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2013-04-25 Regular April 2013 Term Held April 25, 2013 THE STATE OF TEXAS COUNTY OF CALHOUN !j !i !j BE IT REMEMBERED, that on this 25'h day of April, A.D., 2013 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to-wit: Michael J. Pfeifer Roger C. Galvan Vern Lyssy Kenneth W. Finster Suzana Eckermann County Judge Commissioner, Precinct # 1 Commissioner, Precinct #2 Commissioner, Precinct #4 Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Commissioner Lyssy led the Pledge to the Texas Flag. APPROVE MINUTES OF JANUARY 10, 2013, JANUARY 24, 2013 AND FEBRUARY 14, 2013: A Motion to approve the minutes of January 10, 2013, January 24, 2013 and February 14, 2013 was made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. Regular January 2013 Term Held January 10, 2013 THE STATE OF TEXAS !j !i COUNTY OF CALHOUN !j BE IT REMEMBERED, that on this 10'" day of January, A.D., 2013 there was begun and hoiden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to-wit: Michaei J. Pfeifer Roger C. Galvan Vern Lyssy Neil Fritsch Ken neth W. Fi nster Suzana Eckermann County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 Deputy Cou nty Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. APPROVE MINUTES OF NOVEMBER 8, 2012 MEETING: A Motion to approve the minutes for the November 8, 2012 meeting was made by Commissioner Lyssy and seconded by Commissioner Galvan. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Regular January 2013 Term Held January 24, 2013 THE STATE OF TEXAS !j !i COUNTY OF CALHOUN !j BE IT REMEMBERED, that on this 24th day of January, A.D., 2013 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to-wit: Michael J. Pfeifer Roger C. Galvan Neil Fritsch Kenneth W. Finster Suzana Eckermann County Judge Commissioner, Precinct # 1 Commissioner, Precinct #3 Commissioner, Precinct #4 Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. Judge Pfeifer: Welcomed new Sheriff, George Aleman, new Chief Deputy Bryan Prall and new Lieutenant Rusty Henderson. Thank you for coming in and acting as bailiff today. Regular February 2013 Term Held February 14, 2013 THE STATE OF TEXAS !j !i COUNTY OF CALHOUN !j BE IT REMEMBERED, that on this 14th day of February, A.D., 2013 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to-wit: Michael J. Pfeifer Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Suzana Eckermann County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. APPROVE MINUTES OF NOVEMBER 8, 2012, NOVEMBER 19, 2012 AND JANUARY 1, 2013 MEETINGS: A Motion to approve the minutes of November 8, 2012, November 19, 2012 and January 1, 2013 was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. The minutes of November 8, 2012 were previously approved on January 10, 2013. Susan Riley From: Sent: To: Cc: Subject: Attachments: Cindy Mueller [cindy.mueller@calhouncotx.orgj Thursday, April 18, 2013 5:14 PM 'Susan Riley' 'Don Gray' Agenda Item Request Calhoun County proposal for on going services april 2013.pdf Please place the following item on the agenda for April 25, 2013: . Hear and consider proposal from Gray & Company, LLC, independent insurance/risk management consultant, for Property and Liability Insurance Management Services. Note: "Ongoing" management se,vices are proposed at fee of $4,000 for one year. "Additional" services $125/hour. Cindy Mneller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 1 HEAR AND CONSIDER PROPOSAL FROM GRAY & COMPANY, LLC, INDEPENDENT INSURANCE/RISK MANAGEMENT CONSULTANT, FOR PROPERTY AND LIABILITY INSURANCE MANAGEMENT SERVICES: Proposes a service fee of $4,000 for the period of April 1, 2013 - 2014 to provide the "On-Going" Insurance Management Services pertaining to the County's property, liability, fidelity and workers' compensation insurance program. Don Gray (Gray & Company, LLC): During the time that I spent here doing the RFP project last year from July through December, I learned a lot about the needs of Calhoun County, its operations and risk exposures, history and problems with the policies. I felt there was a need that this proposal can fill; so that the County can have access to a professional independent insurance adviser who provides advice only and works for the County in order to provide a continuity of helping to manage the County's insurance budget and coverage no matter who the insurance providers are. I would like to represent the County on that basis. Risk managers and risk managing departments are usually only in the large counties on the payroll. This would be on a part-time basis. There are two (2) components of this proposal: 1. Basic year round service rate would be $4,000 2. Any "extra" services (anything that falls outside the basic services and would not have to be used unless needed) would be on an hourly basis at $125 per hour, pro-rated to the minute There are five goals (page 4): 1. Proved access to a qualified property and liability insurance specialist 2. Unbiased and complete information 3. Keep lowest rates possible for broadest coverage 4. Management reports: histories; detailed insurance policies on hard drives 5. Provide long term continuity Page 5 - 8: Lists the ongoing basic services. (Would need to submit an amended proposal with the hospital information also if the County decides to include the hospital.) 1. Insurance Premium Rate Comparisons 2. Approve Premium Invoices 3. Insurance Policy Review & Approval . Part of previous RFP project contract with the County involved policy review. In the process of reviewing, discovered two mistakes on the TAC insurance policies: . Property insurance policy which provides valuable paper coverage for the County was supposed to be written for a $2.5 million limit, but was issued for a $1 million limit. TAC has agreed to change that at no cost because that is what they quoted. . Automobile liability shows a $1,000 deductible and it was supposed to be $0. TAC has agreed to fix that as well. 4. Insurance Renewal Proposals - Changes in Policy Wording & Coverage 5. Maintenance of Insurance Schedules and Underwriting Data 6. Premium/Loss Matrix 7. Premium Estimates for Budget Purposes 8. Insurance Renewal Pianning 9. Detailed "Schedule of Insurance" Policies 10. Responding to Miscellaneous Insurance Questions (ten hours and under) 11. Review Contracts and Leases (five hours and under) 12. Insurance Company Financial Ratings 13. Governmental "Risk Pools" Page 9: "Additional" Insurance Management Services 1. Exposure/Coverage Audit 2. Responding to Miscellaneous Insurance Questions (over ten hours of the basic rate) 3. Review Contracts and Leases (over five hours ofthe basic rate) 4. Certificate of Insurance 5. Claim/Coverage Negotiations 6. Insurance Administration Review 7. Insurance Purchasing Assistance 8. Insurance Manual 9. Client Meetings (with travel time and mileage) Commissioner Lyssy: You would include the hospital in this? Don Gray: I'm willing to do the hospital. Judge Pfeifer: Maybe have Gray & Company do the same work on the hospital's policy as what was done for the County. Commissioner Lyssy: Is this just for property and liability? You don't do health? Judge Pfeifer: Do you do health Insurance also? Don Gray: Health insurance is getting worse and worse. Am qualified to but would prefer to only do property and liability. Commissioner Finster: We do need some kind of consultant to help out the Auditor's Office. Why aren't we going out and checking with other risk management companies for proposals for these services? I know that Gray & Company has already done a lot of the work. We're talking about a lot of work in the future and there might be other people who can provide these same services. Now we're talking about hiring a risk manager. There are a lot of things that need to be monitored more closely now. I think that there is more to just saying "yes" to it without checking out other proposals. We just recently went through an employee manual system and then hired a consultant to follow up on that and have added in that cost. Now we are being asked to add an additional cost to what the County never had to pay before. Not saying it isn't a good cost, but need to see what others would do. Commissioner Lyssy: What do we pay in premiums now? Do you have a ballpark figure? Cindy Mueller: I can get you that information, but I don't have it with me. Commissioner Finster: I know that we need a management service. Just pointing out the way we were a year ago compared to now and we're talking about hiring and we won't know the net effect of that until a year from now. He's presented a good program. Commissioner Lyssy: How many others [consultants] are out there right now that are not tied to an insurance company in this area? Don Gray: There are probably two (2) other consultants in the State that could provide these services. Commissioner Lyssy: I think that he saved us a lot of money. Don Gray: They would have to come in and learn about Calhoun County. But they wouldn't be able to offer you this for $4,000. They wouid charge for the time to "learn" about the needs of the county while I have already done that. My contract is an annual "non-renewable" contract and would have to be renewed each year. It can also be canceled in thirty (30) days. You don't have to stay the full year and can cancel at any time. Cindy Mueller: We have had a very good working relationship with Gray & Company. Commissioner Galvan: You had a hard time trying to iocate someone to do the project. Cindy Mueller: If you had not hired Gray & Company to do the RFP, you would have basically gotten whatever the renewals were. The auditor's office does not have the expertise or the staff time to deal with these things to make sure that the products that you get are exactly what the providers say you are going to get. Commissioner Lyssy: Would you have been able to catch the mistakes those two mistakes on TAC? Cindy Mueller: No. We don't have time. Judge Pfeifer: When we put bids out to the other consultants in the state for the audit and we didn't get any responses from them the first time. Cindy Mueller: We did make that attempt when we were looking for a consultant to help with the RFP process. Commissioner Lyssy: Don knows us inside and out now. Cindy Mueller: From the taxpayers' dollars stand point, you've already invested dollars in services with Gray & Company to learn the needs of the County. If someone else came in, that process would have to be done all over again. Property & Liability Insurance Management Services Proposal for Calhoun County, Texas Presented by COMPANY, L1.C )n~1I1:~lIt"< {:"lI',lllt;!l\l,', ii,: \lail"g<'r~ '", In,(J.i:", .",J" Don Gray, ARM 605 The High Road Austin, Texas 512-496-3583 don@insconsultant.com April 11, 2013 I rsI ,... fiR (2) m> I..J ~,... I (2) rsI I am pleased to provide this proposal to serve as Calhoun County's "outsourced" property and liability insurance manager. Gray & Company, LLC was established in 1999. I now have 24 years of experience in providing consulting services to governmental entities, colleges and universities, school districts, and electric cooperatives. And of course, I am licensed to provide insurance consulting services by the State of Texas (but not licensed to sell insurance due to the potential conflict). I have personally provided services to 46 governmental entities to date. I am very familiar with the insurance markets and insurance policies available to county governments. This experience means that Calhoun County can be assured that my services, analysis and recommendations will be founded on proven knowledge of what is reasonable, customary and achievable with regard to Calhoun County's insurance program. My services provide continuity to Calhoun County, regardless of turnover in insurance agents or insurance companies who serve the County. To ensure my clients and their insurers of my impartiality, I do not sell insurance and I am notaffiliated with any insurer or insurance sales organization. Further, I do not promote a particular coverage or industry program. This independent status puts me in the proper position to provide my clients with unbiased and objective services. I hope that Calhoun County will find this proposal to be acceptable as I would welcome the opportunity to be of service. If additional information is needed to clarify our proposed services, please contact me. Sincerely, Don Gray, ARM 2 The Problem A significant portion of a county government's budget is devoted to the purchase and management of the County's property and liability insurance policies. While these policies are generally purchased through an RFP project, all too often the policies are purchased without a thorough understanding of the coverage provided. Further, the policies purchased are seldom reviewed to ensure that they actually agree with the purchase terms. The Solution The largest of county governments in Texas generally employ a one or more persons with a high level of insurance expertise who manage the county's property and liability insurance' program in the best interest of the county. While all counties have this need, the cost of employing a staff of qualified individuals is generally only feasible for large counties. However, through the services offered by Gray & Co., all county governments can benefit from having "as needed" access to a knowledgeable and independent insurance manager with 33 years of experience to supplement County staff. Gray & Co. can assist Calhoun County by serving in the capacity of an "out-sourced" property and liability insurance manager. In this role, Gray & Co. would provide Calhoun County with independent and objective insurance advice on a continuing basis. Gray & Co. would provide continuity to the County that continues even when changes are made in the insurers and insurance agents that serve the County. Gray & Co.'s sole focus is on serving the County's best interests. 3 Gray & Coo's Goals 1. To provide Calhoun County with access to a qualified property and liability insurance specialist who works for the County and who does not sell insurance. Due to our independence from the sellers of insurance, we are in position to provide independent opinions, recommendations and comments about your insurance protection. 2. To make certain that the County bases its insurance and risk management decisions on unbiased and complete information. 3. To endeavor to keep the County's insurance costs at the lowest possible level for the broadest form of insurance protection desired by the County. 4. To provide the County Auditor and the Commissioners Court with management reports and information relating to the County's property and liability insurance program (Le., historical premium and loss comparisons, loss reports, graphs which compare the County's insurance rates to rates paid by other similar counties, detailed insurance policy schedules, purchasing recommendations, etc). 5. To provide long-term continuity in the management of the County's property and liability insurance program. This is important in that the County may opt to change insurers from time to time and loose continuity without having access to an insurance manager who remains in place. Proposed Fees Gray & Co. proposes a service fee of $4,000 for the period of April 1, 2013-2014 to provide the "On-Going" Insurance Management Services as described beginning on page 5. These on -going services pertain to the County's property, liability, fidelity and workers' compensation insurance program (but do not apply to individual "bonds"). This package of services is optional and not required to utilize the proposed "Additional Services" found on pages 8-10. Services desired by the County which are outlined in the "Additional" Insurance Management Services section (beginning on page 8) would be provided at an hourly rate of $125. The rate is detailed on page 11. 4 The "On-Going" Insurance Management Services described below is a package of basic services needed to properly manage the County's property and liability insurance program (other than individual bonds, but to include MMC). It is priced as a package and the hourly rate does not apply to these services. This package of services is optional and is not required to utilize the proposed "Additional Services" found on pages 8-10. If this package of services is not purchased, the County can still purchase individual services from the package at the rate of $125/hour. "Peer" Insurance Premium Rate Comparisons The fact is that county governments vary in "size" (payrolls, fleet value, building and contents values, expenditures, services offered to the public, etc.). Therefore, a comparison of premiums paid by several counties really does not indicate which county is getting the "best deal". However, Gray & Co. can convert the premium figures into "rates" which can be compared on a bar graph. Once compared, we then evaluate any disparity within rates on factors such as claim history, deductible levels, coverage differences, etc. Only then we are in position to determine the competitiveness of the rates charged to Calhoun County. Further, the bar graphs are a valuable tool when used in negotiating for rate reductions and in determining when it is necessary to solicit proposals from other sources. The bar graphs would be based on rates paid by counties which are clients of Gray & Co. However, the graphs can be further enhanced to include up to 5 additional counties selected by Calhoun County. Gray & Co. would provide the Calhoun County's Auditor with a list of data that would be requested from those other counties in order to determine their rates. The County is welcome to share its bar graphs with those other counties. Refer to Exhibit A for a sample bar graph with comments. Approve Premium Invoices We will ask Calhoun County's insurance agents (or insurers) to arrange for Gray & Co. to receive copies of the insurance invoices at the same time you receive the originals (initial invoices and mid-term adjustment invoices). We will review the invoices for accuracy and 5 recommend payment once we are satisfied that the invoice is correct (even if this requires us to contact the insurer to question the invoice). Prior to approving an invoice, we will re- calculate the premium to assure that the invoice is based on correct rates, credits and exposure units. Insurance Policy Review & Approval We will ask Calhoun County's insurance agents (or insurers) to arrange for Gray & Co. to receive copies of insurance policies at the same time you receive the originals. We will review the policies to determine whether they agree with the terms of the renewal proposals. We will advise you of all discrepancies that we discover and contact the insurer in an attempt to resolve the discrepancies to the County's favor. Insurance Renewal Proposals-Changes in Policy Wording & Coverage We will ask Calhoun County's insurance agents or insurers to enhance their insurance renewal proposals by asking them to separately list all proposed changes in policy wording, limits, and deductibles as compared to the policies in force. This effort serves to ensure that the County is made aware of changes in coverage. Maintenance of Insurance Schedules and Underwriting Data We will advise you as to what type of underwriting data should be maintained and kept current in regard to the County's vehicles, equipment, buildings and contents, computers, boilers, substations, turbines, premiums, claims, etc. When this information is kept current, it allows us to quickly update an RFP document when the need arises in the future. This gives you more control when responding to changes in the insurance marketplace. Premium/loss Matrix Gray & Co. will prepare and maintain a Premium/Loss Matrix to record the County's annual total losses and insurance premiums by line of coverage and by year for the past five years. This matrix is a excellent tool for use by Commissioner's Courts in monitoring loss history. Refer to Exhibit B for a sample matrix. Premium Estimates for Budget Purposes We will provide you with our "early projection" of premiums for insurance policies that are scheduled to renew. Please provide us with 3-4 weeks advance notice of the date by which the County would like to receive the premium estimate. 6 Insurance Renewal Planning We will contact the insurance underwriters within 120-150 days prior to the anniversary of each policy and request an early "indication" of the renewal premiums and coverage terms. Based on the response and Gray & Co's knowledge of the marketplace, Gray & Co. will provide you with a written strategy to be considered in planning for the continuation of coverages at competitive prices and terms. This should provide sufficient time to solicit proposals from other sou rces if needed. Detailed "Schedule of Insurance" Policies We will prepare and maintain a detailed insurance schedule which will summarize the policies that are presently in force. Refer to Exhibit C for a sample. Responding to Miscellaneous Insurance Questions As a supplement to the ten hours of this service included within the "On-Going" insurance management services package, we can assist the County by serving as an unbiased reference source in answering questions by telephone that may arise over time which pertain to the County's property and liability insurance program. Limited to ten hours within the "On-Going" insurance management services package. Additional hours are available under the "Additional" insurance management services detailed on page 9. Review Contracts and leases We can assist the County by reviewing proposed contracts and leases for proper use of insurance requirements, insurance terminology, and risk transfer. Further, we can manage the enforcement of the insurance requirements in your contracts by reviewing Certificates of Insurance and Additional Insured endorsements that you receive to make certain that they meet the requirements set forth in leases and contracts. Limited to five hours within the "On- Going" insurance management services package. Additional hours are available under the "Additional" insurance management services detailed on page 9. Insurance Company Financial Ratings Quarterly we will advise you of financial ratings assigned by A.M. Best to Calhoun County's insurers and keep you informed of changes in the ratings. 7 Financial Strength of Governmental "Risk Pools" Annually we will review the audited financial statements released by the "pools" that provide coverage to the County and comment on their financial strength. This type of review is important because pools are not eligible for independent ratings issued by AM Best. This review will result in a written report to the County. Note: The proposed "On-Going" services are not intended to duplicate efforts that the County staff desires to retain in administering the day to day functions of the property and liability insurance program. County staff would continue to process claims, handle the addition and deletion of vehicles, equipment, buildings, contents, and maintain the list of drivers. 8 Gray & Co. offers the following services as needed by Calhoun County. They are designed to supplement the "On-Going" Insurance Management Services (if purchased). The County would determine which of the "additional" services are to be provided and when they are to be provided. These services are available without purchasing the "On-Going" service package. Exposure/Coverage Audit We can conduct a survey of Calhoun County's exposure to accidental loss and advise you of any "insurable" exposures we discover that are not properly insured. The audit would involve "fact finding" discussions with County officials and staff (primarily the County Auditor), reviews of insurance applications, review of financial statements, etc. The audit would result in a written report that would be provided to the Commissioners Court for review, to be followed by a presentation of the report to the Court. This service is estimated to involve 30 hours to conduct the audit and interviews, write the report and traveltime to Port Lavaca to present the report to the Court, resulting in a fee of $4,750 plus IRS mileage. Responding to Miscellaneous Insurance Questions As a supplement to the ten hours of this service included within the "On-Going" insurance management services package, we can assist the County by serving as an unbiased reference source in answering questions by telephone that may arise over time which pertain to the County's property and liability insurance program. Review Contracts and Leases As a supplement to the five hours of this service included within the "On-Going" insurance management services package, we can assist the County by reviewing proposed contracts and leases for proper use of insurance requirements, insurance terminology, and risk transfer. Further, we can manage the enforcement of the insurance requirements in your contracts by reviewing Certificates of Insurance and Additional Insured endorsements that you receive to make certain that they meet the requirements set forth in leases and contracts. 9 Further, we can assist in training County staff to improve their abilities in drafting insurance requirements for use in contracts. Certificates of Insurance We can evaluate the procedures in place at Calhoun County as respects the administration, review and approval of Certificates of Insurance and provide suggestions as to how the procedures can be improved to better serve the County. Further, we can assist in training County staff to improve their abilities in managing certificates of insurance. Claim/Coverage Negotiations We can assist you by negotiating with claim adjusters in an effort to make sure that claims are paid in accordance with the terms of the County's insurance policies. Insurance Administration Review We can review the County's internal efforts in administering its property, liability and workers' compensation insurance programs. This review will focus on internal administration in the following areas (adding and deleting property, claim reporting, loss reports, contractual risk transfer, property valuation methods, underwriting records, retention of insurance policies, certificate of insurance, etc). The review will provide the County with a list of helpful recommendations to improve the administration of the insurance program. Insurance Purchasing Assistance We can assist the County with Insurance RFP preparation (all lines of coverage within one RFP to leverage the County's purchasing power) and manage the entire RFP process, including all communication with agents and brokers. We will review the proposals, negotiate for improvements, and provide you with an independent evaluation of each proposal. Insurance Manual Many of our clients ask us to prepare an Insurance Manual that can be used as reference material by the client. The Manual covers the entire insurance program and provides claim reporting instructions, a "plain English" summary of your coverages, and a schedule of your insurance coverages. It is an excellent reference tool for anyone that works with your coverages (Calhoun County staff, outside auditors, legal counsel, etc). Gray & Co. can update the Manual on an on-going basis shortly after changes occur. 10 Client Meetings We are available to meet with County officials to discuss any aspect of the property and liability insurance program. This service includes the time involved in traveling to/from Port Lavaca. Mileage would be billed separately and be based on current IRS rates. When required for travel, expenses such as hotel and reasonably modest food expenses would be billed at the actual cost incurred (with receipts provided). 11 Rates Gray & Co.'s fees are based on the following hourly rates: Senior Consultant (Don Gray): $125/hour of service and travel time. This hourly rate will apply to each of the services offered in the "Additional" Insurance Management portion of this proposal. Detailed time records are kept for all personnel and will be attached to each invoice. Mileage is charged at the current IRS rate. When required to meet the client's schedule, out-of-pocket expenses such as reasonably priced overnight lodging and meals will be passed along to the client without a markup. Gray & Co. Invoices The $4,000 annual service fee for the "On-Going" pacl(age of services would be billed at the beginning of the annual service period. For the "Additional" Insurance Management Services outside of the $4,000 annual service fee, clients are generally billed at the conclusion of each month for earned fees and expenses for the period. An exception to this might be if a monthly invoice is not large enough to warrant a billing at that time. This would prompt the invoice to be prepared and released once it reaches a reasonable level for invoicing purposes. Invoices are due and payable 20 days following their receipt. Duration of Services The service agreement would be for the period of April 1 , 2013-2014. However, it can be cancelled by the County at anytime and for any reason. However, fees paid in advance which were already earned by Gray & Co. would not be refunded. Fees paid in advance but not yet earned would be refunded within 30 days of notice. Modification of Service Agreement The service agreement can be modified at any time upon mutual agreement by Calhoun County and Gray & Co. 12 Mr. Jeff Schneider, Director of Purchasing Grayson County 903-813-4259 Mr. Dan Laws, CEO Rio Grande Electric Cooperative, Inc. (800) 749-1509 Mr. Richie Rivers Grayson County Auditor 903-813-4244 Mark Rollans, General Manager Medina Electric Cooperative, Inc. (866) 632-3532 Ms. Kristen Klein Guadalupe County Auditor 830-303-4188 Mr. Mike Kezar, General Manager San Miguel Electric Cooperative, Inc. (830) 784-3411 Mr. Dennis O'Dell Liberty County 936-336-4516 Mr. Mike Packard, General Manager South Texas Electric Cooperative, Inc. (361) 575-6491 Mr. Paul Zimmerman Rusk County Electric Cooperative, Inc. (903) 657-4571 13 Donald K. Gray, ARM Don will be the sole consultant in servicing Calhoun County. Don's knowledge of county governments and insurance companies and "pools" that specialize in serving counties would be valuable to the County. Don is a 1976 graduate of the University of Texas-Austin, earning a BBA Risk Management and Insurance. Prior to forming Gray & Co. in 1999, Don was employed for 11 years by Risk Management Group (RMG), serving as the Senior Consultant and Manager of the firm's Austin office. Prior to joining RMG, Don served as the Director of Insurance at the Texas Association of Counties during the period of 1983-88. In this position, Don. managed the administration of several statewide insurance programs for county governments. His prior experience includes serving as an insurance manager for the Texas A&M University System. Don is a consultant to numerous utility, educational and governmental entity clients. 14 0.01400 0.01200 0.01000 I 0.00800 0.00600 0.00400 0.00200 0.00000 EXHIBIT A - Sam ole "Peer Grouo Ins. Rate Comoarison" Workers' Compensation Rate (% of payroll) ClIENT CLIENT PEER iI:l PEER 112 PEm 113 PEER 114 PEER 115 PEER 116 2011 2012 Client's 2012 WC rate decreased slightly and continues to be the very competitive with the peer group. This is directly attributable to the Client's loss experience being much better than most of the peers. Automobile General Liability D & 0 / Errors & Omissions Umbrella Liability Equipment Breakdown (B&M) Property & Inland Marine Workers' Compensation Corporate Identity Protection Totals by Year Exhibit B HISTORICAL ANNUAL PREMIUMS, INCURRED CLAIMS, AND LOSS RATIOS As of April 2013 - Not Including Notary E&O 6/1/2008- 2009 6/1/2009- 2010 6/1/2010- 2011 6/1/2011- 2012 6/1/2012- 2013 Totals by Policy Claims 1,873 0 4,085 0 0 5,958 Premium 67,570 59,988 62,800 65,746 68,880 324,984 Loss Ratio 3% 0% 7% 0% 0% 2% Claims 60,875 0 3,000 46,609 7,750 118,234 Premium 54,364 63,297 62,427 62,427 65,000 307,515 Loss Ratio 112% 0% 5% 75% 12% 38% Claims 0 0 0 0 0 0 Premium 17,200 17,600 17,663 18,375 20,325 91,163 Loss Ratio 0% 0% 0% 0% 0% 0% Claims 0 0 0 0 0 0 Premium 45,000 45,000 45,000 44,956 47,441 227,397 Loss Ratio 0% 0% 0% 0% 0% 0% Claims 0 0 0 0 0 0 Premium 12,069 12,069 12,044 12,997 14,448 63,627 Loss Ratio 0% 0% 0% 0% 0% 0% Claims 0 0 0 0 0 0 Premium 42,135 41,108 38,467 39,401 40,640 201,751 Loss Ratio 0% 0% 0% 0% 0% 0% Claims 2,606 946 3 1,493 19,133 24,181 Premium 68,654 69,566 69,513 44,489 42,561 294,783 Loss Ratio 4% 1% 0% 3% 45% 8% Claims 0 0 0 0 0 0 Premium 7,286 4,406 4,406 4,406 4,406 24,910 Loss Ratio 0% 0% 0% 0% 0% 0% Claims 65,354 946 7,088 48,102 26,883 148,373 Premium 314,278 313,034 312,320 292,797 303,701 1,536,130 Loss Ratio 21% 0% 2% 16% 9% 10% ~ "' '" <( .l!! :i ~ :i .l'l ::> ~ 00 ~ >- u '- :J of! 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Kg.!: [.2 rl o~rnc.-;g~~o .ornE'= .~'5~ai Ume~rn~~rn~u~Eu~~cgrrx~ '151 _~I,g$I~I.g~'E2 wEmw'c. ~~WWN!~M~V!WE~w~E iu~ m~$$~m~~R~w~EtiW~~m2~ ~;t ~~;t ~~;t [;t ~g.g~5 gg ~g~ ~ 10 '" 'Q; ~ " > '00 '" " U x " OJ $ Susan Riley From: Sent: To: cc: Subject: Attachments: Cindy Mueller [cindy.mueller@calhouncotx.org] Thursday, April 18, 2013 5:14 PM 'Susan Riley' 'Don Gray' Agenda Item Request calhoun on-going services 2013 contract.docx Please place the following item on the agenda for April 25, 2013: . CATNA on contract for Property and Liability Insurance Management Services with Gray & Company, LLC, for the period April 25, 2013-2014 and authorize County Judge to sign. Processing Note: Execute two originals. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 1 CONTRACT FOR PROPERTY AND LIABILITY INSURANCE MANAGEMENT SERVICES WITH GRAY & COMPANY, LLC FOR THE PERIOD APRIL 25, 2013-2014 AND AUTHORIZE COUNTY JUDGE TO SIGN: A Motion to approve the contract for Property and Liability Insurance Management Services with Gray & Company, LLC for the period April 25, 2013-2014 and authorize County Judge to sign was made by Commissioner Lyssy and seconded by Commissioner Galvan. Commissioner Galvan, Lyssy and Judge Pfeifer all voted in favor. Commissioner Finster opposed the motion, The motion passed with three (3) votes in favor and one (1) opposed. GRAY & COMPANY, LLC CONSULTING AGREEMENT April 25, 2013 Michael J. Pfeifer Calhoun County Judge 211 South Ann, Suite 301 Port Lavaca, TX 77979 Re: Property & Liability Insurance Management Services Proposal Dear Judge Pfeifer: This letter and the attached proposal dated April 11, 2013 is proposed to serve as the basis of the relationship between Calhoun County (hereinafter referred to as Client) and Gray & Company, LLC (Gray & Co.) for the period of April 25, 2013-2014. Client will pay to Gray & Co. for services rendered the fees and expenses described in the proposal. Gray & Co. will maintain time records of all personnel, which provide billable hourly services to Client, and those time records will be attached to each invoice. Client will pay Gray & Co.'s fee and expense billings without deduction of any kind within thirty (30) days from the date of invoice unless otherwise agreed to in writing by Gray & Co. Gray & Co. may terminate this agreement without notice for non-payment. Gray & Co. may charge interest on past due amounts at a rate not exceeding 1 1/2% month. Confidential information obtained by Gray & Co, concerning Client will be treated as confidential and will not be released to outside parties without prior approval by an appropriate representative of Client. The foregoing shall not apply to the extent that law or order of a court or governmental body requires disclosure or if the information is in the public domain. Client will promptly provide Gray & Co, accurate and complete information as requested by Gray & Co, from time to time with regard to Client's loss experience, risk exposures, or current or anticipated changes in Client's business operations that may affect the services provided by Gray & Co, or which may affect coverages which are provided The Honorable Michael Pfeifer April 25, 2013 Page 2 under insurance policies in force as of the date of Gray & Co.'s engagement or under insurance policies that may be purchased by Client during Gray & Co.'s engagement. Client is be responsible for making final decisions with respect to the accuracy and completeness of any underwriting submissions which Client requests Gray & Co. to submit to insurance agents, insurance brokers, or insurance companies on Client's behalf. Client is responsible for making the final decisions concerning whether to purchase or to decline insurance coverages. If insurance coverage is recommended by Gray & Co, and declined by Client, Client agrees to confirm its decision in writing for Gray & Co.'s files to avoid misunderstanding should an uninsured loss occur. Gray & Co. will not be responsible for any financial loss sustained by Client as a result of the insolvency of any insurance carrier or provider that currently, previously or in the future provides insurance for Client. In the event that Gray & Co, makes suggestions or recommendations which are outside the scope the service areas selected by Client and Consultant does not charge a fee in connection therewith, Gray & Co, shall have no responsibility therefore. Client recognized that any such suggestions or recommendations, while meant to i;>e informative, are necessarily incomplete without engaging Gray & Co. to perform the services related to the service area. Either Client or Gray & Co, may terminate Gray & Co.'s relationship with Client with thirty (3D) days written notice at any time. If this Agreement is terminated by Client, it is agreed that Client will be responsible for payment of all fees and expenses due Gray & Co. through the thirty (3D) day notification period, If Gray & Co. terminates this Agreement, Gray & Co. will be responsible for concluding, to the extent reasonably possible, any work in progress for Client within the thirty (30) day notification period, This Agreement shall be governed by and construed in accordance with the laws of the State of Texas (except those relating to the conflict of laws) and shall be performable in Calhoun County, Texas, Each party hereto submits to the jurisdiction of the courts of the State of Texas and the federal courts in and for the Southern District of Texas in connection with any dispute arising under this Agreement or any document or instrument entered into in connection herewith. The Honorable Michael Pfeifer April 25, 2013 Page 3 If any provision of this Agreement is unenforceable, the enforceability of the remaining provision shall not be affected thereby. This instrument contains the entire agreement of the parties. No modification, discharge, or waiver of any term of this Agreement shall be valid unless in writing and signed by the parties to this Agreement. This Agreement supersedes all prior agreements or representations, whether oral or written, between the parties hereto relating to the subject matter hereof, and all such prior agreements or representations are terminated, This Agreement shall be binding upon and shall inure to the benefit of the legal successors, heirs, and permitted assigns of the parties hereto. Nothing contained in this Agreement creates any rights or benefits in any third party. No arbitration or action, regardless of form (in contract, in tort, statutory, or common law), arising between the parties in any way out of, pertaining to, or in connection with this Agreement may be brought by either party more than one year and one day after the date the claim accrues; or, in the case of non-payment, more than one year and one day from the due date. If Client is in agreement with the terms and conditions of this Agreement, please indicate acceptance by signing both the original and a copy and mailing them to me for my signature and return of the original to you. Respectfully submitted on behalf of Gray & Company, LLC by: ~f.~\J L<, C~:::::CS Gray & Company, LLC (Donald K, Gray, ARM) ~~\ )-0.. 7..-013 (Date) Accepted on behalf of Calhoun County bY:~ tl~ (Signature) /J1 )l/~bf/ I 0' :P.f.c v(~ (Printed Name) ( & U Iv h tYk d "-.-( (Title) 'Z- J L s. A v,tyJ ->+ ?~r+ LI'\1I(l~s) S- -1- I) (Date) Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 1\ ~~~~ (I~""..~.. ..... ~".h+"1' '(~~) April 18, 2013 Honorable Michael Pfeifer Calhoun Connty Jndge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioner's Court Agenda for April 25,2013. · Discuss and take necessary action to allow the Pescado Grande Fishing Tournament, benefiting The Harbor Children's Alliance and Victim Center, sell alcohol at their annual fundraiser to be held Jnne 28 - 29,2013 at the Port O'Connor Community Center and authorize County Judge to sign letter of approval to TABC. Sincerely, ~~J~ Kenneth W. Finster KWF/at P.O. Box 177. Seadrift, TX 77983. email: kennv.finsterla)calhollncotX.or~.nli1\ 7R~_1141 . I<n 1161\ 7R~_~601 REQUEST BY PESCADO GRANDE FISHING TOURNAMENT TO SELL ALCOHOL AT THEIR ANNUAL FUNDRAISER BENEFITING THE HARBOR CHILDREN'S ALLIANCE AND VICTIM'S CENTER, HELD JUNE 28 - 29, 2013 AT THE PORT O'CONNOR COMMUNITY CENTER; AND AUTHORIZE COUNTY JUDGE TO SIGN LETTER OF APPROVAL TO TABC: A Motion to approve the request by Pescado Grande Fishing Tournament to sell alcohol at their annual fundraiser benefiting the Harbor Children's Alliance and Victim's Center, held June 28 - 29, 2013 at the Port O'Connor Community Center and authorize County Judge to sign letter of approval to TABC was made by Commissioner Finster and seconded by Commissioner Galvan. Judge Pfeifer: Are they still required to have liquor liability insurance? Lucy Dio: Yes. They are aware of the requirements. Shannon Salyer: Are they going to need a letter from anybody for the Commission? Judge Pfeifer: Yes. They provided a form letter that needs to be signed. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. PESCADO GRANDE! Fishing Tournament Benefiting The Harbor Children's Alliance and Victim Center P.O. Box 1300 215 W. Railroad POlt Lavaca, Texas 77979 Bus. Office: (361) 552-1982 Hotline: (361) 552-4357 Fax: (361) 552-4309 April 17, 2013 Greetings, Commissioner's Court, My name is Christine Mayer. I am the Chairperson of the Pescado Grande Fishing Tournament. On behalf of the tournament and The Harbor Children's Alliance and Victims Center I am requesting we be allowed to sell alcohol at our fund raiser that will be held on June 28th and 29th, 2013 at the Port O'Connor Pavilion. The fishing tournament is the biggest fundraiser we have and the funds raised will be used for the operation of The Harbor's programs. We will purchase insurance as required and we do have security at our event. I n the past we have had 150 to 200 fishermen that support The Harbor. Respectfully, Christine Mayer Pescado Grande Fishing Tournament Chair 361-550-3694 'Tne :J{arfjur cnitaren's .J\((iance & "Victims Cente:r/215 'W 1i.ai(road'/Purt .cavae", 7X 77979/361-552-1982 COMMISSIONERS' COURT CALHOUN COUNTY, TEXAS 211 S. fu'lN STREET, SUITE 301 PORT LAVACA TEXAS 361-553-4600 April 25, 2013 Texas Alcoholic Beverage Commission Victoria, Texas TO WHOM IT MAY CONCERN: RE: PESCADO GRANDE FISHING TOURNAMENT On April 25, 2013, Calhoun County Commissioners' Court heard and approved a request by the Pescado Grande Fishing Tournament to sell alcohol at their annual fnndraiser held June 28 and June 29, 2013 at the Port O'Connor Community Center. Please do not hesitate to contact this office if you require any further information. S;:!..Q Pf-V Michael J. Pfei~ Calhoun County Judge MJP/sr Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 April 18, 2013 Honorable Michael Pfeifer Calhoun County Jndge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioner's Court Agenda for April 25, 2013. · Discuss and take necessary action to allow the Port O'Connor Chamber of Commerce/Crawfish Fest to sell alcohol at their I st annual fundraiser to be held May 4, 2013 at Kingfisher Beach in Port O'Connor, TX and authorize Connty Judge to sign letter of approval to the T ABC. Sincerely, ~w,.#~ Kenneth W. Finster KWF/at P.O. Box 177. Seadrift, TX 77983. email: kenny.fillster(ti)caihouncotx.org' (361) 785-3141. Fax (361) 785-5602 REQUEST BY PORT O'CONNOR CHAMBER OF COMMERCE/CRAWFISH FEST TO SELL ALCOHOL AT THEIR 1ST ANNUAL FUNDRAISER TO BE HELD MAY 4, 2013 AT KINGFISHER BEACH IN PORT O'CONNOR, TEXAS; AND AUTHORIZE COUNTY JUDGE TO SIGN LETTER OF APPROVAL TO TABC: Commissioner Finster: It's basically the same thing as the Pescado Grande Fishing Tournament request. A Motion to approve the request by Port O'Connor Chamber of Commerce/Crawfish Fest to sell alcohol at their 1" Annual Fundraiser to be held May 4,2013 at Kingfisher Beach in Port O'Connor, Texas and authorized County Judge to sign letter of approval to TABC was made by Commissioner Finster and seconded by Commissioner Galvan. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor, ~ril Townsend From: Sent: To: Subject: Kenneth Finster <kenneth.finster@outlook.com> Thursday, April 18, 2013 11 :59 AM April Townsend Fwd: letter Sent from my iPhone Begin forwarded message: From: "Donna Pyle" <dmp3485(iiltisd.net> Date: April 17, 2013, 10:14:42 AM CDT To: <kenneth.finster@loutlook.com> Cc: "'Natasha Helm'" <natrookh@lgmail.com> Subject: letter Good Morning, I just got of the phone with the TABC and we need the commissioners letter to state that we are allowed to sell and serve alcohol. Thanks so much Donna 'Donna pyre dmV'?48<;@tisa.net - 979-966-3485 1 COMMISSIONERS' COURT CALHOUN COUNTY, TEXAS 211 S. ANN STREET, SUITE 301 PORT LAVACA TEXAS 361-553-4600 April 25, 2013 Texas Alcoholic Beverage Commission Victoria, Texas TO WHOM IT MA Y CONCERN: RE: PORT O'CONNOR CHAMBER OF COMMERCE/CRAWFISH FEST On April 25, 2013, Calhoun County Commissioners' Court heard and approved a request by the Port O'Connor Chamber of Commerce/Crawfish Fest to sell alcohol at their annual fundraiser held May 4, 2013 at King Fisher Beach. Please do not hesitate to contac1 this office if you require any further information. Sin~~ ~ Pfj/ Michael J. Pfeifer Calhoun County Judge MJP/sr Susan Riley From: Sent: To: Cc: Su bject: Attachments: Cindy Mueller [cindy.mueller@calhouncotx.org] Friday, April 19, 2013 12:05 PM 'Susan Riley' george aleman; 'Lucy Dio'; Mary Orta Agenda Item Request RE: Sheriffs reserves (28.2 KB); Sample Volunteer Resolutlon.docx Please place the following item on the agenda for April 25, 2013: . CATNA on Resolution to Add Optional Workers' Compensation Coverage in TAC Pool for 5 unpaid reserve deputies and authorize appropriate signatures. Estimated Cast: Assumed minimum annual wage per reserve deput)! is $5,200 x 5 = $26,000. Code 088551 current rote is 1.67% x $26,000 = $435 annual cost far 5 reserve deputies. Susan: I completed the verbiage on attached sample resolution so you can cut/paste into the proper resolution format. The attached e-mail is from TAC and selves as addWonal documentation for the item. Cindy Mneller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 1 RESOLUTION TO ADD OPTIONAL WORKERS' COMPENSATION COVERAGE IN TAC POOL FOR 5 UNPAID RESERVE DEPUTIES AND AUTHORIZE APPROPRIATE SIGNATURES: A Motion to approve the Resolution to add optional Worker's Compensation Coverage in TAC Pool for 5 unpaid Reserve Deputies and authorize appropriate signatures was made by Judge Pfeifer and seconded by Commissioner Finster. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Sent: To: Subject: Attachments: Teril McCombs [TerilM@county.org] Friday, April 19, 2013 9:19 AM cindy. mueller@calhouncotx.org RE: Sheriffs reserves Sample Volunteer Resolution.pdf Cindy, The minimum annual wage for an unpaid reserve officer is $5,200 and the code is 088551. Beginning this' year, we calculate the contribution for each class code with a member specific Cost Allocation Factor that includes the base rate, your specific experience mod, and any applicable discounts. For Calhoun County, the Cost Allocation Factor this class code is 1.6730769. The net contribution can be calculated the same as was previously done with the rate: Cost Allocation Factor x (Salary/100). Also, since Calhoun County does not currently have this volunteer coverage, in order to add it, the court would need to pass a resolution to add this and send us a copy of the resolution. I've attached a sample resolution for your reference. Please let me know if you have any other questions. Regards, Teril From: Teril McCombs Sent: Friday, April 19, 2013 7:48 AM To: 'cindy.mueller@calhouncotx.org' Subject: RE: Sheriffs reserves Good morning Cindy, Michelle is no longer here at TAC. I'll gather the information you're looking for and get it to you as quickly as possible. Regards, Terjj From: Karen Baker Sent: Friday, April 19, 2013 7:31 AM To: Terjj McCombs Subject: FW: Sheriffs reserves Karen Baker, ARM, CISR Member Services Manager Texas Association of Counties Risk Management Pool Phone: 800-456-5974 (TX only) , 512-478-8753 Fax: 512-478-1426 From: Cindy Mueller [mailto:cindy.mllE:lLE:L@<;.QltlounS.Qj;)(~Q[g] Sent: April 17, 2013 1:08 PM 1 To: Michelle Jennings Subject: Sheriff's reserves Michelle, Please provide the code, rate and minimum annual wage for each unpaid reserve officer. Cindy Mueller Calhoun County Auditor 202 S. Ann, 5uite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.S53.4614 2 RESOLUTION TO ADD OPTIONAL WORKERS' COMPENSATION COVERAGE 5TATE OF TEXAS 9 COUNTY OF CALHOUN 9 WHEREAS Calhoun County has entered into a contract with Texas Association of Counties (T AC) for coverage of County personnel under the TAC Risk Management Pool, hereinafter called the Pool; and WHEREAS the basic contract with the TAC Pool affords coverage for regular county employees, but provides for optional wider coverage by election of Commissioners' Court and WHEREAS it is the desire and intent in Calhoun County Commissioners' Court that Reserve Deputies be afforded coverage under the Pool; THEREFORE, upon motion made by Judge Pfeifer and seconded by Commissioner Finster , the following order was adopted: Reserve Deputies will be included for Workers' Compensation benefits under the County's contract with Texas Association of Counties Risk Management Pool. ABSENT Adopted this the 25'" day of April, 2013. f'M-~ Q /2Ltr- ichael J. ~el/er,rcounty Judge ve(b~>>7 missioner, Pct 1 Calhoun County Commissioner, Pct 2 .4AMI-,;f 0), dl~ Kenneth W. Finster Calhoun County Commissioner, Pct 4 . Neil E. Fritsch Calhoun County Commissioner, Pct 3 " <'..~p:I,/:>_" Ii '.'," Attest: Anit~Frlcke, County Clerk .," >.~~ By: Depu .' Clerk ***List of Optional Coverages*** . Elected Officials . Volunteer Fire Fighters . Volunteer Ambulance Drivers . Reserve Deputies . Volunteer Hospital Aides . Volunteer Clerical . Jurors and Eiection Personnel . Volunteer Road Employees . Volunteer Building Maintenance Number of Volunteers: 5 Assumed Annual Salary: $5,200 Susan Riley From: Sent: To: Subject: Attachments: April Townsend [april.townsend@calhouncotx.org] Monday, April 22, 20138:06 AM susan. riley@calhouncotx.org Emailing: POC CC Exempt List POC CC Exempt List.pdf Susan, please place on the agenda to add the Warriors' Weekend Group to the list of exempt entities for the Port O'Connor Community Center. Your message is ready to be sent with the following file or link attachments: POC CC Exempt List Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 ADD WARRIORS' WEEKEND TO THE LIST OF EXEMPT ENTITIES FOR THE PORT O'CONNOR COMMUNITY CENTER: Commissioner Finster: Once a year we require the Board of Directors of the Port O'Connor Community Center to give us a list of exempt entities for using the facilities and always have scramble to get the Warriors' Weekend put on the list. Decided that this year we would add them to the list so that we don't have to do that every year. A Motion to add Warriors' Weekend to the list of exempt entities for the Port O'Connor Community Center was made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. PORT O'CONNOR COMMUNITY CENTER LIST OF EXEMPT ENTITIES Amended April 25, 2013 Calhoun County Senior Citizens Center Port O'Connor Community Center Association Port O'Connor Service Club Port O'Connor Sports Association Port O'Connor Bunco Group Boy 5co uts Girl Scouts 4-H Club Warriors' Weekend Group Susan Riley From: Sent: To: Subject: Attachments: Bydalek, Laura (IFS) [Laura.Bydalek@ifs.hctx.netJ Friday, April 19, 2013 9:43 AM Susan Riley; Michael J. Pfeifer (mike.pfeifer@calhouncotx.org) Interiocal Agreement for Postmortem Examinations OC-INVESTIGATOR REPORT FOR INCLUSION WITH ILA.pdf; ME Fee Schedule 2006 for Inclusion with OC ILApdf; Calhoun County 060113-053114.pdf Judge Pfiefer, The attached documents are being sent to you today via United States Postal Service. The proposed Interlocal Agreement is for Postmortem Examinations for the term of June 1, 2013 thru May 31, 2014. Please place this on your Commissioner's Court agenda and return the fully executed documents to me by Friday, May 10,2013. Presentation to the Harris County Commissioner's Court is planned for Tuesday May 21,2013. Thank you LaurCl/L 13yda.lek C.PA. 13~M~ f{arr[.y County I mtt:tut-e-offorenJioSden.ce:Y 1885 cJldSpan4!fvTrad f{ou.;s.t-011j TX 77054 J/: 713-796-6727 F 713-796-6896 1 INTERLOCAL AGREEMENT FOR PERFORMANCE OF POSTMORTEM EXAMINATIONS BY HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES AND AUTHORIZE COUNTY JUDGE TO SIGN: A Motion to approve the Interlocal Agreement for performance of postmortem examinations by Harris County Institute of Forensic Sciences and authorize County Judge and a county auditor to sign was made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. Luis A. Sanchez, M.D. Chief Medical Examiner Main: (713) 796-9292 Fax: (713) 796-6844 Harris County Institute of Forensic Sciences April 19, 2013 The Honorable Michael 1. Pfeifer Calhoun County Judge 211 South Ann Street Port Lavaca, TX 77979 Re: Interlocal Agreement of Postmortem Examinations by the Harris County Institute of Forensic Sciences Dear Judge Pfeifer: The attached inter local agreement between Harris County and Calhoun County will be presented to the Harris County Commissioners Court for approval on May 21, 2013, This agreement will cover the services to be provided by the Harris County Institute of Forensic Sciences for postmortem examination of decedent cases referred to this office, as well as related court testimony, if any. We are in the process of reviewing and updating our fee schedule so the term of this agreement will be for one year only, June 1,2013 thru May 31, 2014. The Harris County Commissioners Court approved fee schedule states the cost of an autopsy is $2,250 and an external examination cost is $1,000. This agreement allows our agency to exercise discretion in determining which type of postmortem examination is appropriate. Attached is the approved fee schedule. We are forwarding to you three original agreements. Please sign all agreements and return them to my attention no later than May 10,2013, Once approved by the Harris County Commissioners COUlt, we will return a fully executed agreement to you. Should you decide not to enter into this interlocal agreement for postmortem examinations, kindly return all originals to my attention. If you have any questions, please contact me at (713) 796-6727. Sincerely, Q::t~~le~r:::'- Business Manager LLB/lb Enclosures (5) 1885 Old Spanish Trail, Houston, Texas 77054-2001 WINW. hctx. neUifs Member Institution of the Texas Medical Center INTERLOCAL AGREEMENT FOR PERFORMANCE OF POSTMORTEM EXAMINATIONS BY HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES THE STATE OF TEXAS 9 9 COUNTY OF HARRIS 9 THIS INTERLOCAL AGREEMENT (the "Agreement") is made pursuant to chapter 791 of the Texas Government Code (the Interlocal Cooperation Act) and chapter 49 of the Texas Code of Criminal Procedure, and entered into by and between Harris County, acting by and through its governing body, the Harris County Commissioners Court, and Calhoun County (the "Requesting County"), acting by and through its governing body, the Calhoun County Commissioners Court. R E C I TAL S: Pursuant to article 49.25 of the Texas Code of Criminal Procedure, Harris County has established and maintains the Harris Connty Institute of Forensic Sciences which includes the Office of Medical Examiner; The Requesting County does not have a medical examiner, and a justice of the peace is reqnired to conduct an inquest into the death of a person who dies in the county under certain circumstances; If the justice of the peace determines that a postmortem examination is necessary, the justice of the peace may order that a postmortem examination of the body be performed by a physician; and The Requesting County desires to obtain the services of the Harris County Institute of Forensic Sciences (the "Medical Examiner") to perform postmortem examinations on persons who died in the Requesting County and to provide sworn testimony in connection with any inquest by a justice of the peace or any criminal investigation 01' prosecution conducted by a prosecuting attorney. NOW, THEREFORE, Harris County and the Requesting County, in consideration of the mutual covenants and agreements herein contained, do mutually agree as follows: T E R M S: 1. TERM The term of this Agreement shall begin on June 1,2013 and end on May 31,2014, unless terminated in accordance with the provisions contained herein. C.A. File No. 06GEN0833 II. SERVICES A. Postmortem Examinations. Postmortem examinations will be performed by the Medical Examiner pnrsuant to chapter 49 of the Texas Code of Criminal Procedure at the Joseph A. Jachimczyk Forensic Center ("Forensic Center") in Houston, Texas, In those cases where a complete autopsy is deemed unnecessary by the Medical Examiner to ascertain the cause and manner of death, the Medical Examiner may perform an external examination of the body, which may include taking x-rays of the body and extracting bodily fluids for laboratory analysis. I. Written Request. When a justice of the peace in the Requesting County determines pursuant to article 49.10 of the Code of Criminal Procedure, that a postmortem examination is necessary on the body of a deceased person who died within their jurisdiction, the justice of the peace may request that the Medical Examiner perform an autopsy. Each request for a postmortem examination shall be in writing, accompanied by an order signed by the justice of the peace. However, the Medical Examiner shall havc the discretion to decline any specific request for autopsy and instead perform an external examination of the body. 2. Written Records. The following records shall accompany the body: (1) the completed form titled "Harris County Medical Examiner Out of County Investigator's Report" (attached hereto and incorporated herein); (2) the entire police report, including scene photographs and; (3) all relevant medical records, including hospital admission and emergency room records, if applicable. Failure to provide all necessary records may result in the Medical Examiner refusing to accept the body for a postmortem examination. 3. Body Bag. Each body transported to the Medical Examiner for a postmortem examination must be enclosed inside a zippered body bag. The body bag shall have the deceased's name affixed to the outside. B. Laboratorv Analvses. The Medical Examiner shall conduct a postmortem toxicological analysis, if appropriate, and any other tests considered necessary to assist in determining the cause and manner of death and identification. C, Testimonv, Medical Examiner personnel performing services pursuant to this agreement shall appear as reasonably necessary to provide testimony in a criminal case before a district court of the Requesting County. The Requesting Connty agrees to use its best efforts to schedule the testimony of the Medical Examiner's personnel in such a manner to cause the least amount of disruption in their work schedule, D. Reports. Within a reasonable time after the completion of a postm01tem examination, the Medical Examiner will provide a written copy of the autopsy report to the justice of the peace who requested the autopsy. 2 E. TranspOliation. The Requesting County shall have the sole responsibility for transporting the deceased to the Forensic Center. Upon notification by the Medical Examiner that the autopsy has been completed, the Requesting Connty shall make arrangements for the deceased to be transpOlied immediately to a funeral home. F. Training. The Medical Examiner will conduct an annual training seminar at the Forensic Center in Houston for justices of the peace, their court personnel and other criminal justice officials, including investigators. G. No Interment. Harris County shall have no responsibility for burying the remains of the deceased. Consistent with TEX. HEALTH & SAFETY CODE ANN. S 711.002(e), the Requesting County shall have sole responsibility for interment of the body. III. CONSIDERATION FOR SERVICES A. Autopsy Fces. In consideration for the services provided by the Medical Examiner, the Requesting County agrees to pay Harris County all costs and expenses associated with performing the autopsy in accordance with the following schedule: (a) Standard Autopsy Examination $2,250 per body (b) External Examination $1,000 per body B. Special Tests. In addition to the antopsy fee, the Requesting County agrees to pay Harris County for any special tests requested by the Requesting County or deemed appropriate by the Medical Examiner, that are performed by the Harris County Forensic Laboratory or an independent laboratory, These additional chffi"ges may include DNA analyses, GSR analysis and trace evidence collection, if required, in accordance with the Fee Schedule attached hereto and incorporated herein as Exhibit "A," C. Testimony. The Reqnesting County shall additionally pay Harris County for the time spent by the Medical Examiner's pathologists, the Chief Toxicologist, or other personnel providing sworn testimony in connection with a postmortem examination requested by the Requesting County. Testimony fee are in accordance with the Harris County Medical Examiner's Fee Schedule, attached hereto and incorporated herein, These rates shall apply also to pretrial preparation, attendance at pretrial conferences, travel time and any time spent waiting to provide testimony. D. Storage of Bodies. The Requesting County shall pay Harris County the additional snm of FOliy Five Dollars ($45) per day for each body that remains at the Forensic Center beyond focty- eight holli's after notification by the Medical Examiner that the body is ready to be released to the Requesting County. This provision shall survive termination of this Agreement and shall apply to anv bodies currentlv remaining at the Forensic Center. E. Invoice. Harris County shall submit an invoice to the Requesting County for post mOliem services performed under this Agreement thirty (30) days after the service is completed. The Requesting County shall pay the total amount of the invoice within thirty (30) days of the date of receipt of the invoice by the Requesting County. If the Requesting County fails to pay any 3 invoice within sixty (60) days after receipt, the Medical Examiner may refuse to accept any additional bodies for autopsy. F. Fair Compensation. Harris County and the Requesting County agree and acknowledge that the contractual payments contemplated by this agreement are reasonable and fairly compensate Harris County for the services or functions performed under this Agreement. G, Death Certificates. The justice of the peace who requested the postmortem examination be performed shall provide the Medical Examiner with a copy of the signed Certificate of Death no later than fomteen (14) days after receipt of the autopsy report. Failme to comply with this provision may result in termination of the contract by Harris County. IV. FUNDS A. Cmrent Funds. The Requesting Connty agrees and acknowledges that the contractual payments in this Agreement shall be made to Harris County from current revenues available to the Requesting County. B. Certified Availability. The Requesting County has ayailable and has specifically allocated $6,750,00, as evidenced by a certification of funds by the Requesting County's County Auditor. In the event funds certified available by the Requesting County's County Auditor are no longer sufficient to compensate Harris County for the services provided under this Agreement, Harris County shall have no further obligation to complete the performance of any services until the Requesting County certifies sufficient additional cmrent funds. The Requesting County agrees to immediately notify Harris County regarding any additional certification of funds for this Agreement. C. Other Statutory Liability. This Agreement is not intended to limit any statutory liability of the Requesting County to pay for services provided by Harris County when the funds certified by the Requesting County are no longer sufficient to compensate Harris County for the services provided under this Agreement. D, Overdue Pavments. It is understood and agreed that chapter 2251 of the Texas Government Code applies to late payments. V. TERMINATION A. Without Notice. If the Requesting County defaults in the payment of any obligation in this Agreement, HalTis County is authorized to terminate this Agreement immediately without notice. B. With Notice. It is understood and agreed that either party may terminate this Agreement prior to the expiration of the term set forth above, with or without cause, upon thirty (30) days prior written notice to the other party. By the next business day following the first ten (10) days of the subsequent calendar month after the effective date of snch termination, Harris County will 4 submit an invoice showing the amOlmts due for the month in which termination occurs in the manner set out above for submitting monthly invoices. VI. NOTICE Any notice required to be given under the provisions of this Agreement shall be in writing and shall be duly served when it shall have been deposited, enclosed in a wrapper with the proper postage prepaid thereon, and duly registered or celtified, return receipt requested, in a United States Post Office, addressed to the parties at the following addresses: To I-Ian'is County: Harris County Harris County Administration Building 1001 Preston, Suite 911 Houston, Texas 77002-1896 Attn: County Judge with a copy to: Harris County Institute of Forensic Sciences 1885 Old Spanish Trail Houston, Texas 77054-2098 Attn: Chief Medical Examiner To Calhoun County: Calhoun County 211 South Ann Street POlt Lavaca, TX 77979 Attn: COlmty Judge Either pmty may designate a different address by giving the other party ten days' written notice. VII. MERGER The parties agree that this Agreement contains all of the terms and conditions of the understanding of the pmties relating to the subject matter hereof, All prior negotiations, discussions, correspondence and preliminary understandings between the parties and others relating hereto are superseded by this Agreement. VIII. VENUE Exclusive venue for any action arising out of or related to this Agreement shall be in HmTis County, Texas, IX, MISCELLANEOUS This instrument contains the entire Agreement between the pmties relating to the rights granted and the obligations assumed, Any oral or written representations or modifications concerning this instrument shall be of no force and effect excepting a subsequent modification in writing 5 signed by both parties, This Agreement may be executed in duplicate counterparts, each having equal force and effect of an original. This Agreement shall become binding and effective only after it has been authorized and approved by both counties, as evidenced by the signature of the appropriate authority pursuant to an order of the Commissioners Court of the respective County authorizing such execution, APPROVED AS TO FORM: VINCE RYAN County Attorney HARRIS COUNTY By k'{i~~sK<I~1i~~ Assistant County Attorncy By Q 5:/ftAnd4 ED EMMETT County Judge 47~~- Date Signed: MAY 2 1 2013 APPROVED: CALHOUN COUNTY ~.~ LUIS A. SANCHEZ, M.D, Harris County Institute of Forensic Sciences Chief Medical Examiner By 'Nv-~~ (}/d- County Judge Date Signed: L/ - ). 5 ~) ') CERTIFICATION OF FUNDS Pursuant to section 111.093 of the Texas Local Government Code, I certify that the county budget contains an ample provision for the obligations of Calhoun County under this Agreement and that funds are or will be available in the amount of $6,750.00 to pay the obligations when due, ~. {I) ~flJ..i~ ~ Calhoun C unty Auditor Date Signed: L{- JS - I~ 6 COUNTY OF HARRIS s s s THE STATE OF TEXAS The Commissioners Court of Harris County, Texas, convened at a meeting of said Court at the Harris County Administration Building in the City of Houston, Texas, on May 21, 2013, with the following members present, to-wit: Ed Emmett EI Franco Lee Jack Morman Steve Radack R. Jack Cagle County Judge Commissioner, Precinct No.1 Commissioner, Precinct No.2 Commissioner, Precinct No.3 Commissioner, Precinct No, 4 and the following members absent, to-wit: constituting a quorum, when among other busine s, the following was transacted: ORDER AUTHORIZING INTERLOCAL AGREEMENT WITH CALHOUN COUNTY Commissioner introd,uced an Order and made a motion that the same be adopted. Commissioner ~(Y.J) seconded the motion for adoption of the Order. The motion, carryinfJwith it the adoption of the Order, prevailed by the following vote: Yes Judge Emmett Commissioner Lee Commissioner Morman Commissioner Radack Commissioner Cagle No Abstain D D D D D D D D D D The County Judge thereupon announced that the motion had duly and lawfully carried and that the Order had been duly and lawfully adopted. The Order thus adopted follows: RE CITAL S: Pursuant to article 49.25 of the Texas Code of Criminal Procedure, Harris County has established and maintains the Institute of Forensic Sciences which includes the Office of Medical Examiner. Presented to Commissioner's Court MAY 2 1 2013 APPROVE ~ \ L Recorded Vol Page The Requesting County does not have a medical examiner, and a justice of the peace is required to conduct an inquest into the death of a person who dies in the county under certain circumstances. If the justice of the peace determines that an autopsy is necessary, the justice may order that an autopsy of the body be performed by a physician. The Requesting County desires to obtain the services of the Harris County Institute of Forensic Sciences to perform autopsies on persons who died in the Requesting County and to provide sworn testimony in connection with any inquest by a justice of the peace or any criminal investigation or prosecution conducted by a prosecnting attorney. Harris County Commissioners Court desires to enter into an agreement with Calhoun County for such services. NOW, THEREFORE, BE IT ORDERED BY THE COMMISSIONERS COURT OF HARRIS COUNTY, TEXAS THAT: Section 1: The recitals set forth in this Order are true and correct. Section 2: The Agreement is approved and the County Judge of Harris County or his designee is authorized to execute an Agreement with Calhoun Connty under the terms and provisions set out in the Agreement, which is incorporated by reference and made a part of this Order for all intents and purposes as though set out in full word for word. Section 3: All Harris County officials and employees are authorized to do any and all things necessary or convenient to accomplish the purpose of this Order. HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES OUT OF COUNTY INVESTIGATOR'S REPORT PAGE I COUNTY: JUSTICE OF THE PEACE: PHONE: O.c. CASE # PRECINCT No. ATTACHMENTS: _Order for Autopsy _Police Report Scene Photos Medical Records (If applicable) LAW ENFORCEMENT AGENCY: INVESTIGATOR: PHONE: PAGER: WISH TO BE PRESENT FOR THE AUTOPSY: YES NO If yes, LEAD TIME: APPEARS TO BE: (circle one) NATURAL ACCIDENT SUICIDE HOMICIDE UNDETERMINED TRAUMA VISIBLE: YES NO DESCRIBE TRAUMA: CONDITION OF BODY: FACIAL INJURIES CHARRED DECOMPOSED SKELETON (Any of the above conditions require identification by scientific methods, Le. DNA, dental or fingerprint comparison) DECEASED: RACE: WHITE BLACK HISPANIC OTHER: SEX: MALE FEMALE AGE: DOB: CHILD / INFANT AGE: Months Weeks Days Hours STILLBORN/GESTATION: Weeks HOME ADDRESS: CITY: PHONE: HOME: STATE: WORK: ZIP: OTIffiR: DATE OF DEATH: TIME OF DEATH: AM PM FOUND BY: (or) PRONOUNCED DEAD BY: MD RN EMS LAST KNOWN ALIVE: DATE: TIME: AM PM LAST SEEN ALIVE BY: RELATIONSHIP: PLACE OF DEATH: HOME SCENE HOSPITAL OTHER: PLACE OF INJURY: HOME SCENE HOSPITAL OTHER: . (If Place ofIniury is different from Place of Death, complete scene location - reauired for death certificate,) HCIFS OUT or COUNTY INVESTIGATOR REPORT PAGE 2 or 4 SCENE: HOUSE BUSINESS WORK FIELD WOODED AREA OTHER: ADDRESS: COUNTY: CITY: PRECINCT No.: STATE: ZIP: BODY: POSITION: LYING ON BACK (Supine) OTHER: LYING ON STOMACH (Prone) LYING ON RIGHT I LEFT SIDE (R I L Recumbent) TEMPERATURE: WARM COOL AXILLARY: RECTAL: c:) Temperature taken: Dateffime: c:) Location temp taken: HOSPITAL Date/Time: SCENE HOSPITAL SCENE LIVIDITY PRESENT? YES NO c:) c:) c:) c:) c:) FRONT BACK Right I Left SIDE OTHER: (Anterior) (Posterior) (RIL Lateral) CONSISTENT WITH BODY POSITION? YES NO COLOR: RED-PURPLE BRIGHT RED GREEN BLACK OTHER: BLANCHING: (When skin is pressed, does depression remain white?) YES NO NON-BLANCHlNG: (When skin is pressed, does depression return to lividity color?) YES NO RIGIDITY: SLIGHTLY RIGID? EXTREMELY RIGID? CONSISTENT WITH EASILY BREAKABLE? BODY POSITION? YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO c:) JAW: YES NO c:) NECK: YES NO c:) ARMS: YES NO c:) TORSO: YES NO c:) LEGS: YES NO DECOMPOSITION: (check all that apply) _ dark red discoloration of the lips _ dry, may include shrinkage of the: fingertips toes green discoloration of abdomen _ marbling or reddish-purple discoloration of the: face _ marbling or purple-green or blue-green discoloration of the: _ marbling or green-black discoloration of the: face torso distended abdomen facial distention _ bloating over the entire body _ skin slippage larvae deposits on the: eyes mouth nose open wounds other: = presence of maggots, ants, beetles, flies on the: eyes mouth nose open wounds other: _ adipocere or saponification - (tissues transfonn into fatty acids and appear as white, curdy, greasy substance) tache noire - (drying of the eyes) dried or mummified hands _ mummification of entire body skeleton torso extremities entire body face torso extremities entire body extremities entire body HCIFS OUT OF COUNTY INVESTIGATOR REPORT PAGE30F4 HOSPITAL: ER ICU MICU CCU PICU Room#: DATE OF ARRIVAL: ADMITTING DIAGNOSIS: TRANSPORTED FROM; TRANSPORTED BY: EMS: CPR IN PROGRESS: YES CHIEF COMPLAINT FOR EMS: TIME OF ARRIVAL: RESIDENCE SCENE HOSPITAL: POLICE PRIVATE AUTO WALK-IN NO _COLLAPSED _NAUSEA/VOMITING _OTHER: _CHEST PAINS _SEIZURES _SHORT OF BREATH _INDIGESTION MEDICAL RECORD # (copies required by HCIFS ~ HistorylPhysical, Transfer notes, Operative notes, CT/RadioIogy reports, initial Lab reports, Discharge/Death summary) _FIRST BLOOD (Required if suspected overdose) _ CORD/PLACENT A (Required if fetal death or newborn) REQUEST FOR ORGAN DONATION: REQUEST FOR TISSUE DONATION: Physician: YES NO YES NO J.P.; RELEASED RELEASED DECLINED DECLINED Date: Time: MEDICAL HISTORY: (circle all that apply) Heart Disease Diabetes Renal Failure Hypertension Stroke COPD Cirrhosis Cancer - type: Asthma Hepatitis HlY/AIDS - risk factor: Emphysema Tuberculosis Seizures - Type: Alzheimer's Disease Parkinson's Disease Post~ Trauma Seizures: YES NO Heart Attack Coronary Artery Disease Congestive Heart Failure RECENT COMPLAINTS; SOCIAL HISTORY; (circle all that apply) q TOBACCO; YES NO # per DAY WEEK MONTH Type: q ALCOHOL: YES NO # per DAY WEEK MONTH Type: q DRUGS: YES NO # per DAY WEEK MONTH Type: PERSONAL PHYSICIAN: PHONE: LEGAL NEXT OF KIN: (in order ofIegal succession) ~ WRITIEN DIRECTIVE LEGAL SPOUSE COMMON LAW SPOUSE ~ ADULT CHILD(REN) ~PARENT(S) ~ ADULT SIBLING(S) OTHER RELA TIVES NEXT OF FRIEND NAME: ADDRESS: CITY 1ST A TE/ZIP; PHONE: NOTIFIED BY: DATE NOTIFIED: TIME: HCIFS OUT OF COUNTY INVESTIGATOR REPORT PAGE40F4 IDENTIFICATION: POSITIVE TENTATIVE ID UNKNOWN BY; COMPARISON OF PHOTO ID #: by VIEWED PHOTOGRAPH VIEWED BODY AT SCENE I HOSPITAL - SCIENTIFIC IDENTIFICATION REQUIRED (DNA, dentals or fingerprints comparison by HCIFS) q PERSON MAKING IDENTIFICATION: NAME: RELATIONSHIP: ADDRESS: PHONE: q DNA SAMPLE PROVIDED BY: NAME: ADDRESS: PHONE: (For scientific identification by DNA) RELATIONSHIP: NARRATIVE: (ATTACH COPIES OF POLICE REPORTS, SUPPLEMENT REPORTS, AND SCENE PHOTOGRAPHS.) Luis A. Sanchez, M.D. Chief Medical Examiner ,~'~~s~"f~i!;\ .J"";k ~.o .. ,tI, .~; 'I,"~ ")("'" .~ i \~~:'.'r;;!~ ; .".h."......... ,,{$ "'''scQ~'' (713) 796-9292 FAX: (713) 796-6844 JOSEPH A. JACHIMCZYK FORENSIC CENTER FEE SCHEDULE Effective Mav 1. 2006 I,...',;............;,:;....;:.;;"':'.:,,;.,.;:'" ~:'i;i::' ~ "> lAutopsy Services (Analysis/Examination/Service) Aut~sv - Non-Harris Countv Cases Autopsv Case $2,250 External Exam Case $1,000 Decedent Storaae Fee Day $45 Histoloav Slides Standard Stains (Per Slide) Slide $11 Special Stains (Per Slide) Slide $15 Documents: Reports, Permits & Photo Reprints: Copy Charae per Open Records Pa~e $0.10 Images on CD (olus copy charae) Each $11 Notarization of Document (plus coov charge) Document $7 Photo Reorints (3 Y, x 5) Print $3 Photo Reorints (8 x 10) Print $5 X-Ray Copv (oer film) Film $6 Subpoena/Court Order Documents (olus copy charge) Hour $55 Professional Time Expert Witness/Consultation - Lab & Other ME Staff (fixed fee for Fixed Fee: $180 preparation time plus an hourly rate for travel & witness/consult time) Hourlv $90 Expert Witness/Consultation - Pathologist / Chief Toxicologist (fixed Fixed Fee: $380 fee for oreoaration time plus an hourlv rate for travel & witness/consult time) Hourlv $190 On Site Physical Assessment prior to Organ Procurement (Total cost of an assessment is not to exceed $1,000) Lab & Other ME Staff (Hourly rate per staff member) Hourlv $90 Patholoqist / Chief Toxicolo~ist (Hourly rate per Doctor) Hourly $190 Forensic Lab Fees: Toxicoloav Carbon Monoxide by CO-oximetrv Test $110 Carbon Monoxide by Ultraviolet Soectroscopy Test $115 Electrolvtes & Chemicals Test $35 BUN / Creatinine Test $45 Glucose / Ketone Test $40 Toxi. Lab - Thin Layer Chromato~raphy Test $95 Urine Druq Test (EMIT) Screen , Test $13 1885 Old Spanish Trail, Honston, Texas 77054 Prepared by OBM Approved 04104/06 Page 10f2 www.eo.harris.tx.ns/me Luis A. Sanchez, M.D. Chief Medical Examiner .if;~;"~~~~\ I~(;J,. *;!..,~\ !'\:~'fy,.\.~~i 'i''''/~Cq~~ (713) 796-9292 FAX: (713) 796-6844 JOSEPH A. JACHIMCZVK FORENSIC CENTER FEE SCHEDULE Effective Mav 1. 2006 L'iSi . .;\ . ))\ :/i<i.......;..... ..... .i'; iL,~;:/ P:':ipu~", ........... Headspace (Screen + Confirm) Test $110 GeMS Test $70 ELISA Test $25 LC/MS/MS Test $165 HPLC Test $100 Drua Facilitated Sexual Assault Case $540 SIDS Case $585 DUI - Urine . Case $300 DUI - Blood Case $350 Forensic Urine Drug Testing Case $85 Post Mortem Case $350 Trace Evidence Gun Shot Residue (Scanning Electron Microscope) Analysis Stub $195 Hair Comparison Hour $175 Trace Evidence Collection (Morgue) Case $310 Trace Evidence Collection (at Crime Scene) Case $620 Controlled Substance Marijuana Exhibit Exhibit $90 Chemical Exhibit Exhibit $115 DNA Serology - Sexual Assault Kits Kit $790 Serology - Small Items (ex: individual article of clothing) Exhibit $235 Serology - Large Items> 15 sq. ft. (ex: bedding) Exhibit $1,175 DNA Processing (Exemplars) Swab $60 DNA Processinq Test $740 Paternity Test Case $740 Stain Cards Card $20 Other Fees Lab Specimen Holding Fee Month $35 Shippino & Handling Fee (Express deliverv, USA) Case $80 Administrative Fee Hour $55 Sudden Infant Death Syndrome (State Health Dept) Case $500 www.co.harris.tx.us/me Prepared by aBM Approved 04104/06 Page 20(2 1885 Old Spanish Trail, Honston, Texas 77054 MUTUAL AID AGREEMENT BETWEEN CALHOUN COUNTY AND INDUSTRY AND AUTHORIZE COUNTY JUDGE TO SIGN: This agenda item was passed over at this time. ASSET FORFEITURE AUDIT CONDUCTED BY THE ATTORNEY GENERAL'S OFFICE FOR THE FISCAL YEAR OF 2012: A Motion to accept the Asset Forfeiture Audit conducted by the Attorney General's Office for the Fiscal Year of 2012 was made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor, II MEMORANDUM MEMO TO: Mike Pfeifer, CountyJudge SUBJECT: Agenda Item DATE: March 27,2013 Please place the following item on the Commissioners Court agenda for April 11 ,2013: *Consider and take action on Asset Forfeiture Audit conducted by the Attorney General Office for the fiscal year of 2012. ,f}:et2 George Aleman Calhoun County Sheriff e,~\({)(ijY\." I hi If \- . '''''-/..J.. ~ fl' 1/ 'i1c>~ ~f,';*" "Ib, ~<'J!.~ '~<f~~ ATTORNEY GENERAL OF TEXAS GREG ABBOTT March 21, 2013 Sheriff Burnard Browning Calhoun County Sheriff's Dept. 211 South Ann St. Port Lavaca TX 77979 RE: Chapter 59 Asset Forfeiture Report Dear Sheriff Browning; This letter is notice to your office that the Attorney General has not received a copy of the audit report required to be completed pursuant to Article 59,06 of the Code of Criminal Procedure. (Asset Forfeiture Audit). This report should have been delivered to this office no later than 60 days after the end of your fiscal year as required in Article 59.06(g)(I) of the code. If your agency is authorized by law to employ peace officers or receive forfeited property (including Constables, lSD's, Fire Departments, County Attorneys, City Attorneys, Marshals, Hospital Districts, State Agencies etc.) the reporting requirement will apply. Even though many agencies do not employ peace officers or seize and forfeit any property, the report must still be f1l1ed out and returned to this office pursuant to the statute. If your agency is authorized by law to employ peace officers, but does not employ peace officers or seize and forfeit any property, simply zero out the blanks which do not apply, and return the form to this office, If you cannot locate the form that was sent to you earlier in the year, they are available at our website at www.oag.state.tx.us.ClickontheCriminalJusticetab.thenonPublications.This will take you to a list of publications, this form is listed as "Law Enforcement Agency Audit Form." Thank you very much for your attention to this matter. Sincerely, KENT RICHARDSON Assistant Attorney General Criminal Prosecutions Division Office of the Attorney General P.O. Box 12548 Austin, TX 78711-2548 (512)936-1348 kent .richardson(altexasatlornevgeneral. gov renee. watls(aJ,texasatlornevgeneral. gov (512)305-8882 POST OFFICE Box 12548, AUSTIN, TEXAS 78711-2548 TEL:(512) 463-2100 WEB: WWW.TEXASATTORNEYGENERAL,GOV All Equal Employment Opportllnity Emplover . Printed on Reeve/ed Pnnl'r NOTE: If you are governed by a Commissioners Court or a City Council, BOTH CERTIFICATIONS MUST BE COMPLETED. Otherwise, please complete the Agency Head Certification. CERTIF[CA nON I swear or affirm that the Commissioners Court or City Council has conducted the audit required by Article 59.06 of the Code of Criminal Procedure, unless after due inquiry, it has been determined that no accounts, funds or other property pursuant to Chapter 59 of the Code of Criminal Procedure are being held or have been transacted in the relevant fiscal year by the agency for which this report is being completed, and that upon diligent inspection of all relevant documents and supporting materials, I believe that this asset forfeiture report is true and correct and contains all of the required information. COUNTY JUDGE, MAYOR or CITY MANAGER (Printed Name): SIGNATURE: DATE: Judge Mike Pfeifer ~Avk.Y'} Pfi-. 11- }. C; -J) AGENCY HEAD CERTIFICATION I swear or affirm. under penalty of perjury, that I have accounted for the seizure. forfeiture, receipt, and specific expenditure of all proceeds and property subject to Chapter 59 of the Code of Crimina 1 Procedure, and that upon diligent inspection arall relevant documents and supporting materials, this asset forfeiture report is true and correct and contains all information required by Article 59.06 of the Code of Criminal Procedure. I further swear or affirm that all expenditures reported herein were lawful and proper. and made in accordance with Texas law. AGENCY HEAD (Printed Name): SIGNATURE: DATE: RETURN COMPLETED FORM TO: ~ D?~'2B'\-S Office of the Attorney General Criminal Prosecutions Division P.O. BOK 12548 Austin, TX 7871 [-2548 Attn: Kent Richardson (5[2)936-1348 kent.richardson(iijo ag.state. tx ,us WE CANNOT ACCEPT FAXED OR EMAILED COPIES. PLEASE MAIL THE SIGNED, ORIGINAL DOCUMENT TO OUR OFFICE AT THE ADDRESS ABOVE. fOTlTldaloOIlI8J12 Page 6 FY 2012 CHAPTER 59 ASSET FORFEITURE REPORT BY LAW ENFORCEMENT AGENCY Agency Name: Reporting Period: Calhoun County Sheriff's Office (local fiscal year) 1/1/2012 to 12/31/2012 Name of Agency Head (Chief, Sheriffetc,) (Printed) example: 01/01112 to 12/31/12, 09/01/11 to 08/31112 etc. Sheriff (;eorge AlemAn Agency Mailing Address: 711 S Ann Port LavaCA TexAs 77979 Phone Number: 361-553-4646 Calhoun County: Email Address: This should be a pennanenlagency email address jenny mc:grew@C:Alhollncotx org NOTE: PLEASE ROUND ALL DOLLAR FIGURES TO NEAREST WHOLE DOLLAR. 1. SEIZED FUNDS (Funds that have been seized, but have not yet been awarded to your agency by the judicial system) A) Beginning Balance: Instructions: Include total amount of seized funds on hand (in your agency's possession) at beginning of reporting period. Include funds that may have been forfeited but have not been transferred 10 your agency's forfeiture account. Do not include funds that are in an account held by another agency. e,g" the District Attorney's account, $ 3 B) Ending Balance: Instructions: Include total amount of seized funds on hand (in your agency's possession) at end of reporting period. Do not include funds that are in an account held by another agency, e.g. the District Attorney's account. $ 210 099.90 11. FORFEITED FUNDS (Funds awarded to your agency by the judicial system) A) Beginning Balance: Instructions: Include total amount of forfeited funds that have been forfeited to your agency and are on hand (in your agency's account or in your agency's possession) at the beginning of the reporting period including interest. Do not include funds that have been forfeited but not yet received by YOUl'agency, $ 3158.52 B) Ending Balance: Instructions: Include total amount of forfeited funds that have been forfeited to your agency and are on hand (in your agency's account or in your agency's possession) at the end of the reporting period including interest. Do not include funds thai have been forfeited but not yet received by your agency. $ 38617.94 ilL SEIZURES DURING REPORTING PERIOD FoundntcOl1J8IJ2 Page I A) Funds: Instructions: Include only those seizures which occurred during the reporting period and where the seizure alTIdavit required by Article 59.03 is sworn to by a peace officer employed by your agency. (e.g. seizing officer's affidavit). 1) Amount seized and retained ill your agency's custody: s 29 269 39 2) Amount seized and transferred to the District Attorney pending forfeiture: s B) Property: Instructions: List the number of items seized tor the following categories. Include only those seizures where a seizure is made by a peace officer employed by your agency. Please note - this should be a number not a currency amount. Example 4 cars seized, 3 cars SEIZED FORFEITED TO forfeited. AGENCY I) MOTOR VEHICLES (Include cars, motorcycles, tractor trailers, etc.) 1 0 2) REAL PROPERTY (Count each parcel seized as one ilem) 0 n 3) COMPUTERS (Include computer and attached system components, such as printers and 0 monitors, as one item) 0 4) FIREARMS (Include only flreanns seized for forfeiture under Chapter 59. Do 1I0t include weapons disposed under Chapter 18.) 0 n 5) Other Property-Description: n 0 6) Other Property -Description: n 0 7) Other Property -Description: 0 0 IV. FORFEITED FUNDS RECEIVED DURING REPORTING PERIOD Amount Forfeited to and Received by ReportingAgcncy (Including Interest) During Reporting Period: Instructions: Do not include amounts forfeited but not yet received by your agency; interest refers to the allloulIt earned prior to forfeiture and dislributed as part of the judgment offorfeiture. $ V. FORFEITED PROPERTY RECEIVED FROM ANOTHER AGENCY Instructions: Enter the total number of items transferred to your agency where the forfeiture judgment awarded ownership of the propclty to another agency prior to the transfer. A) Motor Vehicles (the number of vehicles, not a currency amount): o o n o n B) C) Real Properly (the number ofsepamte parcels of property, 1101 a currency amoullt): Computers (the number of computers, not a currency amount): D) Fireanns (the number of firearms, not a currency amount): E) Other (the number of items, not a currency amount): VI. FORFEITED PROPERTY TRANSFERRED OR LOANED TO ANOTHER AGENCY Instructions: Enter the total ntlmber of items transferred or loaned from your agency where the forfeiture judgment awarded ownership ofthe property to your agency priOI' to the transfer. FOllll dnl" O1l18JJ2 Page 2 A) Motor Vehicles (tbe number of vehicles, not a currency amount): 0 Real Property (the number of separate parcels of property, not a currency B) amount: 0 C) Computers (the number of computers, not a currency amount): 0 D) Fireanns ( the number of firearms, not a currency amount): 0 E) Other (Ihe number of items, not a currency amount): 0 VII. EXPENDITURES Instructions: ll1is category is for Chapter 59 expenditures SOLELY for law enforcement purposes - not lor expenditures made pursuant to your general budget. List the total amount expended for each of the following categories. If proceeds are expe~ded for a category nOllisted, state the amount and nature oflhe expenditure under the Other category. A) SALARIES I. Increase of Salary, Expense. or Allowance for Employees (Salary Supplements): $ 0 2. Salary Budgeted Solely From Forfeited Funds: $ n 3. Number of Employees Paid Using Forfeiture Funds: 0 TOTAL SALARIES PAID OUT OF CHAPTER S9 FUNDS: $ () B) OVERTIME 1. For Employees Budgeted by Governing Body: $ 0 2. For Employees Budgeted Solely out of Forfeiture Funds: $ 0 3. Number of Employees Paid Using Forfeiture Funds: 0 TOTAL OVERTIME PAID OUT OF CHAPTER 59 FUNDS: $ 0 C) EQUIPMENT L Vehicles: $ n 2. Computers: $ n 3. Firearms, Vests. Personal Equipment: $ n 4. Furniture: $ 0 5. Software: $ 0 6. Maintenance Costs: $ 0 7. Uniforms: $ 0 8. K9 Related Costs: $ 0 9. Other (Provide Detail on Additional Sheet): $ n TOTAL EQUIPMENT PURCHASED WITH CHAPTER 59 FUNDS: $ 0 FomldnleOI/18I12 Page:! 1/ D) SUPPLIES I. Office Supplies: $ n 2. Cellular Air Time: $ ~ 3. Internet: $ 0 4. Other (Provide Detail on Additional Sheet) : $ n TOTAL SUPPLIES PURCHASED WITH CHAPTER 59 FUNDS: $ 0 E) TRAVEL I. In State Travel a) Transportation: $ 0 b) Meals & Lodging: $ 0 c) Mileage: $ 0 d) Incidental Expenses (Any other travel expense not included on n, b, ore above): $ 0 Total In Slate Travel $ 0 2. Out afState Travel a) Transportation: $ 0 b) Meals & Lodging: $ 0 c) Mileage: $ 0 d) Incidental Expenses (Any other tmvel expense not included on n, b, ore above): $ 0 Total Out or State Travel $ 0 TOTAL TRAVEL PAID OUT OF CHAPTER 59 FUNDS: $ 0 F) TRAINING I. Fees (Conferences, Seminars): $ 0 2. Materials (Books, CDs. Videos. etc.): $ n 3. Other (provide Detail on Additional Sheet): $ 0 TOTAL TRAINING PAID OUT OF CHAPTER 59 FUNDS $ 0 G) INVESTIGATIVE COSTS I. InfomlUnt Costs: $ 0 2. Buy Money: $ 8,000.00 3. Lab Expenses: $ 3235.00 FOImdnleOI/I8!12 Pagll4 <!D"" ',,'''<~..' -"'y,,, 4. Other (Provide Detail on Additional Sheet) : $0 TOTAL INVESTIGATIVE COSTS PAID OUT OF CHAPTER 59 FUNDS: $ 11.235.00 H) TOTAL PREVENTION/TREATMENT PROGRAMS/FINANCIAL ASSISTANCE I. Total PreventionlTreatment Programs (pursuant 10 59.06 (h), (I), (j): $ 0 2. Total Financial Assistance (pursuant to Articles 59.06 (n) and (0)): $ 0 TOTAL PREVENTION/TREATMENT PROGRAMS/FINANCIAL 0 ASSISTANCE (pursuant to Articles 59.06 (h), (I), (1), (n), (0)): $ I) FACILITY COSTS I. Building Purchase: $ 0 2. Lease Payments: $ 0 3. Remodeling: $ 0 4. Maintenance Costs: $ 0 5. Utilities: $ U 6. Olher (Provide Detail on Additional Sheet): $ 0 TOTAL FACILITY COSTS PAID OUT OF CHAPTER S9 FUNDS: $ 0 J) MISCELLANEOUS FEES I. Court Costs: $ 0 2. Filing Fees: $ 0 3. Insurance: $ 0 4. Witness Fees: $ 0 5. Audit Costs and Fees: $ 0 6. Other (Provide Det.'lil on Additional Sheet): $ 0 TOTAL MISCELLANEOUS FEES PAID OUT OF CHAPTER 59 FUNDS: $ 0 K) PAID TO OR SHARED WITH COOPERATING AGENCY: $ 52404.13 L) TOTAL OTHER PAID OUT OF CHAPTER S9 FUNDS (provide detailed Q descriptions on additional sheet{s) and attach to this report): $ M) TOTAL EXPENDITURES: $ FomldnlcOll18/J2 PageS CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LA V ACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: SHERIFF BUDGET DATE: MARCH 25.2013 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MARCH 25, 2013 . Consider and take necessary action to authorize the trade in value of $20,000 for the Calhoun County Sheriffs Office 2011 expedition (assest # 565-0676) back in to Calhoun County Sheriffs budget (account # 760-74055). Sincerely, George Aleman Calhoun Connty Sheriff AUTHORIZE THE TRADE IN VALUE OF $20,000 FOR THE CALHOUN COUNTY SHERIFF'S OFFICE 2011 EXPEDITION (ASSET # 565-0676) DEPOSITED BACK TO CALHOUN COUNTY SHERIFF'S BUDGET (ACCOUNT #760-74055): Lucy Dio: The value of the trade in was, accounting-wise, coded to a different account outside of the Sheriff's Office. The net cash value that they paid included the trade in value, but for their budget it was recorded as the full amount of the vehicle. They are just asking that the trade in value be added back into the Sheriff's Budget. A Motion to authorize the trade in value of $20,000 for the Calhoun County Sheriff's Office 2011 Expedition (Asset # 565-0676) deposited back to Calhoun County Sheriff's Budget (Account # 760-7405S) was made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. COUNTY REPORTS: The following monthly reports were presented: 1) County Treasurer: February 2013 2) Justices of Peace: i. Justice of the Peace #1: March 2013 ii. Justice of the Peace #2: March 2013 iii. Justice of the Peace #4: March 2013 iv. Justice of the Peace #5: March 2013 3) Calhoun County Extension Service: March 2013 A Motion approve the County Reports was made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS CALHOUN COUNTY TREASURER'S REPORT MONTH OF: FEBRUARY 2013 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE GENERAL $ 23,287,660.58 $ 4,463,263.99 $ 1,887,851.91 $ 25,863.072.66 AIRPORT MAINTENANCE 46,539.36 260.93 553.30 46,246.99 APPELLATE JUDIC!AL SYSTEM 1,981.93 124.75 1,845.48 261.20 COASTAL PROTECTION FUND 33,502.43 7.86 0.00 33,510.29 COUNTY AND DIST COURT TECH FUND 1,168.44 49.13 0.00 1,217.57 COUNTY CHILD WELFARE BOARD FUND 871.72 36.20 810.00 97.92 COURTHOUSE SECURITY 211,077.53 1,590.15 0.00 212.667.68 DIST CLK RECORD PRESERVATION FUND 4.146.58 126.92 0.00 4,273.50 CO CLK RECORDS ARCHNE FUND 41,808.60 1,844.81 0.00 43,653.41 DONATIONS 93,908.14 213.48 13,517.48 80,604.14 DRUGIDWI COURT PROGRAM FUND-LOCAL 4,861.62 208.10 0.00 5,069.72 ruvENlLE CASE MANAGER FUND 6,883.85 209.68 0.00 7,093.53 F AMlL Y PROTECTION FUND 5,276.33 31.24 0.00 5,307.57 ruvENll.E DELINQUENCY PREVENTION FUND 8,542.75 2.01 0.00 8,544.76 GRANTS 525,065.51 6.16 4,160.47 520,911.20 JUSTICE COURT TECHNOLOGY 51,571.70 1,015.77 737.18 51.850.29 COUNTY CHIill ABUSE PREVENTION FUND 113.60 4.78 0.00 118.38 JUSTICE COURT BUILDING SECURITY FUND 14,539.09 87.85 79.00 14,547.94 LATERAL ROAD PRECINCT # 1 4,329.50 1.02 0.00 4,330.52 LATERAL ROAD PRECINCT #2 4,329.52 1.02 0_00 4)30.54 LATERAL ROAD PRECINCT #3 4,329.52 1.02 0.00 4,330.54 LATERAL ROAD PRECINCT #4 4,329.52 1.02 0.00 4;330.54 PRETR!AL SERVICES FUND 59,719.31 314.02 0.00 60,033.33 LAW LIBRARY 184,366.86 929.20 654.89 184.641.17 LAW ENF OFFICERS STD. EDUe. (LEOSE) 17,177.22 4.03 0.00 17,181.25 POC COMMUNITY CENTER 29,697.18 106.97 2,363.52 27,440.63 RECORDS MANAGEMENT-DISTRICT CLERK 3,773.71 100.69 0.00 3,874.40 RECORDS MANAGEMENT-COUNTY CLERK 135,983.60 2,013.35 0.00 137,996.95 RECORDS MGMT & PRESERVATION 108,426.42 526.96 0.00 108.953.38 ROAD & BRIDGE GENERAL 1,652,457.43 138,527.06 0.00 1,790,984.49 SHERIFF FORFEITED PROPERTY 1,275.15 0.30 0.00 1,275.45 6MlLE PlERlBOAT RAMP INSURIMAINT 58.859.12 13.82 0.00 58,872.94 CAPITAL PROJ - COASTAL MANAGEMENT PGM 98,415.28 0.00 0.00 98,415.28 CAPITAL PROJ - CIAP COASTAL IMPROVEMENTS 631,674.17 9,835.27 16,943.02 624,56M2 CAPITAL PROJ-P ARKING LOT 80,543.81 0.00 0.00 80,543.81 CAP PROJ-PCT 2 - STORM REPAIRS 17,796.13 0.00 0.00 17,796.13 CAPITAL PROJ-RB INFRASTRUCTIJRE 72,599.35 0.00 0.00 72,599.35 CAPITAL PROJ-SW AN POINT PARK 5,096.40 0.00 0.00 5,096.40 CAPITAL PROJ-AlRPORT RUNWAY IMPROV 99,326.13 0.00 0.00 99,326.13 CAPITAL PROJ-EMER COMM SYS 30.848.06 0.00 0.00 30,848.06 CAPITAL PROJ-HATERlliS PARK/BOAT RAMP 20.000.00 0.00 35,000.00 (15,000.00) CAP PROJ-PORT ALTO POOL BEACH-STORM REI' 30,384.78 0.00 0.00 30,384.78 CAPITAL IMPROVEMENT PROJECTS 444,158.74 0.00 0.00 444,158.74 CAP PROJ- ANNEX IT 25,755.89 0.00 0.00 25,755.89 CAP PROHIEAL TH DEPT RENOVATIONS 88,879.08 0.00 0.00 88,879.08 CPROJ - MMC CLIN1C ACQUISITION LOAN 2,000,000.00 0.00 0.00 2,000.000.00 CPROJ - MMC BUSINESS IMPROVEMENT LOAN 1,500,000.00 0.00 0.00 1,500,000.00 ARREST FEES 0.00 448.82 0.00 448.82 BAIL BOND FEES (fIB 1940) 0.00 0.00 0.00 0.00 CONSOLIDATED COURT COSTS (NEW) om 11,241.75 0.00 11,241.76 DNA TESTING FUND 250.00 7.62 0.00 257.62 DRUG COURT PROGRAM FUND - STATE rom 208.04 0.00 208.03 SUBTOTALS $ 31754901.64 $ 4633.365.79 $ 1.964516.25 $ 34423751.18 Page 1 of3 COUNTY TREASURER'S REPORT MONTH OF: FEBRUARY 2013 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE aPERATfNG FUNO - BALANCE FaRWARD $ 31,754,901.64 $ 4,633,365.79 $ 1,964,516.25 $ 34,423,751.18 ELECTIONS CONTRACT SERVICE 55,368.56 8.72 0.00 55,377.28 EMS TRAUMA FUND 126.57 449.14 0.00 575.71 FfNES AND COURT caSTS HaLDING FUND 7,847.31 0.00 0.00 7.847.31 INDIGENT CIVIl. LEGAL SERVICE 0.00 258.00 0.00 258.00 JUDICIAL FUND (ST. caURT CaSTS) 0.00 158.78 0.00 158.78 JUDICIAL SALARIES FUND 0.00 2,788.81 0.00 2,788.81 JUROR Do.NATION-TX CRIME VICTIMS FUND 160.00 34.00 0.00 194.00 JUVENILE PROBATION RESTITUTIo.N 238.00 245.00 238.00 245.00 LIBRARY GIFT AND MEMORIAL 48,996.58 11.50 0.00 49,008.08 MlliCELLANEOUSCLEMliNG 76,383.79 358,813.19 428,032.1 5 7,164.83 REFUNDABLE DEPOSITS 2.000.00 0.00 2,000.00 STATE CIVIL FEE FUND 0.00 2,107.15 0.00 2.107.15 CIVIL JUSTICE DATA REPOSITo.RY FUND 0.00 13.80 0.00 13.80 JURY REIMBURSEMENT FEE 0.00 1.035.11 0.00 1.035.11 SUBTITLE C FUND 0.00 4,165.83 0.00 4,165.83 SUPP o.F CRIM INDIGENT DEFENSE 0.00 514.28 0.00 514.28 TIME PAYMENTS 0.00 1,814.66 0.00 1,814.66 TRAFFIC LAW FAILURE TO APPEAR 0.00 1,197.75 0.00 1,197.75 UNCLAIMED PRo.PERTY 4,599.63 1.08 0.00 4,600.71 BOo.T CAMPIJJAEP (343.10) 490.53 0.00 147.43 JUVENILE PROBATION 34717.50 17179.15 39.929.73 11 966.92 SUBTOTALS $ 31,984,996.48 $ 5.024,652.27 $ 2,432,716.13 $ 34,576,932.61 TAXES IN ESCROW - 0.00 0.00 0.00 TOTAL OPERATING FUNDS $ 31 984 996.48 S 5 024 652.27 $ 2432716.13 $ 34 S76 932.62 D A FaRFEITED PROPERTY FUND 41,003.25 5.82 0.00 41,009.07 SHERIFF NARCOTIC FORFEITURES 38.624.35 5.37 20,330.48 18,299.24 Co.NSTRUCTION (JAIL) SERIES 2003 - I & S 418,401.33 118,536.14 8,181.25 528,756.22 CERT. aF o.B-CRTHSE REN. I&S FUND SERIES 2004 23,607.46 595.01 0.00 24,202.47 CAL. co.. FEES & PINES 101,333.28 109,791.09 90,985.79 120,138.58 OCEAN DRIVE IMPROVEMENTS 1.00 0.00 0.00 1.00 CERT o.F aB-CRTHSE REF SERIES 2010 380,061.74 137,284.45 84,000.00 433,346.19 CERT aF aB-CRTHOUSE I&S SERIES 2012 169281.15 61~ 72 825.00 158.328.07 T^~" ^~UVR ~o FJlNTlS 2 13.56 $ <: 276.322.52 1 324.080.84 MEMaRIAL MEDICAL CENTER: OPERATING $ 2,264,410.91 $ 1,659.950.01 $ 1,483.042.85 $ 2,441,318.07 REFUND IMPREST ACCOUNT 2,575.32 0.37 0.00 2,575.69 INDIGENT HEALTHCARE 140.40 2,500.51 0.00 2,640.91 PRIVATE WAIVER CLEARING FUND 750 175.34 150117.11 0.00 900292.45 To.T ALS $ 3017301.97 $ 1 662450.89 $ I 483 042.85 $ 3346827.12 DRAINAGE DISTRICTS NO.. 6 $ 17,430.43 $ 449.87 $ 75.34 $ 17,804.96 NO.. 8 119,009.81 3,319.31 0.00 122,329.12 NO.. 10.MAlNTENANCE 113,919.91 1,364.05 176.27 115,107.69 NO.ll-MAINTENANCE/OPERATfNG 203,001.75 23,290.31 2,054.10 224,237.96 NO. II-RESERVE 129792.85 18.42 0.00 129811.27 TOTALS $ 583154.75 $ 28,441.96 $ 2305.71 $ 609 ?91.00 CALHOUN COUNTY WCID #1 OPERATfNG ACCOUNT $ 337372.70 1840.75 22109.76 $ 317103.69 CALHOUN COUNTY PORT AUTHORfl'Y MAINTENANCE AND OPERATfNG $ 249649.84 $ 6.022.75 $ 7.357.95 $ 248314.64 CALHOUN COUNTY FROST BANK $ 843.06 $ - $ 9.86 $ 833.20 TOTAL MMC, D DIST, NA V DIST, WCID & FROST . "r, . . LOO "5'" . 151481627 . TOTAL ALL FUNDS $ 40.423.383.11 Page 2 of3 COUNTY TREASURER'S REPORT MONTH OF: FEBRUARY 2013 BANK RECONCILIA TION LESS: CERT.OF DEPI FUND OUTSTNDG DEP/ PLUS: CHECKS BANK FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE OPERATING * $ 34,576,932.62 $ 23,139,665.12 $ 734,166.80 $ 12,171,434.30 D A FORFEITED PROPERTY FUND 41,009.07 0.00 0.00 41.009.07 SHERIFF NARCOTIC FORFEITURES 18,299.24 0.00 18,120.00 36,419.24 CONSlRUCTION (JAIL) SERIES 2003 -1 & S 528.756.22 0.00 0.00 528,756.22 CERT. OF OB-CRTHSE REN.l&S FUND SERIES 2004 24,202.47 25.00 0.00 24,177.47 CERT OF OB-CRTHSE REF SERIES 2010 433,346.19 64.62 0.00 433,281.57 CERT OF OB-CRTHSE I&S SHRillS 2012 158,328.07 20.00 0.00 158.308.07 CAL. CO FEES & FINES 120,138.58 26,477.72 93,353.09 187,013.95 OCEAN ORNE IMPROVEMENTS- CAP PRO) 1.00 0.00 0.00 1.00 MEMORIAL MEDICAL CENTER: OPERATING * 2,441,318.07 499,999.70 249,835.72 2,191,154.09 REFUND IMPREST ACCOUNT 2,575.69 0.00 0.00 2,575.69 INDIGENT HEALTl1CARE 2,640.91 0.00 930.17 3,571.08 PRNATE WANER CLEARING FUND 900,292.45 0.00 0.00 900,292.45 DRAINAGE DISTRICT: NO.6 17,804.96 0.00 75.34 17,880.30 NO.8 122,329.12 0.00 0.00 122,329.12 NO. 10 MAINTENANCE 115,107.69 0.10 176.27 115,283.86 NO. 11 MAINTENANCE/OPERATING 224,237.96 0.00 0.00 224,237.96 NO. 11 RESERVE 129,811.27 0.00 0.00 129.811.27 CAl.HOUN CO. WClD # 1 OPERATING ACCOUNT 317,103.69 0.00 0.00 317,103.69 CALHOUN CO. NAVIGATION DlST: MAINTENANCE/OPERATING **** 248,314.64 0.00 0.00 248,314.64 CALHOUN COUNTY FROST BANK 833.20 0.00 0.00 833.20 TOTALS $ 40 423 383.11 $ 23 666 252.26 $ 1 096 657,39 $ 17853788.24 **'* TIIE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LA V ACA TIlE DEPOSITORY FOR ALL OTIIER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - FORT LA V ACA **** TIIE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Comt costs and fees collected and reported AUGUST not be current and up-to-date due to non-compliance by other county offices. I hereby certify that the current balances are con-ect t all m ies that have ,ren re eived by the County Treasurer as ofthe date ofthis report. . J APPROVED CO~~~~~~:R APR 25 2013 CALHOUN COUNTY COMM!SS!ONERS COURT Page 3 of3 ENTER COURT NAME: JUSTICE OF PEACE NO.1 ENTER MONTH OF REPORT MARCH ENTER YEAR OF REPORT 2013 .. . ... CODE AMOUNT CASH BONOS 0.00 Revised tl7l13 ADMINISTRATION FEE - ADMF 0.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOliDATED COURT COSTS - CCC 2,441A2 COURTHOUSE SECURITY - CHS 245.44 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE - CJDR 3.22 CORRECTIONAL MANAGEMENT INSTITUTE - CMI O.SO CR 0.00 CHILD SAFETY. CS 0.00 CHILD SEATBELT FEE - CSBF 0.00 CRIME VICTIMS COMPENSATION - CVC15.00 DPSC/FAILURE TO APPEAR - OMNI - DPSC 768.85 FUGITIVE APPREHENSION - FA 5.00 GENERAL REVENUE - GR 0.00 CRIM -IND LEGAL SVCS SUPPORT -IDF .... .121.19 JUVENILE CRIME & DELINQUENCY - JCD ._:__ 0.50 JUVENILE CASE MANAGER FUND - JCMF 71.61 JUSTICE COURT PERSONNEL TRAINING - JCPT 2;00 JUSTICE COURT SECURITY FUND - JCSF 0.00 JUROR SERVICE FEE ~ JSF 242.42 LOCAL ARREST FEES - LAF 0.00 LEMI 0.00 LEOA 0.00 LEOC 0.00 OCL b.oO PARKS & WILDLIFE ARREST FEES - PWAF 0.00 STATE ARRESTFEES - SAF 303.07 SCHOOL CROSSING/CHILD SAFETY FEE - SCF 0.00 SUBTITLE C - SUSC 991;13 TABCARREST FEES - TAF 0.00 TECHNOLOGY FUND. TF 246.44 TRAFFIC c TFC 99.15 TIME PAYMENT -TIME 650.66 LOCAL & STATE WARRANT FEES - WRNT 1,457.00 COLLECTION SERVICE FEE-MVBA - CSRV 2,634.30 DEFENSIVE DRIVING COURSE - DOC 39.60 DEFERRED FEE - OFF 214;80 DRIVING EXAM FEE- PROVDL- 0.00 FILING FEE - FFEE 50.00 FILING FEE SMALL CLAIMS - FFSC 0.00 JURY FEE - JF 0.00 COPIESfCERTIFED COPIES. CC 0.00 INDIGENT FEE - CIFF or INDF '12-.00 JUDGE PAY RAISEFEE~ JPAY: __ 384.00 SERVICE FEE" SFEE 75~00 OUT"OF-COUNTYSERVICE FEE 0.00 EXPUNGEMENT FEE - EXPG 0.00 EXPIRED RENEWAL - EXPR 40.00 ABSTRACT OF JUDGEMENT-AOJ 5.00 ALL WRITS - WOPI WOE 0.00 OPS FTA FINE. OPSF 0.00 LOCAL FINES - FINE 7;960.20 LICENSE & WEIGHT FEES - LWF 0.00 PARKS & WILDliFE FINES ~ PWF 61.00 SEATBELT/UNRESTRAINED CHILD FINE _ SEAT ... 0.00 . OVERPAYMENT ($10 & OVER) - OVER 0.00 * OVERPAYMENT (LESS THAN $10) - OVER 0.50 RESTITUTION- REST 0.00 PARKS & WILDLIFE-WATER SAFETY FINES-WSF " O~OO MARINE SAFETY PARKS & WILDLIFE. MSO 0;00 TOTAL ACTUAlMONEY RECEIVED $18,741.00 TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANTFEESI STATE WARRANT-FEES AMOUNT 1,457.00 1,028;51 -IRECORD ON TOTAl PAGE OF HILL COUNTRY SOFTWARE MO. REPORT $428.49 - RECORD ON TOTAl PAGE OF HILL COUNTRY SOFTWARE MO. REPORT TOTAL DUE TO OTHERS AMOUNT 0;00 PLEAS!; INCLUDE D,R REQUESTINGDtSBURSEf,1ENT 0:00 PLEASE INCLUDE D.R. REQUESTINGOISBURSEMENf 0~00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE OR REQUESTING DISBURSEMENT 0,00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT (IF REQUIRED) $0.00 DUE TO OTHERS: DUE TO CCISD . 50% of Fine on JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS TREASURERS RECEIPTS FOR MONTH: CASH,CHECKS,M;O;s-.&CREDIT. CARDS TOTAL TREAS. RECEIPTS AMOUNT $18,741.00 Calculate from ACTUAL Treasurer's Receipts $18,741.00 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 41412013 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: MARCH YEAR OF REPORT: 2013 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 7,569.35 CR 1000-001-44190 SHERIFF'S FEES 1,613.76 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 39.60 CHILD SAFETY 0.00 TRAFFIC 99.15 ADMINISTRATIVE FEES 254.80 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 393.55 CR 1000-001-44010 CONSTABLE FEES-SERVICE 75.00 CR 1000-001-44062 JP FlUNG FEES 55.00 CR 1000-001-44090 COPIES I CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.50 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBEL T FINES 0.00 CR 1000-999-20745 DUE TO STATE-CHILD SEATBEL T FEE 0.00 CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 2,634.30 TOTAL FINES, ADMIN. FEES & DUE TO STATE $12,341.46 CR 2670-001-44062 COURTHOUSE SECURITY FUND $245.44 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $0.00 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $246.44 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $71.61 STA TE ARREST FEES DPS FEES 146.31 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 146.31 CR 7070-999-20610 CCC-GENERAL FUND 246.44 CR 7070-999-20740 CCC-STATE 2,217.98 DR 7070-999-10010 2,464.42 CR 7860-999-20610 STF/SUBC-GENERAL FUND 49.56 CR 7860-999-20740 STFISUBC-STATE 941.57 DR 7860-999-10010 991.13 CR 7950-999-20610 TP-GENERAL FUND 325.33 CR 7950-999-20740 TP-STATE 325.33 DR 7950-999-10010 650.66 CR 7480-999-20610 CIViL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 11.40 DR 7480-999-10010 12.00 Page 1012 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/4/2013 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 Revised 1/7/13 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: MARCH YEAR OF REPORT: 2013 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 121.19 TLlFTA-GENERAL FUND 256.28 TLlFTA-STATE 512.57 DR 7865-999-10010 12.12 109.07 DR 7970-999-10010 768.85 JPAY - GENERAL FUND 38.40 JPAY - STATE 345.60 DR 7505-999-10010 384.00 JURY REIMB. FUND- GEN. FUND 24.24 JURY REIMB. FUND- STATE 218.18 DR 7857-999-10010 242.42 CIVIL JUSTICE DATA REPOS.- GEN FUND CIVIL JUSTICE DATA REPOS.- STATE DR 7856-999-10010 3.22 0.32 2.90 TOTAL (Dist'ib Req to Oper Aeet) DUE TO OTHERS (Distrib Req Attehd) CALHOUN COUNTY ISD DA - RESTITUTION REFUND OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS PARKS & WILDLIFE FINES WATER SAFETY FINES 0.00 0.00 0.00 000 0.00 51.85 0.00 TOTAL DUE TO OTHERS TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) Page 2 012 $18,689.15 $51.85 $18,741.00 $18,741.00 $0.00 ENTER COURT NAME: ENTER MONTH-OF REPORT ENTER YEAR OF REPORT CODE CASH BONDS ADMINISTRATION FEE - AOMF BREATH ALCOHOL. TESTING -.BAT CONSOLlOA TED COURT COSTS - CCC COURTHOUSE SECURITY - CHS , - - GJP CIVIL JUSTICE OATA REPOSITORY FEE - CJDR CORRECTIONAL MANAGEMENT INSTITUTE - CMI CR CHILD SAFETY - CS CHILD SEA TBEL T FEE - CSBF CRIME VICTIMS COMPENSATION - CVC DPSC/FAILURE TO APPEAR - OMNI- DPSC FUGITIVE APPREHENSION - FA GENERALREVENUE-GR CRIM -IND LEGAL SVCS SUPPORT -IDF JUVENILE CRIME & DELINQUENCY - JCD JUVENILE CAS!; MANAG!;R FUND - JCMF JUSTICE COURT PERSONNEL TRAINING - JCPT JUSTICE COURT SECURITY FUND -.JCSF JUROR SERVICE FEE - JSF LOCAL ARREST FEES - LAF LEMI LEOA L!;OC OCL U PARKS & WILDLIFE ARREST FEES - PWAF STATE ARRESTFEES - SAF SCHOOL CROSSING/CHILD SAFETY FEE - SCF SUBTITLE C-.SUBC BC ARREST FEES - TAF T OGY FUND - TF TRAFFIC - TFC TIME YMENT - TIME LOCAL & STATE WARRANT FEES - WRNT COLLECTION SERVICE FEE,MVBA- CSRV DEFENSIVE OR1V1NG COl,J~_qE ';-.[)DC D_EFERRED-FEE ~ D DRIVING EXAM FEE- PROV D FILING FEE - FFE FILING FEE SMALL CLAIMS" FFS JURY FEE." J COPIES/CERTIFEDGOPIES - CC -IN-OIGENT.-FEE.-CJFFor .INDF JUDGE PAY RAISE FEE - JPAY . SERVICE FEE - SFEE OUT-OF-COUNTY SERVICE FEE EXPUNGEMENT FEE- EXPG EXPIRED RENEWAL - EXPR ABSTRACT OF JUDGE !;NT - AOJ .ALL WOE DPS FT PSF LOCA FINE . . LICENSE & WEIGHT FE - LWF PARKS & WILOLlFE FINES - PWF SEATBELT/UNRESTRAINED CHILD FINE - SEA 'OVERPAYM!;NT ($10 & OVER) - OVE , OVERPA YM!;NT (LESS THAN $10) - OVER RESTITUTION - REST PARKS & WILDLIFE-WATER SAFETY FINES-WSF MARINE SAFETY PARKS &- WILDLIFE; - MSO TOTAL ACTUAL MONEY RECEIVED Revised 11106/12 TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANTFEESI . STATE WARRANT FEES AMOUNT 1,821.01. '- 90.1;76_IRECORO ONTOTN. PAGE OF Hill COUNTRY SOFTWARE MO. REPORT $919,25 -' RECORD ONTOTAl PAGE OF HILL COUNTRY SOFTWARE MO. REPORT AMOUNT DUE TO OTHERS: DUE TO COISD- ~ '50% of Fine on JVcases DUE TO DA R!;STlTUTION FUND REFUND.OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS PLEASE INCLUDE D.R REQUESllNG DISBURSEMENT PLEASE INClUDE D.R.REQUESTlNGD!SBURSEMENT PlEASE INCLUDE DR REQUESTING DISBURSEMENT PlEASE INCLUDE DR REQUESTlNGDISBURSEMENT PLEASE INCLUDE DR REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL OUE TO OTHERS TREASURERS RECEIPTS FOR MONTH: CASH,.CHECKS, M.O.s & CREOIT CAROS TOTAL TREAS. RECEIPTS AMOUNT .$19,633.Q9 Calculate from ACTUAL Treasurer's Receipts $19,633.09 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/3/2013 COURT NAME: JUSTICE OF PEACE NO.2 MONTH OF REPORT: MARCH YEAR OF REPORT: 2013 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 6,630.23 CR 1000-001-44190 SHERIFF'S FEES 1,937.80 A DMINISTRA T1VE FEES: DEFENSIVE DRIVING 69.30 CHILD SAFETY 0.00 TRAFFIC 135.95 ADMINISTRATIVE FEES 507.60 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 712.85 CR 1000-001-44010 CONSTABLE FEES-SERVICE 300.00 CR 1000-001-44062 JP FILING FEES 150.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 5.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBEL T FINES 0.00 CR 1000-999-20745 DUE TO STATE-CHILD SEATBEL T FEE 0.00 CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 2,553.90 TOTAL FINES, ADMIN. FEES & DUE TO STATE $12,289.78 CR 2670-001-44062 COURTHOUSE SECURITY FUND $280.60 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $0.00 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $288.60 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $40.00 STA TE ARREST FEES DPS FEES 223.04 P&W FEES 1.38 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 224.42 CR 7070-999-20610 CCC-GENERAL FUND 288.60 CR 7070-999-20740 CCC-STATE 2,597.39 DR 7070-999-10010 2,885.99 CR 7860-999-20610 STF/SUBC-GENERAL FUND 66.45 CR 7860-999-20740 STF/SUBC-STATE 1,262.46 DR 7860-999-10010 1,328.90 CR 7950-999-20610 TP-GENERAL FUND 266.91 CR 7950-999-20740 TP-STATE 266.90 DR 7950-999-10010 533.81 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.80 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 34.20 DR 7480-999-10010 36.00 Page 1 of2 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/3/2013 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 Revised 11/06/12 COURT NAME: JUSTICE OF PEACE NO.2 MONTH OF REPORT: MARCH YEAR OF REPORT: 2013 DR 7865-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 125.17 TUFTA-GENERAL FUND 258.21 TLlFTA-STATE 516.42 12.52 112.65 DR 7970-999-10010 774.63 JPAY - GENERAL FUND 39.95 JPAY - STATE 359.55 DR 7505-999-10010 399.50 JURY REiMB. FUND- GEN. FUND 26.86 JURY REIMB. FUND- STATE 241.76 DR 7857-999-10010 268.62 CIVIL JUSTICE DATA REPOS.- GEN FUND CIVIL JUSTICE DATA REPOS.- STATE 0.41 3.66 DR 7856-999-10010 4.07 TOTAL (Distrib Req to Oper Acct) $19,480.09 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD DA - RESTITUTION REFUND OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS PARKS & WILDliFE FINES WATER SAFETY FINES 0.00 0.00 0.00 0.00 0.00 153.00 0.00 $153.00 TOTAL DUE TO OTHERS TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $19,633.09 $19,633.09 $0.00 Page 2 of2 ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT CODE CASH BONDS ADMINISTRA liON FEE - ADMF BREATH ALCOHOL TESTING - BAT CONSOLlDA TEO COURT COSTS - CCC COURTHOUSE SECURITY - CHS CJP CIVil JUSTICE DATA REP - MVF/CJDR CORRECTIONAL MANAGEMENT INSTITUTE - eMI CR CHILD SAFETY v CS CHILD SEA TBEL T FEE - eSSF CRIME VICTIMS COMPENSATION - CVC DPse/FAIlURE TO APPEAR ~ OMNI- DPse FUGITIVE APPREHENSION - FA GENERAL REVENUE - GR CRIM -IND LEGAL sves SUPPORT -IDF JUVENILE CRIME & DELINQUENCY - JCD JUVENILE CASE MANAGER FUND - JCMF JUSTICE COURT PERSONNEL TRAINING - JCPT JUSTICE-COURT SECURITY FUND - JCSF JUROR SERVICE FEE - JSF LOCAL ARREST FEES - LAF LEMI LEOA LEOC OCL PARKS & WILDLIFE ARREST FEES - PWAF 8T A IE ARREST FEES - SAF SCHOOL CROSSING/CHILD SAFETY FEE - seF SUBTITLE C - SUBC rABe ARREST FEES - TAF TECHNOLOGY FUND - TF TRAFFIC - TFC TIME pAYMENT -TIME LOCAL & STATE WARRANT FEES - WRNT COLLECTION SERVICE FEE-MVBA - CSRV DEFENSIVE DRIVING COURSE - DOC ,DEFERRED FEE - OFF DRIVING EXAM FEE- PROV DL FILING FEE - FFEE FILING FEE SMALL CLAIMS - FFSC COPIES/CERTIFED COPIES - CO INDIGENT FEE - CIFF or INDF JUDGE PAY RAISE FEE-JPAY SERVICE FEE - SFEE QUT-Of-COUNTY SERVICE FEE EXPUNGEMENTFEE-EXPG EXPIRED RENEWAL - EXPR ABSTRACT OF JUDGEMENT - AOJ ALL WRITS - WOP I WOE DPS_FTA FINE ~ DPSF LOCAL FINES - FINE LICENSE & WEIGHT 'FEES -lWF PARKS & WILDLIFE FINES - PWF SEATBEL T/UNRESTRAINEO CHILD FINE - SEAT . OVERPAYMENT ($10 & OVER) - OVER . OVERPAYMENT (LESS THAN $10) - OVER RESTITUTION - REST PARKS & WILDLIFE-WATER SAFETY FINES-WSF WCR TOTAL ACTUAL MONEY RECEIVED TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANT FEESI STATE WARRANT FEES DUE:TO OTHERS: DUE TO COISO - 50% of Fine on JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS TOTAL DUE TO OTHERS TREASURERS RECEIPTS FOR MONTH: CASH, CHECKS, M.O,s & CREDIT CARDS TOTAL rREAS. RECEIPTS JUSTICE OF PEACE NO.4 2013 AMOUNT _~---I~~iUL..i::l "",.? 1,063.93 35.00 1.50 0.50 53.48 15.00 245.18 5.00 50.00 0.50 5.00 2.00 25.17 99.69 75.00 20.00 35.86 510.00 108.69 54.00 204.32 508.64 1,105.40 49.50 163.80 25.00 6.00 160.00 10.00 344.00 1,929.24 430.00 102.00 104.00 $7,547.40 AMOUNT 508.64 0.00 IRECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT $508.64 RECOROON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT AMOUNT 0.00 PLEASE INCLUDE D.R. REQUESTINGlllSBURSEMENT 0.00 PLEASE INCLUDE DR REQUESTINGlllSBURSEMENT 104.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE OR REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE OR REQUESTING DISBURSEMENT {IF REQUIRED} $104.00 AMOUNT $7,547040 Calculate from ACTUAL Treasurer's Receipts $7,547.40 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/9/2013 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: 0 YEAR OF REPORT: 2013 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45014 FINES 2,388.74 CR 1000-001-44190 SHERIFF'S FEES 526.60 ADM/N/STRA TlVE FEES: DEFENSIVE DRIVING 49.50 CHILD SAFETY 53.48 TRAFFIC 54.00 ADMINISTRATIVE FEES 173.80 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 330.78 CR 1000-001-44010 CONSTABLE FEES-SERVICE 0.00 CR 1000-001-44064 JP FILING FEES 25.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 51.00 CR 1000-999-20745 DUE TO STATE-CHILD SEATBEL T FEE 0.00 CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,105.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $4,427.52 CR 2670-001-44064 COURTHOUSE SECURITY FUND $35.00 CR 2720-001-44064 JUSTICE COURT SECURITY FUND $25.17 CR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $108.69 CR 2699-001-44064 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 108.90 P&W FEES 4.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 112.90 CR 7070-999-20610 CCC-GENERAL FUND 108.69 CR 7070-999-20740 CCC-STATE 978.24 DR 7070-999-10010 1,086.93 CR 7860-999-20610 STF/SUBC-GENERAL FUND 25.50 CR 7860-999-20740 STF/SUBC-STATE 484.50 DR 7860-999-10010 510.00 CR 7950-999-20610 TP-GENERAL FUND 102.16 CR 7950-999-20740 TP-STATE 102.16 DR 7950-999-10010 204.32 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.30 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 5.70 DR 7480-999-10010 6.00 Page 1 of2 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 4/9/2013 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: 0 YEAR OF REPORT: 2013 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 5.00 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 45.00 DR 7865-999-10010 50.00 CR 7970-999-20610 TLlFTA-GENERAL FUND 81.73 CR 7970-999-20740 TLlFT A-STATE 163.45 DR 7970-999-10010 245.18 CR 7505-999-20610 JPAY - GENERAL FUND 16.00 CR 7505-999-20740 JPAY - STATE 144.00 DR 7505-999-10010 160.00 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 9.97 CR 7857-999-20740 JURY REIMB. FUND- STATE 89.72 DR 7857-999-10010 99.69 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.15 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 1.35 DR 7856-999-10010 1.50 TOTAL (Distrib Req to Oper Acct) $7,077.90 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD DA - RESTITUTION REFUND OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS PARKS & WILDLIFE FINES WATER SAFETY FINES 0.00 0.00 104.00 0.00 0.00 365.50 0.00 TOTAL DUE TO OTHERS $469.50 Revised 11/14/12 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $7,547.40 $7,547.40 $0.00 Page 2 of2 CALHOUN COUNTY 201 West Austin Port Lavaca, Texas 77979 DISTRIBUTION REQUEST DR# 480 A 41374 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: James Dworaczyk Justice of the Peace, Pet. 4 ACCOUNT NUMBER DESCRIPTION AMOUNT 7544-999-20759-999 JP4 Monthly Collections. Distribution $7,077. 90 0 2013 V# 967 TOTAL 7,077.90 Date /.-;{p;r f. Ot.-:;:.._,- /;Y ~ ,', , \~ .t>,.p'\ /.,. .'~ "'~!1. ,'" I" .'Wf-ili '<.1\1"'\ I '1!1\?i~' .., -'\jlJ " I 'IilrJ }'2 I ... '1,,!I'/ !rJ0 J' ., :cr't2i!.H,JI;.,," . \G ~'~""-:fi;/ '.et....~ ," ..' ,0\'/ ':';.~1'OFCt\\.\/ -..------... CALHOUN COUNTY 201 West Austin Port Lavaca, Texas 77979 DISTRIBUTION REQUEST DR# 480 B 41374 PAYEE Name: Texas Parks & Wildlife Address: City: State: Zip: Phone: PAYOR Official: Title: James Dworaczyk Justice of the Peace, Pet. 4 ACCOUNT NUMBER DESCRIPTION AMOUNT 7544-999-20759-999 JP4 - Parks ft Wildlife Fines $ 365.50 0 2013 V# 7603 TOTAL 365,50 Date " L )> C " " " " " ;tJ en '" '" '" '" 0 " -t " 2: " '" 0 en 0 ^ j,. j,. 0 m. " m 0 :;: "l 0 0 m en " :; " or' " ,," 'I! ": ": ": ": oC " ~" " 0 0 0 0 !t "'m m ~ ~ ~ ~ " z ~ ~ " ~ O' Z 0 " 0 " en " en m " m " en " " '" en " '" 0 ~ '" )> ;: )> zO r Z r r ro~ .':! Gl .':! .':! 3 ~ c 0. !" J:!J " '" ~ ;tJ -t " ;; L C 0 )> < m z " ;:; o' ;tJ en 0 .- ~ m c ;: " " X r }> r . S ;tJ .0 ~ ;: m z ~ ;: 0: ro ;: 'ii 3 Z 0 0 " zc z c ;tJ moz 0 z m ;tJ 0:0 0: 0 " :::!Cm c m 0 "Z;tJ ;tJ "1 z en O-iQ2 -J N m )>mN m 0 " :::!::ugj ;tJ m il' 0 '" o 0 " 0 " -< m ~ -t Ui "1 Ui 0 0: d -t 'ii -t m m m 0 ;;! ;tJ S ;tJ " en en " r;; 0 i'i m Gl Gl Gl Gl 0 " c c c c " L ~ ~ ~ ~ " C ro " Gl m '" '" '" '" '" 0 " ~ ~ " ~ '" en '" en '" 5' 0 0 '" 0 '" 0 ;tJ " " " " " " 0 0 0 0 0 N -< '" '" '" '" " " 0 ~ ~ !!I 0 " en " en ~ 0 0 ~ 0 ~ -c " " " " ;p" 0 0 0 0 0 ~ '" '" '" '" " " " " ,,-J " 0 " 0 -. 0 0 0 0 0 ~![ " " " " 0 0 0 0 '" '" '" '" '" " )> 0 S' co 3 0 0 c '" ~ ~ O~ C " '" '" ;: '" ;: (j~ " '" ~ en en '" b " b " "Q. " " ~ 0 0 ~ 0 '" :; 0 0 ~ 0 ^ ~ ~ 0 " )>0 0 ~ " ^ 0 " [;i ~ "!!l. '" " " m 0 '" '" '" '" -Q, " '" " '" '" \'! ~ ~ 0 " (ii'a 8 " " ~ ~* '" '" '" '" 0:0 '" '" '" '" 0- " 04/09/2013 Money Distribution Report Page -------------------------------------------------- --------------------------- ----------------------------------------------------- Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total 3930062 2013-114 03-04-2013 CS 3.00 CCC 40.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 200.00 FONSECA, MIGUEL MORALES IOF 2.00 JPRF 6.00 PWF 135.00 Cash 3930063 2013-115 03-06-2013 CS 3.00 TFC 3.00 CCC 40.00 LAF 5.00 TF 4.00 SUBC 30.00 128.00 BANDA, MARTIN HUERTA JCSF 1.00 JSF 4.00 IOF 2.00 JPRF 6.00 CJOR 0.10 FINE 29.90 Money Order 3930064 2012-362 03-11-2013 TIME 25.00 FINE 57.00 82.00 TRINH, THUONG THI Cash 3930065 2013-124 03-11-2013 cs 3.00 CCC 40.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 165.00 VAllEJO, RIGOBERTO IDF 2.00 JPAY 6.00 FINE 100.00 Cash 3930066 2006-378 03-11-2013 cs 2.48 TFC 3.00 CCC 6.93 SAF 0.86 WRNT 8.64 TIME 4.32 256.00 YANEZ, RODRIGO TF 0.69 OPSC 5.18 JCSF 0.17 JSF 0.69 FINE 129.04 CSRV 90.00 Money Order JPAY 4.00 3930067 2006-378A 03-11-2013 CSRV 104.00 104.00 YANEZ, RODRIGO Money Order 3930068 2012-421 03-11-2013 CCC 40.00 PWAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 JCSF 1.00 220.00 MADDUX, REMINGTON RANDALL IDF 2.00 PWF 80.00 JPAY 6.00 JF 4.00 CHS 3.00 Cash 3930069 2013-121 03-11-2013 cs 3.00 TFC 3.00 CCC 40.00 SAF 5.00 TF 4.00 SUBC 30.00 108.00 ERDMAN, BRIAN SCOTT JR JCSF 1.00 JSF 4.00 IDF 2.00 JPRF 6.00 CJOR 0.10 DOC 9.90 Cash 3930070 2013-128 03-11-2013 cs 3.00 TFC 3.00 CCC 40.00 LAF 5.00 TF 4.00 SUBC 30.00 185.00 LOPEZ, CHRISTOBAL JCSF 1.00 JSF 4.00 IDF 2.00 JPRF 6.00 CJDR 0.10 FINE 86.90 Cash 3930071 2013-0127-JC 03-11-2013 FFEE 25.00 CIFF 6.00 31.00 CAPITAL ONE BANK, U.S.A. Company Check 3930072 2007-297 03-11-2013 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 WRNT 50.00 TIME 25.00 403.00 MARTINEZ, JUAN A TF 4.00 SUBC 30.00 DPSC 30.00 JCSF 1.00 JSF 4.00 FINE 111.00 Credit Card CSRV 93.00 JPAY 4.00 3930073 2007-297A 03-11-2013 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.50 CHS 4.00 548.60 MARTINEZ, JUAN A CMI 0.50 TF 4.00 DPSC 30.00 DPSF 344.00 CSRV 126.60 Credit Card 3930074 2009-135 03-12-2013 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 WRNT 50.00 TIME 25.00 396.50 ESPINOZA, JOSE APOLINAR TF 4.00 SUBC 30.00 DPSC 30.00 JCSF 1.00 JSF 3.00 IDF 2.00 Credi t Card SEAT 102.00 CSRV 91.50 JPAY 6.00 3930075 2009-135A 03-12-2013 CCC 40.00 CHS 4.00 LAF 5.00 WRNT 50.00 TF 4.00 OPSC 30.00 548.60 ESPINOZA, JOSE APOLINAR JCSF 1.00 JSF 3.00 IDF 2.00 FINE 277.00 CSRV 126.60 JPAY 6.00 Credit Card 3930076 2013-122 03-13-2013 EXRF 10.00 10.00 BARTHELME, PETER R Cash 3930077 2013-101 03-13-2013 CS 3.00 TFC 3.00 CCC 40.00 SAF 5.00 TF 4.00 SUBC 30.00 108.00 ALANIZ, ALlOA JCSF 1.00 JSF 4.00 IDF 2.00 JPRF 6.00 CJDR 0.10 DOC 9.90 Money Order I 3930078 2010-112A 03-18-2013 CCC 40.00 CHS 4.00 LAF 5.00 WRNT 50.00 TF 4.00 DPSC 30.00 I 548.60 REYES, CILVIA LARA JCSF 1.00 JSF 3.00 IDF 2.00 FINE 277.00 CSRV 126.60 JPAY 6.00 I Money Order I 3930079 2010-112 03-18-2013 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 WRNT 50.00 TIME 25.00 I 526.50 REYES, CILVIA LARA TF 4.00 SUBC 30.00 DPSC 30.00 JCSF 1.00 JSF 3.00 IDF 2.00 I Money Order CJDR 0.10 FINE 121.90 CSRV 97.50 JPAY 6.00 OPMT 104.00 I 04/09/2013 Money Distribution Report Page 2 ~~R_RR______~~M_______________________________________------------------------------------------------------------------------------ Receipt Cause/Defendant Code Amount Code Amount I Code Amount I Code Amount I Code Amount I Code Amount Total I I I I 3930080 2013-129 03-18-2013 CS 3.00 TFC 3.00 I CCC 40.00 I LAF 5.00 I TF 4.00 I SUBC 30.00 108.00 CHANOLER, JOSEPH ALLSTON II JCSF 1.00 JSF 4.00 I !OF 2.00 I CJOR 0.10 I FINE 9.90 I JPAY 6.00 Money Order I I I I 3930081 2013-008 03-19-2013 CS 3.00 CCC 40.00 I PWAF 5.00 I TF 4.00 I JCSF 1.00 I JSF 4.00 200.00 JARAMILLO, HIPOLITO TOVAR !OF 2.00 JPRF 6.00 I PWF 135.00 I I I Cash I I I I 3930082 2012-343A 03-19-2013 CCC 40.00 CHS 3.00 I SAF 5.00 I WRNT 50.00 I TF 4.00 I OPSC 30.00 548.60 BATY, ZACHARY JAMES JCSF 1.00 JSF 3.00 IOF 2.00 I JPRF 1.00 I FINE 277.00 I CSRV 126.60 Cash JPAY 6.00 I I I 3930083 2012-343 03-19-2013 TFC 3.00 CCC 40.00 CHS 3.00 I SAF 5.00 I WRNT 50.00 I TIME 25.00 533.00 BATY, ZACHARY JAMES TF 4.00 SUBC 30.00 OPSC 30.00 I JSF 4.00 I !OF 2.00 I JPRF 1.00 Cash CJOR 0.10 JPRl 6.00 FINE 206.90 I CSRV 123.00 I I 3930084 2013-137 03-19-2013 cs 3.00 TFC 3.00 CCC 40.00 I LAF 5.00 I TF 4.00 I SUBC 30.00 180.00 PIERCE, RODNEY PHIlliP JCSF 1.00 JSF 4.00 IOF 2.00 I JPRF 6.00 I CJOR 0.10 I OFF 81.90 Cash I I I 3930085 2013-138 03-20-2013 CS 3.00 TFC 3.00 CCC 40.00 I LAF 5.00 I TF 4.00 I SUBC 30.00 180.00 ZENOEJAS, PEORO GIL JCSF 1.00 JSF 4.00 !OF 2.00 I JPRF 6.00 I CJOR 0.10 I OFF 81.90 Cash I I I 3930086 2013-141 03-20'2013 CS 3.00 TFC 3.00 CCC 40.00 I LAF 5.00 I TF 4.00 I SUBC 30.00 108.00 ANOERSON, OIANNE JEOLICKA JCSF 1.00 JSF 4.00 !OF 2.00 I JPRF 6.00 I CJOR 0.10 I OOC 9.90 Cash I I I 39300B7 2013-135 03-20-2013 CS 3.00 TFC 3.00 CCC 40.00 I LAF 5.00 I TF 4.00 I SUBC 30.00 145.00 ROCHON, ROBERT CHARLES JCSF 1.00 JSF 4.00 !OF 2.00 I CJOR 0.10 I FINE 46.90 I JPAY 6.00 Credit Card I I I 3930088 2012-223 03-20-2013 CS 3.00 TFC 3.00 CCC 40.00 I SAF 5.00 I WRNT 50.00 I TIME 25.00 210.00 BLEVINS, TOMMY JOE TF 4.00 SUBC 30.00 JCSF 1.00 I JSF .4.00 I !OF 2.00 I JPRF 6.00 Cash CJOR 0.10 FINE 31.90 JCMF 5.00 I I I 3930089 2012-409 03-20-2013 CCC 40.00 PWAF 5.00 WRNT 50.00 I TIME 25.00 I TF 4.00 I JCSF 1.00 220.00 TIJERINA, MATT OEVON !OF 2.00 PWF 80.00 JPAY 6.00 I JF 4.00 I CHS 3.00 I Cash I I I 3930090 2013-152 03-26-2013 CS 3.00 TFC 3.00 CCC 40.00 I LAF 5.00 I TF 4.00 I SUBC 30.00 165.00 ROSALI 0, ROMERO JCSF 1.00 JSF 4.00 10F 2.00 I CJOR 0.10 I FINE 66.90 I JPAY 6.00 Cash I I I 3930091 2013-153 03-26-2013 CS 3.00 CCC 40.00 LAF 5.00 I TF 4.00 I JCSF 1.00 I JSF 4.00 165.00 ROSALIO, ROMERO !OF 2.00 JPAY 6.00 FINE 100.00 I I I Cash I I I 3930092 2013-130 03-27-2013 cs 3.00 TFC 3.00 CCC 40.00 I LAF 5.00 I TF 4.00 I SUBC 30.00 108.00 MURPHEE, RANOALL PAUL JCSF 1.00 JSF 4.00 !OF 2.00 I CJOR 0.10 I OOC 9.90 I JPAY 6.00 Money Order I I I 3930093 2013-136 03-27-2013 CS 3.00 TFC 3.00 CCC 40.00 I LAF 5.00 ITF 4.00 I SUBC 30.00 108.00 SUSTAITA, RAYMONO CHARLES JCSF 1.00 JSF 4.00 !OF 2.00 I CJOR 0.10 I OOC 9.90 I JPAY 6.00 Money Order I I I 04/09/2013 Money Distribution Report The foLlowing totaLs represent - Cash and Checks CoLlected Type Code Description COST CCC COST CHS COST CJOR COST CM I COST CS COST CVC COST OPSC COST FA COST ID F COST JCD COST JCPT COST JCSF COST JPAY COST JPR 1 COST JPRF COST JSF COST LAF COST PWAF COST SAF COST SUBC COST TF COST TFC COST TIME COST WRNT FEES CIFF FEES CSRV FEES DOC FEES OFF FEES EXRF FEES FFEE FEES JCMF FEES JF FEES JPAY FINE DPSF FINE FINE FINE PWF FINE SEAT OPMT OPMT CONSOLIDATED COURT COSTS COURT HOUSE SECURITY CIVIL JUSTICE DATA RES\POSITORY FEE CMI CS CVC DPS OMNIBASE FEE FA INDIGENT DEFENSE FUND JCD JCPT JUSTICE COURT SECURITY FUND JUDGE PAY RAISE FEE DIST JOG PRF DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFFIS FEE TEXAS PARKS & WILDLIFE DPS SUBT I TLE C TECHNOLOGY FUND TFC TIME PAYMENT FEE WARRANT FEE CIVIL INDIGENT FILING FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE EXPIRATION RENEWAL FEE FILING FEE JUVENILE CASE MANAGER FEE JURY FEE DISTRICT JUDGE PAY RAISE FEE DPS FTA FINE FINE PARKS & WILDLIFE FINE SEA TBEL! FINE OVERPAYMENT Money TotaLs The foLlowing totals represent - Transfers Collected COST eee COST CHS COST CJDR COST CMI COST CS COST eve COST DPSC CONSOLIDATED COURT COSTS COURT HOUSE SECURITY CIVIL JUSTICE DATA RES\POSITORY FEE CMI CS CVC DPS OMNIBASE FEE Count 23 6 14 o 17 o 5 o 22 o o 22 6 1 12 21 12 4 7 14 23 15 7 8 1 6 5 2 1 1 1 2 6 o 13 4 o 1 27 Retained 88.69 20.00 0.14 0.00 50.48 0.00 41.31 0.00 4.40 0.00 0.00 21.17 36.00 6.00 62.00 0.00 60.00 16.00 24.69 21.00 88.69 45.00 77.16 358.64 0.30 667.70 49.50 163.80 10.00 25.00 5.00 8.00 3.40 0.00 1,494.34 64.50 0.00 104.00 3,616.91 o o o o o o o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Page 3 Disbursed Money-Totals 798.24 0.00 1.26 0.00 0.00 0.00 83.87 0.00 39.60 0.00 0.00 0.00 0.00 0.00 0.00 77.69 0.00 4.00 6.17 399.00 0.00 0.00 77.16 0.00 5.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.60 0.00 0.00 365.50 0.00 0.00 1,888.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 886.93 20.00 1.40 0.00 50.48 0.00 125.18 0.00 44.00 0.00 0.00 21.17 36.00 6.00 62.00 77.69 60.00 20.00 30.86 420.00 88.69 45.00 154.32 358.64 6.00 667.70 49.50 163.80 10.00 25.00 5.00 8.00 34.00 0.00 1,494.34 430.00 0.00 104.00 5,505.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 04/09/2013 Money Distribution Report -----------------------------------------------------------------------.------------------------------------------------------------ Page 4 The following totaLs represent - Transfers ColLected Type Code Description COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST FEES FEES FEES FEES FEES FEES FEES FEES FEES FINE FINE FINE FINE OPMT Count FA IDF JCD JCPT JCSF. JPAY JPR1 JPRF JSF LAF PWAF SAF SUBC TF TFC TIME WRNT CIFF CSRV DOC OFF EXRF FFEE JCMF JF JPAY DPSF FINE PWF SEAT OPMT o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o FA INDIGENT DEFENSE FUND JCD JCPT JUSTICE COURT SECURITY FUND JUDGE PAY RAISE FEE DIST JOG PRF DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBTITLE C TECHNOLOGY FUND TFC TIME PAYMENT FEE WARRANT FEE CIVIL INDIGENT FILING FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE EXPIRATION RENEWAL FEE FILING FEE JUVENILE CASE MANAGER FEE JURY FEE DISTRICT JUDGE PAY RAISE FEE DPS FTA FINE FINE PARKS & WILDLIFE FINE SEATBELT FINE OVERPAYMENT The folLowing totals represent - Jail Credit and Community Service Transfer TotaLs o COST COST COST COST COST COST COST COST COST COST COST COST COST COST CCC CHS CJDR CMI CS CVC DPSC FA IDF JCD JCPT JCSF JPAY JPR1 CONSOLIDATED COURT COSTS COURT HOUSE SECURITY CIVIL JUSTICE DATA RES\POSITORY FEE CMI CS CVC DPS OMNIBASE FEE FA INDIGENT DEFENSE FUND JCD JCPT JUSTICE COURT SECURITY FUND JUDGE PAY RAISE FEE DIST JOG PRF o o o o o o o o o o o o o o Retained 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Disbursed Money-Totals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 04/09/2013 Money Distribution Report The foLlowing totals represent - Jail Credit and Community Service Type Code Description COST JPRF COST JSF COST LAF COST PWAF COST SAF COST SUBC COST TF COST TFC COST TIME COST WRNT FEES CIFF FEES CSRV FEES DOC FEES OFF FEES EXRF FEES FFEE FEES JCMF FEES JF FEES JPAY FINE DPSF FINE FINE FINE PWF FINE SEAT OPMT OPMT Count DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBT ITLE C TECHNOLOGY FUND TFC TIME PAYMENT FEE WARRANT FEE CIVIL INDIGENT FILING FEE COLLECTION SERVICE FEE DEFENSIVE ORIVING DEFERRED FEE EXPIRATION RENEWAL FEE FILING FEE JUVENILE CASE MANAGER FEE JURY FEE OISTRICT JUDGE PAY RAISE FEE OPS FTA FINE FINE PARKS & WILOLIFE FINE SEAT BEL T FINE OVERPAYMENT o o o o o o o o o o o o o o o o o o o o o o o o The folLowing totals represent ~ Credit Card Payments Credit TotaLs o COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST CCC CHS CJOR CMI CS CVC DPSC FA IDF JCD JCPT JCSF JPAY JPR1 JPRF JSF LAF PWAF SAF SUBC TF CONSOLIDATED COURT COSTS COURT HOUSE SECURITY CIVIL JUSTICE DATA RES\POSITORY FEE CMI CS CVC DPS OMNIBASE FEE FA INDIGENT DEFENSE FUND JCD JCPT JUSTICE COURT SECURITY FUND JUDGE PAY RAISE FEE DIST JOG PRF DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBT ITLE C TECHNOLOGY FUND 5 4 1 1 1 1 4 1 3 1 1 4 1 o o 4 3 o 1 3 5 Retained 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17.70 15.00 0.01 0.05 3.00 1.50 39.60 0.50 0.60 0.05 0.20 4.00 6.00 0.00 0.00 0.00 15.00 0.00 4.00 4.50 20.00 Page 5 Disbursed Money-Totals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 159.30 0.00 0.09 0.45 0.00 13.50 80.40 4.50 5.40 0.45 1.80 0.00 0.00 0.00 0.00 14.00 0.00 0.00 1.00 85.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177 .00 15.00 0.10 0.50 3.00 15.00 120.00 5.00 6.00 0.50 2.00 4.00 6.00 0.00 0.00 14.00 15.00 0.00 5.00 90.00 20.00 04/09/2013 Money Distribution Report --------------~~~------------------------------------------------------------------------------------------------------------------- Page 6 Type Code The following totals represent - Credit Card Payments Count COST TFC COST TIME COST WRNT FEES CIFF FEES CSRV FEES DDC FEES DFF FEES EXRF FEES FFEE FEES JCMF FEES JF FEES JPAY FINE DPSF FINE FINE FINE PWF FINE SEAT OPMT OPMT Description TFC TIME PAYMENT FEE WARRANT FEE CIVIL INDIGENT FILING FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE EXPIRATION RENEWAL FEE FILING FEE JUVENILE CASE MANAGER FEE JURY FEE DISTRICT JUDGE PAY RAISE FEE DPS FTA FINE FINE PARKS & WILDLIFE FINE SEATBELT FINE OVERPAYMENT Credit Totals The following totaLs represent Combined Money and Credits COST CCC COST CHS COST CJDR COST eM I COST CS COST CVC COST DPSC COST FA COST ID F COST JCD COST JCPT COST JCSF COST JPAY COST JPR 1 COST JPRF COST JSF COST LAF COST PWAF COST SAF COST SUBC COST TF COST TFC COST TIME COST WRNT FEES CIFF FEES CSRV FEES DDC FEES DFF CONSOLIDATED COURT COSTS COURT HOUSE SECURITY CIVIL JUSTICE DATA RES\POSITORY FEE CMI CS CVC DPS OMNIBASE FEE FA INDIGENT DEFENSE FUND JCD JCPT JUSTICE COURT SECURITY FUND JUDGE PAY RAISE FEE DIST JDG PRF DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBTITLE C TECHNOLOGY FUND TFC TIME PAYMENT FEE WARRANT FEE CIVIL INDIGENT FILING FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE 28 10 15 1 18 1 9 1 25 1 1 26 7 1 12 25 15 4 8 17 28 18 9 11 1 10 5 2 Retained 3 2 3 o 4 o o o o o o 3 1 3 o 1 o 9.00 25.00 150.00 0.00 437.70 0.00 0.00 0.00 0.00 0.00 0.00 1.60 344.00 434.90 0.00 51.00 0.00 5 1,584.91 106.39 35.00 0.15 0.05 53.48 1.50 80.91 0.50 5.00 0.05 0.20 25.17 42.00 6.00 62.00 0.00 75.00 16.00 28.69 25.50 108.69 54.00 102.16 508.64 0.30 1,105.40 49.50 163.80 Disbursed 0.00 25.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.40 0.00 0.00 0.00 51.00 0.00 456.79 957.54 0.00 1.35 0.45 0.00 13.50 164.27 4.50 45.00 0.45 LBO 0.00 0.00 0.00 0.00 91.69 0.00 4.00 7.17 484.50 0.00 0.00 102.16 0.00 5.70 0.00 0.00 0.00 Money-TotaLs 9.00 50.00 150.00 0.00 437.70 0.00 0.00 0.00 0.00 0.00 0.00 16.00 344.00 434.90 0.00 102.00 0.00 2,041.70 1,063.93 35.00 1.50 0.50 53.48 15.00 245.18 5.00 50.00 0.50 2.00 25.17 42.00 6.00 62.00 91.69 75.00 20.00 35.86 510.00 108.69 54.00 204.32 508.64 6.00 1,105.40 49.50 163.80 04/09/2013 Money Distribution Report Page 7 The folLowing totaLs represent Combined Money and Credits Type Code Description Count Retained Disbursed Money-Totals FEES EXRF EXPIRATION RENEWAL FEE 1 10.00 D.OO 10.00 FEES FFEE FILING FEE 1 25.00 0.00 25.00 FEES JCMF JUVENILE CASE MANAGER FEE 1 5.00 0.00 5.00 FEES JF JURY FEE 2 8.00 0.00 8.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 9 5.00 45.00 50.00 FINE DPSF OPS FTA FINE 1 344.00 0.00 344.00 FINE FINE FINE 16 1,929.24 0.00 1,929.24 FINE PWF PARKS & WILDLIFE FINE 4 64.50 365.50 430.00 FINE SEAT SEATBELT FINE 1 51.00 51.00 102.00 OPMT OPMT OVERPAYMENT 1 104.00 0.00 104.00 Report TotaLs 32 5,201.82 2,345.58 7,547.40 04/09/2013 Money Distribution Report Page 8 ___________________________~~M____________________M__~_______________________M~_______________________________________~_M___________ DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL 00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0_00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1993 Cash & Checks CoL Lected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JaiL Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TotaL of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of alL Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of aLL Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01- 2004 Cash & Checks ColLected 1,924.34 2,50B.36 969.00 0.00 0.00 104.00 5,505.70 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 880.90 707.10 453.70 0.00 0.00 0.00 2,041.70 Total of aLL Collections 2,805.24 3,215.46 1,422.70 0.00 0.00 104.00 7,547.40 TOTALS Cash & Checks Collected 1,924.34 2,508.36 969.00 0.00 0.00 104.00 5,505.70 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 8BO.90 707.10 453.70 0.00 0.00 0.00 2,041.70 Total of all Collections 2,805.24 3,215.46 1,422.70 0.00 0.00 104.00 7,547.40 04/09/2013 Money Distribution Report Page 9 DATE PAYMENT-TYPE ________MM_M________________________________________MM____________M__MM___________M_M_________M____________MM_______________________ OTHER TOTAL State of Texas QuarterLy Reporting TotaLs Description State ComptroLler Cost and Fees Report Section I: Report for Offenses Committed 01-01-04 Forward 09-01-01 - 12-31-03 08-31-99 - 08-31-01 09-01-97 - 08-30-99 09-01-91 - 08-31-97 Ba i l Bond Fee DNA Testing Fee Convictions DNA Testing Fee Comm Supvn DNA Testing Fee JuveniLe EMS Trauma Fund (EMS) Juvenile Probation Diversion fees Jury Reimbursement fee Indigent Defense Fund Moving VioLation Fees State Traffic Fine Section II: As AppLicable Peace Officer Fees Failure to Appear/Pay Fees JudiciaL Fund - Const County Court JudiciaL Fund - Statutory County Court Motor Carrier Weight VioLations Time Payment Fees Driving Record fee Judicial Support Fee Report Sub Total State ComptrolLer Civil Fees Report CF: Birth Certificate Fees Cf: Marriage License Fees CF: DecLaration of InformaL Marriage CF: Nondisclosure fees CF: Juror Donations CF: Justice Court Indig Filing Fees CF: Stat Prob Court Indig Filing fees CF: Stat prob Court Judic Filing Fees CF: Stat Cnty Court Indig Filing fees Cf: Stat Cnty Court Judic filing fees CF: Cnst Cnty Court Indig Filing fees Cf: Cnst Cnty Court Judie FiLing fees CF: Dist Court Divorce & FamiLy Law CF: Dist Court Other Divorce/Family law CF: Dist Court Indig LegaL Services CF: Judicial Support Fee Report Sub Total Total Due For This Period FINES COURT. COSTS FEES BONDS RESTITUTION Count Col Lected Retained Disbursed 33 1,086.93 108.69 97B.24 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 2 8.00 8.00 0.00 25 50.00 5.00 45.00 15 1.50 0.15 1.35 17 510.00 25.50 484.50 12 55.86 44.69 11.17 9 245.18 80.91 164.27 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 9 204.32 102.16 102.16 0 0.00 0.00 0.00 9 50.00 5.00 45.00 131 2,211.79 380.10 1,831.69 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 25 91.69 0.00 91. 69 1 6.00 0.30 5.70 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 26 97.69 0.30 97.39 157 2,309.48 380.40 1,929.08 04/10/2013 12:41 351-983-2451 CALHOUN CO PCT 5 / -5: 01 Calhoun County Justice Court, Pet 5 Judge Nancy Pornykal 508 West Main POBox 454 Port O'Connor, Texas 77982 Phone (361) 983.2351 Fax (361) 983-2461 04.10-2013 FACSIMILE TRANSMITTAL To: rHE HON. MIKE PFEIf'.eR AND COMMISSIONERS COURT Fax: 361-S53-4~44 PAGES TO FOLLOW -L INCLUDING THIS COVER SHEET From: JUDGE NANCY POMYKAL Subject: MONTH!... Y REPORT OF COLLECTIONS FOB THE MONTH OF MARCH. 201 ~ Comments: Faxing the reDon of collections of MArCh 2013 Please gi\(e me a call if you have any questions. Thank you, p.c,e iDlfftJlf..e The Information contained In the facsimile message Is confidential, intended only for the use of the Individual or entity named. If the reader of this message is not the Intended recipient, or the employee or agent responsible to deliver said message to the Intended recipient, you are hereby notified that any dissemination, distribution, copying or the taking of any action In reliance on the contents of this communication Is strictly prohibited. If you have received this communication In error, please immediately notify us by telephone and return the original message to us at the above address via the U. S. Postal Service. Honey U;&tribut10n Report 1 5 MARCM 201~ REPOR 04/09/2013 JUD6E NANCY POMYKAL, PC1. , ___.___.___."_ --~-_.~---~.---- __________._______________________________~-I-~~~:-~~~unt I tode Amount I _--------------".--.------------------~:~:-~~~~t I Coda Amou't I coda AmoU,t I Code AooUn \ I I RO.olpt cau,o/Defenda" \ I I \ 5 00 I IF 4.00 I JCSF 1,00 I 100.00 400 I ece 40.00 I cMS 3.00 I LAF . I I I 0374663 13-02-0166 03-04-2013 I, ~:~Y 6:00 I IDP 2.00 I FINE 35,00 I I I I DELEON-ALONZO, VICTOR I I I I I ca.h I I I I I I 0374665 1~-02-0166 03-07-2013 I EXRF 10.00 I I I I I I PENDERGRASS, LORI ALLISoN I I I I I I 1 00 I c..h I 4000 I cMS 3.00 I SAF 5.00 I TF 4.00 \ JCSF . 0374666 13-02-0165 03-07-2013 II J~~y :.~ II ~~~ 2:00 I FINE 25,00 , I II II PENDERGRASS, LORI ALLISON J,. I I I Ca,h I I I I I I 0374667 1302-0196 03-07-2013 I EX"F 20.00 I I I I I I RAGUSIN, LOUIS oPREN I I \ I I I I Ca,h I I I 40 00 I CHS 3.00 I LAF 5.00 I IF 4.00' 300.00 0374668 1~-02-0161 03-08-2013 I JSF 4.00 I, lFC ~.~~ I Cl~~ 2:00 I MVP 0.10 I FINE 201.90 I SUBC 30.00 I JOMNSON, RoeeRT ANDREW I JCSF 1.00 JPAY 9. I I I Ctedit Car,d I I I I 00 I SAF 5.00 I TF 4.00 I 108,00 0374669 13-02-0176 03-11-2013 I JSP 4.00 II TFt ~'~~ II CCi 4~.~ I ~~: ~: 10 I DSC 9,90 I SUSC 30.00 I MCDANIEL, MANDl DANIELLE JCSF 1.00 JPAY . 10, I I I po..OM l chack I I I I I 0374670 13-02-0162 03-11-2013 EXRF 10.00 I I I I I I eONUZ, VANESSA NICOLE I I II I' I I Me,ay Ordor I I 0374671 13-02-0154 03-11-2013 EXRF 10.00 I I I I SlEUSING, THOMAS C JR I II II I pot,onol c.o.k I 03-11-2013 FINE 100.00 I I I II 100.00 I I I I I I I 20.00 I I I I I 1 I I 4.00 CCC 40.00 CHS 3.00 SAF 5.00 IlF 4.00 I JCSF 1.00 I 120.00 6.00 IDP 2.00 fINE 55.00 I I I I I I CHS 3.00 I SAf 5.00 I TF 4.00 I 185.00 MVF 0.10 I FINE 86.90 SUBC 30.00 I I I I 3.00 I SAF 5.00 I TF 4.00 I 0.10 I FINE 86.90 I BUBC 30.00 I I I I 24.00 I I I 104.00 I I I I I I I I I I I I I I I 3.00 I LAF 5.00 I 1F 4.00 I 185.00 0,10 I FINE 86.90 I SUBC 30.00 I I I I 3.00 I SAF 5.00 I TF 4.00 I 108.00 0.10 I DSC 9.90 I SUBC 30,00 I I I I 3,00 I LAf 5.00 I TF 4.00 I 120.00 0.10 I DSC 9.90 I BUBC 30.00 I I I I 04/10/2013 12:41 351-983-2451 0374672 13-02-0150 CMAPA, ISAAC Money order 0374673 13"02-01BB 03-12-2013 EXRF MORALES, ADRIANA FELICE I ca.h I 0374674 13-02-0167 03-12-2013 I JSF MORALES, ADRIANA FELICE I JPAY Ca.h I 0374675 13-01-0138 03-12-2013 I JSF CASTANEDA, RUBEN JR I JCSF Peraon~l Check I 0374676 13-02-0177 03-12-2013 I JSF KEAG, STAPMANIE SUzANNE I JCSF Peroonol Che.k I 0374677 06-11"0270 03-12-2013 I lIME DOBBA, CMRISTOPHER I Compony Chock I 03-14-2013 I EXRF I co.h I 03-14-2013 I Jsr I JCSF c..h I 0374680 1303-0200 03-18-2013 I JSF RIVERA, LAUREN ASHLEY I JCSF poroo,.l Cha.k I 0374681 1302-0195 03-18-2013 I JSF VUICHABD, ANDREW JAMES I JCSF Co.h I 0000 0374678 1303-0199 ESCALERA, IsMAEL 0374679 1303-,0200 ESCALERA, ISMAEL 4.00 1.00 4.00 1.00 25.00 I 10.00 I I I 4.00 I TFC 1.00 I JPAY I 4.00 11Ft 1.00 I JPAY I 4.00 I TFe 1.00 I JPAY 12.00 I lFC JPAY 3.00 6.00 TFC JPAY 3.00 cct 6.00 I IDF I 30.00 I PWF I I I I I 3.00 Ieee 6.00 I IDF I 3.00 I CCC 6,00 I IDf I 3.00 I CCC 6,00 I IDF , DPSC CALHOUN CO PCT 5 PAGE 02 CCC lOP 40.00 2.00 I 40.00 , CMS 2.00 I MVF I 25.00 I CSRV I I I I f 40.00 I eMS 2.00 1 MVF I 40.00 I CHS 2.00 I MVP I 40.00 I eHS 2.00 I MVF I pago 1 IotoL 10.00 90.00 20.00 10.00 10.00 20.00 185.00 10.00 Money ~istributiOn Repo~t JUDG~ NANCY POMYKAL, PCT. 5, "~RCH 2013 REPORT _~_~W__~__~______.~ ;~::~;~-~::::/~:~:~~:~~-------------i-~:;:-~~:~~-i-~:~:-~~~~~-i-~:~:-~:::~~-i-~:~:-~;:~~:-\-~:~:-~:::~:-i-~:~::Amount \ Total I I I I I I I 20.00 0374682 1302-0194 03-18-2013 I ~XRF 20.00 I I I I I 1 TAGLIABU~, DAVID CLAYTON I \ I II I I I lor.onol c~..k I I I 00 I 108 00 0374683 13-01-0143 03-21-2013 I JSF 4.00 I TFC 3.00 I cce 40,00 I CH$ 3,00 I LAf 5.00 TP 4, ' HCLARTY, CHARLES ALEXANDER I JCSF 1.00 I JP~Y 6.00 IIDf 2,00 I HVf 0.10 I DSC 9.90 I SU8C 30.00 I poroonol Cho.k I 1 I I I I I 0374684 1303-0202 03-21-2013 I eXRF 20,00 I I I I I i Y~AR~OOO, JOHN I I I I I I Cash I I I I I I I 0374685 12-11-0339-2 03-25-2013 I JSF 4,00 I cee 40.00 I CHS 3.00 I PWAP 5.00 I TF 4.00 I JeSF 1.00 \ WALKER, DOUGLAS ALB~RT JR I JI~Y 6.00 I IDf 2.00 I I I I I porsonal ehook I I I I I I I 0374686 12-11-0339 03-25-2013 I JSP 4,00 I ccc 40,00 I CHS 3.00 I ,WAF 5.00 I TF 4.00 I JeSF 1.00 I WALKER, DOUGLAS ALBERT JR I JPAV 6.00 I 10F 2,00 I I I I I Poroonol Cheok 1 1 I I I I I 03-25-2013 I JSf 4.00 I TFC 3.00 I eec 40.00 I cHS 3.00 I LAF 5,00 TF 4.00 1 113.00 I JeSF 1.00 I JPAV 6.00 IIOF 2,00 I HvF 0,10 lose 9.90 SUBC 30.00 1 Honoy Ordo. 1 QPMT S .00 I I I I I 0374688 13-01-0135 03-27-2013 1 JSP 1.06 1 TIC 0.80 I eec 10.63 I eHs 0.80 I SAF 1.33 Tf 1,06 I STAFFORD, KIMBERLV I JCSF 0.27 I JPAY 1.59 110F 0.53 I HVF 0,0' I OFF 1,90 SUBC 30.00 I co.h I I I I I I 0'74689 1'020211 03-28-2013 I JSF 4.00 I TFC ',00 I eCC 40.00 I CHS '.00 1 LAP 5.00 TF 4.00 I THUMANN, eHRISTOlR~R HARK I JCSF 1.00 I JPAV 6.00 IIOF 2.00 I HVP 0.10 I OSC 9.90 SUBC 30.00 I Cosh I I I I I I 0'74690 13-02-0150 03"28-2013 I TlHE 25,00 I FINE 192.00 I I I I 217.00 CHAPA, ISAAC I I I I I I PeraonBl Chock I I I I I 0374691 1303-0222 0'-27-2013 I JSF 4.00 I TIC 3.00 I cee 40.00 I CHS 3.00 1 SAF 5.00 TF 4.00 I 185.00 GARZA, LAZARO I JCSF 1.00 I JPAY 6.00 I IOF 2,00 I HVI 0.10 I PIN~ 86,90 SUBC 30.00 I e.oditeo.d I I I I I I 04/10/2013 12:41 CALHOUN CO PCT 5 PAGE 03 361-983-2461 04/09/2013 0'74687 13-02-0165 fOX, MICHELLE p~ge 2 20,00 65.00 65,00 50.00 108.00 04/10/2013 12:41 351-983-2451 CALHOUN CO PCT 5 PAGE 04 04{09{2013 Money Distribution Report Page 3 JUDGE NANCY POMYKA~, PCT. 5, MARCH 2013 REPORT ----------------------------~~~--~-*---~-~~~------------------------------------~_._~-----------~~~--------------------------------~ The 10llowin9 total. 'ep'e.e~t . ca.h and Che.ft. Colle.tod Type Code Dfl&tription Count Retained Oisbur.sed HQneoy-Totals The following total. repre.ent - c..h aod Cheok. collectod COST CCC CONSOLIDATED COURT COSTS 15 57.06 513.57 570.63 COST CHS COURTHOUSE SECURITY 15 42.80 0,00 42.80 COST DPSC DPS FAILURe TO APPE~R {OMNI FEES 1 9.90 20.10 30,00 COST IDF INDIGENT DEfENSE FUND 15 2.85 25.68 28.53 COST JCSf JUSTICE COURT SECURITY FUND 1. 14.27 0.00 14.27 COST JPAY JUDGE PAY RAISE FEE '5 8.56 77.03 85.59 COST JSF JUROR SERVICE FUND 15 5.71 51.35 57.06 COST LAf sHERIFF'S FEE 6 30.00 0.00 30.00 COST MVF MOVING VIOLATION fEE 10 0.09 0.84 0.93 COST PWAF TEXAS PARKS & WILDLifE 2 8.00 2.00 10.00 COST SAF DPS 7 25.06 6.27 31.33 COST TF TECHNOLOGY FUND 15 57.06 0.00 57.06 COST TFC TFC 10 27.80 0,00 27.80 COST TIME TIME PAYMENT FEe 2 25,00 25.00 50.00 fEES CSRV COLLeCTION SERVICES FEE 1 24.00 0.00 24.00 FEES Off DEfERRED FEE , 1.90 0.00 1.90 fEES DSC DRIVER SAFETY COURSE 01{2008 6 59.40 0.00 59.40 Fees EXRF EXPIRATION RENEWAL FEE 8 120.00 0,00 120.00 FEES SUBC SUB TI TLE C 10 15.00 285,00 300.00 FINE FINE FINE 8 667.70 0.00 667.70 FINE PWF PARKS & WILDLIFE fiNE 1 3.75 21,25 25,00 OPMT OPMT OVERPAYMENT 1 5.00 0.00 5,00 OTHR 0000 OVERPAYMENT 1 12.00 0.00 12.00 Monl!'Y Totela 26 1,222.91 1,026.09 2,251.00 The folLowing totals repr8$~~t - Ttonsferi CQ~lected COST CCC CONSOLIDATED COURT COSTS 0 0.00 0,00 0.00 CDST CHS COURTHOUSE SECURITY 0 0,00 0.00 0.00 COST DPSC OPS FAILURE TO APPEAR {OMNI fEES 0 0.00 0.00 0.00 COST IDF INDIGENT DEfENSE FUND 0 0.00 0,00 0.00 COST JCSr JUSTICE COURT SECURITY FUND a 0.00 0,00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSf JUROR SERVICE FUND 0 0.00 0.00 0,00 COST LAF SHeRIff'S FEE 0 0.00 0.00 0,00 COST MVF MOVING VIOLATION FeE 0 0.00 0.00 0.00 COST PWAf TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAP DPS 0 0.00 0.00 0,00 COST Tf TECHNOLOGY FUND 0 0,00 0.00 0.00 COST HC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT fEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION sERVICES FEE 0 0.00 0.00 0.00 FEES ofF OHERRED FEE 0 0.00 0.00 0.00 fEES DSC DRIVER SAFETY COURSE 01{2006 0 0.00 0.00 0.00 fEES EXRF EXPIRATION RENEWAL fEE 0 0.00 0.00 0.00 FEES suac SUB TITLe c 0 0.00 0.00 0.00 04/10/2013 12:41 361-983-2461 CALHOUN CO PCT 5 PAGE 05 04/08/2013 Money Distribution Report P.~o 4 JUDGE NANCY POMYKAL, rCT. 5, MARCH 2013 REPORT __~~M_~_~MWM___________________~_"__~_~____._________________MY~______________~___"______________.~_________------~~-------------~-- The foLLowing totaL. repre.ont - Tronsf.rs coLLected Typ. Cod. D.scription Count Retained Disbursed Money-Totals FINE FINE FINE 0 0.00 0.00 0.00 FINE PUP P~RKS & WILDLIFE FINE 0 0.00 0.00 0.00 OPMT OPMT OVERPAYMENT 0 0,00 0.00 0.00 OTHR 0000 OVERP~YMENT 0 0.00 0.00 0.00 Tron.for TotaL. 0 0.00 0.00 0.00 The following totQls repr~aent - Jail Cred~t and Commynity a~rviQe COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0,00 COST DPSC DPS FAILURE TO APPEAR 10MNI FEES 0 0.00 0,00 0.00 COST IDF INDIGENT DEFENSE fUND 0 0.00 0,00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDOE PAY RAISE fEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAF SHERIFF'S fEE 0 0,00 0.00 0.00 COST MVF MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIfE 0 0.00 0.00 0.00 COST S~F DPS 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TfC TFC 0 0,00 0.00 0.00 COH TIME TIHE PAYHENT FEE 0 0.00 0,00 0.00 FEES CORV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 fEES OFF DEFERRED fEE 0 0.00 0,00 0.00 fEES DSC DRIVER SAfETY COURSE 01/2008 0 0.00 0.00 0.00 fEES EKRF EKPIRAiION ReNEWAL FEE 0 0.00 0.00 0.00 FEES SUBe SUB TIT!"E C 0 0.00 0.00 0,00 FINE FINE fINE 0 0.00 0.00 0.00 FINE PWf PARKS & WILD!,.IFE FINE 0 0.00 0.00 0.00 OPMT OPMT OVERP~YMENT 0 0.00 0,00 0.00 OTHR 0000 OVERPAYMENT 0 0.00 0.00 0,00 Credit Totols 0 0.00 0.00 0.00 The following totals represent - c~ed;t Card P,ym.nts COST CCC CONSOLIDATED COURT COSTS 2 a.oo 72.00 80,00 COST CHS COURTHOUSE SECURITY ~ 6,00 0.00 6.00 COST DPSC PPS fAILURE TO APPEAR 10MNI fBES 0 0,00 0.00 0.00 COST IDf INDIGENT DEFENSe fUND 2 0.40 3,60 4,00 COST JCSF JUSTICE COURT SECUR1TY FUND 2 2,00 0.00 2.00 COST JPAY JUDGe PAY RAISE FEE 2 1.20 10.80 12.00 COST JSF JUROR SERVICE FUND 2 0.80 7,20 8,00 COST LAF SHERIFF'S fEE 1 ~,OO 0.00 ~.OO COST ~Vf MOVING VIOLATION FeE 2 0.02 0.18 0.20 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS , 4.00 1.00 $,00 COST TF TECHNOLOGY fUND 2 8.00 0.00 8.00 04/10/2013 12:41 361-983-2461 CALHOUN CO PCT 5 PAGE 06 04/09/2013 Honey Di'tribution Report Pl!lgl! 5 JUDGE NANCY POMYKAL, PCT. 5, MARCM 2013 REPORT ._______________~~~~~y________~________________~6~~________~.~__________________________~_______________~___---------------------~-- The fo~Lawin9 totals reprttent - Credit C.rd PBym~nt~ Type Code De.oriptiQn tount Retein,," 0; sbur&ed Money-Totals COST nc TFC 2 6.00 0.00 6.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0,00 FEES CSRV CoLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES DFF DEFERR.D FEE 0 0.00 0.00 0,00 FEES DSC DRIVER SAFETY COURSE 01/2008 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FEES SU9C SU9 TillE C 2 3.00 57.00 60.00 FINE FINE fiNE 2 288.90 0.00 299.80 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0,00 OPMT OPMT OVERPAYMENT 0 0.00 0.00 0.00 OTHR 0000 OVERPAYMENT 0 0.00 0.00 0.00 credit TotaLs 2 333.22 151.78 485,00 Th~ following totals repre$~nt - co~b;ned Money and Credits COST CCC CONSOLIDATeD COURT COSTS 17 65.06 l85.S? 650.63 CoST CHS COURTHOUSE SECURITY 17 48.80 0.00 48.80 COST DPSC DPS FAILURE TO APPEAR {OMNI F.ES 1 9.90 20.10 30.00 COST IDF INDIGENT DEFENSE PUND 17 3.25 29.29 32.53 COST JCSF JUSTICE COURT SECURITY FUND 17 16.27 0.00 16.27 CDST JPAY JUDGE'PAY RAISE FEE 17 9.76 87.83 97.59 COST JSF JUROR SERVICE FUND 17 6.51 58.55 65.06 COST LAF SHERIFF'S FEE 7 35.00 0.00 35,00 COST MVF MOVING VIOLATION FEE 12 0.11 1.02 1.13 COST PWAF TEXAS PARKS & WILDLIFE 2 9.00 2.00 10.00 COST SM DPS 8 2~.06 7.27 36.33 COST TF TECHNoLOGY FUND 17 6~,06 0.00 6~.06 COST TFC TFC 12 33.80 0.00 33.80 COST TIME TIME PAYMENT FE. 2 25,00 2;.00 lO.OO fEES CSRV CoLLECTION SERVICES FEE 1 24.00 0.00 24.00 FEES DFF DEfERRED FEE 1 1.90 0.00 1.90 FEES DSC DRIVER SAFETY CoURSE 01{2008 6 59.40 0.00 59,40 FE.S EX~F EXPIRATION RENEWAL FEE 8 120,00 0.00 120.00 FEES suec SUB TI TLE C 12 18.00 342.00 360.00 FINE FINE FINE 10 9%.50 0.00 ~;6.50 FINE PYF PARKS & WILDLIFE FINE 1 3.75 21.2S 25,00 OPMT OPMT OVE~PAYMENT 1 5,00 0.00 5.00 OTHR 0000 OVe~PAYM.NT 1 12.00 0.00 12.00 Repol"t Totals 28 1,~~6.13 1,179.87 2,736.00 04/10/2013 12:41 361-983-2461 CALHOUN CO PCT 5 PAGE 07 04/09/2013 Honey Distribution Report Pege 6 JUDGE NANCY POHYKAL, PCT. 5, MARCH 2013 REPORT ____~w___~~_________________________________________________________________________________________________________________________ DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS REST HUTlON OTHER TOTAL OO-OO-OODO C5sh i Checks CoLlected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jei~ Credit. & Co.. Servi.e 0.00 0.00 0,00 0,00 0.00 0.00 0.00 credit cards & T~a~$f~~s 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TotaL 01 all colle:ctiona 0.00 0.00 0.00 0,00 0.00 0.00 0.00 09-01-1991 Ce.h & Check. Co~lect.d 0.00 0,00 0,00 0.00 0,00 0.00 0,00 J~il Credits & Comm Service 0,00 0,00 0,00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TotaL of aLL collections 0.00 0.00 0.00 0.00 0.00 0,00 0.00 09-01-1993 ca.h & Checks colleetad 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Cr~dit, & Camm Service 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Credit ~ard$ & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Totol of ol~ Co~le.t;on. 0.00 0.00 0.00 0.00 0.00 0.00 0,00 09-01-1995 ca.h & Cheek. co~Lectad 0.00 0.00 0,00 0,00 0,00 0.00 0.00 Jail Credits & Comm Servioe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 credit Card& & Transfers 0.00 0.00 0.00 0,00 0.00 0.00 0.00 TotaL of el~ CoLlectIons 0,00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cl!Ish & Checks CoLLl!!Qhd 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Jail Credits & Comrn Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 credit cards & Tran&fer~ 0.00 0,00 0.00 0.00 0.00 0.00 0.00 Total of ell Collection$ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 C..h & Check. Co~lected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail credit. & CO.. sorvica 0.00 0.00 0.00 0.00 0.00 0.00 0.00 credit Card$ & TrGn$fers 0.00 0.00 0.00 0.00 0,00 0.00 0.00 Totel of el~ Coll..tion. 0.00 0.00 0,00 0.00 0.00 0.00 0.00 09-01-2001 Cosh & Check. colleoted 0.00 0.00 0.00 0,00 0,00 0.00 0.00 Jail credit. & CO.. Sorvice 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit C~rds & Trenafe~s 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total at ell coLlections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Ce.h & Che.k. CQl~'Dt.d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jeil Credits & Co.m service 0.00 0.00 0.00 0,00 0.00 0.00 0,00 Credit Card, & Tren$fer$ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of ell colleotion. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 ca.h & Check. Co llected 692.70 1,036.00 505.30 0.00 0.00 17.00 2,251.00 Jeil Credits & Co.m S.rvioe 0.00 0.00 0.00 0.00 0,00 0.00 0.00 Credit Cards & rren&fers 2S1l.ijO 136.20 60.00 0.00 0.00 0,00 485.00 Total of ell ColLeQtions 981.50 1,172.20 565 .30 0.00 0.00 17.00 2,736.00 TOTALS c.sh & Cheok. Co~Le.t.d 692.70 1,036,00 505.30 0.00 0.00 17.00 2,251.00 Jail Credits & Ccmm service 0.00 0,00 0.00 0.00 0.00 0.00 0.00 credit CQrd, & Transfers 288.80 B6.20 60,00 0.00 0,00 0.00 485.00 Tot.~ of ell Col~.ction. 981,50 1,172.20 565,30 0.00 0,00 17,00 2,736.00 04/10/2013 12:41 361-983-2461 CALHOUN CO PCT 5 PAGE 08 04{09{2013 Money DistributIon R.port Pog. 7 JUDGE NANCY PoMYKA", PCT. 5, MARCH 2013 REPORT _~_~~~~__~~_____M_______~___wm_~__~~______________________________________~__.________________"_~___________________________________ DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL Sht~ o-t TeXl!Is QU.il"tel'ly Rt!lporting TOUt$ Desoription Count Colle.ted R.tained Disburs.d StItt ~Qrnptro~ler Coat Bnd Fees Report $eotion 1: Report for Offenses Committed 01-01-04 Forword 17 650.63 65.06 585.57 09-01-01 - 12-31-03 0 0,00 0.00 0.00 08-31-99 - 08-31-01 0 0.00 0.00 0.00 09-01-97 - 08-30-99 0 0.00 0.00 0.00 09-01-91 - 08-31-97 0 0.00 0.00 0.00 Bai l Bond fee 0 0.00 0.00 0.00 DNA Testing Fee - CQnVlctiOfi& 0 0.00 0.00 0.00 DNA T*~ting Fee ~ Comm $~pvn 0 0.00 0.00 0.00 DNA Testing Fee - Juven1l~ 0 0.00 0.00 0.00 EMS TraUma fund (EMS) 0 0.00 0,00 0.00 Juvenile PrQb~t;Qn D1ve~5;on Fee:$ 0 0.00 0.00 0.00 Jury Reimburst!lmefit Fee 17 65.06 6.51 58.55 lndigent Defense Fund 17 32.53 3.25 29,28 Moving Violation Fee~ 12 1.13 0.11 1,02 State Tr,11i~ fine 1i! 360.00 18.00 342.00 S~etioo 11' A. Applicable Peace Officer fees 10 46.33 ~7,06 9.27 Foilur. to App..r/Poy F... 1 30.00 9.90 20,10 J~di~i~l Fund - Canst county Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 Motor C.rrier Weight violations 0 0.00 0.00 0.00 Time paYM*nt Fees 2 50.00 2S.00 25,00 Driving Re~ord fe~ 0 0.00 0,00 0.00 J"oie;ol s"pport Fee 17 97.59 9.76 87.83 Report S"b Totol 105 1,333.27 174.65 1,158.62 Stete Comptroller Civil Pee$ R~p~rt CF: Birth Certif1c8te feee 0 0.00 0.00 0.00 CF: Marriage LiQenee Fees 0 0.00 0,00 0.00 CF: PeQl~ration of Informal Marriage 0 0.00 0.00 0.00 CF: Nondisclosure Fees 0 0.00 0.00 0.00 ~F; JyrQr Donations 0 0.00 0.00 0.00 CF; Ju.t;.. Co"rt Indig FiLing F..' 0 0.00 0.00 0.00 cp, Stot prob Co"rt Indig Filing F... 0 0.00 0.00 0.00 CF, stst prob Court Judie Filing fe.. 0 0.00 0.00 0.00 CP, Stet Cnty Court 100ig Filing Fe.o 0 0.00 0.00 0.00 cp, St.t Cnty CO"rt Judie Filing F..s 0 0.00 0.00 0.00 cp, Cnot Cnty Co"rt Inoig Filing F.e. 0 0,00 0.00 0.00 CF; Cn.t Cnty Co"rt Judi. Filing F~.s 0 0.00 0.00 0.00 CF; Oi.t Court Divor.. & Fomily Lew 0 0.00 0.00 0.00 CF: Oi.t Co"rt Otn., Divorc./Femily "ow 0 0.00 0.00 0.00 Cf: Dist Cou~t Indig Legal Services 0 0.00 0.00 0.00 CFo Judicial S"pport Fe. 0 0.00 0.00 0.00 Report SUb Total 0 0.00 0.00 0.00 Total D"e For Tni. p.riod 105 1,333.27 174.65 1,158,62 TEXAS A&M GRILIFE EXTENSION March Commissioners Report March 1" - Matagorda Co. Livestock Judging Contest The agent traveled to the Matagorda County Livestock Judging Contest in Bay City. The contest was attended by twelve individuals, and they represented Calhoun County well. The Junior Team placed 4th in their division. March 3r<l - Victoria Co, Livestock Judging Contest Charles traveled with the Judging Team to the Victoria Co. Judging Contest. Out of a large contest with high scoring, both teams ranked in the top ten. Multiple Calhoun County youth also placed in the top ten individuals. March 7''' - Beef Cattleman's Banquet Charles helped coordinate the Beef Cattleman's Banquet. He coordinated with the 4-H Ambassadors to serve plates and dessert to the attendees. The agent also assisted the cooks with preparation and cooking of steaks and sides. March 7-15 - Houston Livestock Show and Rodeo Charles helped other families with their Market Steers and Market Hogs for the Houston Livestock Show and Rodeo. Calhoun County youth had two steers place in the top three in their class, as well as a pen of boilers also make the sale. The youth represented Calhoun County well. March 22"<1 - Refugio Co. Special Needs Livestock Show Charles assisted the Refugio County Agent with their special needs livestock show by serving as a judge. This program gives the oppOltunity to show a sheep or goat to young people with special needs. Each young person is paired with a 4-H member to serve as a buddy. It is a great program to increase agricultural awareness. March 23"1 - Calhoun County 4-H Fashion Show Charles and Tina helped coordinate the County 4-H Fashion Show. Over 10 young people participated in the Fashion Show by purchasing or constructing an outfit. The contestants visited with the panel of judges before showcasing their outfits for the audience. The young people did a great job and will compete in the District II Fashion Show on April 27th in Victoria. March 25th - Council and P ALA Meeting Charles met with the 4-H Council and Adult Leader Association. They discussed upcoming officer elections, scholarships, and the raffle fundraise!". March 26 - Junior Livestock Committee Meeting Charles met with the Junior Livestock Committee to look over the 2013 Rule Book one final time before it is approved and distributed. The committee voted and approved the Rule Book for the 2013 Calhoun County Fair Junior Livestock Show. Upcoming Events April 2nd - CCF Steer Tag-in April3'd - 4-HBeefQuizbowl Contest April 6th - Challenger League Volunteer April II th - District II Consumer Decision Making Contest April 13th - District 11 4-H Roundup AprillSth - Calhoun County Sheep and Goat Clinic April 20th - District II 4-H Livestock Judging Contests April 22nd - Council and P ALA Meeting April 27"' - District II Fashion Show Out of County Travel 3/1 - Bay City -Judging Contest - 110 miles 3/3 - Victoria -Judging Contest - 56 miles 2/7-2/15 - Houston - Livestock Show/Judging Contest - 244 miles 3/22 - Refugio - Special Needs Livestock Show - 115 miles Travel - 525 mi Contacts Office - 102 Phone - ISO Sites - 45 MaillEmail- 700 By Volunteer - 210 Extension Activity Report to County Commissioners Court Selected major activities for March 2013- 3/4 - Office conference held to discuss scheduling and upcoming events. 3/7" Calhoun County Cattleman's Association held their annual banquet. Dr. Joe Paschal was a guest speaker next to our county Marine agent, Rhonda Cummins. The banquet was attended by 54 local producers. 3/13" Planted the Calhoun County milo test plot with producer Sam Nunley. Ten varieties were planted, and will be showcased at the crop tour in June. Contacts Office" 64 Phone - 8 Site" 8 Total" 80 Mileage Personal Vehicle: In-county: 76.6 Out-county: 185.6 Personal Total = 262.2 Total = 262.2 Major events for next month - April 2013 4/9" I will be doing a presentation on insects for the Mariner 4-H club. 4/16" Cotton variety trial should be planted around this date, weather permitting. 4/23 - Cattleman's Association meeting to discuss upcoming programs. Ryan-';:>ambors~.,,____... Name _~_~i!!boun _.._.._ County gEA-A,g/Natural Resources Title Date April 2013 ADM 2.6 Reprint - 2.81 0-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 32.14 Selected maior activities since last reoort- March 2013 March 1: Attended the Texas Human nutrition Conference in College station. March 5: Started working with First United Methodist Church on Step up to scale down. We had eight participants sign up March 6: We held our first 2013 Car seat Check at the Bauer community center. We 10 individuals who stopped by to have their car seats check by technicians. I'm also pleased to announce that in collaboration with the Calhoun County EMS we will have a distribution. March 12: First United Methodist Church Scale up to scale down. We had 8 participants. March 18: Went to J.R.Elementary and did a presentation on Character building with the 20' gradersl March 19 Went to J.R.Elementary and did a presentation on Character building with the 3" graders. Also, went to First united Methodist church and had our presentation on Step up to scale down. March 20: Went to JR. Elementary and did a presentation on Charter Building with the 4th graders. March 21: Went to J.R. Elementary and did a presentation on Charter Building with the 5th Graders. March 25: Traveled to Hallettsville, TX to Judge the Lavaca County Fashion Show. March 26: Calhoun County Held the 0-11 FCS Meeting here at Texas Traditions. We had Rhonda Cummins present on Trash along with a Field trip to Big Bear Seafood. Direct Contacts: Phone: 130 E-maiI/Letters:145 Office:30 Site:15 Website/Newspaper:4600 Volunteers:3 Maior events for next month - April 2013 First Methodist Church Program Excellence Academy in College Station Car Seat Tech Training in College Station TEEA Spring Conference Consumer Decision making in Halletlsville Lunch N Leam TEEA Meeting SHAC Meeting Food challenge state meeting Fashion Show meeting TravellPersonal Vehicle) In County Mileage: JR Elementary:(4)1 0.56 :3/18,3/19,3/20,3/21 Wal-Mart (3): 13.02 3/4,3/12,3/25 Texas Traditions(2):8.56: 3/5,3/26 Out of County Mileage: Halletlsville: 150.53 Tina Trevino ~ ~~ Name Calhou n County Countv Extension Aqent-Familv and Consumer Science Title April 2013 Date (Month-Year) Texas A&M AgriLife Extension Services' College Station, Texas I- IX ::> UJ 0 Uu LLVI LL'Q:: OUJ Z Z 00 Vi VI Z!!!~ ~:2;O X:2;N UJOO ~uo:: ZO<( ::>1-:2; 01- UIX Z 0 ::>0- o UJ J: IX .......... <( UJ U > <( IX I- ~ -;:;- '" .s::; '" ... 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Commissioners Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. Claims totaling $604,634.51 were pre5ented by the Calhoun County Treasure's Office and after reading and verifying same a motion was made by Commissioner Lyssy and seconded by Commissioner Galvan to approve the bills and that all said claims are approved for payment. Commissioners Galvan, Finster and Judge Pfeifer all voted in favor. MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR m__ April 25. 2013 MEMORIAL MEDICAL CENTER OPERATING FUND MEMORIAL MEDICAL CENTER WEEKLY CHECKS Date Approved bv Countv Auditor (See attached lists) 3/7/2013 Weekly Payables 3/7/2013 Weekly Payables 3/13/2013 Weekly Payables 3/15/2013 Weekly Payables 3/20/2013 Weekly Payables 3/20/2013 Patient Refunds 3/21/2013 Weekly Payables 3/21/2013 Weekly Payables 3/27/2013 Weekly Payables Total Payables and Patient Refunds MEMORIAL MEDICAL CENTER PAYROLL Date of Pavroll Run & Date Liabilitv Called In (See attached lists) 2/21/2013 Net Payroll 2/26/2013 Net Payroll 2/27/2013 Net Payroll 2/27/2013 Net Payroll 3/5/2013 Payroll Liabilities 3/12/2013 Net Payroll 3/12/2013 Net Payroll - Void 3/18/2013 Net Payroll 3/19/2013 Payroll Liabilities Total Net Payroll and Payroll Liabilities GRAND TOTAL OPERATING FUND APPROVED INDIGENT HEAL THCARE FUND EXPENSES $ 166,500.25 8,292.48 458,770.78 5,000.00 210,665.01 3,305.40 21,556.93 350.00 205,817.93 $ 204.70 212,195.30 647.95 922.35 78,018.50 218,776.87 (2,769.93) 3,316.01 80,554.35 $ 1,080,258.78 $ 591,866.10 $ 1,672,124.88 $ 30,109.33 IGRAND TOTAL BILLS APPROVED 4/25/2013 $1,702,234.21 I MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- April 25. 2013 INDIGENT HEAL THCARE FUND: INDIGENT EXPENSES Donald Breech MD Coastal Medical Clinic Community Pathology Associates William J. Crowley D.O. Discovery Medical Network, Inc. HEB Pharmacy Mau-Shong Un MD Memorial Medical Center (Out-patient $9,010.77 ER $10,107.52) Port Lavaca Clinic Radiology Unlimited PA Victoria Heart & Vascular Center Victoria Surgical Associates 98.69 1,203.36 28.87 284.23 124.46 609.41 682.70 19,118.29 1,018.35 237.34 22.14 750.82 SUBTOTAL 24,178.66 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) 5,930.67 TOTAL APPROVED INDIGENT HEAL THCARE FUND EXPENSES 30,109.33 "$450.00 in Co-Pays were collected by Memorial Medical Center in March """"IriS Source Totals Report Issued 04/16/2013 Calhoun Indigent Health Care 3-1-13 through 3-31-13 For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 02 Prescription Drugs 05 Lab/x-ray 08 Rural Health Clinics 11 Reimbursements 14 Mmc - Hospital Outpatient 15 Mmc - Er Bills 7,115.00 609.41 303.00 3,148.72 17.69 25,998.59 29,728.00 2,206.80 609.41 28.87 2,197.60 17.69 9,010.77 10,107.52 Expenditures Reimb/ Adjustments 66,969.41 -49.00 24,227.66 -49.00 Grand Total 66,920.41 24,178.66 Fiscal Year 106,543.83 APPROVED BY APR 1 7 2013 Payroll/Expenses 5,930.67 CALHOUN COUNTY AUDITOR Lf'Mtvt:UV '14U.fCi.A~ Calhoun County Indigent Coordinator ~ 800 04172013 ollcALHOUN COUNTY, TEXAS DATE: 4/17/2013 VENDOR # 852 CC Indigent Health Care ACCOUNT ~NIT TOTAL NUMBER DESCRIPTION OF GOODS OR SERVICES QUANTITY PRICE PRICE 1000-800-98722-999 Transfer to nav bills for Indiaent Health Care $30,109.33 anproved bv Commissioners Court on 4/25/2013 for a total of $30,109.33 1000-001-46010 March Interest $3.12 ($3,12) $30,106.21 COUNTY AUDITOR THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE APPROVAL ONLY OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. APpROVED BY DEPARTMENT HEAD DATE APH 1 7 2013 I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY CALHOUN COUNTY THE ABOVE OBLIGATION. ~. AUDITOR By:MAIAA. Jl ~ 4/17 /13 DEP!!<.TMENT E D' /J DATE bIJ 00 <D .... .E N N rl "0 C OJ "- rl "<t .... N '" rl <D '" '" '" N <D rl "<t '" OJ > "B <( "0 '" .... '" '" '" OJ rl > 0 E OJ '" "0 CO 0 OJ N N .... rl .... '" co rl N rl '" rl U ."0 +-' OJ c '2 OJ OJ :;::; 0 co "- OJ '- co U +-' "0 '" "<t '" "<t '" c OJ rl OJ > .~ 0 '- "0 0- E: 0- <( C :J bIJ 0 > ::E <( co .?:- u ..c: <Y1 +-' rl '- '- >- tl.Ob..+-' > U 0 C C -" co co C 0 0 co OJ :;; 0- :;; :J ::; :J OJ U 0 OJ !;: :;; N ~ u.. <( ~ ~ <(",0 Z 0 . ROll DATE, 01/15/13 TIME, 09:41 IffiMORIAL I~DICAL CENTER RECEIl'IS FROM 01/01/13 TO 01/31/13 PAGE 109 RCMREP G/L NIlHBER RECEm PAY DATE NUMBER TYPE PAYER CASH AMOIJlII RECEm AMOUNT NUMBER !lAME DISC COr.L GL CASH DATE IIHT CODE Ae<:ooIIT 50240.000 01/01/13 to.OO 10.00 PLB 2 50240.00001/04/13 10.00 10,00 BEH 2 50240,00001/04/13 10.00 10.00 PLB 2 50240.000 01/04/13 10.00 10.00 PLB 2 50240.000 03/04/13 10.00 10. OO(PAT1ENT WROTE A CHECK) PLB 2 iOJ1r O~ry rJ!Oij!1J l1Q1 ~tl1l0 mJl itl1H 010 0J,'Qi/n 1001 1000 P!.~ 50240.00003/07/13 to.DO 10.00 PLB 2 50140.00001/07/13 10.00 10.00 CA~ 2 50240,00003/07/13 10,00 10,00 CAS 2 50240,000 D3/DE/13 10,00 10,00 K"lC 2 50240,00003/08/13 10.00 10,00 ~~C 2 50240.00003/08/13 10.00 10.00 MRP 2 50240,00001/08/13 10,00 10,00 KRR 2 50240,000 01/08/13 10,00 10,00 MRP 2 50240,000 01/08/13 10.00 10,00 KRR 2 50240,000 03/11/13 10,00 10,00 MRP 2 50240,000 01/1l/13 10,00 10,00 CAS 2 50240,000 01/1l/13 10,00 10,00 CAlI 2 50240,000 01/1l/13 10,00 10,00 BEll 2 50240,000 03/12/13 10,00 10.00 PLB 2 50240,000 03/12/13 10,00 10,00 PLB 2 50240.000 03/14/13 10,00 10,00 PLB 2 50240.000 03/14/13 10.00 10,00 PLB 2 50240.00003/14/13 10.00 10,00 PLB 2 50240.000 03/14/13 10.00. 1O.OO-(PATlENTS CHECK BOUNCED) PLB 2 50240,00001/14/13 10,00 10.00 PLB 2 50240,000 01/15/13 10,00 10,00 PLB 2 SOD10.0GBOJ/1S/lJ 10.00 10,00 PLB 50240,00003/15/13 10.00 10.00 PLB 2 gQJ10.000 03,'15,'lJ 10.00 10.00 PbB 3 SODIO,OOOOJ{l:{lJ s.n :,70 PHI , 50240,000 01/19/13 10,00 10,00 BBH 2 50240.000 03/19/13 10,00 10,00 BSH 2 50240,00001/20/13 10,00 10,00 PLB 2 50240,000 01/21/13 10,00 10,00 PLB 2 50240,00003/21/13 10,00 10,00 KRR 2 50240,000 01/21/13 10,00 10.00 KRR 2 50240,000 01/22/13 10,00 to.OO PLB 2 50240,000 01/22/13 10,00 10,00 PLB 2 50240,00001/22/13 10.00 10.00 PLB 2 :anlo.ooa OJ/D/lJ le.OO. to.,OO rbE , c;0'lAn Mn /1"'ll.'n 111M. 1/1111_ DIll , 50240.000 01/25/13 10.00 10.00 PLB 2 50240.000 01/25/13 10.00 10,00 PLB 2 RUN DATE, 04/15/13 TIME, 09,43 MEHORI1l1 MEDICAL CEIfIER RECEIPTS FRDM 03/01/13 TO 03/31/13 O/L NUMBER RECEIPT PAY DATE NUMBER TYPE PAYER CASH AMOL'N'l __ ___ _. __ _ ~. __ __ _ _. _ _ __. _.___. _ _.___. _ ._____ _ __ ___ _. __ n _ ~ n_ ___ _.. _. _ _ _ _ _.. _ n _ __ _ _ _ __ ____. ____ _ _ _ .__ _ h_'_ _._ __ __ - __ _.n - -. -- - - --- or SC COLL GL CASH DATE !NIT CODE ACCOIllIT 50240.00003/26/13 50240.00003/27/13 50240.00003/27/13 50240.00003/20/13 50240.00003/2B/13 50240.00003/29/13 50240.00003/29/13 50240.000 03/29/13 50240.00003/29/13 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 "TOTIl1" 50240.000 COOOY IIIDIOElIT ClJPAYB PAGE 110 RCMRBP RECEIPT AMOL'N'l NUMEER NAME 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 455.70 450.00 -5.70(Cafe amount Is an error was removed) PLB PLB PLB PLB PLB PLE ARM DRB PLB MEMORIAL MEDICAL CENTER Port Lavaca, Texas MANUALJOURNAL ENTRIES MONTH OF MARCH,2013 Recorded Reviewed Debit Credit Acct # JE# Description Check # Amount Amount 10255000 Indigent Healthcare 5,930.67 40450074 Reimbursement - Calhoun Cty 4,588.80 40015074 Benefits - FICA 228.51 40025074 Benefits - FUTA 9.90 40040074 Benefits - Retirement 264.20 60320000 Benefits - Insurance 825.98 40220074 Supplies - General 13.28 40225074 Supplies - Office - 40230074 Forms - 40610074 Continuing Education - 40510074 Outside Services - 40215074 Freight - 40600074 Miscellaneous - APPROVED '" Ann, 1: ~n{~ f ... ""v'v CALHOUN COUNTY TOTALS 5,930.67 5,930.67 / ,/ / / r.'\" \" ,/ EXPLANATION FOR ENTRY - To reclassify indigent care expenses to misc receivable REVERSING: YES NO JE# Indigent Healthcare Program Incurred by MMC MARCH, 2013 Indigent H'care Coordinator Salary # 40000074 7-Mar $ 2,186.40 # 40000074 21-Mar 2,010,72 # 40000074 ( # 40010074 ) 391,68 4,588.80 I Benefits: #40040074 264.20 I FICA # 40015074 7-Mar 113,04 # 40015074 21-Mar 115.47 # 40015074 I 228.51 I FUTA 7-Mar 4,90 21-Mar 5,00 I 9,90 I Other Benefits ( 18 % ) # 63200000 I 825.98 I General Supplies # 40220074 I 13.281 Office Supplies # 40225074 I Forms #40230074 I Continuing Education #40610074 I Outside Services #40510074 I Freight #40215074 I Travel #40600074 I RUN DATE: 04/10/13 fmMDRIAL I~EDICAL CENTER PAGE 1 TUIE: 14:31 GL DETAIL REPORT - COST CENTER SEQUENCE GLGLDC FOR: 03/01/13 - OJ/Jl/13 ACCT NUlIBER & DESC DATE I,IENO REFERENCE JOURNAL CSI/BAT/SEQ ACTIVITY BALANCE 40000074 SALARIES REG PROD -CALHOUN C 40000074 SALARIES REG PROD -CALHD BEGINNING BALANCE AS OF: 03/01/13 8,118.72 OJ/Ol/13 REVERSE ACCRUAL PH 192703 J72 -1,001.99 03[07/13 PAY-P.02/22/13 03/07/13 PR 19 2114 4J 2,177.76 / 03[21/13 PAY-P.OJ/Oo/13 03/21/13 PR 192710 42 2,006.40/ OJ[31/13 AccrualnDays" 10 PR 192118 J72 1,433 .10 03/31 ACTIVITY/END EALANCE 4,535.27 13,253.99 40005074 SALARIES OVERTIflE - CALHO BEGINNING BALANCE AS OF: 03/01/13 155.99 OJ/Ol/13 REVERSE ACCRUAL PR 192703 422 -36.61 03/07/13 PAY-P.02/22/13 03/07/13 PR 19 2714 70 8.64/ 03/21/13 PAY-P.03/00/13 03/21/13 PR 19 2710 67 4.32/ 03/31/13 Accrual--Days" 10 PR 192710 422 J.I0 OJjJl ACTIVITY/END BALANCE -20.55 135.44 40010074 SALARIES PTD/EIE -CALHO BEGINNING BALANCE AS OF: 03/01/13 941.55 03/01/13 REVERSE ACCRUAL PR 192703 474 .11.55 03/07/13 Auto PR Bene Accrual Re PR 192702 91 -1,097 .00 03/07/13 Auto PR Bene Accrual PR 19 2713 E9 1,222.64 03/07/13 PAY-P.02/n/13 03/07/13 PR 192714 95 92.16 03/21/13 Auto PR Bene Accrual Re PR 19 2713 91 ~ 1)222 .64 03/21/13 Auto PR Bene ACCLUal PR 192717 E9 1,098.62 03/21/13 PAY-P.03/00/13 03/21/13 PR 192710 91 299.52/ 03[31/13 Accrual nDays" 10 PR 192718 470 2lJ .90 03/31 ACTIVITY/END BALANCE 595.65 1/537.20 40015074 FICA .CALHD BEGINNING BALANCE AS OF: OJ/01/13 21.31 03/01/13 REVERSE ACCRUAL PR 192703 662 -46.83 03/01/13 REVERSE ACCRUAL PR 192703 726 -ID.92 03/07/13 PAY-P.02/22/13 03/07/13 PR 192714 344 21.43 r 03/07/13 PAY.P.02/22/13 03/07/13 PR 192714 316 91.61 r 03/21/13 PAy-p.03/0a/13 03/21/13 PR 192718 511 21.89"'" 03/21/13 PAY.P.03/08/13 03/21/13 PR 192710 543 93.58 - 03/31/13 AccrualnDays" 10 PR 192718 660 66.80 03/31/13 Accrual--Days~ 10 PR 192718 724 15.60 03jJl ACTIVITY/END BALANCE 253.16 280.47 40025074 FUT .CALHO BEGINNING BALANCE AS OF: 03/01/13 1.20 03/01/13 REVERSE ACCRUAL PR 192703 790 .2.52 03/07/13 PAY-P.02/22/13 03/07/13 PR 192114 408 4.90/ 03/21/13 PAY-P.03/00/13 03/21/13 PR 192718 575 5.00./ 03/31/13 AccLUal--Days" 10 PR 192718 7EE 3.60 03/31 ACTIVITY/END BALANCE 10.98 12.18 40040074 RETIREloIBNT -CALHD BEGINNING 8ALI\NCE AS OF: 03/01/13 37.63 RUN DATE: 04/10/13 TIllE: 14:31 MENDRIAL NEDICAL CENTER GL DETAIL REPORT - COST CENTER SEQUENCE FOR: 03/01/13 - 03/31/13 ACe! NUNEER & DiSC DATE l,lE~1O REFERENCE JOURlIAL CSI/BAT/SEQ ACTIVITY 40040014 RETlRENENT -CALHOUN C 03/01/13 REVERSE ACCRUAL PR 192103 851 -66,71 03/01/13 PAY-P,02/12/13 03/01/13 PR 192114 440 13O,E1 (,/ 03/21/13 PAY-P. 03/0E/13 OJ/21/13 PR 19211E 601 m.33 03/31/13 Accrual uDays" 10 PR 192118 850 95,20 03/31 ACTIVITY/END BALliNCE 292.69 40220014 SUPPLIES GENERAL -CALHO BEGINNING EALliNCE AS OF: 03/01/13 03/31/13 AUTD-TRAN/EXP ,REPORT 000000 ~Jr.I 03/31 ACTIVITY/END BALANCE 25 !1 24 13.2E ./ 13.2E 40450014 REIMBURSEllENT BEGINNING AND ENDING BALANCE: COST CENTER TOTAL: 5,6E0.4E ENDING BALANCE GRAND TOTAL: GRAND TOTAL AcrIVITY: PAGE 2 GLGI,DC BALANCE 330.32 .00 13.2E ~Bt 877.55 6,6E5,33 5)680.48 RUN DATE: 03/07/13 THIE: 12:55 IlEMORIAl, MEDICAl, CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13 PAGEt 1 APOPEG VEND#.NAME,....... 0............... to .CLS.INVOICEjf....... ..M Of.1HV DT.DUE DT,CK DT. .PC...... .GROSS'.... .DISC.. .... .NO.PAY....... .NET A1350 AcrIOG LUNBER DEPT REPAIR DIS'I'ARY II 30705 022513 021513 031113 192,00 ,00 192.00 v' DEPT REPAIR DIETARY 30m 022513 021513 031113 192.00 .00 192.00 v' 'IOO'ALS.... ..,...... ..,...... ".,... .....", ,,: 381.00 .00 381,00 A1680 AIROAS-SOUTffilEST SUPPLIES PLANT OPS 1I 9012887762 022813 D21113 031013 278.83 .00 278.83--- SUPPLIES PLANT OPS 9012980612 022813 021913 031813 2697.32 .00 2697.32.1 TOTALS.. o. ....... ......... It .............. to.: 2976.15 .00 2976.15 Al645 ALCON WlORATORIES INC 2-2-2- REBATE II 14885160 022813 021813 031713 -160.17 ,00 -160.17 ... LENSES 11936205 022813 021813 031713 656,00 .00 656.00 v TOTALS.. .. ,. , .. ,. . "... ,..., .. ,. ,..... ......., 195,83 .00 m,83 A2276 ARTHROCARE NEDICAL CORPORA -"" SUPPLIES SURGERY M 91108263 022513 022013 031913 229,70 .00 229.70 / TOTALS.. .,...,. ".. ", , , , ... .., .,..,. . "",. ,: 229.70 .00-- 229,70 10822 AUXO MEDICAL, LLC 9750.00/ DO"" PAYI!ENT SUROEllY 24425 030713 030601 030601 9750,00 .00 R..\!....,\.;sh..J H~r..\.a"i TOTALS",. ., , " ,.,..., ,.. ., , ,., ..;.,. .,..,. . " 9750,00 ,00 9750.00 BI075 BAXTER HEALTKCARC CORP SUPPLIES CS INV I! 39467762 022513 021413 031313 133,21 .00 433,21/ TOTALS....... "....."... ,............"...." 133.21 .00 133.21 B1220 BEC>>IAN COULTER INC SUPPLIES LA II 103338251 022613 020513 031513 129.00 .00 129.00 --- LBASE/MAINTENANCE LAB 5287989 022613 021213 031113 314D.19 ,00 3440,19 ,/ RENTAL/LEASE LAB 5287997 022813 031213 031113 3933.48 .00 3033.48~ IlO'rALS.. to. .... .......... ..... ............ '0'; 7502.67 ,00 7502,67 B1655 BOSTON SCIENTIFIC C08PORAT SUPPLIES SDRGERY II 935644921 022513 021813 031713 454.00 .00 154,00' 'rOT-AM,....................,... .....: to .0.....: 154.00 .00 45"4.0 0 10197 8R HEALTBCARE SERVICES OUTSIDE SRV ADIllN 758 022813 022013 022013 950.00 ,00 950.00 ~ OUTSIDE SRV ADMIN 762 022813 022013 022013 950,00 ,00 950,00 ...- TOTALS.....,..."...,.,..",....,........... .: 19DO,DO ,00 1900.00 B1800 BRIGGS REALTBCARE SUPPLIES I'~l CLINIC I! 6904850R. 022813 021913 031813 321,91 .00 324,91 ~ TOTALS.,.. ... ,.,.., .,.... ........ ......, ,.,." 321,91 .00 324.91 B0437 C R BARD INC --- SIJPPLIES N 61219744 022813 021813 031713 67.00 .00 67.90 TOTALS.......................................l 61.90 .00 67.90 CI018 CALHOUN COUN'lY FUEL W 24425 022813 030613 030613 278,99 .00 278.99' RlJll DATE: 03/07/13 TI!lE, 12,55 MEI40RIAL l'IEDlCAL CENTER >J! on~ INVOICE LIST THRU DUE DATE OF 03/19/13 PAGE, 2 APOPEN VEND~.~"lE....,............,........ .CLS,INVOICE#........ .TRN DT.INV DT.DUE DT,CK DT. ,PC...... .GRDSS,.. ..DISC... ...~O"PAY....... ,NET TOTALS....,....",....,...,.......".",..... , 278.99 ,00 278,99 10650 CAREFUSIO~ 2200, LNC INSTRm,IENTS IDol CLINIC 9101008129 022813 012113 022013 91.23 ,00 91.23 ..-/ TOTALS........................ to........ to...: 91.23 ,00 91,23 C1992 COli OOVE~IEN'r, I~'C. ~ OFFICE SUPPLIES PFS II X832895 022513 021513 031713 160,07 .00 160.07 8UPPLI~S IT X819526 022513 021513 031413 51.92 ,00 51.92 - SUPPLIES IT X879948 022813 021813 031713 432.38 .DO 432.38 ~ TOTALS,....."............................... : 644.37 .00 644,37 10350 CENTURION M~DICAL PRODUCTS SUPPLIES RADIOLOGY 91223521 022513 022013 031913 278.00 ,DO 27UO - SUPPLIES CS INV 91221463 022613 021813 031713 674.19 ,DO 674,19 --- TOTALS. .........0... ...... .... to .... to. t.. ",: 952.19 .00 952,19 10120 ClIRIS RIllIlREZ, JR. CONTINDING ED VARIOUS 1030D5 022813 D22813 031313 815.00 .00 815.00 --- TOTALS. to...,....... to,... to........... ......1 815.00 ,00 815.00 C2510 CPSI SOFTNARR M 781531 022813 021313 D21313 1296.00 .00 129.,00/ STATEM~NT PROCESSI~G 785006 022813 022013 022013 67.20 ,00 61.20./ EROS 185527 022813 022113 022113 275,91 .00 275.94/ TOTALS.,................".....".,.......... , 1639.14 .00 1639.14 C1113 CYGNDS MEDICAL LLC 230.00/ SIIPPLIES SURGERY M 90714 022513 021413 031613 230.00 ,00 TOTllLS.... ...... .................. .... .... ..., 230.00 .00 230.00 01500 O~LL MARKETI~G L.P, SIIPPLIES U I~ XJ3912R26 022513 021513 031113 1990.10 ,OU 1990.70 / tOTALS...... "'0' ...... ...... ..... .... .......1 1990.70 .00 1990,10 10368 OEVIIT'r POW & SON OFFICE SUPPLIES VARIOUS 359549-0 021913 021113 031513 224.99 .00 224.99 / OFFICE SUPPLIES RADIOLOGY 35971H 021913 021313 031513 16.50 .00 16,50/ OFFICE SUPPLIES PURCHASIN 359719"0 021913 021313 031513 10.15 ,00 10.15/ OFFICE SUPPLISS CS INV 359743"0 021913 021313 D31513 22.13 ,OD 22.73 ./ OFFICE SUPPLIES MN CLINIC 359749"0 021913 021313 031513 175.51 .00 175,51/ DPFICE SUPPLI~S HIM 360052-0 021913 021513 031513 140,48 .00 140.48/ OFFICE SUPPLIES CS INV 360051-0 021913 021513 031513 365.00 .00 365.00 OPFlC~ SlJPPLISS CS INV 36D177-D 021913 021813 031613 20,09 .00 28.09/ OFFIC~ SUPPLI~S MIl CLI~rc 360445-0 022513 022013 031513 146.32 .00 146,32/ OFFICE SUPPLIES 11M CLINI 36045H 022513 022013 031513 16.29 .00 15,29/ OFFICE SUPPLI~S PURCRASIN 3.0468-0 022513 D22013 D31513 10.52 ,00 10.52/ OFFICE SUPPLIES CS INV 360490-0 022513 022013 031513 236.42 .00 236.42 / OFFICE SUPPLIES MN CLINIC 360496-0 022513 022013 031513 72.50 ,00 72.50/ OFFIC~ SUPPLIES 11M CLINIC 360439-0 022813 022013 031513 251.10 .DO 251.10/ OFFIC~ SUPPLIES IMIC CLIMI 360439-1 022813 012213 031513 19.66 .00 19.66./" RUN DATE' 03/07/13 TIIOl, 12.55 MEllORIl\L MEDICAL CENTER AP OPEN INVOICK LIS1' THRU DUE DATE OF 03/19/13 PAGE' 3 APOPEN VEllDt.NMOl......................... ..CLS.INVOICEt....,,' ..TRI>l DT.INV OT.DUE DT.CK DT..l'C... ....CROSS..., ,DISC.... ..NO.PAY. , "....NET OFPICE SUPPLIES 1m CLINIC 360614.0 022813 022113 031513 22.07 ,00 22,07/ OFFICK SUPPLIES ACCDIJIITI 361069-0 022813 022513 031513 4,13 ,00 4,13"/ OFFICE SUPPLIES ACCOUNl'IN 361069-1 022813 022513 031513 15,69 .00 15,69 OFFICE SUPPLIES VMlIDUS 361104-0 022813 022613 031513 25.46 ,DO 25.46~ OFFICE SUPP1IES Hm 361149.0 022813 022613 031513 48,00 ,00 18.00/ OFFICE SUPPLIES CS INV 361267-0 022813 022713 031513 259.08 ,00 259.08./ OFFICE SUPPLIES AIljIN 361319-0 022813 022113 031513 221.24 ,00 224.24 " OFFICE SUPPLIES ACCT 361467-0 022813 030113 031513 95,53 .00 95.53/ OFFICE SUPPLIES PURCHASIN 361468-0 022813 022813 031513 6.56 .00 6.56 ./ OFFICE SUPPLIES SURGER1 361532-U 022813 030113 031513 25.67 .00 25.61/ TOTALS. .... .... ... ... .. . .,. . ... ........... ... : 2461.69 ,DO 2m.69 01608 DIVERSIFIED BUSINESS SYSTE / OFFICE SUPPLIES PT fl 23865 022513 022013 031913 45.00 ,00 45.00 TOTALS..... , ... ... , .. ,. . ... . . ., ........ .. , ... : 45,00 ,00 45,00 ED500 EAGLE FIRE . SAFETY INC ODTSlDE SRV PLAN'r OPS H 46970 022513 D21513 031413 120.00 .00 120.00/ TOTALS, ..........., .......... ............,.... 120,00 .00 120.00 EI090 BDWMlDS LIFE SCIENCES 51.98 / SUPPLIES SURGERY I-I 2379902 022513 021913 031613 5l,~8 .00 'lOT~LS..... I......,..... II.'.............. It. 1 51.98 ,00 51.~8 E1268 ENTERPRISE RENT-A-CAR 116,22 / TRAVEL EXPENSE ADflIN II 105256 022813 D2l913 031813 416,22 ,00 TOTALS,.............. _"....................., 416,22 .00 116,22 10701 FAGAN ANSWERING SERVICK AN 76.16/ OUTSIDE SRV Ilm-IEN CENTER 77117 022813 022213 022213 76,16 ,00 TOTALS".,........., ..... ................. ..., 16.16 .00 76.16 FI050 FASTENAL CO!IPANY / SUPPLIES BIOIlSD (.I TXl'0'l'117459 022813 020813 031013 7,81 ,00 7,81 TOTALS"........,.....,......,..,......,..... , 7.61 ,00 7,81 F14DO FISHER HEALTHCARE / SUPPLIES LAB H 6483143 022613 021513 031413 1013.71 .00 1013,11 I SUPPLIES LAB 6564063 022813 021913 031613 S32,41 .00 832.41 / SUPPLIES LlUl 6607675 022813 022013 031913 619.26 ,DO 619,26 SUPPLIES LAB 6607680 022813 022013 031913 830,69 .00 830,69/ TOTALS........ ...... .......... ... ............, 3296,07 .00 3296.07 G04Dl GULF COAST DELIVERY 100.00 ,./ OUTSIDE SRV FEBRUMlY 24120 022613 022813 031513 100,00 ,DO TOTALS.,.. ...." ,.., "." ,...... ,....... ,..,.. 100,00 .00 lOUD A1292 GULF COAST HARDI1MlE / ACE DEPT REPAIR OP II 014271 021913 021413 031313 33.96 .00 33.96/ INSTRUl-IEIIr REPAIR SURGERY 014151 022813 020813 030713 .62 .00 ,62/ TOTALS..............,......... It.....,.......1 34.58 .00 34.58 G1210 GULF COAST PAPER COMPANY SUPPLIES HOUSEKEEPING H 531885 022513 021913 031813 15~.02 .00 159.02 / RUN DATE' 03/07/13 Tl"E, 12:55 1IEII0RIAL IlEDlCA!. CENTER AP OPEN I~OICE LIST THRU DOE DATE OF 05/19/15 PAGE, 1 APOPES VEIlD~.SAlo).......................... .CLS.I~OICE#....... ..TEN nT.IIN nT.DUE DT,CK DT..PC..... ..GROSS.,.. ,DISC.... ..NO-PAy,...... .NtT TOTALS.... "............. II.... 11..,.........1 159.02 .00 159.02 H0050 R E BUTT GROCERY SUPPLIES DIETARY U 001305 022815 020715 030615 255.05 .00 255,03 ..- SUPPLIES DIETARY 012707 022815 021215 051115 16B.46 .00 168.46_ SUPPLIES DIETARY 017026 022815 021415 051315 145,91 .00 115,91 / SUPPLIES DIETARY 085891 022815 D15l1l 022815 174.40 ,00 174.4D/ 'XO'l'ALS. II ......... 10. .". .......... ..........1 725.BO .00 725,80 H1268 HEARTLAND HEDlCAL SPECIALT 181.05 / SUPPtlES CARDIO 11 15-20211 022813 012913 022815 181.05 .00 TOTALS....,.. ,.. ......... ..................." IBl,D5 .00 181.05 H1399 HILL-ROM CO"PANY. I~ lUllllAL MED SURG 11 7967116 022815 105112 113012 118,50 .00 148.50/ TOTAIrS..... II '" ......... .... ,............ ...t 118.50 .00 148.50 R1850 HOSPIAA WORLDWIDE, INC PHARMACEUTICALS M 917618112 022813 021115 D31015 269.93 .00 269.95 / 'rOTALS.. "'" ....... ...., .......... ..........1 269.95 .00 269,95 10344 INCISIVE SIlllGICAL 299.00/ S!JPPLIES CS lEV 85188 022813 022015 031913 299.DO .00 TOTALS..........,..,.,.."""............... , 299,DO .00 299.00 10115 INDEPENDENCE ImOICAL ) SUPPLIES CS lEV 28097545 022815 022013 051915 25,68 .00 23.68 SUPPtlES CS lEV 28mm 022813 022613 10.07 .00 10.07/ TOTALS........................ ......,........, 33,75 .00 53,75 JD150 J & J HEALTH CARE SYSTEIIS, 214.76/ SUPPLIES SURGERY 909565321 022613 D21813 031113 214.76 ,00 TOTALS...... . ..... , , .,.. . ... ........ ...... .. .: 214.76 .00 211.76 10578 LllIUNmI ENEHGY CO~IP.!NY LL NATuRAL GAS IHV0517594 013113 020113031913 4366.23 .00 4566.25/ TOTALS...........,... ................"",.", 4366,23 .00 4366.23 R1452 I1aRISSA SUTHERLAND 1715,00/ FLEX SPENO REIMBURSE tI 24421 D22813 D30513 030515 1715.00 .00 TOTALS..............,....................... .. 1715.00 .00 1715.00 M2659 "ERRY X-RAY/SOURCEONE HEAL 91.45 ) SUPPLIES RADIOLOGY II 50D935D3997 022513 021415 031715 91.45 .00 SUPPLIES CT SCAN 50095500587 022813 021115 031015 117.66 .00 417,66~ SUPPLIES CT SCAN 50093500588 D22813 021113 031013 156.12 .00 136.12 j SUPPLIES VARIOUS 3D0935D2813 022813 021313 031215 710.54 .00 710.54 '/ SUPPLIES RADIOLOGY 30093506181 022BI3 021813 031113 37.14 .00 57.11 TOTALS".............. ......................... ~ 1392,71 .00 1392.71 10441 fmlC EMPLOYEE BENEFITS IIEEKLY CLAIt<S 18571 022815 021113 022113 4718.75 .00 4718.75/ RUN DATE' 03/07/13 TIllE, 12:55 MElIORIAL MIlDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OP 03/19/13 PAGE' 5 APOPEN VENDU.NAllE....................... ....CLS.INVOIC'U..... ....TEN DT.IllV DT.DUE DT,CK UT, ,PC..... ..GROSS... ..D1SC.... ..MO.PAY......, ,MIlT TOTALS.,..".....,.,.."..................... : 4718.75 ,00 4718,75 1053. }'ORRU & DICKSON CO, LLC PllAllllACEUTlCALS 4339750 022813 022013 031013 536,97 ,DO 536,97 f PHAlUl.\CEUTlCALS 4357J09 022813 022513 OJI013 5,53 ,00 5,53 PHAlUl.\CEUTICALS 4357310 022813 022513 031013 2470,94 ,00 2470,94./ PllAlllIACE1JTlCALS 4358151 022813 022613 031013 25.59 .00 25.69/ PHARMACE1JTlCALS 4353930 022813 022713 031013 22.87 ,00 22,87/ PHARMACE1JTlCALS 43.3931 022813 022713 031013 JD12.99 ,00 J012.99~ PHAlUl.\CE1JTICALS 43.7421 022813 022813 031013 419.57 .00 419.57 PHARMACE1JTlCALS 4367422 022813 022813 031013 663.83 .00 663.83/ DHARMACE1JTlCALS 4357423 022813 022813 031013 50.82 .OD 5D.82~ DllARIlACE1JTlCALS 4357839 022813 022813 031013 211.48 .00 211,48 PllAlllIACEUTlCALS 4358709 022813 022813 031013 3931.72 "".00 39Jl.72/ PllAllllACEUTlCAL CREDITQ 600J 022813 022513 031013 -1579.59 .00 -1579.59/ PHARMACY SRV CEG scom 022813 022613 031013 46.34 ,DO 46,34/ TOTALS...,.... ........ .... ....... ,.. ".. .....: 9821.16 .00 9821,16 N3856 I~STAIN & ASSOCIATES 48.55/ COLLECTIONS 11 fEB2013 022813 022813 022813 48.65 .DO COLLECTIONS JAN2013 022813 013113 022813 137,67 .00 137.57/ TOTALS........ .of. ............ to..,..,.. to...: lS6.32 .00 186.J2 A2252 NADINE GARlIER 319,5J / TRAVEL EI'J' IN!' CON'lROL 11 21422 022813 030513 030613 J49.63 .00 TOTALS,....".,..,...".,.".....,........... , 349.53 ,00 319.53 10818 NIELSEN HEALTHCARE GROUP, / OUTSIDE SRV ADMIN KS2DIJ0218 022813 021813 OJ1813 8800.00 .00 8800.DO Rec....'.l-""......4- - TOTALS."...,...,...,..."................... , 8800.00 ,00 OOOO.DO !<.o\,e<' ~<l.(cli N125D NIJRSE-ORI SUPPLIES CS IMP N 00011985 022813 012413 D22313 99.20 .00 99,20/ 'I'O'l'ALS.., ....... ........ ......t......, ..... t.: 99.20 .00 99.20 N1225 NIJT8ITION OPTIONS PROfESSIONAL P'E VARIOUS II FEB2013 02281J 022813 022813 3000.00 .00 3000,00/ TOTALS".. ..,...,... ......,. ......,..,." "',' 3000.00 ,00 JOOO.OD 10955 OPTOI' 299,95/ SUPPLIES KIN II 80011152403 022813 010113 011513 299.95 .00 TOTALS....... ....., ,....... . ...... ...... ....., 299.95 .00 299.95 OM425 OWENS . MINOR / SUPPLIES CS lEV 2058575 022513 021913 031013 81.32 ,00 81.32 SUPPLIES CS INV 2058592 022513 021913 031813 23.45 ,00 23.46 :/ SUPPLIES SURGERY 2058593 022513 021913 031813 208.01 .00 208.01 SUPPLIES PT 2058540 022513 021913 031813 159,23 .00 159.23/ SUPPLIES OI'TARY 2058557 02251J 021913 031813 27.77 .00 27.77;; SUPPLIES VARIOUS 2058903 022513 021913 031813 4393,79 .00 1393,79 SUPPLIES SURGERY 205384J 022813 020713 030513 E42.1D .00 842,10 ...-- RUN DATE, 03/01/13 TnlE, 12,55 MEI.IORIAL HEDICAL CElI'l'ER AP OPEN INVOICE LIST THRU DIIE DATE OF 03/19/13 pAGli, 6 APOPEN VENDU.lillIL.............,....,..... .CLS.INVOICE~...... ...TRN DT.INV DT.DUE DT.CK DT..pC".. ,..GROSS.... .DISC..... .ND-pAY......, ,NET SUPPLIES SURGERY CREDIT 2051918 022813 021113 031013 -40.60 ,00 -10.60/ SUPPLIES SURGERY 2056565 022813 021113 031313 113.58 .00 113.58./ SUPPLIES VllRIOUS 2056610 022813 020113 D30313 250.01 .00 250.0V' SUPPLIES CARDIO 2056681 022813 021113 D31313 11.25 .00 44.25---- SUPPLIES CARDIO 2056116 022813 021113 031313 11.25 .00 44.25/ SUPPLIES VARIOUS 2056929 022813 021113 D31313 1388.53 ,00 1388.53..... TOTALS,.................................,... ., 1535.76 ,00 7535.16 P1816 POLYMEDCO INC. SUPPLIES LAB [~ 1011013 022813 021913 031813 125.26 .00 125,26 ,--- TOl'ALS. ...... .... ... ..... ,...' ..... ... " '" ..; 125.26 .00 125.26 1'2200 POllER ELECTRIC DEPT REPAIR SURGERY II 162252 022813 021413 031313 4.68 ,00 1.68/ TOTALS,..,... .... ......., ,.... ..............., 4.68 .00 1.68 T0500 PRISCILLA STEPHENS 21232,92 ./ FEBRUARY I{oNTH END 1'1 21126 030713 030513 030513 27232.92 ,00 TOTA'&S..,... ". I........,.....,.......,......: 27232.92 .DO 21232.92 R1268 RADIOLOGY UNLIHITED, PA / RElUIING FEES II 24398 022813 113012 123012 35.00 .00 35.00 RElUIING FEES 24424 022813 083112 093012 10.00 .00 1D.00'--- TMALS.....................,......,.......... : 105.00 .00 105.00 10812 ROBERT TlIABDY / TRAVEL EXPENSE NM CLINIC 21399 022813 022613 022613 216,70 .00 216.70 <rorALS. .... .. .... .. .... .. " .. ..... .. ... ......; 216.70 ,00 216,70 S1800 SHERWIN WILLIM~S DEpr RSPAIR BSHAVIORAL HE 1'1 1054-0 022813 022013 D31913 25.15 .00 / 25.15 / DEPT RSPAIR BEHAVIORAL H 7081-0 022813 022113 031313 193.11 .00 193.14 TOTALS.. .. .. . ... , ,...., .. .. . ..,.. ... ... ..,... , 218.29 ,00 218,29 00350 SI!:M!:NS HEALTHCARE DIAGNOS 3519,21/ SUPPLIES Ll\ll K 971685489 022813 021813 031113. 3519,27 .00 SUPPLIES Ll\ll 911689705 022813 021913 031813 263.68 .00 263.68/ TOTALS....... ,.., ...... ........ ,......, ,.. ,.." 3782,95 .00 3182.95 10699 SIGN AD, LTD. ADVERTISING ~utRCH 62040-2 163739 030513 030113 031013 315.00 .00 375.00/ TOTALS "" . .. .. ..,... .. ,.... .. I..... . . . I .. .. I : 375,00 .00 315.00 S24DD SO nx BLOOD & ussrm CEN'!' -4016.001 BLOOD BANK CRSDIT fl 28130448 022813 021913 031813 -1046,00 .80 suaPLIES BLOOD BAlIK 28130514 022813 021913 031813 1868.00 .00 1868,00 TOTALS... ,... .... ........ ... ..,..... ,.. ......: 3822.00 .00 3822.00 S2694 STANFORD VACUUM SERVICE /' OUTSIDE SRV DIETARY PEB ~I 793887 022813 021113 031013 320.00 .00 320.00 'MAtS....... ....... ........ ........ .........: 320.00 .00 320.00 10135 81RmR SUSTAINABIJ.ITY / SUPPLIES SURGERY 1842262 022813 021913 031813 222,45 ,OD 222.45 RUN D~TE. 03/07/13 TINE. !a.55 flEMORIAL IIEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/19113 PAGE. 7 APDPEN VElIDl.NAlIU.::.... I .,.............. I... ..CLS.INVOICEI. II..... .TIm D'1'.INV DT.DUE DT.eK 00. .PC...... .GROSS... HUlse.. to. .~lO-PAY....... .NET TOTALS............ II............ .............: 222.15 .00 222.15 S2951 SYSCO FOOD SERVICES OF 861.60/ SUPPLIE8 DIETARY Ii 302 0710 96 022813 020713 022713 861,60 .00 SUPPLIES DIETARY 302140938 022813 021113 030612 1059.15 .00 1059.15 v' SUPPLIES DIETARY 302211121 022813 022113 031313 1242.91 .00 1242,91/ SUPPLIES DIETARY 3022B079D 022813 022813 031913 1056.12 ,00 1056,12/ TOTALS................... .....,.... II........: 4220.38 ,00 4220,38 10821 TEXAS LAl<ESIDE RV RESORT, /' TRAVEL MIl CLImc 100 030713 022813 022013 700,00 .00 700,00 R,I-\<<rJ1 'l'OTAltS... ...... ........ ................ .... ,.1 700,00 .DO 700,00 T2204 TEICAS MUTUAL INSURANCE co INSURANCE 2/1 - 2/20 ~1 24419 022813 030113 031013 6102.00 .DO 6102,00 v' 'to'1'ALs.......................................: 6102.00 ,00 6102,00 S2679 THE ST JOHN COMPANIES, INC SUPPLIES LAll M 08081721 022813 021213 031113 217,25 ,00 217.25/ SUPPLIES MAlillO 08088042 022813 022013 031913 509.10 .00 509.10/ TOTALS......, "" ........ ..... ............. ..: 726,35 .00 726,35 VI050 THE VICTORIA ADVOCAT8 SUBSCRIPTION N 975229 022813 020213 030113 12.10 .00 12,40/ SUBSCRIPTION 976943 022013 020913 030813 12.10 .00 12.10/ SUBSCRIPTION 977407 022813 021613 031513 12.10 .00 1UO/ TOTALS.... . ......... ..... .,....... ......... ..: 37.20 ,00 37,20 10732 THERACON, LU: 975.00 / PHARMACErrrIC~LS 73512458-301 022813 021813 031713 975.00 .00 TOTALS..."..",.,.,..............,...,..., ..1 975.00 .00 975,00 10192 ~HIE 4m,001 LIi\BILITY INS!lRANCE FEBRQ 24116 022813 022813 022813 4118.00 .00 LIi\BILITY INS!lRANCE JANU~ 24417 022813 022813 022813 4118.00 .00 4llS.00 TOTALS..,.... .,.."., ,.., ,;."...,....,.,..... 8236.00 .00 8236,00 TD801 TLC STAFFING CONTRACT NUESE leu II IlOl7 013113 012213 022113 1737.73 .00 y lm.73 CONTRACT NURSE IlOI7-0 013113 012213 022113 1307.53 ,00 1307.53 CONTRAC'l' NURSE I~EDSUllG Il067 020713 012913 022813 1917.24 .00 1917,241 CONTRACT NURSE IlI02 021813 021213 031413 523.75 .00 523.75 TOTALS....... .,...................... ........t 5486.25 ,00 .--o~ 37'-!IM52 TI724 TOSHIBA AMERICA IIEDICAL BY 2100.00 / DEPT REPAIR CT 40045110 022813 011513 021413 2100.00 .00 TO'rALS.......... ,.................0..... .... '0 2100,00 .00 2100,00 U1D54 UNIFIRST HOLDINGS LlIUNDRY lIAIN'1ENAN<:E II 8150801143 021913 021913 031813 35,91 ,00 35,SI/ TO'/ALS..,. ....."..,.... ,....... .... .... ...,.1 35.91 .00 35.91 UID6I UNIFIEST HOLDINGS IRC LlIUNDRY H08PITAL LINEN 8100111176 021913 021513 031413 7D7,78 ,00 707,78./ RUN DA1EI 03/07/13 11ME. 12.55 MEMORIAL MEDICAL CEN'lER AP OPEN INVOICE LIS1 1HRU DUE DATE OF 03/19/13 PAGE. 8 APOPEN VEm>#.NI.lfE.......................... .CLS.INVOICE3.. ..... ..TRN DT,IlN DT,DUE DT.CK DT..PC..... ..GROSS.., ..DISC..... .NO-PAY.... ....NET LAUNDRY SURGERY 8400141177 021913 021513 031413 348.59 ,00 LAUNDRY HDSPI1AL LINEN 8400141325 021913 021913 031813 890,10 .DD LAUNDRY HOUSEKEEPINO 8400111326 021913 021913 031813 206,95 ,00 LAUNDRY PLAZA 8400111327 021913 021913 031813 173,96 ,00 LAUNDRY DIETAlIY 840014im 021913 021913 031813 188,46 .00 LAUNDRY OB 8400141329 021913 021913 031813 86.70 ,DO LAUNDRY HOUSEKEEPlNO 8400141330 021913 021913 031813 94.35 .00 LAUNDRY DIETARY SCRUllS 8400140970 022813 021213 031113 56.58 .00 LAUNDRY DIETAlIY SCRUBS 8400141388 022813 021913 031813 56,10 ,00 'I'OTALS............. .......... I.......... to. ..1 2809.57 .00 10450 001 DRUO CO, LLC SUPPLIES NURSERY 16255 022513 021813 031713 39.95 .00 10nLS................................ ..... ... 38.95 .00 U1350 UPS SHIPPING CHARGES VARIOUS 11 0000778941073 022813 021613 022713 429.88 .00 TOTALS.. ... ..... ...,. ....... ...... ...... ...... 42U8 .00 10172 US FUOD SERVICE SUPPLIES DIETARY SUPPLIES DIETAlIY SUPPLIES DIErARY SUPPLIES DIE1ARY SUPPLIES DIE'lARY SUPPLIES D!llTAlIY SUPPLIES DISTAllY SUPPLISS DISTAllY SUPPLIES DIETAlIY SUPPLIES DISTAllY 4736882 022813 010413 012413 5080322 022813 012413 021313 5108307 022813 012513 021513 5242042 022813 020213 022213 5314668 022813 020713 022713 5334511 022813 020713 022713 5375425 012811 021113 030113 5446444 022813 021413 030313 5570594 022813 022113 031313 5701736 022813 022813 031913 101ALS.....,....." ....,...."........"."... V0555 VERIZON SOUTHWESI TELEPHONES TELEPHONES 1ELEPHONES TELEPHONES M 55226460Z1613 5525926021613 5521567021913 1977697021913 D22513 021613 031313 022513 021613 031313 . 022613 021913 031613 022913 021913 031613 rO'I'ALs... ...... ............... .......... .....: 10819 VIIS SAN AN'l'ONIO PAlITNERS, CONTINUING EDUCATION ER 24399 022813 020613 020613 'l'O'l'ALS....... ...... .......... .............. to: moos IIALflAl\T COWWNITY MISCELLANEOUS PURCHASBS W 0111-0216 022513 021613 031413 TOTALS...... II................. .......... to"; GRAND TOTALS"...,.,.,...".",. O\lIaO"'" tlGSiflS2D7D APPR H ~o ... MAR 0 7 2013 ""b2.l::>D ~ C(lijlllTV AUDITOR 11/)7..0'7"1 ,p fJ'I5") /."2.01w:' J>;l.13l> 38.70 232.49 60.83 118.92 416l.60 129,77 619.83 3762.05 3990.39 3650.09 16753.56 111.38 .00 109.13 .00 43.43 .00 58.39 .00 322 ,32 .00 250,00 .00 250,00 .00 745.34 ,00 745,34 ,00 349.59/ 890.10/ 206.95/" 173,96/ 188.46/ 86,70/ 91.35/ 56.59/ 56.10 28D9.57 38.95/ 38.95 429,89/ 429.88 .00 ,00 .00 ,00 .00 .00 ,DD .DO ,00 ,00 .00 3s'7D/I m.49 60.93/ 119.82// 4161.60 129.77/ 619.83/ 3762.05/ 3980.39/ 3650.09/ 16753,56 111.38/ 109.13// 43.43 58.38/ 322.32 250.00/ 250.00 745,34.1 745.34 169237,99 .00 169237.98 c.".d-""',,?:>'1 <: 1,1:3'1.73> ~ 1YJAJ:.rJ ~~l 50D. ~ 5 Michael J. Pfeifer Calhoun County Judge Date: "$/Ib-l}_-- RUN DATE'D3/D7/13 TIIoJE,13:35 IoJEMORIAL IoJEDICAL CEM'l'ER EDIT LIST FOR BATCH 556 1332 CRT#556 TRANSACTION SEQUENCE PAGE 1 GLEDIT ACCOUllr A,H,A, SEQ. NUlIBER MUllBER TRANS DATE JOURNAL AII0Ullr SUB-LED REFERENCE MEllO G.L, ACCOUllr DESCRIPTION 1 20000000 2 60320000 03/07/13 PJ 03/07/13 PJ 9,292.48CR 10441 9,292.49 10441 24427 24427 !!MC EMPLOYEE BENEFITS ~mIC EMPLOYEE BENEFITS INV DT=03/07/13 DUS=030713 EIIPL EXP HOSP INSORN-OTHER 90320000 20882 48854 - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRlIO COUllr DEBIT PJ 1303 2 9,292.49 TOTAL 2 8,292.49 CREDIT 9,292.49 8,292.49 AlP TOTAL 9,292.49 ACCOUllr TOTAL RECAP ON NEXT PAGE oiPC! fj6!1 / ~ 'J-- APPROVED UAD 0 7 ~;".) 1'1I'I1\ tu I,) COUNTY AUDITOR JjJ;'J,J~-*~ Michael J. Pfeifer Calhoun County Judge Date: 3- I~ JI 3 RUN DATE: D3/14/13 THIE: 16:05 lIEI~ORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13 PAGE: 1 APOPEN VEND~.NAlIE..,."..,...........,..""CLS,INVOICE~",."",TRN DT.INV DT.DUE DT.CK DT..PC....".GROSS.,..,DISC...",NO-PAY"......NET AllDO ABBOTT LABORATORIES SUPPLIES DIETARY I~ 600982727 022813 022513 032413 76,64 .00 76.64 TOTALS",.....",.,."..".",........,...." : 76,64 .00 76,64 A135D ACTION Lm~BER SUPPLIES PLANT OPS W 30830 022813 022213 032113 128.00 .00 128.00 TOTALS..,......."..."",.,..,..,...,....... : 128.00 .00 128.00 10554 ALLIED WASTE SERVICES #847 WASTE REHOVAL 0847-000501078 031113 022613 031813 1080.80 .00 1080,80 TOTALS,.,..,.."..""..,.,."...."..,...." : 1080.80 .00 1080.80 A136D A14ERISOURCEBERGEN DRUG COR PIlARNACEUTICALS W 711204218 031113 030113 D32513 732.00 ,00 732.00 PllARlIACEUTICALS 711209982 031113 030113 032513 138.36 ,00 138.36 PIlARNACEUTICALS 711381877 031113 D3D613 032513 198.85 ,00 198.85 PHARJ4ACEUTICALS 711497939 031113 030813 032513 240.30 .00 240.30 TOTALS................................,....,. : 1309,51 .00 1309.51 A2218 AQUA BEVERAGE COl~PANY SUPPLIES LAB H 457494 031113 022813 032513 10.59 .00 10.59 TOTALS..."""..,.,.."""...........",.. " 10.59 ,00 10,59 A226D ARROW INTERNATIONAL INC SUPPLIES CS INV II 4316407 022813 021913 032113 519.02 .00 519.02 TOTALS,....,.........,...,.,....",.."".." : 519.02 .00 519,02 A26DO AUTO PARTS & lIACHINE CO, SUPPLIES BIOl~ED W 656732 031113 100412 110312 4.18 .00 4.18 SUPPLIES TRANSPORTATION 665858 031113 010213 020113 48,60 ,00 48.60 TOTALS.,.............................,..,.." : 52,78 ,DO 52,78 BI075 BAXTER HEALTHCARE CORP SUPPLIES CS INV II 39520486 022813 022213 032113 221.20 .00 221.20 TOTALS....".,........................,...... : 221. 20 ,00 221.20 B1220 BECKlIAN COULTER INC SUPPLIES LAB 1'1 103358923 031113 022613 032513 825.51 .00 825,51 TOTALS.,....,..,.""...."..,....,."....,.. , 825.51 .00 825,51 10599 BKD, LLP - AUDITING FEES BKOO146617 031113 022113 032013 17185.43 .00 17185.43 TOTALS"...,.."..,.,.,. '..."..,.. ;........." 17185.43 .00 17185.43 10497 BR HEALTHCARE SERVICES OUTSIDE SRV. 767 031113 030713 030713 10500.00 ,00 10500,00 TOTALS.,...""".,.....",..,..........,..., , 10500,00 .00 10500.00 B18DO BRIGGS HEALTHCARE SUPPLIES NURSERY l~ 6904395RI 022813 021913 032113 228.16 .00 228.16 TOTALS",..,....""...,...,....,.,. ,....,..,: 228.16 ,00 228,16 CI03D CAL COH FEDERAL CREDIT UNI EHPLOYEE DEDUCTION W 18379 031213 030713 030713 25.00 .00 25.00 RUN DATE: 03/14/13 TI1~E: 16:05 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13 PAGE: 2 APOPEN VEND#.NM~E.....,..",.,..",..",.,..CLS,INVOICE#.",..,.,TRN DT.INV DT.DUE DT.CK DT..PC.",.,.GROSS.,...DISC.,..,.NO-PAY......,.NET TOTALS.,.,.....,...........,.,."""..",.. ,: 25,00 .00 25.00 A1825 CARDINAL HEALTH SUPPLIES NUC MEC 14 08108534 031113 021513 021513 499.04 ,00 499.04 SUPPLIES NUC lIED 08108551 031113 022213 022213 470.93 ,00 470.93 TOTALS....,...,.......,.",...".,...,....... : 969.97 ,00 969.97 C1992 CDW GOVERNI~NT, INC. SUPPLIES Iml CLINIC I~ Z005646 022813 022013 032213 224,22 .00 224.22 SOFT~IARE llAINTENANCE DGFL490 031113 020513 030413 10759.00 .00 10759,00 TOTALS..............................."..,.., : 10983,22 ,00 10983,22 C1390 CENTRAL DRUGS Pl1AR!!ACEUTICALS W FEB2013 031113 022813 031513 178.80 .00 178.80 TOTALS....."",.............,............... : 178.80 .00 178.80 10350 CENTURION MEDICAL PRODUCTS SUPPLEIS VARIOUS 91227534 022813 022613 032513 1101.40 .00 1101.40 TOTALS......",.....""",.,........,......, : 1101.40 .00 1101.40 10813 COKER GROUP HOLDINGS, LLC TRAVEL EXPENSE ADMIN 011049 031113 022613 032513 795.81 .00 795.81 TOTALS.............,.."..""".........",. : 795.81 .00 795.81 C251D CPSI MP-EMR DO~IN PYl~T DR. CROW M 24427 031113 021513 021513 5500.00 .00 5500.00 OUT8IDE SRV PFS 781827 031113 022013 022013 2340.00 .00 2340.00 SOFTWARE LAB 786051 031113 022213 022213 3060,00 ,00 3060.00 TOTALS.""...........,....,.,.............. .: 10900,00 ,00 10900.00 10368 DE~aTT POTH & SON SUPPLIES ImI 361690-0 031113 030613 031513 69.58 ,00 69.58 SUPPLIES ER 361690-01 031113 030413 031513 115,74 .00 115.74 SUPPLIES LAB 361751-0 031113 030413 031513 44,02 .00 44.02 OFFICE SUPPLIES ImI 361810-0 031113 030713 031513 69,58 .00 69,58 OFFFICE SUPPLIES HIM 361838-0 031113 030513 031513 239.50 .00 239.50 OFFICE SUPPLIES HIM 361839-0 031113 030513 031513 171.74 .00 171.74 OFFICE SUPPLIES 361874-0 031113 030513 031513 26.18 .00 26.18 OFFICE SUPPLIES CS INV 362112-0 031113 030613 031513 32.27 .00 32.27 OFFICE SUPPLIES RADIOLOGY 362238-0 031113 030713 031513 35.79 .00 35.79 OFFICE SUPPLIES CS 1MI' 362262-0 031113 030713 031513 309,09 ,00 309.09 OFFICE SUPPLIES MED BURG 75762 031113 030513 031513 13.33 .00 13,33 TOTALS.......... to... .... ......... ........ ,..1 1126.82 .00 1126.82 D1608 DIVERSIFIED BUSINESS SYSTE OFFICE SUPPLIES IS4C CLINI M 23879 022813 022613 032513 42.00 .00 42.00 TOTALS............................,......,... : 42,00 .00 42.00 10175 DSHS CENTRAL LAB MC2004 SUPPLIES LAB 24331 031113 022613 032513 313.50 .00 313,50 OUTSIDE SRV LAB 24430 031113 022613 032513 119,00 .00 119.00 RUN DATE: 03/14/13 TIME: 16:05 MEMORIAL MEDICAL CEMTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13 PAGE: 3 APOPEN VEND#.NM~E."...,.,..........,.,...,.CLS.INVOICE#....".,.TRN DT.INV DT.DUE DT,CK DT..PC...,."GROSS.,...DISC",."NO-PAY.,...,..NET TOTALS.,.............,...,..""..........", : 432.50 .00 432.50 F110D FEDERAL EXPRESS CORP. SHIPPING CHARGES 1/ 2-191-57681 031113 022813 031513 43.76 .00 43,76 TOTALS".........".,..................".". : 43,76 .00 43.76 F14DD FISHER HEALTHCARE SUPPLIES LAB 11 6652486 022813 022113 032013 199.21 .00 199,21 SUPPLIES LAB 6790874 022813 022613 032513 854,32 .00 854.32 SUPPLIES LAB 6790875 022813 022613 032513 910,05 .00 910.05 SUPPLIES LAB 6848089 022813 022713 032613 700,50 .00 700.50 TOTALS,...,....,....,...."",........."".. : 2664.08 .00 2664.08 10678 FIVE STAR STERILIZER SERVI INSTRUNEMT REPAIR SURGERY 2350 031113 022413 032313 188.99 .00 188,99 IIISTRUIlEMT REPAIR SURGERY 2352 031113 022413 032313 476,15 .00 476.15 TOTALS"".,.,."..........",.,..,.......,.. : 665,14 .00 665.14 GD100 GE HEALTHCARE INSTRUIIEMT REPAIR RADIOLO 1'1 5599253 031113 022713 032613 765,04 .00 765.04 TOTALS.".........,...,.,.,..."""",.,.... : 765,04 ,00 765.04 GD951 GENEVIEVE OSORNIA COMTRACT Hn! W #3 031313 030113 031513 960,00 .00 960.00 TOTALS..."."",.".....".....,..".."... .. 960,00 .00 960,00 A1292 GULF COAST HARDWARE I ACE DEPT REPAIR OP W 074451 022613 022313 032213 33.53 .00 33,53 DEPT REPAIR LAB 047551 022813 022813 032513 1.99 .00 1.99 DEPT REPAIR ADIIIN 074495 022813 022613 032513 9,78 ,DO 9,78 DEPT REPAIR LAB 074501 022813 022613 032513 3.99 ,DO 3.99 DEPT REPAIR LAB 074520 022813 022713 032613 2.99 .00 2.99 SUPPLIES PLANT OPS 074385 031113 022013 031913 11.40 .00 11.40 SUPPLIES PLANT OPS 074437 031113 022713 032613 6.98 .00 6,98 TOTALS......,.............,..".,.".., ,..,..: 70.66 ,DO 70,66 G121D GULF COAST PAPER COIlPANY SUPPLIES HOUSEKEEPING N 535512 022813 022613 032513 342.64 .00 342.64 SUPPLIES HOUSEKEEPING CRE 345821 031113 021412 031312 -28.40 .00 -28.40 SUPPLIES HOUSEKEEPING 470691 031113 101612 111512 99,90 ,DO 99,90 TOTALS,...,.......",.."........"....",.. ,: 414.14 ,DO 414.14 HD030 H E 8UTT GROCERY SUPPLIES DIETARY N 032315 022813 022113 032013 110.51 .00 110,51 SUPPLIES DIETARY 034106 022813 022213 032113 253,08 .00 253,OB SUPPLIES DIETARY 042375 022813 022613 032513 193,98 .00 193.98 TOTALS,..,."...,.",.....".."........".,. : 557.57 .00 557.57 Rl10D HAYES ELECTRIC SERVICE DEPT REPAIR MAIMTENANCE W A21302D4-06 031113 020413 030313 652.01 ,DO 652.04 INSTRU!~MT REPAIR SURGERY A2130214-02 031113 021413 031313 9.45 .00 9.45 RON DATE: 03/14/13 TnIE: 16:05 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13 PAGE: 4 APOPEN VEND#,~1E"""",...,.."..........CLS.INVOICE#,.".,.,.TRN DT.INV DT.DUE DT,CK DT,.PC".,..,GROSS",..DISC.,...,NO-PAY........NET TOTALS..,..,...,....,......."."...."...". : 661,49 ,00 661.49 10298. HITACHI MEDICAL SYSTEMS SRV CONTRACT 3/25 - 4/24 PJIND048815 031113 021513 032513 9166.67 ,00 9166.67 TOTALS....,."",....."",..",."",..".., , 9166.67 .00 9166.67 H0416 HOLOGIC INC SUPPLIES MAln10 6776604 022813 022513 032413 650.49 .00 650.49 TOTALS......,..,."...........",."...,..." : 650.49 .00 650.49 10415 INDEPENDENCE MEDICAL SUPPLIES CS INV 28140655 031113 022713 032613 33.98 .00 33.98 TOTALS..............,.,..,.",."....."..... : 33.98 ,DO 33,98 10950 INFOLAB INC SUPPLIES VARIOUS M 3229200 022813 022513 032413 3439.55 .00 3439.55 SUPPLIES BLOOD BANK 3229782 022813 022613 032513 320.72 ,00 320.72 SUPPLIES LAB 3230006 022813 022613 032513 408.45 ,00 408.45 TOTALS..,..,...."..................,.",... " 4168.72 .00 4168.72 10442 INTERSTATE ALL BATTERY CEN SUPPLIES IT 1901102004061 022513 022113 032313 59.96 .00 59.96 TOTALS......"..,.....,."....,.............. : 59.96 .00 59.96 JD150 J & J HEALTH CARE SYSTEMS, SUPPLIES SURGERY 909606246 022813 022513 032413 396.00 .00 396.00 TOTALS",..,....,........"..,...,.".,..,.., : 396,00 .00 396.00 10285 JAMES A DAMIEL RENT APRIL 24332 031113 031513 031513 750.00 .00 750.00 TOTALS...,."..,..,.,...........,...."...... : 750,00 .00 750.00 10823 KATHY MOTLEY OUTSIDE SRV Ill1 CLINIC 24427 031113 030113 030113 88,74 .00 88.74 TOTALS...................,.................. .: 88.74 .00 88.74 K1231 KONlCA lUNOLTA IIEDICAL 1M! SRV CONTRACT 1/1 - 1/31 32714-1 030813 012213 022113 510,00 .00 510.00 SRV CONTRACT 3/1 - 03/31 35545 031113 021813 031813 510,00 .00 510.00 TOTALS."".,..",. ....,...... ...".,...,....: 1020.00 ,00 1020,00 Dl033 LAURA DAVILA FLEX SPEND REnmURSE~IENT 24336 031413 031313 031313 2416,20 .00 2416.20 TOTALS,.",......,.....""... ,.....,........: 2416.20 .00 2416.20 10771 LCA BANK CORPORATION PATIIENT HII~ MARCH 3262003 031113 030113 030113 2127.38 .00 2127.38 TOTALS,...........,...,................."... : 2127.38 ,00 2127.38 M2659 MERRY X-RAY/SOURCEONE HEAL SUPPLIES RADIOLOGY II 30093508308 022513 022013 032313 586.80 .00 586.80 RUN DATE' 03114113 TUIE, 16,05 ME!!ORIAL IIEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03126113 PAGE' 5 APOPEN VEND#,NAlIE.".................,..,."CLS,INVOICE#..".".,TRN DT,INV DT.DUE DT.CK DT..PC,...,..GROSS"".DISC,.,...NO-PAY.."".,NET TOTALS".."""",..".,.. ,.......,....""" 586.80 ,DO 586,80 !!2685 !IICROTEK MEDICAL INC SUPPLIES CS INV !I 3021292 031113 010913 020813 223.66 ,DO 223,66 TO'l'ALS....................................... : 223,66 .00 223.66 !!2621 MlIC AUXILIARY GIFT SHOP E!IPLOYEE PURCHASES W 24335 031213 030513 030513 145.43 ,00 145,43 TOTALS.,......",.,..,.....,....,........"" , 145.43 ,00 145.43 10536 MORRIS & DICKSON CO, LLC PII100IACEUTICALS 4376900 031113 030413 032513 907.24 ,00 907.24 PHARNACEUTICALS 4378040 031113 030413 032513 3314.62 .00 3314.62 PllAR!IACEUTICALS 4379057 031113 030413 032513 67.09 .00 67.09 PHARMACEUTICALS 4384209 031113 030513 032513 121.20 .00 121.20 PHARMACEUTICALS 4384210 031113 030513 032513 2281,71 .00 2281. 71 PII100IACEUTICALS 4386432 031113 030613 032513 634.12 .00 634.12 PHARMACEUTICALS 4387229 031113 030613 032513 187.41 .00 187.41 PHARMACEUTICALS 4387230 031113 030613 032513 1030.34 .00 1030,34 PHARMACEUTICALS 4388324 031113 030613 032513 749,47 ,00 749.47 SPLIT BILL FEE Pmull1ACY F 4391772 031113 030713 032513 1000,00 .00 1000.00 PHARMACEUTICALS 4392807 031113 030713 032513 2303.43 .00 2303.43 PII100IACEUTICALS 4393197 031113 030713 032513 40.91 .00 40.91 PII100IACEUTICALS 4393433 031113 030713 032513 85.12 .00 85.12 Pmull1ACEUTICALS 4393434 031113 030713 032513 228,21 .00 228,21 PHARMACEUTICALS 4393937 031113 030713 032513 45,86 .00 45.86 PHARMACEUTICAL CREDIT 7149 031113 030413 032513 -7.15 .00 -7.15 PHAR!1ACEUTICAL CREDIT 721E 031113 030413 032513 -1375,16 .00 -1375.16 PHARMACEUTICAL CREDIT CIm367 031113 030613 032513 -8.27 .00 -8.27 PII100IACEUTICAL CREDIT Clm368 031113 D3D613 032513 -1857.08 .00 -1857.08 PHAR!1ACEUTICAL CREDIT CMl7369 031113 030613 032513 -118.63 .00 -118.63 PHAR!1ACEUTICAL 4242074 031213 012313 021013 4.10 ,00 4.10 SPLIT BILL FEE FEBRUARY 4286013 031213 020513 022513 1000.00 .00 1000.00 PII100IACEUTICALS 4403147 031213 031113 032513 1850,45 .00 1850.45 PHARMACEUTICAL CREDIT CM18577 031213 030813 032513 -275,17 .00 -275.17 PHARMACEUTICAL CREDIT ClU8578 031213 030813 032513 -57.94 .00 -57.94 TOTALS..................,.".,........,...", , 12151. 88 .00 12151.88 10601 NOBLE AlIERICAS ENERGY ELECTRICITY 130560002832663 031113 022513 030713 27924,05 .00 27924.05 TOTALS.....,.....",.""."................. , 27924.05 .00 27924.05 10008 OMNI-PORT LAVACA 07, L.P, RENT MARCH 24333 031113 031513 031513 10320,70 ,00 10320.70 TOTALS......,.""",...,.".........,....". , 10320,70 ,DO 10320.70 OM425 OIIENS & MINOR SUPPLIES SURGERY 2059761 022513 022113 032013 33.75 .00 33.75 SUPPLIES CS INV 2059811 022513 022113 032013 3.10 .00 3,10 SUPPLIES VARIOUS 2060085 022813 022113 032013 803.88 .00 803,88 SUPPLIES CS INV 2060798 022813 022213 032113 67.06 .00 67.06 RUN DATE, 03/14/13 TIllE, 16:05 MEMORIAL I~DICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13 PAGE, 6 APOPEN VEND#.NAME,..."..,.,.............,..CLS.INVOICE#,.""...TRN DT.INV DT,DUE DT.CK DT"PC."....GROSS..,.,DISC,.....NO-PAY,.,.""NET SUPPLIES ICU 2061581 022813 022613 032513 72.00 .00 72.00 SUPPLIES VARIOUS 2061877 022813 022613 032513 2697.17 .00 2697.17 SUPPLIES Iml CLINIC 2062040 022813 022713 032613 100.20 .00 100.20 SUPPLIES CS INV 2062095 022813 022713 032613 212.30 .00 212.30 SUPPLIES SURGERY 2062134 022813 022713 032613 317.40 .00 317.40 SUPPLIES CS INV 2062226 022813 022713 032613 137.82 .00 137.82 SUPPLIES VARIOUS 2053840 031213 020713 030813 1262.65 .00 1262,65 SUPPLIES CS INV 2053912 031213 020713 030613 214.74 .00 214.74 SUPPLIES CS INV CREDIT 2066342 031213 030813 030813 -214.74 .00 -214.74 SUPPLIES CS INV 2066437 031213 030813 030813 89.46 .00 89.46 TOTALS....,.....,......,...,."..,..."...". , 5796.79 .00 5796.79 N1245 PANACEA HEALTHCARE SOLUTIO SU8SCRIPTION 174388 031113 030113 030113 275.45 .00 275.45 TOTALS,..",.",.".,..",........,.......... , 275.45 .00 275.45 00450 PATRICIA OlreN FLEX SPEND REIMBURSEI'~NT W 24337 031413 031313 031313 136.24 ,DO 136.24 TOTALS.",.".,."....,."................... : 136,24 ,DO 136.24 P22DO POlreR ELECTRIC DEPT REPAIR PLANT OPS 1'1 162343 022813 022513 032413 60.57 .00 60.57 SUPPLIES HOUSEKEEPING 162363 022813 022713 032613 8.28 .00 8.28 TOTALS...".......................".....,... , 68.85 ,00 68.85 107B2 PRIVATE WAIVER CLEARING AC PRIVATE WAIVER lWlCH 24334 031113 030113 031513 150000.00 .00 150000,00 TOTALS............,.,..,.",...........,.... ., 150000.00 .00 150DDO,OD 10629 QUEST DIAGNOSTICS OUTSIDE SRV LAB 9147546962 022813 022513 032413 30.10 ,00 30.10 TOTALS,.....,........,......,...."",..".,. , 30,10 .00 30.10 Rl050 R G & ASSOCIATES INC SUPPLIES PLANT OPS M 211469 022613 022113 032013 180.40 .00 180,40 SUPPLIES PLANT OPS 210883 031113 022613 022613 262,40 .00 262.40 SUPPLIES PLANT OPS 211276 031113 022613 022613 196,80 .00 196.80 OUTSIDE SRV PLANT OPS 211818 031113 022613 022613 31.50 .00 31.50 TOTALS,..............,........,.............. : 671.10 .00 671.10 M1410 REBECCA I~LONE CONTRACT Hm 11 #1-211 031313 030113 031513 760.00 .00 760.00 TOTALS...,.......,..."....",...""..",.., , 760.00 .00 760.00 10812 ROBERT T HARDY TRAVEL MIl CLINIC2/25-3/1 24428 031113 030513 030513 216,70 .00 216,70 TRAVEL I~I CLINIC 3/4 - 31 24429 031113 030513 030513 216,70 .00 216.70 TOTALS,......,."...,..."......"....,...,.. , 433.40 .00 433.40 SD9DD SAIl'S CLUB DIRECT 14ENBERSHIP FEE II 030813-030714 031113 012213 030813 45.00 .00 45,00 RUN DATE: 03/14/13 THIE: 16:05 ~IEI'IORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13 PAGE: 7 APOPEN VEND#.N~IE......"",...,..........,.CLS.INVOICE#...,.,.,.TAN DT.INV DT,DUE DT.CK DT,.PC".,."GROSS....,DISC,..,.,NO-PAY",.,...NET TOTALS.",."...,.........,.",.".,..""." : 45.00 .00 45.00 10602 SERVICE ORGANIZATION PROFESSIONAL FEE 10/12-12 24335 031313 031113 031113 134963.62 .00 134963.62 TOTALS".,.,.........",.....,...,.""...... : 134963.62 .00 134963,62 S1800 SHERWIN WILLIM4S RENOVATION BEHAVIORAL REA W 6607-6 021913 020613 032013 192.36 .00 192.36 RENOVATION BEHAVIOR HEALT 6608-4 021913 020613 032013 191.94 .00 191.94 RENOVATION BEHAVIOR HEALT 6618-3 021913 020613 032013 21.41 .00 21.41 RENOVATION BEHAVIOR HEALT 6642-3 021913 020713 032013 132.95 .00 132.95 RENOVATION BEHAVIOR HEALT 7313-0 031113 022713 032613 58,49 ,00 58.49 RENOVATION BEHAVIORAL REA 7318-9 031113 022713 032613 30.28 ,DO 30.28 TOTALS,........,.....,........,............. .: 627,43 ,DO 627.43 D035D SIE~IENS HEALTHCARE DIAGNOS SUFPLIES LAB M 971710212 031113 022713 032613 1017.72 ,DO 1017.72 TOTALS...,.".,..",...".,.,.,........,..,. .: 1017.72 ,00 1017.72 S20D1 SIEMENS MEDICAL SOLUTIONS SRV CONTRACT 2/18 - 3/17 M 95802093 031113 021813 031713 832,25 ,00 832.25 TOTALS..,...".,.",......................." : 832.25 .00 832.25 S394D STERIS CORPORATION SUPPLIES SURGERY ~I 4453542 031113 110212 120112 101. 25 ,00 101.25 TOTALS....................,.".,.,..."""., : 101. 25 .00 101.25 T223D TEXAS WIRED MUSIC INC MUZAK MARCH II A712365 031113 030113 030113 59.95 ,DO 59.95 MUZAK ~lARCH A712366 031113 030113 030113 73.95 .00 73.95 TOTALS......."..,.,..."",..,..........".. : 133.90 .00 133.90 T23D3 TG EMPLOYEE DEDUCTION W 18380 031213 031213 031213 42.77 .00 42,77 E~IPLOYEE DEDUCTION 18381 031213 031213 031213 132.89 .00 132.89 TOTALS.......",..."......,..,....,...",.., : 175.66 .00 175.66 S2679 THE ST JOHN COMPANIES, INC SUFFLIES CS INV ~I 08090777 022813 022213 032113 205,00 .00 205.00 TOTALS"..",.....,..."",.,....."..",.... : 205,00 .00 205.00 V1D50 THE VICTORIA ADVOCATE SUBSCRIFTION 11 930299 022B13 022313 032213 12.40 .00 12,40 ADVERTISING 100505389-0211 022813 022813 032413 816,00 .00 816,00 TOTALS,..,.....,....."""",..,..,..",.". : 828.40 .00 828,40 10192 THIE I~ONTHLY INSTALLI1ENT 24335 031313 031213 031213 4118.00 .00 4118.00 TOTALS."..".,.....,........."..."..",.., : 4118,00 .00 4118.00 T0801 TLC STAFFING CONTRACT MURSE W 11136 022813 021913 032113 779.53 .00 779.53 RUN DATE. 03/14/13 TIME. 16,05 MEMORIAL MEDICAL CENTER AP OPEM INVOICE LIST THRU DUE DATE OF 03/26/13 PAGE. 8 APOPEN VEND~.NANE....,...........,.".......CLS,INVOICE~.,..",..TRN DT.INV DT.DUE DT,CK DT.,PC...,...GROSS"...DISC".",NO-PAY........NET 10811 WORKSPACE SOLUTIONS, INC. RENOVATION - CS 13160 022813 022713 032613 () 0 J_ TOTALS.........,............,.....,........... J1th. t-f~-::t~ TOTALS..,.............,............,..., 45877D.78APpFfbvED Michael J. Pfeifer c.l<.s oil \:':7.. I 5 I \/ 0 IDS ('.8IhounCounty~~ge .lI\5~'5:l. IS? \~")I5:lIIo"') . ?:>'"~-7 \5:l.:lILj T1724 TOSHIBA A!~RICA NEDICAL SY DEPT REPAIR CT MAINTENANCE CT T3D50 TRANS U. S. INC. DEPT REPAIR PLANT OPS Ul054 UNIFIRST HOLDINGS !lAINTENANCE Ul064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN LAUNDRY OR LAUNDRY HOSPITAL LINEN LAUNDRY HOUSEKEEPING LAUNDRY PLAZA LAUNDRY DB LAUNDRY HOUSEKEEPING LAUNDRY DIETARY SCRUBS U14DO UNITED WAY OF CALHOUN COUN E!IPLOYEE DEDUCTION W U2000 US POSTAL SERVICE POSTAGE 10472 VISA MISCELLANEOUS PURCHASES 10394 WILLIAN E HEI~1P, TRUSTEE EMPLOYEE DEDUCTION 10429 WILLIAN E HEITKAMP, TRUSTE EMPLOYEE DEDUCTION TOTALS....................................... : 40038766 031113 121012 010913 40046507 031113 012413 022313 TOTALS,......"..,..,......."......,."..., .. M 7527771Rl 022813 022113 032013 TOTALS..".......,...",."... ..............., W 8150601933 022613 022613 032513 TOTALS.".........".,..........,..,...."., " 8400141604 022613 022213 032113 8400141605 022613 022213 032113 8400141763 022613 022613 032513 8400141764 022613 022613 032513 8400141765 022613 022613 032513 8400141767 022613 022613 032513 8400141768 022613 022613 032513 8400141824 022813 022613 032513 TOTALS"".............................." ..., lB378 031213 031213 031213 TOTALS"........."",........"""",.,... " 24430 031113 031213 031213 TOTALS.. ,..",.......,..."...', ,...", ......, 012913-022213 031113 022213 032213 TOTALS...........................,........... : 18383 031213 031213 031213 'I'OTALS....................................... : 18382 031213 031213 031213 TOTALS...,..,.,.....,.""..,...""..,..... ., 779,53 ,00 2362,50 .00 4200.00 .00 6562.50 .00 213,03 ,00 213,03 ,00 28,72 .00 28,72 .00 649.4B .00 348,59 ,DO 836.75 ,00 206.95 .00 149.25 .00 86,70 ,00 94,35 .00 56.10 .00 2428,17 .00 33.50 ,00 33,50 .00 1000.00 .00 1000.00 .00 3358,47 .00 3358.47 .00 400,00 .00 400,00 .00 495,00 .00 495,00 .00 4526.00 4526.00 .00 .00 MAR 1 3 2013 COUNTY AUDITOR 779.53 2362,50 4200,00 6562,50 213,03 213,03 28.72 28.72 649,48 348,59 836,75 206,95 149,25 86,70 94.35 56.10 2428.17 33.50 33,50 1000.00 1000.00 3358,47 3358.47 400,00 400.00 495,00 495,00 4526.00 4526.00 458770.78 v RUN DA~E:03/15/13 ~IllE:ll:17 MEMORIAL MEDICAL CEMTER EDI~ LIS~ FOR BA~CH 556 1346 CR~#556 ~RANSACTION SEQUENCE PAGE 1 GLEDI~ ..... ACCOUN'l' A.H,A, SEQ, NUMBER NU)ffiER ~RANS DA~E JOURNAL AbIOUN'l' SUB-LED REFERENCE MEMO G.L. ACCOUNT DESCRIP~ION ii~. ~----------------------_.------------------------------------------.-------------.------------------------------------------------.- 1 20000000 2 40510041 03/15/13 PJ 03/15/13 PJ 5,DOO.ODCR 10812 5,000.00 10812 24338 24338 ROBERT T IIAJlDY ROBER~ T IIAJlDY INV D~=03/14/13 DUE=031413 OUTSIDE SERVICRS -11M CL 60510041 21624 48676 - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRMO COUNT DEBI~ PJ 1303 2 5,000,00 TOTAL 2 5,000.00 CREDI~ 5,000,00 5,000,00 A/P TOTAL 5,000,00 ACCOUN'l' TOTAL RECAP ON NEXT PAGE C-Ktl: /5;;{ ~ 2>:5 APPROVED MAR 15 20\3 COUNTY AUDITOR ~f~Qel~ Calhoun County Judge Date:--3~~ RUN DATE: 03/20/13 TUlE: D9:38 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13 PAGE: 1 APOPEN VEND#.NM1E....................".....CLS.INVOICE#.........TRN DT,INV DT,DUE DT,CK DT..PC.......GROSS.....DISC......NO-PAY."",.,NET A135D ACTION LUIIBER DEPT REPAIR DIETARY II 30942 022813 022813 032813 85.18 .00 85.1B /' TOTALS"..""..,...,...,......... ...........: 85.18 .00 85.18 A179D AFLAC ONLINE BILLING CHECK REtoII II 810525 031913 031913 040113 3221.64 .00 3221. 64 .,/ TOTALS............................,..,....", : 3221.64 ,DO 3221.64 A1680 AIRGAS-SOUTHWEST OUTSIDE SRV PLAm OPS M 9D1322DB27 031513 022813 033013 1761. 63 .00 1761.63 ,/ SUPPLIES PLAm OPS 9908158174 031913 022813 033013 198.70 .00 198.70 ,..... SUPPLIES PLAm OPS 9908158175 031913 022813 032713 40B.76 .00 408.76 - TOTALS.................."........,........., : 2369.09 .00 2369.09 A1360 AMERISOURCEBERGEN DRUG COR PHARlIACEUTICALS II 711774856 031813 031513 032513 306,81 .00 306.81 ,/ TOTALS.,...".,.,....",.,.,...,....,..""" : 306,81 .00 306.81 A0777 ANDERSON CONSULTATION SERV COLLECTIONS II !UIC031113 031513 031113 033013 3116.97 ,00 3116,97 /' TOTALS.................,....."............. .: 3116,97 .00 3116.97 10719 AUSTIN MEDICAL PRACTICE 2024.50 ./ llEDICAL BILLING SERVICE W 4985 031513 03DS13 032313 2024.50 .00 TOTALS,............"..,.."........",..,.,. : 2024.50 ,DO 2024.50 Bl075 BAXTER HEALTHCARE CORP SUPPLIES CS INV M 39566670 031113 022813 032713 318.67 .00 318.67./ LEASE IV PUlIPS 39610257 031113 030113 033013 2767.00 .00 2767.00/ LEASE IV SOFTWARE 39612251 031113 030413 040213 190.50 .00 190.50 .,/ TOTALS........,..............,.........,..... : 3276,17 ,00 3276.17 B1220 BEC~IAN COULTER INC SRV CONTRACT/LEASE LAB M 5289132 031113 022813 032713 5382.13 .00 5382.13 ./ SUPPLIES LAB 103364248 031513 030113 033013 15460,80 .00 15460.80 ./ TOTALS.",.",..".."""..",.",.,...,.... : 20842,93 .00 20842.93 10599 BKD, LLP AUDITING FEES BKOD136568 031813 012013 022013 11802.52 .00 11802.52 ,/ AUDITING FEES BKOD15D666 031813 030713 030713 9245,58 .00 9245.58 ,/ TOTALS,...,..""..,.."".....",....."".. : 21048,10 .00 21048.10 B1650 BOSART LOCK & REY INC 48.20/ SUPPLIES PLANT OPS II 98850' 031513 012413 022313 48.20 .00 TOTALS...,..,..,...""..."",...."",.",. : 48,20 .00 48,20 Cl0l0 CABLE ONE 286.50 J OUTSIDE SRV - PO/IT W 031613-041513 031913 031613 032513 286.50 .00 TOTALS.... I.......................,..........J 286,50 .00 286.50 A1825 CARDINAL HEALTH SUPPLIES NUC !lED I-I 08108569 031513 022813 022813 226.64 ,DO 226,64'/ RUN DATE: 03/20/13 THIE: 09:38 MEMORIAL MEDICAL CEMTER AP OPEM INVOICE LIST THRU DUE DATE OF 04/02/13 PAGEl 2 APOPEM VEMD#,NAlIE......".."".""....". .CLS.INVOICE#........ ,TEll DT.INV DT,DUE DT.CK DT. .PC....,. .GROSS,... .DISC..... .NO-PAY....... .MET SUPPLIES MUC MED 08108583 031513 030613 030613 385,88 .00 385,88 v' 'l'O'rALS........ II. ..... ..... ..... ...... .......: 612.52 ,00 612.52 Z0850 CAR}IEN C, ZAPATA-ARROYO SPEECH THERAPIST 11 24339 031513 031213 031213 550.00 .00 Sd,5.00 5~00 TOTALS............"...".."",."..,..".. .1 550.00 ,00 5 ,00 C1992 CDW GOVER/lI~EMT, INC. SUPPLIES IT M Z292183 031513 022713 032613 258.28 .00 258.28 V SUPPLIES IT Z855545 031813 031213 677 .03 ,DO 677.030/ TOTALS..,.."",.,.,.",..".,...,.......... .1 935.31 .00 935,31. 10661 CEMTURYLIMK TELEPHOME 1251357811 031513 030313 040213 236.61 .00 236,61 ,/ TO'l'ALS........... ............................: 236.61 ,00 236,61 C16DD CITIZEMS MEDICAL CEMTER OUTSIDE SRV LAB W 74601295 031913 013113 022813 151. 00 .00 151.00"""- TOTALS.,............. ....................... ,I 151. 00 .00 151.00 10723 CLIA LABORATORY PROGRAM 150,00 I CERT FEE 2/15/13 - 2/14/1 45D20542D9 022813 030413 040213 150.00 .00 TOTALS""..".."..., ,..,................,..: 150.00 .00 150,00 C17D8 CLINICAL & LABORATORY 400.00 ,/ MEMBERSHIP 24339 031813 031513 031513 400.00 ,00 TOTALS....................................... : 400,00 .00 400.00 10786 CLINICAL PATHOLOGY OUTSIDE SRV LAB 022813 031513 022813 032713 4865,50 .00 4865,50/ TOTALS....".........,."".,.""..,..,..... : 4865,50 ,00 4865.50 C251D CPSI STATEMEME PROCESSING M 786939 031513 022713 022713 28,80 ,00 28.80/ EBOS 787502 031513 022813 022813 440,62 .00 440.62/ TECH SUPPORT A1303D41378 031513 030413 030413 15607.00 .00 15607.0D / ELECTRONIC PAYSTUBS 788845 031813 030713 030713 148.75 ,DO 148,75/ PRIVATE PAY 788844 031913 030713 030713 8874,57 ,DO 8874,57'/ EBOS 789790 031913 031113 031113 266,66 ,00 266.66 / FORMS PFS 790271 031913 031213 031213 124.80 .00 124.80""'- TOTALS.......",..."...".....,..".... ,.., ,: 25491. 20 .00 25491,20 10006 CUSTOM MEDICAL SPECIALTIES SUPPLIES RADIOLOGY 151901 031113 022813 032713 65.27 .00 65.27V" TOTALS..".", ,.", .,.,., ,.,., ,.., ".... ,....: 65.27 .00 65,27 D12DD DETAR HOSPITAL OUTSIDE SRV LAB II 2012CU 031113 030113 033013 312.45 .00 312.45 ,/ TOTALS.,.,.".....,..........,............", : 312.45 .00 312.45 D171D DOWMTOWM CLEANERS 10,00 / OUTSIDE SRV HOUSEKEEPING W 24338 031513 012813 022813 10.00 .00 RUN DATEI 03/20/13 TII~I 09,38 MEMORIAL MEDICAL CEN'rER AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13 PAGE, 3 APOPEM VEND#,NAME.""",........,...,..... .CLS.INVOICE#"",.. ..TRN DT,INV DT.DUE DT.CK DT..PC"..., ,GROSS"" .DISC..... ,NO-PAy.,..." .MET TO'l'ALS.......................................; 10.00 .00 10.00 ED50D EAGLE FIRE ~ SAFETY INC 80.00 / SUPPLIES PLANT OPS M 46982 022813 022813 032713 80,00 .00 TOTALS..,.."....."",.",.....,..,....,... .1 80.00 .00 80,00 10689 FASTHEALTH CORPORATION MON'rHLY OUTSIDE SRV D3A13MMC 031113 030113 033113 495,00 .00 495.00 ,,-- TOTALS...,.".,...."...,.",.,.",..,.,.". .1 495.00 .00 495.00 F1100 FEDERAL EXPRESS CORP, SHIPPING CHARGES W 2-198-96230 031513 030413 032213 43.76 .00 43,76 ,/ TOTALS....................................... : 43.76 ,DO 43.76 10788 FIRETROL PROTECTION SYSTEM DEPT REPAIR OB 100257367 031913 030813 031813 4592.00 .00 4592.00 ,/ DEPT REPAIR lIAIN'rENANCE 100257419 031913 031113 032113 421. 00 .00 421.00 ........ TOTALS,.....,."....,..,.."""",..,..,... .1 5013.00 ,DO 5013.00 F14DD FISHER HEALTHCARE SUPPLIES LAB M 6961885 031113 030113 033013 449.22 .00 449.22 ,/ TOTALS....................................... : 449.22 .00 449,22 F1653 FORT BEND SERVICES, INC 530,00/ OUTSIDE SRV PLANT OPS 018D30D-IN 031513 030113 033013 530.00 .00 TOTALS..,..,.....",."..,..,.",.,.,.,.,.., .1 530.00 .00 530.00 10826 FRANCES FOSTER ~ TRAVEL EXPENSES 24339 031913 031313 031313 82,00 .00 ~DK. off TOTALS.......,..".",..,."..,.".",.".., " 82,00 .00 G1001 GETINGE USA 66.83 / SUPPLIES SURGERY 7810576 031513 022613 032513 66.83 ,00 TOTALS.,...,..""., ,."",. ....... ,...,..,.., 66,83 .00 66.83 G1210 GULF COAST PAPER COMPANY 35,56/ SUPPLIES HOUSEKEEPING M 491097-1 031813 112712 122712 35.56 ,00 TOTALS.......................................: 35.56 ,DO 35,56 HD03D H E BUTT GROCERY SUPPLIES DIETARY II 046190 022813 022813 032713 157.77 .00 157.77 ./ SUPPLIES 088877 031413 020113 020113 50,04 ,00 50.04 -;"" TOTALS.,...,..",...,.."."....,..",.,.". .1 207,81 ,DO 207.81 H1100 HAYES ELECTRIC SERVICE 825.79 / SUPPLIES PLANT OPS W A213D214-D6 031813 021213 022213 825.79 .00 TOTALS..,.,...,.....,..,......,.,.,....,.,.., , 825.79 .00 825.79 10804 HEALTHCARE CODING & CONSUL OUTSIDE SRV HIlI 2457 031113 022813 032713 852.50 ,00 852.50/ TOTALS.....................,.,..".....,.,.,. , 852.50 .00 852,50 10423 JOHNGSELF ASSOCIATES INC 11550.DO.vI OUTSIDE SRV ADNIN 003-119 031513 031013 032513 11550.00 .00 RUN DA~E. 03/20/13 ~IME: 09.38 MEMORIAL MEDICAL CENTER AP OPEM INVOICE LIST ~HRU DUE DA~E 08 04/02/13 PAGE: 4 APOPEM VEMD#.MAME.",.".".........,....,..CLS,INVOlCE#...""..~RM OT,INV D~,DUE DT,CK OT"PC.,.....GROSS,..,.DISC......NO-PAY,.".,.,NET OUTSIDE SRV ADIUN 003-117-1 032013 030513 032013 2089,98 .00 ,{JDCiO,O() 2089,98 TOTALS.....,........ .....,......"".,...,.... 13639,98 .00 ...-!3639 ,98 13,u,4t>..t> L0700 LABCORP OP A1~RlCA HOLDING OUTSIDE SRV LAB M 40349493 031113 030213 040113 53,00 .00 53,00 ./ '1'O'1'ALS.......................................: 53.00 ,00 53.00 LI00l LANDAUER INC 578.10 ,/ OU~SIDE SRV RADIOLOGY W 100051601 031513 D22B13 032713 578,10 .00 ~OTALS".....",..."...."... .........,.....: 578,10 .00 578,10 L1288 LANGUAGE LINE SERVICES INTERPRETATION SRV W 3107967 022813 022813 032713 84,32 .00 84.32 .-" ~OTALS.,.,............,....",.""........,. : 84.32 ,00 84.32 M2659 MERRY X-RAY/SOURCEONE HEAL SUPPLIES RADIOLOGY M 30093497119 031513 020613 030513 1397.30 .00 1397.30 V SUPPLIES RADIOLOGY 30093499582 031513 020813 030713 2157.49 .00 2157.49./ TO~ALS...,....",....,.......,........,...." : 3554.79 .00 3554.79 M2650 ME~LIFE 258.52 ,,/ INSURAMCEMARCH W 18111 031913 031913 030113 258.52 ,00 TOTALS....................................... s 25B.52 ,DO 258,52 10827 MORENO BROS BRICK CONTRACT DEPT REPAIR PLAN! OPS 24342 031913 031913 031913 3500,00 .00 3500.00 v' ~OTALS......,.........,........,..,...",.." : 3500,00 ,00 3500,00 10536 MORRIS & DICKSON CO, LLC PllARIlACEU~ICALS 4408497 031513 031213 032513 391.97 .00 391.97/ PHARMACEUTICALS 440849S 031513 031213 032513 7085.23 .00 7085.23/ PHARMACEU~ICALS 4416821 031813 031413 032513 224.63 .00 224.63~ PHARMACEUTICALS 4416822 031813 031413 032513 484,98 ,00 484.98/ PllARIlACEU~ICALS 4416823 031813 031413 032513 903,82 ,00 903.82 PllARIlACEUTlCAL CREDIT CM20677 031813 031413 032513 -7.86 .00 -7,86..... PHARMACEUTICALS 4420645 031913 031513 032513 319.52 .00 319,52 ,/ PllARIlACEUTlCAL CREDI~ 8787 031913 031413 032513 -10.36 .00 -10,36...... ~OTALS.",..""...,.",...,...""."",.." : 9391,93 .00 9391.93 10777 OSCAR ~ORRES PEST CONTROL llARCH 197924 031113 030213 040113 250.00 ,00 250.00." PES~ CONTROL 197925 031113 030213 040113 45,00 .00 45,00 ,/ ~OTALS".,...""".."".,....,.",..,..". .. 295,00 .00 295,00 OM425 OWENS & MINOR 962,11 ,/ SUPPLIES VARIOUS 2063083 022813 022813 032713 962.11 .00 SUPPLIES CS INV 2063331 022813 022813 032713 43.26 .00 43.26 ./ SUPPLIES CS INV 2037415 031513 010313 020213 59,36 ,DO 59.36 ,/ SUPPLIES CS INV 2069008 031813 031413 040213 15,99 .00 15,99 v' SUPPLIES CS INV 2069009 031813 031413 040213 50.64 .00 50.64 V SUPPLIES CS INV 2069048 031813 031413 031313 28.56 ,00 28.56 ,/ RUN DATE: 03120/13 TnIE: 09:38 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/02113 PAGE: 5 APOPEN VEND#.NM~E................,.".,.",.CLS.INVOICE#.,."",.TAlI DT.INV DT.DUE DT.CK DT,.PC,....,.GROSS"...DISC,..,.,NO-PAY..,."..NET TOTALS,.",...,......................"".", : 1159.92 .00 1159,92 10032 PHILIPS HEALTHCARE SRV CONTRACT NilC miD 925581772 031513 022613 032513 2626.58 .00 2626,58 ./ TOTALS..,."."".......",...."........",. : 2626.58 .00 2626,58 P21DO PORT LAVACA WAVE 5DUD V ADVERTISING FEBRUARY W 184 022813 022813 032713 501.00 .00 TOTALS.............. .........................1 501.00 .00 501.00 P1725 PREMIER SLEEP DISORDERS CE SLEEP STUDIES FEBRUARY II 22 031113 022813 032713 5000,00 ,00 5000.00 ./ TOTALS.,.................................,.,. : 5000,00 .00 5000. DO T05DD PRISCILLA STEPHENS INTERIlI BILLING W 24342 031913 031913 031913 15000.00 .00 15000.00./ TOTALS..,.".......,......................... : 15000.00 .00 15000.00 P2370 PROGRESSIVE DYNAlIICS MEDIC 175.94/ SUPPLIES SURGERY M 130330 031113 030113 033013 175.94 .00 TOTALS.,...,................................. : 175.94 .00 175.94 R1268 RADIOLOGY UNLIlIITED, PA 350.00 ./ READING FEES W 24339 031513 031313 031313 350.00 ,00 TOTALS. ,.....................................: 350,00 .00 350.00 10812 ROBERT T HARDY TRAVEL EXPENSES 24339 031913 031913 031913 216,70 ,DO 216.70 ./ TOTALS....,.."" ......".........".,.......: 216.70 ,00 216.70 10431 ROY ALLEN fUffiTIN PHARl~CIST RELIEF 24339 031513 031413 031413 3927.00 .00 3927.00 ./ TOTALS."........,...."".,......,..."..... : 3927,00 .00 3927 ,00 S120D SEARS SUPPLIES f~ CLINIC M T829831 031913 030113 040113 107,15 ,00 107.15 ./ SUPPLIES f81 CLINIC T859485 031913 030113 040113 524.38 ,00 524,38 ,/ TOTALS."..,...., ,.,..",..., ,. ,."",.., ...,: 631.53 ,DO 631.53 S1850 SHIP SHUTTLE TAXI SERVICE 126,00'/ OUTSIDE SRV ER \'/ 24423 022813 022813 032713 126,00 ,00 TOTALS,.",."""".,..,.",.,.,..".""." : 126,00 .00 126.00 10672 SIEfIENS INDUSTRY, INC. 137,98/ SRV CONTRACT 3/1 - 3/31 L 901139058 031513 030113 033013 137,98 .00 TOTALS,...,..........,........,.,...,..,.,... : 137,98 .00 137,98 S2DDl SIEMENS MEDICAL SOLUTIONS 697.58/ SRV CONTRACT 2127 - 3129 M 95805241 031513 022813 032713 697.58 .00 TOTALS..,...,...."...."........,.,..,....., , 697.58 .00 697,58 S396D STERICYCLE, INC 548,63/ WASTE PICKUP 4004007737 031913 022813 032713 548,63 .00 RUN DATE, 03/20/13 TIl~E, 09,38 ~IEMORIAL MEDICAL CENTER AP OPEM INVOICE LIST THRU DUE DATE OF 04/02/13 PAGE' 6 APOPRN VEND#.NlJIE......,.................."CLS.INVOICE#,........TRN DT,INV DT,DUE DT,CK DT..PC".""GROSS....,DISC.,.,.,NO-PAY...,....NET TOTALS...,.., ,...."....".......",....".", 548.63 .00 548.63 10333 SUNTRUST EQUIPMENT FINAJilCE 22688,57 ./ ~ION'rHLY PAYI-IENT ~IARCH 1487747 031813 030713 040113 22688,57 .00 TOTALS. ,...... II........ I................. ",: 22688.57 .00 22688.57 T2539 T-SYSTEM, INC, ELECTRONIC DOCUMENTATION II 205EVB32557 031113 022813 033013 4107,00 .00 4107.00 v' TOTALS.....,..".."""....., ,....",...,.." 4107,00 .00 4107.00 10611 TELE-PHYSICIANS, P.A. (TX) TELE-NEUROWGY CONSULTS 07-2293 031813 022813 033013 1200.00 .00 1200.00 V TOTALS.....",....."..... ,.....,.....",..." 1200.00 .00 1200.00 D1641 THE DOCTORS' CEN'rER OUTSIDE SRV LAB2/1 - 2128 W TDCD22813 031913 022613 032513 45.00 ,DO 45.00'/ TOTALS................."",...........,..... , 45.00 ,DO 45.00 TD801 TLC STAFFING CON'rRACT NURSE W 11147 031113 022613 032813 2005,30 .00 2005.30 ./ TOTALS..............,...........,....",.... " 2005.30 .00 2005.30 T1724 TOSHIBA AMERICA MEDICAL SY SRV CONTRACT 3/20-4/19 10044689 031513 021813 031713 9B74,50 .00 9874.50'/ TOTALS,.".,....,;......""............,... ., 9874.50 ,00 9874,50 UID64 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN 8400142031 031113 030113 033013 668.02 .00 668,02'/ LAUNDRY SURGERY 8400142032 031113 030113 D33D13 348.87 .00 348,87/ TOTALS.................,..."""....,...,.. " 1016.89 .00 1016.89 U0414 UNUl~ LIFE INS CO OF A1lERIC 4591.35 .,/ INSURANCE 4/1 - 4/30 18112 031913 031913 031913 4591.35 .00 TOTALS.",.",..".......",.........,.",.., , 4591.35 ,DO 4591.35 U15DD UROLITHIASIS LABORATORY ./ OUTSIDE SRV LAB W 13Jol4578D2 031513 022813 032713 26.50 ,00 26.50 TOTALS.........................,............. : 26,50 ,00 26.50 V0552 VERATHON INC 575.00/ IMSTRUJolENT REPAIR IlEDSURG 79437 031113 022513 032713 575,00 .00 TOTALS............ 0" II' to................ 10.1 575,00 .00 575.00 V0555 VERIZON SOUTKlIEST TELEPHONE I-I 5512513030713 031513 030713 040113 205.09 .00 205.09 ,/ TELEPHONE 5523521030113 031513 030113 032613 42.28 ,00 42.28/ TELEPHONE 5526713030713 031813 030713 040113 1400.08 .00 1400.08 v" TELEPHONE 5528103030713 031813 030713 040113 48.24 .00 48,24'/ TELEPHONE 5537803030713 031813 030713 040113 304.27 .00 304.27 ./ TOTALS............. "" I.....................: 1999,96 .00 1999,96 V1471 VICTORIA RADIOWORKS, LTD 480. DO ) AIlVERTISING jq 103020313 022813 022813 032713 480.00 .00 RUN DATE, 03/20/13 TII1E, 09,38 IlEHORIAL HEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13 PAGE' 7 APOPEN VEND#,NAlIE..."".."....,..""'." ,CLS.INVOICE#...,.... ,TRN DT,INV OT.DUE DT.CK DT, .PC....., . GROSS.. ...DISC,.." ,NO.PAY.,.".. ,NET ADVERTISING 2/18 . 3/15 10793 WAGEWORKS FSA ADM FEE FEBRUARY 24341 031913 010513 020413 TOTALS...................................... .1 125AI0228075 031813 032013 032013 TOTALS....................................... : GlWID TOTALS"".......,..".,.."..,......." CkS~ /5a?.3b +0 ~ IS~3D.? APPROVED MAR 2 0, 2013 COUNW AUDITOR ~ -' /" I) 480.00 .00 480,00 960,00 .00 960.00 140.00 ,00 140,00 V 140.00 ,00 140.00 210771. 99 ,00 210771.99 Peo- :;l. ~+ <SSt>,OC>1 ~c.+\ o-n..o S?,5,DD \ <. :008'9.'1'6) ~~wwo l +.:?, 0'10,OC> ~ \ O} 1 ~'7 , 0 \ -< ~2.. DO r c5<JD/..ele 6.0 I P"t<; 3 RUN DATE. 03/20/13 TIME. 09.50 MEMORIAL MEDICAL CEN'rER EDIT LIST FOR PATIEN'r REFUNDS ARID=ODOl PAGE 1 APCDEDIT ~ATIEN'r NUlIBER PAYEE NAME DATE PAY PAT A1IOUIIT CODE TY~E DESCRIPTION GL NUN ----------------------------------------------------~;;~~;--------~;:~~-i'----------------------- ----- ---- 031813 85.03/ 032013 .158,68/ 031813 308,54 ( 031813 1377 .86/ 031813 105.60/ 031813 27.09/ 031813 300.00 .I 031813 47.20 ) 031813 32,61 / 031813 17,67.1 031813 11,72 I 22.301 488,49/ 148,611 70.00/ RUN DATE, 03/20/13 TIME, 09,50 IIEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID.ODOl PAGE 2 APCDEDIT PATIENT; NlOOl.!illi P,AYEE N~IE D,ATE P,AY PAT ~IOUNT CODE TYPE DESCRIPTION GL MUM 031813 75, DO I 4 031813 10,00 / 4 ARID.OOOl TOTAL 3305,40 ~~~_~~.____~~~~___N________________________M________________________________________________________________------------------------- TQTl\'li, C f;{5Nt /S.:?30c:' -fo ji /5:13;1,3 3305,40 APPROVED MAR 2 0 2013 COUNTY ,~UDITOR )~r ,!'t\).~ \,\J 1'v ~\" RUN DATE'D3/20/13 TIME, 15,37 loIEI!ORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 1358 CRT#556 TRANSACTIOM SEQUENCE PAGE 1 GLEDIT ACCOUNT A,H.A. SEQ. NUI!BER NlH!BER TRANS DATE JOUIUIAL AMOUNT SUB-LED REFERENCE MEllO G,L. ACCOUNT DESCRIPTION WMMHHHHMHMHMMHHHH...__..______________________________-----_________________________________________________------------------------ 1 10000000 20000000 03/20/13 CD 03/20/13 CD 21,556.93CR 10814 21,556.93 10814 A/PC152234 ALLIED BENEFIT SYSTEMS OPERATING -CASH A/PC152234 ALLIED BENEFIT SYSTEMS ACCOUNTS PAYABLE -AlP 30000000 21628 304468 c..K~ IS:i'),3t/ - - - - - - - - - -R E C A P- - - - - - - - - - JOUIUIAL YRIIO COUNT DEBIT CD 1303 2 21,556,93 TOTAL 2 21,556,93 CREDIT 21,556.93 21,556.93 ~ eo.\+ h :r:n s t.<.. ("<Uo\.C. e.. ACCOUNT TOTAL RECAP ON NEXT PAGE APPROVED MAR 2 1 20n COUI\\W AUDITOR J~W .~\\~ J- V 0 ,~. ~I RUN DATE'D3/21/13 TUIE,08,34 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 1364 CRT#556 TRANSACTIOM SEQUENCE PAGE 1 GLEDIT ACCOUNT A.H.A. SEQ, NUNBER NUNBER TRANS DATE JOURNAL AMOUNT SU8-LED REFERENCE IIEflO G.L, ACCOUNT DESCRIPTION ------------------------------------------------------------------------------------------------------------------------------------ 1 10000000 20000000 03/21/13 CD 03/21/13 CD 35D.ODCR 10441 350, DO 10441 A/PC152235 MMC EMPLOYEE BENEFITS A/PC152235 laIC EMPLOYEE BENEFITS OPERATING -CASH ACCOUNTS PAYABLE -AlP 30000000 20882 304470 (;16# j>' 2 ~ 35 - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRlIO COUNT DEBIT CD 1303 2 350.00 TOTAL 2 350.00 CREDIT 350,00 350,00 ACCOUNT TOTAL RECAP ON NEXT PAGE APPRO\/ED itlAR 2 1 2013 COUNTY AUDITOR J~WY ~~J ,,0 \'- N RUN DATE: 03/27/13 TII1E: 09:23 HE~IORIAL HEDICAL CEl'ITER AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13 PAGE: 1 APOPEN VEND#.NAME.....,.....................CLS.INVOICE#.".....,TRN DT.INV DT,DUE DT.CK DT.,PC,......GROSS..,.,DISC...."NO-PAY,."....NET A1350 ACTION LUbffiER DEPT REPAIR PLANT OPS W 31080 031513 030713 040613 151.54 .00 151. 54 V DEPT REPAIR PLANT OPS 31107 031513 030813 040713 96,70 .00 96.70 ....... DEPT REPAIR PLANT OPS 31120 031513 030813 040713 145.15 .00 145,15 ,/ DEPT REPAIR PLANT OPS 31064 032713 030613 040513 95,35 ,DO 95.35 ,/ TOTALS.........".,.,........."..,."...." ,: 4B8.74 .00 488.74 10814 ALLIED BENEFIT SYSTEHS EHPLOYEE BENEFITS 18120 032513 032513 032513 21869.87 .00 21869,B7 ,/ TOTALS....,...",.."....,.,...,...."..,..., : 21869.87 .00 21869.87 A2218 AQUA BEVERAGE COlolPANY OUTSIDE SRV WOMEN CLINIC }! 463223 032513 022813 032713 10,09 ,00 10,09 ,/ TOTALS.",..,...,.", ,...... ......". ,.,.....: 10.09 ,00 10.09 A2276 ARTHROCARE NEDICAL CORPORA SUPPLIES SURGERY H 91116686 031513 030613 040513 117,41 .00 117,41'/ TOTALS.....".,.".,.......,..",.....,...,. .: 117.41 .00 117,41 B1075 BAXTER HEALTHCARE CORP 36,95/ INFUSOR PImp LEASE H 39645912 031513 030713 040613 36.95 ,DO SUPPLIES CS INV 39651012 031513 030813 040713 498.77 ,00 498.77 ./ PHARHACEUTICALS 39632550 032513 030613 040513 156.67 .00 156.67 ....... TOTALS.........................,......,..,... : 692.39 .00 692.39 B1220 BEC~lAN COULTER INC SUPPLIES IJUl H 103367318 031513 030413 040313 400.22 .00 400.22/ SUPPLIES IJUl 103370006 031513 030513 040413 1204.47 .00 1204.47/ SUPPLIES IJUl 103366280 031913 030413 040313 5078.28 .00 5078.28~ SUPPLIES IJUl 103366551 031913 030413 040313 4987.94 ,DO 4987.94 SUPPLIES IJUl 103131266 032513 100312 110212 229.75 .00 229,75'/ SHIPPING CHARGES 102996094-1 032613 071212 081212 271.29 .00 271. 29'"' SHIPPING CHARGES 102995392-1 032713 071212 081212 ~24.28 .00 424,28 ..- TOTALS..................................,..,. : 12596.23 .00 12596,23 B180D BRIGGS HEALTHCARE OFFICE SUPPLIES PFS 11 6926361RI 031513 030713 040613 136.64 .00 136.64 ./ TOTALS.",...."..,......,.,........",...,., : 136.64 .00 136.64 B1115 BRUCE'S AUTO REPAIR 43.00/ OUTSIDE SRV TRANSPORTATIO 11950 031113 030613 040513 43,00 .00 TOTALS,.......,.,......""....".,.......... : 43,00 .00 43.00 BD437 C R BARD INC 216.75 ,/ SUPPLIES CS INV M 43748743 031113 030613 040513 216.75 .00 SUPPLIES CS INV 61244370 031113 030613 040513 116.00 .00 116.00/ TOTALS..,..,.,..",....".".",.,........... : 332.75 .00 332.75 C1D33 CAD SOLUTIONS, INC 944.00/ CAD CASES FEBRUARY 201708 032513 022813 032713 944.00 .00 TOTALS,....,...."....""...,..".,.,...... ,: 944.00 .00 944.00 C1D3D CAL COM FEDERAL CREDIT UNI El1PLQYEE DEDUCTIOM \1 18124 032613 032613 032613 25.00 .00 25,00 /' RUN DATE: 03/27/13 TIllE: 09:23 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13 PAGE: 2 APOPEN VENDff.NA!{E,................".".....CLS.INVOICEff.....",.TRN DT.INV DT.DUE DT.CK DT,.PC.",...GROSS.....DISC...."NO-PAY..,.....NET TOTALS"..........".............. ,..........: 25.00 .00 25.00 10650 CAREFUSION 2200, INC 79.29 ./ SUPPLIES ~I CLINIC 9104100274 031513 030613 040513 79.29 ,00 TOTALS,...........",..,.....,....."...,..., : 79.29 .00 79.29 10350 CENTURION NEDICAL PRODUCTS 188'OO~ SUPPLIES CS INV 91233783 031113 030613 040513 188.00 ,00 SUPPLIES CS INV 91234773 031113 030713 040613 529.00 .00 529.00 TOTALS....."....,..." ..."..",.."... ,.".: 717.00 .00 717.00 C1730 CITY OF PORT LAVACA WATER ISEWER 2/B - 3/10 W 020813-031013 032513 031913 040513 3456.35 ,00 3456,35 '" WATER 2/8 - 3/10 D20813T0031013 032513 031913 040513 116.50 ,00 116,50 I TOTALS,...."....,...,....,....."""....... : 3572.85 ,00 3572,85 10813 COKER GROUP HOLDINGS, LLC OUTSIDE SRV ADlUN 011177 032613 022813 032713 8717.62 ,00 8717.62 V TOTALS........."".........",...,.......... : 8717.62 .00 8717.62 C1970 COffi{ED CORPORATION SIJl>PLIES SURGERY II 498157 031113 030613 040513 108.41 .00 108.41 ,,/ TOTALS,.."""..................,..,......, .: 108.41 .00 108,41 C2157 COOPER SURGICAL INC SUPPLIES Hll CLINIC II 3113447 031513 030713 040613 54.08 .00 54.08 ./ TOTALS.......".,............"..".......... : 54.08 ,00 54.08 10646 COVIDIEN INSTRmlENT SURGERY 18140397 031813 030813 040713 4715.28 ,DO 4715,28 ,,/ TOTALS,.,...,......,..,..."................, : 4715.28 ,00 4715.28 10556 CPP WOUND CARE #28,LLC 14350.00'/ WOUND CARE 14836 031813 031013 040913 14350.00 .00 TOTALS.,...,.,....,.........,.......,."...., : 14350.00 .00 14350.00 C251D CPSI 13.00 ./ SOFTWARE LAB II 778533 032513 012113 012113 13.00 .00 SERVER 783530 032513 021313 021313 35409.60 .00 35409,60 ,,/ SERVER 783841 032513 021313 021313 1476.00 .00 1476,00'/ SERVER INSTATLL 784447 032513 021813 021813 6750.00 .00 675D.DO~ STATENENT PROCESSING 789365 032513 031113 031113 29.40 .00 29.40 TOTALS,...."...,..,..."".........,.."". .: 43678.00 .00 43678.00 10006 CUSTON I{EDICAL SPECIALTIES SUPPLIES RADIOLOGY 152319 031113 030713 040613 158.26 ,00 158.26/ SUPPLIES RADIOLOGY 152170 031513 030513 040413 58.26 ,DO 58.26 SUPPLIES CT SCAN 152319-1 031813 030713 040613 571.57 .00 571. 57 / TOTALS.....,.,.,.."",..,.........""...". : 788,09 .00 788.09 10042 ERBE USA INC SURGICAL SYST SUPPLIES SURGERY 242597 031113 030613 040513 180,70 .00 180.70 I RUN DA~E, 03/27/13 ~I!IE, 09,23 lIElIORIAL lIEDICAL CElITER AP OPEN INVOICE LIS~ ~HRU DUE DA~E OF 04/09/13 PAGE, 3 APOPEN VEND#.NAlIE"..,....,..,..........., ..CLS,INVOICE#....,.., .~RN QT,INV D~.DUE D~.CK D~. ,PC.,.... .GROSS".. .DISC,.... .NO-PAY......, .NE~ F1400 FISHER HEAL~HCARE SUPPLIES LAB CREDI~ SUPPLIES LAB SUPPLIES LAB SUPPLIES LAB SUPPLIES LAB SUPPLIES LAB SUPPLIES LAB 10826 FRANCES FOS~ER ~RAVEL EXPENSES PER AGREE ~RAVEL EXPENSES PER AGREE GDIDD GE HEAL~HCARE SRV COlITRAC~ 3/1 - 3/31 SRV COlITRAC~ 3/1 - 3/31 SRV COlITRAC~ GD12D GE lIEDICAL SYS~ElIS, INFO ~ SRV COlITRAC~ OB GI00l GE~INGE USA INS~RUI!ElIT REPAIR SURGERY 10653 GLOBAL EQUIPHElIT COHPANY SUPPLIES DIE~ARY W1300 GRAINGER SUPPLIES PLANT OPS A1292 GULF COAS~ HARDWARE / ACE DEP~ REPAIR Ill! CLIWIC W DEP~ REPAIR l~! CLINIC G121D GULF COAS~ PAPER COMFANY SUPPLIES HOUSEKEEPING II HD03D H E BU~~ GROCERY SUPPLIES DIE~ARY SUPPLIES DIE~ARY TOTALS....................................... : H 7017878 031513 030413 040313 7017879 031513 030413 040313 7078838 031513 030513 040413 7150187 031513 030613 040413 7201339 031513 030713 040613 7486855 032513 031413 040913 7561427 032513 031513 031313 ~OTALS,......................,......",..." .1 24348 032613 032213 032213 24349 032613 032213 032213 ~OTALS.,...,.,......,...,....",.""..,.,.. " W 5606981 031813 030413 040313 5606991 031813 030413 040313 '5617485 031813 030613 040513 ~O~ALS..",.."".,.,...,.,.,...,......,..... : 7391630 031513 031013 040913 ~O~ALS,.......".",..................".".. : 7812439 031513 030713 040613 ~OTALS."........,....."".......,..,..,... .1 105439549 032513 020513 030413 TOTALS.............................,......... : II 9084254326 031513 030613 040513 TOTALS....................................... : 074679 074712 031513 030813 040713 031513 030913 040713 TOTALS....... to..... ...... ,.... .... to........J 539636 031113 030513 040413 TOTALS.................................,..... J ~I 672799 679753 032513 030113 033013 032513 030513 040413 180.70 .00 -854.32 .00 40.00 .00 1323.70 .00 528.92 ,DO 1734.25 .00 46.03 .00 181.90 .00 3000.48 .00 170.14 .00~b~ 316.14 .00 I}~ 486,28 .00 0 447,91 .00 3504,39 .00 690.00 ,00 4642.30 ,00 171.00 .00 171.00 ,DO 213.81 .00 213.81 .00 78.76 .00 78.76 .00 84.23 .00 84,23 .00 43,97 .00 23,98 ,00 67,95 .00 72,00 .00 72.00 .00 179,08 ,00 84,30 ,00 180.70 -854,32 ./ 40.00 --- 1323.70 -- 528.92 ........ 1734.25/ 46.03/ 181.90 ,/ 3000.48 447.91'/ 3504.39 v' 690.00 ,/ 4642.30 171.00 v' 171.00 213,81"/ 213,81 78,76/ 78.76 84.23 /" 84.23 43,97 ,/ 23,98 ./ 67.95 72.00/ 72.00 / 179.08 / 84.30 RUN DATE: 03/27/13 TIME: 09:23 llEMORIAL lIEDICAL CENTER AP OPElI IlIVOICE LIST THRU DUE DATE OP 04/09/13 PAGE: 4 APOPElI VElID#.lIMIE......,............"......CLS.IlIVOICE#.,.",...TRlI DT.IlIV DT,DUE DT.CK DT.,PC,...."GROSS..",DISC....,.NO-PAY.".....lIET SUPPLIES DIETARY 682923 032513 030713 040613 304.76 .00 304.76/ FINANCE CHARGES 24350 032613 032613 032613 1.69 .00 1. 69-- TOTALS..,......"........,..",......,....." : 569,83 ,00 569.83 Hl135 HEALTH CARE LOGISTICS INC OFFICE SUPPLIES PHARl~CY Il 4722855 031813 030813 040713 331.51 .00 331. 51 V SUPPLIES PHARMACY 4717788 032713 030413 040313 187.63 .00 187.63 V TOTALS......",..,...."",..,......,..,..... : 519.14 .00 519.14 10415 11IDEPElIDElICE IlEDICAL SUPPLIES CS IlIV 2B165578 031113 030413 040313 16,74 ,00 16.74./ SUPPLIES CS IlIV 28187722 031813 030613 040513 63,08 ,00 63.08 .-- TOTALS,."........",.,....",.,.,.".....,.. : 79,82 ,00 79.82 10950 INFOLAB INC SUPPLIES BLOOD BANK I! 3235801 031913 030813 040713 871. 06 .00 871. 06 ,/ TOTALS.",........".,............,.......... : 871.06 .00 871.06 10671 INNOVATIVE X-RAY SERVICES SRV CONTRACT RADIOLOGY AP 2012CL0515-5-12 032513 030113 033013 458.33 .00 458.33 ,/ TOTALS.,.,...,.,.......""..... ,.,..........: 458.33 .00 458,33 J015D J & J HEALTH CARE SYSTEMS, SUPPLIES SURGERY 9D967206D 031513 030613 040513 2591. 26 .00 2591. 26./ TOTALS......"......,..,.,....",..""....,. : 2591.26 .00 2591. 26 M2310 IIEDELA INC SUPPLIES CS IlIV Il 11354058 031813 030713 040613 314.04 .00 314,04 ,./ TOTALS........ ,... ,."....."...,.",.....,..: 314.04 .00 314,04 112320 lIEDIBADGE SUPPLIES ER Il 574724 032613 031813 032813 68.45 ,DO 68.45 ./ TOTALS..,.,.,....,.."".,......,.."..."... : 68.45 ,00 68.45 112827 lIEDIVATORS SUPPLIES SURGERY I-I 1544212 031513 030613 040513 186.00 .00 186.DD./ TOTALS,.,......",...".....,..,......,...... : 186.00 .00 186.00 112659 llERRY X-RAY/SOURCEONE HEAL SUPPLIES RADIOLOGY Il 30093520578 031113 030613 040513 357,25 ,DO 357.25 ,/ SUPPLIES RADIOLOGY 30093520579 031113 030613 040513 714.51 ,DO 714.51'/ SERVICE CALL IWIlIO 32590230788 032513 061412 071412 281.25 ,DO 281. 25 v" SUPPLIES RADIOLOGY 30093454696 032613 121112 011313 49.32 .00 49.32 --- SUPPLIES CT SCAN 30093456071 032613 121212 011113 285.78 .00 285.78./ TOTALS.,.,.,.",........,..,..........",..., : 1688.11 .00 1688.11 10536 1I0RRIS & DICKSON CO, LLC 94.59 j PHARMACEUTICALS 4240382 032613 012313 021013 94.59 .00 PHARI!ACEUTlCALS 4242075 032613 012313 021013 5512.36 .00 5512.36 TOTALS.,..,..."........",...,........,..... : 5606.95 .00 5606.95 111002 lIPULSE I~INTENANCE SOFTWAR SOFTWARE PLANT OPS 13-03-2117 032513 031913 040113 3250.00 .00 3250.00/ RUN DATE: 03/27/13 TIME: 09:23 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13 PAGE: 5 APOPEN VEND#.NAME..........,......,..."...,CLS,INVOICE#..."...,TRN DT.INV DT,DUE DT.CK DT,.PC....,.,GROSS.,...DISC."."NO-PAY..",...NET TOTALS...... ................. ,. ,.. ......., ...: 3250.00 .00 3250.00 10824 NEl%IATIC NEDICAL ./ SUPPLIES NRI WD21648 031513 030613 040513 312,63 .00 312.63 TOTALS.........".,......,.",."....",.".. : 312,63 .00 312,63 OM425 OIWNS . MINOR SUPPLIES CS INV 2064603 031113 030513 040413 18,76 .00 18,76 :/ SUPPLIES VARIOUS 2064618 031113 030513 040413 342.00 ,DO 342,00 SUPPLIES CS INV 2064673 031113 030513 040413 9,18 .00 9,18 .... SUPPLIES VARIOUS 2064875 031113 030513 040413 2592.86 ,DO 2592.86 v" SUPPLIES VARIOUS 2065104 031113 030513 040413 66.04 .00 66.04~ SUPPLIES SURGERY 2064233 031513 030413 040313 476.03 .00 476.03/ SUPPLIES CS INV 2066454 031513 030813 040713 71.55 .00 71.55 / SUPPLIES VARIOUS 2066573 031513 030813 040713 1838,38 .00 1838.38 ,/ TOTALS,."..."..."..""......""",...... : 5414.80 .00 5414.80 P126D PENTAX MEDICAL COMPANY INSTRUlIENT REPAIR SURGERY M 91940247 031513 030813 040713 603,78 .00 603,78 v"" TOTALS,.".,......"...,.,....,.......,...... : 603.78 .00 603,78 P1476 PHILIPS HEALTHCARE INSTRUMENT REPAIR ICU M 925655698 031813 030813 040713 271.32 ,00 271. 32 ,/ TOTALS,.........".,....,.......,.,."..,.... : 271.32 .00 271.32 P180D PITNEY BOWES IMC 229,00'/ SOFTWARE CHARGES W 907924 031513 030413 040313 229.00 .00 TOTALS.,....""..,...,.......,...",........ : 229.00 .00 229.00 P2200 POWER ELECTRIC 8.97/ DEPT REPAIR PLANT OPS W 162486 031513 030913 040813 8.97 .00 TOTALS....................................... t 8.97 ,00 8.97 10326 PRINCIPAL'LIFE INSUlWICE APRIL 18115 032513 032513 040113 1616.95 .00 16l6.95 ./ TOTALS....................................... : 1616.95 ,00 1616.95 T050D PRISCILLA STEPHENS 15000.00 j INTERn! BILLING \q 24351 032613 062513 032513 15000,00 .00 IV\Arch '2.013 TOTALS,..."..., ,......"......."..",."...: 15000.00 ,DO 150.00,00 P237D PROGRESSIVE DYNAlIICS MEDIC SUPPLIES SURGERY M 130353 031513 030713 040613 153.92 .00 153.92 v' TOTALS..,..... ,.,..".., ,. ...,.., ,........".1 153.92 ,00 153.92 10800 PROVIDENCE HEALTHCARE STAF CONTRACT NURSE - 121625 032513 010713 020713 3788,00 ,00 378B,OD / I="~...."ee.> ~O's'+e.( TOTALS..",............. ........,. ,...,..,.,.: 3788.00 ,00 3788.00 Rl050 R G & ASSOCIATES INC SUPPLIES PLANT OPS 11 212217 031513 030713 040613 180,40 .00 180.40/ RUN DATE: 03/27/13 TIME: 09:23 MEMORIAL MEDICAL CEMTER AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13 PAGE: 6 APOPEN VEND#,NAME.....""........"."..".CLS,INVOICE#.."...,.TEN DT,INV DT.DUE DT,CK DT"PC...,.,.GROSS...,.DISC.."..NO-PAY..."...NET TOTALS...................................... .1 180,40 .00 180.40 10645 REVISTA d. VICTORIA / ADVERTISING 03201325 031513 030813 040713 375.00 .00 375.00 TOTALS....................................... : 375,00 .00 375,00 I052D RICOH USA, INC, 4870.00 ./ COPIER REMTAL II 88701854 031813 031113 040513 4870,00 .00 TOTALS.,.....,..,.....,.,.......".,....",. " 4870.00 .00 4870.00 10812 ROBERT T HARDY COMTRACT 24345 032613 032613 032613 5000,00 ,00 5000.00 0/ TRAVEL EXPENSES hlll CLINIC 24347 032613 032613 032613 216,70 ,00 216,70 ,/ TOTALS.,.........,..,...".".....,.",...,. .1 5216.70 ,00 5216.70 10343 SCAN SOUND, INC 29.29~ SUPPLIES RADIOLOGY 100009087 031513 030413 040313 29,29 ,DO SUPPLIES RADIOLOGY 100009102 031513 030513 040413 17.00 .00 17.00 TOTALS................ to,..... 1,.............1 46.29 ,00 46,29 S1800 SHERWIN IIILLIAlIS ./ DEPT REPAIR BEHAVIOR HEAL W 7683-6 031813 030713 040613 58,49 .00 58,49 TOTALS"".......,. ,..,.,."..,.,....,.."...1 58.49 .00 58.49 S240D SO TEX BLOOD & TISSUE CEMT SUPPLIES BLOOD BANK CREDI M 20130656 031513 030413 040313 -2460.00 .00 -2460,DDV./ SUPPLIES BLOOD BANK 20130724 031513 030413 040313 4353.00 ,00 4353,00 TOTALS....................................... : 1893.00 .00 1893.00 W1131 SUE WILLIAMS FLEX SPEND REIMBURSEMEMT 24343 032613 032513 032513 315.52 .00 315.52 ./ TOTALS."..,. ~.."...,.,"',....,.,",.......: 315.52 .00 315,52 S2951 SYSCO FOOD SERVICES OF SUPPLIES DIETARY N 303070716 032513 030713 032713 774.77 .00 774.77/ SUPPLIES DIETARY 303140952 032513 031413 040113 1112.64 .00 1112.64 ./ TOTALS......"",...."",.........,..."..,. : 1887.41 ,00 1887.41 T190D TEXAS ELECTRICAL SUPPLY SUPPLIES PLANT OPS M 27337 031513 030513 040513 197,10 .00 197.10 ~ SUPPLIES PLANT OPS 27362 031513 030613 040513 99,56 .00 99.56 TOTALS.,."...."...,......,.,....,.",....,. : 296,66 .00 296.66 10821 TEXAS LAKESIDE RV RESORT, TRAVEL EXPENSES - lDO-APRIL 032613 032513 032513 590,80 .00 590.80 ,/ Ro'"......4- !-l.q....d..j TOTALS.......,.............,.........,....... : 590,80 .00 590.80 T2303 TG EMPLOYEE DEDUCTION 11 18125 032613 032613 032613 22.43 .00 22.43 ,,- EMPLOYEE DEDUCTION 18126 032613 032613 032613 125.67 .00 125.67 V TOTALS.".,....,.........."...........,.,.., : 148.10 ,00 148.10 10828 THE 1IESTIN AUSTIN 667.00/ TRAVEL EXPENSE VARIOUS 24343 032513 032113 032113 667,00 ,DO RUN DATE' 03/27/13 TnIE, 09,23 I!EHORIAL llEDICAL CEHTER AP OPEN IHVOICE LIST THRU DUE DATE OF 04/09/13 PAGE' 7 APOPEN VEND#.NAME....,.......""....".,...CLS.INVOICE#....."..TRN DT,IHV DT,DUE QT,CK DT.,PC".....GROSS..,.,DISC."...NO-PAY...."..NET TOTALS......,................"......"...", , 667.00 .00 667.00 T0801 TLC STAFFING COHTRACT NURSE W 11186 031513 030513 040413 277.00 .00 277 .00 ~ COHTRACT NURSE 11228 032513 031913 031913 2070.71 ,00 2070.71--- TOTALS......""........,......",..,.".... .1 2347.71 .00 2347.71 T3334 TRINITY PHYSICS CONSULTING ./ ~~mo SPOT CHECK W 24343 032513 032113 032113 450.00 .00 450.00 TOTALS.."..."........,..........."",..... , 450,00 .00 450,00 Ul054 UNIFIRST HOLDINGS LAUNDRY HAIHTENAlICE W 8150602713 031113 030513 040413 30,62 .00 30.62 ./ LAUNDRY HAIHTENAlICE 8150602854 031113 030513 040413 32.97 .00 32.97/ TOTALS..""......".,...................,... , 63.59 .00 63.59 Ul064 UNIFIRST HOLDINGS mc LAUNDRY HOSPITAL LINEN 8400142181 031113 030513 040413 1008.34 .00 1008.34 ./ LAUNDRY HOUSEKEEPING 8400142182 031113 030513 040413 206,95 .00 2D6.95./' LAUNDRY PLAZA 8400142183 031113 030513 040413 167,48 .00 167,4B ,- LAUNDRY DIETARY 8400142184 031113 030513 040413 177,66 ,00 177.66'/ LAUNDRY DB 8400142185 031113 030513 040413 B6.70 ,DO 86,70'/ LAUNDRY HOUSEKEEPIHG 8400142186 031113 030513 040413 94,35 .00 94.35 ,/ LAUNDRY HOSPITAL LINEN 8400142506 031513 030813 040713 866.67 .00 866.67/ LAUNDRY SURGERY 8400142507 031513 030813 040713 348,59 .00 348.59 ~ LAUNDRY DIETARY 8400142247 032513 030513 040413 56,10 .00 56.10/ TOTALS.,.,..........."...""............. ..I 3012,84 .00 3012.84 U1D56 UNIFORlI ADVANTAGE ./ E~IPLOYEE PURCHASE II 4867334 031513 021813 040613 128.91 .00 128.91 TOTALS.....,......."...",......",.....,.., , 128.91 ,DO 128.91 U1400 UNITED WAY OF CALHOUN COUN 58.50 ./ EHPLQYEE DEDUCTION II 18123 032613 032613 032613 58,50 ,00 TOTALS.."......,....,.....,..,....,.",..... , 58,50 ,DO 58.50 U135D UPS SHIPPING CHARGES W 0000778941113 032613 031613 032713 908.10 .00 908.10 / TOTALS.".."........",.,...."..........,.. : 908.10 .00 908.10 10172 US FOOD SERVICE 4108.17/ SUPPLIES DIETARY 3060578 032513 031413 040113 4108.17 .00 SUPPLIES DIETARY 5619662 032513 022213 031213 374.41 .00 374.41/ SUPPLIES DIETARY 5784326 032513 030513 032513 218.57 .00 218.57 ./ SUPPLIES DIETARY 5831213 032513 030713 032713 4301.78 .00 mU8 ./ SUPPLIES DIETARY 5831214 032513 030713 032713 252.13 .00 252.13/ SUPPLIES DIETARY 5748474 032613 030113 032013 48.69 .00 48.69 ,/ SUPPLIES DIETARY 5748475 032613 030113 032013 29.70 .00 29.70/ SUPPLIES DIETARY 5851422 032613 030713 032713 27,75 .00 27,75/ TOTALS,....."..."..,..."...,.." ,......".: 9361.20 .00 9361.20 U2000 US POSTAL SERVICE loIETER POSTAGE 24346 032613 032613 032613 1200.00 .00 1200.00/ RUN DATE, 03/27/13 TIME: 09,23 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST TRRU DUE DATE OF 04/09/13 PAGE, 8 APOPEM VEND#,NAME.,........,..."....,.,..,.CLS.INVOICE#...,."..TAN QT,INV QT,DUE DT.CK DT,.PC..,.."GROSS".,.DISC".,..NO-PAY....",.NET K1751 VICKY KALISEK FLEX SPEND REnIBURSElJENT W 10472 VISA MISCELLANEOUS PURCHASES Illl0 NERFEN USA LLC SUPPLIES LAB 10394 WILLIAM E REI~IP, TRUSTEE )MPLOYEE DEDUCTION 10429 WILLIAM E HEITKAl,IP, TRUSTE EMPLOYEE DEDUCTION TOTALS............ II.. 1,.,1..... ..... ........1 24344 032613 032513 032513 TOTALS...................................... .1 I~CH2013 032513 020613 040113 TOTALS....................................... : 9110012667 031913 030513 040413 TOTALS.. 1,.,1... 11.,1 II.... ... .... II.... I" ..: 18121 032613 032613 032613 TOTALS,..,.".........,.....,.".,......,.." : 1B122 032613 032613 032613 TOTALS.......,...,.........",...........". .: 1200.00 234.35 234.35 266B.49 266B.49 126B.54 1268.54 325.00 325.00 495.00 495.00 GRAND TOTALS................ ..... ............: 206304.21 APPROVED MAR 2 7 2013 COUN'1fV AUDITOR ~lC.s~1 ~3.QL{ TO .:1t-IS;<t.ib',;\ ~ff J "W,~ ....1) j' ~;I ,00 .00 .00 .00 .00 .00 ,DO ,00 ,DO .00 .00 1200.00 234.35 ./ 234.35 2668.49 --- 2668.49 1268.54 ,/ 1268.54 325,00 ,..- 325,00 495.00 ,/ 495,00 ,00 ~c.+"1S'Y'- P%3 206304,21 ( L.( <r;to .),fij ,. ;(o~ '81'7 . q 3 / Department 038 MENDRIAL HEDICAL CENTER Payroll Register ( Bi .Weekly ) Pay Period 02/0a/13 - 02/21/13 Runn 2 Dept. Sequence Page P2Roo Run Date: 02/21/13 Time: 10:17 tn E m ploy e e ~-~--*-~ Tim e _____un_u__uu._nunnn___.u._~~__ntn 0 e due t ion S unun_nn.____nn___* INum/Type/Name/pay/ExemptIPayCd Dept Hrs IOllsHlwEIHDICBI Rate Gross I Code Amount I *________________.__~~_~_t__________________________________.~___________________*_________~________~~_______________.___~________l: FI Hrly, 14.S900 P 038 16.00 H H H N 14.9900 239.84 FICA-H 3.4B FICA-O 14.87 lSA-R 16.79 Fed-Ex, M-OO St.Ex, -00 *n..._.u___n__nn_.__n__t Total: 16,00 ..u__~_nunn (Gross: 239.84 Deductions: 35.14 Net: 204.701 Department Summary *n Pay Cod e Sum mar y _....u___nn____u__uun__.u._~~__ul:__ 0 e d u c t ion s Sum mar y ___H_u__..~i I PayCd Description Hrs IOTlsHIWEIHDICBI Gross I Code Mount I * _.~. _ _ ~_ _ _ ____ _ _ _ _ __ _ ... n _. _ _ ___ __ ___ _ _~_~ ~ _ _ _ .._~~_~_. _ _ __ _ ___ __ _ __ __~_ _ *.~ ~~ _ _ _~_ _ _ __ ____ __ _ _ __ ___ _~ ___ __ _ ... ___ ~~ -~ -~ ______1: P 16.00 H H N N 239.84 A/R ANARDS BOOTS CAFE H CAFE-C CAFE-O CAFE-F CAFE-H CAFE-I CAFE-L CAFE.P CANCER CLINIC CREDUN DENTAL DEF-LF FEOTAX FICA-M FICA-D 14.87 FLEXS FORI D FOTA GIFI S GRANI GEP-IN GIL HOSP-! ID IF! LEAF rHSe OTHER PHI PR FIN REPAY SIGNON SI-TX STUDEN ISA-! ISA-2 ISA-C TSA.F TSA-R lOTION UW /HOS 3.48 16.79 tuun__n__n_ Department Totals: 16,00 __un_ {Gross: 239,84 Deductions: 35,14 Net: 204.70 I I Checks Count:- IT 1 PT Other Female 1 Male Credit OverAmt ZeroNet Term Total: 11 i ___~ __~___ _ _ n_ _ _____ _ __ n ____ _ _ _ _ _______~____ _ _ n _ _u __ n ____ ____ _ ________ __ _____ ___ _..... ~~~_ _ _ ___ __ _____~_____ d ___ U~ _~~___i o I'll .4, {- j.e-,( 7 '--.J'- ((.) ( S. / ,/ Run Date: 02/26/13 Time: 09:51 lIBHORIAL MEDICAL CilITIlR Payroll Register I Bi -Weekly I Pay Period 02/0B/ll . 02/21/13 RunB 1 Page 85 P20EG Final SU1\Ullilry i__ pay Cod e Sum 1.\ a r y _nn__n____nu__n__uvn_w_n_n.nnt__ De due t ion s Sum mar y n______wn__. I Payed Description HIB IOTISHIWEIHOlcBI Gross I code Amount 1 tn_______nn____.____un__________.________._______________n_______nnf._______MhW.._______n___________________________MOt 1 REGIIWl PAY.SI 1559.50 N N N lJJ363.12 AiR 163.50 ABARDS BOOTS 1 RI<<l1I11lR PAY-S1 3!65.25 N N N N 41BBB.16 CAFE H CAPE-C 662.B4 CAFE.D 991.50 1 REGULAR PAY'SI' . 1l9;50 Y' N 'N . mUB CAFE-F' CAFE'H 93OB;00 CAFE-I ..256:-57"'- 1 REGIIWl PAY-S1 2.25 Y II N II 42.32 CAFE-L 392.11 CAFR-P 99.63 ClIllCER 12.68 2 REGIJ1I\ll PAY-S2 2603.50 II II N 53140.54 CLINIC CREDIlIl 25.00 DllJIlAL 402.50 2 REGULAR PAY.S2 BO.OO Y II N 2681.38 DEP-LF 329.BO FROTM 32OB6.91 FICA-H 4J12.48 3 RRGIJ1I\ll PAY-S3 1651.50 N N II 3B666.62 FlCA-O IB439.64 FLEX S Un.B6 FORT D 3 REGIIWl PAY-S3 9B.25 Y N II 2991.40 FUrA Gm S 92.32 GRAN! E SICK BONUS n.oo N N N II 1114.32 GRP.IN 129.26 GTL HooP-I 3545.00 C CALL PAY 2250.75 N 11 N 4501.50 ID TFl LRAF MISe D lXlUBIJl TIlIll 11.75 N N N N 112.15 OTHIlR 2624.01FR1 PR Fm 509.66 B EXTRA BAGIlS N N N 11 1091.61 REPAY SIGNOII S1-TX B RXTRA HAOIlS N II II N 1060.00 STlJDEN 128.60 TSA-l TSA-2 I lNSRRVlCB 13.00 N II N 310.54 T'SA-C TSA-P TSA-R 21111.15 J JURY LEAVE 1.75 N II II II 41.21 'IUlION UH/HOS 83.50 K RKTID1DED- ILLNESS-8ANK n.oo N 1 )1 II 1152.64 P PAID-TlHll.OFF 86.56 N 1I 1I N 1825.29 P PAID-TIMS-OFF 825.00 .N 1 II II 15194.58 X CALL PAY 2 96.00 II II N N 192.00 X CALL PAY 2 60.00 II II 11 120.00 Z CALL PAY 3 96.00 II II N N 28B.00 tn._~.umuu_uu Grand 'fotal:::: 17184.56 .------ (Gross: 310452.08 Deductions: 98256.18 Net: 212195.10 I 1 Check8 Count:- Fl 163 Fl 18 Other 33 Female 181 Male 33 Credit OVerl'lmt lOZeroRet Term Total: 2111 i."."...___.n_________________________________u______________________n_n______n_________________._.n____"____U__________~t COMBINED TOTALS FED TAX 32,179.48 / FICAO / 37,150.60 FICAM / 8,688.42 TOTALS 78,018.50 Run Date, 02/21/13 Time: 13:58 MEflDRIAL MEDICAL CEIIIER Payroll Register I Bi -Weekly) Pay Period 02/08/13 - 02/21/13 Runl 4 Dept. Sequence Page "ROO Department 031 *~~ Em p 1 0 y e e u___*-~ Tim e _______~_____________________~__________u__*__ D e due t ion s ._______nn~~___u__~___* INum/Type/Mame/pay/Exempt!PayCd Dept Hra IOTISHlimlHDlc81 Rate Gross I Code Amount I *______~_________________*_____________________________._________.._"_H_______.__*~._________~.______________~___________________.t . Hrhr. :\1.3700 K 031 26.00 N I{ Ii N 33.3100 861.62 FEDTAX 92.51 FICA-I; 12.58 FICA-O 53.19 TSA-R 60.13 Fed-Ex, s-oo St-Ex, -00 *_______nh~________________* Total' 26.00 --.----~-------- ( Gross: c::.R- ~ ~ /5~ . Department Summary Deductions: 219.67 tlet: 641.95) 861.62 *__ Pay Cod e S u rn mar y ____n__________n______uU_____..H...__*__ D e due t ion s Sum mar y _____________1 I PayCd Description Hrs IOTISHIWEIHDlc81 Gross I Code Amount I '" _ _.____ _ __ _ _ _ __ _________ _ _ _ _ __._ ___ ___ _ _ __ _ ________ u_ _ ___~__~____ u _ ___ _ _ t ______ __ _ _ _______ u _ ___~~ n _ u____ _~ ~__ - __u _ _. _~ _ __* K 26.00 N N Ii N 861.62 A/R ANARDS BOOTS CAFR H CAFE-C CAPE.D CAFB-F CAFE-H CAFE-I CAFE-L CAFE-P CANCER CLINIC CREmm DENTAL DEF-LF PEOTAX 92 .51 FICA-N PICA-O 53.19 FLEX S PORT 0 FUTA GIFT S GRANT GRF-IN GTL HDSH IDTFr LEAF mc OTHER FHI PR FIN REPAY SIGNDN ST-TX STUDEN TSA-l TSA-2 TSA-C TSA-P TSA.R TUTION UW/HOS 12.58 60.73 L~_~__~..u~___ Department Totals: 26.00 nun_ { Gross: 867.62 Deductions: 219.67 Net: 647.95 J I Checks Count;- IT 1 PT Other Female 1 Male Credit OverAmt ZeroNet Term Total: 1 1 *___ _ __ _ n __ ______~____ __ _ _ _______ __ _ _ _ _____~ _ u ________~ H' _ ___ __~ ~ ~.~ **** **_ ___ _ _ _ ~*** _ *** __*__ __**M _*_______ n___ *_ u _ _ ___H -- - * ~r )(. ~/\, \j \/ \ \ Run Oat" 02/27/13 Time: 08:51 MEMORIAL MEDICAL CENTER Payroll Register ( Bi -Weekly) Pay Period 02/08/13 . 02/21/I3 RunU 3 Dept. Sequence Page 1 P2REG Department 001 in E m p 1 0 Y e e __UR*__ Tim e ~~~_u_n~~____U"_____"_"_____"UU_""_U__*_" 0 e due t ion S n_u"._u_____n___nu.t INun/Type/Name/pay/ExemptIPaycd Dept Hrs [OT[SH[WEIHO[CB[ Rate Gross I Code Amount I t_______________________.*____________________________"""------------------""----*"------------------------------------------------* IT Hrly: 2B.6000 2 001 -3.50 Il N N N 3.0000 -10.50 FICA-II 15.67 FICA-D 67.0B TSA-R 75.65 2 001 -1.50 N N N N 3.2500 -24.38 Fed-Ex: ~H16 Bt-Ex: -00 3 001 -8.75 Il N N N 4.0000 .35.00 3 001 -11.50 N N N N 4.2500 -74.38 et.il lPi<;;t9 2 001 3.50 N N N N 32.8500 HUB 2 001 7.50 N N N N 31.8500 238.0B 3 001 8.75 N N N N 33.0500 296.19 3 001 11.50 11 N N N 32.8500 574.88 *_n___n_____u_________n__* Total: .00 ___n.U__h_n_ {Gross: 1080.67 Deductions: 15B.32 Net: 922.35} Department Summary L. Pay Cod e Sum mar y ________un.u__n___n______unu_____L_ D e due t ion s Sum 111 a r y _n__._nRu.* I PayCd Description Hrs [OT[SH[WO[HDlco[ Gross [Code Amount I *----------"---------""------------~~~-----~-------~--------------------~~-*-------------------~-------------~---------------_._* 2 REGULAR PAY-S2 N N N N 318.98 A/R AWARDS BOOTS 3 REGULAR PAY-S3 N N N I! 761.69 CAFE H CAFE-C CAFB-D CAFE.F CAFE-H CAFE-I CAFE.L CAFE-P CANCER CLINIC CREDUl! DENTAL DEP-LF FSDTAX FICA-H FICA-D 67.00 FLEX S FORT D FUTA GIFT S GRANT GRP-IN GTL HOSP-I ID TIT LEAF msc OTHER PHI PR FIN REPAY SIGNON ST-TX STUDEN TSA-l TSA-2 TSA-C TSA-P TSA-R TUTIDN IlllfROS 15.67 75.65 *n_n___nun_ Department Totals: ___un { Gross: 1080.67 Deductions: 158.32 Net: 922.35 J I Checks Count:- FT 1 PT Other Female 1 Hale Credit OverAmt ZeroNet Term Total: 1 I *________________________________________________________~_"_____________.~._______..___~.._____..___ ___._.___..__________...___i ~ Tax Payment Report Worksheet. EFTPS Voice Response S\ (Photocopy this worksheet for future use.) ll2ill' You dial: EFIPS responds: You enter: \,."". ~~~-~ EFIPS prompts: 1-800-555-3453 "Welcome to the Electronic Federal Tax Payment System" "If you are calling from a TOlrcl]Tone phone, press 1." 1 (For Touch Tone phone) "Enter your 9-digitTaxpayer Identi \cation Number" You enter: r:z:JDlJ [k][Q][QJ DJrnm[]J (9-digit Employer IdentifIcatior) Number) r"""; :~, EFIPS promt~: You enter: C"- = =---= digit Personal Identification Numb "Enter your Lj.-digit PIN' You enter: "'~!! EFIPS prompts: Lists the Main Menu Selections 11:,,}g~ EFIPS prompts: You'enter: EFIPS re~ponds: Press 1 (to initiate a tax prvment) "Enter the Tax Type number followed bV tne pound (#) sign." ' CfJ[3!] wOO D (3-t06digittaxtypenuniberfrom the IRS Tax Form-Table in Appendix A) , "You entered Tax Type!Tax Description (Based on the selection instep #sj ~~J,. EFIPS prompts: "EnterTax Payment Tvpe" You enter: . 1 digit number Tax Payment Tvpe (Tax Payment Type specific to Tax Form Code in Appendix DJ ,,,'ti: EFIPS prompts: You enter: "Enter the 4- igit Tax Fm~g Period starting with the, year followed by ~onth'" rnm [[][2] (Valid 4-digitTaxPeriod based on IRS Tax Form ~i.nAppendixA) . ~]f,;; EFIPS prompts: "Enter the payment Amount followed by the pound (#) sign." (You must enter cents even if you are reporting a whole dollar amount.) You enter: $DD,DEtlOlJ,rnmI1J.[]JmJ (Your payment amount cannot exceed $99,999,999.99) ifif.f EFIPS prompts: Enter the 2-digitVerifIcation Code." DO Verification Code* *(See Appendix EforVerification Co~e Calculation) r..J EFIPS responds: '''Enter the 6-digit tax payment settlement date by month, day, year." , (Note, the next business date you enter must be at least one business day.' f'vU inthefuture). ' 1'~ 1\\ ~\l You enter: r7i1[~](][]IIi::lIl::nQ=J ~ ~ >\ J ~it tal< payment settlement day in MMDDYV format) ~~ ~ \ r]~1 (1?,'j" .., :.-. ~. ,.'.' ....,....,:.y,' (Continue) ~W "" : ''!tlb! I J ' if) Run Date: 03/12/13 MEI~DRIAL I~EDJCAL CENTER Page E6 Time: 10:21 Payroll Register ( Bi-Weekly ) P2R1lG Pay Period 02/22/13 - 03/07/13 Runi 1 Final sunmary tu Pay Cod e Sum mar y H_U_______n__~_n_______H_H_________*u 0 e due t ion s Sum mar Y ____hh__hot I PayCd Description Hrs [OTlsH[llB[HO[CBI Gross I Code Amount i________n___......_________________..___________......u____n_______n__i________________________..___u_________..ow________f 1 REGULAR PAY-Sl 7755.50 N N N !l6145.43 A/R 863.50 AWARDS BOOTS 1 REGULAR PAY.Sl 1440.00 N N II N 46467.91 CAFE H CAFE-C 655.55 CAFE-D 972.50 1 REGULAR PAY -SI 187.75 Y N N 4826.55 CAFE-F CAFE-H 9255.00 CAFE-I 241.88 1 REGULAR PAY-Sl 2.50 Y II H N 76.88 CAFB-L 417.22 CAFE-P 91.88 CAllCER '12.68 2 REGULAR PAY-S2 2531.00 N N N 51967.17 CLINIC CREDUN 25.00 DENTAL 397.54 2 REGULAR PAY-S2 73.00 Y N N 2267.53 DEP-LF 329.80 FBDTAX 34090.19 FICA-H 4455.23 3 REGULAR PAY -S3 1589.25 II N N 37449.50 FICA-O 19061.09 FLEX S 1322.86 FORT D 3 REGULAR PAY -S3 93.75 Y N N 3612.59 FillA GIFT S 158.!l GRANT B SICX BONUS 36.00 N N II N 4)6.32 GRP-IN 129.26 GTL HDSp.I 3315.00 C CALL PAY 64.00 N N N N 128.00 ID TFT LEAF MISC C CALL PAY 2530.75 N N N 5061.50 OTHER 2509.22 PHI PR FIN 508.66 8 EXTRA HAGES N N N N 8785.70 REPAY S !GNDll ST-TX E 8XTRA HAGES N 1 N N N 720.00 STUDEl! 175.66 TSA-l TSA-2 I INSERVICE 39.00 N 1 N N 974.66 TSA-C TSA-P TSA-R 22414.94 I INSERVICE 2.50 Y 1 N N 109.31 TIllION UN/HOS 33.50 J JURY LEAVE !l.00 N I N N 211.25 K EXTENDED- ILLNESS-BANK 116.00 II 1 N N 3231.56 P PAID-TIME-OFF 126.00 N N N N 2016.62 P PAID-TIME-OPP 128.00 N N N 14559.68 X CALL PAY 2 64.00 N N 11 N 128.00 X CALL PAY 2 94.00 N 1 N N 188.00 Y YMCA/CURVES N N N N 45.00 Z CALL PAY 3 96.00 N N N 288.00 t PNONE & DATA N N N N 510.00 *___n_~~h_~________ Grand Totals: 17582.00 _nn__ ( Gross: 320213.16 Deductions: 101436.29 Net: 218176.81) [ Checks Count, - FT 164 PT 16 Other 32 Female 181 I~ale Jl Credit OverAmt 13 ZeroNet Term Total: 2121 *____________________...._______________________.._____~__________.______.____________________._________ _.........______________1 Department 005 ~ffiI4DRIAL HEDICAL CEIITER Payroll Register { Bi -Weekly J !ay !eriod 02/22/13 - 03/07/13 Run! 2 Dept, Sequence Page PlRRG Run Date: 03/18/13 Time: 13:5B tu Em p 1 0 Y e e u_~_tu Tim e un___nn_nu___nn_u___u~_____u_n__tn De d u c t ion s u~~__nu__~_n_uuuu* INurn/Type/Narne/!ay/Exernptl!ayCd Dept Hrs 10TlsHlwEIHDICBI Rate Gross [Code Amount I t___________n_~_~_______*____________________________________________~_________~t____~~_~________~~_.___~__~---.~~~~--------~~~-~* "F'I Ilrlv: 7:1 t=;'1f10 2 005 -23,50 N N N 23.6100 -556,25 DENTAL .10,00 PEDTAX, -880,80 FICA-N -63,98 3 005 -45,50 N N N 24,6100 .1122.49 FICA-D -213,55 HOSH -105,00 TSA-R -308,85 Fed-E" 11-09 St-Ex: 0-00 I 005 -6,50 N N N 21.6100 -140,86 3 005 -2,50 Y N N 31,0050 -92,51 E 005 N N N N -2500,00 *Direct Deposit 3/14/13-* Total: ~?8,OO *w* Net Pay ~ve ( Gross: -4412,11 Deductions: -1642,18 Net: -2169,93 ) Department Summary in Pay Cod e Sum mar y Uuu"_u~nu~~~~u_u______u~_'u__n*u D e due t ion s Sum mar y "--.-~-~-~-~-* I !ayCd Description Hrs IOTlsHIIiEIHOlc8[ Gross I Code Amount I t ___ _ _ _ _" _ ~~~~ _ ____ __ __ _ __" ___~ ~_" ~ _ _ _ _ __ _~" ~. ~_ _~~ _~_. __ _ _~_~_,___~~~ ~____ *~~ ___ _~~ ~_ ~- - - - --- .~~ - -,-- -~~~~. ~ ~-~ - ------~ .~-." ___t 2 REGULAR !AY-S2 -23,50 N N N -556,25 A/R ANARDS BOOTS 3 REGULAR !AY-S3 -45,50 N N N -1122.49 CAFE H CAFE-C WE-D 3 REGULAR PAY-S3 -2,50 Y N N -92,51 CAFE-P CAFB-H CAFR.I E EXTRA WAGES W N 1I N .2500,00 CAPE-L CAPE-P CANCER I INSERVICE -6,50 N 1 N N .140,86 CLINIC CREDUN DENTAL DEP-LF FEDTAX -880,80 FICA-M FICA-D .213,55 FLEX S FORT D FUTA GIF'1 S GRANT GRP.IN GTL HOSH ID TIT LBAF IHSC OTHER PHI PR FIN REm SIGNON ST-TX STUDEN TSA.1 TSA-j TSA-C TSA-P TSA-R TUTION UW/HOS -10,00 .63,98 -105,00 -108,85 *_n__~~_uun_ Department Totals: -1B.OO u~n__ I Gross: ~4412,11 Deductions: ~1642.18 Net: -2169.93 } I Checks Count;- IT PT Other Female Male Credit OverAmt ZeroNet Term Total: 1 *~"---------_._~--~---~--~------~--~--~---~-~~_.._--~-----_."~~~-----~~~.~~~--_.,'-~~~~~~"-~~~~-_.~~~---~--~~~~~~--~---~.-_.~~--* Department 005 flEIIDRIAL flEOICAL CENTER Payroll Register ( Bi-Weekly I Pay Period 02/22/13 - 03/01/13 Runti 3 Dept, Sequence Page P2RW Run Date, 03/18/13 Time: 14;08 in E m p 1 0 Y e e __u_k__ Tim e u_____n..__un__u..__nn_u__.un__.uk__ D e due t ion s nn___nuuu_nn.._uk INwn/Type/Name/Pay/ExemptIPayCd Dept HrB IOTlsH!WE!HOlc8! Rate Gross I Code Amount ! * -----. - ... -- ---- -_.- - _.- *- ~~~- ---- --- - --- - -~-- - -- -~------- --~~---~. ----- - ~. --- - - *. --- - - - - -- - - --~-- ---------- - - -. ~~ - --~ **---~ ~~. -- * FT Hrly: 2J,6700 2 005 23.50 H N N l! 23.6100 556.25 DENTAL 10.00 FEDTAX 334.12 PICHI 63.98 3 005 45.50 N N N N 24.6100 1122.49 FICA-D 213.55 HOSP-l 105.00 TSA-R 308.85 Fed-Ex: ~l-09 St-Ex: 0-00 I 005 6.50 N N N N 21.6100 140.86 3 005 2.50 Y N N N 31.0050 92.51 E 005 N N N N 2500.00 L___n.__n___n____n__~~n* Total; 78.00 tw~ High Net Pay ( Gross: 4412 .11 Deductions: 1096.10 Net: 331..01 ) Department summary *__ pay Cod e Sum mar y nn__~_nn.~nn_un____u__un_.__uL_ De d u c t ion a Sum mar y _u__uunnk I payCd Description Hrs IOT!SHIW8IHOICBI Gross I Code Amount I *__ __~_~__ ___ __.~_ ___. ~~~_ _____ ____~____ ~___ __ _ _ .__ ___... _~ _ ~ __. _ _. _. _ __. __~ __ ______ _ _ _ _____ __ __ _ _ _ _ __ u _ _ ~. ._____ _ _ _ __ - --- - - --- ~ 2 REGULAR PAY-S2 23.50 N N N N 556.25 A/R AWAROS EODTS 3 REGULAR PAY-S3 45.50 N N N N 1122.49 CAFE H CAFH-C CAFE-D 3 REGULAR PAY-S3 2.50 Y N N N 92.51 CAFE-F CAFE-H CAFE-I E EXTRA HAGES N l! N N 2500.00 CAFE-L CAFE-P CANCER I INSERVICE 6.50 N N N N 140.86 CLINIC CREDUN DENTAL DEP-LF FEDTAX 334.12 FICA-H FICA-O 213.55 FLEX S FORT 0 FUTA GIFT S GRANT GRP-IN GTL HOSP-I IDTFT LEAF rnsc OTHER PHI PR FIN REPAY SIGNON ST-TX STUDEN TSA-l TSA-2 TSA-C TSA-P TSA-R TUTION UN/HDS 10.00 63.91 105.00 30U5 L_____...uu__ Department Totals: 78.00 _~uu_ (Gross: 4412,11 Deductions: 1096.10 Net: B16,011 I Checks Count:- FT 1 PT Other Female 1 Male Credit OverAmt 1 ZeroNet TerRI Total: 1 I 10. ~_ _ _~. __. ~-- -- --" --- --- --- - ------ --- - - - ----- -- - - ---- ~--- - - ------ - -- - - -~- - ----~ - - - -- ---- - - - - ---- - ----- ----- - ----- - --- - - - -------~ Tax Payment Report Worksheet .EFTPS Voice Response S) (Photocopy this worksheet for future use.) ["211 You dial: . EFTPS responds: You enter: 1-800-555-3453 "Welcome to the Electronic Federal Tax Payment System" "If you are calling from a Touch Tone phone, press 1." 1 (For Touch Tone phone) 1'''','; ...,,:~-i EFTPS prompts: "Enter your 9-digitTaxpayer Identification Number" You enter: [Z]1Jl]~[Q][QJmrn[Z]m (9-digit Employer Identification Number) You enter: "Enter your 4-digit PIN" L _ _ _ digit Personal Identification Numb' EFTPS promt~: Ir'-';'~"{'1"1 ~ I......,., :~~~J EFTPS prompts: Lists the Main Menu Selections You enter: Press 1 (to initiate a tax pryment) II:'};~ EFTPSprompts: "Enter the Tax Type number followed by the pound (#) sign." You enter: / III [3[] m DD D (3-to 6 digittax type numberfrom the IRS Tax Form-Table in AppendiX A) . EFTPS responds: "You entered Tax Type/Tax Description (Based on the selection in step #5) l6;i:t:n EFTPS prompts: "Enter Tax Payment Type" You enter: 1 digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code in Appendix D) [['if EFTPS prompts: "Enter the 4-digitTax Filing Period starting with the year followed by:"onth'" You enter: "'com nz::::JG:J (Valid 4-digitTax Period based on IRS Tax Form Table in Appendix A) You enter: "Enter the payment Amountfollowed by the pound (#) sign." (You must enter cents even if you are reporting a whole dollar amount.). $OD,Drnrm,[5JIKJDD.wlliJ (Your payment amount cannot exceed $99,999,999.99) 12']1~1 EFTPS prompts: ,,~:f.f..EFTPS prompts: Enter the 2-digit Verification Code." o D Verification Code* *(See Appendix E for Verification Code Calculation) IIl!llil EFTPS responds: "Enter the 6-digit tax payment settlement date by month, day, year." . 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" ~ .g o U cJ ~ '0 ~ o '" ~ f-< ...> ~ f-< h '5 gp ~~ 010 15", f-<o.. o, o, o, 1'1 o f-< f-< I I I ~ ~ ~ ~ ~ f-< Z I ~ ~ ~ ~ ~ ~ 01 ~ 15 '" 0.. ~ ~ 0.. ~ ~ f-< P '" '" 'g ~ 0 0 0 0 0 '" ~ 0 0 0 ~ ~ ~ ~ ~ ~ 0.. ~ Oi 0 Z Z Z ~ '" p cJ ~~ ",gj 15U oiS ~Q el~ ~~ o ~ '" ~ o o, o, o, April 25, 2013 2013 APPROVAL LIST - 2013 BUDGET COMMISSIONERS COURT MEETING OF 04/25/13 49 BALANCE BROUGHT FORWARD FROM PAGE 48 $ 369,193.10 FICA P/R $ 37,819.91 MEDICARE P/R $ 8,845.06 FWH P/R $ 29,698.52 AFLAC P/R $ 4,828.74 PRJNCll'AL FINANCIAL GROUP P/R $ 3,353.85 CABLE ONE AlP $ 506.46 CARDMEMBER SERVICE AlP $ 1,685.04 CENTERPOINT ENERGY AlP $ 1,872.71 CITY OF PORT LA V ACA AlP $ 2,444.70 CPL RETAIL ENERGY AlP $ 86.86 EXXON/MOBIL AlP $ 122.30 GLORIA OCHOA AlP $ 56.50 JOHNNY JANK dba GOLDEN CRESCENT COMMUNICATIONS AlP $ 3,066.60 MOTOROLA SOLUTIONS, INC. AlP $ 1,794.16 RADIOLOGY UNLIMITED AlP $ 285.00 RELIANT ENERGY SOLUTIONS AlP $ 24,601.25 SHELL FLEET PLUS AlP $ 523.88 STATE COMPTROLLER AlP $ 78,284.97 UNITED STATES TREASURY AlP $ 336.46 VERIZON SOUTHWEST AlP $ 2,612.07 VICTORIA ELECTRIC CO-OP AlP $ 54.67 WAL-MART AP $ 167.88 WASTE MANAGEMENT AlP $ 2,287.61 TOTAL VENDOR DISBURSEMENTS: $ 574,528.30 TRANSFERS BETWEEN FUNDS CALHOUN COUNTY INDIGENT HEALTH CARE AlP $ 30,106.21 TOTAL TRANSFERS BETWEEN FUNDS: $ 30,106.21 TOTAL AMOUNT FOR APPROVAL: $ 604,634.51 A.. p' -, [.... R' . 0'. V.1t": D."'. 13'. '. ~R',y ~ .." t:. APR 25 2013 CALHQUN COUNTY COMMISSICNE:.rt5 COURT ACCEPT DONATION OF $25 FROM J. & M. KOTHMANN TO CALHOUN COUNTY EMS IN MEMORY OF LARRY URBAN: A Motion to accept the donation of $25 from J. & M. Kothmann to Calhoun County EMS in memory of Larry Urban was made by Commissioner Finster and seconded by Commissioner Galvan. Commissioner Galvan, Lyssy, Finster and Judge Pfeifer all voted in favor. 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