2021-09-15 Meeting MinutesCOMMISSIONER'S COURT — 9Z1512021
Richard 1-1. Meyer
County judge
David Hall, commissioner, Precinct l
Vern g,yssy, Commissioner, Precinct 2
Joel ]Behrens, Commissioner, Precinct 3
Gary Reese, Commissioner, Precinct 4
Karla Perez, Deputy Clerk
p 7�7 COUNTY REGULAR TERM 2021 _ § SEPTEMBER 1S, 2021
BE IT REMEMBERED THAT ON SEPTEMBER 15, 2021, THERE WAS BEGUN AND HOLDEN A
REGULAR MEETING OF COMMISSIONERS' COURT.
The subject matter of such meeting is as follows:
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.
Introduced Karla Perez as Deputy Clerk of Commissioners court
5. Public Hearing regarding a Petition to Vacate Outlot 2 in the Hull and Zimmerman
Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales Survey,
Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the Calhoun
County Deed Records.
Commenced: 10:01 a.m.
Closed: 10:03 a.m.
Page 1 of 5
I COMMISSIONER'S COURT 9/15/2021
6. Consider and take necessary action on a Petition to Vacate Outlot 2 in the Hull and
Zimmerman Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales
Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the
Calhoun County Deed Records. (GR)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: I
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
7. Consider and take necessary action to approve the Preliminary Plat of the Pershall
Subdivision (a replat of Lot 2 in the Hull and Zimmerman Subdivision). (GR)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens,Reese
8. Consider and take necessary action on a request from the Calhoun County Fair
Association to obtain a permit from TABC to allow alcoholic beverages to be sold at the
2021 Calhoun County Fair (October 12th through October 16th, 2021), pending proof of
liability insurance. (DH)
RESULT: APPROVED [UNANIMOUS],
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy,_Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese,
9. Consider and take necessary action to approve the bid package for Drainage and Sewer
Improvements in Alamo Beach for Calhoun County, Texas under Texas General Land
Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract
Work Order No. D-1 and to authorize G & W Engineers, Inc. and the County Auditor to
advertise for bids. A pre -bid meeting shall be held 2:00 pm, Thursday, October 7, 2021.
Bids will be due before 2:00:00 pm, Thursday, October 21, 2021. (DH)
Scott from G&W Engineers spoke on this matter.
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct i
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens,, Reese
Page 2 of 5
e
I COMMISSIONER'S COURT —9/15/2021
0
0
10. Consider and take necessary action to approve the Calhoun County EMS Charity Care
Policy and authorize the County Judge to sign. (RM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Vern Lyssy, Commissioner Pct 2
SECONDER:
David Hall,,, Commissioner Pct
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
11. Consider and take necessary action to approve the Job Description for the County Court -
At -Law Administrative Assistant/Court Coordinator. (RM)
RESULT: APPROVED [UNANIMOUS];
MOVER: David Hall, Commissioner Pct 1
SECONDER: Joel Behrens, Commissioner Pct 3
AYES. Judge Meyer, Commissioner Hall, Lyssy, `Behrens, `Reese
12. Consider and take necessary action to amend the 2021 Salary Order. (RM)
RESULT: APPROVED [UNANIMOUS]''
MOVER: Vern Lyssy, Commissioner Pct2
SECONDER: ' Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
13. Consider and take necessary action to approve the Final Plat for the Chocolate Bayou
Subdivision. (VL)
Terry Ruddick from Urban Engineering spoke on the matter.
RESULT: APPROVED [UNANIMOUS] '
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pct 1
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
14. Consider and take necessary action to approve auction proceeds of $10,110.00 to be
deposited into the Sheriff's Office Vehicle Maintenance account (760-60360). (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct4
SECONDER: David Hail, Commissioner Pct 1
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 3 of 5
CO,MMISSIONER'S COURT —9/15/2021.
0
0
0
15. Consider and take necessary action to declare a CP4525N Printer from the Justice of the
Peace, Precinct # 2 as Surplus/Salvage and remove it from inventory and Transfer a
Fellows Shredder to the Sheriff's Office. (RM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Vern Lyssy, Commissioner Pct2
SECONDER:
David Hall, Commissioner Pct 1
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
16. Consider and take necessary action to accept the attached list of donations for July and
August to the Calhoun County Public Library. (RM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Gary Reese, Commissioner Pct 4
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
17. Consider and take necessary action to declare the attached list of items from the
Calhoun County Public Library for July and August as Surplus/Salvage. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, 'Behrens, ;Reese
18. Consider and take necessary action to declare the attached list of items from the
Calhoun County Public Library for August as Waste. (RM)
RESULT:
APPROVED [UNANIMOUS];-
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 4 of 5
I COMMISSIONER'S LOUR--9/1.5/2021.
19. Accept reports from the following County Office:
i. County Clerk —August 2021
ii. Justice of the Peace, Precinct # 3 — August 2021
iii. Justice of the Peace, Precinct # 4 — August 2021
iv. Justice of the Peace, Precinct # 5 — August 2021
iULT: APPROVED [UNAI
VER: Vern Lyssy, Commi:
ONDER: David Hall, Commis;
S: Judge Meyer, Comer
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)
MMC
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy,.;Commissioner Pct2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
County
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1'
SECONDER:
Vern Lyssy, Commissioner Pct`2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Payroll
RESULT:
APPROVED' [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct I
SECONDER:
Vern Lyssy, Commissioner Pct 2`
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Adjourned: 10:29 a.m.
Page 5 of 5
#5
Richard H. Meyer
County judge
David Hall, Commissioner, Precinct 1
Vern g yssy, Commissioner, Precinct 2
Joel Behrens, Commissioner, Precinct 3
(wary Reese, Commissioner, Precinct 4
NOTICE OF MEETING
1ne Coffnrruissioners' Courrt off Callhonn Connty, B exas wi➢1 meet on WWec1nesciay `�J
Sep�teIInber 15, 2021 at 10:00 a.m. in the Commissioners' Co�nrtroonn in flee Conanty
Coaartllaoanse at 211 S Aran Street, Suante fl04, Port fl avaca, Cafllnouan Corxnty 7Cexas.
_.
AGENDA
The subject matter of such meeting is as follows: AT -�]� FlLEO
�w 0'CL0CKv.,1L_,_,M
I. Call meeting to order. 0 SEP 10 2021
2. Invocation. p Vk eY:COUNTY 0LEAV.N&?986N COUNTI, TEXAS �
3. Pledges of Allegiance. Cl12/VL
4. General Discussion of Public Matters and Public Participation.L001 r+ Reporter - K P
5. Public Hearing regarding a Petition to Vacate Outlot 2 in the Hull and Zimmerman
Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales Survey,
Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the Calhoun
County Deed Records. 10:01 10: 03
6. Consider and take necessary action on a Petition to Vacate Outlot 2 in the Hull and
Zimmerman Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales
Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the
Calhoun County Deed Records. (GR) GR
IJ13
7. Consider and take necessary action to approve the Preliminary Plat of the Pershall
Subdivision (a replat of Lot 2 in the Hull and Zimmerman Subdivision). (GR) i`
8. Consider and take necessary action on a request from the Calhoun County FaiGr IJ 8
Association to obtain a permit from TABC to allow alcoholic beverages to 2021 Calhoun County Fair (October 12th through October 16thbe sold at the
, 2021), pending proof of
liability insurance. (DH)
'�� IVI.
Page 1 of 3
I NO112 OF 2LLTI1V5")/i5/2021.
9. Consider and take necessary action to approve the bid package for Drainage and Sewer
Improvements in Alamo Beach for Calhoun County, Texas under Texas General Land Office
Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-
1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -
bid meeting shall be held 2:00 pm, Thursday, October 7 2021. Bids will be due before 2:00:00
pm, Thursday, October 21, 2021. (DH) pre•bld rne,2tiny , H
SGOo + (eve 4%ir%g wer+of (091SO �n commissioners Aor-
10. Consider and take necessary action to approve the Calhoun County EMS Charity Care Policy and
authorizer heVMiCounty
i Judge to sign. (RM) VL1 b1i
11. Consider and take necessary action to approve the Job Description for the County Court -At -Law
Administrative Assistant/Court Coordinator. (RM) t)N / jp
12. Consider and take necessary action to amend the 2021 Salary Order. (RM)
vL/ Gr-
13. Consider and take necessary action to approve the Final Plat for the Chocolate Bayou�
Subdivision. (VL) VL'DN ernl
14. Consider and take necessary action to approve auction proceeds of $10,110.00 to be deposited
into the Sheriff's Office Vehicle Maintenance account (760-60360). (RM) C:JIz / DH
15. Consider and take necessary action to declare a CP4525N Printer from the Justice of the Peace,
Precinct # 2 as Surplus/Salvage and remove it from inventory and Transfer a Fellows Shredder
to the Sheriff's Office. (RM) VL I D H
16. Consider and take necessary action to accept the attached list of donations for July and August
to the Calhoun County Public Library. (RM) Gp ka.
17. Consider and take necessary action to declare the attached list of items from the Calhoun
County Public Library for July and August as Surplus/Salvage. (RM)
DH1JB
18. Consider and take necessary action to declare the attached list of items from the Calhoun
County Public Library for August as Waste. (RM)
DNIyL,
19. Accept reports from the following County Office:
i. County Clerk -August 2021 V L I D
ii. Justice of the Peace, Precinct # 3 — August 2021
iii. Justice of the Peace, Precinct # 4 — August 2021
iv. Justice of the Peace, Precinct # 5 — August 2021
20. Consider and take necessary action on any necessary budget adjustments. (RM) GR 13(3
21. Approval of bills and payroll. (RM)
(,0UV1
DNIVL' DNIVL,
Richard Meyer, County Ju
Calhoun County, Texas
At. In:�q
Page 2 of 3
NUI!:f of 1\/ILCTIN6-9/15/?U71
A copy oft his 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 ite at www.caIhouncotx ore under
"Commissioners' Court Agenda" for any official court postings.
Page 3 of 3
j ('U)ULI( 'IF_Iei!\i(, /II, o,)I
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 PUBLIC HEARING
The Commissioners' Court of Calhoun County, Texas will meet on Wednesday,
September fly, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County
Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas.
NOTICE IS HEREBY GIVEN that Calhoun County Commissioners' Court will
hold a Public Hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port
Lavaca, Texas, at 10:00 a.m. on a Petition to Vacate Outlot 2 in the Hull and Zimmerman
Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales Survey, Abstract No.
19, Calhoun County, Texas as recorded in Slide No. 652 B of the Calhoun County Deed
Records.
Richard Meyer, County J
Calhoun County, Texas 4
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 ore under "Commissioners' Court Agenda' for any official court postings.
AT 9 - 0 06LOCK A M
SEP 10 2021
SCOUNTY CLERK, . MRSUPV COUNTY TEXAS
i
Page 1 of 1
Richard H. Meyer
County y judge
David Hall, Commissioner, Precinct 1
Vern Lyssy, Commissioner, Precinct 2
Joel Behrens, Commissioner, Precinct 3
Gary Reese, Commissioner, Precinct 4-
NOTICE OF PUBLIC LIC HEARING
The Commissioners' Court of Calhoun September 15, 2®21 at 1®:®0 a.m. in the County, Texas will meet on Wednesday,
Courthouse,
Commissioners' Courtroom in the County urtse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas.
NOTICE IS HEREBY GIVEN that Calhoun County Commissioners' Court will
hold a Public Hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port
Lavaca, Texas, at 10:00 a.m. on a Petition to Vacate Outlot 2 in the Hull and Zimmerman
Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales Survey, Abstract No.
19, Calhoun County, Texas as recorded in Slide No. 652 B of the Calhoun County Deed
Records.
Richard Meyer, County
Calhoun County, Texas
A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse,211 South Ann Street,
Port Lavaca, Texas, which is readily accessible to the general public at a)f times. This Notice shall remain posted continuously for
at feast 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at
www.calhOuncoc.. org under "Commissioners' Court Agenda' for any official court postings.
n FILED
�JIV ocLoc�.� �n
SEP 1 V 2021
COUNTY CLEliK
8, OA 8U" &NT>; TEXAS
( i a
Page 1 of 1
LII Agenda Items Properly Numbered
Contracts Completed and Signed
_ All 1295's Flagged for ceptance
(number of 1295' s )
V All Documents for Cler Signature Flagged
On this1UC day of 2021 a complete and accurate packet
for 154 of L4a2021 Commissioners Court Regular Session
Day Mo th
was delivered from the Calhoun County Judge's office to the Calhoun County
Clerk's Office.
4Caloun County Judge/Assistant
AT_ _ _ O�CL L ' M
SEP 16 2021
b0 TY CI RKN,NGALHl31� COUNTY, TEXAS
COMMISSIONERSCOURTCHECKLIST/FORMS
AGENDA
Richard H. Meyer
County judge
David Hall, Commissioner, Precinct 1
Vern Lyssy, Commissioner, Precinct 2
Joel Behrens, Commissioner, Precinct 3
Cary Reese, Commissioner, Precinct 4
NOTICE OF MEETING
The Commissioners' Court of Calhoun County, Texas will meet on Wednesday,
September 15, 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
FILED
The subject matter of such meeting is as follows:
nT� 6,cLocK— -_..—_�i
' / SEP ! 0 2021
7. Call meeting to order. qN p p pN
'/ C.'CL'cBK, CA�Hft77 �B
2.TY
InvOcatiOn. BY:—f
'3. Pledges of Allegiance.
General Discussion of Public Matters and Public Participation.
Cto
'"r Public Hearing regarding a Petition to Vacate Outlot 2 in the Hull and Zimmerman
Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales Survey,
Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the Calhoun
County Deed Records.
a)o o.,^
PConsider and take necessary action on a Petition to Vacate Outlot 2 in the Hull and
Zimmerman Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales
Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the
Calhoun County Deed Records. (GR)
7 Consider and take necessary action to approve the Preliminary Plat of the Pershall
Subdivision (a replat of Lot 2 in the Hull and Zimmerman Subdivision). (GR)
Consider and take necessary action on a request from the Calhoun County Fair
Association to obtain a permit from TABC to allow alcoholic beverages to be sold at the
2021 Calhoun County Fair (October 12s' through October 16"', 2021), pending proof of
liability insurance. (DH)
Page 1 of 3
461-�
Consider and take necessary action to approve the bid package for Drainage and Sewer
Improvements in Alamo Beach for Calhoun County, Texas under Texas General Land Office
Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-
1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -
bid meeting shall be held 2:00 pm, Thursday, October 7, 2021. Bids will be due before 2:00:00
pm, Thursday, October 21, 2021. (DH)
70. Consider and take necessary action to approve the Calhoun County EMS Charity Care Policy and
authorize the County Judge to sign. (RM)
11 Consider and take necessary action to approve the Job Description for the County Court -At -Law
Administrative Assistant/Court Coordinator. (RM)
12. Consider and take necessary action to amend the 2021 Salary Order. (RM)
`13. Consider and take necessary action to approve the Final Plat for the Chocolate Bayou
Subdivision. (VL)
t4. Consider and take necessary action to approve auction proceeds of $10,110.00 to be deposited
��into the Sheriff's Office Vehicle Maintenance account (760-60360). (RM)
i5. Consider and take necessary action to declare a CP4525N Printer from the Justice of the Peace,
Precinct # 2 as Surplus/Salvage and remove it from inventory and Transfer a Fellows Shredder
�to the Sheriff's Office. (RM)
I6. Consider and take necessary action to accept the attached list of donations for July and August
�to the Calhoun County Public Library. (RM)
ti Consider and take necessary action to declare the attached list of items from the Calhoun
County Public Library for July and August as Surplus/Salvage. (RM)
a/
18. Consider and take necessary action to declare the attached list of items from the Calhoun
County Public Library for August as Waste. (RM)
19. Accept reports from the following County Office:
7 County Clerk — August 2021
Justice of the Peace, Precinct # 3 — August 2021
!�/Justice of the Peace, Precinct # 4 — August 2021
iv. Justice of the Peace, Precinct # 5 — August 2021
� Consider and take necessary action on any necessary budget adjustments. (RM)
2 1 Approval of bills and payroll. (RM)
Richard Meyer, County Judge/
Calhoun County, Texas
Page 2 of 3
A copy of this Notice has been placed on the outside bul Ietin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca,
Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours
preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under
"Commissioners' Court Agenda" for any official court postings.
Page 3 of 3
Gary D. Reese
County Commissioner
County of Calhoun
Precinct 4
September 8, 2021
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer:
Please place the following item on the Commissioners' Court Agenda for September 15, 2021.
Public hearing on Petition to Vacate Lot 2 in the Hull and Zimmerman
Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales
Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No.
652 B of the Calhoun County Plat Records.
Sincerely,
Gary D. Rees
GDR/at
P.O. Box 177 - Seadrift, Texas 77983 -email: ¢ary.reesc(a)calhouncotx.oM - (361) 785-3141 Fax (361) 785-5602
PETITION TO VACATE
LOT 2 IN THE HULL AND ZIMMERMAN SUBDIVISION IN PORT O'CONNOR TOWNSITE
SITUATED IN THE SANTIAGO GONZALES SURVEY, ABSTRACT NO. 19, CALHOUN
COUNTY, TEXAS AS RECORDED IN SLIDE NO. 652 B OF THE CALHOUN COUNTY
PLAT RECORDS.
61&AAIEel 09*f_T-9
COUNTY OF CALHOUN
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, being the designated agent of the owner of the property described as
Lot 2 in the Hull and Zimmerman Subdivision in Port O'Connor Townsite situated in the
Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No.
652 B of the Calhoun County Plat Records, do hereby petition the Calhoun County
Commissioners Court to vacate said Lot 2 in the Hull and Zimmerman Subdivision in
accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational
Vehicle Park Regulations Adopted by Calhoun County Commissioners Court on November
29, 2004 and Amended on December 13, 2007.
Property owners: Larry Wayne Pershall and Tracy Pershall
Located Cemetery Road in Port O'Connor, Texas
The property is proposed to be replatted in accordance with a plat submitted to the Calhoun
County Commissioners Court.
The petition will be considered by the Calhoun County Commissioners Court on September
15, 2021 at 10:00 a.m.
AUG 17 2021
ANNA Goon 1Ad
cot"N rrr. cu it niNr�'re;��
Designated Agent:
Henry � Danysh, R.P.L.S. 5088
G & W Engineers, Inc.
TBPLS Firm No. 10022100
205 W. Live Oak
Port Lavaca, TX 77979
(361) 552-4509
DESIGNATION OF AGENT
G & W Engineers, Inc.
205 W, Live Oak
Port Lavaca, Texas 77979
(361) 652-4509
PROJECT: RE -PLAT OF LOT 2 IN THE HULL AND ZIMMERMAN SUBDIVISION IN PORT
O'CONNOR TOWNSITE SITUATED IN THE SANTIAGO GONZALES SURVEY, ABSTRACT NO. 19,
CALHOUN COUNTY, TEXAS AS RECORDED IN SLIDE NO. 652 B OF THE CALHOUN COUNTY
PLAT RECORDS.
PROPERTY ADDRESS: Cemetery Road in Port O'Connor, Texas
LEGAL DESCRIPTION: Lot 2 in the Hull and Zimmerman Subdivision in Port O'Connor Townsite
situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas as recorded In
Slide No. 652 B of the Calhoun County Plat Records.
This form designates G & W Engineers, Inc, as my/our duly designated agent, to act on my/our behalf
in matters concerning Calhoun County's review process for platting and variances) for the property
described above.
4OWN: Larry Wayne Pa h I
ayne Pe hall Date
Before me, the undersigned authority, on this day personally appeared Larry Wayne Pershall
known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged
to me that that such person executed `same for the purpose and considerations therein stated.
Texas
OW ER: Tracy PrphaI
Tracy Pershaff
�Ir� 1,;L I,
Date
Cn.
Before me, the undersigned authority, on this day personally appeared Tracy Pershall
known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged
to me that that such person execu�gd the same for the purpose and considerations therein stated.
this I %Yil day of
II"' ! r typed name
Texas 1/v`,'A. CHRISTpprygRMPAULseu
• e� =NUTARrto: 13093702-1
I, the undersigned Agent, understand and accept by authority and responsibility to act as the legally
authorized Agent on behalf of the Owner(s) of the property described above, in matters concerning this
properly. LO'Zr4==�e�
Agent's St nature Date
COMMISSION ER'S COURT — 9/15/2021
6. Consider and take necessary action on a Petition to Vacate Outlot 2 in the Hull and
Zimmerman Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales
Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the
Calhoun County Deed Records. (GR)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Gary Reese, Commissioner Pct 4
SECONDER:
Joel Behrens, Commissioner Pct 3
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 2 of 17
#6
Gary D. Reese
County Commissioner
County of Calhoun
Precinct 4
September 8, 2021
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
Dear Judge Meyer:
Please place the following item on the Commissioners' Court Agenda for September 15, 2021.
• Consider and take necessary action on Petition to Vacate Lot 2 in the Hull
and Zimmerman Subdivision in Port O'Connor Townsite situated in the
Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas as
recorded in Slide No. 652 B of the Calhoun County Plat Records.
Sincerely,
Gary D. Reese
GDR/at
P.O. Box 177 — Seadrift, Texas 77983 — email: garv.reese(iJcalhmmcotx.ore -- (361) 785-3141 — Fax (361) 785-5602
COMM ISSIONER'S COURT — 9/15/2021
Consider and take necessary action to approve the Preliminary Plat of the Pershall
Subdivision (a replat of Lot 2 in the Hull and Zimmerman Subdivision). (GR)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Gary Reese, Commissioner Pct 4
SECONDER:
Joel Behrens, Commissioner Pct 3
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 3 of 17
Gary D. Reese
County Commissioner
County of Calhoun
Precinct 4
September 8, 2021
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer:
Please place the following item on the Commissioners' Court Agenda for September 18, 2021.
• Consider and take necessary action to Approve the Preliminary Plat of
the PERSHALL SUBDIVISION (a replat of Lot 2 in the Hull and Zimmerman
Subdivision).
Sincerely,
F)C�0.R%,
Gary D. Reese
CDR/at
P.O. Box 177 Seadrift, Texas 77983 - email: Yarv.reese(@.calhoum;mx o -- (361) 785-3141 Fax (361) 785.5602
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i,RLS ORM NO,: 1O022100
(J61) SS2-A509: PORT LAVACA (979) 3D-1ID0: BAT Cltt
COMMISSIONER'S COURT — 9/15/2021
S. Consider and take necessary action on a request from the Calhoun County Fair
Association to obtain a permit from TABC to allow alcoholic beverages to be sold at the
2021 Calhoun County Fair (October 12th through October 161h, 2021), pending proof of
liability insurance. (DH)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 4 of 17
David E. Hall
Calhoun County Commissioner, Precinct #1
202 S. Ann
Port Lavaca, TX 77979
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Meyer,
(361)552-9242
Fax(361)553-8734
Please place the following item on the Commissioners' Court Agenda for September 15th, 2021.
Consider and take necessary action on request of the Calhoun County Fair Association to
allow alcohol to be sold at the 2021 Calhoun County Fair (October 121h thru October
16th, 2021)
Sincer ,
D
av 4E. Hall
DEH/apt
,,Calhou
Extensi
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�m
COMMISSIONER'S COURT — 9/15/2021
9. Consider and take necessary action to approve the bid package for Drainage and Sewer
Improvements in Alamo Beach for Calhoun County, Texas under Texas General Land
Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract
Work Order No. D-1 and to authorize G & W Engineers, Inc. and the County Auditor to
advertise for bids. A pre -bid meeting shall be held 2:00 pm, Thursday, October 7, 2021.
Bids will be due before 2:00:00 pm, Thursday, October 21, 2021. (DH)
Scott from G&W Engineers spoke on this matter.
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 5 of 17
#9
a
Agenda Item for
Commissioners Court — Wednesday, September 15, 2021
Consider and take necessary action to approve the bid package for
Drainage and Sewer Improvements in Alamo Beach for Calhoun County,
Texas under Texas General Land Office Contract No. 20-065-064-C182
and Calhoun County 2020 CDBG-DR Contract Work Order No. D-1 and to
authorize G & W Engineers, Inc. and the County Auditor to advertise for
bids. A pre -bid meeting shall be held 2:00 pm, Thursday, October 7,
2021. Bids will be due before 2:00:00 pm, Thursday, October 21, 2021.
(DH)
COMMISSIONER'S COURT-9/15/2021
10. Consider and take necessary action to approve the Calhoun County EMS Charity Care
Policy and authorize the County Judge to sign. (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 6 of 17
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#10
Calhoun County EMS
Charity Care Policy
Ambulance Supplemental Payment Program (ASPP)
Effective Date: 10/01/2021
On December 21, 2017, the Texas Health and Human Services Commissioner (HHSC) received Centers for Medicare
and Medicaid Services' (CMS) approval to extend the Texas' 1115 waiver program, which authorizes the Ambulance
Supplemental Payment Program (ASPP). The extension is for an additional five-year period beginning October 2017
through September 2022. The ASPP ensures that millions of low-income Texas residents have access to care.
The ASPP renewal will provide level funding amounts for the first two years based on the reimbursement
methodology that is currently in place. Beginning October 1, 2019, the reimbursement methodology will be revised
to reimburse providers for uncompensated Charity Care costs only and will no longer include the reimbursement of
Medicare shortfall costs.
EMS providers who wish to participate in the ASPP after October 1, 2019 must have a Charity Care policy in place to
distinguish the costs that will be included in the program.
PURPOSE
The purpose of this policy is to recognize that Calhoun County provides ambulance services to patients who may
not have the means to pay the ambulance transport fee. It is not the intent of this policy to provide charity care to
patients with the ability to pay or to patients who have Medicare, Medicaid or other coverage.
POLICY
It is the policy of Calhoun County to provide ambulance services to our community regardless of a patient's ability
to pay. Calhoun County maintains a charity care policy for patients who are unable to pay for all or part of their
care for various reasons. Charity care is only available for patients who are not able to pay for their care. For
patients able to pay for their care, Calhoun County shall require payment but may offer special financing
arrangements, including installment plans, with approval of Director of EMS. Payment plan inquiries shall be
directed to Calhoun County or its contractor.
GUIDELINES
These guidelines are provided to the contractor(s) currently performing ambulance billing and collections services
for Calhoun County. The contractor(s) may rely on these guidelines and provide hardship assistance without further
approval from Calhoun County. However, Calhoun County reserves the right to review any account deemed eligible
for charity care to ensure that the contractor is complying with the guidelines. Calhoun County may modify this
policy at any time.
Full charity care reduction may be granted to patients earning less than or equal to 300%of the Federal Poverty
Level (FPL), as published by the Department of Health and Human Services. Calhoun County shall rely on financial
data provided by the patient and may also utilize data from credit bureaus and other sources to determine if the
patient is eligible for charity care. If it is determined that the patient is eligible for charity care, Calhoun County shall
make no further attempts to collect payment from the patient.
Page 1 of 2
APPROVA
Name:
Title: Cod- Xv
Signature:
Date: 9-/5 -
Calhoun County EMS
Charity Care Policy
Ambulance Supplemental Payment Program (ASPP)
Page 2 of 2
COMMISSIONER'S COURT — 9/15/2021
11. Consider and take necessary action to approve the Job Description for the County Court -
At -Law Administrative Assistant/Court Coordinator. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 7 of 17
#11
Mae Belle Cassel
From:
clarri.atkinson@calhouncotx.org (Clarri Atkinson) <clarri.atkinson@calhouncotx.org>
Sent:
Wednesday, September 8, 2021 11:54 AM
To:
maebelle.cassel@calhouncotx.org
Cc:
Cindy mueller; rhonda kokena; richard.meyer@calhouncotx.org; David Hall; vern lyssy,
joel.behrens@calhouncotx.org; gary.reese@calhouncotx.org
Subject:
Agenda Item Request - Job Description Approval
Attachments:
Court At Law Admin Asst Job Description Eff 09.15.2021.pdf
Please place the following item on the agenda for September 15, 2021:
Consider and take necessary action to approve the Job Description for County Court At Law Administrative
Assistant/Court Coordinator.
Clarri Atkinson
Calhoun County
Chief Deputy Treasurer —
Human Resources Coordinator
202 S. Ann, Suite A
Port Lavaca, TX 77979
P: 361.553.4618
F: 361.553.4614
Clarri.atkinson(a calhouncotx ora
Confidentiality Notice: Privileged/confidential information maybe contained in this message and maybe subject to legal privilege. Access to this
e-mail by anyone other than the intended is unauthorized. If you are not the intended recipient (or responsible for delivery of the message to such
person), you may not use, copy, distribute or deliver this message (or any part of its contents) or take any action in reliance on it. In such case, you
should delete this message, and notify us immediately. If you have received this e-mail in error, please notify us immediately by e-mail or
telephone and delete this e-mail and all attachments from any computer.
Calhoun County Texas
Calhoun County Job Description
ADMINISTRATIVE ASSISTANT/COURT COORDINATOR
Court At Law #1
SUMMARY OF POSITION
Performs administrative office management and court coordinating functions.
COURT COORDINATOR DUTIES:
- Monitors court docket and routinely advises Judge of developments in cases;
- Frequently consults judge regarding non -routine matters before the court and handles per
Judge's instruction;
- Ensures that all cases, motions, etc. are set on a date and purpose certain as defined by local
court rules;
- Ensures that all cases on the court's docket are listed on docket properly;
- Ensures that all attorneys and parties are properly notified of settings;
- Coordinates civil trials and hearings;
- Serves as liaison between attorneys, the public, and the judge in matters before the court;
- Ensures that all cases transferred are processed in accordance with the local court rules;
- Advises Judge of attorneys and parties who will be late or have a conflict;
- Coordinates with County Clerk's and District Attorney's offices, litigators, litigants, and jurors
to schedule trials, appointments and resolve other organizational issues-
- Locates problem areas, if any, and advises the Judge as to the problems and make any
suggestions to remedy same;
- Works with all agencies in the judicial environment as they relate to the efficient operation of
the court;
- Remains available to the Judge at all times in order to give assistance when deemed necessary;
- Handles jurors' excuses and inquiries in accordance with the policies of the court, obtaining
instruction from the Judge if needed;
- Performs research for court as delegated by the Judge;
- Handles telephone inquiries as to future settings, dispositions, and other information as
required;
- Monitor appeal cases so that statutory time limits are met;
ESSENTIAL OFFICE DUTIES AND RESPONSIBILITIES
- Secretarial functions including filing, answering telephone, taking messages, making
appointments for attorneys, sheriff, sheriff deputies, police department, and public;
- Date stamping warrants consecutively, scanning and maintain a database of warrants, filing
warrants, scanning and safeguarding same;
- Maintain electronic and hard copy files and records;
- Prepare purchase orders;
- Prepare purchase orders for attorneys;
- Order office supplies and materials;
- Maintain appointment schedule;
- Perform administrative duties such as sorting and distributing mail, work processing,
scheduling, filing, copying and faxing documents;
- Perform other duties as assigned;
REQUIRED KNOWLEDGE, SHILLS AND ABILITIES
- Must be able to handle stressful situations in a professional manner;
- Knowledge of standard office, bookkeeping and personnel practices and procedures;
- Must be proficient in Microsoft Word, Microsoft Excel, Microsoft Power Point and Xerox;
- Perform basic mathematical functions;
- Communicate effectively both orally and in writing;
Understand policies and procedures;
- Establish and maintain effective working relationships with County Clerk's office, other
departments, and the general public;
- Create Judge's calendar annually;
- Advises Judge of changes and schedules in the calendar;
- Schedules seminars and judicial conferences for the Judge;
- Prepare travel expense vouchers and purchase orders;
- Anticipate day to day judicial needs;
- Understand docket management techniques, standard office practices and procedures, legal
terms and research practices;
COMMISSIONER'S COURT— 9/15/2021
12. Consider and take necessary action to amend the 2021 Salary Order. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 8 of 17
#12
4
Mae Belle Cassel
From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org>
Sent: Wednesday, September 8, 2021 12:08 PM
To: Mae Belle Cassel
Cc: clarri atkinson; rhonda kokena; David Hall; vern lyssy; Joel Behrens; Gary Reese; Richard
Meyer
Subject: Agenda Item Request -Salary Order Amendment
Attachments: SALARY ORDER-2021 AMENDMENT Eff 2021.09.15.pdf
Please place the following item on the agenda for September 15, 2021:
Consider and take necessary action to amend the 2021 Salary Order.
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.or�
Calhoun County Texas
2021 ORDER PASSING MANIMUM SALARIES, MAKING MONTHLY
COUNTY COURT -AT -LAW
Delete:
1 Court Reporter
Add:
Annual Salary
$61,340
1 Court Coordinator/Administrative Assistant $45,500
COMMISSIONER'S COURT-9/15/2021
13. Consider and take necessary action to approve the Final Plat for the Chocolate Bayou
Subdivision. (VQ
Terry Ruddick from Urban Engineering spoke on the matter.
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pct l
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 9 of 17
#13
r,
Mae Belle Cassel
From: Lesa.Jurek@calhouncotx.org (Lela Jurek) <Lesa.Jurek@calhouncotx.org>
Sent: Thursday, September 2, 2021 8:08 AM
To: MaeBelle.Cassel@calhouncotx.org
Cc: Vern Lyssy
Subject: FW: Agenda request
Attachments: Chocolate Bayou Subd. Agenda req.#2.pdf, Chocolate Bayou Subd. Final Plat.pdf
MaeBelle,
Please place the following item on the next Commissioners' Court Agenda
• Consider and take action on final plat for Final Plat for Chocolate Bayou Subdivision
Thanks - Vern
From: vern.lyssy@calhouncotx.org (vern lyssy) [mailto:vern.lyssy@calhouncotx.org]
Sent: Wednesday, September 1, 20214:51 PM
To: Lesa Jurek <Lesa.Jurek@calhouncotx.org>
Subject: FW: Agenda request
Attached is a pdf file of the proposed Final Plat for Chocolate Bayou Subdivision along with a letter requesting
the Court considers it for approval on September 15, 2021.
Calhoun County Texas
September 1, 2021
Vern Lyssy
Calhoun County Commissioner Precinct #2
5812 FM 1090
Port Lavaca, TX 77979
RE: Chocolate Bayou Subdivision
Dear Commissioner Lyssy,
Please consider this letter as my request to have the following items placed on the September
15, 2021 Commissioner's Court agenda:
Consider and take necessary action to approve the final Plat of Chocolate Bayou Subdivision.
If I can provide additional information please do not hesitate to contact me.
ISin erely,
T rry T. R dick, R.P.L.S.
C.E.O.
(E21780.01)
Victoria San Antonio
2004 N. Commerce 12667571icon Onve Cuero
Victoria, TX 77901 San Antonio, TX 78249 104 ECuero. French Street
367-678-9837 210-267-8664 361-27 -9 77954
61
Firm9: 10027100 Firm#: 10193843 Firm
10021
Firm #: 70021101
Q d a i p �LS 9mas ��ry o Fq S R_' �♦ ��$ 3
5 s" °a ° � sus €gx ' "g
$mo.
a sa g' cm : so I� w
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="s �"s€ ba..>;
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COMMISSIONER'S COURT-9/15/2021
14. Consider and take necessary action to approve auction proceeds of $10,110.00 to be
deposited into the Sheriff's Office Vehicle Maintenance account (760-60360). (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: David Hall, Commissioner Pct 1
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 10 of 17
#14
CALHOUN COUNTY, TEXAS
COUNTY SHERIFF'S OFFICE
211 SOUTH ANN STREET
PORT LAVACA, TEXAS 77979
PHONE NUMBER (361) 553-4646
FAX NUMBER (361) 553-4668
MEMO TO: RICHARD MEYER, COUNTY JUDGE
SUBJECT: VEHICLES FOR AUCTION
DATE: SEPTEMBER 15, 2021
Please place the following item(s) on the Commissioner's Court agenda for the date(s)
indicated:
AGENDA FOR SEPTEMBER 15, 2021
* Consider and take necessary action for monies from auction proceed, in
the amount of $10110.00 to go into vehicle maintenance. (760-60360)+ n��g�a�
Sincerely,
Bobbie Vickery
Calhoun County Sheriff
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COMMISSIONER'S COURT— 9/15/2021
15. Consider and take necessary action to declare a CP4525N Printer from the Justice of the
Peace, Precinct # 2 as Surplus/Salvage and remove it from inventory and Transfer a
Fellows Shredder to the Sheriff's Office. (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 11 of 17
#15
I (Q
Calvin R. Anderle Justice of the Peace, Precinct 2
201 W Austin, Rm 11 • Port Lavaca, TX 77979 • (361) 553-4622 • Fax (361) 553-4625
September 7, 2021
Please place the following item(s) on the Commissioners Court agenda for the date(s) indicated:
AGENDA FOR SEPTEMBER 15, 2021
Consider and take necessary action to declare Salvage/Surplus the following item
in Justice of the Peace Precinct 2 inventory: AllAsset # 45 6-0073 -Fellows Shredder (CCSO Narcoticscs Ds possession of this)
Asset #456-0075-CP4525N Printer (No Longer usable IT removed from office)
Respectfully,
Calvin R. Anderle
Justice of the Peace, Pet. 2
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name: RequestedBy: Cc\V t raj �iflcaRr��
Inventory \ ea on for Surplus/Salvage
Number Description Serial No. Declaration
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COMMISSIONER'S COURT — 9/15/2021
16. Consider and take necessary action to accept the attached list of donations for July and
August to the Calhoun County Public Library. (RM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Gary Reese, Commissioner Pct 4
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 12 of 17
#16
JL
hdowomw
Calhoun County Public Library
Ww cdibrary.ora
200 W. Mahan I Port Lavaca, Tx 77979 Ph: 361.552.7323 Fax: 351.552.5218
Report July 2021
The following materials have been donated to the Calhoun County Public Library System during the month of July 2021
Books
Donor
1
Charles Whilloughby
2
Barry Hunter
1
Ambyr Lynn Valentine
203
Unknown
Paperbacks
Donor
2
Suzanne Presley
16
David
84
Unknown
DVD
Donor
32
Alysia Diaz
113
Unknown
Others Donor
176 Magazines Unknown
$100.00 Port O'Connor Library in memory of Charlotte Fitzgerald by Linda Taylor, and Randy, Eli & Marshall Plummer
$1,000 Port O'Connor Library for the Summer Reading Program in memory of Charlotte Fitzgerald by George F. Wick
$2.35 Donations to Seadrift Branch Library from donation bucket.
4 packs of Clorox Wipes
1 Wood Tray
2 boxes of Ziploc bags
3 boxes of cable ties
4 packs of 15 count water bottles
2 packs of crayons
4 boxes of coffee pods
2 boxes of highlighters
3 boxes of Huggies wipes
1 dawn soap
1 calendars
1 student planner
1 pack of Expo Marker Donated by the Friends of the Port O'Connor Library
Calhoun County Public Library
wZflhrary.org
200 W. Mahan I Port Lavaca, TX 77979 Ph: 361,552,7323 Fax: 361.552.5218
Report August 2021
The following materials have been donated to the Calhoun County Public Library System during the month of August 2021
Books
Donor
8
Laura Schuhmacker
66
Unknown
Paperbacks Donor
1 Laura Schuhmacker
46 Carrie Johnson
16 Judy
125 Unknown
DVD Donor
Others
Donor
6 Binders
AN
1-120 Piece Sidewalk Chalk
Calhoun County Clerk's Office
1-128 Piece Sidewalk Chalk
Calhoun County Clerk's Office
$75.00 donation to Children's Programs from Bay Point Property Association
$2.26 donations to Seadrift Branch Library from donation bucket
$20.87 donations to Port O'Connor Branch Library from donation bucket
COMMISSIONER'S COURT — 9/15/2021
17. Consider and take necessary action to declare the attached list of items from the
Calhoun County Public Library for July and August as Surplus/Salvage. (RM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Joel Behrens, Commissioner Pct 3
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 13 of 17
# 17
gjL
Calhoun County Public Library
ww cchbrary.org
200 W. Mahan I Port Lavaca, TX 77979 Ph: 361.552.7323 Fax: 361.552.5218
Report July 2021
I would like the following to be declared Surplus/Salvage
31 Books
55 Pbks
74 DVD
mA6
Calhoun County Public Library
www.cd1brary.org
200 W. Mahan I Port Lavaca, TX 77979 Ph: 361.552.7323 Fax: 361.552.5218
Report August 2021
I would like the following to be declared Surplus/Salvage
13 Books
25 Pbks
COMMISSIONER'S COURT— 9/15/2021
18. Consider and take necessary action to declare the attached list of items from the
Calhoun County Public Library for August as Waste. (RM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 14 of 17
# 1s
Calhoun County Public Library
w cc library orli
200 W. Mahan I Port Lavaca, TX 77979 Ph: 361.552.7323 Fax: 361.552.5218
Report July 2021
1 would like the following items to be declared waste
2 Books
176 Magazines
9AL
Calhoun County Public Library
ww cdibrary.org
200 W. Mahan I Port Lavaca, TX 77979 Ph: 361.552.7323 Fax: 361.552,5218
Report August 2021
I would like the following items to be declared waste
9 Books
19 Pbks
COMMISSION ER'S COURT — 9/15/2021
19. Accept reports from the following County Office:
I. County Clerk — August 2021
ii. Justice of the Peace, Precinct # 3 — August 2021
iii. Justice of the Peace, Precinct # 4 — August 2021
iv. Justice of the Peace, Precinct # 5 —August 2021
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pct 1
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 15 of 17
#19
CALHOUN COUNTY CLERK
TI.11 V PPPnPT DFPADITIIA'
F � . AUGUST
2021
OFFICIAL
w6BC
DESC GLCODE
DVIL
CMMINAL
RECORDS
PIIO<E
TOTAL
DISTRICTATTORNEY FEES 1000 20
$ 337.19
$ 337.19
BEER LICENSE 1000-02010
$ 5.00
$ 5.00
COUNTY CLERK FEES 1000-04030
$ 530.50
$ 647.94
$ 21,186.30
$ 288.00
$ 22,652.74
APPEAL FROM JP COURTS 1000-04030
$ -
$ -
COUNTY COURT ATLAW MIJURY FEE 100044140
$
JURY FEE 3000-04140
$ -
$ -
$ -
ELECTRONICFILINGFEESFORE-FILINGS 1000-0 058
IS -
$ -
$ -
$ -
$ -
JUDGES EDUCATION FEE 1000 160
$ -
$ -
$ -
$ 25.00
$ 25.00
JUDGE'S ORDER/SIGNATURE 100044180
$ 30.00
$ -
$ -
IS 58.00
$ 88.00
SHERIFF'S FEES 100044190
$ 150.00
$ 359.87
$ -
$ 200DD
$ 709.87
VISUAL RECORDER FEE 1000-0 250
$ 84.12
$ 84.12
TIMEPAYMENTFEE- COUNTY "NEW2020" 1000-04331
$ 75.00
$ 75.00
COURT REFPORTER FEE 3000-04270
$ 45.00
$ -
$ -
$ 75.00
$ 120.00
RESTITUTION DUE TO OTHERS 100049020
$ -
ATTORNEYFEES -COURT APPOI NTED 100049030
$ -
$
APPELLATE FUND (TGC) FEE 2620-04030
$ 30.00
$ 25.00
$ 55.00
TECHNOLOGYFUND 36634403D
IS 64.80
$ 64.80
COURTHOUSE SECURITY FEE 3670-0 030
IS 30.00
$ 157.97
$ 559.00
$ 25.00
$ AL97
COURT INITIATED GUARDIANSHIP FEE 2672-04030
$ 10.00
$ 10.00
COURT RECORD PRESERVATION FUND 267344030
$ 60.00
$ -
IS 50.00
$ 110.00
COURTREPORTER SERVICE FUND"NEW2020" 2574 30
$46.87
$ 46.87
RECORDS ARCHIVE FEE 2675-04030
$ 5.340.00
$ 5,340.00
COUN71(SPECIALTYCOURT ""NEW2020"" 26764I030
$ 31150
$ 312.50
COUNNIURYFUND "NELN2W0" 267944030
$ 15.62
$ 16.62
DRUG& ALCOHOL COURT PROGRAM 2698-04030-005
$ 10.34
$ 10.34
JUVENILE CASE MANAGER FUND 2699-04033
$ -
$ -
RAM ILYPROTECTION FUND 17064403U
$ -
$ -
JUVENILECRIME& DELINQUENCY FUND 2715-04030
$0.00
$ -
PRE-TRIAL DIVERSION AGREEMENT 2729-04034
$ 100.00
$ 10D.00
LAW UBABY FEE 2731-0403D
$ 105.00
$ 175.00
$ 280.00
RECORDS MANAGEMENT FEE -COUNTY CLERKK 2738-04380
$ 1.43
$ 5,360.00
$ 5,361.43
RECORDS MANGEMENT FEE - COUNTY 2739-04030
$ 30.00
$ 403.53
$ 26.00
$ 458.53
FINES-COUNTYCOURT 274045040
$ 4,640.39
$ 4,640.39
BOND FORFEITURE 274045050
$ -
$ -
STATE POLICE OFFICER FEES - STATE (DEE)(20%) 7020.20740
$ 3.84
$ 3.84
CONSOLIDATED COURT COSTS -COUNTY 7070-20630
$ 0.48
$ 0.48
CONSOLIDATED COURT COSTS -STATE 7070-20740
$ 4.28
$ 4.28
CONSOLIDATFDCOURTCOSTS-COUNTY ""NEW2020"" 7072-20620
$ 204.33
$ 204.33
CONSOUDATEDCOURTCOSTS-STATE ""NEW2020"" 7072-20740
$ 1,838.94
$ 1,838.94
JUDICIALAND COURT PERSONNEL TRAINING - ST (100%) 7501-2D740
$ 20.00
$ -
$ 25.00
$ 45.00
DRUG&ALCOHOL COURT PROGRAM -COUNTY 7390-20610
$ 2.07
$
DRUG &ALCOHOLCOURT PROGIIAM - STATE 7390-20740
$ 8.27
8.27
$ .
STATE ELECTRONIC FANG FEE - CIVIL 7403-22887
$ 180.00
$ -
$ 150.00
$ 330.0000
STATE ELECTRONIC FILING FEECRIMINAL 7403-22990
$ 2.87
$ 2.87
EMSTRAUMA- COUNTY (10%) 7405-20610
$ 764.17
$ 764.17
EMSTRAUMA-STATE (90%) 7405-20740
$ 84.91
$ 84.91
CIVIL INDIGENT FEE -COUNTY 7480-20610
$ 3.00
$ 2.50
$ 5.50
CIVIL INDIGENT FEE -STATE 7480-20740
$ 57.00
$ 47.50
$ 104.50
JUDICIAL FUND COURT COSTS 7495-20740
$ 8.61
$ 8.61
JUDICIAL SALARY FUND - COUNTY (10%) 7505-20610
$ 0.03
$ 0.03
JUDICIAL SALARY FUND - STATE (90%) 7505-20740
$ 0.31
$ 0.31
JUDICIAL SALARY FUND(CIVI L&PROBATE) - STATE 7505-20740-005
$ 126.00
$ 210.00
$ 336DO
TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884,1000-44359
$ 9.00
$ 9DO
COURT COST APPEAL OF TRAFFIC REG UP APPEAL) 7538-22885
$ -
BIRTH - STATE 7855-20780
$ 106.20
$ 106.20
IN FORMAL MARRIAGES - STATE 7855-20782
$ 12.50
$ 12.50
JUDICIAL FEE 7855-20786
$ 120.00
$ -
$ 200.00
$ 320A0
FORMAL MARRIAGES - STATE 7855-20788
$ 450.00
$ 450.00
NONDISCLOSURE FEE - STATE 7855-20790
$ -
$ -
$ -
$ -
TCLEOSECOURT COST -COUNTY(10%) 7856-20610
$ 0.01
$ 0.01
TCLEOSE COURT COST - STATE (90%) 7856-20740
IS 0.05
$ 0.05
JURY REIMBURSEMENT FEE -COUNTY ISO% 785720610
$ 0.02
IS 0.02
JURY REIMBURSEMENT FEE -STATE (90%) 7857-20740
$ 0.20
$ 0.20
STATE TRAFFIC FIN E - COUNTY (5%) 7860-20510
$ -
$ -
STATE TRAFFIC FIN E- STATE (95%) 7860-20740
IS -
$ -
STATE TRAFFICFINE-COUNTY(4%) 91V2029 7860-20520
$ 6.00
$ 6.00
STATE TRAFFICFINE-STATE (961191212019 786D20740
$ 144.00
$ 144.00
INDIGENT DEFENSE FEE -CRIMINAL - COUNTY (10%) 7865-20610
IS 0.01
$ 0.01
INDIGENT DEFENSE FEE -CRIMINAL -STATE (90%) 7865-20740
IS 0.12
$ OA2
TIME PAYMENT - COUNTY (50%) 7950-20510
$ 3.58
$ 3.58
TIMEPAYMENT-STATE(50%) 7950-20740
$ 3.58
$ 3.58
BAIL JUMPING AND FAILURE TO APPEAR - COUNTY 7970-20610
IS -
BAILIUMPINGANDFAILURETOAPPEAR -STATE 7970-2G740
$ -
DUE PORT LAVACAPD 9990-99991
$ 24.61
IS 24.61
DUESEADRIFTPD 9990-99992
$
$
DUE TO POINT COMFORT PD 9990-99993
$' -
$ -
DUE TOTEXAS PARKS &WILDLIFE 9990-99994
$ 1,000.00
$ 1,000.00
DUE TO TEXAS PARKS& WILDLIFE WATER SAFETY 9990-99995
$ -
DUETOTABC 9990-99996
$
DUE TO ATTORNEY AD UTEMS 9990-99997
$ .
DUE TOOPERATING/NSF CHARGES DUE TO OTHERS 7120-20759
$
$ 145.00 1
$ 859.00)
$ 500.00
$ (214.00)
$ 1,516.50 $ 11,516.85 $ 32,160,00 $ 2,181.00 $ 47,374.35
TOTAL FUNDS COLLECTED $ 47,374.35 (0.00)
FUNDS HELD IN ESCROW: $ - AMOUNT DUE TO TREASURER(20WS): �$ 48;583:74
TOTAL RECEIPTS 1 $ 47,374:35 AMOUNT DUE TO OTHERS (LESS SF'SI: $ 810.61
1 OF
V:10.REPORTSIMONTHLYWUDITORAND TREASVRER REP0RT512021.083131.TREASURER REPORTS.tlsx 9I32021
CALHOUN COUNTY CLERK
x
I.,V ...T RCYURI mt; "AYI IUN I lum
AUGUST 2021
CASH ON HAND, REGISTRY OF COURT FUNDS IPROSPERRYI
BEGINNING BOOK BALANCE 1/2021: $
113,786.74
FUND RECEIVED $
8,510.00
-BALANCE OF CASH BONDS"
$ 93,202.00
DISBURSEMENTS $
6,000.00
ENDING BOOK BALANCE $/$1/1021 _ $
116,296.74
-OTHER REGISTRY REMS"
$ 16,042.24
'IBC CASH BOND CHECKS""
$ 7,052.50
BANK RECONCILIATION REGISTRY OF COURT FUNDS
EN DI NO BANK BALANCE 8/31/2021 $
123,474.74
—TOTAL REGISTRY FUNDS""
$ 116,296.74
OUTSTANDING DEPOSITS" $
-
OUTSTANDINGCHECKS' $
7, 178.10
Reconciled.
$ -
RECONCILED BANK BALANCE 8/32/2021 $
116,2,6."
S
-
-check cleared ice -bank to refund-
fFOTILIfbTF 11C McDIle1TC Morn INTPIICT_
-CD'S
Date•Issued
-.Balance
:Purchases/'
Withdrawals
Balance.`
7/31/2021
.Interest
08/31/21
10440
1/24/2018
$
$
$
10441
1/24/2018
$ 10.286.14
$ 10,286.14
10442
1/24/2018
$ 1,276.19
$ 1,276.19
10443
1/25/2018
$ 1.276.19
$ 1,276.19
10444
1/25/2018
$ 9.637.41
$ 9,637.41
10445
1/25/2018
$ 9,637.41
$ 9,637AI
10446
1/25/2018
$ 9,637.41
$ 9,637.41
10449
6/9/1955
$ 20.353.51
$ 2.57
$ 20,356.08
10454
3/2/2018
$ 3,594.35
$ 3,594.35
10455
3/2/2018
$ 3,594.35
$ 3,594.35
10486
8/26/2.20
$ 5,917.82
$ 2.24
$
$ 5,920.06
TOTALS: $ 75,210.78 $ 4.81 $ $ 75,215.59
Submitted by: Anna M Goodman, County Clerk Date
hard Meyer, Calhoun County Judge Date
U:In.REPORTSIMONIHOMUUITDR AND TREASURER REPORTS2n21093121 TREASURER REPORTSAsx
2ar2
W12021
COURT NAME:
MONTH OF REPORT
YEAR OF REPORT
CODE
CASH BONDS
ADMINISTRATION FEE -ADMF
BREATH ALCOHOL TESTING -BAT
CONSOLIDATED COURT COSTS - CCC
STATE CONSOLIDATED COURT COST-2020
CIVIL JUST DATA REEDS FEE - CJDF
CORRECTIONAL. MANAGEMENT INSTITUTE
CHILD SAFETI
CHILD SEATBELT FEE -.
CRIME VICTIMS COMPENSATION
DPSC/FAILURE TO APPEAR -. OMNI -
ADMINISTRATION FEE FTA/FTP (aka OMNII
ELECTRONIC FILIN(
FUGITIVE APPREHENS101
GENERAL REVENUE
CRIM- IND LEGAL SVCS SUPPORT
JUROR SERVICE FEE -
LOCAL ARREST FEES
-
I
L
L
PARKS& WILDLIFE: ARREST FEES - P'
STATE ARREST FEES-
SCHOOL CROSSING/CHILD SAFETY FEE -
SUBTITLE O - S
STATE TRAFFIC FINES- EST 9.4.19-
TABCARREST FEES -
TECHNOLOGY FUND
TIME PAYMENT
TRUA
LOCAL & ST,
FILINGFEE- FFEE& C
FILING. FEE SMALL CLAIMS - F
COPIES/CERTIFIED COPIES
INDIGENT FEE CIFF or I
JUDGE PAY RAISE FEE- J
SERVICE FEE - 8
OUT -OF -COUNTY SERVICE
EXPUNGEMENTFEE-E.
EXPIRED RENEWAL - E
ABSTRACT OF JUDGEMENT-
ALL WRITS - WOP A
DPS ETA FINE - 0
LOCAL FINES'- I
LICENSE & WEIGHT FEES -
' OVERPAYMENT ($10 & OVER)-
' OVERPAYMENT (LESS THAN$10) -
RESTITUTION-
PARKS & WILDLIFE -WATER SAFETY FINE:
TOTAL ACTUAL MONEYRI
LL WARRANT FEES
ENTER LOCAL WARRAI
STATE WARRAI
TO OTHERS
TO CCISD - 50% of Fine on JV cases
TO DA RESTITUTION FUND -
JND OF OVERPAYMENTS
OF -COUNTY SERVICE FEE
i BONDS
TOTAL DUE TO
REVISED 01/30/20
20.00
360.00
874.46
197.46
36.00
0.70
PSC 18.75
Z020 20.00
FEE 70.00
FA
GR
IDF 18.00
JCD
CMF 50.00
CPT
JSF 36.00
LAF 88.12 -
.EMI
'-OA
=0C -
DCL
NAF
SAF 27.39
SCIF
JBC 120.00
STF 733.96
TAF
-TF 36.00
TFC 12.00
!020 44.04
'[ME
!020 46.57
JND 18.00
RNT 31.25
6RV 807.00
)DC 10.00
DFF 468.00
/ DL
VFF 175.00 -
-rSC
CC
VDF 42.00
PAY 54.00
FEE 7.05
FEE
(PG
CPR
401
JOE
PSF
'INE 3,084.30
.WF
'WF 20.00
.AT
]PT 35.00
/ER
/ER
-ST
VSF
JCR
/ED $7,561.05
AMOUNT
31.25
-ESr__ IRECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO REPORT..
=ES $31,25 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT
.AMOUNT
0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT
000 PLEASE INCLUDE DR. REQUESTING DISBURSEMENT
ODD PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT
000 PLEASEINCLUGE D.R. REQUESTING DISBURSEMENT
000 PLEASEINCLUCE D.R. REQUESTING DISBURSEMENT (IF REQUIRED).
?RS $0.00 -
AMOUNT.
$7,561.05 Calculate from ACTUAL Tmesurees Receipts
ITS $7 561.05
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
9/3/2021
COURT NAME:
JUSTICE OF PEACE NO.3
MONTH OF REPORT:
AUGUST
YEAR OF REPORT:
2021
ACCOUNTNUMBER
ACCOUNTNAME
AMOUNT
CR
1000-001-45013
FINES
3,087.30
CR
1000-001-44190
SHERIFF'S FEES
135.03
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING
10.00
CHILD SAFETY
0.00
TRAFFIC
56.04
ADMINISTRATIVE FEE
508.00
EXPUNGEMENT FEES
0.00
MISCELLANEOUS
0.00
CR
1000-001-44363
TOTAL ADMINISTRATIVE FEES
574.04
CR
1000-001-44010
CONSTABLE FEES -SERVICE
7.05
CR
1000-001-44063
JP FILING FEES
175.00
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
46.57
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
807.00
TOTAL FINES, ADMIN. FEES & DUE TO STATE
$4,831.99
CR
2670-001-44063
COURTHOUSE SECURITY FUND
$96.11
CR
2720-001-44063
JUSTICE COURT SECURITY FUND
$9.00
CR
2719-001-44063
JUSTICE COURT TECHNOLOGY FUND
$92.42
CR
2699-001-44063
JUVENILE CASE MANAGER FUND
$50.00
CR
2730-001-44063
LOCAL TRUANCY & PREVENTION DIVERSION FUN
$70.52
CR
2669-001-44063
COUNTY JURY FUND
$1.41
STATE ARREST FEES
DPS FEES
11.73
P&W FEES
0.00
TABC FEES
0.00
CR
7020-999-20740
TOTAL STATE ARREST FEES
11.73
CR
7070-999-20610
CCC-GENERAL FUND
36.00
CR
7070-999-20740
CCC-STATE
324.00
DR 7070-999-10010
360.00
CR
7072-999-20610
STATE CCC- GENERAL FUND
87.45
CR
7072-999-20740
STATE CCC- STATE
787.01
874.46
CR
7860-999-20610
STF/SUBC-GENERAL FUND
6.00
CR
7860-999-20740
STF/SUBC-STATE
114.00
DR 7860-999-10010
120.00
CR
7860-999-20610
STF- EST 9/1/19- GENERAL FUND
29.36
CR
7860-999-20740
STF- EST 9/1/19- STATE
704.60
733.96
CR
7950-999-20610
TP-GENERAL FUND
0.00
CR
7950-999-20740
TP-STATE
0.00
DR 7950-999-10010
0.00
CR
7480-999-20610
CIVIL INDIGENT LEGAL-GEN. FUND
2.10
CR
7480-999-20740
CIVIL INDIGENT LEGAL -STATE
39.90
DR 7480-999-10010
42.00
Page 1 of 2
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
9/3/2021
COURT NAME:
JUSTICE OF PEACE NO. 3
MONTH OF REPORT:
AUGUST
YEAR OF REPORT:
2021
CR
7865-999-20610
CRIM-SUPP OF IND LEG SVCS-GEN FUND
1.80
CR
7865-999-20740
CRIM-SUPP OF IND LEG SVCS-STATE
16.20
DR 7865-999-10010
18.00
CR
7970-999-20610
TUFTA-GENERAL FUND
6.25
CR
7970-999-20740
TUFTA-STATE
12.50
DR 7970-999-10010
18.75
CR
7505-999-20610
JPAY- GENERAL FUND
5.40
CR
7505-999-20740
JPAY - STATE
48.60
DR 7505-999-10010
54.00
CR
7857-999-20610
JURY REIMB. FUND-GEN. FUND
3.60
CR
7857-999-20740
JURY REIMB. FUND- STATE
32.40
150 DR 7857-999-10010
36.00
CR
7856-999-20610
CIVIL JUSTICE DATA REPOS.- GEN FUND
0.07
CR
7856-999-20740
CIVIL JUSTICE DATA REPOS.- STATE
0.63
DR 7856-999-10010
0.70
CR
7502-999-20740
JUD/CRT PERSONNEL TRAINING FUND -STATE
35.00
DR 7502-999-10010
35.00
7998-999-20701
JUVENILE CASE MANAGER FUND
9.00
CR
7998-999-20740
TRUANCY PREVENT/DIVERSION FUND- STATE
9.00
DR 7998-999-10010
18.00
CR
7403-999-22889
ELECTRONIC FILING FEE
70.00
DR 7403-999-10010
70.00
TOTAL (Distrib Req to OperAcct)
$7,544.05
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY
0.00
DA - RESTITUTION
0.00
REFUND OF OVERP
0.00
OUT -OF -COUNTY SI
0.00
CASH BONDS
0.00
PARKS & WILDLIFE
17.00
WATER SAFETY FIN
0.00
TOTAL DUE TO OTHERS
$17.00
TOTAL COLLECTED -ALL FUNDS
$7,561.05
LESS: TOTAL TREASUER'S RECEIPTS
$7,561.05
REVISED 01/30/20
OVER/(SHORT)
$0.00
Page 2 of 2
09-07-21;10:35 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 1/ 4
FAX COVER SHEET
SEPTEMBER 7, 2021
FROM: JUSTICE COURT PCT. 4 CALHOUN COUNTY
103 W. Dallas Street, P.O. Box 520
Seadrift, Texas 77983
PHONE; 361-785-7082
FAX: 361-785-2179
TO: Countviudge Office
Ref: Money Distribution Report
FAX: 361-553-4444
NOTE: The AUGUST 2021 rePort is attached
Please give me a call if you have any guestions
PAGES TO FOLLOW: _4_ INCLUDING THIS COVER PAGE
Thank you,
Judge WesCey J. 9-Cunt
09-07-21;10:35 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
9/7/2021
COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: AUGUST
YEAR OF REPORT: 2021
OR
ACCOUNT NUMBER
1000-001-45014
ACCOUNT NAME
AMOUNT
OUN T
MOUN
OR 1000-001.44190
FINES
SHERIFF'S FEES
2,044.23
ADMINISTRATIVE FEES:
. 72
DEFENSIVE DRIVING
0.00
CHILD SAFETY
0.0
TRAFFIC
.00
2
ADMINISTRATIVE FEES
181.03
EXPUNGEMENT FEES
MISCELLANEOUS
0.00
OR
OR
1000.00144364
1000.001-44010
0100
70TALADMINISTRATIVE FEES
206.03
OR
1000-001-44064
CONSTABLE FEES -SERVICE
0.00
OR
1000.001-44090
JP FILING FEES
COPIES /CERTIFIED COPIES
100.00
OR
1000-001.49110
OVERPAYMENTS (LESS THAN $10)
00 .00
OR
1000-001-44322
TIME PAYMENT REIMBURSEMENT FEE
9.00
OR
OR
1000-D01-44145
SCHOOL CROSSING/CHILD SAFETY FEE
.00
0.00
1000-999-20741
DUE TO STATE -DRIVING EXAM FEE
OR
1000-999.20744
DUE TO STATE-SEATBELT FINES
0.00
00 0.
OR
OR
1000-999.20745
1000-999.20746
DUE TO STATE -CHILD SEATBELT FEE
0.00
OR
1000.899.20770
DUE TO STATE -OVERWEIGHT FINES
0,00
DUE TO JP COLLECTIONS ATTORNEY
458.10
TOTAL FINES, ADMIN. FEES & DUE TO STATE
$3,056.08
OR
OR
2670-001.44064
2720-001-44064
COURTHOUSE SECURITY FUND
$70.30
70.34
OR
2719-001-44064
JUSTICE COURT SECURITY FUND
OR
2730-001-44064
JUSTICE COURT TECHNOLOGY FUND
$$9.34
88
OR
2730.001.44064
JUVENILE CASE MANAGER FUND
LOCAL TRUANCY PREVENTION & DIVERSION FUND
$10.00
OR
2669-001-44064
COUNTY JURY FUND
$43.15
$0.86
STATE ARREST FEES
DPS FEES
3 63
P&W FEES
.63
00
TABC FEES
.
OR
7020.999-20740
0 00
TOTAL STATE ARREST FEES
3 .63
OR
7070-9M20610
DCC-GENERAL FUND
OR
M70-SM20740
CCC-STATE
3 36
DR 7070-999-10010
39.63
424
..54
CR
7072-999.20610
393.60
STATE CCC• GENERAL FUND
OR
7072-999-20740
STATE CCC-STATE
53. 50
DR 7072-999.10010
535.04
4
CR
7860-999.20510
STP/SUBC-GENERAL FUND
CR
7SM999.20740
STF/SUBC-STATE
.26
426
DR 7860.999-10010
80.94
CR
7860-999.20610
85.20
STF- EST 9/1/19- GENERAL FUND
OR
7860-999.20740
STF- EST 911/19- STATE
9.00
DR 7860-999.10919
215 86
224.88
OR
7950.999-20610
TP-GENERAL FUND
CR
7950-999.20740
TP•STATE
73.00
DR 7950.999.10070
73,00
146.00
Page 1 of 2
09-07-21;10:35 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
9/7/2021
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 760-999-20510
CR 7505-999.20740
CR 7857-999-20610
OR 7857.999-20740
CR 7856-999-20610
CR 7856-999.20740
CR 7502-9919.20740
7998-999-20701
CR 7998-999-20740
CR 7403.999.22889
REVISED 01/29/20
COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: AUGUST
YEAR OF REPORT: 2021
CIVIL INDIGENT LEGAL-GEN. FUND
1.20
CIVIL INDIGENT LEGAL -STATE
22,80
DR 7480-999.10010
24,00
CRIM-SUPP OF IND LEG SVCS-GEN FUND
1.37
CRIM•SUPP OF IND LEG SVCS-STATE
12 31
OR 7865.999-10010
13.68
TUFTA-GENERAL FUND
20.00
TUFTA-STATE
40.00
DR 7970.999.10010
80.00
JPAY . GENERAL FUND
5.10
JPAY-STATE
4594
DR 7505-999.10010
51.04
JURY REIMS. FUND- GEN. FUND
3.54
JURY REIMS. FUND- STATE
31.82
DR 7857-999.10010
35.36
CIVIL JUSTICE DATA REPOS: GEN FUND
0.06
CIVIL JUSTICE DATA REPOS: STATE
0.52
DR 7856-999.10010
0.58
JUD/CRT PERSONNEL TRAINING FUND- STATE
20.00
DR 7502-999-1001p
20.00
JUVENILE CASE MANAGER FUND
5.84
TRUANCY PREY/DIV FUND - STATE
5.84
DR 7998-999.10010
11 68
ELECTRONIC FILING PEE
40.00
DR 7403-999.10010
40.00
TOTAL (Distrib Reg to OperAccy
$4,904.30
DUE TO OTHERS (WsfribReg Attchi*
CALHOUN COUNTY ISO
0.00
DA - RESTITUTION
0.00
REFUND OF OVERPAYMENTS
0.00
OUT -OF -COUNTY SERVICE FE
0.00
CASH BONDS
0.00
PARKS & WILDLIFE FINES
0.00
WATER SAFETY FINES
0 00
TOTAL DUE TO OTHERS
$0.00
TOTAL COLLECTED -ALL FUNDS
$4,904.30
LESS; TOTALTREASUER'S RECEIPTS
$4�,30
OVER/(SHORT)
$0.00
Page 2 of 2
09-07-21;10:35 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4
�,tAYk'OFT�
` 7\ CALHOUN
J
1COUNTY
201 West Austin
orcyu✓
PAYEE
Name: Calhoun County Oper. Acct.
Address:
City:
State:
Zip:
Phone:
DISTRIBUTION
REQUEST
DR# 480 A 44446
PAYOR
Official: Wesley Hunt
Title: Justice of the Peace, Pet, 4
2
e/�
jt� /�
09-08-21;15:30 ;From;Calhoun County Pct. 5 To:5534444 ;3619832461 # 1/ 10
ANP ✓uS774FMRAU--..
FAX COVER SHEET
JUDGE NANCY POMYKAL
P 0 BOX 454
PORT O' CONNOR, TX.77982
(361)983-2351 - TELEPHONE
(361)983-2461 - FAX
COUNTY OF CALHOUN
JUSTICE COURT PCT. 5
DATE: SEPTEMBER_8, 2021
PAGES: 10 Including this cover
TO: JUDGE RICHARD MEYER & COUNTY COMMISSIONERS
ATT: MaeBelle
FAX NUMBER(S) 361-553-4444
SUBJECT: AUGUST 2021 — MONEY DISIRIBUT10N REPORT
NOTE: MaeBelle. I am faxing the above report for AUGUST 2021 Please give me a call
if You have any westlons. Have a great weekl
Thank you,
Pit
THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S)
named in this message. This communication is intended to be and to remain confidential and
may be subject to applicable attorney/client and/or work product privileges. If you are not
the intended recipient of this message, or if this message has been addressed to you in error,
please immediately alert the sender by fax and then destroy this message and its attachments.
Do not deliver, distribute or copy this message and/or any attachments and if you are not the
intended recipient, do not disclose the contents or take any action in reliance upon the information
contained in this communication or any attachments,
09 1 -08-21;15:30 ;From:Calhoun County Pct. 5 To:5634444 ;3619832461 # 2/ 10
Money Diatribution R,,p,.t;
Receipt causta mfend,mt Coden mamutu
377369 2021.0208 09-02.2021 cee
I 92.00 Lm�Total
SOURT, PATRXCK ALLEN 5.00 LCCC 14.00 TPRF 16.00 FINE 4.00 100.00
377371 2020.0222 MY
25.00 -Z ". ..: 15,
TfARRINGTON, ANDREW
Credit Card
it
i e 11 i i 11
. . . . .. . . . ..
'i
PWAF 5.00 WRNT
50.00
Credit Cdrd
2.00 TPDF
2.00
103.OD cSAv
75.00
� N I,,
1 X �t
. . . . . . . . . . . . . . . . . . ........ .. ... ........
.1i
.
73
SO:
08-02-2021 ar
JASON 2RYZW
c1c,
C 40.00 DNS Am
4�06•BENSM,
3.00
TF
4.00 .00
Yesp 1-00 JPAY T.DD IDF 2.00 TPor,
2.00
r 5.00 TF
4.
DF 2.00 FINE
120.00
.. . ... ........
................... ... ........... .......... . . . . .
V,:;:Z! 04 U "t.' d.til z n 1:.1i i VOW; i
1902-0130 00-03-2021 JSP
HARTFIELD, ROY JACOB TC$F
4.00 COD 40.00 CUS 3-00 LAP $.QD TF
1-00
4.00
Company Chalk ONNO
JPAY 6.00 IDP 2.00 TPOF 2.00 QMNc
40.00 OMNO
8.00
.. ... ........ ... .... JCMF
12.00 WAR s0.00 FIRE 98.10D CSRV
R fln
75.00
BI 1908-03S2 08-03-2021 CSRV Zg'.'21
HM'rFIBLD, ROY JACOB
377383 2021-0274 -07-2021 CCC 92.00 LAP
HEIMANN' CHANCE ALLEN Orr
126.00
317385 2621-0290-DC
MrS, Trl3DY OBA poc HARDWARE
COMMY Chock
- -- -itft,i
377387 2021.0176
VASOUEZ DAM EDWARD 10.00
cash
21 CPLD 10.00
I
377'2
A ME a ro
377
ON
Mac
I .
5.00 LCCC 14.00 Lwrc - -' '% . ...... " i " ' -
1,99 STP1 59.00
25.00
325.00
353.60
260.00
355.00
20.00
260. DO
..Yu drr 20.00 121.00
09-09.2021
09-08-21;15:30
;From:Calhoun
County Pct. 5
To:5534444 ;3619832461 # 3/ 10
NOW Distribution Report
CALHOUN PS AUGUST 2021 REPORT
Receipt Ca"OlDegendsAt
Oodes\Amountv
377331 2021-D285
00.10-2021 CCC
92.00 LAC'
- Total
5.00 LCCC 14.00 FINE 126.00 LTFC 3.00 260.00
MARTINZZ, DANIEL LEON
$TF1
90.00
. ..... .. .. .. .. ... ....
j'
3773MARTINEZ, 93 2021-0293 PRAM 08-25-2021 66C 606 jA F 5.00 LCCC 14.0 Pzm;9 144.00 225.00
B---NITU
.1-vu "RF 5.90 LCCC 14.00 LTFC 3-00 $WFI 50.00 330.00
PORTER, VINCENT MCADA:M OFF 196.00
277397 2021-0299 09-31.2021 CCC 62.00 GAF
ROSENROOM, JOHN MICHAEL DDC 10.00
5.00 LCCC 14.00 LTFC 3.00 STFI 50.00 144.00
377399 2021-0302-FED 08-31-2021 SPEE 75.00 IF6.0�
RHYNE THE ESTATE OF, JOHN C .00
PIP 5.00 EFP 10.00 121.00
09.06-2021
Page 2
09-08-21;15:30 ;From:Calhoun County Pot. 5
To:5534444
;3619832461
# 4/ 10
• Money Diatrihutien Report
CALNOUN
JPS AvpOST
2021 REPORT
Type coda DeeeripGiOa
CeVnt
Rat i A
Diob r, d
M n� T e 1
m,.
The fallowing totaln represent - Cash and Cheek, Collected
COST CCC CONSOLIDATED COURT COSTS
7
COST CCC CONSOLIDATED COURT COSTS
41.20
370.00
412.60
COST CHS COURTHOUSE SECURITY
5
20,00
100.00
200.00
COST IDF INDIGENT DEFENSE FUND
6
18.00
0.00
16.00
COST JC5F JUSTICE COURT SECURITY FUND
6
1.20
10.80
12.00
COST JPAY JUDGE PAY RAISE PEE
6
6.00
0.00
6.00
COST Jar JUROR SERVICE FUND
6
6
3.60
32.40
36.00
COST LAF SHERIFF'S FEE
2.40
21.90
24.00
COST LCCC LOCAL CONSOLIDATED COURT COST (EPP. 1, 1.
SD
50.00
0.00
60.06
COST MVP MOVING VIOLATION FEE
6
84.00
0.00
94.00
COST OMNC CPS ONNI FEE - COUNTY
3
0.03
0.27
0.30
COST OMND UPS ONNI FEE - DPS
2
19.00
0.00
15.00
COST OMNO DPS OMNI FEE - OMNIBASE
2
0.00
80.00
00.00
COST OMNR OMNI REIMBURSEMENT FEE (SPF. 1.1.20)
2
0.00
24.00
24.o0
COST PWAF TEXAS PARKS 4 WILDLIFE
2
20.00
0.00
20.00
COST SAP DPS
0
0.00
0.00
0.00
COST STFI STATE TRF FINE 9-1-19
2
0.00
2.00
10.00
COST SU➢C SUB TITLE C
0
0.00
0.00
0.00
COST TF TECHNOLOGY FUND
1
1.90
28.50
30.00
COST TFC LOCAL TRF. FINE- FORMERLY TRF. 9-1.19
6
1
24.00
0.00
24,00
COST TPDP TRUANCY PREVENT20N h DIVERSION FUND
6
3.00
O.DO
3.00
COST TPRP TIME PAYMENT REIMBURSEMENT PER
0.00
12.00
12,00
COST WAR WARRANT FEE
0
O.OD
0.00
0,00
COST WRNT WARRANT FEE
2
100-OD
0.00
100.00
FEES AJFF ABSTRACT OF JUDGMENT FILING FEE
2
100.00
0.00
100.00
FEES CSRV COLLECTION SERVICES FEE
1
5.00
0.00
5.00
FEES DDC DRIVER SAFETY COURSE -. 2020
6
403.00
0.00
403.89
FEES OFF DSFERRS➢ FEE
2
20.00
0.00
20.00
FEES EPP ELECTRONIC FILING PBE
1
126.00
0.00
126.00
PEES FILL FILING FEE
4
0.00
40.OD
40.00
FEES IFEE INDIGENT FEE
4
100.00
0.00
100.00
FEES JCMF JUVENILE• CASE MANAGER FEE
4
1.20
22.90
24.00
FEES JFTF JUDICIAL E COURT PERSONNEL TRNG FEE -CV
5
4
23.21
O.DD
23.21
FEES SFEE SERVICE FEE
0.00
20.00
20.00
FINE CPLD COMPLIANCE DISMISSAL FINE
4
300.00
00.00
0.00
320.00
FINE DEPF DEFERRED PINE
1
0.00
SC.00
C.00
FINE OFSF DPS PTA FINE
0
0.00
0.00
FINE FINE FINE
1
1
140.00
245?GZ.00
0.00
140.00
FINE LPFC LOCAL TRAFFIC FINE (Err. 0.1.19)
0.00
7G1.00
81.70
FINE PWG PARKS A wx&PLIFE FINE
5
13.07
0.00
07
FINE STPS STATE TRAFFIC FINE (Err. 9.1.19)
0
0.00
0.00
0.00
PINE WSF WATER SAFETY FINE
5
2.72
209.21
217.93
OPMT OPMT OVERPAYMENT
0
0.00
0.00
0,00
1
121.00
9.99
12.00
Money TOl910
18
2,537.72
11054„38
3,592.1D
The following totals represent - Trapefere Collected
COST CCC CONSOLIDATED COURT COSTS
0
COST CCC CONSOLIDATED COURT COSTS
0
0.00
0.00
0.00
COST CHS COURTHOUSE SECURITY
0.00
0.00
0100
COST IDF INDIGENT DEFENSE FUND
0
0
D.00
0.00
0.00
COST JCSF JUSTICE COURT SECURITY FUND
0
0.00
0.00
0.00
COST JPAY JUDGE PAY RAISE PEE
0.00
0.00
0.00
COST JSF JUROR SERVICE FUND
0
O.DO
0.00
0.60
COST LAF SHERIFF'S FEB
0
0.00
0.00
O.DO
COST LCCC LOCAL CONSOLIDATED COURT COST (EPP. 1.1.
0
0.00
0.00
0.00
COST MVP MOVING VIOLATION PER
0
0.00
0.00
9100
COST OMNC DPS OMNI FEE - COUNTY
0
0.00
0.00
0.00
COST OMND DPS OMNI FEE - CPS
0
0.00
0100
0.00
COST OMNO DPS OMNI FEE - OMNIEASE
0
0.00
0.00
0,00
COST OMNR OMNI REIMBURSEMENT FEE (EFF. 1.1.20)
0
0.00
0.00
0.00
COST PWAF TEXAS PARKS S WILDLIFE
0
0
0.00
0100
0.00
COST SAP DPS
0.00
0.00
0.00
COST STFI STATE TAP FINE 9-1-19
00.00
0.00
COST SUBC SUB TITLE C
D
0.00
a.00
D.00
cosT TrTECHNOLOGY FUND
0
0.00
0.00
0.00
COST TPC LOCAL TRF. FINE- FORMERLY TRF. 9-1-19
0
0.00
0.00
0100
0
0.00
0.00
0.00
09-0e-2021
Page 3
09,08-21;15:30 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 5/ 10
NeaeY Di,tributi0a Report
�'pe Coda DO,Crietien
CALNOON JPS AtlOOSS 2021 RIIPORS
COST TPDF TRUANCY PREVENTION & DIVERSION
Count
Retained
DS b tees
No y See 1
FUND
COST TPRF TIME PAYMENT REIMBURSEMENT P¢¢
0
000
.
0.00
0.00
COSI WAR WARRANT FEE
0
0.00
0.00
0.00
COST WRNT WARRANT FEE
0
0.00
0,00
0.00
FEES AJFF ABSTRACT OF JUDGMENT FILINO FEE
0
0.00
0.00
0.00
FEES CSRV COLLECTION SERVICES PER
0
0.00
0.00
0.00
FEES DDC DRIVER SAFETY COURSE • 2020
0
0.00
0.00
0.00
FEES DFF DEFERRED FEE
0
0.00
0.00
0.00
FEES EFF ELECTRONIC FILING FEE
0
0.00
0.00
D,00
FEES PILL FILING FEE
0
0100
0.00
0.00
FEES IFEE INDIGENT FEE
0
0.00
0.00
0.00
FEES JCMF JUVENILE CASE MANAGER FEE
0.00
0.00
0.00
FEES JPTF JUDICIAL & COURT PERSONNEL NG TRFEE•CV
Do
0,00
0.00
0.00
FEES SFEE SERVICE FEE
0
0.00
0.00
0.00
FINE CPLO COMPLIANCE DISMISSAL FINE
0
0.00
D.DD
0.00
FINE DEFT DEFERRED FINE
0
0.00
0100
0.00
FINE DPSF DPS PTA FINE
0
0.00
0.00
0.00
FINE FINE FSNE
0
0.00
0.00
0.00
FINE LTFC LOCAL TRAFFIC FINE (Epp. 0. 1.19)
0
0.00
0.00
0.00
PINE PWF PARKS & WILDLIFE FINE
0
0.00
0.00
0.00
FINE STP1 STATE TRAFFIC FINE (Err. 9. 1, 19)
0
0.00
0.00
0.00
FINE WEF WATER SAFETY FINE
0
0.00
0.00
0.00
OPMT OPMT OVERPAYMENT
0
O.OD
0.00
0.00
0
0109
0.00
0100
TraneCer Total,
D
o.00
0.00
0.00
The rollOWiag totals represent - Jail Credit and Community Servioe
COST CCC CONSOLIDATED COURT COSTS
COST COO CONSOLIDATED COURT COSTS
0
0.00
0.00
0.00
COST CRS COURTHOUSE SECURITY
0
O.DO
0,00
0.00
COST IDF INDIGENT DEFENSE FUND
0
0.00
0.00
0.00
COST JCSF JUSTICE COURT SECURITY FUND
0
0.09
0.00
0.00
COST JPAY JUDGE PAY RAISE FEE
0
0.00
0.00
0.00
COST JSF JUROR SERVICE FUND
0
0.00
0.00
0.00
COST LAP SHERIFF'S FEE
0
0.00
0.00
9.00
COST LCCC LOCAL CONSOLIDATED COURT COST (EPF
0
0.00
0.00
0,00
11
COST MVP MOVING VIOLATION FEE . ,.
0
0.00
0.00
0.00
COST OMNC DPS Owl PEE - COVNTY
0
0.00
9.00
0100
COST OMND CPS OMNI FEE - CPS
0
0.00
0100
COST OMNO Des OMNI FEE • OMNIBASE
0
0.00
0.00
0.00
0.00
COST OMNR OMNI REIMBURSEMENT FEE (EFF•, 1. 1.20)
0
0.00
0.00
0,00
COST PWAP TAX" PARKS & WILDLIFE
0
0.00
0.00
0.00
COST SAF OpS
0
0.00
0.00
0.00
COST STF1 STATE TRF FINE 9-1-19
0
0100
0.00
0.00
COST SUBC SOB TITLE C
0
0.00
6.00
COST TF TECMNOLOGY FDNO
0
0.00
0.90
0.00
0.00
COST TFC LOCAL TRF. FINE- FORMERLY TAP. 9-1-19
0
0.00
0.00
0.00
COST TPDF TRUANCY PREVENTION & DIVERSION FUND
0
0.00
0.00
0100
COST TPRF TIME PAYMENT REIMBURSEMENT FEE
0
0.0C
0.00
0.00
COST WAR WARRANT FEE
0
0.00
6.00
0.00
COST WRNT WARRANT FEE
0
0.00
0.00
0.00
FEES AJFF ABSTRACT OF JUDGMENT FILING FEB
0
0.00
0.00
0.00
FEES CSRV COLLECTION SERVICES P2E
0
0.00
0.00
9199
FEES DDC DRIVER SAFETY COURSE • 2020
1
18.21
0.00
18.21
FEES OFF DEFERRED FEE
0
0.00
0.00
0.00
FEES EFF ELECTRONIC FILING FEE
0
0.00
0.00
0.00
FEES FTLI FILING FEE
0
0.00
0.00
0.00
PEES IFEE INDIGENT FEE
0
0.00
0.00
0.00
FEES JCMF JUVENILE CASE MANAGER FEE
0
0.00
0.00
FREE JPTF JUDICIAL & COURT F@R9ONNEL TRNG FEE•Cv
1
1.79
0.00
0.00
1.7p
FEES 9FEE SERVICE FEE
0
0.00
0.00
0.00
FINE CPLD COMPLIANCE DISMISSAL FINE
0
0.00
O.DO
FINE DEFF DEPERREO PINE
0
0.00
0.00
0.00
0.00
FINE DPSF UPS PTA FINE
D
0.00
0.00
0.00
FINE FINE FINE
0
0.00
0.00
0.00
FINE LTFC LOCAL TRAFFIC FINE (Epp. 9.1.19)
0
0.00
0.00
0.00
PINE PWF PARKS & WILDLIFE FINE
0
0.00
0.00
0.00
FINE STF1 STATE TRAFFIC FINE (Epp. 9.1.19)
D
0.00
0.00
0.00
FINE WSF WATER SAFETY FINE
0
0.00
0.00
0100
OPMT OPMT OVERPAYMENT
0
0.00
0.00
O.DO
0
9.00
0.00
0.00
09-08-2021
Page 4
09-08-21;15,30 ;From:Calhoun County Pct. 5
To:5534444
;3619832461
# 6/ 10
Money Distribution Report
CALHODN
JP5 AUGUST a021 REPORT
e Code Description
Count
Retained
Diebureed
Mon -Totals
credit Totals
1
20.OD
0.00
20.00
The following totale repreoent - credit Card Paynenea
COST CCC CONSOLIDATED COURT COSTS
B
COST CCC CONSOLIDATED COURT COSTS
2
42.75
393,76
437.51
COST OHS COURTHOUSE SECURITY
2
5.50
49.52
59.02
COST IDF INDIGENT DEFENSE FUND
4.50
0.00
4.SD
COST JCSF JUSTICE COURT SECURITY FUND
2
0.27
2.48
2 7S
COST JPAY JUDGE PAY RAISE FEE
1
1100
also
1.00
COST JSF JUROR SERVICE FUND
2
0.22
7,43
8.25
COST LAP SHERIPF•S FEE
2
0.55
4.96
G.91
COST LCCC LOCAL CONSOLIDATED COURT COST (EFF. 1.1,
7
8
31.88
0.00
31.0E
COST MVP MOVING VIOLATION FEE
98.71
0.00
98.79
COST OMNC DPS OMNI FEE • COWRY
1
0.00
0.04
0.04
COST OMNO DPS OMNI FEE - DPS
1
4.00
0.00
4. Do
COST OMNO DPS OMNI FEE - OMNISASE
1
0.00
20.00
20.00
COST OMNR OMNI R13IMBURSEMSNT PER (EFF. 1.1.,20)
1
2
0.00
$.so
6.00
COST PWAF TEXAS PARRS G WILDLIFE
10.57
0.00
10.57
COST SAY DPS
2
0.00
2.DO
10.00
COST STFI STATE TRF FINE 9-1.19
1
0.22
0.06
0.20
COST SUBC SUB TITLE C
2
O.SG
20.74
21.60
COST TF TECHNOLOGY FUND
0
0.00
0.00
0.00
COST TFC LOCAL TAP. FINE- FORMERLY TRF. 9.1-1g
2
2
5.50
0.00
S.50
COST TPDP TRUANCY PREVENTION & DIVERSION FUND
2
1.30
0.00
1.30
COST TPRF TIME PAYMENT REIMBURSEMENT FEE
0.00
2.75
2.75
COST WAR WARRANT FEE
2
15.85
0.00
15.85
COST WENT WARRANT FEE
0
0.00
0.00
0.00
FEES AJFP ABSTRACT OF JUDGMENT FILING FEE
1
0
$0.00
0.00
50. 00
FEES CSRV COLLECTION SERVICES PEE
6.00
0.00
0.00
FEES DOC DRIVER SAFETY COURSE - 2020
3
184.20
0.00
184.20
FREE DFF DEFERRED FEE
0
0.00
0.00
0.00
FEES RFF ELECTRONIC FILING FEE
1
196.00
0.00
196.00
PEES FILI FILING FEE
D
0.00
0.00
0.00
FEES IFEE INDIGENT PRE
0
0.00
0.00
0.06
FEE5 JCMF JUVENILE CASE MANAGER FEE
0
0.00
0.00
0100
FEES JPTF JUDICIAL A COURT PERSONNEL IRMO FEE -CV
1
9.66
0.00
5.00
FEES SPEE SERVICE FEE
0
0.00
0.00
0.00
FINE CPLD COMPLIANCE DISMISSAL FINE
0
0.09
0.00
0.00
PINE DEFF DEFERRED FINE
0
0.00
0.00
0.00
FINE DPSF DPS FTA FINE
1
146.00
0.00
144.00
FINE FINE FINE
0
0.00
0.00
0.00
FINE LTFC LOCAL TRAFFIC FINE (EFF. 9.1,19)
7
60S.20
D.Do
605.20
FINE PWY PARRS & WILDLIFE FINE
4
22.00
6.66
12.00
FINE STP1 STATE TRAFFIC FINE (EFF. 9. 1.19)
2
19.20
208.80
128.00
FINE WSF WATER SAFETY FINE
4
6.00
192.00
200.00
OPMT OPMT OVERPAYMENT
2
14.10
7P.90
94.00
0
0.00
0.00
0.00
Credit Card Totals
13
1,473.06
690,44
2,363.50
The following totals r1l"I t, - Combined Money
COST CCC CONSOLIDATED COURT COSTS
15
COST CCC CONSOLIDATED COURT COSTS
a4.95
764,56
049.51
COST CBS COURTHOUSE SECURITY
7
25.so
229.52
265.02
COST IDF INDIGENT DEFENSE FUND
s
a
22.50
0.00
22.50
COST JCSF JUSTICE COURT SECURITY FUND
1.47
13.2E
14.75
COST JPAY JUDGE PAY RAISE PER
7
7.00
0.00
7.00
COST JSF JUROR SERVICE FUND
O
8
4.42
4,q2
39.83
79.83
g7.00
44.25
COST LAP SHERIFF'S FEE
si
COST LCCC LOCAL CONSOLIDATED COURT COST (EFF. 1.1.
17
81.0E
0.00
silos
COST MVP MOVING VIOLATION FEE
14
182.79
0.00
1E2.79
COST OMNC DPS OMNI FEE - COUNTY
4
0.03
0.31
0.34
COST OMND DPS OMNI FEE - DPS
3
20.00
0.00
20.D0
COST OMNO UPS OMNI FEE - OMNIBASE
3
0.00
100.00
100.00
COST OMNR OMNI REIMBURSEMENT FEE (EFF. 1.1.20)
3
D.DD
30.00
30.00
COST PWAF TEXAS PARKS & WILDLIFE
4
30.57
0.00
30.57
COST SAP DPS
2
9.00
2.00
10.00
COST STF1 STATE TRF FINE 9-1-19
3
8.22
2.OG
10.28
COST SUBC SUS TITLE C
2
0.86
20.74
21.60
COST TF TECHNOLOGY FUND
1
1.50
28.50
30.00
30.50
9
29.50
0.00
09-00-2021
Page 9
09-08-21;15:30 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 7/ 10
Money Distribution Report
CALNOUN OPS AUGUST
2021 REPORT
Type Code Description
Count
Retained
Disbursed
Mane -Totals
COST TFC LOCAL TRY, PINE• FORMERLY TEE, 9-1.19
COST TPDF TRUANCY PREVENTION & DIVERSION FUND
3
4.30
0.00
4.30
COST TPRF TIME PAYMENT REIMBURSEMENT FEE
0
2
0100
14.75
14.75
COST WAR WARRANT FEE
15.85
0.00
15.85
COST WANT WARRANT FEE
2
100.00
0.00
100.00
FEES AJPF ABSTRACT OF JUDGMENT FILING FEE
3
150.00
0.00
150.00
FEES CSRV COLLECTION SERVICES FEE
1
$.00
0.00
5.00
FEES DOC DRIVER SAFETY COURSE - 2020
9
588.09.
0.00
582.09
PEES OFF DEFERRED FEE
2
20.00
0.00
20.00
FEES EFF ELECTRONIC FILING FEE
2
322.00
0.00
322.00
FEES FILT FILING PEE
4
0.00
40.00
40.00
FEES IFEE INDIGENT FEE
4
100.00
0.00
20D.00
FEES JCMF JUVENILE CASE MANAGER FEE
4
1.20
22,6D
24.00
FEES JPTF JUDICIAL & COURT PERSONNEL TRNG FEE -CV
6
28.21
0.00
20.21
FEES WEE SERVICE FEE
4
0.00
20.00
20.00
PINE CPLD COMPLIANCE DISMISSAL FINE
4
300.00
0.00
300.00
FINE DEFY DEFERRED FINE
1
10.00
0.00
10.00
PINE DEEP UPS FTA PINE
1
1a6.00
0.00
146.00
FINE FINE FINE
1
145.00
0.00
146.00
FINE LTPC LOCAL TRAFFIC FINE (EFF. 9.1.19)
14
11366.90
0.00
1.364.90
FINE PWF PARKS & WILDLIFE FINE
9
25.07
0.00
25.07
FINE STF1 STATE TRAFFIC FINE (EFF, 9.1.19)
2
19.20
106.80
128.00
FINE WSF WATER SAFETY FINE
9
16.72
401.21
417.93
OPNT OPMT OVERPAYMENT
2
14.10
79.90
94.00
1
121.00
D.00
121.00
Money Totals
31
4,010.78
1,944.82
51955.90
The fallowing tutals represent - Combined Money and Credits
COST CCC CONSOLIDATED COURT COSTS
15
COST DOC CONSOLIDATED COURT COSTS
64.95
764,56
849.51
COST CHS COURTHOUSE SECURITY
7
25.50
229.52
255.02
COST IDF INDIGENT DEFENSE FUND
0
22.50
0.00
22.50
COST JCSF JUSTICE COURT SECURITY FUND
8
1,d7
13.28
14.75
COST JPAY JUDGE PAY RAISE FEE
7
7.00
0.00
7.00
COST JSF JUROR SERVICE FUND
E
4.42
39.83
44.25
COST LAP SHERIFF'S PEE
8
2.D5
26.56
29.91
COST LCCC IACAL CONSOLIDATED COURT COST (EFF. 1.1.
17
01.88
0.00
a1,68
COST MVP MOVING VIOLATION FEE
14
182.79
0.00
182.79
COST OMNC DES OMNI FEE - COUNTY
4
0.03
0.31
0,34
COST OMND DES OMNI FEE - DFS
3
20.00
0.00
20.00
COST OMNO DPS OMNI FEE - OMNIBRSB
3
0.00
100.00
100.00
COST OMNR ONNI REIMBURBEMENT FEE (EFF. 1.1.201
3
0100
30.00
30.00
COST PWAP TEXAS EARNS & WILDLIFE
4
2
30.97
0.00
30.57
30.57
COST SAP UPS
8.00
2.00
COST STP1 STATE TRF PINE P-1-19
3
8.22
2.00
10.00
10.20
COST SUBC SUB TITLE C
2
8.22
22.06
COST TV TECHNOLOGY FUND
1
1.50
28.90
30.oa
COST TFC LOCAL TRY. FINE- FORMERLY TRY. 9.1-LD
8
3
29.50
0.00
29.90
COST TPRF TRUANCY PREVENTION & DIVERSION FUND
8
4.30
O.Do
4.30
COST TPRP TIME PAYMENT REIMBURSEMENT FEE
0.00
14.75
14.75
COST WAR WARRANT FEE
2
15.85
0.00
15.85
COST WRNT WARRANT PEE
2
100.00
O.DO
100.00
PEES AJFF ABSTRACT OF JUDGMENT FILING FEE
3
150.00
0.00
150.00
FEES CSAV COLLECTION SERVICES FEE
1
SO
9.00
0.00
5.00
PEES DOC DRIVER SAFETY COURSE . 2020
906.30
0.00
606.30
PEP''S OFF DEFERRED FEE
2
20.00
0.00
20.00
FEES EFF ELECTRONIC FILING FEE
2
322.00
0.00
322.60
FEES FILT FILING FEE
4
0.00
40.00
40.00
PASS IFEE INDIGENT FEE
4
1DO.00
0.00
100.00
FEES JCMF JUVENILE CASE MANAGER FEE
4
1.20
22.80
24.00
FEES JPTF JUDICIAL & COURT PERSONNEL TRNG FEE -CV
7
30.00
0.00
30.00
FEES SFEE SERVICE FEE
4
0.00
20.00
20.00
FINE CPLD COMPLIANCE DISMISSAL FINE
4
300.00
0.00
300.00
FINE DEFY DEFERRED FINE
1
10.00
0.00
10.00
FINE DEEP UPS FTA FINE
1
146.00
0.00
149.00
FINE FINE FINE
1
145.00
0.00
145.00
FINE LTFC LOCAL TRAFFIC FINE (EFF. 9.1.19)
I4
1,366.90
0.00
1,36G�90
FINE PWF PARKS & WILDLIFE FINE
9
as.o7
25.07
0.00
25,07
FINE 9TF1 STATE TRAFFIC FINE (EFF. 9.1.19)
2
100.00
126.0
FINE WSP WATER SAFETY FINE
9
16.72
401.21
417.93
2
14.30
79.90
94.00
09-08-2021
Page 6
09-08-21;15:30 ;From;Calhoun County Pct. 5 To;5534444 ;3619832461 # 8/ 10
Money Dietribucion Report
CALHODH OPS ADOOST S021 REPORT
Type Code Description Count Retained DiObursed Money -Totals
OPMT OPMT OVERPAYMENT 1 121.00 0.00 121.00
Report Totals
32 4,030.78 1, 944.82 5,975.50
Page
09-08-21;15:30 ;From;Calhoun County Pot, 5 To:5534444 ;3619832461 # 9/ 10
Money Distribution Report
CALHOUN JP5
AUGUST
2021 REPORT
Data
Payment Type
Pines
Court Costs
Pees
Hondo
Restitution
Other
Total
00-00.0000
Cash & Cheeks Collected
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm Service
0.00
0.00
0.00
0.00
0.00
D.00
0.00
Credit Cards & Trate£ors
0.00
0.00
O.DD
O.OD
0.00
0.00
0.00
Total of all Collections
0.99
0.00
0100
0.00
O.DO
0.00
0.00
09-01-1991
Cash & Checks Collected
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jail Credits & Comm Service
0.00
0.00
0100
0,00
0.00
0.00
0.00
Credit Cards & Transfers
0.60
6.66
0.00
0.00
0.00
Total of all Collections
0.00
O.OD
0.00
0.00
0.00
0.00
0.00
0.00
0,00
01-01.2004
Cash & Chocks Collected
491.70
648.30
350.50
O.DD
0.00
0.00
1,490.50
Jail Credits & Comm Service
0.00
0.00
20.00
0.00
0.00
0.00
20.00
Credit Cards & Transfers
147.90
202,10
111.50
0.00
0.00
0.00
491.50
Total of all Collections
639.90
850.40
482.00
0.00
0.00
0.00
1,972.00
01.01.2020
Cash & Checks Collected
656.00
613.00
711.60
0.00
0.00
121.00
2,101.60
Jail Credits & Comm Service
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Credit Cards & Transfers
1,037.30
591.00
273.70
0.00
0.00
0.00
11932,00
Total Of all Collections
1,693.30
1,204.00
985.3D
O.DD
0.00
121.00
4,003.60
TOTALS
Cash & Checks Collected
1,147.70
1,261.30
1,062.10
0.00
0.00
121.00
3,592.10
Jail Credits & Comm Service
0.00
0.00
26,00
0.00
Credit Cards & Transfers
1,165.20
793.10
385.20
0.00
0.00
0.00
0.00
0.00
20.00
2.363.50
Total of all Collections
2,332.90
2,054.40
1,467.30
0.00
0.00
121.00
5,975.60
09-08-2021
Page 8
09-08-21;15:30 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 10/ 10
Money Distribution Report
CALHOUN JPS Ap00ST 2021 REPORT
Description Count Collected Retained DS b road
State of TOX40 Quarterly Reporting Totals
State Comptroller Cost and Fees Report
Section 3; Report for Offensea Committed
01-01.20 Porward
01-01.04 12-31-19
09.01-91 - 12-31-03
Sail Bond Pee
DNA Testing Fee - Juvenile
INS Trauma Fund (EMS)
Juvenile Probation Diversion Fees
State Traffic Fine (e££. 09.01.191
State Traffic Fine (prior 09.01.19)
Tntaxitated Driver Fine
Prior mandatory Costs (JRF,1Dp,JS)
moving Violation Foam
DNA Testing Fee - Convictions
DNA Testing Poo Comm Supvn
Truancy Prevention and Diversion Fund
FOLIUCC to Appear/pay Fees
Time Payment Foos
Judicial Fund - Coast County Court
Judicial Fund - Statutory County Court
Section II: As Applicable
Peace Officer Fees
Motor Carrier Weight Viola:ions
Driving Record Fee
Report Sub Total
State Comptroller Civil Foss Report
CF. Birth Certificate Fees
CF: Marriage License Fees
CF: Declaration of Informal Marriage
CF; Nondisclosure Fees
CF! Juror Donations
CF•: Justice Court Indig Piing Face
CF; Stat FrOb Court Indig Filing Fees
CF: Stat Prob Court Judic Filing Fees
CF: Seat Cnty court Indig Filing Fees
Cr•; Stat Cncy Court Judic Filing Fees
CF: Cost COZY Court Indig riling Foes
CF: Cast Cary Court Judic Filing Fees
CF; Die: Court Divorce a Family Law
CF: Dist Court Other bivorce/Family Law
CF; Diet Court Indig legal Services
cF; Judicial Support Fee
CF; Judicial a Court Perm. Training Fog
Report Sub Total
15
849.51
04.95
764.S6
0
285.02
27.00
258.02
0
0.00
0.00
0.00
0
0.00
O.OD
0.00
0
0.00
0.00
0.00
0
0.00
Olga
0.00
0
0.00
0.00
0.00
0
417.93
16.72
401.21
2
21.60
0.06
20.74
0
0.00
0.00
0.00
24
00.51
0.84
79.67
4
0.34
0.03
0.31
0
0.00
0.00
0.00
0
0.00
0.00
0.00
0
0.00
0.00
0.00
3
100.00
0.00
100.00
0
0.00
0.00
0.00
0
0.00
Olga
0.00
0
0.00
0.00
0.00
5
20.28
16.22
4.a6
0
0.00
0.00
0.00
0
0.00
0.00
0.00
70
1,793.19
154.62
1,628.57
0
0.00
0.00
6.a0
0
0.00
0.00
0.00
0
0.06
0.00
0.00
0
0.00
0.00
0.00
0
0.00
0.00
0.00
4
24.90
1.20
22.80
0
0.00
O.aa
0.00
0
0.00
0.00
0.00
0
0.00
0.00
0.00
0
0.00
0.00
0.00
0
0.00
0.00
0.00
0
0.00
0.00
0.00
0
0.00
0.00
0.00
a
0.00
0.00
0.00
D
0.00
0.00
alto
0
0.00
0.00
0.00
0
0.00
0.00
0.00
4
24.00
1.20
22.80
Total nut Par This Period 74 1,DD7.19 155.82 1,65Y.3%
THE STATE Or TEXAS Before me, the undersigned authority, this day
County of Calhoun COunty personally appWrtd Nancy Pomykal, Justice Of the
Peace, Precinct No S, Calhoun County, Texas, who
being duly sworn, deposes and says that the above
an foregoing report is true and correct.
Witness my hand this
� z
Justice of�the PeaC�PnciAct No 5 r
Calhoun Gounty, Texas
COMMISSIONER'S COURT— 9/15/2021
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
Page 16 of 17
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COMMISSION ER'S COURT — 9/15/2021
21. Approval of bills and payroll. (RM)
MMC
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
County
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Payroll
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Adjourned: 10:29 a.m.
Page 17 of 17
#21
September 15, 2021 2021 APPROVAL LIST - 2021 BUDGET
COMMISSIONERS COURT MEETING OF
BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 18
TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM
AT&T MOBILITY
CARDONA, DESIREE
CAVALLO ENERGY TEXAS LLC
CENTERPOINT ENERGY
DUNN, CHRISTY
FRONTIER COMMUNICATIONS
GBRA
HALL, DONNA
JOHNSON, LETIZIA
LEGACY DISPOSAL & SANITATION
LOPEZ, NOHEMY
MOMENTUM RENTAL & SALES
PORT LAVACA WAVE
QUALITY HOT MIX INC
RODRIGUEZ, SARA
SPARKLIGHT
VOYAGER
WHITE, WILLIAM A
PAYROLL FOR 9/17/21
09/15/21
$150,236.43
P/R $ 160,431.22
A/P $ 417.26
D.A- ADVANCE FOR CONF
A/P
$
492.70
AT
$
21,794.50
AT
$
79.44
D.A- ADVANCE FOR CONF
AT
$
890.35
AT
$
69.69
A/P
$
63.32
EMS- REIMBURSEMENT
A/P
$
11.91
D.A- ADVANCE FOR CONF
A/P
$
709.06
A/P
$
680.00
D.A-ADVANCE FOR CONF
A/P
$
492.70
RB3- SUPPLIES
AT
$
432.07
COMM CRT- LEGAL NOTICE
AT
$
307.80
RB2- FOESTER RD
AT
$
48,502.43
D.A- ADVANCE FOR CONF
A/P
$
899.31
AT
$
130.00
AT
$
17,964.76
D.A- ADVANCE FOR CONF
AT
$
914.99
TOTAL VENDOR DISBURSEMENTS:
$
405,519.94
P/R
$
325,122.15
TOTAL PAYROLL AMOUNT:
$
325,122.15
TOTAL AMOUNT FOR APPROVAL: $ 730,642.09 -�-
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MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---September 15 2021
TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES
TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS i✓
_ 503,585.76
TOTAL TRANSFERS BETWEEN FUNDS $ 287,193.20
TOTAL NURSING HOME UPL EXPENSES ✓
$ 387,410.651
TOTAL_ INTER -GOVERNMENT TRANSFERS $
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---September 15 2021
PAYABLES AND PAYROLL
9/9/2021 Weekly Payables
9/13/2021 McKesson-340B Prescription Expense
9/13/2021 Amerisource Bergen-340B Prescription Expense
9/13/2021 Payroll Liabilities -Payroll Taxes
9/13/2021 Payroll
Prosperity Electronic Bank Payments
9/7-9/10/21 Credit Card & Lease Fees
TRANSFER BETWEEN FUNDS TO NURSING HOMES
9/9/2021 MMC Operating to Ashford -NH portion of QIPP deposited into MMC
Operating
9/9/2021 MMC Operating to Solera-correction of NH insurance payment deposited
into MMC Operating in error and NH portion of QIPP
9/9/2021 MMC Operating to Fort bend -correction of NH insurance payment deposited
into MMC Operating in error and NH portion of QIPP
9/9/2021 MMC Operating to Broadmoor-NH portion of QIPP deposited into MMC
Operating
9/9/2021 MMC Operating to Crescent -correction of NH insurance payment deposited
into MMC Operating in error and NH portion of QIPP
9/9/2021 MMC Operating to Golden Creek -correction of NH insurance payment
deposited into MMC Operating in error
9/9/2021 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment
deposited into MMC Operating and NH portion of QIPP
9/9/2021 MMC Operating to Tuscany Village -correction of NH insurance payment
deposited into MMC Operating in error and NH portion of QIPP
9/9/2021 MMC Operating to Bethany -correction of NH insurance payment deposited
into MMC Operating in error
MEDICARE ADVANCE PAYMENT RECOUP
9/13/2021 Ashford to MMC Operating -correction of Ashford medicare recoup taken
from MMC Operating
9/1312021 Broadmoor to MMC Operating -correction of Broadmoor medicare recoup
taken from MMC Operating
9/13/2021 Crescent to MMC Operating -correction of Crescent medicare recoup taken
from MMC Operating
9/1312021 Fort Bend to MMC Operating -correction of Fort Bend medicare recoup
taken from MMC Operating
9/13/2021 Solera to MMC Operating -correction of Solera medicare recoup taken from
MMC Operating
9/13/2021 Golden Creek to MMC Operating -correction of Golden Creek recoup taken
from MMC Operating
9/13/2021 Tuscany to MMC Operating -correction of Tuscany medicare recoup taken
from MMC Operating
TOTAL TRANSFERS BETWEEN FUNDS
NURSING HOME UPL EXPENSES
9/13/2021 Nursing Home UPL-Cantex Transfer
9/13/2021 Nursing Home UPL-Nexion Transfer
9/13/2021 Nursing Home UPL-HMG Transfer
9/13/2021 Nursing Home UPL-Tuscany Transfer
9/1312021 Nursing Home UPL-HSL Transfer
TOTAL NURSING HOME UPC EXPENSES
,TOTAL ;INTER -GOVERNMENT TRANSFERS
57.141.57
9,207.30
343.58
106.133.59
325,261,77
5,238.45
259.50
$ _ 503,686.76
4.286.45
5,768.99
1,742.40
1,777.30
12,422.08
61,774.08
28,024.53
33.996.73
94,234.85
255.30
6.921.08
6,921.08
6.921.08
6,921.08
7,088.03
8,138.14
$ 287,193.20
75,588.37
69,893.87
25.260.77
134,184.24
82,483.40
$ 387,410.66'
r ,
09/09/202, - MEMORIAL MEDICAL CENTER
11:57;;j , ` I AP Open Invoice List
Nanpor_#. „ l Due Dates Through: 09/29/2021
A0400
Vendor Name
"--"'ll`-�; J;t AUREUS RADIOLOGY LLCClass
Invoice# Comment Tran of Inv Of Due Dt Check Dt Pay
28GS499 08/31/2021 08/30/2021 09/29/2021
ad 91455' LAB STAFFING
2303821 .//08/31/2021 08/30/2021 09/29/2021
LAB STAFFING
Vendor Totals: Number Name
A0400 AUREUS RADIOLO( Class
Gross
80435
Vendor# Vendor Name la00
BARD PERIPHERAL VASCULAR r/M ass
Invoice# Comment Tran Of Inv Of Due Dt Check Dt Pay
82958975 -/08/30/2021 08/17/2021 09/08/2021
SUPPLIES
Vendor Totals: Number Name
60435 BARD PERIPHERAL Gross
Vendor# Vendor Name 54.38
87150 BAXTER HEALTHCARE Mass
Invoice# CO ment Tran Of Inv Dt Due Of Check Dt Pay
71742690 ✓O8/30/2021 08/12/2021 09/06/2021
SUPPLIES
Vendor Totals: Number Name
81150 BAXTER HEALTHC! Gross
Vendor# Vendor Name 710.76
81220 BECKMAN COULTER INC ,� Class
Invoice# Cimment Tran Dt Inv Of M
5445803 ✓ 08/31/2021 08/30/2021 09/24/2021e Dt Check Of Pay
SUPPLIES
Vendor Totals: Number Name
81220 BECKMAN COULTE Class
Gross
10723
Vendor# Vendor Name la27
CLIA LABORATORY PROGRAM ,/ ass
Invoice# Comment Tran Dt Inv Of Due Dt Check Dt Pay
081021 08/19/2021 08/10/2021 09/24/2021
CERTIFICATE FEE
Vendor Totals: Number
10723 Name Gross
Vendor# CLIA LABORATORY 2,448.00
Vendor Name
C1970 CONMED CORPORATION Mass
Invoice# Comment Tran Of Inv Of Due Dt 635606 ✓ 08/30/2021 08/16/2021 09/08/2027 Check Dt pay
SUPPLIES
Vendor Totals: Number Name
4
Vendor# , 30.12
C1970 CONMED CORPORGross
10646 Vendor Name Class
Invoice#
COVIDIEN
Comment Tran Of Inv Of Due Of Check Dt Pay
5864157066 .(�/8/30/2021 08/13/2021 08/23/2021
SUPPLIES
Vendor Totals: Number
Name
Ventlor#
10646 COVIDIEN Gross
727.68
10006 Vendor Name Class
CUSTOM MEDICAL SPECIALTIES
2
Invoice# Comment Tran Dt Inv Of Due Of Che k D
0
ap_open_invoice.template
Pay Code
Gross Discount No -Pay Net
2,680.00 0.00 0.00 2,680.00
2,760.00 0.00 0.00 2,760.00
Discount No -Pay Net
0.00 0.00 5.440.00
Pay Code
Gross Discount NO -Pay Net
54.38 0.00 0.00 54.38
Discount No -Pay Net
0.00 0.00 54.38
Pay Code
Gross Discount No -Pay Net
710.76 0.00 0.00 710.76
Discount No -Pay Net
0.00 0.00 710.76
Pay Code
Gross Discount No -Pay Net
3,507.27 0.00 0.00 3,507.27
Discount No -Pay Net
0.00 0.00 3,507.27
Pay Code
Gross Discount No -Pay Net
2,448.00 0.00 0.00 2,448.00
Discount No -Pay Net
0.00 0.00 2,448.00
Pay Code
Gross Discount No -Pay Net
430.12 0.00 0.00 430.12
Discount No -Pay Net
0.00 0.00 430.12
Pay Code
Gross Discount No -Pay Net
727.68 0.00 0.00
727.68
Discount No -Pay Net Pay Code 0.00 0.00 727.68
84904 08/30/2021 08/24/2021 09/08/2021 o t Pay Gross Discount No -Pay Net
SUPPLIES 1.159.24 0.00 0.00 1,159.24
Vendor Totals: N
umber Name
Gross Discount No -Pay
Net
10006 CUSTOM MEDICAL
Vendor#
7,159.24
0.00
Vendor Name
F7400
Class
0.00
1,159.24
FISHER HEALTHCARE ✓
Pay Code
Invoice# Comment Tran Dt Inv Dt Due Di
8133027 �08/30/2021
Check Dt Pa y
Gross
08/10/2021 09/04/2021
Discount No -Pay
Net
' SUPPLIES
9529680
28.20
0.00 0.00
28.20
08/30/2021 08/18/2021 09/12/2021
SUPPLIES
8862199 „/09/09/2021
200.00
0.00 0.00
200.00
08/12/2021 09/06/2021
SUPPLIES
473.38
0.00 0.00
473.38
Ventlor Totals: Number Name
,/
F1400 FISHER HEALTHCA
Gross
Discount
No -Pay
Net
Vendor# Vendor Name
701.58
0.00
0.0
0.00
701.58
10901
GENESIS DIAGNOSTICS
Class
Pay Code
Invoice# Comment Tran Dt Inv Dt Due Dt
52460
Check Dt Pay
Gross
08/30/2021 08/06/2021 09/05/2021
Discount No -Pay
Net
/ SUPPLIES
120.46
0.00 0.00
120.46
52461 ✓ 08/30/2021 08/10/2021 09/09/2021
SUPPLIES
120.46
0.00 0.00
120.46
Vendor Totals: Number Name
10907 GENESIS DIAGNOS
Ventlor#
Gross
240.92
Discount
Net
Vendor Name
G0401
Class
0,00
0.00
0.00
240 92
GULF COAST DELIVERY ✓
Pay Code
Invoice# Comment Tran DI Inv Dt Due Of
083121
Check Dt Pay
08/31 /2021 08/31 /2021 09/23/2021
Gross
Discount No -Pay
Net
DELIVERY
Vendor
75.00
0.00 0.00
75.00
Totals: Number Name
G0401 GULF COAST DELII
Vendor#
Gross
75.00
Discount
Net
Vendor Name
J0150
Class
0.00
0.00
0.00
75.00
J & J HEALTH CARE SYSTEMS, IN(
Pay code
Invoice# Comment Tran Dt Inv Dt Due Ot
926029501
Check Dt Pay
Gross
�UB/30/2021 08/10/2021 09/09/2021
Discount No -Pay
Net
SUPPLIES
83.31
0.00 0.00
83.31
Vendor Totals: Number Name
J0150 J & J HEALTH CARE
Gross
Discount
No -Pay
Net
Vendor#
Vendor Name
83.31
0.00
0. 00
83.31
M2470 MEDLINE INDUSTRIES INC
Class
Pay Code
�/
Invoice# Comment Tran Dt Inv Dt Due Dt
1955248480,.06/30/2021
M
Check Dt Pay
Gross
06/15/2021 07/10/2021
Discount No -Pay
Net
SUPPLIES
197.14
0.00 0.00
197.14 r/
1960766596,08/30/2021 07/30/2021 08/24/2021
/ SUPPLIES
157.77
0.00 0.00
157.77
1960814019 08/30/2021 07/31/2021 08/25/2021
SUPPLIES
151.51
0.00 0.00
151.51
1961478092 8/30/2021 08/05/2021 08/30/2021
' SUPPLIES
1961953058r06/30/2021
217.07
0.00 0.00
21707
08/10/2021 09/04/2021
� SUPPLIES
8.59
0.00 0.00
8.59
1961953057�.08/30/2021 08/10/2021 09/04/2021
SUPPLIES
1962025018,08/30/2021
8.36
0.00 0.00
8.36✓
08/11/2021 09/05/2021
SUPPLIES
1962025022
14.49
0.00 0.00
14.49
9e/30/2021 08/11/2021 09/05/2021
SUPPLIES
2,752.58
0.00 0.00 2,752.58
1962025020 ,08/330/2021 08/11/2021 09/05/2021
SUPPLIES
1962106574 30/2021
3,857.84
0.00 0.00 3,857.84
,08 08/11/2021 09/05/2021
SUPPLIES
812.48
0.00 0.00
812.48
19/52025025 //33 /2021 08/11/2021 09/05/2021
SUPPLIES
1962025017P61202
723.48
0.00 0.00
123.48
08/11/ 021 09/05/2027
28.98
0.00 0.00
28.98 ,�
I
� SUPPLIES
1962025024,0 /30/2021 08/11/2021 09/05/2021
93.30
0.00
0.00
93.30
SUPPLIES
1962025021 ge30/2021 08/11/2021 09/05/2021
61.59
0.00
0.00
61.59
SUPPLIES
✓
196218333998/30/2021 08/11/2021 09/05/2021
1,001.82
0.00
0.00
1,001.82
SUPPLIES
�
1962025019 QSf30/2021 08/11/2021 09/06/2021
17.60
0.00
0.00
17,60
SUPPLIES
196210657138/30/2021 08/11/2021 09/05/2021
136.64
0.00
0.00
136.64
SUPPLIES
1962025023,g8/30/2021 08/11/2021 09/05/2021
333.25
0.00
0.00
333.25
SUPPLIES
�
1962106572 98 30/2021
08/11/2021 09/05/2021
300.35
0.00
0.00
300.35 f
SUPPLIES
1962210200 Q860/2021 08/12/2021 09/06/2021
50.39
0.00
0.00
50.39
SUPPLIES
1962730128 V/30/2021 08/17/2021 09/11/2021
44.29
0.00
0.00
44.29
SUPPLIES
1962730126 0y80/2021 08/17/2021 09/11/2021
13.76
0.00
0.00
SUPPLIES
13.76 --
1962730133 98/30/2021 08/17/2021 09/11/2021
3.403.24
0.00
0.00
3,403.24
SUPPLIES
1962730122 200/2021 08/17/2021 09/11/2021
96.76
0.00
0.00
SUPPLIES
96.76
1962730139 ,Q8/'3012021 08/17/2021 09/11/2021
635.79
0.00
0.00
635.79
SUPPLIES
1962730124 98/0/2021 08/17/2021
8/1 /2 21 09/11/2021
62.23
0.00
0.00
62.23
SUPPLES
1962748738 08/30/2021
08/17/2021 09/11/2021
441.72
0.00
0.00
441.72
SUPPLIES
�.
1962988417 �8/30/202 21 09M 2/2021
SUPPLIES
44.46
0.00
0.00
44.46 j
✓�%
1963007806,Q8730/2021 08/18/2021 09/12/2021
121.98
0.00
0.00
121.98
SUPPLIES
1962324235 99f08/2021 08/12/2021 09/06/2021
30.00
0.00
SUPPLIES
0.00
30.00
1962324234 0 1 812021 08/12/2021 09/06/2021
30.00
0.00
0.00
30.00
/ SUPPLIES
1962988416 09/69/2021 08/18/2021 09/12/2021
3,232.32
0.00
0.00
3,232.32
SUPPLIES
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
M2470 MEDLINE INDUSTR
18,481.78
0.00
0.00
18,481.78
Vendor#
Vendor Name
Class
Pay Code
M2659
MXR IMAGING, INC,
M
Invoice# Com ent Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
8800794880 /30/2021 08/09/2021 09/08/2021
26.11
0.00
0.00
SUPPLIES
26.11
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
M2659 MXR IMAGING, INC
26.11
0.00
0.00
Vendor#
Vendor Name
Class
2811
01500
OLYMPUS AMERICA INC
M
Pay Code
Invoice# Cpmment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
INU26703(i' 08/30/2021 08/11/2021 09/05/2021
28.74
0.00
0.00
28.74
SUPPLIES
31391291 �/68/30/2021 08/16/2021 09/10/2021
SUPPLIES
395.84
0.00
0.00
395.84
�
31396348 ,/08/30/2021 08/17/2021 09/11/2021
SUPPLIES
309.55
0.00
0.00
309.55
Vendor Totals: Number Name
Gross
Discount
No -Pay
Net
01500 OLYMPUS AMERIC,
734.13
0.00
0.00
734.13
Vendor#
Vendor Name
Class
10896
QIAGEN INC /
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
997965422 O0/30/2021 08/16/2021 09/15/2021
SUPPLIES
Vendor Totals: Number Name
Gross
10896 QIAGEN INC
11327.69
Vendor#
Vendor Name
Class
13940
RN NETWORK
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
3945529 R I 06/31 /2021 07/19/2021 09/23/2021
ICU STAFFING
' /
3945405Ri, 08/31/2021 07/19/2021 09/23/2021
ICU STAFFING
3963309RI „08131/2021 08/09/2021 09/23/2021
ICU STAFFING
3969231RI ✓08/31/2021 08/16/2021 09/23/2021
ICU STAFFING
3978913RI v08/31/2021 08/30/2021 09/29/2021
ICU STAFFING
Vendor Totals: Number Name
Gross
13940 RN NETWORK
13,110.00
Vendor#
Vendor Name
Class
S2362
SMITH & NEPHEW ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
942602386 .16813012021 08/17/2021 09/08/2021
SUPPLIES
Vendor Totals: Number Name
Gross
S2362 SMITH & NEPHEW
1,402.00
Vendor#
Vendor Name
Class
13880
TEXAS SELECT STAFFING .�
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
990121 09/03/2021 09/01 /2021 09/23/2021
0017q 93-91-0_N-jj4MED SURG STAFFING
Vendor Totals: Number Name
Gross
13880 TEXAS SELECT STr
3,115.25
Vendor#
Vendor Name
Class
U1054
UNIFIRST HOLDINGS ,/
W
Invoice# Comment Tran Dt Inv Dt Due Ot
Check Dt Pay
8400374943 .09/01 /2021 08/30/2021 09/24/2021
LAUNDRY
8400374942 091/01/2021 08/30/2021 09/24/2021
LAUNDRY
8400374966 �pf0112021 08/30/2021 09/24/2021
LAUNDRY
Vendor Totals: Number Name
Gross
U1054 UNIFIRST HOLDING
2,126.25
Vendor#
Vendor Name
Class
11110
WERFEN USA LLC .�
Invoice# Comm Tran Dt Inv Dt Due Dt
Check Dt Pay
'pt
9111033551 CQ8/30/2021 08/31/2021 09/25/2021
SUPPLIES
Vendor Totals: Number. Name
Gross
WERFEN USA LLC
1,241.10
Grand Totals:
Gross Discount
e
57,141.57
0.00
Pay Code
Gross Discount
1,327.69 0.00
No -Pay Net
0.00 1,327.69 j
Discount No -Pay Net
0.00 0.00 1,327.69
Pay Code
Gross Discount No -Pay Net
1,881.00 0.00 0.00 1,881.00
2,736.00
2,812.00
2,831.00
2,850.00
0.00 0.00 2,736.00 ✓
0.00
0.00
0.00
Discount No -Pay
0.00 0.00
Pay Code
0.00 2,812.00 ✓
0.00 2,831.00 . -
0.00 2,850.00
Net
13,110.00
Gross Discount No -Pay Net.
1,402.00 0.00 0.00 1,402.00 f
Discount No -Pay Net
0.00 0.00 1,402.00
Pay Code
Gross Discount No -Pay Net
3,115.25 0.00 0.00 3,115.25y�
Discount No -Pay Net
0.00 0.00 3,115.25
Pay Code
Gross Discount No -Pay Net
47.47 0.00 0.00 47.47
45.15 0.00
2,032.63 0.00
Discount No -Pay
0.00 0.00
Pay Code
0.00 45.15 j
0.00 2,032.63
Net
2.125.25
Gross Discount No -Pay Net
1,241.10 0.00 0.00 1,241,10
Discount No -Pay Net
0.00 0.00 1,241.10
No -Pay Net
0.00 57,141.57
MSKESSON
As of: 09/10/2021 Page: 002
STATEMENT
comeem: e000
DC: 6115
MEMORIAL MEDICAL CENTER
AMT DUE REv11TTED VIA ACH DEBIT
Territory:
AP
Statement for information only
615 N VIRGINIA STREET
Customer, 632536
FORT IAVACA TX 77979
Date: 0911112021
To ensure proper cmd0 to your
account, detach and return this
stub with year remBtanoe
As of: 09110/2021 Page: 002
Mail to: Comp: 6000
AMT DUE REMITTED VIA ACH DEBIT
Statement for information only
Cast: 632536 PIFASE CHECK ANY
Date: 09/1112021 ITEMS NOT PAID (+)
Billing Due Receleable
National Account 5, fi
¢%rile each Amount P Amount P Pecaivahle
Data Date Number Reference Description Discount (gross) F (net) F Number
PF column legend:
P = Pert Be. It...
F - Future Due Item, blank = Current Due Rem
TOTAL National Acd 632536 MEMORIAL MEDICAL CENTER
Sebtrtalle 9,395.17 U50
Fmure Due:
0.00
If paid By 0911412021,
Past Due:
0.00
Pay This Amount: 9.207.30 USD
last Payment
2.451.97
If Pald After 0911412021.
0610712017
NY this Amount: 9.395.17 USD
5,�9s.>6
64N•?%'
.ter�Dvr•.:;
o:<
3+yF 1 3 2021
For AR Inquiries please contact 800-867-0333
Due If Pain On Time:
USD 9,207.30 q
Oise lost if paid late: `r1Uy^
6].a]
Duo If Met late:
USD 9,395.17
1
MSKESSON
WALMART 1098/MEM MID FHS
MEMORIAL MEDICAL CENTER
VICKY KALISEK
815 N VIRGINIA ST
PORT IAVACA TX 77979
Wiling
Data
Due
Data
STATEMENT
As of: 09/10/2021
OC: 8115
AMT DUE REMITTED VIA ACH DEBIT
Teultary: 400
Statement for Information only
Customer. 256342
Date: 09/11/2021
Desviption Do..
at
Page: 001 To Oneucr proper credit to your
account, select, and cream this
stub with your remittance
As of: 09/10/2021 Page: 001
Mail to: Co.,: 8000
AMT DUE REMITTED VIA ACH DEBIT
Statement for information only
Cast: 256342 RJMSE CHECK ANY
Date: 09/11/2021 REMS NOT PAID (.r)
Amount P Amount P Receivable
(gross) F I-0
customer Number 256342
WALMART 1098/MEM ME, MS
'u w
09104/2021
09/14/2021
7292424020
0903210633
09/07/2021
09/14/2021
7292276535
14857153
1151nvoice
0.15
].35
).20✓
)292424020
09/07/2021
09/14/2021
7292276530
14916258
1151nveice
0.09
7292276536
09/07/2021
09/14/2021
7292276537
149)18D
1151nvaice
1151nv.ine
30.56
1,527.96
7.09✓
1,497A2 ✓
]2922]8536
09/07/2021
09/14/2021
)292276538
15019048
5.09
255.21
250.11 ✓
7292276538
09/W/2021
09/14/2021
7292276539
13210752
1151avoice
✓
]29227fi538
0910)/2021
09/1412021
]29248107)
09p3210)52
1151nva1ce
3.f0
183.58
183.SB
179.91
i19.91 /
]2922)8539
09107/2021
09/14/2021
1292481p]B
0906210803
1951avoice
i151nvoice
0.02
0.98
/
7292481078
09/08/2021
U9114/2021
7292623215
15049086
115Invoice
2.44
176.71
9.46
173,18 /
09108/2021
09/1412021
7292623216
15049086
1151nvoice
3.53
3.68
71
1]3.18/
7292481WB
)292623215
09/08/2021
09/14/2021
7292623217
1151nv0ice
376
379.15
7292623217
09/08/2021
09/14/2021
72928214)0
0907211100
07211100
1951nvoice
5.09
5.59
229.53
249.65/
249.65,
729262321]
09/09/2021
09/14/2021
7292945235
15142927
1151nvoice
0.01
20.49
20.46 /
7292945235
09/09/2021
09/1412021
7292945237
18210741
1151nvcice
0.98.✓
]292945235
09/09/202f
09/14/2021
]293095134
09/5164868
1151nvoice
2.01
22.08
1.103.16
3.76
1,p81.68./
]2929a5237
00/10/2021
09/14/2021
7293237677
151fi4868
10.35
500.21
7293237677
09/10/2021
09/1412021
7293237680
15164Bfi8
1151nvone
2.01
102.26
100.32
100.21
7293237680
09/10/2021
p9/1412021
7293237882
15203274
1151nvolce
1Is Invoice
0.01
0.32
/
7293237682
09/10/2021
09/10/2021
09/14/2021
7293335201
0909210929
11
9.72 /
09/14/2021
7293336202
0909210929
SInvoice
1151nvoice
2.10
104.28
102.19 ,/
7293335201
7293335201
4.66
4.fi6
232.94
232.94
228.28 /
28.28
]293335202
Or,#1rs0U230
For AR Inquiries please contact 800-867-0333
r t
MSKESSONSTATEMENT
A4 Of: 09/10/2021 Page: gal
To enwre prefer credit to your
account, detach and return this
Ca, .P. e05o
stub with your mmiRanea
OC: 8115
As of: 0911012021 Page: 001
WALMART 1098/MEM MED PHIS
AMT DUE REMITTED VIA ACH DEBIT
Territory: 400
Mail to: Camp: 8000
MEMORIAL MEDICAL CENTER
Statement for information only
AMT DUE REMITTED VIA ACH DEBIT
VICKY KALISEK
Customer. 256342
Statement for information only
815 N VIRGINIA ST
Dale: 09/11/2021
PORT LAVACA TX I7979
Cush 256342 PLEASE CHECK ANY
Data: 09/11/2021 MUS NOT PAID 1+1
PP column legend: P = Past Due It... �aFlo�lltYl€eBHRt IM36 blank = Current Due It..
+
TOTAL Customer Number 256342
WALMART 1098IMEM Mm PHIS
Subtotals:
5,506.53 USO
Future Do.:
0.aD
Due If Pald On Time:
If Paid By 09/1412021,
USD 5,398.36✓
Past Duo:
0.00 Pay This Amount:
5,398.36 USD
Disc lost K paid Tale:
10.17
last Payment 10,233.51
If After 114/2021,
Due If Paitl taro: -
09/06/2021
Payy this Amount:
this
5,508.53 USD
USD 5,508.53
SAP 1 3 2L''?I
For AR Inquiries please contact 800-867-0333
D
STATEMENT
coma+'n: are
HES FHY FC 490/MEM Me MIS AMT DUE REMITTED VIA ACH DEBIT
MEMORIAL MEDICAL CENTER Statement for information only
VICKY KALISEK
815 N VIRDINIA ST
PORT IAVACA T% 77979
As of: 09/10/2021
fh,e: 001 To ensure proper credit to your
account, detach and retum this
stub with your remittance
DC: 8115
As of: 09/10/2021 Page: 001
Mail tm Comp: 6000
Territory: 400
AMT DUE RJE iEfl VIA ACH DEBIT
Statement for Information only
Customer. 464450
Date: 09/11/2021
Cush 464450 PEASE CHECK ANY
Date: 09/11/2021 RBdS NOT PAID (�)
ailing Due ReceivablNational Account ��4536 I 1 I
e rI Cash Amount P Amount P Receivable
Date Data Number Reference Description Discount (gross) F (r F Number
vm 091091202109/14/2021 ^�
rn'7292926979
•' '•,y 55x609601 1151nvoice
22.81
1,140.59
1.111.78✓
7292928979
09109/2021 09/14/2021
72929289B4
55x6O9623 1151avoice
23.69
1.184.51
1.160.82✓
7292928984
0911012021 09114/2021
7293175355
55x613240 1151nvoice
4.40
220.11
215.71 ✓
]28345355
0911012021 09/14/2021
7293176246
55x613209 1151nvoice
0.21
10.37
WAS ✓
72931 ]fi246
PF column legend: P = Past Due Item, F =
Future Due Item, blank = Current Due Item
TOTAL Customer Number
464460 H® MY
PC 490IMEM Me FHS
Subtotals: 2.555.58
USD
Future Due:
0.00
if Paid By 0911412021,
Due If Paid
USD
On Time:
2,504,47y%rr
Past Due:
0.00
Pay This Amount:
2.504.47
USD
Disc lost 9
paid late:
51AI
Last Payment
10,233.51
if Paid After 0911412021.
Due If Paid
late:
09/06/2021
Pay this Amount:
2.555.58
USD
USD
2,555.58
For AR Inquiries please contact 800-867-0333
ia'Sill cSt>
SEE if J 20i1
I
MWESSON
STATEMENT
.ma"..'We
CVS PHCY 74751ME1vI Me MS
AMT DUE REMITTED VIA ACH DEBIT
MEMORIAL MEDICAL CENTER
Statement for information only
VICKY KAUSIEK
815 N VIROINIA ST
MW iAVACA TX 77979
As of: 09/10/2021
Page: 001 To ensure proper cretlit to your
aaaeout, detach ead return this
stub with your translation
DC: 8115
As of: 09/10/2021 Page: 001
Mail to: Comp, 8000
Took., 400
AMT DUE REMITTED VIA ACH DEBIT
Customer. 835438
Statement for information only
Date: 0911112021
Cast: 835438 PLEASE CHECK ANY
Date: 09111/2021 ITENtS NOT PAID (,)
allonal Account 5, 6
Billing Due ReceWabl Cash Amount P Amount P Receivable
Date Dete Number Reference Description Dismount (gross) F (.at) F Number
Customer Number 835438
CVS MLY 7475IMFAI MC PHS
09/09/2021 09/14/2021
7293123971
1345665 1151ncoice 13.21 662.00
648.79 7293123971
O
PF column legend: P =
Net no. than, P = Future Due
[lam, blank = Current Due Item
TOTAL Customer Number 835438 CVS MCY 7475/111FM
MC MS
Subtotals: 662.00 USD
Future Due:
0.00
Duo If Paid On Time:
It Pald By 0911412021,
USD
648.79 ✓
Past Due:
0.00
Pay This Amount: 648.79 USD
Disc lost K paid let.:
1`I'{�IW'•
3,21
test Payment
10,233.51
If Pattl After 2021,
Oue If Paltl late:
at.:
Pay this Amount: 662.00 USD
USD
662.00
_,rsii)G`ti
ii
i1 r �1
For A2 Inquiries please contact 800-867-0333
MSKESSONSTATEMENT
As of: 0911012021
Page: 001
To ensure pope, credit to your
account, detach and retum this
um=on 8000
club wHh your remiltanca
DC: 8196
As el: 09/10/2021 Page; 001
WALMART 5315/1,16MRL MC MS AMT DUE REMITTED VIA ACH DEBIT
Territory: 99
Mail to: Co., 8000
MEMORIAL MEDICAL CENTER
A/P
Statement for information only
AMT DUE REMITTED VIA ACH DEBIT
RG 815 N VIINIA ST
Customer. 9454]9
Statement for information only
POW LAVACA TX 77979
Data: 09/11/2021
Cusic 945479 P11.ASE CHECK ANY
Dale: 09/11/2021 ITfiKS NOT PAID (.r)
&fling Due
RecelvabldllonaI Account ffial li
Cash
Date Data
Number Neferenee
Description Discount
Amount P
(gross) F
Amount P NeceWable
(net) F Number
Customer Number 945479 WALMAW 5315/MI]dBL MC PHS
09/08/2021 09/14/2021 7292747409 MHO9072021 1951nvoice 13.38 669.06 655.68 7292761409 O
PF column legend: P e Past Due Item, F = Future Duo New, blank = Current Due ante
TOTAL Customer Number 945479 WAIAIAW 631SIMEMM MC MS
Subtotals: 669.06 USD
Future Due: 0.00 Due If Paid On Time:
If Paid By 0911412021, USD 655,68 ✓
Net Due: 0.00 Pay This Amount: 655.68 USD Disc lost K Rid late:
tact Paymem 10.233.51 If PaM After 09/1412021, Duo If Paid Late; 3.38
09f0612021 Poy this Amount: 66906 USD USD 669.06
For AR Inquiries please contact 800-867-0333
11% �11/ CTATCaACAIT Statement Number: 61596053 1of1
Amensourcemergen"
Date: 09-10-2021
AMERISOURC98ERGEN DRUG CORP
WALGREENS #12494 340E
12727 W. AIRPORT BLVD.
MEMORIAL MEDICAL CENTER
1001352841037028186
SUGAR LAND TX 77478-6101
1302 N VIRGINIA ST
PORT IAVACA TX 77979.2509
Bat - Fri Due in 7 days
DPA: RA0289276
866-451-9655
AMERISOURCEBERGEN
P.O. Box 905223
Not Yet Due:
0.00
CHARLOTTE NC 2829D.5223
Current:
M3158
Past Due:
0.0000
Total Due:
343.58
Account Balance:
343.58
Account Activity
Document Due Reference
Purchase Order
Document Original
Last Receipt Amount Received
Balance
Date Date Number
Number
Type Amount
09-07-2021 09-17-2021 3065848834
162754
Invoice 226.02
O00
226.02
0907.2021 09-17-2021 30 6MB835
162756
Invalce 117.%
OA0
117.56
Current
1-15 Days
16-30 Days
31-60 Days
61-90 Days
91-120 Days
Over 120 Days
343.Ss
D.DD
o.00
0.00
o.Do
o.DD
D.DD
Thank You for Your Payment
Date Amount
0940.2021 (2,083.08)
GK# 5UOZ31
Reminders
Due Date
Total Due:
343.58
r,hr -
S.P i t z,
TOLL FEE PHONE NUMBER: 1-800-555-3453
(EFTPS TUTORIAL SYSTEM: 1-800-572-8683)
a"ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER"
"ENTER YOUR 4-DIGIT PIN"
El WAKE A PAYMENT, PRESS 1"
"ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN"
7"IF FEDERAL TAX DEPOSIT ENTER 1"
"ENTER 2-DIGIT TAX FILING YEAR"
El "ENTER 2-DIGIT TAX FILING ENDING MONTH"
1ST QTR - 03 (MARCH) - Jan, Feb, Mar
2ND QTR - 06 (JUNE) - Apr, May, June
3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept
4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec
El "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN"
"l TO CONFIRM"
"ENTER W/CENTS AMOUNT OF SOCIAL SECURITY"
"ENTER W/CENTS AMOUNT OF MEDICARE"
"ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING"
❑"6-DIGIT SETTLEMENT DATE"
"1 TO CONFIRM"
ACKNOWLEDGEMENT NUMBER
#### ENTER:
0
' 21
It,
$
106,13359
1
$
53,235.26
$
12,704.60
$
40,193.73
CrIECri S
1
CALLED IN BY:
CALLED IN DATE:
CALLED IN TIME:
NAP -Payroll Files\Payroll Taxes12021Vf19 R1 MMC TAX DEPOSIT WORKSHEET 09.9.21.xis 9/1312021
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EY.IFA. WAGES 1 !1 Y 1225.2. 3012 0131 SW IF 735.33 SMSM ::5i N
F FWEPAL LEAVE 32A0 !i 1 :1 I1 533.N SOINIS SOP.C!iG 45, .00 7SA-1
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2
?ay duke,:
0+11.21
MEMORIAL MEDICAL CENTER
PROSPERITY BANK
ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT --- September 07, 2021- September 12, 2021
Date Bank Description
9/7/2021 PAY PLUS ACHTRANS 452579291101000699934668
9/7/2021 MCKES50N DRUG AUTO ACH ACH04716402 910000186
9/7/2021 FDMS FDMS PYMT 052-1479214-0004100012579909
9/7/2021 FDMS FDMS PYMT 052-14792IS-000 4100012579909
9/7/2021 FDMS FDMS PYMT 052-1479468.000 4100012579920
9/7/2021 FDMS FDMS PYMT 052-1601830-0004100012593179
9/8/2021 PAY PLUS ACHTRANS 452579291101000691ssa483
9/9/2021 PAY PLUS ACHTRANS 452579291 101000692386135
9/10/2021 TSYS/TRANSFIRST DISCOUNT 393009825416166110
9/10/2021 TSYS/TRANSFIRST DISCOUNT 39300982589946 6110
9/10/2021 TSYS/TRANSFIRST DISCOUNT 41399801332393 6110
9/10/2021 TSYS/TRANSFIRST DISCOUNT 41399801368397 6110
9/10/2021 T5YS/TRANSFIRST DISCOUNT 41399801332419 6110
9/10/2021 TSYS/TRANSFIRST DISCOUNT 41399801332385 6110
9/1012021 TSYS/TRANSFIRST DISCOUNT 41399801332401 6110
9/10/2021 TSYS/TRANSFIRST DISCOUNT 413998013918376110
9/10/2021 PAY PLUS ACHTRANS 452579291 101000693329516
9/10/2021 AMERISOURCE BERG PAYMENTS 0100007768 2100002
Memorial
CEO
PROSPERITY BANK
ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- ESTIMATED ACHS
Date Description
Jason Anglin, CEO
Memorial Medical Center
MMC Notes
- 3rd Party Payer Fee
-340B Drug Program Expense
- Credit Card Processing Fee
-Credit Card Processing Fee
-Credit Card Processing Fee
- Credit Card Processing Fee
- 3rd Party Payer Fee
- 3rd Party Payer Fee
- Credit Card Processing Fee
-Credit Card Processing Fee
- Credit Card Processing Fee
- Credit Card Processing Fee
- Credit Card Processing Fee
-Credit Card Processing Fee
Credit Card Processing Fee
- Credit Card Processing Fee
-3rd Party Payer Fee
- 340B Drug Program Expense
September 13, 2021
;VA-"Yrd 09-0t-21 Cc
MMC Notes
13, 2021
C
17,814.54
PAy vies
SN•U
It 7'7 • 4 1
1 • 48
22.59 .
T2'5:9 - 5 U
a
U k(6
40-U[ .
45�26
69.24
32.4
932•J
129.0U
2,79 -1S
582 2i1
344- 2
53• W
603•It I;
115. 16
k-5. _..b :4 j
259.5o
5 2.3I+-45
17. 314-54 -
Amount 1 0 , ? ? • S —
2,U _ —
5,49'i
5.491
5, 69'7•v,... .
0.13U ::
09/09/2021
MEMORIAL MEDICAL CENTER
AP Open Invoice List
Due Dates Through: 09/30/2021
Vendor Name
11816
Class
ASHFORD GARDENS
Invoice# Comment
Tran Dt Inv Dt Due Dt Check Dt
Pay
090221 09/02/2021 09/02/2021 09/30/2021
UHC JULY QIPP
Vendor Totals:
Number Name
11816
ASHFORD GARDEN Gross
4,286.45
Grand Totals:
""JO" °," d1 mary
Gross Discount
4,286.45 0.00
rD
2021
0
ap_open_invoice.template
Pay Code
Gross Discount No -Pay Net
4.286.45 0.00 0.00 4,286.45
Discount No -Pay Net
0.00 0.00 4,286.45
No -Pay Net
0.00 4,286.45
-� i�-, MEMORIAL MEDICAL CENTER
09/0912021 0
12 08 AP Open Invoice List
Due Dates Through: 09/30/2021 ap_open_invoioe.template
Vendor# Vendor Name Class Pay Code
11$2Q�j';,,)tf _-''i-'i j SOLERA WEST HOUSTON
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
082321 08/30/2021 08/23/2021 09/30/2021
4,078.86
1
TRANSFER NO 1i'k4. y((.Q PyOLA djf6(oi'ILcd IVjh fKwu Q�
090221 09/02/2021 09/02/2021 09/30/2021
1,690.13
JULY UHC OIPP
Vendor Totals: Number Name Gross
Discount
11828 SOLERA WEST HOt 5,768,99
0.00
Rep ,,rl Sumt.",ty
Grand Totals: Gross Discount
No -Pay
5,768.99 0.00
0.00
;09. D`SAIW
XTr
%anill -w ,faYi.Yr.C:_°.
Discount No -Pay Net
0.00 0.00 4.078.86
0.00 0.00 1,690.13 t/
No -Pay Net
0.00 5,768.99
Net
5,768.99
09/09/2021 MEMORIAL MEDICAL CENTER
p;
j%! AP 0 0
12:08 j.,i �� .a pen Invoice List
Due Dates Through: 09/30/2021 ap_open_invoice.tempiate
Vendor#,.. ::��� - Vendor Name Class Pay Code
11820 FORTBEND HEALTHCARE CENTS
Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net
090221 09/02/2021 09/02/2021 09/30/2021 1,742.40 0.00 0.00 1,742.40
N$F04iUK or into miac arxm-6.
Vendor Totals: Number Name Gross discount
11820 FORTBEND HEALTI 1,742.40 0.00
port Cuwnwary
Grand Totals: Gross Discount No -Pay
1,742.40 0.00 0.00
�ar!ua�s�
Fs?
SEP t `J 21''t
No -Pay Net
0,00 1.742.40
Net
1,742.40
09/09/202,1, ;:, '1 :� y� MEMORIAL MEDICAL CENTER 0
12:08 '"I "`' AP Open Invoice List ap_open_invoice.template
Due Dates Through: 09/30/2021
VentlorN Vendor Name Class Pay Code
11832 BROADMOOR AT CREEKSIDE PAP
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net
090221 09/02/2021 09/02/2021 09/30/2021 1,777.30 0.00 0.00 1,777.30
TRANSFER R-i K1 Of &IVV V3VAJ ClEnOC1-k.d iK+0 mitic: ojpc.YK
Vendor Totals: Number Name Gross Discount No- Net
11832 BROADMOOR AT C 1,777.30 0,00 0.00 1,777.30
r:e;x�rl Sunun;:ry
Grand Totals: Gross Discount No -Pay Net
1.777.30 0.00 0.00 1,777.30
init
Si P 19 21,?1
09/09/2027':� I,j Jj1;'+, MEMORIAL MEDICAL CENTER
0
AP Open Invoice List
12 08
ap_open_invoice.template
Due Dates Through: 09/30/2021
Vendor# "` Vendor Name Class
Pay Code
11824 THE CRESCENT
Invoiced Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
082621 08/30/2021 08/26/2021 09/30/2021
682.90
0.00
0.00
682.90 f
TRANSFER n q jY�(Ji✓ItM Y71,� .}-d,C ,.( j"
4kM - rj'X.n..}'��(
082721 08/30/2021 08/27/2021 09/30/2021
7,156.88
W.00
0.00
7,156.88
TRANSFER 11
11
082721A 08/30/2021 08/27/2021 09/30/2021
3.153.50
0.00
0.00
3,153.50
TRANSFER "
tl
090221 09/02/2021 09/02/2021 09/30/2021
1,428.80
0.00
0.00
1,428.80t/
TRANSFER idt+ P+ayl (){ 0-%r'P PyV%+ dt(10S4c.A
IN-h 1kIKL
Opux
Vendor Totals: Number Name Gross
Discount
No-F6y
Net
11824 THE CRESCENT 12,422.08
0.00
0.00
12,422.08
R��p �rt'iuinniaq=
_
Grand Totals: Gross Discount
No -Pay
Net
12,422.08 0.00
0.00
12,422.08
at"raai
C.LL110t+e;:;"t,:2F:lt';dr,•", ^!'�t:l "7
09/09/2021
MEMORIAL MEDICAL CENTER
12:09
12:09'pjj;o
AP Open Invoice List
0
_
Due Dates Through: 09/30/2021
ap_open_involce.template
Vendor#
Vendor Name Class
Pay Code
11836
GOLDENCREEK HEALTHCARE
Invoiceft Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
082621 08/30/2021 08/26/2021 09/30/2021
277.11
0.00
0.00
277.11
TRANSFER 09 lti Kkt2 IOtA t U/71l[d
1
�Vl-lp rMc ()wh
082621A 08/30/2021 08/26/2021 09/30/2021 VV
1,420.80
0.00
0.00
1,420.80 ✓
TRANSFER t1
11
082721 08/30/2021 08/27/2021 09/30/2021
302.63
0.00
0.00
302.63 j
TRANSFER 11
11
083021A 08/30/2021 08/30/2021 09/30/2021
4,823.00
0.00
0.00
4,823.00 t�
TRANSFER L1
11
0830218 08/30/2021 08/30/2021 09/30/2021
9.931.75
0.00
0.00
9,931.75
TRANSFER n
11
083021 08/30/2021 08/30/2021 09/30/2021
42,109.61
0.00
0.00
42,109.61
TRANSFER 4
1r
090221 09/02/2021 09/02/2021 09/30/2021
2,909.18
0.00
0.00
2.909.18 ✓f
TRANSFER �.
r
Vendor Totals: Number Name Gross
Discount
No -Pay
Net
11836 GOLDENCREEK HE 61,774.08
0.00
0.00
61.774.08
Rl pn:t'Su�nm;;n,
Grand Totals:
Gross Discount
No -Pay
Net
61,774.08 0.00
0.00
61,774.08
09169461-
���-`--!—'/ MEMORIAL MEDICAL CENTER
1222 �� - -
-T
AP Open Invoice List
0 1 ' 0%�
0
ap_open_invoice.template
J
Due Dates Through: 09/30/2027
Vendor#
Vendor Name Class
Pay Cade
"12696i CeJC `.�.:ittfe
5lret'ittry' GULF POINTE PLAZA
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay
Gross
Discount
No -Pay
Net
082321 08/30/2021 08/23/202`1' 09/30/2021
2,015.92
0.00
0.00
2,015.92 ✓
i
TRANSFER N� jn�'W} G�(Q•!1'�'[tt. I♦1 lu
hA.VWL t�'1f.h�
082421 08/30/2021 08/24/2021 09/30/2021
10,248.38
0.
0.00
10,248.38
TRANSFER 11 .
it
082521 08/30/2021 08/25/2021 09/30/2021
10,137.54
0.00
0.00
10,137.54 t/
TRANSFER It
it
082621 08/30/2021 08/26/2021
1,860.00
0.00
0.00
1,860.00
�109/30/2021
TRANSFER
If
082721 08/30/2021 08/27/2021 09/30/2021
975.66
0.00
0.00
975.66
TRANSFER tl
It
082721A 08/30/2021 08/27/2021 09/30/2021
494.61
0.00
0.00
494.61 ✓
TRANSER t'
II
083121 08/31/2021 08/31/2021 08/31/2021
562.52
0.00
0.00
562.52✓
TRANSFER It
11
090221 09/02/2021 09/02/2021 09/30/2021
1,729.90
0.00
0.00
/
1,729.90 ✓
UHC JULY QIPP
Vendor Totals: Number Name Gross
Discount
No -Pay
Net
12696 GULF POINTE PLA2 28,024.53
0.00
0.00
28,024.53
sir:IBC" 3l it llllrl'j
Grand Totals:
Gross Discount
No -Pay
Net
28,024.53 0.00
0.00
28,024.53
k,leffiinii' ms
alk
SEP 19 21121
9�9a�+9i3Cr Er.RlitSrti \R
CA\Zit�A€.M3�9L*�,'2LXiC>..',
09/09/2021 , MEMORIAL MEDICAL CENTER
0
1224.t i, �- (j �,�?(�{�� AP Open Invoice List
Due Dates Through: 09/30/2021 ap_open_invoice.template
'Vendor#%'+-'')1`-'?-'"-!1{-s0i Vendor Name Class Pay Code
13004 TUSCANY VILLAGE
Invoice#
Comment Tran Dt Inv Dt Due Dt
Check Dt Pay
Gross
Discount
No -Pay
Net
082021
08/30/2021 08/20/2021 09/30/2021
9,694.77
0.00
0.00
9,694.77
TRANSFER (Vfj� ji99JMCtt
bi tyli--a�,p+ca
V
`" fjax 0p -'-�
082321
08/30/2021 08/23/2021 09/30/2021
rv_
2,644.46
0.00
0.00
2,644.46✓
TRANSFER 11
It.
082421
08/30/2021 08/24/2021 09/30/2021
6,049.89
0,00
0.00
6,049.89
TRANSFER 1t
1r
082521
08/30/2021 08/25/2021 09/30/2021
2,426.62
0.00
0.00
2,426.62
TRANSFER t1
1)
083021A
08/30/2021 08/30/2021 09/30/2021
2,696.16
0.00
0.00
2,696.161/
TRANSFER I1
q
083121
08/30/2021 08/31/2021 09/30/2021
7,607.08
0.00
0.00
7,607.08
TRANSFER 1%
11
083121E
08/30/2021 08/31/2021 09/30/2021
371.00
0.00
0.00
371.00
TRANSFER (k
11
`
090221
09/02/2021 09/02/2021 09/30/2021
2,506.75
0.00
0.00
2,506.75
TRANSFER , N}4 �AN' of
(i-lrY Vbt{ atfx)L 61 5Ah jKU&L OV"" -
Vendor Totals: Number Name
Gross
Discount
No -Pa
Net
13004 TUSCANY VILLAGE
33,996.73
0.00
0.00
33,996.73
Grand Totals:
Gross
Discount
No -Pay
Net
33,996.73
0.00
0.00
33,996.73
AoDuRgWAM
4M
3EP192W
*iialRr r 011
c:, aln'asw ^yaws, wwmn
09/09/2021` .. MEMORIAL MEDICAL CENTER 0
12:09 - AP Open Invoice List
!! ap_open_invoice.tempiate
f� .� ,'jj')`; Due Dates Through: 09/30/2021
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 /
082321E 08/30/2021 08/23/2021 09/30/2021 9,605.91 0.00 0.00 91505.91
TRANSFER N" IYLSI.urmt,
plixi AF044,- i kh
MML O}l..ru-it h.�
082621
08/30/2021 08/23/2021
09/30/2021
3,711.18
0.
TRANSFER 11
I
082321A
O8/30/2021 08/23/202109/30/2021
304.13
0.00
11
TRANSFER
11
082421
08/30/2021 08/24/2021
09/30/2021
18,917.54
0.00
TRANSFER I1
II
082521A
08/30/2021 08/25/2021
09/30/2021
218.66
0.00
TRANSFER tt
tt
082521
08/30/2021 08/25/2021
09/30/2021
35,612.83
0.00
TRANSFER I1
11
082721A
08/30/2021 08/27/2021
09/30/2021
3,289.95
0.00
TRANSFER 11
11
082721E
08/30/2021 08/27/2021
09/30/2021
8,798.17
0.00
TRANSFER It
I t
082721C
08/30/2021 08/27/2021
09/30/2021
7,657.47
0.00
TRANSFER 11
It
083021 B
08/30/2021 08/30/2021
09/30/2021
5,008.50
0.00
TRANSFER"
rt
083021A
08/30/2021 08/30/2021
09/30/2021
1.210.51
0.00
TRANSFER I%
to
Vendor Totals: Number
Name
Gross
Discount
No -Pay
12792 BETHANY
SENIOR 1
94,234.85
0.00
0.00
Grand Totals: Gross Discount No -Pay
94.234.85 0.00 0.00
.,+,•y mf. i�
Ak1li�.w, :ltlHEt M9 ,
0.00 3,711.18
0.00 304.13
0.00 18,917.54
0.00 218.66 .�
0.00
35,612.83
0.00
3,289.95
0.00
8,798.17 ✓
0.00
7,657.47 ,� -
0.00 5,008.50
0.00 1,210.51
Net
94,234.85
Net
94,234.85
Facility ID
Facility Name
Total UHC Deposits
4811
Ashford
55,076.14
105818
Broadmoor
22,797.42
105314
Crescent
18,300.67
4628
Fort Bend
22,274.37
105006
Solera
21,612.02
102540
Golden Creek
37,470.28
100806
Gulf Pointe
22,177.06
103462
Tuscany
7,680.34
Bethany
-
Total UHC Desosit 207,388.30
MMC PORTION
QIPP/Comps
QIPP/Comp2
QIPP/Comp3
QIPP/ComP4&
Lapse
QIPP TI
NH PORTION
46,503.24
8,572.90
50,789.690
4,286.450
19,242.82
3,554.60
21,020.120
1,777.300
15,443.07
2,057.60
16,871.870
1,428.800
18,789.57
3,484.80
20,531.970
1,742.400
18,231.77
3,380.25
19,921.895
1,690.125
31,651.92
5,818.36
34,561.100
2,909.180
18,717.27
3,459.79
20,447.165
1,729.895
2,666.84
5,013.50
5,173.590
2,506.750
171,246.50
36,141.801
1
189,317.45
18,070.90
6UNDS�DEROSITEDINTOMMCOPERATING:NEED TO}i55UE RrTyM�NT6TO NUR0iG HOfJIE ,, (J
MAKE Cf76CK REQUESTS FOR'ERCH NURSIYVGHi0N1E FOR.yI'IGHEIGHTED YELLOW9M0UNT5i. ,_,�
55,076.14
22,797.42
18,300.67
22,274.37
21,612.02
37,470.28
22,177.06
7,680.34
207,388.30
Request for Transfer of Funds
T,aaerer e:
m¢Requneetl
Varee
RED, ues4d bY:
Pepueitol5emall
numbWYi
PVvne
vmher
DIMNOGr County
WIDE, MEMORML MEDICAL CLINIC
aMEDp
ttlevenev�nonUvam.
aninee®mmmvnla_van.cvm
e
R UI
pale MSemlm
E UIREp
pale MPe
Timenf Revmen[
tl:e[ E
pmmrni_
e....R
M1a
fA [4 Numhe[
L1a1m Xu�m e�
etllennMM-FnH,
N•yLa•Spm4K
WYDVPaw
u25530
Dies
N/A
./A
G/1712021
EFT
G.918.87
EFT5992TR
NUPR000019553
ASHFORD GARDENS
TOTAL
cwa.RT
255.30
lOGlletl oath Memprlal Medl[al Qnier:
,E
pale Re[e ve 9 2p2]
Pppgvetl hY: MPYMMA INFZ
p.REnnnn[Fe [: 1s DII
Imm 1.01Mry: pSNIORDGAflpFNi
ID N.RRY: Mf PIAl MF01GLCLINIC
Amount: 255.30
kewmm�mne. e
Daie Fmme.,111, Ompa'
tlllLY �hb'3)iai�,2:i
Toh<_
Pmouni;
STEP 2
ralrmcr: 3to;a;T;
Request for Transfer of Funds
merle: p:
Reee[CeEW
Farm 6empm
R.9Naronemm
e6m.a:mvame=Pem,.am.<em
romberaeYpllone
numMr
361SSEU}26
WNlq or U,or/
.1M1e
fatlllry
orialMMl[al rem[,
bean
P IR0
paM oI4M[e
IREp
1
)w!e/Pam, me
[ Yff$
RemManrc aTArc
pF f
Mumbn_
Im Numb
PNen n n:er
NM S.InaunLlaS
W NE
Mea
B/lE/EOEI
LR
.BZI
2476
E,.M
NOPRO%4Zfi069
138E
BROADMOOR
B/1]
fR
IS60861
11
Ef)W53e08
NCpRpMi
BROROMWR
ON
B/16/E031
EFT
102.E91
ER6955$13
E.IlM
9
]OE.IB
102.18
BNDPOMWP
8/20 i021
En
I.47238
EF1605855
=AoD000r.
NOPRIA�
1.61$.1B
0/19/ZOEI
ER
$
Ef]W00]95
...
NDPPEOC426869
])$.Ol
1-
B/EO/ZOE]
ER
M.5
$ 11.9W.BSI
fFI60W856
NpK.60.
1.988.85
o
eP
e 0/3021
EFL
$ 51.80
ERE061665
NpaP[Wp16069
31.90
BNCPOMCpP
B/Z3/10$I
Eft
5 1607.E91
Efifi06aB58
NOagCW026B69
60139
ONOgOMOOq
B/23/EOE2
ER
$ 1363191
EFTW66601
NOMOW1EW69
36339
BNpPDMWq
li/3021
ER
$ ISZ.53
EF]W66523
NOp2NN
51.53
00.CgOMWP
EF]
$ 1239.681
EFL606B3)3
...2N.00000l
60
153.92
Wq
W02021
EFT
$ 153.921
EF)691016)
NOpPO5WE6Bfi9
BPOppMOpP
U..
8/27/201
B/3] 2021
EFt
$ 118.61
ERW2195]
W'f
9.61
00.MOMM
8/3D/E031
ER
$ .NI
ER60]3]EB
MR
NOMWWZ6869
26).9i
/30/3031
NPpIp PEMIi
5 13]0.85
112
$O PPIONEMp
NOMOMpi6N9
230.85
.R.DM00N
BPOFOMOCR
JTOTAL
1
1 6,735.51
)o Oe MY --Ib Memo[Ia1MlClol UnMn
Oala e 9 > 3011
appmmObl: MgYNFMPP)INEZ
Wieol),ana(e,: 915 3011
Flil, tlR0aDM0W
Tafatlli$Y rtAnal Me ira
)35.51'
e,aunrve�Fnml„Wnn:
Fromfatilly.
Te f.enrr:
ame
Request for Transfer of Funds
nande[x:
pate Requested
Payer
Requeted by:
Requmnre small
Requestoes POone
numhee
unpin Re..n y
Fatlllty
MEMORIpt ME BIUL CUR IC
Pe�dMNama
NI p
sudedurvYe
UIREp
paMeEP
ivaeefP..
ErT
��
fl'P30(
CE"605 mtee
AtllenneNN.
NOhs
toyo ler u
LOYO F[(9W1L1[1
N/A
NIA
I
8/11/2@1
En
3,889%
ER6051]92
NDAfl00'J026869
BROAOMOORATUEFRS10E
N/A
N
8/12/2021
En
1,374A4
EFT605308i
NOpROWOZW69
57.15
BROAOMOORATCREEMICE
N/A
N/A
A
B/13/2021
EVi
1,109.19
ER60Ha45
NOnpWC@68fi9
49AS
a9 E5
BROpOM00RAi CRFEMIOE
TOTAL
i,<fi3.00
185.5)
Te be filled oush Memurlal MedWl Cenle[:
paCpe[eM 9 202I
AppfOsed hy: MAl. MAEIUI
UateoF4ansfec 9 15 1
Fmm tedlity: BpOAUMOOR 92 CREERSIUE
Te Fadllty: MEMOfl1AL MEOICAENNIC
Amount: IB5.5
R[y t issmes,pueW
mtmmm�srev:
Fmm FadI1M
Ta ty.
Amountun[
i6 e'u)L)�n
f:dH,j[p�:: EepyiT[40
Request for Transfer of Funds
iranfler p;
Oace R...... etl
Payer
flequailmih,
fare.Cempos
PequeitoJaemall
IaynnnlmWn n anlaw
Req...,,
--
number
361-5524226
Dl:bll or Wunry
Calbuun
Facility
M—OW Mommi Center
E 111 ED
Dab of Servke
RE
IPe 1
0/]S/2021
woPo ro
F
EFi
nto
Mwn on
4
r
aamm.NMfnw
SM1YO I�R acnunex
I4382
EFi605E<>6
ryMR 19557
43.92
CRESCENT
P/13/2021
EFT
(S6Bd61 Ef}605380<
NDMp'0]1915]
SU486
CRESCENT
q/16 2021
EFi
l0E.I01 fFT6055Z13
CVOAgCWA959
.2.18
CRESCEN}
8118/2021
EF!
(lp]E.]B EFi605058<
NOAflGOau{955]
1pR]e
0/19/2021
FFi
$ )]E 01) EFT(gM95
I NOAfl00ip19557
]]2.0
CPESfbm
B/2O/2021
EFT
$(E.980-051 EF}W62856
NDMOM19557
1.980A5
CREKENT
8 20/2021
EFT
$ 151.9p
N.ml Wlgssl
51.9D
CRESCEN}
0/23/2021
ER
1rT6o6]665
$ 6p].39) EFi6060858I
NOARW 19557
60I29
CREXI
8/23/2021
EFT
$ 363.E9) ER .581
1 NDAHM 0557
363.29
CRFS[FNi
8/EVE021
EFT
$ ISE.531 EF}6066523
NDAPpgpl95D
52.53
CPfSCENi
e/25/20E]
EFi
5 (139.68) FMON3,
NMRWW1959
I39.fi8
CPFSCEHi
812.1IDES
EFT
$ 153.921 Ef}6p)01.]
NppR6pN 1955]
53.92
CPESCE N}
8/2]1D21
ER
$ 19.611 fRW]I93]
CVDARWW1955]
{961
CRES[ENi
0/
ER
5 R6].9g1 EFi6D]3R8
NDMgg01955]
26].9<
CPESCENI
/28/EOE1
Mon
$O PAID RFMIi
$ 123005 SO PpIp flFMli
NOAfl00W1955]
230.05
(PESCFHi
TOTAL
(6,)35511
6,)35.51
Tobefille6outb Memonal Me6lCel..,.
o.to y 1
APprouetl by. MAYM Mqq}INEZ
Date of M1anrhr: 915 20a
From FaCillty: CRFS EN}
To fa[IIXy: Memm Metlia Centel
ATpunb G)31.51
Fow—
From Facility:
Am00 n1:
Ste' ! .1 LC_1
Request for Transfer of Funds
Tran3FPf p:
tleveneerNmn morllma[a.[om
__arlmm(Ammmonlnancnm
MEMORIAL MFOIMCLINIC
ar 1>fj{m_e
WR
pole a/Yrvke
qE
Oat, el Pavnlent
TvceW Pavmenl
(CfTj
amnnt
riIDQSQ[
Ge[N Number
elm Numbe[
Mlm neMeb Nh!
Funlx Ll er Nntlx lal
me78.9]
N/A
N/A
8/ll/2021
EFT
1.899A1
EHMS1792
CYDApWCpl9iSi
TNECRESENT
N/A
INIA
allmoR
m
1j74b
EFTE053081
NOAROOOOM57
9.15
TNECRESENT
N/p
N/A
8 13/2021
EFT
1,189.19
EF MW45
MMOOM1955]
49A5
TNECRESENT
TOTAL
4A63.M
1
185.5]
Tob,011edoul Memorial Metll[alfant,n
Da fte[e v!: 992031
Appmv,E bY: MgYpq MARTIHFZ
Oah Ol tmnaFef: 1
from fa[III,: TNECRESENT
Taf or" MEMORNLL ME[IICAL CLINIC
Amount: 155.57
0at,aft mfex:oattv
Fram fanliry:
To fa[Illrv: 1 n�ii.�iD
A.nl
SEP 13 2021
Request for Transfer of Funds
innilerp:
Bate Requested
paler
Medlfare
Requ.w by
Faren Campos
Requestofsemall
I:�nong0esp5n_� nhrvara 5p_
pequesblspM1One
number
3G1352Oi36
OISNIetm Caunry
Cahwn
Fetiliil
Memnele MIRCACenter
[tl[weneeue.lamM
aNlnee00mmdoled an.mm
PoXentED
EB
B1lad rvh[
pE OIREO
Odle of
Ty-Maemen!
Che[ E
Pmoun[
P
1
Reade.-
WO M1nd[Irl
mbNRe[<w
9/1Uz021
ITTOFF
4}BE
60S
fFT505380l
NOAR090]I9556
FORT BEND HEµ)HEARE
e/13/EOE1
OFF
ISE0.86)
EFi6053809
NOARIXM19556
56826
i6886
FORT SEND XFPLTXCARE
8/18/2021
EFi
p@.78)
EFTSONS84
CVDAp00001955fi
20L18
FORTDXGLTN[ARF
811912021
ER
IA]2JB1
EFT0058584
NOABOO(a 556
L,0E01
FIN
lank NENDUMulI wE
0/19/2@3
FFi
$ 11R.011
FFT600fi5
CVOAROM019556
]II.OI
scam ae.. Nuunwe
8 20 2021
FR
$11,98885)
EFT6062Bi6
ND4RPtW19556
1,98085
rONt u[ND n[uillCnx[
__.
8/20/2021
On
$ (BIER)
EFT6062665
NOM000019556
5190
FORT81NONEAITNCARE
8/2312021
OFF
$ 1 0].x9)
EFT699850
NOAR000019556
f07.29
FOOT BEND HEALTHCARF
B/23/2021
EFT
$ 1363291
EFT60W691
NOAR000019556
36329
FORT BEND XEM3HGRE
wu/..
ER
$ IS2.531
EFi61)665x3
NOARW0319556
52,53
FORT BEND HEALTHWE
8/25/E021
ER
$ 1139.681
EFT6060313
NOARODOO.E56
13968
FORT BEND HEALTHCARE
8/26/2W3
fR
$ 153.921
EFT60FDIE1
"p ROCN19556
53.9)
I FORT BEND XFPLTXCARE
8/27/2011
EFT
(is..111
EFlfiO71931
NMROCVOl9556
19.61
FORTBENOHEALTHWE
8/30/20E1
Eft
S Ix6].94)
EFT6173728
NOARCCUOl9556
267.94
FORT BE NO HEALTHCARE
/ID/2021
$OPAIDRfMIi
5 123IRS)!
SO PAID REMIT
NDARWOO19556
230.8B
FORT BEN. H.ONCARE
TOTAI
I6,735.51
6,]35.51
TO9e01ledoulb Memorial Medical Center.
Oats emle 9 ] 2 1
A,..d b9: MAYRAMARTINFz
Oete Of[nnshe 9 15 z0x1
Fpm Fa[Illly. TORTBfND 11FUTIIGPE
iO Fa[IIRy: Mem O(A Me i[a LUFF,
Amount, 5,735.51" "
n;'T' roauvt
Ove of tnmkr.
Form Fa[IINY: _.
TO Fail,
Fell
Request for Transfer of Funds
Trander0:
Dale B.I.eeted
PeYlr
Repuntetl by:
Re-Mbeeeemall
R numndhfie,elspllone
DiladD.n Cnunry
Faearo
MEMORIAL MEDICALCLINIE
Penentxeme
RE MED
0M nfumee
BE uIRED
D N
WEA.f.vmem
Ime4lE1
paymlent
eit—..
CM1eeyXnu
A.Wnna.dei Fnw
6rn40nFun1.10
0,MY-Sepent
Robla
N/A
BAR
0/1V]O21
EFT
1.899A1
EFT605179E
CMDARWW19556
]89]
FORTOEXDHEALTHgRE
N/A
N A
B/1]/2021
EFT
1.374.44
EFTE053981
CMDAROOW1955B
5)]5
FORT BEND HEALTHCARE
N/A
AM
8MRAB31
EFT
LABEL19
EFT6O599<5
CWpBOW]1955B
alc5
FORT BEND HEALTHCARE
MT1L
dAll OC
1.5.5]
filled But by MOmodal Medical Center:
re ve 9 202Eed by: MAYMM RTIN...NN: L 21a¢IIitY F R]BEXD HEALINCARlity: MFMORWMEOICpLCLINItt 1855.nndw on.at dinsfer.tllity:Ny:t
=A...ft
Request for Transfer of Funds
nanm,n:
Dale R.lRE.Ed
8/23/2021
Peyee
Medieile
Requested by
Falen UmpoF
AegYNbJi[mill
/nenmaleyMmm[pol lava'a.
Rniber lipM1one
numhe�
36655E-0226
DHUHN os.-,
CalM1oun
Faelllry
Memorial MNlml Center
UWU,Rn[e Rdvkeb: SdeueneenIDmmwnAlava�a.wm
neubmm
MUERI.H.
UIRILEgglRED
0[Nef$rvke
RSUDRQP
`W,eefp.umeRl
ShmellfflnsM1ownan
BAFYNP.
Mg IRN [
Omq Number
ANanneNNMM
Iuede4 ee HnM4
®Ye4382
am
8/12/MZT
EFT
103.OE1
EFT6012116
--alwagmts'—
NOAPOONI8170
STROM WEST HOUSTON
8/13/202]
EFT
IS6BBM
EFE6053904
NMPOOW18170
560,86
SOLEPA WEST HOUSTON
8/16/202]
EIT
TT02.18
EHOSS213
UMROMIR170
10E.19
SODOM WESI HOUSTON
8/U/2021
ER
1.472.IB
EFT6051150S
NDAP009UIIVO
1p]E]8
SOLEM wESr mM9Nx
8/191
ER
$ ]]ZA1
ER6060795
NMBOOW18P0
772901
SOURAwESTHOO1lox
81EO120ES
UT
51L90&05)
9RW62856
CVDAPOWO18170
111,15
SOL[nAwc5nwO5Tox
8/20/2021
ER
s ISLMH
EFTW62665
NOAPWCO1817O
SLUT
SOLFRAWEST HOUSTON
8/E3 O2l
EFT
107.29
EFT6064058
NOAPW]0181]0
60I.29
SOLEM WEST HOUSTON
8/2312021
EFT
$ 1363.29)
EFT6064681
0OARODOO18170
363.29
SOLEM WEST HOUSTON
0/24/2021
EFT
$ 152.53
FFT60665E3
NOARMCOUI]0
S2.S3
SOLEM WEST HOUSTON
8/25/2021
ER
S (139.681
ER6069373
NOARMM18I20
139,68
SOLEPAWEST HOUSTON
9/24/202]
FR
5 153.9E
EFT6070147
NMgW0OUV0
53.9E
SOLUA WEST HOUSTON
8/E]/30E1
FW
5 l9.b11
EFi60]193]
NMRCC00191]0
19.61
SOUPA WEST HOUSTON
81SWUR21
UT
$ (267.94
ER6073728
NPARCRIOOU110
267.94
SOUND WEST HOUSTON
7/28/2021
SOMIOPEMIT
5 I230851
SO MIO REMIT
NOARD000191)0
230.55
SOIEPA WEST HOUSTON
TOTAL
(6.Y35.51)
6.735.51
Tobe011NxMb MenpeldlMediealRnRi:
oeh Ren 9 ] EOEl
AppmWdbr. AYRAMAPTINEZ
Daleol MITHeer. 9 1 20E1
FNm EadINY: SOLEMWFSTHOUSION
T Fulls Y: Memanel Medlo Cenlet
Amaune /351
H. HD
Fmm Faelli, yj� ` )'' y To iadllry: ` Ep 1 J !J]J Amount:
Request for Transfer of Funds
Transfer p:
pate Requested
Payer
Requested by.
Requesbfs email
RequesWes phone
number
pinnttorCounty
Nw,"ry
MEMORIAL MEDICAL CLINIC
¢eeommroondvaza mm
ma lnea9mmmonm mm
htlenexame
RE plgfp
RateeiSeMce
R
a
T,.I.vment
/gIEiF/EQf_
P,,nl
NmL—,A
G RNumhe,
owmagunk,@_Y.Q
A,UA,,M. FnIn
bne
ILnMmYN I•l
N935!
N/A
N/A
8/11202l
FFT
x.R9911
ERW31]9]
UDARCWU181711
]8.9]
SOLE. WEST NOUSTON
N/A
WA
6/13/ton
m
3,374.44
ER6o53081
CVOARC "RE81]0
5].x5
SOLERA WEST HOUSTON
N/A
x/A
8/13/ml
C
1.189.19
EH6054C45
CVOAROW0181]0
49A5
SOLERA WEST HOUSTON
TOTAL
4,46304
IB5.5]
Tob HNdoutb MemodelMedkal CAA.,
l4le Re[e v! 1
AppmvedbY MAYPAMAfliINF3
Oate 9 OEt2ne(en 15 2021
I— Fa[iRN'. SOLE" WEST HOUSTON
TO Fa[OILY: MEMORIAL ME LCLINIC
Amount: L8157 -
mm�.In.rou.z
DIN, mdlft. ]'� L
Fmm Odli{y.
To hunt
Amount: ?�^
Request for Transfer of Funds
...mle. R.
mM....Xl.
payer
Rewm.tlhr:
en umom
OgontE:mGmm.penlavv3
..... a[om
IRE 0ae'semMl
Ppunrefe pi:one
numhel
961�55L0336
O44NIm(oED,
cEhavn
gXlln
Memorial MadL,.I Center
pJ1�ePLXETf
RE G
PgIN D#ERN,.
EW a
Metl Wum 1
p
gm6unlW RE-1 D—. en
pEmlWn
umher
UEREXumher
tyµ4lerWMrin
e/E3/3031
III
MPRWpOl95E043n
GOLDEN CREEK
Ml3/}O3l
Eii
5.,EE
fE1605360L
5GEL
GOLD!K CREEK
NAM"
EFi
11p3.101
E.IRL13
CWPRPop0195E0
EO},10
...I. CPLEK
UIB/}0)1
ER
11,9}L]0
ERfi0505H
NOARODOO19510
Ipl}.IB
po
419/}@I
EEI
5
ERWW]95
NWRW}019560
]13.01
G
0I30M
III
5 1L90&051
EfiE063056
1 ,990A5
6OLDEN CREDK
W1.11 it
E
$ 51.90
NOARgtl ..
51.90
G
WlAn.
EFT
s I..")EREp6605B
NOAflpUO19510
WL}960LOEXCREN:
0/111L.21
ER
5 360,391
EEI6064.1
WOAXCCWI9N0
I...
0OLOE.CIVGK
p/le/1031
ER
5 lGE14
ER6066533
63.53
GOIDENCREEK
3N1031
E13
5 9b01
ER6060313
<VOPPMCO1I.D
LRIER
0030FH[IrE[K
0/}6/3N1
III
5 153.9}I
ERW}Ole1
WOWL9..
13.EL
4OLO...K
R/}] }011
ER
5 6l
I.IL.,
NMR0000.IN.
MR.1
GOLOENCREEK
R/)0/1031
Fft
5 136>9EI
1.13R8
�019Xp
}6].9i
4pLOFX CRELK
l/}9/1031
$OINO R6Mli
5 13I.., I
so 9Mp I. l 1
})p 01
GOLDEN EREFK
iOiAL
16,135.511
6.]3551
Rlle0 oulG M orlll Metllol[emn:
ONE. NO
RE. R ce
RppmvN hy: IN. MAXNKEZ 3
tlee 0 1
f.om hXlNy: [PEFK91
rn4Ealln:
.of n...'ON ,
am F.011n:
aREnun:
R.:rnX
Jvh 11 Ml
Request for Transfer of Funds
nan:mx:
OAK Requened
Paye,
Peque[te0 hy.
RequeN.e emax
eatn .Aure phone
numher
mppao,Cqunry
F.allty
MEMORIAL MEDIC LCLINIC
COeveneeepm [ enlr [ _
m na9mm [oT
FAtlent Mame
Ep
pateM4M[e
RE IRFp
petealH ment
Tweoi Favment
{CFe[Y Ejj
Pmoln[o
PaKne.tyntlee.lr
$Nm
neeeetl.[nr,
Funtl]ll
NRLa
Sh,An
N/A
H/A
8/ll ID2l
FFi
LB99.<1
FFTfi051]92
CVOAP00'.p19540
]9.9]
GOLDEN CREEK
N/A
15 20E1 TO 30 021
0/2021
EFT
REMINDIID9
119lGOGNN VP
166.95
GOLDEN CREEK
N/A
N/A
8/l2/2031
EFT
1.374.CC
E.M.1
CVDAPDKEEDWO
5115
GOLDENCPEEN
N/q
N/A
8/13/2MI
ER
LIRAS
EFT6054445
CVDAROKOI9540
V.JN
GOIOENCPEEN
TOTAL
4.9g.
3R52
To he RING out by Me motlal MCCltsl Center.
Date Pea 9 2021
AD9meeE hy: MAVM MARTINE2
Daaof Nand— 9 zpu
Fmm.,iIi,
TaAidliy; W ARPALMOIMLCNNIC
amo ne usz
rm, ou[n:
CREEKNnnshr.
From Fa[ilE,
TO Fa[Illry; .�.]
Pmoune.
Request for Transfer of Funds
sooner q:
Dele Reggenm
wyer
memeam
Pequealea br:
Famneampoa
Req.. a —mall
laaonr=ales9n n onlmar e
Reqeatola p lmne
number
361-552 M
Distdctorfounry
CalM1aun
Patlllry
MemonL WdIcal Crnlu
Patlem Xame
RED
pate o/4rvMe
pIREO
Da I
iveeofpavment
���������
(M.Ve j
Po ument
M1own on
tlrea4Xumbol
AaNvnnweM FnM
6otloo. al.
(QmY0.auwn
X
B/12/2021
EFT
143.921
EFIW52<76
CVp WP 7985
43.82
NSGXYVILI OE
B/1312021
ER
150,86
ER 053804
CVDARMOW79B5
SUM
TVSCANYVILIAGE
8/16/2011
EFT
1102.E8
EFTWSS213
NOARWOW79B5
10B.M
msC WVIWGE
6/18/2p21
EFT
11.02.I81
EFTfi058584
IV.A OCOW7985
11]2.)1
lU
8/19202]
EFT
$ 072.011
EFTW0795
UDAPWOW7985
722A1
M6 VWe4E
812W202
ER
5 MARAS
EFTW62856
CVMPWOW7985
1.980.8E
auSGnv vlw4e
8/20IN21
EfT
$ (SIM1
EHM266S
CVOARW 7985
51.90
TOSCANYVILLAGE
9/2v=l
EFT
5 I07291
EFT6064859
CVOAP 1985
607.29
WSCANVVILWGE
B/23/20U
EFT
$ 363.29
EFT60MG91
CVOAP 7985
363.29
TOSCANVVIWIGE
8 24/2021
EFT
5 (52.531
EU6066523
GVOARM07995
52.53
TIISCANYVI"GE
.12112.1
EFT
$ 1139.Fd1
EFTLOfiR3]3
CVOARWJC0)995
139.49
WSf NYVILI GE
8/26/201
FFI
$ 5392)
ER607OW
ICVDAfDDMl9a5
I 53.9E JTUSCoNYVILN
t
8/2)/2.1
EFT
$ Moll
EM07107
CVDARIX 79B5
1961
NSCANYVIW4E
9/30/2021
EIT
S (2..1411
EM.13728
CVOARCKCD7985
267.94
TOMoWALUGS
7/28/2021
SOPMOREMIT
$23D85
$OPAID PFMIT
CVOAPOOO 1985
2300E
1VST W.LIAGI
TOTAL
(b,)35.511
6.)35.51
To be011etleuebvMemonalmetllol Rn@c
Dab Reu 9 12021
APpmeetl by: MAOTMEI
Doe Of tranefer. 151
imm 1.11 : TOSCANYVI
Arnoo.lily: Mpmnrla MPEl6l35.51
Agof.. b,)35.51
ua,o of tnnebnear
loom FaalltY ()\
Tn Fa(rllly:
AmeYllG
Request for Transfer of Funds
rram3er B.
Gate Requested
Pryer
Requameo by:
Requeswls email
nequepRone
number
oiNNn or Gaunt,
ianuty
MEMORGL MEOICAI CONIC
[aleveneer®mm[oonlwa[a.mm
mma I neaOmm[nq)N� �
paNena .
E OIRE[I
p WREO 1
MgMI E
Nate MPavmenl
{ype MtM
E
ht®Spt
eM1ewnan
EbetY umbe
O
n�i Grrrj2gi Ln�l1
�e]B.9]
N938B
WA
N/A
8/t912021
ER
],899A]
ERROS]]92
11Number
CVO0SO0000]9B5
TU5MYVIIIAGE
N/A
}/1202R0}/}6/EO$1
flMRO$1
FET
pEMIECOl80
VB056C06@
]9]8<
1113CANYVIWGE
N/A
1/1/2021 TO 1p9/2021
019nmt
EFT
REMRW309
2310WOYGUA
777.11
Nl..lvIL.0
WA
2A] 021 TO 2R6/2021
0M12021
EFT
REMIIO1E09
ab05000AUP
...It
TUSMYVII GE
N/A
WA
8/IER021
EFT
1,3A«
EFi6053081
NOARO0000]9B5
51.15
TUSCANYVIWGE
N/A
N/A
B/13/202]
EFT
I.IB9.19
EFi60 aaai
.13Ap00000]9B5
49AS
TUSMVV.GE
TOTAL
1 4.463..
1
i IA02.63
ie be 011etl out by Memc dal Metli<el [enter.
Kly
ARIe
AppMvetl by: MAYRAF$
Oate oE4amler: 9TOlon
immiae111tY INS ANYVIOAGE
TAHeillly: MEMORIALME 0IEI[
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9/13/2021
Treasury Center
Quick View
Select Quick View Accounts
Select Group
Account Number / Name
Groups
Atld Grcup
Account Type
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All
DDA Data reported as of Sep 13, 202,
Account Number Current Balance Available Balance Collected Balance Prior Day Balanc
*4381
MEMORIAL MEDICAL
$985.19
$2,403.19
$985.19
$44,671
CENTER/NH ASHFORD
`4403
MEMORIAL MEDICAL
CENTER/NH
$31,633.13
$41,040.58
$31,633.13
$47,581:
BROADMOOR
*4411
MEMORIAL MEDICAL
$33,711.63,/
$38,313.55
$33.711.63
$44,259.1
CENTER/NH CRESCENT
*4446
MEMORIAL MEDICAL
$4.949.72
$13,538.76
$4,949.72
$19,894:
CENTER/NH FORT BEND
*4438
MEMORIAL MEDICAL
CENTER /SOLERA AT
$34,180.29
$40,648.04
$34180.29
$53,320.1
WEST HOUSTON
ua
Memorial Medical Center
Nursing Home UPL
Weekly Necion Transfer
Prosperity Accounts
9/13/2021
pnylous
Arreunt BeElnnin, Prndlne TPday's USInnln2 Amount to Be Tram do"" to HuranB
N nln,Q^ome Number Galan rc Tnnefarv0ue Trans/eHir ,d .OU Balanm Nnme
GoL�FQOgek1' t ,' f 161,51].e2 k k,!I800] T6,981.90 n,118.65 / 69,893.87
Bank Balance 77,118.65 y/
Varhnce
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Medlrare repaymentowed to MMc ),08803T/
JULYIMEREST 26.08
_..... _........ ..... AUGIMEREST 10.27 ✓
SEPINTEREST
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9/13/2021
Quick View
Select Quick View Accounts
Account Number/Name
Accounl Type
Search All
Treasury Center
Select Group
Groups
Add Group
`DDA Data reported as of Sep 13, 202'
Account Number Current Balance Available Balance Collected Balance Prior Day Balanc
•4454
MEMORIAL MEDICAL I $77.118.65 $88,020.10 $77,118.65 $111.283.7
NH GOLDEN CREEK
HEALTHCARE
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Memorial Medical Center
Nursing Home UPL
Weekly HMG Transfer
Prosperity accounts
9/13/2021
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9n/2021 HNB-ECHOHCCMIMPM7460034T11400W241%1
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97/2021 HUB- ECHO HCMIMPMT 246003411"0000241125
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9/8/M21 PNC-ECHO
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9/O/2021 HNB-ECHO HCCIAIMPMT)46M3411400W2B99B2
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9/9/2021 HNB- ECHO NCCIMPMTl400034114W 209982
9/9/2021 HNB-EC RCCOIAIMPMT)4600341144D 22
9/9/2021 NNO-ECHOHCCIAIMPMT74600341144W 21%71%22
9/9/2021 HNB-E0IOHCCIAIMPMT246303411440uN21%22
9191202E HNB-ECHO HCCWMPMT 246003411400002E%32
-
9/9/2021 HNB-ECHO HCCWMPMT I4600311144000031%73
9/10/2021
19,252.43
9/10/2021 NOC-ECHO PAC N261 SWEEP
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9/10/2021 PNOECHOHCCWMPMT )
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-
MMCPORTION
OIPP/Camp46 NH
Traniler-In OIPP/COMPl OIPP/C4mP2 WPP/Comp) lapse O3PP T1 PORTION
3,968.03 - 3.966.03
5,900.20 - 5,900.20
529.10 - 529.20
1,212.66 - 1,272.66
14.4E - 144.41
2,062.33 - 2.062.33
43.12 - 43.12
126.39 - 126.39
4,426.7E 4,426.3E
467.80 - 467AO
3,42.I1 - 3.42.11
11.025.46 - 11,025.46
R840.50 - 8,640.50
14,116 348.76
745.46 - 745.46
8,474.99 - 8,474.89
3.963.09 3,963.09
25,671.80 15,671.80
19.24.13 ✓ IIA92A3 714S2A3
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L`OR �19e'�M1fo:Yi'd4x"hF
9/8/2021 WIREOUTHMG SERVICES, LIC 39,243.64
9/812D21 HMTHHUM4N SVC HCCIAIMPMT 174600341130132
9/9/2021 INP001
MMCPORTION
WPP/CDMP46 NH
Tra.dS In OIPP/C4mp1 WPP/CBU,2 QIPP/COMP3 l9px WPP TI PORTION
7.925.85
6,110A3
7,925.85
61120.03
39.243.64 14,045.841 14,043,88
56.496.0). 95,498.71 85.49811
9/13/2021
Treasury Center
Quick View
Select Quick View Accounts
Account Number / Name
Account Type
Select Group
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Account Number Current Balance Available Balance Collected Balance
as of Sep 13, 202,
Prior Day Balanc
*5441
MMC-NH GULF POINTE PLAZA-
$14,167.75 ✓ $14.167.75 $14,167.75 $14,167.7
MEDICAREIMEDICAID
*5433
MMC -NH GULF POINTE $251,928.60 V1 5252,978.87 $251,928.60 S243,071.2
PLAZA - PRIVATE PAY
nups:tlprosperity.oll)anking.com/onlineMessenger
1/1
Memorial Medical Center
Nursing Home UPL
Weekly Tuscany Transfer
Prosperity Accounts
9/13/2021
rmlw, 4n.umme.
Assent] unnnme wndlnl �TxynRd��xw'�n t`t,.,"..� G�Qe�` x.� i0.e3eslea.1o>e Tnm]nout rntd..at nu Bnm.. THnunmllneanNeedw lv
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Bunkular'. 14212216
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9/7/2021 Transfer from DDA4438 -Deposit error-MMC
9p12021 Molina HC of TK HCCIAIMPMT PM127571789442M
9/8/2021 WIRE OUT UNBAR ENTERPRISES, LUC
9/8/2021 NOVITAS SOLUTION HCCLAIMPMT 676201420000178
9/9/2021 CK1053
9/9/2021 CK3054
9/9/2021 Deposit
9/9/2021 Deposit
9/10/2021 CK1051
9/10/2021 CK1052
MMC PORTION
gIPP/Om,p4
Transfer -Ott Tmnsfer-In gIPP/CompZ P1 gIPP/ComQIpP/ComP3 &lapse ITINH PORTION
66,466.42 66,466.42
7,670.39 ].670.39
62,589.31
1,189.81
607.41
1.84]A5
30,602.69
36,393.07
2,687.81
2,526.19
1,189.81
3016OZ69
36,393.0]
]0,258.1] 142,322.38 / 14i 122 38
9/13/2021
Quick View
Treasury Center
Select Quick View Accounts Select Group
Account Number/Name Groups
Add Group
Account Type
v
Data reported as of Sao 13, 202'
Account Number Current Balance Available Balance Collected Balance Prior Day Balanc
'3407
MMC-NH TUSCANY $142,422.38 S142,422.38 $142.422.38 $147,636.2
VILLAGE
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Memorial Medical Center
Nursing Nome UPL
Weekly HSLTransfer
Prosperity Accounts
9/13/2021
vLmYm
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338.473.W9 / 42.483.40
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9/7/2021 Deposit
9/7/2021 Deposit
0/7/2021 Deposit
9/7/2021 Deposit
9/B/2021 WIRE OUT BETHANY SENIOR UVING, LTD
9/8/2021 ACCENTCARE INC PAYABLES 99MO7660210000262
9/9/2021 Deposit
9/9/2021 Deposit
9/9/2021 Deposit
9/9/2021 HEALTH HUMAN SVC HCCLAIMPMT 326600341130162
9/10/2021 Deposit
9/10/2021 HOSPICE OF SOUTH Payments NF 113122650020 S
MMCPORTION
QIPP/Comp&
Transfer-0ut Transfer -In QIPP/ComP1 QIPP/C9mp1 QIPP/Cmmp3 &LIPS. QIPPTI
NNPORTION
- 20.918.90 -
20,928.90
5,282.21
5.282.21
3.093.26 -
3,093.26
2,215.05
2,215.05
228,423.09 -
360.06
360.86
32,605.08
32,605.03
3,648.86
3,648.46
2,698.25
2,698.25
- 4,373.68
4,373.68
- 5,400.00
5,400.00
- 1.891.65
1,891.65
228,973.09 SZA3.e0 e / 82..83A0
9/13/2021
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MMC -NH BETHANY $83.904.43 $83,904.43 $83,904.43 $76,612.7
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