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2022-07-13 Final Packet-ZAII Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's I ) 44 All Documents for Clerk Signature Flagged On this I-T day of 2022 a complete and accurate packet for l-� k of 2022 Commissioners Court Regular Session Day Mo was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA NOTICE OF MEETING — 7/13/2022 Richard H. Meyer County judge David hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (wary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Kaddie Smith, Deputy Clerk NOTICE OF MEETING The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, July 13, 2022 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 was called to order at 9:59 a.m. by Judge Meyer. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag -Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear a presentation from the Calhoun County Health Department. Texas Department of State Health Services introduced new location and gave a brief description of their services. Page 1 of 4 NOTICE OF MEETING — 7/13/2022 6. Consider and take necessary action to approve a service agreement with Frontier Communications for a Private Switch/Automatic Location Identification Service and authorize the IT Director to sign all documentation. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve the Preliminary Plat of Bay Club at Falcon Point Ranch — Resubdivision No. 2. (GDR) Terry Ruddick explained the preliminary plat. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to re -appoint Teddy Hawes and William Schustereit to the West Side Calhoun County Navigation District. (GDR) 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 allow vendors to set up at the Port O'Connor Community Center Pavilion on October 8, 2022 during the clay shooting event. (GDR) Maeghen Strahan explained where the vendors would be set up. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to authorize Commissioner Reese to enter into and sign all documentation for a Lease & Rental Agreement with Anderson Machinery for the rental of a Bomag BW 151AD-5 Roller. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to declare an emergency for the purchasing of all Road Materials through December 31, 2022 due to the volatile increase in prices and initiate an emergency purchase procedure. (RHM) Pass Page 2 of 4 NOTICE OF MEETING — 7/13/2022 12. Accept Monthly Reports from the following County Offices: I. County Clerk — June 2022 ii. District Clerk — June 2022 iii. Justice of the Peace, Precinct 1— June 2022 iv. Justice of the Peace, Precinct 2 — June 2022 v. Justice of the Peace, Precinct 3 — June 2022 vi. Sheriff RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Nall, Lyssy, Behrens, Reese 14. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:30 a.m. Page 3 of 4 NOTICE OF MEETING — 7/13/2022 15. Executive Session: The Commissioners' Court shall go into Executive Session as authorized by V.T.C.A. Government Code Chapter 551, Subchapter D. Following is the subject matter of the Executive Session and the Specific Section of the Open Meetings Act permitting discussion/deliberation in Executive Session. Section 551-072: A government body may conduct a closed meeting to deliberate the purchase, exchange, lease or value of real property if deliberation in an open meeting would have a detrimental effect on the position of the governmental body in negotiations with a third party. Discussion will include matters to authorize the county to enter into a contract to purchase a parcel of land. PASS 16. Reconvene Regular Session. PASS 17. Consider and take necessary action on matters discussed in Executive Session and authorize the County Judge to sign all documents. (RM) PASS Page 4 of 4 NOTICE OF MEETING — 7/13/2022 Richard H. Meyer County judge ge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, July 13, 2022 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: AT q:S1 o c ocK A tin Call meeting to order. JUL D 8 2922 G. / Invocation. ANNAM.GOOM AN COUNTY CIERKGALHOUN COUMY,'fF]NG BY: L�/1n � /H VD/tOrt ✓T/1 Pledges of Allegiance. 4 General Discussion of Public Matters and Public Participation. 5. Hear a presentation from the Calhoun County Health Department. Y Consider and take necessary action to approve a service agreement with Frontier Communications for a Private Switch/Automatic Location Identification Service and authorize the IT Director to sign all documentation. (DEH) Consider and take necessary action to approve the Preliminary Plat of Bay Club at Falcon Point Ranch — Resubdivision No. 2. (GDR) Consider and take necessary action to re -appoint Teddy Hawes and William Schustereit �to the West Side Calhoun County Navigation District. (GDR) V. Consider and take necessary action to allow vendors to set up at the Port O'Connor Community Center Pavilion on October 8, 2022 during the clay shooting event. (GDR) 10. Consider and take necessary action to authorize Commissioner Reese to enter into and sign all documentation for a Lease & Rental Agreement with Anderson Machinery for the rental of a Bomag BW 151AD-5 Roller. (GDR) Page 1 of 2 NOTICE OF MEETING — 7/1.3/2022 V"il. Consider and take necessary action to declare an emergency for the purchasing of all Road Materials through December 31, 2022 due to the volatile increase in prices and initiate an emergency purchase procedure. (RHM) Lit Accept Monthly Reports from the following County Offices: "rCounty Clerk — June 2022 District Clerk — June 2022 Justice of the Peace, Precinct 1— June 2022 is Justice of the Peace, Precinct 2 — June 2022 vf�ustice of the Peace, Precinct 3 — June 2022 Sheriff rs 13. Consider and take necessary action on any necessary budget adjustments. (RHM) 14. Approval of bills and payroll. (RHM) Richard H. Meyer, Couritt3hdge 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 publicat 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. 15. Session: The Commissioners' Court shall go into Executive Session as authorized by V.T.C.A. Government Code Chapter 551, Subchapter D. Following is the subject matter of the Executive Session and the Specific Section of the Open Meetings Act permitting discussion/deliberation in Executive Session. Section 551-072: A government body may conduct a closed meeting to deliberate the purchase, exchange, lease or value of real property if deliberation in an open meeting would have a detrimental effect on the position of the governmental body in negotiations with a third party. Discussion will include matters to authorize the county to /enter into a contract to purchase a parcel of land. 116. Consider and take necessary action on matters discussed in Executive Session and authorize the County Judge to sign all documents. (RM) Page 2 of 2 NOTICE OF MEETING — 7/13/2022 Rich2rd H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Kaddie Smith, Deputy Clerk NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, July 13, 2022 at 10:00 a.m. in time 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 was called to order at 9:59 a.m. by Judge Meyer. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag -Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear a presentation from the Calhoun County Health Department. Texas Department of State Health Services introduced new location and gave a brief description of their services. Page 1 of 11 # 05 Mae Belle Cassel From: Kirby.Cassius@dshs.texas.gov (Cassius,Kirby (DSHS)) <Kirby.Cassius@dshs.texas.gov> Sent: Wednesday, June 29, 2022 2:03 PM To: maebelle.cassel@calhouncotx.org Cc: Moreno,Daniela (DSHS); Rendon,Kristina (DSHS) Subject: Commissioners Court Agenda CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon, Texas Department of State Health Services would like to be added to the agenda for Commissioner's Court next Wednesday, July 6, 2022 at 10:00am. Attending the meeting will be: Katherine Velasquez, PhD, RN, Community Health Improvement Manager Tina Castellanos, MPA, IBCLC, Community Health Improvement Specialist V Daniela Moreno, Program Specialist IV Kristina Rendon, Public Health Prevention Specialist Kirby Cassius, Public Health Prevention Specialist Chrystal Young, Public Health Prevention Specialist We would like to introduce the Calhoun County Health Department and inform of the services they will be providing. We would also like to discuss the Calhoun County Health Disparities Grant Project we are working on and possibly have an open discussion about health disparities that the County Commissioners' have noted in their individual precinct as well as across the county. My email address is kirby.cassiusOdshs.texas.aov, office phone (361) 553-5570, and cell phone (361) 484-4388. Please let me know once it has been confirmed that we are added to the agenda so I can then confirm with our team. Thank you, �u 4 6aao4a Public Health Prevention Specialist II — CHI Texas Department of State Health Services — Public Health Region 8 436 State Highway 35 S Port Lavaca, Texas 77979 Office: (361) 553-5570 Fax (361) 552-1667 I CONFIDENTIALITY NOTICE: This email and the information contained in it are for the sole use of the intended addressee(s) and may contain confidential information. Any unauthorized use, copying, forwarding, disclosure or other distribution to unauthorized individuals is prohibited. Please contact the sender by reply email and destroy all copies of this email if you are not the intended recipient. Services Texas Department of State Health Services morl -Lpolmm- NOTICE OF MEETING — 7/13/2022 6. Consider and take necessary action to approve a service agreement with Frontier Communications for a Private Switch/Automatic Location Identification Service and authorize the IT Director to sign all documentation. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 11 SERVICE AGREEMENT Private Switch/Automatic Location Identification (PS/ALI) Service State: Texas Agreement #:361.553.4465 Customer Name: Calhoun County TX Main Billing Tel. No: 361.553.4465 Address (include City State and Zip: 117 W Ash St Port Lavaca TX 77979 Customer Contact: Ron Reger Customer must sign, date and return this Agreement to Frontier on or before 7/06/22 or the proposed Service arrangement and pricing will no longer be available. This Agreement shall not be considered fully executed until signed by both parties. This Service Agreement (the "Agreement") for Private Switch/Automatic Location Identification ("PS/ALI") Service is entered by and between Customer and Frontier Communications of America, Inc. on behalf of those of its affiliated operating telephone companies who will provide services under this Agreement as identified in the Exhibit(s) hereto ("Frontier"). Customer understands and agrees that the PS/ALI Service covered by this Agreement and defined in Scope below can only be provided by Frontier if Frontier is the E-911 database provider for E-911 agencies that serve the Customer locations covered by this Agreement. Customer shall be responsible for determining that it meets these requirements and by executing this Agreement, confirms that it has so verified. In the event, after execution of this Agreement, the parties determine Customer does not satisfy the requirements identified herein for each of the locations under the Agreement, Frontier shall have no obligation to provide PS/ALI Service to the locations which do not meet the requirement and the Customer is obligated to change their PS/ALI Service to another PS/ALI Service provider serving Customer locations where Frontier is not the E-911 database provider. 1. Scope. Frontier shall provide PS/ALI Service in accordance with the terms of this Agreement, as further described in the Exhibit(s) to this Agreement and if applicable, in Frontier's tariffs, and subject to Frontier's receipt of any necessary regulatory and other governmental approvals required to provide PS/ALI Service under the terms hereof. 2. Regulatory Matters. In the event a legislature, regulatory agency, court or other entity (by promulgation of a law, regulation, rule, order or otherwise) materially and adversely changes the rights, obligations or risks of Frontier hereunder, then Frontier in its discretion may terminate this Agreement in whole or in part by providing written notice to Customer. The rates for PS/ALI Service must at all times meet the minimum rates permitted under any applicable law, regulation or order. In the event Frontier determines that an adjustment to the rates provided hereunder is necessary to meet the minimum rate requirements, then the parties will enter into good faith discussions regarding modifications to the rates in an effort to satisfy the minimum rate requirements. Any modifications to the rates hereunder shall apply prospectively and will be reflected in an amendment to the Agreement. If the parties fail to enter into a mutually agreeable amendment, then Frontier may terminate this Agreement by providing written notice to Customer. When tariff rates are referenced, they shall mean prevailing tariff rates without any discounts, promotional offerings, or other reductions. Frontier will file this Agreement with the applicable regulatory authorities, if such a filing is required by law. 3. Effective Date. This Agreement, and any subsequent amendment(s), shall be effective upon execution by both parties (the "Effective Date"). 4. Service Period. Customer shall purchase PS/ALI Service for a Service Period defined in Exhibit B. 5. Charges. Customer will pay the rates set forth in Exhibit B attached hereto and incorporated herein and any applicable tariffs (which, if applicable, are incorporated herein), and will pay all applicable taxes and/or surcharges. 6. Assignment. Frontier may assign or transfer part or all of this Agreement to any affiliate or successor to substantially all of its assets in the locations where Service is provided hereunder. Upon reasonable prior written notice to Frontier, Customer may assign or transfer this Agreement to any company that is the successor to substantially all of its assets, provided all charges for PS/ALI Service provided prior to such transfer or assignment PS/ALI Page 1 of 9 FTR 10/24/2016 are paid in full when due. Except as otherwise required by applicable law or regulation, all other attempted assignments shall be void without the prior written consent of the other party. 7. Confidentiality and Publicity. Neither party will disclose the terms of this Agreement to any other person without the prior written consent of the other party, except as may be necessary to comply with applicable law, regulation, or filing requirements. Neither party shall publish or use any advertising, sales, promotions, press releases or other publicity material that describe this Agreement without the prior written approval of the other party. Each party agrees that it will not without the prior written consent of the other party in each instance, use the other party's name, trademark, service mark, or logo in any of its advertising, publicity or marketing materials. 8. Location(s). PS/ALI Service will be provided for use by Customer at the Locations of Service section of Exhibit B. The rates and other terms of this Agreement shall apply only to these locations. Customers may add additional locations or numbers within the state jurisdiction(s) identified in this Agreement provided Frontier is the E-911 database provider for E-911 agencies serving such additional locations. Customer shall be responsible for determining that such additional locations meet these requirements and shall verify to Frontier that such additional locations meet the requirements. Customer may add or remove telephone numbers and locations by providing a letter of notification to the Frontier E-911 System Administration. Notification must include all information in the "Locations of Service Table" set forth in this Agreement. There are no additional charges to add numbers or locations provided the locations are within the state(s) identified in this Agreement; the terms and conditions of this Agreement shall apply to such added locations and/or numbers. 9. Choice of Law. This Agreement will be construed and enforced in accordance with the laws of the jurisdiction in which PS/ALI Service is provided. 10. Notice. Any written notice either Party may give the other concerning the subject matter of this Agreement shall be in writing and given or made by means of certified or registered mail, express mail or other overnight delivery service, or hand delivery, proper postage or other charges paid and addressed or directed to the respective parties as follows: To Customer: At Customer's address shown on the first page of this Agreement Attention: To Frontier: Frontier Communications of America Attention: Timothy Beauchamp 7979 N Belt Line Rd Irving TX 75063 Copy to: Citizens Telecom Services Company L.L.C. Attention: Associate General Counsel 3 High Ridge Park Stamford, CT 06905 Such notice shall be deemed to have been given or made when actually received as specified above. Each Party hereto may change its address by a notice given to the other Party in the manner set forth above. 11. Contingency. Frontier shall not be liable for Service failures caused by fires, floods, unusually severe weather, acts of government or third parties, strikes, labor disputes, inability to obtain necessary equipment or services, or other causes beyond its reasonable control. 12. Additional Terms and Conditions 12.1 Payment. The applicable Frontier telephone company will invoice Customer when Service provisioning has been completed and the Service is available for Customer's use. Payments will be due net thirty (30) days from the date of the invoice, unless a different date appears on the invoice. Payments received after the due PS/ALI Page 2 of 9 FTR 10/2412016 date may be subject to a late payment charge. The charges identified in Exhibit B do not include applicable taxes, surcharges, and other amounts due under law, which Customer agrees to pay in addition to the identified charges. 12.2 Limited Warranty. FRONTIER WARRANTS THE SERVICES WILL FUNCTION SUBSTANTIALLY IN ACCORDANCE WITH OFFICIAL SERVICE DESCRIPTIONS. IF ANY SERVICE(S) DO NOT FUNCTION SUBSTANTIALLY IN ACCORDANCE WITH APPLICABLE SERVICE DESCRIPTIONS THROUGH NO FAULT OF CUSTOMER OR, ITS AGENTS, A CONDITION EXCUSED UNDER THE SECTION TITLED 'CONTINGENCY" (ABOVE), OR DUE TO SCHEDULED MAINTENANCE, FRONTIER's SOLE OBLIGATION IS TO REPAIR THE AFFECTED SERVICE(S) AT ITS EXPENSE. THIS LIMITED WARRANTY IS FRONTIER's EXCLUSIVE WARRANTY AND CUSTOMER'S EXCLUSIVE REMEDY FOR BREACH OF WARRANTY. FRONTIER HEREBY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR PURPOSE. 12.3 Limitation of Liability. This Service is offered solely as an aid in handling assistance calls in connection with fire, police and other emergencies. Frontier assumes no liability for any infringement, or invasion of any right of privacy of any person or persons caused, or claimed to be caused, directly or indirectly by the use of the Service. The Customer agrees, except where the events, incidents, or eventualities set forth in this sentence are the result of Frontier's willful misconduct, to release, indemnify, defend and hold harmless Frontier from any and all loss or claims whatsoever, whether suffered, made, instituted, or asserted by the Customer or by any other party or person, for any personal injury to or death of any person or persons, or for any loss, damage, or destruction of any property, whether owned by the Customer or others. The Customer also agrees to release, indemnify, defend and hold harmless Frontier for any infringement or invasion of the right of privacy of any person or persons, caused or claimed to have been caused, directly or indirectly, by the installation, operation, failure to operate, maintenance, removal, presence, condition, occasion, or use of Service features and the equipment associated therewith, or by any services furnished by Frontier in connection therewith, including, but not limited to, the identification of the telephone number, address, or name associated with the telephone used by the party or parties accessing Service hereunder, and which arise out of the negligence or other wrongful act of the customer, its user, agencies or municipalities, or the employees or agents of any one of them, or which arise out of the negligence, other than gross negligence or willful misconduct, of Frontier, its employees or agents. FRONTIER WILL NOT BE LIABLE FOR CONSEQUENTIAL, INCIDENTAL, INDIRECT, OR SPECIAL DAMAGES, INCLUDING, BUT NOT LIMITED TO, LOSS OF BUSINESS, PROFITS, INFORMATION, OR OTHER COMMERCIAL OR ECONOMIC LOSS, WHETHER SUCH DAMAGES ARE BASED UPON BREACH OF CONTRACT, TORT, INCLUDING NEGLIGENCE, OR OTHERWISE, EVEN IF FRONTIER HAS BEEN NOTIFIED OF THE POSSIBILITY OF SUCH DAMAGES. FRONTIER'S LIABILITY TO CUSTOMER FOR ANY OTHER DAMAGES DUE TO FAILURES IN THE SERVICES ARISING FROM ITS NEGLIGENCE OR BREACH OF THIS AGREEMENT SHALL BE LIMITED TO AN AMOUNT EQUAL TO CUSTOMER'S PROVEN DIRECT DAMAGES OR ONE THOUSAND DOLLARS ($1,000) WHICHEVER IS LESS. FRONTIER MAY FROM TIME TO TIME PROVIDE TRAINING, ADVICE, MAKE RECOMMENDATIONS OR SUPPLY OTHER ANALYSIS RELATED TO THE SERVICES IN THIS AGREEMENT AND WHILE FRONTIER SHALL USE REASONABLE EFFORTS IN THIS REGARD, CUSTOMER ACKNOWLEDGES AND AGREES THAT THIS LIMITATION OF LIABILITY APPLIES TO THE PROVISION OF SUCH ADVICE, RECOMMENDATIONS AND ANALYSIS. 12.4 Indemnification. Customer shall indemnify, defend and hold harmless Frontier, its officers, employees and designated representatives from any and all claims, suits, actions, damages, liabilities, expenses and costs of any kind, including litigation costs and reasonable attorney's fees, arising out of any claims relating to Customer's information or lack of information on, or Customer adds to, changes to and/or deletes from the E- 911 database. 12.5 Title. Frontier and/or its suppliers, own all rights, title, and interest in equipment, software, and facilities used by Frontier to provide PS/ALI Service. 12.6 Tariffs. In states where PS/ALI Service is not currently subject to a filed tariff, if during the Service Period a governmental body properly requires PS/ALI Service to be provided under tariff, Frontier may terminate PS/ALI Service under this Agreement or cause the preparation and filing of an appropriate tariff in accordance with law. If Frontier elects to file a tariff, the tariff will supersede this Agreement prospectively when the tariff becomes effective under law. PS/ALI Page 3 of 9 FTR 10/24/2016 13. Resale. Except as otherwise required by applicable law or regulation, PS/ALI Service may not be resold by Customer. 14. Entire Agreement. This Agreement supersedes all prior agreements between Frontier and Customer for the PS/ALI Service provided hereunder. This Agreement (including the Exhibit(s) and Attachment(s) hereto and any tariffs or guides incorporated by reference) constitutes the entire agreement between Customer and Frontier and shall supersede all prior oral or written quotations, communications, understandings or agreements on the subject matter hereof. Each party represents that its execution of this Agreement is based solely on its independent assessment of the rights and obligations expressly set forth herein and not of any other oral or written quotations, communications, understandings or agreements. Except as provided herein, this Agreement may not be modified or rescinded except by a writing signed by authorized representatives of each party. IN WITNESS WHEREOF, duly authorized representatives of each party have caused this Agreement to be executed by their duly authorized representative as of the Effective Date. Calhoun County TX (Customer) FRONTIER COMMUNICATIONS OF AMERICA, INC. (Frontier) By: By: Name: Ron Reger Title: IT Coordinator Date: July 6, 2022 Date: July 6, 2022 PS/ALI - Page 4 of 9 FTR 10/24/2016 Name: Timothy Beauchamp Title: Sales Director EXHIBIT A DESCRIPTION OF SERVICE, ROLES AND RESPONSIBILITIES PS/ALI SERVICE 1. Description of Service. Private Switch/Automatic Location Identification Service (PS/ALI) is an Enhanced 911 (E-911) service that allows a Private Switch (PS) located on Customer's premises, or a Centrex leased by Customer, to send automatic number identification (ANI) information to the E-911 database for individual user stations for the purpose of providing specific site or station location information on an E-911 call to the appropriate Public Safety Answering Point (PSAP). PS/ALI Service provides Customer with access to the Frontier E-911 database so that it may develop and maintain its own E-911 database records. A Fault Resistant/Data Base Management System (FR/DBMS) Private Switch Interface is used to enter Telephone Number information into the database. Customers must meet all technical specifications and regulations for 911 service as published by 911 Governmental Agencies and Frontier. Where required, specialized Customer Premises Equipment (CPE) network interfaces must be provided by Customer. 2. Roles and Responsibilities —Customer 2.1 Customer will provide all information requested by Frontier to provide the Service, including a Customer specific National Emergency Number Association (NENA) Company ID. 2.2 Customer is responsible for establishing a location responsible for administration of Customer and end user records ("Administration Site"). 2.3 At the Administration Site, Customer will provide a computer equipped with an internet connection which will be used to create and transmit end user information to the Frontier E-911 database. 2.4 Customer shall verify that Frontier is the E-911 database provider for the E-911 agencies serving the locations identified below. 2.5 Customer is responsible for notification to the local 911 entity that Customer is a PS/ALI subscriber. 2.6 Customer will gain access to the Frontier E-911 database only by using the security procedures provided by Frontier. 2.7 If using a PBX, the PBX must use Direct Inward Dial (DID) numbers. 2.8. If using a PBX. Customer is responsible for coordinating with its PBX vendor to configure its PBX to send station -level AN[ for 911 calls. 2.9 Customer is responsible for the operation of any hardware and software it may obtain from third -party vendors to build and maintain a location database for each DID behind the PBX. 2.10 Customer is responsible for implementation and ongoing administration of all data management associated with the Service and providing advanced written notice to Frontier of any changes in Customer's Local Service Provider. 2.11 Customer is responsible for maintaining the accuracy of the data by updating the database with changes and new information. 2.12 Customer is responsible for any testing required to verify that the station -level telephone number and address displayed at the PSAP are correct. 2.13 Customer will provide all current telephone number and address data, as well as changes and new information, in a timely manner, in accordance with Frontier's specified format and procedures. 2.14 Customer will notify Frontier of all errors, defects and malfunctions of which it becomes aware. PS/ALI Page 5 of 9 FTR 10/2412016 2.15 If Customer's Local Service Provider at the locations covered by this Agreement is a provider other than Frontier, then Customer understands and agrees that it shall notify the applicable Local Service Provider, obtain its concurrence to "unlock" all necessary ANI numbers, and make any other necessary or appropriate arrangements with that Local Service Provider to enable Frontier to provide the PS/ALI Service requested under this Agreement. Upon Customer's request, Frontier will provide Customer with a form of letter to use in order to satisfy the requirement of this paragraph. 3. Roles and Responsibilities — Frontier 3.1 Frontier will provide Customer with a Login ID, file naming conventions and instructions to download the digital certificate. 3.2 Frontier will review the PS/ALI database management process and the PS/ALI guide with Customer via conference call. 3.3 If Frontier becomes aware of any errors in the records provided by Customer, Frontier will return such records to Customer for resolution. The Service does not include, and Frontier does not undertake, extraordinary tasks of inspection or constant monitoring to discover errors, defects or malfunctions in Customer's data management system/process. Frontier shall in no way be responsible for any deficiency of the PS/ALI Service hereunder caused by an error, defect, limitation, or other condition of Customer - provided communications equipment. 4. General 4.1 The facilities and systems Frontier uses to provide PS/ALI Service will be exclusively of Frontier's choosing. Frontier may at any time substitute facilities or systems used to provide the Service, or it may substitute comparable service for the Service being provided to Customer. 4.2 Frontier reserves the right to perform maintenance at any time, at its discretion, when it believes such maintenance is necessary to maintain the Service. 4.3 Customer and Frontier agree to comply with all applicable Federal, State, and local laws, regulations, and codes in performance of this Agreement. 4.4 The Service is offered solely as an aid in providing station specific location detail on the 911 Automatic Location Identification record in the 911 database for the telephone numbers listed in this Agreement and does not create any relationship or obligation, direct or indirect, express or implied, to any person or legal entity other than with Customer, as described in this Agreement. Frontier's provision of PS/ALI Service shall not be interpreted, construed, or regarded as creating an obligation by Frontier to any third person or legal entity other than with Customer. 4.5 Frontier shall not be held accountable for emergency service(s) response to a request for emergency service in connection with fire, police and any other emergency services based on display of the 911 ALI record at a Public Safety Answering Point. MALI Page 6 of 9 FTR 10/24/2016 EXHIBIT B PS/ALI SERVICE APPLICABLE RATES, CHARGES, LOCATIONS Frontier company name: Frontier Communications of America, Inc. ("Frontier") State: Texas Customer name: Calhoun County TX Case No.: Customer must sign, date and return this Agreement to Frontier on or before 7/06/22 or the proposed Service arrangement and pricing will no longer be available. 1. PS/ALI Service and Quantity Commitments. Customer agrees to purchase PS/ALI Service from Frontier at the rates set forth below and in the quantities set forth below. Any other work, services or facilities required will be provided subject to prevailing tariff rates and charges, or if no tariff is applicable, at Frontier's then -current retail rate. Quantity Service Item Non -recurring Charge,(NRC)/Unit PS/ALI Database access set-up and access 1 management $1,000.00 This service does not include trunks or lines to deliver the voice E-911 call. 2. Billing and Payment. The NRC identified above shall apply on a statewide basis for establishing PS/ALI Service for Customer in the state covered by this Exhibit. Any back -billing limitations otherwise applicable to PS/ALI Service shall not apply under this Agreement. 3. Service Period. Customer shall purchase PS/ALI Service for a period of twenty-four (24) consecutive months from the in-service date (the "Service Period"). The in-service date shall be the date, after the Effective Date defined above in the Service Agreement, on which Frontier's provisioning has been completed and the Service is available for Customer's use. 4. Termination of PS/ALI Service. Customer may terminate PS/ALI Service at any time by providing written notice to Frontier. PS/ALI Service will be deemed terminated at the end of the next billing cycle following receipt by Frontier of the written notice from Customer. Upon termination, any outstanding charges, including any outstanding balance of any non -recurring charges, shall be due and payable in one lump sum within thirty (30) days of billing. If Customer changes or cancels the Service under this Exhibit prior to the in-service date, Customer will pay to Frontier all costs associated with contract and service preparation up to the date of cancellation. The date of cancellation shall be the date Frontier receives written notification from Customer. 5. Additional Provisions 5.1 Conditions. The parties acknowledge that the rates and other terms of this Agreement are premised on Customer's commitments, unique network design requirements, and Customer's service mix, usage patterns and concentration, and other characteristics. 5.2 Service Continuation. If, at the time of expiration of the Service Period, a new agreement with Frontier for PS/ALI Service is not effective as defined above and Customer has not requested, in writing, disconnection of PS/ALI Service, then PS/ALI Service will continue under the terms and conditions of this Agreement on a month -to -month basis (the "Extended Service Period"), until a new agreement for PS/ALI Service is entered into by the parties or the Service is terminated by either party upon thirty days prior written notice to the other party. Although the terms and conditions will continue to apply during the Extended Service Period, Frontier may charge its then -current rates for the Service. PS/ALI Page 7 of 9 FTR 10/24/2016 5.3 Detariffina. If PS/ALI Service provided hereunder is subject to a filed tariff and if during the Service Period such PS/ALI Service becomes detariffed, then the terms of the tariffs in effect immediately prior to such detariffing shall be deemed to be incorporated by reference and shall continue to apply to the provision of the Service to the same extent as such tariffs applied hereunder prior to such detariffing. 6. Locations of Service. The PS/ALI Service and charges set forth in this Exhibit are applicable to Customer at the following locations ("Locations of Service"). PRIMARY TN ADDRESS ES TN RANGES DIAL TONE SERVICE PROVIDER E-911 DATABASE PROVIDER 361.553.4465 117 W Ash St Port Lavaca TX 361.553.4400 - 4499 Frontier Frontier 361.553.4465 200 W Mahan St Port Lavaca TX 361.553.4600-4699 361.553.4465 131 Virginia St Ste F Port Lavaca TX 361.553.6428 PS/ALI Paae 8 of 9 FTR 10/24/2016 PS/ALI Page 9 of 9 FTR 10/24/2016 # 07 NOTICE OF MEETING — 7/13/2022 7. Consider and take necessary action to approve the Preliminary Plat of Bay Club at Falcon Point Ranch — Resubdivision No. 2. (GDR) Terry Ruddick explained the preliminary plat. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 11 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 7, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for July 13, 2022. • Consider and take necessary action to approve the Preliminary Plat of Bay Club at Falcon Point Ranch - Resubdivision No. 2. S�erely, �') o Gary D: Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: earv.reese ((calhounemx.ore — (361) 785-3141 — Fax (361) 785.5602 4w Sg53 : 65'r6 n w g� k2kg3a ul � ALL�' S . `w��w� 5\ga<. f 1!1 z € ®�Z® $b$3� �^ ¢ a €a@ea o p € z �[ y€ N O w € s S Y 2&y:a w hh Hd S SN"� Z oo' t`a 599y3"p (� '" z pp€�E %8 tJ nq:= .y il Z O o�3'0 a _5 .. �. R H ✓ ('� i' _ 2$�k �O>$i� Via.€.tl Gz.e e:�k °aaa L� w ifuE$ K O T ZN As3a �S` o Agg wg ILI 9 ��a a O BAY CLUB DRIVE a 3 _ Q 3ry cue wo omm _ ry � LL \a `. f6 IN I; 91 l — t 1 gigt54 38 a o trd 'mom 3 I N 2g¢2g¢ a aN R gw cee N... Ly 3.Ct.C11P '69 .....................................................................I1..... L.........'a.nL0:8D.2P N L1 3 .BP.LS.tO H, - 3 yye ggg i3� y • 1: NOTICE OF MEETING — 7/13/2022 8. Consider and take necessary action to re -appoint Teddy Hawes and William Schustereit to the West Side Calhoun County Navigation District. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 11 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 7, 2022 Honorable Richard Meyer Calhoun County judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for July 13, 2022. Consider and take necessary action on re -appointments of Teddy Hawes and William Schustereit to the West Side Calhoun County Navigation District. Sincerely, V 1J Gary. Rees GDR/at P.O. Box 177 —Seadrift. Texas 77983 —email: ury.reese re.calhouncotx.oru — (361) 785-3141 —Fax (361) 785-5602 ff ME Pok(of WEST CALHOUN WEST SIDE CALHOUN COUNTY NAVIGATION DISTRICT • Slksr� SEADRIFT, TX 77983 June 30 2022 Commissioner Gary Reese Calhoun County Commissioner Precinct #4 P.O. Box 177 Seadrift, TX. 77983 Dear Commissioner Reese: Thank you for your continued support and service to Precinct #4 and the West Side Calhoun County Navigation District. My term of service on the Navigation District Commission is soon to expire. I have greatly enjoyed my time on this important board, and would welcome your appointment to serve another term. The Navigation District has made great strides in the past few years and I wish to help serve my community by ensuring that forward momentum remains through my service and dedication. Thank you, William Schustereit JACK CAMPBELL, JR TEDDY HAWES WILLIAM SCHUSTEREIT Chairman Commissioner Commissioner # 09 NOTICE OF MEETING — 7/13/2022 9. Consider and take necessary action to allow vendors to set up at the Port O'Connor Community Center Pavilion on October 8, 2022 during the clay shooting event. (GDR) Maeghen Strahan explained where the vendors would be set up. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 11 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 6, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for July 13, 2022. • Consider and take necessary action to allow vendors set up at the Port O'Connor Community Center Pavilion October 8, 2022 during the clay shoot event. F'71v) rely, Gary D. Reese GDR/at P.O. Box 177 - Seadrift. Texas 77983 - email: eare.reese -.calhoumco[x.ore - (361) 785-3141 - Fax (361) 785-5602 Shoot Station f� Sfd', 00� o� sh S�db OOr O' Shoot Station POC Clay Shoot Layout Shoot Station Svc Club Bldg Stage area for safety meeting/awards �opua� �opua� �opua� Shoot Station Shoot Station Safety fence with only 1 access point to shoot range. Off duty officer guarding entrance Sh°pt Stat`pC\ 0 5O° .,oZ, Ewa t Sr°°`po tat S #10 NOTICE OF MEETING — 7/13/2022 10. Consider and take necessary action to authorize Commissioner Reese to enter into and sign all documentation for a Lease & Rental Agreement with Anderson Machinery for the rental of a Bomag BW 151AD-5 Roller. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 11 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 7, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for July 13, 2022. • Consider and take necessary action to authorize Commissioner Reese to enter into and sign all documentation for a Lease & Rental Agreement with Anderson Machinery for rental of Bomag BW 151AD-5 Roller. Sincerely, 2eae GDR/at P.O. Box 177 — Seadritl. Texas 77983 — email: earv.reese o calhouncotx.oM — (361) 785-3141 — Fax (361) 785.5602 ND�RS�N A 1ACIIINIRY COMPANY Lessee: Calhoun Co Pct.4 Address: P.O. Box 177 Description Bomag BW 151AD-5 Start Date: 7-18-22 Hour Meter: 274.0 Guaranteed Term: Month Salesman: 530 Seadrift, Tx 77983 Equipment # 4661 Serial # 101921661010 Equipment Value $ 164,000.00 Purchase Order # Gary Single shift base rate per Insurance month Subtotal $ $ 3,600.00 Customer Provided 3,600.00 Estimated Delivery & Pickup 11 Lessor Lessee Charges TBD HET TERP 0.2022% 7.5o% $ 7.28 Jobsite Location Sales Tax 8.25% Long Mott, Tx Total due per month $ 3,607.28 Fuel : Unit will be furnished with a full tank of fuel on delivery. Lessee agrees to return the unitwith a full tank or reimburse the Lessor for the cost of filling the fuel tank. Any unit that requires oaf 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 payments to: 5309 US Hwy 59 N - Victoria - TX - 77905 All conditions on this contract and attached "Terms and Conditions" are accepted by: Anderson a h' ery Company Lessee: Calhoun Co PCt.4 c ' 'Name I Name-- -- Title: , Date: - y �_ � 1 Title: /_ �N P �, Date: -1,13, 2f) (Not valid unless signed by an officer of Anderson Machinery Company) t"�� TERMS AND CONDITIONS OF RENTAL CONTRACT—ANDERSON MACHINERY COMPANY LESSEE ACKNOWLEDGESTHAT A LARGE -PRINT VERSION OF THESETERMS AND CONDITIONS HAS BEEN MADE AVAILABLE TO LESSEE Copyright ® EquipmentRentalContracts.cam. (866) 582-2586. All rights reserved. Unauthorized reproduction and/car distribution expressly prohibited. For good and valuable consideration, you and Anderson Machinery Company, a Texas corporation (also referred to herein as, "AMC," "Lessor," "we," "us" and "our") agree as follows: 1. As used herein, "P.1" refers to the first page or "face" of this Contract, "Contract" refers to PA together with these Terms and Conditions of Rental Contract; "Rented Item(s)" or "Item(s)" means the Items) rented to you, as identifled on P.1(including any "Instructions" and/or safety devices provided per the terms of Section (or "§"I 3 below); "Site" means the delivery or use address set forth on P.1; and "Customer," 'Lessee," "you" and "your" mean the "Customer," "Renter" or "Lessee" identified on P.I. 2. You agree to: (a) rent from AMC the Rented Items) for the perlod(s) specified on P.1 (the 'Term"), (b) fully and timely pay us as and when due the rental rate(s) set forth on P.1 (the "Rent"), together with all other charges accruing hereunder, without proration, reduction or setoff; and (c) remain liable for all loss of and/car damage to and/or caused by the Rented Item(s) for the entire Term and until all such Rented Items) is/are returned to and accepted by AMC in the proper return condition per § 10. Unless otherwise agreed in writing by AMC, all Rental rates are charged for normal use of the Rented Item(s), not exceeding 8 hours per 24-hour period for which Rent is charged hereunder (each, a "Rental Day"), 40 hours per 7-Rental Day period, 160 hours per 28-Rental Day period (zero hours for all uncharged -for periods) In accordance with the terms of this Contract. Additional Rent will be charged as provided In § 10 for late returns and overuse. You will not be entitled to any cancellation right or reduction of Rent or other amounts coming due hereunder in order to account for time in transit, Act(s) of Gad, event(s) of farce majeure or any other periods) of unavailability or non use of any Rented Item(s). We have estimated the Rent based on your estimate of the length of the Term (the "Estimated Rent"). Unless otherwise specified on P,1, you: (a) will pay us: (I) any and all deposit(s) as well as the Estimated Rent specified on PA In advance OR at the time of delivery, (as requested by AMC), (the "Prepayment"); and (it) all other amounts coming due hereunder on Net 30 terms; and (b) agree that: (i) we may deduct any amount you owe us from any Prepayment; (II) no interest will accrue on any Prepayment, (Ili) no Prepayment will be deemed a limit of your liability under or in connection with this Contract; and (iv) all Prepayments are NON-REFUNDABLE except only as provided In § S. Anything remaining with, in or on any Item(s) upon return to AMC will be deemed surrendered and abandoned. 3. Upon the earlier of your recelpt, or our delivery to the Site, of the Rented Items) unless you Immediately reject it/them, you represent, warrant, acknowledge and agree that: (a) each Item: (1) is complete and in good order, condition and repair, (11) is appropriate for your purposes and In all ways acceptable to you; and (lit) was selected (not based on any recommendation by AMC), carefully examined and tested by you or your agent(s); and (b) you: (I) have carefully reviewed and understand all applicable laws, rules, regulations, standards, training, Instructions, manuals and other information, If any, including all applicable EPA, OSHA, MSHA, ASME, IBC, IFC, IEEE, UL, ASSE, DOT, FMCSA, ANSI, NCCCO and other standards, Including state and local equivalents (collectively, "Instructions"); (11) will fully and timely comply therewith (Including Tler 4, Silica Dust, ELO, Licensing (Including Hoisting Ucensure), Cleaning and Disinfection requirements); (lit) have been made aware of the need to use all applicable personal protective equipment (including RESPIRATORY and FALL PROTECTION devices); (iv) Will use each Item only for its Intended purpose, in a reasonable and safe manner, (v) will timely give all applicable notice(s) to, and obtain all applicable licenses, authorizations, permits and approvals from, all affected parties, including governmental authorities, utilities, cable companies and the owners) of the Site, and ensure that all underground lines, cables and conduits are clearly and properly marked before using any Item(s) to dig or disturb the ground surface (all 811 and go to www.Texas811.org at least 3, but not more than 14, full business days in advance); (vi) will immediately cease using any Item that is damaged, breaks down, or proves defective (a "Malfunction"); and (vii) will ensure that all others comply with this Contract at all times. You agree to immediately notify- (A) the local police and AMC in the event of any theft or accident Involving any Rented Item(s); and (B) AMC R any of the other requirements of this Section shall prove Incorrect. 4. Except with respect to Rented Items which we rent from one or more third parties (each, a "TPO"I and then re -rent to you ("re -rented Items"), AMC owns and will retain Otte to all Rented Items at all times. You will have exclusive control over the use of the Rented Item(s) during the Term, subject however, to your duty to fully and timely comply with this Contract at all times. You SHALL NOT: (a) permit the taking or existence of any lien, claim, security Interest or encumbrance on any Rented Item(s); (b) have any title or ownership interest in or with respect to any Rented Item(s); or (c) loan, transfer, sublease, re -rent, surrender, store, sell, encumber, assign or dispose of any Items) orthis Contract, without our prior written consent (in our sole discretion). We may sell and/or assign all or any part of our Interests In such Items) and/or this Contract, in which event, you will attom to the assignee, who will not be responsible for any pre-existing obligations or liabilities of AMC or any TPO. S. In the event of a Malfunction as defined in § 3, you will immediately notify, and return the Malfunctioning Item to, AMC, and provided such Malfunction did not result from or in connection with any wrongful or negligent act or omission of, or any breach of any provision of this Contract by, you or anyone you permit to use or deal with such Items we may, at our option: (a) repair such Item; (b) provide you with a comparable Item; or (c) solely with respect to the Malfunctioning Item, return the unused portion of the Rent and cancel this Contract. The forggoing remedies are EXCLUSIVE. We will have no other obligation(s) with respect to Malfunctions, all of which you waive, together with all associated direct and Indirect liabilities, losses, claims and damages. 6. WARNINGS: THE RENTED tTEM(S) CAN BE DANGEROUS, AND SHOULD BE TRANSPORTED, SERVICED, MAINTAINED, REPAIRED AND USED WITH EXTREME CARE, ONLY FOR ITS/THEIR INTENDED PURPOSE(S), AND ONLY BY COMPETENT, PROPERLY TRAINED, FAMILIARIZED, QUALIFIED, CERTIFIED, SUPERVISED, INSTRUCTED, AND IF APPLICABLE, LICENSED, ADULTS. YOU AGREE TO PROVIDE ALL APPLICABLE TRAINING, FAMILIARIZATION, INSTRUCTIONS AND WARNINGS TO ALL USERS, OPERATORS AND OCCUPANTS OF THE RENTED ITEM(S), and ensure that each Item is used reasonably, safely and only: (a) for its intended purpose(s); (b) within its rated capacity, (c) unless otherwise specifically agreed by AMC on a case -by -case basis, at the Site; (d) by adults who satisfy the above requirements; and (a) otherwise in full compliance with this Contract, at all times. 7. You shall ensure the Site is reasonably clean, safe, secure and otherwisefit for delivery and use of the Rented Item(s) at all times without modification by AMC. If we agree to provide any servicels) (including without limitation, delivery, setup and/car retrieval), you agree to: (a) pay our regular charge(s) therefor, and for all waiting time; (b) be present at the Site at the agreed time(s); and (c) ensure ourpersonnel have full access to the Site. We will not be responsible for any delay(s) caused by other parties, Including providers of other equipment or services ("Other Providers") for which you agree to indemnify, defend and hold harmless AMC. If you are not present upon delivery or retrieval of any Item(s), you agree to accept the statements of our representatives regarding the same (including status, condition, quality, utility and quantities of the Item(s) and the Site). 8. NO WARRANTIES:AMC IS NOTTHE MANUFACTURER OR DESIGNER OF ANY OF THE ITEMS, all of which are provided "AS -IS". AMC MAKES NO WARRANTY(IES), EXPRESS OR IMPLIED (INCLUDING ANY WARRANTY(IES) OF MERCHANTABILITY, SUITABILITY, FITNESS FOR A PARTICULAR PURPOSE, FUNCTION, DESIGN, QUALITY, CAPACITY, FREEDOM FROM DEFECTS AND/OR CONTAMINATION, GOOD AND WORKMANLIKE PERFORMANCE, AND ANY WARRANTY(IES) ARISING FROM ANY COURSE OF DEALING, COURSE OF PERFORMANCE AND/OR USAGE OF TRADE) regarding any Item(s) or Service(s) referenced in this Contract, nor does AMC make any warrenty(les) against INTERFERENCE OR INFRINGEMENT, all of which you waive. No depictions, models, descriptions, specifications, recommendations or advertisements made or received by AMC constitute representations or warranties by AMC or any TPO. 9. INDEMNITY: TO THE MAXIMUM EXTENT PERMITTED UNDER APPLICABLE LAW, YOU HEREBY: (A) ASSUME ALL RISK OF PERSONAL AND BODILY I WURY, ILLNESS, PRODUCTS LIABILITY, LOSS, THEFT, DAMAGE AND CONTAMINATION OF, TO, AND/OR ARISING IN CONNECTION WITH, THE ITEMS) AND/OR SERVICE(S) REFERENCED IN THIS CONTRACT, INCLUDING WITHOUT LIMITATION, ALL LIABILITIES, CLAIMS AND DAMAGES ARISING IN CONNECTION WITH THE SELECTION, PROVISION, INSPECTION, DESIGN, MANUFACTURE, USE, LOADING, UNLOADING, TRANSPORTATION, DEMONSTRATION, STORAGE, CLEANING, CONTAMINATION, DISINFECTION, SERVICING, MAINTENANCE, REPAIR, DELIVERY AND/OR RETRIEVAL THEREOF (COLLECTIVELY, "RISKS"); (8) RELEASE AND DISCHARGE, AND AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS, ANDERSON MACHINERY COMPANY, each TPO, their respective parents, partners,suppliers, affiliates and subsidiaries, and their respective owners, shareholders, members, managers, officers, directors, agents, employees, Insurers, representatives, subrogees, successors and assigns (each, an "Indemnitee" and collectively, the "Indemnitees"), for, from and against all such RISKS (including without limitation, attorneys' fees) as well as any breach of this Contract by you, your agents, employees, contractors and/or invitees; and except only as provided in § 5, (C) WAIVE all tights, remedies, claims, damages and defenses available under the Uniform Commercial Code, as well as all direct, indirect, incidental, consequential, general, special, exemplary and punitive damages, against the Indemnitees (and each of them). 10. You agree to protect, properly service, maintain and care for each Rented Item at all times, keep it safely and securely stored and locked when not In use, and return it to AMC on time at the end of the Term, complete (including all attachments), clean, free of contamination (Including without limitation, silica, beryllium, asbestos and pathogens), in good order, condition and repair, properly serviced and maintained, and if applicable, full of the proper fuel, fluids and lubricants. if you fall to do so, then in addition to the amounts set forth on P.1, you will pay us: (a) Rent at our highest incremental rate for each succeeding full rental period until all Item(s) have been returned or replaced as required; and (b) all casts and expenses we Incur in connection with such failure. You shall not, nor shall you permitanyone else to: (i) use any Rented Item while under the Influence of any Intoxicant(s) (including without limitation, CANNABIS AND ALCOHOL), abuse, misuse, overuse, conceal, store with any third party, repair, modify or damage any Rented Item(s); (it) violate any Instruction, Insurance policy or warranty; (ill) expose any Rented Item(s) to any flammable, explosive, harmful or hazardous substance(s) or circumstanrn(s); (N) disable, misuse or circumvent any safety equipment or device(s) in, on or with any Rented itemis); Ivl take possession of or exercise control over any Rented Item(s), without our prior consent (in our sole and absolute discretion): or (vi) place or store in env Rented Items) (including trailers) any contraband. 11. You agree to maintain all insurance we may require, including without limitation: (a) liability insurance with minimum limits of $1,0D0,000 per occurrence; (b) workers' compensation and employers liability Insurance; (c) property damage/Inland marine insurance covering all Items for the full (new) replacement cost thereof; and (d) hired auto liability and physical damage insurance, and with respect to each, whenever possible: (1) covering submerging, overturning and overloading; Ill) naming AMC as an additional Insured and loss payee; (iii) waiving subrogation against AMC; IN) being primary and non-contributory; and (v) Including such other provisions (Including deductibles) as AMC may require. You irrevocably appoint Anderson Machinery Company as your agent and attorney -in -fact for purposes of submitting, negotiating and settling claims on all such policies. 12. Your Rental shall be deemed a "net" rental. Accordingly, your obligations hereunder are unconditional and are not subject to reduction, setoff, abatement or counterclaim for any reason. if you or any guarantor shall: (a) fail to fully and timely honor, pay, perform or comply with this Contract, any other agreement(s) ("Other Contracts)") between you and any Indemnitee, and/or any of your obligations arising (tlhereunder or in con nectlon (t)herewith; (b) provide any incorrect or misleading information to us; (c) become insolvent or bankrupt; or (d) die or cease conducting business; If AMC reasonably deems Itself Insecure; or If any Rented Item(sl shall be lost or damaged, you will be in DEFAULT under this Contract and at the option of AMC, under such Other Contras% whereupon, AMC may with or without legal process or notice (and without liability to you), to the maximum extent permitted under applicable law: (i) cancel the Term and/or the subject Contract(s) (and/or your rights to use and possess the Rented Item(s)); (a) seek relief from stay; (iii) recover, simply, lock, restrict, shut down, disassemble and/or disable any one or more of such Item(s) without being guilty of breach, trespass or wrongful interference, or liable for any Injuries or property damage (for which you agree to Indemnify, defend and hold harmless each Indemnitee); (iv) perform your obligations ([)hereunder on your behalf, without being obligated to do so; (v) purchase replacement Item(s); (vi) recover from you and/or any guarantor(s) our associated direct and indirect damages, losses, costs and expenses (including without limitation, Rent for the entire scheduled Term, overtime,loss of use, interest, attorneys' fees, court costs, retrieval/repossession costs, and collection costs); and/or (viil pursue any one or more other rights and/or remedies available (t)hemunder, at law and/or in equity, all of which are and shall remain cumulative and unimpaired. 13. This Contract shall be governed by and enforceable under the laws of Texas. Disputes arising under and/or In connection with this Contract and/or Its subject matter, shall, at the sole option of AMC, be submitted to binding ARBITRATION in accordance with the Commercial Arbitration Rules of the American Arbitration Association at Its officals) located nearest to AMC's principal place of business before a single arbitrator selected by AMC. Judgment on the arbitrators award shall be final and binding on the parties hereto and may be entered in any court of competent jurisdiction. Proper venue for all other civil legal actions commenced in connection herewith shall lie exclusively in the federal, state and local courts located in or nearest to the AMC location from which you obtain(ed) the applicable Items) (unless waived by AMC). You consent and submit thereto and waive all claims that such venue lies in an Inconvenient forum. EACH PARTY VOLUNTARILY WAIVES ITS RIGHTS TO: (A) PARTICIPATE IN ANY JOINT, COLLECTIVE OR CLASS ACTION AGAINST THE OTHER PARTY HERETO; AND (B) TRIAL BY JURY. 14. This Contract, and any addendalum) we provide, each of which is incorporated herein, represents) the entire agreement between you and AMC, superseding all other agreements and representations (Including our website and advertising), The terms of this Contract are severable. If any provision hereof shall be deemed invalid or unenforceable by any court or arbitral body of competent jurisdiction, such provision will be deleted, and the remainder of this Contract will remain valid and enforceable. This Contract cannot otherwise be amended or extended except In a writing signed by AMC. Time is of the essence. These Terms and Conditions apply to the Item(s) identified on PA and to all other Items you obtain from us at any time (except only as we may otherwise agree In writing). This Contract: (a) constitutes an operating lease, and not a financing; (bj is fair and reasonable; and (c) shall bind and be enforceable by you, Anderson Machinery Company, the other Indemn Rees, and such parties' respective Insurers, subroge ss, successors and permitted assigns (there being no other third -party beneficiaries hereto). You agree to pay all sales, use and other taxes (Including without limitation, all Texas Emissions Reduction Plan and Dealers Heavy Equipment Special Inventory taxes), as well as all tolls, fines, fees, duties, assessments and other charges related to the Rented Item(s) and/or this Contract. In the event legal action is commenced in connection herewith, we will be entitled to recover our costs and expenses associated therewith (including without limitation, our attorneys' fees and expenses) from you if we prevail. Neither our exercise, nor our failure or delay In the exercise, of any rights or remedies available in connection herewith will constitute an election of remedies or a waiver of any of our rights or remedies. To the maximum extent permitted under applicable law, you grant to AMC: (I) a lien on all real and personal property: (A) placed in or on; and/or(8) Improved with, any Rented Item(s); and (II) the right to claim an any bond provided in connection therewith. We may, without notice or liability to you, monitor and/or Inspect (in person and/or electronically, Including via GPS and/or telematics) any Rented Item(s) at any time. You consent thereto and agree that all Information thereby obtained will be our property. If any performance required of us Is delayed or impaired as a result of any act or omission of/by you, any Other Providers) or any "Act of God" event of force majeure (including without limitation, war, fire, flood, wind, storm, earthquake, civil insurrection, riot, act of terrorism, power surge or Interruption, epidemic, pandemic and/or governmental or regulatory action or mandate), or other facts or circumstances beyond our reasonable control, we will be excused from such performance. All amounts due to AMC hereunder but not timely paid will bear interest at the lesser of: (a)18%per annum; or (b) the highest rate permitted under applicable law until paid. You authorize us to charge all amounts due and coming due hereunder to any debit and/or credit card(s) you provide. You agree to pay us the maximum lawful charge for any check you write which is returned unpaid. Our maximum liability in connection with this Contract Is limited to the amount(s) actually paid by you hereunder. Digital, electronic, photocopied and facslmlled signatures appearing on this Contract and/or any Addenda(um) we provide will be deemed originals. 15. Any item(s) sold to you ("Sale Items"), as provided on PA are provided "AS -IS" and are subject to the terms of this Contract (modified to address sales), except that § S shall not entitle you to return any Sale Item(s). All Items) not specifically Identified as Sale Items on P.1 will be deemed to be "Rented item(sl". 16. WARNING: Wrongfully obtaining or withholding property and/or services of another which are available only for compensation may be deemed THEFT, resulting in CIVIL LIABILITY and/or CRIMINAL PROSECUTION. See Texas Penal Code § 31.04, et seq. and Rs/their successor(s) for details. Page 2.1 Copyright ® EqulpmentRentalContracts.com, LLC (8661582-2SKA11 rights reserved. Unauthorized reproduction and/or distribution expressly prohibited. TERMS AND CONDITIONS OF RENTAL CONTRACT (Enlarged Version) For good and valuable consideration, you and Anderson Machinery Company, a Texas corporation (also referred to herein as, "AMC," "Lessor," "we," "us" and "our') agree as follows: 1. As used herein, "P.1" refers to the first page or "face" of this Contract; "Contract" refers to P.1 together with these Terms and Conditions of Rental Contract, "Rented Item(sl" or "Item(s)" means the item(s) rented to you, as Identified on PAfincluding any "Instructions" and/or safety devices provided per the terms of Section [or "§"l3 below); "Site" means the delivery or use address set forth on P.1; and "Customer, "Lessee," "you" and "your' mean the "Customer," 'Renter' or "Lessee" identified on P.1. 2. You agree to: (a) rent from AMC the Rented Item(s) for the period(s) specified on P.1(the'Term"); (b) fully and timely pay us as and when due the rental rate(s) set forth on PA (the "Rent"), together with all other charges accruing hereunder, without proration, reduction or setoff; and (c) remain liable for all loss of and/ordamage to and/or caused by the Rented Item(s) for the entire Term and until all such Rented Item(s) is/are returned to and accepted by AMC In the proper return condition per§ 10. Unless otherwise agreed in writing by AMC, all Rental rates are charged for normal use of the Rented Item(s), not exceeding 8 hours per 24-hour period for which Rent is charged hereunder leach, a "Rental .Day%40 hours per 7-Rental Day period, 160 hours per 28-Rental Day period (zero hours for all uncharged -for periods) in accordance with the terms of this Contract. Additional Rent will be charged as provided in § 10 for late returns and overuse. You will not be entitled to any cancellation rightor reduction of Rent or other amounts coming due hereunder in order to account for time in transit, Act(s) of God, event(s) of force majeure or any other period(s) of unavailability or rinse of any Rented hernia). We have estimated the Rent based on your estimate of the length of the Term (the "Estimated Rent"). Unless otherwise specified an P.I. you: (a) will pay us; (II any and all deposit(s) as well as the Estimated Rent specified on P.1 In advance OR at the time of delivery, (as requested by AMC), (the "Prepayment"); and (ill all other amounts coming due hereunder on Net 30 terms; and (b) agree that: (i) we may deduct any amount you owe us from any Prepayment; (ill no Interest will accrue on any Prepayment, (ill) no Prepayment will be deemed a limit of your liability under or in connection with this Contract; and (iv) all Prepayments are NON-REFUNDABLE except only as provided in § S. Anything remaining with, in or on any Item(s) upon return to AMC will be deemed surrendered and abandoned. 3. Upon the earlier of your receipt, or our delivery to the Site, of the Rented Item(s) unless you immediately reject it/them, you represent, warrant, acknowledge and agree that: (a) each Item: (i) Is complete and in good order, condition and repair; (11) Is appropriate for your purposes and in all ways acceptable to you; and (III) was selected (not based on any recommendation by AMC). carefully examined and tested by you or your agent(s); and (b) you: (1) have carefully reviewed and understand all applicable laws, rules, regulations, standards, training, Instructions, manuals and other Information, If any, including all applicable EPA, OSHA, MSHA, ASME, IBC, IFC, IEEE, UL, ASSE, DOT, FMCSA, ANSI, NCCCO and other standards, including state and local equivalents (collectively, "Instructions"): (II) will fully and timely comply therewith (including Tier 4, Silica Dust, ELD, Licensing (including Hoisting Licensure), Cleaning and Disinfection requirements); fill) have been made aware of the need to use all applicable personal protective equipment (Including RESPIRATORY and FALL PROTECTION devices); (iv) will use each Item only for its Intended purpose, in a reasonable and safe manner; (v) will timely give all applicable notice(s) to, and obtain all applicable licenses, authorizations, permits and approvals from, all affected parties, including governmental authorities, utilities, cable companies and the owners) of the Site, and ensure that all underground Imes, cables and conduits are clearly and properly marked before using any Items) to dig or disturb the ground surface (call 811 and go to www.Texas811.orgat least 3, but not more than 14, full business days in advance); Jul) will Immediately cease using any Item that is damaged, breaks down, or proves defective (a "Malfunction"); and (vil) will ensure that all others comply with this Contract at all times. You agree to immediately notify: (A) the local police and AMC in the event of any theft or accident Involving any Rented Item(s); and (8) AMC if any of the other requirements of this Section shall prove Incorrect. 4. Except with respect to Rented Items which we rent from one or more third parties (each, a "TPO") and then re -rent to you ("re -rented items"). AMC owns and will retain title to all Rented Items at all times. You will Page 2.2 Copyright Q EqulpmentRentalContracts.com, U.C. (866) 582.2586. All rights reserved. Unauthorized repraduction and/or distribution expressly prohibited. have exclusive control over the use of the Rented Item(s) during the Term, subject however, to your duty to fully and timely comply with this Contract at all times. You SHALL NOT: (a) permit the taking or existence of any lien, claim, security Interest or encumbrance on any Rented Item(s); (b) have any title or ownership interest in or with respect to any Rented Item(s); or (c) loan, transfer, sublease, re -rent, surrender, store, sell, encumber, assign or dispose of any Items) or this Contract, without our prior written consent (in our sole discretion). We may sell and/or assign all or any part of our Interests in such Item(s) and/or this Contract, In which event, you will attorn to the assignee, who will not be responsible for any pre-existing obligations or liabilities of AMC or anyTPO. S. In the event of a Malfunction as defined in § 3, you will immediately notify, and return the Malfunctioning Item to, AMC, and provided such Malfunction did not resuktfrom or in connection with any wrongful or negligent act or omission of, or any breach of any provision of this Contract by, you or anyone you permit to use ordeal with such Item(s), we may, at our option: (a) repair such Item; (b) provide you with a comparable Item; or (c) solely with respect to the Malfunctioning Item, return the unused portion of the Rent and cancel this Contract. The foregoing remedies are EXCLUSIVE. We will have no other obligation(s) with respect to Malfunctions, all of which you waive, together with all associated direct and Indirect liabilities, losses, claims and damages. 6. WARNINGS: THE RENTED ITEM(Sj CAN BE DANGEROUS, AND SHOULD BE TRANSPORTED, SERVICED, MAINTAINED, REPAIRED AND USED WITH EXTREME CARE, ONLY FOR ITSITHEIR INTENDED PURPOSE(S), AND ONLY BY COMPETENT, PROPERLY TRAINED, FAMILIARIZED, QUALIFIED, CERTIFIED, SUPERVISED, INSTRUCTED, AND IF APPLICABLE, LICENSED, ADULTS. YOU AGREE TO PROVIDE ALL APPLICABLE TRAI NING, FAMILIARIZATION, INSTRUCTIONS AND WARNINGS TO ALL USERS, OPERATORS AND OCCUPANTS OF THE RENTED ITEM(S), and ensure that each Item is used reasonably, safely and only: (a) for Its Intended purpose(s); (b) within Its rated capacity; (c) unless otherwise specifically agreed by AMC on a case -by -case basis, at the Site; (it) by adults who satisfy the above requirements; and (a) otherwise in full compliance with this Contract, at all times. 7. You shall ensure the Site is reasonably clean, safe, secure and otherwise fit for delivery and use of the Rented Item(s) at all times without modification by AMC. If we agree to provide any service(s) (including without limitation, delivery, setup and/or retrieval), you agree to: (a) pay our regular charges) therefor, and for all waiting time; lb) be present at the Site at the agreed timels); and (c) ensure our personnel have full access to the Site. We will not be responsible for any delayls) mused by other parties, including providers of other equipment or services ("Other Providers") for which you agree to Indemnify, defend and hold harmless AMC. If you are not present upon delivery or retrieval of any Item(s), you agree to accept the statements of our representatives regarding the same (including status, condition, quality, utility and quantities of the Item(s) and the Site). 8. NO WARRANTIES: AMC IS NOT THE MANUFACTURER OR DESIGNER OF ANY OF THE ITEMS, all of which are provided "AS -IS". AMC MAKES NO WARRANTY(IES), EXPRESS OR IMPUED (INCLUDING ANY WARRANTY(IES) OF MERCHANTABILITY, SUITABILITY, FITNESS FOR A PARTICULAR PURPOSE, FUNCTION, DESIGN, QUALITY, CAPACITY, FREEDOM FROM DEFECTS AND/OR CONTAMINATION, GOOD AND WORKMANLIKE PERFORMANCE, AND ANY WARRANTY(IES) ARISING FROM ANY COURSE OF DEALING, COURSE OF PERFORMANCE AND/OR USAGE OF TRADE) regarding any items) or Service(s) referenced in this Contract, nor does AMC make any wamanty(les) against INTERFERENCE OR INFRINGEMENT, all of which you waive. No depictions, models, descriptions, specifications, recommendations or advertisements made or received by AMC constitute representations or warranties by AMC or any TPO. 9. INDEMNITY: TO THE MAXIMUM EXTENT PERMITTED UNDER APPLICABLE LAW, YOU HEREBY: (A) ASSUME ALL RISK OF PERSONAL AND BODILY INJURY, ILLNESS, PRODUCTS LIABILITY, LOSS, THEFT, DAMAGE AND CONTAMINATION OF, TO, AND/OR ARISING IN CONNECTION WITH, THE ITEM(S) AND/OR SERVICE(S) REFERENCED IN THIS CONTRACT, INCLUDING WITHOUT LIMITATION, ALL LIABILITIES, CLAIMS AND DAMAGES ARISING IN CONNECTION WITH THE SELECTION, PROVISION, INSPECTION, DESIGN, MANUFACTURE, USE, LOADING, UNLOADING, TRANSPORTATION, DEMONSTRATION, STORAGE, CLEANING, CONTAMINATION, DISINFECTION, SERVICING, MAINTENANCE, REPAIR, DELIVERY AND/OR RETRIEVAL THEREOF (COLLECTIVELY, Page 23 Copyright EquipmentRentalContracts.com, U.C. (866) 582.2586. All rights reserved. Unauthorized reproduction and/or distribution expressly prohibited. DRAFTNOT ENFORCEABLE "RISKS'); (B) RELEASE AND DISCHARGE, AND AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS, ANDERSON MACHINERY COMPANY, each TPO, their respective parents, partners, suppliers, affiliates and subsidiaries, and their respective owners, shareholders, members, managers, officers, directors, agents, employees, Insurers, representatives, subrogees, successors and assigns (each, an'9ndemnitee" and collectively, the "Indemnitees" ), for, from and against all such RISKS (including without limitation, attorneys' fees) as well as any breach of this Contract by you, your agents, employees, contractors and/or invitees; and except only as provided in § S. (C) WAIVE all rights, remedies, claims, damages and defenses available under the Uniform Commercial Code, as well as all direct, indirect, Incidental, consequential, general, special, exemplary and punitive damages, against the Indemnitees (and each of them). 10. You agree to protect properly service, maintain and care for each Rented Item at all times, keep it safely and securely stored and locked when not In use, and return it to AMC on time at the end of the Term, complete (including all attachments), clean, free of contamination (Including without limitation, silica, beryllium, asbestos and pathogens), in good order, condition and repair,property serviced and maintained, and if applicable, full of the proper fuel, fluids and lubricants. If you fall to do so, then in addition to the amounts set forth on P.2, you will pay us: (a) Rent at our highest Incremental rate for each succeeding full rental period until all Items) have been returned or replaced as required; and (b) all costs and expenses we incur in connection with such failure. You shall not, nor shall you permit anyone else to: (1) use any Rented Item while under the Influence of any Intoxkant(s) (Including without limitation, CANNABIS AND ALCOHOL), abuse, misuse, overuse, conceal, store with any third party, repair, modify or damage any Rented Item(s); (11) violate any Instruction, Insurance policy or warranty; (!fit expose any Rented Items) to any flammable, explosive, harmful or hazardous substance(s) or circumstance(s); (iv) disable, misuse or circumvent any safety equipment or devim(s) In, on or with any Rented Item(s); (v) take possession of or exercise control over any Rented Item(s), without our prior consent (In our sole and absolute discretion); or (vi) place or store in any Rented Items) (including trailers) any contraband. 11. You agree to maintain all insurance we may require, Including without limitation: (a) liability Insurance with minimum limits of $1,000,000 per occurrence; (b) workers compensation and employer's liability insurance; (c) property damage/Inland marine Insurance covering all Items for the full (new) replacement cost thereof, and (it) hired auto liability and physical damage insurance, and with respect to each, whenever possible: (i) covering submerging, overturning and overloading; (11) naming AMC as an additional Insured and loss payee; (fill waiving subrogation against AMC; (iv) being primary and non-contributory; and (v) including such other provisions (including deductibles) as AMCmayrequire. You irrevombly appoint Anderson Machinery Company as your agent and attorneµin-fact for purposes of submitting, negotiating and settling claims on all such policies. 12. Your Rental shall be deemed a "net" rental. Accordingly, your obligations hereunder are unconditional and are not subject to reduction, setoff, abatement or counterclaim for any reason. If you or any guarantor shalt: (a) fail to fully and timely honor, pay, perform or comply with this Contract, any other agreements) ("Other Contract($)") between you and any Indemnitee, and/or any of your obligations arising (t)hereunder or in connection (t)herewlth; (b) provide any incorrect or misleading Information to us; (c) become insolvent or bankrupt; or (it) die or cease conducting business; if AMC reasonably deems itself Insecure; or if any Rented Item(s) shall be lost or damaged, you will be in DEFAULT under this Contract and at the option of AMC, under such Other Contractls), whereupon, AMC may with or without legal process or notice (and without liability to you), to the maximum extent permitted under applicable law: (I) cancel the Term and/or the subject Contract(s) (and/or your rights to use and possess the Rented Item(s)); (11) seek relief from stay; (III) recover, empty, lack, restrict, shutdown, disassemble and/or disable any one or more of such Items) without being guilty of breach, trespass or wrongful interference, or liable for any Injuries or property damage (for which you agree to Indemnify, defend and hold harmless each Indemniteel; (iv) perform your obligations (t)hemunder on your behalf, without being obligated to do so; (v) purchase replacement Item(s); (vi) recover from you and/or any guarantor(s) our associated direct and indirect damages, losses, costs and expenses (Including without limitation, Rent for the entire scheduled Term, overtime, loss of use, interest, attorneys fees, court costs,retrieval/repossession costs, and collection costs); and/or (vil) pursue any one or more other rights and/or remedies available (t)hereunder, at law and/or in equity, all of which are and shall remain cumulative and unimpaired. Page 2.4 Copyright 9) EqulpmentRentalContrdcMcom, U.C. (866) 582- 2586. All rights reserved. Unauthorized reproduction and/or distribution expressly prohibited. 13. This Contract shall be govemed by and enforceable underthe laws of Texas. Disputes arising under and/or In connection with this Contract and/or Its subject matter, shall, at the sole option of AMC, be submitted to binding ARBITRATION in accordance with the Commercial Arbitration Rules of the American Arbitration Association at its office(s) located nearest to AMCs principal place of business before a single arbitrator selected by AMC. Judgment on the arbitrator's award shall be final and binding on the parties hereto and may be entered In any court of competent Jurisdiction. Proper venue for all other civil legal actions commenced in connection herewith shall Ile exclusively in the federal, state and local courts located in ornearest to the AMC location from which you obtained) the applicable Item(s) )unless waived by AMC). You consent and submit thereto and waive all claims that such venue lies in an inconvenient forum. EACH PARTY VOLUNTARILY WAIVES ITS RIGHTS TO: (A) PARTICIPATE IN ANY JOINT, COLLECTIVE OR CLASS ACTION AGAINST THE OTHER PARTY HERETO; AND (8) TRIAL BY JURY. 14. This Contract, and any addenda(um) we provide, each of which Is incorporated herein, represent(sl the entire agreement between you and AMC, superseding all other agreements and representations (including our website and advertising). The terms of this Contract are severable. If any provision hereof shall be deemed Invalid or unenforceable by any court or arbitral body of competent jurisdiction, such Provision will be deleted, and the remainder of this Contract will remain valid and enforceable. This Contract cannot otherwise be amended or extended except Ina writing signed by AMC. Time Is of the essence. These Terms and Conditions apply to the Item(s) identified on PS and to all other Items you obtain from us at any time (except only as we may otherwise agree in writing). This Contract: (a) constitutes an operating lease, and not a financing; (b) Is fair and reasonable; and (c) shall bind and be enforceable by you, Anderson Machinery Company, the other Indemnitees, and such parties' respective insurers, subrogees, successors and permitted assigns (there being no other third - party beneficiaries hereto). You agree to pay all sales, use and other taxes (including without limitation, all Texas Emissions Reduction Plan and Dealer's Heavy Equipment Special Inventory taxes), as well as all tolls, fines, fees, duties, assessments and other charges related to the Rented Item(s) and/or this Contract. In the event legal action Is commenced in connection herewith, we will be entitled to recover our costs and expenses associated therewith lincludina without limitation. our attorneys' fees and CERTIFICATE OF INTERESTED PARTIES FORM 1295 tali Complete Nos,1.4 and S 0 there are Interested pwks. OFFICE USE ONLY Compiete Nos. 1.2. 3. S. and B It them are no Interested parties. CERTIFICATION OF FILING Certificate Number. 1 Name of huskness entry filing form, and the city, state and country of the business entity's place orbushwas. Anderson Machinery Company 2022-807496 Vicious, TX United States Owe Filed: Nano 0 9ovemme crony or state agency t ra a p toe contract or eta form s being filed. 07/07/2022 Calhoun County Petri Date Acknowledged- 2 provide the ldemillatien number used by the governments) angry orstate agency to track or Identify the contract, and provide description of the services, goods, er other property to be provided underthe aontraar. AMCO-VT 123 Equipment rentals or purchases 4 Nature of interest Name of interested Party City, State, Country (place of business) (chock epp0aebte) Contrawing Internnedlary Anderson Machinery Company Victoria, TX United States X S Check only It them to NO Interested Party. ❑ B UNSWORNDECLA('R'ATIO,N 1 �� My {i.�vte, �1.. name is tJo�C. N. mtdmydowelbhthismNINE My address Is� y. t�OC. e.. .Tx . os ush _ (sveeq (d<y) (state) (vpcoda) (6=94 I declare under penaky of perprtythat the foregoing is true and correct Executedin V�LQ' Coonty.Statoot �' BS .on the1day ot,it t_.�tj ,20, . (non gear) pp �� W. slgrtawre ai da busatessenWy I0 veermW� Forma provided by Texas Ethics Commission veww.ethics.t tate.tx.us Version V3.L19365cdc #11 NOTICE OF MEETING — 7/13/2022 11. Consider and take necessary action to declare an emergency for the purchasing of all Road Materials through December 31, 2022 due to the volatile increase in prices and initiate an emergency purchase procedure. (RHM) Pass Page 7 of 11 July 6, 2022 To: Judge Meyer From: The office of the County Auditor Peggy Hall, Assistant Auditor Please place the following item on the Commissioners Court Agenda for July 13, 2022: Consider and take necessary action to declare an emergency for the purchasing of all Road Materials through December 31, 2022 due to the volatile increase in prices and initiate an emergency purchase procedure. CALHOUN COUNTY, TEXAS PROCEDURE FOR EMERGENCY PURCHASE OF ALL ROAD MATERIALS Beginning July 13, 2022 and Ending December 31, 2022 Local Government Code Chapter 262. Purchasing and Contracting Authority of Counties Subchapter C. Competitive Bidding in General Sec. 262.024. Discretionary Exemptions Date of Commissioners Court Action: July 13, 2022 This procedure is applicable only during times of volatile increases in the price of Road Materials that may result in the bidder being unable or unwilling to honor bid prices and/or deliver in a timely manner, and after Commissioners Court has declared that an emergency exits and initiated this procedure. The following steps must be followed: 1) For each emergency purchase, prepare the Emergency Purchase Form approved by Commissioners Court on Wednesday, July 13, 2022 for: o All Road Materials 2) Obtain written price quotes and delivery dates from three (3) vendors. 3) Emergency purchase should be made from the vendor with the lowest price that meets product requirements and the delivery date required by the County Precinct. 4) The completed signed Emergency Purchase Form and all three (3) quotes must accompany the invoice when submitted for approval and payment. CALHOUN COUNTY, TEXAS EMERGENCY PURCHASE FORM ALL ROAD MATERIALS Beginning July 13, 2022 and Ending December 31, 2022 Approved by Commissioners Court on July 13, 2022 PRECINCT NO. PRODUCT QUANTITY ORDER DATE DELIVERY DATE VENDOR NO. 1 NAME OF BUSINESS DATE CONTACTED CONTACT NAME TELEPHONE NUMBER PRICE QUOTED DELIVERY DATE VENDOR NO. 2 NAME OF BUSINESS DATE CONTACTED CONTACT NAME TELEPHONE NUMBER PRICE QUOTED DELIVERY DATE VENDOR NO.3 NAME OF BUSINESS DATE CONTACTED CONTACT NAME TELEPHONE NUMBER PRICE QUOTED DELIVERY DATE SIGNATURE OF ELECTED OFFICIAL THIS FORM MUST ACCOMPANY THE INVOICE AND ALL THREE QUOTES FOR THE EMERGENCY PURCHASE #12 NOTICE OF MEETING — 7/13/2022 12. Accept Monthly Reports from the following County Offices: I. County Clerk — June 2022 ii. District Clerk — June 2022 iii. Justice of the Peace, Precinct 1 — June 2022 iv. Justice of the Peace, Precinct 2 — June 2022 v. Justice of the Peace, Precinct 3 — June 2022 vi. Sheriff RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 11 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION JUNE 2022 OFFICIAL - PUBLIC DESC GLCODE CIVILIFAMILY CRIMINAL. RECORDS PROBATE TOTAL . 715TRICT ATTORNEY FEES 1000-44020 $ 266.88 $ 266.88 BEER UCENSE 100042010 $ 10.00 $ 10.00 COUNTY CLERK FEES 1000-44030 $ 121.00 $ 523.75 $ 12,852.80 $ 933.00 $ 14,430.55 APPEAL FROM JP COURTS 100044030 $ - $ - COUNTY COURT ATLAW NIJURYFEE 1OW44140 $ - JURYFEE 100044140 $ - $ - $ - ELECTRONICFILINGFEESFORE-FILINGS 100044058 $ - $ - $ - $ - $ - JUDGE'SEDUCATIONFEE 100044160 $ - $ - $ - $ 35.00 $ 35.00 JUDGE'S ORDER/SIGNATURE 100044180 $ 24.00 $ - $ - $ 98.00 $ 122.00 SHERIFF'S FEES 100044190 $ - $ 598.03 $ - $ 200.00 $ 798.03 VISUAL RECORDER FEE 100044250 $ 162.07 $ 162.07 TIMEPAYMENTFEE. COUNTY "'NEW2020"' 1OW4032 $ 105.00 $ 105.00 COURT REFPORTER FEE 1000-44270 $ 50.00 $ - $ - $ 175.00 $ 225.00 RESTITUTION DUETO OTHERS 100049020 $ - ATTORNEY FEES -COURTAPPOINTED 100049030 $ - $ - APPELLATE FUND (TGC) FEE 2620-44030 $ 10.00 $ 35.00 $ 45.00 COURT FACILITY FEE FUND 2648-44030 $ 40.00 $ - $ - $ 140.00 $ 180.00 TECHNOLOGY FUND 2663-44030 $ 52.37 $ 52.37 COUNTYJURYFUND ""NEW2020"" 266944030 $ 20.00 $ 12.09 $ - $ 70.00 $ 102.09 COURTHOUSE SECURITY FEE - 2670-44030 $ 40.00 $ 123.94 $ 522.00 $ 140.00 $ B25.94 COURT INITIATED G UARDIANSHI P FEE 2672-44030 $ 210.00 $ 210.00 COURT RECORD PRESERVATION FUND 2673-44030 $ - $ - $ - $ - COURTREPORTER SERVICE FUND"NEW2020" 267444030 $ 36.28 $ 36.28 RECORDS ARCHIVE FE E 2675-44030 $ 4,960.00 $ 4,960.00 COUNTYSPECIALTYCOURT ""NEW2020"' 267644030 $ 241.88 $ 241.88 COUNTYDISPUTE RESOLUTION FUND 267744030 $ 30.00 $ $ - $ 105.00 $ 135.00 DRUG& ALCOHOL COURT PROGRAM 269844030-005 $ 30.00 $ 30.00 JUVENILE CASE MANAGER FUND 2699-44033 $ - $ - FAMILY PROTECTION FUND 2706-44030 $ - $ - IUVENILECRIME& DELI NQUENCY FUND 2715-44030 $0.00 $ - LANGUAGEACCESSFUND 2725-44030 $ 6.00 $ • $ - $ 21.00 $ 27.00 PRE-TRIAL DIVERSON AGREEMENT 2729-44034 $ - $ - LAW LIBARY FEE 2731-44030 $ 70.00 $ 245.00 $ 315.00 RECORDS MANAGEMENT FEE - COUNTYCLERKK 273844380 $ 2.50 $ 4,970.00 $ 4,972.50 RECORDS MANGEMENT FEE -COUNTY 273944030 $ 60.00 $ 324.84 $ 105.00 $ 489.84 FINES -COUNTY COURT 274045040 $ 3,660.37 $ 3,660.37 BOND FORFEITURE 2740AS050 $ - $ - STATEPOLICEOFFICERFEES- STATE (UPS)(20%) 7020-20740 $ 1.97 $ 1.97 CONSOLIDATED COURT COSTS -COUNTY 7070-20610 $ 8.30 $ 8.30 CONSOU DATED COURT COSTS - STATE 7070-20740 $ 74.70 $ 74.70 CONSOLIDATED COURTCOSTS-COUNTY "NEW20207072-2061D $ 107.46 $ 107.46 CONSOLIDATED COURTCOSTS-STATE "NEW2020""7072-20740 $ 967.18 $ 967.18 JUDICIAL AND COURT PERSONNELTRAINING - ST (100% 7502-20740 $ - $ - $ - $ - DRUG& ALCOHOL COURT PROGRAM - COUNTY 7390-20610 $ 6.00 $ 6.00 DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740 $ 24.00 $ 24.00 STATE ELECTRONIC FILING FEE -CIVIL 7403-22887 $ - $ - $ - $ - STATEELECFRONICFILINGFEECRIMINAL 7403-22990 $ 5.00 $ 5.00 EMS TRAUMA - COUNTY (10%) 7405-20610 $ 464.49 $ 464A9 EMS TRAUMA - STATE (90%) 7405-20740 $ 51.61 $ 51.61 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ - $ - $ - CIVIL INDIGENT FEE -STATE 7480-20740 $ - $ - $ - JUDICIAL FUND COURT COSTS 7495-20740 $ 15.00 $ 15.00 JUDICIAL SALARY FUND -COUNTY (10%) 7505-20610 $ 0.60 $ 0.60 JUDICIAL SALARY FUND -STATE (90%) 7505-20740 $ 5.40 $ 5.40 JUDICIAL SALARY FUND (CIVIL& PROBATE) -STATE 7505-20740-OD5 $ - $ - $ - TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884,100044359 $ - $ - COURT COST APPEAL OFTRAFFIC REG[IP APPEAL) 7538-22985 $ - BIRTH - STATE 7855-20780 $ 115.20 $ 115.20 INFORMAL MARRIAGES -STATE 7855-20782 $ - $ - IUDICIALFEE 7855-20786 $ - $ - $ - $ - FORMAL MARRIAGES- STATE 7855-20788 $ 270.00 $ 270.00 NONDISCLOSURE FEE - STATE 7855-20790 $ - $ - $ - $ - $ - TCLEOSECOURT C05T-COUNTY (10%) 7856-20610 $ - $ - TCLEOSECOURTCOST - STATE (90%) 7856-20740 $ - $ - JURYREIMBUR5EMENT FEE -COUNTY (10% 7857-20610 $ 0.40 $ 0.40 JURY REIMBURSEMENT FEE -STATE (90%) 7857-20740 $ 3.60 $ 3.60 CONSOLIDATED CRT COSTS- STATE (PP FAM, CV) S94J 7858-20740 $ 137.00 $ - $ 137.00 STATE TRAM C FINE -COU NTY(5%) 7860-20610 $ - $ - STATE TRAFFIC FINE- STATE (95%) 7860-20740 $ - $ - STATETRAFFICFINE.COUNTY(4%) 91112019 7860-20610 $ $ - .STATE TRAFFICRIVE-STATE (96%)91112019 7860-20740 $ $ 1 OF2 S WAEPORTSNIONTHLYAUDROR AND TRE45URER REPORTS2022 W3022 TREASURER REPORTS Pd12022 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION JUNE 2022 OFFICIAL. PUBLIC DISC GLCODE CIVILIFAMILY CRIMINAL RECORDS PROBATE TOTAL INDIGENT DEFENSE FEE -CRIMINAL -COUNTY (10%) 7865-20610 $ 0.20 $ 0.20 INDIGENT DEFENSE FEE -CRIMINAL - STATE (90%) 7865-20740 $ 1.80 $ 1.80 TIME PAYMENT - COUNTY (50%) 7950-20610 $ 12.50 $ 12.50 TIME PAYMENT -STATE (50%) 7950-20740 $ 12.50 $ 12.50 BAIL JUMPING AND FAILURE TO APPEAR -COUNTY 7970-20610 $ - BAIL JUMPING AND FAILURE TOAPPEAR -STATE 7970-20740 $ - DUE PORT LAVACAPD 9990-99991 $ 45.29 $ 45.29 DUE SEADRIFT PD 9990-99992 $ - $ - DUE TOPOINT COMFORT PD. 9990-99993 $ - $ - DUETOTEXAS .PARKS &WILDLIFE 9990-99994 $ - $ - DUE TOTEXAS PARKS & WI LDLIFE WATER SAFETY 9990-99995 $ - 0UETOTABC 9990-99996 $ - DUETOATTORNEY ADLREMS 9990-99997 $ - DUE TOOPERATING/NSF CHARGES/DUE TO OTHERS 7120-20759 $ $ $ (13.00) $ 500.00 $ 487.00 $ 60&00 $ 7.948.00 $ 23.687.00 $ 3,012.00 $ 35,255.00 TOTAL FUNDS COLLECTED $ 36,266.00 (0.00) FUNDS HELD IN ESCROW: $ - AMOUNT DUE TO TREASURER(2DR'S): $ 34,722.71 TOTAL RECEIPTS: $ 35,255.00AMOUNT DUE TO OTHERS (LESS SPS): $ 532.29 REGISTRY DEPOSITS, CASH BONDS, ANDCERTIFICA7E5 OF DEPOSR. CASH ON HAND, REGISTRY OF COURT FUNDS (PROSPERITY) BEGINNING BOOK BALANCE SALAMI_ $ 76,594.62 FUND RECEIVED _I $ 510.00 "BALANCE OF CASH BONDS" $ 56.448.50 DISBURSEMENTS $ 7485.00 ENDING BOOK BALANCE _ '-6/30/20t2 _1 $ 69,619.62 "OTHER REGISTRY ITEMS- $ 13.196.12 ..IBC CASH BOND CHECKS- $ 25.00 BANK RECONCILIATION REGISTRY OF COURT FUNDS ENDING BANK BALANCE 6/30/2022 $ 87,204.62 -TOTAL REGISTRY FUNDS- $ 69,619.62 OUTSTANDING DEPOSITS— $ - OUTSTANDING CHECKS— - $ (17,585.00 Rwoncllntl: $ - RECONCILED BANK BALANCE 6/30/2022 $ 6 SIR.12 "2x00Wofte0nother Ml- HELD IN TRUST- PROSPERITY BANK CD'S Date Issued Balance Purchases/ Withdirawals Balance 513112022 Interest 06/30122 10440 1/24/2018 $ $ $ 10441 1/24/2018 $ 10,290.01 $ 10,290.01 10442 1/24/2018 $ 1,276.67 $ 1,276.67 10443 1/25/2018 $ 1,276.67 $ 1276.67 10444 1/25/2018 $ 9,641.02 $ 9,641.02 10445 1/25/2018 $ 9,641.02 $ 9,641.02 10446 1/25/2018 $ 9,641.02 $ 9,641.02 10449 6/9/1955 $ 20,363.70 $ 20,363.70 10454 3/2/2018 $ 3.595.69 1 $ 0.45 $ 3,596.14 10455 3/2/2018 $ 3,595.69 $ 0.45 $ 3,596.14 10486 8/26/2020 $ 5,922.28 $ 5,922.28 10496 12/2212021 $ 34,142.07 $ 8.61 $ 34,150.68 10496 12/2212021 $ 34,142.06 $ 8.61 $ 34,150.67 TOTALS: $ 143,527.90 $ 18.12 $ $ 143,546.02 2 OF TREPSURER REPORTS12G22 MWS TREASURER REPORTS 15,.2 *Treasurer Receipt Nos. F2022JUNE004,021,030,043 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2022 COURT NAME: DISTRICT CLERK MONTH OF REPORT: JUNE YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNT NAME - DEBIT _ CREDIT 1000-001-44190 SHERIFF'S SERVICE FEES $4,312.87 1000-001-44140 JURY FEES $305.20 1000-001-44045 RESTITUTION FEE $0.00 1000-001-44020 DISTRICT ATTORNEY FEES $0.00 1000-001-49010 REBATES -PREVIOUS EXPENSE $60.37 1000-001-49030 REBATES-ATTORNEY'S FEES $928.25 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEES $57.62 1000-001-43049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 1000-001-44050 1000-999-20771 1000-999-10010 2706-001-44055 2706-999-10010 2740-001-45055 2740-999-10010 2620-001-44055 2620-999-10010 2648-001-44055 2648-999-10010 2670-001-44055 2670-999-10010 2673-001-44055 2673-999-10010 2725-001-44055 2725-999-10010 2739-001-44055 2739-999-10010 2737-001-44055 2737-999-10010 2731-001-44055 2731-999-10010 2663-001-44050 2663-999-10010 7040-999-20740 7040-999-10010 2667-001-44055 2667-999-10010 7502-999-20740 7502-999-10010 7383-999-20610 7383-999-20740 DISTRICT CLERK FEES CERTIFIED COPIES $269.00 CRIMINAL COURT $96.71 CIVIL COURT $3,623.38 STENOGRAPHER $753.00 CIV FEES DIFF $0.00 DISTRICT CLERK FEES FAMILY VIOLENCE FINE CASH - AVAILABLE FAMILY PROTECTION FEE CASH - AVAILABLE FINES - DISTRICT COURT CASH - AVAILABLE APPELLATE JUDICIAL SYSTEM CASH - AVAILABLE $4,742.09 $0.00 $10,406.40 $0.00 $0.00 $1,180.57 $1,180.57 $152.60 $152.60 COURT FACILITY FEE FUND $590.40 CASH - AVAILABLE $590.40 COURTHOUSE SECURITY $622.71 CASH - AVAILABLE $622.71 CRT RECS PRESERVATION FUND- CO $30.00 CASH - AVAILABLE $30.00 LANGUAGE ACCESS FUND $88.56 CASH -AVAILABLE $88.56 RECORD MGMT/PRSV FUND - COUNTY $994.71 CASH - AVAILABLE $994.71 RECORD MGMT/PRSV FUND -DIST CLRK $46.01 CASH - AVAILABLE $46.01 LAW LIBRARY $1,068.20 CASH - AVAILABLE $1,068.20 CO & DIST CRT TECHNOLOGY FUND $9.48 CASH - AVAILABL $9.48 BREATH ALCOHOL TESTING - STATE $0.00 CASH - AVAILABLE $0.00 CO CHILD ABUSE PREVENTION FUND $0.19 CASH - AVAILABLE $0.19 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $5.00 CASH-AVAILABE $5.00 DNA TESTING FEE - County $4.22 DNA TESTING FEE - STATE $38.02 7383-999-10010 CASH - AVAILABLE $42.24 7405-999-20610 EMS TRAUMA FUND - COUNTY $4.61 7405-999-20740 EMS TRAUMA FUND - STATE $41.53 7405-999-10010 CASH - AVAILABLE $46.14 7070-999-20610 CONSOL. COURT COSTS - COUNTY $17.01 7070-999-20740 CONSOL. COURT COSTS - STATE $153.12 7070-999-10010 CASH - AVAILABLE $170.13 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $68.80 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $619.16 7072-999-10010 CASH -AVAILABLE $687.96 2698-001-44030-010 DRUG CRT FROG FEE - COUNTY (PROGRAM) $49.17 2698-999-10010-010 CASH - AVAILABLE $49.17 7390-999-20610-999 DRUG COURT FROG FEE - COUNTY (SVC FEE) $9.83 7390-999-20740-999 DRUG COURT PROG FEE - STATE $39.33 7390-999-10010-999 CASH -AVAILABLE $49.16 7865-999-20610-999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.25 7865-999-20740-999 CRIM - SUPP OF IND LEGAL SVCS - STATE $2.22 7865-999-10010-999 CASH - AVAILABLE $2.47 7950-999-20610 TIME PAYMENT - COUNTY $15.70 7950-999-20740 TIME PAYMENT - STATE $15.69 7950-999-10010 CASH - AVAILABLE $31.39 7505-999-20610 JUDICIAL SUPPORT-CRIM - COUNTY $1.10 7505-999-20740 JUDICIAL SUPPORT -GRIM - STATE $6.24 7505-999-10010 .. CASH - AVAILABLE $7.34 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $166.00 7505-999-10010-010 CASH AVAILABLE $166.00 2740-001-45050 BOND FORFEITURES $0.00 2740-999-10010 CASH - AVAILABLE $0.00 2729-001-44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.68 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $6.13 7857-999-10010 CASH -AVAILABLE $6.81 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH -AVAILABLE $0.00 7403-999-22888 DIST CRT - ELECTRONIC FILING FEE - CIVIL $30.00 7403-999-22991 DIST CRT - ELECTRONIC FILING FEE - CRIMINAL $11.69 CASH - AVAILABLE $41.69 1000-001-44050 DISTRICT CLERK FEES $148.74 1000-999-10010 CASH - AVAILABLE $148.74 2739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $92.96 2739-999-10010 CASH - AVAILABLE $92.96 2669-001-44050 COUNTY JURY FUND $3.72 2669-999-10010 CASH - AVAILABLE $3.72 2670-001-44055 COURTHOUSE SECURITY $37.18 2670-999-10010 CASH - AVAILABLE $37.18 2663-001-44050 CO & DIST CRT TECHNOLOGY FUND $14.87 2663-999-10010 CASH - AVAILABLE $14.87 2676-001-44050 COUNTY SPECIALTY COURT FUND $92.96 2676-999-10010 CASH - AVAILABLE $92.96 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - STATE $49.25 7855-999-20657-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $0.75 7855-999-20792-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE $47.50 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $2.50 7855-999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE $28.50 7855-999-20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY $1.50 7855-999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $0.00 7855-999-10010-010 CASH - AVAILABLE $130.00 2677-999-20740-999 COUNTY DISPUTE RESOLUTION FUND $442.80 2677-999-10010-999 CASH - AVAILABLE $442.80 7858-999-20740-999 DIST CLK - DUE TO STATE CONSOLIDATED FEE 2022 $2,587.24 7858-999-10010-999 - CASH AVAILABLE $2,587.24 TOTAL (Distrib Req to Oper Acct) $20,436.25 $20,045.81 Revised 01/31/20 DUE TO OTHERS (Distrib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 680.00 REFUND OF OVERPAYMENTS 38.00 DUE TO OTHERS 10.00 TOTAL DUE TO OTHERS $728.00 REPORT TOTAL - ALL FUNDS PLUS AMT OF RETURNED CKS LESS: TOTAL TREASURER'S RECEIPTS OVER / (SHORT) 20,773.81 0.00 (20,773.81) $0.00 DISTRICT COURT STATE COURT COSTS REPORT SECTION I: REPORT FOR OFFENSES COMMITTED 01/1/20 - Present 01 /01104 - 12/31/19 09/01/01 - 12/31/03 09/01/99 - 08/31/01 09/01/97 - 08/31/99- 09/01/95-08/31/97- 09/01/91-08131/95 TOTALS COLLECTED gavomm $163,61' '. $858.09 JUNE COUNTY 68.80 16.36 0.65 - - 85.81 JUNE 2022 STATE 619.16 147.25 5.87 - - 772.28 BAIL BONDS FEES DNA TESTING FEES 42.24 4.22 38.02 EMS TRAUMA FUND 46.14 4.61 41.53 JUV. PROS. DIVERSION FEES JURY REIMBURSEMENT FEE $6.81 0.68 8,13 INDIGENT DEFENSE FUND $2.47 0.25 $2.22 STATE TRAFFIC FEES $0.00 - $0.00 DRUG CRT PROG FEE $98.33 $59.00 39.33 SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEARIPAY FEES - - JUD. FUND-CONST. CO. CRT. JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE $31.39 15.70 15.69 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $7.34 1.10 6.24 ELECTRONIC FILING FEE -CR $11.69 $11.69 TOTAL STATE COURT COSTS $1,104.50 $ 171.37 $ 933.13 CIVIL FEES REPORT JUNE COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE- CV $30.00 $30.00 NONDISCLOSURE FEES Q $0.00 $0.00 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROB CRT INDIG FILING FEES STAT PROB CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRTJUDICIAL SUPPORT CONST CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW - 3� $50.00 0.75 49.25 DIST CRT OTHER THAN DIV/FAM LAW ':.r5 $50.00 2.50 47.50 DIST CRT OTHER CIVIL FILINGS 2 $30.00 1.50 28.50 FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE 4 '.. $166.00 $166.00 JUDICIAL & COURT PERSONNEL TRANING FEE 2 '.- $5.00 - $5.00 2022 STATE CONSOLIDATED FEE 15 $2,587.24 $2,587.24 COUNTY DISPUTE RESOLUTION FUND 442.80 442.80 TOTAL CIVIL FEES REPORT $ 3,361.04 $ 4.75 $ 3,356.29 TOTAL BOTH REPORTS $ 4,465.54 $ 176.12 $ 4,289.42 CALHOUN COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: DISTRIBUTION REQUEST DR# 420 A 44743 PAYOR Official: Anna Kabela Title: District Clerk ACCOUNT NUMBER'QES€RIPnw AMOUNT 7340-999-20759.999 District Clerk Monthly Collections - Distribution $20,045.81 JUNE 2022 V# 967 TOTAL 20,045.81 C Signature of Official Date l4L I A BREA nnnlcnl IF JUSTICE OF PEACE N0:1 FIT JUNE R .CODE AMOUNT CASH BONDS 0.00 REVISED 02/02/2022 V -0OURTHOUEI,URITY `CIVIL JUSTICE DATA REPOSITORY FEE - 'CORRECTIONAL MANAGEMENT INSTITUTE CHILD SAFET CHILD SEATSELT FEE - ELECTRONIC FILING .FEE FUGITIVE-APPREHENSIC GENERALREVENU CRIM - IND LEGAL SVCS SUPPOR JUVENILE CRIME & DELINOUENCI JUVENILE CASE MANAGER FUND JUSTICE COURT PERSONNEL TRAINING JUROR SERVICE FEI LOCAL ARREST FEE! PARKSL&WILDLIFE ARREST FEES; STATE ARREST FEES SCHOOL CROSSINGACHILD.SAFETY -FEE SUBTITLE C- STATE TRAFFIC FINES -EST 91.1 TABC ARREST.FEEE TECHNOLOGY FUN TRAFFIC LOCAL TRAFFIC: FINE TIME PAYMENT <f TIME PAYMENT REIMBURSEMENT FEE DEFENSIVE{ DRIVIN STATE CONSOLII LOCAL'CONSOU FILING FEE COPIES/ INDIC BUDGE OUT -OF ELECTRON EXPI E%P ABSTRACT A `. .LICENSE PARKS & V'OVERPAYMEN '-0VERPAYMENTI$. TOTAL ACTUAL MONEY RECEIVED__ TYPE AMOUNT: TOTAL WARRANT FEES 576.32 ..ENTER LOCAL WARRANT FEES 468.35 IRE60RDON ioTALPAGEOP HILL COUNTRY soFrwARE MO REPORT STATE: WARRANT FEES$106.97':1 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS: AMOUNT DUE TO CCISO- 50% Oi FINe OD JVcases 0.00 PLEASE INCLUDE DRREOUESTING DISBURSEMENT DUE TO DA RESTITUTION FUND 000 JPLEASEINCUUCE DR REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS TOTAL' DUE TO OTHERS` $ TREASURERS. RECEIPTS FOR MONTH- - AMI 71.00 0.00 25.8484 5,095.10 1,150.52 ,.�. L r_ 2.59 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 160.43 0.00 0.00 0.00 1.29 0.00 5.24 0.00 2.69 310.79 0.00 0.00 0.00 0.00 8.23 103.34 0.00 0.00 1,574.10 0.00 2.59 0.00 93.37 10.27 222.99 0.82 576.32 1,598.94 30.00 801.81 0.00 0.00 168.01) 264.00 0.00 0.00 0.00 0.00 2.46 150.00 0.00 0.00 0.00 0.00 5.00 600.00 1,991.93 5,269.24 0.00 1,329.00 0.00 o.Do 40.00 0.00 0.00 114.00 0.00 FASEINCWDE DR. REQUESTING DISBURSEMENT (IF REQUIRED) alculate from ACTUAL Treasurer's Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/5/2022 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: JUNE YEAR OF REPORT: 0 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 7,477.62 CR 1000-001-44190 SHERIFF'S FEES 954.97 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 30.00 CHILD SAFETY 0.00 TRAFFIC 93.37 ADMINISTRATIVE FEES 1,033.24 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 1,156.61 CR 1000-001-44010 CONSTABLE FEES -SERVICE 750.00 CR 1000-001-44061 JP FILING FEES 5.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 222.99 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 1,596.94 TOTAL FINES, ADMIN. FEES & DUE TO STATE $12,164.13 CR 2670-001-44061 COURTHOUSE SECURITY FUND $404.62 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $0.65 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $331.31 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $5.24 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $410.90 CR 2669-001-44061 COUNTYJURYFUND $8.22 CR 2728-001-44061 JUSTICE COURT SUPPORT FUND $200.00 CR 2677-001-44061 COUNTY DISPUTE RESOLUTION FUND $40.00 CR 2725-001-44061 LANGUAGE ACCESS FUND $24.00 STATE ARREST FEES DPS FEES 42.06 P&W FEES 1.65 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 43.71 CR 7070-999-20610 CCC-GENERAL FUND 2.58 CR 7070-999-20740 CCC-STATE 23.26 DR 7070-999-10010 25.84 CR 7072-999-20610 STATE CCC- GENERAL FUND 509.51 CR 7072-999-20740 STATE CCC- STATE 4,585.59 DR 7072-999-10010 5,095.10 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 CR 7860-999-20740 STF/SUBC-STATE 0.00 DR 7860-999-10010 0.00 CR 7860-999-20610 STF- EST 9/l/2019- GENERAL FUND 62.96 CR 7860-999-20740 STF- EST 9/l/2019- STATE 1,511.14 DR 7860-999-10010 1,574.10 Page 1 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/5/2022 COURT NAME: JUSTICE OF PEACE NO. 1 CR 7950-999-20610 CR 7950-999-20740 MONTH OF REPORT: JUNE YEAR OF REPORT: 0 DR 7950-999-10010 TP-GENERAL FUND TP-STATE 5.14 Page 2 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/5/2022 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: JUNE YEAR OF REPORT: 0 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.13 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 1.16 DR 7865-999-10010 1.29 CR 7970-999-20610 TUFTA-GENERAL FUND 0.00 CR 7970-999-20740 TL/FTA-STATE 0.00 DR 7970-999-10010 0.00 CR 7505-999-20610 JPAY- GENERAL FUND 0.25 CR 7505-999-20740 JPAY-STATE 2.21 DR 7505-999-10010 2.46 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.26 CR 7857-999-20740 JURY REIMB. FUND- STATE 2.33 DR 7857-999-10010 2.59 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.00 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.00 DR 7856-999-10010 0.00 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 0.41 7998-999-20701 JUVENILE CASE MANAGER FUND 0.41 DR 7998-999-10010 0.82 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 _ DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 168.00 168.00 TOTAL (Distrib Reg to OperAcct) $20,513.25 DUE TO OTHERS (Distrib Reg Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT; 40.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 1,129.65 WATER SAFETY FINES 96.90 TOTAL DUE TO OTHERS $1,266.55 TOTAL COLLECTED -ALL FUNDS $21,779.80 LESS: TOTAL TREASUER'S RECEIPTS $21,779.80 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 3 of 3 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 44747 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Hope Kurtz Address: Title: Justice of the Peace, Pct. 1 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7541-999-20759.999 JP1 Monthly Collections - Distribution $20,513.25 JUNE 0 V# 967 �Z Signature of Official - ( ) Date TOTALI 20,513.25 ENTER COURT NAMED ENTER MONTH OF REPORT ENTER YEAR OF REPORT CODE - .AMOUNT "CASH BONDS. 0.00 ADMINISTRATION FEE -`ADMF 10.00 BREATH ALCOHOL TESTING -.BAT 0.00 CONSOLIDATED COURT COSTS -CCC 272.26 STATE CONSOLIDATED COURT COST-2020 1,160.94 LOCAL CONSOLIDATED COURT COST-2020 245.00 - COURTHOUSE SECURITY -CHS 27.24 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 0.30 CORRECTIONAL MANAGEMENT INSTITUTE -CMI 0.00 CR 0.00 - CHILD SAFETY -CS 0.00 CHILD SEATBELTFEE -CSBF 0.00 CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE TO APPEAR -OMNI-DPSC 84.24 ADMINISTRATION FEE FTAIFTP (ake OMNI).2020 104.44 ELECTRONIC. FILING FEE -EEF 0.00 - FUGITIVE APPREHENSION - FA 0.00 GENERAL. REVENUE -OR 0.00 GRIM- IND LEGAL SVCS SUPPORT =IDF 13.63 JUVENILE CRIME .& DELINQUENCY -JCD 0.00 JUVENILE CASE MANAGER FUND-JCMF 14.23 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUROR SERVICE FEE :-JSF 27.24 LOCAL ARREST FEES -.LAF 82.48 LEMI O.OD LEDA 0.00 LEOC 0.00 OCL 0.00 .PARKS& WILDLIFE ARREST FEES =PWAF 0.00 STATE ARREST FEES -SAF 20.72 SCHOOLCROSSING/CHILDSAFETY FEE -SCF O.OD SUBTITLE C-SUBC 90.00 STATE TRAFFIC FINES -EST 91.19-STF 347.42 TABC ARREST FEES FTAF 0.00 TECHNOLOGY FUND -TF 27.24 -TRAFFIC -TFC 9.OD LOCAL TRAFFIC FINE. 2020 20.85 " TIME PAYMENT -TIME 78.62 TIME PAYMENT REIMBURSEMENT FEE-2020 102.55 TRUANCY PREVENTION/DIVERSION FUND -TPDF 13.63 LOCAL & STATE WARRANT FEES :-WRNT 536.92 COLLECTION SERVICE FEE-MVBA'-CSRV 1,523.47 DEFENSIVE DRIVING COURSE -DOC 0.00 - DEFERRED FEE -:OFF 0.00 DRIVING I EXAM FEE-PROVDL 0.00 FILING .FEE -FFEE 0.00 STATE CONSOLIDATED CIVIL FEE -2022 168.00 LOCAL CONSOLIDATED CIVIL FEE -2022 264.00 FILING FEE SMALL CLAIMS -FFSC 0.00 `. JURY FEE -JF 0.00 COPIES/CERTIFED COPIES -CC 0.00 INDIGENT FEE =CIFF or INDF 0.00 -:JUDGE PAY RAISE FEE -JPAY 40.85 :SERVICE FEE-SFEE 300.00 OUT -OF -COUNTY SERVICE FEE O.OD -... ELECTRONIC FILING. FEE `-EEF CV O.OD EXPUNGEMENT FEE: EXPG 0.00 EXPIRED RENEWAL- EXPRI 0.00 ABSTRACT OF JUDGEMENT -:AOJ 5.00 ALLWRITS-WOP/WOE 0.00 DPSFTAFINE-DPSF 1,129.58 LOCAL FINES -FINE 3,486.35 'LICENSE&'WEIGHT FEES -LWF 0.00 PARKS :&.WILDLIFE FINES .-PWF 0.00 OVERPAYMENT($1OAN6LESS) OVERT RESTITUTION REST PARKS & WILDLIFE -WATER SAFETY FINES-WSF MARINE SAFETY PARKS & WILDLIFE- MSO TOTAL ACTUAL MONEY RECEIVED TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANT FEES STATE WARRANT FEES DUE TO OTHERS: DUE TO CCISD-50%.of Fine on JV cases _ DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS TOTAL DUE TO OTHERS Lsl 0.00 0.00 1,031.00 0.00 0.00 0.00 0.00 11,237.20 AMOUNT 536.92 262.59 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO REPORT $274.33. RETARD ON TOTAL PAGE OF HILL COUNTRY SOMAREMO REPORT. AMOUNT 0.00 FLEA6EINCLUOE DR. PEOUESTINGMSBUR6EMENT 0.00- PIFAKINMUCE DR. REOUESTINGOSBURSEMENT 1,031.00 PLEASEINCLUCE D.R. REOUESTINGDISBURSEMENT 0.00 PIFASEINCLUDE DR REDUESTINGODIEURSEMENT 0.00 PLEASE INCLUDE DR.REOUESTINGOISBURVlEWNFREOUIRE01 $1,031.00: AMOUNT 17237.20 Calculate Iron ACTUAL Treasurers Receipts 1123A20' MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/l/2022 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: 0 YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 4,615.93 CR 1000-001-44190 SHERIFF'S FEES 581.11 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 29.85 ADMINISTRATIVE FEES 114.44 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 144.29 CR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 CR 1000-001-44062 JP FILING FEES 5.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 102.55 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 1,523.47 TOTAL FINES, ADMIN. FEES & DUE TO STATE $7,272.35 CR 2670-001-44062 COURTHOUSE SECURITY FUND $106.18 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $6.81 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $97.24 CR 2699-001-44062 JUVENILE CASE MANAGER FUND - $14.23 CR 2730-001-44062 LOCAL TRUANCY PREVENTION & DIVERSION FUND $87.50 CR 2669-001-44062 COUNTY JURY FUND $1.75 CR 2728-00144062 JUSTICE COURT SUPPORT FUND $200.00 1 £R 2677-001-44062 COUNTY DISPUTE RESOLUTION FUND $40.00 CR 2725-001-44062 LANGUAGE ACCESS FUND $24 00 STATE ARREST FEES DPS FEES 59.01 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 59.01 CR 7070-999-20610 CCC-GENERAL FUND 27.23 CR 7070-999-20740 CCC-STATE 245.03 DR 7070-999-10010 272.26 CR 7072-999-20610 STATE CCC- GENERAL FUND 116.09 CR 7072-999-20740 STATE CCC- STATE 1,044.85 DR 7072-999-10010 1,160.94 CR 7860-999-20610 STF/SUBC-GENERAL FUND 4.50 CR 7860-999-20740 STF/SUBC-STATE 85.50 DR 7860-999-10010 90.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 13.90 CR 7860-999-20740 STF- EST 9/l/2019- STATE 333.52 DR 7860-999-10010 347.42 Page 1 of 2 7/1/2022 COURT NAM.JUSTICE OF PEACE NO. 2 MONTH OF REPORT' '& YEAR OF REPORT: 2022 CR 7950-999-20610 TP-GENERAL FUND 39.31 CR 7950-999-20740 TP-STATE 39.31 DR 7950-999-10010 78.62 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.36 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 12.27 DR 7865-999-10010 13.63 CR 7970-999-20610 TL/FTA-GENERAL FUND 28.08 CR 7970-999-20740 TUFTA-STATE 56.16 DR 7970-999-10010 84.24 CR 7505-999-20610 JPAY-GENERAL FUND 4.09 CR 7505-999-20740 JPAY - STATE 36.76 DR 7505-999-10010 40.85 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 2.72 CR 7857-999-20740 JURY REIMB. FUND- STATE 24.52 DR 7857-999-10010 27.24 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.03 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.27 DR 7856-999-10010 0.30 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 6.82 7998-999-20701 JUVENILE CASE MANAGER FUND 6.82 DR 7998-999-10010 13.63 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 168.00 168.00 TOTAL (Distrib Req to OperAcct) $10,206.20 DUE TO OTHERS (Distrib Reg Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 1,031.00 OUT -OF -COUNTY SERVICE FE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $1,031.00 TOTAL COLLECTED -ALL FUNDS $11,237.20 LESS: TOTAL TREASUER'S RECEIPTS $11,237.20 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNT( REQUEST 201 West Austin DR# 450 A 44743 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Hope Kurtz Justice of the Peace, Pct. 2 - ACCOUNT NUMBER DESCRIPTION - - AMOUNT 7542-999-20759-999 JP2 Monthly Collections - Distribution $10,206.20 0 2022 V# 967 t Sianature of Official Date TOTAL 10,206.20 -NTER MONTH OF REPORT =NTER YEAR OF REPORT 2022 CODE ;'DUNE . AMOUN F 2022 - - REVISED 02/02/2021 CASH BONDS' :ADMINISTRATION FEE ADMF 20.00: :BREATH ALCOHOL TESTING BAT CONSOLIDATED COURT COSTS CCC 240.00 STATE CONSOLIDATED COURT COST- 2020 1,741.97 LOCAL CONSOLIDATEDCOURT COST-20X 393.35- COURTHOUSE SECURITY -CHS 24.001' CJP CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 0.30 CORRECTIONAL. MANAGEMENT. INSTITUTE, - CMI CR CHILD SAFETY -'CS CHILD SEATBELT FEE -CSBF . CRIME VICTIMS COMPENSATION -CVC DPSC/FAILURETO APPEAR- OMNI- DPSC'. 90.00: ADMINISTRATION,FEEFTA/FTP(aka OMN1)-2020 10.00. ELECTRONIC FILING FEE - EEF FUGITIVE APPREHENSION -FA GENERAL IREVENUE -GR CRIM IND LEGAL SVCS:SUPPORT- IDF 3200: JUVENILE :CRIME & DELINQUENCY -JCD 'JUVENILE CASEMANAGER FUND -JCMF 5.00' JUSTICE COURT: PERSONNEL TRAINING - JCP.T JUROR SERVICE FEE -JSF 24.00 LOCAL ARREST FEES -LAF 80.49 LEMI LEDA '. LEOC OCL '- PARKS& WILDLIFE ARREST FEES-PWAF" °. STATEARREST FEES -SAF 90.00' SCHOOL CROSSING/CHILD SAFETYFEE-SCF: SUBTITLEC-SUBC 60.00': STATETRAFFIC FINES -EST 9.1.19. STF 1,008.74. TABC ARREST FEES -TAF. TECHNOLOGY FUND-TF 24.00'. TRAFFIC-TFC 6.00 LOCAL TRAFFIC FINE 2020 60.63'. TIME PAYMENT' TIME 50.00: TIME PAYMENT REIMBURSEMENTFEE 2020 - 7.19 TRUANCY PREVENTION/DIVERSION FUND' TPDF 10.00:. - "COL ST, LOI 36.00: 225.00 71TS WOP/ WOE i FTAFINE DPSF' )CAL FINES FINE 4,179.43 -IGHT FEES -LWF' (LIFE FINES, PWF 'MILD TRAI INGSEAT 1TRAI TRAINING -SCAT OVER$10)-OVER .- aNDILESS)-OVER ' BTITUTION - REST IFETY FINES-WSF &WILDLIFE MSO. AONEY RECEIVED,._' 10,180.30 -{ AMOUNTS 300.00 L WARRANT FEES 50.00 RECORQONTOTALPAGE OF HILLCOUNTRYSOFIVARE MO.REPORT °WARRANT FEES $250.00'RECORDON TOTALPAGE OF HILLCOUNIRYSOMME MO.REPORT AMOUNTr cases 0,00`PLEASE INCLUDE D,R REQUESTINGDISBURSEMENT 0.00= PLEASE INCLUDE D,N. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE D.R. HEQUESTING DISBURSEMENT 000: PLEASE INCLUDE D.R REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE D.R REQUESTING DISBUMEMENT(IF REQUIRED) DUE TO OTHERS $0.00-; )NTH: AMOUNT- CARDS _ $10180;50. Calculate Imm ACTUAL Treasurer's Receipts rDFGC DFl`FIDTC. HM4ae tD= r zi_ MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/5/2022 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 4,179.43 CR 1000-001-44190 SHERIFF'S FEES 402.49 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 30.00 CHILD SAFETY 0.00 TRAFFIC 66.53 ADMINISTRATIVE FEES 564.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 660.53 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44063 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 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 7.19 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 574.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,049.14 CR 2670-001-44063 COURTHOUSE SECURITY FUND $155.67 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $6.00 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $136.39 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $5.00 CR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $140.48 CR 2669-001-44063 COUNTY JURY FUND $2.81 CR 2728-001-44063 JUSTICE COURT SUPPORT FUND _ $150.00 CR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $30.00 CR 2725-001-44063 LANGUAGE ACCESS FUND $18.00 STATE ARREST FEES DPS FEES 68.00 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 68.00 CR 7070-999-20610 CCC-GENERAL FUND 24.00 CR 7070-999-20740 CCC-STATE 216.00 DR 7070-999-10010 240.00 CR 7072-999-20610 STATE CCC- GENERAL FUND 174.20 CR 7072-999-20740 STATE CCC- STATE 1,567.77 DR 7072-999-10010 1,741.97 CR 7860-999-20610 STF/SUBC-GENERAL FUND 3.00 CR 7860-999-20740 STF/SUBC-STATE 57.00 DR 7860-999-10010 60.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 40.35 CR 7860-999-20740 STF- EST 9/1/2019- STATE 968.39 DR 7860-999-10010 1,008.74 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/5/2022 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2022 CR 7950-999-20610 TP-GENERAL FUND 25.00 CR 7950-999-20740 TP-STATE 25.00 DR 7950-999-10010 50.00 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 3.20 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 28.80 DR 7865-999-10010 32.00 CR 7970-999-20610 TL/FTA-GENERAL FUND 30.00 CR 7970-999-20740 TUFTA-STATE 60.00 DR 7970-999-10010 90.00 CR 7505-999-20610 JPAY - GENERAL FUND 3.60 CR 7505-999-20740 JPAY - STATE 32.40 DR 7505-999-10010 36.00 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 2.40 CR 7857-999-20740 JURY REIMB. FUND- STATE 21.60 DR 7857-999-10010 24.00 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.03 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.27 DR 7856-999-10010 0.30 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 5.00 7998-999-20701 JUVENILE CASE MANAGER FUND 5.00 DR 7998-999-10010 10.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 126.00 126.00 TOTAL (Distrib Reg to OperAcct) $10,180.50 DUE TO OTHERS (Distrib Reg Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT; 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $10,180.50 LESS: TOTAL TREASUER'S RECEIPTS $10,180.50 REVISED 02/02/2021 OVER/(SHORT) $0.00 Page 2 of 2 SHERIFF'S OFFICE MONTHLY REPORT Jun-22 BAIL BOND FEE $ 630.00 CIVIL FEE $ 304,00 CASH BOND JP#1 $ 1,668.10 JP#2 $ 997.73 JP#3 JP#4 $ 642.00 JP#5 $ 494.00 SEADRIFT MUN. PC MUN $ 1,834.30 OTHER TOTAL: $ 6,570.13 July 6, 2022 To: Judge Meyer From: The office of the County Auditor Peggy Hall, Assistant Auditor Please place the following item on the Commissioners Court Agenda for July 13, 2022: Consider and take necessary action on the correspondence received from Quality Hot Mix, Inc. in regards to their asphaltic based products, part of Bid Number 2022.03, Road Materials and Asphalts, Oils and Emulsions for the period beginning January 1, 2022 and ending December 31, 2022. QUALITYHOTMIX, INC. P.O. BOX 1244 EL CAMPO, TEXAS 979-543-4400 BUSINESS OFFICE 979-578-8701 PLANT 2 July 5, 2022 Calhoun County Auditor 202 S. Ann St. Port Lavaca, Texas 77979 RE: Road materials contract Due to unprecedented price increases for the petroleum products that we use to manufacture all of our asphaltic based products, Quality Hot Mix, Inc. is unable to provide these materials to the County at the current contract prices. We have never seen this level of price increases in the 40 years we have been in business. We apologize if this creates any inconvenience to the County. It is certainly not our intent and hope we can continue to provide you with material supplies in the future. This letter does not apply to materials that are not processed or coated with asphalt (limestone base or uncoated grade 3 or 4 cover stone). Quality Hot Mix, Inc. can provide updated pricing upon request. Thank you, Jeff Snyder President July 6, 2022 To: Judge Meyer From: The office of the County Auditor Peggy Hall, Assistant Auditor Please place the following item on the Commissioners Court Agenda for July 13, 2022: Consider and take necessary action to rescind the awards for all Road Materials, part of Bid Number 2022.03, Road Materials and Asphalts, Oils and Emulsions that were awarded on November 24, 2021 for the bid period beginning January 1, 2022 and ending December 31, 2022. CALHOUN COUNTY, TEXAS i __-_ AWARDED _Bids are Highlighted in Yellow _.____ ___.----- ------.-_------------ BID TABULATION - AWARD ROAD MATERIALS AND ASPHALTS, OILS AND EMULSIONS ANNUAL SUPPLY CONTRACT, BID NUMBER: 2022.03 For the Period Beginning January 1, 2022 and Ending December 31, 2022 SELINE PRICE FOR FUEL ADJUSTMENT ON DELIVERY PRICE: $3.482 on November 8, 2021 1 fw.eia.gov/petroleum/gasdiesel) (Gulf Coast Area) Tie Bids: In the event of Tie Bids, the winning bid is determined per Texas Local Government Code 262.027(b). ROAD MATERIALS Bid Item #1: Limestone-3/4 Inch to Dust LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AWARD BIDDER Precinct Ton $12.00 $18.40 $30.40 24TONS X QUALITY HOT MIX, INC. NOTE: ALL DELIVERIES ARE IN END " DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE. REQUESTED & PROVIDED IF AVAILABLE. Precinctl. Ton $12.00 $18.40 $30.40 24TONS X Precinct - Precinct 4-P Ton Ton $12.00 $12.00 $18.40 $19.00 $30.40. $31.00 24TONS 24TONS X Precinct4-S Ton $12.00 $18.40 $30.40 24TONS X Precinct 1 Ton $5.50 $25.00 $30.50 25 TONS K-C LEASE SERVICE INC dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $5.50 $25.00 $30.50 25 TONS Precinct 3 Ton $5.50 $25.00 $30.50 25 TONS Precinct 4-P I Ton $5.50 1 $25.00 $30.50 25 TONS X Precinct 4-S Ton $5.50 $25.00 $30.50 25 TONS Precinct 1 Ton $6.00 $28.00 $34.00 24 TON MIDTEX MATERIALS, LLC Precinct 2 Ton $6.00 $28.00 $34.00 24 TON Precinct 3 Ton $6.00 $28.00 $34.00 24TON Precinct4-P Ton $6.00 $30.00 $36.00 24TON Precinct4-S Ton $6.00 $28.00 $34.00 24TON Page 1 of 11 Tie Bids: In the event of Tie Bids, the winning bid is determined per Texas Local Government Code 262.027(b). Bid Item #2: ITEM 247, TYPE A LIMESTONE, GRADE 2 [13/4 IN0 LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM AWARD BIDDER LOAD/ORDER Precinct 1 Ton $12.00 $18.00 $30.00 24TONS X QUALITY HOT MIX, INC. Precinct Ton $12.00 $18.00 $30.00 24TONS X NOTE: ALL DELIVERIES ARE IN END - Precinct - Ton $12.00 $18.00 $30.00 24TONS X DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE Precinct 4-P Ton $12.00 $18.00 $30.00 24TONS X REQUESTED & PROVIDED IF AVAILABLE. Precinct4-S Tore $12.00 $18.00 $30.00 24TONS X Precinct 1 Ton $5.00 $25.00 $30.00 2S TONS K-C LEASE SERVICE INC Precinct 2 Ton $5.00 $25.00 $30.00 25 TONS dba Precinct 3 Ton $5.00 $25.00 $30.00 25 TONS MATAGORDA CONSTRUCTION Precinct 4-P I Ton 1 $5.00 $25.00 1 $30.00 1 25 TONS & MATERIALS Precinct 4-S Ton $5.00 $25.00 $30.00 25 TONS Precinct 1 Ton $6.00 $28.00 $34.00 24TON MIDTEX MATERIALS, LLC Precinct Ton $6.00 $28.00 $34.00 24TON Precinct 3 Ton $6.00 $28.00 $34.00 24TON Precinct4-P Ton $6.00 1 $30.00 $36.00 24TON Precinct 4-S Ton $6.00 $28.00 $34.00 24 TON Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 1 Ton $19.75 $8.84 $28.59 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 2 Ton $19.75 $8.84 $28.59 24 COLORADO Did Not Meet Did Not Meet Did Not Meet Did Not Meet MATERIALS, LTD Specifications Specifications Specifications Specifications Precinct 3 Ton $19.75 11.68 $31.43 1 24 Material Location: Nursery, TX Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-P Ton $19.75 $11.05 $30.80 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-S Ton $19.75 $9.82 $29.57 24 Page 2 of 11 Bid Item #3: ITEM 247, TYPE A LIMESTONE, GRADE 3 [1 3/4 IN0 LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM AWARD BIDDER LOAD/ORDER Precincts Ton $12.00 $19.00 $31.00 24TONS X QUALITY HOT MIX, INC. Precinct Ton $12.00 $19.00 $31.00 24TONS X NOTE: ALL DELIVERIES ARE IN END Precinct Too $12.00 $19.00 $31.00 24TONS X DUMP TRAILERS. 1 1 1 BELLY DUMP TRAILERS CAN. BE Precinct 4-P Ton $12.00 $19:00 $31.00 24TONS X REQUESTED & PROVIDED IF AVAILABLE. Precinct4-S Ton $12.00 $19.00 $31.00 24TONS. X Precinct Ton $6.00 $28.00 $34.00 24TONS MIDTEX MATERIALS, LLC Precinct Ton $6.00 $28.00 $34.00 24TONS Precinct 3 Ton $6.00 $28.00 $34.00 24TONS Precinct4-P I Ton $6.00 $30.00 $36.00 24TONS Precinct4-S Ton $6.00 $28.00 $34.00 24TONS Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 1 Ton $19.75 $8.84 $28.59 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 2 Ton $19.75 $8.84 $28.59 24 COLORADO Did Not Meet Did Not Meet Did Not Meet Did Not Meet MATERIALS, LTD Specifications Specifications Specifications Specifications Precinct 3 Ton $19.75 $11.68 $31.43 24 Material Location: Nursery, TX Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-P Ton $19.75 $11.05 $30.80 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-S Ton $19.75 $9.82 $29.57 24 Bid Item #4: ITEM 275, CEMENT 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275.2-1, Hydraulic Cement Type 1, 47 lb Bag (Cost per Pallet) List # of 47 lb Bags on a Pallet MINIMUM No Bids LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Received BIDDER Precinct 1, 2, 3, Ton 4-P & 4-S NO BIDS RECEIVED _of 47 Lb Bags on Pallet Page 3 of 11 Bid Item #5: Item 302, Type PB, Grade 3 (Pre -Coated Rock) LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM AWARD BIDDER LOAD/ORDER Precinct 1 Ton $53.00 $9.00 $62.00 25 TONS X QUALITY HOT MIX, INC. Precinct 2 Ton $53.00 $9.00 $62.00 25 TONS X NOTE: ALL DELIVERIES ARE IN END Precinct 3 Ton $53.00 $9.00 $62.00 25 TONS X DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE Precinct 4-P Ton $53.00 $9.00 $62.00 25 TONS X REQUESTED & PROVIDED IF AVAILABLE. Precinct 4-S Ton $S3.00 $9.00 $62.00 25 TONS X Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 1 Ton $40.00 $24.96 $64.96 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 2 Ton $40.00 $24.63 $64.63 24 COLORADO Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications MATERIALS, LTD Precinct 3 Ton $40.00 1 $25.64 $65.64 24 Material Source: New Braunfels, TX Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-P Tan $40.00 $28.17 $68.17 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-S Ton $40.00 $26.14 $66.14 24 Bid Item #6: Item 302, Type PB, Grade 4 (Pre -Coated Rock) LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM AWARD BIDDER LOAD/ORDER Precinct 1 Ton $53.00 $9.00 $62.00 25 TONS X QUALITY HOT MIX, INC. Precinct 2 Ton $53.00 $9.00 $62.00 25 TONS X NOTE: ALL DELIVERIESARE IN END Precinct 3 Ton $53.00 $9.00 $62.00 25 TONS X DUMP TRAILERS. BELLY DUMP TRAILERS CAN Precinct 4-P Ton $53.00 $9.00 $62.00 25 TONS X REQUESTED & PROVIDED IF AVAILABLE. Precinct 4-S Ton $53.00 $9.00 $62.00 25 TONS X. Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 1 Ton $40.00 $24.96 $64.96 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 2 Ton $40.00 $24.63 $64.63 24 COLORADO MATERIALS, LTD Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 3 Ton $40.00 1 $25.64 $65.64 1 24 Material Source: New Braunfels, TX Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-P Ton $40.00 $28.17 $68.17 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-S Ton $40.00 $26.14 $66.14 24 Page 4 of 11 Bid Item #7: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER No Bids Received BIDDER Precinct 1 Ton NO BIDS RECEIVED Precinct 2 Ton Precinct 3 Ton Precinct 4-P Ton Precinct 4-S Ton Bid Item #8: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER No Bids Received BIDDER Precinct 1 Ton NO BIDS RECEIVED Precinct 2 Ton Precinct 3 Ton Precinct 4-P Ton Precinct 4-S Ton Intentionally Left Blank - Continued on next page Page 5 of 11 Bid Item #9: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM AWARD BIDDER LOAD/ORDER Precinct 1 Ton $17.00 $25.00 $42.00 25 TONS X K-C LEASE SERVICE INC Precinct 2 Ton $17.00 $25.00 $42.00 25 TONS X dba MATAGORDA CONSTRUCTION Precinct 3 Ton 1 $17.00 1 $25.00 1 $42.00 1 25TONS X Precinct 4-P Ton $17.00 $z5.00 $4z.o0 z5 TONS X & MATERIALS Precinct 4-S Ton $17.00 $25.00 $42.00 25 TONS X _. Precinct 1 Ton $26.50 $23.50 $50.00 24TONS QUALITY HOT MIX, INC. Precinct Ton $26.50 $23.50 $50.00 24TONS NOTE: ALL DELIVERIES ARE IN END Precinct Ton $26.50 $23.50 $50.00 24TONS DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE Precinct 4-P Ton $26.50 $23.50 $50.00 24TONS REQUESTED & PROVIDED IF AVAILABLE. Precinct4-S Ton $26.50 $23.50 $50.00 24TONS Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 1 Ton $30.00 $24.96 $54.96 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 2 Ton $30.00 $24.63 $54.63 24 COLORADO Did Not Meet Did Not Meet Did Not Meet Did Not Meet MATERIALS, LTD Specifications Specifications Specifications Specifications Precinct 3 Ton $30.00 $25.64 $55.64 24 Material Source: New Braunfels, TX Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-P Ton $30.00 $28.17 $58.17 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-S Ton $30.00 $26.14 $S6.14 24 Bid Item #10: ITEM 330, TYPE D (PRE -MIX LIMESTONE) LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER No Bids Received BIDDER Precinct 1 Tan NO BIDS RECEIVED Precinct 2 Ton Precinct 3 Ton Precinct 4-P Ton Precinct 4-S Ton Page 6 of 11 Bid Item #11: ITEM 330 D, POTHOLE REPAIR, LIMESTONE ROCK ASPHALT (LRA) LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AWARD BIDDER Precinct 1 Tan $71.17 $47.45 $118.62 24TONS x BLADES GROUP LLC Yard $83.98 $55.99 $139.97 22 CU YDS x. r5O Bag.. $14.00 $0.00 $14.00 1 PALLET -62 BAGS x Precinct Ton $70.97 $47.31 $118.28 24TONS < x Yard $83.74 . $55.83 $139.57 22 CU YDS x 50.lbBag $14.00 $0.00,. $14.00 _1PALLET 62BAGS x. Precinct Ton $72.62 $48.41- $121.03 24TONS - x Yard $85.69 $57.13.- $142.82 22 CU YDS x 50lb Bag $14.00 $0.00- $14.00 1 PALLET -62 BAGS x Precinct 4-P Ton $73.13 $48.76 $121.89 24TONS x Yard $86.30 $57.53 $143.83 22 CU YDS- x 50lb Bag $14.00 $0.00 $14.00 1 PALLET -:62 BAGS x Precinct 4-S Ton $71.17 - $47.45 $118.62 24TONS x. Yard $83.98 $55.99 $139.97 22 CU YDS x. 50lbBag $14.00 $0.00 $14.00 1PALLET -62.BAGS x Intentionally Left Blank - Continued on next page Page 7 of 11 Bid Item #12: ITEM 334, TYPE D, HOT MIX COLD LAID ASPHALT CONCRETE PAVEMENT LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM AWARD BIDDER LOAD/ORDER Precinct 1 Ton $75.00 $9.00 $84.00 25TONS X QUALITY HOT MIX, INC. Precinct 2 Ton $75.00 $9.00 $84.00 25TONS X NOTE: ALL DELIVERIES ARE IN END Precinct 3 Ton $75.00 $9.00 $84.00 25TONS X DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE Precinct 4-P Ton $75.00 $9.00 $84.00 25TONS X REQUESTED & PROVIDED IF AVAILABLE. Precinct 4-S Ton $75.00 $9.00 $84.00 25 TONS X Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 1 Ton $69.00 $24.96 $93.96 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 2 Ton $69.00 $24.63 $93.63 24 COLORADO MATERIALS, LTD Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 3 Ton $69.00 $25.64 $94.64 24 Material Source: New Braunfels, TX Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-P Ton $69.00 $28.17 $97.17 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 4-S Ton $69.00 $26.14 $95.14 24 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 1 Ton $88.00 $30.59 $118.59 25 TONS Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications WALLER COUNTY Precinct 2 Ton $88.00 $31.51 $119.51 25TONS ASPHALT, INC. BID ALTERNATE ITEM: Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct 3 Ton $88.00 1 $27.83 $115.83 1 25TONS BID FOR ASPPM 9202 GRADE IV HIGH Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications PERFORMANCE COLD MIX Precinct4-P Ton $89.00 $35.19 $123.19 25TONS Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications Precinct4-S Ton $88.00 $34.96 $122.96 25TONS Bid Item #13: ITEM 432, Riprap, Section 2.3 Stone Riprap, 12" Limestone LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM AWARD BIDDER LOAD/ORDER Precinct Ton $26.00 $58.00 $84.00 24TON X MIDTEX MATERIALS, LLC Precinct Ton $26.00 $58.00 $84.00 24TON X Precinct 3 Ton $26.00 $58.00 $84.00 24TON X Precinct 4-P Ton $26.00 $60.00 $86.00 24TON X Precinct 4-S Ton $26.00 $58.00 $84.00 24TON X Page 8 of 11 ASPHALTS, OILS AND EMULSIONS Item 300, Asphalts, Oils and Emulsions Bid Item #14: Primer Oil LOCATION Unit MATERIAL DELIVERY TOTAL DEMURRAGE AWARD BIDDER $80 Per Hour Precinct 1 Gallon $2.20 $0.20 $2.40 After 2 Free Hours x CLEVELAND ASPHALT $80 Per Hour Precinct 2 Gallon $2.20 1 $0.20 $2.40 After 2 Free Hours x PRODUCTS, INC. Prices based on minimum $80 Per Hour 5000 gallon load, for smaller Precinct 3 Gallon $2.20 $0.20 $2.40 After 2 Free Hours x quantities please call 800-334-0177. $80 Per Hour Diluted material can not be Precinct 4-P Gallon $2.20 $0.20 $2.40 After 2 Free Hours x returned for credit. $80 Per Hour Precinct 4-S Gallon $2.20 $0.20 $2.40 After 2 Free Hours x Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70 Per Hour Precinct 1 Gallon $2.85 $0.18 $3.03 After 2 Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications specifications Specifications $70Per Hour MARTIN PRODUCTS Precinct 2 Gallon $2.85 1 $0.18 $3.03 lAfter 2 Free Hours SALES LLC dba Did Not Meet Did Not Meet Did not Meet Did Not Meet Specifications Specifications specifications Specifications $70Per Hour MARTIN ASPHALT Precinct 3 Gallon $2.85 $0.16 $3.01 After 2 Free Hours COMPANY MC-30 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specification Specifications $70 Per Hour 5000 gallon minimum Precinct 4-P Gallon $2.85 $0.21 $3.06 After 2 Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70 Per Hour Precinct4-S I Gallon $2.85 1 $0.19 $3.04 lAfter2Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications specifications $80 Per Hour P SQUARED EMULSION Precinct Gallon $2.04 n/a $2.04 After 2 Free Hours PLANTS LLC Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications P2 PRIME CONCENTRATE Specifications Specifications Specifications $80 Per Hour ** Please see attached equivalent Precinct Gallon $2.04 n/a $2.04 After 2 Free Hours and/or superior product information and Sole Source Affidavit. Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications SEE ATTACHED INFOROMATION FOR Specifications Specifications Specifications $80 Per Hour ADDITIONAL CHARGES Precinct Gallon $2.04 n/a $2.04 After 2 Free Hours Minimum Tanker Delivery: 5,000 Gallons; Delivery over 250 miles Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications subject to additional charges; Pump Specifications Specifications Specifications $80 Per Hour Charge (trucking charge) $80,00; Precinct 4-P Gallon $2.04 n/a $2.04 After 2 Free Hours Push Charge (trucking charge) $80.00 per hour; Return Loads (trucking Charge) Subject to charge Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $80 Per Hour from delivering freight line Precinct 4-S I Gallon 1 $2.04 1 n/a 1 $2.04 After 2 Free Hours Page 9 of 11 Bid Item #15: RC-250 LOCATION Unit MATERIAL DELIVERY TOTAL DEMURRAGE AWARD BIDDER $80.00 Per Hour Precinct 1 Gallon $3.45 $0.20 $3.65 After 2 Free Hours X CLEVELAND ASPHALT $80.00 Per Hour Precinct 2 Gallon $3.45 $0.20 $3.65 After 2 Free Hours X PRODUCTS, INC. Prices based on minimum $80.00 Per Hour 5000 gallon load, for smaller Precinct 3 Gallon $3.45 $0.20 $3.65 After 2 Free Hours X quantities please call 800-334-0177. $80.00 Per Hour - Diluted material can not be Precinct 4-P Gallon $3.45- $0.20 $3.65 After 2 Free Hours X returned for credit. $80.00 Per Hour Precinct 4-S Gallon $3.45 $0.20 $3.65 After 2 Free Hours X Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70 Per Hour Precinct 1 Gallon $2.75 $0.18 $2.93 After 2 Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70Per Hour MARTIN PRODUCTS Precinct Gallon $2.75 $0.18 $2.93 After 2 Free Hours SALES LLC Did Not Meet Did Not Meet Did not Meet Did Not Meet Specifications dba Specifications Specifications Specifications $70Per Hour MARTIN ASPHALT Precinct 3 Gallon $2.75 $0.16 1 $2.91 After 2 Free Hours COMPANY Did Not Meet 5000 gallon minimum Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specification Specifications $70 Per Hour Precinct 4-P Gallon $2.75 $0.21 $2.96 After 2 Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70 Per Hour Precinct 4-S Gallon $2.75 $0.19 $2.94 After 2 Free Hours Intentionally Left Blank - Continued on next page Page 20 of 11 Bid Item #16: CRS-2 LOCATION Unit MATERIAL DELIVERY TOTAL DEMURRAGE AWARD BIDDER $80.00. Per Hour Precinct 1 Gallon $2.00 $0.20 $2.20 After 2.Free Hours X CLEVELAND ASPHALT $80.00 Per Hour Precinct 2 Gallon $2.00 $0.20 $2.20 After 2 Free Hours X PRODUCTS, INC. Prices based on minimum $80.00 Per Hour 5000 gallon load, for smaller Precinct 3 Gallon $2.00 1 $0.20 $2.20 JAfter 2 Free Hours X quantities please call 800-334-0177. $80.00 Per Hour Diluted material can not be Precinct 4-P Gallon $2.00 $0.20 $2.20 After 2 Free Hours X returned for credit. $80.00 Per Hour Precinct 4-S Gallon $2.00 $0.20 $2.20 After 2 free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70 Per Hour Precinct Gallon $2.00 $0.18 $2.18 After 2 Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70Per Hour MARTIN PRODUCTS Precinct 2 Gallon $2.00 $0.18 $2.18 After 2 Free Hours SALES LLC Did Not Meet Did Not Meet Did not Meet Did Not Meet Specifications dba Specifications Specifications Specifications $70Per Hour MARTIN ASPHALT Precinct 3 Gallon $2.00 $0.16 $2.16 After 2 Free Hours COMPANY Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications 5000 gallon minimum Specifications Specification Specifications $70 Per Hour Precinct4-P Gallon $2.00 $0.21 $2.21 After 2 Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications Specifications Specifications $70 Per Hour Precinct4-S Gallon $2.00 $0.19 $2.19 After 2 Free Hours Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Specifications specifications Specifications $80.00 Per Hour P SQUARED EMULSION Precinct 1 Gallon $2.99 n/a $2.99 After 2 Free Hours PLANTS LLC P2 CWE-2 Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications nd Please see attached equivalent Specifications Specifications P Specifications P $80.00 Per Hour and/or superior product information Precinct 2 Gallon $2.99 n/a $2.99 After 2 Free Hours and Sole Source Affidavit. SEE ATTACHED INFOROMATION FOR Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications ADDITIONAL CHARGES Specifications Specifications Specifications $80.00 Per Hour Minimum Tanker Delivery: 5,000 Precinct 3 Gallon $2.99 n/a $2.99 IAfter 2 Free Hours Gallons; Delivery over 250 miles subject to additional charges; Pump Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications Charge (trucking charge) $80.00; Specifications Specifications Specifications $80.00 Per Hour Push Charge (trucking charge) Precinct 4-P Gallon $2.99 n/a $2.99 After 2 Free Hours $80.00 per hour; Return Loads (trucking Charge) Subject to charge Did Not Meet Did Not Meet Did Not Meet Did Not Meet Specifications from delivering freight line Specifications Specifications Specifications $80.00 Per Hour Precinct 4-S Gallon $2.99 n/a $2.99 After 2 Free Hours Page 11 of 11 #13 NOTICE OF MEETING — 7/13/2022 13. Consider and take necessary action on any necessary budget adjustments. (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 9 of 11 | §Ga■ ■ §C4 q a \0 §as2 % )Z § _ L =z .■ 000 _ kgg § gig�� §W § 2 ) § §§sa2 ) § ft k \ § � \ t &&} ±»m § ) § oo■ k 222 ■ _ �Z■ 0®®� „ / § ■ ■ .z z ee )Z Q( ° Eo ° \) § §© ■ ■)k LL §� wLU \ \� �\\ w :I- « :a ± LU )§ % 2 \LU ) � § �� 2 |L § Z ■,: ;§ 0 z k k « � aim BB IBM §a §�a §- §§a § §\\ k U k E § ;o ;z ;z �§ :L :§ ]� 0 �$6. k ■©B(\ � o § ■� \ §Z§}; § §z LL �k §sa; § § )� § ) § ■e � § k § � § % ■ k t z \\ k § \ _2; =§ § o S®2 j�\: _ § E2 %; Bk / > §/\ LLI ° §\ § \z § �2§ § / \ =U1 @ k gm lu )) § ■« o k �k ) 2 �2, §�\ � ■ _ k § k a :0 ;z ;z �§ t :L �2 §we§ § §!2 §§g §■§ ;o :z § § �� § ■ :z k § § � : o ' � § � � ■ 13H|lm LLI § § k ■ \ z § B \ % z § w § § �A ■Ll�- k kp /§w § § 2 § - 2 Ez § Q) _z §. k E� z � k )w w § § :k 'o :z :z :§ :IL i0 rE § « :o :z :z :§ :IL �§ � O Q Z Z 0 :Z Z 0 iV 30 EZ EH :Z EW a :d iW :G O s .J W � � W O �I a Z a Cf 0 z W �Wyy W C W w to,0 w IFi Y.1 00 M O M OpC W N O N M 0 0 0 0 0 0 0 V! 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TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 906,8".96 TOTAL TRANSFERS BETWEEN FUNDS $ 606,328.90 TOTAL NURSING HOME WPL EXPENSES $ 969,774.01' TOTAL INTER GOVERNMENT TRANSFERS $' - GRAND TOTAL DISBURSEMENTS APPROVED July 13, 2022 $ 21271,94M MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---July 13, 2022 PAYABLES AND PAYROLL 7/10/2022 Weekly Payables 588,754.76 7/11/2022 Cleargy-phone 2,413.25 7/1112022 McKesson-3408 Prescrption Expense 9,255.14 7/1112027 McKesson-3406 Prescription Expense 7,607.75 7/11/2022 Amerlsource Bergen-340B Prescription Expense 583.47 7/11/2022 Amerisoume Bergen-34013 Prescription Expense 255.12 718/2022 Payroll Liabilities for supplemental payroll -Payroll Taxes 515.62 718/2022 Supplemental Payroll 1,987.23 Prosperity Electronic Bank Payments 7/8-717122 Credit Card 8 Lease Fees 669.58 7/20/2022 Sales Tax for June 2022 1.392.70 7/15/2022 TCDRS June Retirement 188,643.31 7/1-717/22 Pay Plus-Patlent Claims Processing Fee 163.11 717-7/8/22 ExpertPay- child support 4,580.02 7/5/2022 Authnet Gateway Billing-3rd Party Payor Fee 23.90 TOTAL PAYABLE$, PAYROLL AND, ELECTRONIC BANK PAYMENTS' $ 806,844:96 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 7110/2022 MMC Operating to Ashford -correction of NH QIPP payment deposited into 5,123.65 MMC Operating 7/10/2022 MMC Operating to Solera-correction of NH Insurance payment deposited into $4,265.04 MMC Operating 7/1012022 MMC Operating to Fort bend -correction of NH QIPP payment deposited into 65,140.18 MMC Operating 7/1012022 MMC Operating to Broadmoor-correction of NH insurance and QIPP payment 66,736.06 deposited into MMC Operating 7/10/2022 MMC Operating to Crescent -correction of NH Insurance and QIPP payment 70,722.99 deposited into MMC Operating in error 7/1012022 MMC Operating to Golden Creek -correction of NH insurance payment 61,748.37 deposited into MMC Operating in error 7/10/2022 MMC Operating to Gulf Pointe Plaza-correc8an of NH insurance payment 46,063.83 deposited Into MMC Operating 7/19/2022 MMC Operating to Tuscany Village -correction of NH insurance payment 68.925.32 deposited Into MMC Operating 7110/2022 MMC Operating to Bethany -correction of NH insurance and QIPP payment 76,603,46 deposited into MMC Operating In error tOTAL TRANSFERS BETWEEN FUNDS; $ 505,328 9Q' NURSING HOME UPL EXPENSES 7111/2022 Nursing Home UPL-Cantex Transfer 152,697.09 711112022 Nursing Home UPL-Nexion Transfer 133,420.91 7/1112022 Nursing Home UPL-HMG Transfer 91,300.97 7/11/2022 Nursing Home UPL-Tuscany Transfer 71,301.00 7/11/2022 Nursing Home UPL-HSL Transfer 414,164.38 QIPP CHECKS TO MMC 7/11/2022 Ashford 15,692,20 7/11/2022 Broadmoor 6,084.80 7/11/2022 Crescent 6,270.76 7/11/2022 Fort Bend 6,421.70 7/11/2022 Solaro 6,233,75 711112022 Golden Creek 33,223.22 711112022 Gulf Pointe 14,672.20 7/11/2022 Tuscany 0,290.94 TOTAL NURSING HOME UPL EXPENSES $. 959,774.04 ,TOTALINTER-GOVERNMENTTRANSFERS $ GRANO TOTAL DI"PBURSEIMENTS AP.FRbVED jU[ 13, 2022 $ '2,271,947;07 Page 1 of 13 MEMORIAL MEDICAL CENTER 07/0712022 0 AP Open Invoice List 16:34 ap_open_invoice.template Due Dates Through: 07/28/2022 Vendor# Vendor Name Class Pay Code 10958 ALLYSON SWOPE I// Invoice# Comment Tran Ot Inv or Due Dt Check D Pay Gross Discount No -Pay Not t 070522 06/30/20 07/05/20 07/10/20 3,188.25 0.00 0.00 3,188.25 TRANSCRIP SERV Vendor Totals Number Name Gross Discount No -Pay Net 10958 ALLYSON SWOPE 3,186.25 0.00 0100 3,188.25 Vendor# Vendor Name Class Pay Code A1746 ALPHA TIED SYSTEMS INC r: M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV00105802✓' 06/30/20 06/23/20 06/30/20 46.45 0.00 0,00 46,45 ✓ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net A1746 ALPHA TEC SYSTEMS INC 46.45 0.00 0.00 46.45 Vendor# Vendor Name Class Pay Cade A0400 AUREUS RADIOLOGY LLC Invoice# Comment Tran or Inv or Due Dt Check D Pay Gross Discount No -Pay Net 2641301 06/30/2006113/2007/13/20 3,740,00 0.00 0.00 $,740.00 y LAB STAFFING (51 di-4I212Z) S+1 6U.H ! 2657507 06130/20 06127/20 07/27120 3,038.75 0.00 0.00 3,038.75 1' LAB STAFFING I U b- b I ltr 11-) SA-4 L 1t'( Vendor Totate Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLOGY LLC 6,778.75 0,00 0.00 6,778.75. Vendor# Vendor Name Class Pay Code 51150 BAXTER HEALTHCARE ,✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 75497852 ,% 06/30/20 06/16/20 07/11/20 288.57 0.00 0.00 288.57 ,; SUPPLIES 75523772.! 06/30/20 06/20/20 07/15/20 134.55 0.00 0.00 134.55 v' SUPPLIES 7552589711 06/30/20 06/20/20 07/15/20 538.55 0.00 0.00 538.55 ✓' SUPPLIES 75525188 ✓ 06/30/20 06/20/20 07/15/20 507.47 0.00 0.00 507.47 1/ _SUPPLIES , 75544976 ✓ 06/30/20 06/21/20 07/18/20 629.50 0.00. 0.00 629.50 ✓' LEASE Vendor Total: Number Name Gross Discount No -Pay Net 81160 BAXTER HEALTHCARE 2,098.64 0.00 0.00 2,098.64 Vendor#Vendor Name Class Pay Code 12324 BLUE CROSS BLUE SHIELD . ' Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 061722A 06/30/20 06/17/20 07/01/20 1.516.83 0.00 0,0D 1,516.83 COBRA 061722 06/30120 06/17120 07/01/20 224,684.01 0.00 0.00 224.684.01 v` PAYROLLDEDUCT , Vendor Total: Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE SHIELD 226,200.64 0.00 0.00 226,200.84 Vendor# Vendor Name Class Pay Code file:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmplcw5report3613236... 7/7/2022 Page 2 of 13 01325 CARDINAL HEALTH 414, INC..// W Invoice# Comment Tran or Inv or Due Dt Check D Pay Gross Discount No -Pay Net 800287322P ✓ 06/30/20 06/04/20 06/29/20 57.55 0.00 0.00 57.55 SUPPLIES f 8002877826 v/ 0613OP20 06/11/20 07/06/20 822.37 0.00 0.00 822.37 •' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01325 CARDINAL HEALTH 414. INC. 879.92 0,00 0.00 879.92 Vendor# Vendor Name Class Pay Code 13028 CAVALLO ENERGY TEXAS LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 22173001 ✓ 06/30/20 06/21/20 07/25/20 10.17 0.00 0.00 10.17 ELECTRICITY Vendor Totals Number Name Gross Discount No -Pay Net 13028 CAVALLO ENERGY TEXAS LLC 10.17 0,00 0.00 10.17 Vendor# Vendor Name Class Pay Code C1600 CITIZENS MEDICAL CENTER ✓ W Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 061522 06/30/20 06/15/20 07/15/20 30.00 0.00 0.00 30.00 %- BLS CARDS (6) 061622 06/30/20 06/16/20 07/15/20 50.00 0.00 0.00 50.00 ,r-" •. BLS CARDS (10) Vendor Totals Number Name Gross Discount No -Pay Net C1600 CITIZENS MEDICAL CENTER 80.00 0.00 0.00 80.00 , Vendor# Vendor Name Class Pay Code 11030 COMBINED INSURANCE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 060122 06/30/20 06/01120 07/01120 612A8 0.00 0.00 612.18 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11030 COMBINED INSURANCE 612.18 0.00 0.00 612.18 Ventlor# Vendor Name Class Pay Code C1970 CONMED CORPORATION ✓' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 412052 r- 06/30/20 06/20/20 07106/20 v 197.90 0.00 0.00 197.90 SUPPLIES 915575 .' 06/30/20 06/23/20 07/05/20 107.53 0.00 0.00 107.53 SUPPLIES Vendor Total Number Name Gross Discount No -Pay Net 01970 CONMED CORPORATION 305,43 0.00 0.00 305.43 Vendor# Vendor Name Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES v� Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 296243 ,�- 06/27/20 06/29/20 06/29/20 350.44 0.00 0.00 350.44 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10006 CUSTOM MEDICAL SPECIALTIES 350.44 0.00 0.00 360.44 Vendor# Vendor Name Class Pay Cade 10368 DEWITT POTH & SON ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6857690 f 06/30/20 06/22/20 07/17/20 430.39 0.00 0.00 430.39. file:///C:/Users/ltre ino/cpsihnemmed.cpsinet.com/u88125/data_5/tmp_ew5report3613236... 7/7/2022 Page 3 of 13 SUPPLIES 6848762 �/' 06/30/20 06/23/20 07/18120 16.55 0.00 0.00 16.55 ✓ r SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 446.94 0.00 0.00 446.94 Vendor# Vendor Name Class Pay Code .. 10789 DISCOVERY MEDICAL NETWORK INC: Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1�✓ MMC063022 v''� 07/07120 06/30120 07/01/20 124,975.71 0.00 0100 124,975.71 PHYSICIAN SERVICES t 4 11 L- * ) . ' Vendor Totals Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 124,975.71 0.00 0.00 124,975.71 Vendor# Vendor Name Class Pay Code ' 11291 DOWELL PEST CONTROL v' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10303 of - 06/30/20 06/22/20 07/17/20 105.00 0,00 0.00 105.00 PEST CONTROL Vendor Totals Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 105.00 0.00 0.00 105.00 Vendor# Vendor Name Class Pay Code 12488 OURFOLD CORPORATION Ws' Invoice# Comment Tran Dt Inv Dt Due Dt Check U Pay Gross Discount No -Pay Net IN9167 d:' 06/30120 06/29120 07115/20 28,343.00 0,00 0.00 2B,343.00 SLEEPER RECLINER Lto).-. ytett fthe: r,,tjz) Ovut,,A`ftbley tls) OX-0 nP-3"L -m) . Vendor Totals Number Name Gross Discount No -Pay Net 12488 DURFOLD CORPORATION 2B,343.00 0.00 0.00 28,343.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS Y/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 41316 06/80/20,06/30/20 07/10/20 40,062.50 0.00 0.00 40,0132.50 ER STAFFING �1tr-�Utti`\ Vendor Totals Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0,00 0.00 40,062.50 Vendor# Vendor Name Class Pay Code 10042 ERBE USA INC SURGICAL SYSTEMS 4- Invoice# , Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 759998 bf 06130/20 06/20/20 07/05/20 139.50 0.00 0.00 139.50 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 139.50 0.00 0.00 139.50 Vendor# Vendor Name Class Pay Code R1185 FARAHJANAK . Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 063022 06/30120 06/30/20 07/10/20 35.57 0.00 0.00 36.57 TRAVEIJHEALTH FAIR PALAC10; Vendor Totals Number Name Gross Discount No -Pay Net R1185 FARAH JANAK 35.57 0.00 0.00 35.57 , Vendor# Vendor Name Class Pay Code F1300 FIRESTONE OF PORT LAVACA, / W Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 0078131 06130120 06/07120 07/01/20 462.58 0.00 0.00 462.58,,,.E tile:///C:/Users/ltrevino/epsi/memined.cpsinet.com/u88125/data_5/tmp_cw5report3613236... 7/7/2022 Paoe 4 of 13 F STARTER REPLACEMENT Vendor Totals Number Name Gross Discount Na-Pay Net F1300 FIRESTONE OF PORT LAVACA 462.58 0.00 0.00 462.58 i Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3898371 06/30/20 06/20/20 07/15/20 348.01 0.00 0.00 348.01 SUPPLIES 3938624✓� 06130/200612112007116120. 3,601,34 0.00 0.00 3,601.34 v; SUPPLIES 3981154 ✓/ 06/30/20 06/22/20 07/17/20 431.50 0.00 0.00 431.50 SUPPLIES 4152784 f 06/30/2006/28/2007/23/20 693,35 0.00 0.00 693.25 y% SUPPLIES Vendor Total: Number Name Grass Discount No -Pay Net F1400 FISHER HEALTHCARE 5,074,20 0.00 0.00 5,074.20 Vendor# Vendor Name Class Pay Code 11183 FRONTIER / Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 061922 06/30/20 06/19/20 07/13/20 75.45 0.00 0.00 75.45 ✓ TELEPHONE . Vendor Total: Number Name Gross Discount No -Pay Net 11183 FRONTIER 75.45 0.00 0.00 75.45 Vendor# Vendor Name Class Pay Code 14156 FUJI FILM .f Invoice# Comment Tran Ot Inv Dt Due Dt Check DPay Gross Discount No -Pay Net PJIN0194123 ✓- 06/30/20 06/15/20 07/15/20 7,908.33 0.00. 0.00 7,908.33 ..%` MAINT CONT . Vendor Totals Number Name Gross Discount No -Pay Net 14156 FUJI FILM 7,908.33 0.00 0.00 7,908.33 Vendor# Vendor Name Class Pay Code 4 12636 FUSION CLOUD SERVICES, LLC Invoice# Comment TranDt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 28577557 �.' 0613=0 06/16120 07/16120 1,063.82 0.00 0.00 NQp' 1.063.83 tj TELEPHONE 1 Vendor Totals Number Name Gross Discount No -Pay Net 12636 FUSION CLOUD SERVICES, LLC 11063.80 0.00 0.00 1.063.83 Vendor# Vendor Name Class Pay Code 11149 GBS ADMINISTRATORS, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grose Discount No -Pay Not 3050061FOBO�G�--yy� 06/30/20 06/30120 07/01/20 3,148.64 0.00 0.00 3,148,64 y% i!W 9 W q 0�gINSURANCE JULY 22 Vendor Total: Number Name Gross Discount No -Pay Net 11149 GBS ADMINISTRATORS, INC 3,148.64 0.00 0.00 3,148.64 Vendor# Vendor Name Class Pay Code , W1300 GRAINGER M F Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 9354936545✓' 06/30/20 OW23120 07/18/20 404.55 0.00 0.00 404.56 + SUPPLIES t/ Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER 404.55 0.00 0.00 404.55 S file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_ew5report3613236... ry. 7/7/2, 22 Page 5 of 13 Vendor# Vendor Name Class Pay Code G0401 GULF COAST DELIVERY' Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross 066022 06/30/20 06/30/20 07/15/20 50.00 REPORT/SLIDES Vendor Totals Number Name Gross G0401 GULF COAST DELIVERY 50.00 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY%/ M Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross 2250811 v 0613=0 06121/20 07/21/20 8.00 a Discount No -Pay Net 0.00 0.00 50.00 Discount No -Pay Net 0.00 0.00 50,00 Discount No -Pay 0.00 0.00 SUPPLIES 2251148 ✓ 06/30/20 06/2112D 07121120. 372.40 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross G1210 GULF COAST PAPER COMPANY 380.40 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross 100631903 06/30/20 06/27/20 07/27/20 4,610.52 LEASE Vendor TotalENumber Name Gross 11552 HEALTHCARE FINANCIAL SERVICES 4,610.52 Vendor# Vendor Name Class Pay Code 10829 HEALTHSTREAM, INC. y% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 0293152 d` 06/30120 06/13/20 07/13/20 915 HSTREAM Vendor Totals Number Name Gross 10829 HEALTHSTREAM, INC. 9.15 Vendor# Vendor Name Class Pay Code 11260 INTOXWETERS INC ✓' M Invoice# Comment Tran Dt Inv DI Due Ot Check D Pay Gross 710974 06/30/20 06/30/20 07/25/20 25.50 Net 8.00 372.40 Discount No -Pay Net 0.00 0.00 380.40 Discount No -Pay Net 1 0.00 0.00 4.610.52 11 Discount No -Pay Net 0.00 0.00 4,610.52 Discount No -Pay Net 0.00 0.00 9.15%'- Discount No -Pay Net 0.00 0.00 9.15 Discount No -Pay Net 0.00 0.00 25.50 4�, SUPPLIES Vendor Totals Number Name Gross Discount 11260 INTOXIMETERS INC 25.50 0.00 Vendor# Vendor Name Class Pay Cade 14316 JUNXION MED STAFFING �, Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount MMC052822/ O6/30/20 06/15/20 06/30/20 5,463.75 0.00 TRAVEL NURSE STAFFING ( 6 1-L4- 511)1'1a i I MMC052122 OW30/20 06A 5120 06/30/20 5,425.00 0.00 TRAVEL NURSE STAFFING (5(15-sjibt 121-} Drh61a1e4 MMCWE062522 06/30120. 06/28/2007113/20 6,045.00 0.00 TRAVELNURSE STAFFING Ltt lily41;L5i 2z) O4w11 Vendor Totals Number Name Gross Discount 14316 JUNXION MED STAFFING 16,933.75 0.00 Vendor# Vendor Name Class Pay Code 11600 LEGAL SHIELD v Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0.00 25.50 No -Pay Net 0.00 5.463.75 t»'' 0.00 5,425.00V" 0.00 6,045.00 L;" No -Pay Net 0.00 16,933.75 No -Pay Net t file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/trap^cw5report361323 6... 7/7/2022 Page 6 of 13 061522 06/30/20 06/15/20 07/01/20 401.80 0.00 0.00 401.80 ✓ PAYROLLDEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 11600 LEGALSHIELD 401.80 0A0 0.00 401.80 Vendor# Vendor Name Class Pay Code 10972 M G TRUST Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 063022 06/30/20 06/30/20 07/15/20 640.86 0.00 0.00 640.86 V'' PAYROLLDEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 10972 M G TRUST 640.85 0.00 0.00 640,85 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC v' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 19519300 ,"/ 06/27/20 06/23/20 07/08/20 46.58 0.00 (1.00 46.581, ' SUPPLIES 19540001 V / 06/30/20 06/29/20 07/14/20 416.14 0.00 0100 416.14 ` ". ,SUPPLIES 19539959'' 06/30120 06/29/20 07/14120 472.50 0.00 0.00 472.50 .-- SUPPLIES 19548710,/ 06/30/20 07/01/20 07/16/20 190.43 0.00 0.00 190.43 SUPPLIES 19549727 �-'� 06130121)07/03/20 07/18/20 101.80 0.00 0.00 101.80 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2176 MCKESSON MEDICAL SURGICAL INC 1,227.45 0.00 0.00 1.227.45 Vendor# Vendor Name Class Pay Code 11612 MEDICAL AIR SERVICES ASSOC. t,/ Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Not 1279993 J 06/30120 07/01120 07/15120 1,527.00 0.00 0.00 1,627.00 JULY 22 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11612 MEDICAL AIR SERVICES ASSOC. 1,527,00 0.00 0.00 1,527.00 ' Ventlor#Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INC. A/P Invoice# Comment Tran Dt Inv Dt Due DI Check D, Pay Gross Discount No -Pay Net 30468871 „/ 06/30/20 06/28/20 07/15/20 36.60 0.00 0.00 38.60 INDIGENT Vendor Total: Number Name Gross Discount No -Pay Net 10613 MEDIMPACT HEALTHCARE SYS, INC. 38,60 0.00 0.00 38.60 Vendor#VendorName Class Pay Code M2470 MEDLINE INDUSTRIES INC v'' M Invoice# Comment Tran Ot Inv DI Due Ot Check D Pay Grass Discount No -Pay Net 2216422496 d'- (16128/20 OW22/2007115/20 2$6.74 0.00 0.00 236.74 SUPPLIES 2215559557 ✓ 06/28/20 06/28/20 07/23/20 346.43 0.00 0.00 346.43 SUPPLIES 2215220875✓ 06/30/20 06/14/20 07/09/20 65.98 0.00 0.00 05.98 +_r' SUPPLIES 2215220874 06/30/20 06/14/20 07/09/20 0.49 0.00 0.00 0.49 LZ SUPPLIES file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report3 613236... 7/7/2022 Page 7 of 13 2215401341 f' 06/30/20 06/15/20 07/10/20 31.54 0.00 0.00 31.54 ,! SUPPLIES 2215401366v' 06130/20 06/15/20 07110/20 200.15 0.00 0.00 200,15 SUPPLIES 2215401338 �' 06/30/20 06/15/20 07/10/20 82.29 0.00 0.00 82.29 SUPPLIES 2215401343v'/ 06130/2006/15/2007/10120 82.57 0.00 0.00 92.57 SUPPLIES 2215401352 . 05/30/20 05/15/20 07/1 O/20 41.41 0,00 0.00 41.41 "f SUPPLIES 2215401365 N 06130120 06115120 U7110120 33.67 0.00 0.00 33,67 SUPPLIES P215401363 ✓ 06130120 06/15/20 07110/20 91.70 0.00 0.00 91.70 SUPPLIES 2215401345 Y' 06130/20 06/15/20 07/10/20 51.21 0.00 0.00 51.21 SUPPLIES 2215559556 ✓`. 06/30/20 06/15/20 07/10/20 52.30 0.00 MG 52.30 SUPPLIES 2215401347v/� 0613012006/1512007/10/20 2,171.85 0.00 0.00 2,171.8k,•' SUPPLIES 2216401339 ✓ 05/30/20 06/15/20 07/10/20 748.69 0.00 0.00 749.69 v" SUPPLIES 2215401342 06/30/20 06/15/20 07/10/20 42.21 0.00 0.00 42.21 y ` SUPPLIES 2215401353 r" 06/30/20 06/15/20 07/10/20 3,725.20 0.00 0.00 3,725.20 V SUPPLIES 2215401340 v, 06/30/20 06/15/20 07/10/20 249.80 0.00 0.00 249.80-� SUPPLIES 2215429361 V 06/30/20 06/15/20 07/10/20 936.69 0.00 0.00 936.69 SUPPLIES 2215401344 L, ' 06/30/20. 06/15/20 07/10/20 93.49 0.00 0100 93.49 y f SUPPLIES 2215686960 ✓.. 06/30/20 06116/20 07111/20 27,03 0.00 0.00 27.03 v` SUPPLIES 2215686961,/ 06/30/2006116/2007/11/20 19.44 0.00 0,00 19.44 SUPPLIES / 2218686963 1/ 06/30/20 06/16/20 07111 /20 213.31 0.00 0.00 213,31 ✓ SUPPLIES 2215741981 06/30/20 06/16/20 07/11/20 105.11 0.00 0.00 105.11 +r' SUPPLIES 22615858486 1/ 06/30/20 06/17/20 07/12/20 45,12 0.00 0.00 45.12 ✓- SUPPLIES 2216144706 v/� 06/30/2006/20120 07/15/20 134.08 0.00 0.00 134.08 SUf PLIES 2216086552 ✓' 06/30/20 06/20/20 07/15/20 189.42 0.00 0.00 189.42 SUPPLIES 2216066651 � 06/30/20 06/20/20 07/16/20 122.23 0.00 0.00 122.23 4= SUPPLIES 2216422491,/ O6/30/20 06/22/20 07117/20 660,08 0.00 0.00 660.08 SUPPLIES 2216422492 ,/ 06/30/20 06/22/20 07/17/20 390.09 0.00 0.00 390.09 ✓' file:///C:/Users/Itrevino/cpsi/inemmed.cpsinet. com/u88l25/data_5/tmp_cw5report3613236... 7/7/2022 Page 8 of 13 SUPPLIES 2216364531 V' 06/30/20 06/22/20 07/17/20 3,286.88 0.00 0.00 3.286.88 „-'- SUPPLIES 2216422493,/ 06/30/20 06/22/20 07/17/20 934.23 0.00 0.00 q. 934.23 SUPPLIES t 2216424500 / 06/30/20. 06122/2007/17120 260.60 0.00 0.00 260.60 SUPPLIES 2216364532✓' 06/30/20 06/22/20 07/17/20 433.99 0.00 0.00 433.99 SUPPLIES _ 2216476004 i,l 06130/20 06/22/20 07/17/20 6,395.65 0.00 0.00 6,395.6.5 SUPPLIES 2216422497 .�`r 06130/2006/22/20 07/17/20 7,386.06 0.00 0.00 7,386.06 SUPPLIES , 2216500818 ✓` 06/30/20 06/23/20 07/18/20 221.94 0.00 0.00 221.94 SUPPLIES 2216658612 ,/` 06/30/20 0612WO 07/18120 348.80 0.00 0.00 348.80 SUPPLIES 2217125831 .,i` 06/30/20 06/28/20 07/23/20 78.60 0.00 0.00 76.50 .- SUPPLIES 2217125832 ✓ 06130120. 06/28/20 07/23/20 7.37 0.00 0.00 7.37`- SUPPLIES 2217125830 V 06/30/20 06/28120 07/23/20 64.40 0.00 0.00 54,40 W SUPPLIES 2217134849 V 06/30/20 06/28/20 07/23/20 204,44 0.00 0.00 204.44 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 30,813.18 0.00 0.00 30,813.18 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC Invoice# Comment Tran 01 Inv Ot Due Dt Check O Pay Gross Discount No -Pay Not 063022 07107/20 06/30/20 07/07/20 65.00 0.00 0.00 PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CUNIC 05.00 0.00 0,00 65.00 Vendor# Vendor Name Class Pay Code ! M2621 MMC AUXILIARY GIFT SHOP V w Invoice# Comment Tran Dt Inv Dt Due DI Check D, Pay Gross Discount No -Pay Net 062822 06/30/20 06/28/20 07/15/20 232.68 0.00 0.00 232.08 PAYROLLDEDUCT Vendor Totals Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 232.68 0.00 0.00 232.68 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# /Comment Tran Dt Inv Ot Due Dt Check 0 Pay Gross Discount No -Pay Net 8364147 v� 06/30/20 06/27/20 07/07/20 107.69 0.00 0.00 107.W' ;INVENTORY 8364148,`,1 06/30/20 05/27/20 0710-1/20 131.67 0.00 0.00 131.67 INVENTORY 8369318 V 013/30/2006/28/2007/08120 12,383.29 0.00 0.00 12,383.29 ✓ INVENTORY 8369317 ,✓ 06/30/20 06/28/20 07/08/20 148.11 0.00 0100 148,11 v' , file:!//C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report3 61323 6... 7/7/2022 Page 9 of 13 INVENTORY 8372330 .ice 06/30/2006/28/2007108/20 310,27 0.00 0.00 ,INVENTORY B372329 ✓ 06/30/20 (16/28/20 07/08/20 25.77 0.00 0.00 INVENTORY 8376319 6 j 06/30/20 06/29/20 07/09/20 586.12 0.00 0.00 INVENTORY 8377283 ✓ 00/30/20 06/29/20 07/09/20 438.40 0.00 0.00 :INVENTORY 8374511 ✓ 06/30/20 06/29/20 07/09/20 16.82 0.00 0.00 ,INVENTORY 83772821/ 06/30/2006/2912007109/20 21,07 0.00 0.00 INVENTORY 8376320 ,✓ 06/30/20 06/29/20 07/09/20 41.30 0.00 0.00 INVENTORY 8376318 `; , 06/30120. 06/29/20 07/09/20 46.57 0.00 0.00 .INVENTORY CM49633 ✓ 06/30/20 06/29/20 07/09/20 -2.46 0.00 0.00 CREDIT 8377086 +! 06/30/20 06/29/20 07/09/20 536.55 0.00 0.00 INVENTORY 8376186 ✓ 06/30/20 06/29/20 07/09/20 188.18 0.00 0.00 ,.INVENTORY 83notil 06/30120 06/30/20 07/10/20 11.63 0.00 0.00 INVENTORY 8379559,,.E 06/30/20 06/30/20 07/10/20 172.55 0.00 0.00 INVENTORY 838308E ,% 06/30/20 06/30/20 07/10/20 2,570.97 0.00 0.00 INVENTORY 8379560 ,i 06/30/20 06/30/20 07/10/20 240.83 0.00 0.00 INVENTORY Vendor Totals Number Name Gross Discount No -Pay 10538 MORRIS & DICKSON CO, LLC 17,975.33 0.00 0.00 310.27„, 26,77 J 586.12 ✓ 438.40 ! 16,82 21.07 ' 41.30 .' 46.57 L.z -2.46 ✓` 536.55 188.18 11.63 172.55 ... 2.570.97 , 240.83 Net 17.975.33 Vendor# Vendor Name Class Pay Code M2659 MXR IMAGING, INC M �� Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8800014475 �- 06/30/20 06/20/20 07/20/20 772,32 0.00 0.00 772.32 SUPPLIES 8800915464 / 06/30/20 06/22/20 07/22/20 132-71 0.00 0.00 132.71 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 905.03 0.00 0.00 905.03 Vendor# Vendor Name Class Pay Code 10188 NATUS MEDICAL INC Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1041331440 a 06/30/20 06/29/20 07/24/20 657.00 0.00 0.00 657.00 � SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net 10188 NATUS MEDICAL INC 657.00 0.00 0.00 657,00 Vendor# Vendor Name Class Pay Code / N1800 NURSES CHOICE CORPORATION w file;/I/C:/Users/Itrevino/cpsi/mennned.cpsinet.com/u88125/data 5/tmp_ew5report3613236... 7/7/2022 Page 10 of 13 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 016D4111N „/ 06/30/20 06/30/20 07103/20 109.90 0.00 0.00 109,90 'z SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net N1800 NURSES CHOICE CORPORATION 109.90 0.00 0.00 109.90 Vendor# Vendor Name Class Pay Code 11472 OCCUPRO LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 26412 / 06/30/20 06/07/20 07/07/20 487.47 0.00 0.00 487.47 LICENSE 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 Ot Check D Pay Gross Discount No -Pay Net 32848331 ,j 0613012006/23/2007/18/20 187.50 0.00 0.00 187.50 ..' SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net 01500 OLYMPUS AMERICA INC 187.50 0,00 0.00 187.50 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS Invoice# Comment Tran DI Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 1852457371 ✓ 06/30/20 06/21/20 07/21/20 752.16 0.00 0.00 752.16 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 752A6 0.00 0.00 752.16 Vendor# Vendor Name Class Pay Cade 10152 PARTSSOURCE, LLC / Invoice# .Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 04412307✓ 06/30120 06/23/20 07/23/20 152.38 0.00 0,00 152.38 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 152.38 0.00 0.00 152.38 Vendor# Vendor Name Class Pay Code P1725 PREMIER SLEEP DISORDERS CENTER �/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 082222 06/30/20 06/22/2D 07/07/20 3,950.00 0.00 0.00 3,960.00 SLEEP STUDY Vendor Totals Number Name Gross Discount No -Pay Net P1725 PREMIER SLEEP DISORDERS CENTER 3.950.00 0.00 0.00 3,950,00 Vendor# Vendor Name Class Pay Code 11251 RAPID PRINTING LLC ✓' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 14212 �/ 06/30/20 06/24/20 07/04/20 800.00 0.00 0.00 800.00 BANNER/DELUXE POP UP , 14234 06/30/20 06/28/20 07/08/20 150.00 0.00 0.00 150.00 ✓/ Vim' VINYL BANNER 14246 06/30/20 06/29/20 07/09/20 28.00 0.00 0.00 28.00 w% �r 100 FLYERS . Vendor Totals Number Name Gross Discount No -Pay Net 11251 RAPID PRINTING LLC 978.00 0,00 0.00 978,00 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/ttnp_cw5report3613236,.. 7/7/2022 Page I I of 13 Vendor# Vendor Name Class Pay Cade 11764 ROBERT RODRIQUEZ ✓i Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 063022 06/30/20 06/30/20 07/10/20 26.56 0.00 0.00 26.56 TRAVEL REIM JI V4( jp L7t{ voq L10j Vendor Totals Number Name Gross Discount No -Pay Net 11764 ROSERT RODRIQUEZ 26.56 0,00 0.00 26,56 Vendor# Vendor Name Class Pay Code S1800 SHERWIN WILLIAMS ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check a Pay Gross Discount No -Pay Net 36723 ✓ 06/30/20 06/14/20 06/29/20 52.24 0.00 0.00 52.24 SUPPLIES 36954 Vz 06/30/20 06/15/20 06/30/20 27.69 0.00 0.00 27.69 SUPPLIES 10054 ✓' 06/30/20 06/20/20 07/05/20 17.92 0.00 0.00 17.92 t- SUPPLIES 10039 j " 06/30/20 06/20/20 07/05/20 25.73 0.00 0.00 25.73 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S1600 SHERWIN WILLIAMS 123.58 0.00 0.00 123.58 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 56382200044997 f' 06/30/20 06/29/20 07/19120 1,333.33 0.00 0.00 1,333m LEASE Vendor Totals Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 1,333.33 0.00 0.00 1.333.33 Vendor# Vendor Name Class Pay Code 10845 STAPLES ADVANTAGE ✓r" Invoice# Comment Tran Dl Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8066732159 rj 06130120. 06/30/2007106120 144.99 0.00 0,00 144.99 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10945 STAPLES ADVANTAGE 144.99 0.00 0.00 144,99 Vendor# Vendor Name Class Pay Code S3940 STERIS CORPORATION -'� M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 10190460 06/30/20 06/20/20 07/15/20 400.00 0.00 0.00 400.00 SUPPLIES Vendor Total:Number Name Gross Discount No -Pay Net S394D STERIS CORPORATION 400.00 0.00 0.00 400.00 Vendor# Vendor Name Class Pay Code 12476 SUN LIFE FINANCIAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 053122 0613020 05/31/20 06/10/20 8.302.53 0.00 0.00 6,302.53 PAYROLL DEDUCT MAY 22 063022 061302006/302007/10120 8,571.55 0.00 0.00 8,571.55 PAYROLL DEDUCT JUNE 22 Vendor Totals Number Name Gross Discount No -Pay Net 12476 SUN LIFE FINANCIAL 16,874.08 0.00 0.00 16,874.08 Vendor# Vendor Name Class Pay Code file:///C:/UsersAtrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report3613236... 7/7/2022 Page 12 of 13 T0420 TELEFLEX MEDICAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9505665815 06130/20 06/24/20 07/06120 10,29 0.00 0.00 1029 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net T0420 TELEFLEX MEDICAL 10.29 0.00 0.00 10.29 Vendor# Vendor Name Class Pay Code 14496 TREND AQUA LLC v! Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 238 ,/ 07/07/20 06/22120 07107/20 16,666,11 0.00 0.00 16,666.11 �. WATER SOFTNER REPLACEM Vendor Totals Number Name Gross Discount No -Pay Net 14496 TREND AQUA LLC 16,666.11 0.00 0.00 16,666.11 Vendor# Vendor Name Class Pay Code 14208 TRUSTED HEALTH, INC / Invoice# Comment Tran Dt Inv Dt Due Dt Check D6 Pay Gross Discount No -Pay Net INV10523 f 06/30/2006/1812007/18/20 5,618.75 0.00 0.00 5,618.75 1,1 MEGHANVASQUEZ INV10763 ,f 06/30/2006/25/2007/25/20 5.667.50 0.00 0.00 5,657.60 MEGHAN VASQUEZ Vendor Totals Number Name Grass Discount No -Pay Net 14206 TRUSTED HEALTH, INC 11,276.25 0.00 0.00 11,276.25 Vendor# Vendor NaTe Class Pay Code 11001 ULINE % Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 150287088 ✓'/ 06/30/20 06/16/20 07/16/20 289.46 0100 0.00 289.46 SUPPLIES 1,9037111'1 ✓ 06/30/20 06/17/20 07/17/20 -119.00 0.00 0.00 -119,00 CREDIT ITEM H-5460C Vendor Totals Number Name Gross Discount No -Pay Net 11001 ULINE 170,46 0.00 0.00 170.46 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8400397793 ,/ 06/30/20 06/23/20 07/18/20 85.94 0.00 0,00 85.94 LAUNDRY 8400398295 ,J' 00130/2.0 06130120 07126/20 85,37 0.00 0.00 85.37 .- LAUNDRY 8400398302 / 06130/20 06130120 07/25/20 1,709.18 0.00 0,00 1,709.18 LAUNDRY 6400398280 ✓ 06/30/20 06/30/20 07/25/20 153.46 0.00 0.00 153.46 LAUNDRY 8400398316 %�- 06/30120 06/30/20 07/25/20 83.05 0,00 0.00 83.05 Lf. LAUNDRY 8400398277 ,: 06130/20 06/30/20 07/25120 30,71 0.00 0= 30.71 LA NDRY 8400398278 J 06/30/20 06/30/20 07/25/20 201.59 0.00 0.00 201.69 LAUNDRY 6400398281 i,,f' 06/30/20 06/30/20 07125/20 208.13 0.00 0,00 208.13 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Users/itrevino/cpsi/mcinmed.cpsinet.coln/u8 8125/data_5/tmp_cw5report3613236... 7/7/2022 Page 13 of 13 U1064 UNIFIRST HOLDINGS INC 2,557.43 0.00 0,00 Vendor# Vendor Name ; Class Pay Code 10793 WAGEWORKS, INC. f Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay 063022 06/30/20 06/30/20 07/15/20 3,264.15 0.00 0.00 PAYROLL DEDUCT Vendor Total, Number Name Gross Discount No -Pay 10793 WAGEWORKS, INC. 3,264.15 0.00 0.00 Report Summary Grand Totals: Gross Discount NOPay 688,754.76 0.00 0.00 APPROVED ON JUL 10, BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS 2,557.43 Net 3,264.15 f' Net 3,264.15 Net 588,764.76 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report3613236... 7n/2022 MEMORIAL MEDICAL CENTER 07i11l2022 0 AP Open Invoice List t 6:28 ap_ open_ invoice.temolate Dates Through: Vendor# Vendor Name Class Pay Code / 13000 CLEARFLY v Invoice# Comment Tran Dt Inv DI Due Dl Check D Pay Gross Discount No -Pay / INV429941 ✓ 07111,22006101i2006,'15,20 1.104.79 0.00 0.0C PHONE INV436774 0711.12007'01: 200715/20 1,218.46 0.00 0.00 PHONE Vendor Total! Number Name Gross Discount No -Pay 13000 CLEARFLY 2,413.25 0.00 0.00 Report $ununaty Grano Totals: Gross Discount No -Pay 2.413.25 0.00 0.00 APPROVE13 OW JUL 112077 CAALHOUN COUNTY,ITEXAS PaLIe I of I Net 1.194.79 ✓/ 1,216.46 V/ Nei 2.413.25 Net 2.413.25 tile:!//C:/Users/ltrevino/cpsilmemnted.cl)siiiet.com/ti88l25'data_5/tmp_cw5report316469... 7/ 1 1 /2022 MSKESSONSTATEMENT As of: 07/08/2022 Page: 002 TO Mesas, Propel cmtlil to your accwnt, cletwit and slum Me tompom: essp stub with your remittance DC: 8115 As of: 07/06/2022 Page: 002 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DMIT Tertiary: Mail to: Damp: 8000 AP Statement for information only AMT DUE RWITTED VIA ACH DEST 815 N VIRGINIA STREET Customer: 632536 Statement for Information only PORT LAVACA TX 77979 Get. 07/09/2022 Cum: 632538 PLEASE CHECK ANY Date: 07/09/2022 ITEMS NOT PAID (w ) Allin9 Due late— Date etlMrel Account 6 aseeivablj' Q1� 7T Number fbferenee Cash DesMiptlon Dlscouni Amount P Amount P 1@cehabb (91054 F (nan F Number m cohmm bgan0: P = Past Due Item, F = Future Due [tom, blank = Current Oue Item 'OTAL' National AW 632636 MEMORIAL MEDICAL CENTER Subtotals 9,444.00 USD 9Aum Due: 0.00 If Paid 131, 07/12/2082, last Due: 0.00 Pay This Amount: 9,255.14 USD Ast Payment 2.451.97 If Pant After 07112/2022, 18/07/2017 Pay this Amount: 9,444.UU USO 6R 2> 6,'103 4< 1 =2i7^6e 1 �3�8r I+114-0U 9,25�- It! , 3ll0 APPROVED OM JUL 11 2022 SYCOUNTYAUDITOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 Ous If Pald On Time: USD 9,25SA4 Olm lay If poll late: 188.86 Due If Peld late: USD 9.444.00 MSKESSON STATEMENT As of: 0710812022 Page: 001 To ensure Proper credit to your amount, timadh and Item this co,,,oany: BUD alrb with your remittance DC: 6115 As of: 07/00/2022 Page; 001 HER PHCY "34/MW MED PHIS AMT DUE REMITTED VIA ACH DEBIT Territory: 7790 Mau to: Comp: 8000 MEMORIAL MEDICAL CENTER Statement for Informalion only AMT DUE REMITTED VIA ACH DENT VICKY KAUSEX Customer, 190813 Statement 10, information only 815 N VIRGINIA ST Date: 07/09/2022 PORT LAVACA TX 77979 Cast: 190813 PLEASE CHECK ANY Dale: 07/09/2022 ITEMS NOT PAID (+) uu %fling Due Reralvam6'ailanel Account Wit Oman Amwrd P Amount P Remahmi le ends Date Number Reference Description Discount (gross) F (DIM) F Number :ue. Number 190813 H® PHCY 0434/MEM MED MS — 17/06/2022 07/12/2022 7352227821 2017055706 1151nvoice 1.39 69.62 68.23 ✓ 7352227821 O IF column legend: P = Peet Due Item, F = Future Due Item, blank = Cement Due Item 'OTAI CUMamer Nember 190819 HED PHCY 0434/MEM MED PHS Subtdala 69.62 USD 9aure a.: 0.00 Out If RAN On Time. If Pakl By 0711212022, USD 68.23 ✓ hest Due: 0.00 Pay This Amount: 68.23 USD Dim lost if paid Me. 1.39 am Payment 7,607.75 It Paid After 0711212022, Due If Paid We. 17/04nD22 Pay this Amount: 69.62 USO USD 69.62 APPROVED ON JUL 11 2LOR BYCOUNTYAUDITOR CALHOUN COUNTY. TENS For AR Inquiries please contact 800-867-0333 MSKESSONSTATEMENT As of: 07108/2022 Peg.: 001 To eomrre proper credit to yaw ammlutl, defech and Mum this r<meanr: acso stub with your rarrlManc. WALMAR7 1098/MB4 MED MEMORIAL AL MEDICAL CBJT6i 815 N KAUSBC MF N AVACVIRGIIA ST PCR7 LAVACA TX 77979 PHS VIA ACH DEBIT AMT DUE for Intonation Statement for Inlormalion only DC: 8115 Territory: 400 Cuatermm 256342 Date: 07/09/2022 As of: 07/08/2022 001 Mall to: Ca��8000 n1D BIT AMT DUE to, Info® VIA ACN DEBIT Sletemenl for Information only Cant: 256342 PLEASE CHECK ANY Date: 07/09/2D22 ITEMS NOT PAID (�v) falling Due ]ale Data rrrr fl..ei .rotloral Account MPG Number We. Desorption Caeh Discount Amount P (gmac) F Amount P lest) F Racelvabl. Number :ustamw Numbw 256342 WALMART 1098/MEM MED PHS 17/05/2022 07/12/2022 17/05/2022 07/12/2022 7361902477 7351902478 38578471 36645300 11 Stevens 1151nvoice 7.95 0.14 397.30 0.14✓ 389.35✓ 7351902477 73SIO02478 17/05/2022 07/12/2022 7351902479 3BS45308 IIslm,oic. 2.67 183.54 179.87✓ 7351902479 17/05/2022 07/12/2022 7361902480 98675977 1151ev01c. 5.72 206.21 280.49✓ 735t902480 17/0512022 07/12/2022 7351902481 $8705732 1151e.1ce 23AI IASS.33 1,132.22✓ 7351902481 17/05/2022 07/12/2022 7351902482 38784655 1151nvoice 0.42 20.97 20.55✓ 7351902482 17/05/2022 07/12/2022 7351902483 38800248 1151nv01ce 0.01 0.63 0.621/ 7351902483 17/05/2022 07/12/2022 73SI902484 38832753 1151moice 15.69 794.59 778.70✓ 7351902484 q/05/2022 07/12/2022 7352101055 0701220741 1951nvolce 17.80 889.92 872./2 ✓ 7352101055 17/06/2022 07/12/2022 7352235171 38947605 1151nv01ce BAG 0.16 ✓ 7352235171 17/06/2022 07/12/2022 7352398714 0705220824 1151nvoice 7.02 351.05 344.03 ✓ 7362398714 17/07/2022 07AW022 7352533780 38891147 1151nvoice 13.65 682.57 668.92 ✓, 7362533780 17/07/2022 07/12/2022 7362533783 39000069 1151nvolm 1.32 65.95 64.63 1/ 7352533783 17/07/2022 07/12/2022 7352533785 39068859 1151nvmce 16.86 842.88 828,02 ✓ 7362533785 W07/2022 071IW2022 7352651200 0706221000 1151nvolce 0.02 0.95 0.93 ✓ 7352661206 17/08/2022 07/12/2022 7352748571 39114188 1151nvome 7.95 397,48 389.53 ✓ 7352748571 17/DB/2022 07/12/2022 735274B572 39114188 1151...1.. 8.35 417.00 409.25 ✓ 7352748572 C7/0812022 07/12/2022 7352914919 0707220844 1951nv01ca 7.06 352.95 345.89 / V 7352914919 T column legend: P = Peal Ow Item, F = Endure Due Item, blank = Current Duo Item 'OTAU Cstomer Number 266342 WALMART 10981MEM MED PHIS-_- Subtd.ls 6.840.22 USD rmura Due: 0.00 Due If Paid On Time: ran Due: 0.00 It Paid By 07/1212022, Pay This Amount: 6.703.42 USD USD 6,703.42 Was lost it paid late: Ad Pay1haa 1710412022 APPROVED DN 7,607.75 If Paid Attar 0711212022, Pay this Amoard: 6,840.22 USD 136.80 Due It Add Leta: USD 6.840.22 JUL 1 1 2.022 BY COUNTY CU1ci NTy,, SA,9 For AR Inquiries please contact 800-867-0333 MSKESSON �memmv: ass0 HEIR MY PC 490/MEu1 MC MS MEMORIAL MEDICAL CENTER VICKY KALISEX 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENTAs of. 07/00/2022 Page: 001 To ea proper mr db to Your aeegml, Meath and Wum thin dub with your mmStanca DID: e115 001 Malll t AMT DUE RBAITTm VIA ACH DEBIT Territory: 900 oCorse amp: 8000 rse Statement /or information only AMT DUE ReAlrrM VIA ACH DEBIT Cuetamer. 464450 Statemem for information only Date: 07/09/2022 f ling Due RecNveblb eDem" Account 51i6 3ma Date Number ikhltmee Description .%ae. Number 464450 H® MY PC 49D/MEW MC PHS 17/0512022 07/12/2022 9351770008 55x589266 1/51moice 17/05/2022 07/12/2022 7361781103 55x589246 11 Slnvolce 17/06/2022 07/12/2022 7351781104 5SX589265 1151nvoice 17/06/2022 07/12/2022 7352221934 SSX591861 1151nvoke 17/07/2022 07/12/2022 7352474670 55094675 1151nv01ce 17/07/2022 07/12/2022 7352474871 55x5948/5 1151nvolce 17/08/2022 07/42/2022 7352716468 55x597824 11511wolce 'F column h9a1M: P = Past Due Sam, F = reams Due Item, blank = Current Due Item 'MAL Customer Number 464450 H® MY PC 49011411311 MC PN6 Subtotals Curt: 464450 PLEASE CHECK ANY Date: 07/09/2022 rrHNS NOT PAID (.v) Cash Amount P Amount P Resolvable Discount (gross) F (eel) F Number 0.30 0.53 0.04 3.39 8.15 0.02 12.78 15.21 26.65 2.09 169.60 407.48 0.80 639.00 14.91 ✓ 26.12 ✓ 2.05 ✓ 166.21 ✓ 399.33 ✓ 0.78 ✓ 626.22 ✓ ]351 ]78808 735178/103 7351781104 735222%34 7362474870 73P2474871 7352718468 1.260.03 USD )A. a". 0.00 Due If PaM On Time: rest Ora: It If POW By 07/12/2022, USD 1,235.62 ✓ Pay TNIS Amount: 1.235.62 USD Dlrc test If paid hie: Payment 7.607.75 It PeM After 07I12/2022, D. If Peld Lam: D1.260.83 25.21 17/ I]/09/2022 Pay this Amount: USD USD 1,260.83 APPROVED op JUL I 1 No DY COUNTY AUDITOR CALE!nlrn!grnlNfy,. RHAS For AR Inquiries please contact 800-867-0333 MCKESSONSTATEMENT As of. 07/08/2022 Pegs: 001 To answer paper coedit to your secant, default and Mum this company: eeaa Cub with Your relnKtarom OC: 8115 As of: 07/08/2022 Poge: 001 CVS PHCY 8923/MEM MC PHS AMT DUE REMITTED VIA ACH DEBIT Terdory: 400 t Mail to: Cane: 8000 MBAORIAL MEDICAL Cf34T6i Statement for inlarmalien only AMT DUE REMITTED VIA ACH D83N VICKY KALISIX Customer 835934 Statement for inlormati4n only 815 N VIRGINIA ST Date: 07/09/2022 PORT LAVACA TX 77979 Coat: 835434 f SE CHECK ANY One: 07/09/2022 ITEMS NOT PAID (v) lions' Acooun 38 I- 913n9 Due Nurnber l Cash Amount F Amount P Bauer rbie )ate Dale Numhar Relewnee Oesariplbn Dismount (groin) F (rout) F Numher :ualomar Number 835434 CVS PHCY 8923/MBA MC MS 17/07/2022 07112/2022 7352534410 1767091 1151neolce 2.73 136.80 133.87 y 7352534410 rF column legend: P = Pest Due Item, F = Mum Due Item, blank = Currant Due then n 'OTA1a Customer Noonan 835434 CVS PHCY 6923IMM MC MS Sublotaln 136.60 USD 'uh. Due: 0.00 flue It Paid On Thus: If Paid 8y 0711212022, USD 133.87 pad Ow: 0.00 Pay This Amount: 133.87 USD Dies bat if paid late: 2.73 aC Payment 8,386.94 If Pant After 07/12/2022, Due If Pald We: 16/06/2022 Pay this Amount: 136.60 USD USD 136.60 APPROVED ON JUL 11 2022 DY COUNTY AUDITOR CALIIOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT Aa of: 07/08/2022 Page`001 To rawear proper credit to your aeeeunt. detach and faban this cempmr: s000 Mere with your mmmarfae DC: 8115 As or: 07/0e/2022 page: 001 CVS PHCY 7475/MEM Me PHS AMT DUE REMITTED VIA ACH DEBIT Territory: 400 Mall to: Comp: 8000 MEMORIAL MEDICAL CENTER Statement for information only AMT DUE REMITTED VIA ACH DEBIT VICI(Y KAUSG( Customer. 835438 Statement for Inlmmation only 815 N VIRGINIA ST Date: 07/0912022 PORT LAVACA TX 77979 CUM: 835438 PLEASE CHECK ANY Date: 07/09/2022 TPEMS NOT PAID (1) NMlonat Account b6aapps5 8 5111ng Duo RxalvaWe afaa7T Cash Amount P Amount P Receivable mte Date Number Reference Description Wmaeut (groin) F (net) F Number :aeromer Number 835438 CVS PHCY 7475/MEM MC MS 17/06/2022 07/12/2022 7352420477 1767794 1151nvoice 22.73 1,136.73 1.114.00 % 7352420477 O W column Iegamd: P = Mae Due Item, F e Mum Due than. Wank = Current Due Item "OTAL• Cuatentm Number 835438 CVS PHCY 74751MEM MC PIS SuMotala: 1.136.73 USD 'uture Due: 0.00 Due If Mid On Time: If Paid By 0711212022, USE; 1.114.00 ✓' rest Due: 0.00 My Thle Amount: 1,114.00 USE) Dix IaM If paid late: 22.73 AM Palmant 7.607.75 If Paid Atli 07112/2022, Due It Paid late: 17/04/2022 pay We Amount: 1.136.73 USD USD 1,138.73 APPROVED ON JUL 11 2W BY COUNTY AUDITOR CALHOUN COUNTY. TEXAS For PER Inquiries please contact 800-867-0333 MSKESSON STATEMENT As m: OT/01/2022 Page: 002 To emam Mader roam to your aomuat, Latech add rmlen this mmwnr: arbo stub with yea madman DC: fills As of 07/0112022 Page: ORR MEMORIAL MEDICAL CMTER AMT DUE REMITTED VIA ACH D®IT Territory: Mail I. Comp: 8000 AP 815 N VIRGINIA STREET Statement far info rmilon only AMT CUE RENI"ED VIA ACH DEBIT PORT LAVACA TX 77979 Cumomer. 832538 Statement for information only Dab: 07102/2022 Cum: 632536 PLEASE CHECK ANY Data: 07/02/2022 RIMS NOT PAID (s) am Doe Numbe,yyNatlonm AeCoum Iy96 Cash Amount P Amount G ReC� le Oalp9 Oate Number Romnoe Description Oladoum (broad) F PF Column k8erm: P e Pam Duo Nem, F = Room Duo Item, blank = Cormnt Due Nam TOTAL National Aoct 032536 MEMOpN. MEDICAL CE ITFA Summab: 7,763.03 USD Future Due: 0.00 If Paid By 07/05/2022, Pest am. 0.00 Pay This Amount: 7,607.75 USD lam payable 2.451.97 If Paid After 07/05/2022, 08/07MO17 Pay thin Amours: 7.763.03 USD 6+It. 4r 2-8i ` 7,5G(•t.. C. �. � SOU315 APPNO)XD 019 JUL 112022 BY COUNTY NTyLTEAUDITOR For AR Inquiries please contact 800-867-0333 CALHOUN COUNTY. TEXAS 1 Ona If Palo On Tkne: /� USD 7.607.75 Dtu lost 8 Paid Arta: 155.28 Ona If Paid tale: USO 7,763.03 MSKESSON STATEMENT As of: 07/01/2022 Page: 001 To deems Proper createto your account, als adi and W. this amp", soar stub with your mniftallu DC: ails As of; 07/01/2022 Page: 001 HEB PHCY 0434/1WEb1 MED ME AMT DUE REdfiT® VIA ACH DEBIT Tell ]]90 Mall I. C.P. 8000 MEMORIAL MEDICAL CENTER Sletament for informellon only AMT DUE VIA ACH DEBIT VICKY KAUSE( Cmp 190813 Statement for iniornrmellan only for inf 815 N VIMINIA ST . PORT LAVACA TX ]]979 Date: 07/02/2022 Cop: 190813 PIFASE CHECK ANY Oats: 07/02/2022 EE3S NOT PAID (.r( 9Nng Due Bttelablratimrel Account MSG Cash Date Oele Number W...Desadptln Discount Anlwart P (gross) F Arrow RmWable (Mt( F Nunlhar Customer Number 190613 H® PHCY 0434/MM MED MS 06/29/2022 07/0512022 7351022f37 2017055135 1151m01ce 0.90 44.83 43.93✓ 7361022137 07/01/2022 07/05/2022 1351545403 2017055399 11 fil le 0.18 9.15 S.9],/ 7351546403 B PF column legend: P = Pest Due Item, F = Future Due Item, Wank = Current Due Item TOTAL Customer Numbr 190813 H® PHCY 04341MBN M® PHS subtotal: 53.98 USD Futum Due: 0.00 Due N Mid On Time: N PoM By 07/0512022, USD 52.90✓ Peel Oue: 0.00 Pay Thie Amount: 52.90 USO Olin Mal N paw late: Led Payment 5,60].9] If PoM g022, .08 Due II Mid Isle: 06/27/2022 Pay this AmAnn eunt:up: 53.99 USD USD 53.99 APPROVED ON JUL 112022 DY COUNTY AUDITOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT -ow WALMART 1098IMEM MEO MS MEMORIAL MEDICAL CENTER AMT CUE REMITTED VIA ACH DEBIT VICKY KALISEK Statement for Intonation only 815 N VIRGINIA ST PORT IAVACA T% 77979 As of: 07/0112022 DC: 8115 Terr0ory; 400 Cudomor. 256342 Data: 0710212022 Page: 001 To ensure poper credit to Your eccamal, Eateeb and rmun tbla alub m6N your mmHMnce As of: 07101/2022 Page: OOi Mail He Comp: 8000 qMT DUE REMITTED VIA ACH DEBIT ANIT Statement for Information VIA only Cue: 256342 REASE CHECK ANY Date: 07/02/2022 CnEMS NOT PAID (4) Slake D. Data Data �su letlolW A.OUM 98,36 Reiman. Description Coah Db ern Amount P (9mas) F Annotated (ne) F ib.Ivabb Number Creamer Number 256342 WAVAART 1098/MEM MED MS 06/27/2022 0WM2022 7350491192 37926863 06/27/2022 07/05/2022 7350491193 37963024 08/27/2022 07/05/2022 7350491194 37994931 06/27/2022 07/05/2022 7350491195 38026727 06/27/2022 07/05/2022 735049119E 38082054 06127/2022 07/06/2022 7350662699 0624220943 06/28/2022 07/05/2022 7350781121 38112660 06/26/2022 07105/2022 7350781122 38170036 06/28/2022 07/05/2022 7350781123 30167253 0612MO22 07/05/2022 7350939840 0627220856 O6/29/2029 07105,2022 7351043599 38249717 06/29/2022 01/05/2022 7351047500 38313246 08/29/2022 07/05/2022 7351047501 38310654 OW30/2022 07/05/2022 7351318188 38371538 06/30/2022 07/05/2022 7351318189 38433160 06/30/2022 07/05/2022 7351318190 38433168 07/01/2022 07/05/2022 7351573744 38477568 07/01/2022 07/05/2022 7351573745 38477568 07/01/2022 p7105/2022 73515]3]46 38537307 W/O1/2022 07/05/2022 7351724806 0630220730 1151nvaice 1151nvoice 115WOlee 1ISInvolce 1151nvoice 11 Elevake 11 Slnvoka 1151mmia. 115tnvolce I151moice 115imoice 1151nvoice 1151nvolce 11 Slnvolce 1151nvrica 1151nvaice /151molce 1151nva1ca 1151nva1ce tasiny.ce 2.61 16.23 17.40 4.50 0.01 0.01 0.33 0.01 16.96 1.46 26.67 2.79 0.02 28.52 0.02 14.29 254 140.56 611.54 869.76 0.10 0.06 225.12 0.33 0.65 16.66 0.32 848.78 72.06 1,183.50 139,27 0.96 0.03 1.426.11 0.05 714.30 126.98 137.74✓ , 795.31 852.36✓ 0.10 ✓ 0.06 ./ 220.62 ,/ 0.32 V' 0.64 ✓ 16.33 ✓ 0.31 1/ 031.80 r 71.40 ✓ 1,159.83 r' 136.46 ✓ 0.93✓ 0.03 ✓ 1.397.59 J 0.93 ✓ ]00.01 ✓ 124.44 j 7350491192 7350491193 7350491194 7350491195 7360491196 7350692699 7350781121 7350781122 7350781123 7360930840 7351043599 7351047500 7351047501 7361318168 73SI318189 7351318190 73SIS73744 7351573745 7351573748 7351724806 For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 07/01/2022 Page; 001 To el WAe Proper Case to Your seasonal, delach and ad. this Oe�w.er: a.. stub With Your mm6buKe Oct 6115 As of: 07KIt/2022 Page; 001 WALMART 1098,MEM MED PHS qMT DUE REMITTED VIA ACH DEBIT Territory: ory: 400 Mail lo: Comp: 8001 MEMORIAL MEDICAL CENTER VICKY KAUSS( Statement for information only ANT DUE REMITTED VIA ACH OMIT 815 N IA ST Casement mn 256342 Statement for Information only FORT LAVACAVAC A T% 77979 Gale: 07/02/2022 Cush 256342 WEASE CHECK ANY Date. 07/02/2022 REAS NOT PAID (+) PP Column Issued: P = Past Due Item, Mal[ "tMIiMIMS6 blank = Current Due Item TOTAL• Cuetomu Number 256342 WALMART 1098/M9d him pHs SUMot01s: 6,578.82 USD Bureau Due: 0.00 Ous H Paid On TMa: Pau ° 11 Paid By 07/0512022, USD 6,447.23 ,! 0.00 Pay This Amount: 6,447.23 USO Dien log g told Mte: Ise Payment 5,60].9] If PaM Alter 07105/2022, pm If Peltl W.31.59 O6y M022 Buy this Ammm: 6.578.82 Use USD 6.578.82 APPROVEOOM JUL 112022 BY COUNTY AUDITOR CALHOUN COUNTY. TEXAS For AR Inquiries please contact 800-867-0333 MSKESSON caroaa: earn HOE PHY FC 490/MEM MC PHS MEMORIAL MEDICAL CENTER VICKY KAUSEK 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT ANT DUE REHIRED VIA ACH DEBIT Statement for information only A. of: 07/01/2022 Page: 001 To ensume Proper creCA to your ownuM, defect and mtwn this Mrb wfh your ouni Lance OC: 6115 As of: 07/01/2022 Page: 001 Mail to: Comp: 8000 Territory. 400 AMT DUE REMITTED VIA ACH DEBIT Ctwtomer, 464450 Statement for information only Oale: 07/02/2022 cum: 464450 PLEASE CHECK ANY Date: 07/02/2022 RAGS NOT PAID (�) Onto Date Nundaur l�atioml AdcduM Refeer88 Caen Amount P Ammon P Receivable Dnfe Date Number Wlemnre Oesctlplbn Discount two.) F (trot) F Nmmber Customer Number 464460 H® PHY PC 490/MIEM MC PHS 06M7/2022 07/05/2022 73S0413685 55x575145 II510voice 21.08 1,054.01 1,032.931/ 7350413685 06/ 8/2022 07A)S/2O22 7350790895 5SX677982 1151nv01ce 0.5] 28.27 27.70✓ 73:0760195 06129Y2022 07/06/2022 7351018413 55.560933 11 slrnrdce 0.26 13.23 12.9, v 7351016413 06/30/2022 07/05/2022 7351287957 55x503332 IISinvnine 0J9 9.32 9.13 '� 7361287957 06/30/2022 0]/05/2022 7351287958 5SX583422 IISInvwG9 0.36 16.09 17.73 ✓ 7351287958 07/01/2022 0710SM022 7351643343 6SX566132 115tnvaice 0.05 2.37 2.32 / 7351543343 07/01/2022 07/05/2O22 73SIG43344 55x5S6240 11510volce 0.04 2.00 1.96 ✓ 7 a 6 643344 PF column legend: P = Part Due Item, F . Rgum Due Item, blank = Cunenf Due Nam TOTAL• Customer Number 4649fi0 X® PHY FC 490/MAM MC R15 SuMotab: 1.127.29 USD Future D. 0.00 Due N Paid On Time: Past Due: It Peltl BY 0710512022, USD 1.104.74 0.00 Pay Thic Amount: 1,104.74 USD Died loot 6 Mid let*: Last Payment 5.607.97 N Miler 2022, Due ItPeltl Iffie: 22,55 06/27/2022 Pay this tMs Amount: 1,127.29 USD USD 1.127.29 APPROVED ON JUL 11 20?2 BY COUNTY AUDITOR CALtIOUN Cowm, TE AS For AR Inquiries please contact 800-867-0333 MIKESSON STATEMENT As of 07/0112022 Pont: 001 To en®ue proper erstlA to your accou18, tlelash and rerun this =wen to. gab with year renlhtarwe DC: 8115 As oft 07/01/2022 Page: 001 CVS PHCY 7475/MEr1 MC PRE AMT DUE VIA ACH 0®IT Territory: 900 Mail to: Comp: 8000 MEMORIAL MEDICAL CENTER for Information VICKY KAUSIX Statement for Inlormalion only VIA ACH DmIT ANT DUE for $15 N VIRGINIA ST Customer: 835438 Statement for Inlomielion only Information FORT LAVACA TX 77979 Date: 07/02/2022 Cast: 835438 FUSU E CHECK ANY Dge: 07/02MO22 ITBAS NOT PAID (J) BiBbtg D. Rew wwt Amount bi 536 cash Dge Data Number Reference Omaelptloo Olsc4uM Ameart P (green) F A. M P Receivebk (net) F Number Cugomar Number 835438 CVS PHCY 747SIMM MC FRS 06/29/2022 07/05/2022 7351226638 1758108 1161m,mce 0.06 2.94 2.88 7351226638 O PF column M9entl: P e Posf Dus hem, F = Futuna Due hem, blank = Current am Rem TOTpL Cugamw Number 835438 CVS PHCY ]9]5/MBA MC ME Sublotaie: 2.94 USD Fgwe Due: 0.00 Duo N Pgtl On Tim.: H Peg By 0710512022, P44 Due: USD 2.811 0.00 Pay This Amman: 2.80 USD Dim lost IT laeitl We: tog Po5.80].9] IT Paltl 0]/OSI2022, 0.06 Due itPa1tl late: OB/2]/2022 022 Any this Amount: 2.94 USD USD 2.94 APPROVED ON JUL 11 M2 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number. 63308271 AmerisourceSergen` Date: 07-01-2022 1 Of 1 AMERISOURCESERGEN DRUG CORP WALGREENS A12494 340B 10013528t/ 037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER ' SUGAR LAND TX 7747MIDI 1302 N VIRGINIA ST PORTLAVACATX 77WII.25a9 Sat - Fri Due in 7 days DEA: RA0289276 866451-9655 AMERISOURCESERGEN P.O. Box 905223 CHARLOTTE NC 2829D5223 Yet Not t Yet Due: 0. 00 00 470.47 Past Due: 0.00 Total Due: 473.47 A unl Balance: 473.47 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 0&27-2022 0746-2022 3097454904 166460 Invoke 89.13 a00 89.13� O 27-2022 07.08-2022 3097454905 166464 Invoice 88.95 0.00 88.95 ' 06.27-2022 07-08.2022 3097464906 Iwel Invoice 28.24 0.00 W.24 0&27-2022 07-0&2W2 3097497206 166511 Involve 1246 0.00 12.48 03627-2022 07-08-2022 3097497207 IB8512 Invoice 0.29 0.00 0.29 06.26.202E 07-011-2022 30W635009 166519 Involve 76.06 0.00 76.08 0&294022 07-0&2022 3097787525 166529 Invdce 41.55 0.00 41.56 07.01.202E 074a-2022 3098083083 166550 Invoice 134.76 0.00 134.76 0741-2022 07-01s= 30981183084 VIEW Invoke 2.03 0.00 2.03 Current 1.16 Days 1630 Days 31-60 Days 61-90 Days 91-120 Days Over 120 Days 473.47 0.00 0.00 0.00 0.00 0.00 0.00 Thank You for Your Payment Reminders Date Amount Due Date Amount 07-01-2022 (766.I9) 0T08-2022 473A7 Total Due: 473.47 APPROVED ON ;=7 < JUL I I r- i BY COUNTY AUDITOR CAtkIOUN COUNTY, IEXAN 1 Program Charge Invoice Number: 347639236 1 of 1 AmerlsourceBI INVOICE Invoice Date:06/27/2022 AMERISOURCEBERGEN DRUG CORP ., 501 PATRIOT PARKWAY ROANOKE TX 76262-6336 AMERISOURCEBERGEN DRUG CORP 501 PATRIOT PARKWAY ROANOKE TX 76262.6336 • STATE LIC: 0077623 DEA: RAD316958 US BIOSERVICES CARROLLTON 340E 5025 PLANO PARKWAY SUITE 100 CARROLLTON TX 75010 STATE LIC: 22878 DEA: BU6597354 MEMORIAL MEDICAL CENTER 815 N VIRGINIA ST PORT LAVACA TX 77979 1002706" 10118628707 5 6.00 07/0812022 Set -Fd Oue In 7 days AMERISOURCEBERGEN - PO Box 905223 CHARLOTTE NC 28290-6223 1 EA PHARM DATA SERVICES PRICE MAINTENANCE 80000014 55.00 55.00 0637M If you have any questions, our Customer 3ordoe loam I5 here to help. Please call 844-222-2273 or email service®amerlsoumebeogemount Total Amount: 55.00 ' TblswnWaddle duanbutod era member of the awwo, at eueh wholesale dim butorInud ased Me p.dud show, fmm the nut.aacmmq anus. distributer of fie manuisaumr,ur iepeoxager that purehaedd the product dined, from the manWOGumr IWG: AAda00t6A061ABYa loran TypvSFV @dv Typv 7PGM paMV00t100 Terms of sale and staims on reverse side V% Program Charge Invoice Number: 347538692 1 of 1 AmensourceBer en° INVOICE Invoice Date: 06127/2022 AMERISOURCEBERGEN DRUG CORP 601 PATRIOT PARKWAY • ROANOKE TX 76262-6336 AMERISOURCEBERGEN DRUG CORP • 501 PATRIOT PARKWAY ROANOKE TX 76262-6336 STATE LIC: 0077623 DEA: RA0316958 SENDERRA RX PHY 3408 MEMORIAL MEDICAL CENTER 1301 E ARAPAHO RD STE 101 RICHARDSON TX 75081 STATE LIC: 26699 DEA: FS1799610 MEMORIAL MEDICAL CENTER 815 N VIRGINIA ST PORT LAVACA TX 77979 1002800781037983771 e 55.00 07/0812022 Sat -Fri Due in 7 days AMERIBOURCEBERGEN PO Box 905223 CHARLOTTE NC 26290-5223 1 EA PHARM DATASERVICES PRICE MAINTENANCE 60000014 55.00 65.00 0637M If you have any quastidns, our Customer Service team Is hem to help. Please call 844-222-2213 or email semce0sme05oumeaergen.com Total Amount: 56.00 This Wheleel ditendor, of a member of the aleleta of such WheNaale fttteflof,pu.Inwd the noted dlndly cam Me homfadunr, exeWtlw dat,thutor Ofthe Comp Nnr.or-PlekeBerNal pmahasod the Nehol dilsdN from the menrhadunr IWC: hOfEWIeNhY959]Inmiu Type:iFV Or4n Typv'IPCM 20120pOM13] Tens of Nis am clatlM an revarn, side STATEMENT Statement Number: 63340951 at 1 wnsourceBergen Date: 07-08-2022 AMERISOURCESERGEN DRUG CORP WALGREENS R12494 340E 12727W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER IOD1352841037028IN • SUGAR LAND TX 77478,6101 1302 N VIRGINIA ST PORT LAVACA TX 77979-2509 Sat -F6 Due In 7 days DEA: RA0289276 866A51-9655 AMERISOURCEBERGEN P.O. Box 905223 Not Yet Due: 0.00 CHARLOTTENC 282905223 Current: 255.12 Past Due: 0.00 Total Due: 265.12 Account Balance: 255.12 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 07-05-2022 07-164022 3098163040 166558 Inwice 86.55 Oco 86,66, 07-05-2022 07-15.2022 3098163041 166559 Inwice 40.92 0.00 40.92� 07-05.2022 07-16-2022 3098301625 168606 Inwice 2.01 - 0.00 204.; 07-05-2022 07-15-2022 3098301626 166611 W.I. 7.00 0.00 7.00 J 07.06.2022 07-15-2022 30IM'10011 166620 I.L. 67.71 0,00 6771� 07-06.2022 D7-15.2022 3MU49012 166621 Inwice OX9 0,00 0.09 07-07-2022 07-15.2022 3098589668 166630 Invoire 50.81 0.00 50.81 Current 1.15 Days 16.30 Days 31.60 Days 81-90 Days 91-120 Days Over 120 Days 255.12 0.00 0.00 0.00 0.00 0.00 0.00 Thank You for Your Payment Date Amount 07-08-2o22 (563.47) APPROVED ON, JUL 1 1 2012 BY COUNTYAUDITOR. CALHOUN COUNTY, TEXAS Reminders Due Date Amount 07-152022 255.12 Total Due: 255.12 r - 7 r TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) a"ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" a"MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" a"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER CALLED IN BY: CALLED IN DATE: CALLED IN TIME: #### ENTER: C� 'Si" 22 0 $ 515.62 z $ 308.36 $ 72.12 $ 135.14 F:1AP-Payroll NaWayrol[TaxesU022WI4 R2 CAMC TAX DEPOSIT WORKSHEET 83022 R2.x1s 7182022 941 RECITAX DEPOSIT FOR MMC PAYROLL PAY PERIOD: BEGIN PAY PERIOD: END PAY DATE: GROSS PAY: DEDUCTIONS, AIR ADVANC BOOTS SUNLIFE CRITICAL ILLNESS SUNLIFE ACCIDENT SUNLIFE VISION SUNLIFE SHORT TERM OIS SCEIS VISION CAFE-D CAFE-H CAFE-P CANCER CHILE) -,LINIC COMEIN CREDUN DENTAL OEP.LF SUNLIFE TERM LIFE SUNLIFE HOSP INDEW FED TAX FICA-M FICA-0 FIRST C FLEX S FLX-FE GIFT S GRP IN GTL HOSP-1 LEGAL OTHER NATIONAL FARM LIFE PIED SURCHARGE PR FIN RELAY REPAY STONEOF STONE STONE STUOEN TSA-R UW(HOS TOTAL DEDUCTIONS NET PAY: TOTAL CAFE 125 PLAN: TAXABLE PAY: S 2,486.68 S 2,486.68 -CALCULATED" From MMC Reoort Difference :ICA -MED(ER) 36.0E -ICA - MED (EE) 36.06 S 36.0E 5 - =ICA -SOC SEC (ER) ...� S 154.17 -ICA . SOC SEC IEE) ..:.- S 154.17 5 154.18 S (0.01', 7EO WITHHOLDING 5 135.14 S 13SA4 TAX DEPOSIT: S 51560 6 6IS82 FICA - MEDICARE . s. S 72.12 S72.12 FICA - SOCIAL SECURITY S 308.34 5308.36 PREPARED BY: FED WITHHOLOING S 13S.14 5135.14 PREPARED DATE: TOTALTAX: $ 615.60 5515.62 $ (0,02) REVISED 31IM014 TOTALS 5 2,486.68 135.14 ;GAB 15M1.76 S A.LO; Is4.a5 S 1.987.23 Exempt Arm Employees over FICASS Cap: 5 S 5 Paycode S - Employee Relmb.: TOTAL: S Caitlin Clevenger 718/2022 014 R2 MLIC TAX DEPOSIT WORKSHEET 6 30 22 R24s TAX DEPOSIT MRKSHEESIa2022 F=a: ............ ----------- .............. Hn 77 So WE R: A 3m hit .................................... ................... V:= A E: E M AFE 3 zoo: ^AFE-4 F:F.S-,� FLEU s 311N, :F an! Duo: AW .......... ------- ................................... ......................................... ........... ------ 7�7z: Fiz:,:er MEMORIAL MEDICAL CENTER PROSPERITYBANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT --IULY 3, 2022 -IULY 10, 2022 1 Itainvernhill. 2/1/2022 STATE COMPTIUM TEXNET 05400443/205302I000N 711/202Z PAY PLUS ACRILANS 452519291 ID1W0697328012 7/1/2022 AMERISOURCE DERG PAYMENTS 010W W ]68I10OW2 7/5/2022 PAY PLUS ACTTRANS 4525792911030006992113285 7/5/2022 MERCHANT RANKED INTERCHNG 97I IW91388291WD 2/5/1022 MERCHANT MARCO FEE 9911 W9138879IODDDD280 7/5/2022 MERCHANT DANIEL) RC 97I IMIIW839IOWOI11BO 1/5/2072 MFRC14ANI RANKCn OIS1III IN 1911 IM91 IR91911RIW 7/5/1071 MERCHANT MNMU DISCOUNT 931160910683 •21001 U 2/5/2D22 JACOBSON DRUG READ ACT nCtIW W63291 W W112 71512072 AIRLINE GATE WAY FIILIN(i 033078301010000101 Ilhl202I MAII COM P I THE ILXNEI Y6dS1612/2020521"02 1/6/2022VAYPIUSACNIRAN545253929110100000439R3 1/6/2022 FDMSFOMSPYMTOSI,IW1830.NX)43W U1 9194U 1/7/2022 PAY PLUS ACHIRANS 452519291101000W 1681116 21711022 CXPERTPAY EXPERT PAY 746MS41191IX.tl00621669 1181202E EXPERT PAY IXPENPAY 14600341191000013138171 1/8/1022 AMFRISOLIRCFRFRGVAYMFNT>IIIU 3DGR 21TOTH, I/8/2022 MEMURIAI MLDRAt PAYRULL 141,M)J411113112hu, 7/812022 IRS USAIAXPYMr 1202569)54(T30361036010W133 Wmlam Title. CFO _ M" Ed Mede'd C..n, PROSPERITYBANX ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT- ESTIMATED ACHS Dale Dnnlo(�—D 1/151)(w Ili n.ur". 1/20/2022 5MBIAX - William (Mlle, CTD Menmrial MOdiuLCe.d, P� Vlu`2 1•v� r L1'0 36+11 CP51 1115"Ll ' MMC Notes- ACCRUEOIGTDSH illation 9909200Ii 16;r- I I, - Ird Party Posen Fee 1 r O /I LI . [ L 4 169,} cc �6 340B Drug P.Rrem E3Pe034 - /66.1 Led Party Payer ree .. 1 51419 154 --4`J - -Credit Card Processing Fee 2 154d9 9,2 :. it i5 + Credit Card Processing Fee .�, 1 99295 Credit Card Pm4exing Fee ') , � 9.95 y " 9 C - Credlt Card Pror,snR Fee r I �-1" 2WW 260-LJ t? -Getlil CaMPmtns nit Fee 19.95 - 340B Dr., MNRF.uo E9m"' 1,W1.711vj'Yyw 1 9•' H> Ad Pony Pavor Poe - r - 2T Its -ACCRUED DSRIPWAIVER K f ! - 4i4968 fi0 3Z i I'd Party Toy., PoC �I�i. .jfi.3) 669' •- ouail Card Pmeus 4R F.,.. ! - 31d Party Pay, Fee S+ 32,45 W4} L�(, - G ✓.' Child SePP,tP yrnnt O 3f, IILFIRRC'i This, 5."." Paymmd ' zz583 Z 3 u 34oB 01, Pmtlnm E.Per j + It J 441'i�. -Payroll p lF l ' TAY ITI749.11-k -Pavrolnaa, 1+` ": ILL.n4LR9 ,lo- `' vA}I/T fAq f1 fJ Uv/A 2 r <: 9 U'- G v291.)-LI T .J.-.;� ;. 1.09D,600.04 _ July 11, 1N2 1 6 3. 1 1 li f> -1 . 1 2 5 t1 I! 4. 58 f!I G MMCNotes Amt..I Relilemem 1RR1643.J1 -Sans T... 1.192.70 APPROVEb ON190,03601 July 11, 2022 JUL 1 1 2022 BY COUNTY AUDffOR CALHOUN COUNTY. TEXAS (2) Confirmation: You Have Filed Successfully Sales and Use Tax TaxpayerlD: User ID: Reference Number: Date and Time of Filing: 07/08/2022, 01:22:36 PM PAYMENTSUMMARY Electronic Check State Amount: $1,055.08 Local Amount: $337.62 Amount to Pay: $1,392.70 Electronic Check: $1,392.70 Period Ending 06/30/2022 (2206) Taxpayer Name: MEMORIAL MEDICAL CENTER Taxpayer Address: 815 N VIRGINIA ST PORT LAVACA, Tx 77979-3025 IP Address: Payment Reference Number, Trace Number( Entered By: Email Address: she Telephone Number: (361) 552-0342 ' Type of Bank Account: Checking Accountholder Name: Bank Routing Number Bank Account Number Payment Effective Date: 07/20/2022 CREDIT SUMMARY Credits Taken Are you taking credit to reduce taxes due on this return? No Licensed Customs Broker Exported Sales Did you refund sales tax for this filing period on items exported outside the United States based on a Texas Licenced Customs No Broker Export Certifications? LOCATION SUMMARY Lac Total Texas Taxable Sales Taxable Subject to State Subject to sales Purchases Tax(Rate.0625) State Tax Due Local Tax Local Tax Rate Local Tax Due OOD04 16966 16966 0 16966 1060.38 16966 0.02 339.32 Subtotal 16965 16966 0 16960 1060.38 16966 339.32 Total Tax for Locations $1,399.70 Total Tax Due. 81,30.70 Timely Filing Discount: - S7.00 Balance Due: $1,392.70 Pending Payments: -80.00 Total Amount Due and Payable: $1,392.70 ( State amount duels $1,055.08 ) ( Local amount due is $337.62 ) Date/Time 07.05.2022103:01 PM Submitted By Pay Date 06-30.2022 Employee Deposits $74,562.66 Employer Contributions $114,080.65 Group Term Life Premiums $0.00 Total $188.643.31 Comments Payroll File June 2022 Retirement Upload.xlsx Page 1 of 1 MEMORIAL MEDICAL CENTER 07/07/2022 0 AP Open Invoice List 13:27 ap_open_Invoice.template Dates Through: Vendor# Vendor Name Class Pay Code / 11816 ASHFORD GARDENS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 063022 06/30/20 06/30/20 07/28/20 5,123.65 0.00 0.00 MDCR REPAYMT Vendor Total: Number Name Gross Discount No -Pay 11816 ASHFORD GARDENS 5,123.65 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 5,123.65 0.00 0.00 APPROVED Oki JUL 10 2022 By COUNTY AUDITOR CALHOUN COUNTY, TEXAS Net 5,123.65 Net 6,123.65 Net 5,123.65 file:///C:1Users/ltrevino/cpsilmemmed.cpsinet.com/u88l25/data_5/tmp_cw5report4458860... 7/7/2022 Page 1 of 1 07/07/2022 MEMORIAL MEDICAL CENTER 1327 AP Open Invoice List Dates Through: 0 ap_open_Involce.template Vendor# Vendor Name Class Pay Code 11628 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay 062722A 06/30/20 06/27/20 07/29/20 4,,554.36 0.00 0.00 TRANSFER u InSU'/M�IlIL ¢ i)A{ ktW jcu< Ihl� jtJ V(_ opt*j-�j - 062722 06/30/20 06/27/20 07/29/20 778.00 0.00 0.00 TRANSFER It It 063022 06/30/20 06/30/20 07/29/20 48,932.68 0.00 0.00 TRANSFER It 1+ Vendor Total,- Number Name Gross Discount No -Pay 11828 SOLERA WEST HOUSTON 54,265.04 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 54,265.04 0.00 0.00 APPROVED ON JUL 10 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Net 4,554.36 D r 778.00 v' 48,932.68� Net 54,265.04 Net 54,266.04 8 s file:///C:(Users/ltrevino/cpsi/memmed.cpsinet.com/u881251data_5/tmp_cw5report6180649... 7/7/2022 Page 1 of 1 MEMORIAL MEDICAL CENTER 07/07/2022 0 AP Open Invoice List° 13:20 ap_open_invoice.templale . Dates Through: Vendor# Vendor Name Class Pay Code / 11820 FORTBEND HEALTHCARE CENTER �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 083022 06/30/20 06/30/20 07/29/20 55,140.18 0.00 0.00 55,140.18 MDCR REPYMT Vendor Total: Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTHCARE CENTER 55,140.18 0.00 0.00 55,140.18 Report Summary Grand Totals: Gross Discount No -Pay Net 55,140.18 0.00 0.00 55,140.18 APPRO IJED (I JUL 10 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS file:///C:/Users/ltrevino/cpsi/memmed.epsinet.com/u88125/data_5/tmp_cw5report5300527... 7/7/2022 Page 1 of 1 MEMORIAL MEDICAL CENTER 07/07/2022 0 AP Open Invoice List 13:26 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Cade 11832 BROADMOOR AT CREEKSIDE PARK I` ,+ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 063022 06/30/20 06/30/20 07/29/20 66,617.41 0.00 0.00 66,617.41 MDCR REPMT 062822 06/30/20 06/30/20 07/29/20 118.65 0.00 0.00 118.65 TRANSFER 1t 11 Vendor Total: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT CREEKSIDE PARK 56,736,06 0.00 0.00 66,736.06 ' Report Summary Grand Totals: Gross Discount No -Pay Not 66,736.06 0.00 0.00 66,736.06 ' k APPROVED Olj JUL 10 2022 BY COUNTY AUDITOR CALHOUN COUNTY; TEXAS 14 a file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_ew5report7392759... 7/7/2022 Page 1 of 1 MEMORIAL MEDICAL CENTER 07107/2022 0 AP Open Invoice List 13:20 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 062322 06/30/20 06/30/20 07/29/20 300.00 0.00 0.00 300.00 TRANSFER NN'ijuuu#.ILL pjkL tltpoonVj,1 tw.h 'N\ML. onwt� 063022 06/30/20 06/30/20 07/29/20 70,422.09 0.00 00 70,422.99 MDCR REPYMT Vendor Totals Number Name Gross Discount No -Pay Net 11624 THE CRESCENT 70,722.99 0.00 0.00 70,722.99 Report Summary Grand Totals: Gross Discount No -Pay Net 70,722.99 0.00 0.00 70,722.99 APPROVED %3 JUL 10 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS file://1C:/Userslitrevino/cpsi/memmed.cpsinet.com/u881251data 5/tmp_cw5report4744939... 7/7/2022 Page 1 of 1 MEMORIAL MEDICAL CENTER 07/07/2022 0 AP Open Invoice List 13:21 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 062922 0f6/30/20 WSW() 07/29/20 1,361.50 0.00 0.00 TRANSFER N n 11�uUmma- NO�l.11661�Cr� 11 ik-b WykL. Qpt.Y/�'fi "-4.00 062722 06/30/20 06/30/20 07/29/20 493.55 0.00 TRANSFER It 1I 062722A 06/30/20 06/30/20 07/29/20 43,978.47 0.00 0.00 TRANSFER It 11 062422 06/30/20 06/30/20 07/29/20 15,914.85 0.00 0.00 TRANSFER Vendor Total; Number Name Gross Discount No -Pay 11836 GOLDENCREEK HEALTHCARE 61,748.37 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 61,748.37 0.00 0.00 APPROVED ON JUL 10 2022 By COUNT/AUDITOR CALHOUN COUNTY, TEXAS Net 1,361.50 I/ 493.55 m� 43,978.47 15,914.85 Net 61,748.37 Net 61,748.37 ra 9 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report5732058... 7/7/2022 f Page 1 of 1 MEMORIAL MEDICAL CENTER 07/07/2022 0 AP Open Invoice List 13:18 ap_Open_invoice.templale Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoiceft Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay 062822 06/30/20 06/28/20 07//291220 23,623.90 0.00 0.00 TRANSFER NN 1VISUI�t.Vitt. pJiil.'1 d{.'%OG tc. Iqh W KL 4PLl,).4 / 062722 06/30/20 06/28/20 07/29/20 9,271.28 0.00 �( 0.00 TRANSFER U It 062922 06/30/20 06/28/20 07/29/20 2,795.00 0.00 0.00 TRANSFER tt 062922A 06/30/20 06/28/20 07/29/20 4,373.59 0,00 0.00 TRANSFER Il I� 063022 06/30120 06/30/20 07/29/20 1,167.00 0.00 0.00 TRANSFER 063022A 016/30/20 06/30/20 07/29/20 4,833.06 0.00 0.00 TRANSFER 'I II Vendor Totals Number Name Gross Discount No -Pay 12696 GULF POINTE PLAZA 46,063.83 0.00 0.00 Report Summary Grand Totals: Gross Discount 46,063.83 0.00 APPROVED ON JUL 10 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Net I 23,623.90 I� 9.271.28 2,795.00 v' 4,373.59 V 1,167.00 ri 4,833.06 f t Net 46.063.83 No -Pay Net 0.00 46,063.83 I file:///C:/Userslltrevinolepsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report 1304652... 7/7/2022 Page I of I MEMORIAL MEDICAL CENTER 07/07/2022 0 AP Open Invoice List 13:22 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Ot Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 0623226 06/30/2006/30/2007/29/20 2,897.40 0.00 0.00 j 2,897.40 V` TRANSFER N� imtho.tu NVA 61tP6"t} tA 14 umt 062822 06/30/20 06/30/20 07/29/20 8,965.19 0.00 r 0.00 8,965.19 TRANSFER N 11 062822A 06/30/20 06/30/20 07/29/20 5,373.00 0.00 0.00 5,373.00 ✓"� TRANSFER it 11 . 062922 06/30/20 06/30/20 07/29/20 5,527.00 0.00 0.00 5,527.00 ✓' TRANSFER tt e1 062322C 06/30/20 06/30/20 07/29/20 12,292.00 0.00 0.00 12,292.00 v/ TRANSFER tl it 062822B 06/30/2006130/2007/29Pd0 1,167.00 0.00 0.00 1.167.00 1/ TRANSFER it 11 i 062322A 06/301PO 06/30/20 07/29/20 5,896.44 0.00 0.00 5,896.44 `f TRANSFER it tt . 063022 0613012006/30/2007/29120 6,703.36 0.00 0,00 6,703.36 ..� TRANSFER to 1t . ' 062722 06/30/20 06/30/20 07/29/20 5,007.77 0.00 0.00 5,007.77 t% TRANSFER It 11 062322 00/30/20 06/30/20 07/29/20 15,096.16 0.00 0.00 15,096.16 I,f TRANSFER it it Vendor Totals Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 68,925.32 0.00 0.00 68,925.32 Report Summary Grand Totals: Gross Discount No -Pay Net 68,925.32 0.00 0.00 68,925.32 APPROVED om JUL 10 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88l25/data_5/tmp_cw5report3539778... 7/7/2022 Page 1 of 1 07/07/2022 MEMORIAL MEDICAL CENTER a AP Open Invoice List 13:25 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 062322 06130/2006/2312007/29/20 17,182.15 0.00 0.00 17,182.15 ✓ TRANSFER NN inSuv�tL�- V600 dtpatllttd 14 1`Ri L Opil'L-1 v 062722 06/30/20 06/27/20 07/29/20 26,705.85 0.00 0.00 TRANSFER It 1t 062822 06/30/20 06/28/20 07/29/20 3.168,70 0.00 0.00 TRANSFER It 11 062922 06/30/20 06129120 07129120 1,092.67 0,00 0.00 TRANSFER 1t tr 063022 06/30/20 06/30/20 07/29/20 517.05 0.00 0.00 TRANSFER It it 063022A 06/30/20 06/30/20 07/29/20 18,343.48 0.00 0.00 MDCR REPAYMENT 062422 06/30/20 06/30/20 (17129120 9.693.56 0.00 0.00 TRANSFER It IF Vendor Total: Number Name Gross Discount No -Pay 12792 BETHANY SENIOR LIVING 76,603.46 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 76,603.46 0.00 0.00 APPROVED dN JUL 10 2022 CARLHOUN C UNTI,ITOR TE.`(AS 26,705.88 3,16870.✓/ 1,092.67 d 517.05 ,.✓� 18,343.48 9.693.56 y' Net 76,603.46 Net 76,603.46 u file:///C:/Userslltrevinolepsilmemmed.cpsinet.com/u88125/data_5/lmp_ew5report3820268... 7/7/2022 Memorial Medical Center Nuning Nome UPL Weekly CanteeTransfer Prosperity Ac6Qunts 7/11/2022 Am—, eeexnx! 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IAMm 24MM,1m,M 65Y6} 42 191,10 6,I's it WO, 6,[mOm 6,85om W.63L{✓ Ma11.91 9AIS.m W6.n B nH9 •' � 39 1 3mQ.f6.11 LId9.% l>,161n g.YiyO 99 n326 6 7M 112022 Treasury Center Quick View Select Qulek View Accounts Select Group Account Number / Name Groups Account Type Add Group (DDA Data reported as of Jul 11 202: Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts; 15 $2,223,469.89 $2,317,157.98 $2,223,469.89 $2,742,612.3 '4551 CAL CO INDIGENT 59.953.49 $9,953.49 $9,953.49 $9,953.4 HEALTHCARE '4454 MEMORIAL NGMEDICAL NH GOLDEN CREEK $166.802.01 $180.494,04 5166,802.01 $128,227.E HEALTHCARE '4365 MEMORIAL MEDICAL CENTER -CLINIC SERIES $536.47 $536,47 $536.47 S536.4 2014 •4357 MEMORIAL MEDICAL S1,134,654.01 51,137,924,55 51, 134,654.01 51,758,290.2 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $431.87 $431.97 5431.87 $431.E WAIVER CLEARING *4381 MEMORIAL MEDICAL $67,964.21 $67,964.21 $87.964.21 $66,182.2 CENTER/NH ASHFORD '44 3 MEMORIAL MEDICAL CENTER INH $23,068.72 $46,469.61 $23,068,72 $23,068.7 BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT $113,389.78 $133.911.55 $113.389.78 $76,702,E '4446 MEMORIAL MEDICAL $31.100.20 $36,883.28 531,100.20 529,936.E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT $56,844A5 571,516.85 $56,844.45 $56.844.4 WEST HOUSTON '2998 MMC -MONEY MARKET 5703.63 $703.63 5703.63 5703.E FUND 'S506 MMC-NH BETHANY SENIOR LIVING $414.351.35 5414,351.35 $414,351.35 5405774A •s441 MMC-NH GULF pOINTE PLAZA- $85,695.38 $88,233.58 $85,695.38 $84,1911 MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $20,513.68 $20,513.68 $20,513.68 54,747,E PLAZA - PRIVATE PAY •3407 MMC-NH TUSCANY S9T460.64 5107,269.82 $97,460.64 397,020.E VILLAGE hltps:Ifprosperity.olbanking.com/onlineMessenger 10 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 7/21/2022 G[NIOV[ Aw9 n1 21099954 10,041.40 / 9,663.52 Rewind In/ormof0n )oIGWdM Uer4: Neaion Nmllh P f GPtlen fMk WeIAFPpe9en4, NA. AB4131000199 AcaounRK39890323 Ndte:Onfybv6nce[oJPvrr3;(xlO wlllbe b9n[/enM fa fhenuvinpheme. Nerci: EPCAPaP9nthwP berz balance 9151oGMof MMCtlrpa9edt9PPen Pec9unr. APPROVED OILY JUL 112022 By COUNTY AUDITOR CALHOUN COUNTY, TEXAS l:\NII WeeaYTN6610r[XNH uPL namfer SummaMIDllVwvknHUPLTransk Summwy W.v.22.du PIM1.2 Teday[696[ne41[ Amovntto Be Tom/erndteNmdng - 166,fiW.Ot Bank Balance 166,BOL01� Vadana Leave in fiabnee 300A0 SUPEBIQRMAYQIPP 33i13.22✓ APrB 1n1er9n 015 1746 M., I.w." 01 ID75 leoelntrre[t t.}3 19.57 SY.BS Adju[t ealanro/iraml9r Aml 133.920.91 APwwed: WUIWtn E,crQ / nuno:: P` Ct vRMY ]71/6I//3w0a]l3 TrSlYYsI/nfMM /03E RARE -ECHO ssffllPPlsielKPoMsI 7/512023 NfAITNNOMANiSVC NCCn4]l/1mMF0is0Mu3t9611M1]6Ms6s0s0e3]46L9I136]019[0]] 3 6NCO5TlMll4IBNS!!8>691]9 7/6/}0E] NN9DECNONKIP 1 7/0301 EEffMfR CDEpl2j03s69lo In } 23WIROUNXIOR4 FirOFNCREEK V129II TSVSnNVIR&rlD]LMIS43T558 ]/]/0035 COMENCREERHµLTME111031691NWl$]3 71/10IS PCN!REMENTSRVCE4105511438M169 /812322 HEALTHHU IA WC HCCU MPMT 1746000 9 7MI0}3 NFgITN NUMPNIVCNCIINM0Mi 1]IEMI41130111 ]/B/291} GnLaLv M9rM84m9gCN WBi65i3353611109W19E MMC90N910N Giry am90 n..»m� i,4nnH, anv/mmvi avq[emoa nnv/amo) au .. aoon Nx vonnaN na.:u vAlo 11},)95.1i � 1B,3I5.11 1,906 i9 1,906,i9 1,345.33 I.IiSAE - 4635J1 1.SE5.]l Z33199 i,))399 ' 4.960.00 � 4,96O.DO 9.881.53 - I,s40ma 1,s.a.aa 9W.40 9WA0 - 65.40 65.40 6411,11, 640A9 ' 2,242113 E142.20 3569111 )Albt3 A91511 �IIi 9ABf.S3 3666N.1) /J03631 .93661 3. }} .,{63 2 7/1112022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number I Name Groups Add Group Accounl Type t ^" FODA„,t ODA Data reported as of Jul 11 202; Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $2.223,469.89 $2,317,157.98 $2,223,469.89 $2,742,612.2 *4551 CAL CO INDIGENT 59,95149 $9.953.49 $9.953.49 $9,953.4 HEALTHCARE '4454 MEMEDICAL NH GOLDENOLDEN CREEK / $166,802.01 5180,494.04 5166,802.01 5128,227.E HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES S536.47 $536.47 $536.47 $536.4 2014 -4357 MEMORIAL MEDICAL 51,134,654.01 51,137,924.55 51,134,654.01 51,758,290,2 CENTER• OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431,87 5431.87 5431.87 S431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL $67.964.21 $67.964,21 $67,964.21 $66.182.2 CENTER INH ASHFORD '440 MEMORIAL MEDICAL CENTERINH $23,068.72 $46,469.61 $23,068.72 $23,O68.i BROADMOOR '4411 MEMORIAL MEDICAL $113,389.78 5133,911,55 5113,389.78 $76,702.E CENTER INH CRESCENT '4446 MEMORIAL MEDICAL $31,100.20 $36.883.28 531,100.20 529,936.E CENTER INH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT $56,844.45 $71,516.85 $56,844.45 $56.844.4 WEST HOUSTON '2998 MMC -MONEY MARKET 5703.63 5703.53 5703.63 S703.E FUND '5506 MMC-NH BETHANY 5414.351.35 8414,351.35 5414.351.35 5405,774.4 SENIOR LIVING -5441 MMC •NH GULF POINTE PLAZA- $85,695.38 $88,233.58 $85,695.38 $84.191 MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $20,513.68 $20,513.68 $20,513.68 $4,74TE PLAZA -PRIVATE PAY '3407 MMC-NH TUSCANY $97.460.64 $107.269.82 $97.460,64 $97,020.E VILLAGE https:/lprosperity.olbanking.com/onlineMewenger 1l1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 2/21/2022 rrcvbu3 gmoum to B, 6+oWl. pentllnfi Tr+nfl,nealo HUIY X Numbee N—bo atl+nn ,Yonder Oet L+mlerin Ci, Oe N, Taa+ +Be nnln expo Hunln Name guN.�oQtid2pg�'ryt/DL „'„_ 31))15433 .was. +f - Ws 20311.1 MAB+l+n,e Z/S.A2A) 2U.5136- un<e 6.+vem &Xna scoot wp6Xmn DWrmpp K.Wo I •trill ....... DIS 2J1 MI...."..i5 tsr mnen..,uo tlp 21s / mien e+l+napwbrame s.n:.n V/ p'•• am..nu.ae Ktwn. 6,tlnnlq o,nam6 mn...n,am xuWn xwn, xumb,r e.nn,. Rnnn...0et / n.nn,n.n E4O.,rea o, Wn rnaa .0 Innin W. xu,an xnm, Gufl2Vlgp _ ., ___ kt S:' )IT35Hl 61,6)2,6 fio...526 W 0S566.10 :5.69539 -85.568.20 U0No.. s.Ms IB xwe: MW Dmaneno/ov,rSs.aoowinbetron.Inmmrnenunme M1Dme. NAe F. EatM1,uolMl M,ebnnDOl.nUG/SIW IA,. MM[dpoul,dt0 WM.tNml. APPROVE© ON JUL 112022 SY COUNTY AUDITOR CALHOUN COUNTY, TEXAS I. —in WIN... 1010D 4Alnnn,t,111 p.63 Mnlnnrnt ui1 11.ia Iun,In,enN LIS ),)S mju.INIvK,/Inml,rMnt .S.SY.10 li TOiLL1NEx611a1 'I'mm .11 / mrM: i WIWMS into. CFO )/31Ii0II .1xx w..nrn.ndmWxw.nmdnsumm,MlossVulr\xx Br,n.minmmn.nmax.xtn.. MMCPORTION '.+tiytet��e" 41vP/temp gIPP/eompa -'HC �.a.-.JLMa4jj44 PE_„, _?./ ;H SnnPl<rAet Tvnl2352 41Pp/Corti x gIPP/COmAB &IaPfe QIPPTI NHPORTION 7/111022 HNB-ECHO HCCUUMPMT 746MB41144MOOIZ3664 - 12.29 - 23.52 7/5/1012 NNB -ECHO NCUIMPT M&W 034114400002Z1 p,9g 2 29 O/WIOti "IS ECHO NCCUIMPMi T460034114a0OWI59H1 - 11388 11118 2/8/2022 Centene Mam3eme ACN007"433WIll0W0292 - 15,765.86 13;91IJ54 Z2373Z 14S723O 1,093.66 14,935.55 I3SO&54 2.19732 14A9L205 123335 a m " It re E a.�x `y.... 4 MMC PORTION � gIPP/Comp OIPP/Comp4 um�o,OPI-[1651� S ,,._, Tnmlor•Out TnnMee-In gIPP/COmpl 2 QIPP(Comp3 &IapN OIPPTI HH PORTION 7/2/2022 Oepmlt - 44,I0391 - 44,203.81 7/1/2022 MERCHANT BANM'D DEPOSIT 4964985188899100001 - 1,573.51 7/S/2922 MERCHANI3ANRC00EPOSIT496118SISB6991=1 10,193A1 7/$/2022 MERCHANT BANRCD DEPOSIT 496476518359910"1 - 3A80.91 10,293.41 717/2022 WIRE OUT HMO SERVICES, SIC 60,945.20 - 3,830.9E 7n$2009 MERCHANT BANRCD DEPOSIT 49647851US99300W1 - 24.112.44 7/812022 MERCHANT BANRCO DEPOSIT 496378S1SSE9 9160061 1,504.00 14AIZA4 6O,9a5,28 BSS6d20 / ter^ 1.504.0p 3538810 60,945.18 1OIA23.15 1XS7854 Z,187,32 14672.20 86.01.SS 7/1112022 Treasury Center Quick View Select Quick View Accounts Account Number I Name Select Group Groups AccountType Add Group v (DDA Data reported as of Jul 11 202' Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $2,223,469A9 $2,317,157.98 $2,223,469.89 $2,742,612.1 '4551 CAL CO INDIGENT S9.953.49 S9,953.49 $9,953.49 S9,953.4 HEALTHCARE •4454 MEMORIALMEDICAL/ NH GOLDENNCREEK C S166.802.01 S180,494.04 $166,802.01 S128,22TE HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES S536.47 S536.47 S536.47 S536.4 2014 '4357 MEMORIAL MEDICAL $1,134,654.01 S1,137,924.55 S1,134,654.01 $1,758,290.2 CENTER -OPERATING '437 MEMORIAL MEDICAL CENTER -PRIVATE $431.87 5431.87 S431,87 5431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL $67,964.21 $67,964.21 $67.964.21 $66.182.2 CENTER INH ASHFORD '4403 MEMORIAL MEDICAL CENTER)NH $23.068.72 S46,469.61 $23,068.72 $23,068.7 BROADMOOR '4411 MEMORIAL MEDICAL S113,389.78 $133.911.55 $113,389.78 $76,702 c CENTER INH CRESCENT '4446 MEMORIAL MEDICAL $31.100.20 $36.883,28 $31,100.20 $29,936.f CENTER INH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT S56.844.45 $71,516.85 $56,844.45 $56,844.q WEST HOUSTON '2998 MMC-MONEY MARKET $703.63 S703,63 S703.63 S703.E FUND '5506 MMC-NH BETHANY $414,351.35 S414,351.35 S414,351.35 $405.774.4 SENIOR LIVING ,5441 MMC -NH GULF POINTE PLAZA- $85,695.38 $88,233.58 S85.695.38 S84,191.3 MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $20,513.68 S20,513.68 $20,513.68 $4,747.E PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $97,460,64 $107.269.82 S97,460.64 597,020.E VILLAGE https:llprosperity.olbanking.comlonlineMossenger 117 Memorial Medial Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 7/11/2022 R[eoonr Rail - Number B 217811<07 13801010.40<0 norc: om is vmn[ea W v.e, ss. mu a,n ee rm�e/m.e m ae, e,[ma n=m. xwN:f hatro,nahva o0a,e0Plvna ySlOPrAv MMCd<Pnned motto v[[ounc JUL 112022 BY COUNTY AUDITOR CALHOUN COUNTY, T[RA5 dmaunueee mwened le (Unk Balan[e 9)a6R.6a Vanln[e Nuen Blan[e Ipp,po AMENCR00041Pp MOEINRM4YOIPp 9Sfl.91 ✓ ddjun mlaMr/Enwumm _�-- e ,wed- WIl11RMLIRtE�frO y» Y 7/lnO22 Oepmit ' 7/5/2022 Molina HC afU HCCIMMPM7 PNIZ757378944100 7/6/2022 MOUMHEALTHWRMOUNAACH0110563442MMIO 7/7/2022 WIRE OI LINBAR EWERPRISES. MC 7/8/2022 KS PIAN AAMINIST HCCIAIMPMT 179111000021433 MMCPORTION QIPP/COMP QIPP/Comp QIPP/Camp Transfer-0u! Trnsfer-In 1 QIPP/CamP2 3 4&lapse QIPPTI NHPORTION • 67,204.66 - 67,204,66 2,962.52 21962.52 - 9,9V.76 %597.12 k387.64 9,290.94 693.82 121,941.70 "0.00 121,941.70 , / 80,591.94 . /8,597.12 1,387.64 9290.94, 71301.00 711112022 Treasury Center Quick View Select Qulck View Accounts Select Group Account Number! Name Groups Add Group Accounl Type Soarch All DDA Data reported as of Jul 17 202; Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: l5 $2,223,469.89 $2.317,157.98 $2,223,469.89 $2,742,612.2 '4551 CAL CO INDIGENT $9.953.49 S9,953.49 $9,953.49 $9,953.4 HEALTHCARE =4.45_4 MEMORIAL MEDICAL! NH GOLDEN CREEK $166,802.01 S180,494.04 S166,802.01 S128,227,f HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.47 $536.47 $536.47 S536.4 2014 '4357 MEMORIAL MEDICAL $1,134,654,01 $1,137,924.55 S7,134,654.01 S7,758,290.2 CENTER -OPERATING •4373 MEMORIAL MEDICAL CENTER -PRIVATE S431 87 $431.87 S431.87 5431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL S67.964.21 $67,964.21 $67.964,21 $66.182.2 CENTER l NH ASHFORD •4403 MEMORIAL MEDICAL CENTER/NH $23,068.72 $46,469.61 S23,068.72 $23.068.7 BROADMOOR •4411 MEMORIAL MEDICAL S113.389.78 $133,911.55 $113,389,78 S76,702.5 CENTER/NH CRESCENT •4446 MEMORIAL MEDICAL $31,100.20 $36,883.28 $31.100,20 529,936.E CENTER/NH FORT BEND *4438 MEMORIAL MEDICAL CENTER I SOLERA AT S56,844.45 $71,516.85 S56,844.45 556,844.4 WEST HOUSTON '2998 MMC -MONEY MARKET $703.63 S703.63 S703.63 S703.E FUND '5606 MMC-NH BETHANY $414.351,35 S414,351.35 $414,351.35 S405.774,4 SENIOR LIVING '6441 MMC -NH GULF POINTE PLAZA - $85,695.38 $68,233.58 S85,695.38 584,19t MEDICARE/MEDICAI❑ •5433 MMC-NH GULF POINTE $20,513.68 $20.513.68 $20,51188 $4,747.E PLAZA - PRIVATE PAY •3407 MMC-NH TUSCANY $97.460.64 $107.269.82 $97,460.64 $97,020.E VILLAGE ' https:/Iprosperity.olbanking.com/onlineMessenger 111 Memorial Medical Center Nursing Home UPL Weekly HSLTransrer Prosperity Accounts 7/1112U22 berlem aawm e.Jlmm�x norea,tynewnm eJwns;roo�nuxwm/n.nbanenmamenome. xme:: Jnananmm�n mm,eeere.,aeejJ�wtnoinaute aawnrcemopen erraun�, APPROVED ON JUL 112022 BY COUNTY AUDITOR CALHOUN COUNTY, TEKAS venawr ra.ai.n. a.nonm ben R,mlemtlb aank a,I.n[, maven« In..m sannm aoaimo-,n3 0�1 lys3 abr�me,nt e S ia.rS lone lntema UL� 31.51 aaunee,naMnnsnam, aw,la,,3k wlwam ums, no x2u/xoxl ./y r„i t1✓i�4r 1/IpOit 0 po R - - 1/1/101} 0lpmiT x/1/202 popeiO t/1/102m z p, it >/S/2023 mCinl 7/5/2022 "NO ECHO lrtcuimpmm ]46003913amo00ns966 1/v; 12 HN0 d6HU NCC41MPMf ]C6003411910000226107 71613022 Oepmil 71611022 VAPO 11 xlb/202t DAPA H 'An.22 NOVITASSOLUTION HWWMPMT6763SI O2MI24 ] tJ2 WIRE OUTPORTNVACANHUC }n1:022 OepmU 7/1/2022 OxpoaH 7A/HI22A ITASOLUTIONHCCWIMPMT6760610200001R 7MI2022 HEALTH HUMAN SVC HCCIAIMPMT 1110O311110162 MMCPORTION han� TmnflnAn I OIPP(Cpmp1 0IPPICRmp2 OIPP/Campo OIpP/Ump66bpla CIpPTI NNPORTION ,049.22 - 222.849.21 %Q2.13 - &622.13 34.101.54 - UJOI.Si 1r117.26 1,21]R6 21.u016 - z;wo_I6 • 0.65 2,2 2.30cm - 2.202.31 - 32.305.74 3z.314.10 32.311.21 74 - l2,mis 696.I6 - 69E.11 e.w1.ro - H6w.m IO.80069 - - Il,9m.00 - 35r183.20 31, IP3.10 - 21610 15610 - 8.476 Sf - 64I68} i9.w0.69 919.961.N / 616 N3S 711112022 Quick View Select Quick View Accounts Account Number l Name Account Type -- Searrh All DDA Account Number Current Balance Number of Accounts: 15 $2,223,459.89 '4551 CAL CO INDIGENT S9,953.49 HEALTHCARE `4454 MEMORIAL MEDICAL $166.802.01 NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES S53fi.47 2014 '4357 MEMORIAL MEDICAL S1.134,654.01 CENTER -OPERATING .4373 MEMORIAL MEDICAL CENTER - PRIVATE $431.87 WAIVER CLEARING '4381 MEMORIAL MEDICAL $67,964.21 CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $23,066.72 BROADMOOR '4411 MEMORIAL MEDICAL $113,389.78 CENTER ! NH CRESCENT '4446 MEMORIAL MEDICAL $31.100.20 CENTER/NH FORT SEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT 556,844,45 WEST HOUSTON '2998 MMC-MONEY MARKET S703.63 FUND •5500 MMC -NH BETHANY $414,351.35 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $85.696.38 MEDICAREWEDICAID '5433 MMC -NH GULF POINTE $20.513.68 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $97,460.64 VILLAGE https:Itprosperlty.olbanking,comlonlineMessonger Treasury Center Select Group Groups Add Group Data reported as of Jul 11. 202: Available Balance Collected Balance Prior Day Balanc $2,317,157.98 $2,223,469.89 $2,742,612.2 $9,953.49 $9,953.49 $9.953.4 $180,494.04 S166,802.01 5128,227.E S536.47 $636.47 S536.4 SlJ37,924.55 S1,134,654.01 S1,758,290.2 S431.87 5431,87 S431.E $67,964.21 $67.964.21 S56,182.£ $46.469.61 523.068.72 $23,0681 $133.911,55 $113.389.76 $76,702.E $36,883.28 S31,100.20 529,936.E $71,516.85 $56.844.45 $56,844A S703.63 S703.63 S703.E $414,351.35 $414,351.35 S405,774.4 $88,233.58 $85,695.38 S84,191.° S20,513.68 $20,513.68 $4,747_8 5107,269.82 $97,460.64 $97,020.E 1.1 I ------- ---------- NAHVIORIAL MI'l-DICAL. CEN-','9.:R MEMORIAL MEDICAL CENTER s niF 7/11/22 FOR ACCT. USE ON[N — APPROVFD OM 121 Impro.A. - JUL 11 2022 17A/P Chei k By COUNTY AUDITOR n Mail :'heck to Vendor CALHOUN CCAjNTY, To(AS E"Re.l.urr. Check w Depi AMOUNT I 1- 10255040 (Vi NUPIPWR: . ... ........... x A W "Cl, ! 0 NI: MOLINA MAY QIPP ...... --l" --------------- Mayra Martinez lAP M01R AL IF r-r'.IC ' S'7 r MEMORIAL MEDICAL CENTER p r fi,aques;c, _ 7/11/22 AV.,0UfJT $6,o44.80 APPR0VEDOA9 I l_+ImprestCash L A/P Cheer. JUL 11 2022 ' 1.he[KILUVFndor � BY COUNTY AUDITOR rjRe[trrr:Chcsacic iepi .......... CALHOUN COUNTY, TERNS I GlI. 1 U fvt S E R: 10255040 FXP! i.;,q n. MOLINA MAY QIPP Mayra Martinez ' - � e yy tp p MEMORIAL MEDICAL CENTER _ p7}g p�:rpclr;j. 7/11/22 i=.idlOU :T $St270.76 r.%PLA*JA!'!0Nl: MOLINA MAY QIPP u APPROVEDOk3, � FOR A(---T. USE UI�4.1` j --• I �ImprestCash i JUL 1 ZQZZ I El `he:�k I BY COUNTY AUDITOR (L.. 'her_f:t1'Vendor ChLHOUPI CDU�ffy. TFX.4S Li1 Oe, 10255040 Mayra Martinez ... ..- J -.. __ ....... I. _.._... _ . --.... ....... .._.__ _.._ 1MEA/10RIAL k�11IF-DIC AL CTNTEP MEMORIAL MEDICAL CENTER Date Reqlj(".StC.A: 7/11/22 A JUL 11 2022 Fllx/lafll Oi,-ck to VFndor E [--jl n i'll Dep: --- --- BY COUNTY AUDITOR CAU10LIN COUNTY, TEXAS It $6421.79 10255040 MOLINA MAY QIPP Mayra Martinez P A Y k C IVIFMOROAL MEDICAL CrYf�`ti!!7U.,, a..i �F: i.�S` 1'{��.a. �S l: ��t r- uil �l vF•.. MEMORIAL MEDICAL CENTER Oo l fe Requested: 7/11/22 FOR ACCT. USE ONLY -----^ --- w APPROVEDON FlImprestCasit — _ _------- __-- JUL 1 1 2022 El Al r- Che._I: FIMnil Check 10 Vendor BY COUNTY AUDITOR ---� CALHOUN COUNTY, TEXAS L-J Return C et:k io 0epr AN40UN7 $§23375 C;,+LI'!UfvlBfiR: 10255040 EXPLA1 T!0.1: MOLINA MAY QIPP .r _...... , Mayra Martinez ---- ------- K/lEPA/1-ORIAL h/lED11--AL CWT-E.R. C'.HECK REQ(JE-5-l' — itldevi cvtLY- IN MEMORIAL MEDICAL CENTER 7/11/22 A E AMOUt,IT 23.22 ------- -------- -XPI-N1Tic),N: SUPERIOR MAY QIPP BY Mayra Martinez FOR ACC USE Ci,j LY D Imprest. Cash APPROVED OM FIA/P Check JUL 11 Z022 Mail Check to v,niur BY COUNTY AUDITOR L—Jrlttu"*l CIMdl Lt! Dep! CALHOUN COUNTY, TEXAS 10255040 11.1 IMEN11C RiAL NAVDY-"Al, rNO(- A-% MEMORIAL MEDICAL CENTER equested:7/11/22 I FOR ACCT. UHONLY APPROVED OM Flftnprest Cash IDA/P Check JUL 11 2022 j 01 fviai; u., V,, _j nckir By CouNTY-AUDITOR LL—jmc-TtA(r: 1"hC-.Lk Lo Dep; CAJij 1()UN i3OUNTY, TEXAS .--- — ------ G/L HUMSER: 10255040 L -x P L A NW. -lokl: SUPERIOR MAY QIPP Mayra Martinez N/lEIVIORIAL MEDICAL CRTFER .... ... CK MEOUE-S-11' —'WcAmj MEMORIAL MEDICAL CENTER air7/12/22 /Alvi(JUNT —�9,290.94 F.XPLAi,,Al'!ON- MOLINA MAY QIPP FOR A,'-r-T. USE ONLY APPROVEo Cib] l7lunprest f.,tsn JUL I I 2on PA/P �he---it M@il Check W Vendor BY CUNTY -CALHC)LJON COUNTY,TRAS Li RC -.till r, Chr-Ck Lo Dep! mTY, [-IL)fABFP,: 10255040 qj,?; LL+hU'• Mayra Martinez - ------- ... ........ L--------- --