211
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
G1001 GETINGE USA
0023716262
0023716262CR
030911 022311 032511
031011 022311 032511
TOTALS....................................... :
G1210 GULF COAST PAPER COMPANY
SUPPLIES HOUSEKEEPING M 261487
091211 090611 100511
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
H1399 HILL-ROM
DEPT REPAIR ER M
AIR MATTRESS FOR WOUND CA
23530793
6964018
091911 090811 100811
092611 083111 093011
TO'rALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
10520 IKON FINANCIAL SERVICES
COPIER RENTAL CONTRACT M 85541058
091911 090911 100511
TO'rALS.............................,......... :
10950 INFOLAB INC
SUPPLIES LAB
SUPPLIES LAB
M 3023156
3024041
092611 090611 100511
092611 090711 100611
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
11260 INTOXIMETERS INC
SUPPLIES LAB
M 342029
092611 090911 100811
TOTALS....................................... :
J1350 M.C. JOHNSON COMPANY INC
SUPPLIES CS INVENTORY M 00231376
091211 090611 100611
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
J1400 JOHNSON II JOHNSON
SUPPLIES SURGERY
SUPPLIES SURGERY
906155540
906178689
091211 090611 100511
091911 090811 100711
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
M2310 MEDELA INC
SUPPLIES CS INVENTORY
M 11020988
091911 090611 100511
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ':
M2621 MMC AUXILIARY GIFT SHOP
EMPLOYEE PAYROLL DEDUCTIO W 23465
092711 092611 100111
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
M2659 MERRY X-RAY. SAN ANTONIO
SUPPLIES RADIOLOGY M 464657
092711 072111 082011
171.00 .00 171.00
12~ .00 125.00
-12 .0 .00 -125.00
(.0 .00 .00
-~ .00 45.19
.00 -45.19
.00 .00
193.27 .00 193.271
193.27 .00 193.27
123.96 .00 123.96/
1171.80 .00 1171.80V'
1295.76 .00 1295.76
4730.00 .00 4730.00/'
4730.00 .00 4730.00
665.05 .00 /
665.05/
149.60 .00 149.60
814.65 .00 814.65
584.75 .00 584.75/
584.75 .00 584.75
102.91 .00 102.91 /
102.91 .00 102.91
681.41 .00 681. 41 ::J
462.00 .00 462.00
1143.41 .00 1143.41
318.87 .00 318.87 /
318.87 .00 318.87
../
37.27 .00 37.27
37.27 .00 37.27
824.19 .00 824.19)
RUN DATE: 09/28/11 MEMORIAL MEDICAL CENTER PAGE: 7
TIME: 11:49 AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11 APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET
TOTALS....................................... : 824.19 .00 824.19
M2827 MINNTECH CORPORATION 186.00)
SUPPLIES SURGERY M 1266459 091311 090611 100511 186.00 .00
TOTALS....................................... : 186.00 .00 186.00
M3866 MUSTAIN & ASSOCIATES 870.93/
COLLECTIONS w JULY2011 092611 083011 093011 870.93 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 870.93 .00 870.93
N1225 NUTRITION OPTIONS 3750.00/
DIETICIAN w 23466 092711 092111 100111 3750.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3750.00 .00 3750.00
OM425 OWENS & MINOR ,,/
SUPPLIES SURGERY 1817826 091211 090611 100511 90.23 .00 90.23,,/
SUPPLIES CS INVENTORY 1817828 091211 090611 100511 63.45 .00 63.45
1817847 091211 090611 100511 43.00 .00 v
SUPPLIES OB 43.00 ,/
SUPPLIES CS INV / ER 1817991 091211 090611 100511 128.84 .00 128.84
SUPPLIES MED/SURG 1818001 091211 090611 100511 186.40 .00 ./
186.40 /'
SUPPLIES CS INV / SURGERY 1818146 091211 090611 100511 958.62 .00 958.62/
SUPPLIES SURGERY 1818257 091211 090611 100511 42.80 .00 42.80
SUPPLIES PT 1819187 091311 090811 100711 159.23 .00 159.23/
SUPPLIES NURSERY 1819224 091311 090811 100711 148.34 .00 /'
148.34./
SUPPLIES SURGERY / EKG 1819274 091311 090811 100711 98.30 .00 98.30,/
SUPPLIES SURGERY 1819326 091311 090811 100711 138.00 .00 138.00/,
SUPPLIES SURGERY 1819396 091311 090811 100711 107.21 .00 107.21 :I
SUPPLIES VARIOUS DEPT 1819529 091311 090811 100711 1566.19 .00 1566.19
TOTALS....................................... : 3730.61 .00 3730.61
P1102 PC MALL 187.44 /
OFFICE SUPPLIES LAB J69636210101 091911 090811 100811 187.44 .00
'l'O'rALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 187.44 .00 187.44
P1876 POLYMEDCO INC.
SUPPLIES LAB M 988346 092611 082911 092811 125.26 .00 125.26 ./
TOTALS....................................... : 125.26 .00 125.26
P2200 POWER ELECTRIC
SUPPLIES PLNAT OP W 155765 091511 090111 100111 102211 P 6.12 .00 6.12/
LAUNDRY ER 155844 091511 090811 100811 19.41 .00 19.41 .
REPAIR COOLING TOWER 155877 092611 091211 101111 36.40 .00 36.40~
REPAIR DIETARY 155881 092611 091211 101111 5.25 .00 5.25
SUPPLIES PLNAT OP CM155765 102211 090111 100111 102211 P -6.12 .00 -6.12
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 61.06 .00 61.06
Rl050 R G & ASSOCIATES INC 319.80;::
SALT DELIVERY M 190570 091511 090911 100811 319.80 .00
MEIXED BED TANK CHANGE 190665 091911 090611 100511 400.00 .00 400.00
TOTALS....................................... : 719.80 .00 719.80
R1268 RADIOLOGY UNLIMITED, PA
XRAY READING FEES W 23467 092711 080211 092611 1335.00 .00 1335.00V
RUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 8
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1335.00 .00 1335.00
R1469 MARIA D RESENDEZ 212.31/
PAYROLL DEDUCTION 17927 092711 092711 092711 212.31 .00
TOTALS....................................... : 212.31 .00 212.31
S1850 SHIP SHUTTLE TAXI SERVICE 18.00 /
TAXI SERVICE ER W 23436 091211 090611 100511 18.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 18.00 .00 18.00
S2001 SIEMENS MEDICAL SOLUTIONS 697 .5~
SVR CONTRACT MAMMO M 95577232 091411 083011 092911 697.58 .00
TOTALS....................................... : 697.58 .00 697.58
S2830 STRYKER SALES CORP 325.00'/
SUPPLIES SURGERY M 399056A 091311 090611 100511 325.00 .00
TOTALS....................................... : 325.00 .00 325.00
S2896 DANETTE BETHANY 256.7(
TRAVEL EXPENSE REIMBURSEM W 23468 092711 092611 100111 256.78 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 256.78 .00 256.78
S2903 SUN COAST RESOURCES, INC ~
MONTHLY GAS FOR AUG AUGUST2011 092711 083111 093011 272.49 .00 272.49
TOTALS....................................... : 272.49 .00 272.49
S2951 SYSCO FOOD SERVICES OF 652.81/
SUPPLIES DIETARY M 109220980 092611 092211 100711 652.81 .00
TOTALS....................................... : 652.81 .00 652.81
S3940 STERIS CORPORATION 354.3e/'
INSTRUMENT REPAIR SURGERY M 3981862 091311 090711 100611 354.38 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 354.38 .00 354.38
T0801 TLC STAFFING 50S. 7~
CONTRACT NURSE W 9457 091211 090711 100711 505.70 .00
TOTALS. . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 505.70 .00 505.70
T1751 TEXAS CHILD SUPPORT SDU 197.08/
PAYROLL DEDUCTION W 17923 092711 092711 092711 197.08 .00
TOTALS....................................... : 197.08 .00 197.08
T1880 TEXAS DEPARTMENT OF LlCENS
BOILER INSPECTION A/P 2012000494 092711 090911 100911 420.00 .00 420.00/
TOTALS....................................... : 420.00 .00 420.00
T2303 TG 143.3~
PAYROLL DEDUCTION W 17928 092711 092711 092711 143.35 .00
TOTALS....................................... : 143.35 .00 143.35
T3130 TRI-ANIM HEALTH SERVICES I
M 60209343 033111 020211 030211 137.34 .00 137.34
. . , t
RUN DATE: 09/28/11
TIME: 11:49
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/11/11
PAGE: 9
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN M.INV M.DUE M.CK M. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET
Ul054 UNIFIRST HOLDINGS
LAUNDRY MAINTENANCE
Ul064 UNIFIRST HOLDINGS IRe
LAUNDRY CREDIT
LAUNDRY HOSPITAL LINEN
LAUNDRY HOUSEKEEPING
LAUNDRY PLAZA
LAUNDRY DIETARY
LAUNDRY 08
LAUNDRY HOUSEKEEPING
LAUNDRY HOSPITAL LINEN
LAUNDRY OR
U1400 UNITED WAY OF CALHOUN COUN
PAYROLL DEDUCTIONS W
V0555 VERIZON SOUTHWEST
TELEPHONE
TELEPHONE
V0559 VERIZON WIRELESS
TELEPHONE
W1300 GRAINGER
SUPPLIES PLANT OPS
YlOOO YOUNG PLUMBING CO
'$-." ~ fL(;>o.:,~.s.
~~
}~ iV~
~ ~/)i
RT007724
033111 020711 030611
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
W
8150543868
091511 090611 100511
TOTALS....................................... :
110989CR
8400113687
8400113688
8400113689
8400113690
8400113691
8400113692
8400113896
8400113897
091511 090911 100811
091511 090611 100511
091511 090611 100511
091511 090611 100511
091511 090611 100511
091511 090611 100511
091511 090611 100511
091511 090911 100811
091511 090911 100811
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
17930
092711 092711 092711
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. . . . . . :
M 5522646091611 092711 091611 101111
5525926091611 092711 091611 101111
TOTALS......,..,..............................,. :
6632123794
092711 091611 101111
TOTALS....................................... :
M
9628069354
091511 090611 100611
TOTALS....................................... :
W
135992 091311 090711 100611
TOTALS....................................... :
GRAND TOTALS.................................:
CXs-a. I ~ 5 3 <1.5
-(-0
t:f.1L(5~ gS
\}ft>I1).s
-- ~ I ~)~'3ev.
H 1'191{'0
-137.34 .00
.00 .00
32.54 .00
32.54 .00
-125.52 .00
937.99 .00
246.78 .00
188.60 .00
107.31 .00
88.51 .00
57.05 .00
563.90 .00
340.57 .00
2405.19 .00
146.50 .00
146.50 .00
107.64 .00
55.03 .00
162.67 .00
221.28 .00
221.28 .00
26.54 .00
26.54 .00
49.00 .00
49.00 .00
171765.70 .00
-137.34
.00
32.54
32.54
-125.52 '"/
937.99Y
246.78.......--
188.60~
107.31'......
88.51
,,-
57.05
563.90 ",-
340.57 /
2405.19
146.50/
146.50
107.64/
55.03 v'
162.67
,/
221. 28
221. 28
26.54 .,/
26.54
49.00/
49.00
171765.70
<' <it(. 30 )-
-+ 33.30
11/, '754.7DV
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AUOI'l"OfH
of
RUN DAtE: 09/28/11
TIME: 10:41
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID=OOOl
PAGE 2
APCDEDIT
PATIENT
NUMBER
PAYEE NAME
PAY PAT
DATE AMOUN'!' CODE TYPE DESMlTll'l'TnN
----------------------,
092811 416.40.1 i
GL NOM
092811 68.80'/
,
;
i___ _____ --- ----- -------,
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6W,,,..IJ-VVV" ..v....",
4 85 . 20
:::::------------------------------------------------------------::::::--~-----------~-;;~_;:;-:~~::j~t;;----------------
~-'~
RUN DATE: 10/05/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 1
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
10114 PORT LAVACA CHAMBER OF COM
FAIR BOOTH RENTAL 23494 100511 100411 100411 150.00 .00 150.00 v
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 150.00 .00 150.00
10172 US FOOD SERVICE
SUPPLIES DIETARY 5155586 093011 093011 101811 173.87 .00 173.87 ,/
SUPPLIES DIETARY 5230474 093011 092911 101811 3498.89 .00 3498.89 ~
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3672.76 .00 3672.76
10204 PHARMEDIUM SERVICES LLC
PHARMACEUTICALS A521447 092611 091411 101311 144.20 .00 144.20./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 144.20 .00 144.20
10339 MATTHEW BOYLE
SHOTS ACROSS TEXAS DIETAR 23444 091511 091411 092111 102211 P 86.35 .00 86.35
SHOTS ACROSS TEXAS DIETAR CM23444 102211 091411 092111 102211 P -86.35 .00 -86.35
TOTALS....................................... : .00 .00 .00
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES CS INVENTORY 90839529 091911 091211 101111 798.27 .00 798.27'/
SUPPLIES CS INVENTORY 90844739 092611 091911 101811 442.08 .00 442.080/
TOTALS. . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . : 1240.35 .00 1240.35
10368 DEWITT POTH & SON
OFFICE SUPPLIES MEDISURG 305141-0 092611 091611 101511 35.03 .00 35.03 ./
OFFICE SUPPLIES ER 305546-0 092611 091911 101511 140.00 .00 140.00:/
OFFICE SUPPLIES CS INVENT 305897-0 092711 092111 101511 114.82 .00 114.82
OFFICE SUPPLIES HIM 306138-0 092711 092311 101511 155.00 .00 155.00/
OFFICE SUPPLIES SURGERY 306451-0 093011 092611 101511 10.80 .00 10.80......
OFFICE SUPPLIES CS INVENT 306702-0 093011 092811 101511 158.32 .00 158.32:/
OFFICE SUPPLIES PLANT OPS 306775-0 093011 092911 101511 60.79 .00 60.79
OFFICE SUPPLIES CS INVENT 306840-0 093011 092911 101511 214.50 .00 214.50 ,,/
TOTALS....................................... : 889.26 .00 889.26
10441 MMC EMPLOYEE BENEFITS
EMPLOYEE BENEFITS 0 to.... Fees 23493 100411 100411 101511 15643.60 .00 15643.60 ,.,-
EMPLOYEE BENEFITS 1A>'<'i C\4tMS17933 100511 100511 100511 10441.96 .00 10441. 96.....
TOTALS. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 26085.56 .00 26085.56
10528 RICK HART
17741 022811 022011 030911 P 2795.13 .00 2795.13
17741CR 031111 022011 030911 P -2795.13 .00 -2795.13
17741-2 092111 022011 030911 P 2795.13 .00 2795.13
CM17741 092111 022011 030911 P -2795.13 .00 -2795.13
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
10536 MORRIS & DICKSON CO, LLC
PHARMACEUTICALS 2627820 093011 092711 101011 136.24 .00 136.24/
PHARMACEUTICALS 2628976 093011 092711 101011 2.40 .00 2.40/
PHARMACEUTICALS 2628977 093011 092711 101011 1296.95 .00 1296.95"""-
PHARMACEUTICALS 2632340 093011 092811 101011 207.13 .00 207.13.r
RUN DATE: 10/05/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 2
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
PHARMACEUTICALS
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
10541 IPC, INC
SUPPLIES LAB
10548 FARNAM STREET FINANCIAL
10578 LUMINANT ENERGY COMPANY LL
GAS
10598 GLENN CRISP
TRAVEL REIMBURSEMENT
10601 NOBLE AMERICAS ENERGY
ELECTRICITY
10632 JACKSON NURSE PROFESSIONAL
CONTRACT NURSE
10647 MICHAEL J. DICLEMENTE, MD
PHYSICIAN GUARANTEE
A '""1\ '2.D"
10650 CAREFUSION 2200, INC
INSTRUMENT SURGERY
10655 GYRUS ACMI, L.P.
SUPPLIES SURGERY
2633202
2633203
2636467
2637769
2637770
2639172
2639173
CM83412
CM83413
2640561
9675
CM83865
CM84436
093011 092811 101011
093011 092811 101011
093011 092911 101011
093011 092911 101011
093011 092911 101011
093011 092911 101011
093011 092911 101011
093011 092911 101011
093011 092911 101011
100511 093011 101011
100511 092911 101011
100511 093011 101011
100511 100311 101011
TOTALS....................................... :
126932
TOTALS....................................... :
092611 091311 101211
525628
525628CR
030911 030111 040111
030911 030111 040111
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
INV0508367
TOTALS....................................... :
091311 090111 101711
23488
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
093011 092511 101511
112700001958360 093011 092711 100711
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
43451580
TOTALS....................................... :
093011 092411 092411
23496
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
100511 100511 100511
9103042644
TOTALS....................................... :
091911 091311 101311
101424843
TOTALS....................................... :
092711 091611 101611
10658 SPORTAID/MEDAID/DIV SRG IN
REPAIR MED/SURG 0192402-IN
092711 091511 101411
33.81
843.67
441.98
15.43
1676.65
6.28
197.50
-85.15
-85.15
10691.46
-1.86
-427.48
-1255.22
13694.64
125.91
125.91
980.00
-980.00
.00
2234.06
2234.06
44.00
44.00
30662.70
30662.70
3072.00
3072.00
35143.92
35143.92
224.25
224.25
1114.00
1114.00
34.99
.00 33.81.....
.00 843.67 ;,.-
.00 441.98 .....
.00 15.43 ""
.00 1676.65 ,.;
.00 6.28......
.00 197.5V
.00 -85.15 ,/
.00 -85.15.......
.00 10691.46 ,/
.00 -1. 86 ""
.00 -427.48/
.00 -1255.22 /
.00 13694.64
.00 125.9111"
.00 125.91
.00 980.00
.00 -980.00
.00 .00
.00 2234.06 V'
.00 2234.06
.00 LfLl ' &40 ~O
.00 44. 0
.00 30662.70'/
.00 30662.70
.00 3072.00'/
.00 3072.00
.00 35143.92 ,/
.00 35143.92
.00 224.25/
.00 224.25
.00 1114.00 v'
.00 1114.00
.00 34.99 ./
RUN DATE: 10105/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 3
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TO'rALS....................................... : 34.99 .00 34.99
A0400 AUREUS HEALTHCARE LLC
CONTRACT LAB TECH 509133 093011 091511 101511 2515.00 .00 2515.00"/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2515.00 .00 2515.00
A0401 ABBOTT NUTRITION
SUPPLIES NURSERY 936081079 091911 091211 101211 296.32 .00 296.32 .,/
TOTALS....................................... : 296.32 .00 296.32
A1292 PORT LAVACA HARDWARE 40.85 ",/
DEPT REPAIR BIO MED W 064821 092611 091411 101311 40.85 .00
TMALS....................................... : 40.85 .00 40.85
A1350 ACTION LUMBER 55.00~
SUPPLIES PLANT OPS W 21520 092711 091511 101411 55.00 .00
TOTALS.. 1,.,1 ... II.. II ..... II .,.. .,.. II... I": 55.00 .00 55.00
A1360 AMERISOURCEBERGEN DRUG COR 22.26~
PHARMACEUTICALS W 037-240749 093011 092911 101011 22.26 .00
PHARMACEUTICALS 037-242345 093011 093011 101011 28.08 .00 28.08
TOTALS....................................... : 50.34 .00 50.34
A1553 APPLIED CARDIAC SYSTEMS
SUPPLIES EKG M 0254793-IN 093011 092211 100211 276.50 .00 276.50/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 276.50 .00 276.50
A1645 ALCON LABORATORIES INC 3114.00/
LENSES M 12012983 091911 091211 101111 3114 .00 .00
TOTALS....................................... : 3114 . 00 .00 3114.00
A1715 ALCO SALES & SERVICE CO 76.71/
DEPT REPAIR HR M 2425728-IN 093011 092611 101511 76.71 .00
TOTALS....................................... : 76.71 .00 76.71
A2276 ARTHROCARE CORPORATION 1597.32/
SUPPLIES SURGERY M 90748719 092611 091511 101511 1597.32 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1597.32 .00 1597.32
A2345 AT&T MOBILITY 651.87 .,/
TELEPHONES 826433376X092620 093011 091811 101311 651. 87 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 651. 87 .00 651. 87
A2349 AT&T 1201. 70 .I
TELEPHONE W 7840936106 092711 091611 101411 1201. 70 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1201.70 .00 1201. 70
B0437 C R BARD INC 134.75"/
SUPPLIES CS INVENTORY M 43214986 092611 091411 101311 134.75 .00
SUPPLIES CS INVENTORY 43220184 092611 091911 101811 73.70 .00 73.70 ./
TOTALS....................................... : 208.45 .00 208.45
B1075 BAXTER HEALTHCARE CORP
SUPPLIES CS INVENTORY M 32399795 092611 091511 101511 427.92 .00 427.92/
RUN DATE: 10/05/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 4
APOPEN
VEND#.NAME...........................CLS.INVOlCE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
PHARMACEUTICAL 32273286 093011 090211 100211 276.90 .00 276.90 ",/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 704.82 .00 704.82
B1220 BECKMAN COULTER INC
OUTSIDE SERVICES LAB M 102437317 092611 091311 101211 407.72 .00 407.72 v'"
OUTSIDE SERVICE 102446616 092611 091611 101511 315.15 .00 315.15/
TMALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 722.87 .00 722.87
B1602 SHIRLEY BOEDEKER
TRAVEL EXPENSE LAB BECKMA W 23458 092611 091611 101511 /
130.55 .00 /3'1,.5-> ~
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 130.55 .00
B1655 BOSTON SCIENTIFIC CORPORAT 454.00 ./
SUPPLIES SURGERY M 929881401 092711 091911 101811 454.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 454.00 .00 454.00
B2001 ANGIE BURGIN
22948 031511 030311 032511 P 273.00 .00 273.00
22948CR 031711 030311 032511 P -273.00 .00 -273.00
TOTALS......................................, : .00 .00 .00
C1010 CABLE ONE
TELEPHONE W 23489 093011 091611 092511 354.95 .00 354.95 ,/
TOTALS....................................... : 354.95 .00 354.95
C1275 CARROT TOP INDUSTRIES INC 138.84/
SUPPLIES HOUSEKEEPING M CI1140265 092611 091411 101311 138.84 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 138.84 .00 138.84
C1600 CITIZENS MEDICAL CENTER 143.00~
OUTSIDE SRV LAB W 234090 093011 073111 083111 143.00 .00
TOTALS....................................... : 143.00 .00 143.00
C1730 CITY OF PORT LAVACA
WATER SEWER W 081011-090911 093011 091911 100511 7416.35 .00 7416.35/
WATER 081011T0090911 093011 091911 100511 1383.70 .00 1383.70/
TOTALS....................................... : 8800.05 .00 8800.05
C1945 COMPUTER COMMAND CORPORATI 225.00/
OUTSIDE SERVICE IT 11508 091911 091511 101411 225.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 225.00 .00 225.00
C2510 CPSI 1764.00/
BAKUP ENCRYPTION FOR PACS M 657866 091911 091411 101311 1764.00 .00
STATEMENT PROCESSING 674022 093011 092111 092111 63.72 .00 63.72 ./
STATEMENT PROCESSING 675802 093011 092911 092811 93.81 .00 93.81'/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1921.53 .00 1921.53
Dl153 DARLING INTERNATIONAL INC. 35.00/
GREASE PICK UP 500:2083138 093011 092211 092211 35.00 .00
TOTALS....................................... : 35.00 .00 35.00
D1752 DLE PAPER i PACKAGING 172.18 /
SUPPLIES PRINT SHOP W 6360 091911 091511 101511 172.18 .00
RUN DATE: 10/05/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 5
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 172.18 .00 172.18
F1400 FISHER HEALTHCARE 1080.93 ./
SUPPLIES LABS M 6272607 092611 091311 101211 1080.93 .00
SUPPLIES LAB 7017688 092611 091411 101311 493.25 .00 493.25 V'
SUPPLIES LAB 8427177 092611 091511 101411 114.43 .00 114.43/
TOTALS....................................... : 1688.61 .00 1688.61
G0401 GULF COAST DELIVERY
22923 022811 022411 030211 125.00 .00 125.00
22923CM 022811 022411 030211 -125.00 .00 -125.00
OUTSIDE DELIVERY SERVICE SEPT2011 093011 092911 101511 175.00 .00 175.00..........
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 175.00 .00 175.00
G0930 GRAPHIC CONTROLS LLC
SUPPLIES CS INVENTORY M KH9548 092611 091511 101411 61.10 .00 61.10 V
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 61.10 .00 61.10
Gl00l GETINGE USA
0023716262 030911 022311 032511 45.19 .00 45.19
0023716262CR 031011 022311 032511 -45.19 .00 -45.19
TMALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
G1210 GULF COAST PAPER COMPANY 68.93/
SUPPLIES HOUSEKEEPING M 26557 092611 091311 101211 68.93 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 68.93 .00 68.93
H0030 H E BUTT GROCERY 120.231-
SUPPLIES DIETARY M 760900 091511 091411 101311 120.23 .00
SUPPLIES DIETARY 773256 091511 091311 101211 34.48 .00 34.48
SUPPLIES DIETARY 775037 091511 091411 101311 185.66 .00 185.66~
SUPPLIES DIETARY 766225 091911 091411 101311 25.00 .00 25.00
SUPPLIES DIETARY 778941 091911 091611 101611 17.76 .00 17.76 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . : 383.13 .00 383.13
H1399 HILL-ROM
REPAIR MED/SURG M 23536520 092711 091711 101711 157.15 .00 157.15/
TOTALS....................................... : 157.15 .00 157.15
I0415 INDEPENDENCE MEDICAL
SUPPLIES CS INVENTORY 0025120316 092611 091411 101311 184.12 .00 184.12 :/
SUPPLIES CS INVENTORY 0025129992 092711 091511 101511 68.52 .00 68.52
TOTALS....................................... : 252.64 .00 252.64
I0520 IKON FINANCIAL SERVICES
COPIER RENTAL - OVERAGES M 5018325173 093011 051111 061111 47 .42 .00 47.42'/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 47 .42 .00 47.42
I0950 INFOLAB INC /
SUPPLIES BLOOD BANK M 3026061 092611 091311 101211 314.74 .00 314.74/
SUPPLIES LAB 3026062 092611 091311 101211 157.75 .00 157.75
RUN DATE: 10/05/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 6
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES LAB 3026845 092611 091411 101311 85.89 .00 85.89 ,/
SUBSCRIPTION LAB 3027120 092611 091511 101411 7820.00 .00 7820.00/
TOTALS....................................... : 8378.38 .00 8378.38
I1263 IVANS
COLLECTIONS W llD0137716 092611 091311 101211 60.11 .00 60.11/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 60.11 .00 60.11
J14 0 0 JOHNSON & JOHNSON
SUPPLIES SURGERY 906208856 091911 091311 101311 42.00 .00 42.00/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 42.00 .00 42.00
K0547 KIMBERLY- CLARK INC
SUPPLIES LAB 9102033926 093011 090711 100711 171.20 .00 171.20/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 171.20 .00 171. 20
L1640 LOWE'S HOME CENTERS INC 179.00/
SUPPLIES BIOMED W 41837 092611 091611 101511 179.00 .00
TOTALS....................................... : 179.00 .00 179.00
M1410 REBECCA MALONE 450.00 ./
CONSULTANT SERVICE W 23461 092611 092011 101811 450.00 .00
TOT.AI.S. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 450.00 .00 450.00
M1500 MARKS PLUMBING PARTS
SUPPLIES ER DECON ROOM M 1049614 091911 091311 101211 251.37 .00 251.37v'
SUPPLIES ER DECON ROOM 1049615 091911 091311 101211 132.48 .00 132.48 ,/
DECON JOB 1050479 092611 091511 101411 9.03 .00 9.03/
SUPPLIES PLANT OPS BACKOR 1025321-1 093011 091611 101611 1.64 .00 1. 64 /
TOTALS....................................... : 394.52 .00 394.52
M2449 MEDISAFE AMERICA LLC 553.95/
DEPT REPAIR SURGERY M 26177 091911 091311 101311 553.95 .00
TOTALS........................ ...............: 553.95 .00 553.95
M2659 MERRY X-RAY- SAN ANTONIO 964.49/
SUPPLIES XRAY M 466424 091911 091311 101411 964.49 .00
TOTALS....................................... : 964.49 .00 964.49
M2827 MINNTECH CORPORATION 984.00/
SUPPLIES SURGERY M 1269336 092611 091411 101311 984.00 .00
TOTALS....................................... : 984.00 .00 984.00
M3656 MERIDIAN BIOSCIENCE 2043.30/
SUPPLIES LAB 699925 093011 081511 091411 2043.30 .00
TOTALS....................................... : 2043.30 .00 2043.30
M3866 MUSTAIN & ASSOCIATES 792.15/
COLLECTIONS w AUG2011 093011 082111 092111 792.15 .00
TOTALS....................................... : 792.15 .00 792.15
OM425 OWENS & MINOR 140.651
SUPPLIES SURGERY 1821178 091911 091311 101311 140.65 .00
RUN DATE: 10/05/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 7
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CX DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES CS INV I CARDIO 1821225 091911 091311 101311 66.24 .00 66.24 ,/
SUPPLIES CS INVENTORY 1821251 091911 091311 101311 16.60 .00 16.60 .../
SUPPLIES CS INVENTORY 1821295 091911 091311 101311 7.08 .00 7.08 ------
SUPPLIES SURGERY 1821501 091911 091311 101311 89.77 .00 89.77 ,/
SUPPLIES VARIOUS DEPT 1821574 091911 091311 101311 3838.98 .00 3838.98v'
SUPPLIES MED/SURG 1822407 091911 091311 101311 57.53 .00 57.53 /'
SUPPLIES CS INVENTORY 1822423 091911 091511 101511 47.66 .00 47.66 ::;
SUPPLIES ULTRASOUND 1822460 091911 091511 101511 185.76 .00 185.76
SUPPLIES CS INVENTORY 1822630 091911 091511 101511 4.39 .00 4.39 -
SUPPLIES VARIOUS DEPT 1823253 092611 091611 101511 681. 69 .00 681.69 -
SUPPLIES VARIOUS DEPT 1818135 093011 090611 100611 1764.00 .00 1764.00 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6900.35 .00 6900.35
P1600 PHYSIO CONTROL CORPORATION 23.50 ./
DEPT REPAIR ER M 112043916 092611 091411 101311 23.50 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 23.50 .00 23.50
P1800 PITNEY BOWES INC 207.00/
POSTAGE MACHINE RENTAL W 716452 093011 091611 101611 207.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 207.00 .00 207.00
P2200 POWER ELECTRIC
SUPPLIES POOT OP W 155765 091511 090111 100111 102211 P 6.12 .00 6.12
DECON JOB 155911 092611 091411 101311 9.54 .00 9.54 "....
SUPPLIES GROUNDS 155927 092611 091511 101411 15.05 .00 15.05",..-
DECON JOB 155940 092611 091411 101311 44.46 .00 44.46/
DECON JOB 155943 092611 091611 101511 37.96 .00 37.96 /
SUPPLIES POOT OP CM155765 102211 090111 100111 102211 P -6.12 .00 -6.12
TOTALS....................................... : 107.01 .00 107.01
P2370 PROGRESSIVE DYNAMICS MEDIC 92.00 ./
SUPPLIES SURGERY M 128195 092711 091311 101311 92.00 .00
TOTALS....................................... : 92.00 .00 92.00
R1268 RADIOLOGY UNLIMITED, PA
XRAY READING FEES W 23492 093011 092911 101511 25.00 .00 25.00 vi
TOTALS. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . : 25.00 .00 25.00
S2400 SO TEX BLOOD & TISSUE CENT
SUPPLIES BLOOD BANK CREDI M 20114367 092611 091911 101811 -2673.00 .00 -2673.00-:/
SUPPLIES BLOOD BANK 20114503 092611 091911 101811 6307.00 .00 6307.00
TOTALS....................................... : 3634.00 .00 3634.00
S2679 THE ST JOHN COMPANIES, INC 249.60 f
SUPPLIES CS INVENTORY M 07670798 091911 091311 101211 249.60 .00
SUPPLIES CS INVENTORY 07671968 091911 091411 101311 205.00 .00 205.00
TOTALS....................................... : 454.60 .00 454.60
S2694 STANFORD VACUUM SERVICE 320.00/
GREASE TRAP PUMPED M 132236 091911 091411 101311 320.00 .00
TOTALS....................................... : 320.00 .00 320.00
S2833 STRYKER ENDOSCOPY 1412.78/
INSTRUMENTS SURGERY 3973380-E 092611 091311 101211 1412.78 .00
RUN DATE: 10/05/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 8
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 1412.78 .00 1412.78
S2951 SYSCO FOOD SERVICES OF
SUPPLIES DIETARY M 109290507 093011 092911 101811 933.27 .00 933.27 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 933.27 .00 933.27
T0500 TEAM REHAB 15000.00/
INTERIM BILLING PT W 23470 092711 092611 101511 15000.00 .00
TOTALS....................................... : 15000.00 .00 15000.00
T1450 TAC UNEMPLOYMENT FUND 4005.5/
UNEMPLOYMENT FUND W 23490 093011 093011 101511 4005.55 .00
TOTALS....................................... : 4005.55 .00 4005.55
T2204 TEXAS MUTUAL INSURANCE CO
INSURANCE W 17932 093011 092911 101511 9169.00 .00 9169.00v"
TOTALS....................................... : 9169.00 .00 9169.00
T3130 TRI-ANIM HEALTH SERVICES I
M 60209343 033111 020211 030211 137.34 .00 137.34
RT007724 033111 020711 030611 -137.34 .00 -137.34
TOTALS....................................... : .00 .00 .00
T3334 TRINITY PHYSICS CONSULTING
PHYSICIST'S REPORT W 03-1761 091911 091411 101311 3350.00 .00 3350.00 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3350.00 .00 3350.00
Ul054 UNIFIRST HOLDINGS 32.54 .,/
LAUNDRY MAINTENANCE W 8150544597 091511 091311 101211 32.54 .00
TOTALS................. 0'.....................: 32.54 .00 32.54
Ul064 UNIFIRST HOLDINGS INC 821.47 ./
LAUNDRY HOSPITAL LINEN 8400114025 091511 091311 101211 821.47 .00
LAUNDRY HOUSEKEEPING 8400114026 091511 091311 101211 246.78 .00 246.78 ./
LAUNDRY PLAZA 8400114027 091511 091311 101211 170.36 .00 170.36 /
LAUNDRY DIETARY 8400114028 091511 091311 101211 105.57 .00 105.57 ~
LAUNDRY OB 8400114029 091511 091311 101211 86.70 .00 86.7O.J
LAUNDRY HOUSEKEEPING 8400114030 091511 091311 101211 57.05 .00 57.05 /
LAUNDRY HOSPITAL LINEN 8400114229 092611 091611 101511 794.38 .00 794.38 I
LAUNDRY SURGERY 8400114230 092611 091611 101511 340.57 .00 340.57
TOTALS....................................... : 2622.88 .00 2622.88
U1200 UNITED AD LABEL CO INC ./
SUPPLIES PACU M 526622398 092611 091511 101511 45.97 .00 45.97
TOTALS. . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . : 45.97 .00 45.97
U1350 UNITED PARCEL SERVICE 313.23/
MAIL DELIVERY VARIOUS DEP W 0000778941381 093011 091711 101711 313.23 .00
TOTALS....................................... : 313.23 .00 313.23
V0555 VERIZON SOUTHWEST /
TELEPHONE M 1977697091911 092711 091911 101411 63.46 .00 63.46
RUN DATE: 10105/11
TIME: 16:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/18/11
PAGE: 9
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET
TELEPHONE
Wl005 WALMART COMMUNITY
VARIOUS PURCHASES
Wl131 SUE WILLIAMS
TRAVEL EXPENSE REIMBURSEM
W1300 GRAINGER
SUPPLIES IT
SUPPLIES PLANT OPS
SUPPLIES PLANT OPS
SUPPLIES PLANT OPS
Z0850 CARMEN C. ZAPATA-ARROYO
SPEECH LANGUAGE PATHOLOGY W
5521567091911 092711 091911 101411
TOTALS....................................... :
W
0817-0913
TOTALS....................................... :
092711 091611 101211
23495
TOTALS....................................... :
100511 100511 100511
M
9633892170
9635156251
9635156269
9634742457
091911 091211 101211
092611 091311 101311
092611 091311 101311
092711 091311 101311
TOTALS....................................... :
23491
TOTALS....................................... :
093011 093011 101511
GRAND TOTALS. II.. II..... II' ...... II .t.. II....:
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106.89
409.98
409.98
223.73
223.73
55.27
74.29
45.55
16.31
191.42
525.00
525.00
.00 43.43 .,/
.00 106.89
.00 409.98..,/'
.00 409.98
.00 223.73/
.00 223.73
.00 55.27 ...-/
.00 74.29 ..........-
.00 45.55/'
.00 16.31 /
.00 191.42
.00 525.00/
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RUN DATE: 10/12/11
TIME: 16:53
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/25/11
PAGE: 1
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... . NO-PAY. ...... .NET
10006 CUSTOM MEDICAL SPECIALTIES 843.29 ./
SUPPLIES CT 125271 092711 092011 102011 843.29 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 843.29 .00 843.29
10008 OMNI-PORT LAVACA 07, L.P. 10320.70 ./
PLAZA RENT NOVEMBER 23498 101011 101011 101511 10320.70 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 10320.70 .00 10320.70
10032 PHILIPS HEALTHCARE 3185.00 ,/
SRV CONTRACT NUC MED 923167477 101111 091311 101311 3185.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . : 3185.00 .00 3185.00
10075 RADIOLOGY UNLIMITED PA
CALL PAY - S.. p+. ICP 23499 093011 092911 101911 5500.00 .00 5500.00.....
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 5500.00 .00 5500.00
10285 JAMES A DANIEL
STORAGE RENT NOVEMBER 23497 101011 101011 102011 750.00 .00 750.00 .....
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 750.00 .00 750.00
10298 HITACHI MEDICAL SYSTEMS 9166.67 ./
SRV CONTRACT MRI 10/25-11 PJIN0029534 101111 091511 101511 9166.67 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 9166.67 .00 9166.67
10325 WHOLESALE ELECTRIC SUPPLY
SHIPPING CHRG 2617396 101011 081511 091511 6.27 .00 6.27 .,.,,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6.27 .00 6.27
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES RADIOLOGY 90846820 092711 092111 102111 206.00 .00 206.00 V
SUPPLIES NURSERY 90845847 093011 092011 102011 11.15 .00 11.15 ........
TOTALS. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . : 217.15 .00 217.15
10352 NUANCE COMMUNICATIONS, INC 159.79/
SUPPLIES HIM 10025222 093011 092311 102311 159.79 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 159.79 .00 159.79
10368 DEWITT POTH , SON
OFFICE SUPPLIES PFS 306866-0 101011 093011 101511 22.43 .00 22.43 ,/
OFFICE SUPPLIES BUS DEV 307166-0 101011 100411 101511 74.61 .00 74.61.......
OFFICE SUPPLIES ADMIN 307170-0 101011 100411 101511 36.62 .00 36.62"""'-
OFFICE SUPPLIES CS INVENT 307280-0 101011 100511 101511 143.00 .00 143.00 ,,/
OFFCIE SUPPLIES RADIOLOGY 36964-0 101011 093011 101511 64.24 .00 64.2V
OFFICE SUPPLIES LAB 307563-0 101211 100611 101511 59.58 .00 59.58'/
OFFICE SUPPLIES CS INVENT 307657-0 101211 100711 101511 26.21 .00 26.21 /
OFFICE SUPPLIES SURGERY 307757-0 101211 101011 101511 27.07 .00 27.07 ./
TOTALS....................................... : 453.76 .00 453.76
10378 LAQUINTA INNS , SUITES
TRAVEL EXPENSES CRN! 61911240 092611 092011 101911 763.88 .00 763.88,1
TOTALS....................................... : 763.88 .00 763.88
10394 WILLIAM E HElKAMP, TRU&TEE 150.00/
EMPLOYEE DEDUCTION 17939 101111 101111 101211 150.00 .00
RUN DATE: 10/12/11
TIME: 16:53
MEMORIAL MEDICAL CENTER
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VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS....................................... : 150.00 .00 150.00
10397 TRAVEL NURSE SOLUTIONS, LL 2304.00 ./
CONTRACT NURSE 41247358-1 101011 042311 052311 2304.00 .00
CONTRACT NURSE 41347358-1 101211 043011 043011 4080.00 .00 4080.00 /'
TOTALS....................................... : 6384.00 .00 6384.00
10417 ENTRUST INSURANCE & BENEFI 13005. 07 v'"'
INSURANCE & BENEFITS EN021425 101111 100111 100111 13005.07 .00
TOTALS....................................... : 13005.07 .00 13005.07
10429 WILLIAM E HEITKAMP, TRUSTE 495.000/
EMPLOYEE DEDUCTION 17940 101111 101111 101211 495.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 495.00 .00 495.00
10441 MMC EMPLOYEE BENEFITS
EMP BENEFIT WEEKLY CLAIMS 17943 101211 101111 101211 22905.69 .00 22905.69 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 22905.69 .00 22905.69
10472 VISA
CREDIT CARD PURCHASES SEPT2011 101211 092511 102011 1527.32 .00 1527.321
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1527.32 .00 1527.32
10477 PURE FORCE
DEPT REPAIR DIETARY 6386575 093011 082511 092511 121.54 .00 121.54.........-
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , : 121.54 .00 121.54
10478 LESLIE ANN SOLIS 177.691
EMPLOYEE DEDUCTION 17938 101111 101111 101211 177.69 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 177.69 .00 177.69
10528 RICK HART
17741 022811 022011 030911 P 2795.13 .00 2795.13
17741CR 031111 022011 030911 P -2795.13 .00 -2795.13
17741-2 092111 022011 030911 P 2795.13 .00 2795.13
CM17741 092111 022011 030911 P -2795.13 .00 -2795.13
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
10536 MORRIS & DICKSON CO, LLC 8024.88/
PHARMACEUTICALS 2646188 101011 100311 102511 8024.88 .00
PHARMACEUTICALS 2646189 101011 100311 102511 2137.58 .00 2137.58 ./
PHARMACEUTICALS 2651682 101011 100411 102511 829.83 .00 829.83 ./
PHARMACEUTICALS 2652323 101011 100411 102511 149.37 .00 149.37 ./
PHARMACEUTICALS 2660731 101011 100611 102511 12.75 .00 12.75 ./
PHARMACEUTICALS 2660732 101011 100611 102511 2206.03 .00 2206.03/
PHARMACEUTICALS 2660733 101011 100611 102511 53.39 .00 53.39 /
PHARMACEUTICALS 3+62+92 101011 100411 118.75 .00 118.75/
PHARMACEUTICALS 1062 101111 100811 102511 186.64 .00 186.64/
PHARMACEUTICALS 1063 101111 100811 102511 271.62 .00 271.62./
PHARMACEUTICALS 2665182 101111 100711 102511 3990.07 .00 3990.07 ./
PHARMACEUTICALS 2665183 101111 100711 102511 203.61 .00 203.61/
RUN DATE: 10/12/11
TIME: 16:53
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PAGE: 3
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VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.ex DT..PC.......GROSS.....DISC......NO.PAY........NET
PHARMACEUTICALS 2670596 101111 101011 102511 7.49 .00 7.49 ,/
PHARMACEUTICALS 2670597 101111 101011 102511 2566.20 .00 2566.20/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 20758.21 .00 20758.21
10543 ROGERS HOME MEDICAL
SUPPLIES PT 33183 101111 082311 092311 50.00 .00 50.00 V
CPM RENTAL CREDIT 33220/11719 101111 090711 100711 175.00 .00 175.000/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 225.00 .00 225.00
10548 FARNAM STREET FINANCIAL
525628 030911 030111 040111 980.00 .00 980.00
525628CR 030911 030111 040111 -980.00 .00 -980.00
TOTALS....................................... : .00 .00 .00
10554 ALLIED WASTE SERVICES #847
WASTE PICK UP 0847-000391494 101011 092611 101611 1020.80 .00 1020.80/
TOTALS....................................... : 1020.80 .00 1020.80
10579 TRE TEXAS
INSTRUMENT REPAIR TT013304 092711 092211 102111 56.92 .00 56.92 /
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 56.92 .00 56.92
10602 SERVICE ORGANIZATION
PROF FEES 23504 101211 101011 101211 91266.94 .00 91266.94 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 91266.94 .00 91266.94
10632 JACKSON NURSE PROFESSIONAL 2304.00 ./
CONTRACT NURSE 43551580 101111 100111 100111 2304.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2304.00 .00 2304.00
10639 TX CHILD SUPPORT SDU
EMPLOYEE DEDUCTION 17936 101111 101111 101211 221.95 .00 221.95 ,/
TOTALS....................................... : 221.95 .00 221.95
10650 CAREFUSION 2200, INC
INSTRUMENTS SURGERY 9103060033 092711 092011 102011 2206.15 .00 2206.15/
INSTRUMENT SURGERY 9103070963 093011 092311 102311 158.87 .00 158.87/
INSTRUMENTS SURGERY 9103070964 093011 092311 102311 117.59 .00 117.59~
SUPPLIES SURGERY 9103052583 101111 091611 101611 48.25 .00 48.25
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2530.86 .00 2530.86
10657 SHORT ORDER 252.00/
SUPPLIES DIETARY 124738 092711 092111 102011 252.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 252.00 .00 252.00
A0810 AORN
MEMBERSHIP RENEWAL W 23462 092611 092111 102111 125.00 .00 125.00"""-
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 125.00 .00 125.00
A1292 PORT LAVACA HARDWARE 43.91/
DEPT REPAIR PLANT SRV W 064920 093011 092011 102011 43.91 .00
RUN DATE: 10/12/11
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VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET
DEPT REPAIR DIETARY 064929 093011 091911 101911 1.98 .00 1.98/
SUPPLIES PLANT OPS 064966 093011 092111 102111 1.96 .00 1.96 v
DECON JOB 065017 093011 092311 102311 58.80 .00 58.80 ........
DECON JOB 064887 101211 091611 101511 6.00 .00 6.00/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 112.65 .00 112.65
A1360 AMERISOURCEBERGEN DRUG COR
PHARMACEUTICALS W 037-244117 100411 100311 102511 252.76 .00 252.76 --
PHARMACEUTICALS 037-245992 101011 100411 102511 133.10 .00 133.10/
PHARMACEUTICALS 037-248608 101011 100511 102511 184.17 .00 184.17........
PHARMACEUTICALS 037-256287 101111 101111 102511 318.40 .00 318.40 .,/
PHARMACEUTICALS 037-258282 101211 101211 102511 78.96 .00 78.96 ../
TOTALS....................................... : 967.39 .00 967.39
A1645 ALCON LABORATORIES INC
MANUAL FOR FACO MACHINES M 12057033 092711 092011 102011 295.00 .00 295.00/
SHIPPING CHARGES FICONSIG 12075268 093011 092211 102211 20.00 .00 20.00 .........-
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 315.00 .00 315.00
A1715 ALCO SALES & SERVICE CO 26.58/
SUPPLIES PLANT OPS M 2426697-IN 101111 100311 102311 26.58 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 26.58 .00 26.58
A1825 CARDINAL HEALTH 553.671
SUPPLIES NUC MED M 08107310 101111 090911 100911 553.67 .00
SUPPLIES NUC MED 08107329 101111 091611 101611 252.42 .00 252.42 ,/
SUPPLIES NUC MED 08107346 101111 092311 102311 273.29 .00 273.29 __
TOTAlJS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1079.38 .00 1079.38
A2260 ARROW INTERNATIONAL INC
SUPPLIES CS INVENTORY M 3979154 092711 092111 102111 349.83 .00 349.83/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 349.83 .00 349.83
A2600 AUTO PARTS & MACHINE CO.
INSTRUMENTS BIOMED W 614772 093011 092111 102111 19.30 .00 19.30 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . : 19.30 .00 19.30
Bl075 BAXTER HEALTHCARE CORP
SUPPLIES CS INVENTORY M 32449376 092711 092111 102011 65.33 .00 65.33;
RENTAL IV PUMPS 3246119 092711 092211 102211 904.20 .00 904.20
SUPPLIES CS INVENTORY 32462765 092711 092211 102211 288.53 .00 288.53/
TOTALS....................................... : 1258.06 .00 1258.06
B2001 ANGIE BURGIN
22948 031511 030311 032511 P 273.00 .00 273.00
22948CR 031711 030311 032511 P -273.00 .00 -273.00
TOTALS....................................... : .00 .00 .00
Cl030 CAL COM FEDERAL CREDIT UN! 25.00/
EMPLOYEE DEDUCTION W 17934 101111 101111 101211 25.00 .00
TOT.ALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 25.00 .00 25.00
C1391 CAREER TRACK
EDUCATION HR 1 ADMIN w 23500 101011 100511 101011 398.00 .00 398.00/
RUN DATE: 10/12/11
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PAGE: 5
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VEND#.NAME...........................CLS.INVOlCE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 398.00 .00 398.00
C1443 CYGNUS MEDICAL LLC
SUPPLIES SURGERY M 68313 093011 092011 102011 229.00 .00 229.00 .,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; 229.00 .00 229.00
C1510 CHUBB SECURITY SYSTEMS INC
FIRE PREVENTION M 7020357369 093011 091911 101911 569.00 .00 569.00 ,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 569.00 .00 569.00
C1610 CITIZENS MEDICAL CENTER
HEALTH EDUCATION VIDEO NE W 609 092611 092011 101911 141.34 .00 141.34/
TOTALS....................................... : 141.34 .00 141.34
C1871 COLLECTIONS INCORPORATED 168.38/
COLLECTIONS W AUGUST2011 092611 092211 101911 168.38 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 168.38 .00 168.38
C2450 THE COUNCIL COMPANY
OFFICE SUPPLIES QUALITY M 68645 101211 100611 101511 95.14 .00 95.14 /'
TOTALS. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . : 95.14 .00 95.14
C2510 CPSI
EBOS M 662808 101211 072911 072911 7.68 .00 7.68~
EBOS 665537 101211 081111 081111 39.36 .00 39.36
EBOS 667803 101211 082311 082311 52.80 .00 52.80"""'-
EBOS 669823 101211 083111 083111 17.76 .00 17.76/
EBOS 672133 101211 091211 091211 57.12 .00 57.12/
EBOS 674566 101211 092211 092211 102.68 .00 102.68;/
EBOS 676556 101211 093011 093011 76.00 .00 76.00
TOTALS....................................... : 353.40 .00 353.40
D0350 SIEMENS HEALTHCARE DIAGNOS
SUPPLIES LAB M 970661911 093011 092211 102211 608.99 .00 608.9V
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 608.99 .00 608.99
D1205 DETAR HOSPITAL
SUPPLIES SURGERY 9100164 093011 092211 102211 1240.20 .00 1240.20 t/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1240.20 .00 1240.20
D1500 DELL MARKETING L.P.
SUPPLIES RADIOLOGY M XFDKF7PJ3 101111 072711 082611 160.96 .00 160.96/
OFFICE SUPPLIES BUS DEV XFJ39D9J3 101111 092311 102311 90.49 .00 90.49/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 251.45 .00 251. 45
D1608 DIVERSIFIED BUSINESS SYSTE 598.201
FORMS lCU M 20311 092711 092311 102311 598.20 .00
TOTALS...... It... It.. II......................: 598.20 .00 598.20
G0100 GE HEALTHCARE 239.00/
OUTSIDE SRV RADIOLOGY W 5187196 101111 092011 102011 239.00 .00
RUN DATE: 10/12/11
TIME: 16:53
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AP OPEN INVOICE LIST THRU DUE DATE OF 10/25/11
PAGE: 6
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VENDi.NAME.......................... .CLS.INVOICEi........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 239.00 .00 239.00
G0302 GREAT AMERICA LEASING CORP
EDOCFLOW SYSTEM 11376311 093011 092611 101911 1973.80 .00 1973.80 V
TOTALS....,..,............................... : 1973.80 .00 1973.80
Gl00l GETINGE USA
0023716262 030911 022311 032511 45.19 .00 45.19
0023716262CR 031011 022311 032511 -45.19 .00 -45.19
TOTALS. . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . : .00 .00 .00
G1210 GULF COAST PAPER COMPANY 115.56/
SUPPLIES HOUSEKEEPING M 269936 092611 092011 101911 115.56 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 115.56 .00 115.56
H0030 H E BUTT GROCERY
SUPPLIES DIETARY M 784330 092611 091911 101911 38.11 .00 38.1V
SUPPLIES DIETARY 787183 092611 092111 101911 158.74 .00 158.74/
SUPPLIES DIETARY 795228 092711 092611 102511 168.53 .00 168.53/
TOTALS....................................... : 365.38 .00 365.38
10415 INDEPENDENCE MEDICAL
SUPPLIES CS INVENTORY 0025168753 092711 092111 102111 57.28 .00 57.28 /
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 57.28 .00 57.28
10950 INFOLAB INC
SUPPLIES LAB M 3028200 093011 091911 101911 1092.52 .00 1092.52/
TOTALS....................................... : 1092.52 .00 1092.52
11264 ITA RESOURCES, IRe
CARDIOLOGY FEES W 23463 092711 092211 102211 29558.00 .00 29558.00 ,/
Sep" '2.011 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 29558.00 .00 29558.00
K0530 KCI USA
RENTAL MED/SURG M 12617595 092711 092011 101911 458.16 .00 458.16,1
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 458.16 .00 458.16
M1500 MARKS PLUMBING PARTS
SUPPLIES PLANT OPS M 1052867 092711 092211 102211 81. 80 .00 81. 80./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 81.80 .00 81.80
M2465 MEDLEARN 94.00/
SUBSCRIPTION LAB W 153499 092711 092611 102511 94.00 .00
TOTALS....................................... : 94.00 .00 94.00
M2485 MEDRAD IRe
SUPPLIES CT M 138956609 092711 092011 102011 889.60 .00 889.6lV"'
TOTALS....................................... : 889.60 .00 889.60
M2621 MMC AUXILIARY GIFT SHOP
EMPLOYEE PURCHASES W 23501 101111 101211 101311 364.03 .00 364.03 .,/
RUN DATE: 10/12/11 MEMORIAL MEDICAL CENTER PAGE: 7
TIME: 16:53 AP OPEN INVOICE LIST THRU DUE DATE OF 10/25/11 APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS....................................... : 364.03 .00 364.03
M2659 MERRY X-RAY- SAN ANTONIO
SUPPLIES VARIOUS DEPT M 466723 092711 092211 102211 1719.65 .00 1719.65./'
OUTSIDE SERVICE RADIOLOGY 40890 101111 092311 102311 70.00 .00 70.00,/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1789.65 .00 1789.65
M2827 MINNTECH CORPORATION
SUPPLIES SURGERY M 1271334 092711 092011 102011 186.00 .00 186.00 ,./
TO'l'ALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 186.00 .00 186.00
OM425 OWENS & MINOR
SUPPLIES CS INVENTORY 1824345 092611 092011 101911 54.53 .00 54.53/
SUPPLIES SURGERY 1824369 092611 092011 101911 291. 73 .00 291. 73/
SUPPLIES SURGERY 1824647 092611 092011 101911 1156.78 .00 1156.78.)
SUPPLIES ER 1825601 092711 092211 102211 158.40 .00 158.40j
SUPPLIES CS INVENTORY 1825610 092711 092211 102211 14.26 .00 14.26
SUPPLIES VARIOUS DEPT 1825951 092711 092211 102211 1897.98 .00 1897.98/
SUPPLIES SURGERY 1824476 093011 092011 102011 31.81 .00 31.81/
SUPPLIES VARIOUS DEPT 1824655-1 093011 092011 102011 2093.46 .00 2093.46/
SUPPLIES CS INVENTORY 1780013 101111 061411 071311 114.77 .00 114.77 ./
SUPPLIES SURGERY 1780268 101111 061411 071311 147.44 .00 147.44---
SUPPLIES CS INVENTORY 1780556 101111 061411 071411 110.40 .00 110.40/
SUPPLIES CS INVENTORY 1825733 101211 092211 102211 64.95 .00 ./
64.95/
SUPPLIES CS INVENTORY CRE 1829491 101211 093011 102211 -64.95 .00 -64.95
SUPPLIES CS INVENTORY 1829606 101211 093011 092211 24.19 .00 24.19/
TOTALS..... It.. 1,.".. 1,.".,1 II II II' II II....: 6095.75 .00 6095.75
P2200 POWER ELECTRIC 6.56/
DEPT REPAIR DIETARY W 155982 093011 092011 102011 6.56 .00
INSTRUMENT REPAIR BIOMED 156007 093011 092211 102211 24.85 .00 24.85/
DECON JOB 156020 093011 092311 102311 25.16 .00 25.161/'
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 56.57 .00 56.57
Rl050 R G & ASSOCIATES INC
SALT DELIVERY M 190433 093011 092711 101911 196.80 .00 196.80 ,,/
SALT DELIVERY 190815 093011 092711 101911 196.80 .00 196.80./
SALT DELIVERY 191019 093011 092711 101911 246.00 .00 246.00"""-
MIXED BED 191301 093011 092711 101911 31.50 .00 31.50 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 671.10 .00 671.10
R1469 MARIA D RESENDEZ
EMPLOYEE DEDUCTION 17941 101111 101111 101211 212.31 .00 212.31/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 212.31 .00 212.31
S1800 SHERWIN WILLIAMS
SUPPLIES PLANT OPS W 7717-2 093011 092111 102111 5.38 .00 5.38/
TOTALS................... ....................: 5.38 .00 5.38
S2001 SIEMENS MEDICAL SOLUTIONS
SRV CONTRACT ULTRASOUND M 95586261 101111 091811 101811 941.58 .00 941.58/
RUN DATE: 10/12/11
TIME: 16:53
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/25/11
PAGE: 8
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TO'l'ALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 941.58 .00 941. 58
S2694 STANFORD VACUUM SERVICE
OUTSIDE SRV DIETARY M 587210 093011 070511 080511 320.00 .00 320.00 ,.,/
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 320.00 .00 320.00
S3940 STERIS CORPORATION 322.54 ,,;
INSTRUMENT REPAIR M 3996297 092711 092011 102011 322.54 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 322.54 .00 322.54
T0801 TLC STAFFING
CONTRACT NURSE W 9491 092611 092011 102011 350.10 .00 350.10 ,,/
TOTALS............. I-I........................: 350.10 .00 350.10
T1751 TEXAS CHILD SUPPORT SDU 197.08 /
EMPLOYEE DEDUCTION W 17937 101111 101111 101211 197.08 .00
TOTALS....................................... : 197.08 .00 197.08
T1900 TEXAS ELECTRICAL SUPPLY
SUPPLIES PLANT OPS M 24342 093011 092111 102111 296.98 .00 296.98 V
TOTALS...,................................... : 296.98 .00 296.98
T2230 TEXAS WIRED MUSIC INc: 133.90/
MUSIC w A643755/56 101211 100111 100111 133.90 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 133.90 .00 133.90
T2303 TG 1U.70/
EMPLOYEE DEDUCTION W 17942 101111 101111 101211 144.70 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 144.70 .00 1U.70
T3067 TRAILBLAZER HEALTH ENTERPR
OVERPAYMENT THRU 12/31/10 W 23505 101211 100511 101211 60890.00 .00 60890.00.....
'/'{1..rHO - 11/1'/2.010 TOTALS....................................... : 60890.00 .00 60890.00
"" e.c\... c .... e- 0" e.t"fCl.,,\"' e."- ~
T3130 TRI-ANIM HEALTH SERVICES I
M 60209343 033111 020211 030211 137.34 .00 137.34
RT007724 033111 020711 030611 -137.34 .00 -137.34
TOTALS. . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
TUOO TORCH 525.00/
4TH QTR 2011 BENCHMARK FE W 11.076 092611 092011 101911 525.00 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 525.00 .00 525.00
U1054 UNIFIRST HOLDINGS
LAUNDRY MAINTENANCE W 8150545291 092611 092011 101511 32.54 .00 32.54 ./
TOTALS..................... It.................: 32.54 .00 32.54
U1056 UNIFORM ADVANTAGE
EMPLOYEE PURCHASE W 409301323505 101211 091611 101611 119.94 .00 119.94 ./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 119.94 .00 119.94
U1064 UNIFIRST HOLDINGS INC 775.81/
LAUNDRY HOSPITAL LINEN 8400114356 092611 092011 101911 775.81 .00
RUN DATE: 10/12/11
TIME: 16:53
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 10/25/11
PAGE: 9
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET
LAUNDRY HOUSEKEEPING 8400114357 092611 092011 101911 246.78 .00 246.78.J
LAUNDRY KITCHEN 8400114359 092611 092011 101911 105.57 .00 105.57 ../
LAUNDRY OB 8400114360 092611 092011 101911 86.70 .00 86.70 /
LAUNDRY HOUSEKEEPING 8400114361 092611 092011 101911 54.37 .00 54.37 ./
LAUNDRY HOSPITAL LINEN 8400114569 092711 092311 102211 817.95 .00 817.95 ~
LAUNDRY SURGERY 8400114570 092711 092311 102211 340.57 .00 340.57
TOTALS...........,........................... : 2427.75 .00 2427.75
U1400 UNITED WAY OF CALHOUN COON
EMPLOYEE DEDUCTION W 17935 101111 101111 101211 146.50 .00 146.50....-'"
TOTALS............................ tt.........: 146.50 .00 146.50
U1460 THE UNIFORM CONNECTION 287.86 /
EMPLOYEE PURCHASE 156152 093011 092011 102011 287.86 .00
TOTALS....................................... : 287.86 .00 287.86
V0555 VERIZON SOUTHWEST 102.38/
TELEPHONE M 5520220092811 101111 100111 102311 102.38 .00
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 102.38 .00 102.38
W1300 GRAINGER -1.12 ./
SUPPLIES PLANT OPS CREDIT M 9641197711 101211 092111 102111 -1.12 .00
SUPPLIES PLANT OPS 9642686142 101211 092211 102211 1.12 .00 1.12./
TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .00 .00 .00
GRAND TOTALS.................................: 315245.53 .00 315245.53 ..-/
,1
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CK-li14557Y
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Michae\ J. Pf~ter
,"\t'}bl'cr<' 'I" CO\..l~lty Judge
Vull'VV'\' '1
Date:_ I b'" '14--- ,
-
f
Appendix C
Tax Payment Report Worksheet
EFTpS V~ice Re.spons~. ~ysteh1 (Photocopy ~iS ~orkSlreet for,futul'e use.)
0, You'dral:
EFrPS respo~ds:
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You entet.
EFrPS prompts:
You enter:
1-S0Q.555-3453
"Welcome to the Electronic Federal Tax Payment System"
"If you are calling from a Touch Tone phone, press I."
1 (For Touch Tone phone)
"Enter your 9-digit Taxpayer Identification Number"
Ell ~ ~ @] @J ~ [tJ [1] [2] (9-digit Employer Identification Number)
EFrPS prompts: "Ente( your 4-digit PIN"
~.:;r.:?J'?i. ':/ ;.:..t.;.?~~~Jfj;:f';~,! .. . . '. ',' . ..'... .
, :. ,-,':'. y~~ ;~iitet~ ' " ,,. (4~cilgit; PerS~nafla~ritif1catinil :flll~berr
EFrPS prompts:
You enter:',
EFTPS prompts:
You 'enter.
EFrfSresponds:
Lists the Main Menu Selections
'rr~ 1 (To'llJitiate a tax payment)
"Enter the Tax Type number followed by the p\ound (#) sign."
, D 0 D [l] [39 [Z] (3- to 6~ digit tax type number from IRS Tax Fonn Table In Appendix Ai
"You entered Tax. lYpe/Tax Description (Based on the selectiqn in step #5)
EFrPS prompts: "Bnte( Tax Payment 1}tpe:' .' ,
.:' /f"i, ~~~~~.~~~t~~~l~~1;$~~!\\~e,~t~~~~~~tJ~~,:~tX,'P'il~~,~/l~ T'vn.e:~p.!l~~~~:~: r~~ F9~ co~~ ,in App'~ndix 0)
EFrPS prompts:
You enter:
.
"
"Enter the 4-digitTax Filing Period starting with the year'followed by month"
IT] CD I:ITJ ~ (Va!ld' 4-dlglt Tax Period based on IRS Tax Form Table In Appendix A)
.:!
EFrPS prompts:
You enter:
EFrPS prompts;
You enter:
EFTPS re.~ponds:
You enter:
"Enter the Payment Amount followed by the pound (It) sign."
(You must.enter cent~ even if you are reporting a whole dollar amount.)
$ DD.DUJrm.lW[JIID,IZa]O]
(Your payment amount cannot exceed $99.99!,99~,99)
"Enter the 2-digit Verification Code:'
D D Verification Code.
"(See Appendix E for Verification Code Calculation)
"Enter the 6-digit tax payment settlelllenl date by month. <,lay, year:"
(Note, the /text business dale YOII euter mlL~t bl! atieast oue business day ill the fit/ure).
[IT] ~ 'cmm CD [rr j6-digit tax payment settlement day in MMDOYY format)
'1Yl1Y\L r LU~ q [1'51 (i
(continue)
~~1IUu1X-tf.
101111'1'J?
tttUul JAV
% ~ I ~Il\
2/
Run Date: 09/27/11 MEMORIAL MllllICAL CIlNTER Page 81
Time: 11:40 Payroll Register ( Bi -weekly ) P2R1lG
pay Period 09/09/11 - 09/22/11 RunB 1
Final Summary
t__ Pay Cod e 5 u m mar y _n_______n____nnn_u__nnnnn__n.__ D e due t ion s Sum mar y n__nn__u_t
I payCd Description Hrs IOTI5HIWBIHOlcBI Gross I Code Amount I
t ~.. __ __...... ......_.... _..____.. _.. __.. ___.... __ ___ ..__.. __ __.. __ __ _______...... ......_.... _.. ..__...._.. t.... __ ........... ...___ ........ ........._ ........... ..._.._ ............. ----.. -.. ...... ..--...... t
1 REGULAR PAY -S1 7312.25 N N N 135 556 . 83 A/R 534.20 AWARDS BOOTS
1 REGULAR PAY-Sl 1112 .75 N N N N 34145.16 CAFB-C CAPK"D 865.36 CAPK-F
1 REGULAR PAY-51 131.25 Y N N 3674,39 CAFB-H 8584.29 CAPK- I CAPK- L
2 REGULAR PAY-52 2502 , 00 N N N 50422.80 CAFB- P CANCBR CRIlOON 25,00/
2 REGULAR PAY-S2 50.75 Y N N 1579.92 DENTAL 441.46 DBP-LF FBDTAX 31920,18
3 RIlGULAR PAY-S3 1597,75 N N N 36588,11 FICA-M 4134.11 FICA-O 11738.97 FLBX S
3 RIlGULAR PAY-S3 42.25 Y N N 1677.06 FORT D FOTA GIFT 5 179.88
B SIex BONUS 36.00 N N N N 708,84 GRANT GRP-Ill GTL
C CALL PAY 238Q.2 5 N N N 4760.50 HaSP-! 3719.3 8 ID TFT LRAF
B EXTRA If AGES N N N N 382,60 MISC OTHER 2640.45 PR FIN
B EXTRA WAGES N N N N 760,00 REPAY ST-TX STUDBN 143 ,35
I IllSBRVI CB 141.50 N N N 3669.76 TSA-1 TSA-2 TSA-C
K EXTIlNDBD- ILLNESS -BANK 246,00 N N N 3781.22 TSA-P c~TSA=-~.:.2~ION
P PAID-TIME-OFF 2,00 N N N 30.74 UW/HOS 146,50
P PAID-TIME-OFF 64.00 N N N N 1268.76
P PAID-TIME-OFF 769.00 N 1 N N 14909.47
X CALL PAY 2 139 . 00 N 1 N N 278,00
Y YMCA/CURVES N N N N 45.00
Z CALL PAY 3 108.00 N N N 324.00
L____n_____m_____ Grand Totals: 16634.75 ------- (Gross: 294563.16 Deductions: 85692,58 Net: 208870.58)
I Checks Count:- FT 156 PT 22 Other 26 Female 173 Male 31 Credit OverAmt 11 ZeroNet Term Total: 204 I
toO_"" ...__ ............. __... ___ ........... __ .........______............ _____.. _.... _.._ ____.. ____.. ___...... ___........ ____ __........ __ ____.. __ __.. __.. ________.. ___ __ ___.. ______.._t
FED TAX /
31,920.18
FICA 0 29,067.93
FICA M 8,268.22 /
TOTALS 69,256.33
Jl ' 9 2 (01: I:,
2Y,U('(:;i)
8' 2-(-,)::,: '.. 2~~
003
IS 9 ~., ~2 ~:.~ c:! ~ .) .~.s
Tax Payment Report Worksheet
EFTPS Voice Response 5\ (Photocopy this worksheet for future use.)
IliiID 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"
Ifjjj:H(;~l EFTPSprompts:
,.._,w.\._
You enter:
ITImULl[Q][Q]mrnmm
(9-digit Employer Identification Number)
00>,",;','.,
3i:t?J
EFTPS promts:
"Enter your 4-digit PIN"
You enter:
digit Personal Identification Numb
Lists the Main Menu Selections
11)'iit;~;'ill EFTPSprompts'
;;1~ "
You enter:
Press 1 (to initiate a tax pryment)
~ EFTPS prompts:
You enter:
EFTPS responds:
~ EFTPS prompts:
You enter:
"Enter the Tax Type number followed by the pound (#) sign."
rn rn [Z] 11 D D (3- to 6 digit tax type number from
the IRS Tax Form-Tab're'inAppendix A) ,
"You entered Tax Type/Tax Description (Based on the selection in step #5)
"Enter Tax Payment Type"
1 digit number Tax Payment Type
(Tax Payment Type specific to Tax Form Code in Appendix D)
EFTPS prompts:
You enter:
"Enter the 4-digit Tax Fi i~g Perio starting with the year fol/owe by ~onth'"
rn lD [Q:J B:J (Valid 4-digit Tax Period based on IRS Tax Form
Table in Appendix A)
. EFTPS prompts:
You enter:
. EFTPS prompts:
"Enter the payment Amount fol/owed by the pound (#) sign."
(You must enter cents even if you are reporting a whole dol/ar amount.)
sDD,DmlK],[2JElueJ.[TIm
(Your payment amount cannot exceed $99,999,999.99)
Enter the 2-digit Verification Code."
[::J [::J Verification Code*
*(See Appendix E for Verification Code Calculation)
IImI 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 at least one business day
in the loreI' rID [!?b 0 b
I (6~iJit tax payment settlement day in MMDOYV format)
(Continue)
Jt(~t,d~Yhi1d. ~j
1:),3 ~J.i" 0 a Q
vCDJlul i,tA'\.'
of\ (~ \ U\ U
~
Run Date: 10/11/11 MEMORrAL KEDICAL CIlNTER Page 81
Time: 08:50 Payroll Register [ Hi-Weekly) P2R1lG
Pay Period 09/23/11 - 10/06/11 RunD 1
Final Summary
t__ Pay Cod e Sum mar y u-----u_hn______u___u____u____uut.. D e d u c t ion s Sum mar y u__u_______t
I Payed Description Hrs larlsHln/HolcHI Gross I Code Amount I
* --... --- --.. -........... -........ --.. -........ ---.. ...--....... --- -... -.. ............ .......----- ............... -.... ------*.. -------- ........... ---.. ...-... ---...... -..... --.... -- -----..-..... ---..-.... *
1 REGULAR PAY-S1 7392.50 N N N 140012,27 A/R 639,20 AWARDS BOOTS
1 REGULAR PAY-S1 1126 . 00 N N N N 33349,95 CAFE-C 767,56 CAFE-D 870.00 CAFE-F
1 REGULAR PAY-S1 103.75 Y N N 2996.44 CAFE- n 8549,29 CAFE-I 291. 73 CAFE-L 473,20
2 REGULAR PAY-S2 2543 . 25 N N N 51361.24 CAFE- P 467040 CANCRR 12,68 CREDIlN 25.00
2 REGULAR PAY-S2 64.25 Y N N 2138.06 DOOAL 446.46 DEP-LF 252.36 FBDTAX 32262,63
3 REGULAR PAY-S3 1589,00 N N N 36508,91 FICA-M 4155.18 FICA-O 11685.12 FLIlX S 1498.52
3 REGULAR PAY -S3 54.50 Y N N 2336.78 FORT D FtlTA GIFT S 96.16
C CALL PAY 12.00 N N N N 24.00 GRANT GRP-IN 137,66 GTL
C CALL PAY 2328.00 N N N 4656,00 BOSP- I 3747.90 ID TFT LEAF
E EXTRA WAGES N N N N 995.20 MISC CYrIIER 2531.57 PR FIN 492.58
Il EXTRA WAGBS N 1 N N 60.00 REPAY ST-TX S'l'UDBN 144,70
E I!XTRA WAGES N 1 N N N 720.00 TSA-1 TSA-2 TSA-C
F FUllERAL LEAVE 40.00 N 1 N N 674,72 TSA-P TSA-R 20963.27 TUTION
r INSERVICO 51.50 N 1 N N 1549.29 winos 146,50
I INSERVICO 2.75 Y 1 N N 36.09
K EXTllNDED- ILLNBSS-BANJ{ 312, 00 N 1 N N 4684.08
M MEAL RE IMBURSEMBNT N N N N 33,00
P PAID-TOO-OFF 80.00 N N N N 2683,92
P PAID-TOO-OFF 730.00 N 1 N N 13667.56
X CALL PAY 2 156,00 N 1 N N 312,00
Z CALL PAY 3 96,50 N 1 N N 289,50
P PAID TIME OFF - PROBATION 52.00 N 1 N N 386,00
t_m__m_____n____ Grand Totals: 16734,00 mn__ ( Gross: 299475,01 Deductions: 90656.67 Net: 208818,34 I
I Checks Count:- IT 159 PT 20 Other 27 Female 174 Male 32 credit OVerAmt 13 ZeroNet Term Total: 206 I
t - - -- - -- _u n_ __ _u_ - __ n - __ n__ - __ _____ - - - _ _ _ u - - - ___ _ _ __ _ ______ ___ __ n_ ___ _ _ __ _ ___ _ nu__n n_ _ _ _ _ u __ ___n_ ____u__ _ ___ _____ _ t
COMBINED TOTALS
FED TAX
~5:? :~ :2 "j \) ,. U ;~>l
32,290.88
2 L\ ) ;} t:-; ~.j .. '..~., [:)
U ~ -;1 2 ~::;, ::; 2
+
FICA 0
28,988.95
003
FICAM
8,325.52
6 9 ;< CD ~-' "'~' ..;.
TOTALS
69,605.35
~
f.'
Run Date: 10/12/11
Time: 15:50
Departrn~nt 007
MEMORIAL MEDICAL CENTER
Payroll Register ( Bi -Weekly)
Pay Period 09/23/11 - 10/06/11 Run# 2
Dept. Sequence
Page
P2REG
L_ E m p 1 0 Y e e mul_' Tim e u___uu_uuuuuu_u__________m_um*-- D e d u c t ion s u_uuuu____u________1
INum/Type/Narne/Pay/RxemptIPayCd Dept Hrs IOTlsHIWBIHOlcBI Rate 'Gross I Code Amount I
1_ _ _ _ _ _ _ __ _ 00 _ 00 _ _ _ _ _ _ _ _ _ I _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ _ _ _ _ _ _ 00 _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ ___ _ _ _ _ __ _ _ _ I 00 _ _ ___ __ _ _ _ _ _ _ _ u _ _ _ _ __ _ _ ____ 00 _ __ _ _ _ _ _ _ _ _ _ _ __ _ I
07064 IT Hrly: 17,4300 007
HARVEY N OLASCUAGA
Fed-Ex: M-OO St-Ex: -00
L __ _nn__ _____on ___n _____I Total;
30.00 N
N N N 17.4300
522,90 FEDTAX 28,25 FICA-M
TSA-R 36,60
7.58 FICA-O 21.96
30,00 __mmm_____ ( Gross:
522,90
Deductions:
94,39
Net: 428,51 )
Department Summary
l__ Pay Cod e S u rn In a r y _________________uu_u_mmuummlu D e d u c t ion s Sum In a r y uu_________1
I Payed Description Hrs IOTlsHlwEIHOlcal Gross I Code Amount I
1_ 00 _ _ _00_ 00_ ___00_ ___ __ _ ____ ___ _ ___ n _ _00 u 00 0000_00_00 u _ n nu nn _n __ _100 n_ _ _ _ ___n_ _ _ u _ _ ____nn unn__ __ _n _ _n___n__1
B 30,00 N N N N 522.90 A/R AWARDS BOOTS
CAFE-C CAFE-D CAFE-F
CAFE -R CAFE- I CAFE-L
CAFE- P CANCER CRBDUN
DENTAL DEP-LF 'Fllt>TAx 28.25
FICA-M 7.58 FICA-O 21.96 FLBX S
FORT D PUTA GIFT S
GRANT GRP- IN GTL
HOSP- I ID TIT LEAF
MISC OTHER PR FIN
REPAY ST-TX STUDEN
TSA-1 TSA-2 TSA-C
TSA-P TSA-R 36,60 TOrION
OW/HOS
I_m_mm__u Department Totals: 30,00 m____ ( Gross: 522,90 Deductions: 94.39 Net: 428.51 )
I Checks Count: - IT 1 PT Other Female Male Credit OVerArnt ZeroNet Term Total: 1 I
1_ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ _ u u _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ n_ _ _ n __ _ _ _ _ _ _ _ __ _ _ u __ _ _ _ _ _ _ _ _ _ 0000 _ _ 00 _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ n_1
Tax Payment Report Worksheet
EFTPS Voice Response S, (Photocopy this worksheet for future use.)
~ You dial:
EFTPS responds:
You enter:
1-800-555-3453
"Welcome to the Electronic Federal Ta~ 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"
IiJEE] EFTPS prompts:
h::cB
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[L][][]!E[Q][Q]lIIrnmm
(9-digit Employer Identification Number)
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digit Personal Identification Numb
~ EFTPS prompts:
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~ EFTPS prompts:
You enter:
EFTPS responds:
EFTPS prompts:
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i~ EFTPS prompts:
You enter:
,~.
(~
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Lists the Main Menu Selections
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the IRS Tax Form-Ta~ppendix A)
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I Enter Tax Payment Type"
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(Tax Payment Type specific to Tax Form Code in Appendix D)
Enter the 4-digit Tax FiIi~g Perio starting with the year followed by ~onth"'
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Table in Appendix A)
"Enter the payment Amount followed by t e pound # sign."
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cf<
SURPLUS/SALVAGE A 1994 FEDERAL SIGNAL VECTOR LIGHTBAR FROM DEPT. 690 SEADRIFT
VOLUNTEER FIRE DEPARTMENT:
Department 690 - Seadrift Volunteer Fire Department, April Townsend and Peter DeForest in Precinct #4
request Commissioners Court Surplus/Salvage a 1994 Federal Signal Vector Lighbar and donate the
Iightbar to Austwell VFD for parts. A Motion was made by Commissioner Finster and seconded by
Commissioner Fritsch to surplus/salvage a 1994 Federal Signal Vector Lightbar from Dept. 690 Seadrift
Volunteer Fire Department. Item was sold to Austwell VFD for parts for $1.00. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Kenneth W. Finster
~3
County Commissioner
County of Calhoun
Precinct 4
October 21,2011
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 October 28,2011.
. Discuss and take necessary action to surplus/salvage a 1994 Federal Signal Vector
Lightbar from'Dept. 690 Seadrift Volunteer Fire Department. Item to be donated to
Austwell VFD for parts.
Sincerely,
~~.~
Kenneth W. Finster
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name:
Req uested By:
Dept. 690 - Seadrift Volunteer Fire Department
April Townsend/Peter DeForest
Inventory Reason for Surplus/Salvage
Number Description Serial No. Declaration
1994 Federal Signal Donated to Austwell VFD for parts
Vector lightbar
SURPLUS/SALVAGE THE 1987 CHEVROLET 6-TON DUMP TRUCK AND REMOVE FROM
PRECINCT #4 INVENTORY:
Department 570 - Precinct #4, April Townsend and Commissioner Finster request that Commissioners
Court Surplus/Salvage the 1987 Chevrolet 6-ton Dump Truck and remove from Precinct #4 Inventory. A
Motion was made by Commissioner Finster and seconded by Commissioner Fritsch to surplus/salvage the
1987 Chevrolet6-ton Dump Truck and remove from Precinct #4 Inventory: Inventory Item #24-0093.
Dump truck is to be sold at auction. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all
voted in favor.
Kenneth W. Finster
r-
6)0
County Commissioner
County of Calhoun .
Precinct 4
October 19,2011
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 October 28, 2011 .
. Discuss and take necessary action to surplus/salvage the 1987 Chevrolet 6- Ton Dump
Truck and remove from Precinct Four inventory; Inventory Item #24-0093. Dump truck
to be sold at auction.
Sincerely,
~~.~
Kenneth W. Finster
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name:
Requested By:
Dept. 570 - Precinct 4
April Townsend/Commissioner Finster
Inventory Reason for Surplus/Salvage
Number Description Serial No. Declaration
24-0093 1987 Chevrolet 6- Ton IGBT7D4G9HVIOS470 SELLING AT AUCTION
Dump Truck
Model CC7D064
DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN THE EMS DEPARTMENT
SURPLUS/SALVAGE AND REMOVE FROM INVENTORY:
Henry Barber, of the Calhoun County EMS, listed inventory that needs to be surplus/salvage. A Motion
was made by Commissioner Fritsch and seconded by Commissioner Lyssy to declare certain items of
county property in the EMS department surplus/salvage. Printers: HP 1200, HP 6P, Cannon BJC 8200 and
Microwaves: GE, Whirlpool Time Master are to be removed from inventory. Commissioners Galvan, Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
;)~
From:
Sent:
To:
Subject:
Attachments:
Henry Barber [hbarber@cableone.net]
Thursday, October 20, 2011 2:02 PM
Susan Riley
Surplus Salvage County Auction
_AVG certification_.txt
Susan please place on the next agenda to surplus salvage the following and remove from EMS inventory.
Printers:
HP 1200 (CNBQ124226 SERIAL) (C704419 MODEL)
HP 6P (C3980A MODEL) (USCD082573 SERIAL)
CANNON BJC 8200 (F8AC12622 SERIAL)
MICROWAVES:
GE (TD907347B)
WHIRLPOOL TIME MASTER (FG64701400)
Thank You,
Henry Barber
DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to declare certain
items of county property as surplus/salvage. The items declared surplus/salvage were requested Sonia
Downs and Deparment Name Road & Bridge Precinct #3. Commissioners Galvan, Lyssy, Fritsch, Finster
and Judge Pfeifer all voted in favor.
11 REVISED 11
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name: ROAD & BRIDGE PRECINCT 3
Requested By: SONIA DOWNS
Reason for Surplus/Salvage
Declaration
TO AUCTION
- DISCARDED
DISCARDED
N
TO AUCTION.
- DISCARDED
- D ARD D
TO AUCTION
TO AUCTION
o E
OBSOLETE - TO AUCTION
OBSOLETE- TO AUCTION
OBSOLETE - TO AUCTION
OBSOLETE - TO AUCTION
OBSOLETE - TO AUCTION
OBSOLETE - TO AUCTION
OBSOLETE - TO AUCTION
TIRE 10.00-20
TIRE 13.6-28
OBSOLETE - TO AUCTION
OBSOLETE - TO AUCTION
23-0155 ALAMO HYDRO 15 BATWI
2147
OBSOLETE - TO AUCTION
BUDGET ADJUSTMENTS:
A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to approve all Budget
Adjustments. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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SINGLE SOURCE, EMERGENCY AND PUBLIC WELFARE PURCHASES AND BILLS:
Pass
PUBLIC DISCUSSION OF COUNTY MATTERS:
A Grant for Stone Garden in 2012 was requested.
Court was adjourned.
~
.~~-
PUBLIC DISCUSSION OF COUNTY MATTERS:
County Judge Pfeifer opened the floor to the public for discussion. A Grant for Stone Garden in 2012 was
requested.
Court was adjourned.