The URL can be used to link to this page

2021-01-27 Meeting MinutesOn this fort 7- Day ✓ All Agenda Items Properly Numbered :?�ontracts Completed and Signed ✓AII 1295's Flagged for Acceptance / (number of 1295's Z ) ✓ AII Documents for Clerk Signature Flagged 2021 a complete and accurate packet Commissioners Court Regular Session was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. AT FILED O'CLOCK_..___ _,_M (i JAN 2 8 2021 Calhoun County Judge/Assistant CDUNiY CLEHK CAGOOD COUNTY TEXAS BY: DEPUTY COMMISSI ONERSCOURTCHECKLIST/FORMS AGENDA Richard lH . Meyer County judge David Mall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel M. Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 27, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The, subject matter of such meeting is as follows: `1. Call meeting to order. AT FILED CdL— M JAN 2 2 2021 .// InVOCatIOn, COU IGOP BY: MNCOUNTY, 5TEXAS� 3. Pledges of Allegiance. '4. General Discussion of Public Matters and Public Participation. 5 Hear a report from Memorial Medical Center. SKApprove the minutes of the special meeting on January 1, 2021. 7 Consider and take necessary action to extend Administrative Pay for employees affected by COVID-related absences. (RM) ry 8. Consider and take necessary action to approve the Revised Return to Work Guidelines for COVID-related absences, (RM) 49. Consider and take necessary action on the FY 2021 Interlocal Agreement and authorize the payment of purchase order and authorize the County Judge to sign. (RM) `Calhoun County Soil & Water Conservation District No. 345 $7,750.00 `f0. Consider and take necessary action to authorize Commissioner Hail to apply for and submit FEMA FY20 Assistance to Firefighters Grant and 5% matching funds to be used from general funds as well as $500.00 fee to Kathy Smartt for grant preparations and submittal. (DH) Page 1 of 2 `71. Consider and take necessary action to authorize Commissioner Behrens to sign the 2021 maintenance contract with Hurt's Wastewater Management, LTD for the Precinct # 3 septic system. (JB) 12 Consider and take necessary action to authorize County Treasurer Rhonda Kokena to agply for a county credit card for Precinct # 3 Commissioner Behrens. (JB) 13�. Consider and take necessary action to transfer a 2006 Ford F150 (asset # 23-0202; VIN # 1FTRW12W03KC45360) from Road & Bridge Precinct # 3 to the Building Maintenance Department. (JB) Y4. Consider and take necessary action to approve the Final Plat of The Texan Properties S bdivision. (GR) 15. Consider and take necessary action to approve the new postage rental agreement between Pitney Bowes and the County Treasurer's office and authorize the County Treasurer to sign. Also authorize the County Judge to sign the IRS Form 8038-GC for governmental tax exempt leasing. This contract is for a term of sixty (60) months at �$372 quarterly. (RM) 76. Consider and take necessary action to declare the telephone system (Inventory Number: 541-0237) on the attached list from the EMS Inventory as Surplus/Salvage and remove from inventory. (RM) `f7. Accept reports from the following County Offices: t°unty Clerk — December 2020 -�Tax Assessor -Collector — December 2020 18. Consider and take necessary action on any necessary budget adjustments. (RM) '19. Approval of bills and payroll. (RM) ichard Meyer, County qudhe Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at wwwcalhouncotx.ore under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 #5 #6 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 ,Joel M. Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Friday, January 1, 2021, at 9:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard Meyer, Ci Calhoun County, Anna Goodman, County Clerk Page 1 of 1 I - Commissioners' Court —Special Meeting —Jan uary0l, 2021 ( Affl. I I[��) 1 V I 1 (i�i � ! 1. 311I � :; I �hI9MMA06I l W I INI SPECIAL MEETING 2021 TERM § JANUARY 01, 2021 BE IT REMEMBERED THAT ON JANUARY 01, 2021, THERE WAS BEGUN AND HOLDEN A SPECIAL MEETING OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting was called to order at 9:00 A.M by Judge Richard Meyer. 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Gary Reese Anna Goodman Catherine Sullivan County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner David Hall Pledge to US Flag & Texas Flag — Commissioner Gary Reese/Vern Lyssy 4. Consider and take necessary action to approve the bonds focal/ newly elected and re-elected county officials. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Reese Page 1 of 2 I . Commissioners' Court -Special Meeting - January 01, 2021 S. Administer the Oath of Office to al/newly elected and re-elected county officials. 6. General Discussion of Public Matters and Public Participation, Adjourned: 9:28 a.m. Page 2 of 2 ME Mae Belle Cassel From: Clarri Atkinson <clarri.atkinson@calhouncotx.org> Sent: Thursday, January 21, 2021 2:55 PM To: Mae Belle Cassel Subject: COVID ADmin Pay & Revised COVID Return to Work Attachments: Revised 1.18.21 Amended Covid return to work policy.docx Mae Belle, Please put the following items on next week's court agenda 1) Extend Administrative Pay for employees affected with COVID related absences 2) Revised COVID Return to Work Policy Clarri Atkinson Calhoun County Chief Deputy Treasurer — Human Resources Coordinator 202 S. Ann, Suite A Port Lavaca, TX 77979 P: 361.553.4618 F: 361.553.4614 Clarri.atkinson@calhouncotx.ora Confidentiality Notice: Privileged/confidential information maybe contained in this message and maybe subject to legal privilege. Access to this e-mail by anyone other than the intended is unauthorized. If you are not the intended recipient (or responsible for delivery of the message to such person), you may not use, copy, distribute or deliver this message (or any part ofits contents) or take any action in reliance on it. In such case, you should delete this message, and notify us immediately. If you have received this e-mail in error, please notify us immediately by e-mail or telephone and delete this e-mail and all attachments from any computer. Calhoun County Texas b Revised: January 20, 2021 COVID-19 Return to Work Guidelines for Calhoun County Personnel Purpose: To assist employees, administration, and supervisors in making decisions about returning to work for employees with confirmed COVID-19, or who have suspected COVID-19 (e.g., developed symptoms of a respiratory infection such as cough, sore throat, shortness of breath, or fever but did not get tested for COVID-19), or for employees who have been deemed a close contact of a COVID-19 positive person. Policy: Any employee who has tested positive for COVID-19, been notified by their physician that they most likely have COVID-19, or who have been notified that they are a close contact of a person who has tested positive for COVID-19 will need to meet the return to work criteria listed in this policy prior to being allowed to return to work. Although the employee may receive a release from their healthcare provider or by the Texas Department of State Health Services, the criteria outlined in this policy will have to be met before returning to work at Calhoun County, Texas. Procedure: Criteria • For COVID-19 positive or suspected positive employees: o At least 12 days have passed since symptoms first appeared and o At least 48 hours have passed since last fever without the use of fever - reducing medications and o Symptoms (e.g. cough, shortness of breath, headaches) have improved NOTE: Employees who are critically ill or severely immunocompromised should remain out for at least 20 days, and the Human Resources Coordinator may require a note for return to work from a healthcare provider. • For employees who did not test positive but have been listed as a close contact of a COVID-19 positive person: o After day 10 without testing, OR o After day 7 after receiving a negative test result (test must occur on day 6 or later) If close contact with the case continues for duration of the illness (e.g., living in the same household and unable to isolate), the employee must be quarantined for the above recommended timeframe from the date that the positive person is released from isolation. If the involved department is experiencing a staffing shortage, it is possible that an employee who has had an unprotected exposure but no known symptoms or infection will be allowed to continue to work. However, the following stipulations will apply: • The employee shall notify their supervisor and leave work immediately if the employee experiences any onset of symptoms or an elevated temperature. • The employee shall wear a facemask while at work for 14 days after the exposure event. • If the employee must remove their facemask, for example, in order to eat or drink, they shall separate themselves from others. • Utilize the "COVID-19 Employee Return to Work Form" to determine the date the employee will be able to return to work. Forward a copy of the form to the Human Resources Coordinator once it is completed. II. Return to Work Practices and Work Restrictions After returning to work, the employee should: • Wear a facemask for source control at all times while in the Courthouse facilities until all symptoms are completely resolved or at baseline. A facemask instead of a cloth face covering should be used by the employee for source control during this time period while in the facility. • Self -monitor for symptoms, and seek re-evaluation from a provider if respiratory symptoms recur or worsen. III. Strategies to Mitigate Staffing Shortages As the COVID-19 pandemic progresses, staffing shortages may occur due to employee exposures, illness or need to care for family members at home. It is possible that Calhoun County will have to use the following criteria to allow employees with an unavoidable contact with a positive test for COVID-19 to return to work. The employee shall monitor for symptoms, wear a face mask and should be restricted from direct contact with the public. This decision will solely be at the Department Heads discretion. #9 INTERLOCAL AGREEMENT between CALHOUN COUNTY and CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infra. Having found the above elements fully satisfied, COUNTY may contract with the CALHOUN SOIL & WATER CONSERVATION DISTRICT so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, hereinafter referred to as CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, is engaged in various functions involving agricultural production - including livestock, crops, aquaculture, horticulture and forestry and providing services for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 to COUNTYin exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall be entitled to a sum not to exceed $7,750.00 per annum. Such amount shall be disbursed by COUNTY to CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 after January 1, 2021, upon written request from CALHOUN SOIL & WATER CONSERVATION DISTRICT #345. 2. Insurance: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall at all times maintain a policy of liability insurance for premises liability for personal injury. The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Services: CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 shall provide services to the residents of COUNTY by providing diverse services including the following: providing secretarial help to the Natural Resource Conservation Service, which in turn provides technical time for assistance to our local government, drainage districts, industry, local businesses, farmers and ranchers, in addition to developing and carrying out programs for the conservation, protection and development of soil, water, and related plant and animal resources and shoreline erosion projects with the County. 4. Most Recent Financial and Performance Reports: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345's most current independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 fiscal year ending in calendar year 2018, within 30 days of the approval of this contract. CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 gives details of services provided and clients served for the previous COUNTY fiscal year, within 30 days after the approval of this contract. 6. Prospective Financial and Performance Reports: CALHOUN SOIL d� WATER CONSERVATION DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345's independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's fiscal year ending in calendar year 2019, by the earliest of thirty days following its receipt by CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 or by September 30, 2021. CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 gives details of services provided and clients served for CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's fiscal year ending in calendar year 2019, by September 30, 2021. 7. Term: The Term of this contract is to begin on January 1, 2021 and end on December 31, 2021, unless earlier terminated by either party on thirty days written notice. 8. Books and Records: All books and records of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall be open for inspection during normal business hours to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 9. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 10. Non -Discrimination: CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 11. Sexual Harassment Prohibited: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 12. Applicable Laws: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 13. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, nor shall any single or partial exercise of any right, power or privilege constitute such a waiver nor exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 14. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 may not assign this contract without COUNTY's prior written consent. 15. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 16. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 17. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 18. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, and CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 19. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345, except as herein otherwise provided. 20. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY 0 Dat CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 By: Date: januaty 19, 2021 NOTICES COUNTY: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 Calhoun County Judge 211 S. Ann Street, Suite 301 P.O. Box 553 Port Lavaca, Texas 77979 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on 01 -a 7 , 2021. By: Deputy Jerk Date: 0' 11) o Services provided by the Calhoun Soil & Water Conservation District #345 and clients served - - 1. Provide all churches within Calhoun County Soil Stewardship material for National Soil Stewardship Week. 2. Host a Calhoun County third -grade teachers' educational work- shop and provide material for using in classroom. 3. Host an educational agriculture day for all third grade students within Calhoun County. Provide educational material goody -bag and noon meal. 4. Hold a coloring contest for pre -kindergarten, kindergarten and first -grades within county for students in private, paro- chial and public schools. Award each a pencil for partipation Winners within each grade are given ribbons with rosettes given to school winners (1st-3rd). County winners each receive a trophy (1st-3rd) . 5. Hold poster contest for students age 12-year and under. Each receive a pencil for participating. Grade winners (1st-6th) are given ribbons with rosettes (1st-3rd) to school winners. County winners each receive a trophy (1st-3rd). Submit to area compe- tion. 6. Hold essay contest(s) for students ages 13 and under (junior) and ages 14 t0 18 (senior). First through third in each category receive monetary awards and a certificate. Submit to area competition. 7. Host annual awards banquet for landowners and tenants to recognize winning students. 8. Co-sponsor Local Led Conservation Workshop with NRCS to receive input from agricultural leaders, businesses and individuals with an interest in natural resource concerns to identify and prioritize resource concerns for eligible practices and ranking for county based funding. AC®l?®0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 11/06/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Pat Ebarb NAME: Purifoy &Company Insurance PHGNE (254) 773-6844 PAX (254) 773-6551 qIC. No Ext : AIC, No P.O. Box 1088 E-MAIL pat@punfoyinsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# Temple TX 76503-1088 INSURERA: Hartford Accident and Indemnity Company 22357 INSURED INSURER B: Hartford Fire Insurance Company 19682 State Sail & Water Conservation Districts INSURER C : 1497 Country View Ln INSURER D: INSURER E : Temple TX 76504 1 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2011604004 RFVISION NIIMRFR- THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICYNUMSER POLICY EFF MMIDD/YYW POLICY EXP MMIOD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE 5 11000TOOO PREMISE ToES IEa ccurmncel 5 300,000 MED EXP(Any one person) S 10,000 PERSONAL BADV INJURY 5 1.000,000 A 65UENIX8801 01/01/2021 01/01/2022 GEN'LAGGREGATE X LIMITAPPLIES PER POLICY1:1 jE� LOC GENERALAGGREGATE 5 2.000,000 PRODUCTS-COMP/OPAGG s 2,000,000 5 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa accitlent S 500,000 BODILY INJURY person) 5 ANY AUTO A DWNEp SCHEDULED AUTOS ONLY AUTOS 65UENIX8801 01/01/2021 01/01/2022 BODILY INJURY(Per accitlent) S HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X PROPERTY DAMAGE Peraccideml S 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEO I I RETENTION S s WORKERS COMPENSATION I PER OTH- ANDEMPLOYERS'LIABILITY YIN STATUTE ER E.L. EACHACCIOENT 5 ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE s (Mandatory in NH) It yes, describe under E.L. DISEASE -POLICY LIMIT I S DESCRIPTION OF OPERATIONS belo,v B Bond - Employee Theft 65BDDHT7558 01/01/2021 01/01/2024 Per Loss Deductible 10,000 500 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space is required) Certificate Holder is a Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Calhoun SWCD #345 ACCORDANCE WITH THE POLICY PROVISIONS. P 0. Box 553 AUTHORIZED REPRESENTATIVE Port Lavaca TX 77979 I PIE (7. ©1988-2015 ACORD CORPORATION. All riohts reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD District Name Calhoun District #1 345 Combined Statement of Revenues, Expenditures, and Changes in Fund Balances for the Fiscal Year Ended August 31, 2020 STATE LOCAL TRUST FUND FUND FUND FUND FUND REVENUES: Interest Income 624.36 Sale of Materials Donations 8,650.00 Building & Equipment Rental Fund Transfers 214.32 Director Mileage & Per Diem 1,692.00 Supplemental Mileage & Per Diem (prior year) 465.67 Matching Funds 5,250.00 Supplemental MF / TA Combined (prior year) 1,706.60 Conservation Implementation Asst. (TA) 9,834.00 Conservation Activity Program (CAP) 2,127.44 NACD Technical Assistance Grant NRCS Clerical Assistance (TSP) 2,610.53 Information Technology Assistance Grant S WCD Audit Reimbursement Other Income (please list) 49.73 Ace Rec 6.00 ins, 214.32 mtg reimb 319.78 555.00 NRCS grant TOTAL REVENUES 24,006.02 10,093.41 EXPENDITURES: Salaries/Wages Conservation Implementation (TA) 9,366.00 NRCS Clerical Assistance (TSP) 2,500.00 Other (please list) Clerical 3,493.85 650.00 Payroll Taxes Federal Withholding 2,264.00 OAS DI & Medicare 3,019.24 99.46 Worker's compensation insurance 208.00 Employee Travel 326.94 Director Mileage 783.46 Director Per Diem 1,040.00 Awards 1,048.70 Bonds and other insurance 280.00 Conferences/Registrations 1,733.17 Educational Program 479.32 Fund transfers 214.32 Computer / Printer / Internet Service Materials purchased for resale Meals/Banquets 1,080.31 NACD Dues 300.00 Professional fees including CPA services 500.00 Building & Equipment Rentals State Association quota 425.00 100.00 Supplies and Postage 91.00 31.33 Other Expenses (please list) TX Unemn Tax 144.00 95.00 sponsorships TOTAL EXPENDITURES 24,155.81 6,117.29 Excess (Deficiency) Revenue over Expenditures (149.79) 3,976.12 Fund Balance September 1, 2019 5,590.54 82,398.51 FUND BALANCE AUGUST 31, 2020 5,440.75 86,374.63 1. Fund Balances must reconcile to Bank Statements Revised 09/l/20 District Name ASSETS Cash in Bank Accounts Cash on hand Certificates of Deposit Accounts Receivable Prepaids Due From Other Funds Calhoun District # Combined Statement of Financial Position for all Funds for the Fiscal Year Ended August 31, 2020 STATE LOCAL TRUST FUND FUND FUND Subtotal Current Assets FIXED ASSETS Land / Buildines Furniture / Equipment Rental Equipment Vehicles Subtotal Fixed Assets TOTAL ASSETS LIABILITIES AND FUND EQUITY LIABILITIES Accounts Payable Due to Other Funds Total Liabilities FUND EQUITY Investment in Fixed Assets Unreserved Fund Balance 5,341 29 99.46 16,923.66 65,550.97 5,440.75 82,474.63 0.00 3,900.00 86,374.63 0.00 0.00 5,440.75 3,900.00 82,474.63 Total Fund Equity 5,440.75 86,374.63 TOTAL LIABILITIES AND FUND EQUITY 5,440.75 86,374.63 1. May prepare on cash or modified accrual basis FUND FUND Revised 09/1/20 # to David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for January 27th, 2021. • Consider and take necessary action on allowing Commissioner Hall to apply for and submit FEMA FY20 Assistance to Firefighters Grant and 5% matching funds to be used from general funds as well as $500.00 fee to Kathy Smartt for grant preparations and submittal. Sincer , Da E. Hall DEH/apt #ii Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172-Olivia, Port Lavaca, Texas 77979 —Office (361) 893-5346 — Fax (361) 893-5309 Email: ioel.behrens(okalhouncotx.org Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for January 27, 2021. • Please Consider and Take Necessary Action on Precinct 3 Commissioner Behrens to sign the 2021 maintenance contract with Hurt's Wastewater Management, LTD. For Precinct 3 septic system. Sincerely, Joel Behrens Commissioner Pct. 3 Hurfs Wastewater Management, Ltd. P.O. Box 662 / 321 Hwy 172 Ganado, TX 77962 Date: 1 /6/2021 To: Calhoun County PCT. 3 24627 St. Hwy 172 Port Lavaca, TX 77979 Phone: Subdivision: Phone: (800) 841-3447 Fax: (361) 771-3452 www, hurtswastewater. com Site: 24627 St. Hwy 172, Port Lavaca, TX 77979 County: Calhoun Installer: Colin Marshall Agency: Victoria County Health Dept. - Environmental Mfg/Brand: / norweco 960-500 SVP Contract Period Start Date: 2/12/2021 End Date: 2/12/2022 Permit #: 2008-173 Warranty Expired: 6/4/2010 Installed: 6/4/2008 3 visits per year - one every 4 months Hurt's Wastewater Management, Ltd. Map Key: ID: 2832 Terms of Maintenance Contract 1.) Three (3) inspections per year (at least one every 4 Months). Inspections include adjustment and servicing of the mechanical, electrical and other applicable components to ensure proper function. This includes inspecting the control panel, aerators and filters. Replacement/repair costs will be charged directly to the homeowner. A Hurt's Wastewater Management, Ltd. employee will visit the site within 48 hours of a problem being reported. Inspections may be performed anytime during the month they are due, with a two week grace period before and after the month the inspections are due. 2.) The homeowner is responsible for maintaining a chlorine residual of at least 1.0 mg/L in the treatment system. This can be accomplished by using chlorine (calcium hypochlorite) tablets for systems designed with a tablet chlorinator. Swimming pool tablets must not be used in the aerobic system designed for chlorine tablets because they cause corrosion of the components of the system. At the time of a service inspection, the service representative will inform the homeowner if the chlorinator does not contain sufficient tablets or liquid chlorine (whichever is applicable) to effectively disinfect the wastewater. 3.) The required routine reporting of system operation and function to the local authority, as required by OSSF regulation, will be covered by the policy. Any additional visits, inspections or sample collections required by specific County Agencies, TCEQ or any other regulatory agency in your jurisdiction will not be covered by the policy. 4.) The contract may be voided if NON -BIODEGRADABLE MATERIALS are used in the system. 5.) All Commercial systems will have a BOD and TSS test performed annually. Additional charges will be charged to owner for BOD and TSS testing. This warranty is strictly limited to the above terms and does not include the cost of replacement components, chlorine or pumping of sludge build-up. The maintenance policy includes labor charges only for normal routine inspections and maintenance. Additional service calls are not covered by the policy. Service determined to be caused by abuse or neglect is not covered by the policy. Failure to pay for service call, labor, and/or replacement components not covered under warranty will void contract. VIOLATIONS include shutting off the electric currentto the system for more than 24 hours, disconnecting the alarm system, restricting ventilation to the aerator, overloading the system above its rated capacity, introducing excessive amounts of harmful matter into the system, or anv other form of unusual abuse. The homeowner agrees to provide Hurts Wastewater Management Ltd. with all gate combinations, keys, etc. necessary to gain access to the system for the purpose of conducting routine inspections or service calls prior to the start date of this contract and notify Hurrs Wastewater Management immediately with any changes and provide the new combinations or keys. By signing this form, both maintenance provider and homeowner agree to the terms of this policy. THIS POLICY DOES NOT INCLUDE PUMPING SLUDGE FROM UNIT IF NECESSARY. Please check your contract preference: $260.00 Service contract only; no chlorine (homeowner must install own chlorine) 77$320.00 Service contract with chlorine provided Please mcluderyour payment with thesigned contract Home Owner: Date: Phone: Hurt's Wastewater Management Ltd.: CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. i - a and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1.2. 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2021-705213 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Hun's Wastewater Management, LTD Ganado, TX United States Date Filed: OIIVJ2021 2 Name of governmental entity or state agency that 6s a party to the contract or ich the form is being filed. Calhoun County, Texas Date Acknowledged: 3 Provide the Identification number used by the governmental entity orstate agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract 2008-173 . Septic System Maintenance 4 Name of Interested Party City, State, Country (place of business) Nature of Interest (cheek applicable) Controlling Intermediary 5 Check only if there is NO Interested Parry. ❑ X 6 UNSWORN DECLARATION My name isand my date of birth i My address is w .!. (street) (City) (Slate) (Zip code) (rndntry) 1 declare under penalty of perjury that the foregoing is true and correct. / Executed in 4C/Cs M County, State of on the 14day of.% 201 Caron (year) . na Ire of authorized agent of contracting business 'ty (oeclerent) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ceffd98a CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2021-705665 Geigle's Utilities Victoria, TX United States Date Filed: 01/13/2021 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 01/20/2021 3 Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2013-257 Renewed inspections agreement per Texas Commission on Environmental Quality (TCEQ) standards for on site seweragefacilities located at Magnolia Beach Restroom Port Lavaca Texas 77979 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name is and my date of birth is My address is , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the _day of , 20_ (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ceffd98a #12 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 - Office (361) 893-5346 — Fax (361) 893-5309 Email: joel.behrens(a.calhouncotx.org Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for January 27, 2021. • Please Consider and Take Necessary Action to authorize County Treasurer Rhonda Kokena to apply for county credit card for Precinct 3 Commissioner Joel Behrens. Sincerely, qMV V/NA 64-4� Joel Behrens Commissioner Pct. 3 #13 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 —Office (361) 893-5346 — Fax (361) 893-5309 Email: ioel.behrensasalhouncotx.org Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for January 27, 2021. Please Consider and Take Necessary Action on the transfer of 2006 Ford F150 asset# 23-0202. VIN# 1FTRW 12W03KC45360 from R & B Dept. 560, Precinct 3 assets to Calhoun County Building Maintenance Dept. assets. Sincerely, Joel Behrens Commissioner Pct. 3 Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Inventory Number Description Requested By: JOEL BEHRENS COMMISSIONER PCT. 3 Serial No. Transfer From/To Department 23-0202 2006 FORD F150 UNIT #33 1FTRW12W03KC45360 FROM DEPT.560 PCT.3 TO CALHOUN CO. BLDG. MAINTENANCE #14 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 20, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for January 27, 2021. • Consider and take necessary action to approve the Final Plat of The Texan Properties Subdivision. incerely��, arylW . Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: earv.reese01calhouncom.ore — (361) 785-3141 — Fax (361) 785-5602 #15 Mae Belle Cassel From: rhonda kokena <rhonda.kokena@calhouncotx.org> Sent: Thursday, January 21, 2021 12:57 PM To: MaeBelle.Cassel@calhouncotx.org Subject: AGENDA ITEM FOR 01-27-2021 Attachments: PITNEY BOWES POSTAGE RENTAL CONTRACT - CO.TREASURER.pdf, IRS form 8038-GC LEASE FORM.pdf Please place the attached rental agreement & tax form on the next agenda. To Accept and Approve the new postage rental agreement with Pitney Bowes and the County Treasurer and authorize the County Treasurer to sign. And authorize the County Judge to sign the IRS Form 8038-GC for governmental tax exempt leasing. Said contract is for a term of 60 months at $372 quarterly. Thank you. 2ho-vL s- Kokevila/ C,.ALH0CO, NTY-FrEASf,lRET2 Ca�l�oucw C.ouwt� .Awv�.ex II 202 S..AAvw St., SLc1 to A Tort Lovaea, Texas 9 9 Calhoun County Texas 1 Forn $Q$$-GC Information Return for Small Tax -Exempt Governmental Bond Issues, Leases, and Installment Sales (Rev. January 20121 Under Internal Revenue Code section 149(s) Department of the Treasury Internal Revenue Service Caution: If the issue price of the issue is $100,000 ormore, use Form 8038-G. Check box If Amended Return OMS No. 1645.0720 1 Issuers name CALHOUN COUNTY TREASURER 2 Issuer's employer identification number 74-6001923 3 Number and street (or P.O. box if mail is not delivered to street address) 202 S ANN ST Roomisuite 4 City, town, or post office, state, and ZIP code PORT LAVACA TX 77979-4204 5 Report number (For IRS Use Only) Fiffil ME Mr., 6 Name and title of officer or other employee of Issuer or designated contact person whom the IRS may call for more infonmatlon 7 Telephone number of officer or legal representative Description of Obligations Check one: a single issue ® or a consolidated returnEl 8a Issue price of obligation(s) (see instructions) ...... b Issue date (single issue) or calendar date (consolidated). Enter date in rum/rid/yyyy format (for example, 01/0112009) (see instructions) 9 Amount of the reported obligation(s) on line 8a that is:'°�` a For leases for vehicles .................... b For leases for office equipment ....................... c For leases for real property .. .................. d For leases for other (see instructions) ..................... e For bank loans for vehicles ........................ If For bank loans for office equipment ..................... g For bank loans for real property.. ................ In For bank loans for other (see instructions) ................... 1 Used to refund prior issue(s) ... ....... I Representing a loan from the proceeds of another tax-exempt obligation (for example, bond bank). . kOther ............................... 8a . 9a 9b 9c gd 9e 9f 9 9h g g I 9k 10 If the Issuer has designated any issue under section 265(b)(3)(13)(1)(III) (small issuer exception), check this box. ❑ 11 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check this box (see instructions) . ... ... ❑ 12 Vendor's or bank's name: ____ Pitney Bowes -Inc ---------- ------------------------------------------------------------- 13 Vendor's or bank's employer Identification number: 06 04950505050 Under penalties of ' ry, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and Signature ballet, they are e, co act, and complete. I further declare that I consent to the IRS's disclosure of the issuers return information, as necessary to process this retum, to e p on(s) that I have authorized above. and Ri Consent elf Ard // 01-eya —Z7- *2.PZ/ �� T d.n SI azure of issuers authorized r sentative ate Type or print ame an tle Paid - Pdntlrype preparers name Preparers signature Date Check ❑ if I PTIN Preparer self-employed Use Only Firm's name Fl m'a EIN Firm's address Phone no. General Instructions Section references are to the Internal Revenue Code unless otherwise noted What's New The IRS has created a page on IRS.gov for Information about the Form 8038 series and Its instructions, at www.1rs.gowform8038. Information about any future developments affecting the Form 8038 series (such as legislation enacted after we release it) will be posted on that page. Purpose of Form Form 8038-GC is used by the issuers of tax- exempt governmental obligations to provide the IRS with the information required by section 149(e) and to monitor the requirements of sections 141 through 150. Who Must File Issuers of tax-exempt governmental obligations with issue prices of less than $100,000 must file Form 8038-13C. Issuers of a tax-exempt governmental obligation with an issue price of $100,000 or more must file Form 8038-G, information Return for Tax -Exempt Governmental Obligations. Filing a separate return for a single issue. Issuers have the option to file a separate Form 8038-GC for any tax-exempt governmental obligation with an issue price of less than $100,000, An issuer of a tax-exempt bond used to finance construction expenditures must file a separate Form 8038-GC for each issue to give notice to the IRS that an election was made to pay a penalty in lieu of arbitrage rebate (see the line 11 instructions). Filing a consolidated return for multiple Issues. For all tax-exempt governmental obligations with issue prices of less than $100,000 that are not reported on a separate Form 8038-GC, an issuer must file a consolidated information return including all such issues Issued within the calendar year. Thus, an issuer may file a separate Form 8038-GC for each of a number of small issues and report the remainder of small Issues issued during the calendar year on one consolidated Form 8038-GC. However, if the issue is a construction issue, a separate Form 8038-GC must be filed to give the IRS notice of the election to pay a penalty in lieu of arbitrage rebate. CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested patties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2021-710361 Pitney Bowes Shelton, CT United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/27/2021 being filed. Calhoun County TX Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. Office Equipment/Mailing Products and Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name is Boyd Hering and my date of birth is My address is"04-ft (street) (city) (state) (zip code (wuntry I declare under penalty of perjury that the foregoing is true and correct. Executed in McLennan County, State of TX , on the 27th day of January 20 21 (month) (year) Signature of auth rized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.1.ceffd98a CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2021-710361 Pitney Bowes Shelton, CT United States Date Piled: 01/27/2021 2 Name of governmental entity or state agency that is a party tot the contract for which the form is being filed. Calhoun County TX Date Acknowledged: 02/10/2021 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Office Equipment/Mailing Products and Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. 17.71 6 UNSWORN DECLARATION My name is and my date of birth is My address is , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the _day of , 20_ (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ceffd98a pitneybowes (0). State and Local Term Rental Agree Your Business Information EMENNIMEEM Full Legal Name of Lessee I DBA Name of Lessee Tax ID # (FEINITIN CALHOUN COUNTY TREASURER 74-6001923 Sold -To: Address 202 S ANN ST, PORT LAVACA, TX, 779794204, US Sold -To: Contact Name Sold -To: Contact Phone # Sold -To: Account # RHONDA KOKENA 3615534620 0015137112 Bill -To: Address 202 S ANN ST, PORT LAVACA, TX, 779794204. US Bill -To: Contact Name Bill -To: Contact Phone # Bill -To: Account # Bill -To: Email RHONDA KOKENA 3615534620 0015137112 rhonda.kokena@ca Ship -To: Address 202 S ANN ST, PORT LAVACA, TX, 779794204, US Ship -To: Contact Name Ship -To: Contact Phone # Ship -To: Account # RHONDA KOKENA 3615534620 0015137112 PO # Your Business Needs Qty Item Business Solution Description 1 SENDPROCAUTO SendPro C Auto 1 1FXA Interface to InView Dashboard 1 71-100 C Series IMI Meter 1 9934B DM400C Return Kit - Upgrade to 9H00 1 APAC Connect+Accounting Weight Break Reports 1 APAX Cost Acctg Accounts Level (100) 1 APB2 Cost Accounting Devices (10) 1 APKN Account List Import/Export 1 CSCC Sendpro C Auto 95 1 CAAB Basic Cost Accounting 1 F9PG2 PowerGuard LE Service Package 1 ME1A Meter Equipment - C Series n �eoo� 1 SJS2 Softguard For SendPro C500 1 STDSLA Standard SLA-Equipment Service Agreement (for SendPro C Auto) 1 ZH24 Manual Weight Entry 1 ZH29 HZ03 95 LPM Speed 1 ZHCS SendPro C500 Base System Identifier 1 ZHD5 USPS Rates with Metered Letter 1 ZHD7 E Conf Services for Metered LTR. BDL 1 ZHWL 5lb/3kg Weighing Option for MP81 Your Payment Plan ( ) Tax Exempt Certificate Attac ( ) Tax Exempt Certificate Not F ( ) Purchase Power® transactic W Purchase Power® transactic Tcac not include any appllcable se/es, use, orpmpedy faxes which will be billed separstely. Your Signature Below Non -Appropriations. You warrant that you have funds available to make all payments until the end of your current fiscal period, and shall use your best eff payments in each subsequent fiscal period through the end of your lease term. If your appropriation request to your legislative body, or funding authority ( make the payments is denied, you may terminate this lease on the last day of the fiscal period for which funds have been appropriated, upon (i) submissio satisfactory to us evidencing the Governing Body's denial of an appropriation sufficient to continue this lease for the next succeeding fiscal period, and (ii) obligations under this lease incurred through the end of the fiscal period for which funds have been appropriated, including the return of the equipment at By signing below, you agree to be bound by all the terms of this Agreement, including the Pitney Bowes Terms (Version 2120), which are available athtto'/!H and are incorporated by reference. The term lease will be binding on us after we have completed our credit and documentation approval process and he included in the Order, additional terms apply which are available by clicking on the hyperlink for that software located at htto*//www.Ditneybawes.corn/us/lice subscriotion-terms-and-conditions html. Those additional terms are incorporated by reference. dLv dU Pitney Bowes Signature Print Name Date Sales Information Boyd Hering Account Rep Name boyd.hering@pb.com Email Address #16 , aI Belle Cassel From: Dustin Jenkins <Dustin.Jenkins@calhouncotx.org> Sent: Thursday, January 21, 2021 1:33 PM To: Dustin Jenkins; Mae Belle Cassel; Richard Meyer Cc: Donna Hall; Lori McDowell Subject: Re: Waste Declaration CCEMS Phone System Attachments: Phone System -Surplus -Salvage Request_CCEMS2021.pdf Mae Belle, Attached you will find a Surplus -Salvage Request, to go on the next available Commissioners Court Agenda, for the phone system we had previously requested to waste. Thank you, J. Dustin Jenkins, DMIN, MBA, LP Director of EMS Calhoun County, TX From: "Dustin Jenkins"<Dustin.Jenkins@calhouncotx.org> To: "Mae Belle Cassel' <MaeBelle.Cassel@calhouncotx.org>, 'Richard Meyer" <Richard.Meyer@calhouncotx.org> Cc: "Donna Hall' <Donna.Hall@calhouncotx.org>, "Lori McDowell' <Lori. McDowell@calhouncotx.org> Date: Mon, 11 Jan 2021 16:03:34 -0600 Subject: Waste Declaration CCEMS Phone System Mae Belle, Please add the following to the next Commissioners Court Agenda: Consider and take necessary action to remove phone system (Inventory Number: 541-0237) from EMS inventory and declare waste. This system has lived past its life expectancy and is no longer serviceable. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun county EMS Requested By: J. Dustin Jenkins, Director of EMS Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration 541-0237 Phone System N/A Past Life Expectancy Not Servicable #17 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION 16ECEMOEW3020 OESD''MO ]NU WM RIII gOM TOTAL DISTIIRATFORNEY FEES 3044020 $ 40.00 $ 40.00 BEER LICENSE LORD 42010 $ 5.00 $ 5,00 COUNTY CLERK FEES 100044030 S 347.00 $ 80.00 $ 12,971,30 S 255,00 $ 13,653.30 APPEAL FROM IP COURTS 100'J4403B $ - IS COUNTY COURT AT LAW 41 JURY FEE LOGO 44140 IS - JURY FEE 10004414D $ - $ - IS - ELECTRONIC FILING FEB FOR E-FILINGS IUM44058 $ - $ - $ - S $ - JUDGE'SEDUCATIONFEE 1000-44160 IS - $ - $ IS 15,00 $ 15.00 JUDGES ORDER/SIGNATURE RAO 44180 $ AGO $ - $ - IS 6000 $ (400 SHERIFF•SPIAB 1"44190 $ 160,00 $ 40.00 $ - $ 175.00 $ 36500 VISUAL RECORDER FEE /0044250 $ - IS _ TIMEPAVMENTfEE- COON" "NEW 2020" /00044332 $ 45.00 $ 45,00 COURT REFPORT6R FEE 100442]0 $ 75.00 $ $ - $ 45.00 $ 120.00 RESTITUTION DUE TO OTHERS 100049020 $ - ATTORNEY FEES -COURT APPOINTED 1W49030 $ - $ - APPELLATE FUND HGC)FEE 26204UMO $ 300D $ 1500 $ 45.00 TECHNOLOGY FUND M63-04030 S B00 IS 8.00 COURTHOUSE SECURITY FEE 267044030 $ 30.00 $ 20,00 $ 44200 $ 20,00 $ 512.00 COURT I NRIATED GUARDIANSHIP FEE 267244030 IS WOO S 60.00 COURT RECORD PRESERVATION FUND 267344030 $ 6000 $ - $ 30M $ 90.00 COURTREPORTERSERVICEfUND•'NEW2020" 2674 030 $ ROO $ 6.00 RECORDS ARCHIVE FEE 2575A4030 $ 4,280,00 S 4,280.00 COUNTYSPECIALTY COURT "NEWI010" 26764 030 $ 40,00 $ 40.00 COUNTYIURYfUNO "NEW2010" 2679 030 $ 2.00 S 200 DRUG& ALCOHOL COURT PROGRAM 269B44030005 $ - $ JUVENILE CASE MANAGER FUND 269944033 $ - IS - FAMILY PROTECTION FUND 270644030 $ 30.00 IS 30,00 JUVENILE CRIME& DELINQUENCY FUND 271544030 $0.00 IS - PRE-TRIAL DIVERSON AGREEMENT 272944034 IS IS - LAW LIBARYFEE 273144030 $ 175.00 S 10500 $ 280.00 RECORDSMANAGEMENT FEE. COUNTY CLERKK 273844300 $ - $ 4,290,00 S 4,29000 RECORDS MANGEMENT FEE - COUNTY 273944030 S 25.00 S 5000 $ 20,00 $ 9500 FINES COUNTYCOURT 274"5040 $ 13900 $ 139.00 BOND FORFEITURE 2740450SO $ - S . STATE POLICE OFFICER FEES- STATE (UPS) (209) 7020-20740 $ - $ CONSOLIDATED COURT COSTS COUNTY 7070.20610 $ - $ CONSOLIDATED COURT COSTS - STATE 7070-20740 5 - $ - CONSOUOATEDCOURTCOSTS-COUNTY "NEW ID20" 7072.20610 $ 29.40 IT 29A0 CONSOLIDATED COURTCOSTS-STAFF "NEW2010" 7072.2a740 $ 264.60 $ 264,60 JUDICIAL AND COURT PERSONNEL TRAINING STI100941 7502-20740 $ 30.00 $ - $ 15.00 $ 450D DRUG& ALCOHOL COURT PROGRAM COUNTY 7390 10 $ - $ DRUG& ALCOHOL COURT PROGRAM STATE 7390-29740 $ - $ - STATEELE.CIRONICFILINGFEE -CIVIL 740322887 $ 150,00 $ - $ 90.00 S 240,00 STATE ELECTRONIC FILING FEECRIMINAL 7403.22990 $ - $ - EMSTRAUMA COUNTYJ10%) 7405-20610 $ - $ EMS TRAUMA - STATE (90%) 7405-20740 S - S - CIVILINOIGENTFEE- COUNTY 74802060 $ 3.00 $ 1,50 S 460 CIVIL INDIGENT FEE -STATE 748020740 $ 57.00 $ 28.50 IS 8550 JUDICIAL FUND COURT COSTS 749520740 JUOICIALSALARY FUND-COUMY(0551 7505-20610- JUDICIALSALARYFUND- STATE (90%) 7505.20740- JUDICIALSALARYFUNDICIVIL&PROBATE) - STATE 7505.20740 ADS $ 2.10.00 $ 126.00 $ 336.00 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884,1000 44359 COURT COST APPEAL OF TRAFFIC AEG IIP APPEAL) 753822885 $ BIRTH - STATE 7855-20780 $ 61.20 S 61.20 INFORMALMARNAGES STATE 78SS 20782 $ 12.60 S 12.50 1DIOALFEE 78SS20786 $ 20000 $ S 12000 $ 320.00 FORMALMARAIAGES-STATE 785520788 S 300.00 S 300,00 NONDISCLOSURE FEE STATE 785S.20790 $ -- TCLE05ECOURT COST -COUNIF(10YU) 7856-20610 TCLEOSE COURT COST STATE(90%) 785620740 JURY REIMBURSEMENT FEE-COUNTY(lORS 7857.20610 $ - S - JURYREIMBURSEMENTFEESTATENAPA) 7857-20740 IS - $ STATE TRAFFIC FINE COUNTY(55O 7860-20610 $ - $ STATE TRAFFIC FINE STATE(95%) 786020740 IS - S STATE TRAFFIC FINE - COUNTYHl%f 9/1/2019 7861120510 $ § STATE TRAffICRARF. STATE(OI 91112019 786040240. $ $ INDIGENT DEFENSE FEE-❑IIMINAL.000NW(10%J 7865-20610 $ - $ INDIGENT DEFENSE FEE -CRIMINAL � STATE(90ffi1 7865-20740 $ $ - TIMEPAYMENT-COUNTYHSNO 7950,20610 IS - $ TIMEPAYMENT 5TATEH50%) 795020740 $ - $ BALL JUMPING AND FAILURE TO APPEARCOUNTY7970206/0 $ BAIL JUMPING AND FAILURE TO APPEAR STAFF 797000740 IS DUE PORT LAVACA PD 999699991 $ 10.00 $ 10.00 DUESEADRIFTPD M0.99992 $ - $ - DUETOPOINTCOMFORTPD 9990.99993 $ $ - DUETOTEWSPARKS&WILDLIFE "A"9994 $ 556.00 IS 556.00 DUE TO TEXAS PARKS& WILDLIFE WATER SAFETY 999099995 $ DUETOTAB[ 9990.99996 g DUE TO ATTORNEY AD LITEMS 9990-99997 $ - DUETOOPERATING/NSF CHARGES/DUE TO OTHERS 7130,20759 $ $ $ 1,059.00 § 500.00 $ 1,559.00 $ 76 1,5.00 S 1,330.00 S 23,M121.00 $ 1,88100 $ 26,006.00 TOTAL FUNDS COLLECTED $ 28,008.00 - FUNDSHELDINESCROW: S AMOUNT DUE TO TREASURER(20R'6):, -2$'889100. TOTAL RECEIPTS: $_ 26,008.00.. AMOUNT DUE TO OTHERS BLESS SF'S): IS 2.125.00 OFI U\O REPORTSIJtlf11XLTUlIpli(Yi 6\ AND i0.6UflEq Of2 NEPiS;OlP IdJ120 igEA91AER REPOAiSLta U181Nt1 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION DECEMBER.2020 J 6GGINNING BUUK BALANCE 11/30/l020 S 79.277.60 FUND RECEIVED IS 10,514,20 -BALANCE OF CASH BONDS" $ DISBURSEMENTS $ 1,88446 m ENDING BOOK BALANCE. "Am $ 8790T.26 "OTHER REGISTRY TEMS" $ •9SC CASH BOND CHECKS" $ BANKRECONCI IATIONREGISTRY OF COURT FUNDS a ENDING BANK BALANCE 12/31/2020 $ 9T,842.39 'ROTA_ REGISTRY FUNDS" $ OUTSTANDING DEPOSITS" OUTSTANDING CHECKS" $ 9935.15) Roconciletl: d CFRTIFIfaTaC fI[n[On<ITc uun mrtoucr n cwS 1_ 044luyed, E08046 PuroNAaNt MBBidmnG Belm4e I IM12020 1R6mt: 12I31120 10440 112412018 $ 1.864.46 $ 1,884,46 $ 10441 11241201E $ 10,257.79 $ 10,257]9 10442 92412018 $ 1,27363 $ 1,273.63 10663 112512018 $ 1,273.63 $ 1,273.63 10444 1/2512018 S 91618,08 S 91618.08 10445 10512013 S 9,618,08 $ 9,618.08 10446 1125/2018 S 9,618.08 5 9,618.08 10"a 6/9/1955 $ 20,29995 $ 20.299.95 10454 3RI2018 S 3,584.1A $ 4,90 $ 3,589,04 i0g55 3/2I2018 8 3,584A4 S 4.90 $ 3,589.04 10486 MM020 $ 5.913,431 $ $ 5.913,43 TOTALS: $ 76,925.47 $ 9.80 $ 1SMA6 $ 75,05075 a - 111812021 Sunnlft d hy: Anna M Goodman, County Clerk Date /-Z7-?OW Rfc arU Meyer, Calhoun County Ju a Data 11'0 REPONT61I.16NTNLHTVVIfG1 AMO LFEA9VREN ItCFOryT$$03n.11)i[ll iNEA5U0.ER REPOHiy,gs,. POF2 01111, 0 N = N )K � W j m w J U � W I z O O O O Cl) C1 O r 0 �T O {`iM co O Mn N n Ow O O N T co N n O 00 14r r N W T M O N 1, M w w n n N r O N � n P] N O iG C W OO V n N t0 N M qT IV 0 to N W V N w M N Yf G � T le N K r r C a r r N D r N m p NT 45 fR fq HT IA to IA YJ YT M Vk fA to !9 fA NT /A fA fry f9 EH Kl fA (H HJ fA CDN 0 A O O co Z It N O b N O M Ono wi N N 10 O M I 'cY OOi t0 100 iN0 Wto C � N N T J r N N O U fA fA IA V! 4a fA fH fA fR fA fA IA HT ffl YT fA NT fA a a n fV m LL m 2' m C O m (n N O ? LL c IL « m C O '� 0 LL f9 Vi W O U O F ID ¢' O U F N H~ O m c p m d d a X m d f Q J O O J J -0 W (A V J N 2 H C)LU U lN0A y CNW NON m :O p N W w `WCp O > }y y2LL IL D N m tw 0. dJN- Fa)Q Z U) anf w LL L O)LLO � .. H H U U I- U¢ ¢ 2 Q m m U N O O U m in O m rLL w wHH c)(7m oam �a �¢aaIL0— as 0 m c > ¢ a a0+ a a y U z O C 0 u u N N Uf U Q C a W U C a a J a m ¢ LL 3 a K W W Z LL O LL LL LL O O LL J LL F- N :0 C C ll tb 0 c m U ;N m m m O zLL O u m Z m rn 4Oc¢i3dC d i H F O w t 3 H I~oCO Qt U ° ra t Qi cW K N WJU zm a GNc -A OO OU)It Jg� OO hc 7 Z JNm mN 0 N N N L a mHW oU m mH O O N ¢ a W K 0) ca 2 2 C oo.> m`= °xwmom d � 3 � W �=" C O Uad O U U O U KUKUKC Ol OJ U U K m `m mO ¢ o o Q¢ OJ 'o o U O m W W W C� ~ `In `000L m m 00 o_a a a a a ma yC)maaUQc7 paa T+ y W N W N W o. m dd� O G mm w w w U) I -Ha IL CD m FF¢- U z z z N co M n N W) co 10 M M 11 10 w �O O O N O O N O N N N V W) f.: P TZ N M N •t w V! V> fA tH iH 44 d) U'l V! V) 0 01 V? V> 69 cm cm ORM ' con ' O LO W p ' , ' co W O-e W), 0) O O N 0 0 W) n fd M p c co OO M V N fH V� Vl V> VT fq fq fA d> 40 fa V! fA % O7 z O U W J J O d U d d J a LL W a N Q N U d ~ O U 0 LL x N C N H N N F W N d LL N d� YO 0 W L C t U LL N — O O N> 0 N d N fd0 W a N O 0) d L 0 z m O Z Q v€ 2 c> w R NLL a) >. O N O N N d0_ c CTG F Q>> — a)m w> d> O N 3 O C W N N N N W O j tll N N N a O N N C V T d J C x N W C.) N L N Q W l0 �•' d d °� N N N Ca V N N IL r F O (0 d Q d c g F F F A H F F- W d d H - O F 1- d — o 4) F- or- w :7 pOn > > Cf O U y G LL 0 2 � x d d>>> 7 Ln — 0 0 c 2� 0 0 0 0 o d o 0 dN @ 0 0 0 0 U V U cU of °�,0 c cUUU JUU OU L)U U a "O C ;O d x 'O 0 C y>> "O 'O ;O 'O V E "0 C.) d C N ,,, C C 'O "0 m m @ C f6 l6 N N Y f6 O N W a LL a T H A Q d 06 O Q Q a a d +' a s LL a d a l0 d A L O) d C C m C a d � '� U � t H ' 0 �` x >> 4) m 4) 0 a a o > . m W 0 U a 0 d. U a v1 2 0 W M M Cid fd n � O O qi 01 Cl) CO) N N V9 fH zz W 2 W N 7 m 47 0 J F ; ■ � \ § - §$i 0�; §`i � B § kB | ) z CA ) \ § !§% § z ■ f � � a m ® z ■ z; zzi a1 o §: § m; cl r: § §: � ■ ©� ; % ■� j / § ) 6 / §§§ e,§ � m M§ � § a) :z § 3/ k 1 2 g q , -1§ Z ) �) \ < ■. c z % z| § ak o z § K( w § z) �k § ■ 2) A a: IC T O O O O O O T e� O o o O O O T W N O O N N y= 01 W W W W W O T O T T W W W wow 0 o N N C D D C) 0 z O z O-0o0 m j 7 D O pEl �z �m m m z� z Mo 0 n z D z z z z z D O O O 7 ;Q G) FDA Z Z Z Z H -I -i -I '1 a 1A Hi EA T T 0 0 0 fAH ATT 0 0 0pp��i''!!C11 T V O � � Pq c O O i N N a 3 v z Z m; a � a m T z Z: z Z` a 3: m m WE � CE � v€ z z€ a c� � a' y g m' Z Z: V z z 00 zz m �_ z : m= m a€ m 4 ZZ= a= z °< m_ m a= 0 3= W= z r=_ p Z_ T m=_ z go! y m= 0= O AMA=_ M _ m Z- c m= r= O m= m€ z= 1= N5 0= 0 0 A O O m Q z v= m= a= 3= m= Z= c z=__ o O o V=_ W= � = Q } § m ! § § ■ E s ■ m ; z §§ m � ■ / ■ B� IPA§ k � R § § \ ) a_■ \m§k / k ) k� ) � O 0 cn c m m. El I z 0 z� 1 �I v a = a m k v= m m z O O O m z �_ o : 3=_Em m=_ z a z=_ O qr = z o z= z ae a <° m= m m= o o r=_ z m= m �= m z �o_ m A gp z= y= 0 0 _ C = z n O $ N Q = D 0 O C YC 3 0 m� O y z ev _ m z�a A O 0 y _ e = r r 3 m O O O m= z= J = T l s T Z= ZZ O= fN N Ui T N= O O O V= a Ls O O O T T W T r O O O z N n m 0 m Z y 0 v � m m z °z I Z= z m0 D m�1: O D cz om T 0 0 c z � w zozo� zz c 0 n m m A n r C v W Z=_ m= m= X= M= m= Z= N= 0= ZB N= m= M = C= ci =_ me m m m 3 m Q m z 0 m m G n W m O m N O D r V m m m m m N N 1 o m m m w W W V m N N O cp O �y N O O O W m m N G O c c Y 3 O W O mD-IZM>OCT ��qom=�--'mo m�mA.=zzmm cc w z x 2 Q C c m<G)0o-0 < < D o m --uO-1 W xa m m z W�Zm ;o x m -0 v m n N m y W :O cp N O W V7 V7 U7 W ;ommmmmco,�m Z z z z z z z z z z DOOOOOOOO 7 0 0 0 O O 0 0 O Z Z Z Z Z Z Z Z Z iA iA fA EA EA 4A fA EA T O O O O O O O O $ a lm W (D N A V m A CN N 0 O O N (D vp � Av0 vvv x a co O z n Cf O C z (A W A m O z 0 A m C T x a N O z � n O o = mze O (A 3 O m Z� 1 z " 0 0 z N A o -. O O T r Y r a � T T O 00 o CO m r v; m: a A: m: z: z a: m: =. a€ r: Z m O A n 0 z -i m 0 z O 0 O 0 0 D r r J 0 Con To m m � (n (n c A N O O O z z z 3 T (A M69 &3 EA C�y9 C�p TIw 0 0 0 0 0 by e fA fA EA EA EA T T O o 0 0 0 V =_ N O = N O x a N 0 z n O C z N v: m: �o a: m: z: 0: Pf : 4 (A: O O W W W m W W� 0 cp y N A W N W Z 0 0 0 0 0 0 C m D D m 0 x O c c A m m c�-lOm1 m00 c)c)A pD m m mrr (nK z00Ncmz D D �r m m - N U) Cl) N � D _0 n fn 0G) O m A Z to commmto� m n <o m co co co co m xzzzzzz z 1000000 �+ g00A0A0A0AcAA) z 2 D D D D D y Z Z Z Z Z Z m A m c O O T a a r � '1 a fR d1 69 fA 4A EA fA EA T T 0 0 0 0 0 0 0 0 � C 1A ER (A fA Efl ��Tn O O tv00 W A v W J m to 0 'L n 0 C I w v: m: a: a: m: z: z: 0: i' O Z 0 a m m m C v 0 m m W m W 0 N� W (O W O N N A tl� O O O O O 0 0 C oom> Cmom Z m mZO m m mmCiK G) y Z N m � 0 D m cnm co cn� m m 3 c m;o y A Z C < Z N z 0 m z 3 z x z mm m z m z U) c c � D O va m omoo�000 n mzzzzzzzz� m o 00000000 00000000 m 2 D D O y z z z Z Z Z z z Z O rrriiiS 1 H H N a 0 O O T a O 0 0 0 0 0 0 0 0 0 T � fR tH Efl E9 EA fA Y3 EA fA EA O 0 0 0 0 0 0 0 0 0 W W EA fA Efl fA 4A W 69 (fl T� W W O O O O O W O O W W T T OW-� N N O O J lNT m ri 4A T EA fA fA 69 a W Efl W EA f9 O W �T� fA M (O W J N W N ME Ja: m€ Z:: 4: of 0: mww,R O N O O C cn OA m D 9 m z�c�� Z m m m OC,)(nm m 3 � �N� ti m m 9 lrcn � r z m Z O T m m m co m z z z z p 0 0 0 0 gG)G)G)c) 2 y Z Z Z Z Z Z Z Z o � D m m o Z O O � r Q� m T 4q O Efl O fA 69 fA E9 O O O O 9 C T fR O fp O 4A ifl fA EA O O O O T �Tn 01 Ol N V W T A A N N A O T A A A m N N EA EA iA N T T A A O O O A 3 i 0; m; z -v a:i 3 m m? A; z 3: m mi zi a 3€ m€ m � r G: m: a: 3€ m: z: 0 m m m C O In z v 0 0 § ■ 2 § ■ § § / d / ( ) I 0 § k / § B o§ j M & m @ M§ a§ § m �! 2 m ) a ■) k � k\ % CA k § Z� § �k < In � c= o ■� 2 k) m� j § �j z $ »_ % §■ k )k �) § 0 8) N ~ N C v 0 c z v W A v G) m 'O m m n z 0 O D r K O n T 2 cm)Z m D m a ti y co c � T O O A A z Z A m z c m O D r O m m= C m I z___ m a a=rri z _ a m=_ oAc v m= Z O X z= m C= azm= v m; a 3: m: Z: Zi a: m H? 2; m: 91€ m: G N m0 2 zm m ti <-u r ;u m n ~ � 3 � T C N 0 e A J O a m z Z a � a m m m m z', z a' < m, m O � v z a o C z v! H Q i m r� m; s n; N N m m 0 C7 o rn IN Noa zo `m m m m c m �m 0 3 m m N m w z 0 C a z 1 m 0o A A a Z z 6t ry V V rn rn rn rn N N E A O rn A W W O W W e� O V W V tD W A O N N (O N N rn W N G O 1 mmr D r 0 n-izymm0mn moom�<OO-mw N O A Z n C O c m m m A -0 �G) ONAm� A c D � r O m c T z N m r m cn a 0 ZZZZZZZZZ 0 0 0 0 0 0 0 0 0 Z Z Z Z Z Z Z Z Z a EA Efl ffl EA EA fA fA EA T T O O O O O O O O E9 i a a b! 0 Z `i c 0 a m m m C O ■ ■ v; a ■ § § E� � § ■: ' § : �§ § _ § « � � #19 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 27, 2021 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL''PAYABLES, PAYROLLAND ELECTRONIC. BANK PAYMENTS $, U;1,623.63_! � TOTAL TRANSPERS BETWEEN FUNDS r $ $7,476,67', TOTAL NURSING HOME UPL EXPENSES, $ 956y199.$ZA, TOTAL INTER -GOVERNMENT TRANSFERS $ 166,054.62 GRAND TOTAL DISB I URSEMENTSA I PPROVEQ Janaury 27, 202T $ 1,563',564.74 7' MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --- January 27 2021 PAYABLES AND PAYROLL 1/21/2021 Weekly Payables 1/2112021 Patient Refunds 1/25/2021 McKesson-34013 Prescription Expense Prosperity Electronic Bank Payments 1/19/2021 Cleargage-Patient Financing Service 1/191-1/22/21 Pay Plus -Patient Claims Processing Fee TRANSFER BETWEEN FUNDS -NURSING HOMES 1/21/2021 MMC Operating to The Crescent- correction of NH insurance payment deposited into MMC Operating 1/21/2021 MMC Operating to Golden Creek Healthcare -correction of NH Insurance payment deposited into MMC Operating 1/21/2021 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment deposited into MMC Operating 1/21/2021 MMC Operating to Tuscany Village -correction of NH insurance payment deposited into MMC Operating 1/21/2021 MMC Operating to Bethany Senior Living- correction of NH insurance payment deposited into MMC Operating TOTAL TR'AN6FERS ISETWEEN,fUNDS- NURSING HOME UPL EXPENSES 1/25/2021 Nursing Home UPL-Cantex Transfer 112512021 Nursing Home UPL-Nexion Transfer 1/2512021 Nursing Home UPL-HMG Transfer 1/25/2021 Nursing Home UPL-Tuscany Transfer 1/25/2021 Nursing Home UPL-HSL Transfer QIPPIINTERESTIRECOUP CHECKS TO MMC 112512021 Ashford 1/25/2021 Broadmoor 1/25/2021 Crescent 1/26/2021 Fort Bend 1/25/2021 Solera 1/25/2021 Tuscany TOTAL !NURSING HOME UPL EXPENSES' INTER -GOVERNMENT TRANSFERS 1/25/2021 IGT DY10 UC be paid on February 04, 2021 TOTAL INTER-GOVERNMENi'tONSPERS 320,545.58 12,430.55 9,927.54 117.40 266.65 535.91 $ 34k823,63' 7,135.44 3,778.00 35,258.14 31,210.88 20,094.21 $ 358,907.45 69,815.26 50,032.91 55,963.73 401,248.42 3,259.52 1,174.31 960.38 1,330.94 1,153.16 12,353.74 166,054.62 97476.67 ` $ 166 064.62,1 1/21/2021 tmp_cw5report7479927807452664694.html MEMORIAL MEDICAL CENTER 01/21/2021 11:02 9 11%14 '� ?C2 i AP Open Invoice List t Due Dates Through: 02/10/2021 Vendo .'tr,., OVIIIJOI A! �ltur VeddorNams Class 11237 3WON, LLC ✓' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 2434 ✓ 01/06/2021 01/04/2021 02/04/2021 CREDENTIALING Vendor Totals: Number Name Gros: 11237 3WON, LLC 1,393.00 Ventlor# Vendor Name _ Class 10950 ACUTE CARE INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay INV15 01/20/2021 01/20/2021 01/30/2021 RFID Vendor Totals: Number Name Gross 10950 ACUTE CARE INC 1.400.00 Ventlor# Vendor Name Class 13180 ADVANCED STERILIZATION PROD,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 80201179980 /19/2021 12/29/2020 01/19/2021 SUPPLIES Vendor Totals: Number Name Gross 13180 ADVANCED STERIL 864.00 Vendor# Vendor Name Class ; A1680 AIRGAS USA, LLB - CENTRAL DIV M v' Invoice# Commnent Tran Dt Inv Dt Due Dt Check Dt Pay 9108524002ei/19/2021 12/2912020 01/23/2021 � OXYGEN 9976490440 0f/ig/2021 12/31/2020 01/25/2021 OXYGEN 9976490441t.01/19/2021 12/31/2020 01/25/2021 OXYGEN 9108510469 PO /19/2021 12/3112020. 01/25/2021 OXYGEN 9976490442,O1%19/2021 01/30/2021 01/30/2021 OXYGEN Vendor Totals: Number Name Gross A1680 AIRGAS USA, LLC- 3,800.24 Vendor# Vendor Name Class 10592 AMERICAN PROFICIENCY INSTITL Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay 577454 01/21/2021 12/01/2020 12126/2020 HOSPITALAPI RENEAL Vendor Totals: Number Name Gross 10592 AMERICAN PROFIC 2,328.00 Vendor# Vendor Name Class A1360 AMERISOURCESERGEN DRUG CC W i� / Invoice# Cc ment Tran Dt Inv Dt Due Dt Check Dt Pay 985400564✓01/19/2021 01/12/2021 01 /18/2021 INVENTORY 802744541 ,A1/19/2021 011161POPI 01/21/2021 SERVICE CHARGE VandorTotals: Number Name Gross A1360 AMERISOURCEBEF 10,439.08 Vendor# Vendor Name Class A2218 AQUA BEVERAGE COMPANY M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay 116003V 01/19/2021 12/31/2020 01/25/2021 0 ap_open_invoice.template Pay Code Gross Discount No -Pay Net 1,393.00 0.00 0.00 11393.00 ✓� Discount No -Pay Net 0.00 0.00 1,393.00 Pay Code Gross Discount No -Pay Net 1,400.00 0.00 0.00 1,400.00 Discount No -Pay Net 0.00 0.00 1.400.00 Pay Code Gross Discount No -Pay Net 864.00 0.00 0.00 864.001_ Net 864.00 Discount No -Pay 0.00 0.00 Pay Code Gross Discount No -Pay Net 298.22 0.00 0.00 298.22 495.91 0.00 0.00 495.91,i ' 693.59 0.00 0.00 693.59 ✓r 2.248.76 0.00 0.00 2,248.76 v�l 63.76 0.00 0.00 63.76 Discount No -Pay Net 0.00 0.90 3,800.24 Pay Code Gross Discount No -Pay Net 2,328.00 0.00 0.00 2,328.00 Discount No -Pay Not 0.00 0.00 2,328.00 Pay Code Gross Discount No -Pay Net 10,400.00 0.00 0.00 10,400.00 39.06 0.00 0.00 39.06 Discount No -Pay Net 0.00 0.00 10,439.08 Pay Code Gross Discount No -Pay Net 8.00 0.00 0.00 8.00 file:/!/C:/Usera/mmckissacldcpsitmemmed.cpsinat.com/u88150a/data_5/tmp_cw5report7479927ao7452664694,html 1/14 1/21/2021 tmp_cw5report7479927807452664694.html 114712 V 01/19/2021 12/31/2020 01/25/2021 40.99 0.00 0.00 40.99 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE C 48.99 0.00 0.00 48.99 Vendor# Vendor Name Class Pay Code 12060 AQUA PURIFICATION INC. ✓1 Invoice# ,Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net 431740 -" 01/19/2021 01/04/9021 01/04/2021 5,800.00 0.00 0.00 5,800.00 v REPAIR WATER SOFTNER Vendor Totals: Number Name Gross Discount No -Pay Net 1206D AQUA PURIFICATIC 51800.00 0.00 0.00 5,800.00 Vendor# Vendor Name Class Pay Code A0400 AUREUS RADIOLOGY LLC ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2107753✓/ 01/20/2021 IPJ21/2020 01/20/2021 2,512.50 0.00 0.00 2,512.50 STAFFING 2112344 ✓r 01/20/2021 12/28/2020 01/27/2021 2,730.25 0.00 0.00 2,730.25 STAFFING 2116597✓ 01/20/2021 01/04/2021 02/03/2021 5,84575 0.00 0.00 5.846.75 STAFFING Vendor Totals: Number Name Gross Discount No�Pay Net A0400 AUREUS RADIOLOC 11,008.50 0.00 0.00 11,088.50 Vendor# Vendor Name Class Pay Code 80436 BARD ACCESS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 61970498✓i 01/18/2021 01105/2021 01/05/2021 94.08 0.00 0.00 94.08 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net SO4S6 BARD ACCESS 94.08 0.00 0.00 94.08 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 69263628✓'01/18/2021 1PJ29/2020 01/2312021 311.66 0.00 0.00 311.56 r-! SUPPLIES 69260702 V/01/19/2021 12/28/2020 01/2W2021 375.17 0.00 0.00 375.17 SUPPLIES 69258070a;'01/19/2021 12/28/2020 01/22/2021 371.16 0.00 0.00 371.16 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 61150 BAXTER HEALTHCI 1,057.99 0.00 0.00 1,057.99 Vendor# Vendor Name - Class Pay Code B1220 BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 7284320 . 01/20/2021 12/03/2020 12/28/2020 6,330.96 0.00 0.00 6,330.96 SUPPLIES 108802084 v01/2012021 12/18/2020 01/12/2021 459.18 0.00 0.00 459.18 SUPPLIES 108804355 �01/20/2021 12/20/2020 01/14/2021 1,058.92 0.00 0.00 1,058.92 ✓' SUPPLIES 108803642W1/20/2021 12/20/2020 01/14/2021 66.99 0.00 0.00 66.99 SUPPLIES 108804082.,620/2021 12120/2020 01/14/2021 68.39 0.00 0.00 68.391'-" r SUPPLIES 4409028 ✓ 01/20/2021 12/25/2020 01/19/2021 1,842.50 0.00 0.00 1,842.50 SUPPLIES 108818707t,,01/20/2021 12/29/2020 01/23/2021 759.06 0.00 0.00 769.06 � SUPPLIES 108818462 �01/20/2021 12/29/2020 01/2312021 646.77 0.00 0.00 646.77 // SUPPLIES 5434463 f01/20/2021 12/30/2020 OV24/2021 3,507.27 0.00 0.00 3,507.27 �-- MAINT CONTRACT/ LEASE file:///C:tUsers/mmckissack/cpsi/memmed.cpsinet.coMu$8150a/data_5/tmp_cw5report7479927807452664694.htmt 2114 AI re 1/21/2021 tmp_cw5roport7479927807452664694.html 108826820 ✓01/20/2021 01/04/2021 01/29/2021 1,266.98 0.00 0.00 1,266,98 SUPPLIES 108826121 yttt/20/2021 01/04/2021 01/29/2021 30.44 0.00 0.00 30.44 SUPPLIES 108825852 v i/2012021 01/04/2021 01/29/2021 85.90 0.00 0.00 85.90,: ' SUPPLIES 108626216 U6/2012021 01/04fP021 01/29/2021 689.71 0.00 0.00 689.71 j SUPPLIES 5434739 ✓ 01/20/2021 01/06/2021 01/30/2021 6,24SA2 000 0.00 / 6,P49.42,,�' MAINT CINTRACT/ LEASE 108826999 g 1/20/2021 01/06/2021 01/31/2021 66.24 0.00 0.00 66.24w/,1 SUPPLIES 108832774141/20/2021 01/06/2021 01/31/2021 44.66 0.00 0.00 44.66 L_, / SUPPLIES 108834397 41/2012021 01/07/2021 02/01/2021 1.218.17 0.00 0.00 1,218.17 SUPPLIES y 7286777 ✓ 01/20/2021 01/12/2021 02J06/2021 6.944.59 0.00 0.00 6,944.59V,,- SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTE 31,346.15 0.00 0.00 31,346.15 Vendor# Vendor Name Class Pay Code B1320 BEEKLEY CORPORATION ,/� M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INV14040749-6a/2021 01/05/2021 01/18/2021 125.95 0.00 0.00 125.95 u' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1320 BEEKLEY CORPOR 125.95 0.00 0.00 125.95 Vendor# Vendor Name Class Pay Cede 12324 BLUE CROSS BLUE SHIELD Invoice# Comment Tran Dt Inv Dt Due of Check Dt Pay Discount No -Pay yet 011521 01/19/2021 01116/2021 02101/2021 /Gross 230,45 17 0.00 0.00 230,4158.17 INSURANCE -- 5dk+ ba+-k . f,,y // Vendor Totals: Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE 230,458 17 0.00 0.00 230,36.17 Vendor# Vendor Name Class. Pay Code ' 11224 CABLES AND SENSORS./ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 105058,.j 01/13/2021 01/05/2021 02/05/2021 116.00 0.00 0.00 116.00 / SUPPLIES 105071 ✓ 01/19/2021 01/05/2021 02/05/2021 198.00 0.00 0.00 198.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11224 CABLES AND SENS 314.00 0.00 0.00 314.00 Vendor# Vendor Name Class Pay Code 13264 CERVEY, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2735,;' 01/19/2021 01/15/2021 02/09/2021 1,699.00 0.00 0.00 1,699.00 MONTHLY LICENSING FEE Vendor Totals: Number Name Grass Discount No -Pay Net 13264 CERVEY, LLC 1,699.00 0.00 0.00 1,699.00 Vendor# Vendor Name Class Pay Code 10105 CHRIS KOVAREK,/_ Invoial Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 45 01/19/2021 01/04/2021 01/04/2021 200.00 0.00 0.00 200.00. r SWINGBED (I1ia - la13)f ' Vendor Totals: Number Name Gross Discount No -Pay Net 10105 CHRIS KOVAREK 200.00 0.00 0.00 200.00 Vendor# Vendor Name Class Pay Code 13676 CLARIUS MOBILE HEALTH CORP✓ invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net .612021 01/20/2021 0V20/2021 01/20/2021 5,040.00 0.00 0.00 5,040-00 file:NC:/Users/mmckissack/cpsi/memmed.cpsinst.com/u8815ca/data_5/tmp_cw5report7479927807452664694.html 3114 u 4 1/21/2021 tmp_cw5report7479927807452664694.htm1 CLARIUS SCANNER Vendor Totals: Number Name Gross Discount No -Pay Net 13676 CLARIUS MOBILE H 5,040.00 0.00 O.W 6,040,00 Ventlor# Vendor Name Class Pay Code C1166 COASTAL OFFICE SOLUTONS„-� W Invoice# Cort�lment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net OE304801 P01/18/2021 01/13/2021 01/23/2021 96.88 0.00 0.00 SUPPLIES OEQT15276$1/19/2021 11/13/2020 11/23/2020 462.21 0.00 0.00 452.21 JJ SUPPLIES W0447051 „�b111912021 01/15/2021 01/26/9021 51.44 0,00 0.00 51.44v, SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C1166 COASTAL OFFICE: 599.53 0.00 0.00 599.53 Vendor# Vendor Name Class Pay Code C2157 COOPER SURGICAL INC ,:' M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 5698663,,- 12130/20PO 12/15/2020 12r30/2020 918.69 0.00 0.00 918.69 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Not C2157 COOPER SURGICAI 918.69 0.00 0.00 918.69 Vendor# Vendor Name Class Pay Code C2297 COVER ONE M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 19850 " 01/13/2021 01/06/2021 02/06/2021 968.00 0.00 0.00 96840 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C2297 COVER ONE 968.00 0100 0.00 96&00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON V" Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 6307610./01/13/2021 01/11/2021 02/05/2021 134.73 0.00 0.00 13433 V SUPPLIES 6307350 �Z01/13/2021 01/11/2021 02/05/2021 111.23 0.00 0.00 111.23 SUPPLIES 6298891 ✓ 01/13/2021 01/11/2021 02/OS/2021 41.99 0.00 0.00 41.99 SUPPLIES 6309260,% 01/19/2021 01/12/2021 OPJ06/2021 72.28 0A0 0.00 72.28E - SUPPLIES 0309320 ,/ 01/191P021 01/12/2021 02/OB/2021 10.69 0.00 0.00 10.69 SUPPLIES 6311010 ✓� 01YI912021 01/13/2021 02/07/2021 108.04 0.00 0.00 108.04 ✓r SUPPLIES / 6309860 ,01/19/2021 01/13/2021 02/07/2o21 J 654.53 0.00 0.00 654.53 ,x SUPPLIES 6307521 01/19/2021 01/13/2021 02/07/2021 17.23 O.CO 0.00 - 17.23 SUPPLIES t-f VendorTotals: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH&SC 1,150.72 0.00 0.00 1,150.72 Vendor# Vendor Name Class Pay Code 11011 DIAMOND HEALTHCARE CORP ✓/- Invoice# Comrjrent Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net IN20054317,01/1912021 01/01/2021 01/26/2021 19,166.67 0.00 0.00 19,166.671% CPR IN2005431691119/2021 01/01MO21 01/26/2021 31,144.68 0.00 0.00 31,144.58 ✓`' BEV HEALTH Vendor Totals: Number Name Gross Discount No -Pay Net 11011 DIAMOND HEALTH( �/ 50,311.25 0.00 0.00 50,311.25 Vendor# Vendor Name Class Pay Code 12040 DRIESSEN WATER INC. V, Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:///G9Users/mmckissacklcpsi/memmedcpsinet.com/u88150a/data Sltmp cw5reaort7479927807452664694.html 4114 I 1/21/2021 tmp_cw5report7479927807452664694,html 1430270312,,'01/19/2021 12/31/2020 01/22/2021 246.45 0.00 0.00 248.45 " SUPPLIES 1� " Vendor Totals: Number Name Gross Discount No -Pay Net 12040 DRIESSEN WATER 246.45 0.00 0.00 246.45 Vendor# Vendor Name Class Pay Code 10175 DSHS CENTRAL LAB MC2004 V' Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net CENCN042601120/2021 01/05/2021 01/30/2021 605.80 0.00 0.00 605.80 ! SUPPLIES V Vendor Totals: Number Name Gross Discount No -Pay Not 10175 DSHS CENTRAL LA 605.80 0100 0.00 605.80 Vendor# Vendor Name Class Pay Code 11046 E-MDS, INC ,,f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 421574✓ 01/20/2021 01/14/2021 01/14/2021 200.00 0.00 0.00 200.00 ✓' EPOS SUBSCRIPTION PER PROVII Vendor Totals: Number Name Gross Discount No -Pay Net 11046 E•MDS, INC 200.00 0.00 0.00 200.00 Vendor# Vendor Name Class Pay Code E1070 EDWARDS PLUMBING INC �'! W Invoice# Comment Tran Dt Inv Dt Due Ot Check Ot Pay Gross Discount No -Pay Net 63146 01/19/2091 11/18/2020 11/18/2020 4,014.11 0.00 0.00 4,014.11k/'' COMPLETE BACKPLOW REPAIR Vendor Totals: Number Name Gross Discount No -Pay Net E1070 EDWARDS PLUMBII 4,014.1If 0,00 0.00 4,014.11 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIO Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 39860 /01/20/2021 12/31/2020 12/31/2020 5,280.00 0.00 0.00 5,280.00✓ ✓ CHEN WKEND HOSPITALIST/ER PI Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAF 6,280.00 0100 0.00 5,280.00 Vendor# Vendor Name Class Pay Code 10042 ERBE USA INC SURGICAL SYSTEh ,% Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 651617,11 01/18/2021 01/05/2021 01/18/2021 139.50 0.00 0.00 139.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay, Net 10042 ERBE USA INC SUF 139.50 0.00 0.00 139.50 Vendor# Vendor Name Class Pay Code C2510 EVIDENT ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 980000,' 01/19/2021 12/11/2020 01/05/2021 187.00 0.00 0.00 187.00 ✓ SUPPLIES T201215137101/19/2021 12/16/2020 01/09/2021 9,433.66 0.00 0.00 9,433.56.,.' BUSINESS SERVICES PrW41, pay 5cwlr.aS Vendor Totals: Number Name Gross Discount No -Pay Net C2510 EVIDENT 9,620.56 0.00 0.00 9,620.56 Vendor# Vendor Name Class Pay Code $0501 EVOQUA WATER TECHNOLOGIES ,% Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 904699060 ,di/20/2021 11/30/2020 12/25/2020 659.88 0.00 0.00 659.88 r% SUPPLIES Vendor7otals: Number Name Gross Discount No -Pay Net S0501 EVOQUA WATER TI 659.88 0.00 0.00 659.88 Vendor# Vendor Name Class Pay Code 10689 FASTHEALTH CORPORATION v Invotca# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 01A21MMCdl/19/2021 01101/20PI 01/16/2021 495.00 0.00 0.00 496.00 ✓- WEBSITE Vendor Totals: Number Name Gross Discount No -Pay Net file:///C:/Users/mmckissack/cpsihnemmed.cpsinet.com/uBB150aldata_5/tmp_ cw5report7479927807452664694,html 5/14 (' Y 1/21/2021 imp_cw5report7479927807452664694.html 10689 FASTHFALTH CORE 495.00 0.00 0.00 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. I / W Invoice# Com4ent Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay 72378660241/19/2021 01/07/2021 02/OV2021 30.19 0.00 0.00 SHIPPING Vendor Totals: Number Name Gross Discount Fi loo FEDERAL EXPRES: 90.19 0.00 Vendor# Vendor Name Class F1400 FISHER HEALTHCARE ��` M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 5765334f01/20/2021 12/14/2020 01/08/2021 5,661.50 i SUPPLIES 6169243 ✓ Ot/20/2021 12/21/2020 01/15/2021 994.82 SUPPLIES 6169242 y' 01 /20/2021 12/21/2020 01/15/2021 661.29 SUPPLIES 6513799,// 01/20/2021 12/24/2020 01/18/2021 9,392.17 SUPPLIES 6884621 ,/ 01/20/2021 12/30/2020 01/24/20PI 18,768.83 SUPPLIES 7013670 01/20/2021 12/31/2020 01/25/2021 67.86 SUPPLIES 7313042 / 01/20/2021 01/05/2021 01/30/2021 234.26 SUPPLIES / 7485879 J 01/20/2021 01/06/2021 OV31/2021 556.54 SUPPLIES 7485874 /01/20/2021 01/06/2021 01/31/2021 18,785.50 SUPPLIES 7673205 OV20/2021 01/07/2021 02/01/2021 5,503.23 r/ SUPPLIES Vendor Totals: Number Name Gross Discount F1400 FISHER HEALTHCA 60,616.00 0.00 Vendor# Vendor Name Class 11183 FRONTIER 495.00 Net 3o.19 i, '� No -Pay Net 0.00 30.19 Pay Code Discount No -Pay Net 0.00 0.00 5,661.60 ✓ 0.00 0.00 994.82 ,/- 0.00 0.00 651.29 �/' 0.00 0.00 9,392.17 V/ 0.00 0.00 18,768.83 rj 0.00 0.00 67.86 1/ 0.00 0.00 234.26 (Wn 0.00 556.54 0.00 0.00 18,785.80 0.00 0.00 51503,23 t ,. No -Pay Net 0.00 60,616.00 Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 010221 01/20/2021 01/02/2021 01/26/2021 1,177.02 0.00 0.00 1,177.02 - PHONES 4! Vendor Totals: Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,177.02 0.00 0.00 1,177.02 Vendor# Vendor Name Class Pay Code I P404 GE PRECISION HEALTHCARE, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6001722783,01/21/2021 12/01/2020 12/81/2020 795.84 0.00 O.OD 795.84��' MAINT CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEl 795.84 0.00 0.00 795.64 Vendor# Vendor Name Class Pay Code W7300 GRAINGER / M Invoice# Comment Tran at Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Nei 9757298238r01/1912021 12/28/2020 01/22/2021 44.88 OAO 0.00 44.88�,%' SUPPLIES i' 976149557Z 0619/2021 01/04/2021 OV29/2021 44.80 0.00 0.00 44.80 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net W1300 GRAINGER 89.68 0.00 0.00 89.69 Ventlor# Vendor Name C/lass Pay Code. G1210 GULF COAST PAPER COMPANY vM Invoice# Comment Tran Dt Inv Dt Due Dt Check at Pay Gross Discount No -Pay Net 1984397 � *01113/2021 01/05/2021 02104/2021 255.72 0.00 0.00 255.72,,/ SUPPLIES file:///C:/Users/mmckissacWcpsi/memmed.cpsinet,com/u8815Oaldata_5/tmp_"Smport7479927807452664694.html 6114 a Y 1/21/2021 tmp_cw5mport7479927807452664694.html Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPE 265.72 0.00 0.00 256.72 Vendor# Vendor Name Class Pay Code H0032 H + H SYSTEM, INC. ,/' Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 0333591 01/19/2021 01/06/2021 02/05/2021 47.98 0.00 0.00 47.98 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net H0032 H + H SYSTEM, INC 47.98 0.00 0.00 47.98 Vendor# Vendor Name Class Pay Code 11652 HEALTHCARE FINANCIAL SERVICI Invoice# Comment Tran Dt Inv Dt Due Dt „- Check Dt Pay Gross Discount No -Pay Net 100406204 ✓01/20/2021 i2/28/2020 02/01/2021 4,610.62 0.00 0.00 4,610.52 " PHONE/STERLIZER/GEM PREM 41( 100412370,0Y/20/2021 01/08/2021 02/01/2021 4,919.41 0.00 0.00 4,919.41 LEASE 100412371 „01/20/2021 O1/0812021 02/01/2021 7,154.17 0.00 0.00 7,154.17,,: LEASE 100412372t,,01/2012021 01/08/2021 02101/2021 7,447.86 0.00 0.00 7,447.86✓ LEASE 100412373,01/20/2021 01/08/2021 02/01/2021 1,797.44 0.00 0.00 1,797,44 y'`l LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 11552 HEALTHCARE FINA 25,929.40 0.00 0.00 26,929.40 Vendor# Vendor Name Class Pay Code 12932 INTRADO ,il Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net INV0023070@D1/20/2021 1213112D20 01/31/2020 468.78 0.00 0.00 4BB.78V./ � HOUSE CALLS Vendor Totals: Number Name Gross Discount No -Pay Net 12932 INTRADO 468.78 0.00 0.00 468.78 Vendor# Vendor Name class Pay Code J0150 J & J HEALTH CARE SYSTEMS, IN( Invoice# CcJnment Tran Dt Inv Dt Due Or Check Dt Pay Gross Discount No -Pay Net 924022963� 01/18/2021 01/04/2021 OP103/2021 988.99 0.00 0.00 988.99✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net J0150 J & J HEALTH CARE 988.99 0.00 0.00 988.99 Vendor# Vendor Name Class Pay Code L070D LAGCORP OF AMERICA HOLDING! M ✓ Invoice# Cment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 68129651✓ 01/20/2021 01/02/2021 01/27/2021 79.25 0.00 0.00 79.25 SUPPLIES 6B204820. 01/20/2021 01/02/2021 01/27/2021 45.00 0.00 OA0 45.00,-/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net L0700 LA6CORP OF AMEP 124.25 0,00 0.00 124.25 Vendor# Vendor Name Class Pay Code L1298 LANGUAGE LINE SERVICES ,j� w Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 4926687 �/01/19/2021 12/31/2020 01/25/2021 1.72 0.00 0.00 i 1.72 ✓ INTERPERTATION Vendor Totals: Number Name Gross Discount No -Pay Net L128B LANGUAGE. LINE SF 1.72 0.00 0.00 1.72 Vendor# Vendor Name Class Pay Code Ll640 LOWE'S HOME CENTERS INC W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 97006 01/20/2021 12/28/2020 01/28/2021 341.30 0.00 0.00 341.30,-- SUPPLIES 010221 01/20/2021 01/02/2021 01/28/2021 31.64 0.00 0.00 31.64,. " INTEREST/LATE FEE Ble:///C:/Users/mmekisseck/cpsitmemmed.cpsinat.comtuBB150a/data 5/tmo cw5report7479927807452664694.html 7114 } 1/2112021 tmp_dw5report7479927807452664694.htm1 Vendor Totals: Number Name Gross Discount No -Pay Net L1640 LOWE'S HOME CEP 372.94 0.00 0.00 372.94 Vendor# Vendor Name Class Pay Code 10972 M G TRUST Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 011921 01/19/2021 01/19/2021 01/19/2021 790.86 0.00 0.00 790.861,/ PAYROLL DED Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 790.86 0.00 0.00 790.86 Vendor# Vendor Name Class Pay Code M1950 MARTIN PRINTING CO ✓ W Invoice# Comment Tran Dt Inv Dt Due of Check Dt Pay Gross Discount No -Pay Net 76540 f 01/13/2021 01/06/2021 02/05/2021 61.00 0.00 0.00 61.00 ✓' SUPPLIES c"%�bi kjgpj CAvd S C01) k. Vandor Totals: Number Name Gross Discount No -Pay Net M1950 MARTIN PRINTING, 61.00 0.00 0.00 61.00 Vendor# Vendor Name Class Pay Code 11612 MASA GLOBAL BUILDING }i Invoice* Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 860579MKMMI/19/2021 01/13/2021 01/13/2021 1,626.00 0.00 0.00 1,626.00,/ U INSURANCES Vendor Totals: Number Name Gross Discount No -Pay Net 11612 MASA GLOBAL BUII 1,626.00 0.00 0.00 1,626.00 Vendor# Vendor Name 0 ass Pay Cade M2181 MATTHEW BENDER & CO.,INC. v- W Invoice# C mment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 23271795`(1/19/2021 12/18/2020 01/28/2020 12.08 0.00 0.00 72.08 CONTINUING ED vz" Vendor Totals: Number Name Gross Discount No -Pay Net M2181 MATTHEWBENDEF 72.08 0.00 0.00 72.08 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL I Invoice# Comment Tran Dt Inv Dt Due Dt V/ Check Dt Pay Gross Discount No -Pay Net 17043525 �/12/30/2020 1212PJ20PO 01/0e/2021 131.79 0.00 0.00 131.79 ✓ SUPPLIES 17065354„/01/14/2021 12/22/2020 02/01/2021 -91.14 0.00 0.00 •91.14 ✓ CREDIT INV 16046296 17209414,/01/18/2021 IPJ2912020 01/13/2021 99.91 0.00 0.00 99.91 ✓ SUPPLIES 17216443 ,/01118/2021 12/29/2020 01/13/2021 91.14 0.00 0.00 91.14 ✓"� SUPPLIES 16046296 ✓ 01/19/2021 11/24/2020 12/09/2020 300.10 0.00 0.00 300.10 ✓ SUPPLIES 17108792,,./01/20/2021 12/23/2020 01/07/2021 230.59 0.00 0.00 230.59 SUPPLIES 17140254 ✓01/20/2021 12/24/2020 01/08/2021 241.14 0.00 0.00 241.14 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDIC 1,003.53 0.00 0.00 1,003.53 Vendor# Vendor Name Class Pay Code 11203 MEOI-DOSE, INC ✓/ Invoice#'Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 0794447V 01/19/2021 01/06/2021 02/08/2021 105.60 0.00 0.00 105.50 ,% SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11203 MEDI-DOSE, INC 105.50 0.00 0.00 105.50 Vendor# Vendor Name Class Pay Cade M2827 MEDIVATORS tJ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 90759293,% 01/19/2021 01/11/2021 01/10/2021 214.1$ 0.00 0.00 214A3 w' SUPPLIES 81e:///C:/Users/mmcklssack/cpsYmemmed.cpsinetcom/u88150a/data MIMI) cw$report7479927807452664694.html 8114 1/21/2021 tmp_cw5report7479927807452664694.html Vendor Totals: Number Name Gross Discount No -Pay M2827 MEDIVATORS 214.13 0.00 0.00 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC f M Invoice# Cortlment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 193433965642130/2020 IV15/2020 01/09/2021 2,610.46 0.00 0.00 // SUPPLIES 1935204069v12/30/2020 12/22/2020 01/16/2021 15.70 //' SUPPLIES 193542031801 30/2020 12123/2020 01/17/2021 545.28 // SUPPLIES 1935953278 4Y 30/2020 12/29/2020 01/23/2021 441.48 SUPPLIES 1936000836 d2/30/2020 12/29/2020 01/23/2021 63.84 SUPPLIES 0R.4t�ixel1; Net 214.13 Net 2,610.46 t% - 16.70 J/ 0.00 0.00 545.28 v 0.00 0.00 441.48 r/ 0.00 0.00 63.84 ✓� Vendor Totals: Number Name Gross Discount No -Pay M2470 MEDLINE INDUSTR 3.676.76 0.00 0.00 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC ✓" Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 011921 01/19/2021 01/19/2021 01/19/2021 175.00 0.00 0.00 PAYROLLDED Vendor Totals: Number Name Gross Discount No -Pay 10963 MEMORIALMEDICP 175.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount Na-Pay 6488469 of01/19/2021 01/13/2021 01/23/2021 883.56 0.00 0.00 INVENTORY 6488468 �/01/19/2021 01/13/2021 01/23/2021 436.50 0.00 0.00 INVENTORY / 2336 ✓ 01/19/2021 01/13/2021 01/23/2021 -5.00 CREDIT 2508 01/19/2021 01/13/2021 01/23/2021 -4.99 CREDIT W3610 01/19/2021 01/13/2021 01/23/2021 17.72 INVENTORY 6488470,/' 01/19/2021 01/13/2021 01/23/2021 413.80 INVENTORY 0493165 ✓" 01/19/2021 01/14/2021 01/24/2021 4.588.62 INVENTORY 6490179,/ 01/19/2021 01/14/2021 01/24/2021 2.615.64 INVENTORY 6493167,"01/19/2021 01/14/2021 Ot/24/2021 187.68 INVENTORY �. 6493166 ,%01/19/2021 01/14/2021 01/24/2021 663.58 INVENTORY 6490178 4,0�1/19/2021 01/14/2021 01/24/2021 174.62 INVENTORY 6492955 �,01/19/2021 01/14/2021 01/24/2021 62.24 SUPPLIES 6498057 01/1912021 01/77/2021 01/27/2021 57.66 w i INVENTORY 6498056-/01/19/2021 01/17/2021 01/27/20PI 641.76 INVENTORY 6498055 .i 01/19/2021 01/17/2021 01/27/2021 561.83 INVENTORY Vendor Totals: Number Name Gross Discount 10536 MORRIS & DICKSOI 11,095.21 0.00 Vendor# Vendor Name Clasf 13548 NACOGDOCHES TRANSCRIPTION J file:!//C:/Users/mmckissack/cpsilmemmed.cpsinetcom/u88150a/data 51ml) cw5reocrt7479927807452664604.html Net 3,676.76 Net 175.00 lz Net 175.00 Net 883.56 436.50 v 0.00 0.00 -5,00 0.00 0.00 -4.99 0.00 0.00 17.72 ✓'" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 No -Pay 0.00 Pay Code 413.80,, 4,588.62 ✓ 187.68 563.58 v 174.62�i 62.24�-' 57.66 541.75 561.83 Not 11,095,21 9114 a v 1/21/2021 tmp_cw5mport7479927807452884694.html Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 7261 1, / 01/19/2021 01/18/2021 01/1812021 314.44 0.00 0.00 314.44 TRANSCRIPTION ✓' Vendor Totals: Number Name Gross Discount No -Pay Net 13549 NACOGDOCHES TF 314.44 0.00 0.00 314.44 Vendor# Vendor Name Class Pay Code 10868 NOVA BIOMEDICAL .' Invoice# C menI Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 90796107 01/20/2021 12/01/2020 12/01/2020 4,748.01 0.00 0.00 4,748.01 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10868 NOVA BIOMEDICAL 4,748.01 0.00 0.00 4,748.01 Vendor# Vendor Name Class Pay Code 01600 OLYMPUS AMERICA INC �,` M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt. Pay Grass Discount No -Pay Net 30306195 %01119/2021 01/07/2021 02/01/2021 1,137.51 0.00 0.00 1,137.51 SERVICE CONTRACT _ Vendor Totals: Number Name Gross Discount No -Pay Net 01800 OLYMPUSAMERICi 1,137.51 0.00 0.00 1,137.51 Vendor# Vendor Name Class Pay Cade 01416 ORTHO CLINICAL DIAGNOSTICS Invoice# Comrpent Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Not 185171657.9 ID1120/2021 01/04/2021 02/03/2021 759.03 0.00 0.00 759.03 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL 0 759.03 0:00 0.00 759.03 Ventlor# Vendor Name Class Pay Code P0706 PALACIOS BEACON �r'� W Invoice# Copment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 33057761 ,/61/1912021 12/29120PO 01/28/2021 62.50 0.00 0.00 62.50� AD Vendor Totals: Number Name Gross Discount No -Pay Net P0706 PALACIOS BEACON 62.50 0.00 0.00 62,50 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC Invoice# Comment Tran Ot Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 03888574AV d1/21/2021 12/28/2020 01/27/2021 347.12 0.00 0.00 347.12, f SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LL 347.12 0.00 0.00 347.12 Vendor# Vendor Name Class Pay Code 12544 PATRICK OCHOA Invoice# Commont Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 010721 f 001119/9021 01/07/2021 01/07/2021 200.00 0.00 0.00 200.00 REHAB LAWN 0107216 01/19/2021 01/07/2021 01/07/2021 380.00 0.00 0.00 380.00 �- i CLINIC LAWN 010721A 01i�16/2021 01/07/2021 01/07/2021 520.00 0.00 0.00 520.00 HOSPITAL LAWN Vendor Totals: Number Name Gross Discount No -Pay Net 12544 PATRICK OCHOA 1,100.00 0.00 0.00 1,100.00 Vendor# Vendor Name Class Pay Code 10372 PRECISION DYNAMICS CORP (PD1 V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9345406077,019/2021 01/06/2021 02/05/2021 53.68 0A0 0.00 53.68 aFf SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10372 PRECISION DYNAM 53.68 0.00 0.00 53.68 Vendor# Vendor Name Class, Pay Code 11024 REED, CLAYMON, MEEKER & HAR Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net fife:///C:/Users/mmckissack/cpsi/memmed.cpsineLcomlu8816Da/data SItmD cwSmi3ort7479927807452664694.html 10114 Y 1/21/2021 tmp_cw5report7479927807452664694.html 21413 / 01/20/2021 12/16/2020 12/16/2020 124.50 0.00 0.00 124.50 1 LEGAL NURSING HOME CANTEX Vendor Totals: Number Name Gross Discount No -Pay Net 11024 REED, CLAYMON, A 124.50 0.00 0.00 124.60 1,, Vendor# Vendor Name Class Pay Code 12492 ROBERT ADKINS MASONRY, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 110320 .01/2012021 11/03/2020 11/03/2020 2,960.00 0.00 0.00 2,960.00 PLASTER REPAIR �..% Vendor Totals: Number Name Gross Discount No -Pay Net 12492 ROBERT ADKINSM 2,960.00 0.00 0.00 2,960,00 Vendor# Vendor Name Class Pay Code S1405 SERVICE SUPPLY OF VICTORIA IN W Invoice# Comment Tran Dt Inv Dt Due Dt V,/ Check Dt Pay Gross Discount No -Pay Net 701079916 y01/13/2021 01/05/2021 02/04/2021 32.00 0.00 0.00 32.00 SUPPLIES °' 701080096 plyi3/2021 01/08/2021 02/05/2021 293.00 0.00 0.00 293.06 SUPPLIES f Vendor Totals: Number Name Gross Discount NaPay Net S1405 SERVICE SUPPLY( , 325.05 0.00 0.00 325.06 Vendor# Vendor Name ,; Class Pay Code 10699 SIGN AD, LTD. ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 257677 Oltl9/2021 0101/2021 01/11/2021 400.00 0.00 0.00 400.00 v' AD Vendor Totals: Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD. 400.00 0.00 0.00 400.00 Vendor# Vendor Name Class Pay Code M53 SMITHS MEDICAL ASD INC v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 16091294 12/30/2020 01/05/2021 265.12 0.00 0.00 265.12v/ f,di/18/2021 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net S2353 SMITHS MEDICAL 265.12 0100 0.00 265.12 Vendor# Vendor Name Class, Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE C ,,- Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net CM3643 AI/20/2021 12r31/2020 01/25/2021 -2,133.00 0.00 0.00 -21183.00 CREDIT 107010648-01/20/2021 12/31/2020 01/26/2021 4,986.00 0.00 0.00 4,986.00 /' BLOOD CM3752 ✓ 01/20/2021 01/15/2021 02/09/2021 .3,318.00 0.00 0.00 -3,318.00 ..- CREDIT 107010986✓01/20/2021 01/15/2021 02/09/2021 7.446.00 0.00 0.00 7,446,00 BLOOD Vendor Totals: Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLO ✓ 6,981.00 0.00 0.00 6,981.00 Vendor# Vendor Name Class Pay Code S3940 STERIS CORPORATION M �' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 91412303/ 01/19/2021 12/23/2020 01/17/2021 211.69 0.00 0.00 211.69 SUPPLIES V' Vendor Totals: Number Name Gross Discount No -Pay Net S3940 STERIS CORPORAL 211.69 0.00 0.00 211.69 Vendor# Vendor Name Class Pay Cade S2830 STRYKER SALES CORP r,1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9200901096•4bl/18/2021 01/05/2021 01/18/2021 2,552.39 0.00 0.00 2,552,39 f, SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net S2830 STRYKER SALES C 2,552.39 0.00 0.00 2,552.39 fileaUC:IUsem/mmcktssack/cosi/memmed.ccsinet.comtu88150a/data 5Amo cw5moort7479927aD7452664694.htm1 1111A u 1/21/2021 tmp_cw5report7479927807452664694.html Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY Involca# Ccrctment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 4045447 r111/17/2020 10/28/2020 01/20/2021 -38.50 0.00 MOO -38.50 CREDIT 4090577 J01/18/2021 12/31/2020 01/30/2021 515.68 0.00 0.00 515.68 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10735 STRYKER SUSTAIN 477.18 0.00 0.00 477.18 Vendor# Vendor Name Class Pay Code 12440 SUN LIFE ASSURANCE COMPANY 4, Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 011521 01/20/2021 01/15/2021 02/01/2021 106.26 0.00 0.00 106.26 VISION INSURANCE Vendor Totals: Number Name Gross Discount No -Pay Net 12440 SUN LIFE ASSURAt 106.26 0.00 0.00 106.26 Vendor# Vendor Name Class Pay Code 11136 SUSAN DOUGLASS, MSN, RN, CEP- Invcice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay ross Discount No -Pay Net 012021 01/20/2021 01/20/2021 01/20/2021 400,:�0 0.00 0.00 40 CONT ED TOM CURNUTT ' Vendor Totals: Number Name Gross DI ount No -Pay Net 11136 SUSAN DOUGLASS 40 .00 0.00 0.00 400J40 Vendor# Vendor Name Class ✓ Pay Code f T1680 TEXAS DEPARTMENT OF LICENSIIA/P �,' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 10119860 �01/19/2021 01/11/2021 02/10/2021 70.00 0.00 0.00 70.00 CERT OF OPERATION ELECTRIC Z'� Vendor Totals: Number Name Gross Discount No -Pay Net T1880 TEXAS DEPARTMEI 70.00 0.00 0.00 70.00 Vendor# Vendor Name Class Pay Code 10143 TEXAS EMS TRAUMA & ACUTE CA Invoice# Comrtgent Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2936 9Y/13/2021 01/09/2021 02/10/2021 51500.00 0.00 0.00 6,500.00 TRAUMA SURVEY Vendor Totals: Number Name Gross Discount No -Pay Net 10143 TEXAS EMS TRAUIv 51500.00 0.00 0.00 5,500.00 Vendor# Vendor Name Class Pay Cods 11038 THE INLINE GROUP y' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 43060 `01/2012021 01/19/2021 02(03/2021 2.600.00 0.00 0.00 2,600.00 ✓ CANIDATE SOURCING Vendor Totals: Number Name Gross Discount No -Pay Net 11038 THE INLINE GROUF 2,500.00 0.00 0.00 2,500.00 Vendor# Vendor Name ,� Class Pay Code 12444 THE UPS STORE VICTORIA Invoice# Commel t Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 117222 01/,j8/2021 01/04/2021 01/04/2021 165.00 0.00 0.00 165.00� COVID BUTTONS Vendor Totals: Number Name Gross Discount No -Pay Net 12444 THE UPS STORE VI 165.00 0.00 0.00 165.00 Vendor# Vendor Name i Class Pay Code ' U1200 UNITED AD LABEL CO INC , M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 205060839 0)119/2021 10/29/2020 11/23/2020 203.45 0.00 0.00 203.45 vSUPPLIES ter' Vendor Totals: Number Name Gross Discount No -Pay Net U1200 UNITED AD LABEL 1 203.45 0.00 0.00 203.45 Vendor# Vendor Name Class Pay Code U1350 UPS �./ w Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net fite:///C:tUsers/mmokissack/cpsi/memmed.opsineLcom/u88l5Oa/data 5/lmD cw5raDort7479927807452664694.htm1 12114 I 1 1121/2021 tmp_cw5report7479927807452664694.html 0000778941I01119/2021 12/19/2020 12/19/2020 163.86 0.00 0.00 183.86 SHIPPING Vendor Totals: Number Name Gross Discount No -Pay Net U1350 UPS 183.86 0.00 0.00 183.86 Vendor# Vendor Name ,.Class Pay Code V0554 VCS SECURITY SYSTEMS i W Invoice# Comment; Tran Dt Inv Dt Due Df Check Dt Pay Gross Discount No -Pay Net 226447 01/✓2021 12/23/2020 O7/22/2021 495.00 0.00 0.00 495,00 ANNUAL FIRE MONITORING r~� Vendor Totals: Number Name Gross Discount No -Pay Net V0554 VCS SECURITY SYI 495.00 0.00 0.00 495.00 Vendor# Vendor Neme Class Pay Code 12548 WAGEWORKS, INC i/ Invoice# Commeq/ Tran Dt Inv Dt "'Due Dt Check Dt Pay Gross Discount No -Pay Net 1220DR467701/19/2021 01/02/2021 01/02/2021 211.04 0.00 0.00 211.04 COBRA Vendor Totals: Number Name Gross Discount No -Pay Net 12648 WAGEWORKS, INC 211.04 0.00 0.00 211.04 Vendor# Vendor Name Class Pay Code 10793 WAGEWORKS, INC. /' Invoice# Comment Tran Dt Inv Dt `Due Ot Check Dt Pay Gross Discount No -Pay Net 011921 01/19/2021 01/10/2021 01/19/2021 3,399.08 0.00 0.00 3,399.08 - PAYROLL DED Vendor Totals: Number Name Gross Discount No -Pay Net 10793 WAGEWORKS, INC, 3,399.08 0.00 0.00 3,399.08 Vendor# Vendor Name Class Pay Code 10943 WALLER,LANSDEN, DORTCH & DP Invoice# Comment Tran Dt Inv Dt Due Dt 6fieck Dt Pay Gross Discount No -Pay Net 10792140 01/19/2021 01/11/2021 01/11/2021 156.00 0.00 0.00 156.00 LEGAL L� Vendor Totals: Number Name Gross Discount No -Pay Net 10943 WALLER,LANSDEN, 1156.00 0.00 0.00 156.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC Invoice* Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 9110909795 0,/20/2021 12/07/2020 01/01/2021 6,416.34 0.00 0.00 SUPPLIES / 911092416"1/20/2021 01/07/2021 02/01/2021 442.08 0.00 SUPPLIES 9110924616 01/ 0/2021 01/07/2021 02/01/2021 2,964.52 0.00 SUPPLIES 911092867a,01/20/2021 01/15/2021 02/09/2021 1,571,67 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay 11110 WERFEN USA LLC 11,394.61 0.00 0.00 Vendor# Vendor Name Class Pay Code W1270 WISCONSIN STATE LABORATORY W Net 6,416.34 , v �• 0.00 442XII 0.00 2,964.52 ✓" 0.00 1,571.667 Net 11,394.61 Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 661641 //01/20/2021 12/31/2020 12/31/2020 350.00 0.00 0.00 350.00 U AMMONIA OFF EVENT �-''- Vendor Totals: Number Name Gross Discount No -Pay Net W1270 WISCONSIN STATE 350,00 0.00 0.00 350.00 Vendor# Vendor Name Class Pay Code 10558 WOUND CARE SPECIALISTS /- Invoice# Comment Tran Dt Inv Dt Due Dt L Check Dt Pay Gross Discount No -Pay Net WCS00004�,1101/19/2021 01/01/2021 01/30/2021 10,625.00 0.00 0.00 10,625.00�;- fl WOUND CARE Vendor Totals: Number Name Gross Discount No -Pay Net 10556 WOUND CARE SPE 10,625.00 0.00 0A0 10,625,00 Grand Totals: Gross Discount No -Pay Net file:///C:/Users/mmck'tssackfcasi/memmed.cDsinet.comduBB150aldata 51tmo aw5raood7479927807452664694_html 1111A a 1/21/2021 tmp_cw5report7479927807452664694.html 551.003.75 0.00 0.00 Q� U'YYuk Wl 'IJ VK JAN 2 1 2021 651,003.75 4a30 file://IC:/Users/mmekissack/cpsi/memmed.opsinet.com/u88l5Oa/data 5/tmp cw5report7479927807452664694.html 14114 ...a,Fh. lDATEd RUN 7'IF�'�02:49' 2L1�.}�E cIZ�kqIgtl, 4�Er3fYs 3.C1iYFf{;!'[iBg' MIER PAYEE NAIO3 ARID=0001 TOTAL TOTAL Ax9 JAN 2 20 ww u Zckjg SA1 PW • ! *ftm-^7, i eLA 7 MOMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 DATE 012121 012121 012121 012121 012121 012121 012121 012121 012121 012121 022121 012121 012121 012121 012121 D12121 012121 012121 012121 012121 012121 012121 012121 012121 012121 012121 012121 012121 PAY PAT AKOUNT CODE TYPE DESCRIPTION 123.A9 8135.20 144.40 13.D7 50.00,� 71.68 ✓ 020.0D 100.00 "' 20.56 20.00 188.20 / 364.00 40,44 lv'9.87 � 79.40✓ 10. DO 101.20 303.25 25.00 15.00 123.20 09.11 24.81 12430.55 12130.55 WE 1 A?CDMIT CL Num ■1� !| ƒ § O &� W §\ U � ƒ ■ N ) ! 2 § : § § � } � § � R J /z � / £ z §\ !# ox � \/}\\ ! � :E ! � t d d U� x� CR CR § ! t §e !2! !2 ! !; !! ! 2 �E k ! |� ! / �( 2 � | | % | f ■ ! E !/§ � • �" |k) ) !§ G a2 � '] )k �k ;■ .� .! §ƒ 2■ § §§ k J )§ § £ ! O U)LU }0z | (( � ƒ a � � § ! ! kk ƒ .� | | | 7 � ! § � |)( J§7 !� ! §.. ! v\\ ` z/\ t |§) c ira J22 ƒ Fac Ew | | a | kt$ r . B j | ! � ! � ! | `�. &\ _! . m . , ƒ | , !2! !$ a ! q . || & -ca � 0 - � � ! - ; �� .■ W 4c /t LU k | ){ � )2 � % �! j 0 0 !! ® z k§ ! \ � uj § k§(22 ) f) ƒ )\ ) \ y . \ �f a� a ¢c > is N all @1 Lp W p N �p aN SL T. b N cc F4 o F m Yi qam'E ¢til id u O ¢� V CLL E� a� N � O N � � a ro Z N F o o 0 6 �Fj a Q O { ci c 0 Z� Z �O P N m N N m m N m m M m d N m b m m h 0 0 b m N O m n m u u u u u u u u ';'a g? u = ;';'g';'s a mo n L d o m n n h m m P m n b d M m m m m tNO N� Y 0 0 P M b P N m M m O b m � m m m m o N m o m o b d li tl m m N N N N O [m�i ti m P d M b m b m N m d P P P at P 4 d P n h h M1 h n h h h a a O 3 N N N N N N N N N N II P o 0 0 0 0 a 0 0 0 M N N N N N N N N N 6 N la N N� N d b to b 0 0 0 0 0 0 0 0 0 E Z N N N N N N N N N C a o 0 0 0 0 o a o E N N N N N N N N N m m� Of N m O N N N ` N V a o o o 0 0 o 0 o o �b 6 N F mq q � ¢ J $ = p9 Eov N O N c o N Z N i E� � w N �o H z W W Q co 4) 2-1 W Cl m C I'i 41 01 O OO m e� N N 1(S F O t� C V 4V N N IV m p v GI p p p S O O O O O p p O O O O O O OO O O O O O 0 0 0 0 0 0 0 0 0 0 0 0 6 ,o > c o 0 0 o c c a o o e c d c c o 0 0 0 o c M1 c ry � O c 0 a ai C a ❑❑ C Q M i dl t o z U 2 H 4 0 2 W qN J m yy {{yy {{yy pp pp N N t7 d M n O N 0 m N 0 N N M N �N�yy Y N d 0 40i n �N.. {9 W m C V O c E 0.4 K m N N � pp Z Y N z Q T w n N Vow # ❑ W N 2 Z wo o ¢ E y W y W W y p y y y N y 3 a a❑ Q g �e $ e c e p F� ya c E 5= c La 9 d m L m m g � L d m O n m p� � n pp Np� a m 1�p m mp n F N N n M1 ^ n CFC A Cm � 1l1 � p .i �J aa°N°N��3^��i �pmp I ONI A Oml Q Omi p1 W Ori OFi ONI N Vm r m a o m y E m m m m m p mp p mp m mp M M M r v A o a o a a a p m EE ❑Z ~ ti ZQQ a IA J a F N N N N tNV N N p Np N N p Np N N N N N N p Np N N N N N N N s N N N N N N N y N N N iV qq N�� N occssss'oSscSSsssSssssss N N N U�gd� a E ❑ r� v �' G pp OO pp O ry 1V lV p 2 [$ 0 fpUf u N N N O d b (ryy ��yy N N � 7 1 iN N N N N N N N N N N N N N N Y C7 Q Q S S O O O O S O S S O S O O O S O S S S O i !! N O N I N O N N N 0 O UI 4 v E E z z H Z W 2 W F Q F- co c 0 m N p I 0 W r� w C O E a 2 d C � O c 0 0 E a d R 0 N N + zr W i - n T 0 N, N - \ O\ vl a cIM*'i M1 O1 4 O. ry .-� n VM-n. �r 1 m N ,-1 N M N w v VI eti ry H M M W C E „ o w E } c Y x E N W C W Q N N E p� cw LL 11 LL J. 4l m a m a a a a co o m a 'v ppppe{ C T Mp 2 v�1 M ni m` U tt 1 U N ce H m W � Z I U Y J Q � m W o u J a a N o Z M1-I N N O C vl O LL I11 ry M m N O N F u1 O rl O O O N VmM11 V N m 6 IM�p Vpf O~i ] O SZ O 8 p Op n� N OO O 00 0 a 2 mo$zaooa,�,��w W Z < g g {" vM1 uM1 uM1 N Y? N Q Q N N N M1} Z VI O Q Q V V C Q G j O W N N N d l7 U J W V O x U U U W U m 4 Z w Q Q 6 Q Y m -� U e Q w Y U W Y> Y d W C a a a a x¢ 3 3 N N N N N N N N N N N N N O N N N N N N N f04 N d N O`f O O •''I �1 rt H N N N N N N N N `-I 0 ti Nay ,`1 s � N g u O N W S � U � U C Q � I 4l W U 0 u c 2 OGO � Transaction Summary Transaction Complete Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total $166,05462 Bank Routing and Account Number 2/4/2021 Settlement Date UC Hos ital Amount $166,054.62 Entered B Jason An lin Page No: i of f Run Date: 1114(2021 Run Time:10:59:38 6� DY10 Advance UC IGT Notification - Providers 8 of 20 HHSC PFD RAD UC Payments <PFD UC Payrrlents@hhs.texas.gov> Wed 1/13/2021 1:27 PM I'a:'heichenauer@parmermedicalcenteccom' <heichenauer@parmermedicalcenter.cam>;'heintz@gl-law.com, <heintz@gl-law.com>; 'helterbrandr@claritycgc.org' chelterbrandr@cfaritycgc.org>;'hernandezg0@uthscsa.edu' <hernandezg0@uthscsaadu>; 'herron.mitchell@phhs.org' <herron.mitchell@phhs;org>;'hgonzalez@ciJaredmtx.us' <hgonzalez@clJaredo.tx.us>; 'tiholcomb@childresshospital.com' <hholcomb@childresshospital.com>;'hines415S@sbcglgbal.net' <hines41S5@sbcglobal.net>; 'hinesf@claritycgc.org' <hinesf@claritycgc,org>;'hoffmann@bcd.tamhsc.edu' <hoffmann@bcd.tamhsc,edu>; Hofly Foreman <hollyforeman@shannonhealth.org>;'holt@gl-law,com' <holt@gl-law.com>;'hong,wade@sweenyhospital.org' <hong.wade@sweenyhospital.org>;'hoxfordiv@benoxford.com' <hoxfordiv@benoxford.com>;'hplyler@wghospital.com' <hplyler@wghospital.com>;'htolier@bkd.com' <htolier@bkd,com>; Toliver, Heather <htoliver@bkd.com>; Toliver, Heather <htollver@bkd.com>; Toliver, Heather chtoliver@bkd.com>;'hugh.simmons@atcie.org' <hugh.simmons@atdc.org>; 'twgmanl@nacmem.org'<hugmant@nacmem,arg>;'Huntechawkins@tsrh.org' <Hunterhawkins@tsrh.org>;'hwhitt@rcmhospital.org' <hwhitt@rcmhospital,org>;'HXin@jpsheallh,org' <HXin@jpshealth,org>;'Iain.Burchell@UTSouthwestern.edu' <Iain,Burchell@UTSouthwestern.edu>;'igarza@comanchecmc.com' <igarza@comanchecmccom>;'irocha@ecmh.org' <irocha@ecmh.org>;'Is.rocha@dhr-rgvcom' <is.rocha@dhr-rgv.com>;'istvan.szucs@christushealth.org' <istvan.szucs@christushealth.arg>; j,barnes@cflcus' <j,barnes@cOrus>; j.casbeer@smmctx.org' <j,casbeer@smmaxorg>; j.navarro@dhr-rgvcom' <j,navarro@dhr-rgvcam>;'j,wiliiains@lambhc.org' <j.williams@lambhc.org>; jaceh@parkviewhosp,olg' <jaceh@parkviewhosp,org>; Jaceh@parkviewhsop.org' <jaceh@parkviewhsop.org>;'Jack.Wifcox@lpnt,ner <Jack.Wlltox@lpntnet>; jack_montois@brmccares.com' <jacklnontois@brmccares.com>;'jackie.gavllk@ttuhsc.edu' <jackie.gavlik@ttuhscedw; jackie.stgermain@strategicbh.com'<jackie,stgermain@strategicbh.mm>;Jaclynn.harrison@christusheafth,org' <jaclynn,harrison@christushealth.org>;'jacob.davis@claritycgc,org' <jacob,davis@claritycgc.org>; jade,andrews@tenethealth.com' <jade.andrews@tenethealth,corta>; jadler@jpshealth,org' <jadler@jpshealth.org>;'Jadler0l@jpshealth.org' <Jadlerol@jpshealth.org>; 'Jaime.Mitchell@titusregionatcom' <laime.Mitchell@titusregibnal.com>;'Jaime_Wesolowski@MHSHealth,com' ciaime.Wesolowski@MHSHealth.com>; jaimejames@texashealth.org' <jaimejames@texasheafth.org>; jalaniz@pbmhmtcom' <jalaniz@pbmhmtcom>;'james.blasingame@phhs.org' <James,blasirlgame@phhs.org>;'james.cagle@strategicbh,cam' <james,cagle@strategicbh.com>; james.dawson@dshs.state.tx.us'<james,dawson@dshs.state,tx,us>; ;lames.l.vitt@u(h.tmc.edu' cJames.l.vitt@uth.tmc,edu>;'lames.McNatt@baylorhealth,edu' <)ames.McNatt@baylorhealth.edu>;'James.McNatt@BSWHealth.org' <James.McNatt@BSWHealth.org>; james.wells@dentancounty,com' <james.wells@dentoncountycom>; 'James.Wright@hcahealthcare.com' dames.Wright@hcahealthcare.com>;'James.wright@tenethealth.com' <James.wrlght@tenethealth.com>; jamest,wright@tenethealth,com' <jamesi.wright@tenethealth.com>; 'JamesBerg@TexasHealth.org' <JamesBerg@TexasHealth.org>;'Jamie.Gragg@lpnt.net' <Jamie.Gragg@lpnt.net>; Jamiejacoby@newlighthealthcare.com' <jamie.Jacoby@newlighthealthcare.com>; Jamie.marsh-wheeler@childrens.com' <jamie.marsh-wheeler@childrens.com>; 'jamie.mathews@hcmhosp.com' <jamie.mathews@hcmhosp.com>; jamiejudd@TexasHealth.org' <jamiejudd@TexasHealth.org>; janajones@umchealthsystem.com' <janajones@umchealthsystern,com>;'janae.hall@ntmconline.net' <janae.hall@ntmconline.neb; 'janak@medicine.tamhsc.edu' <janak@medicine,tamhsc.edu>; jams@co,hanison.tx.us• <janas@co,harrison,tx.us>; jandis@ych.us' <jandis@yrh.us>;'Jane.Griffith@tenethealth.com'<Jane,Griffith@tenethealth,com>; Bama.ra,Janet G (DSHS) <lanet.Barrera@dshs.texas.gov>;'janet.garcia@adventhealth,com' <janetgarcia@adventhealth.com>; janet,montel@parisrrnccom' <janet.montel@parisrmc.eom>; janet.sammann@cchdonline.com' <janet,sammann@cchdonline.com>; janet@preferredmanagementcorp,com'<janet@preferredmanagementcorp,com>; Janglin@mmcpordavaca.com' <janglin@mmcportlavaca.cam>; 'janice.lightfoot@phhs.org' cjanice.lightfoot@phhs,org>;'jannagardner@hhmtx.org' <jannagardner@hhmtx.org>; Jared.albrecht@coJee.tx.us' <jared,albrecht@co.lee_tx.us>;'jared@pmferredmanagementcorp.com' <jared@pmferredmarlagementcorp.com>; Jareka.anderson@lpnt,net'<jareks.anderson@Ipnt.neb;'Jarren.garrett@bhset.net' <larren.garrett@bhset.net>;'Jason.Cole@BSWHealth.org' <Jason,Cole@BSWHealth.org>;'Jason.Cole@BSWHealth.org' <Jason.Cole@BSWHealth,arg>,'JasonJennings@BSWHealth.org' <Jason.lennings@BSWHealth.org>; jason,linscott@phrtexas.com' <jasonJinscott@phrtexas,com>; jasonmlllerl@steward,org' <jason,mil(erl@steward.org>; Jason Johnson <jasonj@dplains.org>; Javietcanetti@campbellwilson,com' <Javietcanetti@camphellwilson,com>;' javietdelgado@ttuhsc.edu' <javiendelgado@ttuhsc.edu>; jay.t.elltott@co.fallsums' <jay.t,elliott@co:falls,tx.us>i'Jay.Whitfield@BSWHealth,org' <Jay.Whltfield@BSWHea(th,org>; 'JayWH@baylorhealth,edu' <JayWH@baylorhealth.edu>;'jballey@mchd,net'<jballey@mchd.net>;'jbanks@ttbh.org' <jbanks@ttbh.org>; jbarnettsarpalius@sffukeshealth.org'<jbarnettsarpalius@sllukeshealth.org>;'jbeauchamp@stlukeshealth.org' <jbeauchamp@stlukeshealth.org>;'jberryhill@andrewscentercom'<jberryhill@andrewscenteccom>;'Jblley@mchd.net' <jbiley@mchd,net>;'jbuchanan@BKD,com' <jbuchanan@BKD.com>; Jbuckner@dimmitregional,com' <Jbuckner@dimmitregional,com>; Cc:Brown,Adam (HHSC) <Adam,Brown04@hhs.texas,gov>; Jenkins,Brogke (HHSC)<BrookeJenkins0l@hhs.texas.gov>; C'hang,Sylvia (HHSC) <sylvia.chang@hhs.texas,gov>; Wade,Tanika (HHSC) <Tonika.Wade@hhS.texas.gov>; Okoniewski,Amanda (HHSC) <Amanda.Okoniewsklol@hhs.texas.gov>; Cantu,Rene (HHSC) <Rene,Cantu@hhs.texas.gov>; Anthony,Alan (HHSC) <Alan.Anthony@hhs.texas.gov>; Reed,Matt (HHSC) <Matt.Reed@hhs.texas.gov>; Marquez,Gabriella (HHSC) <Gabriella.Marquez0l@hhs.texas.gov>; Corzine,Ketha (HHSC) <Ketha.Corzine@hhs.texas.gav>; Sensitivity Confidential 1) 2 attachments (253 KB) 2021 DY 10 UC Advance Payment Calculation.xlsx; DY10 Advance SDA Allocation Porm.xlsx; Providers, Government Entities, and Anchors: Please read this entire message carefully and make note of the information provided below that failure by_TGT entities and providers to submit the required forms may result layed payment for the providers. HHSC Is providing notice to IGT for the DY10 Advance UC Payment. Dates pertinent to this payment: 2/03/2021 Last day to submit your IGT into TexNet 2/04/2021 IGT Settlement date 2/15/2021 State Owned Submit Journal Entry 2/19/2021 State Owned paid 2/26/2021 UC Providers paid Attached to this email are the following documents: • DY10 UC Advance Payment Calculation spreadsheet • DY10 UC UC/SDA Allocation Form Beginning with the DY9 UC Advance Payment, IGT received will be allocated at the Service Delivery Area (SDA) level. While providers are required to have an affiliation to be eligible to participate in the UC Program, IGT received is no longer allocated at the affiliation level. In the event of an IGT shortage in a SDA, a pro-rata reduction will be imposed for all participants in that SDA for the advance payment, with no additional funding opportunities. Should this occur in a final payment, there will be a final payment in September 2021. If additional IGT is not submitted for the underfunded SDA, HHSC will proportionally reduce the payments to all providers in the SDA based on the IGT received, HHSC will then reallocate the funds from the underfunded SDA to all SDAs who have additional IGT based on IGT commitments. The timeline for the September payment is published on the Rate Analysis Website. The amount that needs to be submitted into TexNet for all entities is in Column M of the "oY io UC Advance Calculation" tab, while the Corresponding payment amount is in column L of the attached 2021_DY 10 UC Advance Payment Calculation. The total IGT amount needed to fully fund each SDA is summarized in column C of the "DY 10 Advance Summary by SDA" tab. Please ensure you select the applicable UC bucket in TexNet when you enter your IGT. It is imperative that you send a screen shot/PDF copy of the confirmation/trace sheet from TexNet or an email with the trace number, location number, IGT amount and settlement date, if the TexNet is submitted over the phone, to RAD UC Payments hhsc.state.tx us. An IGT allocation form designating what SDA the IGT is being submitted for must also be submitted with the Trace Sheet, Please submit the trace sheet and IGT allocation as two separate documents. Please include two contacts and their phone numbers and email addresses, should HHSC have any questions regarding the TexNet received. Government Entities funding in multiple SDA's should submit a separate TexNet and UC/SDA Allocation form, for each SDA for which they are providing funding. In the instance of an IGT overage within an SDA, HHSC will issue a pro-rata refund to the governmental entity/entities identified by HHSC. HHSC will determine the pro-rata refund, not the government entity/entities or their representative(s). If you have questions regarding the UC payment process, please send an email to RAD UC Payments hhsc.state.tx.us. If you have questions regarding the payment calculation file, please send an email to uctoolsahhsc.state. tx us HHSC Provider Finance Department -Payments (Formerly Rate Analysis) Texas Health and Human Services Commission P.O. Box 149030, Mail Code H-400 Brown-Heatly Building 4900 N. Lamar Blvd. Austin, TX 78714-9030 112*2021 imp_ cw5report6075070110102832333.htmI MEMORIAL MEDICAL CENTER 11:05 AP Open Invoice List 0 ap_open_invotce.template 7 � Dates Through: Vendorv" A Vendor Name r Class Pay Code "1,1824 n sv , {j5 tr ariYtit'r ` THECRESCENT ✓ voiceN Z`omment Tmn Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 010821 01/20/2021 01/08/2021 02/1112021 7,135.44 0.00 0.00 7,135.44 TRANSFER WW jll,& LU_ ywwv� ** -J 1 Vendor Totals: Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 7,135.44 0.00 0.00 7,135.44 i 1;?}iG ri nun�m:±r; Grand Totals: Gross Discount No -Pay Net 7,135.44 0.00 0.00 7, 135.44 p �q JAPE 2 1 zuZr .'.r$�iif,.9i6t file:l/IC:/Userslmmckissacklcpsilmemmed.cpsinet.eom/u88150a/data_5/imp_ew5report6075070110102832333.html i!1 1/21/2021 tmp_cw5report2426143473270714443.html 01/21/2p21.1 ``'�tt q �ULt MEMORIAL MEDICAL CENTER 0 1'-11'i : . S 11:05' AP Open Invoice List Dates Through: ap_open_invoice.template •+ Uiliddrlk ram'="r41 `"t1'f S3 7it1'e' Vendor Name lass Pay Code 11836 GOLDENCREEK HEALTHCARE 1/0 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 010521A 01/20/2021 01/05/2021 02/11/2021 352.00 0.00 0.00 352.00 �..= 1 t, TRANSFER} fV15UVltyt{Q ft�1Yk"1 010521 01/20/2021 01/05/2021 02/11/2021 J 3,426.000�4 0.00 3,426.00 _ TRANSFER 14 IYI'AMK(¢ ��Wt� C�E�IOrm''fe Jt iA-h �I IJ�iY,HL1 y Vendor Totals: Number Name Gross Discount No -Pay 11836 GOLDENCREEK HE 3,776.00 0.00 O.pO .'arorl8cmmeiy Grand Totals: Gross Discount No -Pay Net 3,778.00 0.00 0.00 3,778.00 AYE 01 JAN 2 1 2021 axe�W iz� ffl*�A Za8 Net 3,778.00 file:MC:lUsers/mmckissack/cpsi/memmed.cpsinet.comlu88150aldata_5/tmp_cw5report2426143473270714443.htm1 1/1 1/21/2021 _ tmp_cw5report8895070883054799665.html 01/21/2021 MEMORIAL MEDICAL CENTER 0 11:04 .�f �,i'9 AP Open Invoice List ap_open_invoice.template Dates Through: Vendor Name / Class Pay Code 12696 GULF POINTE PLAZA ,/ Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 010521 01/20/2021 01/05/2021 02J1112021 86.68 0.00 0.00 86.58 TRANSFER06/2021 Pi7iUi� L1cJza,,,lta 14(Iv 010621 01/20/2021 02/� 202'1 28,'i9L4.-4r""g0o 0.00 28,194.45 TRANSFER N111VW1AV0.YULp�K) (I(jIQvN�C ( �hi� 3243.90 01/20/2021 01/06/2021 4U(- O�JGK to 02/11/2021 I .90 0.00 0.00 3,243.90,/ LL 1 TRANSFER W. ly&V)1.{1,1.� VU"`7 Coo(Iiij (&b vvlwLL 010821 01/20/2021 01/08/2021 02/11/2021 3,733.21 0.00 a 0.00 3,733.21 TRANSFER }JI{-in.bkxvWUL p`Owt 11,h KW(L- Vrx" • �! Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLA2 35,258.14 0.00 0.00 $5,258.14 .h'r:purz S..1111 Grand Totals: Gross Discount No -Pay Net 35,258.14 0.00 0.00 35,258.14 JAN 2 1 2021 O.0 , fS,"=fi', us file:///C:/Userslmmckissack/cpsi/memmed.cpsinet.com/u88150aldata_5/Imp_cw5report8895070883054799665.html 1/1 1/2172021 01/21/2021, 11:04 tmp_cw5report9059871929751470013.html MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_invoice.template Ver1�;d1,31$./�7-t-"'"" Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invcice7l Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net,/ 010421 01/20/2021 01/04/2021 02/11/2021 2.63 0.00 D.00 2.63 TRANSFER NR IV>•Jt,ttuhtL_ ' o `V `, IWW _ t) VC pky 010421A 01/20/2021 01/04/2021 02/11/2021 3,696.00 0 0 0.00 3.696.00 TRANSFER WW IMin NA- '0�j Git.l<Icc.:J'ti 4V jV LL- gVLN-1 010521 01/20/2021 01/05/2021 02/11/2021 5,257.30 0.00� 0.00 5,257.30vi TRANSFER W" ��uV1t11.1L QJinv} &j)01.j+rci lkh Awl L. Q�. 5 010621 01/20/2021 01/06/2021 02/11/2021 4,227.30 0.00 0.00 4,227.30-' TRANSFER Wyk} dL 0y 02/11 n 1�642.05� � �0.00 010821 01/20/2021 01/0812021 021K� V U 0.00 642.05 TRANSFER NN tY1.Jtlk-K.LL i J,t,C1""4 �"h �.� U�y4. V\ 010821A 01/20/2021 01/08/2021 17,-3885.60 0.00 00 17,385.60 '02/11/2021 TRANSFER Qfl jffiUV"`s p`y A do Goss I� �p v% Vendor Totals: NumberName Disont No Net 13004 TUSCANY VILLAGE 31,210.88 0.00 0.00 31,210.88 13-por :, ja wv n: Grand Totals: Gross Discount No -Pay Net 31,210.88 0.00 0.00 31,210.88 RRf .l;t:iV 2 1 ,1;�1 ram sxu ,nay NiAi,Pi!!tlLAF7 �' �f".�'CS,'^Jia'SF l; file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150aldata_5/tmp_pwSreport905987l929751470013.htmI 1/1 1/2112021 tmp_cw5report3622122390330228574.html 01/21/2021 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 11:07 ap_open_invoice.template Dates Through: Vendor# Vendor Name class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 0.00 010421 01/20/2021 01/04/2021 02111/202�11(�. 0.00 291.47� wtn y y7 `291.47 l'AW TRANSFER0106/2021 `v � uCl, � 1k' 010621 01/20/2021 02/St%�021 2t72�5.7L4 0.0 0.00 2,725.74 f TRANSFER NO AftWI . PN�fi &Yt�l ja IN�t jy W�L t}f�',{'IL�� 010621A 01/21/2021 01/06/2021 02(11/2021 Jan "1, 17,077.u0 0.00 17,077.00,,' y.00 u � ,J aqt li�Np� Vendor Totals: Number Named Gross Discount No -Pay Net 12792 BETHANY SENIOR 1 20,094.21 0.00 0.00 20.094.21 Grand Totals: Gross Discount No -Pay Net 20,094.21 0.00 0.00 20,094.21 AN 2 1 2021 a. *Al. W47T, A» file:///C:/Users/mmekissack/epsi/memmed.cpsinat.com/u88l5Wdata_5/tmp_cw5report3622122390330228574.html 1/1 D Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer Prosperity Accounts 1/25/2021 P,evlaua T.J.Y. umunt eyMnht Aw BMnnhG AmOunsnWmnNmproNYMry Nu Name NYmbx NITTnnrhn0ut rTnmlxln P 6 p Ado Oabn¢ NO" 73.019,40 �4,919.00 1/ 91,313.13 ✓ 91,313.13 6)rB53.61 - Bank B+bo. 9;313.Is t% Vubnee - Leaveln BalOn¢ ]00.00 MOUNA QI PP YN 3 ADI 3.259M Odaberintx4at N.bx IntErcN Oe¢mBalnkrcR Adjust Bab¢e/rNMNrAmt 87.953.61 9/ S$09E.95 ✓56,9919s 98,610.01 +' - 93,720.01 / 97,435,10 Bank Babnae 93,710.01 V+rbnte Nivefn Galan¢ 100.00 MOLINAOIPPYR3ADl 1.174.31 L/ Ottobxlnteren NOWmbpinMNet 0a¢mb>hadleN Adjust WbmatTrOmlerAmt 9)A35.20 50,369.5E /s0,169.93 ✓ 58,531.20 - 58,631.M / 5),5)0.62 BsM, Bvbnce 5$691.E0,/ vjuts ce Llavein Galan¢ 10,10 MOUNAQIPP YR 30) MM Ottobxlmeren Na¢mberkneren wWmbarinbnn Adjust BaOnee/TmMerAmt S737662 E85,39 ✓ 21.40.37 ,/ - 21695,)fi / 20,264.82 Wnk B+bm 31A95Jfi y VadarNe - leave 1n69an¢ 100.00 MOUNAQIPPY113A01 / 1,.330... a/ PENDING MMC DOlm pa"ent(dlnit) 000berintere9 "O.bxlnlmeA De¢mbarinferen / Adjurt Babn¢/rnmflrPmt EB.2"m ✓ / 1 56,10236 SU01.36 ✓96,835.66 y/ ,/ 96,93S.66 / 96,662.SO Bank B+I.. 96,935.66 Varbxv p I ' 4avaln Ushn¢ 10pm _ MOUNAQIPPYR3AW L15M16 DataherintaM JAN 2 5 2021 NOWmWrIM41*n A41=Whn¢/TnnsleramT 95.662.Sp' TOTALTPANSFFAS NOm:OnVYbvfamn y¢x6$IXdwYlbebOm(xredfa MrnwslnpbP9e. (t App.ed' 11 NOler Eat6aerounlhva0bwe6elan¢o)SEOp Mof MMCtlmadbtlfe OPm¢munA IYan MtIIn,O60 1/25/2021 I.iNN Wevey TnMm\NH UPLTrwter5ummiM1011Vmuvy\HXUllhander5umm+ry Y]]E1.aln W+iI@]NnellMnw TSCNOCWMPmm)]Issmw2 ulw0 I/1 1M AUNCCpMMUNNYHN[LU.IM9MT)I6WM31 BIw1O 1LIA02UNCCOMMVMry HNCCWMOMP]ICw111101%M 1unpu xcurx xuWwsvc INCU1MPMr RI6aaN1MfO91 1/x/»I1 wlMou]nsxf0rlrxGSTxwucsxRalro !%1N)43irf.{pt47ANE31)/leAa MOl1NA(blWBplgS'119W01D 1/ AIMI Am.r{9rWp TFSCHCMIMIMl3NiapiW Ill@0 MOAC32 VNCCOMMUNNYHXIXGIMPM])tl[OH1193w1M ]/IU/}wl UHCmmmunirypl N[CWMrmm]16%N1191000P ]A43011 MNNO[MpN[Tl]16MX9PMMWOIS%%%04)U 1/6112031 NnlaO n11WAHCUUMPWMIIN]%lIM ]Rl/)@3 UHCUmmunllYPINCQMMPI.R ]M@]{M 919%M l/!W@l N*WlX NONk]lA1 MN5PMMW[42lQ=I6]IS I/ILS@I MOMFf fOIVNON HC<WMPMi6]9113U00001'K I/)E/SWI XGITMNUM415VCNCCWMrMT]i660031L3CM) IY.nT. VwJn�mgJmmpi mM/Gmpi 3.w330 693N.N M.c%w I,69L93 I,M).61 Islam MSG IS M 351.% So. M3.% 3.152.16 ' Npl WIM9 WWA nx3aXnnu £blaa ESLN m3n.]1 ubaw TJNM .9INC >X59.51. I;w1.Ea - 4151.93 aul.N RUSO • }9330 Mo. SIm fLY 3.M].90 3J51.Y6 ]UwAO { ! 9LM4M 1M1N 3N31 MM NMCPoR3NIN WP/4mpi - - IIInMw ONt T.unfH.lp OMP/6mP1 mPPIOdnPO aq/CMnp3 MPpe OIgR MN PoMION 4i9/Ml U11C[OMMUNNYILHCCWMPMC)16@31M91W]P CS16A0 LS9/]@I UHCNMMUNIl9Pl N[CWMPM])6600Nll9100% 1N55! CSJG00 L19/1@3 UNCCwnmunxy P111RWMpAR]IVq)11I91CIX0 Il1WMl iM95E I/I0j]@L WIPCUUCGN)IXN[LLINGREffNi[M01 Sa993.% 1 MOS, :WOOK121(MGUNR'flrAliWalfM.clq•FR[N4Ri�lrvti1a000fp IR(VI@IUN[[OMMUNTPI XCLWMPM]J6MON1191CCM ]9,519A3 1/M/1@1 wpNl 1,RO00 19529.41 ])1W M UWCOMMwOYP1NMNMPMTM00311191D]60 S596b 1,11OO] 1/22/1@1 NON4ASSOlUrvaN"MMMPmme)635)12%4J175 - 3R.RR% 5,59F10 stNL3s . 9eAmNL ✓neAv lfla )n 2D )Ml1 1•,•,- Au MMCPORNON OIPO/fempfi ]JP31 O ]pDl�e Jn OIPI/CanPf aq/�Pl apP/G ,I f4pu appR NNPOMON 3/19A@LUXCWMMUNMILHU MPMTM6D]I41]91NW L26171 1/19)]@lUX[CONMUHIM1IL HCCWMPM)iNw31119100O) - ]31]M.IA ]i61)1 11199ML UNCCamm MNC[WMPMT)16001111910030 0.w4@ }i}N.LN 1/19nall HVMRNRIN3CON[CIMMPMTJM4U0OMMI4 - 7,139% I,wtw 3/20/INI WIREOIIT(AWXHEM113GPERNRMI6 59,1695E J.1]9Sfi ]/2V/1@1'MSSLIN!SNEAS7111M!RMW�LI'A(I,fiIP+D6#Q41;46ue1p. - ?4?49p_S efLI1 99.n.. :Mal MA WO/2w1MP➢Sgpkmenb NRlAw9MTilYm6M 1313N - ].3N,% ,W." -.. 2/10/5011 NUMRH,91N3 W N[GNMPM]Sw6191O[pE@9® 9.52IAJ aNfm 1/l1/20EI NWNR]OIUWNNCCWMpMT6/6)1312CAMl6Y - 6,6wAI MINA? 3/21/]@i MW 9 N PMT )M M RIA3 6.MAI;1M.91 LND I9MSN 1/]2%Nll M4NIMGXOXEi31lXMN9PMMwBRINO[yl]6811 I2G9 75565I ]}IA{ I/}2/1O21 UXCC6MMUXNY CLIKCIMMPM[]MO,U111910GY1 - S% ).SCO U23q@3 UHCCONunw0YMIRX%4MPMT][SPu.I1 M 3bM1V Sao 2,EMAJ SIIN.SI /Na131,20 1/ 51,76 OLy mat Wall SOON IYAJO." - MM[IM1N)N mvv/6Nµ ?ml�k 9u5 I]lll i aq/OmIN aPHGmPa pq/Om9l akPk mall xx POROON 1/19/10EI UNC O]MMUNIMHNRIYMPMT116wN]WWW - 16dN33 . 1/IM8?4 M .. 6,36153 GWC MUiMG0.MPYWfMPMI7po(OIIII S_6,W,lP: lllt/SOt1 uN[MMMUxIRPINCCWMPMTJgYANE]91MM 'I'RSam 9Dlraf .11%d> ;uxil ai'm:•. - 33]O.N u it ULI/20)1 xWTI M)Mp11MHLLWMMITIJ16w)6113w5I 4054.W ].C51.13 4M6,w ]p1/2011 M11p]aPdemenla N[IIMMIMT)C6wH]33I13w 119.E LISL3) Ll2/2011 HEALTH NUMAHSVCHCCWMPMTI)Nw)6113[011 991,16 MIA] ]1NO3) I / MPIO L@ 3PSl bLJLJam2p,1H 991)1 .41 {R9p011 VM[COMMVNfiYHNCCIMMPMil66w311191M@ 1/19/]oE! UNCCOMMVNIRHMRIIMPM3)Nw3tl191Wm U19/2O21 NOV3]nAjWOO]NNCCW W3SSo0 $aM,,,, UL9/}OM NUMHUMMAC ODOMIMMIMT106103wJMb}11 IASI]AWM tICNAKMMDCBNCCWMPMT}%M11t071132 Ity9/}@I WIRt NCMIMPMT1H11035991MERS111 1/10/30M WIR{OU}GNRNNWIMCM[C(NifR310 -. MWI?uM?!6xAN54A�kMt+NIMURAp7�?wsllaaoolo. 1/}0/iO3l HUMMN D4BCCWM9MTflwRMCfOQOaM 1/}0/2w1 NUMNIAWX DISBNC[WMPM3WN11lOCW13}9 WOROIl NVM9N611N01$BNCCWMpMrt 39we1110M13]P ]/!N3@1 XUMRMXCIW DVB NC[WMpmm390a@y01�i}M }/10/3oM Nfi.IMMUMMIw[NfiR.VM1MTU16{9Nlltwlt 3/ WWII' uxC WMMUNItt PLOMNSPM FOOMo[MN9w} 1/ll/1@3 MMNAOF6)IONfllila MNf PMMMMO@mO011@II 1122n@} nmxl11eu09XSe1KCWe{vmm1Mu9}E91uaw 1/I}/19M NW'Di"U INSWPICWMPM()m MUST lbS U242OZI ffM1IJXUAAkNIWHCCWMPMT131@DMMI@]} 1/11/IaM Nf4THNVMIH SVC N[[wIMPMi MIW]191MOD/} 5aID136 J WAS". ✓ Mal 11LN M1H MB}9 4 2MLa =60.2, 53L.% TOM' e 36mHNIn ag/wml NMC"SOON ag/mnP3 gmr![Nry3 upN aqn xxppanfix IAS6W - 2AS6,W • N,SISAa � 31,11£)6 ;Nfi.11 - ibOri - CM - a09£6t 51 - I.NISf 352w - MIN 561@36 • 3333-N 4Pli� 11aN'. mm, )INM arms -:: '. 3f9J). - A MD li,21.19 • 4.624.16 6,6f1.36 3.059.14 3,MP.N - 19fi3A7 4%tAi - 3,I195O 1.211.30 a6x o 4%3.N 657M 65TA5 6A2)30 0 - b210.M 41112 3,110l2 ]g@.I9 : b}@.29 112512021 Quick View Select Quick View Accounts Account Number I Name Account Type Search All DOA Treasury Center Select Group Groups Add Group Data reported as of •43 1 MEMORIAL MEDICAL $91,313.13 $147,275.81 $91.313.13 $86,954.E CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL CENTER! NH $98,710.01 $161.766.33 $98,710.01 $59,935.0 BROADMOOR '4411 MEMORIAL MEDICAL $58,631.20 $137,981.56 $58,631.20 $48,430.7 CENTER INH CRESCENT '4446 MEMORIAL MEDICAL $21,695.76 $22,104.68 $21,695.76 321,003E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER/SOLERA AT $96,935.66 $133,482.88 $96.936.66 $83,903.E WEST HOUSTON ' indicale: Page generated on 0112512G21 , r hops://prosperity.olbanking.comlonlineMessenger 1/1 Memorial Medical [enter Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 1/25/2021 Prevlvue Auxc.m BWrrlrt Pantlnt TPGaYe B@Irm" AmoonY to Be Tmndeme6 m NpNnt R."11 Name Number BeOnrc Tm.ON,0,u Tnndr... /DevvOtr By H i�Zen - 68,151.26 e/ 69,915.26 69,815.26 Rink Balin[e 69,915.26 VaCenn Lee. In eehnce 300.00 SUPERIOR OIPP 1&2 0[Ivber harmer -- —"- November Immmet Depmbe11mellet Miun B4en<epnnefer&mt 698ES26 Nott:Onry6plonroroJew$S,O02 wiN6r Nv mRtP IM1enunlnpApme. Nate is Fv[Avnevne M1vro barebebnce N51W Pont MM<CepvLleProvpen pmunt pvpmvad lawn M811ry QO 1/3S/3011 JA N 2 5 2021 l:\NN WxYlyTruilm\NN UIL Dmsiv Summery\30114murtY\HN UPl Iram1[r L.mmuy 3318F4n WCMMON Mp/.ou I NN Un 3(�L jppd(�� aw/fsmpl ww/c A alp/cm .p. 0mn PORVON 111412O21 eNtW.1NCWMPMx IsacOx59FaswroSla..SLp JAM" x,am_sp V11/1015 d .flk 1.2'.w 1/31/1021 M"NSFIMGKCCaRMx54 M555ONVglla ll.M a ca�L Ll1/101a &MO1 N[fLlµlpMTlSIbi59c451OYY41016 .' - 1Y5.14 10.2A Hial]6 / alMI18 1/2512021 Quick View Treasury Center Select Quick View Accounts Select Group Account Number/Name Groups Add Group Account Type _ Data reported as of Jan Account Number Current Balance Available Balance Collected Balance Prior Dav Balanc. NH GOLDEN CREEK saa,alo.Wb Yi192,93z.06 $69.915.26 $69.915.2. HEALTHCARE indicate: Page generated on 01125/2021 r https://prosperityolbanking.comiontineMessenger 1/1 Memorial Medlal [enter Nursing Home UPL Weekly HMG Transfer PfofPedty nccounu 1/2.5/2021 vmlaa• anavnena. R[awM MtlmIIM rmdn% tl.M�n.d+. Humid Nnn. xnmar en n.n.hnm u.a..,.e a ram .c. Mn a.h .52W na»e3 n.3ss.3. ✓ nsEsax e.me•anw sgsuss v.,anl� le.nin bl•nn MOO 3uPFMIMOOP38E RlaE.11nl.rtn Xw•mholnlenn Denmxnln+Neal % Ndlm[a.lame/fnn•hl4n+ +]Si5.6{ p Pndaua M.m•lone 41tlNN+ BryNnlllf NMlns TmN.nNm Nmnb MNn T(nA.rvin tlitlaa[M damxa •pa Inn�J.P.w_ Xw•IN Mama acNtiio Mlmmellu/nuid/Pelnfegti.• N 2.Eynvlanangmwf£am wr.'Inenen[/andtomenunlnoll(me Nan}; Fod1 o((omtnm vGa[eGabengflW [nat MMCd.pnl(.dlee{M P(teYnr. ttPP16�9?�h JAN 2 5 2021 SOPWIA-444" jnVX*4,, ,10MAA I�lxxw«kMTnmsmgxw+Trt�✓vsumn.rrµm3Unu.Mxx uvt Tnmrxsumm.rvw].i3.b ' 32tmi] 3E$WS] 8ank9alan[e 326a.E] W,Xnu n•rein mxM. VAN aw P.Nn.n+NyummM. awb.Imnn+ xw.mbrin+.mt wnmb.nn(.m ndlan ul.m.f3nmrnans 3u3uT TOlaITIAN3pFA3 .srma.v-. $Sbf03`dFl n mM: LnnPglln, FEO LEf/teh MMCMRTIDN NPP/CNm01 NH TnnAanQut TranA r-ln I O.IPP/C Px Clppl OTpa QIPP/C—m um QIPP11 MO N 1/20/2021 HUMANAINI CO NCCWMPMT 6Ya9S203W W503023 1511".20 I5,14 TO 1121/2021 HUMAM3 ADISBHMC IMPMT624962420001"P Zoos." Zo06A6 13.tMft . IT 173" MMCMMION Tnns3er•W[ T..d."n QIb/Cn i a�Um NH mp QIPD/(OmDE QIPD/Cem03 Iipu aPPn DORN 3/21/EO}2 papapl 31AT451 3y83931 1/22/2D21 HEALTH HUMAN SVC HCCIAIMPMT ITAM$D113013 2 61Ea6 632 M 3300.37 a9 msl 49.66D 91 1125/2021 Quick View Select Quick View Accounts Account Number l Name Account Type Treasury Center Select Group Groups Add Group IDDA Data reported as of Jar 25, 202 '5441 MMC -NH GULF POINTE PLAZA - $32,607,27 $131,706.16 $32,607.27 $31,974 E MEDICARElMEDICAID *5433 MMC -NH GULF POINTE $17.625.64 $17,625.64 $17,626.64 $17,625,E PLAZA - PRIVATE PAY ' indicata Page generated on 01126/2021 https:tlprosperity.olbanking.coMonlineMessenger 111 Memorial Medical Center Nursing Home UPL Weekly Totes ny Transfer Prosperity Accounts 1/25/2021 rmxmx ame.nlhb R.vuM alMnlnf reMMs Trainhr e6.e « x . Numbe fgqul—�lwndmin Sba rfd d i 7500 13,61S,0a 1a.waw 61,<t].1] WL /35,963.1d ✓J66.31]A].7 baola n. V.mn.4 lelvtN b4nu Ln.In ipp,yp MMCUMbIIX l;i6i.]l ✓ on blw.lrn Nw.mbnlnumt Gambrinlnm / «eivel6+IttnRnn✓v Nnt SS.961.13 ,j Note: Wrbabnmyo,rr5f,000 vYlbe nengNM 96Mrnumin9h^mr. NnhLEed mwnl M1a.nbme6vlontto/9366Maf MMCde9olifAfoopwwmunc JWnP Imo p v1UZ611 JA N 2 5 2021 1/20/2021 WIREOIrt NNRARENTEMRISU RC 1/21/2021 Deposit MMC PORTION gIPP/WmPO Tram/er-0Ut T rvl LCO-PI gIPPJGomp2 gIPP/Camp; &bpu gIPPTI NHPORTION 13,575.00 66,317A7 68,317.47 13.575.00 68.317.47 6114D.. 1/25/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number! Name Groups Account Type. Add Group •I Data reported as of Jan •3407 MMC -NH TUSCANY $68,417.47 $68,417.47 $68,417.47 $68,417.4 VILLAGE ' indicate: Page generated on 01/2512021 hHps:ltprosperity.olbanking.com/onlineMessenger 111 MEMORIAL MEDICAL CENTER CHECK REQUEST IA C t' ul'A V ! H a oe a E E Date Requested: 1 FOR ACCT. USE ONLY 0 Imprest Cash ❑ A/P Check ❑ Voucher Check AMOUNT =3g3.1�+ G/LNUMBER: ,iOl95g��0 EXPLANATION: REQUESTED BY: CAT # 10303 f FM 1600 AUTHORIZED BY: MOV 0 0 2020 I I , MEMORIAL MEDICAL CENTER CHECK REQUEST lu vill(ve p A )IG)a AW(ov OvmA Pw y E VfodavIJ Xv- llc�q e Date Requested; � I - d .,) na� FOR ACCT. USE ONLY Cj Imprest Cash [] AlP Check E] Voucher Check AMOUNT 9 1 ) 3 5 1 .14- GILNUMSER: )OU,55330 EXPLANATION: \)i 4 REQUESTED AUTHORIZED BY:.---. CAT # 10303 1 FM 1600 " -Ike G�f Memorial Medial Center Nursing Nome UPL Weekly HSLTransfer Prosperity Accounts 1/25/2021 v^ "I A..,... xaa.um 9,nW /.n1Mt TrY.Mmdl. NNW" W.nv rnnaf.nem Trinar. rf� w 11i.l.d .." Twl, .0 �minj W.m. nrv��xgn. _ ...... . 9e,BC41 01,ABQ / - 101,3<M3 /101.E/C.eE ✓ xank YlanY 10]a1M3 y Vaan L.aYVN Mxnu IMM OttdaerinfeRR N.mmb.rimx.tt Deambv[MI[rtll WIYfI B.W[e(Inmler Rmt Yl.]YAi N.m. ulYA.bmnmJaver35OCavMl6examl.n.dY tAanunxyhemnm PeveJ: ante l:Fmhmroun3hmabnmb.l.nYySIWMn1MMelepaaNM lmgm.[munf. L.m Rryllq CfO I W25/1011 Ad"I'B1OT-Ift OR JAN 2 5 2021 sw r tea Lli i'", -AWMQ I:WN W.rb OIm nWx unl TnnJnfummaHU011V.nrarylxNuvtTnnRerf.immvr 1.13 E1..% 1/20/1022 WIRE DUTBETHANY SENIOR LIVING, LTD 1/20/2021 DA1c1i1 1/20/2021 HEALTH HUMAN SVC MCCIAIMPMT 174600341130162 341/20u Deposit 1/21/2011 NOVOASSOLUTION HCCIAIMPMT61648242ODNO62 1/2212NI Di,,,it 1/22/2021 HOSPICE OF SO T% VENDORS NF 91000034190511 1/22/2021 HEALTH HUMAN SVC MCCUMUMNAT 17460034I13al6 2 MMCPORTION OIPP/Campy TmnA6s-0ut Transfer -In QIPp/COmpl pIPP/Cempi gIPP/Comp3 j4ppw QIPPTI NNPORTION 98,184A3 12,131A2 - 12,131.42 12,144.37 - 12,144.37 21,626.77 32,616." 260,598.03 260,598.03 38,O16.71 - 351016.21 7CCS. 700.31 8,030.81 8,030.BI eB,380.43 401,348A2 W114542 1/25/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Account Type Add Group of Jan 25.202 '5506 MMC -NH BETHANY $401,348.42 $401.348.42 $401,348.42 $357,600.! SENIOR LIVING • indicate: Page generated on 0112612021 https://pmspedty.olba nking.com/ontineMessenger III N/lEMOMAL IMEDICAL UNTEIR �CHECK MMC OPERATING Date Requested: 01/25/21 A FOR ACCT, USE ONLY Y FImprest Cash JAN 25 2021 E]AjP Check D Mail Check to Vendor E @O%Wft, IIWVk' F1 Return Check to Dept AMOUNT --- $3259.52 GANUMBER: 10255040 EXPLANATION: MONLINA QIPP YEAR 3 ADJUSTMENT PAYMENT — REQUESTED BY: Mayra Martinez AUTHORIXF[l, BY. F. A v F. E INIEMORIA,L. MEDICAL CENTER CHECK REQUEST MMCOPERATING pate Requested: 01/25/21 AMOUNT $1,174.31 on JINN 2 5 2021 FOR.ACCT. USE ONLY IlImprest Cash []A/P Check Mail Check to Vendor Return Check to Depi GA NUMBER: 10255040 EXPLANATION: MONLINA QIPP YEAR 3 ADJUSTMENT PAYMENT — RE QUEStt'G BY: Mayra Martinez AUTHORIZFF) BY: p A v F E MMC OPERATING AMOUNT $960.38 MEMORIAL MEDICAL CENTER f*.'HECr REQUEST Date Requested: 01/25/21 FOR ACCT. USE ONLY -Arr""m FI Imprest Cash �A/P Check JAN 2 5 2.021 Mail Check to Vendor Return Check to Dept sla'F44" sue' 18C?5 GA NUMBER; 10255040 EXPLANATION: MONLINA QIPP YEAR 3 ADJUSTMENT PAYMENT —CVCSU&:F tjj (tjLyrL.'jj) By, Mayra Martinez AUTHORIZE!" BY: P A Y E c MEMC7MAL MEDICAL CENTER CHECK REQUEST MMC OPERATING _-- Date Requested: 01/25/22 AN40LJNT $1,330.94 FOR ACCT. USE ONLY APPl","& IlIrnprest Cash ❑A/P Check JAN 2 5 2021 ElMail Check to Vendor �A3t. iU71.LW� t 11 Re! urn Check to Dept m.�I,:G'®C#ti a3i}ribfl'?Pg', YF.4w G/L NUMBFR: 10255040 EXPLANATION: MONLINA QIPP YEAR 3 ADJUSTMENT PAYMENT - --- - -------- - j RFOUFSTEU BY: Mayra Martinez p A MMC OPERATING MEMOMAL MEDICAL CENTER ("'HECK REQUIEST 01/25/21 FOR ACCT. USE ONLY --- ElY impres't Cash []A/P Check JAN 2 5 -2021 ElMail Check to vendor ....... FIReturn Check to Dept 'aww" *AL2WW eok". ' AMOUNT . $2,153. 16 (--,ANiJ1V6FR: 5:95040 EXPLANATION: MONLINA QIPP YEAR 3 ADJUSTMENT PAYMENT BY Mayra Martinez ..... ... .... Affl'IjCJIQFf) BY: MEMOMAL MEDICAL CENTER t- L-HECI( REQUEST p MMC OPERATING Datc, Requested: 01/25/21 A M 'Msvjn JAN 2 5 2021 QAL��f4v "''WWAS AMOUNT $12,353.74 6/1 NUMBER: ---!() EXPLANATION: MMC TAKEBACK FOR DOUBLE PAYMENT R r- 0 L; i--.')T!-- L 113 Y: Mayra Martinez AUTHORIZED BY: FOR ACCT. USE ONLY �lrnprest Cash A/P Check M0 Check to Vendor Return Check to Dep[ January 27, 2021 2021 APPROVAL LIST - 2020 BUDGET COMMISSIONERS COURT MEETING OF 01/27/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 12 $31,485.08 TOTAL VENDOR DISBURSEMENTS: S 31,485.08 TOTAL AMOUNT FOR APPROVAL: $ 31,485.08 '/ January 27, 2021 2021 APPROVAL LIST - 2021 BUDGET COMMISSIONERS COURT MEETING OF 01/27/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 13 $41,862.13 FICA P/R $ 54,295.28 MEDICARE P/R $ 12,698.26 FWH P/R $ 37,665.93 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 4,225.00 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,516.15 BANK OF TEXAS A/P $ 58,425.00 TOTAL VENDOR DISBURSEMENTS: $ 210,687.75 I✓ TOTAL AMOUNT FOR APPROVAL: $ 21Q687.75 A3 Fd Mo— A3 � O d a D m ym mm > 9 °z z° o o 0 0 EL 9 N b J n O b 0o N n O q d N ro r m N P P P P T P P P P P P P P J U P P P P T P P P P P O O O J O N N N N N N N N N N N N N O O p 2 my a9 c'�+D Da �''�a Ma �a ma O O Ay O„NA,� a V1 tr Vi Nyt y VJ fA D 9 9 r OZ OZ n0 OZ C' 1 �zmz r, r� yo yd m er nZ n0 CZ n OZOZ M m m m m Rl M ni D a a m M M N N N N N N N N N N A A A O O p W W W W W W W W U U O O Q C O O O O O O O O O O O O O O O O O O w O W W Vbi W N N a 3 KM KM to 3+r m0 32 mC 3m m0 m m9 gm mD �m mD 3ra Ma 3a 3a 9 N yy yaa H M: m-M m� mmm mm mm mar" t'�i*Ctl m� mw W0� mm u a 8 AA s �� s'ro �x� 'max j sir nb n� n0 MC H m cn�? 00 A W O y O m O W 9 O W ZO W O O W O b O O � N N T J J A J O �p J N b to N to P Go P P P L AD W A P P Oa � W a O O Ja C. A Ea W Oa b b b n a O c 0 0 0 O R N o d 9 J n O xrn x ym �m w ur Py P CC 0 S O y CO [ m y m y m Q Q T A T P Q P T a b p1 Q a r d < < n M> mo a ma mo a o >e< ye><y< y<y<>< 00 on on o 00mnC�mm�m r0 tr"O tr"O �r"S z Aim m y H y y m m a 'tea ci* < A n r a a n r a a n A n r a r a z n x n x n a+ n a a a < a a a { a a a a a a O O O � >zO amP-noNiZm zO mZ >O aO pHOx -ni OO 7OO m0Om Omm 'tmnOaS m0O m��,ff z'oO p^'0 o x ]1x r r Wam p0 N D �O W - O •A` A N m a N vW O �W�ft b n N a w o m cc 0 W A A T A W p� U T WN A •r O j U r •p A_ T A W W J N W W N W Oa W W O �D J P Oa O� O O O O o m�cf m m �y p fn nnn 00s 800 on 0C0C n0 0C0C nn 00 n0 'yg 5� H CO y n > °z � � K J U O A W n O O O O O � b n o n ao boy o �m y X 3 > c m n y � O O O O O O O O O J p � y w > > rm X X W W O 0 SO O m 3 C 9 O ,mj �a e m 7ma C Cya n n O O m m y m ° ype Y C y y °z °z o o °z e `i vex "j NN O O W O NN V T O w b y O O N O Z H Q C N N J J U � N O mm Aw +fm am np °vY no 9> np Oa E0 Op py-� r9n A m CO 'p yz an yn my y oy O o n` an m m mN ya nx x p N o o a y$ p m Via, n wN N �. » yy n O n p �I�g sls$ O O n c Nry^ ON. P N T T W r 6 e 0 b �o Foow o> z oa n� H W �m m xnm m » d [grlm 2 r -i Am ymoos N J W �i0" br i� O [TIN O N w n D d Q n cnc q� 'J9.1G p on on v Q0 �0 gO a n Nm Nm w J O q d O -0 m m0 z y O b 0 O O C qA U w P In W U lA t/i V. In to 1n U ut n O N N W N N N N N N N N N N N [) O O O O O O O O O O O O O O O O p 6 p 0 0 0 q qoG 0 0 10[ q q q 10 q 10 q[ q[[ q < kap r mxa� rn r r r r r r r r r r �z rr pr r r r 0r O m o z m p a FS ti y y U Da P P P P Uro P P P P P P P P P P P P P P P P P P P P P P C% ry O O W O O N O b Ca W w Eo w W W p O P Oa O O N P b N ea O O 3y nb Oro tin.a n9 maw Oy Ory 0.9 0- 0- O.iy O.y O.a 0' 04 H mz <" rl N r d N r W m Ci N ii N ii N ii ti l�1 N ii N 0_ N �'"� F7rye (j ;" mA() m m m� m� m� mPo mPo mw m; ma. m ��aa oas ba �a 9a 9a �a �a om.ff0 4 o w mqA O Q L'azo-ia �a Ca m= mw mw mW mw mW m mw mN m A m b m b m b m b m b m b m b m U U m N f] b b O O O O O O O O u N m a U U {A lA lA N U In lA l/1 P P P W W O W J tl� U W O IJ W U O A N P A O N O u o J W W N J P A U N A b P F.)D O PON O N W w U Ca O �O U U P P d R S n a 0 9 i 3 0 0 C a U x U a A u A u W [] p U A A A (] O O O O O g p q { W { y ti b H a rn a a rn N T 01 01 U N O O O O O O y� 'o n°�7 �i° 0 n° K { a a P T N N N O W O W W O O O O O O ac y w°D^mw 3o a H> ^� ?z ppo; Na Nw $r 0 �° Dbp W a � � m n r r � y y m m m RE n 0 A P N N N Ce N N N 9 O O O N M? A [nA � � W z z ° w n zm a z o ?t O a a b H 7' 10 V! i O N A A A O O a O yr O o ti�� ym r. y 'o rns o b n° o n° y 0 a a � Y J Op Nr � r u IJ T N + N O to A O "+ZA CW)DoS n �D y nnS 0= M Mn n;wo n_ M n�Ca�+ ya0 �an � _� �� 'p��i -Miy 71 N ED P D aO tPi MZ� N A J to O A in �O SOP O O O w N P N P N P w m W VO. .NP N O W N v� C O° 3 ^c N � i+ R \ ) \ \ \ � & 2 O O � b yby a y 3 H b rn m rn O C I N A C fiN �iiN ,� (iN GZ Hox yox tiox 7 00 oQ oo N V m g � \ � � � � ; § i§ ( \» r §( ) 7 2 \ ( ( \ ( §/ )}§ !f) (() 2m� §:� /([ )2 ( ro ro � ti 8 d � 3 yip 3 v c f 00 O O °z z° P P P P P U O O O O O O 0 0 0 0 gg0 po 0 H0 A ° �a 0 0 5 b b < € N N N N N P mtia =ta p>a on Maa 0 o H m.ibj H C'I 3cH zC-I ->in 7� o •9-I w-D-7 3 a-91 `� a"D'� ya-Di mm 7rC �r nr or mor 9or _ of n� Hod q"� O'nf A A �_ > _� f _ A wo y�pA o� ('j> C>] H n # v y r o m o b � n O ma mn0 P P P P P u A N N N m m b m n r m m m m m n n W P P V N N A U N O A b N O O J O O O A w� C) >a S^ HH c9io Hy c>in Hey �c n` x w0 m P b z 6 W_ P � r o r n vi y o 0 H Y S �• w ? "o •n-1 CJ A �o r k d0� H g 0 3 N O • r� na n'a H O X9 `% �z M _ N n 6 C 9 n � r y a m Vzi O y A N W N O N O N O N O N O N O N O N O N O N O N O N O p 6 A O �m A O A O A O A O ^immm 10, A O Q A O A O mm A O A O mmm A O y A mmmm A A A A m A A A A A A A �O rrrro p �r"O S cr"O r0 O rpd Om"mti O p rrom'm*� C7 rrrpm'm*� rramrk rr'ommm mmm m rrb mrr r mm rom v N L N N N N N N N N N N N N N N N N N N N N N N N N o A-1 o A-1 �o-Ai-I o-Ai ow A-] �o-Ai yy �a a Nroa �ba A Aga � �a r��a ��a �a �a o�a A_�a sa m H y o gba Y o 5 o r 00 „r rNr—r or o owl DNr or a �a Nwn xw� pa ea mwa e� ya ,pa �a wa O en m w Oa da OA yc Oea 4> Da �.P ma O> a mf d Q N N W tOA T O O� J 0 OJ p� A � .N• T A O U O U O O U U N U U S N d e M a n M soo r' K � A H J N A O O O A Y y A N N N N r, z oo M y p [�0 n 0 y.7 <_O r9' C O m N g ti N J O N U N N W U W ,p O P W J A J W W P P W O O N N O P. O O W O O O O N N U U W U U U A O O O O U O m � A OC m h a a ^i n e p W W W r w w w r bo 0 0 o n p y m � e 0 M r c7 O � n 3 � v�iei Nn 997� � O Nr �r Nr o v, n V b 0 A 6 o q.. o U Vl p 0 n n 0 3 .o z z mn y O m m z t" w n A y> O U mm ,ro rOn m 5 co y m 3 y [ O m m to O V N n w m y {il N N � r O U U N N O O O O O N O O O O y N p7_ ro j t�i7 t�m�7 y > n nn ^C %�O CZmZ o Om omx Om roOmti>> :.� c s r O oo om chi n n a r r yx z c m Z Z Z ^mn M m> O m O d �1 w— a � J V J RI N twn tn L Vl �p b b W Qf N N W A i w p U '3 C fJ N �m °r3 a o 07 mP mm0 5=' ti cnC m� eaG v � � mp zop,0 7OJ� o\ y0n — ee AN [�[tt�� ?°° W v, rn vi nrn` � j 3 u •'da ta0lp � cyy. N W fmAz C 9n S "0 'C9n Nw�o Na Na Rota r1i < O mfi� y r a a v ra m Am A e x y mOm m aai m m m m� oc m� mW <?� ho yo rm0 0. W O y O N O y O O O b •^ m o Y, H °z n H M 0 pp a N U w S R 'mC vC gc'�i bC E� d O a 44--�� K K rom vm bm vm m zz0 '2 �Z O (2(� u U a U x A ae A C7 A A �c A o0 n O O O O m - z � o � �1 C N � d -1 o � 0 m Oa pa pA m O 0 N A °zz go z o = o r S A W E3� W V�i V�i tOi� O W u W (i N ODO ^y°D "oD° S nA 9D0 Sn A 'TAD Sny D�" A� ODO D ODn y D v tin 7 yafr] Z S z � z y yA y �n mp� Q y20 �n Don m �L,mO moW,O ma0 ma N eay yyun ZmQ �O _ � z O -mi t�� Aoe Ar a... �^' Fw rn Aoo m mo moo 0 0 o zz z c N � � o e U m n CC ro � A A C 10. 'a Z 9 ro w � m a N � m NN y T O� W W W O O O. lnr wd L N ro 3a z a n p n o n,� �� nor � �� a z roS' t1r r3I-zi mvai my n y r a C oC p m o r `aa Wp Wo a z ZE 0 3 oAzOZ O � x 3 > in1 N y w a O O N a a a °a>n 9aa CCz Ca C1» r n mn �a H c a NW trNl W yy-nil pn W Z W Zm rW 0�p HC n �_ �� m� F� O `a9 �m H 3 a n tp Hm lo Oz a a ao y �3 az a b c m c x F r9 0 d s T � p c b o nn� P u u P P P P U U U U U U U U U U U y W W W W W W W W W W W w W W W W N O O O O O O N N N N N N N N N N O 6 O O OA jc no owO w C) H O H w Z � yyyy o yy A ri o q H n m w P W v J NO A A A V J J P P P P U N N J N N N N O b b u w P W b oo w o0 00 .yA. ` a rn b yy n ba ya NS,S Nz 3�f 2w�f 2z z a v a O N WN yttl W 9ttl q W vy W WN rC,ONJ m ��N N NW GNI �� w WN mN J�J ti y !�- „�. N 17 1� = N W n N F 3 IJ N y� u u u u �p u p H n inn y C] H H H r r O yy n,� hl 'o ro y 'o x A U z° °z °z $ 3 b y y o 10 rD' m N O J V J J J J O O 4 b J W u A J J VPi A d 9 H R rt 6 m a� �3 O c RgS Ap O to O w O O >O> pp �eZ C) mO roD D O w q 0 j o U 0 U 0 y O m m O i O z m y w w y Cy y y y r h P P N P P O P P P P P P U W U W U W U W N N N O O O O r 3yz 3 �o b 0o y P � "gyp r m v c�A �trn Fz }b�j }may F m O m m m W U W W U U U U N W J O N n O n U n b W b A �~7 'AHD g 0,D o-7� -ni [D' Orm DGl H W Pe O[tl u nm -"i yz mngQ z E -�i m n X s m s H QA-_ Qc aoo0 a` Q w a C1 w p N mr ?n m5 � r�nr car 3 A v� A � H u d • 8 o o v n n n a � n r r R w b N n � � H N y n z o�o n °Z r z ° � X H u N n y Y y O H a J � a' e P J P a N u J P J O b N N P U W V� In J m b P U b b O O O O m v N N N p a A � � C a A O N U O � C d N D� pn0 a � g >N 0 �� mono O mroi aq z 0 pis xi o ZO ZO b 9 ro AA"�' c mz�AAY ti b � b 9 n b b r rm, ro n x 0 z m m G C] n � N O 0. N R P k 8 ° z - o z 0 d 3 S y o Sm z o e d b b () b p n 9 n y m � z o fl O w o H O ti O W � 6 N a p a o n y °z b W El N � b El C A O i �p m o �Q > m 'qOs � C y yoN 7�3 � v r 9 O c � z z H w b J V r b b O 6 A on o a° z0 a� OrC Co �C ° o O zo a b y Om O O C o N N r3 . y `yy DD F. Cy,. D JG N o t N O 3 O O v T C• N W a b r T U co J �- a vi -- n O O O c z z z o 9 0 � C a � y m bydy � � � 7y 'A b "i z � y 9 -7 w b b V e n a c� n r a '' C .n m C7 H n m r C m o � ,,, r W c a a o N ^p< w � z C b �. G e ,� 3 O mnn> i � r � �yz. O � `� = O K m �. .� g e 1 M � ?1 %� ON 9 O m P �o e m 'w r S H a e� o^ O Hn a ��o �o� �,�o o�� >-"i K °z�� CJ � V. O � -] N J I^ N N [07 Ci