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2016-07-14Regular July 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held July 14, 2016 BE IT REMEMBERED, that on this 14th day of July, A.D., 2016 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: Roger C. Galvan Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Kenneth W. Finster Commissioner, Precinct #4 Anna Goodman County Clerk Josie Sampson Deputy Clerk Michael Pfeifer, County Judge and Neil Fritsch, Commissioner Precinct #3, were absent. Commissioner Vern Lyssy presided as Judge Pro Tem. Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and to the Texas Flag. PRECINCT JUDGES FOR THE DEMOCRATIC AND REPUBLICAN PARTIES FOR A TWO YEAR TERM FROM SEPTEMBER 1, 2016 THROUGH AUGUST 31, 2018: Dora Garcia, Elections Administrator, stated representatives from both parties were present and submitting their nominations for Precinct Judges, Ballot Board, Signature Verification Committee and Central Counting Station for a two-year term. Commissioner Lyssy made a motion to accept the Precinct Judges for the Democratic and Republican parties for a two year term from September 1, 2016 through August 31, 2018. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. Susan Rile From: dora garcia <dora.garcia@calhouncotx.org> Sent: Monday, June 27, 2016 9:40 AM To: susan riley; dor Subject: Appointment of Judges Attachments: ORDER OF APPOINTMENT FOR ELECTION JUDGES AND ALTERNATES.doc Susan Please put this on for the next Commissioners Court (July 14, 2016). Approval of precinct judges for the Democratic and Republican Parties for a two year term from September 1, 2016 through August 31, 2018. Dora O. Garcia Elections Administrator Calhoun County ORDER OF APPOINTMENT FOR ELECTION JUDGES AND ALTERNATES The Commissioners Court of Calhoun County do hereby appoint the following election judges and alternate judges for a two year term to begin on September 1, 2016 and expire on August, 31, 2018 County Judge ommissi r, Pct. Commissioner, Pet. 2 Commissioner, Pct. 3 Commissioner, Pct 4 July 14, 2016 Commissioners Court 211 South Ann Street Port Lavaca TX 77979 Gentlemen: The Democratic Party of the County of Calhoun submits the following persons for consideration by Commissioners Court for appointment and as Election Judges for the November 8, 2016 General Election Also, I am submitting herewith for your consideration and approval a list of members to be included as part of the Early Voting Ballot Board, Signature Verification Committee and Central Counting Station. Precinct 91: Precinct #2: Precinct 93: Precinct 94: Precinct 45: Fanny Sanchez 1210 W. George, Port Lavaca 920,0797 Joe Mireles 913 W. Mahan, Port Lavaca 552.4518 Humberto Grimaldo 508 Warehouse, Port Lavaca, Texas 551,0110/647.2901 Lottie Hranicky 2218 Jackson, Port Lavaca 552.9260 Patricia Canady 311 Willow Bend, Port Lavaca 827.6385 Precinct #6: Phyllis Chastain 601 Powderhorn Lane 23 Springfield Avenue, Port Lavaca 648.4615 Precinct #7: Patty Trevino 535 W. Main, Port Lavaca 676.2928 Precinct #8: Betty Hicks 615 S. Benavides, Port Lavaca 552.2488 Precincts 9/10 Florian (Bob) Koliba 813 N. San Antonio, Port Lavaca 552.2407 Precinct #11: Cindy Barr 313 Willowbend, Port Lavaca 552.6498 Precinct #12: Susie Daigle 495 Maxwell Lane, Pt. Lavaca 935.5812 Precinct #13: Precinct #14: Precinct #15: Ellie Garcia 1018 Porter Rd., Pt. Lavaca 552.7642 Martha Barefield 106 E. Alice Wilkins, Port Lavaca 552.5533, 482.9121 Barbara Johnstone 117 E. Leona, Port Lavaca 920.8290 Precinct 916: Val Torres 217 Crockett, Port Lavaca 551.0009, 652.8938 Precinct #17: Benny Garcia 114 Holiday Lane, Port Lavaca 552.3342/676.3342 Precinct #18: Mary Herrington 121 Lubbock (Box 524), Point Comfort 77978 987.2271 Precinct #19: Paul Michalik 1367 Co. Rd. 305, Port Lavaca 891,5339 Precinct 20/21: Rose Marie Knobles 2856 South Hwy 238, Port Lavaca 552.3617 Precinct 22: Delores Haverland 670 Matson Road, Port Lavaca 552.2231 Precinct 23: Emma Clay 2684 Farik Rd. (1502 Burkedale), Port Lavaca 552.3433/482.8875 Precinct 24: Martha Madden Precinct 25: 201 E. Toledo Street, Seadrift 77983 Sherry Lambright 1201 Van Buren (Box 175), Port O'Connor 77982 983,2236/920.2236 Central Counting/Ballot Board/Signature Verification Board: Evelyn Burleson 210 Tilley, Port Lavaca 552,2791 Jim Munro Box 205, Port Lavaca 676.3414 Mario Badillo 303 South Guadalupe 550.2270E Should you have any questions, please let me know. Respectfully submitted, Evelyn Burleson, Chair Calhoun County Democratic Party 210 Tilley Sheet Port Lavaca TX 77979 552.2791 2016 Republican Election Judges Pct 1 Lupita Garcia 801 S. Colorado St 541-2646 Pct 2 Judy Torres 516 Bonhan 746-0857 Pct 3 Corina Garcia PO Box 506 /130 W. St. Louis 746-2744 Pct 4 Mary Watkins 2311 Larry Pct 5 Deborah Riley 18 LaLucia 550-6792 Pct 6 Joy Platte/Elise Moore 56 Omaha 552-4618 Pct 7 Lesa Jurek 849 Royal Rd 652-3856 Pct 8 Gary McKeothen 112 Saluria Place (432) 599-4210 Pct 9 & 10 Kingsley Scott 1003 N. Benavides 582-6687 Pct 11 Janna Ralston/Debbie Davis 211 Oakglen Dr 552-3356 Pct 12 Patti Fitzpatrick/Sherri McClellan 334-Jurek Rd 552-2695/920-3216 Pct 13 David Holfod 203 Bonham 551-8299 Pct 14 Jim Falkner/Paula Donnelly 1500 S Virginia 746-8460 Pct 15 Lisa Peterson 24070 Hwy 172 550-6987 Pct 16 Georgia Mikosh/Bessie Peterson 121 Del Mar Or 552-6844/920-6844 Pct 17 Margaret Hilscher 506 Fairmont 552-3233 Pct 18 Nellie Hamilton/Kenyon Hamilton PO Box 109 Point Comfort 920-2488 Pct 19 Russ Torgenson/Barbara Torgenson 592 CR 311 746-5516/534-8217 Pct 20/21 Janie Hawkins 1705 Ocean Dr 408-0498 Pct 22 Anna Ybarra 167 Matson 482-9600 Pct 23 Kay Dillingham 3 Bay Shore Drive (409)283-0080 Pct 24 Becky Gray/Sherry Taylor PO Box 42. Seadrift 548-2295 Pct25 Bill Moore PO Box 545 Port O'Connor 983-4690/935-1680 Central Counting/Ballot Board/Signature Verification Board Russell Cain 56 Marshall Port Lavaca Connie Hunt 73 Schedler Port Lavaca Carol Stewart 892 Bay Meadows Dr. Port Lavaca APPROVE MINUTES OF JUNE 9, 2016 MEETING: Commissioner Galvan made a motion to approve Minutes of June 9, 2016 meeting. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. Regular 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held June 9, 2016 BE IT REMEMBERED, that on this 9th day of June, A.D., 2016 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 County Judge Vern Lyssy Commissioner, Precinct #2 Neil Fritsch Commissioner, Precinct #3 Kenneth W. Finster Commissioner, Precinct #4 Anna Goodman County Clerk Josie Sampson Deputy County Clerk Commissioner Roger Galvan was absent. Thereupon the following proceedings were had: Commissioner Finster led the Pledge to the US Flag and Commissioner Lyssy led the Pledge to the Texas Flag. REPORT FROM MEMORIAL MEDICAL CENTER: Jason Anglin, Memorial Medical Center CEO, reported a Net Income of $507,409 for the month of May. Year-to- date income was increased to $1,839,791 compared to May 2015 YTD income of $447,678. May included a $207,031 benefit from the Nursing Home MPAP program. Memorial Medical Center - Port Lavaca, Texas CEO Report June 23, 2016 Financial Results: In May we had a Net Income of $507,409 increasing our Income for the year to $1,839,791 compared to May 2015 YTD of $447,678. May included $207,031 benefit from the Nursing Home MPAP program. Studer Group training We had Joel Bautista onsite working with our Emergency Room department and Memorial Medical Clinic staff and providers. Joel is scheduled to do additional training with these departments in July. Audit & Budget This past month we have been busy working on Audit and Budget. Memorial Medical Clinic We are focusing a lot of efforts on lowering clinic accounts receivable. We are making progress towards our target level. Information on Board Items: Alcon Ophthalmic Microscope — We have on the agenda to purchase a microscope for our operating room department. Our current microscope is from 1991. The microscope is used in eye cases. A newer microscope would allow for us to be able to do more surgical cases here. The cost of the refurbished microscope is $31,500. We would need an additional 25 cases to pay for the microscope. Ultrasound Service Agreement- We have on the agenda to renew the service agreement for our ultrasound machine. Financial Audit for 2015 — BKD will be here to present the 2017 Audit & Cost report. Operating and Capital Budget 2017— We will present the 2017 proposed budget along with reviewing some historical information and some strategic thoughts for the future. Closed Session — I have a closed session posted. _ Re pe fully, Jason An in, CEO Memorial Medical Center Memorial Medical Center Financial Report For the Month of: May 2016 Overview: Hospital profit for the month of May was $507,509, which brings us to $1,839,791 for the five months ending May 31. This compares with $447,678 through the first five months of 2015 and a 2016 budget of $1,130,954. Of this amount, $1,054,478 comes from the Nursing Home MPA Program, leaving $785,313 that is directly comparable to last year. Please see the new financial statement directly behind this report for a more detailed breakout of our P&L by operating unit. Operations are not easily separated between the hospital and clinic since we share services, but the new report attempts to at least show the benefit to the RHC of allocating operating overhead, along with moving the new building's depreciation to clinic operations. Please note that this is not a full allocation and will not match amounts filed on the Medicare cost report. Patient Revenue bounced back to within $50,000 of March's high at $6,562,203 and is the second highest so far in 2016. Memorial Medical Clinic posted both a record number of visits and its highest revenue ever. This, along with increased charges in Wound Care, Pharmacy, Respiratory Therapy, and Rehab Services drove Outpatient Revenue to the highest it has been all year. Total operating expenses were $2,421,499 against a $2,237,799 budget, which includes one-time charges to Professional Fees for physician recruiting and a relatively high group health claims month. Supplies cost was the second lowest of 2016 as we used up inventory purchased in April. New Financial Statement Directly behind this report is a new report that shows a side by side comparison of our profitability by product line. While it is not fully allocated, it does estimate the benefit to the RHC of moving administrative and overhead cost and splits depreciation between the hospital and the clinics. Clinic Financial Statements Our clinic financials are now in their fourth month of production. Behind this report are: I. A Summary Profit & Loss statement which shows each month's overall performance and a breakdown of the current month by clinic. IL A consolidated Profit & Loss statement for all clinic operations combined — MMC Clinic, the Surgery Clinic, and the Specialty Clinic III. Individual Profit & Loss statements for each of the clinics above Statistics: Average Daily Census from May was 14.0, second only to March's high and is now at 13.3 for 2016. Total Admissions increased to 112 and tied with December 2015 for the highest volume in the last 12 months. The RHC had another record month at 1,832 visits, with the Surgical Clinic having its highest volume since October 2015. Total visits for the Surgical Clinic were 89 in May compared to an average of 80 for the first four months of 2016. Lab volume increased by 8% over April's total and, at 31,675 procedures was the third highest we have seen in the last 12 months. Imaging volume also increased in May, with 1,455 total procedures. This was driven by a particularly high Mammography volume. Rehab Services posted their highest volume since January, with 1,726 encounters. Balance Sheet Highlights: ASSETS Bank Accounts Cash in the bank decreased slightly in May, with an ending balance of $3,245,982. Cash in the bank as of the end of the month consisted of $1,233,383 in operating cash, $25,069 in the Private Waiver 1115 Clearing Account, $220,580 in MMC Clinic Construction, $500,000 in CD investments and $1,266,950 in the MMC Nursing Home Cash accounts. Accounts Receivable Patient account balances continue to increase, driven by high revenues and slower than needed collections. Collections were $2,335,924 in May, which brought us to 96% of target for 2016 and are continuing to look good through the first half of June. Accounts Receivable — Other The total in this account is $6,942,484 consisting mainly of expected payments from the DSRIP component of the Waiver 1115 program, the Uncompensated Care program and supplemental payments due under the NH MPAP program. All of our April reporting was approved by the State and we will do an IGT for the payment July 1. This should return $250,000 to the hospital before the end of July. Accounts Receivable Nursing Home There is a balance of $4,551,773 in accounts receivable on the five nursing home books. Accounts Receivable Est. 3" Party Paver Settlements We do not show any receivable from Medicare at this time. LIABILITIES Accounts Payable Accounts payable decreased slightly to $553,123. Due to Cantex The balance of $6,447,686 consists of $1,266,950 in Cash in the nursing home cash accounts (less $1,000 MMC contributed to set the accounts up and $1 rounding), $627.962 for their portion of the MPA Payment we are expecting, and $4,551,773 in accounts receivable also reflected in MMC's accounts receivable. Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling $1,290,027. This should decrease as our employees use accrued PTO time during the summer months. Accrued Intergovernmental Transfers Our books reflect IGT accruals of $1,477,623. We transferred $276,372 for DSH in June and will have a further &891,780 for DSRIP and Community Benefit on July 1. Accrued PaVable— Est. 3'd PartV Paver We currently show a payable to the Medicare program of $308,510 at the end of the month based on our mini cost report calculation. Part of the reason for the payable is that our volume so far in 2016 is higher than 2015's average, which drives our cost per unit of service down. The trend will probably reverse during the summer months since this is generally a period of lower volume. Notes Payable The hospital has a note payable to Calhoun County for $3,381,758, which reflects the two loans for MPAP IGT, a draw on the Physician Recruiting of $975,000, and the $500,000 borrowed to pay off leases. We expect to begin payments on this in October 2016 based on current cash flow projections from the nursing home programs. Leases PaVable The hospital has $623,409 in longterm debt of which $146,155 is due over the next 12 months. Current Ratio The ratio between our current assets and current liabilities is 1.5 compared to a 2.3 benchmark. Other Projects I am currently involved most heavily in increasing clinic collections, trying to finish implementation of voice recognition for our Radiologists, and streamlining operations in the hospital's financial areas. When our proposed new accountant comes on board I will be able to spend more time looking for effective ways to utilize our group purchasing agreements and supporting new business lines to increase our net margin. Current Period Nursing Hospital Clinics Homes Combined 1,466,662 1,466,662 2,629,392 595,384 3,224,776 1,870,765 1,870,765 - - 3,228,575 3,228,575 5,966,819 595,384 3,228,575 9,790,778 3,186,890 22,916 3,209,806 75,817 - 75,817 31,653 - 31,653 (26,251) 26,251 - (255,077) (255,077) 893,880 893,880 3,906,912 49,167 - 3,956,079 2,059,906 546,218 3,228,575 6,834,699 35,417 9,272 - 44,689 2,095,323 556,490 3,228,575 5,879,388 Current Period Nursing Hospital Clinics Homes Combined 798,707 106,239 904,946 273,252 32,916 306,168 246,692 267,103 513,795 260,424 35,314 295,738 242,242 8,103 250,346 5,712 - 5,712 37,278 - 37,278 103,710 3,807 107,517 - - 3,228,575 3,228,575 1,968,016 453,483 3,228,576 6,650,074 73,067 16,000 - - 89,067 2,041,083 469,483 3,228,575 5,739,141 54,240 86,007 - 140,247 (3,138) - (3,138) 600 500 (192,812) (186,072) (379,784) 275,445_ 267,103 542,548 - - 207,031 207,031 80,000 80,131 207,031 367,162 134,240 166,138 207,031 507,409 Memorial Medical Center Income Statement by Operating Unit For the Month Ended May 31, 2016 Revenue Year to Date Nursing Hospital Clinics Homes Combined Inpatient Revenues 6,843,210 6,843,210 Outpatient Revenues 13,060,706 2,493,510 15,554,216 ER Revenues 8,834,563 8,834,563 Resident Revenues - 17,003,498 17,003,498 28,738,479 2,493,510 17,003,498 48,235,487 Total Patient Revenue Revenue Deductions Contractuals 15,978,548 394,933 16,373,481 Charily 542,085 - 542,085 Indigent Care 115,185 - 115,185 Overhead (101,582) 101,582 - DSH (1,146,393) (1,146,393) Bad Debt 3,895,893 3,895,893 Total Revenue Deductions 19,283,736 496,515 - 19,780,251 Net Patient Revenue 9,454,742 1,996,996 17,003,498 28,455,236 Other Operating Revenue 156,500 24,491 - 180,991 9,611,243 2,021,486 17,003,498 28,636,227 Total Operating Revenue Operating Expenses Year to Date Nursing Hospital Clinics Homes Combined Salaries & Wages 3,803,786 506,651 4,310,437 Employee Benefits & PR Taxes 1,227,471 159,192 1,386,663 Professional Fees 996,064 845,204 1,841,268 Purchased Services 1,354,430 148,917 1,503,347 Supplies - 1,243,542 50,070 1,293,612 Insurance 28,559 - 28,559 Utilities 225,897 - 225,897 Other Expenses 340,324 26,145 366,469 Nursing Home Fee - - 17,003,498 17,003,498 Total Operating Expenses 9,220,074 1,736,178 17,003,498 27,959,750 Depreciation 366,442 80,000 - 448,442 Total Expenses 9,586,516 1.816,178 17,003,498 28,406,192 Net Operating income/(Loss) 24,727 205,308 - 230,035 Non Operating Income / (Exp) Investment Income 763 - 763 Interest Expense (16,859) - (16,869) Contributions and Grams 600 - 50D IGT Expense (740,395) (591,643) (1,332,038) Service Contribution by SOSET 1,057,708 845,204 1,902,912 Nursing Home MPAP - - 1,054,478 1,054,478 Total Non -Operating Revenue 301,717 253,561 1,054,478 1,609,756 Total Net income/(Loss) 326,444 458,869 1,054,478 1,839.791 C . w N N w m g m m n m m o L b0 C m m m m � va0i C O V N N n O [mil '� ++ N m m O .i tN0 m J n ti N N O M E w O m V O C3 *& O is O o O O O'O O O q +• lD lD l0' lO N O UN v -- 2 N m v w n n m m m m m o 0 c o o ui m O m Q O o m in oo m of ci m O C m m m Q d m m m v w N W O M V N N 7 UI W N Q L W c-I V 01 Ol N U ✓ o O w 5 J Y U q O � O N U N d R U v W O m m m N m E u a y ry v m m E z E N qj v] tD Ot0 n N w m o N 0 s n n n m o ao 0 C UI N c-I Ol' HI a0 N 3❑ M N m N M N a-1 m V V O ry Q m 'o m O V.m m. m �-1 m O v N N N O' N UI N aOO a m � w � m m to io ci m <Y o r-1 N ri tO VI M � N m m m` ❑ m 3 L E S E y O W N Y .O W w Q -Ji -Ji Q N O Z❑ F n Nam 2 New Patient Clinic Visits Existing Patient Clinic Visits All Other Visits Total RHC & Surgery Clinic Visits Specialty Clinic Visits Hospital OR Procedures Total Visits & Procedures No Shows No Show % 509 482 414 324 332 2,061 1,134 - 1,370 - 1,483 100 1,539 4 1,589 181 7,115 285 1,779 71 1,643 1,852 1,997 1,867 2,102 9,461 2,365 456 502 485 573 596 2,612 653 41 57 53 48 57 256 64 2,140 2,411 2,535 2,488 2,755 12,329 3,082 169 166 166 158 192 851 213 9% 8% 8% 8% 8% 8% Rural Health Clinic Revenue 366,389 261,090 338,688 259,114 411,286 1,636,568 409,142 Surgery Clinic Revenue 59,112 88,731 54,339 52,543 31,848 286,572 71,643 Specialty Clinic Revenue 95,915 83,165 114,464 124,576 152,250 570,370 142,593 Patient Revenue 521,416 432,986 507,491 436,233 595,384 2,493,510 623,378 Estimated Medicare Settlement 16,502 (13,276) 17,231 1,601 15,091 37,149 9,287 Overhead Benefit (22,196) + (14,109) (21,444) (17582) (26.251) (101,582) (25,396) Meaningful Use - - Rent Revenue 567 667 1,717 517 2,017 5,483 1,371 340E Revenue 528 (297) 2,759 8,762 7,255 19,007 4,752 Total Miscellaneous Revenue 1,094 369 4,476 9,279 9,272 24,491 6,123 Total Net Revenue 284,112 427,697 347,993 406,195 555,490 2,021,486 505,372 405,195 555,490 Salaries - Regular 82,009 82,100 90,885 89,184 94,314 438,491 109,623 Salaries -Overtime 4,447 6,569 3,065 4,446 4,395 22,922 5,731 Salaries - PTO 9,074 5,078 13,866 9,688 7,531 45,237 11,309 Total Salaries 95,531 93,748 107,816 103,317 106,239 506,651 126,663 Benefits - FICA 7,099 6,409 7,026 7,257 7,390 35,181 8,795 Benefits - Federal Unemployment 367 120 133 81 63 763 191 Benefits - Retirement 7,604 7,020 7,693 7,907 8,078 38,302 9,576 Insurance - Hospitalization 16,770 5,865 15,546 21,639 15,252 75,070 18,768 Insurance- Other 1,469 187 1,612 - 1,982 1,228 6,477 1,619 Insurance -workers comp 490 182 918 903 905 3,399 850 Total Benefits 33,799 19,782 32,927 39,769 32,916 169,192 39,798 Total Salaries, Wages, and Benefits 129,329 113,530 140,743 143,086 139,155 665,843 166,461 Supplies - General 4,592 14,490 8,282 11,663 7,571 46,598 11,649 Supplies- Office 1,136 698 447 275 502 3,058 764 Freight 137 98 32 36 31 334 84 Total Supplies 6,865 15,287 8,841 11,974 8,103 50,070 12,517 Pro Fees- Physicians 157,424 139,412 141,248 140,017 267,103 845,204 211,301 Purchased Services- Non -physician 28,140 26,689 26,118 32,656 35,314 148,917 37,229 Total Purchased Services 186,564 166,101 167,366 172,673 302,417 994,120 248,530 Interest Expense 746 716 686 656 625 3,430 857 Travel 444 231- 1,008. 1,066 - 2,749 687 Subscriptions 167 2,607 3,417 167. 167 6,523 1,631 -3= Princatinn 995 199 260 - - 754 189 Other Practice Expenses 1,651 4,191 5,391 7,221 2,753 Leases & Rental 720 1,054 1,054 1,054 1,054 4,937 1,234 Total Rent and Leases 720 1,054 1,054 1,054 1,054 4,937 1,234 Total Expenses 323130 300163 323395 336,008 453,483 1,736,178 434,045 Net Operating Income (39,018) 127,534 24,598 70,187 102,007 285,308 71,327 Depreciation - - (16,000) (16,000) (16,000) '(16,000) (16,000) (80,000) < :(20,000) IGT Expense (110,197) (97,588) (98,874) (98,012) (186,972) (591,643) (147,911) Community Benefits Contribution 157,424 139,412 141,248 140,017 267,103 845,204 211,301 Net Non -operating Income 47,227 41,824 42,374 42,005 80,131 253,561 63,390 Contribution Margin (7,791) 153,358 50,972 96,192 166,138 458,869 114,717 ma New Patient Clinic Visits Existing Patient Clinic Visits All Other Visits Total Clinic Visits Hospital OR Procedures Total Visits & Procedures No Shows/Missed Appointments No Show % 479 463 394 305 311 1,952 1,077 1,297 1,424 1,478 1,521 6,797 - - 100 4 181 285 1,556 1,760 1,918 1,787 2,013 9,034 21 28 28 23 31 131 1,577 1,788 1,946 1,810 2,044 9,165 488 1,699 71 2,259 33 2,291 162 159 159 155 185 820 205 9% 8% 8% 8% 8% 8% Patient Revenue 366,389 261,090 338,688 259,114 411,286 1,636,568 409,142 Estimated Medicare Settlement 16,502 (13,276) 17,231 1,601 15,091 37,149 9,287 Overhead Benefit (22,196) - (14,109) (21,444) (17,582) (26,251) (101,582) (25,396) Cnnfractnal Aribmtmanft (154.775) 114.985 (53.753) 77,738 68,679 52,875 13,219 340E Revenue 528 (297) 2,759 8,762 7,255 19,007 4,752 Total Miscellaneous Revenue 528 (297) 2,759 8,762 7,255 19,007 4,752 Total Net Revenue 206,448 348,393 283,482 329,634 476,061 1,644,017 411,004 Salaries- Regular 70,998 69,334 79,770 78,833 81,978 380,912 95,228 Salaries -Overtime 3,198 6,742 3,066 4,330 3,122 20,458 5,114 Salaries - PTO 8,483 3,918 12,284 7,462 6,597 38,744 9,686 Total Salaries 82,679 79,994 95,120 90,624 91,697 440,114 110,029 Benefits - FICA 6,004 5,504. 6,008 6,292 6,305 30,113 7,528 Benefits - Federal Unemployment 310 114 128 75 61 688 172 Benefits - Retirement 6,449 6,059 6,613 6,882 6,930 32,933 8,233 Group Health 14,514 5,004 13,715 18,980 13,164 65,377 16,344 Other Insurance 1,271 160 1,422 1,738 1,060 5,651 1,413 Workers' Comp 424 155 810 792 781 2,963 741 Total Benefits 28,972 16,995 28,696 34,760 28,301 137,725 34,431 Total Salaries, Wages, and Benefits 111,651 96,989 123,816 125,384 119,998 577,839 144,460 Supplies -General 3,417 13,618 7,125 10,805 6,324 41,290 10,322 Supplies - Office 1,087 451 407 235 420 2,600 650 Freight 137 89 11 36 23 295 74 Total Supplies 4,641 14,158 7,623 11,076 6,767 44,265 11,066 Pro Fees- Physicians 112,883 104,512 104,515 105,421 234,131 661,462 165,365 Purchased Services- Non -physician 3,615 6,414 6,262 6.869 6,289 28,448 7,112' Interest Expense 746 716 686 656 625 3,430 857 Travel 444 231 1,008 1,066 - 2,749 687 Subscriptions 167 2,607 2,767 167 167 5,873 1,468 Education 295 199 130 - - 624 156 Miscellaneous exp - 20 - - 20 5 Total Other Practice Expenses 1,651 4,191 4,611 7,221 2,753 20,429 5,107 Leases & Rental 446 692 692 692 689 3,211 803 -5- Description Jan 16 Feb 16 Mar 16 Apr 16 May 16 Y I Average Total Rent and Leases 445 692 692 692 689 3,211 803 Total Expenses 234,886 226,956 247,519 256,663 369,627 1,335,652 333,913 Net Operating Income (28,439) 121,437 35,963 72,970 106,434 308,365 77,091 Depreciation (16,000) (16,000) (16,000) (16,000) (16,000) (80,000) (20,000) IGT Expense (79,018) (73,159) (73,161) (73,795) (163,892) (463,023) (115,756) Communitv Benefits Contribution 112,883 104,512 104,515 105,421 234,131 661,462 165.365 Contribution Margin (10,574) 136,791 51,317 88,596 160,673 426,804 106,701 Net RevenueNisit 132.68 197.95 147.80 184.46 236.49 181.98 Breakeven Visits w/o Community Benefit 1,770 1,147 1,675 1,391 1,563 7,340 Breakeven Visits w/ Community Benefit 1,515 988 1,463 1,220 1,266 6,249 QM. New Patient Clinic Visits 30 19 20 19 21 109 27 Existing Patient Clinic Visits 57 73 59 61 68 318 80 All Other Visits - Total Clinic Visits 87 92 79 80 89 427 107 Hospital OR Procedures 20 29 25 25 26 125 31 Total Visits & Procedures 107 121 104 105 115 552 138 No Shows/Missed Appointments 7 7 7 3 7 31 8 No Show % 7% 7% 8% 4% 7% 7% Patient Revenue Statement 59,112 of Revenues 88,731 & Expenses 54,339 52,543 31,848 286,572 71,643 Estimated Medicare Settlement - - Contractual Adjustments (40,075) (60,156) (40,744) (35,622) (21,591) (198 189) (49,547) Net Revenue 19,037 28,575 13,595 16,921 10,256 88,384 22,096 Total Net Revenue 19,037 28,575 13,595 16,921 10,256 88,384 22,096 Salaries -Regular 4,354 5,884 5,152 4,117 5,382 24,889 6,222 Salaries -Overtime 1,081 (202) (29) 103 1,229 2,182 545 Salaries - PTO 219 550 825 1,836 418 3,847 962 Total Salaries 5,655 6,231 5,948 6,055 7,028 30,918 7,729 Benefits - FICA 557 399 519 462 569 2,507 627 Benefits - Retirement 575 410 534 475 586 2,580 645 Group Health 993 390 858 1,268 1,009 4,517 1,129 Otherinsurance 87 12 89 116 81 386 96 Workers' Comp 29 12 51 53 60 205 51 Total Benefits 2,270 1,220 2,051 2,374 2,305 10,220 2,555 Total Salaries Wages and Benefits 7,925 7,451 7,998 8,429 9,334 41,137 10,284 Supplies -General 498 437 599 401 747 2,682 671 Supplies - Office 11 - - 4 1 16 4 Freight - 9 10 - 8 28 7 Total Supplies 509 446 609 405 756 2,725 681 Pro Fees - Physicians 44,541 34,899 36,733 34,596 32,972 183,742 45,935 Purchased Services - Non -physician - - - - - Total Purchased Services 44,541 34,899 36,733 34,596 32,972 183,742 45,935 Subscriptions - - 650 - - 650 54 Total Other Practice Expenses - - 650 - - 650 54 Total Expenses 52,975 42,797 45,990 43,430 43,062 228,255 57,064 Net Operating Income (33,938) (14,222) (32,396) (26,509) (32,806) (139,871) (34,968) IGT Expense (31,179) (24,430) (25,713) (24,217) (23,081) (128,619) (32,155) Community Benefits Contribution 44,541 34,899 36,733 34,596 32,972 183,742 45,935 Net Non -operating Income 13,362 10,470 - 11;020 10,379 9,892 55,123 13,781 Contribution Margin (20 576) (3 752) (21,376) (16,130) (22,914) (84,748) (21,187) Net Revenue/Visit Breakeven Visits w/o Community Benefit Breakeven Visits w/ Community Benefit 218.81 310.60 172.08 211.51 115.24 242 138 267 205 374 181 104 203 156 288 Specialty Clinic Revenue 1,155 143 568 850 290 3,0u6 152 Infusion Revenue 21,599 11,625 11,546 13,102 10,959 68,830 17,208 Wound Care Revenue 73,161 71,397 102,351 110,624 141,001 498,534 124,634 Contractual Adjustments (37,854) (33,104) (65,264) (65,452) (85,095) (286,768) (71,692) Net Revenue 58,061 50,061 49,200 59,124 67,155 283,602 70,901 Rent 567 667 1,717 517 2,017 5,483 1,371 Total Miscellaneous Revenue 567 667 1,717 517 2,017 5,483 1,371 Total Net Revenue 58,628 50,728 50,917 59,640 69,172 289,085 72,271 Salaries -Regular 6,656 6,883 5,963 6,234 6,954 32,690 8,173 Salaries - Overtime 168 29 28 13 44 283 71 Salaries - PTO 372 610 757 390 516 2,646 661 Total Salaries 7,197 7,522 6,748 6,637 7,514 35,619 8,905 Benefits - FICA 537 506 499 504 515 2,561 640 Benefits- State Unemployment - - - - - - - Benefits - Federal Unemployment 28 10 5 5 2 50 13 Benefits - Retirement 580 551 546 550 562 2,789 697 Group Health 1,263 471 973 1,390 1,079 5,176 1,294 Otherinsurance - 111 15 101 127 87 441 110 Workers' Comp 37 15 57 58 64 231 58 Total Benefits 2,557 1,567 2,180 2,634 2,309 11,248 2,812 Total Salaries Wages and Benefits 9,754 9,090 8,929 9,272 9,823 46,867 11,717 Supplies - General 677 436 557 457 499 2,626 656 Supplies - Office 38 247 40 36 81 443 111 Supplies - Forms - - - - - - - Freight - - 11 - - 11 3 Total Supplies 715 683 609 493 580 3,080 770 Pro Fees - Physicians - - - - - - - Purchased Services - Non -physician 24,525 20,275 19,857 25,788 30,025 120,469 30,117 Total Purchased Services 24,525 20,275 19,857 25,788 30,025 120,469 30,117 Education 130 130 11 Total Other Practice Expenses - - 130 - - 130 Leases & Rental 275 362 362 362 365 1,726 432 Equipment leasing - other #1 - - Total Rent and Leases 275 362 362 362 365 1,726 432 Total Expenses 35,269 30,409 29,886 35,914 40,793 172,272 43,068 Net Operating Income 23,359 20,319 21,031 23,726 28,379 116,814 29,203 IGT Expense - Community Benefits Contribution Net Non -operating Income - - - - - - Contribution Margin 23,359 20,319 21,031 23,726 28,379 116,814 29,203 W-M W 2 a e 'e e c S s e' m � m.9 gym$ �' •- � m ' N m n � •- un.r$ !!QQ n u. army m gm� n m $nr m m v°'.F� o`6R S erJ G m n $ o o$ G o 6 $ m S w'rinn•m,'o„`s mho v.rr.o � �.n..°n' '� em "N a �`m" � S r � o m uiN k ,Zw W N `W ri Z p kN >j �Ni a�-uEo azaa o 0 > aiFu° o F =u -9- Memorial Medical Center Income Statement - Hospital For the Month Ended May 31, 2016 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1,466,662 $1,382,702 $1,371,667 Inpatient Revenues $6,843,210 $6,913,512 $7,070,746 $3,224,776 $2,816,424 $2,326,496 Outpatient Revenues $15,554,216 $14,082,118 $12.409,415 $1,870,765 $1,732,131 $1,818,782 ER Revenues $8,834,563 $8,660,655 $8,874,477 $6,562,203 $5,931,257 $5,516,945 Total Patient Revenue $31,231,989 $29,656,284 $28,354,638 Revenue Deductions $3,209,806 $2,851,261 $3,041,419 Contractuals $16,373,481 $14,256,306 $16,021,979 $75,817 $92,545 $69,473 Charily $542,085 $462,724 $465,718 $31,653 $50,631 $33,995 Indigent Care $115,185 $253,157 $169,435 ($255,077) ($112,561) ($145,793) DSH/Waiver ($1,146,393) ($562,807) ($698,965) $893,880 $901,088 $466,876 Bad Debt $3,895,893 $4,505,440 $3,006,117 $3,956,079 $3,782,964 $3,465,970 Total Revenue Deductions $19,780,251 $18,914.820 $18,964,284 $2,606,124 $2,148,293 $2,050,975 Net Patient Revenue $11,451,738 $10,741,464 $9,390,354 $44,689 $64,313 $28,684 Other Operating Revenue $180,991 $321,567 $342,037 $2,650,813 $2,212,606 $2,079,659 Total Operating Revenue $11,632,729 $11,063,030 $9,732,391 Current Period I Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $904,946 $896,933 $783,230 Salaries & Wages $4,310,437 $4,484.666 $3,791,991 $306,168 $259,207 $248,155 Employee Benefits & PR Taxes $1,386,663 $1,296,035 $1,219,892 $513.795 $516,313 $442,990 Professional Fees $1,841,268 $2,581,667 $1,670,303 $295,738 $149,610 $142,809 Purchased Services $1,503.347 $748,052 $770,698 $250.345 $273,199 $274,825 Supplies $1,293,612 $1,365,994 $1,353,407 $5,712 $4,273 $7,829 Insurance $28,559 $21,363 $39,145 $37,278 $52,401 $40,443 Utilities $225,897 $262,006 $198,019 $107,517 $85,863 $63,289 Other Expenses $366,469 $429,314 $382,665 $2,421,499 $2,237,799 $2,003,570 Total Operating Expenses $10,956,252 $11,188,996 $9,426,120 $89,067 $62,800 $86,673 Depreciation $446,442 $314,000 $434,278 $2,510,566 $2,300,599 $2,090,243 Total Expenses $11,402,694 $11,502,995 $9,860,398 $140,247 ($87,993) ($10,584) Net Operating Income / (Loss) $230,035 ($439,965) ($128,007) Non Operating Income / (Exp) $5 $103 ($208) Investment Income $763 $514 ($173) ($3,138) ($2,445) ($3,470) Interest Expense ($16,859) ($12,225) ($19,558) $500 $2,843 $0 Contributions and Grants $500 $14,213 $0 $379,784) ($311,997) ($220,660) IGT Expense ($1,332,038) ($1,559,987) ($840,901) A5d2 eda U41 157 A31.5 229 Service Contribution by SOH $1,902.912 $2,205,784 $1,201,289 $300,378 $41,667 $80,307 Total Net Income/ (Loss) $785,313 $208.334 $212,650 -70- Current Period Actual This Budget This Month Month Last Year $3,228,575 $0 $3,651,578 Memorial Medical Center Income Statement- Nursing Home For the Month Ended May 31, 2016 Revenue Resident Revenues Fiscal Year To Date Actual YTD Budget YTD Last Year YTD $17,003,498 $0 $11,091,375 $3,228,575 $0 $3,651,578 Total Operating Revenue $17,003,498 $0 $11,091,375 Current Period Fiscal Year To Date Operating Expenses Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,228,575 $0 $3,651.578 Nursing Home Fee $17,003,498 $0 $11,091,375 $3,228,575 $0 $3,651,578 Total Expenses $17,003,498 $0 $11,091,375 $0 $0 $0 Net Operating Income / (Loss) $0 $0 $0 $207,031 $184,524 ($15,788) Total Net income/(Loss) $1,054,478 $922,620 $235,028 -11- Memorial Medical Center Income Statement - Combined For the Month Ended May 31, 2016 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1.466,662 $1,382,702 $1,371,667 Inpatient Revenues $6,843,210 $6,913,512 $7,070,746 $3,224.776 $2.816,424 $2,326,496 Outpatient Revenues $15,554,216 $14,082,118 $12.409,415 $1,870,765 $1,732,131 $1,818,782 ER Revenues $8,834,563 $8,660.655 $8,874,477 $3.228,575 $0 $3.651,678 Resident Revenues $17,003,498 $0 $11.091,375 $9,790,778 $5,931,257 $9,168,523 Total Patient Revenue $48,235,487 $29,656,284 $39.446,013 Revenue Deductions $3,209,806 $2,851,261 $3,041,419 Contractuals $16,373,481 $14,256,306 $16,021,979 $75,817 $92,545 $69,473 Charity $542,085 $462,724 $465,718 $31,653 $50,631 $33,995 Indigent Care $115,185 $253,157 $169,435 ($255,077) ($112,561) ($145,793) DSH/Walver ($1,146,393) ($562,807) ($698,965) GRn4 n6n aonl MIA R4R6.876 Bad Debt $3,895,893 $4,505,440 $3,006,117 $5,834,699 $2,148,293 $5,702,553 Net Patient Revenue $44,689 $64,313 $28,684 Other Operating Revenue $28,455,236 $10,741,464 $20,481,729 $180,991 $321,567 $342,037 $5,879,388 $2,212,606 $5,731,237 Total Operating Revenue $28,636,227 $11,063,030 $20,823,766 Current Period Actual This Budget This Month Month Last Year $904,946 $896,933 $783,230 $306,168 $259,207 $248,155 $613,795 $516,313 $442,990 $295,738 $149,610 $142,809 $250,345 $273,199 $274,825 $5,712 $4,273 $7,829 $37,278 $52,401 $40,443 $107,517 $85,863 $63,289 $89,067 $62,800 $86,673 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Depreciation Fiscal Year To Date Actual YTD Budget YTD Last Year YTD $4,310,437 $4,484,666 $3,791.991 $1,386,663 $1,296,035 $1,219,892 $1,841,268 $2,581,567 $1,670,303 $1,503,347 $748,052 $770,698 $1,293,612 $1,366,994 $1,353,407 $28,559 $21,363 $39,145 $225,897 $262,006 $198,019 $366,469 $429,314 $382,665 $446,442 $314,000 $434,278 $5,739,141 $2,300.599 $5,741,821 Total Expenses $28,406,192 $11,502,995 $20,951,773 $140,247 ($87,993) ($10,584) Net Operating Income (Loss) $230,035 ($439,965) ($128,007) Non Operating Income / (Exp) $5 $103 ($208) Investment Income $763 $514 ($173) ($3,138) ($2,445) ($3,470) Interest Expense ($16,859) ($12,225) ($19,558) $500 $2,843 $0 Contributions and Grants $500 $14,213 $0 ($379,784) ($311,997) ($220,660) IGT Expense ($1,332,038) ($1,559,987) ($840,901) $542,548 $441,157 $315,229 Service Contribution by SOH $1,902,912 $2,205,784 $1,201,289 $207,031 $184,524 ($15,788) Nursing Home UPL $1,054,478 $922,620 $235,028 43971R9 $314.184 $75.103 Total Non -Operating Revenue $1,609,756 $1,570,919 _ $575,685 $507,409 $226,191 $64,519 Total Net income/(Loss) $1,839,791 $1,130,954 $447,678 -12- � � ; CO. !;22F:;!! 22zo.■;§ 10 � \ { E5 ! , \ m } { —�a— MEMORIAL MEDICAL CENTER PATIENT ACCOUNTS RECEIVABLE MAY 2016 AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS MEDICARE $ MEDICAID $ BCBS $ COMMERCIAL $ PRIVATE $ TOTAL 0-30 31-60 61-90 91-120 121-150 151-180 >180 TOTAL 2,273,474 391,204 304,881 134,852 117,765 35,239 162,259 3,419,672 66.5% 11.4% 8.9% 3.9% 3.4% 1.0% 4.7% 25.6% 577,882 126,656 156,909 107,685 73,653 46,967 217,677 1,307,429 44.2% 9.7% 12.0% 8.2% 5.6% 3.6% 16.7% 9.8% 669,630 145,077 46,824 68,760 44,830 29,436 178,094 1,182,652 56.6% 12.3% 4.0% 5.8% 3.8% 2.5% 15.1% 8.8% 945,40E 5751725 483,816 299,417 102,078 43,142 409,503 2,859,087 33.1% 20.1% 16.9% 10.5% 3.6% 1.5% 14.3% 21.4% 509,095 746,967 844,644 855,686 498,939 191,534 962,544 4,609,408 11.0% 16.2% 18.3% 18.6% 10.8% 4.2% 20.9% 34.5% 4,975,487 1,985,629 1.837,073 1,466,400 837,264 346,318 1,930,077 13,378,248 37.2% 14.8% 13.7% 11.0% 6.3% 2.6% 14.4% 100.0% NOTE -- Amounts and percentages may sum to '+' or '-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. AVERAGE DAYS IN PATIENT ACCOUNTS RECEIVABLE: DECEMBER 2016 JANUARY FEBRUARY MARCH APRIL MAY JUNE GROSS 49 76 60.41 1 58.27 I 59.761 61.62 I 65.03 I - JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER - I #DIV/01 I #DIV/01 I #DIV/01 I #DIV/01 I #DIV/01 AGED TRIAL BALANCE: ORIGINAL FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS MEDICARE $ °X MEDICAID $ % BCBS $ o� COMMERCIAL $ �o PRIVATE $ TOTAL $ 0 - 30 31- 60 61 - 90 91 -120 121 -150 151 -180 >180 TOTAL 2,347,865 553,793 460,446 238,988 194,989 65,809 264,019 4,125,909 56.9% 13.4% 11.2% 5.8% 4.7% 1.6% 6.4% 30.8% 533,711 193,528 232,621 184,983 98,816 72,219 235,189 1,551,068 34.4% 12.5% 15.0% 11.9% 6.4% 4.7% 15.2% 11.6% 639,764 211,053 125,437 152,992 115,277 70,405 245,898 1,560,816 41.0% 13.5% 8.0% 9.8% 7.4% 4.5% 15.8% 11.7% 904,267 585,492 566 283 378,128 194,493 70,943 697,490 3,396,09E 26.6% 17.2% 16.7% 11.1% 5.7% 2.1% 20.5% 25.4% 549,890 441,762 453,286 511,309 233,689 66,942 487,480 2,744,359 20.0% 16.1% 16.5% 18.6% 8.5% 2.4% 17.8% 20.5% 4.975,487 1,985,629 1,837,073 1,466,400 837,264 346,318 1,930,077 13,378,248 37.2% 14.8% 13.7% 11.0% 6.3% 2.6% 14.4% 100.0% NOTE -- Amounts and percentages may sum to '+' or '-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. MEMORIAL MEDICAL CENTER CAPITAL ACQUISITIONS FOR PERIOD ENDED 5/31116 MONTHI DESCRIPTION BUILDING EQUIPMENT TOTAL 01/16 IF ELECTRONIC LAB INTERFACE - ELR - 4,475 4,475 JANUARY 2016 - COMPUTER PURCHASES - 6,317 6,317 WEBPT SOFTWARE - 7,524 7,524 HOLTER RECORDS (4) CLINIC - CIP - VARIOUS EQUIPMENT - - 6,299 18,401 6,299 18,401 SUB TOTAL JANUARY - 43,015 43,015 02/16 JANUARY 2016 - COMPUTER PURCHASES - 1,271 1,271 CLINIC - CIP - VARIOUS EQUIPMENT 11,042 133,730 144,771 SUB TOTAL FEBRUARY 11,042 135,001 146,042 03/16 SAMSUNG LEASE - XRAY ROOM 2 - 206,040 206,040 EVIDENT- LAB INTERFACE 4,554 4,554 EXEBRIDGE INTRANET PROJECT - CIP - 1,500 1,500 CLINIC - CIP - K&T PAY APP 277,983 - 277,983 CLINIC - CIP -ACUBOLAND 18,535 - 18,535 CLINIC - CIP - VARIOUS EQUIPMENT - 24,079 24,079 SUB TOTAL MARCH 296,5181 236,173 532,691 04/16 CLINIC - CIP-ACUBOLAND 2,770 2,770 CLINIC - CIP - VARIOUS EQUIPMENT - 5,363 5,363 DEPOSIT ON VOICE RECOGNITION INTERFACE - 3,000 3,000 APRIL 2016 - COMPUTER PURCHASES - 4,044 4,044 EMDS SOFTWARE LICENSE - DR. ANDRUS - 8,790 8,790 SUB TOTAL APRIL 2,770 21,197 23,967 05/16 CLINIC - CIP - K&T PAY APP 154,794 - 154,794 CARDIO REHAB EQUIPMENT - 10,529 10,529 PACS INTERFACE - DOWNPAYMENT - 500 500 SUB TOTAL MAY 154,794 11,029 165,823 TOTAL $ 465,123 $ 446,415 $ 911,538 -15- Memorial Medical Center YTD YTD YTD 513112016 Statistical Comparison 05/31114 05/31/15 05131/16 OVER(UNDER) %OF (5 months) (5 months) (5 months) 5/31/2015 CHANGE Total Admissions 561 556 517 (39) -7.0% ER Admissions 400 349 517 168 48.2% Total Patient Days 2,261 2,254 1,985 (269) -11.9% AVERAGE DAILY CENSUS Medical/Surgical/ICU 11.76 11.32 10.58 (0.74) -6.5% Obstetrics 1.01 1.11 0.76 (0.35) -31.6% Swing Bed 2.20 2.50 1.72 (0.78) -31.1% TOTAL AVG DAILY CENSUS 14.97 14.93 13.06 (1.87) -12.5% TOTAL AVG LOS-Acute care 3.68 3.69 3.62 (0.07) -2.0% Observation -Patients 188 183 247 64 35.0% Newborns - Births 54 69 46 (23) -33.3% MM Clinic Visits 3,271 4,766 9,746 3,980 83.5% Surgical Clinic Visits 0 0 409 409 N/A Outpatient Visits 9,213 9,415 9,974 559 5.9% Emergency Room Visits 4,172 4,465 3,770 (695) -15.6% Specialty Clinic Visits 2,171 2,378 2,548 170 7.1% Total Surgery & Endoscopy 456 464 494 30 6.5% Total Laboratory Procedures 129,422 141,550 155,749 14,199 10.0% Radiology Procedures 3,988 4,218 3,544 6 2.4% Radiology OP - Clinic 0 0 567 567 #DIV/0! Bone Density 47 69 54 (15) -21.7% Nuclear Medicine 89 58 86 28 48.3% Ultrasound 850 1,075 970 (105) -9.8% Ultrasound -Clinic 0 0 227 227 #DIV/01 CT Scans 1,158 1,104 1,132 28 2.5% MR] 438 449 499 50 11.1% Mammograms 321 321 344 23 7.29:1 Total Radiology Procedures 6,891 7,294 7,423 129 1.8% Respiratory Therapy IP Procedures 5,434 5,442 4,213 (967) -26.0% Stress Test 42 19 35 16 84.2% EKG Exams 1,498 1,548 1,685 137 8.9% EEG Exams 6 10 0 (10) -100.0% Sleep Studies 0 36 64 28 77.8% Total Respiratory 6,980 7,055 5,997 (1,OS8) -15.0% Physical Therapy Total 11,125 9,439 8,214 (1,225) -13.09/ Occupational Therapy Total 0 0 1,223 1,223 N/A Speech Therapy Total 0 0 153 153 1 N/A Pharmacy Total 49,145 66,629 49,252 (17,377) -26.1% Dietary Total 51,841 55,970 41,202 (14,768) Pounds of Linen 99,454 102,393 62,166 (40,225) -39.3% -16- O n V 01 V d' �O VI CO N V N M W la T rl O rq M �-I 'n [O M Vt n n O LO M V N V V n V m n vl V n M m N ci m� N lO Ol N N O O �-I ry� ♦-1 W Ol IVi N M rl r d� rl W m N _q J NN ~ V d' N LL N t0 O VI M m m V n M O O n O Vl M N Ol M N M ei N M �O Ol vl n C W N rl Ol "1 O R M O M � M N N n C O N N M m la N d' b %� •i ei e1 d' et O ei V fil W O DJ N l0 h �-I % '1 fi V M RI n 'I I�l N W N V j� ei ♦t N m fl m i --------------------------------- ry o omomm ovm �n m a vn �� v m�Lii o roa.a-i Mo "� nOJmn M.-� r'ii M ti .i ry a n m o �n on m mom{ Q Q m n W d' O N m N N W� N N N W O n V O 'i N VI Vl n Ol `1 m O m O n O V N n N M Ol O M O ti V n O V Ol 'I M n O m V N si lU n M rl Ol V W N Ul n Ol V1 W M �-1 N m n `~ N A ei O N V m r-1 N .6 `m ei n N Ol 01 W N n m Vl O Ol V N W moM.i N m d' ti M o.+.y V V d' moo N% M av o N N n O l0 Ol m W M n rl n n m oon W w M om a.a mn LL pJ pl ti y M V M W 14 N O DJ O n OI O d' n O O Ol a n W Ol V1 V M M M M VI V M n n l0 W rl ei N m N 'i V M O N N M M N Ol '� O O rl ffl 1�1 N m D 'nNOyN N Uml Mnrl N✓N1 O OWd' YnlIOVOO N O N N M a 0 lO Vl n O O N VI O m M �D O N vl n O W N 0 Vl Vl ei n 1!1 N 10 V M ItT M Vrvl b V M n N ri ei n a� O1 y� e1 v01 N W n O lm0 I� OO '1 m m N N ei rl Oi N a C m Od Q Z N N--------------------- V fi � I� N n ti O n% O Vl m ry O p O N� W p M� O O Vm1 V1 N N ul a rN 10\ p O l M n vl M VI n �-1 ei fi INV ei Q Ul N N M V O W N A V e �'i N N F m 2 O a s Fw n o nn m v o rvm M W m O v -irvo a m o �o o m mvm m M wM �oamaN O N N m Ol N N I N V M V O'y' ei r �4 N eai eNi a N W N O W N m O M M n O M M n I lO . O N 3. O n N n O% py� O n py n OJ m N Vl N O Lq M O O n n V m W ~ n ry N r�i O V n (N�1 OO m `� N '~'1 N r1 ei rl O r1 h IV Q b V a t TZ i0 O O O n W M W r n N Vm1 O Vml n n W m O an0 N ry� N N m m m 1/NI M W V T N Ph O 1 M M `j ri J N > n Ory ovmi Sri 0�0� v w m j a�m eo.`ii .y a mMmo ui n.mi o ei ei ei O W C J N --------------------------- W W K � O p n U u_ > 1Ya, o'eo oo � m �� w `��° `12 q o� c > �y5 v —2'm m `o �D v o r E Eat~a A� o E.y c (w9� ba>> a c �u cu �� J o dl G E °a' rc «_ 2` O 6" m vJ� `S o Tr" r •a• c o z o > a a 3 ro G w w n o' v v `o c m w Jo O m r r O Z m O M r r Z» —17— Memorial Medical Center Accounts Receivable May-16 Aging 1 0.30 1 31-60 61-90 91-120 ( 121.150 151-180 ( 181-365 Total Gross % Over 120 Days % Over 90 Days i Total Jun-15 4,133,895 1,510,662 1,241,723 1,243,493 626,368 389,743 1,149,362 10,295,246 21.0% 33.1% Jul -IS 3,562,298 1,621,175 1,035,310 987,656 742,269 284,822 1,204,150 9,437,681 23.6% 34.1% Aug -IS 3,607,480 1,408,947 1,078,471 929,022 649,954 388,583 1,214,435 9,276,891 24.3% 34.3% Sep-15 4,230,100 1,341,699 1,008,209 737,889 426,320 328,638 1,174,645 9,247,499 20.9% 28.8% Oct-15 4,132,891 1,739,955 886,566 778,319 497,520 268,244 946,539 9,250,034 18.5% 26.9% Nov-15 3,333,364 1,625,079 1,311,718 675,651 373,822 263,900 854,852 8,438,385 17.7% 25.7% Dec-15 4,096,599 1,621,837 1,060,608 1,235,113 428,887 230,990 813,392 9,487,427 15.5% 28.5% Jan-16 4,410,148 1,936,342 1,135,901 784,802 650,165 261,831 785,208 9,964,396 17.0% 24.9% Feb-16 4,814,008 1,700,297 1,081,807 767,238 506,528 456,379 989,167 10,315,426 18.9% 26.4% Mar-16 4,832,722 2,005,666 1,363,620 971,939 514,212 350,081 1,113,427 11,151,666 17.7% 26.5% Apr-16 4,183,856 2,568,563 1,447,477 1,115,090 553,460 300,801 1,306,479 11,475,727 18.8% 28.5% May-16 4,623,422 1,858,946 1,696,646 1,354,130 706,316 278,507 1,381,052 11,899,020 19.9% 31.3% Medicare Jun-15 1,669,082 136,964 90,621 30,379 1,893 1,165 16,308 1,946,413 1.0% 2.6% Jul-15 1,465,507 244,351 92,541 67,727 29,204 908 18,114 1,918,352 2.5% 6.0% Aug-15 1,538,445 123,643 35,690 36,141 29,886 3,478 10,603 1,777,885 2.5% 4.5% Sep-15 1,639,192 167,487 42,425 13,226 21,046 21,853 6,375 1,911,604 2.6% 3.3% Oct-15 1,827,551 191,015 86,296 11,701 392 16,038 24,332 2,157,325 1.9% 2.4% Nov-15 1,448,173 302,304 85,855 29,937 11,701 132 41,187 1,919,289 2.8% 4.3% Dec-15 1,913,391 322,887 114,184 66,908 10,795 480 31,666 2,460,311 1.7% 4.5% Jan-16 2,031,001 638,625 228,078 51,839 26,444 11,845 9,796 2,997,627 1.6% 3.3% Feb-16 2,262,134 341,767 202,290 30,663 25,506 15,896 21,940 2,900,196 2.2% 3.2% Mar-16 2,095,305 311,610 148,844 180,994 14,150 21,414 32,447 2,804,766 2.4% 8.9% Apr-16 1,803,027 666,076 174,643 76,103 139,622 15,853 56,998 2,932,322 7.291 9.8% May-16 2,166,041 340,090 264,366 115,480 63,642 27,696 61,261 3,038,576 5.0% 8.8% Medicaid Jun-15 367,730 109,737 86,070 51,630 44,711 22,985 7,991 690,854 11.0% 18.4% Jul-15 364,592 115,976 56,372 62,129 28,021 12,696 28,524 668,311 10.4% 19.7% Aug-15 395,504 93,338 53,284 46,884 20,376 3,474 19,026 631,897 6.8% 14.2% Sep-15 500,303 108,531 27,163 22,473 26,297 12,577 . 26,213 723,558 9.0% 12.1% Oct-15 530,940 169,669 43,916 17,527 8,331 21,594 27,729 819,707 7.0% 9.2% Nov-15 391,671 162,898 79,688 28,085 11,465 9,588 31,884 715,278 7.4% 11.3% Dec-15 504,402 109,545 78,707 54,259 7,352 14,516 21,444 790,225 5.5% 12.3% Jan-16 474,030 187,663 47,223 68,095 19,657 3,924 30,964 831,554 6.6% 14.7% Feb-16 430,043 112,380 108,373 30,423 39,766 14,873 24,449 760,307 10.4% 14.451 Mar-16 527,844 236,975 112,541 78,447 25,728 29,324 32,253 1,043,113 8.4% 15.9% Apr-16 522,507 212,564 159,854 95,171 69,660 16,141 56,990 1,132,888 12.6% 21.0% May-16 514,387 98,266 109,532 89,580 44,730 24,197 50,670 931,362 12.8% 22.5% BCBS Jun-15 704,018 90,929 69,722 15,633 9,247 4,027 9,837 903,414 2.6% 4.3% Jul-15 465,460 58,659 32,386 37,579 6,075 5,750 5,993 611,902 2.9% 9.1% Aug-15 446,922 148,393 65,078 23,812 19,164 3,074 5,139 711,581 3.8% 7.2% Sep-15 419,377 85,776 82,063 20,264 22,734 12,438 20,364 663,016 8.4% 11.4% Oct-15 425,220 87,036 55,057 34,662 11,539 12,571 26,445 652,530 7.7% 13.1% Nov-15 402,219 144,029 28,664 25,062 14,569 4,181 14,158 632,882 5.2% 9.2% Dec-15 452,976 99,916 34,465 20,047 20,472 10,455 4,528 642,860 5.5% 8.6% Jan-16 518,402 126,290 37,483 32,729 16,326 12,060 22,476 765,766 6.6% 10.9% Feb-16 575,600 84,279 56,743 50,613 14,134 18,984 41,300 841,653 8.8% 14.9% Mar-16 561,492 111,729 37,404 49,241 29,021 7,537 65,071 861,496 11.8% 17.5% Apr-16 594,547 214,494 63,567 26,775 23,890 18,266 63,774 1,005,313 10.5% 13.2% May-16 616,247 110,683 33,500 49,513 28,738 14,283 83,923 936,888 13.5% 18.89, Commercial Jun-15 915,148 435,702 149,775 487,234 32,042 18,390 83,081 2,121,372 6.3% 29.3% Jul-15 687,256 505,663 165,344 82,918 97,621 29,643 82,235 1,650,680 12.7% 17.7% Aug-15 741,138 319,594 264,164 117,579 56,461 77,277 102,345 1,678,559 14.1% 21.1% I" Sep-15 801,684 373,378 153,886 175,497 41,885 31,570 132,234 1,710,132 12.0% 22.3% Oct-15 736,778 507,615 207,480 87,290 167,632 29,753 157,700 1,894,248 18.7% 23.4% Nov-15 775,537 465,015 340,142 166,822 42,162 136,691 148,664 2,075,032 15.8% 23.8% Dec-15 763,675 522,314 307,850 275,575 92,317 30,476 267,163 2,259,370 17.3% 29.5% Jan-16 900,528 372,632 260,927 190,086 310,562 91,396 260,533 2,386,664 27.8% 35.7% Feb-16 988,466 460,498 108,848 147,774 138,674 76,377 224,118 2,144,755 20.5% 27.4% Mar-16 1,070,695 581,645 260,901 89,512 98,710 80,939 249,639 2,432,041 17.7% 21.3% Apr-16 915,416 756,667 295,206 115,628 62,307 66,469 316,119 2,527,813 17.6% 22.2% May-16 837,630 539,861 459,267 273,517 76,215 31,747 318,372 2,536,610 16.8% 27.6% Private Pay Jun-15 477,917 737,329 845,534 658,618 538,474 343,176 1,032,145 4,633,193 41.3% 55.5% Jul-15 579,483 696,526 688,667 737,303 581,349 235,825 1,069,285 4,588,437 41.1% 57.2% Aug-15 485,470 723,980 660,255 704,606 524,067 301,280 1,077,322 4,476,979 42.5% 59.2% Sep-15 869,544 606,526 702,672 506,429 314,357 250,201 989,459 4,239,188 36.7% 48.6% Oct-15 612,402 784,620 493,817 627,140 309,625 188,289 710,332 3,726,225 32.4% 49.3% Nov-15 315,764 550,832 777,370 425,745 293,926 113,308 618,959 3,095,903 33.1% 46.9% Dec-15 462,156 567,175 525,403 818,324 297,950 175,063 488,591 3,334,661 28.8% 53.49' Jan-16 486,187 611,132 562,191 442,054 277,177 142,605 461,439 2,982,785 29.5% 44.4% Feb-16 557,766 701,373 605,553 507,765 288,449 330,249 677,360 3,668,515 35.3% 49.2% Mar-16 577,386 763,706 803,928 573,745 346,602 210,866 734,017 4,010,250 32.2% 46.5% Apr-16 348,359 718,762 754,206 801,413 257,981 184,072 812,598 3,877,391 32.4% 53.0% May-16 489,117 770,046 829,981 826,039 492,990 180,584 866,826 4,455,584 34.6% 53.1% -19- Physician Revenue Trend Memorial Medical Center nq nf Mav 7m 6 May 2016 2016 YTD PRIOR YEAR TO Memorial Medical Center Clinic 011005 William Crowley $ 548,795 $ 2,250,962 $ 3,259,982 019000 Ric Arroyo -Diaz $ 297,279 $ 1,819,825 $ - 009293 Serina Danielson $ 269,801 $ 909,076 $ 1,392,473 000966 ThaoTruong $ 100,796 $ 401,961 $ - 041743 Angela Dobbins $ 76,921 $ 363,039 $ 322,610 058001 Court Thurlkill $ 13,795 $ 80,802 $ - 002099 Traci Shefcik $ 24,985 $ 182,864 $ - 009292 Charles Fillingane $ - $ - $ 242,498 $ 1,332,373 $ 6,008,530 $ 5,217,563 22% 21% 19% Memorial Medical Surgical Clinic 022000 Peter Rojas $ 171,205 $ 813,074 $ - $ 171,205 $ 813,074 $ 3% 3% 0% Hospitalist 130006 Hospitalist $ 522,666 $ 3,507,513 $ - $ 522,666 $ 3,507,513 $ - 9% 12% 0% Port Lavaca Clinic 013000 Don Paul Bunnell $ 17,568 $ 136,301 $ 2,565,169 050001 John Wright $ 433,902 $ 1,974,927 $ 1,914,254 019000 Ric Arroyo -Diaz $ - $ - $ 1,309,268 013001 Leigh Anne Falcon $ 220,617 $ 1,173,906 $ 785,205 008800 Nirtas Kwi Timu $ 162,704 $ 966,072 $ 888,799 001500 Jewel Lincoln $ 295,595 $ 1,176,382 $ 657,118 320001 Sharma Odonnell $ 30,089 $ 200,947 $ 169,298 012000 Jeannine Griffin $ 33,856 $ 114,665 $ 176,236 700003 Bludua/Bunnell $ - $ 53,511 $ - 320000 John Lee $ - $ - $ 35,860 610000 Craig Shaffer $ 15 $ 15 $ - $ 1,194,345 $ 5,796,724 $ 8,501,208 20% 20% 31% Specialty Clinic 022000 Peter Rojas $ - $ - $ 472,809 012100 Donald Breech $ 82,436 $ 369,515 $ 359,301 000404 Ayo Ad $ 72,854 $ 361,424 $ 392,381 070002 Richard Steinberg $ 3,306 $ 66,642 $ 70,506 525225 Azhar Malik MD $ 5,523 $ 39,254 $ 33,973 900000 Dakshesh Parikh $ 9,924 $ 46,770 $ 18,372 057006 A Qadri $ - $ - $ - $ 174,043 $ 883,606 1 $ 1,347,343 3% 3% 5% -20- Physician Revenue Trend Memorial Medical Center AS of nnZ!., 7m a May 2016 2016 YTD PRIOR YEAR TO Coastal Medical Clinic 011000 Tim McFarland $ 89,917 $ 394,044 $ 261,190 000806 William McFarland $ 20,460 $ 117,512 $ 126,893 $ 110,376 $ 511,556 $ 388,083 2% 2% 1% Independent 006000 M S Lin $ 321,867 $ 1,061,489 $ 671,501 004000 G A Williams $ 961 $ 20,018 $ 50,732 310001 Michelle Cummins $ 11,088 $ 349,742 $ 209,423 330000 Nhi Le MD $ 3,898 $ 23,263 $ 51,049 004002 Laura Deming $ - $ - $ - $ 337,814 $ 1,454,513 $ 982,705 6% 5% 4% Other Medical Staff 065002 George Boozalis $ 19,196 $ 91,875 $ 49,087 075000 Laborator Ramos $ - $ - $ 95 $ 19,196 $ 91,875 $ 49,182 0% 0% 0% Total E/R Physicians $ 1,719,616 $ 7,981,371 $ 8,646,601 $ 1,719,616 $ 7,981,371 $ 8,646,601 28% 27% 31% Other Ordering Physicians Other Ordering Physicians $ 332,928 $ 1,589,227 $ 1,785,437 004004 Neese/Twin Foun $ 16,276 $ 96,775 $ 241,134 000359 Earnest Alsop $ - $ - $ 17,735 000080 Marcus Caughron $ - $ 13,772 $ - 807077 Nilesh Patel $ 78,575 $ 329,950 $ 433,765 800003 Bryan Kestler $ - $ 26,444 $ 11,272 900327 DharmendrVerma $ 20,318 $ 47,212 $ 53,735 000077 Scott Stein $ - $ 20,694 $ 12,634 900116 Sabbagh Mohamme $ 3,107 $ 16,534 $ 31,251 012102 Jerr Followwill $ 6,118 $ 16,467 $ 49,023 142001 Greg Cowart $ - $ - $ - $ 457,322 $ 2,157,076 $ 2,635,986 8% 7% 9% Totals $ 6,038,956 $ 29,205,836 1 $ 27,768,670 -27- )§]m:®7[/!\§/[;;§ ) . m; ƒ §§ ) ) 7 \(*#� - !;$ - ` !!!CoZEw §!;12;¢3r; {¥ƒ!)!!$! w!!!l12; \\\\/\\\---------- \\\\ (\ -22- Payer Mix Memorial Medical. Center _ As of May 31, 2016 _ Medicare 41.5 4u.1 3e.3 40.0 92.1 43.tl 40.4 4aO .� Medicaid 5.7 9.6 12A 13.5 12.0 10.7 12.3 9.6 10.3 10.3 11.2 11.5 Blue Cross 20.0 20.4 18.4 14.4 16.5 16.4 16.5 16.6 17.1 16.1 18.4 16.7 Commercial 15.7 13.4 14.8 15.0 12.2 14.9 12.4 14.2 14.4 14.7 15.0 12.9 Private 10.7 14.0 12.5 16.4 15.4 10.7 9.4 9.9 12.3 11.3 9.3 11.0 Other 3.6 2.5 2.9 1.9 2.8 3.4 3.0 3.8 3.0 2.8 3A 3.6 - Medicare Medicaid Blue Cross3ommercia Private Other ' June 41.3 8.7 20.0 15.7 10.7 3.6 _ July 40.1 9.6 20.4 13.4 14.0 2.5 August 39.3 12.1 18,4 14.8 12.5 2.9 " September 38.8 13.5 14.4 15.0 164 ..1.9 October 42.1 12.0 15.5 12.2 15.4 2.8 November 43.9 10.7 16.4 14.9 10.7 3A December 46.4 12.3 16.5 12.4 9.4 3.0 January 45.9 9.6 16,6 14.2 9.9.3.8 February 42.9 10.3 17.1 14.4 12.3 .3.0 March 44.8 10.3 16.1 14.7 11.3 2.8 April 42.7 11.2 18.4 15.0 9.3 3.4 May 44.3 11.5 16.7 12.9 11.0 3.6 - -23- i RUN DATE:06/16/16 14EMORIAL 149DICAL CENTER TIME:14;34 CHECK REGISTER 05/01/16 THRU 05/31/16 BANK--CHECK------------------------------------------ CODE 04BER DATE AMOUNT PAYEE ----------------------------- ----------------------- A/P 000761 05/02/16 59.04 MCKESSON A/P 000762 05/02/16 513.61 MCKESSON A/P 000763 05/02/16 1,311.43 MCKESSON A/P 000764 OS/09/16 1,716.10 MCKESSON A/P 000765 05/09/16 206.38 MCKESSON A/P 000766 05/09/16 1,064.60 MCKESSON A/P 000767 05/16/16 738.45 MCKESSON A/P 000768 05/16/16 246.56 MCKESSON A/P 000769 05/16/16 1,787.94 MCKESSON A/P 000770 05/23/16 1,095.85 MCKESSON A/P 000771 05/23/16 685,86 MCKESSON A/P 000772 05/23/16 866.46 MCKESSON A/P 000773 05/31/16 1,149.79 MCKESSON A/P 000774 05/31/16 626.26 MCKESSON A/P s 000775 05/31/16 987.50 MCKESSON A/P s 166046 05/13/16 61.22CR ZARSKY LIMBER CO A/P 166109 05/04/16 5,165.92 US FOOD SERVICE A/P 166110 05/04/16 145.66 MERCEDES MEDICAL A/P 166111 05/04/16 106.50 PHARMEDIUM SERVICES LLC A/P 166112 05/04/16 805.27 GE HEALTHCARE A/P 166113 05/04/16 1,165.31 REXEL A/P 166114 05/04/16 653.38 CENTURION 14EDICAL PRO➢UCTS A/P 166115 05/04/16 923.47 DEWITT POTH & SON A/P 166116 05/04/16 305.99 PRECISION DYNAMICS CORP (PDC) A/P 166117 05/04/16 .00 VOIDED A/P 166118 05/04/16 .00 VOIDED A/P 166119 05/04/16 38,591,41 MORRIS & DICKSON CO, LLC A/P 166120 05/04/16 32.76 PLATINUM CODE A/P 166121 05/04/16 26,750.00 CPP WOUND CARE #28,LLC A/P 166122 05/04/16 98.90 PROFESSIONAL 14EDIA RESOURCES A/P 166123 05/04/16 2,680.00 TELE-PHYSICIANS, P.A. (TX) A/P 166124 05/04/16 2,376.58 FIVE STAR STERILIZER SERVICES A/P 166125 05/04/16 27.00 TEXAS PRESCRIPTION PROGRAM A/P 166126 05/04/16 248.42 GIAGEN INC A/P 166127 05/04/16 179.48 MELANIE GRIFFITH A/P 166128 05/04/16 2,646.78 COMBINED INSURANCE CO A/P 166129 05/04/16 1,047.52 BIRCH COMMUNICATIONS A/P 166130 05/04/16 2,543.09 AIRESPRING INC A/P 166131 05/04/16 9,527.13 FUSION MEDICAL STAFFING, LLC A/P 166132 05/04/16 500.00 DR JEWEL LINCOLN A/P 166133 05/04/16 361.36 JERRY PICKETT A/P 166134 05/04/16 3,690.52 TEXAS ADVANTAGE C00MUNITY BANK A/P 166135 05/04/16 7,938.80 PABTEC A/P 166136 05/04/16 434.59 LABORATORY SUPPLY CO A/P 166137 05/04/16 92.00 HEATHER KUICHLER A/P 166138 05/04/16 106.36 FRONTIER A/P 166139 05/04/16 3,294.53 FLDR DESIGNS LLC A/P 166140 05/04/16 361.36 GULF COAST HARDWARE / ACE A/P 166141 05/04/16 71.00 A14BRISOURCEBERGER DRUG CORP A/P 166142 05/04/16 174.37 ALIMED INC. PAGE 1 GLCKREG -24- RUN DATE:06/16/16 IIE140RIAL MEDICAL CENTER TINE:14:34 CHECK REGISTER 05/01/16 THRU 05/31/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ----------------- -------------------------------------------------- A/P 166143 05/04/16 206.69 ALCO SALES & SERVICE CO A/P 166144 05/04/16 234.01 CARDINAL HEALTH 414,11C A/P 166145 05/04/16 73.15 AUTO PARTS & MACHINE CO. A/P 166146 05/04/16 109.32 BARD PERIPHERAL VASCULAR A/P 166147 05/04/16 532.78 BAXTER HEALTHCARE CORP A/P 166140 05/04/16 34,839.09 BECKMAN COULTER INC A/P 166149 05/04/16 283.50 CERTIFIED LABORATORIES A/P 166150 05/04/16 5,633.82 CITY OF PORT LAVACA A/P 166151 05/04/16 4,000.00 EVIDENT A/P 166152 05/04/16 332.64 C R BARD, INC A/P 166153 05/04/16 492.00 DIEBEL OIL CO INC A/P 166154 05/04/16 48.30 DOWNTOWN CLEANERS A/P 166155 05/04/16 127.75 EAGLE FIRE & SAFETY INC A/P 166156 05/04/16 45.37 FEDERAL EXPRESS CORP. A/P 166157 05/04/16 3,809.14 FISHER HEALTHCARE A/P 166158 05/04/16 75.00 GULF COAST DELIVERY A/P 166159 05/04/16 120.24 GRAPHIC CONTROLS LLC A/P 166160 05/04/16 202.60 GULF COAST PAPER COMPANY A/P 166161 05/04/16 700,00 D HARRIS CONSULTING LLC A/P 166162 05/04/16 34.85 NAVEL'S INCORPORATED A/P 166163 05/04/16 652.10 HOSPIRA WORLDWIDE, INC A/P 166164 05/04/16 70.12 INDEPENDENCE MEDICAL A/P 166165 05/04/16 158.00 WERFEN USA LLC A/P 166166 05/04/16 2,890.35 INTOXIMETERS INC A/P 166167 05/04/16 2,044.40 J & J HEALTH CARE SYSTEMS, INC A/P 166168 05/04/16 772.53 JOHNSTONE SUPPLY A/P 166169 05/04/16 714.00 LANDAUER INC A/P 166170 05/04/16 526.53 LOWE'S HOME CENTERS INC A/P 166171 05/04/16 1,226.58 MCKESSON MEDICAL SURGICAL INC A/P 166172 05/04/16 775.08 BAYER HEALTHCARE A/P 166173 D5/04/16 231.31 MMC AUXILIARY GIFT SHOP A/P 166174 05/04/16 3,000.00 MERRITT, HAWKINS & ASSOCIATES A/P .166175 05/04/16 1,654.65 MERRY X-RAY/SOURCEONE HEALTHCA A/P 166176 05/04/16 93,70 MMC VOLUNTEERS A/P 166177 05/04/16 .00 VOIDED A/P 166178 05/04/16 4,099.46 OWENS & MINOR A/P 166179 05/04/16 100.00 PHILIP THOMAE PHOTOGRAPHER A/P 166180 05/04/16 135.42 POWER ELECTRIC A/P 166181 OS/04/16 110.00 RADIOLOGY UNLIMITED, PA A/P 166182 05/04/16 96.00 RECEIVABLE MANAGEMENT, INC A/P 166183 05/04/16 89.94 RESPIRONICS, INC, A/P 166184 05/04/16 121.70 SHERWIN WILLIAMS A/P 166185 05/04/16 5,685,25 SIEMENS MEDICAL SOLUTIONS INC A/P 166186 05/04/16 361.31 STRYKER SALES CORP A/P 166187 05/04/16 609.19 SYSCO FOOD SERVICES OF A/P 166188 05/04/16 9,000.00 TOSHIBA AMERICA MEDICAL SYST. A/P 166189 05/04/16 2,035.00 TEXAS DEFT OF STATE A/P 166190 05/04/16 4,752.00 TEXAS MUTUAL INSURANCE CO A/P 166191 05/04/16 187.52 TRI-ANIM HEALTH SERVICES INC A/P 166192 05/04/16 73.62 UNIFIRST HOLDINGS A/P 166193 05/04/16 3,089.54 UNIFIRST HOLDINGS INC PAGE 2 GLCKREG -25- RUN DATE:06/16/16 MEMORIAL MEDICAL CENTER PAGE 3 TI14E:14:34 CHECK REGISTER GLCKREG OS/01/16 THRU 05/31/16 BANK --CHECK____________________________________________________ CODE WONDER DATE AMOUNT PAYEE ----------------------------------------------------------------------------------------------- A/P 166194 05/04/16 1,200.00 US POSTAL SERVICE A/P 166195 05/04/16 238,88 VERIZON WIRELESS A/P 166196 05/04/16 24.80 THE VICTORIA ADVOCATE A/P 166197 05/04/16 476.48 WALMART COtM1UNITY A/P 166198 05/04/16 84.40 GRAINGER A/P 166199 05/09/16 7,696.67 WERFEN USA LLC A/P 166200 05/11/16 375.40 CUSTOM MEDICAL SPECIALTIES A/P 166201 05/11/16 152,86 ERBE USA INC SURGICAL SYSTEMS A/P 166202 05/11/16 4,222.47 US FOOD SERVICE A/P 166203 05/11/16 630.50 MERCEDES MEDICAL A/P 166204 05/11/16 142.00 PHARMEDIUM SERVICES LLC A/P 166205 05/11/16 2,648.06 CENTURION MEDICAL PRODUCTS A/P 166206 05/11/16 1,222.09 DEWITT POTH & SON A/P 166207 05/11/16 307.11 PRECISION DYNAMICS CORP (PDC) A/P 166208 05/11/16 31.64 MICHELLE CANTU A/P 166209 05/11/16 7,571.62 ALERE NORTH AMERICA INC A/P 166210 05/11/16 .00 VOIDED A/P 166211 05/11/16 11,762.13 MORRIS & DICKSON CO, LLC A/P 166212 05/11/16 116.60 PLATINUM CODE A/P 166213 05/11/16 350.00 CPP WOUND CARE #28,LLC A/P 166214 05/11/16 217.68 SARA RUBIO A/P 166215 05/11/16 56.86 GLOBAL EQUIPMENT CO. INC. A/P 166216 05/11/16 134.93 FIVE STAR STERILIZER SERVICES A/P 166217 05/11/16 1,665.00 SIGN AD, LTD. A/P 166218 05/11/16 188.18 STRYKER SUSTAINABILITY A/P 166219 05/11/16 225.00 WAGEWORKS A/P 166220 05/11/16 76,414.66 MMC EMPLOYEE BENEFIT PLAN A/P 166221 05/11/16 33,530.44 ALLIED BENEFIT SYSTEMS A/P 166222 05/11/16 925.23 ACl/BOLAND, INC. A/P 166223 05/11/16 8,802.08 ACCLARENT, INC. A/P 166224 05/11/16 110.84 NOVA BIOMEDICAL A/P 166225 05/11/16 95.00 PROCESSOR & CHEMICAL SERVICES A/P 166226 05/11/16 194.60 GENESIS DIAGNOSTICS A/P 166227 05/11/16 2,276.61 WAGBWORKS A/P 166228 05/11/16 452.91 WALLER,LANSDEN, DORTCH & DAVIS A/P 166229 05/11/16 1,400.00 ACUTE CARE INC A/P 166230 OS/11/16 50.00 MEMORIAL MEDICAL CLINIC A/P 166231 05/11/16 932.50 14 G TRUST A/P 166232 05/11/16 75.00 FIRST CLEARING A/P 166233 05/11/16 4,017.51 FUSION 149DICAL STAFFING, LLC A/P 166234 05/11/16 500.00 LAM COMPANIES A/P 166235 05/11/16 6,435.00 E-CODE SOLUTIONS OF ILLINOIS, A/P 166236 05/11/16 60.00 STACIE HUNT A/P 166237 05/11/16 31.64 LAURA PRICE A/P 166238 05/11/16 691.66 EDDIE BALBOA A/P 166239 05/11/16 139.00 FIESTA FACTORY A/P 166240 05/11/16 310.20 AIRGAS-SOUTHWEST A/P 166241 05/11/16 1,549.50 ALCON LABORATORIES, INC. A/P 166242 05/11/16 217.90 ALII4ED INC. A/P 166243 05/11/16 36.07 ALCO SALES & SERVICE CO A/P 166244 05/11/16 243.13 ALPHA TEC SYSTE14S INC -26- RON DATE:06/16/16 MEMORIAL MEDICAL CENTER TIMR:14:34 CHECK REGISTER 05/01/16 TURN 05/31/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ---------- --------------- ----------------------- ..----- A/P 166245 05/11/16 250.40 NADINE GARNER A/P 166246 05/11/16 182.39 AUTO PARTS & 14ACHINE CO, A/P 166247 05/11/16 561.36 BARD ACCESS A/P 166248 05/11/16 696.48 BAXTER HEALTHCARE CORP A/P 166249 05/11/16 8,166.94 BECKMAN COULTER INC A/P 166250 05/11/16 209.00 BOSTON SCIENTIFIC CORPORATION A/P 166251 05/11/16 219.70 BRIGGS HEALTHCARE A/P 166252 05/11/16 1,400.00 CABLE ONE A/P 166253. 05/11/16 25.00 CAL CON FEDERAL CREDIT UNION A/P 166254 05/11/16 120,00 CENTRAL DRUGS A/P 166255 05/11/16 784.33 CRAMMING L BETE CO INC A/P 166256 05/11/16 687.24 CONNED CORPORATION A/P 166257 05/11/16 5,964.34 CDW GOVERNMENT, INC. A/P 166258 05/11/16 30,408.80 EVIDENT A/P 166259 05/11/16 266.62 C R BARD, INC A/P 166260 05/11/16 312.39 DLE PAPER & PACKAGING A/P 166261 05/11/16 534.56 DYNATRONICS CORPORATION A/P 166262 05/11/16 50.15 CENTERPOINT ENERGY ENTER A/P 166263 05/11/16 213.57 FEDERAL EXPRESS CORP. A/P 166264 05/11/16 7,424,39 FISHER HEALTHCARE A/P 166265 05/11/16 3,667.75 ROBERTS, ROBERTS & ODEFEY, LLP A/P 166266 05/11/16 651.44 GULF COAST PAPER COMPANY A/P 166267 05/11/16 235.81 INDEPENDENCE MEDICAL A/P 166268 05/11/16 5,909.84 RICOH USA, INC. A/P 166269 05/11/16 981.86 WERFEN USA LLC A/P 166270 05/11/16 982.67 J & J HEALTH CARE SYSTEMS, INC A/P 166271 05/11/16 1,276.80 SHIRLEY KARNEI A/P 166272 05/11/16 .00 VOIDED A/P 166273 05/11/16 10,695.07 MCKESSON MEDICAL SURGICAL INC A/P 166274 05/11/16 1,033.44 BAYER HEALTHCARE A/P 166275 05/11/16 1,464.51 MERRY X-RAY/SOURCEONE REALTHCA A/P 166276 05/11/16 190.42 OFFICE DEPOT A/P 166277 05/11/16 179.94 ON -SITE TESTING SPECIALISTS A/P 166278 05/11/16 1,231.15 OLYMPUS AMERICA INC A/P 166279 05/11/16 .00 VOIDED A/P 166280 05/11/16 .00 VOIDED A/P 166201 OS/11/16 .00 VOIDED A/P 166282 05/11/16 10,988.59 OWENS & 141NOR A/P 166283 05/11/16 100.00 PHILIP THOMAS PHOTOGRAPHER A/P 166284 05/11/16 41,95 POWER ELECTRIC A/P 166285 05/11/16 211.11 SHERWIN WILLIAMS A/P 166286 05/11/16 332.22 SMITHS MEDICAL AND INC A/P 166287 05/11/16 1,778.00 SMITH & NEPHEW A/P 166288 05/11/16 1,635.00 SO TEX BLOOD & TISSUE CENTER A/P 166299 05/11/16 8430 STRYKER SALES CORP A/P 166290 05/11/16 712.43 SYSCO FOOD SERVICES OF A/P 166291 05/11/16 137.90 TEXAS WIRED 14USIC INC A/P 166292 05/11/16 145.84 UNIFIRST HOLDINGS A/P 166293 05/11/16 899.04 UNIFORM ADVANTAGE A/P 166294 05/11/16 .00 VOIDED A/P 166295 05/11/16 5,729.21 UNIFIRST HOLDINGS INC PAGE 4 GLCKREG -27- RUN DATE;06/16/16 MEMORIAL MEDICAL CENTER TIME:14;34 CHECK REGISTER . 05/01/16 THRU 05/31/16 BANK --CHECK____________________________________________________ CODE NUMBER DATE AMOUNT PAYEE ________________________________________________________________ A/P 166296 05/11/16 92.50 WATERMARK GRAPHICS INC A/P 166297 05/11/16 126.00 BRETT JOE D A/P 166298 05/11/16 104.00 HAWES MARJORIE A/P 166299 05/11/16 250.00 HEARN BETTY A/P 166300 05/11/16 50.00 DAGGS KRISTIE L A/P 166301 05/11116 238.00 CHANG CHIOU HSIUNG A/P 166302 05/11/16 45.00 ORSZAK KAREN A/P 166303 05/11/16 2,145.40 MARSHALL JANELL A/P 166304 05/11/16 812.00 AETNA A/P 166305 05/11/16 61.13 ORTA AZUCENA G A/P 166306 05/11/16 225.00 SMITH ROSA LEE A/P 166307 05/11/16 120,00 SIMON GRACE A/P 166308 05/11/16 231.20 ZIVKOVIC FRIEDEL IRMA A/P 166309 05/11/16 47.20 WOOD DEAN C A/P 166310 05/11/16 174.20 FRICKE ANITA G A/P 166311 05/11/16 29,77 DUNWOODY RUBY F A/P 166312 05/11/16 194.60 HOLLINGSWORTH JUDY A/P 166313 05/11/16 27.75 MCMAHAN DARRELL A/P 166314 05/11/16 315.00 ORSAK OPAL A/P 166315 05/11/16 302.63 ADAME JERRY ALLEN A/P 166316 05/11/16 100.00 TREUMER JAMES MATTHEW A/P 166317 05/11/16 1,862.49 NOVAK HER14M A/P 166318 05/11/16 488.51 CRIST CAROL A/P 166319 05/11/16 20.00 FRAZIER JESSICA A/P 166320 05/11/16 41.40 RAAB JO BETH A/P 166321 05/11/16 20.00 CHANEY JOE A/P 166322 05/11/16 42,00 GARCIA MARIA GUADALUPE A/P 166323 05/11/16 24.69 WIRT DEBORAH J A/P 166324 05/11/16 10.00 BROWN HELEN P A/P 166325 05/11/16 35,00 MCGREW ASHLEY A/P 166326 05/11/16 15.00 DOLE BRYAN A/P 166327 05/11/16 35.56 BUTLER WILLIA14 R A/P 166328 05/11/16 25.00 DAGGETT EDNA A/P 166329 05/11/16 177.00 SCRUGGS LAUREN A/P 166330 05/11116 30.00 ALLEN BAYLEY DANAE A/P 166331 05/11/16 20.00 BRISENO DANIELLE A/P 166332 05/11/16 25.00 BETHANY CHRISTOPHER A/P 166333 05/11/16 25.00 BETHANY STEPHEN CURIE A/P 166334 05/11/16 39.94 CARPENTER HENRY A/P 166335 05/11/16 25.00 COX BETTYE A/P 166336 05/11/16 126.00 ARDOIN 14ICHML A/P 166337 05/11/16 94.00 CLAY LOUISE E A/P 166338 05/11/16 49.92 AMASON BETTY SUE A/P 166339 05/11/16 10.00 ZOLLER PAUL A/P 166340 05/11/16 25,00 BLAKENEY ROBERT III A/P 166341 05/11/16 25.00 CHANG HELEN A/P 166342 05/11/16 25.00 BLAKENEY ROBERT III A/P 166343 05/12/16 29,978.87 TXU ENERGY A/P 166344 05/20/16 523.80 PHARMEDIUM SERVICES LLC A/P 166345 05/20/16 4,349.10 REXEL A/P 166346 05/20/16 543.86 CENTURION MEDICAL PRODUCTS PAGE 5 GLCKREG I" RUN DATE:06/16/16 MEMORIAL MEDICAL CENTER TIME:14:34 CHECK REGISTER 05/O1/16 THRU 05/31/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE -------------------------------------------------------------------- A/P 166347 05/20/16 74.71 DEWITT POTH & SON A/P 166348 05/20/16 35,00 JASON ANGLIN A/P 166349 05/20/16 .00 VOIDED A/P 166350 05/20/16 .00 VOIDED A/P 166351 05/20/16 8,397.33 140RRIS & DICKSON CO, LLC A/P 166352 05/20/16 98,28 PLATINUM CODE A/P 166353 05/20/16 230.00 SARA RUBIO A/P 166354 05/20/16 1,426.88 THERACOM, LLC A/P 166355 05/20/16 69,378.59 149C EMPLOYEE BENEFIT PLAN A/P 166356 05/20/16 8,807.05 ACCLARENT, INC. A/P 166357 05/20/16 90.00 AMERICAN APPLIANCE A/P 166358 05/20/16 1,350.66 SIEMENS FINANCIAL SERVICES A/P 166359 05/20/16 500.00 MEMORIAL MEDICAL CLINIC A/P 166360 05/20/16 902.00 TRIZETTO PROVIDER SOLUTIONS A/P 166361 05/20/16 025.00 PABLO GARZA A/P 166362 05/20/16 11,390.76 FUSION MEDICAL STAFFING, LLC A/P 166363 05/20/16 14,856.41 GARDNER & WHITE, INC. A/P 166364 05/20/16 1,526.25 E-CODE SOLUTIONS OF ILLINOIS, A/P 166365 05/20/16 87.25 GULF COAST HARDWARE / ACE A/P 166366 05/20/16 60.62 ALIMED INC. A/P 166367 05/20/16 225.00 ANNOUNCEMENTS PLUS TOO AGAIN A/P 166368 05/20/16 19.34 AQUA BEVERAGE COMPANY A/P 166369 05/20/16 32.86 AUTO PARTS & MACHINE CO. A/P 166370 05/20/16 747.84 BAXTER HEALTHCARE CORP A/P 166371 05/20/16 1,156,36 BECKMAN COULTER INC A/P 166372 05/20/16 20,00 CITY OF PORT LAVACA A/P 166373 05/20/16 1,530.90 COW GOVERNMENT, INC. A/P 166374 05/20/16 325.62 C R BARD, INC A/P 166375 05/20/16 54.10 DOWNTOWN CLEANERS A/P 166376 05/20/16 1,193.64 FIRESTONE OF PORT LAVACA A/P 166377 05/20/16 457.19 FISHER HEALTHCARE A/P 166378 05/20/16 19.78 INDEPENDENCE MEDICAL A/P 166379 05/20/16 128.94 OPTUM360 A/P 166380 05/20/16 3,013.31 J & J HEALTH CARE SYSTEMS, INC A/P 166381 05/20/16 329,86 LOWE'S HOME CENTERS INC A/P 166382 05/20/16 1,462,50 MPULSE MAINTENANCE SOFTWARE A/P 166383 05/20/16 117.95 MEDIBADGE A/P 166384 05/20/16 263.56 MMC AUXILIARY GIFT SHOP A/P 166385 05/20/16 3,000.00 MERRITT, HAWKINS & ASSOCIATES A/P 166386 05/20/16 69.66 MERRY X-RAY/SOURCEONE HEALTHCA A/P 166387 05/20/16 3,000.00 NUTRITION OPTIONS A/P 16638B 05/20/16 123.48 OFFICE DEPOT A/P 166309 05/20/16 3,168.63 OWENS & MINOR A/P 166390 05/20/16 11.38 POWER ELECTRIC A/P 166391 05/20/16 534.70 CULLIGAN OF VICTORIA A/P 166392 05/20/16 555.00 RADIOLOGY UNLIMITED, PA A/P 166393 05/20/16 203.96 SHERWIN WILLIAMS A/P 166394 05/20/16 1,312.06 UNIFIRST HOLDINGS INC A/P 166395 05/20/16 52.32 THE VICTORIA ADVOCATE A/P 166396 05/20/16 485.87 GRAINGER A/P 166397 05/20/16 57.20 HEALTHCARE SRV CORP PAGE 6 GLCKRRG -29- RUN DATE:06/16/16 TI149:14:34 BANK --CHECK-------_--__--_. CODE NUMBER DATE AMOUNT A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P Ale A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/Y A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P Alp A/P A/P A/P 14914ORIAL MEDICAL CENTER CHECK REGISTER 05/01/16 THRU 05/31/16 -------------"-------- PAYEE --------------------------------------------------------------- 166398 05/26/16 84,17 CUSTOM MEDICAL SPECIALTIES 166399 05/26/16 152.90 BEER USA INC SURGICAL SYSTEMS 166400 05126/16 1,266.53 TERRYBERRY IG6401 05/26/16 13,687.40 US FOOD SERVICE 166402 05/26/16 336.00 DSHS CENTRAL LAB MC2004 166403 05/26/16 82.10 PHARMEDIUM SERVICES LLC 166404 05/26/16 270.00 WHOLESALE ELECTRIC SUPPLY 166405 05/26/16 2,021.38 PRINCIPAL LIFE 166406 05/26/16 901.64 CENTURION MEDICAL PRODUCTS 166407 05/26/16 893.74 DEWITT POTH & SON 166408 05/26/16 179.70 INTERSTATE ALL BATTERY CENTER 166409 05/26/16 ,00 VOIDED 166410 05/26/16 15,394.32 MORRIS & DICKSON CO, LLC 166411 05/26/16 348.24 PLATINUM CODE 166412 05/26/16 386.90 GLOBAL EQUIPMENT CO. INC. 166413 05/26/16 116.03 FIVE STAR STERILIZER SERVICES 166414 05/26/16 495.00 FASTHEALTH CORPORATION 166415 05/26/16 1,900.00 LIFESOURCE EDUCATIONAL SRV LLC 166416 05/26/16 2,841.00 CLIA LABORATORY PROGRAM 166417 05/26/16 495.00 OSCAR TORRES 166418 05/26/16 9,410,33 CLINICAL PATHOLOGY 166419 05/26/16 51,644.97 MNC EMPLOYEE BENEFIT PLAN 166420 05/26/16 239.40 RECALL SECURE DESTRUCTION SHY 166421 05/26/16 2,276.61 WAGEWORKS 166422 05/26/16 13,761.93 HUNTER PHARMACY SERVICES 166423 05/26/16 6,145.37 HANK OF THE WEST 166424 05/26/16 197.50 THE UPS PRINT STORE 166425 05/26/16 1,400.00 ACUTE CARE INC 166426 05/26/16 90.00 MEMORIAL MEDICAL CLINIC 166427 05/26/16 932.50 M G TRUST 166428 05/26/16 67.02 THE COMPLIANCE TEAM, INC 166429 05/26/16 2,000.95 REVCYCLE+, INC. 166430 05/26/16 550.00 SHIFTHOUND 166431 05/26/16 7,682.67 CSI LEASING INC 166432 05/26/16 4,050.00 RECONDO 166433 05/26/16 75.00 FIRST CLEARING 166434 05/26/16 1,637.50 E-NDS, INC 166435 05/26/16 1,048.52 BIRCH COMMUNICATIONS 166436 05/26/16 742.50 PABLO GARZA 166437 05/26/16 2,614.50 FUSION MEDICAL STAFFING, LLC 166430 05/26/16 75.97 JERI DAVIS 166439 05/26/16 662,27 MARLIN BUSINESS BANK 166440 05/26/16 319.48 WEST INTERACTIVE SERVICES CORP 166441 05/26/16 213.77 CST CO. 166442 05/26/16 253.37 GULF COAST HARDWARE / ACE 166443 OS/26/16 1,896.67 AIRGAS-SOUTHWEST 166444 05/26/16 795.00 ALCOR LABORATORIES, INC. 166445 05/26/16 442.53 ALIMED INC, 166446 05/26/16 143.52 CAREFUSION 166447 05/26/16 260.67 ALPHA TEC SYSTEMS INC 166448 05/26/16 9,852.60 AFLAC PAGE 7 GLCKREG -',3 0 - RUN DATE:06/16/16 TI142:14:34 BANK--CHECK-------- CODENUMBER DATE A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P 166449 05/26/16 166450 05/26/16 166451 05/26/16 166452 05/26/16 166453 05/26/16 166454 05/26/16 166455 05/26/16 166456 05/26/16 166457 05/26/16 166456 05/26/16 166459 05/26/16 166460 05/26/16 166461 05/26/16 166462 05/26/16 166463 05/26/16 166464 05/26/16 166465 05/26/16 166466 05/26/16 166467 05/26/16 166468 05/26/16 166469 05/26/16 166470 05/26/16 166471 05/26/16 166472 05/26/16 166473 05/26/16 166474 05/26/16 166475 05/26/16 166476 05/26/16 166477 05/26/16 166478 05/26/16 166479 05/26/16 166480 05/26/16 166481 05/26/16 166482 05/26/16 166483 05/26/16 166484 05/26/16 165485 05/26/16 166486 05/26/16 166487 05/26/16 166488 05/26/16 166489 05/26/16 166490 05/26/16 166491 05/26/16 166492 05/26/16 166493 05/26/16 166494 05/26/16 166495 05/26/16 166496 05/26/16 166497 05/26/16 166498 05/26/16 166499 05/26/16 MEMORIAL ME➢ICAL CENTER PAGE 8 CHECK REGISTER GLCKREG 05/01/16 THRU 05/31/16 AMOUNT 35.90 46.96 3,287.62 218.00 677.57 25.00 755.70 314.70 13,928.42 11,501.76 137.66 2,077.49 530.00 421.23 411.30 11.25 159.31 2,836.52 60.36 181.37 104.30 114.46 1,001.90 430.00 74.70 498.33 12.95 258.52 9,813.08 2,060.60 353.42 .00 6,040.06 7,850.00 1,607.51 18.54 160.00 54.47 193.74 245.97 2,250, OD 3,443.34 456.01 1,429.45 166.32 297.00 731.95 4,555.00 89.72 3,645,62 510.00 PAYEE ANNOUNCEMENTS PLUS TOO AGAIN AUTO PARTS & MACHINE CO. BAXTER HEALTHCARE CORP BOSTON SCIENTIFIC CORPORATION CABLE ONE CAL CON FEDERAL CREDIT UNION CHARRING L BETE CO INC CITIZENS MEDICAL CENTER EVIDENT DYNATRONICS CORPORATION FEDERAL EXPRESS CORP. FISHER HEALTHCARE FORT BEND SERVICES, INC GULF COAST PAPER C014PANY H E BUTT GROCERY BOSPIRA WORLDWIDE, INC INDEPENDENCE MEDICAL WERFEN USA LLC INTEGRATED MEDICAL SYSTEMS J & J HEALTH CARE SYSTEMS, INC M,C. JOHNSON COMPANY INC JOHNSTONE SUPPLY SHIRLEY KANNEI LABCORP OF AMERICA HOLDINGS LANGUAGE LINE SERVICES MARTIN PRINTING CO MELSTAN, INC. METLIFE MERRITT, HANKINS & ASSOCIATES MERRY X-RAY/SOURCEONE HEALTHCA MEDIVATORS VOIDE➢ OWENS & MINOR PREMIER SLEEP DISORDERS CENTER PORT LAVACA WAVE POWER ELECTRIC RADIOLOGY UNLIMITED, PA PATTERSON MEDICAL SHERWIN WILLIAMS SMITH & NEPHEW SO TEX BLOOD & TISSUE CENTER SYSCO FOOD SERVICES OF STERIS CORPORATION STERICYCLE, INC ERIN CLEVENGER TEXAS DEPART14ENT OF PUBLIC SAP TO T-SYSTEM, INC UNIFIRST HOLDINGS UNIFIRST HOLDINGS INC VICTORIA RADIOWORKS, LTD -31- RUN DATE:06116/16 M214ORIAL MEDICAL CENTER TIME:14;34 CHECK REGISTER 05/01/16 THRU 05/31/16 BANK -CHECK ------------------------------- CODE NO4BER DATE AMOUNT PAYEE A/P 166500 05/26/16 .00 VOIDED A/P 166501 05/26/16 974.19 WALMART COMMUNITY A/P 166502 05/26/16 616.75 CARMEN C. ZAPATA-ARROYO A/P 166503 05/26/16 433.00 BETHANY PAUL TOTALS: 954,820.51 PAGE 9 GLCKREG -32- RUN DATE:06/16/16 MEMORIAL MEDICAL CENTER PAGE 10 TIME;14;34 CHECK REGISTER GLCKREG 05/01/16 THRU 05/31/16 BANK--CHECK----------------------------------------------------- CODE MISER DATE AMOUNT PAYEE C/C 003627 05/31/16 154,793.59 K&T CONSTRUCTION TOTALS: 154,793.59 -33- RUN DATE:06/16/16 TIME:14:34 BANK --CHECK ------------------- CODE NUMBER ➢ATE AMOUNT ------------------------------ RNA 000001 05/02/16 NHA 000002 05/02/16 NHA 000003 OS/02/16 RNA 000004 05/02/16 TOTALS: MEMORIAL MEDICAL CENTER CHECK REGISTER 05/01/16 THRU 05/31/16 ----------------------- PAYEE .00 NH BROADMOOR .00 NH CRESCENT .00 NH SOLERA .00 NH FORT BEND .00 PAGE 11 GLCKREG -34- RUN DATE:06/16/16 14EMORIAL MEDICAL CENTER PAGE 12 TIME:14:34 CHECK REGISTER GLCKREG 05/01/16 THRU 05/31/16 BANK --CHECK ---------------------------------------------------- CODE NUI4BBR ➢ATE AMOUNT PAYEE -----------------------------------------------------------------------------------------------. PR- * 000000 05/19/16 276,023.38 PAY-P.04/29/16 05/12/16 PR- 061794 05/05/16 594.89 PAY-P.04/15/16 04/28/16 PR- 061795 05/05/16 1,191.78 PAY-P.04/15/16 04/28/16 PR- * 061796 05/19/16 087.69 PAY-P.04/29/16 05/12/16 PR- 999999 05/05/16 262,541.80 TOTALS: 541,239.54 -35- RUN DATE: 06/20/16 TIME: 16:42 MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DBO19 ,Q- o 14p PAGE 1 PRTitle REGISTERED NURSE DEPARTMENTAL ASSIST ASST PURCHASE BUYER CENTRAL STERILE TECH PURCHASING SUPERVISR IP/EH/RM NURSE REGISTERED NURSE FOOD SERVICE STAFF 0 R AIDE ES AIDE REGISTERED NURSE MANAGER-SURGERY-OPC PAYROLL CLERK REGISTERED NURSE LICENSED VOCATIONAL LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE DIRECTOR OF INPT SVC REGISTERED NURSE LICENSED VOCATIONAL ADMINIST ASSISTANT REGISTERED NURSE REGISTERED NURSE PRE -ADMISSION NURSE REGISTERED NURSE LICENSED VOCATIONAL RADIOLOGICAL TECH MICRO MT REFERRAL SPECIALIST MEDICAL LAB TECH LAB DIRECTOR LAB ASSISTANT MEDICAL LAB TECH MEDICAL TECHNOLOGIST REGISTERED NURSE PT TECH II REGISTERED NURSE TRANSCRIPTIONIST-RIC REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CNO-DIRECTOR OF QA REGISTERED NURSE REGISTERED NURSE LICENSED VOCATIONAL PRACT ADMINISTRATOR REGISTERED NURSE NURSE PRACTIONER PRDeptName EMERGENCY ROOM MAINTENANCE CENTRAL SUPPLY SURGERY CENTRAL SUPPLY INFECTION PREVENTION MED/SURG DIETARY SURGERY ENVIRON14MTAL SERVICES SURGERY SURGERY ACCOUNTING MED/SURG OBSTETRICS MED/SURG ICU OBSTETRICS EMERGENCY ROOM MED/SURG OBSTETRICS MED/SURG ADMINISTRATION EMERGENCY ROOM ICU SURGERY SURGICAL CLINIC SURGERY DIAGNOSTIC IMAGING LABORATORY MEMORIAL MEDICAL CLINIC LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY EMERGENCY ROOM PHYSICAL THERAPY MED/SURG HEALTH INFORMATION MANAGEMENT OBSTETRICS OBSTETRICS MED/SURG OBSTETRICS OBSTETRICS OBSTETRICS OBSTETRICS QUALITY ASSURANCE SURGERY MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC ICU MEMORIAL MEDICAL CLINIC PRTotGross 5113.50 2630.55 2473.76 3227.52 4187.36 5930.30 4131.75 1498.53 1801.42 2250.08 981.75 6982.20 3579.57 6362.44 3257.51 4325.26 33.00 3130.92 5706.23 8693.80 5038.26 2614.90 3497.80 917.63 4774.50 3628.91 6427.52 5400.76 5367.52 883.96 2498.53 733.50 4969.00 3083.89 3963.2E 4154,01 4504.62 1480.96 3086.25 2587.86 4432.07 5090.50 801.25 5140.84 419.50 2988.38 4041.79 10295.80 5061.87 3870.50 1459.88 7332.20 24.00 7538.40 -36- RUN DATE: 06/20/16 MEMORIAL MEDICAL CENTER PAGE 2 TIME: 16:42 DEFAULT FORMAT FROM DBO19 PRTitle LICENSED VOCATIONAL CERTIFIED NURSE AIDE SUPERVISOR LVN/RPhT CASE MANAGER/UR/DP REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE LICENSED VOCATIONAL LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL CERTIFIED NURSE AIDE CERTIFIED NURSE AIDE LICENSED VOCATIONAL CERTIFIED NURSE AIDE REGISTERED NURSE FAX NURSE PRACTIONER REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE RN -OR SCRUB NURSE REGISTERED NURSE 0 R TECH REGISTERED NURSE RN-PERIOPERATIVB COURIER -CS TECH CENTRAL SUPPLY TECH REGISTERED NURSE REGISTERED NURSE EMERGENCY DIRECTOR PRDeptName MED/SURG MED/SURG PHARMACY UTILIZATION REVIEW MED/SURG MED/SURG MED/SURG OBSTETRICS MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG ICU MED/SURG MED/SURG MED/SURG MED/SURG ICU MED/SURG MRD/SURG MED/SURG MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG EMERGENCY ROOM MEMORIAL MEDICAL CLINIC MED/SURG NED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG MEMORIAL 14EDICAL CLINIC EMERGENCY ROOM ICU ICU ICU ICU ICU ICU ICU SURGERY SURGERY SURGERY SURGERY SURGERY CENTRAL SUPPLY CENTRAL SUPPLY EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM PRTotGross 414.00 1922.11 3186.23 4417.43 3819.09 3482.50 5217.20 4547.21 1458.91 2591.00 1045.22 2114.47 2250.28 2031.75 4903.45 4419.41 1121.50 3726.00 1788.20 4640,99 5333.15 5651.65 1630.38 2103.08 1296.89 3898.29 2095.51 3885,81 2544.95 4649.88 2369.04 1584.06 2590,22 2630.04 1646.20 1326.00 7538.40 4632.70 5377.00 603.25 4608.50 3966.42 5990.03 5184.78 4053.60 4714.30 5640.58 2751.86 6390.24 5732.42 1698.70 1701.64 6030.96 845.57 6113.23 -37- RUN DATE: 06/20/16 MEMORIAL MEDICAL CENTER PAGE 3 TIME: 16:42 DEFAULT FORMAT FROM DBO19 PRTitle REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CLINIC COORDINATOR HT TECH SUPERVISOR MEDICAL TECHNOLOGIST MEDICAL LAB TECH REGISTERED NURSE MEDICAL LAB TECH MEDICAL LAB TECH LABORATORY ASSISTANT LABORATORY ASSISTANT LAB ASSISTANT LABORATORY ASSISTANT LAB ASSISTANT MEDICAL TECHNOLOGIST LAB ASSIST/SECRETARY MEDICAL LAB TECH MEDICAL LAB TECH LAB ASSISTANT REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE RADIOLOGICAL TECH RADIOLOGICAL TECH RECEPT/SECRETARY RADIOLOGICAL TECH INTERIM DIRECTOR RADIOLOGY TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH LVN-CHG-CHART AUDITR REGIST PHARMACY TECH REG PHARMACY TECH REG PHARMACY TECH RECEPTIONIST MEDICAL ASSISTANT LICENSED VOCATIONAL RECEPTIONIST MEDICAL ASSISTANT INSURANCE CLERK RECEPTIONIST RECEPTIONIST OPERATOR INSURANCE CLERK RECEPTIONIST OUT -PT COORDINATOR MEDICAL ASSISTANT PRDeptName EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM SPECIALTY CLINIC LABORATORY LABORATORY LABORATORY MED/SURG LABORATORY MC CLINIC - LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY MED/SURG MEMORIAL MEDICAL CLINIC EMERGENCY ROOM DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING MMC CLINIC - DIAGNOSTIC IMAGIN DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING PHARMACY PHARMACY PHARMACY PHARMACY MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC SPECIALTY CLINIC MEMORIAL MEDICAL CLINIC PRTotGross ---------------- 5570,14 5460.19 829.44 4504.00 4071.71 4831.28 4197.36 3868.05 967.50 5065.63 3533.06 3371.47 894.88 521.25 2207,74 631.13 624.13 534.75 2444.23 3179,15 3785.95 2473.22 917.19 2093.40 5687.27 4628.80 128.25 2132.60 7359.25 7594.92 6009.21 3010.50 1485.80 3866.82 1922.14 3186.22 3703.13 5244.16 2761.46 2950.08 330.65 2829.17 2216.69 1679.50 2980.69 1882.22 1748.12 1792.02 292.04 1433.81 1896.58 2448.64 2147.99 1804.25 1864.54 290 RUN DATE: 06/20/16 ME1ORIAL MEDICAL CENTER PAGE 4 TIME: 16:42 DEFAULT FORI4AT FROM DBO19 PRTitle RECEPTIONIST PHYSICIAN ASSISTANT MEDICAL ASSISTANT RECEPTIONIST MEDICAL ASSISTANT IT ASSISTANT PT ASSISTANT PT TECHNICIAN OCCUPATION THERAPIST TEAM LEAD PTA REGISTERED NURSE PT ASSISTANT PT TECH 1 IT ASSISTANT DIRECTOR PT ASSISTANT PT TECHNICIAN DISCHARGE ANALYST HIM SPECIALIST HIM SPECIALIST MEDICAL ASSISTANT FOOD SERVICE STAFF FOOD SERVICE STAFF RECEPTIONIST -PBX SHIFT SUPERVISOR FOOD SERVICE STAFF DIETARY DIRECTOR FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF GROUNDSKEEPER-PAINTR SECURITY OFFIER BIO-MED TECHNICIAN BIO-MED TECHNICIAN PLANT BPS SPECIALIST DIRECTOR SECURITY SUPERVISOR ES AIDE FLOOR TECHNICIAN ES AIDE ES AIDE ES AIDE ES AIDE ES AIDE ES AIDE LICENSED VOCAT NURSE REGISTRATION CLERK ES AIDE FLOOR TECHNICIAN ES AIDE ES AIDE IS AIDE SECURITY OFFICER PLANT OPS SPECIALIST PRDeptName MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC 1EMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY OBSTETRICS PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT MEMORIAL MEDICAL CLINIC DIETARY DIETARY MEMORIAL MEDICAL CLINIC DIETARY ➢IETARY DIETARY DIETARY DIETARY DIETARY MAINTENANCE SECURITY BIO MEDICAL ENGINEERING BID MEDICAL ENGINEERING MAINTENANCE MAINTENANCE SECURITY ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES MRD/SURG PFS - REGISTRATION ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES SECURITY MAINTENANCE PRTotGross 1734.76 7538.40 3127.40 1341.54 1755.29 670.53 4364.64 84.81 6028.85 5560.63 7559.17 192.50 899.50 3575.00 5937.88 5003.99 1840.95 1724.85 1674.36 2653.20 1530.11 2169.42 1745.80 1691.25 1764.55 2051.76 1810.43 3353.00 1620.79 1672.03 1521.12 2217.72 1063.50 240.00 4442,85 4145.64 5564.20 2216.01 885.25 1806.01 2106.14 1626.46 1397.28 1527.47 2003.01 1654.84 2061.94 1887.19 1915.18 1831.43 1620.36 944.76 1562.47 1782.00 3851.00 -39- RUN DATE: 06/20/16 MEMORIAL MEDICAL CENTER PAGE 5 TIME: 16:42 DEFAULT FORMAT FROM DBO19 PRTitle OUTPATIENT THERAPIST FIN CNSLR-COORDINATR SELF PAY CLERK OFFICE MANAGER REGISTRATION CLERK REGISTRATION CLERK INSUR COORDINATOR RECEPTIONIST TEAM LEADER REGISTRATION CLERK PFS DIRECTOR REGISTRATION CLERK REGISTERED NURSE OFFICE COORDINATOR REGISTRATION CLERK CLINICAL IT SPEC. REGISTRATION CLERK SECURITY OFFICER FINANCIAL COUNSELOR DIRECTOR OF HIM MEDICAID COORDINATOR REGISTRATION CLERK MEDICARE COORDINATOR TRAUMA COORDINATOR DIRECTOR REGISTRATION CLERK I.T. DIRECTOR IT SYSTEM ANALYST REGISTERED NURSE ACCOUNTANT ASSIST ADMINISTRATOR C.F.O. C.E.O. ADMIN ASST TO AA-CNO SPECIAL PROJECTS 14GR Grand totals Total lines = 255 PRDeptName BEHAVIORAL HEALTH INDIGENT CARE PROGRAM PATIENT FINANCIAL SERVICES ME24ORIAL MEDICAL CLINIC PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES MEMORIAL MEDICAL CLINIC PATIENT FINANCIAL SERVICES PFS - REGISTRATION PATIENT FINANCIAL SERVICES PFS - REGISTRATION EMERGENCY ROOM PHYSICAL THERAPY PFS - REGISTRATION ADMINISTRATION -CLINICAL SERVIC PFS - REGISTRATION SECURITY PATIENT FINANCIAL SERVICES HEALTH INFORMATION MANAGEMENT PATIENT FINANCIAL SERVICES PFS - REGISTRATION PATIENT FINANCIAL SERVICES EMERGENCY ROOM DIAGNOSTIC IMAGING PFS - REGISTRATION INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY EMERGENCY ROOM ACCOUNTING ADMINISTRATION ADMINISTRATION ADMINISTRATION ADMINISTRATION -CLINICAL SERVIC ADMINISTRATION PRTotGross 4000.00 2907.51 1894.03 2641.00 1730.96 1950.16 1714.26 1817.05 1944.45 2361.05 2032.67 3300.20 1559.98 1232.82 224.16 1594.13 4238.64 493.64 1806.27 2394.48 2922.60 2107.50 1161.89 2176,21 5355.57 3929.66 1094.51 6107.44 4253.99 3594.43 4621.00 9137.00 10794.22 14350.00 2272.22 3109.26 801274.92 m 01Hs Source Totals Report Issued 06/23/16 Calhoun Indigent Health Care Batch Dates 06/01/2016through 06/01/2016 For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 4,773.26 907.73 01-1 Injections 171.16 51.13 02 Prescription Drugs 277.83 277.83 05 Lab/x-ray 308.40 39.11 08 Rural Health Clinics 2,591.72 1,951.54 14 Mmc - Hospital Outpatient 28,619.41 9,783.44 15 Mmc - Er Bills 2,972.48 980.92 Expenditures 39,936.61 14,214.05 Reimb/Adjustments -222.35 -222.35 Grand Total 39,714.26 13,991.70 —41— January February March April May June July August September October November December YTD Monthly Avg Calhoun County Indigent Care Patient Caseload Approved Denied Removed Active Pending 4 5 3 58 6 7 2 8 57 7 2 3 5 51 9 5 2 14 46 8 4 3 3 47 3 December 2015 Active 22 15 33 4 3 7 57 259 33 52 7 -42- REPORT FROM VETERAN'S SERVICE OFFICER: Ron Langford, Veterans Service Officer presented the FY 2015 Distribution of VA Expenditures. Mr. Langford reported 1,641 veterans currently reside in Calhoun County. This total includes 94 World War II veterans. Mr. Langford also presented the financial impact of the veterans' expenditures. CALH®UN COUNTY COIF MISS19NERPRECINCT 3 24627 State Hwy. 172 -- Olivia, Port Lavaca, Texas 77979 - Office (361) 893-5346 - Fax (361) 893-5309 meal E. Fritsch, Commissioner, Pct. 3 Email: neil.fritsch it calhouncotx.org June 23, 2016 To: Honorable Judge Michael Pfeifer From: Neil Fritsch Re: Agenda Item Please place the following item on the Commissioners Court Agenda for July 14, 2016: "Consider and Take Necessary Action to hear report from Veterans Service Officer. " Respectfully, f�.elel cr�waltew cc: Roger Galvan Vern L.yssy Kenneth Finster Susan Riley W NW V N �.N-ONOr �7 MN.r NN.�--� V W 00 V .-N co m MOON (�ON�� Vh't0+1 N h Nrm c• _ Q N N N to C 'a �a 1!) N OD ? 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U 0 U 0 U U U U U U U 0 Q U U U U U U U = m •R � � � m E o m U o yC uEa Ea@pmoiOC°nao`maOc ao= +�c1�m` J� UW�Wxn@E�o"@C�NL=mrn6°7 wa U�U°oy`aamUOmqU?ymU4c1 i F@@aa 'a •y .m®j `umc� i(N L' vma�°UyJo�i_3ca@aQ ANn'vWM}LLpTNcoEE� p9-»oaa�mi�p«wa� ��AUmN owyWNN : A=,@Jco a : UU«m�acJUCmI tiC7Ot• 0� _-.S@=y • - _UiOUa�cEFOpyb�y@ Z^oaZ'¢EOdLv�oN.cmO>mv=a k@NvNCmN Ni1= w N m N m AWARD BIDS FOR FUEL TO BE DELIVERED FOR THE PERIOD JULY 16, 2016 THROUGH AUGUST 15, 2016: Commissioner Galvan made a motion to award the low bid from Diebel Oil of $2.03 per gallon for Diesel Fuel and for $2.05 per gallon for Regular Unleaded Gasoline to be delivered for the period July 16, 2016 through August 15, 2016. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B PORT LAVACA, TEXAS 77979 (361) 553-4610 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL RE: AGENDA ITEM FOR JULY 14, 2016 COMMISSIONERS' COURT MEETING AGENDAITEM ► Consider and take necessary action to award bid for Fuel to be Delivered for the period beginning July 16, 2016 and ending August 15, 2016. Zi m TI c m r W c r m r m x m 0 E rn z om O = > Ci W O a m T C M9 r .I CALHOUN COUNTY, TEXAS BID SHEET- FUEL -BULK DELIVERED INVIT AMT100hamn TO Big BIDDER DIESEL OIL CO INC SAM DIESEL PO BOX 71 PORTLAVACA TX 77070 BID ITEM FUEL -BULK DELIVERED I PERIOD FROM: JULY 16, 2016 PERIOD TO: AUGUST 15, 2016 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL PFEIFER, CALHOUNCOUNTYJUDGE, 211 SANNST, 3RD FLOOR, ROOM301, PORTLAVACA TX77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALEDBID- FUEL-BULKDELIVERED BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10:00 AM, THURSDAY, JULY7, 2016 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JULY 14, 2016 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN BID/TEmr FUEL -BULK DELIVERED DEPARTMENT.• VARIOUS DEL/VERY FOB COUNTY FUEL TANKS DEST/NAT/ON VARIOUS ----------------------------------------------- spEcocanoivs: DIESEL FUEL >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER UNIT UNIT PRICE GALLON Q CD3 ----------------------------------------------- SPECIFICATIONS: REGULAR UNLEADED GASOLINE >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT UNIT PRICE GALLON Qo L/ DATE OF BID. / - ]- I Lef AUTHORIZED SIGNATURE AND TITLE PRINT NAME PLEASE UST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: ADDENDUM NO. 1 TO THE SPECIFICATIONS FOR THE UNIFIED COMMUNICATIONS SYSTEM FOR CALHOUN COUNTY: Commissioner Galvan made a motion to approve Addendum No. 1 to the specifications for the Unified Communications System for Calhoun County. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. ► Consider and take necessary action on Addendum No. 1 to the specifications for the Unified Communications System for Calhoun County. le111111►1big I&ILIR n UNIFIED COMMUNICATIONS SYSTEM Calhoun County IT Meeting Minutes from Mandatory Pre -Bid Meeting with Vendors for RFP No. 2016-06-09 June 21, 2016 Present: Ron Reger Calhoun County, Tami Maldonado Calhoun County, Vern Lyssy Calhoun County, Larry Ormsby VCS Companies, Rocco Windover VCS Companies, Leslie Parenton First American, George Alexander Aveeno Networks, Arthur Camou City of Port Lavaca 1. Announcements [List all announcements made at the meeting. For example, new members, change of event, and so forth.] This is a mandatory pre bid meeting for unified communication system. Deadline for questions is July 5, 2016 as stated in the RFP. August 4, 2016 is the due date for proposal. 2. Discussion [Summarize the discussion for each issue, state the outcome, and assign any action items.] a. Will everyone get to see all the questions and responses? Yes. b. Is removal of the equipment part of the RFP? No. c. This is going to be a standalone? Yes, standalone IP system. d. Is Calhoun County going to provide the 110 adaptors? No. e. What about the precincts? They will not require connections. f. What is the maximum distance on the multi fiber? Approximately 300 meters g. Is there fiber pairs at the other locations? Yes. h. So everything in this building (Annex 1) phone wise is run off a feeder cable coming off the courthouse? Yes I. Is that the way it's going to stay? We have fiber that comes in, we want the voice service to come across the fiber to a POE Ethernet Switch. From there the 38 lines that we are asking you to run will go to the desktop for the individual phones. j. So they don't have their own dial tone? So if fiber got cut they wouldn't have dial tone? We would like to see a price option for redundancy should the fiber be cut but it is not required. k. Are you mostly concerned with 911 on that dial tone? Not necessarily, we currently have a separate panic system that is tied into law enforcement for emergency situations. I. What kind of fiber is at Annex 1 and 2? 6 pair Multi -mode (MM50) fiber with 5 pairs available for use. Meeting Minutes, June 21, 2016 Page 2 m. Will you make sure there is power for everything? Yes. n. Have you ever had a fiber cut at this location? No o. How long has it been since installation (fiber)? Approximately 5 years p. Can we have access to the configuration on the Option 11? Yes cl. Will you provide this or will we need to pull the information ourselves? I can provide it if you give me the syntax. r. Do you have a spreadsheet with users and DIDS? Yes s. Do you have a list of hunt groups? I'm not sure, but we can pull that from the configuration. There is only 3 or 4. One is used for Emergency management for emergency situations. t. What hours of access will we have to the building? Sam-Spm u. Headsets are not in the RFP. We will send an email to the offices to send the model number and count of headsets. We will include a number of headsets that will need to be included. v. There's no mandatory connections speed from the outline connections back? I don't think it's outlined but I want gig minimum. w. Using the 110 to RJ45 adaptors is just a suggestion? Yes x. So it's the choice of the vendor on the adaptor? Yes y. What is the layout for cut over time? We would like to do it over the weekend. z. So you will be available? Yes aa. Is there anything in the RFP that talks about anticipated 10% growth? There is nothing specifically, the port counts and IP connections are listed in Section 1.9.1 Email Questions From Larry Ormsby dated 07/01/2016 Mr Reger: In section 1.9.1 are the following 2 statements: • 53 Analog ports for main location accommodate 60 analog fax lines Can you clear this up? Are the 53 analog ports for main location and the 60 analog fax lines one and the same? Are the 53 analog ports for trunking and the 60 are analog end devices like fax machines? Is the total for analog devices 113 that is needed? We are requiring 60 analog lines specifically for fax, modem and credit card terminals. We currently have 53 in use and wish to provision 7 more for 10% growth room. BID FOR STORM DAMAGE REPAIRS FOR FISHING PIERS, COURTESY DOCKS AND BULKHEAD AT ALAMO BEACH, MAGNOLIA BEACH AND INDIANOLA BEACH: Commissioner Galvan made a motion to award the bid, in the amount of $871,420, for storm damage repairs for fishing piers, courtesy docks and bulkhead at Alamo Beach, Magnolia Beach and Indianola Beach to Shirley & Sons Construction Co. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. "OJOH19M Consider and Take Necessary Action to award bid for Storm Damage Repairs for Fishing Piers, Courtesy Docks and Bulkhead at Alamo Beach, Magnolia Beach and Indianola Beach. G&X ENGINEERS, INC. 205 W. Live Oak Port Lavaca, Texas 77979 (361) 552-4509 Fax (361) 552-4987 July 6, 2016 Honorable Judge Michael J. Pfeifer County of Calhoun 211 S. Ann Port Lavaca, Texas 77979 RE: LETTER OF RECOMMENDATION Storm Damage Repairs for Fishing Piers, Courtesy Docks and. Bulkhead Dear Honorable Judge & County Commissioners, Bids for construction of the above referenced project were received at the County Judi office until 10:00 a.m., Thursday, June 30, 2016, at which time said Bids were puhl opened and read aloud. The enclosed Bid Opening Table indicates there were a total of six (6) Bidders with c two I,12) submitting Bids. The lowest Bidder, A Fowler Construction, did not subm certified check or a bid bond as specified in the specifications; therefore it is nc bonafide bid. We recommend that a Construction Contract be awarded to Shirley and Construction Co., Inc, provided that the insurance reimbursement matches the l that the County has sufficient funding for the project. We have worked with Shir Sons Construction Company, Inc. for many years on previous projects and they proven to be qualified and capable of performing the work required. A Construction Contract package will be prepared and delivered immediately upon award of the contract. Please Call me @ (361) 552-4509 if you have any questions. Sincerely, G & W Engineers, Inc. Joseph A.Janda, .E. Enclosures: Bic Opening Table, Itemized Bid Tabulation & copies of Submitted Bids cc: file 9115.023 Engineering 0 Architecture 0 Planning a Surveying d M U Z Z N O o F O � z � O U U Z W Z � W Q Z z O U O U Y O U F K U m w of ❑ Z N z O U J I- J < J ¢O p W Z m a Q z w< 0 J Z J �_ J O m a O Z U U z wo J oo w O N O o } Z w M O v U O Z n Q m O n Z Z z W O O O o Z ~ ~ Q O cl D 0 0 w CO O a o o 0 o ap o M z z w O m Of w O O O z O z m 0 ¢ ¢ ¢ m U w 0 N m a | o � k \ \ § \ ( 0 0 - ( ( ( } } \ \ \ \ \ ) \ ) ( ) } \ \ \ ) ) \ \ , \ { \ ` ) 8 / «� - 7 { / /\\ \ « {>: _ ) 2£§ \)) k _ _ - ' K - f e § {2 k/ { ) \ ) ) (g {k{ k « ® ! ] \f ff /w; §; ! _ k ( 3 DOCUMENT NO.00300 PROPOSAL , hereinafter called "BIDDER', is submitting this Proposal for Furnishing and Performing the Work specified herein as the STORM DAMAGE REPAIRS FOR FISHING PIERS, COURTESY DOCKS AND BULKHEAD. This PROPOSAL is Submitted to CALHOUN COUNTY, hereinafter called "OWNER". Terms used in this PROPOSAL are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions of the Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (15) Calendar Days after the date of OWNER's Notice of Award. 4. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a. BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No: Date Received: —31 b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the Work. 00300-1 C. BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. e. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. f. BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. 5. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. c. BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices. d. BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.03.13 of the General Conditions. e, BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated. 00300-2 BASE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY. PRICE WRITTEN IN WORDS PRICE 1 LS Furnishing equipment and labor for the demolition and disposal of the two existing fishing piers and two boat ramp courtesy docks as per pllaanns� and specifications for a ump sum price of Dollars and Cents. 2. 1 LS Furnishing materials, equipment and labor for the construction of the 21 St. Fishing Pier with Tee Head as per plans and specifications for a lump sum price of 1 ?I�n2J oc' QvT u( o Sa fp Dollars and Cents. 3. 1 LS Furnishing materials, equipment and labor for the construction of the Indianola Fishing Pier with Tee Head as per plans and specifications for a lump sum price of w 6v'j(v -e` ti e k-A fl�U�- Dollars and fV0 Cents. 4. 1 LS Furnishing materials, equipment and labor for the construction of the Alamo Beach Boat Ramp Courtesy Dock as per plans and specifications for a lump sa,um ripe of {{�'d�''v-& kvViu Dollars and do Cents. 5. 1 LS Furnishing materials, equipment and labor for the construction of the Magnolia Beach Boat Ramp Courtesy Dock as per plans and specifications for a lump sum price of 4wo -iolj ksa Dollars and Cents. 00300-3 0 $$ ' f' CIO BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY. PRICE WRITTEN IN WORDS PRICE 6. 1 LS Furnishing materials, equipment and labor to remove and construct new north end section (20 feet of concrete and timber ramp), remove existing stringers/deck and install new stringers with existing deck of the Magnolia Beach Crabbing Pier as per plans and specifications for a lump sum price of � Dollars and Cents. $ LS Furnishing materials, equipment and labor to remove the deteriorated sections of concrete walkway and concrete debris from water side of bulkhead (two locations) and move the concrete debris to locations within 2 miles of project site, as per plans and specifications for th lump sum price 71 ,�ern uuSar Dollars and Cents. $ 8. 1 LS Furnishing materials, equipment and labor to construct new vinyl sheet bulkhead (482 LF) with tie backs as per plans and specifications for the lump sum price )I of {%wusN 1T�T Dollars ( 406 and �� Cents. $ 190�o 9. 12 EA Furnishing materials, equipment and labor to install 6" x 6" timbers as light poles per plans and specifications ffor the,unitrice of �'t"V1((�� CL9 V1�LYe11�t.Al Dollars and Cents $ 35 $ I per each. 00300-4 TOTAL BASE BID AMOUNT. being Items I thru 9 above. is: OWNER'S OPTION BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY. PRICE WRITTEN IN WORDS PRICE 0-1. 56 EA Additional cost for driving of the tee head piling on a 2/12 angle in lieu of vertical position as shown on drawings for unit price of Dollars and d Cents a OG per each. $ �So, $ ADDTIIONS/DEDUCTIONS BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY. PRICE WRITTEN IN WORDS PRICE A. 1 LS For deducting a 10 foot section of Fishing Pier Tee Head as per plans and specifications for a lump sum price II'' i� T�nU�1SGYc� Dollars and Cents. B. 1 EA Deduction for each timber pile that has been approved by the County/Engineer for reuse based on a unit price of _r -TW t7 �t u rIJ Ttn�Y v1�� Dollars and Q Cents per each. OG � $ 2zo, $ Z20, — pG 00300-5 6. BIDDER agrees that the Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within _)%O CALENDAR DAYS after the date when the Contract Times commences to run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. The following documents are attached to and made a condition pf this BID: a. Required Bid Security in the form of &10 (7tylul b. Document No. 00412 - Certificate of Interested Parties (Form 1295) C. Document No. 00415 - CONTRACTORs Corporate Resolution. d. Document No. 00416 - NON -COLLUSION AFFIDAVIT e. Document No. 00420 - Bidders Qualification Statement. Communications about this BID shall be directed to BIDDER's address indicated below. SUBMITTED this 30 day of jc-1 t°`�. 2016. Authorized Signature: Name: t vnq ld W. J VI` Title:_ r9lbof Attesting Signature: Name:�f(p�Pt�� Title: Legal Firm Name: Business Address: %© �jd T3Zff Phone Number: 2 22" 781_ Facsimile Number: "-J-/ 2 " C( 3q 3 E-Mail Address (optional) I 4�6 {a,401 , ✓q State of Incorporation, if applicable: la )(( S State Contractor License No.: 00300-6 CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6If there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2016-76620 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Shiley & Sons Construction Co., Inc. cleveland, TX United States Date Filed: 06/27/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Project No. 9115.023 Storm Damage Repairs for Fishing Piers, Courtsey Docks, and Bulkhead for Calhoun County 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penal of perjury, that the above disclosure is true and correct. .* L T !R1 C. LAT' `soRDTARYPUBUCSTAT00F!MU y`t. oeraeaxavxret: 04-17-201 y I Signature oKautharized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of t.t � `C 2g��, to certify which, witness my hand and seal of 4office. C� o MhtA 2-;40-t-e.3 ,�l-�.��„-��_ L/ vv/ C - C.Cro rwt.w 7eJ.7Ft-1�'t!P��v Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by I exas Ethics commission www.ethics.state.tx.us Version V1,0.1021 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-76820 Date Filed: 06/27/2016 Date Acknowledged: 07/26/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Shirey & Sons Construction Co., Inc. cleveland, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Project No. 9115.023 Storm Damage Repairs for Fishing Piers, Courtsey Docks, and Bulkhead for Calhoun County 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office, Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021 DOCUMENT NO.00300 PRQPOSAL , hereinafter called "BIDDER", is submitting this Proposal for Furnishing and Performing the Work specified herein as the STORM DAMAGE REPAIRS FOR FISHING PIERS, COURTESY DOCKS AND BULKHEAD. This PROPOSAL is Submitted to CALHOUN COUNTY, hereinafter called "OWNER'. 1. Terms used in this PROPOSAL are defined in the General Conditions or Document No, 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to fizrnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions of the Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (15) Calendar Days after the date of OWNER's Notice of Award. 4. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that., a. BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No: Date Received- :� M b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the Work. 00300-1 nd local Laws c. BIDDER is familiar and satisfied � and Regulations that may affect cost, progress,and furnishing and performing the Work. d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. e. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. f. BIRDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is, acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. 5. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. c. BIDDER acknowledges that, at OWNER's option and/or at OWNEWs request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices. d. BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.03.B of the General Conditions. e. BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated. 00300-2 BASE BID BID ROD UNTl PRICE WRITTEN IN WORDS PRICE ITEM QTY. LS Furnishing equipment a"" labor rci �� demolition and disposal of the two existing fishing piers and two boat ramp courtesy docks as per plans and specifications for a lump sum price of k`1 V f' �t CltiUSrI Dollar's and d U i ts`iC� Cents. $ o ( 00 - 2. 1 LS Furnishing materials, equipment and labor for the construction of the 21 St. Fishing Pier with Tee Head as per plans and specifications for a lump sum price of ` d Dollars 00 and 01 Cents. $ 1 U (�p_ 3. 1 LS Furnishing materials, equipment and labor for the construction of the Indianola Fishing Pier with Toe Head as per plans and specifications for a lump sum price of �int71A4.�n Dollars and Cents. $ OtQ,000.pd 4. 1 LS Furnishing materials, equipment and labor for the construction of the Alamo Beach Boat Ramp Courtesy Dock as per plans and specifications for a lump sum price of � Dollars and -0V ��CVU Cents. $ 1`61Sc)o-bo 5, 1 LS Furnishing materials, equipment and labor for the construction of the Magnolia Beach Boat Ramp Courtesy Dock as per plans and specifications for a ump sum rice of '�{SGtri Sur r flu k.z tvi 0yt Vw'"Af P, Dollars and ' 00 1.l. n. Cents. 00300-3 1s>_u DL" .._ --- .... , XX nIry pRICE WRITTEN IN WORDS M 7 Ell 91 LS Furnishing materials, equipment and labor to remove and construct new north end section (20 feet of concrete and timber ramp), remove existing stringers/deck and install new stringers with existing deck of the Magnolia Beach Crabbing Pier as per plans and specifications for a lump sum price of Dollars and U U Cents. 1 LS Furnishing materials, equipment and labor to remove the deteriorated sections of concrete walkway and concrete debris from water side of bulkhead (two locations) and move the concrete debris to locations within 2 miles of project site, as per plans and specifications for the lump sum price Dollars and -00 Cents. 1 LS Furnishing materials, equipment and labor to construct new vinyl sheet bulkhead (482 LF) with tie backs as per plans and specifications for the lump sum price of Diu vu-m\lek ttl `�AA IA& Dollars and • 00 `L&C, Cents. 12 F-A Furnishing materials, equipment and labor to install 6" x 6" timbers as light poles per plans and specifications for the unit price of r Dollars and ,00 2CV'U Cents per each. PRICE $ U Qoo sirgIIwo -oo $ OL)0,00 $ QA00()-66 .r 'r n r . R ASE, BID AMOUNT, being Items I thru 9 above, is: DOLLARS CENTS. $ o '0--' OWNER'S OPTION he too he 'ad piling O-i. 56 EA ondatt2; 2 angle in lie,, of val cost for driving Of tertical position as sho on dra ings for a unit price of ��Ak'Y��Pd Dollars and Cents per each. $ Lao 33 ADDITIONS/DEDUCTIONS ITEM QTY. PRICE WRITTEN IN WORDS PRICE A. 1 LS For deducting a 10 foot section of Fishing Pier Tee Head as per plans and specifications for a lump su price Dollars and t.%Yv Cents. B. 1 EA Deduction for eaeh timber pile that has been approved by the Couuty/Bngineer for reuse based on a unit price of l�.ed Dollars and Cents per each. $ lij L9-D() 100 00300-5 g, Paragraph agrees that the Work shall io completreadyALENDAR DAYS accordance to when Paragraph 14.0'J of the General Conditions within the Contract Times commences to run. Agreement as to liquidated damages in the event of BIDDER accepts the provisions of the failure to complete the Work within the times specified in the Agreement. The following documents are attached to and made a condition of ibis BID: a. Required Bid Security in the form of b. Document No. 00412 - Certificate of interested Parties (Form 1295) e. Document No. 00415 - CONTRACTOR's Corporate Resolution. d. Document No. 00416 - NON -COLLUSION AFFIDAVIT e. Document No. 00420 - Bidders Qualification Statement. g. Communications about this BID shall be directed to BIDDER'S address indicated below. SUBMITTED this '6D} ] day of 2016, Authorized Signature: Name:l'1C�{7 d Title: ��OQy- Attesting Signature: Name: Title: ��-- Legal Firm Name: 1'�tit l�lli� l S��(l�ji(U��IU►� BusinessAddress:so-7 ,, *krson Pw* ticigz Phone Number: Lo I -I Facsimile Number E-Mail Address (optional) g{= (,ti lft t 4W�—n GT aa�aGt j )w • C dn State of Incorporation, if applicable: _ State Contractor License No.: 00300-6 CERTIFICATE OF INTERESTED PARTIES FORM 1295 i oft Complete Nos 1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entRys place of business. 2016.76979 A. Fowler Construction Port Oconnor, TX United States Date Filed: 2 Name of goverunim—nal entity or state agency that is a party to Me contract for Which the form is O6/27t2016 being fide& Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract and proAdea description of the services, goods, or other property to be provided under the contract. STORM DAMAGE REPAIRS FISHING PIERS, COURTESY DOCKS, AND BULKHEAD 4 Name of Interested Party City, Stale, Country (place of business) Nature of interest (check applicable) Controlling Intermediary A FOWLER CONSTRUCTION Port O cannot, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVFr I swear, or affirm, under penalty of perjury, that the abovadisclosure is true and conect. Dawn M Ragusin Notary State orTexasTe>csa 0 Expires: 02/0112019 Sign Lure ofauthur1red agiifit of con " g business entity AFFIX NOTARY STAMP i SEAL ABOVE if(11(:f1QC l"ID� ��J(e: G'F i 3G�- day of �J-/'�—' , Swom to and subscribed before me, by the said A fOt^. u 0C 175`(Yf t C'E7 Z71 , this the 20-1 U_, to certify which, %uhness my hand and seal of office. AR . M�-fuSirJ Nr1�y ng oath Printed name of officercer administedng oath Titlee of officer administering oath Signatu officer admini name Fnrrnq mnwiripd by TPYRQ Fthir_c Cnmmicsinn www"ethics"state"tx.us Version V1.0.1021 SFY2016 INTERLIBRARY LOAN PROGRAM LENDING REIMBURSEMENT PROGRAM GRANT AGREEMENT WITH THE TEXAS STATE LIBRARY AND ARCHIVES COMMISSION AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Galvan made a motion to approve the SFY2016 Interlibrary Loan Program Lending Reimbursement Program Grant Agreement with the Texas State Library and Archives Commission and authorize County Judge to sign. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. Susan Riley - From: Noemi Cruz <ncruz@cclibrary.org> Sent: Thursday, July 07, 2016 9:42 AM To: 'Susan Riley' Subject: FW: Deadline extended - FY16 ILL Lending Reimbursement Program Attachments: I.L.L. Reimbursement Grant.pdf Hi Susan, Please add the following to agenda for the next Commissioners' Court meeting: Approval to apply for SFY2016 Interlibrary Loan Lending Reimbursement grant available from the Texas State Library and Archives Commission. County Judge signature required. The application certification form is attached. If you need additional information, let me know. -Thank you 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.cclibrat Lorg From: Sara Hayes [mailto:shayes@tsl.texas.gov] Sent: Wednesday, July 06, 2016 8:44 AM To: Noemi Cruz Subject: RE: Deadline extended - FY16 ILL Lending Reimbursement Program Hi, Noemi, We will get the SAM information updated in our system. At this time you are welcome to hand write the true expiration date on the form and get it signed and submitted. The information should be updated in our system and on the form later today? Thank you for the update! Sara Sara Hayes Interlibrary Loan Program Coordinator Library Development and Networking Division Texas State Library and Archives Commission 1201 Brazos, Austin TX 78701 512-463-5406 sl es(aItsl_to,a'S- av From: Noemi Cruz [mailto:ncruz@cclibrary.org] Sent: Tuesday, July 05, 2016 5:37 PM To: Sara Hayes Subject: RE: Deadline extended - FY16 ILL Lending Reimbursement Program Hi Sara, I printed out the ILL Lending Reimbursement grant application form and noticed the SAM Expiration is expired. I contacted our auditor's office. The new expiration date is January 11, 2017. Can you update the form, so I can print it and get the proper signatures? Thank you, Noemi Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552.7250 ext. 23 Fox 361.552.4926 Email ncruz@cclibrary.orq Web www.cclibrarv.or2 From: Sara Hayes [ma IIto: shayes@tsl.texas.00v] Sent: Monday, June 27, 2016 1:55 PM To: ncruz@cclibrary.org Subject: Deadline extended - FY16 ILL Lending Reimbursement Program Dear Noemi Cruz, The deadline for submitting the grant participation agreement form in the Grant Management System for the Texas State Library and Archives Commission's FY2016 ILL Lending Reimbursement Program has been extended to July 31, 2016. Information about this year's program is available on our website at In pf s.Nwww.tsl.texaa�ov/Id/iI12016. Since your library has not accessed the Grant Management System (GMS) where the program is being managed, I will be sendine a new GMS aortal invitation to you by the end of today, Monday, June 27". It will be good for one week and will be sent to you from the email address shaves c tslac306.onmierosoft.eom —you may wish to check your spam box. Instructions for navigating the ILL reimbursement program in the GMS portal are available here. A few facts about this year's program: No receipts or expenditure documentation required • I will compile your statistics and send an estimated reimbursement amount to you by mid -September Forms are available in the GMS once you set up your account: o The grant agreement form, signed by an authorized signatory for your legal entity, is due by July 31, 2016 o The certification form, signed by the director, will be available in September in the GMS and due by September 30, 2016 If your library does participate in the program, please communicate to your legal entity's accounting department or grants accountant that federal money will be coming to the organization after the end of the fiscal year I encourage participation in this program; the administrative responsibilities have been reduced this year! Please contact me with any questions or concerns at shaveL�,.iitSl texas_&ov. Thank you, Sara Sara Hayes Interlibrary Loan Program Coordinator Library Development and Networking Division Texas State Library and Archives Commission 1201 Brazos, Austin TX 78701 512-463-5406 sha esattsl.texas.tov Calhoun County Public Library Public Library TEXAS STATE LIBRARY • Ot® a;®e INSTITUTE of AND®® MuseumandLibrary ARCHIVES COMMISSION :•X: SERVICES SFY2016 ILL LENDING REIMBURSEMENT PROGRAM GRANT AGREEMENT Program Description The Texas State Library and Archives Commission (TSLAC) supports a statewide interlibrary loan program in order to assure Texans will have access to shared library resources to meet learning and informational needs. The Interlibrary Loan Lending Reimbursement Program helps support Texas libraries with partial reimbursements for direct, out-of-pocket costs associated with participating in statewide resource sharing such as postage and shipping material costs. The reimbursements pertain to lends made during TSLAC's SFY2016, September 1, 2015 - August 31, 2016. While dispersed after the end of SFY2016, the reimbursements do need to be applied to costs associated with resource sharing costs expended during SFY2016. Please discuss this program with your legal entity's accounting office so they are aware this is federal money and, if approved, to expect the payment after the end of the state fiscal year (August 31, 2016). Additional information is available online at hftgg://www.tsi.texas.elov/ld(NI2016. Award Information The reimbursements are sub awards (or pass through awards) of the Grants to States program from the Texas State Library and Archives Commission's federal funder, Institute of Museum and Library Services (IMLS). Federal Award Identification Number (FAIN): LS-00-15-0044-15 Catalog of Federal Domestic Assistance (CFDA) Number: 45.310 Eligible participants will receive a reimbursement based on the number of lends they provide to other Texas libraries through the Navigator system. While we anticipate being able to reimburse libraries approximately $5.79 per lend, this amount may vary based on the number of participants and available funding. Eligibility Information Public libraries, through their governing authority (city, county, board, or district), are eligible to apply for a reimbursement payment through this program. Texas academic libraries that have agreed to lend materials to Texas public libraries are also eligible for reimbursement payments based on the number of lends made to Texas Navigator libraries in SFY2016. Libraries must lend a minimum of 24 items to Texas public libraries during SFY2016 (September 1, 2015-August 31, 2016) using OCLC's Navigator system in order to be eligible for a reimbursement. OCLC will provide Navigator lending statistics to TSLAC. SFY2016 ILL LENDING REIMBURSEMENT PROGRAM FAIN: LS-00-15-0044-15 CFDA NUMBER:45.310 Before receiving payment, the library's legal entity (city, county, library board, school) must have a DUNS® Number and current, active System for Award Management (SAM) registration. If the entity's SAM registration is not active and current at the time of the award, payment cannot be dispersed. Libraries' legal entities must also have an Active Direct Deposit Account and Texas Identification Number. State agencies will be asked for additional information by TSLAC's grants accountant. There is no requirement for cost sharing, matching funds, or cost participation with this program Application and Submission Information TSLAC recommends potential participants discuss this program with the accounting office of their legal entity due to the payments of federal funds arriving after the close of the state fiscal year ending August 31, 2016. Application Components: 1. Opt in to program through the Grant Management System portal 2. Complete and submit Grant Agreement form in GMS by June 30, 2016 *Signed by Legal Entity (City, County, Library Board) 3. Complete and submit Performance Certification in GMS by September 30, 2016 after receiving award amount from TSLAC. *Signed by Library Director Required forms are available through the GMS portal at grants.tsl.texas.gov. To request print copies of these forms, please contact Sara Hayes at shavese-tsl.texas.00v or 512- 463-5406. Forms submitted after stated deadlines may not be considered for reimbursement. Applicants will receive email notification when their documentation has been received by TSLAC. Submit forms: Through GMS portal at grants.tsl.texas.gov. Program Timeline April 2016 June 30, 2016 September 19, 2016 September 30, 2016 October -November 2016 Libraries able to opt in to program through GMS portal Signed Grant Agreements due in GMS Participants receive amount of reimbursement from TSLAC Participation Certification forms due by midnight CST Payments dispersed QUESTIONS? Contact Sara Hayes, ILL Program Coordinator, at shayes0tsi.texas.gov or 512-463-5406 SFY2016ILL LENDING REIMBURSEMENT PROGRAM FAIN: LS-00-15-0044-15 CFDA NUMBER:45,310 Texas State Library and Archives Commission Library Services and Technology Act (LSTA) — Terms and Conditions I.GENERAL TERMS AND CONDITIONS A. The Subrecipient will comply with the following parts of the Texas Comptroller of Public Accounts UGMS revised June 2004, located at: http:/Iwww.wrndow.state.tx.us/pracurementicafradlcrc�ms.pdf B. The Subrecipient will comply with Grant Reform 2 CFR Parts §200 and §3187. C. Subrecipient will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P. L. 88-352) which prohibits discrimination on the basis of race, color, religion or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination on the basis of disability and the Americans With Disabilities Act of 1990; (d) the Age Discrimination Act of 1974, as amended (42 U.S.C. §§6101- 6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P. L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse, (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to the nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S. C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title Vill of the Civil Rights Act of 1968 (42 U. S. C. §3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and Q) the requirements of any other nondiscrimination statute(s) which may apply to the application. D. The Subrecipient, if a private entity, will comply with Federal law pertaining to trafficking in persons. Subrecipient and its employees may not 1. Engage in severe forms of trafficking in persons during the period of time that the award is in effect; 2. Procure a commercial sex act during the period of time that the award is in effect; or 3. Use forced labor in the performance of the award or subawards under the award. E. The Subrecipient certifies by this contract that no Federal appropriated funds have been paid or will be paid, by or on behalf of the Subrecipient, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the making of any Federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement. If any funds other than Federal appropriated funds have been paid or will be paid for such purpose, the Subrecipient shall complete and submit OMB form SF-LLL, Disclosure of Lobbying Activities, in accordance with its instructions. The Subrecipient shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all subrecipients shall certify and disclose accordingly, as specified in Title 31 U.S. Code, Sec. 1352. F. Subrecipient's authorized representative certifies to the best of his or her knowledge and belief that neither subrecipient nor any of its principals (a) are presently excluded or disqualified,, (b) have been convicted within the preceding three years of any of the offenses listed in 2 CFR Part SFY2016ILL LENDING REIMBURSEMENT PROGRAM FAIN: LS-00-15-0044-15 CFDA NUMBER: 45.310 §180.800(a) or had a civil judgment rendered against it or them for one of those offenses within that time period, (c) are presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses listed in 2 CFR §180.800 (a); or (d) have had one or more public transactions (Federal, State, or local) terminated within the preceding three years for cause or default. .Where the Subrecipient is unable to certify to any of the statements in this certification, the Subrecipient shall attach an explanation to these Terms and Conditions. G. Subrecipient understands that acceptance of funds under this contract acts as acceptance of the authority of the Texas State Auditor's Office, or any successor agency, to conduct an audit or investigation in connection with those funds. Subrecipient further agrees to cooperate fully with the State Auditor's Office or its successor in the conduct of the audit or investigation, including providing all records requested. Subrecipient will ensure that this clause concerning the authority to audit funds received indirectly by Sub -Contractors through Subrecipient, and the requirement to cooperate, is included in any sub -grant awarded. H. The Subrecipient agrees to main all financial and programmatic records, supporting documents, statistical records, and other records relating to this grant award for three year after the last State Program Report for the Texas LSTA 5-Year Plan 2013-2017, is submitted on December 31, 2018. The Contractor will maintain their records through December 31, 2021. I. The Subrecipient agrees to develop or revise, as necessary, any specific written documentation of its current procedures for (1) collecting and reporting performance measures; (2) conducting a fixed asset inventory; and or, (3) any other issues identified in Subrecipient's internal audit report or grant activities. Drafts of this procedural documentation will be submitted to TSLAC by dates established mutually between TSLAC and Subrecipient. TSLAC will provide review and guidance to enable final versions to be approved on or before established deadlines. J. Subrecipient may copyright any work that is subject to copyright and was developed, or for which ownership was acquired, under a Federal award. Subrecipient understands that the federal awarding agency, IMLS, reserves a royalty -free, nonexclusive, and irrevocable right to reproduce, publish or otherwise use; and to authorize others to use, for Federal purposes (2 CFR §200.315). H. ENFORCEMENT A. Remedies for noncompliance. If Subrecipient materially fails to comply with any term of the contract, whether stated in a state or federal statute or regulation, an assurance, in a state plan or application, a notice of award, or elsewhere, TSLAC may take one or more of the following actions, or impose other sanctions, as appropriate in the circumstances: I. Temporarily withhold cash payments pending correction of the deficiency by the Subrecipient, or more severe enforcement action by TSLAC; 2. Disallow (that is, deny both use of funds and matching credit for) all or part of the cost of the activity or action not in compliance; 3. Wholly or partly suspend or terminate the current contract for the Subrecipient's program; 4. Withhold further awards for the program; or s. Take other remedies that may be legally available. B. Hearincis, appeals. In taking an enforcement action, TSLAC will provide the Subrecipient an opportunity for such hearing, appeal, or other administrative proceeding to which the Subrecipient is entitled under any statute or regulation applicable to the action involved. C. Effects of suspension and termination. Costs of Subrecipient resulting from obligations incurred by the Subrecipient during a suspension or after termination of an award are not allowable unless TSLAC expressly authorized in the notice of suspension or termination, or subsequently. Other Subrecipient costs during suspension or after termination that are necessary, and not reasonably avoidable, are allowable if: SFY2016ILL LENDING REIMBURSEMENT PROGRAM FAIN: LS-00-15-0044-15 CFDA NUMBER: 45.310 1. The costs resulting from obligations that were properly incurred by the Subrecipient before the effective date of suspension or termination are not in anticipation of it and, in the case of a termination, are non -cancelable; and, 2. The costs would be allowable if the award were not suspended, or expired normally at the end of the funding period in which the termination takes effect. D. Relationship to Debarment and Suspension. The enforcement remedies identified in this section, including suspension and termination, do not preclude Subrecipient from being subject to "Debarment and Suspension" under Executive Order 12549 (see UGMS Part III, Subpart C, Sec 35) and state law. SFY2016ILL LENDING REIMBURSEMENT PROGRAM FAIN: LS-00-15-0044-15 CFDA NUMBER: 45.310 State Library and Archives Commission- TSLAC GMS hops://g-ants.tsi-texas.gov/Modules/ Viiew.aspx?cm=c1 ccOa77-35ea-e5... Non Competitive Grant Application Form Grant Program: ILL Lending Reimbursement Application Number:900231 Name: Calhoun County Public Library 200W Mahan St Port Lavaca TX 77979-3327 Library Director: Noemi Cruz Contact: Noemi Cruz Email: ncruz@cclibrary.org Phone Number: 3615527323 CFDA Number: 45.310 Grants to States FederalAward LS-00-15-0044-15 Number: Legal Entity: Employer Identification Number: DUNS Number: SAM Expiration Date: Calhoun County 211 S Ann St - Ste 301 Port Lavaca 77979 7460019239 087309324 3249;-5 1-if -2-cm-1 Ls'if The library and legal entity agree to the Texas State Library and Archives Commission's FY2016 ILL Lending Reimbursement Program guidelines and LSTA Terms & Conditions and understand funds will be dispersed after the end of SFY2016. Name, Title, and Signature of an individual authorized to enter into contact on behalf of your library's legal entity (County Judge,, Mayor, City Manager, Library Board President, Provost, etc.) Name: Michael J. Pfeifer Title: Calhoun County Judge Signature: �_ d �����_ Date: _ % 0 ✓/� t of 11 7/7/2016 10:36 AM SOLE EGRESS LETTER (CALHOUN COUNTY DSR010020, OCEAN DRIVE) TO THE TEXAS GENERAL LAND OFFICE AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Galvan made a motion to take no action on this item. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. Susan Rile From: Cristal Funderburk <cnstal@grantworks.net> _ Sent: Tuesday, July 05, 2016 3:02 PM To: Roger Galvan Cc: Angela Torres; Cindy Mueller; Ben Galvan; Eric Hartzell; Brenna Minor; Martha Arosemena; Susan Riley Subject: Action Needed - Sole Egress of Ocean Drive Attachments: noname (2).eml; Email_ Engineer's Design Comments.pdf; Email_GLO consulted HUD.pdf; flood mithandbook_for public facilities.pcif; noname.eml; Draft sole egress determination letter --FULL TEXT.docx; Email Attachment sent for HUD Additional Comment.pdf; Email —Additional Comment response from HUD.pdf; Email —County Letter Needed.pdf; Email —Engineer consulted FEMA.pdf Commissioner Galvan, Thank you for speaking with me this afternoon about the Phase 2 Ocean Drive improvements project and the status of its environmental review. I am attaching a draft determination letter for the county to review and consider. Also attached is email correspondence supporting the events referenced in the letter. In summary, during the environmental review for the Phase 2 amended activities the GLO reviewer noted the project area is located in Flood Zone V (High Risk Coastal Area). Activities defined as 'critical actions 11 are not allowable for federal grant assistance in Zone V. The definitions are as follows Zone V: Coastal areas with a 1% or greater chance of flooding and an additional hazard associated with storm waves. These areas have a 26% chance of flooding over the life of a 30-year mortgage. No base flood elevations are shown within these areas. HUD Link: hh>tti)s•//vvww htidexchange info/environmental-review/floodt)lain-management/ Critical Actions: The term "critical action" shall mean any activity for which even a slight chance of flooding would be too great because it might result in loss of life, injury or property damage? Specific examples include: • Structures or facilities that produce, use or store highly volatile, flammable, explosive, toxic or water -reactive materials. lines, emergency operations centers including fire and police stations, and roadways providing sole egress treat ttood-proae areas). • Structures or facilities that are likely to contain occupants who may not be sufficiently mobile to avoid loss of life or injury during flood or storm events, e.g. persons who reside in hospitals, nursing homes, convalescent homes, intermediate care facilities, board and care facilities, and retirement service centers. Housing for independent living for the elderly is not considered a critical action. HUD Link to FEMA advice regarding critical actions: httv://www.gsa.ijov/gLaphics/t)bs/Advice E011988.mdf Sole Egress: The common definition of egress is the action of going out of or leaving a place. The term "sole egress" is not clearly defined by FEMA or HUD. The concern lies in the interpretation of "sole egress" for Ocean Drive. HUD and FEMA have been consulted for their definitions in relation to this interpretation, and they have not resolved the concern Therefore, GLO is requesting a determination letter from the County that contains its definition of "sole egress" and whether it applies to Ocean Drive. T he GLO asked GrantWorks, the assigned General Administrator, to assist the County by preparing a draft letter (attached) addressing the GLO environmental reviewer's concerns If the County agrees with the contents of the letter and signs it, the letter will be - placed in the Environmental Review Record. We believe GLO will require a determination of no critical action in order to move forward with - Phase 2 and there a re other factors that the minty could consider in making a determination , which include • If the County makes a determination that the proposed activity is not a critical action and this determination is later reviewed and rejected by HUD, the County could be required to repay the federal funds expended on the amendment activity. • As the 'Responsible Entity" for environmental review,uitimately the County must make the determination whether or not Ocean Drive is considered a critical action due to sole egress. • We believe this determination would only apply to Phase 2 of the project. There has been no discussion or clarification requested for Phase 1. Please carefully review the correspondence attached and the draft determination letter. The draft letter attached has been reviewed by GLO and HUD but neither has expressly approved the argument (see attached correspondence) If you require further information to reach a decision, please let me know and we can arrange a conference call with the GLO, CivilCorp, GrantWorks, and Todd Cave the assigned Environmental Services Provider Please don't hesitate to contact me if I can be of further assistance. Cristal Funderburk Senior Project Manager S.tpSE OF,.P MICHAEL J. PFEIFER Calhoun County Judge 211 S. Arm Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: mike.pfeifer@calhouncotx.org July 5, 2016 Kelly Warner, Environmental Specialist Disaster Recovery Program Texas General Land Office PO Box 12873 Austin TX 78711 Re: Environmental Review of Activities in Amendment 6, Calhoun Co DRS010020 Dear Ms. Warner: Calhoun County is aware of the following discussions provided to it in email form by GrantWorks, the General Land Office's contracted grant administrator, regarding the environmental review of activities in Amendment No. 6 to CDBG Disaster Recovery Contract No. DRS010020/GLO 10- 5019-000-4993: 1) The correspondence between the GLO-contracted environmental service provider (ESP), Todd Cave, and GLO environmental reviewer Kelly Warner refer to 24 CFR 55.1 which states that should the activities "create, maintain, or extend the useful life" of "roadways providing sole egress from flood -prone areas," that this would constitute a "critical action" within a coastal high hazard area. This means the activities would not be approvable for HUD financial assistance. 2) The ESP requested a statement from the GLO-contracted engineer, CivilCorp LLC, regarding whether in its opinion the roadway provided "sole ingress/egress for the area." The engineer's response was "this road is the primary ingress/egress for that particular area, however roads on the beaches can also be utilized." 3) According to the GLO's environmental reviewer, HUD was consulted for its review and based upon the engineer's statement HUD determined it believes the road provides sole egress from a flood prone area. 4) After further clarification from CivilCorp, HUD provided additional comments and determined that "the concept of sole egress is not farther defined in the regulation" and "what appears true is that since residential development is already in place along this road, repairing the road in this location will improve egress options from existing conditions." HUD further strongly recommended FEMA's review on the design in reference to FEMA's Flood Hazard Migitation Handbook. 5) CivilCorp contacted FEMA and shared the roadway design. The design includes road improvement practices found in the Flood Hazard Mitigation Handbook such as Widened roadway, Relief structure/additional cross -culverts, Ditch erosion www.calhouncotx.org protection, and Riprap. In this conversation, the only concern FEMA expressed was the fact that the project is being constructed in short sections. CivilCorp has not received further questions or comments from FEMA. 6) The GLO's Project Management Company, HNTB, requested that the grant administrator assist the County in drafting several documents including one showing routes of egress from the project limits and another on county letterhead "attesting that there are multiple egress routes from Ocean Drive." The GLO's environmental reviewer also requested that the County make a determination as to whether or not the road provides sole egress, and to provide this to the ESP for inclusion in the environmental review record. The County understands that if it makes a determination that the proposed activity is not a critical action and this determination is rejected by HUD, the County could be required to repay the federal funds expended on the amendment activity. After consideration of the information provide to the County in this matter, the County has determined that the roadway reconstruction and improvement activity proposed in Amendment 6 does not provide "sole egress" for the area, and is therefore an approvable activity. In order to provide sole egress a roadway would provide a single directional option for exiting the area. Ocean Drive forms a loop connecting at its northern end with Margie Tewmey Road, the paved main street for the Magnolia Beach community. This roadway in turn leads to State Highway 316, a major paved arterial that leads inland. Along this route, Ocean Drive leaves the coastal high hazard area (Zone VE) in about 0.1 miles and enters Zone AE then Zone X (500-year flood plain) at Margie Tewmey Road., Travelling south along Ocean Drive, the route leaves Zone VE in less than 0.25 miles then alternates between Zones AE and X, never re-entering a coastal high hazard area before intersecting with State Highway 316 approximately 1.5 miles south of its intersection with Margie Tewmey Road. This second route creates a bi-directional loop providing the coastal high hazard area with two egresses. The proposed road construction activities reinforce the existing bi-directional routes from the area —without reconstruction the loop would be broken and the area would be served by two dead- end roads, creating the "sole egress" that federal rules prohibit. The County could not locate an official definition of "flood prone area" in 24 CFR 55 or related regulations, though the term is used without definition throughout the FEMA website. The County interprets this to be areas within the 100-year floodplain. If you have any questions, please contact Cristal Funderburk, our grant administrator, at 512-420- 0303 ext.318. Thank you in advance for your assistance in this matter. Sincerely, Michael J. Pfeifer Calhoun County Judge REQUEST BY PORT ALTO SERVICES, LLC TO PLACE WATER LINE IN COUNTY RIGHT OF WAY ALONG CR307N: Commissioner Galvan made a motion to approve request by Port Alto Services, LLC to place water line in County Right of Way along CR 307N. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. CALHOUN COUNTY COMMISSIONER, PRECINcT 3 r r. 24627 State Hwy, 172 — Olivia, Poi{ Lavaca, lexas 77979 - Oflice (361) 893,5346 Fax (361) 893-5309 Nei[ E. Fritsch, Commissioner, Pict. 3 Email: neil.fritsch<ajcalhouncolx.org July 6, 2016 To: Honorable Judge Michael Pfeifer From: Neil Fritsch Re: Agenda Item Please place the following item on the Commissioner's Court Agenda for July 14, 2016: "Consider and Take Necessary Action to Approve Port Alto .Services, LLC to place Water Line in County RiAlrtaf Way along CR 307N." Respectfully, %T_ewe 7ut¢c.� cc: Roger Galvan Vern Lyssy Kenneth Finster Susan Riley 294 County 114za(1307North Port LavaciWIN 77979 Water Line Project for Port Alto Water Supply This project will contain two phases. The first phase will be to extend the existing line for approximately 460 ft. to the end of the existing development lines. This project has the potential of six additional customers for the system. The extension will be in the existing utility easement. Pipe material will be Schedule 40 PVC and is shown in the attached drawing as a dashed line. Phase Two will be the replacement of the existing water line. This water was constructed around 1961 from 1 '% in. galvanized steel. The line was placed down the middle of the properties as was the previous line. As time passed the existing line has had buildings and concrete poured over the line to the point the current line is difficult to service. The existing line has also deteriorated to the point it must be replaced to comply with Texas Commission for Environmental Quality standards. This project will place a new 1 '/2 " PVC water line in service. This line will be located in the existing utility easement to prevent reoccurrence of construction on top of the line. It is estimated that phase one would begin on August 1, 2016 and phase two would begin on February 1, 2017. if you have any questions. Port Alto Services, LLC. 713-412-8007 d k ,�e 2016 SALARY ORDER AMENDMENT, Cindy Mueller, County Auditor, stated the verbage is being amended from January to July. Commissioner Galvan made a motion to approve the 2016 Salary Order amendment for Juvenile Probation. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Tuesday, June 28, 2016 2:47 PM To: 'Susan Riley' Cc: Mary Orta; luis leija; Candice Villarreal; Kenny Finster; mike pfeifer; neil fritsch; roger galvan; vern lyssy Subject: Agenda Item Request -Salary Order Amendment Attachments: SALARY ORDER-2016 AMENDMENT Eff 2016.07.14.pdf Please place the following item on the agenda for July 14, 2016: a CATNA to amend the 2016 Salary Order. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Part Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 2016 ORDER PASSING MNUMUM SALARIES. MAIONG NIMLY APPROPRIATION& AND PASSING NOLIDAY SCNEDULE AMENDMENT EFFECiIYE JULY X 2016 JUVE NILE PROBATION Annual Salary INCREASE (One-time increase July, in lieu of January, to provide training period for new hire): 1 Office Manager $39,500 SERVICE AGREEMENT WITH VICTORIA ELECTRIC COOPERATIVE, INC. FOR NAME CHANGE ON ACCOUNT FOR THE PORT O'CONNOR COMMUNITY CENTER AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Finster made a motion to approve Service Agreement with Victoria Electric Cooperative, Inc. for name change on account for the Port O'Connor Community Center and authorize County Judge to sign. Commissioner Galvan seconded the motion Commissioners Galvan, Lyssy and Finster all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 June 23, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for July 14, 2016. Discuss and take necessary action on Service Agreement with Victoria Electric Cooperative, Inc. for name change on account for the Port O'Connor Community Center. Sincerely, Kenneth W.Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 —email: kfinstcr@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 VICTORIA ELECTRIC COOPERATIVE, INC. ELECTRIC SERVICE AGREEMENT Member Name sad Mailing Address: ///1 I' Member's Status: ( /�1..}iOU.I)C nIeA7Ttr IfLECla7l/Y.' Y (('y�Corpomtion arlitp&7rt�j C�w7 f l T�2r ( ) Individual /'t P.O. 5^ I-7- ( 1 Partnership <'QpCJri- 4 Tx '1 )983 ( > Other — Account No. )iyO) a—%0— 0 =k—( Type of Service: Service Location .z/l h,_,ou I85 y U&C— 5�6 S'475(0 Member's Equipment: luency: 60 Cycle/Sec with Re ..... bly variation ( ) Single Phu. ( ) Three Phase Delivery Voltage: ( ) Primary _ Volta I 1 220/480 Volk ( ) 1201'240 Volta ( ) Other With reasonable variation Date Service Available Expiration Date Maximum Electrical Load The ndaral (heulooha <olledl the "Member) hsrshv make application and aims to purchase dectde smic. from VICTORIA ELECTRIC COOPERATIVE, INC. Ihvmiaafmr .Ibd "Cao,,anwv") upon I1w following rams and..datam: 1. Service. Cooperative agrees to use reasonable diligence W provide electric utility service (including but not limited to the supply of electric energy) to Member's Service Location at a particular point where electric energy first leaves the line on equipment owned by Cooperative and enters Member's sarvlce entrance conclusions. When electric energy becomes available Member will purchase all electric energy required to be used at the Service Location from the Cooperative and use such electric energy excluelvely for the operation of Member's equipment. The Cooperative may limit the amount of electric energy to be furnished as indicated above and In the Service Rules and Regulations of the Cooperative. Member understands, that the voltage and frequency or electric energy pro- vided may vary within the standards set forth in the Cooperative's Service Rules and Regulations. Nothing contained herein shall prohibit Member from using electric energy generated by renewable energy sources (e.g.: solar) in Member's wholly -generating facilities. 2. Payment. Member agrees to pay for electric service in accordance with Cooperative's standard tariff schedule, In effect for like conditions of service to the elm of service furnished hereunder. If any tariff or rate is changed by the Cooperative, or by order or con• sent of any regulnlory authority having a jurisdiction thereof whether or not at the request of the Cooperative, such changed tariff, rate/or redefined class of service shall be applicable to aervlee provided hereunder from end after the effective date of such change. Periodically, Cooperative will render to Member a statement of services rendered, Member agrees to pay the total amount shown on such statement within fifteen (15) days from its date. Payment shell be made to Cooperative at its office In Victoria, Texas. S. Additional Terms. The electric service contracted for herein is to be provided and taken in accordance with the provisions of this agreement for electric movies, and Cooperative'% service rules, regulatios, and tariffs, including any and all amendments that may hereafter he approved or ordered by any regulatory authority having jurisdiction. SAID SERVICE REGULATIONS AND TARIFFS ARE A PART OF THIS AGREEMENT TO THE SAME EXTENT AS IF FULLY SET OUT HEREIN AND ARE ON FILE AND AVAILABLE AT UTILITY'S OFFICES IN VICTORIA, TEXAS. 4. Eearrdenla and Right of Access. Customer agrees to grantor to secure for Cooperative, at Member's expense, any rights of way on properly owned or controlled by Member and to provide suitable space on such premises for installation of facilities whore such rights or way and spnee are necessary to provide electric service to Member. Cooperatives representatives, employers, and auigns are hereby prantad rights of Ingress and egress of Customer's premises at all reasonable times for the purpose of hapectiun of facilities, providing aorvis«, and in only to carry at the provision, hereof. 5. Continuity ar Service. Cooperative shall use reasonable diligence to provide constant and uninterrupted electric power, however, if electric power nr service should fail or he intetrupled, or become defective, or be reduced through act of Cod, governmental author- ity. action of the elements, public enemy, accident, strikes, labor trouble, matnlen..... repair or upgrading work, at any cause beyond the reasonable control at Caupvmtive. Cooperative shall not be liable under the provisions of this agreement. 6. Term. The a ... or.... of this instrument by the Cooperative mall coru(titute on ogre etwaen the Member and the Cooperative. The contract for electric service shall continue in force for an initial term of year. from the tloto service Is modo available by the Cooperative to the Member. After the initial term, this agreement may be terminated by either party giving notice. The initial monthly billing period shell start when Member begins using electric power and energy, or thirty 130) days after service deacribed herein is made available to the Member, whichever is earlier. 7. Bmachloirconti... nceuf Servica. Notwithstanding any other provisions of this agreement, Cooperative may discontinue service if Member has breached any portion of this agreement by failure to make timely payment or otherwise, and Cooperative has given Member notice in accordance with the Service. Rules and Regulations or the Cooperative regarding Discontinuance of Service as they may be hereafter amended by order or consent of any Regulatory Authority having jurisdiction. 8. Notice. All notice& required to he given under the terms and provisions of this agreement may be given by mailing such notice to the other party by United States mail addressed to such other party ea indicated above. The notice shall bear the date of Its mailing, and xhalt he err..tiv. on and after such data. 9. Effective DatotModifieation. Notwithstanding anything contained herein, this agreement shall not become effective and Is not binding until executed by the Utility and Customer. No modification or alteration hereof shall be binding on either party unless reduced to writing ..,it signed by the parties hereto. 10. Waiver. No waiver, expressed or implied. to any breach of any one or more or the covenants or agreements hereof shall be deemnl to be a waiver of any subsequent breach. 11. Members Installation. Member warrants that his or her Installation at the Service Location (Including all conductors, switches, equipment, wiring, and protective devices of any kind or character) Is constructed In accordance with the National Electrical Safety Code of the American Standards Association as well as applicable lows or ordinances, and that member's installation will be maintain. ad in such a marine. as to conform to such standards, 12. Entire Agreement/Law Governing. This agreement constitutes the entire agreement between the parties and Supmedes all prior agreements between Customer and Utility for the service heroin described, and Utility, Its agents and employees have made no to - presentations. promises, or made any inducements, written or verb.], which are not contained herein. Customer agrees that It is not relying on any statements not herein contained. This agreement shall be construed end governed in accordance with the laws of the State of Texas. 13. Assignment. This agreement shall not be salaried by Customer except in accordance with the Articles. Bylaws, and rules and regulations of Cooperative. This agreement shall Inure to the benefit of Cooperative', assigns. Id. Meter Tampering. In the event utility reasonably determines that its meter at equipment has been tampered with or bypassed the Cooperative may disconnect service and/or estimate electric energy consumed. Member agrees to pay such statement or statements reflecting the highest estimated usage of electricity by Member for the longest period time Such tempering or bypassing may hare continued plus all labor, material and equipment necessary to repair or replace damaged facilities. 15, Minimum Monthly Charge. The minimum charge for each billing period (approximating 30 days) shall be (1) the demand charge (g) 5 1><orrnin;y, whichever isgreater. 16. Contributions In Aid of Construction. Member shell ..it. a contribution In aid .(construction to COOPaestlVe In the amount of S VICTORIA ELECTRIC COOPERATIVE. INC. MEMBER By 1 • imAloPJ By Manager or6itharized Employee Properly Owner *.Q5 A6"m7Y.. ChayySe Pee Tenant ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: • CALHOUN TAX ASSESSOR/COLLECTOR — MAY 2016 • COUNTY CLERK — MAY 2016 • JUSTICE OF THE PEACE #3 — JUNE 2016 • JUSTICE OF THE PEACE #4 — JUNE 2016 • JUSTICE OF THE PEACE #5 — JUNE 2016 • FLOODPLAIN ADMINISTRATION — JUNE 2016 Commissioner Lyssy made a motion to accept reports of the following County offices: • Calhoun Tax Assessor/Collector — May 2016 • County Clerk — May 2016 • Justice of the Peace #3 — June 2016 • Justice of the Peace #4 — June 2016 • Justice of the Peace #5 — June 2016 • Floodplain Administration — June 2016 Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. 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C . C IL O O C N ..>'. c C O O O G 0 0 0 d 0 0 �' � O 0 O y O C V (Oj ..0. 0 �� ac% �U g adw �CiUU :300 £(n UU UU U IL 0 C ;O y x 'O U a+ C y>> "O a s c "O "O "O (p O (p c £ N C C a a (0 m (0 m (D R N Y N O (0 (0 y a LL a F T 6 o d o Q Q a a a a a LL a y a y a .y a y c �+ 6 V N m t N c a �' -2: m w E 'u e y O d C c— 7 x >> N 0l N O l6 Q O > y m w 0Uo. aCL a v! x 0 w M F Z w m w m m 0 Q O H `y CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION MAY 2011, OFSC GLCODE'. CIVIL CRIAiINAL OFFICIAL PUBUC RECORDS - PROBATE TOTAL DISTRICTATTORNEY FEES 1000+14020 $ 346.01 $ 346.01 COUNTY CLERK FEES 1000+14030 $ 422.00 $ 553.60 $ 9,415.70 $ 160.00 $ 10,551.30 JURY FEE 100044140 $ 40.00 $ 40.00 ELECTRONIC FILING FEES FOR E-FIUNGS 1000-44058 $ 148.00 $ - $ - $ 8.00 $ 156.00 JUDGE'S EDUCATION FEE 100044160 $ - $ 20.00 $ 20.00 JUDGE'S ORDER/SIGNATURE 1000-44180 $ 0.00 $ - $ 16.00 $ 24.00 SHERIFF'S FEES 100044190 $ - $ 327.00 $ - $ 100.00 $ 427.00 VISUAL RECORDER FEE 100044250 $ 60.09 $ 60.99 COURT REFPGRTER FEE 1000-44270 $ 135.00 $ 60.00 $ 195.00 ATTORNEY FEES -COURT APPOINTED 1000.49030 § 8,00 $ 8.00 APPELLATE FUND(TGC) FEE 2620-44030 $ 45.00 $ 20.00 $ 65.00 TECHNOLOGY FUND 2663-44030 $ 55.37 $ 55.37 COURTHOUSE SECURITY FEE 267OA4030 $ 45.00 $ 41.53 $ 351.00 $ 20.00 $ 457.53 COURT INITIATED GUARDIANSHIP FEE 2672-04030 $ 80.00 $ 00.00 COURT RECORD PRESERVATION FUND 2673A4030 $ '10.00 $ 10.00 $ 20.00 RECORDS ARCHIVE FEE 2675d4030 $ 3,370.00 $ 3,370.00 DRUG& ALCOHOL COURT PROGRAM 2698-44030005 $ 172.88 $ 172.80 JUVENILE CASE MANAGER FUND 2699-44D33 $ - $ - FAMILYPRO 'FICTION FUND 270644030 $ 15.00 $ 15.00 PRE-TRIAL ELVERSON AGREEM ENT 2729-44034 § 300.00 $ 300.OD LAW LIOARY FEE 2731.44030 $ 315.00 $ 140.00 $ 455.00 OPCORDSMANAGEMENT FEE -CO CLK 273944380 $ 34.59 IS 34.50 RECORDS MANGEM ENT 2739-10099,44030 $ 60.00 $ 311.40 $ 3,430.00 $ 30.00 $ 3,831.40 BOND FORFEITURE 274000IA5050 $ - $ - FINES - COUNTY COURT 274OA5040 $ 1,037.90 § 1,037.90 STATE POLICE OFFICER FEES 7020-20740 $ 2.35 $ 2.35 CONSOLIDATED COURT COSTS 7070-10899 $ - $ - CONSOLIDATED COURT COSTS -COUNTY 7070-29610 $ 110.57 $ 110.57 CONSOLIDATED COURT COSTS -STATE 7070-20740 $ 094.86 $ 994.88 DRUG& ALCOHOL COURT PROGRAM -COUNTY 7390-20610-999 $ 34.57 $ 34.57 DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740-999 $ 138.32 $ 130.32 STATE ELECTRONIC FILING FEE 7403-999-22087 $ 270,00 $ 120.00 $ 390.OD STATE ELECTRONIC FILING FEE CR 7403-999-22990 $ 69,19 $ 69.19 EMSTRAUMA 7405-999-20740 $ 359.51 $ 350.51 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ 4.50 $ 2.00 $ 6.50 CIVILINDIGENT FEE STATE 74BO-20740 $ 05.50 $ 30.00 $ 123.50 JUDICIAL FUND COO ITT COSTS 7495-20740 $ 2D7.61 $ 207.61 JUDICIAL SALARY FUND -COUNTY 7505-20610 $ 8,29 $ 8.29 JUDICIAL SALARY FUND -STATE 7505-20740 $ 74-75 $ 74.75 JUDICIAL SALARY FUND 7505-20740-005 $ 370.00 $ - $ 168.00 $ 546.00 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884 $ 6.07 $ 6.67 BIRTH -STATE 7855-20780 $ 91.80 $ 91.60 JUDICIAL FEE 7855-20786 $ 360.00 $ 160.00 $ 520.00 FORMAL MARRIAGES -STATE 7855-20788 $ 360.00 $ 360.00 NONDISCLOSU RE FEE 7855-999-20790 $ 20.00 $ 28.00 T01OSE COURT COST 7856-999-2074D $ 0.69 $ 0.60 JURY REIMBU RSEMENT FEE -COUNTY 7857-20610 $ 5.56 § 6.66 JURY REIMBURSEMENT FEE -STATE 7857-20740 $ 49.02 $ 49.02 STATE TRAFFIC FINE -COUNTY 7860-20610 $ 3.33 $ 3.33 STATE TRAFFIC FINE -STATE 7060.20740 $ 63.31 $ 63.31 INDIGENT DEFENSE FEE -COUNTY 7865-20610 $ 2.77 $ 2.77 INDIGENT DEFENSE FEE -STATE 7BG5-20740 $ 24.01 $ 24.91 TIME PAYMENT -COUNTY 7950-20610 $ 140.02 $ 146.02 TIME PAYM ENT -.STATE 7950-20740 $ 140.02 $ 148.02 DUE PORT LAVACA PD '-, 999099991 $ r43.01 $ '43.01. DUE SEADRIFT PD 9990-99992 $ $ DUE TO POINT COMFORT PD '. 999099993J $ - $ DUE TO TEXAS PARKS & WILDLIFE 999099994 $ $ DUE TO TEXAS PARKS& WILDLIFE WATER SAFETY 9990-99995 $ - DUE TOTAOC 999099996- $ - DUE TOOPERATING/NSF CHARGES $ $ $ $ 2,369.00 $ 5,745.40 $ 17,018.50 $ 1,162.00 $ 26,284.90 TOTAL FUNDS COLLECTED $ 26,204.90. - FUNDS HELD IN ESCROW: $ (4.00) AMOUNT DUE TO TREASURER: $ 26,241,09^! TOTAL RECEIPTS: $ 26,2009Dr AMOUNT DUE TO OTHERS: $ 39.01 1 OF2 O0.I1EPORTSUIGNTHLYAUDITOR MD TREASUER REPORTS12010,053110 TREASURER REPORTS MUMS CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION MAY 201E CASH ON HAND, TRUST FUND BEGINNING BOOK BALANCE 4/30/2016 4 $ 0,783.38 FUND RECEIVED : $ 15.00 DISBURSEMENTS $ ENDING BOOK BALANCE 5/31/2616 ' $ 9,790.30 BANK RECONCILIATION TRUST FUND ENDING BANK BALANCE 5/31/2016 $ 9,709.29 OUTSTANDING DEPOSITS" $ - OUTSTANDING CHECKS" $ (0,90) RECONCILED BANK BALANCE 5/31/2016 b 9,798.30 CERTIFICATES OF DEPOSITS IIELD IN TRUST -IBC BANK Co's Date issued Balance PBIefurse5) W)tOTltaWele Balance 1213112016 Interest 05131116 74926 11/19/2009 $ 1,846.54 $ 1,846.54 49466 1130/2013 $ 19.642.10 $ 49.09 $ 19,691.19 60782 1115/2015 $ 9,378.50 $ 23.44 $ 9,402.02 60790 1/1512015 $ 9,378.58 $ 23.44 $ 9,402.02 60804 1/15/2016 $ 9,370.58 $ 23.44 $ 9,402.02 60863 2/2/2015 $ 3,50D.00 $ 8.76 $ 3.500.76 60871 2/2/2015 $ 3,500.00 $ 0.76 $ 3.608.76 61134 6/20/2015 1 $ 38,558.20 $ 42.26 $ 3➢,600.46 TOTALS: $ 95,182.58 $ 136.91 $ $ 05,361.75 alb nk/yp( /(I 71612016 8 bmitted By: Anna M Goodman, County Clerk Dale 20F2 U.W.REPORTSWIONIFILMUDITOR AND TREASUER REPORIOU016.053110 TREASURER REPORTS P/Se616 ENTER COURT NAME ': JUSTICE OF PEACE NO.3 ENTER MONTH Of REPORT JUNE ENTER YEAR OF REPORT 2016 CODES AMOUNT CASH BONDS, REVISED 03/04/16 ADMINISTRATION FEE -ADMF BREATHALCOHOL TESTING -BAT CONSOLIDATED COURT COSTS -CCO 1,503.41 COURTHOUSE SECURITY-CHS '150.34 CJP CIVIL JUST DATA REPOS FEE -OJDR/MVF. `2.75 CORRECTIONAL MANAGEMENT INSTITUTE - OMI OR CHILD SAFETY -OS CHILD SEATBELT FEE - CSBF '. CRIME VICTIMS COMPENSATION - OVC DPSC/FAILURE TO APPEAR- OMNI.OPSO. 270.00 ELECTRONIC FILING FEE 20.00 FUGITNE APPREHENSION - PA !, OENERALREVENUE-GR 'GRIM -)ND LEGAL SVCS SUPPORT -IDF 76.17 JUVENILE CRIME & DELINQUENCY - JCR JUVEWLECASE MANAGER FUND -JCMF 5.00 JUSTICE COURT PERSONNEL TRAINING,- JCPT JUROR SERVICE FEE -JSF 150.33 LOCAL ARREST FEES - LAF 78.25 LEMI LEOA LEOC OCL PARKS & WILDLIFE ARREST FEES - PWAF 5.00 STATE ARREST FEES -SAF 104.67 SCHOOL CROSSING/CHILDSAfETY FEE - SCF SUBTITLE C-SUBG 816.00 TABC ARREST FEES - TAF -TECHNOLOGY FUND-TF 150.34 TRAFFIC -TFC $1.60 'TIME PAYMENT -TIME 233,28 TROANCYPREWDIVERSION FUND 65.17 LOCAL& STATE WARRANT FEES-WRNT 300.00. COLLECTION SERVICE FEE'•F1VBA--O$RV 1,021.60 ,DEF'BNSI EDRiVING CAURSE-ODC 19.80 DEFERRED FEE=OFF 669.40 DRIVING EXAM FEE- PROV DL ;FILING FEE-FFEE&CUFF 50.00 FILING FEE SMALL CLAIMS - FFSC COPIES/CERTIFED COPIES - OP INDIGENT FEE -CIFF Or INDF' 12.00 ,JUDGE FAY RAISE FEE, JPAY 225.51 GERVICEFEE-SFEE OUT-OF-QOUNTYSERVICE FEE EXPUNGEMENT FEE -EXPG. EXPIRED RENEWAL - EXPR. 10.00 ABSTAACTOF JUDGEMENT -AOg 5.00 ALL WRITS �WOP/WOE DPS FTAfINE - DP$F. 580.00 'LOCA4FINES-FiN,B 3,697.90. LICENSE & WEIGHT FEES - LWR . PARKS &WILDLIFE; FINE$-PWF 108.00 SEATBELTIUNRES.7 RAINSP CHILD FINE - SEAT "OVERPAYMENTOIO&OVER)-OVER OVERPAYMENT (LESS THAN $19) - OVER ,RESTITUTION -REST PARKS & WILDLIFE -WATER SAFETY FINE$-WSF WCR' . TOTALACTUALMONEY RECEIVED TYPEC AMOUNT TOTAL WARRANT. FEES 300.00 ENTER LOCAL WARRANT FEES 100.00 RECORDON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT ' BTATE WARRANT FEES' WO(UQ0(RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS:., AMOUNT DUETOCGISO=50%OfFIOeOnJV038@$ >0.O0.PLEASEINCLUDED.R. REQUESTING DISBURSEMENT DUE TO DA,RESTITUTION FUND 0-00. PLEASE INCLUDE D,R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS O.UO:`: PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT ODTOF,DOUNTY $ERLjCE FEE 0,00 : PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT CA$H BONGS - GAO# PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERS '.- 0:0 r TREA$URERSRECEIPTS FOR MONTH, U AMOUNT CASH, CHE S, M O,$ CREDIT CAR S $%310.50 Calculate from ACTUAL Treasurer's Recelpts TOTAL TR£AS. RECEIPTS ? 1 310. 0! MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/6/2016 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-00145013 FINES 4,194.10 CR 1000-001-44190 SHERIFF'S FEES 425.99 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 19.80 CHILD SAFETY 0.00 TRAFFIC 81.60 ADMINISTRATIVE FEES 679.40 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 780.80 CR 1000-001-44010 CONSTABLE FEES -SERVICE 0.00 CR 1000-001-44063 JP FILING FEES 55.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,021.60 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,477.49 CR 2670-001-44063 COURTHOUSE SECURITY FUND $112.76 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $37.59 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $150.34 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 60.93 P&W FEES 1.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 61.93 CR 7070-999-20610 CCC-GENERAL FUND 150.34 CR 7070-999-20740 CCC-STATE 1,353.07 DR 7070-999-10010 1,503.41 CR 7860-999-20610 STF/SUBC-GENERAL FUND 40,80 CR 7860-999-20740 STF/SUBC-STATE 775.20 DR 7860-999-10010 816.00 CR 7950-999-20610 TP-GENERAL FUND 116.63 CR 7950-999-20740 TP-STATE 116.63 DR 7950-999-10010 233.26 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 11.40 DR 7480-999-10010 12.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/6/2016 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.52 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 67.65 DR 7865-999-10010 75.17 CR 7970-999-20610 TL/FTA-GENERAL FUND 90.00 CR 7970-999-20740 TL/FTA-STATE 180.00 DR 7970-999-10010 270.00 CR 7505-999-20610 JPAY - GENERAL FUND 22.55 CR 7605-999-20740 JPAY-STATE 202.96 DR 7505-999-10010 225.51 CR 7857-999-20610 JURY REIMB. FUND- GEN, FUND 15.03 CR 7857-999-20740 JURY REIMB. FUND- STATE 135.30 150 DR 7857-999-10010 150.33 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.27 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.48 DR 7856-999-10010 2.75 CR 7998-999-20740 TRUANCY PREVENT/DIVERSION FUND 65.17 DR 7998-999-10010 65.17 CR 7403-999-22889 ELECTRONIC FILING FEE 20.00 DR 7403-999-10010 20.00 TOTAL (Distrib Req to OperAcct) $10,218.70 DUE TO OTHERS (Distrib Reg Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYME 0.00 OUT -OF -COUNTY SERVI( 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE; 91.80 WATER SAFETY FINES 0,00 TOTAL DUE TO OTHERS $91.80 TOTAL COLLECTED -ALL FUNDS $10,310.60 LESS: TOTAL TREASUER'S RECEIPTS $10,310.50 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 07-06-16;08:07 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/6/2016 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: JUNE YEAR OF REPORT: 2016 ACCOUNTNUMBER ACCOUNTNAME AMOUNT OR 1000-001-45014 FINES 2,824.26 OR 1000-001.44190 SHERIFF'S FEES 338.97 ADMINISTRATIVEFEES: DEFENSIVE DRIVING 59.40 CHILD SAFETY 0.00 TRAFFIC 50.83 ADMINISTRATIVE FEES 199.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000.001-44364 TOTAL ADMINISTRATIVE FEES 310.13 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 OR 1000-001-44064 JP FILING FEES 50.00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000.999.20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 542.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $4,215.76 OR 2670-001-44064 COURTHOUSE SECURITY FUND $93.35 OR 2720-001-44004 JUSTICE COURT SECURITY FUND $31.12 OR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $124.47 OR 2699-001.44064 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 55.00 P&W FEES 6.63 TABC FEES 0.00 OR 7020-999.20740 TOTAL STATE ARREST FEES 61.63 CR 7070-999-20610 CCC-GENERAL FUND 124.48 OR 7070-999-20740 CCC-STATE 1,120.28 DR 7070-999-10010 1,244.76 CR 7860-999-20610 STF/SUBC-GENERAL FUND 26.42 OR 7860-999-20740 STF/SUBC-STATE 482.91 DR 7860-999-10010 608.33 OR 7950-999-20610 TP-GENERAL FUND 101.50 OR 7950-999-20740 TP-STATE 101.49 DR 7950-999-10010 202.99 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND Oleo OR 7480-909.20740 CIVIL INDIGENT LEGAL -STATE 11.40 DR 7480-999-10010 12,00 Page 1 of 2 07-06-16;08:07 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/6/2016 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: JUNE YEAR OF REPORT: 2016 CR 7865-999-20610 GRIM-SUPP OF IND LEG SVCS-GEN FUND 6.22 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 56.02 DR 7865.999-10010 62.24 CR 7970-999-20610 TL/FTA-GENERAL FUND 50.00 CR 7970-999-20740 TL/FTA-STATE 100.00 DR 7970-999-10010 160.00 CR 7606-999.20610 JPAY- GENERAL FUND 18.67 CR 7505-999-20740 J PAY - STATE 168.04 DR 7505.999-10010 186.71 CR 7857-999-20610 JURY REIMB, FUND- GEN. FUND 12.45 CR 7857-999-20740 JURY REIMB. FUND -STATE 112.02 DR 7857-999-10010 124.47 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.20 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS,- STATE 1.79 DR 7856-999-10010 1,99 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 54.24 DR 7998-999-10010 54.24 CR 7403-999-22889 ELECTRONIC FILING FEE 20.00 DR 7403-999-10010 20,00 TOTAL (Distrib Req to OperAcct) $7,099.06 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 366.35 WATER SAFETY FINES 000 TOTAL DUE Tp 07HERS $366.35 TOTAL COLLECTED -ALL FUNDS $7,465.40 LESS: TOTAL TREASUER'S RECEIPTS $7,465.40 REVISED 03/04/16 OVER/(SHORT) Page 2 of 2 07-06-16;08:07 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4 PAYEE Name: Address: City: State: Zip: Phone: CALHOUN COUNTY 201 West Austin Calhoun County Oper. Acct. Signature of Official- t t Date DISTRIBUTION REQUEST DR# 480 A 42556 PAYOR Official: Wesley Hunt Title: Justice of the Peace, Pct, 4 07-06-16;08:57AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 1/ 7 AMP ✓US/7CEFOR AU -,- DATE July 6, 2016 FAX COVER SHEET JUDGE NANCY POMYKAL P O BOX 454 PORT O' CONNOR, TX.77982 (361)983-2351 -TELEPHONE (361)983-2461 - FAX COUNTY OF CALHOUN JUSTICE COURT PCT. 5 PAGES: 7 Including this cover TO: JUDGE MIKE PFEIFER & COUNTY COMMISSIONERS ATT: SUSAN FAX NUMBER(S) 361-553-4444 SUBJECT: JUNE 2016 MONEY DISTRIBUTION REPORT NOTE, Susan I am faxing the above report Have a great week! Call me if you have any questions. Thank you, %4E y P THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S) named in this message. This communication is intended to be and to remain confidential and may be subject to applicable attorney/client and/or work product privileges. If you are not the intended recipient of this message, or if this message has been addressed to you in error, please immediately alert the sender by fax and then destroy this message and its attachments. Do not deliver, distribute or copy this message and/or any attachments and if you are not the intended recipient, do not disclose the contents or take any action in reliance upon the information contained in this communication or any attachments. 07-06-16;08:57AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 2/ 7 Money bintw3,bvtion Report Receipt caudeln"R'n'lant CQdQm\AmGUntA Total 375776 1606-0107 06.06-2019 q$F 4.00 ccc 40.00 CHS 3.00 PWAF 5.00 TV 4.00 95,00 MARSH, BRENT LOOhN 17csr 1.00 JPAY 6.00 ZDF 2.00 TPDP 2l00 WSP 29.00 375779 1606-0202 OG-00l,2016 ITSF 4.00 TPC 3.00 ccc 40.00 CHS 3.00 SAP 5.00 170.00 GHALT, ClIkTATIAN HENRY TP 4.00 JCSF 1,00 JPAY 6.00 lox, 2.00 MVF 0.10 l'N . ....... "li • 375700 1906-0193 06-09-2016 orsp 4.00 TFC 2.00 CCC doloo CHS 3.00 LhF 5.00 110.00 OSVLL,IVAN, DRYTNEY BRIULLE! TV 4.00 JCSF 1.00 JPAY 6.00 IDV 2.00 MvF 0.10 Perao ' nal Cheek SUSC 30.00 TpDr 2.00 DDC 9.90 '7-5'7 35752 10 DIERLM 3757 RCY14 Caah SUBC 11.99 TPDV 0.00 17 37 5_1 86 :L6 ROBBETSOm 375788 1606-0209 06-22-2016 a$F 4.00 TFC 3.00 CCC 40.00 CBS 1.06 SAP 5-.00 170.00* POWER, EASTON ALLEN KOLE TB 4.00 JCSP 1.00 JPAY 6.00 TDF 2.00 MVP 0.10 C '7 -111 375790 160 ORLANDO, " )75792 1606-0210 06-2?-2016 JSF 4.00 ccc 40.00 CHS .. .... 5.00 I..'. TV .......... l-.1 4 .. 0 . 0 ... .... . .. i . 2 1, 0 ,0.... 0 RUE, RONALD WAYNE JCSF lloo JPAY 6100 IDF 2.00 TPDP 2.00 WSF 53.00 Money. Order . .... ..... MR ":l, . ..... . . ... ... .. .. .. . 37S794 1312-0599 06-27-2016 aSF 2.27 TFC 1.70 CCC 22.60 CHS 1170 Lh F 2.04 l0l. 00 FLORES, ADRIANNA TRINrDAD WRNT 29.36 TP 2.27 DI?Sc 17.01 JCSF 0.57 JPAY 3.49 Cash TOY 1.13 mvp 0.06 Svsc 17.01 175796 Ro nPICUF 175798 1606-DI99 06-29-2019 JSF 1.78 CCC 17.91 CBS 1.34 LAP 2.24 OCHOA, AARON XsVE JCSF 0.45 JPAY 2.0 IDP 0l90 TPDr 0.90 7.06-2016 1." 30.00 07-06-16;08:57AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 3/ 7 Money nlvtrlbvEion RODOrE AaCeiDc Cnuoe/AefendnnC Codeo\Amovneo _ T Eal 375000 1609-0190 06-30-2016 JSF 0.03 TPC 0.60 CCC 0.03 CNS 0.60 LAP 1.00 40.00 RGYNA, &ACRARY ALLSN TF 0.80 JCSF 0.20 GRAY 1.20 XAF 0.40 MVP 0.02 375002 1609-0176 06-30-2016 UXRF 20.00 RIM9ALL, COLTON AARON Money Ordar 7-06-2016 20.00 07-06-16;08:57AM;From:Calhoun County JP5 To:5534444 ;3619832461 4 4/ 7 Money Diotribution Report Type code Description Count Retained Diaburaed Monoy-Totala The 90110wing tOt410 roPrepent - Cnoh and Chocku Collected CO3T CCC CONSOLIDATED COURT COSTS 22 68.66 6L7.92 686.50 COST CHS COURTHOUSE SECURITY 22 51.49 0.00 51.49 COST OPSC PPS FAILURE TO APPEAR /OMNI FEES 1 5.G1 11,40 17.01 COST TDF INDIGENT DEFENSE FUND 22 3.43 30.D0 34.33 COST JC9P JUSTICE COURT SECURITY FUND 22 17.17 0.00 17.17 COST JPAY JUDGE PAY RAISE FEE 22 10.30 92.68 102.99 COST JSF JUROR SERVICE FUND 22 6.87 61.79 60.66 COST LAP SHERIFF'S FEE IS 65.U3 0.00 65.83 COST MVP MOVING VIOLATION FEE 17 0.13 1.15 1.28 COST FWAF TEXAS PARKS & WILDLIFE 3 12.00 3.00 15.00 COST SAP DPS 1 4.00 1.00 5.00 COST SUBC SUB TITLE C 16 351.50 0.00 331.30 COST TF TECHNOLOGY FUND 22 68.66 0.00 60.66 COST TPC TFC 16 35.15 0.00 35.15 COST TIME TIME PAYMENT FEE 3 25.00 25.00 SO.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 21 D.00 33.20 33,20 COST WANT WARRANT PER 1 28.36 0.00 2R.36 FEES UDC DRIVER SAFETY COURSE - 2013 3 25.70 0.00 29.70 FEES EXRF EXPIRATION RENEWAL FEE 2 30.00 0.00 30.00 FINE FINE FINE 7 409.40 0.00 409.40 FINE WSF WATER SAFETY PINE 4 30.05 220.1.9 259.00 Money Totals 25 1, 262.11 1,096.19 2,360.30 The following totala raj VoOont - Trnnoforo Collected COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0100 0.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 O.DO 0.00 COST JSP JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP SHERIFF'S FEE 0 0.00 0.00 0.00 COST MVP MOVING VIOLATION FEB 0 D.00 0.00 0.00 COST PWAP TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAP DPS 0 0.00 0.00 0.00 COST SUBC SUB TITLE C 0 0.00 0.00 0.00 COST IF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TPC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 O.OD 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION POND 0 0.00 0.00 0.00 COST WANT WARRANT FEE 0 0.00 0.00 0.00 FEES DDC DRIVER SAFETY COURSE - 2013 0 0.00 O.DO 0.00 PESS EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 Transfer Totalo 0 0.00 0.00 0.00 The ro110wiag totalo ropro6ont - Jail Credit and Commenity Service COST OCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST TDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE PER 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP SHERIFF'S FEE - 0 0.00 0.00 0.00 COST MVP MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST FWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.0D COST SAP DPS D 0.00 0.00 0.00 COST SUBC SUB TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TPC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 O.OD 0.00 0.00 MST TP➢F TRUANCY PREVENTION & DIVERSION FOND 0 0100 0.00 0.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 D7-D6-2016 PAgo 3 07-06-16;08:57AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 5/ 7 Type Cede Deaoription Count Retainad Dinbe ood Money-Totala FEES DOC DRIVER SAFETY COURSE - 2013 0 0.00 0.00 0.00 FEES BEEF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 Credit Totala 0 0.00 0.00 0.00 The following totalo roDronont - Credit Card Paymento COST CCC CONSOLIDATED COURT COSTS 2 0.00 72.00 80.00 COST CBS COURTHOUSE SECURITY 2 6.00 0.00 6.OD COST DPSC DPS FAILURE TO APPEAR IOMNI FEES 0 0.00 0.00 0.00 COST SDP INDIGENT DEFENSE FUND 2 0.40 3.60 4.00 COST JCSF JUSTICE COURT SECURITY FUND 2 2.00 0.00 2.00 COST JPAY JUDGE PAY RAISE PRE 2 1.20 10.00 12.00 COST JSF JUROR SERVICE FUND 2 0.60 7.20 8.00 COST LAP SHERIFF'S FEE 0 0.00 0.00 0.00 COST MVF MOVING VIOLATION FEE 1 0.01 0.09 0.10 COST PWAF TEXAS PARKS & WILDLIFE 1 4.00 1.00 5.00 COST SAP DVS I 4.00 1.00 5.00 COST SUBC SOD TITLE C 1 30.00 0.00 30.00 COST TF TECHNOLOGY FUND 2 0.00 0.00 8.00 COST TPC TFC 1 1.00 0.00 3.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST TFDF TRUANCY PREVENTION & DIVERSION FUND 2 0.00 4.00 4.00 COST WENT WARRANT FEE 0 0.00 0.00 0.00 FEES DDC DRIVER SAFETY COURSE - 2013 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0,00 0.00 FINE PINE FINE 1 99.90 0.00 69.90 FINE WSF WATER SAFETY FINE 1 5.25 29.75 15.00 Credit TOCa30 2 142.59 129.44 272.00 The following tOtalo roprasent - Combined Money and Cradits COST CCC CONSOLIDATED COURT COSTS 24 76.66 689.92 766.58 COST CHU COURTHOUSE SECURITY 24 57.49 0.00 57.49 COST DPSC DPS FAILURE TO APPEAR IOMNI FEES 1 5.61 11.40 17,01 COST IDF INDIGENT DEFENSE FUND 24 3.93 14.50 38.33 COST JCSF JUSTICE COURT SECURITY FUND 24 19.17 0.00 19.17 COST JPAY JUDGE PAY RAISE FEE 24 11.50 103.48 114.00 COST JSF JUROR SERVICE FUND 24 7.67 60.99 76.66 COST LAP SHERIFF'S FEE 18 65.83 0.00 95.03 COST MVP MOVING VIOLATION FEE 10 0.14 1.24 1.36 COST PWAF TEXAS PARXS k WILDLIFE 4 16.00 4.00 20.00 COST SAP DPS 2 8.00 2.00 10.00 COST SUBC SUB TITLE C 17 381.50 0.00 381.50 COST TV TECHNOLOGY FUND 24 76.66 0.00, 76,66 COST TFC TFC 17 38.15 0.00 38.16 COST TIME TIME PAYMENT FEE 3 25.00 25.00 50.00 COST TFDF TRUANCY PREVENTION & DIVERSION FUND 23 0.00 37.20 37.20 COST WRNT WARRANT FEE 1 20.36 0.00 28.36 FEES DDC DRIVER SAFETY COURSE - 2013 2 29.70 0.00 29.70 FEES SERF EXPIRATION RENEWAL FEE 2 30.00 SIBS 30.00 FINE FINE FINE 8 479.30 0.00 479.30 FINE WSP WATER SAFETY FINE 5 44.10 249.90 294.00 Report Totals 27 1,404.67 1,227.63 2,632,30 37-06-2016 Page 4 07-06-16;08:57AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 6/ 7 Money Distribution Report Data Pa oat Type Finos Court Costs Pena Honda RcatitatiOA Other Total 00-00-000D Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0100 0.00 Jail Credits & Comm Service 0.00 0.00 0100 0.00 0.00 0.00 0.00 Credit Cards & Tranafers 0.00 0.00 0.00 0.00 0.00 D.00 0.06 Total of all Collections O.DD 0.00 0.00 0.00 0.00 0.00 0.00 09-OS-1991 Caah & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail credits & Comm Service 0.09 0.00 0.00 0.00 0.00 0.00 0.00 Credit Carda & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o9-ai-1993 Cash & Chocka Collected 0.00 0.00 0.00 0.00 0.06 0.00 0.00 Jail Credits & Comm 80tVice 0,06 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 D.DO 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1995 Cash & Chocks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Servico 0.00 0.00 D.00 0.00 0.00 0.00 0.00 Crodit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all C011CCtiOna 0.00 0.00 0.00 0.00 0.00 0.09 0.00 09-01-1997 Cash & Chocks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Servico O.OD 0,00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Total Of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0100 0.00 09-01-2001 Cash & Checks Collected MO 0.00 0.00 0.00 0.00 0.00 0100 Jail Credits & Comm Sorvice 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Credit Cards & Transfere 0.00 0.00 0.00 0.00 also 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm 3ervica 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections O.DO 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash & Chocks Collected 960.40 1,632.20 59.70 0.00 0.00 0.00 2,360.30 Jail Credits & Comm Service 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Crodit Cards & Transfers 104.90 10,10 0.00 0.00 0.00 0.00 272.00 Total of all Collectiono 773.30 1,799.30 S9.70 0.00 0.00 0.00 2,632.30 TOTALS Cash & Checks Collected 660.40 1,632.20 59.70 0.00 D,00 0.00 2,360.30 Jail Credits & Comm Service 0100 0.00 0.00 0.00 D.00 0.00 0.00 Credit Cards & Transfera 104.90 167,10 0.00 0.00 0.00 0.00 272.00 Total of all Collections 773.30 1,799,30 59.70 0.00 O.Oo 0.00 2,652.30 07-06-2D16 Page S 07-06-16;08:57AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 7/ 7 moaev Distribution Report Deacri tl0 Count Co11n0tod Retained Dlaburaed State of TOXAa Quarterly Reporting Tota10 State Comptroller Cost and Fees Report Section I: Report for OEEenson Committad 01-01-04 Forward 41 1,140.08 1,148.08 D,00 09-01-01 - 12.31.03 0 0100 0.00 0100 08-31-99 - 00-31-01 0 0.00 0.00 0100 09-01-97 - 08-30-99 0 0.00 0.00 0.00 09-01-91 - 08-31-97 0 0.00 0.00 0.00 Dail Bond Foe 0 0100 0.00 0.00 DNA Testing Fee - Convictions 0 0.00 0100 0.00 DNA Tooting Foe - Comm Supvn 0 0.00 0.00 0.00 DNA Testing Pee - Juvenile 0 0.00 0100 0.00 EMS Trauma Fund (EMS) 0 0.00 0100 0.00 Juvenile Probation Diversion Foes 0 0.00 0.00 0.00 Jury Reimbursement Fee 24 74.99 7,67 60.99 Indigent Defense Fund 24 30.33 3.53 34.50 Moving violation Foes 1B 1130 0.24 1.24 State Traffic Fine 0 0.00 0.00 0.00 Section II: As Applicable Peace Officer Fees 6 30.D0 24.00 9.00 Failure to Appear/Pay Fees 1 17.01 5.61 11.40 Judicial Fund - Count County court 0 0100 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 Motor Carrier NOignt violations 0 0.00 0.00 0.00 Time Payment Fees 3 50.00 25.00 25.00 Driving Record Foe 0 0.00 0.00 0.00 Judicial Support Fee 24 114198 ll.50 103.49 Truancy Prevention and Diversion Fund 0 0100 0.00 0.00 Roport Sub Total 141 1,479.44 1,225.03 250.61 State Comptroller Civil Feen Report CF: Birth Certificate Fees 0 0.00 0.00 0.00 CP: Marriage License Peen 0 0.00 0.00 0.00 CF: Doclaration of Informal Marriage 0 - 0.00 0.00 0.00 CF: Nondisclosure Fees 0 0100 0.00 0.00 CF: Juror Donations 0 O.DD 0.00 0.00 CFI Justice Court Indig Filing Feaa 0 0.00 0.00 0.00 CF: Stat Prob Court Indig Filing Peen 0 0.00 0.00 0.00 CF: Stet Prob Court Judic Filing Paco 0 0.00 0.00 0.00 CF: Stat Cnty Court Tndig Filing Peen 0 0.00 0.00 0.00 CF! Stat Cnty Court Judie Filing Feeo 0 0.00 0.00 0100 CF: Cast Cnty Court Indig Filing Foes 0 0.00 0.00 0.00 CF: Cnst Cnty Court Judie Filing Feed D 9.00 0.00 0.00 CF: Diet Court Divorce h Family Law 0 0.00 0.00 0.00 CFI Dist Court Other Divorce/PAmily Law 0 0.00 0.00 0.00 CPe Dist Court Indig Legal Services 0 0.00 0.00 0.06 CF: Judicial Support Fee 0 0.00 0.00 0.00 Report Sub Total 0 0.00 0.00 D,00 Total Due For This Period 141 1,476,44 1,2.25.03 2$D,61 THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun County personally appeared Nancy PomykAl, Ju9tico of the Peace, Precinct No 5, Calhoun County, Texas, who being duly sworn, deposes and says that the Above SpA foregoing report is true and correct. Witness my hand this 6 day of JUdtiCe ogChe PeA Co, Preeirgq�Ct NO 5/ Calhoun,'County, Texan I!� Calhoun County Flo odplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: ladonna.thigpengcalhouncotx.org June 2016 Development Permits New Homes-4 Renovations-0 Mobile Homes-2 Boat Barns/Storage Buildings/Garages-1 Commercial Buildings-1 Total Fees Collected: $480.00 ACCEPT DONATIONS TO CALHOUN COUNTY: N/A DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AT PRECINCT #4 ROAD AND BRIDGE AS WASTE AND REMOVE FROM INVENTORY (SEE LIST): Commissioner Finster made a motion to declare items of County property at Precinct #4 Road and Bridge as waste and remove from Inventory (see list). Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 June 29, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda July 14, 2016. • Discuss and take necessary action to remove from Pct. 4 R&B inventory the following items which are being declared waste and disposed. o Inventory #24-0276 —TELEPHONE SYSTEM — M7310 ASH W/BNDRY MIC AD o Inventory #24-0235 — NITESTAR 50 W/PN-1030 KIT & ELECTRONIC INTERFACE AMP Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: 570 - PCT 4 ROAD & BRIDGE Requested By: APRIL TOWNSEND Inventory Number Description Serial No. Reason for Waste Declaration 24-0276 TELEPHONE SYSTEM OBSOLETE - OUTDATED 24-0235 NITESTAR 50 OBSOLETE - OUTDATED DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AT THE WASTE MANAGEMENT DEPARTMENT AS SURPLUS/WASTE AND REMOVE FORM INVENTORY (SEE LIST): Commissioner Lyssy made a motion to declare certain items of County property at the Waste Management Department as surplus/waste and remove from Inventory (see list). Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. Susan Riley From: vern lyssy <vern.lyssy@calhouncotx.org> Sent: Monday, June 20, 2016 10:27 AM To: 'Susan Riley' Subject: FW: Surplus List Susan, please add the surplus list for Patricia on the next agenda. Thanks Vern Lyssy -----Original Message ----- From: Patricia K [mailto:sugsplk57@yahoo.com] Sent: Friday, June 17, 2016 3:46 PM To: Vern Lyssy <vern.lyssy@calhouncotx.org> Subject: Fw: Surplus List --- On Fri, 6/17/16, Susan Riley <susan.riley@calhouncotx.org> wrote: > From: Susan Riley <susan.riley@calhouncotx.org> > Subject: Surplus List > To: patricia.kalisek@calhouncotx.org > Date: Friday, June 17, 2016, 9:18 AM > Patricia, I > cannot put your request on the agenda until I get something from > Vern.Susan > Susan > RileyAdministrative Assistant > toCalhoun County Judge Michael J. > Pfeifer and > Commissioners' Court361-553-4600 > Phone361-553-4444 > Fax 1 06/07/2016 09:10AM 3615512311 CAL CO WASTE MGMT PAGE 01/02 Company Name: Calhoun County Solid Waste/Recycling Phone:361-552-7791 FAX: 36l-551-2311 TO: 51ASGM lAgn ~ FAX #: -Ibl 553-ggqq DATE: 4 / q& FROM: Patricia Kalisek FAX #: 361-551-2311 # OF PAGES: A MESSAGE: %hems 6c n2rrvc60 waste 00"na f 1 V1v�.11-}0 r 1� �o r �' Co CdSC) 0CM&.0 V AAA 1 aD (5e1tk) 06/07/2016 09:10AM 3615512311 CAL CO WASTE 14GMT PAGE 02/02 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FOR M Department Name: WaAWtqn- 1Jt RequestedBy: mw'« ic('1S4 Inventory Reason for Surplus/Salvage v DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE: N/A MATTER OF TRANSFERRING CERTAIN ITEMS OF COUNTY PROPERTY FROM ONE COUNTY DEPARTMENT TO ANOTHER COUNTY DEPARTMENT (SEE LIST): N/A APPROVAL OF PAYROLL: Commissioner Finster made a motion to approve the following payrolls for June 2016: • June 3, 2016 $ 262,140.50 • June 30, 2016 262 825.25 TOTAL $ 524,965.75 Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. CALHOUN COUNTY PAYROLL 2016 MONTH / JUNE Payroll through 06-03-2016 $ 262,140.50 Payroll through 06-30-2016 $ 262,825.25 APPROVED TOTAL PAYROLL $ 524,965.75 The items listed above have been pre -approved by all Department Heads and I certify that funds were available to pay the obligations. I certify that the above is true and correct to the best of my knowledge July 7, 2016. APBROVED , RH NDA S. KOKENA, JUL 14 2016 CALHOUN COUNTY TREASURER k;ALhU-,,., .✓jUNTY 30MMISSIONFRS COURT ACCEPTED AND APPROVED THIS THE DAY OF ] , 2016 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979. BUDGET ADJUSTMENTS: Commissioner Finster made a motion to approve necessary budget adjustments. Commissioner Galvan seconded the motion. 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Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy and Finster all voted in favor. July 14, 2016 2016 APPROVAL LIST - 2016 BUDGET 48 COMMISSIONERS COURFMEETING OF 07/14/16 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 47 $ 409,775.00 FICA P/R $ 45,494.20 MEDICARE P/R $ 10,639.82 FWH P/R $ 38,396.87 AFLAC P/R $ 4,566.46 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,670.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,869.24 PRINCIPAL FINANCIAL GROUP P/R $ 2,784.83 TEXAS ASSOCIATION OF COUNTIES 14EBP P/R $ 189,365.76 TEXAS ASSOCIATION OF COUNTIES - UNEMPLOYMENT FUND P/R $ 5,974.41 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 131,960.60 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 347.67 4C SERVICES A/P $ 2,840.57 AT&T MOBILITY A/P $ 3,063.02 BANK OF TEXAS A/P $ 1,052,900.00 BEN E KEITH FOODS A/P $ 8,279.56 CABLE ONE A/P $ 1,793.70 CARDMEMBER SERVICE - SHERIFF/JAIL A/P $ 5,624.22 CARDMEMBER SERVICE - COUNTY A/P $ 5,368.92 CECILIA CASTILLO AN $ 13.50 CENTERPOINT ENERGY A/P $ 72.52 CINTAS A/P $ 168.35 CITY OF POINT COMFORT A/P $ 116.37 CITY OF PORT LAVACA A/P $ 6,783.73 CITY OF SEADRIFT A/P $ 167.94 CONSTELLATION NEW ENERGY A/P $ 26,478.89 FRONTIER COMMUNICATIONS A/P $ 1,639.55 G&W A/P $ 6,505.00 GBRA A/P $ 298.28 HAYS COUNTY TREASURER A/P $ 2,750.00 JACKSON ELECTRIC COOP, INC. A/P $ 461.36 LA WARD TELEPHONE EXC. INC. A/P $ 325.11 LUIS LEIJA A/P $ 180.26 MCI COMM SERVICE A/P $ 28.36 MCI MEGA PREFERRED A/P $ 318.13 NORWOOD, BRIAN A/P $ 3,500.00 PORT O'CONNER IMPROVEMENT A/P $ 153.56 PORT LAVACA WAVE A/P $ 546.75 REPUBLIC SERVICES #847 A/P $ 1,335.24 TANYA DIMAK A/P $ 1,344.21 TISD, INC A/P $ 239.97 TRACTOR SUPPLY CO. A/P $ 186.25 VERIZON WIRELESS A/P $ 165.14 VICTORIA COUNTY HEALTH DEPT A/P $ 6,708.33 VICTORIA ELECTRIC CO-OP A/P $ 2,966.25 VISTA A/P $ 9,050.00 VOYAGER A/P $ 8,873.63 WALLIS THOMAS D A/P $ 150.00 WASTE MANAGEMENT A/P $ 1,030.11 WEXBANK A/P $ 145.35 TOTAL VENDOR DISBURSEMENTS: $ 2,006,417.97 TOTAL TRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 2,006,417.97 SINGLE SOURCE, EMERGENCY AND PUBLIC WELFARE PURCHASES AND BILLS: N/A PUBLIC DISCUSSION OF COUNTY MATTERS: Gary Williams addressed the Court regarding the status of County Road 301 in Precinct 3. ADJOURNED AT 10:34 A.M.