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2021-05-12 Meeting MinutesCOMMISSIONERS COURT-5/12/2021 Richard H. Meyer County judge David -Iaii, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Anna Goodman, County Clerk Catherine Sullivan, Deputy Clerk REGULAR TERM 2021 § MAY 12, 2021 BE IT REMEMBERED THAT ON MAY 12, 2021, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. 1. Call meeting to order Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation Commissioner David Hall 3. Pledges of Allegiance US Flag — Commissioner Gary Reese Texas Flag — Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation N/A 5. Hear an update from the Airport Manager Lou Svetlik of Gateway Flight, LLC gave the update and presented a flyer announcing an upcoming event at the Calhoun County Airport on May 22, 2021. Page 1 of 5 COMMISSIONERS COURT — 5/12/2021 6. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by the Calhoun County Commissioners Court and the appropriate County Precinct Commissioner that is related to the Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order Numbers A-1, B-1, C-1, D-1 and E-1. (RM) Scott Mason of G&W Engineers spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve the bid package for infrastructure improvements at Little Chocolate Bayou County Park under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held 2:00 pm, Wednesday, June 2, 2021. Bids will be due before 2:00:00 pm, Thursday, June 17, 2021. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve the bid package for playground improvements at Little Chocolate Bayou County Park under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held 2:00 pm, Wednesday, June 2, 2021. Bids will be due before 2:00:00 pm, Thursday, June 17, 2021. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 5 COMMISSIONERS COURT — 5/12/2021 9. Consider and take necessary action on the Calhoun County Parks Board proposed steps to determine the development plan for Green Lake Park, with full review of the Master Plan developed with the assistance of the National Park Service in 2016. (GR) Allan Berger presented the proposed steps of the development plan. RESULT: MOVER: SECONDER: AYES: APPROVED [UNANIMOUS] Gary Reese, Commissioner Pct 4 David Hall, Commissioner Pct 1 Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to authorize the County Judge to sign all necessary documents and agreements for Professional Services with Urban Engineering for Boggy Bayou Nature Park Phase I, GLO Contract No. 21-060-013-C673. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to authorize Commissioner Reese to submit a grant application to the Texas General Land Office under its CEPRA Grant Program for the Swan Point Shoreline Resiliency and Restoration Project. Matching grant funds will be funded with GOMESA funds. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to authorize Commissioner Reese to contract with Kathy Smartt with Smartt Grants for $750, to be paid with GOMESA funds, to prepare a grant application under the Texas General Land Office CEPRA Grant Program for the Swan Point Shoreline Resiliency and Restoration Project. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 5 COMMISSIONERS COURT-5/12/2021 13. Consider and take necessary action to accept a check from the City of Seadrift in the amount of $1,027.04 and have the funds added to Precinct 4 R & B account 570-53590. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to authorize Precinct #4 Constable Louis Warren to sign a Memorandum of Understanding between the Seadrift Police Department and the Constable regarding the temporary use of a radio. (RM) Pass 15. Consider and take necessary action to declare the attached list of equipment from Road & Bridge Precinct # 3 as Surplus/Salvage. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to declare the attached list of equipment from Memorial Medical Center as Surplus/Salvage. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to declare the attached list of equipment from Memorial Medical Center as Waste. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 5 COMMISSIONERS COURT — 5/12/2021 18. Accept reports from the following County Office: I. Floodplain Administration — April 2021 ii. Justice of the Peace, Precinct 1— April 2021 iii. Justice of the Peace, Precinct 2 — April 2021 iv. Justice of the Peace, Precinct 3 — April 2021 v. Justice of the Peace, Precinct 5 — April 2021 vi. Sheriff — April 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Consider and take necessary action on any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Approval of bills and payroll. (RM) MIMIC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Payroll RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese ADJOURNED: 10:50 A.M. Page 5 of 5 C�•\I.I I �l \ C���l �.A�I�1� C���\I\I I��I �V�I�:I"�;' (��i�l_Ip�l� V. All Agenda Items Properly Numbered gContracts Completed and Signed o �-All 1295's Flagged for Acceptance o 4�(number of 1295's ) PAII Documents for Clerk Signature Flagged On this Lax day of 2021 a complete and accurate packet for .12-4 of 2021 Commissioners Court Regular Session Day Mon was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. 6 Calhoun County Judge/Assistant COMM ISS I ONE RS CO URTCH E C KLIST/FORMS AT ✓ " O'CLOCK MAY 12 2021 n� r 91J ►l � I AGENDA NOTICE OF MFF ING—5/12/2021 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, May 12, 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. 2. Invocation. 3. Pledges of Allegiance. AT ; ds FILED O'CLOCK en MAY 0 7 2021 ANNA GOODMpN COU TY C ERK, CALHO COUNTY, TEXAS By ® DE UTY 4. General Discussion of Public Matters and Public Participation. 5. Hear an update from the Airport Manager. 6. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by the Calhoun County Commissioners Court and the appropriate County Precinct Commissioner that is related to the Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order Numbers A-1, B-1, C-1, D-1 and E-1. (RM) 7. Consider and take necessary action to approve the bid package for infrastructure improvements at Little Chocolate Bayou County Park under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held 2:00 pm, Wednesday, June 2, 2021. Bids will be due before 2:00:00 pm, Thursday, June 17, 2021. (DH) Page 1 of 3 NOTICE OF MECTING—5/12/2021 8. Consider and take necessary action to approve the bid package for playground improvements at Little Chocolate Bayou County Park under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held 2:00 pm, Wednesday, June 2, 2021. Bids will be due before 2:00:00 pm, Thursday, June 17, 2021. (DH) 9. Consider and take necessary action on the Calhoun County Parks Board proposed steps to determine the development plan for Green Lake Park, with full review of the Master Plan developed with the assistance of the National Park Service in 2016. (GR) 10. Consider and take necessary action to authorize the County Judge to sign all necessary documents and agreements for Professional Services with Urban Engineering for Boggy Bayou Nature Park Phase I, GLO Contract No. 21-060-013-C673. (GR) 11. Consider and take necessary action to authorize Commissioner Reese to submit a grant application to the Texas General Land Office under its CEPRA Grant Program for the Swan Point Shoreline Resiliency and Restoration Project. Matching grant funds will be funded with GOMESA funds. (GR) 12. Consider and take necessary action to authorize Commissioner Reese to contract with Kathy Smartt with Smartt Grants for $750, to be paid with GOMESA funds, to prepare a grant application under the Texas General Land Office CEPRA Grant Program for the Swan Point Shoreline Resiliency and Restoration Project. (GR) 13. Consider and take necessary action to accept a check from the City of Seadrift in the amount of $1,027.04 and have the funds added to Precinct 4 R & B account 570-53590. (GR) 14. Consider and take necessary action to authorize Precinct #4 Constable Louis Warren to sign a Memorandum of Understanding between the Seadrift Police Department and the Constable regarding the temporary use of a radio. (RM) 15. Consider and take necessary action to declare the attached list of equipment from Road & Bridge Precinct # 3 as Surplus/Salvage. (JB) 16. Consider and take necessary action to declare the attached list of equipment from Memorial Medical Center as Surplus/Salvage. (RM) 17. Consider and take necessary action to declare the attached list of equipment from Memorial Medical Center as Waste. (RM) Page 2 of 3 NOTICE OF MEETING — 5/12/2021 18. Accept reports from the following County Office: i. Floodplain Administration — April 2021 ii. Justice of the Peace, Precinct 1— April 2021 iii. Justice of the Peace, Precinct 2 — April 2021 iv. Justice of the Peace, Precinct 3 — April 2021 v. Justice of the Peace, Precinct 5 — April 2021 vi. Sheriff — April 2021 19. Consider and take necessary action on any necessary budget adjustments. (RM) 20. Approval of bills and payroll. (RM) ichard Meyer, Coun dge 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 www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 3 of 3 WORKSHOP —5/12/2021 ATO CLOCK nn MAY 0 7 2021 COTY LERKNCAGHOUN COUNTY, TEXAS Richard H. MeyerBY: ��ii DEPUTY County judge David Hall, Commissioner, Precinct I Vern ]Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, May 12, 2021 at 1:00 p.m. in the Commissioners' Courtroom on the first floor of the County Courthouse at 211 S. Ann Street, Post ]Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: Discuss the Green Lake and Magnolia Beach projects with Steven Raabe, trustee of the Formosa Mitigation Settlement. Ribhard Meyer, County 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 www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 1 of 1 PUBLIC HEARING — 5/26/2021 q•� AT 0 CLOCK nrs MAY 0 7 2021 Richard H. Meyer COU 'OLEHKNCCALHOUNCOUNTY,TEXAS BY: County judge EU avid Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a public hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port Lavaca, Texas, at 10:00 a.m. on May 26, 2021 regarding amending the 2021 Calhoun County Budget. This notice is in accordance with Section 111.007 and Section 111.0075 of the Texas Local Government Code. The public shall have the right to be present and participate in such hearing. k.a111UUI1 l.ULUILY, 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 www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 1 of 1 #5 Vern Lys Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 May 6, 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 next Commissioners' Court Agenda • Hear update from Airport Manager Since ely, C/ Vern Lyssy VL/Ij (361) 552-9656 Fax (361)553-6664 #6 Agenda Item for Commissioners Court —Wednesday, May 12, 2021 Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by the Calhoun County Commissioners Court and the appropriate County Precinct Commissioner that is related to the Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order Numbers A-1, B-1, C-1, D-1 and E-1. (RM) Agenda Item for Commissioners Court — Wednesday, May 12, 2021 Consider and take necessary action to approve the bid package for infrastructure improvements at Little Chocolate Bayou County Park under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held 2:00 pm, Wednesday, June 2, 2021. Bids will be due before 2:00:00 pm, Thursday, June 17, 2021. (DH) Agenda Item for Commissioners Court — Wednesday, May 12, 2021 Consider and take necessary action to approve the bid package for playground improvements at Little Chocolate Bayou County Park under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG- DR Contract Work Order No. E-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held 2:00 pm, Wednesday, June 2, 2021. Bids will be due before 2:00:00 pm, Thursday, June 17, 2021. (DH) MI Gary D. Reese County Commissioner County of Calhoun Precinct 4 May 4, 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 May 12, 2021. Consider and take necessary action on Calhoun County Parks Board proposed steps to determine the development plan for Green Lake Park, with full review of the Master Plan developed with the assistance of the National Park Service in 2016. Serely, Gary D.'Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: R�.reese�calhouncotx.ore — (361) 785-3141 — Fax (361) 785-5602 Calhoun County's Green Lake Mature Park Draft Revised Master Plan May 7-021 Key €lements- ➢ Natural Resources and VAIdlife Management ➢ Recreation & Visitor facilities ➢ infrastructure input from: ➢ Natural Resource Advisory Committee ➢ Citizens Advisory Committee ➢ General public Link to March 2016 Master Plan: https://issuu.com/npsrtcatexas/dots/final greenlake Page 1 of 9 of draft Revised Master Plan s Maintains the natural resource and wildlife management elements envisioned in original Master Plan. Removes RV Campground as inconsistent with GIAP funding. Limits tent camping to events (e.g., Scouting), appointments required. + Maintains other visitor access and amenities except! o consolidates Visitor Center and Educational Center into one building. o accommodate paddle craft or electric trolling motors only. a includes long-term repairs to levee breach and for a water control structure. Page 2 of 9 Way Forward 1. Parks Board solicits comments from Natural Resource Advisory Committee & Citizens Advisory Committee members_ ➢ offer open house to Committees. 2. Parks Board publicizes Master Plan, any draft revisions, and Way Forward, 3, Parks Board recommends Revised Master Plan to Commissioner Court for their consideration. (timeline Steps 1-3: 2-3 months) 4. County conducts preliminary engineering study to determine costs of the Revised Master Plan: • address details of Master Plan that are not specified. • essential to informing budget, priorities, and phasing decisions. ('timeline: 6-9 months) Coincident with the engineering study, Parks Board develops Draft Operational Plar►, Including: • Hours of Operation • Annual Operational Budget / Staffing • Entrance Fees /park operational funding • Specific Park Rules • Park Management organizational structure 5. Parks Board seeks public comment on the Revised Master Plan and the Draft Operational Plan. ➢ offer open house to public 6. County decides Revised Master Plan and Operational Plan for implementation. Page 3 of 9 f?istribatioW Authors Justin Bates National Parks Service justin_hafes(ct�nps.goV Rus Miller National Parks Service Natural Resource Advisory Committee Mary Belle Meitzen Calhoun County Historical Commission mmeitzen@cabieone.net Todd Merendino Ducks Unlimited tmerendino@ducks.org Nathan Pence GBRA npence@gbra.org Wilford Korth GBRA-retired naturetourl2@gmail.com James Dodson SABP jdodson27@gmail.com Sonia Najera TNC snaiera@tnc.org Lauren Williams TNC lauren.williams@tnc.org Kirk Feuerbacher TNC kfeuerbacher@tnc.org Norman Boyd TPWD-retired Kelley Kowal TPWD kellev.kowal@tpwd.texas. John Findeisen TPWD lohn.findeisen@tpwd.texas.gov Kevin Kriegel TPWD kevin.kriegel@tpwd.IgKIs.gov Dan Walker TPWD Pew! a rha✓N daniel.walker@tgwd.texas.gov Brent Cirtego TPWD-retired brentortego@hotmail.com Trey Barron TPWD trey.barron@tpwd.texas.gov Len Polasek TPWD len.polasek@tpwd.tg?i .gov Jason Singhurst TPWD iason.singhurst@tpwd.texas.gov Beau Hardegree LJSPW beau hardegree@fws.gov RJ Shelly County Marine Agent ralph.shellvC@ag.tamu.edu Red indicates new role Citizens Advisory Committee Shannon Salyer tune Cantrell iune.cantrell@calhouncotx.org Bill Harvey alltxbh@msn.com Janie Waghorne janiewaghorne@gmaii.com Rhonda Cummins Diane Nunley dndnunley@cableone.net Jim Ward (ward@portlavaca.org Dwana finster finsterd@a calcoisd.org Susan Riley slrfmriley@gmail.com Page 4 of 9 COpY: County Richard Meyer Calhoun County Judge richard.mever@calhouncotx.org David Halt Commissioner Prcnt 1 Calhoun County david.hall@calhouncotx.org Vern Lyssy Commissioner Prcnt 2 Calhoun County vern.lvssv@calhouncotx.org Joel Behrens Commissioner Prcnt3 Calhoun County ioel.behrens@calhouncotx.org Gary Reese Commissioner Prcnt 4 Calhoun County gary.reese@caIhouncotx.org Kathy Smartt Smartt Grants kmsartt7@gmail.com Parks Board Allan Berger Chair allanrberger@outlook.com Oran Moses Precinct 1 oranmoses72@gmail.com Steven Dublin Precinct 1 stevenbdubiin@gmail.com tindaBourntas Precinct lipbl3@suddenlink.net vacant Precinct 3 Dwayne Fishbeck Precinct4 dwaynefishbeck@vahoo.com Charlene Terrell Precinct clterre1150@vahoo.com Additional Green lake 5utti-committee members Kenneth Finster Commissioner Calhoun County - retired kenneth.finster@gmail.com Page 5 of 9 Natural Resources Wildlife Revised Master Plan fcr Green take Nature Park - draft 1 Naturai Resources & WiiO% ilAarFaaement Description 1 Breach Repair / Water Control Structure Repair recent breach to GBRA Diversion Channel; install structure to control lake water level Create waterfowl Impoundments; levees and water control 2 Waterfowl impoundments structures to allow flooding in fall/winter & dewatering in spring/summer. Approx. 100 acres. 3 Artificial Rookeries Creation of Artificial Rookery Islands a. islands (2) Enhance and expand old oil pads b. Wooden Platform Build adjacent to existing0.4 acre island; 50'x20o' V shaped, 4V at hose,19at top; 2' above water to reduce wave action, decrease turbidity, and create conditions 4 Marsh Terracing of SW Lake favorable to the establishment of marsh vegetation and prevent erosion of south shore. Approx.1.75 miles across to western shore. 5 habitat Creation - Provide year-round water source; water control structures a. Spoil Area -15 acres Existing berm; Remove invasive plants b. Artificial marsh - 2.5 acres Restore old waterfowl area Page 6 of 9 Green Lake \Asitor Facilities Green Lake Fish i� P;er t CanoeLaunch NI Restrooms" Observation Tower Group Pfcnfc Shelter 13 Educational Facility ogle Earth Green Lake Hike I Bird Trails - Levee Trail I.vBC Green Lake ti �\ Observation i ower 11'o1e!re 1•f i , - `Photo 6hnd ro Bond Wetlands Trail Google Earth `wvC Revised Master Plan for Green lake Nature Park - Draft 1 Visitors Facilities Descriotion 6 Fishing Pier & Rookery Observation 300' with 50' T; Remote parking -10 vehicles-15ox50' 7 Canoe & Kayak Launch Single lane ramp; accommodate paddle craft and electric trolling motors only, Parking for 20 vehicles 8 Observation Tower Provides outstanding views across lowlands, the southern edge of Green Lake and waterfowl impoundments, the existing bird rookery and the lake 9 Picnic Facilities - Main Signature picnic facility. Screened, include access to water and electricity a. Picnic tables . covered 10 covered tables each with grill and trash receptacles b. Group site Signature picnic facility. Screened, include access to water and electricity c. Levee Area 5 covered tables each with grill and trash receptacles 10 Restrooms a. Toilets b. showers for use by Event camping only, 2 stalls 11 Pent Camping Sites- 20 For event camping only, eg Boy Scouts; Permit required 12 Hiking/ blydingtraits a. Existing waterfowl area 1.6 miles b. Boardwalk .3 miles c.Waterfowl impoundment/ levees 1.4miles d. Middle Trail .5 miles e. Barge Canal Levee Area 2.0 miles 13 Bird!ng / Photo Blinds At existing wetlands, waterfowl impoundments, and Fresh water marsh 24 Small fishing pierlit WBC Bank fishing 300'; parking 5 vehicles This structure should serve dual purposes as educational / classroom space 15 Educational Facility for weekday school field trips and interpretive exhibits re Green Lake's uniqueness for visitors. Restroom facilities provided also. Appropriately sized parking area. Page 8 of 9 Revised Master Plan for Green Lake Nature Park - Draft 2 infrastructure Description 16 Park highway Entrance 17 Entrance Station Fee collection 18 Roads a, limestone Entrance Road .4 miles b. Pier Road .4 miles c. levee Road 1,1 miles d. Maintenance Road .1 miles d water Control Structure 19 Parking a. Observation Tower 10 vehicles b. Main Pier 10vehicles c. Levee 5 vehicles 20 Perimeter Fencing 21 Water Well 22 Maintenance To be determined a. Facility b. Equipment Page 9 of 9 #10 Gary D. Reese County Commissioner County of Calhoun Precinct 4 May 6, 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 May 12, 2021. • Consider and take necessary action to authorize Judge Meyer to sign all necessary documents and agreements for Professional Services with Urban Engineering for Boggy Bayou Nature Park Phase I, GLO Contract No. 21-060-013-C673. Sincerely, Gary D. Deese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: garv.reese(acalhouncomore — (361) 785-3141 — Fax (361) 785-5602 [DRAFT AGREEMENT FOR PROFESSIONAL SERVICES Date: May 6, 2021 Professional Firm: Urban Engineering 2004 N. Commerce St. Victoria, Texas 77901-5510 Tel No. (361) 578-9836 Project Name/Location: Boggy Bayou Nature Park Improvements, Phase 1 Port O'Connor, Texas Scope/Intent and Extent of Services: Engineering Services Project No.: E23009.02 Client: Calhoun County Parks Board Attn: Mr. Gary Reese Calhoun County Commissioner Precinct #4 P.O. Box 177 Seadrift, TX 77983 1. Prepare and submit construction plans for: 1) the installation of approximately 2,000 linear feet of bollard fencing along the park road, parking area, swing gate and other areas to be determined by Urban Engineering to protect sensitive vegetation, 2) the enlargement of the boardwalk terminus to 20' x 15' and covered with a wooden pavilion, and 3) construction of wooden benches on the terminus and an ADA ramp. 2. Prepare contract & bidding documents, oversee the bidding process and perform contract administration. 3. Submit the construction plans for the project for ADA review, filing and inspection. Task Deliverables TASK DELIVERY DUE DATE Copies of permits and environmental clearances, as required June 1 2021 Preliminary design review 90% designs) with GLO June 1, 2021 Required documents in special award condition #7 (site plans, any environmental consultations, and any additional information requested to satisfy requirements for National Environmental Policy Act (NEPA) and environmental consultation) June 1 2021 Construction bid package, including technical specifications and construction drawings June 1 2021 Bid tabulations August 1 2021 Executed Construction Contract Au ust 15. 2021 As -Built Design March 31 2022 Special Conditions: Fee Arrangement: All work will be performed in such a manner to minimize environmental impacts during construction. Engineering Services $15,400.00 (fixed fee) Page 1 of 3 Billings/Payments: Invoices for Urban Engineering's services shall be submitted to Client upon completion of deliverables. Invoices shall be payable within 30 days after the invoice date. If the invoice is not paid within 30 days, Urban Engineering may, without waiving any claim or right against the Client, and without liability whatsoever to the Client, terminate the performance of the service. Late Payments: Accounts unpaid 30 days after the invoice date will be subject to a monthly service charge of 1.5% on the then unpaid balance. Offered by: (signature) (date) Matt A. Glaze, P.E./Senior Engineer (printed name/title) Urban Engineering TREF# F-160 Page 2 or 3 (Continued) TERMS AND CONDITIONS Urban Engineering shall perform the services outlined in this agreement for the stated fee arrangement Access To Site: Unless otherwise stated, Urban Engineering will have access to the site for activities necessary for the performance of the services. Indemnification; The Client shall, to the fullest extent permitted by law, indemnify and hold harmless Urban Engineering, his or her officers, directors, employees, agents and subconsultants from and against all damage, liability and cost, including reasonable attorney's fees and defense costs, arising out of or in any way connected with the performance by any of the parties above named of the services underthis agreement, excepting only those damages, liabilities orcosts attributable to the sole negligence or willful misconduct of Urban Engineering. Dispute Resolution: Any claims or disputes made during design, construction or post -construction between the Client and Urban Engineering shall be submitted to non -binding mediation. The Client and Urban Engineering agree to include a similar mediation agreementwith all contractors, subcontractors, subconsultants, suppliers and fabricators, thereby providing for mediation as the primary method for dispute resolution between all parties. Certificate of Merit: The Client shall make no claim for professional negligence, either directly or in a third -party claim, against Urban Engineering unless the Client has first provided Urban Engineering with a written certification executed by an independent design professional currently practicing in the same discipline as Urban Engineering and licensed in the State of Texas. This certification shall: a) contain the name and license number of the certifier; b) specify each and every act or omission that the certifier contends is a violation of the standard of care expected of a design professional performing professional services under similar circumstances; and c) state in complete detail the basis for the certifier's opinion that each such act or omission constitutes such a violation. This certificate shall be provided to Urban Engineering not less than thirty (30) calendar days prior to the presentation of any claim or the institution of any arbitration or judicial proceeding. Certifications, Guarantees and Warranties: Urban Engineering shall not be required to execute any document that would result in their certifying, guaranteeing or warranting the existence of conditions whose existence Urban Engineering cannot ascertain by a visual site inspection. Limitation of Liability: In recognition of the relative risks, rewards and benefits of the project to both the Client and Urban Engineering, the risks have been allocated such that the Client agrees that, to the fullest extent permitted by law, Urban Engineering's total liability to the Client for any and all injuries, claims, losses, expenses, damages or claim expenses arising out of this agreement from any cause or causes, shall not exceed the professional service fee in this agreement. Such causes include, but are not limited to, Urban Engineering's negligence, errors, omissions, strict liability, breach of contract or breach of warranty. Termination of Services: This agreement may be terminated by the Client or Urban Engineering should the other fail to perform its obligations hereunder. In the event of termination, the Client shall pay Urban Engineering for all services rendered to the date of termination, all reimbursable expenses, and reimbursable termination expenses. Ownership of Documents: All documents produced by Urban Engineering under this agreement shall remain the property of Urban Engineering and may not be used by the Client for any other endeavor without the written consent of Urban Engineering. Page 3 of 3 #11 Gary D. Reese County Commissioner County of Calhoun Precinct 4 May 5, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for May 12, 2021. Consider and take necessary action to authorize Commissioner Reese to submit a grant application to the Texas General Land Office under its CEPRA Grant Program for the Swan Point Shoreline Resiliency and Restoration Project. Matching grant funds will be funded with GOMESA funds. Sincerely, n O Gary. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: 2arv.reese(dcalhouncax ore — (361) 785-3141 — Fax (361) 785-5602 #12 Gary D. Reese County Commissioner County of Calhoun Precinct 4 May 8, 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 May 12, 2021. • Consider and take necessary action to authorize Commissioner Reese to contract with Kathy Smartt with Smartt Grants for $760, to be paid with GOMESA funds, to prepare a grant application under the Texas General Land Office CEPRA Grant Program for the Swan Point Shoreline Resiliency and Restoration Project. Sincerely, Gary D. Kees. GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: earv.reesencalhmmcotx.ore — (361) 785-3141 — Fax (361) 785-5602 #13 Gary D. Reese County Commissioner County of Calhoun Precinct 4 May 6, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 D,�'Ib . MV A 11 Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for May 12, 2021. • Consider and take necessary action to accept check from City of Seadrift in the amount of $1,027.04 and have funds added to Precinct 4 R&B account 570-53590. Sincerely, Gary D.�ite 'se GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: a_arv.reese(a.calhouncomore — (361) 785-3141 — Fax (361) 785-5602 _:_,_a _w G \ S \ q Vin \ \\ \ § 7 /\( f 9 ° LL 00 �/ B / / % 3 . 0 \ j § 0 k /b /c o )) \ / 2 \ ƒ \ © � ) 0 0 \ \§\ \ z \; m . � \§§ E % % \ ƒ/\ - \\ \ ° G G j\ jC) j� {/ — \\ \ ? 6 o « / ) / \ a 0 &%> »�Z p j/§ k 2\ \ 2j § 2 ee E /$ j \ #14 Mae Belle Cassel From: Sent: To: Subject: Attachments: Sent from myiPhone agenda item calhouncountyconstablepct4@gmail.com (Louis Warren) <calhouncountyconstablepct4 @gmail.com> Monday, May 3, 2021 12:13 PM Mae Cassel [WARNING -Remote attachments, verify sender] Mou Copy. Pct 4 with Seadrift PD Scan 2021-04-27 1619.pdf, Untitled attachment 00092.txt > Consider and take necessary action on authorize Constable Precinct > #4 to sign a Memorandum of Understanding between the Seadrift Police > Department and Calhoun Constable Precinct #4 regarding the temporary > use of Radio. #15 Calhoun County, Texas SURPLUSISALVAGE DECLARATION REQUEST FORM Department Name: Road & Bridge 560 Pct. #3 Requested By: Commissioner Joel Behrens Inventory Reason for Surplus/Salvage Number Descriation Serial No. Declaration 23-0004 1972 SHOP BUILT TR121711 NOT USING/NEEDS REPAIRS 24-0262 HYPAC C530AH HYDRO PNEUMATIC COMPACTOR B091C1403J NOT USING/NEEDS REPAIRS 23-0217 BOMAG BW 172PD COMPACTION SINGLE DRUM SN 510147R NOT USING/NEED REPAIRS 23-0221 BOMAG BM72D COMPACTION 109520120352-S NOT USING/NEED REPAIRS 23-0216 930 CAT LOADER 041KO7498 NOT USING/NEED REPAIRS 23-0012 HOUGH PAYLOADER 5289 NOT USING/NEED REPAIRS 23-0122 INTERNATIONAL TRACTOR 1948 ANTIQUE MODEL CUB 45143 NOT USING/NEED REPAIRS 22-0166 FORD 6640 23FT ALAMO VERSA BOOM 071513B, BOOM 04518, MOWER 01030, TRENCHER 01026 NOT USING/NEED REPAIRS 23-0154 FORD/NEW HOLLAND TS110 TRACTOR 112028B NOT USING/NEED REPAIRS #16 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Memorial Medical Center Storage Units - County Auction May 2021 (��J Requested By: Jason Anglin, CEO Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration 1 Therapy Tub Nolongerusetl 1 Wooden Shell Nolongerused 1 Wooden Rocker No longer used 4 Wooden End Tables No longer used i We.den Desk No Ion9er usetl 1 Easy Lift Equipment No longer used i This is the Surplus/Salvage List https.y/www.dropbox.com/s/hs92zcnyl e7hemw/MMC%20Surplus%20%26%20Salvoge%20- %20May%202021. pd f?dl=0 #17 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Memorial Medical Center Storage Units - May 2021 page 1 Requested BY: Jason Anglin, CEO Inventory Number Description Serial No. Reason for Waste Declaration 1 Water Cooler Broken No Longer Make Parts i Phlebotomy Chair Broken Seat 3 Wooden Desks Broken Wood 1 Bio Box Broken No Longer Works With Current Equipment 1 EKG Machine Broken No Longer Works With Current Equipment 1 View Box Broken No Longer Make Parts 1 PT Assist Equipment Broken No Longer Make Parts 2 Heaters Broken & Fire Hazard 1 Humidifier Broken & Fire Hazard 1 Table Top Humidifier Broken & Fire Hazard 9 Green Recliners Broken Seat 1 Wooden Headboard Broken Wood 3IV Poles No Longer Used/Broken 5 Picture Frames Broken Frames 1 Printer Broken No Longer Works With Current E ul ment 1 Red Chair Broken Seat 2 Mini Refrigerators Broken No Longer Make Parts 1 Black Office Chair Broken Seal 1 Black Chair Broken Seat 1 Infant Scale Broken Wood 3 Red Office Chairs Broken Seat 2 Blue Chairs Broken Wood 1 Medical Skeleton Broken Missing Parts 1 Treatment Table Broken & Fire Hazard Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Memorial Medical Center Storage Units -May 2021 page 2 Requested By: Jason Anglin, CEO Inventory Number Description Serial No. Reason for Waste Dprlaratinn 1 Recumbent Bike Broken No Longer Make Parts 1 Set of Chairs Broken Seat 1 Black Office Chair Broken Seat 1 Plasma Thawer Broken No Longer Works With Current Equipment 1 Micro Scope Broken No Longer Works With Current Equipment 1 Centrifuge Broken No Longer Make Parts 1 Blue Office Chair Broken Seat 2 Black Office Chairs Broken Seat 1 Treadmill Broken No Longer Make Parts 1 Hand Bike Broken No Longer Make Parts 1 Red Chair Broken Seat 2 Treatment Carts Broken No Lower Make Parts Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Memorial Medical Center Storage Units - May 2021 page 3 Requested By: Jason Anglin, CEO Inventory Number Description Serial No. Reason for Waste Declaration 3 While Mini -Fridge Broken does not hold temp 2 Black Mini -Fridge Broken does not hold temp Here is the 1st list https://www.dropbox.com/s/glrtbOr4k5s21 oe/MMC%2OWaste%2ODectoration%20- %20pg%201.pdf?d1=0" Here is the 2nd list. https.y/www. dropbox. com/s/mO5uh24sat2jyps/MMC%2OWaste%2ODecfaration%20- %20pg%203.pdf.2dl=0 #18 Calhoun CountyFloodplaln Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: karen.rinasz@calhouncotx.org April 2021 Development Permits New Homes —16 Renovations/Additions — 0 Mobile Homes —4 Boat Barns/Storage Buildings/Garages - 7 Commercial Buildings/RV Site -0 Pipeline - 0 Total Fees Collected: $1,620 1-Ie, <I rvFUaAr: fH OF REPORT I OF REPORT CODE BREATH ALCOHOL CONSOLIDATED COLE STATE CONSOLIDATED COL LOCAL CONSOLIDATED COL COURTHOUSES CIVIL JUSTICE DATA REPOSITC CORRECTIONAL MANAGEMENT II CHIT CHILD SEATSI CRIME VICTIMS COMPE mPSbFAR i IRF T(Y ePPFGF FUGI' CRIM-.IND LE, JUVENILE CRU JUVENILE GASI JUROR LOCAL, PARKS & WILDLIFE AR STATE F STATE TRAFFIC FINES TABC ARR TECHNOI LOCAL TRA TIME F COLLECTION SERVICE DEFENSIVEIDRIVI DE DRIVING.E) FILING FEE SM COPIES/CER- INDIGENT JUDGE 'PAY BE OUT-OF-COU -ELECTRONIC FI EXPUNGE EXPIRED . ABSTRACT OF ALL W OF, Li LICENSE & W PARKS & WILI 'OVERPAYMENT TOTAL ACT '.ENTER LOCAI STATE I V IdAJU ouw OR tine OR J V cases E.TO DA RESTITUTION FUND -UND OF OVERPAYMENTS T-OF COUNTY SERVICE FEE SH BONDS TOTAL DUE TO OTHER NVf0.00 REVISED 01/29/20 0.00 0.00 661.18 4,456.29 985.68 68.12 0.00 0.68 0.00 0.00 0.00 0.00 0.01) 283.64 92.41 0.00 0.00 0.00 33.00 0.00 29.72 0.00 64.12 299.55 0.00 0.00 0.00 0.00 24.11 90.97 0.00 60.74 2,062.20 0.00 66.12 9.12 120.82 229.22 259.07 29.06 1,160.70 2,307.18 49.50 1,020.63 0.00 420.00 0.00 0.00 0.00 84.00 109.16 225.00 0.00 140.00 0.00 0.00 5.00 0.00 1,160.00 7,272.05 0.00 3,017.00 0.00 0.00 0.00 0.00 0.00 222.00 0,00 Ta1e:1a AMOUNT., 1,160.70 493.77 RECORDON TOTALPAGE OF HILLCOUNTRYSCFl ARE MO. REPORT 666.93 RECORD ONTOTAL PAGE OF HILL COUNTRY SOFRNARE MO. REPORT AMOUNT. 0.00 PLPASE INCLUDE D.R. REQUESTING DISBURSEMENT 0.00 1PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT 0.00 1PLEASE INCLUDE D.R.REQUESTING DISBURSEMENT 0.00 PLEASEINCLUDE D.R. REQUESTINGDISBURSEMENT 0.00 PLEASEINCWOE D.R. REQUESTINO DISBURSEMENT(IF REQUIRED) $0.00 AMOUNT 27,118.10 Calculate from ACTUAL Treasurees.Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2021 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 2021 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 8,917.90 CR 1000-001-44190 SHERIFF'S FEES 1,418.93 CR 1000-001-44361 CR 1000-00144010 CR 1000-001-44061 CR 1000-001-44090 CR 1000-001-49110 CR 1000-001-44322 CR 1000-001-44145 CR 1000-999-20741 CR 1000-999-20744 CR 1000-999-20745 CR 1000-999-20746 CR 1000-999-20770 CR 2670-001-44061 CR 2720-001-44061 CR 2719-001-44061 CR 2699-001-44061 CR 2730-001-44061 CR 2669-001-44061 CR 7020-999-20740 CR 7070-999-20610 CR 7070-999-20740 CR 7072-999-20610 CR 7072-999-20740 CR 7860-999-20610 CR 7860-999-20740 CR 7860-999-20610 CR 7860-999-20740 CR 7950-999-20610 CR 7950-999-20740 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 49.50 CHILD SAFETY 0.00 TRAFFIC 129.94 ADMINISTRATIVE FEES 1,113.04 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 TOTAL ADMINISTRATIVE FEES 1,292.48 CONSTABLE FEES -SERVICE 225.00 JP FILING FEES 425.00 COPIES / CERTIFIED COPIES 0.00 OVERPAYMENTS (LESS THAN $10) 0.00 TIME PAYMENT REIMBURSEMENT FEE 259.07 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 DUE TO STATE -DRIVING EXAM FEE 0.00 DUE TO STATE-SEATBELT FINES 0.00 DUE TO STATE -CHILD SEATBELT FEE 0.00 DUE TO STATE -OVERWEIGHT FINES 0.00 DUE TO JP COLLECTIONS ATTORNEY 2,307.18 TOTAL FINES, ADMIN. FEES & DUE TO STATE $14,845.56 COURTHOUSE SECURITY FUND $396.08 JUSTICE COURT SECURITY FUND 1$17.03 JUSTICE COURT TECHNOLOGY FUND $347.74 JUVENILE CASE MANAGER FUND $29.72 LOCAL TRUANCY PREVENTION & DIVERSION FUND $352.03 COUNTY JURY FUND $7.04 STATE ARREST FEES DPS FEES 151.58 P&W FEES 4.82 TABC FEES 0.00 TOTAL STATE ARREST FEES 156.40 CCC-GENERAL FUND 66.12 CCC-STATE 595.06 DR 7070-999-10010 661.18 STATE CCC- GENERAL FUND 445.63 STATE CCC- STATE 4,010.66 DR 7072-999-10010 4,456.29 STF/SUBC-GENERAL FUND 3.04 STF/SUBC-STATE 57.70 DR 7860-999-10010 60.74 STF- EST 9/1/2019- GENERAL FUND 82.49 STF- EST 9/1/2019- STATE 1,979.71 DR 7860-999-10010 2,062.20 TP-GENERAL FUND 114.61 TP-STATE 114.61 DR 7950-999-10010 229.22 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2021 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 2021 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 4.20 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 79.80 DR 7480-999-10010 84.00 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 CR 7502-999-20740 7998-999-20740 7998-999-20701 7403-999-22889 WATER SAFETY FINES REVISED 01/29/20 14 CRIM-SUPP OF IND LEG SVCS-GEN FUND 3.31 CRIM-SUPP OF IND LEG SVCS-STATE 29.75 DR 7865-999-10010 33.06 TUFTA-GENERAL FUND 94.55 TUFTA-STATE 189.09 DR 7970-999-10010 283.64 JPAY- GENERAL FUND 10.92 JPAY - STATE 98.24 DR 7505-999-10010 109.16 JURY REIMB. FUND- GEN. FUND 6.41 JURY REIMB. FUND- STATE 57.71 DR 7857-999-10010 64.12 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.07 CIVIL JUSTICE DATA REPOS: STATE 0.61 DR 7856-999-10010 0.68 JUD/CRT PERSONNEL TRAINING FUND- STATE DR 7502-999-10010 TRUANCY PREVENT/DIV FUND - STATE 14.53 JUVENILE CASE MANAGER FUND 14.53 DR 7998-999-10010 29.06 ELECTRONIC FILING FEE - CV STATE 140.00 DR 7403-999-22889 140.00 TOTAL (Distrib Req to Oper Acct) $24.364.95 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO DA - RESTITUTION REFUND OF OVERPAYMENT; OUT -OF -COUNTY SERVICE FI CASH BONDS PARKS & WILDLIFE FINES 2,564.45 188.70 TOTAL DUE TO OTHERS $2,753.15 TOTAL COLLECTED -ALL FUNDS $27,118.10 LESS: TOTAL TREASUER'S RECEIPTS $27,118.10 OVER/(SHORT) $0.00 Page 2 of 2 i CALHOPN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 44320 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Address: Title: City: State: Zip: Phone: Hope Kurtz Justice of the Peace, Pct. 1 ACCOUNT NUMBER. DESCRIPTION -.. AMOUNT. 7541.999.20759.999 JP1 Monthly Collections - Distribution $24,364.95 APRIL 2021 V# 967 t Signature of Official Date TOTAL 24,364.95 ENTER COURT NAME;. ENTER MONTH OF REPORT ENTER YEAR OF REPORT CASHB( ADMINISTRATION FEE - BREATH ALCOHOL TESTING CONSOLIDATED: COURT COSTS. STATE CONSOLIDATED COURT COST LOCAL CONSOLIDATED COURT COST COURTHOUSE SECURITY CIVIL JUSTICE DATA. REPOSITORY FEE - CORRECTIONAL MANAGEMENT INSTITUTE CHILD SAFET CHILD SEATBELT.FEE - CRIME VICTIMS COMPENSATION DPSC/FAILURE TO APPEAR - OMNI - ADMINISTRATION FEE FTA/FTP (SIMS OMNI) ELECTRONIC FILINI FUGITIVE APPREHENSIOI GENERAL REVENUI CRIM - IND.LEGAL SVCS SUPPORI JUVENILE CRIME & DELINQUENCY JUVENILE CASE MANAGER FUND JUSTICE COURT PERSONNEL TRAINING - .JUSTICE COURT SECURITY. FUND - JUROR SERVICE FEE LOCAL ARREST FEES PARKS & WILDLIFE ARREST FEES - I STATE ARREST FEES SCHOOL CROSSINGICHILI) SAFETY FEE SUBTITLE C - LOCAL &STATE WARRANT FEE COLLECTION SERVICE FEE-MVE DEFENSIVE DRIVING COUF DEFERRED'] DRIVING EXAM FEE- COPIES/CERTIFED COPEEI INDIGENT FEE - CIFF➢l JUDGE PAY RAISE. FEE - SERVICE FEE - OUT -OF -COUNTY SERVICI EXPUNGEMENT FEE- EXPIRED RENEWAL- . ABSTRACT: OF JUDGEMENT ALL WRITS - WOP / DIOS FTA FINE - LOCAL FINES' LICENSE & WEIGHT FEES PARKS& WILDLIFE FINES SEATBELT/UNRESTRAINED CHILD. FINE - V- JUDICIAL & COURT PERSONNEL TRAINING FUND - `OVERPAYMENT ($10 & OVER)' `OVERPAYMENT (LESS THAN $10) RESTITUTION - PARKS & WILDLIFE -WATER SAFETY FINES TOTAL ACTUAL MONEY RECI TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANT STATE WARRANT DUE TO OTHERS: DUE TO CCISD - 50% of Fine on JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS. TOTAL DUE TO OT & CREDF 0.00 REVISED 03/04/16 10.00 0.00 1,130.72 4,636.80 1,016.11 114.35 0.00 - 1.50 0.50 0.00 0.00 000 15.00 468.99 132.53 40.00 5.00 0.00 55.65 0.50 99.53 2.00 0.00 111.35 335.81 0.00 0.00 0.00 0.00 5.00 114.77 0.00 192.82 2,746.68 0.00 115.35 22.35 158.84 177.89 245.20 53,9D:. 1,920.59 2,868.57 29.70 956.71 ODD 120.013 0.01) 0.00 - 24.00 167.02 150.00 0.00 0.00 0.00 _. 0.00 0.00 1,608 50 11,283.07 0.00 363.50 0.00 0.00 0.00 0.00 0.00 0.00 AMOUNT -1,920.59 - 905:90 IRECORD ON TOTAL PAGE OF HILL COUNRY SOFTWARE MO. REPORT $1,014.69. RECORD ON TOW PAGE OF HILL COUNTRY SOFTWARE MO REPORT AMOUNT :PUEASE�NCUUDE D.R.REQUESTINGDI8BUR8EMENTO.OD PLEASENLUDE D.R.REQUESTING 018BURBEMENT 0.00 PLEASE INCLUDE D.R.REOUESTINGDISBUR8EMENT O.OD. PUASEINCLUDE D.R. REQUESTING DISBURSEMENT. 0.00 PIFABEINCLUDE D.R.REQUEBnNGDISBURBEMENT(IFR UIREO) .00 AMOUNT $3 5601.50 Calculate from ACTUAL Treasurers Recelpts 31 501.50 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/3/2021 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: APRIL YEAR OF REPORT: 2021 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 12,946.90 CR 1000-001-44190 SHERIFF'S FEES 2,149.28 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 29.70 CHILD SAFETY 0.00 TRAFFIC 181.19 ADMINISTRATIVE FEES 1,099.24 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 1,310.13 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 CR 1000-001-44062 JP FILING FEES 120.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 245.20 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 2,868.57 TOTAL FINES, ADMIN. FEES & DUE TO STATE $19,790.08 CR 2670-001-44062 COURTHOUSE SECURITY FUND $441.40 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $28.59 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $405.67 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $99.53 CR 2730-001-44062 LOCAL TRUANCY PREVENTION & DIVERSION FUND $362.90 CR 2669-001-44062 COUNTY JURY FUND $7.26 STATE ARREST FEES DPS FEES 225.89 P&W FEES 1.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 226.89 CR 7070-999-20610 CCC-GENERAL FUND 115.37 CR 7070-999-20740 CCC-STATE 1,038.35 DR 7070-999-10010 1,153.72 CR 7072-999-20610 STATE CCC- GENERAL FUND 463.68 CR 7072-999-20740 STATE CCC- STATE 4,173.12 4,636.80 CR 7860-999-20610 STF/SUBC-GENERAL FUND 9.64 CR 7860-999-20740 STF/SUBC-STATE 183.18 DR 7860-999-10010 192.82 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 109.86 CR 7860-999-20740 STF- EST 9/1/2019- STATE 2,636.72 DR 7860-999-10010 2,746.58 CR 7950-999-20610 TP-GENERAL FUND 88.95 CR 7950-999-20740 TP-STATE 88.94 DR 7950-999-10010 177.89 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/3/2021 COURT NAME: JUSTICE OF PEACE NO.2 MONTH OF REPORT: APRIL YEAR OF REPORT: 2021 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80 DR 7480-999-10010 24.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 5.57 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 50.08 DR 7865-999-10010 55.65 CR 7970-999-20610 TUFTA-GENERAL FUND 156.33 CR 7970-999-20740 TUFTA-STATE 312.66 DR 7970-999-10010 468.99 CR 7505-999-20610 JPAY - GENERAL FUND 16.70 CR 7505-999-20740 JPAY-STATE 150.32 DR 7505-999-10010 167.02 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 11.14 CR 7857-999-20740 JURY REIMB. FUND- STATE 100.21 DR 7857-999-10010 111.35 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.15 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 1.35 DR 7856-999-10010 1.50 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 7998-999-20701 JUVENILE CASE MANAGER FUND 26.95 CR 7998-999-20740 TRUANCY PREWDIV FUND - STATE 26.95 DR 7998-999-10010 53.90 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 40.00 DR 7403-999-10010 40.00 TOTAL (Distrib Req to OperAcct) $31,192.53 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 308.97 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $308.97 TOTAL COLLECTED -ALL FUNDS $31,501.50 LESS: TOTAL TREASUER'S RECEIPTS $31,501.50 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 44319 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Address: Title: City: State: Zip: Phone: Calvin Anderle Justice of the Peace, Pct. 2 ACCOUNT NUMBER - - DESCRIPTION - - AMOUNT 7542-999-20759-999 JP2 Monthly Collections- Distribution $31,192.53 APRIL 2021 V# 967 i Signature of Official Date TOTAL 31,192.53 m ER COURT NAME: ER MONTH OF REPORT ER YEAR OF REPORT ADMINISTR CIVIL JUST DATA REPOS FEE - CJDR@ CORRECTIONAL MANAGEMENT INSTITUTE CRIM DPSC/F/ `.ELECTRONIC FILING: FEE FUGITIVE APPREHENSION - FA GENERAL .REVENUE -GR CRIM-AND LEGAL SVCS SUPPORT.- OF JUVENILE CRIME & DELINQUENCY =:JCD JUVENILE CASE MANAGER FUND JCMF JUSTICE COURT. PERSONNEL TRAINING JCPT JUROR SERVICE FEE - JSF LOCAL ARREST FEES - LAP LEMI LEDA LEOC OCL PARKS &:WILDLIFE ARREST FEES -. PWAF STATE ARREST FEES -BAP SCHOOL CROSSINGICHILD SAFETY FEE SCF SUBTITLE C - SUBIC STATE TRAFFIC FINES- EST 9.1.19-STF TABC ARREST FEES - TAP TECHNOLOGY FUND-TF r TRAFFIC - TFC LOCAL TRAFFIC FINE- 2020 TIME PAYMENT-TIME TIME PAYMENT REIMBURSEMENT FEE-2020 TRUANCY PREV/DIVERSION FUND LOCAL & STATE WARRANT FEES WRNT 'COLLECTION SERVICE FEE-MVBA.-CSRV . DEFENSIVE DRIVING. COURSE - DOC DEFERRED FEE DFF 'DRIVING EXAM FEE- PROV OIL FILING FEE:- FFEE 8, CVFF FILING FEE SMALL CLAIMS FFSC COPIES/CERTIFED COPIES - CC INDIGENT FEE CIFF or INOF `BUDGE PAY. RAISE FEE - JPAY SERVICE FEE - SFEE OUT -OF -COUNTY SERVICE FEE EXPUNGEMENTFEE-EXPG EXPIRED RENEWAL EXPR ABSTRACT OFrJUDGEMENT -AOJ ALL WRITS - WOP / WOE DPS FTA FINE-:DPSF LOCAL PINES-: FINE LICENSE & WEIGHT FEES - LWF 'BARKS & WILDLIFE FINES - PWF SEATBELT/UNRESTRAINEDCHILD FINE -BEAT :V-JUDICIAL & COURT PERSONNEL?RAINING-JCPT - OVERPAYMENT ($10.& OVER) - OVER OVERPAYMENT (LESS THAN $10) - OVER RESTITUTION - REST PARKS & WILDLIFE -WATER SAFETY FINES-WSF WCR TOTAL ACTUAL MONEY RECEIVED $ TYPE: TOTAL WARRANT FEES .ENTER LOCAL WARRANT FEES STATE WARRANT FEES DUE TO OTHERS: DUE TO. CCISD - 50%of Fine on JV cases DUE TO DA RESTITUTION FUND NT: REFUND OF OVERPAYMES OUT -OF -COUNTY SERVICE: FEE CASH BONDS TOTAL DUE TO OTHERS TREASURERS RECEIPTS FOR MONTH' nmuunr REVISED 01/30/20 I 415.09 2,466.75 554.74 41.51 0.71 129.87 40.00 40.00 20.76 25.00 20.00 41.49 137.18 1.29 111.56 153.60 1,522.27 41.51 15.36 91.33 184.43 54.37 16.76 416A5 1,415.70 71.00 1,036.00 100.00 24.00 62.27 290.00 4,450.80 1J;98T:80 AMOUNT 416.45 250.00 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO.REPORT $166.45- RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT AMOUNT 0.00 ILEASE INCLUDE D R REQUESTING DISBURSEMENT 0 00. PLEASE INCLUDE OR REQUESTING DISBURSEMENT 0.00 PLEASEINCLUDE D.R REQUESTING DISBURSEMENT 6.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT (IF REQUIRED) $0.00 AMOUNT 3,981.80 Calculate from ACTUAL Treasurers Receipts 3,981.80 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2021 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: APRIL YEAR OF REPORT: 2021 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45013 FINES 4,740.80 CR 1000-001-44190 SHERIFF'S FEES 610.62 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 71.00 CHILD SAFETY 0.00 TRAFFIC 106.69 ADMINISTRATIVE FEE 1,076.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 1,253.69 CR 1000-001-44010 CONSTABLE FEES -SERVICE 0.00 CR 1000-001-44063 JP FILING FEES 100.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 54.37 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,415.70 TOTAL FINES, ADMIN. FEES & DUE TO STATE $8,175.18 CR 2670-001-44063 COURTHOUSE SECURITY FUND $225.29 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $10.38 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $200.01 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $25.00 CR 2730-001-44063 LOCAL TRUANCY & PREVENTION DIVERSION FUN $198.12 CR 2669-001-44063 COUNTY JURY FUND $3.96 STATE ARREST FEES DPS FEES 55.60 P&W FEES 0.26 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 55.86 CR 7070-999-20610 CCC-GENERAL FUND 43.51 CR 7070-999-20740 CCC-STATE 391.58 DR 7070-999-10010 435.09 CR 7072-999-20610 STATE CCC-GENERAL FUND 245.67 CR 7072-999-20740 STATE CCC- STATE 2,211.08 2,456.75 CR 7860-999-20610 STF/SUBC-GENERAL FUND 7.68 CR 7860-999-20740 STF/SUBC-STATE 145.92 DR 7860-999-10010 153.60 CR 7860-999-20610 STF- EST 9/1/19- GENERAL FUND 60.89 CR 7860-999-20740 STF- EST 9/1/19- STATE 1,461.38 1,522.27 CR 7950-999-20610 TP-GENERAL FUND 92.22 CR 7950-999-20740 TP-STATE 92.21 DR 7950-999-10010 184.43 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80 DR 7480-999-10010 24.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2021 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: APRIL YEAR OF REPORT: 2021 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 2.08 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 18.68 DR 7865-999-10010 20.76 CR 7970-999-20610 TL/FTA-GENERAL FUND 43.29 CR 7970-999-20740 TL/FTA-STATE 86.58 DR 7970-999-10010 129.87 CR 7505-999-20610 JPAY-GENERALFUND 6.23 CR 7505-999-20740 JPAY - STATE 56.04 DR 7505-999-10010 62.27 CR 7857-999-20610 JURY REIMB. FUND-GEN. FUND 4.15 CR 7857-999-20740 JURY REIMB. FUND -STATE 37.34 150 DR 7857-999-10010 41.49 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.07 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.64 DR 7856-999-10010 0.71 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 7998-999-20701 JUVENILE CASE MANAGER FUND 8.38 CR 7998-999-20740 TRUANCY PREVENT/DIVERSION FUND -STATE 8.38 DR 7998-999-10010 16.76 CR 7403-999-22889 ELECTRONIC FILING FEE 40.00 DR 7403-999-10010 40.00 TOTAL (Distrib Req to OperAcct) $13,981.80 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY 0.00 DA - RESTITUTION 0.00 REFUND OF OVERP 0.00 OUT -OF -COUNTY SI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE 0.00 WATER SAFETY FIN 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $13,981.80 LESS: TOTAL TREASUER'S RECEIPTS $13,981.80 REVISED 01/30/20 OVER/(SHORT) $0.00 Page 2 of 2 05-06-21;15:25 ;From:Calhoun County Pot. 5 To:5534444 ;3619632461 # 1/ 9 "P-lusne'rAMAa... DATE: May 6, -2021 FAX COVER SHEET JUDGE NANCY POMYKAL P O BOX 454 PORT O' CONNOR, TX.77982 (361)983-2351 -TELEPHONE (361)983-2461 - FAX COUNTY OF CALHOUN JUSTICE COURT PCT. 5 PAGES _9 Including this cover TO: Count .Judge Richard Meyer and Commissioner's Court ATT: MaeBelle FAX NUMBER: 361-553-4600 PHONE NUMBER: 361-553-4444 SUBJECT: Report of Collections. Justice Court Pct. 5, April 2021 NOTE: MaeBelle. 1 am submitting the report of collections for this office for the month of April 2021. Please give me a call if you have any questions Thank you, Judge Nawc,y �orubleal THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S) named in this message. This communication is intended to be and to remain confidential and may be subject to applicable attorney/client and/or work product privileges. If you are not the intended recipient of this message, or if this message has been addressed to you in error, please immediately alert the sender by fax and then destroy this message and its attachments. Do not deliver, distribute or copy this message and/er any attachments and if you are not the intended recipient, do not disclose the contents or take any action in reliance upon the information contained in this communication or any attachments. 05-06-21;15:25 ;From:Calhoun County Pot. 5 To:5534444 ;3619832461 # 2/ 9 Money Die triDrtion Rogort CALHOUN COUNTY, PCT. 5 APRIL 2021 REPORT OF COLLEC Refit Cauaa/Derendaat Ceded\mo.to Total 377244 2020.0222 04-01-2022 CCC 39.74 LAP 3.21 WRNT 32.05 LCCC 6.97 OMNR 6.41 100.00 HARRINGTON, ANDREW TPRF 9.62 Credit card 377245..::. R020-02P.1 ... .. 04.01-2021 CCC 39.74 FWAF 3.21 WANT 38.05. LCCC 8,97 OMNR' .6,41. ID0.00 HARRINGTONy:'.ANDREW' '. .. .. TPRF 9.62 ... . .'. , .. .. Dredidhard::.:. '.I ., .. 377246 2020-0308 04.05-2021 FINE 35.00 15.00 FRANCIS. TRINA NICOLE Money .Great, ., ..... ...... .... 420'20-03:OS::.:.; .04:-05-2D21 PINE.. 100.00 , . .. .. 00 377248 2021-0146-DC 04-05-2021 IFEE 6.DG FILI 25.00 7PTP 5.00 Epp 10.0D 46.00 CITIBANK, N.A. Comgany,Chock,,,, 3772n5::.: ;20kT O147-DC 04-,OS-2021 IFE£ 6.00 FILT';,25:00"': JRTF 5.00 ,.EPP' 20.00 4G.00 MIDLAND': CREUIT MANAGEMENT, INC' ', " ck ..,. "COMpaiiy Che:. .. ..' 377250 1904-0184 04-05-2021 JSF 4.00 TPC 3.00 CCC 40.00 CHS 3.00 SAF S.00 15C.00 CASTRO, JAVIER IF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVP 0.10 Credit Card SUSC 30.00 TPDF 2.00 OMNR 10.DC TPRF 15.00 DFF 14.86 CERV 9.53 JCMP 0.61 3772,51; ,• 1411.0463 '. 04-0.6-2021 JSF 4.00 Tre 3.D0', CCC. 40.00: CHS . . 3.00. LAP 5.00 375.10 p MARTINI; JAREL). WAYNE TP, "'4',00 "DF6C'' 30.00 ;JCSF: . .1.00 OPAY 6':DO ','IDF . 2.00 CrOdiC,Cn2d '.:.."'. .':' '. :'. .'MVF 0.10 SUSC 30.00 'TPDF 2.00'' :FINE" 246.90" .CSRV. 377252 2021-0148•DC 04-06.2021 IFEE 6.00 FILL 25.00 JPTF 5.00 EFF 10.00 46.00 LVNV FUNDING, LLC COMP"y Cheek„ 317255 "':': 16.08.-0325: .,04.-06.2021 'rKARLB FINE' .92.00 CSRV : 51.00 ', " 14].00 SKA'LAK. LEIOH"' .. " credlx.'Card: 377254 1608-0325 04.06.2D21 CSRV 15.00 1S.00 SKALAK, KARIB LEIGH Credit Card 377255:., : 20'20-0336 .04.08-2021 CCC 62.00 'SAF 5.00 LCCC- 34'.00 LTFC "3.00 STF1' SO AO 144.00 'GARZA:�:.j%IB'EBTO' ELOY DDC 10..00 .: 'P6keO dl: Chd0k 7 .. .. .. .... . 377256 2020-0254 04-08.2021 CCC 62.00 LAP 5.00 TIME 15.00 LCCC 14.00 FINE 104.00 260.00 ELLIOTT, MATTHEW RAY CSRV 60.00 Cash 377257, ;;; 20,20-0253,. ..04-08-2021.FINE .. 95.00. ,CSRV' 20.60 12.3.60 377258 1703.6441 64.12-2021 JSF 1.02 TFC 0.75 CCC 10.03 CHS 0.75 LAP 5.00 195,D0 WILSON, JOSHUA WAYNE TIME 25.00 TP 1.00 JCSF 0125 JPAY 1.50 TOP 0.50 Credit Card MVF 0.03 SUBC 7.52 TPDF 0.50 OMNC 4.00 OMND 20.00 .. OMNO 6.00 FINE 66.15 CSRV 45.00 377$59.:i..:i17.03.-044,2,. ... ". 04-12.20217SF 2.52' ... CCC'.. .. ..25..10,.. ;'CH6, ',: 1.88 LAP:. 3.14 ,TIME „25.00 442.00 .r:WILSON; :SOSHUA.WAY1iE' .. TF 2.51' JCSF ':,0:63' JPAY , ,3.76'"IDF.".: 1.2.5 :MVP' ' 0.06 Cr.Odin' COatl',', T'EDF 1.25 GMNC 4,.00 ', OMNO 20.00', .ONNO '.'. 6.00 FINE 242.90 277290 1997-0329 04-14-2021 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 WRNT 50.00 286.00 EAREFIELD, JOE ALLEN TP 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 Credit Card PWF 90.00 CSRV 66.00 JCMF 5.00 j0,4-14-202L CCC 62.0.0 " LAP : ,6,00. LCCC' 14.00 FINE 50.00 : 140.00 . . DE' LOU' SANTOS',: MADISON'NICOLE 317242 1905-02.26 04.14.2021 JSF 4.00 TFC 3.0D CCC 40,00 CHS 3.00 LAP 5.00 403.00 DUPLANTIS, JEFFREY DALE WRNT 50.00 TF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 Credit Card MVP 0.10 SUSC 30.00 TPDF 2.00 OMNR 10.00 FINE 144,90 CSRV 93.06 JCMF• 5.00 377263" 12021•0150 04-15-2021, CCC ,62:00 LAP '' ;5.00 LCCC; 14.00 :..TTNE. 2fi4.00' .. 345.00 '. .Cash ... .. . 377264 2020-0224 04-19-2021 CCC 23.39 LAF 1.09 LCCC 5.29 OMNR 3.77 TPRF 5.66 40.00 CAMACHO, RONNIE Credit Card 377265 :; � : 202.0-0225".... 04�19.2021 CCC .25.29 . LAF " ' 1.09: ' LCCC' '' S:29! ' OMNR: ' 3.7T TPAP 5.6; : "' 40.00 '.'. CAMACHOi. RONNLE,. r.. ... ... .'.: . ... : '.flredir; Card. 377266 2D21.0155-DC 04-19-2021 IFEE 6.00 FILT 25.00 GFTF 5.00 EFP 10.99 46.DO 05.03.2021 Page 1 05-06-21;15;25 ;From:Calhoun County Pct, 5 To;5534444 ;3619832461 # 3/ 9 MOACY Diatributiom Report CALHOUN COUNTY, PCT. 5 APRIL 2021 REPORT OF COLLEC ReaeiYt CAUEe/Defendant Cadee\A==ta Total LVNV FUNDING, LLC Company Check 377267;'':;'),1912-0434 '.09•19-2021 JSP 4.00 CCC, .'40.00; .CHS' .3,:00.',.1" 5:00 IF.. .. '4.00 .200.00 lruwgr:JASMINE,.MaRIE '.; .. .. JCSF, 1.00 •4PAY„ „6;, 00 'IDF ";,' 2,'99. TPDF• ':2:00;' .OM,�IR. 30..,00 ...'' Credl:t"Card, FINE 70.00 CDRV Y:4i.00."JCMF, ;5.06. 377266 2021.0156-FLU 04-20-2021 EPEE 75.00 IFEE 6.00 FILT 25,00 JPTF 5.00 EFF 10.00 121,00 GIESSEL, MARILYN Moncy,Order 372.269..:::'.: 1905-0227; 04-22-2021'TSP 4.00 .CCC' ;; 40.00' 'CHS;"' 3'700,. 'LAP .. ', 5.00 IF: ."4700 234.00 r, SPENCEH;: KRISTIN GAIL: JCSF 1.60 'JPAY ,: 6.00' 'TDF: '2.00: TPDF' .2.60 OMNR' 16,.00 ;jCredi.t, Card. PTAT 98.00' CSRV/,' S4, 00; . JCMF:, ., 5.00 ,. , ,' 37727D 2021-0149 04-22-2021 CCC 62.00 LAY S,00 LCCC 14.00 FINE 06.00 LTFC 3.00 220.00 MENDEZ, MONICA LYNN STP1 50.00 Money Order 377271....." 2021-0151 44.26,-2021 CCC' 62.00 LAF 5.DD' :LCCC;,; 14,00 FINE 19.06 100.00 ..'DS6ftCK5.,KATI SHAY .. .. . 177272 2020-0367 04-26-2021 FINE 35.00 35.00 DIERCKS, JESSICA M CaOh 3?7270,'.:. 2020-U137.. •. ,04-27.2021"TFC 1.93 CCC 39.82 "SAF. : 3.21 LCCC 8.99 'OMNR 9.42. .' 70.00 :SXALAKR KARIS: LEIGH'.'... TPRF 9.63 ...: 377274 1603.0134 04-27-202L JSF 4.00 CCC 40,00 CHS 3.00 PWAF 5.00 WENT 50.D0 355.00 XITAMUL - HERNANDEZ, ALEJANDRO TF 4.00 OPEC 60.00 JCSF 1.DO JPAY 6.00 IDF 2.00 ... Cradit Card, TPDF 2.00 PWF 103.00 CSRV 75.00 3..77275..r 1:.. 'ISdi-0134A;. ";09-27-2021' JSF . 4.00' ' CCC : 40.00. 'CHS .: 3:00 ': PWAF . 5.00 :TP, .4. OD. '464.10 ;XITAMOL-.'HERNANDEZ, AL,EJANDRO: DPSC:' '30{00' JOE F,;„ 1.00 . ,JPAY '; '6;jw'.' IDC .2:.00: .'TPDF 2,00 Crcdlr.: Card. ..FINE 260..00 ... C5RV"' 107.10. 05.03.1021 Page 2 05-06-21;15:25 ;From:Calhoun County Pot. 5 To:5534444 ;3619832461 # 4/ 9 Money Diotribetien Report CALHOUN COMM, PCT. 5 APRIL 2021 REPORT OF COLLEC Typ •Lode DeeeriDeion Cause Retained Disbursed Money -Totals The following settle represent - Comh mad Cheeks Collected COST CCC CONSOLIDATED COURT COSTS $ 31.DO 279.00 310.00 COST CCC CONSOLIDATED COURT COSTS 0 O.DO 0.00 0.00 COST CRS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST OPEC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 D.00 D.00 COST JSF JUROR 69Rvl0E FUND 0 0.00 0.00 0.00 COST LAP SHERIPP'S FEE 4 20.00 0.00 20.00 COST LCCC LOCAL CONSOLIDATED COURT COST (EPP. 1.1. 5 70.00 0.00 70.00 COST MVF MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST OMNC DPS OMNI PEE - COUNTY 0 0.00 0.00 0.00 COST OMND DPS OMNI FEE, - DPS 0 0.00 0.0D 0.00 COST OMNO DPS 0=1 FEE - OMNIBASS 0 0.00 0.00 O.DO COST OMNR OMNI REIMBURSEMENT FEE (EPP, 2.1.20) 0 0.00 0.00 0.00 COST PWAF TEXAS PARRS & WILDLIFE 0 0.00 0.00 0.00 COST SAP DPS 1 4.00 1.00 5.00 COST SUBC SUE TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC LOCAL TRP. FINE- FORMERLY TRF. 9-1-19 0 0.90 0.00 0.00 COST T=ME TIME PAYMENT FEE 02-20 1 15.00 0.00 15.00 COST TPOP TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0.00 0.00 COST TPRF TIME PAYMENT REIMBURSEMENT FEE. 0 O.OD 0.00 0.00 COST WENT WARRANT PEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES PEE 2 88.60 0.00 88.50 FEES DDC DRIVER SAFETY COURSE - 2020 1 10.00 0.00 10.00 FEES DFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EFF ELECTRONIC FILING FEE 5 0.00 50.00 50.00 FEES PILI FILING FEE 5 125.00 0.00 125.00 FEES IFEE INDIGENT PEE 5 1.50 28.50 30.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.09 FEES JPTF JUDICIAL R COURT PERSONNEL TRNG FEE -CV 5 0.00 25.00 25.00 FEES SFEE SERVICE FEE 1 75.00 0.00 75.OD FINE PINE FINE 8 738.00 0.00 738.OD FINE LTFC LOCAL TRAFFIC FINE (EPP. 9. 1.19) 2 6.00 0.00 6.00 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 PINE STF1 STATE TRAFFIC FINE (EPF, 9.1.1D) 2 4.00 9G.00 100.00 Money Totals 14 1,188.00 479.50 1,667.50 The following totals represent - Transfers Collected COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CCC CONSOLIDATED COURT COSTS D 0.00 0.00 0.00 COST CiS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST DPSC ➢P5 FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST TIP INDIGENT DEFENSE FUND 0 0.00 0.90 9.90 COST JEEP JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSF JVROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP SHERIFF'S PER 0 0.00 0.00 0.00 COST LCCC LOCAL CONSOLIDATED COURT COST (EFF. 1.1. 0 0.00 0.00 0.00 COST MVF MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST OMNC DFS OMNI FEE COUNTY 0 0100 0100 9,00 COST OMND DPS OMNI FEE - DPS 0 0.00 0.00 0.00 COST OMNO DPS OMNI FEE - OMNIBASE 0 0.00 0.09 0.00 COST OMNR OMNI REIMBURSEMENT FEE (EPP. 2.1.20) 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAP DPS 0 0.00 0.00 0.00 COST SURC SUB TITLE C 0 0.00 0.00 0.00 COST IF TECHNOLOGY FUND 0 0.09 0.00 0.00 COST TFC LOCAL TRF. FINE- FORMERLY TRF. 9.1.19 0 0.00 0.00 0.00 LUST TIME TIME PAYMENT FEE 02.20 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION R DIVERSION FUND 0 0.00 0.00 0.00 COST TPRF TIME PAYMENT REIMBURSEMENT FEE 0 6.66 6.66 0.00 COST WENT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES DOC DRIVER SAFETY COURSE - 2020 0 0.00 0.00 0.00 09-03.2021 Page 3 05-06-21;15:25 ;From:Calhoun County Pct. 5 To:5534444 ;3619832481 # 5/ 9 Money Distribution Report CALHOUN COUNTY. PCT. 6 APRIL 2022 REPORT OP COLLeC TYPR Cade Description Count Retained Diahursed Money-Tatala FEES DPF DEFERRED FEE 0 0.60 0.00 0.00 FEES EFF ELECTRONIC PILING FEE 0 O.00 0.00 0.00 FEES FILL FILING FEE 0 0.00 0.00 0.00 FEES IFEE INDIGENT FEE D 0.00 0.99 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 PEES JPTF JUDICIAL & COURT PERSONNEL IRMO FEE -CV 0 0.00 0.00 0.00 FEES SFEE SERVICE FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE LTFC LOCAL TRAFFIC FINE (EFF. 9.1.19) D 0.00 0.00 0.00 FINE PWF PARKS & WILDLIFR FINE 0 0.00 0.00 0.00 FINE STP1 STATE TRAFFIC FINE (EFF. P. 1. 19) 0 9.90 0.00 0.00 Tranafer Totals The Yellowing tattle represent - Jail Uredit and Co mdaity Sex�icc COST CCC CONSOLIDATED COURT COSTS COST CCC CONSOLIDATED COURT COSTS COST CNS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST LCCC LOCAL CONSOLIDATED COURT COST (EPP. 1.1. COST MVP MOVTNO VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMNO DPS OMNI FEE - UPS COST OMNO DPS OMNI FEE - OMNIRASE COST OMNR OMNI REIMBURSEMENT FEE (EFF. 1.1.20) COST PWAF TEXAS PARKS 6 WILDLIFE COST SAP DPS COST SUBC SUE TITLE C COST TF TECHNOLOGY FUND COST TFC LOCAL TRF. FINE- FORMERLY TRF. 9.1.19 COST TIME TIME PAYMENT FEE 02. 20 COST TPDP TRUANCY PREVENTION & DIVERSION FUND COST TPRF TIME PAYMENT REIMBURSEMENT FEE COST WENT WARRANT FEE FEES CSRV COLLECTION SERVICES PEE FEES DOC DRIVER SAFETY COURSE - 2020 FEES DFF DEFERRED FEE FEES EFF ELECTRONIC FILING FEE FEES PILI FILING FEE FEES IFEE INDIGENT PER FEES JCMF JUVENILE CASE MANAGER PRE FEES JPTF JUDICIAL & COURT PERSONNEL TRNG FEE-Cv FEES $FEE SERVICE FEE FINE FINE FINE PINE LTFC LOCAL TRAFFIC PINE (EPP. 9, 1. 19) FINE PWF PARKS & WILDLIFE PINR FINE STFI STATE TRAFFIC FINE (EFF. 9.1.19) Credit Totals TAe LollowioS tvttle represent - CrediC Card FAymeDCd COST CCC CONSOLIDATED COURT COSTS COST CCC CONSOLIDATED COURT COSTS COST CNS COURTHOUSE SECURITY COST OPEC DPS FAILURE TO APPEAR /OMNI FEES COST IOP INDIGENT DEFENSE FUND COST OCSF JUSTICE COURT SECVRXTX FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAF SHERIFF'S FEE COST LCCC LOCAL CONSOLIDATED COURT COST (EFF. 1.1. COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMNO DPS OMNI PEE - OPS 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 a 0,00 0.00 0.00 a 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.Da 0.00 O.DD 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 a 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.D0 0.00 0 0.00 0.00 0.00 0 0.00 O.DO 0.00 0 0.00 O.DO 0.00 0 0.00 0.DO 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.66 0.00 6 22.81 205.27 228. Oa 10 35.51 319.92 355.13 10 26.63 0.00 26.43 3 39.60 80.40 120.00 10 1.77 15.98 17.75 10 8.88 0.00 8.88 10 5.33 47.93 53.26 10 3.55 31.99 35.54 10 40.13 0.00 40.13 6 51.51 0.00 51.S1 5 0.04 D.35 0.39 2 8.00 0.00 8.00 2 0.00 40.00 40.00 05.03.2021 Page 4 05-06-21;15:25 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 6/ 9 Money Distribution Report ' CALHOUN COUNTY, PCT. 5 APRIL 2021 REPORT OF COLLEC Type Code Description Count Retained Disburood MOaey-Totals COST OMNO DPS OMNI PER - OMNIBASE 2 0.00 12.OD 12.00 COST ONNR OMNI REIMBURSEMENT FEE (EFF. 1.1,20) 9 66.78 0.00 66.78 COST PWAF TEXAS PARRS & WILDLIFE 4 14.57 3.64 18.21 COST SAP DPS 2 9.57 1,64 6.21 COST SUBC SUE TITLE C 4 4.09 92.64 97.92 COST TF TECHNOLOGY FUND 10 3S.S1 0.00 35.51 COST TFC LOCAL TRF. FINE- FORMCRLY TRF. 9-1-19 5 11.68 0.00 11.68 COST TIME TIME PAYMENT FEE 02-W 2 90.00 0.00 50.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 10 0.00 17.75 17.75 COST TPRF TIME PAYMENT RE•IMBURSEMEN: FEE 6 55.19 0.00 55.19 COST WENT WARRANT FEE 5 214.10 0.00 214,10 FEES CSRV COLLECTION SERVICES FEE 12 763.73 0.00 753.73 FEES DOG DRIVER SAFETY COURSE - 2020 0 0.00 0.00 0.00 FEES OFF DEFERRED FEE 1 14.06 O.OD 24.86 FEES EPP ELECTRONIC PILING FEE 0 0.00 O.OD 0.00 FEES FILL FILING FEE 0 0.00 0.00 O.OD FEES IFEE INDIGENT FEE 0 0.00 0.00 O.OD FEES JCMF JUVENILE CASC MANAGER FEE 5 20.51 0109 20.51 FEES JPTF JUDICIAL & COURT PERSONNEL TRNG FEE -CV 0 0.00 0.00 0.00 FEES SFEE SERVICE FEE 0 0.09 0.00 0.00 FINE FINE FINE 9 11187.95 0.00 1,181.85 FINE LTFC LOCAL TRAFFIC FINE (EFF. 9.1.10 0 0.00 0.00 0.00 FINE PWP PARRS & WILDLIFE FINS 2 30.15 170.8S 201,DO FINE STP1 STATE TRAFFIC FINE (EPP. 9.1.19) 0 0.00 0.00 0.00 Credit Card Totals 1B 2,720.14 1,040.09 3,760.20 The following totals represent • Combined MOnoy COST CCC CONSOLIDATEO COURT COSTS 11 53.81 494.27 538.06 COST CCC CONSOLIDATED COURT COSTS 30 35.51 319.62 366.13 COST CKS COURTHOUSE SECURITY 10 26.63 0.00 26.63 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 3 39.90 80.40 120.00 COST IOF INDIGENT DEFENSE FUND 30 1.77 15.98 17.75 COST JCSF JUSTICE COURT SECURITY FUND 10 8.88 0.00 8.88 COST JPAY JUDGE PAX RAISE FEE 10 5.33 47.93 53.26 COST JSF JUROR SERVICE FUND 10 3.55 31.99 35.54 COST LAP SHERIFF'S FEE 14 60.11 9.00 60.13 COST LCCC LOCAL CONSOLIDATED COURT COST (SFP, 1.1. 11 121.51 0.00 121.51 COST MVP MOVING VIOLATION FEE S 0.04 0.39 0.39 COST OMNC DPS OMNI FEE COUNTY 2 8.00 0.00 6.00 COST OMND DPS OMNI FEE - ups 2 0.00 40.00 40.00 COST OMNO DPS OMNI FEE - OMNIBASE 2 0.00 12.DO 12.00 COST OVER OMNI REIMBURSEMENT FEE (EFF. 1.1.20) 9 66.78 0.00 66.7E COST PWAF TEXAS PARES & WILDLIFE 4 14.57 3.94 19.21 COST SAP DPS 3 10.57 2.64 12.21 COST SUBC SUB TITLE C 4 4.88 92.64 97.52 COST TF TECHNOLOGY FUND 10 35.51 0.00 35.51 COST TFC LOCAL TRY. FINE- FORMERLY TRP. 9.1-19 5 11.68 0.00 11.68 COST TIME TIME PAYMENT FEE 02-29 3 65.00 0.00 65.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 30 0,00 17,75 17.75 COST TPRF TIME PAYMENT REIMBURSEMENT FEE 6 55.19 0.00 55.19 COST WANT WARRANT FEE 5 214.10 0.00 214.10 FEES CSRV COLLECTION SERVICES FEE 14 852.23 0.00 852.23 FEES DDC DRIVER SAFETY COURSE - 2020 1 10.00 0.00 10.00 FEES OFF DEFERRED FEB 1 14.89 0.09 14.86 FEES EFF ELECTRONIC FILING FEE 5 0,00 50.00 50.00 FEES FILT FILING FEE 5 125.00 0.00 125.00 FEES IFEE INDIGENT PEE 5 1.50 28.50 30.00 FEES JCMF JUVENILE CASE MANAGER FEE 5 20.51 0.00 20.51 FEES JPTP 'JUDICIAL & COURT PERSONNEL TRNO FEE -CV 5 0.00 25.00 25.00 FEES SFEE SERVICE PER 1 75.00 0.00 73.00 FINE FINE F7NE 17 1,925.85 0.09 L,925.85 FINE LTFC LOCAL TRAFFIC FINE (EFF, 9. 1.19) 2 6.00 0.00 6.00 PINE PWP PARRS & WILDLIFE PINE 2 30.15 170.85 201.00 FINE STPI STATE TRAFFIC FINE (EPP. 9.1.19) 2 4.00 96.00 100.00 Money Totals 32 3,906.14 1,519.56 5,427.70 The following totelo reProveAt - Combined Money and Credits 05-03-2022 _-- Pegs 5 05-06-21;15:25 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 7/ 9 Money Dioeribution Report CALHOUN COUNTY. PCT. 5 APRTL 2021 REPORT OF COLLRC Type Cede Deeoription Count Retained Diebureed Mona -Totals COST CCC CONSOLIDATED COURT COSTS 11 COST CCC CONSOLIDATED COURT COSTS 10 53.81 484.27 538.08 COST CHS COURTHOUSE SECURITY 10 35.51 319.62 355.13 COST DPSC UPS FAILURE TO APPEAR /OMNI FEES 3 26.63 0.00 26.63 39.60 80.40 120.00 COST IDF INDIGENT DEFENSE FUND 10 1.77 15.98 COST JCSF JUSTICE COURT SECURITY FUND 10 17.75 COST JPAY JUDGE PAY RAISE• FEE 10 8.88 O.DO 0.88 COST JEF JUROR SERVICE FUND 5.33 07.D3 53.26 COST LAF SHERIFF'S FEE 10 3.55 31,99 35.54 COST LCCC LOCAL CONSOLIDATED COURT COST (EFF, 1.1. 14 11 60.13 0.00 60.13 COST MVP MOVING VIOLATION FEE 121.51 0.00 121.51 COST OMNC UPS OMNI PER - COUNTY B 0.04 0.35 0.39 COST OMND DPS OMNI FEE UPS 2 8.00 0.00 0.00 COST OMNO DPS OMNI FEE - OMNISASE 2 0.00 40.00 40.00 COST OMNR OMNI REIMBURSEMENT FEE (CIF. 1.1.201 2 0.00 12.00 12.00 COST PWAP TEXAS PARKS & WILDLIFE 9 66,78 0.00 66.78 COST SAF DPS 4 14.57 3.64 18.21 COST SOBC SUE TITLE C 3 10.57 2.64 13.21 COST TF T12CI•INOLOGY FUND 4 4.88 92.64 97,52 COST TPC LOCAL TRF. FINE- FORMERLY TRF, 9-1-19 10 5 35.51 0.00 35.51 COST TIME TIME PAYMENT FEE 02-20 3 Ll.6B 0.00 11.68 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 10 65.00 0.00 6S.00 COST TPRF TIME PAYMENT REIMBURSEMENT FEE 0.00 17,75 17.75 COST WANT WARRANT FEE 6 55.19 O.CO 55.19 FEES CSRV COLLECTION SERVICES FEE 5 214,1p 214.10 O.CO 255.19 214.10 FEES DOC DRIVER SAFETY COURSE - 2020 14 0.00 FEES DPP DEFERRED FEE 1 10,00 0.00 10.00 FEES EFF ELECTRONIC FILING FEE 1 14.86 0.00 14.86 FEES FILL FILING FEE 5 0.00 50.00 50.00 FEES IFEE INDIGENT FEE 5 125.60 0,pp 125.00 25.00 FRCS JCMF JUVENILE CASE MANAGER FEE 5 5 1.50 20.00 9.50 10.00 FEES JPTF JUDICIAL & COURT PERSONNEL TRNG FEE -CV 5 21.51 51 FEES SPEE SERVICE FEE 0.00 25.00 25,00 FINE FINE FINS 1 75.DD 0.00 75.00 FINE LTFC LOCAL TRAFFIC FINE (EFF. 9, 1, 19) 17 1,925.85 0.00 2,925.85 FIN& PWF PARKS & WILDLIFE FINE 2 9.00 0100 6.00 FINE STPI STATE TRAFFIC FINE (Err. p.1.19) 2 20.19 170.05 201.00 2 4.00 96.00 100.00 Report Totals 32 3,P05.14 11529.56 5,427.7D 05.03-2021 Page 05-06-21;15:25 ;From:Calhoun County Pot. 5 To:5534444 ;3619832461 # 8/ 9 Money Diatribation Report CALH00N COUNTY, PCT. 5 AP=L 2021 REPORT OF CeLLEC Date Paynout nma Finds court Costs FOOD Rondo fteetieution Other Total OO+OD•0000 Caeh A Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total Of all Collections 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1991 Cash & Chacke Collected Jail Credits & Comm Service Credit Cords & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.66 0.00 0.00 0.00 0.00 O.DD 0.00 0.00 0.00 O.OD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 1,329.85 1,329.85 0.00 0.00 1,142.2.5 1,141.25 0.00 0.00 799.10 799.10 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 3,270.20 3,270.20 01-01-2020 Cash & Chocks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections $44.00 0.00 59.00 903.00 42G.00 0.00 431.00 851.00 403.50 0.00 0.00 403.50 0.00 0.00 0.00 0.00 0.00 MO 0.00 0.00 0.00 0.00 0.00 O.OD 1,667.50 0.00 490.00 2,157.50 TOTALS Cash & Chocks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 844.00 0.00 1,388.85 2,232.95 420.00 O.OD 1,572.25 1,992.25 403.50 0.00 799.10 1,202.60 0.00 0.00 0.00 0.00 0.00 6.00 O.DO 0.00 0.00 6.60 0.00 0.00 11667.50 0.00 3,760.20 5,427.70 05-03.2022 - Page 05-06-21;15:25 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 9/ 9 Money Diatribuliom Report CALMOON COOMTr, PCT, S APRIL 2021 REPORT OF COLLIIC Description Count Collected Retained b! buroed State of Texas Quarterly Reporting Totals State Comptroller Cast and Foes Report Section I: Report for Offenses Committed 01-01-20 Forward 01.01.04 - 12.31.19 09-02-91 - 12-31-03 Bail Bond Foe DNA Testing Fee - Juvenile BMS Trauma Fund IBMS) Juvenile Probation Diversion Fees State Traffic Fire (Off. 09-01-19) State Traffic Fine (prior 09.01-19) Intoxicated Driver Fine Prior Mandatory Costa (JRP,IDFp0$) Moving Violation Fees DNA Testing Fee - Convictions DNA Tooting Fee - Comm Supvn Truancy Prevention and Diversion Fund Failure to Appear/Pay reee Time Payment Fees Judicial Fund - Comet County Court Judicial Fund - Statutory County Court Section II: As Applicable Peace Officer Fees Motor Carrier Weight violations Driving Record Foe Report Sub Total State Comptroller Civil Fees Report CF: Birth Certificate Fete CF: Marriage License Fees CF; Deoldrat40n Of Informal Marriage CF: Nondiscloaure Fens CF: Juror Donations CF; Justice Court Indig Filing Foes CF, Seat Prob Court Indig Piling Fees CF: Stat Prob Court Judic piling Fees Cr: Stet Cnty Court Indig Filing Fecs CF: Stat Cnty COurO Judie Filing FeeO CF: Cost Cnty Court Indig Filing Foes CF: Cast Cnty Court .ludic Filing Fees Cr: Dist Court Divorce & Family Law CB: Diet Court Other Divorce/8'amily Law CF: Dist Court Indig Legal Services CF: Judicial Support Fee CP, Judicial & 00Prt Pura. Training Fee Report Sub Total 11 538.0s 53.81 484.27 14 e52.65 40.39 412,26 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 2 100.00 4.00 96.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 30 1Dd.S5 1D.65 95.90 5 0.39 0.04 0.35 0 0.00 0.00 O,oO 0 0.00 0.00 0.00 0 0.00 0.90 0.00 5 160.00 39.60 120.40 3 65.00 65.OD 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 7 31.42 25.14 d.28 0 0.00 0,00 0.00 0 0.00 0.00 0.00 77 1,454.OD 238.63 1,215.46 0 0.00 0.00 6,00 0 0.00 O.OD O.Oo 0 0.00 0.00 0.00 0 0100 0.00 0.00 D 0.00 O.OD 0.00 S 39.90 1.50 29.50 0 0.00 0.00 0.00 0 0.00 O.DO 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0100 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 O.OD 0.00 0.00 0 0.00 0.00 0.00 5 30.00 1.50 26.50 Total Due For This Period 82 THE STATE OF TEXAS Before me, the undersigned authority, this day County Of Calhoun County personally appeerdd Nancy Fomykal, Justloe Of the Peace, Precinct No 5, Calhoun County, Taxes, who being duly sworn, deposes and say$ that the above ,am,4 foregoing report is true an�d7 correct. Witness my hand thl , ' dgy of ///�J�J I _ x/O J�// 7 1,484.oP 240.13 1,243.96 SHERIFF'S OFFICE MONTHLY REPORT Apr-21 BAIL BOND FEE $ 900.00 CIVIL FEE $ 662.00 JP#1 $ 4,232.97 JP#2 $ 1,489.00 JP#3 $ - JP#4 $ - JP#5 $ 868.80 PL MUN. $ - COUNTY COURT $ - SEADRIFT MUN. $ 320.00 PC MUN. $ - OTHER $ - PROPERTY SALES $ 13,000.00 DISTRICT $ - CASH BOND $ - TOTAL: $ 21,472.77 #19 N m d a 0 0 0 c z 0 0 c X 0 D r N N N b b 0 v r O IOIo �0 �o sZ D z m T z O z i m :z > O )G) ;z I ML1 lu m z z A O e 0 n m m m C v # 20 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---May 12 2021 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES PAYROLL AND ELECTRONIC RANK PAYMENTS $ 941,141;66 TOTAL TRANSFERS; BETWEENFUNDS $ 179,711.99' TOTAL NURSING HOME UPL EXPENSES $ 876,161% TOTALINTER-GOV,ERNMENTTRANSFERS- $ 6,226:61 GRAND TOTAL DISBURSEMENTS.APPROVED May, 12,2021 ` $ 2,002,232.36 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---May 12 2021 PAYABLES AND PAYROLL 5/6/2021 Weekly Payables 501.590.35 5/62021 Patient Refunds 3.231.45 6/10/2021 Biofire Diagnostics LLC-supplies 14,251.04 6110/2021 Byrd Portable Buildings -removal and relocation of storage building 935.00 5110/2021 McKesson-340B Prescription Expense 5.255.43 5/10/2021 Amerisource Bergen-340B Prescription Expense 943.13 5/1012021 Payroll Liabilities -Payroll Taxes 98,916.18 5110/2021 Payroll 313,931,28 5110/2021 Payroll Liabilities for supplemental payroll -Payroll Taxes 248.28 5/10/2021 Supplemental Payroll 945.63 Prosperity Electronic Bank Payments 6/35/5121 Credit Caryl & Lease Fees 715.46 5/3-517/21 Pay Plus -Patient Claims Processing Fee 157,43 5/5/2021 Authnet Gateway 81111nord Party Payor Fee 21.00 TOTAL PAYABLES,,PAYROLLAND ELECTRONIC BANK PAYMENTS, $ 941,141.66: TRANSFER BETWEEN FUNDS -NURSING HOMES 5/6/2021 MMC Operating to Ashford- NH portion of QIPP payment deposit into MMC Operating 46,265.28 516/2021 MMC Operating to Solera-NH portion of QIPP payment deposited Into MMC Operating 18,114.14 5I6/2021 MMC Operating to Fortbend-NH portion of QIPP payment deposited into MMC Operating 18,698.16 516/2021 MMC Operating to Broadmoor-NH portion of QIPP payment deposited into MMC Operating 10,163.40 5/6/2021 MMC Operating to The Crescent -NH portion of QIPP payment deposited Into MMC Operating 15,323,13 5/6/2021 MMC Operating to Golden Creek Healthcare -NH portion of QIPP payment deposited into MMC Operating 31,350.30 5/6/2021 MMC Operating to Gulf Pointe Plaza -NH portion of QIPP payment deposited into MMC Operating 12,993.11 5/62021 MMC Operating to Tuscany Village -NH portion of QIPP payment deposited into MMC Operating 17,804.47 TOTAL.TRAN6FER&:BETWECWFUNDS, $ 1.j8,711:99 NURSING HOME UPL EXPENSES 5/10/2021 Nursing Home UPL-Cantex Transfer 224,760.90 5110/2021 Nursing Home UPL-Nexion Transfer 84,622.81 5/ 1012021 Nursing Home UPL-HMG Transfer 81,219.74 5110/2021 Nursing Home UPL-Tuscany Transfer 77.100.78 5/10/2021 Nursing Home UPL-HSL Transfer 244,561.90 QIPPIINTERESTIRECOUP CHECKS TO MMC 5/10/2021 Ashford $4,128.55 5/10/2021 Broadmoor 22,419.42 5/10/2021 Crescent 17,971.41 5/10/2021 Fort Bend 21,884.63 5/10/2021 Solera 21,219.54 5/10/2021 Tuscany 26,273A1 'TOTAL NURSING;HQME UPL EXPENSES' $ 896453.69'- INTER-GOVERNMENT TRANSFERS 5/612021 IGT DY6 UC 6.225.61 TOTAL INTER -GOVERNMENT TRANSFERS $ 5 225:61' GRAI>Ib TbTAt DISBURSEMENTS APPROVE13"Ma':1r2, 1021 $ 2,002,'23� 35' 5/6y2021 trap_cw5teport7226155218627345813.html ,l ,1I,, 05/06/2021 - MEMORIAL MEDICAL CENTER 12:36 AP Open Invoice List j;�tl��' Ij 0 Due Dates Through: 05/26/2021 ap_open_Invoics.template VeQgpf# R�200'�'� _ Vendor Name / Class ""` - tit?ri;^1' ADT COMMERCIAL ✓ Pay Code t Invoiceit Ccl�rc1ment Tran Ot Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 138528618.A4/30/2D21 04/07/ = 05/02/2021 49.18 0.00 0.00 49.18 FIRE MONITORING Vendor Totals: Number Name Gross Discount No -Pay Net R1200 ADTCOMMERCIAL 49.18 0.00 0.00 49.18 Vendor# Vendor Name Class Pay Code A16B0 AIRGAS USA, LLC - CENTRAL DIV M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 9111866933W8/2021 Gross Discount No -Pay Net 04/07/2021 05/07/2021 233.70 0.00 0.00 233.70 ✓� OXYGEN 9112015478 jo4%28/2021 05/12/2021 05/12/2021 142.84 0.00 0.00 142.84 OXYGEN Vendor Totals: Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC - .976.54 0.00 0.00 376.54 Vendor# Vendor Name Class Pay Code A1360 AMERISOURCESERGEN DRUG CC W ✓/ Invoice# Cc ent Tian Dt Inv Dt Due Dt Check Dl Pay Gross Discount No -Pay Net 802839296 rf14(30/2021 03/31/2021 041061P021 19.55 0.00 0.00 19.55✓ INVENTORY 30529780979160/2021 04/15/2021 04/21/2021 2,342.72 0.00 0.00 2,342.72 f INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net A1360 AMERISOURCEBEF 2,362,27 0.00 0.00 2,362.27 Vendor# Vendor Name Class Pay Code A2271 ARTHREX, INC yy Invoice# Cam�ant Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 911834354 � /30/2021 04/12/2021 05/12/2021 53.00 0.00 0.00 53.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A2271 ARTHRFX. INC 53.00 0.00 0.00 53.00 Vendor# Vendor Name Class Pay Code A0400 AUREUS RADIOLOGY LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay 2196016 Gross Discount No -Pay Net r-'04/30/2021 04/19/2021 05/19/2021 2,755.38 0100 0.00 2,755.38 tABSTAFFING �✓'� ,,/�' 2196297 ✓ (4/30/2021 04/19/2021 05/19/2021 2,680,00 0.00 0.00 2,680.00 ✓"'r LAB STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLO( 5,435.38 0.00 0.00 5,435.38 Vendor# Vendor Name Olass Pay Code 13516 AVANTE HEALTH SOULTIONS ✓'/ Invaice# Com em Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net AR0051115 /30/2021 03/18/2021 04/18/2021 20.00 0.00 0.00 20.00 SUPPLIES AR0057715w64/30/2021 04/08/2021 05/08/2021 719.50 0.00 0.00 719.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13516 AVANTE HEALTH S, �� 739,50 0.00 0.00 739.50 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M Invoice# C mment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 5439292 04/30/2021 04/13/2021 05/08/2021 5,016.58 0.00 0.00 5.016.58 MAINT CONTRACT LEASE 109020548 u 4/30/2021 04/19/2021 05/14/2021 1,062.14 0.00 0.00 1,062.14 ✓� - SUPPLIES file:///C:/Users/mmokissack/cpsltmemmed.cpsinet.com/u88l5U/data_5/tmp_pw5repart7226155218627345813.html V10 5/16/2021 n // tmp_cw5report7226155218627345813,html 109020476 ' 4/30/2021 04/10/2021 05/14/2021 784.65 0.00 0.00 784.65 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTE 1,% 6,863.37 0.00 0.00 6,863.37 Vendor# Vendor Name Class Pay Code 11072 BIO-RAD LABORATORIES, ING Invoice# Comment Tram Dt Inv Dt Due Dt 904716132 AO12021 0313OY2021 04/30/2021 Check Dt Pay Gross Discount No -Pay Nei 4.948.79 0.00 0,00 4.948.79 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11072 BIO-RAD LABORA71 4.948.79 0.00 0.00 4,948.79 Vendor# Vendor Name Class Pay Code 10599 SKD, LLP Invoice# Con nt Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net BKO1374593 /30/2021 04/18/2021 05/13/2021 -1 7.800.00 0.00 0.00 7,800.Oo ell- o13$y to S 2018DSH/DY 7 UC MEDICAID. CHIR _042921 04/3012021 04/20/2021 05/24/2021 36,400.00 0.00 0.00 36,400,00 2020 AUDIT Vendor Totals: Number Name Gross Discount No -Pay Net 10599 BKO, LLP 44,200.00 0.00 0.00 44,200.00 Vendor# 12324 Vendor Name / Class Pay Code BLUE CROSS BLUE SHIELD ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 041621A 04/30/2021 04/16/2021 06/01/2021 207,583.81 0.00 0.00 207,583,61 INSURANCE 041621 04/30/2021 04/16/2021 05/01/2021 2,072.25 0.00 0.00 2,072.25 COBRA ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE 209,656.06 0.00 0,00 209,656.06 Vendor# Vendor Name Class Pay Code 12740 BUILDING KID STEPS ,% Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 0430218 04/30/2021 04/30/2021 04/30/2021 100.00 0.00 O.OD 100.00 SPEECH THERAPY 043021A 04/30/2021 04/30/2021 04/30/2021 1,228.00 0.00 0.00 1,226.00�%-- SPEECH THERAPY 043021 04/30/2021 04/30/2021 04/30/2021 11126.00 0.00 0.00 1,126.00 SPEECH THERAPY Vendor Totals: Number Name Gross Discount No -Pay Net 12740 BUILDING KID STET 2,452.00 0.00 0.00 2,452,00 Vendor# Vendor Name Class Pay Code 11224 CABLES AND SENSORS ✓/ Invoice# T mmenl ran. Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay 110842 04/30/2021 04/22/2021 05/22/2021 388.00 0.00 0.00 / SUPPLIES 110843 r/ 04/30/2021 11/08/2043 05/22/2021 290.00 0,00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay 11224 CABLES AND SENS 678.00 0.00 0.00 Vendor# Vendor Name Class Pay Code C1048 CALHOUN COUNTY �% w Invoice# C t T Net 388.00 1'/ 0.00 290,00 ommen ran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay 043021 04/30/2021 04/30/2021 05/19/2021 86.74 0.00 0.00 FUEL Vendor Totals: Number Name Gross Discount No -Pay 01048 CALHOUN COUNTY 86.74 0.00 0.00 Vendor# Vendor Name Pay Code /Class C1325 CARDINAL HEALTH ✓ 414, INC. W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 8001681800 q*'30/2021 06/16/2018 07111/2018 120.09 0.00 0.00 SUPPLIES Neal//C:/Users/mmukissack/cpsi/memmed.cpsinet.comtu88150/data_5/lmp_cw5report7226155218627345813.11tml Net 678,00 Net 86.74 Net 80.74 Net 120.09 ✓. 2110 516l2021 tmp_cw5report7226155218627345813.html e Vendor Totals: Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 120.09 0.00 0.00 120.09 Vendor# Vendor Name 9aas Pay Code 13028 CAVALLO ENERGY TEXAS LLC ,/ Invoice# Comment Tran Dt Inv Dt Due. Dt Check Dt Pay Gross Discount No -Pay Net 2109000147104/3012021 03/18/2021 05/03/2021 2,252.48 0.00 0.00 2,252.48 1d 5501 ENERGY BILL 167636 2111000149'04/30/2021 04/19/2021 05/21/2021 461A3 0.00 0.00 461.13 Ii3 ENERGY BILL ACCT 167647 2111000149'04/30/2021 04/19/2021 05/21/2021 1,196.17 0100 0.00 / 1,196,17 r/ I I1-1 VENERGY BILL ACCT 167636 2111000149'04/3012021 04/19/2021 05/21/2021 15.15 0.00 0.00 15.15 ✓ -1, $3j .-,ENERGY BILL ACCT 167653 Vendor Totals: Number Name Gross Discount No -Pay Net 13028 CAVALLO ENERGY 3,924,93 0.00 0.00 3,924.93 Vendor# Vendor Name Class Pay Code 12768 CHEMAQUA t% Invoice# Co ment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 7327575 04/30/2021 04/10/2021 04/20/2021 500.00 0.00 0.00 500.00 WATER TREATMENT Vendor Totals: Number Name Gross Discount No -Pay Net 12768 CHEMAQUA 500.00 0.00 0.00 500.00 Vendor# Vendor Name Class Pay Code C1730 CITY OF PORT LAVACA ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 041421 04/30/2021 04/14/2021 06/05/2021 64.13 0100 0.00 64.13 WATER ACCT 12.1260.02 041421A (14130/2021 04/141P021 05105/20PI 5,510.60 0.00 0.00 5,510.60 WATER ACCT 12132000 Vendor Totals: Number Name Gross Discount No -Pay Net C1730 CITY OF PORT LAV. 5,574.73 0.00 0.00 5,574.73 Vendor# Vendor Name Class Pay Code 13000 CLEARFLY Invoice# Co�ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INV348647 v05/05/2021 05/01/2021 05/15/2021 1,117.97 0.00 0.00 1,117.97 1% PHONES Vendor Totals: Number Name Gross Discount No -Pay Net 13000 CLEARFLY 1,117.97 0.00 0.00 1,117.97 Vendor# Vendor Name Class Pay Code 11291 DOWELL PEST CONTROL y/ Invoice# /Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 20730 f 04/30/2021 04/30/2021 05/25/2021 105.00 0.00 0.00 / 105.00 ✓' PEST CONTROL / 20728 ✓ 04/30/2021 04/30/2021 05/25/2021 505,00 0.00 0.00 605.00yf PEST CONTROL 20731 04/30/2021 04/30/2021 05/25/2021 160.00 0.00 0.00 160.00 /, ✓ PESTCONTROL 20729 % 04/30/2021 04/30/2021 05/25/2021 ✓ 260.00 0.00 0.00 260.00 ✓'l PEST CONTROL Vendor Totals: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST COP 1,030.00 0100 0.00 1,030.00 Vendor# Vendor Name Class Pay Code 12468 DURFOLD CORPORATION ✓ / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net IN7963 �64/30/2021 04/19/2021 05/19/2021 27.274.00 0.00 0,00 27,274.00� SLEEPER RECLINERS Itr(jq 40j gOVuh A+L6i It% (0(5lq. L4 Vendor Totals: Number Name Gross Discount No -Pay Net 12488 OURFOLD CORPOF 27,274.00 0.00 0.00 27,274.00 Vendor# Vendor Name CI Pay Cade 11284 EMERGENCY STAFFING SOLUTIO Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:ll/C:lUsers/mmckissacWcpsifinemmed.cpsinet,com/u8815D/data_5ltmp_cw5report7226155218627345813.html 3110 5/612021 imp_cw5report7226155218627345813.html 40191 f 04/30/2021 04/30/9021 04/30/2021 PRO FEES JA_may„) 40,062,50 0.00 0.00 40,062.50 ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAF 40,062.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class F1400 FISHER Pay Code HEALTHCARE V1 M Invoice# gomment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 7874256 04/30/2021 03/23/2021 04/17/2021 1,128.56 0.00 0.00 1,128.56� SUPPLIES 9404167 ✓04/30/2021 04/07/2021 05/02/2021 236.51 0.00 0.00 236.51 y� SUPPLIES 0334700,/04/30/2021 04/12/2021 05/07/2021 135.00 0.00 0.00 135,00 // SUPPLIES 0644659 ✓04/30/2021 04/13/2021 05/08/2021 76.79 0.00 0.00 76.79E SUPPLIES 0644657 ,-'04/30/2021 04/13/2021 05/08/2021 SUPPLIES 786.00 0.00 0.00 785.O0 //. 0884681 �04130/2021 04/15/P021 05/10/2021 160.98 0.00 0,00 160.98 ✓'/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCA 2,522.84 0.00 0.00 2.522.84 Vendor# Vendor Name Class Pay Code 11184 FLDR DESIGNS LLC f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 15380 r/ 04/30/2021 03/31/2021 04/30/2021 888.65 0.00 0.00 / SUPPLIES 888.65 Vendor Totals: Number Name Gross Discount No -Pay Net 11184 FLDR DESIGNS LLC 888.65 0.00 0.00 888.65 Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoice# Comment Tran Dt InvDIDue Dt Check Dt Pay Grass Discount No -Pay Net 041921 04/30/2021 04/19/2021 05/13/2021 66.40 0.00 PHONES 21018814800912115 0.00 65A0 042321 04/30/2021 04/23/2021 05/17/202, 14.49 0.00 PHONES 36155202540525185 0.00 14.49 f v Vendor Totals: Number Name Gross Discount No -Pay Net Vendor# 11183 FRONTIER 79,89 0.00 0.00 79.89 Vendor Name Class Pay Code 12636 FUSION CLOUD SERVICES, LLC Invcice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 28144513 04/30/2021 04/16/2021 05/16/2021 1,022.27 0,00 0.00 1,022.27 PHONES �i Vendor Totals: Number Name Gross Discount N6-Pay Net Ventlor# 12636 FUSION CLOUD SE 1,022,27 0.00 0.00 1,022.27 Vendor Name Class Pay Code W1300 GRAINGER ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9861446392,94/30/2021 04/07/2021 05l02/2021 139,40 0.00 0.00 139.40 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net W1300 GRAINGER 139.40 0100 0.00 139.40 Ventlor# Vendor Name Class Pay Code 12716 HITACHI HEALTHCARE ./ Invoice# Comment Tran Dt Inv Dt Due IN Check Dt Pay Gross Discount No -Pay Net PJIN017111504/3012021 04/15/2021 05/25/2021 7,906.33 0.00 0.00 7.908.33 SMA FEE Vendor Totals: Number Name Gross Discount No -Pay Net 12716 HITACHI HEALTHC/ 7,908.33 0.00 0.00 Vendor# Vendor Name Class 7,908,33 12868 .; HOLT CAT ✓ Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 81e:///CJUsers/mmckissack/cpsi/memmed.cpsinet.com/ua8150/date 5ftmp_cw5report7226155218627345813.htm1 4110 5/6/2021 tmp_cw5report7226155218627345813.html WIEZ002708�4/30/2021 04/12/2021 05/12/2021 1,888.00 0,00 0.00 1,888.00 PREVENITIVE MAINTENANCE ✓ WIEZ00270M/30/2021 04/12/2021 05/12/9021 1,438.00 0.00 0.00 1,438.00. PREVENITIVE MAINTANCE Vendor Totals: Number Name Gross Discount No -Pay Net 12868 HOLT CAT 3,326.00 0.00 0.00 3,326,00 Vendor# Vendor Name Pay Code 13900 iClass IRONSIDE HUMAN RESOURCS V- Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1978 f 04/27/2021 04/26/2021 05/26/2021 3,500.00 0.00 0.00 3,500.00 ANNUAL SUBSCRIPTION SEARCH ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 13900 IRONSIDE HUMAN 1 3,500.00 0.00 0.00 3,500.00 Vendor# Vendor Name Class Pay Code 12628 LEGATO Invoice# /Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not C1854 04/30/2021 03/31/2021 04/30/2021 995.22 0,00 0.00 995.22 CANCER SCREENING BOARDS Vendor Totals: Number Name Gross Discount No -Pay Net 12628 LEGATO 995,22 0,00 0.00 995.22 Vendor# Vendor Name Class/ . Pay Code 12588 MEDICAL TECHNOLOGY ASSOCIA ✓ Invoice# Co mant Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net INVI79086 v04I3012021 12/08/2020 01/02/2021 977.50 0.00 0.00 077,60 SEMI ANNUAL PREVENTATIVE MA Vendor Totals: Number Name Gross Discount No -Pay Net 12588 MEDICAL TECHNOL 977.50 0.00 0.01) 977,50 Ventlor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, II A/P / ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 050321 04/30/2021 05/03/2021 05/03/2021 36,55 0.00 0.00 30,55 INDIGENT Vendor Totals: Number Name Gross Discount No -Pay Net 10613 MEDIMPACT HEALI 36.65 0.00 0.00 36.55 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 Net 042621 04/30/2021 04/26/2021 04/26/2021 90.00 0100 0.00 90.00 PAYROLLDED Vendor Totals: Number Name Gross Discount No -Pay Net 10963 MEMORIALMEOICI 90.00 0.00 0.00 90,00 Vendor# Vendor Name Class Pay Code 10536 / MORRIS & DICKSON CO, LLC / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6830t 00 04/30/2021 04/25/2021 05/05/2021 508.35 0.00 0.00 508.35„ / / INVENTORY 6830099✓ 04130/2021 W2512021 05/05/2021 2,602.23 0.00 0.00 2,602.23 INVENTORY 6030101 y 04/30/2021 04/26/2021 05/05/2021 10.62 0100 0.00 10.62 ✓ INVENTORY / 6830098✓ 04/30/2021 04/25/2021 05/05/2021 22.44 0.00 0.00 22.44V'' INVENTORY 6830096 /0413012021 04/25/2021 05/05/2021 4.16 0100 0.00 4.46 INVENTORY 6830097V' 04/30/2021 04/25/2021 05/05/2021 468,37 0.00 0100 468.37 / INVENTORY 6833571 �f 04/30/2021 04/26/2021 05/00/2021 27,98 0.00 0.00 27.98 f INVENTORY 6835260 r%04/30/2021 04/26/2021 05/06/2021 611.75 0.00 0.00 611.75 INVENTORY SC7486 --� 04/3012021 04/26/2021 0510612021 32.24 0,00 0.00 32.24 .i file:N/C:lUsers/mmckissack/cpsi/memmed.cpsinat.com/u88l50/data_5/tmp_cw5report7226155218627345813,html 5110 5/6/2021 tmp_cw$report7226155218627345813.html r SERVICE CHARGE 6835267 /0413012021 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164.84 0.00 0.00 164,84 / INVENTORY 6841620 J 04/30/2021 04/28/2021 05/08/2021 35,28 0.00 0.00 35.28 ✓�- INVENTORY 6844151 1/04/30/2021 04/28/2021 05/08/2021 28,33 0.00 0.00 28.33✓/ INVENTORY / 8191 V 04/30/2021 04/28/2021 05/08/9021 -10.00 0.00 0.00 -10.00 CREDIT 6844152,/ 04/30l2021 04/28/2021 05/08/2021 303.73 0,00 0.00 303,73 INVENTORY /04130/2021 6844153 04/28/2021 05/08/2021 8,07 OM 0.00 8.07 ✓�� / INVENTORY 6846127 /' v� 04/30/2021 04/29/2021 05/09/2021 36,67 0.00 0.00 36.67✓ INVENTORY 6646126 ✓04/3012021 04/29/2021 05/09/2021 896.62 0.00 0.00 896,62 ..� INVENTORY 6848577 �%41,30/2021 04/29i2021 05/09/2021 235.05 0.00 0.00 235.05 INVENTORY CM49270/04/3012021 04/29/2021 05/09/2021 -10.62 0.00 0,00 CREDIT 6848578 , 04/30/2021 04/29/2021 05/09/2021 148.13 0.00 0.00 / 148.13 ✓ INVENTORY 6846125 ,//04/30/2021 04/29/2021 05/09/2021 3,32 0.00 0.00 3.32 ✓ / INVENTORY 6854580 f 05/04/2021 05/02/2021 (15/12/2021 2,161.54 0.00 0.00 2,151.54✓ / INVENTORY 6854581✓ 05/04/2021 05/02/2021 05/12/2021 140.52 0.00 0.00 140.52,/ INVENTORY / 6864579 ,f 05/04/2021 05/02/2021 05/12/2021 253.39 0.00 0.00 253.39 V% ' INVENTORY 05/04/2021 6858492 ✓ 05/03/2021 05/13/2021 362.63 0.00 0.00 362.63 ✓ INVENTORY / 6855865 ,/ 05/04/2021 05/03/2021 05/13/2021 60.34 0.00 0.00 60.34 f INVENTORY 6855863 V10510412021 05/03/2021 05/13/2021 2.370.95 0.00 0.00 2,370.95 INVENTORY flle:MC:/Users/mmckissacklcpsi/memmed.cpslnet.com/u88150/data_5/tmp_cw5report7226155218627345813.html 6110 e 5/6/2021 Imp_cw5report7226155218627345813.html 6858494 /05/04/2021 05/03/2021 05/13/2021 2,139.56 0.00 0,00 2,139.56 INVENTORY 6858493 -1/05/04/2021 05/03/2021 05/13/2021 660.30 0.00 0100 660.30 INVENTORY 685586 05/04/2021 05/03/2021 05/13/2021 2,370.95 0.00 0100 2,370.95✓� INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSOI 24,769.41 0.00 0.00 24,769.41 Vendor# Vendor Name % Class Pay Cade 10152 PARTSSOURCE, LLC „r'� Invoice# C mment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 03805241 V 04/30/2021 04/08/2021 05/08/2021 364.28 0.00 0:00 364.28 . .% SUPPLIES V Vendor Totals: Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LL 364.28 0.00 0.00 364.28 Vendor# Vendor Name Class Pay Code 12544 PATRICK OCHOA Invoice# Comment Tran Dt Inv Dt Due Dt Check 01 Pay Gross Discount No -Pay Net 050121 05/05/2021 05/01/2021 05/01/2021 200.00 0.00 0,00 200.00 REHAB LAWN 050121A 05/06/2021 0S/01/2021 05/01/2021 520.00 0.00 0.00 520.00,,,- HOSPITAL LAWN 050121E 05/05/2021 05/01/2021 05/01/2021 380.00 0.00 0.00 380.00 CLINIC LAWN Vendor Totals: Number Name Gross Discount No -Pay Net 12544 PATRICKOCHOA / 1,100.00 0.00 0.00 1,100.00 Vendor# Vendor Name ✓ Class Pay Code P2200 POWER HARDWARE • W Invoice# JQommenl Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 861905 ✓ 04/30/2021 04/28/2021 05/08/2021 1.29 0.00 0.00 1.29 r% SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net P2200 POWER HARDWAR 1.29 0.00 0.00 1.29 Vendor# Vendor Name Class/ Pay Code P1725 PREMIER SLEEP DISORDERS CEP M r Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 104 05/04/2021 05/03/2021 05/18/2021 4.550.00 0A0 0.00 41550,00�� SLEEP STUDY Vendor Totals: Number Name Gross Discount No -Pay Net P1725 PREMIER SLEEP DI 4,550.00 0,00 0.00 4,550.00 Vendor# Vendor Name Class Pay Code 12480 PRO ENERGY PARTNERS LP w," Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 21030600 ,r 04/30/2021 03/31/2021 04/28/2021 3,752.11 0100 0.00 3,752,11 ✓ GAS Vendor Totals: Number Name Gross Discount No -Pay Net 12480 PRO ENERGY PAR- 3,752.11 0.00 0.00 3,752.11 Vendor# Vendor Name Class Pay Code 11080 RADSOURCE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net SC62090 04/30/2021 04/12/2021 05/07/2021 1,667.00 0.00 0.00 1,667.00'lJ MAINT CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 11080 RADSOURCE 1.667.00 0.00 0.00 1,667.00 Vendor# Vendor Name Class Pay Code 13460 RELIANT, DEPT 0954 1/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 119008077800, /30/2021 04/30/2021 05/21/2021 35,010.99 0.00 0.00 35,010.99 �� ENERGY BILL Vendor Totals: Number Name Gross Discount No -Pay Net 13460 RELIANT, DEPT 095 35,010.99 0.00 0.00 35,010.99 file:///C:iUsers/mmckissack/cpsilmemmed.cpsinet.com/u68150/date 5/tmp_cwSreport7226165218627345813.himl 7110 5/6/24 tmp cw5report7226165218627345813.html Vendor# Vendor Name / Class Pay Code 10645 REVISTA de VICTORIA ✓ Invoice# Co%�ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 03202118 , ,64/30/2021 04/15/2021 04/15/2021 V" 262.50 0.00 0.00 262.50 AD 04202119 g4/3012021 04/23/2021 04/23/2021 262,50 0.00 0.00 202.50 AD Vendor Totals: Number Name Gross Discount No -Pay Net 10645 REVISTA de VICTOI 525.00 0.00 0100 525.00 Vendor# Vendor Name Class Pay Code S0900 SAM'S CLUB DIRECT �% W Invoice# Comment Tran Ot Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net 003503 04/30/2021 03/23/2021 05/08/2021 121.94 0.00 0.00 121.94 SUPPLIES 006862 04/3D/2021 03/28/2021 05/0812021 189.85 0.00 0.00 189.85 SUPPLIES 005573 04/30/2021 04/03/2021 05/08/2021 56.48 0.00 0.00 66.48,/ SUPPLIES 005650 04/30/2021 041D3/2021 05/08/2021 23.94 0.00 0,00 23.94 v� SUPPLIES 005781 04/30/2021 04/06/2021 05/08/2021 89.64 0.00 O.OQ 89.64y/' SUPPLIES 007012 04/30/2021 04/11/2021 05/08/2021 42.77 0.00 0.00 42.77 SUPPLIES 007013 04/30/2021 04/11/2021 05/08/2021 79.98 0.00 0.00 79.98 SUPPLIES 007441 04/30/2021 D4113/2021 05/08/2021 75.26 - 0.00 0.00 75.28 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 50900 SAM'S CLUB DIREC 689.86 0.00 0.00 689.86 Vendor# Vendor Name Class Pay Code 13172 SERACARE LIFE SCIENCES, INC Invoice# Comment Tran Dt Inv Dt Due Dt. ✓ Check Dt Pay Gross Discount No -Pay Net 90142009 �4/30/2021 04/07/2021 OW07/2021 1,239.47 0.00 0.00 1,239,A7 ✓ � SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13172 SERACARE LIFE SC 1,239.47 0.00 0.00 1,239,47 Vendor# Vendor Name Class Pay Code 10886 SHANNONJACILDO ✓r� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 050321 05/04/2021 05/03/2021 05/03/2021 185.00 0.00 0.00 185,00 ar'r REIMBURES DUES PAID OUTOF P Vendor Totals: Number Name Gross Discount No -Pay Net 10886 SHANNON JACILDC ,/ 185.00 0,00 0.00 185.00 Vendor# Vendor Name Class Pay Code C1010 SPARKLIGHT w Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 042021 04/30/2021 04/20/2021 05/04/2021 116.40 0.00 0.00 % 115.40 CABLE 128686882 ✓ Vendor Totals: Number Name/ Gross Discount No -Pay Net C1010 SPARKLIGHT / 115,40 0.00 0.00 115,40 Vendor# Vendor Name Class Pay Code T2539 T-SYSTEM, INC W Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 42538 / 01/31/2021 01/31/2021 01/31/2021 10,694.00 0.00 0.00 / 10,694.00 / TRACKING/HOSTING/STAT/ SUBS v✓✓/ Vendor Totals: Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 10,694 00 0.00 0.00 10,694.00 Vendor# Vendor Name OleS6 Pay Code T2204 TEXAS MUTUAL INSURANCE CO �y Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 81e:MC:/Users/mmckissack/cpsi/memmed,cpsinet.cam/u88150/data_5/tmp_cw5report7226155218627345813.html 8110 r 5/6/2021 imp cw5report7226155218627345813.html 1002657723 04/30/2021 04/14/2021 05/06/2021 4,337.00 0.00 0.00 4,337.00 WORKERS COMP ✓ Vendor Totals: Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL IN: 4,337.00 0.00 0.00 4,337.00 Vendor# Vendor Name Class Pay Code 11100 THE US CONSULTING GROUP y/ Invoice# Co�ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 340382070 v04/30/2021 04/07/2021 05/02/2021 248.47 0.00 0.00 248.47 TRASH SERVICE � 340382068 v0413012021 04/07/2021 05102/2021 1.406.20 0.00 0.00 1,406,29 r% TRASH SERVICE // 340362069v04/3012021 04/07/2021 05/02/2021 321.62 0.00 0100 321.62 TRASH SERVICE Vendor Totals: Number Name Gross Discount No -Pay Net 11100 THE US CONSULTIt 1,976.38 0.00 0.00 1,976.38 Vendor# Vendor Name / Class Pay Cade 13632 THRIVEFUEL LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1095745010004/3012021 04/30/2021 05/10/2021 �, 2,650.00 0.00 0.00 2,650.00 SOCIAL AD Vendor Totals: Number Name Gross Discount No -Pay Net 13632 THRIVEFUEL LLC 2,650,00 0.00 0.00 2.650.00 Ventlor# Vendor Name Class Pay Code 11246 TROEMNER, LLC Invoice# C mment Tran Dt Inv Dt Due Dt 1730/2021 Check Dt Pay Gross Discount No -Pay Net 01014422 09/02/2020 10/02/2020 75.00 0.00 0.00 75.00,,�/ PIPETTE CALIBRATION Vendor Totals; Number Name Gross Discount No -Pay Not 11246 TROEMNER, LLC 75.00 0.00 0.00 75.00 Vendor# Vendor Name Class Pay Code U1054 ,J UNIFIRST HOLDINGS ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 8400358111 ,v4/30/2021 03/O1/2012 03/26/2012 160.47 0.00 0.00 160,47 LAUNDRY 8400362047,01(/30/2021. 04/22/2021 05/17/2021 192.03 0.00 0.00 192.03f' LAUNDRY 8400362099 /30/2021 04/22/2021 05/17/2021 129.34 0.00 0.00 129.34 LAUNDRY � 8400362079.04/30/2021 / 04/22/2021 05/17/2021 1,383.92 0.00 0.00 1,383.92 LAUNDRY 8400362044.94/30/2021 04/22/2021 05/17/2021 121,55 0.00 0.00 121.55 LAUNDRY 8400362042 991'3012021 04/22/2021 05/17/2021 23.63 0.00 0.00 23.63 LAUNDRY 8400362046 4„r 0/3/0/2021 04/22/2021 05/17/2021 160.47 0.00 0.00 160// f L LAUNDRY ��,,,,..'� 8400362045y4/3012021 04/22/2021 05/17/2021 214.39 0.00 0.00 214.39,. LAUNDRY &100362066 4/30/2021 04/22/2021 05/17/2021 79.43 0.00 0.00 79.43,/ LAUNDRY 8400362337,P /4 304/26/2021 05/21/2021 75.88 0.00 0.00 //0/2021 75.88 LAUNDRY 8400362360 04f3012021 04/26/2021 05/21/2021 2,042A5 0.00 0,00 2,042.05,.% LAUNDRY 8400362336 ,P4/'30/2021 04/26/2021 05/21/2021 45.15 0.00 0.00 45AS / LAUNDRY 8400362714.04/30/2021 04/29/2021 05/24/2021 23.63 0.00 0.00 23.63,j'' LAUNDRY 8400362716 0f1/30/2021 04/29/2021 05/24/2021 121.55 0.00 0.00 121.66�. LAUNDRY 8400362718_D4/30/2021 04/29/2021 05/24/2021 166.56 0.00 0.00 166.56,/` fileai/C:/Users/mmckissack/cpsilmemmed.cpsinetcom/u88150/data 5/tmp_cw5report72 26155218627345813.html 9110 5/6/2021 tmp_cw5report7226155218627345813, html Vendor# 12400 Vendor# H 110 Vendor# 10556 LAUNDRY 840036277gP9630/2021 04/29/2021 05/24/2021 134.15 0.00 0.00 134.15 LAUNDRY ✓ 8400362752,�fi/30/2021 04/29/2021 05/24/2021 11589.36 0.00 0,00 1,589.36 LAUNDRY 8400362739 04 D/2021 04/29/2021 05/24/2o21 79.43 0.00 0.00 79.43 ✓ LAUNDRY 8400362717,�J/*2021 04/29/2021 05/24/2021 164.01 0.00 0.00 164.01 // LAUNDRY 8400362719 y O/2021 04/29/2021 05/24/2021 222.03 0.00 0.00 222.03✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net U7054 UNIFIRST HOLDINC 7,12�9/03 -1132.-11 0.00 0.00 7,129 113) Vendor Name Class Pay Cade UPDOX LLC Invoice# Comment Tran Dt lm8& Due Dt Check Dt Pay INV0024892014/30/2021 W30/2021 04/30/2021 FAXING Vendor Totals: Number Name Grass 12400 UPDOX LLC 800.00 Vendor Name Class WERFEN USA LLC v" Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 9110966686 /30/2021 04/06/2021 05/01/2021 //. SUPPLIES 9110971003 QYII0/2021 04/15/2021 05/10/2021 LEASE Vendor Totals: Number Name Gross 11110 WERFEN USA LLC 2,013.75 Vendor Name Class WOUND CARE SPECIALISTS Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay WCS000044;04/30/2021 04/01/2021 04/30/2021 150 WOUND CARE Vendor Totals: Number Name Gross 10556 WOUND CARE SPE 18,960.00 >.l,, ni:.n; Grand Totals: Gross Discount 501,586.67 0.00 Gross Discount No -Pay Net 800,00 0.00 0,00 800.00.�' Discount No -Pay Net 0.00 0.00 800.00 Pay Code Gross Discount No -Pay Net 442.08 0.00 0,00 442.08 1,571.67 0,00 0.00 1,571.67 Discount No -Pay Net 0,00 0.00 2,013.75 Pay Code Gross Discount No -Pay Net 18.950.00 0.00 0.00 18,950.o0 Discount No -Pay Net 0.00 0.00 18,950.00 No -Pay Net 0.00 501,586.67 P9 $5gll�to•3S Ne://tC:/Usersimmokissacklopslimemmed.opsinet.com/u88150/data_5/tmp_ cw5report7226155218627345613.htmi 10/10 e � ik J RUM 0t1'�6,j a'05/061(jl ''.1 _ ! :'. MEMORIAL MBDICA1 CENTER TIME: EDIT LIST FOR PATIENT REFUNDS ARID-0001 A09:51 0lb 2021 PP.TIE�Mi PAY PAT 4BER �AYEPF NAM s r. u•p�+•- �;;;,i1 sLia---ae OAT- AMOUNT CODE DESCRIPTION - 050521 55.69 ✓ -TYPE--- 2 REFUND FOR 050521 1045.39 ✓ 2 REFUND FOR 050521 204.53✓ 2 REFUND FOk 050521 53.55 ✓ 2 REFUND FOR 050521 2E.1E✓ 2 REFUND FOR — "......._ -. 050521 125.92 ✓ 2 REFUND FOR �✓ 050521 37. 59✓' 2 REFUND FOR ✓ 050521 13.66 ✓ 2 REFUND PC 050521 327.04 f 3 REFUND FOR ✓� 05OS21 10,00 ✓ 2 REFUND FOR 050521 128.31 f 2 REFUND FOR 050521 1066.31e/ 2 REFUND FO) 05OS21 313D ,/ 2 REFUND FO', 8 050521 74.46 ✓ 2 REFUND FOR e/ __________________---- 050521 29.22 „/ 2 REFUND FOR ARID=0001 TOTAL --'--................ '----------------------------------------------------------------- 3231.45 _--.-.-------- TOTAL 3231.45 mAY I 2io29 PAGE 1 APCDEDIT GL 1RR4 6I101202j -,!))�tt"\yIIf� �+pp tmp cw5report6660684860850845471.html 05/10/2�02�I�F ° �UZt MEMORIAL MEDICAL CENTER 0 12: AP Open Invoice List C-:.g9° -�r. �'!�t!rxrv.1ur#itut• Dates Through: 05/1012021 ap_open_involce.template Vendor# Vendor Name Class Pay Code 12600 SIOFIRE DIAGNOSTICS LLD ✓ Invoice# Com ent Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1280107057 4/30/2021 03/10/2021 05/10/2021 9,473.10 0.00 0.00 9,473.10 / � SUPPLIES 1280110552X4/30/2021 03/23/2021 05/10/2021 4,777.94 0.00 0.00 4,777.94 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 12600 BIOFIRE DIAGNOSI 14,251.04 0.00 0.00 14.251.04 ip'-'rt Skjmf"ary Grand Totals: Gross Discount No -Pay Net 14,251.04 0.00 0.00 14251.04 f1tl MAY 10 2V1 �".��r %�s�f file:///C:/Users/mmckissock/cpsilmemmed.cpsinet.com/u88150a/data_5/tmp_cw5reperi8660684860850845471.html 1M 5/10/2021 tmp_cw5report5768389967232677698.html osno'izo�,i I MEMORIAL MEDICAL CENTER 10:37 AP Open Invoice List ^, �.., 1 pprn 1�'.it y Dates Through:OSl1012021 Vendor# Vendor Name Class 13908,.,. , V•, I „V I'Lf" br3l' BYRD PORTABLE BUILDINGS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 943675 06/10/2021 05/03/2021 05/03/2021 MOVE STORAGE BUILDING Vendor Totals: Number Name Gross 13908 BYRD PORTABLE B 935.00 Rnpurt Su rrim aro Grand Totals: Gross Discount 935,00 0.00 20, 0 ap_open_Invoice.tem plate Pay Code Gross Discount No -Pay Net 935.00 0.00 0.00 935.00 Discount 0.00 No -Pay 0.00 No -Pay Net 0.00 935.00 Net 935.00 Ble:l/1C:/Users/mmcklssack/cpsilmemmed.cpsinat.comlu88150a/data 5/lmp_cw5report5768389987232677696.html 111 cl Z §\/ W /\) � !R« LU })\ < ®®| \§!2 C i! ;§ E zz �:! ) L;. ``i m! _ §§j§§ � ! ! k ) ( } k � � ! f } § � {® (k / )\ \/ � <� ( k' � I � �!� 3) ` )� ! _ ! « k ) k§ k k .2 k k } \ & . ! ��- � WUJ §\/ � /E) f2k � §�k 2E ;§ E z{ \k(j hd 92-02 2 ! ƒ � ! # ! § § } !§ 2 !§ §| §e !§ |k ) E k /\ J a LL rn Q � rn to C ' N O g d a ar N O N C) Q p O O N o N ^ O a a rn N m m r O N o Z y d � O C C L e V x b N I I Y C d a N n pHp_yy ~ W Y N 0 C=.7 a W 8> O ~®� K 3 LE W LL J d 4 N N (_ a m d z m N N h n a N a g O n m d O N II J n < a O Q L y U a>> C a in_ozg c N o N o W (B he,I = R 1!5 e VI � o o u a E d L � d Q :L N N ry O N � O f •L 5 a a, v 0 o Q O O h O O N N O C � E � 0 ti 1e `< ram- 15i a 9 o I- �Ea • �® /)|)°»!; 7; i ±\E §§ .!2§ o Dff ;§;!2!«e! 2, ! ! ` 2� ` ; ! k/ ) �/ IL w ® )| / �E \ ( \ \ ! , { § � \ 2 / k k CS ' k It § §_ (r §E Z ®// a2| ! ! e Lu � W _()/ f§\ F- §k§ )ice ]§!§ |;cn ) , , /( §�# , w\ §)! §\ 3�92 $ LA 0 @ tA {§ 2z |; �#k §|2) 2) 2 ; IT k ) ! ! § 3 ! !§ J | / O ai a N O 0 H N ❑ m o N � ❑ a m O m P N m N `r 0 p Z E m (l H ❑ L r ❑ U � Z U Q o W Q Q oc 8�'E WLU e z- L 1 X U g 7 ❑ E N Q �Qi U Q l/1 l a U ° J r UF � Fx- Q J ? 0 (A QoZg y u uj 0 v F uCi EE"EmSm 6 U N M a Y N m y M M M m O a r❑p N < Of N y �� m m m m N m m P ❑ N °i °1 O µ N M m •Z m E m m m n N O ma m a P M m m Y1 N n M M m m Z m m m m m m m m m m m m a LL M O m O W N N O m m N M N N m p m N N E � Q 6 LL N m M O N N a o a E O O O N O m m N m p p q m C O m O O m N M O P m p N M U yi 0 o u cvi a 2 u ii u u v v v cvi '-o 'o cvi 'S 'o 'a u u 3 3 3 3 V n N N m m! 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W O N lV c] .- O V 10 O i 0 O k % Q a •, ` i w M < °h 2Ox IL U m V n a `o u am am • s 0 n' h Cj N C6 as W • lN7 O N p O N O R 2 W1Nm0 N r 1N0 O C N M U W n o l�o l�0 uO1i o m uri �m(1 o $ w m pU)I-- E W Q Q 2 z ci Of W N' i0 N oo CO OJ O N imm0 Nt. m t� W b N l.�j n W Q WNm a ¢ a °¢ °Q ¢ ¢ a a a d co 5 CL O U d' O ❑ W Z❑ W > h Ca W H MMX Ua~ ocry ON Q Q O ?? < WN(ry wIr ¢Q Q .- ua cn ❑ jai paaa = a � o a a Mfn ~ r2 4 ZO o w J O m O i O Q o m a w Z ❑ F a m (9 i v w Z o F ¢ o w Z F K �j Q ry O Z 5 a a m F m a Z O W Z O ¢ m m F- 8 Z "� 7 U' ¢¢ (J a ¢ a W > C Q m ti C7 N O a ¢¢ D u a 'a ; E Z H m F m s LL ffi y E S o a m m 0 3 w U 0 z (! )S /! /) k\ to 7 CO , \� TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1.800-572-8683) E7"ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" F7"ENTER YOUR 4-DIGIT PIN" E7"MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" F-TIF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGITTAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT- FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" 7 11 6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ### F 0 1k I1 $ 98,916.18 1 $ 51,940.38 $ 12,147.42 $ 34,828.38 CHECK- I�C CALLED IN BY: CALLED IN DATE: CALLED IN TIME: EViP-Payroll File$lPayroll Taxe8120214#10 Ri MMC TAX DEPOSIT WORKSHEET 05.06.21.x15 511012021 Run ➢ate; 05/97/21 MEMORIAL MEDICAL CENTER Page 116 Time: 14:33 Payroll Register I B1-weekly I P2REG Pay Period 04/23/21 - 05/06/21 Run- 1 Final Summary x--Pay Code Summary I PayCd Description 1 2 1 2 2 2 3 3 C D D E E F Z I N P P X Y E t v REGULAR PAY-S1 REGULAR PAY-S1 REGULAR PAY-81 REGULAR PAY-52 REGULAR PAY-82 REGULAR PAY-S2 REGULAR PAY-S3 REGULAR PAY-S3 CALL PAY DOUBLE TIME DOUBLE TIME DOUBLE TIME EXTRA WAGES EX":RA WAGES FUNERAL LEAVE INSERVICE INSERVICE EXTENDED -ILLNESS -BANK PAID -TIME -OFF PAID -TIME -OFF CALL PAY 2 YMCA/CURVES CALL PAY 3 PHONE & DATA COVID-FFCRA Hrs IOTISHIWEIHDICBI -------_---..--., 40129.00 N 1761.25 N 419.55 Y 2469,50 N 591, 25 N 258.25 Y 1507. 75 N 141. DO Y 2481.00 N 1 18.25 N 1 33.25 N 2 40.50 N 3 N N N N N N m N N N N N 1 N II N 98,00 H 1 N N 19.50 N 1 N II 1.75 Y 1 N N 281.5D N I N N 7.50 M . If N 719,40 N 1 N It 160.00 N 1 N N N N N N 96,00. N 2 N N N N N N 42.00 N 1 N N -------------"-- D e d u c t i o n s Gross I Code Amount --------------------- ----------------- 205509.53 A/R 565.00 A/R2 77617.71 ADVANC AWARDS 11447.10 CAPE H CAFE-1 57062.01 CAFE-3 CAFE-4 1563.24 CAFE-C CAFE-D U816.78 CAFE-H 2O983.07 CAPE -I 40084.65 CAFE-P CANCER 5806,64 CLINIC 160.00 COMBIN 4962,00 DO ADV DENIAL 1201.38 DIS-LF EAT 2044.50 FEDTAX 34829,38 FICA-M 2579.31 FIRSTC FLEE S 452.50 FORT D FUTA 2326.25 GRANT GRP-It4 1261.68 ROSP-I ID TFT 398.64 LEGAL 312,67 14ASA 74.63 METT_VI8 890.59 RISC 5032,79 I•DICSHR NATFNL 97.00 PHI PHIttt 27175.80 RELAY REPAY 336.00 SCRUBS SIGNON 60.00 STONDF 790.06 STO18 208,00 STUOEN S@IACC 1010.00 SUNIND 550,58 SUI4LIF 1634.01 SUNVLS SURCHG TSA-2 TSA-C TSA-R 31447,55 TUTION (WHOS t-------•-•---------- Grand Totals: 21249.20------- I Gross: 449632.26 Checks County FT 200 PT 12 Other 47 Female 228 Male 29 Credit :---------------------- ------------ -----'---------- S u m m a r y------------- 50,00 A(R3 BOOTS CAPE-2 CAPE-5 1725,27 CAFE-F CAPE-L CHILD 443,09 434.57 CAHDON DEP-LF HATCSH 6073.71 PICA-0 25970.19 3762.98 FLX FE GIFT S 271.92 GTL LEAF 801.50 MRALS 216.96 P1ISC/ 1773.00 OTHER PR FIN SAMS ST-TX STONE2 766.80 SUNILL 672.26 746,00 SVNSTD 1166.36 475,00 TSA-1 TSA-P 27.31 UNIFOR-285.01 Deductions: 135700.98 Net: 313331.28 I OverAmt 6 ZeroNet Term Total: 251 ------------ ------------------......---._. P&I laic : 05-11-1-I u"W"Zi s:cu:s.t Lim YAUP Z/uu5 Fax Server TOLL FEE PHONE NUMBER: 1-800-5553453 (EFTPS TUTORIAL SYSTEM: 1.800-572.8683) ❑"ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" ❑"ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" "IF FEDERAL TAX DEPOSIT ENTER 1" ❑"ENTER 2-DIGITTAX FILING YEAR" ❑"ENTER 2-DIGITTAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) -Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT- FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" ❑ %-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: 11 I L�J S 248 2& 1 $ 147.08 $ 34.40 $ 66.80 CHECK $ CALLED IN BY: GALLED IN DATE: CALLED IN TIME: FlAP•Paymll F-deslPaymlt Taxes120ZIM0 fit MMC TAX DEPOSIT WORKSHEET 05.00.21 As 0A012021 .aA _V_ D/aawI>a:J1a a« wm* Pa erver in mll.V< 9 e. n e ez 2 m= � . .. . .......... , _zP;cum �__ . , e ��a.��_, e=e.... .. — ......./ _� 36.P :_: a* __; mz » n ;, �s :eO'loar Mal? ,w: _m _. a '_: u &46&:#•&* U t1 .V �l � 4 . \ • \ -1 ^qi � . � _. — Jl v� .V >.S7 . i _ �J J `ul H4' n?�{v NmmO1 nrvorv,d Lq N �¢ML,H N N G � Q G a a a a N N C C C C a a a a o x x x a LL LL LL LL LL d N N N N a a a a a y m m m m m x x O C N C C C W J J J J \% Y C Z y uNi vt vNi vA y EC v v G C C C E Z N C LL y U LL LL W W O U y y y y y y y V m 9 o 0 0 0 0 `o o `o `0 10 0m m `o a o d` d '6 g C d m m a` d m -O 9 m > " N H O C N t0 m N T` T 10 IC tC T y ` 'C V U V t�J u 'C r u u u C yb N y N o P N Y V 10 m N_ Y d a as aVGl vv tiT d w mUUUJU md- mm'd vmdU-oa w Uav =)C9 M°-Md MmM m W r F W S. 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Z V U U U U Z a 6 Z O o O�� Z Z, m z z z z z 3~~~ m a = m m m m m m~ Td a a i t_= V u u ¢ z z z z z¢ z �' Q W¢ a z �Qaaaa�y°W� w�W°» ° O Z a J J J J J W a C U u U U (./ d W J J J J d d W T w w >' T UI (7 U' a w w W u Q Y T ¢ c C C C Q Q 2 O F¢ Q U W d G G G G d Q d LL LL LL LL VI d d¢ W H H N N N" HH H N H H H H H H H H H H N N N N N N N N N N N N N N N N Q U U W 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N N N N N N N N N N N N N N N N N N I!1 N U1 Ill N VI V1 ltl l!1 h N N N u1 t!i V1 \!1 Q G O c o m g Y a V Transaction Summary Transaction Complete Texas Health and Human Services Commission Memorial Medical Center Operating County Page No:1 of 1 Run Date: 411412021 Run Time: 16:56.58 I� w X 1� ;r z 2 W U [WARNING -Remote attachments. VERIFY SFNnFRI Providers, Government Entities, and Anchors: Please read this entire message carefully and make note of the information provided below that failure by IGT entities and providers to submit the required forms may result in a delayed payment for the providers HHSC is providing notice to IGT for the DY6 Withheld UC Payment. Dates pertinent to this payment: 5/5/2021 Last day to submit your IGT into TexNet 5/6/2021 IGT Settlement Date 5/17/2021 UC Transferring Paid 5/31/2021 UC Non -Transferring Paid and Attached to this email are the following documents: • DY6 Withheld UC Payment Calculation spreadsheet • DY6 Withheld UC Allocation Form • Master Affiliation Publication Attached to this email is the DY6 withheld UC payment calculation. Providers will find their payment amount in column N of the first "DY6 Withheld Calculation" tab and IGT amounts in column O. 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 PFD UC Payments@hhs texas aov Additionally, you must submit the IGT allocation form 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. Payment amounts were calculated in accordance with the methodology adopted for paying the withheld payments in 1 TAC §355.8201. Payment amounts were then compared to the final Uncompensated Cost of Care (UCC) calculated for each provider in the DY6 UC reconciliation to ensure providers did not exceed their total eligible UCC. HHSC has removed providers who are ineligible to receive a payment due to changes of ownership or the hospital closing. The remaining providers are eligible for a DY6 withheld payment as long as the IGT required to fund that payment is received. If you have questions regarding the UC payment process, please send an email to PFD UC Payments(alhhs texas aov If you have questions regarding the payment calculation file, please send an email to uctools@hhsc.state tx us 5/6/2021 _ _ ,- j Imp_cw5report681739441687975076.html 05/06202) MEMORIAL MEDICAL CENTER io 12:06�''I'11 ° ^io1'± AP Open Invoice List ap_open_invoice.template ±„ Dates Through: VSrOotlfi'& ° �� Vendor Name Class Pay Code 11816 ASHFORD GARDENS Invoice# Comment Tran Ot Inv Dt Due Ot Check Di Pay Gross Discount No -Pay 042721 04/30/2021 04/27/2021 05/27/2021 31,8433.56 0.00 0.00 URIC PAYMENT NA FOVIiJyt OF GOP dLp051-fZd id) hkL ,Pt'"-`�- 042721A 04/30/2021 04/27/2021 06/27/2021 L� 14,142�1.72 0.00 T 0.00 UHC PAYMENT N0 p0Y'NN�Of 11 kPP �q(irol ys ci Iiw-I IWWU-„ QK41.� Vendor Totals: Number Name Gross Discount Pay 11816 ASHFORD GARDEN 46,265.28 0.00 0.00 Grand Totals: �,=port s'umma, ; Gross Discount 46,265.28 0.00 Net 31,843,58 ✓ 14,421.72 r✓ Net 46,265.28 No -Pay Net 0.00 46,265.28 Ole:IIIC:lUsersimmckissacklcpsilmommed.cpsinet.com/u8Bl5Otdata_5/tmp_cw5repor1681739441687975076,htmi 1/1 olb2UY1 tmp_CwSreport3364329938373766306.html 05/06/2021 MEMORIAL MEDICAL CENTER 12id.9, i9 �141 rt AP Open InvolCe List ap_open_Invoice.template Dates Through: Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 042721A 04/30/2021 04/27/2021 05/'217/20211��,''"" 5,64'2.20 0.00 0.00 UHC PAYMENT N 1 �y+%O t of (.JW tkAyr.,1.- �^n06 i'IGP ih.h r& 042721 04/3012021 04/27/2021 05/27/2021 r V'^! _I- 12,471.94 0.00 0 0 611PPL,,,RS (��-, ��h p� 0. ipp pnh& &Foci-iz-d iNb i�Vk(. �7u� y Vendor Totals: Number Name Gross Discount No -Pay 11828 SOLERA WEST HOI 18,114A4 0.00 0.00 I Cum inan, Grand Totals: Gross Discount No -Pay 18,114.14 0.00 0.00 MAY D 6 2021 Net / 5'642.20 ✓ 12,471.94 Net 18,114.14 Net 16,114A4 81e:///C:lUsersfmmckissacklcpsifinemmed.cpsinet.com/u8815Dldata_5/tmp_cw5report3364329938373766306.html 1N aroreu� i Imp_cw5report6501473609648693980.html 05/0612021,/ �� ,ttr MEMORIAL MEDICAL CENTER 12:09 11 AP Open Invoice List 0 Dates Through: ap_open_involce.template Vendor Name 9 Class Pay Code 11820 FORTBEND HEALTHCARE CENTEI Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 042721 04/30/2021 04/27/2021 05/27/2021 12,879.56 0.00 0.00 12,879.56 UHCP05 042721A 04/30/2021 04/27/2021 05/2"p0A Of SLIVIF pp"KI NOasiVAON Op(, so UHC PAYMENT - W14 H' x of 6tjrloGAgwuA} ejcp06;4AIK4vRkK^cO(,?G100v 5,816.60 Vendor Totals: Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTI 18,698.16 0.00 0.00 18,698.16 Grand Totals: Gross Discount No -Pay Net 18,698.16 0.00 0.00 18.698.15 MAY o 6 zC1c? 81e:/UC:/Users/mmckissack/cpsi/memmed.cpsinetcom/u88150/data 5/tmp_cw5report6501473609648693980.html 1/1 J,V, LVL 1 tmp_cw5report883865966726594911. htmi 1 1`t 05%6J2021 ✓ i MEMORIAL MEDICAL CENTER / 0 12:07 11j.•1;! it �� t�}�Tj AP Open Invoice List ap_open—open 1 Dates Through: Vendor# t .,..f3 v>' Vendor Name 14882sa1iteri Crjtr:�^sa «.... BROADMOOR AT Class Pay Code CREEKSIDE PAF Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 042721A 04/30/2021 04/27/2021 05/27/2021 13,187.34 UHC PAYMENT N R µ 4 0A tf 9iIlf P6K1+ ar hOki' z' tii1 �,ri11U,C. 042721 04/30/2021 04/27/2021 05/27/2021 l/ "i 5,976.06 UHC PAYMENT V H ply -Hon ligA4V�.�- dr baCd."1 d (j, Vendor Totals: Number Name'" Gross 't Discount 11832 BROADMOOR AT 19,163.40 0.00 Grand Totals: Gross 19,163.40 MAY R @y')Uri 8111111113P- Discount No -Pay D,00 0.00 Discount No -Pay Net 0 00.000�0.00 13,167.34 v\n,--� 0.00 0.00 5,976.06 Atiy1�.t. lip No -Pay Net 0.00 19,163.40 Net 19,163.40 file:I//C:/Users/mmckissack/cpsilmemmed.cpsinst.com/u88160/data_51tmp_cw5report8B3865966726594911.html lift 5/6/2021�,,�t .-- tmp_cw5report3683711257172769517.html j, 05/OB(2,Q2Y a + MEMORIAL MEDICAL CENTER t 41 �1 r'i�7AP Open Involve List 0 12:08 ap_open_involce.template 11 �';,=-,r i i1:`.ceF' Dates Through: -�endoiit' 1"" Vendor Name / Class Pay Code 11824 THE CRESCENT ✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 042721A 04/30/2021 04/27/2021 05/27/2021 4,795.48 0.00 0.00 4,795.48 UHC PAYMENT No ( at%W 0AP? pvJ1 t-dcp05(+za imb MUL Gv(,04'ul.v- 042721 04/30/2021 04/27/2021 05/27/2021 10,527.65 0.00 111,,,(___j 0.00 10,527.65 UHC PAYMENT- NH �CII'il'M p F A,1pp p6MI aepo, i-�ad iVk_b MW.L gpcjxh/ Vendor Totals: Number Name Gross Discount No -Pao Net 11824 THE CRESCENT 15,323.13 0.00 0.00 15,323.13 Grand Totals: Gross 15,323.13 MAy 0 6 2021 >2ep,>i9 �unnr+e.r1 Discount No -Pay Net 0.00 0.00 15,323.13 Friel//C:lUsers/mmckissacWcpsi/memmed.cpslnet.eom/u88l5D/deta_5/tmp_cw5report3683711257172769517.html 1/1 tmp_CwSreport5504487149338908774.him1 12:10 MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_I nvoice.tem plate Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 042721 04/30/2021 04/27/2021 05/27/2021 21,456.93 0.00 21,456.93 ✓ 11 i UHC PAYMENT VW 0.1nn pN�,t^(J-C�7t1F1^fZt� lNh V 10,00 MIKL- OpLYA 042721A 04/30/2021 04/27/2021 05/27/2021 9,893.37 0.00 V 0.00 9,893.37 UHC PAYMENT N tt pN't-1 M 0 f & W PINt 6l 0c,14-a 11.ve *y L ty1c,o p�..� Vendor Totals: Number Name Gross Discount No -Pay - Net 11836 GOLDENCREEK HE 31350.30 000 000 Grand Totals: Gross 31,350.30 MAY 0 6 CIr1 r;1.�" 31,350.30 Discount No -Pay Net 0.00 U0 31,350.30 file:l/1C7Userslmmekissack/epsi/memmed.cpsinet.com/u88150/data 5/tmp_ew5report5504487149338908774,html qry 5/8/2021 tmp_cw5report8737587736880295977.html 05/06/2021 MEMORIAL MEDICAL CENTER 12:11',i(1! ii [ G 11%1 AP Open Invoice List 0 Dates Through: ap_open_invoice.template Uendo y= c - "OS Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tmn Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 042721A 04/30/2021 04/27/2021 05/27/2021 51851.66 0.00 0.00 5,851.66✓ � UHC PAYMENT No laff %W1 a(f il(41ttil P'L'I'1 Mil G OpiyKh 042721 04/30/2021 04/27/2021 05/27/2021 7, 141.45 0.00 0.00 7,141.46 ✓ UHC PAYMENT NB 1�{pW ?bvA �d!{oAr,1 N-h Vb KkL oft" Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLA2 12.993.11 `�!!,,.i Uk' 0.00 000 12,993.11 Grand Totals: nnrl iac. Gross Discount No -Pay Net 12,993.11 - 000 0.00 12,993.11 76J M.AY 4 6 2021 co,c file:ll/C:lUserslmmckissacklopsilmemmed.cpsinet.com/u88150/data 5ltmp_cw5repor18737687736880295977.html 1n 516/2021 tmp_pw5repart7082556398752326584.htmI 05/006/2021 t MEMORIAL MEDICAL CENTER 12d i f i1 �t_ui� 1,`'i I9 2I AP Open Invoice List 0 ap_open_invoice.tempiate G Dates Through: Vendor# t'' 'r._rr1_�os- Vendor Name Class Pay Code 130041t�i TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 042721A 04/30/2021 04/27/2021 05/27/2021L. 7,68113,,.13 0.00 0.00 7,683.13 UHC PAYMENT —No Q0Y Orl OF QIFF deW+?.d jKjb MINE+OI>r WL Ytq 042721 04/30/2021 04/27/2021 05/27/2021 10,121.34 0.00 0.00 10,121.34 UHCPAYMENT— NHp(-Vrybyt 6F 0,1pp ag06 FA ivLb KML OP PA, Vendor Totals: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 17,804.47 0.00 0.00 17,804,47 Rep,,, Hinz..,;: rp Grand Totals: Gross Discount No -Pay Net 17,804.47 0100 0.00 17,804.47 Ole://IC:lUsers/mmckissack/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report7082556398752326584.html 1/1 N h ay m Qf M M N N � W h Ifl N d' �-I 00 V' vl tp M O h N Ol N N ry ry N N N a N Ol lM0 .a-i m N - OU] i� t0 vl tit, iQf V m h m ;h h �a1 gal ltn r+ .ti � ei 2 m vi m n F m n ri o f ti i ri ti N � m�uNi�aa.`-I,C as e h Q' M rl 'i ei rl N � � ei N 00 a m N w oq ro t00o N c v ui of fri ni ri ri ai q fYl tD ei VI a N l C m R� l0 N N N N er ei N m N _6 Z a C � O � a a U O. cr N Q E O V a n O a E u° a a c N coarvw�n mao m „�, rl •p W m W W CO lD Ifl n Gi 4 Ill OI M fYl N N � pj y h tll V ei 00 d' yI y W M 0 n GY N N N O C' �D .ti N O r ry S fV A Y 12 N (1 W Y N m L o a m a 0 • ,o E u m W � Y .+wa00koa �ry N m N O 0 O It •V V 0 III 0 a raft N pwp M 00 0 0 N LL C m ry r ry o w m v ab ai 1-� m -i to of M r tD � a � v N N r o00o lD ei Vf' O Owl N ei M N r M N M N h M V m Nino w o ofr aim _. 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W y0 LL Q 01 U LL V1 (D 0 Im w F r w a w tp O tD N `r m 00 oCI oo u (0 I& I Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer Prosperity Accounts 5/10/2021 Acaunt X N { Wme Number Previous Be4innn6 Act F.MN, Balante i mferAw nnrter-In Oe wits Tadayi Beemnl., Amauntlo Be Tnndanelae N..ro IAS�IfOftfGild�Oi , ll4p3436 .,B95 61 9U,393.54 Bslmee Home - 120,232.31 36,266.99 Oank 9aiarme 120,232.31 year.. We. in anima 1aB.a0 MPIfne CUPP theekt 29,694.911✓/ Amedp4up OIPP 54,11,146 g/ Maylntenot ts.79 Noe torrent NIVIncent Adjust oen[efrocrer not 36,264.99 f $jOBd111a06, _ � y� 147,044.59/34,614.411 65,353.20 y/ Bank 9a1anm ]],7e338 77jin n, p/ 42,933.78 Varianrn leave In Belanee 100.00 Men. CUPP Ornb 12,259A7 e�/ Amerlgrevp CUPP 22,429.42 ✓ M"Intererl 3o.w. June Interest Jet, Mterest Adjurt Balante(innafer Ann 42,933.70 ✓ Cre55Xd} 102,73B.24n/ ! }„�: , ,:'�j 92,757.IS 5],399.88 ✓ 67,380.91 / 39.628.47 Sank Balann 67,360.9T Y' Variance Lre. in Balante 100170 / ✓ Mvirna CUPP cAedO AmeriBroup CUPP 9,358:64 12,971A3 ✓ Meyleterext 2245 nine Internet July Interco Adjurt 8alance(rmnsretAmt 39,42BAT w1, �riBMd'. / S3,5]6.82 /41,46DAII 49,959.30 ✓ 62,0]5.26 J 28,074.67 Oenk Balante 62,0TS.26 Varlann leevelnaalance rOO.Go M00na OIPPellnuI 12,Ma.1a Y Areerlgen,OlPP 21,184b3 Vy/ Maylnlereet 923 June lntemt July Interest Adjust BalanceRmn5fetAnd / 28A74.67 ✓ $OIGl�Bt14 HO SI00 78,990.71 ✓.,214.60,/ s9,NkS3 ✓ 111,04C70 �/ 711,048.99 Bank Balerne 111,044.70 Va mca - leave In Baante 100.00 CA.U.. CUPP rheek 11,641.05 m wes - Acols..p CUPP 21,219.54 ✓ MAY J 10 ,3q JMay a:1"� �,L4 U . Interest 35.12 lunelnteeett C � I 1 i � EJ ! � lutyinlwest t�/ �r A61u518alana/rnn4VerAmt 79,0I11.99 J TOTALTMNSFEe$ 11475090 tt ( ` _ Nate: Mryhelewn oforer$50.WWlllbv vomA - Apponed: Xbn SEOMa[[punrhOr odafe Oelon[<NSIOOurv,mm�wporded(n ny<nomunt J...O Angus, CEO 5/10/2021 JANX MAN Rarnt—U XUPITnnsfer5ummary12021%May1NH UPIT-1. Summary SAO..ilylu ANN WesAl9Tranners\Bank 00wnl"4B 01 he.0002AWANII 8a0 OAvnI d"1211M1m 3-0431.dsn P,p 9nn%i R•9[F 5/312521 Sb.ek 5/4n011 Unile6Hea0Rn2 HCCUIMPRR746E03EL11243H 5/47k0]l AMEMMROU¢COePo EMYMEMtE5i1d6Yld LLl0A8 sislau wi ur nFpllpo[PPvdWE CiNTIRtTO 3o00' 5/5/IDIL WI0.E OUTKXFOg011EAlTICMFCEN3PRlT0 SP/T031 HEALTH HUMAN PWI796GOMll W 5/]n0ll NEAITNNUMAN NCII[CWMPMTI]d6%HIt3W5x 5/N3%t pKaF ' 5/3/Soil Cllea4 5/d/3%t HVMANk IHS re NCCI MPMT ]9q 1WDOX63H 5/4/SOSI MUMpNAIXS CO N[[WMPMT390H1%WMSJ1W 5/dFY%1 AMt11YGkOJtSpgpp Fvp�MkMfETs,116griq uiG2o WU021 Wt CUTCPtOFPOMORUieCigU �]351IlopG_ Sh12%1 WIREOUTGNipM WNAMT 4 MER5111 5)4/3021 UnILMIIW11Anre HLYWMpMT]4T{%4I11219M 5/7/2021 NOVRKSOLUNmN Cf IMI PT74Y 4UI243M 5nn%! MAWAUnie�Meallhnrt 71OMN PMIm 31111193L 5n/Sall MPNp4fANONErl)IO MNS PMIR%WQ9341 �'...5 vn,y snnpn GeN 5/3npL pepaAl 3/dn013 NN[COMMUHURONN1CLWMPMTH6%H0000al] 9/3n%1 NOVXKSOHU%ONHCMIMPMT6J6333110NY101 5/In021 NOVRKSONNION MCCIpIMPMibJ6333d30Np141 s/!/3o:tAMEAlak0u6MA1DYPAY1etEn{EESzu4tW lumu' 5mil A(il[RN_{w1jeNApq,�PAYnr/NiEEs/;dnl`s uuon; 55/512%1 WIRf OUTCAMPHMWM9MT74BNRRSIII 5 O71 "HtCUAlWdHM URfl K l MWMPMT14B611 W3H 5/Sn031 UNCMMMUNR9 PLN[CWMT74WMONI193C0]0 9/6/30I NnIIeBNWIM1Nra NRW MPMi]IA%H1I I24384 s/J/2%I CIOINNCCUTAIPM15ii6%BWy]593[OA11B%303 4 r . !/3n%L [M1 rk 5/3/S%t CM1ed 5/3n011 UXCCOMMUNM PLHCCMQBlW746%34H91W[O 5/4/101L UN[[OMMUNXYPIXCCUIMPM}]96[03[1391M% SNfMAl.1'MtMGAhilp tbAM E�VAIM(FEEF52136YjExilood• -. 6/VSIA3LiAMEP/,Q9WPCO0P.YEPAt'f�4tIkEF3}t662S(L�110N - 5/5/IMl 4NX[UUTUftuA, WA FAr [EMERSIII 5p/2%1 UnNeLHNINNIe HCCWMPM[]d6%MII1163H 5/512021 UN[[OMIMIxXYPLNCCIFIMpMTJ160%61191P1C0 5//302t UnI1MXN11M1Nre NWUIMPMT]q WDH1LIid3M 9A/90x1 U.N 5/3/20x1 UHCCOMMUNIIYPLNC[WIMVln7A AO34[19[IXN S/1/1021 Unile6HsalMeare HCCUIMPMIm6W361LIx/3M V412Ml UH[COMMUNIrypLMIXUIMPM]]46%H{{9IIXOJ S(en%I HUMANAINSCOHCDUUMPMT39W62%LN'0576619 5/4/2"1 HUMANA[HA DINO HCCLAIM1MT 3908d2 42 WI43] 5/d/mxl[AM[n1ERa4P [gAPb EPAttS(xR[[SIt�gT;/ittauo - --E0 TCAAREXHFALTAR'ME.TCfWERSHfl J191t1 ,. 5nnW1 WIR[UVICAM[%rtwmp ......DOM S/Sn0]1 AmedymuPTASCHffIMMIMT 314906y36111IDO, firm%I HUMNeaMmUB H=LMPM[T3W&GZ,U0XO1 3/]/$Wl NVAUNA[NA RUB HCCUIMPMi39O8634;%WI%3 NA P00.110N Wpp/fnmp4 afpp iervpua � 41PP/Tempt OIPP/6mpi NPP/(ompi Slapu BIPP YI N1190RPON IM.W f J.309A9 _ m uW 'DWAd 16,M33 1060,33, """S9 1L176,Q9;, VDaz nXic'n: BpW:lli - 5,39130 - 5,591.50 3,710,40 H,195.61 90.391.H i;l)RyS f9H93 Y1 sTBA2 3L[0].69 !4] ,2 MMEPppTMH NPP/amps ml-O., Tnnahnln WPP/[ompl NPP/fampE tupP/tnmW 6lapae NPPTI NH PORTION IU.JJ/ 2,01A / - - - 4,73000 - 4,730m 1'..7! L348.73 1g091P2 ll,,I m LN9.le d}99,39 14825]N:. .. d.l:&J9: ...a91,mx2z! IS'C60'(6 1s.+p3;i1,. Y1]N9e�. yii+3e; 6.020le - 6A30% 1J.611.89 - 1),6R.89 169.00 - 369.% 3%0,% - Le9QW 1N,61p.91 65351.SO_✓ tvnss5AHAII ae 111.31 MMCPORTIUW NPp/6mp4 TnnMsrvoue TnMe In NPP/�mPl gIPP/fnmP2 NPP/Tump3 RYPae gIPI TI ,r NX Pofl110N, IV9,67,/ 4I78.33 f - - 101730.W 10,730.% - I1L63 11183 - 6,61p,9] 6.61A9J al.1x ssLR S;a6XF9' 6Nt53 -6,IEFbs - 8/153ia9 9psnx 1 Hese,' ARF% n,1KA6, '-�7a}l'3y / 'bA69.lSpr - - - 3.I90.0O - 3.190m - 4659.18 - I,S59.19 - U80.00 - 1Amm - I.SpO.W ISWOJ I s,f 5].399d8✓ 90g1.13 16b56 )piL% 1x]69 T MM[IOpryON NPP/Wmp9 inml«.Au� 7pp5f1tfg OPP/Camel NpP/6imp3 NPP/[nmp3 SYPae NPPTI HUvoguou 56.96.% p,53i.N - 4,53107 509C. spm 11F44Rs '14tltl;]d L9n,d4 `yE19.Id 143E131 ),33&631 . v,966x4/ 1SdS4.4R - Ls,]i6.tR.. 3,34i,32 3e3iz!. )IG.W - 38600, 3.9] n 4,305.0D 41,68e.Fa1 K95930 10.99L79 1$))6p 96AA6 39 ------------------ mmuognom NPP/Pompe TnntlmOv[ TUNU-I^ o1PP/Primp) NPP/Q.,2 allt.p3 BIaW. NPP❑ NHPOATION 2n.79 f 2.6N.33 • 44.47 - 418.57 5,740m - 5,710.00 .. I.0"5 - IM3.05 - 1,35L45 - ).)SLI5 samsx 36d)0.N d).11l6i 10.EMSt 1,31740 gXkkm` I1,095A.3 '3Ax316S.. 3i•kdi-R163 18,611,61 .7,33i3t 6LBA 151.00 13.530.Op 13,510.W LzaLu - ;apus 6T.L460 90.368.63 ! 10,mus 1.117.10 453A30 1k.62 ] W99 TOT `U p30.HL63 36;3/4.15 N,130.x! 1;491A3 19L655 9S 03p.55 3P 1 214.7S 5/10/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Add Group Account Type._. �I Search All DOA Data reported as of May 10 202, Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 14 $5,019,594.22 $5,136,856.66 $5,019,594.22 $4,703,980.1 `4551 CAL CO INDIGENT $5,746.45 $5,746.45 $5,746.46 $5,746.4 HEALTHCARE `4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $84,761.94 $84,761.94 $84,761.94 $70,091 c HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $535.11 $535.11 $535.11 $535.' 2014 •4357 MEMORIAL MEDICAL S4,059,943.93 S4,165,391,87 $4,069,943.93 $3,835,936.2 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $430.82 $430.82 30, $482 $430.E WAIVER CLEARING `4381 MEMORIAL MEDICAL CENTER/NH ASHFORD $120,232.31 $120,405.04 $120,232.31 $110,930,E `4403 MEMORIAL MEDICAL CENTER/NH $77,783.38 $77,783.38 $77,783.38 $75,724.3 BROADMOOR '4411 MEMORIAL MEDICAL $67,380.97 $67,380.97 $67,380.97 $59,880.E CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $62,075.26 $62,075.26 $62.075.26 $62,075.2 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER / SOLERA AT 0 $111,44.70 $113,747.34 $111.044.70 $96,313.4 WEST HOUSTON '5506 MMC-NH BETHANY $244,726.01 $244,726.01 $244,726.01 $234,915.L SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $71,346.50 $80,285.63 $71,346.50 $47,812.2 MEDICARE/MEDICAID '5433 MMC-NH GULF POINTE $10,112.65 $10,112.65 $10,112.65 $112.E PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $103,474.19 $103,474.19 S103,474.19 S103,474.1 VILLAGE ' Indicates Page generated on 0511012021 F hltps://prosperity.olbanking.com/anlineMessenger 1!1 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 5/10/2021 WevlOus Amount Beginnin8 Nursing He.. Masher Balance Taas,09r0.t Tre O—fr Golden°41Gek 112,991.78 112,852.65 84,622.81 NOW: Only helanen a/aver $5,000 will he trunr$rred to the aaWng home. Note 2: Each aseeant has a hose balance o)$100 that MMC depauted rn anent aavuat. vuvf 1 tl '.,�'J Pending Amount t. Be Transferred to Nursing - 84,J61.99 Bank Balance 84,16191 Parlance W.afn Balance 10.0 may Interest 39.1a ✓ June Interest Judy Interest Adjust Balance/transfer And 88844/.6II�a\\91 Appmed: gpY'il� laaan Angllry CEO � 6/10/2021 I:\NH Weessy Transfers\NH UPL Transfer 5ummarA2021\May\NH UPL Transfer Sam..,% 1a.t1,abs MMRPORTION .rst t Nro/c9mp481 NH G4111lryCielk�, ' ( � 4 y, _ „ Tnm3ee-0ut � OIPP/Gnpl OIPP/ramP2 WPP/EpmP3 aP,. WPP❑ PORTION 5/N2p23 0Neek� 13G.55 ✓ - SIMM, Oepmlt 40,145.06 4U45.86 5/3/2021 TSYS/3PANSFJRSTWDSTLMT5"lU5559769179 ),96).M 7,96>.M 5/5/2021 WIXEOVTNENION XULTHATSMUNCPFEN 11)AIG.10 - 31512.1 RYS/TMMPRNTBNCOl"YS438145580769U9 M.9B 205.98 5/6/2021 Deposit - 11,972.43 11,97213 5/6/2021 NOVNA95DLpT10NH=imPmr*7U97420W0H5 9,SB1.Sl 9,50351 5012021 ACHSE EMENTSEWICE41055234399601693813 2,629.50 3,629.50 Sp/30I1 XUITNXOMPN SVCHCCUIMPMt 1744p034133D113 � p,p4p.53 12,Cd0.53 1 / 311�858.65,/ fiA623F1 ✓ K632.81 5/10/2021 Quick View Select Culck View Accounts Account Number/Name Account. Type Treasury Center Select Group Groups Add Group Account Number Current Balance Available Balance Number of Accounts: 14 $5,019,594.22 $5,136,856.66 '4551 CAL CO INDIGENT $5,746.45 $5,746.45 HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $84 761 94 $84 761 94 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $535.11 $535.11 2014 "4357 MEMORIAL MEDICAL S4,059,943.93 $4,165,391.87 CENTER - OPERATING "4373 MEMORIAL MEDICAL CENTER - PRIVATE $430.82 $430.82 WAIVER CLEARING '4381 MEMORIAL MEDICAL $120,232.31 $120,405.04 CENTER / NH ASHFORD `4403 MEMORIAL MEDICAL CENTERINH $77,783.30 $77,783.38 BROADMOOR •4411 MEMORIAL MEDICAL $67,380.97 $67.380.97 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $62,075.26 $62,075.26 CENTER / NH FORT BEND '4438 MEMORIAL MEDICAL CENTER / SOLERA AT $11104470 $713,747.34 WEST HOUSTON '5506 MMC -NH BETHANY $244,726.01 S244,726.01 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $71,346.50 $80,285.63 MEDICARE/MEDICAID '5433 MMC-NH GULF POINTE $10,112.65 $10,112.65 PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $103,474.19 $103,474.19 VILLAGE hltps://prosperlty.olbanking.com/onlineMessenger Collected Balance $6,019,694.22 $5,746.45 $84,761,94 Prior Day Salanc $4,703,980.1 $5,746.4 $70,091 c $535.11 $535.1 $4.059.943.93 $3,835,936.2 $430.82 $430.6 $120.232.31 $110,930.E $77,783.38 $75,724 $67,380.97 $59,880.E $62,075.26 $62,075.2 $111,044.70 $96,313A $244,726.01 $234,915.0 $71,346.50 $47,812.E $10.112.65 5112.E $103,474.19 $103,474.1 ' indicate: Page generated on 0511012021 : ' F 1/1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 5/10/2021 Pr<vlau< gmnunuo Be MLeunL Be8lnnln8 Pending Trenflened to Nurfln Ho Num6<r ealanm nmfen0ur nmrm. at'learad Vsmitt Tode eB< Innln Bebn,. A Name WNPpRifn Nate%/fM`ie _`-'., __;, S],OIB.46 so,9a6A1 l0,OB0A0 IO,11L65 101000A0 _.,_.-`-- 9eEk Babnm 10,11165 Varun<e teav<In NUDUP 160,00 meYlnlnlen ll.65 f Iunpinitf<St 1.mtt gdjYfe Oelemefrnml.,ef qm1 _ 10p00.00 f .We. q[munt ae61nngmounLo Be 0e Pe;mh, Arnrlmndm N nl x Number B<Hnm YnMenOm Tnnshr-In NSCleared pe vriH T<de SBe Innl ealanre Nuntn Hema got.91 N'Ila mrt/MefinM _"la 1424619 14,11011]L119' - - 71.346*30 71,219]6 Bank Rahn[, 3y346,sv Vafan<e 8oueinolnfumailmfeFGi rPdnie Mmn',' Nme: anrybnlnnar o/ove$s,00aw6f6e Fmm(exNrotM numneheme. Nolei: Eo[hoKOUn[MS U WttbolpnLe n/$1 W fh<IMMC QMOSNadbopMa[[OIML. S R Ci J :6Jw��_v ,ek le. -In Balance ]00.00 maYlnt<rut 26.76 lone lnt<mrt ul'Intenst Ad].' Belenn/Tnnfler qm< M219.74 J TOTgITWNSFFgf yyyyyye 81� 21q.14 q nd: !n<.Angngln, <EO 5/1O/3021 -Wi Wtt41YTnnarm\NH UP, Tramf<rsummerytxoutME,,M. wi mml<r 5ammary9.1011.rw F i GYIfFai3/ 120211P`heck 5/3/2031 Check- 5/5/2021 WIRE OUT IIMG SERVICES, LLC 5///2021 UepeYL MMC PORTION QIPP/C4mp4& NH TrtnifenOYt ransfervin QIPP/Cempl QIPP/Comp2 QIPP/ComP3 Lepi4 QIPPTI PORTION 42.68 50,863.63 _ lopoo.ao 10,000.00 50.906413O,000A0 10000.00 MMCPORTION "Av {,y� fr =i F 4 S • d QIPP/64mp4& INN Y1 �11td Pie=Mldiat�0/MedifBfd,.` F Fh 1 -_ _'� Tfenifer-0 t r6n5fenln QIPP/CemPl QIPP/Wmp2 QIPP/CamP3 WPsc QIPPT PORTION 5/3/2021 Check 7L97 - S/3/2031 OPPorlt 39,643.30 - 39,613.3a 5/4/2021 NORMAN 93A HOCUMMPMT62589242000019666BS - 6,136.59 4,136.59 5/5/M21 WIRE OUT HMG SERVICES, LLC 14,04245/ 5/6/2021 Oeposlt - 3,906.21 - 3,906.21 5/7/2031 NORIOIAN I3A HCCIAIMPMT67509242Ra001966376 23,533.64 - 23,533.64 14,110.43 71,20.74 71.U9.74 651025A4 8"19174 BLU9J4 UPI WZu2l Quick View Select Quick View Accounts Account Number l Name Account Type. Treasury Center Select Group Groups Add Group Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 14 $6,019.594.22 $5,136,866.66 $6,019,694.22 $4,703,980.1 '4551 CAL CO INDIGENT 55,746.45 $5,746.45 $5.746.45 $5,746.4 HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $84,761.94 $84,761.94 $84,761.94 570,091 c HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $535.11 $535.11 $535.11 $535.-. 2014 '4357 MEMORIAL MEDICAL $4,059,943.93 54,165,391.87 $4,059,943,93 $3,835,936.2 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $430.82 $430.82 $430.82 5430.E WAIVER CLEARING '4381 MEMORIAL MEDICAL $120,232.31 5120,405.04 $120,232.31 $110,930.E CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $77,783.38 $77,783.38 $77,783.38 $75,724.: BROADMOOR '4411 MEMORIAL MEDICAL $67,380.97 $67,380.97 $67.380.97 $59,880 c CENTER / NH CRESCENT '4446 MEMORIAL MEDICAL $62,075.26 $62.075.26 $62,075.26 $62,075.2 CENTER/NH FORT BEND '44 8 MEMORIAL MEDICAL CENTER / SOLERA AT $111,044.70 $113,747.34 $111,044.70 $96,313.4 WEST HOUSTON '5506 MIMIC -NH BETHANY $244.726.01 5244,726.01 $244,726.01 $234,915.0 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $71,346,50 $80.285,63 $71,346,5tl $47,872.E MEDICARE/MEDICAID '5433 MIMIC -NH GULF POINTE 510,112.65 $10,112.65 $10.112.65 $112.E PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $103,474.19 $103,474.19 $103,474.19 $103,474.1 VILLAGE ` indicate: Page generated on 05110/2021 1 littps:Hprosperity.olbanking.com/onlineMessenger 1PI Memorial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 5/10/2021 Previvu Account Bn6lnnln8 Amauntto6e Pendin6 Trans2erredro N in H umber eehnre Tn reFeut .TranPlvr-rn Xa Cleared ve wits Teda a8e nnln Balance -- — Nome Tu din}$ i IMh'e" 54p3839 84,338.29 103,3]4 19 - 103,474.19 ]],1078 Bankealanm 103,474.19� Varlanc ave In Lewwoa Moo Amerpr... MPP 211273.41 L/ Nvte:OnM bvlanwc of pwr $500 will be bnea$ned m tl rp nwdag Awn e. NOh 2: Each—untlme vbwebvlvntto/$100Mv(MM[depvrX¢tl(4Open vavunt F3a� s � at�Z1 Adiwt aalmae/TnnAtu m1 nr877. A, —Id, 1wvn An811n,CEo 5/1p/30Z1 MMC PORTION 1 i'us4afiv5�nbalNi�te OIPP([Omp4 Transfer-O. Transfer-InLwPPC--P, QIPP/CQmP2 QIPP/CQmP3 &Lapse QIPPTI NHPORTION 5/3/3021 DepOSR - 46,13072 46,130J2 5/Q/2024 AMEgIGROUP COPP, dE-PAYMENTEE52166732113a08 .. 36,604.94 15,94108 1,978.64 096.06 11,886imi 260173A1 - 10,33143' 5/5/2021 WIRE OUT LINBAR ENTERPRISES,LLC 54,338.29 - 5/6/2021 D.p.N - 20,578.77 - 20,578.77 5/6/2021 Molina HCof TXHCCIAIMPMTPN127571]8944200 - 59.96 - 59.86 54,338.29 .163,374.19-' 16,941.98 1,978.64 679606 118B816 2627341 7710078 a 5/10l2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Add Group Account Type__ _ Search All DDA Data reported as of May 10 202, Account Number Current Balance Available Balance Collected Balance Prior Day Belanc Number of Accounts: 14 $5,019,594.22 $5,136,856.66 $5,019,594.22 $4,703,980.1 '4551 CAL CO INDIGENT $5.746.45 $5,746.45 $5.746.45 $5,746.4 HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $84,761.94 $84,761.94 $84.761.94 S70,091 HEALTHCARE *4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $535.11 $535.11 $535.11 S535.1 2014 -4357 MEMORIAL. MEDICAL $4,059,943.93 $4.165,391.87 $4,059,943.93 S3,835,936.2 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $430.82 $430.82 $430.82 3430.E WAIVER CLEARING •4381 MEMORIAL MEDICAL $120,232.31 $120,405.04 $120,232.31 $110,930.E CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $77,783,38 $77,783.38 $77,783.38 $75,724 BROADMOOR '4411 MEMORIAL MEDICAL $67,380.97 $67,380,97 $67,380.97 $59,880.£ CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $62,075.26 $62,075.26 $62,075.26 $62,075.i CENTER/NH FORT BEND *4438 MEMORIAL MEDICAL CENTER /BOLERA AT $111,044.70 $ 113,747,34 $111.044,70 $96,313.4 WEST HOUSTON '5506 IVIMC -NH BETHANY $244,726,01 $244,726,01 $244,726.01 S234,915.0 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $71,346.50 $80,285.63 $71,346.50 $47,812.E MEDICARE/MEDICAID ^5433 MMC-NH GULF POINTE $10,112.65 $10.112.65 $10,112.65 $112.E PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $103,474.19 S103,474.19 $103,474.19 $103,474.1 VILLAGE Indicate Page generated on 0&1012021 ; Y httpsr//prosperity.olbanking.com/onlineMessenger VI Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 5/10/2021 Pra finis Amount to ge Aacnunt Pending Trnaferradao Nurs Hem Numbeu-'a nisin d-red Bflta Tda'e Bo nnl Balance NnlNome e IfiO6e3g4i4n.6n8g &IBapsgnM IluigB ,.,, l - 141,726.01 d0501.99 rank Balan[e 144,716.01 Vorlan larva inB Use. 10100 / Mayen.., 6611 ✓ 11le Mletad miymteun Adjust Belmm%Yramfer AnftSU 56190 ✓ No. phsbaWoas;Nave/s£OBO Mob, tranalerredto ob s.1h, bane A roonI be Nate 1: funh attount has boRbotanceefslW that AMC dapatltM to open aMnnt. laon Mgllp CEB 5/in/E011 I:IFlH Weekly)ransferseM UPLTnntrtsWmmogl 0111MSYt118UPLTrensfwS mwry5.l0.rl+lµ I Betha'IN S�FiDF.Li'vi8v _Aga:" 5/3/2021 Check 5/3/2021 Deposit 5/3/2021 Deposit 5/3/2021 Deposit 5/3/2021 NOVITAS50LUTION HCCLAIMPMT 6764131420000182 5/4/2021 Deposit 5/4/2D21 HEALTH HUMAN SVC HCCLAIMPMT 1746OD341110162 5/5/2021 WIRE OUT BETHANY SENIOR LIVING, LTD 5/5/2021 HEALTH HUMAN SVC HCCLAIMPMT 174600341130162 5/6/2011 Deposit 5/6/2021 Deposit 5/6/2021 Deposit 5/6/2D21 HEALTH HUMAN SVC HCCLAIMPMT 17460034123016 2 5/7/2021 Deposit 5/7/2021 HOSPICE OF 50 TX VENDORS NF 91000012HOS472 5/7/2021 NOVITAS SOLUTION HCCLAIMPMT 676481420000105 MMC PORTION QIPP/C4mP4 Transfer-Out/mnsfe.1. IQIPPICo.Pl QIPP/CamP2 QIPP/Comp3 &lapse QIPPTI NHPORTION 212.68 - • 53,871.27 - 53,871.27 6,029.87 - 6,829.87 8,833.76 - 8,833.76 1,141.64 - 3,141.64 24,390.05 - 24,390.05 319.00 319.00 • 132.02 - 132.02 119,429.57 - 119,429.57 7,180.00 - 7,180.00 6,204.91 - 6.204.91 6,418.86 - 6.418.86 8,159.95 - 0,159,95 1,401.18 1,401.18 249.82 - 249.82 166,380.5] 249,561.90 . - 244 981 90 5/10/2021 Quick View Select Quick View Accounts Account Number/Name Account Type Treasury Center Select Group Grou s Add Group Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 14 $5,019,594.22 $5,136,856.66 $5,019,594.22 $4,703,980.1 '4551 CAL CO INDIGENT $5,746.45 $5.746.45 $5.746.45 $5,746.4 HEALTHCARE •4454 MEMORIAL MEDICAL/ NH GOLDEN CREEK $84,761.94 $84,761.94 $84,761.94 c $70,09t. HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $535.11 $535.11 $535.11 $535.1 2014 '4357 MEMORIAL MEDICAL 54,059,943.93 $4.165,391.87 $4,059,943.93 $3,835,936.P CENTER -OPERATING "4373 MEMORIAL MEDICAL CENTER -PRIVATE $430 82 5430.82 5430.82 $430.E WAIVER CLEARING *4381 MEMORIAL MEDICAL $120,232,31 5120,405.04 $120,232.31 $170,930.E CENTER/NH ASHFORD *4403 MEMORIAL MEDICAL CENTER/NH $77 783 98 $77.783,38 $77,783.38 $75,724.3 BROADMOOR '4411 MEMORIAL MEDICAL $67,380.97 $67,38D.97 $67,380.97 $59,880.£ CENTER/NH CRESCENT *4446 MEMORIAL MEDICAL $62,075.26 $62,07526 $62,075.26 $62,075.E CENTER/NH FORT BEND *4438 MEMR/SOLERA AT EDICAL CENTEISOLE $111,044.70 $113,747.34 $111,044.70 $96,313.4 WEST HOUSTON "5506 MMC -NH BETHANY $244726.01 $244,726,01 $244,726,01 $234,915.( SENIOR LIVING *544 MMC -NH GULF POINTE PLAZA_ $71,346.50 $80,285.63 $71.346.50 $47,812.E MEDICARE/MEDICAID -5433 MMC-NH GULF POINTE $10,112.65 $10,112.65 $10,112.65 $112.E PLAZA -PRIVATE PAY `3407 MMC-NH TUSCANY VILLAGE $103,474.19 $103,474,19 $103.474.19 $103,474,1 ' indicates, Page generated an 0511012021 j } https://prosperity.olbanking.wm/onlineMessenger 1N P A (I ECKREQUE"JIF T MEMORIAL MEDICAL CENTER Date Requested: 5/10/21 AMOUNT $54,128.55 EXPLANATION: AMERISCURCE QIPP y. Mayra Martinez ---------- ------- --- LAPSE a"% ww Jo FOR ACCT. USE ONLY Dimprest Cash I ]A/P Check DMail Check to Vendor EIReturn Check to Dept G/L NUMBER: 10255040 AUTHORIZED BY: P A IVIEKAORIAL fAEMCAL CENTER "AHEC!, REQUEST MEMORIAL MEDICAL CENTER Datv Requested: 5/10/21 A M 0 1) 1\1 T $22,419.42 EXPLANIATION: AMERISOURCE QIPP ii iMayra Martinez -Ouc-rl"D BY: LAPSE FOR ACCT. USE ONLY DimprestCash mAy i 5 202.1 E]A/P Check Mail Check to Vendor Return Check to Dept GANUMBER: 10255040 AUTHORIZED BY: Iz A Y c k/lEIVICRAL IVIEDi�:�!- L CENTER (" H F C K REQUEST MEMORIAL MEDICAL CENTER _^ Date Requested: 5/10/21 AMOUNT $17,971.41 YPLANATION: AMERISOURCE gIPP 1,2,3,4,8& LAPSE FiE(',IJE'3TED BY: Mayra Martinez aV4#r� P;u�Y 9 0 4[J:ti FOR ACCT. USE ONLY OImprest Cash DA/P Check L_] Mall Check to Vendor Return Cheek to Dept: G/I. NUMBER: 10255040 AA1THORIZ-FD BY: "friECK REQ1 "s-, MEMORIAL MEDICAL CENTER Date Requested: 5/10/21 AMOUNT $21,884.63 EXPLANATION: AMERISOURCE QIPP 1,2,3,4,& LAPSE M:CU117, TED , 11 'S _By, Mayra Martinez FOR ACCT. USE ONLY llImprestCash OA/P Check IlMail Chcck to Vendor ElReLurn Check to Dept G/LNUMBER: 10255040 AUTIHOR1717D BY: rViUAL)RIAL kifEMCAL UNTER MEMORIAL MEDICAL CENTER Date Requested: 5/10/21 FUR ALL I. US& OKI LY FlImprest Cash []A/PCheck E]Mall Check to Vendor Filleturn Check to Dept: AMOUNIT $21,219.54 G/L NUMBER: 10255040 EXPLANATION: AMERISOURCE QIPP 1,2,3,4,8t LAPSE EQ TU F. BY� fl- Mayra Martinez 7 AUl 'i 'HORI IZFF) BY: ..., I T 17 MEMORIAL INIEDICAL CENTER, :.. c Kr R%i U"C' MEMORIAL MEDICAL CENTER Date Requested: 5/10/21 AMOUNIT $26,273.41 tXPLANATION: AMERISQURCE QIPP 1,2,3,4,& LAPSE FOR ACCT. USE ONLY Lllmprest Cash []A/P Check 1 llmailChecktoVendor EiReturn Checl<'to Dept G/L NUMBER: 10255040 RPi WE:-TH'., BY: Mayra Martinez At.I7 IC)ilI7..ED BY: May 12, 2021 2021 APPROVAL LIST - 2021 BUDGET COMMISSIONERS COURT MEETING OF 05/12/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 20 $81,316.11 MEDICARE P/R $ 136.60 FWH P/R $ 409.82 AFLAC P/R $ 584.12 AT&T MOBILITY A/P $ 287.02 CAPTAIN LAWN AND TREE SERVICE LLC RB4- TRIM TREES A/P $ 4,735.00 CDW-G COMM CRT A/P $ 2,725.06 DERRICK CONSTRUCTION CO 1NC- GO MESA COASTAL PROTECT MAG BEACH BOAT RAMP A/P $ 79,110.00 FRONTIER COMMUNICATIONS A/P $ 1,069.44 HOOTEN, MATTHEW REIMBURSEMENT FOR REG. A/P $ 250.00 INFINIUM BROADBAND INTERNET A/P $ 160.00 MEYER, RICHARD REIMBURSEMENT FOR CONF EXPENSES A/P $ 61.30 REPUBLIC SERVICES #847 A/P $ 4,078.21 SEAPORT LAKES WATER SYSTEM A/P $ 33.00 SPARKLIGHT A/P $ 1,542.72 TISD, INC A/P $ 483.43 VOYAGER AT $ 16,393.40 TOTAL VENDOR DISBURSEMENTS: $ 193,375.23 PAYROLL FOR ELECTION JUDGES/CLERKS 5/1/21 P/R $ 1,834.00 PAYROLL FOR 5/14/21 P/R $ 310,091.80 TOTAL PAYROLL AMOUNT: $ 311,925.80 TOTAL AMOUNT FOR APPROVAL: $ 505,301.03 00 y C 01 "I m z� pmp H O o � m N K b m m r � y y P P P U ti u tOi� N O o 0 0 m > a N fA lA m < ro 0 rm rm rm O N P N T N P Oa b O O O A y N N N J >OP nz �N>1 m wy pyHa z HI.H> A H H Oor y H OQr H W0r A H wr �nE �oA mAA �A�A y� C O y p 0 O O N 09 Ap p m A O U � �• A O O lPn � v rt N O o 9 5 0 mchi y C m P P P U w O O O O 3 O nRp> Y 3 y W A W W N J N J J V �• A O ~ U W J P O J J on on 0>0 mn m0 00 on �o °pno no yxn AX Aox r0 rj A O y W y a N N J W O a ? 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