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2021-06-16 Meeting Minutes(•\I.Il�ll V�C��I�V�I�1 C�� I\II�.�Ih\I�.I"."C��1I�JQ�I �_ /111 Agenda Items Properly Numbered I�Contracts Completed and Signed -AII 1295's Flagged for Acceptance (number of 1295's ) (All Documents for Clerk Signature Flagged On this L day of 2021 a complete and accurate packet for I(ov of mac% 2021 Commissioners Court Regular Session Day I I Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS COMMISSIONERS COURT-6/16/2021 Richard H.MCYeT County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Catherine Sullivan, Deputy Clerk CA L]H[®UN COUNTY C®MMISSION ERS' C®URT REGULAR TERM 2021 § JUNE 16, 2021 BE IT REMEMBERED THAT ON JUNE 16, 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. Judge Meyer said, "Job well Done" to Commissioner Gary Reese re: Texas Water Safari 5. Consider and take necessary action to approve the guidelines and criteria for granting tax abatement as a business incentive in reinvestment zones for the period June 25, 2021 through June 24, 2023. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 4 COMMISSIONERS COURT— 6/16/2021 6. Public Hearing concerning a Petition to Vacate Lots 43 and 44, Caracol Subdivision as recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas. (GR) Opened —10:03 a.m. Terry Ruddick of Urban Engineering presented the petition. Closed —10:05 a.m. 7. Consider and take necessary action to Vacate Lots 43 and 44, Caracol Subdivision as recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve the Final Plat of Caracol Lot 43R. (GR) Passed 9. Consider and take necessary action to authorize Commissioners Hall, Lyssy, Behrens and Reese to apply for credit with Con -Metal Concrete Company and sign the credit application. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve the removal of seven (7) vehicles from the Sheriff's Office fleet (see attached list) and send them to auction. Auction proceeds will be deposited into the vehicle maintenance account. (RM) Motion made to approve to send vehicles to Auction Only. Auction proceeds to be put on future agenda for approval. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 4 COMMISSIONERS COURT — 6/16/2021 11. Consider and take necessary action to accept a donation from Francis and Ellen Walter of Lots 31 and 32 of Block 557, Bayside Beach Highlands as shown in Volume Z, Page 42 of the map records of Calhoun County, Texas. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $2,188.00 and $403.40 for damages and stolen property from December 27, 2020 at the Fairgrounds. (RM) Everett Wood, Building Maintenance, announced the Wood Shop had been broken into causing damage to the shop and tools were stolen as well. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RM) Passed at this time with instructions to re-classify as Surplus/Salvage for auction. 14. Accept reports from the following County Office: District Clerk — May 2021 Extension Service — May 2021 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Coastal and Marine 4. Family and Community Health 5. Travel Report RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 4 COMMISSIONERS COURT — 6/16/2021 15. 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 16. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Indigent 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 Adjourned: 10.19 a.m. Page 4 of 4 AGENDA NOTICE OE MEETILI6—6/16/2021 —f� ATFILED CLOCI AfU1 JUN 11 2021 ANNA GPpODMAN Richard H. Meyer OyOU CL � K, CALHOUN COUNTY, TEXAS County judgeDEFU7Y VGA �N /' /[)4'i6a/vid Ilall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, June 16, 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. 4. General Discussion of Public Matters and Public Participation. 5. Consider and take necessary action to approve the guidelines and criteria for granting tax abatement as a business incentive in reinvestment zones for the period June 25, 2021 through June 24, 2023. (RM) 6. Public Hearing concerning a Petition to Vacate Lots 43 and 44, Caracol Subdivision as recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas. (GR) 7. Consider and take necessary action to Vacate Lots 43 and 44, Caracol Subdivision as recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas. (GR) 8. Consider and take necessary action to approve the Final Plat of Caracol Lot 43R. (GR) 9. Consider and take necessary action to authorize Commissioners Hall, Lyssy, Behrens and Reese to apply for credit with Con -Metal Concrete Company and sign the credit application. (GR) 10. Consider and take necessary action to approve the removal of seven (7) vehicles from the Sheriff's Office fleet (see attached list) and send them to auction. Auction proceeds will be deposited into the vehicle maintenance account. (RM) Page 1 of 2 NOTICE OF MEETING — 6/16/2021 11. Consider and take necessary action to accept a donation from Francis and Ellen Walter of Lots 31 and 32 of Block 557, Bayside Beach Highlands as shown in Volume Z, Page 42 of the map records of Calhoun County, Texas. (RM) 12. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $2,188.00 and $403.40 for damages and stolen property from December 27, 2020 at the Fairgrounds. (RM) 13. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RM) 14. Accept reports from the following County Office: i. District Clerk — May 2021 ii. Extension Service — May 2021 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Coastal and Marine 4. Family and Community Health 5. Travel Report 15. Consider and take necessary action on any necessary budget adjustments. (RM) 16. Approval of bills and payroll. (RM) Richard 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 2 of 2 #5 GUIDELINES AND CRITERIA OF THE COMMISSIONERS' COURT OF CALHOUN COUNTY FOR GRANTING TAX ABATEMENTAS A BUSINESS INCENTIVE IN REINVESTMENT ZONES CREATED IN CALHOUN COUNTY (For the period June 25, 2021 through June 24, 2023) PREAMBLE WHEREAS, the Commissioners' Court of Calhoun County by resolution adopted on March, 18, 1988 declared its eligibility to grant tax abatement; and WHEREAS, by subsequent resolutions the Commissioners' Court of Calhoun County adopted and extended Guidelines and Criteria for granting tax abatement in reinvestment zones created in Calhoun County; and WHEREAS, as a direct result of being eligible to grant tax abatement, Calhoun County, the Calhoun County Independent School District, Calhoun County Navigation District and other taxing jurisdictions in the county have been able to compete for and obtain expansion projects of the Union Carbide Corporation Seadrift Plant, with projects exceeding one hundred million dollars, and the Formosa Plastics Corporation, Texas facilities of approximately 1.3 billion dollars; and WHEREAS, pursuant to the PROPERTY REDEVELOPMENT AND TAX ABATEMENT ACT, TEX. TAX CODE ANN. Chapter 312, it is necessary to adopt Guidelines and Criteria for granting tax abatement agreements as a business incentive for the next two year period commencing June 25, 2021 through June 24, 2023, inclusive, said Guidelines and Criteria to be unchanged for the two year period, unless amended by three-quarters vote; and NOW, THEREFORE, BE IT RESOLVED that the Commissioners' Court of Calhoun County does hereby adopt the following Guidelines and Criteria for granting tax abatement as a business incentive in reinvestment zones created within Calhoun County, Texas for the period June 25, 2021 through June 24, 2023, inclusive. 1 Section 1 (a) "ABATEMENT" means the exemption from ad valorem taxation of a portion or all of the eligible value of the real property or of tangible personal property located on the real property, or both, as limited by these Guidelines and Criteria and the provisions of TEX. TAX CODE ANN. §312.204. (b) "AGREEMENT" means a written contractual agreement between a property owner and/or lessee and an eligible taxing jurisdiction for the purposes of a business incentive. (c) "AOUACULTURE FACILITY" means buildings, structures and major earth structure improvements, including fixed machinery and equipment, the primary purpose of which is the hatching or incubation or nursing or maturing or processing to marketable size aquatic culture in commercially marketable quantities. (d) "APPLICANT" means the legal entity seeking tax abatement as a business incentive. (e) "APPRAISED VALUE" means the last certified property value as approved by the Calhoun County Appraisal Review Board. (f) "BASE YEAR VALUE" means the appraised value of all property owned by the Taxpayer/applicant in the reinvestment zone as most recently determined by the Calhoun County Appraisal District immediately preceding the application, plus the agreed upon value of all property improvements made in the reinvestment zone since the last appraisal, but before the execution of the agreement. (g) "BUSINESS INCENTIVE" means an item offered of value to a business that induces the business to locate in a particular jurisdiction. (h) "COMMENCEMENT OF CONSTRUCTION" means the placement or construction of any improvements that are part of the project in the reinvestment zone. The storage of building materials in the reinvestment zone that are to be used in construction of the improvements does not constitute commencement of construction. Engineering, site preparation and similar activity shall not be considered commencement of construction so long as permanent improvements that are part of the project have not been constructed and placed in the reinvestment zone. E (i) "COMMISSIONERS" or "COMMISSIONERS' COURT" means the Commissioners' Court and governing body of Calhoun County, Texas. 0) "COUNTY" means Calhoun County, Texas, a political subdivision of the State of Texas. (k) "DEFERRED MAINTENANCE" means improvements necessary for continued operations which do not improve the productivity or alter the process technology. (1) "DESIGNATING AUTHORITY" means the taxing unit that has the authority to designate the reinvestment zone in which the proposed project is located. (m) "DESIGNEE" unless otherwise indicated, means any person or entity authorized by the Commissioners' Court to act on behalf of the County. (n) "ECONOMIC LIFE" means the number of years a property improvement is expected to be in service in a facility, and will continue to have value for ad valorem tax purposes throughout such term. (o) "ELIGIBLE JURISDICTION" includes Calhoun County and any navigation district, any drainage district, and municipal utility district, any water quality improvement district, any municipality, and the Calhoun County Independent School District, that levies ad valorem taxes upon property located within the proposed or existing reinvestment zone. (p) "EXPANSION" means the addition of building, structures, fixed machinery or equipment for purposes of increasing production capacity. (q) "FACILITY" means property improvements proposed, completed, or in the process of construction which together comprise an integral whole. (r) "INFRASTRUCTURE" means a system of public works installed in a residential subdivision, whether public or private, to include, but not be limited to, roadways, utility service including water, sewer and electrical service, and bulk heading. (s) "MANUFACTURING FACILITY" means building and structures, including fixed machinery and equipment, the primary purpose of which is or will be the manufacture of tangible goods or materials or the processing of such goods or materials by physical or chemical change. (t) "MATERIAL MISREPRESENTATION" means a false statement about a material matter which induced the Commissioners' Court to take any specific action on 3 an application for tax abatement as a business incentive, and without such misrepresentation, the Commissioners' Court would either not have designated a reinvestment zone, or granted tax abatement as a business incentive or would have taken some action different than it actually did. (u) "MODERNIZATION" means the replacement or upgrading of existing facilities which increases the productivity input or output, updates the technology, or substantially lowers the unit cost of the operation. Modernization may result from the construction, alteration, or installation of buildings, structures, fixed machinery or equipment. It shall not be for the purpose of reconditioning, refurbishing or repairing. (v) "NEW FACILITY" means a property previously undeveloped which is placed into service by means other than or in conjunction with expansion or modernization. (w) "OTHER BASIC INDUSTRY" means buildings and structures including fixed machinery and equipment not elsewhere described, used, or to be used for the production or products, and result in the creation of new permanent jobs within Calhoun County and inject new wealth into Calhoun County. (x) "PROJECT" is a reference to the entire proposal of work and improvements to be accomplished in the reinvestment zone as described in the application and tax abatement as a business incentive agreement. (y) "REGIONAL DISTRIBUTION CENTER FACILITY" means building and structures, including machinery and equipment, used or to be used primarily to receive, store, service or distribute goods or materials owned by the facility operator. (z) "REGIONAL ENTERTAINMENT" means buildings and structures, including fixed machinery and equipment, used or to be used to provide entertainment through the admission or the general public. (aa) "REGIONAL SERVICE FACILITY" means buildings and structures, including fixed machinery and equipment, used or to be used to service goods. (bb) "REINVESTMENT ZONE -COUNTY DESIGNATED" means any area of Calhoun County which has been designated a reinvestment zone for tax abatement as a business incentive and which is not within the taxing jurisdiction of any incorporated municipality. It is the province of the Calhoun County Commissioners' Court to designate Reinvestment Zones - County Designated on a case -by -case basis in order to 4 maximize the potential incentives for eligible enterprises to locate or expand within Calhoun County. (cc) "REINVESTMENT ZONE - MUNICIPALITY DESIGNATED" means an area of Calhoun County which lies within the taxing jurisdiction of a municipality and has been designated a reinvestment zone by that municipality for tax abatement as a business incentive. It is the province of the City Council of any eligible municipality to designate Reinvestment Zones Municipality Designated on a case -by -case basis in order to maximize the potential incentives for eligible enterprises to locate or expand within the City. (dd) "RENOVATION" is a repair or improvement of an existing facility or structure. (ee) "REPAIR" means any improvement or betterment of an existing facility or structure. (ff) "REPLACEMENT" means the substitution of something new or different for an existing facility or structure, or portion thereof, when the replacement facility or structure is to be used for the same general purpose as the old facility or structure that is being replaced. (gg) "RESEARCH FACILITY" means buildings and structures, including fixed machinery and equipment, used or to be used primarily for research or experimentation to improve or develop or develop the production processes thereto. (hh) "SCHOOL DISTRICT" or "DISTRICT", unless otherwise indicated, means the Calhoun County Independent School District. (ii) "SUBSTANTIAL COMPLIANCE" means that any estimate or prediction that comes within eighty-five percent of a stated amount shall be construed as compliance, but only when estimates are expressly authorized. Unless expressly authorized, strict compliance with a statement or representation shall be required. Oj) "TAXPAYER" means the legal entity that seeks, or who has been approved for tax abatement as a business incentive. It also is a reference to the owner of the property constituting the reinvestment zone and the improvements and tangible personal property to be located therein. 5 Section 2 ELIGIBILITY CRITERIA GENERALLY (a) General Eligibility Subject to the limitations and exceptions contained in these Guidelines and Criteria, TEX. TAX CODE ANN. §312.204 shall govern to what extent real property and tangible personal property located in a reinvestment zone are eligible for tax abatement as a business incentives. (b) Commencement of Construction. If the reinvestment zone is designated by a municipality, the applicant shall not commence construction until after it and the municipality have both executed an agreement on similar terms for the same project then under consideration by the County. Any property otherwise eligible for abatement that is placed or constructed in the reinvestment zone before the agreement is executed with the municipality shall not be eligible for tax abatement as a business incentive. However, any eligible improvements made or property placed in the reinvestment zone after executing the agreement with the municipality shall be eligible for abatement with the County, even though such improvements or property are placed in the reinvestment zone prior to filing the application or executing the agreement with the County, provided that a municipality is the designating authority. If the reinvestment zone is County designated, applicant shall not commence construction until the County executes the agreement. (c) Property Value Eligible for Abatement Subject to the limitations and other eligibility requirements contained in these guidelines, the County may abate the value of tangible personal property located on the real property in the reinvestment zone in each year covered by the agreement, other than tangible personal property that was located on the real property at any time before the period covered by the agreement. The value of real property to the extent its value for each year during the agreement exceeds its value for the year in which the agreement was executed is eligible for abatement. (d) New and Existing Facilities A business incentive may be granted for both eligible new facilities and structures, as well as for expansion or modernization of existing facilities and structures. (e) Eligible Property to be Described The application for tax abatement as a business incentive or any other business incentive and any agreement must describe the project and improvements with such detail and certainty as required by the County in 6 order to identify the property that is declared to be eligible for business incentives. Any property, even though otherwise eligible for business incentives, that is not sufficiently described in the application, as determined by the Commissioners' Court, or their designee, shall not be eligible for business incentives under such agreement. (f) Exclusions. (1) This policy is mutually exclusive of existing Industrial District Contracts. The real property cannot be in an improvement project financed by tax increment bonds. (2) Any business incentive agreement granted is subject to the rights of holders of outstanding bonds of the County. (3) When any project that otherwise satisfies the eligibility criteria for tax abatement as a business incentive is for the purpose of repairing, replacing, modernizing, or upgrading an existing facility, if, prior the commencement of the project, or upon completion of the project the value of the existing facility is reduced or deleted from the tax rolls, then, in such event, the applicant shall only be eligible for tax abatement as a business incentives to the extent of the difference in the last appraised value of the property value that is being dropped or reduced from the tax rolls and the project cost. Section 3 ELIGIBILITY CRITERIA AND TERMS FOR FACILITIES/INDUSTRY (a) Eligible Facilities. A facility may become eligible for abatement if it is located in a designated Reinvestment Zone, and is a: (1) Manufacturing Facility; or (2) Research Facility; or (3) Aquaculture Facility; or (4) Regional Distribution Center Facility; or (5) Regional Service Facility; or (6) Regional Entertainment Facility; and, (7) Other Basic Industry. (b) Economic Qualifications In addition to satisfying the other eligibility criteria, in order to be eligible for business incentives, the new facility or structure, or the expanded 7 or modernized existing facility or structure must meet the following qualifications: (1) The project must cost at least Five Million Dollars ($5,000,000.00); and (2) Be expected to retain or create employment for at least 10 persons of the eligible facility on a full time and permanent basis in Calhoun County; and (3) Not be expected to solely or primarily have the effect of transferring employment from one part of Calhoun County to another; and (4) Be expected to attract major investment in the reinvestment zone that would be a benefit to the property to be included in the zone; and (5) That development anticipated to occur in the proposed reinvestment zone would contribute to the economic development of the County. (6) The County reserves the right to grant abatements up to the state maximum of 100% for 10 years. (c) Term of Abatement. The term of tax abatement as a business incentive granted by the County shall be six (6) years, and shall be applied commencing January 1 following the effective date of the agreement. (d) Effective Date. (1) If the County is the designating authority, the effective date of the agreement shall be the date that the County executes the agreement. (2) If a municipality is the designating authority, the effective date of any agreement that the County approves shall be same date as that of the agreement entered into for the same project by the municipality. (3) Abatement applies to all eligible improvements placed in the reinvestment zone after the designating authority and Taxpayer execute their agreement. Taxes will be abated on eligible property for the number of years approved by the County, commencing January 1 immediately following the effective date of the agreement. Property otherwise eligible for abatement under the agreement shall be eligible for abatement only if the property is placed or constructed in the reinvestment zone after the effective date of the agreement, but on or before December 31 immediately preceding the 0 beginning of the last full tax year that taxes are to be abated. (e) Percent of Tax Abatement as a Business Incentive. The percent of tax abatement as a business incentive of eligible property value to be granted each year shall be as follows: Year Taxable Investment (Millions) 1 2 3 4 5 6 Up to 5.00 5.00 to 9.99 90 50 25 _ 10.00 to 14.99 90 75 50 25 15.00 to 19.99 90 90 75 50 25 20.00 or more 90 90 85 75 50 25 (f) Taxability. From the execution of the agreement to the end of the agreement period taxes shall be payable as follows: (1) the value of ineligible property as provided in Section 2 shall be fully taxable. (2) the base year value of existing eligible property as determined each year shall be fully taxable; and (3) the unabated value of eligible property shall be taxable. (g) Limitations. If, during the term of the business incentive period the taxpayer should close, cease production, or demolish any or all of a facility that was in existence on the effective date of the business incentives agreement, or take any other similar action that would have the effect of reducing or deleting the value of the facility, or portion thereof from the tax rolls that was in existence on the effective date of the business incentives agreement regardless of the reason, then the eligible value for abatement allowed in the business incentives agreement shall be reduced by the amount of existing property value owned by the taxpayer that is reduced or deleted from the tax roll. Depreciation, agreed to by the Chief Appraiser, or Appraisal Review Board, shall not be construed as a reduction or deletion of value for purposes of this limitation. E Section 4 ELIGIBILITY CRITERIA AND TERMS FOR REAL ESTATE DEVELOPMENT (a) Eligible Development. A development may become eligible for abatement if it is located in a designated Reinvestment Zone, and is a: (1) New single family residential housing project; (2) Multi -family housing project; and/or, (3) Apartment project. (b) Duration of Abatement as a Business Incentive. Any Agreement under this section shall not exceed three (3) years. (c) Economic Qualification. To be eligible to receive tax abatement as a business incentive, the developer must expend a minimum of two million dollars ($2,000,000.00) in infrastructure costs for the development. (d) Taxability. From the initial application to the end of the abatement period, taxes shall be paid as follows: (1) All ineligible property shall be fully taxable during the term of the abatement. (2) Any property within the reinvestment zone that is sold, transferred, conveyed, occupied or otherwise no longer part of the developer's inventory shall be taxed at the appraised value determined by the Calhoun County Appraisal District beginning January 1 of the year following the sale, transfer, conveyance, or occupation. (3) At the end of the abatement period, all property subject to the Agreement shall be subject to full taxation. APPLICATION (a) Filing. Any property owner of taxable property in Calhoun County located in a designated or proposed reinvestment zone may request tax abatement as a business incentive by filing a written application with the Commissioners' Court, or their designee. When appropriate, the application may combine a request for designation of a reinvestment zone with an application for tax abatement as a business incentive. (b) Contents. The application shall include all information contemplated by these Guidelines and Criteria in order for the Commissioners' Court to evaluate the applicant's 10 eligibility and to determine whether to grant any business incentives. The application shall be submitted on a form provided by the County, or alternatively, if unavailable, the contents of the application shall be in order of this subsection and respond to each element of this subsection, and shall contain such other information as required by the County, or it representative. Specifically, the application shall include the following: (1) A list of the kind, number and location of all proposed improvements of the property, including a general written description of the general nature and extent of modernization, expansion or new improvements to be undertaken. (2) A statement of the current and proposed uses of the property showing that planned usage is consistent with the general purpose of encouraging development or redevelopment of the reinvestment zone during the period that the property tax exemptions are in effect. (3) A map showing locations of existing and proposed improvements. The map should also show general uses and conditions of the real property in the reinvestment zone. (4) A legal description of the property. (5) An estimate of the project cost and new value that will result from the modernization, expansion or new improvements to be undertaken. A statement of the base year value separately stated for land and existing improvements located in the reinvestment zone, plus any improvements or changes in value in the reinvestment zone after the last appraisal and prior to the application. In any case where the value of an existing facility will be deleted or diminished as a result of the project, the application must contain verification from the Chief Appraiser of the last appraised value of any portion or all of a facility whose value will be reduced or removed from the tax rolls. (6) An estimate of the number of jobs that will be created or retained by the modernization, expansion or new improvements. (7) Estimated date of start of construction, length of construction, estimated value of new improvements to be completed during each year of construction and estimated date of completion. (8) An estimate of what the property value subject to abatement will be on 11 January 1 immediately following the end of the abatement period. (9) In the case of applicants unknown to the Commissioners' Court, a financial statement of the individual or corporation filing the application, complete with letters of credit and other documents which the County may request in order that the Commissioners' Court can appropriately evaluate the financial capacity and other factors of the applicant. (10) The Taxpayer shall make the following assurances in the application: (a) That all the information contained in the application is true and correct. (b) That the person signing the application on behalf of the Taxpayer/Applicant has unrestricted authority to execute the application and the contract documents on behalf of the Taxpayer/Applicant, and has the unrestricted authority to obligate the Taxpayer/Applicant to all the terms, covenants and conditions that will be contained in the agreement. (c) That construction will not commence on any of the eligible improvements until an agreement has been executed with the designating authority, whether the designating authority is the County, or a municipality. (d) That the project will not be constructed without first obtaining all necessary local, state and federal environmental and construction permits, and that the Taxpayer will abide by all conditions of the permits, laws and ordinances, rules and regulations governing the operation of the project throughout its economic life. (e) That the Taxpayer/applicant will abide by all conditions of the agreement and the Guidelines and Criteria adopted by the Commissioners' Court applicable to the agreement. (f) That the planned use of the property will not constitute a hazard to public health or safety throughout the economic life of the project. (g) That the applicant will make the specific improvements to the property as described in its application. (h) That although estimates of the cost of the project and the number of jobs retained or created as a result of the project that are within 85 % of actual 12 cast and/or number of jobs may be construed to be substantial compliance, the actual total cost of the project and actual number of jobs retained or created shall not be less than the minimum amounts required in the County's Guidelines required to qualify for tax abatement as a business incentive. (11) The applicant will identify the type of legal entity making the application, such as corporation, partnership, etc. If a corporation, the statement should include the home state of incorporation, the name and address of the registered agent for service in Texas, and a commitment to notify the County within sixty days of any change of the registered agent or status of the corporation. Similar information will be required of a general or limited Partnership or other legal entity. (12) The application shall contain the name, title and address of the Taxpayer's local and corporate representatives for the purposes of giving notice. (13) In its application, the applicant shall include a statement that it waives all rights of confidentiality with regard to the contents of its application for tax abatement as a business incentive otherwise granted under TEX. TAX CODE ANN. §312 .003. (14) The applicant shall agree to reimburse the County for all legal fees and any other expenses that the County incurs in establishing eligibility for granting business incentives and for reviewing, processing and acting on its application. Further, applicant shall agree to pay for the costs of an economic impact assessment, if the County requires one in connection with its application for business incentives. In the event the County determines an economic impact assessment is required, the Taxpayer shall be given notice and the opportunity to withdraw its application prior to commencement of the economic impact assessment, if applicant is unwilling to pay the total cost of the economic impact assessment. In its application, the Taxpayer shall agree to pay for all fees and expenses incurred by the County in establishing eligibility to grant business incentives and processing the application, even though the Commissioners' Court ultimately denies the application. (15) Any other information that the Commissioners' Court or Applicant may deem appropriate to assist the Commissioners' Court in determining whether to enter into a business incentives agreement with the Applicant. 13 (16) If a variance from any provision in these Guidelines and Criteria is requested, a statement describing the variance, and a detailed statement supporting the Applicant's reasons for the requested variance must be included. (c) Completed Application. Upon receipt of a completed application, the Commissioners' Court shall mail written notice to the presiding officer of the governing body of each taxing unit that includes in its boundaries real property that is included in the application. Such notice shall be mailed at least seven (7) days before the Commissioners' Court takes any action on the application. The notice shall include a copy of the proposed agreement, if the County is the designating authority. There shall be a $1,000 nonrefundable fee payable the County at the time the application is submitted. (d) Economic impact assessment. After receipt of an application for business incentives, the Commissioners' Court may cause to have prepared an economic impact assessment setting forth the impact of the proposed agreement. The study shall include, but not necessarily be limited to, an assessment of the economic effects of the abatement of taxes. The County shall give at least ten (10) days written notice to the Applicant of its intent to conduct an economic impact assessment, which notice shall include a description of the scope of the study. If the Applicant is unwilling to pay for the economic impact assessment, it may give notice to the County within seven (7) calendar days from the date it received notice of the proposed economic impact assessment that the Applicant is withdrawing its application. The economic impact assessment may include any other issue that the Commissioners' Court determines to be appropriate in considering the application, including, without limitation by enumeration, environmental issues, short term/long term effect on issues of adequacy of existing physical plants, need to increase number of employees in the County, and the impact on the County of any resulting increased costs as a result of the project and the County's ability to pay such costs during the abatement period. Section 5 DESIGNATION OF REINVESTMENT ZONE (a) Authority to Designate Reinvestment Zones. Reinvestment zones may be designated by either the Commissioners' Court for property located outside the 14 jurisdiction of any municipality in the County, or by a municipality, if the property is located within the jurisdiction of such municipality. (b) Application for County Designated Reinvestment Zone. An application to the County for designation of a Reinvestment Zone may be combined with the application for business incentives. The application must include information to support the required findings in subsection (c), inclusive of this section. It must also include a map showing the boundaries of the proposed reinvestment zone and a legal description of the proposed reinvestment zone. Any information contained in the application for business incentives that answers the requirements for designation of a reinvestment zone does not need to be duplicated, if the application for designation of a reinvestment zone and business incentives are combined in one application. (c) Designation. The Commissioners' Court may not designate an area as a reinvestment zone until: (1) The Commissioners' Court has held a public hearing on the designation at which time interested persons shall be entitled to speak and present evidence for or against the designation; and (2) The Commissioners' Court must make the following findings in order to designate an area as a reinvestment zone: (a) The designation would contribute to the retention or expansion of primary employment; or, (b) The designation would attract major investment in the zone that would be a benefit to the property to be included in the zone; and, (c) The designation would contribute to the economic development of the county. (d) Notice of Hearing. Notice of the hearing shall be clearly identified on the Commissioners' Court agenda. In addition, notice shall issue as follows: (1) Notice of the hearing must be published in a newspaper of general circulation in the County not later than the 7th day before the date of the hearing; and (2) Written notice of the hearing shall be delivered to the presiding officer of the governing body of each taxing unit that includes in its boundaries real 15 property that is included in the proposed reinvestment zone. Such notice shall be delivered at least 7 days before the hearing. Pursuant to Tex Tax Code Ann. §312.2O1(c) this notice shall be presumed delivered when placed in the mail postage paid and properly addressed to the appropriate presiding officer. (e) Municipality Designated Reinvestment Zones. If the reinvestment zone is designated by a municipality, to be eligible for tax abatement as a business incentive with the County, the property must be located in a reinvestment zone and the municipality must have entered into an agreement for the same project with the applicant no more than ninety days before the County enters into an agreement with the same applicant for the same project. (f) Date of Expiration. The designation of a reinvestment zone shall expire five (5) years after the date of designation. However, the designation of a reinvestment zone that has expired may be renewed by the County or municipality for periods not to exceed five (5) years. The expiration of the designation of a reinvestment zone shall not affect existing agreements made under these Guidelines and Criteria. Section 6 AGREEMENTS (a) Resolution of Commissioners' Court. After approval, the Commissioners' Court shall formally pass a resolution and execute an agreement with the owner of the facility and lessee as required, which shall include those matters contained in Texas Tax Code §312.205 and any other terns and conditions in the best interests of the County. (b) Notice to Other Taxing Jurisdictions. If the County is the designating authority, it shall deliver written notice to the presiding officer of the governing body of each other taxing unit in which the property that is the subject of the agreement is located that the County intends to enter into an agreement. The notice must be delivered at least 7 days before the County enters into the agreement. The notice must also include a copy of the proposed agreement. The notice shall be presumed to be delivered when placed in the mail postage paid and properly addressed to the appropriate presiding officer. 16 (c) Execution/Effective Date. After giving the notices required above, and after making the necessary findings, the County may, in its discretion, approve and execute the agreement. The effective date of the agreement shall be the date that the County's designated representative or official executes the agreement if the County is the designating authority. If a municipality is the designating authority, the effective date of the agreement shall be the date that the City's designated representative or official executes the agreement. Section 7 RECAPTURE (a) Conditions of Default. Cure and Termination. Should the Commissioners' Court determine that the Taxpayer is in default according to the terms and conditions of its agreement, the Commissioners' Court shall notify the Taxpayer in writing at the address stated in the agreement, and if such default is not cured within sixty (60) days from the date of such notice ("Cure Period"), then the agreement may be terminated by the Commissioners' Court. Provided, that upon proof of a curative effort commencing within sixty (60) days, if construction is required, the Commissioners' Court may extend the time to complete the curative work, based upon reasonable construction requirements. (b) Elements of Default. The following shall be considered elements of default, in the event that the Taxpayer: (1) Allows its ad valorem taxes owed to Calhoun County to become delinquent without timely and proper protest and/or contest; or (2) Violates any of the terms and conditions of the abatement agreement, or any prior or subsequent agreement with the County, or any other taxing jurisdiction that has granted an agreement to the Taxpayer for any project that the Commissioners' Court has also granted business incentives; or (3) Discontinues producing product or service at the improvements subject to abatement and described in the application, for any reason excepting fire, explosion or other casualty or accident or natural disaster for a period of one year during the abatement period after the facility is completed and begins 17 producing product or service. (4) Violates any written term, covenant, condition, agreement, or promise of a gift or donation made by the taxpayer to the County, although such may be extraneous to the agreement, and even though same might be otherwise legally unenforceable; or (5) Makes any material misrepresentations, either in the application or agreement. (c) Termination. If, after written notice, the Taxpayer fails to cure within the prescribed period any specified default, such failure shall be grounds for termination for cause. Termination of the agreement for cause shall be retroactive to the beginning of the agreement. Termination shall be effected by resolution of the Commissioners' Court and written notice mailed to the Taxpayer. (d) Non Waiver. In the event the County fails to act on or enforce any element or breach that is identified as a default, such failure to act shall not be a waiver of the County's right to subsequently enforce the same default or any other prior or subsequent default. (e) Recapture. On termination for cause, the Taxpayer shall then become liable for the payment of all taxes that would have otherwise become due but for the abatement agreement for all calendar years during which the abatement agreement was in effect. Said taxes shall be paid to the Calhoun County Consolidated Tax Office for the credit of Calhoun County within sixty (60) days from the date of receipt of notice of termination. All such taxes due shall include statutory penalty and interest from the date they would otherwise have become delinquent but for the agreement, until the date they are actually paid. Section 8 ADMINISTRATION (a) Duties of Chief Appraiser. The Chief Appraiser of the County shall, as a normal consequence of his duties, annually determine an assessment of the real and personal property comprising the reinvestment zone. Each year, on or before April 1, the Taxpayer In receiving abatement shall furnish the Chief Appraiser with such information as may be reasonably requested. Once value has been established, the Chief Appraiser shall notify the affected taxing jurisdictions, which have granted tax abatement as a business incentive in the reinvestment zone, of the amount of the appraisal. (b) Compliance Inspections. All compliance inspections will be made only after giving twenty-four (24) hours notice and will only be conducted in such manner as not to unreasonably interfere with the construction and/or operation of the facility. All inspections will be made with one or more representatives of the company or individual and in accordance with its safety standards. (c) Annual Evaluations Upon completion of construction, the Commissioners' Court of Calhoun County, or their designees, shall annually evaluate each facility receiving abatement to ensure compliance with the agreement. (d) Notice Requirements. Any notice required to be given to Calhoun County hereunder shall be in writing, and mailed or personally delivered to the County Judge. Notices to the Taxpayer shall be in writing, and addressed to its designated representative at the address provided in its application or the agreement. Section 9 MISCELLANEOUS (a) Variance. An application for a variance from the provisions of these Guidelines and Criteria may be made in written form to the Commissioners' Court. The total duration of abatement shall in no instance exceed ten (10) consecutive tax years commencing January 1 following the effective date of the agreement, including any extension. Such request shall include a complete description of the circumstances explaining why the applicant should be granted such variance. Approval of a request for variance requires at least a three -fourths (3/4) vote of the Commissioners' Court. (b) Assignments. An abatement agreement may be transferred and assigned by the holder to a new owner or lessee of the same facility, subject to obtaining written approval by resolution of the Commissioners' Court. Approval shall be conditioned upon the assignee providing whatever proof the Commissioners' Court may require to show the 19 assignee's financial capability to carry out all the terms and conditions of the agreement. The County reserves the right to require such additional information as it may deem appropriate to determine not only the assignee's financial capability to carry out the terms and conditions of the agreement, but also its experience and historical record to determine that it is in fact capable of operating the project subject to the abatement in such a manner that it can reasonably be expected to strictly comply with every term, covenant, condition and assurance contained in the agreement Further, the assignee shall agree in writing by amendment to the original agreement that it shall be bound by all the terms, covenants and conditions contained in the original agreement. No assignment or transfer shall be approved if the parties to the existing agreement, the new owner or new lessee are liable to Calhoun County or any other taxing unit affected by the agreement for delinquent taxes, or otherwise in default of any of the terms, covenants or conditions contained in the agreement. Subject to the foregoing conditions, the Commissioners' Court shall not unreasonably withhold approval of any proposed assignment. Any approval of assignment of the agreement shall not release any previous Taxpayer who has been a party to the agreement from its obligations under the agreement. (c) Application for Exemption. It shall be the responsibility of the Taxpayer to perfect any right of exemption as a result of any agreements entered into with the County. For each year in which abatement has been authorized by the County under the agreement, it shall be the responsibility of the Taxpayer to file its annual application with the Calhoun County Appraisal District for property exemption in accordance with the Texas Tax Code and related administrative regulations. (d) Effective Date. These Guidelines and Criteria shall be effective for two (2) years, from June 25, 2021 through June 24, 2023, inclusive. (e) Sunset Provision. At the end of the two year effective period of these Guidelines and Criteria, all agreements created pursuant to these provisions will be reviewed by the Calhoun County Commissioners' Court to determine whether the goals have been achieved. Based upon that review, the Guidelines and Criteria may be modified, renewed or eliminated. In the event that these Guidelines and Criteria are not modified or C renewed, they shall automatically terminate effective June 24, 2023. (f) Effect of Modification or Termination. The modification or termination of these Guidelines and Criteria shall have no effect upon existing agreements entered into while these Guidelines and Criteria are in effect. (g) Subtitles. The use of subtitles in these Guidelines and Criteria is strictly for convenience, and shall have no legal significance whatsoever. The use of the singular shall include the plural and the use of plural shall include the singular when appropriate. The use of any reference to gender shall include any and all other genders when appropriate. (h) Severability. In the event any paragraph, clause, phrase or other provision of these Guidelines and Criteria should be declared to be unconstitutional, void or otherwise unenforceable the remaining provisions shall remain in full force and effect as if the unconstitutional, void or otherwise unenforceable provisions had not been included. Section 10 ADQPTION Upon motion by Commissioner e(r) "� ,seconded by Commissioner L�AV� [ � , the foregoing resolution to amend these Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Business incentives in Reinvestment Zones Created in Calhoun County was approved by a vote of S for and against. PASSED, ADOPTED AND APPROVED on this day of June, 2021. ATTEST: Anna o an, unty Clerk By: l b Deputy COMMISSIONERS' COURT OF CAL 9 r COUNTY, TEXAS Ri hard Meyer, Count J ge 21 #6 Gary D. Reese County Commissioner County of Calhoun Precinct 4 June 8, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA 1TEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for June 16, 2021. • Public Hearing concerning Petition to Vacate Lots 43 and 44, Caracol Subdivision as recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas. Sincerely, F) ,0P-' Gary D. Reese GDR/at P.O. Box 177 Seadrift, Texas 77993 email: earv.reese(alcalhouncorx.ore (361) 785-3141 - Fax (361) 785-5602 AT�(� FIL�O L!O'CLOC1( Nl ..1UN 1 1 2023 A. �00020 Richard H. Meyer Ct111Ej1�U',Al H%ururr, TExAs C®��, ��e pYDEPL'T(. � Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 1@Will Wltol00631W1 lijl:, Iwlt�l The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, June 16, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that 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 June 16, 2021 concerning a Petition to Vacate Lots 43 and 44, Caracol Subdivision as recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas. The public shall have the right to be present and participate in such hearing. 'chard Meyer, County o Calhoun County, Texa 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 Gary D. Reese County Commissioner County of Calhoun Precinct 4 June 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 June 16, 2021. • Consider and take necessary action to Vacate Lots 43 and 44, Caracol Subdivision as recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas. Sincerely, T�\ aR"� Gary D. Reese GDR/at P.O. Box 177 Seadrift, Texas 77983 - email: Rarv.reeseAa.calhouncom.om _. (361) 785-3141 Fax (361) 785-5602 Land CJ ying +Aeflalimaging PETITION TO VACATE Lots 43 and 44 Caracol Subdivision THE STATE OF TEXAS) THE COUNTY OF CALHOUN) KNOW ALL MEN BY THESE PRESENTS That the undersigned being the designated agent of the owners of the property described as Lots 43 and 44, Caracol Subdivision according to the map or plat of said subdivision recorded in Volume Z, Page 721 of the Plat Records of Calhoun County, Texas, do hereby petition the Calhoun County Commissioner's Court to Vacate said Lots 43 and 44, Caracol Subdivision in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioner's Court on November 29, 2004 and amended on December 13, 2007. The property is proposed to be replatted in accordance with a plat submitted to the Calhoun County Commissioner's Court. The petition will be considered by the Calhoun County Commissioner's Court on June 16, 2021 at 10:00 am tazw/ue nio¢man) Victoria San Antonio Cuero 2004N.Commerce Victoria, TX 77901 12661 Silicon Drive San Antonio, TX 78249 104 E. French Street Cuero, TX 77954 urbansurveying.com 361-578-9837 210-267-8654 361-277-9061 Firm#: 10021100 Firm#: 10193843 Firm4: 10021101 L; 0 Gary D. Reese County Commissioner County of Calhoun Precinct 4 June 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 June 16, 2021. • Consider and take necessary action to approve the Final Plat of Caracol Lot43R. Sincerely, TA -. Gary D.'Ree se GDR/at P.O, Box 177 — Seadrift, Texas 77983 email: ¢arv.reeseAcalhouncomom (361) 785=3141 Fax (361) 785-5602 3m f L.x iovHI 3483S36) I I IVNM 1 I .CO'S 4l M=W.ZZ.f9 5 I •_H nV 0 3 .00.ZL.fB N �I I ZW 8 I J�Ic K et n OOY ; ON �R x ! .Oo'as 3 .00,m.v9 ' I I r I � I �eR -Th I ffi IS 'y+ I I $w a #9 Gary D. Reese County Commissioner County of Calhoun Precinct 4 June 8, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77878 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for June 16, 2021. • Consider and take necessary action to authorize Commissioners Hall, Lyssy, Behrens, and Reese to apply for credit with Con -Metal Concrete Company and sign credit application. Sincerely, Gary Deese GDR/at P.O. Box 177 Seadrifl, Texas 77983 -- email: earv.reeseQcalhouncotx.ore - (361) 785-3141 Fax (361) 785-5602 2998 FM 3084 Port Lavaca, TX. 77979 361-552-4046 P t?G�!iUcr-}1^.' elCi: rr "f C8 CREDIT APPLICATION Please fill out this form completely so that we may serve you better. CREDIT LIMIT REQUESTED: PURCHASE ORDER REQUIRED YES NO x TYPE OF BUSINESS: INDIVIDUAL/SOLE PROPRIETOR —PARTNERSHIP —STATE XCORPORAPON_ DATE INCORPORTED: LLC OTHER: Business Name: Calhoun County Pct. 1 Date: 06/16/2021 Physical Address: 305 Henry Barber Way, PL 77979 Billing Address: 202 S. Ann St. , Ste A Port Lavaca, TX 77979 Billing Email Address: angela. torres@calhouncotx. org List owners or officers including title and percentage of ownership: Title: W Name: Title: Name: Title: %: Accounts Payable Contact: Name: Phone N: Email Address: Date Business Started: (If Incorporated, Print Exactly As Shown On Corporate Charter) Business Description: WHAT TYPE OF BUSINESS DO YOU SERVE? County Government - Road & Bridge Precincts Taxpayer ID/Social Security k: 74-6001923 (Please complete the attached W-9) Tax Exemption Certificate: Complatelyrax Exempt Partially Tax Exempt (For either please attach sgn.ed"Tax Exemption Farm) Purchasing Agent(s): If there are multiple persons, please attach another page. 1. Email: 2. Title: Phone: PAGE 1 Trade References: Please list four companies (local when possible) with whom you have established credit. 1. Name: 2. Name: 3. Name: 4. Name: Banking Relationships and Loans: 1. Bank Contact: Phone: Email: Phone: Fax: Email: Phone: Fax; Phone: Fax: Email: Phone: Fax: Account Email: 2. Bank Name: Account #: Phone: Email: I/We the undersigned, acknowledge that the information on this application is true, accurate and complete. We authorize Con -Metal Concrete, LLC to vertify all financial and credit information provided by references listed above. We agree to pay invoices in accordance with the terms of sale as shown on such invoices. We also agree to pay interest n ALL balances and/or amounts that are past due asset by Con -Metal Concrete, LLC at the le ra allowed by law. Authorized Signatu Title: Print Name: 'T_1 Date: —G IMPORTANT: Payment Term for approved customers Is Net 30. PAGE CREDIT APPLICATION Please fill out this form completely so that we may serve you better. CREDIT LIMIT REQUESTED: 2998 FM 3084 Port Lavaca, TX 77979 361-552 4046 P PURCHASE ORDER REQUIRED YES NO X TYPE OF BUSINESS:INDIVIDUAL/SOLE PROPRIETOR_PARTNERSHIP_STATE XCORPORATION_ DATE INCORPORTED: LLC OTHER: Business Name: Calhoun County Pct. 2 Date: 06/16/2021 Physical Address: 5812 FM 1090; Port Lavaca 77979 Billing Address: same as physical address Billing Email Address: lesa. jurek@calhouncotx. org List owners or officers including title and percentage of ownership: Accounts Payable Contact: Name: Phone #: Email Address: Date Business Started: (If Incorporated, Print Exactly As Shown On Corporate Charter) Business Description: WHATTYPE OF BUSINESS DO YOU SERVE? County Government - Road & Bridge Precincts Taxpayer ID/Social Security #: 74 - 6 001923 (Please complete the attached W-9) Tax Exemption Certificate: CompletelyTax Exempt Partially Tax Exempt (For either please attach signed"Tax Exemption Form) Purchasing Agent(s): If there are multiple persons, please attach another page. 1. Name: 2. Name: Title: Title: Email: Email: Phone: Phone: PAGE 1 Trade References: Please list four companies (local when possible) with whom you have established credit. 1. Name: Email: Address: Phone: Fax: 2. Name: Email: Phone: Fax: 3. Name: Email: Address: Phone: Fax: 4. Name: Email: Address: Phone: Fax: Banking Relationships and Loans: 1. Bank Name: Account Email: 2. Bank N Email Account I/We the undersigned, acknowledge that the information on this application is true, accurate and complete. We authorize Con -Metal Concrete, LLC to vertify all financial and credit information provided by references listed above. We agree to pay ALL invoices in accordance with the terms of sale as shown on such invoices. We also agree to pay interest on ALL balances and/or amounts that are past due as set by Con -Metal Concrete, LLC at the legal rate allowed by law. Authorized Print Name IMPORTANT: Payment Term for approved customers is Net 30. PAGE 2 J CREDIT APPLICATION Please fill out this form completely <_o that we may serve you better. CREDIT LIMIT REQUESTED: 2998FM 3084 Port Lavaca, TX 77979 361-552 4046 P PURCHASE ORDER REQUIRED YES NO X TYPE OF BUSINESS: INDIVIDUAL/SOLE PROPRIETOR_PARTNERSHIPSTATE XCORPORATION_ DATE INCORPORTED: LLC OTH Business Name: Calhoun County Pct . 3 Physical Address:24627 SH 172; Port Lavaca 77979 Billing Add Billing Email Address: lynette . adame@calhouncotx. org List owners or officers including title and percentage of ownership: Name: Title: Name: Title: Date: 06/16/2021 same as physical address Name: Title: %: Name: Title: W Accounts Payable Contact: Name: Phone #: Email Address: Date Business Started: (If Incorporated, Print Exactly As Shown On Corporate Charter) Business Description: WHATTYPE OF BUSINESS DO YOU SERVE? County Government - Road & Bridge Precincts Taxpayer ID/Social Security #: 74 - 6 0 01923 (Please complete the attached W-9) Tax Exemption Certificate: Complete!/Tax Exempt Partially Tar. Exempt (For either Please attach signed"Tax Exemption Form) Purchasing Agent(s): If there are multiple persons, please attach another page. 1. Name: 2. Name: Title: Title: Email: Email: Phone: Phone: PAGE 1 Trade References: Please list four companies (local when possible) with whom you have established credit. 1. Nam 2. Na 3. Na 9 Banking Relationships and Loans: 1. Bank Name: Contact: Email: 2. Bank Name: Contact: Email: Phone: Email Phone: Fax: Email Phone: Fax: Email: Account Account Fax: Fax: I/We the undersigned, acknowledge that the information on this application is true, accurate and complete. We authorize Con -Metal Concrete, LLC to vertify all financial and credit information provided by references listed above. We agree to pay ALL invoices in accordance with the terms of sale as shown on such invoices. We also agree to pay interest on ALL balances and/or amounts that are past due as set by Con -Metal Concrete, LLC at the legal rate allowed by law. Authorized Signature: M ! 1Q Title: CO/11 rv� i SS p y�Q�1__ Print Name: �oi� /"i �ll en-) Cate: :� Ib aO� IMPORTANT: Payment Term for approved customers is Net 30. PAGE 2 CREDIT APPLICATION Please fill out this form completely so that we may serve you better. CREDIT LIMIT REQUESTED: 2998 FM 3084 Port Lavaca, TX. 77979 361-552-4046 P CC�d i+i ClBCd fClwfi!T19is, ICA�,fi. -�f .2_,_.. PURCHASE ORDER REQUIRED YES NO x TYPE OF BUSINESS: INDIVIDUALISOLE PROPRIETOR —PARTNERSHIP —STATE xCORPORATION_ DATE INCORPORTED: LLC OTHER: Business Name: Calhoun County Pct. 4 Date: 06/16/2021 Physical Address: 104 E. Dallas Ave. BillingAddress:P.O. Box 177; Seadrift, TX 77983 Billing Email Address: april . townsend@calhouncotx.org List owners or officers including title and percentage of ownership: Name: Title: %: Name: Title: Accounts Payable Contact: Title: %: Phone ##: Email Address: Date Business Started: (If Incorporated, Print Exactly As Shown On Corporate Charter) Business WHAT TYPE OF BUSINESS DO YOU SERVE? Government - Road & Bridae Precincts Taxpayer ID/Social Security##: 74-6001923 (Please complete the attached W-9) Tax Exemption Certificate: Completely1ra, Exempt Panially Tax Exempt (For either Please attach s?gned" Tax Exemption gorm) Purchasing Agent(s): If there are multiple persons, please attach another page. 1. Title: Phone: 2. Name: Email: PAGE 1 Trade References: Please list four companies (local when possible) with whom you have established credit. 1. Address: 2. Name: Address: 3. Name: Address: 4. Name: Address: Banking Relationships and Loans: 1. Bank Name: Phone: Fax: Email: Phone: Fax: Email: Phone: Fax: Phone: Fax: Account Contact: Phone: Fax: 2. Bank Name: Account #: Contact: Email: I/We the undersigned, acknowledge that the information on this application is true, accurate and complete. We authorize Con -Metal Concrete, LLC to vertify all financial and credit information provided by references listed above. We agree to pay ALL invoices in accordance with the terms of sale as shown on such invoices. We also agree to pay interest on ALL balances and/or amounts that are past due as set by Con -Metal Concrete, LLC at the legal rate allowed by law. Authorized Signature: Print Name: 9 a s t Title: "rnkSS Date: 6 •16 . Zk IMPORTANT: Payment Term for approved customers Is Net 30. PAGE 2 # io CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 5534646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: VEHICLES FOR AUCTION DATE: JUNE 16, 2021 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR JUNE 16 , 2021 w Consider and take necessary action for the Calhoun County Sheriff s Office to remove 7 vehicles from fleet and send to auction. Monies from auction proceed will go back into vehicle maintenance. See attached list. Sincerely, 14dlp�� Bobbie Vickery Calhoun County Sheriff 06/09/21 Vehicle list for Auction. Unit26 Ford Explorer 2014 Vin#:1FMSK8AR7EGB79823 Unit11 Ford Explorer 2014 Vin#: 1FMSK8AR9EGA09124 Unit21 Ford Explorer 2014 Vin#: 1FM5KSAR4EG09127 Unit10 Dodge Ram PU 2015 Vin#:1C6RR6RT4FS668878 Unit2 Dodge G Carava 2010 Vin#: 2D4RN5D16AR269235 Unit 19 Dodge PK 2005 Vin#:1D7HA18N95S196401 #11 2021-02487 DE Total Pages: 3 2111 Deed Date: May 21, 2021 Grantor: Francis L. Walter and wife, Ellen J. Walter. 36 Larchwood Lane Streator, IL 61364 Grantee: Calhoun County, a unit of Texas government Grantee's Mailing Address: Calhoun County c/o Commissioner David Hall 211 S. Ann Street, Suite 302 Port Lavaca, TX 77979 Consideration: Grantors' intention is to make a gift as a charitable contribution under applicable tax laws and regulations. Property: The surface rights only in and to Lot No.'s 31/32, Block 557, Bayside Beach Highlands, Calhoun County, Texas as shown by Volume Z, Page 42 of the Map Records of Calhoun County, Texas. Reservations from Conveyance: None Exceptions to Conveyance and Warranty: Validly existing easements, rights -of -way, and prescriptive rights, whether or record or not, all presently recorded and validly existing restrictions, covenants, conditions, oil and gas leases, mineral interest, and water interest outstanding in persons other than Grantor(s), and other instruments of record. Grantor, for the Consideration and subject to the Reservations from Conveyance and the Exceptions to Conveyance and Warranty, grants, sells, and conveys to Grantee the Property, together with all and singular the rights and appurtenances thereto in any way belonging, to have and to hold it to Grantee and Grantee's heirs, successors, and assigns forever. Grantor binds Grantor and Grantor's heirs and successors to warrant and forever defend all and singular the Property to Grantee and Grantee's heirs, successors, and assigns against every person whomsoever lawfully claiming or to claim the same or any part thereof, except as to the Reservations from Conveyance and the Exceptions to Conveyance and Warranty. GRANTEE IS TAKING THE PROPERTY IN AN ARMS -LENGTH AGREEMENT BETWEEN THE PARTIES. THE CONSIDERATION WAS BARGAINED ON THE BASIS OF AN "AS IS, WHERE IS" TRANSACTION AND REFLECTS THE AGREEMENT OF THE PARTIES THAT THERE ARE NO REPRESENTATIONS OR EXPRESS OR IMPLIED WARRANTIES. GRANTEE HAS NOT RELIED ON ANY INFORMATION OTHER THAN GRANTEE'S INSPECTION. GRANTEE RELEASES GRANTOR FROM LIABILITY FOR ENVIRONMENTAL PROBLEMS AFFECTING THE PROPERTY, INCLUDING LIABILITY (1) UNDER THE COMPREHENSIVE ENVIRONMENTAL RESPONSE, COMPENSATION, AND LIABILITY ACT (CERCLA), THE RESOURCE CONSERVATION AND RECOVERY ACT (RCRA), THE TEXAS SOLID WASTE DISPOSAL ACT, AND THE TEXAS WATER CODE; OR (2) ARISING AS THE RESULT OF THEORIES OF PRODUCT LIABILITY AND STRICT LIABILITY, OR UNDER NEW LAWS OR CHANGES TO EXISTING LAWS ENACTED AFTER THE EFFECTIVE DATE OF THE PURCHASE CONTRACT THAT WOULD OTHERWISE IMPOSE ON GRANTORS IN THIS TYPE OF TRANSACTION NEW LIABILITIES FOR ENVIRONMENTAL PROBLEMS AFFECTING THE PROPERTY. When the context requires, singular nouns and pronouns include the plural. Walter L. Francis Ellen J. W ter STATE OF ILL OIS ) COUNTY OF ) This instrument was acknowledged before me on j Francis L. Walter. �� l Notary to y Vubl�Ly✓c" `� Notary ublic, State of Illinois My commission expires: 1r^5--0Ln/ OFFICIAL SEAL JAMIE L. REDD NOTARY PUBLIC • STATE OF IWNOIS My Commission Expires July A 2021 2021, by STATE OF ILRa,.51UI OIS COUNTY OF This instrument was acknowledged before me on (� / 5*1- 2021, by Ellen J. Walter. (V OFFICIAL SEAL NotarYL15ublic, State of Illinoiss7 JAMIE L. REDD My commission expires: / -;7,5- g NOTARY PUBLIC • STATE OF ILJNOIS My Canminial Expires July 25.2021 FILED AND RECORDED OFFICIAL PUBLIC RECORDS 2022-02487 DE Fee: $0.00 06/17/2021 3:25 PM cblevins ` N �yy7an,c /rs huz'�- Anna Goodman County Clerk Calhoun Coun�y, Texas Deed Date.• May 21, 2021 Grantor: Francis L. Walter and wife, Ellen J. Walter. 36 Larchwood Lane Streator, IL 61364 Grantee: Calhoun County, a unit of Texas government Grantee's Mailing Address: Calhoun County c/o Commissioner David Hall 211 S. Ann Street, Suite 302 Port Lavaca, TX 77979 Consideration: Grantors' intention is to make a gift as a charitable contribution under applicable tax laws and regulations. Property: The surface rights only in and to Lot No.'s 31/32, Block 557, Bayside Beach Highlands, Calhoun County, Texas as shown by Volume Z, Page 42 of the Map Records of Calhoun County, Texas. Reservations from Conveyance: None Exceptions to Conveyance and Warranty: Validly existing easements, rights -of -way, and prescriptive rights, whether or record or not, all presently recorded and validly existing restrictions, covenants, conditions, oil and gas leases, mineral interest, and water interest outstanding in persons other than Grantor(s), and other instruments of record. Grantor, for the Consideration and subject to the Reservations from Conveyance and the Exceptions to Conveyance and Warranty, grants, sells, and conveys to Grantee the Property, together with all and singular the rights and appurtenances thereto in any way belonging, to have and to hold it to Grantee and Grantee's heirs, successors, and assigns forever. Grantor binds Grantor and Grantor's heirs and successors to warrant and forever defend all and singular the v Property to Grantee and Grantee's heirs, successors, and assigns against every person whomsoever lawfully claiming or to claim the same or any part thereof, except as to the Reservations from Conveyance and the Exceptions to Conveyance and Warranty. GRANTEE IS TAKING THE PROPERTY IN AN ARMS -LENGTH AGREEMENT BETWEEN THE PARTIES. THE CONSIDERATION WAS BARGAINED ON THE BASIS OF AN "AS IS, WHERE IS" TRANSACTION AND REFLECTS THE AGREEMENT OF THE PARTIES THAT THERE ARE NO REPRESENTATIONS OR EXPRESS OR IMPLIED WARRANTIES. GRANTEE HAS NOT RELIED ON ANY INFORMATION OTHER THAN GRANTEE'S INSPECTION. GRANTEE RELEASES GRANTOR FROM LIABILITY FOR ENVIRONMENTAL PROBLEMS AFFECTING THE PROPERTY, INCLUDING LIABILITY (1) UNDER THE COMPREHENSIVE ENVIRONMENTAL RESPONSE, COMPENSATION, AND LIABILITY ACT (CERCLA), THE RESOURCE CONSERVATION AND RECOVERY ACT (RCRA), THE TEXAS SOLID WASTE DISPOSAL ACT, AND THE TEXAS WATER CODE; OR (2) ARISING AS THE RESULT OF THEORIES OF PRODUCT LIABILITY AND STRICT LIABILITY, OR UNDER NEW LAWS OR CHANGES TO EXISTING LAWS ENACTED AFTER THE EFFECTIVE DATE OF THE PURCHASE CONTRACT THAT WOULD OTHERWISE IMPOSE ON GRANTORS IN THIS TYPE OF TRANSACTION NEW LIABILITIES FOR ENVIRONMENTAL PROBLEMS AFFECTING THE PROPERTY. When the context requires, singular nouns and pronouns include the plural. Walter L. Francis .. Q t22:�, Ellen J. Wiffter STATE OF ILL OI��` ) COUNTY OF ) This instrument was acknowledged before 217S--, 2021, by Francis L. Walter. OFFICIAL SEAL JAMIE L MOD NOTARY PUBW-STATE OF U00 I.tY CmiYatlan ErgM.MAr 26.20t1 X. ` 1. Notary q6ublic, State of Illinois — My commission expires: 7� a5-y I STATE OF ILL OIS } COUNTY OF ) This instrument was acknowledged before me on 5+ 2021, by Ellen J. Walter. OFFICwI s Noof Illinois tar}� ublic, State JAMIE L REDD My commission expires: 7'9J -o/ NOTARY PUSUC • STATE OF 2JJ M AtfCMM*ft EVknJ*2L 2021 #12 Mae Belle Cassel From: candice villarreal <candice.villarreal@calhouncotx.org> Sent: Wednesday, June 9, 2021 1:59 PM To: maebelle.cassel@calhouncotx.org; Richard H. Meyer; David Hall; vern lyssy, joel.behrens@calhouncotx.org; Gary Reese Cc: cindy mueller Subject: Agenda Item - Insurance Proceeds Attachments: TAC Proceeds 122720.pdf MaeBelle, Please add the following the next available Commissioners Court Agenda. • Consider and take necessary action on insurance proceeds from TAC in the amount of $2,188.00 and $403.40 for damages and stolen property from December 27, 2020 at the Fairgounds. Thank you, Candice Vifllarreaf In AssistantAuditor Calhoun County Auditors Office 202 S. Ann Street, Suite (Port Lavaca, 9X 77979 ('hone (361)553-4612 Calhoun County Texas 1 TEXAS ASSOCIATION OF COUNTIES CHECK DATE I CHCCKNO RISK MANAGEMENT POOL -CLAIMS 6/2/2021 =51133 VENDOR IU VENDOR NAME Calhoun County DATE INVOICE NO I ni JC RIF'71VN —-- 8/2/2021 PR20209338-1 Structure Payment for door fairground building 6/2/2021 PR20209338-1 51133 _ 51133 P-'"Oc� TEXAS ASSOCIATION OF COUNTIES FRUSTBANR RISK MANAGEMENT POOL -CLAIMS 30-9m?0 - 1210 SAN ANTONIO STREE r b Yt AUSTIN. TX 78701 l (512)478-8753 ',IT IT" .. DATE Alb1CIlJIVI -. 6/2/2021 $ 2,188.00 PAY TWO THOUSAND ONE HUNDRED EIGHTY-EIGHT AND 00 / 100DOLLARS TOTHE ORDER Calhoun County 101 M / VOID AT LR S10 IMS �/ �� OF 202 S Ann St Ste B Port Lavaca , TX 77979-4204 © u .i �i" I 11111051133110' TEXAS ASSOCIATION OF COUNTIES 51133 RISK MANAGEMENT POOL -CLAIMS Calhoun County 202 S Ann St Ste B Port Lavaca, TX 77979-4204 TO REORDER CALL 170G) 32.7-9550 W WSF00101 :P.1 03110 --- r TEXAS ASSO(II OF COUNTIES CHECK DATE CHECn NO RISK MANAGEMENT POOL CI _ ------- 612/2021 51132 VENDOR ID VENDOR NAME DATE 611 612/2021 PAY TO THE ORDER OF Calhoun INVOICE NO. PR20209338-1 DESCRIPTION the fairground building Deductible 51132 IN I 'IM,ir k if, ants at 11 $2993.49--_ $-2500,00 51132 FROST LANK TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS 30_9'1110 1210 SAN ANTONIO STREET AUSTIN TX 78701 (512) 478-8,53 DATE AMOUNT 6/2/2021 $403.40 IT FOUR HUNDRED THREE AND 40 / 100 DOLLARS Calhoun County 202 S Ann St Ste B Port Lavaca, TX 77979-4204 1130 S I L 3 2ol TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 202 S Ann St Ste B Port Lavaca, TX 779794204 11 CAI F&j VOIDAFfFR 110DAYS ljzow' 51132 TOREORDER CALL 7061327-9550 illl-SF00101 Ili! iFill #13 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Memorial Medical Center Storage Units -June 2021 page 1 Requested BY: Jason Anglin, CEO Inventory Number Description Serial No. Reason for Waste Declaration t Brown Renner NO Idlpm used 3 Back Rolbnp Office Cem,s No langra us.d I Red Rolkng Mw frier NO lOnper lend Pain of M.Ml sholnp No Langer UsetlNrokon t tln. d' RBtl Bl,worB No longer used I Gray RofngafaaII No LON. Ueed2noken Boo IV Voles No:.onpa Make Ports W o,elcnob Fad No Lonpar UeeWeroken Wcadoo f adle No long., used Melal Rack No langar used 2 N4.alcnuro No Loop, LMOJDrcknn #14 �i,¢yTRICT CLERK MA > >iD4(1111tLJU�R Pv+}1=alr,l ?F } try* r x '> 21$48 s 15837 &21 a= Sk y r = 3= 6, oyrtgpY. ix ,° r � P�`�vv��..1 k �Iy'r�. fl� Fi wy�'Iuo- tlib � i', F F. •� rc t t f ha# 'CR €I�Ti d m 19'$8 ? y; 48 X4 z `� k y n;- t ,"y.,£S i� �T 554� ? £ s# ✓ �{€£ h F S 14 5t t 859 4f1 r®� WF3'l��i'/1�, r F togq -4 } pus tA9 ia� MFiYzc 2 Ml t82244' 7 7s 1Y7l€k x } r 2dk'6 0 5215f1986228 r r F '} �U l4mi BLMr{i V { 73911 7540 i } •, � k, a. t S39 pp cw 6T� NhK�P DiifSN i6o9h b�s{TaA�t'7599 pa< PLEASE INCLVDE P. 0 REQUESTING OISSVRSEMENI 150:00 PLEASE INCLUDE R O. REQUESTING DISBURSEMENT R419s P tluRtRYMHE1 t 4 y 2t 5 PLEASE INCLUDE P. O REQUESTING DISBURSEMENT p xZ 2,5 ' k . , CASH;9HE KS`M�S,4JC EDIT�W,DS 15.589IO44CelDulme hem ACilIAL TreeeBT6Ya Reeeipte. *Treasurer Receipt Numbers: F2021MAY007, 016,023,033 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 6/4/2021 ACCOUNT NUMBER COURT NAME: DISTRICT CLERK MONTH OF REPORT: MAY YEAR OF REPORT: 2021 ACCOUNT NAME DEBIT CREDIT 1000-001-44190 SHERIFF'S SERVICE FEES $1,685.29 1000-001-44140 JURY FEES $160.00 1000-001-44045 RESTITUTION FEE $0.00 1000-001-44020 DISTRICT ATTORNEY FEES $0.00 1000-001-49010 REBATES -PREVIOUS EXPENSE $48.74 1000-001-49030 REBATES-ATTORNEY'S FEES $3,088.33 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEES $58.06 1000-001-43049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $255.00 CRIMINAL COURT $218.48 CIVIL COURT $1,822.44 STENOGRAPHER $225.00 CIV FEES DIFF $0.00 1000-001-44050 DISTRICT CLERK FEES $2,520.92 1000-999-20771 FAMILY VIOLENCE FINE $0.00 1000-999-10010 CASH - AVAILABLE $7,561.34 2706-001-44055 FAMILY PROTECTION FEE $15.00 2706-999-10010 CASH - AVAILABLE $15.00 2740-001-45055 FINES -DISTRICT COURT - $1,861.40 2740-999-10010 CASH - AVAILABLE $1,861.40 2620-001-44055 APPELLATE JUDICIAL SYSTEM $75.00 2620-999-10010 . CASH - AVAILABLE $75.00 2670-001-44055 COURTHOUSE SECURITY $115.05 2670-999-10010 CASH -AVAILABLE $115.05 2673-001-44055 CRT RECS PRESERVATION FUND- CO $176.81 2673-999-10010 CASH - AVAILABLE $176.81 2739-001-44056 RECORD MGMT/PRSV FUND - COUNTY $160.48 2739-999-10010 CASH - AVAILABLE $160.48 2737-001-44055 RECORD MGMT/PRSV FUND -DIST CLRK $191.40 2737-999-10010 CASH - AVAILABLE $191.40 2731-001-44055 LAW LIBRARY $525.00 2731-999-10010 CASH - AVAILABLE $525.00 2663-001-44050 CO & DIST CRT TECHNOLOGY FUND $21.68 2663-999-10010 CASH - AVAILABL $21.68 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH - AVAILABLE $0.00 2667-001-44055 CO CHILD ABUSE PREVENTION FUND $6.28 2667-999-10010 CASH - AVAILABLE $6.28 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $105.00 7502-999-10010 CASH-AVAILABE $105.00 7383-999-20610 DNA TESTING FEE - County $5.52 7383-999-20740 DNA TESTING FEE - STATE $49.65 7383-999-10010 CASH - AVAILABLE $55.17 7405-999-20610 EMS TRAUMA FUND - COUNTY $23.09 7405-999-20740 EMS TRAUMA FUND - STATE $207.79 7405-999-10010 CASH - AVAILABLE $230.88 7070-999-20610 CONSOL. COURT COSTS - COUNTY $42.14 7070-999-20740 CONSOL. COURT COSTS - STATE $379.23 7070-999-10010 CASH - AVAILABLE $421.37 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY 0. 09 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $630.76 7072-999-10010 CASH- AVAILABLE $700.85 2698-00144030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $79.39 2698-999-10010-010 CASH - AVAILABLE $79.39 $ 88 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $63..50 7390-999-20740-999 DRUG COURT PROG FEE - STATE 7390-999-10010-999 CASH -AVAILABLE $79.38 7865-999-20610-999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.64 7865-999-20740-999 CRIM - SUPP OF IND LEGAL SVCS - STATE $5.79 7865-999-10010-999 CASH -AVAILABLE $6.43 7950-999-20610 TIME PAYMENT - COUNTY $63.91 $63.90 7950-999-20740 TIME PAYMENT - STATE 7950-999-10010 CASH - AVAILABLE $127.81 7505-999-20610 JUDICIAL SUPPORT-CRIM - COUNTY $2.90 7505-999-20740 JUDICIAL SUPPORT-CRIM - STATE $16.43 7505-999-10010 CASH -AVAILABLE $19.33 7505-999-20740-010 JUDICIAL SALARIES -CIVIL- STATE(42) $739.11 7505-999-10010-010 CASH AVAILABLE $739.11 2740-001-45050 BOND FORFEITURES $0.00 2740-999-10010 CASH- AVAILABLE $0.00 2729-001-44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $1.29 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $11.62 7857-999-10010 CASH - AVAILABLE $12.91 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH - AVAILABLE $0.00 7403-999-22888 DIST CRT - ELECTRONIC FILING FEE - CIVIL $630.00 7403-999-22991 DIST CRT - ELECTRONIC FILING FEE - CRIMINAL $25.42 CASH - AVAILABLE $655.42 1000-001-44050 DISTRICT CLERK FEES $151.53 1000-999-10010 CASH - AVAILABLE $151.53 2739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $94.70 2739-999-10010 CASH - AVAILABLE $94.70 2669-001-44050 COUNTY JURY FUND $3.79 2669-999-10010 CASH - AVAILABLE $3.79 2670-001-44055 COURTHOUSE SECURITY $37.88 2670-999-10010 CASH - AVAILABLE $37.88 2663-00144050 CO & DIST CRT TECHNOLOGY FUND $15.15 2663-999-10010 CASH -AVAILABLE $15.15 2676-00144050 COUNTY SPECIALTY COURT FUND $94.70 2676-999-10010 CASH - AVAILABLE $94.70 TOTAL: $397.76 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - STATE $210.50 7855-999-20657-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $4.50 7855-999-20792-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE ($3.00) 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $3.00 7855-999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE $819.17 7855-999-20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY $43.11 '7855-999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $0.00 7855-999-10010-010 CASH - AVAILABLE $1,07728 TOTAL (Distrib Req to Oper Acct) $15,815.29 $15,417.53 DUE TO OTHERS (Distrib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 150.00 REFUND OF OVERPAYMENTS 21.51 DUE TO OTHERS 0.00 TOTAL DUE TO OTHERS $171.51 REPORT TOTAL - ALL FUNDS 15,589.04 PLUS AMT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (15,589.04) Revised 01/31/20 OVER / (SHORT) $0.00 DISTRICT COURT MAY STATE COURT COSTS REPORT 2021 MAY SECTION I: REPORT FOR OFFENSES COMMITTED COLLECTED COUNTY STATE 01/1/20- Present "?f;,_,; a. ,;, 70.09 630.76 01/01/04 - 12/31/19 $415 54 41.55 373.99 09101101-12/31/03 - yl`.t4 0.48 4.31 09/01/99 - 08/31/01 0.10 0.94 09/01/97-08/31/99'��'...., , `'d"': - - 09/01/95-08/31/97 - - 09/01/91-08/31/95 DNA TESTING FEES 55.17 5.52 49.65 EMS TRAUMA FUND 230.88 23.09 207.79 JUV. PROB. DIVERSION FEES JURY REIMBURSEMENT FEE $12.91 1.29 11.62 INDIGENT DEFENSE FUND $6.43 0.64 $5.79 STATE TRAFFIC FEES $0.00 - $0.00 DRUG CRT FROG FEE $158.77 $95.27 63.50 SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEAR/PAY FEES - JUD. FUND-CONST. CO. CRT. - JUD.FUND-STATUTORY CO. CRT, MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE $127.81 63.91 63.90 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $19.33 2.90 16.43 ELECTRONIC FILING FEE - CR $25.42 $25.42 TOTAL STATE COURT COSTS $1,758.94 $ 304.84 $ 1,454.10 CIVIL FEES REPORT MAY COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV $630.00 $630.00 NONDISCLOSURE FEES 0 $0.00 $0.00 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROS CRT INDIG FILING FEES STAT PROS CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONST CNN CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW 18!. $215.00 4.50 210.50 DIST CRT OTHER THAN DIV/FAM LAW 61, $0.00 3.00 (3.00) DIST CRT OTHER CIVIL FILINGS 42. $862.28 43.11 819.17 FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE 20 $739.11 $739.11 JUDICIAL & COURT PERSONNEL TRANING FEE 42 $105.00 - $105.00 TOTAL CIVIL FEES REPORT $ 2,551.39 $ 50.61 $ 2,500.78 TOTAL BOTH REPORTS $ 4,310.33 $ 355.45 $ 3,954.88 CALHOUN COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: DISTRIBUTION REQUEST DR# 420 A 44351 PAYOR Official: Anna Kabela Title: District Clerk ACCOUNT NUMBER DESCRIPTION AMOUNT 7340.999.20759.999 District Clerk Monthly Collections - Distribution $15,417.53 MAY 2021 V# 967 TOTAL 15,417.53 Signature & Official (/ Date 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT May 2021 Miles traveled: County Vehicle 445• Personal Vehicle 0 Selected maior activities since last report May 3 — Serve as Austin County 4-11 Council Interview Judge (remaining youth) May 3-12 — CPR, Lifesaving and First Aid Training May 4 — Wrap Up District Livestock Judging Meeting Online May 5 — POC and Seadrift Wrap Up Egg to Chick Lesson/Eggs Hatching May 6 — Path to the Plate — Alligator Meeting Coastal Bend 4-H Sportfishing Day Planning Meeting Wrap Up District Food Challenge Meeting Online Cattlemen's Banquet May 7 — YMCA 4-H Club Meeting May 11— Coastal Bend 4-H Sportfishing Day Planning Meeting with Meredith Meeting with YMCA to plan rest of Summer Camp District 11 4-H Record Book Training May 12 — CPR/First Aid Test CCF Livestock Meeting May 13 — TAE4-HA Meeting — Victoria May 17 — Path to the Plate — Alligator — Video First Part of Program May 18 — Serve as Victoria County 4-H Interview Judge May 19-20 — Southeast Region Program Planning May 21— Ag in the Classroom May 24 — Practice Swim Test for Lifeguard Training Club Manager/PALA Meeting Calhoun 4-H Council Meeting May 26 — Commissioners Court Interpretation Direct Contacts by: Office: 8 E-mail: 187 Facebook Posts/Followers: 24 posts/465 followers Site: 12 Newsletters: 1 Instagram Posts/Followers: 8 posts/145 followers Phone/Texts: 57 4-11 Enrollment: 188 youth; 16 adults Maior events for next month— June 2021 June 2 —District 11 4-H Horse Show (Edna) June 3 — YMCA Water Safety 4-H Water Safety June 7 — Work in HJM Garden YMCA — A&M Chemistry Road Show YMCA — Go Pros June 8-9 — YMCA King Fisher Beach Seining June 9 — YMCA Go Pros June 10 —YMCA Set Eggs June 11 — Practice 4-H Interviews June 12 — CCF Commercial Heifer Validation June 14 — Star Award/Scholarship Interviews Major Show Swine Validation June 15 — YMCA Floating Classroom f Major Show Steer/Heifer Validation June 17 — Victoria YMCA Floating Classroom June 18 — YMCA Go ProsNideo Editing June 21— Matagorda County 4-H interviews (Bay City) June 22-24 — YMCA Kayaking June 25 — Program Planning Meeting with Erika, RPL YMCA Go Pros/Video Editing June 28 — 4-H Photography Day Camp San Patricio County 4-H Interviews (Sinton) June 29-30 — YMCA GBRA June 29 — CCF Sheen/Goat/Swine Taa In CEA — 4-H and Youth Development May 2021 Texas A&M AgriLife Extension - The Texas A&M University System - College Station, Texas Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT May 2021 Miles traveled: County Vehicle (114) Personal (236) Selected maior activities since last report May 5 - Texas Watershed Steward Workshop May 6 — Calhoun County Cattlemen Banquet May 7 - 2021 Mid Coast Beef and Forage Seminar May 10-12 Equine Management— King Ranch Institute —Kingsville May 13 - Calhoun County Fair Board Meeting May 17 — Path to the Plate Alligator Video and Interview with County Judges — Calhoun and Matagorda May 19 — Southeast Regional Faculty Meeting — Virtual May 21 — Ag in the Classroom - 3`s graders — Calhoun County May 26 — Commissioner's Court Interpretation May 27 — Row Crop Committee Meeting Direct Contacts by: Office: 8 E-mail/Letters: 121 / Facebook Posts/Followers: posts 3 / 488 followers Site Visits 5 Blog Posts: 1 Phone/Texts:54 Volunteers: II District Horse Show — Edna State Roundup — State Horse Judging Contest — Bryan Rx — Fire Program - Speaker — Bay City Victoria County Crop Tour— Speaker Calhoun County Crop Tour Award Interviews — Goliad County Greg Baker Name CEA- Agriculture and Natural Resources Title County May - 2021 Date (Month -Year) Texas A&M AgriLife Extension - The Texas A&M University System - College Station, Texas C Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT May 2021 Miles traveled: County Vehicle 57 Personal Vehicle - 109 Selected major activities since last report 5/3 — Meeting with Corp of Engineers about Magnolia Beach Project 5/3-5/7 — Work on USFWS Form S7 for Chocolate Bayou Boat Ramp Project 5/3-5/12 — CPR, Lifesaving and First Aid Training 5/12 — Marine Advisory Committee Meeting 5/12 — CPR and First Aid Certification Test 5/17-5/21 — Build Kayak Trailer Boxes and Rig new kayaks for 4-H/YMCA Activities 5/20 — Lifesaving Certification Test 5/25 — Seadrift Elementary Robotics Class Fishing Trip 5/26 — Commissioners Court Interpretation 5/29 — Matagorda Bay Fisherman's Cooperative Meeting Direct Contacts bv: Office: 9 E-mail/Letters: 177 Instagram Posts/Followers; 3/143 Site:5 Newsletters: 1 Phone/Texts:141 Volunteers: II Maior events for next month — June 2021 June 1-30 — YMCA Summer Camp June 3 — 4-H Sportfishing Basic Water Safety Name County Coastal and Marine Agent May 2021 Title Date (Month -Year) Texas A&M AgriLife Extension ;r&ram/Texas A&M University System • College Station, Texas l0 � Family and Community Health EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT May 2021 Miles traveled: 4 CounV Van 944 Personal Vehicle Selected major activities since last report ❖ May 4 TEEA meeting and 2nc A Fresh Start to a Healthier You Series with them ❖ May 5 Calhoun County Public Forum Meeting ❖ May 6 Cooking Dinner Tonight Recipes for Cattle Men's Banquet ❖ May 10-14 Car Seat Technician Certification Training in Midland May 17 New Original Series Recipes are Just Suggestions -Multifunction Cookers ❖ May 18 A&M Foundation Meeting/Training with Donnie ❖ May 19 Regional Program Planning Training S May 20 Senior Citizen's Center Board Meeting ❖ May 21 Ag in the Classroom with NRCS and Soil and Water Conservation ❖ May 24 Walk Across Texas 8 Week Program starts May 25 Monthly Childcare Training May 26 Commissioner's Court Interpretation Direct Contacts by: Office:8 E-mail/Letters: 389 Facebook Page Post 41 Site:5 Newsletters: 0 Followers 526 Phone/Texts:56 Volunteers:3 Major events for next month — June 2021 ➢ June 1 TEEA Meeting and Better Living for Texans A Fresh Start to a Healthier You with them ➢ June 2, 9, 16, 23, & 30 Walk and Talk in the Pool begins at the Port Lavaca Pool 6:00pm ➢ June 2 & 25 Multi -County Face to Face Childcare Conference Planning Meetings ➢ June 4, 11, 18, & 25 Cooking Well with Diabetes Series at the Senior/Heritage Center 1:00 ➢ June 7 Learn Grow Eat Go Garden Beds at HJM with Emilee ➢ June 7-10 Healthy Eating Programs at the Calhoun County Libraries in POC, Seadrift, PC & PL ➢ June 14-17 Cooking Camp with YMCA 6-8-year-olds ➢ June 21 Recipes are Just Suggestions -5:30 Air Fryers ➢ June 22 Early Childhood Educators Monthly Training 6:30 ➢ June 23-24 Food Manger's Class in Calhoun County ➢ June 27-July 1 South Texas Judges and Commissioners Conference Karen P. 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Vendor Name Class de,ti !;_tt;;.!dLf, Pay Code _t 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Ot Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 052121 05/31/2021 05/21/2021 07/01/2021 704.00 0.00 0.00 704.00 TRANSFER NH (pL�(,lyK f1jj jepoSt-64 jAiD %kML Orefx-iYW 052521 05/31/2021 05/25/2021 07/01/2021 J 10,865.12 0.00 0.00 10,865.12 TRANSFER 1% ii 052621 05/31/2021 05/26/2021 06/08/2021 48,107.23 0.00 0.00 48,107.23 if TRANSFER 1t it 052821A 05/31/2021 05/28/2021 06/08/2021 5,767.14 0.00 0.00 5,767.14 TRANSFER 060321 06/04/2021 06/03/2021 07/01/2021 10,633.12 0.00 0.00 10,633.12 UHC QIPP 1,2,3 & LAPSE Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HE 76,076.61 0.00 0.00 76,076.61 Grand Totals: Gross Discount No -Pay Net 76,076.61 0.00 0.00 76,076.61 mail `" dY 114N 11 2021 file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.comiu88150/data_5/tmp_cw5repert6913517623157637449.html Ill 611012n21 tmp_cw5report973960404772191890.him1 � 11 .. MEMORIAL MEDICAL CENTER O6/10l2021 0 11:19 Ih AP Open Invoice List en _o a _invoice.tem p p p late Dates Through: Vendor# Vendor Name Class Pay Code 12606!7t n'ri✓ P_'e)rna.,J.tM,,I'iEi11GULF POINTE PLAZA Invoice# Comment Tran DI Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 052821C 05/31/2021 05/28/2021 06/08/2021 165.02 0.00 0.00 185.02 TRANSFER pjq iy1$1.11' k(L tKA- r,pasi-1rA iK4n VVA.l 0n6VV.L 052821D 05/31/2021 05/28/2021 06/08/2021 2,000.00 0.0 0.00 2.000.00,% TRANSFER 11 11 052821B 05/31/2021 05/28/2021 06/0812021 84.10 0.00 0.00 84.10 TRANSFER tt 't 060321 06/04/2021 06/03/2021 07/01/2021 6,296.93 0.00 0.00 6,296.93 UHC QIPP 1,2,3 & LAPSE Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLA2 8,566.05 0.00 0.00 8,566.05 Repo; 15%iinmsn, Grand Totals: Gross Discount No -Pay Net 8,566.05 0.00 0.00 8,566.05 JUN 11 2921 file:/NC:/Users/mmckisseck/cpsilmemmed.cpsinet.comlu88150/data_5/tmp_cw5report973960404772191890.html ill 6/10/2021 tmp_cw5report 1309202016050932305.htm I MEMORIAL MEDICAL CENTER O6/10/2Q21 11.20 AP Open Invoice List IUG� ap_open invoice.template y�k-�� J Dates Through: Vendork_ Vendor Name Class Pay Code 130.04�.1fi!::'dlr. '�'S3S cre.�„i7c!;:yyt+, TUSCANY VILLAGE Invoicen Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 052121 05/31/2021 05/21/2021 07/0112021 337.34 0.00 0.00 337.34 TRANSFER NO Ij1St1YA.{\((. pu K4 tpL, i+rj �VV "'1'V' i hju MML O fxv .�� 052421 05/31/2021 05/24/2021 07/01/2021 15,754.61 0.00 0.00 15,754.81 TRANSFER 11 11 052421A 05/31/2021 05/24/2021 07/01/2021 2,195.00 0.00 0.00 2,195.001,/" TRANSFER cl 1t 052521 05/31/2021 05/25/2021 07/01/2021 3,817.79 0.00 0.00 3,817.79 TRANSFER (4 11 052621B 05/31/2021 05/26/2021 06/08/2021 8,844.43 0.00 0.00 8,844.43 TRANSFER 11 11 052821C 05/31/2021 06/28/2021 06/08/2021 2,178.00 0.00 0.00 2,178.00 ✓ TRANSFER ti 052621A 05/31/2021 05/28/2021 06/08/2021 1,560.86 0.00 0.00 1,560.86 bi TRANSFER 11 060321 06/04/2021 06/03/2021 07/01/2021 8,342.50 0.00 0.00 8,342.50 �^ UHC QIPP 1,2,3 & LAPSE Vendor Totals: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 43,030.73 0.00 0.00 43,030.73 ey ari A,:,r-a;.r_cy Grand Totals: Gross Discount No -Pay Net 43,030.73 0.00 0.00 43,030.73 IoN 11 2121 file:///C:/Users/mmekissack/cpsi/memmed.cpsinet.comfu88l 50/data_5/imp_cw5reportl 309202016050932305.html i/i 6/10/2021 lmp_cw5repon3836082623298064486.html 06/10/2021 L 4 MEMORIAL MEDICAL CENTER 0 t ., . ,. 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TIC 61)):011 HIIMgNi INS CO N11IPIMIA111.I4PRl a11J 11156) -YStSra'VIV'0Pj 6/1/50:.1 NORIOIANI3ANCCIAIMP1.1161569142 O I6316C9 6{:11011 VIIREOUSHMQ SCRVKC6.11C 6/M011 Oeoam NIOU 1 NORIOIANI3ANCCIAIMPAIII,ISWIH10000ISM4.0 W.00:1 HOflIwAM 13A nLGL1�iflA11 G15d41 iSCCMI)9165) 6/10.'S031 HEAIiN HUMAN SVC xCCLAIA1PM11)46MMI301i! 611112021 De ,e 61112MI HEWN HUMAN SVC HCCCAIMPI.111146C034113011! NImC PORTION 01P10I.P46 NIA JUUUfI,%,l Ian1 QIPP/C.-oz QIPP/CPmP2 '""Ic..'s IaPIP QIPP 31 PORTION 11,i1x II 1]6080 n,l dun sw 59 - aOull 4ss99s4 1ses.9a zsesa6 mmc PORTION QIPPIE..14& NH lra0s1e1_O93 Tea*—, P OIPP/COm9% QIPPlc.P3 oIPP/COMPS L.,e QIPP TT I PORTION 42" 4)04 E1L1951: S.I5<5 S.IRtl iS 13,851.16 - I3.tl9516 10,169 sb IO.499 s4 I.)3 )S 55%96fi 31 59 w 1 I lC Ti � I.I IO Ii 110 131.19f.1i I 91.953]9 9L9sLI9 216.701.76 9E.536.13 94,538.0 I 1 6,1412021 Treasury Center Quick View Select Ouick View Accounts Select Group Account Number I Name Groups idin r. rGup Account Type 9r=mltJl All DDA Data li'.Vorlad as or Jun la 2u,?1 1'24 ALt ;. Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts; 15 $5,965,888,66 $6,141,151.84 $5,965A88.66 $6.196.520.04 � 'J551 CAL CO INDIGENT S14,019.93 S14.019.93 S14,01943 S5.794.00 U HEALTHCARE '4a54 MEMORIAL MEDICAL,, NH GOLDEN CREEK $202187 18 $202,167 18 $202,167.18 $170 194.54 HEALTHCARE MEMORIAL MEDICAL CENTER - CLINIC SERIES $535.31 S535 of S535.3 i 6435.31 U 201.1 '4357 MEMORIAL IIIFDICAL S1.91280-51 S%i1-3.195 ct2 S1.912.80:52 SZ516,03'.86 CENTER - OPERATING �� '4373 MEMORIAL MEDICAL S4309N B•130.9d 54S0.9 4" CENTER - PRIVATE ' WAIVER CLEARING 4:f91 MEMORIAL A.dEDICAI 5163,568. 35 SI63.56E.66 5163,560.66 593.1i73.9?. CENTER, NH ASHFORD -03 MEMORIAL MEDICAL CENTERINH $108,68333 5114.20369 5108,683.33 S90,690. 19 O BROADMOOR 44 11 MEMORIAL MEDICAL 5126,0 i3.(I.3 5741.808.35 5126.1113.00 584,770.08 CENTER! NH CRESCENT '4446 MEMORIAL '.IEOICAL S84 972.22 S84 b73.22 S84,972.22 558.27C 7F U CENTER I NH FORFSEND »s9 MEMORIAL MEDICAL CENTER i SOLERA AT 51aw59P.G8 $:08.254.8= St49.59969 5126.Y9?ii O WEST HOUSTON '299h MMC -MONEY MARKET S2.606,587.00 S2.606.587. 00 S2,606,587 AO S2.606.587 CIO FUND '5506 MMC -NH BE THANY S273,599.42 S273,:399.42 5273.599R2 S253,624 a5 SENIOR LIVING -54•t 1 tAAIC -NH GULF POINTE PLAZA - 592,109.36 39210930 592,109,36 331.032-1 I•AEDICAREIMEDICAID '5433 MNIC -NH GULF POINTE 52,707 72 f S7,603 7.1 52,707 72 PLAZA - PRIVATE PAY 'A4r17 MIAC-NH TUSCANY '3228.070.26 5228,070.2o Y228.07026 $133.071, 31 VILLAGE M:ps:Jprosperily.olbanking.comron6neAlessenger 1.1 Memorial Menl<al Center Nursing Hnme t/PL Weekly Tuscany Transfer Prosperity Accounts 6/14/2021 nlrmu• met hank" 9aelnmh{ rneins lun laraale RkruMRoma Rkme.. mbn[e ,nnlr. au[ n [o!vm orW nn loam en mm NRn.na nuNVRemr ,"., + InThrr)o IRRam so +¢sm :•c Tri{EsiiysinbflMRa. ue.weE6 101461.91 k.rimn en.na moo waxndmnpw M!mr.r. n.roup rnnl[ ns.P)✓ WIIM1FWdI I Meal[n< RaeauP Uinlr 1,. / E/21.03 W.lkh.k0[Pm MCNau Re[nup Clinl[ Q1J (` M." PMERIOROOP 4PRILOIPP PYMT EI,O10.61,/ Falk!r 111.1—/irana<[Pml laE:afl9{ ✓ :enw. al uun SdartraneNninnnnmr a.ra. I)an1'.1.nhlaltl,, M1In11 O$IAIIft,MMCarpuvled rnroen o:r••url. I,pn M{tiryCEp 6119/]011 JUN 14 2121 � I 9 Nse0n1P3'&nllik"LWln��n 6/1/2021 NOWTAS SOLUTION HCCLAIMPM 6762DI 420000179 6/2/2021 WIRE OUT UNBAR ENTERPRISES. LLC 6/2i2021 Deposit 6/2/2021 AMERIGROUP CORPO E-PAYMENT EES217942411100D 614/2021 KS PEAK ADMINIST HCCIAIMPMT 179 L110OW25779 6/812021 NOVITAS SOLUTION NCCLAIMPMT 67620142W00144 6/11/2021 CK 1011 611/2021 CK 1013I 6/11/2021 CK 1009 6111/2D21 DeP.mt 6/11/2022 KS PLAN AOMINIST HCCLAIMPMT 1791110H029804 6/1112021 NOVITAS SOLUTION HCCLAIMPMT 676201 420MMISO MMC PORTION gIPP/COmP4 Transfer -Out Tranitervin I gIPP/Comp1 gIPP/Comp2 gIPP/C9mP3 Elapse gIPPO NH PORTION 40,229.77 - 40.22971 177.99124 3.2:3.75 1.23769 5.19782 26,783 34 M.960.51 16,117.78 24.51500 1.594 23 81,724.90 MGM 19.733.31 26, 18934 2,924.02 6.90602 12.69 22,039.19 4,921.36 24,51500 1.59423 81.724.90 3.960.00 L9,733.31 6,,1412021 Treasury Centel Quick View Select Quick View Accounts Select Group Account Number' Name Groups nnq lit rnip Account Type DOA us of Jur 14.- Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $6,965.888.66 $6,141,151.84 $5,965.688.66 $6.196,520.04 -4551 CAL CO INDIGENT 514,U 19.93 51.1,0 i 9.93 S14,019.93 55 754 11'.', HEALTHCARE '4454 MEMORIAL (MEDICAL , 5202,187 18 S202.187 18 S202,167 18 $170. 194 54 NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL 5555.31 S535.31 5535,31 S535A I _ CENTER -CLINIC SERIES 2614 '4357 MEMORIAL MEDICAL 51,912.804,52 S2.043, 199.92 S14112,804.52 S2.'loi4281, CENTER - OPERATING '4373 MEMORIAL MEDICAL S430.99 $430.96 S430.58 S•130.96 u CENTER - PRIVATE PJAIVER CLEARING 391 MEMORIAL MEDICAL 5763.5686N 5163,562; 56 $163.566.6fi 593.615 62 CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL 5108,663.33 $71.1,20.16E Si08.683.33 590,%;50. 19 n CENTERINH BROADMOOR 44 1 AdEM1/ORIAL IIEDIGAL 5126,0i3.05 5141.80835 $12e.013.09 584.170 06 CENTER! NH CRESCENT 445 PAEh10RIAL MEDICAL $t:x 972.2E $64 972 ':: $A4 972.2;' S58 C7E,7e. O CENTER I NH FORT BEND '4436 MEMORIAL MEDICAL $14A5995'. St18.25982 5149,59968 5126.2897d O CENTER r SOLERA AT WEST HOUS ION 2998 Iv1UC-MONEY MARKET $2.608.567 00 52-606.587 00 $2.606,587.00 S2.li0131,587 Dr, FUND S106 M11MC-NH BETHANY 5273.595.42 $273,599.42 5273,599,42 S253624,9;, SENIOR LIVING ' 544 r MMC -NH GULF POINTE S92.109.36 S92 109.36 $92.10936 $31.032al �I PLAZA- MEDICAREIMEDICAID - M%IC -Nli GULF POINTE S2.707.72 57 303 74 S2.707 72 $26 086A5 n PLAZA - PRIVATE PAY ;07?7 fdMC-NFI Tl15CAIJ1' $228.070.25 ✓ S224.07O.'LS 5222.070.26 $133.1177.31 VILLAGE hips.' 1prosperity.olbarkino,com: onl meNlessenger 1,1 Memorial Medical Center Nursing Home UPI. Weekly HSLTrans/er Prosperity Accounts 6/14/2021 " 'rse(v.Y`$flAYi xi:�ee fin]/errrv]ty rnr nuru iq n]m[ meN mme.ean[nare ovv mn,ner u/5lw nx strc.-urw.ud[v ern u.. e...r emonm In R+ ememt Tnmrmedm nenl H�Ivm aO1vC V+n leivnn Wltn(v l[6W W iMM1eldiN Inr Med,u. A.,-, Nmp Wi1M1M1oldm[Ivr Median Re<eu0 [Sm< GPRIImVUSI W 11 .AVUNTUFUIII 55 WNe,.-1, SC, admt e+I+nrtRrentle+amt 111.110.16 f <W I+rnrn dnllin, SEO cil x.:n.1 JUN 14 2121 I Vm.-1,11-1-.11 a+vinvlry femnm 111ZI VmpNn ual L.av 1..—, y n,:r A. Beihf 45e I"+'�wtni �. 6/1/2021 NOVITAS SOLUTION HCCLAIMFMT 626A8143000,0179 6/2/2021 WIRE CUT BETHANV SENIOR LIVING, LTC 6/2/2021 O<pov: 6/2/2021 V-PPW 6/2/2021 CCpOFR 6121202: NOVITAS SOLUTION HCCLAIMPMT 62013142000013i 61312021 OPPtnt 6/3/2021 HEALTH HUMAN SVC HCCUCMPMT 17460034113016 2 61412021 C,P.Ht 614/2021 HOSPICE OF 50 TX VENDORS NF 91C,CT10999603 6/7/2021 0eppm 6/7/2021 04P.Ml 6/8/2021 CPPa41t 6/8/2021 HEALTH HUMAN SVC HCCLAIMFMT 12460034113016 2 6/10/2021 0eposL 1/1112021 O,Pps9 0/11/2021 DCPPSA 6/11/2021 O<POFA 6/11/2021 HOSPICE OF 50 TN VEN00R5 NF 41000010332003 MIHCPORTION QIPP/Comp, TnnskP-0ut Tp03fOrvIN Q /C Pl QP/CpmP2 QIPP/6pmP3 SYpu QIPP 11 NH PORTION a.., 05 22i,194.25 / YYY 1.16931 . 1,16982 3146231 14.46231 92,509.34 92,509.3i 08 as $.2%9.08 11293 1,,112 5,695 As - 5169549 l 16,22747 is LAM LAGS I8 I30139 - B,i99.1i B.i94.1i 20,9B1.9S 30.9tl1.95 5,111.96 9,!11.8i 12.97502 - 32,86103 45.964.00 10000 60 l0.96000 10.00060 6.96000 2.20000 2.20000 - b20O 00 - 913.62 - 81397 lT3d70.16 224.19455 E>3i10.16 - r „ , 6+14/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number: Name Groups i:rt.1 iiremp Account Tyne r Search ILNU tDDA Data r•aiortirc es of J,1" ,. Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $5,965.888.66 56,141,151.84 $5,965,888.66 56,196,520.04 a551 CAL GO INDIGENT $74,01 g.93 514,01993 514,019 a3 55,79400 HEALTHCARE '4454 MEMORIAL MEDICAL I S202,187 19 5202187 18 $202.787.18 5170,19-t 54 NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL 6.II $53531 5535.31 S535.31 S53c_51 I_ CENTER -CLINICC SERIES l.�J 2014 a357 MEf.1ORIAL MEDICAL 52 52.04 a,tv5.92 57 512,804.52 jZ 516.013> 8P. CENTER - OPERATING '4373 MEMORIAL MEDICAL $4:3098 543098 S430.98 S43n.9rt O CENTER - PRIVATE WAIVER CLEARING ::a81 MEMORIAL MEDICAL 5763.568 G6 j1G3,S68 ii8 5163,568.6[i $95b7: 12 CENTER r NH ASHFORD '4403 MEMORIAL MEDICAL $108.663.33 5114.2021.1i9 $108,683.3, 590.690 1<+ CENTER INH BROADMOOR 411 MEMORIAL MEDICAL 5126.013 09 5147.80875 5126.0130i1 584.170.08 CENTER I NH CRESCENT JC M MEMORIAL MEDICAI. S84,07222 $84 J7222 $84,97222 S58,276,7.5 CENTER I NH FORT BEND •4438 MEMORIAL MEDICAL CENTER /SOLERA AT 514E 599 68 S'68.259 82 5149,599.68 512621-9.76 O WEST HOUSTON '2998 MMC-NIONEY MARKET 52,806,587.00 $2.606.587 OD $2.606,587.00 52,606,557.00 O FUND 'S506 MMC-NH BETHANY 5273.599.42 ✓ / $273.59942 5273,599,42 5253.624.95 SENIOR LIVING "54 Mh1C -NH GULF POINTE PLAZA - 592.109.3E .. 59210936 c ji12,10J.35 531.032A 1 MEDICARE/MEDICAID .5=d1 MMC -NH GULF POINTE 52.707.72 $7.603.74 5..707.72 S26,086.05 n PLAZA - PRIVATE PAY ':34i'7 MMC-NH TUSCANY 5228.070.26 $228.070,26 5228.070.26, C133.t771.3^. O VILLAGE naps:%Iprospertly.olbanking.com onhneklessenger 1'1 Memorial Medical Center Nursing Home UP3 Weekly Nexion Transfer Prosperity Accounts 6/14/2021 Recount P.elem 237,638e5 ✓ 235.588.86✓ 2UU.131 59 Noee.OnryeRlPncea o)me. SS Ccawdme nenprned re she.+umnd wmr Notrl: Eaah R:muntdar a bole eolanle o,'SJW Idol MAIC dsoo, rNe m Pl. w:omr Penaing Today'$ Beginning Amount to Be Transferred to Nursing Bank Ralantt 2e2.IB218✓ a}aOl Iq1 (TiY le ntuo,8lanm Withholding for Medicare U�NIr•. 100-0U 3�.7g -{;1-17 BecomP�lo3P Withholding for Medicine Recoup Wnic YSID wuhhola�lemrmealxa<assassin, elim, 271.9o✓ APRIL INTEREST 39A3a/ MATINTFAF53 36.51 JUN61NTEREST Adjust Goanceinfanrfer Amt �1 Y1B'AIgBear ADBMyed: iYW'•el Jason Anglin,QU T 811f/20II !JN 14 2121 I \NII W.61, I—IN1NNN 11al Tramlrr, Sl.mm.lq\:@1\lone\HN UPI T—nla!unmurr 11411 11. mmNPc roanox fida.n it 2 na� (1c .o ut 1Jr_In nnrl6emyl nlvG}Gmyt elfnm 99 .rl. W.I. Po 6ilon 'x 5/1011 IP[ OUL NbION N[•U LLOI4JlOtN [PFF[ 164JN» - 6'li}Otltr:om 6}piA fr f.'uli H Ll1/tOtl Isis/IMN{[IRSI RI[1J S J15f9)691 s910p 1V10] 6/lllOtl ifYS/iM N5f IP5i SIU1i 5J 4911119 W B[[O 16.611f f61 1:11169 - I.J IIIt iD!m:I aUC1n xLA1 V fYC l¢CbIMPIAr I]J6WP111p111 615Y 51 4 M1 a; 31to11 Isry+IM N5110.5t Silnll Nlnitlff6149111 99 }x.V 4E It W o 6}9(totl IfYS/IM X{f IR9i Bxf 111K - I'll I.51)91 Dil U 1.15656.13 919�}ptl 4GL0[N(x[[M:a111f4XC p[P I!}u 1I691 dyn11199 i.'I: 64 � 1.11160 6)In 1p)1 :CNSlIl11 M[Ni f1 Y:i<f J1.'1111P : ,_ 411p/$Otl IR Jl1N NlIM>NS\'C NIM.11U6.11:1pll] .1.1 - iX,?1105 4/IVIDtI <[R] SL Ire 19.SOn Q9 9913 )5 . 4/1 liz: Ct Il 6/]VlWl peeem It "111 i6,1)551 6!11/Ip11 ISif lTxi rlSF iRSi O[CO SL LUL Y14JJf 9f 915'I119 MIM [is lV 6j11/}0}1 IfYS/IR4NNIb1BxlO S1LMi 531NISf56i69119 19164 59114 611112M 11[Jl111 NI1MAN.1 IICCWMINII I I46p0)111)V111 - 1un 13 1AW 11 39f.5Jn 16 W.111 S9n MISS 59 614i2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number i Namo Groups Adtl tiremp Account Type (DDA Gala repurteo as of Jul. 14 :10'1 t;: -;51 4ht Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 S5,965,688.66 56,141,151.84 $5,965,888.66 S6,196,520.04 '4551 CAL CO INDIGENT 514,019193 51q.O1J $33 514,019.93 S5.794.tW HEALTHCARE '4454 MEMORIAL MEDICAL I S202.187 16 $202. 167 16 S201.167 18 S17fl 1<v1,54 NH GOLDEN CREEK HEALTHCARE '.1365 MEMORIAL MEDICAL S535.31 S-535.31. S5:35.31 $535.21 CENTER - CLINIC SERIES 2014 4557 —, MEMORIAL MEDICAL S1,g12,80452 3L,043,195.92 51,9i2,804.62 52S :n'.i16286 U CENTER - OPERAT114G '4373 MEMORIAL MEDICAL S4311 g8 S 43R 98 5430 ne S.130 96 CENTER "PRIVATE NIAIVER CLEARING MEMORIAL MEDICAL 5163.56866 5163.568 R6 51R35f,18.66 S93.373.82 CENTER i NH ASHFORD U '4403 MEMORIAL MEDICAL S108.683.33 5114,203.69 S108,683.33 $90.590. 19 U CENTERi NH BROADMOOR -4411 MEMORIAL MEDICAL S126.013.09 S141,808.35 S126.013.Og S84, 170.08 1 �1 CENTER I NH CRESCENT A441i A^EhfORIAt. N.EDICAL 584 f;7222 >84.57-1 ?2 S8:.972.22 SStl17r,.75 CENTER I NH FORT BEND 1443e MEMORIAL MEDICAL CENTER I SOLERA AT S149j9g 66 S168,25982 5149,599.68 $126.28976 WEST HOUSTON lam MMC-A10NEY MARKET 52,808,587 00 52606.567 00 52.606.687 00 $2.60fi,55/ 00 FUND 'S506 NIMC -NH BETHANY S273,599.42 S273.999 d2 5273.599.42 $263.624.95 SENIOR LIVING '4i41 A1h1C •NH GULF POINTE PLAZA- S92,109.36 59210g36 $92,109.36 S31,032.:1 MEDICARE2MEDICAID 'r,433 MMC -NH GULF POINTE S2,7C7 72 S7,603 7.1 $2.709.7' 521i,081i,05 Cl PLAZA - PRIVATE PAY '3nR; Mh1C-NFI TUSCANY S228,070.26 $228,070.26 5228.07026 $133.07131 _ VILLAGE L. J hops,/tprosperity.olbanking.comtonlmeMassenger 1 i i f � i � n a I 1 n n 21,039.15 Hospital portion of Amerigroup QIPP pymt for April 2021—TUSGQh� Caitlin Clevenger = ' Wry to-,vl Date/Time 06.08.2021 / 10:04 AM Submitted By Pay Date 05-31.2021 Employee Deposits $63,134,43 Employer Contributions $81,262.70 Group Term Life Premiums $0,00 Total $144.397.13 Comments Payroll File May 2021 Retirement Upload.xlsx �I�1 LVI L I Q Confirmation: You Have Filed Successfully Sales and Use Tax Taxpayer[6 Reference Numbei Date and Time of Filing: 06/10/2021, 03:59:16 PM 9ffilM41YIK1UT .V11 Electronic Check State Amount: $666.34 Local Amount: $277 23 Amount to Pay: $1,143.57 Electronic Check: S7,143.57 Period Ending 05/31/2021 (2105) Taxpayer Name: MEMORIAL MEDICAL CENTER Taxpayer Address: 815 N VIRGINIA ST PORT LAVACA Tx 77979-3025 IP Address: 24, 116.195.218 Payment Reference Number: Trace Number: Entered By: Email Address: Telephone Number: (361) 55`0342 Type of Bank Account: Accountholder Name: Bank Routing Numbt Bank Account Number Payment Effective Date CREDIT SUMMARY Credits Taken Are you taking credit to reduce taxes due an this returiV No Licensed Customs Broker Exported Sales Did you refund sales tax for this filing period on items exported outside the United States based on a Texas Lieenced Customs No Broker Export Certifications? LOCATION SUMMARY Total Texas Taxable Subject to State Subject to Loop Sales Taxable Sales purchases Tax(Rate.0625) State Tax Due Local Tax Lecal Taz Rate Local Taz Due 0000n 13931 1393: 0 11931 870.6� 13931 0.0e SubTotal 13931 13931 0 13931 870.69 13931 278.62 Total Tax for Locations $1,149.31 Total Tax Due: S1,149.31 Timely Filing Discount. - $5 7J Balance Due: $1,143.57 Pending Payments, $0.00 Total Amount Due and Payable: $1,143.57 ( State amount due is $866 34) ( Local amount due is $277 231 6110/2Q21 _ imp_ cw6mport478748815415264509. himl 06/1012'21d 1 j�" y MEMORIAL MEDICAL CENTER 11 16 ^P i I I AP Open Invoice List Dates Through: 1/andod/ - Vendor Name / Class 11816 ASHFORD GARDENS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 060321 06/04/2021 06/03/2021 07101 /2021 UHC OIPP 1.2.3. & LAPSE Vendor Totals: Number Name Gross 11816 ASHFORD GARDEN 14,276.58 RftonC; F••tii L'am'Y Grand Totals: Gross Discount 14,276,58 0.00 JUN 11 2121 0 ap_open_i nvoice.template Pay Code Gross Discount No -Pay Net 14,276.58 0.00 0.00 14,276.58 Discount No -Pay Net 0.00 0,00 14,276.58 No -Pay Net 0.00 14,276.58 file:l//CaUsers/mmckissack/cpsi/memmed.cpsinet.com/u88150/data 5/tmp_cw$report478748815415264509.html 1!1 6/10/2021 Imp_cw5report1125749935785888481.html MEMORIAL MEDICAL CENTER 06/10/2021 0 g ip, (�1 AP Open Invoice List 11:19 J��I�� i 1t1�� ap_open_invoice.template Dates Through: Vendort, �t Vendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 041621A 04/30/2021 04/30/2021 06/25/2021 3,360.00 0.00 0.00 3.360,00 ✓ TRANSFER NN jMlAyltyl(e. Mm% de.posi+rj jvA% WIVU- 0FEMh kI, 052721 05/31/2021 05/27/2021 06108/2021 1,855.00 0.00 0.00 1,855.00+,/ TRANSFER e rt 060321 06/04/2021 06/03/2021 07/01/2021 4,742.03 0.00 0.00 4,742.03 UHC QIPP 1,2,3 & LAPSE Vendor Totals: Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 9,957.03 0.00 0.00 9,957.03 Grand Totals: Gross Discount No -Pay Net 9,957.03 0.00 0.00 9,957.03 JUN 11 2421 file:iltC:lUsers/mmekissack/cpsilmemmed.cpsinet.com/uB8l50fdata_5/tmp_cw5repart1125749935785868481.html III 6/10/2021 tmp_cw5report3754833443985503654.html --., O6/10(202a- MEMORIAL MEDICAL CENTER 0 a i� ,.I is 11.19 - -- AP Open Invoice List ep_open_invoice.template -1 Illj,(;'1111 Dates Through: VendorR Vendor Name Class Pay Cade �l�c,z;,+. ,''brcer.t eacdrtLr1' t SOLERA WEST HOUSTON Invoice#v Comment Tran Dt Inv Dt Due Ot Check Ot Pay Gross Discount No -Pay Net 060321 06/04/2021 06/03/2021 07/01/2021 5,609.29 0.00 0.00 5,609.29 ✓ UHC OIPP 1,2,3 & LAPSE Vendor Totals: Number Name Gross Discount No -Pay Net 11826 SOLERA WEST HOI 5,609.29 0.00 0.00 5,609.29 R"part gum nm ry Grand Totals: Gross Discount No -Pay Net 6,609.29 0.00 0.00 5,609.29 9w !UN 1 1 2821 rile:///G:/Users/mmckissack/cpsitmemmed.cpsinet.comlu8B150/data 5/tmp_cw5report3754833443985503654.htmi 1/1 6/10/2021 tmp_cw5reportl 970020820922928193.html MEMORIAL MEDICAL CENTER 0 O6/tOL2021, —. 101 (t 'L1 1 15 1 i AP Open Invoice List ap_open _invoice.template Dates Through: Venddrd<]`ti Vendor Name Class Pay Code 11820 FORTBEND HEALTHCARE CENTEI UIm'000ail,�us( 6lmrnent Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net y'cc€:i�'nza: 060321 06/04/2021 06/03/2021 07/01/2021 5,783.04 0.00 0.00 5,783.04 UHC OIPP 1,2,3 & LAPSE Vendor Totals: Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTI 5,783,04 0.00 0.00 5,783.04 �porr 5w+;inru", Grand Totals: Gross Discount No -Pay Net 5,783.04 0.00 0.00 5,783.04 ow JUN 1 1 2MQ1 ftaimmovww file:tl/C:/Users/mmcklssack/cpsilmemmed.cpsinet.comlu88150/data 5/lmp_aw5reportl970020820922928193.html 1/1 8/11/2021 tmp_cw5reporl818335721552972016.himl , n MEMORIAL MEDICAL CENTER 0 --f- .- AP Open Invoice List ap_open_invoice.template 09:51 � I l��r� Dates Through: +�r�4' Vendor# Vendor Name Class Pay Code 11832; 1i.,,_Z,7.,.r �:.•OYPB�_s BROADMOOR AT CREEKS PAP t� Net InvoiceA = ComnlenF Tran Dt my Dt Due Dt Check DI Pay Gross Discount No -Pay 050321 05/31/2021 05/03/2021 07/08/2021 7.992.00 0.00 0.00 7,092.00 ✓ NM iMLArOLK < py� 4 {K,-b Mw L ovcvt_ kl 052521 05/31/2021 05/25/2021 07/08/2021 1,290.00 0.00 0.00 1,290,00 TRANSFER « If 052821A 05/31/2021 05/28/2021 07/08/2021 430.00 0.00 0.00 430,00 dj TRANSFER If D 060321 06/04/2021 O6/0312021 07/01/2021 5,922.04 0.00 0.00 5.922.04 UHC QIPP 1,2,3 & LAPSE Vendor Totals: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT C 15,634.04 0.00 0.00 15,634.04 q c.wui "„..... Grand Totals: Grass Discount No -Pay Net 15,634.04 0.00 0.00 15,634,04 4R JUN 11 2021 WA , file:/IIC:/Users/mmckissack/cpsi/memmed.cpsinet.comfu88150a/data_5/tmp_cw5report818335721552972016.html if1 1 6110/2 t21 tmp_cw5report3056930082500235308.html SUPPLIES 1952383084 08/31/2021 05/19/2021 06/13/2021 19.04 0.00 0.00 19.04 v � SUPPLIES 195238309905/31/2021 05/19/2021 06/13/2021 89.16 0.00 0.00 89.16 / SUPPLIES 1952383083105/31/2021 05/19/2021 06/13/2021 48.09 0.00 0.00 48.09 SUPPLIES 1952384101%05/31/2021 05/19/2021 06/13/2021 235.52 0.00 0.00 235.52 ✓ SUPPLIES / 195283090 y05/3112021 05/19/2021 06/13/2021 1,143.76 0.00 0.00 1,143.76 SUPPLIES 19523B3082 09/31/2021 05/19/2021 06113/2021 80,09 0.00 0.00 80.09 ✓ SUPPLIES 1952593352,05/3112021 05/20/2021 06/14/2021 379.66 0.00 0,00 379.66v SUPPLIES / 1952593344.05/31/2021 05/20/2021 06/14/2021 50.58 0.00 0.00 50.58 ✓`� SUPPLIES 1952593337a4g5/31/2021 05/20/2021 06/14/2021 105.92 0.00 0.00 105.92 / SUPPLIES 1952593345HT5/31/2021 05/20/2021 O6/14/2021 50.58 0.00 0.00 5o.58 SUPPLIES 1952593335 05% 1/2021 05/20/2021 06/14/2021 84.27 0.00 0.00 84.27 SUPPLIES //. 1952593348r05/31/2021 05/20/2021 06/14/2021 131,31 0.00 0.00 131.31 ✓'� SUPPLIES 1952593341.0k3l/2021 05/20/2021 06/14/2021 1,69 0.00 0.00 1,69 ✓ // SUPPLIES 1952593350%05W/2021 05/20/2021 06/14/2021 50,49 0.00 0.00 50.49 ✓ SUPPLIES 1952593338%V5/31/2021 05/20/2021 06/14/2021 34911 0.00 0.00 349.11 SUPPLIES ! 195259334005/31/2021 05/20/2021 06/14/2021 3,892.90 0.00 0.00 3,892,90 ✓` SUPPLIES f 952593342 05/31/2021 05/20/2021 06/14/2021 117.87 0.00 0.00 117.87L./ SUPPLIES 1952593339.055/31/2021 05/20/2021 06/1412021 74.63 0.00 0.00 74.63 SUPPLIES f 1952593336,05/31/2021 05/20/2021 06/14/2021 182A9 0.00 0.00 18249 � SUPPLIES 1953078559,05/31/2021 06/25/2021 06/19/2021 555.97 0.00 0.00 555.97 SUPPLIES 1953078562r0e/31/2021 05/25/2021 06/19/2021 10.45 0,00 0.00 10.45 SUPPLIES 1953078560.05/31/2021 05/25/2021 06/19/2021 130,80 0.00 0.00 130.801,/" SUPPLIES 1953078563 1CW31/2021 05/25/2021 06/19/2021 4,606.00 0.00 0,00 4,606.00 SUPPLIES � 1953078564 py 1/2021 05/25/2021 06/19/2021 793.08 0.00 0.00 793.08 SUPPLIES 1953078561,09/31/2021 06/25/2021 06/18/2021 1,128.80 0,00 0:00 1,128.80 .r f' SUPPLIES 195307855E Qfl 1/31/2021 05/25/2021 06/19/2021 347.75 0.00 0.00 347.75 V SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTR 30.543.43 0.00 0100 30,543.43 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC / Invoice# Comment Tran Dt Inv Dt Due Div Check Dt Pay Gross Discount No -Pay Net 060421 06/08/2021 06/04/2021 06fO4/2O2l 179.00 0.00 0,00 179.00 PAYROLL DED Vendor Totals: Number Name Gross Discount No -Pay Net file:///C:/Users/rnmcklssack/epsi/memmed.cpsinet.com/uBB150/data 5Rmp_ew5report3056930082500235308.html 8N4 r 0110/20,21 tmp_cw5report3056930082500235308.htm1 109153 MEMORIALME0104 179.00 0.00 0.00 179,00 Vendor# Vendor Name Class Pay Code i 13952 MLB CONSULTING GROUP r✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 001148 06/08/2021 06/07/2021 06/17/2021 3,307.00 0.00 0.00 3.307.00 V .' DELIVERY TEMP HVAC SYSTEM Vandor Totals: Number Name Gross Discount No -Pay Net 13952 MILE CONSULTING, 3,307,00 0.00 0.00 3,307.00 Vendor# Vendor Name Class Pay Code M2621 l MMC AUXILIARY GIFT SHOP ✓ W Invoice# Comment Tran Dl Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 060321 06/04/2021 06/03/2021 06/3012021 183.90 0.00 0.00 183.90 PAYROLLDED Vendor Totals: Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GI 183.90 0.00 0.00 183.90 Vendor# Vendor Name Class Pay Cade 10536 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv DI Due Dt Check Ot Pay Gross Discount No -Pay Net " 0008631 /05/31/2021 05/27/2020 06/06/2020 -5.24 0.00 0.00 -5.24 s! CREDIT 0001226 �/O6/31/2021 06/08/2020 06/18/2020 .1.18 0.00 0.00 -1.18 CREDIT CM87639 v05131/2021 08/2012020 OB/3012020 -15.21 0100 0.00 -15.21 CREDIT 0004352 f 05/31/2021 09/09/2020 09/19/2020 -14,99 0.00 0.00 -14,99 CREDIT CM19506�/31/2021 12l14/2020 12/24/2020 -123.46 0,00 0.00 -123.46 ��' CREDIT _ CM23679 �65/31/2021 01/07/2021 01/17/2021 -150.20 0.00 0.00 -160.20 CREDIT CM34532/05/31/2021 GPJ26/2021 03/08/2021 -16.82 0,00 0.00 -16.82 ' CREDIT CM34633 V65/91/2021 OV2612021 03/08/2021 -535.85 0.00 0.00 -535.85 � CREDIT CM51796 VP5131/2021 05/12/2021 05/22/2021 -194.21 0.00 0.00 -194.21 CREDIT SC7666 v/ 05/31/2021 05/26/2021 06/05/2021 71.06 0.00 0.00 71.06 SERVICE CHARGE 5671 05/31/2021 05/27/2021 06/06/2021 -1.43 0.00 0.00 -1,43 ✓ CREDIT +'- Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSOI -987,53 0.00 0.00 -987.53 Vendor# Vendor Name Class Pay Code M2669 MXR IMAGING, INC ✓ M Invoice# Comment Tran Dl Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net 8800758555 A8/0912021 06/10/2021 06/09/2021 618.36 0.00 0.00 618,36 r% SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net " M2659 MXR IMAGING, INC 618,36 0.00 0.00 618.36 Vendor# Vendor Name Class Pay Code 13112 OMNICELL, INC. % Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 91188693 t96/31/2021 05103/P021 0610212021 149.38 0.00 0.00 149.38 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13112 OMNICELL, INC. 149.38 0.00 0.00 149.38 Vendor# Vendor Name Class Pay Cade 10955 OPTUM360 u% w Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 8001262672}lf15131/2021 05(2112021 06/21/2021 510.90 0.00 0.00 510.90'' SUPPLIES file:/!/C:/Users/mmekissock/cpsl/memmed;cpsinet.com/u88150/data 5/imp cw5report3056930082500235308.html 9114 6/10/2g21 Imp_cw5report3056930082500235308.html 8001262678905131/2021 05/24/2021 06/24/2021 178.92 0.00 0.00 17&92 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10955 OPTUM360 689.82 0.00 0.00 689,82 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS „� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1851899601 g6612021 05/14/2021 06/13/2021 187.30 0.00 0.00 187.30 Fs� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL D 187.30 0.00 0.00 187.30 Vendor# Vendor Name Class Pay Code 11069 PABLO GARZA Invoice# Comment Tran Dt Inv Dt Due Dt ,Check Dt Pay Gross Discount No -Pay Net 060821 06/10/2021 06/08/2021 06/08/2021 2,071,88 0.00 0.00 2,071,88 CONTRACT EMPLOYEE rj jl5IZI- 7I--it) Vendor Totals: Number Name Gross Discount No -Pay Net 11069 PABLO GARZA 2,071.88 0.00 0.00 2,071.88 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC rf,✓ Invoice# Cgmment Tran Of Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 03849987./05/31/2021 05/12/2021 06/11/2021 180.57 0.00 0.00 180.57 �"!r SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Not 10152 PARTSSOURCE, LL 180.57 0.00 0.00 180.57 Vendor# Vendor Name Class Pay Code 12544 PATRICK OCHOA Invoice# Comment Tran Of Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 060121A 06/10/2021 06/01/2021 06/01/2021 380.00 0,00 0.00 380.00 CLINIC LAWN 060121 06/10/2021 06/01/2021 06/01/2021 520.00 0.00 0.00 520.00 HOSPITAL LAWN 060121E 06/10/2021 06/01/2021 06/01/2021 200.00 0.00 0.00 200.00 REHAB LAWN Vendor Totals: Number Name Gross Discount No -Pay Net 12544 PATRICK OCHOA 1,100.00 0.00 0.00 1,100.00 Vendor# Vendor Name Class Pay Code P2200 ✓� POWER HARDWARE r W Invoice# Comment Tran Dt Inv Of Due Dt Check Dt Pay Gross Discount No -Pay Net 862103 w✓`� 05/31/2021 05/07/2021 05/17/2021 49.59 0.00 0.00 49.59 V- SUPPLIES A73553 VZ05/3112021 05/10/2021 05/20/2021 27.04 0.00 0.00 27.04 (- SUPPLIES B62267 ,r�05/31/2021 05/14/2021 05/24/2021 12.78 0.00 0.00 12.78 ✓!- SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net P2200 POWER HARDWAR 89.41 0,00 0.00 89.41 Vendor# Vendor Name Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. _' Invoice# Comment Tran Dt Inv Dt Due Dt Check Of Pay Gross Discount No -Pay Net IN00048195205/3112021 05/31/2021 06/30/2021 2,523.79 0.00 0.00 2,523.79 y! PTSURVEY Vendor Totals: Number Name Grass Discount No -Pay Net 11932 PRESS GANFY ARE 2,523.79 0,00 0.00 2,52&79 Vendor# Vendor Name Class Pay Code 13936 PROTOUCH STAFFING ✓ ,. Invoice# Comment Tran 01 Inv Dt Due Dt Check 01 Pay Gross Discount No -Pay Net 030457 / 05/31/2021 05/27/2021 65/27/2021 5,446,88 0.00 0.00 5,446.88 STAFFING ICU / 030525 t/ 06/08/2021 06/05/2021 06/05/2021 4,078.13 0.00 0.00 4,078.131% ICU STAFFING file://IC:/Users/mmckisseck/cpsi/memmed.cpsinel.com/u88150/data_5/tmp_cw5repon3056930082500235308.hlm1 10114 6M0/2921 tmp_cw5report3056930082500235308.html Vendor Totals•. Number Name Gross Discount No -Pay Net 13936 PROTOUCH STAFF 9,626.01 0.00 0.00 9,525.01 Vendor# Vendor Name Class Pay Code 10896 OIAGEN INC Invoice# Cam,pent Tram Of Inv Ot Due DI Check Of Pay Gross Discount No -Pay Net 997828908 ,C(5131/2021 05/05/2021 06/04/2021 427.69 0.00 0.00 427.69 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10896 OIAGEN INC 427.69 0.00 0.00 427,69 Vendor# Vendor Name Class Pay Code 13940 RN NETWORK v Invoice# Comment Tran Of Inv D1 Due Dt Check Dt Pay Gross Discount No -Pay Nei 3909282RI,05/3l/2021 05/31/2021 06/30/2021 3,657.74 0.00 0.00 r. 3,657,74 ✓ STAFFING ICU Vendor Totals: Number Name Gross Discount No -Pay Net 13940 RN NETWORK 3.667.74 0.00 0100 3,657.74 Vendor# Vendor Name Class Pay Code $1405 SERVICE SUPPLY OF VICTORIA IN W v/' Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Gross Discount No -Pay Net 701091708 V5/31/2021 05/28/2021 06/27/2021 19.71 0.00 0.00 19.71 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 51405 SERVICE SUPPLY C 19.71 0.00 0.00 19,71 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES Invoice# Comment Tran Of Inv Dt Due Of Check Dt Pay Gross Discount No -Pay Net 116056411V5/31/2021 05/17/2021 06/17/2021 2,193.83 0.00 0.00 2.193.83 �✓j MAINT CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIA 2,193.83 0.00 0.00 2,193.83 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE C Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net CM4660 ✓/ 05/31/2021 05/31/2021 06/25/2021 -2,133.00 0.00 0,00 -2,133.00 CREDIT 107014392 ✓65/3112021 05/3112021 06/2512021 7,997.00 0.00 0.00 7.997.00 CREDIT Vendor Totals: Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLO 5,864.00 0.00 0.00 5,864A0 Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY V,. Invoice# Comment Tran Dt Inv Dt Due Dt - Check Dt Pay Gross Discount No -Pay Net 4181575✓ 06/31/2021 05/11/2021 06/10/2021 - 2,613.31 0.00 0.00 2,613.31 L"� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10735 STRYKER SUSTAIN 2,613.31 0.00 0.00 2,613,31 Vendor# Vendor Name Class Pay Code T2539 T-SYSTEM, INC W Invoice# Comment Tran Dt Inv Of Due Ot Check Ot Pay Gross Discount No -Pay Net 45675 � 05/31/2021 05/27/2021 06/26/2021 431.42 0.00 0.00 431.42 y ERX LICENSE 45752 j 05/31/2021 05/31/2021 06/30/2021 5,699.00 0.00 0.00 5,699.00 ✓J TRACKINGIHOSTI N G/STAT Vendor Totals: Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 6,130.42 0.00 0.00 6.130.42 Vendor# Vendor Name Class Pay Code 13880 TEXAS SELECT STAFFING „✓� Invoice# Comment Tran Of Inv Dt Due Of Check Of Pay Gross Discount No -Pay Net 0017275510�,055 31/2021 05/12/2021 05/12/2021 1,338.75 0.00 0.00 1,338.75, "7q 1,4\ STAFFING ICU Vendor Totals: Number Name Gross Discount No -Pay Net file://IC:/Users/mmckissacVcpsitmemmed.cpsinet.com/u88i50fdata_S/tmp_cw5report3056930082500235308.html 11/14 6110/2Q21 tmp_cw5report3056930082500235308.himl 13880 TEXAS SELECT STi 11338.75 0.00 0.00 1,338.75 Vendor# Vendor Name Class Pay Code 12444 THE UPS STORE VICTORIA ,✓ Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 14419 ✓ 05/31/2021 05/27/2021 05/28/2021 56.00 0.00 0.00 $6.00 L, COVID FOAMSOARD 596 �� 06/08/2021 06/03/2021 06/13/2021 84.00 0.00 GAO 84.00 COVID FOAM80ARDS ✓� Vendor Totals: Number Name Gross Discount No -Pay Net 12444 THE UPS STORE VI 140.00 0.00 0.00 140.00 Vendor# Vendor Name Class Pay Code 13632 THRIVEFUEL LLC w/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1095745010005131/2021 06/31/2021 O6/10/2021 2,650.00 0.00 0.00 2.660.00 5 SOCAILAD Vendor Totals: Number Name Gross Discount No -Pay Net 13632 THRIVEFUELLLC 2,650.00 0.00 0.00 2,650.00 Vendor# Vendor Name Class Pay Code TO= TLC STAFFING /� W Invoice# Comment Tran DI Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 27365 r,i/ 05/31/2021 05/24/2021 05/24/2021 2,299.13 0.00 0.00 2,299.13v STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net T0801 TLC STAFFING 2,299.13 0.00 0.00 2,299.13 Vendor# Vendor Name Class Pay Code U1054 UNIRRST HOLDINGS .%' W Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net 8400360070,05/27/2021 04/01/2021 04/26/2021 162,72 0.00 0.00 162.72 LAUNDRY t"�r 6400365472Z5/27/2021 05/27/2021 06/21/2021 1,862,67 0.00 0.00 1,852.67 ✓ LAUNDRY 8400365434r,65127/2021 05/27/2021 06/21/2021 34.89 0.00 0.00 34.89 ,/ LAUNDRY 8400365436p05/27/2021 05/27/2021 06/21/2021 121.55 0.00 0.00 LAUNDRY 8400365439 gA612021 05/27/2021 06/21/2021 192.03 0.00 0.00 192.03 L,-i LAUNDRY 8400365438 0W27/2021 05/27/2021 06/21/2021 160.47 0.00 0.00 160,47 LAUNDRY 8400365459 �P/27/2021 05/27/2021 06/21/2021 105.53 0.00 0.00 105.53 LAUNDRY 8400366742,0627/2021 05/31/2021 06/25/2021 1,890.87 0.00 0.00 1,890.67,/ LAUNDRY 8400360007t v '3112021 04/01/2021 04/26/2021 162.72 0.00 0.00 162.72 LAUNDRY 11 8400364367 2 / 1/2021 05/17/2021 06/11/2D21 1,649.95 0.00 0.00 1,649.95 ✓`� LAUNDRY 8400364344,09131/2021 05/17/2021 06/11/2021 45.15 0.00 0.00 _ 45.15 y-f LAUNDRY 8400364345 �51/2021 05/17/2021 06/11/2021 45.28 0.00 0.00 45.28 ni LAUNDRY 840036475lLp5)3l/2021 O5/20/2021 06/14/2021 195.05 0.00 0.00 105.05 LAUNDRY 8400364747 06M112021 05/20/2021 06/14/2021 24.33 0.00 0.00 24.33 L, ' LAUNDRY 8400364771 Y/31/2021 05/20/2021 06/14/2021 88.43 0.00 0,00 88.43 LAUNDRY 8400354750,06131/2021 05/20/2021 OW14/2021 178.48 0.00 0.00 178,48 LAUNDRY 8400364784 Q5(31/2021 05/20/2021 06/14/2021 1,551,68 0.00 0.00 1,551.68 LAUNDRY file:///C:IUserstmmckissack/cpsl/memmed.cpsinet.com/u86150/data_51tmp_cw5repart3056930082500235308.html 12114 6/10/2Q21 tmp_cw5report3056930082500235308.html � 8400364749�15/31/2021 05/20/2021 06/14/2021 121,55 0.00 0.00 121.55 LAUNDRY � 8400364752 p/3112021 05/20/2021 06/14/2021 192.03 0.00 0.00 192.03w ' LAUNDRY 8400384804 Q541/2021 05/21/2021 06/15/2021 108,75 0.00 0.00 108.75 LAUNDRY 8400366041431/2021 05/24/2021 06/1819021 45,15 0.00 0.00 45.16 LAUNDRY �![ 8400365065 Q,5/31/2021 05/24/2021 06/16/2021 1,670,62 0.00 0,00 1,070.62 ✓ � LAUNDRY 8400365042 &i5/31/2021 05/24/2021 06/18/2021 11728 0.00 0.00 117.2E LAUNDRY 840036549395% 1/2021 05/27/2021 06M12021 97.98 0.00 0.00 97.98 LAUNDRY 8400365437 op/31/2021 05/27/2021 06/2112021 181.67 0.00 0.00 161.67 LAUNDRY 8400366719,05/31/2021 05/31/2021 06/25/2021 45.15 OM 0.00 45.15 LAUNDRY 8400365720%95/31/2021 05/31/2021 06/25/2021 45.10 0.00 0.00 45.16 �..' LAUNDRY 8400366165 06J0812021 06/03/2021 06/28/2021 1,467.85 0.00 0.00 1,467.85 y,i LAUNDRY .8400366127 0§/0812021 O6/03/2021 O6/28/2021 26.64 0.00 0.00 26.64 LAUNDRY 8400306152 0,4812021 06/03/2021 06/28/2021 79.43 0.00 0.00 79.43 L LAUNDRY 8400366131 r06/0812021 06/03/2021 06/28/2021 168.64 OM 0.00 168.64 LAUNDRY 8400365132 RA/08/2021 06/03/2021 06/28/2021 192.03 0.00 0.00 192M LAUNDRY 8400366129 06 8/2021 00/08/2021 06/28/2021 111.65 0100 0.00 111.65 W,✓' LAUNDRY 8400366130 P�09/2021 06/03/2021 06/28/2021 283.47 0,00 0.00 283.47u ,-' LAUNDRY Vendor Totals: Number Name Gross Discount No -Pay Net U1054 UNIFIRSTHOLDINC 13,416.85 0,00 0.00 13.416.85 Vendor# Vendor Name Class Pay Code 11057 UNITED STATES TREASURY f Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net CP220 06/04/2021 06/03/2021 06/24/2021 2,040.65 0.00 0.00 2,040.65 f' PENALTY LATE PAYROLL TAX DEI Vendor Totals: Number Name Gross Discount. No•Pay Net 11057 UNITED STATES TF 2,040.65 OAO 0.00 2,040.65 Vendor# Vendor Name Class Pay Code 12400 UPDOX LLC Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net �5342-1- 05/31/2021 06/31/2021 06/30/2021 600,00 0100 0.00 800.00 I�J 00 aLjjjrto! FAXING 4/ Vendor Totals: Number Name Gross Discount No -Pay Net 12400 UPDOX LLC 800.00 0.00 0.00 800.00 Vendor# Vendor Name Class Pay Code U1350 UPS w .✓i Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 0000778941006/31/2021 02/20/2021 02/20/2021 138.68 0.00 0.00 138.68 ✓`ter $1 SHIPPING 0000778941t05/31/2021 04/17/2021 04/17/2021 29.63 0.00 0.00 29.63 4k SHIPPING 0000778941'05131/2021 05/16/2Q21 05/12/2021 98.86 0.00 0.00 98.86 [V� SHIPPING Vendor Totals: Number Name Gross Discount No -Pay Net U1350 UPS 267,17 0.00 0.00 267.17 flla:]//C:/Userslmmckissack/cpsilmemmed.cpsinet.com/u8Bi 50/dala_5/tmp_cw5reporl3056930082500235308,htmi 13114 6/10/2021 tmp_cw5report3056930082500235308.htmI Vendor# Vendor Name Class Pay Code U2000 US POSTAL SERVICE V" Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 053121 BOX 05/31/2021 05/31/2021 06/30/2021 1,266.00 0.00 0.00 1,266.00 ANNAUL RENEWAL (12 MONTHS) Vendor Totals: Number Name Grass Discount No -Pay Net U2000 US POSTAL SERVI( 1,266.00 0.00 0.00 1,266.00 Vendor# Vendor Name Class Pay Code V1058 VICTORIA ANESTHESIOLOGY �W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 053121 05/31/2021 05131/2021 05/31/2021 37,546.52 0.00 0.00 37,546.52 J ANESTHESIA `� Vendor Totals: Number Name Gross Discount No -Pay Net V1058 VICTORIA ANESTHI 37,546.52 0.00 0.00 37.546.52 Vendor# Vendor Name Class Pay Code V1471 VICTORIA RADIOWORKS, LTD 0 V Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 21050185 /05131/2021 05/3112021 05/31/2021 280.00 0.00 0.00 280.00 AD 21050186 05/31/2021 05/31/2021 05/31/2021 280.00 0.00 0.00 280.00 AD Vendor Totals: Number Name Gross Discount No -Pay Net V1471 VICTORIA RADIOWo 560.00 0.00 0.00 580,00 Vendor# Vendor Name Class Pay Code 10793 WAGEWORKS, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 060421 06108/2021 06/04/2021 06/04/2021 3,640.48 0.00 0.00 3.640.48 v PAYROLL DED Vendor Totals: Number Name Gross Discount No -Pay Net 10793 WAGEWORKS, INC. 3,640.48 0.00 0.00 3,640.48 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC , ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9110962621I,95/31/2021 03/30/2021 04/24/2021 8,575.00 0.00 0.00 8,575.00 .. SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 8,575.00 0.00 0.00 8,575.00 Grand Totals: Gross Discount No -Pay Net 432,491.09 0.00 0.00 432,491.09'I II p� i1oc4.45 (inutw{tA�� # 4°I�010 + 93`i.gv ltU�7� 2�' r_ 1 J. �gyglll } JUN 1 Cl a-111 ' � a " "x"s file:!!/C:/Userslmmckissack/cpsi/memmed.cpsinet.com/u68150/data_5/tmp_cw5report3056930082500235308.htm1 14114 6/10/2021 tmp_cw5reportl 242656649444119786.html i I - 2l os/1o/2oz MEMORIAL MEDICAL CENTER 6 14:29 �� ! f'd� i��,��{t AP Open Invoice List ap_open_invoice.template Dates Through: VrenSOf s;t ;,,rrR; u!.p�.f".:da�iss' Vendor Name Class Pay Code W1005 WALMART COMMUNITY ✓ w Invoicelt Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 020994 05/31/2021 04/20/2021 06/13/2021 162,40 0.00 0.00 162.40 SUPPLIES 020983 05/31/2021 04/20/2021 06/13/2021 34.76 0.00 0.00 34.76 SUPPLIES 365029 05/31/2021 04/30/2021 06/13/2021 17.80 0.00 0.00 17.80 f SUPPLIES / 471628 ,/ 05/31/2021 04/30/2021 06/13/2021 8.94 0.00 0.00 8.94 ✓� SUPPLIES 582589 V/05/31/2021 05/06/2021 06/13/2021 119.70 0.00 0.00 119.70 +� SUPPLIES 455315 �% 05/31/2021 05/06/2021 06/13/2021 14.97 0.00 0.00 14,97 ✓' SUPPLIES 957981 ,/ 05/31/2021 05/13/2021 06/13/2021 27.28 0.00 0.00 27.28 V/ SUPPLIES 051321 ,/ 05/31/2021 05/13/2021 06/13/2021 21$.88 0.00 0.00 213.88 ✓- SUPPLIES ! 485436✓ 05/31/2021 05/13/2021 06/13/2021 3,48 0.00 0.00 3.48 SUPPLIES 050172 ✓0513112021 05/131PO21 06/13/2021 23.04 0.00 0.00 23.04 �,✓' SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net W1005 WALMART COMMU 626.25 0.00 0.00 626.25 Grand Totals: Gross Discount No -Pay Net 626.25 0.00 0.00 626.25 file:///C:IUsers/mmckissacklcpsi/memmed.cpsinet.com/u88l50/data_5/tmp_cw5report1242656649444119786.html 1/1 6/10/20.21 imp_cw5report4541325573585224819.html MEMORIAL MEDICAL CENTER O6/10/2021 1 0 '7 AP Open Invoice List 1406 .Rl iaj 1 { Dales Through: ap__openinvoice.tempiate Vendor Name Class Pay Code 50900 SAM'S CLUB DIRECT w Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 008067 05/31/2021 04/20/2021 06/08/2021 168.A4 0.00 0.00 168.44 yj SUPPLIES 009584 05/31/P021 04/26/2021 06/08/2021 89.20 0.00 0.00 89.20 v� SUPPLIES 000301 05/31/2021 05/03/2021 06/0812021 41.42 0.00 0.00 41.42 ✓ SUPPLIES 000916 05/31/2021 05/04/2021 06/08/2021 54.66 0.00 0.00 54.66 ✓� SUPPLIES 009629A 05/31/2021 05/11/2021 06/08/2021 86.47 0.00 0.00 86.47 SUPPLIES 001531 05/31/2021 05/16/2021 06/06/2021 94.73 0.00 0.00 94.73 SUPPLIES 000807 05/31/2021 05/18/2021 06/08/2021 207.04 0.00 0.00 207.04 ✓/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 50900 SAM'S CLUB DIREC 741.96 0.00 0.00 741.96 Rcp: orr 55:u:Aner; Grand Totals: Gross Discount No -Pay Net 741.96 0.00 0.00 741.96 ;UN 1 i 2ezi �,��,�2,07.1 Q1AFaC file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150/dala_5/tmp_cw5report4541325573585224819.html ill ll:i 1 RUN DATE: Q¢/i11(21 TIME: J 1 j 2021 PAT.rm Iiooun �:71ii=i-s1 <1_li.;j:le)y NUMBER PAYEE NAME' ------------------------------- _.. ------------------------------------- ARID4001 TOTAL ------------------------------------- TOTAL lum 1 i OM u s MEMORIAL MEDICAL CENTER PAGE 1 EDIT LIST FOR PATIENT REFUNDS ARID4001 APCDEDIT PAY PAT DATE AMOUNT CODE TYPE DESCRIPTION GL N14 ............................... 060921 25.00 s/ 2 REFNID ------------------ .---------------- .................................... 25.00 __________________________________________________ 25.00 6/10/2921 Imp_cw5report2819452676995032699.html MEMORIAL MEDICAL CENTER 06/10/2021 0 16:14 :I�r�fI i-�i!': �� AP Open Invoice List ap_open_invoice.template Dates Through: Vendor Name Class Pay Cade H0031 FOt HEB CREDIT RECEIVABLES DEPT: , / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 374990 „/ 05/31/2021 04M/2021 06/25/2021 9A6 0.00 0.00 9.46 SUPPLIES 375533,- 05/31/2021 04/05/2021 06/25/2021 43,34 0.00 0.00 43.34 SUPPLIES 375547 05/31/2021 04/05/2021 06/25/2021 37.98 0.00 0.00 37.98 SUPPLIES 376395 ✓ 05/31/2021 04/06/2021 06/25/2021 23.40 0.00 0.00 23.40 SUPPLIES 377953 /05/31/2021 04/08/2021 06/25/2021 12.66 0.00 0.00 12.66 SUPPLIES /I J 378446 05/31/2021 04/09/2021 06/25/2021 30.34 0.00 0.00 30,34 SUPPLIES 379066 ✓( 05/31/2021 04/10/2021 06/25/2021 71,05 0.00 0.00 f 71.05 w SUPPLIES ` 511231 � 05/3112021 04/13/2021 06/25/2021 42.53 0.00 0.00 42.53 SUPPLIES ` 884162 ,,/ 05/311P021 04/14/2021 06/25/2021 48.95 0.00 0.00 48.95 Lam` SUPPLIES 856565 05/31/2021 04/15/2021 06/25/2021 16.84 0.00 0.00 16.84 ✓l SUPPLIES 550683 �/ 05/31/2021 04/18/2021 06/25/2021 36.53 0.00 0.00 36.53 y� SUPPLIES 559825 /05/3112021 04/18/2021 06/25/2021 28.50 0.00 0.00 28.50L x SUPPLIES 562107 �/4/31/2021 04/21/2021 06/25/2021 41.42 0.00 0.00 41.42 " SUPPLIES 593041 ��" 05/31/2021 04123/2021 06/25/2021 11.85 0.00 0.00 11.85 SUPPLIES 582108 05/31/2021 04/23/2021 06/25/2021 28.70 0.00 0.00 28.70 j SUPPLIES 704177 05/31/2021 04/24/2021 O6/25/2021 86.34 0.00 0.00 66.34 SUPPLIES 844336 w/05131/2021 04/26/2021 06/25/2021 36.08 0.00 0.00 36,08 ' / SUPPLIES 953698 ✓ 05/31/2021 04/28/2021 06/25/2021 10.44 0.00 0.00 10.44 Lw+, SUPPLIES 983323 „�W3112021 04/28/2021 06/25/2021 44,64 0.00 0.00 44.64 SUPPLIES 118304 J 05/31/2021 04/30/2021 06/25/2021 26,83 0.00 0.00 26.83� ,,- SUPPLIES 300751 ,Z 05/31/P021 05/02/2021 06/26/2021 82.70 0.00 0.00 S2.70 SUPPLIES 429,9201/ 05/31/2021 05/03/2021 06/25/2021 48.53 0.00 0,00 48.51�, SUPPLIES 561919 V/ 05/31/2021 05/04/2021 06/25/2021 45.87 0.00 0.00 45.87�/f SUPPLIES 698142 /05/31/2021 05/05/2021 06/25/2021 31.33 0.00 0.00 31.33 /� SUPPLIES 884073 v/ 05/31/2021 05/07/2021 06/25/2021 6.97 0.00 0.00 6.97 SUPPLIES / 986494J 05/31/2021 05/08/2021 06/25/2021 93.59 0.00 0.00 93.59 ✓' - SUPPLIES / 295005 J05131/2021 05/11/2021 06/25/2021 36.88 0.00 0.00 SUPPLIES file:///C:/Usersimmckissacktcpsi/memmed.cpsinet.com/u88150tdata 5/tmp_pw5repart281945267B995032699.htmi 112 6/10/2021 tmp_cw5reporl2819452676995032699.html / 839135 ✓ 05/31/2021 05/11/2021 06/25/2021 55.06 0.00 0.00 55.06 ✓j SUPPLIES 543185 ,/� 05/31/2021 05/13/2021 OW2512021 52.09 0.00 0.00 52.09 SUPPLIES 544761 ✓ 05/31/2021 05/15/2021 06/25/2021 58.64 0.00 0.00 58.64 / SUPPLIES 545960 ✓ 05/3112021 05/17/2021 06/25/2021 62.00 0.00 0.00 62.00 �f SUPPLIES 546789 ,% 05/31/2021 05/18/2021 06/25/2021 21,26 0.00 0.00 21.26.-� SUPPLIES 4y� cif 546214 �J 05/31/2021 06/18/2021 06/25/2021 69.3,1 0.00 0.00 69.;W �. SUPPLIES 934484v/ 05/31/2021 05/20/2021 O6/25/2021 23.05 0.00 0.00 23.05 SUPPLIES 289006 05/31/2021 05/23/2021 06/25/2021 15.37 0.00 0.00 15.37 SUPPLIES 956013 ,/ 05/31/2021 05/23/2021 06/25/2021 37.51 0.00 0.00 37.51 w / SUPPLIES 325361 ./ 05/31/2021 05/23/2021 06/25/2021 44.07 0.00 0.00 44.07 ..-� SUPPLIES /�. 188503 �05/3112021 06/24/2021 06/25/2021 31.61 0.00 0.00 31.61 SUPPLIES 349653 /05/31/2021 05/24/2021 06/25/2021 14,95 0.00 0.00 14.95 SUPPLIES 695184 1/05/31/2021 05/25/2021 06/25/2021 64.27 0.00 0.00 64.27 � SUPPLIES OC49952 •�O5/31/2021 05/26/2021 06/25/2021 8.04 0.00 0.00 8.04 FINANCE CHARGE OC49951 1/05/3112021 05/26/2021 06/25/2021 4.24 0.00 0.00 4.24 FINANCE CHARGE Vendor Totals: Number Name Gross Discount No -Pay Net H0031 HES CREDIT RECEI 1,595.15 0.00 0.00 1,595.15 xt snca n: rY Grand Totals: Gross Discount No -Pay Net 11595.15 0.00 0.00 1,595.15 - I, w. a4 �i5tis•a'. b� 1.0 Z 0 JUG! 69 1 S A S n y file://lC:/Users/mmckissacklcpsilmemmed.cpsinet.comlu88150/data_5/tmp_cw5repon2819452676995032699.htm1 212 0 o Z l u °I°. ® R III d 3 V 3 O F N Z O r N o N_ N C N ` Z T _N ¢ O N N Lw a j aco o '.. 9 S Q W m 4 C g U o Oy M OR M I b b i C p I j D O m w zi N ? 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MEMORIAL MEDICAL CENTER 06/101i0$11 r'.- 0 AP Open Invoice List 12:56-� Y},� ,tl (} '202 Due Dates Through: 08/30/2021 ap_opan_invoice.templale Vendor# Vendor Name Class Pay Code do t y 111 t11 t:r- ACE HARDWARE 15521 Invoice# /Comment Tran Dt Inv DI Due On Check Dt Pay Gross Discount No -Pay Net 153797 ✓ 05/31/2021 05/03/2021 05/28/2021 3.99 0.00 0.00 3.99 SUPPLIES 153846 05/31/2021 05/04/2021 05/29/2021 69.99 0.00 0.00 69.99 f SUPPLEIS 153867 .,/ 05/31/2021 05/05/2021 05/30/2021 12.18 0.00 0.00 / 12.18 ✓ SUPPLIES 153887 ✓ 05/31/2021 05/05/2021 05/30/2021 14.99 0.00 0.00 14.99 SUPPLIES i 153901 ✓ 05/31/2021 05/06/2021 05/31/2021 34.96 0.00 0.00 34.95 SUPPLIES 153952 ✓ 05/31/2021 05/07/2021 06/01/2021 111.94 0.00 0.00 111.94 vl SUPPLIES 153942 ✓ 05/31/2021 05/07/2021 06/01/2021 24.19 0.00 0.00 24.19 f SUPPLIES / 154108 ✓ 05/31/2021 05/13/2021 06/07/2021 5.68 0.00 0.00 5.58 y�J SUPPLIES 154179 05/31/2021 05/17/2021 06/11/2021 4.98 0.00 0.00 4.98 y% SUPPLIES 154274 ✓ 05/31/2021 05/21/2021 06/15/2021 129.98 0.00 0.00 129.98 ✓� SUPPLIES 154477 �1/05/31/2021 05/28/9021 06/2212021 27.17 0.00 0.00 27.17 V/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 111 439.94 0.00 0.00 439.94 Vendor# Vendor Name Class Pay Code 10950 ACUTE CARE INC Invoice# Comment Tran Of Inv Ot Due Of Check DI Pay Gross Discount No -Pay Net INV191 ,/ 05/31/2021 06/20/2021 05/20/2021 1,400.00 0.00 0.00 1,400.00 11/ RFID Vendor Totals: Number Name Gross Discount No -Pay Net 10950 ACUTE CARE INC 1,400.00 0.00 0.00 1,400.00 Vendor# Vendor Name Class Pay Code A1430 ADVANCE MEDICAL DESIGNS INC M / Invoice# Comment Tran 01 Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net S101417301%05/31/2021 05/11/2021 06/08/2021 21.75 0.00 0.00 21,75 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A1430 ADVANCE MEDICAL 21.75 0.00 0.00 21.75 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC - CENTRAL DIV M .✓ Invoice# Comant Tran Of Inv Dt Due Dt Check Of Pay Gross Discount No -Pay Net 9113262645 ,0513112021 05/14/2021 06/08/2021 232.87 0.00 0.00 232.87 �f OXYGEN // 9113409334.05/31/2021 05/20/2021 06/14/2021 2,888.70 0.00 0.00 2,888.70 OXYGEN 9113487029 Q,'i/31/2021 05/20/2021 06/14/2021 735.39 0.00 0.00 / 735.39 v' OXYGEN 9113437014 P31/2021 05/20/2021 06/14/2021 321.39 0.00 0.00 321.39 OXYGEN Vendor Totals: Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC - 4,178.35 0.00 0.00 4.178,35 Vendor# Vendor Name Class Pay Code A1705 ALIMED INC. ,i M Invoice# Comment Tran DI Inv Dt Due Dt Check 01 Pay Gross Discount No -Pay Net Ble://IC:/Users/mmcklssack/cpsi/memmed.cpsinel.com/u88150/data_5/tmp_cw5report3056930082500235308.html 1/14 6/10/2021 tmp_cw5report3056930082500235308.html / RPSV03586105/31/2021 05/17/2021 06/01/2021 101.17 0,00 0.00 101.17 y' 11-1 SUPPLIES RPSV03587£05/31/2021 05/18/2021 06/02/2021 345,08 0.00 0.00 i 345.081✓ $1Y SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A1705 ALIMED INC. 446.25 0.00 0.00 446.25 Vendor# Vendor Name Class Pay Code 10958 ALLYSON SWOPE r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 060821 06/10/2021 06/08/2021 06/0812021 2,884.50 0.00 0.00 2,884.50 4s� CONTRACT EMPLOYEE Vendor Totals: Number Name Gross Discount No -Pay Net 10958 ALLYSON SWOPE 2,884.50 0100 0.00 2,884.50 Vendor# Vendor Name Class Pay Code B0435 BARD PERIPHERAL VASCULAR ✓M Invoice# Comment Tian DI Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 82544418 /05131/21)21 05/17/2021 06/09/9021 163.98 0.00 0100 163.98 1 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B0435 BARD PERIPHERAL 163,98 0.00 0.00 163.98 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE ✓ W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 70560043✓05/31/2021 04/29/2021 05/24/2021 53.84 0.00 0,00 53.84 ✓ // SUPPLIES 70628566 ✓05/31/2021 05/03/2021 05/28f2021 746.13 0.00 0.00 746.13 SUPPLIES 70688505 A/31/2021 06/10/2021 06/04/2D21 53.84 0,00 0.00 63.84 SUPPLIES 70808740 ✓ 6/31/2021 05/21/2021 06/1 W2021 629.50 0A0 0.00 629,50 LEASE 70808680 AWI/2021 05/21/2021 06/15/2021 2,367.50 0.00 0.00 2,367.50 LEASE Vendor Totals: Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHC/ 3,850.81 0.00 0,00 3,850.81 Vendor# Vendor Name Class Pay Code D1040 C R BARD, INC y/� Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 82521079 6/0513112021 05/11/2021 06/08/2021 346.99 0.00 0.00 348.99 w SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay D1040 C.R BARD, INC 348,99 0.00 0.00 Vendor# Vendor Name Class Pay Code 13028 CAVALLO ENERGY TEXAS LLC V' Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Gross Discount No -Pay 2113900151'05/31/2021 05/18/2021 06/21/2021 452.48 0.00 0.00 lq(4'1 ENERGY BILL 167647 [ 4119-t'o I! `< J 1 t 2113900151-05/3112021 05/18/2021 06/21/2021 15.05 0.00 igilll ENERGY BILL 167653 L4111-1511fl-1-1) 2113900151'05/31/2021 05/18/2021 06/21/2021 1221.35 0.00 15144 ENERGY BILL 167636 21141OD151:05/31/2021 05/20/2021 06/21/2021 8.29 0,00 51451-- ENERGY BILL 167662 Vendor Totals: Number Name Gross Discount No -Pay 13028 CAVALLO ENERGY 1.697.17 0.00 0.00 Vendor# Vendor Name Class Pay Cade 13336 COCA COLA SOUTHWEST SEVER, Net 348.99 Net 452.48 ✓ 0,00 15m V" 0.00 11221.35 r% 0.00 8.29 I,✓ Net 1,697.17 Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 7996206191 06/09/2021 06/09/2021 06/09/2021 465.26 0.06 0,00 465.26 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net file:MC:/Usera/mmckissack/cpsllmemmed.cpsinet.comluB8150ldeta_5/tmp_cw5report3058930082500235308.html 2114 6/10/2021 Imp_cw5mport3056930082500235308.html 13336 COCA COLA SOUTt 465.26 0.00 0.00 465.26 Vendor# Vendor Name Class Pay Code C1970 CONNED CORPORATION r,.i. M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 552574 of 05/31/2021 05/11/2021 06/08/2021 222.60 0,00 0.00 222.60 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C1970 CONNED CORPOR, 222.60 0,00 0.00 222.60 Vendor# Vendor Name Class Pay Code 12612 DASHBOARD MD ✓,. Invoice# ,Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 11199 ✓/ 06/04/2021 06/01/2021 06/24/2021 550,00 0.00 0.00 550.00 «% PROCESSING AND SUPPORT Vendor Totals: Number Name Gross Discount No -Pay Net 12612 DASHBOARD MD 550.00 0.00 0.00 560.00 Vendor# Vendor Name Class Pay Code 13948 DEVAN ORTA ✓ Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 060221 06/04/2021 06/02/2021 00/30/2021 104.77 0.00 0.00 104.77 TRAVEL TO PICK UP MEDS G 1 W 121 Vendor Totals: Number Name Gross Discount No -Pay Net 13948 DEVAN ORTA 104,77 0.00 0.00 104.77 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6450600 /'0513112021 05/25/2021 06/1912021 611.56 0.00 0.00 611.56 te'' SUPPLIES 6452950 ✓ 06/31/2021 05/26/2021 06/20/2021 26.25 0100 0100 26.25 ✓� / SUPPLIES 6454470 ✓ 05/31/2021 05/27/2021 OB/2112021 7.52 0.00 0.00 7.52 SUPPLIES 6454570 /0513112021 05/28/2021 06/22/2021 579.38 0.00 0.00 579,38 ✓J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SC 1,224.71 0.00 0.00 1,224.71 Vendor# Vendor Name Class Pay Code 10789 DISCOVEHY MEDICAL NETWORK ,/ Involce# Com�ant Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net MMC05312121/mal/2021 05/3l/2021 05/31/2021 141,900.91 0.00 0.00 141,900.91 PROFEES(Ma'416-31.'k)`2-0- RN56fill $alMi LLb Vendor Totals: Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDIC 141,900.91 0.00 0.00 141,900.91 Vendor# Vendor Name Class Pay Code 11291 DOWELL PEST CONTROL �/ Invoice# Tran Dt Inv Dt Due Or Check Ot Pay Gross Discount No -Pay Net 7r;omment 20888 t/ 05/31/2021 05/31/2021 06/25/2021 505.00 0.00 0.00 505,00 ✓ PEST CONTROL ( tjjSV4AJ) 20886 ✓'r 05/31/2021 05/31/2021 06/25/2021 160.00 0.00 0.00 160,00 V, , PEST-GGNTROL Mc$4ur�h C Ctltwcs� 20887 05/31/2021 05/31/2021. 06/25/2021 105.00 OAo 0.00 105:00 U" PEST CONTROL (, ( I1 tUa) Vendor Totals: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST COt 770,00 0.00 0.00 770.00 Vendor# Vendor Name Class Pay Code E1070 EDWARDS PLUMBING INC W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 63744 ✓� 05/31/2021 05/13/2021 05113/2021 679.00 0.00 0.00 879.00 CEO OFFICE CLOG Vendor Totals: Number Name Gross Discount No -Pay Net E1070 EDWARDS PLUMBII 679,00 0.00 0.00 679.00 Vendor# Vendor Name Class Pay Code file:///C:/Users/mmckissack/cpsi/memmed.cpsinel.com/u881S0/data 5/tmp_cw5report30569300825002353o8.html 3114 6110/2021 tmp_cw5report30�56930082500235308.html r r 11284 EMERGENCY STAFFING SOLUTIO Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount 40279 y'- 05/31/2021 05/31/2021 06/10/2021 40,062,60 0.00 ER STAFFING k 14-tO*y) No -Pay Net 0.00 40,062.50,E 40295 ,./ 06/08/2021 05/31/2021 05/31/2021 5.340.00 0.00 0.00 5,340.00 DR BUNNELL VACATION COVERA, Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAF 45,402.50 0.00 0.00 46,402.50 Vendor# Vendor Name Class Pay Code 13872 ETHOS MEDICAL STAFFING Invoice# comment Tran Dt Inv Of Due Dt Check Ot Pay Gross Discount No -Pay Net 26244 ✓ 05/31/2021 05/28/2021 06/27/2021 2,980.80 0.00 0.00 2,980.80 ✓r NURSE STAFFING , Vendor Totals: Number Name Gross Discount No -Pay Net 13872 ETHOS MEDICAL S' 2,980.80 0.00 0.00 2,980.80 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ,/ M Invoice# Qomment Tran Dt Inv Dt Due Dt Check Of Pay Gross Discount No -Pay Net i 3078907,// 05/31/2021 05/03/2021 05/28/2021 220.33 0.00 0.00 220.33 ✓/ SUPPLIES 3423009 ✓ 05/31/2021 06/05/2021 05/30/2021 718.01 0.00 0.00 718.01 y-"- SUPPLIES 3614560 05/31/2021 05/06/2021 05/31/2021 765.66 0.00 0.00 765.66 v'1 SUPPLIES 3834898✓ (15/31/2021 05/07/2021 05/01/2021 220.32 0.00 0.00 220.32 - SUPPLIES w 4088297 ./05/31/2021 05/10/2021 OW04/2021 780.00 0.00 0.00 780.00 v1 SUPPLIES 4458099,/05/31/2021 05/11/2021 06/05/2021 115,04 0.00 0.00 116.04 SUPPLIES 4458080✓ 05/31/2021 05/11/2021 06/05/2021 216.42 0.00 0,00 215.42„fl SUPPLIES 5115644 ,J 05/31/2021 05/12/2021 06/06/2021 1,190.48 0.00 0.00 1,190.413 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCA 4,225,26 0.00 0.00 4,225.28 Vendor# Vendor Name Class Pay Code 11183 FRONTIER ..� Invoice# Comment Tran Of Inv Dt Due Ot Check Of Pay Gross Discount No -Pay 051921 05/31/2021 05119/2021 06/14/2021 65.40 0,00 0.00 PHONES 21018814800912115 062321 OM1/2021 05/23/2021 06/16/2021 14.49 0.00 PHONES 36156202540525185 Vendor Totals: Number Name Gross Discount No -Pay 11183 FRONTIER 79.89 0.00 0.00 Vendor# Vendor Name Class ; Pay Code 13960 GOODS & SERVICES MANAGEMEI Net 65.40 0.00 14.49 Net 79,89 Invoice# Comment Tran Of Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 340382529,:05/31/2021 05/21/2021 260,37 0.00 0.00 280,37 „= TRASH SERVICES Vendor Totals: Number Name Gross Discount No -Pay Net 13960 GOODS & SERVICE 260.37 0.00 0.00 260.37 Vendor# Vendor Name Class Pay Code W1300 GRAINGER ✓ M Invoice# Com ant Tran Of Inv Dt Due Dt Check Of Pay Gross Discount No -Pay Net 9699841507 Rb 31/2021 05/12/2021 06/06/2021 114.26 0.00 0.00 114.26 vr SUPPLIES 99011368471.65/31/2021 05/13/2021 06/07/2021 25,90 0.00 0.00 25.90 SUPPLIES 990113685405/31/2021 05/13/2021 06107/2021 33.14 0.00 0.00 33.14 SUPPLIES w tile:///C:/Users/mmckissack/cpsYmemmed.cpsinet.comiu8Bl5O/data_5/tmp_uw5report3056930082500235308.html 4/14 6/10/2021 tmp_cw5repart3056930082500235308.htmI r 001763138 05/31/20PI 05/14/2021 06/08/2021 49.20 0.00 0.00 49.20 SUPPLIES 9905986163,05/31/2021 05/19/2021 06/13/2021 -49.20 0.00 0.00 -49.20 � CREDIT 9912789865 j15/31 /2021 05/25/2021 06/19/2021 493.80 0.00 0.00 493.80 u"! SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net W1300 GRAINGER 667.10 0.00 0.00 667.10 Vendor# Vendor Name Class Pay Code 12948 GREAT AMERICAN FINANCIAL SV( Z' Invoice# Comment Tran Dt Inv Dt Due Or Check Dt Pay Gross Discount No -Pay Net 29276543 ✓05/3112021 05/06/2021 0513112021 �4tC(t 15) 12,034,42 0.00 0.00 12,034.42 COPIER/PRINTER LEASE d'7r1 U05.1 Vendor Totals: Number Name Gross Discount No -Pay Net 12948 GREAT AMERICAN 12,034.42 0.00 0.00 12,034.42 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY „!M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1826888 ,,/' 05/31 /2021 03/10/2020 04/0912020 90.16 0.00 0.00 90.18 L_"Z SUPPLIES 1880884 ✓/ 05/31/2021 06/16/2020 07/16/2020 2,678.28 0.00 0.00 2,678.28 r f' SUPPLIES / 2048751,/ 05/31/2021 06/18/2021 OW1712021 681.09 0.00 0.00 681.09 l% SUPPLIES 2052142 05/31/2021 05/25/2021 06/24/2021 836.17 0.00 0.00 836.17 ✓' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPE 4,285.70 0.00 0.00 4,285.70 Vendor# Vendor Name Class Pay Code 10334 HEALTH CARE LOGISTICS INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 307998319 „va/31/2021 05/04/2021 05/29/2021 28.16 0.00 0.00 28.16 y' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOG 28.16 0,00 0.00 28.16 Vendor# Vendor Name , Class Pay Code H0416 HOLOGIC INC./ Invoice# Comment Tran Dt Inv Dt Due IN Check Ot Pay Gross Discount No -Pay Net 9700731 ✓06/311P021 05/05/2021 06/09/2021 708.75 0.00 0100 708.75 V SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net H0416 HOLOGIC INC 708.75 0.00 0.00 708,75 Vendor# Vendor Name Claus Pay Code 10922 HUNTER PHARMACY SERVICES ✓ Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 4427 �/ 05/31/2021 05/3112021 06/20/2021 14.611.90 0.00 0.00 14,611.90 ✓ PRO FEES Vendor Totals: Number Name Gross Discount No -Pay Net 10922 HUNTER PHARMAC 14,611.90 0.00 0.00 14,611.90 Vendor# Vendor Name Class Pay Code 11108 ITERSOURCE CORPORATION L/` Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net Jpomment 711352 r,/ 06/04/2021 06/0112021 06/30/2021 250.00 0,00 0.00 250,00 SUPPORT SYSTFM Vendor Totals: Number Name Gross Discount No -Pay Net 11108 ITERSOURCECORI 250.00 0,00 0.00 250.00 Vendor# Vendor Name Clasp Pay Code J0150 J & J HEALTHCARE SYSTEMS, IN( ✓ Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net 924875428y63112021 04/15/2021 05/15/2021 22.34 0.00 0.00 22.34 SUPPLIES Tle:!//C:/Users/mmckissack/cpsilmemmed.cpsinst.comlu881501data_51Imp_cw5report30569300825002353o8.html 5114 6/10/2021 imp_cwSreport3056930082500235308,htmI R / 924814850 �05/31/2021 04/29/2021 05/29/2021 567.0.3 0.00 0.00 567.03 v SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net JO1s0 J & J HEALTH CARE t✓ 589.37 0.00 0.00 589.37 Vendor# Vendor Name Class Pay Code 13956 KOETTER FIR PROTECTION ✓ Invoice# Comment Tran Of Inv Dt Due Of Check Of Pay Gross Discount No -Pay Net 32652 ✓ 05/31/2021 06/07/2021 06/07/2021 650.00 0.00 0.00 650.00 4,z VENT HOOD INSPECTION- }4gAUN.i Vendor Totals: Number Name Gross Discount No -Pay Net 13956 KOETTER FIR PRO' 650.00 0.00 0.00 650.00 Vendor# Vendor Name i Class Pay Code L1001 LANDAUER INC ✓ W Invoice# Comment Tran Ot Inv 01 Due Of Check Dt Pay Gross Discount No -Pay Net 20210518✓ 06/08/2021 05/18/2021 06/18/2021 954.66 0.00 0.00 954.6.61j" BADGES Vendor Totals: Number Name Gross Discount No -Pay Net L1001 LANDAUER INC 954.66 0.00 0.00 954.66 Vendor# Vendor Name Class Pay Code 11796 LUBY'S FUDDRUCKERS RESTAUR Invoice# Comment Tran Dt Inv Of Due Dt Check Dt Pay Gross Discount No -Pay Net INV0000394POS13112021 04/30/2021 06/30/2021 25,551.90 0.00 0.00 25,551.90V✓ FOOD SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11796 LUBY'S FUDDRUCK 25,551,90 0.00 0.00 25,551.90 Vendor# Vendor Name Class Pay Code 10972 MGTRUST ✓ Invoice# Comment Tran Dt Inv Of Due Dt Check Of Pay Gross Discount No -Pay Net 060421 06/08/2021 06/08/2021 06/08/2021 790.86 0.00 0.00 790.86 PAYROLL DED Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 790.86 0.00 0.00 790.86 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL / I ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 18176444 J/06/3112021 05/11/2021 05/26/2021 3,067.75 0.00 0.00 3,087,75 SUPPLIES 18176466 ✓05/3112021 05/11/2021 05/26/2021 996.80 0.00 0.00 996,80 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDIC 4,084.55 0.00 0.00 4,064.55 Vendor# Vendor Name Class Pay Code 11141 MEDICAL DATA SYSTEMS, INC. f Invoice# Comment Tran Dt Inv DI Due Dt Check Of Pay Gross Discount No -Pay Net 160750 ✓� 05/31/2021 05/31/2021 06/25/2021 4,595.60 0.00 0.00 4,595.60 --' COLLECTION FEES ` 160751 ✓ 05/31/2021 05/31/2021 06/25t202i 1,006,17 0.00 0.00 1,006.17 Lj COLLECTION FEES )F 160749 v 05/31/2021 O6/31/2021 06125/2021 1.085.76 0.00 0.00 1,085.76 f COLLECTION FEES Vendor Totals: Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA BY! 6,687.53 0.00 0.00 6,657.53 Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS. VA/P y✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check Of Pay Gross Discount No -Pay Net 060221 O6/0412021 06/02/2021 06/30/2021 18.84 0.00 0.00 18.84 INDIGENT CARE 060221A 06/04/2021 06/02/2021 06/3012021 90.97 Oleo 0.00 90.97 INDIGENT CARE Vendor Totals: Number Name Gross Discount No -Pay Net 10613 MEDIMPACT HEALI 109.81 0.00 0.00 109.81 Ole:/IIC:/Users/mmckissackicpsi/memmed.cpsinet,com/u881501data_51tmp_cw5report3056930082500235308.html 6114 tmp cw5report3056930082500235300.html 6110l2021 Class Pay Code t Vendor Name Vendor# MEDIVATORS M Grass Discount No -Pay Net M2827 Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay 400.00 0.00 0.00 400M 90920375 05/31/2021 05/2612021 05/04/2021 SUPPLIES Gross Discount No -Pay Net Vendor Totals; Number Name 400.D0 0.00 0.00 400.00 M2827 MEDIVATORS pay Code Vendor Name Class Vendor# MEQLINE INDUSTRIES INC ✓ M No -Pay Met � M2470 Tran D[ Inv DI Due Dt Check Dt Pay Gross Discount 0.00 0.00 230.25 I,% Invoice# Cc��ment 230.25 195477231..+05/31 /2021 03119/2021 04/13/2021 SUPPLIES 249.85 0.00 0.00 249.85 �JJ 04/17/2021 05/12/2021 1948891451,,Oy/31/2021 SUPPLIES 407.96 0.00 0.00 407.96 ✓ J 04/23/2021 05/18/2021 1949540201rr15/31/2021 / SUPPLIES 1$4.08 0.00 0.00 134.08 ✓�` 1950585924 �05/31 /2021 05/0312021 05/28/2021 SUPPLIES 29.90 0.00 0,00 29.90 ✓'' 05/04/2021 05/29/2021 1950640548.O�13112021 SUPPLIES 379.02 0.00 0,00 379.026✓/ JJ 1950640528 4513112021 05/04/2021 05/29/2021 11710 ✓J SUPPLIES 117.10 0.00 0.00 1950640524 a41/2021 05/04/2021 05/29/2021 SUPPLIES 3,759.72 0.00 0.00 3,759.72 1950640559 j15/31/2021 05/04/2021 05/29/2021 SUPPLIES 3.433.02 0.00 0.00 3,433.02 %05/31/2021 05/0412021 05129/2021 1950640541 SUPPLIES 50.84 0.00 0.00 50.84 V,. 1950640525 0 31/2021 05104/2021 05/29/2021 SUPPLIES 25.05 0.00 0.00 2505✓� 1950640527 99131 /2021 05704/2021 05/29/2021 SUPPLIES 349.60 0.00 0.00 349.80 1950799795 05/3112021 05/05/2021 05/30/2021 SUPPLIES 2825 0.00 0.00 25,25 ✓ �/- 1950992337%08131/2021 O6/06/2021 05/31/2021 ff SUPPLIES 50.49 0.00 0.00 50.49 ✓ 1951469440'65/31 /2021 05/111P O21 06/05/2021 SUPPLIES 75.15 0.00 OM 75,15 t/ 1951469442,0613112021 05/11/2021 06/0512021 SUPPLIES 29.20 0.00 0.00 29.20 ✓'� // ,05/31 /2021 05/11/2021 06/05/2021 1951469446 SUPPLIES 47,40 0.00 0.00 47.40 ✓/ 1951469445155/31/2021 05/11/2021 06/05/2021 SUPPLIES 18.94 0.00 0.00 18.94 ✓� 1951469460 r06131 /2021 05111 /2021 08/05/2021 SUPPLIES 101.46 OM 0.00 101A6 v'1' / 1951714532%05/31/2021 05/12/2021 06/06/2021 SUPPLIES 136.75 0.00 0.00 136.75 W/ 195176984015/3112021 05/1312021 06/0712021 SUPPLIES 58.38 0.00 0.00 58.38 t"` � 1951769841 Q /31/2021 05/13/2021 06/0712021 SUPPLIES 37.48 0.00 0.00 37.481.+` ! 1952311667 p 31/2021 06/18/2021 06/12/2021 SUPPLEIS 43.09 0.00 0.00 43.09 1/ i952311666f15131/2021 05/18/9021 06/12/2021 f' SUPPLIES 37.30 0.00 0.00 37.30 1952311668d/31/2021 05/18/2021 06/12/2021 / SUPPLIES 5,592.69 0.00 0.00 5,592.69 ✓ 1962383095 Vf31/2021 05/19/2021 06/13/2021 SUPPLIES 459.25 0.00 0,00 459.25 ✓ 1952363080 a/31/2021 05/19/2021 06/13/2021 704 ... __,.,---- l,-.it.,ommed.cosine6comlu8B150/data_5/tmp_GwSreport3056930082500235308.him1 June 16, 2021 2021 APPROVAL LIST - 2021 BUDGET COMMISSIONERS COURT MEETING OF 06/16/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 22 $795,831.24 FICA P/R $ 52,632.30 MEDICARE P/R $ 12,309.38 FWH P/R $ 34,419.77 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 4,470.00 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,516.15 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 158,555.00 AT&T MOBILITY A/P $ 655.01 BLEVINS, CATHERINE CO CLK-REIMBURSEMENT FOR CONF EXPENSES A/P $ 226.08 CITIBANK A/P $ 23,184.13 FRONTIER COMMUNICATIONS A/P $ 55.64 GOODMAN, ANNA CO CLK-REIMBURSEMENT FOR CONF EXPENSES A/P $ 420.73 HEARD, DAN W. D.A- REIMBURSEMENT FOR CONF EXPENSES A/P $ 307.02 WFINIUM BROADBAND INTERNET A/P $ 160.00 SPARKLIGHT A/P $ 371.35 WARREN LOUIS CONSTABLE PCT4-REIMBURSEMENT FOR SUPPLIES/CONF EXPENSES A/P $ 1,117.77 TOTAL VENDOR DISBURSEMENTS: $ 1,086,231.57 CALHOUN COUNTY OPERATING ACCOUNT - TRANSFER FUNDS FOR AP/PR A/P $ 2,000,000.00 CALHOUN COUNTY INDIGENT HEALTH CARE A/P $ 9,253.25 TOTAL INVESTMENT ACTIVITY AND TRANSFERS BETWEEN FUNDS: $ 2,009,253.25 TOTAL AMOUNT FOR APPROVAL: $ 3,095,484.82 MEMORIAL MEDICAL CENTER ?COMMISSIONERS GOURT APPROVAU.LIST FOR----Jrine 1fi'2021 by:CT INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES MMCenter (In-pattent $0/ Out -patient $3638.401 ER $901.12) 4,539.52 Memorial Medical Clinic 455.81 Singleton Associates, PA 56.67 Victoria Eye Center 106.74 SUBTOTAL 6,158.74 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) 4,166.67 Subtotal 9,325.41 Co -pays adjustments for May 2021 (70.00)' Reimbursement from Medicaid 0.00 COUNTY, TEXAS DATE: CC Indigent Health Care VENDOR # 852 ACCOUNT NUMBER DESCRIPTION OF GOODS OR SERVICES QUANTITY UNIT PRICE TOTAL PRICE 1000-800-98722-999 Transfer to pay bills for Indigent Health Care $9,255.41 approved b Commissioners Court on--s06/16/2'A21 1000-001-46010 May 31, 2027. Interest ($2.36) Q Q �d $9,253.25 C0914TY AUDI OR A AL 5RY >— Z THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD DIT N AND REQUEST THE COUNTY TREASURER TO PAY THE ABO LIGATION. BY: 6/16/2021 IL 4 1 /\ C% U DEPARTMENT HEAD DATE Bill To: Calhoun County 815 N. Virginia St. Port Lavaca, Texas 77979 (361) 552-6713 Date: 6/9/2021 Invoice # 357 For: May-21 DESCRIPTION I AMOUNT Funds to cover Indigent program operating expenses. $ 4,166.67 Total $ 4,166.67 410 19 t ZIiZ-A APPROVED Roshanda Thomas ON Assistant Administrator jUN - 9 2021 BY CALHOUN COUNTY AL DITOR 50240.000 05/06/21 585613 00/00/00 PAR 50240.000 05/25/21 587588 00/00/00 RAN 50240.000 05/27121 587842 00/00/00 PM 50240.000 05/14/21 506544 00/00/00 PLB 50240.000 05/14/21 586589 00/00/00 PLB 50240.000 05/21/21 507489 00/00/00 ME 50240.000 05/21/21 587490 00/00/00 PLB 50240.000 05/24/21 597491 00/00/00 PLB 50240.000 05/24/21 507525 00/00/00 PLB 50240.000 05/24/21 597526 00/00/00 PLB 50240.000 05/26/21 587763 00/00/00 ME **MORAL** 50240.000 CO NN INDIGENT COPAYS 70.000 V ©1HS Source Totals Report Issued 06/02/21 Calhoun Indigent Health Care Batch Dates 06/01/2021 through 06/01/2021 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 948.00 163.41 ' 08 Rural Health Clinics 458.00 455.81 14 Mmc-Hospital Outpatient 11,370.01 3,638.40 15 Mmc - Er Bills 2,816.00 901.12 Expenditures 15,592.01 5,158.74 Reimb/Adjustments Grand Total 15,592.01 6,168.74 EXPENSES 4,166.67 9,325.41 COPAYS <70.00> ✓ TOTAL 9,255.41 ©iHS Source Totals Report Issued 06/02/21 Calhoun Indigent Health Care Batch Dates 02/01/2021 through 06/01/2021 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 9,923.00 1,163.30 01-2 Physician Services- Anesthesia 546.00 115.99 02 Prescription Drugs 479.79 479.79 08 Rural Health Clinics 2,724.00 2,667.88 14 Mmc- Hospital Outpatient 53,373.05 17,151.89 15 Mmc - Er Bills 13,396.00 4,286.72 Expenditures 80,546.54 25,970.27 Reimb/Adjustments -104.70 -104.70 Grand Total 80,441.84 25,865.57 EXPENSES 20,833.35 46,698.92 COPAYS <400.00> TOTAL 46,298.92 Calhoun County Indigent Care Patient Caseload 2021 Approved Denied Removed Active Pending January 2 .0 0 11 5 February 0 0 0 11 7 March 1 1 2 10 5 April 2 0 0 12 6 May 0 0 1 11 9 June July August September October November December YTD Monthly Avg 1 0 1 11 6 December 2020 Active 9 Number of Charity patients 198 Number of Charity patients below 100% FPL 75 Calhoun County Pharmacy Assistance Patient Caseload 2019 January February March April May June July August September October November December d Refills Removed 7 0 0 4 0 0 2 6 1 2 2 0 1 3 0 Active Value 7 $8,589.00 11 $10,869.00 12 $14,515.00 14 $14,719.00 15 $14,765.00 YTD PATIENT SAVINGS $63,457.00 Monthly Avg 3 2 0 12 $12,691.40 0 December 2020 Active 87 Statement Date Account No THE COUNTY OF CALHOUN TEXAS CAL CO INDIGENT HEALTHCARE 202 S ANN ST STE A PORT LAVACA TX 77979 13351 5/31/2021 "'""4551 Page i of 2 .,STATEMENT SUMMARY Public Fund Contractual Ckg w int Account No .*"*4551 05/01/2021 Beginning Balance $5,746.45 3 Deposits/Other Credits + $9,163,10 8 Checks/Other Debits - $9,115.55 05/31 /2021 Ending Balance 31 Days in Statement Period $5,794.00 Total Enclosures 10 Date Description Amount 05/13/2021 Deposit iu.0.R Qaq$O = 1---"'"-- $9,080.74 CD 05/24/2021 Deposit �_n�GI1Do.0� $80.00"J�'�n 05/31/2021 Accr Earning Pymt Added to Account �� 11 $2.36 Check Number Date Amount Check Number Date Amount Check Number Date Amount 12452 05-26 $98.98 12455 05-14 $4,195.54 12458 05-18 $115.99 12453 05-14 $4,166.67 12456 05.21 $360.00 12459 S=Zi $32.SU�. 12454 05-14 $116.20 12457 05-20 $29.67 ----� Date Balance Date Balance Date Balance 05-01 $5,746.45 05-18 $6,232,79 05-24 $5,890.62 a' 05-13 $14,827.19 05.20 $6,203.12 05-26 $5,791.64 — 05-14 $6,348.78 05.21 $5,810.62 05-31 $5,794.00 o� �.� •" Below is an itemization of the Earnings paid this period. Interest Paid This Period $2.36 Annual Percentage Yield Earned 0.45 % Interest Paid YTD $11.11 Days in Earnings Period 31 .� Earnings Balance $6,187.46 MEMBER FDIC — NYSE Symbol "PB" Ia O. PAYEE MEMORIAL MEDICAL CENTER TRANSFER REQUEST Memorial Medical Center Clinic Date Requested: 04/27/2021 Cal e j6 -* 0 /-a � AMOUNT $32.50 G/L NUMBER: EXPLANATION: TO TRANSFER $32.50 TO MMC CLINIC ACCOUNT THAT WAS DEPOSPWIWD THE INDIGENT ACCOUNT APR 2 F 2621_ REQUESTED BY: Mayra Martinez AUTHORIZED BY: H UN COUNTY AUDITOR Front FPOSPEIbTY BANK TUE COUNTY OFCALROUN C07RHQ wAYN 202 S. ANN. SUITE A MU LAVACA,T MMSIM PORT LAVACA, TEXAS 77979 oavEhHiayseo I ""Thirty Two and 50/100 Dollars .. 5/20/2020 - .4 NOTVALID AFTER 180 DAYS PAY MEMORIAL MEDICAL CLINIC OROS 1018 N VIRGINIA ST � OF: PORT LAVACA, TX 77979 �~ • G III 2090141r 1::113L226551: 216644462n' Back Ir%� Nl MCe� i r e N-I;o n >113122655<$k 0087 Port Lavaca - 87 05-26-2020 8002296248 209019 209019 mso 11 I rPROSPERITY#r BANK& ..4 Statement Date Account No THE COUNTY OF CALHOUN TEXAS CAL CO INDIGENT HEALTHCARE 202 S ANN ST STE A PORT LAVACA TX 77979 12620 5/31/2020 Page 1 of 4 Funds Availability Changes effective 6/1/2020: The amount we make available for checks not subject to next -day availability is increasing from $200 to $225. In addition, the amount available for withdrawal on exception holds for large deposits, new accounts and the amount for determining a repeat overdraft is increasing from $5,000 to $5,525. Incoming Wire Transfer Fee effective 07/01/2020: A fee of $7.50 will be charged for each incoming wire transfer. 05/01/2020 Beginning Balance $5,440.27 5 Deposits/Other Credits + $38,963.61 10 Checks/Other Debits $29,011.01 05/31 /2020 Ending Balance 31 Days in Statement Period $15,392.87 Total Enclosures 14 DEPOSITS/OTHER CRE Date Description Amount 05/01/2020 Deposit $7.8,888.531NAaA 05/20/2020 Deposit 4.4 {fmdao 05/26/2020 Deposit 2.5 JvSu�A 05/29/2020 Deposit $9,484. 05/31 /2020 Accr Earning Pymt Added to Account $3.55 CHECKS Check Number Date Amount Check Number Date Amount Check Number Date Amount 12361 05.07 �� 5$,AA 12365 05-04 $21,988.02 12369 05•05 $313.30 12362 05.26 $146.64 12366 05-05 $1,735.81 12370 05.08 $68.70 12363 05.04 $4,166.67 12367 05-05 $95.43 12364 05-04 $234.77 12368 05-07 $207.26 Date Balance 05-01 $34,328.80 MEMBER FDIC 1.�9 1. wre, Date Balance 05-04 $7,939.34 Date Balance 05-05 $5,794.80 NYSE Symbol "PB" d E x C �jP Q qb m O m y3 a zOz r� zOz �aCl jn aoCZ" Z ;00OZ zo zn m m � o e � w o w () 0 W c N m r v � 3 n N N C b b mr N a a z N U U U a U a W P U W P U W P U W P U W P U W P U W P U W P U U W W P P U W P U W P P r n r 0 0 0 0 0 0 0 o a o 0 0 0 0 0 o c n I vEnrnR1 [yEnn 1NOn O N� En'i] yn11 �no O Ern En� Er� EnC E�nSn Er� En ��n �nc E�nn m y m y m 0' l0J n � A A n A (] 0 no (J O O P O O O O P P O O O $ m N � z n m o P P P P P P P P P P P P P Iv„ U twn W U U u W U nW. 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