2021-12-1 Meeting Packet.pdfAll Agenda Items properly Numbered
Contracts Completed and Signed '/ �
ll 1295's Flagged for Acceptance
,/'' (number of 1295's
�Pkll Documents for Clerk Signature Flagged
On this 11kday of 61! h4 c,/ 2021 a complete and accurate packet
for Idk of 2021 Commissioners Court regular Session
Day Month
was delivered from the Calhoun County Judge's office to the Calhoun County
Clerk's Office.
-(9WU
Calhoun CountyJudge/Assistant
COMMISSIONERSCOURTCHECKLIST/FORMS
AGENDA
NOTICE OF MEETING— 12/1/2021
Richard H. Meyer
County judge
David Hall, Commissioner, Precinct 1
Vern Lyssy, Commissioner, Precinct 2
Joel ]Behrens, Commissioner, Precinct 3
Clary Reese, Commissioner, Precinct 4
Kaddie Smith, Deputy Clerk
NOTICE OF MEETING
The Commissioners' Court of Calhoun County, Texas will meet on Wednesday,
December 1, 2021 at 10:00 a.m. in the Commissioners'Courtroom in the County
Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas.
AGENDA
The subject matter of such meeting is as follows:
1. Call meeting to order.
Meeting called to order at 9:59 a.m. by Judge Meyer
2. Invocation.
Commissioner David Hall
3. Pledges of Allegiance.
Us Flag- Commissioner Gary Reese
Texas Flag- Commissioner Vern Lyssy
4. General Discussion of Public Matters and Public Participation.
5. Hear report from Memorial Medical Center.
Roshanda Thomas spoke on the major highlights of the month.
Page 1 of 3
NOTICE OF MEETING— 12/1/2021
6. Consider and take necessary action to approve and amend the County Vacation Policy,
section 9.03, item 9.03.04 to read as follows: (RHM)
"Temporary and part-time employees do not earn vacation leave. Vacation leave shall
not accrue during the time an employee is on unpaid FMLA leave, unpaid personal
leave or while unable to work due to an on-the-job injury or illness."
Clarri Atkinson explained the reason for the change.
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
7. Consider and take necessary action to approve District Clerk Deputy bonds in the
amount of $39,000 each per Local Government Code 82.002 (Surety Bond on Deputy
Clerks and Employees). (RHM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Vern Lyssy, Commissioner Pct 2
SECONDER.
Gary Reese, Commissioner Pct 4
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
8. Consider and take necessary action to approve a credit card for Transport Officer Sarina
Bernhart with a $2,500.00 limit. (RHM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Gary Reese, Commissioner Pct 4
SECONDER:
Joel Behrens, Commissioner Pct 3
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
9. Consider and take necessary action to authorize Commissioner Behrens to sign a lease
and rental agreement with Anderson Machinery for the rental of a 2016 Kobelco SK 260
LR excavator. (JB)
Commissioner Joel Behrens explained the reasoning for needing the
machine.
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 2 of 3
NOTICE OF MEETING — 12/1/2021
10. Accept reports from the following County Offices:
i. County Treasurer — September 2021
ii. County Treasurer — Investment Report for Quarter Ended September
2021
iii. County Treasurer — Quarterly Statement of Balances — September 2021
iv. Tax Assessor -Collector — October 2021
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Vern Lyssy, Commissioner Pct 2
SECONDER:
Joel Behrens, Commissioner Pct 4
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
11. Consider and take necessary action on any necessary budget adjustments. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: Joel Behrens, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
12. Approval of bills and payroll. (RM)
MMC
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
County
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
ADJOURNED: 10:25 a.m.
Page 3 of 3
N0[1(L OF MLL?live
Richard H. Meyer
County judge
David Fall, Commissioner, Precinct 1
Vern L,yssy, Commissioner, Precinct 2
Joel 'Behrens, Commissioner, Precinct 3
Gary Reese, Commissioner, Precinct 4
NOTICE OF MEETING
The Commissioners' Court of Calhoun County, Texas will meet on Wednesday,
December 1, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County
Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas.
AGENDA
The subject matter of such meeting is as follows:
1. Call meeting to order.
2. Invocation.
3. Pledges of Allegiance.
4. General Discussion of Public Matters and Public Participation.
Hear report from Memorial Medical Center.
ILE
AT '��0FD
'CLOCK I M
NOV 2 4 2021
ANNAM.G000MAN
COUR CC Lf10 COIIN
BY: ,��VJ/u"1JGpl
5 Consider and take necessary action to approve and amend the County Vacation Policy,
section 9.03, item 9.03.04 to read as follows: (RHM)
"Temporary and part-time employees do not earn vacation leave. Vacation leave shall
not accrue during the time an employee is on unpaid FMLA leave, unpaid personal
leave or while unable to work due to an on-the-job injury or illness."
i. Consider and take necessary action to approve District Clerk Deputy bonds in the
amount of $39,000 each per Local Government Code 82.002 (Surety Bond on Deputy
Clerks and Employees). (RHM)
Consider and take necessary action to approve a credit card for Transport Officer Sarina
�B rnhart with a $2,500.00 limit. (RHM)
TJ. Consider and take necessary action to authorize Commissioner Behrens to sign a lease
and rental agreement with Anderson Machinery for the rental of a 2016 Kobelco SK 260
LR excavator. (JB)
Page 1 of 2
I NCfl l( F 01 VILL I INS 1 // i/ 10)1
it'Accept reports from the following County Offices:
`i County Treasurer — September 2021
Ali County Treasurer — Investment Report for Quarter Ended September
2021
�y County Treasurer — Quarterly Statement of Balances — September 2021
iv. Tax Assessor -Collector — October 2021
11. Consider and take necessary action on any necessary budget adjustments. (RM)
T2. Approval of bills and payroll. (RM)
ichard H. Meyer, Coun dge
Calhoun County, Texas
A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street,
Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for
at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at
www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings.
Page 2 of 2
NOTICE OF MEETING — 12/1/2021
Richard H. MCYeT
County judge
David Hall, Commissioner, Precinct 1
Vern Lyssy, Commissioner, Precinct 2
Joel Behrens, Commissioner, Precinct 3
(sally Reese, Commissioner, Precinct 4
Kaddie Smith, Deputy Clerk
NOTICE OF MEETING
The Commissioners'Court of Calhoun County, Texas will meet on Wednesday,
December 4 2021 at 10:00 a.m. in the Com missnonnens' Courtrooms in the County
Courthouse at 211 S. Ann Street, Suite 104, Pont Lavaca, Calhoun County, Texas.
AGENDA
The subject matter of such meeting is as follows:
1. Call meeting to order.
Meeting called to order at 9:59 a.m. by Judge Meyer
2. Invocation.
Commissioner David Hall
3. Pledges of Allegiance.
Us Flag- Commissioner Gary Reese
Texas Flag- Commissioner Vern Lyssy
4. General Discussion of Public Matters and Public Participation.
NA
Page 1 of 9
#5
NOTICE OF MEETING— 12/1/2021
5. Hear report from Memorial Medical Center.
Roshanda Thomas spoke on the major highlights of the month.
Page 2 of 9
#6
NOTICE OF MEETING— 12/1/2021
6. Consider and take necessary action to approve and amend the County Vacation Policy,
section 9.03, item 9.03.04 to read as follows: (RHM)
"Temporary and part-time employees do not earn vacation leave. Vacation leave shall
not accrue during the time an employee is on unpaid FMLA leave, unpaid personal
leave or while unable to work due to an on-the-job injury or illness."
Clarri Atkinson explained the reason for the change.
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 3 of 9
Mae Belle Cassel
From: clarri.atkinson@calhouncotx.org (Clarri Atkinson) <clarri.atkinson@calhouncotx.org>
Sent: Friday, November 19, 2021 11:28 AM
To: maebelle.cassel@calhouncotx.org; richard.meyer@calhouncotx.org; vern lyssy; David
Hall;joel.behrens@calhouncotx.org; gary.reese@calhouncotx.org
Subject: Agenda Item Request - Amend Personnel Policy 9.03 Vacation Leave
Please place the following item on the agenda for December 1, 2021:
Consider and take necessary action to approve and amend the County Vacation Policy, section 9.03, item 9.03.04 to read
as follows
"Temporary and part time employees do not earn vacation leave. Vacation leave shall not accrue during the time an
employee is on unpaid FMLA leave, unpaid personal leave or while unable to work due to an on-the-job injury or
illness."
Clarri Atkinson
Calhoun County
Chief Deputy Treasurer —
Human Resources Coordinator
202 S. Ann, Suite A
Port Lavaca, TX 77979
P: 361.553.4618
F: 361.553.4614
Clarri.atkinson(@calhouncotx.ore
Confidentiality Notice: Privileged/confidential information maybe contained in this message and maybe subject to legal privilege. Access to this
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Calhoun County Texas
NOTICE OF MEETING— 12/1/2021
7. Consider and take necessary action to approve District Clerk Deputy bonds in the
amount of $39,000 each per Local Government Code 82.002 (Surety Bond on Deputy
Clerks and Employees). (RHM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Vern Lyssy, Commissioner Pct 2
SECONDER:
Gary Reese, Commissioner Pct 4
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 4 of 9
Mae Belle Cassel
From:
anna.kabela@calhouncotx.org (Anna Kabela) <anna.kabela@calhouncotx.org>
Sent:
Tuesday, November 23, 2021 8:40 AM
To:
'Mae Belle Cassel'
Subject:
DISTRICT CLERK DEPUTY BONDS
Attachments:
TEXAS GOVERNMENT CODE 51309.pdf
Good morning, Mae Belle,
Will you please add the "Approval of District Clerk Deputy Bonds in the amount of $39,000 each per Texas Government
Code 51.309" to the next available agenda.
Thank you!
And Happy Thanksgiving!
ANNA KABELA
District Clerk
Calhoun County District Clerk's Office
anna.kabela@calhouncotx.org
(361) 553-4631 Phone
(361) 553-4637 Fax
211 S. Ann - Courthouse, Suite 203
Port Lavaca, Texas 77979
Calhoun County Texas
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GOVERNMENTCODE (H PS//CODES.FINDLAW.COM/T%/GOVERNMENTCODE/1 / §31.309
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(a) The district clerk may appoint deputy clerks. Each appointment must be in writing under the hand and seal
of the district court and must be recorded in the office of the county clerk. A deputy clerk must take the oath
prescribed for officers of this state. A deputy clerk may perform in the name of the district clerk all official acts
of the office of district clerk.
(b) Except as provided by Subsection (c), the district clerk shall obtain one or more surety bonds in accordance
with this section to cover each deputy clerk or other employee. The district clerk shall obtain:
(1) an individual bond for each deputy clerk and other employee in an amount for each bond that is equal to
the district clerk's bond; or
(2) a schedule surety bond or a blanket surety bond to cover all deputy clerks and all other employees in a
total amount that is equal to the district clerk's bond.
(b-1) A deputy clerk and an employee must be covered by a surety bond on the same conditions as the district
clerk. A bond covering a deputy clerk or other employee shall be made payable to the governor for the use and
benefit of the district clerk.
(c) In lieu of the bond required by Subsection (b), the county may self -insure against losses that would have
been covered by the bond.
a rev hops://codes.findlawcom/ta/gevemment-code/gav-t-seM-51-308.htm11
NOM n (https://codes.fmdlew.com/bc/oovernmentaode/gov-t-seM-51-310.html),
Read this complete Texas Government Code- GOV'T § 51.309, De pr t Clerks and Other Emg oyees on Westlaw
(blIRSI#l.next.wastlaw.com/Document/ICF51 11 70E9551 1 EA9FC186A013DC5108/View/FullText.html7
originationContext=documenttoc&t ansitionTypg--:,C eggeltem&contextData=(sc. a ),
FindLaw Codes are provided courtesy of Thomson Reuters Westlaw, the industry -leading o ine I gal research
system(https.1/legalsolutions.thomsonreuters.com/law-products/westlaw-legal-research/); For more detailed
codes research information, including annotations and citations, please visit Westlaw (https://www-westlaw.com/).
Findi-aw Codes may not reflect the most recent version of the law in yourjurlsdlction. Please verify the status of the
code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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u 0
uo
NOTICE OF MEETING— 12/1/2021
8. Consider and take necessary action to approve a credit card for Transport Officer Sarina
Bernhart with a $2,500.00 limit. (RHM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Gary Reese, Commissioner Pct 4
SECONDER:
Joel Behrens, Commissioner Pct 3
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 5 of 9
11-22-'21 11:35 FROM- 361-553-4668 T-553 P0001/0001 F-527
CALHOUN COUNTY, TEXAS
COUNTY SHERIFF'S OFFICE
211 SOUTH ANN STREET
PORT LAVACA, TEXAS 77979
PHONE NUMBER (361) 553-4646
FAX NUMBER (361) 553-4668
MEMO TO: RICHARD MEYER, COUNTY JUDGE
SUBJECT: CREDIT CARD
DATE: DECEMBER 1. 2021
Please place the following item(s) on the Commissioner's Court agenda for the date(s)
indicated:
AGENDA FOR DECEMBEA 1, 2021
• Consider and take necessary action to approve a credit card for
transport officer Sarina Bernhart for $2500.00
Sincerely,
Bobbie Vickery
Calhoun County Sheriff
#9
NOTICE OF MEETING — 12/1/2021
9. Consider and take necessary action to authorize Commissioner Behrens to sign a lease
and rental agreement with Anderson Machinery for the rental of a 2016 Kobelco SK 260
LR excavator. (JB)
Commissioner Joel Behrens explained the reasoning for needing the
machine.
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 6 of 9
Joel Behrens
Calhoun County Commissioner, Precinct 3
24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 —Office (361) 893-5346 —Fax (361) 893-5309
Email: icel.behrens@calhouncomorg
I
Honorable Richard Meyer
Calhoun County Judge
211 S. Ann
Port Lavaca, TX 77979
RE: Agenda Item
Dear Judge Meyer:
Please place the following item on the Commissioner's Court Agenda for December 1, 2021.
• Please Consider and Take Necessary Action on allowing Commissioner Behrens to sign lease & rental
agreement with Anderson Machinery for rental of 2016 Kobelco SK 260 LR excavator.
Sincerely,
Joel Behrens
Commissioner Pct. 3
It NDERSON yg LEASE &RENTAL AGREEMENT
Lessee: Calhoun Co Pct.3
Address: 24627 St. Hwy 172 Port Lavaca, Tx 77979
Description
Kobelgo SK 260 LR- 2016 model
Equipment #
3812
Serial #
LL16-10104
Start Date: 11-29-21
Hour Meter: 1,774.0
$
Equipment Value
330,000.00
Guaranteed Term: Month
Purchase Order #
Joel
Single shift base rate per month
Insurance
Subtotal
HET 0.2073%
TERP 1.50%
$
$
$
10,000.00
Customer Provided
10,000.00
20.73
Estimated Delivery & Pickup
X Lessor Lessee Qharges $775 e/way
Jobsite Location
Olivia, Tx
Sales Tax 8.25%
Total due per month $ 10,020.73
Fuel: Unit will be furnished with a full tank of fuel on delivery. Lessee agrees to return the unit with a full tank or reimburse the Lessor for
the cost of filling the fuel tank. Any unit that requires def fluid will be handled the same way as fuel.
Repair : Lessee agrees to pay repair cost except normal wear. Lessee also agrees to pay for high wear Items like cutting edges, teeth,
tires, hammer, points and undercarriage (tires and undercarriage will pro -rated). Lessee agrees that the time required to complete repairs
to the above described equipment after return from rental, whether necessitated by physical damage and covered by Lessee's insurance
or resulting from repairs, required as a damage beyond normal wear, will be billed at 50% of the appropriate single shift base rate above
and Lessee agrees to pay the charges therefor.
Non -Waiver : Time is of the essence. Lessor's failure at any time to require strict performance by Lessee of any of the provisions hereof
shall not waive or diminish Lessor's right thereafter to demand strict compliance therewith or with any other provision. Waiver of any
default shall not waive any other default. No remedy of Lessor hereunder shall be exclusive of any other remedy herein or by law
provided, but each shall be cumulative and in addition to every other remedy.
Send all
to: 5309 US Hwy 59 N - Victoria - TX - 77905
All conditions on this contract and
I
Anderson Machinery Company
Name
Title:
Date:
(Not valid unless signed by an officer of Anderson Machinery Company)
ad "Terms and Conditions" are accepted by:
Lessee: Calhoun Co Pct.3
Name
Title: Date:
CERTIFICATE OF INTERESTED PARTIES FORM 1295
loll
Complete NOS. 1- a and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos.1, 2, 3, 5, and 6 if mere are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2021-827195
Anderson Machinery Company
VCloria, TX United States
Date Piled:
112912021
r Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
Calhoun County
Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
AMCO-VT 123
Equipment rentals or purchases
4 '
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
Anderson Machinery Company
Victoria, TX United States
X
S Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is �t�� w I� •htn and my date of birth is . r^.r.a..
Myaddressis •.r-�— r _
r� . — r—� -- , j_, - _ _ J5s v
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(street) (city) (state) (zip code) (wwtry)
I declare under penaltyofperjury that the foregoing is true and correct.
`
Executed in V' L"[Lip • County, State of a- wS n the c day of dtk:.vnt�'{20.
(anth) (year)
r -
Signature of aunt z( agent d contracting sin. s tiry
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Forms provided by Tef"as Ethics Commission VAMethics.state.N.us Version V1.1.191b5cdc
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#10
NOTICE OF MEETING— 12/1/2021
10. Accept reports from the following County Offices:
i. County Treasurer — September 2021
ii. County Treasurer — Investment Report for Quarter Ended September
2021
iii. County Treasurer — Quarterly Statement of Balances — September 2021
iv. Tax Assessor -Collector — October 2021
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Vern Lyssy, Commissioner Pct 2
SECONDER:
Joel Behrens, Commissioner Pct 4
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 7 of 9
T
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CALHOUN COUNTY TREASURER'S OFFICE
INVESTMENT REPORT
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SUMMARY
TAX ASSESSOR -COLLECTORS MONTHLY REPORT
OCTOBER 2021
COLLECTIONS
DISBURSEMENTS
Title Certificate Fees 433
$
5,824.00
Title Fees Paid TXDOT
$
3,659.00
Title Fees Paid County Treasurer Salary Fund
$
2,165.00
Motor Vehicle Registration Collections
$
133,345.91
Disabled Person Fees
$
40.00
Postage
$
Global Additonal Collections
$
Paid TXDOT
$
108,111.57
Paid TXDOT SP
$
18,631.95
Paid County Treasurer -
$
-
Paid County Treasurer Salary Fund
$
5,099.56
DMV CCARDTRNSFEE $ 1,542.84
$
-
GLAdditonalCollections $ -
$
-
GLOBAL (IBC) Credit/Debit Card Fee's
$
1,266.68
GLOBAL Fees In Excess of Collections
$
276.26
MERCH SERVICES STATEMENT
$
-
Additional Postage - Vehicle Registration DECEMBER 2020
$
28.79
Paid County Treasurer- Additional Postage
$
28.79
Motor Vehicle Sales 8, Use Tax Collections
$
664,380.18
Paid State Treasurer
$
564,380.18
Special. Road/Bridge Fees Collected
$
18,590.00
Paid County Treasurer - RIB Fees
$
18,590.00
Texas Parks & Wildlife Collections
$
2,769.00
TPW GLOBAL CC TRANSACTION FEES
$
31.84
GLOBAL ADDITIONAL COLLECTIONS
$
-
Paid Texas Parks & Wildlife
$
2,492.10
Paid County Treasurer Salary Fund
$
276.90
P&W CCARDTRNSFEE $ 31.84
GLOBAL Additonal Collections $ -
GLOBAL (IBC) Credit/Debit Card Fee's
$
284.66
GLOBAL In Excess/Shortage of Collections
$
(252.82)
Boat'Motor Sales & Use Tax Collections
$
39,821.48
Paid State Treasurer
$
37,830.41
Paid County Treasurer, Salary Fund
$
1,991.07
TABC 5%CO COMMS FOR MONTH OF JUNE 2020
$
120.00
TABC 5%CO COMMS FOR MONTH OF
$
-
Paid County Treasurer, Salary Fund
$
120.00
County Beer & Wine Collections
$
745.00
Paid County Treasurer, County Beer & Wine
$
707.75
Paid County Treasurer, Salary Fund
$
37.25
INTEREST EARNED ON OFFICE ACCOUNT
$
38.12
Paid County Treasurer, Nw. East
$
0.04
Paid County Treasurer, all other districts
$
38.08
INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT
$
3.17
Paid County Treasurer, Interest on P&W Acc
$
3.17
INTEREST EARNED ON REFUND ACCOUNT
$
0.05
Paid County Treasurer, Interest on Refund Acc
$
0.05
Business Personal Property - Misc. Fees
$ 1,077.31
Paid County Treasurer
$
1,077.31
Excess Funds
$ -
Paid County Treasurer
$
-
Overpayments
$ 91.01
Current Tax Collections
$ 12,193,829.54
Penalty and Interest - Current Roll
$ -
Discount for early payment of taxes
$
365,925.36
Delinquent Tax Collections
$ 4,223.99
Penalty & Interest - Delinquent Roll
$ 5,030.88
Discount for early payment of taxes
Collections for Delinquent Tax Attorney
$ 4,923.81
Advance - FM & L Taxes
$
-
Advance- County AdValorem Taxes
$ 11,648,669.39
Paid County Treasurer -Nev. East
$
12,836.67
Paid County Treasurer- all other Districts
$
180,794.00
Paid County Treasurer- Delinq Tax Atty. Fee
$
4,923.81
Payment in Lieu of Taxes Parks & Wildlife
$ 1,179.74
Paid County Treasurer
$
1,179.74
Payment in Lieu of Taxes
$ -
Paid County Treasurer- Navig. East
$
-
Paid County Treasurer - All other Districts
$
-
Special Farmers Fees Collected
$ 65.00
Paid State Treasurer, Farmers Fees
$
65.00
Hot Check Collection Charges
$ 30.00
Paid County Treasurers, Hot Check Charge
$
30.00
Overage on Collection/Assessing Fees
$ -
Paid County Treasurer, overage refunded
$
-
Escheats
$ -
PaidCountyTreasurer-escheats
$
-
TOTAL COLLECTIONS
$ 12,981,206.98
TOTAL DISBURSEMENTS $ 12,981,206.98
TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 12,981,206.98
KERRI YD
Tax Assessor -Collector
t
RICHARD EYER
Coun Judge
#11
NOTICE OF MEETING— 12/1/2021
11. Consider and take necessary action on any necessary budget adjustments. (RM)
RESULT:
APPROVED [UNANIMOUS]
MOVER:
Gary Reese, Commissioner Pct 4
SECONDER:
Joel Behrens, Commissioner Pct 3
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
Page 8 of 9
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#12
NOTICE OF MEETING- 12/1/2021
12. Approval of bills and payroll. (RM)
MMC
RESULT:
APPROVED [UNANIMOUS]
MOVER:
David Hall, Commissioner Pct 1
SECONDER:
Vern Lyssy, Commissioner Pct 2
AYES:
Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
County
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese
ADJOURNED: 10:25 a.m.
Page 9 of 9
December 1, 2021 2021 APPROVAL LIST - 2021 BUDGET
COURT MEETING OF 12/01/21
BALANCE BROUGHT FORWARD FROMAPPROVAL LIST REPORT PAGE 31 $302,502.50
AFLAC
P/R
$
2,604.08
NATIONWIDE RETIREMENT SOLUTIONS
P/R
$
4,830.00
OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R
$
1,516.15
PRINCIPAL FINANCIAL GROUP
P/R
$
1,531.28
STATE COMPTROLLER
3RD QRT 2021 STATE CRIMINAL COST @ I A/P
$
54,512.68
TOTAL VENDOR DISBURSEMENTS:
$
367,496.69
PAYROLL FOR 11/24/21
TOTAL PAYROLL AMOUNT:
P/R
TOTAL INVESTMENT ACTIVITY AND TRANSFERS BETWEEN FUNDS: S
TOTAL AMOUNT FOR APPROVAL: $ 367,496.69
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---December 01, 2021
TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES
TOTAL PAYABLES, PAYROLL AND ELECTRONIC,BANK PAYMENTS $ 476,78&93
TOTALTRANSFERS BETWEEN FUNDS $,_ 84,868:85
TOTAL NURSING HOME URL EXPENSES $ • 801,814.18
TOTALINTER-GOVERNMENT TRANSFERS $
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---December 01, 2021
PAYABLES AND PAYROLL
11/29/2021 Weekly Payables
472,565.19
11129/2021 Patient Refunds
443,20
11/29/2021 McKesson-3408 Prescription Expense
2.211,93
11129/2021 Amensource Bergen-340B Prescription Expense
658.92
Prosperity Electronic Bank Payments
11122-11/26/21 Pay Plus -Patient Claims Processing Fee
292A9.
11126/2021 Experl child support
IOTALPAI'ABLE,pAYRCILANDEL;ECTRONIG,BANKPANMENTS
614,20
$; 478,935s43'
MEDICARE ADVANCE PAYMENT RECOUP
11/29/2021 Broadmoor to Bethany- correction of Broadmoor medical recoup taken from
1,778.46
Bethany
11/29/2021 Broadmoor to Tuscany Village -correction of Broadmoor medical recoup taken
12,728.20
from Tuscany Village
11/29/2021 Crescent to Tuscany Village -correction of Grecent medicare recoup taken
12,728.20
from Tuscany Village
11/29/2021 Crescent to Bethany -correction of Crecent medicate recoup taken from
1.778.46
Bethany
11/2912021 Solera to Bethany -correction of Solera medicare recoup taken from Bethany
1,778-46
11/29/2021 Solera to Tuscany Village -correction of Solera medicare recoup taken from
12,728.20
Tuscany Village
TRANSFER OF FUNDS BETWEEN NURSING HOMES
11/29/2021 Gulf Pointe Plaza -PP -correction of MMC insurance payment deposited Into
9,068A4
Gulf Pointe Plaza -PP in error
11/29/2021 Gulf Pointe Plaza-PP-correctlon of MMC Clinic insurance payment deposited
321.80
Into Gulf Pointe Plaza -PP in error
11/29/2021 Gulf Pointe Plaza -PP -correction of Ashford insurance payment deposited into
10,610.06
Gulf Pointe Plaza -PP in error
11129/2021 Gulf Pointe Plaza-PP-correctlon of Solera Insurance payment deposited into
11,089.81
Gulf Pointe Piaza-PP in error
11/29/2021 Gulf Pointe Plaza -PP -correction of Tuscany insurance payment deposited into
10.258,76
Gulf Pointe Plaza -PP in error
TftlkTRANS FERS,BETWORN FUNDSi
$, 8.06K;.06
NURSING HOME UPL EXPENSES
11/29/2021 Nursing Home UPL-Camex Transfer
238,051.36
11/2912021 Nursing Home UPL-Nexion Transfer
80,480.47
1112912021 Nursing Home UPL-HMG Transfer
98,153.59
11129/2021 Nursing Home UPI, -Tuscany Transfer
289,455,18
11/29/2021 Nursing.
Home UK-HSLTransfer
95,673,58
TO7ALiN0RSIN0-HONIE,,UPL EXPENSES
TOTrAL INTERIGQI/Eft T TRANSFERS'
$_
ORAF40 TOTAL OI58UR5EMENTS•APPI30V.ED!Docen iWaY'01y;�O2A -- $ ?Ii368,469 �¢
Page 1 of 13
MEMORIAL MEDICAL CENTER
11/23/2021
0
AP Open Invoice List
14:42
ap_openJnvoice.template
Due Dates Through: 12/08/9021
Vendor# Vendor Name Class Pay Code
10995ABILITY NETWORK.(SHIFTHOUND) r'
Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross
Discount
No -Pay
Net
21 M01673401 11/05/2011104/2012/04/20. 616.28
0.00
0.00
616.28
SHIFTHOUND
Vendor Totals Number Name Gross
Discount
No -Pay
Net
10995 ABILITY NETWORK(SHIFTHOUND) 616.28
0.00
0.00
616,28
Vendor# Vendor Name Class Pay Code
R1200 ADT COMMERCIAL ✓
Invoke# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
Net
142895824 ✓ 11/16/20. 11/0312012103/20. 49A8
0,00
0.00
49.18
FIRE MONITORING (it 1.0 {) - IA-1031 %1)
Vendor Totals Number Name Gross
Discount
No -Pay
Net
R1200 AOT COMMERCIAL 49.18
0.00
0.00
49.18
Vendor#- Vendor Name. Class Pay Code
A168O AIRGAS USA, LLC - CENTRAL DIV t/ M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
Net
9119208724 ✓ 11/16/20,1 V09/2012/04/20. 2,316.23
0.00
0.00
2,316.23 ✓
OXYGEN
9800809734 ✓ 11116/20,11108/20 12/03/20 103.89
0.00
0.00
103.69. ✓
SUPPLIES
9983870356✓ 11/22/20 10/31120 11/30/20 158.35
0.00
0.00
158.35
RESPISRTAORY
Vendor TotaleNumber Name Gross
Discount
No -Pay
Net
A1680 AIRGAS USA, LLC-CENTRAL DIV 2,578.47
0.00
0.00
2,578A7
Vendor# Vendor Name Class Pay Code
A1705 ALIMEDINC:✓ M
Invoice# Comment Tran Dt Inv or Due Dt Check Pay Gross
Discount
No -Pay
Net
03697739✓ 11/22/20 11/09/20 11/24/20 102,65
0.00
0.00
102.65
INVENTORY
,
Vendor Totals Number Name Gross
Discount
No -Pay
Net
A1705 ALIMED INC, 102.65
0.00
0.00
102.65
Vendor# Vendor Name Class Pay Code
10958 ALLYSON SWOPE a/
invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
Net
/
112321 11/23/2011/2312011/23/20 2,448.00
0.00
0.00
2,44&00 ✓
CONTRACT
,
Vendor Totals Number Name Gross
Discount
No -Pay
Net
10958 ALLYSON SWOPE 2,448.00
0.00
0.00
2.448.00
Vendor# Vendor Name Class Pay Code
A2218 AQUA BEVERAGE COMPANY ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
Not
40a124 11/22120. 10/3112011/25/20 42.00
0.00
0.00
42.00y
14011 WATER CARDIAC REHAB
,
Vendor Totals Number Name Gross
Discount
No -Pay
Net
A2218 AQUA BEVERAGE COMPANY 42.00
0.00
0.00
42.00
Vendor# Vendor Name Class Pay Code
A0400 AUREUS RADIOLOGY LLC
file://LC:/Users/eheiman/cpsilmemmed.cpsinet.com/u985471data_5/tmp cw5report9051... 11/23/2021
Page 2 of 13
Invoice# Comment Tran Ot Inv Dt Due Dt
Check D Pay Gross
2369350 r/ 11/10/2011/08/2012(08/20
1,541.00
TRAVEL LAB STAFFING 1 to 127- 10171r
Ia1)- S4ti b iq
2369530 ✓ 11110/20,11/08/20 12/08/20
2,653.00
TRAVEL LAB STAFFING 00I1- _ t°11.Yillt - 5,1rdowj1
f
2369638 11/10/20, 11/08/20 12/08/20
2,328.25
TRAVEL LAB STAFFING tts Iza-t41 bV)LI)
IUWIClhS
Vendor Totals Number Name
Gross
A0400 AUREUS RADIOLOGY LLC
6,422,25
Vendor# Vendor Name Class
Pay Code
M2485 BAYER HEALTHCARE✓ M
invoice# Comment Tran Ot Inv Dt Due Dt
Check D- Pay Gross
6009584403 ✓ 11/22/20. 11/10/2011/22/20.
1,223.56
SUPPLIES
Vendor Totals Number Name
Gross
M2485 BAYER HEALTHCARE
1,223.56
Vendor# Vendor Name Class
Pay Code
B1220 BECKMAN COULTER INC ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
109416461✓ 11109/20i i/08/2012/03120
68.24
SUPPLIES
109417539V'l 11109/20, 11/08/2012103120
43.56
SUPPLIES
109418127✓ 11/09/20. 11/08/2012108/20
6,939A0
SUPPLIES
109418817✓ 11/09/2011/08/2012103/20
46.00
/SUPPLIES
109432094 ✓ 11/16/20 11/12/2012107/20
316.20
SUPPLIES
5449267 ✓ 11/16/20 11/13/20 12/08/20
5.016.58
Discount
No -Pay
Net
0.00
0.00
1.541.00
0.00
0.00
2,653.00
0.00
0.00
2,32825 f%
Discount
No -Pay
Net
0.00
0.00
6,422.25
Discount
No -Pay
Net
0.00
0,00
1,223.56 ✓
Discount
No -Pay
Net
0.00
Q00
1,223.56
Discount
No -Pay
Net
0.00
0.00
68.24 ✓
0.00 0.00
0.00 0.00
0,00 0.00
0.00 0.00
0.00 0.00
LEASE
109163121✓ I I/23/2Q. 07/06/2007/31/20
119.42
0.00
SUPPLIES
Vendor Totals Number Name
_ Gross
Discount
B1220 BECKMAN COULTER INC
12,549.40
0.00
Vendor# Vendor Name Class
Pay Code
12324 BLUE CROSS BLUE SHIELD /
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
111721 11/22/2011/1712012/01/20.
207,383.49
0.00
INSURNACE
111721A 11/22/2011/17/201 PJ01/20
1,381.49
0.00
0,00
No -Pay
0.00
No -Pay
0.00
0.00
43.56
6,939.40 ✓
46.00 ✓
316.20 y%
5.016.58 ✓
N9.42 ✓
Net
12,549.40
Net
207,383,49 ✓
1,381 A9 ✓
COBRA
Vendor TotatENumber Name
Gross
Discount
No -Pay
Net
12324 BLUE CROSS BLUE SHIELD
208,764.98
0.00
0.00
208,764,98
Vendor# Vendor Name Class
Pay Code
11224 CABLES AND SENSORS /
.Invoice# Comment Tran Ot Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
/
121315 �/ 11/15/20 11/08/20 12/00/20
584.00
0.00
0.00
584.00 ✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11224 CABLES AND SENSORS
584.00
0.00
0.00
984.00
file:///C:/Users/eheiman/cpsi/memrned.cpsinet.com/u98547/data_5/tmp cw5report9051... 11/23/2021
Page 3 of 13
Vendor#Vendor Name Class
Pay Code
13992 CARIANT HEALTH PARTNERS
Invoice# Comment. Tran Ot Inv Dt Due Dt
Check OPay Gross
Discount
No -Pay
Net
129785 v1 11/22/2011/17/20
3,932.50
0.00
0.00
3,932.50 ✓
u1iq-111L31M)-FwlauS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
13992 CARIANT HEALTH PARTNERS
3,932.50
0A0
0.00
3,932.50
Vendor# Vendor Name Class
Pay Code
C1992 COW GOVERNMENT, INC. .✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
N059725 ✓ 11/10/20 11/02(20 12/02/20.
7,043.07
0.00
0.00
7,043.07 ✓
SUPPLIES (4)1-4 4I p5 "VO
,
N072083 11/1012011/03/2012/03/20
472.45
0.00
0.00
472.45 ✓
SUPPLIES 5exil.unlill-t350
N099809✓ 11/1012011/03/2012/03120
212.56
0.00
0.00
212.56 ✓
SUPPLIES
N138240 ✓/11/10120. 11/03/20 12103120,
1,866.88
0.00
0.00
1.866.88 ✓
SUPPLIES Lt%)Yluuublk O iu
,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
C1992 COW GOVERNMENT, INC.
9,594.96
0.00
0.00
9,594.96
Vendor#Vendor Name. Class
Pay Code
11202 CFI MECHANICAL INC v%
Invoice# Comment Tran Ot Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
SD14539. ✓ 11108120. 11/02/20 12O2120
2,940.00
0.00
0.00
2,940.00 ✓
CONNECT CHILLER
VendorTotalsNumber Name
Gross
Discount
No -Pay
Net
11202 CFI MECHANICAL INC
2,940.00
0.00
0.00
2,940.00
Vendor# Vendor Name Glass
Pay Code
12768 CHEMACUA
Invoice# Comment Tran Dt Inv Dt Due Dt
Check 0 Pay Gross
Discount
No -Pay
Net
7577122 1/ 11/22120. 11/10/2011/20120,
518.75
0.00
0.00
518.76 ✓
WATER TREATMENT
Vendor Totals Number Name
Gross
Discount
No -Pay
Not
12768 CHEMAQUA
518.75
0.00
0.00
518.75
Vendor# Vendor Name Class
Pay Code
10105 CHRIS KOVAREK ✓
Invoicee# Comment Tram Dt Inv Dt Due Dt
Check.D Pay Gross
Discount
No -Pay
Net
56 ✓ 11123/20 11/10/20 11/23/20
75.00
0.00
0.00
75.00 f
REIMBURSEMENT
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10105 CHRIS KOVAREK
75.00
0.00
0.00
75.00
Vendor# Vendor Name Class
Pay Cade
C1730 CITY OF PORT LAVACA ✓ W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D, Pay Gross
Discount
No -Pay
Net
111021C 11/15/20 11/10/20 12/OB120
2,805.90
0.00
0.00
2.805.90
HOSPITAL
111021 11/15120. 11/10/20 12/06/20
75.84
0.00
0100
75.84
REHAB
111021A 11/16/2011/10/2012/06/20.
6229
0.00
0.00
62.291/
MMCLINIC
111021E 11/15/2011/10/2012106120
27.04
0.00
0.00
27.04.✓
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Page 4 of 13
HOSPITAL
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
C1730 CITY OF PORT LAVACA
2,971.07
0.00
0.00
2,971.07
Ventlor# Vendor Name Class
Pay Code
C1166 COASTAL OFFICE SOLUTONS ✓� W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D'Pay Gross
Discount
No -Pay
Net
OE-OT-18946-1 ✓ 11119/20,11/1812012/0212Q
375.00
0.00
0.00
375.00 t/'
SUPPLIES
OEOT190811 11/22/2011/19/2011/29/20.
82.60
0100
0.00
82.60V�
SUPPLIES
OEOT186831.✓ 11/22/20. 11/1912011129/20
58.53
0.00
0.00
58.53 ...�
SUPPLIES
OEOT182201 ✓ 11/23/20 08/24/20 09/03/20
306.13
0.00
0.00
306.13
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
C1166 COASTAL OFFICE SOLUTONS-
822.26
0.00
0.00
822.26
Vendor# Vendor Name Class
Pay Code
14080 CORROHEALTH, INC.,%
Invoice# Comment Tran Dt Inv Dt Due Dt
Check O Pay Gross
Discount
No -Pay
Net
50157 v✓ 11/09/20. 11/03/20 12/03/20
1.944.05
0.00
0.00
1,944.05 ✓
CODING SERVICES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
14080 CORROHEALTH, INC.
1,944.05
0.00
0.00
1,944.05
Vendor# Vendor Name Class
Pay Code
11524 DATA INNOVATIONS LLC "f
Invoice# Comment Tran Dt Inv of Due Dt
Check O Pay Gross
Discount
No -Pay
Net
77490 „/ 11/22/2010/28/2011/22/20
1,500.00
0.00
0.00
1,500.00 +,
ANNUAL LICENSE
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11524 DATA. INNOVATIONS LLC
1'500.00
0.00
0.00
1,500.00
Vendor# Vendor Name Class 'Pay
Code
10368 DEWITT POTH &SON/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D• Pay Gross
Discount
No -Pay
Net
6623410✓ 11115/20 11/09/20 19JO4120
23.76
0.00
0.00
23.76 ✓
SUPPLIES
6623390✓ 11/15/2011/09/2012/04/20,
39.49
0.00
0.00
39.49 ✓
SUPPLIES
6622140✓ 11/16/2011/08/2012103120
34.91
0.00
0.00
34.91 f
SUPPLIES
6623070 11/22/201110912012JO4120.
425.00
0.00
0.00
425.00 f
SUPPLIES
6626620 V/11/22/201111012012105/20
510:00
0.00
0.00
510.00✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10368 DEWITT POTH & SON
1,03&16
0.00
0.00
1,033.16
Vendor# Vendor Name Class
Pay Code
f
10042 ERBE USA INC SURGICAL SYSTEMS V
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D• Pay Gross
Discount
No=Pay
Net
715290 11/22/2011116/2011/22/20
139.50
0.00
0.00
139.50
-SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
file;///C:/Users/eheiman/cpsi/memmed.cpsinet.com/ii98547/data 5/tmp cw5report9051... 11/23/2021
Page 5 of 13
10042 ERBE USA. INC SURGICAL SYSTEMS 139.50
0.00
0.00
139.50
Vendor# Vendor Name Class
Pay Code
C2510 EVIDENT M
Invoice# ComFment Tran DI Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
T21110811378 V YI/22/20.11/08/2012/03/20
11,274.09
0.00
0.00
f
11,274.09 ✓
BUSINESS SERVICES
111921 ,/ 11/22/2011/19/2012/07120
5,400.00
0.00
0.00
5,400.00
LAS'INTERFACE
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
C2510 EVIDENT
16,674.09
0.00
0.00
16,674.09
Vendor* Vendor Name Class
Pay Code
F1100 FEDERAL EXPRESS CORP. V/ w
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
7-562.95801 ✓ 11/22/20, 11/11/20 12/06/20
47.20
0.00
0.00
47.20
FREIGHT
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
F1100 FEDERAL EXPRESS CORP.
47.20
0.00
0.00
47.20
Vendor* Vendor Name Class
Pay Code
10788 FIRETROL PROTECTION SYSTEMS /
Invoice# Comment Tran Dt Inv Dt Due on
Check D Pay Gross
Discount
No -Pay
Net
100752747 1/ 11/22120. 11/16/20 11126/20.
1,680.00
0,00
0X0
1,680.(I0 ✓
FIRE ALARM INSPECTION
Vendor TotalsNumber Name
Gross
Discount
No -Pay
Net
10788 FIRETROL PROTECTION. SYSTEMS 1,680.00
0.00
0.00
1,680.00.
Vendor# Vendor Name Class
Pay Code
14092. FIRST CONNECT CENTER LLCyf
Invoice* Comment Tran Dt Inv Dt Due Dt
Check D, Pay Gross
Discount
No -Pay
Net
/
3173 ✓ 11/05120, 11/0412012/04/20
4,662.50
0.00
0.00
4,562.50 ✓�
TRAVELNURSE STAFFING 4tcilq-101-")
--(LwkkurM
,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
14092 FIRST CONNECT CENTER LLG 4,562.50
0.00
0.00
4,562.50
Vendor#Vendor Name Class
Pay Cade
14200 FIRST DATA MERCHANT SERVICES ,/
Invoice# Comment Tran Dt Inv Dt Due Dt
CheckD Pay Gross
Discount
No -Pay
Net
111521 11122/2011/1612011115/20.
332.33
M00
0.00
332.33
ANNUAL CC FEE
,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
14200 FIRST DATA MERCHANT SERVICES 332.33
0.00
0.00
332.33
Vendor# Vendor Name Class
Pay Code
/
F1400 FISHER HEALTHCARE f M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
4007457/ 11/16/20 11/04/20 12104120,
99.20
0.00.
0.00
99.20 ✓1
SUPPLIES
4355552 v/ 11/16/20 11/08/20 12/03720
509,02
0.00
0.00
509.02
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
F1400 FISHER HEALTHCARE
608.22
0.00
0.00
60822
Vendor# Vendor Name Class
Pay Code
H1399 HILL -ROM COMPANY, INC ,// M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
1871543 ✓ 11/15/20. 11/06/2012/06/20
47.60
0.00
0.00
47.50
file:///C:lUsersleheimanlepsi/memmed.cpsinet.comlu98547/data 5/tmp_cw5report9051... 11123/2021
Page 6 of 13
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
H1399 HILL -ROM COMPANY, INC
47.50
0.00
0.00
47.50
Vendor# Vendor Name Class
Pay Cade
11108 ITERSOURCE CORPORATION
Invoice# Comment Tran Dt Inv Dt Due Dt
Check O Pay Gross
Discount
No -Pay
Net
711419 y/ 11122/2011/16/2012101/20.
3,500.00
0.00
0.00
3,500.00
RECONFIG. CLINIC
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11108 ITERSOURCE CORPORATION
3,500.00
0.00
0.00
3,500.00
Vendor# Vendor Name Class
Pay Code
J0150 J & J HEALTH CARESYSTEMS, INC „/l
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
927020102 �/ 11/15/2011/04/2012/04/20
447.70
0100
0.00
447.70 f
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
J0150 J & J HEALTH CARE SYSTEMS, INC 447.70
0.00
0.00
447.70
Vendor#Vendor Name Class
Pay Code
K1000 KEEP U NEAT DRY CLEANERS,/ w
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
112221 11/23/20.11/22/2011/21/20
18.30
0.00
0.00
18.30 ✓
LAUNDRY
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
K1000 KEEP U NEAT DRY CLEANERS 18.30
0.00
0.00
18.30
Vendor# Vendor Name Class
Pay Code
10972 M G TRUST l
Invoice# Comment. Tran Dt Inv or Due Dt
Check D Pay Gross
Discount
No�Pay
Net
111821 11/22/20, 11/18/2011/24/20,
640.86
0.00
0.00
640.86
PAYROLLDEDUCT
,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10972 M G TRUST
640.86
0.00
0.00
640.86
Vendor# Vendor Name Class
Pay Code
11612 MASA GLOBAL BUILDING
Invoice# "Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
1129445 11122/20.11/22/2012/01/20
1,730.00
0.00
0.00
1,730.00 ✓
INSURANCE COVERAGE DEC
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11612 MASA GLOBAL BUILDING
1,730.00
0,00
0.00
1,730.00
Vendor# Vendor Name Class
Pay Code
M2827 MEDIVATORS M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check.D Pay Gross
Discount
No -Pay
Net
91108616 ✓ 1111 PJ20, 11/02/20 12/02/20
202,80
0.00
0.00
202.80
SUPPLIES
9112855$ 11/23/2011/17/2011/23/20
400.00
0.00
0.00
400.00 ✓
SUPPLIES
Vendor Totals Number Name.
Gross
Discount
No -Pay
Net
M2827 MEDIVATORS
602,80
0;00
0.00
602:60
Vendor#Ventlor Name Class
Pay Code
M2470 MEDLINE INDUSTRIES INC M
Invoice# Co ment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
1968289336 11/18/20 09/30/20. 12/02/20
50.52
0.00
0.00
50.52 ✓
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Page 7 of 13
SUPPLIES
1969028397 1/ 11/18/20. 10/06/20 12/02/20
SUPPLIES
1971985659 v/11/1812010/271201210PJ20,
SUPPLIES
1973663005 ✓ 11/22/2011/0912012104/20,
3U PLIES
1973652234 11/22/20. 11/09/20 12/04/20
SU PLIES
1973760676� 11/22/2011/09/2012/04/20.
SU PLIES
1973652236 11/22/2011/09/2012/04/20,
SUPPLIES
1973858183 11/22/20 11/10/20 12/05/20
SUPPLIES
1973858172 11/22/20: 11110/2012/05/20
✓7PLIES
1973858509 17/22/20 11/10/20 12J05/20.
SUPPLIES
1973658181✓ it/22/2011110/2012/05/20
SUPPLIES
1973858190-// 11/22/20. 11110/2012/05120
SUPPLIES
1973868513 ✓ 11/2212011/10/2012/05/20,
SUPPLIES
1973858191 f 11/22120,11/10/2012105/20,
SUPPLIES
1973950330 ✓ 11/22120. 11/10/2012/05/20
SU PLIES
1973858176 ✓� li/22/20.11/10/2012105/20
SUPPLIES
1973950329 V1 11 /22/20.11 /i 0/2012/05/20
SUPPLIES
1973858189 ✓ 11/22/20 11/10/20 12/05120
SUPPLIES
1973858514 ✓ 11/22/20 11/10/20 12/05/20.
SUPPLIES
1973858506✓ 11/2212011110/2012/05/20
SUPPLIES
1973858500 V//11/22/20. 11/10/2012/05120.
SUf PLIES
7973858501 +�/' 11/22/2011/10/2012/05/20
3/UPPLIES
1973797856 �/ ti/22/20.11/10/2012/05/20.
SUPPLIES
1973858511 / 11/22/2011110/2012/05/20
SUPPLIES �/
1973858179 ✓ 11/22/20 11/10/20 12/05/20
SUPPLIES
1973858512 V' 11/22/2011/10/2012/05/20,
SUPPLIES
4.20
16.36
30.23
649,91
184.53
86.60
47.42
112.00
373,20
64.87
611.58
51.51
96.76
233.50
291.00
468.26
611.58
201.33
0.00
0.00
4.20 f/
0.00
0.00
16.36 V
0.00
0.00
30.23
0.00
0.00
649.91 V
0.00
0.00
184.53
0.00
0.00
86.60 ✓
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0;00 0.00
0.00 0.00
1,66454
0.00
0.00
4.178.27
0.00
0.00
44.68
OM
0.00
276.34
34.93
87.60
27.80
0.00
0.00
0.00
0.00
0.00
0,00
0.00 0.00
47.42 ✓
112.00 f
373,20 ✓
64.87 ✓
611.58 %
51.51 ✓
96.76
2$3.50
291.00 ✓/
46B.25
611.58 /
201.33 ✓
1,664.54
4,178.27 ✓'
44.58 ✓�
276.34✓
34.93 ✓
87.50
27.80
file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_51tmp_cw5report9051... 11/23/2021
Page 8 of 13
1973858173 ✓ 11/22/2011/10/2012105120,
483.11
0.00
0.00
483.11 ✓
SUPPLIES
1973858187 v/ 11/22/2011/10/2012/05/20
5.38
0.00
0.00
5.38 ✓
SI�PPLIES
1973858510 ,/ 11/22/2011/10/2012/05/20
18,57
0.00
D.00
18.57✓
SY PPLIES
1973858178 V 11/22/201 Ili 0/2012/05/20.
123,00
0.00
0.00
/
123.00 ✓
SUPPLIES
1970858185 7 11/22/2011/10/2012/05/20
204,54
0.00
0.00
204.54 f
SUPPLIES
1974197940 ✓ 11/22/2011/12/2012107120
55.87
0.00
0.00
55.87 v'
SUPPLIES
,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
M2470 MEDLINE INDUSTRIES INC
11,387.78
0.00
0.00
11,387.78
Vendor# Vendor Name ,r Class Pay Code
12204 MEMORIAL MEDICAL CENTER ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
Net
111821 11/123/20. 11/1812011118/20
14.50
0.00
0.00
14.50
PETTY CASH (7,) TNALIL yvajd4s*4jlrul
.
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
12204 MEMORIAL MEDICAL CENTER
14.50
0.00
0.00
14.50
Vendor# Vendor Name Class Pay Code
/
10963 MEMORIAL MEDICAL CLINIC ,/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross
Discount
No,Pay
Net
111821 11/22/2011/18/2012/01/20
300.00
0.00
0.00
300.00 %
PAYROLL DEDUCT
,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10963 MEMORIAL MEDICAL CLINIC
300.00
0.00
0,00
300.00
Vendor# Vendor Name Class Pay Code
M2621 MMC AUXILIARY GIFr.SHOP ,� IN
Invoice# comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
Net
111821 11/22/20 11/18/20 11/30/20
276.94
0.00
0.00
275.94 v1
PAYROLL DEDUCTS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
M2621 MMC AUXILIARY GIFT SHOP
275.94
0.00
0.00
275.94
Vendor# Vendor Name Class Pay Code
10536 MORRIS & DICKSON CO, LLC I
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
Net
7537392 11/2312011/11/2011121120
1,174.03
0.00
0.00
1,174,03
INVENTORY
,
7537394 ✓ 11123/20, 1111112011/21120,
0.74
0.00
0.00
0.74 w/
INVENTORY
7537393 11/23120. 11/1112011/21/20.
259.92
0.00
0.00
259.92
INVENTORY
7534212 11/23/20 11/11/20 11/21/20
68.76
0.00
0.00
66.76
,
/INVENTORY
7543670 ✓ 11/23120.11/14/2011/24/20
26,663.89
0.00
0.00
25,663.89 r✓
INVENTORY
,
7541613 ✓ 11/2312011/14/2011/24120
9.35
0.00
0.00
9.35 ..�
)INVENTORY
7541612 ✓ 11/23/2011/14/2011/24/20
55.49
0,00
0.00
$5.49
file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_cw5report9051... 11/23/2021
Page 9 of 13
INVENTORY
,
7543671 V' 11/23/20. 11/14/20 11/24/20
1,111.77
0.00
0.00
1,111.77
/INVENTORY
7541611 ✓ 11/23/20.11/14/2011/24/20
21.75
0.00
0.00
21.75
INVENTORY
7543669 11/23/20,11/14/2011/24/20.
2,875.40
0.00
0.00
2,875.40
INVENTORY
7554240 ✓ 11/23/2011/16/2011/26/20.
3,667.61
0.00
0.00
3,667.81
INVENTORY
,
7551342 11/23/20.11/16/2011/26/20
37,64
0.00
0.00
37.64 ✓/
INVENTORY
,
7554242 ,j 11/23/20,11/1612011/26/20
743.35
0.00
0.00
743.35 Iz
INVENTORY
,
7551341 ✓ 1112312011/1612011/26/20.
229.43
0.00
0.00
229.431z
INVENTORY
7551340 t% 11/23/2011/161201l/26/20
4,983,14
0.00
0.00
4,983.14
INVENTORY
7554241 11123/20. 11/16/20 11/26/20
4,746.52
0.00
0.00
4,746.52 v'
INVENTORY
7551343 ✓ 11/23/2011/16120 11/26/20.
23.58
0.00
0.00
23.58
/INVENTORY
7553747 ,/ 11/23/2011116/2011/26/20.
5.02
0.00
0.00
5.02 ✓
INVENTORY
7565068 11/23/2011/17/2011/27/20.
60.86
0.00
0.00
50.86
INVENTORY
,
7565069 ✓ 11123/20, 11/17/2011127/20
389.38
0.00
0100
389.38
INVENTORY
0440 / 1f/23/20 11/17/20 11/27/20
-5.00
0100
0.00
5.00 f
JCREDIT
7567526 ,/ 11123/2011/21/2012101/20
26.73
0.00
0.00
/
26.7s/
INVENTORY
7570675� 11/23/20. 11/22/201210=0
1.19.53
0.00
0.00
119.53
INVENTORY
7574078✓ 11/23/2011/22/2012102/20
19.69
0.00
0.00
19.69
INVENTORY
7574077 f 11123/201112PJ2012/02/20.
3,886.26
0.00
0.00
3,886.25.✓
INVENTORY
-849"1 5 11/23/20.11/2212012/02/20.
3.493,75
0.00
0.00
3,493.75 f
'15RgOiy INVENTORY
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10536 MORRIS & DICKSON CO, LLC
53.658.78
0.00
0.00
53,658;78
Vendor# Vendor Name Class Pay Code
/
14124 MSH HEALTH SERVICES LLC ✓
Invo(ce# Comment. Tran Dt Inv Dt Due Dt Check O Pay Gross
Discount
No -Pay
Net
MMCo021✓ 11/2212011/08/2011/08120
2,367.78
0.00
0.00
2,367.78
TRAVEL NURSE STAFFING bWl- fAHO 31�21� -pUKM
MMC0020V/11/22/2011/08/2011/08/20
4,491,25
0.00
0.00
4.491.25
TjiAVEL NURSE STAFFING [ 1U IAj - 111412-1) -
RUCIKahV�-
MMC0023 ✓ ti/22/20 11/16/20 11/16/20
2,352.90
0.00
0100
2,352.90 r/
TRAVEL NURSE STAFFING L lll4{ - It III I L1)
MM00022 ✓Z 11/22/2911/1612011/30/20.
4,711.25
0.00
0.00
4.,711.25
file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data 5/tmp ew5report9051,,. 11/23/2021
Page 10 of 13
TRAVEL NURSE STAFFING LU I k - i 1 I II I -m) " (uwt�
MMC0024 11/23/2011/22/2011/22/20.
4,581.25
0.00
0.00
4,58125
TRAVEL NURSE STAFFING t 1t I W- It
111 Lt� -X3wj kt
,
MMC0025 11/23/20. 11/22/2011/22/20
2,367,78
0.00
0.00
2.367.78
TRAVEL NURSE STAFFING (11112 " 11IN
tat) --NKx• ,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
14124 MSH HEALTH SERVICES LLC
20,872.21
0.00
0.00
20,872.21
Vendor# Vendor Name Class
Pay Code
11472 OCCUPRO LLC r/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Grass
Discount
No -Pay
Net
23714 ,% 11/09/2011/D7/2012/07/20.
487.47
0.00
0.00
487.47
PROVIDER/MTHLY SUPPORT
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11472 OCCUPRO LLC
487,47
0.00
0.00
487.47
Vendor# Vendor Name Class
Pay Code
01500 OLYMPUS AMERICA INC ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
31772240 ✓ 11117/2011107/20 12/02120.
1.137.51
0.00
0.00
1,137.51
SERVICE CONTRACT
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
01500 OLYMPUS AMERICA INC
1,137.51
0.00
0.00
1,137.51
Vendor# Vendor Name Class
Pay Code
01416 ORTHO CLINICAL DIAGNOSTICS ✓
Invoice# Comment Tran Dt Inv Dt Due Dt
Check 0 Pay Gross
Discount
No -Pay
Net
1852129779 11116120.11/0812012108/20
759.03
0.00
0.00
759.03 f
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
01416 ORTHO CLINICAL DIAGNOSTICS 759.03
0.00
0.00
759,03
Vendor# Vendor Name Class
Pay Code
11069 PABLOGARZA /
Invoice# Comment Tran Dt Inv Dt Due Dt
Check Or Pay Gross
Discount
No -Pay
Net
112321 11/23/20.11/23120 12/07/20
2,494.38
0.00
0.00
2.494.38
CONTRACT STAFFING LtIIG "11 IL7-�yt�
Vendor Totals Number Name
Gross.
Discount
NaPay
Net
11069 PABLOGARZA
2,494.38
0.00
0.00
2,494.38
Vendor# Vendor Name Class
Pay Code
10152 PARTSSOURCE, LLC �/
Invoice# Comment Tran Ot Inv Dt Due Dt
Check 0 Pay Gross
Discount
No -Pay
Net
04095089 f 11/22/2011105/2012/05/20.
456.37
0.00
0.00
456.37 ✓
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10162 PARTSSOURCE, LLC
456.37
0.00
0.00
456.37
Vendor# Vendor Name Class
Pay Code
13988 PAYCHEX, ADVANCE FBO 4/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
005781 11/22120. 0613012006/30/20
2,235.00
0.00
0.00
2,235.00
/TRAVEL NURSE STAFFING
007670 11/22/2011/17/20 11/17120.
3.700.00
0.00
0.00
3,700.00
✓
TRAVEL NURSE STAFFING
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
13988 PAYCHEX, ADVANCE FBO
51935.00
0.00
0.00
5,935.00
file:///C:/Usersleheimanlcpsilmemmed.cpsinet.com/u98547/data 5/tmp ew5report9051... 11/23/2021
Page 11 of 13
Vendor# Vendor Name Class
Pay Code
ci010 SPARKLIGHT W
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
111621A 11123/20,11116/2011/23/20
2,260.00
0.00
0.00
2,260,00
ACCOUNT 100987627
,
111621B 11/2312011/16/2011/231M
1,685.67
0.00
0.00
1,685.67
ACCOUNT
111621 11123/20 11/16/20 11/23/20
103,81
0.00
0.00
103.81
ACCOUNT 118134105
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
C1010 SPARKLIGHT
4,049.48
0.00
0.00
4,049.48
Vendor# Vendor Name Class
/
Pay Code
14100 STAFFING FIRST ,/
Invoice# Comment Tran Dt Inv Dt Due Dt
Check DPay Gross
Discount
No -Pay
Net
211109 11/22/20 11/15/20 11/29/20
4,406.25
0.00
0.00
4,406.26
TRAVEL NURSE STAFFING Ltd WAI-11
uI il�-MLiN�`ht.-.
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
14100 STAFFING FIRST
4,406.25
0.00
0.00
4,40625
Vendor#Vendor Name Class
Pay Code
10735 STRYKER SUSTAINABILITY
Invoice# Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
/Comment
4304294 ✓ 11/16/2011/06/2012MB/20
2,35$.21
0.00
0.00
2,353.21
SUPPLIES
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
10735 STRYKER SUSTAINA131UTY
2,353.21
0.00
0.00
2,353.21
Vendor# Vendor Name Class
Pay Code
/
13880 TEXAS SELECT STAFFING J
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount.
No -Pay
Net
001799351079CM 10/31/2010/14/2012103/20
-3,116.25.
0.00
0.00
-3,115.25 f
CREDIT
0018564510791N 11 /23/20 11/18/20 11118/20
4,030.40
0.00
0.00
4,030.40
TRAVEL NURSE STAFFING tt11N-t1II&ZI)
AC%Lhkt-
Vendor Total: Number Name
Gross
Discount
No -Pay
Net.
13880 TEXAS SELECT. STAFFING
915.15
0.00
0.00
915.15
Vendor# Vendor Name Class
Pay Code
14012 TK ELEVATOR CORPORATION „F'
Invoice# Comment Tran Dt Inv Dt Due Dt
Check D Pay Gross
Discount
NaPay
Not
500188_ - vJ 11/22120 11/16/20 11/16/20,
846.00
0.00
0.00
846.00 r,i
ELEVATOR REPAIRS
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
14012 TK ELEVATOR CORPORATION
846.00
0.00
OM
846.0D
Vendor# Vendor Name , Class
Pay Code
11067 TRIZETTO PROVIDER SOLUTIONS
Invoice# Comment Than Dt Inv Dt Due Dt
Check D Pay Gross
Discount
No -Pay
Net
35FKI12100 .//11/22/20 11/01/20 11/26/20
2,001.38
0.00
0.00
2,001.38
PTSTATEMENT
,
Vendor Totals Number Name
Gross
Discount
No -Pay
Net
11067 TRIZETTO PROVIDER SOLUTIONS 2,001.38
0.00
0.00
2,001.38
Vendor# Vendor Name / Class
Pay Code
U1094 UNIFIRST HOLDINGS INC ✓
Invoice# Comment Tran Dt Inv Dt Moot
Check D Pay Gross
Discount
No -Pay
Net
file:///C:/Users/chciman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp cw5report9051,.. 11/23/2021
Page 12 of 13
8400380884 y/
11/10/2011/08/2012/03/20
2,020.25
0.00
0.00
2,020,25
LA/UN DRY
8400380861 ✓
11/, 0/20. 11/08/2012/03/20.
51.65
0.00
0.00
51.65
LAUNDRY
/
$400380860 ti'
11/10/20. 11/08/20 12/03120.
45.15
0.00
0.00
45.15
LAUNDRY
8400381228 ✓
11/15/2011/11/2012/06/20
146.57
0.00
0.00
145.57
LAUNDRY
0400381215 ,j
11/15120, 11/11/20 12/06120
1,470,62
0,00
0.00
1,470.62 LIZ
LAUNDRY
8400381191 ✓
11115/20. 11/11/2012/06/20,
42,72
0.D0
0.00
42,72 v✓
LAUNDRY
8400381192✓
11115120. 11/11/2012/06/20
127.23
0.00
0.00
127.23 ✓�
LAUNDRY
8400381193 1,/
11115120. 11/11/2012106/20
153.95
0.00
0.00
153.96
LAUNDRY
8400381209 ,J
11/15/2011/11/2012/06/20
79.43
0.00
0.00
79.43 f
LAUNDRY
8400381194 ./
11/15/2011111/2012/06/20
169.39
0.00
0.00
169.39
LAUNDRY
8400381195 ✓ /
11/15/20. 1Ill 1/2012106/20
199.32
0.00
0.00
199.32 �-
LAUNDRY
Vendor Total: Number Name
Gross
Discount
No -Pay
Net
U1064 UNIFIRST
HOLDINGS INC
4,505.28
0.00
0.00
4,505.28
Vendor# Vendor Name
Class Pay Code
12208 WAGEWORKS r/
Invoice# Comment
Tran Dt Inv Dt Due Dt Check. DPay Gross
Discount
No -Pay
Net
111821
11/2W20, 108120 11/24/20,
3,312.29
0.00
0.00
/
3,312,29
PAYROLL DEDUCTS
,
Vendor Total. -Number Name
Gross
Discount
No -Pay
Net
12208 WAGEWORKS
3,31229
0.00
0,00
3,312.29
Vendor# Vendor Name
Class Pay Cede
10943 WALLER,LANSDEN, DORTCH & DAVIS �/
Invoice# Comment
Tran Ot Inv Dt Due. Dt Check D' Pay Gross
Discount
No -Pay
Not
10830551
1112212Q 11/04/20 1 V30/20
695.50
0.00
0.00
695.50
✓,r
LEGAL FEES
Vendor Totab Number Name
Gross
Discount
No -Pay
Net
10943 WALLER;LANSDEN, DORTCH & DAVIS
695.50
0.00
0.00
695.50
Vendor# Vendor Name
Class Pay Code
11110 WERFENUSA LLC
Invoice# Comment
.
Tran Dt Inv Dt Due Dt Check D' Pay Gross
Discount
No -Pay
Net
9111067214 �
11/16/2011/10/2012/06/20
347.41
0.00
0.00
347.41 f
SUPPLIES
9111067215 d
11/16120,11/1012012/05120
1,023.49
0.00
0,00
1,023.49
SUPPLIES
9111036657 ✓
11/22/20. 09/08/2010/03/20
285.18
0.00
0.00
285.18
SUPPLIES
9111039911 /
11/22/2009/15/2010110190.
346:08
0.00
0.00
345.08
SUPPLIES
9111063550 ✓/
11/2212011/034011/28/20
506.00
0.00
0.00
506.00
SUPPLIES
file:///C:/Users/Cheiman/cpsi/memmed.cpsinet,com/u98547/data 5/tlnp cw5report9051... 11/23/2021
Page 13 of 13
Vendor Totals Number Name
Gross
Discount
No -Pay
11110 WERFEN USA LLC
2,508.16
0.00
0.00
Vendor# Vendor Name Class Pay Cade
10556 WOUND CARE SPECIALISTS ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross
Discount
No -Pay
WCS00004690✓ 11/23/20 08/01/20 08/30/20
12,675.00
0.00
0.00
WOUNJD CARE
WCS00004726 11/23/20. 09/0112009130/20.
✓
18,076.00
0.00
0.00
WOUND CARE
WCS00004780 ✓/11/23/2010/01/2010/30/20
9,200.00
0.00
0.00
WOUND CARE
WCS00004837 11/2312011/01/2011/30/20
17,500.00
0.00
0.00
WObNoCARE
Vendor Totals Number Name
Gross
Discount
No -Pay
10556 WOUND CARE SPECIALISTS
57,450.00
0.00
0.00
Report Summary
Grand Totals: Gross Discount
No -Pay
472,565.19 0.00
0.00
;iq TN9
oil
Net
2,608.16
Not
12,675.00 t/
18,075.00
9,200.00
17.500.00 v,f
Net
57,450.00
Net
472,565.19
file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp cw5report9051... 11/23/2021
RUN DATE: 11/23/21 MEMORIAL MEDICAL CENTER PAGE 1
TIME: 14:44 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCDEDIT
PATIENT
NUMBER PAYEE NAME
----------------------
PAY
PAT
DATE
AMOUNT CODE
TYPE
DESCRIPTION
...-'..............................................
112221
25.00 ✓
2
REFUND FOR
112221
270.20 ✓
3
REFUND FOR
112221
90.00 „/
2
REFUND FOR
112221
50.00 ✓ 3
REFUND FOR
443.20
...................
443.20
GL 04
MSKESSON
STATEMENT
As of: 11/26/2021
Page: 002
To assume proper credit to your
ecccunt, dstam and rMum this
.nne
stub with your rembtamse
OC: 0115
As at: 11/26/2021 Page: 002
MEMORIAL MMICAL CENTER
AMT DUE REMITTED VIA ACH DEBIT
TerMary:
Mall to: Comp: 8000
AP
Slalemenl for information only
ANT DUE REv11TT® VIA ACH DEBIT
915 N IA STREET
Customer: 632536
Statement for Information only
POW LAVACVACA TX ]]9]9
Date: 11/27/2021
Cast: 632536 PIFJASE CHECK ANY
Date: 11/27/2021 ERNS NOT PAID (v)
filling Due
late Data
palicoal gccounl 6
Numbeb N �45� Cash
Number Relerenca Description OlccauM
Amount P
(gross) F
(net) P Receivable
(net) F Number
m column legend: P = Past Due Item, F = Future Due Item, blank = Curter Due
Item
"OTpp Nntlanal Axt 632536
MFMOPoAL M®1CgL CBNTHI
Su dwala
2,257.07 USD
Nture Due:
0.00
Due If Paid On Time: (ya'
It Paid By 11/3012021,
USD ` 2,211.93
'mrt Due:
0.00 Pay This Amount:
2,211.93
USD
Disc had if paid late:
45.td
oat Payment
2A5I.07 If Pald After 1113012021,
Due It Paid late:
18107190/7
Pay this Amount
2.257.07
USD
USD 2,257.07
4rrasvM�
NOY 112021
cowsiffivrANNI
CALSOMC 'A WMAO
��,y 560353
For AR Inquiries please contact 800-967-0333
MSKESSON
STATEMENT
As of: 11/26/2021
n,w ores
DC: 8115
CVS PHCY 7475/MEM MC PHS
MEMORIAL MEDICAL CENTER
AMT DUE REMITTED VIA ACH DEBIT
Territory: 400
VICKY KAUSIX
Statement for ininrmmion only
815 N VIRGINIA ST
Customer. 835438
PORT IAVACA TX 77979
Dale: 11/27/2021
Page: 001 To enfame Proper credit to your
account, detach and return this
all with your remittance
As of: 11/26/2021 Page: 001
Mail to: Comp: 8000
AMT DUE REMITTED VIA ACH OMIT
Statement for information only
YIOn9 Due
Necelveble atlenal Account
931?6 Cash Amount P
late Date
Number
Reference Description Discount (gross) F
:uMM- Nu.ber835438
CVS PHCY 7476/METM MC PNS
1/25/2021 11/30/2021
7308637268
1461295 1151wolce 9.16 457.99
'F column legend: p e
Past Due Item, F = Future Due
Ile., blank = Current Due Item
"OTAL• Customer Number 835438 CVS PHCY ]4]SIMEA
MC PHS
Subtatals: 457.99 USD
`uture Due:
0.00
It Paid By 1113012021,
last Due:
0.00
Pay This Amount: 448.63 USD
ast Payment
8.901.55
If Pald After 1113012021,
1/22/2021
Pay this Amount: 457.89 USD
�W
NOV
OWWWAVOWU
DGL �'�XAD
For AR Inquiries please contact 800-867-0333
Curm
635438
PLEASE CHECK ANY
Date: 11/27/2021
ITEMS NOT PAID (�)
nt
(nil
F
NReeelbttteM¢
448.83 ✓ 7308837268 O
Due If Paid On Time:
USD
448.83
Disc she if paid late:
9.16
Due If Paid We:
USD
457-99
MWESSON
STATEMENT
As of: 1112612021
C—'.i' nor.
DC: 8115
HER MY FC 490/ME4 MC PHS
AMT DUE HEIAITTED VIA ACH DEBIT
Territory: 400
AMORIAL MEDICAL CENTER
Statement for Infarmalion only
VICKY KAUSIX
815 N VIRGINIA ST
464450
Cute;111
PORT LAVACA T% ]]979
Date; 11/27/2021
7/2021
Page: 001 To enwtm proper credit to your
account, detach and mtum this
stub with your remittance
As of: 1112612021 all 001
Mall to: Comp: 8000
AMT DUE REAITTED VIA ACH OMIT
Statement Ior information only
Cud: 464450 PLEASE CHMK ANY
Date: 11/2712021 ITEMS NOT PAID (v)
9111ng Dua Pecelveblafelianal Account y36 Cash Amount P Amount P Hewiveble
late Date Number Reference Description Discount (gross) F (nd) F Number
:u9seler Number 464460 9® MY FC 49DIMEM MC PHS
1/23/2021 11/30/2021
739789559E
55x742989 IISlnvoice
0.52
1/23/2021 11/3D/2021
7307897550
55x742860 1151avowe
9.04
1/23/2021 11/30/2021
7307899600
Sbx745328 1151nvaice
0.07
IP24/2021 11/30/2021
7308176071
55.7411124 1151nvoice
6.47
W column legend: P = Pay
Due Item, F = Futum
Due Hem, blank = Current Due Item
'OTAU Cudamer Number 464450 HISS MY FC 490/MEN MC PHS
Subtotals:
905.34 USO
-tare Due:
0.00
11 Paid By 11130/2021,
last one:
0.00
Pay This Amount:
687.24 USD
ay Payment
8.901.55
It Paw After 1113012021,
V2212(321
Pay this Amount:
905.34 USD
ou
tjvv t1 20
Govilifor
DAt y'n`AR
26.08
M152.2222
3.55
423,49
25.56✓
443.16 ✓
3.48 ✓
415 02 ✓
1307095598
]307B97550
]307899600
73081 ]6011
For AR Inquiries please Contact 800-867-0333
Due If Paid On Time:
USD
087.24 ,✓
Disc low If paw Ida:
18.10
Due It Paw Late:
USD
905.34