2010-11-10
'\
Regular November Term
Held November 10, 2010
COUNTY OF CALHOUN
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THE STATE OF TEXAS
BE IT REMEMBERED, that on this 10th day of November, A.D., 2010 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at
10:00 a.m., a Regular Term of the Commissioners' Court within said County and State, and there were
present on this date the following members of the Court, to-wit:
Michael J. Pfeifer
Vern Lyssy
Neil E. Fritsch
Kenneth W. Finster
Wendy Marvin
County Judge
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
Deputy County Clerk
Commissioner Galvan was absent from the meeting.
Thereupon the following proceedings were had:
Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas
Flag.
CANVASS THE RETURNS OF THE NOVEMBER 2, 2010 GENERAL ELECTION:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the
Canvass from the November 2, 2010 General Election. Commissioners Lyssy, Fritsch, Finster and Judge
Pfeifer all voted in favor.
'I
il
CANVASS OF ELECTIONS
II
I
.ij
I, Michael J. Pfeifer, County Judge of Calhoun County, Texas met on November 10,
2010 with the Commissioners' court, sittirlg as the canvassing board, to canvass the
General Election held on November 2, 20:~0, in Port Lavaca Texas.
I certify that the figures on the tally sheet~ correspond with the figures on the
'I
returns. I
i1
"
Witness my harl.d this the 10th day of November, 2010
i1
-,.' -"'"- .........
S>JMMARY REPT-GROUP DETAIL REPORT-EL45A PAGE OC
- RUN DATE:ll/02/10 09:09 PM
TOTAL VOTES % Early Voting Election Day
PRECINCTS COUNTED (OF 26) . 26 100.00
REGISTERED VOTERS . TOTAL 12,711
BALLOTS CAST - TOTAL. 4,648 2,018 2,630
VOTER TURNOUT . TOTAL 36.57
STRAIGHT PARTY
VOTE FOR 1
REPUBLICAN PARTY (REP) 1,063 57.43 451 612
DEMOCRATIC PARTY (OEM) 774 41.82 340 434
LIBERTARIAN PARTY (LIB). 12 .65 3 9
GREEN PARTY (GRN). 2 .11 2 0
US Representative DIST 14
VOTE FOR 1
Ron Paul (REP). 3,231 72.17 1,383 1,848
Robert Pruett (OEM) . 1,246 27.83 564 682
Governor
VOTE FOR 1
Rick Perry (REP) 2,573 56.51 1,086 1,487
Bill White (OEM) 1,870 41. 07 846 1,024
Kathie Glass (LIB) 97 2.13 39 58
Deb Shafto (GRN) 11 .24 5 6
WRITE. IN. 2 .04 1 1
Lieutenant Governor
VOTE FOR 1
David Dewhurst (REP), 2,895 64.98 1,260 1,635
Linda Chavez. Thompson (OEM) 1,396 31.34 612 784
Scott Jameson (LIB) . 127 2.85 52 75
Herb Gonzales. Jr. (GRN) 37 .83 13 24
Attorney General
VOTE FOR 1
Greg Abbott (REP). 3,004 67.31 1,312 1,692
Barbara Ann Radnofsky (OEM) 1.341 30.05 586 755
Jon Roland (LIB) . 118 2.64 46 72
Comptroller of Public Accounts
VOTE FOR 1
Susan Combs (REP). 3,123 84.96 1,352 1. 771
Mary J. Ruwart (LIB). 407 11. 07 154 253
Edward Lindsay (GRN). 146 3.97 64 82
Commissioner of the General Land Office
VOTE FOR 1
Jerry Patterson (REP) 2,781 63.73 1,197 1,584
Hector Uribe (OEM) 1.425 32.65 631 794
James L. Holdar (LIB) 158 3.62 68 90
~~',
SUMMARY REPT-GROUP DETAIL REPORT-EL45A PAGE O( i
R~N DATE:11/02/10 09:09 PM
TOTAL VOTES % Early Voting Election Day
Commissioner of Agriculture
VOTE FOR 1
Todd Staples (REP) 2.672 61.23 1.167 1.505
Hank Gilbert (OEM) 1,530 35.06 666 864
Rick Donaldson (LIB). 162 3.71 72 90
Railroad Commissioner
VOTE FOR 1
David Porter (REP) 2,594 59.94 1.109 1. 485
Jeff Weems (OEM) . 1,517 35.05 672 845
Roger Gary (LIB) . 164 3.79 76 88
Art Browning (GRN) 53 1.22 25 28
Justice, Supreme Court, Place 3
VOTE FOR 1
Debra Lehrmann (REP). 2,453 56.49 1,062 1,391
Jim Sharp (OEM) 1,764 40.63 757 1. 007
William Bryan Strange. III (LIB). 125 2.88 59 66
Justice. Supreme Court. Place 5
VOTE FOR 1
Paul Green (REP) 2,629 60.76 1.130 1.499
Bill Moody (OEM) 1,549 35.80 685 864
Tom Oxford (LIB) 149 3.44 62 87
Justice, Supreme Court, Place 9
VOTE FOR 1
Eva Guzman (REP) . 2,422 55.69 1,024 1,398
Blake Bailey (OEM) 1. 601 36.81 715 886
Jack Armstrong (LIB). 326 7.50 140 186
Judge. Court of Criminal Appeals, Pl 2
VOTE FOR 1
Lawrence "Larry" Meyers (REP). 2.978 82.17 1,281 1.697
J. Randell Stevens (LIB) 646 17.83 257 389
Judge. Court of Criminal Appeals. Pl 5
VOTE FOR 1
Cheryl Johnson (REP). 2,980 82.48 1. 265 1,715
Dave Howard (LIB). 633 17.52 260 373
Judge, Court of Criminal Appeals. Pl 6
VOTE FOR 1
Michael E. Keasler (REP) 2.606 60 .45 1.120 1,486
Keith Hampton (OEM) . 1.562 36.23 680 882
Robert Ravee Virasin (LIB). 143 3.32 63 80
S~MMARY REPT-GROUP DETAIL
~UN DATE:11/02/10 09:09 PM
State Senator. Dist 18
VOTE FOR 1
Gl enn Hegar (REP). .
Patricia "Pat" Olney (OEM).
State Representative. Oist 32
VOTE FOR 1
Todd Hunter (REP). . . .
Justice. 13th Court of Appeals Oist. P 3
VOTE FOR 1
Greg Perkes (REP).
Linda Yapez (OEM). . . .,.
District Judge. 267th Judicial District
VOTE FOR 1
Skipper Koetter (REP) . .
Criminal District Attorney
VOTE FOR 1
Oan W. Heard (OEM)
County Judge
VOTE FOR 1
Sara A. Palacios (REP)
Mike Pfeifer (OEM) .
Judge. County Court at Law No. 1
VOTE FOR 1
Alex R. Hernandez (OEM).
District Clerk
VOTE FOR 1
Pamela Martin Hartgrove (OEM).
'County Cl erk
VOTE FOR 1
Anita Fricke (OEM)
County Treasurer
VOTE FOR 1
Rhonda Sikes Kokena (OEM)
County Commissioner. Precinct NO.2
VOTE FOR 1
Carl Smith (REP)
Vern Lyssy (DEM) .
TOTAL VOTES
REPORT -EL45A PAGE 01
%'. Early Voting Election Day
2.824 64.33
1.566 35.67
3.371 100.00
2.754 63.79
1.563 36.21
3.281 100.00
3,082 100.00
1.892 41.56
2,660 58.44
2.942 100.00
3,051 100.00
3.096 100.00
2.999 100.00
340 28.17
867 71.83
1. 241
678
1.449
1.197
679
1,395
1.349
809
1.170
1.270
1. 340
1,350
1.303
163
423
1. 583
888
1,922
1. 557
884
1.886
1.733
1.083
1.490
1.672
1.711
1. 746
1.696
177
444
SYMMA~Y REPT.GROUP DETAIL REPORT.EL45A PAGE 00
. RUN OATE:1l/02/l0 09:09 PM
TOTAL VOTES % Early Voting Election Day
Cou~ty Commissioner, Precinct NO.4
VOTE FOR 1
Kenneth W. Finster (OEM) 739 100.00 210 529
Justice of the Peace, Precinct No. 1
VOTE FOR 1
Hope O. Kurtz (OEM) . 580 100.00 253 327
Justice of the Peace. Precinct No. 2
VOTE FOR 1
James' W. Duckett (DEM) , 915 100.00 430 485
Justice of the Peace, Preclnct 'No. 3
VOTE FOR 1
Cary Kneupper (REP) 594 44.70 291 303
Gary W. Noska (OEM) 735 55.30 382 353
Justice of the Peace. Precinct No. 4
VOTE FOR 1
James Dworaczyk (OEM) 528 100.00 162 366
Justice of the Peace, Precinct No. 5
VOTE FOR 1
Nancy Pomykal (REP) . 393 100.00 104 289
Constable, Precinct No. 5, Unexpired Term
VOTE FOR 1
James H. Busby (OEM). 198 100.00 51 147
NAME HEADING CANVASS
RUN DATE:ll/03/10 05:44 PM
R V T
E 0 0
G T T
I E A
S R L
T S
E
R
E
o
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
0026 Calhoun County MUD
CANDIDATE TOTALS
577
1218
159
470
146
405
724
701
72
157
420
1140
23
193
232
1237
758
444
491
32
195
465
244
1363
845
o
12711
B C T
A A 0
L S T
L T A
o L
T
S
V T T
o U 0
T R T
E N A
R 0 L
U
T
80 13.86
290 23.81
19 11.95
170 36.17
75 51. 37
183 45.19
217 29.97
132 18.83
23 31. 94
63 40.13
162 38.57
621 54.47
9 39.13
58 30.05
75 32.33
458 37.03
344 45.38
189 42.57
229 46.64
9 28.13
82 42.05
155 33.33
99 40.57
456 33.46
449 53.14
1
4648 36.57
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
STRAIGHT PARTY
VOTE FOR 1
L P
R P D P I A
E A E A B R
P R M R E T
U T o T R Y
B Y C Y T
L R A G P
I A R R A
C T I E R
A I A E T
N C N N Y
(REP) (OEM) (LIB) (GRN)
0001 PRECINCT 1 14 39 0 0
0002 PRECINCT 2 57 96 1 0
0003 PRECINCT 3 3 11 0 0
0004 PRECINCT 4 42 30 0 0
0005 PRECINCT 5 12 8 0 0
0006 PRECINCT 6 55 28 0 0
0007 PRECINCT 7 26 65 0 0
0008 PRECINCT 8 21 63 0 0
0009 PRECINCT 9 3 12 0 0
0010 PRECINCT 10 5 7 0 0
0011 PRECINCT 11 44 23 0 0
0012 PRECINCT 12 78 79 1 1
0013 PRECINCT 13 3 0 0 0
0014 PRECINCT 14 10 15 0 0
0015 PRECINCT 15 17 14 0 0
0016 PRECINCT 16 128 51 3 1
0017 PRECINCT 17 71 62 1 0
0018 PRECINCT 18 23 23 0 0
0019 PRECINCT 19 50 19 0 0
0020 PRECINCT 20 1 2 1 0
0021 PRECINCT 21 17 14 0 0
0022 PRECINCT 22 35 22 0 0
0023 PRECINCT 23 24 10 0 0
0024 PRECINCT 24 137 52 2 0
0025 PRECINCT 25 187 29 3 0
CANDIDATE TOTALS 1063 774 12 2
CANDIDATE PERCENT 57.42 41. 81 .64 .10
US Representative DIST 14
VOTE FOR 1
R P
o r
R P b u
o a e e
n u r t
1 t t
(REP) (OEM)
0001 PRECINCT 1 28 48
0002 PRECINCT 2 132 135
0003 PRECINCT 3 6 12
0004 PRECINCT 4 120 48
0005 PRECINCT 5 59 13
0006 PRECINCT 6 132 48
0007 PRECINCT 7 110 98
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
US Representative DIST 14
VOTE FOR 1
(CONTINUED FROM PREVIOUS PAGE)
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
R P
o a
n u
1
(REP)
53
10
37
122
428
7
33
46
349
240
137
183
5
55
112
74
358
395
3231
72.16
R P
o r
b u
e e
r t
t t
(OEM)
75
12
22
35
161
2
23
27
95
96
41
40
4
25
39
18
84
45
1246
27.83
Governor
VOTE FOR 1
W
R
K G o S I
R P B W a 1 e h T
i e i h t a b a E
c r 1 i h s f
k r 1 t i s t
y e e 0
(REP) (OEM) ( LIB) (GRN)
0001 PRECINCT 1 23 52 5 0
0002 PRECINCT 2 102 164 13 1
0003 PRECINCT 3 4 14 0 0
0004 PRECINCT 4 91 77 1 1
0005 PRECINCT 5 47 24 1 0
0006 PRECINCT 6 104 69 7 1
0007 PRECINCT 7 79 128 3 1
0008 PRECINCT 8 41 84 2 0
0009 PRECINCT 9 6 16 1 0
0010 PRECINCT 10 25 32 1 0
0011 PRECINCT 11 92 66 2 0
0012 PRECINCT 12 318 273 13 0
0013 PRECINCT 13 5 3 0 1
0014 PRECINCT 14 27 31 0 0
0015 PRECINCT 15 39 34 2 0
0016 PRECINCT 16 282 163 5 1
0017 PRECINCT 17 193 141 6 0
0018 PRECINCT 18 108 68 4 0
I
N
(NON)
o
o
o
o
1
o
o
o
o
o
o
o
o
o
o
o
o
o
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Governor
VOTE FOR 1
W
R
K G D S I
R P B W a 1 e h T
i e i h t a b a E
c r 1 i h 5 f
k r 1 t i 5 t I
y e e 0 N
(CONTINUED FROM PREVIOUS PAGE) (REP) (OEM) (LIB) (GRN) (NON)
0019 PRECINCT 19 143 73 7 1 0
0020 PRECINCT 20 4 4 0 0 1
0021 PRECINCT 21 43 36 1 1 0
0022 PRECINCT 22 96 54 2 1 0
0023 PRECINCT 23 64 30 1 0 0
0024 PRECINCT 24 302 135 10 1 0
0025 PRECINCT 25 335 99 10 1 0
CANDIDATE TOTALS 2573 1870 97 11 2
CANDIDATE PERCENT 56.51 41. 07 2.13 .24 .04
Lieutenant Governor
VOTE FOR 1
L C
i h
n a
d v
a e
z
H G J
D D T e 0 r
a e h S J r n .
v w 0 c a b z
i h m o m a
d u P t e 1
r 5 t 5 e
5 0 0 5
t n n
(REP) (OEM) (LIB) (GRN)
0001 PRECINCT 1 21 50 4 1
0002 PRECINCT 2 108 148 10 7
0003 PRECINCT 3 4 13 0 1
0004 PRECINCT 4 98 64 2 1
0005 PRECINCT 5 52 15 1 1
0006 PRECINCT 6 120 50 6 0
0007 PRECINCT 7 94 102 6 2
0008 PRECINCT 8 46 75 2 4
0009 PRECINCT 9 6 16 0 0
0010 PRECINCT 10 30 26 1 1
0011 PRECINCT 11 113 41 4 1
0012 PRECINCT 12 371 180 19 5
0013 PRECINCT 13 6 3 0 0
0014 PRECINCT 14 28 28 1 0
0015 PRECINCT 15 40 29 4 0
0016 PRECINCT 16 319 113 9 2
0017 PRECINCT 17 221 109 9 2
0018 PRECINCT 18 126 48 5 0
0019 PRECINCT 19 171 39 9 2
0020 PRECINCT 20 5 3 1 0
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Lieutenant Governor
VOTE FOR 1
L C
i h
n a
d v
a e
z
H G J
D D T e 0 r
a e h S J r n .
v w 0 c a b z
i h m o m a
d u P t e 1
r s t s e
s 0 0 s
t n n
(CONTINUED FROM PREVIOUS PAGE) (REP) (OEM) (LIB) (GRN)
0021 PRECINCT 21 56 24 0 0
0022 PRECINCT 22 107 39 5 0
0023 PRECINCT 23 68 21 3 0
0024 PRECINCT 24 324 97 10 4
0025 PRECINCT 25 361 63 16 3
CANDIDATE TOTALS 2895 1396 127 37
CANDIDATE PERCENT 64.98 31. 33 2.85 .83
Attorney General
VOTE FOR 1
BAR
a n a
r n d
GA b n J R
r b a 0 o 0
e b r f n 1
9 0 a s a
t k n
t y d
(REP) (OEM) (LIB)
0001 PRECINCT 1 27 48 2
0002 PRECINCT 2 123 140 11
0003 PRECINCT 3 5 13 0
0004 PRECINCT 4 102 59 4
0005 PRECINCT 5 56 15 0
0006 PRECINCT 6 121 53 3
0007 PRECINCT 7 100 101 4
0008 PRECINCT 8 48 75 4
0009 PRECINCT 9 6 14 2
0010 PRECINCT 10 35 21 1
0011 PRECINCT 11 117 38 5
0012 PRECINCT 12 390 179 12
0013 PRECINCT 13 7 2 0
0014 PRECINCT 14 29 26 2
0015 PRECINCT 15 42 26 4
0016 PRECINCT 16 327 108 9
0017 PRECINCT 17 229 102 8
0018 PRECINCT 18 120 51 7
0019 PRECINCT 19 178 35 8
0020 PRECINCT 20 5 3 1
0021 PRECINCT 21 55 24 1
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Attorney General
VOTE FOR 1
BAR
a n a
r n d
G A b n J R
r b a 0 o 0
e b r f n 1
9 0 a s a
t k n
t y d
(CONTINUED FROM PREVIOUS PAGE) (REP) (OEM) (LIB)
0022 PRECINCT 22 114 35 3
0023 PRECINCT 23 73 18 2
0024 PRECINCT 24 326 100 8
0025 PRECINCT 25 369 55 17
CANDIDATE TOTALS 3004 1341 118
CANDIDATE PERCENT 67.30 30.04 2.64
Comptroller of Public Accounts
VOTE FOR 1
E L
M J R d i
S C a . u w n
u 0 r w a d
s m y a r s
a b r d a
n s t y
(REP) (LIB) (GRN)
0001 PRECINCT 1 32 6 0
0002 PRECINCT 2 125 42 17
0003 PRECINCT 3 6 2 1
0004 PRECINCT 4 112 15 4
0005 PRECINCT 5 58 6 2
0006 PRECINCT 6 136 13 4
0007 PRECINCT 7 101 38 4
0008 PRECINCT 8 51 23 5
0009 PRECINCT 9 8 1 2
0010 PRECINCT 10 37 7 4
0011 PRECINCT 11 122 7 7
0012 PRECINCT 12 409 66 17
0013 PRECINCT 13 7 0 2
0014 PRECINCT 14 33 4 2
0015 PRECINCT 15 41 9 6
0016 PRECINCT 16 341 38 14
0017 PRECINCT 17 227 30 11
0018 PRECINCT 18 130 18 5
0019 PRECINCT 19 181 10 8
0020 PRECINCT 20 5 1 0
0021 PRECINCT 21 62 3 0
0022 PRECINCT 22 113 14 2
0023 PRECINCT 23 76 4 1
0024 PRECINCT 24 332 24 20
0025 PRECINCT 25 378 26 8
CANDIDATE TOTALS 3123 407 146
CANDIDATE PERCENT 84.95 11. 07 3.97
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Commissioner of the General Land Office
VOTE FOR 1
J P
e a
r t
r t H U J L H
Y e e r a . 0
r c i m 1
s t b e d
0 o e s a
n r r
(REP) (OEM) (LIB)
0001 PRECINCT 1 22 53 2
0002 PRECINCT 2 105 149 14
0003 PRECINCT 3 4 13 0
0004 PRECINCT 4 95 64 6
0005 PRECINCT 5 51 16 1
0006 PRECINCT 6 123 52 4
0007 PRECINCT 7 86 112 5
0008 PRECINCT 8 42 78 4
0009 PRECINCT 9 6 14 2
0010 PRECINCT 10 29 24 3
0011 PRECINCT 11 108 43 4
0012 PRECINCT 12 357 184 21
0013 PRECINCT 13 7 2 0
0014 PRECINCT 14 29 25 1
0015 PRECINCT 15 39 29 5
0016 PRECINCT 16 307 112 15
0017 PRECINCT 17 200 116 14
0018 PRECINCT 18 110 53 6
0019 PRECINCT 19 164 47 7
0020 PRECINCT 20 3 3 2
0021 PRECINCT 21 55 21 2
0022 PRECINCT 22 104 38 5
0023 PRECINCT 23 67 22 1
0024 PRECINCT 24 315 91 16
0025 PRECINCT 25 353 64 18
CANDIDATE TOTALS 2781 1425 158
CANDIDATE PERCENT 63.72 32.65 3.62
Commissioner of Agriculture
VOTE FOR 1
R D
i 0
T S H G c n
o t a i k a
d a n 1 1
d p k b d
1 e s
e r 0
s t n
(REP) (OEM) (LIB)
0001 PRECINCT 1 22 51 2
0002 PRECINCT 2 104 148 14
0003 PRECINCT 3 4 13 0
0004 PRECINCT 4 91 65 7
0005 PRECINCT 5 50 17 2
0006 PRECINCT 6. 115 53 8
0007 PRECINCT 7 79 118 6
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Commissioner of Agriculture
VOTE FOR 1
R D
i 0
T S H G c n
o t a i k a
d a n 1 1
d P k b d
1 e s
e r 0
s t n
(CONTINUED FROM PREVIOUS PAGE) (REP) (OEM) (LIB)
0008 PRECINCT 8 41 81 3
0009 PRECINCT 9 5 II 0
0010 PRECINCT 10 24 29 3
0011 PRECINCT 11 102 46 4
0012 PRECINCT 12 333 212 18
0013 PRECINCT 13 5 4 0
0014 PRECINCT 14 25 30 1
0015 PRECINCT 15 38 29 6
0016 PRECINCT 16 301 119 14
DOll PRECINCT 17 206 114 11
0018 PRECINCT 18 96 62 10
0019 PRECINCT 19 163 49 4
0020 PRECINCT 20 3 3 2
0021 PRECINCT 21 54 25 0
0022 PRECINCT 22 102 41 6
0023 PRECINCT 23 68 21 3
0024 PRECINCT 24 291 113 21
0025 PRECINCT 25 350 70 17
CANDIDATE TOTALS 2672 1530 162
CANDIDATE PERCENT 61.22 35.05 3.71
Railroad Commissioner
VOTE FOR 1
A B
r r
D P t 0
a 0 J W R G w
v r e e o a n
i t f e g r i
d e f m e y n
r s r g
(REP) (OEM) (LIB) (GRN)
0001 PRECINCT 1 22 50 2 1
0002 PRECINCT 2 99 152 13 2
0003 PRECINCT 3 4 13 0 0
0004 PRECINCT 4 92 65 5 3
0005 PRECINCT 5 49 17 0 0
0006 PRECINCT 6 106 60 9 1
0007 PRECINCT 7 77 117 6 1
0008 PRECINCT 8 38 81 4 1
0009 PRECINCT 9 4 14 1 3
0010 PRECINCT 10 30 22 3 1
0011 PRECINCT 11 98 48 3 3
0012 PRECINCT 12 319 210 19 8
0013 PRECINCT 13 5 3 0 1
0014 PRECINCT 14 20 32 3 0
0015 PRECINCT 15 37 30 6 0
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Railroad Commissioner
VOTE FOR 1
A B
r r
o P t 0
a 0 J W R G w
v r e e o a n
i t f e 9 r i
d e f m e y n
r s r 9
(CONTINUED FROM PREVIOUS PAGE) (REP) (OEM) (LIB) (GRN)
0016 PRECINCT 16 296 114 14 7
0017 PRECINCT 17 195 117 12 2
0018 PRECINCT 18 100 58 11 0
0019 PRECINCT 19 156 47 6 5
0020 PRECINCT 20 3 3 2 0
0021 PRECINCT 21 53 24 1 0
0022 PRECINCT 22 102 40 5 1
0023 PRECINCT 23 65 21 2 0
0024 PRECINCT 24 281 111 17 10
0025 PRECINCT 25 343 68 20 3
CANDIDATE TOTALS 2594 1517 164 53
CANDIDATE PERCENT 59.93 35.05 3.78 1.22
Justice. Supreme Court. Place 3
VOTE FOR 1
W B S
i r t
1 y r
1 a a
D L inn
e e a 9
b h m e
r r J S
a m i h
a m a I
n r I
n p I
(REP) (OEM) (LIB)
0001 PRECINCT 1 23 50 2
0002 PRECINCT 2 91 161 14
0003 PRECINCT 3 4 14 0
0004 PRECINCT 4 86 74 5
0005 PRECINCT 5 44 21 0
0006 PRECINCT 6 109 63 6
0007 PRECINCT 7 66 130 4
0008 PRECINCT 8 34 87 4
0009 PRECINCT 9 5 17 0
0010 PRECINCT 10 26 29 0
0011 PRECINCT 11 96 51 5
0012 PRECINCT 12 299 246 17
0013 PRECINCT 13 5 3 1
0014 PRECINCT 14 19 36 0
0015 PRECINCT 15 39 30 3
0016 PRECINCT 16 284 141 11
0017 PRECINCT 17 185 133 9
0018 PRECINCT 18 86 79 6
0019 PRECINCT 19 146 64 6
0020 PRECINCT 20 5 2 1
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Justice. Supreme Court. Place 3
VOTE FOR 1
(CONTINUED FROM PREVIOUS PAGE)
D L
e e
b h
r r
a m
a
n
n
(REP)
W B S
i r t
1 y r
1 a a
inn
a 9
m e
J S
i h
m a
r
P
(OEM)
I
I
I
(LIB)
0021 PRECINCT 21 51 27 0
0022 PRECINCT 22 95 50 3
0023 PRECINCT 23 59 31 2
0024 PRECINCT 24 270 139 10
0025 PRECINCT 25 326 86 16
CANDIDATE TOTALS 2453 1764 125
CANDIDATE PERCENT 56.49 40.62 2.87
Justice. Supreme Court. Place 5
VOTE FOR 1
T 0
P G B M o x
a r i 0 m f
u e 1 0 0
1 e 1 d r
n y d
(REP) (OEM) (LIB)
0001 PRECINCT 1 22 49 4
0002 PRECINCT 2 101 151 12
0003 PRECINCT 3 4 13 0
0004 PRECINCT 4 91 68 5
0005 PRECINCT 5 50 17 0
0006 PRECINCT 6 109 58 9
0007 PRECINCT 7 77 122 3
0008 PRECINCT 8 40 81 4
0009 PRECINCT 9 6 16 0
0010 PRECINCT 10 23 26 4
0011 PRECINCT 11 100 46 5
0012 PRECINCT 12 335 205 13
0013 PRECINCT 13 5 3 1
0014 PRECINCT 14 22 32 0
0015 PRECINCT 15 39 30 4
0016 PRECINCT 16 300 121 12
0017 PRECINCT 17 196 118 11
0018 PRECINCT 18 102 60 10
0019 PRECINCT 19 156 50 10
0020 PRECINCT 20 3 3 2
0021 PRECINCT 21 51 25 1
0022 PRECINCT 22 101 41 6
0023 PRECINCT 23 67 22 2
0024 PRECINCT 24 289 118 16
0025 PRECINCT 25 340 74 15
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Justice. Supreme Court. Place 5
VOTE FOR 1
T 0
P G B M o x
a r i 0 m f
u e 1 0 0
1 e 1 d r
n y d
(CONTINUED FROM PREVIOUS PAGE) (REP) (DEM) (LIB)
CANDIDATE TOTALS 2629 1549 149
CANDIDATE PERCENT 60.75 35.79 3.44
Justice. Supreme Court. Place 9
VOTE FOR 1
J A
a r
c m
E G B B k s
v u 1 a t
a z a i r
m k 1 0
a e e n
n y 9
(REP) (OEM) (LIB)
0001 PRECINCT 1 26 46 3
0002 PRECINCT 2 117 140 17
0003 PRECINCT 3 4 14 0
0004 PRECINCT 4 86 67 9
0005 PRECINCT 5 43 22 3
0006 PRECINCT 6 97 65 18
0007 PRECINCT 7 72 120 13
0008 PRECINCT 8 41 75 9
0009 PRECINCT 9 6 15 1
0010 PRECINCT 10 21 29 5
0011 PRECINCT 11 97 49 8
0012 PRECINCT 12 279 233 43
0013 PRECINCT 13 5 2 2
0014 PRECINCT 14 20 32 3
0015 PRECINCT 15 37 29 7
0016 PRECINCT 16 274 133 26
0017 PRECINCT 17 186 110 26
0018 PRECINCT 18 90 63 23
0019 PRECINCT 19 141 63 14
0020 PRECINCT 20 3 3 2
0021 PRECINCT 21 43 31 2
0022 PRECINCT 22 88 47 13
0023 PRECINCT 23 62 24 4
0024 PRECINCT 24 270 111 39
0025 PRECINCT 25 314 78 36
CANDIDATE TOTALS 2422 1601 326
CANDIDATE PERCENT 55.69 36.81 7.49
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
VOTE FOR 1
Judge. Court of Criminal Appeals. Pl 2
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
L " M
aLe
way
r r e
err
n y s
c "
e
(REP)
31
133
8
112
55
121
98
55
7
34
117
395
6
32
39
323
208
124
168
3
58
107
72
316
356
2978
82.17
J R S
a t
n e
d v
e e
1 n
1 s
(LIB)
8
58
3
17
6
30
45
26
5
13
19
84
3
9
17
56
52
34
28
3
5
21
8
54
42
646
17.82
VOTE FOR 1
Judge. Court of Criminal Appeals. Pl 5
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
C J
h 0
e h
r n
y s
1 0
n
(REP)
D H
a 0
v w
e a
r
d
(LIB)
32
131
6
111
53
126
101
55
6
35
7
57
4
19
'7
25
38
23
4
12
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Judge, Court of Criminal Appeals. Pl 5
VOTE FOR 1
C J
hoD H
e h a 0
r n v w
y sea
lor
n d
(CONTINUED FROM PREVIOUS PAGE) (REP) (LIB)
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
117
394
6
31
40
316
208
128
164
5
56
106
72
322
359
2980
82.47
19
87
2
11
16
61
52
30
31
o
7
21
7
52
41
633
17.52
Judge. Court of Criminal Appeals. Pl 6
VOTE FOR 1
M E K K H R R V
i . e e a o a i
c a i m b v r
h s t p e e a
a 1 h t res
e e 0 t i
1 r n n
(REP) (OEM) CUB)
0001 PRECINCT 1 26 48 2
0002 PRECINCT 2 106 155 12
0003 PRECINCT 3 3 13 0
0004 PRECINCT 4 95 64 3
0005 PRECINCT 5 49 18 2
0006 PRECINCT 6 109 58 11
0007 PRECINCT 7 75 120 6
0008 PRECINCT 8 42 78 6
0009 PRECINCT 9 7 15 0
0010 PRECINCT 10 26 28 2
0011 PRECINCT 11 101 45 7
0012 PRECINCT 12 317 215 14
0013 PRECINCT 13 5 2 1
0014 PRECINCT 14 23 30 1
0015 PRECINCT 15 37 29 4
0016 PRECINCT 16 295 122 11
0017 PRECINCT 17 191 119 11
0018 PRECINCT 18 102 64 8
0019 PRECINCT 19 156 51 7
0020 PRECINCT 20 4 2 2
0021 PRECINCT 21 52 25 0
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
VOTE FOR 1
Judge. Court of Criminal Appeals. Pl 6
M E K K H R R V
i . e e a 0 a i
c aim b v r
h s t pee a
a 1 h t res
e e 0 t i
1 r n n
(CONTINUED FROM PREVIOUS PAGE) (REP) (OEM) (LIB)
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
100
65
285
335
2606
60.45
44
24
121
72
1562
36.23
5
1
12
15
143
3.31
State Senator, Dist 18
VOTE FOR 1
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
P .. 0
a P 1
tan
r t e
i .. y
c
i
a
(OEM)
G H
1 e
e g
n a
n r
(REP)
27
116
4
96
50
121
90
42
6
25
110
354
6
25
41
313
214
122
166
5
53
110
73
302
353
2824
64.32
50
156
15
67
19
59
111
83
16
33
46
213
2
32
32
125
119
55
53
4
24
42
20
117
73
1566
35.67
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
State Representative, Dist 32
VOTE FOR 1
0001 PRECINCT l'
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
T H
o u
d n
d t
e
r
(REP)
38
168
7
123
58
141
115
61
8
44
128
444
8
39
49
359
248
147
182
6
62
123
76
355
382
3371
100.00
VOTE FOR 1
Justice, 13th Court of Appeals Dist, P 3
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
G P
r e
e r
9 k
e
s
(REP)
25
106
3
97
46
121
84
41
5
28
110
341
6
L Y
i a
n p
d e
a z
(OEM)
52
167
16
65
20
57
117
83
17
29
44
210
2
NAME HEADING CANVASS
RUN DATE:ll/03/10 05:44 PM
VOTE FOR 1
Justice. 13th Court of Appeals Dist. P 3
(CONTINUED FROM PREVIOUS PAGE)
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
G P
r e
e r
g k
e
s
(REP)
27
40
308
201
117
166
5
55
104
68
306
344
2754
63.79
L Y
i a
n p
d e
a z
(OEM)
28
32
122
119
57
48
3
23
44
20
110
.78
1563
36.20
VOTE FOR 1
District Judge. 267th Judicial District
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
S K
k 0
i e
p t
P t
e e
r r
(REP)
41
167
8
125
58
135
122
60
9
41
130
426
8
36
47
349
245
138
175
4
60
114
73
345
365
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
VOTE FOR 1
District Judge. 267th Judicial District
S K
k 0
i e
p t
P t
e e
r r
(CONTINUED FROM PREVIOUS PAGE) (REP)
CANDIDATE TOTALS 3281
CANDIDATE PERCENT 100.00
Criminal District Attorney
VOTE FOR 1
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
D W H
a . e
n a
r
d
(OEM)
62
215
16
119
44
116
168
101
17
50
105
451
5
48
42
294
251
143
142
7
60
109
62
249
206
3082
100.00
NAME HEADING CANVASS
RUN DATE:ll/03/10 05:44 PM
Judge. County Court at Law No. 1
VOTE FOR 1
(CONTINUED FROM PREVIOUS PAGE)
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
---~--- --.
'I
A R H
1 . e
e
x
r
n
a
n
d
e
z
(OEM)
17
46
103
425
4
44
46
277
231
135
125
7
55
100
63
239
194
2942
100.00
District Clerk
VOTE FOR 1
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
.0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
P M H
a a a
m r r
e t t
1 i 9
a n r
o
v
e
(OEM)
60
213
16
119
49
108
172
100
18
53
102
455
4
46
49
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
District Clerk
VOTE FOR 1
P M H
a a a
m r r
e t t
1 i 9
a n r
o
v
e
(CONTINUED FROM PREVIOUS PAGE) (DEM)
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
288
247
141
131
6
64
106
65
251
188
3051
100.00
County Clerk
VOTE FOR 1
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
A F
n r
i i
t c
a k
e
(OEM)
61
221
16
122
47
111
174
102
17
51
103
454
4
46
49
289
251
143
134
5
62
111
68
263
192
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
County Clerk
VOTE FOR 1
A F
n r
; ;
t c
a k
e
(CONTINUED FROM PREVIOUS PAGE) (OEM)
CANDIDATE TOTALS 3096
CANDIDATE PERCENT 100.00
County Treasurer
VOTE FOR 1
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
R S K
h ; 0
o k k
nee
d s n
a a
(OEM)
61
212
16
119
49
108
167
98
17
46
100
445
4
45
48
277
237
137
131
6
64
107
67
250
188
2999
100.00
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
County Commissioner, Precinct NO.2
VOTE FOR 1
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
CANDIDATE TOTALS
CANDIDATE PERCENT
C S
a m
r i
1 t
h
(REP)
49
28
5
17
76
163
2
340
28.16
V L
e y
r s
n s
Y
(OEM)
164
101
18
46
84
447
7
867
71.83
County Commissioner, Precinct NO.4
VOTE FOR 1
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
0024 PRECINCT 24
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
K W F
e . i
n n
n s
e t
t e
h r
(OEM)
6
58
106
67
287
215
739
100,00
Justice of the Peace, Precinct No. 1
VOTE FOR 1
0001 PRECINCT 1
0002 PRECINCT 2
0003 PRECINCT 3
0004 PRECINCT 4
0005 PRECINCT 5
0006 PRECINCT 6
CANDIDATE TOTALS
CANDIDATE PERCENT
H 0 K
o . u
p r
e t
z
(OEM)
61
216
16
124
51
112
580
100.00
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Justice of the Peace. Precinct No. 2
VOTE FOR 1
J W D
a . u
m c
e k
s e
t
t
(OEM)
0007 PRECINCT 7
0008 PRECINCT 8
0009 PRECINCT 9
0010 PRECINCT 10
0011 PRECINCT 11
0012 PRECINCT 12
0013 PRECINCT 13
CANDIDATE TOTALS
CANDIDATE PERCENT
172
102
18
50
104
465
4
915
100.00
Justice of the Peace. Precinct No. 3
VOTE FOR 1
C K
a n
r e
y u
p
p
e
r
(REP)
0014 PRECINCT 14
0015 PRECINCT 15
0016 PRECINCT 16
0017 PRECINCT 17
0018 PRECINCT 18
0019 PRECINCT 19
CANDIDATE TOTALS
CANDIDATE PERCENT
19
28
233
151
53
110
594
44.69
G W N
a . 0
r s
y k
a
(DEM)
39
45
218
184
135
114
735
55.30
Justice of the Peace. Precinct No. 4
VOTE FOR 1
J D
a w
m 0
e r
s a
c
z
y
k
(OEM)
0020 PRECINCT 20
0021 PRECINCT 21
0022 PRECINCT 22
0023 PRECINCT 23
6
59
111
65
NAME HEADING CANVASS
RUN DATE:11/03/10 05:44 PM
Justice of the Peace. Precinct NO.4
VOTE FOR 1
J 0
a w
m 0
e r
s a
c
'z
y
k
(CONTINUED FROM PREVIOUS PAGE) (OEM)
0024 PRECINCT 24
CANDIDATE TOTALS
CANDIDATE PERCENT
287
528
100.00
Justice of the Peace. Precinct No. 5
VOTE FOR 1
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
N P
a 0
n m
c y
y k
a
1
(REP)
393
393
100.00
VOTE FOR 1
Constable. Precinct No.5. Unexpired Term
0025 PRECINCT 25
CANDIDATE TOTALS
CANDIDATE PERCENT
J H B
a . u
m s
e b
s y
(OEM)
198
198
100.00
J
APPROVE MINUTES OF OCTOBER 19, 2010 AND OCTOBER 28, 2010 MEETINGS:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve minutes of
October 19, 2010 and October 28, 2010 meetings. Commissioners Lyssy, Fritsch, Finster and Judge
Pfeifer all voted in favor.
MEMORIAL MEDICAL CENTER REPORT:
Jason Anglin presented the Memorial Medical Center Financial Report for the month of September 2010.
F'"
Memorial Medical Center
CFO Report
Month of: September 2010
Overview:
Recent focus has been given to reviewing and reconciling financial accounts on the hospital's
general ledger. While this work has not been completed and will continue during the future
months, several key accounts were researched, leading to several large adjustments. These
and other adjustments detailed in the CEO report resulted in a net loss of $298,034. As the CEO
report indicates, the actual operating results for September would have been approx. $10,000,
had these entries not been recorded.
Statistics:
Hospital operating volumes were down in many key areas during September. Patient
admissions were 25 less than last month while patient days were down by 51 days. Volumes
were also down from last month in the outpatient clinic, lab, radiology and physical therapy.
Balance Sheet:
Cash decreased $1,150,300 from August, primarily due to the repayment of the Calhoun County
loan of $500,000 and 2007 Medicare cost report settlement of $321,279. The reconciliation of
the receivable from 3rd party and the other receivables accounts resulted in reductions in other
assets. Total liabilities were reduced approx. $1,000,000 by paying off the Calhoun County note
and reducing the accounts payable and accrued payroll accounts. The 3rd party settlement
account increased to reflect the anticipated liability payment of $349,000 to Medicare based on
the updated mini-cost report findings.
Income Statement:
Total revenue decreased by over $200,000 from August, reflecting the lower patient volume
experienced. Allowance for uncollectables increased over the prior month by $149,600, based
on the mini-cost report and review of all of the allowance accounts. Operating expenses were
$157,000 less than August primarily due to the reconciling of the employee benefits accrual
account, resulting in a change of over $270,000, resulted in another credit balance for benefits
in September.
Special Proiects:
The process of reconciling all general ledger accounts will continue to ensure all balances are
correct and documentable. This will prepare us well for the year-end audit, while cleaning up
the financial records. Materials Management and Information Services are reviewing CPSI
charges and will be reconciling our records with CPSl's and will result in corrections that will
produce expense reductions in the future. Also Materials Management is completing a
reconciliation of all cell phone and pagers wliich will result in a further reduction of future
operating expenses.
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MEMORIAL MEDICAL CENTER
CAPITAL ACQUISITIONS
FOR PERIOD ENDED 08/31/10
MONTH DESCRIPTION DEPT BUILDING EQUIPMENT TOTAL
01/10 BI-DIRECTIONAL INTERFACE ER $ 8,100
NEOTOOL INTERFACE ENGINE IT 20,700
SUB-TOTAL - 28,800 $ 28,800
02/10 OILLESS COMPRESSOR PLANT 9,710
SUB-TOTAL - 9,710 $ 9,710
03/10 KARL STORZ ENDOSCOPY SURGERY 5,859
BEDSIDE MONITORS (2) ER 14,802
SUB-TOTAL - 20,661 $ 20,661
04/10 N/A - - $ -
05/10 N/A - - $ -
06/10 N/A - - $ -
07/10 N/A - - $ -
08/10 N/A - - $ -
09/10 NEWBORN HEARING SCREENER - $ 10,708
BLOOD PRESSURE ANALYZER CUFFLINK $ 5,412
L1NUX OPERATING SYSTEM - SERVER $ 2,241
18,361 $ 18,361
TOTAL - $ 77,531.15 $ 77,531.15
MEMORIAL MEDICAL CENTER
'I
PATIENT S;rATISTICS
SEPTEMB,ER,2010
THIS MONTH THIS YEAR LAST YEAR
;
THIS MONTH LAST YEAR TO DATE TO DATE
PATIENTS ADMITTED 102 122 945 1,024
ADMISSIONS FROM ER 37 23 207 209
"
AVERAGE LENGTH OF STAY 4.08 3.52 4.09 3.77
'I
PATIENT DAYS OF SERVICE 416 429 3,866 3,862
PERCENT OF OCCUPANCY* 55.47% 57.20% 56.64% 56.38%
AVERAGE DAILY CENSUS 13.87 14.30 14.16 14.09
MAXIMUM ON ANY ONE DAY 2m 19 22 23
MINIMUM ON ANY ONE DAY 9 10 9 6
ADJUSTED PATIENT DAYS 1, 13~ 1 ,445 11 ,449 12,716
SWING BED ADMISSIONS 13 4 70 30
SWING BED DAYS 93 33 540 361
ICU PATIENTS ADMITTED 25 21 168 220
ICU PATIENT DAYS 59 53 419 541
OB'S ADMITTED 12 11 95 102
08 DAYS OF SERVICE 27 27 . 239 232
PEDIATRIC ADMISSIONS 6 4 37 28
,
PEDIATRIC DAYS OF SERVICE 21 8 122 64
NEWBORNS FOR MONTH 1Q 11 90 96
AVERAGE LENGTH OF STAY 2.40 1.82 2.14 1.88
DAYS OF SERVICE 24 20 193 180
MEDICARE PATIENTS ADMITTED 45 65 487 539
AVERAGE LENGTH OF STAY 5.42 4.03 4.74 4.37
.,
DAYS OF SERVICE 244 262 2,310 2,353
MEDICAID PATIENTS ADMITTED 22 15 146 155
DAYS OF SERVICE 50 39 460 473
DEATHS 2 6 25 31
AUTOPSIES 0 0 0 0
SURGERY:
INPATIENT PROCEDURES 16 10 112 98
OUTPATIENT PROCEDURES 64 58 604 728
CESAREAN SECTIONS** 5 3 35 26
TOTALS 85 71 751 852
*Based on 25 beds
THIS MONTH THIS YEAR LAST YEAR
THIS MONTH LAST YEAR TO DATE TO DATE
OUTPATIENT VISITS 1,327 1 ,468 11,696 12,749
EMERGENCY ROOM VISITS 833 987 7,463 7,873
TOTALS 2,16b 2,455 19,159 20,622
LABORATORY:
INPATIENT PROCEDURES 5,575 5,442 48,573 53,146
OUTPATIENT PROCEDURES 18,289 21,394 149,057 204,375
TOTALS 23,864 26,836 197,630 257,521
RADIOLOGY:
INPATIENT PROCEDURES 127 94 946 927
OUTPATIENT PROCEDURES 656 920 6,629 7,722
BONE DENSITY 15 12 . 125 114
NUCLEAR MEDICINE 58 58 677 711
ULTRASOUNDS 1.70 158 1 ,433 1 ,467
CT SCANS 224 267 2,243 2,385
MAMMOGRAPHY 105 91 761 875
MRI 106 110 997 1,054
TOTALS 1 ,461 1,710 13,811 15,255
PHARMACY:
IV SOLUTIONS DISPENSED 1,387 1,134 10,442 10,661
DRUGS DISPENSED 15,654 10,901 115,727 99,545
HIGH COST DRUGS DISPENSED 1 ,448 1,363 12,331 13,460
TOTALS 18,489 13,398 138,500 123,666
RESPI RA TORY THERAPY:
INPATIENT PROCEDURES 890 817 8,875 8,345
OUTPATIENT PROCEDURES 190 242 2,092 2,084
STRESS TESTS 4 4 60 50
EKGS 195 207 1,779 1,909
EEGS 0 2 23 16
TOTALS 1,279 1,272 12,829 12,404
PHYSICAL THERAPY:
INPATIENT PROCEDURES 654 398 4,274 3,630
OUTPATIENT PROCEDURES 871 972 10,913 13,497
HOME HEALTH VISITS 0 53 379 989
TOTALS 1,525 1 ,423 15,566 18,116
THIS MONTH THIS YEAR LAST YEAR
THIS MONTH LAST YEAR TO DATE TO DATE
HOME HEALTH CARE:
MEDICARE VISITS 0 715 3,744 5,980
OTHER VISITS 0 27 202 420
ST/SS 0 0 1 6
TOTALS 0 742 3,947 6,406
DIETARY:
MEALS SERVED TO PATIENTS 1,588 1,540 13,551 13,424
MEALS SERVED IN CAFETERIA 3,954 4,069 39,004 38,031
TOTALS 5,542 5,609 52,555 51,455
MEMORIAL IVJEDICAL CEl\i1.'ER
CHECK REGISTER
09/01/10 THRU 09/30/10
BANK--CHECK----------------------------------------------------
CODE IMlBER DATE M70um PAYEE
RUN DATE:10/07/10
TII"lE:16:27
Pli.GE 1
GLCKREG
A/I' 140554 09/02/10 3,185,00 PHILIPS HEALTHCARE
AlP 140555 09/02/10 249.25 E'I,iE1)J"T PROMOTIONS NON
AII' 140556 09/02/10 298.00 P.iI..RTSSOURCE, LtC
A/I' 140557 09/02/10 4,269,24 US FOOD SERVICE
'AII' 140558 09/02110 5,473.00 THIE
'AII' 140559 09/02110 6'1. 98 S.T.E.n., INC.
AII' 140560 09/02110 9,499.42 T&R MECHANICAL
A/I' 140561 09/02/10 45.42 DOCUFREE CORP
A/I' 140562 09/02/10 2,329.00 MED-STAFF INC
AII' 140563 09/02110 104,25 GREG COIIlART, CRNA
AlP 140564 09/02/10 70.00 JENISE SVETLIK
AII' 140565 09/02110 2,154.00 CENTURION MEDICAL PRODU
AII' 140566 09/02110 .00 VOIDED
A/P 140567 09/02110 ,00 VOIDED
AlP 140568 09/02110 1,460.91 DElil!TT POTil & SON
AII' 140569 09/02110 150.00 WILLIAl1 E HEIKlIJlP, TRUS
AlP 140.570 09/02110 2,304.00 TRAVEL NURSE SOL'O'I'IONS,
'AlP 140571 09/02/10 34,507,76 GEXA ENERGY
A/I' 140572 09/02/10 11,832.21 ENTRUST INSUR}~CE & BEN
AlP 140573 09/02/10 107.92 ECHOLAB FOOD SAFETY SPE
AlP 140574 09/02/Hi 495.00 i'I!LLIAla E HEITKlIl1P, TRU
AlP 140m 09/02/10 4,614.61 DUMTE P COULTER
.A/P 140576 09/02/10 37,569.95 MMC E1~PLO'YEE BEI~FITS
'AlP 140577 09/02/10 1,000.00 RHINO ~!EDICA1 SERVICES
A/P 140578 09/02/10 5,330.00 [<<ARK GOlW.J\.N, CRlU\.
AII' 140579 09/02110 177 ,69 LESLIE A1~~ SOLIS
AlP 3.40580 09/02/10 9,500.00 BR HEALTHC}JtE SERVICES
AlP 140581 09/02/10 6,214.33 ~ICBOlJRGEO:rS C?.NA
AlP 140582 09/02/10 55.00 TEXAS HEALTH CENTER, RA
A/P 140583 09/02110 954.50 JAS01~ Jl~GLnq
AlP 140584 09/02110 520.65 CHARLES F GRACi
A/P 140585 09/02/10 4,200.00 DME
A/P 140586 09/02/10 318.40 LIPPINCOTT, vITLLI>>;MS &
A/P 140587 09/02/10 .00 VOIDED
'AlP 140588 09/02/10 14,648.01 illlJERISOURCEBERGEN DRUG
A/P 140589 09/02/10 589.35 . ALCON L.iI.BORATORIES mc
AlP 140590 09/02/10 74.31 AIRGAS-SOUT~~ST
A/P 140591 09/02110 48.58 CARDINAL HEALTH
AlP 140592 09/02110 30.00 IWlI~1JE GA1UI.~R
AII' 140593 09/02/10 1,057.30 AT&T ~~OBILITY
AlP 140594 09/02110 1,205.41 AT&T
A/P 140595 09/02/10 445024 BA..1i:TER ilEALTHCARE CORP
AlP 140596 09/02110 296.34 BECKWITH ELECTRONIC ENG
AlP 140597 09/02110 716.00 BOSTON SCIENTIFIC COREO
A/P 140598 09/02/10 142,90 BOSTON TEXTILE CO, INC
A/P 140599 09/02/10 152,00 ANGIE BURGIN
A/P 140600 09/02/10 25.00 CAL COM FEDERAL CREDIT
AlP 140601 09/02/10 228.00 CYGNJ1S MEDICAL LLC
A/P 140602 09/02110 8,121.16 GREGORY ,W COWART
AlP 140603 09/02/10 643.93 CONNED CORPORATION
MEMORIAL !~DIC.~ CE~~ER
CHECK REGISTER
09/01/10 THRU 09/30/10
BANK--CHECK----------------------------------------------------
CODE IIDMBER DATE AMOUll/"T PAYEE
PAGE 2
GLCKREG
RUN DATE:l0/07/10
TIME 116127
AlP 140604 09/02/10 .00 VOIDED
AlP 140605 09/02/10 311.16 THE COUNCIL COMPAA'Y
AlP 140606 09/02110 227.36 CpaI
AlP 140607 09/02/10 9,032.27 SIEMENS HEALTHCARE DUG
AlP 140608 09/02/10 82.30 DYNATRONICS CORPOR..~TION
AlP 140609 09/02/10 364.00 JOE A F1>.LCON'
AlP 140610 09/02/10 18.69 FEDERAL EXPRESS CORP.
AlP 140611 09/02/10 1,800.44 FISHER SCIENTIFIC COMPA
AlP 140612 09/02/10 450.00 FORT BEI\1D SERVICES, INC
'AlP 140613 09/02/10 755. SO GE MEDICAL SYSTEMS, INF
AlP 140614 09/02110 1,973.80 GREAT l\1~RICA LEMING C
AlP 140615 09/02/10 200.00 GULF COAST DELIVERY
AlP 140616 09/02110 1,030,68 SHELLY GARCIA
A/P 140617 09/02110 57,93 GETmGE USA
AlP 140618 09/02/10 223,36 GULF COAST PJ..PER CO~lPAN
:A/P 140619 09/02/10 167.00 !1F)jIA
AlP 140620 09/02/10 125.25 H"l1:S~i;tT COf}jPAIIT
A./P 140621 09/02/10 39.07 II\1DEPEI'JDEWCE illEDICAL
AlP 140622 09/02/10 305.64 INFOLll-.B rillC
Ate 140623 09/02/10 118.00 INTOXIW;TERS mc
AlP 140624 09/02/10 101. 97 N.C, JOHNSON COMP1LN'{ IIi
AlP 140625 OS/Q2/10 1,263.90 RCI USJ..
AlP 140626 09/02/10 27,73 Ml.jC ~liXILIARY
AlP 140627 09/02110 695,39 lilUST;..IN & ASSOCIA'l'ES
AlP 140628 09/02/10 97.27 PATRICIA OWEN
'AlP 140629 09/02/10 ,00 VOIDED
If./P 140630 09/02/10 .00 VOID:E:D
A/J1 140G31 09/02/10 13,186.09 OltlEI~S 5; MINOR
1i./P 140632 09/02110 867,67 PC ['!ALL
AlP 140633 09/02/10 1,000,00 U S POST~ SERVICE
AlP 141)534 09/02/10 70.28 PO'VI'ER ELECTIUC
AlP 140635 09/02110 849.30 R G I< ASSOCIATES mc
'AlP 140636 09/02/10 26.25 RED FJ\J,JI{
AlP 140637 09/02/10 5,860,00 ~JjIOLOGY UIiLIOOITED, FA
A/P 140638 09/02/10 166.15 MARIA D ~SEI\'IJ)EZ
'AlP 140639 09/02110 50.00 Dr~~ S1;:~j'q;PA
All' 140640 09102/10 85.82 SERVIC~. sVpPLY OF VICTO
AII' 140641 09/02/10 32,50 SOUTH'TE~S BUSINESS SY
AlP 140642 09/02/10 3,990.00 SO TEX BLOOD & TISSUE C
A/P 140643 09/02/10 242.18 THE ST JOHW COMPAI~IES,
AlP 140644 09/02110 830,06 STRYjtER SALES CORP
AlP 140645 09/02110 1,571. 76 STERIS CORPORATION
AlP 140646 09/02/10 2,929.21 TLC STAFFING
'A/'P 140647 09/02/10 84,963.77 TEXAS CO & DISTRICT RET
'AlP 140648 09/02110 7,367.00 TEXAS I>WTUi\L INSURANCE
ll./p 140649 09/02110 3,563,00 THE T SYSTEM. INC.
AlP 140650 09/02/10 186.11:1 TRI-~IM ~TH SERVICE
A/P 140651 09/02110 52,96 UNIFIRST HOLPINGS
AlP 140652 09/02110 126.91 UI~.IFORM. ADVANTAGE
AlP 140653 09/02/10 4,411.96 UNIFIRST HOLDINGS INC
A/I' 140654 09/02/10 364.42 UNITED PARCEL SERVICE
Rull DATE:10/07/10
TIiolE:16:27
~iEMORIAL lI'.iEDICAL CENTER
CHECK REGISTER
09/01/10 THRU 09/30/10
BANK - -CHECK - - n - - -_ - - - - - - - - - - _n - - - - - - - - - - - - - - - - - -.. - _ _ _ _ _ _ __ _ __
CODE NUMBER DATE Z;MO'ON'l' PAYEE
PAGE 3
GrJCKREG
_______________.~_w_______________~___~____________________~______~_______~_~~~_______~____.~___________________~__~_____________~____
AlP 140655 09/02110 152.50 UNITED WAY OF CllLHOUN C
l'./P 140656 09/02/10 43.43 VERIZOlll SOUTffillES'l'
AlP 140657 09/02110 .00 VOIDED
AlP 140658 09/02/10 501. 03 WALlI'JART COMMUNITY
AlP 140659 09/02/10 1,254.79 WASTE MA!~GE~lENT
AlP 140650 09/02110 215.32 GRAINGER
AlP 140661 09/02110 101.56 YOUNG !'LOOIBING CO
AlP 140662 09/02110 34.50 ZIIIJMER US, me.
AlP 140663 09/02110 142.29 BLUE CROSS & BLUE SRIEL
:A!P 140664 09/02110 260.01 BLUE CROSS & BLUE SHIEL
AlP 140665 09/02110 712.60 CASHIER
AlP 140666 09/02110 2,160.20 CASHIER
AlP 140667 09/07/10 918.50 ~JtRIOTT CHICAGO Do~rr~o
AlP 140668 09/07/10 500,000.00 CALHOUN COUNTY
AlP 140669 09/07/10 300.00 CPSI NATIONAL USERS CO
AlP 140670 09/07/10 321,279.00 TRAILBLA,ZER HEALTH ENTE
AlP 140671 09/09/10 246.20 DOl\1!IT STRINGO
AlP 140672 1J9/09/11J 96,720.00 VICTORIA E~mRGENCY AB80
A/P 140613 09/09/10 953.41 US FOOD SERVICE
AlP 140674 09/09/10 342.24 PHAPJMEDIUM SERVICES Ltc
'AlP 140675 09/09/10 643.32 ALLIED MED!Cl~ SUPPLY r
A/P 140676 09/09/10 1,678.25 MED-STAFF me
'AlP 140677 09/09/10 153.94 cno TREllli L, P .
AlP 140678 09/09/11J 9,166.67 HITACHI MEDICAL SYSTEMS
'A/P 140679 0!UQ9/10 972.36 CE~:rURION lllEDlCAL PRODU
AlP 140680 09/09/10 5.54 DEWITT POTH &: SOl~
AlP 140681 09/09/10 4,700.80 LAQUIK~A INNS & SUITES
AlP 140682 09/09/10 108.00 DYNA11IC DIAGNOSTICS n~c
AlP 1.40683 09/09/10 50,36 ECHOL}.B FOOD BAFETY SPE
A/P 140684 09/09/10 2,741.10 DUANE P COULTER
A/P 140685 09/09/10 22,222.76 MMC EMPLOYEE BE!~FITS
AIr: 140686 09/09/10 509.45 EN'l'ERPRISE RENT-,A'.CAR U
AlP 140687 09/09/10 3,048.78 VISA
AlP 140688 09/09/10 169.00 THE WALlItR CO~!PANY
AlP 140689 09/09/10 9,152.00 TE~S ~OSr:IT~ ASSOCIAT
A/r: 140690 OV09/10 143.57 rUCHE!..!..E clj,N~U
AlP 140691 09/09/10 2,701. 30 l?!10E.NJ:~~!:;DIQlL
AlP 140692 09/09/10 61000.00 DONOlWE ~1J) ASSOCIATES
A/P 140693 09/09/10 84.29 ABBOTT NUTRITION
A/P 140694 OS/OS/lO .00 VOIDED
A/P 140695 09/09/10 16,346.92 A!IlERISOURCEBER~EN DRUG
A/P 140696 09/09/10 52.68 ADVANCE MEDICAL DESIGNS
AlP 140697 09/09/10 1,287.00 ALCON ~ORATORIES INC
A/P 140698 09/09/10 220.30 A:RTHitOCARE CORPORATION
A/P 140699 09/09/10 208.00 AWESO~ PAGING INC
AlP 140700 09/09/10 261. 05 C R a1\Rp:!:NC
AlP 140701 0910.9/10 3,560.88 BAXTl',:~ ~T!!GARE CORP
A/P 140702 09/09/10 8,158.74 BECOON COULTER INC
A/P 140703 09/09/10 1,001. 74 BEST WESTERN PORT LAVAC
A/P 140704 09/09/10 294.00 BOSTON SCIEl~IFIC CORPO
A/P 140705 09/09/10 2,224.18 CALHOm~ COUNTY
RUN DATE:10/07/10
TIME:16:27
~mMORIA1 MEDICAL CE~~ER
CHECK REGISTER
09/01/10 PHRU 09/30/10
BANK- -CHECK-- -- _____n -_ __ u____ - ___,._ - __ __ _ __ n_____ _ _ __ .._____
CODE NUMBER DATE AMOUNT PAi:"'EE
PAGE 4,
GLCKREG
---~---~---------------------------~----~<<-----~-~-----~---------------~----------------------~--------------~-------~--------------
AlP 140706 09/09/10 141. 33 CITIZENS MEDICAL CENTER
AlP 140707 09/09/10 4,539.61 CPSI
AlP 140708 09/09/10 2,240.50 CPSI
AlP 140709 09/09/10 70.00 DARLING Il'lTERNATIOlqAI, I
AlP 140710 09/09/10 269.15 DETll.R HOSPITAL
A/P 140711 09/09/10 2,488.24 ENTEX
A/P 140712 09/09/10 4,865.91 FISHER HEA1TH~JtE
A/P 140713 09/09/10 84.00 JOYCE FI.J..NN:rGZU~
A/P 140714 09/09/10 808.50 GE !~DICA1 SYSTEMS, INF
AlP 140715 09/09/10 55.84 GULF COAST PAPER COIIlPAN
A/P 140716 09/09/10 231.30 !lCPRO, INC
A/P 140717 09/09/10 142.71 If'L1BERT CO!~P.P.NY
A/P 140718 09/09/10 83.80 INDEPENDENCE MEDICAL
AlP 140719 09/09/10 601.40 nrvIVO CORPORATION
AlP 140720 09/09/10 1,842.54 INFOL.ZU3 INC
A/T! 140721 09/09/10 1,033.54 INSTRUl>lENTATION LABORAT
AlP 140722 09/09/10 1'76.20 KIMBERLY - CL.~\ INC
AlP 140723 09/09/10 1.20 IWKS l?Lm~EING PARTS
A/P 140724 09/09/10 2,307.76 MERRY X-RAY- SAN ANTON!
AlP 140725 09/09/10 85.91 1100RE BUSINESS FOID1S
AlP 140726 09/09/10 3,000.00 NUTRITION OPTIONS
AlP 140'12'7 09/09/10 1,384.10 OPEX CO~JICATIONS
A/P 140728 09/09/10 ,00 VOIDED
AlP 140729 09/09/10 ,00 VOIDED
:A/P 140730 09/09110 12,715.58 Ol~"'ENS & l'lIlI1OR
AlP 140731 09/09/10 297.00 QUILL CORPOP.aTION
AlP 140732 09/09/10 39.69 R & D BATTERIES INC
AlP 140733 09/09/10 49,12 SERVICE SUPPLY OF VICTO
A/P 140734 09/09/10 58.00 SHIP SHUTTLE Tll~I SERVI
AlP 140735 09/09/10 362..18 SPS ~jEDICl..L
AlP 140736 09/09/10 267,90 THE ST JOHN COMP~~rES,
A/P 140737 09/09/10 40.00 DA.l:l'ETTE BETlWJ"Y
AlP 140738 09/09/10 4,984.50 SYSCO FOOD SERVICES OF
AlP 140739 09/09/10 30,015.35 TERl<1 REHAB
AlP 140740 09/09/10 1,055.88 TLC STAFFING
AlP 140741 09/09/10 10,000000 TOSHIBA AMERICA MEDICAL
A/P 140742 09/09/10 133.90 TEns lURED MUSIC INC
AlP 140743 09/09/10 150.00 DEBI'.a TRAl'lMELL
AlP 140744 09/09/10 26.48 m~IFIRST HOLDINGS
AlP 140745 09/09/10 2,909.69 UNIFIRST HOLDINGS mc
AlP 140746 09/09/10 73.10 THE tI1UFORM CONNECTION
AlP 140747 09/09/10 109.17 VERIZON SOUTHWEST
AlP 140748 09/15/10 61.23 CUSTOM MEDICAL SPECIALT
A/P 140749 09/15/10 149.00 PARTSSOURCE, LLC
A/P 140750 09/15/10 2,466.00 MED-STAFF INC
A/Ti! 140751 09115/10 5,693.61 ARUP LABORATORIES
A/P 140752 09/15/10 614000 A-l AUTOMATIC DOOR
A/P 140753 09/15/10 60.00 E.L. LEWIS, INC.
A/P 140754 09/15/10 1,445.35 CENTURION MEDICAL PRODU
A/P 140755 09/15/10 2,977,85 LEIGH Al\1NFALCON
AlP 140756 09/15/10 150.00 W!LLIZU~ E HElKAMP, TRUS
RUN DATE:l0/07/10
TIME:16:27
!>!EMORIAL ~lED!CAL CTIr.rEii.
CHECK REGISTER
09/01/10 THRU 09/30/10
BA11K- -CHECK-- -- -- __n_. --- - -- _n _ -- _ _ _ _ __ ___ __ ____ ______,___u__
CODE NUMBER DATE JlJ10UNT PAYEE
PAGE 5
GLCKREG
--------_._----~-------------------------------------~------~-----------------------------------------------------------------------
AlP 140757 09/15/10 163.81 GEXA El-J"ERGY
A/P 140758 09/15/10 495.00 WILLIAM E HEITKAMP, TRU
A/P 140759 09/15/10 3,934.98 DUJl.NE l? COULTER
AI? 140760 09/15/1.0 16,007.76 !~\!C EMPLOYEE BENEFITS
AlP 140761 09/15/10 232.00 TAMI MALDOW'lDO
AlP 140762 09/15/10 570.29 ENTERPRISE RENT-A.-CAR U
AlP 140763 09/15/10 374.54 INTELLIGEiIliT PO\\1ER SOLUT
'AlP 140764 09/15/10 3,914.00 FLUKE ELECTRONICS
AlP 140765 09/15/10 1,S50.00 PJiINO !1EDICAL SERVICES
A/P 140766 09/15/10 10,455.00 MllRK GORMAN, CRNA
AlP 14076'7 09/15/11) 177 . 69 LESLIE JlJ\~ SOLIS
A/P 140'768 09/15/10 1,617.18 THERMO FISHER SCIENTIFI
AlP 140769 09/15/10 165.00 LESLIE SI~!MONS
A/P 140770 09/15/10 500.00 RAUL Y./ili'];Z
AlP 140771 09/15/10 64.83 ED SUPPLY FACILITIES
AlP 140772 09/15/10 100.67 BIO~~ I1:i!C
AlP 140773 09/15/10 9.00 BRIT':t'.P.NY HINOJOSA
AlP 140774 09/15/10 1,955.49 AA\DERSON CONSULTATION S
AlP 140775 09/15/10 .00 VOIDED
A/P 140776 09/15/10 12,38B.64 Jl..MjjiRISOURCEBERGEl~ DRUG
AlP 140777 09/15/10 1,937.54 AIRGAS-SOtrTh'WEST
AlP 140m 09/15/10 5.LOO AFLAC
!iF 140779 09/15/10 30.00 1@.D!NE GAF.NER
:A/P 140780 OS/lS/10 92.73 AT&T !-lOBIL!TY
'AlP 140781 09/15/10 B98.05 C R BARD INC
AlP 140782 OS/lS/10 465.03 B1>..xTER HEl'..LTl!CAP..E CORP
AlP 140783 09/15/10 14,147.70 BEClW.iAl~ COULTER :I:!\TC
AlP 140784 09/15/10 812.00 BOSTON SCIENTIFIC CORPO
A/P 140m 09/15/10 132.95 BRIC~S CORPORATION
A/P 140786 09/15/10 70.00 C1\BLE ONE
A/P 140787 09/15/10 25.00 CAL COM FEDER},J:, CREDIT
AlP 140788 09/15/10 8,121, 16 GREGORY W COWART
AlP 140789 09/15/10 262.16 CPSI
AlP 140790 09/15/10 85.68 DLE PAPER & PACKAGING
'A/P 140791 09/15/10 17.34 FEpE~~ EXPRESS CORP.
AlP 140792 09/15/10 3,130.00 F~J1 STREET FI~l[CIAL
AlP 140793 09/15/10 3,212.34 FISHER llEALTllCARE
AlP 140794 09/15/10 450,00 FORT BE!I!"D SERVICES, rNC
AlP 140795 09/15/10 424.92 GULF COAST PAPER COMPAN
AlP 140796 09/15/10 149.95 HA'VEL'S INCORPORATED
AlP 140797 09/15/10 120.00 llILL-Rml
A/P 140798 09/15/10 39.18 I!~EPENDENCE MEDICAL
A/P 140799 09/15/10 6,201.18 IKON FINANCIAL SERVICES
AlP 140800 09/15/10 2,382.79 INF01/l.B INC
A/P 140801 09/15/10 493.70 Iil.1TOXI1>lETERS :n~c
A/P 140802 09/15/10 300.00 Il\'lTERNAL REVENUE SERVIC
A/P 140803 09/15/10 55.00 LABCORP OF AMERICA HOLD
AlP 140804 09/15/10 17.28 LANGUAGE LINE SERVICES
ll'/P 140805 09/15/10 440.00 LEEDS PRECISION INSTRU
A/P 140806 09/15/10 79.00 MARl\S PLUMBING PARTS
A/P 140807 09/15/10 114.31 !>lARKETLJl.B, INC
RUN DATE:l0/07/10
TIlI'.tE: 16: 27
MEMOllIZ,.,LMEP+GAL CENTER
CHECK REGISTER
09/01/10 TRRO 09/30/10
BAIiK--CHEC.~----------------------------------------------------
CODE lIMiBER DATE !lMOM PAYEE
PAGE 6
Gl..cKREG
--------------------------------------------~------------------------------~~----------------------------------~-~~-----------------
AlP 140808 09/15/10 91. 59 MERCURY MEDICAL
'AlP 140809 09/15/10 2,462.97 l'lERRY X-RAY- SAN ANTONI
All.' 140810 09/15/10 50.80 MMC AUXILIARY
A/P 140811 09/15/10 174.00 PATRICIA OlIJ'EN
AlP 140812 09/15/10 409.65 ON-SITE TESTING SPECIAL
A/P 140813 09/15/10 .00 VOIDED.
A/P 140814 09/15/10 .00 VOIDED
A/p 140815 09/15/10 10,749.44 OWENS &: MINOR
All.' 140816 09/15/10 5,075.00 PREMIER SLEEP DISORDERS
AlP 140817 09/15/10 675.50 PORT LA"V'ACA W1l:1J'E
AlP 140818 09/15/10 1,000.00 U S POSTAL SERVICE
A/p 140819 09/15/10 56.66 RAWSON &: COMPANY, INC
All.' 140820 09/15/10 400.75 RECEIVABLE ~oor.AGEN'ENT,
AlP 140821 09/15/10 166.15 r~1tIA D RESE~mEZ
AlP 140822 09/15/10 33.47 SEARS
:A/P 140823 09/15/10 1,301.42 SOUTllERJ."i FLUNS POWER
A/P 140824 09/15/10 100.54 SPS ~DICAL
AlP 140825 09/15/10 205.00 THE ST JOHN COMl?AIITES,
AlP 140826 09/15/10 320.00 STA,NFORD VACUUM SERVICE
A/P 140827 09/15/10 258.(11 SUN COAST RESOURCES, IN
A/P 140828 09/15/10 1,147.55 TLC STU'FING
AlP 140829 09/15/10 23,984.00 TOSHIBA ~jP~RICA I~DICP.1
ArE 140830 09/15/10 140.00 TEXJI.S DEP]<1tTl'~NT OF LIC
A/P 140831 09/15/10 8,9'79.00 TE1tAS ~DICAID &: HEAL'J.'H
A"!} 140832 09/15/10 15,825.00 TEXAS ~iE.DICAID &: HEALTH
./-
A/l? 140833 09/15/10 3,563.00 THE T SYSTEM. INC.
A/P 140834 09/15/10 61. 96 UNIFIRST HOLDINGS
z../P 140835 09/15/10 640.78 UNIFORM ADVAI'lTAGE
AlP 140836 09/15/111 .00 VOIDED
AlP 140837 09/15/10 6,703.78 U1UFIRST B:OLDIi~GS LNC
A/P 140838 09/15/10 147.50 UNITED WAY OF CALHOU1~ C
'A/P 140839 09/15/10 243.45 TilE VICTORIA ADVOC.l\,TE
A/p 140840 09/15/10 575.00 M!U\LIl~G 1l.SSOCIATES I!~C
AlP 140841 09/15/10 84.32 GRAINGER
AlP 140842 09/15/10 1,628.99 REFilliD DEPT/CASH DISBUR
A/P 140843 09/15/10 588.00 REFUND DEPT /CASH DISBUR
AlP 140844 09/15/10 552.40 CASHIER
A/P 140845 09/15/10 86.00 FALCON NATALIE
AlP 140846 09/22/10 526.24 CUSTOM r~DICAL SPECIALT
AlP 140847 09/22/10 10,320.70 OMNI~PORT LAVACA 07, L.
AlP 140848 09/22/10 2,090.99 RELAYHEALTH. INC.
AlP 140849 09/22/10 150.00 PORT LAVACA CWiBER OF
A/P 140850 09/22/10 11,213.05 US FOOD SERVICE
A/P 140851 09/22/10 750.00 JAMES A DANIEL
All.' 140852 09/22/10 1,870.49 PRINCIPAL LIFE
All.' 140853 09/22/10 22,688.57 SUNTRUST EQUIPMENT FINA
A/P 140854 09/22/10 297.20 INCISIVE SURGICAL
AlP 140855 09/22110 1,741.65 CENTURIOIQ ~lEDICAL PRODt]
AlP 140855 09/22/10 .00 VOIDED
A/P 140857 09/22/10 1,586.11 DEWITT pOTH &\ SON
A/p 140858 09/22/10 2,189.94 LAQUINTA INNS &: SUITES
RUN DATE: 10/07/10
'l'IME:16:27
MEMORIli.1 lfJEDICAL CENTER
CHECK REGISTER
09/01/10 TERU 09/30/10
BANK - ,.CHECK - - -., - - - - - - - - --... - - -- ,. - - - - - - -.. - - ,. - - - - - - - __ _ _ _ _ _ _ _ ,. ___
CODE Ntil\!BER DATE Al~OUNT PAi.'EE
PAGE 7
GLCK.REG
-------------------------------------------~-------~-----------~------------------~----------~____M_________--________w_____~_______
AlP
AlP
AlP
AlP
AlP
'AlP
All'
AlP
AlP
AlP
AlP
All'
AlP
AlP
AlP
AlP
AlP
AII'
'AlP
'AlP
AII'
AlP
AII'
AlP
AlP
AlP
AII'
'AII'
AII'
'AI?
AlP
AlP
'A/P
AlP
AlP
A/I'
AlP
AII'
AlP
AlP
AlP
A/I'
AlP
A/I'
'A/I'
AlP
AII'
A/I'
A/P
AlP
AlP
140859 09/22/10
140860 09/22/10
140861 09/22/10
140862 09/22/10
140863 09/22/10
140864 09/22/10
140865 09/22/10
140866 09/22/10
140867 09/22/10
140868 09/22/10
140869 09/22/10
140870 09/22/10
140871 09/22/10
140872 09/22/10
140873 09/22/10
140m 09/22/10
140875 09/22/10
140876 09/22/10
140877 09/22/10
140878 09/22/10
140879 09/22/10
140880 09/22/10
140881 09/22/10
140882 09/22/10
140883 09/22/10
140884 09/2211a
140885 09/22/10
140886 09/22/10
140887 09/22/10
140888 09/22/10
140889 09/22/10
140890 09/22/10
140891 a9/22110
140892 09/22/10
140893 09/22/10
140894 09/2211a
140695 09/22/10
.. .
140896 09/22/10
140897 09/22/10
140898 09/22/10
140899 09/22/10
140900 09/22/1a
140901 09/22/10
140902 09J22/10
140903 09/22/10
140904 09/22/10
140905 09/22/10
140906 09/22/10
140907 09/22/10
140908 09/22/10
140909 09/22/10
3,915.00
9,803.77
3,925.00
500.00
438.53
3,558.00
l,2G2.96
120.0a
75.10
15,61G.50
60.74
3,245.03
1,710.73
763.73
814.51
71. 45
69.84
644.95
285.98
58.77
13,314.00
30.02
148.98
162.15
7,050.00
16.00
3,751.98
171. 00
69.36
343.22
19.95
16.0a
356.0a
836.36
812.50
889.60
374.61
241.00
125.59
.ao
7,014.48
598.15
S99.a7
207.00
59.32
174.90
29.76
1,639.16
22.95
111.10
667.83
DUANE P COULTER
!<<MC EMPLOYEE BENEFITS
HEALTH DIMENSIOl'l'S GROUP
ACTIVITY DIRECTORS !\!ETW
HEALTH PROMOTIONS NOW
Be GROUP
RICK HART
JOSH ACOSTA
ABBOTT t~TRITION
~reRISOURCEBERGEN DRUG
ALIMED INC.
AFLAC
CARDI!\!AL HEALTH
C R BARD INC
BAXTER HEALTHCARE CORP
BOSTON TEXTILE co, INC
BRIGGS CORPORATION
CAJ~!!OUN COUNl.'Y
CERTIFIED LABORATORIES
THE COiJNCIL CODIPAl\TY
CPSI
D'S OUTDOOR POw~R EQUIP
DLE PAPER & PACliAGING
Ii: Z GRAPH OF VICTORIA I
!1'p.R!iAJ.l1 STREET FINA,NCIl>..L
FIRESTONE OF PORT LAVAC
GE HEALTHCARE
GE MEDICAL SYSTEMS, r~TF
GETINGE USA
G!JLF COAST PAPER COMPAN
H E BUTT GROCERY
Il\'DEPEJ:'lDENCE MEDICAL
IKON FINANCIAL SERVICES
PHILIPS LIFELINE
REBl!iCCA ffiALONE
t>!E)DRAD INC
lIlETLUE
MERRY X-RAY- SAN ANTONI
MMC AUXILIARY
VOIDED
OWENS " l\lII~OR
DELPHINE PADRON
PC MALL
PITNEY BOWES IlITC
POWER ELECTRIC
R G &: ASSOCIATES INC
SHERWIN WILLIl)!~S
SIEMENS I~DI~L SOLUTIO
THE ST JOHN COt~ANIES,
STRYK)i:.R S},.Lli:S CORP
STRYKER ENDOSCOPY
RD1i DATE:l0/07/10
TIME: 16:27
I>!EMORIAL !~EDICAL CENTER
CHECK REGISTER
09/01/10 THRU 09/30/10
Bll.NK - -CHECK- - - - - -- -- - - - - - -- -- - - - - - - - - - -- - - --_.. _ _ _.. _ _ _.. _ _ __ _.. _ __
PAGE 8
GLCKREG
CODE I>l111tIl3ER DATE
AMOUNT
---------------------------~------------------------------~-------~~-------~----------------~----~-~----~~-----------------------..-
PAYEE
A/P 140910 09/22/10
A/P 140911 09/22/10
liP 140912 09/22/10
A/P 140913 09/22/10
A/P 140914 09/22/10
A/P 140915 09/22/10
A/P 140916 09/22/10
A/P 140917 09/22/10
A/P 140918 09/22/10
A/P 140919 09/22/10
A/P 140920 09/22/10
A/P 140921 09/22/10
A/P 140922 09/22/10
A/P 140923 09/22/10
A/P 140924 09/22/10
A/P 140925 09/22/10
A/P 140926 09/22/10
A/P 140927 09/22/10
A/P 140928 09/22/10
A/P 140929 09/22/10
A/P 140930 09/22/10
A/P * 140931 09/22/10
A/P 140995 09/30/10
A/P 140996 09/30/10
AiP 140997 09/30/10
A/P 140998 09/30/10
A/P 140999 09/30/10
A/P 141000 09/30/10
A/P 141001 09/30/10
A/P 141002 09/30/10
A/P 141003 09/30/10
A/P 141004 09/30/10
A/P 141005 09/30/10
A/P 141006 09/30/10
A/P 141007 09/30l10
A/P 141008 09/30/10
A/P 141009 09/30/10
A/P 141010 09/30/10
A/P 141011 09/30/10
A/P 141012 09/30/10
A/P 141013 09/30/10
A/P 141014 09/30/10
A/P 141015 09/30/10
A/P 141016 09/30/10
A/P 141017 09/30/10
A/P 141018 09/30/10
A/P 141019 09/30/10
A/P 141020 09/30/10
A/P 141021 09/30/10
A/P 141022 09/30/10
A/P 141023 09/30/10
46.11
684.46
10,000.00
4,060.34
138.90
150.00
225.72
3,336.96
33.98
1,757.88
115.60
1,'786.41
74.40
154.89
65.67
B,001.00
475.00
549.40
137.25
114.52
1,100.00
162.40
177 . 20
26.07
22,6B8.57
227.54
991.77
375.62
108.00
150.00
33,497.75
495.00
4,383.00
19,058.15
796.88
2,000.00
11,127.50
177 . 69
955.90
84.28
.00
27,606.96
3,114.00
38.27
881. 24
1,143.38
3.26
750.78
245.01
3,299.28
454.00
D~J~TTE BETH}~
STERICYCLE, INC
TEAM REW
TLC STAFFING
TEXAS ELECTRICAL SUPPLY
DEBRA TRAl>lMELL
TRI-ANIM HEALTH SERVICE
Ut~iM LIFE INS CO OF ~.ME
UNIFIRST HOLDINGS
UNIFIRST HOLDINGS INC
THE UNIFORM COI~~CTION
VERIZON SOUT~~ST
THE VICTORIA ADVOCATE
W~.Ll)7ART COMMUNITY
GRAINGER
\'/Im'h"ROP RESOURCES CORP
ClI..RMEN C. ZAPATA-ARROYO
WFS TRICARE FOR LIFE
WELLS FARGO THIRD PARTY
rWS TRICARE FOR LIFE
WFS 'l'RIClIJKE FOR LIFE
WFS TRICARE FOR LIFE
ERBE USA INC BURGle}.!, S
DOCrJFREE CORP
SUN'l'RUST EQUIP!1ENT FINA
HEALTH CARE LOGISTICS I
CENTUR:ro!~ l~EDICAL PRODU
DEWITT POTH & SON
D~!IC DIAGNOSTICS INC
WILLIAM E HEliW!P, TRUS
GEXA ENERGY
tf.LLLIAM E REITK1iliIP, TRU
DUANE P COULTER
l'lMC EMPLOYEE BENEFITS
P.EALTH DU'lEliiSIONS GROUP
RHINO MEDICAL SERVICES
rWiK GORIWi, CRNA
LESLIE A!~ SOLIS
IfaM1\.NAH EALTll CARE PLAN
ABBOTT ~rrrTRITION
VOIDED
AYlERISOURCEBERGEN DRUG
ALCON LABORATORIES :mc
ALeO SALES & SERVICE CO
lI.RROW INTER1\lATIONAL mc
ARTllROCARE CORPORP.TION
AT&T MOBILITY
C R BARD INC
BAXTER HEALTHCARE CORP
BECKMAN COULTER mc
BOSTON SCIENTIFIC CORPO
RUN DATE:l0/07/10
TIME:16:27
D1EMORIJl..1 MEDICAL CENTER
CHECK REGISTER
09/01/10 THRU 09/30/10
BAIft<- .,CHECK- - - - - - - - -- - - - - - - - - - - - n - - - - - - - - -- - - -- - - - - - ,. -_ - - - _ _ __
CODE N01~BER DATE Al10UNT PAYEE
PAGE 9
GLOOEG
______M________~__~_~__~mb_~___~_~____Q__________N___~___~__~_~________~_~____________________________~~____________________________
l/F 141024 09/30/10
A/P 141025 09/30/10
A/P 141026 09/30/10
A/P 141027 09/30/10
A/P 141028 09/30/10
A/P 141029 09/30/10
A/P 141030 09/30/10
liP 141031 09/30/10
A/P 141032 09/30/10
AlP 141033 09/30/10
AlP 141034 09/30/10
A/P 141035 09/30/10
A/P 141036 09/30/10
A/P 141037 09/30/10
A/P 141038 09/30/10
A/P 141039 09/30/10
A/P 141040 09/30/10
A/P 141041 09/30/10
A/P 141042 09/30/10
A/P 141043 09/30/10
A/P 141044 09/30/10
A/P 141045 09/30/10
A/P 141046 09/30/10
AlP 141047 09/30/10
AlP 141048 09/30/10
AlP 141049 09/30/10
AlP 1.41050 1)9/30/10
AlP 141051 09/30/10
A/P 1411)52 09/30/10
AlP 141053 09/30/10
A/P 141054 09/30/10
AlP 1411)55 09/30/10
A/P 141056 09/30/10
A/P 141057 09/30/10
A/P 141058 09/30/10
AlP 141059 09/30/10
AlP 141060 09/30/10
A/P 141061 09/30/10
A/P 141062 09/30/10
A/P 141063 09/30/10
A/P 141064 09/30/10
A/P 141065 09/30/10
A/P 141066 09/30/10
A/P 141067 09/30/10
A/P 141068 09/30/10
A/P 141069 09/30/10
AlP 141070 09/30/10
A/P 141071 09/30/10
AlP 141072 09/30/10
A/P 141073 09/30/10
A/P 141074 09/30/10
25.00
8,121.16
141.30
6,889.35
447.60
188.00
455.08
8,082.53
795.39
122.00
389.97
.00
7,662.36
171.00
1,973.80
20,405.50
18.87
650.49
93.91
892.17
77.32
29,558.00
63.00
114.18
194.82
352.08
210.50
567.51
581. 23
83.00
279.68
.00
6,810.36
1,053.11
1,000.00
4.99
90.23
780.00
166.15
176.27
121. 90
13.32
10,099.00
105.70
271.49
1,022.85
1,390.68
525.00
28.17
4,187.32
453.36
CAr. COM FEDERAL CREDIT
GREGORY lq COWART
CITIZENS MEDICAL CENTER
CITY OF PORT LAVACA
COLLECTIONS INCORPORATE
CO~~D CORPORATION
THE COUNCIL COMPANY
CPSI
SIEMENS HEALTHCARE DIAG
PATRICIA DIEBEL
DRURY I~~ Ii.: SUITES
VOIDED
FISHER l1EALTHCARE
GE MEDICAL SYSTED!S, niP
GREAT ~~ERICA LEASING C
ROBERTS, ROBERTS Ii.: ODEr
H E BUTT GROCERY
BOLOGIe
IKmEPENDENCE MEDICAL
Ir-iFOLAB mc
IVAI~S
ITA RESOURCES, INC
KEY SURGICAL INC
KRAHES
MAINE ST.1'.NDARDS CO" LL
lIDl'.E1'LAB, INC
MEDTRONIC USA, INC.
~lERRY X~RAY- SAN Al'ilTONI
MUSTAIN '" ASSOC!.IlTES
PATRICIA OWEIIT
ON-SITE TESTING SPECIAl.
VOIDED
O~IENS & ~IINOR
PC trkALL
U S POSTAL SERVICE
POWER ELECTRIC
l?ROGRESSIVE DTIilADIICS I.\lE
RADIOLOGY UliLIMITED, PA
Mll..RIA D RESENDEZ
SANDY RUDDIc-j{
SIEMEI~S WATER TECHNOLOG
SHERWIN WILLIRJ.!S
SO TEX BLOOD & TISSUE C
SPS MEDICAL
Tii""E ST JOHN COMPANIES,
STRYKER SALES CORP
TLC STAFFING
TORCH
UNIFIRST HOLDINGS
UNIFIRST HOLDINGS INC
UNITED PARCEL SERVICE
RUlj DATE:l0/07/10
TIY.tE:16:27
M11.:110RIA):, I~EDlCAL CENTER
CHECK REGISTER
09/01/10 THRU 09/30/10
B}~--CHECK----------------------------------------------------
CODE NUIIffiER DATE AMOUNT PAYEE
liP 141075 09/30/10
A/P 141076 09/30/10
A/P 141077 09/30/10
A/P 141078 09/30/10
A/P 141079 09/30/10
A/P 141080 09/30/10
A/P 141081 09/30/10
A/P 141082 09/30/10
A/P 141083 09/30/10
A/P 141084 09/30/10
A/P 141085 09/30/10
TOTALS:
147.50
53.38
166.41
122.35
1,110.51
126.93
215. 19
540.00
40.00
380.00
960.80
2,079,197.11
PJl.GE 10
GLC.'K.REG
~ITED WAY OF CJ..LllOUN C
'\TERIZON SOUTHWEST
VERIZON WIRELESS
WALllJART COMElUNITY
\\1ESCOR mc
GRAII~GER
DEBORAH WITTNEBERT
KII~SCH llJARIL YN
WYMAN DORIS
HOWLETT KIRK
GOLDEN RULE INS COMPANY
RUN DATE: 10/20/10
TIME: 08:56
PRTitle PRRate/Yr PRTotGross
DIR MG CARE/AP/CIHCP
SUPERVISOR-PURCH/CS
REGISTERED NURSE
REGISTERED NURSE
DEPARTMENTAL ASSIST
CS TECH
CENTRAL STERILE TECH
IMAGING TECH
DIRECTOR PFS
CS TECHNICIAN
ES AIDE
SHIFT SUPERVISOR
FOOD SERVICE STAFF
PATIENT ACCT SUPERV.
INTERIM INF CNT/RISK
DISHWASHER
o R AIDE
RN
ES AIDE
REGISTERED NURSE
A.M. SHIFT SUPERVISO
REGISTERED NURSE
RN/PACU SUPERVISOR
REGISTERED NURSE
LVN
SECURITY SUPERVISOR
REGISTERED NURSE
INTERIM UNIT MANAGER
INTERIM NUR COU FACI
ADMINISTR ASSISTANT
RN
CERTIFIED NURSE AIDE
PAYROLL CLERK
REGISTERED NURSE
LVN
REGISTERED NURSE
REGISTERED NURSE
RN
REGISTERED NURSE
LICENSED VOCATIONAL
HH NURSE ADMINISTRAT
REGISTERED NURSE
REGISTERED NURSE
PATIENT REC. COOR.
LVN
LVN
ADMINIST ASSISTANT
REGISTERED NURSE
RN SUPERVISOR
LVN/SCRUB NURSE/OFFI
LVN-PhRT
REGISTERED NURSE
REGISTERED NURSE
LVN
45676.80
40788.80
58905.60
50169.60
30596.80
24107.20
28142.40
8881. 60
49566.40
20800.00
19364.80
25022.40
22630.40
27851.20
68702.40
18033.60
17908.80
64480.00
19718.40
64480.00
23171.20
64480.00
67828.80
64480.00
35360.00
25771. 20
61880.00
73049.60
79643.20
31969.60
60008.00
24315.20
44033.60
54080.00
31928.00
55452.80
56555.20
64480.00
52499.20
36961.60
75025.60
60008.00
64480.00
24377.60
36233.60
27851. 20
40955.20
57387.20
64480.00
37232.00
36420.80
56617.60
62774.40
36608.00
5270.40
4706.40
8211.51
9620.55
3913 .16
3671.13
4163.44
1419.78
5719.20
267.50
2256.64
2935.36
2619.36
3213.60
8033.30
2114.43
2282.65
819.25
2084.55
2617.11
2701. 46
5818.64
9019.59
1274.82
2429.52
3187.20
7767.83
10563.52
9501. 60
3688.80
7424.01
217.44
5154.90
7324.63
4138.58
7446.48
7559.17
2256.30
6586.97
40.00
11905.63
8211.56
5249.59
3894.67
4183.47
3414.81
5434.44
9124.75
30.00
4196.21
4773.19
7489.43
8179.23
5102.62
MEMORIAL MEDICAL CENTER
DEFAULT FORMAT FROM DB019
Se.p+e.'M be~ ,;Lo' 0
PAGE 1
RUN DATE: 10/20/10
TIME: 08:56
PRTi tle
PRRate/Yr PRTotGross
MEDICAL SONOGRAPHER
REGISTERED NURSE
RADIOLOGICAL "TECH
RAD TECH
MICRO MT
MLT
LAB DIRECTOR
LAB ASSISTANT
MEDICAL LAB TECH
LAB SECRETARY
REGISTERED NURSE
PT TECH II
P.T. ASSISTANT
PT TECH II
PLM~T OPS SUPERVISOR
REGISTERED NURSE
DC ANALYST
CHARGE MASTER ANALYS
REGISTERED NURSE
RN
REGISTERED NURSE
REGISTERED NURSE
NURSERY SUPERVISOR
REGISTERED NURSE
REGISTERED NURSE
INTERIM UR/QA DIRECT
LVN
HIS/RIS TECH
RN
CERTIFIED NURSE AIDE
CERTIFIED NURSE AIDE
LVN
INTRIM DIR MS/OB/ICU
REGISTRATION CLERK
RN
REGISTERED NURSE
SUPERVISOR Lv~/RPhT
REGISTERED NURSE
RN
CERTIFIED NURSE AIDE
INTERIM OB SUPERVISO
REGISTERED NURSE
RN
LVN
LVN
RN
CERTIFIED NURSE AIDE
CERTIFIED NURSE AIDE
LVN
RN
REGISTERED NURSE
RN
CERTIFIED NURSE AIDE
LVN
RN
69409.60
52520.00
60632.00
56097.60
24408.80
56160.00
58489.60
28163.20
48318.40
25771.20
52811.20
23358.40
59945.60
13967.20
47736.00
64480.00
29702.40
31033.60
59987.20
55515.20
64480.00
46904.00
53040.00
46904.00
44200.00
69492.80
29952.00
22027.20
56971. 20
29120.00
23774.40
35360.00
69492.80
15600.00
64480.00
64480.00
43243.20
48796.80
47278.40
20092.80
65228.80
64480.00
50772.80
35360.00
35360.00
46904.00
29120.00
25812.80
35360.00
64480.00
64480.00
48796.80
28121.60
35360.00
64480.00
8147.83
7669.15
7549.72
887.42
404.86
1585.88
7451.11
3381.62
5650.70
3001. 48
6969.20
2380.76
2456.91
881.35
6714.92
378.94
3507.12
3084.71
8137.73
7120.85
2096.14
4914.57
6250.47
6052.26
2948.39
8586.40
3127.05
4667.79
6307.50
105.00
2797.53
1638.88
9287.58
1802.30
8118.75
888.00
5033.79
4348.82
5291.18
2524.69
8261. 36
586.69
5468.29
1872.88
2618.13
5451. 86
828.75
3377.25
2084.07
3185.50
892.25
8462.16
3862.69
2959.94
208.00
MEMORIAL MEDICAL CENTER
DEFAULT FORMAT FROM DB019
PAGE 2
RUN DATE: 10/20/10
TIME: 08:56
PRTitle
REGISTERED NURSE
LICENSED VOCATIONAL
REGISTERED NURSE
REGISTERED NURSE
RN
REGISTERED NURSE
REGISTERED NURSE
LVN
o R TECH
OR SUPERVISOR
RN
TRANSCRIPTIONIST
OUT-PT PACU NURSE
PRESCRIPTION CLERK
REGISTERED NURSE
REGISTERED NURSE
ASSISTANT BUYER
LVN
OP COORDINATOR
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
CNA
LAB ASSISTANT
RN
MEDICAL TECHNOLOGIST
MT TECH SUPR
MT
MEDICAL LAB TECH
MEDICAL LAB TECH
MEDICAL TECHNOLOGIST
MEDICAL TECHNOLOGIST
MLT
MEDICAL LAB TECH
LAB ASSISTANT
R~DIOLOGICAL TECH
R~DIOLOGICAL TECH
RADIOLOGICAL TECH
RADIOLOGICAL TECH
RECEPT/SECRETARY
DIRECTOR-RADIOLOGY
RADIOLOGY SUPERVISOR
RADIOLOGY TECH
RADIOLOGY TECH
RADIOLOGY TECH
RADIOLOGY TECH.
RADIOLOGICAL TECH
CLERK
RADIOLOGY TECH
REGIST PHARMACY TECH
PHARMACIST
REGISTERED NURSE
PT TECH II
P.T. ASSISTANT
PT SEC/RECEPTIONIST
PRRate/Yr PRTotGross
64480.00
17940.00
47382.40
54912.00
61006.40
64480.00
59113.60
36254.40
25209.60
63939.20
64480.00
24460.80
64480.00
19094.40
64480.00
64480.00
21840.00
36961.60
24336.00
45988.80
64480.00
64480.00
23545.60
20092.80
64480.00
47174.40
49462.40
45864.00
40830.40
40830.40
64480.00
64480.00
39728.00
56160.00
24065.60
62899.20
45385.60
56721.60
56160.00
25043.20
76419.20
73736.00
52353.60
40268.80
51272.00
27540.00
59280.00
16411.20
40268.80
31179.20
135200.00
64480.00
20280.00
55868.80
23982.40
4180.38
40.00
3232.75
7954.28
7960.49
524.07
7097.50
6341.73
4001. 53
7820.22
2194.75
3355.68
1359.38
2191. 73
1705.26
5677.00
2520.00
5114.56
3268.96
6022.43
1643.37
395.50
1686.68
625.49
4330.23
5545.30
5789.22
5854.20
4945.21
5337.95
379.75
620.00
3448.39
5529.63
3544.05
6796.44
5691. 96
6657.23,
33.75
2895.62
9090.20
9198.11
6519.88
4354.50
6199.49
1520.50
3785.01
1811.75
1111.96
4467.84
15600.00
5523.17
624.00
5815.20
2764.32
MEMORIAL MEDICAL CENTER
DEFAULT FORMAT FROM DB019
PAGE 3
RUN DATE: 10/20/10
TIME: 08:56
PRTi tle
PRRate/Yr PRTotGross
PT TECH I
CIHCP COORDINATOR
CODING SPECIALIST
TRANSCRIPTION LEADER
HIM DIRECTOR
REGISTRATION CLERK
TRANSCRIPTIONIST
OUPATIENT CODER/ROI
P.T. ASSISTANT
ASST NURSE ADMINISTR
PI1 COOK
LAB ASSISTANT
SHIFT SUPERVISOR
CERTIFIED NURSE AIDE
DI SHIIIASHER
DISH\'iASHER
FOOD SERVICE WORKER
DIRECTOR OF DIETARY
BIO-MED TECHNICIAN
GROUNDSKEEPR/PAINTER
PLANT OPS SPECIALIST
SECURITY OFFICER
ES AIDE
FLOOR TECH
ES MANAGER
DIR OF PLANT SERVICE
HOSTESS
E.S. AIDE
E S AIDE
ENVIRO SERVICE AIDE
FLOOR TECHNICIAN
AIDE
ES AIDE
ENVIRO SERV AIDE
ES AIDE
AIDE
SECURITY OFFICER
SECURITY OFFICER
SOCIAL I'IORKER
MC/MC SECTION LEADER
CASHIER/SWITCHBOARD
UNIT SECRETARY
COLLECTIONS CLERK
LAB ASSISTANT
REGISTRATION CLERK
INS FOLLOW UP CLERK
REGISTRATION CLERK
INSURANCE COORDINATR
RN
REGISTRATION CLERK
REGISTRATION CLERK
LVN
SECURITY OFFICER
ROI/RIT/DC CLERK
MEDICAID COORDINATOR
16889.60
23961.60
35651.20
34153.60
41704.00
15995.20
27809.60
28620.80
57200.00
.00
18449.60
20592.00
20800.00
25480.00
15392.00
7696.00
16057.60
44990.40
41579.20
26000.00
26083.20
16806.40
15392.00
17846.40
26915.20
60403.20
15704.00
15392.00
16328.00
17160.00
15704.00
15849.60
15392.00
16328.00
15392.00
15392.00
18200.00
8892.00
66414.40
26083.20
18740.80
17992.00
18532.80
20092.80
16640.00
17992.00
16806.40
22817.60
46633.60
21819.20
17763.20
28142.40
17784.00
27809.60
23566.40
438.48
2773.44
4113.60
4292.71
4812.00
1147.95
344.28
3302.40
5871.26
96.00
2124.38
413.50
2395.00
3170.66
1482.78
1530.29
1825.78
5191.20
6493.51
4324.76
3618.80
366.54
59.20
2297.56
3371.70
6969.60
1812.00
2216.33
2232.42
2588.88
2058.48
2138.68
2051.73
1915.44
1367.42
1172.89
2375.44
926.37
7678.20
3000.20
1934.91
2124.50
1952.39
2335.31
1913.00
2052.22
1806.86
2610.87
5748.79
96.79
1971. 82
3209.29
2333.25
3240.51
2676.71
MEMORIAL MEDICAL CENTER
DEFAULT FORMAT FROM DB019
PAGE 4
RUN DATE: 10/20/10
TIME: 08:56
PRTitle
PRRate/Yr PRTotGross
REGISTRATION CLERK 15600.00 241.75
LVN 27040.00 2741. 76
RADIOLOGY TECH 41454.40 1077.98
REGISTRATION CLERK 16889.60 1291.37
REGISTRATION CLERK 17139.20 2076.41
REGISTRATION CLERK 16868.80 1178.53
UNIT CLERK 19240.00 2207.85
SYSTEII ANALYST 31824.00 6577 .91
ACCOUNTANT 41350.40 2862.72
C.F.O. 130000.00 2000.00
C.E.O. 150000.03 17981. 36
DIR MATERIALS MGNT 49004.80 5654.40
Grand totals 9403005.63 906459.27
Total lines = 231
MEMORIAL MEDICAL CENTER
DEFAULT FORMAT FROM DB019
PAGE 5
CIHCP MONTHLY FIINANCIAL/ACTIVITY REPORT
COUNTY NAME
Calhoun
REPORT MONTHIYEAR September-2010
I. Application I Case Data
CASES
8
31
11
1. A plications A proved Durin Re ort Month
2. A plications Denied Durin Report Month
3. Active Cases Denied During Report Month
II. Creditable Expenditures During Report Month
1. Physician Services $ 12,424.23
2. Prescription Druas $ 15,883.79
3. Hospital, Inpatient Services $ 42,366.94
4. Hospital, Outpatient Services $ I 44,546.38
5. Laboratory / X-Ray Services $ 1,994.23
6. Skilled Nursing Facilitv Services $ -
7. Family Planning $ -
Subtotal $ 117,215.57
CIHCP Refund $ -
Equals (=) REPORT MONTH TOTAL $ 117,215.57
FISCAL YEAR
TOTAL
$858,444.57
~~~~
Signature of Person Submitting Report
10/15/10
Date
Monica Escalante
CIHCP Coordinatorl
FUEL BIDS:
The County Auditor read the following fuel bids, which were opened by Peggy Hall and Susan Riley for
the period beginning November 16, 2010 and ending December 15, 2010. After reviewing said bids, a
Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to accept the bid
submitted by Sun Coast Resources for the automated card system fuel and Diebel Oil Co. for fuel to be
delivered. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
It .~
11/05/2010 09:00 Calhoun County Treasurer/Auditor
(FAX)3615534614
P .0011005
202 S ANN ST, STE B
PORT LAVACA, TEXAS 77979
Phone: 361.553.4610
Fax: 361.553-4614
CALHOUN COUNTY
AUDITOR~S OFFICE
Fax
TOG COUNTY JUDGE &
COMMISSIONERS
From: peGGY HALL
ASSISTANT AUDITOR
Fax: NA
Date: November 5, 2010
$' .
'ages: X Including this page
Phone. NA
Re: FUEL BIDS TO BE AWARDED co:
11/1012010
C1 U",ent C1 For Review C Pi.... Comment [J PI.... Rep1r
C1 Plea.e Reoyole
. Message:
~lease see attached bid tabulations for fuel bids beginning
11/16/2010 and ending 12/15/2010.
Bids will be considered for award during Commissioners' Court on
WEDNESDAY, NOVEMBER 10, 2010.
Di&b.l OiJ. Co. was the LOW BID !'OR:
I'OBL - BULK Dm.:rvB1UllD - DIESEL FUEL
I'UEL - BULK DELIVERSD - DCIU1.AR 'UNLEADED
Sun Coa.t. ReSOUZ'088 was Only Bid "ceivec:l fo:!;':
FOEL ... AU~ CARD SYSTEM
In the event of Tie Slds, the winning bid Is determined per the Texas Local
Government Code 262.027fbJ.
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P .003/005
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11/05/2010 09:01 Calhoun County TreasurerlAudltor
10/2&12010 10:36 Calhoun County Treasurer/Audltor
(FAX)3615534614
(F~15534614
P .005/005
P .0021005
CALHOUN COUNTy, TEXAB. BHEET- m::AUJJMAlED CARD.ID.IItt
'I
INVII A liON 10 BID
J
BlDDEB
IUN COAST REIOURIB
11181 WELLI
BINI IX 111&7
_ITEM IRIEl-AUTDMATED GARD 8YBTEM
4ll;PEDfftUM: NOVIiMBiR 18,2010 PBIIlllk OECEMBER ii, 2010
MICHMt.. J ""1!11WR, CALHOUN QOUNTY JlIDtJ', 111 $ ANN 8T.
MP FL.OOIf. ItOOM a01, "ORT &.A VACA TIC 77.7.
810$ $HOULD Ii 6UIMITTIID IN A .IAL.lre ~NveLOPE PLAlNl. Y MARKED: SEAJ.&D liD. ~J!fl:;AUFoMA't'ED 6,A'RQ.'"SY$rm-,
11101 AAI! DUI! AT THE JUDGE~' OFFICE ON OR 8SPO.: . 'IDIOtJ AM, THURSQA V, NOVSMIJER 4, tottJ
1I!;;t6 WILJ. IiII! AWAMOID AT THe COMMISSIONERS' COURT Mii:TING ON: WSN$DA V, NOVSfJ.lt 10, 1010
THi OLOCK IN THI COUNTY JUDGE'S OFFICi IS THE OF'"AOIAl. Cl,OOK TMAT WILL EaE U$ED IN DETERMINING THE TIM! THAT A 8113 1$
RECalVED AND THI! TIM!! '!'HAT 8108 WILL BE OPENED. aloe REOEIVED AFTIIIt TH! OpeNING TIME WILL 8E RETUlilNliO UNOPENED TO
BIDD!,t THI! COMMISSIONERS' OOURT RESERVES THii RICJHT TO WAIVE TiOHNlOAUTI1!8, ReJEOT ANY OR AU. 8108, TO ACCEPT THIIID
DEEMIiD MOST AO\IAN1AQI!OUS TO CALHOUN COUNTY ANP TO IS THI! SOU! JUC\I3E IN DETERMININCil WHICH 1i111;18 WILl. II MOST
ADVANTACi;CUS TO THS OOUNTY. TH! COUNTY 0fIt CALHOUN, TEXAS 18 AN eqUAl ""'''LOYMElNT OPPORTUNITY IiMP&.OYIiR. TH! OOUNT'r'
ooes NOT D18C~'MINATI! ON THE IASIS OF MOB. COa.OR. NATIONAL ORICilIN, BE)(, R&UOION. AOI! OR HANOICAPPED STATUS IN
iMPLOYMIiNT OR lHli PROVISION OJ' aIRVIOES.
YOU ARE INVITEO TO SUBMIT A BID ON THE ADOVi ITIiM TO:
_/IIIfWM, .U.I.-AUTOMATlSt) CARD .V.TlM
IJPAIf'l'Mmif': VARIOUS
Il~Y FO. .IDD."" PUlL JtUM~ LOcaTION.pO"T LAVACA, TX
DEIITIN..TlDN VAldOUI
-~~~~~-------~------~~~~~~---~-~~--~~----~~-~--
SP.C/FIOA n01l81 J)DDSJDL FUBL
~lDo PRIOE Par Gallon MUST INCLUDE .lIi"" _nd el'llllll\1e& Il'IoIud1ng aU TlOOtalF... th. Oounty '- net exempt from
(tor example: $0.20 Stat' Exol.. TIX, $tate Delivery/Environmental Feel, Fednl ON $~1lI FtecoVflry Fete end Federal
I.UST TAX)
ID'~FRE!!e FROM WAnR ANO eUSJ::IENDED MA'TTeR
--------~---------------~::~--_..._--------- -
,P5eIFlCATIONSr REGULAR trNLBADBD GASOLINE
IJo> PRIOE P~r Genon MUST I NOL.UPE aUiflM$ end charges Inoludlniillill TlllutIFee. the county 1a not exempt ftOm
(for fiilx:llmpl.: $0.2Q atQte Exc'.. Tax, etatel:.l.llverylEnvJronmen~1 FIiJQ, FticiEl~IOII Spilt Recovery Fe.. tlnd Fear.'
I.USTTAX) . .'. .
"FREE FAOM WATER AND eUSPENDEtI MATTER AND A MINIMUM OOTANF: OF 87 (AVERAGE METHOD)
lB:JJI JJIJ,lI ~/CS
GALLON ~l)S .
ImUFIIt ~'/~, ~wm~amn=BYBll'DH~
'="'-_~~I~ 1UIIIIE__~/-7fll-S/M
PlEAIE UIl ANY EXCEPDtINI TOllE A8GVEIPECRA....
TU..d.y.~ber26.2010
lIE .IIA8TRIIDIlIIB
AWARD BIDS FOR PRESCRIPTION DRUGS FOR THE CALHOUN COUNTY ADULT DETENTION CENTER AND
THE CALHOUN COUNTY INDIGENT PROGRAM FOR THE PERIOD BEGINNING JANUARY 1, 2011 AND
ENDING DECEMBER 31, 2011 AND AUTHORIZE THE COUNTY JUDGE TO SIGN ANY NECESSARY
DOCUMENTS:
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to award bids for
Prescription Drugs for the Calhoun County Adult Qetention Center to Maxor Correctional Pharmacy
Services and the Calhoun County Indigent Program to HEB Pharmacy for the period beginning January 1,
2011 and ending December 31, 2011 and authorize Judge Pfeifer to sign any necessary documents.
Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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CALHOUN COUNTY, TEXAS ~ Prescription Drugs Form
PRESCRIPTION DRUGS
Jail
JANUARY 1, 2011 Thru DECEMBER 31, 2011
JVt CeX" f'
~ Return tbis Form (page 1), if submitting a bid for
Prescription Drugs for the Calhoun County Adult Detention
Center (Jail)
. Calhoun County Adult Detention Center (Jail)
Fill in appropriate blanks
AMOUNT TO BE (DEDUCTED FROM) AVERAGE WHOLESALE PRICE (A WP):
:Generic ---> A WP Minus 77%
+
$0
Plus Dispensing Fee OR other cbarges, if any - please list
Minus Percentage or Amount
I
I I
Name Brand---> A WP Minus 18.5%
+
$0
Plus Dispensing Fee OR other charges, if any - please list
Minus Percentage or Amount
All charJ!es must be included in bid price.
No other char2es may be added to the bid price when invoiced unless noted as an exception on
. .
the bid form.
r:r See additional Specifications for Prescription Drugs
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have noj been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
b~I""" f"W' to the off"'ol opeolog of'his bid. J3 ~
Auth.",,,,, S........ & Tltl" lJatltnll ~iflrdJJ He, , '
Print Name & Title: Deleca Revnolds-Barnes. PharmD.. CCHP.. Executive Director. Date of Bid: November 4. 2010
TelephoneNumber: (800) 833-2510 ext. 4674
Fax Number: (615)771-4590
List any exceptions to the given bid specifications: Maxor Correctional Pharmacv Services has no exceDtions to the 2iven
bid sDecifications.
Page 1 of1
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CALHOUN COUNTY, TX
-
C....n.'rtb>lal~.Stn*"
Maxor Clinical Pharmacists, Managed Care Residents, and University of Tennessee
Interns. The DICC is available to assist practitioners with a myriad of services and
questions including, but not limited to, formulary alternative recommendations, drug
interactions, and drug 'protocols.
Returns
Maxor will make the Maxor web-based returns process available which substantially
reduces the on-site time and labor involved in processing returns at the client facility at no
additional charge. Maxor arranges for the return of outdated, discontinued, excess, or
unusable medications. Maxor is responsible for all shipping costs related to returned
medications. Each facility will have prepaid call tags with Maxor's return address
preprinted on them. Simply attach the pre-addressed label on the box being returned and
give the package to the delivery company upon their next visit. Medications may be
returned at any time during the month. Maxor encourages quick and prompt turnaround
of returned medications to ensure credit is not delayed.
I Formulary Management
I
Maxor will actively participate and assist in maintaining and enforcing the drug formulary,
protocols, policies and procedures. Maxor works with our clients to actively manage the
formulary in order to control costs and ensure effective clinical care. Formulary
management is a key component of our proven ability to manage pharmaceutical
expenditures. Our clinical experts will share information regarding the "best practices" in
formulary .management techniques based on our experiences with Maxor clients, various
Health Maintenance Organizations and State Departments of Correction. By
programming the Maxor pharmacy information system with the approved formulary,
Maxor assures that inmate medication orders are in strict compliance with the approved
Formulary. Maxor will also work with the medical staff to establish a non-formulary
prescription policy.
I Clinical Services
I
The Maxor Clinical Pharmacy Services team is committed to providing our clients an
array of clinical services including processes for updating and monitoring their drug
formulary. Additionally, Maxor will provide clinical pharmacy support for the Pharmacy
and Therapeutics Committee, Formulary development and compliance, Quality Assurance
activities, Policy and Procedure development, and the audit and review process. Our
clinical services include:
Executive Summary
Page 13
CALHOUN COUNTY, TX
_.'
(~Ibn:lPhPl=rSo.'n1i.'O
Reporting
The complete Maxor reports library
referenced in the project description is
accessible to any authorized user from
any location with access to the int~rnet
and an internet browser. These standard
reports are used for Prescriber
monitoring, utilization management,
trend analysis and detailed order
information. These reports can be
provided in PDF, Excel, comma-
delimited or a number of other formats and scheduled for delivery via e-mail, copying to
CD or print and mail. An example of the reports in the Maxor library can be found in the
attachments.
I\IV EJrpendtlfts
18,lllI
$8,S1B
14,lllI
$4~14,Q32
~'.....' _.J
__~. 12,,,,,,946 ... 12'l!.,9l!l
\3,365 . ~'
\6,l11lJ
12,000
10 12/1/21104 21111!JlS
111/!JXl5
4(1/!JXl5
311/!JXl5 SlI/ZIXfi
6fl/!JXl5 8/1/Z1Xfi 10/11200;
7(111!JlS 91111!JlS
1I11i1fJJ5
The Maxor web-based returns process substantially reduces the on-site time and labor
involved in processing returns at the client facility.
Return and DisJlosal of Medications
. Maxor arranges for the return of outdated, discontinued, excess, or unusable
medications. The procedure for disposition of medications can be found in the
Policy and Procedure manual that is provided to each facility. An example of this
manual is located at the end of this section.
· Maxor is responsible for all shipping cost related to return medications. Each
facility will have prepaid call tags with Maxor' return address preprinted. Simply
attach the pre-addressed label on the box you are returning and give the package to
the delivery company upon their next visit. You may return medications at any
time during the month. Maxor encourages quick and prompt turnaround of your
return medications to ensure credit is not delayed.
· Maxor will carefully process each returned medication. Every return medication is
scanned into our Returns Database for tracking purposes. From this database,
Ma~or will generate a report showing the following information: Facility, Rx
number, Drug name, Drug strength, Cost of unit, and Credit given.
Controlled substances will be sent to Maxor' reverse distributor, Guaranteed Returns, to
be destroyed. Maxor will pay all costs associated with destruction by a reverse distributor
and will maintain an electronic record of all medications returned for destruction. Maxor
utilizes Commodore Medical Services for waste disposal to ensure compliance with all State
and Federal Laws.
Added Value
Page 24
b~ ~Ml>",a p hOof' N\..~
CALHOUN COUNTY, TEXAS - Prescription Drugs Form
PRESCRIPTION DRUGS
I
JANUARY 1,2011 Thru DECEMBER 31,2011
~ Return this Form (page 1), if submitting a bid for Prescription Drugs
for the Calhoun County Adult Detention Center (Jail)
;,:,:,:('::;:'.':::,::~
....:.'."\
W:.,,"
.r,",'...,.,
Fill in appropriate blanks
AMOUNT TO BE (DEDUCTED FROM) AVERAGE WHOLESALE PRICE (AWP):
Generic----) A WP Minus 76% + 0
Minus Percentage or Amount Plus Dispensing Fee OR other charges. if any - please list
Name Brand-----> AWP Minus 17 7"i"l...
Minus Percentage or Amount
+ 0
Plus Dispensing J?ee. OR other cbarges.ifany - please list
All charf!es must be included in bid price.
No other charf!es may be added to the bid price when invoiced .unless noted as an
exception on the bid form.
r#' See additional Specifications for Prescription Drugs
The undersigned affirms that they are duly authorized to exeCilte this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid.
Authorized SignatUl'e & Title:
Print Name & Title: Mark J.
i)1J"\kr:..T~Y'- c-r 0 L'Y'u:rJl-ovf
Date of Bid: 1 1 /4 / 70 1 0
Telephone Number: 200 882 6337
Fax Nuniber: 877 23/1 7050
List any exceptions to the given bid specifications: Diamond Pharmacy Services does not utilize RedBook
to determine AWP. We base AWP on Medi-Span.
Page 1 of1
i
Credit - Credit is iss'ued on full or partial cards at 100% of the amount billed. Credit is issued on
returned, non-controlled tablets or capsules remaining in the original blister packaging provided
they are returned prior to three (3) months of expiration, not originally labeled as keep on person'
(KOP), have not been released to the inmate population and are permitted for return by the State
Board of Pharmacy and FDA. Control medications and open partial stock medications cannot be
credited per federal regulations. Credits are issued on ,medications that Diamond currently stocks and
can be redistributed to other clients for administration prior to expiration. Credits are issued on <2:
medications.based upon the professional judgment of a Diamond Pharmacist and current market value
of the medication. Some pharmacies only offer credit on SELECT doses which THEY decide to label
on each bubble. By accepting one of these options, you will lose a significant amount on returned
medications.
NOTE: Diamond offers credit on full and partial, non-adulterated blister cards, several pharmacies
do not offer credit on partial cards, which would amount to a significant loss for your facility.
Nationally, 62.4% of medications being returned are in partial cards. Selecting a pharmacy not
offering credit on partial cards would result in a significant loss for your facility.
.
Over 60% of returned medications are in partial cards. You may lose a significant amount of money if you
select a pharmacy that does not offer credit on partial cards.
.
Calhoun County
Adult Detention Cent~r
Prescription Drugs
~4m."
,
Director and other clinical staff to action plans enhancing the delivery of the highest quality care in the most
cost effective manner.
Diamond is also available to serve as a standing active member of the clinical team, providing consultations to
the prescribers and nurses in relation to pharmaceutical therapy. Diamond's staff can discusses topics including
formulary management and usage, statistical reports, new medications, changes to the drug formulary,
pharmacy inspections, drug regimen' reviews, pharmacy operational issues, etc. Diamond pharmacists review
statistical data and trends pertaining to all medications including the more expensive medication classification such
as psychotropics, HIV, hepatitis C and biotechnology items.
To facilitate company/customer interaction, Diamond has installed a video conferencing system in its pharmacy.
If your facility has video conferencing capabilities, you will be able to have face-to-face meetings with Diamond
staff at any time. This affords Diamond the opportunity to participate in any Pharmacy & Therapeutic, Quality
Assurance, Healthcare Providers and impromptu meetings that you might convene. This is also an excellent way
for our pharmacists, I.V. nurses and respiratory therapists to provide in-service training for your staff.
Policies and Procedures
Finally, Diamond's pharmacist is available to .assist you in the development, implementation, monitoring and
updating of a policies and procedures manual for your facility. The company is willing to customize its standard
23-page manual to meet your facility's and P&T committee's specific needs. The manual outlines all policy and
procedures step by step and is a major benefit especially in training new employees. The manual outlines
medication ordering, administration, med pass, description, destruction, formulary process, regulation, etc,
ensuring the staff has proper direction to operate appropriately and to comply with specific rules and
)
regulations. The manual follows all NCCHC, ACA and Joint Commission guidelines, HIPAA Standards, State Board
of Pharmacy, DEA and FDA guidelines. Diamond continues to update the manual throughout the duration of the
contract.
Protocols
Diamond provides disease state management protocols for chronic illnesses, such as diabetes, hypertension,
psychiatric, cardiovascular disease, asthma/COPD, HIV, etc., if requested. The protocols include approved
therapies and cost effective pharmaceutical guidelines.
Credit on Returns
Due to inmate turnover, medication changes and the rising cost of medications, Diamond realizes the
importance of issuing credit on returned medications.
Acting as your partner in helping to reduce the amount of waste and cost per inmate per month} Diamond offers
credit on full or partial medications returned to Diamond that:
· Remain in their original sealed blister packs
· Have been stored under proper conditions
· Are not within three (3) months of expiration
· Have not been released to the inmate population
Diamond Pharmacy Services + 645 Kolter Drive + Indiana PA 15701-3570 .1.800.882.6337 x1003 + fax 877.234.7050
22
Calhoun County
Adult Detention Center
Prescription Drugs
~.]N.~
. Are not controlled substances
. Are permitted by the State Board of Pharmacy and FDCA
Credit is offered on full or partial cards at 100% of the amount billed or AAC to your facility. Diamond
pharmacists can assist your facility in pulling medications prior to the three (3) months to receive full credit.
When returning, simply place the peel off tab from the medication label on Diamond's "Return Form" and write
the quantity you are returning directly on the tab. If using Sapphire eMAR@\ the item can simply be scanned
into system.
Diamond offers 100% credit on full and partial cards.
If your facility does not need a receipt, you simply place the cards in a return box without peeling off the sticker
or recording the returns. With your next statement, you will receive an alphabetized computerized copy of the
credits showing the quantity returned and the exact amount of credit given for each line item. Non-creditable
medications or medications that the inmates brought into the facility may also be returned for
disposal/destruction at no charge.
Diamond is responsible for the shipping cost of all returned medications and provides your facility with prepaid
preaddressed FedEx PRP or UPS ARS labels. These labels need to be affixed to the return box and handed to the
express delivery personnel on their normal delivery to your facility.
In 2009. Diamond provide,~ $12.095,899.17 in credit to our customers
Diamond offers credit on full and partial blister cards. Several pharmacies do not offer credit on all full or partial
cards which would amount to a significant loss for your facility. Nationally, 62.4% of medications that are
returned are in partial cards. Selecting a pharmacy that does not offer credit on partial cards or a pharmacy that
offers credit based on their cost rather than the amount billed, would result in a significant loss of revenue for
your facility. With the increasing costs of HIV and atypical psychotropic medications, receiving credit on partial
cards results in a substantial saving to your facility.
SEE EXHIBIT I
Medication Disposal and Destruction Process
Diamond will oversee the disposal of all unusable medications. Non-controlled medications may be returned to
Diamond for destruction regardless of the source and if permitted by state and local regulations. We will
provide prepaid shipping and return labels for these medications.
Diamond Pharmacy Services + 64S Kolter Drive + Indiana PA 15701-3570 + 1.800.882.6337 xlO03 + fax 877.234.7050
23
W <'5 +WDOd.
CALHOUN COUNTY, TEXAS - Prescription Drugs Form
PRESCRIPTION DRUGS
Jail
JANUARY 1,2011 Thru DECEMBER 31, 2011
~ Return this Form (page 1), if submitting a bid for Prescription Drugs
for the Calhoun County Adult Detention Center (Jail)
Fill In opproprlate blonks
. Calhoun County Adult Detention Center (Jail)
AMOUNT TO BE (DEDUCTED FROM) AVERAGE WHOLESALE PRICE (A WP):
Generic----> AWP Minus 73%
Minus Percentage or Amollnt .
+. No Dispensing Fee or Other Charges
Plus Dispensing Fee OR other charges, if any - please list
Name Brand-----> A WP Minus 1 7 . 25%
Minus Percentage or Amount
+ No Dispensing Fee or Other Charges
Plus Dispensing Fee. OR other charges, if any - please list
All charlles must be included in bid price.
No other charees may be added to the bid price when invoiced unless noted as an
exception on the bid form.
". See additional Specifications for Prescription Drugs
The undersigned affirms that they are duly authorized to execute this contract, tliat this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid.
Authorized Signature & Title:
Print Name & Title: Jake pa
Telephone Number: 804 -288 -1933
CFO
Date of Bid: 11- 2 - 10
Fax Number: 804 -288 -1510
List any exceptions to tbe given bid specifications: None
Page 1 oU
5823 Patterson .l\venue
Richmond, VA 23226
(866) 996-6379 (toll-free)
www.westwoodpharmacy.com
info@westwoodpharmacy.com
(866) 288-6707 (fax)
Emergency Service
A staff pharmacist will be on call 24 hours a day, 7 days a week for emergency or "STAT"
pharmacy orders, which cannot be provided through "DRUG BOXES" and we will provide
emergency backup services at times other than routine working hours as requested.
Dispensing System
Westwood Pharmacy will package tablets and capsules individually in "unit of use" blister
packs, with each medication sealed and labeled according to Physician prescription instructions.
Prescriptions will be labeled according to the specifications of your facility and State and Federal
requirements. Each medication will contain a duplicate peel-off label to expedite refill orders. A
sample blister card is included in the back inside pocket of the binder submitted for this bid
proposal.
Return Credit Policy
Westwood Pharmacy will provide your facility with shipping labels that can be used to return
unused medications. A schedule for shipping returns will be established with your facility. All
shipping costs will be billed to Westwood Pharmacy at no cost to Calhoun County. After
receiving the returned original package of unused medication, we will issue 100% credit. We do
offer credit on partial blister packs. Packages of prescription medications that are partially used
are eligible for return credit, as long as the seal is not broken on the unused tablets or capsules.
The credit applies to non-controlled tablets or capsules remaining in their original packaging,
provided they are within (1) month of expiration and have not been released to the inmate
population: We also accept non-prescription medication for credit as long as items are unopened
or undamaged, seal has not been broken, and item has not reached expiration date. There are no
processing and/or shipping fees associated with these returns.
Controlled Substances
Westwood Pharmacy provides controlled substances in blister cards of 30 doses for easy
accountability and shall dispose of unused controlled substances, at no expense to the County,
according to applicable State and Federal regulations.
Billing
Invoices will be sent out monthly and will include pharmacy name and address, date, patient's
name, new or refill indication,. prescription number, medication, strength, quantity and A WP
amount and price that is charged to the County.
CALHOUN COUNTY, TEXAS - Prescription Drugs Form.
PRESCRIPTION DRUGS
Jail
JANUARY 1, 2011 Tbru DECEMBER 31, 2011
... Return this Form (page 1), if submitting a bid for Prescription Drugs
for the Calhoun County Adult Detention Center (Jail)
. Calhoun County Adult Detention Center (Jail)
Fill in appropriate blanks
AMOUNT TO BE (DEDUCTED FROM) AVERAGE WHOLESALE PRICE (A WP):
Generic--) A WP Minus 57% +
Minus Percentage or Amount
3.00 dispensinq fee
Plus Dispensing Fee OR other charges. if any - please list
Name Brand---> A WP Minus 16 %
Mions Pen:entage or AlDollnt
+ 3.00 dispensinq fee
Plus Dispensing Fee, OR other c:barges, if any - please tist
AU charIfes must be included in bid price.
No other charnes may be added to the bid price when invoiced unless noted as an
exception on the bid form.
... Se. additional Specifications for Prescription Drugs
The undersigned ajJinns that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents althis bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid
Authorized SIgn.tad TItle: ;)d ~ J (.'" ~e 11O..n; l?D1W"'~.t<- t!-",
Print Name & Tiile: William Cartwright. VP Sales. Behavioral Health Div Date of Bid: I of z,s: If 0
Telephone Number: (800) 569-1035
Fax Number: (817) 451-4495
List any exceptions to tbe given bid specifications:
Mail Order Rates: Generic: AWP - 73% + 1.50
dispensing fee. Brand: AWP - 18% + 1.50 dispensing fee.
Returns allowed by Texas law, fillinq.fees are non refundable. The County Jail
is responsible for shippinq costs of returned prescriptions.
Page 1 oU
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CALHOUN COUNTY, TEXAS - Prescription Drugs Form
PRESCRIPTION DRUGS
JANUARY 1,2011 Thru DECEMBER 31, 2011
~ 1"),..-4-""
7' A'~Hi1
tor'
,.. NET COST to be computed in accordance with the Department of State Health Services,
County Indigent Health Care Program Handbook, Payment Standard for Prescription Drugs.
(Page 12 excerpted from current DSHS Handbook attached - Handbook will be updated
January 2011)
Fill in appropriate blanks
Net Cost: "
Generic-->Red BookGllAWP Minus 40% . '). '1' ,'/~ ~, " IJ" ,,!'\,' e I &, ner,IL, - Ef-kc;~v-e..,
Additional Discount ~_ ~ = , ,I ~ ~ ~
f A '() (~ Additional Discount Total DIscount Percentage
PLUS <::1... () \! t~c; OL'GptI\5e Ft-e. CAi\,J. :t l:c LtO.,,,,,, J}rtHdftv...tl ke. "\
Plus Dispensing Fee, if any ($5.60 maJdmum) - ( .J.')
Net Cost:
Name Brand-->Red Book@AWPMinUS13%, ~ h "J" ' J' Q. 1) ~!..
Additional Discount Q U _ft = _ 0
AddltionafDiscount TatalDismunt Percentage I fe'
PLUS \\~, 00 ~ 1:. 00 el.'.spetlSe.. fe.e,. O\......d. -s t DO etCh..... 'fti:)(..es SIY'fJ "
Plus Dispensing fee, if V (S5.60 DlAximum')
, Pagelof2
Calhoun County, Prescription Drugs, County Indigent Program (continued)
.CALHOUN COUNTY will use the below formula taken from Section Four, Page 12 of the CIHCP
Handbook;
Prescription Drugs;
This service includes up to three prescription drugs per month. New and
refiltec;lprescrrptrons cOunt equally' toward this three prescription drugs per
month total. Drugs must be prescribed by a physician or other practitioner
within the scope of practice under law.
The quantity of each prescription depends on the prescribing practice of the
Physician and the needs of the patient.
"'Pavment Standard:
Use the following information and formula
. Use the drug's ll-digit National Drug Code (NDC) number and the quantity dispensed to select the average
wholesale price (AWP) in the Red Book~. In addition to the annual Red Book@, the monthly Red Book@ Update may
be used. Red Bookilll prodUcts may be obtained by contacting Thomson Healtl=\care at 1-800-678-5689.
. Net Cost is:
Red Book0 AWP minus 400~ for generic prescription drugs
Red BookllD AWP minus 13% for name brand prescription drugs
. The drug dispensing fee is $5.60
· The formula for computing the TDSHS Payable is:
Net Cost plus drug dispensing fee = TDSHS Payable
Example: Red 8001<$ AWP for 25 tablets is $100.00
1. $100.00 divided by 25 = $4.00 per tablet
2. $4.00 per tablet x 34 tablets (prescribed quantity} =$136.00
3. $136.00 - $54.40 (4Q% for generic} = $81.60
4. $81.60 + SS,60(dispensingfeel = $87.20 TDSHS Payable
. A payment amount may be negotiated with the provider for:
Prescription compound drugs,
Prescription drugs not listed in the Red Book'!>, or
Prescription drugs that do not have an NDC number.
.. See additional Specifications for Prescription Drugs
The undersigned affirms that they are du~v authorized to execute this contract, thm Ih1.<; company, corpor<11ion. firm. parmership. or
individual hav not prepared this bid in collusion with aJ~V other bidder. and That the cmllems (~fthi.<; bid as (() prices. terms. or conditiolls
(~{said hid have not been communicated by The undersigned nor by any employee or agent Ii> an.v other person engaged in rhis ~V{Je of
business prior 10 the (}lJicial openinJI ({this bid.' ..
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Authorized Si nature & Title: i /~ lo~~ A ULl.lf'rv-i:-- t::JLL6U v--U
g-.J- -- ~-'''----~'---'''''-''''''''---'- ~-'-'--'-'---~--'--'- .............._......__........__.........______l___.___...._h"~,,..... "f'''-- .....,.......-...-----....
So.n!, /Y'iC -l.-cuf-t" v<-- ,. j ;L'
Print Name &. Title: ~--k'&-~J31:~::l-:.!:-.~L;----.A~0__~_~+- Date aCRid: _~______._!i L __0 LO
Telephone Numher:~tQ_~J_) 4~!75:. 7 ()..~__~~ Fax Num~er: ____~_I.Q=.1_~_)$.._:.){~__;?.~_
Ust any exceptions to tbe given bid specifications:._~ fI :.1~!'!:..~__.__.__.__...___.____...____..___ .____.__._.___
Pag.e 2 of 2
AWARD BID FOR MEDICAL SERVICES FOR THE CALHOUN COUNTY ADULT DETENTION CENTER FOR THE
PERIOD BEGINNING JANUARY I, 2011 AND ENDING DECEMBER 31, 2011 AND AUTHORIZE THE
COUNTY JUDGE TO SIGN CONTRACT:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to award bid for
Medical Services for the Calhoun County Adult Detention Center to Coastal Medical Clinic for the period
beginning January 1, 2011 and ending December 31, 2011 and authorize the Judge Pfeifer to sign
contract. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX - 202 S ANN ST
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM
TO: JUDGE PFEIFERi~ SUSAN RILEY
COUNTY JUDGE:S OFFICE
FROM: AUDITORS OFFICE ~ PEGGY HALL
DATE:
RE: AGENDA ITEM - NOVEMBER 10, 2010
AGENDA ITEM
,I
WEDNESDAY, NOVEMBER 10,2010
~ Consider and take necessary action to award bid for Medical Services for the Calhoun
County Adult Detention Center for the period beginning January 1,2011 and
ending December 31,2011 and authorize the County Judge to sign contract. (CM)
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CAUIOUN COUNTY, TEXASBI SHEET- IMEDICALSERRES
INVlI AIION 10 BID
I
BIDDER COASTAL MEDIAL CUNIC
ATTN: TIM MCfARlAND MD
101MVlKGINlAST
PIITLAVACA IX 11878
Bm nEMlMEDlCAl SERVICES . I PERIl mOM: JANUARY 1, 2011
PERIm TO: DECEMBER 31, 2011
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST,
3RD FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID-I MEDICAL SERVICES
SIDS ARE DUE AND WILL BE PUBUCL V OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, NOVEMBER 4,2010
. a.IDSWILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: WEDNESDAY, NOVEMBER 10,2010
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
./3I1:>DER.THE COMMIS.SIONERS'COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID
DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COlJNTYDOESNOTDISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN
EMPLOyMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
JNCVRREDBY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
THI:$Uc::ClElSSFUL BIDDf:R MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN
.Cc.lJt.I"I'Y~SANADDITI()folALINSIJRED). FOR GENERALLIAI,IILlTY ($1 ~000,0001$2,000,000), WORKERS' COMPENSATION (IN
ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100;000/$300,000).
DEPARTMENT:.JAIL
-.....--------------------------------------------
SPECIFICATIONS: MEDICAL SERVICES
SEE ATTACHED GENERAL CONDITIONS OF SUBMITTING BIDS TO CALHOUN COUNTY, TEXAS
SEE ATTACHED CONTRACT FOR MEDICAL SERVICES
The u':'ci.ersignedaffirms that they ore duly authorized to execute this contract, that this company, corporation, firm,
partnership. or individual has not prepared this proposal in collusion with any other Proposer or Bidder, and that the contents
of this proposal or bid as to prices, terms or conditions of .~aid proposal/bid have not been communicated by the undersigned
nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this
~_IUBfmu:~J~"O
PRIflNAME: IIW\Mc.Fa.,r \<3.,vtcl. M~ D~ DATEDF. 9- 30- tol D
TREPHONE MlMBER:31o I -552 - 8'8 k b
PlEASE UST ANY EXCEPTIIIfS TO TIlE ABOVE SPECRAlIINS:
Friday, September 24,2010
IIIIBER COASTAL MElllCAL CLIK
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CONTRACT FOR MEDICAL SERVICES
Calhoun County, a political subdivision of the State of Texas, (herein the "County") and
1'M flVte.fal'llll1d #1. D.. ,a Liceri~ed Medical Practitioner in the State of Texas,
(hereinafter the "Service Provider"); by this agreement and in consideration of mutual
promises set forth below have agreed as 'follows:
ARTICLE I
JAIL SERVICES
1.01 SCOPE OF SERVICES:
The Service Provider will, upon referral from the Sheriffs Department
(hereinafter referred to as "Jail") treat inmates located in the Calhoun
County Adult Detention Center facilities operated by the Sheriff's
Department. Treatment may occur both within and without the physical
confines of the Jail facilities." Treatment shall include, but not be
limited to, on-site medical care and/or treatment at least 1 to 2 times a
week by a licensed medical practitioner. The Service Provider agrees to
adopt and implement workplace guidance concerning persons with AIDS
and HIV infection and to devblop and implement guidelines regarding
confidentiality of AIDS and HIV related medical information with regards to
inmates being treated for any complaint. The Service Provider will use
their best efforts to respond to an emergency situation at the facility when
needed. The Service Provider will assist the Jail to comply with TB testing
as ordered by the Texas Health Department of all new inmates to be
completed before the ih day10f their admission to the facility.
1.02 REPORTING RESPONSIBILITIES:
The service Provider, once tr~atment has been provided, will also be
responsible for indicating any necessary therapy, additional follow-up
medical treatment or additional medical referral needed to a medical
specialist to cover any inmate problem the Service Provider believes
would require such therapy or referral. The Service Provider will be
responsible for communicatirig therapy or referral needs to the Calhoun
County Jail Administrator, or ~he designated agent. Any pre-existing
conditions shall be noted and reported. The Service Provider will
document all treatment, need for follow-up treatment, any diagnostic tests
needed, therapy suggestions1iand referral needs in note form and file
the same in the inmate's medical file. If any inmate has a condition that
requires isolation from the general population this recommendation shall
be noted. Medical allergies or any special dietary requirements shall be
noted. Prior to any surgery, the Service Provider shall consult with the Jail
Administrator concerning cost and alternative payment providers.
- --------~ --.
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1.03 ADDITIONAL SERVICES:
Services to be provided pur,suant to this Contract, but at an additional
fee as set forth in Article III herein, include diagnostic testing, whether
routine or otherwise, extended long-term medical treatment programs
requiring more than a few tteatments for a given malady, treatment
outside the Jail for medical services provided at clinics operated by the
Service Provider. Inmates will be taken to the Service Provider's office
when practical rather than the emergency room. Prescriptions prescribed
shall be cost-effective, and generics shall be used whenever practical. No
sleep aids or narcotics shall be prescribed.
ARTICLE II
INMATE SERVICES
,I
2.01 SCOPE OF SERVICES:
The Service Provider upon referral from the Jail Administrator or
Licensed Vocational Nurse (hereinafter referred to as ilL VN") shall
treat inmates that are incarceratea in the Calhoun County Jail.
Services are to include consultation and/or assistance of/with a L VN
and/or the Jail Administrator. Consultation may be by phone or on-site.
Consultation is to be diagnostic in nature to determine possible medical
malady and appropriate medical course of action. Also, the Service
Provider will provide physical examinations on site, as requested,
within the Infirmary at the Jail when phone consultation does not seem
appropriate or prudent to solve an inmate's medical dilemma. A licensed
nurse shall be provided at th~ jail at least 3 to 4 times a week at a set time
of day so the medical needs of the inmates can be satisfied as required by
the Texas Commission on Jail Standards. A licensed medical practitioner
shall make a minimum 1 to 2 visits to the facility per week to treat/see
inmates.
2.02 PROCEDURE:
The L VN will routinely on a d?ily basis handle medical sick call in the
Jail except when it is beyond their expertise. When medical concerns
of inmates is beyond the abili;~y of LVN, phone consultation with Service
Provider will be initiated. If phone consultation is inadequate in the
opinion of both the Jail Administrator and LVN, on-site medical
consultation will be requested of Service Provider.
2.03 ADDITIONAL SERVICES:
Services to be provided pursuant to this Contract, but at an additional fee
as set forth in Article III herein, include diagnostic testing, extended long
term medical treatment programs requiring more than minor intervention,
testing at the Service Provider's clinics, x-rays, physical examinations, lab
work or emergency medical treatment in an emergency room, hospital
'I
care and therapy as deemed appropriate to solve an inmate's medical
dilemma.
......--_.._-------_._~---- --=-.-
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2.04 REPORTING RESPONSIBILITIES:
Phone consultation will be documented by L VN in inmate's medical file.
On-site consultation will require Service Provider to provide case notes
in inmate's medical file. The Service Provider will inform the Jail
Administrator or L VN during consultation of the need for testing, x-rays,
lab work or emergency trea~ment. The Service Provider will communicate
in writing with the Jail Administrator or L VN, the inmate's need for follow-
up treatment or referral to a medical specialist or relocation for medical
treatment, which communication shall be made part of the inmate's
medical file.
il4RTICLE III
FEES
3.01 PROFESSIONAL FEES:
MINIMUM 1 to 2 VISITS TO FACILITY PER WEEK BY LICENSED PHYSICIAN
Physician Charges:
$ 5DD.vy /Hour = Hourly Cost
:3 Free Telep,hone Consultation(s) per week then
$ /5 t)~ / = Charge per Telephone Consultation
LVN Charges: !I
MINIMUM OF 3 TO 4 VISIT(S) TO FACILITY PER WEEK
$ r154 Oi//Hour = Hourly Cost
g Free Telephone Consultation(s) per week then
$ 5,0/ / = Charge per Telephone Consultation
.
This Contract shall begin January 1,2011 and end December 31,2011.
Charges for any outside-the~Jail treatment of inmates .at any clinic
operated by the Service Provider, or a physician's certificate related to a
mental health commitment, or treatment of an inmate at a hospital
emergency room or for any unusual diagnostic charge, laboratory charge
or physical exams, or exten(;ied treatment program made under this
contract will be either billed by the Service Provider as provided below, or
by the independent laboratory or facility that provides such service.
3.02 BILLING: .
The Service Provider will submit an invoice monthly, within 15 days of
each contract month. The Service Provider will bill Calhoun County Adult
Detention Center using his/her standard Invoice for Services for the herein
agreed fee. For services not covered by the Service Provider's agreed
fee, the Service Provider will invoice Calhoun County Adult Detention
I. -....- -......-
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Center using his standard ihvoice for Services, showing Date of Service,
Inmate Number, Test or Service Performed with itemized costs for each
and Extended Total, at his ~tandard prevailing prices, which shall also b~
stated on the bill. Calhoun County shall pay for services monthly after the
bill is approved by the Auditor's Office and Commissioners' Court.
Commissioners' Court meets the second and fourth Thursday of each
month. Each County Departmentis responsible for submitting their
purchase orders for payment and the-purchase orders are due by 4:00 pm
in the Treasurer's Office the, Thursday before each Commissioners' Court
meeting (meetings are subject to change). No payment can be made until
Commissioners' Court approves bills for payment.
'I
ARTICLE IV
ADMINISTRATION OF CONTRACT
4.01 TRANSPORTATION
If the Service Provider has assessed that an inmate needs to be relocated
from the Jail for medical se~ice of any kind or for any reason, this
assessment will be relayed at the earliest possible time to the Sheriff, Jail
Administrator or his agent, so that immediate action can be taken. The
Sheriff's Department shall be responsible for initiating any paperwork
which may be needed to re-Ibcate or transport the inmate for such
treatment and for the transportation to an appropriate facility.
4.02 ACCESS TO FILES: 'I
Once an inmate has been referred to the Service Provider, the Service
Provider will be allowed to have access to that inmate's personnel and
medical file. Additionally, thJ Service Provider will have access to the
medical screening documents used by the Jail staff and L VN to access
an inmate's medical history ~nd potential medical concerns, if such
records are not part of an inmate's personal or medical file. A written
request for such access is not required to be filed with the Sheriff's
Department. Under ordinary circumstances, presenting an inmate for
medical treatment will be eviqence of the authority for access of such
records by the Service Provider.
4.03 SUPPORT:
While on-site, the Jail Administrator shall be responsible for providing
the Service Provider with any reasonable support, assistance or security
that may be requested.
4.04 PATIENT ACCEPTANCE:
The Service Provider is unde~ no obligation to accept for medical
treatment an inmate that the Service Provider deems inappropriate for
treatment, however, it is not anticipated that this would ever be likely in the
course of this contract.
,
~RTICLE V
INSURANCE
5.01 Each party to this agreement is responsible for maintaining their own
liability insurance and worker's compensation insurance, and each
party will provide proof of same to the other party on request. The Service
Provider shall maintain during the term of this contract a malpractice
Insurance policy and a General Liability Policy naming Calhoun County as
an additional insured while providing services at the Calhoun County Adult
Detention Center, 302 W. Live Oak St., Port Lavaca, TX 77979. The
Service Provider shall provide a Certificate of Insurance for both policies
which shall provide for a fifteen (15) days advance notice to Calhoun
County of the cancellation of such policy.
ARTICLE VI
INDEMNITY
6.01 The Service Provider agrees to and shall indemnify and hold harmless
and defend Calhoun County, its officers, agents and employees from
and against any and all c1air;ns, losses, damages, causes of action, suits,
and liability of any kind, including all expenses of litigation, court costs,
and attorney's fees, for injury to or death of any person or any breach of
contract arising out of or in connection with any work done by the Service
Provider pursuant to this Agreement.
\
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ARTICLE VII
INDEPENDENT CONTRACTOR
7.01 In all activities or services pbrformed hereunder, the Service Provider is an
independent contractor, and not an agent or employee of Calhoun County.
The Service Provider, as an independent contractor, shall be responsible
for all medical services pro'{ided and medical decisions made pursuant to
the terms of this Contract. The Service Provider shall supply all labor
required for providing of medical services as required herein. The Service
Provider shall have ultimate control over the execution of the work under
this Agreement. Calhoun County shall have no control over any decision,
II
recommendation, or action taken by the Service Provider pursuant to this
Contract.
il
7.02 The Service Provider shall retain personal control and shall give his
personal attention to the faithful prosecution and completion of the
services contracted for herein and fulfillment of this Agreement.
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ARTICLE VIII
LICENSING
II
8.01 The Service Provider is required to maintain all applicable licensing
permits to practice medicine. Further, all permits to or certification
necessary to operate the Service Provider's clinics shall be maintained.
Copies of any applicable lic~nses are to be filed with Calhoun County.
ARTICLE IX
DEFAULT
!I
9.01 EVENTS OF DEFAULT:
The following occurrences srall be considered events of default:
A. Failure to maintain license to practice medicine or
any restrictions b~,ing placed upon such license by
the State Board of Medicine making the providing
of services hereunder impossible or difficult.
B. Failure to maintain all permits and licenses necessary
to keep Service Provider's clinic( s) in operation.
C. Cancellation of Se,rvice Provider's medical malpractice
insurance.
Upon an event of default, Calhoun County may terminate this Contract
,I
on three (3) days written notice mailed by certified mail, return receipt
requested to the address listed .below.
ARTICLE X
GENERAL PROVISIONS
10.01 VENUE: il
The venue of this contract is Calhoun County, Texas, and this contract
shall be governed by and in accordance with the laws of the State of
Texas.
10.02 TERMINATION:
This contract may be terminated by either party upon thirty (30) days
written notice. Such notice shall be mailed return receipt requested to
the non-terminating party at the addresses listed below.
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10.03 TERM:
The term of this contract will be from January 1, 2011 through December
31,2011. Any changes in the terms or conditions will necessitate the
initiation of a new contract.
SERVICE PROVIDER
BY:~
---riM MCFal'ltlJld MD
CALHOUN COUNTY, TEXAS
BY:
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"lDIN Vt&:jjJ<Jltl Sf
Address
~r+ /.aJ(U1/J T; 77971
City, State, Zip Code .J
211 South Ann Street
Port Lavaca, TX 77979
AMEND THE SPECIFICATIONS FOR A USED MOTOR GRADER FOR PRECINCT #3 THAT WERE APPROVED
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ON OCTOBER 28, 2010:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve
amending the Specifications for a used Motor Grader for Precinct #3 that were approved on October 28,
2010, the bids will be due on December 2, 2010 and awarded on December 9, 2010. Commissioners
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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RELEASE RETAINAGE TO REXCO, INC. IN THE AMOUNT OF $42,293.78 FOR THE EMS STATION:
A Motion was made by Judge Pfeifer and seconded by Commissioner Fritsch to approve to release the
retainage to Rexco, Inc. in the amount of $42,293.78 for the EMS Station. Commissioners Lyssy, Fritsch,
Finster and Judge Pfeifer all voted in favor.
-, llit
'v".
-------
REXCO, INC.
1104 Mildred Drive
Port Layaca, Tx 77t7t
361 552-5371
- ----~ - ~.I
Retention Invoice 080910
Bill to:
CALHOUN COUNTY
211 S ANN
PORT LAVACA, TX 77979
Job: 9918
CC:EMS FACILITY
Date: 08109110
Payment Terms: NET 30 DAYS
Customer Code: CALHOU
Salesperson:
l/lVOlce:t Type Reterncn A'TGUnt ,i, Pr.,;.IOUS BI 12d Cwrent OUE-
230066 4,144.19 0.00 4,144.19
230171 2,505.00 0.00 2,505.00
230357 4,455.00 0.00 4,455.00
230431 2,780.00 0.00 2,780.00
230587 2,661.90 0.00 2,661.90
230953 2,495.23 0.00 2,495.23
231473 5,045.85 0.00 5,045.85
231672 3,441.14 0.00 3,441.14
232288 1,013.42 0.00 1,013.42
230736A 1,520.00 0.00 1,520.00.
231129A 5,382.75 0.00 5,382.75
231256A 2,141.02 0.00 2,141.02
231864A 4,708.28 0.00 4,708.28
Total Retention: 42,293.78
0.00
Total: 42,293.78
Print Date: 08109(10
Page: 1
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CONTRACT
GENERAL TERMS AND CONDITIONS
Exhibit A
RELEASE
KNOW ALL MEN BY THESE PRESENTS, THAT -1.fi-.W ,d...fU.
(here" r referred to as Con for and in consi tio of the receipt of the sum of
$ ']... . from ~
(here" referred to as ~er) representing the final yment under Contract No. -
dated the ILt:. day of }')\0Ail> 20~ between Contractor and Owner, hereby releases
and forever discharges Owner, as well as its parent Corporations, subsidiaries, affiliates, related
companies, successors and assigns, and Owner's property, from all claims and demands whatsoever
in any manner arising out of, or related to, said Contract or labor performed or materials and
luipment finnis~d by the Contractor in connection with, or incidental to the construction of
ms j~ (hereinafter referred to as the "Work") for the Owner.
In consideration of, and for the purpose of inducipg Owner to make, the aforesaid final
'I
payment, the Contractor hereby represents, warrantS and agrees that (1) all sums due or to become
due and all debts, accounts, damages, obligations, claims and demands of every nature and kind
whatsoever in any manner arising out of, or related to, labor performed or materials and equipment
furnished in connection with, or incidental to, said construction have been paid and satisfied, (2)
there are no unsettled claims for injuries to, or death of, any persons or damage to, or destJUction of,
property in any manner arising out of, or related to, the aforesaid construction, and (3) it shall
indemnify and hold hannless Owner, its subsidiaries, parent corporations, affiliated companies,
related companies, successors and assigns from and against any claims, demands, liens, claims of
lien, judgment, attachments and costs related hereto 'in any manner, arising out of, or related to, the
aforesaid cons1IUction.
The Contractor acknowledges, for guarantee purposes, that the date of acceptance of.if
Work performed under Contract No. - . is hereby established as, ~ q~. 20 I 0
IN WITNESS WHEREq~Contractor has caused this instrument to be ex~ duly
authorized officers this t.t .- day of ~ . 2010.
ATTEST
~retary
NAME OF CONTRACTOR
-~
-
B~t(~/ /
Title ~4/.,r /?lA-"''''~,,_
. / ,.
Notary Public My commission expire
REIECCA F. ElLARD
Notary Public. Stlte of Texas
. . n Expires
July 22. 2012
file://C:\Users\Tina\Documents\RELEASE OF LIEN:htm
8/9/2010
.!
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..
CALHOUN COUNTY
201 West Austin
Port Lavaca, Texas 77979
Purchase Order No.
087636
Name:
VENDOR
Q Q. <.- CoT rJC
CHECK REQUISITION/
PURCHAS ORDER===
C~'I-+Q~ to') E'c/ :;
Department: F (VI S S 46-.. -\ . c) IV
Address:
Address:
City:
City:
State:
Zip:
State:
Zip:
Phone:
Phone:
ACCOUNT NO. DESCRIPTION UNIT PRICE QTY. TOTAL
S \ ":,y -qqq- e "'^- "S S-\-~ ~ " 0 tV - ~:J ~'13 ./'(.
2oSi5 Q e -\- ~ ,/v c... C. ~ "I r--J \) 0'.. C E?
0 80Cj Ib
"
\
THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE Taxes - State/County Deducted
OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO
PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES TOTAL
WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY
TREASURER TO PAY THE ABOVE OBLIGATION.
APPROVAL
APPROVAL / DEPARTMENT HEAD
SIGNATURE
DATE
SIGNATURE
DATE
t
.'
REXCO INC.
1104 MILDRED DRIVE
PORT lAVACA, TEXAS n979
(381) 552-5371
FAX: (361) 552.2308
June 23,2010
Calhoun County
211 South Ann
Port Lavaca, Texas 77979
Re: EMS Facility
In accordance with the tenns and conditions of the Contract Documents, and the Project
Specifications, Rexco Inc. hereby warrants all workmanship and materials provided for the above
referenced Project for a period of one year from the date shown above.
Rexco Inc. agrees to repair or replace any or all of the work, which may prove to be
defective in workmanship or materials, together with any adjacent work, which requires repair or
replacement because of our defective work or material. This warranty does not include nonnal
wear and tear, or repair and replacement of materials, which have been abused, neglected, or not
maintained in accordance with the manufacturers recommended maintenance procedures and
schedules. .
CLAIM PROCEDURES:
In the event a warranty claim is required. please contact.
Mickey Thomas
Vice President
361.552-53714361-552-2308
Rexco Inc.
~--..",--
Dennis Redding
oRldr
CONTRACT WITH DEWITT POTH & SONS FOR A KYOCERA TASKALFA 205CI-25 DIGITAL COPIER AND
AUTHORIZE COMMISSIONER PRECINCT #4 TO SIGN:
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to approve the
contract with Dewitt Poth & Sons for a Kyocera Taskalfa 205CI-25 Digital Copier and authorize
I
Commissioner Finster to sign. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
~~.!
~
DEWITT POTH & SON
102 West Street 0 P.O: Box 487 0 Yoakum, TX 77995
(361) 293-3791 0 toll free (800) 242-0162. fax (361) 293-7553
www.dewittpoth.com
October 25, 2010
CALHOUN COUNTY
PCT.4
Seadrift, TX
Attn.: April
361-785-3141
KYOCERA STATE PRICING
Kyocera TASKalfa 250ci-25 cpm black, 25 cpm full color digital
copier with reversing automatic document feeder, auto duplexing,
(2) 500-sheet paper drawers, stack bypass, electronic sorting, fax
board with walk-up and network fax, network print and scan
and deluxe stand.
Less State Pricing
Rental Purchase ($0 down)
$164.00 per month
Maintenance and supplies: .0125 Black .075 Color
(Billed monthly in arrears for actual copies made)
$11,915.00
$ 4,434.00
$ 7,481.00
Includes all parts, labor, travel, PM inspections and consumable supplies, including toner, developer,
drums and catch bottles.
Excludes paper.
Office equipment, furniture, printing, supplies. and dedicated service...since 1939.
AGREEMENT
F'" GreatAmerica~
It-. LEA SIN ,G C PRP, OR A TION
GREATAMERICA lEASING CORPORATION"
625 FIRST STREET SE, CEDAR RAPIDS IA 52401
PO BOX 609, CEDAR R,APIDS IA 524~6.0609
, ,AGREEMENT NO,:~~~,2~~ , ',,' ·
CUSTOMER ("you"or"your") "
FULL lEGAL N~M~:calhou 11',Col.i~tYof '
ADDRESS' PO ,BOX 177
TX:77983
DewittPoth&Son
'.'. , ',~ .'
. . .".".. .-",..
'",' .'SEA-DRIFT
,TX'.,'.
.....;......
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.......\:.....
VENDOR (Vendor IS nOI Owner's agenl nor is Vendor authorized to waive or aher any term or condllion of II1IS Agreement)
'i"Yoakum ,,'.,
. ,; >
EQUIPMENT AND PAYMENT TERMS
QTY"TYPE, MAKE, MODEL NUMBER AND iNCLUDED ACCESSORIES . . SERIAL 'NO.
1TASKALFA 250CI COLOR COPIER
1 DP-'75() (B)RADF " " ' ,
EQUIPMENTLOCATlON:104 E DALLAS AVE, SEADRIFT, TX 77983 ' 0 SEE SCHEDULE SECURITY DEPOSIT: $0 , , , ,
TERM IN MONTHS: ~ "'t;l9NT~LYPA)'MEN"A~OUN:i)164,OO!plIJS !i\X), p,lJRGHJ\SEOPTIOI4:D ~J\lRMARKETYALU~,O W~ClFE:q~IP'fv1Er-IT(;OST
ADDITIONAL TERMS AND CONDITIONS
. .-.
THIS AGREEMENT .IS NON,.CANCElABlE FOR THE FUll AGREEMENT TERM.'THIS AGR,EEMENT IS BIF\iDING WHEN OWNER FUNDS VENDOR FOR THE EQUIPMENT,
OWNER: GREATAMERICA LEASING CORPORATION CUSTOMER: As Stated Above
SIGNATURE: SIGNATURE: X
PRINT NAME & TITLE: PRINT NAME & TITLE:
AGREEMENT. You want 'us,i3realAmerica Leasing Corporation,.topay :your Vendor .lor, the equipment '
referenced herein ('Equipment') and you agree.to pay us the amounts ,payable .under thete,ins ot ihis
agreement ('Agreement") each pedod by the due ,date, This Agreement I'm begin on the ,date the
Equipment is delivered to you or any iater date we designate. We may charge you a reasonable fee to
cover documentation and investigation costs, If any amount payable to ,us is not paid when due, you wiii pay
a late charge equal to: 1) the g'reater of ten (10) cents for each doiiar overdue.or twe~ty-six ($26.00) doiiars;
or 2) the highestlawtul charge, ij iess. Any secudty deposit wiii ~ commingled with our assets, wm not earn
Intere~t and win be retumed at the end of the, term, provided you are not in default n an advance payment
is required, the amount exceeding one payment shall be applied to the last paymen~s) dudng the term or
any renewal term, ' ' '
NET AG.REEMENT. THIS AGREEMENT IS NON-CANCELABLE FOR THE ENTIRE AGREEMENJ TERM.
YOU UNDEIlSTAND WE ARE PAYING FOR THE EQUIPMENT BASED ON YOUR UNCONDITIONAL
ACCEj>TANCE OF.IT ANO YOUR PROMISE TI) PAV US UNDER JHE TERMS OF THIS AGREEMENT.
WITHOUT SET.OFFS FOR ANV REASON, EVEN IF THE !'QUIPMENT, DOES NOT WORK. OR IS
DAMAGED. EVEN IF IT IS NOTVOUR FAULT, .. .
EQUIPMENT USE, Vou win keep the Equlpment ,in good working order, use It for business purposes only,
and not modify or mova it from its initial location without our consent. You must resolve any dispute you may
have concerning the Equipment with the manufacturer or Vendor. Payments under this Agreement may
include amounts you owe ,your yendor under a separate arrangement (for maintenance, service, supplies,
ele,), which amounts may be Invoiced by us on'your Vendo~s .behaif for your convenience,
SOFJWARE/DATA, Except as provided in this paragraph, references to 'Equipmenf include any software
referenced above or instaiied on the Equipment. We do not own the software and cannot transfer any
Interesi in i.tto you. We arEi not responsible for the software or the obligations of you or the licensor under
any license agreement. Vou are sOlely respOnsible for protecting and removing any conffden1lai dataflfl1ages
stored on the Equipment prtor to Its return for any reason. '.' ,
NO WARRANTY, WE MAKE NO. WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WARRANTIES
OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. YOU HAVE ACCEPTED THE
EQUIPMENT "AS.IS". YOU CHOSE THE EQUIPMENT, THE VENDOR AND ANY/ALL SERVICE
PROVIOER(S) BASED ON YOU.R JUDGMENT. YOU MAY CONTACT YOUR VENDOR FOR A
STATEMENT. OF THE WARRANTIES, IF ANY, THAT THE MANUFACTURER OR VENDOR IS
PROVIDING, WE ASSIGN TO YOU ANY WARRANTIES GIVEN TO US,
ASSIGNMENT. You may not seil, assign or sublea~e the Equipment or this Agreement without our written
consent We. may seii or assign this Agreement o'r our rights In the Equipment In whole or In pad, to a third
party Without notice to you: You agree that ~ we do so, the assignee will have our rtghts bul WIll not be
Subject to any claim, defense, or set-off assertable agalnsl us or anyone !lise,
LAW/FO,RUM. This Agreement and any claim related to this Agreement wilt be governed by Iowa law. Any
dispute WIll be adjudicated In a slale orJederal court located In Linn County, Iowa. Vou consent to personal
jurisdiction and venue In SUi:h courts and waive transfer of venue. Each party waives any right to a jUJy tda!:
lOSS OR DAMAGE. You are responsible for any damage to or loss of the Equipment No Such loss or
damage will relieve you from your payment obligations hereunder, We are nol responsible for, and you will
indemnify us against any claims, losses or ,damages,lncluding attorney fees, In any way relating to lhe
E ui menUn no event will we be liable for an conse uentlal or indirect ilam es, ' ,
.
INSURANCE, You agree to maintain comprehensiveliabllity I11surance acceptable to us.Jou!'lSO, agree
to: 1) keep the Equipmeni fully insUred pgainstlosS atits replacement cost, wilh us named aS10!iS payee;
and 2J provide proof of Insurance satisfactory to us no later than 30 days following the. commencement of
this Agreement, and thereafter upon our 'written request. If you fall to maintain prOperty loss insurance
salisfactory to us and/or, you fail to tima1y provide proof of such insurance, we have the option, but not the
obligalion, to secure property loss Insurance on the Equipment from a carrter Of our ,choosing in such
forms and amounts as we deem reasonable to protect our Interests., If we, sec~re Insurance on lhe
Equipment. we will not name you as an Insu(ed party, your interests may not be fully protected, and you
will reimburse us the premium which may be higher lhan the premium you would pay ~ you obta,ined
insurance, and which may resutt in a profilto usthrough an investment In reinsurance, If youa,re current in
all of your obligations under the Agreement at the time of loss, any Insurance, proceeds received will be
applied, at our option, to repair or replace the Equipment, or to pay us the remal11ing payments due or to
become due under this Agreement, plus our booked residual, both discounted at 3% par annum. '
TAXES. We own the Equipment. You will pay when due, either directly or by reimbursing us, all taxes and
tees relating 10 Ihe Equipment and lhis Agreement. Sales or use lax due upfront. will be payable over the
term wilh a finance charge, . ' ., ' , ' '
END OF TERM. At the end of the term of this Agreell1ent (or any renewal term) (the 'End Date"), this
Agreement will renew .month to month unless a) you provide us written notice of your intent 10 return the
Equipment atleasl60 days priOr to the End Date, and b) you timely return the. Equipment to the location
designated by us, at your expense, .If a Purchase qption is Indicated above and you are not in default on
the End Dale, you may purchase the Equipment from us 'AS IS', for the Purchase qption prtce. If the
returned. Equipment is not immediately available .for use by another without need of repair, you will
reimburse us for all repair costs, You cannot payoff this Agreement or return the Equipment prior 10 the
End Date without our cOnsent If we consent, we may charge ,you, in addition to other amounts owed, an
earty termination fee equal 10 5% of the amount we paid for the Equipment '
OEF AUl T AND REMEDIES. If you do not pay any sum wilhin 10 days after its due date, or If you breach
any other term of this Agreement or any other agreement with us, you will be in default, and we may
require thai you return the Equipment to us at your expense and pay us: 1) all past due amounts and 2) all
remaining payments for the unexpired term, plus our booked residual, both discounted at 4% per annum,
We fIlay also use ali other legal remedies available to us. including disabling or repossessing the
Equipment. You agree to pay all our costs and expenses, including reasonable attorney fees, Incurred in
enforcing this Agreement You also agree to pay intereslon all past due amounts, from the d~e date, at
1.50/. per month. '.',
UCC, You agree that lhis Agreement Is (and/or shall be treated as) a 'Finance lease" as that term is
defined in Article 2A of the Uniform Commercial Code ('UCC"). You agree to forgo the rights and
remedies provided under sections 507-522 of Article 2A of the UCC. .
MISCELLANEOUS. This Agreement is the entire agreement between you and us and supersedes any
prtorrepresentations or agree'ments, Inciuding any purchase orders, Amounts payabie under this
Agreement may include a profit to us, The ortginal of this Agreement shall be that copy which bears your
facsimile or ortglnal signature, and which bears our anginal signature, Any change must be, In wnting
signed by each party. . .. . ,
UNCONDITIONAL GUARANTY -
DATE:
The undersigned unconditionally guarahtees that the ,Cuslomerwill timely perform all obligations under the above Agreement. The uhdersigned also waives any noliffcalion ~ the Customer is in default
and consents to any extensions or modifications granted to the Customer. In the event of default, the undersigned wiil immediately pay all sums due under the terms of the Agreement without requiring
Owner to proceed against Customer or any other party or exercise any rtghts In the Equipment. The undersigned, as to this guaranty, agrees to the designated forum and consents to personal
jurtsdiclion, venue, and choice of law as stated in the Agreement, agrees to pay all costs and expenses, induding attomey fees, incurred by Owner relaled to this guaranty and the Agreement. waives a
jury trial and transfer of venue, and authorizes obtainin credif ra arts,
X
INDiVIDUAL:
DATE:
. . . .
The Customer hereby certifies that all the Equipment: 1) has been. received, installed, and inspected, and 2) is fully operational and unconditionally accepted.
SIGNATURE: I X I NAME & TITLE: DATE:
0101SDA_0510
",' s:.
'.
p,GreatAmerica~
.~. LEASING CORPORATION
Amendment
This Amendment amends that certain agreement by and between GreatArherica Leasing Corporation ("Owner") and
Calhoun, Couhty of ("Customer") which agreement is identified in the Owner's internal books and records
as Agreement No. 663299 (the "Agreement"). All capitalized terms used in this Amendment, which are not otherwise
defined herein, shall have the meanings given to such terms in the Agreement. Owner and Customer have mutually agreed
that the following modifications be made to the Agreement.
The Section entitled INSURANCE is hereby deleted in its entirety and replaced with the following:
"You Agree: (a) to keep the Equipment fully insured against loss at its replacement cost; and (b) to maintain comprehensive public liability
insurance."
Except as specifically modified by this Amendment, all other terms and conditions of the Agreement remain in full force and
effect. If, and to the extent there is a conflict between the terms of this Amendment and the terms of the Agreement, the
terms of this Amendment shall control. A facsimile copy of this Amendment bearing authorized signatures may be treated as
an original. This Amendment is not binding until accepted by Owner.
GreatAmerica Leasing Corporation
Owner
Calhoun, County of
Customer
By:
By: xj
Signature
Signature
Print Name & Title
Print Name & Title
Date Accepted:
Date:
013475-0303_1107
~~.:e- ..
"
. GOVERNMENTAL ENTITIES ADDENDUM
This is an addendum ("Addendum") to and part of that certain agreement between GreatAmerica Leasing
Corporation ("GreatAmerica") and Calhoun, County of ("Governmental
Entity", "you", or "your"), which agreement is identified in GreatAmerica's records as agreement number
663299 ("Agreement"). All capitalized terms used in this Addendum which are not defined
herein shall have the meanings given to such terms in the Agreement.
APPLICABLE TO GOVERNMENTAL ENTITIES ONLY
You hereby represent and warrant to us that as of the date of the Agreement: (a) the individual who
executed the Agreement had full power and authority to execute the Agreement on your behalf;. (b) all required
procedures necessary to make the Agreement a legal and binding obligation against you have been followed; (c)
the Equipment will be operated and controlled by you and will be used for essential government purposes for the
entire term of the Agreement; (d) that all payments due and payable for the current fiscal year are within the
current budget and are within an available, unexhausted, and unencumbered appropriation; (e) you intend to pay
all amounts payable under the terms of the Agreement when due, if funds are legally available to do so; (f) your _
obligations to remit amounts under the Agreement constitute a current expense and not a debt under applicable
state law; (g) no provision of the Agreement constitutes a pledge of your tax or general revenues; and (h) you will
comply with any applicable information reporting requirements of the tax code, which may include 8038-G or
8038-GC Information Returns. If funds are not appropriated to pay amounts due under the Agreement for any
future fiscal period, you shall have the right to return the Equipment and terminate the Agreement on the last day
of the fiscal period for which funds were available, without penalty or additional expense to you (other than the
expense of returning the Equipment to the location designated by us), provided that at least thirty (30) days prior
to the start of the fiscal period for which funds were not appropriated, your Chief Executive Officer (or Legal
Counsel) delivers to us a certificate (or opinion) certifying that (a) you are a state or a fully constituted political
subdivision or agency of the state in which you are located; (b) funds have not been appropriated for the
applicable fiscal period to pay amounts due under the Agreement; (c) such non-appropriation did not result from
any act or failure to act by you; and (d) you have exhausted all funds legally available for the payment of amounts
due under the Agreement. You agree that this paragraph shall only apply if, and to the extent that, state law
precludes you from entering into the Agreement if the Agreement constitutes a multi-year unconditional payment
obligation.
,,-- .-
PRINT NAME & TITLE
~
DATE
- GreatAmerica Leasing Corporation
SIGNATURE
PRINT NAME & TITLE
DATE
07NA_0610
Information Return for Small Tax-Exempt
Governmental Bond Issues, Leases, and Installment Sales
~ Under Internal Revenue Code section 149(e)
Department of the Treasury
Internal Revenue Service Caution: If the issue price of the issue is $100,000 or more, use Form B03B-G.
Reporting Authority Check box if Amended Return ~ 0
1 Issuer's name 2 Issuer's employer identification number
'Calhoun County, Texas 74 6001923
3 Number and street (or P.O. box if mail is .not delivered to street address) Room/suite
202 S. Ann Street B
4 City, town, or post office, state, and ZIP code 5 Report number (For IRS Use Only)
Port Lavaca, TX 77979 5
6 Name.and title of officer or legal representative whom the IRS may call for more information 7 Telephone number of officer or legal representative
Cindy Mueller, County Au~itor ( 361) 553-4610
Description of Obligations Check one: a single issue 0 or a consolidated return
8a Issue price of obligation(s) (see instructions) . 8a
b Issue date (single issue) or calendar date (consolidated). Enter date in mm/dd/yyyy format
(for example, 01/01/2009) (see instructions) ~ 11 1 10 1 2010
9 Amount of the reported obligation(s) on line 8a that is:
a For leases for vehicles . 9a
b For leases for office equipment . 9b
c For leases for real property 9c
d For leases for other (see instructions) 9d
e For bank loans for vehicles ge
f For bank loans for office equipment 9f
g For bank loans for real property 9
h For bank loans for other (see instructions) 9h
Used to refund prior issue(s) . 9i
j Representing a loan from the proceeds of another tax-exempt obligation (for example, bond bank) 9j
krn~ ~
10 If the issuer has designated any issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check this box . ~ 0
11 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check this box (see instructions) . ~ 0
12 Vendor's or bank's name: _~~~~~~!!l_~~~C?~J:~~l?!~_g_c;_c?!"P"C?!~~i~~mmmm_m___mmh_mmmmm_mmm_mhmh___
13 Vendor's or bank's em 10 er identification number: 42 1425592
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete.
.,*,:.~
..".
Form
B03B-DC
(Rev. May 2009)
Sign ~
Here ,.
Issuer's authorized representative
Pre parer's ~
signature ,.
Firm's name (or ~
yours if self-employed),
address, and ZIP code
Paid
Preparer's
Use Only
General Instructions
Section references are to the Internal Revenue Code
unless otherwise noted.
Purpose of Form
Form 8038-GC is used by the issuers of tax-exempt
governmental obligations to provide the IRS with the
information required by section 149(e) and to monitor
the requirements of sections 141 through 150.
Who Must File
Issuers of tax-exempt governmental obligations with
issue prices of less than $100,000 must file Form
8038-GC.
Issuers of a tax-exempt governmental obligation
with an issue price of $100,000 or more must file
Form 8038-G, Information Return for Tax-Exempt
Governmental Obligations.
Filing a separate return for a single issue. Issuers
have the option to file a separate Form 8038-GC for
any tax-exempt governmental obligation with an
issue price of less than $100,000.
An issuer of <! tax-exempt bond used to finance
construction expenditures must file a separate Form
8038-GC for each issue to give notice to the IRS that
Date
Date
an election was made to pay a penalty in lieu of
arbitrage rebate (see the line 11 instructions).
Filing a consolidated return for multiple issues.
For all tax-exempt governmental obligations with
issue prices of less than $100,000 that are not
reported on a separate Form 8038-GC, an issuer
must file a consolidated information return including
all such issues issued within the calendar year.
Thus, an issuer may file a separate Form 8038-GC
for each of a number of small issues and report the
remainder of small issues issued during the calendar
year on one consolidated Form 8038-GC. However,
a separate Form 8038-GC must be filed to give the
IRS notice of the election to pay a penalty in lieu of
arbitrage rebate.
When To File
To file a separate return for a single issue, file Form
8038-GC on or before the 15th day of the second
calendar month after the close of the calendar
quarter in which the issue is issued.
To file a consolidated return for multiple issues,
file Form 8038-GC on or before February 15th of the
calendar year following the year in which the issue is
issued.
Late filing. An issuer may be granted an extension of
time to file Form 8038-GC under Section 3 of Rev.
OMB No. 1545-0720
7481
00
~
Type or print name and title
Preparer's SSN or PTIN
Proc. 2002-48, 2002-2 C.B. 531, if it is determined
that the failure to file on time is not due to willful
neglect. Type or print at the top of the form, "Request
for Relief under Section 3 of Rev. Proc. 2002-48."
Attach to the Form 8038-GC a letter briefly stating
why the form was not submitted to the IRS on time.
Also indicate whether the obligation in question is
under examination by the IRS. Do not submit copies
of any bond documents, leases, or installment sale
documents. See Where To File below.
Where To File
File Form 8038-GC, and any attachments, with the
Department of the Treasury, Internal Revenue Servicel
Center, Ogden, UT 84201 .
Other Forms That May Be Required
For rebating arbitrage (or paying a penalty in lieu of
arbitrage rebate) to the Federal Government, use
Form 8038-T, Arbitrage Rebate, Yield Reduction and
Penalty in Lieu of Arbitrage Rebate. For private
activity bonds, use Form 8038, Information Return for
Tax-Exempt Private Activity Bond Issues.
Form 8038-GC Receipt
ACknowledgement
If you wish to request an acknowledgement receipt of
this return by the IRS you must provide the following:
Cat. No. 64108B
Form 8038-GC (Rev. 5-2009)
~
. .
Page 2
Form 8038-GC (Rev. 5-2009)
. A cover letter specifically requesting the
acknowledgement of this return.
. A copy (or copies, if multiple acknowledgements
are requested) of the return being filed, with
"Acknowledgement Copy" written across the top of
the first page of each copy. For multiple requests,
the copies must be stapled together.
. A self-addressed stamped envelope for each
acknowledgement receipt recipient.
Rounding to Whole Dollars
You may show the money items on this return as
whole-dollar amounts. To do so, drop any amount
less than 50 cents and increase any amount from 50
to 99 cents to the next higher dollar.
Definitions
Obligations. This refers to a single tax-exempt
governmental obligation if Form 8038-GC is used for
separate reporting or to multiple tax-exempt
governmental obligations if the form is used for
consolidated reporting.
Tax-exempt obligation. This is a bond, installment
purchase agreement, or financial lease, on which the
interest is excluded from income under section 103.
Private activity bond. This includes an obligation
Issued as part of an issue in which:
. More than 10% of the proceeds are to be used for
any private activity business use, and
. More than 10% of the payment of principal or
interest of the issue is either (a) secured by an
interest in property to be used for a private business
use (or payments for such property) or (b) to be
derived from payments for property (or borro\iVed
money) used for a private business use.
It also includes a bond, the proceeds of which (a)
are to be used to make or finance loans (other than
loans described in section 141 (c)(2)) to persons other
than governmental units and (b) exceeds the lesser
of 5% of the proceeds or $5 million.
Issue. Generally, obligations are treated as part of
the same issue only if they are issued by the same
issuer, on the same date, and as part of a single
transaction, or a series of related transactions.
However, obligations issued during the same
calendar year (a) under a loan .agreement under
which amounts are to be advanced periodically (a
"draw-down loan") or (b) with a term not exceeding
270 days, may be treated as part of the same issue if
the obligations are equally and ratably secured
under a single indenture or loan agreement and are
issued under a common financing arrangement (for
example, under the same official statement
periodically updated to reflect changing factual
circumstances). Also, for obligations issued under a
draw-down loan that meets the requirements of the
preceding sentence, obligations issued during
different calendar years may be treated as part of
the same issue if all of the amounts to be advanced
under the draw-down loan are reasonably expected
to be advanced within 3 years of the date of issue of
the first obligation. Likewise, obligations (other than
private activity bonds) issued under a single
agreement that is in the form of a lease or
installment sale may be treated as part of the same
issue if all of the property covered by that agreement
IS reasonably expected to be delivered within 3 years
of the date of issue of the first obligation.
Arbitrage rebate. Generally, interest on a state or
local bond is not tax-exempt unless the issuer of the
bond rebates to the United States arbitrage profits
earned from investing proceeds of the bond in higher
yielding nonpurpose investments. See section 148(1).
Construction issue. This is an issue of tax-exempt
bonds that meets both of the following conditions:
1. At least 75% of the available construction
proceeds of the issue are to be used for construction
expenditures with respect to property to be owned by
a governmental unit or a 501 (c)(3) organization, and
2. All of the bonds that are part of the issue are
qualified 501 (c)(3) bonds, bonds that are not private
activity bonds, or private activity bonds issued to
finance property to be owned by a governmental unit
or a 501 (c)(3) organization.
In lieu of rebating any arbitrage that may be owed to the
United States, the issuer of a construction issue may
make an irrevocable election to pay a penalty. The penalty
IS equal to 1'h % of the amount of construction proceeds
that do not meet certain spending requirements. See
section 14S(f)(4)(C) and the Instructions for Form 'B03S-T,
L""
---
Specific Instructions
In general, a Form 8038-GC must be completed on
the basis of available information and reasonable
expectations as of the date of issue. However, forms
that are filed on a consolidated basis may be
completed on the basis of information readily
available to the issuer at the close of. the calendar
year to which the form relates, supplemented by
estimates made in good faith.
Part I-Reportihg Authority
Amended return. An issu~r may file an amended
return to change or .iidd to the information reported
on a previously filed return for the same date of
issue. If you are filing to correct errors or change a
previously filed return, check the "Amended Return"
box in the heading of the form.
The amended return must provide all the
information reported on the original return, in
addition to the new corrected information. Attach an
explanation of the reason for the amended return.
Line 1. The issuer's name is the name of the entity
issuing the obligations, not the name of the entity
receiving the benefit of the financing. In the case of a
lease or installment sale, the issuer is the lessee or
purchaser.
Line 2. An issuer that does not have an employer
identification number (EIN) should apply for one on
Form SS-4, Application for Empioyer Identification
Number. You can get this form on the IRS website at
www.irs.govor by calling 1-800- TAX-FORM
(1-800-829-3676). You may receive an EIN by
telephone by following the instructions for Form SS-4,
Lines 3 and 4. Enter the issuer's address. If the
issuer receives its mail in care of a third party
authorized representative (such as an accountant or
attorney), enter on the street address line "C/O"
followed by the third party's name and street
address or P.O. box. Include the suite, room, or other
unit number after the street address. If the post office
does not deliver mail to the street address and the
issuer has a P.O. box, show the box number instead
of the street address. If a change in address occurs
after the return is filed, use Form 8822, Change of
Address, to notify the IRS of the new address.
Line 5. This line is for IRS use only. Do not make
any entries in this box.
Part II-Description of Obligations
Check the appropriate box designating this as a
return on a single issue basis or a consolidated return
basis.
Line Sa. The issue price of obligations is generally
determined under Regulations section 1.148-1 (b).
Thus, when issued fOr cash, the issue price is the
price at which a substantial amount of the obligations
are sold to the public. To determine the issue price of
an obligation issued for property, see sections 1273
and 1274 and the related regulations.
Line 8b. For a single issue, enter the date of issue
(for example, 03/15/2008 for a single issue issued on
March 15, 2008), generally the date on which the
issuer physically exchanges the bonds that are part
of the issue for the underwriter's (or other
purchaser's) funds; for a lease or installment sale
enter the date interest starts to accrue. For issue~
reported on a consolidated basis, enter the first day
of the calendar year during which the obligations
were issued (for example, for calendar year 2008,
enter 01/01/2008).
Lines 9a through 9h. Complete this section if property
other than cash .IS exchanged for the obligation, for
example, acqUiring a police car,a fire truck, or
telephone equipment through a series of monthly
payments. (This type of obligation is sometimes
referred to as a "municipal lease.") Also complete this
section if real property is directly acquired in exchange
for an obligation to make periodic payments of interest
and principal. For lines 9a through 9d, enter the
amount on the appropriate line that represents a lease
or installment purchase. For line 9d, enter the type of
item that is leased. For lines ge through 9h, enter the
amount on the appropriate line that represents a bank
loan. For line 9h, enter the type of bank loan.
Lines 9i and 9j. For line 9i, enter the amount of the
proceeds that will be used to pay principal, interest,
or call premium on any other issue of bonds
including proceeds that will be used to fund 'an
escrow account for this purpose. Several lines may
apply to a particular obligation. For example, report
on lines 9i and 9j obligations used to refund prior
issues which represent loans from the proceeds of
another tax-exempt obligation.
Line 9k. Enter on line 9k the amount on line 8a that
does not represent an obligation described on lines
9a through 9j.
Line 10. Check this box if the issuer has designated
any issue as a "small issuer exception" under
section 265(b)(3)(B)(i)(IlI).
Line 11. Check this box if the issue is a construction
issue and an irrevocable election to pay a penalty in
lieu of arbitrage rebate has been made on or before
the date the bonds were issued. The penalty is
payable with a Form 8038- T for each 6-month period
after the date the bonds are issued. Do not make
any payment of penalty in lieu of rebate with Form
8038-GC. See Rev. Proc. 92-22, 1992-1 C.B. 736,
for rules' regarding the "election document."
Line 12. Enter the name of the vendor or bank who
is a party to the installment purchase agreement,
loan, or financial lease. If there are multiple issuers or
banks, issuers should attach a schedule.
Line 13. Enter the employer identification number of
the vendor or bank who is a party to the installment
purchase agreement, loan, or financial lease. If there
are multiple issuers or banks, issuers should attach a
schedule.
Signature
An authorized representative of the issuer must sign
Form 8038-GC and any applicable certification. Also
print the name and title of the person signing Form
8038-GC.
Paid Preparer
If an authorized representative of the issuer filled in
its return, the paid preparer's space should remain
blank. Anyone who prepares the return but does not
charge the organization should not sign the return.
Certain others who prepare the return should not
sign. For example, a regular, full-time employee of
the issuer, such as a clerk, secretary, etc., should
not sign.
Generally, anyone who is paid to prepare a return
must sign it and fill in the other blanks in the Paid
Preparer's Use Only area of the return.
The paid preparer must:
. Sign the return in the space provided for the
preparer's signature,
. Enter the preparer information, and
. Give a copy of the return to the issuer.
Paperwork Reduction Act Notice
We ask for the information on this form to carry out
the Internal Revenue laws of the United States. You
are required to give us the information. We need it to
ensure that you are complying with these laws.
You are not required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form
or its instructions must be retained as long as their
contents may become material in the administration
of any Internal Revenue law. Generally, tax returns
and return information are confidential, as required
by section 6103.
The time needed to complete and file this form will
vary depending on individual circumstances. The
estimated average time is:
Learning about the
law or the fonn .
Preparing the form . .
Copying, assembling, and
sending the fonn to the IRS 2 hr., 34 min.
If you have comments concerning the accuracy of
these time estimates or suggestions for making this
form simpler, we would be happy to hear from you.
You can write to the Intemal Revenue Service Tax
Products Coordinating Committee, '
SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW,
IR-6526, Washington, DC 20224. Do not send the form
to this address. Instead, see Where To File on page 1.
4 hr., 46 min.
2 hr., 22 min.
APPROVE AND CERTIFY THE 2010 CHAPTER 59 ASSET FORFEITURE REPORT BY ATTORNEY
REPRESENTING THE STATE AND AUTHORIZE THE COUNTY JUDGE TO SIGN:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve and
certify the 2010 Chapter 59 Asset Forfeiture Report by Attorney Representing the State and authorize
Judge Pfeifer to sign. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Agency Name:
Agency Mailing
Address:
County:
Phone number:
EmailAddress
COpy
FY 2010 Chapter 59 Asset Forfeiture Report
by Attorney Representing the State
Calhoun County Criminal
District Attorney's Office
9-1-09 to 8-31~10
Reporting Period:
(example: 9/1109- 08/31110)
P.O. Box 1001
Port Lavaca TX 77979'
Calhoun
(361) 553-4422
. .
dan.heard@calhouncotx.org
(This should be a permanent agency email address)
NOTE: PLEASE ROUND ALL DOLLAR AMOUNTS TO NEAREST WHOLE DOLLAR
I. SEIZED FUNDS
Fonn Date 02129/1 0
A)
Beginning Balance .................... .... ... ..... ....... ... .... ....... ...... ..... ................ ... ....... .... ......... ......... .............. ...
Instructions: Include total amount of seized funds on hand (in your agency's possession) at the
beginning oflhe reporting period including interest. Include funds that may have been forfeited but
have not been transferred to your agency's forfeiture account. Do not include funds that are in an
account held by another agency, e.g. a police department's account.
$ 44,399
B) Seizures During Reporting Period:
I) Amount Seized By Employees of Your Agency:....................................................:......................
Instructions: Include only those seizures which otcurred during the reporting period and where the
seizure affidavit required by Article 59.03 is sworrt to by a peace officer employed by your agency. $
o
2) Amount Seized by Other Agencies ...............................................................................................
Instructions: Include only amounts seized by other agencies in your jurisdiction and which have
been transferred to your office for custody pending forfeiture. $
2,050
C)
Forfeiture Petitions Filed For All Agencies You Represent......................;.......................................
Instructions: Enter the total amount of seized funds for which forfeiture petitions were filed
during the reporting period. Do not include amounts seized if a petition has not been filed. Note: this
inay include all or part of the funds listed in B above due to the 30 day limitations period on filing $
petitions. (This should be a currency amount, for example $1,000).
2,050
D)
Forfeitures Pending For All Agencies You Represent ......................................................................
Instructions: Enter the total amount of seized funds at the end of the reporting period where a
forfeiture petition has been filed but no final judgmenthas been entered. Include amounts subject
to petitions filed in prior reporting periods. (This should be a currency amount, for example $1 ,000). $
2,050
E)
Interest Earned on Seized Funds During Reporting Period ...............................................................
Instructions: Include only the amount of interest earned on seized funds or funds that may have been
forfeited but not yet transferred to your forfeiture account. Do not include interest earned on seized
funds that are on deposit in an account that does n~t belong to your agency. $
o
F)
Amount Returned To Defendants. ............... ...... ......................................................................................
Instructions: If seized funds are returned to DefendantslRespondents please complete Schedule A
for each case in which this applies. Make copies of the schedule and add additional sheets as
necessary. $
o
Page J
'riP',}?
It
G)
Ending Balance...... ....................... .... ....... ....... ... ..... ....... .... .... ...... ....... ...... ..... ..................................
Instructions: Add lines A, B( I), B(2) and E, subtract line F, place total in line G.
'I
$ 46,449
II. FORFEITED FUNDS
Fonn Date 02129/1 0
A) Beginning Balance .... ........ . ................... ........ ....... ......................................................... .......................
Instructions: Include total amount of forfeited funds that have been forfeited to your agency and
are on hand (in your agency's account or in your agency's possession) at the beginning of the
reporting period including interest. Do not inclutle funds that have been forfeited but have not yet
been received by your agency.' $ 44,399
Amount Forfeited For All Agencies You Represent and Covered by Local Agreement........
Insh'uctions: Enter the total amount forfeited by'i11l forfeiture judgments in your jurisdiction for the
reporting year. Do not include judgments that are hot yet final due to appeal or motions for new trial.
Include interest that was forfeited as part of the j~dgment. $
II
I) Amount Forfeited and Transferred to all Agencie~ Covered by Local Agreement...............................
Instructions: Do not include amounts forfeited but not yet transferred to these agencies. Include
interest that has been forfeited as part of the jud~ent. $
I
B)
o
o
2) Amount Forfeited and Received by Your Agency..................................................... .........................
Instructions: Do not include amounts forfeited but not yet received by your agency. Do not include
amounts awarded to other agencies. Include intetest that was forfeited as part of the judgment. $ 1 , 073
iI
C)
Interest Earned on Forfeited Funds During Reporting Period ............................................................
Instructions: Include only the amount of interest earned on forfeited funds or interest earned on
funds derived from the sale offorfeited property. Do not include interest amounts that Were reported
in line B2 above. Do not include interest earned iffunds are on deposit in an 'account that does not $ 235
belong to your agency. "
Proceeds Received by Your Agency From Sale of Forfeited Property ..............................................
Instructions: Include amounts received for all prbperty sold during the reporting period, even if
the subject property was forfeited in a prior reporting period. If property is returned to $ 3 , 406
Defendants/Respondents please complete Schedu'le A for each case in which this applies. Make
copies of the schedule and add additional sheets ~ necessary.
!~
D)
E)
Total Expenditures of Forfeited Funds During Reporting Period
Instructions: From Total on Section VI.
$ 31,283
F)
Amount deposited to State Treasury to the Credit 9,fthe General Revenue Fund Due to Lack of Local
Agreement (Art. 59.06 (a))...... ............... .............. .....:.................................. ........................................... $
o
G)
Ending Balance............................................................... .......... ............... ....... ............... .........
Instructions: Add lines A, B(2), C and D, subtract lines E and F, place total in line G
$ 17, 830
Page 2
III.
OTHER PROPERTY Ii
Instructions: List the number of cases filed, pending, or disposed for the following categories. List as "pending" only cases where
a petition was filed. List as "seized" only those seizures where a seizure is made by a peace officer employed by your agency.
If property is sold list under "Proceeds Received by Your Agency from Sale of Forfeited Property" in Section n (D) in the
reporting year in which the proceeds are received.!! If property is returned to DefendantslRespondenls please complete Schedule
A for each case in which this applies. Make copi,~s ofthe schedule and add additional sheets as necessary.
"
Please Note: these MOTOR VEHICLES REAL PROPERTY COMPUTERS FIREARMS (Include OTHER
,should be a number, not (Include cars, (Count ea~h parcel Include computer only firearms seized (Include
a currency amount. For motorcycles, tractor seized as ~ne item) and attached system for forfeiture under description)
example: 4 pending, 3 trailers, etc.) components, such as Chpt. 59. Do not
seized, 12 new printers and monitors include weapons
petitions, etc.... as one item) disposed of under
Chpt. 18)
Pending for all agencies I
at beginning of 2 0 1 0 0
reporting period:
Seized by your agency I
during reporting period: 0 0, 0 0 O.
New petitions filed for
all agencies during 2 O. 0 0 0
reporting period: "
"
Forfeited to your
agency during reporting 2 0: 0 0 0
period:
Put into service by your 'I
agency during reporting 0 0' 0 0 0
period:
Pending for all agencies
at end of reporting 0 0 0 0 0
period: i;
IV. FORFEITED PROPERTY RECEIVED FROM ANOTHER AGENCY
Instructions: Enter the total number of items transferred::to your agency where the forfeiture judgment
awarded ownership ofthe property to another agency pri~r to the transfer.
A)
B)
C)
D)
E)
Motor Vehicles (the number of vehicles, not a currency amount) ........................"......
o
o
o
o
o
Real Property (the num ber of separate parcels of pr?perty, not a currency amount)..........................
Computers (the number of computers, not a curre\lcy amount)....................................................
Firearms (the number of firearms, not a currency;amount)..........................................................
Other (the number of items not a currency amount)...........,.........................................................
V. FORFEITED PROPERTY TRANSFERRED TO ANOTHER AGENCY
Instructions: Enter the total number of items transferred frbm your agency where the forfeiture judgment
awarded ownership ofthe property to your agency prior to::the transfer.
Fonn Dale 02/29/10
A)
o
Motor Vehicles (the numberofvehicles, not a currency amount) ""
Page 3
B)
C)
D)
E)
Real Property (the number of separate parcels ofprop~rty, nota currency amount)..... ........ ................
Computers (the number of computers, not a currenfY amount)......................................................
Ij
Firearms (the number of firearms, not a currency arltount).............................................................
'1
,
Other (the number of items not a currency amount).......................................................................
VI. EXPENDITURES .
Instructions: This category is for Chapter 59 expenditures SOLELY for the official purposes
of the office of the attorney representing the stat~ - not for expenditures made pursuant to your
general budget. List the total amount expended fo~ each of the following categories. If proceeds
are expended for a category not listed, state the ani'ount and nature of the expenditure under the
Other Category. .
A)
I.
2.
3.
B)
I.
2.
3.
C)
I.
2.
3.
4.
5.
6.
7.
8.
9.
D)
I.
2.
3.
4.
E)
Form Dale 02/29/1 0
Total Salaries Paid out of Chapter 59 Funds......:................................ .................... ...................
r;
Increase of Salary, Expense, or Allowance fot Employees (Salary Supplements)...............
Salary Budgeted Solely From Forfeited Funds..':............................................... ......................
Number of employees Paid Using Forfeiture Funds ......................................................... .......
Total Overtime Paid out of Chapter 59 Funds <. ........ ................... ..........................................
For employees Budgeted by Governing Body. ..'i.... .............. ....... ..............................................
For Employees Budgeted Solely out of Forfeiture Funds....................................... ......... ..........
Number of employees Paid Using Forfeiture Fu~ds........ ............................................. ............
Total Equipment Paid for with Chapter 59 Funds..... .......... .......................... ............... ............
Vehicles........................... .........................................................................................................
Computers..... ............. ............... ....... ..... .........:............ ... ......................... ......... .... ........... ..........
Firearms, Vests, Personal Equipment............................................................ .................. ........
Furniture........................................... ................ ......................................................................
Software................. .....................
. .. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . , . . . . . . . . . . . . . . . , . . . . .
Maintenance Costs......... ... ..... ........ ..... ... ..... ......... ........ .... .,. .... ........... ... ........................ ...........
Uniforms............................................................... ................. ....................................... ............
K9 Related Costs .. ................ ....... ....................:..................... ....................................... ...... .....
!j .
Other (Provide Detail on Additional Sheet).... ..:.. ........... ..........................................................
I!,
Total Supplies Paid Out of Chapter 59 Funds ...........................................:.........................
Office Supplies .................................
......-. ..... ...... ..... ,................ ..... ..... .... ....... ,.. .. ,. ..... .... .......
Cellular AirTime ..............................
...........................................................,....... ......,...........
Internet............ ....................... ......... ...... ........... ........................................................................
Other (Provide Detail on Additional Sheet) .......................................................... ...... .............
Total Travel Paid Out of Chapter 59 Funds........................................................................
I. In State Travel
o
o
o
o
$ 24,737
$ 24,737
$ 0
4
$ 0
$ 0
$ 0
0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
Page 4
3.
4.
5.
F)
I.
2.
3.
G)
I.
2.
3.
4.
H)
I)
I.
2.
3.
4.
5.
6.
J)
I.
2.
3.
Form Date 02129/10
a) Hotel. ..... ............. ................ ........................... ......... ... .......... .................... ...... ......... ......... ....
b) Air Fare .... ....... ........ ......... .................. ......... ...... .......... ........... ... ... .... .............. ............ .... .....
c) Meals (including per diem) ........... ................ ......... ....... ....... ....... ...... ........ .... .............. .........
d)CarRental............
2. Out of State Travel
a) Hotel...... ..... ... ........ ... ... .... .... .... ....
b) Air Fare................... .............. .................. ....... ...... ....................... ............ ... ............ ........ .....
c) Meals (including per diem) .... ............. ..... ............ .......... ..... ............ ............ .........................
d) Car Rental... ... ..... ................. ....... ..... ....... ....... ....................... ..... ......... ........... ................. ....
Fuel..........................................................................................................................................
~~..................................................................................................................................
Other (Provide Detail on Additional Sheet) ............................................................ ...... ...........
Total TrainingPaid Out of Chapter 59 Funds................................................... ..... ..... .............
Fees (Conferences, Seminars) ......................................... ........,....... ................ ......................
Materials (Books, CDs, Videos, etc.) ............................................................................ ..........
Other(Provide Detail on Additional Sheet) ...................................................... .......................
Total Investigative Costs Paid Out of Chapter 59 Funds ....................................................
Informant Costs ................................................. ...... .......... ........... .................. ..............
Buy Money .............................. ..................... ..... ............. ............... ......... .............................;...
Lab Expenses................................ ............ ....................... ............. ............ .............. .................
Other (Provide Detail on Additional Sheet) ...................;............................................ .............
Total Prevention /Treatment Programs! Financial Assistance (pursuant to Articles 59.06 (h),
m~~...........................................................................................................................
Total Facility Costs Paid Out of Chapter 59 Funds............................................................
Building Purchase ........ ....... .... ....... ..... ....... ..... ............................ ............
Lease Payments....................... ............. ..... ..... .............. .............. ...........
Remodeling ................................................... ....... ............. ...... ....... .......... ..... ........ ........... ... .....
Maintenance Costs...... ......... ........................ ..................... ......................................................
Utilities.............................................................................................................;......................
Other (Provide Detail on Additional Sheet) ......
Total Miscellaneous Fees Paid Out of Chapter 59 Funds.........................................................
Court Costs ................ ........................................................ .................. ........ ..... ............. ..........
Filing Fees..................................................
Insurance.................... .................................................... ............... ..........................................
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 6,546
PlIlIe S
4. Witness Fees ...... ... .......... ..... ............ ....... .... ............................................................................. $ 0
5. Audit Costs and Fees ..................................... ...........................;.............................................. $ 0
6. Other (Provide Detail on Additional Sheet) ............................................................................. $ 0
K) Total Other Paid Out of Chapter 59 Funds (provide detailed descriptions on additional
sheet(s) and attach to this report)........................ .......................................................... $
L) TOTALEXPENDITURES.................................................................................................... $ 31,283
BOTH THE COMMISSIONERS COURT AND ATTORNEY REPRESENTING THE STATE
CERTIFICATIONS NEED TO BE COMPLETED
NOTE: ART. 5.06{g){l) requires the Commissioners Court to perform the audit.
COUNTY JUDGE (Printed Name):
SIGNATURE:
COUNTY:
DATE:
CERTIFICATION
Michael J. Pfeifer
_,,^^(.A..~
Calhoun -
11-10-10
I swear or affirm that the Commissioners Court has conqucted the audit required in Article 59.06 of the Code of Criminal
Procedure and that upon diligent inspection of all relevant documents and supporting materials, I believe that the asset
forfeiture report is true and correct and contains all information required under Article 59.06 of the Code of Criminal
Procedure.
SWORNTO AND SUBSCRIBED before me this 10th day of November
ATTORNEY REPRESENTING THE
STATE (Printed Name):
SIGNA TURE:
DATE:
,2010 .
CERTIFICATION
cL;rd . .~
" ;l~~-'i
.. I
~ /
11-10-10 ~ (
I swear or affirm, under penalty of perjury, that I have accounted for the seizure, forfeiture, receipt, and specific
Fonn Oa'. 02129/10
. Page 6
expenditure of all proceeds and property subject to Chapter 59 of the Code of Criminal Procedure, and that upon diligent
inspection of all relevant documents and supporting materials, I believe that this asset forfeiture report is true and correct
and contains all information required under Article 59.06 of the Code of Criminal Procedure. I further swear or affirm
that all expenditures reported herein were lawful and proper, and were made in accordance with Texas law.
SWORN TO AND SUBSCRIBED before me this 10th day of November
,20~.
l\"';~'V:',,,
~..~... ..''"~
,..... '.:;;\
11 : i !
s...:. ....$
'\,~";';\\~
"",I,~l"~
JO ANN MOONEY
Notary Public, State of Texas
My Commission Expires
June 14,2012
RETURN COMPLETED FORM TO: Office ofthe Attorney General
Criminal Prosecutions <Division
P.O. Box 12548
Austin, TX 78711-2548
renee.gray@oag.state.tx.us Attn: Kent Richardson
(512)936-1348
FAX (512)494-8283
E-mail: kent.richardson@oall:.state.tx.us
"
Form Date 02/29/10
Page 7
SCHEDULE A
SEIZED FUNDS AND PROPERTY RETURNED
TO DEFENDANTS I RESPONDENTS
CAUSE OR CASE NUMBER:
DATE OF SEIZURE:
PROPERTY SEIZED:
DA TE FUNDS OR PROPERTY RETURNED:
AMOUNT RETURNED OR PROPERTY
RETURNED:
REASON RETURNED:
2009-9-0835
9-1-09
2002 Cadillac Automobile
12-17-09
2002 Cadillac Automobile
Forfeiture petition was dismissed
SCHEDULE A
SEIZED FUNDS AND PROPERTY RETURNED
TO DEFENDANTS I RESPONDENTS
CAUSE OR CASE NUMBER:
DATE OF SEIZURE:
PROPERTY SEIZED:
DATE FUNDS OR PROPERTY RETURNED:
AMOUNT RETURNED OR PROPERTY
RETURNED:
REASON RETURNED:
SCHEDULE A
SEIZED FUNDS AND PROPERTY RETURNED
TO DEFENDANTS I RESPONDENTS
CAUSEORCASENUMBE~
DA TE OF SEIZURE:
PROPERTY SEIZED:
DATE FUNDS OR PROPERTY RETURNED:
AMOUNT RETURNED OR PROPERTY
RETURNED:
REASON RETURNED:
Form Date 02/29/10
Page 1X 8
AUTHORIZE COUNTY TREASURER TO PAY THE EXXON-MOBILE AND SHELL CREDIT CARD UPON RECEIPT
FROM EMS IN ORDER TO HELP DEFRAY THE ADDED COSTS OF FINANCE CHARGES AND LATE FEES:
A Motion was made by Commissioner Fritsch andpeconded by Commissioner Lyssy to authorize the
4 !l
County Treasurer to pay the Exxon-Mobile and Shell Credit Card upon receipt from EMS in order to help
defray the added costs of finance charges and late fees. Commissioners Lyssy, Fritsch, Finster and Judge
Pfeifer all voted in favor.
ACCEPT INSURANCE CLAIM PROCEEDS OF $1,943:07 FOR PRECINCT #4 VEHICLE DAMAGE ON 2011
CHEVROLET SILVERADO CREW CAB:
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to accept the
insurance claim proceeds of $1,943.07 for Precinct #4 vehicle damage on 2011 Chevrolet Silverado Crew
Cab. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
From:
Sent:
To:
Cc:
Subject:
Attachments:
Lucy Dio [Iucy.dio@calhouncotx.org]
Monday, October 25,201012:44 PM
'Susan Riley'
Kenny. Finster@calhouncotx.org; 'April May'
agenda item for next Comm. Court mtg
Pct 4 insur claim for 2011 Chev.pdf
Importance:
High
Hey Susan,
Would you please add the following to the 11/10 Comm. Court meeting:
"Consider and take action to accept insurance claim proceeds of $1,943.07 for Pet. 4 vehicle damage on 2011
Chev. Silverado Crew Cab."
Supporting documentation is attached. Thanks!!
Lucy
1
t
~I
,If
CALHOUN COUNTY
202 S. ANN STREET, SUITE B
PORT LAV ACA, TX 77979
;~
~I;
To: CALHOUN COUNTY
.~\,o
\ 0601.Q:<P}1 - 4q l50
.AI
..",.. TRIDENT
Member Argo Group
10101 Reunion Place, Suite 450
San Antonio, Texas 78216
Texas ,AssociatiOn of Political SubDivisions
202 S. ANN STREET, SUITES
PORT LAVACA,TX 77979
~~(fct4)
For: '11 -eROWM VIC LESS:$251.42 S.TAX LESS:$2500 DEDUCT
W
CHECK NUMBER: 3204943
ISSUED: OCT 20 2010
CLAIM NUMBER: 56371-00
Claimant Name
INSURED
~I,
Invoice
Paid Amt
Billed Amt
Policy/Certificates
Date 'of Loss
Period Covered
$1,943.07
$1,943.07
BA 4601230 07
~f
10/18/2010
1/1/2010 - 1/1/201l
ISSUED BY: P_O
Route: .
r
.-:i::ll:l.,~~.i:.":I~""I.I.till'il~~..:;'l..~'.ellIi..l:i.:...:,.,tJi ~(ti:{.lIJ~i'..l~ilIJ'.:I..:II:i.,~=-:
"
,!
.AI
....",. TRIDENT
JPMor9an Chase Bank, N.A.
'l Dallas, TX
lr ,
Policy: BA 4601230 07
Entity Name: CALHOUN COUNTY
~
1113
CHECK NUMBER: 3204943
ISSUED BY: P_O
OCT 20 2010
Member Argo Group
10101 Reunion Place, Suite 450
'san Antonio, Texas 78216
Texas AssociatiOn of Political SubDivisions
Date.of Loss: 10/18/2010
Claimant: INSURED
Claim Number:,i\56371.00
Ii
Void After 180 Days
PAY' One Thousand Nine Hundred Forty-Three and 07/1.00 Dollars ***************
I $1,943.07
~~.
To: CALHOUNCOUNTY
,jP'>4)J.\(O.l.\f<\s".
For: '11 CROWNVIC LESS:$251.42 S.TAXLESS:$2500 DEDUCT;
'W!~
I1J SECURITYFEA TURE~hNCLOOEO.O'ETA1LS ON BACK:' 1}J
III 31 2 0 L, 11 L, 31111 I: ~ ~ ~31 0 0 8 8 0 I:
? 0 ? ? 0 0 31 ~ bill
.
Lucy Dio
From:
Sent:
To:
Subject:
Mellinee Harwick [mharwick@gsminsurors.com]
Thursday, October 21, 2010 8:35 AM
Lucy Dio
RE: info - estimate on repairs-Ken ny's truck
Importance:
High
Good Morning Lucy,
Mellinee Harwick, ACSR
GSMlnsurors
A Partner of the Insurers Group LLC
mharwick@Qsminsurors.com
Phone: 361-729-5414 x208
Direct Line: 361-727-3098
Fax: 361-729-3811
www.Qsminsurors.com
This email & any attachments may contain confidential information and is intended for the addressee only. If you are not the intended recipient, you should
destroy this message and notify the sender by reply emai!. If you are not the addressee, any disclosure, reproduction or transmission of this email is strictly
prohibited. This em ail has been scanned for viruses before being sent; however, it is recommended that the message & any attachments are also checked at the
addressee's end. We will not be held responsible for any virus that is contracted via this email.
Coverage cannot be bound by email or voice mail.
""~--'-"""--.'-~'-""-""""""'--""""""_'_"'-___""_"_'_"1..-=^..--._.,;,,~___.._..__._""""........____.......-.-.-
From: Lucy DioTmailto:lucy.dio@calhouncotx.org]
Sent: Wednesday, October 20, 2010 4:50 PM
To: Mellinee Harwick
Subject: FW: info - estimate on repairs-Ken ny's truck
Importance: High
..._""._-,..~."~....,.,.....,.....-_._-.-";....._",.,.,,,-.,__,,,_.._.~...._c...,~'----......,.......,....____,,...,,,_,_........,.....,,...,""""".......'''.'''WNW'''_'.,,..-~~''''''..,..'"""''_.;..,,__.....'.',.._....".,.,.....".._.......".._.____"'_.-...~'-_~__...b.__.......~......__.._____........._~.."'..______~"".._...~_,.
From: April May rmailto:Aoril.May@calhouncotx.org]
Sent: Wednesday/October 20,20104:10 PM
To: lucy dio
SUbject: info - estimate on repairs
Thank you,
April May-Townsend
Calhoun County, Pet. 4
361.785.3141
361.785.5602 (fax)
apriLmay@calhouncotx.org;
1
ATZENBOFFER CHEVROLET COMPANY, INC.
Federal 1D #:742399611
3211 N . Navarro
P G B.ox 2509
Victoria, TX 77901
(800)234-6004 Fax: (361)578-0838
10/19/2010 12:56 FTP
f' ~ l..:
10/19/2010 at 09:03 AM
18202
.
PRELIMINARY ESTIMATE
Written By~ FABIAN TREVINO
Ad.juster:
~sured~A1]HOUNf2~
OWner: CAl,HOUN COUNT-Y P#i!J
Address:
I4J 0011004
Job NumbE'lr:
o. ';f..
~~491+143.07 -I-
<h..~.2 9500.00
~~.
600
00 )\(
Claim #
Policy #
Deductible:
Date of Loss:
Type of Loss:
Point of Impact: 1. Right Front
Cellular: (361)676-4740
Inspect ATZENHOFFER CHEVROLET COMPANY, I
Location: 3211 N . Navarro
POBox 2509
Victoria, TX 77901
Insurance -
Company:
Air Conditioning
Intermittent Wipers
Body Side Moldings
Clear Coat Paint
Power Windows
Heated Mirrors
Stereo.
Satellite Radio
Passenger Air Bag
Traction Control
Cloth Se.ats
4 Wheel Drive
Tilt Wheel
Keyless Entry
Dual i'1ifrors
Power Steering
Power Locks
AM Radio
Search/Seek
Anti-Lock Brakes (4)
Head/Curtain Air Ba~s
Stability Control
Rear Step' Bumper
Overdrive
Business: (361) 578-0181
8 Days to Repair
308
Cruise Control
Message Center
Privacy Glass
Pov.;er Brakes
Power. Mirrors
FM Radio
CD Player
Driver Air Bag
Front Side Impact Air Bag
Communications System
Automatic Transmission
Styled Steel Wheels
NO.
DESCRIPTION
---------------------------------------------.----------------------------------
PAINT
OP.
QTY EXT. PRICE LABOR
---------~------~---------------------------------------------------------~-----
1 FRONT BUMPER
2 O/H front bumper 0 0.00 2.1 0.0
3 Repl Bumper chrome 1 396.86 Incl. 0.0
4 Repl RT Inner bracket 1 106.54 Incl. 0.0
5* Rpr RT Mount bracket repair kit 0 (LOO 1.0 0.0
6 Repl RT Side extn 1 81. 27 Incl. 0.0
7 . Repl RT Outer bracket 1 32.42 Incl. 0.0
8 Repl RT Outer bracket bracket 1 47.73 Incl. 0.0
9 Repl RT Outer brace 1 20.37 Incl. 0.0
1
10/19/2010 12:57 FTP
.
10/19/2010 at 09:03 AM
18202
Job Number:
I4J 0021004
PRELIMINARY ESTIMATE
2011 CHEV K1500 4X4 SILVERADO CREW LT 8-5.3L-Fl 4D P/U WHITE lnt:
-------------------------------------------------------------------------------
NO.
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
PAINT
---------------------------------------------------------------------------------
10
11
12
13
14
15
16
17
18
19
20#
21
22
23
24
2.5
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40#
41
42*
43
44
45
46#
47#
48
49
50
51*
Repl
Repl
Rep1
Rep.:..
Repl
.
R&I
Repl
Repl
RT End cap primed w/o fog
lamps
Add for Clea~ Coat
RT Outer filler
GRILLE
Grille 1/2 ton, wlo body
color chrome
FRONT LAl'1PS
RT Headlamp as?y
him headlamps
RT Fog lamp assy
Aim fog lamps
A/M LAMPS
FENDER
RT Fender Chevrolet
Add for Clear Coat
Add for Edging
Add for Clear Coat
Add for Inside
Add for Clear Coat
RT Fender liner Chevrolet
ton
RADIATOR SUPPORT
Repl Stop bracket
Repl RT Outer bracket Chevrolet
FRONT DOOR
Repl RT Outer panel
Overlap Major Adj. Panel
Add for Clear Coat
Add for mirror
Add for power units
Add for Edging
Add for Clear Coat
DOOR SKIN BONDING KIT
RT Nameplate "SILVERADO"
RT Body side mldg Chevrolet
ext, crew cab
Refn RT Body side mldg Chevrolet
ext, crew cab
Overlap Minor Panel
Add for Clear Coat
Rpr CLEAN/RETAPE MOLDING
R&I VENTSHADE !RETAPE
REAR DOOR
B1nd RT Door shell
R&I RT Belt w'strip
R&I RT Body side mldg all wlo
chrome
Repl
. Repl
R&I
2
1/2
1
167.32
o
1
0.00
9.95
1
374.78
1
o
1
o
o
260.E8
0.00
100.52
0.00
0.00
1
o
o
o
o
o
1
511.46
0.00
0.00
0.00
0.00
0.00
58.39
1
1
47.22
30.78
1
o
o
o
o
o
o
1
1
o
396.26
0.00
0.00
0.00
0.00
0.00
0.00
20.00
32.53
0.00
o
0.00
o
o
o
o
0.00
0.00
0.00
0.00
o
o
o
0.00
0.00
0.00
Incl.
0.0
Incl.
Incl.
Incl.
0.5
Incl.
0.3
1.0
2.9
0.0
0.0
0.0
0.0
C.O
Incl.
0.2
0.2
6.6
0.0
0.0
0.4
C Li
C.G
O.G
0.0
0.3
0.3
0.0
0.0
0.0
0.5
1.0
0.0
0.3
0.3
1.2
0.2
0.0
0.0
0.0
0.0
0.0
0.0
0.0
2.0
0.8
0.5
0.1
1.0
0.2
0.0
0.0
0.0
2.4
-0.4
0.4
0.0
0.0
0.5
0.1
0.0
0.0
0.0
0.6
-0.2
0.1
0.0
0.0
1.2
0.0
0.0
10/19/2010 12:57 FTP
141 003/004
10/19/2010 at 09:03 AM
18202
Job Number:
PRELIMINARY ESTIMATE
2011 CHEV K1500 4X4 SILVERADO CREW LT 8-5.3L-FI 4D PIU WHITE lnt:
------------------------------------------------------------.--------------------
NO.
OP.
DESCRIPTION
QTY EXT. PRICE LABOR
PAINT
---'-------~---------~------------.---~-------------------------------~----------
52# . Rpr CLEAN/RETAPE MOLDING 0 0.00 0.5 0.0
53 R&I RT Door glass GM w/o deep tint 0 0.00 0.5 0.0
54 R&I RT Handle, outside black 0 0.00 0.4 0.0
55 R&I RT R&I trim panel 0 0.00 0.4 0.0
56# R&I VENT SHADE /RETAPE 0 0.00 1.0 0.0
57# Subl FRT ALIGNMENT 1 59.99 X 0.0 0.0
.l.
58# CAR COVER 1 5.00 0.0 0.0
59# EFt 1 5.00 0.0 0.0
--------_._-------------------------~-------,------------------------------------
Sub~otals ==>
2765.07
21.1
10.7
0,.
Parts
Body Labor
Paint Labor
Paint Supplies
Sublet/Misc.
21.1 hrs @ $ 42.00/hr
10.7 hrs @ $ 42.00/hr
10.7 hrs @ $ 32.00/hr
2705.08
886.20
449.40
342.40
59.99
.~~
Co.~.
002
~~
000
1,943407
+1
.- i
I
*1
I
- -- -- --- -- - - - -- - - - - - -- -- --.- _._- - -.;.~- -'- -- - ---"-.- -.--,...."'....,"'... -- -- --.
,~, . :.:." . . . .r
49443-07
2 ? '5,0 0 .. 00
~t-
.
ADJUSTMENTS:
Deductible
0.00
--------~~-~----------------------------------------
CUSTOMER PAY
INSURANCE PAY
$ 0.00
$~
This estimate is based on a visual inspection of damage. Changes to this
quotation may be required to complete repairs. This estimate covers only those
items specifically listed for repair and/or replacement and is not a contract
for repair. Parts subject to actual price at the time of repair. Atzenhoffer
Chevrolet, Company, Inc. assumes no responsibility or liability for delays in
repairs caused to parts availability or supplemental damage approval. Due to
many unforseen circumstances in the repairing of vehicles, vie regrete that we
can oD.ly estimate, not promise a completion date. All insurance checks must be
properly endorsed before vehicle can be released.
.
3
\-.,....,.c,
COUNTY REPORTS:
JP 4 presented his monthly report for the month of October 2010 after reading and verifying same; a
Motion was made by Judge Pfeifer and seconded by Commissioner Fritsch to accept said reports as
presented. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
l
I
I
i
I
I
I
I
.~
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
11/3/2010 COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: OCTOBER
YEAR OF REPORT: 2010
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45014 FINES 3,023.81
CR 1 000-001-44190 SHERIFF'S FEES 261 .72
ADMINISTRA TIVE FEES:
DEFENSIVE DRIVING 0.00
CHILD SAFETY 0.00
TRAFFIC 30.00
ADMINISTRATIVE FEES 71.90
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 101.90
CR 1000-001-44010 CONSTABLE FEES-SERVICE 0.00
CR 1000-001-44064 JP FILING FEES 0.00
CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00
CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00
CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00
CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00
CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 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 328.20
TOTAL FINES, ADMIN. FEES & DUE TO STATE $3,715.63
CR 2670-001-44064 COURTHOUSE SECURITY FUND $106.57
CR 2720-001-44064 JUSTICE COURT SECURITY FUND $26.64
CR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $114.57
CR 2699-001-44064 JUVENILE CASE MANAGER FUND $15.00
STATE ARREST FEES
DPS FEES 47.44
P&W FEES 6.25
T ABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 53.69
CR 7070-999-20610 CCC-GENERAL FUND 114.58
CR 7070-999-20740 CCC-ST ATE 1,031.21
DR 7070-999-10010 1,145.79
CR 7860-999-20610 STF/SUBC-GENERAL FUND 15.00
CR 7860-999-20740 STF/SUBC-STATE 285.00
DR 7860-999-10010 300.00
CR 7950-999-20610 TP-GENERAL FUND 58.05
CR 7950-999-20740 TP-ST ATE 58.04
DR 7950-999-10010 116.09
CR 7480-999-20610 CIVIL INDIGENT LEGAL.GEN. FUND 0.10
CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 1.90
DR 7480-999-10010 2.00
Page 1 of 2
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
11/3/2010
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999-20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised 10/01/10
COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: OCTOBER
YEAR OF REPORT: 2010
. 3.53
31.76
DR 7865-999-10010
CRIM-SUPP OF IND LEG SVCS-GEN FUND
CRIM~SUPP OF IND LEG SVCS-STATE
35.29
TUFTA-GENERAL FUND 53.90
TUFTA-STATE 107.81
DR 7970-999-10010 161.71
JPAY - GENERAL FUND 21.00
JPAY - STATE 119.00
DR 7505-999-10010 140.00
JURY REIMB. FUND- GEN. FUND 8.79
JURY REIMB. FUND- STATE 79.14
DR 7857-999-10010
0.08
0.72
DR 7856-999-10010
TOTAL (Distrib Req to Oper Acct)
$6,021.71
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISO
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
PARKS & WILDLIFE FINES
WATER SAFETY FINES
0.00
0.00
0.00
0.00
0.00
425.85
80.75
$506.60
TOTAL DUE TO OTHERS
TOTAL COLLECTED-ALL FUNDS
LESS: TOTAL TREASUER'S RECEIPTS
OVER/(SHORT)
$6,528.31
$6,528.31
$0.00
Page 2 of 2
CALHOUN COUNTY
201 West Austin
Port Lavaca, Texas 77979
DISTRIBUTION
REQUEST
DR# 480 A 40485
PAYEE
Name: Calhoun County Oper. Acct.
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk
Justice of the Peace, Pet. 4
'At'COiJ~T~QM~~R;(i"':;:,. . .', DESCRIPTION . AMOUNT
. . ;" '.' . ,',
7544-999-20759-999 JP4 Monthly Collections - Distribution $6,021.71
OCTOBER
2010
,
~]
::
V# 967
TOTAL 6,021.71
A;fp3:'E o~
/~~c~. . ~~~\. CALHOUN COU.NTY
I'" "
I ) 201 West Austin
1, ,
\.~ '.it) Port Lavaca, Texas 77979
~~., ..~.,.o7
"~~y
DISTRIBUTION
REQU EST
DR# 480 B 40485
PAYEE
Name: Texas Parks &. Wildlife
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk
Justice of the Peace, Pet. 4
AcCi6uNji'Ni!iMB~R ....... ..' .... i .':1 D,ESCRIPTI9N MAOlINT
. .....,......,.."-"...; .: '';;0. . .'
7544-999-20759-999 JP4 - Parks ft Wildlife Fines S 425.85
OCTOBER
2010 "
,
V# 7603
TOTAL 425.85
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CALHOUN COUNTY
201 West Austin
Port Lavaca, Texas 77979
DISTRIBUTION
REQUEST
DR# 480 C 40485
PAYEE
Name: Texas Parks & Wildlife
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk ,
Justice of the Peace, Pct. 4
ACCOUNT ~UMBER DESCRIPTION AMOUNT
7544-999-20759-999 JP4 - Parks ft Wildlife- Water Safety Fines $ 80.75
OCTOBER
2010
I
V# 7604
TOTAL 80.75
Date
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11/03/2010 Money Distribution Report Page
------------------------------------------------------------------------------ --------------------------- -------------------------
Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total
3928533 2010-358 10-04-2010 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 120.00
COLVILLE, BEN PATRICK PWF 59.00 JPAY 4.00
Money Order
3928534 2010-357 10-04-2010 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 120.00
KIRGIS, JOHN TIMOTHY PWF 59.00 JPAY 4.00'
Money Order
3928535 2010-356 10-04-2010 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 120.00
YOUNGBLOOD, SHANNON B PWF 59.00 JPAY 4.00
Money Order
3928536 2010-355 10-04-2010 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 120.00
DANBRO, GREGORY ALLEN PWF 59.00 JPAY 4.00
Money Order
3928537 2010090059 10-04-2010 CCC 40.00 CHS 3.00 I LAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 100.00
MILLER, CHARLES WAYNE FINE 39.00 JPAY 4.00
Jail Credit
3928538 2010-336 10-04-2010 CCC 40.00 CHS 4.00 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 235.00
NGUYEN, LINH ANH IDF 2.00 PWF 170.00 JPAY 6.00
Cash
3928539 2010090035 10-04-2010 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 200.00
CONTRERAS, ABLE FINE 139.00 JPAY 4.00
Jail Credit
3928540 2006-430 10-05-2010 CCC 40.00 CHS 3.00 SAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 325.00
PADIERNA, ANDREW DPSC 30.00 JCSF 1.00 JSF 4.00 FINE 84.00 CSRV 75.00 JPAY 4.00
Money Order
3928541 2006-430A 10-05-2010 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.50 CHS 4.00 548.60
ii
PAOIERNA, ANOREW CMI 0.50 TF 4.00 DPSC 30.00 DPSF 344.00 CSRV 126.60
Money Order
3928542 2010080009 10-05-2010 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 125.00
FRANCIS, RICK EARL IDF 2.00 FINE 66.00 I
CC S/O Personal Check 1
3928543 2010080009 10-05-2010 FINE 194.00 JPAY 6.00' 1 200.00
FRANCIS, RICK EARL I
Jail Credit 1
3928544 2010-378 10-06-2010 CCC 40.00 CHS 4.00 1 PWAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 160.00
EDEBURN, THOMAS C WSF 95.00 INDF 2.00 I JPAY 6.00
Cash ; I
3928545 2010-366 10-06-2010 CCC 40.00 CHS 4.00 I SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 180.00
ZAVALA, NORMA MARROQUIN IDF 2.00 FINE 115.00 1 JPAY 6.00
Money Order 1
3928546 2010-327 10-06-2010 TFC 3.00 CCC 40.00 1 CHS 4.00 SAF 5.00 TIME 25.00 TF 4.00 206.00
BROWN, LARRY WAYNE SUBC 30.00 JCSF 1.00 I JSF 3.00 IDF 2.00 CJDR 0.10 FINE 82.90
Money Order JPAY 6.00 I
3928547 2010-316 10-06-2010 CCC 40.00 CHS 4.00 1 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 180.00
SCHURR, JASON SCOTT IDF 2.00 FINE 115.00 1 JPAY 6.00
Money Order 1
3928548 2010-314 10-06-2010 TFC 3.00 CCC 40.00 I CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 180.00
JUAREZ, ERICA JCSF 1.00 JSF 3.00"1 IDF 2.00 CJDR 0.10 FINE 81.90 JPAY 6.00
Cashier's Check 1
3928549 2009-292A 10-12-2010 CCC 40.00 CHS 4.00 I LAF 5.00 WRNT 50.00 TF 4.00 DPSC 30.00 548.60
JOHNSON, JEREMY LEVI JCSF 1.00 JSF 3.00 I IDF 2.00 FINE 277.00 CSRV 126.60 JPAY 6.00
MCVBA COLLECTIONS Personal Check I
3928550 2010-236 10-12-2010 CCC 10.17 CHS 1.01 I PWAF .1.27 WRNT 12.68 TIME 6.34 TF 1.01 135.00
CARRILES, PAUL JCSF 0.25 JSF 0.76 1 IDF 0.51 PWF 95.00 JPAY 6.00
Credit Card I
11/03/2010 Money Distribution Report Page 2
--~--------------------------------- -----...--------------------- ----------..-- -............--....--- ----.....-...._--- -------------------------
Ij
Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total
3928551 2010-371 10-12-2010 EXRF 10.00 10.00
BROYN, NORRIS YAYNE
Cash
3928552 2010-265 10-14-2010 FINE 112.00 112.00
LE, SON THAI
Cash
3928553 2008-367 10-14-2010 CCC 40.00 CHS 4.00 LAF 5.00 YRNT 50.00 TIME 25.00 TF 4.00 305.50
RYMAN, SUSAN GARCIA JCSF 1.00 JSF 3.00 IDF 2.00 FINE 95.00 CSRV 70.50 JPAY 6.00
CORm Service
3928554 2008-366A 10-14-2010 JCPT 2.00 CVC 15.00 I CCC 17.00 FA 5.00 JCD 0.50 CHS 4.00 509.60
RYMAN, SUSAN GARCIA CMI 0.50 TF 4.00, 1 DPSF 344.00 CSRV 117.60
CORm Service 1
3928555 2008-366 10-14-2010 CCC 40.00 CHS 4.00 1 LAF 5.00 YRNT 50.00 TIME 25.00 TF 4.00 383.50
RYMA~, SUSAN GARCIA JCSF 1.00 JSF 3.00 1 IDF 2.00 FINE 155.00 CSRV 88.50 JPAY 6.00
CORm Service i; 1
3928556 2010-383 10-18-2010 TFC 3.00 CCC 40.00i 1 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 110.00
MARTINEZ, ZULMA CASTILLO JCSF 1.00 JSF 3.00 1 IDF 2.00 CJDR 0.10 FINE 17.90
Cash I
3928557 2010-343 10-18-2010 CCC 40.00 CHS 4.00 1 LAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 160.00
CROUCH, RYAN CORBITT IDF 2.00 FINE 95.00, I JPAY 6.00
Credit Card I
3928558 2009-514 10-18-2010 CCC 15.62 CHS 1.56 I LAF 1.95 YRNT .19.51 TIME 9.75 TF 1.56 100.00
CARRERA, THOMAS ANTHONY DPSC 11.71 JCSF 0.39 I JSF 1.17 IDF 0.78 FINE 36.00
Cash 1
3928559 2010-384 10-18-2010 TFC 3.00 CCC 40.00:' I CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 113.10
HERCULES, ROBERT THOMAS JCSF 1.00 JSF 3.00 1 IDF 2.00 CJDR 0.10 FINE 10.00 JPAY 6.00
Cash JCMF 5.00 1
3928560 2010-385 10-18-2010 TFC 3.00 CCC 40.00 I CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 113.01
HERCULES, ROBERT THOMAS JCSF 1.00 JSF 3.00"1 IDF 2.00 CJDR 0.10 FINE 9.91 JPAY 6.00
Cash JCMF 5.00 1
3928561 2010-311 10-18-2010 TIME 25.00 FINE 114.00 I JPAY 6.00 145.00
MYERS, JOSEPH MICHAEL I
Money Order ,I
3928562 2007-288 10-18-2010 TFC 3.00 CCC 40.001! CHS 3.00 LAF 5.00 YRNT 50.00 TIME 25.00 270.00
JAMES, TRACY DWAYNE TF 4.00 SUBC 30.00 DPSC 30.00 JCSF 1.00 JSF 4.00 FINE 71.00
Cashier's'Check JPAY 4.00
3928563 2007-288A 10-18-2010 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.50 CHS 4.00 422.00
JAMES, TRACY DYAYNE CMI 0.50 TF 4.00 DPSC 30.00 DPSF 344.00
Cashier's Check
3928564 2010-291 10-18-2010 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 200.00
MILLEN, CORY DAVID FINE 139.00 JPAY 4.00
Money Order
3928565 2010-292 10-18-2010 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 120.00
MILLEN, CORY DAVID IDF 2.00 FINE 55.00 JPAY 6.00
Money Order
392B566 2010-352 10-19-2010 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 115.00
HUNT, RONALD LOUIS FINE 54.00 JPAY 4.00
Cash
3928568 2010-375 10-20-2010 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 104.00
KLAMM, MICHAEL JOSEPH JCSF 1.00 JSF 3.00 IDF 2.00 CJDR 0.10 FINE 11. 90
Money Order
3928569 2010-216 10-20-2010 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 IJRNT 50.00 TIME 25.00 235.00
JENNINGS, WARREN FRANKLIN TF 4.00 SUBC 30.00 JCSF 1.00 JSF 3.00 IDF 2.00 CJDR 0.10
Jail Credit FINE 61.90 JPAY 6.00
11/03/2010 Money Distribution Report Page 3
I!
------------------------------------ -----------------------------------..---------------.-- ---------------------------------------
Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total
'I
3928570 2010-217 10-20-2010 CCC 40.00 CHS 4.00 LAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 375.00
JENNINGS, WARREN FRANKLIN JCSF 1.00 JSF 3.00 IDF 2.00 FINE 235.00 JPAY 6.00
Jail Credit
3928571 2010-341 10-21-2010 FINE 125.00 125.00
TALBOTT, WENDY MIDDAUGH
Cash
3928572 2010-375 10-25-2010 FINE 50.00 JPAY 6.00 JCMF 5.00 61.00
KLAMM, MICHAEL JOSEPH
Money Order
3928573 2010-353 10-25-2010 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 220.00
HU, DA WEI JCSF 1.00 JSF 3.00 IDF 2.00 FINE 122.00 JPAY 6.00
Money Order
3928574 2010-387 10-25-2010 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 175.00
GARZA, HECTOR DAVID IDF 2.00 FINE 116.00' I
Cash I
39285752010-341 10-25-2010 FINE 69.00 JPAY 6.00 I 75.00
TALBOTT, WENDY MIDDAUGH ' I
Cash I
3928576 2010-340 10-26-2010 CCC 40.00 CHS 4.00 I LAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 160.00
CUNNINGHAM, JAYLE IDF 2.00 FINE 95.00 I JPAY 6.00
Comm Service I
3928577 2010-344 10-26-2010 TFC 3.00 CCC 40.00 I CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 180.00
DALY, JAMES EARL JCSF 1.00 JSF 3.00 I IDF 2.00 CJDR 0.10 FINE 81.90 JPAY 6.00
Credit Card I
3928578 2010-332 10-26-2010 TFC 3.00 CCC 40.00 I CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 245.00
SANDERS, DAVID ROSS JCSF 1.00 JSF 3.00 I IDF 2.00 CJDR 0.10 FINE 85.00 DFF 61. 90
Credit Card JPAY 6.00 I
3928579 2009-514 10-28-2010 FINE 50.00 I 50.00
CARRERA, THOMAS ANTHONY I
Cash I
11/03/2010 Money Distribution Report Page 4
--------------------------------------------------------------------------------------------------------.---------------------------
The following totals represent - Cash and Checks Collected
Type Code Description Count Retained Disbursed Money-Totals
COST CCC CONSOLIDATED COURT COSTS 26 96.96 872.66 969.62
COST CHS COURT HOUSE SECURITY 26 93.56 0.00 93.56
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 6 0.06 0.54 0.60
COST CMI CMI 2 0.10 0.90 1.00
COST CVC CVC 2 3.00 27.00 30.00
COST DPSC OPS OMNIBASE FEE 6 53.36 108.35 161. 71
COST FA FA 2 1.00 9.00 10.00
COST IDF INDIGENT DEFENSE FUND 15 2.88 25.90 28.78
COST JCD JCD 2 0.10 0.90 1.00
COST JCPT JCPT 2 0.40 3.60 4.00
COST JCSF JUSTICE COURT SECURITY FUND 24 23.39 0.00 23.39
COST JSF JUROR SERVICE FUND 24 7.82 70.35 78.17
COST LAF SHERIFF'S FEE 9 41.95 0.00 41.95
COST PWAF TEXAS PARKS & WILDLIFE 6 24.00 6.00 30.00
COST SAF DPS 9 36.00 9.00 45.00
COST SUBC SUBTITLE C 8 12.00 228.00 240.00
COST TF TECHNOLOGY FUND 26 101.56 0.00 101.56
COST TFC TFC 8 24.00 0.00 24.00
COST TIME TIME PAYMENT FEE 5 54.87 54.88 109.75
COST WRNT WARRANT FEE 4 169.51 0.00 169.51
FEES CSRV COLLECTION SERVICE FEE 3 328.20 0.00 328.20
FEES OFF DEFERRED FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 1 10.00 0.00 10.00
FEES INDF INDIGENT FEE 1 0.10 1.90 2.00
FEES JCMF JUVENILE CASE MANAGER FEE 3 15.00 0.00 15.00
FEES JPAY JUDGE PAY RAISE FEE 22 17.40 98.60 116.00
FINE DPSF DPS FTA FINE 2 688.00 0.00 688.00
FINE FINE FINE 24 1,984.51 0.00 1,984.51
FINE PWF PARKS & WILDLIFE FINE 5 60.90 345.10 406.00
FINE WSF WATER SAFETY FINE 1 14.25 80.75 95.00
Money Totals 33 3,864.88 1,943.43 5,808.31
The folLowing totals represent - Transfers Collected
COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00
COST CHS COURT HOUSE SECURITY 0 0.00 0.00 0.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00
COST CMI CMI 0 0.00 0.00 0.00
COST CVC CVC 0 0.00 0.00 0.00
COST DPSC DPS OMNIBASE FEE 0 0.00 0.00 0.00
COST FA FA 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00
COST JCD JCD 0 0.00 0.00 0.00
COST JCPT JCPT 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00
COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00
COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
11/03/2010 Money Distribution Report Page 5
.~--------------------------------------------------------------------------------------------------------------------------.-------
The foLLowing totaLs represent - Transfers CoLLected
Type Code Description Count Retained Disbursed Money-Totals
COST SUBC SUBTITLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFC TFC 0 0.00 0.00 0.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST WRNT WARRANT FEE 0 0.00 0.00 0.00
FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00
FEES OFF DEFERRED FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES INDF INDIGENT FEE 0 0.00 0.00 0.00
FEES JCMF JUVENILE CASE MANAGER. FEE 0 0.00 0.00 0.00
FEES JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00
FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00
FINE FINE FINE 0 0.00 0.00 0.00
FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00
Transfer Totals 0 0.00 0.00 0.00
The following totals represent - Jail Credit and Community Service
COST CCC CONSOLIDATED COURT COSTS 8 29.70 267.30 297.00
COST CHS COURT HOUSE SECURITY 8 30.00 0.00 30.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 1 0.01 0.09 0.10
COST CMI CMI 1 0.05 0.45 0.50
COST CVC CVC 1 1.50 13.50 15.00
COST DPSC DPS OMNIBASE FEE 0 0.00 0.00 0.00
COST FA FA 1 0.50 4.50 5.00
COST IDF INDIGENT DEFENSE FUND 5 1.00 9.00 10.00
COST JCD JCD 1 0.05 0.45 0.50
COST JCPT JCPT 1 0.20 1.80 2.00
COST JCSF JUSTICE COURT SECURITY FUND 7 7.00 0.00 7.00
COST JSF JUROR SERVICE FUND 7 2.30 20.70 23.00
COST LAF SHERIFF'S FEE 7 35.00 0.00 35.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
COST SUBC SUBTITLE C 1 1.50 28.50 30.00
COST TF TECHNOLOGY FUND 8 32.00 0.00 32.00
COST TFC TFC 1 3.00 0.00 3.00
COST TIME TIME PAYMENT FEE 4 50.00 50.00 100.00
COST WRNT WARRANT FEE 4 200.00 0.00 200.00
FEES CSRV COLLECTION SERVICE FEE 3 276.60 0.00 276.60
FEES OFF DEFERRED FEE 0 0.00 ; 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES INDF INDIGENT FEE 0 0.00 0.00 0.00
FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00
FEES JPAY JUDGE PAY RAISE FEE 8 6.60 37.40 44.00
FINE DPSF DPS FTA FINE 1 344.00 0.00 344.00
FINE FINE FINE 8 1,013.90 0.00 1,013.90
FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00
11/03/2010
Money Distribution Report
----------------------------------------------------------------.--------------------------------------------------------------------
Page
6
The following totals represent - Jail Credit and Community Service
Type Code Description
Credit Totals
Count
The following totals represent - Credit Card Payments
9
COST CCC
COST CHS
COST CJDR
COST CMI
COST CVC
COST DPSC
COST FA
COST IDF
COST JCD
COST JCPT
COST JCSF
COST JSF
COST LAF
COST PWAF
COST SAF
COST SUBC
COST TF
COST TFC
COST TI ME
COST WRNT
FEES CSRV
FEES OFF
FEES EXRF
FEES INDF
FEES JCMF
FEES JPAY
FINE DPSF
FINE FINE
FINE PWF
FINE WSF
CONSOLIDATED COURT COSTS
COURT HOUSE SECURITY
CIVIL JUSTICE DATA RES\POSITORY FEE
CMI
CVC
DPS OMNIBASE FEE
FA
INDIGENT DEFENSE FUND
JCD
JCPT
JUSTICE COURT SECURITY FUND
JUROR SERVICE FUND
SHERIFF'S FEE
TEXAS PARKS & WILDLIFE
DPS
SUBTITLE C
TECHNOLOGY FUND
TFC
TIME PAYMENT FEE
WARRANT FEE
COLLECTION SERVICE FEE
DEFERRED FEE
EXPIRATION RENEWAL FEE
INDIGENT FEE
JUVENILE CASE MANAGER FEE
JUDGE PAY RAISE FEE
DPS FTA FINE
FINE
PARKS & WILDLIFE FINE
WATER SAFETY FINE
Credit Totals
4
4
2
o
o
o
o
4
o
o
4
4
1
1
2
2
4
2
1.
1
o
1
o
o
o
4
o
3
1
o
The following totals represent - Combined Money and Credits
4
COST CCC
COST CHS
COST CJDR
COST CMI
COST CVC
COST DPSC
COST FA
COST IDF
COST JCD
COST JCPT
CONSOLIDATED COURT COSTS
COURT HOUSE SECURITY
CIVIL JUSTICE DATA RES\POSITORY FEE
CMI
CVC
DPS OMNIBASE FEE
FA
INDIGENT DEFENSE FUND
JCD
JCPT
38
38
9
3
3
6
3
24
3
3
Retained
2,034.91
13.02
13.01
0.02
0.00
0.00
0.00
0.00
0.65
0.00
0.00
3.25
0.98
5.00
1.02
8.00
3.00
13.01
6.00
3.17
12.68
0.00
61. 90
0.00
0.00
0.00
3.60
0.00
261 .90
14.25
0.00
424.46
139.68
136.57
0.09
0.15
4.50
53.36
1.50
4.53
0.15
0.60
Disbursed Money-Totals
433.69 2,468.60
117.15
0.00
0.18
0.00
0.00
0.00
0.00
5.86
0.00
0.00
0.00
8.78
0.00
0.25
2.00
57.00
0.00
0.00
3.17
0.00
0.00
0.00
0.00
0.00
0.00
20.40
0.00
0.00
80.75
0.00
295.54
1,257.11
0.00
0.81
1.35
40.50
108.35
13.50
40.76
1.35
5.40
130. 17
13.01
0.20
0.00
0.00
0.00
0.00
6.51
0.00
0.00
3.25
9.76
5.00
1.27
10.00
60.00
13.01
6.00
6.34
12.68
0.00
61. 90
0.00
0.00
0.00
24.00
0.00
261.90
95.00
0.00
720.00
1,396.79
136.57
0.90
1.50
45.00
161.71
15.00
45.29
1.50
6.00
11/03/2010 Money Distribution Report Page 7
-------------.-.------------------.-------------------------------------------------------------------------------------------------
The following totals represent - Combined Money and Credits
Type Code Description Count Retain.ed Disbursed Money-Totals
COST JCSF JUSTICE COURT SECUR !TY FUND 35 33.64 0.00 33.64
COST JSF JUROR SERVICE FUND 35 11.09 99.84 110.93
COST lAF SHERIFF'S FEE 17 81.95 0.00 81.95
COST PWAF TEXAS PARKS & WilDLIFE 7 25.02 6.25 31.27
COST SAF DPS 11 44.00 11. 00 55.00
COST SUBC SUBTiTlE C 11 16.50 313.50 330.00
COST TF TECHNOLOGY FUND 38 146.57 0.00 146.57
COST TFC TFC 11 33.00 0.00 33.00
COST TIME TIME PAYMENT FEE 10 108.04 108.05 216.09
COST WRNT WARRANT FEE 9 382.19 0.00 382.19
FEES CSRV COLLECTION SERVICE FEE 6 604.80 0.00 604.80
FEES OFF DEFERRED FEE 1 61.90 0.00 61. 90
FEES EXRF EXPIRATION RENEWAL FEE 1 10.00 0.00 10.00
FEES INDF INDIGENT FEE 1 0.10 1.90 2.00
FEES JCMF JUVENILE CASE MANAGER FEE 3 15.00 0.00 15.00
FEES JPAY JUDGE PAY RAISE FEE 34 27.60 156.40 184.00
FINE DPSF DPS FTA FINE 3 1,032.00 0.00 1,032.00
FINE FINE FINE 35 3,260.31 0.00 3,260.31
FINE PWF PARKS & WILDLIFE FINE 6 75.15 425.85 501.00
FINE WSF WATER SAFETY FINE 1 14.25 80.75 95.00
Report Totals 46 6,324.24 2,672.67 8,996.91
11/03/2010 Money Distribution Report Page 8
-----------------------------------------------------.------------------------------------------------------------------------------
DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL
00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1993 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00' 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1997 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 , 0.00 0.00 0.00
Total of all Collections O~OO 0.00 0.00
01-01-2004 Cash & Checks Collected 3,173.51 2,163 ',,60 471.20 0.00 0.00 0.00 5,808.31
Jail Credits & Comm Service 1,357.90 790.10 320.60 0.00 0.00 0.00 2,468.60
Credit Cards & Transfers 356.90 277.20 85.90 0.00 0.00 0.00 720.00
Total of all Collections 4,888.31 3,230.90 877.70 0.00 0.00 0.00 8,996.91
TOTALS Cash & Checks Collected 3,173.51 2,163.60 471.20 0.00 0.00 0.00 5,808.31
Jail Credits & Comm Service 1,357.90 790.10 320.60 0.00 0.00 0.00 2,468.60
Credit Cards & Transfers 356.90 277.20 85.90 0.00 0.00 0.00 720.00
Total of all Collections 4,888.31 3,230.90 877.70 0.00 0.00 0.00 8,996.91
,,;= . ~
11/03/2010
Money Distribution Report
Page
9
---------------------------------------------------------------~---------------------------------------------------------------------
DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL
State of Texas Quarterly Reporting Totals
Description
Count
Collected
Retained
Disbursed
State Comptroller Cost and Fees Report
Section I: Report for Offenses Committed
01-01-04 Forward 40 1 , 145.79 114.58 1,031.21
09-01-01 - 12-31-03 0 0.00 0.00 0.00
08-31-99 - 08-31-01 0 0.00 0.00 0.00
09-01-97 - 08-30-99 0 0.00 0.00 0.00
09-01-91 - 08-31-97 0 0.00 0.00 0.00
Bail Bond Fee 0 0.00 0.00 0.00
DNA Testing Fee - Convictions 0 0.00 0.00 0.00
DNA Testing Fee - Comm Supvn 0 0.00 0.00 0.00
DNA Testing Fee - Juvenile 0 0.00 0.00 0.00
EMS Trauma Fund (EMS) 0 0.00 0.00 0.00
Juvenile Probation Diversion Fees 0 0.00 0.00 0.00
Jury Reimbursement Fee 28 87.93 8.79 79.14
Indigent Defense Fund 19 35.29 3.53 31. 76
Moving Violation Fees 8 0.80 0.08 0.72
State Traffic Fine 10 300.00 15.00 285.00
Section II: As Applicable
Peace Officer Fees 18 86.27 69.02 17.25
Failure to Appear/Pay Fees 6 161. 71 53.36 108.35
Judicial Fund - Const County Court 0 0.00 0.00 0.00
Judicial Fund - Statutory County Court 0 0.00 0.00 0.00
Motor Carrier Weight Violations 0 0.00 0.00 0.00
Time Payment Fees 6 116.09 58.04 58.05
Driving Record Fee 0 0.00 0.00 0.00
Judicial Support Fee 26 140.00 21.00 119.00
Report Sub Total 161 2,073.88 343.40 1,730.48
State Comptroller Civil Fees Report
CF: Birth Certificate Fees 0 0.00 0.00 0.00
CF: Marriage License Fees 0 0.00 0.00 0.00
CF: Declaration of Informal Marriage 0 0.00 0.00 0.00
CF: Nondisclosure Fees 0 0.00 0.00 0.00
CF: Juror Donations 0 0.00 0.00 0.00
CF: Justice Court Indig Filing Fees 1 2.00 0.10 1.90
CF: Stat Prob Court Indig F il i ng Fees 0 0.00 0.00 0.00
CF: Stat Prob Court Judic Fi ling Fees 0 0.00 0.00 0.00
CF: Stat Cnty Court Indig F il i ng Fees 0 0.00 0.00 0.00
CF: Stat Cnty Court Judic Fi ling Fees 0 0.00 0.00 0.00
CF: Cnst Cnty Court Indig Fi ling Fees 0 0.00 0.00 0.00
CF: Cnst Cnty Court Judic Filing Fees 0 0.00 0.00 0.00
CF: Dist Court Divorce & Family Law 0 0.00 0.00 0.00
CF: Dist Court Other Divorce/Family Law 0 0.00 0.00 0.00
CF: Dist Court Indig Legal Services 0 0.00 0.00 O.qo
CF: Judicial Support Fee 0 0.00 0.00 0.00
Report Sub Total 1 2.00 0.10 1.90
Total Due For This Period 162 2,075.88 343.50 1,732.38
APPROVAL OF PAYROLL:
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the payroll
dated October 1, 2010 in the amount of $224,392.67, October 15, 2010 in the amount of $222,377.21
and October 29, 2010 in the amount of $246,208.60. Commissioners Lyssy, Fritsch, Finster and Judge
Pfeifer all voted in favor.
11/09/2010 13:59 Calhoun County Treasurer/Auditor
(fAX)3615534614
P.001/001
CALHOltrN COUNTY
PAYROLL 2010
MONTH I OCTOBER
Payroll dated 10.01.10.
Payroll dated 10-15-10
Payroll dated 10-Z9.10
S 224,392.67
$ 222,377.21
S 246,208.60
I APPROVED TOTAL PAYROLL
S 692,978.48
Tbeltemt Utteclabove be". been pre-approve4:by an DepartmeDt Head. aDd I certH')' that tuDela are
avanable to pay th.l~.tlo... Ice tba th. e true eDel correc:t to the beat of my
bowledle thll the day of 2010.
ACCOUNTS ALLOWED - COUNTY:
Claims totaling $759,743.76 were presented by the County Treasurer and after reading and verifying
same; a Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy that said claims
be approved for payment. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
ACCEPT DONATIONS TO THE CALHOUN COUNTY LIBRARY:
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to accept the
donations made to the Calhoun County Library. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer
all voted in favor.
'--'~.:."'r__'CL'
c
"I
Calhoun County Public Library System
(361) 552-7323
200 W. Mahan
Port Lavaca, Texas 77979
The following materials have been donated to the Calhoun County Public
Library System during the months of May 2010 - Oct 2010
Books
990 Books
3 Books
9 Books
5 Books
5 Book
2 Books
18 Books
61 Books
1 Book
1 Book
7 Books
22 Books
2 Books
32 Books
4 Books
26 Books
18 Books
27 Books
10 Books
1 Book
6 Books
49 Books
43 Books
7 Books
53 Books
1 Book
3 Book
1 Book
8 Books
5 Books
2 Books
30 Books
248 Books
1 Book
Donor
Unknown
Sam Wiley
Kari Eikehaug
Margaret Torpey
John O'Brien
Robert Zapalac
Sophia Chen
David Kinchen
Nancy Thompson
Linda Johnson
Michael Caughron
Albert Cantu
Sarah Pevi
Ann Cunningham
George Smith
Linda Ward
Vicky Hastings
Leroy Braden
Sonja Luxhoj
Sarah Cheek
Kay Dillingham
Tom Presley
Dan Heard
Carol Smith
David Sumpter
Billy Hoffman
Mary Belle Meitzen
Helga Loudenslager
Dolores Miller
Nina Saucedo
Inez Sanchez
Fred Rhodes
Seadrift Boy Scouts
Linda Wagner
,;;
'"
2 Books
1 Book
2 Books
65 Books
1 Book
9 Books
1 Book
1 Book
9 Books
16 Books
4 Books
2 Books
33 Books
3 Books
2 Books
18 Books
8 Books
24 Books
1 Book
1 Book
3 Books
1 Book
2 Books
58 Books
4 Books
20 Books
2 Books
3 Books
23 Books
37 Books
Bobbye Segrest
Cindy Herrera
Kim Griffith
Cody Hall
Earline Watson
Ken Wiese
Helen Chen
Anita Moore
Lianne Ryan
Angie Burgin
Luis Herrera
Emily Dunwoody
Helen Chen
Abelina Marez
Nancy Shaffer
Ann McFarland
Alcoholics Anonymous
Robin Sikes
John D. Winder
Brandy Huerta
Mrs. Gilbert Yanes
Elizabeth Gonzales
Angela Velma
Joann Lundin
Alma Granados
Mr. & Mrs Gary Paul
Loretta Jo Vaughan
Jacqueline Herrera
Joyce May
Reg White
Paoerbacks
1123 Paperbacks
12 Paperbacks
1 Paperback
5 Paperbacks
59 Paperbacks
13 Paperback
6 Paperbacks
8 Paperbacks
11 Paperbacks
4 Paperbacks
7 Paperbacks
3 Paperbacks
11 Paperbacks
Unknown
Margaret Torpey
A.I.M. Kathy Leabo
John O'Brien
Sophia Chen
David Kinchen
Linda Johnson
Michael Caughron
Albert Cantu
Santos Leal Jr.
Alton Easton
Billie Vandever
Ann Cunningham
,J
2 Paperbacks
9 Paperbacks
79 Paperbacks
13 Paperbacks
32 Paperbacks
23 Paperbacks
1 Paperback
9 Paperbacks
6 Paperbacks
5 Paperbacks
18 Paperbacks
4 Paperbacks
15 Paperbacks
1 Paperback
25 Paperbacks
21 Paperbacks
7 Paperback
227 Paperbacks
4 Paperbacks
1 Paperback
39 Paperbacks
24 Paperbacks
4 Paperbacks
6 Paperbacks
.9 Paperbacks
17 Paperbacks
13 Paperbacks
2 Paperbacks
8 Paperbacks
37 Paperbacks
29 Paperbacks
4 Paperbacks
16 Paperbacks
5 Paperbacks
4 Paperbacks
19 Paperbacks
5 Paperbacks
1 Paperback
29 Paperbacks
13 Paperbacks
2 Paperbacks
72 Paperbacks
Kim Griffith
Linda Ward
Vicky Hastings
Sandra Barton
Leroy Braden
Sonja Luxhoj
Donna Pick
Kay Dillingham
Tom Presley
Dan Heard
David Sumpter
Kari Eikehaug
Mary Belle Meitzen
Helga Loudenslager
Bobbye Segrest
Fred Rhodes
Robert Babcock
Seadrift Boy Scouts
Kim Griffith
Ken Wiese
Brandy Hurta
Cindy Herrera
Doris Wyman
Helen Chen
Lianne Ryan
Angie Burgin
Luis Herrera
Liz Gonzales
Vivian Lee
Ann McFarland
Robin Sikes
Cheryl Brown
John D.Winder
Elizabeth Gonzales
Angela Velma
Joann Lundin
Alma Granados
Nina Saucedo
Loretta Jo Vaughan
Jacqueline Herrera
Joyce May
Reg White
Audios
16 Audio Book
Unknown
.
.
,.;"
64 Magazines
18 Magazines
51 Magazines
2 Magazines
232 Magazines
2 Magazines
Linda Wagner
Edna Aguilar
Marian Hilscher
Abelina Marez
Mrs Gilbert Yanes
Joann Lundin
Others
1 Calender
4 Color Books
2 Hooked on Phonics Sets
5 VHS Cases
2 Packages Markers
6 Puzzles
1 Glue Stick
2 Packages Flash Cards
1 Pair Scissors
7 Color Books
1 Floppy Disc
2 Cassette Tapes
11 Phone Books
2 Lexmark Color Printers
1 Display Shelf
Unknown
Unknown
Unknown
Unknown
Sophia Chen
Sophia Chen
Sophia Chen
Sophia Chen
Sophia Chen
Sophia Chen
Alton Easton
Helga Loudenslager
Seadrift Boy Scouts
Caracol
Sarah Trevino
DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN THE CALHOUN COUNTY LIBRARY AS
SURPLUS/SALVAGE (SEE ATTACHED LIST):
1
! t
,
1
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to declare certain
items of County Property in the Calhoun County Library as surplus/salvage. Commissioners Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
/:
't!-
Calhoun County;'Public Library System
(361) 552-7323
200 W. Mahan
Port Lavaca, Thxas 77979
May 2010 - Oct 2010
I would like the following items to be declared Salvage
136 Books
212 Paperbacks
9 Audio Book
7 Music CD's
CD-ROM
34 VHS
23 DVD's
993 Magazines
1 Calender
1 Floppy Disk
2 Cassette Tapes
7 Phone Books
.t
"
Calhoun County, Public Library System
(361) 552-7323
200 W. Mahan
Port Lavaca, 'Thxas 77979
May 2010 - Oct 2010
I would like the following items to be declared Surplus
4302 Books
3181 Paperbacks
103 Audios Books
4 Music CD's
9 CD-ROM
495 VHS
7 DVD's
620 Magazines
4 Color Books
2 Hooked on Phonics Sets
5 VHS Cases
;..t!
...,
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name: Library
Requested By: Noemi Cruz
Dell Monitor
Kin dom CPU
ke board
"
mouse
HP Desk et rinter
Logitech mouse
Optical mouse
Fax modem
Explorer headphones
ID Armor shredder
Juster speakers
Canon copymachine
Dell mouse
Dell keyboard
Dell keyboard
Samsung monitor
Dell Monitor
Reason for Surplus/Salvage
Declaration
MX-017BOR47BOI-030-H
9440436
A1544B04 ""
SF-400B ""
712C-MY94F1536F Not workin
B10-000207 ""
WK2B03 ""
726947051423 Obsolete
none Not workin
E10100700352 Not working
YNJB021907097 Not working
JHK25B99 Not workin
LZE146072:91 Not workin
TH-025PGG37171-21M-3 01 Sticky
TH-025PGG37171-210-1 39 Sticky keys
HA15H9NA106379P Not working
CN-OFPB18-74261-B4I- 1WSU Old/replaced with flatscreen
Burgundy secretarial ch ir seat broken
Black secretarial chair seat broken
Black task chair back broken
Dell monitor MY-04N736-47603-35M- 1PA Old/replaced with flatscreen
Dell Quietkey keyboard 37172-02T~B729 Sticky keys
Gateway keyboard B3000576 Not working
IBM Aptiva media consol 12J6349 Old/donation
Gateway keyboard A190B70 Not working
Juster speakers NJB021104572 Not workin
Dell keyboard H-017EKD-51677-0BM- 2BO Not workin
Intellimouse 3BB2A611 Not working
Microsoft mouse 6361B-OEM Not working
'"
F-
..
"
Calhoun ,County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name: Library
Requested By: Noemi Cruz
Reason for Surplus/Salvage
Declaration
Gateway keyboard
Gateway mouse
Gateway mouse
IBM mouse
Hewlett Packard scanner
Keytronic keyboard
BTC keyboard
Gateway keyboard
Gatewa ke board
F675771
63618-0EM-3832543-8
63618-0EM-6901757-7
067282
4892A009
J980326379
ESXKB5121WTHOl10
G065084
F698410
Not workin
Not workin
Not workin
Old/Donation
Not working
Old/Donation
Old/Donation
Old laced
Old re laced
....
DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN THE EMERGENCY MANAGEMENT
OFFICE AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY. FURTHER, DONATE THESE
ITEMS TO THE AMERICAN RED CROSS (SEE LIST):
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to declare certain
items of County Property in the Emergency Management Office as surplus/salvage and remove from
Inventory. Further, donate these items to the American Red Cross. Commissioners Lyssy, Fritsch,
Finster and Judge Pfeifer all voted in favor.
Calhoun County Emergency Management
211 South Ann Street, Suite 301
Port Lavaca, 'IX 77979-4249
Phone: 361-553-4400/Fax: 361-553-4444
e-mail: ladonna.thigpen@calhouncotx.org
November 3, 2010
To: Co~monersCourt
From: Emergency Mgmt.
RE: Fixed Asset Inventory
Commissioner's Court,
Please remove from Emergency Management Inventory #630 and donate to the American Red
Cross the following items:
3-14-94
7-31-89
1-8-97
#406-0069 Swintec Typewriter
#406-0042 VCR Quasar Mood #VH5380
#406-0100 Sharp 13in 1V
2600SW3X3004429
SB8263298
541023
Thank you,
hJD~~ ~
LaDonna Thigpen
cc: Auditors office
DECLARE CERTAIN ITEMS OF COUNTY PROfERTY IN THE OFFICE OF EMS AS
SURPLUS/SALVAGE AND REMOVE FROM INVENTORY. FURTHER, DONATE THESE ITEMS TO
THE PORT LAVACA FIRE DEPARTMENT (SEE~ATTACHED LIST):
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to declare items of
County Property in the Office of EMS as surplus/salvage and remove from inventory. Further, donate
these items to the Port Lavaca Fire Department. Commissioners Lyssy, Fritsch, Finster and Judge Pfeifer
all voted in favor.
Calhoun County
Emergency Medical Services
705 County Road 101
Port Lavaca, Texas 77979
361-552-1140 Office 361-553-4800 Fax
Inter Office Note
To: Commissioner's Court
Reference: Surplus Salvage
From: Henry Barber
Date: October 26,2010
I would like to surplus/salvage tile attached list of pagers and
remove them from our inventory. Further I would like to provide
these pagers to the Port Lavaca Fire department. The fire
department will utilized the pagers until funding can be provided
for an upgrade to the Minitor V pagers that are P25 compliant.
Upon upgrading the fire department will dispose of the pagers
through their surplus/salvage process.
Please place this on your next agenda.
Thank Y Oil
Henry Barber
C:\Documcnls and Settings\Hcnry Barbcr\My DOCllmenls\My DOCllHlems\lntcr Gflice Note 200 I.doc
. .
Calhoun County EMS (Pagers)
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