2004-06-10Regular June Term Held June 10, 2004
THE STATE OF TEXAS §
COUNTY OF CALHOUN §
BE iT REMEMBERED, that on this le day of June, A.D., 2004 there was begun and holden at •
the 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 G)unty and State, and there were present on this date
the following members of the Court, to -wit:
Michael J. Pfeifer County Judge
Roger C. Galvan Commissioner, Precinct 1
Michael J. Balajka Commissioner, Precinct 2
Kenneth W. Finster Commissioner, Precinct 4
Wendy Marvin Deputy County Clerk
Commissioner H. Floyd, was absent from the meeting.
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge of Allegiance.
MEMORIAL MEDICAL CENTER — MONTHLY FINANCIAL REPORT:
The Memorial Medical Center monthly financial report was presented by Saad Makhail.
Buzz Currier, Hospital Administrator spoke to the court, he reported that June's average daily
census has been 19-1/2 which is more than usual and not a usual census for the summer months.
The hospital feels they will be back on budget and moving in the right direction. The hospital is
actively engaged in physician recruitment at this time with the loss of Dr. Gill and the closing of
Dr. Apostol's Office on June 20, 2004. They have recruited a doctor that will be here on July 6,
2004 for Dr. McFarland's Office. The hospital is also doing recruitment for the replacement of
Seed Makhail.
MEMORIAL, MEDICAL CENTER •
YEAR YO-DATE SUMMARY
APRIL 30, 2004
OPERATING REVENUE
5,632,269
LESS:
OPERATING EXPENSES
(5,674,886)
_
(42,617)
CHANGE IN INVESTMENT:
- -
Accounts Receivable-
(165,945)
(Ina) Decr
Accounts Payable-
(79,916)
Ina (Dea)
.
Prepaid Expense-
(61,976)
(Ina) Dec
Inventory
17,433
(Ina) Dee
(290,405)
TOTAL INVESTMENT CHANGE
(INCR)DECR
(333,022)
PLUS:
Depredation
495,944
Contribution to the County
0
162,923 •
PLUS:
County Subsidies Hospital
0
Total Cash-
162,923�
Ina (Dear)
LESS:
Equipment Purchases 80,g47
NET CASH- INCR (DECR) 243,869 82-1
•
•
•
CALHOUN COUNTY, TEXAS
COUNTY TREASURER'S REPORT
MONTH OF: APRIL 2004
BEGINNING
ENDING
FUND
FUND BALANCE
RECEIPTS
DISBURSEMENTS
FUND BALANCE
MEW ORLAL NIEDICAL CENTER:
OPERATING
MEMORIAL
3772,126.77
$1,357,368.4D
$1,390.367.27
5739,127.90
RESTRICTED DONATION
17.273.21
13,699.76
2124
0.D0
17�294.45
INDIGENT HEALTHCARE
123,975.47
16.94
146,819.92
0.D0
L22,300.26
13,716.60
149,495.13
TOTALS
5927,075.21
31,304216.40
$1,512,667.53
$918,634.08
RANK RECONCHUATIOY
LESS: CENT.
FUND
OFDEPOSIT
PLUS. CHECKS
BANK
FUND
BALANCE
OTHERITEMS
OUTSTANDING
A4LANCE
MEAlORL1L AUDICAL CENTER:
OPERATING
MEMORIAL
739,I27.90
0,00
242,991.89
932,119.79
RESTRICTED DONATION
L7,294.45
13,716.60
0.00
D.00
17,29445
INDIGENT HEALTHCARE
148495.11
000
OBO
O.OD
13,716.60
877.60
149.372.73
TOTALS
3918,6338E 1
$0.00
S243,869.49
$1,162".57
822
2
ME=MORIAL MEDICAL CENTER
PORT LAVACA, TEXAS
PHYSICIAN'S ANALYSIS REPORT
APRIL 30, 2004
�J
YTD
YTD
YTD
REVENUE
CONTRACTUAL
WRITE-OFF
NETREVENUE
NAME
MONTH
YTD
AMOUNT
AMOUNT
GENERATED
PERCENT
APOSTOL, C.F.
41,648.76
189,710.79
40,127.29
12,520.91
137,062.59
72%
WILLIAM, G.A.
49,662.79
387,965.89
71,419.72
25,605.75
290,940.42
75%
LIN, M.S.
207,822.47
648,257.79
221,290.71
42,785.01
384,182.06
59%
SMITH, I.K.
110,189.06
4I0,693.84
115,787.22
27,105.79
267,800.83
65%
CHEN, D.
0.00
126,069.60
52,070.36
8,320.59
65,678.65
52%
MCFARLAND, T.R.
269,551.45
890,543.23
241,020.46
58,775.85
590,746.92
66%
GRIFFIN, JEANNINE
28,810.03
84,643.48
(2,203.08)
5,586.47
81,260.09
71%
BUNNELL, D.P.
307,207.16
1,042,819.95
387,796.82
68,826.12
586,197.01
56%
NIRATSUWAN
20,804.19
132,074.00
15,282.39
8,716.88
108,074.73
82%
ARROYO-DIAZ, R.
244,605.93
871,140.10
335,992.16
57,495.25
477,652.69
55%
GILL, J.
136,669.41
396,496.79
88,482.27
26,168.79
281,845.73
71%
WILLIAMS, WES
76,020.10
252,683.20
40,147.92
16,677.09
195,858.19
78%
CUMMINS, M.
49,897.56
160,228.08
48,310.17
10,575.05
101,342.86
63%
RUPLEY, M.
12,972.20
50,540.05
5,289.87
3,335.64
41,914.54
83%
LEE, J
36,857.10
201,706.33
75,918.22
13,312.62
112,475.49
56%
STEINBERG, R.
10,228.12
37,439.39
3,653.30
2,471.00
31,315.09
84%
RAMOS LABORATORY
3,609.31
15,032.30
12.68
992.13
14,027.49
93%
VISITING PHYSICIANS
304,465.63
1,215,387,78
302,884.35
80,215.59
832,287.84
68%
ER PHYSICIANS
547,707.51
2,143,530.73
333,276.37
141,473.03
1,668,781.33
78%
.
NO LOCAL PHYSICIAN
3,345.77
5,789.73
1,951.86
382.12
3,455.75
60%
OTHER
528,689.53
2,003,454.59
221,609.07
137,560.07
1,644,285.45
82%
TOTAL
2,990,764.06 11,266,207.62 2,600,120.13 748,901.77 7,917,185.72
3
70%
0
•
00
MEMORIAL NEDICAL CENTER
BALANCE SHEET
05/17/04 08:57 AM
AS OF: 04/30/04
THIS YEAR
LAST YEAR
LAST MONTH
04/30/04
04/30/03
03/31/04
CURRENT ASSETS
CASH
OPERATING FUND
739.127.90
1,998,740.28
772,126.77
IMPREST CASH ACCOUNT
51000.00
5.000.00
5.000.00
PETTY CASH
625.00
625.00
625.00
RESTRICTED DONATION
13,756.20
13.498.47
13.739.36
MMP BOND SINKING FUND/INTEREST
36.21
36.21
36.21
TOTAL CASH ..............................
758,545.31
2,017,899.96
791.527.34
ACCOUNTS RECEIVABLE
PATIENT ACCOUNTS RECEIVABLE
4,997,905.80
4,642,782.62
4,564,551.76
ALLOWANCE FOR BAD DEBT
•
(2,399,035.00)
(2,174,666.00)
(2:191.026.00)
MISC ACCOUNTS RECEIVABLE
187,532.13
253,797.40
290,706.79
THIRD PARTY RECEIVABLE
.00
63,718.00
.00
TOTAL ACCOUNTS RECEIVABLE ...............
2,786,402.93
2,785,6Z O2
2.664.232,55
INVENTORIES
RRDIOLOGY--FILM
2,952.50
8,437.19
5,043.53
LABORATORY
CENTRAL SUPPLY
61.040.56
50.373.65
75,558.80
SURGERY
97,626.95
111,595.54
88,572.35
DIETARY
157.175.52
154.643.59
162,995.86
MAINTENANCE
8,355.69
9,847.61
% 886.88
PHARMACY
4.569.36
4.128.79
3.424.32
120,919.55
144,211.73
121,499.22
TOTAL INVENTORY .........................
452.640.13
483.238.10
466.980.96
PREPAID EXPENSES
PREPAID INSURANCE
74,245.97
63,387.12
96.292.06
PREPAID EXPENSES
36.400.98
34.858.24
58.282.97
TOTAL PREPAID EXPENSES ..................
110.646.95
98.245.36
154,575.03
TOTAL CURRENT ASSETS ....................
4,108,235.32
5,385,015.44
4,077,315.88
PLANT, & EQUIPMENT
•PROPERTY.
LAID
32,142.60
32.142.60
32,142.60
-BUILDINGS
9,827,744.87
8,827,365.87
8.937.744.87
FIXED EQUIPMENT
2,413,482.03
2,408,710.36
2,413,482.03
MAJOR MOVABLE EQUIPMENT
10,000,814.44
9.369.275.48
9.938.388.73
MEMORIAL MEDICAL PLAZA
7,249,846.35
7,245,046.35
7,249,846.35
REPORTABLE BOND INSUARNCE COST
70.557.00
70.557.00
70.557.00
LESS: ACCUMULATED DEPRECIATION
(16,922,965.12)
(15,426,514.27)
(16.798.767.68)
TOTAL PROPERTY, PLANT, & EQUIP
11,681,622.17
12,526,583.39
11,743,393.90
TOTAL UNRESTRICTED ASSETS ...............
15,789,857.49
17,911,598.93
15,820,709.78
a 824
MEMORIAL MEDICAL CENTER
BALANCE SHEET
05/17/04 08:57 AM
AS OF: 04/30/04
THIS YEAR
LAST YEAR
LAST MONTH
04/30/04
04/30/03
03/31/04
CURRENT LIABILITIES
ACCOUNTS PAYABLE
462,%8.83
618,563.75
527,844.71
ACCRUED PAYABLES
35,654.10
134,158.41
59.542.02
ACCRUED -PAYROLL
309,530.13
337,220.75
259,199.34
ACCRUED RETIREMENT
(17.30)
(331.33)
(17.30)
ACCRUED STATE SALES TAX .
(6.74)
610.02
3.38
THIRD PARTY PAYABLES
.00
273.602.00
.00
ACCRUED VACATION/HOLIDAY/SICK
284,643.39
284,643.39
284,643.39
CAPITAL LEASES OBLIGATION
396.832.00
396.86-2.00
396.832.00
REPORTABLE BOND DISCOUNT
(18,290,00)
08.290.00)
(18,290.00)
HOSP OBLIGATION FOR BONDS
24.228.76
(2.039.00)
24.222.00
TOTAL CURRENT LIABILITIES ...............
1.495.543.17
2.026.969.99
1.532.979.54
LONG TERM LIABILITIES
NP BIDS
2,310,000.00
2,490,000.00
2,310,000.00
LONG TERM LEASE
1.107.360.00
1,107,360.00
1.107.360.00
TOTAL LONG TERM LIABILITIES .............
3,417,360.00
3,597,360.00
3,417,360.00
TOTAL LIABILITIES .......................
4,912,903.17
5,624,329.99
4.950,3339.54
RETAINED EARNINGS
GENERAL FUND BALANCES
11,415,515.20
12,146,196.45
11,415,515.20
YEAR-TO-DATE GAIN/LOSS
(538,560.as)
141,056.39
(545.144.96)
TOTAL GENERAL FUND BALANCE .............. 10,8716,954.32 12,287,252.84 10.870.370.24
TOTAL UNRESTRICTED LIABILITIES.......... 15,789,857.49 17,911,582.83 15,820,709.78
RESTRICTED FUND ASSETS
MEMORIAL FUND 17,294.45 17.010.59 17,273.21
FORM TRUST 532.637.41 533.637.41 533.637.41
TOTAL RESTRICTED FUND ASSETS............ 550.931.86 550.648.00 550.910.62
RESTRICTED FUND LIABILITIES
RESTRICTED FUND BALANCE 17,294.45 17,010.59 17.273.21
FORMOSA TRUST BALANCE 533„637.41 533,637.41 533,637.41
TOTAL RESTRICTED FUND LIAR .............. 550.931.86 MO, 648.00 550.910.62
5
•
•
� 9+i
•
Operating Revenue
Inpatient Revenue:
Medicare
Medicaid
Other
Total IP Revenue
MEMORIAL MEDICAL CENTER
OPERATING STATEMENT
For the 04 Months Ending
April 30, 2004
SINGLE MONTH
Current Budget Prior Year
545,564.40 547,247.77 671,314.19
121,660.54 158,965,37 124,806.63
295,586.12 310,332.23 224,630.40
962,811.06 1, 016,545.37 1,020,751.22
YTO IP Revenue Variance
i Outpatient Revenue
Medicare
925,456.27
1,053,188.60
709,768.56
Medicaid
231,664.14
159,655.99
126,466.63
Other
870,832.59
715,288.55
1,125,959.82
Total OP Revenue
2,027,953.00
1,928,133.14
1,962,195.01
YTD OP Revenue Variance
Total Operating Revenue
2,990,764.06
2,944,678.51
2,982,946.23
YTD Total Revenue Variance
Revenue Deductions
Medicare Cant Adj.
(861,532.72)
(755,718.79)
(903.668.24)
Medicare Pass-thru
33,787.00
0.00
36,972.00
Medicaid Cont. Adj,
(215,408.84)
(161,317.15)
(154,741.63)
Indigent/Charity, Cont. Adj.
(88,393.70)
(89,836.67)
(74,286.87)
Bad Debt Expense
(219,011.78)
(172,062.13)
(149,016.70)
Other Deductions
(163,955.48)
(235,966.96)
(191,586.96)
Total Rev Deductions
(1,514,515.52)
(1,414,901.70)
(1,436,328,40)
Deducts as % of Oper Revenue
Payments as % of Oper Revenue
Other Revenue
Cafeteria Sales
fterest Income
terest from Bonds
merest from Hosp Portion
Mall Rental
Miscellaneous Income
Total Other Revenue
Net Revenue
YEAR TO DATE
Current YTD Budget YTD Prior YTD
1,822,093.99 2,207,023.05 2,687,577.00
600,075.97 641.160.22 498,083.74
1,078,141.85 1,251,673.43 1,081,586.09
3,500,311.81 4,099,856.70 4,267,246.83
(599,544.89)1(76fi,935.02
3,540,168.04
4,247,862.76
2,853,302.94
900,906.22
643,945.69
518,341.74
3,324,821.56
2,884,997.16
4,443,128.95
7,765,895.82
7,776,805.61
7,814,773.63
(10,909.79
(48,877.81)
11,266,207.63
11,876,662.31
12,082,020.46
(610,454.68) (815,812.83)
(3,293,020.68)
(3,048,065.58)
(3,457,453.91)
204,027.59
0.00
205,407.37
(762,250.38)
(650,645.70)
(733,872.47)
(379,220.10)
(359,346.68)
(226,097.61)
(748,901.77)
(693,983.91)
(729,061.57)
(748 236.27)
(951,733.52)
(788,950.03)
(5,727,601.61) (5,703,775.39) (5,730,028.22)
52.65% 48.03% 49.13%
47.35%1 51.97% 50.87%
7,151.34
7,377.05
7,576.44
32,432.57
29,754.10
32,144.62
1,192.24
2,459.02
5,378.91
5,397.04
9,918.04
19,573.64
16.84
0.00
42.94
90.83
0.00
150.19
0.00
0.00
0.00
0.00
0.00
0.00
5,937.90
0.00
11,441.76
27,708.65
0.00
42,542.94
7,408.86
2,868.85
2,281.24
28,034.25
11,571.05
90,207.25
21,707.18
12,704.92
26,721.29
93,663.34
51,243.19
184,618.64
1,497,955.72
1,542,481.73
1,573,339.12
5,632,269.36
6,224,130.11
6,536,610.88
Page-'.::
6
MEMORIAL MEDICAL CENTER
OPERATING STATEMENT
For the 04 Months Ending
April 30, 2004
SINGLEMONTH
—
YEAR TO DATE
—
Current
Budget
Prior Year
Current YTD
Budget YTD
Prior YTD
•
Operating Expense
Salaries
575,603.99
596,292.79
582,583.43
2,290,077.83
2,405,047.48
2,335,529.16
Employee Benefits
121,138.08
146,157.311
191,956.99
681,575.64
597,568.13
575,637.98
Professional Fees
192,872.20
239,389.51
224,057.54
801,506.04
957,058.04
930,947.93
Plant Operation
30,392.40
34,661.41
32,707.23
143,349.80
138,764.50
124,665.74
Hospital General
58,443.62
50,583.34
25,653.53
213,079.82
202,333.36
180,919.44
Other Operating Expenses
388,723.91
455,288.79_
458,959.41
1,545,296.99
1,830,312.19
1,768,465.54
Total Operating Expense
1,367,174.20
1,524,373.1E
1,515,918.13
5,874,886.12
6,131,083.70
5,916,165.79
(456,197.58)
F (241,279.67)
Net Operating Gain/(Loss)
130,781.52
18,108.55�
57,420.99
(42,616.76)
93,046.41
620,445.09
Non -Operating Expense
Depreciation
124,197.44
126,932.50
126,165.58
495,944.12
507,730.00
507,729.83
Contribution to County
0.00
0.00
0.00
0.00
0.00
0.00
Total Non -Operating Expense
124,197.44
126,932.50
126,165.58
495,944.12
507,730,00
507,729.83
Total Operating Gaml(Loss)
6,584.08
(108�823.95I
(fi8,744.59)
(538,560.88)
(414,683.59)
112,715.26
County Subsidy
0.00
0.00
0.00
0.00
0.00
(28,341.13)
Net GaiN(Loss) after Subsidy
6,584.08
(108,823.95)
(68,744,59)
(538,560.88)
(414,683.59)
141,056.39
Page.1.
is
s
827
E
MEMORIAL MEDICAL CENTER
AGING OF ACCOUNTS RECEIVABLE
AS OF APRIL 30, 2004
0-30
31-60
61-90
91-120
OVER 120
TOTAL
MEDICARE
1,321,964
145,414
57,165
84,910
199,691
1,809,144
Percent
73%
8%
3%
5%
11%
36%
MEDICAID
249,075
37,701
32,404
16,514
38,083
373,777
BLUE CROSS
67%
217,047
10%
104,044
9%
63,312
4%
32,856
10%
31,247
7%
Percent
48%
23%
14%
7%
7%
448,506
9%
COMMERCIAL
739,609
369,295
256,262
129,895
214,793
1,709,854
Percent
PRIVATE
43%
22%
15%
8%
13%
34%
Percent
99,058
15%
135,587
83,721
84,416
253,928
656,710
21%
13%
13%
39%
14%
TOTAL
Percent
2,626,753
792,041
492,864
348,591
737,741
4,997,991
53%
16%
10%
7%
14%
100%
Outstanding AR Days: 52.90 April
49.35 March
00
MEMORI(6. MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
05/n/04 06=34 PM
FOR
THE 4 MONTHS ENDING W3014
- ---
SINGLE
MONTH
-----YEAR
TO
DATE ---------
ACTUAL
BUDGET
$ VARIANCE
% VAR
ACTUAL
BUDGET
I VARIANCE
i VAR
63 NUURSING STATION
£VENUE
tMMI E REVENUE
12,435.00
14,779.49
(2,344.49)
(15.86)
52420.00
59,610.57
(7,090.57)
(11.89)
TOTAL REVENUE.
12,435.00
14,779.49
(2,344.49)
(15.86)
52,520.00
59,610.57
(7,090.57)
(11.89)
](Pow
SALMM
22,479.50
17,332.05
(5,146.45)
(29.69)
90,171.24
69,905.90
(20,265.34)
(28.98) •
OTUER EXPENSES
21361.19
2,529.27
1b8.08
6.64
13481.00
10,435.76
(2,945.24)
(28.22)
TOTAL EXPENSES
24,839.69
19,861.32
(4,978.37)
(25.06)
103,552.24
$0,341.66
(23,210.58)
(28.88)
NET GAIN/(LOSS
(12,404.69)
(51081.83)
(7,322.86)
(144.09)
(31,032.24)
- (20,731.09)
(30,301.15)
(146.16)
ID'SStR6 NURSING STATION
EVF38IE
ROUTINE REVENUE
L43,080.00
130,773.95
(7,693.45)
(5.88)
451,465.00
527,452.86
(75,987.86)
(14.40)
TOTAL REVENUE.
XPEMSES
1273,080.00
00,773.45
(71693.45)
(5.88)
451,465.00
527,452.86
(75,997.86)
(14.40)
SALARIES
78,673.34
76,849.34
(1,8224.00)
(2.37)
2%,407.46
309,959.03
18,471.57
5.95
um EXPENSES
14,169.86
29,138.80
14,968.94
51.37
57,932.54
116,835.21
58,902.67
50.41
TOTAL EXPENSES
92,B4;.20
105,988.14
13,144.94
12.40
349,420.00
426,794.24
77,374.24
18.12
NET Gm/(LOSS
30,236.80
24,785.31
S,4'.�1.49
21.99
102,045.00
100,658.62
1,386.38
1.37
CU NURSING STATION
ERF181E
INPATIENT REVEN(1
75,530.00
69,213.47
6,316.53
9.12
232SW.00
279,160.94
(46,660.94)
(16.71)
OUTPATIENT REVEN
w
.00
.00
.00
DD
DO
.00
.00
TOTAL REVENUE.
75,530.0)
69,215.47
6,316.53
9.12
232,500.00
279,160.94
(46,660.94)
(16.71)
XPENSES
SALARIES
42,997.10
44,355.25
11358.15
3.06
153,488.41
178,899.50
25,411.09
14.20
OTHER EXPENSES
7;295.10
16,943.74 -
9,648.64
56.94
26,258.80
68,041.83
41,783.03
61.40
TOTAL EXPENSES
50,292.20
61,208.99
11,W6.79
17,9E
179,747.21
246,941.33-
27.21
NET.WW(LQSS
25,237.80
7,914.48
17,393.32
218.88
52,752.79
32,219.61
�67,194_12
20,533.18
63.72 •
U4SER9 NURSING STATION
EVm
ROUTINE REVENUE
8,670.00
101285.65
(1,615.65)
(15.70)
406440.00
41,485.45
(1,045.45)
(2.52)
TOTAL REVENUE.
8,670.00
10,285.9
(1,615.65)
(15.70)
40,440.00
41,485.45
(11045.45)
(2.52)
XPENSES
SALARIES
8,396.12
10,701.23
2,305.11
21.54
42,494.22
61161.61
667.39
1.54
OTHER EXPENSES
704.69
21218.54
1152.85
68.23
10,108.93
8,947.32
(1,161.61)
(12.98)
TOTAL EXPENSES
911U0.82
�(430.81)
12,919.77
31()18.%
29.Vi
52,603.15
52,108.93
(494.,")
(.94)
MET GAIN/(LOSS
(2,634.L)
2,203.31
83.64
(12,163.15)
(10,623.48)-'(1,539.67)
(14.49)
9
829
C�
ACTUAL
SURMY AND RECOVERY ROOM
REYM
INPATIENT REV A
58,228.45
OUTPATIENT RIVEN
134,145.35
TOTAL REVENUE.
192,393.80
EXPENSES
SALARIES
37,75S.43
LEASE AND RENTAL
449.17
OTHER EXPENSES
34,158.64
TOTAL EXFE7l5ES
72,343.21
NET GAIN/(LOSS
120,030.56
WING BED
REVENUE
TINE REVENUE
1,830.00
TOTAL REVENUE.
1,830.00
EXPE MS
am -AM
.00
OTHER WENSES
72.91
TOTAL EXPENSES
72.91
NET GAIN/REVEN
1,757.09
OBSERVATION REVENUE
REVENGE
INPATIENT WJEW!
.00
OUTMTIENT REVEN
6,435.00
TOTE REVENUE.
6,435.00
LABOR AND DELIVERY
EVEm
INPATIENT REM
8,420.00
OUTPATIENT RIVEN
1.455.75
TOTAL REVENUE.
DO'ERSES
9,875.75
SALARIES
81687.25
OTHEX EXPENSES
11203.28
TOTAL EXPENSES
9.890.E
NET 9AINi(18SS
(14.78)
•
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
FOR THE 4 MONTHS ENDING iWW04
8INGLE M0N7H ___
BUDGET 1 VARIANCE % VAR
OS?W,)4 06:34 FM
YEAR TO DATE -------
ACTUAL BUDGET 1 VARIANCE % VAR
62,565.29
(4,334.84)
(6.92)
207,075.55
252,338.66
168,077.42
(33,912.07)
(20.17)
499,002.10
677,912.43
230,640.71
(38,246.?1)
(16.38)
706,077.65
930,251.09
50,444.01
12,688.58
25.15
156,98.11)
2D3,457.52
4,894.33
4,4M.16
90.80
3,158.28
19,537.32
43,251.71
91093.07
21.02
115,388.98
174,401.20
981581).05
26,216.81
26.59
275,085.36
397,396.84
132,060.66
(12,030.10)
(9.10)
430,992.29
532,855.05
2,318.68
(488.68)
(21.07)
21318.68
(488.68)
(21.07)
.00
.00
UO
.00
(72.91)
.00
.00
21318.68
(561.59)
(24.2)
.00 .W .W
18407.16 (12,072.16) (65.22)
18,507.16 (12,072.16) (65.22)
10,087.78 (2,467.78) (22.66)
1,366.61
89.14
6.52
12,254.39
(2,378.64)
(19.41)
16,503.37
7,816.32
47.36
21880.45
1,677.17
58.22
19,.43.02
9,493.29
48.97
(7,129.43) 7,114.65 99.79
6,080.00
6,080.00
.00
183.16
183.16
51896.84
.00
29,560.00
29,560.00
9,352.03
9,352.03
.00
.00
.00
9,352.03
.00
74,645.55
74,645.55
34,561.(10 43,914.02
4,724.75
5,511.98
39.205.75
49,426.00
34,857.66
66,563.54
01721.79
11,615.35
43,579.45
78,178.89
(4.'93.70) (28.752.89)
(45,263.11) (17.93)
(178,910.33) (26.39)
(224,173.44) (24.09)
46,919.42 23.06
16,379.04 83.83
59,012.22 33.83
122,310.68 30.77
(101,862.76) (19.11)
(3,272.03) (34.98)
(3.272.03) (34.98)
.00 .00
(183.16) .00
(183.16) .00
(3,455.19) (36.94)
.00 .00
(45,085.55) (60.39)
(45,085.55) (60.39)
(9,353.02)
(21.29)
(787.23)
(14.28)
(10,140.25)
(20.S1)
31,70.88
47.63
21893.56
24.91
34,599.44
44.Zr
24,459.19 85.06
10 8t�Z`EI
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
OSM/04 06-34 PM
FOR
THE 4 MONTHS ENDING 04/30104
- ---SINGLE
MONTH
-
-
YEAR T 0
DA T E--------
ACTUAL
BUDGET
1 YARIANCE
YAR
ACTUAL
BUDGET
$ YARIANCE
i VAR
CENTRAL. SUPPLY
REYENUE
INPATIENT REYENU
44,169.49
62,843.94
(13,674.46)
(29.71)
151,412.Z
253,470.49
(102,1358.43)
(40.26)
DUTPATIENT WEN
8,824.40
15,092.97
(6,268.57)
(41.53)
35,481.30
60,874.92
(25,393.62)
(41.71)
TOTAL REVENUE.
52,993.90
T7,936.91
(ZI,943.03)
(32.00)
186,893.35
314,345.40
(127,452.05)
(40.54)
E1Tgm
SALARIES
1,422.29
2,816.55
1,394.26
49.51)
6,080.20
11,360.15
5.279.95
46.47
•
OTHER ETPE3dES
17,051.06
32,637.42
15,586.36
47.75
51,970.69
1TL786.99
79,816.30
60.56
TOTAL. CO MSES
18,473.35
35,453.97
16,980.62
47.99
58,050.89
143,147.14
05,096.25
59.44
MET GAM(LOSS
34,520.53
42,482.94
(T,962.41)
(18.74)
128442.46
171,198.26
(42,355.80)
(24.74)
PHA3T1 ACY AND IY THERAPY
REVENUE
IMPATIENT REIEN)
207,755.20
2431996.27
(36,241.07)
(14.85)
754,821.07
984,UMn
(229,297.21)
(23.29)
OUTPATIENT REM
104,004.4
118,863.69
(14,859.64)
(M50)
360,842.10
479,416.E
(118,574.83)
(24.73)
TOTAL REYEIRIE.
31L759.25
362,859.96
(51.100.71)
(14.08)
1,115,663.17
1,463,535.21
(347,M-(w)
(23.76)
E1 UMEr
SALARIES
8,526.47
7,290.25
(1,236.22)
(16.95)
36,303.67
29,403.95
(6,899.72)
(23.46)
PROFESSIONAL TEE
7,867.00
7,916.67
49.67
.62
-41,468.00
31,666.68
198.62
EWENES
53,004.36
47,945.62
(5,058.74)
(10. r)
187,849.58
193,546.61
51697.03
.62
2.94
MAL ESPENSES
69,397.83
63,152.54
(6.245.29)
(9.88)
274,621.25
254,617 24
(1,004.01)
(.39)
MET 20t(LDSB
242,361.42
299,707.42
(57,346.00)
419.13)
00,041.92
1,208,917.97
(348,876.05)
(28.85)
W WWCOM THERAPY
(EVE PW
IWATMIT REYENU
.a)
.a)
.00
.00
.00
.00
OUTPATMrT am
DD
.00
.00
.00
.00
OO
TOTAL REVENUE.
.00
.00
.00
.00
.00
.00
.00
.00mum
.0O
.00
SALE
OTHER EVEIM
.04)
00
.00
.a)
.01)
.00
.00
.00
.00
TOTAL E)D'fNSES
.a)
,a)
.00
.00
a)
a)
O4
.�
.00
--'00
.00
.00
.00
.130
&V GAUP(LOSS
a)
.00
.00
.00
.00
- - .00
.00
11
•
MENQRIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
FOR THE 4 MONTHS ENDING 04/30iO4
-- SINGLE MONTH
ACTUAL BUDGET S VARIANCE 2 VAR
EMERsaC9 ROOM
INPATIENT MENU 38,145.00
OUTPATIENT REVEN 1601083.00
TOTAL REVEWE. 198,228.00
SALARIES
54,3B.36
PROFESSIONAL FEE
74,511.20
LEASE I RENTAL
11338.15
OTHER EXPENSES
8,465.20
TOTAL Daum
138,60.91
NET GAIN/(LOSS
59,580.09
�VtAM S
ATI N REVENI
24.260.00
OUTPATIENT REVEN
121,374.25
TOTAL REVENUE.
145,634.25
EMERCENCY MEDICAL SERVICE
REVENUE
VW11104 06=34 PM
YEAR TO DATE ------
ACTUAL BUDGET 1 VARIANCE % VAR
Z5,296.79
12180.21
50.79
141,464.25
102,030.49
39,433.76
38.64
146,218.45
13,864.55
9.48
643,478.88
589,747.89
53,T30.99
9.11
171,515.24
26,712.76
15.57
764,943.13
691,778.38
91,164.75
13.46
51,700.00
(2,633.36)
(5.09)
208,180.89
208,50.35
342.46
76,666.67
2,155.47
2.81
317,992.01
306,666.68
(11,325.33)
.16
(3.69)
240B.00
661.85
33.09
7,812.73
8,000.00
187.27
2.34
9.238.52
773.32
8.37
42,261.98
37,069.83
C5.192.15>
(14.00)
Z9,605.19
%7.28
.68
576,247.61
560,259.86
(15,987.75)
(2.85)
31,910.05
27,670.04
86.71
208,6nm
Lt1,51B.52
T7,177.00
58.68
11,703.51)
116,746.70
128,450.20
INPATIENT REVENU
.00
.00
OUTPATIENT REVS!
.00
.00
TOTAL REVENUE.
EXPENSES
.00
.00
SALARIES
.00
.00
LEASE A RENTAL
(B46.22)
.00
am EXPENSES
.00
.00
CITY SBBSI➢Y
.BD
.00
COUNTY SUDSIDY
w
.00
TOTAL EXPENSES
(846.22)
.00
NET Will(LOSS
846.22
-.00
LADORATokv 1 PATHOLOGY
INPATIENT REVENU
100,499.52
OUTPATIENT REVEN
262,221.92
TOTAL R£VElm.
EXPENSES
362,721.44
41,177.46
SE 3 RENTAL
4,880.26
EXPENSES
61,937.35
TOTAL EXPENSE.
3A7,995.07
NET WON/(LOSS 254,726.37
12,556.50
107.28
83,987.00
47,204.07
36,782.93
77.92
4,627.55
3.96
491,277.12
470.878.32
20,398.80
4.33
17,184.05
13.37
575,264.12
518,082.39
57,181.73
11.03
.00
.00
.80
.00
.Oft
.80
.80
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.80
.00
.00
.00
846.22
.00
216.33
.00
(216.33)
.DO
.00
.00
.00
w
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
w
.00
.00
846.22
.00
216.33
.00
(216.33)
OU
846.22
.00
(216.33)
�- .00
(216.33)
,00
100,875.42
(375.90)
(.37)
376,292.13
406,864.09
(30,571.96)
(7.51)
221,97.91
40,784.01
12.41
981,206.23
893,135.04
$8,071.19
9.86
322,M.33
40,408.11
W-53
1,357,498.36
1,299,999.13
57,499.23
4.42
43,645.00
2,467.54
3.65
153,520.71
176,034.85
22,514.14
12.78
4,750.00
(130.26)
(2.74)
18,470.56
191000.00
529.44
2.78
53,950.75
(7,986.60)
(14.90)
229,904.91
Z17,054.08
(12,850.93)
(5.92)
102,34475
(S,649.32)
(5.51)
401,996.18
41Y,088.93
10,192.75
2.47
219,967.58
34,758.79
15.80
935,602.18
887,910.20
67,691.98
7.62
12
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME
STATEMENT
05/1U04
06.34 PM
FOR THE 4 MOM ENDING 04/30/04
- -SINGLE
N08!TH--
--YEAR
TO
DATE ------
ACTUAL
BUDGET
$ VATSANCE
% VAR
ACTUAL
BUDGET
$ VARIANCE
JAR
0.0� BANK
REVENUE
INK MT REVEND
13,512.50
14,219.32
(706X)
(4.97)
87,194.86
57,351.-
29,843.63
52.03
OtirffrI M7 REVEN
7,063.50
5,473.43
1,590.07
29.05
25,352.50
22,076.24
3,276.26
14.84
TOTAL REVENUE.
20,576.00
19,692.75
883.25
4.48
11Z,547.36
79,427.47
33,119.89
41.69
EWEMS
EXPENSES
11513.64
5,614.75
4,1(R.11
73.04
20,842.46
ZZ,646.20
1,803.74
7.96
•
TOTAL EXPENSES
1,5L3,64
5,614.75
4,10=
73.04
20,842.46
222,646.20
1,803.74
7.96
NET CAW(=
19,062.36
14,078.00
4,984.36
35.40
91,704.90
56,781.27
`34,923.63
61.50
]CCUPATIBNAL MEDICINE
¢EVEM
INPATIENT REVEMM!
W
.00
.00
.W
.00
.00
.00
W
OUTPATIENT REVEN
.W
.W
DO
.00
.W
.00
.00
.00
TOTAL REVENUE.
.00
.00
.00
.00
.00
.M
.00
,00
]OEN,4E6
PROFESMMX FEE
.00
.00
.00
.00
.00
.00
.00
.00
OTHER CMEiA°E8
.00
.»0
.0)
.00
.00
.00
.00
.00
TUTU. EXPENSES
.00
W
.00
.W
.00
.00
.00
.00
NET GAM(LOSS
W
W
qD
.W
.00
.W
.00
.W
MFETV TESTING
iEVENUE
OUTPATIENT EVEN
.00
.00
.00
.00
.W
.00
.00
.00
TOTAL REVENUE,
7IPENSEB
.W
.W
.00
.W
.00
.W
.00
.00
SALARIES
.W
.00
.W
.W
.(UI
.00
.00
.00
OTHER EXPMS
.W
.00
,W
.W
.W
.00
W
.00
TOTAL EXPENSES
.W
.00
.W
.00
.W
W
.00
W
MET GAIN/(LOSS
.A0
W
.00
.W
-- .00
-- .00
--- .00
.00
•
1M ROCAMIOACRAPH9 (EKG)
NVENIE
INPATIENT REUENU
16,126.25
17,096.32
(970.07)
(5.67)
56,325.75
68,9S5.09
(12,629.34)
(18.31)
GMATIENT REM
45,260.00
49,213.90
(3053.48)
(8.03)
160,244.25
199,494.37
(38,250.12)
(19.27)
TOTAL REVENUE.
IIPENSES
61,386.25
66,309.80
(4,923.55)
(7.42)
216,570.00
267,449.46
(50,879.46)
(19.02)
OFETOES
2,633.31
2,882.60
249.29
8.64
10,531.08
111649.19
1,118.11
9.59
TOTAL EXPENSES
2,633.31
21882.60
249.29
8.64
10,S31.08
11,649.19
1,118.11
9.59
NET SAIUV(L m
58,752.94
63,427.2E
(4,674.26)
(7.36)
206,038.92
25518W.27
(49,761.35)
(19.45)
13
•
8l-13
u
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCONE STATEMENT
FOR THE 4 NONTHS ENDING 04/3(vO4
-
------SINGLE MONTH
ACTUAL DUDG£T $ VARIANCE % VAR
RADIOLOGY
REVFM
IMPATIENT REVENU
0,501.50
15,640.30
OUTPATIENT REVEN
107,235.29
96,948.24
TOTAL REVENUE.
120,736.79
112,608.54
EXPENSES
SALARIES
40.on.72
49,813.69
PROFESSIONAL FEE
2,3(R.00
2,500.W,
OTHER EXPENSES
12"291.55
12,647.56
TOTAL EXPENSES
54,621.27
64,M1.25
NET GABI(LOSS
66,115.51,
47,647.29
NUCLEAR MEDICINE
CATIW REVENU
31911.95
4,327.61
iIENT REVEN
39,834.75
38,609.31)
TOTAL REVENUE.
43,746.70
42,936.91
EXPENSES
OTHER EXPENSES
4,436.03
7,5M.19
TOTAL EXPENSES
4,436.03
7,572.19
MET GAW(LO88
39,310.67
35,364.72
ULTRASOUND
REVENUE
INPATIENT REMO
7,881.21
4,779.86
OUTPATIENT REVEN
Z,897.12
46,760.49
TOTAL REyETBN.
53,778.33
51.54(1.35
EXPENSES
LEASE I RENTAL
.00
.00
OM EXPENSES
3,143.16
2,612.54
TOTAL EXPENSES
_--50,635.17
3,143.16
2,612.54
NET GRIM/(L=
48,927.81
CT SCAN
REV MID:
INPATIENT REVENU
19,468.21
33,3U1.08
OiT)P'ATIENT REVEN
2M),868.50
136,051.44
TOTAL REVENUE.
250,336.M
169,352.52
E 1 RENTAL
21,628.00
20,000.a)
ER EXPENSES
61900.39
8,024.03
TOTAL EXPENSES
28,528.39
28,024.03
NET GAIN/CLOSS
M,808.36
141,320.49
05/11/04 06-34 PM '
----YEAR TO DA TE ---
ACTUAL BUDGET $ VARIANCE i VAR
(2,158.80)
0.78)
45,638.75
63,163.E
(17,524.48)
(27.74)
10,207.05
10.61
416,133.82
391,024.55
25,109.27
6.42
8,1128.25
7.21
461,772.57
454,187.78
7484.79
1.66
9,790.97
19.65
183,367.63
2M,915.18
17,547.55
8.73
193.00
7.72
9,420.92
10,000600
579.08
5.79
356.01
2.81
46,103.02
50,975.72
4,872.70
9.55
10,339.90
15.91
238,891.57
261,890.90
u1999.33
8.78
10,468.23
38.76
222,881.00
192,296.88
30,584.12
15.90
(415.66)
(9.60)
16,718.18
17,454.69
(736.51)
(4.21)
1,225.45
3.17
141,284.25
155,724.17
(14,439.92)
(9.27)
809.79
1.88
158,002.43
173,178.86
(15,176.43)
(8.76)
3,136.16
41.41
13,190:72
30,275.04
17,084.32
56.43
MM.16
41.41
13,190.72
30,275.04
17,004.32
56.43
3,945.95
11.15
144,811.71
142,903.82
1,"7.89
1.33
3,101.35
64.80
23,281.99
19,278.85
4,003.14
20.76
(863.37)
(1.84)
184,196.39
188,600454
(4,404.15)
(2.33)
2,237.96
4.34
207,478.38
207,87939
(401.M)
(.19)
.00
.00
.M
.00
.00
.cw
(530.62)
(20.31)
10,523.38
10,281.08
(240.30)
(2.33)
(530.62)
(10.31)
106523.38
10.283.08
(240.30)
(2.33)
1,707.36
3.48
1%,955.00
197,596.31
(641.31)
(.32)
16,167.17
40.54
314,091.50
134,314.41
(20,222.91)
(15.05)
64,817.46
47.64
671,036.15
548,740.82
122,295.33
22.28
80,984.23
47.81
785,127.65
683,055.23
102,072.42
14.94
(11628.00)
(8.14)
66,049.24
80,000.00
13,950.76
17.43
1,123.64
14.00
41,W9.36
32,139.73
(9,869.63)
(27.59)
M4.36)
(1.79)
107,058.60
112,139.73
5,081.13
4.53
80,479.07
56.94
678,%9.05
5T0,915.50
107,153.55
18.76
14 8u
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
05/11/04 06=34 PM
FOR
THE 4 MONTHS EMDIR 04/30/04
- ----SINGLE
M0MTH--
-
YEAR TO
DATE -- -
----
ACTUAL
BUDGET
S VARIANCE
X VAR
ACTUAL
BUDGET
S VARIANCE
Y. VAR
WHOSRAPHY
REVEMQ'
IWATTENT REVEMU
.00
69.00
(69.00)
(100.00)
155.00
69.00
86.00
124.63
OUTPATIENT Am
61672.50
5,846.02
826.48
14.13
24,736.00
23,578.81
11157.19
A."
TOTAL REVENUE.
EXPENSES
61672.50
5,915.02
757.48
12.80
24,891.00
23.647.81
1,243.19
5.25
OTHER EXPENSES
11011.68
21522.17
1,510.49
59.88
4,794.62
9,896.33
51101.71
51.55
TOTAL EXPENSES
1,011.68
2,522.17
11510.49
59.88
4,794.62
9,896.33
5,101.71
51.55
NET GAINi(1O55
5.660.82
3,392.85
2,267.97
66.84
10,096.32
L4,751.48
61344.90
46.13
MRI
REVEMBE
IWATIEHT REVENU
91862.0)
10,631.04
(769.04)
(7.23)
54,744.54
42,978.46
(8,133.92)
(18.96)
OUTPATIENT REVEN
111,50.%
122,980.17
(11,339.67)
(9.22)
465,559.77
475,616.61
(30,056.84)
(6.06)
TOTAL REVENUE.
3PEES
121,402.50
133,511.21
(12,108.71)
(9.06)
500,304.31
538,495.07
(38,190.76)
(7.09)
OTHER EXPENSES
301782.99
31,469.52
686.53
2.18
126,278.25
126,098.73
(179.52)
(.14)
TOTAL EXPENSES
30,782.99
31,469.52
686.53
2.18
126,278.25
126,1M8.73
(179.52)
(.14)
MET GA W(LOSS
90,619.51
102,041.69
(11,422.18)
(11.19)
374,026.06
412,596.34
(38,370.28)
(9.30)
INESTlm
tEMEMiB:
IMPATIENT REM
31,787; a
37,444.55
(51657.30)
(15.10)
135,050.50
1511A26.39
(15,975.89)
(10.57)
OUTPATIENT REM
97,515.25
67,293.78
30,71.47
44.90
325,884.50
271,418.27
54,466.23
20.06
TOTAL EMU.
129,3Q.50
104,738.33
24,564.17
23.45
460,735.00
422,444.66
38,490.34
9.11
7(PEMSES
PROFESSIONAL FEE
32,380.36
44,630.25
12,249.89
27.44
132,014.96
178,5M.00
46,486.04
26.D3
LEASE E RENTAL
.00
50.00
50.00
100.00
208.59
200.00
(8.59)
(4.29)
OTHER EXPENSES
2,336.03
3,278.15
942.12
28.73
9,694.17
13,156.29
3,462.12
26.31
TOTAL EXPENSES
34,716.39
47,958.40
1-3,242.01
27.61
141.937.72
191,877.29
49,939.47
26.02
NET GAIN/(LOSS
94,596.11
56.779.93
37,806.18
66.58
318,997.28
230,567.37
881*9.91
38.35
tIALSSIS UNIT
M2VEi82E
OUTPATIENT REVEM
318,775.87
336,017.74
(17,241.87)
(5.13)
1,340,368.92
1,355,271.56
(14,902.64)
(1.09)
TOTAL REVENUE.
318,775.87
336.017.71
(17,241.87)
(5.13)
1,340,368.72
1,355,271.56
(14,902.64)
(1.09)
:XPEMSES
SHIES
26,765-88
26,739.43
(26.45)
(.09)
104,181.99
107,849.01
3,667.03
3.40
OTHER EXPENSES
36,659.27
545,178.76
18,519.49
33.56
172,127.15
222,185.57
50,058.42
22.53
TOTA1 EXPENSES
63,425.15
81,918.19
18,493.04
22.57
276,309.13
330,034.59
53,725.45
16.27
MET GAIMi(L055
2M,350.72
254,099.95
1,251.17
.49
1,064,059.79
1,025,236.98
38,822.81
3.78
15
0
•
•
•
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
05/U/04 W=34 PM
FOR THE 4 MONTHS ENDING 0v3mm
-
--SINGLE
MONTH ---
YEAR TO
DATE-
-
ACTUAL
BUDGET
t VARIANCE
VAR
ACTUAL
BUDGET
t VARIANCE
% VAR
=10PULNONARY
R=(ffitlUE
INPATIENT REVENU
93,449.00
106,295.3-1
(12,846.33)
(12.08)
389,330.69
428,724.c
(39,393.73)
(9.18)
OUTWATIDR REM
31,504.25
21,885,90
91618.35
43.94
107,400.50
88,273.08
19,127.42
21.66
TOTAL REVENUE.
EXPENSES
124,953 25
128,181.23
(3,LL7.96)
(2.51)
496,731.19
516,997.50
(20,266.31)
(3.92)
$ALARM
.00
.00
,W
,W
.00
OU
.00
LEASE 5 RENTAL
476.62
500.00
23.38
4.67
1,856.00
2,000.00
144.00
.00
7.20
OTHER EXPow
33,471.39
27,011.357
(4,460.02)
(23.91)
118,286.33
108,143.59
(10,136.74)
(9.37)
TOTAL EXPENSES
33,948.01
�91,005.24
27,511.37
(6,436.64)
(23.39)
120,136.33
110,143.59
(9,992.74)
(9.07)
NE7 GAIN/(Loss
100,669.86
(9,664.62)
(9.60)
376,394.86
406,853.P1
(30,°59.05)
(7.43)
CARDIAC REHAD
4FnENUE
TiENT REVEItl!
00
OU
W
W
OU
W
OUTPATIENT REVEN
.00
.00
W
W
.00
.00
.00
.00
W
TOTAL REmff.
.10
.00
W
.01)
.00
.00
.00
.00
EXPENSEB
.00
SALARIES
.00
.00
.W
.W
.00
W
OTHER Expow
.W
.00
.W
,W
.W
.00
.00
.00
TOTAL DXPENSEs
.W
.00
-
.W
.00
.00
.W
.00
.00
.W
.W
No GAIW(L08S
.W
.00
.W
W
--- .W
.W
^.00
.00
OCCUPATIONAL TWMF1
REYENiB:
INPATIENT REVEMU
221.75
1,099.07
(877.32)
(79.82)
60.75
9,432.8E
(3,792.13)
(95.54)
OUTPATIENT REVEN
443.50
1,126.75
(603.25)
(60.63)
840.37
4,544.53
(3,704.16)
(81.50)
TOTAL REVENUE.
665.25
Z225.82
(1,560.57)
Mai)
1,481.12
8,977.41
(7,496.29)
(83.50)
EXPENSES
SALARIES
.00
.00
.00
.00
.W
.W
ETHER EXPENSES
240.00
500.00
260.00
52.00
240.00
2,000.00
.00
1,760.00
.00
88.00
TOTAL EXPENSES
240.00
V
50(r.00
260.00
52.00
240.00
2,000.W
1,760.0
88.00
NET GAIW(LOSS
425.25
1,725.82
(1,300.57)
(75.35)
1,241.12
6,977.41
(5,736.29)
(82.21)
PHYBICAL THERAPY
REV lE
3NPATTEMT REVEMU
20,066.75
26,084.16
(6,017.41)
(23.06)
64,521.25
105r206.11
(40,604.86)
(38.67)
OUTPATIENT REVEN
12L050.50
112,197.49
81853.01
7.89
462,846.37
452,529.76
10,316.61
2.27
AM TOTAL REVENUE.
lopow
141,117.2E
138,281.65
2,835.60
2.05
S27r367.62
27,735.87
(30,368.25)
(5.44)
PROFESSIONAL FEE
391353.81
37,SOO.00
(1.853.81)
(4.94)
147,072.73
i504)0.00
2,927.27
1.95
OTHER EXPENm
607.02
2,717.21
Zr110.19
77.66
6,495.44
11,026.07
4,530.63
41.09
TOTAL EXPENSES
39,960.83
10,217.21
256.38
.63
153,568.17
161,026.07
7,457.90
4.63
NET GAIW(LOSS
101,156.42
98,064.44
31091.98
3.15
373,799.45
396,709.80
(Z2,910.35)
(5.77)
16 C 26;
MEMDRIAL HEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
M/11/04
06-74 PM
FOR
THE 4 MOM ENDING 04/."4
SINGLE
MONTH--
YEAR TO
DA TE ------
ACTUAL
BUDGET
f VARIANCE
i VAR
ACTUAL
BUDGET
$ VARIANCE
% VAR
WE HEALTH CARE
REVENUE
TT WATIENT REVENH
.(+0
.0p
.00
.00
.00
.00
.00
.00
DUTPATMR REVEN
95,727.75
81,518.00
14,209.75
17.43
394,439.55
328,789.24
65,650.31
19.96
TOTAL REVENUE,
95,727.75
81,518.00
14,209.75
17.43
394,439.55
328,789.24
91650.31
19.96
DTFASES
SAES
25,701.29
ri,363.44
(337.85)
(1.33)
113,977.04
102,299.23
(11,677.81)
(11.41)
LEASE i RENTAL
80.19
83.7
3.14
3.76
361.91
333.32
(28.59)
(B.57)
OTHER MOMS
13,098.20
10,062.63
Q,235.57)
(20.58)
581033.65
43,578.46
(14,455.19)
(33.17)
TOTAL EXPENSES
38,879.68
36,309.40
(2,570,28)
(7.07)
172,372.60
146,2.U.01
(26,161.59)
(17.89)
NET GAIN/(LOSS
56,848.07
45,208.60
11,639.47
2r.74
°.22,066.95
182,578.23
39.488.72
Z1.62
HOSPICE
REVENUE
OUTPATIENT REVEN
.00
.00
.80
.00
.00
.00
.00
.00
TOTAL REVENUE.
00
.00
.00
.00
.00
.01)
.00
.00
EXPENSES
SALARIES
.00
.00
.00
.W
.00
.00
.00
.00
PROFESSIONAL FEE
.00
M
.w
.00
.00
.00
.00
.00
OTHER EXPENSES
.00
.00
.DO
.00
.00
.00
.00
.00
TOTAL EXPENSES
.00
.00
- -.00
.00
.00
.00
.00
.00
M
MET QW(LOSS
.00
y .00
.00
.00
.W
^ -.O0
.00
PRIM HEALTH CARE
2EVENUE
OUTPATIENT RM
O0
.00
.00
.00
.00
.00
.00
.00
TOTAL REVENUE.
ES
.00
.00
.00
.00
.00
.00
.00
0(+
SALARIES
.00
.00
.00
,00
O0
.00
.00
.00
OTHER EXPENSES
00
.00
00
00
.00.
TOTAL EXPENSE5
-(m
.G(+
.00
-
`00
.00
.00.00
`
.00
. 00
,0
NET GAIN/(LOSS
.00
.00
.00
.00
.00
.00
---00
.00
.00
fm VIEV
WVOK
OUTPATIM REVEN
.00
.00
.00
.00
.00
.00
.00
.00
TOTAL REVENUE.
YPENSES
.00
.00
.00
.0+)
.00
.OD
.00
.M
SALARIES
.00
.00
00
.00
.00
.00
.00
.00
PROFESSIONAL FEE
.00
.00
.00
.00
.00
.W
.00
OTHER EXPENSES
.00
.M
.00
.00
.00
.00
.00
.00
.00
TOTAL EXPENSES
---
.00
.00
.00
.M
.00
.00
.00
.M
MET GAIN/(LOSS
Or1
am
-- .00
.00 Y---
.00
---- 04
--- .00
.00
17
•
8@ r/
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATMENT
05/U/04 06-34 PM
FOR THE 4 MONTHS
ENDING 04/30/04
- ---SINGLE
N0ATN
--YEAR TO
DATE --------
ACTUAL
BUDGET
S VARIANCE
i VAR
ACTUAL
BUDGET
F VARIANCE
Y VAR
(HFMICAL DEPENDENCY
REVENUE
OUTPATIENT REVEN
.00
.00
W
00
W
TOTAL REVENUE.
.W
.00
.W
.00
00
W
EXPENSES
.00
.W
.w
.00
.W
SALARIES
PROFESSIONAL FEE
.00
W
.00
.04
.W
W
.00
OTHER EXPENSES
.00
.00
.00
.00
.W
.W
.00
TOTAL EXPENSES
.00
.00
.W
W
,W
.W
.00
OU
W
--�00
.00
.W
.00
00
W
NET GAD/(LOSS
.00
.00
W
.00
.W
DIETARY
R£VM
�II�AT'ifNT REUEiW
.00
J)D
.00
ilET1T REM
.00
.00
.00
.DO
.00
.00
TOTAL REVENUE.
00
J)0
W
.00
.00
.DO
EXPENSES
.00
.W
.00
W
SALARIES
14,949.62
12,485.66
(2,463.96)
C19.73)
51,941.42
50,358.82
(1,582.67)
(3.14)
PROFESXD NtL FEE
1,600.00
1,733.33
133.33
7.49
5,825.00
6,933.32
11108.32
15.98
OTHER EVVISES
201078.31
16,497.25
(31581.06)
(21.70)
64,nl.43
66,533.67
2,222.24
3.34
TOTAL EXPENSES --
36,627.93
30,716.24
(5.911.69)
(19.24)
122,077.92
1E3.825.81
1,747.89
1.41
IV GAI MOSS
(36,627.93)
(30,716.24)
(5,911.69)
(19.24)
(122477.92)
(123,825.81)
1,747.89
1.41
MEDICAL RECORDS
EXPENSES
SALARIES
19,439.01
21,267.13
1,828.12
8.59
81,161.36
MT77.41
4,616.05
5.38
LEASE 1 RENTAL
1,746.73
2,666.67
919,94
34.49
7,122B.54
10,666.68
3,538.14
33.17
am EXPENSES
3,745.49
3,998.35
253.36
6.33
15,837.27
15,%9.(L
131.74
TOTAL EXPENSES
24,931.3
27,932.65
3,001.42
10.74
104,127.17
112,413.10
8,285.93
.82
7.37
CARE PROGRAM
Maw
OTHER EXPOW
93.94
.00
(93.44)
.01)
(4.59)
.00
4.59
W
TOTAL EXPENSES
93.94
.t10
(93.94)
.00
(4.59)
.00
4.59
.00
MAINTENANCE
EXPENSES
SALARIES
11,417 V
12,148.12
730.53
6.01
46,173.73
48,997.39
21823.66
5.76
OTHER EXPENSES
11105.36
2,044.84
939.48
45.94
5,206.79
8123.97
3,017.08
36.68
OTOTAL EXPENSES
121522.%
14,192.96
1,670.01
11.74
51,380.52
57,221 26
5,840.74
10.20
UNT OPERATIONS
E)(FMES
LEASE I RENTAL
45.00
54.17
9.17
16.92
180.00
216.68
36.68
16.92
ELECTRICITY
15,588.03
27,916.67
12,328.64
44.16
69,231.52
111,666.68
42,435.16
38.00
OTTER 1 SEVER
4,425.42
.DO
(4,425.42)
.00
15,149.57
W
(15,149.57)
GAS
41503.80
.30
(4,503.80)
.00
24,306.95
.00
(24,306.95)
.W
OTHER EXPENSES
5430.15
6,690.57
860.42
12.86
34,481.76
26,881.14
(7,600.62)
.00
(28.27)
TOTAL EXPE)MES
30,392.40
74,661.41
4,269.01
12.31
143,349.80
IN,764.50
(4,585.30)
(3.30)
838
18
KEIRIRIAL 9D:DICAL CENTER
DEPAKiHEifTAL INCOME STATER MT
05/11iO4 06:34 PM
FOR
THE 4 MGM ENDING 04/3(VD4
'SINGLE
MONTH
YEAR TO
DATE ----------
ACTUAL
BUDGET
1 VARIANCE
Z VAR
ACTUAL
BUDGET
f VARIANCE
% VAR
SRalUBtS
r3PEAM
SALARIES
.00
.00
.00
.Oq
.00
.00
.00
.00
OTHER EXPENSES
158.87
.00
(258,8T)
.00
%7.09
.00
(%7.09)
.00
TOTAL EXPENSES
158.87
.00
(158.87)
w
967.09
.00
(967.09)
.00
IRAMSPORTATION
7TPENSES
•
SALARIES
1,171.29
1,119.83
(51.45)
(4.59)
4,785.12
4,516.66
(268.46)
(5.94)
OTHER EXPENSES
304.22
628.09
323.87
S1.56
997.29
21327.50
1,530.21
60.54
TOTAL EXPENSES
1,475.50
1,747.92
272.42
15.58
5,782,41
7,044.16
1,261.75
17.91
iMSEREE M
'XPE*BB
SALMM
19,548.67
21,182.46
11623.79
7.66
8016M.39
85,435.92
4,753.53
5.56
OTHER EXPENSES
61402.3
7,232.66
830.6
11.48
23,269.22
28,890.00
5,620.78
19.gi
TOTAL EXPENSES
25,960.90
28,415.12
2,454.22
8.63
103,951.61
114,325.92
10,374.31
9.07
.AIRw
MIENSES
OUTSIDE SERVICES
6,970.91
91000.00
2,029.09
22.54
"
37,142.47
36,000.00
(1,1Q.47)
(3.17)
OTHER EXPENSES
.00
.00
.M
.00
.00
.00
.00
.M
TOTAL EXPENSES
6,970.91
91000.00
2,029.09
22.54
37,142.47
36,000.00
(1,142.47)
(3.17)
MCURITY
1PEMSES
SALARIES
5,390.71
5,380 58
(.13)
.00
22,071.17
21,701.66
(369.51)
(1.70)
am EXPENSES
515.34
750,73
Mi.39
31.35
11998.53
2,795.48
796.9✓
28.50
TOTAL EXPENSES
5,8%,05
6,171.31
M.26
1.83
24,069.70
24,497.14
427.44
1.74
'ERPORNANCE MOVEMENT
7TPE315ES
SALARIES
OTHER EVEMSES
1,868.97
51909.84
4,090.87
68,37
8.073.25
23,836,33
15,763.08
66.23
•
273.44
1,215.73
942.09
77.49
1,112.39
4,515.24
3,402.85
75.36
TOTAL EXPENSES
21142.61
7,125.57
4,982.96
69.93
9,185.64
28,351.57
19,165.93
67.60
KIAL VORM/DISCHARGE PLANNI
IPEMSES
SALARIES
4,800.00
7,0558.68
2,258.6E
31.99
21,683.76
28,470.06
6,786.30
23.93
OTHER EXPEMBES
(657.74)
786.T
1,,944.46
1S3.60
1,147.89
3,105.72
1,957.83
63.03
TOTAL EXPENSES
4,142.26
7,845.40
3: M3.14
47,20
22,831.65
31,575.78
8,744.13
27.69
:A MUM COUNTY INDIGENT
XPEMSES
SALARIES
3,246.63
.00
(3,246.63)
UO
12,0".11
.w
(121016.11)
00
OTHER EXPENSES
(71.48)
.00
71.48
.00
(17.38)
.00
17.38
COUNTY OFTSET
(4,470.52)
.00
4,470.S2
.00
(12,651.99)
.0
12,631.90
.00
.00
TOTAL EXPENSES
(1,295.37)
JM
1,295.37
,w
(633.25)
am
633.25
.DO
19
8u
n
U
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
05/LV04 06:34 PM
FOR THE 4 MONTHS
ENDING 003MA
- --SINGLE
MONTH
YEAR TO
DATE -----
ACTUAL
BUDGET
$ VARIANCE
2 VAR
ACTUAL
BUDGET
! VARIANCE
i VAR
OUSDINESS OFFICE
EXPENSES
SALARIES
16,950.96
19,310.57
2,359.61
12.Z
69,602.89
77,885.99
8,283.10
10.63
LEASE i RENTAL
COLLECTION EXPEN
570.31
3,949.23
150.00
(420.31)
(28D.20)
1,895.74
MOO
(1,295.74)
M5.95)
OTHER EXPENSES
5>883.48
2,500.00
9,663.36
(1,449.23)
3,779.38
(57.%)
131M.97
10,000.U0
(3,223.97)
(32.23)
TOTAL EXPENSES
27,354.48
31,623.93
4,269.45
39.11
13.50
30,114.15
114,836.75
38,868.44
8,754.29
22.52
127,354.43
12,517.68
9.82
COMMUNTCATI MS
EXPENSES
SALARIES
OTTIM EXPENSES
7,597.91
690.49
9,542.62
11831.91
944.71
11.05
30,392.51
34,455.24
4,062.73
11.79
TOTAL EXPENSES
8,299.39
10,374.53
1,141.43
2,086.14
62.30
20.10
3,750.36
7,209.49
3,959.13
47.98
34,142.07
41,664.73
7,521.86
18.05
PROCESSING
NSES
SALARIES
OTHER EXPENSES
4,609.23
11,620.22
2,634.10
(1,975.13)
(74.98)
17,MC.25
10,624.20
(7,316.05)
(68.86)
TOTAL EXPENSES
16,229.44
12,091.66
14,725.76
471.44
(1,503.69)
3.89
(10.21)
48,998.71
98,408.41
(590.50)
(1.21)
66,939.16
59,62.61
(7,906.55)
(13.39)
NURSING ADMINISTRATION
EXPENSES
SALARIES
OTHER EXPENSES
8,473.81
760.84
8,370.01)
(103.81)
(1.24)
34,177.30
33,759.00
(41830)
(1.23)
MAL EXPENSES
9,234.65
2,096.61
10,466.61
1,335.77
63.71
51009.19
8,310.54
3,301.36
39.72
1,231.%
11.77
39.186.48
42,069.54
2,893.06
6.85
HOUSE SUPERVISOR
EXPENSES
SALARIES
OTHER EXPENSES
.00
.00
.00
.00
.00
.00
.00
.00
TOTAL EXPENSES
.00
.00
.00
.Oo
.00
O0
.00
.00
.00
O0
.00
.00
.00
.00
.00
.w
INFECTION COMTROL
EXPENSES
SALARIES
4,127.23
.00
(4,127.23)
.00
16,303.31
.00
(16,303.31)
OTHER EXPENSES
340.16
.01)
C34O.16)
.00
1,756.75
.00
(1,756.75)
.00
TOTAL EXPENSES
4,467.39
.00
(4,467.39)
.00
18,060.06
.00
(181060.06)
.00
.00
EDUCATION
EXPENSES
SALARIES
3,694.00
4,112.95
418.95
10.18
15,284.10
16,50.90
11304.80
7.86
AlING EXPENSES
1,515.90
11165.53
(350.37)
(30.06)
6,718.25
4,697.67
(2,020.58)
(43.01)
OTAL EXPENSES
5,209.90
5,M.48
68.58
1.29
2210M.35
U,286.57
(715.78)
(3.36)
ACCOUNTING
EXPENSES
SALARIES
61012.77
5,622.95
(309.32)
(6.93)
21,803.85
22,679.20
875.35
3.05
OTHER EXPEMSEES
3,111..25
3,465.23
333.98
10.21
13,242.35
13,886.12
43.77
TOTAL EXPENSES
9.124.02
91088.18
(35.84)
(.39)
35,646.20
36,565.32
919.12
.31
2.51
8=io
20
MEMORIAL MEDICAL CENTER
DEPARTM ITAL INCOME STATEMENT
05/11/04
06:34 PM
FOR
THE 4 MONTHS ENDING 0460/04
- -SINGLE
MONTH
--
-YEAR TO
DATE -------
- ---
ACTUAL
BUDGET
S VARIANCE
% VAR
ACTUAL
BUDGET
f VARIANCE
VAR
m(ENISTRATION
:XPENSES
SALARIES
21,617.93
20,930.73
(6B7.20)
(3.28)
914,412.83
84,420.66
(9,992.17)
(11.83)
LEASE 2 RENTAL
101.74
100Mln
(1.74)
(1.74)
448.11
400.M
(48.11)
(12.011)
OTHER EXPEN8E8
TOTAL EXPENSES
16,701.95
38,421.62
38,664.01
59,694.74
M,962.06
:7,273.12
56.80
35.63
76,43.37
171,284.31
155,039.33
239,859.99
78,615.96
68,575.68
50 '70
28.58
.
ASINESS DEVELOPMENT
:XPE8t8ES
SALARIES
3,841.68
3,873.94
32.26
.83
15,462.90
15,624.88
161.98
1.03
OTHER EXPENM
303.74
662.06
358.32
54.12
2,073.40
2,457.88
384.48
15.64
TOTAL EXPENSES
4,145.42
4,536.00
390.58
8.61
17,536.30
18,082.76
546.46
3.02
NISPITAL GENERAL
1PENSES
YORKMANS COMP IN
31,006.37
26,666.67
(4,342.20)
(16.28)
124,003.83
106,666.68
(17,337.15)
(16.25)
!ml8'lO"m INS
7,261.99
4,166.67
(3,M.32)
(74.28)
7,W.42
16,666.68
9,453.26
56.71
PROF LIADIIITY I
81425.92
7,916.67
(509.J)
(6x.)
33,664.11
U,666.68
(1,997.43)
(6.30)
LEASE i RENTAL
2,*0."
2,75MKI
269.10
9.78
10,417.73
1LMO.M
552.27
5.29
OTHER EXPENSES
91119.66
91083.33
(36.33)
4.39)
37,160.33
36,333.32
(827.01)
(2.27)
TOTAL EXPENSES
58,297.34
50,503.34
(7,714.00)
(15.25)
212,459.42
202,333.36
(10,126.06)
(5.00)
OM N RESOURCES/PUDLIC
RELATID
D(PENSES
SALARIES
31329.16
51038.69
1,709.53
33.92
13,427.55
20,322.68
6,895.13
33.92
OTHER EXPENSES
521.70
5,084.12
4,562.42
89.73
6,333.01
20,782.08
14,449.07
69.52
TOTAL EXPENSES
31850.86
10,122.81
6,271.95
61.95
19,760.56
41,104.76
21,344.20
51.92
WERAM
ENSES
SALARIES
$1810.99
7,750.33
(1,060.66)
(13.68)
29,318.90
31,259.66
1,940.76
6.20
OTHER EXPENSES
947.32
1,155.75
208.43
18.03
4,561.49
4,822.72
261.23
5.41
TOTAL EXPENSES
9,758.31
8190W18
(852.3)
(9.56)
33,880.39
36,M2.36
2,201.99
6.10
•
lUxulARY
XPENS58
SAL.Am
.00
00
.M
.M
.00
.M
.00
.00
EXPENSES
4.23
.00
(4.23)
.M
27.48
.M
(27.40)
.00
TOTAL EXPENSES
4.23
.00
(4.23)
.00
27.48
.00
(27.48)
.00
4AZA SPECIALTY CLINICS
SALARIES
.00
On
M
.00
88.20
.DO
(88.20)
00
EXPENSES
.00
.00
,M
.00
(88.20)
.00
88.20
.00
TOTAL EXPENSES
.00
.00
.M
.00
.M
.00
.00
.00
21
8411
•
n
LJ
WMIAL "MICAL PLAZA
REVENUE
RENTALS
TOTAL REVENUE.
EXPEND
SALARIES.......
OTHER ENPEUSES..
TOTAL EXPEU5E5
MEHORIAL IDICAL CENTER
DEPARTMENTAL INCOME STATEMENT 4111104 06-34 PH
FOR THE 4 MONTHS ENDING O4 W04
--- SINGLE
ACTUAL BUDGEt
51937.90 .00
5,937.90 .,fi
3,270.28 .OD
10,179.67 .00
13,449.95 .00
NET Gaw(18SS (7,512.M .00
SUBTOTAL GAINi 1,707,934.72 1,5u,846.31
OTHER OPERATIC EXPENSES
REVENUE DEDUCTIONS
ICARE CONTR A
(861,532.72)
(755,718.79)
iCA1D CONTR A
C215,408.84)
(161,317.15)
INDIGENT CONTR A
(16,578.14)
.00
CHARITY CARE
(71,815.56)
C89,836.67)
SAD DEBT EXPEM
(219,0)1.78)
(172,062.13)
OTHER DEDUCTIONS
(163,955.48)
(235,966.96)
TOTAL REVE18lE
(1,548,302.52) (1,419,901.7+))
MONTH
$ VARIANCE
5,937.90
5,937.90
(3,270.28)
(10,179.67)
(13,449.95)
(7,512.05)
185,088.41
(105,813.93)
(54,091.69)
(16,578.14)
18,021.11
(46,90.65)
72,011.48
(133,400.82)
2 VAR ACTUAL
AO 27,708.65
.00 27,708.65
.00 15,293.29
.00 47,458.71
.00 60,752.00
.00 (33,043.35)
YEAR TO DATE----
MlDGET 1 VARIANCE 4 VAR
.00 27,708.65 .DO
.00 27,708.65 .00
.00
(13,293.29)
.00
(47,459.71)
.00
(60,752.W))
.00
(33,043.35)
12.15 61130,296.35 61159,160.62
(14.00) (3,293,020.68) (3,048,065.58)
(33.53)
(762,250.38)
(650,645.70)
.00
(82,073.39)
.00
20.05
(297,146.71)
(359,346.69)
(27.28)
(748,901.77)
(693,983.91)
30.51
(748,236.27)
(951,733.52)
(9.42)
(5,931,629.20)
(5,703,775.39)
(28,864.27)
(244,9S5.S0)
(111,604.68)
(82,073.39)
62,199.97
(54,917.86)
203,497.25
(227,853.81)
.00
.00
.00
.D0
(.46)
(17,15>
.00
17.30
(7.91)
21.38
(3.99)
EMPLOYEE BENEFITS
RETIRE m
HOSPITALIZATIDM
18,673.01
58,(48.47
221540.98
3,867.97
17.15
75,4V.63
90,915.31
15,502.68
17.05
LIFE INSUME
918.57
73,770.49
15,7Z2.02
Z1.31
412,440.19
297,540.98
(114,899.21)
(38.61)
DENTAL INSURANCE
1,808.03
11024.59
2,950.82
106.02
1,142.79
10.34
31609.16
4,132.53
523.37
12.66
LOK TERM DIS
21097.13
2,254.10
156.97
38.72
6.96
10,885.35
11,901.64
1,016.29
8.53
PAYRDLE. CLEWN
(3,044.31)
.00
3,044.31
8,914.27
91091.55
177.28
1.94
TOTAL EMPLOYEE
78,500.90
102,540.98
24D40.08
.00
23M
.00
511,261.60
.00
40,562M
.00
(97,679.59)
.00
(23.61)
TOTAL OTHER OP
1,Q6,803.42
1,517,442.68
(109,360.74)
(7.20)
6,442,890.80
6,117,357.40
(325,533.40)
(5.32)
ETHER REVENUE
WICARE PASS-7H
33,707.00
.00
33,787.00
.00
204,027.59
.00
204,027.59
CAFETERIA SALES
7,151.34
7,377.05
(Z25.71)
GAS)
32,432.37
29,754.10
2,679.47
.00
9.00
INTEREST INCOME
WEREST INCOME
1,192.24
2,459.02
(1,266.78)
(51.51)
5,397.04
9,918.04
(41521.00)
(45.58)
INTEREST IKX
16.84
.00
16.04
.00
90.83
.00
90.03
.00
HISCEL1ANEOUS IN
.00
7,408.86
.00
2,068.85
.09
41540.01
.00
158.25
.00
28,034.25
.00
11,571.05
.00
16,463.20
.00
TOTAL OTHER RE
49,26.28
12,704.92
%851.36
290.05
269,982.28
51,243.19
218,T39.09
142.27
426.86
OPERATING
_130,687.58-
-18,108.55
- 112,579.03
621.68
(42,612.17)
93,046.41
(135,658.58)
(145.79)
842
22
MEMORIAL MEDICAL CENTER
DEPARTMENTAL INCOME STATEMENT
FOR THE 0 MONTHS ENDING 04i30N4
SINGLE MONTH---
ACTDAL BUDGET 1 VARIANCE � VAR
;,Ii�,�ly- �f t, a. Y A}i
DEPRECIATION -LAW
.00
.00
.00
.00
DEPREEIATION-ma
30,114.78
.00
(30,114.78)
.00
DEPRECIATID*47K
10,179.44
.00
(10,179.44)
.00
DEPRECIATION-W
46,434.37
126,932.51)
80,498.13
63.41
DEPRECIATION-POR
37,468.95
.00
(37,468.05)
.00
CONTRIBUTION TO
.00
.00
.00
.00
TOTAL NOM-OPER
124,197.44
126,93240
2435.06
2.15
TOTAL OPEPATIMM
6,490.14
(108,823.95)
115,314.09
105.96
CONNTY SUBSIDY
00
�6,490.14
�.00
MET GAIW(L08S
(108,823.95)
115,314.09
105.96
05/11/04 06:34 PM
---- Y E A R T O D A T E--------
ACTUAL BHDGET 4 VARIANCE i VAR
.00 .00 .00 ,n0
120,459.12 .0 (120,459.12) .00
40,717.76 .00 (40,717.76) .00
184,891.84 507,730.00 522,832.16 63,58
149,875.40 .00 (149,875.40) .00
.00 .00 .00 .00
495,944.12 507,730.00 11,785.88 2.32
(538,356.27) (414,683.59) (123,872.70) (29.87)
----�00 � - .00 � .UO .00
(538,556.29) (414,683.59) (123,872.70) (29.87)
23
843
•
0
0
1 J
MEMORIAL MEDICAL CENTER
ACCOUNTS PAYABLE
BOARD OF TRUSTEES APPROVAL LIST FOR APRIL 2004
DATE APPROVED
ACCOUNTS
BY COUNTY AUDITOR
PAYABLE
411104
(weekly) $ 216,277.55
4/8/04
(weekly) $ 214,671.42 $
4/15/04
(weekly) $ 132,263.63 $
4/22/04
(weekly) $ 99,301.17 $
4/28/04
(monthly) $ 90,696.83
4129/04
(weekly) $ 134,883.75
TOTAL
Referral
Charity
Indigent
$ 888,094.35
MONTHLY PAYABLES FOR MAY 2004
2003
$ 183,267.99
$ 52,751.58
$ 94,593.60
2003 YTD
$ 181,992.75
$ 419,065.40
PATIENT
REFUNDS
1,041.64
1,645.26
1,417.43
$ 4,104.33
$ 111,515,07
2004
$ 211,799.47
$ 72,110.27
$ 142,973.91
2004 YTD
$ 297,210.92
$ 543,233.04
844
24
N J it: i 10%i5 ?t "DRIAL MSi CAL CEiNTE. POUF
FE;iE:04? _,.CCB REC.SItIR GLCY kec
v410i!04 THRU 04/0iiO4
s-.,.
------
BE NUTflER ',ATE MCUN7 ni
099932 04/01/04
ALE HARDWARE OR. ER
099933 04/01/04
15. 00
iCVERT__j6 uN ATR
099934 04i31iO4
32.93
AERIFORM/IWECO-PORT IAV
099935 04i01104
345.93
AIRGAS-SOUTHWET
099930 04/01/04
5..35,47
CARDINAL i,EkT-.
09993, 04/01/04
3,089.12
AFLAC
099938 04/01/04
795.40
AVENTIS PASTEUR
099939 a4/01Y04
I,286.03
BAXTER HEALTHCARE CbRP
099949 04/01iO4
843.29
BOOS
395?41 04/01/04
.00
VOIDED
09954c 04110LO4
i!,%=.34
BERGEN BRUNSWIu DRU& Cu
359543 04i01104
277. 0
BJ;AAT LOCY, 5 KEY INC
69944 04/01/04
450.00
iALHDIfiV COUNTY PEST CON
099945 04/01/04
;43.53
RUBY CANTU
099946 0091/04
31c.43
CERTIFIED LABORATORIES
099947 04i01/04
781.92
CINGULAR WIRELESS
099946 04/01/04
169.04
CITIZEeS MEDICAL CE:::TER
099949 0441104
33.66
CINTAS uNTFORM
OM950 04/01/04
217.53
DETAR HOSPITAL
OM51 04101/04
83.08
KATHERINE D1eiZEL
099952 04/01/04
817.40
DIVERSIFIED BUSINESS SY
099953 04/01/04
670.15
DLE PAPER, 3 PACKAGING
099954 04i2liW4
66,904.00
EMCARE NORTH TEXAS
099955 04;01/04
510.84
FISHER HEALTHCARE
099956 04/01iO4
77.90
CE MEDICAL SYSTEMS, INF
0999E 04i0l/04
340.42
GLOBAL GOV'T/EDUC SDLUT
099956 04/01/04
c6.33
LINDA R GOMEZ
099959 04/01/04
24.18
H E BUii GROCERY
0999U 04/01/04
700.00
D HARRIS CONSULTING
099961 34/01,04
548.75
HEALTH FORCE MEDICAL
099962 04/011@4
i00.75
SALLY i HiCKI
09996.3 04/01/04
21.2
HILL COUNTRY DAIRIES
019964 04/01/04
83.64
PAT hRANICKY
099965 04/01/04
502.85
INGEN'% PUBLISHING GROU
099966 04/01/04
m.98
IVAMS
099%7 04/01"04
24..5
-RALIA LAVIGLE 7E
099968 Z4101/04
490.40
_iFLINE SYSTEMS LPIC
099969 04/0siO4
18,374.0E
PfEMDRIAL MEDICAL P-20ER
09%70 04/01/04
979.6i
4ATERA - 1X
399971 04/01/04
18.60
BANE MCCAAN
099972 04/01/04
:,760.80
MERIDIAN PROFESSIONAL S
099973 04/01/04
36.58
LINDA MEYER
099974 0410iiO4
95.07
MID -ATLANTIC DIAGNOSTIC
0999T 0401iO4
oi.45
MID -COAST ELECTRIC 3UPP
Ow976 04/01!04
325.00
NANT
099977 0410144
1,600.00
NUTRIT!ON DPTIDNS
099578 04/01;04
81.36
[4ICHFiLE NOVA,
n9979 04/01/C4
23 64
POWER ELECTRIC
099980 0 101iO4
585.00
PRIDRITY PHARMACEUTICAL
099981 04i0l/04
._ . �
dE PUBLIC RECORD BUD
25
845
C i
•
•
JI'1 ➢t1 �:'3'JI IO: e'�
TiME: 16:00
ODE "WEER BATE
r ?J
J
09998c' O4i01iO4
099583 O4i01/O4
0999H4 a4/avb4
099985 04i01/04
099986 04/0144
099987 04i01/04
039988 04/01iO4
099969 04/01/04
099990 04/01/04
099991 04/01/04
099992 04/01,14
099993 04/01/04
099994 04/01/04
099995 04/01/04
099996 04''01/04
099997 04/01/04
099998 04i01/04
099999 04/01/04
100000 04/011;
100001 04/01/04
IONO2 04/01/04
100003 04/01104
100004 04JO1104
100005 04/01/04
GTALS:
•
MEiGR;AL ME➢iCAL CENTER
CHECH RE615iER
04/011iO4 THRU 04i01/O4
AMOUNT
C96. 0O
2, 577.1c
89.54
1, 500.00
4,811.00
108. 50
6, v90. 0O
3, 72. 56
46.50
1O, 000.00
351.90
26
129.77
543.36
68.54
i 87.70
4,172.85
112. 22
178.35
635.49
200.00
e7.2H
21E.2-17.55
PAYEE
THE PLAZA SAN ANTONIO
R co- ASSOCIATES INC
RANDY'S FLOOR COMPANY
RAOIOLOGY UNLIMITED
RESPIRONICS
REXCO INC
SO TEX BLOOD 3 TISSUE C
SPECTRA LABORATORIES
STAFF CARE
5YSC0 - SAN ANTONIO, -P
THE SPORTS STOP
TEAM REHAB
TESTENGEER INC
IEXA:. ED 4 DISTRICT ;,E
TEXAS DEPT OF HUMAN SEn
TEXAS ENVIRONMENTAL 2ER
UNIFIRST HOLDINGS
UNITED PARCEL SERVICE
UNITED SERVICES
ELVA VELA
WALMART COMMUNITY
WARDMAN PAW MARRIOTT H
MARIO WIE➢ENMEIER
ELIZABETH WESTBROCY
PAGE
GLCKRES
84-b
26
N DATt:iZ 10/04 MEMO-XiAL ,AED1CAL CENIc PAVE
TIME:i6:& CHECK REGISTER SLCnRE6
04i@8.104 THRU @4/08/04
DE
NUMBER DATE
4NOUNi
PAYEE
P
ION07 @4i@8/04
:4.56
ACE HARDWARE - PORTER'S
P
108008 04/08/04
49.71
ADVANCE MEDICAL DESIGNS
P
100009 04/08/04
15,461.6E
CONSTELLATION NEW ENERG
P
100010 04/08/04
1,732.54
AG MICROSYSTEMS INC
P
100011 04/@8iO4
56% 36
AIRGAS-SOUTHWEST
F'
100012 04iO8/O4
C,49,08
CARDINAL HEAL H
P
100013 04108,,04
211.50
AMASON APPLIANCE SERVIC
P
100014 @4i@8/@4
303.94
ANNOUNCEMENTS PLUS
P
10001E 04/08/04
49.50
AQUA BEVERAGE COMPANY
P
1800,E 04/08/04
419.00
AWESOME PAGING INC
P
100017 04/08/04
1,149.00
BANKCARD CENTER
P
IM16 0448104
.00
VOIDED
F
100019 04i08/04
11,855.00
BERGEN BRUNSWIG DRUG CO
P
100020 04/08/04
52.30
CABLE ONE
P
100021 04/08/04
4,833.00
CAL MM FEDERAL CREDIT
P
1000Ecc @4/08/04
275.00
CALHOUN COUNTY PEST CON
68023 04/08/04
143.2E
RUBY CANTU
P
1@@@24 @4108/04
91.85
CSED/CASH PROCESSING
P
100025 04/08i@4
4,6'60.68
CITY OF 'PORT LAVACA
P
190026 04/08/04
150.00
CLIA LABORATORY PROGRAM
P
100027 04i08/04
669.52
DELL FINANCIAL SERVICES
108026 04/08/04
24.49
KATHERINE DIETZEL
P
I@0029 04/06/04
4,503.80
ENTEX
P
109030 34108/OA
636.06
EQUAL DIAGNOSTICS
160031 04/08/04
47.77
FEDERAL EXPRESS CORP.
P
100032 04/08/04
686.48
FISHER HEALTHCARE
P
100033 04/08/04
918.57
FORT DEARBORN .IFE INC
?
100034 04/08/04
2,14-1.75
ROBERTS, ROBERTS 6 ODE
P
180035 04/08/04
3,.z27.05
GE HEALTHCARE FIN SRVS
P
IM36 04/08/94
110.00
GREENHOUSE FLORAL DESIS
100037 144/08/04
3,500.80
LLOY➢ LANE CODER, MD F.
=
109038 04/08/04
6.51
LINDA R GOMEZ
-
IM39 04/08/04
2,827.74
HAYES ELECTRIC SERVICE
00@40 04/08J04
102 30
SALLY 7 HICKL
=
100041 04/08/04
95.3
HIL. COUNTRY DAIRIE
100042 04/08/04
16.39
?ESUSITA S. HERNANDEZ
-
100043 041M104
:,287.45
PATRICIA HOLMES
-'
IM44 34/98/04
95.51
PAT HRANICXY
=
10004E 04/08/04
1,E93.36
INSTITUTIONAL TRUST CON
=
700046 04/08iO4
26,357.00
ITA RESOURCES, INC
10004', 04/08/@4
60.00
KROLL LABORATORY SPFCIA
100048 04/08/04
-Sl 15
ORALIA LAVIDLETTE
-
100049 04i08/04
999.23
LIFELINE SYS7EM5 INC.
-
100050 04/08/04
500.00
MEMORIAL :HERMANN HO'6PIT
100051 04l08;04
629.50
MtEMO.RIAL MEDICAL CENTER
-
100052 04/08/04
96.80
MALLINCKRODT INC
=
100053 04/08/04
G,546.15
TERRY N MCCLAIN CRNiA
100054 04/08/04
246.66
MAURITZ d COUEY
i@0055 04/06iO4
79,05
,LANE MCCAR]i
10005E 04i08i@4
68.07
MEMORIAL MEDICAL CENTER
27
847
•
•
•
JN ➢ATE:015il /04
TIME:16:00
JOE itI7MBER DATE
;N
10005 04/08/04
!P
100056 04i08104
/P
100059 04/08/04
iP
100060 t4106.'04
/P
10006; 04i08/04
/P
100062 04iO8/94
iP
!ONG3 04/06%04
/P
ION64 04i08/04
/P
1000E5 04/08/04
/P
i000EL 04/08/04
/P
100067 'D4/08104
/F'
10006E 04/08/04
,'P
100069 34108/04
1P
1ON70 04/08/04
04i06iO4
•109071
100072 04/08/04
�P
100073 04/06/04
/P
100074 04/08/04
iP
100075 04/08/04
'P
10B076 04i88/04
'P
100077 04/08/04
`P
100078 04/08/04
`P
100079 04i08104
'A'
100080 04/08/04
P 100061 04108ioi
P 10006"' 04/08/04
100083 04/08/04
P' 100064 04i08/04
P 100085 04/08/04
P 100086 04/08/04
P 100067 04/08/04
10008E 04/08/04
100089 04/06/04
100090 04/08/04
190091 04i08iO4
' 100092 04/08/04
� 1000?s 04/08/04
' i00094 04/08/04
100095 04i66/04
'AL3:
•
MEMORIAL MEDICAL CENTER
CHECK REGISTER
04/08/04 RU 04/0Ei04
AMOUrc7
C, -E4. 46
44.64
72.91
84.36
2 /.i6
I3S. 20
14,000.00
16, 860.00
74.00
53.00
275.00
149.00
90.65
1, Jil. i5
724. 75
26, 7&, 83
351.90
170.31
166.24
la.3i
17, - . 00
434.00
i29. 36
2?8. 3E
6,353.65
it. to
32. 15
39.37
BE. 0
02.92
1, a28. 3
i0.75
9.97
1,467.0E
308.49
715.00
14. 68
12, 302.08
214.671.42
rA(EE
MERIDIAN PROFESSIONAL S
LINDA KE0
JOSIE NAVARRO
NDO,NDAY LIONS CLUB
OFFICE DEPOT CARE PLAN
MICHELLE ORTA
PARRISH MOODY & FIKEG,
PITNEY BOWES INC
PORT LAVACA DODGE
POSTMASTER
PROGRESSIVE BUSINESS PG
WACHOVIA SECumi iEs
R G & ASSOCIATES INC
SHERWIN WILLIAMS
SYSCO - SAN ANTONIO, LP
STATE COMPTROLLER
TEAM REHAB
TESTE14GEER INC
TEXAS CHILD SUPPORT SDU
TEXAS' ENVIRONMENTAL SER
TEXAS GUARANTEED STUDEN
TEXAS HOSPITAL DNS EXCH
TTUH5C-HEALTHNET
TEXAS WIRED MUSIC INC
THYSSENKRUPP ELEVATOR C
GARY L. TILLZ'., :RYA
TRIPLE O SECURITY CDRPO
USi INC
UNIFIRST HOLDINGS
UNITED WAY OF CALHOUN C
ELVA VELA
VERIZON
VICTGRiA OFFICE ECIP?E
WALMART COMMUNITY
WASTE MANAGEMENT
WATERMARK GRAPHICS INC
WAY TO TO KIDS
LiZABETH WEST
BRDDK
FISERV HEALTH - TENNESS
PAGE _
OLCKREG
•
28
N DA—:a5ii0iO4
TIME:lo:a9
- MllMBER ➢ATE
P IM96 04/09/04
F i00097 04i09iO4
P .10009E 04/09/04
P IM99 04/09/84
100100 w4/09/04
P 100101 34/09iO4
P 10010E 04l09/04
P 100103 04/09/04
P 100104 04i09/04
P 100105 04i09iO4
P 100106 04/09/04
P 100107 04/09/04
100100 04l09/04
P 100109 04/09/04
,ALS:
MEMORIAL AZJICAL CENTER
CHECK REESIE;
04/09/04 THRU 04/09/04
AMOUNT
136. 7
La. W
21.93
23.
la.21
15. a0
85:59
i65.29
11.80
.�a4i.64
PAYE
US KEPT OF TR.EAEIR"
JONES 7ANiC-
RO➢RIGUEZ dUAXITA
DEN MRUE
BR'/ANT MARILYN
ROEDER PAUL
MAiKOETTER DORLTHY 4
POLENSY,Y RAYMOND N
OCHOA SLORIA
-PARKER 71WARD
WN➢LE LIN➢A
SAUER MARK
ZIRKi:LBACH "AAR�LE5
BONUZ RACH EL
?PG i
6L�tiRES
29
849
r�
0
•
•
DFiIE: a5;:0;-a4
TIME:16:0a
ZEE NUMBER DgTt
iP
iP
F
/N
iP
/P
iP
/P
iP
iP
/P
%P
/P
/P
/P
/P
P
/P
r
/P
1p
,F,
`P
F'
i
100111 04115/04
100112 04115/04
100i13 04/i5i O4
:001i4 04/15/04
10011E 04i15/04
100116 04i15i&
100117 04/15/04
100118 d4i15/04
-10011: 04iii/04
100120 04i 15i 04
i00121 04/15/04
100122 04/I5/04
100123 04/15iO4
100124 04/15/04
100125 04/15/04
100126 04/15/04
100127 04/15/04
1NI26 04;i3ia4
100129 04/15iO4
100130 04/13/04
'001-1 04/1510,
1001aL 04/15104
100133 04i15/a4
i'd0134 04/IS/04
100135 04/l5iO4
100136 04/15/04
i00i37 04/15/04
i00i38 04/15iO4
100i39 04/15iO4
100140 04i15iO4
100141 04/"iO4
100142 04/15iO4
:00143 04/15/04
100144 a4/15/04
100145 34ii5ia4
100146 34/'.SiO4
100147 04115,04
100148 0411544
100i49 04i:5/04
100150 04/15/04
100151 04i.5/04
1aa152 04/15/a4
100153 04/15104
/00154 041'jiv4
100155 04/15iO4
10015E a4/I5iO4
1001- 04/1Z/N4
10015B 04i15/d4
100159 04ISia4
102!60 04/15iO4
MEMORIAL PEDICAL CENTER
CHEGi +iuiSTER
04/15/04 THRU @41!5104
MG1 T
121.a
19.0
146. o
E,001.98
i, 81C. 75
484.30
072.05
9,200.00
44180
489, 3E
.00
22, 6a1. 52
589.69
90.21
73'.00
38.68
206.20
93.69
385.67
00.1E
34.6
66.00
131.20
14.09
1z. 71
16.19
1.27
97.3,
41. 18
71.67
297.00
90.00
25. K.
3, 9 3.50
&,120.35
927. 27,
1,006.84
86.49
1,a69.03
3, 000.00
53.63
592. 50
4.181.13,
45.00
987.50
5,too. 0a
3z.G3
ZOO. 00
469.53
10,:91.29
PAYEE_
a
;AABB SALES D&hRTME:NT
ACE HARDWARE -PORTER'S
AERIFGRM/iWECO-PORT LAY
CONSTELLATION NEW ENERG
AMERICAN HOSPITAL ASSOC
ANITA FRICKE - COUNTY C
CARDINAL HEALTH
ANASON APPLIANCE SERViC
AMERICAN KIDNEY FUND
BAXTER HEALTHCARE CORP
VOIDED
BERGEN BRUNSWIG DRUG CD
8I0-MED PLUS INC
RUBY CANTU
CHUBB SECURITY SYGTEdG
CRAFTSMAN BOOK COMPANY
CUMMINS SOUTHERN PLAINS
DATASEARCH
DELL FINANCIAL SERVICES
DETAR HOSPITAL
KATneRINE DIET£EL
DOWNTOWN CLEANERS
E4CARE NORTH TEXAS
FEDERAL EXPRESS CORP.
LINDA R GOMEZ
H E BUTT GROCERY
HAYES ELECTRIC SERVICE
SALLY a HICKL
HILL COUNTRY DAIRIES
PAT HRANICKY
IDS CAPITAL
JACO INDUSTRIAL SUPPLY
OR,ALIA 1AVIOLtiTE
LUKER PHARMACY MANAGEME
MEMORIAL MEDICAL CENTER
MALLINCKRODi INC
MATERA - I;
ANE MCCARN
MERIDIAN PRCFESSIGNAL 5
MERRITT, HAWKINS & ASSO
LINDA MEYER
iMINOLTA=I14ANEIAL SERVI
NATIONAL BENEFITS PARTN
NATIONAL NOTARY ASSO%:A
N➢CHEALTH
DR. NAPHARON NiRATSUWAN
OFFICE DEPOT CARD PLwW
?ARRISH MOODY & FIKES,
PERDIDO BEACH RESORT
PHILIPS MEDICAL SYSTEMS
FAGE i
&CKREG
850
30
e! DRTE:05; !0; 04 idE.7ORIAL I4EDICAL CENTEa
TiME;!6:00 C'r.E� i iiEuiSTea
04/i5/O4 THRU 04/115/04
DE NUMBER DATE AMOUNT. PAYE
1001E1
04/15iO4
500.00
P'OSTMASTE.-
P
!00162
04/IS/04
E.39
POWER ELECTRIC
P
100163
04115/04
59.36
PROGRESSIVE DYNAMiCE
P
i00164
04/i5/04
95.00
R S 8 ASSOCIATES INC
P
100165
04/15/04
6.30
RADIO SHACK
P
100166
04/15iO4
269.92
SEARS
P
100167
04/15/04
4,209.00
SO TEX BLOOD d 7i55JE C
P
M168
a4/15/04
3,387.19
SYSCD - SAN ANTONIO,
P
100!69
04/15/04
210.00
ERICA B. TAL_E':'
P
IN170
04,'2M
10,000.00
TEAM REHAB
P
!001i!
04/lS104
276.97
TAC UNE14PLO'i,MENT FUND
P
100!72
04/15/04
875.00
TEXAS DEPT OF HUMAN SER
P
.001 3
04/15iO4
347.e8
TEXAS DEFT OF HUMAN Stiff
100174
04i15/04
306.96
TEXAS ENVIRONMENTAL SER
P
10N175
04/15/04
i,773.75
TEXAS HOSPITAL AS5OI:IAT
P
100176
04/lZi04
326.00
TORCH
P
100177
04/15/04
Z,!M 50
UNITED SERVICES
P
'00175
04/15/114
104.78
ELVA VELA
F
i00179
04/!5/04
iO4.31
WALMART COMMUNITY
-
]00180
04/15/04
25.42
ELIZABETH WESTBROOK
100181
34ii5/04
i70.06
X-RIT-t !NC
P
!00182
04/15/04.
14- a
SHELLY ZAVALA
TALS:
i32,263.63
VLLF.",tC
31
•
E
0
•
N
Dtii=:oz`, 0/:04
^EAO 1AL ^�'1EAL ZZATE
'ME:''E:0i
'E,4EC RE616TEa
041116iO4 THRU 04/i6iO4
DDE
NUMBER DATE
AMOUNT PAYEE
P
130183 041lb/e4
160.00 RADIOLOGY UNLE ITED
/P
100184 041!6104
.18 WOOD DEAN E
iP
100185 040i6104
329.97 WOOD AMA MAE
„-
100186 04,161&
t55.53 WEHVEYE3 1AMIE
r
10018: 0016104
87.5c a1EcuBAKER 70NE :.
S HL:::
1 645. E6
E
PAK
-LE—REG
852
32
N DATE:05f10104
iiME:15:0i
DE PAMI ER DATE
100189 04/22h04
100190 04162!04
100191 04iE2!04
/00192 @4/22!04
100133 04/22/04
100194 04/22104
100195 .a4/22104
100,96 •'34/22104
i00197 04i22104
I00198 &I'L.04
100195 34/22/04
100200 04i22104
100201 04/ 22! 04
IOKU 04/-=/04
100204 04/2 /04
I00205 04i2ciO4
I00206 04i22)04
100287 04i22/04
100208 04/22iO4
100209 04/22/04
IU210 04/22/04
iOKI 104i2Ei O4
100212 34i22/04
100213 0412aiO4
100214 04i22!O4
100215 04/�-/04
100216 04i22!04
i00217 04/22!04
100218 04/22iO4
100219 04/22!04
i00M0 04/22/04
1OKE! 04/22/01
100EL 04i22iO4
100223 04i22/04
IN224 04/28!04
100225 04122iO4
100226 04/22/04
i00227 04/22.iO4
100cc8 941-a'104
1OOE9 04122iO4
100230 04/22/04
i00231 04/22/04
10023E 04/22/14
100233 04/22/04
100-34 04i2c,'04
100235 04/22iO4
100236 04/22104
OOE37 04ic2/04
1WC36 041=2 Z4
SMORIAL MEDICAL ''Z`Jt
LHELK REGISTER
04i22!04 i6RU 041221.04
=mwdT
3. 74
2'1. 4
39.6..
346.6i
4,707.57
218.50
G} O7E. i2
59. 64
IL. o
205.00
2E9.03
L9J. �J
19, 40.69
133.E9
15.00
101.00
4, 758.00
253. a
148.49
9i. 85
ti.48
837.:o
i4. %4
Jam. VB
643.76
5, 7a2L 34
32. 00
22C.30
21. s3
6.74
83.70
88.22
99.52
304.85
164.62
282.7E
B.
15z.72
50.3o
5.580.16
6, 546.15
682. i0
8. L..
6E. 6%
Bib, 79
46.50
244,.8
1,385.02
6, 49
rAYEE
ACE HARDWARE - PORTER'S
BERIFORM/IWECO-PORT :_R4
CONSTELLATION NEW ENERG
AiRGAS-SOUTHWEST
CARDINAL HEALTH
AMASON APPLIANCE SERIiIC
AFLAC
ANNOUNCEMENTS PLUS
NADINE ARNOLD
ATLANTIC BIOLOGICLE
AVENTIS PASTEUR
BAXTER EALTHCARE CORP
BERGEN BRUNSWIG DRUG CO
BUCKEYE iNTERNATIONAL.,
BUREAU OF VITAL STATIST
DOROTHY BUEHRING
CAL COM FEDERAL CREDIT
CALHOUN COUNTY PEST CON
RUBY CANTU
CSED/CASH PROCESSING
CINGULAR WIRELESS
DELL FINANCIAL SERVICES
DELL MARKETING L.P.
WAIIrIERINE DIETP
FEDERAL EXPRESS CORP.
FORT DEARBORN LIFE INSU
BE MEDICAL SYSTEMS
6 T PICKUP & DELIVERY
GARDENLAND NURSERY
-INDA R GOMEZ
E BUTT GROCERY
-ALLY i HiCKL
HILL COUNTRY Dxi RZEE
PAT HRANiCKY
IDS CAPITAL
SiiiUTICJAL TRUsT CIM
.,ANS
:.;ALIA LAVIOiiiit
IFELINE SYSTEMS INC
EAORIAL MEDICAL CM:R
0OP.IAL MEDICAL CENTER
TERRY N iMCLLAIN CRNA
NATERA - iT
LANE MCCARN
,-DIFAX EDI
nETL1F_
LINDA MEYE.R
SHAD A AIKHAIL
MUSTAIN & ASSOCIATES
T REILLY ;0PARTS
%AGE .
GLCKREG
33
8543
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•
0
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a NUMBER DATE
>100239
m2 .
a
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100245+aa
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•
:N �ATE:'05ii0/04
iIME:i6:0c'
3DE NUMBER DATE
/P 100273 04i28/04
'? 100274 34/28/04
iG i00275 04i2A/04
iP 100276 04/2Bi04
P 1002T� 04i26iO4
rP 100278 04/28/04
Y'P 10&79 14,28/04
IP '00280 04/28/04
P 100281 04/28/04
P 100282 04i28/04
iP 100283 04i 28iO4
100228E 0426/04
1002&5 04/ 28/04
100E86 04i28/04
100287 04/28/04
iP 100288 04/28iB4
/P i00E83 04/26/04
-P 1N290 04i28/O4
,P i00291 04/28/04
P I�I&E'S2 04/28/04
YP 100293 04/28/04
100294 04/28/04
G 00295 04/28/04
'G i06296 34i2a/04
'P 100297 04/28/04
100298 N/28/04
P 100299 04/281@4
P I00300 04/28/04
P 100501 04i28/04
P 10030E 04/2844
P 100303 04/28iO4
P 100304 04i28/04
i00,',05 04i 2E/04
P 100306 04/28/04
P 100307 04/26/04
P i00308 04/28/04
.00309 04/28iO4
100310 04i28iO4
•00,,11 04/28/04
100312 040/04
100313 04i28/04
10081E 04/26/F4
i00315 04i2844
i00316 04i28/04
-031' 04/28/04
100318 04/28/04
100319 04i28/04
100320 04i28/04
1003ci 04;"c8iO4
lb0O-,L 04,28/04
AE,KORIAL MUICAL CENTER
C4ECK RESISTER
04%28/04 THRU 04i-6104
AMOUNT
-L.00
49.71
110.Si
5, 404, 47
209.15
025.00
442. ii
648.38
172.55
4.80
2,858.36
607.80
If 93. 80
67. 22
85. (J
252.04
i54.00
503.3E
221.4e
i,:62. 13
203.00
.00
2, 9�9.06
2, 7TY.00
378.50
3,91e.6B
108.76
11,347.63
111.38
239.11
.00
5,600.5c
6, E8<. 81
258.05
409.30
... 46
31.87
80.28
234.95
12E.81
ESE.67
71.00
37.22
153.SC
6'18. 95
G3.39
ISn.00
i26.15
-, 216. 04
PAYE_
ALAI
ADVANCE .4EICmL DESIGNS
ALCAVIS, INTERNATIONAL
AtlERICAN ACADEMY OF PED
CARDINAL HEALTH
ARROW INTERNATIONAL INC
ARTHROTER, INC
ASPECT MEDICAL SYSTEMS
C.R. BARD LOCKBOX
BARNSTEAD INTERNATIONAL
BAXR CORPORAiION
BECKMAN COULTER INC
BECKWITH ELECTRONIC EN6
BALLARD MEDICAL PRODUCT
BRIGGS CORPORATION
8SN :MEDICAL INC
CARRDT TOP INDUSTRIES i
CERTIFIED LABORATORIES
CHANNING L BEE CO INC
CD➢ONICS INC
CONMED CORPORATiur,
CORNISH MEDICAL - i,TRO
VOIDED
THE COUNCIL COMPANY
CPSi
CURTIS 1000
➢ADE BRING
DEXTERITY SURGICAL INC
SCURCEONE HEALTHCARE iE
E-Z-EM, INC.
EMERGENCY MEDICAL PROLU
)OIDED
=!SHER HEALTHCARE
RESENIUS USA MANUFRCTU
SE MEDICAL SYSTEMS
GLOBAL GOV'T/EDUC SCUT
r4RKR LINEN
THE H+H SYSTEM, INC
HEALTH CARE LOGISTICS I
IKON OFFICE SOLUTIONS
iNFOI�AB INC
INS;R.IMENTATION LABCRAT
INTEGRATE➢ MEDICAL SYST
INTERNATIONAL PLASTICS
. SON, INC.
ENDALL HEALTHCARE :ROD
KIMBALL MIDWEST
,; 0L ABDRATORY SPECIA
LAB SAFETY SUPPLY iNE
LABCORP OF AMERICA HOLD
GAGE
36
N DP E:05"12/04
NK—C$CK-----
DE NUMBER UP E AMOUNT
- i 13c3 34/28iG4
IW24 04/28/04
100325 04/281'04
INK1.6 34,Z8/04
100327 04/28/04
100328 04/28/04
100329 04/28/04
100330 04/28r04
100331 04/28/04
L00?32 94/28/04
100323 04128/04
100334 04/28/04
i00335 04/28/04
1�03 6 04/28/04
:00337 04/28/04
100338 04/28/04
i003."19 04/28;1134
i 100340 04/28/04
100341 04/28/04
100342 04/28iO4
100343 04/28/04
100344 04/28/04
100345 04/28/04
100346 d4/28/04
1U347 24/28/04
i 100348 04/28/04
.0034S O4i28/04
100350 04/28iO4
10035i 04i28/04
i t00,'32 04/28/04
100353 04/28/04
180354 04/28/04
aLS:
^uIGk1AL AEC -CAL LEiV'
:.:iDK RE31S i ER
04i28iO4 iHRU 04i28/04
:a.$
1a9.50
3i9. ca
285.00
360.72
B5.25
-70.20
76.86
79.76
oil. 35
280.4.0
254.97
liE.80
51.5
228.88
125.42
611.E-1
65.84
406.75
172.85
2 0.00
324.89
406.39
271.0E
165.59
43:.35
222.09
04. S
718. &1
1E]. 55
C39.08
90,636.83
rAYt'c
Arc -
6LCKRES
LAND AD WHEELS 7NSSTP1NT
LNVA tL CORPORATION
'AMA NORTH AMERICA
MARKET AY
iMEDRPU INC
^IEDTRGNIC USA, INC.
•
MESADYNE MEDICAL
MICRGTEK MEDICAL INC
MOORE MEDICAL
OMENS 3 MINOR
Orr ICE COMMUNICAiIONS S
Old -SITE TESTING SPECIAL
PHILIPS MEDICAL SYSTEMS
POSI7LVE PROMQ715NS
PROGRESSIVE DYNAM;CS
PUARICRMASTER
GUEST DIRSNO5TiC5
RPC REPROCESSING PRODUC
RESPONSIVE PROVIDERS IN
SENSORMEUICS CORP
:EAPS STAR POLL SERV 8
ST SOHN RECORD PROGRAfiS
57RYKER SALES CORP
STERIS CORPORATION
7PYLOR-MED,LLC
.GAPS ELECTRICAL SUPPLY
THERMC EIOSTAR
71MEi1LI-ABELiNG
Tiii-ANIM HEALTH SERVICE
:RI-TATE HOSPITRLauPF
UNITED STATES SUktiiCAt.
IIMMER uS, 1NC.
•
37
85-
0
N DATE:05/i0/04 fE,ORiAL MEDICAL i.5JTER -A;3E
TiME:1S:OE aiECK REGISTER _.
;r_Ct,BEG
34i29/'04 THRU d4,•29/04
-,------------------------------ ---
3DE iUKBER DATE .;MCUN7 PAYEE
----------------------------------------------------------------------------
•F 100:,56 04/29/04 34.6: AERiFORM/iW"eCG-PORT L?i�
102357 04i29/04 2E, 630. 63 CONS itL.AT!GN NEW ENERG
iP 10035E 34/29/04 410.00 APPLIED MF1tICAL
iP 100359 34tc9l04 11,393.6i CARDI'Nk nE ir,
iP 100360 04/29/04 LT.Sa AMASON APPLIANCE SERViC
iP 06361 04129/04 33.00 AGUA BEVERAGE CGI4PANY
100362 04i29/04 " 564.23 BAXTER HE41-T',�CARE CORP
10036L 34/29/04 !,453.83 BE.AMAN CGUL cR 'CA PTAL
I
,'P100364 04i29iO4 ,80 VDIDED
iF i00365 a4125ia4 6,191.37 BERGS BRUNSWIG DRUG CD
1OL66 04/25/04 486.45 BSC SLrPLY
100367 04/29/04 149,41 111Y CANIU
i00368 04/29/04 Z.14 CERT TIED LABORATORIES
100369 ''04/29/04 351.48 CITIZENS MEDICAL CENTER
/P 100370 04/c9104 ,476.55 CITi GF POR7 :AuACA
/P 100371 04/Z3/04 32.24 ELWOOD E. -CURRIER, ,in
/P 100" - 04" J04 74,87 AMY DAY -
/P 100373 04/291'04 46.33 KATHERINE DIGIZEL
P 100374 04/29104 523.aa EDWARDS PLUMBING !NO
rr 100M 04/eM4 :1.12 ENTERPRISE ntiNT-R-.AR
/P 100376 04i29104 14.-9 ZEDERAL EXPRESS CORP.
/F' 1003-77 04i29/04 :E.46 riRESTONE -OF PORT LAVAC
rP 100378 04i29104 42.N 4YCE--RNNIGRN
100379 04/29/04 24,956.71 GE HEALTHCARE FIN SRVS
%P 100360 04/29/05 315.00 GERBER PRODUCTS COMPANY
100381 '6412'9104 686.43 3UL2 CGASI PAPER CDMPpPi
%F i00382 04/29/04 35.34 LINDA R SOMEZ
? 100363 04/25/04 73.5. BILL COUNTRY DAIRIES
'P 100384 04i6'9/04 15.00 JECHER FLOOR i GLASS
`P 1003K 04/29/04 33.48 ORALIA LAVIDLEiTE
'P .00386 04/29/04 3,333.50 LUKER.PHARMACY MANAC-EME
'P IN387 0412M4 20,900.38 MEMORIAL MEDICAL CENTER
100388 04/29iO4 88.0 inlTERA - 1Y.
10036 34i29/64 35.48 JANE MCCARN
'P 1003% 04i29/04 5& GO MEDI CLUB
'P i&391 04/29/04 54.87 LINDA MEYER
'P 100392 04/29/04 158.07 iiCAG ASSIST, iNC
F' 100393 04/29/04 4,350.00 -RE SLEEP DISORDERS
1OZ34 04/29it14 412.50 POPULAR LEASING
100395 04/29/04 358.75 R 6 3 ASSOCIATES iNC
i00396 04/29/04 206.97 SMITH i NEP ZW
P I00397 04/2914 2,425.00 SU TEX BLOOD & TISSUE C
F' i00398 04i29/04 c'Q.00 STANFORD 'iACUUM SERVICE
? e00399 04/29/04 39.70 STRICTLY BUSINESS
F Ia0400 04i29/04 3,551.E4 SYECO - SAN ANTONIU,
r 100401 04129/04 10,'30a. 00 c4N i&iAB
E' i00402 641291704 44E.60 :LE 5:AttiA6
100403 04/P9:'04 - ji :hiiFiRSi iOLDIPfuS
P IN404 04,29/04-3,065-3 UNITED SERVICES
100405 04/29/04 137.95 ELVA VELA
858
in
N DA L:2`i:0i24 t:9GAit'u- MEDi%AL aiiTER
RE515 U
A4i29i24 NRU 24i25i24
LE WMEER DATE AMULN: :�nYEE
---------------------- -------------------- --------
A i00406 WaSi24 4; 55E.L UERi=LN 8u0THWE6
G i0yWL NiL5i24 �9.80 dALLIART CJMMUCY.
�
7-ABETV. WE' DRoo'
TALs: !04.283. i
39
859
0
•
•
r�
u
JN DAT- 3fl"1 10L,
vewjR AL ME-TCAL
' fdTER
T ME 'S:0
Ar 3Pc! 114VOICE
LIF THRU CUE DATE Or - . r04
. rc
POFEd
NC.d ik...... ............. ........CLS.IN!OIC2a.........,R!
u..,aG DT.DL'E D. ? D:..rC.......
6RO55.....DIS
...
........ a Lt7
::520;;3i
04260� 040604 052E04
10B1. E
,00
1081,98
TOTALS.- ......
........................,
;081.98
.00
1081.98
164 AIFCAST INC
M
230116954
041204 322304 052604
150.00
.00
230119322
041404 033004 052604
150.00
.09
150.00
-TOTALS .......................................:
;10.00
.A41
00
300.30
169E ALCAGI'2, IN,t5NAT1ONAL
M
1541 i
043904 041404 052604
00
74.94
TOTALS .......................................:
74.34
.00
.00
74.94
CARDINAL HEALni
M-
08100771
042604 040904 052604
810.23
.00
810.23
08200791
043004 043004 052604
358.24
358.14
MUM
043004 042304 952604
1002.55
.00
.00
1002.53
TOTALS .......................................:
2170.9E
.00
.00
2170,9E
ME ARTNROCARE CORPORATION
M
N364414
041404 040604 052604
662.09
.00
662: 00
T074LE.......................................:
ESE. 00
,00
.00
662.00
0437 C.R. BARD 50CK50%
M
70029636
041304 040604 052604
281.67
.00
331,67
02046030
042104 040704 052604
221.06
.00
321,06
70032BO5
042104 041404 052604
282.313
.00
282 38
07364597
042604 041604 05EE04
245.00
.00
245.00
TOTALS .......................................:
1030.11
.00
.60
1630.11
122A B'WAN M LT-GR tNL
N
502078RNEE.
A1204 033104 052604
585.00
.00
365.00
180037FL03
042104 040204 052604
200.05
.00
206.05
30207BM27
042104 033104 252604
574.50
.00
574.50
180037FL0i
042704 040504 052604
2052.79
.00
M2.75
180037FL02
042704 OW504 052604
498.87
.00
4%.97
180037FL65
042704 040804 052604
177.44
.00
177. 44
183804F101
042704 040804 052604
47.66
.00
47.56
308514N44
042704 040704 OYL04
11338.63
.00
i1338.63
502A78AN28
042704 040504 052604
783.75
.00
7B3.75
502078AN29
J42704 040604 052604
526.50
.00
5E6.50
TOTALS .....................
I.................:
16785.19
.a
,00
16785.19
L335 BELTWAY WDiCAL INC
M
12006
042104 040604 352604
53. 15
53. i5
?OTALS.......................................:
53.15
.00
.00
.02
53.15
'.655 BOSTON SCIENTIFIC CORPORATION
A
30402M0
043004 041404 052604
1482.50
.00
1482.50
364046309
043004 041604 05E604
-807.00
.00
-807.00
TOTALS .......................................:
673.50
.00
.sA
675.5A
.810 BRISTOL-MYERS Sad IBB CDMP.ANY
860
M
5i2375
04E604 032304 052604
57. 52
b0
57.5E
40
N DATE: 05ii0/04 APORIAL ;ASD!CFL MITER
H ME: 15:06 AP OPEN INVOICE LI5T•THRL' DUE DATE OF 05/HIM
z4L•;:
13
APOPEN
NH. NAME. .I .......... I.............CLS. IN VOICE4......... TRN DT.INV DT. DUE DT.CK D7..PC.......3R06S.....DIEC......:ti0-vA'1....,...NET
690 CUSTOM C34PURT
350 DADE BEHRING
A0404061378
041404
040504 05E604
10855.00
.00
10855.00
151148
041504
�Z40704 052604
395.00
.00
395.00
15ic10
042104
041404 052604
440.00
.00
440.00
151 52-1
042704
041504 052604
386.00
.00
386.00
152628
042804
042104 M2604
i98.00
.00
198.00
152560
043004
043004 052604
312.50
.00
312.50
TOTBLS.......................................:
12947.00
.00
.00 12947.00
E6i76
043004
�42104 052604
78.95
.00
76.99
TOTALS ..........
.............................
:
76.5'9
.00
.00 76.99
M 9298384E
042104
040504 052604
484.99
.00
484.99
9298471E
042104
040604 052604
30.26
.00
30.26
92986476
042104
040704 052604
95.98
.20
95.98
92988812
04004
040904 032604
985.13
.00
985.13
92994505
042704
A1504 052604
37.59
.00
37.59
92995 755
042704
041604 052604
3839.78
.00
3839.78
93000124
043004
042204 052604
31. 38
.00
37.38
TOTALS...............................I.......:
551i.1i
.30
.00 i
243 SOURCEDNE HEALTHCARE TEMNOLOG
r5
406 DI-CiEM, INC.
i6e DRUFMGND AMERiCAN MRP
090 EDWARDS Lir=SCIENCES
162M.4
241494
040604 KE604
913.8E
.00
913.B8
7608144
W104
040204 252604
108.64
.00
108.64
7E45472
042104
041304 052E04
1477.28
.00
1477.28
7645473
042104
041304 952604
6E3.50
.00
6E3. 50
7182BB3
042204
123003 052604
599.60
.00
599.60
7182886
04204
1230033 052604
1468.90
.00
1466.90
7182926
042204
123003 42E04.
175,5E
.00
175.56
7182936
042204
123003 052604
142.88
.00
i4E.38
7662980
042704
042204 K2604
234.98
,00
234.98
7662990
042704
042004 052604
704.94
.00
704,L34
7E62991
042704
042004 052604
2-189.74
.00
2389.74
7662992
042704
042004 052604
254.49
.00
254.4.9
6367007-2
04EB04
05H503 052504
39.i0
.00
39.10
671CPBOB
043004
OMSK 052604
225B.3A
00
E258.38
7566238
043004
042104 052604
313.26
,00
313.26
-1681296
043004
042704 052604
989.53
.00
989.53
768297
043004
042704 052EO4
2061.63
.00
2061.63
7681316
043004
042704 05E604
93.0E
.00
9l22
TOTALS ..............
1..........
I .............
: 14849.31
.00
.00 14849.3I
W 25,i:,2 042604 041404 052604
TOTALS ........................................
W i890528 041E04 333104 052604
1894431 041204 040104 052604
TOTALS ............. I..........................I
M 98GLO 041504 040704 052604
145.69
.00
145.69
145.69
.00
.00 145.69
154.38
.00
154.3a
55.68
.00
55.68
210.06
.00
,00 210.0E
109.75
.00
H9.75
41
0
•
•
IN DATE: M,10/04
;4EMRIAL IPIE➢IC.AL - NTER
TIME: 15:06
AP OPEN INVOICE
Lisi TH'RU DUE DATE CP 05i25r04
rA6E: 4
APOPEN
.ND#.NAME ............................:a.
1NVDICE;.........IRN
DT.1NV DT.DUE DT.CY, DT..PC.......SRCISS.
-,D-,SC
...... NO-pAy
NLcT
TOTALS .......................................:
109.75
.00
.00
209.
.230 :i.EC7RD MEDICAL Eu'UIP CO INC
M 277414
041304 040704 052604
79.00
.00
79.00
2175:5
042104 041404 052604
79.00
.00
5.0
278409
042704 042104 052604
79,00
.00
79.0 0
0
TOTALS ....................
............... ....:
237.00
.00
.06
237.00
400 EMERGENCY ?EDi3AL PRODUCTS
rl INU562822
041204 040104 052604
203.85
.00
2
INV56214
041504 040804 052604
81.87
.08
.,
81.881.E7
IN4565751.
042104 040904 052604
6i.97
TOTALS
.00
c7. 97
..........
............................. :
347.65
.00
.00
347.69
�0 FISHER HEALTHCARE
M 5153241
042104 040504 052604
:,2.20
.00
5193635
04EI04 040604 052604
926.03
.00
2. 03,
6
J193636
042704 040604 052604
1206.57
.b0
20.7
i206.57
5271758
042704 040804 052604
18.05
.Q
18.05
5271759
042704 M04 052604
599.96
.00
599.96
5.378807
042704 041304 052604
599.9E
.00
599.96
5451241
042704 041504 052604
13.93
.00
Ii 93
545124E
042704 041504 052604
35.41
.00
35.41
5789036
043004 042904 052604
208.63
.00
208.63
TOTALS .......................................:
3660.74
.00
.00
-660.74
790 FREs241115 USA M41`ilTr'ACTURIM6
M
92049437
041304 033104 052604
3768.00
.00
3768.00
9205261E
041304 040504 052604
3573.00
.00
3573,00
92061389
042104 041304 M04
451.33
.00
451.33
92070037
042804 042204 052E04
151.89
.00
151.89
92066328
943004 041904 05c604
1827.60
.00
1827.60
92073674
043004 042704 052604
792.00
.00
792.00
TOTALS .......................................
10563.82
.00
.30
i0563.BE
'30 O. NEIL CORPORATION
M
7518179
042604 041404 052604
16L. 66
.00
161.66
TOTALS .......................................
161.66
.00
.00
i6i.66
751 61LOBAL DUSIMETRY SOLUTIOMS,INC
• M
906904
70TAL3.......................................
042204 933103 052604
446.3E
446.38
.00
.00
.00
446.38
446.38
162 HACH COMPANY
M
3836764
043004 042604 052604
77.20
,06
77.DO
TOTALS ......... ..............................
71.20
.00
.00
77.20
45 HARBOR LINEN
W
4114010
042804 042104 052504
E5.46
.00
65.46
TOTALS .......................................:
65.46
.00
50 HAVE,'S INCORPORATED
:.1
00636184
041504 040704 052604
137. 0@
.00
137.02
42 86 7
5N DATE: 051i&04
MEMORIAL ;MEDICAL 'ENTER
PAR: _
TIE: 15:06
AP OPEN INVOICE
LIST THRU DGE DATE OF 05,'H104
...........................L
o.?NUDIC .........TRN
DT, liN i .DUE JL Cn D1..3 .......NOES....
JiSC......Nu-AAV........
1
00666572
04E2@4 041304 95H04
132.00
.00
2.00
TOTALS' ...............
........................ :
269.90269.00
165 HEALTH CARE LDGISTiCS INC
M
1194952
1197024
041304 040504 052604
041304 OWN 052604
73.97
58.20
.00
.00
73. 97
-8.c0
•
TOTALS ........................
...............:
is""' 'i
.00
.00
"'
700 HOLLIS E3 iND
M
91354476
042104 041404 952604
59.35
.00
59.35
TOTALS .......................................:
59.65
.00
405 HULL PNEST'rI:SIA
M
0267596-iN
04004 040704 052604
239.86
.00
239.8E
TOTALS........................................
239.8E
.00
.00
239.86
525 IKON OFFICE SOLUTIONS
M
1002404705
042E04 041504 052604
90.99
.00
90.99
TOTALS .......................................:
90.99
.@@
.00
90.99
950 INEOLAB INC
M
1921754
043004 342704 052604
L6.83
.00
126.dC
TOTALS .......................................:
126.83
.00
.00
i26.E3
1@0 INSTRUME^ITATION LABORATORY
M
9100147533
042104 040504 052604 -
1700.47
.00
1700.17
TOTALS...........
I ...........................:
i700.17
.00
.00
700.iT
2'50 INTEMATIOWL PLASTICS INC
M
0032560E
641504 040704 052604
67. 52
.00
a7. 52
288 ISOPURE CORD
OTALS.......................................:
8I 52
.00
.00
87.52
M
IIE552
N3004 040504 052604
226.41
.00
286.4i
70TZSS.............
..........................:
2E6.4i
.00
.00
64. of
5-K JIMSON. INC,
M
YC901471
043004 043004 KEEN
96.07
.00
98.07
TOTAL,-- .....................
...............
38.07
.00
.00
98. 07
147 KENDALL HEALTHCARE RRMUCTS CO
M
092SL070
1!41204 040104 052604
556.11
.00
556.11
092830-76
041594 040704 05ZE04
61.80
.00
6i.80
09306239
042104 041404 052604
469.20
.00
469.E0
09309688
042204 041504 052504
?�, 3i
.00
174.31
09329215
042804 'c42104 052604
395.04
.00
395.04
TOTALS..,..... ................................:
:65E.46
.00
.00
l65t.?G
0@ LABCORP OR EFICA HOLDINGS
M
14994875
041404 040204 052604
56.00
.00
56.00
14994914
041404 040204 052604
3470.2E
.00
3470.2E
43
C 11
1•
JN DATE; 05ne104
MEMORIAL MEDICAL CENTER
Act:
IME: 15:06
AP OPEN INVOICE
Lib" THRU DUE DA E O,= 05i26,04
APOPE
,l'Jv.f IN,: ...........................LLE.INUDILES......�..iRl�l
DT, - OI.DUE DT.LK DT..PC.......
SROSE.....
DISC ......
NO-PAY........iNET
TOTALS .......................................
3526.2a
.00
.00
3 c6.c6
i43a LINVATEC aRb�.RA-IeN
?4 3686154
042104 031104 052604
25.00
.00
25.00
8285174
042104 040604 052604
-14.65
.00
-14.65
OTALE .......................................
10.35
.00
.00
10.35
1438 LMA NORTH AMERICA
M47571
041504 040604 052604
79.80
.00
79.80
TOTALS .......................................
79.80
.00
.00
79.50
2178 MCKESSON GENERAL MEDICAL
CORP.
9682E6
041204 040104 352604
20.42
.00
130.42
•
992536
101a09
041304 M604 052604
04LI04 041504 L45LE04
620.82
132.82
.00
620.62
.00
132.82
101903
042704 042004 052604
27,4E
.00
27.48
108778
043004 042704 052604
16E.77
.00
166.77
958454
043004 041304 052604
185.83
.00
i89.83
TOTALS .......................................:
1268.14
.00
.00
iz68.14
2310 MEDPLA' INC
M 2544339
042804 042,04 052604
72,77
.90
72 77
TOTALS .......................................:
72.77
.00
.0a
72.77
2x0 81EDIBADBE
4 1014%
042704 041504 052604
159.55
.00
.59.55
TOTALS .......................................
159.55
.90
.00
159.55
2485 MEDRAD INC
M 90772E56
043004 04-=04 052604
360.72
00
R. 72
TOTALS .......................................:
360.112
.00
.00
360.72
2495 MEDTRONIC USA, INC.
W 5008835
042704 042004 a52604
- 6L 75
.00
61.75
501697i
043004 042204 052604
74.7
00
7e,75
503669
043004 042704 052604
123.50
.00
123.50
TOTALS .......................................:
269.00
.00
.00
:260.a0
556 AECRVNE MEDICAL
4 103391SE
042804 042004 05EE04
69.70
.00
63.70
01
70TRLS.......................................:
69.70
.00
,00
69.70
MESA LABORATORIES INC
M 0173077-IN
042104 04204 052604
!14.50
.00
114.50
0173308-IN
042704 &1404 052E04
ISl, 00
.00
157.00
TOTALS .......................................:
271.50
.00
.30
271.50
'.585 'SICROTEK MEDICAL INC
M i327976
042704 042004 052604
76.86
.00
76.8E
TOTALS..........................I............:
76.66
.00
.00
76.8E
�331 MOORE mEDICAL
N > 292i94Ri
041504 040604 052604
68.30
.00
60. 3a
S'(�4
44
IN DATE: 05110iO4
i9Et0IAL MEDICAL
CENTER
-AGE: 7
TIME: 15:06
AP OPEN INVOICE
LIST THP.0 DUE DAic Or 05i& 04
APOPEN
:YD#.:Aw.............. ..............l-6.iNVOICE7.........TAN
DT.INV GT.D67 HL ix;DT..PC.......
GROSS .....
5IK......
K.- A`i........14P
TOTALS .......................................:
68.30
.00
.30
66.30
i42r OWEVS & MINOR
y
0494299
04iE04 040104 052604
3.98
.00
- K
0494565
0498916
041204 040104 052604
641304 040804 052604
301.50
96,34
.00
,00
331. 53
96. 34
•
0490725
D41504 032504 052604
1952.'
.00
E.-2
049EI65
D42104 040504 KEE&
10.88
.00
i0.86
0503768
04E104 041604 05E604
273.25
.00
3.25
0506235
042704 042104 052604
E25.62
,00
3.6E
0506520
,a42704 042104 K2604
599.30
.00
599.30
K11287
043004 042904 052604
131,5E
.00
131.56
051i47i
043004 04E904 052604
406.3i
.30
406.3
TOTALS .............
.00
.00
4000.94
900 OFFICE COMMUNICflTION5 SYSTEMS
M
34271A
042204 041904 05E604
550.00
.00
550.60
TOTALS .......................................:
Zo.00
.00
.00
550.00
a DRTNOPEDIC SYSTEAS, Ilc
W
814941
1141504 040624 052604
151.38
.00
i51.338
TOTALS .......................................:
i5i.38
.00
.00
i5i.38
701 PACIFIC INK, INC.
M
1,66064
04-204 041604 05.2604
429.9E
.00
439.96
TOTALS .........................................
439.98
.00
.00
439.9E
260 PENTAX PRECISION INSTRUMENT
ifi
5E-09
042104 041204 05c604
64.76
.00
o4.76
577036
042104 041504 052604
471.04
.00
47i,04
OTALS.......................................:
535.80
.00
.00
535.80
140 POSEY COMPANY
M
99461E-1
042804 042004 05E604
J
-3.i7
.30
33.17
TOTALS.......................................
:
33.1i
.00
.00
33.17
560 QUARTERMASTER
M
P590062100015
041304 040504 032604
105.55
.00
105.55
TOTALS........................................1
105.��
.00
.00
105. r
460 RDIS iNVEVTORY SPECIALISTS
01-211737
042104 040604 05EE04
672.35
.00
672.05
TOTALS .......................................:
672.V
.00
.00
672.05
464 VC REPROCESSING PRODUO76 CUFF'
i4
87061
044304 040604 03EE04
50.i1
.00
50.11
87420
0Q,2104 040904 052604
u0.56
.00
bit. Sc
88251
043004 042304 352604
544.i2
.00
544.12
TOTAL-
S........................................
-04.7:
.3Q
.41E
c_34 7a
,a7 SPEEC RA `.4BQRAiNIES
W
69272MAR04
041504 033104 052604
E'.00
.00
227.00
45
0
0
N DATE: 05/10/04
MEMORIAL ;MEDICAL CENTER
TIME; 15:06
AP OPEN INVOICE
Li ET THRU DUE DATE Y 05i26/04
PAH: 8
APOPEN
1D5.NA'rtE ....................... ....
CL' INVOICEO.........TRN
DT.INV DT.DUE DT.CK DT..PC......IS,0L
3.....D?SC......YU
PA`i.....,..9ET
69E64MAR04
043004 033104 052604
3i.00
.00
91.00
TOTALS .......................................
318.00
.00
.30
318.00
. �T .��'uC
RECORD PR'Q6�au4S
D1 OIE51944
042204 041404 052604
325.Be
.00
325,80
01630900
042B04 071204 052604
-3a.80
.00
-30.60
OIGS0901
042004 W1204 052604
-
01630902
042804 031204 052604
.41
-14.K
.00
.00
-14.93
01630903
042804 031204 052604
.81
.00
-5.81
01630904
042804 031204 052604
-4.d3
.00
-4,83
01630905
a42804 031204 052604
-4.58
.00
-4.56
01644289
043004 040104 052604
124.3?
01657637
043004 04L% 052604
401.04
.00
.00
124. 31
401.04
�833
7 TAL3.......................................:
784.79
.00
.00
764.79
dTRvi;E;: -ASS CGRPGRA`1GN
435E93M
043004 �040894 052604
4658.30
.00
4658.30
TOTALS .......................................:
4658.30
.00
.013
4658.30
3940 ETER?d :ORPDRATIDN
M 736037
041204 033104 052604
200.00
.'00
200.J0
7535c5
042104 041324 052604
i18.00
d0
1d.00
TOTALS........
.... ...........................:
31a. 00
,00
. 00
318. 00
3361 TAYLOR-?,,ED,LLC
N 3245
042704 042004 052604
271.36
.00
271.36
TOTALS .......................................:
271.36
.00
.00
271.36
1728 TOP-'U.E.A. LURP
M 2+00411734
042104 031904 052604
299.50
.00
299.50
DTALS.......................................:
EMU
.00
.20
299.SO
i9OO TEXAS ELECTRICAL SUPPLY
A ii090
042604 040504 052604
263.70
.20
263.70
11142
043004 041304 052604
74.6c
.00
74.62 62
:1176
043004 041904 052604
1,. 43
.00
i92.43
TOTALS.- .......
11.1 .........................
530.7.5
.00
.00
530.-5
130 TR?-ANihi wi PLTN SERVICES iNC
M HTH40970334
042?04 040604 Oa2604
116.25
.a0
i18.25
TOTALS .......................................:
116.25
.00
.00
iiS.Ll
.i0 irti-STATE HOSP?TAL SUPPLY CORP
M 1602174
041204 040104 052604
1694. 80
.a0
1694.80
1605170
041204 040604 052604
1490.00
.00
1490.00
1609792
042104 041304 052604
761.1E
.00
'6i.16
1611629
042704 041504 052604
241.00
.00
241. 0a
1614826
042704 ME104 052604
2155.04
.00
2155.34
1619838
043004 042704 052604
367.27
.00
;,6' 2,
TOTALS .......................................:
6709.27
.00
.00
6709.27
Oda OA-
350571i02
342104 040804 a52604
53,3g
,00
3 38
46��
N DA—It: &!0/04 MEMORIAL MEDICAL Z iTEi F'AGC: 9
- E: 15:0e AF OAEN :NUOICc _,..I T, hF.0 DljG DA,, 37, UPEN
04.*0Z........................... 113. 1NVOICE4.......... 51N II. 1NU D .DUE D ."' J ..r.... ....�uROGS..... DISC ...... .NL'-FAY. .......iYt
TOTALS .......................................: 53.38 .00 .00 ?&
'I . ST HESURGICAL
M 32895887
041204
ij33104 052604
11.15
.00
Lii.i3
TOTALS .......................................:
211.!5
.00
.00 �ll.t5
•
d05 ZINMER ll5, INC.
w 857823
041504
040604 052604
77.59
.00
77.59
894440
042704
042E04 052604
1s6.13
.00
130.12
a94529
042704
042004 052604
8.34
.00
3.34
TOTALS .......................................:
d
0H
00 c c.15
GRAND TOTALS .................................:
Y:i515.07
.00
.00 111515.07
47
86
A
C]
•
•
•
REFERRAL ACCOUNTS FOR AP R!L 2004
FINANCIAL CLASS B - REFERRAL ACCOUNTS $ 104,961.61
FINANCIAL CLASS E - REFFERAL ACCOUNTS $ 92,899.46
FINANCIAL CLASS I - HOSPITAL ACCOUNTS - $ 8,845.96
FINANCIAL CLASS J - MEDICARE ACCOUNTS $ 5,092.44
TOTAL $ 211,799.47
CHARITY FOR THE MONTH OF MARCH $ 72,110.27
CHARITY FOR THE YEAR OF 2004 $ 297,210.92
8l6U
48
CHARITY ACCOUNTS
APRIL 2004
Date Amount Due Charity
Patient Name of of from Adjustment
Service Patient
Hart Troy
10/20/03
$
523.20
$
104.64
$
418.56
Hart Troy
01/12/04
$
301.00
$
60.20
$
240.80
Flores Rosalinda
01/06/03
$
309.25
$
309.25
Thompson Hoe
10/25/03
$
133.69
$
80.21
$
53.48
Thompson Hoe
02/07/03
$
75.00
$
45.00
$
30.00
Thompson Hoe
01/10/04
$
185.56
$
111.33
$
74.23
Medrano Guadalupe
01/03/04
$
328.00
$
32.80
$
295.20
Mayorga Naroisa
01/08/04
$
362.75
$
181.37
$
181.38
Kinchen Etta
01/08/04
$
483.00
$
483.00
Jimenez Carlos
01/13/04
$
322.00
$
322.00
Smith Martha
12/23/03
$
453.34
$
453.34
Garcia Esther
01/07/04
$
159.00
$
31.80
$
127.20
Morales Gloria
01/21/04
$
210.25
$
210.25
Sproul Pamela
01/05/04
$
86.75
$
4.34
$
82.41
Suarez Eliseo
01/21/04
$
437.16
$
437.16
Ramirez Krystal
01/17/04
$
371.25
$
371.25
Ramirez Maricella
01/07/04
$
294.00
$
14.70
$
279.30
Williamson Laveme
01/21/04
$
169.50
$
8.47
$
161.03
Ybarra Alonzo
01/02/04
$
229.25
$
22.92
$
206.33
Ybarra Alonzo
01/06/04
$
526.91
$
52.69
$
474,22
Gonzalez Gracie
01/05/04
$
379.41
$
379.41
Gonzalez Miguel
01/08/04
$
380.66
$
380.66
Gonzalez Miguel
01/16/04
$
347.50
$
347.50
Matson Stanley
12/02/03
$
502.84
$
50.28
$
452.56
Motes Vonda
01/15/04
$
206.57
$
10.32
$
196.25
Motes Vonda
01/05/04
$
129.00
$
6.45
$
122.55
Rodriguez Eva
01/07/04
$
487.75
$
487.75
Galindo Renie
12/28/03
$
423.46
$
423.46
Aguayo Luisa
01/14/04
$
346.25
$
17.32
$
328.93
Russell Don
12/09/03
$
167.06
$
8.36
$
158.70
Russell Don
12/19/03
$
4,997.80
$
249.89
$
4,747.91
Rayne Adela
01/12/04
$
582.91
$
582.91
Calzada Robert
12125/03
$
721.15
$
721.15
Calzada Robert
01/15/04
$
281.50
$
281.50
Candles Filomena
01/02/04
$
1,322.19
$
1,322.19
Clinton Anna
01/01/04
$
1,888.69
$
1,888.69
Lee Amanda
12/28/03
$
589.02
$
589.02
Martinez Delia
12/16/03
$
4,168.13
$
4,168.13
Martinez Delia
12/28/03
$
512.69
$
512.69
Lopez Annette
01/04/04
$
1,900.60
$
95.031
$
1,805.57
Lopez Annette
01/15/04
$
845.10
$
42.25
$
802.85
Villarreal Anadelia
01/09/04
$
783.35
$
39.16
$
744.19
Case Linda
12/18/03
$
2,769.85
$
276.98
$
2,492.87
49
869
•
•
n
U
Garcia Rosalie
12/12/03
$
1,818.44
$
1,818.44
Gonzales Carlos
01/17/03
$
3,991.93
$
3,991.93
Allmeroth Alan
02/09/04
$
16,600.76
$
16,600.76
Po a Robert
01/05/04
$
397.75
$
39.77
$
357.98
Perez Gloria
10/30/03
$
1,683,61
$
-
$
1,683.61
Perez Gloria
12/27/03
$
472.69
$
472.69
Perez Gloria
01/06/04
$
2,622.00
$
2,622.00
erez one
Pointer Brand
01/16/04
$
1,467.85
$
1,467.85
Tellez Catarino
10/30/03
$
424.98
$
42.49
$
382.49
Tellez Catarino
01/14/04
$
1,159.30
$
115.93
$
1,043.37
Randol h Martin
12/29/04
$
878.45
$
878.45
Wood Brett
01/18/04
$
727.96
$
218.38
$
509.58
Fernandez Arturo
11/24/03
$
1,661.63
$
1,661.63
Salazar Femando
12/30/03
$
545.28
$
545 28
Anderson Clarence
01/13/04
4,966.78
993.36
$
3,973.42
Badillo Jose
12/30/03
609.20
$
609.20
Po a Pe
12/24/03
507.92
50.79
$
457.13
Castillo Richard
01/21/04
1,261.25
252.25
$
1,009.00
Francis Tracie
01/0 VO4
814.75
$
814.75
Herrera Sandra
01/07/04
1,399.85
70.00
$
1,329.85
Mos ueda Patricia
02/03/04
327.28
$
327.28
TOTALS
75,439.75
3,329.48
$
72,110.27
Chart Bad Debt
Paid b Medicaid
Paid b Patient
" Paid b Insurance
B10
50
MEMORIAL MEDICAL CENTER PAGE 1
APRIL 2004
}?;&FERpiZ
COL.
--------------------------------------------------------------------------------------------
CODE PAT. TYPE PAT. W
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
B
1 B25629
NBVAREZ DEANNA
NPIVAREZ DEENA
1391.05
B
1 B38462
MITCHELL JACKSON D
MITCHELL JACNSON D
814.75
B
I B42859
MILLS MELISSA F
MILLS JAMES R
521.16
B
1 B45320
TA1AY0 DOMINGO JR
TAMAYO DOMINGO JR
1017.25
B
1 B47777
SOLIS JANIE
SOLIS JANIE
1646.36
B
1 B49085
SMITH FRANCES
SMITH FRANCES
11227.23
B
1 B49789
ROCRA JOSE ANTONIO SR ROCRA JOSE ANTONIO SR
5133.70
B
1 B50572
RNBIO JOANN
RDBIO JOANN
10.00
B
1 B52155
MOORE EEVIN SCOTT
MODRE NEVIN SC07T
529.39
B
1 B53984
PADRON BRIANNA LEIGH
PADRON BRIANNA
250.00
B
1 B53987
MORALES JERRAH VON
PA9RON BRIANNA LEIGH
284.01
B
1 B54126
NICHOLAS JOSE DWAINE
NICHOLAS JOHN DWAINE
2376.13
B
1 B54454
VARGAS JESSE
VARGAS JESSE
267.83
B
2 B34052
MORALES ALICIA P
MOILUES ALICIA P
258.05
B
2 B46255
MITCHELL RAY
MITCHELL RAY
49.OD
B
2 B46976
PONCIO RRISTI
PONCIO IMSTI
84.21
B
2 B47050
NICHOLS RACHEL A
NICHOLS RACHEL A
58.67
B
2 B47961
MCGREW ROGER
MCGREW ROGER
939.48
B
2 B48858
SOLIS JAMES
SOLIS JANIE
1564.24
B
2 B40992
R➢DDICK ASHLEY
RUDDICK ASHLEY
271.40
B
2 B49489
TAPAYO DOMINGO JR
TA}AYO DOMINGO JR
221.39
B
2 B49490
TAMAYO DOMINGO JR
TAFAYO DOMINGO JR
19.13
B
2 B49938
WHITE ANNEITE
WHITE ANNETTE
300.00
B
2 B50630
WILLIAMS CFAINEY
ABRIGO SHAWN
163.57
B
2 B50805
SULLIVAN JOHN
SDILIVAN JOHN
69.30
B
2 B50979
RECTOR AMBER
RECTOR CATHY
26.73
B
2 ES1155
ORTIZ HECTOR
ORTIZ HECTOR
812.38
B
2 B51577
TORRES MARIA G
TORRES MARIA G
10.57
B
2 B51942
ROGERS DONNA
ROGERS DONNA
811.15
B
2 B52001
TORRES MARIA G
TORRES MARIA G
15.75
B
2 B52063
SILER CONNIE
SILER COWIE
170.83
B
2 B53940
MOSRLEY MICHAEL LEE
MOSELEY MICHAEL LEE
243.52
B
2 B54295
MORALES GREGORIO
140FLUES GREGORID
136.49
B
2 B54319
SMITH TERRI J
SMITH TERRI J
126.46
B
2 B54457
PIERCE WARREN
PIERCE WARREN
251.36
B
2 B54742
MULLINS HANhAB
MULLINS MICHAEL
376.60
B
2 B55322
POWELL REAGAN
POWELL REAGAN
277.78
B
2 B55331
SEGDRA HILARIO
SEGURA HILARIO
469.94
B
2 955340
WEBSTER FORREST
WEBSTER FORREST
165.67
B
2 B55500
ORTIZ MYRNA
ORTIZ MYRNA
25.24
B
2 B55702
TIPPIT MOLLY
TIPPIT MOLLY
153.46
B
2 B55737
MCBEE RODNEY
MCBEB RO➢NEY
517.78
B
2 B55900
MCGREGOR LINDA J
MCGRBGOR LINDA J
280.46
B
2 255916
WHITE RUSSELL
WHITE RUSSELL
258.24
B
2 B55949
MALONE VERA
MALONE VERA
166.19
B
2 B56002
RODRIGUEZ LEAN
RODRIGUEZ LEAN
15.87
B
2 B56037
VILLARREAL REBECCA
VILLARREAL REBECCA
175.43
B
2 856394
ORTA DEVON
ORTA GREG
195.97
B
2 B56440
MINJAREZ LEONARD
MINJ.AREZ LEONARD
35.2C
B
2 BS6484
SANCHEZ DEYANIRA
SANCHEZ DEYANIRA
31.75
B
2 ESES35
PEREZ ALIANNAR
PERE.Z MARTHA
47.34
B
2 B56761
MENDEZ RUBY ANN
MEND:3Z RUBY AM
211.87
B
2 B56811
ORTEGA LAURIE ANN
ORTEGA LANRIE ANN
757.23
B
2 B56866
MONGE ROSA
MONGE ROSA
56.64
51
•
•
•
•
APRIL 2004 MEMORIAL MEDICAL CENTER PAGE 2
REFERRAL
COL. CODE PAT.
TYPE PAT, 9
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
B 2
B56991
MORALES ROCKY
MORALES ROCKY
44.50
B 2
B57112
SANCHEZ JESSICA L
SANCHEZ JESSICA L
35.30
B 2
B57177
OLASCUAGA DEBRA
OLASCUAGA DEBRA
425.82
B 2
B57325
WILLIAMS JODY
WILLIAMS LISA
111.56
B 2
B57678
POWELL REAGAN
POWELL REAGAN
303.45
B 2
B58034
MALAER CHRISTINB
MALAER TERRY
92.19
B 2
858097
MCBRIDE MITCHAL
MCBRIDE MITCHAL
477.51
B 2
B58130
SANCHEZ JESSICA
SANCHEZ JESSICA
25.43
B 2
ES8131
RICHTER LAJOY
RICHTER LAJOY
107.73
B 2
B58304
WELCH DOUG
WELCH DOUG
52.17
B 3
B47152
VELASQUEZ FRANCHESCA
FRANCHESCA VELASQUEZ
26.99
B 3
B47194
PEREZ SUGAR
PEREZ MARTHA
269.17
B 3
B47336
MEYER DONNIE
MEYER DONNIE
241.50
•B 3
B 3
B48187
1349979
PHILLIPS PATRICIA
MIRELES VICTOR
PHILLIPS PATRICIA
MIRRLES VICTOR
76.14
599.27
B 3
B49995
TOARES JONN
BARRIENTES ANGELA
199.17
B 3
B50406
ZAMORA ALEXIS RENE
ZAMORA ALEXIS RENE
462.49
B 3
B50901
MARTINEZ MARKIE
MARTINEZ MARKIE
792.23
B 3
1351296
OWEN PAULA
OWEN PAULA
185.12
B 3
B51757
TEMA MARIA
RANGEL JUAN G
804.28
B 3
B52402
RAMON ROGELIO
RAMON ROGELIO
814.99
B 3
1352825
TILLERY AMBER
TILLERY AMBER
1529.08
B 3
B53166
NICHOLS HAGAN
NICHOLS DUSTIN
306.13
B 3
B53482
MENDOZA JESSE ADRIAN
MENDOZA GEORGINA
50.00
B 3
853734
OLACHIA PALOMA AMPARO
OLACHIA pMRO
327.12
B 3
B53907
NARVAIZ DORA ALICIA
NARVAIZ DORA ALICIA
498.69
B 3
B53917
PEREZ ALYSSA
PEREZ LAURA A
214.25
B 3
B53958
OLIVARES TINA
OLIVARES TINA
285.12
B 3
853991
MUNGIA LISA
GARZA YVETTE
331.72
B 3
B53998
PEREZ JESSE D
PEREZ JESSE D
1654.23
B 3
B54112
VILLARREAL ROXANNE
PEREZ ANITA
594.56
B 3
B54168
RAMIREZ MARK
RAMIREZ MARK
285.12
B 3
B54278
MARWITZ ALISON
MARWITZ STEVE
254.90
B 3
B54391
RAMIREZ JORGE
RAMIREZ JORGE
343.81
B 3
B54417
THIBODEAUX TRACY
THIBODEAUX TRACY
4482.14
B 3
B54420
MORALES CHRISTIAN M
PATRON BRIANNA
276.12
B 3
B54602
MORALES PATRICIA
MORALES PATRICIA
662.46
B 3
B54656
VALDEZ THOMAS J
VALDEZ KIMBERLY
479.52
B 3
B54666
VILLARREAL GILBERT JR
VILLARREAL GILBERT JR
453.34
B 3
B54692
VRANA JAMES
VRANA JAMES
53.39
B 3
B54696
STAFFORD MCCULLEN
STAFFORD RICKY
163.35
B 3
B54861
ORTIZ MARIA C
ORTIZ MARIA C
256.41
3
B54864
SUAREZ SYLVIA
SUAREZ SYLVIA
262.81
•B
B 3
B54874
HANSEL ELISA
RANGEL ELISA
443.12
B 3
B54963
MORALES HOLLY
MORALES HOLLY
802.02
B 3
B54995
VILLARREAL MONICA A
VILLARREAL RAUL B JR
234.41
B 3
255159
ROBLES TERESA
GALVAN NINA
204.87
B 3
B55185
QUINTANILLA ALFRED
QUINTANILLA ALFRED
1190.80
B 3
B55225
VELASQUEZ MAYRA G
VELASQUEZ MAYRA G
1021.13
B 3
B55350
UGARTE EDWARD
DELEON TERESA
317.24
B 3
B55360
ORTIZ HECTOR JR
ORTIZ HECTOR JR
285.12
B 3
B55362
PHNNISON APRIL M
ORTEGA TANYA
332.55
B 3
B55365
PENNIBON KEENAN M
ORTEGA TANYA
382.25
B 3
B55367
SAVOY KELVIN
SAVOY KELVIN
233.11
B 3
B55396
PEREZ JORDAN AUSTIN
CASTILLO KATHRYN NICOL
461.74
8, 72
52
MEMORIAL MEDICAL CENTER
PAGE 3
APRIL 2004
REFERRAL
COL.
--------------------------------------------------------------------------------------------
CODE PAT.
TYPE PAT. I
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
B
3
B55406
NELSON NIKKI LYNN
NELSON NIKKI LYNN
172.25
B
3
B55412
TA0H1' CHRISTOPHER
TRUST CHRISTOPHER
15.00
B
3
B55413
VIRIMA FRANCISCA
VIELMA FRANCISCA
630.75
R
3
ESS440
PEWS HILARIB
PERALES ESNE
214.25
B
3
B55451
SANCHEZ MONICA R
SANCHEZ MONICA R
248.34
B
3
B55465
MONGIA FELIX
MUNGIA FELIX
56.14
B
3
B55597
PAWLIR SHERRY
PAWLIR SHERRY
721.74
B
3
1355720
MCCLURE CAMERON
POLCK TAMMY
50.00
B
3
B55734
WARD DEMISE
WARD DENISE
1906.97
B
3
ESS740
ROMINE ASHLEY
ROMINE ASHLEY
439.59
B
3
B56005
TELLEZ PRISCILLA
TELLEZ PRISCILLA
1596.23
B
3
B56008
RAGUSIN SANDRA LEI
:RAGUSIN SANDRA LEI
499.84
B
3
B56162
REED JAMES
:REED JAMBS
757.22
B
3
B56175
RODRIGUEZ MACLOVIA
RODRIGUEZ MACLOVIA
352.33
B
3
856184
VILLARREAL LEBANN
VILLARREAL RAUL B JR
305.54
B
3
B56200
WILLIAMS JACOB
WILLIAMS LISA
339.45
B
3
B56205
SALDIVAR KORBYN ANDREW SALDIVAR RAYON
252.79
B
3
B56212
SKALAK FACIE L
SKALAK FACIE L
327.12
B
3
1956216
MANNING CHRISTINE
LOPEZ LILLY
100.00
B
3
B5621B
VILLARREAL MARIE ERMA
VILLARREAL MARIE ERMA
1955.62
B
3
B56222
WILLIAMS ROBERT
WILLIAMS ROBERT
398.04
B
3
B56341
WALTHER ANGELICA
WALTHER ANGELICA
576.14
B
3
B56392
SANDOVAL RODOLFO
SAIIDAVOL ROSA
359.28
B
3
B56422
RODRIGUEZ PAMELA A
RODRIGUEZ PAMELA A
5B6.12
B
3
B56427
MCLEAD CHARLIE R
MCLRAD CHARLIE R
815.62
B
3
B56430
REVARD SANDRA
REVARD SANDRA
1432.02
B
3
B56431
PEREZ MADISON REM
EEREZ JASON
454.49
B
3
B56493
RBAGAN CHRISTY
REAGAN CHRISTY
B43.65
B
3
1356501
MOON TAMELA JEAN
MOON STEM P
82.22
B
3
B56530
MIMAS CELIA
SALINAS CELIA
270.12
H
3
B56534
SANCHEZ LESLIE DAWN
SANCHEZ LESLIE DAWN
1523.76
B
3
B56537
SCHOONOVER MORGAN
SCHOONOVER MORGAN
543.59
B
3
B56591
OLIVAREZ RICARDO
OLIVAREZ RICARDO
486.6E
B
3
1156604
MCCOWN RARI
MCCOWN RARI
404.41
B
3
B56605
VILLARREAL BRENDA M
VILLARREAL BRENDA M
692.41
B
3
3356609
ZAVESKY JEFFREY H
ZAVESKY JEFFREY H
939.69
B
3
B56637
RAMIREZ DOMINIC
LOZANO YVONNE
732.11
B
3
B56645
ROY LOIS
ROY LOIS
195.35
B
3
B56783
ROSALES ROSE
ROSALES ROSE
513.84
B
3
1356854
PEREZ NAYSLY
NEGRETE ANA
330.62
B
3
B56912
OVALLE DANIEL
OVALLE DANIEL
211.93
B
3
B56917
MASEDA JONNY RAY
2ASEDA JONNY RAY
342.27
B
3
B56922
SINQUEFIELD SHANNA
SMQUEFIELD SHANBIA
439.11
B
3
956924
SERRATA ANGELITA A
SERRATA ANGELITA A
443.12
B
3
B56957
RODRIGUEZ TABITHA
CRUZ MICHELLE
343.81
B
3
B57057
RAVEN ALICE
RAVEN ALICE
201.12
B
3
B57063
RUSSELL KYLE
RUSSELL KYLE
421.92
B
3
B57114
ZEPEDA ANTONIO
ZEPEDA ANTONIO
830.07
B
3
B57120
STANLEY ANTHONY
ST'ANLEY ANTHONY
582.99
B
3
B57165
ROSE CANDACE
ROSS CAROLYN
731.26
B
3
B57166
TANZAWA LIZA
TANZAWA LIZA
265.12
B
3
B57199
SCHOTT JOSHUA C
SCHOTT JOSHUA C
547.44
B
3
B572B9
SALAZAR JOHN DALE
SALAZAR JOHN DALE
570.42
B
3
B57315
REDDING RACHEL
REDDING RACHEL
33.47
B
3
B57322
MARCUS JUDY
MARCUS JUDY
435.42
53
0
11
•
MEMORIAL MEDICAL CENTER
PAGE 4
APRIL 2004
REFFERAL
COL. CODE
PAT.
TYPE PAT. 4
PAT. NAME
GUARANTOR NAME
WRITE OFF ANT.
B
3
B57336
ZAMORA EDDIE
ZAMORA EDDIE
963.55
B
3
B57338
VILLARREAL LAURA
VILLARREAL LAURA
869.99
B
3
B57340
WILLIAMS LILLIE
WILLIAMS LILLIE
409.24
B
3
B57349
VILLARREAL I➢ALIA
VILLARREAL IDALIA
866.57
B
3
B57356
MACHICRK SRBRRI
MACBICEK BMW
100.00
B
3
B57367
MCLEAD DEBRA SAENZ
MCLEAD ➢EBRA SAENZ
347.57
B
3
B57372
TREVINO JACLYN NICOLE
TREVINO JACLYN NICOLE
732.89
B
3
B57408
THOMANN RRICA
THOMAN7 ERICA
958.32
B
3
B57447
MARTINEZ WALTER
MARTINEZ WALTER
781.70
B
3
2574BB
MENDEZ MARIO M III
MENDEZ MARIO M JR
330.92
B
3
B57516
RIVERA GUADALUPE
RIVER, ELOY B SR
184.14
B
3
257525
QUIREY SUSANNA
THOMPSON MARQUETTE
172.25
B
3
B57526
THOMPSON MARQUETTE
THOMPSON ELIZABETH
285.12
B
3
B57545
ZAMORA ALEXIS RENR
ZAMORA COUNIS
485.73
•B
3
B57783
RAMIREZ FATIMA
RAMIREZ FATIMA
644.90
B
3
B57843
MUSE GRACIE
MUSE GRACIE
461.57
B
3
B57881
POINTER BRANDY C
POINTER BRANDY C
663.53
B
3
B57888
MATSON JAMES MICHAEL
MATSON JAMES MICHAEL
172.25
B
3
B57908
VILLARREAL PAUL REY
VILLARREAL IMTfER
465.69
B
3
B57932
SERVANTES MONA
SBRVANTRS MONI
835.94
B
3
B58263
SAENZ JANIE
BASK JANIE
175.00
B
3
B582B8
REYES KAM E
GARCIA DELISA
443.12
B
3
B58344
MYERS AUDREY
MYERS AUDREY
172.25
B
3
B58470
MARTINEZ XAVIER
RAMIREZ ROSA
461.90
B
3
B584B6
VERDUZCO MARIO
VERDUZCO MARIO
58.99
B
3
B58550
PENA BRANDEE SUSAN4E
PENA BRANOEE SUSANNE
563.50
B
3
B58572
RODRIGUEZ JUANITA
RODRIGUEZ JUANITA
561.49
B
3
B58611
WORKMAN REJEANA
WORKMAN REJEANA
172.25
Subtotals
104961.61
11
874
54
MEMORIAL MEDICAL CENTER PAGE 5
APRIL 2004
REFERRAL
COL. CODE PAT.
TYPE PAT. 9
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
E 1
B53210
GUZMAN JESSE
GUZMAN JESSE
334.49
E 1
1153680
CACHO JULIO CAESAR
RAMOS LETICIA
1217.07
E 1
BSS462
ARRUDA MANUEL
.ARRUDA MANUEL
10164.81
E 2
B26029
GIESECXE JACK
GIESECKE JACK
185.63
E 2
B32945
HICKS STEM
HICKS S79M
100.23
E 2
B39936
HARABIS DEBRA KAY
HARABIS DEBRA KAY
2B3.40
E 2
B46665
DE VILLIERS GIDEON
DE VILLIERS CHARL
881.60
E 2
B48816
DOUGLAS LORRAINE
DOUGLAS IARRAINE
12.76
E 2
B49382
DAVIS JAMES B
DAVIS JAMES B
114.83
E 2
B49973
COBBLE JIM
COBBLE JIM
BB9.24
E 2
B50163
EDWARDS JULIE ANN
EDWARDS MY J
388.93
E 2
B50250
HUNT JOHN ROBERT
BOUT JOHN ROBERT
497.77
E 2
B51466
ARREDONDO PATRICIA A
ISMS PATRICIA
498.99
E 2
B52481
BALDERA DANYELLE L
IALDERA GUADALUPE
104.30
E 2
B52882
AGUILAR GILBERT
AGUILAR GILBERT
313.76
E 2
B52949
RALI, MELISSA G
FALL MELISSA F
27.00
E 2
B52967
- CRUZ SANDRA
CRUZ SANDRA
300.17
E 2
B53224
GARZA IAN SHAWN
GARZA JASON
49.30
E 2
B53421
HALL MELISSA G
HALL MELISSA F
86.25
E 2
B53772
GARZA GUILLERMO R
GARZA GUILLERMO R
157.25
R 2
B54194
HALL MEGGAN
HALL LLOYD
526.19
E 2
B54335
GUERRERO MYLINDA
GUERRERO MYLINDA
234.03
E 2
P54340
DOMINGUEZ ELIZABRTH
DOMINGUEZ JOSE L
105.95
E 2
B5460B
CERVANTES LORI
CERVANTES LORI
437.64
E 2
B54969
BAKER NOAH P
BAKER PATRICK
98.60
E 2
B55135
EDWARDS JULIE ANN
EDWARDS HARRY J
42.84
E 2
B55268
CARDENAS MARY T
CARDENAS JOSE M
29.01
E 2
B55277
ESCOBAR SMERYL
ESCOBAR SHERYL
92.80
R 2
B55507
ALVARADO ROSE KIM
ALVARADO ROSE MARIE
376.52
E 2
B55559
GARCIA ANA MARIA
GARCIA ANA MARIA
1744.26
E 2
B55560
CONTRERAS EMMA
CONTRERAS EMMA
270.61
E 2
B55564
LAW WILLIAM C
LAW WILLIAM C
997.30
B 2
B55780
GALVAN JOE SR
GALVAN JOE SR
607.01
E 2
B55789
GRANTLAND GARY MIKE
GIWdTLAND GARY MIKE
117.55
E 2
P55932
LAW WILLIAM C
LAW WILLIAM C
246.08
E 2
B56118
CHUNG FAN CIE
CHUNG FAN CHE
24.81
E 2
B56190
DELGADO JOSE
DELGADO JOSE
315.00
E 2
B56264
KING TERESA
KING TERESA
24.75
E 2
B56388
HAMILTON CYNTHIA
BAMILTON CYNTHIA
217.98
E 2
B56410
HERRERA DANIEL EMILIO
HERRERA DANIEL EMILIO
161.69
E 2
B56441
COX LORI
COX LORI
48.36
R 2
B56527
HELMS LINDA
HELMS LINDA
325.90
E 2
B56562
KEITH STEVEN
KEITH STEVEN
2609.76
E 2
B56565
ESQUIVEL SAM
ESQUIVEL SAM
106.77
E 2
B56616
HODGRTNSON COURTNEY
HODGNINSON RYAN
121A9
E 2
B56743
BRISENO RUDY
BRISENO RUDY
306.50
E 2
B56765
AGUILAR ANASTASIA
AGUILAR JUAN
219.13
E 2
B56828
AMEJORADO RAMIRO
AMRJORADO RAMIRO
142.SB
E 2
B57509
BLAKEMAN JUDY
BLAKEMAN JUDY
353.91
E 2
B57720
CRAIG RAY A
CRAIG RAY A
124.64
E 2
B57907
GARZA ELENA
GARZA ELENA
18.35
E 3
B465SB
LENORMAN CORI
FISSELER TONI
539.50
E 3
B48639
BALDERA JONAH
FRANCO ADRIANA
333.15
E 3
B50653
DAVENPORT BARBARA L
DAVENPORT BARBARA L
2231.28
E 3
B50783
HOLMES JOHN
HOLMES JOHN
1108.16
55
•
•
•
MEMORIAL MEDICAL CENTER
PAGE 6
APRIL
2004
REFERRAL
COL.
CODE PAT.
TYPE PAT. #
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
E
3
B50818
BERNON LUIS MANUEL
MIDCOAST PACKING
25.23
E
3
351055
GARCIA CHRISTINA
GARCIA CHRISTINA
246.56
E
3
B51139,
ARREDONDO PATRICIA A ARREDONDO ARTHUR
587.06
E
3
B51406
LEWIS PHILLIP
LEWIS PHILLIP
1596.35
E
3
B5170B
ESPINOSA GUILLERMO
ESPINOSA GUILLERMO
362.43
E
3
B52015
CALZADA TABATHA
CALZADA JOB
597.50
E
3
B52457
KING SKYLAR
KING WARREN F
601.23
E
3
B52827
CRUZ GABRIEL GUY
CRUZ ANN MARGARET
50.00
E
3
B53110
GAINES DAVID
GAINES DAVID
82.58
E
3
B53195
LORRA ALICE
LOERA ALICE
1260.05
E
3
B53365
FULP KRIM
BURKE TERRY
171.93
E
3
353861
ARNOLD ANGALEENA
ARNOLD ANGALEENA
422.72
E
3
B53968
ARANDA OLGA
ARANDA OLGA
531.35
E
•E
3
3
B53880
1353896
GUERRERO MYLINDA
LITTLES JACKIE MARIE
GUERRERO MYLINDA
LITTLES JACKIE MARIE
123.76
2244.04
E
3
B53099
CUNNINGHAM DONALD L
CUNNINGHAM DONALD L
385.12
E
3
B53904
LAMPHIER RAYNEsmo
GRAHAM RHONDA
526.00
E
3
B53920
DELAGARZA MAXINE
RODRIGUEZ ISRAEL
479.82
E
3
B53924
ESPARZA HICO LEE
GONZALES JENNIFER
477.52
E
3
B53985
FOX JACQUELINE D
FOX JACQUELINE D
485.79
E
3
B53980
GUERRERO MYLINDA
GUBREERO MYLINDA
248.82
E
3
B54092
LICERIO LUCID
LICERIO LUCIO
465.49
E
3
B54119
HADLEY DARCIE
HADLEY DARCIE
428.22
E
3
B54123
GONZALES JOE ERNEST
GONZALES JOB ERNEST
428.22
E
3
B54124
BLEVINS GLORIA
BLEVINS WALTER
97.21
E
3
B54163
BURKE TERRY
BUM TERRY
562.42
E
3
B54204
DON4ELL BRANDYN
DONNELL DAVID
144.69
E
3
B54279
BARRAZA MARY
BARRAZA MARY
219.60
E
3
B54338
HERNANDEZ VICTOR 0
RAMIREZ THELMA
805.81
E
3
B54406
COPELAND JAMES
COPELAND JAMES
66.31
E
3
B54410
LONGORIA JANELL N
VALDEZ LEANDRO
75.3E
E
3
B54416
FELLERS DANIEL
FELLERS DANIEL
1641.72
E
3
B54519
FLORES ALICE
FLORES ALICE
644.50
E
3
B54536
HADLEY DARCI&
HADLEY DARCIE
402.24
E
3
1354551
FORET TROY
FORST TROY
2480.55
E
3
B54560
LEAL SANTOS JR.
LEAL SANTOS JR.
307.12
E
3
B54651
GARZA ALEX JR
GUM ALEX JR
516.19
E
3
B54680
COBB MISTY LEI
COBB HIM LEI
594.18
E
3
B54685
GARZA YVETTE
GARZA YVETTE
309.43
E
3
B54693
GRAHAM JOHNNIE
GRAHAM JOHNNIE
726.19
E
3
B54694
FABELA FABIAN ADRIAN
FABRU FABIAN ADRIAN
474.95
E
3
B5470B
JAYCOX BEVERLY
JAYCOX BEVERLY
327.12
•E
3
B54729
EZZELL JAMES
EZZELL JAMES
526.38
E
3
B54766
ARMENDARIZ TOMASA
ARNENDARIZ ROGELIO
204.70
E
3
B54769
CONLEY LLOYD 0
CONLEY LLOYD 0
695.51
E
3
B54782
COULTER ELIZABETH
COULTER ELIZABETH
410.67
E
3
B54841
BRAGG DENA
BRAGG DENA
472.00
E
3
B54858
CASTRO JOSE
CASTRO JOSE
612.48
E
3
B54869
GONZALEZ JACURLINE N
MORENO THERESA S
328.62
E
3
B54910
HRANICKY JENNIFER
HRANICKY JENNIFER
562.28
E
3
B54917
GAYTAN DIVA
GAYTAN LEONEL
493.94
E
3
B54984
DAVIS JEDIDIAH
DAVIS PHYLLIS
514.60
E
3
B54986
FICRLEN GERALD W
FICKLEN GERALD W
1091.16
E
3
B54987
LEONARD BENNIE
LEONARD BENNIE
338.32
E
3
B54991
CRUZ ARIES N
GALINDO MELISSA ANN
517.91
56
MEMORIAL MEDICAL CENTER
APRIL 2004
REFERRAL
COL. CODE PAT,
--------------------------------------------------------------------------------------------
TYPE PAT. R
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
B 3
B55180
GARCIA ALFRED R
GP.RCIA ALFRED R
125.38
E 3
B55231
BANDA NORM
BANDA NORMA
835.18
E 3
B55251
FENNER BOBBY J
FENNER BOBBY J
215.80
B 3
1355368
HADLEY DARCIE
HADLEY CANUTE
352.75
E 3
B55384
LEONARD AODREY
GARNER VELMA
494.3E
E 3
B55395
GARCIA DESIRES
GARCIA MAURO A
543.83
E 3
B55394
JONES TREY
JONES WAYNE
172.25
E 3
B55401
CONTRERAS HALEY
FICKLRN STEPHANIE
277.49
E 3
B55432
LEAL MARY HELEN
LEAL MARY HELEN
369.24
E 3
B55447
BARR BRANDON J
MODN TAMELA JEAN
712.87
E 3
B55449
LONGORIA JERRY RA
VALDEZ LEO
1365.56
E 3
BSS475
KIRCHER DAVID A
KINCHEN DAVID A
680.03
E 3
B55505
HERNANDEZ ISABEL
HERNANDEZ ISABEL
445.73
E 3
B55585
BENIVANONDE RITA R
BENIVAMONDE RACHEL
730.29
E 3
B55586
BENIVAMONDS RAVEN R
BENIVAMONDE RACHEL
599.44
E ' 3
B55587
BENIVAMORDE RUBEN S
BENIVAMONDE RACHEL
599.44
E 3
B55622
LICERIO MONICA
LICERIO MONICA
230.94
E 3
B55632
CUMPIAN JENNY
CUMPIAN JENNY
644.49
E 3
B55727
ABREGO ROSALINDA
ABREGO ROSALINDA
275.94
E 3
B55743
LEE ROBERT
LEE ROBERT
539.41
E 3
B55785
CAUSEY MISSY
CAUSEY MISSY
553.78
E 3
1155850
COBORN TRAVIS DWAYNE
COBORN TRAVIS DWAYNE
957.77
E 3
B55866
HARVEY EIADIA C
HAP'.VEY GLENN R JR
304.38
E 3
B558B4
GARCIA CINDY
GAR.CIA CINDY
2007.50
E 3
B55885
COBB GRACE
COE,B GRACE
839.35
E 3
B56010
CHRISCO JUDY
CHRISCO JUDY
335.42
E 3
B56153
CASTRO CARLOS JR
CASTRO CARLOS JR
607.15
E 3
B56156
LOPEZ REYNALDO SR
LOPEZ REYNALDO SR
616.24
E 3
B56174
GALVAN IRBNB
GALVAN ROGER C JR
169.26
E 3
B56178
CLICK LEO GEORGE W III
BOYKIN MOLLY
390.57
E 3
1356179
CRUZ ALEXIS
CRUZ NOEMI
123.40
E 3
1356330
LICERIO MONICA
LICERIO MONICA
628.99
E 3
B56344
GAONA OSCAR JR
YBARBO DORA L
163.30
E 3
B56345
CLARK KAM
CLARR KAREN
650.87
E 3
1356385
GAMEZ JESSICA J
GAM.EZ JESSICA J
653.79
E 3
B56498
HELMS LINDA
HELMS LINDA
492.03
R 3
B56531
GOSSETT MICHAEL
GOSSETT MICHAEL
853.63
E 3
B56538
BBROM CEANCE
ENROM NANNETTE
396.15
E 3
B56547
GARZA BEATRICE
GARZA BEATRICE
443.12
E 3
B56551
CARRASCO DENISE
CARRASCO FRANCISCO
349.67
E 3
B56552
HODGKINSON COURTNEY
HODGKINSON RYAN
329.15
E 3
B56557
BEARD MICHAEL L
BEARD MICHAEL L
810.39
E 3
B56581
COMPTON ROGER
COMPTON ROGER
305.81
B 3
356602
LOPEZ AMANDA N
LOPEZ AMANDA N
584.43
E 3
B56613
EDWARDS BRANDY LEE
EDWARDS BRANDY LEE
832.56
E 3
B56660
FOX KIMBERLY
FOX KIMBERLY
265.12
E 3
1356669
DAVILA DELIA
DAVILA DELIA
380.62
E 3
B56762
MOM JAMES
KRSNEK JAMES
210.15
E 3 -
B56786
EMS JIMMY
EVAN'S JIMMY
348.5E
E 3
B56787
GONZALES PRAXEDIS III
GONZALES PRAXEDIS III
461.12
E 3
B56801
HERMU7DEZ JUAN
HERNANDEZ JUAN
301.87
E 3
B56994
DELONG BILLY
DELONG BILLY
510.39
E 3
B57065
KING SHIAH
KING MALCOHM
333.12
E 3
B57369
GOFF NICOLE
GOFF NICOLE
523.59
E 3
B57615
GUIDRY ROBERT
GUIDRY ROBERT
473.24
PAGE 7
57
877
•
•
•
APRIL 2004
REFFERAL
COL. CODE PAT. TYPE PAT. W PAT. NAME
E 3
B57685
E 3
B57855
B 3
B57896
E 3
B57904
E 3
B57906
E 3
B58046
E 3
B58261
E 3
B58654
Subtotals
•
0
--------------------
FLORES RICHARD
FERGUSON AARON
AYALA MARLA
GOMEZ MEGAN DANIELLE
GOVEA HIJINIO
LOTT MONTANA
JUAREZ MARY
MOSER CAROL
MEMORIAL MMICAL CENTER
GUARANTOR NAME
FLORES RICHARD
FERGUSON AARON
AYALA MARIA
MORALES CASSANDRA L
GOVEA HIJINIG
JETER KIMBERLY
JUAREZ MARY
HRAUSER CAROL
WRITE OFF AMT.
-----------------
321.89
379.12
254.21
214.25
214.25
256.41
410.94
379.12
92899.46
PAGE E
8'78
58
APRIL 2009 MEMORIAL MEDICAL CANTER PAGE 9
INHOUSE
COL.
CODE PAT.
TYPE PAT. 4
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
I
1
B47262
STAFFORD FRANNLIN
STAFFORD FRANASN
415.10
I
1
B50221
VALADEZ MARY
VALADEZ DAVID
36.39
I
2
B19099
MENDOZA EUSEBIO
MENDOZA EUSEBIO
25,33
I
2
B30628
PADRON ALBINO
PADRON ALBINO
166.66
I
2
B48B85
STANCIK KEVIN G
STANCIK KEVIN G
320.50
I
2
B49353
SPRAGUE MARTIN
SPRAGUE MARTIN
388.80
I
2
B49804
WATKINS SAMANTHA
WATKINS SAMANTHA
765.75
I
2
B51531
SPARKS SHARON
SPARKS JASON
31.87
I
2
B53100
STRINGHAM LEVI GARRETT S'ORINGHAM ALVA
350.00
I
2
B53656
MORENO GILMA
MORENO KARLOS
103.00
I
2
B53892
CANTU RUBY
CANID RUBY
90.37
I
2
B55506
WINDHAM FLORENE D
WINDHAM FLORENE D
258.30
I
2
B55512
TORRES VIRGINIA
TORRES VIRGINIA
200.00
I
2
B56834
VILLALON CARMEN
VILLALON CARMEN
518.05
I
2
B57035
WOODY VICKI M
WOODY VICKI M
51.50
I
2
B57695
HUSAX TARA ANN
HUSAK JAMES
216.34
I
2
858011
MORALES ANITA
MORALES ANITA
45.40
I
2
ESE578
DU A= GLINDA
DUNA= GLINDA
884.80
I
3
B48738
SPARKS SHARON
SPARKS JASON
131.82
I
3
B51902
TEFL AUSTIN W
TH.0 AUSTIN W
225.90
I
3
B52436
SUPAK PATRICK
SU?AK PATRICK
427.00
I
3
253300
COX LOIS
COTS LOIS
126.00
I
3
B53302
SCOTT VBLENCIA
SCOTT VELENCIA
201.12
I
3
B53304
LEWIS JADE LYNNE
SCOTT VALENCIA
126.00
I
3
854523
HEARITIGE SYRL
HULR17IGE BYRL
222.25
I
3
B55363
TORRES STEPHANIE
T012ES ROBERT
382.25
I
3
B55873
LOPEZ AM V
LOPEZ AM V
276.69
I
3
B5705D
OROZCO YENI
OROZOO JOSE
746.55
I
3
B57931
BOUQUET JAMES
BOUQUET JAMES
379.62
I
3
B58251
HILSCHER MARIAN
HILSCER MARIAN
732.60
Subtotals
8845,96
59
879
•
•
•
MEMORIAL MEDICAL CENTER
APRIL 2004
MEDICARE
COL. CODE PAT.
---------------------------------------------------------------------------------
TYPE PAT. #
PAT. NAME
GUARANTOR NAME
WRITE OFF AMT.
J 1
B48321
RUBIO MARIA G
AGUILAR MICAELA
10.00
J 1
B51609
ROM CLYDE R
ROSMER CLYDE R
13.12
J 1
B52826
IRWIN NANCY
IRWIN NANCY
838.22
J
2
B31162
J
2
B49150
J
2
B49694
J
2
B50113
J
2
B50140
J
2
B51218
J
2
B51794
J
2
B51840
J
2
B51915
J
2
B51938
J
2
B51940
J
2
B51962
J
2
B52035
J
2
B52527
J
2
B52586
J
2
B52719
J
2
B52854
J
2
B52918
J
2
B52982
J
2
B53192
J
2
B53207
J
2
B53344
J
2
B53453
J
2
B53517
J
2
B53523
J
3
B44034
J
3
B45542
J
3
B46214
J
3
B46547
J
3
B46562
J
3
B51751
J
3
B52428
J
3
B52434
J
3
B52699
J
3
B52940
J
3
252964
J
3
B53058
• Subtotals
Grand totals
Total lines = 43E
LEES WANDA J
PEREZ JUAN H
PEREZ CONNIE
CAMPBELL JAMES F
PEREZ JUAN H
CAMACHO EPIFANIO
RILEY ROBERT
NEVAREZ LEANDRO
POLK ALICE
GARZA BLIDA V
VELASQUEZ CRECENCIO
RANNARD JERRY L
ELLIS DANIEL
WILLIAMS PATSY
KAMM JURY L
DELGADO MARGARET
RANNARD JERRY L
MURPHY EAVALANA
GARZA BLIDA V
FLORES ISABEL M
BEHAVIORS AMELIA
GARZA ELIDA V
SMITH ROBERT
ALEXANDER VIOLET L
PENA INEZ
RICHARD VIVIAN H
BROWNLEE LORRAINE
BAYLOR HENRY L+*+
SAMMONS LEOTHA
SOIGNIER JOHNNY C
OLSEN ELM EDWARDS
SEGURA FELICITA
OLSEN ELLEN EDWARDS
FLORES ISABEL M
GARZA ANTTONIO
WILLIAMS MICHAEL
MURPHY EAVALANA
LEWIS WANDA J
PEREZ JUAN H
PEREZ COWIE
CAMPBELL JAMES
PEREZ JUAN H
CAMACHO SPIFANIO
RILEY ROBERT
NEVAREZ LEANDRO
POLR ALICE
GARZA ELIDA V
VELASQUBZ CRECENCIO
Y,ANNARD JERRY L
ELLIS DANIEL
WILLIAMS PATSY
SANNARD JERRY L
DELGADO MARGARET
RANHARD JERRY L
MURPHY EAVALANA
GARZA BLIDA V
FLORES ISABEL M
BRNAVIDES AMELIA
GARZA ELIDA V
SMITH ROBERT
ALEXANDER VIOLET L
PER INEZ
RICHARD VIVIAN H
BROWNLEE LORRAINE
+ BAYLOR HENRY L +
HAM14ONS LSOTHA
SOIGNIER JOHNNY C
OLSEN ELLEN EDWARDS
SEGURA FBLICITA
OLSEN ELLEN EDWARDS
FLORES ISABEL M
GARZA ANTONIO
WILLIAMS MICHAEL
MURPHY RAVALANA
44.52
20.31
25.97
84.46
61.14
560.45
123.67
137.92
186.01
101.55
252.85
158.47
105.40
66.63
330.74
149.95
25.45
41.51
96.75
18.11
172.17
20.31
177.77
20.31
20.31
138.86
220.06
10.50
18.25
30.70
52.87
77.76
60.45
71.07
26.20
472.60
49.03
5092.44
211,799.47
PAGE 10
60
CIHCP MONTIIL`e-FINANCJAI /ACTIV=-REPORT
County Name CAmom Report Month/Year APRIL 2004
I. Application /Case Data
Cases
1. Applications Approved During Report Month
20
2. Applications Denied During Report Month
18
3. Active Cases Denied During Report Month
07
II. Creditable Expendirures During Report Month
1. Ph sician Services
$
13706.19
2. Prescription Drugs
$
31428.01
3. Hospital, Inpatient Services
$
42981.83
4. Hospital, Outpatient Services
$
52687.07 '
5. Laborato /X-Ra Services
$
2170.81
6. Skilled Nursin Facility Services
$
.00
7. Family Planning
$
.00
Subtotal
$
142973.91
Equals (=)=QRTMONTH TOTAL
$
142973.91
•
FISCAL YEAR TOTAL $ 543233.04 •
Signature of Person Submitting Report Date
Name and Title Monica Escaiante CIHCP
61
8Li
•
•
•
CALHOUN COUNTY QUALIFIED INDIGENTS
CASE
NAME
ADDRESS
BIRTH
SS#
ELIG.
DATE
DATE
003999
ADAME, 7ANIE
309 RANDLE
PORT LAVACA, TX
09/04/45
452 72 8997
02/14/02
004047
AMASON, HOWARD
POBOX211
SEADRIFT, TX
04/11/45
463-70.4583
07/28/03
003461
ARAIZA, ALICE
BOX 126 GUADALUPE RIVER
TIVOLI, TX.
07/24/43
464-66-2021
01/29/98
004125
ARCHANGEL,
503 S. SAN ANTONIO
CL.EMENCIA
PORT LAVACA, TX
11/20l75
459-81-3087
11/25/03
004190
ARREDONDO, CONNIE
233 AL-COA DR #703
PORT LAVACA, TX
10/17/47
449-74-3524
4/13/04
004164
ARREDONDO, JEFF
716 N. ANN
PORT LAVACA, TX
1/24l/8
467-63-4962
2/29/04
003265
AVILA, AURORA
129 SEASCAPE
PORT LAVACA,TX
08/05/34
N/A
10/04/96
003264
BALBOA, JESSIE
]02 DEL RIO
PORT LAVACA, TX
06/21/54
458-08-7066
10/04/96
004156
BALDERAS, ROSIE
612 HALF LEAGUE #29
PORT LAVACA, TX
9/25/94
463-69-8651
1/4/04
004139
BARRIEId'TES,
617 S. ANN
GUADALUPE
PORT LAVACA, TX
1/11/49
630-0I-0680
3-8-04
003860
BARRINGTON, CONNIE
239 CHARLOTTE
PORTLAVACA,TX
11/30/64
467-47-0277
09/11/01
004018
BAZAN, NOE
316 %2 W. AUSTIN
PORT LAVACA, TX
08/31/56
450-06-7979
03/26/03
003905
BELL, LEOPOLDO
306 W. MI.K
PORT LAVACA, TX
11/15/55
265-89-4934
04/18/02
003554
BERNARDINQ
PO BOX 1337
GUILLERMINA
PORT LAVACA, TX
6/28/85
N/A
10/7/98
004096
BIANCHI, CARRAH
1904 HOLLOMAN
PORT LAVACA, TX
11/20 70
461-73-4843
10/24/03
004020
BLANKENSHIP, MICHAEL
1818 BROADWAY ROW 3 #10
PORT LAVACA, TX
01/16/43
458-604048
04/14/03
004111
BLEVINS, KELLY
423 N. GUADALUPE
PORT LAVACA, TX
9/28/84
640-10-5736
10/26/03
004060
BOEDEKER, JACLYN
237 MULBERRY
PORT LAVACA, TX
7/27/83
460-97-9224
8/3/03
004145
BOONE, ERIC
1916 JACKSON ST,
PORT LAVACA, TX
8/24/84
450-91-7297
1/2/04
004051
BOYKIN, GEORGETTA
110 AIRLINE
Ol/23l64
PORT LAVACA TX
456-41-6428
08/06/03
004092
BRADFORD, MARSHALL
PO BOX 848
PORT O'CONNOR,TX
9/8/48
465-84-8706
8/24/03
003879
BRICENO, MARTHA
112 DALE ST.
PORT LAVACA, TX
04/09/69
N/A
02/14/02
002075
BROWN, GWYNNE
627 W. GEORGE #140
PORT LAVACA TX 03/18/51
459-92-5198
07/25/94
004000
BROWN, HARVIE
1100 S. BENAVIDES
PORT LAVACA, TX 09/30/42
463-62-3215
02/14/02
003611
CAL,DERA, JESSE
1309 W. TI LLEY
PORT LAVACA, TX Ol/15/63
457-37-9401
OS/03/99
003701 1
CALZADA, ABIGAIL
PO BOX 1278 02/I1/31
PORT LAVACA, TX.
aF¢_ud_am�
02/16/00
88 20
62
003661
CARBAJAL,MARIA
AAA -Wm' vwvinw
PORT LAVACA,
08/OZ/48
09/26/99
TX
456-23-3045
003661
CARBAJAI„GUADALUPE
1418MEADOWVIEW
PORT
�/24/85
09/29/99
LAVACA. TX
N/A
004002
CARDENAS, DIANA
613 S. GUADALUPE
06/29/63
02/26/03
PORT LAVACA, TX
460-33-7765
003555
CARR.ERA, ANTONIA
62 1 W. GEORGE #172
PORT LAVACA,
08/24/37
10/08/98
TX'
449-74.6794
004182
CASEY, LINDA
75 ARMSTRONG
cc AnDr 1Rl
1/1145
1/30/04
004132
CASTILLO, AGAPITA
415 ANN ST'
PORT LAVACA, TX
7/22/67
N/A
12/10/03
004132
CASTILLO, JEHU
415 ANN ST'
PORT LAVACA,
9/19/87
12/1/03
TX
N/A
004132
CASTILLO, JONADAB
415 ANN. ST
9/27/85
PORT LAVACA, TX
N/A
12/10/03
003004
CASTILLO, NOELIA
611 OAKLAND AVE
SEADRIFT, TX
SOl26/62
N/A
02/13/96
003004
CASTILLO, JOSE
611 OAKLAND AVE
01/13/59
SEADRIFT. TX
N/A
02/13/96
003004
CASTILLO, ZULMA
611 OAKLAND AVE
SEADRIFT, TX
08/19/84
N/A
02/13/96
003004
CASTIL.LO,MIL.EIDy
611 OAKLAND AVE
SEADRIFT, TX
09/17/82
N/A
02/13/96
003004
CASTILLO, CRISTOBAL
611 OAKLAND AVE
SEADR— TX
04/09/86
N/A
02/13/96
003978
CASTILLO, CECILIA
811 S. ANN
POET LAVACA, TX
11/22/82
N/A
01/14/03
004131
CASTILLO, JENNIF'ER
709 S. COLORADO
PORT LAVACA, TX
12/29/92
NIA12/3/03
003554
CERVANTES, EDILIA
PO BOX 1337
PORT LAVACA, TX
03/OS 60
N/A
10/07/98
003683
CHAPMAN, VICTORIA
133 CARRIGAN AVE
PORT LAVACA, TX
12/16/41
376-42-7752
12/03/99
004103
CHARLES, MAMIE
161 1YIORALES RD.
SEADRIFT, TX
6/28/50
458-90-897I
10/31/03 '
004094
CHATHAM, SHELLy PO BOX 391
PORT O'CONNOR, TX
7/22/66
453-57-8645
9/25/03
004038
CLYNE, CHERI PO BOX 423
POINT COMFORT, TX
07/26/54
456-84-2693
06/23/03
004170
COEN, ROBIN 11
HOUSTON ST.
PORT LAVACA, TX
6/13/74
467-33-0440
3/5/04
004073
CORTEZ, CATALINA 824 HACKBERRy
PORT LAVACA TX
12/25/53
636-82-1945
1/13/04
004120
COX, MICHAEL PO BOX 39
POINT COMFORT, TX
1/27/51
496-90-6538
11/18/03
003864
CRONE, MISS, PO BOX 826
PORT' O CONNOR, TX
Inc n.mr....., .
01/22/81
463-61-5048
11/07/01
.vl.z,
UU��A,F,XA(�UYL
PORT LAVACA, TX.
Lz/o6nz
07/03/01 I
467-53-9817
004135
DEAL, FOYIL
PO BOX 717
SEAD.. , TX
5114165
465-43-3932
12-25-03
004044
DELAGARZA, ELIDA
612 HALF LEAGUE #32
PORT LAVACA,T7{
09/06/43
641-01-0702
07/2UO3
004131
DELGADO, ENIDELIA
709 S. COLORADO
PORT LAVACA, TX
10/4162
N/A
1213/03
63
0
•
883
•
•
004131
DELGADO, TIRSO
709 S. COLORADO
PORT
1128154
12/3/03
LAVACA, TX
N/A
004129
DELACRUZ, ADELLA
PO BOX 1464
713/51
3/5/04
PORT LAVACA, TX
455-96-7275
003138
DIERCKS, CAROLINE
89 EDGE WATER
PORT
02/28/49
04/1 U96
LAVACA, TX
343-36-4614
IERLAM, PHYLLIS
PO BOX 406
SEADRIFT, TX
6/27/43
9/26/03
466-60-0223
ILLER, ROBERT
610 S. BENAVIDES
PORT LAVACA,
6/19/74
3/29/04
!004176
JESQUrVEL,
TX
372-80-3283
ONAHUE, LOUELLA
PO BOX 89510/2/47SEADRIFI', TX
3114/04
460-80-9437
DAVID
415 N GUADALUPE
06/20/55
07/14/00
PORT LAVACA, TX
463-02-6721
004150
F7 FI r , JAMES
521 TOMMY DR
PORT LAVACA,
g/18/63
11/9/03
TX
467-31-8590
004130
FALCON, JOE
613 BONORDEN
PORT LAVACA.
4/26/54
12/3/03
TX
467-94-5614
004151
FELLERS, JOHN
618 PARKVIEW
4-1--66
PORT LAVACA, TX
450-57-6939
1-19-04
004013
FISIIER, ISAAC
130 MAGNOLIA
PORT LAVACA, TX
03120103
465-74-6600
004013
FISHER, TERRI
130 MAGNOLIA
PORT LAVACA,
03/10/56
03/20/03
TX
467-96-%31
003981
FLORES, ANDREA
414 S. LAVACA
09/I1/81
PORT LAVACA, TX
N/A
01/07/03
003980
FLORES, CLAUDIA
414 S. LAVACA
OZ/OZ/72
PORT LAVACA, TX
N/A
01/14/03
003985
FLORES, IDA
145 S. JUANITA
03/12/51
Po- LAVACA, TX
467-94-0957
Ol/14/03
003736
FLORES, IRENE
414 S. LAVACA
06/1S/65
PORT LAVACA, TX
N/A
0S/OS/00
004174
FLORES, MARY
SIO W. WILSON
3/23/54
PORT LAVACA, TX
455-02-6419
3125/04
004177
FOREMAN, JACQULIN
PO BOX 458
5/4/82
Pr COMFORT, TX
64I-14-2961
3/18l04
003915
FOSSATI, JOEL
479 POWDERHORN
03/24/61
PORT LAVACA TX
467-19-0679
06/24/02
004082
FOSTER, JACK
PO BOX 604
PORT LAVACA,
10/19/53
8/21/03
TX
452-98-2340
003923
FOWLER, AMIE
PO BOX 503
PORT 0 CONNOR,
07/21/80
06/24/02
TX
538-88-6335
004080
FRANCO, SIMONA
233 ALMADR0907
12/23/47
PORT LAVACA, TX
454-76-4371
9/24/03
003706
FREDERICI, ANGELA
PO BOX 975
05/15/70
SEADRIFT, TX
455-09-8813
OY19/00
004079
FREEMAN, AM MIA
2208 LARRY DR
6/2/59
PORT LAVACA, TX
452-45-7361
9113103
004094
FUENTEZ, JUANITA
PO BOX 213
PORT LAVACA,
7/24/49
-
10/2/03
TX
453-78-0720
004138
GAINES, CHERYL
PO BOX 782
SEADRIFT, TX
2/15r16
1/6/04
459-61-9102
004050
GALVAN, THOMAS
1620 W, MAIN
PORT LAVACA,TX
08/17/60
08/06/03
454-04-1294
004049
GANN, SHIELA
PO BOX 104
PORT O CONNOR, TX
O8/15/64
458-69-4851
08/06/03
64 884
003897
GARCIA, DEMETRIA
PO BOX 92
VEGAN
PORT O CONNOR, TX
12/22/35N466-29-29097/27/03
03/19l02
004097
GARCIA, JANICE
501 HALF LEAGUE
10/31/7510/27/03
PORT LAVACA, TX
929
004142
GARCIA, KRYSTAL
233 ALCOA DR #502
1/4/8312/10/03
PORT LAVACA, TX
729
004053
GARCIA, LARRY
204 HOLIDAY
05/05/67
07/24/03
PORT LAVACA, TX
897
004063
GARCIA, LUPE
48 MEADOWBROOK
3/10/849!3
03
FORT LAVACA TX
311
004089
GARCIA, MARY C.
F'O BOX 1106
FORT LAVACA, TX
11/23/498/20/03
684
004052
GARCIA, TANGALEEN
PO BOX 439
11/28/58
7/27/03004143
POINT COMFORT, TX
909
GARZARUBEN
374 HACKBERRY BENII7/16l7811-29-03PORT
LAVACA, TX
60
003941
GERARDO, MAXIMINA
-
76 MARIA
PORT LAVACA,
OS/11/54
464-59-2291
07/Ol/02
004119
GIL, OLIVIA
E#51
612 HALF LEAGU12/28/69
I1/21/03
PORT LAVACA T
N/A
003965
GODINAZ, LEONARD
502 BENAVIDES
05/02/42
11/14/02
PORT LAVACA, TX.
628-05-1509
003956
GONZALEZ, SHARON
PO BOX 801
SEADRIFr,
07/02/64
10/21/02
TX.
263-61-1677
003753
GUERRERO, DANIEL
1403 JUSTICE
09/13/62
08/16/00
PORT LAVACA, TX
465-29-2888
004046
GUI LIEN, PFIRA
1209 W. MAIN
PORT
09/10/30
07/28/03
LAVACA, TX
633-52-3276
003867
HAMILTON, ARETHA
1304 T LLEY
PORT
03/04/63
12/05/01
LAVACA, TX
465-35-7645
003868
HARVEY, VELMA
301 LA SALLE
04/06/47
12/14101
PORT LAVACA, TX
455-02-5082
003249
HEIT, JOYC E
PG BOX 238
11/16/50
09/12/96
SEADRIFI', TX
454-92-3829
004153
HENDERSON, STEVEN
31t1 ALCOA DR LOT D
I/19/54
2/4/04
PORT LAVACA, TX
306-62-1655
003478
HERNANDEZ, LORENZO
21.5 VIRGINIA
09/08/41
03/12198
PORT LAVACA, TX
458-08-56I0
004091
HERNANDEZ, MARINA
PO BOX 1390
1/2/83
10-15-03
PORT LAVACA, TX
455-59-6075
003964
HERRERA, MARIA
130 TANGERINE
""LAVACA,
03/26/45
10/25/02
TX
465-23-3678
004155
HEYSQUIERDO, BRENDA
310 ALCOA DR -#12
11/8/70
2/9/04
PORT LAVACA, TX
465-49-2725
004175
HEYSQUIERDO,
PO BOX 420
CAROLYN
PORT LAVACA, TX
9/3/48
456-82-7280
3/25/04
003583
HEYSQUIERDO, DIANA
610 S. BENAVIDES
10/13/53
08/04/99
POET LAVACA, TX
450-06-8422
004118
HINDS, DARRYL
1415 ROYAL RD.
219/57
7/16/03
PORT LAVACA TX
466-80-3866
003474
HOLT, JOANN
PO 130X 320
POWT COMFORT, TX
11t12156
458-23-0148
02/18/98
003950
IBARRA, ANDREA
414 S. LAVACA
02/26/34
09/24/02
PORT LAVACA, TX
NIA
004025
JACKSON, CARLA
306 ]MARTIN LUTHER KING
11/29/61
05/07/03
PORT LAVACA, TX
461-15-4949
65
J
i
•
•
004124
JACKSON, LAVERNE
208 SEAGREEN 11/17/62
PORT LAVACA, TX 454-33-9177 11/25/03
003430
JARAMILLO, NOBERTO
PO BOX 924
SEADRIFT, TX 06/16/61
N/A
12/15/97
003430
JARAMILLO, NOBERTA
PO BOX 924
SEADRIFT, TX 09/01/61
N/A
12/15/97
003430
JAR Alum 1 O, ORALIA
PO BOX 924
SEADRWT, TX O1/12/88
N/A
09/12/97
003430
JARAMILLO, RAUL
PO BOX 924
SEADRIFT, TX
N/A
12/15/97
004069
JIMENEZ, MARIA
PO BOX 322
PORT LAVACA, TX 3121135
643-18-0114
9112103
004043
KELLY, JOEL
PO BOX 1520
PORT LAVACA, TX 07/29/72
461-33-3852
06/24/03
004161
KESTER, ROBERT
]06 AVE C
PORT LAVACA, TX 2/26/50
493-58-5848
2/19/04
004032
KNOWLES, JOSEPH
91 W. DOLPHIN
PORT LAVACA, TX
08/03/61
449-29-0194 06/04/03
004121
KURTZ, RA ND
1701 N. VIKUINIA #P7
PORT LAVACA,TX
7/6/52
467-96-8915 9/15/03
004059
LACY, KIRK
PO 13OX 714
PORT LAVACA, TX
1125161
365-29-3962 816103
004180
LE, NOI THI
PO BOX 838
SEADRIFT TX
3/12/48
633-38-8467 4/2/04
005057
LEDEZMA, IRLLARIO
721 PRIVATE RD
PORT LAVACA, TX
02/27/45
605-38-6913 08/20/03
004107
LIGUES SR., MARIO
PO BOX 268
SEADRIFT, TX
1/19/77
N/A 11/5/03
004107
LIGUES, EL VJRA
PO BOX 268
SEADRIFT, TX
1/25/72
N/A 1115103
004107
PEREZ, LEYSSLY
PO BOX 268
SEADRIFT, TX
5/2/90
N/A 1115/03
004107
LIGUES, LUCIA
PO BOX 268
SEADRIF-f, TX
2/13/03
N/A 11/5/03
004107
LIGUES JR-, MARIO
PO BOX 268
SEADRIFT, TX
12/14/Ol
N/A 1115103
004107
ANGUTANO, OSCAR
PO BOX 268
SEADRIFT, TX
5/25/94
N/A 1114103
004164
LONGORI A, MELONIE
716 N. ANN
PORT LAVACA, TX
5/17/78
450-71-3174 1/21/04
004181
LONGORIA, RENE
511 N. BENAVIDES
PORT LAVACA, TX
11/25/59
467 23-4746 4/2/04
003799
LOPEZ, ABENAMAR
619 N. TRIlVITY #9
PORT LAVACA, TX
04/03/54
N/A 02/27/01
004028
LOVE, HOLLIS
716 S. ANN
PORT LAVAC& TX
09/04/49
450-94-5787 05/23/03
004140
LOZANO, ARMANDO
610 CR 101 PARK PLAZA
LOT#12, PT LAVACA
12/23/54
455-I1-0022 1/7/04
004093
LOZANO, ESMERALDA
177 MARIA ST.
10/26/65
PORT LAVACA, TX
467-19-7885 10/23/03
004088
LOZANO, JANIE
1815 W. GEORGE #1
PORT LAVACA, TX
7/30/50
457-88-1928 11/6/03
003995 LUERA,
MICHAEL
PO BOX 1035
PORT LAVACA, TX
06/21/74
465-71 6769 12/25/02
004183 MCCLISH JR, JRvR fIE
GENERAL DELIVERY
PORT LAVACA, TX
12/4/66
464-71-8855 3/23/04
8861
66
003989 MCCLOSKEY, MICHELLE
1, BOX 722
INO'CONNOR,
07/7/62
06/18/03
TX
450-35-7128
003924 MCDANIEL, JOHN
205 BURNET
PORT LAVACA, TX
08/19/52
453-94-2108
07/03/02
004179 MCILWAIN, JOHN
77 GUADALUPE RIVER DR
2/15/84
77VOLL TX
453-91-9390
12/19/03
004095 MALDONADO,
1627 OREN
CONCEPCION
PO LAVACA, TX
3/1/47
465-92-7592
10/24/03
003742 MALDONADO, DOLORES
310 BONORDEN
PORT LAVACA,
10/11/61
07/08/00
TX
459-37-5940
004160 MANGUM, CAW
223 TOMMY DR
7/21l76
PORT LAVACA, TX
461-59-3846
2/24/04
003946 MAREK, AUDREY
PO BOX 136
S:EADRIFT, TX.
10/31/51
10/21/02
464-86-2283
003946 MAREK, KENNE H
PO BOX 95
SEADRIFT, TX
08/17/4S
465-74-7067
10/21/02
002228 MARTINEZ, ANITA
1508 AVALON
09l03l46
PORT LAVACA, TX
451-74-3536
05101/94
003897 MARTINEZ, AURORA
209 JUANITA
PORT LAVACA,
OS/20/44
03/19/02
TX
449-72-1829
004070 MARTINEZ, GLORIA
93 AVENUE AE
8/2/03
PORT LAVACA, TX
455-02-0745
9/29/03
004045 MARTINEZ, JOSE
PO BOX 274
11/28/63
PORT 0 CONNOR, TX
N/A
07/22/03
003842 MARTINFZ, OSCAR
PO BOX 34
SEADRIFT, TX
09/24/42
09/10/01
465-00-9697
001152 MARTINEZ, PEIRA
PO BOX 452
SEADRIFT, TX
02/18/31
03/25/91
N/A
004159 MARTINEZ, VERONICA
PC' BOX 241
7/18/73
SEADRIFf, TX
N/A
2/20/04
004159 CONTRERAS, MARIA
PO BOX 241
1/5/90
SE.ADRIFI', TX
N/A
1/30/04
004159 CONTRERAS, JOSE
PO BOX 241
6114/92
SE.ADRIFI, TX
N/A
2/23/04
004159 MARTINEZ, PE1RA
PO BOX 241
4/24/96
SEADRIFT, TX
N/A
2/23/04
004146 MATSON, JULIA
PO BOX 1575
11/5/62
PORT LAVACA, TX
451-37-2827
12/3/03
005056 MAUER, KATHY
PO BOX 1253
PORT LAVACA, TX
09/30/73
08/09/03
463-77-2199
004065 MAYBERRY, GREGORY
448 W. KRUSE AVE
12/29/53
PORT LAVACA, TX
530-46-4440
8/11/03
004065 MAYBERRY. MARGARITA
448 W. KRUSE AVE
6/1/53
PORT LAVACA, TX
458-02-1618
9/1/03
003966 MEDINA, ERLINDA
481`,fEADOWBROOK
OS/15/54
PORT LAVACA, TX
450-06-8426
11/14/02
003967 MELENDEZ, MICHE T E
114 MASSANEf
PORT LAVACA, TX
05/09/83
11/07/02
467-61-4521
004115 MELENDEZ, CANDELO
619:N. TRINITY#5V
9/23/60
PORT LAVACA, TX
N/A
9/15/03
004115 MELENDEZ, ZENAIDA
619 N. TRINITY #5 V
6!5/60
PORT LAVACA, TX
N/A
11/14l03
004115 MELENDEZ, ALEJANDRO
619 N. TRINM #5V
4 7/87
POR'ILAVACA TX
;
N/A
11/14/03
004115 MELENDEZ, ANGEL
619 N. TRII #5V
4/20/89
POR'CLAVACA,
TX
N/A
11/14/03
67
881
•
•
•
004011
MELINA, KAKI
PO BOX 1418
PORT LAVACA, TX
07/25/54
459-31-3621
03/18/03
003909
MOEHNKE, RICHARD _
31 PARK LANE
PORT LAVACA TX
07/19/63
456.45-5270
06/13/02
004108
MONK, MICHAII,
309INDIANOLA #2
PORT LAVACA,
11/23/63
11/7/03
TX
583-19-1822
003760
MONROY, DELFINA
726 PRIVATE RD
PORT LAVACA,
11/02/50
09/28/00
TX
465-92-9635
004088
MONTENEGA0, JOSE
1815 W. GEORGE#L
1/22/62
PORT LAVACA, TX
N/A
9/26/03
004137
MONTGOMERY, CHARLIE
BOX 841
511159
SE
SEADRIFT, TX
466-06-8490
10/28/03
004148
MOONEY, JILL
PO BOX 465
6-2-85
SEADRIFT, TX
627-20-9843
1-15-04
004098
MORALES, BETTY
440 WILBORN RD.
1/3/60
PORT LAVACA, TX
452-23-3734
10/27/03
004042
MORALES, JAMES
PO BOX 346
10/18/69
SEADRIFT, TX
459-41-8914
07/18/03
003976
MORALES, JOE A.
PO BOX 573
9/25/77
SEADRIFF, TX
465-45-7424
9/26/02
004064
MORALES, L DIA
PO BOX 912
11/7/51
SEADRIFT, TX
265-134534
9/5/03
003974
MORENO, MANUELA
201 N. BAUER #AAi
PORT LAVACA, TX247
12/12/02
003928
MUNIZ, ANGELA
10810 HWY 35 SO
PORT LAVACA TX07/15/02
003928
MUNIZ, CARMEN
10810 ST HWY 35 SO
PORTLAVACA,TX,07/IS/02
004112
MUNIZ, GREGORIO
608 W. WILSONPORT
LAVACA, TX95
1117/03
004112
MUNIZ, YOLANDA
608 W. WILSON
11/26/66
PORTLAVACA TX
461-53-7712
11/7/03
004186
MUSE, GLENN
824 HOLLOMAN RD.
5/10/62
PORT LAVACA, TX
438-27-9078
4/8/04
004186
MUSE, GRACIE
8Z4 HOLLOMAN RD.
7/10/61
PORTLAVACA, TX
457-33-6438
1/13104
004071
NAVARRO, JOIN
PO BOX 840
12/25l72
PORT LAVACA, TX
467-93-2232
9/19/03
004167
NEAL, PRANKLIN
PO BOX 536
6/20/58
SEADRIFT, TX
450-31-7981
2/26/04
004127
NGUYEN, LIEU TIE
PO BOX 638
12/27/45
SEADRIFT, TX
586-46-1262
12/1/03
004180
NGUYEN, TRUNG VAN
PO BOX 838
8/6/46
SEADRJFT, TX
617-50-3280
2/22/04
004178
OCHOA, JOSIE
412 S. NUECES
6/20/54
PORT LAVACA, TX
466-31-9335
3/22/04
003730
ORTIZ,ANTONIO
608-APARKVIEW
PORT LAVACA, TX
11/15/42
451-66-9311
01/18/00
004109
PADGETT, NELLIE
PO BOX 811
S/1/55
SEADRIFT, TX
458-08-5129
10/14/03
004075
, ROSE
PAHJC
1100 ALCOA DR. #8
7/26/55
8/27/03
PORT LAVACA, TX
459-17-8818
004029
PAACQUELINE
105 BOWIE11/25/68
PORT LAVACA,
OS/23/03
TX
452-77-9088
003643 PE
ELLA
PO BOX 441
POINT COMPORT, TX
07/27/46
08/10/99
449-74-2921
68
004134 PENA, SAMUEL
235 CHARLOTTE
1/22/84
PORT LAVACA, TX
466-77-1212
004154 PEREZ, ANNA
612 LEAGUE #6211/28/81
PORVACA, TX
N/A004154
PEREZ, RODOLFO
61.2 LEAGUE #62
E
2/5/83
PORVACA, TX
N/A004134
PEREZ, WENDY
612 LEAGUE #62
Jo/24/01
PORT LAVACA, TX
N/A
004037 PEREZ SR, ELIAS
I1.11 BROADWAY #8
)06/07/03
PORT LAVACA, TX
N/A
004037 HERNANDEZ-PEREZ,
1111 BROADWAY #8
FRANCISCA
PORTLAVACA,TX
10/10/64
N/A
004037 PEREZ, gyp'
1111 BROADWAY #8
ELIZABETH
PORT LAVACA, TX
06/02/86
N/A
004037 PEREZ, MARIA DE LA LUZ
1111 BROADWAY #8
02/10/88
PORTLAVACA, TX
N/A
004037 PEREZ, ZOYLA
llal BROADWAY #8
10/21189
06/07/03
PORT LAVACA, TX
N/A
004037 PEREZ, DULCE
hill BROADWAY #S
07/15/92
LA
PORT LAVACA,
, TX
N/A
16107/03
004037 PEREZ IR, ELIAS
111.1 BROADWAY #8
07/23/94
PORT LAVACTX
A,
N/A
06/07/03
004037 PEREZ, MARIA DE LOS
I I I I BROADWAY #8
ANGELES
PORTLAVACA, TX
11/15/95
N/A
06/07/03
004061 PEREZ, REMUIO
PO BOX 226
PORT
04/27/48
08/11/03
LAVACA, TX
459-78-2194
003553 PEREZ, URSULA
PO BOX 1534
PORT LAVACA,
10/17/43
10/07/98
TX
N/A
004076 PESEY, PATRICIA
2112 LARRY DR -
4/26/56
9/18/03
PORT LAVACA, TX
467-94-5484
004031 PONCIO. PAUL
PO BOX 402
V28/66
4/12/04
POETLAVACA TX
460-13�1528
003875 PRESSLEY, TROY
627 W. GEORGE #139
06/23/70
POET LAVACA, TX
498-72-8676
01/17/02
003865 PRINCE, DIANA
206 SEAGREEN
PORTLAVACA,
09/08/55
11/04101
TX
454-04-1133
004171 QUEEN, GEORGE
1100 S. BENAVIDES
7/20/44
.
PORTLAVACA, TX
382-44-7946
3/18/04
004126 RAMIREZ, GUADALUPE
306130NORDEN
11/21/59
PORT LAVACA, TX
467-25-4211
12/1/03
004184 RAMIREZ, MELISSA
86 AVE A EAST
PORT LAVACA, TX
7/19l10
459-39-7937
4/g/04
004087 RAMIRF7, TOMMY
503 W. MAHAN
3/26/55
PO10RT LAVACA, TX
450-94-5535
10/6/03
004172 REAGAN, RAM - LPH
1AIRLINE #A
11/30/66
PORT LAVACA, TX
459-33-8724
2/28/04
004048 RHYNE, AUTUMN
PO BOX 65
PORT 0 CONNOR,
10/13/84
08/03/03
TX
462-77-8887
004086 RIVERA, FRANCES
PO BOX 1538
-
PORTLAVACA,
6/13/57
10/1/03
TX
454-04-0695
004086 RIVERA, FRED
PO BOX 1538
3/21(58
PORT' LAVACA, TX
465-92-9812
10/1J03
003713 ROBLEDO, ESTELLA
612 E. AUSTIN
SEADRIFT, TX
OS/23/56
01/11/00
264-45-8056
004040 ROBLES, BRENDA
410S. LAVACA
08/09/62
PORT LAVACA, TX
455-15-8512
07/01/03
69
989
•
•
•
•
004066
RODRIGUEZ,
607 N. NUECES
ARMANDINA
PORT LAVACA, TX
8/8/58
N/A
9/11/03
004066
RODRIGUEZ, CAMILO
607 N. NUECES
PORT LAVACA,
7/18/56
9/6/03
TX
N/A
004090
RODRIGUEZ, JOSE
1210 N. VIRGINIA #20
7/14/65
10/10l03
PORT LAVACA, TX
457-29-0027
003505
RODRIGUEZ JUAN
PO BOX 817
SEADRIFT,
06/1U67
06/07/00
TX
N/A
004163
RODRIGUEZ, JULIO
1701 N- VIRGINIA#PS
9/29/73
yI6/04
PORT LAVACA, TX
584-81-7428
004163
RODRIGUEZ, LOLITA
1701N. VIRGINIA #P8
PORT LAVACA,
8/2/68
2/24/04
TX
455-45-0608
003505
RODRIGUEZ MARINA
PO BOX 817
SEADRIFT, TX.
12/25/71
06/07/00
N/A
004135
RODRIGUEZ, NELDA
404 HOLIDAY LANE #2
I1/19/71
PORT LAVACA TX
453-39-9553
12/29/03
004135
RODRIGUEZ, ROBERT
711 S. C=RAD0
5/12/81
12/29/03
PORT LAVACA, TX
N/A
RODRIGUEZ, ZOILA
414 S. LAVACA
PORT LAVACA
11/11/74
OS/22/02
TX
N/A
RUSSO, LINDA
PO BOX 732
SEADRIFT
1/IS/47
12/19/03
TX
032-56-7209
SAENZ, MANUEL
PO BOX 713
SEADRIFT, TX
9/1981
y24/04
464-55.4918
SALAZAR, IRENE
1812 OREN ST�
PORTLAVAC
11/15/54
11/7/03
TX
q57-13-2809
SALINAS, AURORA J
QSANDOVAL,
512 N. COLORADO
1y26/42
08/18/00
PORT iAVACA, TX
46368-8900
SANCHEZ, J7ERUVINA
308 S. JUANITA
PORT LAVACA,
04/30/51
11/15/00
TX
467-94-5094
SANDOVAL
709 S. COLORADO
PORT LAVACA,
06/26/70
10/12/99
TX
�.y
ANDOVAL, JOSE
709 COLORADO
PORT LAVACA,
1y30/25
OS/20/99
TX
N/A
ANDOVAL LORETTA
21413AUER
---- WACA,
3/1773
3/18104
TX
463-396804
004054
SEE, JAMES
PO BOX 725
SEADRIFT,
06/24/64
08/18/03
TX
467-15-3520
004072
SERVANTES, EVA
209 LA SAT J ST
g/26/51
9/2/-03
PORT LAVACA, TX
461-23-8828
004072
SERVANTES, SANTIAGO
209 LA SALLE ST
11/24/51
9/18/03
PORT LAVACA TX
467-94-7090
004165
SHARP, STANFORD
140 SILK STOCKING
3/3/44
3/4/04
PORT LAVACA TX
329-366783
004165
SHARP, SARA
140 SILK STOCKING
10/9/46
1/12/04
PORT LAVACA, TX
329.40-2015
004077
SLATE, ELIOUSE
PO BOX 823 -
SEADRIFT,
5/19/42
9111103
TX
208-366224
004077
SLATE, RICHARD
PO BOX 823
SEADRIFT,
3/16/60
9/I I/03
TX
436-27-3105
004003
SMITH, ARTHUR
PO BOX 365
SEADRIFf,
03/28/60
03/04/03
TX
463-35-2844
004003
SMITH, GLORIA
PO BOX 365
SEADRIFT,
01/23/42
Oy18/03
TX
561-566347
00411
SSMITH, VANESSA
PO BOX 238
SEADRIFT, TX
8/20/84
638-18-7046
11/17/03
70 890
003527
SNIDER, THOMAS
524 S. VIRGINIA
03/O5/43
08/Oy9 S
PORT LAVACA, TX
459-68-9084
003370
SOTO, JUAN
619 N. TRINITY #11B
08/31/60
07/03/97
PORT LAVACA, TX
466-25-7116
003979
SPARKS, JERRY
1916 HOLLOMAN #F
10/19/53
12/17/02
PORT LAVACA, TX.
455-02.6571
004133
SPENCER, LINDA
185 SILK STOCKING
4/11/43
12/10/03
PORT LAVACA, TX
464-33-2800
004032
SPRY, ZANE
1620 W. GEORGE
04/Oy51
06/04/03 I
PORT LAVACA, =
009-36-7797
003942
STERLING, DAVID
401 S. COMMERCE
06/14/50
08/27/02
PORT LAVACA, TX
467-88-2299
003874
STRINGO, ESMER Ai DA
1100 ALCOA #25
O8/10/46
01/17/020
PORT LAVACA, TX.
45149-6459
004152
TAMLIN, CODY
2010 FM 2717
5/31/74
I-20-04
PORT LAVACA, TX
453-81-6425
003932
TAYLOR, JOSHUA
917 SCHLEBACK RD
07/31/81
08/15/OZ
PORT LAVACA, TX.
453-81-4636
004173
TAYLOR, RANDY
PO BOX 93
10/29/51
3/24/04
SEADRIFT, TX
455-96-5788
003991
TAYLOR, ROBBI
PO BOX 22
PORT O CONNOR, Tx
04/04/59
464-19-7775
02/06/03
004169
THOMAS, ACIE
627 `f. GEORGE #157
5/6/81
1/17/04
PORT LAVACA, TX
467-57-1721
004062
THOMAS, JANA
820IIACKBERRY
9/12/64
8/19/03
PORT LAVACA, Tx
448-62-7178
003400
THOMPSON,BECKJE
POBOX313
SEA])RTFT,
06/20/47
03/12102
T'X
496-52-2212
004104
JEANIA
THOMPSONVGRINDLPO
29 W, 23 ST.
PORT
2/23/66
10/29/03
LAVACA, TX
452-57-3515
1
THRWINONA
PO BOX374
06/O1/49
11/28/O1
SEADRIFT, TX.
436-64-9633
6
UREDREW
PO BOX 302
SEADRIFT,
07/27/53
04/Ol/03
TX
449-08-2624
9
URISUELO
1201 HENRY ST.
8-21-49
12-5-03
PORT' LAVACA, TX
467-94-5018
VARELIA
310 ALCOA #12
09/12/76
OS/28/02
PORT LAVACA, TX
N/A
VELZ, ADELLA
417 W. RAILROAD
09/10/51
02/19/02
PORT'LAVACA TX
467-946177
1004106W-ALDEN,
VILLL, ANGELICA
PO BOX 843
SE �'r.
07l31/81
11/Oy00
IF T3:
466-55-0497
VILLL, JOE
461613WY 35 SSOUTH
06/28/43
04/25/91
PORT LAVAC TX
462(6 4073
VILLL, MARTT3A
503 E. WILSON
12/17/55
11/10/03
PORT LAVACA, TX
455-35-5420
VILLL, SALOME
2302 LARRY
03f03/54
08l24/48
PORT LAVACA, TX.
461-42-9937
VOSVELYN
PO BOX 673
10/1/58
11/4 03
PORT O'CONNOR, TX
006.62-3666
W ALRINDL
PO BOX 423
g/29/63
2/12/04
PT. O'CONNOR, TX
258-33-6926
004055
WALLACE,TERESA
532 N. COMMERCE
PORT
06/16/64
08/18/03
LAVACA, TX
568-19-8273
003691
WARREN, PATRICK
PO BOX 229
POINT COMFORT, Tx
03/17/59
Ol/07/00
462-11-7190
71
89i
a
•
•
0
•
003894
WOOLDRIDGE, ROGER 50 WOOLDRIDGE
SEADRIFf, TX.
11/30/65
593-34-3144
03/27/02
003897
WOOLDRIDGE, SUSAN
50 WOOLDRIDGE
SEADRIFI', TX
08/OS/70
457-57-4627
03/27/02
004035
ZAMBRANO, MICHAEL
104 KLINK RD.
PORT LAVACA, TX
01/22163
461-23-2293
O5/18/03
004101
ZAMORA, HECTOR
519 S. SAN ANTONIO
PORT LAVACA, TX
8/4/64
384-68-2606
10/2103
004157
ZAMORA, PATRICK
1620 W. MAIN LOT 12B
PORT LAVACA, TX
g/1/77
464-91-4899
2/5/04
004157
ZAMORA, SHEILA
1620 W. MAIN LOT 12B
PORT LAVACA, TX
2/26/78
465-61-4963
2/10/04
8q')
72
MEMORIAL MEDICAL CENTER
PATIENT STATISTICS
APRIL 2004
THIS MONTH
THIS YEAR
LAST YEAR
THIS MONTH
LAST YEAR
TO DATE
TO DATE
PATIENTS ADMITTED
111
115
441
514
ADMISSIONS FROM ER
63
57
231
275
AVERAGE LENGTH OF STAY
3.97
4.26
3.67
3.96
PATIENT DAYS OF SERVICE
441
490
1,617
2,037
PERCENT OF OCCUPANCY'
30.63%
34.03%
27.84%
35.36%
AVERAGE DAILY CENSUS
14.70
16.33
13.36
16.98
MAXIMUM ON ANY ONE DAY
20
25
27
27
MINIMUM ON ANY ONE DAY
9
7
2
7
ADJUSTED PATIENT DAYS
1,370
1,432
5,203
5,768
SWING BED DAYS
17
32
53
85
ICU PATIENTS ADMITTED
32
32
102
131
ICU PATIENT DAYS
77
63
231
311
OB'S ADMITTED
17
11
74
61
OB DAYS OF SERVICE
35
31
155
137
PEDIATRIC ADMISSIONS
1
4
13
16
PEDIATRIC DAYS OF SERVICE
2
14
28
42
NEWBORNS FOR MONTH
13
9
60
47
AVERAGE LENGTH OF STAY
2.15
2.44
2.07
2.06
DAYS OF SERVICE
28
22
124
97
MEDICARE PATIENTS ADMITTED
54
62
203
267
AVERAGE LENGTH OF STAY
4.91
5.05
4.43
4.79
DAYS OF SERVICE
265
313
900
1,279
MEDICAID PATIENTS ADMITTED
19
18
92
85
DAYS OF SERVICE
44
65
224
223
DEATHS
1
2
8
12
AUTOPSIES
0
1
0
4
SURGERY:
INPATIENT PROCEDURES
17
19
56
69
OUTPATIENT PROCEDURES
125
150
466
603
CESAREAN SECTIONS-
3
5
19
13
TOTALS
145
174
541
685
73
893
0
•
E
THIS MONTH
THIS YEAR
THIS MONTH
THIS MONTH
LAST YEAR
TO DATE
LAST YEAR
OUTPATIENT VISITS
1,684
1,487
6,257
5,494
EMERGENCY ROOM VISITS
702
718
2,742
3,012
EMS RUNS
0
TOTALS
2,386
2,205
8,999
0
8,506
LABORATORY:
INPATIENT PROCEDURES
3,720
4,410
14,763
17,274
OUTPATIENT PROCEDURES
16,306
14,570
60,453
60,302
TOTALS
20,026
18,980
75,216
77,576
DI OLOGY:
INPATIENT PROCEDURES
157
198
532
OUTPATIENT PROCEDURES
550
579
723
BONE DENSITY
30
23
2,141
2,124
NUCLEAR MEDICINE
92
85
82
160
ULTRASOUNDS
152
153
329
456
CT SCANS
210
208
581
673
603
MAMMOGRAPHY
82
77
736
MRI
94
123
297
375
353
485
TOTALS
1,357
1,446
5,010
5,640
PHARMACY
IV SOLUTIONS DISPENSED
1,422
1,283
4,844
5,803
DRUGS DISPENSED
101,471
18,777
129,503
78,177
HIGH COST DRUGS DISPENSED
851
934
3,180
TOTALS
103,744
20,994
137,527
5,078
89,058
RESPIRATORY THERAPY:
INPATIENT PROCEDURES
OUTPATIENT PROCEDURES
STRESS TESTS
EKGS
&EGS
TOTALS
PHYSICAL THERAPY:
INPATIENT PROCEDURES
OUTPATIENT PROCEDURES
HOME HEALTH VISITS
TOTALS
1,896
2,825
7,784
11,858
665
992
2,773
4,164
1
4
13
34
176
243
677
948
7
2
16
11
2,745
4,066
11,263
17,015
281
2,067
112
2,460
587
2,139
105
2,831
889
7,831
516
9,236
1,937
10,589
405
12,931
894
74
HOME HEALTH CARE:
MEDICARE VISITS
OTHER VISITS
ST/SS
PHC HOURS
HOSPICE
TOTALS
DIETARY:
MEALS SERVED TO PATIENTS
MEALS SERVED IN CAFETERIA
TOTALS
DIETITIAN CONSULTS
THIS MONTH THIS YEAR THIS MONTH
THIS MONTH LAST YEAR TO DATE LAST YEAR
782
635
3,073
2,293
4
4
27
19
1
2
4
5
0
0
0
0
_ 0
0
0
0
787
641
3,104
2,317
1,239
1,683
5,014
6,669
3,106
3,161
13,152
12,710
4,345
4,844
18,166
19,379
COST PER PATIENT DAY W/O DEPR
3,100.17
3,093.71
3,509.52
2,904.35
INCOME PER PATIENT DAY
3,396.72
3,210.90
3,483.16
3,208.94
BREAKEVEN W/O DEPRECIATION
13.29
15.71
13.46
15.19
AVERAGE DAILY CENSUS
14.70
16.33
13.36
16.98
PATIENTS ABOVE / BELOW BREAKEVEN
1.41
0.62
(0.10)
1.79
COST PER ADJ. PT. DAY W/O DEP.
998.03
1,058.65
1,090.70
1,382.60
INCOME PER ADJ. PT. DAY
1,093.50
1,098.75
1,082.50
1,527.60
75
0
•
•
The following fuel bids, which were opened June 3, 2004 by Peggy Hall and Susan Riley, for the
period beginning June 16, 2004 and ending July 15, 2004, were read by the County Auditor.
After reviewing said bids, a Motion was made by Commissioner Balajka and seconded by
Commissioner Galvan to accept the bid of Mauritz & Couey for the automated card system fuel
and Diebel Oil Company for fuel to be delivered as the low bidders. Commissioners' Galvan,
Balajka, Finster and Judge Pfeifer all voted in favor.
201 W. AUAC
•
PORT tavAcn, rows 77e79
Phone: 361S53-4610
Fax 381,5534614
Fax
CALHOUN
COUNTY
AUDITOR'S
OFFICE
TO. COUNTYJUDGE & From; PEGGY HALL
COMMISSIONERS ASSISTANT AUDITOR
Fax: NA Date: June 10, 2004
Phone: NA Pages 3 Including this page
Re: AWARD OF FUEL BIDS CCa
PERIOD 6/16/2004 to 7/15/2004
isO Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
-Message.
THE FOLLOWING BIDS WERE AWARDED IN COMMISSIONERS' COURT ON
THURSDAY, June 10, 2004
FUEL BIDS
PERIOD BEGINNING June 16 2oo4
AND ENDING July 15 200
Fuel -Bulk Delivered — Awarded to Diebel Oil Co., Inc.
• Fuel -Automated Card System — Awarded to Mauritz & Couey
The Bid Tabulation Sheets are attached.
• If you have any question, please call.
CALHOUN COUNTY, TX BID TABULATIONS: FUEL -AUTOMATED CARD SYSTEM
ITEM FUEL -AUTOMATED CARD SYSTEM
IMIRICAION DIESEL FUEL
DD AMOUNT BUR
LOW BID COMMEI s
DECINNINO DATE EW I DATE
** $1.210 MAURITZ & COLEY
ONLY BID
6/16/2004 7/1512004
EPECNICATION PREMIUM UNLEADED GASOLINE
BM AMOUNT elm
LOW DM CoMNI:NNTS
BMNMNC DATE EATYN6 DAIS
** MAURITZ & COUEY
� i.o"50
ONLY 81D
6/16l2004 7/15/2004
$PEtIFICANBN REGULAR UNLEADED GASOLINE
DDAMOUNT mm
[own COMMfiffs
DECINMNCDATE ENOINCDATE
*" $1.550 MAURITZ & COUEY
ONLY BID
6/16/2004 7N5l2004
** PRICE DOES NOT INCLUDE 2k FUEL TAX THAT COUNTY MUST PAY.
Thursday, June 10. 2004
Page 1 of
ti
• • •
CALHOUN COUNTY, TX BID TABULATIONS: FUEL -BULK DELIVERED
ITEM FUEL -BULK DELIVERED
SEECDICATIOR DIESEL FUEL
Be AMOUNT BIDDER LOW BID COMMENTS M31NNMI DATE ENDUNC DAIS
*k $1.120 DIESEL OIL CO., INC. LOW BID
6116/2004 7/1512ON
$1.210 MAURITZ d COUEY
6/16/2004 7/1512004
SPECDDCAIaN MID GRADE UNLEADED GASOLINE
BID AMOUNT lion LOW BID COMAM . BEDRNMNG DATE ENOM DAIS
'* $1.460 DIEBEL OIL CO., INC. LOW BID
6/16/2004 7/75/2004
$1.800 MAURITZ d COLEY
' 6116/2004 7/1512004
SPECDTCANON PREMIUM UNLEADED GASOLINE
BIDAMOUNI BIDDER LOW BID Common$ DEGUININGDATE ENDING DATE
** $1.520 DIESEL OIL CO., INC. LOW BID
6/16/2004 7/15/2004
$1.650 MAURITZ d COUEY
6/16/2004 7/15/20D4
$PECITCATDIN REGULAR UNLEADED GASOLINE
BID AMOUNT BIDDER LOW BID COMMENTS BEMMNG DATE ENDING DATE
** $1,430 DIESEL OIL CO., INC. LOW BID
8/18/2004 7/15/2004
* $1.550 MAURITZ d COUEY
6116/2004 7/15/2004
Thursday, June 10, 2004 PRIon CE DOES NOT INCLUDE 20 FUEL TAX THAT COUNTY MUST PAY. Page 1 of
DISCUSSION WTTH E-911 BOARD MEMBERS REGARDING E-911 EMERGENCY
COMMUNICATIONS DISTRICT:
Mark Dieringer with E-911 was present to represent the E-911 Board Members regarding E-911
Emergency Communications District. Judge Pfeifer said their has been some concerns regarding
the E-911 Coordinator, complaints are that they can not get a hold of any one in the office and
they leave messages and the phone calls are never returned. Mr. Dieringer said that the
coordinator should be in the office 8:00am to 5:00pm, except for when she is in the field
measuring to get the 911 addresses. She has a pager and a cell phone and he has no idea why
she does not return the calls she should return the calls within 24 hours. Mark reassured the
Court that this issue will be addressed and the calls will be returned within 24 hours of receiving
the message.
APPROVE GBRA TO ADD WATER LINES IN THE COUNTY RIGHT-OF-WAYS;
A Motion was made by Commissioner Balajka and seconded by Commissioner Finster to approve
GBRA to add water lines in the County right-of-ways for the following residences: Natasha
Whitson, N. Maxwell Lane — Vencil Jedllcka, Seakist Road — Gerald Mauer, Royal Road — Laura
Shirley, S. Ocean Drive — Richard Lento, Unnamed Road off Jennifer Lane (off Hwy 316) — David
Kruse, E. Kruse (near Carrigan Ave., Alamo Beach) — Maida McKamey, N. Ocean Drive (near
Baywatchers) — Christine O'Connor, off Wedig St, (at Vivian Stevens Street), Sandra Karm,
Lalucia Street (near Sally, Magnolia Beach). Commissioners' Galvan, Balajka, Finster and Judge
Pfeifer all voted in favor.
APPOINT MEMBER TO WESTISDE CALHOUN COUNTY NAVIGATION DISTRICT:
A Motion was made by Commissioner Balajka and seconded by Commissioner Galvan to
reappoint Mr. Walter Pilgram, Jr. for a two-year term to the Board of Navigation and Canal
Commissioners of West Side Calhoun County Navigation District. Commissioners' Galvan,
Balajka, Finster and Judge Pfeifer all voted in favor.
8()Q
•
EMS CONTRACT WITH ALEXANDER CONSULTING FOR AMBULANCE BILLING
,SERVICES:
A Motion was made by Commissioner Finster and seconded by Commissioner Balajka to enter
into a Contract with Alexander Consulting for Ambulance Billing Services and authorize Judge
Pfeifer to sign the Contract. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted
in favor.
Alexander Billing and Consulting, Inc.
PROFESSIONAL SERVICES AGREEMENT
This Professional Services Agreement is made and entered into, by and between CALHOUN COUNTY
EMS hereinafter referred to as "Provider" and Alexander Consulting, Inc., hereinafter referred to as
"Consultant" and is effective as of the date last signed below.
The terms of this Agreement are as follows:
This Professional Services Agreement will authorize Consultant to use its expertise and knowledge to
process and follow-up on one hundred (100) percent of Provider's future claims relating to medical
transportation services for Provider's patients; and during the term hereof, Provider will not perform
any processing for said transportation services. Consultant will receive, from Provider, all of said
claims, for processing and follow-up. Consultant shall effect and perform all necessary functions as
may be required by first, second or third party insurers and governmental agencies for the submission
of proper claim fortes and data to obtain payment of claims on behalf of Provider. The process shall
begin with transports/runs date as of 06/26/2004 or such other date agreed by both parties in writing.
2. Consultant will advise Provider as to the status of their accounts receivable by submitting to Provider,
on a monthly basis, the following written reports: (i) Cash Receipts Report, (ii) Gross Revenue
Report, (iii) Detailed Aged Accounts Receivable Report, and (iv) Call Report.
3. Provider will forward to Consultant, in a timely manner, all pertinent patient information; i.e., medical
information, insurance information, transport record, cover sheets, and any other information required
to carry out the comprehensive claims processing function in accordance with HIPAA regulations and
the attached Business Associates Agreement in Addendum A. Consultant will process Provider's
patient transports in a timely manner with the exception of accounts, which have incomplete or missing
information such as patient name, insurance documentation, medical and any other missing
information required for processing. Provider will obtain and include the patient's signature on
• information forwarded to Consultant, with the exception of patients physically unable to sign; i.e.,
emergency transports.
4. Provider will exercise due diligence in complying with applicable laws and regulations regarding
medical transports and medical necessity for the transport, and Consultant will not be held liable for
Provider's actions. Consultant will exercise due diligence in complying with applicable laws and
regulations regarding claims processing; and Provider will not be held liable for Consultant's actions.
If any provision of this agreement becomes prohibited under the rules, regulations or reimbursement
policies of any third -party reimbursement program, any federal or state statute, rule or regulation, or
administrative or judicial decision, the parties shall alter the terms of this agreement to the rninimum
extent necessary to eliminate the violation. (See Addendum B regarding Compliance). Provider may
access Alexander Consulting's records for auditing purposes by scheduling a mutually feasible time to
do so. This may be accomplished by sending electronic zipped files or by sending files via modem, by
on -site inspections, or mailing, faxing, or e-mailing requested files.
5. All reimbursement payments for Provider services processed by Consultant from all payor sources
(Medicare, Medicaid, private insurance, private pay and any other) shall be mailed directly to a P.O.
Box in Provider's Name at a location convenient to Alexander Consulting's office. Alexander
Consulting will mail the checks to the County Treasurer. Provider shall fill out Post Office Box
application and submit with required fee to Consultant.
6. Provider shall submit to Consultant within five (5) business days of receipt copies of any Explanations
of Benefits (EOB's), claims correspondence, denials, remittance status reports, and copies of checks
from all payer sources that are received by Provider.
Provider Initials IL
Consultant Initials N-
Drill]
Alexander Billing and Consulting, Inc.
Situations regarding refund accounts. Every effort will be made by consultant to bill each payer only
the appropriate number of times necessary to obtain appropriate payment amounts. Provider agrees
however, that refund liabilities can be incurred due to those same payers sending multiple payments on
a single account. Provider further agrees that due to the additional processing involved in the
management of these refund dollars consultant will not be expected to refund any commissions
realized during the posting, of initial, second, or tertiary payments, that lead to a negative balance to be
refunded.
8. As compensation for Consultant's services, Provider will pay Consultant a fee equal to 8% of all •
payments collected for claims processed for and on behalf of Provider that have dates of service on or
after the date described in Item 1 of this agreement. Collected payments will include (i)
cash/reimbursement received by Provider during the month for which remittance documentation
described in Item 6 has been submtted to Consultant, and (ii) cash received by Provider in prior
months for which remittance documentation had not been previously submitted to Consultant.
Consultant's fee, including any applicable taxes, is due and payable upon receipt of invoice.
If the fee is not received within M days after receipt, a late charge of 1.5% of the monthly fee will
be assessed. Consultant has the option of stopping all services and processing until the fee is
received in full. Once the fee is received in full, the Consultant will resume all processing activities as
defined in this agreement. This temporary stoppage of processing activities does not in any way
constitute cancellation or termination of this contract. The only way this contract inay be canceled is
by the terms in Item I I of this Agreement. The fee may be adjusted at the time of renewal (See Item
11) based on performance and mutual agreement.
9. Provider may engage the professional services of Consultant for special projects. Representatives of
both parties will authorize the terms of agreement in advance by written agreement. The fee will be
based on an hourly rate, a negotiated (flat) fee, or such other terms agreed by both parties.
9. Provider hereby authorizes Consultant, if and when necessary, to obtain credit information of any
patient. Consultant will submit to Provider a list of all delinquent accounts being recommended for
referral to a collection agency and/or credit bureau. Consultant will report patients to the collection
agency/credit bureau upon approval by the Provider.
10. Provider hereby authorizes Consultant to settle any dispute of payment for services rendered directly
with payers as follows: Consultant is authorized to accept no less than 80% of charges as a settlement
without the written approval (fax or a -mail is acceptable) from authorized client representative for non-
governmental payers and non -contracted payers. Consultant will not be responsible for any remaining •
unpaid balance from such settled patient accounts.
11. This Agreement shall be for a term of one (1) year and automatically renew for one (1) additional
twelve (12) month period. If Provider is not satisfied with the performance of Consultant, Provider
may give Consultant written notice of the dissatisfaction and the reason(s) Provider is dissatisfied.
Consultant will have 60 days to improve in the area(s) of deficiency ("Opportunity to Cure.") If
Consultant has not cured the deficiency to Provider's satisfaction by the end of the 60-day period,
Provider may give Consultant a 60=clay written Notice of Cancellation. Deficiencies must be
substantiated. The Notice of Cancellation may be exercised any time after the first six (6) months of
the initial term of this Agreement.
12. After cancellation (end of 60-day period in Item 11 above) or expiration of this Agreement, Consultant
will not continue any processing and/or follow-up and will not be obligated for any new claims that
might become outstanding after the date of cancellation unless both parties agree in writing.
Consultant will continue to process claims for transports made through the cancellation date.
Subsequent to the cancellation date, payments will be received for claims that were processed prior to
the termination date. Provider will continue to send copies of EO13's and other documentation of
reimbursement/payments to Consultant for all medical transports with dates of service prior to the
cancellation date. Consultant will continue to bill Provider monthly based on cash receipts received by
Provider Initials_ V 2
Consultant Initialsk&
901
•
Alexander Billing and Consulting, Inc.
Provider during the post -cancellation period for payments received for claims processed prior to the
cancellation date. Consultant will also continue to provide monthly financial reports.
If Provider notifies Consultant in writing that Provider requests that Consultant discontinue
follow-up prior to the effective date of cancellation, Consultant is entitled to payment for
processing services previously provided that will generate cash receipts. Using previous average
cash receipts, a settlement will be paid. Upon payment of the settlement, all records relating to
Provider's claims will be returned to Provider. The settlement shall be equal to the average cash
receipts for the previous months multiplied by three (3), multiplied by eight percent (8%). For
example, if the previous three (3) months' cash receipts were $30,000, $20,000, and 525,000, the
• average would be $25,000. Three (3) times $25,000 is $75,000 times 8% is $6,000. The settlement
amount would be $6,000.
13. Upon expiration of this Professional Services Agreement, Provider may elect to have Consultant
continue processing and follow-up efforts on outstanding accounts for a specified period not to exceed
six (6) months. If Consultant is monitoring any collection agency results those fees associated with the
administration will continue until the wind up of indefinite assignment described in Addendum C, Item
6 under "Provider and Consultant agree to the following:".
14. This Agreement supersedes all prior oral or written agreements between the parties and contains the
entire agreement of the parties with respect to the subject matter hereof. This agreement may not be
amended or revised by the parties except by written agreement signed by both parties.
15. In the event Provider sells, merges or otherwise transfers EMS operations to another entity, the terms
of this Agreement will remain in effect and may be assigned to the new operator and/or owner, with
the written permission of both the new Provider and the Consultant. In the absence of assignment of
this agreement, a buyout option may be exercised by paying to Consultant a one-time lump sum
payment equal to 8% of the average cash receipts for the previous six (6) months times six (6).
The Consultant agrees not to unreasonably withhold a valid assignment. The buyout fee covers the
processing services for outstanding accounts previously processed by Consultant at the time of
operations/ownership change and supersedes the fee payment for payments outlined in Item Number
13 of this Professional Services Agreement. Upon receipt of the buyout payment to Consultant and all
monthly fees, this Professional Services Agreement will be canceled and Provider will be released
from all financial responsibility related to payment of professional services to Consultant. It is the
responsibility of Provider to include the requirements of this paragraph in any agreement for the
transfer of operations or ownership.
16. If a dispute arises out of this contract and such dispute cannot be settled through direct negotiations
• between the parties, the parties agree to endeavor to resolve the dispute through mediation. If the
parties cannot agree upon the selection of a mediator, the parties will each furnish a list of three (3)
members of the American Health Lawyers Association living within 50 miles of San Antonio and
experienced in contract law within five (5) days of failure to agree. The first matching name that
appears on both lists will be the mediator. In the event there are no matching names, each party will
have the right within five (5) days to strike one name from the others list. One of the remaining four
(4) names will be drawn by lot by an impartial party to select the mediator. The mediation shall take
place in Bexar County, Texas within thirty (30) days from the date such mediator is selected. In the
event that such dispute cannot be resolved by mediation, the parties agree to submit the matter to
arbitration, in Bexar County, Texas, in accordance with the Commercial Arbitration Rules of the
American Arbitration Association (AAA). If the parties cannot agree upon the selection of an
arbitrator, a member of the AAA shall be selected using the same process as used in selecting the
mediator.
Provider Initials
Consultant Initials~
1
0
EM
Alexander Billing and Consulting, Inc.
17. Consultant shall indemnify Provider for, and hold Provider harmless from, all damages assessed
against Provider by any person or entity which damages were caused solely by Consultant's grossly
negligent acts or omissions in Consultant's performance hereunder. Provider shall indemnify
Consultant for, and hold Consultant harmless from, all damages assessed against Consultant by any
person or entity which damages were caused solely by Provider's grossly negligent acts or omissions
in Provider's performance hereunder. This hold harmless agreement does not and will not be
applicable to any claim of adjustment or request for reimbursement made by any insurance company or
any servicing agency or governmental agencies that may be made as the result of audits or denials of
claims made as provided by those companies' policies or governmental regulations or laws, including •
Consultant's fees charged, except for any adjustment s or denials for reimbursements which (i) are
solely the direct result of Consultant's negligent act or omission and (it) are for claims which Provider
was entitled to receive and would have received but for Consultant's negligent act or omission.
18. The nature of this agreement requcres the exchange of confidential medical records that may be
regulated by law. Consultant agrees and acknowledges the importance of keeping its records
confidential, and shall not act or be the custodian of any records except those as are necessary for the
submission of claims and processing purposes. Any request or subpoena for the release of Provider's
processing records shall be addressed or forwarded to Consultant and Consultant shall be responsible
therefore, and any request for any other related records shall be addressed or forwarded to Provider and
Provider shall be responsible therefore.
Consultant has developed and owns equipment, computer hardware and software as well as processing
data, profiles, statistics, fees and codes for its claims processing. Such data and information as well as
the processing systems and related functions are the property and trade secrets of Consultant; and
Provider shall not release any such information relating to Consultant's claims processing data.
All files and records received by Consultant for claim processing and Consultant's other records shall
remain in the possession of Consultant during the term of this agreement. Hard copies of all records
will be returned to Provider within six (6) months of completion of this agreement, unless otherwise
agreed to in writing by and between the parties.
19. The invalidity or unenforceability of any particular provision of this agreement shall not affect the
provisions hereof, and this agreement shall be construed in all respect as if such invalid or
unenforceable provisions were deleted.
20. This agreement shall be interpreted according to the laws of the State of Texas, with venue lying solely
in Bexar County, Texas. •
21. Any notice required or desired to be given to a party under the terms and conditions set forth herein,
shall be properly given if personally delivered or deposited in the United States Mail, postage prepaid,
certified or registered, and addressed to the party at the address set forth below the party's signature to
this agreement.
(P ovrder) (Date) Prmted Name of Provider Representative (Date)
Michael P. Lane President
(Consultant) (Date) Printed Name of Authorized Representative
Alexander Consulting, Inc.
6243 IH 10 West, Suite 555
San Antonio, TX 78201
Provider Initials
Consultant InitialSOL
0003
EMS CONTRACT WITH CENTRAL STATES RECOVERY FOR AMBULANCE BILL
COLLECTING SERVICES:
Pass on this item.
EMS BUSINESS ASSOCIATE CONFIDENTIALITY AGREEMENT WITH ALEXANDER
CONSULTING:
• A Motion was made by Commissioner Finster and seconded by Commissioner Balajka to accept
the EMS Business Associate Confidentiality Agreement with Alexander Consulting and authorize
Henry Barber, EMS Director to sign. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all
voted in favor.
Alexander Billing and Consulting, Inc.
ADDENDUM A
BUSINESS ASSOCIATE
CONFIDENTIALITY AGREEMENT
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires "Business Associates"
of healthcare entities to provide assurances of following the Privacy Rules contained within the Act. This
is normally done by contract. (See 45 CFR Section 164.50[e][2]).
In consideration of being given access to highly confidential patient information, as a contracted agent for
Provider, Alexander Billing and Consulting, Inc. agrees as follows:
1. Alexander Billing and Consulting, Inc. shall not use or disclose Protected Health Information
(PHI) except as provided in their Professional Services Agreement or as required by law.
2. Alexander Billing and Consulting, Inc. shall implement and maintain appropriate safeguards to
prevent the use or disclosure of PHI other than as provided in their Professional Services
Agreement.
• 3. Alexander Billing and Consulting, Inc. shall report to Provider any use or disclosure of PHI in
violation of this agreement of which Alexander Billing and Consulting, Inc. becomes aware.
4. Alexander Billing and Consulting, Inc. shall ensure that any subcontractors or agents to whom it
provides PHI received from the Provider agree to the same restrictions and conditions that apply to
Alexander Billing and Consulting, Inc. with respect to such information.
5. Alexander Billing and Consulting, Inc. shall make PHI available to the individual subjects of such
information in accordance with applicable law.
6. Alexander Billing and Consulting, Inc. shall incorporate any amendments or corrections to PHI
when so notified by Provider.
7. Alexander Billing and Consulting, Inc. shall provide for an accounting of uses and disclosures of
PHI for purposes not related to treatment, payment and healthcare operations, as requested by
Provider.
8. Alexander Billing and Consulting, Inc. shall make its internal practices, books, and records
relating to the use and disclosure of PHI received from the Provider available to the Secretary of
the Department of Health and Human Services (HHS) for purposes of determining Provider's
compliance with the HIPAA Privacy Rule and other applicable law.
9. At termination of their Professional Services Agreement and after final payment settlement, if
feasible, Alexander Billing and Consulting, Inc. shall return or destroy all PHI received from
Provider that Alexander Billing and Consulting, Inc. still maintains in any form and retain no
copies of such information.
10. In the event the Provider knows of a pattern of activity or practice of Alexander Billing and
• Consulting, Inc, that constitutes a material breach or violation of this Confidentiality Agreement,
reasonable steps must be taken to cure the breach or end the violation. If such steps are
unsuccessful, the Provider may terminate their Professional Services Agreement.
( r vid ) (Da ) Alexander Consulting, Inc. (Date)
Provider Initials 5
Consultant Initialsf,
904
Alexander Billing and Consulting, Inc.
ADDENDUM B
COMPLIANCE
Responsibilities of Consultant:
1. Consultant will implement and maintain an effective health care billing compliance program that
includes the seven (7) elements for effective compliance programs as outlined in the U. S. Sentencing
Commission Guidelines and Health and Human Services Inspector General's Compliance Guidance •
for Third -Party Medical Billing Companies.
2. Consultant will ensure that all consulting company coders receive specific annual coding training and
that coders have readily accessible and available current coding and billing reference material.
3. Consultant's employees will refrain from the submission of questionable claims and notify the
Provider in writing within thirty (30) days of determining credible evidence of a pattern of misconduct
(e.g., false documentation) on the part of the Provider. If Provider fails to cure the pattern of
potentially fraudulent or abusive conduct, the Consultant may, terminate this professional services
agreement with written notice.
4. Consultant will conduct regular and periodic audits of credit balances (overpayments) and promptly
notify the Provider in writing of the status of such credit balances and recommend, as appropriate and
necessary, that the Provider promptly return overpayments obtained from federal and/or state health
care programs.
S. Consultant will take all reasonable steps to ensure data integrity in computer systems used for
electronic data transfer.
6. Consultant will investigate and correct, as appropriate and necessary, reported credible evidence of
misconduct on the part of Consultant's employees.
Responsibilities of Provider:
1. Provider is to implement and maintain appropriate compliance standards; training and education; and
to audit and monitor its compliance duties.
2. Provider is to document accurately and completely the medical services provided for which
reimbursement is sought.
3. Provider is to be aware of and follow proper documentation and medical necessity requirements for
federal and state programs.
4. Provider will refrain from submitting false or inaccurate information, documentation or records to
Consultant.
5. Provider will expeditiously correct identified false or inaccurate information, documentation and/or
records.
6. Provider will notify Consultant in writing within 30 days of determining credible evidence of
misconduct on the part of the Consultant (e.g., improper submission of claims).
7. Provider will take all reasonable steps to ensure data integrity in computer systems used for electronic
data transfer.
8. Provider will promp y investigate and correct, as appropriate and necessary, reported credible
evidence of c c n the part of Provider.
Provider Initials 6
Consultant Initials
G' '
•
6.
.Or�L)
Alexander Billing and Consulting, I1c.
Responsibilities of both Provider and Consultant:
1. Provide open, frequent and regular communications between Provider and Consultant; i.e., Consultant
providing written monthly billing reports.
2. Conduct an annual review of their respective compliance programs to ensure the compliance program
is u to_ -date, effective and being followed.
(Provid� (D te) Alexander Consulting, Inc. (Date)
•
�I
Provider Initials
Consultant Initials i
1J
EMS BUSINESS ASSOCIATE CONFIDENTIALITY AGREEMENT WITH CENTRAL STATE
RECOVERY:
A Motion was made by Commissioner Balajka and seconded by Commissioner Galvan to accept
the EMS Business Associate Confidentiality Agreement with Central States Recovery and
authorize Henry Barber, EMS Director to sign. Commissioners' Galvan, Balajka, Finster and Judge
Pfeifer all voted in favor.
ADDENDUM D
BUSINESS ASSOCIATE
CONFIDENTIALITY AGREEMENT
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires "Business Associates"
of healthcare entities to provide assurances of following the Privacy Rules contained within the Act. This
is normally done by contract. (See 45 CPR Section 164.50[e][21).
In consideration of being given access to highly confidential patient information, as a contracted agent for
Provider, Central States Recovery agrees as follows:
1. Central States Recovery shall not use or disclose Protected Health Information (PHI) except as
provided in their Professional Services Agreement or as required by law.
2. Central States Recovery shall implement and maintain appropriate safeguards to prevent the use or
disclosure of PHI other than as provided in their Professional. Services Agreement.
3. Central States Recovery shall report to Provider any use or disclosure of PHI in violation of this
agreement of which Alexander Billing and Consulting, Inc. becomes aware.
4. Central States Recovery shall ensure that any subcontractors or agents to whom it provides PHI
received from the Provider agree to the same restrictions and conditions that apply to Alexander
Billing and Consulting, Inc. with respect to such information.
5. Central States Recovery shall snake PHI available to the individual subjects of such information in
accordance with applicable lava.
6. Central States Recovery shall incorporate any amendments or corrections to PHI when so notified
by Provider.
7. Central States Recovery shall provide for an accounting of uses and disclosures of PHI for
purposes not related to treatment, payment and healthcare operations, as requested by Provider.
8. Central States Recovery shall make its internal practices, books, and records relating to the use
and disclosure of PHI received from the Provider available to the Secretary of the Department of
Health and Human Services (HHS) for purposes of determining Provider's compliance with the
HIPAA Privacy Rule and other applicable law.
- 9. At termination of their Professional Services Agreement and after final payment settlement, if
feasible, Central States Recovery shall return all PHI received from Provider that Central States
Recovery still maintains in any form and retain no copies of such information.
10. In the event the Provider knows of a pattern of activity or practice of Central States Recovery that
constitutes a material breach or violation of this Confidentiality Agreement, reasonable steps must
be taken to cure the breach or end the violation. If such steps are unsuccessful, the Provider may
terminate their Professional Services Agreement.
alhoun County (Provider) (Date)
By Kenneth Finster, County Commissioner Precinct 4
a States- very.._, Y (
Printed Name of Authorized Representative
V
E
•
•
•
A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to authorize
the installation of a 4-inch pipeline under County Road 312 all as shown on Ganem and Kelley
Drawing No. 04-081. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in
favor.
BRIGHAM
Brigham Exploration Company ♦ 6300 Bridge Point Parkway. Bldg. 2. Suite 500 ♦ Austin, Texas 78730
Phone (512) 427-3300 ♦ Fax (512) 427-3400
VIA HAND DELIVERY
June 3,2004
Calhoun County, Texas
Attn: Commissioner H. Floyd
Calhoun County Precinct 3
24627 State Highway 172
Port Lavaca, Texas 77979
Re: Pipeline Bore Request
County Road 312
Calhoun County, Texas
Dear Commissioner Floyd:
Brigham Oil & Gas, L.P. hereby requests permission to bore and construct one gas pipeline
under Calhoun County Road 312, according to the specifics depicted on the plat attached hereto.
The proposed pipeline will be constructed under Calhoun County Road 312, a distance of 3900'
south of Calhoun -Jackson County line.
• Please do not hesitate to contact me at (361) 935-6181 if you should have any questions or
comments. Thank you for all of your cooperation.
Sincerely,
�� 1
Michae D. Blackwell
Authorized Agent for Brigham Oil & Gas, L.P.
Attachment
\J
0161,
909
APPROVE PRELIMINARY PLAT FOR OYSTER POINT TION II IN
PORT O'CONNOR. TEXAS:
A Motion was made by Commissioner Pinter and seconded by Commissioner Galvan to approve
• the Preliminary Plat for Oyster Point Subdivision, Section II In Port O'Connor, Texas.
Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor.
See attached Plat.
•
J�U
A Motion was made by Commissioner Balajka and seconded by Commissioner Finster to authorize
a loan in the amount of $9,100 from the General Fund to the Grants Fund to pay expenses for
Recycling Center Improvements that will be reimbursed by TCEQ Grant No. 04-17-GO2.
Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor.
A Motion was made by Judge Pfeifer and seconded by Commissioner Galvan to accept insurance
settlement from Trident Insurance Services LLC in the amount of $4,800 for Hurricane Claudette
damages to A/C condenser located at Memorial Medical Plaza, and authorize the County
Treasurer to deposit in Memorial Medical Center Account. Commissioners' Galvan, Balajka,
Finster and Judge Pfeifer all voted in favor.
COUNTY CLERK —3P1 263 MONTHLY REPORTS;
The County Clerk, JP 1, 2 & 3 presented their monthly reports for May 2004 and after reading
and verifying same, a Motion was made by Commissioner Finster and seconded by Commissioner
Balajka to accept said reports as presented. Commissioners' Galvan, Balajka, Finster and Judge
Pfeifer all voted in favor. ..
ARM FRIG. C%16RYS OLERE
MONTHLY R&PORblUSCAPIf MATION
MONTH &LADING /(/a_
CHARGE
County Clerk's Fee
R... Hut,
Probate
,fi QD,p-a
C"
Judge`s Fee
Probate
3p.,fp
clv
PC- &0
Probate Fee (Education Fee)
Jy&o
Sberitf f Fee
-7/ py
Jury Fee
1 e91n
Law Library Fee
O
Beer Llcenns
--O --
Appellate Fund (TGC)
/30.db
Court Reporter Feu
d5 09
Civil lndtgent Fees
Record Mamgeme.t Feu(C..Clerk)
Record Management Fen (County)
45D. Pd
Snuriry Fee (County)
QOS d0
Bond Foraloun
3/6-. cd
TOTAL FOR COUNTY TREASURER
\I
$980tc+A!OL
$
Stare Treeurer-Judlaal Fund (6Iv)e.
TE.
State Treasurer- Marriage Lleawe Fen _
�52.$D
State Treasurer - B4th Certificate Fen
'(a. 4V
C.A.R. FUND
-a-
REFUNDS:
(., e�-LLU/vfrarl5 �rY 7ED
OTHER INCOME: 'Tent.[ Fund
CASH ON HAND, BEGINNING
County Clerk's Account
Trust Food Account
TOTAL CHARGES
CREDITS.
DISBURSEMENT'S (SEE ATTACHED UST)
County Clerk's Account
Trust Fund Account
CASH ON HAND, ENDING rf))M!j t3l,ci00t(-
County Clerk'. Account
Trust Fbed Account
TOTAL CREDMt
SUBMITTED BY:
ARYL FRICKE. MU= CLERL
S
Total Iacone ; 20a G54./P-
s d4, 717. c4
s �f+f.9/z.09
Sub -total S 1?n 334. ;W
inc.rnet or l yam- _ �µ. 39
S 90, 358. b 3
5 043, �209. rLo
S —o—
a2 a3�.rs
APPROVEDBY:
9111
•
•
A
ANITA FRICKE
County Clerk's Monthly Report
For the Month of: i//Q,taga6�
County Clerk's Office Fund: "
. Previous Month's Balance _ $
Deposits for this Monthac� #
TOTAL $ 115;.114Z.
U
•
Disbursements,
IBC:
cs # 9/3
to
7S`t�tdQ��JfaArax Cho
- # 931 do9. �o
CK #
to
;
CK !
to
$
CK #
to
CK #
to
$
CK #
to
CK #
to
#
CK #
to
p #
CK #
to
$
CK #
to
CK #
to
$
CK #
to
$
CK #
to
$
TOTAL AMOUNT (above)
LESS DISBRUSEMENTS
SUB -TOTAL
PLUS INTEREST
BALANCE
TOTAL DISBURSEMENTS
$ 412a •/G
AR 31. iS
912
ANITA FRICKE
Trust Fund Account Monthly Report
For the Month of: Y?)", d-" 4
County Clerk's Trust Fund:
Previous Month's Balance
Deposits For this Month ( )22ft_)
Deposit from:. n241 m ttea� .car $
LESS Disbursements:
CK #
to
CK #
to
CK
to
CK #
to
CK #
to
CK #
to
TOTAL $ Jam, lv a 3 3 %
(Total of Balance & Deposits) $ 445,1
TOTAL $ — C —
BALANCE
(Total of Bal. & Deps. LESS Dis»
bursements)
41/ 9iz . 0,0
0
•
•
•
TRUST FOND
BANK BALANCE $ �� 9/� . "
LESS OUTSTANDING CHECKS S — O —
CK #
CK #
CK #
CK I
CK I
CK #
CK #
CK #
CK #
El
PLUS DEPOSIT IN TRANSIT
BALANCE May 3/, 200tt
RECAP MY y &Oo
OFFICE FOND
BANK BALANCE
$
a/, - gg? // J
LESS
OUTSTANDING CHECKS $
-el
CK #
3io
$
CK #
G3-7
$
az_�
CK #
3S'
$
a_"
CK #
G 7iz
$
CK #
%/o
$
a,G,oa
CK #
rA?
$
7. az
CK #
9io
$
23. ot
CK #
$
CK #
$
TOTAL BANK BAL. 6 Less
Outstanding Cks. $ c� L�9✓`. `S
PLUS DEPOyS,IT IN TRANSIT $ 1�e
BALANCE it )ay 3 �, zoos $ ,9 a,
l�
06/03/200< Money Dlstrieutlon Report Page 1
JUSTICE OF THE: PEACE PCT. R1 JUDGE MENCHACA MAY 04
-.-•-------------------
Receipt Cause/De}erdant
------------
--- ----- -- --------- ------- -
I Code Amount ( Cale Amount
-------------- -- - - - --'-----_.---------------------------.
I Code Amount ( Code Amount ( Coda Amount
I Code Amount I
Total
3679985 2004-0112
05/03/2000
I
I TFC
I
3.00 ( CCC:
40.00
CHS
I
3.00 I SAF
5.00 I TF
4.00
SUBC 30,00
86.00
ZUCN, MARTIN EDWARD
I FINE
1.00
Money Order
3679W 2004-0102
05/03/2004
I TFC
3.00 I CCC
40.00
I CHS
3.00 I SAF
5.00 TF
L-00
I SUBC 30.00 I
125.00
WOMB, DELBERT DALE
FINE
40.00
Cash
3679997 JC•04.0007
05/04/2004
I ADMF
10.00 I WOP
100.00
I
I
I
I I
110.00�
COSA, HERMINIA
(
(
I
Cash
I
I
3679988 7999.488A
05104/2004
( JCPT
2.00 I CVC
17,00
CCC
15.00 I FA
5.00 I JCD
0,50
CHI 0.50 I
320.00
BRATT, PATRICK CASEY
I WRNT
50.00 I IF
4.00
DPSC
30.00 I FINE
196,00 I
I I
Cashier's Check
I
I
I
I
I I
3679M 1999.488
05/04/2004
I JCPT
1.00 I CVC
15.00
TFC
3.00 I CCC
17.00 I FA
5.00
I JCD 0,25 I
195.00
BRATT, PATRICK CASEY
I COS
3.00 I OAF
5.00
I WRNT
50.00 I TIME
25.00 DPSC
30,00
I SEAT 40.75
Cashier's Check
3679WO 2D04.OliS
05/04/2004
I TFC
3.00 I CCC
40.00
CHS
3.00 I SAF
5,00 I TF
4.00
I SUBC 30.00
95.00
WARD, JAMES EDWARD
( DDC
10.00 (
I
Money Order
3679991 JV-04.0039
05/05/2004
I JCPT
2.00 I CVC
15.00
I Cl
20.00 I CCC
17.00 I FA
5.00
I JCD 0.50
67.00
ROORIOUEZ, JAMIE
I CHS
3.00 I CHI
0.50
IF
4..00
Cash
3679992 2002-033
05/05/2004
( WRNT
50.00 j TIME
Z5.00
( OPSC
30.00 ( FINE
50.00 ( DDC
10.00
( I
165.00
ARNOLD, JAME8 LUE
Peraonal Check
3679994 JV-04.0037
05/05/2004
I JCPT
2.00 CVC
15.00
I CS
20.00 CCC
17.00 I FA
S.00
I JCD 0.50 I
67.00
ESPINOSA, JOSHUA
I CHS
3.00 I CHI
0.50
f IF
4.00
Cash
I
I
I
I
I
I
3679995 JV-04-0012
05/06/2004
I JCPT
2.00 I CVC
15.00
I CS
20.00 ( CCC
17.00 I FA
5.00
JCD 0.50 I
67.00
BRISENO, JOSMUA MICHAEL
( CHS
3.00 I CHI
0.50
I IF
4.00 I
I
I I
Money Order
3679996 2004-OM
0510612004
( FINE
20.00 (
I
(
(
( (
20.00
STROTHER, NOLAN LEE
Cash
3679997 2004-0035
05/11/2004
I TFC
1.86 I CCC
25.00
I CMS
1.88 I SAF
3.13 I WRNT
31,25 I
TIME 15.63 I
100.00
CANALES. MARIA GUADALUPE
( TF
2.50 I SUBC
18.75
Money Order
367999E JV-04-0009
RAMGEL, GERARDO
05/11/2004
I FINE
25.00 I
I
I
I
I
25.00 •
Cash
I
I
I
I
I
I
36799" CC•D4.002
D5/17/2004
I CCC
40.00 ( CHS
3.00
I LAF
5.00 ( TF
4.00 ( FINE
100.00 (
I
(
152.00
MUSGRAVE, MARY JANE
I
I
Money Order
I
I
I
I
U80000 2001.109
05/17/2004 I
JCPT
2.00 I CVC
15.00
CCC
17.00 I FA
5.00 I JCD
0.25 I
CHS 3.00 I
215.00
PEREZ, JASON
SAF
5.00 I WANT
100.00 I
TIME
25.00 I DPSC
30.DO I SEAT
12,75
Jai( Credit
3680001 2003-0208
05/20/2004 I
FINE
60.00 I
I
I
I
60.00
HEADLEY, BRADLEY PRESTWOOO
Cred-Card/Trnc}r
3680002 2004.0122
05/20/2001. (
TFC
3,00 ( CCC
40.00 (
CHS
3.00 ( SAF
5.00 I IF
4.00 I
SUBC 30.00 I
95.00
PYLE, SANDRA
I
DDC
10.00
Money Order
I
3680003 JV•04.0035
05/24/2004
JCPT
2.00 I CVC
15.00 I
CS
20.00 I CCC
17.00 I FA
5.00 I
JCD 0.50 I
67.00
MTLLIET, SNARE JUSTIN
I
CMS
3.00 I CHI
0.50
IF
4.00 I
I
I
Cm Service
(
(
I
I
I
I
I
I
ZO 39tid TloddP E90L£SS OE:OT 700Z/E0/90
A
4915
06/03/2004 Money Distribution Report
JUSTICE OF THE PEACE PCT. 01 JUDGE MENCHACA MAY 04
.................................. .....
Receipt Ca1,ee/Defendant
............ .......... ........................ ...............
I Code Amount I Code Amount I Code Amount I Code Amount I
.....'
Code Amount
3680004 JV•04.0033 05/24/2004
I FINE
25.00 I
I
I
MILLIET, SMANE JUSTIN
Cash
3680005 2004-0106 05/24/2004
I EXRF
10,00 I
I
I
OVER70N, MICHAEL EDWRO JR.
I
Cash
I
I
I
I
36a0006 2004-0107 05/24/200/
OVERTON, MICHAEL EDWRD JR.
I CCC
40.00 CHS
3.00 I TIME
25.00 I IF
I
4.00 I
FINE 13.00
Cash
(
I
I
3680007 2004-0128 05/24/2004
I TFC
3.00 I CCC
40.00 I CHS
I
3.00 I SAF
I
5.00 I
IF 4.00
FOREMAN, KEVIN JOHN
I DDC
10.0D I
I
I
Money Order
I
I
I
3680008 2004-0126 05/24/2004
I CCC
40.00 I CHS
3.00 SAF
5.00 TF
I
4.00 I
FINE 53.00
PEREZ, LORENA
i
Cash
I
I
U80009 2004-01Z3 05/25/2004
I TFC
3.00 I CCC
40.00 I CHS
I
3.00 I SAF
I
5.00 I
IF 4.00
ABERNATHY, JESSE EOUIN
I FINE
40.00
Cash
I
I
3680010 2004.0113 05/26/2004
I TFC
3.00 I CCC
I
40.00 CNS
I
3.00 I SAF
I
5.00 I
IF 4.00
WORRELL, DAVID KEITH JR.
FINE
50.00
Money Order
3680011 2004-0098 05/26/2004
I TFC
3.D0 I CCC
40.00 CHS
3.00 I SAF
5,00 I
TF 4,00
ALVAREEZ, GUILLERMiNA REYES
I FINE
I
50.00Cash
(
I
I
I
I
I
I
co 39vd
•
TiOddf
Page 2
I Code
I
Amount I
I
Total
I
I
25.00
I
I
I
I
I
10.00
I
SAF
I
5,00 I
90.00
SUBC
30.00 j
I
95.00
105.00
SUBC
30.00 I
I
125.00
SUBC
30.00 I
I
135.00
SUBC
30.00 I
I
135.00
ESOLESS GE :AT bq Gil/ER/9R
91
06/03/2004 - Money Distribution Report Pepe 3
The following totals represent - Actual Money Received
Type
Code
Description
Coont
Retained
Dietvraed
Money-Totelw
COST
ADMF
ADMINISTRATION FEE
1
10,00
0.00
10.00
COST
CCC
CONSOLIDATED COURT COSTS
17
54.80
493.20
548.00
COST
CHS
CHS
16
46,68
0.00
46.98
COST
CML
Cal
4
0,20
1.80
2.00
COST
CS
CS
3
60,00
0.00
60.00
COST
CVC
CVC
5
7,70
69,30
77.00
COST
DPSC
OPS OMNIBASE PEE
3
29.70
60.30
90.00
COST
FA
FA
5
2.50
22.50
25.00
COST
JCD
JCD
5
0.23
2.02
2.25
COST
JCPT
JCPT
5
0.90
8.10
9.00
COST
LAF
SHERIFF'S FEE
1
5.00
0.00
5.00
COST
SAP
DPS
12
46.51
11,62
58.13
COST
SUBC
SUBTITLE C
9
12.94
245.81
258,75
COST
TF
TECHNOLOGY FUND
16
6Z.50
0.00
62.50
COST
TFC
TFC
10
29.96
0.00
28.86
COST
TIME
TIME PAYMENT FEE
4
45.32
45,31
90.63
COST
WONT
WARRANT FEE
4
181.25
0.00
181.25
FEES
DOE
DEFENSIVE DRIVING
4
40.00
0.00
40.00
FEES
EXRF
EXPIRATION RENEWAL FEE
1
10.00
0.00
10,00
FEES
60P
WRIT OF POSSESSION
1
100.OD
0.00
100.00
FINE
FINE
FINE
14
723.00
0.00
723.DO
FINE
SEAT
SEATBELT FINE
1
20.38
20.37
40.T5
Money Totels
24
1,488.67
980.33
2,469.00
the following
totals represent - Jail
Credit 6 Coemnity Service
COST
ADMF
ADMINISTRATION FEE
0
0.00
0.00
0.00
COST
CCC
CONSOLIDATED COURT COSTS
2
3.40
30.60
34.00
COST
CHS
CHS
2
6.00
0.00
6.00
COST
CMI
CHI
1
0.05
0.45
0.50
COST
CS
CS
1
20.00
0.00
20.00
COST
CVC
CVC
2
3.00
27.00
30.00
COST
DPSC
OPS O/NIBASE FEE
1
9.90
20.10
30.00
COST
FA
FA
2
1.00
9.00
10.00
COST
JCD
JCD
2
0.08
0.67
0.75
COST
JCPT
JCPT
2
0.40
3.60
4,00
COST
LAF
SHERIFF'S FEE
0
0-00
GIGO
0.00
COST
SAP
DPS
1
4.00
1.00
5.00
COST
SUBC
SVSTITLE C
0
0.00
0.00
D.00
COST
IF
TECHNOLOGY FUND
1
4.00
0.00
4.00
COST
TFC
TFC
0
0.00
0.00
0.00
COST
TIME
TIME PAYMENT FEE
1
12.50
12,50
25.00
COST
WRNT
WARRANT FEE
1
100.00
0.00
100.00
FEES
DOC
DEFENSIVE DRIVING
0
0.00
0.00
0.00
FEES
EXRF
EXPIRATION RENEWAL FEE
0
0.00
0.00
0.00
FEES
WOP
WRIT OF POSSESSION
0
0.00
0.00
0.00
FIRE
F114E
FINE
0
0.00
0.00
0.00
FINE
SEAT
SEATBELT FINE
1
6,38
6.37
12.75
Credit Total$
2
170.71
111,29
282.00
bR 7nvd TlocidC
E90LESq REAL bF1R7,/ER/qR
•
•
•
917
06/03/2004
----------------------
1 Money Distribution Report
Page 4
The
following
totals represent - Conbined Money
..............
and Credits
....... ......-------------------
.------ .-................. ...
Type
Code
Deacrlptlon
Count
Retained
Disbursed
Money -Totals
COST
ADMF
ADMINISTRATION FEE
1
10.00
0.00
10.00
COST
CCC
CONSOLIDATED COURT COSTS
19
$8.20
523.80
582.00
COST
CHS
CMS
18
52.88
0.00
52.88
COST
CHI
CMI
5
0.25
2.2$
2.50
COST
CS
CS
4
BO.00
0.00
BO.OD
COST
CVC
CVC
7
10.70
96.30
107.00
COST
DPSC
DPS OMNIRASE FEE
4
39.60
80.40
120.00
COST
FA
FA
7
3.50
31.50
35.00
COST
JCD
JCO
7
0.30
2.70
3.00
COST
JCPT
JCPT
7
1.30
11.70
13.00
C09T
LAF
SHERIFF'S FEE
1
5.00
0.00
5.00
COST
SA
DPS
13
50.51
12.62
63. 13
COST
R119C
SUBTITLE C
9
12.94
245.81
25A.75
COST
TF
TECHNOLOGY FUND
17
66.5D
0.00
66.50
COST
TFC
TFC
10
28.86
0.00
28.86
COST
TIME
TIME PAYMENT FEE
5
57.82
57.81
115.63
COST
NRNT
WARRANT FEE
5
281.25
0.00
281.25
FEES
DOC
DEFENSIVE DRIVING
4
40.00
0.00
40.00
FEES
EXRF
ENPIRATIDN RENEWAL FEE
1
10.00
0.00
10.00
FEES
WOP
WRIT OF POSSESSION
1
100.00
0.00
100.00
FINE
FINE
FINE
14
723.00
0.00
723.00
FINE
SEAT
SEATBELT FINE
2
Z6.75
26.75
53.50
Report Totals
26
1,659.36
1,091.64
Z,T51.00
98 397d
Llarlrlf
E9R/FCC
GF:PT bPP7/P0/qn
•
918
06/D3/2004
I
Morey Distribution
Report
PoBe 5
--------------
GATE
_---------------------
PAYMENT -TYPE
_-------------------
FINES
COURT•CO5T5
_......... _......................................
FEES
BONDS
RESTITUTION
OTHER
_•____......
TOTAL
00/00/0000 ACTUAL MONEY
0.00
O.OD
0.00
0.00
0.00
0.00
0100
CREDITS
0100
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1991
ACTUAL HONEY
0.00
0100
0,00
0,00
0.00
0.00
0.00
CREDITS
0100
0,00
0.00
0.00
0.00
0.00
0.00
COMBINED
0100
0.0C
0.00
0.00
0.00
0.00
0.00
09/01/1993
ACTUAL MONEY
0.00
0.00
0.00
MO
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0100
0.00
0.00 •
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1995
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
D.00
0,00
0.00
CCMBINED
0.00
0.00
0,00
0.00
0.00
0.00
MO
09/01/1997
ACTUAL MONEY
40.75
154.25
0.00
0.00
0.00
0100
195.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0,00
0.00
COMBINED
40.75
154.25
0.00
0100
0.00
0.00
195.00
09/01/1999
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
CREDITS
12.75
202.25
0.00
0.00
0.00
0.00
215.00
COMBINED
12.75
Z02,25
0.00
0.00
0.00
0.00
215.00
09/01/2001
ACTUAL MONEY
246.00
229,00
10,00
D.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
485.00
0,00
COMBINED
246.00
229.00
10.00
0.00
0.00
0.00
485.00
09/01/2003
ACTUAL MONEY
60.00
O.00
0.00
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
60.00
0.00
COMBINED
60.00
0100
0100
0.00
0.00
0.00
60.00
01/01/2004
ACTUAL MONEY
417.00
1,172.00
140.00
0.00
0.00
CREDITS
0.00
67.00
0.00
0.00
0.00
0.00
1,729100
COMBINED
417.00
1,259.00
140.00
0.00
6100
0.00
0.00
67.00
1,796.00
TOTALS
ACTUAL MONEY
763.75
1,555.25
150,00
0.00
0100
0.00
2,469.DO
CREDITS
IL75
269.23
0.00
0.00
0.00
0100
282.00
COMBINED
776.50
1,824.50
150.00
0.00
0.00
0.00
2,751.00
90 39id T1.9ddf E99LE9S 0E:0T bRR7./ER/9R
0
if _A_ Aj
06/03/2004 - Monay Distribution Report
Page y
............................................................................................................................
DATE PATMENT-TYPE FINES COURT -COSTS FEES BONDS
RESTITUTION
.. .. ...
OTHER TOTAL
State of Taxes Quarterly Reporting Totals
Description Count
Collected
Retained
Disbursed
State Cdeptroller Cost and Fees Report
Section ): Report for Offenses Cmmitted
01-01-04 Forward 30
585.00
58.50
526.50
• 09-01-01 - 12.31.03 6
40.00
4.00
36.00
09-01-99 - 08-31.01 0
0.00
0.00
0.00
09-01.97 08-31-99 5
38.25
3.83
34,42
09.01-95 08-31-97 0
0.00
0.00
0.00
09-01-91 - 08.31.95 0
0.00
0.00
0.00
Sell Bonds Fee 0
0.00
0.00
0.00
DNA Testing fees 0
0.00
0.00
0100
EMS Trauro Fund (EMS) 0
0•DO
0.00
Juvenile Probation Diversion fees 0
0.00
0.00
State Traffic fees 9
258.75
0.00
12.94
0.00
245.81
Section 11; Ae Applicable
State Police Officer Fees 12
58.13
46.50
Failure to Appear/Pry fees 3
90.00
29.70
11.63
Judicial Fv+d - Cont County Court 0
0,00
60.30
Judicial Fund - Statutory County Court 0
0100
0.00
Motor Carrier Weight Violation, 0
0.00
0.00
0.00
Time Payment Fee <
0.
0.00
Report Sub Total
90.63 ,63
45.32 32
45,31
69
1,160.76
200.79
959.97
state Cosptroller civil Fees Report
CF: Birth Certificate Fees 0
CF: Marriage License Fees 0
0.00
0.00
0.00
CF: declaration of In}arms( marriage 0
0.00
0.00
0.00
CF: Nondisclosure Fees
0.00
0,00
0.00
CF: Juror Donations 0
0.00
0.00
0.00
CF: Justice Court Indig Filing Fees 0
0.00
0.00
0100
CF: Stat Prob Court Indig Filing Fee,
0.00
0.00
0.00
0.00
CF: Stet Prob Court Judie Filing Fee,0
0.00
0.00s
CF: Stst Cnty Court Indig Filing Fee, 0
0.00
0.00
0.00
CF: Stat Cnty Court J:dic filing Fee,
0.00
0.00
0.00
0
CF: Cnst Cncy Court Indig Filing Fan
•
0.00
0.00
0.00
0
CF; Chat Cnty Court Judie Filing Fees
0.00
0,00
0.00
0
CF: Dist Court District i Faintly Law 0
0.00
0.00
0.00
CF: Dist Court Other Oivorce/family Law g
0.00
0.00
0100
CF; Dist Court Indio Filing Fees
0.00
0.00
0.00
Report Sub Total 0
0'00
0.00
0.00
0.00
0.00
0.00
Total Due For This Period 69
1,160.76
200.79
959.97
THE STATE OF TEXAS Offers ma, the lxderstgned authority, this day
County of Calhoun personally appeared Celestine V. Menchaca,
Justice
Of the Peace Precinct 1, Calhoun County, Texas, who
being duly sworn, dapo,ea and says that the above
and foregoing report is true and
correct.
.� 1 !v
witness my hard this day of� A.D, M� G
r
Justice of the Peace, Free, No i
Calhoun County, Texas
40 39tid T19ddP
E90LE5S
0E:3T b00E/E0/90
•
920
Subscribed and e.orn to this day of
Calhoun County, Texas
80 39id
TiDcddf E9ALEgq RP :PT bRR7./Cg19q
0
0
•
/-)
06/02/2004 Money Distribution Report Page 1
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
Receipt Cause/Defendant
Code Amount
Code Amount
Code
Amount
Code
Amount
Code
Amount
I Code Amount I
Total
0391516 2004-0727 05/03/2004
I CCC
40.00
I CHS
3.00
I LAF
5.00
I IF
4.00
I FINE
63.00
DIERLAM, DEREK DAN
I I
715.00
Cash
0391517 2004-0401 05/03/2004
I FINE 15.00
I
(
VILLARREAL, GILBERT SEFERINO
I
I
I I
75.00
Cash
0397518 2004-0382 05/C3/2004
I CCC
40.00
I CHS
3.00
I SAF
5.00
I IF
4.00
I FINE
148.00
CALZADA, R08ERT JR
I j
200.00
Cash
0391519 2004-0700 05/03/2004
TFC
1.77
CCC
23.53
CHS
1.16
I SAF
2.94
I TF
2.35
SALCEDO, MARIO ANTONIO
I SUBC 17.65
50.00
Cash
0391520 2004-0900 05/03/2004
TFC
3.00
CCC
40.00
CHS
3.00
I SAF
5.00
I TF
4.00
PHAM, DUC BY
DOC
10.00
SUBC 30.00
95.00
Cash
0391521 2004-0289 05/03/2004
FINE
60.00
PEREZ, HECTOR ARTURO
I
60.00
Cash
1
I
I
0391522 2004-0941 05/03/2004
TFC
3.00
CCC
40.00
I
CHS
3.00
I
SAF
5.00
I
I
GARCIA, BERNARDO PEREZ
DOC
10.00
i IF
4.00
I SUBC 30.00 I
95.00
Cash
I
I
0391523 2003-1348 05/03/2004
FINE
60.00
KUCHAR, AUGUST ALLEN
i
60.00
Money Order
0391524 2004-0901 05/03/2004
I TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
I
I
SHEERAN, KEVIN PATRICK
DDC
10.00
TF
4.00
I SUBC 30.00 I
95.00
Cash
0391525 2004-0669 05/03/2004
I FINE
129.00
NGUYEN, OUANN MANN
I I
129.00
Comm Service
I
I
0391526 2004-0759 05/03/2004 I
CCC
40.00
CHS
3.00
lAF
5.00
GARCIA, JOSE ANGEL JR
TF
4.00
FINE
53.00 I
I
105.00
Money Order I
I
0391527 2004-0932 05/03/2004
TFC
3.00
CCC
40.00
CHS
3.00
TOYE, RANDALL DUANE
DOC
10.00
i
SAF
5.00 I
IF
4.00
SUBC 30.00
95.00
Money Order
391528 2004-0906 05/03/2004
TFC
3.00
CCC
40.00
CHS
3.00
TINAJERO, JAVIER
FINE
50.00
I
SAF
5.00
IF
4.00 I
SUBC 30.00
135.00
Money Order
0391529 2004-0866 05/03/2004
TFC
3.00 I
CCC
40.00
CHS
3.00
LIND, MICHAEL KING I
DOC
10.00 I
I
I
I
SAF
5.00
TF
4.00
SUBC 30.00
95.00
Money Order
I
0391530 2004-0862 05/03/2004 I
TFC
3.00 I
CCC
40.00
CHS
3.00
HODGES, DOUGLAS I
DOC
10.00 I
I
I
I
SAF
5.00
TF
4.00
SUBC 30.00
95.00
Money Order
I
I
I
0391531 2004-0902 05/04/2004
TFC
3.00 I
CCC
40.00
CHS
3.00
ES70PINAl, BRYAN I
DDC
10.00 I
I
I
I
SAF
5.00
TF
4.00
SUBC 30.00
95.00
Cred-Card/Trnsfr
I
0391532 2004-0927 05/04/2004
TFC
3.00
CCC
40.00
CHS
3.00
I
PARK, KEE SEONG I
DOC
10.00 I
I
I
I
SAF
5.00 i
TF
4.00
SUBC 30.00
95.00
Cred-Card/Trnsfr
0391533 2004-0962 05/04/2004
CCC
40.00
CHS
3.00
SAF
5.00
SANCHEZ, KEVIN ELIAS I
I
TF
4.00
FINE 53.00
I
105,00
Cash
•
06/02/2004 Money Distribution Report
Page 2
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
...................................................
Receipt Cause/Defendant I Code Amount Code Amount I Code Amount I Code Amount I Code Amount I Code Amount Total
I I I
0391534 2004-0273 05/04/2004 I CCC 1.54 I CHS 0.12 I SAF 0.19 I IF 0.15 FINE 18.00
BROWNING, TANYA I I
Cash
0391535 2004-0871 05/04/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 SAF 5.00 I TF 4.00
OCONNOR, LAURIE HOUSE i FINE 50.00 I 1
Money Order I I I
0391536 2002-1117A 05104/2004 I JCPT 1.53 I CVC 11.46 I CCC 12.98 I FA 3.8;
DOYLE, ROBERT FRANCIS JR I CMI 0.38 WRNT 38.19 I IF 3.06 I DPSC 22.91
Money Order
0391537 2004-0707 05/04/2004 S E
JCD 0,38
FINE 103.00
I AT 5.00 1
RODRIGUEZ, ABRAHAM H
Cash
0391538 2004-0708 05/04/2004 I CCC 40.00 CHS 3.00 I LAF 5.00 I IF 4.00 FINE 103.00
RODRIGUEZ, ABRAHAM H I I I
Cash I I 1 1
0391539 CV2004-0013 05/04/2004 I SF 60.00 I CVFF 15.00 CIFF 2.00
CITY OF PORT LAVACA,
Personal Check
0391540 2004-0579 05/04/2004 I TFC 1.58 I CCC 21.18 I CHS 1.59 I SAF 2.65
PENA, YADIRA GALINDO
Cash I I I 1
0391541 1999-1989 05/04/2004 I FINE 95.00 I
SOLIZ, DAVID S
Cash I I
0391542 2004-0931 05/04/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00
SYLVA, CELSO BRADLEY i FINE 50.00
Cash
0391543 2003-2440 05/04/2004 I FINE 70.00 CSRV 51.00 I 1
HURST, SHERRY ANN
Cash I I I
0391544 2004-0896 05 05 24
I SUBC 30.0C
CHS 2.29
I
TF 2.12 I SUBC 15.88 I
TF 4.00
/ / 00 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 I IF 4.00
SMALLEY, MICHAEL BRAD I ODC 10,00 I 1
Cred-Lard/Trnsfr I I I I I
0391545 2004-0951 05/05/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 TF 4.00
PENROD, LANELLE GRIFFIN I FINE 110.00 I I I I
Cred-Card/Trnsfr
0391546 2004-0183 05/05/2004 i CCC 1.54 i CHS 0.12 i SAF 0.19 I TF 0.15 I FINE 53.00
MELENOEZ, CANDELO
Cash I I I I
0391547 2002-1571 05/05/2004 I LWF 50.00 I I I 1
I
SUBC 30.00
I
I
SUBC 30,00
i
SUBC 30.00
SUNIGA, ABELARDO
Money Order I
0391548 2003-2769 05/05/2004 I JCPT 0.96 I CVC 7.06 I TFC 1.41 I CCC 8.00 I FA 2.35 JCD
SANDERSON, CHARLES P I CHS 1.41 I CMI 0.23 I SAF 2.35 I IF 1.88 I SUBC 14.12
0.23 I
Cash I 1 I I 1 1
0391549 2004-0865 05/05/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 TF 4.00 SUBC 30.00
KELLY, THOMAS NEAL I I 1
Money Order 1 1 1
0391550 2004-0884 05/05/2004 CCC 40.00 1 CHS 3.00 I LAF 5.00 I TF 4.00 I FINE 153.00
BENNETT, ERIC OWEN I I I I
Money Order 1 1 1
0391551 2001-1313A 05/05/2004 I JCPT 2.00 I CVC 17.00 I CCC 15.00 I FA 5.00 I JCD 0.50 CHS 3.00
GREENE, MADLYN CMI 0.50 LAF 5.00 WRNT 50.00 I TF 4.00 I DPSC 30.00 FINE 68.00
Personal Check I I I I
20.00
135.00
200.010
5.00
155.00
77.00
45.00
95.00
135.00
121.00
95.00
195.00
55.00
50.00
40.00
85.0C
205.00
200.00
is
9423
06/02/2004 Money Distribution Report Page 3
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
Receipt Cause/Defendant I Code Amount
0391552 2003-0468 05/05/2004 JCPT 2.00
AMBRIS, JULIO ALEJANDRO I CHI 0.50
Personal Check CSRV 36.00
0391553 2003-0467 05/05/2004 JCPT 2.00
AMBRIS, JULIO ALEJANDRO CHS 3.00
isPersonalCheck FINE 0.00
5
0391554 2003-0484 05/05/2004 � WRNT 50.00 i
WHITWORTH, PAMELA JEAN
Personal Check
0391555 2001-1456 05/05/2004 JCPT 2.00
FAZAL, MURADALI HASSANALI CHS 3.00
Personal Check CSRV 57.00
0391556 2001-1457 05/05/2004 JCPT 2.00
FAZAL, MURADALI HASSANALI LAP 5.00
Personal Check
0391557 2001-1456A 05/05/2004 JCPT 2,00
FAZAL, MURADALI HASSANALI CMI 0.50
Personal Check CSRV 84.40
0391558 2002-0917A 05/05/2004 JCPT 2.00
TICE, RYAN WELDON CMI 0.50
Personal Check
0391559 2002-0917 05/05/2004 JCPT 2.00
TICE, RYAN WELDON I CHS 3.00
Personal Check I DPSC 30.00
0391560 2001-1313A 05/05/2004 FINE 137.60
GREENE, MADLYN
Personal Check
0397561 2003-2668 05/05/2004 JCPT 2.00
VIDUCIC, JEFFERY SCOTT CHS 3.00
Personal Check SUED 30.00
0391562 2003-2759 05/05/2004 JCPT 2.00
TORRES, SARAH N CMI 0.50
Personal Check CSRV 20.00
0391563 2003-2734A 05/05/2004 JCPT 1.98
HOWARD, JAMES JOSEPH III I CMI 0.50
Personal Check
0391564 2003-2668 OS/OS/2004 FINE 27.00
VIDUCIC, JEFFERY SCOTT
Personal Check
0391565 2003-1583 05/05/2004 JCPT 2.00
JEFFERY, JACK EDWARD I CHS 3.00
Personal Check FINE 70.00
0391566 2003-2759 05/05/2004 CSRV 34.00
TORRES, SARAH N
Code Amount
CVC 15.00
LAF 5.00
CvC 15.00
CMI 0.50
CSRV 40.00
TIME 25.00
----------------------------------
Code.
Amount I Code Amount j Code Amount
CDC
17.00
FA
5.00
JCD
0.50
WRNT
50.00
TIME
25.00
TF
4.00
TFC
3.00
CDC
17.00
I FA
5.00
LAF
5.00
WRNT
50.00
TIME
25.00
FINE
81.00
�
CSRV
39.00
I
CVC
15.00 TFC
3.00
LAF
I
5.00 WRNT
50.00
CVC
�
15.00 CCC
17,00
WRNT
I
50.00 TIME
25.00
CVC
�
17.00 CCC
15.00
LAF
5.00 WRNT
50.00
CVC
15.00 CCC
17.00
WRNT
50.00 TF
4.00
CCC 17.00
TIME 25.00
FA 5.00
DPSC 30.00
FA 5.00
TF 4.00
FA 5.00
DPSC 30.00
-------------
Code Amount
CHS 3.00
FINE 17.00
JCD 0.50
TF 4.00
FA 5.00 JCD 0.25
DPSC 30.00 FINE 72.75
JCD 0.25 CHS 3.00
FINE 171.75 CSRV 81.00
JCD 0.50 CHS 3.00
DPSC 30.00 FINE 205.60
JCD 0.50 CHS 3.00
FINE 210.60 CSRV 84.40
CVC 15.00 TFC 3.00 CCC 17.00 FA 5.00 JCD 0.50
CMI 0.50 SAP 5.00 WRNT 50.00 TIME -25.00 TF 4.00
CSRV 40.00
CSRV 84.40
CVC 15.00
CHI 0.50
FINE 43.00
CVC 15.00
SAF 5.00
CVC 14.85
LAF 4.95
CSRV 69.00
TFC
3.00
CCC
17.00
FA
5.00
JCD
0.50
SAF
5.00
WRNT
50,00
I TIME
25.00
TF
4 00
CCC
17.00 FA
5.00 I JCD
WRNT
50.00 I TIME
25.00 TF
CCC
16.83 FA
4.95 JCD
WRNT
49,51 TF
I
3.96
CVC 15.00 TFC 3.00
CHI 0.50 LAF 5.00
CSRV 60,00 1
Personal Check
0391567 2003-1866 05/05/2004 JCPT 2.00 CVC
CARRILES, LONNIE P I CMI 0.50 PWAF
Personal Check CSRV 56.24
0391568 2003-2734A 05/05/2004 JCPT 0.02 CVC
HOWARD, JAMES JOSEPH III I WRNT 0.49 TF
Personal Check
0391569 2004-0103A 05/05/2004 JCPT 2.00 CVC
OLSON, CHARLES LEO CHI 0.50 I LAF
Personal Check
•
CCC 17.00
WRNT 50.00
0.50 CHS 3.00
4.00 FINE 53.00
0.50 CHS 2.97
i
FA 5.00
TIME 25,00
JCD 0.50
TF 4.00
15.00
CCC
17.00 FA
5.00
JCD 0.50 CHS
3.00
5.00
WRNT
50.00 TIME
25.00
TF 4.00 PWF
60.46
0.15
CCC
0.17 FA
0.05
CHS 0,03 LAP
0.05
0.04
FINE
290.00 CSRV
117.60
15.00
CCC
17.00 FA
5.00
JCD 0.50 CHS
3.00
5.00
WRNT
50.00 TF
4.00
FINE 290.00 CSRV
117,60
-----Total
I
180.00
I
200.00
195.00
285.DD
405.00
422.00
422.00
200.00
222.00
203.00
200.00
101.00
96.00
260,00
34.00
243.70
408.60
509.60
06/02/2004 Money Distribution Report Page 4
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
------------- ...--- .------------- .------------
Receipt Cause/Defendant
.......
I Code Amount
I
............
Code
Amount
.--- .-------------
I Code
Amount
.------
Code
.-------------------------
Amount
Code
Amount
Code
...-------------
Amount
Total
0391570 2004-0103 O5/O5/2004
I TFC
3.00
I CCC
40.00
I CHS
3.00
I SAF
5.00
I WRNT
50.00
f TIME
25.O0 I
299. OD
OLSON, CHARLES LEO
TF
4.00
SUBC
30.00
I FINE
70.00
CSRV
69.00
Personal Check
0391571 2003-1393 05/05/2004
I WRNT
50.00
I TIME
25.00
DPSC
30.00
FINE
60.00
CSRV
49.50
I
MAYNARD, JOHNNY LEE
214.50
Personal Check
0391572 2003-2751 05/05/2004
I JCPT
2.00
I CVC
15.00
I TFC
3.00
I CCC
77.00
I FA
5.00
I JCD
0.50
GARZA, CYNTHIA ANN
I CHS
3.00
CHI
0.50
SAP
5.00
WRNT
50.00
TIME
25.00
I TF
I
4.00
260.00
Persona[ Check
SUBC
30.00
FINE
40.00
I CSRV
60.00
0391573 SC2004-0009 05/05/2004
SF
60.00
FFSC
10.00
I CIFF
2.00
SEGREST, DUDLEY
-
72.00
PersonaC Check
0391574 2004-0663 05/05/2004
I TFC
1.43
I CCC
28.57
I CHS
1.43
( LAF
2.38
I TF
1.91
SUBC
14.28
LILLO, NASHMIA
50.00
Cash
0391575 2004-0894 05/06/2004
I TFC
0.70
I CCC
9.41
CHS
0.71
SAP
1.18
TF
0.94
SUBC
7.06
20.00
DELAROSA, ROBERTO C
Cash
I
I
I
0391576 2004-0740 05/06/2004
I TFC
0.14
CCC
2.86
CHS
0.14
LAF
0.24
TF
0.19
SUBC
I
1.43
OLACHIA, PEDRO GUTIERREZ
FINE
30.00
35.00
Cash
0391577 CV2004-0014 05/06/2004
I WOP
100.00
FF
10.00
SEAGREENS APARTMENTS,
I
110.00
Cash
I
I
I
I
0391578 2003-2418 05/06/2004
I FINE
15.00
I
I
I
I
I
ROGERS, BRANDY THERESE
I
I
15.00
Persona( Check I
I
0391579 2003-2532 05/06/2004
JCPT
0.70
CVC
5.30
I TFC
1.06
I CCC
6.00
FA
1.76
JCD
0.18
30.00
PEREZ, KEVIN JAMES
CHS
1.06
CHI
0.18
SAF
1.76
TF
1.41 I
SUBC
10.59
Money Order I
I
I
I
0391580 2004-0727 05/06/2004
CCC
19.24
CHS
1.44
LAF
2.40 I
TF
I
1.92
I
REYNA, JASON
I
25.00
Money Order I
I
0391581 2004-0716 05/06/2004 I
TFC
0.61 I
CCC
8.24
CHS
0.62
SAF
1.03 I
TF
0.82
SUBC
6.18
67.50•
SAENZ, JOE LOUIS
FINE
50.00
Money Order
0391582 2004-0767 05/06/2004
CCC
40.00
CHS
3.00
LAF
5.00 I
TF
4.00
FINE
53.00
PIKUS, JOSEPH JASPER
I
I
105.00
Money Order
0391583 2004-0857 05/06/2004 I
TFC
3.OD I
CCC
40.00 I
CHS
3.00
SAF
5.00 I
TF
4.00
BURNETT, JOEY WAYNE
FINE
50.00
I
SUBC
30.00 I
135.00
Cashier's Check
0391584 2004-0803 05/06/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
LARA, J JUAN I
FINE
70.00
SUBC
3D.00
155.00
Personal Check
0391585 2004-0872 05/07/2004
CCC
19.24
CHS
1.44
SAF
2.40
TF
1.92
'
OSTLER, CHARLES JAMES
i
i
25.00
Cash
I
I
I
I
0391586 2004-0559 05/07/2004
TFC
3.00 I
CCC
40.00
CHS
3.00
LAF
5.00
TF
4.00
CHASTAIN, FRED III
FINE
70.00
SUBC
30.00 I
155.00
Cash
0391587 CV2004-0015 05/07/2004
SF
60.00
EVIC
15.00
CIFF
2.00
COMBS, JO ANN E I
I
77,00
Personal Check
•
06/02/2004 Money Distribution Report
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
............................................................................................
Receipt Cause/Defendant I Code Amount Code Amount I Code Amount I Code Amount
I
0391588 2004-0101 05/07/2004 I JCPT 2.00 I CVC 15.00 I CCC 17.00 I FA 5.00
MORENO, MARIO I CMI 0.50 SAF 5.00 7F 4.00 I FINE 53.00
Jail Credit I
0391589 2003-1915A 05/07/2004 JCPT 2.00 I CVC 15.00 I CCC 17.00 I FA 5.00
JAYCOX, FLOYD I CMI 0.50 I LAF 50.00 I TF 4.00 FINE 295.00
Jail Credit I I I
• 0391590 2003-1915 05/07/2004 JCPT 2.00 CVC 15.00 CCC 17.00
JAYCOX, FLOYD CMI 0.50 I SAF 5.00 I WRNT 50.00
Jail Credit I CSRV 54.00
0391591 2004-0564 05107
Code Amount I Code Amount
JCD 0.50 � CHS 3.00
JCD 0.50 I CHS 3.00
CSRV 117.60
JCD 0.50 I CHS 3,00
TF 4.00 I FINE 53,00
/ /2004 I JCPT 2.00 I CVC 15.00 1 CCC 17.00 I FA 5.00 I JCD 0.50 I CHS 3.00 1
RODRIGUEZ, SAMUEL VASQUEZ I CMI 0.50 I LAF 5,00 I TF 4.00 FINE 243.00
Jail Credit
0391592 2003-2763 05/07/2004 I JCPT 2.00 I CVC 15.00 CCC 17.00 I FA 5.00 I JCD
ROBLES, RAUL A CMI 0.50 I LAF 5.00 I TF 4.00 I FINE 243.00
Jail Credit I
0391593 2003-0725 05/07/2004 I WRNT 50.00 TIME 25.00 I FINE 3.00
CALZADA, JOHN
Jail Credit
0391594 2002-1076 05/07/2004 I JCPT 0.04 I CVC 0.29 I CCC 0.33
JAYCOX, SHEILA MARIE CMI 0.01 LAF 0.10 WRNT 50.98
Jail Credit I I
0391595 2003-2764 05/07/2004 I JCPT 2.00 I CVC 15.00 I CCC 17.00
AGUILAR, OSMA YVONE I CMI 0.50 I LAF 5.00 I TF 4.00
Jail Credit I I
0391596 2003-1987 05/07/2004 I TIME 25.00 FINE 60.00 I I
CANTU, FELIPE ANGEL
Money Order
0391597 2003-1261A 05/07/2004 CSRV 9.61 I I
GUERRERO, ENRIQUE 0 JR
Money Order
0391598 2003-1261 05/07/2004 I FINE 90.00 I CSRV 72.00
GUERRERO, ENRIQUE 0 JR
Money Order
0391599 2004-0570 05/07/2004 I FINE 50.00
GARCIA, ADOLFO DIAZ
Cash
FA 5.00
TIME 25.00
0.50 1 CHS 3.00
FA
I
I
0.10 I
I
I
JCD 0.01 CHS
0.06
TF
0.08 I
I
FINE 243.00
i
FA 5.00 I JCD 0.50 I CHS 3.00
FINE 243.00 I
�0391600 2004-0952 05/07/2004 TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 I TF
PEOPLES, GERARD MCANTONY I CDC 10.00
Cash
0391601 2004-0897 05/07/2004 TFC 3.00 I CCC 40.00 CHS 3.00 i SAF 5.00 I TF
KOEGEL, DEBBIE HASKINS DDC 10.00
Money Order I I 0391IR 2004-0853
L05/07/2004 I TFC 3.00 I CCC 40.00 CHS 3.00 LAF 5.00 TF
LIRA, JANET HADDICK I FINE 50.00 I I
Cash
0391603 2004-0130 C5/C7/2004 FINE 25.00
SOTO, JOE
Cash I
0391604 20CI-0914 05/10/2004 I WRNT 50.00 FINE 55.00
BAZAN, NOE BERNARDO
Cash
0391605 2004-0889 05/10/2004 I TFC 3.00 CCC 40.00 I CHS 3.00 I LAF 5.00
TODD, JOHNNY DAVID DDC 10.00
Personal Check
�. A
I
I
I
I
I
I
I
I
4.00 I SUBC 30.00
I I
I I
4.00 I SUBC 30.00
I I
4.00 I SUBC 30.00
I I
I I
I I
TF 4.00 I SUBC 30.00
Page 5
Totat
105.00
509.60
234.00
295.00
295.00
78.00
295.00
295.00
85.00
9.61
162.00
50,00
95.00
95.00 .
135.00
25.00
105.00
95.00
06/02/2004
Money Distribution
Report
Page 6
MAY 2004 MONTHLY
REPORT
- JAMES
W
DUCKETT
JP2
Receipt Cause/Defendant
Code
Amount
Code Amount
Code
Amount
Code
Amount
Code Amount
Code Amount
Totaf
0391606 2003-1717
05/10/2004
FINE
5.00
MALATEK, JAMEE
i
i
5.00
Cash
0397607 JV0304-0121
05/10/2004
JCPT
0.59
CVC
4.48
CS
5.97
CCC
5.08
MORIN, REYNALDO MARIO
CHS
0.89
CMI
0.15
TF
1.20
FA
1.49
JCD
0.15
20.00
Cash
0391608 2003-1114
05/10/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
CUELLAR, SEFERINO
I CMI
0.50
LAP
5.00
WRNT
50.00
JCD
0.50
CHS
3.00
180.0 00
TIME
25.00
IF
4.00
FINE
53.00
Jail Credit
0391609 2003-1113
05/10/2004
! JCPT
2.00
CVC
15.00
CCC
17.00
f FA
5.00
CUELLAR, SEFERINO
CMI
0.50
LAF
5.00
JCD
0.50
' ChS
3.00
380.00
WRNT
50.00
TIME
25.00
IF
4.00
I FINE
253.00
Jail Credit
0391610 2003-1112
05/10/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
CHS
3.00
CUELLAR, SEFERINO
CMI
0.50
LAF
5.00
WRNT
50.00
TIME
25.00
TF
4.00
FINE
53.00
180-00
Jail Credit
1
0391611 2003-1111
05/10/2004
JCPT
2.00
CVC
15.00
I TFC
3.00
1
CCC
17.00
FA
5.00
I
CUELLAR, SEFERINO
CHS
3.00
CMI
0.50
LAF
5.00
WRNT
50.00
JCD
0.50
260.00
Jai( Credit
FINE
130.00
TIME
25.00
IF
4.00
0391612 2000-2811
05/10/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.25
GARCIA, ERIC
I LAF
5.00
WRNT
50.00
TIME
25.00
FINE
152.75
CHS
3.00
275.00
Jai( Credit
0391613 2002-0380A
05/10/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
0.50
NAVARRO, JOSE MANUEL
I CHI
0.50
I WRNT
100.00
TF
4.00
FINE
295.00
JCD
CSRV
132.60
CHS
3.00
574.60
Jail Credit
0391614 2002-0380
05/10/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
CHS
3.00
NAVARRO, JOSE MANUEL
I CMI
0.50
LAF
5.00
WRNT
100.00
TIME
25.00
TF
4.00
FINE
53.00
299.00
Jail Credit
CSRV
69.00
0391615 2004-0931
05/10/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SALINAS, DIAMANTINA
CRISPIN
DOC
10.00
SUBC
30.00
95.00
Cash
0391616 2004-0981
05/10/2004
TFC
3.00
' CCC
40.00
CHS
3.00
+ SAF
5.00
TF
4.00
FORSYTH, CAROL REED
DDC
10.00
SUBC
30.00
95.00
Cashier's Check
0391617 2004-0814
05/10/2004
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
53,00
SAENZ, ARNOLD JR
FINE
105.00
Cash
0391618 2004-0982
05/10/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
YOUNG, CHRISTOPHER
DDC
10.00
SUBC
30.00
95.00
Cash
0391619 2003-2666
05/10/2004 I
FINE
25.00
TAMEZ, JOHN JAMES
j
i
25.00
Cash
0391620 2004-0919
05/10/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
JOHNSON, CHRIS ANDREW
OFF
15.00
SUBC
30.00
100.00
Cash
0391621 2004-0983
05/11/2004
TFC
3.00
CCC
40.00
CHS
f
3.00
SAF
5.00
IF
4.00
ELLISON, LINDA NEWARK
FINE 40.00
SUBC
30.00
125.00
Cash
0391622 2003-2762 05/11/2004
FINE 20.00 I
MUNOZ, OSCAR CARDENAS
20.00
Cash
0391623 1999-2412 05/11/2004
JCPT
2.00
CVC
15.00
TFC
3.00
CCC 77.00
FA
5.00
COOK, KERRY T
CHS
3.00
LAF
5.00
WRNT 50.00
TIME 25.00
DPSC
30.00
JCD
0.25
225.00
Cred-Card/Trnsfr
FINE
69.75
•
%927
06/02/2004 Money Distribution Report Page -1
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
________ .--.- -_.
Receipt Cause/Defendant � Lode Amount Code Amount Code Amount Code Amount Cade Amount Code Amount TotaL
I I I I 1 0391624 2004-0934 05/11/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 155.00
WOODARD, THOMAS WILLIAM FINE 70.00
Cred-Card/Trnsfr 1 I 1 1 1 1
0391625 2004-0990 05/11/2004 1 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 155.00
COLEMAN, STEVEN BRUCE 1 FINE 70.00 I 1 1
•-Card/Trnsfr 2003I 1
0391626 2003-0644A 05/11/2004 FINE 12.80 I CSRV 59.20 I � I I I 72.00
BATTLESON, KIMBERLY ANN
Money Order 1 1
0391627 2003-0644 05/11/2004 1 JCPT 2.00 I CVC 15.00 1 TFC 3.00 1 CCC 17.00 1 FA 5.00 1 JCO 0.50 I 170.00
BATTLESON, KIMBERLY ANN CHS 3.00 CMI 0.50 SAF 5.00 WRNT 50,00 TIME 25.00 TF 4.00
Money Order I CSRV 40.00
0391628 2004-0929 05/11/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 300.00
ROBERS ON, THOMAS JERRY OFF 215.00
Money Order
0391629 CV2004-0016 OS/11/2004 I WOP 100.00 I FF 10.00 I I 110.00
SEAGREENS APARTMENTS, I 1 I I 1
Cash
0391630 2004-0992 05/11/2004 1 CCC 40.00 I CHS 3.00 I SAF 5.00 I TF 4,00 I FINE 53.00 I 1 105.00
SANCHEZ, CLETO SOLIS
Money Order
0391631 2004-0923 05/11/2004 CCC 40.00 I CHS 3.00 I SAF 5.00 TF 4.00 FINE 53.00 105.00
MORALES, ROBERT j
Cash
0391632 2004-0809 05/11/2004 TFC 1.42 I CCC 18.82 i CHS 1.41 i SAF 2.35 i TF 1.88 i SUBC 14.12 45.00
MENDEZ, RAUL 1 FINE 5.00
Cash
0391633 2004-0960 05/11/2004 TFC 3.00 1 CCC 40.00 CHS 3.00 SAF 5.00 i TF 4.00 i SUBC 30.00 95.00
WESTWOOD, FAYE LOUISE 1 DOC 10.00 1 1 1
Money Order 1 1
0391634 2003-2551 05/17/2004 I JCPT 0.35 I CVC 2.65 I TFC 0.53 I CCC 3.00 I FA 0.88 I JCD 0.09 I 65.00
ZWERSCHE, LINDSEY WAYNE CHS 0.53 CMI 0.09 SAF 0.88 TF 0.71 SUBC 5.29 1 FINE 50.00
Cash 1 1 I I 1
0391635 2004-0723 05/11/2004 TFC 1.59 CCC 21.18 CHS 1.59 LAF 2.64 I TF 2.12 I SUBC 15.88 75.00
TORRES, SAMUEL FINE 30,00 1 1 1
Cash 1 1
0391636 2004-0950 05/11/2004 TFC 3.00 CCC 40.00 I CHS 3.00 I SAF 5.00 I TF 4.00 SUBC 30.00 1 95.00
JIMENEZ, MONICA REYES I DDC 10.00
Cash
00 105.00
0391637 2004-0958 05/11/2004 1 CCC 40.00 CHS 3.00 SAF 5.00 i TF 4.00 FINE 53.
SALAS, JOSE ALBERTO I
Cash
0397638 2004-0807 05/12/2004 1 FINE 35.00 1 1 1 35.00
MUNIZ, GUADALUPE R 1 1 I 1
Cash
0391639 2004-0948 05/12/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 i SUBC 30.00 95.00
DRAEGER, STEVE ROBERT DDC 10,00
Cred-Card/Trnsfr I 1 I I 1 1
0391640 2004-0868 05/12/2004 TFC 3.00 CCC 40.00 CHS 3.00 i SAF 5.00 i TF 4.00 i SUBC 30.00 155.00
MASEDA, JULIA LOZANO I FINE 70.00 I I
Cash
0391641 2004-0731 05/12/2004 TFC 1.76 1 CCC 23.53 I CHS 1.77 LAF 2.94 TF 2.35 f SUBC 17,65 I 50.00
MUNSCH, EDWARD
Cash
0
06/02/2004 Money Distribution Report Page 8
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
ecetp[ Cause/Defendant
Code Amount
Cade Amount
code
Amount
Code Amount
I Code
Amount
Code Amount
.__
i
i
Total
0391642 2003-0802 05/12/2004
FINE
100.00
BONUZ, MARTIN
I
100.00
Cash
0391643 2004-0971 05/12/2004
TFC
3,00
CCC
40.00
CHS
3.00
SAF
5.00
DIAZ, ENRIQUE JR
FINE 30,00
TF
4.00
SUBC 30.00
115.00
Cash
0391644 2004-0925 05/12/2004
I TFC
3.00
CCC
40.00
CHS
3.00
I SAF
5.00
MEISETSCHLAEGER, SHARON L
DOC
10.00
TF
4.00
SUBC 30.00
95.0
Money Order
0391645 Z004-0912 05/12/2D04
TFC
2.64
CCC
35.30
CHS
2.65
SAF
4.41
IF
ADAMS, RHONDA LOU
3.53
SUBC 26.47
75.00
Cash
0391646 2004-0858 05/12/2004
TFC
0.89
CCC
11.76
CHS
0.88
SAF
1.47
BIGNELL, TIFFANIE JAE
TF
1.18
SUBC 8.82
25,00
Cash
0391647 2004-0995 05/12/2004
CCC
40.00
CHS
3.00
LAF
5.00
TF
4.00
GARCIA, MANUEL
i
i
i
i
FINE
243.00
295.00
Jail Credit
0391648 2004-0996 05/12/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
I JCD
0.50
PENA, SAMUEL
CMI
0.50
I LAF
5.00
TF
4.00
FINE
153.00
CHS 3.00 I
205.00
Jail Credit
0391649 2004.0997 05/12/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
PENA, SAMUEL
CMI
0.50
I LAF
5.00
I TF
4.00
FINE
243,00
JCD
0.50
CHS 3.00
295.00
Jail Credit
0391651 JV0203-0131 05/12/2004
FINE
5.00
I
PEREZ, ERIC ANTHONY
I
5.00
Cash
0391652 JV0203-0044 05/12/2004
FINE
15.00
PEREZ, ERIC ANTHONY
15.00
Cash
0391653 2004-0933 05/13/2004
TFC
3.00
CCC
40.00
I CHS
3.00
SAF
5.00
TF
4.00
WEATHERSBY, DELL ROGER
DDC
10.00
SUBC 30.00
95.00
Personal Check
0391654 2004-0999 05/13/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
EDWARDS, JENTRI LAMAR
CMI
0,50
CHS 3.00
105.00
LAF
5.00
TF
4.00
FINE
53.00
Money Order
0391655 2003-0525 05/73/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
0.50
ZEPEDA, GUADENCIO AGUILAR I
CMI
0.50 I
LAF
5.00
WRNT
50.00
TIME
25.00
JCD
CHS 3.00
400.00
Cash
FINE
243.00
I
TF
4.00
OPSC 30.00
0391656 2004-0820 05/13/2004
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
FINE
34.00
AND, ROGER
86.00
Cash
0391657 2004-0819 05/13/2004
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
FINE 148.00
ARD, ROGER
I
200.00
Cash
0391658 2004-0967 05/13/2004 I
TFC
3.00
CCC
40.00
CHS
3.00
LAF
5.00
TF
4.00
LOUM, REBECCA GUZMAN
DDC
10.00
SUBC 30.00
95.00
Money Order
0391659 2004-0926 05/13/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC 30.00
95.00
PHILLIPS, ROBERT DALE I
DDC
10.00
Money Order
0391660 2004-0914 05/13/2004
TFC
3.00
CCC
40.00
CAS
3.00
SAF
5.00
TF
4.00
SUBC 30.00
95.00
AGUAYO, JOE ANTONIO I
DDC
10.00
Money Order
0
06/02/2004 Money Distribution Report Page 9
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
------------- __---------------- ___________
Receipt Cause/Defendant
--------------------------
Code Amount
I Code Amount
I Code
Amount
I Lode
Amount
I Lode
Amount
Code
Amount
__
I Total
0391661 2004-0920 05/13/2004
I TFC
3.00
CDC
40.00
I CHS
3.00
SAP
5.00
I
TF
4.00
JOHNSON, TERRY LYNN
DOC
10.00
SUBC
30.00
I 95.00
Money Order
0391662 2003-2130 05/13/2004
FINE 20.00
SALINAS, PEDRO
I
I
I
20.00
Dash
I
0391663 2004 -1000 05/13/2004
I TFC
3.00
CCC
40.00
CHS
3.00
I SAP
5.00
I
TF
BLAA, JAMES ROBERT JR
CDC
10.00
4.00
I SUBC
30.00
95.00
Money Order
I
0391664 2004-0440 05/13/2004
TFC
0.41
CCC
5.45
I CHS
0.41
SAP
0.68
I
TIME
3.41
I
TF
0.55
ESPARZA, VERONICA
SUBC 4.09
FINE
5.00
I
20.00
Cash
i
0391665 2004-0350 05/13/2004
OFF
50.00
ZAPATA, ANTHONY RAY
i
I
I
50.00
Cash
I
0391666 SC2004-0010 05/13/2004
SF
60.00
FFSC
10.00
CIFF
2.00
LAURA, LEE LAMBERT
i
i
72.00
Personal Check
0391667 2004-1005 05/13/2004
TFC
3.00
CCC
40.00
CHS
3.00
I SAP
5.00
VOLEK, JEFFREY ALLEN JR
DDC
10.00
I TF
4.00
I SUBC
30.00
95,00
Cash
i
0391668 2004-0956 05/14/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAP
5.00
SANCHEZ, ADRIAN JR
I FINE
50.00
TF
4.00
SUBC
30.00
135.00
Cred-Card/Trnsfr
0391669 2004-0944 05/14/2004
I CCC
40.00
I CHS
3.00
SAP
5.00
TF
4.00
B RADEN, BESSIE JEANENE
i
i FINE
53.00
I
105.00
Cred-card/Trnsfr
0391670 2004-0943 05/14/2004
TFC
3.00
CCC
40.00
CHS
3.00
BRADEN, BESSIE JEANENE
FINE
130.00
I SAP
5.00
I TF
4.00 I
SUBC
30.00
215.00
Cred-Card/Trnsfr
I
I
0391671 2004-1031 05/14/2004
TFC
3.00
CCC
I
40.00 I
CHS
I
3.00
I
LUMLEY, JAMES ALEXANDER
I FINE
110.00 I
I
SAP
5.00 I
IF
4.00
SUBC
30.00
195.00
Cash
I
I
0391672 2004-0586 05/14/2004 I
TFC
0.65 I
CCC
13.14 I
CHS
I
0.66
I
BARRIOS, JOHNNY I
LAF
1.10 I
TF
0.88
SUBC
6.57
23.00
Cash
I
I
I
I
0391673 2004-0532 05/14/2004 I
FINE
50.00 I
DUNN, APRIL HEATHER
I
50.00
Cash
0391674 2004-0887 05/14/2004 I
TFC
1.43 f
CCC
28.57
CASTILLO, HORACIO MOISES
I
CHS
1.43 I
LAP
2.38 I
TF
1.90 I
SUBC
14.29 (
50.00
Cash
0391675 2004-0445 05/14/2004
DFF 140.00
SALINAS, KATRINA
I
I
I
I
140.00
Cash I
0391676 2004-0893 05/14/2000
TFC
3.00 I
CCC
40.00
CHS
3.00
I
VILLARREAL, ANTONIO I
DDC
10.00
I
SAP
5.00
TF
4.00
SUBC 30.00
I
95.00
Personal Check
0391677 SC2004-0011 05/14/2004
FFSC
10.00
CIFF
2.00
COVINGTON CREDIT,
I
12.00
Personal Check I
I
I
I
0391678 2003-0820 05/17/2004
WRNT
50.00
TIME 25.00
FINE 155.00
I
I
GARCIA, MARTIN JR
230.00
Jail Credit
I
•
06/02/2004 Money Distribution Report Page 10
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
............................................................
Receipt Cause/Defendant
I Code
I
Amount
I Code Amount
I Code
Amount
I Code
Amount
I Code
Amount
Code Amount
Total
0391679 2003-0819
05/17/2004
JCPT
2.00
CVC
15.00
I CCC
17.00
I
FA
5.00
GARCIA, MARTIN JR
CMI
0.50
I SAF
5.00
I WRNT
50.00
I TIME
25.00
I JCD
IF
0.50
4.00
I CHS
3.00 I
285.00
Jail Credit
FINE
158.00
0391680 2004-0795
05/17/2004
I TFC
3.00
I CCC
40.00
CHS
3.00
I SAP
5.00
I TF
4.00
DIERLAM, DEREK DAN
I FINE
130.00
I SUBC
30.00
215.00
Cash
0391681 1998-0426A
05/17/2004
i FINE
50.00
I
I
50.0
SAUCEDA, HEATHER KNISLEY
I
I
I
Personal check
0391682 2004-1045
05/17/2004
CCC
40.00
CHS
3.00
I LAF
5.00
TF
4.00
I FINE
153.00
GILMORE, JASON IAN
I
205.00
Jail Credit
I
0391683 2004-0754
05/17/2004
TFC
1.90
I CCC
25.46
I CHS
1.91
I LAF
3.18
I TIME
15.91
I TF
2.55
CARRILLO, ABEL
SUBC
19.09
I FINE
10.00
80.00
Money Order
0391684 2004-0370
05/17/2004
FINE
15.00
I
I
TYSON, BRANDON LEE
I
I
I
15.00
Money Order
0391685 2004-0701
05/17/2004
I TFC
0.18
I CCC
2.35
I CHS
0.18
I SAP
0.29
I TF
0.24
SUBC
TYSON, BRANDON LEE
1.76 I
5.00
Money Order
0391686 2004-0838
05/17/2004
CCC
40.00
CHS
3.00
LAF
5.00
I IF
4.00
I FINE
53.00
I
BOSWELL, JOSEPH J
I
105.00
Money Order
I
I
I
0391687 2004-0837
05/17/2004
I TFC
2.57
I CCC
51.43
I CHS
2.57
I LAF
4.29
IF
3.43
I
BOSWELL, JOSEPH J
SUBC
25.71
90.00
Money Order
I
0391688 2004-0966
05/17/2004
I CCC
12.99
I CHS
0.97
I LAF
1.62
I TIME
8.12
I TF
1.30
I
JAYCOX, ANGELA ORTA
I
25.00
Money Order
I
I
I
0391689 2004-0904
05/17/2004
I TFC
3.00
CCC
40.00
CHS
3.00
I SAP
5.00 I
IF
4.00
I
MUELLER, ELTON SCOTT
I
FINE
70.00
I
SUBC
30.00 I
155.00
Money Order
0391690 2004-0766
05/17/2004 I
CCC
40.00 I
CHS
3.00 I
LAF
5.00 I
IF
4.00 I
FINE
53.00
LEAL, PEDRO
I
I
105.00�
Personal Check
I
I
0391691 2004-0725
05/17/2004
TFC
3.00 I
CCC
60.00
CHS
3.00 I
LAF
5.00
TF
I
4.00
DUEL, ENRIQUE
I
FINE 180.00
I
I
SJBC
30.50 I
285.00
Money Order
I
I
0391692 2004-0989
05/17/2004 I
TFC
3.00
CCC
40.00
CHS
3.00 I
LAF
5.00 I
TF
4.00
GONZALES, ARNOLD G
I
FINE
50.00
I
SUBC
30.00
135.00
Cashier's Check
0391693 2004-0947
05/17/2004 I
TFC
3.00
CCC
40.00
CHS
3.00 I
SAP
5.00
IF
4.00
CLARK, MONICA FAYE
I
DOC
10.00
SUBC
30.00
95.00
Money Order
I
0391694 2002-1117A
05/17/2004
FINE 108.00
CSRV
84.00
I
192.00
DOYLE, ROBERT FRANCIS JR
Money Order
0391695 2004-0818
05/17/2004 I
TFC
0.89 I
CCC
11.76 I
CHS
0.88
SAP
1.47
TF
1.18
SUBC
8.62 I
25.00
TORRES, JASON
Cash
0391696 2004-1048
05/18/2004 I
TFC
3.00
CCC
40.00 I
CHS
3.00 I
LAF
5.00 I
IF
4.00
SUBC
30.00
NEESE, JOHN ALLAN
FINE 70.00
I
155.00
Cred-Card/Trnsfr
I
I
06/02/2004 Money Distribution Report Page 11
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
__________________________________________
Receipt Cause/Defendant
Code Amount
Code Amount
Code Amount
code Amount
Code Amount
_.-.__--.___i__._.
Code Amount
Total
0391697 2004-0710 05/78/2004
I TFC
3.00
I CCC
40.00
CHS
3.00
i
I SAF
5.00
I
D IOGUARDI, GUY ROBERT
FINE
70.00
I TF
4.00
SUBC 30.00
155,00
Cred-Card/Trnsfr
I
I
I
0391698 2004-0916 05/18/2004
TFC
3.00
CCC
40.00
CHS
3.00
I
SAF
5.00
CRUMP, CLIFFORD WAYNE
FINE
70.00
TF
4.00
SUBC 30.00
155.00
Cred-Card/Trnsfr
0391699 2002-1571 05/18/2004
LWF
25.00
I
SUNIGA, ABELARDO
I
I I
25.00
Money Order
0391700 2004-0601 05/18/2004
I TFC
0.87
I CCC
11.77
I CHS
0.88
I SAF
1.47
ESPINO, ANTONIO JR
I TF
1.18
I SUBC 8.83
25.00
Money Order
0391707 2004-0372 05/18/2004
I CCC
40.00
I CHS
3.00
I SAF
5.00
TF
BOLDING, LANN PAUL
4.00
FINE
148.00
I
200.00
Money Order
0391703 2004-0791 05/18/2004
OFF
25.00
BLINKA, KRISTI LEIGH
I
I
I
25.00
Cash
0391704 2004-0791 05/18/2004
I DFF
20.00
I
BLINKA, KRISTI LEIGH
i I
20.00
Personal Check
0391705 2004-1040 05/18/2004
I CCC
40.00
I CHS
3.00
SAF
5.00
REYES, LOUIS ANTHONY
I TF
4.00
I FINE
53.00
I I
105.00
Cash
0391706 2004-0122 05/19/2004
TFC
3.00
I CCC
40.00
CHS
3.00
I SAF
5.00
SPARKS, KENNETH RUSSEL
I FINE
130.00
TF
4.00
SUBC 30.00 I
215.00
Cash
0391707 2004-1033 05/20/2004
I CCC
40.00
CHS
3.00
I SAF
5.00
TF
MUNOZ, LILLIAN M
4.00
FINE
53.00
I I
105.00
Cash
0391708 JV0304-0072 05/20/2004 I
JCPT
2.00
CVC
15.00
CS
20.00
VELASOUEZ, CHARLES I
CHS
3.00
I
CCC
17.00 I
FA
5.00 I
JCD 0.50 I
100.00
CMI
0.50
TF
4.00
I FINE
33.00
Cash
0391709 2004-1020 05/20/2004
TFC
3.00 I
CCC
40.00 I
CHS
3.00
COCHRAN, RONALD WESLEY I
DOC
10.00
I
SAF
5,00 I
TF
4.00 I
SUBC 30.00 I
95.00
Money Order
I
• 0391710 2004-0998 05/20/2004 I
CCC
40.00 I
CHS
3.00 I
LAF
5.00
OCHOA, CYNTHIA
I
I
TF
4.00 I
FINE
148.00 I
I
200.00
Personal Check
I
0391711 2004-0998 05/20/2004 I
FINE
95.00
OCHOA, CYNTHIA
I
I
I
95.00
Jail Credit
0391712 2004-0847 05/20/2004 I
CCC
40.00
CHS
3.00 I
LAF
5.00
MARTIN, SOMMER NICOLE
TF
4.00 I
FINE
243.00 I
295.00
Personal Check
0391773 2003-2108 05/20/2004
JCPT
0.21
CVC
1.47 I
CCC
1.67
FA
PEREZ, ANDRES AGUILAR I
CMI
0.05
SAF
0.49
0.49 I
JCD
0.05 I
CHS 0.29
117.00
Personal
WRNT
21.26 I
TIME
10.63
TF
0.39
FINE 53.00 I
Check
CSRV
27.00
0391714 2003-2107 05/20/2004
JCPT
2.00
CVC
15.00
TFC
3.00
PEREZ, ANDRES AGUILAR I
CHS
3.00
CHI
0.50
I
CCC
17.00 I
FA
5.00 I
JCD 0.50
195.00
Personal Check I
SUBC
30.00
I
SAF
5.00
WRNT
50.00
TIME
25.00
IF 4.00
0391715 2003-2107 05/20/2004
FINE
I
5.00 I
FINE
CSRV
35.00
45.00
I
PEREZ, ANDRES AGUILAR
I
I
50.00
Jail Credit
I
I
I
•
v��
06/02/2004 Money Distribution Report Page 12
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
-----------------------------------------------
Receipt Cause/Defendant
Code
....................................
Amount
Code Amount
Code
Amount
..----------------
Code Amount
Code
.-----------------------------
Amount
Code
Amount
Total
0391716 2002-0202 O5/20/2004
FLORES, EDWARDO M
WRNT
50.00
TIME 25.00
CSRV
5.00
80.00
Persona( Check
0391717 2002-0201 05/20/2004
FLORES, EDWARDO M
Personal Check
JCPT
CMI
FINE
2.00
0.50
141.00
CVC 15.00
LAF 5.00
CSRV 82.00
CCC
WRNT
17.00
50.00
FA
TIME
5.00
25.00
JCD
TF
0.50
4.00
OHS
DPSC
3.00
30.00
380.00
0391718 2004-0848 05/20/2004
MARTIN, MARCUS JOHN
CCC
40.00
CHS
3.00
LAP
5.00
TF
4.00
FINE
243.00
295.0
Personal Check
0391719 2004-0727 05/20/2004
REYNA, JASON
CCC
20.76
CH.S
1.56
LAP
2.60
TF
2.08
FINE
23.00
50.00
Money Order
0391720 2004-0343 05/20/2004
OUESADA, JOE JESSE JR
TFC
I FINE
3.00
70.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
155.00
Money Order
0391721 2004-1030 O5/20/2004
KLEFAS, PHILIP JOHN
TFC
I OFF
3.00
155.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
240.00
Cashier's Check
0391722 2004-1024 05/20/2004
HALE, BRANDON WADE
TFC
I DOC
3.00
10.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
95.00
Money Order
I
'
0391723 2003-2216 05/20/2004
LE, NHI PHUONG
TIME
25.00
FINE
40.00
i
65.00
Cash
0391724 2004-1067 05/20/2004
DOWNS, DARREN CHARLES
TFC
FINE
3.00
30.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
115.00
Money Order
0391725 2002-0594 05/20/2004
GARCIA, SALVADOR ARAVJO
WRNT
50.00
TI IIE
25.00
CSRV
5.00
80.00
Personal Check
0391726 2002-0593 05/20/2004
GARCIA, SALVADOR ARAVJO
Personal Check
JCPT
CHS
FINE
2.00
3.00
62.00
CVC
CMI
CSRV
15.00
0.50
48.00
TFC
SAF
3.00
5.00
CCC
WRNT
17.00
50.00
FA
TIME
5.00
25.00
JCD
TF
0.50
4.00
240.00
0391727 1999-1954 05/20/2004
EUVINO, ROBERT JEROME JR
JCPT
CHS
2.00
3.00 I
CVC
SAF
15.00
50.00 I
TFC
TIME
3.00
25.00
CCC
FINE
17.00
83.75
FA
CSRV
5.00
51.00
JCD
0.25
255.00�
Personal Check
0391728 2000-1386-A 05/20/2004
EUVINO, ROBERT JEROME JR
JCPT
SAF
2.00 I
50.00
CVC
FINE
15.00 I
139.75
CCC
CSRV
17.00
58.00
FA
5.00
JCD
0.25
CHS
3.00
290.00
Personal Check
0391729 2002-1070 05/20/2004
CHAVEZ, EMELIA SARI
WRNT
50.00
TIME
25.00
FINE 109.00
I
CSRV
46.00
230.00
Personal Check
0391730 2000-2091 05/20/2004
GOMEZ, BOBBY
Personal Check
JCPT
SAF
2.00
5.00
CVC
WRNT
15.00
100.00
CCC
TIME
17.00
25.00
FA
DPSC
5.00
30.00 I
JCD
FINE
0.25
1.75
CHS
CSRV
3.00
51.00
255.00
0391731 2003-0718 05/20/2004
CASTANEDA, MARTIN
Personal Check
JCPT
CHS
FINE
2.00
3.00
14.00
CVC
CMI
CSRV
15.00
0.50
36.00
TFC
SAF
3.00
5.00 I
CCC
WRNT
17.00
50.00
FA
TIME
5.00
25-CO
JCD
TF
0.50
4.00
180.00
0391732 2003-2217 05/20/2004
MORALES, RAMIRO
Personal Check �.
JCPT
CHS
SUBC
0.36
0.56
5.61
CVC
CMI
2.81
0.10
TFC
SAF
0.56
0.94
CCC
WRNT
3.18
22.73
FA
TIME
0.94
11.36
JCD
TF
0.10
0.75
50.00
0391733 2003-2641 05/20/2004
KING, KIMBERLY KAT
WRNT
50.00
TIME:
25.00
FINE 88.46
CSRV
49.04
212.50
Personal Check
•
0 J
n
06/02/2004 Money Distribution Report Page 13
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
........................................................................................................... . .
Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total
0397734 2003-2217 05/20/2004 JCPT 0.37 CVC 2,81 TFC 0.57 CCC 3.18 FA 0.93 JCD 0.09 50.00
MORALES, RAMIRO CHS 0.57 CMI 0,09 SAF 0.93 WRNT 22.72 TIME 11.37 I IF 0,75
Personal Check SUBC 5.62
0391735 2003-2217 05/20/2004 JCPT 0.07 CVC 0.56 TFC 0.11 CCC 0.64 FA 0.19 JCD 0.02 50.00
MORALES, RAMIRO CHS 0.11 CMI 0.02 SAF 0.19 I WRNT 4.55 TIME 2.27 TF 0.15
• Personal Check SUBC 1.12 FINE 40.00
0391736 2003-2217 05/20/2004 FINE 50.00 50.00
MORALES, RAMIRO
Personal Check !
0391737 2003-2217 05/20/2004 FINE 8.46 CSRV 62.54 71.00
MORALES, RAMIRO
Personal Check I I J
0391738 2003-2152 05/20/2004 WRNT 50.00 TIME 25.00 FINE 90.00 CSRV 49.50 214.50
FLORES, TAMRA CANN
Personal Check
0391739 2003-2791 05/20/2004 JCPT 0.80 CVC 6.18 TFC 1.24 CCC 7.00 FA 2.06 JCD 0.21 273.00
VRANA, JAMES FRANKIE CHS 1.24 CMI 0.21 SAF 2.06 WRNT 50.00 TIME 25.00 TF 1.65
Personal Check DPSC 30.00 SUBC 12.35 FINE 70.00 CSRV 63.00
0391740 2003-0718A 05/20/2004 i FINE 192.00 i CSRV 57.60 I 249.60
CASTANEDA, MARTIN
Personal Check
0391741 2004-0254 05/20/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 WRNT 50.00 I TIME 25.00 377.00
GUTIERREZ, AMADO TF 4.00 SUBC 30.00 I FINE 130.00 CSRV 87.00
Personal Check I I f
0391742 SC2004.0012 05/20/2004 j Sf 60.00 FFSC 10.00 CIFF 2.00 72.00
KEN'S ENTERPRISES,
Personal Check
0391743 2002-1951 05/20/2004 WRNT 5C.00 TIME 25.00 i DPSC 30.00 FINE 100.00 + 205.00
LELLENOUIEN, MIKE JR
Cash
0391744 2004-0977 05/20/2004 CCC 40.00 CHS 3.00 SAF 5.00 IF 4.00 FINE 53.00 105.00
HERNANDEZ, JUAN FERNANDO
Cash
0391745 2004-0740 05/20/2004 ' FINE 30,00
OLACHIA, PEDRO GUTIERREZ I ( I I I 30.00
Cash
• 0391746 2004-0708 05/20/2004 FINE 100,00 I I I 100.00
RODRIGUEZ, ABRAHAM H
Cash
0391747 2004-1063 05/20/2004 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 FINE 53.00 105.00
JENKINS, RENEE ELAINE
Money Order
0391748 2004-1062 05/20/2004 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 ! TF 4.00 SUBC 30.00 135.00
JENKINS, RENEE ELAINE FINE 50.00
Money Order
0391749 2004-0877 05/20/2004 TFC 3.00 CCC 40.00 CHS 3.00 SALAZAR, ESTEVAN SAF 5.00 TF 4.00 SUBC 30.00 220.00
DFF 135.00
Money Order
0391750 2004-0646 05/20/2004 TFC 3.00 CCC 40.00 CHS 3.00 I SAF 5.00 WRNT 50,00 TIME 25.00 303.00
WISE, GREGORY SCOTT TF 4.00 DPSC 30.00 SUBC 30.00 FINE 50.00 CSRV 63,00
Money Order
0391757 2004-1026 05/20/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 95.00
GOERITZ, PETER JEFFREY DOC 10.00
Money Order
E
06/02/2004 Money Distribution Report Page 14
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
----------- ...----- .---------------
Receipt Cause/Defendant
.-------------
Code Amount
.------------
i Code
.-------------------
Amount
Code Amount
.----------------
Code Amount
Code
.-----------------------------
Amount
Code
Amount
-
Total
0391752 2004-0954 05120l2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
SPARKS, KRISTEN ELIZABETH
DOC
10.00
95.00
Cash
0391753 2004-0367 05/21/2004
TFC
0.73
CCC
14.28
CHS
0.71
LAF
1.19
TF
0.95
MENCHACA, EUGENIO JR
SUBC
7.14
25.00
Cash
0391754 2004-1049 05/21/2004
TFC
3.00
0CC
40.00
CHS
3.00
LAF
5.00
TF
4.00
SUBC
30.00
RALSTON, GLENN ALAN
FINE
70.00
155.0
Cred-Card/Trnsfr
0391755 2004-0456 05/21/2004
TFC
0.35
CCC
4.71
CHS
0.35
SAF
0.59
TF
0.47
SUBC
3.53
50.00
ANZALDUA, ERIC
I FINE
40.00
Cash
0391756 2003-1717 05/21/2004
FINE
5.00
MALATEK, JAIME
5.00
Cash
0391757 2004-1029 05/21/2004
CCC
40.00
INS
3.00
SAF
5.00
TF
4.00
FINE
5.50
KNOWLES, JOSEPH GAGE
57.50
Cash
0391758 2004-1027 05/21/2004
CCC
20.20
CHS
1.51
I SAF
2.52
TF
2.02
JOHNSTON, MARTINE MARIE
26.25
Cash
0391759 1998-0229A 05/21/2004
JCPT
2.00
CVC
15.00
CCC
17.00
I FA
5.00
JCD
0.50
CHS
3.00
522.00
HANSON, CHRISTOPHER STEVEN
I CHI
0.50
I LAF
50.00
TF
4.00
I OPEC
30.00
I FINE
290.60
CSRV
104.40
Money Order
0391760 1998-0229 05/21/2004
JCPT
1.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.25
CHS
3.00
405.00
HANSON, CHRISTOPHER STEVEN
I SAF
5.00
I WRNT
50.00
TIME
25.00
DPSC
30.00
FINE
172.75
CSRV
81.00
Money Order
0391761 2004-0945 05/21/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
195.00
BROBISKY, DELBERT BRADLEY
FINE
110.00
Money Order
0391762 2004-0763 05/21/2004
TFC
3.00
CCC
40.00
CHS
3.00
LAF
5.00
TF
4.00
SUBC
30.00
135.00
GREEN, SAM LEON I
FINE
50.00
Money Order
0391763 2004-0762 05/21/2004
CCC
40.00
CHS
3.00
LAF
5.00
TF
4.00
FINE
83.00
135.00
GREEN, SAM LEON
Money Order I
I
I
,
G391764 2004-0905 05/27/2004 I.TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
220.00
SUGAREK, CHESTER ALAN I
OFF
135.00
Personal Check
0391765 2001-1735 05/21/2004
JCPT
0.26
CVC
1.89
CCC
2.14
FA
0.63
JCD
0.06
CHS
0.38
16.00
MORALES, LORI ANN I
CMI
0.06
LAF
0.63 I
WRNT
6.30 I
TIME
3.15 I
TF
0.50
Cash
0391766 2001-1735 05/21/2004
FINE
153.00
MORALES, LORI ANN
153.00
Cam Service
0391767 2004-0420 05/21/2004
FINE
60.00
60.00
WOODLE, MARGARET MILLS
Cash
0391768 2003-2145 05/21/2004
JCPT
0.27
CVC
1.84
CCC
2.09
FA
0.61
JCD
0.06
CHS
0.37
240.50
CALDERA, LOREEN
CMI
0.06 I
LAF
0.61
WRNT
17.53
TIME
3.07
7F
0.49
FINE 158.00
Comm Service
CSRV
55.50
0391769 2003-2144 05/21/2004
JCPT
2.00
CVC
15.00
TFC
3.00
CCC
17.00
FA
5.00
JCD
0.50
453.00
CALDERA, LOREEN
CHS
3.00
CMI
0.50
LAF
5.00
WRNT
50.00
TIME
25.00
TF
4.00
Comm Service
SUBC
30.00
FINE! 200.00
CSRV
93.00
•
nd p
06/02/2004 Money Distribution Report Page 15
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JPZ -
_-------------------------- _...... _-------------------------
Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total
0391770 2003-2087 05/21/2004 JCPT 2.00 CVC 15.00 ' CCC 17.00 FA 5.00 JCD 0.50 CHS 3.00 219,00
CALDERA, LOREEN CMI 0.50 SAF 5.00 WRNT 50.00 TIME 25.00 IF 4.00 FINE 53.00
Come Service CSRV 39.00
0391771 2004-0973 05/21/2004 CCC 19.24 CHS 1.44 SAF 2.40 TF 1.92 25.00
GARCIA, JO ANGELA
Cash
0391772 NC2003-0008 05/21/2004 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.50 CHS 3.00 I 269.7E
RANGEL, NATHAN URBAN CMI 0.50 WRNT 50.00 TF 4.00 FINE 113.00 REST 59.77
Jail Credit
0391773 2004-0809 05/21/2004 FINE 45.00 45.00
MENDEZ, RAUL
Lash 0391774 2004-1080 05/21/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 95.00
SAE NCash IONISIO OCTAVIO f DOC 10,00
0391775 2002-1129 05/24/2004 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.50 CHS 3.00 295.00
RASAT, ROBERT DAVID CMI 0.50 LAF 5.00 + TF 4.00 i FINE 243.00
Jail Credit ! I +
0391OR S, -0970 05/24/2004 CCC 38.46 CHS 2.88 LAF 4.81 TF 3.85 50.00 NORRIS, JAMIE ANNETTE
Money Order
039177E 2004-0778 05/24/2004 TFC 1.06 CCC 14.12 CHS 1.06 SAF 1.76 TF 1.41 SUBC 10.59 30.00
ALEMAN, THERESA MARIE
Personal Check
0391778 2003-2296 05/24/2004 FINE 10.00 10.00
PATRICK, SCOTTIE LILLIAN
Money Order
0391779 2003-1492 05/24/2004 FINE 50.00
LEAL, LARRY MARTIN i 50.00
Money Order
0391780 2004-1014 05/24/2004 TFC 3.00 CCC 40.00 CHS 3.00 j SAF 5.00 i TF 4.00 SUBC 30.00 155.00
ASHCRAFT, JERRY THOMAS j FINE 7C.00
Personal Check
0391781 2004.1043 05/24/2004 TFC 3.00 CCC 40.00 I CHS 3.00 SAF 5.00 i TF 4.00 i SUBC 30.00 95.00
THOMPSON, JEANCIE LYNN FINE 10.00
Money Order
0391782 2004-1013 05/24/2004 TFC 1.43 CCC 28.57 CHS 1.43 LAF 2.38 TF 1.90 SUBC 14.29 I 50.00
WILLIAMS, TODD ANTHONY ,
Cash
0391783 JV0304-0125 05/24/2004 FINE 50.00
PADRON, ZACHARY j 50.00
cash i f
0391784 2004-1073 05/24/2004 TFC 3.00 CCC 40.00 CHS 3.00 i SAF 5.00 TF 4.00 SUBC 30.00 95.00
CANSINO, ROSA MARIA i DDC 10.00 j
Cash
0391785 2004-1021 05/25/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 135.00
CASARES, JULIAN FINE 50.00
Money Order
03912004-1079 OS/25/2004 TFC 3.00
RIV I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 95.00
R IVERA, CINDA KOLAR DDC 10.00
Cash
039178E 2004-1047 05/25/2000 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 SUBC 30.00 95.00
DONALD LOUIS DDC 10.00
STEWART,
Cashier's Check
06/02/2004 Money Distribution Report Page 16
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
Receipt Cause/Defendant
Code Amount
Code Amount
Code
Amount
Code
Amount
Code
Amount
Code Amount
Totaf
0391788 JV0304-0131
05125/2004
JCPT
2.00
CVC
15.00
CS
20.00
CCC
17.00
FA
5.00
VALERO, NOEMI
CHS
3.00
I CMI
0.50
TF
4.00
JCD
0.50
100.00
Caron Service
FINE
33.00
0391789 2003-2644
05/25/2004
WRNT
50.00
TIME
25.00
DPSC
30.00
FINE
25.00
I CSRV
30.00
MUNOZ, JUDY JANET
160.00
Comm Service
0391790 2002-1227
05/25/2004
FINE
110.00
CSRV
82.00
PENICK, TANYA ANN
I
192.00
Jail Credit
0391791 2004-0258
05/25/2004
TFC
0.27
CCC
3.62
CHS
0.27
SAF
0.45
WRNT
15.39
TIME
7.69
PEELER, MARY ELLEN
TF
0.36
DPSC
9.23
SUBC
2.72
40.00
Cash
0391792 2004-0508
05/25/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
WRNT
50.00
TIME
25.00
329.00
VALENZUELA, SHIRLEY
ANN
TF
4.00
DPSC
30.00
I SUBC
30.00
FINE
70.00
CSRV
69.00
Cash
0391793 2004-0508A
05/25/2004
JCPT
0.16
CVC
1.25
CCC
1.42
FA
0.42
JCD
0.04
CHS
0.25
VALENZUELA, SHIRLEY
ANN
CMI
0.04
LAF
0.42
WRNT
4.17
TF
0.33
DPSC
2.50
11.00
Cash
0391794 2004-1010
05/26/2004
TFC
3.00
CSC
40.00
CHS
3.00
LAF
5.00
HENDERSON, DAVID LANE
DDC
10.00
TF
4.00
SUBC
30.00
95.00
Cash
0391795 2004-0570
05/26/2004
FINE
50.00
GARCIA, ADOLFO DIAZ
i
i
50.00
Cash
0391796 2004-0957
05/26/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
SANCHEZ, RAUL JR
I FINE
70.00
SUBC
30.00
155.00
Cash
0391797 2004-0961
05/26/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
WILSON, MICHAEL LEE
FINE
70.00
SUBC
30.00
155.00
Cash
0391798 2004-0176A
05/26/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
HERRON, HENRY
CMI
0.50
I WRNT
50.00 I
TF
4.00 I
FINE 295.00
JCD 0.50
CSRV 117.60
CHS
3,00
509.60
Jail Credit
0391799 2004-0176
05/26/2004
CCC
40.00
CHS
3.00
SAF
5.00
WRNT
50.00
TIME
25.00
IF
4.00
234.00
HERRON, HENRY
FINE
53.00
CSRV
54.00
Jail Credit
•
0397800 2004-1034
05/26/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
MAI, LAC HONG
FINE
50.00
SUBC
30.00
135.00
Money Order
0391801 2004-1066
05/26/2004
CCC
40.00
CHS
3.00
LAF
5.00
IF
4.00
FINE
53.00
GARCIA, FERNANDEO IBARRA
105.00
Money Order
0391802 2004-1082
05/26/2004
TFC
3.00
CCC
40.00
CHS
3.00
LAF
5.00
TF
4.00
BOYD, WAYNE ALLEN
I
DDC
10.00
SUBC
30.00
95.00
Money Order
0391803 2004-0975
05/26/2004
TFC
3.00
CCC
40.00
CHS
3.00 I
SAF
5.00
IF
4.00
SUBC
30.00
95.00
HAUSMAN, CRAIG RANDALL
I
DDC
10.00
Cashier's Check
0391804 2004-1050
05/26/2004
TFC
3.00
CCC
40.00
CHS
3.00
LAF
5.00
IF
4.00
SUBC
30.00
FULKES, EDD MACK III
FINE
70.00
155.00
Money Order
0391805 1999-2501
05/27/2004
JCPT
2.00
CVC
15.00
CCC 17.00
FA
5.00
JCD
0.25
CHS
3.00
175.00
CANDIA, THEODORE S
I
SAF
5.00 I
WRNT
50.00
TIME 25.00 I
FINE 52.75
Jail Credit
0
06/02/2004 Money Distribution Report Page 17
MAY 2004 MONTHLY REPORT - JAMES W DUCKETT JP2
Receipt Cause/Defendant
Code
----------------------------------------
Amount
Code Amount
Code
Amount
.........i.__.-......_.
I Code
Amount
Code
Amount
i._____-_....-------Total
Code Amount
0391806 2004-1107 05/27/2004
TFC
3.00
I CCC
40.00
CHS
3.00
I SAF
5.00
I
TF
4.00
30.00
LEVY, JOEL MORTON
FINE
200.00
SUBC I
285.00
Cred-Card/Trnsfr
I
0391807 2004-0509 05/27/2004
TFC
0.70
I CCC
9.41
CHS
0.71
I LAF
1.18
I
TF
0.94
VILLARREAL, RONNIE LEE
I
I
I
I SUBC 7.06 I
20.00
Cash
I I
0391608 2004-1096 05/27/2004
MARTIN, JAMES W
TFC
FINE
3.00
50.00
I CCC
40.00
CHS
3.00
I LAF
5.00
TF
4.00
I SUBC 30.00 I
135.00
Money Order
I
0391809 2004-1095 05/27/2004
I CCC
40.00
I CHS
3.00
I LAF
5.00
I
I TF
4.00
I FINE
83.00
I
MARTIN, JAMES W
I
I
I
135.00
Money Order
I
I
0391810 JV0304-0139 05/27/2004
CCC
40.00
I CHS
3.00
LAF
5.00
TF
4.00
VARNADO, TONI
i
i FINE
48.00
i
100.00
Money Order
0391511 2004-0129 05/27/2004
1TFC
3.00
I CCC
40.00
I CHS
3.00
I SAF
5.00
SCHOENEBERG, LANE FREDRICK
I TF
4.00
SUBC 30.00
I WRNT
50.00
I TIME 25.00 I
299.00
Money Order
I FINE
70.00
I CSRV
69.00
0391812 2004-1015 05/27/2004
TFC
3.00
I CCC
40.001
CHS
3.00
SAF
5.00
ARREDONDO, DIONICIO V
I FINE
70.00
i TF
4.00
SUBC 30.00 I
155.00
Cashier's Check
0391813 JV0304-0141 05/27/2004
I JCPT
2.00
I CVC
15.00
I CS
20.00
I
I
GERARDO, PASCUAL
CHS
3.00
I CCC
17.00
I FA
5.00
I JCD 0.50 I
100.00
I CMI
0.50
TF
4.00
I FINE
33.00
Personal Check
0391814 2004-1075 05/27/2004
TFC
5.00
CCC
40.00
CHS
3.00
KLIEM, CRYSTAL DAWN
I FINE
10.00
I SAF
5.00
TF
4.00
I SUBC 30.00 I
95.00
Cashier's Check
0391815 2003-2762 05/28/2004
I FINE
20.00
I
MUNOZ, OSCAR CARDENAS
I
I I
20.00
Cash
0397816 2004-1061 05/28/2004
TFC
2.06
I CCC
41.14
CHS
2.06 I
LAF
3.43
ESCAMUELA, ALONZO ROCHA
TF
2.74
SUBC 20.57
72.00
Cash
0391817 JV0304-0021 05/28/2004
I JCPT
2.00 I
CVC
15.00
CS
20.00
OLIVAREZ, RUDY I
CHS
3.00 I
CMI
0.50
I
CCC
17.00
FA
5.00
JCD 0.50
100.00
Cash
j
TF
4.00 I
FINE
33.00
0391818 2004-1106 05/28/2004 1TFC
3.00 I
CCC
40.00
HAMRICK, RONNIE WAYNE
DOC
10.00
I
CHS
3.00 I
SAF
5.00 I
TF
4.00
SUBC 30.00 I
95.00
Money Order
0391819 2004-0813 05/28/2004 I
TFC
1.42 I
CCC
18.82
SERNA, GONZALO ESTRADA I
I
CHS
1.41 I
SAF
2.35 I
TF
1.88
SUBC 14.12 I
40.00
Money Order
I
I
I
I
0391820 2004-0930 05/28/2004 I
TFC
3.00
CCC
40.00 I
CHS
3.00
RAMBO, ROBERT BERNARD
FINE 110,00
I
SAF
5.00
TF
4.00
SUBC 30.00
195.00
Cashier's Check I
I
0391821 2004-0196 05/28/2004
FINE 100.00
I
I
BLAIR, HAROLD TIMON I
I
I
100.00
Cashier's Check I
I
I
I
0391822 2004-1134 05/28/2004
TFC
3.00
CCC
40.00
CHS
3.00
MASEDA, JOSHUA
FINE 15.00
SAF
5.00 I
TF
4.00 I
SUBC 30.00 I
100.00
Cash
0391823 2004-1109 05/28/2004
TFC
3.00 I
CCC
40.00
ODONNELL, STACY ALLEN I
CDC 10.00
I
CHS
3.00 I
SAF
5.00 I
TF
4.00
SUBC 30.OD
95.00
Cash I
I
I
I
•
06/02/2004
Money Distribution
Report
Page
18
MAY 2004 MONTHLY
REPORT - JAMES W
DUCKETT
JP2
............................................................
Receipt Cause/Defendant
Code
Amount
I (:ode
I
Amount
I Code
Amount
I Code
Amount
Code
Amount
I Code
Amount
Total
0391824 2004-0069
05/28/2004
I JCPT
0.35
I CVC
2.73
TFC
0.55
I CCC
3.09
I FA
0.91
JCD
0.09
ORTIZ, DARIN
CHS
0.55 I
CMI
0,09
SAP
0.91
TIME
4.55
TF
0.73
I
SUBC
I
5.45
20,00
Cash
0391825 2004-0738
05/28/2004
I TFC
0.89
CCC
11.77
I CHS
0.88
I LAP
1.47
I TF
1.17
8.82
SALAZAR, KRISTY
I SUBC
25.00
Cash
0391826 2002-0135A
05/28/2004
I LAP
28.74-1
WRNT
28.74
I FINE
25.00
I
THOMPSON, GARY K
25.0
Cash
0391827 2004-1074
05/28/2004
TFC
3.00 I
CCC
40.00
I CHS
3.00
I SAP
5.00
I TF
4.00
30.00
GONZALES, CLAUDIO
DDC
10.00
I SUBC
I
95.00
Cash
0391828 2004-0350
05/28/2004 I
OFF
50.00
I
ZAPATA, ANTHONY RAY
I
I
50.00
Cash
0391829 2004-1081
05/28/2004 I
TFC
3.00 I
CCC
40.00
CHS
3,00
I SAP
5.00 I
TF
4.00
I SUBC
30.00
TASLER, MARY HALLIDAY
DDC
10.00
95.00
Personal Check
0391830 2004-1110
05/28/2004
TFC
3.00
CCC
40.00 I
CHS
3.00
SAP
5.00 I
TF
4.00
PENA, BRENDA DELGADO
DDC
10.00
SUBC
30.00
95.00
Money Order
0391831 2004-0022
05/28/2004 I
CCC
40.00 I
CHS
3.00 I
LAP
5.00
WRNT
50.00
TIME
25.00
TF
4.00
533.00
OLASCUAGA, GUSTAVO
DPSC
30.00
FINE
253.00
CSRV 123.00
Jail Credit
0391832 2004-0021
05/26/2004 I
TFC
3.00 I
CCC
60.00
CHS
3.00
I LAP
5.00 I
WRNT
50.00 I
TIME
25.00 I
507.00
OLASCUAGA, GUSTAVO
I
TF
4.00
DPSC
30.00 I
SUBC
30.00
I FINE 180.00
I
CSRV
117.00
Jail Credit
0391833 1998-1125A
05/28/2004 I
FINE
50.00 I
I
50.00
CRUZ, ELIZABETH BENIVAMOND
Cash
0
1�
u
06/02/2004 Money Distribution Report Page 19
The following totals represent - Actual Money Received
Type Code Description
Count
Retained
Disbursed
Money -Totals
COST CCC CONSOLIDATED COURT COSTS
209
633.44
5,700.90
COST CHS COURTHOUSE SECURITY
209
527.96
6,334.34
COST CMI CORRECTIONAL MANAGEMENT INSTITUTE
37
1.37
0.00
527.96
CS CHILD SAFETY
4
12.32
13.69
•COST
COST CVC COMPENSATION TO VICTIMS OF CRIME
45
65.97
0.00
65.97
COST DPSC OMNIBASE FEE
51.97
467.68
519.65
COST FA FUGIVITE APPREHENSION
20
45
179.74
364.90
64
COST JCD JUVENILE CRIME AND DELINQUENCY
44
11.55
113.89
171.87
115.44
COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING
45
1.55
6.78
13.89
15.44
COST LAF SHERIFF'S ARREST FEE
65
60.93
67.71
COST PWAF TEXAS PARKS & WILDLIFE
1
277.54
0.00
277.54
COST SAF STATE ARREST FEE
138
4.00
1.00
.
COST SUBC SUBTITLE C
542.64
135.66
678.30
0
COST TF TECHNOLOGY FUND
137
170.68
3,242.89
3,413.57
COST TFC TFC
202
675.94
0.00
675.94
COST TIME TIME PAYMENT FEE
146
368.37
0.00
37
COST WRNi WARRANT FEE
46
480.00
978.46
FEES CIFF CIVIL INDIGENT FILING FEE
49
2,164.05
164.05
0.00
2,164.05
164.05
FEES CSRV COLLECTION SERVICE FEE
6
0.60
11.40
FEES CVFF CV FILE FEE
41
2,679.03
0.00
79.03
2,679.03
FEES CDC DEFENSIVE DRIVING
1
44
15.00
0.00
10.00
FEES OFF DEFERRED FEE
FEES EVIC EVICTION FEE
10
940.00
940.00
0.00
0.00
940.00
915.00
FEES FF FILING FEE
1
0.00
FEES FFSC FILE FEE SMALL CLAIM
2
20.00
20.00
0.00
20.00
20.00
FEES SF SERVICE FEE
4
0.00
0.00
FEES WOP WRIT OF POSSESSION FEE
5
300.00
0.00
00.00
0.00
FINE FINE FINE
2
200.00
0.00
200.00
FINE LWF LICENSE & WEIGHT FINE
169
12,081.87
0.00
12,081.87
FINE PWF PARKS & WILDLIFE FINE
2
37.50
37.50
00
FINE SEAT SEATBELT FINE
1
52.50
60.46
65.00
REST REST RESTITUTION
1
2.50
2.50
0
0.00
0.00
0.00
0.00
0.00
Money Totals
278
22,958.99
10,746.87
33,705.86
The following totals represent - Jail Credit & Community
Service
COST COO CONSOLIDATED COURT COSTS
30
COST CHS COURTHOUSE SECURITY
61.35
552.07
613.43
COST CMI CORRECTIONAL MANAGEMENT INSTITUTE
30
23
81.06
COST CS CHILD SAFETY
1.06
9.00
10.57
10.57
COST CVC COMPENSATION TO VICTIMS OF CRIME
1
25
0.00
?0.00
COST DPSC OMNISASE FEE
34.72
3 2.41
390.00
COST FA FUGIVITE APPREHENSION
3
29.70
0.30
COST JCD JUVENILE CRIME AND DELINQUENCY
25
25
11.58
11.58
04.13
104.13
111.71
15.71
COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING
25
07
COST LAF SHERIFF'S ARREST FEE
20
4. 4
4.71
1.67
40.00
41.31
COST PWAF TEXAS PARKS & WILDLIFE
130.00
0.00
35.31
130.00
COST SAF STATE ARREST FEE
0
0.00
COST SUBC SUBTITLE C
6
4.00
24.00
6.00
30.00
2
3.00
7.00
57.00
60.00
i
94.0
06/02/2004
-------------------------------------------------
Money Distribution Report
_-----------------------------
Page 20
The
following totals represent - Jail Credit &
Community Service
_-----------
____------------- _______________________
Type
Code
Description
'cunt
Retained
Disbursed
Money -Totals
COST
TF
TECHNOLOGY FUND
28
104.57
0.00
104.57
COST
TFC
TFC
3
9.00
0.00
9.00
COST
TIME
TIME PAYMENT FEE
18
214.04
214.03
428.07
COST
WRNT
WARRANT FEE
22
1,168.51
0.00
1,168.51
•
FEES
CIFF
CIVIL INDIGENT FILING FEE
0
0.00
0.00
0.00
FEES
CSRV
COLLECTION SERVICE FEE
14
1,129.30
0.00
1,129.30
FEES
CVFF
CV FILE FEE
0
0.00
0.00
0.00
FEES
DDC
DEFENSIVE DRIVING
0
0.00
0.00
0.00
FEES
OFF
DEFERRED FEE
0
0.00
0.00
0.00
FEES
EVIC
EVICTION FEE
0
0.00
0.00
0.00
FEES
FF
FILING FEE
0
0.00
0.00
0.00
FEES
FFSC
FILE FEE SMALL CLAIM
0
0.00
D.00
0.00
FEES
SF
SERVICE FEE
0
0.00
0.00
0.00
FEES
WOP
WRIT OF POSSESSION FEE
0
0.00
0.00
0.00
FINE
FINE
FINE
38
5,621.50
0.00
5,621.50
FINE
LWF
LICENSE & WEIGHT FINE
0
0.00
0.00
0.00
FINE
PWF
PARKS & WILDLIFE FINE
0
0.00
0.00
0.00
FINE
SEAT
SEATBELT FINE
0
0.00
0.00
0.00
REST
REST
RESTITUTION
1
59.77
0.00
59.77
Credit Totals
38
8,717.99
1,367.08
10,085.07
The following
totals represent - Combined Money
and Credits
COST
CCC
CONSOLIDATED COURT COSTS
239
694.78
6,252.98
6,947.76
COST
CHS
COURTHOUSE SECURITY
239
612.39
0.00
612.39
COST
CMI
CORRECTIONAL MANAGEMENT INSTITUTE
60
2.43
21.83
24.26
COST
CS
CHILD SAFETY
5
85.97
0.00
85.97
COST
CVC
COMPENSATION TO VICTIMS OF CRIME
70
86.68
780.10
866.78
COST
OPSC
OMNIBASE FEE
23
209.44
425.20
634.64
COST
FA
FUGIVITE APPREHENSION
70
28.76
258.82
287.58
COST
JCD
JUVENILE CRIME AND DELINQUENCY
69
2.66
23.85
26.51
COST
JCPT
JUDICIAL AND COURT PERSONNEL TRAINING
70
11.41
102.61
114.02
COST
LAF
SHERIFF'S ARREST FEE
85
413.25
0.00
413.25
•
COST
PWAF
TEXAS PARKS & WILDLIFE
1
4.00
1.00
5.00
COST
SAF
STATE ARREST FEE
144
566.64
141.66
708.30
COST
SUBC
SUBTITLE C
139
173.68
3,299.89
3,473.57
COST
TF
TECHNOLOGY FUND
230
780.51
0.00
780.51
COST
TFC
TFC
149
377.37
0.00
377.37
COST
TIME
TIME PAYMENT FEE
64
703.27
703.26
1,406.53
COST
WRNT
WARRANT FEE
71
3,332.56
0.00
3,332.56
FEES
CIFF
CIVIL INDIGENT FILING FEE
6
0.60
11.40
12.00
FEES
CSRV
COLLECTION SERVICE FEE
60
3,808.33
0.00
3,808.33
FEES
CVFF
CV FILE FEE
1
15.00
0.00
15.00
FEES
DDC
DEFENSIVE DRIVING
44
440.00
0.00
440.00
FEES
OFF
DEFERRED FEE
10
940.00
0.00
940.00
FEES
EVIC
EVICTION FEE
1
15.00
0.00
15.00
FEES
FF
FILING FEE
2
20.00
0.00
20.00
FEES
FFSC
FILE FEE SMALL CLAIM
4
40.00
0.00
40.00
FEES
SF
SERVICE FEE
5
300.00
0.00
300.00
0
06/02/2004 Money Distribution Report Page 21
...........................................................................................
The following totals represent - Combined Money and Credits
Type Code Description Count
FEES
WOP
WRIT OF POSSESSION FEE
2
FINE
FINE
FINE
207
FINE
LWF
LICENSE & WEIGHT FINE
2
PWF
PARKS & WILDLIFE FINE
1
•FINE
FINE
SEAT
SEAT3ELT FINE
1
REST
REST
RESTITUTION
,
Report Totals 316
•
0
Retained Disbursed Money -Totals
200.00
0.00
200.00
17,703.37
0.00
17,703.37
37.50
37.50
75.00
9.07
51.39
60.46
2.50
2.50
5.00
59.77
0.00
59.77
31,676.94 12,113.99 43,790.93
06/02/2004
Money Distribution
Report
Page 22
DATE
PAYMENT -TYPE
FINES
COURT -COSTS
FEES
BONDS
RESTITUTION
OTHER
TOTAL
OD/00/0000
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1991
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1993
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00 •
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1995
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1997
ACTUAL MONEY
172.75
151.25
81.00
0.00
0.00
0.00
405.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
172.75
151.25
81.00
0.00
0.00
0.00
405.00
09/01/1999
ACTUAL MONEY
689.50
927.50
298.00
0.00
0.00
0.00
1,915.00
CREDITS
205.50
244.50
0.00
0.00
0.00
0.00
450.00
COMBINED
895.00
1,172.00
298.00
0.00
0.00
0.00
2,365.00
09/01/2001
ACTUAL MONEY
2,828.20
2,444.00
1,156.90
0.00
0.00
0.00
6,429.10
CREDITS
2,411.00
1,417.00
283.60
0.00
59.77
0.00
4,171.37
COMBINED
5,239.20
3,861.00
1,440.50
0.00
59.77
0.00
10,600.47
09/01/2003
ACTUAL MONEY
1,064.38
1,460.00
550.93
0.00
0.00
0.00
3,075.31
CREDITS
1,571.00
851.00
434.10
0.00
0.00
0.00
2,856.10
COMBINED
2,635.38
2,311.00
985.03
0.00
0.00
0.00
5,931.41
01/01/2004
ACTUAL MONEY
7,467.50
11,839.75
2,574.20
0.00
0.00
0.00
21,881.45
CREDITS
1,434.00
762.00
411.60
0.00
0.00
0.00
2,607.60
COMBINED
8,901.50
12,601.75
2,985.80
0.00
0.00
0.00
24,489.05
TOTALS
ACTUAL MONEY
12,222.33
16,822.50
4,661.03
0.00
0.00
0.00
33,705.86
CREDITS
5,621.50
3,274.50
1,129.30
0.00
59.77
0.00
10,085.07
•
COMBINED
17,843.83
20,097.00
5,790.33
0.00
59.77
0.00
43,790.93
0
06/02/2004
Money
Distribution Report
Page 23
---------------- ______________________________________________________________________________________________
DATE PAYMENT -TYPE FINES
COURT -COSTS
FEES BONDS
RESTITUTION
OTHER TOTAL
State of Texas Quarterly Reporting Totals
Description
Count
Collected
Retained
Disbursed
State Comptroller Cost and Fees Report
Section 1: Report for Offenses Committed
01-01-04 - Forward
198
5,889.23
588.96
5,300.27
09-01-01 - 12-31-03
192
959.72
96.04
863.68
09-01-99 - 08-31-01
30
235.50
23.58
211.92
09.01-97 - 08-31-99
5
38.25
3.83
09-01-95 - 08-31-97
0
0.00
34.42
09-01-91 - 08-31-95
0
0.00
0.00
0.00
0.00
0.00
Bail Bonds Fee
0
0.00
0.00
0.00
DNA Testing Fees
0
0.00
0.00
EMS Trauma Fund (EMS)
0
0.00
0.00
Juvenile Probation Diversion Fees
0
0.00
0.00
0.00
State Traffic Fees
137
3,413.57
0.00
170.66
0.00
3,242.91
Section 11�• As Applicable
State Police Officer Fees
139
683.30
546.63
Failure to Appear/Pay Fees
20
544.64
779.74
136.67
Judicial Fund - Const County Court
0
0.00
364.90
Judicial Fund - Statutory County Court
0
0.00
0.00
0.00
Motor Carrier Weight Violations
2
75.00
0.00
0.00
Time Payment Fee
46
37.50
37.50
978.46
489.27
48 9.19
Report Sub Total
769
12,817.67
2,136.21
10,681,461.46
State Comptroller Civil Fees Report
CF: Birth Certificate Fees
0
0.00
CF: Marriage License Fees
0
0.00
0.00
0.00
CF: Declaration of Informal Marriage
0
0.00
0.00
0.00
CF: Nondisclosure Fees
0
0.00
0.00
CF: Juror Donations
0
0.00
0.00
0.00
CF: Justice Court Indig Filing Fees
6
0.00
12.00
0.00
0.00
CF: Stat Prob Court Indig Filing Fees
0
0.00
0.60
11.40
Stat Prob Court Judic Filing Fees
0
0.00
0.00
•CF:
CF: Stat Cnty Court Indig Filing Fees
0
0.00
0.00
0.00
0.00
CF: $tat Cnty Court Judic Filing Fees
0
0.00
0.00
0.00
CF: Cnst Cnty Court Indig Filing Fees
0
0.00
0.00
CF: Cnst Cnty Court Judic Filing Fees
0
0.00
0.00
0.00
CF: Dist Court District 8 Family Law
0
0.00
0.00
0.00
CF: Dist Court Other Divorce/Family Lau
0
0.00
0.00
0.00
CF: Dist Court Indig Filing Fees
0
0.00
0.00
0.00
Report Sub Total
6
.00
0..0
12.00
0.60 60
11.40
Total Due For This Period
775
12,829.67
2,136.81
10.692.86
0
•
945
COPY
P
06/03/2004 Monthly State Reporting Page 01
JUDGE GARY W. NOSKA J.P. #3 CALHOUN COUNTY
Cause Defendant *****Offense**** *****Status***** ***Disposition** Plea T
-------------------------------------------------------------------------------------------------------------------------------
** New Causes Filed *** *** Pending Causes **** ** Closed/Convicted ***
Description Traffic Non-Trf Total Traffic Non-Trf Total Traffic Non-Trf Total
DISPOSITION CODES
CSC
COMMUNITY SERVICE COMPLETED
D.D.
DEFERRED
4
0
1
0
DCA
•
DISMISSED PER COUNTY ATTORNEY
2
0
DCS
DISMISSED - COMMUNITY SERVICE
0
0
DDD
DISMISSED -DEFERRED DISPOSITION COMPLETED
5
0
DDSC
DISMISSED COMPLETED D.S.C.
0
DEFR
DEFERRED
3
03
DFIE
DISMISSED - FILED IN ERROR
15
1(
DJ
DEFAULT JUDGMENT
0
1
1
OPJ
DISMISSED PER JUDGE
3
DPO[
DISMISSED - PROOF OF INSURANCE
_
3
0
OR
DISMISSED - RENEWAL
-
3
0
DBMS
DISMISSED
0
00
GBJ
GUILTY BY JUDGE
0
IOST
INQUEST
JFD
JUDGMENT FOR THE DEFENDANT
0
0
JFP
JUDGMENT FOR THE PLAINTIFF
0
0
PIF
PAID IN FULL
0
1
1
SET
SETTLED OUT OF COURT
44
10
54
TCRT
TRANSFERRED TO COUNTY COURT
0
0
C
TDCT
TRANSFERRED TO DISTRICT COURT
0
0
C
TS
TIME SERVED
0
0
C
2
3
5
Totals
0 0 0 0 0 0 80
32
112
OFFENSE CODES
0195 SYSTEM ADDED OFFENSE CODE 0 0 0 0 1 1 0 0
ACA ASSAULT CLASS A 0 0 0 0 5 5 0 0
• ACBI ASSAULT CAUSING BODILY INJURY 0 0 0 1 0 1 0 0
ACSI ASSAULT CAUSING SERIOUS BODILY INJURY 0 0 0 1 0 1 0 0
AGGR AGGRAVATED ROBBERY 0 0 0 0 1 1 0 0
AM ADMINISTRATIVE HEARING 0 0 0 0 10 10 0 0
AN ANIMAL NUISANCE 0 0 0 0 1 1 0 0
ASAC AGG. SEXUAL ASSLT. CHILD UNDER 14 0 1 1 0 5 5 0 0
ASLB ASSAULT CLASS B 0 0 0 0 5 5 0 3
ASLC ASSAULT CLASS C 0 0 0 0 2 2 0 0
ATM ALCOHOL TO MINOR 0 0 0 0 3 3 0 0
BI ASSAULT CAUSING BODILY INJURY 0 0 0 0 1 1 0 0
BOA BRAKES OUT OF ADJUSTMENT 0 0 0 1 0 1 0 0
BOAB BURGLARY OF A BUILDING 0 0 0 0 4 4 0 0
BOB BURGLARY OF BUILDING 0 0 0 0 0 0 0 5
BOMV BURGLARY OF A MOTOR VEHICLE 0 0 0 0 1 1 0 0
BOV BURGLARY OF VEHICLE 0 0 0 0 1 1 0 0
CFS CONTEST FOR SPEED 0 0 0 0 3 3 0 0
CIVL CIVIL CASE 0 0 0 0 269 269 0 0
06/03/2004 Monthly State Reporting Page 02
JUDGE GARY W. NOSKA J.P. #3 CALHOUN COUNTY
Cause
-------------------------------------------------------------------------------------------------------------------------------
Defendant
*****Offense****
*****Status*****
***Disposition**
PLea
T
** New Causes Fi
Led *** ***
Pending
Causes
****
** Closed/Convicted ***
Description
Traffic Non-Trf
Total Traffic Non-Trf
Total
Traffic
Non- Trf
TotaL
CPFC
CATCH 8 POSSESS FINFISH IN CLOSED AREA
0
0
0
1
0
1
0
0
0
CRMN
CRIMINAL NEGLIGENCE
0
0
0
0
2
2
0
0
0
CT
CRIM TRESPASS
0
0
0
0
1
1
0
0
0
CTRB
CRIMINAL TRESPASS CLASS B
0
0
0
0
2
2
0
0
0•
DAWD
DEFECTIVE AIR WARNING DEVICE
0
0
0
0
7
7
0
0
0
DC
DISORDERLY CONDUCT
0
0
0
0
3
3
0
0
0
DCSB
DELIVERY OF CONTROLLED SUBSTANCE
0
0
0
0
1
1
0
0
0
DNPZ
DISREGARD NO PASSING ZONE
0
0
0
1
1
2
0
0
0
DPSO
FAILURE TO APPEAR
36
0
36
178
327
505
10
3
13
DROH
DRIVING OVER 12 HOURS
0
0
0
0
1
1
0
0
0
DSNC
DUTY STATUS NOT CURRENT
0
0
0
3
11
14
0
0
0
DTLP
DEFECTIVE EQUIPMENT
0
0
0
4
70
74
1
0
1
OUT
DRIVING UNDER THE INFLUENCE
0
0
0
0
4
4
0
0
0
DWI
DRIVING WHILE INTOXICATED
0
8
8
0
24
24
0
0
0
DWIM
DRIVING WHILE INTOXICATED 3RD OR MORE
0
1
1
0
5
5
0
0
0
DWNL
DRIVING WITH NO LIGHTS
0
0
0
0
1
1
0
0
0
EAUV
EVADING ARREST/DET USING VEH.
0
0
0
0
1
1
0
0
0
EAV
EVADING ARREST USING VEH.
0
0
0
0
1
1
0
0
0
ECVI
EXP COMM. VEH. INSP. CERT.
0
0
0
2
0
2
0
0
0
EMVI
EXPIRED MVI
2
0
2
8
21
29
1
0
1
EPO
EMERGENCY PROTECTION ORDER
0
1
1
0
1
1
0
0
0
EPRO
EMER. PROTECTIVE ORDER
0
0
0
0
2
2
0
0
0
EV
EQUIPMENT VIOLATION
1
0
1
2
0
2
0
0
0
EVAR
EVADING ARREST
0
0
0
0
4
4
0
0
0
EVAV
EVADING ARREST/DET USING MOTOR VECHILE
0
0
0
0
1
1
0
0
0
EVMF
EQUIPMENT VIOLATION MUD FLAP
4
0
4
5
0
5
0
0
C
EXDL
EXPIRED D.L.
0
0
0
5
34
39
0
1
1
EXHA
EXHIBITION OF ACCELERATION
0
0
0
2
6
8
0
0
0
EXIN
EXPIRED INSPECTION
0
0
0
1
25
26
1
0
1
EXLP
EXPIRED L.P.
0
0
0
2
32
34
0
0
0
EXRG
EXPIRED REGISTRATION
1
0
1
11
26
37
0
0
0
FBC
FRAUD BY CHECK
0
0
0
0
22
22
0
0
0
FBP2
FORGERY BY PASSING
0
0
0
1
0
1
0
0
0
FCAD
FAIL TO CHANGE ADDRESS ON D.L.
0
0
0
0
12
12
0
0
0
•
FCBP
FORGERY BY PASSING
0
0
0
0
1
1
0
0
0
FDDL
FAIL TO DISPLAY D.L.
1
0
1
4
6
10
0
0
0
FDLP
FAIL TO DISPLAY L.P.
0
0
0
0
1
1
0
0
0
FDLR
FAIL TO DISPLAY LICENSE RECEIPT COMM.VEH
0
0
0
2
0
2
1
0
1
FDSL
FAIL TO DRIVE IN SINGLE LANE
0
0
0
2
1
3
0
0
0
FDTX
FAIL TO DISPLAY TXDOT
0
0
0
0
1
1
0
0
0
FED
FORCIBLE ENTRY DETAINER
0
1
1
0
35
35
0
0
0
FI
FICTITIOUS INSPECTION
0
0
0
0
3
3
0
1
1
FMFR
FAIL TO MAINTAIN FIN. RESPONSIBILITY
0
0
0
2
0
2
0
0
0
FPPT
FAIL TO PERFORM PER. TEST
0
0
0
0
1
1
0
0
0
FRA
FAILURE TO REPORT ACCIDENT
0
0
0
1
4
5
0
0
0
FSJF
FORGERY STATE JAIL FELONY
0
0
0
0
1
1
0
0
0
FSWS
FAIL TO SIGNAL/WRONG SIGNAL
0
0
0
1
4
5
0
0
0
FTCL
FOLLOWING TOO CLOSELY
0
0
0
2
10
12
0
0
0
FTCS
FAIL TO CONTROL SPEED/UNSAFE
0
0
0
1
18
19
1
0
1
FTI
FAILURE TO IDENTIFY
0
0
0
0
2
2
0
0
0
•
0
•
06/03/2004
Monthly State Reporting
JUDGE GARY W. NOSKA J.P. #3 CALHOUN COUNTY
Page 03
Cause Defendant *****Offense**** *****Status***** ***Disposition** Plea T
-- -- -----------------------
Description
FTSL FAIL TO SECURE LOAD
FVCC FAMILY VIOLENCE CLASS C
FYEV FAIL TO YIELD TO EMERGENCY VEHICLE
FYRW FAIL TO YIELD RIGHT OF WAY
HC HOT CHECK
HGRH HANDGUN REVOCATION HEARING
NVTL HABITUAL VIOLATOR TRAFFIC LAWS
ILFL ILLEGAL FISHING LINES
IM INTOXICATED MANSLAUGHTER
IMB IMPROPER BACKING
IMP IMPROPER PASSING
IMT IMPROPER TURNING
INAP INTENTIONALLY APPROPRIATED P
IPTD IMPROPERLY TAGGED DEER
IPTR IMPENDING TRAFFIC
IOST INQUEST
ITC INJ TO A CHILD
ITCH INJURY TO A CHILD
JC JUSTICE COURT
LIT LITTERING
LS DRIVING WHILE LICENSE SUSPENDED
MDCS MANUFACTURE/DELIVERY OF CONT. SUB.
MIP MINOR IN POSSESSION OF ALCOHOL
MIPT MINOR IN POSSESSION OF TOBACCO
MTCM MENTAL COMMITMENT
NBCA NO COMM. SHRIMP BOAT CA
NCDL NO CDL
NDL NO DRIVERS LICENSE
NFEX NO FIRE EXTINGUISHER
NIC NO INSPECTION CERTIFICATE
NLIN NO LIABILITY INSURANCE
NLJ NO LIFE JACKET
NLP NO LICENSE PLATE
NMC NO MEDICAL CARD
NOC NUISANCE ORDINANCE COUNTY
NPH NO PROTECTIVE HEADGEAR
NPKZ NO PARKING ZONE
NSPH NO SHIPPING PAPER HAZARDOUS MATERIAL
NTOL NO TEXAS OPER LICENSE
NVAI NO VALID D.O.T. ANNUAL INSPECTION
NVSF NO VALID SPORT FISHING
OC OPEN CONTAINER
ORV ORDINANCE VIOLATION
OVWD OVERWIDTH
OVWG OVERWEIGHT
PBHR PEACE BOND HEARING
PCS POSSESSISON OF CONT. SUBSTANCE
PI PUBLIC INTOXICATION
POOP POSSESSION OF DRUG PARAPHERNALIA
PON FOSS MARIJ UNDER 2 OZS
** New Causes Filed ***
Traffic Non-Trf Total
0
0
0
0
0
0
0
0
0
0
0
D
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
6
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
3
3
*** Pending Causes ****
Traffic Non-Trf Total
1
0
1
0
8
8
1
2
3
3
7
10
0
19
19
0
1
1
0
1
1
0
2
2
0
1
1
0
0
0
2
1
3
0
2
2
0
2
2
0
1
1
0
5
5
0
0
0
0
1
1
0
3
3
0
2
2
1
3
4
0
2
2
0
it
11
0
67
67
0
2
2
0
2
2
0
1
1
0
4
4
45
56
101
1
8
9
0
29
29
51
255
306
0
9
9
0
3
3
0
1
1
0
2
2
0
1
1
0
2
2
0
8
8
2
2
4
1
2
3
2
12
14
4
0
4
0
1
1
0
2
2
1
4
5
0
2
2
0
1
1
1
58
59
0
7
7
0
13
13
** Closed/Convicted ***
Traffic Non-Trf Total
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
3
0
0
0
0
0
0
0
0
0
0
0
0
3
0
3
1
0
1
0
0
0
4
2
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
06/03/2004
Monthly State Reporting
Page
04
JUDGE GARY W. NOSKA J.P. #3 CALHOUN
COUNTY
Cause Defendant
*****Offense****
*****Status*****
***Disposition**
Plea
T
Description
POPS POSSESSION OF PROTECTED SPECIES
POLO POSSESSION OF UNDERSIZED DRUM
PULD PERMIT UNLICENSED DRIVER TO DRIVE
PUOR POSSESS UNTAGGED OVERSIZE RED DRUM
PUSF POSSESS UNDERSIZED FISH
RDDR RADAR DETECTOR
RFET REQUEST FOR EXAMINING TRIAL
ROB ROBBERY
RV REGISTRATION VIOLATION
SANG SHRIMPING AT NIGHT
SAOC SEXUAL ASSAULT OF CHILD
SB03 NO SEATBELT AFTER 9.1.03
SBLT NO SEATBELT BEFORE 9-1-03
Sc SMALL CLAIMS
** New Causes Filed
Traffic Non-Trf
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
6 0
0 0
0 2
***
Total
0
0
0
0
0
0
0
1
0
0
0
6
0
2
*** Pending Causes
Traffic Non-Trf
0 1
1 14
4 7
1 0
2 7
0 1
0 1
0 3
1 19
1 0
0 1
9 0
6 167
0 27
****
Total
1
15
11
1
9
1
1
3
20
1
1
9
173
27
** Closed/Convicted
Traffic Non-Trf
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2
6 0
0 0
0 0
***
Total
0
0
0
0
0•
0
0
0
0
0
2
6
0
0
SOPR
SPD
SPSZ
SSRL
TAF
TALI
TBC
TCB
TERR
THFA
THFT
THNR
TINT
TRNC
UCA
UCU4
ULC
UMV
UNS
USCG
USLD
UUGH
VAA
VDLR
VOP
VOPT
VPBB
VPRC
VPRO
VTOP
SURRENDER OF PRINCIPAL
SPEEDING
SPEEDING IN SCHOOL ZONE
DISREGARD STOP SIGN/RED LIGHT
THEFT AGGRAVATED FELONY
TRAFFIC ACCIDENT NO LIA. INS.
THEFT BY CHECK
THEFT CLASS B.
TERRORIST THREAT
THEFT CLASS A
THEFT
THWARTING
UNAUTHORIZED COATING ON WINDOWS
TRUANCY
UNL. CARRYING A WEAPON
UNRESTRAINED CHILD (UNDER 4)
UNSAFE LANE CHANGE
UNAUTHORIZED USE OF A MOTOR VEHICLE
POSSESSION OF CONTROLED SUBSTANCE
INSUFFICIENT # USCG
UNSECURED LOAD
UNNECESSARY USE OF HORN
VOP/AGGRAVATED ASSAULT
VIOLATE D.L. RESTRICTIONS
VOP DEL MARIJ.
VIOLATION OF PROBATION FELONY THEFT
VIO.PROP.BURG OF BUILDING
VIOLATE PROBATION CONDITIONS
VIOLATION OF PROTECTIVE ORDER
VOP/THEFT OF PROPERTY
0
45
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
1
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
3
0
0
0
2
0
0
1
0
45
0
2
2
0
1
0
0
0
0
0
0
0
0
0
0
- 0
10
0
0
0
3
0
0
0
2
0
0
1
0
821
0
18
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
944
2
35
2
1
5
1
2
2
3
59
23
62
1
19
6
1
29
0
8
1
4
4
2
1
4
0
0
3
3
1,765
2
53
2
1
5
1
2
2
3
59
23
62
1
25
6
1
29
0
8
1
4
4
2
1
4
0
0
3
0
37
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
41
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
1
1
0
Totals
107
41
148
1,230
3,151
4,381
72
29
101
i
Clt��
06/03/2004 Money Distribution Report Page 1
JUDGE GARY W. NOSKA J.P. #3 CALHOUN COUNTY
--------------------------------------------------------
Receipt Cause/Defendant
i Code
Amount
i Code
--------------------------------------------------------------------------
Amount
i Code Amount
Code Amount
Code Amount
Code Amount
Total
0041119 2004-28827
05/03/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
MORALES, EUGENIO PRIMITIRO
I FINE
70.00
SUBC
30.00
155.00
Cash
0041120 2004-28833
05/03/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
MORALES, JOSE ROMAN
FINE
40.00
SUBC
30.00
125.00
Money Order
0041121 2004-28596
05/04/2004
CCC
40.00
CHS
3.00
LAF
5.00
TF
4.00
FINE
200.00
SELBY, TRAVIS WAYNE
•
i
i
i
i
i
252.00
Conn Service
0041122 2004-28595
05/04/2004
CCC
40.00
CHS
3.00
LAF
5.00
IF
4.00
FINE
200.00
GOFF, DAVID CLAYTON
252.00
Comm Service
0041123 2003-28071
05/04/2004
FINE
20.00
ROLLINS, EVA JEANETTE
I
I
20.00
Money Order
0041124 2004-28819
05/04/2004
TFC
3.00
CCC
40.00
CHS
3.00
IF
4.00
SUBC
30.00
WSF
50.00
135.00
WEAVER, HARVEY F.
PWAF
5.00
Personal Check
I
I -
0041125 2004-28849
05/04/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
STARKWEATHER, HENRY
ALLEN
FINE
70.00
SUBC
30.00
155.00
Cash
0041126 2004-28864
05/05/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00 I
IF
4.00
SUBC
30.00
95.00
RICHARDS, THOMAS RAMSEY I
DDC
10.00
Money Order
0041127 20637
05/06/2004
JCPT
1.00
LEOC
2.00
LEMI
0.50
CVC
15.00
CJP
5.00
CR
5.00
300.00
NGUYEN, BAC VAN
GR
2.50 I
TFC
3.00
LAF
5.00
WRNT
50.00
LEOA
1.00
FINE
150.00
Personal Check I CSRV 60.00 1 1
0041128 22396 05/06/2004 JCPT 1.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.25 CHS 3.00
BLAND, MICHAEL ROBERT LAF 5.00 FINE 226.75 CSRV 68.25
Personal Check
0041129 22199 05/06/2004 JCPT 1.00 CVC 15.00 TFC 3.00 CCC 17.00 FA 5.00 JCD 0.25
BLAND, MICHAEL ROBERT I CHS 3.00 I LAF 5.00 I FINE 78.75 I CSRV 32.00
Personal Check
0041130 22901 05/06/2004 JCPT 1.00 CVC 15.00 CCC 17.00 FA 5.00 I JCD 0.25 CHS 3.00
RODRIGUEZ, RICHARD I LAF 5.00 FINE 21.95 CSRV 17.05
Money Order
�041131 2003-28014 05/06/2004 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00
WOOD, WILLIAM DARREN CMI 0.50 LAF 5.00 WRNT 50.00 TF 4.00
Personal Check CSRV 126.60
0041132 2003-27970 05/06/2004 JCPT 2.00 CVC 15.00 TFC 3.00 CCC 17.00
WOOD, WILLIAM DARREN + CHS 3.00 CMI 0.50 SAF 5.00 WRNT 50.00
Personal Check FINE 110.00 CSRV 73.50
0041133 2003-27593A 05/06/2004 JCPT 1.24 CVC 9.36 CCC 10.60 FA 3.12
ALVARADO, JAMIE GARZA CMI 0.31 WRNT 31.19
Personal Check
0041134 2003.27593A 05/06/2004 JCPT 0.76 CVC 5.64 CCC 6.40 FA 1.88
ALVARADO, JAMIE GARZA CMI 0.19 WRNT 18.81 FINE 109.80 CSRV 58.20
Personal Check
0041135 2002-27398A 05/06/2004 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00
ROBERSON, BURTON LOUIS CMI 0.50 I WRNT 50.00 I FINE 109.80 I CSRV 58.20
Personal Check
0041136 2002-27192A 05/06/2004 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00
KIRK, KEVIN CMI 0.50 WRNT 50.00 FINE 109.80 I CSRV 58.20
Personal Check
JCD
0.50 CHS
3.00
DPSC
30.00 DPSF
290.00
FA
5.00 I JCD
0.50
TF
4.00 DPSC
30.00
JCD
0.31 CHS
1.87
JCD
0.19 CHS
1.13
DPSC
30.00
JCD
0.50 CHS
3.00
DPSC
30.00
JCD
0.50 CHS
3.00
DPSC
30.00
341.25
160.00
85.25
548.60
318.50
58.00
233.00
291.00
291.00
950)
06/03/2004
'1 Money Distribution Report
Page
2
JUDGE
GARY W. NOSKA
J.P. #3 CALHOUN COUNTY
----------- --------------------------------------------
Receipt Cause/Defendant
Code
Amount
.-------_--.---------------------.---------_---------------------------------
Code
Amount
Code
Amount
I Code
Amount
Code
Amount
Code
Amount
Total
0041137 2002-27192
05/06/2004
JCPT
2.00
I CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
CHS
3.00
155.00
KIRK, KEVIN
I
CMI
0.50
LAF
5.00
WRNT
50.00
I IF
4.00
FINE
22.00
CSRV
31.00
Personal Check
0041138 2003.28166A
05/06/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
CHS
3.00
455.00
HERNANDEZ, JUAN ANTONIO I
CHI
0.50
I LAF
5.00
I WRNT
100.00
IF
4.00
I FINE
168.00
CSRV
105.00
Personal Check
DPSC
30.00
0041139 2003-28166
05/06/2004
JCPT
2.00
CVC
15.00
TFC
3.00
CCC
17.00
FA
5.00
JCD
0.50
240.50
HERNANDEZ, JUAN ANTONIO
CHS
3.00
CMI
0.50
SAF
5.00
WRNT
50.00
IF
4.00
SUBC
30.00
Personal Check
FINE
50.00
CSF:V
55.50
0041140 2004-28834
05/06/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
SUBC
30.00
125.00
KUYKENDALL, KENNETH
RAY I
FINE
40.00
Money Order
0041141 2004-28801
05/07/2004
TFC
3.00
CCC:
40.00
CHS
3.00
LAF
5.00
IF
4.00
SUBC
30.00
285.00
VICKERY, DAMON LEE III
FINE
200.00
Cash
0041142 2004-28848
05/10/2004
CCC
40.00
CHS
3.00
PWAF
5.00
TF
4.00
WSF
100.00
152.00
ELLIOT, JACK R.
Personal Check
0041143 2004.28881
05/11/2004
SFEE
60.00
INDF
2.00
FFEE
15.00
77.00
FORMOSA PLACTICS, RUSSELL CAIN Al
Personal Check
0041144 2004.28842
05/11/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
I IF
4.00
SUBC
30.00
125.00
JORDAN, EMBRA
FINE
40.00
Money Order
0041145 25974
05/12/2004
JCPT
2.00
CVC
15.00
(LLC
17.00
FA
5.00
JCD
0.50
CHS
3.00
347.00
ARMBULA, JOE ANDREW
CMI
0.50
LAF
5.00
TF
4.00
FINE
295.00
Jail Credit
i
i
i
0041146 25749
05/12/2004
FINE
71.00
71.00
ARMBOLA, JOE A.
Jail Credit
0041147 25750
05/12/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.25
CHS
3.00
300.00
ARMBOLA, JOE A.
LAF
5.00
FINE
252.75
Jail Credit
0041148 2003-28171
05/12/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
CHS
3.00
213.91
FRANCIS, ALDO STEPHEN
CMI
0.50
LAF
5.00
WRNT
50.00
TIME
48.00
IF
4.00
FINE
63.91
Money Order
0041149 2004-28860
05/12/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
SUBC
30.00
155.00
MACULAE, BARBARA JEAN
I
FINE
70.00
Money Order
0041150 2004-28875
05/12/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
SUBC
30.00
95.00
CHEN, JENCHIH
I
DOC
10.00
Cash
0041151 2002-26321A
05/12/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
CHS
3.00
345.00
DESROSIERS, DESCHAMPS JACOB
CMI
0.50
SAF
50.00
WRNT
50.00
TF
4.00
FINE
198.00
Money Order
0041152 2004-28905
05/12/2004
INDF
2.00
FFEE
10.00
12.00
FLOYD, W. H. III
Personal Check
0041153 2004-28762
05/13/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
SUBC
30.00
155.00
BROWN, RICHARD LEROY
JR.
FINE
70.00
_
Money Order
0041154 2004-28763
05/13/2004
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
FINE
253.00
305.00
BROWN, RICHARD LEROY
JR.
Money Order
0
06/03/2004 - Money Distribution Report Page 3
JUDGE GARY U. NOSKA J.P. #3 CALHOUN COUNTY
----------------------------------------------
Receipt Cause/Defendant
I Code
Amount I
_-------------------------------
Code Amount I
Code Amount I
_________________________________________________
Code Amount I
Code
Amount I
Code Amount I
Total
0041155 2004-28906
05/13/2004
I SFEE
60.00 I
INDF
2.00
I
FFEE
10.00 I
I
I
I
72.00
RODRIGUEZ, CONNIE Y.
Personal Check
I
I
I
I
I
0041156 2004-28832
05/14/2004
I TFC
3.00 I
CCC
40.00
I
CHS
3.00 I
SAF
5.00 I
IF
4.00 I
SUBC
30.00 I
125.00
FLORES, JOSE A.
I FINE
40.00 I
I
I
I
Cash
I
I
I
I
0041157 2004-28874
05/14/2004
TFC
3.00 I
CCC
40.00
I
CHS
3.00
SAF
I
5.00 I
IF
I
4.00 I
SUBC
I
30.00 I
95.00
HOPHANN, JENNIFER ANN
•
I DDC
10.00
Cash
I
I
0041158 2004-28796
05/14/2004
I TFC
3.00 I
CCC
40.00
CHS
3.00 I
LAF
5.00
IF
4.00
SUBC
30.00 I
155.00
FUOUA, RICHARD KENT
FINE
70.00 I
I
I
I
Money Order
0041159 2004-28795
05/14/2004
I CCC
40.00 I
CHS
3.00
LAF
5.00 I
IF
4.00 I
OVER
300.00
I
352.00
FUOUA, RICHARD KENT
I
I
I
Money Order
I
I
I
I
I
0041160 2003-28038
05/14/2004
I JCPT
2.00-I
CVC
15.00-1
TFC
3.00-I
CCC
17.00-I
FA
I
5.00-I
JCD
0.50-1
26.00
MOORE, STEVEN VICTOR
I CHS
3.00-I
CHI
0.50-1
LAF
5.00-I
IF
4.00-I
FINE
85.00 I
DDC
10.00-I
Cash
I CSRV
6.00 I
1
I
I
I
0041161 2004-28742
05/14/2004
I CCC
40.00 I
CHS
3.00
SAF
5.00 I
TIME
25.00 I
TF
4.00 I
FINE
I
23.00 I
100.00
LOPEZ, EDMUND JR.
I
I
I
Money Order
I
I
0041162 2003-28425
05/17/2004
I FINE
50.00 I
I
VALDEZ, HUGO A.
I
I
50.00
Money Order
I
I
I
0041163 2002-27389
05/17/2004
I NRNT
50.00 I
FINE
100.00
I
I
I
I
VO, LAM XUAM
I
I
I
I
150.00
Cred-Card/Trnsfr
0041164 2004-28720
05/17/2004
I TFC
3.00 I
CCC
40.00
I
CHS
3.00 I
LAF
5.00 I
TF
4.00 I
SUBC
30.00 I
285.00
PAU, JONATHAN PHILLIP
I OFF
200.00 I
I
I
I
I
Money Order
I
I
I
I
0041165 2004-28901
05/17/2004
I TFC
3.00 I
CCC
40.00
I
CHS
3.00 I
SAF
5.00 I
TF
I
4.00 I
SUBC
I
30.00 I
155.00
HUNT, ARL G.
I FINE
70.00
Personal Check
0041166 2004-28866
05/19/2004
I TFC
3.00 I
CCC
40.00
I
CHS
3.00 I
SAF
5.00 I
TF
4.00
PARKER, DAMON PHILLIP I
DDC
10.00
I
SUBC
30.00 I
95.00
Money Order
I
I
I
I
I
�0041167 2004-28877
05/19/2004 I
TFC
3.00 I
CCC
40.00
I
CHS
3.00 I
SAF
5.00
IF
I
4.00 I
SUBC
I
30.00 I
95.00
TURNER, THEOPRIS
I
DDC
10.00
Cash
0041168 2004-28876
05/19/2004 I
TFC
3.00 I
CCC
40.00
I
CHS
3.00 I
SAF
5.00 I
TF
4.00
SUBC
30.00 I
195.00
SAMAYOU, SIXTO PEREZ
I
FINE
110.00
Cash
0041169 2003-27808
05/19/2004 I
JCPT
2.00 I
CVC
15.00
I
TFC
3.00 I
CCC
17.00 I
FA
5.00 I
JCD
0.50 I
165.00
ZUNIGA, ANTONIO
I
CHS
3.00 I
CMI
0.50
I
SAF
5.00 I
TF
4.00 I
FINE
110.00
Jail Credit
0041170 2003-27809
05/19/2004 I
SAF
0.13-I
LAF
0.13
I
FINE
30.00 I
I
ZUNIGA, ANTONIO
I
I
I
30.00
Jail Credit
I
I
I
I
0041171 2004-28863
05/19/2004 I
TFC
3.00 I
CCC
40.00
I
CHS
3.00 I
SAF
I
5.00 I
TF
4.00
SUBC
30.00 I
155.00
LIANG, YI CHENG
FINE
70.00
I
I
Money Order
I
I
0041172 2003-28071
05/19/2004 I
FINE
20.00 I
I
ROLLINS, EVA JEANETTE
I
I
I
I
I
I
I
20.00
Money Order
I
•
952
06/03/2004Money Distribution Report Page 4
JUDGE GARY W. NOSKA J.P. #3 CALHOUN COUNTY
---------------- ------------------ ------------------
Receipt Cause/Defendant
( Code Amount
I--.._-_-----_-.___--_--------_-_------__-__-__-_-------____-_--------_-_-------
I Code
Amount
I Code
Amount
( Code
Amount
( Code
Amount
I Code
Amount I
Total
0041173 2004-28892 05/20/2004
I
I TFC
3.00
I
CCC
40.00
I
I CHS
I
3.00 I
SAF
5.00
I
I IF
4.00
I
I SUBC
30.00
I
95.00
SIKORA, KAREN D.
I DOC
10.00
Cash
I
I
I
I
0041174 2003-28434 05/20/2004
I JCPT
2.00
I CVC
15.00
I TFC
3.00
CCC
17.00
I FA
5.00
I JCD
0.50
135.00
BECK, AMANDA LEE
I CHS
3.00
I CHI
0.50
I SAF
5.00
TF
4.00
SUBC
30.00
I FINE
50.00
Personal Check
0041175 2004-28869 05/24/2004
I TFC
3.00
I CCC
40.00
I CHS
3.00 I
SAF
5.00
TF
4.00
I SUBC
30.00
95.00
MAGALLAN, MARY JANE
I DDC
10.00
Money Order
I
I
I
I
I
0041176 2004.28791 05/24/2004
TFC
3.00
CCC
40.00
CHS
3.00 I
LAF
5.00
I TF
4.00
I SUBC
30.00
195.00
KELLY, KENAN DARKER
FINE
110.00
Money Order
0041177 2004-28823 05/24/2004
( TFC
3.00
f CCC
40.00
I CHS
3.00
( SAF
5.00
( TF
4.00
I SUBC
30.00
I
155.00
TRISTAN, DONNA DENISE
I FINE
70.00
Cash
I
I
I
I
I
0041178 2004-28642 05/24/2004
I FINE
130.00
I
I
I
I
I
130.00
DAVIDSON, MARSHALL VINCENT
I
I
I
I
I
I
Cred-Card/Trnsfr
0041179 2004-28782 05/24/2004
I TFC
3.00
I CCC
40.00
CHS
3.00
I SAF
5.00
I TIME
25.00
TF
4.00
115.00
KARTCHNER, JUSTIN ERIC
SUBC
30.00
I FINE
5.00
Money Order
I
I
I
I
I
I
0041180 2004-28865 05/24/2004
I TFC
3.00
I CCC
40.00
I CHS
3.00
I SAF
5.00
I IF
4.00
I SUBC
30.00
I
125.00
WRIGHT, CODY LEE
I FINE
40.00
I
I
I
I
I
Money Order
0041181 2004-28927 05/24/2004
I TFC
3.00
I CCC
40.00
I CHS
3.00
I SAF
5.00
I TF
4.00
SUBC
30.00
95.00
HODGES, JERRY ELVIS
I CDC
10.00
Money Order
0041182 2004-28645 05/24/2004
I TFC
3.00
I CCC
40.00
CHS
3.00 I
SAF
5.00
I IF
4.00
I SUBC
30.00
215.00
GARCIA, JESS
I FINE
130.00
Comm Service
0041183 2004-28683 05/24/2004
I TFC
3.00
I CCC
40.00
CHS
3.00 I
LAF
5.00
I IF
4.00
I SUBC
30.00
155.00
SALINAS, MANUEL RONALD
I FINE
70.00
Money Order
I
I
I
I
I
I
0041184 2004-28884 05/24/2004
I TFC
3.00
I CCC
40.00
CHS
3.00 I
SAF
5.00
I IF
4.00
I SUBC
30.00
95.00
MCDANIEL, ELIZABETH P. I
Money Order
DDC
10.00
I
(
I
I
I
0041185 2004-28742 05/24/2004 I
FINE
100.00
I
I
I
I
100.00
LOPEZ, EDMUND JR. I
I
I
I
I
I
Money Order I
I
I
I
I
0041186 2004-28893 05/24/2004 I
TFC
3.00
I CCC
40.00
I
CHS
3.00 I
SAF
5.00
I TF
4.00
SUBC
30.00
95.00
PICK, DONNA BOX I
DDC
10.00
Cash
0041187 24744 05/25/2004 I
JCPT
2.00
I CVC
15.00
CCC
17.00 I
FA
5.00
I JCD
0.25
CHS
3.00
100.00
GARDNER, GORDON WARREN JR. I
LAF
5.00
I FINE
52.75
Personal Check
0041188 25594 05/25/2004 I
FINE
47.25
I
I
I
47.25
WILLIAMS, CLYDE I
I
I
I
I
I
Personal Check I
I
I
I
I
I
0041189 19139 05/25/2004 (
FINE
70.00
I
(
(
I
I
(
70.00
GARCIA, BENITO I
I
I
I
I
Personal Check
0041190 20307 05/25/2004 I
JCPT
1.00
CVC
15.00
CJP
5.00
CR
5.00
I GR
2.50 I
TFC
3.00
108.00
STRAKOS, KATIE ELIZABETH I
SAF
5.00
I LEDA
1.50
I
FINE
70.00
Personal Check I
I
I
I
I
I
0
06/03/2004 1 1Money Distribution Report Page 5
JUDGE GARY W. NOSKA J.P. #3 CALHOUN COUNTY
-----------------------------------------------
Receipt Cause/Defendant
--------------------------------------
Code Amount
Code
Amount
Code Amount
--------------------------------------
I Code Amount
Code Amount
Code
Amount
--------
Total
0041191 2003-28017
05/25/2004
JCPT
2.00
CVC
15.00
CCC
17.00
I FA
5.00
JCD
0.50
CHS
3.00
548.60
SERNA, GERARDO
I CHI
0.50
LAF
5.00
I NRNT
50.00
TF
4.00
DPSC
30.00
DPSF
290.00
Personal Check
I CSRV
126.60
0041192 2003-27979
05/25/2004
JCPT
2.00
CVC
15.00
TFC
3.00
CCC
17.00
FA
5.00
JCD
0.50
266.50
SERNA, GERARDO
I CHS
3.00
CMI
0.50
I SAF
5.00
I URNT
50.00
I IF
4.00
DPSC
30.00
Personal Check
FINE
70.00
CSRV
61.50
0041193 2003-27857
05/25/2004
FINE
50.00
50.00
NAVA, BLANCA ALANIS
•
Personal Check
0041194 2002-27400
05/25/2004
WRNT
50.00
FINE
110.00
160.00
WAGNER, BRIAN LADDIE
i
Personal Check
0041195 2003-28437
05/25/2004
JCPT
2.00
CVC
15.00
TFC
3.00
CCC
17.00
FA
5.00
JCD
0.50
318.50
ROSALES, JOSE CERDA
CHS
3.00
CMI
0.50
SAF
5.00
WANT
50.00
TF
4.00
SUBC
30.00
Personal Check
FINE
110.00
CSRV
73.50
0041196 2003-28437A
05/25/2004
JCPT
2.00
CVC
15.00
CCC
17.00
FA
5.00
JCD
0.50
CHS
3.00
455.00
ROSALES, JOSE CERDA
CMI
0.50
LAF
5.00
NRNT
100.00
IF
4.00
FINE
198.00
CSRV
105.00
Personal Check
0041197 2004-28861
05/25/2004
EXRF
10.00
10.00
CANO, TOMA
Cash
0041198 2004-28902
05/25/2004
I TFC
3.00
CCC
40.00
I CHS
3.00
SAF
5.00
IF
4.00
SUBC
30.00
285.00
NEILL, SAMANTHA DIANE
FINE
200.00
Cash
0041199 2004-28887
05/25/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
195.00
ALVARADO, MATEO T.
FINE
110.00
Cash
0041200 2004-28883
05/25/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
MAYFIELD, BILLY
FINE
110.00
SUBC
30.00
195.00
Cred-Card/T rnsfr
0041201 2004-28761
05/27/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
155.00
MORRISON, HUGH MARTIN
OFF
70.00
Money Order
0041202 2004-28894
05/27/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
155.00
WEAVER, HARVEY F.
FINE
70.00
Money Order
•0041203 2004-28921
05/27/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
155.00
CHRISMAN, NOEL LEE
FINE
70.00
Personal Check
i
0041204 2004-28919
05/27/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
155.00
HUGHES, GARY LEE
I
FINE
70.00
Money Order
0041205 2004-28941
05/27/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
PFEIFER, DUANE LYNN
85.00
Personal Check
0041206 2004-28922
05/28/2004
TFC
3.00
CCC
40.00
CHS
3.00
SAF
5.00
IF
4.00
SUBC
30.00
155.00
ELGIN, MYRA SINGLETON
I
FINE
70.00
Personal Check
0041207 2004-28925
05/28/2004
TFC
3.00
CCC
40.00 I
CNS
3.00
SAF
5.00
TF
4.00
SUBC
30.00
95.00
GONZALES, LUCY PEREZ
DDC
10.00
Personal Check
•
954
06/03/2004 'Money Distribution Report Page 6
------------------ .......... .-------------------- •--...-----------..-...-----------------------------------------------------------
The following totals represent - Actual Money Received
Type
Code
Description Count
Retained
Disbursed
Money -Totals
COST
CCC
CONSOLIDATED COURT COSTS
65
206.60
1,859.40
2,066.00
COST
CHS
COURTHOUSE SECURITY
65
186.00
0.00
186.00
COST
CJP
CJP
2
1.00
9.00
10.00
COST
CMI
CORRECTIONAL MANAGEMENT INSTITUTE
17
0.70
6.30
7.00
COST
CR
CR
2
1.00
9.00
10.00
COST
CVC
COMPENSATION TO VICTIMS OF CRIME
23
30.00
270.00
300.00
COST
DPSC
OMNI
8
79.20
160.80
240.00
COST
FA
FUGITIVE APPREHENSION
21
9.00
81.00
90.00
COST
GR
GENERAL REVENUE
2
0.50
4.50
5.00
COST
JCD
JUVENILE CRIME AND DELINQUENCY
21
0.80
7.20
8.00
COST
JCPT
JUDICIAL AND COURT PERSONNEL TRAINING
23
3.50
31.50
35.00
COST
LAF
SHERIFF'S FEE
18
80.00
0.00
80.00
COST
LEMI
LAW ENFORCEMENT MANAGEMENT INSTITUTE
1
0.05
0.45
0.50
COST
LEOA
LAW ENFORCEMENT OFFICE ADMINISTRATION
2
0.25
2.25
2.50
COST
LEOC
LEOCE
1
0.20
1.80
2.00
COST
PWAF
TEXAS PARKS 8 WILDLIFE
2
8.00
2.00
10.00
COST
SAF
DPS
43
208.00
52.00
260.00
COST
SUBC
SUBTITLE C
43
64.50
1,225.50
1,290.00
COST
TF
TECHNOLOGY FUND
57
220.00
0.00
220.00
COST
TFC
TFC
49
141.00
0.00
141.00
COST
TIME
TIME PAYMENT FEE
3
49.00
49.00
98.00
COST
WRNT
WARRANT FEE
18
950.00
0.00
950.00
FEES
CSRV
COLLECTION SERVICE FEE
17
1,116.10
0.00
1,116.10
FEES
DOC
DEFENSIVE DRIVING
12
100.00
0.00
100.00
FEES
DFF
DEFERRED FEE
2
270.00
0.00
270.00
FEES
EXRF
EXPIRATION RENEWAL FEE
1
10.00
0.00
10.00
FEES
FFEE
FILING FEE
3
35.00
0.00
35.00
FEES
INDF
INDIGENT FEE
3
0.30
5.70
6.00
FEES
SFEE
SERVICE FEE
2
120.00
0.00
120.00
FINE
DPSF
DPS FTA FINE
2
580.00
0.00
580,00
FINE
FINE
FINE
57
4,982.76
0.00
4,982.76
FINE
OVER
OVERWEIGHT VIOLATIONS
1
150.00
150.00
300.00
FINE
WSF
WATER SAFETY FINE
2
22.50
127.50
150.00
Money Totals
81
9,625.96
4,054.90
13,680.86
•
The foltowing
totals represent - Jail Credit 8 Community
Service
COST
CCC
CONSOLIDATED COURT COSTS
6
17.10
153.90
171.00
COST
CHS
COURTHOUSE SECURITY
6
18.00
0.00
18.00
COST
CJP
CJP
0
0.00
0.00
0.00
COST
CHI
CORRECTIONAL MANAGEMENT INSTITUTE
2
0.10
0.90
1.00
COST
CR
CR
0
0.00
0.00
0.00
COST
CVC
COMPENSATION TO VICTIMS OF CRIME
3
4.50
40.50
45.00
COST
DPSC
OMNI
0
0.00
0.00
0.00
COST
FA
FUGITIVE APPREHENSION
3
1.50
13.50
15.00
COST
GR
GENERAL REVENUE
0
0.00
0.00
0.00
COST
JCD
JUVENILE CRIME AND DELINQUENCY
3
0.13
1.12
1.25
COST
JCPT
JUDICIAL AND COURT PERSONNEL TRAINING
3
0.60
5.40
6.00
COST
LAF
SHERIFFS FEE
5
20.13
0.00
20.13
•
Or-SJ
06/03/2004 _.Money Distribution Report Page 7
----------------------------------------------------------------------------------------------------------------------------------'
The following totals represent - Jail Credit 8 Community Service
Type Code Description Count Retained Disbursed Money -Totals
COST
LEMI
LAW ENFORCEMENT MANAGEMENT INSTITUTE
0
0.00
0.00
0.00
COST
LEOA
LAW ENFORCEMENT OFFICE ADMINISTRATION
0
0.00
0.00
0.00
COST
LEOC
LEOCE
0
0.00
0.00
0.00
COST
PWAF
TEXAS PARKS 8 WILDLIFE
0
0.00
0.00
0.00
COST
SAF
DPS
3
7.90
1.97
9.87
COST
SUBC
SUBTITLE C
1
1.50
28.50
30.00
COST
IF
TECHNOLOGY FUND
5
20.00
0.00
20.00
COST
TFC
TFC
2
6.00
0.00
6.00
COST
TIME
TIME PAYMENT FEE
0
0.00
0.00
0.00
COST
WRNT
WARRANT FEE
0
0.00
0.00
0.00
FEES
CSRV
COLLECTION SERVICE FEE
0
0,00
0.00
0.00
FEES
DOC
DEFENSIVE DRIVING
0
0.00
0.00
0.00
FEES
OFF
DEFERRED FEE
0
0.00
0.00
0.00
FEES
EXRF
EXPIRATION RENEWAL FEE
0
0.00
0.00
0.00
FEES
FFEE
FILING FEE
0
0.00
0.00
0.00
FEES
INDF
INDIGENT FEE
0
0.00
0.00
0.00
FEES
SFEE
SERVICE FEE
0
0.00
0.00
0.00
FINE
DPSF
DPS FTA FINE
0
0.00
0.00
0.00
FINE
FINE
FINE
8
1,288.75
0.00
1,288.75
FINE
OVER
OVERWEIGHT VIOLATIONS
0
0.00
0.00
0.00
FINE
WSF
WATER SAFETY FINE
0
0.00
0.00
0.00
Credit Totals
8
1,386.21
245.79
1,632.00
The following
totals represent - Combined Money and Credits
COST
CCC
CONSOLIDATED COURT COSTS
71
223.70
2,013.30
2,237.00
COST
CHS
COURTHOUSE SECURITY
71
204.00
0.00
204.00
COST
CJP
CJP
2
1.00
9.00
10.00
COST
CMI
CORRECTIONAL MANAGEMENT INSTITUTE
19
0.80
7.20
8.00
COST
CR
CR
2
1.00
9.00
10.00
COST
CVC
COMPENSATION TO VICTIMS OF CRIME
26
34.50
310.50
345.00
COST
OPSC
OMNI
8
79.20
160.80
240.00
COST
FA
FUGITIVE APPREHENSION
24
10.50
94.50
105.00
DST
GR
GENERAL REVENUE
2
0.50
4.50
5.00
COST
JCD
JUVENILE CRIME AND DELINQUENCY
24
0.93
8.32
9.25
COST
JCPT
JUDICIAL AND COURT PERSONNEL TRAINING
26
4.10
36.90
41.00
COST
LAF
SHERIFF'S FEE
23
100.13
0.00
100.13
COST
LEMI
LAW ENFORCEMENT MANAGEMENT INSTITUTE
1
0.05
0.45
0.50
COST
LEDA
LAW ENFORCEMENT OFFICE ADMINISTRATION
2
0.25
2.25
2.50
COST
LEOC
LEOCE
1
0.20
1.80
2.00
COST
PWAF
TEXAS PARKS 8 WILDLIFE
2
8.00
2.00
10.00
COST
SAF
DPS
46
215.90
53.97
269.87
COST
SUBC
SUBTITLE C
44
66.00
1,254.00
1,320.00
COST
IF
TECHNOLOGY FUND
62
240.00
0.00
240.00
COST
TFC
TFC
51
147.00
0.00
147.00
COST
TIME
TIME PAYMENT FEE
3
49.00
49.00
98.00
COST
WRNT
WARRANT FEE
18
950.00
0.00
950.00
FEES
CSRV
COLLECTION SERVICE FEE
17
1,116.10
0.00
1,116.10
FEES
DDC
DEFENSIVE DRIVING
12
100.00
0.00
100.00
C�
1� J
D
06/03/2004 'Money Distribution Report Page 8
------------------------------------------------------------------------------------------------------------------------- ---------
The following totals represent - Combined Money and credits
Type
Code
Description
Count
Retained
Disbursed
Money -Totals
FEES
DFF
DEFERRED FEE
2
270.00
0.00
270.00
FEES
EXRF
EXPIRATION RENEWAL FEE
1
10.00
0.00
10.00
FEES
FFEE
FILING FEE
3
35.00
0.00
35.00
FEES
INDF
INDIGENT FEE
3
0.30
5.70
6.00
FEES
SFEE
SERVICE FEE
2
120.00
0.00
120.00
FINE
DPSF
DPS FTA FINE
2
580.00
0.00
560.00
FINE
FINE
FINE
65
6,271.51
0.00
6,271.51
FINE
OVER
OVERWEIGHT VIOLATIONS
1
150.00
150.00
300.00
FINE
WSF
WATER SAFETY FINE
2
22.50
127.50
150.00
Report Totals
89
11,012.17
4,300.69
15,312.86
•
•
n
06/03/2004
- Money Distribution
Report
Page 9
------------------------------------------------------
DATE
PAYMENT -TYPE
FINES
COURT -COSTS
----------------------------------------------------------
FEES
BONDS
RESTITUTION
OTHER
-------------------
TOTAL
00/00/0000
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1991
ACTUAL MONEY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
0.00
0.00
0.00
0.00
0.00
0.00
0.00
09/01/1993
ACTUAL MONEY
140.00
38.00
0.00
0.00
0.00
0.00
178.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
140.00
38.00
0.00
0.00
0.00
0.00
178.00
09/01/1995
ACTUAL MONEY
150.00
90.00
60.00
0.00
0.00
0.00
300.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
150.00
90.00
60.00
0.00
0.00
0.00
300.00
09/01/1997
ACTUAL MONEY
327.45
141.75
117.30
0.00
0.00
0.00
586.50
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
327.45
141.75
117.30
0.00
0.00
0.00
586.50
09/01/1999
ACTUAL MONEY
100.00
47.25
0.00
0.00
0.00
0.00
147.25
CREDITS
323.75
47.25
0.00
0.00
0.00
0.00
371.00
COMBINED
423.75
94.50
0.00
0.00
0.00
0.00
518.25
09/01/2001
ACTUAL MONEY
1,758.31
1,347.00
589.80
0.00
0.00
0.00
3,695.11
CREDITS
435.00
107.00
0.00
0.00
0.00
0.00
542.00
COMBINED
2,193.31
1,454.00
589.80
0.00
0.00
0.00
4,237.11
09/01/2003
ACTUAL MONEY
260.00
355.00
129.00
0.00
0.00
0.00
744.00
CREDITS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
COMBINED
260.00
355.00
129.00
0.00
0.00
0.00
744.00
01/01/2004
ACTUAL MONEY
3,277.00
3,992.00
761.00
0.00
D.00
0.00
8,030.00
CREDITS
530.00
189.00
0.00
0.00
0.00
0.00
719.00
COMBINED
3,807.00
4,181.00
761.00
0.00
0.00
0.00
8,749.00
TOTALS
ACTUAL MONEY
6,012.76
6,011.00
1,657.1D
0.00
0.00
0.00
13,680.86
CREDITS
1,288.75
343.25
0.00
0.00
0.00
0.00
1,632.00
.
COMBINED
7,301.51
6,354.25
1,657.10
0.00
0.00
0.00
15,312.86
i
9518
06/03/2004 _.Money Distribution Report Page 10
------------------------------------- '-----------------------
DATE PAYMENT -TYPE FINES COURT -COSTS
.------------......_----------------._.--------------"
FEES BONDS
RESTITUTION
---__--__-----
OTHER TOTAL
State of Texas Quarterly Reporting Totals
Description
Count
CoLLected
Retained
Disbursed
State Comptroller Cost and Fees Report
Section I: Report for Offenses Committed
01-01-04 - Forward
56
1,840.00
184.00
1,656.00
09-01-01 - 12-31-03
90
480.00
48.00
432.00
09-01-99 - 08-31-01
5
39.25
3.93
35.32
09-01-97 - 08-31-99
'15
114.75
11.49
103.26
09-01-95 - 08-31-97
8
32.00
3.20
28.80
09-01.91 - 08-31-95
6
30.00
3.00
27.00
Bail Bonds Fee
0
0.00
0.00
0.00
DNA Testing Fees
0
0.00
0.00
0.00
EMS Trauma Fund (EMS)
0
0.00
0.00
0.00
Juvenile Probation Diversion Fees
0
0.00
0.00
0.00
State Traffic Fees
43
1,290.00
64.50
1,225.5D
Section II: As Applicable
State Police Officer Fees
45
270.00
216.00
54.00
Failure to Appear/Pay Fees
8
240.00
79.20
160.80
Judicial Fund - Const County Court
0
0.00
0.00
0.00
Judicial Fund - Statutory County Court
0
0.00
0.00
0.00
Motor Carrier Weight violations
1
300,00
150.00
150.00
Time Payment Fee
3
98.00
49.00
49.00
Report Sub Total
280
4,734.00
812.32
3,921.68
State Comptroller Civil Fees Report
CF:
Birth Certificate Fees
0
0.00
0.00
0.00
CF:
Marriage License Fees
0
0.00
0.00
0.00
CF:
Declaration of Informal Marriage
0
0.00
0.00
0.00
CF:
Nondisclosure Fees
0
0.00
0.00
0.00
CF:
Juror Donations
0
0.00
0.00
0.00
CF:
Justice Court Indig Filing Fees
3
6.00
0.30
5.70
CF:
Stat Prob Court Indig Filing Fees
0
0.00
0.00
0.00
CF:
Stet Prob Court Judic Filing Fees
0
0.00
0.00
0.00
CF.,
Stet Cnty Court Indig Filing Fees
0
0.00
0.00
0.00
CF:
Stet Cnty Court Judic Filing Fees
0
0.00
0.00
0.00
CF:
Cnst Cnty Court Indig Filing Fees
0
0.00
0.00
0.00
CF:
Cnst Cnty Court Judic Filing Fees
0
0.00
0.00
0.00
CF:
Dist Court District 8 Family Law
0
0.00
0.00
0.00
CF:
Dist Court Other Divorce/Family Law
0
0,00
0.00
0.00
CF:
Dist Court Indig Filing Fees
0
0.00
0.00
0.00
Report Sub Total
3
6.00
0.30
5.70
Total Due For This Period
283
4,740.00
812.62
3,927.38
•
DECLARE THE FOLLOWING ITEMS FROM EMERGENCY MANAGEMENT AS SURPLUS /
SALVAGE:
A Motion was made by Commissioner Balajka and seconded by Commissioner Finster to declare
the following items from the Emergency Management Department as Surplus/Salvage: #406-
0087 (2) Power Supplies Uninterruptible Pro 650 PNP Bund, #406-0095 — Meteorological Station
Component — Voltage input module, #406-0094 — Meteorological Station Component — Wind
speed/Direction module, #406-0123 — Serial #4279902 Receiver — Weather Direct VHF WX-3
with Software, #406-0091 — Meteorological Station Component — Temp/RH Sensor, #406-0092 —
Meteorological Station Component — Precip. Gauge w/o heaters 0-55MM, #406-0090 —
Meteorological Station Component Multi -plate Radiation Shield (no S#) and #406-0124 — Serial
#4279903 — Modem 9600 Baud/Wefax WX96-ENC for Rebroadcast. Commissioners' Galvan,
• Balajka, Finster and Judge Pfeifer all voted in favor.
Calhoun County Emergency Management
211 South Ann Street, Suite 304
Port Lavaca, TX 77979-4249
Phone: 361-553-4400/Fax: 361-553-4444
e-mail: emenngt&tisd.net
May 27, 2004
Please place the following items on the Commissioners' Court Agenda for June 10, 2004 to
Surplus/Salvage:
1. Inventory #406-0087-(2) Power supplies-Uninterruptible pro 650 PNP Bund
2. Inventory #406-0095-Meteorological Station Component -Voltage input module
3. Inventory #406-0094-Meteorological Station Component -Wind speed/Direction module
4. Inventory #406-0123-Serial #4279902-Receiver-Weather Direct VHF WX-3 with Software
• 5. Inventory #406-0091-Meteorological Station Component-Temp/RH Sensor
6. Inventory #406-0092-Meteorological Station Component -Precipitation Gauge w/o Heaters
0-55MM
7. Inventory #406-0090-Meteorological Station Component -Multi -plate Radiation shield (no S#)
8. Inventory #406-0124-Serial#4279903-Modem-9600 Baud/Wefax WX96-ENC for Rebroadcast
06,K)
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
REARING
2004
AMENDMENT NO: 319
AMENDMENT REASON: 10X10 DOOR INSTALLED REQUESTOR: PATRICIA KALSEK
FUND NAME: GENERAL FUND ROONO: 1000
DEPARTMENT NAME: WASTE MANAGEMENT DEPARTMENT NO: 380
ACCT NO ACCTNAME CRANTNo CRARTNAME
60520 BUILDING REPAIRS 999 NO GRANT
RINO BAL
INCREASE
GEMSEI
($1,600.00)
63200 LANDFILL CLOSURE 999 NO GRANT $0.00 $0.00 $0.00 $1,600.00 $1,600.00
RE9W
QIMUSE
REVENUE
OEdIFASE
EXPFTAIITINiE
INCREASE
EXPETmIRIIE
OEDASE
$0.00
$0.00
$1,600.00
$0.00
AMENDMENT NO: 320
AMENDMENT REASON: PARTS FOR BUILDING AND PLUMBING REQUESTOR: PATRICIA KALISEK
FUND NAME: GENERAL FUND RMNO: 1000
DEPARTMENT NAME: WASTE MANAGEMENT DEPARTMENT NO: 380
RAID BAL
ACCT NO ACCT NAME CRAM NO GRANT NANO REVENUE RE➢MIE EX HUM DOMBOM INCREASE
INCREASE WUSE INCREASE OlMSE RCBEASEI
53610 BUILDING SUPPLIES/PARTS 999 NO GRANT $0.00 $0.00 $100.00 $0.00 ($100.00)
63200 LANDFILL CLOSURE 999 NO GRANT $0.00 $0.00 $0.00 $100.00 $100.00
AMENDMENT NO: 321
AMENDMENT REASON: LINE ITEM TRANSFER REQUESTOR: A. ZAN MATTHIES, JR.
FUND NAME: GENERAL FUND
RM N0: 1000
Wednesday, June 09, 2004 Page 1 of 13
m 03
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•
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
NEI RINGOATE 6/10/2004 NEARING TYPE REGULAR BUDGET YEAR: 2004
AMENDMENT NO: 321
AMENDMENT REASON: LINE ITEM TRANSFER REQUESTOR: A. ZAN MATTHIES, JR.
FUND NAME: GENERAL FUND f[mNO. 1000
DEPARTMENT NAME: EXTENSION SERVICE DEPARTMENT NO: 110
ACCT NO ACCT NAME GRANT NO GRANT NAND:
53310 PROGRAM SUPPLIES 999 NO GRANT
REVENUE REVENUE EXPENOMURE EXPENOTRRiE
INCREASE OECREASE INCREASE RECREASE
$0.00 $0.00 $300.00 $0.00
RIND BAL
II121EASE
IDECREASE]
($300.00)
60338 AUTO ALLOWANCES -MARINE AG 999 NO GRANT $0.00 $0.00 $0.00 $300.00 $300.00
AMENDMENT NO: 322
AMENDMENT REASON: REPAIR BAUER BUILDING ROOF REQUESTOR: CHARLES CROBER
FUND NAME: GENERAL FUND EUNONO: 1000
DEPARTMENT NAME: BUILDING MAINTENANCE DEPARTMENT NO: 170
RBBI BAL
REYEIIIIE REVENLO EX MINI OiE EXPENIRIIBE immuBE
=NO ACCTNw GRANTNO GRANTNW I(ISIEASE MMSE IICREASE DOMSE mCREAsEI
63920 MISCELLANEOUS 999 NO GRANT $0.00 $0.00 $0.00 $23,000.00 $23,000.00
65452 REPAIRS-BAUER BLDG 999 NO GRANT $0.00 $0.00 $23.000.00 $0.00 ($23,000.00)
AMENDMENT NO: 323
AMENDMENT REASON: REVERSE ERRONEOUS AMENDMENT NO. 305 APPROVED 5127104 REQUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND FUND NO- 1000
e.�
7v
Wednesday, June 09, 2004 Page 2 of 13
%0'-_
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
IEARDIMATE VW2004 IEJIBIIA TYPE HENAN BUDGET MEAN 2004
AMENDMENT NO: 323
AMENDMENT REASON: REVERSE ERRONEOUS AMENDMENT NO. 305 APPROVED 5/27/04 REQUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND FUNDND: 1000
DEPARTMENT NAME: WASTE MANAGEMENT DEPARTMENT NO: 380
HIM BAE
REVENIIE MENDE EI(MUME WINDOME INCREASE
ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE BEMUSE IDEMEASET
60520 BUILDING REPAIRS 999 NO GRANT $0.00 $0.00 $0.00 $9,100.00 $9.100.00
66830 WASTE DISPOSAL FEES 999 NO GRANT $0.00 $0.00 $9,100.00 $0.00 ($9,100.00)
AMENDMENT NO: 324
AMENDMENT REASON: LINE ITEM TRANSFER REQUESTOR: A. ZAN MATTHIES, JR.
FUND NAME: GENERAL FUND ENO: 1000
DEPARTMENT NAME: EXTENSION SERVICE DEPARTMENT NO: 110
REVENUE REVENUE EXPENDITURE EXPENOITBRE
ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE BEMUSE INCREASE DECREASE
53310 PROGRAM SUPPLIES 999 NO GRANT $0.00 $0.00 $200.00 $0.00
RIND BAE
INCREASE
[DECREASE]
($200.00)
60338 AUTO ALLOWANCES -MARINE AG 999 NO GRANT $0.00 $0.00 $0.00 $200.00 $200.00
AMENDMENT NO: 325
AMENDMENT REASON: PO#40407 G&W ENGINEERS & CARY CONSTRUCTION CHANGE ORDER #1 REQUESTOR: COMMISSIONER FINSTER
FUND NAME: CAPITAL PROJECT COASTAL IMPROVEMENTS
FUND N0: 5105
Wednesday, June 09, 2004 Page 3 of 13
0
SIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
IEAAIUNGDATE 6/10/2004 HEARING TYPE RE90M BUDGET YEAR: 2004
AMENDMENT NO: 325
AMENDMENT REASON: PO#40407 G&W ENGINEERS & CARY CONSTRUCTION CHANGE ORDER 41 REQUESTOR: COMMISSIONER FINSTER
FUND NAME: CAPITAL PROJECT COASTAL IMPROVEMENTS FUMM. 5105
DEPARTMENT NAME: NO DEPARTMENT DEPARTMENT NO: 999
ACCT NO ACCT NAND:
62482 ENGINEERING/PERMITS (FEMA)
71082 CONSTRUCTION MATERIAL & SE
73442 PIER
SRANT NO CRANT NW
474 POC KING FISHER BEACH C
474 POC KING FISHER BEACH C
474 POC KING FISHER BEACH C
RIND HAL
REVENUE
REVENUE
EXPEImIiIRiE
EXPOM ME
RICREASE
BIMEASE
BEMUSE
HIMUSE
BEMUSE
(DECREASE]
$0.00
$0.00
$1,968.00
$0.00
($1,968.00)
$0.00
$0,00
$3,040,00
$0.00
($3,040.00)
$0.00
$0.00
$0.00
$5,008.00
$5,008.00
AMENDMENT NO: 326
AMENDMENT REASON: CORRECT ERRORS IN AMENDMENT NO. 312 APPROVED 5127104 REQUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND fLmNp. 1000
DEPARTMENT NAME: DISTRICT ATTORNEY DEPARTMENT NO: SID
FIND HAL
REVENUE REVENUE EXPENOFRHiE EXPENBITUI E INCREASE
ACCT NO ACCT NAME GRANT NO SHAW NAME INCREASE DECREASE INCREASE DECREASE (DECREASE]
51600 OVERTIME/BONUS/DISTRICT ATT 999 NO GRANT $0.00 $0.00 $672.00 $0.00 ($672.00)
51820 EMPLOYEE BENEFITS 999 NO GRANT $0.00 $0.00 $0.00 $672.00 $672.00
DISTRICT ATTORNEY TOTA $0.00 $0.00 $672.00 $672.00 $0.00
DEPARTMENT NAME: DISTRICT COURT DEPARTMENT NO: 430
FIND HAL
ACCT NO ACCT NAME
GRAM NO SHUT NAME
REVENUE
INMEASE
REVENUE
BEMUSE
EXPENDITURE
INCREASE
EXPENDITURE INCREASE
BEMUSE (OEMEASEI
61460 COURT REPORTER -SPECIAL
999 NO GRANT
$0.00
$0.00
$2,626.00
$0.00 ($2,626.00)
63380 LEGAL SERVICES -COURT APPOI
999 NO GRANT
$0,00
$0.00
$0.00
$2,626.00 $2,626.00
DISTRICT COURT TOTA
$0.00
$0.00
$2,626.00
$2,626.00 $0.00
1�
Wednesday, June 09, 2004
Page 4 of 13
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
R EAROFCDATE 6/10/2004 HEARING TYPE REMO BUDCET YEAR 2004 -
AMENDMENT NO: 326
AMENDMENT REASON: CORRECT ERRORS IN AMENDMENT NO. 312 APPROVED 5/27/04 REOUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND FIRIOND: 1000
GENERAL FUND TOTAL $0.00 $0.00 $3,298.00 $3,298.00 $0.00
AMENDMENT NO 326 TOTAL $0.00 $0.00 $3,298.00 $3,298.00 $0.00
AMENDMENT NO: 327
AMENDMENT REASON: TREASURER'S RECEIPT #15697, POSTAGE REIMB. BY HOT CHECK RESTITUTION REOUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND EORONO: 1000
DEPARTMENT NAME: DISTRICT ATTORNEY
DEPARTMENT NO:
5110
FUND DAL
REVENUE REYEIDIE EKPFNOOTORE
EXPENDIDRE
INCREASE
ACCT NO ACCT NAME GRANT NO GIANT NAME
INCREASE DECREASE INCREASE
DECREASE
[DECREASE]
64790 POSTAGE 999 NO GRANT
$0.00 $0.00 $36.00
$0.00
($36.00)
DISTRICT ATTORNEY TOTA
$0.00 $0.00 $36.00
$0.00
($36.00)
DEPARTMENT NAME: REVENUE
DEPARTMENT NO:
1
ACCT NO ACCT NAME GRANT NO GRANT NAME
49210 MISCELLANEOUS REVENUE-GEN 999 NO GRANT
REVERDE REVENIR: EXPENDITO RE EXPENDITURE
MOUSE DECREASE INCREASE DECREASE
$36.00 $0.00 $0.00 $0.00
FUND DAL
INCREASE
[DECREASE]
$36.00
AMENDMENT NO: 328
AMENDMENT REASON: BURGLAR ALARM FOR PORT O'CONNOR LIBRARY REOUESTOR: COMMISSIONER FINSTER
FUND NAME: GENERAL FUND
FUNDNO' 1000
DEPARTMENT NAME: LIBRARY
DEPARTMENT NO:
140
FUND BAL
REVENUE ROMEXPENDITURE
EXPENDITURE
INCREASE
C ACCT NO ACCT NAME
GRANT NO GRANT NANO
INCREASE DECREASE INCREASE
DECREASE
(DECREASE]
70750 CAPITAL OUTLAY
999 NO GRANT
$0.00 $0.00 $1,100.00
$0.00
($1,100.00)
Wednesday, June 09, 2004
Page 5 of 13
0
0
•
•
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
HI MIM1.IKE: 5/1I/2004 HEAPoNC TYPE RECUIM UCET YEAR: 2004
AMENDMENT NO: 328
AMENDMENT REASON: BURGLAR ALARM FOR PORT O'CONNOR LIBRARY REQUESTOR: COMMISSIONER FINSTER
FUND NAME: GENERAL FUND RONONh 1000
DEPARTMENT NAME: LIBRARY DEPARTMENT NO: 140
CAIRN RAI
REVERE REVERE EXPETOIITINiE EXPENDRINE DICREASE
ACCT NO ACCTMAE MMNO CHANT NAME IRPJlceec RCPRCAeC tUMCAQC RCPOCAvr
DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT
ACCT NO ACCTNAME CRANTNO RANT NAME
53510 ROAD & BRIDGE SUPPLIES 999 NO GRANT
DEPARTMENT NO: 570
REVENUE REVERE EXPENDMI RE EXPENDITURE
INCREASE DECREASE INCREASE DECREASE
$0.00 $0.00 $0.00 $1,100.00
AMENDMENT NO: 329
AMENDMENT REASON: AMOUNT NEEDED FOR RENEWAL PREMIUM REQUESTOR: COUNTY AUDITOR
FUND NAME: AIRPORT FUND RUN(k 2610
DEPARTMENT NAME: NO DEPARTMENT DEPARTMENT NO: 999
ACCT NO ACCT NAME GRANT NO GRANT NANO:
62860 INSURANCE -AIRPORT LIABILITY 999 NO GRANT
HIND DAL
INCREASE
[DECREASE]
$1,100.00
RIND DAL
MCREASE
IDECREASE)
($900.00)
66600 UTILITIES 999 NO GRANT $0.00 $0.00 $0.00 $900.00 $900.00
REVENUE
INCREASE
REVENUE
DECREASE
EXPENIRTIDiE
INCREASE
EXPENINNRiE
DECREASE
$0.00
$0.00
$900.00
$0.00
AMENDMENT NO: 330
AMENDMENT REASON: ADJUST BUDGET PER DISCUSSION WITH BYRON CUMBERLAND FOR CHANGE REQUESTOR: COUNTY AUDITOR
ORDERS APPROVED MAY 2004
Wednesday, June 09, 2004
Page 6 of 13
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
HEANINMATE 6/10/2004 HEARINC TYPE REUM BUDCET YEAR: 2004
AMENDMENT NO: 330
AMENDMENT REASON: ADJUST BUDGET PER DISCUSSION WITH BYRON CUMBERLAND FOR CHANGE REQUESTOR: COUNTY AUDITOR
ORDERS APPROVED MAY 2004
FUND NAME: CAPITAL PROJECT FUND LIGHTHOUSE
FUNDNE 5130
DEPARTMENT NAME: NO DEPARTMENT
DEPARTMENT NO:
999
FUND BAL
REVENUE
MENDS
EXPENDITURE
EXPENDITURE
INCREASE
ACCT NO
ACCT NAME
GRANT NO GRANT NAME
INCREASE
DECREASE
INCREASE
DECREASE
[CREASE]
60030
ADMINISTRATION
999 NO GRANT
$0.00
$0.00
$0.00
$24,618.00
$24,618.00
62475
ENVIRONMENT COSTS
999 NO GRANT
$0.00
$0.00
$9,538.00
$0.00
65740
SERVICES
999 NO GRANT
$n n
v v0
$0 Q0
$Q00
$on nnD 00
con nnn0
$2 , 0.v
71640
EQUIPMENT -COMPOSTING TOILE
999 NO GRANT
$0.00
$0.00
$0.00
$40.000.00
$40,000.00
73304
LANDSCAPING
999 NO GRANT
$0.00
$0.00
$0.00
$25,000.00
$25,000.00
73341
LIGHTHOUSE REFURBISHMENT
999 NO GRANT
$0.00
$0.00
$35,080.00
$0.00
($35,080.00)
73341
LIGHTHOUSE REFURBISHMENT
999 NO GRANT
$0.00
$0.00
$65,000.00
$0.00
($65,000.00)
AMENDMENT NO: 331
AMENDMENT REASON: PO#37171 & PO#37555 REQUESTOR: COUNTYAUDITOR
FUND NAME: JUSTICE COURT TECHNOLOGY FUND
FUNDNO: 2719
DEPARTMENT NAME: NO DEPARTMENT
DEPARTMENT NO:
999
FUND DAL
REVENUE
REVENUE
EXPENDITURE
EXPENDITURE
INCREASE
ACCT NO ACCT NAME
COW NO GRANT NAME
INCREASE
DECREASE
INCREASE
DECREASE
[DECREASE]
53110 COMPUTER SUPPLIES
999 NO GRANT
$0.00
$0,00
$54.00
$0.00
($54.00)
63500 MACHINE MAINTENANCE
999 NO GRANT
$0.00
$0,00
$140.00
$0.00
($140.00)
_
NO DEPARTMENT TOTA
$0.00
$0.00
$194 00
$0.00
($194 00)
Wednesday, June 09, 2004
Page 7 of 13
0
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
NEANINSDATE 6/10/20U NEANINC TYPE RECIIAB BUDGET YEAA: 2004
AMENDMENT NO: 331
AMENDMENT REASON: PO#37171 & PO#37555 REQUESTOR: COUNTY AUDITOR
FUND NAME: JUSTICE COURT TECHNOLOGY FUND fnNU- 2719
DEPARTMENT NAME: REVENUE DEPARTMENT NO: 1
ACCT NO ACCT RAW GRANT NO CRANE NAME
44062 FEES -JUSTICE OF PEACE PRECI 999 NO GRANT
REVETNUE REVENGE EXPENtaNRE
INCREASE DECREASE OICREASE
$194.00 $0.00 $0.00
AMENDMENT NO: 332
AMENDMENT REASON: TRADE-IN ALLOWANCE ON TWO EMS DEFIBRILLATORS REQUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND RIINDNO: 1000
DEPARTMENT NAME: EMERGENCY MEDICAL SERVICES DEPARTMENT NO: 345
REVENGE REVENGE EXPEN(DTIRRE EXTENOITIHE
ACCT NO ACCT NAME GRANT NO GRANT NAME INCREASE DECREASE INCREASE DECREASE
70750 CAPITAL OUTLAY 999 NO GRANT $0.00 $0.00 $8,750.00 $0.00
DEPARTMENT NAME: OTHER FINANCING
ACCT NO ACCT NAME CRAW NO GRANT NAME
90005 GAIN/LOSS ON SALE OF ASSETS 999 NO GRANT
DEPARTMENT NO:
REVENUE
INCREASE
REVENUE
DECREASE
EXPfINMURE
INCREASE
EXPENDITURE
DECREASE
$0.00
$0.00
$0.00
$8,750.00
AMENDMENT NO: 333
AMENDMENT REASON: OVERDRAWN ACCOUNTS REQUESTOR: COUNTY AUDITOR
HIND DAL
INCREASE
DECREASEI
$194.00
HM DAL
INCREASE
OJECREASEI
($8,750.00)
RIND BAI.
INCREASE
(DECREASE)
$8,750.00
Wednesday, June 09, 2004 Page 8 of 13
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
REARMCOATE 1/10/2004 NEARING TYPE BE61ftAR BUDGET YEAR 2004
AMENDMENT NO: 333
AMENDMENT REASON: OVERDRAWN ACCOUNTS
REDUESTOR: COUNTY AUDITOR
FUND NAME: CAPITAL PROJECTMOLD REMEDIATION
ryp1DN0; 5210
DEPARTMENT NAME: NO DEPARTMENT
DEPARTMENT NO:
999
FUND BAL
R ENDE
REVENUE
EXPENDITURE
fXPElOIME
INCREASE
ACCT NO ACCT NAME GRAN[ NO GRANT NAND
INCREASE
MOUSE
MOUSE
DE OEASE
mECREASO
53992 SUPPLIES -MISCELLANEOUS 999 NO GRANT
$0.00
$0.00
$0.00
$163.00
$163.00
63920 MISCELLANEOUS 999 NO GRANT
$0.00
$0.00
$0.00
$237.00
$237.00
64945 PROFESSIONAL SERVICES 999 NO GRANT
$0.00
$0.00
$0.00
$o 00
66192 TELEPHONE SERVICES 999 NO GRANT
$0.00
$0.00
$409.00
$0.00
($409.00)
NO DEPARTMENT TOTA
$0.00
$0.00
$409.00
$409.00
$0.00
CAPITAL PROJECTMOLD REMEDIATION TOTAL
$0.00
$0.00
$409.00
$409.00
$0.00
FUND NAME: GENERAL FUND
FmRNR 1000
DEPARTMENT NAME: CONSTABLE -PRECINCT #1
DEPARTMENT NO:
580
FUND BAL
ACCT NO ACCT NAME GRANT NO GRANT NAME
REVENUE
INCREASE
REVENUE
DECREASE
SMADITURE
MOUSE
EXPENDITURE
DECREASE
INCREASE
WREAsEi
63920 MISCELLANEOUS 999 NO GRANT
$0.00
$0.00
$0.00
$35.00
$35.00
66316 TRAINING TRAVEL OUT OF COLIN 999 NO GRANT
$0.00
$0.00
$35.00
$0.00
($35.00)
CONSTABLE -PRECINCT #1 TOTA
$0.00
$0.00
$35.00
$35.00
$0.00
DEPARTMENT NAME: CONSTABLE -PRECINCT #2
DEPARTMENT NO:
590
FUNDBAL
REVENUE
REVENUE
EXPENITURE
EXPENDITURE
INCREASE
ACCT NO ACCT NAME GRANT NO GRANT NAME
INCREASE
DECREASE
INCREASE
DECREASE
[DECREASET
53430 LAW ENFORCEMENT SUPPLIES 999 NO GRANT
$0.00
$0.00
$11.00
$0.00
($11.00)
53995 UNIFORMS 999 NO GRANT
$0.00
$0.00
$0.00
$11.00
$11.00
-
CONSTABLE-PRECINCT#2 TOTA
$0.00
$0.00
$11.00
$11.00
$0.00
DEPARTMENT NAME: COUNTY COURT -AT -LAW
DEPARTMENT NO:
410
FUND UAL
REVENUE
REVENUE
EXPENDITURE
EXPENDITURE
INCREASE
ACCT NO ACCT NAME GRANT NO GRANT NAME
INCREASE
DECREASE
INCREASE
DECREASE
[DECREASE]
Wednesday, June 09, 2004
Page 9 of 13
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
REARINGOATE 6/10/2004 REARING TYPE REGULAR BUDGET YEAR: 2004
AMENDMENT NO: 333
AMENDMENT REASON: OVERDRAWN ACCOUNTS
REQUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND
FUND NO: 1000
DEPARTMENT NAME: COUNTY COURT -AT -LAW
DEPARTMENT NO:
410
RAID RR
ACCT NO ACCT NAME
CRIME CRANT NAME
RRMUN
INCREASE
REIIEIDIE
BEMUSE
WENOITU E
INCREASE
EXPEIIDITUIE
DECREASE
INCREASE
[DEGREASER
60050 ADULT ASSIGNED -ATTORNEY FIE
999 NO GRANT
$0.00
$0.00
$128.00
$0.00
($128.00)
63380 LEGAL SERVICES-COURTAPPOI
999 NO GRANT
$0.00
$0.00
$0.00
$128.00
$128.00
COUNTY COURT -AT -LAW TOTA
$0.00
$0.00
$128.00
$128.00
$0.00
DEPARTMENT NAME: DISTRICT COURT
DEPARTMENT NO:
430
RIND UAL
ACCT NO ACCT NAME
GRANT NO GRANT NAME
REYENU:
INCREASE
REVENUE
DECREASE
EX9311TUiE
INCREASE
EXPBTORU E
DECREASE
INCREASE
MECREA80
60050 ADULT ASSIGNED -ATTORNEY FE
999 NO GRANT
$0.00
$0.00
$1,003.00
$0.00
($1,003.00)
60053 ADULT ASSIGNED -OTHER LITIGA
999 NO GRANT
$0.00
$0.00
$112.00
$0.00
($112.00)
63380 LEGAL SERVICES -COURT APPOI
999 NO GRANT
$0.00
$0.00
$0.00
$1,115.00
$1.115.00
DISTRICT COURT TOTA
$0.00
$0.00
$1,115.00
$1,115.00
$0.00
DEPARTMENT NAME: ELECTIONS
DEPARTMENT NO:
270
RM BAL
ACC[ No ACC[ NAME
CRAM No GRANT RAW
REVENUE
INCREASE
REVENUE
BEMUSE
E)WOUNTURE
INCREASE
EXPEtOIfME
DECREASE
91MUSE
[DECREASE]
53361 ELECTION SUPPLIES
999 NO GRANT
$0.00
$0.00
$0.00
$250.00
$250.00
61240 CONTRACT SERVICES
999 NO GRANT
$0.00
$0.00
$245.00
$0.00
($245.00)
66310 TRAINING REGISTRATION FEESIT
999 NO GRANT
$0.00
$0.00
$5.00
$0.00
($5.00)
ELECTIONS TOTA
$0.00
$0.00
$250.00
$250.00
$0.00
DEPARTMENT NAME: EMERGENCY MEDICAL SERVICES
DEPARTMENT NO:
345
RIND BAL
ACCT NO ACCT NAME
GRANT NO GRANT NAME
RUM
INCREASE
REVENUE
DECREASE
E](PENDITIIRE
INCREASE
EXPENDIME
DECREASE
INCREASE
TOEMEAW
51610 OVERTIME
999 NO GRANT
$0.00
$0.00
$0.00
$9,312.00
$9,312.00
51613 OVERTIME BASE PAY
999 NO GRANT
$0.00
$0.00
$6,208.00
$0.00
($6,208.00)
Wednesday, June 09, 2004
Page 10
of 13
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
REARINCORTE 6/W2004 OURINCTYPE REMM ODWYEAR: 2604
AMENDMENT NO: 333
AMENDMENT REASON: OVERDRAWN ACCOUNTS REQUESTOR: COUNTYAUDITOR
FUND NAME: GENERAL FUND =N4 1000
DEPARTMENT NAME: EMERGENCY MEDICAL SERVICES DEPARTMENT NO: 345
RIIA) BAL
ACCT NO
51616
ACCT NAME
OVERTIME PREMIUM PAY
GRANT NO COW ME
999 NO GRANT
MENDS
INCREASE
$0.00
REVENUE
DECREASE
$0.00
El(PEI00m
INCREASE
$3,104.00
EXPENI M
DECREASE
$0.00
WMEASE
DR CREASE)
($3,104.00)
EMERGENCY MEDICAL SERVICES TOTA
$0.00
$0.00
$9,312.00
$9 312 00
$0 00
DEPARTMENT NAME: JAIL
DEPARTMENT NO:
180
-
RN UAL
ACCT NO
51540
ACCTNANff
TEMPORARY
CBANTNO GRANT NAME
999 NO GRANT
REVENUE
INCREASE
$0.00
REVEKOE
DECREASE
$0.00
EXPWRIRE
INCREASE
$1,372.00
EXPENOI)UiE
DECREASE
$0.00
INCREASE
[DECREASE)
($1,372.00)
64880
PRISONER LODGING -OUT OF CO 999 NO GRANT
$0.00
$0.00
$0.00
$8,039.00
$8,039.00
64910 PRISONER MEDICAL SERVICES 999 NO GRANT $0.00 $0.00 $6,667.00 $0.00 ($6,667.00)
JAIL TOTA $0.00 $0.00 $8,039.00 $8,039.00 $0.00
DEPARTMENT NAME: JUVENILE COURT DEPARTMENT NO: 500
ACCT NO ACCT NAME CRANE NO GRANT NANO:
63070 JUVENILE ASSIGNED -ATTORNEY 999 NO GRANT
RIND BAL
REVENUE REVENUE EXPENOITURE EXPENBRUBE INCREASE
INCREASE DECREASE INCREASE OECREASE L6ECRERSO
$0.00 $0.00 $500.00 $0.00 ($500.00)
63380 LEGAL SERVICES -COURT APPOI 999 NO GRANT $0.00 $0.00 $0.00 $500.00 $500.00
JUVENILE COURT TOTA $0.00 $0.00 $500.00 $500.00 $0.00
DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #1 DEPARTMENT NO: 540
ACCT NO ACCT NAM GRANT NO GRANT NAME
51950 FEDERAUSTATE UNEMPLOYMEN 999 NO GRANT
53210 MACHINERY PARTS/SUPPLIES 999 NO GRANT
53510 ROAD & BRIDGE SUPPLIES 999 NO GRANT
REVENUE REVENUE EXPENDIORE EXPENDITURE
INCREASE DECREASE INCREASE DECREASE
$0.00 $0.00 $20.00 $0.00
RIND BAL
INCREASE
IDECREASO
($20.00)
($878.00)
$3,399.00
53992 SUPPLIES -MISCELLANEOUS 999 NO GRANT $0.00 $0.00 $1,118.00 $0.00 ($1,118.00)
)a'-^ Wednesday, June 09, 2004 Page 11 of 13
$0.00 $0.00 $878.00 $0.00
$0.00 $0.00 $0.00 $3,399.00
0 0 0
COMMISSIONERS' COURT BUDGET ADJUSTMENT APPROVAL LIST
NEARINCOATE 6/10/20U HEARING TM REGULAR BUDGET YEAR: 2004
AMENDMENT NO: 333
AMENDMENT REASON: OVERDRAWN ACCOUNTS
REQUESTOR: COUNTY AUDITOR
FUND NAME: GENERAL FUND
RMNO.
1000
DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT #1
DEPARTMENT NO:
540
FUND UAL
ACCT NO ACCT NAME
COW NO GRANT NRh1E
REVENUE
DICIIERSE
REVENUE
BECOME
EK�IIME
MCREASE
EX�TURE
DECREASE
MCREABE
D)fCREASEI
64370 OUTSIDE MAINTENANCE
999 NO GRANT
$0.00
$0.00
$949.00
$0.00
($949.00)
65476 REPAIRS -RODEO ARENA
999 NO GRANT
$0.00
$0.00
$433.00
$0.00
($433.00)
73400 MACHINERY AND EQUIPMENT
999 NO GRANT
$0.00
$0.00
$1.00
$0.00
($1.00)
ROAD AND BRIDGE -PRECINCT #1 TOTA
$0.00
$0.00
$3,399.00
$3 399.00
$0.00
DEPARTMENT NAME: ROAD AND BRIDGE -PRECINCT
#3
DEPARTMENT NO:
560
RIND UAL
ACCT NO ACCT NAME
GRANT NO GRANT NAME
REVENUE
QICREASE
REVENUE
DECREASE
EX�TURE
INCREASE
ESPENINTURE
DECREASE
016REASE
UflffASEI
51613 OVERTIME BASE PAY
999 NO GRANT
$0.00
$0.00
$32.00
$0.00
($32.00)
51616 OVERTIME PREMIUM PAY
999 NO GRANT
$0.00
$0.00
$16.00
$0.00
($16.00)
53510 ROAD & BRIDGE SUPPLIES
999 NO GRANT
$0.00
$0.00
$0.00
$73.00
$73.00
64640 PERMITS
999 NO GRANT
$0.00
$0.00
$25.00
$0.00
($25.00)
ROAD AND BRIDGE -PRECINCT #3 TOTA
$0.00
$0.00,
$73.00
$73.00
$0.00
DEPARTMENT NAME: SHERIFF
DEPARTMENT NO:
760
RURAL
ACCT NO ACCT NAME
GRANT NO GRANT NAME
REVENUE
HOME
REVENUE
DECREASE
M930 TU E
RYCREASE
ESIMIIURE
DECREASE
SMERSE
[DECREASE)
51610 OVERTIME
999 NO GRANT
$0.00
$0.00
$0.00
$1,805.00
$1,805.00
51613 OVERTIME BASE PAY
999 NO GRANT
$0.00
$0.00
$138.00
$0.00
($138.00)
51616 OVERTIME PREMIUM PAY
999 NO GRANT
$0.00
$0.00
$69.00
$0.00
($69.00)
51620 ADDITIONAL PAY -REGULAR RAT
999 NO GRANT
$0.00
$0.00
$2,121.00
$0.00
($2,121.00)
51740 VACATION PAY ON TERMINATION
999 NO GRANT
$0.00
$0.00
$1.00
$0.00
($1.00)
t�
53020 GENERAL OFFICE SUPPLIES
999 NO GRANT
$0.00
$0.00
$124.00
$0.00
($124.00)
4L
Wednesday, June 09, 2004
Page 12 of 13
COMMISSIONERS'
COURT BUDGET ADJUSTMENT APPROVAL LIST
IEARINSDATE 6/10/20U REARINC TYPE REGULAR BUDGET YEAR: 2DU
AMENDMENT NO: 333
AMENDMENT REASON: OVERDRAWN ACCOUNTS
REQUESTOR: COUNWAUDITOR
FUND NAME: GENERAL FUND
FUNDNk
1000
DEPARTMENT NAME: SHERIFF
DEPARTMENT NO:
760
RING BAL
REVENUE
DRUM
EIMIURE
EXPRVITURE
INCREASE
ACCT NO ACCT NAME GRANT NO GRANT NAME
ONAEASE
DECREASE
INCREASE
DECREASE
I[DECREASE]
53430 LAW ENFORCEMENT SUPPLIES
999 NO GRANT
$0.00
$0.00
$2,199.00
$0.00
($2,199.00)
53992 SUPPLIES -MISCELLANEOUS
999 NO GRANT
$0.00
$0.00
$394.00
$0.00
($394.00)
60360 AUTOMOTIVE REPAIRS
999 NO GRANT
$0.00
$0.00
$0.00
$4,028.00
$4,028.00
62420 EMERGENCY MEDICAL SERVICE
999 NO GRANT
$0.00
$0.00
$650.00
$0.00
($650.00)
63420 LICENSE/WEIGHT SCHOOL EXPE
999 NO GRANT
$0.00
$0.00
$10.00
$0.00
($10.00)
63920 MISCELLANEOUS
999 NO GRANT
$0.00
$0.00
$127.00
$0.00
($127,00)
SHERIFF TOTA
$0.00
$0.00
$5 833 00
$5 833 00
$0.00
DEPARTMENT NAME: WASTE MANAGEMENT
DEPARTMENT NO:
380
FUND BAL
REVENUE
REVENUE
EXPENUFURE
DIPFNWME
INCREASE
ACCT NO ACCT NAME CRANTNO
GRANT NAME
INCREASE
DECREASE
ONCREASE
DECREASE
DIECREASO
53020 GENERAL OFFICE SUPPLIES
999 NO GRANT
$0.00
$0.00
$296.00
$0.00
($296.00)
53610 BUILDING SUPPLIES/PARTS
999 NO GRANT
$0.00
$0.00
$43.00
$0.00
($43.00)
63200 LANDFILL CLOSURE
999 NO GRANT
$0.00
$0.00
$0.00
$339.00
$339.00
Grand Total
Wednesday, June 09, 2004 Page 13 of 13
0
•
is
•
n
U'
•
DECLARE SINGLE SOURCE EMERGENCY AND PUBLIC WELFARE PURCHASES AND
BILLS:
A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to declare
for single source, emergency and public welfare a purchase order to Gonzales Contracting, Inc.
for emergency repair of the Bauer Building Roof in the amount of $12,500. Commissioners'
Galvan, Balajka, Finster and Judge Pfeifer all voted In favor.
CALHOUN COUNTY 34419
201 West Austin Purchase Order No.
Port Lavaca, Texas 77979
Name:
Address: Po O DX 9.E7
City: Pog-r I_i4t,*c49
State: -77 zip: 779 79
Phone:
PURCHASE ORDER
SHIP TO��nn,�
Department: J.�QQ � U � InfilpiT
Address: ,% i /4%vx)
City: f0f2T k.OU9C*9
State: 7R Zip:77779,
Phone. -
ACCOUNT NO.
DESCRIPTION
UNIT PRICE
CITY.
TOTAL
�P&wg& Vov
%
s/DE G
00
Alz cV l.(iC�
57' DiP13Gv - /hi4Tc77�.4L
ec
Ive
un o
n reasurer
APPROVAL
APPRovED
JUN — g 2004
JOUNTY AUDITOR
Taxes - Mate/County Deducted
TOTAL
APPROVAL / DEPARTMENT HEAD
SIGNATURE DATE
SIG ATURE Dq
; 97/4
Gonzales Contracting, Inc.
P.O. Box 987
225 N. Virginia Ste.3
Port Lavaca, Texas 77979
(361)552-5323 phone (361-553-6610) fax
BILL TO
Calhoun Co. Maintanance Dept.
Attn: Charles Crober
Invoice
DATE INVOICE#
5/26/2004 001-831
•
P.O. NO.
TERMS
PROJECT
Due on receipt
QUANTITY
DESCRIPTION RATE
AMOUNT
Ref Livestock Arena
Repair damaged Metal Roof
1st draw
12,500.00
12,500.00
Materials
Thank you for your business.
Total $12,5W00
•
0
0
THE COUNTY OF CALHOUN
aye- 07
p p O n
Vendor ID 2648 1 - 8 O J
Account #=
Invoice 06/10/2004
00183D
1 - o�.... .., .._..____
50. 00 - yy $12, 500.
JUN 1 0 2004
L-
C
ACCOUNTLLOWED —COUNTY:
Claims totaling $795,503.29 were presented by the County Treasurer, and after reading and
verifying same, a Motion was made by Commissioner Finster and seconded by Commissioner
Galvan that said claims be approved for payment. Commissioners' Galvan, Balajka, Floyd, Finster
and Judge Pfeifer all voted in favor.
ISSUES RELATING TO THE NEW JAIL CONSTRUCTION PROJECT:
Commissioner Balajka reported that the first payment to Krueger Construction has been made.
He also stated that Mark Crippen with Spaw Maxwell will be giving monthly reports to the Court
regarding the progress of the jail construction. All the piers have been drilled with the exception
of eighteen of the piers. Central Power & Light Co has moved all of their electrical lines and laid
the new ones, and they are still waiting for Verizon to get their poles out of the way.
Court was adjourned at 10:50 a.m.
9