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2012-01-26 Regular January Term Held January 26, 2012 THE STATE OF TEXAS COUNTY OF CALHOUN ~ !i ~ BE IT REMEMBERED, that on this 26th day of January, A.D., 2012 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to-wit: Michael J. Pfeifer Roger C. Galvan Vern Lyssy Neil E. Fritsch Kenneth W. Finster Anita Fricke County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. BID FOR INMATE TELEPHONE SERVICES: Synergy Telecom Service Company, Inc, Infinity Networks, Consolidated Telecom, Inc, Securus Technologies - Option A and Securus Technologies - Option B all placed bids for Inmate Telephone Services. A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to award bids to Securus Technologies - Option A for inmate telephone services for the period beginning the 15~ day of February 2012 and ending the 14'h day of February 2015 and authorized the County Judge to sign the contract and all necessary documents. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX II - 202 S ANN ST, STE B PORT LA V ACA, TEXAS 77979 (361) 553-4610 MEMORANDUM 'i~~ . -\4CL G+ C~;\I ~O \ \ 0 tf) TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE ~ PEGGY HALL DATE: January ,2012 RE: AGENDA ITEM - JANUARY 12, 2012 AGENDA ITEM THURSDAY, .JANUARY1b) 2012 ~ Consider and take necessary action to award bid for Inmate Telephone Services for the period beginning February 15, 2012 and ending February 14,2015 and authorize the County Judge to sign contract and all necessary documents. (EM)(CM) MEMO .- f Y01/lll/~ A udM:or' K' O-ffi.<>>- Date: January 24, 2012 To: COMMISSIONERS' COURT From: Peggy Re: AGENDA ITEM #4 INMATE TELEPHONE SERVICES Eddie will be giving his recommendation in Court on Thursday, January 26,2012. 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" c 8 .. ;;; l!l l!l I c ~ 1i 0 . . .,. ~ ] . .s J!l c .. .E .E lJ u .E .5 e { III ~ .B 8 . . 0/; 1'! ~ on " " u.. a ~ .<> '" Q '0 iii a. l!! a. CAUlOIIN COUNTY. TEXAS BID SHEET- ITELECOMMUNICATlON SERVICES I INUIT A TION TO BID BIDDER ~/ BID ITEM ~INMATE TElEPHONE SERVICES I YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALEO ENVELOPE PLAINLY MARKED: SEALED BID. I INMATE TELEPHONE SERVICES BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, JANUARY 5,2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JANUARY 12,2012 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED, BIOS 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 DEEMEO 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 INCURREO BY ANY PROPOSERlBIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS, IF REQUIRED: THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,0001$100,000/$300,000). BID ITEM: INMATE TELEPHONE SERVICES DEPARTMENT: JAIL ----------------------------------------------- SPECIFICATIONS: INMATE TELEPHONE SERVICES SEE ATTACHED The undersigned affirms that they ore duly authorized to execute this contract, that this compony, corporation, firm, partnership or Indlvlduol has not pre pored 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 sold 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. 1\,'-, (\."'~~ /VI As(""~,, AUlIIIRllfB alllNAlURE TITI.E: PI\Ifl NAME: {1IlAo.< ~ i< " I 1EI.EPIIIlIlfNUMllm 1.512..\ '1{,3" 2330 fll#~" J.Ht lIs /12-- DAlE OF Bill: 8Ill1lIlI ." INMATE COMMUNICATION SERVICES AGREEMENT THIS AGREEMENT, entered into and begun as of the 15th day of February 2012, by and between Infinity Networks, Inc, , with principle offices at 8500 Shoal Creek Blvd.. Austin. TX (hereinafter referred to as "Company" and Calhoun County a branch of State Government located at 211 S, Ann, Port Lavaca, Texas 77979 (hereinafter called "Customer"), WHEREAS, the Company is engaged in the business of providing telecommunications services for correctional facilities, and WHEREAS, the Customer operates ajail knows as the Calhoun County Adult Detention Center and wishes to contract with the Company for such telecommunications services at the jail facility which is currently under the operation and control ofthe Customer, NOW THEREFORE the Customer and the Company, the parties hereto, for good and valuable consideration and the mutual covenants and agreements contained herein do agree as follows; SCOPE OF AGREEMENT CUSTOMER hereby agrees to contract with the Company for the services described herein, and the Company agrees to provide such services at the time and in the manner and subject to the following terms and conditions: Inmate Telephone Services is provided by the selling of prepaid calling cards to inmates, Company will pay Customer a cash sign on bonus in the amount of $ 5,000 upon the execution of this agreement. Upon the beginning of this agreement Company will provide Customer a total of $5,000 worth (face value) of phone calling cards for free, Thereafter each card will be sold to Customer at a 55% discount off the face value of each card, Customer shall retain the right to re-sell each card for their full value to the inmates. For each call made by an inmate the charge will be phone calling card (see schedule below). From these phone calling card charges AND the Gross Billed Revenue on ALL Calls (see schedule below),~% will go to the Customer and ~% to the Company, $0,50 per minute to the Company will provide Customer with a phone at booking that allows two free local calls per inmate booked into the jail with the ability to call cell phones, I Collect Call Fees ::z:;, /:" : +t Connect Fee Call Tvne SurcharO'e 1st Minute Each Additional Local $4.10 $0,00 0,00 Intralata $2,50 $0.42 0.38 Interlata $2,50 $0.42 $0.38 Interstate $3.75 $0.89 $0,89 P 'dPh C dF renal one ar ees Connect Fee Call Tvne Slll'~h~rO'e Ist Minute Each Additional Local $0,00 $0,50 $0,50 Intralata 0,00 $0.50 $0,50 Interlata 0.00 $0,50 $0.50 Interstate ~O.OO $0,50 $0.50 International $0,00 $0,75 $0,75 SYSTEM REQUIRMENTS The system to be supplied by the Company must provide for step by step instructions to the inmate for the procedure to complete both pre-paid and collect telephone calls, The system must have an internal debit system and not an outside calling card system, The Customer must have the ability to monitor all telephone calls made 01' received on the system, The system must provide the Customer with the ability to digital record all telephone calls and system shall have PIN capabilities. Visitation phones shall have the ability to have live monitoring and to digital record by Customer, The system will provide called party automated blocking of collect inmate calls, The system shall have the ability to block three (3) way calling. The system must provide live monitoring and digital recording of all calls placed and received by all telephones placed in the jail. MANAGEMENT SERVICES Company will provide equipment for the system without cost to Customer and inmate telephone services consisting of coinless telephone for use by inmate for making collect and pre-paid calls, Customer shall receive from the Company the lmnate Telephone System that satisfies the above requirements, The system shall include call-processing software capable of providing automated collect calling. Ownership of all equipment shall remain with the Company, All current cabling shall remain the property of the Customer, The Company will block or unblock calls as required by the Customer and the system will provide the Customer the ability to block calls. 2 Installation will be at the expense of the Company, The Company will provide management, operation and installation of the Inmate Telephone System, including but not limited to all labor, materials, equipment, permits, licenses and telephone lines, that are required to supply, install, repair, maintain or operate the system, The system will include 1 telephone at booking to provide 2 fi'ee local calls per inmate booked at jail with the ability to call cell phones, 8 visitation telephones, 2 portable telephones in the jail hallway, and 12 telephones in the jail barracks, The Company will provide management, operation and maintenance of all system equipment and software services and will dispatch technicians to provide on-site service within eight (8) hours of notification of a service disruption by Customer, The Company will conduct remote polling, The Company will poll the inmate telephone system daily for the purpose of collecting all billable call records and for remote diagnostic maintenance. When polling reports indicate possible trouble the Company will make the necessary efforts to repair the problem as quickly as possible, Billing and collection will be done by the Company, The Company will establish, maintain and provide detailed billing and collection services for Customer for call records originated from the jail facility, Company at its own expense shall maintain sufficient records to permit determination of funds due to Customer, Such records shall be made available to Customer at no charge upon request. Reports shall include total calls, total minutes of use and type of call, The date, time and duration of all long distance calls must be submitted to the Customer on a monthly basis, (disk format is acceptable), Bad debt control will be provided by the Company, The Company will work closely with Customer to develop controls and procedures to help control the bad debt amounts generated from the jail facility, PAYMENT TO CUSTOMER The Company will forward monthly payments to Customer on or about the 25th day of each month or approximately 25 days after the end of each month in question, All statements and backup reports shall be attached to this payment. In addition to the Federal Communications Commission, the Texaspublic Utility Commission, Texas Jail Commission or any other governmental agency with authority or jurisdiction over inmate telecommunications enters rules, orders, or judgments that would substantially impair or reduce gross revenue generation or allow the Company to process inmate calls as envisioned by this agreement, the Company has the immediate option to renegotiate the commission, If Customer and the Company cannot agree on an adjusted percentage commission then either party may terminate this agreement upon thirty (30) days written notice, 3 FURTHER ASSURANCES During the term of this agreement, including any renewal periods, Customer agrees to: 1. Reasonably protect the equipment against willful abuse and promptly report any damage, service failure or hazardous conditions to the Company, 2, Provide, at its own expense, necessary power and power source, and suitable space for the equipment accessible to the user and the Company. 3, Permit reasonable access to the Jail Facility in accordance with the Customers policies, without charge or prejudice to Company employees or representatives, 4, Inmate will ordinarily have access to telephone services from 6:00 a,m, to 10:00 p,m, each day, 5, Inmate telephone call duration will be limited to 15 minutes, 6, Monthly statements (recap) and backup reports shall be forwarded with each commission payment to: Calhoun County Adult Detention Center, Attention: Jail Administrator Lt. Eddie , Musgrave, 302 West Live Oak, Port Lavaca, Texas 77979, FORCE MAJEURE The Company shall not be held liable for any delay or failure in performance of any part of this Agreement from any cause beyond its control and without its fault or negligence, such as acts of God, acts of civil or military authority, governments regulations, embargoes, epidemics, war, terrorist acts, riots, insurrections, fires, explosions, earthquakes, nuclear accidents, floods, strikes, power blackouts, volcanic eruptions or other environmental disturbances, unusual severe weather conditions, inability to secnre products or services of other persons or transportation facilities, or acts or omissions of transportation common carriers, LIMITATION OF LIABILITY The Company will use due care in processing all work and agrces that it sill at it's own expense, correct any errors which are due solely to the malfunction of the Company's computers, operating systems 01' programs or errors 01' acts of negligence by the Company employees, The Customer agrees that the Company has made no additional warranties or representations relied upon by Customer to accept and execute this agreement. Customer agrees the Company will not be liable for any lost revenue or service disruptions of other service providers involved in the public communications network. TERMS OF AGREEMENT The term of this Agreement shall begin on February 15, 2012 and continue in full force and effect for a period of three (3) years from such date unless terminated in accordance with the terms of this agreement. TERMINATION Either party may terminate this agreement for cause prior to the expiration of the term of this agreement if the alleged breach of the agreement has not been cured by the offending party within thirty (30) days of written notice of the breach, 4 ASSIGNMENT In the event that Customer sells the jail facility covered by this agreement, there shall be no required consent by the Company to the assignment of this agreement. However, Customer will require as a condition of the sale of the jail facility that the acquiring party sign an assumption agreement and assignment ofthis agreement with the Company as a condition of the purchase, Company may not assign any of its duties or obligations under this agreement to another company, person or entity without the premission of the Customer, GOVERNING LAW The laws of the State of Texas will govern this agreement and venue of any dispute arising under this agreement will be in Calhoun County, Texas. AUDIT Customer will be permitted by the Company to audit, read, review and copy all records pertaining to this agreement. NOTICES Notices are to be made in writing and directed to the following: Customer: Company: Calhoun County Judge Michale Pfeifer 211 S, Ann Port Lavaca, Texas 77979 Tel: 361-553-4600 Fax: 361-553-4444 Infinity Networks. Inc, Maurice Mascorro, President 8500 Shoal Creek Blvd" B1dg, 4. Ste, 100 Austin. TX 78757 Tel.: 866-681-2948. Ext. 217 Fax: 877-293-1193 IN WITNESS HEREOF, the foregoing Iumate Communications Service Agreement has been executed by the parties hereto on this the day of , 20_, CUSTOMER COMPANY ~- {'v-.-~ Name and Title Maurice Mascorro, President Printed Name and Title Michale J, Pfeifer County Judge 5 INMATE COMMUNICATION SERVICES AGREEMENT (Sample Contract) ~hMl9 e d. Fro('l'\ D,-"r' Worc\.'.n~ l>~ ~,?>r~e..X\o~ TIDS AGREEMENT, dated as of ,2012 by and between Infinity Networks. Inc. Shoal Creek Blvd, Austin. TX 78757 , (both hereinafter referred to as Countv (hereinafter called "Customer") having principal offices at installation of the equipment covered under this agreement will be at the c\1stomer~s jail facility. with principal offices at 8500 "Company") and Calhoun . The WITNESSETH: WHEREAS, the Company is engaged in the business of providing telecommunications services for correctional facilities and WHEREAS, CUSTOMER wishes to contract exclusively willI the Company for such services at the aforementioned facility, which is currently under the operation and control of CUSTOMER. NOW ~ THEREFORE, the parties hereto, in good consideration of the mutual covenants and agreements contained herein and other good and valuable consideration do agree as follows; SECfION 1. SCOPE OF AGREEMENT CUSTOMER hereby agrees to contract with the Company the services described herein and the Company agrees to provide such services at the time and in the manner, and subject to the tenns and upon conditions, set forth herein. SECfION 2, MANAGEMENT SERVICES (a) Eauinmenl. The System will,out cost to CUSTOMER will provide inmate telephone services consisting of coin less telephones for use by inmates for making allowed calls. CUSTOMER shall receive from the Company the Ilunate Telephone System, which shall iuclude call-processing software capable of providing automated calling, Title to all equipment shall at all times remain with the Company, (b) Installation. The Company at its own expense shall provide iustallstioll of the Inmate Telephone System, including but not limited to, all labor, materials, equipment, permits, licenses, and telephone lines, that are required to supply. install repair} maintain, etc, the system. (0) Management 006mtion and Service. The Company will provide management, operation and maintenance of all system equipment and will dispatch technicians to provide on-site service upon notification of a service disruptloll by CUSTOMER. (d) Remote Pollin., The Company will poll the inmate telephone system daily for tbe purpose of collecting all billable call records and for remote diagnostic mainteuance, When polliug reports indicate possible trouble the Company will make the necessary efforts to repair the problem as qnickly as possible, (e) BUlin. and Collection, The Company shall establish, maintain and provide detailed hilling and collection serviees for CUSTOMER for call reeords originated from the facility, Company at its expense shall maintain sufficient records to permit determination of funds due to CUSTOMER. Such records shall be made available to CUSTOMER at no charge upon reqnest. Reports shall include total calls, total minutes of lise, alld type of call. (I) Bad Debt Control. The Company will work with customer to develop Controls and procedures to help control the bad debt amounts generated from the facility, SECfION 3, PAYMENT TO CUSTOMER The Company will forward mouthly payment to CUSTOMER on or abont the 25fu day after the end of the mouth in question, Such paymellt(s) shall be of gross hilled revenue originating from the facility not to include federal, state and local taxes and any other cost recovery mechanism(s), In addition, if the Federal Communications Commission, Public Service Commission. or any other governmental agency with authority Of jurisdiction over imnate telecommunications enters roles, orders or judgments that would substantially reduce revenue or allow the Company to process inmate calls as envisioned by this agreement and if, at companies sole discretion, determines that the reveuue generated is insufficient to justify contillued service, thell the Company has the immediate option to 1 renegotiate the terms, If CUSTOMER and Company cannot mutually agree on a modified agreement then either party can terminate the agreement on thirty (30) days written notice, SECflON 4, FURTHER ASSURANCES During the term ofthis agreement, including any renewal period(s), CUSTOMER agrees to: 1. Reasonably protect the equipment against willful abuse and promptly report any damage, service failure or hazardous conditions to the Company, 2, Provide, at its expense, necessary power and power sourCt\ and suitable space accessible to the user. 3, Penn;t reasonable access to the CUSTOMER Facility in accordance with CUSTOMER policies, withont charge or prejudice to Company employees Of representatives. 4, Inmates will ordinarily have access to telephones a minimum of 10 hours per day, 5, InIlUlte telephone call duration will not be limited to less than 15 minutes. SECTION 5. FORCE MAJEURE The Company shall not be held liable for any delay or failure in performance of any part of this Agreement from any cause beyond iUi control and without its fault or negligence, such as acts of God, aeUi of civil or military authority, government regulations. embargoes. epidemics, war, terrorists acts, riots, insurrections, fires, explosions, earthquakes, nuclear accidents, floods, strikes, power blackouts, volcanic action, other major enviromnental disturbances, unusual severe weather conditions, inability to secure products or services of other persons or transportation facilities, or acts Of omissions of transportation common carriers. SECTION 6, LIMITATION OF LIABILITY The Company will use due care in processing all work and agrees that it will at its expense, correct any errors which are due solely to the malfunction of the Compa.ny's computers, operating systems, or programs or errors or acts of negligence. by the Company employees, The CUSTOMER agrees that the Company has mede no additional warranties or representations relied llpon by CUSTOMER to accept and execllte this agreement. CUSTOMER agrees the Company will not be liable for any lost revenues or service disruptions of other service provider(s) involved in the public communications network. SECTION7, TERM OF AGREEMENT ~ 5kOl<.ltl be.. 3~ ~~ The initial term of this Agreement shaU begin on the completed date of final installation and continue in full foree and effect for a minimum period of fOlt);'-eifiit mOl\ths (48) from such date of installation, unless tenninated in accordance with Section 8, tbis agreement shall automatical y renew for an additional on8 year under the same terms and conditions, if notice of tennination is not received. SECTION 8, TERMINATION Either par(y may terminate this agreement for cause prior to expiration of the initial term if the alleged breach of the term(s) by the offending party has not been cured within. thirty days of wrHOOn notice of such breach. Written notice of intent 110t to renew this agreement must be sent and received by the Company at least nine(y days prior to the initial or subsequent renewal term, as described in Section 12, SECTION 9, ASSIGNMENT In the event that CUSTOMER sells the faeili(y covered by this agreement, there shall be no required eousent by the Company to the assignment of this agreement. However, CUSTOMER will require as a condition of the sale of the faeili(y that the acquiring pal'(y sign an assumption agreement and assignment of tbis agreement wilh the Company as a eonditiou of the purchase. SECTION 10, GOVERNING LAW The laws of the State where services are rendered and provided will govern this agreement 2 SECTION 11, AUDIT CUSTOMER will be permitted by the Company to audit, read, review and copy all reeords pertaining to this eontract upon thirty days written notice as described in Section 12, SECTION12, NOTICES Notices are to be made in writing and directed to the following: County Infinity Networks, Inc, Altn: Contracts 8500 Shoal Creek Blvd, Bldg, 4 Ste, 100 Austin, Texas 78757 Phone: 512-374-0302Ext, 17 Fax: 512-374-9665 Altn: Address: City, St. Zip Pbone: Fax: IN WITNESS WHEREOF, the foregoing Agreement bas been executed by the parties hereto, this ,200 , day of Customer Infinity Networks. Inc. Signature Signature Name Name Date: Date Title Title 3 CALHOUN COUNTY, TEXAS BID SHEET. ~ELECOMMUNICATION SERVICES I INVITATION TO BID BIDDER Synergy Telecom Service Company, Inc, 12126 EI Sendero SI. San Antonio, TX 78233 800-582-6182 BID ITEM ~INMATE TELEPHONE SERVICES ~ YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: HONORABLE MICHAEL J PFEIFER, COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. ~NMATE TELEPHONE SERVICES BIDS ARE DUE AND WILL BE PUBliCLY OPENED IN THE COUNlY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, JANUARY 5, 2012 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JANUARY 12, 2012 THE CLOCK IN THE COUNlY 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 BIOS, TO ACCEPT THE BID DEEMED MOST AOVANTAGEOUS TO CALHOUN COUNlY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIOS WILL BE MOST ADVANTAGEOUS TO THE COUNlY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNllY EMPLOYER. THE COUNlY DOES NOT OISCRIMINA TE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, REliGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNlY ACCEPTS NO FINANCIAL RESPONSIBILilY fOR ANY COSTS INCURREO BY ANY PROPOSERlBIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. 'F REQUIRED: THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,000/$300,000), BID ITEM: DEPARTMENT: INMATE TELEPHONE SERVICES .JAIL -------------------------------------------- SPECIFICA TlONS: INMATE TELEPHONE SERVICES SEE ATTACHED The undersigned efflrms 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, AUTHORIZED.''''''" (})d~m'" ~"P,,,",.,I PRINT NAME: Charles A, Slauahter, III DATE OF BID: January 3, 2012 iELEPHONE NUMBER: 800-582-6182 Synergy Telecom Service Company, Inc, 12126 EI Sendero SI. San Antonio, TX 78233 BIDDER Synergy Telecom Service Company Calhoun County, Texas Cha.ngecl ):'/"ON\ OUr WD,dt (\~Dt- THIS AGREEMENT, entered into and begun as ofthe 15th day of February 2012, by and J\~(e."Il\e.n1- between Synergy Telecom Service Company, Inc" with principal offices at 12126 EI Sendero St., San Antonio, Texas 78233 (hereinafter referred to as "Company" and Calhoun County a branch of State Government located at 211 S, Ann, Port Lavaca, Texas 77979 (hereinafter called "Customer"), INMATE COMMUNICATION SERVICES AGREEMENT WHEREAS, the Company is engaged in the business of providing telcconununications services for correctional facilities, and WHEREAS, the Customer opcrates a jaillmown as the Calhoun County Adult Detention Center and wishes to contract with the Company for such telecommunications services at the jail facility which is currently under the operation and control ofthe Customer, NOW THEREFORE the Customer and the Company, the parties hcreto, for good and valuable consideration and the mutual covenants and agreements contained herein do agree as follows: SCOPE OF AGREEMENT CUSTOMER hereby agrees to contract with the Company for the services described herein, and the Company agrees to provide such services at the time and in the manner and subject to the following telms and conditions: Inmate Telephone Services is provided by provision of collect calling and prepaid calling services to inmates and the called parties, C01l1panywill pay Customer a cash sign on bonus in the amount of$30,000 for the contract teon, Company will pay $10,000 upon signing of the contract, $10,000 at the six "month point (August 15,2012), and $10,000 on the first anniversary (February IS, 2013), ComPanY will pay Customer aguaral1teedll)ol1thly SOll1lnission of$2,030,OO for each month (30-day period) that the contract is in effect and inmate tclephone services are provided by C01l1panY.Y'fhefor\)going.monthlyguar~nteeisbased on an expecteddllily population of 66 inmates, In theeventthat the actual average dailYlloj;!vlation (ADP) falls below 60 inmates, then the Commissions payableforsucbmo\1th '.<Villbe adjusted by the ratio of actual ADP to Expected ADP. In the event ora partial montl] ofservice, the monthlv lIDaranteed commission amount ~ll be pro-rated based on the actual number of days of service" Additionally, Company will pay one month's commission ($2,030.00) upon signing as a deposit against the first month's commission, Company will provide Customer with a phone at booking that allows two frce local calls per inmate bookcd into the jail with the ability to call cell phones. Inmate Communications Services Agreement 1 Synergy Telecom Service Company Calhonn County, Texa. Collect Call Fees Call Type Connect Fee 1st Minute Each Additional Minute Surcharl!e Local $4.10 - - IntraLATA $2.50 $0,35 $0.35 InterLATA $2.50 $0.35 $0.35 Interstate $3.75 $0.50 $0,50 Prepaid / Debit Call Fees Call Type Connect Fee 1st Minute Each Additional Minute Surcharl!e Local $0,50 $0.20 $0,20 IntraLAT A $2.00 $0.25 $0,25 InterLATA $2,00 $0,25 $0.25 Interstate $2.00 $0.25 $0.25 International $3,00 $0,75 $0,75 Local Collect calls are charged at a flat rate per l5-minute call. The above call rates do not include government-mandated taxes and fees, SYSTEM REQUIREMENTS The system to be supplied by the Company must provide for step by step instructions to the inmate for the procedure to complete both pre-paid and collect telephone calls, The system must have an internal debit system and not an outside calling card system, The Customer must have the ability to monitor all telephone calls made or received on the system, except for privileged calls that by law may not be recorded, The system must provide the Customer with the ability to digitally record all telephone calls and system shall have PIN capabilities, Visitation phones shall have the ability to have live monitoring and to digitally record by Customer. The system will provide called party automated blocking of collect inmate calls, The system shall have the ability to block three (3) way calling, The system must provide live monitoring and digital recording of all calls placed and received by all telephones placed in the jail, excluding privileged calls that by law may not be recorded, MANAGEMENT SERVICES Company will provide equipment for the system without cost to Customer and inmate telephone services consisting of coinless telephone for use by inmate for making collect and pre-paid calls, Inmate Communications Services Agreement 2 Synergy Telecom Service Company Calhoun County, Texas Customer shall receive from the Company the Inmate Telephone System that satisfies the above requirements, The system shall include call-processing software capable of providing automated collect calling, Ownership of all equipment shall remain with the Company, All current cabling shall remain the property of the Customer, The Company will block or unblock calls as required by the Customer and the system will provide the Customer the ability to block calls, Installation will be at the expense of the Company. The Company will provide management, operation and installation of the Inmate Telephone System, including but not limited to all labor, materials, equipment, permits, licenses and telephone lines, that are required to supply, install, repair, maintain or operate the system. The system will include I telephone at booking to provide 2 free local calls per inmate booked at jail with the ability to call cell phones, 8 visitation telephones, 2 portable telephones in the jail hallway, and 12 telephones in the jail barracks, The Company will provide management, operation and maintenance of all system equipment and software services and will dispatch technicians to provide on-site service within eight (8) hours of notification of a service disruption by Customer, The Company will conduct remote polling. The Company will poll the inmate telephone system daily for the purpose of collecting all billable call records and for remote diagnostic maintenance, When polling reports indicate possible trouble the Company will make the necessary efforts to repair the problem as quickly as possible. Billing and collection will be done by the Company, The Company will establish, maintain and provide detailed billing and collection services for Customer for call records originated from the jail facility, Company at its own expense shall maintain sufficient records to permit determination of funds due to Customer, Such records shall be made available to Customer at no charge upon request. Reports shall include total calls, total minutes of use and type of call, The date, time and duration of all long distance calls must be submitted to the Customer on a monthly basis, (disk format is acceptable), Bad debt control will be provided by the Company, The Company will work closely with Customer to develop controls and procedures to help control the bad debt amounts generated from the jail facility, Inmate Communications Services Agreement 3 CALHOUN COUNTY, TEXAS BID SHEET. ITELECO_NICATION SERVICES I INUIT A TION TO BID BIDDER SECURUS TECHNOLOGIES 14651 Dallas Parkway Suite 600 Dallas, Texas 75254 972-277-0300 BID IIEM~INMATE TREPHONE SERVICES 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, PORTLAVAGA TX 77979 BIDS SHOUlD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKEO: SEALED BID. ! INMATE -Tiii.iPHONE sEiIV/CEii'- I "''--_'_,H .._..,> ___.__,"'__"__"~_' _',".' .... aiDS ARE DUE AND WILL aE puaLICL Y OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, JANUARY 6, 2012 aiDS WILL aE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JANUARY 12, 2012 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED, BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIOS, TO ACCEPT THE BID OEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADV ANT AGEOUS 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 "V ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS, j REQUIRED. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHDUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANtE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,000/$300,000), BID ITEM' INMATE TELEPHONE SERVICES DEPARTMENT, JAIL SPECIFICATIONS: INMATE TELEPHONE SERVICES SEE ATTACHED 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 propasal ar 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 priar to the official opening of this proposal, AUTIIIRllmSIlNATIlllETRlE: ~ <;"_~ COo pnraNAMI: Robert E, Pickens DAJIOFBII: January 5, 2012 TBlPIIlINf NUMBER 972 - 2 77 - 0300 IlIIDIlI SEOOIIIIS TmlIIO.OllII3 Option A Inmate Communications Serviccs Agreement THIS AGREEMENT, entered into and begun as of the 15'h day of February 2012, by and between Securus Technologies. Inc., with principle offices at 14651 Dallas Parkwav, Suite 600. Dallas. Texas 75254 (hereinafter refelTed to as "Company" and Calhoun County a branch of State Government located at 211 S. Ann, Port Lavaca, Texas 77979 (hereinafter called "Customer"). WHEREAS, the Company is engaged iu the business of providing telecommunicatious services for correctioual facilities, aud WHEREAS, the Customer operates a jail know as the Calhoun County Adult Detention Center and wishes to coutract with the Company for such telecommunicatious services at the jail facility which is curreutly under the operation and control ofthe Customer, NOW THEREFORE the Customer and the Company, the parties hereto, for good and valuable consideration and the mutual covenants and agreements coutained herein do agree as follows: SCOPE OF AGREEMENT CUSTOMER hereby agrees to contract with the Company for the services described herein, and the Company agrees to provide such services at the time and in the manner and subject to the followiug elIDS and couditions: Inmate Telephone Services is provided by the selliug of prepaid calling cards to inmates, Company will pay Customer a cash sign on bonus in the amouut of $5.000 upon the execution of this agreement. Upou the beginning of this agreement Company will provide Customer a total of $1.500 worth (face value) of phone calling cards for free, Thereafter each card will be sold to Customer at a 50% discount off the face value of each card. Customer shall retain the right to re-sell each card for their full value to the inmates. For each call made by an inmate the charge will be as showu iu ScheduIe 1 vcr minute for collect and debit calIs and SeheduIe 2 per minute to the phone calling card (see schedule below), From these phone calling card charges AND the Gross Billed Reveuue on ALL Calls (see schedule below), as shown in Schedules 1 and 2 on foIIowin!! va!!e % will go to the Customer and as shown in ScheduIes 1 aud 2 on the followin!! ua!!e % to the Company, Company will provide Customer with a phone at booking that allows two free local calls per inmate booked into the jail with the ability to call cell phones, 1 Option A Schedule 1 - ColIect / Debit CalI Fees -57% Commissious to Customer and 43% to Company CalI Type Connect Fee 1" Minnte Each Additional S nrchar!!e Minute Local $3,75 $0,00 $0,00 lutralata $4,10 $0,25 $0,25 lutedata $4,10 $0,25 $0,25 luterstate $3,95 $0,89 $0,89 ScheduIe 2 - Prepaid Phone Card Fees -50% Commissious to Customer and 50% to Company CalI Type Connect Fee 1" Minute Each Additional Surcharge Minnte Local $3.75 $0,00 $0,00 lutralata $4,10 $0,25 $0.25 Iutedata $4.10 $0.25 $0.25 Interstate $3.95 $0.89 $0.89 lnteruatioual $0.00 $1.20 $1.20 SYSTEM REQUIRMENTS The system to be supplied by the Company must provide for step by step instructions to the inmate for the procedure to complete both pre-paid and collect telephone calls, The system must have an internal debit system and not an outside calling card system. The Customer must have the ability to monitor all telephone calls made or received ou the system. The system must provide the Customer with the ability to digital record all telephone calls and system shall have PIN capabilities, Visitation phones shall have the ability to have live monitoring and to digital record by Customer. The system will provide called patty automated blocking of collect imnate calls, The system shall have the ability to block three (3) way calling, The system must provide live monitoring and digital recording of all calls placed and received by all telephones placed in the jail. MANAGEMENT SERVICES Company will provide eqnipmeut for the system without cost to Customer and imnate telephone services consisting of coinless telephone for use by inmate for making collect and pre-paid calls. Customer shall receive from the Company the Inmate Telephone System that satisfies the above requirements. The system shall include call-processing software capable of providing automated collect calling, Ownership of all equipment shall remain with the Company, All current cabling shall remain tbe property ofthe Customer. The Company will block or unblock calls as required by the Customer and the system will provide the Customer the ability to block calls, 2 Option A Installation will be at the expense of the Company. The Company will provide management, operation and installation ofthe Imnate Telephone System, including but not limited to all labor, materials, equipment, permits, licenses and telephone lines, that are required to supply, install, repair, maintain or operate the system. The system will include I telephone at booking to provide 2 li-ee local calls per imnatc booked at jail with the ability to call cell phones, 8 visitation telephones, 2 portable telephones in the jail hallway, and 12 telephones in the jail barracks, The Company will provide management, operation and maintenance of all system equipment and software services and will dispatch technicians to provide on-site service within eight (8) hours of notification of a service disruption by Customer. The Company will conduct remote polling, The Company will poll the inmate telephone system daily for the pUlpose of collecting all billable call records and for remote diagnostic mainteuance. When polling reports indicate possible trouble the Company will make the necessary effOlts to repair the problem as quickly as possible. Billing and collection will be done by the Company, The Company will establish, maintain and provide detailed billing and collection services for Customer for call records originated from the jail facility, Company at its own expense shall maintain sufficient records to pennit detennination of funds dne to Customer. Such records shall be made available to Customer at no charge upon request. RepOlts shall inclnde total calls, total minutes of use and type of call. The date, time and duration of all long distance calls must be submitted to the Customer ou a monthly basis. (disk fOlmat is acceptable). Bad debt control will be provided by the Company. The Company will work closely with Customer to develop controls and procedures to help control the bad debt amounts generated from the jail facility. PAYMENT TO CUSTOMER The Company will forward monthly payments to Customer on or about the 25th day of each month or approximately 25 days after the end of each month in question. All statements and backup reports shall be attached to this payment. In addition to the Federal Communications COlmnission, the Texas Public Utility COlmnission, Texas Jail Conunission or any other govermnental agency with authority or jurisdiction over imnate tclecommunicatious enters rules, orders, or judgments that would substantially impair or reduce gross revenue generation or allow the Company to process imnate calls as envisioned by this agreement, the Company has the inunediate option to renegotiate the commission, If Customer and the Company cannot agree on an adjusted percentage commission then either party may termiuate this agreement upon thirty (30) days written notice. 3 Option A FURTHER ASSURANCES During thc term of this agreement, including any renewal periods, Customer agrees to: 1. Reasonably protect thc cquipment against willful abuse and promptly report any damage, scrvice failure or hazardous conditions to the Company, 2. Provide, at its own expense, necessary power and power source, and suitable space for the cquipment accessible to the user and the Company. 3. PCl1nit reasonable access to the Jail Facility in accordance with the Customers policies, without charge or prejudice to Company employees or representatives. 4. Inmate will ordinarily have access to telephone services from 6:00 a.m. to 10:00 p.m. each day. 5, IlUnatc tclephone call duration will be limited to 15 minutes, 6, Monthly statements (recap) and backup reports shall be forwarded with each commission payment to: Calhoun County Adult Detention Center, Attention: Jail Administrator Lt, Eddie Musgrave, 302 West Livc Oak, Port Lavaea, Texas 77979. FORCE MAJEURE The Company shall not be held liable for any delay or failure in pelformanee of any part of this Agreement from any cause beyond its control and without its fault or negligeuce, such as acts of God, acts of civil 01' military authority, govermnents regulations, clnbargocs, epidemics, war, tClTorist acts, riots, insurrections, fires, explosions, c31ihquakes, nuclear accidents, floods, strikes, power blackouts, volcanic eruptions or other enviromncntal disturbances, unusual severe weather conditions, inability to secure products or services of other persons or transportation facilities, or acts or omissions of transportation common carriers. LIMITATION OF LIABILITY The Company will use due care in processing all work and agrces that it sill at it's own expense, correct any errors which arc due solely to the malfunction of the Company's computers, opcrating systems or programs or elTors or acts of negligence by the Company employees, The Customer agrees that the Company has made no additional warranties or rcpresentations relied upon by Customer to acccpt aud execute this agreemeut. Customer agrees the Company will not be liable for any lost revenue or service disruptions of other service providers involved in the public communications network. TERMS OF AGREEMENT The term of this Agrecment shall begin on Februmy 15, 2012 and continue in full force and effect for a period of three (3) years from such date unless tenninated in accordance with the tcrms of this agreement. TERMINATION Either pmty may tenninate this agreement for cause prior to the expiration of the tenn of this agreement if the alleged brcach of the agreemcnt has not been cured by the offending pmty within thirty (30) days of written notice of the breach. 4 Option A ASSIGNMENT In the event that Customer sells the jail facility covered by this agreement, there shall be no required consent by the Company to the assignment of this agreement. However, Customer will require as a condition of the sale of the jail facility that the acquiring party sign an assumption agreement and assignment of this agreement with the Company as a condition of the purchase. Company may not assign any of its duties or obligations under this agreement to another company, person or eutity without the pe1l11ission ofthe Customer. GOVERNING LAW The laws of the State of Texas will govern this agreement and venue of any dispute arising under this agreement will be in Calhoun County, Texas. AUDIT Customer will be permitted by the Company to audit, read, review and copy all records pertaining to this agreement. NOTICES Notices are to be made iu writing and directed to the following: Customer: Company: Calhoun County Securus Technologies, Inc. Judge Michale Pfeifer Robert E. Pickens 211 S.Ann 14651 Dallas Parkway, Suite 600 Port Lavaea, Texas 77979 Dallas, Texas 75254 Tel: 361-553-4600 972-277-0300 Fax: 361-553-4444 972-277-0514 IN WITNESS HEREOF, the foregoing Inmate Communications Service Agreement has been executed by the parties hereto ou this the ~p day of '3Av IL "- r~ ,2012, CUSTOMER: ~______ 4kl~. f 9- ' V COMPANY: Miehale J, Pfeifer ~~~ Name and Title Coo Robert E, pickens COt) Printed Name and Title 5 ADDENDUM 1 TO THE INSURANCE AND RISK MANAGEMENT CONSULTANT SERVICES RFP: Addendum No, 1 Insurance and Risk Management Consultant Services Includes the County's current insurance policies for property and Iiabiiity, workers compensation coverage: Texas Association of Counties Risk Management Pool, the 1" day of January 2012 through the 31" day of December 2012 estimated premium $122,367 on payroll of $8,146,737, Calhoun County has no recent history with any insurance/risk management consultant and scope of services for this RFP does not include review of employee benefits, A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to approve Addendum 1 to the Insurance and Risk Management Consultant Services RFP, 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 s; MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE ~ PEGGY HALL DATE: January 19,2012 RE: AGENDA ,ITEM - JANUARY 26, 2012 AGENDA ITEM " THURSDAY, JANUARY 26, 2012 ~Consider and take necessary action to approve Addendum 1 to the Insurance and Risk Management Consultant Services RFP, (CM) Addendum No.1 INSURANCE AND RISK MANAGEMENT CONSULTANT SERVICES :/1,5 . Attached is a schedule of the County's current insurance policies for property and liability, . Workers compensation coverage: Texas Association of Counties Risk Management Pool, 1/1/2012-12/31/2012 estimated premium $122,367 on payroll of $8, 146,737. . Calhoun County has no recent history with any insurance/risk management consultant. . 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N 0; 0; 0; 0 1:5 2 APPOINTMENT OF A COUNTY EXTENSION AGENT-AGRICULTURE/NATURAL RESOURCES: Barbara Moretich, District Office Manager of the Texas AgriLife Extension Service requested the Commissioners Court approve the appointment of a County Extension Agent-Agriculture/Natural Resources for Calhoun County, Mr, Donnie Montemayor was there to present the applicant for the position, The applicant for the position is Ryan Damborsky and his official first day, after 6 weeks of training in Matagorda County, is the 1" day of March 2012, A Motion was made by Commissioner Lyssy and seconded by Commissioner Finster to appoint Ryan Damborsky as County Extension Agent-Agriculture/Natural Resources for Calhoun County, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, to Susan Riley From: Sent: To: Subject: Barbara Moretich [b-moretich@tamu,edu] Thursday, January 19, 20126:08 PM Susan Riley RE: Court Agenda Item for January 26,2012 They usually hold the name nowadays until the presentation, If you really need it then I will ask Donnie if I can release, From: Susan Riley rmailto:susan,rilev(6lcalhouncotx,orQl Sent: Thursday, January 19, 2012 6:03 PM To: Barbara Moretich Subject: Re: Court Agenda Item for January 26, 2012. Hi, Barbara, I'll put thisat the top ofthe agenda at 10:00, Do you have a name for me? Susan Riley III Sent from my iPhone On Jan 19, 2012, at 5:07 PM, Barbara Moretich <b-moretich(6ltamu.edu> wrote: Hi Susan, Please place the approval of appointment of a County Extension Agent-Agriculture/Natural Resources for Calhoun County, Mr, Donnie Montemayor will be there to present the applicant for the position. Please let us know what time they need to be there, Thanks, <imageOO1.jpg> Barbara Moreticn District Office Manager Texas AgriLife Extension Service 10345 Hwy 44 Corpus Christi, TX 78406 Phone: 361,26S,9Z03 ext 213 Fax: 361.265,9434 b~moretich(a)tamu.edu TOCKER FOUNDATION GRANT: Noemi Cruz, Library Director of Calhoun County Public Library, request that Commissioners Court approve the Calhoun County Public Library apply for Tocker Foundation Grant in the amount of $7,030,80, The Tocker Foundation will consider requests from public libraries serving populations of 12,000 or less, Projects are reviewed for the level of contribution to the community, Funding will not be considered for normal operating expenses, salaries or employee benefits, A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to approve the request by Calhoun County Library Director to apply for Tocker Foundation Grant in the amount of $7,030,80, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Sent: To: Subject: 1 Noemi Cruz [ncruz@cclibrary,org] Thursday, January 19, 2012 3:02 PM susan. riley@calhouncotx,org Agenda Item Please include on next Commissioners' Court meeting: - Approval to apply for Tocker Foundation Grant in the amount of $7,030.80. - Thanks Noemi Cruz, library Director Calhoun County Public library 200 W, Mahan Port lavaca, TX 77979 Phone 361.552,7250 ex!, 23 Fax 361.552,4926 Email ncruz@cclibrarv,org Web www.cclibrary.org ..--- @i~ q~ ~ I~~~~ 2012 Grant Application The Tocker Foundation will consider requests from public libraries serving populations of 12,000 or less, Projects are reviewed for the level of contribution to the community, Funding will not be considered for normal operating expenses, salaries or employee benefits, Nwne of Organization: Calhoun County Library Library System: STLS Nwne of Contact: Noemi Cruz Contact Title: Library 01 rec tor Physical Address: 200 W. Mahan Port City: Lavaca State: TX Zip: 77979 Port City: Lavaca State: TX Zip: 77979 Mailing Address: 200 W. Mahan Telephone: 361-552-7250 e~5Fax: 3"1-552-492" Email: ncruz@cclibrary.or!\ Current Assigned Texas State Library Population: 21,381 / county; 12,248 / city Grant Amount Requested: $7,030.80 Project Title: Laptops AGREEMENT: If awarded a grant, it is agreed that this library will submit a progress report including an accounting of funds used, on or before one year from the day the grant is funded, A final report will be submitted at the completion of the grant project. Signature of Representative Date ASSURANCES OF CONTINUED LOCAL SUPPORT: It is agreed that local funding for this library will not be diminished, curtailed, or cut in any way as a result of awarding this grant. Signature of Authorization (Circle applicable title: Mayor, City Manager, County Judge or Superintendent) Date Pagel (Fonn update 04/0512(06) Address each of the following items, Responses to each item should be limited to one page or less, I. Describe the project to be funded by the Tocker Foundation, (limit your description to one page,) Include: . The library service area and population to be affected by the project. The Calhoun County Library services all of Calhoun County, which includes the cities of Port Lavaca, Seadrift, Point Comfort and Port O'Connor. The population for Port Lavaca is 12,248; Seadrift 1,455; Point Comfort 737; Port O'Connor 1,078. Population for the County is 21,281, the area includes the communities of Six Hile, Olivia, Long Matt, Magnolia Beach, Indianola, and Alamo Beach. . Describe the project and the needs your project will address, The project includes adding 8 laptop computers to our network. We currently have 2, that are used heavily. Laptops are convenient because they can be used anywhere in the library. The laptops will be used for additional Internet usage and for programs that include an ESL/GED class that meets twice a week. . A tentative timeline for implementation of your project. When funds are approved and received, the laptops will be ordered immediately. Upon receiving, the laptops will be added to the computer inventory and set up for patron usage. 2, Has this library received a previous grant from the Tocker Foundation?~ Yes_No Note: The Library System offices and the Texas State Library have assisted the Foundation in evaluating projects, Having the application reviewed is advised but not required, Has this grant application been reviewed by the Library System Office? STLS has disband _Yes ~No Reviewed by Has this grant application been reviewed by the Texas State Library Office? _Yes ~No Reviewed by Page 2 (Fonn updale 04/05/2006) 3, If a grant is awarded, how will this project be funded beyond the grant year? The laptops will be added to our computer inventory and be placed on our Technology Plan, which states when equipment nep.ds to bp. replaced or reviewed. A computer replacement budget is currently in place. 4, Provide a detailed budget for your project. Include itemized costs for materials, equipment, furniture, shipping, labor, etc.... HP EliteRook 8460p - Core i5 2410M 2.3 CHz - RAM 4 GB - HDD 320 GB _ 14" TFT - DVD RW I DVD-RAM - HD Graphics 3000 - Gigabit Ethernet _ WLAN : 802.11 alblgln, Bluetooth 2.1 EDR - TPM - fingerprint reader, Smart Card reader - Windows 7 Pro 64-bit - 14" Widescreen LED backlight HD anti-glare TFT 1366 x 768 (WXGA) Cost $853.85 x 8 Shipping and Handling cost $6,830.80 $200.00 $7,030,80 Page 3 (Form update 04/05/2006) 5, Describe how this project will improve library services in your community, Denote the group(s) in your community who will benefit and how they will benefit from this project. This project will improve library services by being able to offer additional Internet stations as well as offering a lab type setting for library programs, computer classes and GED/ESL classes. We collaborate with many organizations in our community. Having laptops will help us to enhance our programs and offer services that we have not been able to in the past. GED/ESL classes will benefit by including hands-on learning activities and testing. Page 4 (Fonn update 04/05/2006) ,. 6, Explain how you will measure the success of your project. What are the outcomes you anticipate? Statistics of laptop usage will be recorded. The outcomes we anticipate include more programs for patrons to attend. Adding computer classes (small group setting). Additional Internet usage for patrons and a better ESL/CED program to offer the community. 7, (a) What is the current staffing level at your library? (b) Identify the person(s) who will implement the project, monitor the results and submit reports. Provide name(s), title( s) and address( es), The Calhoun County Library main branch as 4 full time employees and 4 part-time employees. Noemi Cruz, Library Director, will be in charge of implementing, monitoring and submitting reports. Marsha Buller, Assistant Library Director will be assisting with reports. Noemi Cruz, Library Director 200 W. Mahan Port Lavaca, TX 77979 Marsha Buller Assistant Library Director 200 W. Mahan Port Lavaca, TX 77979 Page 5 (Fonn update 0410512006) , " 8. Please include any additional information you believe is important. The Calhoun County Library has been encouraged to apply for grants from this Foundation by Mr. and Mrs. Tocker even though the population exceeds the Foundation's limit. WHAT TO SEND: ~ copy of the Grant Application Form, The Foundation will download the individual annual reports from the Texas State Library web site. It is no longer necessary to send a copy of the annual report to the Tocker Foundation, (If not a library system member, submit the membership application or an IRS 501(c)3 letter), Return the application by January 16.2012. Short extensions can be obtained by contacting the Foundation Office. (Fax, letter or emaiJ preferred). Mailing Instructions: Applications should be sent by first class mail. It is NOT necessary to send applications CERTIFIED, REGISTERED, OVER NIGHT or SPECIAL COURIER. The Foundation wiD confirm receipt by post card. Send Applications to: Tocker Foundation Attn: Darryl Tocker 3814 Medical Pkwy Austin, TX 78756-4002 Office: (512) 452-1044 Fax: (512) 452-7690 E-mail: grants(iiJ,tocker,org Web Page: www,tocker.org Page 6 (FOnD update 04/05/2006) APPOINTMENT OF NEW LIBRARY BOARD MEMBERS: Noemi Cruz, Library Director for Calhoun County Public Library requested Commissioners Court approve the appointment of new Library Board Members, A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to approve the appointments of new library board members Cynthia Hamilton, De Anna Kveton, Sandra Rudellat and Gay Motl, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, >Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary,org] Thursday, January 19, 2012 3:00 PM susan, riley@calhouncotx.org Agenda item Hi Susan, Please include on next Commissioners' Court Meeting: - Approval for appointment of new Library Board members... Cynthia Hamilton, De Anna Kveton, Sandra Rudellat and Gay Motl. - Thanks Noemi Cruz, library Director Calhoun County Public library 200 W, Mahan Port lavaca, TX 77979 Phone 361.552,7250 ext, 23 Fax 361.552.4926 Email ncruz@cclibrary,orq Web www.cclibrary.orq Calhoun County Library Board Port Lavaca, Texas January 12,2012 Judge Michael Pfeifer: The Calhoun County Library Board presents 9mthia Hamilton, De Anna Kveton, ~ ~~dellat, and 9~ ~ for the approval by the Commissioners" Court for appointment to this Board, We would greatly appreciate you including this on the agenda of your next meeting, Sincerely, ~~a Ryan Smiga, President - POLICIES FOR THE CALHOUN COUNTY LIBRARY SYSTEM: Noemi Cruz, Library Director for the Calhoun County Public Library requested Commissioners Court approve the Registration of Patrons Policy, the Circulation of Materials Policy, Protection of Copyright Policy, the Materials other than English Policy, Sexual Harassment Policy and Library Programs Policy, The Calhoun County Public Library Registration of Patrons Policy states that it is supported primarily by taxes paid by residents of Calhoun County and library cards are provided at no additional charge to residents of Calhoun County, This was approved by the Library Board on the 5'h day of January 2012. The Calhoun County Public Library Circulation of Materials Policy states that the Calhoun County Public Library System has established policies that facilitate the borrowing of library materials for use outside the library building and that the library materials will be loaned to anyone holding a valid library card for the loan period established by Calhoun County Public Library, This was approved by the Library Board on the S~ day of January 2012. The Calhoun County Public Library Protection of Copyright Policy is to comply with Title 17 of the United States code, titled "Copyrights," and other federal legislation related to the duplication, retention, and use of copyrighted materials, This was approved by the Library Board on the Sth day of January 2012, The Calhoun County Public Library System Materials in Languages Other than English states that the Calhoun County Library Systems strives to have a collection that reflects the diversity of the population it serves and part of the collection development budget will be allocated to purchase materials in the preferred language of residents who are not native speakers of English, This was approved by the Library Board on the 3" day of November 2011. The Calhoun County Public Library System Sexual Harassment Policy states that it is the policy of the Calhoun County Public Library Systems to provide a place that is comfortable for employees and patrons to work and use library resource and that in compliance with applicable federal and state laws, the library will be a place that is free of any form of harassment. This was approved by the Library Board on the 3" day of November 2011, The Calhoun County Public Library System Library Programs Policy states that programs are an extension of the services provided by the Calhoun County Public Library System and programs are offered for citizens of all ages, This was approved by the Library Board on the 3" day of November 2011. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to accept all policies for the Calhoun County Library System, Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, tV Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary.org] Thursday, January 19, 2012 5:27 PM susan. riley@calhouncotx.org Agenda Item Please include on next Commissioners' Court meeting: - To approve Registration of Patrons Policy -Thanks Noemi Cruz, library Director Calhoun County Public library 200 W, Mahan Port lavaca, TX 77979 Phone 361.552,7250 ext, 23 Fax 361.552.4926 Email ncruz@cclibraJ:\l,QI9 Web wWIJ./&cjibwr\I,org 1 Calhoun County Public Library Registration of Patrons Policy The Calhoun County Public Library System is supported primarily by taxes paid by residents of Calhoun County, Library cards are provided at no additional charge to residents of Calhoun County, Temporary cards are issued to those patrons whose permanent address is out of the county, Limits are set for the number of items that can be checked out. These limits are to be determined by the Library Director, Additionally, all residents of the State of Texas with valid TexShare cards are also entitled to use library services, TexShare patrons must have a current library card at their home library and must be in good standing, TexShare cards are valid for one year, A fee will be charged to replace a library card that has been lost, stolen or damaged, The library has a responsibility to protect the taxpayers' investment in the collection of the library; therefore, a photo identification and verification of residence is required to obtain a library card, Identification can be established through a current driver's license, school identification card or other valid picture identification issued by a governmental agency, If no valid picture identification is available, the circulation supervisor may accept other reasonable forms of identification that establish identity, A parent or guardian must assume responsibility for materials borrowed by a person under seventeen years of age; therefore, it is the adult's identification that is required for registration of a minor, Demographic information may be gathered in order to plan library services, No identifying information is compiled or reported and is not stored or disclosed in any way that would identify the person registering. State and federal rules and laws pertaining to confidentiality of records and privacy protect information provided on the registration form, Information about use of library materials and services will be disclosed only under court order or in keeping with federal legislation, Library Board Approved 1-5-12 Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary,org] Thursday, January 19, 2012 5:26 PM susan. rjley@calhouncotx.org Agenda Item Please include on next Commissioners' Court meeting: - To approve Circulation of Materials Policy -Thanks Noemi Cruz, library Director Calhoun County Public Library 200 W, Mahan Port lavaca, TX n979 Phone 361.552.7250 ext, 23 Fax 361.552.4926 Email ncruz@cclibralv.orq. Web www.cclibrarv.org Calhoun County Public Library CIRCULATION OF MATERIALS POLICY The Calhoun County. Public Library System has established policies that facilitate the 'borrowing of library materials for use outside of the library building, A patron must present a valid borrower's card in order to remove library materials from the building, The person presenting a valid borrower's card is assumed to have the authority to use that card unless it has been reported lost or stolen, Library materials will be loaned to anyone holding a valid library card for the loan period established by Calhoun County Public Library, Materials that are not returned by the due date will be subject to fines, as established by the Calhoun County Public Library, Borrowing privileges will be revoked by the library director or his or her designee if the circulation policy is abused, Abuse of the circulation policy includes failure to return materials on time, failure to pay fines that exceed the threshold established by Calhoun County PublIc Library, or intentionally damaging materials, Disputed claims, such as materials that are claimed returned but have not cleared from the patron record or items that a patron claims not to have borrowed, will be accepted and removed from the patron record no more than twice a year, Fines and records of overdue materials are maintained for a minimum of three years and are subject to the library's policy on "Fines and Recovery of Overdue Materials." Library Board Approved 1-5-12 Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary,org] Thursday, January 19, 2012 3:08 PM susan. riiey@calhouncotx.org Agenda Item Please include on next Commissioners' Court meeting: - To approve Protection of Copyright Policy -Thanks Noemi Cruz, library Director Calhoun County Public library 200 W, Mahan Port lavaca, TX 77979 Phone 361.552,7250 ext, 23 Fax 361.552,4926 Email ncruz@cclibrary,org Web www.cclibrarv.org Calhoun County Public Library PROTECTION OF COPYRIGHT POLICY It is the intent of the Calhoun County Library System to comply with Title 17 of the United States code, titled "Copyrights," and other federal legislation related to the duplication, retention, and use of copyrighted materials, A notice of copyright will be prominently placed on the photocopier(s), The library does not purchase audiovisual materials with public performance rights, DVDs, videos, and other media are loaned for personal and home use only, The library has purchased a public performance license that covers material from specific producers in order to show films in the library meeting rooms. Library staff will follow copyright law in selecting and using materials for public performance at programs, Organizations using the library's meeting rooms are also covered by the license and must follow copyright laws, Original or copyright-free art will be used to produce library publicity items or for creating displays and decorations, Library Board Approved 1-5-12 Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary.org] Thursday, January 19, 2012 3:07 PM susan, riley@calhouncotx.org Agenda Item Please include on next Commissioners' Court meeting: - To approve Materials in Languages Other Than English Policy -Thanks Noemi Cruz, library Director Calhoun County Public library 200 W, Mahan Port lavaca, TX 77979 Phone 361.552,7250 ext, 23 Fax 361.552,4926 Email ncruz@cclibrary,org Web www.cclibrary.org CALHOUN COUTNY PUBLIC LIBRARY SYSTEM MATERIALS IN LANGUAGES OTHER THAN ENGLISH The Calhoun County Public Library System strives to have a collection that reflects the diversity of the population it serves, To that end, part of the collection development budget will be allocated to purchase materials in the preferred language of residents who are not native speakers of English, Materials considered for purchase will be evaluated as much as possible under the same guidelines and policies used for English-language materials, When necessary, staffwill seek assistance in the selection of materials from appropriate community members, Citizen recommendations are always welcome and appreciated, Library Board Approved 11-3-11 Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cciibrary.org] Thursday, January 19, 2012 3:06 PM susan. riley@calhouncotx,org Agenda Item Please include on next Commissioners' Court meeting: - To approve Sexual Harrassment Policy -Thanks, Noemi Cruz, library Director Calhoun County Public library 200 W, Mahan Port lavaca, TX 77979 Phone 361.552,7250 ext, 23 Fax 361.552,4926 Email ncruz@cclibrarv.org Web www.cclibrary.org CALHOUN COUNTY PUBLIC LIBRARY SYSTEM SEXUAL HARASSMENT POLICY It is the policy of the Calhoun County Public Library System to provide a place that is comfortable for employees and patrons to work and use library resources, In compliance with applicable federal and state laws, the library will be a place that is free of any form of harassment, including sexual harassment. Sexual harassment includes unwelcome sexual advances, flirtations, propositions, sexually degrading words to describe an individual, graphic or suggestive comments, or requests for sexual favors, It includes the display in staff work areas of sexually suggestive pictures or objects, including photographs or illustrations of nude or seminude figures, All employees are responsible for assuring that the workplace is free of sexual harassment and should promptly report incidents or possible incidents of sexual harassment to the library director, Patrons are not permitted to sexually harass other patrons or staff members, Library employees may refuse to assist a patron if they believe that such assistance will require the employee to view printed or computer screen materials that the employee finds to be offensive or interprets as harassment. The library employee must immediately ask a supervisor for assistance with the patron's request. Patrons who harass staff or other patrons will be asked to leave the library and, if appropriate, their behavior will be reported to the appropriate authorities, ' Library Board Approved 11-3-11 Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary.org] Thursday, January 19, 2012 3:06 PM susan, riley@calhouncotx.org Agenda Item Please include on next Commissioners' Court meeting: , - To approve Library Programs Policy . >-Thanks Noemi Cruz, library Director Calhoun County Public Library 200 W, Mahan Port lavaca, TX 77979 Phone 361.552,7250 ext, 23 Fax 361.552,4926 ' Email ncruz@cclibrarv,org Web www.cclibrary.org CALHOUN COUNTY PUBLIC LIBRARY SYSTEM LIBRARY PROGRAMS POLICY Programs are an extension of the services provided by the Calhoun County Public Library System and programs are offered for citizens of all ages, Programs are defined as a planned activity or event that may be developed and presented by library staff or may be cosponsored by the library and other community organizations, Library programs are open to the public without charge, Library staff will present preschool story time programs on a regular schedule throughout the year, Other programs for children and young adults will be planned, staff time and budget permitting, during school holidays and summer vacations, Each year the library director will establish a budget for hiring performers and purchasing materials to support cl;rildren's programming. Programs for adults may be scheduled throughout the year as interest warrants, Speakers from community groups and businesses may be invited to present programs on topics of general interest or of a timely nature, Presenters may not directly solicit business before, during, or following a program, although cards and brochures may be left on the display table for attendees to pick up, No fees may be charged to attend any library sponsored or cosponsored program. Library programs are generally open to anyone wishing to attend. Persons attending library sponsored or cosponsored programs are expected to adhere to the library's policies on patron conduct. By separate action, and reaffIrmed herein, the Calhoun County Public Library System has endorsed the American Library Association's Library Bill of Rights and its interpretation, "Library-Initiated Programs as a Resource," Library Board approved 11-3-11 ENVIROTECH CARRIERS, INC. AND THE CALHOUN COUNTY HEALTH DEPARTMENT: Envirotech Carriers Inc, is a company acknowledged by the State of Texas to handle, transport, and contract for the disposal of regulated medical waste by any and all approved methods, The Calhoun County Health Department requested Commissioners Court approve a contract between The Calhoun County Health Department and Envirotech Carriers, Inc, A Motion was made by Commissioner Galvan, and seconded by Commissioner Fritsch to authorize County Judge to sign contract between Envirotech Carriers, Inc and the Calhoun County Health Department. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer ail voted in favor, Hccl-ff gLfoO ENVIROTECH CARRIERS, INC. 2403 Agnes St. Corpus Christi. Texas 78405 361-299-7774 talh THIS agreement is entered into this _ day of .201-, by and between ENVIROTECH CARRIERS, INC (the "CONT ACTOR" I >>,~o~'i pripcipal place of business is 2403 Agnes Street, Corpus Christi, Texas 78405, and 11 11i,}J~ r, (the "CUSTOMER"), whose principal P1aAofbU~SS is - 11t? 11 i Location!: I. . I' I .. Dr I-- A-U~, fIC. ,'/ I WHEREAS, CONTRACTOR is a company acknowledged by the State of Texas, to handle, transport, and contract for the disposal of regulated medical waste by any and all approved methods, WHEREAS, the CUSTOMER desires to contract exclusively with CONTRACTOR for the handling, transporting, tracking, and disposal of all regulated medical waste produced by activities of the CUSTOMER; and WHEREAS, CONTRACTOR desires to provide the CUSTOMER with services that include regulated medical waste handling, tr~llsJlorti;Jg, wrification, and dlspo~ml by any and ::\It :\pprowd methods. NOW, THEREFORE, the parties do hereby agree as follows: A. TERMS AND CONDITIONS I. Collection of Waste: a. The CUSTOMER shall collect all regulated medical waste to be disposed of by the CONTRACTOR within the CUSTOMER'S facilities. The CUSTOMER will place all waste within the containers provided by CONTRACTOR and will properly close and! or seal such containers. b. The CUSTOMER shall contain and seal any liquids within Hners for the purpose of not contaminating or compromising boxes/tubs provided by CONTRACTOR. In the event of contamination or compromise to boxes/tubs the CONTRACTOR shall seek additional charges. 2. Handling and Receipt by CONTRACTOR a. Once the containers have been properly filled and sealed by the CUSTOMER, they will be accepted by CONTRACTOR. CONTRACTOR will manifest receipt (computer printout) ofthe date, and number of containers picked up. The containers, liners, and contents will be disposed of in accordance with all federal, state and local laws, rules, regulations, and ordinances including but not limited to the Texas Department of Health, Occupational Safety and Health Administration, and the Center for Disease Control. 3. Containers and Liners: a. CONTRACTOR shall provide the CUSTOMER with a specifically designed box that has a 200 pound strength, safety handles, lock top with a corresponding red bag liner for each, all in quantities sufficient to meet the needs for the regulated medical waste generated by the CUSTOMER. b. The CUSTOMER shall follow all instructions from CONTRACTOR and all specifications labeled on the containers in collecting all regulated medical waste. Container weight must not exceed CONTRACTOR'S s! 'edfic:~tion limit'! of 30 puulLd.i. c. All containers and liners furni5hed by CONTRACTOR shall remain the property of the CONTRACTOR with the medical facility accepting inventory control and responsibility while the containers are being utilized in the facility. The CUSTOMER or its personnel shall not use the containers and liners for any purpose other than hold and enclose the regulated medical waste for collection and disposal by CONTRACTOR. 4. Pick up time, location, and frequency: CONTRACTOR shall pick up regulated medical waste at a regularly scheduled time to be established by the CUSTOMER and CONTRACTOR. S. Regulated Medical and Chemical Waste Accepted by CONTRACTOR a. Any material or contaminated equipment which, in determination of the facility infection control staff, presents a significant danger of infection, because it is contaminated with, or may reasonably be expected to be contaminated. b. The CUSTOMER shall at no time include hazardous waste in CONTRACTOR'S containers. Hazardous waste shall be defined as those wastes classified under Title 40 of the Federal Code of Regulations and The Resource Conservation and Recovery Act. (Refer to "EPA Guide for Infectious WdSte Management" (EPA/S30-SW-86- 014, May 1986)) for clarification of these categories, Any other waste that Federal, State, or Local regulations prohibit for incineration, of CONTRACTOR is not pennitted to transport. 8, COMPENSATION L Basic Fees: For the services to be provided pursuant to this Agreement, with scheduling to be mutually agreed upon, the CUSTOMER shall pay CONTRACTOR as follows: a, $ one-time set-up fee b, $ per pound transported H c.$ /00.00 per container transported - r;;Vl.lur3y}1.~L L5 d, $100 p 00 service fee per occurrence (Unsuccessful attempts to service location from CUSTOMER request or predetermine routes due to box not being ready or personnel not available.) e. $ - no activity fee (On call customer only, in no activity occurs within 90 days of last pickup) f. $ / J, 00 fuel surcharge fee per pick up g. $ ~,-)'OO late charge fee 2. Invoicing: CONTRACTOR shall send to the CUSTOMER on a regular basis, an invoice reflt:ctilig a complete itemization of the wastc collect~d by CONTRACTOR and the total charge. The manifest will be verified by the personnel ofBio Medical Waste Solutions Beaumont, Texas, Permit #40231 as to the accurate weight and the time and date of the incineration or destruction and will be mailed to you with each invoice and! or monthly statement The CUSTOMER will pay the reflected amount due on each invoice within thirty (30) days after receipt by the CUSTOMER of such invoice, All invoices are due and payable in Corpus Christi, Nueces County, Texas, 3. Cost Adjustment: CONTRACTOR reserves the right to administer any cost increase and/or decreases adjustment of service items during the term of the contract C, TERM OF AGREEMENT 1. Three year term: Unless earlier terminated as provided in paragraph 2 below, the agreement shall be for a term of three years, commencing on the date first set forth above, and shall automatically be renewed for successive periods ofthree years on the same terms and conditions. 2, Either the CUSTOMER or the CONTRACTOR may terminate effective the last of the term or any renewal period by giving written notice of termination by certified mail to other not less than 60 days prior to the end of the term or renewal period. 3. Termination for default: Should one party be in default under the terms of this agreement. the other party may give the party in default thirty (30) days written notice to cure such default, the non-defaulting party may immediately terminate this agreement upon the expiration of the thirty (30) day notice period, if such a cure does not occur. 4, In the event CUSTOMER breaches the agreement by attempting to unilaterally cancel the agreement prior to the end of the term, CUSTOMER agrees that in addition to any sums already owed under the agreement for services rendered, the company shall be entitled to liquidated damages in the amount of one-half of the total charges which would have been payable over the entire tenn ofthe contract, and over any renewal term to which CUSTOMER is then obligated. D. INSURANCE COVERAGE CONTRACTOR will maintain or cause to be maintained a comprehensive liability insurance coverage program, including minimum coverage as required by Texas Commission on Environmental Quality (TCEQ). E. HOL:) HARMLESS/INDEMNIFICATION 1. CONTRACTOR Indemnification: Contractor will indemnify and hold harmless, CUSTOMER, its agent and employees from all liability, claims, actions and cost arising from wrongful acts or omissions of CONTTRACTOR. its agents. servants, employees or subcontractors, including the cost of defense and attorney's fees. 2. CUSTOMER Indemnification: The CUSTOMER will indemnify and hold harmless CONTRACTOR, its agents. and employees from wrongful acts or omissions of the CUSTOMER, its agents, servants, employees, or subcontractors, including the cost of defense and attorney's fees, F. LICENSE. COMPLIANCE WITH LAWS CONTRACTOR represents and warrants that it is, and shall be throughout the term of this agreement;. properly licensed by all regulatory and governmental agencies requiring licenses for the handling, transportation and destruction of regulated medical waste. CONTRACTOR further represents and warrants that it shall at all times during the term of the agreement comply with all Federal, State and Local laws, rules, regulations and ordinances concerning the proper handling and destruction of regulated medical waste. We operate under Texas Commission of Environmental Quality (TCEQ) Permit Number 50019. G, INDEPENDENT CONTRACTORS With respect to all services furnished by CONTRACTOR to CUSTOMER pursuant to the agreement, it is mutually understood and agreed the relationship between CONTRACTOR and CUSTOMER is that of independent contractor, and nothing in this agreement is intended nor shall be construed to create an employer/employee relationship or partnership or a joint venture relationship between the parties. H. MISCELLANEOUS 1. Representation and Covenant: CONTRACTOR represents and covenants to the CUSTOMER that, as the effective date hereof and throughout the tenn of this agreement, CONTRACTOR is and will continue to be fully capable and qualified, in accordance with good regulated medical waste handling, transporting, and incineration or destruction services required of CONTRACTOR under this agreement. 2. Severability: In the event any provision of this agreement is held to be unenforceable or invalid for any reason, this agreement shall remain in full force and affect and enforceable in accordance to its term disregarding such unenforceable or invalid provision. 3. Notices: All notices, requests, demands or other communications hereunder (hereinafter individually and collectively referred to as "Notice") must be in writing and may be given or serviced by depositing the same in the United States mail, registered or certified, postage prepaid with return receipt requested, or by delivering the same in person. Notice deposited in the mail in the manner described above shall be effective. unless otherwise stated in this agreement. from and after the expiration of three days after it is so deposited. Notice given in any other manner shall be effective only if and when received.by the pmty to be notified. Any-notice shall be given or de.Evered to parties at their respective addresses. The parties hereto and their respective permitted successors and assigns shalf have their right from time to time to change their respective addresses by providing at least fifteen (15) days prior written notice to the other party. 4. Assignment: The CUSTOMER and CONTRACTOR may not assign. delegate. or transfer any of their respective rights. duties or obligations under this agreement. in whole or in part without the prior written consent of the other party. not to be unreasonably withheld. Subject to the immediately preceding sentence. this agreement shall inure to the benefit and be binding upon the parties hereto and their permitted successors. 5. No Waiver: The failure of either party to insist at any time upon the strict observance or performance of any provisions of this agreement or to exercise any right or remedy of such party or to be construed as a waiver or relinquishment thereof with respect to subsequent relinquishment thereof with respect to subsequent defaults of breaches. Every right and remedy given by this agreement to the parties hereunto may be exercised from time to time and as often as may be deemed expedient by the appropriate party. 6. Choice by Law: This agreement shall be governed by and construed to be in accordance with the laws of the State of Texas. 7. Force Majeure: If either party hereto shall be delayed or prevented from performance of any act required hereunder by reasons of acts of God. strikes, lockouts, labor troubles. inability to procure materials. restrictive governmental laws and regulations, or other cause without fault and beyond the control of the party obligated (financial inability excepted), then upon written notice. the perfonnance of such act shall be excused for the period of the delay and the period- for the performance of any such act shall be extended for the period of the delay; provided, however, the CUSTOMER or CONTRACTOR shall exercise its best efforts to remedy any such cause of delay or cause that prevents performance. 8. Site ofIncinerationlDestruction: CONTRACTOR'S primary incineration site is Bio Medical Waste Solutions Beaumont, Texas. Permit #40231, but CONTRACOR reserves the right to construct and contract additional facilities that will be located in Texas and will comply with all of the rules and regulations afTACB, TDM and other State or Federal Authorities or regulations. Executed on this 2(, rL day of II?- 1\-tt......1 Z//<...... CUSTOMER (;A^~ ~ CUSTOMER NAME ~~D~~ TIT~ ~~ J. J {,_I"-' DATE CONTRACTOR ENVIROTECH CARRIERS, INC, AUTHORIZED SIGNATURE TITLE DATE ORDER PROHIBITING OUTDOOR BURNING: 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. The Order prohibiting Outdoor Burning expires this day, the 26'h day of January 2012. A Motion was made by Commissioner Fritsch and seconded by Commissioner Finster to continue an order prohibiting outdoor burning, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, ORDER PROHIBITING OUTDOOR BURNING WHEREAS, On the 26th day of January, 2012 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 buming 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, (1) Hous,ehold 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) burns that are conducted by a prescribed burn manager certified under Section 153,048, Natural Resources Code, and meet the standards of Sec;tion 153,047, Natural Resources Code, In accordance with Local Government Code S352,081(h), a violation of this Order is a Class C misdemeanor, punishable by a fine not to exceed $500,00, ADOPTED this 26th Day of January, 2012 by a vote of 5 ayes and 0 nays, . ~~9-Pfl/ Calhoun County Judge ATTEST: c::r~d~ Anita Fricke County Clerk Keetch-Byram Drought Index Page 1 of! Keetch-Byram Drought Index Sponsored by the Texas Forest Service, SpatIal Sciences Lab, and Texas AqrlL1fe Research, ~ About D Help t!i Reset Map Map Layers & Legend Rec Results: County 1 Cou'nty ~ame County Seat- KBDI Mean CALHOUN PORT LAVACA 628,9467 KBDI Maxin,,!m681 KBDI Minimum 541 Date 01-25-2012 P- County P- KBOI Current Day J KBDllndex oa1 Sources: NEXRAD, AVHRR, NWS . 0-20Q 200 - 300 .. 300 - 400 400 - 500 500 - 600 600 - 700 . 700 - 800 ~ About D Help Back Full View Zoom In Zoom Out IdentIfy Move Selected Map Tool: Identify http://sslarcims,tamu,edu/website/kbdi/viewer,htm 1/26/2012 ClAP COASTAL IMPROVEMENTS FUND FOR GREEN LAKE SURVEY (REIMBURSEMENT GRANT): A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to authorize $72,000 loan from general fund to capital project -ClAP Coastal Improvements fund for Green Lake Survey, Commissioners Galvan, Lyssy, Fritsch, Finster, and Judge Pfeifer all voted in favor, ' Susan Riley -From: Sent: To: Subject: I~ Cindy Mueller [cindy.mueller@calhouncotx.org] Tuesday, January 17, 2012 11:06 AM 'Susan Riley' Agenda Item Request Please place the folloWing on the agenda for January 26, 2012: G Consider and take necessary action to authorize $72,000 loan from general fund to Capital Project-ClAP Coastal Improvements fund for Green Lake survey (reimbursement grant), Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361,553,4614 RODNEY GUICE AND CALHOUN COUNTY: A lawsuit between Rodney Guice and Calhoun County asserts claims under the Texas Whistleblower Act, Texas Government Code Chapter 5S4 and alleges that Guice was terminated from his employment by Calhoun County in retaliation for reporting alleged violations of law by employees of Calhoun County. Calhoun County denies the allegations In the Lawsuit. A Settlement Agreement and Release is entered into between Rodney Guice on the one hand and Calhoun County, Texas and Calhoun County, Texas Precinct 4 on the other hand and will be effective on the date signed by Guice, A Motion was made by Commissioner Finster and seconded by Commissioner Fritsch for Settlement Agreement and release between Rodney Guice and Calhoun County and authorize County Judge to sign, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, .-' fi Confidential J SETTLEMENT AGREEMENT AND RELEASE This Settlement Agreement and Release ("Agreement") is entered into between Rodney Guice ("Guice") on the one hand and Calhoun County, Texas and Calhoun County, Texas Precinct 4 (collectively "Calhoun County") on the other hand, and it will be effective on the date signed by Guice. RECITALS A. Guice filed suit against Calhoun County in the 24th Judicial District Court of Calhoun County, Texas, Cause No. 09-02-0665 (the "Lawsuit"). B. The Lawsuit asserts claims under the Texas Whistleblower Act, Texas Government Code Chapter 554, and alleges that Guice was tenninated from his employment by Calhoun County in retaliation for reporting alleged violations of law by employees of Calhoun County. Calhoun County denies the allegations in the Lawsuit. C. Guice and Calhoun County desire to fully settle and compromise the alleged claims asserted in the Lawsuit on the following tenns. TERMS I. In full and fmal settlement of all claims against Calhoun County, Guice will receive a total of DOLLARS paid by or on behalf of Calhoun County to Guice's attorney, Michael Kerensky, for deposit in trust. The money shall be paid within TIIIRTY (30) DAYS of the receipt by counsel for Calhoun County of this Agreement fully executed by Guice, Guice and his counsel will be solely responsible for the allocation of the 134290,1 -1- y settlement proceeds, including any allocation to Guice's counsel in respect of any contingent fee agreement; Calhoun County will take no part in the allocation of settlement proceeds, and Calhoun County's duties with regard to the settlement payment will terminate with the payment of the settlement sum of r into Guice's counsel's trust account. 2. In consideration of the settlement payment and the other provisions of this Agreement, Guice does hereby RELEASE AND FOREVER DISCHARGE Calhoun County and its respective attorneys, agents, affiliates, employees, contractors, elected officials, officers, representatives, and insurers (the "Released Parties") from any and all claims and causes of action of whatsoever nature, whether in contract or tort or by statute, (a) arising out of the subject matter of the Lawsuit, (b) which have been or might have been asserted in the Lawsuit, and (c) any other claims he may have, It is the intent of the parties that this release be as broad and comprehensive as the law allows and that the Released Parties are released in each and every capacity in which they had any relationship with Guice, 3, Calhoun County denied liability, and this Agreement shall not be treated as any admission of liability, 5, Guice understands that the consideration referenced in Paragraph 1 above is all the consideration that Calhoun County will ever pay in connection with the subject matter of the Lawsuit and that this is a full and complete settlement of all claims that have been or could have been asserted by Guice against Calhoun County relating to the subject matter of the Lawsuit. 134290,1 -2- v' 6. Within five (5) business days of the receipt of the settlement amount by Guice's counsel, Guice will dismiss the claims asserted against Calhoun County in the Lawsuit with prejudice by filing the Agreed Motion to Dismiss and Order of DismissaL attached hereto. 7. Each party to this Agreement shall be responsible for its own attorneys' fees and costs. 8. Guice acknowledges, represents and warrants as follows; a. He has read and understood the tenus of this Agreement; b. He owns the claims that are being released and has not transferred or assigned them to any third person, except as may have been assigned to his counsel as part of any contingent fee agreement; c. He has had the advice of his counsel in connection with this Agreement, and he has agreed to this Agreement without duress and with full understanding of all its tenus; d. He has the full authority to sign this Agreement; and e. In making this Agreement, he expressly disclaims reliance on any statements or representations made by any other party, except as may be expressly set out in this Agreement. This is the entire agreement of the parties on the subject matter of this Agreement and supersedes all prior agreements, representations, statements or understandings, oral or written, between or among the parties relating to this subject matter. 134290,1 -3- y 9. This Agreement and any disputes arising from it shall be construed in accordance with the laws of the State of Texas, 10. The parties agree that the terms ofthis Settlement Agreement and Release are confidential, and they will not disclose the terms to any third party other than their accountants and tax advisors unless ordered to do so by a court, This Settlement Agreement and Release may be signed in multiple originals. RODNEY GUICE Date: CALHOUN COUNTY, TEXAS and CALHOUN COUNTY, TEXAS PRECINCT 4 By: ~~J~fJUdge Date: I ' )...~ -IV 134290,1 -4- EXECUTIVE SESSION: The Commissioners Court shall go into Executive Session as authorized by V,T.C.A, Government Code Chapter 551. Following is the subject matter of the Executive Session and the Specific Section of the Open Meetings Act permitting discussion/deliberation in Executive Session, Section 551.087 (1) To discuss or deliberate regarding commercial or financial information the the governmental body has received from a business prospect that the governmental seeks to have locate, stay, or expand in or near the territory of the governmental body and with which the governmental body is conducting economic development negotiations; or (2) To deliberate the offer of a financial or other incentive to a business prospect described by Subdivision (1) Executive Session began at 10:18 A.M, and ended at 11:06 A,M, PUBLIC HEARING REGARDING DESIGNATION OF FORMOSA PLASTICS CORPORATION, TEXAS REINVESTMENT ZONE #12-01 AND GRANTING TAX ABATEMENT: Jack Wu, Vice President of Business Development with Formosa Plastics Corporation, Texas, requests that Commissioners Court grant tax abatement for the proposed "Hydrocarbon Fractionation" project. Formosa Piastics Corporation continues seeking additional fuel and feedstock sources for the Point Comfort facility, a strategy which is critical to maintaining the company's competitive position in the world market. The proposed project will add to the stability of the current plant site's 2200 regular full time jobs and will be creating new full time jobs and bringing hundreds of construction jobs for approximately a two year period all of which are important in stable economic growth and development in Calhoun County, The Public Hearing regarding designation of Formosa Plastics Corporation, Texas Reinvestment Zone #12-01 and granting tax abatement began at 11:09 A.M, with Jack Wu, Anne Marie Odefey and Dr. Bill Harvey presenting, It was explained that this Tax Abatement would offer 20 additional full time jobs, No comments were made from the public, The hearing ended at 11:14 A,M, /) AGENIDiA JlTEMS FOR JANUARY 26th MEETING 1. Public hearing regarding designation of -Formosa Plastics COlporation, Texas Reinvestment Zone # 12-0 1 and granting tax abatement. DESIGNATION OF FORMOSA PLASTICS CORPORATION, TEXAS AS REINVESTMENT ZONE #12-01: Commissioner Court made the following findings on the Designation of Formosa Plastics Corporation, Texas as Reinvestment Zone #12-01: That the improvements sought are feasible and practical; The designation and improvements would be a benefit to the land to be included in the zone, and to the County after the expiration of the tax abatement agreement; The area will be reasonably likely as a result of the designation to contribute to the retention or expansion of primary employment or to attract major investment in the zone that would be a benefit to the property and that would contribute to the economic development of the County; and The Commissioners Court further finds that the entire 32.31 acre (more or less) tract of land Is located entirely in an unincorporated area of Calhoun County, Texas, A Motion was made by Commissioner Galvan and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, 1& AGENIDiA ITEMS FOR JANUARY 26th MEETING 2, Discuss and take action to designate Formosa Plastics Corporation, Texas Reinvestment Zone #12-01 ~ ~ Formosa Plastics' Ie{ Formosa Plastics Corporation, Texas 201 Formosa Orive . P,O, Box 700 Point Comfort, TX 77978 Teiephone: 361-987-7000 Fax: 361-987-2729 January 19, 2012 Honorable Michael Pfeifer and Honorable Commissioners Calhoun County Commissioners' Court 211 S, Ann Street Port Lavaca, Texas 77979 Re: Request for Application for Tax Abatement Approximate 33 Acre Tract located in Calhoun County, Texas Dear Judge Pfeifer: Please accept this letter as a request for the Commissioners' Court to grant tax abatement for the proposed "Hydrocarbon Fractionation" project. Formosa Plastics Corp, - Texas (FPC-TX) continues seeking additional fuel and feedstock sources for the Point Comfort facility, a strategy which is critical to maintaining the company's competitive position in the world market. The proposed project will add to the stability of the current plant site's 2200 regular full time jobs at FPC- TX. It will be creating new full- time jobs and bringing hundreds of construction jobs for approximately a two (2) year period: All of which are important in stable economic growth and development in Calhoun County, The proposed new plant would be located in Point Comfort at FPC-TX, Natural gas is one of the principal hydrocarbon sources for the production of plastic resins, Partially processed natural gas arrives at FPC-TX as a mixture of hydrocarbons of varying carbon-chain length, but only short-chained hydrocarbons (principally two and three- chain lengths) are used in production of plastic resins, As a result, these short-chained hydrocarbons must be separated from the mixture and that separation is a principal function of a "Hydrocarbon Fractionation" unit. The proposed fractionation unit will be located within the facility perimeter of FPC- TX, The attached map shows the location the proposed improvements and general uses and conditions of the real property in the abated zone, The total estimate of the project is estimated to be between $150,000,000,00 and $200,000,000,00 and will take approximately two (2) Y\3ars to complete, An estimated 300 - 400 construction workers will be involved in this project during the peak period and an estimated 20 new fUll-time jobs will be produced, @@) !>O'lOOl02(1OO 1$014001 FMJ1419 EMSl51l0 January 19, 2012 Page 2 We respectfully request a variance from the guidelines regarding the percentage and number of years of abatement, with the abatement starting in the year 2012 (to be considered year one (1) for this agreement), Please see attached table, Formosa Plastic Corporation, Texas respectfully requests your favorable consideration of this application and the granting of the tax abatement as described herein. Respectfully submitted, FORMOSA PLASTICS CORPORATION, TEXAS ~~ Jack Wu Vice President of Business Development Abatement Percentages per Year Year % of Abatement I 85 2 90 3 90 4 90 5 90 6 85 7 80 FORMOSA PLASTICS CORPORATION, TEXAS FRACT IT TRACT 32,31 ACRES THE STATE OF TEXAS THE COUNTY OF CALHOUN BEING a 32.31 acre tract of land situated in the Phillip Dimmit Survey, Abstract No. 11, Calhoun County, Texas, and being a portion of that certain tract of land described as 1560.40 acres in deed dated February 12, 1988 from Aluminum Company of America to Formosa Plastics Corporation, 'Texas and recorded in Volume 15, Page 404 of the Official Records of Calhoun County, Texas, and this 32.31 acre tract being more particularly described by metes and bounds as follows: COMMENCING at the southwest comer of said 1560.40 acre tract (said commencing point having plant coordinates of North 5000, East 1000); THENCE East along the south line of said 1560.40 acre,tract, a distance of 4187 feet to a point for comer; THENCE North a distance of2163.00 feet to a set 5/& inch iron rod in the east line of the Dlefins II 59.71 acre tract described in Volume 316, Page 561 of the Official Records of said county for the southwest comer of the herein described tract and the POINT OF BEGINNING, (said iron rod having plant coordinates of North 7163, East 5187); THENCE North with the east line of said Oletins II 59.71 acre tract for a distance of 2429.00 feet to a set 5/8 inch iron rod for the northwest comer of the herein described tract, (said iron rod having plant coordinates of North 9592, East 5187); THENCE East a distance of5484.00 feet to a set 5/8 inch iron rod at the northwest comer of the PEll 13 .98 acre tract described in Volume 316, Page 561 of the Official Records of said county for the northeast comer of the herein described tract, (said iron rod having plant coordinates of North 9592, East 5771); THENCE South with the west line of said PEII 13 .98 acre tract and the west line of the HDPEll 13.01 acre tract described in Volume 316, Page 561 of the Official Records of said county for a distance of 1196.00 feet to a set 5/8 iron rod in the north line of the EG 28.0793 acre tract described in Volume 74, Page 803 of the Official Records of said county for a comer of the herein described tract (said iron rod having plant coordinates of North 8396, East 5771); THENCE West along said north line of the EG 28.0793 acre tract for a distance of 9.00 feet to a set 5/8 inch iron rod at the northwest comer of said EG 28.0793 acre tract for an interior comer of the herein described tract(said iron rod having plant coordinates of North 8396, East 5762); THENCE South with the west line of said EG 28.0793 acre tract for a distance of 1233.00 feet to a set 5/8 iron rod at the southwest comer of said 28.0793 acre tract for the southeast corner of the herein described tract (said iron rod having plant coordinates ofN0l1h 7163, East 5762); THENCE West for a distance of 575.00 feet to the POINT OF BEGINNING; Containing 32.31 acres of land. Bearings are based on Fonnosa Plastics Corporation plant coordinate system. Reference is made to that plat accompanying this legal description. The above legal descriptio~ is based on an actual survey made on the ground under my supervision. Datel?ifd/~ I t,.-- N: 99.00 E; 5187.00 EAST 584.00' ~ ~~r I f- <>: o z -~- ,', ..c-: I I i i I , I :tb~~~FIN-S~.;'.c~" I ,. 'C'~'-I i ,;;; ") I d :"1t.. ;.\ I '~"~.iJ' "~f'~~*is')~;':; ," "','C,,", ~~V~~~g~5<~ j~ - 0< ~:5'<t:.~_Nf..!.O;::::i I" ~"l;::'~:~~~:~~Q~,f ALU1I1NUM COUP ANY ,-go;~18o';j"~i!ttU.;::::'--1 Of AUERICA !~~tl~~;j'~I1~'i<:~ r FO,"OSAT~LASTlCS '~ing~;:;:I';,!;:jI~Z'~:l -'=-1' CORPORATION, TEXAS I ._~,!!!,,...:j'~<@13~i5o IVOLUUE l~, PAGE 4041 ,,'I~~'i~~ITf~:"""'11 ,O~~~,~B: R~{:~,~ a ~it;fi~~ i I i :{ '-"", "I ~l :1- j I __'JU:t~ji~ "I;, J,U;:.;_, J,'~ !' "\ POB I WEST 575.00' i !~ N: 7163.00 rORUQSA PLASHes ! -.1 1,:'5;87.001 CORPORATION, TEXAS I f' ,- ,r; 'I VOlU!.lEI5,PAGE404,OR ~", ..".-;;;'.HIJ' . In 1560.40 ACRES . " 1~ ;- i:', ".';.' "i \i ".,< 32,31 ACRES T: " : I ~ Ii '"' ~il ;: /~::.; ;~~.-. '''~d ; ,:-;:}..- ~: ~~~~~gl :fACILlTl:iJ.lsO~p~g~~ AOci1:~E\;ENT -, 1 H:;\:::!;~ BANK or TAIWAN. eljloJ.. -, .1."'1_ l: ". fOR1.IOS.... PLASTICS CORPO~AII{JN..1~xAs. f:::::::::" ,. fO~t.lOSA.Pt,ASTICS CORPORA, ON,-U,S,A" ! ':' 111''1' ! ,FORMOSA1 UTll1TY-VEN1URf;. LTD. : ,.,'; <II: ...... . : I !SEPTEt.lBER20,2.'o:q2 1 !{li,\',l o t';'-:~!I~;i'1';'~1 C;~Z;~ig~~~~~t;ifff.x~~~~_(~""" l i!] :r\i ~ i i~ o :11;,".0;"'11:,- '~"SCH~01J[:E--'A~6 "1:j!l8:~QRES" II ".-"1" ~:ii';i:-~-~\;II!';I '~"'\P;.~~I.PL~~T..!tl~.~~:t1 . i :,1.,:,; ::: :I'!j -\ k~ !k'~--"-"""PjEI~,: ,-j l'i.-II:xb'~!. j U]11,:;" ,I -J "ill' I ..y..) ll.... ...,.i "",'1. ' ~ ~(~: :,.-. :':_::i ~~_..._..- .:...-:'-:-',, I~;'~"~'-:'~>.i ~~tfir:'!:: g lj 'iP~IL;11 iL: W(1.I0RANOUW or! dil'~' '. '.:, ~!l. '1 ~ !! ,i~;~::':F;~ij,:JJ~l,~~~~;ir~u!::~~;~hr~Wi;~,{;l,~:r~" H~;f ',' I . .-',' :r9R.WO$A:~l:"AS_li"C5:"'CORPOR~Tl9"Ii. u,S'.'Ai\,1 ! . 'I '_~d'"il~R~9.~,o\ .!llILlTY?V~~I:UIl~~j"'!~T-,:l;,,,!.1 I :..-',..f"'~!.-}' '!!F.'s.e,", TfJ,l~,tR '~o/iQ~~l:-l",.;;"'~\>';il' , I ,,,,,';':.d Ilr~QI:U"'["'",~l6;'I~),'1;i~l-.56~..:.-,.- -, .:. I ~::;\;;', o.rr. [1\1: llf,.lf~o~.o.S";.~~'tHDUr.I~O.,.T.X.! ; .' . .:!:!CHEQULE' ",5,,;J:l':.QI f\CRfS'" '., Ii ',J E= 5771.00 )..' .,.....HPDtuJI.,ft-.ANL t~: 'c-,--"L,,' EG l.::" t.:!; !! .!ii '::1 '}d:' f . ';11.-. ;~.':<,:,.:!.;.:: .--.~~. ,;' Ii , i"il ""If; II:; ", ,?, .,." ii !~F: ,j Ii'" :~ L' i: jl; ". :\. ','. UTILITY COGEN " ". ~ ',i "'I :1' il k' ,~,'" ',1.;;;:1 II !..' :~_I.!,:,. ':" ': ","1'1 :::.1 .".:';.1, ,~. !-!i ~;j :11 ' , I 'I, " , - ~ 'f :~,!: -r "",--'-' ':..l:',_1 (i~i' ,."i i8 ,Ii ------- "';"11[==::- Ii: gIT~-'-" ..),1' ~II:! :j i il,t.~'~ , ~I"I ~.- ~ I ~ II 5'f] 'I lI'IL i~.~Lr:,::,,!l~ ' i) I, -:~"lFi i' i I t:-~I' il:!' ; . ~ i: " if. "I "'I I"""'JI'CI,.", "I,~!,i' T' I ....1:.,' IL "-'1. j I _I I',' (;; II LJiH~ ....I :1 i; I '1_ 'II :f,__~,. ); , , i,j n:: " II'! II :" !~ i I: ii,', ' 11 . :_~.. ," ill ~: :t"";. mr I Ill' ,__,;;,,:,il' ,.:?C-; ;.:11~. "."',.,,,,/.): ')i-c- ii, ,-,;;:::~.~;.;;;;;;7':'i: -~-nir'''\: ' NAN YA PLASTICS CORPORATlON,AUERICAII. VOLUW( 74. PACE aO.}1 OffiCIAL RECORDS l,l' TRACT II I' 28.0193 ACRES :: AspF"'I! 01" l~: ~~66;.~~ ~ I~h\'" "P.': l:':':~'I.".[l-" , .,. :: T' ,_'_~ "j. r~' i .;~' .1..: ..C,._: 1 . ~f~:~FY-~~: ...." ",;..';,"1; ~.~.! :" ,"" ~ PHilLIP DIMMITT SURVEY ABSTRACT NO, 11 :! .,-,'" ''', , II- 1560.40 ACRES fORllOSAI'LASTICS eORPollHlON,TEXAS VOLllllE ,HI. PAGE ~36.0R 2~5.111 ACRES :$= FORMOSA :$= PLASTICS CORPORATION, TEXAS ;1 :1 Il :'1 ! :,,:. I:!;' 'I; ,I !I 'j: " I., i' :;; I P! !' I\j ,.:l ; ~ ' " " ',' "I" ~; ;! " " L THIS SURVEY WAS COMPLETED WITHOUT THE BENEFIT Of AN ABSTRACT OF TITLE. THERE MAY BE EASEMENTS OR OTHER MATTERS Of RECORD NOT SHOWN. EARINGS AND COORDINATES BASED ON FORMOSA PLASTICS CORPORATION EXPANSION PLANT DATUM THE ABOVE PLAT WAS PREPARED fROM AN ACTUAL SURVEY MADE ON THE GROUND UNDER MY SUPERVISION. c!1d1i~N~~tJ GANEM Po KElL Y SURVEY~NC. REGISTERED PROFESSIONAL LAND SURVEYOR TEXAS NO. 4681 ~?1fJ/~;' OAT FRACT II TRACT 32.31 ACRES ORAI'/N BY , KELLY B. CHECKED BY' G.A.G. SCALE' DATE' P.O. Box 700 PHILLIP DIIHIlH SURVEY ABSTRACT 1-I0.1l Point Comhrt, TX 77978 CALHOUN COUNTY, TEXAS ~ REViSION' I" 400' GANEM & KELLY SURVEYING, INC. Olf1712012 Ck 111 E~ST Lt~lll STREET UI.lAR STRHT, SUITE 5 SHEET NO. [01-1,01., TEXAS 1HS7 POINT C.O_I.l..r.OR.T..~T~~~: 1797B 1 OF 1 201 Formoso Orivs Poinl Comfort. TX 77976 j! ;1 " " " " , \1 i! ~ ! RESOLUTION OF THE COMMISSIONERS COURT OF CALHOUN COUNTY, TEXAS DESIGNATING FORMOSA PLASTICS CORPORATION, TEXAS REINVESTMENT ZONE NO. 12-01 WHEREAS, Formosa Plastics Corporation, Texas filed an Application with the Commissioners Court of Calhoun County, Texas for designation of a reinvestment zone on January 19,2012; and WHEREAS, pursuant to the Property Redevelopment and Tax Abatement Act (Texas Tax Code, Chapter 312) and the Guidelines and Criteria of the Commissioners Court of Calhoun County for Granting Tax Abatement in Reinvestment Zones Created in Calhoun County, (The Guidelines), the Commissioners Court published a Notice of Public Hearing on the Application of Formosa Plastics Corporation, Texas for designation of a reinvestment zone in the Port Lavaca Wave on January 14, 2012; and WHEREAS, the Commissioners Court convened in open meeting on Thursday, January 26, 2012 at 10:00 o'clock a,m" pursuant to said Notice for the purpose of conducting a Public Hearing on the Application of Formosa Plastics Corporation, Texas for designation of a reinvestment zone, during which hearing representatives of Formosa Plastics Corporation, Texas presented statements and evidence in support of its Application, and whereupon all interested persons in attendance who requested to do so, were given the opportunity to speak and present evidence for or against the designation; and WHEREAS, upon conclusion of the Public Hearing, the members of the Commissioners Court considered the evidence and upon motion and second, adopted the following resolution: 1 BE IT RESOLVED by the Commissioners Court of Calhoun County, Texas: 1. The Commissioners Court of Calhoun County, Texas makes the following findings: (a) That the improvements sought are feasible and practical; (b) The designation and improvements would be a benefit to the land to be included in the zone, and to the County after the expiration of the tax abatement agreement; (c) The area will be reasonably likely as a result of the designation to contribute to the retention or expansion of primary employment or to attract major investment in the zone that would be a benefit to the property and that would contribute to the economic development ofthe County; (d) The Commissioners Court further finds that the entire 32.31 acre (more or less) tract of land is located entirely in an unincorporated area of Calhoun County, Texas; 2. Based upon its findings, the Commissioners Court of Calhoun County, Texas concludes that Formosa Plastics Corporation, Texas' Application for Designation of Reinvestment Zone dated January 19, 2012 should be and is hereby approved, 3, A metes and bounds description of the Reinvestment Zone is contained in Exhibit "I," is attached hereto, incorporated by reference and made a part hereof for any and all purposes, Also attached to this Resolution is a plat indicating the boundaries and location of the Reinvestment Zone, The plat is marked Exhibit "2," incorporated by reference and made 2 a part hereof for any and all purposes, 4, The Reinvestment Zone is hereby designated as eligible for tax abatement, subject to approval of any application for tax abatement by the Commissioners Court, 5, The tract ofland containing 32.31 acres (more or less) is hereby designated as Formosa Plastics Corporation, Texas Reinvestment Zone 12-01 and is eligible for tax abatement. 6, This designation of a reinvestment zone shall expire five years from the date ofthis resolution, PASSED, ADOPTED AND APPROVED, on this 26th day of January, 2012, COMMISSIONERS COURT OF CALHOUN COUNTY, TEXAS M~ge ATTEST: ANITA FRICKE CALHOUN COUNTY CLERIC By: a~di~ , Deputy- 3 l'OllMOSA I'LASTlCS COlU'OHA'rION, TEXAS IIMCT 11 TRACT 32.l1 ACRES TlmSTNI'E OI'Tlo::XAS THE COUNTY 011 CALHOUN HF.lNG n 32.31 fl~l'(:. H'flct or lund situated in tho Phlllip Dimmil S\lf\'I.:'Y, Abstmct No. II, Cnlho\Hl County, Texas. aud bcinp. II pOliioll of 1hnt cminin tract of land described os 1560/10 ncres in dced dated Felllullfj' 12, 198~ from Aluminum Compllny of America to Formosa Plllsti(;.<S Corporation, TeX118 aud recorded ill Volume IS, PlIgo '101\ of lho Officinll~ec{}rds of Clllho\lu Counly, TCrms, fllld this )2,31 ilc,rc Irocl beillg mOr(J pllrliclllllrl)' dosoribed by molo.o.; and hound... as follow$:: COMMENCING lit tho snuUI\.vcst corner of said 1560.40 (lore {filet (~nid cOnllTlencing polm huving ph\JIt coordiualC!{ ofNorlh ,'iOOO. East IOOO)j TITRNCE E~sl flJ01Ig Ihl\ sOlnh fino of Mill 1560.40 nere ,tract, n disllluce of 11187 feot to n point [or comer; . 1'JTF.NClr. North 11 distanco or 21 6J.OO feel to It set SI8 inch troll rod in the Cftst line. offhe Oloiills 11 59.71Mro tmet dC5<lrlucd In VolullIe 3 t6, ?!lgC 56 t of Ihe Official Records of said county for 1he southwest cOllier Qf (he homln dtl5cribe-lllracl tlud the POINT OF nEGlNNING, (snid iron I'Od having plout conrdinMc.sQfNorlh 7163, Bnst 5187); TJJENCTi~ North with tho onst line of said OIofins n 59.71 acre Imet for II dishuiCO of 21129.00 fecI to It set 5/8 inch iron rod fot' thollorthwest \,:on\er of Iht.\ hcrl;lin (Ic~cribcd tmct, (sllid iroll rod having plaut coordillutes ufN0I1h 9592, I1mlt 5187); TflliNCI!; ~flst 0 dii>lmmC (I[ 5484.00 feet to n so( 5/& inch iron rod Itt the lIorlhWcsl comer of the PEll 1:1.98 nCI'e trGct described in Volumo :1 Hi, PlIgc 561 of the Offioiol Records o{' ~nid connty for the 1I011hullSI como!" of Ihe herein duscrihcd (mel, (~llid il"OIl fOtl having plnul COQtdtllflh.'...1l of North 1)592, Ensl 5771); THENCI1: South with the wcstHllo of Mid PBlI13.911 aCN IraN nnd the \'I6sllinc of the HDPEll 13,01 acr~ tmct described ill Volume 316, .Pago 561 or Iha Official Re~ords of snit! courtly Ji:)r n distllncc of 1196.00 ft'l~l to n set 5/8 tron rod ill the north linl,l of thc EO 28.0793 ftctr, IfIlOI d~1icribed in Vohill\l.l 74, Puge 803 of the Offll~i(ll Records ("Ir sald county for (t corner of thl} herein dOl'ierihcd truel (,'lard irOll rod hnvi1l8 plll1\1 t;~lllfdjn;'ltc:s of Nnrlh 8396, EllSl 5771); TIlRNC": West Hlon~ said norlh liIlO of the EO 28.079J Il.cre Irllcl for II dilllonM fir 9.00 fcct 10 U :\et 5/8 indl iron rull at (he northwest ~:omcr of f;nid BG 28.0793 acre tract for nn interim comer or the herein doscrlhed Imcf(said iron rod h!1ving plllnt coordillflt8s of Nm1h 8396, Eust 57()2); 'rlmNCE Smith with tile \'i'eslline of soid no 2fL07~J ft~n) 1n\~:1 for n dh;lnnce of 1233.00 fC()t to u $~lt 5/8 iron w<lal the sOlllhw\'ISI cornel. ofsoid 28,0793 hcre truGt fur the ilotl{htl,I~1 conwr of the h(H'ein i1et:cribed Imet (said irOil rod hnvin~ plnnl coordinllles of North 716), E(lst 5762); TJflo~NC~ Wl}!':l for n distance of 515.00 IcetlO the POINT OF BEGINNING; Containing 32.3l ucres nflnnd. Huarlngs arc bused 011 l'ormmHl P[nntic.:i COfporntion phlfil coordUHHu S.y:Jt<;'II\' Rcfol'(;UCO i:,> llIntlo 10 Ihat plat ficcompnnyil1g this legal descrlplion. The ahove logal description is bused on an uewnl survey mEldt~ on Ihe groUJid HIlder my supervision. ~h'd r!f!' ~_ GnnK~clIY ~uht~ 13y: Ge.orge 1\. Gallem, Jr. Registered Professional Land Surveyor '1'0'.' No, '168 I D"ICt?~&4/~ ~ : t;: -N,-i '" -, (l. :r: !-- '" o z , I d~EFINS II " " .', ,. ,i ", >ti~ . 'fj' t!. ~'~~'i~< ~.~~',' ~~~:;,e!H!iq,,~ . . .O.!i\l''''l~ '-'rl.....Z;-~ ,~c.~l~,~:~it3ait '~::;~:3o 1~1...!~,d. . ;clt';!.iit>U.~ ~'~.~ \fI," . r,,~t,-<~I.>J'l~ r;J-~i..,~ :lII o>-.e:-t;!...",-.J.o-".. '''"".11>1.. g"')=>" ::l'~~I"""~i.. d1i!po '""'~il"'~ ~ ''''', R",:<IL~ ,~....~\,,{' ;'~I'I1I~O" '-~"'_ .. ..i~{-I'i~ "'~ :;, '.'. UTILITY GOGEN , ,. if;' '. ,) ", I', ,; ., .1,; ,r , i L , "I' 7IijJ.QD j (;. fllll~OO IBM EDC !: i.....liE5.T1ToT.~ TO lilt SIf CORllmOf HIt '>G'." ,l,(Il(1flACJ:II"VlIJ(; . ,', rpCI'L.',1I1 GOOIJ(llllAT[;; . ~_ 1I')O(jO. f'IOIHl _ rO~IJ\)SA PL~;;l1f~ COllrOAAlJ(oll, J[~A~ ~!ll"'U( JI1, rACE .H.fj~ H~,II1AtRn 1'''Ji!iUl; [.sm7.IlQ ^'.il 5tH.GO' 02.:>1 ACRES o '0 , ' \1 ~ N ;"- ' : "t '~_t:t~ i ~ "lUIJU/lIlt COIlPiltlY 1:<" Of AU(fIlU. 10 ! I ranUDSA l'IA~r'C5 I' CORPQILHIOII. fO/,S' 'IVOUllH IS.I'Mlf lOll I OfrlCIAl f/fCOlltlS 'I' f(lllt\lJoflY h, 196& !: 1~60.~O lC~(S ~ " !i f:i ! 'I I, i' " ~ '31 ~ 5. fMt\lIl$AI'l.^HICS COIWO/lAfll1lt. TO!AS VQWI,l( 11.J'Mt 'OI,OJ!' 1~4o<HI AW(S ", i' 1 I' .1 I I 0' ~I ". ~t " ,1:'1' ';', .',l'llt ". , 2,. UCU(lIl'AUOUUGI'l...,. . I';;,;,:': .:\Hl,OO LAClllllC'i 'iVppalH ^t~cUlnlT" , J';: " l' OMII\' {JJ' TAIWAll. ~lil'OJ.; ~ Hll'; '; fOPUOSA PlA'ill~'i CI.uI.PO~^ IQ", HXli'i. :'.' l' '; (olluasA f'l..MiIICS, COnpORA. ON.:O.:1,A" II'!,';'>I I ,FP/lUOS~Il.lnUry V(/Il(/ C. tlO, ',' .' "1' " 's~JlIUIOCII 211,2'O'Q? l; .. _ .,e ";"~ 'VOl.lltlC,JI6J'Mlf11t'lh, , ..1. ,- .. j , 'II . " OrnC1Al'If/(trtrD9;' ',. I !:~I;J a' H.',' I' ,,'J)_,CA.f\llI:UI\~~Q:"I(X'(L, ,'I", 9 1 .,h-, " 'I; ~5Cl1rOLll(. '~\c., 1MII' a1m(fl. t' , II :l:lj' - _I ':",l'IJ"IIPl,l,lI("'j'. If. "'1' 'I' ':'11>'" "'PE(I',!' ,( iii, . ) ii . \.. :", 'i. .'.~V-,\ . ~ <'p: <: . '" .,," . , Wi. 01" PII.(!:. ll(ll.o-IlArllllJ~ Qf! ,:L. ....,t! VI " ,:!1~IUII.C~"S..uI'''OIl' :~G~(~lJUI)t~_:",(, I.,.. 'C>' .11i,'ll.IJ*,.(If t,Al\Uij; ~1'lq,. ,:. .1 ...." , 1,.;1' ..r.(l.fllja:;"~l'lA'S\JCS:~CQR.P.l}RAn. f" 1C~ASI >;, <'(9111Jl)S~, P.t"~1 CS~"CORPQ.q~fl9fi. lP~A1lf,; ':',:~'7:,'~"',",,"" , 1>";';rOnlI9$,o\'\HJlITY,.'~tNr.u.RtI,[t'nl:'! :'''',. .n.... , l~:i ~~ 11 {:$.CP.t~HlI~fl: I O}.';fp~~_l:I. ):".; i 1';':1 ,~;:,,;',tlJ' i~(!J~k~~I~n~~~~~,I~~fJ61fi~#D,:'I~,'~1 (I, I. iT1J"JID ',IS(:II(bJju:n\.~,.fJIl)1 ~l:~(S' " 'I if,. Eo f1171.00 !., , 'I1PO~"lI:lf~"'11l I" ..' h" j' " " wes! !I.OLl' ,! I. ;~ iii' 'I' , I. 'I' J i , , j,' '. ,f. I; /, GG r 5 o w llMl 'fA I'lAH\tS :C(!A:(>Oil1>.1I01l,AII(R1C"l 1 Vl~~fi~':I\~~~~lI~!I): JIlACIJJ ?1I.tl1~~ AC/I(S "I' :! " .11: ,Ii '. ,hi; 'IiI:' !;I IrI !; r; I: ,"';;i '" ^SP; i.' "', , ,. ~;.QLl!..2.Q 'r , " .l", "1 ,.,,~- PHILLIP DIMMITT SURVEY ABSTRACT NO 11 ". ~I, gi:; ,I: Ii, i,i 1: Ii' Ii: ji I j i 1~60.H) ...cnn $: FORMOSA PLASTICS CORPORMION, :$ TeXAS 111.1$ :;IIUV!.:Y WM" COMPI run WHHOlJT fllt" {>f.IlHIT 01 All ^(I$iRACI \)1' nru rtlCIl( MAY Be U,$O.lr:IHS on Olllfn Wlllefls.. or RI,t:OIW Nor SUOWN. )f.MIJt1CS "'Ill COOfllHtll\TU. UMiCO Oti J Ulmus., I'L',~II(;';i CfIII.PORAnot! f"f'.\II~ION' PI ^,Jl OMW,I fill': AOO...r: PLAT VIM f'!l(I'Atlfl1 nW~1 >VI ACTVi\I. ~ulwn ll^PE <* THI: GflOll~1O lll-lDEA IfY ~lJj'>rRVI;';ll~n 12/4.a/~ fMJr f'RACT lJ TRACT 32.31 AGRES f'tlf.!\OU,~",'g:?,"I~"~IB16 1'..;", (1~'2J,,~1: "'A,OO 17')16 l'lIlUII> ~~l\\~~I?,!lbYl\lh~IVi1J~AsCI U(t II 01''\\11/ i'lY , ItHU' O. HAl r. I"'. '(HI' 1)- -0,^.li~.M & 1~r:!ii~~~U_RV-EY~~ INc'-J:r,';tS'IIHI. l':Uf(;IlUl 01 r.....(;. tJAJ(' q'/n{2I,l1~ .'\ (!< :, UL Ih~l '1M" HI/({l UJ,lo\.ll 1UHI, ~Ol1l" W(n'lo~ ~';'-:-:;; ~';~';:':--;.~-" n:..:~:;;::_-:-_-;:;_ ~-~---;--'- ~ r rblf_~: .If:X:'~~ .'J.~.l1 NlIlI c~.U.r.?9.1:.I~~~.' lHlII i Cl APPLICATION FOR TAX ABATEMENT AGREEMENT WITH FORMOSA PLASTICS CORPORATION, TEXAS: Anne Marie Odefey explained to the Commissioners Court the Application for Tax Abatement Agreement with Formosa Plastics Corporation that in adopting the agreement if the Commissioners Court want to vary from the guidelines they can grant outside of the guidelines up to 10 years at 100% evaluation, this is a minimum of a 150 million dollar project with creation of 20 permanent jobs which all follow under the requirements of tax abateme,nt. It was made clear by Commissioner Finster that they would offer 100% tax abatement for B years in the event that Formosa Plastics build a covered multipurpose arena at the Calhoun County Fairgrounds within 2 year period, Mr. Wu expresses his appreciation to Commissioners Court for their support, A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to approve application for the Tax Abatement Agreement with Formosa Plastics, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, AGENDA ITEMS FOR JANUARY 26th MEETING /7 3, Discuss and take action on Application for Tax Abatement Agreement with Formosa Plastics Corporation, Texas. TAX ABATEMENT AGREEMENT between CALHOUN COUNTY, TEXAS and FORMOSA PLASTICS CORPORATION, TEXAS ($150,000,000.00) JANUARY 26, 2012 EFFECTIVE JANUARY 1, 2012 RESOLUTION APPROVING TAX ABATEMENT AGREEMENT WHEREAS, on January 26, 2012, Formosa Plastics Corporation, Texas (hereafter "Formosa") obtained designation of Formosa Plastics Corporation, Texas Reinvestment Zone 12-01, consisting of certain properties situated in an unincorporated area of Calhoun County, Texas; and WHEREAS, by Application dated January 19, 2012 Formosa applied for a Tax Abatement Agreement for its Hydrocarbon Fractionation project valued at $150,000,000,00 that will be located in the unincorporated area of Calhoun County in the Formosa Plastics Corporation, Texas Reinvestment Zone 12-01; and WHEREAS, prior to adopting this Resolution, the Commissioners Court of Calhoun County, Texas held a public hearing on January 26,2012, at which interested persons were permitted to speak and present written material for or against the approval of the Tax Abatement Agreement sought by Formosa; and WHEREAS, the Commissioners Court of Calhoun County, Texas, after notice as required by law, has in open meeting discussed the issue of whether to enter into a Tax Abatement Agreement with Formosa, and being ofthe opinion that the Application for Tax Abatement Agreement by Formosa for its expansion should be approved, the Commissioners Court, upon motion and second, adopts the following resolutions: BE IT RESOLVED: ii 1. That the Commissioners Court of Calhoun County, Texas hereby finds that the terms ofthe proposed Tax Abatement Agreement for Formosa Plastics Corporation, Texas' expansion and the property subject to the Agreement satisfy eligibility criteria and other requirements of the Guidelines and Criteria for Tax Abatement heretofore adopted by the Commissioners Court on June 23, 2011. 2, The Commissioners Court of Calhoun County, Texas finds that there will be no substantial adverse effect on the provision ofthe County's services or tax base, 3, The Commissioners Court of Calhoun County, Texas finds that due to the substantial amount ofthe expenditures and jobs to be created by this proj ect, Formosa should be granted a variance from the guidelines as to the percentage and number of years of abatement. 4, The Commissioners Court of Calhoun County, Texas reaffirms Formosa's Application for Tax Abatement Agreement dated January 19,2012, and approves the Tax Abatement dated January 26, 2012, subject to the following terms, covenants and conditions contained in the attached Tax Abatement Agreement. 5, Based upon the foregoing findings, the Commissioners Court of Calhoun County, Texas hereby approves and authorizes the execution of the Tax Abatement Agreement between the Commissioners Court of Calhoun County, Texas and Formosa a copy of which is attached to this Resolution, incorporated by reference, and made a part hereof for any and all purposes, iii for and PASSED, ADOPTED AND APPROVED, by a vote of on this the 26th day of Janumy, 2012, ATTEST: Anita Fricke, County Clerk By: , Deputy COMMISSIONERS COURT OF CALHOUN COUNTY, TEXAS By: Michael J. Pfeifer, County Judge iv against TAX ABATEMENT AGREEMENT THESTATEOFTEXAS ~ ~ COUNTY OF CALHOUN ~ KNOW ALL MEN BY THESE PRESENTS: THIS AGREEMENT (hereinafter Agreement) is between Calhoun County, Texas, (hereinafter County), a political subdivision ofthe State of Texas, acting by and through its duly elected Commissioners Court (hereinafter Commissioners), and Formosa Plastics Corporation, Texas, a Delaware Corporation, with a certificate of authority to do business in Texas, with a place of business in Calhoun County, Texas (hereinafter "Formosa"), 1. Application/Specific Improvements Required, Formosa has filed with the County an Application for Tax Abatement. The Application was dated January 19, 2012, A copy of the Application is attached hereto, marked Exhibit "1," and made a part hereoffor any and all purposes, 1,1 Specific Improvements Required, The County hereby approves the Application for Tax Abatement Agreement expressly upon the condition that Formosa will make the specific improvements described in its Application, All of the proposed eligible improvements are to be located in the Formosa Plastics Corporation, Texas Reinvestment Zone No, 12-01. 1.2 Agreement Governed bv Guidelines, Unless otherwise stated, this Agreement for Tax Abatement is made and entered into pursuant to and is governed by the Guidelines and Criteria of the Commissioners Court of Calhoun County, Texas for Granting Tax 1 Abatement in Reinvestment Zones created in Calhoun County, Texas adopted June 23, 2011 (hereinafter "Guidelines") except as varied by the specific provisions ofthis Agreement and by the Commissioners' enabling resolution, The Guidelines are hereby incorporated by reference and made a part hereof for any and all purposes, Subject to any variances contained in this Agreement, the 2011 Guidelines govern this Agreement. This Agreement is fUliher subject to the following terms, covenants and conditions, 1,3 Property EIie:ible for Tax Abatement. The County agrees to exempt from taxation the percentages of value ofthe real property in each year covered by this Agreement only to the extent its value for that year exceeds its value for the year in which this Agreement is executed, The County also agrees to exempt the value of eligible tangible personal property described in the Application located on real property in the Reinvestment Zone in each year covered by this Agreement other than tangible personal property that was located in the Reinvestment Zone at any time before the execution ofthis Agreement with the County, This provision shall not affect the eligibility for tax abatement of other improvements in the Reinvestment Zone as authorized by any prior Agreements with the County, Tangible personal property that is not eligible for abatement is described in Section 2(f) of the Guidelines and Criteria, 2, Kind, Number and Location ofImprovements, The kind, number and location of all proposed improvements ofthe property subject to this Agreement are as contained in the Application, (See Exhibit "1") 2 3, Inspection of Premises, Formosa hereby expressly agrees to provide access to and authorize inspection of its property by County officials, employees, andlor their designees to insure that the improvements described in the Application are made according to the specifications and conditions stated in the Application and this Agreement, and that Formosa is complying with the Agreement. 4, Limitation of Use, Formosa shall not make any use of the property that is inconsistent with the general purpose of encouraging development or redevelopment of the Reinvestment Zone during the period that the property tax exemptions are in effect. 5, Right of Recapture, The County shall be entitled to recapture all property tax revenue lost as a result of this Agreement, if Formosa fails to make the improvements as provided by this Agreement, and the Application attached hereto, or in the event of other specified defaults, after notice and failure to cure, all as more particularly provided in paragraph 12 of this Agreement. 6, Cost ofProiectlNumber of Jobs, The estimated cost of the project as described in the Application is $150,000,000,00, It is estimated that 20 permanent jobs will be created as a result of the new or expanded facilities, Substantial compliance with these estimates will be acceptable, Substantial compliance means within 90% of any authorized estimate, 7, Percent of Exemptiou. Pursuant to the resolution approving this agreement, Formosa is granted a variance from the County's guidelines as to the percent and number of 3 years of the abatement. As such, the percent of exemption to be abated for each year of the abatement period is as follows: Date % of Exemption January 1,2012 through December 31, 2012 90% January 1,2013 through December 31, 2013 90% January 1, 2014 through December 31, 2014 90% January 1, 2015 through December 31, 2015 90% January 1,2016 through December 31, 2016 85% January 1, 2017 through December 31, 2017 75% January 1,2018 through December 31, 2018 70% 7,1. Base year Value, On January 1, 2012, the base year value of land and improvement will be determined by the Calhoun County Appraisal District at a future date, 7.2, Limitation on Amount of Abatement. lfthe value of an existing facility will be deleted or diminished as a result of the project, the eligible value of the project to be abated will be limited to the difference between the cost ofthe project and the appraised value of the existing facility that is to be deleted or reduced as a result of the project. 4 years of the abatement. As such, the percent of exemption to be abated for each year of the abatement period is as follows: Date % of Exemption January 1,2012 through December 31, 2012 90% January 1, 2013 through December 31, 2013 90% January 1, 2014 through December 31, 2014 90% January 1, 2015 through December 31, 2015 90% January 1,2016 through December 31,2016 85% January 1,2017 through December 31, 2017 75% January 1,2018 through December 31, 2018 75% 7,1. Base year Value, On January 1, 2012, the base year value of land and improvement will be determined by the Calhoun County Appraisal District at a future date, 7,2. Limitation on Amount of Abatement. If the value of an existing facility will be deleted or diminished as a result ofthe project, the eligible value of the project to be abated will be limited to the difference between the cost of the project and the appraised value of the existing facility that is to be deleted or reduced as a result ofthe project. 4 years ofthe abatement. As such, the percent of exemption to be abated for each year of the abatement period is as follows: Date % of Exemption January 1,2012 through December 31, 2012 85% January 1,2013 through December 31, 2013 90% January 1,2014 through December 31, 2014 90% January 1,2015 through December 31, 2015 90% January 1, 2016 through December 31,2016 90% January 1,2017 through December 31, 2017 85% January 1, 2018 through December 31, 2018 80% 7,1. Base year Value, On January 1, 2012, the base year value of land and improvement will be determined by the Calhoun County Appraisal District at a future date, 7.2, Limitation on Amount of Abatement. If the value of an existing facility will be deleted or diminished as a result of the project, the eligible value ofthe project to be abated will be limited to the difference between the cost ofthe project and the appraised value of the existing facility that is to be deleted or reduced as a result of the project. 4 8, Duration, The duration ofthe abatement term shall be seven years commencing within the tax year 2012, through the tax year 2018, inclusive, 8,1, Abatement Subiect to Rights of Holders of Outstanding Bonds, Pursuant to TEx,TAX CODE 9312,204(a), the abatement and exemption of taxes provided in this Agreement is subject to the rights of holders of outstanding bonds of the County, 9, Reduction for Closure. Curtailment etc. of Existing Facilities, If, after the effective date of this Tax Abatement Agreement and during the term ofthe abatement period, Formosa should close, cease production, or demolish any or all ofa facility in Calhoun County that was in existence on the effective date of this Tax Abatement Agreement, or take any other similar action that would have the effect of reducing or deleting the value of the facility, or portion thereof from the tax rolls that was in existence on the effective date of this Tax Abatement Agreement, regardless of the reason, then for the remaining term ofthe Tax Abatement Agreement, the eligible value for abatement allowed in this Tax Abatement Agreement shall be reduced by the amount of existing property value owned by the Taxpayer that is reduced or deleted from the tax roll. Depreciation, agreed to by the Chief Appraiser, or Appraisal Review Board, shall not be construed as a reduction or deletion of value for purposes of this limitation, 10, Commencement and Termination Dates, The effective date of this Tax Abatement Agreement shall be January 1,2012, The abatement granted in this Agreement shall apply to all eligible improvements described in the Application (Exhibit "1") and placed 5 in the Reinvestment Zone after the effective date, Taxes will be abated on eligible property for seven consecutive tax years commencing January 1,2012, Property otherwise eligible for tax abatement under this Agreement shall be eligible for abatement only if the property is placed or constructed in the Reinvestment Zone after the effective date of this Agreement, but on or before December 31, 2018, 11. Description of ProiectlEconomic Life, The facilities designated in the Application are part of Formosa's chemical manufacturing process at its Calhoun County Plant and specifically are identified as shown in Exhibit "1" with an economic life of at least 20 years after completion, The nature ofthe construction is more completely described in the Application, Any part of the improvements described in the Application constructed prior to the effective date of this Agreement shall not be eligible for abatement, but may be counted in determining the value of the project, Completion of construction is estimated to occur in 2014, A complete property description is contained in the Application, 12, Default, Notice, Cure, Termination, etc. Should the County determine that Formosa is in default in the performance of any of the terms or conditions of this Agreement, the County shall notify Formosa in writing at the address stated in this Agreement, and if such default is not cured within 60 days from the date of written notice, or within an approved extended curative time as authorized by paragraph 7(a) of the County's Guidelines, this Agreement may be terminated by the Commissioners for cause, 6 12,1. Events of Default. The following shall be considered events of default, should Formosa: 12.1.1. Allow any of its ad valorem taxes owed to the County to become delinquent without timely and proper protest and/or contest; or 12,1,2, Violate any of the terms and conditions of this or any other Abatement Agreement with the County or with any other taxing jurisdiction that has granted Formosa tax abatement for any project that the County has also granted tax abatement; or 12,1.3, Discontinue producing the product or service described in the Application for any reason excepting fire, explosion or other casualty or accident or natural disaster for a period of one year during the abatement period after the facility is completed and begins producing the product or service; or 12,1.4, Violate any written term, covenant, condition, agreement, or promise of gift or donation made by Formosa to the County, although such may be extraneous to this Agreement, and even though same may be otherwise unenforceable; or 12,1,5, Make any material misrepresentation, or omit any material fact either in the Application or in this Tax Abatement Agreement. (Material Misrepresentation or omission of a material fact means a false 7 statement or omission about a material matter which induced the Commissioners Court to take any specific action on the Application for Tax Abatement, and without such misrepresentation, the Commissioners would not have granted this Tax Abatement Agreement, or would have taken some action different than they actually did,) 12,2, Termination Retroactive, Termination of the Tax Abatement Agreement for cause shall be retroactive to the effective date of this Agreement. Termination shall be effected by resolution ofthe Commissioners and written notice of termination shall be mailed to Formosa, 12,3, Nonwaiver, In the event the County fails to act on or enforce any element or breach that is identified as a default, such failure to act shall not be a waiver ofthe County's right to subsequently enforce the same default or any other prior or subsequent default. 12.4, Recapture of Taxes, On termination for cause, Formosa shall then become liable for the payment of all taxes that would have otherwise become due but for this Abatement Agreement for all calendar years during which the Abatement Agreement was in effect. Such taxes shall be paid to the Calhoun County Appraisal District to the credit ofthe County within 60 days from the date of receipt of notice oftermination, All such taxes shall include statutory penalty and interest from the date they would otherwise have become delinquent, as if they had not been abated, until the date they are actually paid, 8 12,5, Administration and Enforcement. The administration and enforcement of this Agreement shall be in accordance with the terms contained herein and the Guidelines as adopted by the Commissioners on June 23, 2011. In the event of any conflict in the terms of this Agreement and the Guidelines adopted by the Commissioners, the provisions of this Agreement shall prevail, unless prohibited by law, then the Guidelines adopted by the Commissioners and their provisions shall prevail. 12,6, Assignment. This Agreement may not be assigned, either in whole or part, without the express written consent of County, Any assignment is subject to the conditions contained in the Guidelines and this Agreement. Any attempt to assign this Agreement, except as provided herein, shall be null and void, 13, Tvpe of Legal Entity, Formosa represents to the County that it is a corporation, duly organized, validly existing, incorporated under the laws ofthe State of Delaware, and in good standing, Formosa further represents it is duly qualified and in good standing under the laws of the State of Texas and has all requisite power and authority to own and operate properties and to carryon its business as now being or intended to be conducted. The name and address of the registered agent for service in Texas is: C, T, Corporation System 811 Dallas Avenue, Suite 1500 Houston, Texas 77002 Formosa shall notifY the County within 60 days of any change in the registered agent or status of the corporation, 9 14, Notices, Any notices required to be given hereunder, shall be given in writing as follows: (a) County: County Judge Calhoun County Courthouse 211 S, Ann Port Lavaca, Texas 77979 (b) Formosa Plastics Corporation, Texas: Jack Wu, Agent and Attorney in Fact Formosa Plastics Corporation, Texas P, 0, Box 700 Point Comfort, Texas 77978 15, Reimbursement for Fees and Expenses, Within 30 days from receipt of written notice, Formosa will reimburse the County for any expenses, directly or indirectly incurred by the County for processing and approving the Application for Tax Abatement, preparation and presentation of this Tax Abatement Agreement, and any other expenses reasonably incurred by the County in any way related thereto, including all expenses that may be incurred in enforcing or defending any term, covenant or condition contained in this Agreement. In the event the County orders a feasibility study of the impact of the Hydrocarbon Fractionation project on the County during the term of this Agreement, Formosa shall reimburse the County in accordance with the reimbursement procedure for the other expenses listed above, 16, Indemnity, Formosa hereby agrees to holdhmmless and indernnifYthe County, each of its elected officials, all of its servants, agents and employees, and any designee (a 10 person or legal entity designated to perform any function required under the County's Guidelines, or under the Tax Abatement Application, or by the terms ofthis Tax Abatement Agreement) and the Calhoun County Appraisal District, its officers, directors, servants, agents and employees for the amounts of any and all liabilities, claims, costs, judgments, penalties, interest, court costs and attorney fees incurred by the County, each of its elected officials, all of its servants, agents and employees, or any designee, and the Calhoun County Appraisal District, its officers, directors, servants, agents and employees in defense of any claims occurring out of or in any way incident to processing the Application, or any other claim arising out of or incident to the terms, covenants and conditions contained in this Tax Abatement Agreement, or arising out of or in connection with the Reinvestment Zone, or the project subject to abatement. 17, Incontestability, At the option of the County, this Agreement may be terminated, and all taxes that would have otherwise been due but for this Abatement Agreement will become due and payable within 60 days from date of written notice ofthe amounts due and owing, including penalty and interest as provided in paragraph 12.4 of this Agreement if any of the following events occur: (a) If Formosa should contest any term, covenant or condition contained in this Agreement, or attempt to prevent or negate the enforceability of any of such terms, covenants or conditions; 01' 11 (b) If any third party, firm, corporation or other legal entity should contest any term, covenant or condition contained in this Agreement, and prevent or negate the enforceability of any of such terms, covenants or conditions by final judgment in a court of competent jurisdiction; or (c) If any governmental agency should contest any term, covenant or condition contained in this Agreement, and either by enforceable regulatory order, or by final judgment of a court of competent jurisdiction prevent or negate the enforceability of any of such terms, covenants or conditions, 18, Assurances and Special Conditions, The County and Formosa agree that the following assurances, promises and conditions are made by Formosa expressly to induce the County to grant this Tax Abatement Agreement and that without such assurances, promises and conditions the County would not have granted this Tax Abatement Agreement. Formosa hereby expressly makes and agrees to be bound by the following representations, assurances, promises and conditions: 18.1. Accuracv of Information, That all information contained in Formosa's Application and furnished to the County for incorporation in this Tax Abatement Agreement is true, complete and correct. 18,2, Authority to Sign, That the person who signed the Application for Tax Abatement Agreement on behalf of Formosa has unrestricted authority to execute the Application, to execute this contract document on behalf of Formosa, and to obligate 12 Formosa to all the terms, covenants and conditions contained in this Tax Abatement Agreement. By acceptance of any of the benefits provided hereunder, Formosa has authorized and ratified the execution and delivery ofthis Agreement and represents that it is enforceable against Formosa in accordance with the terms ofthis Agreement. IS,3, Commencement of Construction, Other than preliminary matters, that construction will not commence on any of the eligible improvements until after this Tax Abatement Agreement is executed by the County, IS.4, Permits, That the project described in the Application, and this Tax Abatement Agreement will not be constructed without first obtaining all necessary local, state and federal environmental and construction permits, and that Formosa will abide by all conditions of the permits, laws and ordinances, rules and regulations governing the construction and operation of the project throughout its economic life, IS,S, All Conditions to be Performed. That Formosa will abide by all conditions of this Tax Abatement Agreement and the Guidelines adopted by the Commissioners applicable to this Agreement. IS,6, Public Health and Safety, That the planned use of the property will not constitute a hazard to public health or safety throughout the economic life of the project. IS,7, Required to Make Specific Improvements, That Formosa will make the specific improvements to the property as described in its Application. (See Exhibit "I") 13 18,8, Estimates/Strict Compliance, Estimates of the cost and value of the project and the number of jobs retained or created as a result of the project that are within 90% of actual cost, value and number of jobs may be construed to be substantial compliance, Unless estimates are expressly authorized, strict compliance is required, 19, Information to Determine Compliance, Formosa covenants and agrees to provide within a reasonable time, not to exceed 30 days after written request, such information as may be required by the County or its designee, in order to determine compliance on Formosa's part ofthe terms ofthis Tax Abatement Agreement. 20, Value ofProiect After Abatement. Formosa contracts and agrees the estimated value of the eligible property that is being abated will be at least $150,000,000,00 at the end of the term of abatement on January 1,2019, 21. Contract Terms and Conditions Survive Abatement Period, Unless sooner terminated under other provisions hereunder, all other rights, duties and obligations contained in this Agreement shall continue in full force and effect until all taxes levied in each ofthe seven years in which an exemption applied under this Agreement are fully paid by Formosa, and all other covenants and conditions have been fulfilled, Provided, however, that no extension of the abatement period shall occur as a result of this Agreement beyond the 2018 tax year, it being the intent of the parties that seven years is the limit of abatement granted, 22, Miscellaneous. The following additional provisions are included and are made express conditions of this Tax Abatement Agreement in order to carry out the intent and 14 purposes ofthe County's Guidelines, or to address any special problems or needs arising out of the uniqueness of the project, the Application, or Formosa: 22,1. Agreement Survives Reinvestment Zone, It is specifically understood and agreed that the designation of the Reinvestment Zone in which the eligible property described in this Tax Abatement Agreement is located is valid for a period of five years from January 26,2012, unless subsequently extended, The fact that the designation of the Reinvestment Zone may expire before this Agreement terminates shall not effect the terms and conditions of this Agreement. 22,2, Pavment of Taxes, During the term ofthis Agreement, Formosa's taxes shall be payable as follows: 22.2,1. The value of any ineligible property as described in Section 2(g) of the County's Guidelines adopted on June 23, 2011 shall be fully taxable, 22,2.2, The base year value of existing property not otherwise eligible for tax abatement as determined each year shall be fully taxable; and 22,2,3, The additional value of new eligible property in the Reinvestment Zone shall be taxable subject to the exemptions provided in paragraph 7 above, 22,3, Conflicts of Law, This Agreement shall be governed by and construed in accordance with the laws of the State of Texas, without regard to its conflicts oflaws rule, 22.4, Severability, At the option of the County, the invalidity of anyone or more covenants, phrases, clauses, sentences, paragraphs or sections of this Agreement shall not 15 affect the remaining portions of this Agreement or any part hereof, and in case of any such invalidity, this Agreement may be construed as if such invalid covenants, phrases, clauses, sentences, paragraphs or sections were not included, 22,5, Subtitles, The use of subtitles in this Agreement is strictly for convenience, and shall have no legal significance whatsoever, The use of the singular shall include the plural when appropriate, The use of any reference to gender shall include any and all other genders when appropriate. 22,6, Place of Performance, This Agreement, in its entirety, shall be performable in Calhoun County, Texas, As part ofthe consideration for entering into this Agreement, both County and Formosa agree that any litigation to construe or enforce the terms and conditions of this Agreement shall be brought in the State Courts of Calhoun County, Texas, 22,7, Acceptance bv Formosa, By acceptance of this Agreement andlor any benefits conferred hereunder, Formosa represents that its undersigned agent has complete and unrestricted authority to enter into this Tax Abatement Agreement and to obligate and bind Formosa to all of the terms, covenants and conditions contained in this Agreement. Formosa agrees to be bound by all assurances and commitments contained in the Application dated January 19, 2012, the Guidelines and Criteria as applicable, and the specific tellis, covenants and conditions contained in this Tax Abatement Agreement. 22,S, Approval bv Commissioners, This Agreement, in its entirety, including authority to execute it in this form, has been approved by the Commissioners, in a regular 16 meeting of the Commissioners, after due notice as required by law, and pursuant to Resolution duly adopted by the Commissioners by at least a three-fourths vote of the entire Commissioners Court, 22,9, Binding Effect. This Agreement, in its entirety, shall be binding upon all the parties hereto, their respective successors and/or assigns, EXECUTED IN MULTIPLE ORIGINALS on the 26th day of January, 2012, to be effective January 1,2012, COUNTY: COMMISSIONERS COURT CALHOUN COUNTY, TEXAS Michael J, Pfeifer, County Judge ATTEST: Anita Fricke, County Clerk By: , Deputy FORMOSA PLASTICS CORPORATION, TEXAS By: Jack Wu, Agent and Attorney in Fact 17 COUNTY REPORTS: The Justice of the Peace Precinct #5 presented their monthly report for the month of December 2011. A Motion was made by Judge Pfeifer and seconded by Commissioner Lyssy to approve county reports, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, 01/10/2012 10:17 361-983-2461 CALHOUN CO PCT 5 I ~ PAGE 01 Judge Nancy Pomykal Justice of the Peace Pet. 5 Collections for the Month of DECEMBER 2011 Date: January 4, 2012 Calhoun County COMMISSIONERS'S COURT 211 S. Ann Street Port Lavaca, TX 77979 Fax no: 553.4444 COMMISSIONER'S COURT: Attached is the December 2011, Money Distribution Report for the Justice of the Peace, Precinct 5 court. Faxing 7. Pll,~es iQcluding this cover. Signed: 01/10/2012 10:17 CALHOUN CO PCT 5 PAGE 02 351-983-2451 01/04/2012 MQnllY OiotributiQn sOpQrt JUDGe NANCY POHYKAL - PCT $ - DECEMBER 2011 REPasT pago 1 Receipt cauae/Def~ndant _______w_~___~_______~___~_______~__~____~__~____~-______--------------~------~------~--w------------------~__~_________n~___M____ TQtal I Cod. AlIIOunt I Codo AlllQunt I t"do AlllQunt I C"d. AlllQunt I t"da AlllQunt I Cod. AMOunt I I I I I I I 0374356 11-12-0324-Se 12-05-2011 I IFEE 6,00 I FILl 25,01) I I I I, I JIM . JUSAMY REED DBA 10TH STRE I I I I I persQnol Chook I I I I I I 03743$7 11-11-0314 12-05-2011 I JSF 4,00 I cce 40.00 I eHS 4.00 I PWAF 5.00 I TF 4,00 I JPAY 6,00 I BOYO, HATTHEW LEE I 10F 2,00 I PWF 100.00 I I 1 I I 3325 perlQnal Cheok I I I ,I I 0374358 11-11-0312 12-05-2011 I JaF 4,00 I ett 40,00 I eHS 4,00 I TF 4,00 I JPAY 6,00 I IDF 2,00 I GREMHINGER, LARRY JAMES I WSF 125,00 I PWAF 5.00 I I t I I 1461 p."Dnal eheck I I I I I I I 0374359 11-12-0325 12-06-2011 I JSF 4,00 TFC '3.00 I Ctt 40,00 I tHS 4,00 I LAF 5.00 I TF 4,00 I HOWARD, TAYLOR ANN I JPAY 6.00 I IDF 2,00 I MVF 0,10 I DSe 9,90 I SUBC 30,00 I JCMF 5,00 I ea.h I I I I I I I 0374360 1H2-0330-Se 12-06-2011 I !.fEE 6.00 I FILl 25,00 I I I I HAWES, TEDDY DBA POC HARDWARe I I I I I I I company Cheok I I I I I I 0374361 11-12-0331 12-12-2011 I JSF 4,00 eee 40,00 I eHS 4.00 I LAF 5,00 I TF 4.00 I JPAY 6.00 RIDDLE, JosEPH W.SLEY 1 IDf 2,00 I FINE 265.00 I I I I COMpany Chaek I I I I I I 0374362 11-09-0264 12-12-2011 I JSF 4.00 I TFe 3,00 I tte 40,00 I CHS 4,00 I SAF $,00 I TF 4.00 I HEItHANN, OUSTIN NORBERT I JPAY 6.00 I IOF 2.00 I MVF 0,10 lost 9,90 I SUBC 30.00 I JCHF 5,00 I HoneyOrde. I I I I I I I 0374363 11-11-030B 12-12-2011 I JSF 4.00 I TFe 3,00 I cee 40,00 I eMS 4,00 I LAF 5,00 I TF 4,00 I CLEMENTS. RONALD JPAY 6,00 I 10F 2.00 I MVF 0.10 I OSC 9.90 I SUBC 30.00 I JCMF $,00 ca.hler'. Cheek I I I I I I I 0374364 11-12-0328 12-13-2011 I JSF 3,00 I cce <40.00 I tHS 4.00 I PWAF $.00 I TF 4,00 I JCSF 1,00 I SANDeRS, ROBERT W, III I JPAY 6,00 11DF 2.00 I WSF 100,00 I I I I 2013 eD.~any Chock I I I I I 0374365 11-01-0227 12-14-2011 I JSf 4.00 ttC 40.00 I CNS 4.00 I SAF 5,00 I TF 4,00 I JPAY 6.00 I VASQUEZ, DAVID ANTHoNY I IDF 2,00 I FINE $$,00 I I I I COMM Sorvlea I I I I I I I 0374366 11-12-0335 12-19-2011 I JsF 4.00 I cce 40.00 I CHS 4,00 I SAF 5,00 I TF 4,00 I JPAY 6.00 I HAWES, JOHN CLARK I IOF 2,00 FINE 70.00 I I I I Cosh I I I I I 12-19-2011 I ADMF 20.00 I I I I I I I I I I I 1 I I I I I I I I I JSF 2,93 TFC 2.20 I cee 29.37 I tHS 2.94 I ~AF 3,61 I TF 2,94 I I JPAY 4.41 I IDF 1.47 I MVF 0.07 I I I I ea.h I I I I I I 0374369 11-11-0317 12-27-2011 I JSf 4.00 Ieee 40.00 I CHS 4.00 PWAF 5,00 I TF 4,00 I JPAY 6.00 I GEORGE, LEVI PAUL I 10F 2.00 I PWF 100.00 I I I I I 16292 C..hl..'. Cheek I I I I I I 0374370 11-11-0313 12-27-2011 I JSF 4.00 Ieee 40,00 I CHS 4,00 I PwAF 5,00 I TF 4.00 I JPAY 6,00 GEORGE, RANDALL PAUL I IDF 2,00 I PWF 200,00 I I I I ' 1~92 to.hler'. Check I I I I I I I 0374371 11-12-0329 12-27-2011 I JSF 4,00 Ieee 40,00 I CHS 4.00 PWAF 5.~ I TF 4,00 I JPAY 6,00 I JUENGER, JoHN I IOF 2.00 I WSF 50.00 I I I I I 6094 per.onol chtek I I I I I I I 0374372 11-11-0321 12-27-2011 I JSF 4.00 cec 40.00 I eHS 4,00 I PWAF $,00 I TF 4,00 I JPAY 6.00 I THA,RP, DAVey CLYDE I IOF 2.00 I PWF 200.00 I I I c..hlOr'. Chook I I I I I I I 0374373 11-11-0320 12-27-2011 I'JSF 4.00 I ece 40.00 I CHS 4.00 I PWAF H.OO I TF 4,00 I JPAY 6.00 I BOYD, HATTHIIW LEE JR I IOF 2.00 I PWF 100,00 I I I I 2039 Pe.sonal thaek I I I I I I I 0374367 11-12-0334 HAWES, JOHN CLARK c.sh 12-22-2011 0374368 11-12-0327 GUZMAN, J~SUS 31,00 16$.00 190,00 113.00 31.00 330,00 113.00 "'.00 16$,00 120,00 135,OC 20.0<: 50,Ot 165,O( 265,01 115,01 265,0 165.0 01/10/2012 10:17 351-983-2451 CALHOUN CO PCT 5 PAGE 03 01/04/2012 Honey Di.trfbytion Roport Page 2 JUDGE NANCY POHYKAL . PCT ~ - DECEMBER 2011 REPORT ________________~~__~________________~___________~~~~_____________~__~_______________~________~__________w_~__~~~A._~_______~~~_~~_ Th. fOLLowing total. ropr...nt - Ceoh .nd Cho.k$ ColL.tted Typ. Cod. DCHscriptibl'l Count Rlteined .Di.byro.d Mone'y"'Totalt; Th. following total. ropr...nt - c..h end chook. coll..ted COST ADHF ADMINISTRATION FEE 1 20.00 0.00 20,00 COST CCC CONSOLIDATED COURT COSTS 14 54,94 494,43 549.37 COST CNS COURTNOUSE SECURITY 14 ,54.94 0.00 54,94 COST IDF INDIGENT DEFENSe FUND 14 2.75 24,72 27.47 COST JCSF JUSTICE COURT SECURITY FUND , 1.00 0.00 1,00 COST JPAY JUDGE PAY RAISE FEE 14 8.24 74.17 82,41 COST JSf JUROR SERVICE FuND 14 5.39 48.54 53,93 COST LAf SHERIFF'S FfiE , 4 18,67 0.00 18.67 COST MVF MoVING VIOLATION FEE 4 0.04 0,33 0,37 COST PWAF TEXAS PARKS & WILDLIFE 8 32.00 8.00 40,00 COST SAF DPS 2 8,00 2,00 10.00 COST TF TEcHNOLOGY FUHD 14 54.94 0.00 54,94 COST TFo TFC 4 11,20 0,00 11.20 FEES DSC DRIVER SAFETY COURSE 01/2008 3 29,70 0.00 29,70 fEES FILl FILING FEE 2 50.00 0,00 50.00 FEES IFEE INDIGENT FEE 2 0.60 11.40 12.00 FEES JcMF JUVENILE CASE MANAGER FEE 3 15,00 0,00 1~,OO FE6S SUBC sUB TITLE C 3 4.50 85.50 ' 90,00 FINE FINE fINE 2 335.00 0.00 335,00 FINE FIIF PARKS & WILDLIfE fINE 5 105.00 595,00 700.00 FINE IIsF WATE~ SAFETY FINE 3 41.25 233,75 275.00 Money totals: 17 B~3,16 1,517.84 2,431.00 Th. followiny total. repre..nt - Tr.n.f.r. ColLected COST ADMF ADMINIsTRATION FEE 0 0,00 0,00 0.00 COST eee CONsOLIDATED COURT COSTS 0 0.00 0,00 0.00 COST CHS COURTHOUSE SECURITY 0 0,00 0.00 0.00 COST IDF INDIGENT QEFENSE FUND 0 0,00 0,00 0,00 COST JCSF JUSTICe COURT SECURITY FUND 0 0,00 0.00 0,00 COST JPAY JUDGE PAY RAIsE FEE 0 0,00 0.00 0,00 COST JSF JUROR sEAVICE FUND 0 0.00 0,00 0,00 COsT LAF SHERIFF'S feE 0 0.00 0,00 0.00 COST !tVF HOVING VIOLATION fEE 0 0.00 0.00 0.00 COST PWAf TEXAS PARKS I WILDLIFE 0 0.00 0,00 0.00 COST SAP DPS 0 0,00 0.00 0,00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0,00 COST TFC TFc 0 0.00 0.00 0.00 FEES DsC DRIVER SAFETY COURSe 01/2008 0 0,00 0.00 0,00 FEES FILl FlUNG FEE 0 0,00 0,00 0,00 FEes' IFEE INDIGENT FEE 0 0,00 0,00 0,00 FEES JCMf JUVENILE CASE MANAGER FEE 0 0,00 0.00 0.00 FEES SUBC SUB TITLE C 0 0,00 0.00 0,00 FINE FINE FINE 0 0.00 0.00 0.00 FINE PW'F PARKS I WILDLIFE FINE 0 D.oo 0.00 0,00 FINE WSF 'WATER sAFETY FJ,NE 0 0,00 0.00 0.00 @1/1@/2@12 1@:17 361-983-2461 CALHOUN CO PCT 5 PAGE @4 01/04/2012 Honey DistrIbution Report Pas. 3 JUDGE NANCY FOMYKAL - PCT 5 - DEcEMBER 2011 REPORT _~~_~~~________M_~~___M________________________________~________._~___~___~~~~~------~--------~~~~-----~-----------~~~~~-~------- Th. 10llow1ng total. r.pr.s.nt - Tr.nsf.r. colt.eted Typ. cod. D.scription Count R.la1nt<! Disbursed Mon.y-Total. Transfer Total, 0 0.00 0.00 0.00 The folLowing totala represent ~ J~il C~edit and CoMMunity S.~vic. COST ADMf ADMINISTRATION FEE 0 0.00 0.00 0.00 COST ecc CONSOLIDATED COURT COSTS 1 4.00 36.00 40.00 cOST CHS COURTHOUSE SECURITY 1 4.00 0.00 4.00 COST IDF INDIGENT DEFENSE fUND 1 0.20 1.1\0 2.00 COST JCSf JUSTICE COURT SECURIty FUND 0 0.00 0.00 0.00 COST JPAY JUDGE FAY RAISE FEE 1 0.60 5.40 6.00 COST JSF JUROR SERVICE fUND 1 0.40 3.60 4.00 COST LAF SHERIff'S FEE 0 0.00 0.00 0.00 COST MVF HOVING VIOLATION FEE 0 0.00 0.00 0.00 con PWAF TEXA$ PARK$ & WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS 1 4.00 1.00 5.00 COST TF TECHNOLOGY FUND 1 4.00 0.00 4.00 COST TFC TFC 0 0.00 0.00 0.00 Fns MC DRIVER SAFETY COURSE 01/2008 0 0.00 0.00 0.00 fEES FILl FILING fEE 0 0.00 0.00 0.00 FEES IfEE INDIGENT FEE 0 0.00 0.00 0,00 fEES JCMF JUVENilE CASE MANAGER FEE 0 0.00 0.00 0.00 fEES SUBe SUB TITLE C 0 0.00 0.00 0.00 fINE FINE FINE 1 55.00 0.00 55.00 FINE PWP PARKS a WilDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 credit Total. 1 7i.ZO 47.80 liO,OO The folLowing totaL. ..p....nt - Credit Card Foy.ent. COST ADMF ADMINI$T~ATlON FEE 0 0.00 0.00 0,00 COST CCC CONSOLIDATED COU~T COSTS 0 0.00 0.00 0.00 COST CHS COURtHOUSE SECU~fTY 0 0.00 0,00 0,00 COST IDF INDIGENT DEfEN$E FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COU~T SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAf SHERIFf'S FEE 0 0,00 0.00 0.00 COST MVF MOVING VIOLATfON FEE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WilDLIFE 0 0.00 0.00 0.00 COST SAf DPS 0 0,00 0,00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST' TFC TfC 0 0.00 0.00 0.00 HES OSC D~IVER SAFETY COURSE 01/2008 0 0,00 0.00 0.00 fEES fILI PILING FEE 0 0.00 0.00 0.00 FEES IfEE INDfGENT FEE 0 0.00 0.00 0.00 FEEs JCIIF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 fEES suec SUB TITLE C 0 0.00 0.00 0.00 @1/1@/2@12 10:17 361-983-2461 CALHOUN CO PCT 5 PAGE @5 01/04/2012 MO~.y Oietribution R'PQrt Page 4 JUDGE NANCY PoMYKAL - PCT 5 - bEeeHBER 2011 REPORT _~_________~_~_____~__~__~~_________~_________w______~_________~__r~______________________P__.____~______p________-----~-------.--- The following total. rep~...nt - credIt card poy..nts Type cod. O..cription count Ratalned Disb\l~.ed HOney-Total. FINE FINE PlNE 0 0.00 0.00 0.00 FINE PWF PARKS a WILDLIFE FINE 0 0,00 0.00 0.00 FINE WSF WATER SAfETY FINE 0 0.00 0,00 0,00 Credit Tot.l. 0 ,0.00 0.00 0,00 The following totals r.pr...nt - Combined "-"oy and Credit. COST ADMF ADHINISTRATION fEE 1 20.00 0.00 20.00 COST CCC CONSOLIDATED COURT COSTa 15 5B.94 530.43 589,37 COsT CHS COURTHOUSE SECURITY 15 56.94 0.00 58.94 COST IDF INDIGENT DEFENSE fUND 15 2.95 26.52 29.47 COST JCSF JusTICE COURT SeCURITY FUND 1 1.00 0.00 1.00 cOST JFAY JUDGE PAY RAIsE fEE 15 B.B4 79.57 88.41 COST JSF JUROR sERVICE FUND 15 5.79 52.14 57.93 COST lAF SHERIFf'S FEE 4 18.67 0,00 18.67 COST MVF HOVING VIOLATION FEE 4 0.04 0.33 0.37 cOsT PWAF TEXAS PARKS 8 WILDLIFE 8 32.00 6,00 40.00 COST SAF DPS 3 12.00 3.00 15.00 COST TF TECHNOLOGY FUND 15 58.94 0.00 58.94 COST TFC TFC 4 11.20 0.00 11.20 FEES DSC DRIVER SAFETY COURSE 01/2008 3 29.70 0.00 29.70 FEES FILl FILING FEE 2 50,00 0.00 50.00 FEES IFEE INO IGERT FEE 2 0.60 11.40 12.00 FEES JCltF JUVENILE CASE HANAGER FEE 3 15,00 0.00 15.00 FEES suac SUB TITLE t 3 4.50 85.50 90.00 FINE fINE FINE 3 390.00 0.00 390,00 fINE PWF PARKS & WILDLIFE FINE 5 105.00 595.00 700.00 FINE WSF WATER SAfETY HNE 3 41.25 233.75 275.00 ..port Total. lB 925.36 1,625.64 2,551.00 @1/1@/2@12 1@:17 361-983-2461 CALHOUN CO PCT 5 PAGE @6 01/04/2012 Honoy Di.tribution Roport pag. 5 JUOae NANCY POHYKAl - PCT 5 - DeeeMsER 2011 REFORr ___~w_~___________~_~__~________~__~_________~~-y-_______---.--------~~--------------M------w----------"~~--------_____-------.~--M. bATE PAYMENT-TtPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAl. 00-00--??oo e..h & ah..ks Co(leotod 0.00 0.00 0.00 0.00 0,00 0.00 0.00 Joll Credit. & eemm Sorv;eo 0.00 0.00 0.00' 0.00 0.00 0.00 0.00 Cr.dit Cards & Transfer. 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Total 01 all Collocliens 0.00 0.00 0.00 0.00 0.00 0.00 0,00 09-01-1991 C.sh & Chock. Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Joil Crodit. & Cemm sorvico 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit cB~da & Tr~"8fera 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOtal of .ll Collection. 0.00 0,00 0.00 0.00 0.00 0.00 0.00 09--01-1993 C.eh & Chock. collocted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Co~m Service 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Credit Cord. a Transfer. 0.00 0,00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09--01-1995 cooh & Chock. collocted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jai( Credit. & Comm servIce 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Tr_nafers 0.00 0.00 0,00 0,00 0.00 0,00 0.00 total of .Ll co~L.ot;on. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 ce.h & Chock. Collocted 0.00 0.00 0.00 0.00 0.00 0.00 0,00 Jail credit. a Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cr6d;t Card. & Transfer. 0,00 0.00 0.00 0.00 0,00 0.00 0.00 Total 01 all Collectieno 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 ca.h & chock. Collocted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail credit' & Comm serviQ~ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 credit card. & rrens1ers 0.00 0.00 0.00 0.00 0,00 0.00 0.00 Total 01 all Collection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09--01-2001 Ca.h & Ch.cks ccllected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail cr~its & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Cr~it cards & Tranaftrt 0.00 0.00 0,00 0.00 0,00 0.00 0,00 Total 01 all colle.tions 0.00 0.00 0.00 0.00 0.00 0.00 0,00 09--01-2003 c.sh & chec.s Collocted 0.00 0.00 0.00 0.00 0.00 0.00 O.ot Jail c~6dits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 O.OC credit Card. & Tr.ns1or. 0.00 0.00 0.00 0.00 0.00 0,00 O.OC Total of all collection. 0.00 0,00 0.00 0.00 0.00 0.00 O.ot 01-01-2004 ea.h a Chock. Col(..ted 1,310.00 924,30 196.70 0,00 0.00 0.00 2,431.0( Jail Credit. a COMm sorvlc. 55,00 65.00 0.00 0.00 0.00 0.00 120.0( Credit card. & Tr.n.1.r. 0.00 0.00 0,00 0.00 0.00 0.00 0.01 Total of .ll Collection. 1,365.00 989.30 196.70 0.00 0.00 0.00 . 2,551.0< TOTALS co.h & Chocka Collocted 1,310.00 924.30 196.70 0.00 0.00 0.00 2,431.01 J,il credit' & co~,service 55.00 65.00 0.00 0.00 0.00 0.00 120.0< Credit Cord. & Trans1er. 0.00 0.00 0.00 0.00 0.00 0.00 0.01 Total 01 all ccltoctio". 1,365.00 9B9.30 196.70 0.00 0.00 0.00 2,551.0l @1/1@/2@12 10:17 361-983-2461 CALHOUN CO PCT 5 PAGE @7 01/04/2012 Honey Oi.tr;bution Report JUDGE NANCY POHYKAL . PCT 5 - DECEMBER 2011 RepORT Page 6 ~~~;._.--_._;~~;;~~:~;;;.._._-_._-----------_._-;~~;;-.;~;~:~~;~;---------;;;;---_.-._;;~;;--;;;;;~~~~~~----"_.-~~;;;--------~~;~~. State Qf Tex.s QUarterly Reporting TQtals DelJcript ion (OUl'lt colleoted Rttain6d Disbur.ed Slate Comptroller coat Ind Fa.. Report toction I: Report for Offen... cOlmitted 01-01-04 Forward 09-01-01 . 12-31-03 08-31-99 - 08-31-01 09-01-97 - 08-30-99 I 09-01-91 - 08-31-97 B.;~ Bot'ld Fee DNA ro.tlng Fe. - Conviction. DNA Teating roe - comm supvn DNA recting Ft. - Juv.n;l~ EHS Trauo. Fund (EMS) Jyven1le Probation Diver.ion Fee. J~ry ReimburseMent F88 Indigent De1ena. Fynd Moving Violation Fees Stat. Traffio Fin. Total DY~ For Th;$ poriod 14 549.37 54.94 494.43 0 0.00 0.00 0.00 0' 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0,00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0,00 0 0.00 0.00 0.00 14 53.93 5.39 48.54 14 27.47 2,75 24.n 4 0.37 0.04 0.33 3 90.00 4.50 85,50 10 50.00 40.00 10.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0,00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 14 82.41 8.24 74.17 13 aS3." 115.1.l6 737.69 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0,00 0.00 2 12,00 0.60 11.40 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0,00 0.00 0 0.00 0,00 0,00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0,00 0.00 0,00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 2 12.00 0.60 11.40 75 865. SS 116.46 749.09 saction II: A. Applicable Pe~oe offioer Feas Failura to Appe.r/Pay Fal. Judici.l ~u"d - const County Court Judic1al Fund - Stllutory County Court Motor carrier Weight Viot.tions Time PRYMe~t Fees Driving Record Pee JudicIal supporl F.. Roport Sub Tohl $t~te comptroller Civil Fe~$ Report CF: Birth C&rtifioate Fees CF: MarriBg~.Lic.n&e Fees CF: Declaration of Informal Herriage CF: NQndi$clo8Ure fGC$ c~: Juror Donations Cf: Ju.ti.e Court Indig filing F... CF: Stat prcb Court Indig Filing Fa.. CF: Stat prob Court Judic Filing Fa.s CF: stat cnty Court Indig FIling F'.. CF: Stat cnty Court Judie Piling fa.. CF: cnot Cnty Court Indig Filing F... cp: en.t Cnty Court Judie Filing Fa.. CF: Dist Court Divorca ~ flmlly law CF: Diet'Court Oth.r Divorca/FaMily low Cf: Pl.t Court Indig Legal servico. CF: Judicial Support Fe. Roport $I.lb TC)'taL APPROVAL OF BILLS: Claims totaling $756,482.79 were presented to Commissioners Court for 2012 and claims totaling $259,534.60 were presented to Commissioners Court for 2011 and after reading and verifying same a Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to accept bills and approve claims for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Claims totaling $2,000,356.62 were presented by Memorial Medical Center and after reading and verifying same a Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to accept bills from Memorial Medical Center and approve claims for payment. 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" ~ 31 3131 2' ~ tl ~ " "- ~ ':;l ~ " ~ ~ ~ ~ " ~ 0 ~ '""' ~ 5! a 'Z Q " Q Q '" January 26, 2012 2012 AFFROV AL LIST COMMISSIONERS COURT MEETING OF 01/2612012 BALANCE BROUGHT FORWARD FROM PAGE 8 FICA MEDICARE FWH AFLAC NATIONWIDE RETIREMENT SOLUTIONS OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT PRINCIPAL FINANCIAL GROUP TMPA UNITED WAY BANK OF TEXAS CALHOUN COUNTY INDIGENT HEALTH CARE GSM INSURORS RHONDA S. 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" ~ () i @ Ii' ~ 0 0 0 0 v, 0 0 0 " o " . 0. ~~ g, O[C":l ~' t-< 1: . =: &-0 ~ ~ 2 tn[n ~I~ :::l.:' 01;;'" ~~~ a~ t-< ~ --< January 26, 2012 2011 APPROVAL LIST COMMISSIONERS COURT MEETING OF 01/26/2012 BALANCE BROUGHT FORWARD FROM PAGE 35 CENTERPOINT ENERGY CITY OF PORT LA V ACA CP&L CREDIT CARD CENTER GRACIE MENDOZA JOENAVA NAFECO OLIVIA PORT ALTO VOLUNTEER RELIANT ENERGY SUNCOAST VERIZON AP AP AP AP AP AP AP AP AP AP AP TOTAL AMOUNT FOR APPROVAL $ $ $ $ $ $ $ $ $ $ $ $ 36 244,138.77 1,362.72 3,179.60 61.17 2,489.40 35.00 19.31 787.99 1,778.57 1,175.44 4,196.23 310.40 $ 259,534.60 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----- January 26.2012 MEMORIAL MEDICAL CENTER OPERATING FUND MEMORIAL MEDICAL CENTER WEEKLY CHECKS Date Approved bv County Auditor (See attached lists) 1212212011 Weekly Payables 1212212011 Patient Refunds 1212912011 Weekly Payables 11512012 Weekly Payables 11512012 Weekly Payables 11512012 Patient Refunds 11612012 Weekly Payables 111212012 Weekly Payables 111212012 Patient Refunds 111812012 Weekly Payables 111912012 Weekly Payables 111912012 Patient Refunds 111912012 Weekly Payables Total Payables and Patient Refunds $ 191,406.62 9,753,14 277,849.01 3,462.83 130.757.41 14,206,96 6,760.34 160,877.07 1.896.29 500.00 551,978,54 1,632.26 34,850.44 MEMORIAL MEDICAL CENTER PAYROLL Date of Pavroll Run & Date Liabilitv Called In (See attached lists) 1212012011 Net Payroll 1212712011 Payroll liabilities 11312012 Net Payroll 111012012 Payroll Liabilities Total Net Payroll & Payroll Liabilities 218,029,68 70.976.96 206,229.42 69,189.65 GRAND TOTALOPERATING FUND TOTAL INDIGENT HEALTHCARE FUND EXPENSES Total brought forward from next page $ 74,801.68 APPROVED INDIGENT HEAL THCARE FUND EXPENSES $ 1,385,930.91 $ 564,425.71 $ 1,950,356.62 $ 50,000.00 IGRAND TOTAL BILLS APPROVED 1/26/2012 $ 2,000,356.621 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----January 26. 2012 INDIGENT HEAL THCARE FUND: INDIGENT EXPENSES Coastal Medical Clinic Community Pathology Associates HEB Pharmacy (December) Memorial Medical Center (Out-patient $7,483,52 ER $12.007.60 In-patient $43,363.34) Port Lavaca Clinic Radiology Unlimited PA 149.52 630.80 528.44 62,854.46 1,407,73 55.86 SUBTOTAL 65,626.81 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) 9,174.87 74,801.681 ITOTAL INDIGENT HEALTHCARE FUND EXPENSES **Difference Absorbed by Memorial Medical Center 24,801.68 TOTAL APPROVED INDIGENTHEALTHCARE FUND EXPENSES 50,000.00 **$200 in Co-Pays were collected by Memorial Medical Center in December @IHS Source Totals Report Issued 01/19/2012 Calhoun Indigent Health Care 12-1-11 through 12:31-11 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 3,056.00 558.44 3,220.00 2,042.00 61,947,63 17,008.00 27,290.00 487.55 528.44 630.80 1,125.56 43,363.34 7,483,52 12,007.60 Expenditures Reimb/Adjustments 115,205.08 -83.01 65,709.82 -83.01 Grand Total 115,122.07 65,626.81 4s4Q ~ 15:) J APPROVED BY JAN 2 3 2012 0( Fiscal Year $1,478,754,82 CALHOUN COUNTY AUDITOR (Unfunded- $24,801.68) ~-WLilU'1AU~ Calhoun County Indigent Coordinator 2011 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Pending Jan 7 22 10 152 Feb 9 13 17 156 Mar 32 33 26 153 Apr 8 19 28 164 May 6 19 16 149 Jun 25 21 23 146 Jul 1 19 5 140 Aug 1 13 39 108 2 Sept 2 43 32 79 11 Oct 8 15 27 62 16 Nov 7 8 21 47 15 Dec 1 24 27 30 14 YTD 107 249 271 1386 58 ~i~'~!n:~i~!~i~i~!:~!~i~n~!~i!lml~~liiillm~~iiiim~ml'lililililililllliililillii,ii'iiiliiiiiiiiiiiiiilililillilililiiiliiiiiiliiiliiiiiiilililililiiilililililllilIliiliiilililiiiiiiiliiiiiiiiiililililill.lililiill,l.iiili. DATE: 1/23/2012 CC Indigent Health Care VENDOR # 852 ACCOUNT NUMBER ESCRIPTION OF GOODS OR 1000-800-98722-999 Transfer to a bills Indi ent Health Care a roved b Commissioners Court on 1/26 2012 for a total of $50,000.00 Total bills are 65,626.81 1000-001"46010 COUNTY AUDITOR APPROVAL ONLY APPROVED BY JAN2 3 2012 CALHOUN COUNT1f AUDITOR Dec. Interest ( 0, 37) THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT "FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. DEPARTMENT HEAD DATE I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE ON. BY: DEP 1 23 12 DATE TOTAL PRICE 50,000.00 ($0.37) $49,999.63 MEMORIAL MEDICAL CENTER Porl Lavaca, Texas MANUAL JOURNAL ENTRIES MONTH OF DECEMBER,2011 Page of Debit Credit Acct# JE# Description Check # Amount Amount 10255000 Indinent Healthcere 9,174.87 40450074 Reimbursement - Calhoun Cty 7,177.69 40015074 Benefits - FICA 335,65 40025074 Benefits - FUTA 7.68 40040074 Benefits - Retirement 361.87 60320000 Benefits - Insurance 1,291,98 40220074 Supplies - General - 40225074 Sunnlies - Office - 40230074 Forms - 40610074 Continuino Education - 40510074 Outside Services . 40215074 Freioht - 40600074 Miscellaneous - "'If " JPJIf 1 j ZU1Z CALHOUN COUNT\' R . TOTALS 9.174.87 9,174.87 ./ V ..; .j I EXPLANATION FOR ENTRY REVERSING: YES NO JE# Indigent Healthcare Program Incurred by MMC DECEMBER,2011 Indigent H'care Coordinator Salary # 40450074 1-Dec 2,415.23 # 40450074 15-Dec 2,375.45 # 40450074 29-Dec 2,387.01 (# 40000074 ) ( # 40000074 ) (#40010074 ) I 7,177.691 Benefits: #40040074 I 361.871 FICA #40015074 1-Dec 113.61 #40015074 15-Dec 110.58 # 40015074 29-Dec 111.461 335.651 FUTA 1-Dec 2.60 15-Dec 2.53 29-Dec 2.551 7.681 Other Benefits (18 %) # 63200000 I 1,291.98 I General Supplies # 40220074 I I Office Supplies # 40225074 I I Forms #40230074 I I Continuing Education #40610074 I I Outside Services #40510074 I I Freight #40215074 I l Travel #40600074 I , RUN DATE, 01/12/12 MBMORIAL MEDICAL CENTBR PAGB 1 !nIE,14,31 GL DETAIL RBPORT - COST CENTBR SBQUENCE GLGLDC FOR, 12/01/11 - 12/31/11 ACC1 NUMBER & DBSC DATE MEMO REFBRBNCB JOURNAL CSI/BAT/SBQ AClIVITY BALANCB 40000074 SALARIBS ROO PROD -CALHOUN C 40000074 SALARIES ROO PROD -CALHO BEGINNING BALANCE AS OP, 12/01/11 52,992.77 12/01/11 REVERSB ACCEUAL PR 192404 3G4 -2,131.22 12/01/11 PAY'P.ll/18/1112/01/11 PR 19 2411 41 2.060,99' 12/15/11 PAH.12/02/1112/15/11 PR 192422 41 2,368,56/ 12/29/11PAH,12/16/1112/29/11 PR 192435 42 1,954.29/ 12/31/11 AcerualuDay'" 2 PR 192435 363 279,16 12/31 AClIVITY/END BALANCB 4/531.80 51,524.57 40005074 SALARIES OVERTIMB -CALHO BBGINNING BALANCE AS OF, 12/01/11 6,89/ 31.92 12/15/11 PAH,12/02/1112/15/11 PR 192422 69 12/31 AClIVITY/END BALANCE 6,89 38,61 40010074 SALARIES rro/EIB -CALHO EEGINNWG EALANCB AS OF, 12/01/11 3,999,65 rj )\-11"1,1o'\ 12/01/11 Auto PR Bene Accrual Re PR 192403 83 .986,75 12/01/11 RBVBRSE ACCRUAL PR 192404 466 -66,25 12/01/11 Auto PR Bene Accrual PR 192410 81 604,53 12/01/11PAH,11/18/1112/01/11 PR 19 2411 86 354,24"'- 12/15/11 Auto PR BeDe Accrual Re PR 192410 63 -604,53 12/15/11 Auto PR Bene Accrual PR 192421 81 976.55 12/29/11 Auto PR Bene Accrual Re PR 192421 83 -916.55 12/29/11 Auto PR Bene Accrual PR 192434 81 1,047,04./ 12/29/11 PAH.12/16{1112/29{11 PR 192435 86 432,12 12/31{11 AccrualuDay," 2 PH 192435 451 61.62 12/31 AC1IVITY{END BALANCE 840,82 4,840,47 40015074 FICA -CALHO S6GWNING SALANCE AS OF, 12{01{11 94,17 12{01/11 REVERSB ACCRUAL PH 192404 644 '82.81 12/01/11 HEVERSE ACCRUAL PH 192404 704 .19,37 12/01/11 PAY'P.11/16/1112/01/11 PH 19 2411 330 21.53/ ,V5 12/01/11 PAY-P.11/16/11 12/01/11 PR 19 2411 360 92.08 / y!;b 12/15{11 PAY'P,12/02/1112/15/11 PR 192422 333 20,96 / 12/15/11 PAY'P,12/02/1112/15/11 PR 19 2422 363 89,62 ,/ 12/29/11 PAH.12/16{1112/29/11 PR 192435 494 21.13,/ 12/29/11 PAH.12/16{1112/29{11 PR 192435 524 90.33./ 12/31/11 Accrual-'Day'" 2 PR 192435 633 12,90 12/31/11 Accrual-.Day," 2 PR 192435 693 3.02 12/31 AClIVITY/BND BALANCB 249,39 343,56 40025074 PUT .CALHO BBGINNWG SALANCE AS OF, 12/01{11 7,13 12/01/11 REVERSE ACCRUAL PH 192404 764 '2.34 12/01/11 PAH,11/1B/1112/01/11 PH 19 2411 390 2,60 / '1 .Lo ro 12/15/11PAH.l2/02/1112/1S/11 PR 19 2422 393 2.53 ,/ 12/29/11PAH.12/16{1112{29/11 PR 192435 554 2.55/' 12/31/11 Acerual--Day'. 2 FR 19 2435 757 .36 12{31 AClIVITY/8ND BALANCE 5.10 12,83 RUN DATE, 01/12/12 MEMORIAL MEDICAL CE~TER PAGE 2 TIME, 14:31 GL DETAIL REPORT - COST CENTER SEQUENCE GIIlLDC FOR, 12/01/11 - 12/31/11 ACC! NUMBER . DESC DATE ME!IO REFERENCE JOURN!1 CS#/BAT/SEQ AC1IVITY BALAl/CE 40040014 RETIREMENT -C!1HDUN C 40040014 RETIREMEHT -CJ\lJ!O BRGINNIMG BALANCE AS DF, 12/01/11 100,54 12/01/11 REVERSE ACCRU!1 PR 192404 E22 -109,01 12/01/11 PAY'P,11/1E/llll/01/11 PR 192m 420 120.77/ J/ilL91 12/15/11 PAY-P,12/02/1112/15/11 PR 192422 423 117.91 -' 12/29/11 PAH.12/16/1112/29/11 PR 192435 5E4 123,19- 12/31/11 Accrual--Day,. 2 PR 192435 E15 11,60 12/31 ACTIVITY/END BALAl/CE 210,40 310,94 40450014 REnlSURSEMENT BEGINNIMG AND E~DIMG SALANCE, -54,116,98 COST CE~!ER TOT!1, 5,905,00 ENDING B!1ANCE GRAND TOT!1, 8,954.20 GRAND TOT!1 ACTIVITY, 5,905.00 RUN DATE: 12/21/11 TIME: 15:28 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12 PAGE: 1 APOPEN VEND#,NJ\IlE......................... ..CLS,INVOICE#....... ..TAM DT,INV DT.DUE DT,CK DT. .PC...... . GROSS.. . ..DISC..., ..NO-PAy....... . NET 10141 LAWSON PRODUCTS SUPPLEIS DIETARY 9300322942 121911 110911 120911 161.17 ,00 161.17/ TOTALS.........",.,.....,........,.",.,..., : 161.17 ,00 161.17 10172 US FOOD SERVICE 3033.74/ SUPPLIES DIETARY 3455287 122011 120111 122011 3033,74 .00 SUPPLIES DIETARY 34552S8 122011 120111 122011 353.14 .00 353,140/ SUPPLIES DIETARY 3512359 122011 120311 122311 5S,61 .00 58,61""- SUPPLIES DIETARY 3517758 122011 120511 122511 24,99 .00 24.99....-' SUPPLIES DIETARY 3517760 122011 120511 122511 34,02 ,00 34.02./ SUPPLIES DIETARY 3540432 122011 120611 122611 32.60 ,00 32.60/ SUPPLIES DIETARY 3561572 122011 120711 122711 15,S7 .00 15.87/ SUPPLIES DIETARY 3583560 122011 120811 122811 4562,67 ,00 4562.67/ SUPPLIES DIETARY 3605434 122011 120S11 122811 139.46 .00 139,46 ./ SUPPLIES DIETARY 3673462 122011 121311 010112 200,42 .00 200.42/ SUPPLIES DIETARY 3709547 122011 121511 010112 3977,40 .00 3977 ,40/ TOTALS...,..",....,......................", : 12432.92 .00 12432,92 10204 PHARMEDIUM SERVICES LLC PHARMACEUTICALS A553590 120911 113011 123011 144,20 .00 144,20./ TOTALS........,..",..,."..,.",.,.,..".,., : 144.20 .00 144.20 10239 T&R MECHANICAL 6031.60 I CHILLER REPAIR B11-0541 121911 120811 010711 6031. 60 .00 TOTALS,.,.",.,...,.,.....,..."............. : 6031. 60 ,00 6031.60 10297 ARUP LABORATORIES OUTSIDE SERVICE LAB 50376474 113011 120111 123111 4761.24 .00 4761.24/ TOTALS...,.....",..,.."."."..,.,...,...,. : 4761.24 .00 4761.24 10341 olENISE SVETLIK / FLEX SPEND REIMBURSEMENT 23629 122011 122011 122011 648.26 ,00 648.26/ TOTALS.,.,...........,..........,.,.,...",., : 64S.26 .00 64S,26 10350 CENTURION MEDICAL PRODUCTS 383.49/ SUPPLIES CS INVENTORY 90B96415 113011 112S11 122S11 3B3,49 ,00 SUPPLIES CS INVENTORY 90B98544 120911 113011 123011 708.50 ,00 70S.50 ,/ TOTALS,.......,..,...,......,."...,....,.... : 1091,99 ,00 1091.99 10374 HARDY DIAGNOSTICS 33,92/ SUPPLIES LAB 082971-0 113011 113011 123011 33.92 .00 TOTALS.,."..,.,.............,...,........... : 33.92 .00 33,92 10394 WILLIAM E HEIKAMP, TRUSTEE 150,001 EMPLOYEE DEDUCTION 18001 122011 122011 122011 150.00 .00 TOTALS..........."..,...,.."",.""..,.,., : 150.00 ,00 150.00 10429 WILLIAM E HEITKAlIP, TRUSTE 495,00 I EMPLOYEE DEDUCTION 18005 122011 122011 122011 495,00 .00 TOTALS...,...,.",..,..,.."..,............,. : 495,00 ,00 495.00 10441 MMC EMPLOYEE BENEFITS 17675,58/ WEEKLY CLAIMS 17994 122011 122011 122011 17675.58 .00 RUN DATE: 12/21/11 TIME: 15:28 MEMORIAL MEDICAL CENTER AP OPEM INVOICE LIST THRU DUE DATE OF 01/03/12 PAGE: 2 APOPEN VENDn.NAME........................., ,CLS,INVOICEn....." ..TRN DT.INV OT.DUE OT.CK OT, ,PC..... ..GHOSS.... .DISC.... ..NO-PAy....... ,MET WEEKLY CLAIMS 10477 PURE FORCE SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY 10478 LESLIE ANN SOLIS EMPLOYEE DEDUCTION 10536 MORRIS & DICKSON CO, LLC PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PlIARIlACEUTICALS 10541 IPC, INC SUPPLIES LAB 10590 BETHANN DIGGS TRAVEL EXPENSE 10598 GLENN CRISP TRAVEL EXPENSE 10606 PENLON, INC INSTRUMENT REPAIR 10629 QUEST DIAGNOSTICS OUTSIDE SERVICE 10632 JACKSON NURSE PROFESSIONAL CONTRACT NURSE 10639 TX CHILD SUPPORT SDU EMPLOYEE DEDUCTION 10650 CAREFUSION 2200, INC INSTRUMENT SURGERY 1S006 122011 122011 122011 TOTALS........."............".............. : 71S0470 113011 112811 122811 7223292 113011 113011 123011 7242131 113011 120111 123011 TOTALS...",...,.",..........."",.,....... : 1S000 122011 122011 122011 TOTALS..,.,....,...".."...........,.".,... : 2SS0S91 122011 121411 122511 2880S93 122011 121411 122511 2882394 122011 121411 122511 2882395 122011 121411 122511 2886235 122011 121511 122511 2SS6236 122011 121511 122511 TOTALS,..,...,...,.........,....,..,....,.,., : 130733 122011 112111 122111 TOTALS,..,..,..........,.."..,....,...".", : 23628 122011 121611 122011 TOTALS,..,..",."...,.,............,."."" : 23626 122011 121111 122111 TOTALS....",.......".,..,.""....,........ : IVC39974 120911 120211 010112 TOTALS....".......".,................."... : 9141004776 122011 112511 122511 TOTALS,................."..."....".",.,.. : 44553384 122111 121011 121011 TOTALS.......,.,.....,.,..,.",...,."."..., : 17998 122011 122011 122011 TOTALS.",.",."....",....,...,....,.,..... : 9103217857 120911 112S11 122811 4233.44 21909.02 121. 80 59.76 93.81 275.37 177 ,69 177.69 50,09 112.22 2S9,91 496,18 4207.31 2095.19 7250.90 126,53 126.53 13.32 13.32 44.40 44,40 788.80 788.S0 47.20 47.20 2304.00 2304.00 1S4.S4 184,84 31,47 .00 4233.4V .00 21909,02 .00 121,80 ,/ .00 59.76::/ ,00 93.81 ,00 275,37 .00 177.69./ .00 177 .69 .00 50.09::/ .00 112.22 .00 289.91/ .00 496.18~ .00 4207.31"'-: .00 2095.19 .00 7250.90 .00 126.53v' .00 126,53 .00 13,32/ .00 13,32 .00 44.40,/ .00 44.40 ,00 788,80'/ .00 788.80 ,00 47.20/ .00 47.20 .00 2304.0v' .00 2304,00 .00 184,84/ .00 184.84 .00 31.47/ RUN DATE: 12/21/11 TIME: 15,2S MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12 PAGE: 3 APOPEN VEND#,NAME....,...,...,.,."",......CLS.INVOICE#".,.,.,.TRN DT.INV DT,DUE DT.CK DT,.PC,.."..GROSS,..,.DISC",.,.NO-PAY.".,.,.NET INSTRUMENT SURGERY 910323121S 121911 120211 010112 104.98 .00 10US j TOTALS..........................;............ : 136.45 .00 136,45 10676 AMNISURE INTERNATIONAL, LL SUPPLIES LAB 00718681 122011 113011 123011 2097.69 ,00 2097.69 V TOTALS....................................... : 2097.69 .00 2097.69 106S2 BIOMERIEUX, INC PHARllACEUTICALS 1210367597 122011 110311 120311 199,80 .00 199,SO...... TOTALS"..,...................,.....,......., : 199,80 .00 199,80 106S3 SHERRON LAMINACK, RTAIRTC GLADEWATER UMIT TAX 23632 ~ 122111 122011 122011 7.65 .00 7,65..-' TOTALS...,. ..,'?~.:t.. -!::':'.!f,.,.,.........,.,.: 7,65 .00 7,65 A1292 PORT LAVACA HARDWARE CARDIO RENOVATION W 066166 113011 112811 122811 25,24 ,00 25.24/ CARDIO RENOVATION 066185 121911 112911 122911 85,95 .00 S5.95..-' TOTALS.....,.,.,.......,."".......,.",.,.. : 111,19 ,00 111.19 A1360 AMERISOURCEBERGEN DRUG COR 228.101 PHARllACEUTlCALS W 037-344937 122011 121411 122511 228.10 .00 PHARllACEUTlCALS 037-346445 122011 121511 122511 18.55 .00 18,55 TOTALS",..... ..... ................,........,: 246,65 .00 246.65 A1553 APPLIED CARDIAC SYSTEMS PM CONTRACT HOLTER SYS 3Y M 23624 '1 " 121911 120711 122311 6066,00 .00 6066.00"/ TOTALS...,.. .~.~:!l.?..t..!! ,1.lP,\ Ri?,......: 6066.00 ,00 6066.00 A1571 AMERICAN HOSPITAL ASSOCIAT AHA DUES F/MEMBER SERVICE 00144342 121911 113011 123011 9071.00 .00 9071.00 ...... TOTALS".",.",....,..,..",.........,.,.,.. : 9071.00 .00 9071,00 A1680 AIRGAS-SOUTHWEST MEDICAL GAS M 107191747 121911 112911 122911 84,02 .00 84,02.1 MEDICAL GAS 10S226408 121911 113011 123011 1890.77 .00 1890,77/ TOTALS........,..,...,........."",.,..,.... : 1974.79 .00 1974,79 A1787 AMERICAN COLLEGE OF HEALTH 325.001 MEMBERSHIP DUES W 12379818 110811 102S11 123111 325,00 .00 TOTALS......,...",.."....,..."",.,.....,. : 325.00 .00 325,00 A221S AQUA BEVERAGE COMPANY 9.891 SUPPLIES LAB M 365619 122011 111S11 121811 9.89 .00 TOTALS........,.""."....,...",.,.,.....,. : 9.S9 .00 9.S9 A2252 NADINE GARNER 33.30/ TRAVEL EXPENSE W 23625 121911 111411 121411 33.30 .00 TOTALS......,.........,.,............,....." : 33.30 ,00 33.30 B0345 BALDWIN COOKE 156.SS / OFFICE SUPPLIES ADMIN W 3012509 120911 112911 122811 156.88 .00 RUN DATEt 12/21/11 TIME. 15.28 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12 PAGE. 4 APOPEN VEND#.NAME"........................ ,CLS.INVOICE#........ .THN DT.INV DT,DUE DT.CK DT. .PC..... ..GROSS.." .DISC..... ,NO-PAy....., ..NET TOTALS..........,......,..,..,...,.....,..." . 156.88 ,00 156,S8 Bl075 BAXTER HEALTHCARE CORP 318.67/ SUPPLIES CS INVENTORY M 33059239 113011 112811 122S11 318,67 .00 TOTALS."."...,...,.....,........".,.,..... . 318.67 .00 318.67 B1220 BECKMAN COULTER INC 311,74/ OUTSIDE SERVICES LAB M 102583525 122011 112911 122911 311.74 ,00 OUTSIDE SERVICE LAB 102591245 122011 120211 010112 450.00 .00 450.00/ OUTSIDE SERVICE LAB 102594512 122011 120511 010312 119S.33 ,00 1198.3V OUTSIDE SERVICE 102594514 122011 120511 010312 8418,OS .00 S418.08'/ OUTSIDE SERVICE LAB 102595044 122011 120611 010312 15890,23 .00 15890.23 ,/ OUTSIDE SERVICE LAB 102597516 122011 120611 010312 30S2.88 ,00 3082,S8~ OUTSIDE SERVICE LAB 102601162 122011 120811 010312 716.90 .00 716.9~ OUTSIDE SERVICE LAB 102601736 122011 120S11 010312 726.00 .00 726.0 LEASE LAB 5252751 122011 113011 123011 53S2.13 ,00 5382.1;/ TOTALS......".",..",..........,....,...... . 36176,29 .00 36176.29 B1230 BECKWITH ELECTRONIC ENGINE / REPAIR ER M E15133 120911 120211 010112 72,85 .00 72.85 TOTALS......"""....,.,........,....,..,... . 72.85 .00 n.S5 C0399 CORPUS CHRISTI PROSTHETICS / SUPPLIES SURGERY 1111006G 122011 111611 111611 103,00 .00 103.00./ SUPPLIES SURGERY 1111006K 122011 101S11 lllSll 5S,OO .00 5S.00 TOTALS.......,.,...,.............",.."..,.. . 161. 00 .00 161. 00 Cl030 CAL COM FEDERAL CREDIT UNI 25,00/ EMPLOYEE DEDUCTION W 17997 122011 122011 122011 25,00 .00 TOTALS".",..........,.....,..."".,.,.... .1 25,00 ,00 25,00 C1276 CARROLL SIGN IlASTERS 1663.00 / CAROIO RENOVATION W 3301 122111 111711 121711 1663,00 ,00 TOTALS......,..,...,.....,............".". .1 1663.00 ,00 1663.00 C1410 CERTIFIED LABORATORIES 297,06/ SUPPLIES DIETARY M 531555 121911 103111 113011 297,06 ,00 TOTALS,..,.......,.,..,.,.,.,....,.........,. . 297,OE .00 297.06 C1443 CYGNUS MEDICAL LLC SUPPLIES SURGERY M 71343 120911 113011 123011 250,00 .00 250.001 TOTALS......................,............... .1 250.00 .00 250,00 C2157 COOPER SURGICAL INC SUPPLIES SURGERY CREDIT M 2014936 122011 040109 050109 -50,40 .00 -50.40'''/ SUPPLIES SURGERY 2741590 122011 120S11 010312 109.52 .00 109.52 TOTALS..",.,..,....,."...,.".....,........ . 59,12 .00 59.12 C2510 CPSI 9337.95j PRIVATE PAY SERVICE M 691227 121911 120711 120711 9337,95 .00 STATEMENT PROCESSING 691501 121911 120S11 120811 29.50 ,00 29.50 RUN DA~E: 12/21/11 ~IME: 15.2S MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIS~ ~HRU DUE DA~E OF 01/03/12 PAGE. 5 APOPEN VEND#.NAME,......"......,.,....,.,..CLS.INVOICE#.,.......~RN DT.INV DT.DUE D~.CK DT..PC, ,.....GROSS.....DISC.....,NO-PAY.."....NE~ OU~SIDE SERVICE ACCOUNTIN 692912 122111 121311 121311 143.85 .00 143.S5/ ~O~ALS,.....",.,...".,.."..",.......,.... : 9511.30 .00 9511. 30 D0356 D'S OU~DOOR POI~R EQUIP IN 37,10/ REPAIR GROUNDS 310917 121911 110311 120311 37.10 ,00 ~O~ALS,.,..."."....."..,.....,.......,.... . 37.10 ,00 37.10 D1125 AMY DAY / FLEX SPEND REII1BURSEMENT W 23630 122011 122011 122011 1000.00 ,00 1000,00 TOTALS....................................... : 1000.00 .00 1000.00 D1153 DARLING INTERNA~IONAL INC, 35,00/ GREASE PICK UP 500.2110874 121911 112311 122311 35.00 .00 ~O~ALS...""....".,..,.,......,..,.,..,.... . 35.00 .00 35,00 F1400 FISHER HEAL~HCARE 709.93/ SUPPLIES LAB M 4S66180 113011 112811 122S11 709.93 ,00 SUPPLIES LAB 5010679 113011 112911 122911 672.48 .00 672.48~ SUPPLIES LAB 50106S0 113011 112911 122911 201. 59 .00 201. 59 SUPPLIES LAB 5226223 122011 120111 123111 752.53 .00 752,53 V SUPPLIES LAB 5226234 122011 120111 123111 385.3S .00 3S5.3S~ SUPPLIES LAB 5226235 122011 120111 123111 3123.89 .00 3123.89 SUPPLIES LAB 5288341 122011 120211 010112 113.96 ,00 113.96j SUPPLIES LAB 5414653 122011 120611 010312 89.81 ,00 89,81 SUPPLIES LAB 5414654 122011 120611 010312 2015.90 .00 2015,90./ ~OTALS...",.....,..,.,........"..,......... . 8065.47 ,00 8065,47 F1653 FOR~ BEND SERVICES, INC 450.00/ MONTHLY CONTRAC~ 0170977-IN 121911 120111 010112 450,00 .00 ~O~ALS".....,.,..,..,....."...."....,.,." . 450,00 .00 450.00 G0120 GE MEDICAL SYS~EMS, INFO ~ 171,0/ SERVICE CONTRAC~ 7363222 122111 120911 010S11 171.00 .00 ~O~ALS.."........",.""...,.,.."..,...... : 171,00 .00 171,00 G1001 GE~INGE USA SUPPLIES SURGERY 7729583 120911 112911 122911 95.0S .00 95.08/ TOTALS....................................... : 95.08 .00 95.08 G1210 GULF COAS~ PAPER COMPAMY 256,41/ SUPPLIES HOUSEKEEPING M 307530 113011 112911 122911 256,41 .00 ~O~ALS....,.,.......,..,..,................,. . 256.41 .00 256.41 H0030 H E BU~~ GROCERY SUPPLIES DIE~ARY M 911872 121911 120111 010112 3S,70 ,00 38.70f SUPPLIES DIE~ARY 913436 121911 120211 010112 157,79 .00 157,79 SUPPLIES DIE~ARY 913450 121911 120211 010112 22,95 ,00 22.95/ ~O~ALS,..,......,..,..,."...,.,...,......... : 219.44 .00 219,44 H0416 HOLOGIC 3696.8/ SUPPLIES SURGERY 6386846 121911 113011 123011 3696.81 .00 RUN DATE: 12/21/11 TIME: 15:28 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12 PAGE: 6 APOPEN VEND#,NAME......,...........,...... ..CLS.INVOICE#,..,.... .TRN OT.INV DT,DUE DT,CK DT, ,PC...... ,GROSS".. .DISC..... ,NO-PAy....... .NET TOTALS..."..".,."............"....,...... : 3696.81 .00 3696,81 Hl148 HEALTH FORCE MEDICAL STAFF 911,8S ./ CONTRACT NURSE MEDISURG W 7532 113011 112811 122811 911,88 .00 TOTALS.......".,...........".....,.,....... : 911.88 .00 911.88 10415 INDEPENDENCE MEDICAL / SUPPLIES CS INVENTORY 0025624041 120911 113011 122911 149.19 .00 149.19 TOTALS..,......,..,......."..............." , 149,19 ,00 149.19 10950 INFOLAB INC 299.82/ SUPPLIES LAB M 3057302 122011 120111 123111 299.82 .00 TOTALS.............................,......... : 299.82 .00 299,82 11100 INSTRUMENTATION LABORATORY / SUPPLIES LAB N 9100923943 122011 113011 123011 1033.54 .00 1033.54/ SUPPLIES LAB 9100924886 122011 120111 123111 98.75 .00 9S,75 TOTALS......,...,.,.."...""....,.,..,...., : 1132.29 .00 1132,29 J1400 JOHNSON << JOHNSON / SUPPLIES SURGERY 906696963 113011 112811 122S11 198.74 .00 19S.74 / SUPPLIES SURGERY 906715342 120911 113011 122911 337.E6 ,00 337,66 TOTALS...,..",.,..,......,.........,..."... : 536.40 .00 536.40 L12SS LANGUAGE LINE SERVICES 210,SO / INTERPRETATION W 2847845 120911 113011 123111 210.80 .00 TO'rALS..... ...."", .,.." ".., ,., .,... .,....: 210.80 ,00 210.80 M2499 MEOTRONIC USA, INC. 135,SO/ SUPPLIES CS INVENTORY W 2507316420 120911 113011 123011 135.80 .00 TOTALS"......., ............. .......... ....." 135.S0 ,00 135.80 M3866 MUSTAIN << ASSOCIATES 495.561 COLLECTIONS W OCT2011 121911 110111 120111 495.56 .00 TOTALS...................,................... : 495,56 .00 495,56 OM425 OWENS & MINOR 95.11'/ SUPPLIES ER IS54413 113011 111711 121711 95.11 .00 SUPPLIES CS INV 1 ER 1855727 113011 112811 122811 283.S5 .00 283,85~ SUPPLIES CS INVENTORY 1855879 113011 112811 122811 18.58 .00 7S.5S SUPPLIES VARIOUS 1856S37 113011 112911 122911 2470: 12 .00 2470,12 ~ SUPPLIES SURGERY 1856842 113011 112S11 122811 5S0.42 ,00 580.42 SUPPLIES SURGERY 1857080 120911 113011 123011 90,23 .00 ) 90.23 / SUPPLIES SURGERY 1857115 120911 113011 123011 18.89 .00 18.89 ) SUPPLIES ER 1857183 120911 113011 123011 53.46 ,00 53,46 SUPPLIES CS INVENTORY IS57210 120911 113011 123011 110.40 ,00 110,40 :) SUPPLIES VARIOUS 185782S 120911 113011 123011 1610.52 .00 1610.52 SUPPLIES SURGERY 1857829 120911 113011 123011 15,3S .00 15.38 ./ SUPPLIES CS INVENTORY 1856624 121911 112911 122911 79.68 .00 79.6S /' TOTALS.......,......,..,......,....,.,.."... : 5486.64 ,00 5486.64 P2100 PORT LAVACA WAVE 3433.92 ./ ADVERTISING W 195 113011 112811 122811 3433,92 .00 RUN DATE. 12/21/11 TIME. 15.2S MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12 PAGE. 7 APOPEN VEND#.NANE........,.,.,."..,.,..,...CLS,INVOICE#.".."..TRN DT,INV DT.DUE OT.CK OT,.PC.......GROSS.,...DISC.,...,NO-PAY........NET ADVERTISENENT 199 121411 113011 123011 3987,42 .00 55'3.5:>- 19117.4:1 TOTALS......"..........",...,.....",.,.... . 7421.34 ,00 7421,34 .3"g7. '1Z P2200 POWER ELECTRIC 18.92 ,/ SUPPLIES BIOMED l1 156S25 121911 112911 122911 lS.92 ,00 SUPPLIES PLANT SERVICE 156842 121911 113011 123011 9,07 .00 9.07/ DEPT REPAIR LAB 156904 121911 010211 010112 2,98 .00 2.9Sv DR OFFICE RENOVATION 156798 122011 112811 122811 l1,OS .00 11. 08/ TOTALS....................................... : 42.05 .00 42,05 P2370 PROGRESSIVE DYNANICS MEDIC ./ SUPPLIES SURGERY M 128497 120911 112911 122911 91.08 .00 91.08 TOTALS.............,."......"...."......., . 91.08 .00 91.0S R1321 RECEIVABLE MANAGEMENT, INC 564.68/ COLLECTIONS l1 110111-113011 121411 113011 123011 564.68 .00 TOTALS",....,..... ..... ....... ..........,.... 564.6s ,00 564.6S R1469 MARIA 0 RESENDEZ EMPLOYEE DEDUCTION 18003 122011 122011 122011 212,31 .00 212,31""""- TOTALS..."",.,.........",.".,.....,....., . 212,31 .00 212,31 S2400 SO TEX BLOOD & TISSUE CENT BLOOD BANK CREDIT M 20115602 122011 120211 010112 -486,00 .00 -486.00::/ SUPPLIES BLOOD BANK 20115663 122011120211 010112 E4S4,OO ,00 64S4.00 TOTALS,..........,..,.".,......"".,.".". . 599S.00 ,00 5998.00 S2951 SYSCO FOOD SERVICES OF 901.03~ SUPPLIES DIETARY M 112010599 121911 120111 122111 901.03 .00 SUPPLIES DIETARY 1120S0504 121911 120811 122S11 1093.19 .00 1093.19 TOTALS.",....,...",..,..........,.,........ . 1994.22 ,00 1994.22 S3960 STERICYCLE, INC OUTSIDE SERVICE 4003032264 121911 113011 123011 789.04 .00 7S9.04 V TOTALS.,.......,..",......,......,.,........ . 789.04 .00 789,04 T0500 TEAll REHAB ! INTERIM BILLING l1 23633 122111 122011 122011 15000,00 .00 15000,00 TOTALS....................................... : 15000.00 .00 15000.00 T0801 TLC STAFFING 466,80/ CONTRACT NURSE l1 96S3-1 113011 112911 122911 466,80 .00 TOTALS.........,.,.,........."",.".,.,.... . 466.80 .00 466.80 T1751 TEXAS CHILD SUPPORT SDU 197.08 ./ EMPLOYEE DEDUCTION l1 17999 122011 122011 122011 197,08 ,00 TOTALS. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . : 197.08 .00 197.08 T1900 TEXAS ELECTRICAL SUPPLY 166,50/ SUPPLIES PLANT OPS M 24625 122011 120611 120611 166.50 ,00 TOTALS,.....,....,...,......."..,......,.". . 166.50 .00 166,50 T2230 TEXAS l1IRED MUSIC INC / MUSIC SRV l1 A652020 121911 120111 120111 59.95 .00 59.95 RUN DATE. 12/21/11 TIME. 15.28 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12 PAGE. 8 APOPEN VENDn,N1IIIE....,....",...".....".. .CLS,INVOICEn,.",... ,TRN DT,INV DT,DUE IlT,CK 1lT. .PC..".. .GROSS..,. ,DISC.,.,. .NO-PAY....". .NST MARKETING ON HOLD A652021 121911 120111 120111 13.95 .00 73,95 .,/ TOTALS........................................ 133.90 ,00 133.90 T2303 TG EMPLOYEE DEDUCTION W lS004 122011 122011 122011 143.82 .00 143.S2 ./ TOTALS,.....",.,.",.......,...,...,..",... · 143.S2 .00 143.82 T2539 T-SYSTEM, INC. 3922,0/ TSYSTEM ER W 3533 113011 113011 123011 3922,00 .00 TOTALS...",....".,..,...,..",.,...,......, . 3922.00 .00 3922.00 n050 THANE COMPANY 61.49/ DEPT REPAIR MED SURG M 59S0231Rl 120911 113011 123011 61.49 ,00 TOTALS.",.....,..,.....,.......,............ . 61.49 .00 61.49 T3130 TRI-ANIM HEALTH SERVICES I 108,37/ SUPPLIES CARDIO M 60525410 122011 120711 122711 108.37 .00 TOTALS..."..,.,..,."......,...,...,.....". . 108.37 .00 10S.37 Ul054 UNIFIRST HOLDINGS 32,5V LAUNDRY MAINTENANCE W S150552557 113011 112911 122911 32.54 ,00 TOTALS...,.....,........"".",.......",... . 32,54 ,00 32,54 Ul056 UNIFORM ADVANTAGE 170,980/ EMPLOYEE PURCHASE SCRUBS W 4193517 120911 112811 122811 170.98 ,00 TOTALS...,.....,.....,..",...,.,....."..... . 170,9S .00 170,98 Ul064 UNIFIRST HOLDINGS INC 680,36/ LAUNDRY HOSPITAL LINSN 8400117805 113011 112911 122911 680.36 .00 LAUNDRY HOUSEKEEPING 8400117806 113011 112911 122911 174.44 ,00 174.44/ LAUNDRY PLAZA 8400117807 113011 112911 122911 180,78 .00 lS0,7V LAUNDRY DIETARY 8400117808 113011 112911 122911 111. 24 .00 ,/ 111.24/ LAUNDRY OB 8400117809 113011 112911 122911 86.70 .00 S6.70 ,/ LAUNDRY HOUSEKEEPING 8400117810 113011 112911 122911 44.23 ,00 44.23 ,/ LAUNDRY HOSPITAL LINSN S400118006 120911 120211 010112 608,7S .00 60S.78 LAUNDRY SURGERY 8400118007 120911 120211 010112 340,57 ,00 340.57 ./ LAUNDRY 08 8400118493 121911 121311 011211 S6.70 .00 S6.70./ TOTALS,.......,..,.....",.............."... : 2313.S0 ,00 2313.80 U1400 UNITED WAY OF CALHOUN COUN 144.50 ,,/ EMPLOYEE DEDUCTION W 17996 122011 122011 122011 144.50 .00 TOTALS..."....,.,.,.......,.......,.,...,.., . 144.50 ,00 144.50 U1500 UROLITHIASIS LABORATORY 26.001 OUTSIDE SERVICE W 11M457811 122011 113011 123011 26.00 ,00 TOTALS...,....................,..,.....,...,. . 26,00 .00 26,00 U2000 US POSTAL SERVICE 190.0/ BUSINSSS REPLY PERMIT 23627 122011 121511 121511 190.00 .00 TOTALS....................................... : 190.00 .00 190.00 V0552 VERATHON INC INSTRUNENT MED/SURG 77296 122011 120711 010611 950.00 ,00 950.00/ RUN DATE: 12/21/11 TIME' 15,28 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12 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 TELEPHONE W1131 SUE WILLIAMS ,/ FLEX SPEND REIMBURSEMENT 950,00 TOTALS.",..",.,..,."...",.....,.."...", , 950.00 .00 M 5512513120711 122011 120711 010112 5526713120711 122011 120711 010112 5528103120711 122011 120711 010112 5537S03120711 122011 120711 010112 TOTALS.",......"....,.."....,.,...,.."... : 234.19 1281.35 47.71 293.05 1856.30 ,00 .00 .00 .00 .00 I q;{,7& - 234.19 1281.35v' 47,71...-' 293.05 ./ ...---J,806-.JO- /81'l.8'1 157.511' 157,51 23631 122011 122011 122011 TOTALS...,...".....,..,......."...,....,... , 157.51 157.51 ,00 .00 GRAND TOTALS.,.,.,..,....,..,....,.,.,....,..: 194581.95 .00 194581.95 c..~IQlV {<71~21.3~> p~ 1 -+ 3/J~7 ,'-/2- ~olr\D"l- ~ -</&5t...,0) f'~ q '( fI,'ilI'l. jf/ jlql,ID<<>'b;;L ~ ~ 4 _ -t 3bo,fP _ I lItj Ybb./':'?- Cl{s~ fLf&4'A0 +D it 1~0511 ~ :II Ji? '16/ JJI'i& ~11 fj I '/1/1 10 j&.uLJ.W 1- Michael J, Pfeifer Calhoun County Judge Date:-1J--J-.'i-1I o:!.,l?lilliK\O\Y\E,[)) ~:IEe 2: 2 2011 Q~(lJ',1N\1'i1 Alf,IUlDill't)ff; + ef.~ jI--\ioL\54 \Jo\be.d -h:. c.o... f e. c. ~ \llU\~ 0' ClA'\d reo ,$S't.<.e.d c.\<. ~ jl..lio63f? ..:k'-<~ U.S. PbS...l,o...\ SeroJic..e.. to\" e"....SI "e,.SS Re.p'i '\G\.\ l l\cc-\-. (-n\\S c\~ Mde.A l>W!- +0 c.~c.y:>p(,o\Je..d ol"\be..c..I&;t.' wa.S ;"clu..Je.cl wl$I,2..b~ cl<'- +0' L,\..~Pos'ia..\ Se'l"-.): c..e. -t!or' f'os+""e.. N~cl .:<. .5:e.re-ra..-te.. ok-S. C.OlY'.(>u..+e.<' <j e-ne.rQ.,-I-e.d Dne so. -1 (0-/)D W$n+ -hJ f,s.Jt:1,je. "f- Cll ., _ ~ A t.J _.1.. I J, I.J6 ~ ......... _ J ~ _1 \ RUN DA'l'E: 12121/11 'l'IME: 15:41 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl PAGE 2 !PCDEDI'l' PA'l'IENT NUMBER ------------------~~--~_:-:__::_-~::-:::----~--:::-----~;~~~-------;;;:~~-;;;-----------------l~=--~[-----[----I-~---i--~--j----------- PAYEE MAME DATE PAY PA'l' AMOUNT CODE 'l'YPE DESCRIP'l'ION GL NUM 12111 45,001 12111 101.19/ 12111 283.201 12111 283.32 ./ :2111 1047.461 ,2111 391. 88 I 2111 1009.60 I 2111 1072.70/ 1111 1151. 36/ 1111 S07.68/ 1111 184.49 I 2111 255.411 ~111 400.00/ 2111 1E31.85/ 2111 47.84/ RUN DATE: 12/21/11 TIME: 15:41 MEMORIAL MEDICAL CEMTER EDIT LIST FOR PATIEMT REFUNDS ARID=OOOl PAGE 3 APCDEDIT PATIEMT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUN ~------------~----------~----- -~--- --------------------------------------------------------~------------+- , 122111 62,281 122111 175.67.... 122111 151.46/ 122111 111. 59/ -------------------------'----------------------------------------------------------------------------------------------------------- ARID=OOOl TOTAL 9753.14 ------------------------------------------------------------------------------------------------------------------------------------ TOTAL 9753.14 // ~/ C,,!<s ,:/::I 1~1o.5"I'i? TO ;Ji;141",637 /lLiJ4 () b[!_ IVIiGh::'lel ..1. Pf~~~F~ ',';;:::l~!'~!r;~ \\') (-'/"1 H''jhr i< j"Jgzo\ ~,c~,._J J_"''J~. " .....lJ ~"I_'", ...1... \'. >;:... Dal:0;:~_..__..~.. RUN DATE, 12/28/11 TIME, 14,40 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE: 1 APOPEN VEND#.NAME........................, ..CLS.INVOICE#....... ..TRN DT,INV DT.DUE DT.CK DT ..PC,..... .GROSS... ..DISC.... ..NO-PAy....... ,NET 10032 PHILIPS HEALTHCARE 923574234 121911 120911 010812 151. 20 .00 TOTALS. ..;M.I',!?He.l'..--:. :~.~hI...,..,.."., 151. 20 .00 10042 ERBE USA INC SURGICAL SYST 201505 122011 120811 010712 2005.25 ,00 TOTALS..~!!.-p. ~;(.!i.7, .O,~..,..",........, 2005.25 .00 10101 RELAYHEALTH, INC. T755503 122311 120111 123111 1780,27 .00 TOTALS". .~.\.\'~c-l-.l.OY)$....,..."....",., 1780,27 .00 10204 PHARMEDIUN SERVICES LLC A555606 122011 120611 010512 293.75 .00 TOTALS.. , H:.M,p.\ ..\'-o;I,l.,!Xl: eA$,......,.." 293,75 ,00 10239 T&R MECHANICAL B11-0652 R 120911 120811 010712 7680.00 ,00 TOTALS. .. , f1lA:i r.$. ;-; .. . #.1. ~:.l!~. \, , 76S0.00 .00 10326 PRINCIPAL LIFE 1800S 010112 010112 010112 1827.82 ,00 TOTALS,.. .:+.:,(\..$.'kH',nl'.'l-.."...".....,..: lS27 , 82 .00 10333 SUNTRUST EQUIPMENT FINANCE 1434217 122711 120711 010112 22688.57 .00 TOTALS...o. f.An.. m f'?. \..;\?~ mM.-+'." 22688.57 ,00 10350 CENTURION MEDICAL PRODUCTS 9090165S 120911 120511 010412 259.68 .00 90903960 121911 120711 010612 719.68 .00 TOTALS. :$l-If.f,l(l'.,s, ,;-, ~~<:\l...l.;S; n~~(\+or7 979.36 ,00 151.20/ 151. 20 2005.25 v 2005,25 1780,27/ 1780.27 293,751 293.75 7680.00/ 7680,00 1827.82/ 1827.S2 22688,57/ 22688.57 259.6S / 719,68 v' 979.36 10417 ENTRUST INSURANCE & BEMEFI 30663590 121911 120511 010412 SC-51),I,3-1 122011 120711 010612 TOTAJIs':'.$l-If.p.lV?$..;,; .\~~, '),:.'(),'l~t?-r,1' @ S...." \ c.e. P.~n'-"""-""~ "/U/?"Ol' 23647 010112 010112 010112 TOTALS ::t::..;I:-,-$,o,+,( .4<'f\.~. . . . . . . . . . . , . . . . , : 183.56 .00 37S0,OO .00 3963,56 .00 +0 I'/,q/?.I> 12. o 183.56V @ 3780.00'/ 3963,56 103S1 CAREFUSION 211, INC 12940.07 12940.07 .00 .00 12940.07/ 12940,07 10488 GE HEALTHCARE IITS USA COR 030000018433 122311 111811 121811 TOTALS,C>.e.7.. ~;r:-1)l+AA. .~.Qfm:>M~., . l'\o.....">,, Fee. '::!::.'" S-\-....l\......~-\- 3984.00 3984,00 .00 .00 3984.00"'-- 3984.00 04-133009 121911 120711 010612 TOTALS. .:?''l-:rf\'e,~ ."'..,. '~H-1"f'. ~;.~,.$.,." 7072,00 7072.00 .00 ,00 7072.00/ 7072,00 10522 BIOMET INC 18010 '"'B.e.\ M '0 122711 122311 122911 977.65 - l"\. ~ \ \!t\.~ e.. .:.vo..J -rl"....l "ln~ Fee.S - i'J\.c..,I,e.r:a..\S .00 cn~. '1'3 r 10528 RICK HART RUN DATE: 12/2S/11 TIME, 14,10 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE: 2 APOPEN VENDU,NAME.......................... ,CLS.INVOICEU..,..... .TRN DT,INV DT,DUE DT.CK DT..PC,.... ..GROSS... ..DISC.... ..NO-PAy...... ..NET 10536 MORRIS. DICKSON CO, LLC 1055E CPP WOUND CARE U28,LLC 10598 GLENN CRISP 10601 NOBLE AMERICAS ENERGY 10647 MICHAEL J. DICLEMENTE, NO 10684 COASTAL BEND FITNESS SERVI 106SS SAN ANTONIO ENA A1292 PORT LAVACA HARDWARE A1350 ACTION LUMBER TOTALS............,...............,.........., 977 .65 2897097 122311 121911 011012 2S97098 122311 121911 011012 2900111 122311 122011 011012 2900112 122311 122011 011012 2901205 122311 122011 011012 CM20631 122311 121611 011012 CM21467 122311 121911 011012 CM22068 122311 121911 011012 2904408 122711 122111 011012 2905526 122711 122111 011012 290617S 122711 122111 011012 2911394 122711 122211 011012 2911395 122711 122211 011012 CM22717 122711 122111 011012 CM22718 122711 122111 011012 CM23279 122711 122211 010112 CM21468 122811 121911 011012 TOTALS. . \-;\R~; :k+,\. .r:kd~l ~ \-':f. p, U, e.$ 1344E 122311 113011 123011 TOTALS, .W~Q.,. Ca.J.'?<......,.......,.., 11893,05 45.83 339,73 3411.80 21,04 -232.08 -36.16 -70.38 289,83 169.38 53,26 32,97 S96.00 -666,81 -4,Sl -9.46 -72.31 16060,88 19555.00 19555.00 23642 122311 121811 011012 44,40 TOTALS.. .1\\,.l.(~~,(.,. .~.+,1.~.I;>..;-..~~~/pr 44.10 3570002093560 122811 122311 010212 TOTALS..,.u. +.:.1;. t.i .'1-:~......"....,..,.." 26011.15 26011.15 18011 122711 122311 122911 30586.59 TOTALS. ~(>.~. .;,q H. .G-.","MMt;l;~!!,. .f.~I'I..n~ 30586.59 Les.s ~u.lf''''''''''''-\- o..lre<>-<4 P"': cl F"o( +0 R...""o...n d.+ f'1.t' 673 122311 113011 113011 77.50 TOTALS.:!\'l1.f'Q.I.r.,.,s..: "...............: 77.50 18017 f\ 122811 122811 122811 TOTALS... ,~,: :H',(~*:,9:{)" f.~'l-,..,....., 200.00 200.00 W 06638S 121911 120811 010712 32.21 TOTALS.. ~A-~.,.S\, ,:.D.la.. .CM.d.::O....,: 32.21 W 23091 121911 120711 010612 31.50 ,00 Q78,Q3 ~ ,00 11893.05 / .00 15,S3.! ,00 339.73:; ,00 3111,80 .00 21.01/ ,00 -232.08 ~ .00 -36,16 .00 -70.38/ .00 289.83/ ,00 169.38/ .00 53.26/ .00 32,97/ ,00 896.00/ .00 -666.81/ .00 -1,81/ ,00 -9.46/ .00 -72.31 ,/ .00 16060.88 ,00 19555.00/ .00 19555.00 .00 44.40/ ,00 44,40 .00 26041.15 ,/ ,00 26041.15 .00 30586,59/ .00 30586.59 ,00 77.50'/ .00 77 ,50 .00 200,00/ .00 200,00 .00 32.21/ .00 32.21 .00 34.50 / RUN DATE: 12/28/11 TIME: 14.40 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE: 3 APOPEN VEND#.NAME.....................".., ,CLS.INVOICE#..,..... ,TRN DT.INV DT.DUE DT.CK DT..PC...... .GROSS,.. ..DISC.... ..NO-PAy...... ..NET 23110 121911 120S11 010712 55.54 .00 55.54/ TOTALS.. .ts.p,.p.P.-.\,r.s,..."...,..,.."...,.: 90.04 ,00 90,04 A1360 AMERISOURCEBERGEN DRUG COR W 037-081274 112911 110811 112511 -291.92 .00 -291.92 ,/ 037-348304 122011 121611 011012 5.08 .00 5,OS ...... 037-34S305 122011 121611 011012 124,07 .00 124.07 ,/ 037-350581 122011 121911 011012 294.20 ,00 294,20"- 037-354S79 122711 122011 011012 35.16 ,00 35.16 V TOTALS.." ~p.:?r..11l-~.. rA,,e..w./ ~,'+--tlr-!\e.$ 166.59 .00 166.59 A1645 ALCON LABORATORIES INC M 124992S8 121911 120711 010f~ 159.00 ,00 159.00/ TOTALS., ~."'i'.(?\':,4'-.~..:-.. :)?~..,. .~;>,!+.\"S 159.00 .00 159.00 A1680 AIRGAS-SOUTHWEST M 10722E465 122311 113011 123011 221. 50 .00 221.50/ TOTALS, .M...eMt.<;>,~.. ,~.......;....,..,: 221. 50 .00 221.50 A1790 APLAC W 23645 122311 122311 122311 7S.00 .00 cD 78,00/ 23646 ~ 122311 122311 122311 CI> 3440. S4 ,00 (i) 3440.84/ TOTALS,.. ,nl$\..~ ..'::>M.",.\c;.~..~,'!-A-:':.: 351S.84 .00 3518.84 A2276 ARTHROCARE CORPORATION M 90803939 122011 120811 010712 16.00 .00 16,00/ TOTALS. .?,~,f! ,\\ ~~.,....,....."...,...: 16.00 ,00 16.00 A2345 AT&T MOBILITY S26431294X121920 122311 121111 010612 2.41 .00 2.4 V TOTALS.. :7'i-:(f,f,IlP.?,t:..-...,.......,.."...,. 2.41 ,00 2,41 A2600 AUTO PARTS & MACHINE CO. 21,361 W 606910 122311 071111 122111 21.36 .00 TOTALS,.. ~?f.'i'\-l.~!?".,..,......,..........: 21,36 .00 21.36 B0437 C R BARD INC M 433106S8 122811 120711 010612 74.00 .00 74.00./ TOTALS. .5.1+f1f?\\ ~$..-:,. h-~.. -;"n ~-YI'<j 74.00 .00 74.00 B1075 BAXTER HEALTHCARE CORP M 33146296 121911 120511 010412 452.02 .00 452.02/ 33170407 121911 120711 010612 36,95 .00 36.95/ 33146295 122011 120511 010412 276.90 .00 276,90/ 33186666 122011 120811 010712 ~ 713,60 .00 713.60 ../ TOTALS. 's'-"'f\?\.:.e..s.~,. .Ci'? ;r;.. \'l ~...... <.::J 1479.47 ,00 1479,47 B1220 BECKMAN COULTER INC 1947,48/ M 102594506 122011 120511 010412 1947.48 ,00 102597517 122011 120611 010512 81. 24 .00 81.24/' TOTALS. ,~,p.l~,e,s.",.. .':-:'1':->>,..,.."..". 2028.72 ,00 2028,72 B1320 BEEHLEY CORP 125.95 / M INV745599 121911 120711 010612 125.95 ,00 Sv-f\'" \~e.>- CT Sc..e..."'f\~nj RUN DATE: 12/28/11 TIME: 14.40 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE: 4 APOPEN VEND#,NAIIE....,..,................. ..CLS.INVOICE#,....... ,TRN DT.INV DT.DUE DT.CK DT..PC...... .GROSS... ..DISC..... .NO-PAY....... .NET TOTALS....................................... : 125.95 .00 125.95 B1655 BOSTON SCIENTIFIC CORPORAT 784,00 ./ M 930734148 121911 120511 010412 784.00 .00 TOTALS, ;$.lHflfl J.,'I','l>,.,.. ,$i\+t'('.'\ M,i....... 784.00 .00 784.00 B1800 BRIGGS HEALTHCARE M 6325257RI 121911 120Ell 010512 24.12 ,00 24,12 ,/ 6327043RI 121911 120711 010612 lS.31 ,00 18,31/" 6327691RI 121911 120711 010612 122.9S .00 122.98 ,/ TOTALS.. .$.."'i"fo',\,;.~", ::;'.'kl':~,'\-;'\ ,:;.'1:',.. 165.41 ,00 165,41 CS:t:.....,)~......:-3 Cl0l0 CABLE ONE W 121611-011512 122311 121Ell 122511 354.95 ,00 354,95/ TOTALS... kli, H ;~i.~~.....,...........",.: 354,95 .00 354,95 C1510 CHUBB SECURITY SYSTEMS INC 27.56 ./ M 7020364241 121911 120611 010512 27,56 .00 TOTALS. rA-."l !,~*-'v;-..y .f,iff.. MM.!'I'.. ,fj\:W\-\-.(\~ 27.56 ,00 27,56 C1730 CITY OF PORT LAVACA W 18014 122S11 120911 010612 482.80 .00 482.80""- 18015 A-' \. 1;22811 120911 010612 3852.35 ,00 3852.35/ TOTALS. .l/.;, .'..! :b,~,..,.".,...,....,.",.. 4335,15 ,00 4335,15 C2510 CPSI 0232,28/ M 692350 122311 121211 123011 232,20 ,00 693817 ~ 122311 122011 122011 255,20 .00 @ 255.20/ 693192 I e, 122~21411 011012 51.33 .00 ~ 51.33 ~ T~.......R~.,.. ..l,.!+:\;'~I1i.........,. 538.73 ,00 538,73 3 S-\-"'--\.e.""-..........-'<- Pf'OC.esSl....~ C2698 JACKSON CROSS 900,00/ 0000001 f) 122311 122hl 122011 ~ ,.(" }::., 900.00 ,00 TOTALS.... e.r':1+.\. r."..-;.. R;I; ..w.~ ,l}!..\aA 900.00 .00 900.00 '+ :t;.."s.-\-<l-l\ D1503 ANNETTE DELGADO W lS014 122~1 122111 122911 335.U ,00 335.44.-/ TOTALS... f..l~...,... Mm-.'t>,.....!'.... f:11)~+- 335,U ,00 335.44 Fll00 FEDERAL EXPRESS CORP. W 7-719-12956 122311 120S11 122311 22,62 ,00 22.62 ,/ TOTALS. :1>.'i!.\,.'J t:-r'i" .~,f!...~.,..,..",.,: 22. 62 .00 22,62 F1400FISHER HEALTHCARE M 5414655 122011 120611 010512 125.08 ,00 125.08/' 5414656 122011 120611 010512 348,23 .00 348.23/ 5483871 122011 120711 010612 397.70 .00 397.70/ 54S3873 122011 120711 010E12 334.69 .00 334.69/ TOTALS... Lo..b,.~.. ~.I--w{?~).\~......,.. 1205.70 ,00 1205,70 G0100 GE HEALTHCARE W 524E447 122711 120511 010412 3387.33 ,00 3387,33 / Senl\ o:.e. c.on~f''''(.+ _ X. t' "-') RUN DATE. 12/28/11 TIME: 14.40 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE: 5 APOPEN VEND#,NAME................",....,.. .CLS.INVOICE#......., .TRN DT.INV DT.OUE DT,CK DT..PC..... ..GROSS.., ..DISC..... .NO-PAY...... ..NET 5246448 122711 120511 010412 435.75 .00 TOTALS.. ?M.\l.I.I'-.~. .~:()~.('M-;\:.;-; x-"Mj 3823,08 .00 G1001 GETINGE USA 7731445 121911 120811 010712 70.71 .00 TOTALS.. 'sM-ffl); e.$,.,.., .;;?'f-;i".~,'k'<:'~,.,...: 70.71 .00 G1210 GULF COAST PAPER COMPANY M 311212 120911 120611 010512 7.65 .00 TOTALS, ,c;,..\~~.r;'\\),. ..:s.\+;'f'.r.'.:. ~~..,.. 7.65 ,00 H0030 H E BUTT GROCERY M 921570 121911 120611 010512 24.55 ,00 926790 121911 120911 010812 185,01 .00 TOTALS, )>.,:, e.-:'n:I..,,~. .$..""f.? ,1.\ ~~...: 209.56 ,00 H0947 HALL WIRELESS 10061608 120911 120611 010512 47.93 ,00 TOTALS..?r+.f.'p .I,:,~? t:, :~~r:.:t.. ~\~,~~ 47.93 .00 H1100 HAYES ELECTRIC SERVICE W A2111127-08 122311 112711 122711 95.00 ,00 A2111207-04 122311 120711 010612 67,70 .00 TOTALS. .:R.~.c;..,.)., r.~..,.,.....,.....,....: 162,70 .00 H1227 HEALTHSURE INSUHANCE SERVI 435,75'/ 3823.08 70.71/ 70.71 7,65-' 7.65 24.55/ lS5.01/ 209.56 47,93/ 47,93 95.00/ 67.70/ 162.70 18012 010112 120811 011012 10769,00 ,00 TOTALS.J?;,rse.c;.;tp.r ^ .p,.n9..o,Q.~.:,<;..~~: 10769.00 .00 1\("\ l\v.A-\ \...S-\a..I\.......e...n.!, - L.o..'o: \:+'1 -:enS. prf..\'Y\~""M. 10769.00'/ 10769.00 H1399 HILL-ROM COMPANY, INC M 9141382~ 1~311 113011 123011 TOTALS.. r.?~.. 1':\ ~~~~....,.".."..: I0415 INDEPENDENCE MEDICAL 0025664795 121911 120611 010512 0025674367 121911 120711 010612 00256S3068 121911 120811 010712 0025654573 122011 120511 010412 ::\0 TOTALS...5.""f.p.ljf!,.~.-:-..~, .-;l;..<;\ i),~.. .'ij I0520 IKON FIHANCIAL SERVICES M 86104S69 121911 120911 010512 TOTALS.,.~~~~~,........"..,..,.."..: I0950 INFOLAB INC M 305S454 122011 120511 010412 3059102 122011 120611 010512 3059352 122011 120611 010512 TOTALS... .'-:-A..b.. .~l+:\?{?U.~~/.Uf'.<;1},~ <as 11263 IVANS W 11D0194479 122311 121211 010312 ~c Il e.-;-\l....1.,........ c..k,\ -e. S 304.00 304.00 23.91 27.69 35.55 37.02 124.17 4690.00 4690.00 570.74 315.39 76.30 962.43 80.06 .00 ,00 304.00'/ 304.00 .00 .00 .00 .00 ,00 23.91 ,/ 27,69 ,... 35,55 ,... 37.02/' 124.17 .00 .00 4690.00/ 4690,00 .00 .00 ,00 .00 570,74'/ ,...,.- 315.39/ 76.30 962.43 .00 80.06 / RUN DATE. 12/28/11 TIME. 14.40 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE. E APOPEN VEND#.NAME....".,.................. .CLS,INVOICE#...".., .TRN DT.INV DT,DUE DT.CK DT, .PC..,.., ,GROSS..,. .DISC...., ,NO-PAy.....,. ,NET TOTALS....................................... : SO.06 .00 80.06 J1400 JOHNSON << JOHNSON 906744537 121911 120611 010512 1715.27 .00 1715.27 .,/ TOTALS. ...sl'.-ff',li,~~.-:". ..,~*,Cfj M'T'" 1715,27 .00 1715.27 MU05 MALLINCKROOT LLC W 15572319 122711 102011 111911 6420.00 .00 6420.00....--- TOTALS.. ~~,<:~.. .'hf>.p.<:!'l lJ.lI-d",........ 6420.00 ,00 6420.00 RT" "e."-\-,, \ 1.\...+1>< - 1'I\.e.~ I\SSe.+S c.C>.....~...cA- M2621 MNC AUXILIARY GIFT SHOP ./ W 18009 122711 122711 122911 862.92 .00 862.92 TOTALS.. .9.CM).r.o.l.l. .1>.e.~.'4.k-.+-... An,!?,..,. 862.92 .00 862,92 M2650 METLIFE W 23648 122311 122311 120111 275,32 ,00 275.32 V TOTALS,.::+:. n;>,w.'i.<Hli'i'-!:--...........,.,.,.,. 275.32 .00 275.32 M2659 MERRY X-RAY- SAN ANTONIO M 469410 121911 120811 010712 2499.70 .00 2499.70 ,/ 469432 121911 120911 010812 84.88 .00 ./ 84.88/ 467988 122711 113011 123011 244.50 .00 244.50 TOTALS...;s.'hf.'f'\\(!,~' ::, X~f).~~\I.~,~:+:S . 2829,08 .00 2829.08 M2827 MINNTECH CORPORATION 186,00 / M 129S370 121911 120611 010512 186.00 .00 TOTALS.. ~'~'f'\':'f..~ c... i'i-.':-';-,<:~.{i-.{!-(,.". lS6.00 .00 186.00 00450 PATRICIA OWEN W 18013 122711 122711 122911 160,00 .00 160.00....... TOTALS.. .f.'~t.l',\.. .\;\,~.:.'r.':'.\o:w:~.~m-,~~-\- 160.00 .00 160.00 OM425 OWENS << MINOR lS57703 120911 113011 123011 276.00 .00 276.00/ 1859835 120911 120611 010512 104.45 .00 104,45./ 1859S45 120911 120611 010512 29.13 .00 29.13 .... lS59874 120911 120611 010512 8.01 ,00 8.01 ,; 1860175 120911 120611 010512 437,79 .00 437,79/ 1860555 121911 120711 010612 73.24 .00 73,24.1 1861082 121911 120711 010612 53.46 .00 53.46/ 18610S4 121911 120711 010612 55.41 .00 55.41 / lS61835 122011 120911 010S12 100,23 .00 / 100.23/ 1862318 122011 120911 010812 9.60 .00 9,60 182432S 122311 092011 102011 200.48 ,00 200.48 1 1857056 122311 112911 122911 282.88 .00 282.88/ 1860192 122311 120611 010512 3059,55 .00 3059,55/ 1861522 122311 120811 010712 1273,47 .00 1273.471 TOTALS. ,.;$".,""t'l~. \ i ~ ..... ~ ~'\.: A >>f,~+S' 5963.70 .00 5963.70 P2370 PROGRESSIVE DYNAMICS MEDIC M 128540 121911 120711 010612 205.16 .00 205.16 ,/ S"-1J''f'\\e.s;- S'-'-~"I~"'1 RUN DATE. 12/28/11 TIME. 14,40 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE, 7 APOPEN VEND#.NAME..,.............""...., ..CLS.INVOICE#........ ,TRN DT.INV DT.DUE DT.CK DT, .PC..,.. ..GROSS,.. ..DISC.... ..NO-PAy...... ..NET TOTALS.......,............................... : R1268 RADIOLOGY UNLIMITED, PA w 23643 122311 102711 112711 TOTALS...,. Reo..J:.I>.~" F.~,~,s..,..,..,..... S1210 SEARS ROEHUCK & CO w 026175212617 122311 121411 011311 TOTALS....."I;; ;~.~,~,(....,.".......",.,... S1405 SERVICE SUPPLY OF VICTORIA W 7005918S6 122111 121311 011012 TOTALS.. ,f.\t.t'>I\..\. r...~.~. .~~i .!~f........ S1800 SHERWIN WILLIAMS W 0932-4 122811 121911 011012 0994-4 122811 122011 011012 1022-3 122811 122111 011012 TOTALS,., .R"-fl"h' r.f.....,.........".,.". S2001 SIEMENS MEDICAL SOLUTIONS M 205,16 420.00 420.00 68.97 6S.97 1145.00 1145.00 145,02 118,45 82.11 345.58 95615797 122711 112911 122911 697.5S TOTALS., ..::ieA".'H~.$-,~,. ,~i1.':1~~.d.':':.~" 697,58 S2679 THE ST JOHN COMPANIES, INC M 0773S758 121911 120611 010512 298.08 07738761 121911 120611 010512 205.21 07742693 122011 120911 010812 205.00 TOTALS.., .?I-Ifo f. .l.\, f!;$,,:, .r:',\<M1}mR,~..CS 708.29 ,...~4to~'f S2694 STANFORD VACUUM SERVICE M 941963 122811 120611 010512 TOTALS. ,{?r.~,~M.. ::1.<""1':.. ~<;-.r.o:-f,M. 'R<w\- S2S30 STRYKER SALES CORP M 602827A 121911 120611 010512 TOTALS...$. ~-\?\,l,,+-,~,~,. .TiiI+1(','l'~~"'" S2903 SUN COAST RESOURCES, INC NOV2011 F 122311 120611 010512 TOTALS...... .~.~,\,..........,.......,....,.... T0500 TEAM REHAB W 23643 122311 122111 122111 TOTALS. ::~.I,\,"".~r;\ m. ,~: )'\';'~6""""" T0801 TLC STAFFING W 9705 120911 120611 010512 TOTALS., .c.-.C;>.D:n:~...M.. NI+~:;; ~:;,...., T1724 TOSHIBA AMERICA MEDICAL SY 320.00 320.00 289.46 289.46 184.13 184,13 15000.00 15000.00 3771,14 3771.14 2551500 122711 110111 120111 9874.50 SU-.)\C.e. Cer.......'-<'C\...c-\-.. Co\' Sca......."'....<" \"'-(?"b;II -\-D '/'''/?'OI1- 205,16 .00 .00 .00 420,00'/ 420,00 .00 .00 68,97 68,97 .00 .00 1145.00 ,/ 1145,00 .00 .00 .00 .00 ./ 145.02./ 118.45./ 82,11 345.58 .00 .00 697.58./ 697.5S .00 ,00 .00 .00 298,08 ...- 205,21/ 205,00./ 70S.29 .00 .00 320,00/ 320,00 ,00 .00 289.46V 289.46 .00 .00 184.13/ 184,13 .00 ,00 15000.00 ...... 15000.00 .00 .00 3771,14 ./ 3771,14 .00 9874.50 ./ RUN DATE: 12/2S/11 TIME: 14:40 APPROVED, DEe 2 9 2011 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12 PAGE: 8 APOPEN VEND#.NAME...,..".,.."........,....CLS.INVOICE#.",...,.TRM DT.INV OT,DUE OT.CK OT,.PC..~(}~~~1fSV.J.kJ~.r~~~NO-PAY,...".,NET T2204 TEXAS MUTUAL INSURANCE CO W T4400 TORCH U0414 UNUM LIFE INS CO OF ANERIC U1054 UNIFIRST HOLDINGS U1056 UNIFORM ADVANTAGE U1064 UNIFIRST HOLDINGS INC U1350 UNITED PARCEL SERVICE V0555 VERIZON SOUTHWEST V14 71 VICTORIA RADIOWORKS, LTD W1300 GRAINGER ~ }&~ V ~ ,\x..' 2564110 122711 120111 010112 9874.50 TOTALS,.. ,7.<:-r.:41 h~..,C,,q n;\: ..."".;:. t.,~..,,: 19749.00 CO\- S....."''''.... '/1.0/-"01'2.- +" 2.//'1/'" 23644 122311 121311 122111 12153.00 TOTALS, . .WRf .\;(.~(.$, . .~rf't.Fit. ::;l;; 0$.'1-0""-" .e.e..12153. 00 f'OUc."l '/'/"1. W Q4.11.038 122811 122311 011012 579.53 TOTALS...':\.~. .Q,t:C. .u.P,,I,-...f. rw-,S;....: 579.53 18007 122311 122311 122311 TOTALS,.. ;:;r;:..().~.,*.O;-,~:'1-,'io~"..."...,.: 3401.56 3401.56 W 8150553346 120911 120611 010512 32.54 TOTALS...q,I-'i....<:'.t....L-LIf.\,\P.-9r.'l1-..~~9.'!'; ".5 32.54 W 4206521 122011 12061~ 010512 TOTALS.. ,P.<l-I-:\. f:1i'.!\ ::'l?~l+f;.:\-r.qrn.,: 96.91 96.91 8400118145 120911 120611 010512 687.26 8400118146 120911 120611 010512 174,44 8400118147 120911 120611 010512 159.69 840011S148 120911 120611 010512 106.86 8400118149 120911 120611 010512 86.70 8400118150 120911 120611 010512 44.23 S400118345 121911 120911 010S12 863.43 8400118346 121911 120911 010812 340,57 8400118491 121911 120911 010812 130.53 TOTALS. ~~~, :7fJ:,., .-:.. .~.Q;;;r.;, ;I;~\ ,i~"'S 2593.71 C!.K\d I..LV\: \20< ",,-S W 000077S941511 122811 121711 011012 441,66 TOTALS, :::P..'l-.~\ )/A-f.'!-, .fe,.,<,.;..,.,...,...,.: 441.66 M 5522646DEC11 122711 121611 011012 107.91 5525926DEC11 122711 121611 011012 55.16 TOTALS... ::r.~""~""!':\\'?,~....,....,....,.: 163.07 W 11110334 122311 113011 123011 TOTALS... Al'l.'/f!.:'(.:I:. .?\ ,I)~....,...,.,..: 160,00 160.00 M 9705402635~ 122011 120911 010812 TOTALS...... .~.~.Cf\..\.-c;~....................: 143.19 143.19 GRAND TOTALS..................... to.. I.......: VO \ t:l5 . C,Ks:lt 1'-Il,,5 '/0 ;#/i{(,.553 +0 .u11(f,~I[);3 dll'\I"Io,;n 277847.73 .00 9874.50 ,./ ,00 19749.00 ,00 12153,00 ./ .00 12153.00 ,00 579.53/ ,00 579.53 ,00 3401.56/ .00 3401. 56 .00 32.54........... ,00 32.54 .00 96,91"- ,00 96.91 Q) Cl "0 ::l 687,26 ,/ .00 ....-:> I .00 &0 174,44""'- ,00 IDe 159.69/ "-::J ,00 0..0 106.86 ;, -.;0 , .00 -c f 86,70 .00 ID:::> I 44.23/ <<l0.. 863,43:/ .00 "<:::'c<ll Q-~ .00 .- co crj 340,57 .00 ~QCl 130.531 .00 2593,71 .00 441.66"""- ,00 441.66 .00 tl:' 107,91./ .00r.:l. 0' 55,16/ ... .001:U ~ - 163.07 .- Q c::> > N ::l C, <:>"> -<< r.t "'-> r: 160,00""'- ,OOf':\. .00 Cl. frl :e. 160,00 .1::( Cl ::l 0 Q .00 143.19 ...- .00 143,19 .00 p()-I f 277847,73 <. '1"17-1,5> ~d.;"" -+ 'l711.'P ~77/ 'il~ 't,o'/ j CRT#556 TRANSACTION SEQUENCE PAGE 1 GLEDIT RUN DATE:01/03/12 TIME:11:37 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 0567 ACCOUNT A.H.A. SEQ. NUMBER NUMBER TRANS DATE JOURNAL AMOUNT SUB-LED REFERENCE MEMO G.L, ACCOUNT DESCRIPTION ------------------------------------------------------------------------------------------------------------------------------------ 1 10000000 20000000 01/03/12 CD 01/03/12 CD 30000000 - - - - - - - -R E CAP- - - - - - - - - - JOURNAL YRMO COUNT DEBIT CD 1201 2 3,462.S3 TOTAL 2 3,462,83 ACCOUNT TOTAL RECAP ON NEXT PAGE 3,462.S3CR T1450 J3,462.83 T1450 .~ OPERATING -CASH ACCOUNTS PAYABLE -AlP A/PC14662S TAC UNEMPLOYMENT FUND A/PC14662S TAC UNEMPLOYMENT FUND 2900 293256 CREDIT 3,462,S3 3,462,83 1ft!:- ~~ ~Flor~ / ).1$ C)<- tt- Ilf~ lp '~I\51IJ'l"'j)V''''\'[,.W). !)"~\J" h~' rtp:.~_,,-Y "'l t6!~-".J "IAN 0 5 2012 iGO~Jf\!TY' AU[lrlntc( ~dJ9-~_ Michael J, Pfeifer Calhoun County Judge Date:--L' ~ / / ~ J 1...- RUN DATE. 01/04/12 TIME. 17.01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE. 1 APOPEN VEND#.NAI!E,........................ ..CLS,INVOICE#....... ..TRN DT.INV DT.OUE DT.CK DT..PC".... ,GROSS... ..DISC.... ..NO-PAy...... ..MET 10032 PHILIPS HEALTHCARE 3185.00/ MAINTENANCE CONTRACT 923583936 010212 121311 011212 3185,00 .00 TOTALS...,..........."..,..,...,..."....." : 3165,00 ,00 3165.00 10172 US FOOD SERVICE 3577,87 ./ SUPPLIES DIETARY 3631583 123111 122211 010912 3577 . 67 .00 SUPPLIES DIETARY 3931247 123111 122911 011712 2SB.51 .00 2843,51 V TOTALS.. ... ..,.,. ,.., ........ .......,.. ,... ... 6421.38 .00 6421. 36 10204 PHARMEDIUM SERVICES LLC 160.25/ PHARMACEUTICALS A55S337 122311 121211 011112 160.25 ,00 PHARllACEUTICAL CREDIT 390979 123111 062S11 011012 -6,96 .00 -S.96v' TOTALS, , , . , , . . . . . . . . . . . , . . , . . , , . .. . . . . . . . . . . . . 171.29 ,00 171.29 10341 JENISE SVETLIK 121.741 FLEX SPEND REIMBURSEMENT 23653 123111 013112 011012 121,74 .00 TOTALS....................................... : 121.74 .00 121,74 10344 INCISIVE SURGICAL SUPPLIES CS INVENTORY 664S7 122111 121411 011312 292,40 ,00 292.40 -" TOTALS,...,...............,..".,.,.,........ : 292,40 .00 292.40 10350 CENTURION MEDICAL PRODUCTS 677 .97 / SUPPLIES CS INVENTORY 90906655 122011 121211 011112 677,97 ,00 SUPPLIES CS INV / PT 90910175 122311 121511 011412 330.00 ,00 330.00,.r' TOTALS. . . . . , . . . . . . . . . , . , . . , . . , , . . . , . . . . . . . . . . I 1007,97 .00 1007,97 10368 DEWITT POTH & SON OFFICE SUPPLIES ADMIN 313661-0 122011 120611 011512 150,56 .00 150,56'/ OFFICE SUPPLIES ER 314516-0 122011 121311 011512 15.04 ,00 15.04 ....... OFFICE SUPPLIES ER 314536-0 122011 121311 011512 12.02 .00 12.02/ OFFICE SUPPLIES CS INV / 314630-0 122011 121411 011512 290.55 .00 290.55'/ OFFICE SUPPLIES CS INVENT 314630-1 122011 121611 011512 2.96 .00 2.96/ OFFICE SUPPLIES ADMIN 314702-0 122011 121411 011512 67.42 .00 67.42/ OFFICE SUPPLIES PFS 314690-0 122011 121511 011512 16,00 .00 16.00/ SUPPLIES PT 315102-0 122311 121911 011512 5S.02 .00 56.02/ OFFICE SUPPLIES CS INV 315142-0 122311 121911 011512 174,56 .00 174.56/ OFFICE SUPPLIES SURGERY 315153-0 122311 121911 011512 13.4S .00 13,46V OFFICE SUPPLIES LAB 3153S0-0 122311 122011 011512 26,56 .00 26,56/ OFFICE SUPPLIES VARIOUS 315435-0 122311 122111 011512 264.00 ,00 264.00~ OFFICE SUPPLIES DIETARY 315440-0 122311 122111 011512 346.75 .00 346.75 Of,\'-:H ~""I'P"e$ 315535-0 122611 122211 011512 57.77 ,00 57.77~ OFFICE SUPPLIES HIM 315911-0 123111 122S11 011512 201. 29 .00 201,2Y OFFICE SUPPLIES LAB 315946-0 123111 122611 011512 133.70 .00 133,7V TOTALS...,...,...,..,..,..,.........,.."..,. . 1832.70 ,00 IS32.70 10394 WILLIAM E HEIKAMP, TRUSTEE EMPLOYEE DEDUCTION 16027 010312 010312 010312 150.00 ,00 150.00 ./ TOTALS...,...,.....,...........,....,.,....,. . 150.00 .00 150.00 10409 NATIONAL ASSOC OF CPSI CLI NATIONAL / SOUTH CENTRAL 23604 112911 112S11 011312 250.00 .00 250.00/ RUN DATE, 01/01/12 TIME, 17,01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE, 2 APOPEN VEND#.NAME,.....................,... ,CLS.INVOICE#........ . TAM DT.INV DT.DUE DT,CK DT..PC..... ..GHOSS.... .DISC.... ..NO-PAy....... .NET 10429 WILLIAM E HEITKAMP, TRUSTE EMPLOYEE DEDUCTION 10441 NEC EMPLOYEE BENEFITS WEEKLY CLAIMS TRUST 10478 LESLIE ANN SOLIS EMPLOYEE DEDUCTION 10507 JASON ANGLIN FLEX SPEND REIMBURSEMENT 10536 MORRIS & DICKSON CO, LLC PHARMACEUTICAL CREDIT PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICAL PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICAL PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICAL PHARMACEUTICALS CREDIT PHARMACEUTICAL 1057S LUMINANT ENERGY COMPANY LL GAS 10599 BKD, LLP DSH AUDIT FEES AUDITING FEES 10611 TELE-PHYSICIANS, P.A. PROFESSIONAL FEES ER TOTALS..................,.................... : IS023 010312 010312 010312 TOTALS....................................... : 1801S 123111 122S11 122811 18019 010312 010312 011012 TOTALS...."..,....."......,..,.,.",.",... , 18026 010312 010312 010312 TOTALS........,.....",.....,..,....,..,.,... , 23652 123111 010312 011012 TOTALS..............o........................ : 2710 123111 122811 011012 2919658 123111 122711 011012 2919659 123111 122711 011012 2919660 123111 122711 011012 2919661 123111 122711 011012 2919662 123111 122711 011012 2925086 123111 122811 011012 2925087 123111 122S11 011012 292S011 123111 122911 011012 292S015 123111 122911 011012 2928016 123111 122911 011012 2929112 123111 122911 011012 2929113 123111 122911 011012 3092 123111 122S11 011012 3151 123111 122911 011012 TOTALS.......,...."...,."...,.,.....,...... : INV0509907 113011 120111 011612 TOTALS...,..,..,...."..,.."..,.....,.,..... : 071151 093011 092211 092211 102035 123111 121311 011212 TOTALS..........""..".,..,...,.,.,.....". : 07-1S23 123111 113011 123011 TOTALS".,..,."....,..............,...,..... , 10632 JACKSON NURSE PROFESSIONAL CONTRACT NURSE L&D 41653381 123111 121711 121711 250.00 195.00 195,00 9346.47 15850, so 25197,27 177,69 177 .69 500.00 500,00 -1541.23 236,48 40,41 335,12 10.99 215,4S 1324,37 909.19 7.86 49.S3 530.95 657.04 382.04 -50,08 -1149,19 4959.26 2435.01 2435.01 1130.00 3875,3S 5305.38 1800.00 1800.00 2304,00 .00 250.00 ,00 195.00/ .00 195,00 .00 9346.47 ./ .00 15850.80 / .00 25197.27 .00 177 .69/ .00 177.69 .00 500.00/ .00 500.00 ,00 -1541.23 v' ,00 236,4S ,/ ,00 40.41/ ,00 335,12 :/ .00 10,99 .00 215.4S / ,00 4324.37 .,/ ,00 909.19/ .00 7,86'/ .00 19,53/ .00 530'95~ .00 657.01 .00 3S2.01 :/ ,00 -50.08 ,00 -1149.19/ .00 4959.26 .00 2435,01 ,/ ,00 2135.01 .00 1130,00 / ,00 3875,3S / .00 5305,38 .00 1800.00 ,/ .00 IS00.00 ,00 2304.00 / RUN DATE' 01/04/12 TIME, 17,01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE, 3 APOPEN VEND#,NAIIE...,....................., ,CLS.INVOICE#......, ..TRN DT,INV DT.DUE DT.CK DT..PC....., ,GROSS... ..DISC...., .NO-PAY",.... .NET 10639 TX CHILD SUPPORT SDU EMPLOYEE DEDUCTION 10645 REVISTA de VICTORIA ADVERTISEMENT 10664 SAGENT PHARMACEUTICALS, IN PHARMACEUTICALS 10672 SIEMENS INDUSTRY, INC. MAINTENANCE CONTRACT 106S1 SIMMLER, INC, SUPPLIES BLOOD BANK A0400 AUREUS HEALTHCARE LLC OUTSIDE SRV LAB TECH OUTSIDE SRV LAB TECH OUTSIDE SRV LAB TECH CONTRACT LAB TECH CONTRACT LAB TECH A1100 ABBOTT LABORATORIES S''-''1''t'1 ~e.s -'D:e"""j A1292 PORT LAVACA HARDWARE OB ROOM RENOVATION A1350 ACTION LUMBER CARDIO RENOVATION A1680 AIRGAS-SOUTHWEST MEDICAL GAS MEDICAL GAS MEDICAL GAS MEDICAL GAS A1825 CARDINAL HEALTH SUPPLIES NUC MED TOTALS......,..",..,..........,..,........,. , 1S025 010312 010312 010312 TOTALS...............,...............,......, , 12201139 123111 121511 011412 TOTALS...",."........,...,..,..,..,..,..,.. , 227968 122311 121311 011212 TOTALS.......".....,..".,..........,."..,. , 900407195 123111 100311 110211 TOTALS,.......,........".,..,........."..,. , 171532 123111 121411 011312 TOTALS....................................... : 511727 123111 092911 102911 513040 123111 100611 110511 515626 123111 102011 111911 522346 123111 112311 122311 526414 123111 121511 011412 TOTALS,..."..,....,........"....,."."..,. , M 936973640 122711 122011 123011 TOTALS......",..."..,.....,........."...,. , W 066482 122311 121311 011212 TOTALS....................................... : W 23258 122311 121511 011412 TOTALS....................................... : M 107279198 122311 121311 011212 107279199 122311 121311 011212 107287904 122311 121511 011412 107287905 122311 121511 011412 TOTALS."....,...."......,........."."..,. , M OS107452 123111 110411 110411 2304.00 230.77 230.77 375.00 375,00 76S.00 768,00 128.S3 128,83 142.00 142.00 2474.00 2490,46 2474,00 2474.00 2490.46 12402,92 76,64 76,64 10.00 10.00 49.75 49,75 72,15 73,47 2287,92 244,S9 2678.43 192.86 ,00 2304.00 ,00 230,77/ .00 230.77 .00 375.00 ,/ .00 375,00 ,00 76S.00 ,/ .00 768.00 .00 m.83,/' ,00 128.83 ,00 142.00 .,/ ,00 142.00 ,00 2474.00 v .00 2490.46 ,/ ,00 2474,00/ ,00 2474.00..... ,00 2490.46 ,,/ ,00 12402.92 ,00 76.64/ .00 76.64 .00 10,00/ .00 10.00 .00 49.75 ;/ ,00 49.75 .00 72.15 ,/ ,00 73,47 v .00 2287.92/ ,00 244.89/ .00 2678,43 .00 192.S6 ,/ RUN DATE: 01/04/12 TIME: 17:01 MEMORIAL MEDICAL CEMTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE: 4 APOPEN VEND#,NAME..................,....... .CLS,INVOICE#....... ..TRN DT,INV D'r.OUE DT,CK DT. .PC,.... ..GROSS.... ,DISC".. ..NO-PAy...... ..NET SUPPLIES NUC MED OS107498 123111 112511 112511 95.99 .00 95.99 ,/ SUPPLIES NUC NED 08107529 123111 120911 120911 507,17 .00 507.17 ./ TOTALS................,...,........,.".,..,. : 796,02 .00 796.02 A2276 ARTHROCARE CORPORATION 1667,32 / SUPHIES SURGERY M 90806354 122011 121211 011112 1667.32 .00 TOTALS............"...,......,...,.......... : 1667,32 .00 1667,32 A2345 AT&T MOBILITY CELL PHONE 826433376X122620 123111 121S11 011312 536.49 ,00 536.49 ./ TOTALS....",.,..........."..."...,....... .1 536.49 .00 536.49 A2349 AT&T 1201.70/ TELEPHONE w 7317676102 123111 121911 011312 1201.70 .00 TOTALS....................................... : 1201. 70 .00 1201.70 B1075 BAXTER HEALTHCARE CORP SUPPLIES CS INVEMTORY M 33248943 122311 121511 011412 432,3S .00 432,3S V TOTALS,....".."....,.............."".." .1 432.38 .00 432.38 B1220 BECKMAN COULTER INC OUTSIDE SERVICE LAB M 102609919 123111 121311 011212 884. 37 .00 SS4.37 ./ OUTSIDE SERVICE LAB 1026123SS 123111 121411 011312 316.00 .00 316.00 ,/ OUTSIDE SERVICE LAB 5253931 123111 121211 011112 3440 .19 .00 3440.19 ./ OUTSIDE SERVICE LAB 5253932 123111 121211 011112 3933.4S .00 3933.48 V TOTALS,.,.....,...........".."..........,. ,1 8574.04 .00 8574.04 B1230 BECKWITH ELECTRONIC ENGINE INSTRUMEMT REPAIR ER M E15145 122311 121411 011312 198.96 .00 19S,96 V TOTALS.............,....,...............". ..I 198.96 .00 198.96 B1655 BOSTON SCIEMTIFIC CORPORAT 306.00/ SUPPLIES SURGERY M 930S05S24 121911 121211 011112 306.00 ,00 TOTALS..."........,.....,.."...",....,... .1 306.00 ,00 306.00 C1030 CAL COM FEDERAL CREDIT UNI ,,/ EMPLOYEE DEDUCTION W 18022 010312 010312 010312 25,00 .00 25.00 TOTALS....................................... : 25.00 .00 25.00 C1033 CAD SOLUTIONS, INC 76S.00 / CAD CASES 201620 010212 113011 123011 768.00 ,00 TOTALS....................................... : 768.00 .00 768,00 C1871 COLLECTIONS INCORPORATED 216.75 / COLLECTIONS W 8159 123111 113011 123011 216.75 ,00 TOTALS.......,....,....,..,.,...........,... .1 216.75 .00 216,75 C1970 CORNED CORPORATION 376,00 ) SUPPLIES SURGERY M 257930 122011 121211 011112 376.00 .00 TOTALS....,..,....,......,..,....,."".,..,. : 376.00 ,00 376.00 D0350 SIEMENS HEALTHCARE DIAGNOS SUPPLIES LAB M 970834664 123111 120811 010712 308.98 .00 30S.98 ./ RUN DATE: 01/04/12 TIME: 17:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE: 5 APOPEN VEND#.NAME......................... ..CLS.INVOICE#"...... .TRN DT.INV DT.DUE DT.CK DT, ,PC,.... ..GROSS..., ,DISC,.." .NO-PAY...." ..NET SUPPLIES LAB 970838045 123111 120911 010S12 358.47 .00 35S.47 ./ TOTALS,..,...".,...,......,..,.,..........., : 6E7,45 .00 667,45 01150 DATEX-OHMEDA 223,00 ,/ SUPPLIES ANESTHESIA M 61465005 123111 102611 112511 223,00 ,00 TOTALS..........,......".,..........,...,... : 223.00 ,00 223.00 D1640 DOCUMENT CONTROL SYSTEMS I / OFFICE SUPPLIES HIM M 26810 122311 121611 011512 55,S3 ,00 55,S3 TOTALS...."...,..........,.,....,..,."..... : 55,83 .00 55.83 01641 THE DOCTORS' CENTER OUTSIDE SERVICE W 23650 123111 113011 123011 45,00 .00 45.00/ TOTALS....................................... : 45.00 .00 45.00 EOS40 ECOLAB FOOD SAFETY SPECIAL 19.39 ) SUPPLIES DIETARY 92529449 122011 121511 011412 19,39 .00 TOTALS....................................... : 19.39 .00 19.39 F1050 FASTENAL COMPANY 60.911 M TXPDT103185 122711 121511 011412 60,91 .00 TOTALS.............,...,..,.,..,.,..,..,.,... : 60,91 .00 60.91 F1400 FISHER HEALTHCARE 125.47 / SUPPLIES LAB M 5729252 123111 121311 011212 125.47 ,00 SUPPLIES LAB 5729253 123111 121311 011212 1661.63 .00 1661.63.-/ SUPPLIES LAB 5779307 123111 121411 011312 388.01 .00 388.01...... SUPPLIES LAB 5955162 123111 122011 011712 310.38 ,00 310.381 SUPPLIES LAB 599S95S 123111 122111 011712 44.19 .00 44.19/ TOTALS.".,.,..,.,....,.,....,......,......" : 2529.68 .00 2529.6S G0120 GE MEDICAL SYSTEMS, INFO T SUPPLIES PACU 71846465 122111 121411 011312 57,33 .00 57,33/ TOTALS.......,.,...",.,..,.........,..,..... : 57,33 .00 57.33 G0401 GULF COAST DELIVERY 300,00/ OUTSIDE DELIVERY SERVICE 23650 123111 122911 011512 300.00 ,00 TOTALS......... II........,...................: 300,00 .00 300.00 G1001 GETINGE USA 920.58 / INSTRUMENT REPAIR SURGERY 7732201 122011 121311 011212 920,58 .00 TOTALS....,...."...................,.",..,. : 920.58 .00 920.5S G1210 GULF COAST PAPER COMPANY 253.93/ SUPPLIES HOUSEKEEPING M 315055 122011 121311 011212 253.93 ,00 DEPT REPAIR HOUSEKEEPING 314042 122311 121211 011112 179.80 .00 179. SO / TOTALS....,., ....,......,...... .........., ..,: 433.73 .00 433.73 H0030 H E BUTT GROCERY 139.45/ SUPPLIES DIETARY M 939439 122311 121611 011512 139.45 .00 TOTALS....,..""...............,....,..".., : 139.45 .00 139.45 I0415 INDEPENDENCE MEDICAL 16,19 ) SUPPLIES CS INVENTORY 0025719549 122311 121411 011312 16,19 ,00 RUN DATE: 01/04/12 TIME: 17.01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE. 6 APOPEN VEND#.NAME."...".,.......,..,..... .CLS.INVOICE#..,..,.. ,TRN DT.INV DT.DUE DT.CK DT, .PC..,.., .GROSS".. .DISC.,." .NO-PAY,...... . NET TOTALS..............".,............"...,... . 16.19 ,00 16,19 I0950 INFOLAB INC SUPPLIES BLOOD BANK M 3062000 123111 121311 011212 462.64 ,00 462.64 ,/ TOTALS,.".....,......,......."..,..,....... : 462.64 .00 462.64 IllOO INSTRUMENTATION LABORATORY 2067.0S / SUPPLIES LAB M 9100931815 123111 121311 011212 2067.08 .00 TOTALS....,..,.,......,..,.......,.....",.,. . 2067,08 .00 2067.08 J1350 M.C, JOHNSON COMPANY INC 102,S7/ SUPPLIES CS INVENTORY M 00233294 122111 121511 011412 102.87 .00 TOTALS......".,......,.,.,."............,.. . 102,S7 .00 102.87 J1400 JOHNSON << JOHNSON SUPPLIES SURGERY 906793S66 122111 121311 011212 56,55 .00 56,55 V .r V' 906S23851 122711 121511 011412 300,99 ,00 300.99 ....--- TOTALS"......,....,.......,.",.......,.,.,. : 357.54 .00 357.54 M2659 MERRY X-RAY- SAN ANTONIO SUPPLIES RADIOLOGY M 469451 122011 121411 011312 107.02 .00 107. 02 .-' TOTALS............................... I.......: 107.02 .00 107,02 M2827 MINNTECN CORPORATION SUPPLIES SURGERY M 1300754 122011 121211 011212 96.50 .00 96.50 V TOTALS..........".,..........,.."..,.",... : 96.50 .00 96.50 M3S66 MUSTAIN << ASSOCIATES COLLECTIONS W NOV2011 123111 113011 123011 943,65 .00 943.6s./' TOTALS.....,..,..".."...................,., . 943.65 .00 943.65 N1225 NUTRITION OPTIONS PROFESSIONAL FEES VARIOUS W 23654 123111 122911 011012 3000.00 ,00 3000,00 / TOTALS.............,.,...,..."..,..."...,.. . 3000.00 .00 3000.00 OM425 OWENS << MINOR SUPPLIES CS INVENTORY 1863084 122011 121311 011212 8.14 .00 8.14 ".r SUPPLIES CS INVENTORY 1S63097 122011 121311 011212 2.28 ,00 2.2S'/ SUPPLIES CS INVENTORY 1863144 122011 121311 011212 5.14 .00 5.14/ SUPPLIES SURGERY 1863187 122011 121311 011212 90.23 ,00 90.23/ SUPPLIES CS INVENTORY 1863190 122011 121311 011212 14.10 .00 14,10..-" SUPPLIES CS INVENTORY 1S63209 122011 121311 011212 4.56 .00 4.56/' SUPPLIES CARDIO 1863219 122011 121311 011212 95,11 .00 95,11 / SUPPLIES SURGERY 1863367 122011 121311 011212 684.24 .00 684.24/ SUPPLIES VARIOUS 1863410 122011 121311 011212 1373.86 .00 1373.86'/ SUPPLIES SURGERY 1863710 122011 121411 011312 141.71 .00 141. 71/ SUPPLIES CS INVENTORY 1864357 122011 121511 011412 18.27 ,00 1S.27'/ SUPPLIES ER 1864535 122011 121511 011412 24.7S .00 24.78 / SUPPLIES VARIOUS 1S64662 122311 121511 011412 3125.52 .00 3125,52/ TOTALS....................................... : 5587.94 .00 5587.94 P1725 PREMIER SLEEP DISORDERS CE 4475.001 SLEEP STUDIES M 105OCT11 123111 110111 120111 4475.00 ,00 RUN DATE: 01/04/12 TIME: 17.01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE: 7 APOPEN VSNDn.NAME....,.".,.....".".......CLS,INVOICEn,.,......TRN DT.INV DT,OUE DT.CK DT"PC,....,.GROSS.....DISC",...NO-PAY"..,...NET 3950,00 ) SLEEP STUDIES 106NOV11 123111 120211 010212 3950.00 ,00 TOTALS.....,.."...,...,..,.,........,.,.".. : 8425.00 ,00 8425,00 P1S00 PITNEY BOWES INC 207.00 ,./ POSTAGE W 6S9923 122311 121611 011512 207,00 .00 TOTALS...,..,........"..........,..,.,....., : 207,00 .00 207.00 P2370 PROGRESSIVS DYNAMICS MEDIC SUPPLIES SURGERY M 12S574 122011 121411 011312 289.10 .00 289.10 ./ TOTALS..,.......".,........"..,..........,. : 289.10 ,00 289,10 Rl050 R G & ASSOCIATES INC 180.40/ SALT DELIVSRY M 194374 122311 121511 011412 180,40 .00 TOTALS,..,..".,......,.,...........,.,.".. .1 180,40 .00 180.40 R126S RADIOLOGY UNLIMITED, PA 105,00 / XRAY READING FEES W 23E57 123111 102711 112611 105.00 .00 TOTALS....................................... : 105.00 ,00 105,00 R1469 MARIA D RESENDEZ 212.31/ EMPLOYEE DEDUCTION lS02S 010312 010312 010312 212,31 .00 TOTALS,.......".".......,...,..,..,......., . 212,31 .00 212.31 S1210 SEARS ROEBUCK & CO SUPPLIES BIOMEO W 026175212616 122311 121411 011312 69.98 .00 69.9S .... TOTALS....................................... : 69,98 .00 69.98 S1405 SERVICE SUPPLY OF VICTORIA SUPPLIES PLANT OPS W 700592239 122311 121411 011312 52,99 .00 52.99 v' TOTALS....................................... : 52.99 .00 52.99 S1800 SHERWIN WILLIAMS -104.18/ SUPPLIES PLANT OPS CREDIT W 23655 123111 121311 011212 -104.18 .00 RENOVATION 9594-3 123111 110911 120911 132,00 .00 132,00'/ TOTALS............,....",........".,.".". : 27.82 ,00 27.82 S2951 SYSCO FOOD SERVICES OF 961.49/ SUPPLIES DIETARY M 112150536 121911 121511 011212 961.49 ,00 SUPPLIES DIETARY 112220618 123111 122211 011012 1276.44 ,00 1276,44/ TOTALS,........,...,..."........."".,..,.. : 2237 .93 ,00 2237.93 S3940 STERIS CORPORATION SUPPLIES SURGERY M 4093206 122111 121411 011312 116.23 ,00 116,23/ TOTALS....................................... : 116,23 .00 116.23 T0801 TLC STAFFING 2449,41 ./ CONTRACT NURSE W 9711 121911 121311 011212 2449.41 ,00 TOTALS.....,....,......,.,.."..,.......,.... . 2449,41 .00 2449.41 T1450 TAC UNEMPLOYMENT FUND UNEMPLOYMENT W 23649 122311 121611 011512 13S3.65 ,00 1383.65 /' RUN DATE, 01/04/12 TIME' 17:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/17/12 PAGE, 8 APOPEN VEND#,NAME,........,."........,.,...CLS.INVOICE#.....,...TAN DT.INV DT.DUE DT,CK DT..PC...,."GROSS..,.,DISC...."NO-PAY....,...NET T1751 TEXAS CHILD SUPPORT SDU EMPLOYEE DEDUCTION W T2250 THYSSENKRUPP ELEVATOR CORP DEPT REPAIR PLANT OPS M T2303 TG EMPLOYEE DEDUCTION T4400 TORCH 2012 HOSPITAL DUES U1054 UNIFIRST HOLDINGS LAUNDRY MAINTENANCE U1064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN LAUNDRY HOUSEKEEPING LAUNDRY PLAZA LAUNDRY DIETARY LAUNDRY HOSPITAL LINEN LAUNDRY SURGERY U1400 UNITED WAY OF CALHOUN COUN EI1PLOYEE DEDUCTION W V0555 VERIZON SOUTHWEST TELEPHONE TELEPHONE V0559 VERIZON WIRELESS BROADBAND W1000 WAL-MART STORES INC SUPPLIES VARIOUS X0100 X-RITE INC OUTSIDE SERVICE TOTALS.......",.,.,...,."..".......,."... , 1S024 010312 010312 010312 TOTALS....................................... : 077320 122311 121311 011212 TOTALS......."...."..,..,.."........."... , W 18029 010312 010312 010312 TOTALS....................................... ; W 12.244 010312 010112 011012 TOTALS........".,........,..".,.....",..., : W 8150554084 121911 121311 011212 TOTALS..........,....".".......,..".,..,., , S4001184S9 S400118490 840011S491 8400118492 S400118696 8400118697 121911 121311 011212 121911 121311 011212 121911 121311 011212 121911 121311 011212 122311 121611 011512 122311 121611 011512 TOTALS....................................... : 1S021 010312 010312 010312 TOTALS...........".,..,.........."....,.... , M 1977697121911 123111 121911 011312 5521567121911 123111 121911 011312 TOTALS".........,.....,.........."..,.,.... , 6670786571 123111 121611 011112 TOTALS.,.,....".......,......,.,......",.., , M 111511-121311 123111 121611 011112 TOTALS.,."............",..,.........,."... , M 693019 123111 101911 111811 TOTALS.,..,....,.,......"..,..,......""... , 1383.65 197,08 197.08 1305.00 1305,00 122,19 122.19 2750.00 2750.00 32,54 ]2,54 961.39 174.44 139.52 106.S6 776.45 340.57 2499.23 141.50 141,50 53,38 43.43 96,Sl 229,6S 229,68 555.69 555,69 310,00 310,00 GRAND TOTALS...,........"..,..,...,..,."..., 130757,41 C.KS;,l I '1 ,,(.,;{q VOl\:>5 . +0 ~ 1't(Pw3=> ~ 1'-\(,,'11(0 .lJ1"lie(,;,tjl .00 13S3.65 ,00 197,OS ,/ .00 197,08 .00 1305.00 ,/ .00 1305.00 .00 122.19 ./ .00 122.19 .00 lj) 2750.00 ---- 0' .00 1:.J 2750.00 ::J ....., J'Q>. .- ~, 3:'! !::: .00 :::J 32.54 ,/ Il.. 0 ,00 -;0 32,54 Q5 c :J ro 0 .00 .c: ~<;;:.~ ~) 961,39/ ~ ~IT) -iIi .00 ",~UL.l 174.44 ./ .00 139.52./ .00 106.86......... .00 776.45./ .00 340.57 ,/ .00 2499,23 .00 141. 50 ./ .00 141.50 .00 53,38/ ,00 43,43 ./ ,00 tt; 96.81 i:Jj 0' I~ RJiJ, "" 2i ~)' ;S 229.68/ (">..1 "'" .OOR'~' -, 00 "J' v,. "-~f 229.68 . fb' "3' :;.. iilc iF~ tic -Z 'e ,.,,0"' ~ ::1- ,00"', tJ: 555.69/ .00 ". 555.69 '..~' .00 310.00 / .00 310.00 .00 130757.41 /UttlJt)~ /-;/- / "2- RUN DATE: 01/04/12 TIHE: 17:37 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl PAGE 2 APCDEDIT PATIENT NUMBER PAYEE NAlIE n'TE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUM 112 272.51./ 112 247,00 </ 112 90.00,.. 112 14.25.1 112 575.00/ 112 140.00'/ 112 1200.001 112 110,001 112 57.31 ,.. 112 42.03.l' 112 340.00 ,/ 112 25.00/ 112 58.36,/ 412 75.00 ,/ 1412 35.55 / ' 1412 345,87'/ PAYEE NAIIE MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 PAY PAT DATE AII0UNT CODE TYPE DESCRIPTION _____________w_______ i 112 12.00/ 112 1598,211 112 102.00/ 112 21. 25 / 112 50.00 112 100.00./ 112 65.01/ ,12 m.W 12 75.0q..- PAGE 3 APCDEDIT RUN DATE: 01/01/12 TIME: 17:37 PATIENT NUMBER GL NUM 12 100.00/ 12 50.00/ 12 90.00/' 12 120.00 / 12 53.12 / ,12 50.00/ 112 119,81V RUN DATE: 01/04/12 TIME: 17:37 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOI PAGE 4 APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUN 412 75.001 412 1043.00/ 412 39.96/ 412 12.00/ " ,412 40.00,/ 1412 229.80/ 1412 96.34// 1412 36.00/ " 1412 1132.00/ 1412 44.00/ 1412 30.00,/ 1412 75.00/ 0412 36.00 .... 0412 81.01/ ,0412 284.49 ,/ l0412 25.00 .... L0412 137.00) RUN DATE: 01/04/12 TIME: 17:37 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOI PAGE 5 APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUN ________________~MMM_________________W__~_____________------------------------------------------- , 010412 , 25.001 412 25.00; i 412 40.65/ i i 412 1589.20/ 412 120.40 / 112 15.00/ , 112 575.80 / 112 25.00 ,./ . 112 22.60 112 523. 6}' RUN DATE: 01/04/12 TIME: 17: 37 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOI PAGE 6 APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUN 010412 45.60../ 010412 92.00/, 010412 36.00,/ 010412 12.88/ , 010412 11. 00/ 010412 54.00,/ , 010412 31.83/, ARID=OOOI TOTAL 14206.96 --------------------------------------------------------------------------------------------------------~--------------------------- TOTAL 14206.96 (2K4- {'-Itp 7/7 +0 JI. (44:>7'16 !lk-kl1~fj ',"'0"'''''''\ J Pfeit';, j\1'l~' ,j'i......'-'. J d' cle r:'IIcC,\ln counW U ~. " ,'0 ,'V~ I? . ~v. J~JI- c.-- D'C~'~8: . RUN DATE,01/06/12 TIME:14:02 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 0575 CRT#556 TRAMSACTION SEQUENCE PAGE 1 GLEDIT ACCOUNT A.H.A. SEQ. NUNBER NUNBER TRAMS DATE JOURNAL AMOUNT SUB-LED REFERENCE MEMO G. L. ACCOUNT DESCRIPTION __________________________________________________________M_____________________________________________________________________~~~_ 1 20000000 2 10820000 01/06/12 PJ 01/06/12 PJ j 6, 760.34CR C2695 6,760.34 C2695 4773E 4773E CUSTOM INTERIORS CUSTOM INTERIORS INV DT=01/05/12 DUE=010612 CIP OB GIN CLINIC 30820000 5390 9546 Db b,/n e-/; n;6 - I . ~ WOt"Y"le.-n '$ C~+e.r - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRMO COUNT DEBIT PJ 1201 2 6,760.34 TOTAL 2 6,760.34 CREDIT 6,760.34 6,760.34 A/P TOTAL 6,760.34 ACCOUNT TOTAL RECAP ON NEXT PAGE (!){'#-ILf(P1Q I ,~PI?FiOVEI) .IAN 0 6 20\2 COUNTV jJJJI)ITOIRi MJy Michael J. ~~I Calhoun County Judge Date: _____~ RUN DATE: 01/L2/L2 TIME, 11,55 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/24/12 PAGE, 1 APOPEN VENDI.NAME....,," ...., ........, ,....CLS,INVOICEI., ...", ,TRN DT,INV DT.DUE DT.CK DT, ,PC...." .GROSS, ,. .,DISC." ,..NO-PAY. .." .,.NET 10032 PHILIPS HEALTHCARE SUPPLIES lCU 10042 ERBE USA INC SURGICAL SYST INSTRUMENT REPAIR SURGERY 10204 PHARI4EDlUM SERVICES LLC PHARl4ACEUTICALS PHARHACEUTICALS 10251 OOCUFREE CORP OUTSIOE SERVICE HIM 10350 CBNTURION MEOlCAL PRODUCTS SUPPLIES CS INVENTORY 10368 DEWITT POTH & SON OFFICE SUPPLIES MED-SURG OFFICE SUPPLIES CS INV OFFICE SGPPLIES INDIGENT OFFICE SUPPLIES CS INV OFFICE SUPPLIES CS INV OFFICE SUPPLIES LAE OFFICE SUPPLIES LAE OFFICE SUPPLIES CS INV OFFICE SUPPLIES SURG8RY OFFICE SUPPLIES ACCT OFFICE SUPPLIES PFS OFFICE SUPPLIES PFS 10441 MMC EMPLOYEE EENEFITS WEEKLY CLAIMS 10475 RHINO 14EDICAL SERVICES TRAVEL EXPENSES CRNA 10554 ALLIEO WASTE SERVICES 1841 WASTE PICK UP 10598 GLENN CRISP TRAVEL EXPENSES 10599 EKD, LLP AUOlTIMG FEES 923629916 123111 122211 012112 MALS,.......,..,.,.."....,................ , 202699 123111 122211 012112 TOTALS.,....."..,.,..,...."................ , A563141 123111 122111 012012 A563941 010912 122311 0122L2 TOTALS....,..,."........"........"."..... : 200992546 TOTALS..".. 123111 121111 011112 90912027 122311 121911 011812 TOTALS........,...,."",....."..,......"., : 316102-0 011012 123011 011512 316261-0 011012 010312 011512 316344-0 011012 010412 011512 316364-0 011012 010412 011512 316399-0 011012 010412 0115L2 316465-0 011012 010412 011512 316491-0 011012 010512 011512 316612-0 011012 010512 011512 316682-0 011012 010612 011512 316168-0 0110L2 010612 011512 316807-0 011012 010612 011512 316807-1 011012 0106L2 011512 TOTALS........,..",......",................ : L8030 010912 OL0412 011112 TOTALS.."..,.......".",......".",.,..... , 121111-038 010912 12201L 011912 TOTALS"..".,..,............"............,. : 0847-000410486 OL0912 122611 011512 TOTALS..............".,.,....",.."...,.... , 23663 011012 010E12 011512 TOTALS"..,..".,.........."................ : 103600 L23L11 122011 011912 518.00 518.00 136.64 136.64 180.25 293.15 414.00 114.81 114.81 820.26 820.26 14.53 223,11 99,31 6.84 20.95 118.94 116.19 357.50 lU2 53,89 12,32 6.21 1165.11 68060.83 68060.83 536.32 536.32 1020.80 1020.80 44.40 44.40 13508.45 ,00 5L8.001 ,00 518.00 .00 136.64 ,/ .00 136.64 .00 180.25~ .00 293,75 .00 414.00 .00 114.81'/ .00 114.8L .00 820,26/ .00 820,26 .00 14.53 ./ .00 223.11 ;/ .00 99.31/ .00 6.84/ ,00 20.95 ,00 118.94- .00 116.19 - .00 157 .50- .00 14.12 ' .00 53.89 ' .00 12 .32' .00 6.27 -' .00 1165,11 .00 68060.83/ .00 68060.83 .00 536.32 ,/ .00 536.32 ,00 1020.80/ ,00 1020.80 .00 44.40 J .00 44.40 .00 13508.45 / RUN DATE, 01/12/12 TIME, 11:55 MEI~ORIAL MEOICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/24/12 PAGE: 2 APOPEN VENDI.NAME,......... ,...., ...........CLS,INVOICEI....,....TRN DT.INV DT.OUE DT.CK OT..PC,...., ,GROSS, ....OISC......NO-PAY.,..., ,.NET TOTALS.,.,.,..,."...............,.,.....,... , 13508.45 .00 1350E.45 10606 PENLON, INC 588.28 I INSTRUNENT REPAIR ANESTHE IVC40064 122311 121911 011E12 588.28 ,00 TOTALS....,.,..,.................... , ..",,,,, 588.28 ,00 588.2E 10661 CENTURYLINK 207.69 ./ TELEPHONE 119658E634 011012 010312 011512 207.69 .00 TOTALS,...",........."...."............... : 207.69 .00 207.69 10678 FIVE STAR STERILIZER SERVI 164.53/ INSTRUJ1ENT REPAIR SURGERY 1771 122311 121911 0118L2 164.53 .00 TOTALS. " . . , . . . . . . , , . . . . , . . , . . . . . . , . . . . , , . . . . . 164,53 .00 164.53 10691 RCS EQUIPMENT RENTAL L23.19/ RENOVATION OB CLINIC 50408141-001 011012 010312 010312 123.79 .00 TOTALS.......,..,......,...."....,."""", , 123.79 .00 123.79 AI292 PORT LAVACA HARDWARE 30.E2 -:;. RENOVATION W 066597 123111 122011 011912 30.82 .00 SUPPLIES PLANT OPS 066637 123111 122111 012012 16.99 .00 16.99 TOTALS"..."....,.......,.......,........... : 4Ul .00 47.El A1350 ACTION WIlBER RENOVATION W 23331 123111 122011 011912 76.00 .00 76.00 / SUPPLIES PLANT DPS / CAR 23350 123111 122111 0L2012 13 6.8 5 ,00 136.85/ TOTALS....,..................,........,.,.." , 212.85 ,00 212,85 A1645 ALCON LABORATORIES INC / M 12600354 122111 122011 0119L2 795.00 .00 795.00 TOTALS..".......,.,.....,.......,........... : 795.00 .00 795.00 A2206 APIC L95,00/ MENBERSHIP DUES W 23660 010912 122111 012112 195.00 .00 TOTALS....",.....,. , ....",,,,,,,,.....,,,,,, 195.00 ,00 195.00 B0437 C R 8ARD INC 253.50/ SUPPLIES CS INVENTORY I~ 43322864 122311 121911 011812 253.50 .00 TOTALS.......,....................."""" , .. 253.50 .00 253.50 BI075 BAXTER HEALTHCARE CORP / M 33275352 122111 121911 011812 816.63 .00 816.63/ IV PUNP LEASE 33315520 L2J111 122211 012212 904.10 .00 904.20 IV PUJ~P LEASE 33337251 123111 122711 012412 1278.20 .00 1278.20/ IV PUNP LEASE 33337258 1231Ll 122111 012412 800.88 .00 800.88/ TOTALS.....".....,.",.,.",...,..""..,.,. : 3199.91 ,00 3199.91 B1650 BOSART LOCK & KEY INC / DEPT REPAIR OB M 93906 123111 122211 012112 90.90 .00 90.90; SUPPLIES PLANT OPS 93924 123111 122311 012212 55.00 .00 55.00 TOTALS.. .. , . . . . . . , . , , , , . . . , , . . . . . . , . , , , , , . , . . 145.90 ,00 145.90 B1835 BUCKEYE CLEANING CENTER N 641411 122111 122011 011912 754.60 .00 754.60 ,/ RUN DATE: OL/12/12 TnIE: 11:55 MEIIORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/24/12 PAGE: 3 APOPEN VENDH.NAME,..,.....",....".."".. .CLS.INVOICEH.,."... .TRN DT,INV DT,DUE DT.CK DT, .PC,..." . GROSS , ... .DISC..", ,NO-PAY..,.." .NET TOTALS..""".",.,...,."."",.,..,....... , 754,60 .00 CH43 CYGNUS MEDICAL LLC SUPPLIES SURGERY M 72223 123111 122011 011912 229.00 .00 TOTALS............"."...................... : 229.00 ,00 C2450 THE COUNCIL COMPAMY FORl~S CS 1,1 69959 011012 010512 OllSL2 13.33 .00 TOTALS,."....,..,........,.,......"."..." : 13 .33 .00 C2510 CPSI STATEMENT PROCESSING N 694011 123111 122111 122111 79,65 .00 E80S 694685 123111 122211 122211 211,88 .00 PRIVATE PAY CREOIT 695844 123 111 122811 122 811 -52U6 ,00 STATEMENT PROCESSING 696028 123111 122911 122911 118,5 9 ,00 EEOS 696821 011012 123011 123011 124,48 .00 TOTALS"...........................,..,.,.." : 11.34 .00 D0350 SIEMENS HEALTHCARE DIAGNOS OUTSIOE SRV LAB M 997034501 123111 122111 012012 670.79 .00 TOTALS...."",..,......"................... : 670,79 .00 D1785 DYNATRONICS CORPORATION 556196 122711 121911 011812 14.75 .00 TOTALS,..,.,..............,........".,.,.... : 14.75 .00 Fl400 FISHER HEALTHCARE SUPPLIES LAE M 5955163 123111 122011 011912 366.80 .00 SUPPLIES LAB 5998957 123111 122111 012012 161.43 .00 SUPPLIES LAB 5998962 123111 122111 012012 151.20 .00 SUPPLIES LAB 6040033 123111 122211 012012 587.50 .00 TOTALS".,.................,...",.,."...... : 1266.93 .00 G0302 GREAT AMERICA LEASING CORP OUTSIOE SERVICE Hm 11111222 123111 122611 011912 1973.80 .00 TOTALS"....,..............,..........."".. , L973.80 .00 G12LO GULF COAST PAPER COMPANY DEPT REPAIR HOUSEK8EPING M J18 7J2 122311 122111 012012 108,00 .00 SUPPLIES HOUSEKEEPING 318359 123111 122011 011912 34.90 ,00 SUPPLIES HOUSEKEEPING 318171 123111 122011 011912 137.54 .00 SUPPLIES CREDIT 258006 011012 083011 093011 -22.09 .00 DEPT REPAIR PLANT OPS 297601 011012 110811 120811 107,50 .00 TOTALS........,.""...".,...,.......,...... : 365.E5 ,00 H0030 H E BUTT GROCERY SUPPLIES DIETARY M 948142 122311 122111 012012 159.43 .00 SUPPLIES DIETARY 952440 123111 122311 012212 86.36 .00 TOTALS......",."""".,....."."..,...... , 245,79 .00 H1399 HILL-ROM COMPANY, INC INSTRUMENT REPAIR ICU 14 23596022 123111 L22211 012112 509.22 .00 754,60 229.00/ 229.00 13.33 ./ 13.33 79.65/ 211,88// -523.26'/ 118,59 ,/ 124.480/ 11,34 670.79/ 670.79 14.75 ,/" 14.75 366.80/ 161.43/' 151.20 // 58UO/ 1266,93 1973.80 1973.80 ./ / 108.00/ 34.90/ 137.54 -22.09 / 107.50/ 365.85 159,43/ 86.36/ 245.79 509.22 / RUN DATE: 01/12/12 TIME: 11,55 MEl10R1AL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/24/12 PAGE: 4 APOPEN VEND#.NANE.........""............. .CLS.INVOICE#, ....,.. .TRN DT.INV DT.OUE or ,CK DLPC"... ..GROSS.... .DISC.... ..NO-PAY. .".. .NET TOTALS,...".,...........,....,.".........., : 509.22 .00 10m INDEPENDENCE I4EDICAL SUPPLIES CS INVENTORY 0025146805 123111 121911 011812 15,86 ,00 SUPPLIES CS INVENTORY 0025156811 123111 122011 011912 24.50 ,00 SUPPLIES CS INVENTORY 0025166399 123111 122111 012012 23.91 ,00 TOTALS........""."....."..........."",. : 64.27 .00 10950 INFOLAB INC SUPPLIES 8LOOD 8ANK 14 J0646lL 12J111 122011 011912 862.LO .00 SUPPLIES LAB 3064612 123111 122011 011912 99.04 .00 TOTALS."..".......",......""............ , 961.14 .00 J1201 JACK L. I4ARCUS, INC EI4PLOYEE SCRUB PURCHASE 69128 12J111 121911 011812 3U8 ,00 TOTALS...................",.........,., , "." 3U8 .00 J1400 JOHNSON & JOHNSON SUPPLIES SURGERY 906843122 123111 121911 0118L2 42.00 .00 TOTALS.."..........",.....",..."",...... , 42.00 ,00 L1640 LONE'S HDM8 CENTERS INC SUPPLIES BIOI4ED 14 23511337 123111 122211 012112 32.28 .00 SUPPLIES PLANT OPS 2J571389 12J111 122211 012112 13.26 .00 RENOVATION CARDIO J8462 010912 122311 012212 24.15 .00 RENOVATION OB 70071 010912 122211 012112 154.91 .00 TOTALS..".... , .".."....",,,......,,.,,,,.. 825.20 ,00 142499 MEDTRONIC USA, INc. :>"1'1' \: e. 'So, 5u..<''1er1 14 250142513 122111 122111 012012 123.00 .00 TOTALS..,....,......"..,.....,.,.,.......... : 12J.00 .00 142621 141.IC AUXILIARY GIFT SHOP EI4PLOYEE PURCHASE 14 2J662 011012 011012 OLlO12 294.50 .00 TOTALS.....".........""................,., : 294.50 .00 142659 14ERRY X-RAY- SAN ANTONIO S\A.(I-p\~.e.$ \1o..C"hHA.'" 14 469551 122111 122111 012012 592 .14 ,00 SUPPLIES VARIOUS 469666 12J111 122111 012012 1195,J5 .00 TOTALS......,...........,......,........."" : 2J81.49 .00 142827 I1INNT8CH CORPORATION $"1'P\:"~ S.....'...1 14 1303361 122111 L21911 011812 186.00 .00 TOTALS........,........",..............",., : 186.00 .00 01660 ORIENTAL TRADING CO INC SUPPLIES PACU 14 648141624-01 123111 122211 012112 16.99 ,00 TOTALS......,.,...........",.......""..... : 16,99 .00 014425 OMENS & MINOR SUPPLIES VARIOUS 1866429 122J11 122011 011912 124.66 ,00 509.22 /' 15.86/ 24.50/ 23.91 64.21 862.10~ 99.04 961.14 JJ.48/ J3.48 42.00/ 42.00 J2.28/ 13.26 v' 24.15/ 754.91 / 825.20 123.00/ 123.00 294.50/ 294.50 592.14 ./ 1195.35/ 2381.49 186.00 186.00 / 16.99 ,/ L6.99 124.66/ RUN DATE, 01/12/12 TIME, IUS MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/24/12 PAGE, 5 APOPEN VENDn.NAME...........................CLS.INVOICEn.., ......TRN DT,INV DT.DUE DT.CK DT.,PC, ,.... .GROSS.....DISC..., . ,NO-PAY. .,.... .NET SUPPLIES CS INVENTORY 1866485 1223IL 122011 011912 20,34 .00 20.34~ SUPPLIES CS INV8NTORY 1866545 122311 122011 011912 21.56 .00 21.56 / SUPPLIES SURGERY 1866829 122311 122011 011912 1498.73 ,00 149E.73 I ('L866783 122711 1220LI OLI912 3129.64 .00 3129.64/ Su-ppl \ <e-S ~ 1867695 122711 1222II 012II2 231.50 .00 23 1.5 0 ( 1867696 L22711 1222II OI2II2 53.46 .00 53.46/ 1867987 122711 122211 012112 1070.97 ,00 L070.97 I SUPPLIES CS INVENTORY 1867731 123111 1222II 012II2 13,46 .00 13.46./ SUPPLIES CS INV / LA8 1868564 123111 122311 012212 2805,32 .00 2805.32/ SUPPLIES CS INVENTORY L81L812 010912 010312 010212 209.92 .00 209,92/ SUPPLIES VARIOUS 1780080 011012 061411 071411 40.80 .00 40.80/ TOTALS" ..,.",.",...."..........."."".. 9220.36 .00 9220.36 P1876 POLYMEDCO INC. / SUPPLIES LAE H 997050 123111 121911 OLI812 608.70 .00 60E.70 TOTALS." , ....",.....,..."............".... 608.70 .00 60E.70 P2200 POWER ELECTRIC SUPPLIES BIOMED W L51130 122311 121911 011812 1.47 .00 1.47/ SUPPLIES BI0I4ED 1511396 122311 121911 011812 5,29 .00 5.29/ SUPPLIES PLANT OPS 157165 123111 122111 012012 1.39 .00 1,39 ,. RENOVATION 157173 123111 1222II 012112 2U5 .00 2U5/ DEPT REPAIR PT 157188 123111 122311 012212 13 9,] 4 .00 139.34 / TOTALS.,.,.,.......,.....""".............. , 175.64 .00 175.64 RI045 R & 0 BATTERIES INC 227.331 INSTRUMENT REPAIR SURGERY M 946322 122311 121911 OLI912 227.33 .00 SUPPLIES ER 947100 123111 1222II 012II2 283,91 .00 283.91 / TOTALS.,.",....,........".,.,."."" ' ",,,. 511.24 .00 511.24 R1268 RADIOLOGY UMLIHITED, PA /' CALL PAY, be C :loo" W 23651 123111 1230LI 012412 5500.00 .00 5500.00 TOTALS .. .""..,.....,...",......",.",...., 5500.00 .00 5500.00 S1200 SEARS / SUPPLIES PLANT OPS II 026171116732 123111 122311 012212 123,96 .00 L23.96 TOTALS.."".............".,.,.."""".." , 123.96 .00 123.96 S1405 SERVICE SUPPLY OF VICTORIA / SUPPLIES LAB N 700593206 011012 1220LI OLI012 7.20 .00 7.20 TOTALS.......,.,.,.....,."........""""" , 7.20 ,00 7.20 moo SHERWIN WILLIAlIS / RENOVATION W 1091-8 011012 122311 012212 113.70 .00 113.70 TOTALS,........,.,....."".....,."......... , 113.70 .00 113.70 S2400 SO TEX BLOOO & TISSUE CENT -3402.00~ BLOOD EANK CREDIT 14 20115845 123111 122111 012012 -3402.00 ,00 SUPPLIES ELOOD EANK 20115962 123111 122111 012012 9312.00 ,00 9372.00 TOTALS..""........,..........,............. , 5970,00 .00 5970.00 S2951 SYSCO FOOD SERVICES OF / SUPPLIES DIETARY ~I lL2290931 123111 1229LI 012012 682.12 ,00 682.22 RUN DATE, 01/12/12 TIME, 11:55 MEMDRIAL I,IEDICAL CENTER AP OPEN INVDICE LIST THRU DUE DATE OF 01/24/12 PAGE: 6 APOPEN VENDU.NAl4E.........,"',............ .CLS.INVOICEU........ .TRN DT.INV DT.DUE OT.CK DT. .PC....., .GROSS.... .OISC..... .NO-PAY...,... .NET TOTALS"................""",.."""...... : 682.22 ,00 682.22 T0500 TEAl4 REHAB I40NTHLY BALANCE W 23658 123m 010512 011E12 28296,87 .00 28296.87 ,/ TOTALS......"..............,."..".....,... : 28296,87 .00 28296.87 T0801 TLC STAFFING / CONTRACT NURSE W 9724 122311 122011 011912 2892.76 .00 2892.76 TOTALS,....,..",.",.,................"".. : 2892.76 .00 2892.76 T2230 TEXAS mRED NUSIC INC loIUSIC SRV W A656139 011012 010112 010112 59,95 .00 59.95 /' I4ARKETING ON CALL A656140 011012 010112 010112 7U5 .00 73.95 ,/ TOTALS".............,.",.,.......,."....., : 13UO .00 133.90 UL054 UNIFIRST HOLDINGS / LAUNORY MAINTENANCE W 8150554860 122311 122011 011912 32,54 ,00 32.54 TOTALS..",."..........""",....",....... : 32,54 .00 32.54 Ul064 UNIFIRST HOLOINGS INC ./ LAUNDRY HOSPITAL LINEN 8400118BJl 122311 122011 011912 817.11 .00 817.11 LAUNDRY HOUSEKEEPING 8400118832 122311 122011 011912 174.44 .00 174.44/ LAUNDRY PLAZA 840 0 118 8 JJ 122311 122011 011912 149,95 ,00 149.95 ;/ LAUNDRY DIETIlRY 8400118834 122311 122011 011912 112.98 .00 112.98 / LAUNDRY OB 8400118835 122311 122011 011912 86.70 .00 86.10. LAUNDRY HOUSEKEEPING 8400118836 122311 122011 011912 52.03 .00 / 5U3/ LAUNDRY HOSPITAL LINEN 8400119026 123m 122311 012212 176.60 ,00 176.6G LAUNORY SURGERY 8400119027 123m 122311 012212 340.51 .00 340.51/ TOTALS...".........".",............"..." , 2570.38 .00 251 o.J 8 V0555 VERIZON SOUTHWEST TELEPHONE M 5520220122Bl1 010912 122Bl1 012212 102.64 ,00 102.64 ...- TOTALS.."..............""..,....",....... , 102.64 ,00 102.64 ZI005 ZIMMER US, INC, 11.55/ SUPPLIES PT W 599978 123m 121911 011812 11.55 ,00 TOTALS.. .. .....,.,..,..............,.......,. 11.55 .00 11.55 GRAND TOTALS....... ............."..,..",,,, 160811.07 .00 160871.01 V !!!!.1ii!# Calhoun County Judge Date:----I~L~l z--- c..1<.S M- l <1 G "7 qCL +e> tl:- I tfV3 S 3 va lb.5 ~ l4lo !7{,l1l ,;J 1l\IoS 70 I :l:!: lLfIc:7 7/1 JI, 14 {" lC/7 ).jj I 'f(P ~ %/ A\IP'P~((')1~fl~[j: Jt\iV 'I 2 2fJ12 ~xmNTV t>,UlDlnlOIR! RUN DATE: 01/11/12 TI!IE: 10.57 PATIENT NUMBER TOTAL PAYEE NAI~E MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOI DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION 011112 326.80/ 011112 260.50/ 011112 25.00'/ 011112 636.70 ,/ . 011112 125.00/ 011112 101.20 / 011112 51. 60 / 011112 285.93/ : 011112 45.00.1 011112 38.56 / ./ ARID=OOOI TOTAL 1896.29 ./' rIll' I} 17(L n il l-c-IAVAi"Xf}--PFf.L- ~nichael .J. Pfeifer CHih{)un County ~Judge D,,\jE\:nr::Jl:~ L~~~ 1896.29 C-i<.$ .bl I Lf (,,85'/ 1--0 /J /iff., 'i?03 PAGE 2 APCDEDIT GL MUM RUN DATE:Ol/18/12 TIME:14:42 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 0602 CRT#556 TRANSACTION SEQUENCE PAGE 1 GLEDIT ACCOUNT A.H.A. SEQ. Nill1BER NUNBER TRAMS DATE JOURNAL AMOUNT SUB-LED REFERENCE ME~IO G.L. ACCOUNT DESCRIPTION 1 10000000 20000000 01/18/12 CD 01/18/12 CD 500.00CR 10698 500.00 10698 A/PC146864 TEXAS DEPT OF STATE HEA OPERATING A/PC146864 TEXAS DEPT OF STATE HEA ACCOUNTS PAYABLE -CASH -A/P 30000000 21396 293728 - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRJ.lO COUNT DEBIT CD 1201 2 500.00 TOTAL 2 500.00 CREDIT 500.00 500.00 S+o...+e. \ Y'\Spe.C+: ern 07\ Re....novc..-\-. on s ACCOUNT TOTAL RECAP ON NEXT PAGE ~dJ ()4Lt MIchael J. Pfeifer Calhoun younty Judge Date:_.L2-J- ) 7-: C k :zi- \41o~b~ ,; ; ,. T)~ t7;3i '''''':~ ~\ i7 !~ ~'''1 j~.<;:<, ',d ,,,' ~ J) " r.,,, ,....' ~;-<,\It' B ('; 1<. 3> .IAN \ 8 2m2 "''''-''1',',\'''' R.1!"'t;~ ~fj.t9'l\,~v' A~UK,)i~ g ~,Ul~"~ lil'l".(iU~'J , \l. 'o'.. RUN DATE: 01/18/12 TIME: 11:14 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/31/12 PAGE: 1 APOPEN VEND#.NAl~E...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT,.PC.......GROSS.....DISC......NO-PAY....,...NET 10008 OMNI-PORT LAVACA 07, L.P. 10320.70 ,/ RENT FOR FEBRUARY 23669 011712 011512 011512 10320.70 .00 TOTALS....................................... : 10320.70 .00 10320.70 10172 US FOOD SERVICE ;' 3909,49/ SUPPLIES DIETARY 4045779 011712 010512 012512 3909.49 .00 SUPPLIES DIETARY 4045780 011712 010512 012512 336.24 .00 336,24 ,/ SUPPLIES DIETARY 4168562 011712 011012 013012 3530.49 .00 3530.49 0/ TOTALS.................................,..... : 7776.22 .00 7776,22 10285 JAMES A DANIEL RENT FOR FEBRUARY 23667 011712 011512 011512 750.00 .00 750,00'/ TOTALS....................................... : 750.00 .00 750.00 10297 ARUP LABORATORIES OUTSIDE SERVICE LAB 50383682 010912 010112 013112 4502.71 .00 4502.71/ TOTALS..............................,....,... : 4502.71 .00 4502.71 10298 HITACHI MEDICAL SYSTEMS MAINTENANCE CONTRACT pjin0033079 010212 121511 012512 9166.67 .00 9166.67 ,/ TOTALS....................................... : 9166.67 .00 9166.67 10341 JENISE SVETLIK FLEX SPEND REIMBURSEMENT 23668 011712 011712 011712 294.92 .00 294.92 / TOTALS.........................,.........,... : 294.92 .00 294.92 10350 CENTURION MEDICAL PRODUCTS SUPPLIES CS INVENTORY 90917460 123111 122711 012612 175.77 .00 175.77 ./ TOTALS.........................,............. : 175.77 .00 175.77 10368 DEWITT POTH & SON ~-3"-" OFFICE SUPPLIES CS INVENT 296164-01 011712 061511 013012 346.77 .00 C ",,,,/QQ331,, 346.77 OFFICE SUPPLIES ER 296164-10 011712 062311 013012 140.00 .00 $1,("D5.5~ 140.00 OFFICE SUPPLIES LAB 296338-01 011712 061611 013012 65.60 .00 $-1-01' 1'''''1"""ni 65.60 OFFICE SUPPLIES CARDIO 296345-01 011712 061611 013012 15.03 .00 tvrld '.:$"'''~ 15.03 OFFICE SUPPLIES MED/SURG 296749-01 011712 062111 013012 68.75 .00 :+h I 68.75 OFFICE SUPPLIES OB 296756-01 011712 062311 013012 215.98 .00 l,,) 215.98 OFFICE SUPPLIES MED/SURG 296758-01 011712 062111 013012 31.54 00 Cu. rre-n.+ 31.54 OFFICE SUPPLIES VARIOUS 296864-01 011712 062211 013012 467.57 : 00 c.I.a.",:>" +<> 467.57 OFFICE SUPPLIES LAB 297258-01 011712 062411 013012 28.25 .00 ''''''''''4 C~ 28.25 OFFICE SUPPLIES cs INV/SU 297452-01 011712 062711 013012 226.09 .00+0-\<1-1 26.09 OFFICE SUPPLIES CS INVENT 316404-0 011712 010412 011512 6.77 .00 6.77'/ TOTALS...,................................... : 1612.35 .00 1612.35 10371 LOFTIN EQUIPMENT COMPANY GENERATOR TEST SRVCE024407 011712 120111 123111 150.00 ,00 150.00/ TOTALS,..,...............,..........,........ : 150.00 ,00 150.00 10394 WILLIAM E HElKAMP, TRUSTEE EMPLOYEE DEDUCTION 18036 011712 011712 011712 150.00 .00 150.00 v' TOTALS....................................... : 150.00 .00 150.00 10429 WILLIAM E HEITKAMP, TRUSTE 495.00 / EMPLOYEE DEDUCTION 18031 011712 011712 011712 495.00 .00 RUN DATE: 01/18/12 TIME: 11:14 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/31/12 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 WEEKLY CLAIMS 18039 011712 011712 011712 9482.80 .00 9482.80 ,/ TOTALS....................................... : 9482.80 .00 9482.80 10472 VISA VARIOUS DEC2011 011312 123111 011912 3994.31 .00 3994.31 TOTALS....................................... : 3994.31 .00 3994.31 10478 LESLIE ANN SOLIS EMPLOYEE DEDUCTION 18035 011712 011712 011712 177 .69 .00 177.69 v' TOTALS..................................,.... : 177.69 .00 177 .69 10509 DA&E ,/ AUDITING FEES 23656 123111 123111 013012 1580.00 .00 1580.00 TOTALS....................................... : 1580.00 .00 1580.00 10536 MORRIS & DICKSON CO, LLC 442.83/ PHARMACEUTICALS 2938964 010912 010312 012512 442.83 .00 PHARMACEUTICALS 2938965 010912 010312 012512 3996.13 .00 3996.13 / PHARlICEUTICAL 2938966 010912 010312 012512 279.25 .00 279.25/ PHARMACEUTICALS 2938967 010912 010312 012512 781.40 .00 781.40/ PHARMACEUTICALS 2941137 010912 010312 012512 2717.77 .00 2717.77~ PHARllACEUTICALS 2941138 010912 010312 012512 2167.08 .00 2167.08 PHARMACEUTICALS 2949852 010912 010512 012512 3.78 .00 3.78 ,/ PHARMACEUTICALS 2949853 010912 010512 012512 3227.26 .00 3227.26/ PHARMACEUTICAL CREDIT CI125995 010912 010312 012512 -52.48 .00 -52.48/ PHARllACEUTICAL CREDIT CM25996 010912 010312 012512 -1546.37 .00 -1546.37'/ PHARllACEUTICAL CREDIT CM26348 010912 010412 012512 -368.76 .00 -368.76'/ PHARllACEUTICAL CREDIT CM26349 010912 010412 012512 -1030.25 .00 -1030.25 ./ PHARllACEUTICAL CREDIT CM26350 010912 010412 012512 -117.21 .00 -117.21/ PHAR~lACEUTICAL CREDIT CM27648 010912 010512 012512 -58.61 .00 -58.61/ PHARllACEUTICALS 2960635 011012 010912 012512 66.56 .00 66.56./ PHARllACEUTICALS 2960636 011012 010912 012512 4585.01 .00 4585.01~ PHARMACEUTICALS 2965533 011312 011012 012512 819.49 .00 819.49 PHARMACEUTICALS 2965534 011312 011012 012512 800.94 .00 800.94/ PHARMACEUTICALS 2965535 011312 011012 012512 102.45 .00 102.45/ PHARMACEUTICALS 2965536 011312 011012 012512 107.71 .00 107.71/ PHARMACEUTICALS 2967811 011312 011112 012512 191.05 .00 191. 05 ./ PHAIDlACEUTICALS 2968258 011312 011112 012512 270.60 .00 270.60 ./ PHARllACEUTICALS 2970035 011312 011112 012512 20.04 .00 20.04 ,../ PHARMACEUTICALS 2970036 011312 011112 012512 1230.96 .00 1230.96'/ SPLITBILL LIC FEE DEC 3870 011312 010612 012512 1000.00 .00 1000.00'/ TOTALS....................................... : 19636.63 .00 19636.63 10556 CPP WOUND CARE #28,LLC 18425.00/ WOUND CARE 13532 011712 123111 013012 18425.00 .00 TOTALS..................................,.... : 18425.00 .00 18425.00 10579 TRE TEXAS 33.00 / INSTRUMENT REPAIR SURGERY TT013839 011712 122011 011912 33.00 .00 RUN DATE: 01/18/12 TIME: 11:14 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/31/12 PAGE: 3 APOPEN VEMD#.NAME...........................CLS.INVOICEn.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET INSTRUlIENT REPAIR O/P TT013840 011712 122011 011912 606.00 .00 606.007 INSTRUlIENT REPAIR TT013841 011712 122011 011912 17.00 .00 17.00 TOTALS....................................... : 656.00 .00 656.00 10602 SERVICE ORGANIZATION 367438.76/ CRNA/ER PROF FEES ~UlY-NOV 23673 011g12 011712 011712 367438.76 .00 TOTALS....................................... : 367438.76 .00 367438.76 10618 TEAM HEALTH MEDICAL CALL C 1390.38/ ER CALL CENTER BA11084 011712 123111 123111 1390.38 .00 TOTALS....................................... : 1390.38 .00 1390.38 10629 QUEST DIAGNOSTICS 35.40/ OUTSIDE SRV LAB 9141414206 123111 122711 012612 35.40 .00 TOTALS.........,. ............. ...............: 35.40 .00 35.40 10639 TX CHILD SUPPORT SDU 214.21 ,/ EMPLOYEE DEDUCTION 18034 011712 011712 011712 214.21 .00 TOTALS...................,.................,. : 214.21 .00 214.21 10671 INNOVATIVE X-RAY SERVICES 90.001 INSTRUMENT REPAIR ANESTHE 20032 123111 122711 012612 90.00 .00 TOTALS....................................... : 90.00 .00 90.00 10689 FASTHEALTH CORPORATION 495.001 WEBSITE MONTHLY FEE JAN 01A12MlIC 011712 010112 013112 495.00 .00 TOTALS...,.....,............................. : 495.00 .00 495.00 10693 MATTHEW BENDER & COMPANY, 48.49 / CONTINUING ED PHARMACY 27495582 011312 122711 012612 48.49 .00 TOTALS.........,....................,........ : 48.49 .00 48.49 10695 SOCIETY FOR HUlUlN RESOURCE 165.00/ MEMBERSHIP FEES 23665 011312 121211 011112 165.00 .00 TOTALS...................................".. : 165.00 .00 165.00 10696 TX STATE HUMAM RESOURCE AS / ANNUAL DUES FOR 2012 23671 011712 121211 011712 75.00 .00 75.00 TOTALS........,.............................. : 75.00 .00 75.00 A1360 AMERISOURCEBERGEN DRUG COR 133.50'/ PHARMACEUTICALS W 037-380369 011312 011012 0125L2 133.50 .00 TOTALS....................................... : 133.50 .00 133.50 A1680 AIRGAS-SOUTffi~ST 2105.37 ~ MEDICAL GAS M 107359308 011012 123111 013012 2105.37 .00 MEDICAL GAS 107359364 011012 123111 013012 221. 70 .00 221. 70 TOTALS....................................... : 2327.07 .00 2327.07 A2218 AQUA BEVERAGE COMPANY SUPPLIES LAB M 371610 011012 123111 012512 9.89 .00 9.89 / RUN DATE: 01/18/12 TIME: 11:14 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/31/12 PAGE: 4 APOPEN VEND#.NAME...........................CLS.INVOICE~.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS....................................... : 9.89 .00 9.89 BI075 BAXTER HEALTHCARE CORP SUPPLIES CS INVENTORY M 33350503 123111 122811 012712 270.82 .00 270.82"/ TOTALS....................................... : 270.82 .00 270.82 B1220 BECKlU\N COULTER INC 182.64~ OUTSIDE SRV LAB M 102639688 123111 122811 012712 182.64 .00 LEASE / MAINTENANCE 5255738 011012 123111 013012 5382.13 .00 5382.13 OUTSIDE SERVICE LAB 102475328 011712 100411 110411 11882.93 .00 11882.93"/ TOTALS...... ,................................1 17447.70 .00 17447.70 CI030 CAL COM FEDERAL CREDIT UNI 25.00/ EMPLOYEE DEDUCTION W 18032 011712 011712 011712 25.00 .00 TOTALS....... I...............................: 25.00 .00 25.00 C2299 SUDDENLINK MEDIA 1440.00/ ADVERTISING PREPAYMENT 23672 011712 011712 011712 1440.00 .00 TOTALS....................................... : 1440.00 .00 1440.00 C2510 CPSI 145.25/ ELECTRONIC PAYSTUHS M 698348 011712 011012 011012 145.25 .00 HDW/SFTW/TECH SUPPORT A1201051378 011712 010512 010512 13814.00 .00 13814.00/ TOTALS....................................... : 13959.25 .00 13959.25 D0350 SIEMENS HEALTHCARE DIAGNOS 3370.91/ SUPPLIES LAB / LAB INV II 970870528 011012 122811 012712 3370.91 .00 TOTALS....................................... : 3370.91 .00 3370.91 D1532 DIGITAL INOVATION, INC. 1000.00 J LEASE FEE 991081 011712 090111 013012 1000.00 .00 TOTALS....................................... : 1000.00 .00 1000.00 D1752 DLE PAPER & PACKAGING J FORMS CS W 6459 123111 122811 012712 172.18 .00 172.18 / FORMS PFS 6461 123111 122911 012812 79.95 .00 79.95 TOTALS....................................... : 252.13 .00 252.13 E1190 ELECTRO CAP INTERNATIONAL 102.81/ S"ppl\&s Cll,ro\() M 0169931-IN 011312 010512 012512 102.81 .00 TOTALS....................................... : 102.81 .00 102.81 F1400 FISHER HEALTHCARE SUPPLIES LAB M 6097577 123111 122711 012612 672.48 .00 672.48 :/ SUPPLIES LAB 6097578 123111 122711 012612 1925.49 .00 1925.49 SUPPLIES LAB 6097580 123111 122711 012612 1096.18 .00 1096.18 / SUPPLIES LAB 6123080 123111 122811 012712 53.02 .00 53.02 ,/ TOTALS....................................... : 3747.17 .00 3747.17 H0030 H E BUTT GROCERY 104.27) SUPPLIES DIETARY M 961681 123111 122911 012812 104.27 .00 RUN DATE, 01/18/12 THIE: 11:14 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/31/12 PAGE: 5 APOPEN VEND#.NAlIE......................... ..CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC..... ..GROSS... ..DISC..... .NO-PAY...... ..NET TOTALS....................................... : 104.27 .00 104.27 H0947 HALL WIRELESS 5.98/ SUPPLIES BIOMED 10062136 011012 122911 012812 5.98 .00 TOTALS....................................... : 5.98 .00 5.98 J1400 JOHNSON & JOHNSON 57.87 ./ SUPPLIES SURGERY 906897131 010912 122811 012712 57.87 .00 TOTALS....................................... : 57.87 .00 57.87 K1255 KRAMES 97.56/ OFFICE SUPPLIES SPEC CLIN 6743343 011012 122811 012712 97.56 .00 TOTALS....................................... : 97.56 .00 97.56 L0700 LABCORP OF AMERICA HOLDING 30.00~ OUTSIDE SRV LAB M 36383381 011012 123111 013012 30.00 .00 OUTSIDE SRV LAB 36416579 011012 123111 013012 82.80 .00 82.80 OUTSIDE SERVICE LAB 36518074 011712 123111 013012 15.00 .00 15.00/ TOTALS....................................... : 127.80 .00 127.80 L1288 LANGUAGE LINE SERVICES 31. 00 / TELEPHONE W 2865079 123111 123111 013112 31.00 .00 TOTALS....................................... : 31.00 .00 31.00 M1500 l!ARKS PLUMBING PARTS 43.74 ./ SUPPLIES PLANT OPS I! 1069884 011712 111711 013012 43.74 .00 TOTALS....................................... : 43.74 .00 43.74 M2659 MERRY X-RAY- SAN ANTONIO ./ SUPPLIES CT SCAN M 469695 123111 123011 012912 199.74 .00 199.74 TOTALS....................................... , 199.74 .00 199.74 M3331 MOORE MEDICAL 89.92 / SUPPLIES O/P W 96839276RI 011712 071211 081111 89.92 .00 TOTALS....................................... : 89.92 .00 89.92 01500 OLYlIPUS AMERICA INC 216.66 / SERVICE CONTRACT OB M 13087964RI 123111 122711 012612 216.66 .00 TOTALS....................................... : 2L6.66 .00 216.66 OM425 OIi&NS & MINOR SUPPLIES PT 1869085 123111 122711 012612 2.64 .00 2.64 :/ SUPPLIES CS INVENTORY 1869142 123111 122711 012612 65.44 .00 65.44 ,/ SUPPLIES VARIOUS 1869185 123111 122711 012612 961. 63 .00 961. 63./ SUPPLIES CS INVENTORY 1870228 123111 122911 012812 82.66 .00 82.66 ,/ SUPPLIES CS INVENTORY 1870345 123111 122911 012812 4.59 .00 4.59/ SUPPLIES VARIOUS 1870580 123111 122911 012812 954.33 .00 954.33/ TOTALS....................................... : 2071.29 .00 2071.29 P2100 PORT LAVACA WAVE / ADVERTISING W 162/163 011012 123111 013012 560.50 .00 560.50 RUN DATE: 01/18/12 TIME: 11:14 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/31/12 PAGE: 6 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV nT.DUE DT.CK DT..PC. ......GROSS.....DISC......NO-PAY........NET TOTALS....................................... : 560.50 .00 560.50 P2323 THE PRODUCTION GROUP 1270.00/ COMMERCIAL PAYMENT W 23664 011712 011712 011712 1270.00 .00 TOTALS....................................... : 1270.00 .00 1270.00 RI050 R G & ASSOCIATES INC SALT DELIVERY M 194173 123111 122711 012612 164. 00 .00 164.00"""- SALT DELIVERY 194587 123111 122711 012612 164.00 .00 164.00 -- SALT DELIVERY 194774 123111 122911 012812 106.60 .00 106.60"'- MIXED BED SVC FEE 194867 123111 122711 012612 31.50 .00 31.50 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , 466.10 .00 466.10 R1268 RADIOLOGY UNLIMITED, PA DR. MALEK CALL PAY W 23670 011712 112911 011712 350.00 .00 350.00/" TOTALS....................................... : 350.00 .00 350.00 R1469 MARIA D RESENDEZ EMPLOYEE DEDUCTION 18037 011712 011712 011712 212.31 .00 212.31/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 212.31 .00 212.31 S1800 SHERWIN WILLIAMS 82.111 RENOVATION W 1228-6 123111 122811 012712 82.11 .00 TOTALS....................................... , 82.11 .00 82.11 82345 SOUTHEAST TEXAS HEALTH SY QRTLY MEMBERSHIP DUES W 23582 011712 010112 013112 5000.00 .00 5000.00,.../ TOTALS....................................... : 5000.00 .00 5000.00 S2951 SYSCO FOOD SERVICES OF 769.52/ SUPPLIES DIETARY M 201050908 011712 010512 012512 769.52 .00 SUPPLIES DIETARY 201120462 011712 011212 013012 1021. 79 .00 1021.79 ./ TOTALS....................................... : 1791.31 .00 1791.31 S3960 STERICYCLE, INC 691.89/ WASTE PICKUP 4003098624 011012 123111 013012 691. 89 .00 TOTALS....................................... : 691. 89 .00 691.89 T0500 TEAll REHAB INTERIM BILLING W 23667 011712 011612 011612 15000.00 .00 15000.00 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 15000.00 .00 15000.00 T0801 TLC STAFFING 2185.25/ CONTRACT NDRSE W 9750 123111 122711 012612 2185.25 .00 TOTALS....................................... : 2185.25 .00 2185.25 T1751 TEXAS CHILD SUPPORT SDU 197.08/ EMPLOYEE DEDUCTION W 18033 011712 011712 011712 197.08 .00 TOTALS....................................... : 197.08 .00 197.08 T2303 TG EMPLOYEE DEDUCTION W 18038 011712 011712 011712 157.79 .00 157.79/ RUN DATE: 01/18/12 TIME: 11:14 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 01/31/12 PAGE: 7 APOPEN VEND#.NA)IE...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS....................................... : 157.79 .00 157.79 T2539 T-SYSTEM, INC. SOFTWARE LICENSE W 5381 010912 123111 013012 3922.00 .00 3922.0iY' CODING OPTIMIZATION PROJE 5561 011312 122911 012812 6500.00 .00 6500.00/ TOTALS....................................... : 10422.00 .00 10422.00 UI054 UNIFIRST HOLDINGS LAUNDRY MAINTENANCE W 8150555626 123111 122711 012612 32.54 .00 32.54 ..-/ TOTALS....................................... : 32.54 .00 32.54 UI064 UNIFIRST HOLDINGS INC LAUNDRY HOUSEKEEPING 8400119169 123111 122711 012612 174.44 .00 174.44/ LAUNDRY PLAZA 8400119170 123111 122711 012612 170.87 .00 170.87/ LAUNDRY DIETARY 8400119171 123111 122711 012612 111.24 .00 111.24/' LAUNDRY OB 8400119172 123111 122711 012612 86.70 .00 86.70/ LAUNDRY HOUSEKEEPING 8400119173 123111 122711 012612 52.03 .00 52.03/ LAUNDRY HOSPITAL LINEN 8400119209 123111 122711 012612 967.66 .00 967.66/ LAUNDRY HOSPITAL LINEN 8400119363 123111 123011 012912 534.29 .00 534.29/ LAUNDRY SURGERY 8400119364 123111 123011 012912 340.57 .00 340.57/ TOTALS....................................... : 2437.80 .00 2437.80 V0555 VERIZON SOUTIDiEST 40.77/ TELEPHOME M 5523521010112 011312 010112 012612 40.77 .00 TOTALS....................................... : 40.77 .00 40.77 YI000 YOUNG PLm1BING CO RENOVATION W 137120 011712 121511 011412 4500.00 .00 4500.00"'- TOTALS....................................... : 4500.00 .00 4500.00 Z0850 CARMEN C. ZAPATA-ARROYO SPEECH THERAPY W 23661 010912 123111 012812 150.00 .00 150.00/ TOTALS....................................... : 150.00 .00 150.00 GRAND TOTALS.................................: 551978.54 .00 551978.54 tJit~ C \{$,d,f H fa &' fp/P +0 14V13 '1 _ V 0 iD9 z/d-/lf& J73 iI/'i(p3f?:L Michael J. Pfeifer Calhoun County Judge Date:_p~1 V /\\,UJ)IPI~<<)lV'ElD' ;'111' 'iJ "111'" J,"M~ i :;) Lv!. (GO~.JN'1JY lUJj~)fi10~ ~UN DAT~: 01/18/12 THIE: 14:49 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOI PAGE 2 APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUl~ ____M_________________________________________________------------------------------------------------------------------------------ 011812 209.741 011812 879.48/ 011812 63.04/ 011812 30.00 / , 011812 450.00/ ------------------------------------------------------------------------------------------------------------------------------------ ARID=OOOI TOTAL 1632.26 ------------------------------------------------------------------------------------------------------------------------------------ TOTAL 1632.26 C,fs ,jj. lY:~ 931/ '~i'-O , :eft I Lf. / (! (/'1 i lip ll'~ ;41dL7~- IVHcnae\ Jo f'fe~ff.W _,_, r'-l"l~(' r'{ lq CounP1 Judg't;o Vie,," "..,CO 'j -1 .J ~ lO3te:_____-::d.J~L~~~ RUN DATE:01/19/12 TnlE:08:44 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 0604 CRT#556 TRANSACTION SEQUENCE PAGE 1 GLEDIT ACCOUNT A.H.A. SEQ. NUNBER NUlIBER TRAMS DATE JOURNAL AMOUNT SUB-LED REFERENCE MEMO G.L. ACCOUNT DESCRIPTION ---------------~-------------------------------------------------------------------------------------------------------------------- 1 10000000 20000000 01/19/12 CD 01/19/12 CD 34,850.44CR 10647 34,850.44 10647 A/PC146865 MICHAEL J. DICLEMENTE, A/PC146865 MICHAEL J. DICLEMENTE, OPERATING -CASH ACCOUNTS PAYABLE -AlP 30000000 21294 293730 - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRlIO COUNT DEBIT CD 1201 2 34,850.44 TOTAL 2 34,850.44 CREDIT 34,850.44 34,850.44 PC41flle..n-t ~O ( u.c 2.0 ( l NQ.A 'R,~ G:rG(0Jt~ " 1:;;""""IJj'\J'IC:;~ij .~~Ilr ~"~Il~I::Jl ' ~:o_. .'" 1!::~1r~/fl- Caihoun County Judge Oa',e: 1- ,,):>- J l---' , ACCOUNT TOTAL RECAP ON NEXT PAGE .U,\ '1,1 'n") J!'" ',: ,) ,t.,,-df. ICOUl\\1"Y I~UmrOi't CIZ # 14& ~05 FED TAX FICA 0 FICAM TOTALS 32,605.76 29,599.30 8,771.90 70,976.96 Tax Payment Report Worksheet EFTPS Voice Response 5\ (Photocopy this worl<sheet for future use.) ~ You dial: EFTPS responds: You enter: p;;'Jj EFTPS prompts: 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" [TI1J[][k][Q][Q]wrnmm (9-digit Employer Identification Number) )'''1] EFTPS promts: "Enter your 4-digit PIN" You enter: digit Personal Identification Numb 1I':\!i'~'1 EFTPS prompts: .........:;;J You enter: Lists the Main Menu Selections Press 1 (to initiate a tax pryment) llilliilli EFTPS prompts: You enter: EFTPS responds: "Enter the Tax Type number followed by the pound (#) sign." mrn [2]r10 0 (3-t06 digit tax type number from the IRS Tax Form-TabJeinA.ppendix A) "You entered Tax Type/Tax Description (Based on the selection in step #5) ~ EFTPS prompts: You enter: &;:,,: EFTPS prompts: You enter: "Enter Tax Payment Type" 1 digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code in Appendix D) "Enter the 4 digit Tax Filing Period starting with the year followed by month'" OJ rTI u:J rn (Valid 4-digit Tax Period based on IRS Tax Form Table inl\j;pend.x A) 11Im! EFTPS prompts: You enter: "Enter the payment Amount followed by the pound (#) sign." (You must enter cents even if you are reporting a whole dollar amount.)' $g~,gLt1a!~~teH~$l~J~~991'PPFiJ _ EFTPS prompts: Enter the 2-digit Verification Code." 00 Verification Code' '(See Appendix E for Verification Code Calculation) gEFTPSresponds: \\'\,\\~l '(J \ It I . I \~ ~I HI \,cLi/bVt1V.[eCIt1j0t't1.&A\:tt lo41~4-ILr~ 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 juture). mObJ(];:][I]q::::Jrn (G-digit tax. payment settlement daVin'iiiiMDDYY format) (Continue) vCitRh..l J..j'- . 1;J-/:).lIU ~ Run Date: 01/03/12 MIDIORIA1 MBDlCA1 CENTER Page 00 Time: 13:35 payroll Re.gister I Bi-weekly I P2REG pay Period 12/16111 - 12129/11 Runfi 1 Final SUJ(fl1ary L_ Pay Cod e Sum mar y ~~~n___~____________~n_______n______._*__ 0 e due t ion s Sum mar y ._____n_~___* I Paled Description HIS IOTISHllIlllHOICBI Gross I Code Amount I i______~_______________n~_n_~________~___~_____n____________________.___t____~_____~____~___n______~__________h____________i 1 REGULAR PAY-Sl 6434,00 H H N 114262.44 AIR 632.50 AWARDS BOOTS 1 REGULAR PAY-Sl 911.50 N N N N 30532,31 CAFE-C 162.11 CAFE-D 032.50 CAFE-F 1 REGULAR PAY-Sl 171.15 N N Y 4441.02 CAFB-H 0242,50 CAFE-I 21U5 CAFll-L 425.85 1 REGlJ1A.~ PAY-Sl 63,00 Y N N mB.10 CAFE-P 454.96 CANCER 12.60 CRBDDN 25.00/ 2 REGULAR PAY-S2 1958.15 N N N 38122 .11 01lNTA1 411.44 OOP-LF 231.36 FEOTAX nl83.11 2 REGIlID PAY-S2 240.00 N N Y 1050.30 FICA-H 4110.89 FICA-O 11901.30 FLEX S 1468.35 2 REGIlID PAY-S2 58.15 Y N N nB3,06 FORT D FIITA GIrrS 14l.60 3 REGIlID PAY-S3 1218.25 N N H 20260.14 GRANT GRP-IN 129.26 GTL 3 REGULAR FAY-S3 91.15 N N Y 2991.26 HOSF.! 3915.0010 1FT LIlAF 3 REGIlID PAY-S3 61.15 Y N N 2640.74 HISC 64.00 OTHER 2627.83 PR FIN 415.39 C CA1L FAY 2193.15 N 1 N N 4301.50 REPAY S'J-TX S'lUDllN 122.19 E EXTRA WAGES N N N N 361.90 TSA-l TSA-2 TSA-C E OXTRA HAGES N 1 N N N 1185.00 TSA-P TSA-R 20111 ,16 TlITIOl! P FUNERAL LRAVE 72,00 N 1 N N 1710.08 \M/HOS 141.50 K EXTENDRO- I_SS-BANK 162.00 N 1 H N 2311.62 P PAID-TIME~OFF 12,00 H H H 100,00 P PAID-TIME-OFF 100.00 N H H N 1240.56 P PAID-TIME-OFF 2310.00 H 1 H N 49149.61 X CALL PAY 2 121.00 N 1 N H 242,00 Y lMCA/CURVES N N N N 15.00 Z CALL PAY 3 60,00 N N N 100.00 P PAlO mill OFF - PROOATION 12.00 H H N N 216.96 P PAlO 71MB OFF - PROOATION 40.00 N 1 N N 609.00 L~_n__~__n__~_____ Grand 'rotals: 16426,25 __nHU ( GrosS: 295967.45 Deductions: 89738,03 Net: 206229,42 1 I Checks Count:- FT 160 PT 20 Other. 30 Female In Male 33 Credit OverAmt 13 ZeroNet Term Total: 210 I l___________H_______________________________________________________H_______________~________________________H._________________l FICAO / 31,483.17 0I-{ '/8'-/ 7' D / 8,221.78/ 1.) ,- uu FED TAX 3'1 ~;\ c:;.:5 '" i 7 " 29; ({(ji!_.. r!u ;. FICAM 8'22! 7[J 003 TOTALS /'7, In 05' 69}'iU96:1 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 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" ~ EFTPS prompts: You enter: [ZJ1JlJ[k][QJ[Q]QJ[!l][ZJm (9-digit Employer Identification Number) 1l.Z:liiJI EFTPS promts: "Enter your 4-digit PIN" You enter: digit Personal Identification Numb ~ EFTPS prompts: You enter: Lists the Main Menu Selections IWgl EFTPS prompts: You enter: Press 1 (to Initiate a tax pryment) EFTPS responds: "Enter the Tax Type number followed by the pound (#) sign." rn [32] [2] CJ D D (3- to 6 digit tax type number from the IRS Tax Form-Table In Appendix A) , "You entered Tax Type/Tax Description (Based on the selection in step #S) IWI EFTPS prompts: You enter: "Enter Tax Payment Type" 1 digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code In Appendix D) Ir!tlI EFTPS prompts: You enter: "Enter the 4-digit Tax Filing Period starting with the year followed by:"onth'" []] [];] Eli] cr:J (Valid 4-digit Tax Period based on IRS Tax Form Table in Appendix A) fiB! EFTPs prompts: You enter: "Enter the payment Amount followed by the pound (#) sign." (You must enter cents even if you are reporting a whole dollar amount.) $DD,DCLiJE1J,IT1[]]m.[lUlK] (Your payment amount cannot exc;;t$99,999,999.99) lEI EFTPS prompts: Enter the 2-digit Verification Code." DO Verification Code' '(see Appendix E for Verification Code Calculation) 1m! EFTPS responds: "Enter the 6-digit tax payment settlement date by month, day, year." (Note, the next business date you enter must be at ieost one business day in the future). You enter; wED 4=lrr:::Ju:J a:J (6-digit tax payment settlement day in MMDDYY format) (Continue) M.iV\t. elK i/sl \'" vccd&J iAu: JU~~vULU~~::~;lo ciJ III D l \ ACCEPT DONATIONS TO CALHOUN COUNTY: Stephanie Stiles and Vicki Campbell, both from Friends of Seadrift Library, updated the Commissioners Court informing they received a grant of $34,712 to purchase furniture for the Library. Friends of Seadrift explained they purchased shelving and that the furniture was expected to arrive late February or the middle of March and announced to the court that their intent was to donate the shelving to Calhoun County Libraries. A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to accept donations to Calhoun County. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. BUDGET ADJUSTMENTS: A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to approve the 2011-2012 budget adjustments. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ~ "- ~ ro "' "- ~ L " ~ C " '< '" p' '" S '" c~ m= "a = )0= :;lI= -1= i5:~ m= Z= -I~ Z~ )0= i5:= m= .. (")~ 0= C= Z= -1= -<~ -I~ ~~ (")= 0= r""= r""= m= (")= -1= 0= :;lI~ c~ m= "a = )O~ :;lI= -1= i5:= m= Z= -1= Z~ 9~ N= Q= Q= -0 " '" ro a - a; .... 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'" '" 00000 g, '" 8-..,., 51;;;"", .....""= -- .....== <h '" <h =="" <h _.-.,-ffi-tfl.-... ~~!!5 '" '" '" =="" '" '" -tfl-tfl....... N {fl ~ ~ ~ .....s:;:"" ~ ~ f\.)O>f\.)......CO 5...~ '" '" '" ;;"'i!: '" '" CnN""OO '" ~ ~ ~ ~ I:!J..... ~ ~ Q)w(,..)Q)...... l:!J..... C '" co co ~ '" ~ .t9 ..:::L~ -9 . . :c m :t- ::a Z a g~ -1= !!Iii: ;Iii: c - Cil~ a.~ AI - '<= - Z Co. '"" AI = ~~ AI ... ~~ N= J1l= N= 0-1 ... N= = = ~ '"" -I :c> ~= ::a~ -= z~ a-l ~iI: -a '"" !!IZ ::a-l m> g-a ~-a ::a = = me c:F!: c.... a _ m~ -1-1 -< m :t- ::a .. N o ... N SUPPLEMENTAL AGENDA: CONTRACT WITH INDIANOLA LIQUIDATING TRUST AND CALHOUN COUNTY FOR GREEN LAKE AND SURROUNDS: Calhoun County had a letter of intent from sellers of Green Lake and the surrounding properties where the sellers agreed they would sale exclusively to Calhoun County the lake and property around the lake. The letter of intent has expired and Calhoun County will now enter into a formal contract to purchase Green Lake and the surrounds of the lake. A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to approve the contract between Indianola Liquidating Trust and Calhoun County for Green Lake and Surrounds. Q IlQ/JiU.t1lt1J.~ ~1'''''.",HnY PROMULGATED BYTHE'TEXAS REAL ESTATE COMMISSION (TREC) FARM AND RANCH CONTRACT B-Ol-2011 1. PARTIES: The parties to this contract are J".,.d~",,,.4 L ,!<f/'4r,:p, J;.t-(,rr' (Seller) and e;<1! ~. ~;v (".q ,...1.'1 (Buyer). Seller agrees to self and convey to Buyer and Buyer agrees to buy ff(lm Seller the property deffned below. 2. PROPERTY: The land, improvements, accessories and crops are collectively referred to as the "Property". A. LAND: The land situated, in the COlJnty of C'''l/ /,~~..,/ , Texas, . described as foilows: 5et' 1Ei<!,,'/, :t' ")fJ" fI/tr or as described on attache exhibit, also known as r e e"" 1/..... ,; """<i_ 'J' l~c1~ii;gfblut ";:rlmt~1~tr~; ~~\~ll)i~Wt~~Stl~rZ~;~~rfl1~f1, ~frl'fsr1:~g~~~~e~;~~~~'~~~rs~r~~~ cooperative or association memberships. B. IMPROVEMENTS:' .' {iJ FARM and' RANCH IMPROVEMENTS: The fdlldi!ilrt . pet,l'tIansntlY installed a'nd buIlt-in items, If any: windmills, tar1ks, barns, pens, ~ences, gates, sheds, outbuildings, and corrals. , (2) RESIDENTIAL IMPROVEMENTS: The house, garage, and all other fixtures and Improvements attached to the above-descrfbed real property, lnc/udlrig wltli6ut Jjtriltatr6fi, the following permanently installed and built-in items! If any: all equipment and appliances, valances, screens, shutters, awnings, wa/l-to-wa I carpeting, mirrors, ceiling fans, attic fans, mall boxes, teleyislon ant!'lnnas and s~teHlte dish system and equipment, . mounts and brackets f'Or televisions and speakers, neatlng and alr-conditlOriirig u'riits, security and fire detection equipment, wiring, plumbing and lighting fixtures, chandeliers, water softener system, kitchen equipment, garage door openers, cieanln\! equipment, shrubbery, land.scaplng, outdoor cookIng equipment, and all other property owned by Seller and attached to the aBove descrfbed r.eal pr.operty. C, ACCESSORIES: (1) FARM AND RANCH ACCESSORIES.: The following desQ;lbed related acc,essories: (check !;lQx!'ls of cqnveyed accessories) Uc60rtable buildings U hunting blinds U,..game feeders U IIves,.Wck reecfersand JJoughs' IrrlgatlQr! equii5rMtit t:I fUel tanks. U submersible pumps U pressure tanKs U corrals gates U chutes J.lil other: /1"-'7 J t'B....j "', T e""''''I/U h (!,v.1-/Vt ,'",.." c:., ,;. rl. 1(/ b c 0;"(' 4... ."..., .,.., . (2) RES ENTI L A CESS IES: The following described related accessories, If any: window air conditioning units, stove, fireplace screens, curtains and rods, blinds, window shades, draperies and rods, door keys, mailbox keys, above ground pool, swimming pool equipment and maintenance accessories, artificial fireplace logs, and controis for: (i) satellite dish systems, (i1) garages, (III) entry gates, and (Iv) other Improvements and accessories. . D. CROPS: Unless otherwIse agreed In writing, Seller. has the right to harvest all grOWing cr.ops unW delivery of possession of the Property. '. , E. EXCLUSroNS: The follOWing Improvements, accessories, and crops will be retained by Selle and must be removed Rrior to delivery of possession: ,<-,' .",;, c e ,'d~ .f"el.'.R/"'$ L ~ ee~ ,.-0 prY; ,veJ''fo ~.rd..r e;t;; <( /' _ J. p .r. ~ .s'"10....... . - . __. ,..... . "v e 1/. C " .p ~ p,r .,..e lit.' F. ReSERV,lI"IONS: Any reservation for 011, g,as, or ,other minerals is descrlb d n t attached TREC addendum. Seller reserv!~s the follOWing water, timber, or other interests: /1/0 reS-t,."'#,'o -f ~ , S'e /Ie'''"' . . ,/ 3. SALES PRICE: A. Cash portion of Sales Price payable by Buyer at closing ",".............. $ J; s-v 0, 0<> CJ B. Sum of all financing described below (excluding any loan funding , c:>- fee or mortgage insurance premium) ............................................. $ C. Sales Price (Sum of A and B) ................"..................................... $ '3, So"', 00 0 D. The Sales PrIce 0 will a will not be adjusted based on the survey r.equlred by' Paragraph 6C. If the Sales Price Is adjusted, the Sales Price will be calculated on the basis of $ t1Z4 per acre.' If the Sales Price Is adjusted by more than 10%, either party may termihate this contract by providing written notice to the other party within ~ days after the terminating party receives the survey. If neither party terminates this contraJj: or if. the )!fIrlance Is 10% or less, the adjustment will be made to the amount In U 3A I.J 36 ....' proportionately to 3A and 38. 4. FINANCING: The portion of Sales Price not payable In cash will be paid as follows: (Check a IIcable boxes below Inltiate-d for Idantlficatr()fl' by Buyar a-Nd Selle-r TR!;C N'd. 25-8 TAR 1701 f('",'f,.;/r r~7 . ..~.-.,~~_..-._--.. Contract Concerning 6ree/V 4keJ e"'/AotfN C'CJ/t,v'l'7 Page20fg B-OI-2011 (Address of Property) ~ Q A. TH ARTY FINANCING: One or more third party mortgage loans in the total a of $ (excluding any loan funding fee or mortgage insurance pr ). (1) Property A val: If the ProfJerty does not satisfy the Ie underwriting requirements for loan(s) (Including, but not limited to sal, Insurability and lender required repairs, er may terminate this con by giving notice to Seller prior to closing and the earnes ne will be refun 0 Buyer. (1) Credit Approval: (Check one box on U (a) This contract is subject to Buyer !5 approved for the financing described In the attached Third Party Flnancl den for Credit Approval. Q(b) This contract Is not su to Buyer beln proved for financing and does not involve FHA or VA nclng. Q B. ASSUMPTION: The ass tlon of tile unpaid principal balan f one or more promissory notes described I attached TREC Loan Assumption Addendum. Q C. SELLER FIN NG: A promissory note from Buyer to Seller of $ , secured vendor's and deed of trust liens, and containing the terms a , conditions de , . ed In the attached TREC Seller Financing Addendum. If an oWner pollc title . surance Is furnished, Buyer shall furnish Seller with a mortgagee policy of title Insuran 5. EARNE51., MONEY: Upon execution of this. contract .by all parties, Buyer shall deposit $ SOf!J~ as earne t money with G<<r.,c e:<p4J"f- lif::L!' ec:>. , as escrow agent, at ",,,.1- LI1 vJ1.c. (address). 'Bu1f'ihall deposit additional earnest money of)ll with escrow agent within days after the effective date of this contract. f Buyer falls to deposit the earnest money s required by this contract, Buyer ,'1111 be In defa}.!lt. 6. TITLE POLICY AND SURVEY: Jet: e><4,'{,/t '8" u?~'tr.l',;"/ CAst./' cj' 1,-"'/(' ~()/,-,,?A A. mLE POLICY: Seller shall furnish to Buyer at QSeller s QBuyer's expense an owner polley of title Insurance (TItle Polley) issued by: (Title Company) in the amount of the Sales Price, dated at or after closing, insuring Buyer against loss under the provisions of the TItle POlicy, subject to the promulgated exclusions [including existing building and zoning ordinances) and the follOWing exceptions: 1} The standard printed exception for standby fees, taxes and assessments. 2 Liens created as part of the financing described in Paragraph 4. 3 Reservations or exceptions otherwise permitted by this contract or as may be approved by Buyer in writing. . (4)The standard printed exception as to marital rights. (5)The standard printed exception as to waters, tidelands, beaches, streams, and related matters. (6) The standard printed exception as to discrepancies, conflicts, shortages In area or boundary lines, encroacliments or protrusions, or overlapping improvements. Buyer, at Buyer's expense, may have the exception amended to read, "Shortages In area". B. COMMITMENT: Within 20 days after the Title Company receives a copy of this contract, Seller shall furnish to Buyer a commitment for title Insurance (Commitment) and, at Buyer's expense, legible copies of restrictive covenants and documents evidencing exceptions in the Commitment (Exception Documents) other than the standard printed exceptions. Seller authorizes the Title Company to deliver the Commitment and Exception Documents to Buyer at Buyer's address shown In Paragraph 21. If the Commitment and Exception Documents are not delivered to Buyer within the specified timet the time for delivery wlil be automatically extended up to 15 days or the Closing Date, whlcnever is earlier. C. SURVEY: The sUlVey must be made by a registered professional land surveyor acceptable to the Title Company-aI,J llU')!. ': I~AElel{sl. (Check one box only): [J (1) Within days after the effective date of this contract, Seller shall furnish to Buyer and Title Company Seller's existing survey of the Property and a Residential Real Property Affidavit promulqated by the Texas Department of Insurance (T-47 Affidavit). If Seller fails to furnish the existing surveyor affidavit within the time prescribed, Buyer shall obtain a new survey at S~lIer's expense no later than 3 days prior to Closing Date. The existing survey U will Q will not be r;e.certlfled.tQ a date subsequent to the effective date of this contract at the expense of U Buyer U Seller. If the existing survey Is not approved by thedltle COlUQany or Buyer's lender (s), a new sUlVey will be obtained at tlie expense of Buyer U Seller no later than 3 M days prior to Closing Date. , )':I (2) Within .3 () days after the effective date of this contract, Buyer shall obtain a new surve'( at Buyer's expense. Buyer is deemed to receive the survey on the date of actua receipt or the date specified In this paragraph, whichever Is earlier. Q (3) Within days after the effective date of this contract, Seller, at Seller's expense shall furnish a new survey to Buyer. Q (4) No survey Is required. D. OBJECTIONS: Buyer may object In writing to (I) defects, exceptions, or encumbrances to title disclosed on the survey other than Items 6A(1) through (5) above; or disclosed in the Commitment other than Items 6A(1) through (6) above; (i1) any portion of the Property Initialed for identification by Buyer and Seller TREC NO. 25-8 TAR 1701 fw? Contract Concerning GY'ee.v 4Ue. C'''' oCt'" {)I"o/~'1, 7/'< Page30f9 8-01-2011 ' (Address of Property) / lying In a special flood hazard area (Zone V or A) as shown on the current Federal Emergency Management' ~gency ap; or (III) anll exceptions which prohlbJ.t the follOWing U$<;! or actlvl~ o ce,. / ~^'f 4" O{:~".( z,1;""er lire H//" we.J1, l< t'r -/.J~ ~/ "7'1 k. """ I! e /+/o.rr e,.." "'~ I~ 1'/ f. Od ...~4 "'-'/. q (?;" ~ rt ee.-v t."f II 0.... ...... /I c'('...t- to ,..e~", '1 ~. Buyer m st object the earlier of (I) the Closing Date or (II) _ day's after Buyer receives the Commitment, Exception Documents, and the survey. Buyer's failure to object within the time allowed will constitute a waiver of Buyer's right to object; except that the requirements In Schedule C of the Commitment are not waived. Proviaed Seller is not obligated to Incur any expense, Seller shall cure the timely objections of Buyer or any third party lender within 15 days after Seller receives the objections and the Closing Date will be extended as necessary, If objections are not cured within such 15 day period, this contract will terminate and the earnest money will be refunded to Buyer unless Buyer waives the objections. E. EXCEPTION DOCUMENTS: Prior to the execution of the contract, Seller has provided Buyer with copies of the Exception Documents listed below or on the attached exhibit. Matters reflected in the Exception Documents listed below or on the attached exhibit will be permitted exceptions In the Title Policy and will not be a basis for objection to title: Document Date Recordlno Reference No"" e . G. TITLE NOTICES: (1) ABSTRACT OR TITLE POliCY: Broker advises Buyer to have an abstract of title covering the Property examined by an attorney of Buyer's selection, or Buyer should be furnished with or obtain a Title Policy. If a Title Policy Is furnished, the Commitment should be promptly reviewed by an attorney of BUyer's choice due to the time limitations on Buyer's right to object. (2) STATUTORY TAX DISTRICTS: If the Property Is situated In a utility or other statutorily created district providing water, sewer, drainage, or flood control facilities and servIces, Chapter 49( Texas Water Code requires Seller to deliver and Buyer to sign the statutory notice relating to the tax rate, bonded indebtedness, or standby fee of the district prior to final execution of this contract. . (3) TIDE WATERS: If the Property abuts the tidally Influenced waters of the state, 933.135, Texas Natural Resources Code, requires a notice regarding coastal area property to be included in the contract. An addendum containing the notice promulgated by TREC or required by the parties must be used. (4) ANNEXATION: If the Property is IQcated outside the limits of a municipality, Selier notifies Buyer under 95.011, Texas Property Code, that the Property may now or later be included In the extraterritorial jurisdiction of a municipality. and may now or later be subject to annexation by the municipality. Each municipality maintains a map that depicts its boundaries and extraterritorial jurisdiction. To determine if the Property is located within a municipality's extraterritorial jurisdiction or Is likely to be located within a municipality's extraterritorial jurisdiction, contact all municipalitIes located In the general proximity of the Property for further Information. , (5) PROPERTY LOCATED IN A CERTIFICATED SERVICE AREA OF A UTIurv SERVICE PROVIDER: NotIce requIred by 913.257, Water Code: The real property, descrIbed In Paragraph 2, that you are about to purchase may be located In a certificated water or sewer service area, which Is authorized by law to provide water or sewer service to the properties In the certificated area. If your property is located in a certificated area there may be special costs or charges that you will be reqUIred to pay before you can receive water or sewer service. There may be a period required to construct lines or other facilities necessary to prOVide water or sewer service to your property. You are advised to Initialed for IdentificatIon by Buyer and Seiler TREC NO. 25-8 TAR 1701 ;VIp,. N/fl NII4 ftlj'ft N/A 'j Contract Co "corning G/'e t'"" Ln,t(p, r?fi-/ /'0 UN' ("0 f(Nf'1' . (Addrass of Property) I' determine If the property is In a certificated area and contact the utility servIce provider to determine the cost that you will be requIred to pay and the period, If any, that Is requIred to provide. water or sewer service to your property. The undersigned Buyer hereby acknowledges receipt of the foregoing notice at of Defore' th'€!' ej(e'ctJtfOr\ of a blndln'g' contract for the purchase .of the real property descrIbed in paragraph 2 or at closing of purchase of the real property. (6) PUBLIC IMPROVEMENT DISTRICTS:,If the PropeltY Is In a pUblic Improvement district, 95.014, Property Code, requires Seller to notIfy Buyer as follows: As a purchaser' of tfils . ~ parcel of real property you are obligated to pay an assessment to, a municipality or county }" 01' It for an Improvement project undertaken by a public Improvement district under Chapter 372, , '~ Local Government Code. The assessment may..be due annually or In, periodic Installments. More Information concerning the amount of the assessment and the due dates of that assessment may be obtained from the municipality or county levying the assessment. The J A amount of the assessments Is SUbject, to change. Your failure to pay the assessments couid 11 f'1 result in a lien on and thS! foreclosl,lreofyour property. "I D (7) TEXAS AG~ICULTURAL DEVELOPMENt' DtsmtCT: Th~ Property 1:1 J5 1:1 is Mt located fn a J' Texas Agncultural Development District. For additional Information contact the Texas Department of Agriculture. 7. PROPERTY CONDITION: A. ACCESS, INSPECTIONS AND UTIUTIES: Seller shall permit Buyer and Buyer's agents access to the Property at reasonable times. Buyer may have the Property inspected by Inspectors selected by Buyer and licensed by TREC or otherwise permitted by lalY, to ma~e inspections. Selle, at:. -f!.Glhar's gxpeti~g tl:iflll tgtFf orr Qyl"c::ttnrr rrri-lltlQ~ rnr- IJ:lGrGcttgm:. row-rr 's (),v" NOTICE: Buyer should determine the availability 0 utilities to the Property suitable to satisfy Buyer's needs. B. SELLER'S DISCLOSURE NOTICE PURSUANT TO 95.008, TEXAS PROPERTY CODE (Notice): (Check one DoX dnly)' Cl (1) Buyer has received the Notice 1:1 (2) Buyer has not received the Notice. Within days after the effective date 'of this contract, Seller shall deliver the Notice to Buyer. If Buyer does not receive the Notice, Buyer may terminate tlifs c6'ntra'tf at aNi' time prl'or to the dosing and the earnest money will be refunded to Buyer. If Seller delivers the Notice, Buyer may terminate this contract for any reason within 7 days after Buyer receives the Notice or prior "'* to the closing, whichever first occurs, and the earnest money will be refunded to Buyer. ""'" (3) Tlie Texas p'roperty Coae d'oe,; lidt reqUire tli'!:$' Seller to' furnish the' Notrce'. C. SELLER'S DISCLOSURE OF LEAD-BASED PAINT AND LEAD-BASED PAINT HAZARDS is required by Federal law for a residential dwelling constructed prior to 1978. D~CEFTANCE OF PROPERTY CONDITION: (Check one box only) (1) Buyer accepts the Property In Its present colidltiori. (2) Buyer accepts the Property in Its present condition prOVided Seller, at Seller's expense, shall complete the following specific repairs and treatments: .(Do T)ot Insert ,general phrases, such as "subject to Inspections," that do not Identify specific repairs.) NOnCE TO BUYER AND SELLER: Buyer's agreement to accept the Property In its present condition under Paragraph 7D(1) or (2) does not preclude Buyer from Inspecting the Property under Paragraph 7 A, from negotiating reJJairs or treatments In a subsequent amendment, or from termInating tnls contract during fhe Option Period, jf aliy~ E. COMPLETION OF REPAIRS: Unless otherwise agreed In writing, Seller shall complete all agreed repairs prior to the Closing Date. All required permits must be obtained, and repairs must be performed by p~rsons who are. licensed or otherwise pen:n.itteg bY law. to provide such repairs. At Buyer's election, any transferable warrantlesrecelvBd by Seller wltn respect to the repairs will be transferred to Buyer at Buyer's expense. If Seller falls to complete any agreed repairs prior to the Closing Date, Buyer may do so and receive reimbursement from Seller at closing. The Closing Date will be extended up to 15 days, if necessary, to complete repairs. F. LENDER REQUIRED REPAIRS AND TREATMENTS: Unless otherwise agreed In wrIting; neither party Is obligated to pay for lender required repairs, which includes treatment Tor wood destroying Insects. If the parties do not agree to pay for the lender required repairs or treatments, this contract will terminate and the earnest money will be refunded to Buyer. If the cost of lender required repairs and treatments exceeds 5% of the Sales Price, Buyer may terminate this contract and the earnest money will be refunded to Buyer. N '11 G.ENVIRONMENTAL MATIERS: Buyer Is advised that the presence of wetlands, toxic substances 'I f1 Including asbestos and wastes or other environmental hazards or the presence of a threatened or endangered species or its habitat may affect Buyer's intended use of the Property. If Buyer Is concerned about these matters, an addendum promulgated by TREC or requIred by the parties should be used. H. SELLER'S DISCLOSURES: Except as otherwise disclosed in this contract Seller has no knowledge of the follOWing: ' (t) g~~~;';~I~:J of the I'rel"ort'l wMleM Rag hlld a m3terlal as';crse ~ffa<t SA the l'CQ nf t~ Initialed for Identification by Buyer alid Seller Page 4 of 9 B-OI-2011 wj1 TREe No. 25-8 TAR 1701 Contract Concerning (..,veeN J. 44-e Page 5 of g 8-01-2011 C!:A/A ",<"" (7""""t> (Address of Property) 1/ (2) any pending, or threatened litigation, condemnation, or special assessment affecting the Property ; (3) any environmental hazards or conditions materially affecting the Property; (4) any dumpslte, landfill, or underground tanks or containers now or previously located on the Property; , ~~ any wetlands, as defined by federal or state law or regulation, affectIng the Property; or 6 any threatened or endangered species or their habitat afFecting the Property. r. SIDENTIAL SERVICE CONTRACTS: Buyer may purchase a residential service contract from a residential service company licensed by TREC. If Buyer purchases a residential service contract, O Seller shall reimburse Buyer at closing for the cost of the residential service contract In an N'tl. amount not exceeding $ . Buyer should review any residential service contract {I for the scope of coverage.L exclusions and limitations. The purchase of a residential service contract IS optional. :;imilar coverage may be purchased from various companies authorized to do business in Texas. ]. GOVERNMENT PROGRAMS: The Property' is subject to the government programs listed below or on the attached exhibit: . ' Seller shall provide Buyer with copIes of all governmental program agreements. Any allocation N1tt or proration of payment under governmental programs Is made by separate agreement I' between the parties which will survive closing. S. BROKERS' FEES: All obligations of the parties for payment of brokers' fees are contained In separate written agreements. 9. CLOSING: -r: . .- A. The closing of the sale will be on or before v '<'-va lJ ,20 1i1.. ,or within 7 days after objections made under Parawaph 6D have been cured or waived, whichever date Is later (Closing Date). If either party falls to close the sale by the Closing Date, the non-defaulting" r.11 party may exercise the remedies contained in Paragraph 15. (,... .,.-4rC>'lJI. 1"'" thv"'e ~Je'IIt'/' B.Atcloslng: tr] ~,A.. (W~ (1) Seller shall execute and deliver a general warranty deed conveYing title to the Prope~l'o (7 '-' Buyer and showing no additional exceptions to those permitted In Paragraph 6, an assignment of Leases, and furnish tax statements or certificates shOWing no delinquent taxes on the Property. . (2) Buyer shall pay the Sales Price In good funds acceptable to the escrow agent. (3) Seller and Buyer shall execute and deliver any notices, statements, certificates, affidavits, releases, loan documents and other documents reasonably required for the closing of the saie and the Issuance of the Title Policy. . (4)There will be no liens, assessments, or security Interests against the Property which will not be satisfied out of the sales proceeds unless securing the payment of any loans assumed by Buyer and assumed loans will not be In default. (5) If the Property Is subject to a lease, Seller shall (I) deliver to Buyer the lease(s) and the move-in condition form signed by the tenant, if any, and (II) transfer security deposits (as defined under 9'12.102, Property Code), If any, to Buyer. In such an event, Buyer shall deliver to the tenant a signed statement acknOWledging that the Buyer has received the security deposit and Is responsibie for the return of the security deposit, and specifying the exact dollar amount of the security deposit. ' 10. POSSESSION: Seller shall deliver to' BUy~possesslon of the PropertY. In its present or required condition, ordinary wear and tear excepted: upon closing and funding D according to a temporary residential lease form promulgated by TRE or other written lease required by the parties. Any possession by Buyer prior to closing or by Seller after closing which Is not authorized by a wHtten lease will establish a tenancy at sufferance relationship between the parties. Consult your insurance agent prior to change of ownership and possession because insurance coverage may be limited or tenninated. The absence of a written lease or appropriate insurance coverage may expose the parties to economic loss. , 11. SPECIAL PROVISIONS: (Insert only factual statements and business details applicable to the sale. TREC rules prohibit licensees from adding factual statements or business details for which a contract addendum or other form has been promulgated by TREC for mandatory use.) . Hilt P }/ S"ee Iljc!eNJA /J Initialed for Identification by Buyer and Seller TREC NO. 25-8 TAR 1701 Contract Concerning 6 r ~ -e "" /... ~ e, C4-/ ~.((,y Co It Nf'7 Page 6 of 9 8-01-2011 (Address of Property) / 12. SETTLEMENT AND OTHER EXPENSES: A. The following expenses must be paid at or prior to closing: (l)Expenses payable by Seller (Seller's Expenses): . , ' (a) Releases of existing liens, including prepayment penalties and recording fees; release of . Seller's loan liability; tax statements or certificates; preparation of deed; one-half of escrow fee; and other expenses payable by Seller under this contract. (b) Seller shall also pay an amount not to exceed $ to be applled".IJ:1 the NI do following order: Buyer's Expenses which Buyer is prohibited from paying by FHA, VA, 'I Texas Veterans Land Board or other governmental loan programs, and then to other Buyer's Expenses as allowed by the lender. (2)' Expenses payable by Buyer (Buyer's, Expenses) Appraisal fees; loan application fees; adjusted origination charges; credit reports; preparation of loan documents; Interest on .the notes from date of disbursement to one month prior to dates of first monthiy payments; recording fees; caples of easements and restrictions; loan title policy with etidOf'Serri'elJts required by lender; loan'related Inspection fees; photos;. amortlzat/oi'l schedules; one-half of escrow fee; all prepaid Items, Including required premiums for flood and hazard insurance, reserve deposits for insurance, ad valorem taxes and special governmental assess.mel!ts; final complJance Ins.pecti().n; courier fee; re~air Inspection; underwriting fee; Wire transfer fee; expenses Incident to any i6a'n'; Pnvate' Mortg'age' Insurance Premium (PMI), VA Loan Funding Fee, or FHA Mortgage Insurance Premium (MIP) as required by the lender; and other expenses payable by Buyer under this contract. B. If any expense exceeds an amount expressly stated in this contract for such expense to be paid by a party, that party may terminate this contract unless the other party agrees to pay such excess. Buyer may not pay charges and fees expressly prohibited by FHA, VA, Texas Veterans land Board or other govemmeFltall<Jan program regulations. 13. PRORATIONS AND ROLLBACK TAXES: A. PRORATIONS: Taxes for the current year, Interest, maintenance fees, assessments, dues and rents will be prorated through the Closing Date. The tax proration may qe calculated taking into. , consideration any change In exemptions that will affect the current year's taxes. If taxes for the current year vary from the amount prorated at closlngr the parties shall adjust the prorations when tax statements for the current year are avallab e. If taxes are not paid at or prior to closing, Buyer shall pay taxes, for the current year. Rentals which are unknown at time of closing will be prorated between Buyer and Seller when they become known. B. ROLLBACK TAXES: If this sale or Buyer's use of the Property after closing results In the , A assessment of additional taxes, penalties or Interest (Assessments) for periods prior to closing, dI v7I the' Assessments will be the obligation of Buyer. .;If ""If""',,, rh"ng" In "~,, "f tl1" P""P9R?'{ l'riar e .SSe 0 to 81..,1110 Gr-tlei'li~1 nf il ~pecial '151i '/~luatIQn ..R the PrQP-<rty c1aifl:l€lq hl' O:;"IfAr Le5[Jlt~ In ~ r. I . H f . ,-Assessmet1ts-fGr-j:ler-led5-J;Fier--tcrelesfRg,tlie--Assessments-wflJ-Gll-tI:le....o.Nlgatloi+-of-SeI1el:..,. V-l!CIo r I' rI .Q.bJ.lga~iefls-ff'Flj:lesect-by-ttlis-paragfapl1-wHt-st1r....+ve--eJ€lsl~ fV/~ 14. CASUALTY LOSS: If any part of the Property Is damaged or destroyed by fire or ,other casualty after the effective date of this contract, Seller shall restore the Property to its previous condition as soon as reasonably possible, but In any event by the Closing Date. If Seller fails to do so due to factors Myo-nd Seiler's control, Buyer may (a)' te'rmlnate this, contract and the. eamest money will be refunded to Buyer, (b) extend the time for performance up to 15 days and the Closing Date will be extended as necessary or (cl accept the Property In its damaged condition with an assignment of Insurance proceeds and receive credit from Seller at closing in the amount of the deductible uncier the Insurance polley. Sell.er's oblJg'atldns (firde'r this' paragraph are Independent of any oth'er obligations of Seller under this contract. ' 15. DEFAULT: If Buyer fails to comply with this contract, Buyer wilt be In default, and Seller may (a) , enforce specific performance, seek such other relief as may be provided. by law,. or both" or (b) terminate this contract and receive the earnest money as liquidated damages thereby releasIng both parties from this contract. If, due to factors beyond Seller's control, Se(ler falls within the time aHowed to make any non-casualty repairs or deliver the Commitment, or survey, If required of Se'lIer; BUyer may (a) exterld th€' time' for p'erformanc€' UP' to' 15' days and the CIO'slng Date will be extended as necessary or (b) terminate this contract as the sole remedy and receive the earnest money. If Seller faHs to comply with this contract for any other reason, SeHer will be In default and .Buyer may (a) enforce specific. perform~nce, seek such other relief as may be provided by law, or both, or (b) terminate this contract and'recelve the earnest money thereby releasing both parties from this contract. 1 16. MEDIATION.: It Is th-: polio/. of. t~e State of Texas t<) encourage resolution of disputes through alternative dispute resolution procedures suCh as rilediatloli. Any' dispute b~WeeiL.Selrei" arid Buye~ related to this contract which is not resolved through informa discussionjl:\o\will UwlJl not be submitted to a mutuaily acceptable mediatIon service or provider. The parties to the mediation Initialed far Identlficatian by Buyer and Seller fREt' NO. 2:5:8 TAR 1701 Contract ConcernIng G r e e.v L +1< f. e~/ hti((",v C ,,'t' "-'/ Page 7 of9 8-01-2011 (Address of Property) shall bear the medIation costs equally. This paragraph does not preclude a party from seekIng equitable relief from a court of competent jurIsdiction. . 17.ATTORNEY'S FEES: A Buyer, Seller, LIsting Broker, Other Broker, or escmw agent who prevails. In any legal proceeding related to this contract is entitled to recover reasonable attorney's fees and all costs of such proceeding. ' . 18. ESCROW: A. ESCROW: The escrow agent Is not (i) a party to this contract and does not have liability for the performance or nonperformance of any party to this contract, (ii) liable for interest on the earnest money and (III) liable for the loss of any earnest money caused by the failure of any f1nan'CIal' Instltutlorr In' which the' earnest money h'as been' deposited' unless the f1nandal Institution Is acting as escrow agent. B. EXPENSES: At closing, the earnest money must be applied first to any cash down payment, then to Buyer's Expenses and any excess refunded to Buyer. If no closing occurs, escrow' agent may: (fJ require a written rerease of liability of the escroW ag'enf Frei'rI all partres, {if) require payment of unpaid expenses incurred on behalf of a party, and (ill) oniy deduct from the earnest money the amount of unpaId expenses incurred on 'behalf of the party receiving the earnest money. , C. DEMAND: Upon termInation of this contract, either party or the escrow agent may send a release of earnest money to each party and the parties shall execute counterparts of the release and deliver same to the escrow agent. If either party falls to execute the' release, either party may make a written demand to the escrow agent for the earnest money. If only one party makes written demand for the earnest money, escrow agent shall promptly provide a copy of the demand to the other party. If escrow agent does not receive written objection to the demand from the other party within 15 days, escrow agent may disburse the earnest money to,the party making demand reduced by the amount of unpaid expenses Incurred on behalf of the party receiving the earnest money and escrow agent may pay the same to the creditors. If escrow agent complies with the proVisions of this paragraph, each party hereby releases escrow agent from all adverse claims related to the disbursal of the earnest money. 0'. DAMAGES:' Any party Who wrcmgfully falis or refuses to' stgrr a' release acceptable' to' the' escrow agent within 7 days of receipt of the request will be liable to the other party for liquidated damages in an, amount equal to the sum of: (i) three times the amount of the earnest money; (II) the earnest money; (Iii) reasonable attorney's fees; and (Iv) all costs of suit. E. NOTICES: Escrow agent's notices will be effective when sent in compliance with Paragraph 21. Notice of objection to the demand will be deemed effective upon receipt by escrow agent. 19. REPRESENTATIONS:- All cOvena'nt;;, representatlo'ns and' warranties In this contract survive closing. If any representation of Seller In this contract Is untrue on the Closing Date, Seller will be In default. Unless expressly prohibited by written agreement, Seller may continue to show the Property and receive, negotiate and accept back up offers. 20. FEDERAL TAX REQUIREMENTS: If Seller Is a "foreign person," as defined by applicable law, or If Seller falls to deliver an affidavit to Buyer that Seller Is not a "foreign person," then Buyer shall withhold from the sales proceeds an amount sufficient to comply with applicable tax law and deliver th'e same' to' the- Internal' Revenue- Service' together with' appropriate tax forms. Internal Revenue Service regulations require filing written reports If currency In excess of specified amounts Is received In the transaction. 21.> N.OTICES: All notices from one party to the other must be' in writing and are effective when mailed to, hand-delivered at, or transmitted by facsimile or electronic transmission as follows: To Buyer at: To Seller at: Telephone: ( ) Telepnorie:' ( ) Facsimile: ( ) Facsimile: ( E-mail: E-mail: Initialed for identification by Buyer and Seller TRee NO: 15-13 TAR 1701 NI Contract Concemlng G,..ee-v L+-ke, C/f-/;','t.v C",u-v'/-'1 Page 8 of9 8-01-2011 , (Ad'd'ress of P'ropertyY V 22. AGREEMENT OF PARTIES: This contract contains the entire agreement of the parties and cannot be changed except by their written agreement. Addenda which are a part of this contract are (check all applicable boxes): 0 Third Party Rnandng Addendum for Credit 0 Addendum for "Back-Up" Contract Approval '. J'I'Ij"b e . Seller Financing Addendum f 0 0 Addendum for Coastal Area Property 'J'V ee CJ l~D . A' Addendum for Property Subject to f 0 Environmental AssessmenJ Threatened " Mandatory Membership In a Property or E;ndangered Species an Wetlands 11.: ( Owners Association Addendum 0 Buyer's Temporary Residential Lease 0 Seller's Temporary Residential Lease 0 Loan Assumption Addendum 0 Short Sale Addendum CJ Addendum for Sale of Other Property CJ Addendum for Property Located Seaward by Buyer of the GUlfIntracoastal Waterway CJ Addendum for Reservation of all, Gas 0 Addendum for Seller's DISClosure of and Other Minerals Information on Lead-based Paint and Lead -based Paint Hazards as Required by Federal' Law' . 0 Other (list): .NON@ kJ!/~w"/ 23.TERMINATION OPTION: For nominal consideration, the receipt ofwhfch is hereoh acknowled~ed' by Seller, and Buyer's agreement to pay Seller $ (Option Fee) wit In 2 days a er . the effective date of this contract, Seller 'grants Buyer the. unrestricted right to terminate. this contract by giving notice of termination to Seller within days after the effective (jate of I this contract (Option Period). If no dollar amount 15 stated as the Option Fee or if Buyer falls to pay the Option, Fee to Seller within the time r,rescribed, this paragraph will not be a ~art of this contract and Buyer shail not have the unrestr cted right to terminate this contract. If uKer gives notice of termination within the time prescribed, the Option FCJ' WIJIClot,be refunde~. owevw, an~ earnest money will be refunded to Buyer. The Option Fee will will not be cre Ited to the Sa es Price at closing. Time is of the essence for this paragraph and strict compliance with the time for performance is required. i4.coNsULT AN ArrOR:NE'i": TREC rules prolilbit feal estate lIcenseeS' frbm gMrrg le'gat a'd>;tlce. READ THIS CONTRACT CAREFULLY. If you do not understand the effect of this contract, consult an attorney BEFORE Signing. Buyer's Seller's Attorney IS: Attorney '15:' Telephone: ( ) Telephone: ( ) Facsimile: ( ) Facsimile: ( ) E-mail: E-mail,:, EXECUTED the day of . 20_ (EFFECTIVE DATE). ,(BROKER: FILL IN THE DATE OF FINAL ACCEPTANCE.) Buyer Seller Buyer Seller The form of this contract has been approved by the Texas Real Estate Commission. TREe forms are intended for use only by trained real .estate licensees. No representation is made as to the legal validity or adequacy -af any provision In any specific transactions. It is not Intended for complex transactions. Texas Real Estate CommissIon, P.O. Box 12188, Austin, TX 78711- 2188, (512) 936-3000 (http://www.trec.texas.gov) TREe NO. 25-8. This form replaces TREe NO. 25-6. e/ .,\ i vJI ~ . rl" \,E \ {Q, 'b TREe NO. 25-8 TAR 1701 Contract Concerning 0::>1" e e.v L -1-k ~ e""/ho <(--.I COf(,,-,f7 Page" 9 of 9 8"01-2011 .......v. '-'."'-.'-""- ."-'>- (Addr.ess of Pr.ooettvl / RATIFICATION OF FEE Listing Broker has agreed to pay Other Broker of the total Sales Price when Listing Broker's fe,e Is recerved'. EscroW' Aire'lit Is aotM'otrzed Md' directed to' pay Other Broker from LIsting' Broker's fee' at closing. Other Broker: listing Broker: By:. By:. BROKER INFORMATION AND AGREEMENT FOR PAYMENT OF BROKERS' FEES Other Broker License No. Ustlng 'or PrincIpal Broker license No. Licensed Supervisor of Associate Telephone Licensed Supervisor of Associate teleplione AssoG:/ate AssocIate Address Address City State Zip City State Zip "telephone Fa'c!11li':lTli Teteph"oh"e" Facslmfle- . E-mail E-mail represents 8 Buyer only as Buye'r's agent represents o Seller only . Seller as Listing Broker's subagent o Buyer only' CJ Seller and Buyer as an intermediary Upon closing' of the' sale' ~ S<!lIer to. Buyer of the Preperty described Indhe contract to which, this fee. agr1jment Is attached: (a) Seller CJ Buyer will patilstlng//J'nCiPal Broker a cash fee of $ or '1:f the total Sales Price; and (b) Seller Buyer will pay Other Broker Ua cash fee of $ or _0(0 of the total Sales Plice. Seller/Buyer authorizes and directs Escrow Agent to pay the brokers fro lit the pfoc8'...d'$' at e1osfng'. , Brokers. tees are negotIable. Brokers' fees or the sharing of fees between brokers are not fixed, controlled, recommended, suggested or maintained by the Texes Real 'Estate Commission. Seller Buyer Seller Buyer Do not sign if there is.a separate wrltten agreement for payment of Brokers' fees. OPTION FEE RECEIPT Receipt of $ (ORtlon Fee) In the form of is acknowledged. Seller or Listing Broker Date CONTRACT AND EARNEST MONEY RECEIPT Receipt of QContract and 0$ Earnest Money in the form of is aCknowledged; Escrow Agent:. _~'.V , Date: . By: Emall Address ..'.. .....- Telephone (_) Address Facsimile: (_) TREe NO; 25'-"8' TAR 1701 t.," no" :;:~: \7.[';' ..:1.:' " , c' ;"f " ;'.,.i ,', '.,'. , Jii1iWll\iJi~ jO:tm$QIl. ' ...... p.O.aQll.174 PJ.iW~iQ,'r~lIS 7791'1 '.'; ,<-c" ,.:,-~ '." . :;", '..:' :" <;' ..,. ~ .~.~. XXl ,t Titls ,!.eM!,' AQl'IlUllWil.t gb!HI be~6\'llrnedl:>yand (lot)Slmcilil) j!I1C01'dilnc9 with illl't , !s.wS";oflhe Slaie ofTeJws. . :~~. ,;:,: ~Nj 1;" ;l::, ", '~!': . <i " , xxn 'tit ~l:;~: .' . . . . '. '. .. ". "" ,This- ~,~oose Nit~~it'llll'iY :not. b~ 'ri1:te,etl; changed. b,:~t:ilQlldi:d, ~ii:C<Ipt .J}}' .', , ' i'.,' ' ' bt~I"U1l,lel.lt In,wtlting$iBnf<q l\y {Ill p'lltti<;~.herofO, Nt) p,m'ihion oftlw. Le;J~eAgre~jlm . :: ':;'Sijll!r~ <leernoo iu!lavlJ b\."<'rlJ; ~\lOO'l~y:i.e.il$or. unl~ ~ll!oih "Wilt~tt-re. in \Vr)ti.ng,!ll!llll)i\ " .1, ... ,':, ' ':i'l:I.y,];,ff$lil)' lltIdadd'lltl.'!Il1Id IQ ,h'llsSi3C, nut s.l1allany Ct1SIO:1l,l orptM~ic!i' wbi;,:h lllaygrtmr1.1P.'; . . .,*~I'I ,j:11~ JllIfti~ hi theamnh'll$li'al:ipn <:ffj:bli. timlliS he(eof.bll C<lmrt:med to w".n~ ~r . i;' rt .Ie$ent&1114gbt at: 'Lessee tJlWiSllipOli tit\\' j*trfo:rmancebyLessee in strict atCordani:o ' " 'W:\t!il'tl;e termsh~t ~ 1~1.S,ptov1'rion.'I;. oj)vetmn~ and ~"1ndl:ti\[lll$ cpnta.inlld ,1nth(~. , !it l"~A~!inhl:illlrl\PPI,'t(j; lnure ll)theberte1it(lt; aud be.1:f:inding t1tio*tlie~i!;$ ". '"' 'Jiel'litJ>..lllllf).1P!:fIl.Uieil" i~SItet.1ivesUll.Cesmll;z i.n intel'est and .I., tll~.nl<ltiva,'f> e;<<;"lpt i!li ij" :'l!S'otll<ltWlSC llcrirttr~itp/'j$typfu~~IilI,.; .. " . , , '. . " ,~.,-, ~!': ;;~' ':;',<. ;.f;- '.!~!- ~~:;. 'J";" !~~ ~jf.~ ':..: })H ;~tt. ~e~ ::~;;. :;;;~ .~'ci. j:S!f "';::' !}~ ,::~~ . ',' XXIII: 'I', ,,,' 'r:; :' It:~ ::J.', ;:'''~ ", .-t",( ":;".i:--, ~j! ,.,.l~t: y{ t:.! "",-VI'" ....~',\' ..J. ,',i;' :." ~.: ':,'. 'it,:' m~ :..~' ~~;~~ .:'.~. :~:~: .'. ',' :~.~j ,~;~: ,.' .1'his Lea\;eAireel'llClll'~it J1"i;'IN'~ll1di!lg tih fhl]l~ili~hereiQ' o.rbe~Oil1,e:' ...'..,. .,... "l:tI"ediVJi.\tnLUlIll,llJ'frtSr;s Jl1\m~dbeJQ\1i l1JJve~~t)e!i\!ii$ thisL.~ll$Il A~f:l;:111Mnil.iill~Q\l::'" ..,. "i, ", ""'flii~\?rnIOteCJilWlteli?~i:ts);-.:.. . ...... .',' , ". ". " "::." a ~. "". ,'.'" ::~: . .., ~\}~{;~I~i .. ;;~. :.:;;; :"t;\. .~~;" ,.' ':':., xxv :.jf.~ "\ ::~~ ..... I';' ,,' .', .. : . .,' It Is. aW-lled.that IhitlLiJaSe Ag~ein~llf: C()V~s ,.all the'agr~e~M1S Bet?i'~n. the , {,: 'i:: ,:piiiqys andthllt.np reptell'entatlO;Rs jlr sillt~I)iC!lt$"v~rb:it QtWrliteui it!!"e been made . 'itt!JdIl).ill~.addiIl8 10, Of (lhl'li1giJl~ th~teiJI1s ilftllfs.Uiuw.Agreemeot. '. .' . ",.' . ~ " " ' ~": ; :~~. . :~:::.. f,;;.' '.-;. ;::'.!' ,.'. .;>. ':.:.. ... ',.[; '. :,... ". .., r.:'i' .9 ... ;i:. ,i' '. ..~ . ~' . ,".,' .. ", ;:~j; .,',; ..1' '" . . ',i" "., .,;'., ',/;<" :~t~ !i,;fi ";.,,; :.', "". l'.... "-'. '" "':. .:' :~' . .., .,;::: '"-'1 '0' l{:' :~(~ ",..' ,." ;<,: ,.:,. . ,.,(. :'?'.' ~., ' l<l ..<,' :':';,- ,.;" ;.': ,.l) !Wi ::~~~ .. .~ ;,:;:'~ ,,;'. ',':', '. :~~i:~ <". :.'.< ~p .,,: ',"" ". '.f" ,.,.' .~'." f,'. "', ::i~. ':i.-:. ..... .,; '." 'Premi~~ll for the .pnrpose, o,f 'ni!lking g~o:pl1Y$I"al 'l~'ilts, e:x;plopng and drilling tor ol!. ,g8S . $\ \illli~1' minerals, milling of gi'iwa1lUlll shell. digging pits, l1ilJk$,'laylJ'igpjp~Jine$lll1d till illhei'tiSht$in"ia~llt 1(1 <:II' l~llcellSal)' ,Md Pt\llte'1' ill tile ~~p!l)llJiiJln devall'P.m~ni (fUd "ptOO\lQUO!l' of oil, 8M alld olbe\: luineml, 'this :LC!0l~ A):;rilmleit4 'Md ail rlg,hts Illircln . llOllrltlT~"~PQI! l'~~Cl!i~alSowV(,il'l;suplec\ l(limY'lInd all cx:!stlng ?3semcnt:l Clinf4'm\d, : llpilt\'~e is ntoo- glV~ subj<lCt to any and aU l!il1\e1mm111: and righ!$.'1t'~wily 'with. '~!lJt\!l . !lIe lef!;.~e;;lPrem:i!les lire burdened. FurthurtllQllll, Lessor ,f1:Sel'\1aS. .he. rl:gl.1l to ljtllltt su"h' Aulllte;ei1$mants ll11drJghl~r-Wl\y !fS.IHnny desil:<j, , . ..,.: .' ,- If ,.... .":,. ::>:,. ~ Ii>: "; .!~'t: '. ,. '~:~ '., [i:n :,'::~ . : !j~j .'!;:' . , " "" '.. ". ,"M tlds uollt\ee!;p.t1, t9i1see l\1.'fcb:y expressly' llgte.es thullhlll' Leuse Agreeml1[jt . , . ,slllllLbe l>llpordirmte and infurfur Ie> any an,) all oU, gm;ltlld mllle,tallllM<lS, easemel1ts;lllld ";' r.1ghll>ilf"wl\.Y, flOW lillil>ting o.f l!Otlinftergnll'il1id;eQveting. any pt)l'tiOl1. 01' lh~LIia-~ild . I" Premises. '. NotwitbSlllnding too foregQing, LCS$OT nj1,.I'1.'es that it or it~ millJlrallel1lles sbtil.l ' ii": ':: +f .,,, "" C,Qil~Ulit 'lheliojletllllplls un the tl;j~ed 'Pr~'Il1i$is.ili such 11 ffillll,mlra:s: :nllt undUly" {If.: "", .,;" . interfere :witllr:.e$ee'~, operation$< ,W, fut, as:. l~ &a8onablll' prllcti(i'Jlb!e, Jtll~r' slW,1 :' .:l:jlrtdbl1).ni,fy ltl14 6dc! to~1' ~utmleill\. for ulllAiury,: to l~onsnttl'ibutalile torm~" ., i:;;,;~_~nilbn..eSlwil' Qrils miMim lessoos Oil the ~ase{i Premi~i;r$;, pn:iw./e4. h\il~ve1+ ' ' . ':' dlaf.~SLlrl1Pllj;}l1 ofsilc~ ,pbligati(i'Q in willing by a mintlnlllCSSQ~ sb1lll ml1l;\Se '[,essQr . ~. .. ," ' :',fi:nifi~R (}fl~ obli~iil!(11J!JH~tf.l)'q:ti}.14 this Article xvn~' . , .', \:;;:;:;~. ,.., .~'b:~;,.~:.~.J;- '!'~ :.:;:." . "," .:. ':: .' ':-;: : '::' i~:.' :':.:::'. ,..:. . ....,. "'; ":'. .,' .,' - ~t' :0" .. .:~~. ;.). .. ,.' l". ._ \'1.",,,,,,,,,.,"":' ",." ,i':\... , .' ". "'.':, ," XIX " . , . ".....,., ::,' ." ;""'" 1li~'t<!mse Ag~~mlt"llJ 8~ilject; to tJ1ll folloWing ;JIlWllli te~n, ilondili()n'~nd:. ",,' :!:,',;JFti'li~i.6ll:"J, .' . " ,).:~~ " . '!'j,j ;~J: w': H~ . . .;;~$ ':;f;f ..t-. ".j :~."O. ..r: , :!~ !~~ ;;f !mJ '1::' ,,': ;~~ .~~;. r~i .~~.~ .,-" ~"'" ..j ..1... " . ,,';" ~1ll!w~v'1tli'ofaila,le"(jf'~nj.)t lillrt tlf~iTiL\jaSe)i\1>f~fft$(:~,rM!$.i1r ' " " {1iSar-'ll.1s11rerlgt1l:ro lcm\it1~te'tl1illLel1lle A$'J'elmwnt OI'li1q~1c.sl;,thl!lt$lx!y ,.. tlf!1fi:litx5' !l(lt1~~,in' '\"l'lt~~' 10 Le$~ee;l'(;fillll.tiliij; to' r~ec illSUiih ep,.;e . ., ';li1i1~lUncihr(lnt!hf()i.f,&h tll~ datj1;Qftetmrllu1tol'!. Altw-m1h'ci.ly iri'iIPY llucn . , "l-\\llSli'" Le,;~ot i)-IllY dell! t~);;()JltiJ1lle'. dli;; t.<lase Agl'!1I;lmenl 'I>> ad~llllee :', ,:. '\Illill''iU; fer.nl.$ Mil aOOlllmt III tf:!l,'l pwlitmll3t ,fur: the Tellt; hpMing r~el\Se0 . ,~\U~ltl,l:s$ ~'(jll111n)' fuilll~ h'y t..esSll;t to mo\li)ll;S1.\cIHlllCountlIl'S. , '. , .. ..r'f: .f;...... I.:.. !-,.; :' .'_. .'<.' ...." '. I.:l. ..... ....:, ::::;!: "'J,,' Li!, jli~; 1":.' ;~~ .~~~' ,".1' "''''. :i:'.:~ \';; :~9 .': ,.... ~.~: ;~~; 'It,', .~-;t " " ' :p':, ..", ,"'-' i, .." ,'," ..,. .., .:,~" '.' l' ~i; .:.;.,.... .l:\:;':\' '_'! E~:.l .,. '. ~!;i: :Ei;: !:x: .~;.~: :::: :.~..? .~.;.: :.:.~. '. ;1:; :.;:: it:; :;.. ~'r'" -": : "; .~. . :>,.;. ..:" ... ~.: .~. ,:.' .:;~;. ..:.:~ :.r . ~': (.:~ _,':. . ., ""'i'A~I1(lli~ r~Ul.rea 1(d;e.'glven"\lndei.t\tj.i;4~ A~lllllSh~H begi\'ll~ln.. ;',; , . ::: wf.titi&'~l\d~hjlll:be'd:~em~dtll,I~!lYtfn~(!n fhliy giVqil ",,11"'llrr.:Cj)tWd,Whe!hflriT~Ii'varea . ,.:il.~($6!1ttybrby cllrtil'ied1i!l!liJ . wit!) c.fuJrg-espr'i:pllid <1m! 1)4dre,s";~d'!fI t4~P~.lit..i;tll ;.... ,lllldl'j;lf$~: forth biiloworiit such,ailatj)Ss aSll j1llriYr(lay'be di:si~liated<h:nit.vilig,l1Gtll!C . ' . '::.to,;1ie~lh'itr.p.!liW. '., '" .' .lndilinoJa LiqlIidating Tr\lsi ,,,. ., ,,,: "'':,'(' ..,...... '\!II'!: 'Arihtir A. S~!l'ligsqn I'!I . ,1i Ii!;' '." .,,' :aQ8.~rril,\'16 St" Suite 2200 f-Jo\lS!(l(l, 1~x.,ts '1701fl !~~. ',. ~..,; '" .... '-;~""W .,., "~.} );::. ~,".'!,,': F;j~ 1:'=~ ',.', f'i:r "'1,:0;> ~ ,: ",....... ...:... .::. . '.J' :~:~: .;.t'. ,.... <.:.' .. ';,..," .".r._ I::t:. 8 ~ ,': . :, .!,.' :j" : ~: l:' ,'d... .- ',.'~ ;. ,.. ... ::I'~: ... -'!.. . ~ ".t. .- ~... .... ." ".' , ',' ,;! .... <. f"';.' '.,. ;:;:~ ,." , . !:\;:: .d.:, ;!. .:-';: " ~..< . .. ':j( ':";i " '!;",.,: < ,;:. ~:~:l '.:K~ ~:.t: .!)'" ~"" 'N:,' .. ,,' a; -',: ;::'. . .' '.i .',';J ;T.; ..N JF; 'J.'; .1>.'.' ~;f~r~ '~::;' .on l:n 'r" :", ....: .. ~S~l.~~t:; :,.. . r:-~' ~~,- f l:@ ;.;::.1 ';!;'., ....1 :-:,. ,'\ <. : ~.: ,. ' ",' i".. k ;;,: :! ':' ": .,' .' '~. ' .' .Qlll\~r<iI~\)olic: Ul!blU\y .lI;nd,pw~y l).amllge: 'lilCOlliit:~Qit ~tn ;;; ",i!:::~,j ,<tii:o~J:i~~i1c!ll.cted' .lw~~nd~r; .wifli' bodilr lnji!rji unil&i\1th limit ofndt le.s~iiian' r "., ::,,, '",'$.~I10;09().OO .for Jrqild~IQ;Pt d<lllll1ofnny OMjler;;on resulting {Hilll MY ,(lUll ~i!ilen4 ig!: ",' ,liutJl;Ss ilWU$500;~()o.;OQ to!' injLlp~ t~ 0l"4ear4 Qflltot!l::Ihl!1l:!~ne pmoJi'reS\1ltll\glb;Jm ,,",....B' h;;;, ,'00 '!mY.O'll!: ull!lidbn1. lll1d Property darrlng\} :fiiljl;~ilf not lt1$S 1lJari ,11.5.00,000,00 pej), ~!ll" : ,_,:,e. l',M, .",).n"",,"".".""""""'" ". ," ., . .. . '. ." ,.'., ' ~ ..~w~~~~.~ ~ .... j:j' . ... ,;": :-:" :";, "~~)i!~~f?~ n~edii;~&~~i;~i!~ ~b~~ifllil J~id p~;kj,~{~j(~~pt %r~~~t.s:':u ;'i~ . '.",':,;,;' ' .. ':,:;! J::6i1'l~i~lill1lUldl!mp:1o)/.lllil' Lllllliljf;r). . Priqr t~.li\iginnflltl 'any (111et1ati!-':1;lS Pllth~"" ,,':,,' it,',' "pt!lll:t!~S .covutl;l~hereby, :t1iiise1i sh~l! l'ilJ;ill:;h 'Ll.'$llilr cu~rC~!fi(r4JItCl; QtJl~~iltll~ .. " '. "" : )lliii~~ by, ,tslnSUtlll's:in Jl t'orlll$fltlsftllli(jiy io [,CSSIJi' Uiidcr n'll SI:lon poli!;feii lIS <<Vii:!enue . . .. ;'''''~(.~ll'oti;tlchblll'i.ur~~ '(s 'ci\rried lllJd ,li'r.!.'!:ltillll:l~UJlai fl9t l~thl1! iWl.(1 J)}(/fly~p~iot,fQ . . ," 'l:" 'ilt.l'ft(~ri b(ll'i~'t}f ii-tMt;:./'llil eb~!iieln. "lll:ie~JJ!ltlpl)6Ii(ft t~fu~a1{() rem:w, l.S\i.ch.I.u.~I\l'IiMl!i ;:; ..:. .,' ,,11f,WUll1srttl!ereaf. '\'0.11' 1l1;:~iveiH9L;.>sSQf:. . All s:uc~ C:C1'!i:fi~i~s !Iud Wl'ltlcri notl~l!S sl11l11 .. :: .:i::j-: .'11': :all'iIJt~'!Jl(IJi) $lllltilCll9Wllifflll ~e!ld(lfQ$$ Ill'peWlIgiil r>m~m'Ph XXortMs~se .'; . ,. ' 'j!: . :'~!:; ,;) ;AMreqlll'ool; A <lap)! of the certill\:llites and 'nmic(li; 5lilllJ be provided to the Les$ar.." ',,;" ,,;j" ".,:M~!.lIi~B~nc~,by ,.c:mue of.sai4i::ilS1JI'~ICe i:> Io~(i01l1mwr lQo b~,.wl)lli4J:l[crl'1l.11millltioll:on .. ,> ,.. !i.:, ill; :!;( ';" ". "'h""r;JliilJ;ndi.imnltie.~ii';loul.lljlrem. . '. .' " ..' ," ..'..:j .... "..... ... t~i :~';.: ",." 1"' .~~. ,. ", " ...., ,i::l' ,"'.' .'.~.~ '~(pOnlti(Ul wh1c.fimaYIJoti:ilHlt etlnte \l11 the .L<:<1sed Pi'eflll$lll!.OIl /whalf On,;eil$~(l in . eilmt.~'l)Ltoll WW.Hh~ tiiJ';UtSFleI'\:TIl :f,lnllltJ.'g !o[;<.:slit:c. ' , :1~\ /\ . ':uf- o".i -'n" ',' ,.:[t . XVI'! " .. . . . .' Lessee shril,l Cllrry, or,(la'u;\,c to 'be carricL4 1>( IIU time Wlii/e this X,ellse Ag~illl;I1J ,. ;" "!:,i~ill J;(l~,. i1d~Ullte insuflllloo. !il<ill;1djng bfi)jl~ !o-l'!ll lillmk~ Cl)llttllltlU~ll\ul'llllty i" ';~ ,. .". ".ltove"ig~:,lli~ II waiver ly.f.subrOiUliotl ~y tbejllSllI'1\t'1c~ ci)mpilny Lt). <:lll'in:IS !I,gall'iS( L1;,~f.. r;;::i;.: i'ft", " "~,:.. =~~i:~(>~~~ ~1:i~~~t~~;:~J~~:;~~~~~:r~~~::"::::~::'-, y,;; '. :,,; .. ' ;;;... .,. J'iimi1'liJ.i'~r Ylllid ;hS1.l1'!mcecii:rllfi'*t\1~C\lid~\'-irili C(lV<lfll~,.mulu~in!!. tha r:ritlowingf. ~~ :'". 0 ..... . ',j;, .l:~, ." '\ "'f'" , .,' A;' :Wol1.iifS' CO!fIMrnrniitm llislmmeo: <;ovlIrinlol all 'fun.t-Im~': '.... 'c.: ,;, ;"..:,lfii\JijOy~engagll(llrr j;>peN\tI11tl$ (}Ii lhe h~s. S1.1bj~tli:l this' I.em:e AIill1l",t)1~'1lt ill . ,',' , ''''R~pli(ltlil~ with the li~ws of ille 61il!e ofTex(i~ a~ldf7..m!)IQy'er's,LlalrilityhlSUI'Meo llf\i(),f " ,.., 'c. P' . .l~,llmn..$l.OOO;O(Jf}.OO for i~es ~9(Jr.{]'llLt~ -Ql.I.\rit1:l.\1<l $Il'l<ilyeean~ $l.\)OO~PQtM!O' "';:;(Of i!'1jUR1;\l, to Qrdelitb ()f 1l10rethlllHlr~ emp'lolle~ resUlting 1i'om~)1 Qlll!! accident; " ,:~' .," ~mi __:I..Mf ~~~~; !f~.:.,>>. fi~~' :;''::', D:[.(:':~' ~~!. .... ~j'l lif., ,,"~ .~_ I ... .:~t i~~ji f~~ ~~~i ...... ~;tr'.' ~'H~. i~:i. ~'. . ,;.:;- "; l~:!" ',' . ;,.1. '.Jl:i" ".,.'. .;1 W .~" .~; '~',' '0': , f ,; 'tliis~~qi"A~reemenflU1d:\l;1l r1ghliiiiMefn ci,}ntiirted uppn Le~e;isgive~'" oil :. '~i)PJOOt.,lo,allY'a1~~ltjSll:rig pH'~l1$i!JidmiMro1leases<"'nil:'rigp!s.Of~~var .UQveri1)wllU dr, , '. ,(C ''1;; .', ,'.' ';uiypait"f.th:9~eQ:P(emi$e$, F.ur(!:teJmotc,t;:ssprr<'ScrY!l's t!:tc rigbrt& lrilik<;, stilih '. c" .,<, "" 'futUteil'if. ga,sor.niineral J~s llrt.d gl'lilll; sJidh further -rjg1tl:S-;lYf.\y.l)' cOllliring the Le<J$.Iid :H " ""., ," ,'. " ,:i:>rtll1ll)es;of any pdtlion alcreof llS'lhnllY desire, ltt\l'Judillglhe rigbt (0 g() \1h ibtl Leas.e4 ' . XVUI . ." ,",'.. ':>. ~li: :~.:; t~.t '1'.: :.,.'. 7 .!.,: .., I;. .>.. '.', .. ".. "', !;;"'--l, '":~.: >'"': '.' .,' .:. ~:<> ,... '. ;.... ....J :," I.'; :~~1 ',. 'y. '.,'1: .;~[;:! ".,. . . ,'.; ',' '.... ::~l' ?~i~ " :. ~!J" .X=::; ,'r.~- .,.. ". .:-J. <::; '..... .., ,'.: ;.;-> ~~;ij . ~, '''1 .':" ..' (ii; ..,.' .,' 1;~[ .I;~ ..,., ,." '.. . :}:" ..., " ~}i: ".;: Hi '.__. "'~"'._.n._ ._,..... -.1."" ... .~....- -~_.. . ---... . .. . .-~~,._. -~~,~,.. ..-....-- -.- --.....- .-- . ~~---. ....._-~._-- -- .._-.. . . '. (/ ';~:, .<1' "'.-' . (" :~ .; ,:, ti~ . ",. j> . , .,." , . ',:. xrv "!~J. .:r~,~ ". . ' , ",' :':~t<1l;s~"Wb~r~il:!ei:l, ii, tllisinstnmii.'lllJ; llldllllliilf Lessee's ligentS',' servants,' 1',; ernpl!)yees" J\lp):eselltl!Uw~, . COll1acti!Trs, rhdepertden1 <;(Jiib;'l1CiQt5, ~u,bO!mftnc:tllfs 'and'lllly. .: '. other' jlCMlin entering upoj! tlw Lll~d Prc:rni1eS hf, COm1ecllO'XI 'v.1th l~cs.'ict" s hl)~il:1ess, its . .':' , ~qldpri-ijint-:!li'td/or.~t1!iicleB; ',. ., "",' ."", "'L: '", '.. ;)r~ ."", ::'1' .. i:if.:: .:" . 'xv "{' ".' '" t.essoo <!liail l:tDt &s!11g11. thiS Lc:~e Agrel.'IDi!11!: nlll<n};Y :pllrt of the same, 4Jrl!!Ctly. , :jlifidlil;lJji'Cl;l,y; Iwt$h.WI~~!)e >!;ful1ltly O'o.indjr~\1ys\Jbl()t ,th~ tease.d l"rel1liisC/.f<:fr anY' :Ni:," ~:,j . 'f : part. qfthe'~ilm6; Wl!liflutttte;pn(lr;wtlf;teli\,ornwnt: o'fL~.' 'tcslJt:il sliill' pinldooc~ti~' ,^. 'llllo:W,atIygl1~ .,00f.:Iee~~ to,. ~nl1.t.pt;l' il!e'II,~~:ed, 'l'.ttmilit;:!: \lUt~,ss'L!:SSIJrlilmsdfQiJi,., ., . , q~lililie(j' !-'llipldjlue;' 'bt ageni 1i.f' Lti$ijjet . 1m- 'wj.l,,:~,:es~e,' iislltlllll.1$ tt.'lp0nslb'ilJW ,... ,1&. ~i: 'i!:' ", ::,;:iU\MII~~"1l9rsll~!llil:seilcl1g(le~!dllr.itlgflW p,~rJodof fI:ljJt gt)cs.t';;ht11lt!\i~"FQrtlie. , Pi.u1!~ of thiJ1 provision, a gllt'St shlill be deell'Uld fq :be .adeqll~t;jlysllpl!:rvisl:d Ii' Lcs~~ll': "r ,.;, <; pi;a (ll,mlifj,,'<;I,emp'loY~llJ):agl1.lli'of Lessw hiiSllSsillJlcdh:lrn (0 a. specific ari:a or arcllSfur .. .J! ~lfi!)'.pei;l&d <;}f'dme;'!ln&Lil!l~ 008 asSumed te1!j)011s1billly for 'hIs conduct. I,','.',' , 'I ' -'- .:~ i!i;;t .:,.: t ~~' ',~' -:,' , ' . '. . ,,' ." "". " .~?T' recl;l~S'lliat'Le~:ieC' ml(;lli!s to ln~~I!Jdbl;,e nllllLcrs. w the 't~ed Premill\'l$ ., '" ;ii" ,,' 'during: in; lmn, cf.targln.g, II foo deerlled satisfactory to J..es,<ree. Tha.i !::OIIrSll of !lctIo-t!, shiill ' 'jH ' · ., '", ,1l9~ be'.4~mll!1 usub~~W1.lnentot tllis r.'''!lile"A:gI~il!:l!i1 or oth<l'i'Wise,iil v)o!irti,QIl of. its.. . . .' ""tumlS\;blit eitt::ihlil:llih persOll;, and any 'oihm~ per$OlIl'l.dU.1Jtt-ed to lite L<!llS!lO :Pnimis:elli by' " ",:LiilisJll::,:,ii8Ubi:idooDled ~ee~1; gu~st f\}J' Ihl'lpIlrjJQseshi:lt:el,}i:' , . '," ' ..'!' Uf:O ~~, }~>, ;'~;i1i ".: '~!~f~ :;~~ ....,.. '., Ei,. .!;~: ::;;'! .' .~ ":!" ':.,. ':.", :';1'~ . .;X;V{ ...' ,~i. .''<:: lL;.: ,". :'.:~; ,.;-, . '~:. 'j':'. ", .,~. <, ;:! ""~ .'.: . .. . 0:;; ~^d' '.' JAJsl:\l:'\t'ij~~,tr i_\1i11IY; prole~l nl/l.i hQfd..t~~soHlmm\l:lss'l.l.!'!In\' tl'bm IlUY'~ld~ . " ;';, " , aU' e:llllJ:P.$j 'do:lmn'ndll'; oost~i' {lllolttdillg. bill :nOI hmdlltl F6 aU6m~y'&' fll~) eilptm~l. .'.<::::: ..:'- .,=~.,: .::' :: ~~.::~: C!,i:: ~:f.~:; .. . ~.f ~.",'.~,;',~,: "., ~.;~ ..nl .:, ". - ~~'.;. ;~;~; ',"~I :,:~:~ ':'~ ' dtl:t0ll&-0li,II)l!$ll'$:Il11lill1l!lI~~4faciltjn'~lt j(UII~ lnr'di~jlllg4ili'.whlg(lUll1t'irtiuty tPPOII'lOPs.i:';'i ' ;'" .', ',(l1kill,\d.ii:Jgdea.th) mlil il'\l!ll')' Iilr dMUtgCiu of:,IQSSOf (lIlY pr{)Jl<.'Jt)~OrfU1prtivei:l1l'llllj(Qllm1,,'d, ' {i.: 'by~l.~s.'i<.l~; b,iii $g'Uti~ ermfl1Qy~, '~ll~S[S; illVile~'l\, .tl~lValll;;;CQ!ittaolo'(S Of anypersQ\,!' ; ,. . ..<letiO$ tmlj(ij'hls AJ:ti.\~~i/1ti Qf i.rontrol. Ptli'lbet. Lessal' shaJLnl.wer ,1m linble f()r.~ll~( lllili!lIS, ., ":.'.',.': :;.., ,demM~,:'oos~,'ei\pe~oos, ~agi;:s,J~~ alldC'llllSeS9'f..Jrotkiti' or:'suils :rOl"dlilnlY&'!ls."';' :1;'.: ~~: ." jlji ,',; "bei;JJlilll!i!!Jr'iru\Ji'y.t&j)e~lJl'ill\.1tprojiorty. arlllillgoUIIlf.JfijIS;Pl" Qmissftmsol Ll1ll$ca;,lli$, '. ',' ,'j:.. ,~g~nWeml!loy'~e$,.gll\lstg:; 'invimes; SCI'VllIltS. CilJl.tro~~orn':or ilny .~r$On <WHllg 'Utui\,:r lds ":' '.' ,,:'4fr<*'iiim.' aullliollttul Qllfu~ l,ea,~d PJ'el'llJsas.bl$QAlt i!ll>i:Jle rightso!' (,essor,.in' ,',: ,n ;.,succe5lior:;, i!.sSI!lM, ,!eg:secs'll,lQ ~Ilanl$ :ilre conceml;\d, mlyindependent cl)n\m~IOl' '. ;.::\: :enteri.1:lg l1fJ'Oil the, ,Ll:as~d;.l'r<:n\i..'les'1I11d6f tJje dir(;~ti{lil !lfclmtl.'ol of IA'Jh's~ anil:lU1Y :' .." '::~l'Y\i.lllor em!!l")'ee <It ,olher pe(SOIl !Jll!criulJ ",,!jih me llerm.issiofr l)f allY' S1ieh... independentcolf:tl<lctor. shall he deemed' to be al1ilgeilt ,of Lessee. . Lessee assumes 111!1" . responsibility and UllbUily [<ill' the llCts;,lU.\d omissiOns of all of.fls Silr'Vll)1t!!,.lIgcnw" ',' ,. n' . '!!lll11I(}Yi:%lw~t$' ':i:rlYltees, cont;nL'tor.;;s!lbiJontra,:tonJ Mil ,my ot;lifir. petsd'r!i t1):in o.r .'. ".:-'. ... ....,. ~;:';:: i~::-.~ 'r:." ',:>> :~~;. ~:i:~ '~,;) ..'. ,', .,.' ;t:. :j ...,' " , :":!f' ~.:: ;Y 6 ..,' : :~. ,.,.,: ". ;.,' ,... ."; ....;H}i <'.' :; ~ '..' ',j, .... .' , " ". , '~'" A;' ,<'''' I::,' .." -.; ~:;:.. :....,. ~:-': ~i:. "." ".:' ',.. "',., ~~. :-1 ... ~i.{' . '.' -'I' "". .'..'. ....... "'!!l .rri:i! .,.... .' ... ''',' .:..,. ~~,l, .. ;' .~~~~ .d 'r': 1{,~ .'>: .,/ :,:J::-1 '.";;: :".'- .' !~:' .....;i :~...' ....<. !;::;; :~:.:' .:. ,. .1."; 'j;~ ;> :;;:..: !.i~ . ..:, ,:,;.1 ,:.;;;. ~....,. ':....l , . 'pe!ll1i.iS:.Vr ngreCIlll'11fi/ f(ltg~logjeal or.goophyslcnl exp.loralion Of stlfVeys 911 tbe ,I;c~d .. .' Ph~ml~s, Of' r~lY .pipeline 'easein~nts or from ~. other caU$4} "vhal$O~v.er. tlno l.e$.$oo'. ..' 'ag~e@I()llldcnmlfY'Lesm)!:,aru' holli I;2SSQt hiW.1ilIQSS .tr{J:m aU Ilnb)HtiesiUi1111n8\'llt> tiJl;~eS,. :,~~!lllld.ej(pi;'llsln<iltf,~j~~ out ".f ct,ll$ult\llg"IXQi!i .tile tlilft,PQCSScOOjtlil/'f o<:tupaWlY Ut' 'tI1I;L~~l;dl1:rem~ ;by Lli!Ssee orh.i$ ~gll1'!\!I, tim,ployees, COJ)h:ll\'lootll,. gll?sL'i 6rm'llitl;eff,.1 Qut it :is tMli(,1'prQvided.lhat !Willing. h<li'<;in .oont.aiMd shall ever be coruit!1Jcd to exemJJ(' " ".;any pliisclI!, ,flmt,(rr corpQrotJon lWuductlng. any such opermions from, lkl0Hily to Lesi>e,o .':, . ':\'It f;e$S~'s, agents,sllrvants .or enwloyees, tor dlU:llllgeOt injury Lo .tess\'let)t t.essws " .,:;, ptope:rty,1'estiltful;l: f'li:lm lhea(ll;,;; of such pm'soll,1h~f1 \)r corpl'lrlllioTt OOlldllctin~ sUch , ":. npt:ii\9!lns. .' ,,', , . , . '. .' '...' .,."> ;/ :;~i. ...., .~. ; .. 'i"::;. :"~~.. tHf. '-!"'t .~ .. ->., :~~! ~1q ;,. '-" . , '. , A Jl1'jJt~~illi . C,\I)~(llt:lJHl ti) l,eHMr'~~grei.!lli#llt til grant 'OtiS Agr,lli.>l!ic,ni:t&., ' " . .' J.llSMC>t'l!'ilgi'ilolll/!'Jl,t I~at he will ellus~ at! p'\I~;;il8 wlui qlttllr ilJitq'tbe Lcn~\r . 11';; ''', :'M ",:" '&'; :j>f\1m\.ll;~~1md\)'t ,ll!rth~nly....r t.(l.'I$C~ iilelud~f!; witbout 1fu!ltutiol1; I'd} nn~elJJ"C'J!l}(!~ . ., ,:" .,jmi:lLeili!Ji!Il's' empJaJ)'efl5Ig1.1!1lIlU. jm~ti!c$,!lgen~s; COll.tJ:l'I~ol's 1l.iul:rerl';aIJts, to'Il\!~U~ l,: '!'i 'n j;':: 'u:Wai<verlmd: RerellJitIl AgrewelU' 'in tbe fllfm llitflehlld h~w Il!i Exbibit "A":m;i!!r .: . '''!i1sl,1iibptil'1i~lmidurt;t~u.g 1lIl'Ylll!tlviiy, incllIdl'll!ihll~tiltl!,on the L'lIlSl,'!d Pr,eml~ )ii;Y: "j"uni!.o:r:,thl! 'l:em'ltS {If tIffs LilJIJl\ll :.1\weellJ~nt. Lt'S.~Jl1lIlg1)lli!$' 'lint vrior. tQ t.~." ;::",imm.tiJ~\i"'t \ltnitl,1iillg8mmin.M':CIItabllsboil.l,tyt~'!:'!liiJ~lleP,lUfiJwllt ~f'P~r;ks: ,n ,.",r';' ., ';t:, ,';:~..mldUre f'lir'ClfTh~Il;jn::Ol$tY~ Te~lI,fbl\;f:L~~'lI nim.si\Cl1l'1li~~e~igJ:i3wtorj)r'; :;:,'j" ... ,'it ' ),,"~ll~ ~~n wJloLII!I..ie,~ :!ntiil'ilts. .~q blipg qil'~ f:lie.~t~"il:rrlllmises fill~ ,h,(tiI~!t",;." "~, ,:;, ,.,,^, ;'JIii'dil":~nl!'terJll8 j'}fthill':Ljia)le,AgI'I.~llIelltRJld:wllldefi\'1;1' $1{cfl executed WllW~l1l1d ." , ,." :R'Ii~:Agwem.ell'l~ tilL~3:11.r Ill' m'ltil Slllll<rto l.,ll$uJ"s n111iUn;gai:hlms; If,du.ring' " . "!be iIlm iif tlll!lL~l!'e A:!lrcemc,m 1.J.'ssC<1 JlnQ iu:l,UUullal ~mplllyel!l!, .gU1.'liIll, hlvltees" . iill . '~k j~' . ., :',H:llgmti'ii'j)(l:lilil'aiton Qr'sflJ'Vltlll!tl who. e,ntertll\1 LUlIS\1d J>J'''m1lt~ (Judei' llu,thorilY ",f . ,.",':',,,, ';:i' ;:.: '''' ~~Se-~ J~ebi1~e J!lltew'#fat Jl11 '$~b.P~l'8lOjfi '.shall ll)l!~J:l.ttli 4. Wnwer.il'lld R~~e, :"',"' ", Agrwnllnd.m dierorm ntl1Qchiild here 115 'lIJ~1ril1tt ",-\" 1md thllt su.ch Cltccuted Waiver, : ;,'lliJ\1;r~ellll1.~g A~I:ir~1I11fI1tl!-win lll,<!cliyercdtll- J"CliSllr n(i-k':r',~f! 'll~ BUcll per$ltll(li)., ',,,:. .,' ;l1l1d~b!1#~ llWll!i<\!jvit,y,m<\ll.ldillg bUII~jllg, 1)11 fhe 1;I11l,'10'll l'rlimlslls. ' .', . :" ',.,,' /~f~. ." i~:r~ ...... .i' t.~f. .:r.:~ II.'. I"f ;~~~ "..' ftY :~,~~ :1~;~!. :r.:.:: .::~\ ~rj ":".. , ,XU ..; . m:. :~Ji' . . ., :~,,_. .':[l- "'.:...... ..,... '-,.., '. ': . .::. .... ... ; ". '" . .... ..... .'. . .", : .,. .... ,,'; '. ~W: ":1,,, 'i" ",'1" . :, . , :~sQ'r maY.J:l;o.qti(~ :the.,P'IDp~ity. (fi,lv!iirii4.,by ihill' :tii~'A~eri\el'if,.at"atf\' .. '.. "'[ ;; *'" <"I"iea'iil)),\lbJ:~ Jb:b:e{!,. : (0 i~specl thc;llril~ :l!r~fillnfW QJ;~cr J~p'i:iqwE'e ..lll;l! ~ll!Ug'~t." I': Hi '~'; "j ",,; l\ii~l~ iillci1e'rl.'\1iIfI''lkllm'6p;:.r:lltriJllii:~fLel\$ltliin s" dii~ '.' . ',' ",. ': " .:," j!;j ",,~-,v:jj/ :;;1: ~:.:.:.. ... . ...- '..' -." ' -.: : : ,.. ., .'. ...'.. . :'. . - .:..... -. - t ,..... ..:,:" . rfi~ ... "I:~;!': .I!': ..,~ r.;. .. ~;;~.; .'. '.' .'.j . .." j~"'. '.' ~:r .... '".' ii.i, ..... ~:.. . :~. .", ::'~ .:1:. ... " .~ ,.,.~ :;I~ xin r:, .;,. ..... ..~,. ;:.!~: .. n. :;;. lWi, l~'" ,~,,; :1;'';. I;:: r.'~ ;,!:'; [;,. ii:;~ '........ :;. ~~ft' .. ':.~': ~~~ ., ':j . .. '!!' ;:.' .., ;,;;i: .,:. : ' ;" '.. r:~' -;'1 :;x .,-. . .... 10', '." ..'" .j: ". ':i f,,;:': 1.']: ig 'i~~i .'.~ . ~::~: :>:. .{p. . ~:,I '.:~.. ...,~.. ,I::! ".'. <'; .,.., '" 1.1;:. .!,(. .~: ;.,,: ;}F: '.:' l':;-:~ '.. ~~:;.,~ ... .~.'.. ;~;~i ::::. :!:~:~ Jt~' :.' '.'l.: .. "..J .-. ~ .f}; I;:' .<:. .':~ ';" '. ~;.:: . . ,. ~::., :.J~ .~ . .:~j; ,'.'- ;.:9, ~:J;: ..:'j: :l.. ;W. ~~;~ :t~ ~!~~ ::!/ '-I', 1-\"'- Jj;';'!i11r,H:: ~Jr ;;'~:: '." m.>. .,:",. .,',:: "'-' ,.h.. :~~ :~~; t!~~ .. .:," ".,,,...... :~L. ~!~ tm1 .htj~~ j~~:: ::i1i ,'NA~ ~.;~~ :,.,. .~. i.ilir ~.~t <~':. :.,;,. .~" ii' ~';;,;. .'"j ,", ':.~ .._,- 1:--;<; :;.~ ?,-,'; i:?V ._S~ '';'.: '-.' ,:,.~ ;'::'~; -',. .--. .'~' ~ -"--- -------..,-~ --.~ -..-...~ '-"'C:-- _n___--,--_ ,..._ ___ __~_ ______._._ ___ __ __'___ _ "'.. :-;'--:: ,VJn :~x~. ',:' , J:.el(sm:i'esei::~l:;S aIJtigbts In(iident 191hef'ee V1"ncrsltip o'l'saiclialld. savio only the,' i:jghnti:graz.e'~!lltl~. 'htm~ lIl1.d fish 1l.n thel:.eN>'<.,d.Pmll.isesliuringtne t"'ffIl here(}f aud'!lie 'iil;lht qf OC.'llP.IU,ICY of rbe I~d lwttses and t:lcili.tii:s. Ntl "llt1lJ,l~tiitiOfl 01' ~proJil'c. , : ,resCrvaflVl1s l?te.ssonhllll ,p~n<fc iq clllllqjc the rig:ht.<;o{ Le~see "l' diminish 'those, nt 'Lll$llO~c ., ,., , ". . ' , ". ~'~'( \~:' .,;: -,'.! "f' n._ ,.'..,<' ',:' " TX' }. .,:. ", .:::/.. )1". ':,:. !ft;: . . ,1.;~Se1;l'Lgree!l~O Ililli~llaill. annl1l;) thc Eerm Qf lW:s L()UIW :ASretll'llerit;llU portim:m . of the r.ii~~1 Prerilll!e8 .thut have been clcar.eil.lJ:l'bI'l1;ib~J11d impflWed 1fl<18 gooq. a. ;;,' ". ;, ',cOn~ition."a&'l:be; 'sa.me aJ:e' JlQ'ivhl;' or mal' be put in, alrQwfng fl;lr i:'X:lrem,1l wenlfull' . '. ;," 'cqildltit':tis'mld'd.tlle\'.;l~l1'[itioils\1elf()tjd tlwclJi1!irijl:qn''i'~$!E~. J.e-~$C!;l shalll.\IWct!w-tJghi;",. ":,," 'lIi.l,wee~$.Il<lI(j ll()~t illig. expIilrise, at$!lY Ijin", {,II :lj-ow'illl\~ \Q!fme, &Iring lJ1e lerm Qf . '. , ;~gtmu;~ A!lre$);ll~(it., tq 'Cl1ii,dlllit Ilddrdi'illaf !)~1is!l ~~a.tingillld 11itwt tmi<l impt<ll'~mei\t ,,: ,.... 1tmll!.-ti#s.JID tlte Ll1M'\l.',lP:rem1s4,'ll: p,oYicled tMl ltll .such WGWk:sl1ilHbu QOn;e . ~,' .. fir. '~t~Di'(\!4t~ rtgood, $d:WQrmnlmjlke 1I.Ulni1!:ir. In!il/.'lw1t1i:\.gbmt.lli1d ilcc~pted:'iliud;1iOO ",,' ,,~jlc!J~?i{iQlJJlmQiiiiJ~, ., , r~ '<. ~::; ". . ~.; :-.:. ." ~>':. .. 'b,' "v .",.' '::'1" 'j.., :!}1 ::I'~ .:t: ,:... " " .;)\.,. .. .!..:' ',~i:' ~ii: ,.; ~;,~ ,...:}. :':: i: v '" .tm~iI~tl!1'~edir4;~Ptt:oP1:l1ie~ih~c~~'~mi$~t~Hnlre$Jl!lll)iiirs'!Ilid ,;; ., '. A6li!p'pi.ll9L~~qi:lt11Y 1;l1'liJ.'irn; Ot.~mtlOllS'i;.rtlllti:lp~iil!i~I'~ekfdll1." $iiiOWl\to f~l1l1" :'~ ti "iil14.i~liJ~lj~f;lt.tQ be :ii.l~Nsf~telll:Wi~,'t<.'5li:titj!i'Q:\v;l1e~hip;,(!t'ili9 I;.easclllljoliibistiS.(>t;:': n. " '" ' rit~pll,!! <<tl:ttiMf. ,t;Ii:;~~ m,u~, sn' hi~ (lpiilifl, pl,lil>i!1;i l~SIil 4kltion .~lnl>t IrespWWll($ and '. ,. ":> . ,," tqL!illil! 1!.1 p'nit'0ct.lli~ Tigll111 ~1'.t1lI;iCetum Agl'1;elllIl<I1I. . , C' '.. I~.J! -j-,:: #~! .( XI x~ .'." '" H;; ki:.l :i\ .. .'~m .'1..-, ,.....' ;!: ,-,. :" " ." . , '.."..' :~; ;'. J ;i~~ :'::'.' ii.;:i " ,,' '.! \;. :". ,:".' ,.':r ",,;. :'.i',. '-.).' (~i;: t~ ;:~;~ .':~' '. .. .".:" ,.:.:' ~'.'l 'J:.. ,: 'i~~~ ;;~l ,:,:5 ';-},8 <..' :~.:, .-,... ...,: ,.... i.,; ~~ ~. ":. ;':iij ...... ...:,; ,:~; .::.,: ,f. ;; . l~~ <.;, '.., :"". ....-. ~..:-(. '; .~ ,:' .t~ :..~:: :':::;1. ,'.~ ; .... ~ i..',_' .:' . .~1; :.:~i. ". ";' '~:. :;;~: ~I:~ ...,,, ',il: ,t!~; . 'U' ';":~ ',. ::1. ....'" '-~ ':.> ''", ',. ;N .::;. ':.' " 'i_lIllS (1r.repairlllg. blinds, sMden)s. pouds or Qt1i~'r facilities d~rpt11l1'1cc.e,,"'ary' Or ,: : :J;J~~itl1ble,fi)r '1.es.~e<i's pu.rpos\!s.At .the>l:ll1d of !lie ten)'! l1oltreot, Lessee shall, ifreqllllste& ::'.J)l;:\wltfug liy LesS\'II',l'elliQVe ill! .$llcli installatfml\lililJill11~d by u.s1;1;e on 1111!; LeiiSe4 ' "~IP'j5<#l\vIj!lthi'$ii1r (JQ) d~}'$:otr<!6eipt u!'Lessor's wriUilt,il norme.' :: ' . . , tesffililshal1 baw 11le-1i1\1.1!usIve right 'Ii;} .gt'l1l.\l' C<iHJe Oil the t<i:l1s~d 'PrQmlSeff. ' ' ..; , ".L~te agr@Sllot lQ o'\ler&'t~ 'llC:t' QV\lfstock the L/)/lh'C(1 ?i1:mjsll~' at any time during thl:l '. ' :,i:::" " ':.k1nn :of dus ~se Agree!llI!Jlt; Jllld L\:S$Jlc all/ees never to graze' more c,;lttlc,ou the' !'f, iff!: .. ,::; .,;::> 'umsed.J:tremiseslhaii, .!lru!i1>'<lllllbly proderrt l'Mcliei ~l~:\Iliing the, Lell$l.'<l I'rcllilses ili'l'b\l',: iVQukl,glill',.<Jl. tfrerooli. f:;,C!lst.'i:< shall u1lt sublet nor tlsiilgil'tbe: Lell~.od Premises, llor ail)!' , ,if".::.,.". ,;J!lIi:t!fie~lJ{; Ti9riU!rhWt\r~~~ere,i~1.. witbO~11:tli~:J.lri<;;re~preiJ8 written ."on$elltofl~~ol', J:;i ,.. ,r". "" .... i'. ':Allli~hi~.Ii~r'i~~1il1li6f ll(lU~tia' '8)ltlcle~;~qillJlJi;fllrilling'llI'ldli\llifill$~" ';1;: .,. ,',. ";';" ';11!1l:\'e~!ingoJ:gamei!!l11)'111j:s:shalJ '~cond\leteitin~~cl)r\lnt1ce. with jJ]lappiiui:1l~lQ;,fisbntld..' ,,' 1i,,:' " ;ri.ll1lue lll'\\l~lll1d J:'\iles ~Hl: tegulat161.l of ill" $tale:Q;f :re~a~ lllld' t'lie lJmllidSM~' .", ,,;, F' ",: :j;iiVlllJ1tl'ti;:nt, . ' ... <.+. ... ;:,.:. :'~~.. fa. 'i',~!i'~ ,,'. ;;~s;~~si~ Ji~\<l.! '~~J:\lh;ll~eofi~l1pe~lirie~tlirtP~VllI)lellls. '1neltidlng blirtn,l?t" , . : litIIittd- ro tJle winiliitillil. fe~!l, uI.li'l'/lls, tuoks, barns, pellli Md othet Sll'ch pi'mlllll1eUt '., ,.,\i}ljlro~I!1~iits :looiiWd I)p ,~IAll$l<ld Premi1ij.'$. r.;C~ee ngt<:~ not 10. remove, des-Iroy :Or' ~:':~~li:lhi:,lOl;':j.titln 6( c1li:y bujklir~feJi~S IJralllCt bl1PtoV(\I:l\elitii siWllle4. \ill1'l1ie.. . '1: .' .L~!\Cid :lheinl~cls, ~"l!hoijt 1b~ pr1ol'liirriU\!.n C!)ll~l't 'of ~lI!l6~. 1n c~m!1e<1tlcin Wiith ~ll. ' ',: ':;', .'T' oPi:raU;:UIB' on theL~1!5t!l~'l'eitdse:$j" Lii:ssl1ll' ,shall ende/ivcr' lit a'll limll!1 roprelleNc liii:' ' .' '" "':.:~ ..' . '~~;y".:m4 }'1~p<\\l!:i,\e. xri~"it\l .tllCr';;9~: . Atr. P~i)ll1Jrlelitiitlpi1:lYWl"llt(i i:>LlllA:\~le'9 bj '''''''IJ,w;~iileon.:lll'e L<1IiiiWd::r:"r~i.~'l1i, dllring. tIie l~:rm {JJ' ilit*L~e'A~!int.. JillalI b~llle~" r;:j~ ii~ I", i,1ll,l't"{lf{l\ed^tltlll<\"d'~mi:Sllli.I!Iiif.1ilfiy lIotbe: t'IlLi'loYcll. tbt;'.r;::ltcrii, LOS1ree 3~e$. lif.." "," ': . , n. '". ,}~~ln!(ji!i::ilW1"expli...)m",t{JkIreF'nmt.litaliliiiln':iii good *,1~li6IHlIld rep:l\r,dlitiJig"\hIl". :'; ,. :';)')'11 ,;~i~AA :prilb\il~~jl A~'(el::ln.~iit;:!~n l,:Qljm.;ytlmllriiS :qnthe UmsedPr~m1~, iii~ludli;g :i1it ' "}. :: ',. +,' ";;flllLils; fCllee~,.'iil$jesTP9. t;mks., th'q:lli, wifi,l!liil!s, Wecflll. imrr\~."tiick;.wawdllg :fur.;F!lftOS, ..., " .' .. \,;' "1:: .ll1ld,.~q~ipmi:Ij1.I,Ul1d;:il~'<lP.!'llro,naIYwsthf1l'eto; llnout1q,ilhe ~xpim!i()n. {lr- \1i.lPT1i:MtlC1u oJ:' ! "'ii..' :,:" ,;;,,' '::~;r~::~:r~:%~. t~~es=~~n:~ti:r:l~ ~ll~::wnr:::~a~;:,n~r: :::, . ::;~,,~,;' ,} 'l1lJ:lJi hC:plltiI14utillg, ~b~ [elm ,i!tbis I.;wtl~ Ag\'Il,m~IlJlI, re-lt$Qmlblc: W<fll,!j illl~l 1.\111>:; dalnus.e,., ' '..' '. I"~, .. .," ",PS fit!:! or:,l!lth<::r GQSUlltW beyood ~olltl!(frQf V:SSlla, an.dl;j~a!!li! ')'pllde h~' :per$Ol'ls. oil, i~!l' . ,:E" '~ir.. L, .'l,\1ased:l~~nli~~..j ,by llUlhodti ofLe.'IlIor, \f$CllptrAI. ..": U1~" ~:lj~ ;"+.:: ,..I>Xr':'" j~~." :~0i\ (; ~;!!~ ". ',.' :~. .-',~; !~!* ,. ..:::1 !r~[,. :;:~:. ,;~.; . ; ;:~:. .:~' .;-., ,'F. '..' . :";" Jl "['"':f...''''' ,i)," ;;.':; ..,- ",,' ", >:,.; ",:. .;,.~ .'.a ....~,. ';';:'.:: :.' ..~.,. ... 'iff" >,. '..<, V' :~.,'. ..: . .:~{!.. ij':;. , ~ '.: ...' . ~~,'i ,,~. ,;J: va ", ,.' .,~:I,1'-SS~lt ;l:llknowledges,tllllt. Lll'<l5ae has inspciliedilill Llla5/;lali'~mj:s~$ :iJjtlf. ;:dl;j:eilnittcd. the' 1:oliditlon liiel'llof'll1 Lessoo's. $ltusfactlollllnd \11111 Les~ee nCj)ep!,~. this , .. LeMe AlOfC\Jnlent Ir~~lld 11p()l'l, ,tJu;NnditiOI1 oflnel"l1'ased Prenibes on lhei,/aie.heteof;' ," ,.' ",;. r"llI!$lir'~ it,!' repl'f.\~eltta1i{l1105t'ivmr-alltles or lmllwemlluts 10 L<:SSCe 'viHn.l'l1!.'1l1'd 10 Iltll,. . ",: .fOlloltililloff,he Le~ Prl<ltnlses, ,If !he 'lllli!lIty,o;' qUlillti\y of l,qUati{: .wecle~ lllld {,~e ,.. . i1o'll.le El\tls~dFreml!ies ,for th!lJ,llU;POlllls l1ereln seV:foM, ' ."-l .... ". ;.". " T ;..:' "'. :," ,~ ':~' . :1' '. ".1 .. .::. ,,'.:. ":. .,;, ." ',.;\ ~-' : '. , :.. ," ..... .,., :t.': " ">,'; :;,1 ,i. " !.;. -.1; .i'" ". H . .-' ~\~ :;.j;: '!'. ,.;") :,;.,' ".' .'.:" ";'! }'. ':i:? '. 1: ~~. "'.' .Co:: ,~ -{. :," "" ';<' .}. ~f!' ',.:,: !;. '.'~ ~.:~ ....f' '.., -.'!,' ';;{'. '.", :r.w " '}'. ....J ,', ':.' '...'t "i .;.::, . :~~. :''-., }~;: .:>. ,ir, ~G~ .:,.. '..' :';: ,-:c,'. .., :;:'::.,. ',.": :~> ~~,~. .it:? ....... ":l:':i ::t ' "~:~ i.;!' ,"j,; 'h' ..1 :,':" ::i~[ .iMj .:~'=:1 .~". . ..,.~, ".. .;;~. ".'. ".. :{~ . ~v.~ ~~ir. '~::!. ......N.... .W! ~':j;: ~:N :1r~ /::: i:x:. .-:<<. :{.~ .':: ~;:;. b l:~q ~r..c' f;~I: "~lN :):;; nJ :..... ,'!' c",. :;f.~ :'~.. . ,'.: :J!", :J;,. 1,<:'( <.,. ';'. '1'. ::,: .;. . 'f.. f'f;: 'n.' " nr s. , . '..te~~~~ ~rltt'st!Jli~);I;~5.S'Qi; i\SN::lItfuft~e I~eas~~ Pt\lffiiSl,ls,lhll Stim.l.lr$~(r,Q9P~ ". ~. IV -<.. "" ;.....' :",., '. ' Jl\e~nt J$ pe;:r~bJI) tel Lesso! in '!iDttsl(m, TGXllS ..aM is to be made by t.essee.bJ' .' , "rnaililili:tt~ell!1n1lt on or beforeOct;:lbei 15; 20!J to Les,'!Ot at ihe(Ojklwin~ add'e!>s; " " 'jl:., .1:!: lndi~noj/l Liquidrill"~fIt!lst dQ: Arthur1\. S~Ilgl;Ql1m 808 Tl'llvf,s;$I" Su!le220(} l{~<m\ T1tx1lJl7'1(irm " , ' . ::;/; v ;.-'. :j ~ '~$~e shl!l11 InNe me exd~~~i\';1 right tt) hemAl' bnvfuI lll\llW lU'lima,\silllJil,y" Jawfull:t1wei'Undlll IDlY tW;e durJng tlJeterm herco!: Lessee may ~!Stl go UjiQ!l:the ~etl.'g~ejni!les, at -any tirhft d'uri.1J,g th~ iertiloftlili> LeljSe A!!l:~emel1t, :foftb,;) P\ll1JO~, .of' " , . . ,;:~ . :?-.' 1:.;': "'. I:" , '. .,,' ',,: ;,,:1 ;'j.. ':;it. .,.':: .~~~ , ....{ '. :.... .":'. .'.' 'r:1 , ~; '. . ~ .,!j'" ,::'li . !::~; ,.".., :i-:~j 1':.'[ ; "~~ ii '~'I~:, ~. ..; . .11.... ,I'::i ".,., '!;! 'f;,: .",' : ;~.: ':lll t;.,~" i.l1:';. ,'... '.;~:;:; '.. (: ',' ;,{~ 'r. '1::;:: ;~:', - / ~'w tXI1I'b ,"f- :C!'----.... 111 .'"/ 10 . ; "t? '. ,'., ,~~ .~~ ,.,. ~.,;. ",01 :,-;.,~ i'~.!1 ,.>',> ..17- ":,. ;,:~f . .,:; ;~/ '.,.. . tEf\S~ $G~F.J$JWi.l'tt : '"i: .)~ .:-! ". '. '~:astNr!?O~~TBX{\$ ,.' ~" ~ . .S ,:: ',]!! ::;~: ;.... :, . .. . '. . . CfJlJ1\1l'Y.'Pl' Cb\l.~,lOlm . . ," ,l[i,., . '.'" ~'il;l\i$'J;;E^$~.4fcik~nMRN'r(lleqe:Jt)delJii:r~d ,into, 'as: !h1:: I :;~"dnyoI'Oiiwt1tii', '. ' ..,,' , ;::!l}H~ tly; llil4 be.!WOOnfl)iDtANOl;AUQl.1,lPA:rINfJi tl?itlST., heltfn;iftcrli4lie~f" ,>:: ;:j' :;':' "'t,j~SilQr";.l.lndJIMWjWNltJQ.}1NSQf\fll\n'e.rillifilli:'~'lilf'1,T"~Sjft::",; , .' . ..' ': '{i" ;:~r$ .;:;;: '. .' ::;;; .r. }>'Tlli~$~F11[; .;'1' x, .,:.~; ~~~~ . t:' ;'c l,. . ',' '~:i )0:; ..WI '';:.';:. .'" ... ,,;;,,~; - ...... .. . , . .: t~llr dUlm hereby iet llild Tellse ~nl<l L!)S~, Jliirl ~"\'l~ tlW:,S ll\'I.d [\laSes, Inlrn . ,'" ;"" ..L~nQr~.ror fblNlOn.iru0<'!lti?l1S ~d plll~_ Sliil ~btlh belnw, nitd rot fu'i' ta,ll.D 'hcreiruilmr.' Wi! mi .[:!! ;~~lil4r.~l,tci\vi1!~'desiirl~d' land .10Clitediq Cil!ho\U;. Cl)~ty~ ' 'rex:us(thli.'l.ellBe.!i'j :1:i. ''';;: t~l!l~"J)' '" . '.: " '. .".., ",' .." . " '. '. . .' :;.j ." ,j~.> :.;1', .;:..... 'R! a~~. .::) ~~~ :r~~ l!:~:: . , .! . ~i~f .. 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"r 'l~:~ . :,!.!' . ..~:..i t;.t;~; ': ~: . l;~ r~\:: .';~ .!:.' .~. , ....1 " ' , '~ '1 " .:.;! ,..: Regarding Earnest Money Contract dated . 2012 between Indianola Uquidating Trust as Seller and Calhoun County, TX as Buyer of approximately 6,434.49 acres located in Calhoun County and which is known as Green lake. Addenda "B" Special Provisions 1. This Contract is being funded by a Federal Grant. It is understood by the parties herein that additional terms or requirements involving the grant financing may be required to close the sale to Calhoun County. This may include among other things language in the deed between the County and the granting agency which has no relevance to Seller. Seller hereby agrees to allow the County and the granting agency to detennine that language to be put in the deed to County without Input from Seller as long as Seller's or Seller's attorney agrees the language does not affect Sellers. All costs incurred by County associated with obtaining this grant shall be paid 100% by County whether before, at, or after closing. 2. The closing date which is stated herein as June 15, 2012 is believed to be feasible by the parties hereto. Sellers and B'uyer are proactively working together on all anticipated issues with the intent being to have resolved any and all perceived issues on or before May 15, 2012. It is understood that grant requirements may include items not addressed by the parties and if that is the case, the Buyer agrees to attempt with diligence to identify said items from Granting Agency as early as possible and resolve same on or before May 15,2012 thereby giving the parties 30 days to meet the additional requirements and then to close the transaction by June 15, 2012. In the event closing for presently unknown reasons cannot be accomplished by June 15,2012., the parties hereto agree to extend closing for 30 days with said extension listing the details of what must be accomplished to close; This may be repeated once more automatically if necessary. If this transaction remains unclosed as of August 15, 2012, this 'COntract may be cancelled by Sellers. 3. The. County has agreed to fund a $72,000 survey by G and W Engineers based in Port lavaca. This survey shall start as quickly after the funds have been approved by Commissioner's Court as practical. At closing of this transaction, the parties hereto agree that all closing costs ( irrespective of whether any specific cost is nonnally a Seller Cost or a Buyer cost) NOT associated with the grant will be paid' 50% by each party. In calculating Seller's 50%, the title Company will assess Sellers their SO% share of the survey cost, or $36,000 if the fee has not changed. However, if the fee increases, Seller's will be not be obligated to pay any of the Increase. If the fee decreases, then sellers shall only be obligated to pay their 50%. Sellers are not obligated to pay any of the survey fee unless the transaction closes. 4. The parties hereto understand and agree that if for some reason the G'rant ls cancelled, this agreement becomes null and void and Title Company shall refund Buyer's earnest money in full. 5. The purchase price is fixed and thus not based upon and wiil not change if the survey shows more or less acres than the actual number of acres shown on the contract. ! Exhibit "A" LEGAL DESCRIPTION: GREEN LAKE, consisting of the bed of Green Lake within the lands patented to Howard Kenyon, Abstract 256, and certain adjacent lands, all in Calhoun County, Texas and described as follows: BEGINNING at the intelseCtion of the centerline of State Highway 35 and the centerline of the navigation channel of the Victoria Barge Canal, TIffiNCE in a northerly direction along the centerline of the navigation channel of the Barge Canal to an intersection with the northerly line of a tract conveyed by the heirs of Arthur Mueller to Indianola Corporation, CONTINUING with the centerline of the navigation channel of the Barge Canal to its intersection wit the southerly line of the Abel S Cunningham Survey, Abstract 62, CONTINUING with the bounds of the Howard Kenyon Survey, Abstract 256, THENCE with the meanders of the Helmbeck Line around the circumference of said' . Kenyon Survey to its intersection with the westerly line of the L. A. Gueringer Survey, Abstract 259, THENCE with the westerly line of the Gueringer Survey to its intersection' with the centerline of State Highway 35: THENCE following the centerline of State Highway 35 in an easterly direction to the point of beginning, containing in the aggregate 6,434.49 acres, more or less. The property described above will be conveyed with all mineral interests owned by sellers whether full interests or less than full interests. ,; , j.. . , , ; ,.,.,: ~ ,. v :::" , " " , , " ',", :,.' .;.. "~r '. .,,".: ii]";;' :::!j >j;. ,:: ;"," .. ,;.: , " -"" ,.... . '" ; .-" .~;',.; ,-,:., ':H~ f~~ gl N; IE:', ~; ." . ',:;" /'!. / .'?' ;: .. ~1i ":: ::,~~: ;':<;, "," .', :.!;J"" ":Il i:.:'l' C': . ", ~ ,"'. ","", .....l ".,. ,,: ;:.. .';:". "l" XXVI , ,'l.t:8!J"C:, bYhi$sjgn1l11!tli<h~'Q.l'JukI1\lWJed!ieli that !Illch Les.~~ !nlJiTl~d hflr~b1;ha;; ~~ci,lt411devety pr~vlllion of (his Le~se Ast:llMlertinllclhaHllfull arid complete tU.i_tiut~fjll QJ,lal !lro\!iiiiI)JiJlieOridJtiri~. r~il!injmenls,ruli.ls mtdregullltlons.- ~()l)tlliUl:d" h~ln~ ',' ,'" .,',,' " . ."" " ' "ExBotrrEJ5 IN 1)lJPLlGATE OROtNALS, (hill6b<lI;Y ()(,~..v...""'2Ql1. ." . . " . , '. . ,. . ' , ..;..~ . -' '. [~IPl#,N~~~ u~tJlD:AnN~,'.hR;l,Jst" ,.; ~- .,.' .:"'; ".':' ", .~:- :,." ,'. ::.,,1 :"; '" "', "l<~SSPR" , t,.; :, ".;"" :,.... .,' ..;." ",. ::). .~ ,.:..: BY ..", h:.~: ,::-: ':'~; :', \; : ~ ". "L~ssma" ' .,:;" :::; .': ',>' " .'., '.'. ..... '. ::.' 'l!l' , ':::', ,OF"' I.n 1'0" :~~. : 'i .::~ .... ~~;~I' ~> ':'" '., :,:.;, '.~'1" :].; ..., ".,...,., ;:<: .,'-'. :::--.; "~'" ."v PUBLIC DISCUSSION: Susan Riley distributes a blood pressure monitor to each of the county facility. She explained that the Omron 7 Series Wrist Blood Pressure Monitor is better and more accurate than armed monitors. Court was adjourned at 11:23 A.M.