The URL can be used to link to this page

2021-09-08 Meeting MinutesCOMMISSIONERS COURT-9/8/2021 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Catherine Sullivan, ]Deputy Clerk CAL H OUN COUNTY C®1V1 MISSION ERS' COURT REGULAR TERM 2021 § SEPTEMBER 08, 2021 BE IT REMEMBERED THAT ON SEPTEMBER 08, 2021, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. 1. Call meeting to order Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation Commissioner David Hall 3. Pledges of Allegiance. US Flag — Commissioner Gary Reese Texas Flag — Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Public Hearing on the Proposed 2022 Calhoun County budget. Commenced: 10:01 a.m. Closed: 10:03 a.m. Page 1 of 6 COMMISSIONERS COURT-9/8/2021 6. Consider and take necessary action on an Order to Adopt the 2022 Calhoun County Budget. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Public Hearing regarding the proposed 2021 tax rate. Commenced: 10:05 a.m. Closed: 10:10 a.m. 8. Consider and take necessary action on an Order to Adopt the 2021 Tax Rates. (RM) Debt Service Tax Rate of $0.321 per $100 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Maintenance and Operations Tax Rate of $0.5780 per $100 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Total Tax Rate Tax Rate $.6101 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 COMMISSIONERS COURT — 9/8/2021 9. Consider and take necessary action to designate the Bauer Community Center as an additional site for Calhoun County Court at Law # 1 on September 27, 2021. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to authorize a loan in the amount of $36,000 from the General Fund to the King Fisher Beach Park Capital Project Fund. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to approve an agreement with G & W Engineers for the design and engineering of the roof and HVAC system at Memorial Medical Center. f Motion made for Engineering Services Only and pending approval from Sara Rodriguez, County Attorney. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action on Orders from the District Judges setting the salary of the Official Court Reporter for the 24th, 135th, 267th and 3771h Judicial Districts for fiscal year 2022. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 6 COMMISSIONERS COURT-9/8/2021 13. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $27,043.25 for a vehicle that was considered a total loss after an accident on 7/14/21. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action regarding a Texas Department of Transportation Grant for Routine Airport Maintenance Program (TxDOT Project No. M2213PRLA) and authorize all appropriate signatures. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to approve the Infrastructure Development Plan for Highway 172 RV Park (Glenn Cullins). (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to declare the attached list of items from the County Clerk's Office as Surplus/Salvage. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to declare the attached list of items from the County Clerk's Office as Waste. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 COMMISSIONERS COURT-9/8/2021 18. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Accept reports from the following County Offices: i. District Clerk — August 2021 ii. Flood Plain Administration — August 2021 III. Justice of the Peace, Precinct # 1 — August 2021 iv. Justice of the Peace, Precinct # 2 — August 2021 v. Sheriff's Office — August 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action on any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Approval of bills and payroll. (RM) ILIL RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 COMMISSIONERS COURT — 9/8/2021 County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:46 a.m. Page 6 of 6 I NOTICE OF MEETING — 9/8/2021 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 ✓/ Vern ]Lyssy, Commissioner, Precinct 2 ✓/ Joel Behrens, Commissioner, Precinct 3 Gary Deese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, September 8, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. 2. Invocation. 3. Pledges of Allegiance. ATE©c�oc SEP 0 3 2021 BY C ERK,NCA�� UN COUNiY,.'PEXpS 4. General Discussion of Public Matters and Public Participation. r, ; 5. Public Hearing on the Proposed 2022 Calhoun County budget. 1V'D1 K `,DI ` 6. Consider and take necessaryaction on an Order to Adopt the 2022 Calhoun County Budget. (RM) �(, 7. Public Hearing regarding the proposed �2�2�tax rate.\O p� 1�Q DPW8. Consider and take necessary action on an rder to Adopt the 2021 Tax Rates. (RM) `I Il I//, p , rnFigt 9. Consider and take necessary action to designate the Bauer Community Center as an additional site for Calhoun County Court at Law # 1 on September �J�021. (RM) 10. Consider and take necessary action to authorize a loan in the amoun of $36,000 from the General Fund to the King Fisher Beach Park Capital Project Fund. (RM) k" Consider and take necessary action to approve an agreement with G & W Engineers for the design and engineering of the roof and Hh_`VAA'C system at Memori al Medical Center.{y�j� �� (RM� �� \� Nam""• � V" '" �� EDp WD��°P,�b►�1 Page 1 of 2 I NOTICEE OF MEETING — 9/8/2021 12. Consider and take necessary action on Orders from the District Judges setting the salary of the Official Court Reporter for the 24th, 135th, 26711 and 37711 JuOicial Districts for fiscal year 2022. (RM) q Il 13. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $27,043.25 for a vehicle that tyas considered a total loss after an accident on 7/14/21. (RM) \\r`(� 14. Consider and take necessary action regarding a Texas Department of Transportation Grant for Routine Airport Maintenance Program (TxDOT Project No. M2213PRLA) and authorize all appropriate signatures. (VL) 00 15. Consider and take necessary action to approve the Infrastructure Development Plan for Highway 172 RV Park (Glenn Cullins). (JB) W- 16. Consider and take necessary action to declare the attached list of items from the County Clerk's Office as Surplus/Salvage. (RM) v\\Vl 17. Consider and take necessary action to declare the1+ �ttached list of items from the County Clerk's Office as Waste. (RM) `Vv \ )% 18. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RM) 19. Accept reports from the following County Offices: i. District Clerk -August 2021 ii. Flood Plain Administration — August 2021 ` iii. Justice of the Peace, Precinct # 1— August 2021 `\`V\� iv. Justice of the Peace, Precinct # 2 — August 2021 v v. Sheriff's Office August 2021 20. Consider and take necessary action on any necessary budget adjustments. (RM) , \� 21. Approval of bills and payroll. (RM) Crl� ichard Meyer,'County udge �j l� Calhoun County, Texas V A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under"Commissioners' Court Agenda" for any official court postings. W\, Page 2 of 2 I JI�LI(AILA IW\Iij-9/8/?0 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Calhoun County Commissioners' Court will hold a Public Hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port Lavaca, Texas, at 10:00 a.m. on September 8, 2021 on the 2022 Proposed Budget. This notice is in accordance with Section 111.007 and Section 111.0075 of the Texas Local Government code. +IOTL K AT FILED AUG 2GG 66611111T�LT.IXA1 2021 Richard Meyer, County u ge 09MY CL RK,NC08 Calhoun County, Texas BY, A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 1 of 1 I NOTICE OF IVIEFTII\IG 9/8/2011. Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, September 8, 2021 at 10:00 a.m. in The Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. AGENDA q C(, otc� FIL�D The subject matter of such meeting is as follows: AT'— 0 LOCK rye 1. Call meeting to order. SppKNCAEPpp 0 3ppMM2gA021 CO C ERLU UNC�UNTY (EXA5 2. InVOCdtIOn. 8Y: 3. Pledges of Allegiance. 4. General Discussion of Public Matters and Public Participation. 5. Public Hearing on the Proposed 2022 Calhoun County budget. 6. Consider and take necessary action on an Order to Adopt the 2022 Calhoun County Budget. (RM) 7. Public Hearing regarding the proposed 2021 tax rate. 8. Consider and take necessary action on an Order to Adopt the 2021 Tax Rates. (RM) 9. Consider and take necessary action to designate the Bauer Community Center as an additional site for Calhoun County Court at Law # 1 on September 27, 2021. (RM) 10. Consider and take necessary action to authorize a loan in the amount of $36,000 from the General Fund to the King Fisher Beach Park Capital Project Fund. (RM) 11. Consider and take necessary action to approve an agreement with G & W Engineers for the design and engineering of the roof and HVAC system at Memorial Medical Center. (RM) Page 1 of 2 I NO 11( ! OL IVIL I l IIV6 — J�E/2011 12. Consider and take necessary action on Orders from the District Judges setting the salary of the Official Court Reporter for the 24th, 135th, 267th and 3771h Judicial Districts for fiscal year 2022. (RM) 13. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $27,043.25 for a vehicle that was considered a total loss after an accident on 7/14/21. (RM) 14. Consider and take necessary action regarding a Texas Department of Transportation Grant for Routine Airport Maintenance Program (TxDOT Project No. M2213PRLA) and authorize all appropriate signatures. (VL) 15. Consider and take necessary action to approve the Infrastructure Development Plan for Highway 172 RV Park (Glenn Cullins). (JB) 16. Consider and take necessary action to declare the attached list of items from the County Clerk's Office as Surplus/Salvage. (RM) 17. Consider and take necessary action to declare the attached list of items from the County Clerk's Office as Waste. (RM) 18. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RM) 19. Accept reports from the following County Offices: i. District Clerk — August 2021 ii. Flood Plain Administration — August 2021 iii. Justice of the Peace, Precinct # 1— August 2021 iv. Justice of the Peace, Precinct # 2 — August 2021 v. Sheriff's Office — August 2021 20. Consider and take necessary action on any necessary budget adjustments. (RM) 21. Approval of bills and payroll. (RM) ichard Meyer, County udge Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's webs !teat www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 September 8, 2021 2021 APPROVAL LIST - 2021 BUDGET COMMISSIONERS COURT MEETING OF 09/Ol BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 21 $526,340.75 FICA P/R $ 51,871.48 MEDICARE P/R $ 12,131.48 FWH P/R $ 34,313.51 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 4,880.00 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,516.15 TEXAS ASSOCIATION OF COUNTIES HEBP P/R $ 194,515.70 AT&T MOBILITY A/P $ 285.53 CITY OF POINT COMFORT CITY OF SEADRIFT FRONTIER COMMUNICATIONS INFINIUM BROADBAND INTERNET JACKSON ELECTRIC COOP, INC. LA WARD TELEPHONE EXC. INC. MCI COMM SERVICE REPUBLIC SERVICES #847 SACHTLEBEN, MICHAEL VICTORIA ELECTRIC CO-OP A/P $ 115.38 A/P $ 171.80 A/P $ 931.97 A/P $ 2,832.88 A/P $ 838.85 A/P $ 874.17 A/P $ 47.64 A/P $ 10,870.85 JAIL- ADVANCE FOR CONE. A/P $ 214.00 A/P $ 3,356.29 TOTAL VENDOR DISBURSEMENTS: $ 846,108.43 TOTAL AMOUNT FOR APPROVAL: $ 846,108.43 ✓_ All Agenda Items Properly Numbered C ntracts Completed and Signed II 1295s Flagged for Acceptance / (number of 1295s �) ✓ All Documents for Clerk Signature Flagged On this ja day of 2021 a complete and accurate packet for 6t of 2021 Commissioners Court Regular Session Day Mo th was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Cal oun County Judge/Assistant AT�FlLED O'CLOC SgqE��P 16 20N21 CMM:F? N By: COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, September 8, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. AGENDA AT �c? 01 LOCL � —iyt The subject matter of such meeting is as follows: viCall meeting to order. SEP o 3 22021 Invocation. ? CEfl,NCALH��NCpUNtY,TE1(A5 8Y: I s 1 '3. Pledges of Allegiance. Gl<, GGeneral Discussion of Public Matters and Public Participation. V+,: Public Hearing on the Proposed 2022 Calhoun County budget. GtoSR- `5. Consider and take necessary action on an Order to Adopt the 2022 Calhoun County Budget. (RM) C\o5A ublic Hearing regarding the proposed 2021 tax rate. c,l�o�s'� 8'�Consider and take necessary action on an Order to Adopt the 2021 Tax Rates. (RM) 9. Consider and take necessary action to designate the Bauer Community Center as an additional site for Calhoun County Court at Law # 1 on September 27, 2021. (RM) 10 Consider and take necessary action to authorize a loan in the amount of $36,000 from the General Fund to the King Fisher Beach Park Capital Project Fund, (RM) `il. Consider and take necessary action to approve an agreement with G & W Engineers for the design and engineering of the roof and HVAC system at Memorial Medical Center. (RM) Pagel of2 2. Consider and take necessary action on Orders from the District Judges setting the salary of the Official Court Reporter for the 24th, 1351h, 267th and 377th Judicial Districts for fiscal year 2022. (RM) I3. Consider and take necessary action to accept insurance proceeds from TAC in the amount of $27,043.25 for a vehicle that was considered a total loss after an accident on 7/14/21. (RM) 14 Consider and take necessary action regarding a Texas Department of Transportation Grant for Routine Airport Maintenance Program (TxDOT Project No. M2213PRLA) and authorize all appropriate signatures. (VL) if . Consider and take necessary action to approve the Infrastructure Development Plan for Highway 172 RV Park (Glenn Cullins). (JB) 16. Consider and take necessary action to declare the attached list of items from the County /Clerk's Office as Surplus/Salvage. (RM) 17. Consider and take necessary action to declare the attached list of items from the County Clerk's Office as Waste. (RM) 78. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RM) 19 Accept reports from the following County Offices: i. District Clerk — August 2021 1' Flood Plain Administration — August 2021 ifK Justice of the Peace, Precinct # 1— August 2021 K' Justice of the Peace, Precinct # 2 — August 2021 tY! Sheriffs Office — August 2021 420. Consider and take necessary action on any necessary budget adjustments. (RM) t Approval of bills and payroll. (RM) Richard Meyer, Countyu'dge Calhoun County, Texas — A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible tothe general public at all times. This Notice shall remain posted continuouslyfor at least 72 hours preceding the scheduled meeting time. Foryour convenience, you may visit the county's website at www.calhouncotx,ora under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 #5 Richard iI- . Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING ON P1ROIPOSED 2022 BUDGET The Calhoun County Commissioners' Court will hold a Public Hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port Lavaca, Texas, at 10:00 a.m. on September 8, 2021 on the 2022 Proposed Budget. This notice is in accordance with Section 111.007 and Section 111.0075 of the Texas Local Government code. pr 7j FILED -�.v. O'CLOCK "V ,_M �✓' AUG 7 s 2021 /ram q Gp Richard Meyer, County ge CtlUrN,TY CLPP AM8UDj f6UNTY, TCXAS Calhoun County, Texas 8yt_L, j f/I UEPU A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at w,ww.cal houncotx.orK under "Commissioners' Court Agenda" for any official court postings. Page 1 of 1 #6 CALHOUN COUNTY COMMISSIONERS' COURT ORDER FOR ADOPTION OF 2022 BUDGET CALHOUN COUNTY, TEXAS STATE OF TEXAS § COUNTY OF CALHOUN § WHEREAS, on this the 8th day of September, 2021, the Commissioners' Court of Calhoun County, Texas convened in regular session with the following members present: Richard H. Meyer County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Joel Behrens Commissioner, Precinct #3 Gary Reese Commissioner, Precinct #4 AND WHEREAS, the matter brought before the Court was the adoption of the 2022 budget as required by Local Government Code 111.008; AND WHE EAS, aft otic , the following motion was offered by feAv Lutr and seconded b2L6 : "I Move to adopt the 2022 Budget for Calhc#n County as presented." The tax rate for the year 2020 was 0.5872. The calculated tax rates for the Year 2021 are: Adopted Rate .6101 No New Revenue Rate .5851 NNR M & O Rate .5559 Voter Approval Rate .6362 Debt Service .0321 The total county debt obligation is $2,185,000. Page 1 of 2 THIS BUDGET WILL RAISE MORE REVENUE FROM PROPERTY TAXES THAN LAST YEAR'S BUDGET BY AN AMOUNT OF $832,286 WHICH IS A 3.959% INCREASE FROM LAST YEAR'S BUDGET. THE PROPERTY TAX REVENUE TO BE RAISED FROM NEW PROPERTY ADDED TO THE TAX ROLL THIS YEAR IS $444,815. THEREUPON, the vote being taken, the following vote for the adoption of the budget for Calhoun County for Fiscal and Calendar Year 2022 was as follows: Commissioner David Hall, Precinct No. 1 Ay Nay Commissioner Vern Lyssy, Precinct No. 2 ye Nay Commissioner Joel Behrens, Precinct No. 3 Nay Commissioner Gary Reese, Precinct No. 4 ye Nay Calhoun County Judge Richard Meyer ye Nay Signed this the 8th day of September, 2021. I . o Richard H. Meyer, E50, Judge David Hall Calhoun County Commissioner, Pct. 1 3oel BelPrens Calhoun County Commissioner, Pct. 3 Vern Lyssy Calhoun County Commissioner, Pct. 2 Gary Rees Calhoun County Commissioner, Pct. I Page 2 of 2 8/2612021 Notice of Public Hearing on Tax Increase TNT-876 04-20 means required in notice if the proposed tax rate exceeds the no -new -revenue tax rate but does not exceed the voter -approval tax as prescribed by Tax Code §26.06(b-2). NOTICE OF PUBLIC HEARING ON TAX INCREASE A tax rate of $0.6101 per $100 valuation has been proposed by the governing body of CALHOUN COUNTY. PROPOSED TAX RATE $0.6101 per $100 NO -NEW -REVENUE TAX RATE $0.5851 per $100 VOTER -APPROVAL TAX RATE $0.6362 per $100 The no -new -revenue tax rate is the tax rate for the 2021 tax year that will raise the same amount of property tax revenue for CALHOUN COUNTY from the same properties in both the 2020 tax year and the 2021 tax year. The voter -approval rate is the highest tax rate that CALHOUN COUNTY may adopt without holding an election to seek voter approval of the rate. proposed tax rate is greater than then -new -revenue tax rate. This means that CALHOUN COUNTY is proposing to increase ierty taxes for the 2021 tax year. A PUBLIC HEARING ON THE PROPOSED TAX RATE WILL BE HELD ON September 8, 2021 at I0:00 AM at 211 S. Ann St., Port Lavaca, Texas. The proposed tax rate is not greater than the voter -approval tax rate. As a result, CALHOUN COUNTY is not required to hold an election at which voters may accept or reject the proposed tax rate. However, you may express your support for or opposition to the proposed tax rate by contacting the members of the Commissioners Court of CALI4OUN COUNTY at their offices or by attending the public hearing mentioned above. YOUR TAXES OWED UNDER ANY OF THE TAX RATES MENTIONED ABOVE CAN BE CALCULATED AS FOLLOWS: Property tax amount = ( tax rate ) x ( taxable value of your property ) / 100 t names ofall members of the governing body below, showing how each voted on the proposal to consider the tax increase or, if or more were absent, indicating absences.) FOR the proposal: Judge Meyer, David Hall, Vem Lyssy, Joel Behrens & Gary Reese AGAINST the None proposal: PRESENT and not None voting: ABSENT: None truth-in-taxation.comlPrinlForms.espx 112 8/26/2021 Notice of Public Hearing on Tax Increase TNT-876 04-20 The 86th Legislature modified the manner in which the voter -approval tax rate is calculated to limit the rate of growth of property taxes in the state. The following table compares the taxes imposed on the average residence homestead by CALHOUN COUNTY last year to the taxes proposed to the be imposed on the average residence homestead by CALHOUN COUNTY this year. 2020 2021 Change Total tax rate (per $100 of $0.5872 S0.6101 3.89% increase value) Average homestead $107,622 5114,016 5.94%increase taxable value Tax on average homestead $632 5696 10.12% increase Total tax levy on all properties $20,947,042 522,299,895 6.45%increase For assistance with tax calculations, please contact the tax assessor for CALHOUN COUNTY at (361) 552-4560 or tammy@calhouncad.org, or visit htips://calhoun.truthintaxation.com. truth-in-texation.com/PrintFonns.aspx 2/2 0 CALHOUN COUNTY COMMISSIONERS' COURT ORDER FOR ADOPTION OF 2021 TAX RATES CALHOUN COUNTY, TEXAS STATE OF TEXAS § COUNTY OF CALHOUN § THAT ON THIS THE 8th day of September, 2021, the Commissioners' Court of Calhoun County, Texas met in duly called session at the Commissioners' Courtroom, 211 S. Ann St., Suite 104, Port Lavaca, Texas with the following members present: Richard H. Meyer County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Joel Behrens Commissioner, Precinct #3 Gary Reese Commissioner, Precinct #4 And at said meeting, among other business, the Court did consider the following: ORDER ADOPTING A TAX RATE FOR TAX YEAR 2021 WHEREAS, Vernon's Texas Codes Annotated (VTCA) Tax Code 26.05 provides that the Calhoun County Commissioners' Court shall adopt the tax rates for the current year; and WHEREAS, it is necessary to levy ad valorem taxes on each $100 valuation of all taxable property in Calhoun County, Texas for the Tax Year beginning January 1, 2021, which will be due no later than January 31, 2022 at the tax rates set forth herein below; and WHEREAS, the Calhoun County Commissioners' Court has complied with all the requirements set forth in the Tax Code; now THEREFORE, BE IT ORDERED that the Calhoun County Commissioners' Court hereby adopts the following tax rates: Page 1 of 4 DEBT SERVICE: moved for a tax r e of .03 p $100.00 of taxable value for the purpose of D t S ice; and seconded by YES ABSTAIN NO ABSENT Richard H. Meyer ✓ County Judge David Hall Commissioner, Pct. #1 ✓ Vern Lyssy Commissioner, Pct. #2 Joel Behrens ✓ Commissioner, Pct. #3 Gary Reese Commissioner, Pct. #4 MOTION CARRIED• YES: r NO: ABSTAINING:_ ABSENT: 8 MAINTENANCE AND OPERATIONS: moved for a tax rate of $.5780 per 500.00 of able value for the purpose of M tteince and Operations; and seconded by YES ABSTAIN NO ABSENT Richard H. Meyer ✓ County Judge David Hall, Commissioner, Pct. #1 Vern Lyssy, ✓ Commissioner, Pct. #2 Joel Behrens, ✓ Commissioner, Pct. #3 Gary Reese, ✓ Commissioner, Pct. #4 Page 2 of 4 MOTION CARRIED: YES: �L NO: ABSTAINING: 19 ABSENT: O move that the property tax rate be increased by the adoption of a effectively a 4.27% increase in the tax rate; seconded by Richard H. Meyer County Judge David Hall Commissioner, Pct. #1 Vern Lyssy Commissioner, Pct. #2 Joel Behrens Commissioner, Pct. #3 Gary Reese Commissioner, Pct. #4 MOTION CARRIED: YES: ABSTAINING: 0 YES a ABSTAIN NO ABSENT 5— NO: !% ABSENT: y THIS TAX RATE WILL RAISE MORE TAXES FOR MAINTENANCE AND OPERATIONS THAN LAST YEAR'S RATE AND; THE TAX RATE WILL EFFECTIVELY BE RAISED BY 4.52% AND WILL RAISE TAXES FOR MAINTENANCE AND OPERATIONS ON A $100,000 HOME BY APPROXIMATELY $25.00. THE TAX RATE WILL EFFECTIVELY BE RAISED BY ZERO (01PERCENT AND WILL RAISE TAXES FOR DEBT SERVICE ON A $100,000 HOME BY APPROXIMATELY $0.00. BE IT FURTHER ORDERED that the Calhoun County Commissioners' Court levy taxes in accordance with the foregoing tax rates and the provision of the law. AND BE IT FURTHER ORDERED that if for any reason, the action of the Calhoun County Commissioners' Court setting tax rates or levying taxes should be held ineffective by a court of competent jurisdiction, that this Order shall serve as evidence of the good faith of Calhoun County in attempting to comply with the law in as substantial a fashion as could be done under Page 3 of 4 the circumstances, and as evidence that Calhoun County would have lawfully adopted a tax rate but for the conditions completely beyond control of Calhoun County. County Judge Richard H. Meyer was authorized Calhoun County Commissioners' Court, this the to sign ORDER and ACT and DEED of the 3th day of September, 2021. 6e�l a ew�� Richard H. Meyer, CountLjydge Page 4 of 4 J THE STATE OF TEXAS COUNTY OF CALHOUN Designation of Bauer Community Center as an additional site for County Court at Law # 1 on September 27, 2021 WHEREAS, Texas Local Government Code Section 292.001(a) authorizes the Commissioners Court of a County to provide a building or rooms, other than the courthouse, for the housing of County Court at Law #1 if the Commissioners determine that the additional buildings or rooms are necessary in the County seat; WHEREAS, due to the Corona Virus 19 pandemic, the rules of public health officials of the State of Texas require the mandate of social distancing to help prevent the spread of the virus; WHEREAS, the COVID-19 operating plans for the County Courts at Law require additional spacing between jury panelists called for jury duty; WHEREAS, the Commissioners Court wishes to provide additional space for persons called for jury duty including the jury selection; WHEREAS, the County Cort at Law #1 room in the Calhoun County Courthouse is not large enough to maintain required spacing during jury selection; WHEREAS, the Bauer Community Center is a community meeting facility in Port Lavaca, the Calhoun County seat that provides sufficient space required by the COVID-19 operating plans; NOW, THEREFORE, the Commissioners' Court determines that the temporary use of the additional buildings or rooms necessary and the Commissioners Court hereby designates the Bauer Community Center located at 2300 HWY 35N, Port Lavaca, TX 77979 to be used as the additional site for County Court at Law 41 for the conduct of business of County Court at Law #1 on one day being Monday, September 27, 2021. Such business to include the business of County Court at Law #1, conducting of a jury trial and selection of a jury. It is so resolved by vote of the Commissioners Court of this the e1rday of 2021. Ric and Meyer, Calhoun Ceifhty Judge # io Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Friday, August 27, 2021 12:33 PM To: Mae Belle Cassel Cc: Joel Behrens; david.hall@calhouncotx.org; Gary Reese; Richard Meyer; vern lyssy Subject: Agenda Item Request Please place the following item on the agenda for September 8, 2021: Consider and take necessary action to authorize loan in amount of $36,000 from general fund to King Fisher Beach Park capital project fund. Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindv.mueller@calhouncotx.ore Calhoun County Texas 1 #11 SHORT FORM OF AGREEMENT BETWEEN OWNER AND ENGINEER FOR PROFESSIONAL SERVICES THIS IS AN AGREEMENT effective as of 08/12/21 ("Effective Date") between CALHOUN COUNTY ("Owner") and G&W ENGINEERS, INC. ("Engineer"). Owner's Project, of which Engineer's services under this Agreement are a part, is generally identified as follows: Memorial Hospital Roof and HVAC Engineering and Design. ("Project"), Engineer's services under this Agreement are generally identified as follows: ENGINEERING ("Services"). Owner and Engineer further agree as follows: 1.01 Basic Agreement and Period of Service A. Engineer shall provide or furnish the Services set forth in this Agreement. If authorized by Owner, or if required because of changes in the Project, Engineer shall furnish services in addition to those set forth above ("Additional Services"). B. Engineer shall complete its Services within the following specific time period: Four (4) months starting immediately after agreement has been signed by all parties. If no specific time period Is indicated, Engineer shall complete its Services within a reasonable period of time. C. If, through no fault of Engineer, such periods of time or dates are changed, or the orderly and continuous progress of Engineer's Services is impaired, or Engineer's Services are delayed or suspended, then the time for completion of Engineer's Services, and the rates and amounts of Engineer's compensation, shall be adjusted equitably. 2.01 Payment Procedures A. Invoices: Engineer shall prepare invoices in accordance with its standard invoicing practices and submit the invoices to Owner on a monthly basis. Invoices are due and payable within 30 days of receipt. If Owner fails to make any payment due Engineer for Services, Additional Services, and expenses within 30 days after receipt of Engineer's invoice, then (1) the amounts due Engineer will be increased at the rate of 1.0% per month (or the maximum rate of interest permitted by law, if less) from said thirtieth day, and (2) in addition Engineer may, after giving seven days written notice to Owner, suspend Services under this Agreement until Engineer has been paid in full all amounts due for Services, Additional Services, expenses, and other related charges. Owner waives any and all claims against Engineer for any such suspension. B. Payment. As compensation for Engineer providing or furnishing Services and Additional Services, Owner shall pay Engineer as set forth in Paragraphs 2.01, 2.02 (Services), and 2.03 (Additional Services). If Owner disputes an invoice, either as to amount or entitlement, then Owner shall promptly advise Engineer in writing of the specific basis for doing so, may withhold only that portion so disputed, and must pay the undisputed portion. EJCDC® E•520, Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02015 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 1 2.02 Basis of Payment —Lump Sum A. Owner shall pay Engineer for Services as follows: 1. A Lump Sum amount of $605,000.00 2. In addition to the Lump Sum amount, reimbursement for the following expenses: None, All reimbursable expenses, if any, are included in the above lump sum amount. B. The portion of the compensation amount billed monthly for Engineer's Services will be based upon Engineer's estimate of the percentage of the total Services actually completed during the billing period. [End of Compensation for Services Options] 2.03 Additional Services: For Additional Services, Owner shall pay Engineer an amount equal to the cumulative hours charged in providing the Additional Services by each class of Engineer's employees, times standard hourly rates for each applicable billing class; plus reimbursement of expenses incurred in connection with providing the Additional Services and Engineer's consultants' charges, if any. Engineer's standard hourly rates are attached as Appendix 1. 3.01 Termination A. The obligation to continue performance under this Agreement maybe terminated: 1. For cause, a. By either party upon 30 days written notice in the event of substantial failure by the other party to perform in accordance with the Agreement's terms through no fault of the terminating party. Failure to pay Engineer for its services is a substantial failure to perform and a basis for termination. b. By Engineer: 1) upon seven days written notice if Owner demands that Engineer furnish or perform services contrary to Engineer's responsibilities as a licensed professional; or 2) upon seven days written notice if the Engineer's Services are delayed for more than 90 days for reasons beyond Engineer's control, or as the result of the presence at the Site of undisclosed Constituents of Concern, as set forth in Paragraph 5.01.1. c. Engineer shall have no liability to Owner on account of a termination for cause by Engineer. d. Notwithstanding the foregoing, this Agreement will not terminate as a result of a substantial failure under Paragraph 3.01.A.1.a if the party receiving such notice begins, within seven days of receipt of such notice, to correct its substantial failure to perform and proceeds diligently to cure such failure within no more than 30 days of receipt of notice; provided, however, that if and to the extent such substantial failure cannot be reasonably cured within such 30 day period, and if such party has diligently attempted to cure the same and thereafter continues diligently to cure the EICDC® E-520, Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02015 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. same, then the cure period provided for herein shall extend up to, but in no case more than, 60 days after the date of receipt of the notice. 2. For Convenience, by Owner effective upon Engineer's receipt of written notice from Owner. B. In the event of any termination under Paragraph 3.01, Engineer will be entitled to invoice Owner and to receive full payment for all Services and Additional Services performed or furnished in accordance with this Agreement, plus reimbursement of expenses incurred through the effective date of termination in connection with providing the Services and Additional Services, and Engineer's consultants' charges, if any. 4.01 Successors, Assigns, and Beneficiaries A. Owner and Engineer are hereby bound and the successors, executors, administrators, and legal representatives of Owner and Engineer (and to the extent permitted by Paragraph 4.01.13 the assigns of Owner and Engineer) are hereby bound to the other party to this Agreement and to the successors, executors, administrators, and legal representatives (and said assigns) of such other party, in respect of all covenants, agreements, and obligations of this Agreement. B. Neither Owner nor Engineer may assign, sublet, or transfer any rights under or interest (including, but without limitation, money that is due or may become due) in this Agreement without the written consent of the other party, except to the extent that any assignment, subletting, or transfer is mandated by law. Unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under this Agreement. C. Unless expressly provided otherwise, nothing in this Agreement shall be construed to create, impose, or give rise to any duty owed by Owner or Engineer to any Constructor, other third -party individual or entity, or to any surety for or employee of any of them. All duties and responsibilities undertaken pursuant to this Agreement will be for the sole and exclusive benefit of Owner and Engineer and not for the benefit of any other party. 5.01 General Considerations A. The standard of care for all professional engineering and related services performed or furnished by Engineer under this Agreement will be the care and skill ordinarily used by members of the subject profession practicing under similar circumstances at the same time and in the same locality. Engineer makes no warranties, express or implied, under this Agreement or otherwise, in connection with any services performed or furnished by Engineer. Subject to the foregoing standard of care, Engineer and its consultants may use or rely upon design elements and information ordinarily or customarily furnished by others, including, but not limited to, specialty contractors, manufacturers, suppliers, and the publishers of technical standards. B. Engineer shall not at any time supervise, direct, control, or have authority over any Constructor's work, nor shall Engineer have authority over or be responsible for the means, methods, techniques, sequences, or procedures of construction selected or used by any Constructor, or the safety precautions and programs incident thereto, for security or safety at the Project site, nor for any failure of a Constructor to comply with laws and regulations applicable to such Constructor's furnishing and performing of its work. Engineer shall not be responsible for the acts or omissions of any Constructor. E1CDC° E-520, Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02015 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Pape 3 C. Engineer neither guarantees the performance of any Constructor nor assumes responsibility for any Constructor's failure to furnish and perform its work. D. Engineer's opinions (if any) of probable construction cost are to be made on the basis of Engineer's experience, qualifications, and general familiarity with the construction industry. However, because Engineer has no control over the cost of labor, materials, equipment, or services furnished by others, or over contractors' methods of determining prices, or over competitive bidding or market conditions, Engineer cannot and does not guarantee that proposals, bids, or actual construction cost will not vary from opinions of probable construction cost prepared by Engineer. If Owner requires greater assurance as to probable construction cost, then Owner agrees to obtain an independent cost estimate. E. Engineer shall not be responsible for any decision made regarding the construction contract requirements, or any application, interpretation, clarification, or modification of the construction contract documents other than those made by Engineer or its consultants. F. All documents prepared or furnished by Engineer are instruments of service, and Engineer retains an ownership and property interest (including the copyright and the right of reuse) in such documents, whether or not the Project is completed. Owner shall have a limited license to use the documents on the Project, extensions of the Project, and for related uses of the Owner, subject to receipt by Engineer of full payment due and owing for all Services and Additional services relating to preparation of the documents and subject to the following limitations: 1. Owner acknowledges that such documents are not intended or represented to be suitable for use on the Project unless completed by Engineer, or for use or reuse by Owner or others on extensions of the Project, on any other project, or for any other use or purpose, without written verification or adaptation by Engineer; 2, any such use or reuse, or any modification of the documents, without written verification, completion, or adaptation by Engineer, as appropriate for the specific purpose intended, will be at Owner's sole risk and without liability or legal exposure to Engineer or to its officers, directors, members, partners, agents, employees, and consultants; 3. Owner shall indemnify and hold harmless Engineer and its officers, directors, members, partners, agents, employees, and consultants from all claims, damages, losses, and expenses, including attorneys' fees, arising out of or resulting from any use, reuse, or modification of the documents without written verification, completion, or adaptation by Engineer, and 4, such limited license to Owner shall not create any rights in third parties. Owner and Engineer may transmit, and shall accept, Project -related correspondence, documents, text, data, drawings, information, and graphics, in electronic media or digital format, either directly, or through access to a secure Project website, in accordance with a mutually agreeable protocol. H. To the fullest extent permitted by law, Owner and Engineer (1) waive against each other, and the other's employees, officers, directors, members, agents, insurers, partners, and consultants, any and all claims for or entitlement to special, incidental, indirect, or consequential damages arising out of, resulting from, or in any way related to this Agreement or the Project, and (2) agree that Engineer's total liability to Owner E1CDCe E-520, Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright @2015 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 4 under this Agreement shall be limited to $100,000 or the total amount of compensation received by Engineer, whichever is greater. The parties acknowledge that Engineer's Services do not include any services related to unknown or undisclosed Constituents of Concern. If Engineer or any other party encounters, uncovers, or reveals an unknown or undisclosed Constituent of Concern, then Engineer may, at its option and without liability for consequential or any other damages, suspend performance of Services on the portion of the Project affected thereby until such portion of the Project is no longer affected, or terminate this Agreement for cause if it is not practical to continue providing Services. J. Owner and Engineer agree to negotiate each dispute between them in good faith during the 30 days after notice of dispute. If negotiations are unsuccessful in resolving the dispute, then the dispute shall be mediated. If mediation is unsuccessful, then the parties may exercise their rights at law. K. This Agreement is to be governed by the law of the state in which the Project is located. Engineer's Services and Additional Services do not include: (1) serving as a "municipal advisor" for purposes of the registration requirements of Section 975 of the Dodd -Frank Wall Street Reform and Consumer Protection Act (2010) or the municipal advisor registration rules issued by the Securities and Exchange Commission; (2) advising Owner, or any municipal entity or other person or entity, regarding municipal financial products or the issuance of municipal securities, including advice with respect to the structure, timing, terms, or other similar matters concerning such products or issuances; (3) providing surety bonding or insurance -related advice, recommendations, counseling, or research, or enforcement of construction insurance or surety bonding requirements; or (4) providing legal advice or representation. 6.01 Total Agreement A. This Agreement (including any expressly incorporated attachments), constitutes the entire agreement between Owner and Engineer and supersedes all prior written or oral understandings. This Agreement may only be amended, supplemented, modified, or canceled by a duly executed written instrument. 7.01 Definitions A. Constructor —Any person or entity (not including the Engineer, its employees, agents, representatives, and consultants), performing or supporting construction activities relating to the Project, including but not limited to contractors, subcontractors, suppliers, Owner's work forces, utility companies, construction managers, testing firms, shippers, and truckers, and the employees, agents, and representatives of any or all of them. B. Constituent of Concern —Asbestos, petroleum, radioactive material, polychlorinated biphenyls (PCBs), hazardous waste; and any substance, product, waste, or other material of any nature whatsoever that is or becomes listed, regulated, or addressed pursuant to (a) the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. 09601 et seq. ("CERCLA"); (b) the Hazardous Materials Transportation Act, 49 U.S.C. §§5101 et seq.; (c) the Resource Conservation and Recovery Act, 42 U.S.C. §§6901 et seq. ("RCRA"); (d) the Toxic Substances Control Act, 15 U.S.C. §§2601 et seq.; (e) the Clean Water Act, 33 U.S.C. §§1251 et seq.; (f) the Clean Air Act, 42 U.S.C. §§7401 et seq.; or (g) any other federal, State, or local statute, law, rule, regulation, ordinance, resolution, code, order, or decree regulating, E1CDC® E-520, Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02015 National Society of Professional Engineers, American Council of Engineering Companies, and American society of civil Engineers. All rights reserved. relating to, or imposing liability or standards of conduct concerning, any hazardous, toxic, or dangerous waste, substance, or material. E1COC® E-520, Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02015 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Paee 6 IN WITNESS WHEREOF, the parties hereto have executed this Agreement, the Effective Date of which is indicated on page 1. Owner: CALHOUN COUNTY By: Print name: / Title: ; v�t,4 rd, LL) srr • y— Date Signed: Address for Owner's receipt of notices: Engineer: G&W ENGINEERS By:1 Printname:T3ra "ov-N Title: %< ,de. Date Signed: B i22� Engineer License or Firm's Certificate No. (if required): F04188 State of: Texas Address for Engineer's receipt of notices: G&W ENGINEERS, INC. 205 W. Live Oak Port Lavaca TX, 77979 Appendix 1, Standard Hourly Rates Schedule. EICDC® E-520, Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright 02015 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved, Page 1 CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of bustness. 2021-790194 G&W Engineers, Inc. Port Lavaca, TX United States Date Filed: 08/13/2021 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, Texas Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 5310.014 MMC HVAC & Roof MMC HVAC & Roof - Technical Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Novian, Brian Port Lavaca, TX United States X Sappington, Michial Port Lavaca, TX United States X Danysh, Henry Port Lavaca, TX United States X Gohlke, Anthony Port Lavaca, TX United States X Gann, David Port Lavaca, TX United States X Tuch, Elton Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is, and my date of birth is i My address is (stree city (slate) (zip code) wunt y) I declare under penaltyof perjury that the foregoing is true and correct. —y!' Executed in 4,a ,4,W"alV County, Stale of 14!rX fS on the/✓ day of AllH , 20 2 / (month) (year) VEX Signature of authorize�ent�ntracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1,1.191b5cdc CERTIFICATE OF INTERESTED PARTIES 1295 FORM 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2021-790194 G&W Engineers, Inc. Port Lavaca, TX United States Date Filed: 2 Name of governmental entity or state agency that is a party tot the contract for which the form is 08/13/2021 being filed. Calhoun County, Texas Date Acknowledged: 09/16/2021 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 5310.014 MMC HVAC & Roof MMC HVAC & Roof - Technical Services Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary Novian, Brian Port Lavaca, TX United States X Sappington, Michial Port Lavaca, TX United States X Danysh, Henry Port Lavaca, TX United States X Gohlke, Anthony Port Lavaca, TX United States X Gann, David Port Lavaca, TX United States X Tuch, Elton Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the _day of , 20_ (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us version v #12 O R D E R On this the 20th day of August, 2021, came on to be considered setting and allocating the salary of the Official Court Reporter of the 24' Judicial District for the calendar year 2022, and the salary is hereby set at $85,800.00 for the year 2022, and in addition, the Official Court Reporter shall receive any longevity compensation and stipend that the Victoria County Commissioners Court may give to other County employees in 2022, to which she is entitled and is hereby allocated to the counties comprising the Judicial District in proportion to the population of the Judicial District according to the 2010 Census as follows: COUNTY PERCENT AMOUNT Calhoun 13.62 11,685.96 DeWitt 12.81 10,990.98 Goliad 4.60 3,946.80 Jackson 8.97 7,696.26 Refugio 4.70 4,032.60 Victoria 55.30 47,447.40 Total Lion was taken at a public hearing held in accordance with the provisions of .ocal Government Code. THIS the 2 rs51:4 of August, 2021. a W. Marr, Judge 4`h Judicial District Court FILED AT 8_soO'CLOCKX M 6�SEP21 E- 2 ZQrK ANNA KABELA DISTRICT CLERK, CALHOUN COUNTY, TEXAS BY O R D E R On this the 20th day of August, 2021, came on to be considered setting and allocating the salary of the Official Court Reporter of the 13511 Judicial District for the calendar year 2022, and the salary is hereby set at $85,800.00 for the year 2022, and in addition, the Official Court Reporter shall receive any longevity compensation and stipend that the Victoria County Commissioners Court may give to other County employees in 2022, to which she is entitled and is hereby allocated to the counties comprising the Judicial District in proportion to the population of the Judicial District according to the 2010 Census as follows: COUNTY PERCENT AMOUNT Calhoun 13.62 11,685.96 DeWitt 12.81 10,990.98 Goliad 4.60 3,946.80 Jackson 8.97 7,696.26 Refugio 4.70 4,032.60 Victoria 55.30 47,447.40 Total n was taken at a public hearing held in accordance with the provisions of :al Government Code. HIS the of August, 2021 . *tephen Williams, Judge 135thjudicial District Court ATI! FILED SEEP 12 2021 . ANNA KABELA DISTRICT CLERK, CALHOUN COUNTY, TEXAS BY---- -------DEPUTY ORDER On this the 20th day of August, 2021, came on to be considered setting and allocating the salary of the Official Court Reporter of the 2671h Judicial District for the calendar year 2022, and the salary is hereby set at $85,800.00 for the year 2022, and in addition, the Official Court Reporter shall receive any longevity compensation and stipend that the Victoria County Commissioners Court may give to other County employees in 2022, to which she is entitled and is hereby allocated to the counties comprising the Judicial District in proportion to the population of the Judicial District according to the 2010 Census as follows: COUNTY PERCENT AMOUNT Calhoun 13.62 11,685.96 DeWitt 12.81 10,990.98 Goliad 4.60 3,946.80 Jackson 8.97 7,696.26 Refugio 4.70 4,032.60 Victoria 55.30 47,447.40 Total 85,800.00 tw77his action was taken at a public hearing held in accordance with the provisions of g r6 h 152.905 of the Local Government Code. F flh�/t! rt `UbYyp.� /' SIGNED THIS the 7,6 of August, 2021. FILED XT8:Jo O'CLOCKA.M Robert E. Bell, Judge 267th Judicial District Court SE P Z 2021 ANNA KABELA DISTRICT CLERK, CALHOUN COUNTY, TEXAS BY ___._DEPUTV ORDER On this the 20th day of August, 2021, came on to be considered setting and allocating the salary of the Official Alternate Court Reporter of the 24th 135th 2671h and 3771h Judicial District for the calendar year 2020, and the salary is hereby set at $85,800.00 for the year 2022, and in addition, the Official Court Reporter shall receive any longevity compensation and stipend that the Victoria County Commissioners Court may give to other County employees in 2022, to which she is entitled and is hereby allocated to the counties comprising the Judicial District in proportion to the population of the Judicial District according to the 2010 Census as follows: COUNTY PERCENT AMOUNT Calhoun 13.62 11,685.96 DeWitt 12.81 10,990.98 Goliad 4.60 3,946.80 Jackson 8.97 7,696.26 Refugio 4.70 4,032.60 Victoria 55.30 47,447.40 Total 85,800.00 A F,0q,rTkhis action was taken at a public hearing held in accordance with the provisions of Section 4,3� 905 pf ,Local Government Code. VED THIS the Court % Eli E. Garza, Judge 37711 Judicial District Court of Au t, 2021. *�,'o4tepn Williams, Judge 135th Judicial District Court AM Robert E. Bell, Judge 2671h Judicial District Court FILED AT 8_3oO'CLM A. M 9P 2 2021 ANNA KABELA DISTRICT CLERIC, CALHOUN COUNTY, TEXAS BY______-_ _.___- ____ ____DEPUTY #13 Mae Belle Cassel From: Sent: To: Subject: Attachments: Mael3elle, candice.villarreal@calhouncotx.org (candice villarreal) <candice.vi I larreal @cal houncotx.org> Wednesday, September 1, 2021 3:26 PM maebelle.cassel@calhouncotx.org; Richard joel.behrens@calhouncotx.org; Gary Reese Agenda Item - Insurance Proceeds - R133 Ins Proceeds R132 071421.pdf Please add the following to the next available Commissioners Court agenda. H. Meyer; David Hall; vern lyssy; • Consider and take necessary action on insurance proceeds from TAC in the amount of $27,043.25 for a vehicle that was considered a total loss after an accident on 7/14/21. Thank you, Candue viffarreaf 19 AssistantAuditor CaC(oun County Auditors Office 202 S. Ann Street, Suite B Tort Lavaca, 7X 77979 (Phone (361)553-4612 Calhoun County Texas 0 0 0 0 N (%9 r N m �v o� U m a U 0 oCl n > A �C o d N A n M O O N N N 0 N 0 IL wN Zg 00 U0 00 a Oz W �W 00 NZ Q N m¢ xQY X¢ I m Cl) 0 m LO Ir m O m Ln O w� z5 O� Uo �O #14 Vern L,yss Calhoun County Commissioner, Precinct #2 5812 FM 1090 ��st�TE 'F* (361) 552-9656 Port Lavaca, TX 77979 Fax (361) 553-6664 August 31, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for September 8, 2021 • Consider and take necessary action regarding Texas Department of Transportation Grant for Routine Airport Maintenance Program (TxDOT Project No. M2213PTLA) and authorize all appropriate signatures. Sincere) , Vern Lyssy VL/Ij TEXAS DEPARTMENT OF TRANSPORTATION GRANT FOR ROUTINE AIRPORT MAINTENANCE PROGRAM (State Assisted Airport Routine Maintenance) TxDOT Project ID: M2213PTLA Part I - Identification of the Project TO: The County of Calhoun, Texas FROM: The State of Texas, acting through the Texas Department of Transportation This Grant is made between the Texas Department of Transportation, (hereinafter referred to as the "State"), on behalf of the State of Texas, and the County of Calhoun, Texas, (hereinafter referred to as the "Sponsor"). This Grant Agreement is entered into between the State and the Sponsor shown above, under the authority granted and in compliance with the provisions of the Transportation Code Chapter 21. The project is for airport maintenance at the PORT LAVACA - CALHOUN COUNTY Airport. Part II - Offer of Financial Assistance For the purposes of this Grant, the annual routine maintenance project cost, Amount A, is estimated as found on Attachment A, Scope of Services, attached hereto and made a part of this grant agreement. State financial assistance granted will be used solely and exclusively for airport maintenance and other incidental items as approved by the State. Actual work to be performed under this agreement is found on Attachment A, Scope of Services. State financial assistance, Amount B, will be for fifty percent (50%) of the eligible project costs for this project or $50,000.00, whichever is less, per fiscal year and subject to availability of state appropriations. Scope of Services, Attachment A, of this Grant, may be amended, subject to availability of state funds, to include additional approved airport maintenance work. Scope amendments require submittal of an Amended Scope of Services, Attachment A. Services will not be accomplished by the State until receipt of Sponsor's share of project costs. 8/31/2021 Paee 1 of 13 5. Scope of Services may be accomplished by State contracts or through local contracts of the Sponsor as determined appropriate by the State. All locally contracted work must be approved by the State for scope and reasonable cost. Reimbursement requests for locally contracted work shall be submitted on forms provided by the State and shall include copies of the invoices for materials or services. Payment shall be made for no more than 50% of allowable charges. The State will not participate in funding for force account work conducted by the Sponsor. 6. This Grant shall terminate upon completion of the scope of services. Part III - Sponsor Responsibilities 1. In accepting this Grant, if applicable, the Sponsor guarantees that: a.. it will, in the operation of the facility, comply with all applicable state and federal laws, rules, regulations, procedures, covenants and assurances required by the State in connection with this Grant; and b. the Airport or navigational facility which is the subject of this Grant shall be controlled by the Sponsor for a period of at least 20 years; and C. consistent with safety and security requirements, it shall make the airport or air navigational facility available to all types, kinds and classes of aeronautical use without discrimination between such types, kinds and classes and shall provide adequate public access during the period of this Grant; and d. it shall not grant or permit anyone to exercise an exclusive right for the conduct of aeronautical activity on or about an airport landing area. Aeronautical activities include, but are not limited to scheduled airline flights, charter flights, flight instruction, aircraft sales, rental and repair, sale of aviation petroleum products and aerial applications. The landing area consists of runways or landing strips, taxiways, parking aprons, roads, airport lighting and navigational aids; and e. through the fence access shall be reviewed and approved by the State; and 8/31/2021 Paee 3 of 13 1. mowing services will not be eligible for state financial assistance. Sponsor will be responsible for 100% of any mowing services. 2. The Sponsor, to the extent of its legal authority to do so, shall save harmless the State, the State's agents, employees or contractors from all claims and liability due to activities of the Sponsor, the Sponsor's agents or employees performed under this agreement, The Sponsor, to the extent of its legal authority to do so, shall also save harmless the State, the State's agents, employees or contractors from any and all expenses, including attorney fees which might be incurred by the State in litigation or otherwise resisting claim or liabilities which might be imposed on the State as the result of those activities by the Sponsor, the Sponsor's agents or employees. 3. The Sponsor's acceptance of this Offer and ratification and adoption of this Grant shall be evidenced by execution of this Grant by the Sponsor. The Grant shall comprise a contract, constituting the obligations and rights of the State of Texas and the Sponsor with respect to the accomplishment of the project and the operation and maintenance of the airport. If it becomes unreasonable or impractical to complete the project, the State may void this agreement and release the Sponsor from any further obligation of project costs. 4. Upon entering into this Grant, Sponsor agrees to name an individual, as the Sponsor's Authorized Representative, who shall be the State's contact with regard to this project. The Representative shall receive all correspondence and documents associated with this grant and shall make or shall acquire approvals and disapprovals for this grant as required on behalf of the Sponsor, and coordinate schedule for work items as required. 5. By the acceptance of grant funds for the maintenance of eligible airport buildings, the Sponsor certifies that the buildings are owned by the Sponsor. The buildings may be leased but if the lease agreement specifies that the lessee is responsible for the upkeep and repairs of the building no state funds shall be used for that purpose. 6. Sponsor shall request reimbursement of eligible project costs on forms provided by the State. All reimbursement requests are required to include a copy of the invoices for the materials or services. The reimbursement request will be submitted no more than once a month. 7. The Sponsor's acceptance of this Agreement shall comprise a Grant Agreement, as provided by the Transportation Code, Chapter 21, constituting the contractual obligations and rights of the State of Texas and the Sponsor with respect to the accomplishment of the airport maintenance and compliance with the assurances and conditions as provided. Such Grant Agreement shall become effective upon the State's written Notice to Proceed issued following execution of this agreement. 8/31/2021 Pase 5 of 13 3. This Grant is subject to the applicable provisions of the Transportation Code, Chapters 21 and 22, and the Airport Zoning Act, Tex. Loc. Govt. Code Ann. Sections 241.001 et seq. (Vernon and Vernon Supp.). Failure to comply with the terms of this Grant or with the rules and statutes shall be considered a breach of this contract and will allow the State to pursue the remedies for breach as stated below. a. Of primary importance to the State is compliance with the terms and conditions of this Grant. If, however, after all reasonable attempts to require compliance have failed, the State finds that the Sponsor is unwilling and/or unable to comply with any of the terms of this Grant, the State, may pursue any of the following remedies: (1) require a refund of any financial assistance money expended pursuant to this Grant, (2) deny Sponsor's future requests for aid, (3) request the Attorney General to bring suit seeking reimbursement of any financial assistance money expended on the project pursuant to this Grant, provided however, these remedies shall not limit the State's authority to enforce its rules, regulations or orders as otherwise provided by law, (4) declare this Grant null and void, or (5) any other remedy available at law or in equity. b. Venue for resolution by a court of competent jurisdiction of any dispute arising under the terms of this Grant, or for enforcement of any of the provisions of this Grant, is specifically set by Grant of the parties in Travis County, Texas, 4. The State reserves the right to amend or withdraw this Grant at any time prior to acceptance by the Sponsor. The acceptance period cannot be greater than 30 days after issuance unless extended by the State. 5. This Grant constitutes the full and total understanding of the parties concerning their rights and responsibilities in regard to this project and shall not be modified, amended, rescinded or revoked unless such modification, amendment, rescission or revocation is agreed to by both parties in writing and executed by both parties. 6. All commitments by the Sponsor and the State are subject to constitutional and statutory limitations and restrictions binding upon the Sponsor and the State (including Sections 5 and 7 of Article 11 of the Texas Constitution, if applicable) and to the availability of funds which lawfully may be applied. 8/31 /2021 Paee 7 of 13 Acceptance of the State Executed by and approved for the Texas Transportation Commission for the purpose and effect of activating and/or carrying out the orders, established policies or work programs and grants heretofore approved and authorized by the Texas Transportation Commission. STATE OF TEXAS TEXAS EPARTMENT OF TRANSPORTATION Signature 4nwt4Jy� Title �-0 Z67ZZ Date 8/31/2021 Paee 9 of 13 CERTIFICATION OF AIRPORT FUND TxDOT Project ID: M2213PTLA The County of Calhoun, Texas, does certify that an Airport Fund has been established for the Sponsor, and that all fees, charges, rents, and money from any source derived from airport operations will be deposited for the benefit of the Airport Fund and will not be diverted for other general revenue fund expenditures or any other special fund of the Sponsor and that all expenditures from the Fund will be solely for airport purposes. The fund may be an account as part of another fund, but must be accounted for in such a manner that all revenues, expenses, retained earnings, and balances in the account are discernible from other types of moneys identified in the fund as a whole. •L Sponsor Signature County Judge Sponsor Title 9/8/2021 Date 8/31/2021 Paee 11 of 13 DESIGNATION OF SPONSOR'S AUTHORIZED REPRESENTATIVE TxDOT Project ID: M2213PTLA The County of Calhoun, Texas, designates, Vern Lyssy, Commissioner, as the Sponsor's authorized representative, who shall receive all correspondence and documents associated with this grant and who shall make or shall acquire approvals and disapprovals for this grant as required on behalf of the Sponsor. - 40 !" Sponsor Signature County Judge Sponsor Title 9/8/2021 Date DESIGNATED REPRESENTATIVE Vern Lyssy First Name, Last Name Commissioner Title 5812 FM 1090 N Port Lavaca, TX 77979 Address 361-552-9656 Phone Number lesajurek@calhouncotx.org Email Address 8/31/2021 Pase 13 of 13 #15 Mae Be;lle Cassel From: Joel.Behrens@calhouncotx.org (Joel Behrens) <Joel.Behrens@caIhouncotx.org> Sent: Wednesday, August 25, 2021 3:47 PM To: MaeBelle.Cassel@calhouncotx.org Subject: Cullins RV Park Attachments: HWY 172 RV PARK.PDF Mae Belle, Please place the following item on Commissioner's Court Agenda for September 01,2021. Please consider and take necessary action on the Infrastructure Development Plan for Hwy 172 RV Park (Glenn Cullins) . In Calhoun County Tx. Thanks, Joel Calhoun County Texas • r -�1 ft x n _ t a �. ,fie ; t , t, alw— a "� Sm A It gen i P f y y w N O g yy v o gg I v� pS f¢y A yY&�� fib. IP iP� m F' 9 bC DNi! 18w! M (��) I8'06L 38S�b8.L8 5c - p9 ID� 3M tlLYM lSD3 %� pS M � ��i ��a Nm s a c a ,aa a s> ,�y g MH aka so j$'. _;:1 g, -9 $ '° 3 .i Niii 4 g0 QE ss �Sla � 40 HWY 172 RV PARK _ o G & W ENGINEERS, a ENGINEERING 0 SURVEYING • PLANNING • n n e n^ x s R.CULLINS N m ROS W. LYE OAK STREET. PONT IAVRCA, TEXAS 77979 ]BPLS FNMNO: 10032100 CALHOUN COUNTY, TEXAS (OOU 552-009: POT LAVACA (970) aza na . K. OTT, #16 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Inventory Number Description Department Name: Calhoun County Clerk Requested By: Anna M Goodman Commissioners' Court: 0910812021 Serial No. Reason for Surplus Salvage Dell O ti lex 3070 SFF BTX 7CHV903 Salvageable Parts for IT **purchased 11/2019 installed 3/2020** (courtroom left side computer) Dell O ti lex 3070 SFF B'CX 9V CH63 Salvageable Parts for 1T "purchased 10/20** **billed to IT** **HVYTDX2 billed to County Clerk** Anna M Goodman, County Clerk -r Date U:\Agoodman\AGENDA ITEMS\Surplus-Salvage Request Form.090021.Doc Page 1 Anna Goodman From: ron.reger@calhouncotx.org (Ron Reger) <ron.reger@calhouncotx.org> Sent: Thursday, August 19, 2021 8:57 AM To: Anna.Goodman@calhouncotx.org Cc: Sarah.Hall@calhouncotx.org; tami.maldonado@calhouncotx.org Subject: RE: Optiplex 3060 Small Dell PC X 5 - TAG: HVYTDX2 Before you ordered a new one for her we took a new motherboard from another PC and swapped it to see if that would correct the USB problem, which it didn't. The asset scans we conduct periodically identified that PC with the service tag HVYTDX2. So to answer your original question, physically at the time of the last scan, Janice was the last user to log in, the IP address is in the range assigned to the County Clerks' network and the domain name also identifies it as a County Clerk PC. From: Anna.Goodman@calhouncotx.org (Anna Goodman) [mailto:Anna.Goodman@calhouncotx.org) Sent: Wednesday, August 18, 20213:17 PM To: ron.reger@calhouncotx.org Subject: RE: Optiplex 3060 Small Dell PC X 5 - TAG: HVYTDX2 The one that Janice had was 9VQCH63. From: ron.reger@calhouncotx.org (Ron Reger) [mailto:ron.reger@calhouncotx.org] Sent: Wednesday, August 18, 2021 2:45 PM To: Anna.Goodman@calhouncotx.org; Sarah.Hall@calhouncotx.org Cc: tami.maldonado@calhouncotx.orrg Subject: RE: Optiplex 3060 Small Dell PC X 5 - TAG: HVYTDX2 We still show it in your office. It was Janices' old PC Calhoun County Texas Edit Remote Control Scan Now Assign Print cclerk-5.calhouncotx.local_old_1 192.1633.75.119 `- Assets i ITAsset: Wcrlcstafon D=_ai's Hardware Software Relationships Contracts Financials History Asset Details Marie cclerk-5.cal houncotx,Iocal old 'I Ser' lc� Tag HVYTDX2 __=ast Logged In Laser CALHOUNCOTX\janice.holladay State In Use Serial N,_in-bl— .vlor--lei i,'ianufECWr-r Dell Inc. •Jer"ic -Llr-!'1?Se_ COSt 0.00 -_Xp l �� Dete - _oCat! cr -.its Calhoun County _cyst Updr tec Tri e Nov 19, 2020 09:33 AM _asr Up ., By System Assigned To repartoect County Clerk 7 From: Anna.Goodman@calhouncotx.org (Anna Goodman)lmailto:Anna.Goodman@calhouncotx.ore] Sent: Wednesday, August 18, 2021 2:15 PM To: Sarah.Hall@calhouncotx.ora Cc: ron.re¢er@calhouncotx.org Subject: Optiplex 3060 Small Dell PC X 5 - TAG: HVYTDX2 Good afternoon, Can you tell me where this unit actually is? Thanks Amra N �aadxa# Calhoun County Clerk 361-553-4416 Only I can change any life. No one can do it for me. Carol Burnett CONFIDENTIALITY NOTICE: The information contained in this transmission may be strictly confidential. If you are not the intended recipient of this message, you are notified that you may not disclose, print, copy or disseminate this information. If you have received this transmission in error, please reply and notify the sender (only) and delete the message. Unauthorized interception of this e-mail may be a violation of criminal law. Calhoun County Texas Calhoun County Texas Calhoun C.OUntV Texas Calhoun County Texas Dell Marketing L.P. C/O Dell USA L.P. PO Box 676021 Dallas, TX. 75267-6021 RUTIT-00 DEPARTMENT IT Department 275-71648 jDell OptiPlex PC x2 $1,284.92 THF-' COUNTY OF CALHOUN VendorlD Account #, —CAL -c() - NOV 2 5 2020 211637 [3q?,LLEiviC DELL MARKETING L.P. FIDNumber 74-2616805 One Dell Way For Sales: (800)274-7799 (r1VOICB Round Rock, TX 78682 Customer Service: (800)274-7799 Technical Support:(600)274-7799 Dell Online: http.YAvww.dell.com BILL TO: CALHOUN COUNTY / RON REGER 117 W ASH ST PORT LAVACA, TX T7979-2912 SHIP TO., CALHOUN COUNTY RON REGER 117 W ASH ST PORT LAVACA, TX 77979-2912 PLEASE REVIEW DELUS TERMS 8 CONDITIONS OF SALE AND PPOLICIEg, WHICH GOVERN THIS TRANSACTION VIEW YOUR ORDER DETAILS,ONLIBE (�►tll � �oc�tcd, iv► VAerer- twain) YMAVA NAM, �* �)h�so Invoice No: 10434762684 ✓v/ Customer No: 3785569 Order No: 725635642 Page 1 of Purchase Order. SODA-275-10262020 Payment Terms: Due 30 days from the invoice date Due Date: 11/29/2020 Invoice Date: 10/3012020�✓ Waybill Number: 917285672342 Order Date: 1012612020 Sales Rep: AARON_ROORIGUEZI Contract Number: COOOOO0006841 Shipped Via: FEDERAL EXPRESS Item Number Description City Unit Unit Price Amount 210-ASBL T� Opt(Plex 3070 SFF BTX / v 2 EA 642.46 1,284.92 System Service Tags:9VQCH63, 9VPBH63 338-BRSY Intel (R) Core (TM)15-9500 (6 Cofes/9MB16T13.OGHz to 4.4GHz165W) 2 EA - - 619-AHKN Win 10 Pro 64 English, French, Spanish 2 EA - 658-BCSB No Microsoft Office License Included 7 30 day Trial Offer Only 2 EA - - 370-AEBK SGB (ix8GB) DDR4 non-ECC Memory 2 EA - - 400-SEUP M.2 256GB PCIe NVMe Class 35 Solid State Drive 2 EA - - 412-AAQT M.2 2200 Thermal Pad 2 EA - 773.BBBC M2X3.5 Screw for SSD/DDPE 2 EA - - FOR SHIPMENTS TO CALIFORNIA. A STATE ENVIRONMENTAL FEE OF UP TO $6 PER ITEM WILL BE ADDED TO INVOICES FOR ALL ORDERS CONTAINING A DISPLAY GREATER THAN 4INCHES. PLEASE KEEP ORIGINAL BOX FOR ALL RETURNS. COMPREHENSIVE ONLINE CUSTOMER CARE INFORMATION AND ASSISTANCE IS A CLICK AWAY AT WWW.DELLCOMiPUBLIC-SCARE TO ANSWER A VARIETY OF QUESTIONS REGARDING YOUR DELL ORDER. USD sub -Total. $ 1,284,92 Ship. 87or Handling: $ 0.00 ENVIRO FEE: $ 0.00 Taxable: It 0.00 Non -Taxable: It 1,284.92 Tax: $ 0.00 Invoice Total: S 1,284.92 ........................................................................................................................................ .... DETACH AT LINE AND RETURN WITH PAYMENT Invoice No: 10434762684 C�GGLLL-.i\•'1�. Customer Name., CALHOUN COUNTY Customer No: 3785569 PO No: SODA-275-f0262020 Order Number 725635642 Make check payable/remit to: Electronics Payments Dell Marketing L.P. Dell Marketing LP. PNC Bank CIO Dell USA L.P. ABAA' 043-000-096 PO Box 676021 Acctk: 1017304611 Dallas, TX 75267-6021 Swift code: PNCCUS33 USD Sub -Total. $ 1.284.92 Ship. B/or Handling: $ 0.00 ENVIRO FEE: S 0.00 _ Taxable: $ 0.00 Non -Taxable: $ 1,284.9 Tax: S 0.00 Invoice Total: $ 1,284.92 Balance Due: $ i,284.92 Amount Enclosed: 0104347626840000000128492000000037855696 § ; / \ § ( / ! ! �// \ . - §�j j 4 4 t ( ( ( _ § § G'MON BILL TO: DELL MARKETING L.P. One Dell Way Round Rock, TX 78682 CALHOUN COUNTY RON REGER 117IN ASH ST PORT LAVACA, TX 77979.2912 FID Number., 74-2616805 For Sales: (800)274-7799 Customer Service: (800)274 7799 Technical Support (800)274-7799 Dell Online: hilp//www.delLmm SHIP TO: Invoice CALHOUN COUNTY RON REGER 117WASH ST PORT LAVACA, TX 77979.2912 PLEASE REVIEW DELLS TERMS & CONDITIONS OF SALE AND POLICIES, WHICH GOVERN THIS TRANSACTION VIEW YOUR ORDER DETAILS N51 LINE Invoice No: 10434762684 Customer No: 3785569 Order No: 725635642 Page 1 of 2 Purchase Order: SODA-275-10262020 Order Date: 10/26/2020 Payment Terms: Due 30 days from the invoice date Sales Rep: AARONRODRIGUEZI Due Date: 11/29/2020 Contract Number: C000006006841 Invoice Date: 10/30/2020 Shipped Via: FEDERAL EXPRESS Waybill Number: 917285672342 Item Number Description pry Unit Unit Price Amount 210•ASSL OptiPlex 3070 SFF BTX System Service Tags:9VQCH63, 9VPBH63 338-BRSY Intel (R) Core (TM)15.9500 (6 Cores/9MB/6T/3.0GHz to 4AGHz/65W) 619-AHKN Win 10 Pro 64 English, French, Spanish 658-BCSB No Microsoft Office License Included ? 30 day Trial Offer Only 370-AEBK BGB (1x8GB) DDR4 non-ECC Memory 400-BEUP M.2 256GB PCle NVM9 Class 35 Solid State Drive 412-AAQT M.2 22x30 Thermal Pad 773-BBBC M2X3.5 Screw for SSD/DDPE FOR SHIPMENTS TO CALIFORNIA, A STATE ENVIRONMENTAL FEE OF UP TO $6 PER ITEM WILL BE ADDED TO INVOICES FOR ALL ORDERS CONTAINING A DISPLAY GREATER THAN 4INCHES. PLEASE KEEP ORIGINAL BOX FOR ALL RETURNS. COMPREHENSIVE ONLINE CUSTOMER CARE INFORMATION AND ASSISTANCE IS A CLICK AWAY AT WWW DELL.COM/PUSLIC-ECARE TO ANSWER A VARIETY OF QUESTIONS REGARDING YOUR DELL ORDER. DETACH AT LINE AND RETURN WITH PAYMENT Invoice No., 10434762684 [(GLL E M C Customer Name: CALHOUN COUNTY Customer No: 3785569 PO No: SC/DA-275.10262020 Order Number: 725835642 Make check payable remit to: Electronics Payments Dell Marketing L.P. Dell Marketing L.P. PNC Bank C/O Dell USA L.P. ABA#: 043-000-098 PO Box 676021 Accd1: 1017304611 Dallas, TX 75267.6021 Swift code: PNCCUS33 EA 842.46 1,284.92 EA EA EA EA EA EA EA USD Sub -Total: It 1,284.92 Ship. &/or Handling: $ 0.00 ENVIRO FEE: S 0.00 Taxable. $ 0.00 Non -Taxable: $ 1,284.92 Tax: $ 0.00 Invoice Total: $ 1,284.92 USD Sub -Total:—__•_— S 1,28Q92 Ship. $let Handling: S 0.00 ENVIRO FEE: S 0.00 Taxable: $ 0.00 Non -Taxable: $ 1,284.92 Tax: S 0.00 Invoice Total: $ 1,284.92 Balance Due: $ 1,284.92 Amount Enclosed. 0104347626840000000128492000000037855696 DeLLEMC BILL TO: DELL MARKETING L.P. One Dell Way Round Rock, TX 76682 CALHOUN COUNTY RON REGER 117 W ASH ST PORT LAVACA, TX 77979-2912 FID Number.' 74-2616805 For Sales: (800)274.7799 Customer Service: (800)274.7799 Technical Support: (800)274-7799 Dell Online: htfpYAvww.dell.com SHIP TO: Invoice I CALHOUN COUNTY RON REGER 117 W ASH ST PORT LAVACA, TX 77979-2912 PLEASE REVIEW DELL'S TERMS 8 CONDITIONS OF SALE AND POLICIES, WHICH GOVERN THIS TRANSACTION VIEW YOUR ORDER DETAILS ONLINE Invoice No: 10434762684 Customer No: 3786569 Order No: 725636642 Page 2 of 2 Purchase Order: SODA-275-10262020 Order Date: 10126/2020 Payment Terms: Due 30 days from the Invoice date Sales Rep: AARON_RODRIGUEZ1 Due Date: 11/29/2020 Contract Number: COOOO00006841 Invoice Date: 10/30/2020 Shipped Via: FEDERAL EXPRESS Waybill Number: 917285672342 Item Number Description Qty Unit Unit Price Amount 401-AANH No Additional Hard Drive 2 EA - 490-BBFG Intel Integrated Graphics, Dell OptiPlex 2 EA - - 325-BCXP ODD Bezel, Small Farm Factor 2 EA - - 429-ABFH ex DVD+/-RW 9.5mm Optical Disk Drive 2 EA - - 329-BEJV OptiPlex 3070 Small Form Factor with 20OW up to 85% efficient Power Supply (80PIus 2 EA - Bronze) 658-BBTV CMS Essentials DVD no Media 2 EA - - 379-BBHM No Media Card Reader 2 EA - - 450-AAOJ System Power Cord (PhilipinertN/US) 2 EA - 461-AAEE Chassis Intrusion Switch - SFF 2 EA - 555-BBFO No Wireless LAN Card 2 EA - - 340-AFMO No Wireless Driver 2 EA - - 575-BBBI No Stand Option 2 EA - - 379-BBCY No Additional Cable Requested 2 EA - - 492-SOFF No PCIe add -in card 2 EA - - 580-ADJC Black Dell KB216 Wired Multi -Media Keyboard English 2 EA - - 275-BBBW Black Dell MS116 Wired Mouse 2 EA - - 325.BCZO No Cable Cover 2 EA - - 658•BBRB Waves Mexx Audio 2 EA - - 658-BEGX Software for OptiPlex Systems 2 EA - - 620-AAOH No Media 2 EA - - 387-BBLW ENERGY STAR Qualified 2 EA - - 379•BDL3 Dell Watchdog Timer 2 EA - - 340-CMOE Quick Setup Guide 3070 Small Form Factor 2 EA - - 329-BBJL Trusted Platform Module (Discrete TPM Enabled) 2 EA - - 340-CDWZ Ship Material for OptiPlex Small Form Factor 2 EA - - 389-BBUU Shipping Label for DAO 2 EA - 461-AABF No CompuTrace 2 EA - - 389-DQPX SFF: EPA Regulatory LBL for Mexico 2 EA - - 575-BBKX No Hard Drive Bracket, Dell OpliPiex 2 EA - - 800-BBIP Desktop BTSBTP Shipment 2 EA - - 650.0028 McAfee Small Business Security 30 Day Free Trial 2 EA - - 998-DOFL Fixed Hardware Configuration 2 EA - - 631-ACDO No Out -of -Band Systems Management 2 EA - - 382-BBFF Optional VGA Video Port for SFF 2 EA - - 382-BBHX No Additional Add In Cards 2 EA - - 400•BFPO No Optene 2 EA - 803.8583 Dell Limited Hardware Warranty Plus Service 2 EA - 803-6590 Onsite Service After Remote Diagnosis 3 Years 2 EA - Calhoun County Texas Anna Goodman From: Sent: To: Subject: Attachments: Attached is the requested invoice. Sarah. sfaCC 77'Technician Calhoun. County I7'Dept. 117 IV Ash St Port Lavaca, Tx 77g79 361-553-47o8 Sarah.Hall@calhouncotx.org (Sarah Hall) <Sarah.Hall@calhouncotx.org> Tuesday, August 10, 2021 10:54 AM Anna.Goodman@calhouncotx.org RE: DELL OPTIPLEX 3070 - TAG 9VQCH63 Dell Invoice 9VQCH63.pdf From: Anna.Goodman@calhouncotx.org (Anna Goodman) <Anna.Goodman@calhouncotx.org> Sent: Monday, August 9, 20214:05 PM To: Sarah Hall <Sarah.Hall@calhouncotx.org> Subject: DELL OPTIPLEX 3070 -TAG 9VQCH63 Good afternoon, Do you have the invoice when this unit was purchased? Thanks! ?Tulle /el �OOali alr Calhoun County Clerk 361-553-4416 Onk I can chan,:e my life. No one can do it for me. Carol Burnett CONFIDENTIALITY NOTICE: The information contained in this transmission may be strictly confidential. If you are not the intended recipient of this message, you are notified that you may not disclose, print, copy or disseminate this information. If you have received this transmission in error, please reply and notify the sender (only) and delete the message. Unauthorized interception of this e-mail may be a violation of criminal law. Calhoun County Texas # 17 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County Clerk Requested By: Anna M Goodman Commissioners' Court: 0910812021 Inventory Number Description Serial No. Reason for Waste/Disposal HP Prodesk 600 2UA7391ZDO Not salvageable per IT **purchased 12/2017** (front counter left side computer) i44", `%j% A �Z 1 a A na M Goodman, County Clerk Date: U:\Agoodman\AGENDA ITEMS\Waste Declaration Form.090821.Computers.Doc Page l .0 Anna Goodman From: ron.reger@calhouncotx.org (Ron Reger) <ron.reger@calhouncotx.org> Sent: Tuesday, August 24, 2021 2:03 PM To: Anna.Goodman@calhouncotx.org Subject: Re: Optiplex 3060 Small Dell PC X 5 - TAG: HVYTDX2 It's probably best to waste it. I'll put in a work order to at least have IT destroy the hard drive so county or employee private data won't be accessible should it be auctioned. Let me know when it's approved as waste and we will come destroy the hard drive for you. Sent from my iPhone On Aug 24, 2021, at 11:26 AM, Anna.Goodman@calhouncotx.org wrote: Should I just "waste" the HP that was at the front desk or is there parts salvageable? # Zs Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Memorial Medical Center Storage Units - September 2021 Requested By:,lason Anglin, C Inventory Number Description Serial No. Reason for Waste Declaration 2 Black Office Chairs Did not sell at auction 1 Wooden Shelf Did not sell at aucton Red Fabric Chair Did not sell at auction Metal Shelving Did not sell at auction 1 Easy Lift Equipment Did nor sell at auction Fite Cabinet No Longer Used'Broken Green Chair Ripped No Longer Used 1 Wheelchair Black Wheels Did not setat auction #19 *Treasurer Receipt Numbers: F2021AUG003, 012,025,031,032 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 9/1/2021 COURT NAME: DISTRICT CLERK MONTH OF REPORT: AUGUST YEAR OF REPORT: 2021 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDII 1000-00144190 SHERIFF'S SERVICE FEES $2,005.27 1000-00144140 JURY FEES $80.00 1000-00144045 RESTITUTION FEE $0.00 1000-00144020 DISTRICT ATTORNEY FEES $0.00 1000-00149010 REBATES -PREVIOUS EXPENSE $4.61 1000-00149030 REBATES-ATTORNEY'S FEES $634.10 1000-00144058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-00144322 TIME PAYMENT REIMBURSEMENT FEES $40.88 1000-00143049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $158.00 CRIMINAL COURT $123.46 CIVIL COURT $2,200.79 STENOGRAPHER $150.00 CIV FEES DIFF $0.00 1000-00144050 DISTRICT CLERK FEES $2,632.25 1000-999-20771 FAMILY VIOLENCE FINE $0.00 1000-999-10010 CASH - AVAILABLE $5,397.11 2706-00144055 FAMILY PROTECTION FEE $0.00 2706-999-10010 CASH - AVAILABLE $0.00 2740-00145055 FINES - DISTRICT COURT $461.01 2740-999-10010 CASH - AVAILABLE $461.01 2620-00144055 APPELLATE JUDICIAL SYSTEM $50.00 2620-999-10010 CASH - AVAILABLE $50.00 2670-00144055 COURTHOUSE SECURITY $135.39 2670-999-10010 CASH - AVAILABLE $135.39 2673-00144055 CRT RECS PRESERVATION FUND- CO $220.00 2673-999-10010 CASH - AVAILABLE $220.00 2739-00144055 RECORD MGMT/PRSV FUND - COUNTY $124.40 2739-999-10010 CASH - AVAILABLE $124.40 2737-00144055 RECORD MGMT/PRSV FUND -DIST CLRK $236.36 2737-999-10010 CASH - AVAILABLE $236.36 2731-00144055 LAW LIBRARY $350.00 2731-999-10010 CASH - AVAILABLE $350.00 2663-00144050 CO & DIST CRT TECHNOLOGY FUND $12.34 2663-999-10010 CASH - AVAILABL $12.34 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH - AVAILABLE $0.00 2667-00144055 CO CHILD ABUSE PREVENTION FUND $0.08 2667-999-10010 CASH - AVAILABLE $0.08 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $105.43 7502-999-10010 CASH-AVAILABE $105.43 7383-999-20610 DNA TESTING FEE - County $0.80 7383-999-20740 DNA TESTING FEE - STATE $7.21 7383-999-10010 CASH - AVAILABLE $8.01 7405-999-20610 EMS TRAUMA FUND - COUNTY $3.38 7405-999-20740 EMS TRAUMA FUND - STATE $30.40 7405-999-10010 CASH - AVAILABLE $33.78 7070-999-20610 CONSOL. COURT COSTS - COUNTY $43.51 7070-999-20740 CONSOL. COURT COSTS - STATE $391.59 7070-999-10010 CASH - AVAILABLE $435.10 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $52.78 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $475.03 7072-999-10010 CASH -AVAILABLE $527.81 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $95.40 2698-999-10010-010 CASH - AVAILABLE $95.40 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $19.08 7390-999-20740-999 DRUG COURT PROG FEE - STATE $76.32 7390-999-10010-999 CASH - AVAILABLE $95.40 7865-999-20610-999 GRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.64 7865-999-20740-999 GRIM - SUPP OF IND LEGAL SVCS - STATE $5.77 7865-999-10010-999 CASH - AVAILABLE $6.41 7950-999-20610 TIME PAYMENT - COUNTY $33.62 7950-999-20740 TIME PAYMENT- STATE $33.62 7950-999-10010 CASH - AVAILABLE $67.24 7505-999-20610 JUDICIAL SUPPORT-CRIM - COUNTY $2.88 7505-999-20740 JUDICIAL SUPPORT-CRIM - STATE $16.30 7505-999-10010 CASH - AVAILABLE $19.18 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $964.00 7505-999-10010-010 CASH AVAILABLE $964.00 2740-001-45050 BOND FORFEITURES $0.00 2740-999-10010 CASH - AVAILABLE $0.00 2729-001-44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH -AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $1.28 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $11.49 7857-999-10010 CASH - AVAILABLE $12.77 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH - AVAILABLE $0.00 7403-999-22888 DIST CRT - ELECTRONIC FILING FEE - CIVIL $700.00 7403-999-22991 DIST CRT- ELECTRONIC FILING FEE - CRIMINAL $15.39 CASH -AVAILABLE $715.39 1000-001-44050 DISTRICT CLERK FEES $114.12 1000-999-10010 CASH - AVAILABLE $114.12 2739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $71.33 2739-999-10010 CASH - AVAILABLE $71.33 2669-001-44050 COUNTY JURY FUND $2.85 2669-999-10010 CASH - AVAILABLE $2.85 2670-001-44055 COURTHOUSE SECURITY $28.53 2670-999-10010 CASH - AVAILABLE $28.53 2663-001-44050 CO & DIST CRT TECHNOLOGY FUND $11.41 2663-999-10010 CASH - AVAILABLE $11.41 2676-001-44050 COUNTY SPECIALTY COURT FUND $71.33 2676-999-10010 CASH - AVAILABLE $71.33 7855-999-20784-010 7855-999-20657-010 7855-999-20792-010 7855-999-20658-010 7855-999-20740-010 7855-999-20610-010 DIST CRT - DIVORCE & FAMILY LAW - STATE DIST CRT - DIVORCE & FAMILY LAW - COUNTY DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY DIST CRT - OTHER CIVIL PROCEEDINGS - STATE DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY $18.00 $2.00 $291.50 $8.50 $1,016.91 $53.52 7855-999-20790-010 7855-999-10010-010 Revised 01/31/20 DUE TO STATE - NONDISCLOSURE FEE $0.00 CASH - AVAILABLE $1,390.43 TOTAL (Dlstrib Req to Oper Acct) $12,062.18 $11,762.61 DUE TO OTHERS (Dlstrib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 1,995.00 REFUND OF OVERPAYMENTS 0.00 DUE TO OTHERS 0.00 TOTAL DUE TO OTHERS $1,995.00 REPORT TOTAL - ALL FUNDS 13,767.61 PLUS AMT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (13,757.61) OVER / (SHORT) $0.00 DISTRICT COURT AUGUST STATE COURT COSTS REPORT 2021 AUGUST SECTION I: REPORT FOR OFFENSES COMMITTED COLLECTED COUNTY STATE 01/1/20 - Present 52.78 475.03 01/01/04-12/31/19 - $434.10I' 43.41 390.69 09/01/01 - 12/31/03 i°' 7°g - - 09/01/99-08/31/01 0.10 0.90 09/01/97-08/31199- 09/01/95-08/31/97- 09/01/91-08/31/95 DNA TESTING FEES 8.01 0.80 7.21 EMSTRAUMAFUND 33.78 3.38 30.40 JUV. PROS. DIVERSION FEES JURY REIMBURSEMENT FEE $12.77 1.28 11.49 INDIGENT DEFENSE FUND $6.41 0.64 $5.77 STATE TRAFFIC FEES $0.00 - $0.00 DRUG CRT PROG FEE $190.80 $114.48 76.32 SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEARIPAY FEES - - JUD. FUND-CONST. CO. CRT. JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE $67.24 33.62 33.62 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $19.18 2.88 16.30 ELECTRONIC FILING FEE - CR $15.39 $15.39 TOTAL STATE COURT COSTS $1,316.49 $ 253.37 $ 1,063.12 CIVIL FEES REPORT BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV NONDISCLOSURE FEES 0 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROB CRT INDIG FILING FEES STAT PROB CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONST CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW 3f DIST CRT OTHER THAN DIV/FAM LAW DIST CRT OTHER CIVIL FILINGS FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE 23 JUDICIAL & COURT PERSONNEL TRANING FEE 43 TOTAL CIVIL FEES REPORT AUGUST COLLECTED COUNTY STATE $700.00 $700.00 $0.00 $0.00 $20.00 2.00 18.00 $300.00 8.50 291.50 $1,070.43 53.52 1,016.91 $964.00 $964.00 $105.43 - $105.43 $ 3,169.86 $ 64.02 $ 3,095.84 TOTAL BOTH REPORTS $ 4,476.35 $ 317.39 $ 4,158.96 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 420 A 44440 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Anna Isabela Address: Title: District Clerk City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7340.999-20759.999 District Clerk Monthly Collections - Distribution $11,762.61 AUGUST 2021 V# 967 TOTAL 11,762.61 B —rib Z Signature of Official (J Date Calhoun County Flo odplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: karen.rinasz@calhouncotx.org August 2021 Development Permits New Homes —10 Renovations/Additions — 0 Mobile Homes —1 Boat Barns/Storage Buildings/Garages -1 Commercial Buildings/RV Site -1 Ground work only -1 Total Fees Collected: $840 POOL CAA � JTER COURT NAME: - JUSTICE OF PEACE NO. 1 JTER MONTH OF REPORT - AUGUST JTER YEAR OF REPORT 2021 CODE AMOUN CASH BONDS 0.00 REVISED 01/29/20 ADMINISTRATION FEE -ADMF 70.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATEDCOURT COSTS -CCC 209.28 STATE CONSOLIDATED COURT COST- 2020 3,080.33 '.e LOCAL CONSOLIDATED COURTCOST-2020 709.59 - COURTHOUSESECURITY .-CHS 20.92 - CLIP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR oAl - - CORRECTIONAL MANAGEMENT INSTITUTE- CMI 0.00 CR 0.00 CHILDSAFETY - CS 0.00 -CHILD SEATBELT FEE '-CSBF 0.00 CRIME VICTIMS COMPENSATION- CVC 0.00 DPSC/FAILURE TO. APPEAR -OMNI-DPSC 137.07 ADMINISTRATION FEE FTAIFTP (aka OMNI)- 2020 26.90 - - .ELECTRONIC FILING FEE -EEF 0.00 ' FUGITIVE APPREHENSION -FA 0.00 GENERAL REVENUE -GR - 0.00 GRIM- IND LEGAL SVCS- SUPPORT - OF 10.46 JUVENILE CRIME '& DELINQUENCY -JCD 0.00 JUVENILE CASE MANAGER FUND -JCMF 20.00 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 ' JUROR SERVICE FEE -JSF 20.92 LOCAL ARREST FEES-LAF 201.91 "LEMI 0.00 LEDA 0.00 - . LEGG 0.00 - - OCL 0.00 PARKS& WILDLIFE ARREST FEES -.PWAF 33.96 - STATE ARREST FEES -SAF 62.68 SCHOOL.CROSSING/CHILD SAFETY FEE -SCF 0.00 -.: SUBTITLE C-SUBC 30JOD STATE TRAFFIC FINES -EST 9.1:19- STF 983.50 TABC ARREST FEES -TAF 0.00 TECHNOLOGY FUND-TF 20.92 TRAFFIC -TFC 3.00 LOCAL TRAFFIC FINE-2020 59.20 TIME 'PAYMENT -TIME 55.69 TIME. PAYMENT REIMBURSEMENT. FEE-2020 64.79 TRUANCYRREVENTION/DIVERSION FUND -TPDF 9.32 LOCAL $. STATE WARRANT FEES- WRNT 288.65 COLLECTION SERVICE: FEE-MVBA-CSRV 660.00. `DEFENSIVE DRIVING COURSE :-DDC 19.80 DEFERRED FEE -OFF 152.00 DRIVING. EXAM.FEE-PROV CL 0.00 '- FILINGFEE-FFEE 300.00 FILING FEE SMALL CLAIMS -FFSC 0.00 JURY FEE -JF 0.00 - COPIES/CERTIFED:COPIES '-CC 0.00 INDIGENT FEE '-CIFF'or INDF 60.00 JUDGE PAY: RAISE FEE-JPAY 30.70 SERVICE FEE -SFEE 225.00 OUT -OF -COUNTY SERVICE FEE O.OD . ELECTRONIC FILING FEE -EEFCV 100.00 EXPUNGEMENT FEE -EXPG 0.00 -. EXPIRED RENEWAL -EXPR 0.00 ABSTRACT OF JUDGEMENT -AOJ 0.00 - ALLWRITS WOP/WOE 0.00 - -. CPS FTAFINE -DPSF 905.00 'LOCAL .FINES -FINE 3,953.30 'LICENSE&'WEIGHT FEES - -LWF 0.00 - PARKS&WILDLIFE FINES-PWF 930.00 SEATBELT/UNRESTRAINED. CHILD FINE -SEAT 0.00 - JUDICIAL& COURT PERSONNEL TRAINING-JCPT 0.00 'OVERPAYMENT (OVER $10)-OVER 0.00 'OVERPAYMENT($10 ANDLESS) - OVER 0.00 - - RESTITUTION -REST 0.00 PARKS & WILDLIFE -WATER SAFETY FINES-WSF 388.00 MARINE SAFETY PARKS & WILDLIFE '-MSO 0.00 TOTAL ACTUAL MONEY RECEIVED - 13,84300: _ TYPE: AMOUNT - TOTAL WARRANT FEES - - 288:85 - ENTER LOCAL WARRANT'. FEES 77.90 RECORD ONTOTALPAGEOFIaaCOUNTRYSODwAHEMOREPORT STATE' WARRANT FEES $210.75'. RECORD ON TOTU PAGE OF HILL COUNTRYSOFRVARE MO. REPORT DUE TO OTHERS: - - AMOUNT: DUE TO CCISDI-.50% of Fine UOJV cases 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT DUE TO DARESTITUTION FUND 0.00 PLEASE INCLUDE D.RREQUESTINGDISBURSEMENT REFUND OF OVERPAYMENTS -. 0.00 RUSE INCLUDE aRREQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE _ 0.00, REUSE INCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIIRED). TOTAL DUE TO OTHERS - 0.00'.. - TREASURERS RECEIPTS FOR MONTH: - AMOUNT- C SH, CHECKS, MA.S&CREDIT CARDS $13,843:00 Calculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS $13,843:00 _- 9/1/2021 COURT NAME: JUSTICE OF PEACE NO. 1 C MONTH OF REPORT: AUGUST YEAR OF REPORT: 2021 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 5,056.00 CR 1000-001-44190 " SHERIFF'S FEES 525.72 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 19.80 CHILD SAFETY 0.00 TRAFFIC 62.20 ADMINISTRATIVE FEES 248.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 330.90 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44061 JP FILING FEES 300.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 64.79 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 660.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $7,162.41 CR 2670-001-44061 COURTHOUSE SECURITY FUND $264.05 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $5.23 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $223.66 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $20.00 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $253.43 CR 2669-001-44061 COUNTYJURYFUND $5.07 STATE ARREST FEES DPS FEES 54.69 P&W FEES 6.79 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 61.48 CR 7070-999-20610 CCC-GENERAL FUND 20.93 CR 7070-999-20740 CCC-STATE 188.35 DR 7070-999-10010 209.28 CR 7072-999-20610 STATE CCC- GENERAL FUND 308.03 CR 7072-999-20740 STATE CCC- STATE 2,772.30 DR 7072-999-10010 3,080.33 CR 7860-999-20610 STF/SUBC-GENERAL FUND 1.50 CR 7860-999-20740 STF/SUBC-STATE 28.50 DR 7860-999-10010 30.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 39.34 CR 7860-999-20740 STF- EST 9/1/2019- STATE 944.16 DR 7860-999-10010 983.50 CR 7950-999-20610 TP-GENERAL FUND 27.85 CR 7950-999-20740 TP-STATE 27.84 DR 7950-999-10010 55.69 Page 1 of 2 MONTHLY 9/1 /2021 CR 7480-999-20610 CR 7480-999-20740 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 CR 7502-999-20740 7998-999-20740 7998-999-20701 7403-999-22889 REVISED 01/29/20 _►R COYRT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: AUGUST YEAR OF REPORT: 2021 i CIVIL INDIGENT LEGAL-GEN. FUND 3.00 CIVIL INDIGENT LEGAL -STATE 57.00 DR 7480-999-10010 60.00 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.05 CRIM-SUPP OF IND LEG SVCS-STATE 9.41 DR 7865-999-10010 10.46 TUFTA-GENERAL FUND 45.69 TUFTA-STATE 91.38 DR 7970-999-10010 137.07 JPAY- GENERAL FUND 3.07 JPAY - STATE 27.63 DR 7505-999-10010 30.70 JURY REIMB. FUND- GEN. FUND 2.09 JURY REIMB. FUND- STATE 18.83 DR 7857-999-10010 20.92 CIVIL JUSTICE DATA REPOS. - GEN FUND 0.01 CIVIL JUSTICE DATA REPOS: STATE 0.10 DR 7856-999-10010 0.11 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 TRUANCY PREVENT/DIV FUND - STATE 4.66 JUVENILE CASE MANAGER FUND 4.66 DR 7998-999-10010 9.32 ELECTRONIC FILING FEE - CV STATE 100.00 DR 7403-999-22889 100.00 TOTAL (Distrib Req to OperAcct) $12,722.70 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COON Y ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY" SERVICE FE 0.00 CASH BONDS. 0.00 PARKS & WILDLIFE FINES 790.50 WATER SAFETY FINES 329.80 TOTAL DUE TO OTHERS $1,120.30 TOTAL COLLECTED -ALL FUNDS $13,843.00 LESS: TOTAL TREASUER'S RECEIPTS $13,843.00 OVER/(SHORT) $0.00 Page 2 of 2 1;., CALHOUN COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: DISTRIBUTION REQUEST DR# 450 A 44440 PAYOR Official: Hope Kurtz Title: Justice of the Peace, Pct. 1 ACCOUNT NUMBER - - DESCRIPTION -AMOUNT 7541-999-20759-999 JP1 Monthly Collections Distribution $12,722.70 AUGUST 2021 V# 967 TOTAL 12,722.70 Signature of Official Date A ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT cc CASH BONE ADMINISTRATION FEE - ADI BREATH ALCOHOL TESTING - R CONSOLIDATED COURT COSTS - C1 STATE CONSOLIDATED COURT COST- 20 LOCAL CONSOLIDATED COURT COST- 20 COURTHOUSE SECURITY - CI C CIVIL JUSTICE DATA REPOSITORY FEE - CJI CORRECTIONAL MANAGEMENT INSTITUTE - C 1 CHILD SAFETY - I CHILD SEATBELT FEE - CS' CRIME VICTIMS COMPENSATION - CT DPSC/FAILURE TO APPEAR OMNI - DPI ADMINISTRATION FEE FTA/FTP (aka OMNI)- 20 ELECTRONIC FILING FI FUGITIVE APPREHENSION - GENERAL REVENUE -( CRIM - IND LEGAL SVCS SUPPORT - II JUVENILE CRIME & DELINQUENCY - X JUVENILE CASE MANAGER FUND- JCI JUSTICE COURT PERSONNEL TRAINING - JC'. .JUSTICE COURT SECURITY FUND - JC JUROR SERVICE FEE -J LOCAL ARREST FEES -L LE LEI LE( D PARKS. & WILDLIFE ARREST FEES - PW STATE ARREST FEES -S SCHOOL CROSSING/CHILD SAFETY FEE -S SUBTITLE C - SUI '-STATE TRAFFIC FINE- EST 9.1.19- S TABC ARREST FEES - T TECHNOLOGY FUND - TRAFFIC -T LOCAL TRAFFIC FINE- 2C TIME PAYMENT - Tit .TIME PAYMENT. REIMBURSEMENT FEE - 2C TRUANCY PREVENT/DIVERSION FUND -TP LOCAL & STATE WARRANT FEES - WRI COLLECTION SERVICE FEE-MVBA- CSI DEFENSIVE DRIVING COURSE- DI DEFERRED FEE -D DRIVING EXAM FEE- PROV FILING FEE - FF FILING FEE SMALL CLAIMS - FF' COPIES/CERTIFED COPIES - I INDIGENT FEE - CIFFor IN JUDGE PAY RAISE FEE - JP SERVICE FEE - SF OUT -OF -COUNTY SERVICE F EXPUNGEMENT FEE -EXI EXPIRED RENEWAL - EX ABSTRACT OFJUDGEMENT -A ALL WRITS - WOP / W DPS FTA FINE - DP LOCAL FINES- FI LICENSE & WEIGHT FEES - L1 PARKS & WILDLIFE FINES - PI SEATBELT/UNRESTRAINED CHILD FINE - BE V- JUDICIAL & COURT PERSONNEL TRAINING FUND- JC OVERPAYMENT ($10& OVER)- OV `OVERPAYMENT (LESS THAN $10)- OV RESTITUTION - RE PARKS & WILDLIFE -WATER SAFETY FINES-W W TOTAL ACTUAL MONEY RECEIV TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANT FIE STATE WARRANT FE DUE TO OTHERS: DUE TO CCISD - 50% of Fine an JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS TOTAL DUE TO OTHE JUSTICEE,OF PEACE NO.2 20 -el�L.m- AMOUNT 0.00 REVISED03104/16 100.00 0.00 - 210.41 3,073.36 - 676.77 21.03 0.00 0.30 0.00 0.00 0.00 0.00 0.00 18.84 41.28 100.00 0.00 0.00 10.53 0.00 19.67 0.00 0.00 21.03 178.08 _ 0.00 0.00 0.00 - 0.00 0.00 81.26 0.00 73.34 1,740.82 0.00 21.03 7.33 105.19 19.49 137.96 7.08 550.77 - 871.63 59.40 918.00 _ 0.00 - 300.00 0.00 0.00 60.00 31.56 300.00 0.00 0,00 0.00 0.00 0.00 315.15 5,245.14 _ 0.00 299.00 0.00 0.00 0.00 0.00 0.D0 0.00 0.01) $15,615.40 AMOUNT 550.77 15D.92 RECORD ON TOW PAGE OF HILL COUNTRY SOFn9ARE MO. REPORT $399.85 RECORD ON TOTPL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT AMOUNT _ PLEASE INCLUDE D R. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE DR REQUEVINGOISBUR8EMENT 000 PLEASE INCLUDE DR: REOUESTINGOISBUR8EMENT 000 PLEASEINCLUDE URREQUEUING DISBURSEMENT 0.00 REASEINCLUDE DR.REQUESTINGDISBURSEMENTIIFREOUIMOI $0.00 AMOUNT $15,615.40 Calculate from ACTUAL Treasure's Receipts $15815.40 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 9/2/2021 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: 0 YEAR OF REPORT: 2021 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 5,605.14 CR 1000-001-44190 SHERIFF'S FEES 713.87 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 59.40 CHILD SAFETY 0.00 TRAFFIC 112.52 ADMINISTRATIVE FEES 1,059.28 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 1,231.20 CR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 CR 1000-001-44062 JP FILING FEES 300.00 CR 1000-001-44090 COPIES/CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 137.95 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 871.63 TOTAL FINES, ADMIN. FEES & DUE TO STATE $9,159.79 CR 2670-001-44062 COURTHOUSE SECURITY FUND $252.64 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $5.26 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $214.39 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $19.67 CR 2730-001-44062 LOCAL TRUANCY PREVENTION & DIVERSION FUND $241.70 CR 2669-001-44062 COUNTY JURY FUND $4.83 STATE ARREST FEES DPS FEES 96.22 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 96.22 CR 7070-999-20610 CCC-GENERAL FUND 21.04 CR 7070-999-20740 CCC-STATE 189.37 DR 7070-999-10010 210.41 CR 7072-999-20610 STATE CCC- GENERAL FUND 307.34 CR 7072-999-20740 STATE CCC- STATE 2,766.02 3,073.36 CR 7860-999-20610 STF/SUBC-GENERAL FUND 3.67 CR 7860-999-20740 STF/SUBC-STATE 69.67 DR 7860-999-10010 73.34 CR 7860-999-20610 STF- EST 9/l/2019- GENERAL FUND 69.63 CR 7860-999-20740 STF- EST 9/1/2019- STATE 1,671.19 DR 7860-999-10010 1,740.82 CR 7950-999-20610 TP-GENERAL FUND 9.75 CR 7950-999-20740 TP-STATE 9.74 DR 7950-999-10010 19.49 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 9/2/2021 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: 0 YEAR OF REPORT: 2021 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 3.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 57.00 DR 7480-999-10010 60.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.05 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 9.48 DR 7865-999-10010 10.53 CR 7970-999-20610 TL/FTA-GENERAL FUND 6.28 CR 7970-999-20740 TL/FTA-STATE 12.56 DR 7970-999-10010 18.84 CR 7505-999-20610 JPAY - GENERAL FUND 3.16 CR 7505-999-20740 JPAY - STATE 28.40 DR 7505-999-10010 31.56 CR 7857-999-20610 JURY REIMB. FUND-GEN. FUND 2.10 CR 7857-999-20740 JURYREIMB.FUND-STATE 18.93 DR 7857-999-10010 21.03 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.03 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.27 DR 7856-999-10010 0.30 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 7998-999-20701 JUVENILE CASE MANAGER FUND 3.53 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 3.53 DR 7998-999-10010 7.06 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 100.00 DR 7403-999-10010 100.00 TOTAL (Distrib Req to OperAcct) $15,361.25 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 254.15 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $254.15 TOTAL COLLECTED -ALL FUNDS $16,615.40 LESS: TOTAL TREASUER'S RECEIPTS $15,615.40 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 44441 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Calvin Anderle Address: Title: Justice of the Peace, Pct. 2 City: State: Zip: Phone: -ACCOUNT NUMBER - - DESCRIPTION AMOUNT 7542-999-20759-999 JP2 Monthly Collections - Distribution $15,361.25 0 2021 V# 967 f X-- za Signature of Official 4� - Date TOTALI 15,361.25 r. SHERIFF'S OFFICE MONTHLY REPORT Aug-27 BAIL BOND FEE $ 435.00 CIVIL FEE $ 756.00 JP#1 $ 3,112.70 JP#2 $ 4,592.00 JP#3 $ _ JP#4 $ 350.00 JP#5 $ 318.50 PL MUN. $ COUNTY COURT $ SEADRIFT MUN. $ _ PC MUN. $ 1,653.60 OTHER $ PROPERTY SALES $ DISTRICT $ CASH BOND $ TOTAL: $ 11,217.80 # 20 ;k :0 :z :§ :§ . z r « §§§�� k } ■§®§ § £ k §§& §�--- - §�asa a §B / § B; §\ §§ k( � G | ■ §§�§�§ § C ) k �B a■ � « . §■ � § § ■ §Lu z )§ )& §� 1 w ( ■ § § ) % � \ � � 2 2 -j k $ k 7 2 2 T. ■ � a k � ° ■ )§ ■ � )§ Cd ;W ■ /) § § /W § lu /L z kit �BB I§■ §� B ■ ■ B § b §( ®; B§ §saJa! B§aaa2! ■_� „� �aea8� 2ec:G. al al 21 k w § z k It :k :a :z :§ :L :§ =0 t0 =o =Z _. 5Z =W d =W _ =Z O L1 i Ey O fG WlEfj CS WI O m m z _z LL __ IY J °Q W p �z� y z = z =Z N W LLJ__ ~ 3 0 Z W 2 U W z =Q O C o o a o W W !iWluM Q Q O n Q Q F= �I B M O r w O O O O y 0 O O O O O O O O e Ey o 0 0 0 in pp �lo E»E»F» o N =0 C W E9 O O O �EA o00 =_z =WC o 0 0 0 =c W�E9 E9 fA ER Q O d =Q o000 _ ly � E9 f9 V3 EA _ =� 4 =Z W =O =W r r r r z z z z -W (D 0 0 Q =@i Q� Z 0000 z z z z lu -� ^ F �rnrnrnEn _m ; wmrnEn �rnrnrnEn W � e d =o � =0 z ti w uj =W J a Z N wzz =Z O soma =F Q moz� =Z W xf _W F ¢ w m L) °f W zFw 0-1 =a p C z0000 !Z N 0 O Q � G 6 IM N tND r a M N a ) k 2 2 � � » a 2 � � a § � k U )l ;■ § § \k §o ■ o )0 1- ■ ) ul U. z .� =Z 0 § E§ % § k \� � k =L ■ z lu § § � B B I #21 September 8, 2021 2021 APPROVAL LIST - 2021 BUDGET COMMISSIONERS COURT MEETING OF 09/01/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 21 $526,340.75 FICA P/R $ 51,871.48 MEDICARE P/R $ 12,131.48 FWH P/R $ 34,313.51 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 4,880.00 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,516.15 TEXAS ASSOCIATION OF COUNTIES HEBP P/R $ 194,515.70 AT&T MOBILITY A/P $ 285.53 CITY OF POINT COMFORT CITY OF SEADRIFT FRONTIER COMMUNICATIONS INFINIUM BROADBAND INTERNET JACKSON ELECTRIC COOP, INC. LA WARD TELEPHONE EXC. INC. MCI COMM SERVICE REPUBLIC SERVICES #847 SACHTLEBEN, MICHAEL VICTORIA ELECTRIC CO-OP A/P $ 115.38 A/P $ 171.80 A/P $ 931.97 A/P $ 2,832.88 A/P $ 838.85 A/P $ 874.17 A/P $ 47.64 A/P $ 10,870.85 JAIL -ADVANCE FOR CONF. A/P $ 214.00 A/P $ 3,356.29 TOTAL VENDOR DISBURSEMENTS: 846,108.43 $ TOTAL AMOUNT FOR APPROVAL: $ 846,108.43 r/ I o 00 00 00 00 0 0 0 0 0 A A A O O O O O ro m y r m y m c'- Ed O y y A r r[dn yyO PO .DO Vi Q WW N pb Oa Oi N W W W W O N O w N A mp 00 0nn000 n �D O yC am<a �a �3ti b0 m m N w S (7 N O N Z W n O D C1 - P �^ Z A ' 1p m W W W U VNi P W b W O N N tJn A A U b O P O O O o m 6 lA N r A 0 o O °o. o � 6 OG N y rn o — S n m u 3 o C g z n yy Z y mm�t y C tv D � 2 CCC777 r^ o � O J 0 O 3 N — o 0 N A 9 a 9�i 3�i m � 9 c9 0. m ye �m m C m m m m m A x G r T Q U U U N U U U U U AJU b O N N N N N N N N F I �O ,O 10 n a a /J D a '0 'O A z rr 9 m r a s r F p P rr m m r r w w m m r r r r 0 r r r r r r r n n yA �0 n n n n y y m m 00 m N N N W N N N N N N N N Da J Ce J M J O W Oa J U A N Oa M J r U y to Oo U Co U W W A Q �+DO ADO NDO a0 'd0 00 n00 00 00 00 00 00 00 -00 oa mm Qa D D mD 'a mitD �Y rD 9 jD rUn T.Un ran KOa (boo rJ J H. nee 0. 0 nw mar r"�r m.Nir Aco a°O nq yam, myw3 H. yP mDi NN HN my'p ca ca ca (M ca c7� OD o_oe � -ee Gm 3D va mman va � on �n �n va N N m O -i n O n OlOA Vl VOi N VOi lmA A O -1 U N m U b C D m c �° m � A N T � O tJn A �i J b O N w b w N P W W A w J to A N in �D O b O W to 0 A_ �S 7 0 m J W N ryn _C J O b O O O 3 rnm m mm m m o � o O O 00 P N A A C] w J w N O O O O Z m np p y z r Pm no Chi y � y Vi '9 ryO G O O O O O O O O O O p O 6 w mm mm mm m mm ro ym v o mo A. �O �O v0 00 00 rm or �3 �3 >d °off eDi z o m m m n � Y m b O O r N N N N N J A Ce J ^ p V w N n tiro w N V z o U P CO �O P O P N q N ym ym mm ym m am mam wpm mDc7 nO nDG_ 'a ti 'd 'dy qw m A aCy m"ma y 9 y �-miy = X C]m ^Z y ak x y „r„ W t" Ca W r W \ •> QI 4 H n x O p wm r %% N no .Oe virn �u o i'i+m a oA3 ''�cZ �-p yCrPF m Om Orm Omr O titi c N Oa 9o m°A t D0 f7 A rr A a ti N m Oy a W y 0 p m p N N A P J N N T P W w � W A VOi Wo w () N _6 O O O O O O C O O O O O �yz n '^ 5 x O H O Ex1 X+ O O� p s a r r 0 0 � � m m a 0 0 0 n OnO n n r O y r tzi9 � m S y j� z y y � y o A a r o 0 0 0 0 0 0 0 o n m 6 ^ r 6 R P 00 77CC ry� y R ml*l mto ya yd mH> y ti v cn 0n RR � W O O T' W VI N U W A W U J 3 V p N - N O ^^ O W N i:oaJrO 'OJOyram% m AAm 03 Hnm m mr 0 O .. m-n-7 9°O wA _ � mD mA �u :e nH �� NH `Hon mH n W P W — N N O w N O N N O O A W N W W C V V J J G O pO O W a n _6 O O O O O O O C O O O O d rY H ie "{ o ° O J n U w ti b ro A � r r C y q m O W A2 � O O �O to t`On V,Oi V`Oi a OAi N N N n R n n mzz z zc !no x c zm z°xm °z_� z_°m x °man o om o om ocn ° o� om ° z a � O n ii N N J J J J v J J V O1 I o n J y N O V N ro ro b V J O P V N � Co Go W N O J N U J In W N J U N na �� °` n` n` n` 0- on H nc- rr rr Oca or or c� Or Or > n g � O7�° °� m� m to °O [Oi] pO Rn1w m� A w w J mj3 mao 00 O 0 e� �O Nn O y� �� w� mz n °O > ND m JaDj 0m3 mqmn y A j O O O m n m m y O z m m 2 a a a en m cD y H O i y z N y n 3 S O O O j m m m m N ��b�rrf11 N {{y y ^ni M m at x w w $ A n a 0 0 >8 ti 'm N 'R1 O d O O O N A O O O O O O O O m 6 R 00 �n �n no m m m nZ nz Jc� YO to z z n z m y O O O A A O w O A i T W S O J 3 O N r r roar roar nrr ear rear rrnr m n� n �n� y -. mnW cc cn�wc'w O° os on os H v A y O y a y y AW < < D <u� z x� z p�yf p yx,vy 9 y� e m pm 'tl5 m w F A ()ow m_F 0 F c°3yd nwA A0 Qu �_ O� Yp� r a ;� GZ ;� �a �G AN ;< 'il.?! rF w eo 0�3 wt� ryw NOtiNw yz N oo �m yH 9yw R O po. ��n mpo Zo Zoe ;^ l W `�' -�w r' a w' O�' wyy Nn DG A NA mA i W w u O r'D F`tl o O ;a c �o yo a 0 Ow �� Mn rMni �� n one C C C no �d ye 0o WO ir O O O O N N J J J J J J J J J n J q T U' lOA P lOn w N w ao`. ton vo, tin u u H u � H r O W P N J O U O O O O O O O O O an 6 yob a o 'an W m m W W 2n y 33 mr y > 9 O nz nz nz .0 yc m i uyC n ••• y ib p. X >o y X o kKKaa r r r r y � D m m C CYy O A A F F A Fz �z Ctl Z' l77 y O n � r b J b t0 b J A J W W W W O O O O O O O O 0 Nn N> bn on on vn �n yWn ��rrrr r r r r b v 3n a� n yno yo C C y rn C y C y •.• n < k w w\ `o m m oe m w w O N Oo �On iO O O Ca Oa J J m m m W m W O 00 O pX W W 3m 3 m 3 9 y y O O O OX p O O W m m cAn S O TOOX X X O X A Ca c 1n N O W b W b a P a Q O P P O A O b A O O J A J U O A pa �p �p A N W P Ce 0 0 �g ° v y ° ° N b 9 o � p y�' m� Pz z ,�tc7r yn mAyn r troro'K p �tCn tpci �b no moo z p m m o zq o y y z i9J D w O O J J J O N N N N N N O W O � W Oi Oa W J J lA U r O U O O C O O O O O O O W N O y7�y. yy y yy�a �ro rt �p qqM SM n O 7� Dn An tin m c m,�y E*7p p a N � on z a Y anW awa amz am Wm nA- oNm �Np Cm' mcy m4' mSro' m� tpi�ra- m �m m=w Z y XN CN w ti y Cm yw Mm a 3or �p Wa �Oo ?Po on on zo o� � a� o� ? c� m y _ 3eb D 3 A b O A o tJ Si N �n t3 O O O ro ro N b 4° b oe r r % N m D o D w O O O a A 203 b b p N sva S n OCD] Oy y O y y w p p ~ m 4Z Z m m A P O rt c J A O I.s O N A N N Ge N N N W O N O VNi VJi � tJn w � O Ge N q N J O � O O O O O O O O VJi O y J � a 0 0 0 0 c e 0 0 0 c > n " �> a m y$ G C n O y 9 m z o O O O O O p ro b Om coin K AO O� Od 4 0 0 7 Vzi (zii d N N 0 °z n m A A O O W p Yi N m 10 0 y 0 3 � o m x' W � b � ro r 0 N N tNil W W W W W O VOi tbi� N N AO O '01rn xC ro r0 rOn W p n n O r O P N N N N O O O O O A T m A a H W O W V W P m O O to A rn N C CC b CC aw 9m ^1 AN -im poJ r W on W C W W P m Z W zAW Opp W W mm m `�l9 z. m� =n>- -� i3 Own. N � A t3 A� 9R O� O' m a m4` > tAn 'p m v� rn 3 a Pi o r'w a. °` �p �JpX p Ooo y> ti9 `°''am > SC% LNG a a OG > oo (b > n IA ib w m -n O w o ctm >-2 p ayo m z Nr a m y W A � W J J J V P O (V'n N N N A A A U N N J tUi� O C lI� iA C� O O J J O n b ly b n 3 c ry � s o �0 070 zg �o Qg `°o zg `tlo a� A w w N N c o 0 0 0 0 0 T O VUi O A O � m N trJ � r• v�i tZ�tl � � fn t�r O N N O O O O O N O tbA O O P p Om. m;a Sn 9 WA �[Zif nd O zX ccyy r0 O On x o C c n° �� zo >9> 904 z�0 0 o O n0 �D m D n� z .9 n -i -i k z° o ° M U N W T N U A �� O •n O b b J J O O O� b •G W O� n N � N O W T w VOi > J A A •3 N N O O w O� op A m m m om � �m m rnI 0 A A m m 3 �m7o wr A7� vd Sf A 9m � aN n ? �i7 v w r oo J D m o oe w ;v m m per- m Cp q_ O9' AD9° e 4� C1 w r Cf'P oa0 -..t� yDy rm DU £R RI m y F w A y r r A W N Z A 9 3 y x O a D d _T w N O N O VAi b A b w O Da J O W tbn •O a A A VAi O o N A J O N J b A O fn J tJ IJ � Oa O A •p O b b C O s Oa O T A w Oa b b O R O O O O •O O v_H m y ma v 0 O H x a l� U H n O J jj yy O )S iC c H D 5 O p CZ r0- y0 O � �M M y y y P P T P T T T U U U U U Y � O O O O O W W W W W W yJj q r W W W U A A O O A A U O O O O O O O O O O O O O O O p 6 R pep �O p c 5yc O � xz cc> o 'co x x CM O M C 'tl n-N9 r y o D yr may- i M M r r -7 F� tin �y ��, 9 'n •ro �m p ("1 O � �'Z '7.1Z W 00 m Op C7p H H C (] ly) no y m• rr+ O ,ro ro fb O O 0 0 o A z < < < zg 0 0 �n u u e v o 0o u r a e T N p 0 c999 9 <9 y9 9 9 o oNm <NY <Na as m fee w w m NnDovrov m -0 a a t3 �w nxwN= aus nMymr M�r,- u'Mror 1w> O 1 6 mo` ro H 9H H M U A A yH �H u roH Dao AN C C7 U -n C O O �1 Nm Cw w D5 ti� O O r F Aw w .wo ywC70 �00 M a oo fan ?° lx*1 % O y J J J '*1 c m P gn oon m m Q N r U P r A b T W �O N u N W P P IJ 00 W �1 b U T 4 U NO - OQ N N in �D �pO J bO O n n 0 0 0 0 ■ [ \ � �k | 3 3 _ ( | 9 a z � O m v A p e i � ! § # g g P §C) @)§ ¥ ] j `=; ewv J )/\ ()(Won § j} \ \ ) ■ ! > ° - { � § , 2 ! f 2> rw>n! R 2, , 2 4« ) ) 9( ; § f/ ( ( f *k §� §r0 ! ) )7) } 2 2\) ! § § E ! ! f � ` ) § « ) ! §10 , � ® mg! e! ) 2®;©; E !`; !®:®, , OR ( 7oono `0U 510 `n§ ;: //: ), / � \ § ; 7 7 ([ §( §/| / E (\\( §( §( \\ ! E o 0 g ) , / | § ( 7 f 2 §( ƒ [:/ } > `( \ ° § ` ; ; § 7F 9 ( k99 (k §\§,2M | \ \ \\\ _ § § ) \ i 2 7 I )) f 7/ » n ! ! § § f \ \ � ( ° a C< rya �%+ �yn my%J mNxz ron y Zr m omm "mrm' rm `° ma mm° m°�O n[7 m0O > Gj < n D Z Or ° a p� U U r .P V�i to lA V�i fOA ° r ° a O� O 7� 0 01 Ot' y z r fe A rn oe u w oo u J C � N Y Q o g V "-'r Nn v 0 0 -1 p9 x9 A3e 9 A9 a MP V? O v+v N� tim wm m �oA v SD m pn m z m m 3 mx zm m m m m m � 3A A C F N A 00 U J T W P O C In J O� A O T O O Oa A A A OJ O m a O O O MEMORIAL MEDICAL CENTER TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND'ELECTRONIC BANK PAYMENTS $ 638,415132 TOTAL TRANSFERS BETWEEN FUNDS 178,256:55 TOTAL NURSING HOME UP-L EXPENSES $_ 676,886.61 TOTAL INTER -GOVERNMENT TRANSFERS` MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---September 08 2021 PAYABLES AND PAYROLL 9/3/2021 Weekly Payables 917/2021 McKesson-340B Prescription Expense 9/712021 Amerisource Bergen-340B Prescription Expense 482,034.12 10,233,51 1,973.09 Prosperity Electronic Bank Payments 9/3/2021 Credit Card & Lease Fees 9/16/2021 TCDRS August Retirement 8/23-9/3/21 Pay Plus -Patient Claims Processing Fee 9/3/2021 ExpertPay- child support 9/2/2021 Authnet Gateway Billing-3rd Party Payor Fee TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS 571 142,57164 622.64 27 34539 . 21 10$ 638,41632 TRANSFER BETWEEN FUNDS TO NURSING HOMES 9/3/2021 MMC Operating to Golden Creek -correction of NH insurance payment deposited into MMC Operating in error 34,932.72 9/3/2021 MMC Operating to Gulf Pointe Plaza -correction of NH Insurance payment deposited into MMC Operating 6,120,03 9/3/2021 MMC Operating to Tuscany Village -correction of NH insurance payment deposited into MMC Operating in error and MMC Medicare recoup taken from Tuscany Village 30,602,69 9/3/2021 MMC Operating to Bethany -correction of NH insurance payment deposited into MMC Operating in error and MMC Medicare recoup taken from Bethany 32,605.08 MEDICARE ADVANCE PAYMENT RECOUP W7/2021 Broadmoor to Golden Creek -correction of Broadmoor medical recoup taken from Golden Creek 9/7/2021 Broadmoor to Tuscany Village -correction of Broadmoor medical recoup 1,847.45 taken from Tuscany Village 9/7/2021 Crescent to Tuscany Village -correction of Crecent medicare recoup taken 906.27 from Tuscany Village 917/2021 Crescent to Golden Creek -correction of Crescent medicare recoup taken 906,27 from Golden Creek 9/7/2021 Fort Bend to Tuscany Village -correction of Fort Bend medicare recoup 1,847.45 taken from Tuscany Village 9r7/2021 Fort Bend to Golden Creek -correction of Fort Bend medicare recoup taken 906.27 from Golden Creek 9/712021 Solara to Golden Creek -correction of Solera medicare recoup taken from 1,847.45 Golden Creek 917/2021 Solera to Tuscany Village -correction of Solara medicare recoup taken from 1,647.45 Tuscany Village 9/7/2021 Golden Creek to Tuscany Village -correction of Golden Creek medicare 906.27 recoup taken from Tuscany Village 9/7/2021 Tuscany to Golden Creek -correction of Tuscany medicare recoup taken 907.71 from Golden Creek 9/7/2021 Bethany to Golden Creek -correction of check made out to Golden Creek 1,847.45 deposited Into Bethany in error TOTAL TRANSFERS BETWEEN FUNDS 1,225.99 $ 119,2516.66, NURSING HOME UPL EXPENSES 9/7/2021 Nursing Home UPL-Cantex Transfer 9/7/2021 Nursing Home UPL-Nexion Transfer 175,741,09 9/7/2021 Nursing Home UPL-HMG Transfer 118,244.15 9/7/2021 Nursing Home UPL-Tuscany Transfer 39,243.64 9/7/2021 Nursing Home UPL-HSL Transfer 62,589.31 228,473.09 QIPP/RECOUP CHECKS TO MMC 9/7/2021 Golden Creek 9[712021 Gulf Pointe 32,541.90 TOTAL NURSING HOME UBLEXPENSES 19,252.43 $ 676,085A1 TOTAL INTER•GOVERNMENT TRANSFERS ( 9/2/2021 tmp_cw5report2003005377146652095.html 09/02/2021 MEMORIAL MEDICAL CENTER 12:55 AP Open Invoice List 0 Vendor# Due Dates Through: 09/22/2021 ap_open_involce,template Vendor Name Class 10958 ALLYSON SWOPE ,r '' Pay Code Invoice# Comment Tram Dt Inv Dt Due Dt Check Dt Pay 0901 ^c 1 09/01 /2021 09/01 /2021 09101 /2021 Gross Discount No -Pay Net CONTRACT EMPLOYEE 1,613.25 0.00 0.00 1.613.25 Vendor Totals: Number Name 10958 ALLYSON SWOPE Gross Discount .Net 1 Vendor# ,613.25 Vendor Name 0.00 0.00 0.00 1,613.25 Class A1360 AMERISOURCEBERGEN DRUG C0 W f Pay Code Invoice# Corment Tran Dt Inv Ot Due DI Check Dt Pay 803087366 ✓O$131 /2021 08/15/2021 08121 /2021 Gross Discount No•Pay Net � LATEFEE 3065257578rA8/31/2021 245.02 0.00 0.00 245.02 08/22/2021 08/28/2021 // INVNETORY 3065749357198/31 35,370.88 0,00 0.00 35,370.88 /2021 OB/25/2021 08131 /2021 �� INVENTORY 9,370.8E 0.00 0.00 9,370.68 w% 3065754112oF76/31/2021 08/26/2021 09101/202, INVENTORY 429.50 0.00 0.00 429.50 3065984337 08/31/2021 08/30/2021 0910S/2021 INVENTORY 21.08 0.00 0.00 21.06 Vendor Totals: Number Name A1360 Gross AMERISOURCEBEF 45,437.34 0r# Discount Pay Net Vander Name A040tl400 Class 0.00 0.00 0.0 45A37.34 AUREUS RADIOLOGY LLC ./ Pay Code Invoice# Comment Tran Ot Inv DI Due Dt Check Dt Pay 22974 5 08/31/2021 08/23/2021 V)A, q0 Gross Discount No -Pay Net LAB STAFFING 2.680.00 0.00 0.00 2,680.00 2297793 ✓ 08/31 /2021 08/23/2021 09/22/2021 LAB STAFFING 3,018.75 0.00 0.00 3.018,75 L- 2298032 �/08/31/2021 08/23/2021 09/22/2021 LAB STAFFING 469.00 0.00 0.00 469.00 ✓' Vendor Totals: Number Name A0400 AUREUS RADIOLOt Gross Vendor# 6, 167.75 Discount Net Vendor Name Class 12324 0.00 0.00 0.00 6,187.75 BLUE CROSS BLUE SHIELD +�� Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay 081821 08/31 /2021 08/18/2021 09/01/2021 Gross Discount No -Pay Net INSURANCE 214,362.49 0.00 0.00 214,382,49" Vendor Totals: Number Name 12324 BLUE CROSS BLUE Gross Vendor# 214,382.49 Discount No -Pay Not Ventlpr Name Class C1325 0,00 0.00 214,382.49 CARDINAL HEALTH 414, INC, W Pay Code r,.I Invoice# Cc ant Tran Dt Inv Dt Due Ot Check Dt Pay 8002597156i88/31/2021 07/24/202, 08/18/2021 Gross Discount No -Pay Net SUPPLIES 137.90 0100 0.00 137.90 Vendor Totals: Number Name of 01325 Gross CARDINALHEALTH Discount No -Pay Net 137,90 Vendor# Vendor Name 0.00 0.00 137.90 13992 'Class CARIANTHEALTH PARTNERS ✓` Pay Code Invoice# Comment Tran Of Inv DI Due Dt Check Dt Pay 127513 � 08/31/2021 08/26/2021 08/25/2021 Gross Discount No -Pay Net MEP SURG STAFFING 1,608,75 0.00 0.00 1,608.75 Vendor Totals: Number Name v' 13992 Gross CARIANT HEALTH Discount Net 7,608,75 Vendor# Vendor Name 0.00 0.00 0.00 1,608.75 13028 Class CAVALLO ENERGY TEXAS LLC J Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay file://!C:/Users/mmckissack/cpsi/memmed.cpsineLcamlu68150/data 5/Imp_cw5report20g3D05377146652095.himl Gross Discount No -Pay Net 1/11 tmp_cw5report2003005377146652095.html 2123000157-08131/2021 o8/17/2021 09/20/2021 16.12 0,00 0.00 16.12 L'5,3b ENERGY BILL 167653 y/ 2123000157-08/31/2021 08/17/2021 09/20/2021 15439 674.55 0.00 0.00 674.55 ✓ ENRGY 61LL 167647 2123000157*0813112021 08/17/2021 09/20/2021 15 V'1 •I 1,669.35 0.00 o.00 1,669.35 ENERGY BILL 167636 2123200157L08/31/2021 009/2021 09/20/2021 8.29 0.00 0.00 300 ENERGY BILL 167662 8.29 Vendor Totals: Number Name Gross Discount No -Pay Net 13028 CAVALLO ENERGY 2.368.31 0.00 0.00 2,366.31 Vendor# Vendor Name Class Pay Code C1730 CITY OF PORT LAVACA 1/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 081221A 06/31/2021 08/12/2021 09/0712021 4,407.71 0.00 0.00 4,407.71 WATER ACCT 12132000 081221 08/31/2021 08/12/2021 09/07/2021 69.93 0.00 0.00 69.93 WATER ACCT 12126002 12131500 08/31/2021 08/12/2021 09/07/2021 25.68 0,00 0.00 25.68 WATER 12131600 Vendor Totals: Number Name Gross Discount No -Pay Net C1730 CITY OF PORT LAV, 4,503.32 0.00 0.00 4,503.32 Ventlor# Vendor Name Class Pay Cade 13336 COCA COLA SOUTHWEST BEVER, Invoicek Comment Tran Dt Inv Dt Due DI Check Ot Pay Gross Discount No -Pay Net 7992204952.69/01/2021 09/01/2021 09/01/2021 474.97 0.00 0.00 474.97 L.,,'' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13336 COCA COLA SOUTI 474.97 0.00 0.00 474.97 Vendor# Vendor Name %` Class Pay Code 11618 CONTROL SOLUTIONS ✓ Invoice# Corpment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net CS215254 y08/31/2021 08l04/2021 09/03/2021 64.00 0.00 0.00 SUPPLIES 64.00 LZ Vendor Totals: Number Name Grass Discount No -Pay Net 11616 CONTROL SOLUTIC 64.00 0.00 0.00 64.00 Vendor# Vendor Name Class Pay Code 12884 CUSTOMIZED COMMUNICATION It d/ Invoice# Comment Tran Or Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 135486 �/ Oa/31/2021 08/05/2021 00/04/2021 895.62 0.00 0.00 BOOKS 895.62 Vendor Totals: Number Name Gross Discount No -Pay Net 12884 CUSTOMIZED COM 895.62 0.00 0.00 895.62 Vendor# Vendor Name Class Pay Code 12988 DIESEL FUEL MAINTENANCE, INC/ Invoice# /Comment Tran Dt Inv Dt Due D( Check DI Pay Gross Discount No -Pay Net ,! 10009 08/18/2021 08/18/2021 09/17/2021 390.00 0.00 0.00 390.00 CLEAN DIESEL FUEL ✓- Vendor Totals; Number Name Gross Discount No -Pay Net 12988 DIESEL FUEL MAIN 390,00 0.00 0.00 390.00 Vendor# Vendor Name Class Pay Code 14706 EMDTEC ✓� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9693 VH8/31/2021 08/04/2021 08/19/2021 796.00 0.00 0.00 796.00 CUSTOM CRYSTAI REPORT L+" Vendor Totals: Number Name Gross Discount No -Pay Net 14706 EMDTEC 796.00 0.00 0.00 796.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIO , Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 40524 ✓j08/31/2021 08/31/2021 08/31/2021 40,062.50 0.00 0.00 40,062.50 PRO FEES 14yl 1'`r filed//C:tUsers/mmckissack/cpsi/memmed.cpsinet.com/u88l5o/data_sitmp_cw5repart2OD3DO5377146652095,html 2111 / 9/2/202e Imp_cw5report2B03005377146652095.htm1 Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAF 40,Oa2.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class Pay Code C2510 EVIDENT M ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check pt Pay Gross Discount No -Pay Net T210806137108/3112021 OB/06/2021 08/31/2021 10,045.35 0.00 0.00 10,045.35 BUSINESS SERVICES w/ Vendor Totals: Number Name Gross Discount No -Pay Not C2510 EVIDENT 10.045.35 0.00 0.00 10,045.35 Vendor# Vendor Name Class Pay Code 1$496 FERGUSON ENTERPRISE LLCe6'1 Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Grass Discount No -Pay Net 8904858,,/ 08/31/2021 01/14/2021 01/14/2021 47.49 0.00 0.00 47.49 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13496 FERGUSON ENTER 47.49 0.00 0.00 47.49 Vendor# Vendor Name Class , Pay Cade 12944 FRASIER HEALTHCARE CONSULT ' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 19113 ;'' 08/31/2021 08/30/2021 08/30/2021 4,503.30 0.00 0.00 4,503.30 COLLECTIONS Vendor Totals: Number Name Gross Discount No -Pay Net 12944 FRASIER HEALTHC 4,503.30 0.00 0.00 4,503.30 Vendor# Vendor Name / Class Pay Code 11183 FRONTIER y/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 081921 09/01/2021 08/19/2021 09/13/2021 65A0 0.00 0.00 65.40 ✓ PHONES Vendor Totals: Number Name Gross Discount No -Pay Net Vendor# 11183 FRONTIER 65.40 0.00 0,00 65.40 Vendor Name Class Pay Code 10653 GLOBAL EQUIPMENT CO. INC. ✓// Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 117339941 68/3112021 03/04/2021 04/03/2021 431.90 0.00 0.00 CEILING DUCT KIT 431.90 Vendor Totals: Number Name Gross Discount No -Pay Net 10653 GLOBAL EQUIPME1, 431,90 0.00 0.00 431.90 Vendor# Vendor Name Class Pay Code W1300 GRAINGER y+ M Invoice# Comment Tran Dl Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9010095298Ld/31/2021 08/03/2021 08/28/2021 109.20 0.00 SUPPLIES 0.00 109.20 V^' 9011976827 0 /31/2021 08/04/2021 08/29/2021 99.42 0.00 0.00 99A2 SUPPLEIS Vendor Totals: Number Name Gross Discount No -Pay Net W1300 GRAINGER. 208.62 0.00 0-00 208,62 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY �M' Invoice# Comment Tran Dt Inv Di Due Dt Check Dt Pay Gross Discount No -Pay Net 2087361 v 08/24/2021 08/17/2021 09/16/2021 988.19 0.00 0.00 988.19 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPE 98B.19 0.00 0.00 988.19 Vendor# Vendor Name Class Pay Code 10829 HEALTHSTREAM, INC. V,/ Invoice# C mment Tran Dt Inv Dt Due Dt j08/31/2021 Check Dt Pay Gross Discount No -Pay Net 0262125 08/11/2021 09/10/2021 4.042.95 0.00 0.00 4.042.95 INTRANET Vendor Totals: Number Name Gross Discount No -Pay Net 10829 HEALTHSTREAM, It 4,042.95 0.00 0.00 4,042.95 Vendor# Vendor Name Class Pay Cade Ole:/1/C:/Users/mmekissack/cpsi/memmed.cpsinet.cem/u88150/data_5/tmp_cw5report2003005377146652095.html 3/11 r` 912/202�1 tmp_cw5report2003005377146652095.html 12932 INTRADO „i Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net INV0023669iM31/2021 07/31/2021 08/31/2021 665.59 0.00 0.00 665.59 qt HOUSE CALLS Vendor Totals: Number Name Gross Discount No -Pay Net 12932 INTRADO 665,59 0.00 0.00 865.59 Vendor# 13920 Vendor Name Class Pay Code KAYLIN EASLEY / Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 062321 08/31/2021 06/23/2021 06/23/2021 9.63 0.00 0.00 9.63 ✓� `07/07/2021 070721 08131/2021 07/07/2021 9.52 0.00 0.00 9.52 TRAVEL LAB LAB DRAWS 0 I� - i' -11 4-' 080421 08/31/2021 08/04/2021 08/04/2021 TRAVEL LAB DRAWS $ IN ' G I III-,) 10.75 0.00 0.00 10,75 Vendor Totals: Number Name Gross Discount No -Pay Net 13920 KAYLIN EASLEY 29.90 0.00 0.00 29.90 Vendor# Vendor Name Class Pay Code 12588 MEDICAL TECHNOLOGY ASSOCIA / Invoice# Commment Tran Dt Inv Dt Due Dt txheck Ot Pay Gross Discount No -Pay Net INV185D73 v7/31/2021 04/30/2021 05/26/2021 500.00 0.00 0.00 SERVICE CALL 500.00 Vendor Totals: Number Name Gross Discount No -Pay Net 12588 MEDICAL TECHNOt 500.00 0.00 0.00 500.00 Vendor# Vendor Name Class Pay Code M2827 MEDIVATORS M Invoice# Comment Tran Ot Inv Dt Due O1 Check Dt 91027728 /08/31/2021 08/25/2021 Pay Gross Discount No -Pay Net � 08/25/2021 400.00 0.00 0.00 400.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2827 MEDIVATORS 400.00 0.00 0.00 400.00 Vendor# Vendor Name ,Class Pay Code M2470 MEDLINE INDUSTRIES INC f" M Invoice# Compent Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1963225318 06/24/2021 08/24/2021 09/18/2021 79.42 0.00 0.00 79,42 �J- SUPPLIES 1960608248 9d/25/2021 08/25/2021 09/19/2021 SUPPLIES 64.83 0.00 0.00 64.83 1958481997 061/2021 07/13/2021 08/07/2021 30.00 0.00 0.00 30.00 REFRIGERATED FEE 1958481996 t1B/31/2021 07/13/2021 oato7/2021 30.00 0.00 0.00 30,00 REFRIGERATED FEE. 1958481995 W/31/2021 07/13/2021 08f07/2021 30.00 0,00 0.00 30.00 «� REFRIGERATED FEE !!. 170257158%08/31/2021 07/24/2021 08/18/2021 362.52 0.00 0100 362.52 //. INTEREST 1963613426,08/31/2021 08/12/2021 09/06/2021 2,831.33 0.00 0.00 2,831.33 SUPPLIES `r` 1963613427JP&1/2021 08/13/2021 09/07/2021 4,718.88 0.00 SUPPLIES 0.00 4.718.88 � 170259B196 09/31/2021 08/21/2021 09/15/2021 16.27 0.00 0.00 16,27 INTEREST 196361342 8/31/2021 08/24/2021 09/18/2021 51.13 0.00 0.00 51,13 v, SUPPLIES 1963613428 PS 31/2021 08124/2021 09/18/2021 1,087.09 0.00 0.00 1,087.09 ../� i SUPPLIES 1963813532,Q1/31/2021 08/25/2021 09/19/2021 54.28 0.00 0.00 54.28 � SUPPLIES - J 1963875279 V/31/2021 08/251P021 09/19/2021 SUPPLEIS A8;8i5-59-- 0.00 0.00 i8,875,53._-�'" j .` 1963813527 PV/31/2021 08/25/2021 09/19/2021 134.90 0.00 0.00 134.90. / filed/fCaUserslmmckissack/cpsi/memmed.cpsinet-comlu88150/data 5/tmp_cw5report2003005377146652095.h1m1 1411111 / 8/2/202+1 tmp_cw5report2003005377146652095.html SUPPLIES ��% 1963613537 Q8'/3112021 08/25/2021 09/19/2021 17.77 0.00 0.00 17.77 SUPPLIES y,f 1963813530 901/2021 08/25/2021 09/19/2021 92.52 0.00 0.00 92.52 SUPPLIES 1963813529 0861/2021 08/25/2021 09/19/2021 37,61 0100 0,00 3T61 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTR 28,514.08 0.00 0.00 28,514.08 Vendor# Vendor Name Class Pa Code y 13492 MEDVANTAGE a/ Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net - 34377 08/31/2021 03/23/2021 03123/202, 520.30 0.00 0.00 520.30 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13492 MEDVANTAGE 520.30 0.00 0.00 520.30 Vendor# Vendor Name Class Pay Code G0333 MICHAELGAINES y.r W Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net 083121 08/31/2021 08/31/2021 08/31/2021 wt wovw p REIMBURSE WORKSHOP/TRAVEL {11Zt'-117-"I-t-�J 2407.04 �p,pp _ L913 0.00 2,407.84 • Vendor Totals: Number Name Gross Discount No -Pay Net 00333 MICHAELGAINES 2,407.84 0.00 0,00 2,407.84 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP W Invoice# Comment Tran Dt Inv DI Due Dt „,/� Check Dt Pay Gross Discount No -Pay Net 082621 O8/3112021 08/26/2021 08/26/2021 103.92 0.00 0.00 103.92 PAYROLL DED Vendor Totals: Numbor Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GI V�� 103,92 0.00 0.00 103.92 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC j Invoice# Comment Tran DI Inv Of Due Dt Check DI Pay Gross Discount No -Pay Net 0007648�/08/25/2021 07/13/2021 09/16/2021 -0.37 0.00 0.00 CREDIT •0.37 7232490r/ 08/31/2021 08/18/2021 08/28/2021 246.14 0.00 0.00 246.14 INVENTORY 7229458 ✓08/31/2021 08/18/2021 08/28/2021 548.87 0.00 0.00 $48.87 tyi" INVENTORY 7229467 08/31/2021 08/18/2021 08/28/2021 9.89 0.00 0.00 INVENTORY 9.89 L_"" / 7232567 ✓ 08/31/2021 08/18/2021 08/28/2021 21,13 0.00 0.00 21.13 INVENTORY 7232568 f08/31/2021 08118/2021 08/28/2021 225.83 0.00 INVENTORY 0.00 225.83 / 7232491 ✓ 08/31/2021 08/18/2021 08/28/2021 389.84 0.00 0.00 389.64 INVENTORY 7232492 L/108/31/2021 08/18/2021 08/28/2021 442.40 0.00 0.00 INVENTORY 442.40 7237582 f 08/31/2021 08/19/2021 08/29/2021 212.53 0.00 0.00 212.53 INVENTORY 7237581/08131/2021 0811W2021 08/29/2021 180.81 0100 0.00 180.81 INVENTORY CM71045,/08131/2021 08/20/2021 08/30/2021 -1388.49 0.00 0.00 -1,388.49 INVENTORY CM71044 �12021 08/20/2021 08/30/2021 .r0/3/ -228.79 0.00 0.00 -225.79�= INVENTORY CM71046 1/1431/2021 08/20/2021 08/30/2021 -200.61 0.00 0.00 '-200.61 CREDIT ✓ 7243983 /08/3112021 08122P021 09/01/2021 477.99 0.00 0.00 477.99 INVENTORY ✓'-" f?le:IdC:JUsersfmmokissack/cpsilmemmed.cpsinst.com/u88l50/data_5/tmp_cw5report2003005377146652095,html 5/11 1 9/2/20241 tmp_cw5report2003005377146652095.html 7243981 ✓0$/3112021 08/22/2021 09/01/2021 1,193.32 0.00 0.00 1,193.32 INVENTORY 7243982 /08/31/2021 08/22/2021 09/01/2021 1,841.43 0.00 0.00 1.841.43 v✓/ INVENTORY 8845 08/31/2021 08/23/2021 09/02/2021 -4.99 0.00 0.00 -4,99 ✓� v/ CREDIT 8969 ✓ 08/31/2021 08/23/2021 09/02/2021 -5.00 0.00 0.00 -5.00 CREDIT 7248765 r/ 08/31/2021 08/23/2021 09/021PO21 54.50 0,00 0.00 54.50 INVENTORY 8659 ✓ 08/31/2021 08/23/2021 09/02/2021 -10.04 0.00 0.00 -10.04 CREDIT vj 7248762✓ 08/31/2021 08/23/2021 09/02/2021 84.98 0.00 0.00 84.98 INVENTORY 7248764 � /08131/2021 08/23/2021 09/02/2021 138.57 0.00 0.00 138.57 INVENTORY 08/31/2021 7248763 `/ 08/23/2021 09/02/2021 271.20 0.00 0.00 271.20 INVENTORY 7245417 /08/31/2021 08/23/2021 09/02/2021 81,06 0.00 0.00 81.06 INVENTORY 8846 ✓,/ 08/3112021 08/23/2021 09/02/2021 -1.47 0.00 0-00 -1.47 CREDIT 7252906 ,/08/31/2021 08/24/2021 09/03/2021 111.75 0.00 0.00 111.75 INVNTORY CM71568 08/24/2021 09/03/2021 -521.68 0.00 0.00 -521.68 v,68/31/2021 CREDIT 7252908 /% 08/31/2021 08/24/2021 09/03/2021 866.96 0.00 0.00 866.96 INVENTORY 7250471y% 08/31/2021 08/24/2021 09/03/2021 48.25 0.00 0.00 48.25 INVENTORY 7250472 08/31/2021 M24/2021 09/03/2021 907.64 0.00 0.00 907.64 INVENTORY 7250470 ✓0813112021 08/24/2021 09/03/2021 4,741.89 0.00 0.00 4,741.89 INVENTORY 7252904 �//08/31/2021 08/24/2021 09/03/2021 9.59 0.00 0.00 9.69 INVENTORY 7252905 ✓/ 08/31/2021 08/24/2021 09/03/2021 268.98 0,00 0.00 288.98 INVENTORY 7252907 /08/31/2021 08/24/2021 09/03/2021 2,451.28 0.00 0.00 2.451.28 ✓l INVENTORY 7255665,/ 08/31/2021 08/25/2021 09/04/2021 59.83 0.00 0.00 59.83 INVENTORY 7256750 ,% 08/31/2021 08/25/2021 09/04/2021 199.33 0.00 0.00 199.33 INVENTORY / 7258392 / 08/31/2021 08/25/2021 09/0412021 55.13 0.00 0.00 55.13 ✓ ' TRANSFER /, 7258394vr 08/31/2021 08/25/2021 09/04/2021 1,041.81 0.00 0.00 1.041.81 INVENTORY 7255663-,AS/31/2021 08/25/2021 09/04/2021 69.67 0.00 0.00 69.67 �-- INVENTORY 72,95657 ,f( 31/2021 08/25/2021 09/04/2021 55.70 0.00 OM 65.70 INVENTORY 9796 f 08/31/2021 08/25/2021 09/04/2021 -4.99 0.00 0.00 -4.99 CREDIT 7258393 v' 08/31/2021 08125/2021 09/04/2021 2,070.85 0.00 0.00 2,070.85 INVENTORY 7255659 A9/31/2021 08/25/2021 i/ 09/04/2021 249.28 0.00 0.00 249.28 V--� INVENTORY 7255662 08/31/2021 08/25/2021 09/04/2021 341.13 0.00 0.00 341.13V,� INVENTORY 7255664 A08/31/2021 08/25/2021 09/04/2021 211.74 0.00 0.00 211.74 file:tl/C:/Users/mmckissack/cpsi/memmed.cpsinet.mm/u88150[data_5/tmp_cw5report20D3CO5377146662095.html 6111 t 912/202) tmp_cw5report2003005377146652095.html INVENTORY 725B752 68/31/2021 08/25/2021 09/04/2021 48A4 0.00 0.00 48.44 INVENTORY 9595 J 08/31/2021 08/25/2021 09/04/2021 -10.69 0,00 0.00 -10,69 CREDIT 7255658 ,i 08/31/2021 08/25/2021 09/04/2021 320.90 0,00 0.00 320.90 INVENTORY 7256751 � USY31/2021 08/25/2021 09/04/2021 75.17 0.00 0.00 75.17 INVENTORY 7256661 r; 68/31/2021 08/25/2021 09/04/2021 92.06 0.00 0.00 92.06 ✓r- INVENTORY 7260523 ,/08/31/2021 08/26/2021 09/05/2021 881.54 0.00 0.00 881.54 INVENTORY 7260519 ✓/ 08/31/2021 08/26/2021 09/05/2021 124.64 0.00 0.00 124.64 INVENTORY 7263650,E 08/31/2021 08/26/2021 09/05/2021 1,460,02 0.00 0.00 1,460.02 INVENTORY 7260520 ✓68/31/2021 08/26/2021 09/05/2021 2,038.45 0.00 0.00 2,038.45 ..%" INVENTORY 7261453 ✓O813112021 08/26/2021 09/05/2021 206.43 0.00 0.00 200.43 +% INVENTORY 7260510 ,�08/31/2021 08/26/P021 09/05/2021 59.19 0.00 0.00 59.19 INVENTORY 7260521 ,/08/31/2021 08/26/2021 09/05/2021 4,232.26 0.00 0.00 4,232.26 INVENTORY 7261455 y -68/31/2021 08/26/2091 09/05/2021 4,429.63 0.00 0.00 4,429.63 -, INVENTORY 7261456 �/08/31/2021 08/26/2021 09/05/2021 587,69 0.00 0.00 587.69 INVENTORY �- e" 7263651 i �08131/2021 08/26/2021 09/05/2021 1,230.31 0.00 0.00 1,230.31 INVENTORY 7260517 � 16WSI/2021 08/26/2021 09/05/2021 672.02 0.00 0.00 672.02 _ INVENTORY " 7260516,//108/31/2021 08/26/2021 09/05/2021 15.72 0.00 0.00 15.72 INVENTORY 7261454 /08/31/2021 08/26/2021 09/05/2021 1,987.08 0.00 0.00 1,987.08 'f INVENTORY 7203649 ,1108/31/2021 08/26/2021 09/05/2021 19.42 0.00 0.00 19.42 INVENTORY 7268850 �/08/31/2021 08/29/2021 09/08/2021 237.78 0.00 0.00 237,78 - INVENTORY 7268854-08/3112021 O8/29/2021 09/08/2021 264.75 0,00 0.00 264,75 u i" INVENTORY 7268852 /"08/31/2021 08/29/2021 09/08/2021 1,100.14 0.00 0.00 1,100,14 INVENTORY 7268851 //0W1f2Q21 08/29/2021 09/OS/2021 847.04 0.00 0.00 847.04 INVENTORY 7274365 ,f 08/31 /2021 08/30/2021 09/09/2021 47.58 0.00 0.00 47.58 INVENTORY " // 7274362 /08/3112C21 08/30/2021 09/09/2021 34.68 0.00 0.00 34.68 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSOI 38,840.12 0.00 0.00 38,840.12 Vendor# Vendor Name Class Pay Code 10868 NOVA BIOMEDICAL r ' Invoice# C091ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 90873663 V6813112021 06/23/2021 08/31/2021 66.00 0.00 0.00 65.00 SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net 10868 NOVA BIOMEDICAL 65.00 0.00 0.00 66.00 Vendor# Vendor Name Class Pay Code file:/J/C:/Users/mmckissacWcpsi/memmeci.tpsinel.mm/uB8l5O/data_5Rmp_cw5report2OU3OO6377146652095.html 7111 i 9/2/2021 imp_cw5report2003005377146652095,htmI 01500 OLYMPUS AMERICA INC '` M Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net 31358713 ✓08/31/2021 08/07/2021 09/01/2021 1,137.51 0.00 0.00 1,137,51 SERVICE CONTRACT �t 31359750 �08/31/2021 08/09/2021 09/03/2021 116.96 0.00 0.00 116.96 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERIC, 1,254.47 0.00 OAO 1,254.47 Vendor# Vendor Name Class Pay Code 13112 OMNICELL, INC. Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay rose Discount No -Pay _ Net 91231950 08/ 4/2021 08/06/2021 09/05/2021 Ry 6,l 1 O�3 YY22 0.00 0.00 qh- jY0 41 SUPPLIES Vendor Totals; Number Name[[[ Gross Discount No -Pay Net 13112 OMNICELL, INC. 10$ L+(j,6�'1� 0.00 0.00 103,41yy,(- 5 Vendor# Vendor Name Class / Pay Code / 11069 PABLO GARZA V, Invoice# Comment Tran Ot Inv Dt Due Ot Check Ot Pay Gross Discount No -Pay Net 083121 08/31/2021 08/31/2021 08/31/2021 2,667.50 0.00 0.00 2,56Z50 ✓'� CONTRACT EMPLOYEE ($I 11-Thd21) Vendor Totals: Number Name Gross Discount No -Pay Net 11069 PABLO GARZA 2,567.50 0,00 0.00 2,567.50 Vendor# Vendor Name Class Pay Code 13988 PAYCHEX, ADVANCE FBO �,/ Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net 006322 08/31/2021 08/2512021 08/25/2021 690.00 0.00 0,00 690.00 MED SURG STAFFING 006327 08/31/2021 08/25/2021 08/25/2021 2,250.00 0.00 0.00 2,250.00 MED SURG STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net 13988 PAYCHEX, ADVANC 2,940.00 0.00 0100 2,940.00 Vendor# Vendor Name _ Class Pay Code P2100 PORT LAVACA WAVE W Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Grass Discount No -Pay Net 073121 08/31/2021 07/31/2021 08/25/2021 356.00 0.00 0.00 356.00 NEWS AO Vendor Totals: Number Name Gross Discount No -Pay Net P2100 PORT LAVACA WA\ 356.00 0.00 0.00 356.00 Vendor# Vendor Name Class Pay Code P1725 PREMIER SLEEP DISORDERS CEP M / r' Invoice# Comment, Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 108 09/F/2021 09/02/2021 09/17/2021 3,350.00 0.00 0.00 3,350,00 SLEEP STUDY Vendor Totals: Number Name Gross Discount No -Pay Net P1725 PREMIER SLEEP DI 31350.00 0.00 0,00 3,350.00 Vendor# Vendor Name Class Pay Code 13460 RELIANT, DEPT 0954 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1110340922 08/31/2021 08/19/2021 09/20/2021 26,540,63 0.00 0.00 26,540.63-:` ELECTRICITY Vendor Totals: Number Name Gross Discount No -Pay Net 13460 RELIANT, DEPT 095 26,540.63 0.00 0.00 26,540.63 Ventlor# Vendor Name - Class Pay Code 10645 REVISTA de VICTORIA .% Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 07202121�%08/3V2021 07/30/2021 07/30/2021 262.50 0.00 0.00 262,50 4j AD Vendor Totals: Number Name Gross Discount No -Pay Net 10645 REVISTA de VICTOI 262.50 0.00 0.00 262.50 Vendor# Vendor Name Class Pay Code 13940 RN NETWORK J� 81e:ll/CUUsers/mmckissack/cpsi/memmed,cpsinet,com/u861501data-511mp_cw5report2003005377146652095.htm1 8/N t 9/2/2021 Imp_cw5report2003005377146652095.html Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 397451 SRI ✓08/24/2021 08/23/2021 09/22/9,021 21831.00 0.00 0.00 2,831.00 w' ICU STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net 13940 RN NETWORK 2,831.00 0100 0.00 2.831.00 Vendor# Vendor Name Class Pay Code S0900 SAM'S CLUB DIR ECTI% w Invoice# Comment Tram Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 004771 08/31/2021 07/26/2021 09/08/2021 168.86 0.00 0.00 168.56 V.r' SUPPLIES 007960 08/31/2021 07/28/2021 09/08/2021 96.84 0.00 0.00 96.84 v% SUPPLIES 005106 08/31/2021 07/28/2021 091OW2021 48.92 0.00 0.00 48.92 .i SUPPLIES 008419 08/31/2021 08/16/2021 09/08/2021 150.60 0.00 0.00 150.60 SUPPLIES L210820 08/31/2021 08/19/2021 09/08/2021 11,74 0.00 0.00 11.74 INTEREST FEE Vendor Totals: Number Name Gross Discount No -Pay Net 80800 SAM'S CLUB DIREC 476.66 0,00 0.00 476.66 Vendor# Vendor Name Class Pay Code C1010 SPARKLIGHT f' w Invoice# Comment Tram Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 081621 08/31/2021 08/16/2021 08/16/2021 1,685.67 0.00 0.00 1,585.57 CABLE ACCT 100951581 081621A 08/31/2021 08/16/2021 08/30/2021 2,250.o0 0.00 0.00 2,250.00 CABLE ACCT 100987627 081621E 08/31/2021 08/16/2021 08/30/2021 9327 0.00 0.00 93.27 ✓% CABLE ACCT 118134106 Vendor Totals: Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT 4,028.94 0.00 0.00 4,028.94 Vendor# Vendor Name Class Pay Code 13880 TEXAS SELECT STAFFING Invoice# Comment Tram Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 00179935M09/01=21 09/01/2021 09/01/2021 3,115,25 0.00 0.00 3,115.25 ' I rl IhJ MED BURG STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net 13880 TEXAS SELECT STi 3,115.25 0.00 0.00 3,115.25 Vendor# Vendor Name Class Pay Code 12444 THE UPS STORE VICTORIA / Invoice# Comment Tram Dt Inv Dt Due Dt V Check Dt Pay Gross Discount No -Pay Net 758 OW112021 07/22/2021 07/22/2021 50.00 0.00 0.00 50.00 Lr, BUILDING SIGNAGE Vendor Totals: Number Name Gross Discount No -Pay Net 12444 THE UPS STORE VI 50.00 0.00 0.00 50.00 Vendor# Vendor Name Class Pay Code 10732 THERACOM, LLC J' Invoice# Comment Tram Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net 043021VP 08/31/2021 04/30/2021 07/29/2021 -40.00 0.00 0.00 -40,00 V` CREDIT 06302021VP08/31/2021 06/30/2021 09/01/2021 1,955.10 0.00 0.00 1,955.10 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10732 THERACOM. Li-C 1.915.10 0.00 0.00 1,916,10 Vendor# Vendor Name Class Pay Code T0801 TLC STAFFING y' w Invoice# pomment Tram Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 27653 08/31/2021 08/16/2021 08/16/2021 661.30 0.00 0.00 661.30 STAFFING V 27697 / 09/01/2021 08/23/2021 08/23/2021 1,250.52 0.00 0.00 1,250.52 11i1 rile:///C:lUsers/mmckissack/cpsilmemmed.cpsinel.com/u8S150/data_5/tmp_pw5roport2003005377146652095.htmI 9/11 t 912/20211 tmp_cw5report2003005377146652095.htMI Vendor Totals: Number Name Gross Discount No -Pay Net T0801 TLC STAFFING 1.911.82 0.00 0.00 1,911.82 Vendor# Vendor Name Class Pay Code 054 UNIFIRST HOLDINGS 1j� w U1 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 08/19/2021 09/13/2021 157.76 0,00 0.00 157.76 8400373998 Q8 1 LAUNDRY � 8400373951,,P /01/2021 08/19/2021 09/13/2021 194.90 LAUNDRY 8400373946,,09/0112021 08/19/2021 09/13/2021 41.07 LAUNDRY / 840U373949 S1 /0112021 08/19/2021 09/13/2021 156.06 LAUNDRY 8400373982rp9/01/2021 08/19/2021 09/13/2021 1,510.30 LAUNDRY 8400373950 Q9/01/2021 08/19/2021 09/13/2021 160R7 LAUNDRY 8400373948%06/01/2021 08/19/2021 09/13/2021 121.55 LAUNDRY 8400373969 09/01/2021 08/19/2021 09/13/2021 79,43 LAUNDRY 8400374242 Q9%01/2021 08/23/2021 09/17/2021 2.060.55 LAUNDRY 8400374219 99%01 /2021 08/2312021 09/17/2021 45.15 LAUNDRY 8400374220 09/01/2021 08/23/2021 09/17/2021 47.47 LAUNDRY 8400374563 0�"1/2021 08126/2021 09/20/2021 41.07 LAUNDRY 8400374685,9tf/01/2021 08/26/2021 09/20/2021 79,43 LAUNDRY 8400374715 OW01/2021 08126/2021 09/20/2021 125.92 1 INVENTORY 8400374698a9/01/2021 08/26/2021 09/20/2021 1,625.26 LAUNDRY 84003746653910112021 08/26/2021 09/20/2021 121.55 LAUNDRY 8400374666 jy0112021 08/26/2021 09/20/2021 192.33 � LAUNDRY 8400374667 V/01/2021 08/26/2021 09/20/2021 185.85 LAUNDRY 8400374668 69/01/2021 08/26/2021 09/20/2021 194.9D LAUNDRY 0.00 0.00 194.90 0.00 0.00 41.07 ..! 0.00 0.00 156.06 0.00 0.00 1,510.30 V; ` 0.00 0.00 160.47 ✓� 0.00 O.Do 0,00 0.00 0,00 0.00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 121.55 V 0.00 79.43 yf 0.00 2,060.55 0.00 45.15 0.00 47.47 0.00 41.07 0.00 79.43 ✓' Vendor Totals: Number Name Gross Discount No -Pay U1054 UNIFIRST HOLDING 7,141.02 0.00 0.00 Vendor# Vendor Name Class Pay Code U2000 US POSTAL SERVICE 0.00 125.92 L," 0.00 1,625.26 W 0.00 121.55 0.00 192.33 r 0.00 185.85 .% 0.00 194.90, ,, - Net 7,141.02 Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 082721 08/3112021 08/27/2021 08/27/2021 240.00 0.00 0.00 240,00 L,f' BUSINESS REPLY ACCOUNT Vendor Totals: Number Name Gross Discount No -Pay Net U2000 US POSTAL SERVIC 240.00 0.00 0.00 240.00 Vendor# Vendor Name i Class Pay Code 13808 VITA PERSONA LLC ✓ Invoice# Comam Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not VP2021197401111/2021 06/1412021 09/01/2021 31198.00 0.00 0.00 3,198.00 SUPPLIES j/ VP2021203008/3112021 07/2V2021 06124/2021 1,759.00 0.00 0.00 1.759,00 � SUPPLIES VP20212101 V/31/2021 OB/03/2021 09/01/2021 1,918.80 0.00 0.00 1,918.80. 4-"'� SUPPLIES file://IC:IUsers/mmckissock/cpsilmemmed.cpsinet.com/u88150/data_5/imp_cw5repart2003DO5377146652096.html 10/11 r. 9/2/2024 tmp_cw5report2003005377146652095.html VP202122120 31/2021 08/20/2021 09/02/2021 1,919.00 0.00 0.00 1,919.00 J: ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13808 VITA PERSONA LLC 8,794.80 0.00 0.00 8,794.80 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9111026113 V/63112021 08/16/2021 09/10/2021 1,571.67 0.00 0.00 1,571.67 1 LEASE 9111031261 M3112021 08/25/2021 09/19/2021 1,309.08 0.00 0.00 1,309.08 f' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 2,88075 0.00 0.00 2,880.75 flepwt $uIfiml, Grand Totals: Gross Discount No -Pay Net 482,042.00 0.00 0.00 482,042.00 cG193- > + Ry.53 In 634.17- 95-5_ Asa ,fP 13 2ti;[i C.n7OsV1 �xwm Ne:///C!/Users/mmckissack/cpsi/memmed.cpsinet.com/u86150/data_5/lmp_cw5report2003005377146652095.html 11 /11 m=RCDDVIY STATEMENT s�o.,r: easo MEAOFIAL MEDICAL CB TER ANT DUE REMITTED VIA ACH 0®rR AP Statement for Intonation only 015 N VIRGINIA STF3-7 POW LAVACA TX 77979 As of: 09/03Y2021 Pegs: 002 To enswe proper worst to your aucoUnt, Ostxh andi return this stub wNh Year mitt. DC: 5115 As af: 09/03/2021 Pr 002 Mall la: Camp: 3000 TerrHay: AMT DUE F13AITTED VIA ACH DEBIT Statement for Information only Duatamer: 632536 zl Date: 9e/o41a/zo21m Duet: 532536 PLEASE CHI CIC AM Data 09/04/2021 IrMS NOT PAID (1) Ailing Owe RecelvaW%1N�a1 Acmmt 9we Cash An1aerA P Amount P PocalyaMe late Gate Number Referenda Omwiptlon Diwount (gross) F (not) F Numbr 4 dolman Isgerid: Pm Pow Due item, F = RAM Duo gem, blank = Cunwn Due item 'OTAU National Aow 532536 MWORIAL MEDICAL CE1119L wetonse: 10,442.36 USD kdore Due: 0.00 Due If Paid On TNw: It Pakt D/ 0910712021, USD 10.233.51 rest Due: 0.00 Poy This Amaum: 10.233.51 USD Disc low if PM Nte: 200.05 ast Reymwd 2,451.97 V Paid After 0910712021, Due It Po10 Late: 10/07/2017 Pay this AmawO: 10.442.36 USD USD 10.442.36 65'� b6 ArpANw�m gm 5EP 1 / 2121 cA go"my,TWA" For AR Inquiries please contact 800-867-0333 MWESSON 0v�or9: e0oo WALMAW logo/Mad MED FNS MEMORIAL MEDICAL CE Ei VICXY NAUSE< 815 N VINCINIA ST POW tAVACA TX 77979 :whoa N 18/20/2021 18/30/2021 10/30/2021 18,30/2021 M130/2021 IB/30/2021 18/30/2021 ISMU2021 IB/31/2021 19/01/2021 19/01/2021 19/01/2021 19/01/2021 19M2M021 19/02/2021 -9/0212021 -9/03/2021 19/03/2021 19/03/2021 19/03/2021 Oae Date STATEMENT A. eh 09103/2021 DC: 8115 AMT DUE HEMMED VIA ACH DOM bYalemenl Icr inlormalion only TO-11": 400 CVatanw: 256342 Dates 09/04/2021 --- nvnwxa 1098/51Ea MED Mrs 09/07/2U21 7290892035 09/07/2021 7290775888 OB27210838 09/07/2021 7290775890 14481380 OB/07/2021 729077589I 14521754 08Po7/202/ 72907 1452 1754 09/07/2021 729079894098940 14540829 29 09/07/2021 ]280889084 480 17210759 09/07/2021 72BI098158 e9146472611 08/07/2021 7291298090 10210908 09/07/2021 7291377095 0814684031 09/07/2021 728137]095 14720219 09/07/2021 7291539858 11210847 09/07/2021 1291539B5B 0831210739 09/07/2021 )291646036 0814741594 09/07/2021 7281646038 14741594 09M7/2021 7291646039 94 14777670 09/07/2021 7291922010 14799282 09/07/2021 7292079737 14836703 09/0)/2p21 728207913] f2210824 09/07/2021 7292079738 0902210024 0902210801 Page: 001 To anon pmpw Cealk to yow ace"on, detacha101awn th1a di with ydlf yamhtama As of: 09/03/2021 Pegs: 001 Mall la Camp: 8e00 AMT CUE REMITTED VIA ACH D®IT Sletannent fol Information only Can: 256342 PLEASE CHECK ANY Date: 09104MO21 DINS NOT PAN (,) Oeac7lplyn O lecoont 0m1 P s( we) F Amoaet P MwaivaMe (Iles) F Nambw 1161nvoice 33.92 1,698.17 1,882.25✓, 1151nvaica 2 /6 107.99 105.83�✓ 72B0892035 1151nvoice 0.01 7290775888 1151nv4ice 0.01 0.36 0.35 7290775891 1151nvoice 65.022,801.14 0.69 2,14 . / 2,145,12/ 7290775892 1151nv9ice 2.01 SA2 7280775882 1951nvo1ce 0.01 1 190..44 14L82/ 7990793940 1151nvolca 19.36 0.94 0.43 ✓ 7290984084 1151m11ca 9.36 605.00 48q,g0/ 1291098159 1099,59 i t5lmalce 2.89 465.23 468.87 J 7201298090 115lnvelce 5,10 144.61 7291377095 1951nvcice 2.80 249.72,/ 249.72 / T28197]095 1151nvoice 9.85 139.93 138.93 137.13 -' 729153965S 1151nvcica 0.32 492.54 481.24 / 7291646037 115invcice 4.32 1.66 J 7291846037 1151nvdce 215.98 5.98 260.78 7291546039 115lnvoice 3.32 3.38 / 7291922010 10.43 108.83 188.02 165.48 185.45 / 7291922011 196invcice iB61nV01ca 0.43 934.02 815,34 / )291822011 1151nvcice 0.60 21.69 21.21 / 7292070737 30.09 28.44 /( 7292078736 For AR Inquiries please contact 800-867-0333 m_MCDJVIY STATEMENT As&-.09/0312021 Pa9a001 TaenatnpowtseiftI.yaw —owl% lefxlt en9 W. thk �vmv: esv OW with puf M Mmas DC: 0115 MEMORIAL MBA M MSAMT WE DBAITT® VIA ACH DEBIT IT e400 As of: 09/03/9021 Page; 001 Mall to cwv: 0000 MEMORIAL MEDICAL CB4TBi ®I KALSB( Stetemenl for Infonnatbn only StstmenE idw. mly DEBIT 615 N 615 N VIaGIN1A ST CUMema 250342 f0f lon Y PORT IAVACA TX 77979 Data 09/04/2021 Dist: 256342 PLEASE CHECK ANY Date: 09/04/2021 B61111 NOT PAID (+) tF cslumn IegatM: P e Peat Due hem, §M10Wt kG%%4%F536 blank = CunMi Due hem 8 "OTAL• Customs Numbs 268992 WALMABT 1098/MBA M® R13 SUMakIs a,394.15 USD Ltule Due: 0.00 VM D= If PeM BY 0910712021, 0.00 Duo If MM Do Tim. USD 8,226.27 /It Pay Thle Amwm: 8.228.27 USD Dias lost If pM kte: ast 22,406.00 If PaM Aka 09/0712021, 67.60 Dly'.1- Due If Pam W.: IB/30/2021 =21 Pay this AmauM; 8.394.15 USD USD 8,394.15 For AR Inquiries please contact 800-867-0333 f MSKESSON STATEMENT ruaPmr: e4re HIM FHY FC 490IMM MC MIS ANT CUE REAMED VIA ACH DEBT MBAORIAL MEDICAL CENTER Slatemrnl for Inlormatim only VICKY KAUSBK 815 N VIRGINIA ST PCRr LAVACA TX 77979 As ol: 09/03/2021 Page: 001 To mass proper area to Year eeditMt, 0etaM are team tMa stub with your ramManoe OC: 8115 As of: 09/03/2021 Page 001 Mall to: C4aP: 9000 Ternary: 400 ANT CUE VIAACN 0®IT Cue[anr. 484450 SlalanmI., Morrell.. Iar inlomalla. only 090: 09/04/2021 Coat: 464450 PIFASE CNEDK ANY Odle: 09/04/2021 ERAS NOT PAID (1) III Mg Due f.,,, N Mbnal Aaa nom 911ps Cam AmgaN P AnwoM P RawNffiIs )ee Dale Nundw Reference DeeWplm Obaoont (goes) F (Pat) F Number lust. NuMer 464460 HIM MY rC 490/MM MC MS 1813IM021 0911)7/2021 7291179957 55x592998 I151nvoice 2.99 149.29 146.30 ✓ 7291179957 19/0312021 09/07/2021 7291914777 SSxe02204 1151nvolce 18.36 917.89 899.53 ✓ 7291910TT 19A)W021 09/0712021 7291914778 55x(302377 /151nvalce 0.16 0.16 ✓ 7291914]]6 1F column 1e9mU: P e gar Due Nan, F = MUM Due Item, dark n Curretlt Due hear -OTAL Customer Number 464450 NO MY M 4901MEM MC MIS Sutaae 1,067.34 USE) M. Doe: 0.00 If Paid By Due It Me On Tim.: 09/0712021, USE) 1.045.99 eN Duo: 0.00 Pay The Arnaud: 1,045.99 USO Ore ION It paid late: 21.36 aN Psymea 22,405.04 M Me Aft. 0910712021. 0. It gM Iffir. IM012021 Pay Urns AmouPU 1.067.34 USE) U90 1,067.34 For AR Inquiries please contact 800-867-0333 mX&CJJVIY STATEMENT As W. 09/03M021 mepea: enoo Be: 8115 CVS M1CY 7475/MBA MO MS AMT DUE FBAITTED VIA ACH DEBIT Temftory: 400 MEAORAL MEDICAL CB4TM slu ment for Infamletion only VICKY KAUSE( Cinnamon.835438 016 N VINOINIA ST f2021 Ote: 09/04=21 POW LAVACA T)( 77979 Page: ODt To emcee paper oreft to your sxam, 0olxb seal mtun tMe tub er10, your ramMelwa As of: 09/O3/2021 Pegs: 001 Mall to: Carp: 8000 AMT DUE 7@AITTEO VIA ACH DEBIT Statement for intonation only Cut: 835438 PLEASE CHECK ANY D.W. 09104Y2021 DB,IS NOT PAID (r) vim Due ngyMMrtlonel Account Uwe Cesb Answers P Assume P BeooNsele )Me Date Nonber Sullenness Onsoll Discount (9.) F tress)F Number Dlntemer Numbo7 835430 CVS FHCY 7475/MBA MC We 19/03/2021 09/07/2021 7292113777 1334488 /151moloe 4.88 244.03 239.16,�/ 7992113777 O >F celumm 1090ft: P. Pea Oue Nam, F . Mute Due Han, blank . Current Due Item =AU Due. Numbs 835438 CVS PHCY 7N6/MI9A MC PHS Suatclsler 244.03 USD U.m Duo 0.00 Due K Mid On Tlme: N Mid B2 0910712021. USD 239.15 ht Due: 0.00 Pay Ties Amount: 239.16 USD 01. lot N PaM mt.: 4.88 at Payment 22,405.04 N Fs10 After 09/07/2021, Due If Mid late: 18/30/2021 Pay thle Amamb 244.03 USD USD 244.03 For AR Inquiries please contact 800.867-0333 r , MSKESSON STATEMENT CanVaM: B4W HEB PHCY 004/MM MED WE AMT DUE F041UM VIA AM DMIT MWMAL MEDICAL CE4TB1 Malement for Intonation only VICKY KAusm 816 N VIHDINIA ST PJflT fAVACA TX 77979 As of: 09/03/2021 Pegs: 001 To atsem pops, ona1H to year oocaa t, deteoh am1 Mutt thl, dub wkh year mmHtMKe DC: 8115 AO of.- 09103/2a21 Page: OD1 Territory: dog Mall to: Camp: 8000 AMT DUE H r infor D VIA only D®R Cudtmrer: 190813 statement tar Iniaemellan only Dole: 09/04/2021 Cm: 190813 PLEASE CHECK ANT Date: 0910412021 RBAS NnT PAID (1) =9 Due re m vempa"B"a, Account 96 Cash Amount P Amount P 1beeHeela late Data Nambm HHetmlee DemHplwn Dl.m (gram,) F (net) F Number :ustaner Number 190813 HIM; PHCY 0434/MM MED MS 19/01/2021 09/07/2021 7291370676 2017035065 1151nvolee 1.22 60.96 59.]4,// 7291370875 19M312021 09/07/2021 7291910772 2017035297 1lsmvome OA4 6.82 6.68 ✓ 7291910772 1F Borten, legend: P e Net Due Hem, F = Move Dug ham, Wank a Current Dire Hem 'OTAU Cumerner limber 190613 H® PHCY 0434/MBA MED PH8 subt0aw 67,78 Um Torun a": 0.00 Due 11 Paw On Time; 11 Paw BY 0910712021, USD 86.42 ,ad our. 0.00 Pay Thic Amour: 66.42 USD al. led II pew Tole: 36 18 Peymem 22,/05.04 It this After 0970]M021, Due 11 Pe: Paw lat 18/30/2021 Pry thw Ammml: 8778 U6D U6D 67.78 For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT ovnwr. 4000 WAWARf 5316/MEAFL MC MS AMT DUE HENIITTED VIA ACH DEBIT MWOPoAL MEDICAL CENTER Statement for information only AM 815 N VIROINIA ST POPE LAVACA TX 77979 As of: OW03/2021 Page: 001 To arem, POW go61t to Ywr account, 40twh erltl M. ihkl Nub with your rwnimmeN, DC: 8195 As W: 09/03/202t Pegg: 001 Mall to Comp: o= Tamary: 99 ANT DUE REMITTED VIA ACH DEBIT CupomaC 9454]8 6letemanl for Intonation only Dare: 09/04/2021 Cost: 945479 PLEASE CHECK ANY 096; 09/04/2021 IT8M6 NOT PAID (✓) llletisa Col. Numhe n l Ar:oswM emrxa cam Amount P Amount P Poeehoblle Deaription Dkeant (gos) F It F Number :W0000r Number 945479 WA1MARf 5316/MMM MC MS / 19/02/2021 09/07/2021 7291767755 060764472 1951nvaka 13.39 669.06 655.98 / 7291707755 O W colnnn legenk P = Past Oue hem, F = 114um Due has, blank n Gunners Due hem 'WAL' puma Kilmer 945479 WALMARf 6315/MMM MC PHS %MWeis: 669.06 USE) 'Wure Due: 0.00 Due N Pala On Time: It NM By Og/0712021, USD 655.88,r/� test Dee: 0.00 Pay This AmauM: 555.68 USD DIw lost N pail Ina: 13.36 ast Paymem 0.00 ur Pont After 0910712021, Dae It Paw W. Pay this Amount: 669.06 USD USD 669.06 For AR Inquiries please contact 800-867-0333 r r T or 1 STATEMENT Statement Number. 61567837 AmensourceBergerr Date: 09-03-2021 AMERISOURCESERGEN DRUG CORP WALGREENS 012494 3408 12727 W. AIRPORT BLVD, MEMORIAL MEDICAL CENTER 037028188 SUGAR LANDT 7747MIGI 1302 N VIRGINIA ST PORTIAVAC,k X T7979.2509 ' RA6269276 in 7 days 8664: 866451A655 ;A=..tftIauw: AMERISOURCESERGEN P.O. Sm 905223 CHARLOTTE NC 28290.5223 B: 0.00 1.973.08 0.00 1,973.08 lauw: 1.973.08 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Dale Number Number Type Amount 08. 2(121 MIO-2021 3066075118 162655 Invaloe 5.37 0.00 5.37, 08-30.2021 09-10-2021 3W6075419 162655 Involve 33.62 0.00 33.62- M30.2021 W-IIN2021 308807val) 182858 Invoice 0.29 0.00 0.29' 08.30.2021 09-10-2021 3MG075761 162657 Imoiw 9.76 0.00 9.76 09.30.2021 0940.2021 3DS6101794 107N Invoice 182.28 0.00 182.28 09.01-W21 MM2021 3086364145 IW724 Invoice 22.61 0.00 22.61 09.02-2021 D9-m-2021 3066507417 162735 lnvolce 1.699.22 0.00 1,599.m 011-03.2021 MIO.2021 306864 = 162744 lnvolce 119.84 0.00 /19.84 0903.2021 09-10.2021 2066645024 162745 lnvolce 0.09 0.00 0.09 Current t-15 Days 16.30 Days 31.60 Days 61-80 Days 91-120 Days Over iZ8 Days 1,973.08 0.00 0.00 0.00 0.1 0.00 0.00 an You for Your Payment Date Amount 09.03-2021 (519.17) C 45bO3ac\ Reminders Due Date Amount 09-10-2021 1,973.08 ✓ Total Due: - 1,973.08 aeraav9® a:1 S P o49alge AVOW01�,:YAAA z STATEMENT Statement Number. 61512602 1 Ott AmerisourceBerlperr Date: 08-27-2021 AMERISOURCEBERGEN DRUG CORP SENDERRA RX PHY 340E 501 PATRIOT PARKWAY MEMORIAL MEDICAL CENTER IODMO781037983771 ROANOKE TX 762624336 1301 E ARAPAHO RD STE 101 RICI NRD90NTX 75081 Set -Fd Due in 7 days DEA: RA0316958 866451-9655 AMERISOURCEBERGEN P.O. Boa 970740 Not Yet Due: 0.01 CALLAS TX 763974740 Portent 0.00 - Peat Oue: 0.00 Term One: 0.01 Acmunl Ealenm; 0.01 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 08-25.2021 0943-2021 3MS557626 100108323 Invoke 0.01 0.00 0.01 Current 1-16 Days 16-30 Days 31-60 Days 61.90 Days 91-120 Days Over 120 Days 0.01 0.a0 0.00 0.00 0.00 0.00 O.00 Reminders Due Date Amc 09-03.2021 0.01 l Total Due: 0.01�, F q 13121- (5r %nskeP-, 5 s 3 5 Pi J-1 xx 51�.\� 'f 0 2m MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —August 30, I021- September 6, 2021 Date Bank Description 8/23/2021 PAY PLUS ACHTRANS 452579291101000690762935 8/30/2021 PAY PLUS ACHTRANS 452579291101000694589599 8/31/2021 PAY PLUS ACHTRANS 452579291101000695727606 8/31/2021 MCKESSON DRUG AUTO ACH ACH04711411920000169 9/1/2021 PAY PLUS ACHTRANS 452579292101000696579025 9/2/2021 PAY PLUS ACHTRANS 452579291101000697673224 9/2/2021 AUTHNET GATEWAY BILLING 110575558 M40000155 9/3/1021 PAY PLUS ACHTRANS 45257929110100069916136S 9/3/2021 MERCHANT BANRCO FEE 97116091398791000011311 9/3/2021 MERCHANT BANKCD FEE 97116092088391000012311 9/3/2021 MERCHANT BANKCD INTERCHNG 97116091399791000 9/3/2021 MERCHANT BANKCD DISCOUNT 971160910883910000 9/3/2021 MERCHANT BANKCD DISCOUNT 971160913887910000 9/3/2021 EXPERTPAY EXPERTPAY 746003411 91000013695276 9/3/2021 AMERISOURCE BERG PAYMENTS 0100007768 2100002 9/3/2021 MEMORIAL MEDICAL PAYROLL 746003411113122650 9/3/2021 IRS USATAXPYMT 22016465405342561036010D0315 9/3/2021 IRS USATAKPYMT 220164675852519 6103601000314 Jman Anglim CEO 1 Y U Memorial Medical Center PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT— ESTIMATED ACHS Date Description 9/15/2021 ACH Payment TEXAS COUNTY DRS RECEIVABLE 041921000024329 Jason Angbn. UU Memorial Medical Center MMC Notes Amount 3rd Parry Payor Fee 919QTx„ 2f$,J •b. - 3rd Party Payor Fee - 3rd Party Payer Fee "•[¢92 -340B Drug Program Expense 22405.040 - 3rd Parry Payer Fee - 3rd Parry Payor Fee _aI62,51 21.1 - 3rd Party Payor Fee -3rd Parry Payor Fee All -Credit Card Processing Fee - Credit Card Processing Fee r. -Credit card Processing Fee - Credit Card Processing Fee 5a - Credit Card Processing Fee -Child Support Payment -Payroll Ending 6t4:2% .3409 Drug Program Expense 519.17py� -Payroll 327540.09� -Payroll Taxes 187.2 106952.69* -Payroll Taxes 459,166.53 September 7, 2021 - AW4e a Lc. Yak A16 91. 14 25.56 - 6.9� 1 9.44 , 16Y•51 49.2U 21.1U 21•IU a Cc fws iR5.21 9.95 150-9u + 19.9u 225 6a -may 61It . 'AIIs e, 5-45->9 , 2 1 • l U - 571.6ti 614.2U 459,16C, MMCNot s Amount I, U S - .: 4 ' - Retirement Funding 141,022,27' S 19 1 r 142,622.27 2 September 7, 2022 10I, ..:i _ .. 1,552,9� 552. 5 T 'wimpmer� 91m1p.1 Date/Tlme 09-03-2021/10.08AM Submitted By Pay Date 08-31.2021 Employee Deposits $62.358.40 Employer Contributions $80,263.87 Group Term Life Premiums $0.00 Total $142,622.27 Comments Payroll Pile August 2021 Retirement Upload.xlsx MRW 91212021 imp_cwSrepart302897l397180543726.htmI MEMORIAL MEDICAL CENTER 09/02/2021 0 AP Open Invoice List 12:39 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 081221 08/31/2021 08/12/2021 09/23/2021 13.90 0.00 0.00 13.90 L.-, _ ` TRANSFER 0q iVlSL46:0.1L Vv dQ{��`'�d 1�1To Il0.N.tl. 1_10.00 081321 08/31/2021 08/13/2021 09/23/2021 2,128.85 0.00 2,128.85 v' ' TRANSFER it 11 081721A 08/31/2021 08117/202109123/2021 24,536.71 0.00 0.00 24,536.71 V../ TRANSFER (1 r% 081721 08/31/2021 08/17/2021 09/23/2021 5,711,84 0.00 0.00 5,711.84 TRANSFER 11 11 081921 08/31/2021 08/19/2021 09123/2021 950.46 0.00 0.00 950.46 ✓� TRANSFER it 1) 081921A 08/31/2021 08/19/2021 09/23/20P1 1,590.96 0.00 0.00 1,590.96 TRANSFER bt 11 Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HE 34,932.72 0.00 0.00 34,932.72 +epo�i "u;vnr;:n Grand Totals: Gross Discount No -Pay Net 34,932.72 0.00 0.00 34,9$2.72 tea'Q3l Aw" i cn�sls+� �. �scea Flle://fC:/Userslmmckissack/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report3028971397180543728.htm1 1/1 9/2/202,11 tmp_m5report3232663424766507696.html 09/02/2021 MEMORIAL MEDICAL CENTER 0 12:39 AP Open Invoice List ap_open_involce.template Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Or Due Dt Check Dt Pay Gross Discount No -Pay Net 081221 08/31/2021 08112/202111�1tt09/23/2021 003 0.00 0,00 0.03 1, 1 TRANSFER 1Y1St"(1 v�VNIl a'Pa.;41,( itAt 0 kou O'Y}twh 081621 08/31/2021 08/16/2021 09/23/2021 6,120.00 0.00 6,120.00 V/ TRANSFER I� II Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLA2 6,120.03 0.00 0.00 6,120.03 R, Pol! Swnm an; Grand Totals: Gross Discount No -Pay Net 6,120.03 0.00 0.00 6,120.03 4M ;CEP 13 2121 Araw O"s Fiiile:/1/C:/Userslmmckissack/cpsi/memmed.cpsinet.com/u88150/data 5/tmp_cw5report3232663424766507896.html 1/1 9/2/202,1 lmp_cw5reporl2243487704963162876.html 09/02/2021 MEMORIAL MEDICAL CENTER 12:38 AP Open Invoice List 0 Dates Through: ap_open invoice.template Vendor# Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 081321 08/31/2021 08/13/2021 09/23/2021 166.62 0.00 0.00 166:62 ✓ TRANSFER WgjV MLlL _ j lk cltf. 4� 1k.h'AW-L J � t)p 081721A 08/31/2021 08/17/2021 09/23/2021 9,687.44 0 O 0.00 9,687.44 TRANSFER 11 11 081721 08/31/2021 08/17/2021 09/23/2021 3,243.60 0.00 0.00 3.243.60 TRANSFER it It 081821 08/31/2021 08/18/2021 09/23/2021 4,390.00 0.00 0.00 4,390.00 TRANSFER 11 081921 08/31I2021 08/19/2021 09/23/2021 8.41 If 0.00 0.00 8.41 TRANSFER 1% It 083021 08/31/2021 08/30f2021 09/23/2021 13,106.62 0.00 0.00 13,106.62 ./ MEDICARE LI Vendor Totals: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 30,602.69 0.00 0.00 30,602.69 Grand Totals: Gross Discount No -Pay Net 30,602.69 0.00 0.00 30,602.69 A@41Alia/� dDPl EP 1.12129 orxmw 4velr 'o-. file:fflC:/Users/mmcklssack/cpsi/mammed.cpsinet.comfu8815oldata_5/tmp_cw5report2243487704963162876.html try 9/21202,1 tmp_cw6report5668907963614664595.html 0910212021 MEMORIAL MEDICAL CENTER 12:38 AP Open Invoice List 0 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 081921 08/31/2021 08/19/2021 09/23/2021 0,20 0.00 0.00 0.20 t/ - L TRANSFER 01P19JYRYL(L PVIIL��d (J POS� l I(1."!1 mw Vpwh%yl-�^ 082121 08/31/2021 08/21/2021 09/23/2021 ` 1,524.00 0.00 Q 0.00 1,524.OD TRANSFER 082721 08/31/2021 08/27/2021 09/23/2021 29,866.06 0.00 0.00 29,666.06 ✓ TRANSFER 1 /I 083021 08/31/2021 08/30/2021 09/23/2021 1,214.82 0.00 0.00 1,214.82 MEDICARE Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR 1 32,605.08 0100 0.00 32,605.08 Grand Totals: Gross Discount No -Pay Net 32,605.08 0.00 0.00 32,605.08 EP 3 2121 a'�a�ar7 file:///C:/Users/mmckissack/cpsitmemmed.cpslnet.com/u88l5O/data_5/imp_cw5report5668907963614664595.html 111 Request for Transfer of Funds —71 hamfer a: Date Request<E W712021 Payer Xwi. MNROCWM CD Nagaatetl by: C.N%allDDOPf Requenceieman Fn4MVNenomXeaOM1 n:m eeq.a`.rF P.— ...bar 9033724412 Olntlnor(wMy Memorial MMleare Center Fadia, G.Id-.6 rytleMNane RF u Rahaf3ervlm Da al jypp MPavme Cbe Yarnien[ e41 Mw IeMaMerfun41r1 Io vOun,_mug Xol a BpU3011 Ffi0051i60 $ NDF61 EF16051160 NWRDOWi6869 $ a.. The &oatlmpar Creeks e/l9/1031 FFi6p612 1 $ 1.6H.53) EMOW291 NOR.26Afi9 $ 1.664.53 TheBmatlmparCmeMs 825/2021 FFlfi0C8i9a 5 (143.46) FFT6068190 NOMIIX0CM869 5 142.46 Th66matlmom C,,,4 TOTRL _ le be flll6U but MenwWl Metlial Centee Oa]PXeniW 3 Fppwv<aba M la Ma:]inP[ 0ateafe D_ 98102] PromfadlitY lFc 6rwtlnmor Lre a ro lennlr eo mueeR M. F.'aft: r.Dn e haft FatOity: olhy: A Fa mauM: {8} SEEP i t 2i21 ve6evo= CA:�ieta [ea;er,9%:ka Tranefmp: Request for Transfer of Funds note RryuMed 9.2.21 vayer MEDICARE RequeslM by RAERELARENA RCqultua11 emailhon as ilLu[<nn�iL6emrenel Requeer pe number 7)34]O-SICD Diftrl[tar[eYnp BRA&M. Eau(M iuiL]xy VItSAG[ Yan ol. b. an merprymant m m W P^I eat Phme p:wUe Id tl wmp I W [hlm [rlry er® n n"`axleu..., !to,'?A.Em Pglle:it Name RE_ IREB WUnI ServYe RE Id J a ofP irunr Pax�o ER 9�M rl:e[YHum r E'Amail Awn.meee.rmm ryNnlAmrunlEff, bliDDRetoQanr xo PpnmeM a...]] 5 zx ER4V'/nifi3 WO/CVOARN 6969 5 u4i B.d- 5.3"1 FFr S 315.w FFTG9i5912 WWMARN0MU69 tnw Bmadmaw 9.135 FR 5 'Rod EFTE07743 WO/CVDMBBW]6R69 3 oe 6mulmmr it if if MTAI1 9M.271 906E7.. To be filled out by Memarlal Medical Eonter: Do"m 9 3 do 9 'ra utonda M. ol4amfen FromranRSr er To FludRM iu mYNLLW A nC Darnol5nno]eron Fmm Fi<Iliry: �� Ro]aNpET: Amount St� .. i;r:iTt17(`. t J4RaR:, L. Request for Transfer of Funds Trammr R: Oalep ues]e0 9.2,21 Fates MfDICPRF ReyueitM by MCNCLPPENN pepuMohmuil ��usa Ohone r..bMso/s numher ]13O)0-53M DlsLritturyYnry 8M2DR14 NMI" IUSCMIYVIL.GC rylnnanornprymNtarNwPmm401a%OmvNe NN W meryaWErM «4rvnmerRmnrtnvrllava[a.[nin maelNmNmn mw1 ana RE Na Nf p(p ( 111 D U. g/PjMµrrt EwevlE menl F Fjy9yp{ MN ,4lbnneNni.dter ] QV MMMLOH (¢yOD9 Vie] NO B.30.21 Efi s %G EFi034143 W0/NDMWW195S7 3 e1.4] C[PSP^I 8.31.21 ffi $371. EFTW)3913 W0/NMP44N19557 $ 91].tG Cttsene 9.LII FR 5 es FFi69))333 WD/NDAPOON3955) S a4es GesaU TDT/IL 9N.22 906E7 Teh Ofed ou t bV Me= AM MCWMI[enler. D^M e% 1 nppro%d hy: Mays MiM1IPPt Dale of lnnshe 1 mf^nlilr Geunt TO Fae11Ny. V XY VIWGE RT^Yrll: 9 . a i.-0ULH41• Dite vftrsnsler: rr lii FfamfaUliV(. T^Fe[IIMy: _ NmoYMCID a J ^!z Request for Transfer of Funds Ranilerp: Date Pegmmted 8/17/2M VaY![ Nov NDAROGD^ 01955] PeauestedbF Calrina Nopper Pequ lals!mall rnnnnerp0er alb mn� Pequeatol5 pMne numbv 9033739412 DpMn or Ca., MempnaI Wdl[are Cenlar FadhV Wdmc—e "Bob etleveme:l0mn pNlava[a.[om DLmaNDeammmrnoma,a[a.[n,n l Evleal Peament a AMuntO Pa 1oa q redN. [mn 8/11/2021 EHOS210 $ 140A6) MOR]60 NDtlPOp9p1959 $ 90A6 The[resen[ VIW2021 ER 061291 $ LW.53 EAW 1291 NDDPK0019551 5 1 6153 16e Creaent U25/2D21 ER068190 $ 142A6 EM066790 WDOPCCW19557 $ 142A6 The Cresent 2EDUIRW ]D]AL $12,9q]A5) $ I.NIAS etl.Y1 MemorialM dl[alCenaer:entlby: u— F fafll iry: sent PTO Fart en Ceee nnwam: 2, zds Dam aim.sieran hom Fatlllry: TaF dim,/ Am.-. Ala EP ! / 2121 ern+$Evr.3-arayEn -a- xvarJ cLvesiw, rasa Request for Transfer of Funds nanslera: mh RegYegea PaYw Requested br RACRELAIIFN.VM flequeeta/s emaR aqw mftlusrnuwlpeeeere Repueetals phone numM( 733-010530D Blnnawcvunry BRA3oxm LaNky TUSUNYVI AGE FOB RemlldnKAdvkeh: ctlevxwor®mm[no:apWelamn anme:wm nonromra.pn, IAMUF ) �M_F�I IMD� patenfYnirt LR[QIJ�[Q� mnenl ryoee(Povme,R (E fjm P n bw aalmw"S% amennemne.enee Neer Lanr FUMshI t5 aam rmuntK.ex NAM BONI1 8.3021 EFF S as aE FRW)CI63 4163 WO/LVBAROb09556 fvabentl 8.1u, ER S eo FFT60)592) WO/CVDAR I9556 5 3)3.W FO:Wend 9121 EFT S AMAS ER60))233 WOXVDA IX M556 5 aUAS FMbend TOTAL 90627 90G27 )obe011cdvutb Momeriel Medlol Cenxr. one e D xdn Apprwee bv: yn Mamnez bete ollnnsh r: 3DE1 FmmFa[iliry: fonbentl Tp Fa[Ilily: NSCANYVI pmYYnt E} fn�.��r'1 gate al l4nshr: aeei: Fmm Faelliry: �y TvfanliM SEE i I I Amounl: Request for Transfer of Funds TanNer 9: Dela Requested 9/17/2021 Peyer HeWlas N0APp0Ml9B56 Requested by CaNwn.", Requestehemall [Gunn •rWNynn: rvyfE111Liupj RequeaRlspl:one numher 903d7E4t4IE OkmNer WunN nal Metli.l. Eenle, RtlIXT Gdtlen Lied FOB hOent Name ED pa N�ry ems. NFN Oaieolp9 TTMnenya. qee E UeeeNumher Cldm Numbr AaNenneMM.onee kNal-lmane.ln tS mD n.meae f�S B01202 EFff052]60 5 1aess EFWSD60 N ODWIM56 B/20/2OR EF]E06E291 $ 2 EFTUXU9i W 5 1,6 U53 F.Bend 8/ES/3@3 fF(W68]90 V12.531 $ Ila:.aGl fRW6B]90 Qcto19556 WOM00001955fi $ 193 V6 M6 romeWC Fwl Bend ]OTAL Ismu'Asil Is I,Ba].a5 Tobefifledaut pea-10aodlul CenMn Date ace-: e zazl Appreet"by, May[i MiflMc[ pate al[mmler. 9 mza prom Faat11 FMemd Totes.D G:Ytlen C:pM AmOunL 1, a]AS •pwNN TramkrO.Yve: Dateofmnafer. Fmm min, AmounC M SEP 0! Gil! OSWAW I saPeW Request for Transfer of Funds Tnnslea p: Oa@0.<quei[etl 8/27/2021 NTAOOXOWI)0 Payer NwIW 0.equeate6bY Caetlna)bpper Rel.l.le emit [IrgpperlrvNenonileal n[rll R,umtoYe phone numher 903d12da2] o4erl[aoreaunM Memorial MCG[are Center Eanitry 4mtlen C—I, nXa HIRE WRT Dxe oeurNee U. pn pp[ Yarme^L $wnr n eNum mNumhor .rab�r.eae.e. n.nx]]xx.xa e.l byWRaamun B 1]/2021 EET6051]fi0 5 90.961 EET6052TE1 NO>R0.'VOIBI>0 5 9.96 So WutXwamn EFT6WIM1 $I1,6W.551 EFifM"o 5 4MAI&SOIwa I.. Wvt xvutlan U252021 B/]S/3021 FFTGO6B)90 $ IdE 9M fRfO6BM0 NV RIa18170 NOPPCCat181]0 5 NI96 Solxa Wul Noup9n rOTrlt 51],99]A51 5 4Ba).95 iO he Rlktl puthy MomatlslMetlkel Qnter. Dite RBRv g ]p]T A9pbvN by MaVra Martlner Oateoflmmkr. gytl71023 Romy[YIM ¢ra Wesl euXm l9 Fatlllty. en Cue RrWerrL5 IX47A5 rra9uevb TReYn Yneet Date nmm�aFer: Fmmhafily: rofamlly: 4nWnD — SEP i / 4,10 CA, *RQJI�21fl oaYRtyueehtl 91121 parr MECICAPL Relueflld b, WHELARENA ftmertm4emell Repuearpel phone J.a jZilWscanvv llae• number 11}IIh.53W ObbiRar.un, ORAWmn Iad� T.Su.v u,W , e6wenuerRmm I Request for Transfer of Funds Trdgek•p: pits Requested 914 Pryn MEDICARE RequeCMd ky. RA1HELNRENNAS Requctureemall 1.„smu Requestars bate number 11311653W plsmnartrounry BRKDRIq food" TUXIINYVIWGE end We RBmXMMe/dvketP: a nee wn me mmn01Pm9mm[mdar Paebn[ it ®� Dale ofYMa Ep DeNMn[ yvme T IMeY/EA1 IM.) ( aM1dmaI (Bmy Humtee Numhe[ MonneMeL[nHe w•a.eemhnea la pYDYBan �•[IB.p6 fl3p31 EFJ 5 EREp)C1G3 biRu WD/(VMp0.V0)95gp 5 M ¢ en Creek R.3LE3 En M 5 n]W Wp/mAdo ^p. 5 n3.m Golden CrceY 91)1 EFT S 49065 EU6W59E] ER6WR33 mo wwCVDMaW]195ao 5 aMEs GOWm G¢eY T. TO be filled out By Memode.11.1 Oe eReee e q 1p]I gPPr'I by. .—Y[i edlnee Del rPltnnel¢r: 9 8 3pEl FmmhdIiry: Gd en erte TO Fidift. NYVILUGE RmeunC 9W.]] .11 pate olimnEfer. n Emm ty: TBFaflptfib, Rmounl: nn�� OOPW Am ea CA"Mw x4mv!, IMAM ..,...... as _ 8/Exliaxl Payer Gale. RequeffeE bg Calrrna Xapper Rellegmeeemall [�ppller@1�eylunnleallh5_ .q.ter'e phone eumher e03 W) lla Ghll !.,.ugly Mamarial Metlkaq Cenln Fa o, GdEm Leek MAROOOOOMS Mevenee �mmeec a� non: y'nya9mm,mn.m aiatlente DMl if m,,l R Ill E YI IN T—ellaaemena ft "t $ (em's $IE.6FA.53) $ (142.96( m6Wall N.RC0.mms MARWCOOMS NOPRO00007985 Allan a, aagI lig,WaIll) !$ a00A6 $ 1.660.53 5 142.46 8/E EOEl 8/19/EOEl a/25/E021 EiTfO52r60 ER6061293 EFTW6879D ERE052l. e"GO 2.1 EFT6a69790 T..e,m 0e T.I. Vellee Tuscan Village ttITRt $ 1.9<)A$ Tube n"Ideut M<Ta:iel Metlleal C..ler'. all Me : E E ak,ap.etl ap Mayra Maane) Wte OlrM1eok: 9 2DE TeFa oilM: lmvv hge m grinry: Gs ago.m: !sagas R.9emta nxr— „ ea Dateultraec r, rmmFlLillly: ra Faelllty: RTOYnt A PMUTIN Iv Kp i / a2i +6vrnrrrtq, c.=a3.c+� xmh+rRr, rtr, t�+ PAYEE GOLDEN CREEK AMOUNT $1,225.99 TRANSFER REQUEST Date Requested: 09/07/2021 , s�vs a4� y2? � 1 2VI *&UPWAAWTUA CAS f"VmVL 'Tr r0 G/L NUMBER: EXPLANATION: TO TRANSFER $1,225.99 TO GOLDEN CREEK ACCOUNT FROM BETHANY DUE TO A DEPOSIT ERROR REQUESTED BY: Mayra Martinez AUTHORIZED BY: Image Report �`,vr•It PROSPERITY BANK' Front ABA Number 113122855 Account Number 217715505 Amount $1,225.99 Deposit Date 08119f2021 b � � LY E L'i s -•!w n.. r owe o.o C 9 V R a'Zr 11.5 l a'A U421511,3182 TOTAL❑ ,Me a.wr.ua wxpnvm nrcwm,gnurwrt oulgrooJ enwmm� IXf WIfEPMgWMpq. GAIeMIMMif YIJw. elegeumv,uapwae. f8e4n WYMi,P MNy •mO,i lMnutowlx xxi, MEMORIAL MEDICAL CENTER 102019 PROSPERRY BANK' NN BETHANY BENIORLIVING 916N WRaINIAST 11SNVIRMNAH t y y 0ORr"V4CAe HK"CENfEA d ` (1 (L �• p V�,,Y 110>K.HICHNgYgS•PoPIUYACA,1%'Ilpf45102 �•DD 1 f� or 1 a 1n.s¢ngtt xxw;e,peArye,Rv,e.aam PORTIAVACATXT 9 1:i13122655t: quwmwxwawrn>,Yeuga,mrgnum�m:owe.n. aw,«po,neanuu.xacwrgi.,�o.ro..wsm.nrm�aw•.�wroa��.uccwogw.mw,nwJresw.xra�wwain. Back Front PRD6PERRY9ANK MEMORIAL 191467 M$DICAL CMTMR 1ra1 Operating N. V"gl St. Part LBVeCa.7X77079 • 11916 193467 DATE µOUW PAY . IDM ThOueand TWO Hundred Tvenq.FIVO DOEAM end NIRMY-Nina Cenb OB/11/31 21, 229.99 T07NE�' ..GOL1)$R0868K R$ALT$CAR$ ORDER' 2100 DOVE CROs$INOLN OF NAVA90TA, TX 77868- 9247 ' i9146We-1: i 1312 26551: Back Memaral Meal[alt,m[r WrAnl Name UPL Wm,k1,Qnlen rr,mtler Pm,P..k'F¢pune, 9p/3ai1 r,nm X�M„ "�"" .n .{,•uMW rSNrt 1 t^xW Y..oxu Ynauun„uxwy _ )M.MIW ILl M ,a',G lllal.li u..eae.Nna laoro +n.m.x.wFwr :mudK �i Mai.l.«arr i5.4.nrpj5 • Main, n.Y,w«.Lm.nu awd 4 ✓ wwnMn Rw w:wm.mlm�In,u,Ynl l,.lav, l/ J,,.M>„ _ ugao.,, i'Saw [a ✓ N. w n.la BMr Ba4nre M.,]n� 4rnM,r4nm 10W M,Ilwrnnm„Mexalw4elEW <rw Id„a { Mmlannr•inwewdwMM[ ]/]N61� n e.]s5,10 M mNminun,,..r,..l] MNwun M]NOI111<�� ,mn•xynvrty Op> 113)If > •• M.M.,. v11..11, er 11.;1 v waummr ww✓ umwr ,dmwn.m..nnnwl ,ua.n� / Mnl nrunae ISgS,M Ya•uMWa IWM MM nw ra WlpfXGRp LM I,S✓ nr. .aa Mrmwwawl.M.n. l,,.nals ass)nd14 M a4raYn.�.xMl. m.mnl,.rn ew„✓ M.Iw.n 4Mr MYwNw� ww1�dl4 «Ow 0pt{liSSff WW.MFpIM lIl5H0 Mxb,n.,wMrm.q, SOI� IHYINrt:IYI fM6 rvpwnMM , wmneGl Fal , I�, rq g1P99P VQ -19 q�"I• ISel.,l e%,I,:.,/„�„ J w]S,ea � >w,IP.. �, �8 .. SPe„ro [.e4w..xnw Iwa Ne Nf'ra,IwwM Id,l,S� anw�amMM[ ,.1 ),.Iv Q,4 n M.Ou,.wrn—'1w4m . a5)Jl� I.'"; M ngm1.wY.,,il MN6 4MIMn [e151 OI3 px."mm-NMn II.aWJtQls N e1,r a),9wd� M.M. nalwa,4mwu np aRYR r,l✓� M.IxRMn cyl•a 1 4nr,nanna.x�+n -ay.1Ml �I S"p1SiiZQ31N. a'' iaw,sl �a.,esu�:.,u.l � ua]ww / a»,rat. y"�, Ip"I Q. LI �"1 uarwM i/ u n.MYxn. ImW Y.tllannn,nw.n.[4<plpgglR ,.,5✓ n. wiM1, 0...rntmr „IiIS Mgryn.n.gd4lnwni nal,CIS nyq..nr.n.wlMo,r,,,.,1 09M� 'Lmual yyy *yny M van •• M.ax.rn.r•r..n..Nwu4•m S CIS SEP 14 > 0 1 Mein YFw. n5 odl4 M, p�j 1 2921 MCG.wu]1.11 ry SI{AIV\Lt) i 4. , 8 l� C n I �! r T Imnxn,ur - Mwixn.w Ian �1=IBP�A4 4 7 ' ) 5 o I,i 20>94'i 6t5 r JM 11S,1N1•�Gi q,++IMMMw w,nau l\xxWxl4,unJmWivn erannfumm,mrv4un. w.a.�xxurl ranlnfu vlallmh, I:IXN WeeMITU.OIHISUn CCtPI6a6 W6HMRCIM1W11fePHM`HIXX&IR NeY'nI0 RJ 6LF] IXm96]liH1a MM[PplbbN _ 7 a 4 `-Su",/ J"-i ` OIINYmw _sdlf •+ ILLMt5C4d3 Ipb]LLb Npp/Wmpl OIIP/Cemp2 pI1P/Camw 6Yne 019PT HH PORM1OX e/30(EO3I YMC COMMVNICRPLXttwMPMT74600H11930CN 1}Ep6R ],IW,(t B/H/ma nOWAS OLViwNNCCUIMIMI6r54234M M M ],M138 TXMXR 1(iIWI A66]d.=M - STA 3.. I'm 9/1/IOEI WMEWTP(NIORDNEALiXGR(C(X)EPlrb 11AI19A1 9/1/30El YNC COMMYMITRIL XIXwMPMT HORAWMA M. E.E1191 LHZ.91 9/]/10E1 YNC COMMYHI]YPLXCCMIMPM1HAM M I1UMNk) IM,H 110.36 4/3/1011 YNCCOMMUNIIYILMLAX4 M11MMUM111W03 LA15M LCH i3 }M,fWAI 24.315,15 ✓ 14.111,11, MMC PORTION A 9i�Fr ''M1v="q�'0' CITj(wnw s, y... .NTA"IMmMNIXM.IR0 ALU: '� Innx�nwl nnYnM r Wppffnmpt O11Pj(nmpE OIPp/Cempf iUpY 91PPi1 HMpbMNON x MM/}O31 M3N40UHDNRMHFIHf PMxf OppNWNW138L1 3]O114 M30/I031 HWON SOWiwXNCCWIMPRITTIM1142M)HA 6,]31M A."110 14 b, 19. e/AA MUMMIACNPOIf6HCMIMPRR3901619ED]001M) 1.]D.W R"M <UM M[<ullevMi I906I1111IXW]I ]RAW / }8Oy MIAMI6 UUAI M3M10E1.MOM30/W00f ..... _-.. - :,I4W (f .. 13M 9N3011 CNue 4ul.41 - GLTNUR(CCM(R1111 9p/Ion ]6,bL49 UMUdHa ilh—H VNLRIX lH3M IpIISA2 So,MXXT WILUTRNCCUIMIMIMKOMtI 9/3/2 NOVXPSSO MPMT6 gAAMt � lIlA3 .IIOH.UHU "ll10]M169 9/IAM NnIWXnINun NCCLLIMMIMT 1CVw111H1M MINI }WAY 3WW 9/i(16E1 MOVfrMfOIVNONNKMIMIM161635)p30(YVMO K.W. 10,61116 / l 31,Mf.66 11,12R6} 1] 1 MmeI RN 11 P "I L.I ,` .,�.,,,, .. .. lnnn.,.bu L J^MlnM drolYmpt MrP/Comm OlyrlMmyf iuou oMy rl AN roHiwN ITM, MItkiupmz unlU6wxMuu xttwM9PMt M6WHll lzefu - ll,MaW SLMO.W 50WrwX NCCWMIMCbib)UIEWWHO LH914 % },liIll wala tN0VRM M31/2021 NO WASMILUNIf _ T 9ld Pa% r 1.26 NxCCWMPM909"MCMOM0119 e/1:aMI HUMAN A3E].13 Ai3if1 HUMANA YH,Q MPMMTVKN AMOK 6 � 1.19121 b,t9E21 COX O MISHCC MIAMI NVMMACIAWfi - pw,63 ISIMIMMT 9100W1}WUN910 W11202I 6VIA.:.153 CUIMPMT I669Cfq]591fttV'1149P95 1,30E.1] %ALI2 B.Milx Mmb}I'IHI- WmgEpMGXTIX RECEN1 61S]OS] 1WROMITH MATTI HI 1PR011 HCC4WPMrr3IM6 TXK 96GW 160IM HUMAN, CIMD 9/i/}011 NVMAXACXA 06B KCUIMPMI390IM41W W M16 4 MAR 5.]61A4 } Y MMCPoRIIOII 3iY�*kL. 4;J'. ` 8g}p a plpP/umw •q . , !, �_ I, .�: „ 1nn�I R.Y{1 Tnmfn-n WPP/bMl OMP/C0mP2 0.1P P((ampl fYpq appn NX PO0.110H e/1OMILWHIMACPwt 5.6( I/3w.11 UNCCOMMVNHYILHttWMIMi MW IR0W3RI111 ]6]I 9O1 RI .1.1 6.IZLP MMlml NTREOur CANTERHEAITHaRECEMlM m TITMM 0/11Nl VNu6NUIMun NfCWMPM}I46011LLalHIs1 i1g30.W U.3M.W MA OM YHCWMRUJANY1LxCgAVAMT]16W34111IWW _ 8.136 ]9 g136.I9 3A511.14 / MIIOM E28W1( MMCPYPIIg1f ofro/I—w NfM""wsk.' .,_ - Tn� ryp�.r, aPP/cenel t ww/w,.PpIPP/(nlnpiYPu proT xxpoMn6x 9/30/]Wl NOM9Af 3OLYHOX X(C4IMPMT6)63Mf}0000130 },q};l , E,W i.]l MM/2053 XYMMUCN.1 O06HCGNMPMT 19W 6}qW Wl]0) 3.OEAR S.O g31(10/1�.6(3Xli dpFM'01 ,... i6S3 IRA Mll/I0E39MIMbdNblMl]ID MXS PMM WCAWENE/11 1b.13115 16,1fiJ6 1 CY,1}91 A]]Ll] 9/MSW1 WIP(OVf UX1tR111pf111CgRECENIE0.[111 SAA Sp55J.66 _ , 9/1ENI bWMHn111Ann 1,Jg0M >,Y9p.00 HCCIMMPMTW&M4I11MHC NCCUIMPMrHWOHtI M13M 6.9JO.W 6,9)O.CO MIATI MiWHnxhlan 9O/M3l ORP0111 6.6W.W AKO,W 9/3/M]E UXCCOMCI MIIYPRIlC MM73ING242 s,mn s,n1.lE 9)l/l0]3 NUMAl1ApY06B11CCUIMPMU9W6S 116MOH]6 I IZZO 10.931.]0 - M,9RLI1 � 11,}PEA 6L]419V - (L}(I TOTAL' I531MILM 16ArtA6 H6A191% 9/7/2021 Quick View Select Quick View Accounts Account Number Name Account Type _ e Treasury Center Select Group Groups Add Group 1 VDA Data reported as of Sep 7 202* '4381 MEMORIAL MEDICAL $5B,144.64 $58,144.64 $58,144.64 $55,959.0 CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $65.467.38 $65,467.38 $65,467.38 $54,852: BROADMOOR '4411 MEMORIAL MEDICAL $75,037.06 $75,037.06 $75,037.06 $69,772.E CENTER I NH CRESCENT '4446 MEMORIAL MEDICAL $50,256.90 $50,255.90 $50,265.90 $41,819.' CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTERISOLERA AT $154,760.69 5158,702.69 5154,760.69 5131,394.0 WEST HOUSTON https:llprosperity.olbanking.com/0nlineMossenger 1(1 Memorial Medical Center Nursing Home 11PL Weekly Nexion Transfer Prosperity Accounts 9/7/2021 previous Acwunt Be9lnnlne Pendlne TodaYs Beelnnine Awd,n, to So Trmdeved w Nunin9 Nunin Hber Balarme ranefer.0al /iraufanln Be eels S6,9B3.36 IB67W.U3 / Sued's - IGI,S17.42 Bank Balanw 161,517.42 Home 13a,2dA.39 Vadanae Leave in Balance 100.00 6pueNor QIPP 92,Sd3.90 e/ Medivn rcpeymenf owedw MMC 2,SE6.19 Mettler. repayment awed to TuwanY 4,5+'xfr,31Bi-u. 5 Meetleh repayment owed b Tuscany 9.7.21 907.71 ' y sydlme repayment awed to Bethany 607.41 More. Ont hWanwso/over$$,WB wNho those nrd fo ahenunin96ome. Mare Z each aaaantdas a bare babnoe 131M that MMCdeadshad 10 open pwpunr. SEP I I 2V1 JI,IRYL}R An- WwkIyTMmmaWN UPtTnnerN WmmaM7p2316plembwlNN U,,Mmrerwmme,97.21.dm dULYVeTcREST 26.48 AUGINTFR95T 10.27 SBPINTBRBST Adlust Balan[eJTranefarAmt 138,2M.1s ✓ Apamvad: lawn gnelln, CEO 9/712MI MMO VOMnON apf/fw0.4 H avrn Ar1 �0I N 9/Ux011 ML, ;)3LIl 9/1/]N]I WIAEnUiNIXMN M[6InIR)GOIUFXfflfff ];ff409 9/!NO$I �cNA MCCUIN,OMI ISBxO1H60910'Jrol]I3!]9i x0.33 90.33 9/l/3011 fA0tlnFN+nHN^ffmr3lENf9l911W1W]E63x 35.3ix,]f 19,tp1A1 9,f1391 ];HI50 i.i11.16 e/N0]I EYx/i]MN410.4 Ill TMEACMl9f36MS$gl 9/]/30]1 GUIOfNfAEFYNfaIi MFRCO10113015A 51ro]0{xa3 L1]3.{0 1,A3.E0 9/1/3021 hpoXf x;3eW / W.lfl.l6 ! 61.YM.a H.MSIt lAli9l _ __ __lum 0/7/2021 Treasury Center Quick View Select Quick View Accounts Account Number/Name Account Type Account Number Current Balance Select Group Groups Ado Group Available Balance Collected Balance as of Sep 7, 202, Prinr r}av Rahn, https://prosperity.olbanking-com/ontineMessonger 1/i Memorial Meoital Center Nursing Home UP1 Weekly HMG Transfer Prosperity ACCOUnts 9/7/2021 vamiom awuM eaRhmnR AndinR Ameum roRt xuMON I Balms mlerout {mhnln .Cbtlema Orpnna r Imrdm 6Bgp&ATBPN(Y;'PalhhPiy .,, .. t I15.Et9.fi0 IS.BSI.R] 10Yd00.» 193,)N.30 f Dunk 0alr,. ]B9,»B10 Yana Lravt in BBlanw 10..0 ECHO CWMPAWRNhTO NOW lR.Wz.0 3PEMOROP/ 19.2SSA9.j/ 1OLYINRAW 1101 ✓ AUGIH.RF9T EEPIHRRCEI r/ 4djutt BJmce/Rnmlef Mnl I,JW W F.h., Aatune &YhranP Rtee 6S4f°'9^� . (entl p.r.p.eAy.p, TArmanotlurnmtwd 0rlIwIIePln 130A9E.68 39.350A) J MASS% ;9.243.64 Van. ru4.. 3945,51 p4nn leaveln MNna 100. SU "M) J5g 6 d AuSIMcINwr u3 J SFPINRRF9T f ndlvrt Rahnuu/rnMarArol l9.SIS,N t// PmNNatilmmndA./ fi.wpynrcFtsse TOTAErmssHmsLL {I HIF NWRMfylNonm eJevp55,OWwillEmonr(mHfmMnuningYemt Nmt):Ee[bv.mun[hm aMraYabnwe/S)OOIAIIMMCdgwaiharopen eaww4 P fwed ]Man An{IIn.CFO B/)/SOEl SEA 1 f 2121 CiA ..**V ryV,M+),cWy" u\nnwnsNrnnnen\xx urlrnmhrsummanuonYewemeerVm uvunnmrsvmmaryn> saw TT link , 3 1 'i rnm6er.ope BA012021 HNB-ECHO HCCINAIPMT E4600941f 44NNnsm 8/30/2OU IINB-ECHO NCWNIPEAT 746N3411 "COMM5909 8/30/E021 HNB-ECHO HCO3HMPMT746N3411440N@85909 8/30IM21 HNB• ECHO HCCUIMPMT 346N341144000GMI9N 8/31/202 "NS- - CHOIAC 8/11/2a]3 HNB- ECHO HCCUIMPMT)46003413 MONN21245 8/31/1031 HNB -E[Iq HCClJ%IMPW 6N03111 MON0311E95 IIC 91112021 WIRE DMIECHO 35,0216] HO LAIMP T 9/l/2021 HNB-ECHONCCUIMPMT)46N3411NNN359TT4 9/1/2021 HNB-ECHOHCCIAIMPMT2461*341144000E50774 9/1/2@3 NNB-ECNONCCUIMPM1II74600341144(0N350776 MOH CWMP 1638861163314NN23M03 . WZIIM:4B-E 9/E/2N5 HNB-ECHOHCCWMPMT046N341144NN282215 9/2/2Nl HHB-ECXONCCWMPMTT46N3411446N0282215 9/2/2N1 HNB-ECHO HCCUIMPMT M6N3411 MOON2821i3 9/2/NRl "me -Kilo HCCIRIMPMT)46N3412440MU2231 9JVW21 NNB MT 346N34 E 215 9/3/2021 AE AMONCCWIM MO SlOO lO4di 1 HCCUIMPMT]922093)905100EM493 II-ECH 9/1/2021 HNB-ECHO HCCUIMPMT T4600341144000021N93 - 9/3120E1 HNB EMU HCCUIMPMTP46N341144NN3 9/3/2023 XNBECNO HCCUIMPMT )I6N34114400N2M1S216t93 9/3/2021 HNB ECHOHCCWMPMT246143411440000214493 - r & i/93Ma`p3d.019 M4ouni ). .,,. 9/112021 WIRE OUT HMG SERVICES, IIC 9/3/2021 O9paNl MMC POROON NH a r• n OIPPtteNpl wPP Campx g10P/CRmpi wP I EH. 4d wPFT PORTION 1174 12)4 E9049 - IN89 19M - 29.01 9,8%.a] 0,896.0) $53.36 Zl - 513.36 l2193.)I- 13,71229 1,45436 - 3,454.16 623.93 - 623.93 51.89 54,39 2g8)9A3 I1,629:43- 3.Z54.011 tl.293A1 1,611.N 913AS 91365 113.61 11761 17,813.07 - 13,1113.03 MET 35001 11,222.15 11,722.15 1111.00 - 1,113.N 254,89 - 2A.69 4.091.4% - 4,08149 5,636.0) - ss3fi0 6801.82 geB1AI 191xt6I JiN.100.x) a],625.t3 3.1S4.N 1A252EE 61A4784 MMCPOBTON 0jFpfCpmp4N NM Tr.p43n-UV3 T n43exln wPP/Camel glppjce 2 gIPP/Cmmpl L. wPPT I PORTION . e.. G03---. _ 6di IN,89E.69 39,3a3.64 39,243.64 r 11089ma /39250.1) - U..23047 MIMES 139.550.]4 lmzs5 _ _ 3.IS4.N 19.E5243 120E911.12 9/7/2021 Quick View Select Quick View Accounts Account Number / Name Account Type.. v Account Number Current Balance Treasury Center Select Group Groups Add Group Data Available Balance Collected Balance as of Sep 7, 202' Prior Day Balanc *5441 MMC -NH GULF POINTS PLAZA - 539,365,51 $39,365.51 $39,365.51 5121.E MEDICARE/MEDICAID *5433 MMC -NH GULF POINTE $199,728.20 $2'13,648.05 $199,728.20 5780,873.E PLAZA - PRIVATE PAY httpsa/prosperity.olbanking.com/onlineMossonger 1/1 PmfperiW Ftmun6 9/)/i@3 M1•M•n Mavn11e4 \m\vN MpnmN hn•m\ mmr. x.wn x.m x..s« 1«. - i«.e.a. wnn«n mv./«w m �x ryvms rr .. nM• \Y . wn .m. . ]EI}f]A) 31S6f063 4.16.]6 b.)]e.11 eI}q}1 6).Y'1.11 ]�• b.Ne•4rce b}56.1f M..n\rourmiran aen.uo S .pn.nl.'MISMMC i.5ie.19 S M.IIu,I n•P.Tn.nlotM.o Nle•n] µl} l W11e.nnl.Pn.n..wb•.40103NeR(Fi f.e.l.3� Ne1wILY•nu/Inml«4n• 6]J\1l1 n../awrf; m]wlbemiflmllom•prvnPr+�^e • m.M 9nnvu M.«3,lMx.e.nlbuee.«3✓vw NSIWPaf «MC hyfun/mepnorrtvni. IMn M{Yn. f{O �\Tiln� Vl SEr 1 tsepw xmmesty x 8/3212021 Added m Amount 9/31/2021 NONITA9 SOLUTION HCCIAIMPMT 676201420000189 9/112011 CK1050 9/1/2021 WIRE OUT LINBAR ENTERPRISES, LUC 9/1/2021 NONTAS SOLUTION HCCLAIMPMT 67620142O000169 9/2/2021 NMFAS SOLUTION HCCW MPMT 6T6201420000ID4 9/3/1021 Deposlt MMC PORTION plPp/Comp4 TransferOut Transler•In iqlpp/c.mpl QIPP/Comp2 PP/Comp3 &lapse J NH PORTION 18.62 18.62 • 1,137.80 1,117.60 8,731.17 205,939.45 9,344.18 - 9,M4.18 12.241.25 - 12,241.25 41,724.91 41.219 91 9/7/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number t Name Groups Atltl Group Account Type IF 202' VILLAGE ,/ aruliM.1/ $26,643.2 https://prosperity.olbanking.comionlineMeasenger 0 1/1 J r I Memarial Medical Center Nursing Home UPL Weekly HSI.Transfer Prosperity Accounts 9/7/2021 PJJYppr Oendlnl AmawJtpee AJWnm BednnLM MJdlun inntlmedfP M II ! ••—•. Br4 ! f t 1 Ckmd Re • rnJ T JBe nnM YLn[e e ...... .7 17- 14p.44E.49 1 p,Kf.1B ✓33P,R1.61 ✓ E39.B9i.1] 33� 0303 BmI BJhntt 339.B9112 r/ 4JIIlnJt lsJwln NM[J T—lic, 10 G.C. lvr d<pcullmer ,:No 123.H✓// IuCv:.TER ) RSl y AUG .1mr. ! nA3 SEP Grum T GdIulBYmaRnnil Aml 33B,QI3A9 ✓/ Nvfd Q'llYbvlPMd gev[r Sf,FOOwNI b<naro/medee Ihenurrinvhxn<. OR...< d, HOIel: FaAo[rounJbvry buvbNvn[fv)fENIMf m,AC dJpafilnfloapenv[Jvun[ IJJvn MBIIM1 CEO 9/)/EpiE SEP I_ 1:1HH W~r.nMn\eN pvl Tnn:f"SummJWMQMTpkmbeANH UDE)nntlx Svmmuy9.Td1Art I I e r ,4 i �i ,b ., .Si, I q mt. p B/38/2031R^aapotlt 8f30/1f111 0aPo41 0/31/2021;Pgtled to A Iftt:< 8/31/3021 aepom, 9/1/2a21 WIRE OW BETHMIY SENIOR LIVING, LTD 9/3/2021 OeFgLt 5/1/2021 D4po.1% 9/1/2021 Depatit 912IM21 Deposit 9/3/2021 Deposit 9131=1 Deposit 9/3/2021 HOSPICE OF SOUTH Payments NF 1131226SM2010 MMCPORTION QIPP/ComP4 lysifee{W3 Tnnfifes•In QIPP/COmpl QIPP/Comp2 QIPP/Wmp3 Hapsa nip," NH PORTION - 15.858,01 - 1068.03 - 6.aMA9 6,0M.49 .. r. 22.53 �'�..- nm 1,922.92 1.922.92 160,495.38 - - - 52.387.02 - S2,303.02 - 11.627.20 - 31,622.30 12.54900 11449,00 7,583,04 7,583.W 95.45355 - 95,453.55 - 24,445.30 - 24,445.30 1.700.53 - 2,790.S3 r r n 917/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Add Group Account Type `5506 MMC -NH BETHANY $229,894.12 $229,894.12 $229,894.12 5108,196.7 SENIOR LIVING I , . Q 1\1111Iv. NA I'-) f i L 11, 4 E'. D ',r C'A L CE IN, 'Il" U MEMORIAL MEDICAL CENTER 9/7/21 A FOR ACCT. USE OHLY �[n P, est Cash2621 1 [ L lPleturlChef;ch, W OLpi A M 0 L) .\I T $32,541.90 10255040 FXPLANATI(Di%': SUPERIOR JULY QIPP PAYMENT �OtAqn ...... . ..... ..- Ma ra Martinez ------- ------- F, A NAEMORIAL "AlEDICAL CTNTER MEMORIAL MEDICAL CENTER Dal,- 9/7/21 SEP V 21211 AMOUNT $19,252.43 10255040 ---------- --- --------- ---- ------ -- ---- rX PLA t,.,Al'!O N: SUPERIOR JULY QIPP PAYMENT 0 ---------- -- tO Eiv: Mayra Martinez =77-- '=7_7--.- 7