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2022-07-27 Final Packet
CA L]H OUN COUNTY C®MMISSION ERR' C®U]E T _✓All Agenda Items Properly Numbered �ontracts Completed and Signed II 1295s Flagged for Acceptance (number of 1295's ?G) ZAII Documents for Clerk Signature Flagged On this 41day of 2022 a complete and accurate packet for Zlk. of 2022 Commissioners Court Regular Session Day VMo 01 was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant C O M M I S S I O N E RS C O U RT C H E C KL I S T/FORM S AGENDA ' Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern l yssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners'Court ourt of Calhoun County, Texas will meet on Wednesday, July 27, 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 y� subject matter of such meeting is as follows: T. CCall meeting to order. `�. Invocation. T Pledges of Allegiance. 2-- qj %CED AT O'CLOCK_.._ _ A '4< Gener I Discussion of Public Matters and Public Participation. ;4-e� jro -fa-K-e a-e- d� t� -Consider and take necessary action to lift o retain he county burn ban. (RHM) Hear report from Memorial Medical Center. - a/�2rwr ot-9'(- "-C-84 %. Hear reports from the Calhoun County Extension Office. a. 4-H and Youth Development b. Coastal and Marine G,.,(pgs� c. Family and Community Health ' Public Hearing regarding the Designation of the HyFuels Holdings LLC Reinvestment Zone Number 1. e-Je s !9. Consider and take necessary action to designate HyFuels Holdings LLC Reinvestment Zone Number 1. (RHM) `Y6. Consider and take necessary action to authorize the County Judge to sign a Letter of Intent to enter into negotiations with the Victoria Economic Development Corporation. (RHM) Page 1 of 2 In�Yi. Hear a {Lie - presentation from Samuel Vaughan with Ameriprise Financial Services. 42. Recognize Calhoun County EMS for their contribution to saving lives in our community with the American Heart Association Mission Lifeline Gold Plus Award. 13. Consider and take necessary action to approve the Specifications and Contract Documents for Magnolia Beach (21st Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Thursday, August 18, 2022 at the Magnolia Beach (21st Street) Pier in Magnolia Beach, Texas. Sealed Bids will be due before 2:00:00 pm, Thursday, September 1, 2022 at the County Judge's Office. (DEH) 14. Consider and take necessary action to use GOMESA funds in the amount of $1,492.50 for additional repair cost from D & P Coastal Marine Construction for the emergency work on the breakaway bulkhead located at Haterius Park, previously approved by the Commissioners' Court on June 8, 2022. (JMB) tr Consider and take necessary action to approve a contract/service agreement between Calhoun County EMS and Office Systems for a Ricoh B & W Digital MFP copier and authorize the EMS director to sign all relevant documents. (RHM) �166.. Approve the minutes of the July 6, 2022 and July 13, 2022 meetings. 17. Consider and take necessary action on any necessary budget adjustments. (RHM) 18. Approval of bills and payroll. (RHM) Richard H. Meyer, Count Jyd e Calhoun County, Texas Acopy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.or under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 i NOTICE OF MEETING — 7/27/2022 Richard H. MCYCT County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kadldlie Smith, Deputy Clerk NOTICE OF MEETING The Comnnnissioners' Courtuof Calhoun County, Texas will meet on Wednesday, July 27, 2022 at 10:00 a.m. in the Comnnnissioners' Courtrooms in the County Courthouse at 211 S. Ann Street, Smite 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 10:00 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. Consider and take necessary action to lift or retain the county burn ban. (RHM) Judge Meyer explained he was going to retain the burn ban. 6. Hear report from Memorial Medical Center. Roshanda Thomas gave the report. Page 1 of 4 NOTICE OF MEETING — 7/27/2022 7. Hear reports from the Calhoun County Extension Office. a. 4-H and Youth Development b. Coastal and Marine c. Family and Community Health PASS 8. Public Hearing regarding the Designation of the HyFuels Holdings LLC Reinvestment Zone Number 1. Closed at 10:33 Anne Marie Odefey explained Reinvestment Zones and why Designation is being requested. Opened 10:59 9. Consider and take necessary action to designate HyFuels Holdings LLC Reinvestment Zone Number 1. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to authorize the County Judge to sign a Letter of Intent to enter into negotiations with the Victoria Economic Development Corporation. (RHM) Jonas explained VEDC's services. He assured the public this was a formalized agreement, not an official contract. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Hear a presentation from Samuel Vaughan with Ameriprise Financial Services. Samuel Vaughan explained the benefits of Ameriprise Financial Services. 12. Recognize Calhoun County EMS for their contribution to saving lives in our community with the American Heart Association Mission Lifeline Gold Plus Award. Dustin Jenkins and Danny Munselle gave a brief report. Page 2 of 4 NOTICE OF MEETING — 7/27/2022 13. Consider and take necessary action to approve the Specifications and Contract Documents for Magnolia Beach (215t Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Thursday, August 18, 2022 at the Magnolia Beach (215t Street) Pier in Magnolia Beach, Texas. Sealed Bids will be due before 2:00:00 pm, Thursday, September 1, 2022 at the County Judge's Office. (DEH) Scott Mason explained the bid. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to use GOMESA funds in the amount of $1,492.50 for additional repair cost from D & P Coastal Marine Construction for the emergency work on the breakaway bulkhead located at Haterius Park, previously approved by the Commissioners' Court on June 8, 2022. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to approve a contract/service agreement between Calhoun County EMS and Office Systems for a Ricoh B & W Digital MFP copier and authorize the EMS director to sign all relevant documents. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Approve the minutes of the July 6, 2022 and July 13, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. 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 3 of 4 NOTICE OF MEETING — 7/27/2022 18. 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 County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjorned: 11:25 a.m. Page 4 of 4 # 05 NOTICE OF MEETING—7/27/2022 Rich2Td H. Mayo County judge David Hall, Commissioner, Precinct i Vern ]Lyssy, Commissioner, Precinct 2 ]Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddne Smith, ][Deputy Clerk NOTICE OF MEETING The Commissioners' C011nrt of Calhoun County, ]Texas will meet on Wednesday, y Duly 27, 2022 at 10:00 a.m. in the Commissioners' COnrtrOOm 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 10:00 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. Consider and take necessary action to lift or retain the county burn ban. (RHM) Judge Meyer explained he was going to retain the burn ban. Page 1 of 14 eyq. ICI w � a � 1 SS �y�F4�3x ✓Li L� hk HaaS��'Jd''r 14 rT �tf slap ` "� Ex>4 ''�S+ �' < � s,fWift OEM�,; y i E�,{ WE,"—, k f # ad P OmRE'= tar IN r r r s rv�� eta v k4 y Aa ;ss�i a� Nr J E t u l '?',9�wk!� ff+ t §tiny t �e Sv k Ell I f n: '',` �, . as fi, fix' ,,, r `' t,; ���� i T r r # 06 NOTICE OF MEETING — 7/27/2022 6. Hear report from Memorial Medical Center. Roshanda Thomas gave the report. Page 2 of 14 # 07 NOTICE OF MEETING — 7/27/2022 7. Hear reports from the Calhoun County Extension Office. a. 4-H and Youth Development b. Coastal and Marine c. Family and Community Health PASS Page 3 of 14 (� M -�i a a w a N rn N N a N �' O� a y O, O� a O \D W N O O 0 W 0 W� O O Q Oe b Qi O W O N O S C b 4. n iR N N N p N N 1 N N 0 N N N N N O N N N N N N N N N N N N N N N N N N N N N m N o S 51 CHO a p on m k � A � � � �• yy � ro 'fro � a aa° r fly nw ac,�gs rA Af)n x x o x o,. A y �',,. � moo• : � � H x I, 7 Oe IO Op � C i � �. E 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT June2022 Miles traveled: County Vehicle 834: Personal Vehicle 0 Selected major activities since last report June I — Calhoun ISD Teacher Professional Development June 2 — YMCA Water Safety Calhoun 4-H CPR/First Aid Training June 3 —YMCA Water Safety June 6 — Practice/Video Interviews for Star Award Applicants June 6-9 — Texas 4-H Roundup (College Station) June 9 — CCF Livestock Committee Meeting June 10 —Star Award Interviews Meeting with Master Naturalist about Garden Signs June 11 — CCF Commercial Heifer Tag In June 13 — Multi -County Recordbook Judging (Rockport) June 14 — YMCA Kayak June 15-17 — Dl 1 4-H Leadership Lab June 20 — Jackson County Star Award Interviews State Fair Animal Validation June 21 — 4-H STEM Camp June 22 — YMCA Houston Museum Trip June 23 — YMCA Kayak June 24 — Vacation June 28 — Planning meeting with AgriLife RPLs CCF Sheep/Goat/Swine Tag In June 29 — Beth Boone interviewed Shane Bonnot with CCA for State 4-H Fishing Tournament LNRA Program June 30 — Healthy Texas Youth Ambassador Program Direct Contacts by: Office: 10 E-mail: 201 Facebook Posts/Followers: 12 posts/530 followers Site: 0 Newsletters: 1 Instagram Posts/Followers: 7 posts/201 followers Phone/Texts: 13 4-H Enrollment: 186 youth; 24 adult volunteers Major events for next month — July 2022 July 6-8 — 4-H Prestige Leadership Conference (Lubbock) July 11 — YMCA Kayak July 12 — District 11 4-H Jr. Leadership Lab (Ledbetter) CCF Steer/Heifer Clinic I July 14 — District 11 4-H Recordbook Judging (Victoria) July 15 — Set up for Achievement Night July 17 —Achievement Night July 19 — Coastal Bend 4-H Sportfishing Day (Rockport) July 20 — YMCA Natural Bridge Caverns Ranch July 21 — YMCA Kayak Budget Meeting with Judge and Commissioners July 25-26 — Calhoun 4-H/FFA Livestock Judging Camp Julv 28 — YMCA UTMSI (Port Aransasl En CEA — 4-H and Youth Development June 2022 Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY June 2022 Miles traveled: County Vehicle xx Personal Vehicle 156 Selected major activities since last report 6/1 — CCISD and OLG Professional Development Program for Science Teachers 6/2—YMCA Water Safety 8-9 yr olds. 6/2 — 4-H CPR/First Aid/AED Certification Training 6/3 — YMCA Water Safety — 10-14 yr. olds 6/6 — YMCA Water Safety — 6-7 yr. old group 6/8 — LNRA Kayaking Camp 6/9 - Professional Development Program for Science Teachers 6/13 — Magnolia Beach Sea Turtle Nest 6/14 — YMCA Camp 8-9 yr. old kayaking at Lake Texana 6/15 — Texas State Aquarium Trip with YMCA Camp 6/20 — meet with Mrs. Brown about Travis MS Coastal Explorers Program 6/21 — 4-H STEM Camp 6/22 — Houston Museum of Natural Science with YMCA Camp 6/23 — YMCA Kayak Tour of Lake Texana with 10-14 yr. old group 6/29 — LNRA Kayak Camp 6/30 — Healthy South TX Youth Ambassador Program Direct Contacts by: Office: 6 E-mail/Letters: 166 Instagram Posts/Followers: 3/288 Site: 3 Phone/Texts: 87 Newsletters: 0 Volunteers: 0 Major events for next month — June 2022 July — Calhoun Co. YMCA Summer Camp Name County COURT Coastal and Marine Agent June 2022 Title Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Family and Community Health EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT June 2022 Miles traveled: County Vehicle Personal Vehicle Selected maior activities since last rel2o ➢ Meetings 21 & 28 United Way Board & State Volunteer Steering Committee ➢ June 1-3, 6, 8-10, 13, 15-17, 20, 22-24, & 27 — Strong People Strong Bodies Final month of Series ➢ June 1, 8, 15, 22 & 29 Walk Across Texas and Walk & Talk in the Pool ➢ June 1-2 Food Manager's Class ➢ June 9 & 10 Dinner Tonight in Goliad — Thanks Commissioner Lyssy for Butterflying the Loins ➢ June 12-14 Cotton Incorporated Women's Conference in Raleigh North Carolina ➢ June 14-16 South Texas Judges and Commissioner's Conference in Corpus Christi ➢ June 20-23 YMCA Cooking Camp ➢ June 27 Meeting with Crystal Young State Health Department ➢ June 28 Early Childhood Educators Training ➢ June 30 Calhoun County Hosts Healthy South Texas Youth Ambassadors Road Trip -Kayaking, Walk and Talk in the Pool, Lunch and Learn & visit to Simplified Soap Direct Contacts by: Office: 15 E-mail/Letters:360 Facebook Page Post 15 Site:S Newsletters: 0 Followers 563 Phone/Texts: 30 Volunteers: 8 Facebook profile 964 friends Mai or events for next month — July 2022 ➢ Meetings 12, 19 & 21 LEPC, United Way Board, Sr. Citizen Board & Volunteer Steering Committee ➢ July — Strong People Strong Bodies May resume at the end of the month, ➢ July 6, 13, 20 & 27 Walk Across Texas and Walk & Talk in the Pool ➢ July 5-8 Vacation in New York State ➢ July 1 I-13 YMCA Cooking Camp Second Session ➢ July 14- Record Book Judging and Speaking to Better Living for Texans Agents about the success of Walk and Talk in the Pool ➢ July 18-19 Working with Emilee and RJ and other county agents on the Sport Fishing Day in Aransas Co. ➢ July 21 — 1:30 Budget Meeting with Commissioners and Judge — Retirement reinstated and Truck ➢ July 25 — 28 State Texas Extension Agent Family and Consumer Sciences Conference — on Team that will be presented 3 First Place Awards Karen P. Lvssv Calhoun Name County CEA — Family and Community Health June 2022 Title Date (Month -Year) Texas A&M AgriLife Extension • Texas A&M University System • College Station, Texas NOTICE OF MEETING — 7/27/2022 8. Public Hearing regarding the Designation of the HyFuels Holdings LLC Reinvestment Zone Number 1. Closed at 10:33 Anne Marie Odefey explained Reinvestment Zones and why Designation is being requested. Opened 10:59 Page 4 of 14 Richard ]H . Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Deese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, July 27, 2022 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port Lavaca, Texas, on July 27, 2022 At 10:00 a.m. regarding the Designation of the HyFuels Holdings LLC Reinvestment Zone Number 1. The public shall have the right to be present and participate in such hearing. f r' chard H. ever, Co un J dge Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncoLx.org under "Commissioners' Court Agenda' for any official court postings. 7 AT 1 �� 0LCCLOCKcu — JUL ? 2022 -- C N A. ;. By; Page 1 of 1 RESOLUTION OF THE COMMISSIONER'S COURT OF CALHOUN COUNTY, TEXAS DESIGNATING HYFUELS HOLDINGS LLC REINVESTMENT ZONE #1 WHEREAS, HyFuels Holdings LLC has applied for the designation of a reinvestment zone by letter dated July 21, 2022 and WHEREAS, the Commissioner's Court of Calhoun County, Texas convened in open meeting on July 27, 2022 at 10:00 a.m., and conducted a Public Hearing on the Application of HyFuels Holdings LLC for designation of a reinvestment zone, during which hearing representatives of HyFuels Holdings LLC presented statements and evidence in support of its Application, and whereupon all interested persons in attendance who requested to do so, were given the opportunity to speak and present evidence for or against the designation; and WHEREAS, upon conclusion of the Public Hearing, the members of the Commissioner's Court heard the evidence and upon motion and second, adopted the following resolution: BE IT RESOLVED by the Commissioner's Court of Calhoun County, Texas: 1. The Commissioner's Court of Calhoun County, Texas makes the following findings: (a) That the improvements sought are feasible and practical; (b) The designation and improvements would be a benefit to the land to be included in the zone; (c) The area will be reasonably likely as a result of the designation to contribute to the retention or expansion of primary employment or to attract major investment in the zone that would be a benefit to the property and that would contribute to the economic development of the County; (d) The Commissioner's Court further finds that the entire 12,000 acres (more or less) tract of land is located in their jurisdiction and within an unincorporated 1 portion of Calhoun County, Texas; 2. Based upon its findings, the Commissioner's Court of Calhoun County, Texas concludes that HyFuels Holdings LLC Application for Designation of Reinvestment Zone dated July 21, 2022 should be and is hereby approved. 3. A description of the Reinvestment Zone contained in Exhibit "1," is attached hereto, incorporated by reference and made a part hereof for any and all purposes. 4. The tracts of land containing 12,000 acres (more or less) is hereby designated as HyFuels Holdings LLC Reinvestment Zone #1 and is eligible for consideration of a Tax Abatement Agreement. 5. This designation of a reinvestment zone shall expire five years from the date of this resolution. PASSED, ADOPTED AND APPROVED, on this. A7 day of SIN 2022. UNIM3W Anna Goodman, County Clerk 0 CALH OUNTY,TEXAS By: Richard Meyer, C udge Deputy Clerk 2 ABSTRACT SECT SURVEY GRANTEE 103 FREDERICK LUNDT FREDRICK LUNDT 240 JOHN CLARK JOHN CLARK 180 2 THATCHER & LEONARD LEONARD 263 3 SA&MG RR CO S.A. & M.G. R.R. CO. 126 WILLIAM MCMIN NUNER WM. MCMIN NUNER 162 10 CI CO CUADRILLA IRRIG. CO. 161 7 CI CO CUADRILLA IRRIG. CO. 157 6 CI CO CUADRILLA IRRIG. CO. 153 CF WORCHESTER C.F. WORCHESTER 158 8 CI CO CUADRILLA IRRIG. CO. 142 JOSHUA L SCHOONOVER JOSHUA L. SCHOONOVER 160 5 CI CO CUADRILLA IRRIG. CO. 228 DL&C CO DAY LAND 225 DL&C CO DAY LAND 229 A POINDEXTER J.J. POINDEXTER 159 9 CI CO CUADRILLA IRRIG. CO. 167 3 CI CO CUADRILLA IRRIG. CO. 134 THOMAS PORTER THOMAS PORTER 166 2 CI CO CUADRILLA IRRIG. CO. 165 1 CI CO CUADRILLA IRRIG. CO. 39 MANUELA VENITES MANUEL VENITES 224 PATRICK HUGHES P. HUGHES 91 JULIA IFFLA JULIA IFFLA EXHIBIT yserQy r HYFUELS HOLDINGS LLC July 21, 2022 Honorable Richard Meyer and Honorable Commissioners Calhoun County Commissioners Court 211 S. Ann Street Port Lavaca, Texas 77979 Re: Request for Designation of a Reinvestment Zone Dear Judge Meyer: Please accept this letter as a request to the Calhoun County Commissioners' Court for the designation of a reinvestment zone as proposed by HyFuels Holdings LLC. HyFuels intends to develop and build utility -scale wind, solar, and electrolysis facilities within the reinvestment zone in order to produce green hydrogen via "splitting" water into hydrogen and oxygen. Our green hydrogen will then be used onsite to produce renewable, carbon -free green ammonia and other renewable green fuels, such as green methanol. These locally produced fuels will be sold at market -competitive prices both to local industry and chemical companies to use as feedstocks for their own products and also exported to international customers via the Calhoun Port Authority. The designation of a reinvestment zone would be an important expression of support from the Calhoun County Commissioners, and it will enable HyFuels to advance the development of the facilities. Moreover, once the reinvestment zone is established, HyFuels would return to the Commissioners to seek additional support in the form of a tax abatement agreement and will, at such time, present additional information, including job -creation benefits, that the Court may request. RespecJfJxlly submitt , Jos icholas Managing Director of HyFuels Holdings LLC, and CEO of its parent company, BNB Renewable Energy Holdings LLC 207 San Jacinto Boulevard, Suite 300 Austin, TX 78701 t)212.285.1046 f 212334,5721 al; NOTICE OF MEETING — 7/27/2022 9. Consider and take necessary action to designate HyFuels Holdings LLC Reinvestment Zone Number 1. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 14 Mae Belle Cassel From: amo@portlavacalaw.com (Anne Marie Odefey) <amo@portlavacalaw.com> Sent: Thursday, July 21, 2022 3:32 PM To: Maebelle Cassel (maebelle.cassel@calhouncotx.org) Cc: Orlando Puig Subject: Just in case I don't get final before 4... Attachments: Resolution designating riz #1.docx; Notice to Entities.pdf 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. The agenda items are: Public Hearing regarding the Designation of the HyFuels Holdings LLC Reinvestment Zone Number 1. Consider and take any action deemed necessary to designate HyFuels Holdings LLC Reinvestment Zone Number 1. I have attached the draft designation. I have also attached the notice. am Anne Marie Odefey ROBERTS, ODEFEY, WITTE & WALL, LLP 2206 North Highway 35 P.O. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 (Telephone) (361) 552-5368 (Fax) amo@portlavacalaw.com ROBERTS, ODEFEY, WITTE & WALL, LLP - CONFIDENTIALITY NOTICE: This electronic message is intended to be viewed only by the individual or entity to whom it is addressed. It may contain information that is privileged, confidential, and exempt from disclosure under applicable law. Any dissemination, distribution or copying of this communication is strictly prohibited without our prior permission. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, or if you have received this communication in error, please notify us immediately by return e-mail and delete the original message and any copies of it from your computer system. NOT INTENDED AS A SUBSTITUTE FOR A WRITING: Notwithstanding the Uniform Electronic Transactions Act or the applicability of any other law of similar substance and effect, absent an express statement to the contrary hereinabove, this e-mail message, its contents, and any attachments hereto are not intended to represent an offer or acceptance to enter into a contract and are not otherwise intended to bind the sender, Roberts, Odefey, Witte & Wall, LLP, any of its clients, or any other person or entity. RESOLUTION OF THE COMMISSIONER'S COURT OF CALHOUN COUNTY, TEXAS DESIGNATING HYFUELS HOLDINGS LLC REINVESTMENT ZONE #1 WHEREAS, HyFuels Holdings LLC has applied for the designation of a reinvestment zone by letter dated July 21, 2022 and WHEREAS, the Commissioner's Court of Calhoun County, Texas convened in open meeting on July 27, 2022 at 10:00 a.m., and conducted a Public Hearing on the Application of HyFuels Holdings LLC for designation of a reinvestment zone, during which hearing representatives of HyFuels Holdings LLC presented statements and evidence in support of its Application, and whereupon all interested persons in attendance who requested to do so, were given the opportunity to speak and present evidence for or against the designation; and WHEREAS, upon conclusion of the Public Hearing, the members of the Commissioner's Court heard the evidence and upon motion and second, adopted the following resolution: BE IT RESOLVED by the Commissioner's Court of Calhoun County, Texas: 1. The Commissioner's Court of Calhoun County, Texas makes the following findings: (a) That the improvements sought are feasible and practical; (b) The designation and improvements would be a benefit to the land to be included in the zone; (c) The area will be reasonably likely as a result of the designation to contribute to the retention or expansion of primary employment or to attract major investment in the zone that would be a benefit to the property and that would contribute to the economic development of the County; (d) The Commissioner's Court further finds that the entire 12,000 acres (more or less) tract of land is located in their jurisdiction and within an unincorporated 1 portion of Calhoun County, Texas; 2. Based upon its findings, the Commissioner's Court of Calhoun County, Texas concludes that HyFuels Holdings LLC Application for Designation of Reinvestment Zone dated July 21, 2022 should be and is hereby approved. 3. A description of the Reinvestment Zone contained in Exhibit "1," is attached hereto, incorporated by reference and made a part hereof for any and all purposes. 4. The tracts of land containing 12,000 acres (more or less) is hereby designated as HyFuels Holdings LLC Reinvestment Zone #1 and is eligible for consideration of a Tax Abatement Agreement. 5. This designation of a reinvestment zone shall expire five years from the date of this resolution. PASSED, ADOPTED AND APPROVED, on this.2-7—Ilay of �w (, 2022. CAL O COUNTY, TEXAS By: Richard Mever, COUK Jud ATTEST: Anna Goodman, County Clerk F) ABSTRACT SECT SURVEY GRANTEE 103 FREDERICK LUNDT FREDRICK LUNDT 240 JOHN CLARK JOHN CLARK 180 2 THATCHER & LEONARD LEONARD 263 3 SA&MG RR CO S.A. & M.G.R.R. CO. 126 WILLIAM MCMIN NUNER WM. MCMIN NUNER 162 10 CI CO CUADRILLA IRRIG. CO. 161 7 Cl CO CUADRILLA IRRIG. CO. 157 6 CI CO CUADRILLA IRRIG. CO. 153 CF WORCHESTER C.F. WORCHESTER 158 8 CI CO CUADRILLA IRRIG. CO. 142 JOSHUA L SCHOONOVER JOSHUA L. SCHOONOVER 160 5 CI CO CUADRILLA IRRIG. CO. 228 DL&C CO DAY LAND 225 DL&C CO DAY LAND 229 A POINDEXTER J.J. POINDEXTER 159 9 CI CO CUADRILLA IRRIG. CO. 167 3 Cl CO CUADRILLA IRRIG. CO. 134 THOMAS PORTER THOMAS PORTER 166 2 CI CO CUADRILLA IRRIG. CO. 165 1 Cl CO CUADRILLA IRRIG. CO. 39 MANUELA VENITES MANUEL VENITES 224 PATRICK HUGHES P. HUGHES 91 JULIA IFFLA JULIA IFFLA E11 HIBIT 1 Page 1 of 2 °!1 #10 NOTICE OF MEETING — 7/27/2022 10. Consider and take necessary action to authorize the County Judge to sign a Letter of Intent to enter into negotiations with the Victoria Economic Development Corporation. (RHM) Jonas explained VEDC's services. He assured the public this was a formalized agreement, not an official contract. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 14 /pre oe r I4� F+9N RICHARD H. MEYER Calhoun County Judge 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: richard.meyer@calhouncotx.org LETTER OF INTENT July 27, 2022 Victoria Economic Development Corporation Jonas Titus 101 W. Goodwin Ave., Suite 322 Victoria, Texas 77901 RE: Letter of Intent to enter into negotiations to contract services Dear Mr. Titus: We are pleased to submit this Letter of Intent ("LOP') to begin negotiations to contract services with Victoria Economic Development Corporation ("VEDC") and other County partners to pursue and promote economic development in Calhoun County and the broader region. This is not an official offer or agreement on behalf of Calhoun County to contract for services, but only an intent to engage in negotiations with VEDC for their services. Any agreement to contract for services must be presented and approved by the Commissioners Court of Calhoun County, Texas. Very yours, Richard H. Meyer www.calhouncotx.org #11 NOTICE OF MEETING — 7/27/2022 11. Hear a presentation from Samuel Vaughan with Ameriprise Financial Services. Samuel Vaughan explained the benefits of Ameriprise Financial Services. Page 7 of 14 Mae Belle Cassel From: rhonda.kokena@calhouncotx.org (rhonda kokena) <rhonda.kokena@calhouncotx.org> Sent: Thursday, July 21, 2022 12:47 PM To: MaeBelle.Cassel@calhouncotx.org Subject: AGENDA ITEM / JULY 27 Good Afternoon — Would you be so kind as to put Samuel Vaughan on the agenda for the 27th? He will speak about deferred compensation on behalf of Ameriprise Financial Services. Samuel Vaughan Ameriprise Financial Services Associate Financial Advisor Montandon & Associates Thank you -! )Zkp r x 5> ` Plce- x GatAlsli n i2,p Treawrer ZOZ Sa Ann Street, -,!mite A P®rr' LavA.cx, Texas 77I7T Calhoun County Texas 1 # Zz NOTICE OF MEETING — 7/27/2022 12. Recognize Calhoun County EMS for their contribution to saving lives in our community with the American Heart Association Mission Lifeline Gold Plus Award. Dustin Jenkins and Danny Munselle gave a brief report. Page 8 of 14 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.lenkins@calhouncotx.org> Sent: Wednesday, July 20, 2022 3:24 PM To: Mae Belle Cassel; Lori McDowell Subject: Fwd: AHA presentations Attachments: AHA Mission Lifeline Gold Plus 2022 (commisioners court).docx Mae Belle, We would like to recognize the hard work our guys at CCEMS have been doing to save lives in our community and give our community and the Commissioners Court an opportunity to see what their generous support allows us to accomplish in the next Commissioners Court. This Year Calhoun County EMS had achieved the American Heart Associations "Mission: Lifeline EMS Gold Plus Recognition" by achieving the following goals: Mission: Lifeline EMS Gold Recognition "Agencies earn Gold recognition with a minimum patient volume of at least 8 STEMI patients transported directly to a STEMI Receiving Center for Primary PCI and/or STEMI Referring Hospital for fibrinolytic administration and for achieving 75% or higher adherence over at least one consecutive 24 month interval all Mission: Lifeline® EMS quality measures to improve the quality of care for STEMI patients." Mission: Lifeline EMS Gold Plus Recognition "In addition to meeting the above requirements, the agency also achieved at least 75% of those patients who received a 12 Lead ECG (106 patients who met criteria in 2021), the percentage of 12 Lead ECG's performed <10 minutes of EMS First Medical Contact on patients with an initial complaint non -traumatic chest pain/ACS symptoms who are >_ 35 years of age." In the past this is the verbiage that you used on the agenda: Calhoun County EMS for their contribution to sa Please see the attachment for the full Official Announcement from the American Heart Association. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenkins@calhouncotx.org (361)571-0014 Calhoun County Texas #13 NOTICE OF MEETING — 7/27/2022 13. Consider and take necessary action to approve the Specifications and Contract Documents for Magnolia Beach (21st Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Thursday, August 18, 2022 at the Magnolia Beach (215t Street) Pier in Magnolia Beach, Texas. Sealed Bids will be due before 2:00:00 pm, Thursday, September 1, 2022 at the County Judge's Office. (DEH) Scott Mason explained the bid. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 14 Mae Belle Cassel From: David.HaII@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Sent: Thursday, July 21, 2022 11:22 AM To: Mae Belle Cassel; Sara Rodriguez Subject: Fwd: Request for Agenda Item - Mag Beach and Indianola Pier Rehab Project Attachments: 9115.027 - Pier Rehab - CD - For Bidding 071922.pdf Sent from David's Phone David Hall Commissioner Precinct 1 Calhoun County Office 361-552-9242 Cell 361-220-1751 Begin forwarded message: From: smason@gwengineers.com Date: July 21, 2022 at 11:19:44 AM CDT To: David Hall <david.hall@calhouncotx.org> Cc: angela.torres@calhouncotx.org, peggy hall <peggy.hall@calhouncotx.org>, Cindy Mueller <cindy.mueller@calhouncotx.org>, Glynis King <gking@gwengineers.com> Subject: RE: Request for Agenda Item - Mag Beach and Indianola Pier Rehab Project 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. David, Attached are the contract documents for consideration. Thank you, Scott P. Mason, P.E. Lead Project Engineer G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, Texas 77979 P: (361) 552-4509 F: (361) 552-4987 srnason@gwengineers.com From: Scott Mason <smason@gwengineers.com> Sent: Thursday, July 21, 2022 10:58 AM To: 'David Hall' <David.Hall@calhouncotx.org> Cc: 'angela.torres@calhouncotx.org' <a ngela.torres@calhouncotx.org>; 'peggy hall' <peggy.hall@calhouncotx.org>;'Cindy Mueller' <cindy.mueller@calhouncotx.org>;'Glynis King' <g ki ng @ gwe ngi ne a rs. co m> Subject: Request for Agenda Item - Mag Beach and Indianola Pier Rehab Project David, I am asking if we could have the following placed on the agenda for the July 27, 2022 Regular Commissioner's Court Meeting Agenda for consideration: Consider and take necessary action to approve the Specifications and Contract Documents for Magnolia Beach (211t Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Thursday, August 18, 2022 at the Magnolia Beach (2111 Street) Pier in Magnolia Beach, Texas. Sealed Bids will be due before 2:00:00 pm, Thursday, September 1, 2022 at the County Judge's Office. Please see the attached plans and advertisement for the packet. I will be sending the contract documents here in a few minutes. Thank you, Scott P. Mason, P.E. Lead Project Engineer G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, Texas 77979 P: (361) 552-4509 F: (361) 552-4987 smason@eweneineers.com Calhoun County Texas #14 NOTICE OF MEETING — 7/27/2022 14. Consider and take necessary action to use GOMESA funds in the amount of $1,492.50 for additional repair cost from D & P Coastal Marine Construction for the emergency work on the breakaway bulkhead located at Haterius Park, previously approved by the Commissioners' Court on June 8, 2022. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 14 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172--Olivia, Port lavaca, Texas 77979 — Office (361) 893-5346 — Fax (36I) 893-5309 Email: ioel.behrens6,calhouncotx.om Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for July 23, 2022 • Please Consider and Take Necessary Action on using GOMESA funds in amount of $1,492.50 for additional repair cost from D & P Coastal Marine Construction for the emergency work on the breakaway bulkhead located at Haterius Park, previously approved on June 8, 2022 Commissioners Court. Sincerely, Joel Behrens Commissioner Pct. 3 D & P Coastal Marine Construction 834 CR 422 E1 Campo TX 77437 Cdll 361-972-0084 / Fax 979-578-8118 vrn .piersdecksxmn Email: drayt?aptersdeckacom Bill To Calhoun County Invoice Date Invoice# 7/21/2022 9125 Terms Quantity Description Amount 1 Remove the existing framing members within the 50' repair 19,838.00 segment. Reuse the existing piling in place. A new 3x8 waler will be secured to the existing post with stainless steel lag screws. New 10' length, 4.1 profile Everlast vinyl sheets (3.1 profile which is thinner would save almost $900.00; 2.1 profile would save almost $1,000.00). A new 3x8 waler will be installed outside the vinyl c& secured to each existing piling with galvanized timber bolts. This would be considered a temporary fix that can be added to in the future (All proposed materials could be used in the future on the "permanent fix'. Revised adding a 2nd lower 2.5 marine treated 3x8 wafer secured to the existing post. Revised cost: $19,839.00 1 Additional cost to extract approximately 58' inpacted feet of existing 1,492.50 vinyl bulk -head material all below the static water elevation; includes disposal: $1,492.50 Total $21,330.50 Payments/Credits $0.00 Balance Due $21,330.50 D & P Coastal Marine Construction L.L.C. 834 CR 422 El Campo, TX 77437 I Name / Address I County Texas Estimate Date Estimate 5/252022 1590A Project Description Qty Rate Total Remove the existing framing members within the 50' repair 1 19,838.00 19,838.00 segment Reuse the existing piling in place. A new 3x8 wales will be secured to the eaisEng post with stainless steel lag screws. New 10' length, 4.1 profile Everlast vinyl sheets (3.1 profile which is thinner would save almost $900.00; 2.1 profile would save almost S1,000.00). A new 3x8 waler will be installed outside the vinyl & secured to each existing piling with galvanized timber bolts. This would be considered a temporary fix that can be added to in the fume (All proposed materials could be used in the future on the "pe manent fix'). i'um key total cost as described above: If approved, we can fit this rehab. project into our schedule ASAP; we just need the wind to cooperate. Thanks, M will be due balance and balance when completed Revised adding a 2nd lower 2.5 marine treated 3x8 wafer secured to the existing post Revised cost S19,838.00 Total $19,838.00 CERTIFICATE OF INTERESTED PARTIES FORM 3295 l aii Complete NOS. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number 1 Name of business entity filing form, and the city, state and country of the business antiry's place of business. 2022-893672 D & P Coastal Marine Construction LLC ! EI Campo, Texas, TX United States Date Fled: OW012022 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Data AcS ncrwledged: 3 Provide the identification number used by the governmental entity or stale agency to track or identify the contraei, and provide a description of the services, goods, or other property to be provided under the contract Breakwater Repair New IV Iength,4.1 Everlast vinyl sheets I 4 Name of Interested Party City, State, Country (place of business)I Natureof interest (cheek appfieable) Cbrtrolling intermediary Acura, Penny El Campo, 7X United States X!! Acura, Dray El Campo, TX United States Xi i I j 5 Check only if there is NO interested party. ❑ IiNSWORNDRATI - �6 � �,,�. My name is r or 6.�C/frt P �+ , and try date of birth is — My address is_ (street) (day) .—(slate) (Tip wce) (country) I declare under ppeen�/)/ryypgp� pferjury thh the -foregoing Is true and conecL Executed in County. State of on the 6 $, day of tie2a �� re oriz of contracting business entity i avant) � .....-r.-••�=��r www.ernres.smre.Lr.us ! Version V1.1.197b5cdc ®9 Request for Taxpayer Give Form to the Fawn identification Number and Certification requester. Do not Rev. oc obe 2gt5) Departrneot ofaeTrerSury send to tits IRS internal Revenue seance "o to www.irsgov1Form=for instructions and the latest information. 11 Name(aa shown an yourinccmeazrelum). Name I. required onthis One; do notleavethu tint,blank D.Ray ACUna 2 9usinem namefdisregarded entity time. L ditferentfrom above D & P Coastal Marine Construction LLC. e 3 Checkappropriae boxforfederaltax dassificauen of the person whose name isatered an line 1. ON" only one ofthe 4 Fxemptions(codesapplyonlyto c following saver boxes. cerfabt erfities, not individuals; see instihtetions on page 3k c ❑ Individuayscte proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Tnss'✓estate, o c a)ngle-memberLLC Exempt payee code Of any) a� Q United liabilitycrompany. Enter the texcleadfloation(C-C oorporation. SAS corporation, P=Padnershfp)> 5 `o Nate: Checkthe appropriate box inthe OnsaboVe forthetaxelassification of the single-memberownen Donotcheck Exemption from FATCA reporting .. �= LLC if the LLC is cfamified as a single mbar U.0 that isdifiregarded from then unless the winner ofthe LLC is another LLC that is notdLsregaided from the omer`.or U-1, federal tax purposea Otherwise, eengla-member LLC tie codelfany) p-� is disregarded from the ownershoWd eheekthe appropriate boxfwthe tax clamirinton of its ovmer. o ❑ Oarer {see listruetions)► tyy,'cmmmme,nv:m.:erwxarr�ush rp 5 Address(number,street. and apt. orsufte no.) See Instructions. Request�snameantl adtlrass(opliortap m 834 CR 422 Calhoun County m 24627 Slate 21ghway172 6 City, sate, and ZIP cede El Campo, TX 77437 Port Lavaca, I X 77979 7 List account numbers) here (optional) . Taxpayer Identification Number (TIN) Enteryour T 1N in the appropriate box. The-nN provided must match the name given an lme 1 to avoid I Social seetdq�number resident withholding. .a Forietor, rdisthisisgenerally yoursods security number 1,Safer. !Forever, forabackup � Im-I—I-TT1 resitlent alien, soe proprietor, or disregarded entity, see the instructions for Part 1, later. For other — entities, it is your employer identification number(EItN). If you do not have a number, see How to get i I 77N, latter. or Note; tithe account is in more than one name, see the instructions for tine 1. Also see What Name and I EmployariaanOfkanon moober Number ;o Give the Requesterfor guidelines on whose number to enter. : 8 2 — SD 3 S 4I 5 9 1 1. The number shown on this form is my correct taxpayer identMoation number (or I fim waiting fora number to be issuet 2. f am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not, been notifi Service ORS that I am subject to backup withholding as a result of a faitureto report all interest or dividends, or (o) the no longer subject to backup withholding; and 3.1 am a US, citizen. or other US. person (defined below); and 4. The FATCA code(s) entered on this form (d any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above if you have been notified by' the IRS that you are currently subject you have failed to report all interest and dividends on your tax rebfm. For real estate transactions, item 2 does not apply. Form acquisition or abandonment of segued propery, cancellation of debt, contributions to an individual retirement arrangement OR other than interest and dividends, you are not required to sign," certification, but you must provide your conectTIN. Seethe I notified me that I am because Here 9 re of 1 U.S. parson► i --7 G/•^"—`` 2�e v General Instructions •FamI099-DIV(dividends, including those from stocks or mutual Section Sated. references are' the Internal Revenue Code unless otherwise fursds) i . Form 1099 MISC (various types o; fncomg,.prizes; awards, or gross Future developments. Forthe latest infomation about developments proceeds) a Form1099-8 (stock or mutual fund sales and certain other related to Form W-9 and fie instructions, such as legislation enacted after they were Published, go to wvvw.irs gov/FomeW9. transactions by brokers) • Fom 1099-S (proceeds from rear estate hansect)ors) Purpose of Form • Fom 1099-K (merchant card and third parry network transactions) An individual or entity (Form W-9 requester) who is required to file an • Fom 1098 (home nrortgage interest),1098-E (student loan Interest), information return with the IRS must obtain your correct taxpayer 1098-T (tuition) identification number (TIN) which may be your social security number a Form 1099-C (canceled debt) ' (SSN), individual taxpayer identification number (ITIN), adoption taxpayer Identification number (AM", or employer identification number • Form 1099-A (acquisition or abandonment Of secured property) (MN). to report on an information return the amount pad to you, or other Use Form, W-9 only if you are a US pers�n (including a resident amount reportable on an information return. Examples of information alien). to provide your correct TIN. returns include, but are not Funded to, the following. ff you do not return Fom W.9 to the requeisrerwith a 77N, you might • Fom 1099-INT (interest earned or pad) be subject to backup vdthhoWng. See Whatis backup withholding, later. i Cat. No. 102SIX Form 1N-`3(Rev.1c-20te) A`®R®0 CERTIFICATE OF LIABILITY INSURANCE AM Do7PS"" z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: if the Certificate holder is an ADDITIONAL INSURED, the policy(es) must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, Certain policies may require an endorsement A statement on this certificate does not confer rights to the Certificate holder in lieu of such endorsemem(s). PRODUCER 979-541-3057 979-543-8185 Paul Herrmann 202 Fahrenthold El Campo, TX 77437 `NAME `T Paul Herrmann P1ONE 979-541-3057 T5 N., 979 543-8185 A`no e• paul@herrmanninsurance.com MSU AFrOROmG COVERAGE NAICC INSURERAe Kinsale Insurance Co INSURED 979-578-8118 D & P Coastal Marine Construction, LLC 834 CR 422 El Campo, TX 77437 INSURERS: INSURERC: INSURERD: INSURER E: INSUNERF: COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR iYPEOP RlSURANCE POUCYNIIMBER POLI.T1r PO�UDp EXP �� A ✓ C°mMEN°'A'-GENERA'-'-'^B"'TY CLAIMS•MADE © OCCUR t/ 188767-01 07/OaaO22 07/0812023 EACHOCCURRENCE s 100000 PREMIBES ammenn $100000 MED EXP LAnymm Person) S PERSONALSADVIWURY $100000 GEN'LAGGREGATE UMITAPPLIES PER POLICY PRO. LOC OTHER GENERALAGGREGATE S500000 PRODUCTS -COMPIOP AGG S500000 $ AUTONOSILEUN3IUw ANY AUTO OWNED SCHEDULm AUTOS ONLY AUTOS HIRED AONLY NAUTOS ONLY �M&PAN SINGLEUMIr S 90DILY INJURY (Perperson) 5 GODLY INJURY (Peraeddem) 5 PRO PERTYDAMAGE S 5 UMSRELIA LNB EXCESS UAS OCCUR CWMSMAOE EACH OCCURRENCE 5 AGGREGATE S oeD I I REreNnONs S WOW�iSCOMPENSATION ADIDEMPLOYERSLNBLnY YIN ANYPROPRIETOR/PARRRERIEXECUTNE °PFICEWMEMBERIXCLUDEO? (MyyassssndazoryN Nlfl If DESCRIPTION OnF OPERATIONS b I. NIA PER 10TH- ST T EL EACH ACCIDENT 5 EL DISEASE -EA EMPL S ELOISEASE-POUCYUMR I S D6CRD'IION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD tOt. AtlENPnNRenurW SeAaEWe, may Ee aRacTetl Nmortspap IsmpPlletl) 1 Ann St Suite 104 rt Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD #15 NOTICE OF MEETING — 7/27/2022 15. Consider and take necessary action to approve a contract/service agreement between Calhoun County EMS and Office Systems for a Ricoh B & W Digital MFP copier and authorize the EMS director to sign all relevant documents. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 14 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Monday, July 18, 2022 2:34 PM To: Mae Belle Cassel Cc: Donna Hall; Lori McDowell Subject: Fwd: Copier paperwork Attachments: W-9 2022.pdf; 1295.pdf; Countersigned Agreement.pdf Mae Belle, Please place the attached Service Agreement on the next Commissioners Court agenda for approval to sign, Thanks! Very Respectfully, ]. Dustin Jenkins, DMin, MBA, MTh, LP Director of EMS Calhoun County, TX From: "bbillingsley@officesystemstx.com (Brian Billingsley)" <bbillingsley@officesystemstx.com> To: dustin.jenkins@calhouncotx.org Date: Mon, 18 Jul 2022 10:24:07 -0500 Subject: Copier paperwork CAUTION: This email originated from outside of the organization. Do not click links or open Good morning Dustin, Hope you had a good weekend. I think this should be everything you need. The contract/maintenance agreement has been signed. Let me know if there is anything else you need on my end and I'm happy to send it over. Once this gets approved, who would you like me to coordinate with for deliver and install? Best regards, Brian Billingsley Vice President r officesystems 2102 N. Laurent St., Ste #200 1 Victoria TX 77901 P: 361.575.6886 F: 361.703.5197 E: Bbillinoslevnaoffcesystemstx.com w .offcesyslemstx.com Service: service4officesystemstx.com I Billing: ar(o)officesystemstx.com in] This electronic transmission (and any attached document or file) is confidential and intended for the sole use of the individual(s) to whom it is addressed. Any further distribution or copying of this message is strictly prohibited. If you received this message in error, please notify the sender and destroy the message (and attached files) immediately. J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361)571-0014 Calhoun County Texas Request for Taxpayer Give Form to the Form s,�9 (Rev. November 2017) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs,goviFornli for Instructions and the latest Information. 1 Name (as shown on your Income tax return). Name Is required an this line; do not leave this line blank. DOFST, LLC 2 Business name/disregarded entity name, If different from above Office Systems c wm 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entitles, not individuals; see a p ElIndividual/sole proprietor or ElC Corporation El Corporation ElPartnership ElTrustlestate instructions on page 3): c single -member LLC Exempt payee code (it any) ¢a , .2 ❑✓ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)► S 0 2 Note: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting V in E LLC if the LLC Is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is LLC that is disregarded from the for U.S. federal coda (if an ( y) ¢ o w another not owner tax purposes. Otherwise, a sin Is LLC that is disregarded from the owner should check the appropriate box for the tax classification of Its owner. ❑ Other (see instructions)► MA Ies to cmma me Mm gdammee 1q U.S.) N 5 Address (number, street, and apt. or suite no.) See Instructions. Requester's name and address (optional) N 2102 N Laurent Street Suite 200 6 City, state, and ZIP code Victoria, TX 77901 7 List account numbers) here (optional) IBM Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a - [I]-� resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other entities, it Is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account Is in more than one name, see the Instructions for line 1. Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. F-T-1 AMMMEl[iil""w 1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be Issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S, citizen or other U.S. person (defined below); and 4. The FATCA cods(s) entered on this form (if any) Indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than Interest and dividends�ypu are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. 'y" Signature of Here I U.S. person ► General Instri Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, go to www.irs.gov/FbmrW9. Purpose of Form An Individual or entity (Form W-9 requester) who Is required to file an Information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), Individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer Identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns Include, but are not limited to, the following. • Form 1099-INT (Interest earned or paid) Date► 2—) / .S//?, • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISO (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan Interest), 1098-T (tultlon) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What Is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) CERTIFICATE OF INTERESTED PARTIES FORM 1295 left Complete Nos. 1 - A and 6 it there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 it there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2022-915235 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. office systems Victoria, TX United Slates Date Filed: 07/27/2022 2 Name of governmental entity or state agency that Is a party to the contract for which the form Is being filed. Calhoun County EMS Date Acknowledged: 3 Provide the Identification number used by the governmental entity or state agency to track or Identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. 1790327 Copier and Printer Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION Il t h My name is and my dale of birth is My address is (street) (City) (a rne) (xlp carte) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed In U I ['f0 f 1 A County, State of Gen g on the 27 day of 20 Z._Z . (float) (year) .,I titre of authorized ag in of co a .flog I IIIe55 -%Iy — (Declarano Forms proviaaa ny I exas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc 0. Owner. Office Systems t';,,, officesystems OS AGREEMENT .• . e N„w„a ..,.-�a.b_ CALHOUN COUNTY EMS Dustin 705 HENRY BARBER WAY �emvu,M f.,n.. I.YOaIe/ 361)552-1140 so sai. afawe r ,m.s mume. PORT LAVACA TX 77979 . $ __..139.00 63 .,. MonthlyImage Motor Reading Frequo"CY .. ----_. .-_---__—_ • _ $D Dzz NA .--NA Unlimited Unlimited Copier Engine Consumable Supplies Included Unless Othemiso Indicated, Excludes Throughput Stocks &staples. 'Excludes Fax Supplies & Service BLACK Supplies included, N0 COLOR Supplies Included ❑ O '-1I An s amountI mats, of nimusaffmats,�- I THIS AGREEMENT CANNOT BE TERMINATED EARLY. Brian Billingsley Addelonnl Terms and Lnndiions an sa..nd Fate Oexr Aeraod Upna Addandum(s)irrl.da: ❑ PMA ❑Pax ❑ eMall Page 1 oft Rev. D2/21/2017 1. Ownership and Use, of System: Owner is the onto Omer and line holder to the "Syrmm•. T O -System' shall "eon Ni traasmm houl, nation an Nailed by section 1g lanes, injuries) included an the OS Agreement. Customer notees I. keep the System And asraclnmd pmduge teen and clear of 51l'410nr: nod Claims. Customer apnoea that Me System and associated Products Wit bemailImlay'fat business mormane and not Is, Amara,, A'.., ofpm"Ann; as. nntl that the C,pos ln(a IOf pen is. "Joe,, address. 2. Payment: MonlM1ty sum WII begin on It's ora m acement-da1C. 1no Capt..g•el, 1. past Omer the peso payment union JeWs.s Use a James. be. image Jugav nrehe. due. I he Customer alms agrees In pay ache,. tn, -ph am., In ...As. of Ina ammo diessami The base y Men, and the .,lounge tar Awmmts tom as Indicated on the real papa of this Agreement, IF eny Payment,. more Mbar: this days felt. tire Oelomer names: to Puy. a fee of up is 15%nr Iii possindmenis gmam0 oA the oVard.o em.umi, Out our 1. Morn i dhmmm)mune annular idw.idby Inw. Th. Cu war., Assn Agraon Iv m, 5tl0 for aeeh Ann, I,I, he bank Minor, .lorineullmstallI nlsor Bny.1heanaon Al firm nna nl theist yn.rol Mir. Apreemont and An,. Inch wasonfle. twelve monlit armed Ineadpm. Owner may ormese' he buss Pnymrea'Ad"" Fir.... Pit' oaf,m Bha„0, by......al Out Is ..end 9%.1 Its. risen PAyrnarrl "led Ullllmef.. Ill. CAMalni a1111.s1i". le as the bane:Fta mmo. sort 11. NAIr 3, E..... Image.: Customer, Wll smash to. and Neeponla &Its...is, vadtega to Owsr for the Syetvm by Ilia and at Me .0mand Frank day of Inch allies; pedal in Any:teasonnble manner rugtmeed by Oeomr, uruMmp ale estimated Billion Iyslam. If Customer tolls la Submit 01.14, medhols, Goner may eellntenimAl.m andga,romle InvoldnA'Eased upon Ilia mamat A.moe mmhinga. 4, Tom and Tmncltion Billing: spin Agrevmanl Is binding upon Customs: au The dale Caere.., agn, the Agmemnm. The Apreemenlb nffvElivv an she data Customvt el,on In, Defvvry and Acneptance ('Ehnalim Oates. The tans of the Agreement negns an dale d06agimled by ere .Am recall or All mgehnd daCVmentinam And .So.plan.. by 1,I ( Co mAomA men, Dare) and canlmuus (¢Jiro numberel:monlhs denlgnaletluaHmm'en'lhe real Pape of this Agreement. Carl..., names,.: pay an from or base anym le in liar omvrnllll Mao -I thamonlldynnss paymnnl, far ... A day from gild jorispism, in. F.gecgvo Data prilt Me day pl wino the Course." Anny! Dale. S. Upgrade and Dreangmda Propiriont ,poem mey pi yam.ImOAe vdume entl, in Its manna key A nomer options fro A,mik inp.As ImemrAdinp to ecormnind.t. your finetls. a. Tapes and Foos: This is 0 At .,...am In addition to real. Info Container Apses toiay ell lopes, lies, And Anne ASSIS relaned to The Um of MI Sector, even Slllud:Sflat the ono of the Aus u on.l OWl f We In. pra,eaty I., films told bill Ill. C.plimper as noun at en:lnmice hum the somldtlludon IS opromford. Ovno Iles tl peon In I.Apmlll any leas due far Ilia Yen' and bill Me Customer min fly in.manes A. its. press of tire, uelimxm. Thai C,,Iran, aprons that'll Omer PAYS -AY Wake OF Chagos all %a Cpdomal's bops( C.At..r Wk Ashanti O (Or All suN P.y t and Wit Pay Omer a fee Or ce,noonp entl minte.tet ,.anyl .Ape aedit p .ols orlasf: And •ing them Is the nP pni Aarnodlils, Tire Coca.., We harem 11fly OVm r all aAalfip4mF basis.,Host tll I Ar If anyoq Mason s nnllElpalpd n,: nB (i.mmo.famOnl Ta1C Hltaing AV oflheCY610.TOr'S Ama or'am1951p11a. Omer may Oppose Cuslemar o aa.anANe hetowoe, documentation andtnpeatigaian msie. My InA chagud ,ad., Runsm• Inm.da I ,Nq, T. UCC all tog: The Cuctem •r aulllaliaae Omer of its ansignpe lu sign any dowmnals in wnnncllcn "no the tbdtem Cnmmnminl Code (U C') on :the Cuninmoh behalf. TOO Durres- mIffar.A Owner "to:tnnod the site aunebm(a) If the Syvom in this A ...... At Inn"' Wn, SAY Sa,odAIns) and In any 11111011 In cam. In Proles ore dghla In Am Byeem, Cunlmlim g t ne, ill%i Oman oMar iana riana to dt System if this.Aureemenl is disputed n ...emit tregephall: alld Centell1 nldhralo.nCarl to Import aU'OC•1 ransoms, At.ICment err liar InNmmenl, And appals Omm M Ile flimmuyinleal In .Aecale and delver aYCh k olnlmouh In .,as, In Ali.,, Omer, let.., in Ili. sYalnm. 8. Collateral PmtiIi LlabAdy entl Insurance: lisp Cannot., Is IuSpansWll far Any domain" Inol loop Af Iha Syenmand qny lopses oolnfuryoeusotltlY the Syelem. TIIO CYSIemIr Promise, t. keep Ibp Syetam fupy lateral A1AI1S1 loss ..M Me Agreetrool hpod.In full and nmbrtdn insurance firer lYMeas Omar tram Iftsity Ili, eny dame,. or injury pnmstl by INS Syalam err an Jan.. The Meant pmmu.a 1. ypor Owner Irish orders. of 1. insdmnw .hAVAR OVA• t Mho sS payee far the lull mPlapvmenl value of in.Syalam and addln.Ai Insured Iur Pubho habor antl third Andy pmpartyinicance, V,a,, nou N, If CUdom., fA,,, Io apple. Such aviaonco ream 30 days a(sr Iha damn.nEemdm of lots Agm.moll, Omer has Iha -Plan. but -1 the ehliga MU In do as pI.VMM1:in -;the' JA) Or (B) ton fa0ovts, an dela.•minsd In (wnmY dRrmp.m (A) OSWmn Inn, awurs P,O,ly here, IMF... on the System from n. rappoin dl O,mA(s Ahoasirg in Inch harms sod Atonal, as Opera, deems mabo..leetao lac, O e' Iarm err ItOwmer snow. m asonaa e . the System, Catalan., will not be named ere an [....it pad, Cuslame', fiamaela may not be fully Prelnclsa, end CU.nao , WII mishap. Omar the ammam v4ech tray bn login., Ilion if, PrAmklm C1mlomer mind Pay III Caeeller pbtivand issuance, net \hick may maul) In a profit la Owner through an transepts In minsmanw. It Grossom'A canna re M all of Ill Obligations do, MA AgmOmodl II the tO of I ess, any Mr.umnse pmto.on '--JIM minaa, IA insurance Omer ob,ains pmssmnl in pis submc to i (A) WII be notarial. .1 O,Unm 10 der , or Top,.. Ill. System, Ar 10 any Omer the pans nhlu PAy.mnts due .11. boo,com des ,In, Ins Agreement, discounted at 2% per Banes, or IB) Crari may SIMtga Customer. monthly damage recharge m up to .=5 of the 6ysenl near n5 a series If CAFl Mi Fork .HAd gdlNnlnbfldVo and other coals, aEwild by fueher deundbed on o falls, (am, Omer to Carkee . We Any make a pmtd An ]his Pmgmm NOTHING IN THIS PRDVISION WILL RELIEVE CUSTOMER OF THE RFSPONpIRiUTY FOR LIABILITY INSURANCE ON THE SYSTEM. Owner may Rip Maims poll enlmaa me one manim site. Customers belief( 9. 1110.1 Us,; Also, Inaalhelhol, (honer IS tool ...... ble far any Im us or Injuries snared by IN.Vm Orpose.reendf JOASyrlem. DV£Iamof a910esla llald OV.IP..11a.n tl69 gnd,alm9U:6C Creme, far loss one to defend Cower .,.fact wry claim tar loan. err sooty ...red by me Syron's This igdnmmly Ab1U.Ann WII Apalmon a-s' MI naminmmn of thin A,reomnel if are loop or Iniury Iceland during Ilia Ism Of Ion AAlme n m. Thai Cuenmor nvmes to reimpose (tour for And defond Omni aUAJFla any Atlanta, In losses r I.qutin. Eaaled by the Stolen, anioaM1 --If' We A,0 A, Intel.. are nosed toy Mlle. Penns o0foonme or WnfiS ml4Asndeel aI Owner IN NO VVENI' Glen' L OWNER Br RFSPONSIRLr FOR ANY CONSFOUENT+AL OR JNaRRCI❑AV r6. ld, Mkflb lumgai and Can, of DlaJ Syalam: Thai Clause, .'rem, to notion, As .red snow. Pro Syslom M accordion, vdlb the JUA,, worecowns me AW at, its.. o... :is, - -em-'-^•-^-•_••••,e ........r,.nwuw.P.—As."A. IMeey is lnanaeafir lira ll,led Eyal. M-ainlenArsv Abodes, and Is limped to; parts meat, or ruplMaMan ,antl nssoninotl labor. far Sm ose mym rid ere A resMl of nomnt wva muLa. , Stations. exeludlna Mo nf,an Stocks Bad SIAPMA aR Included mines o spoone Indicated. War, ansaClead dill Customer's Inlomaon Theme- Ines he listed an Ihis Agnmomnl: "'oil, has not limilod In Software s, Cance 0.1. Fees antl NIMArk I. net Covurod by am Owns, ma Is pIII.Mm,o to Coelal.. Owner is tgl msponsble I., any OMA N,. to Centaur ds hoormalun Toehnaotry Bilious,. Custcmorls noun tole ferall 80S m Amnoneft oantl Is Wlalit to Customs, Croma,.IS ,at mrpurNnna [n, any amimm, in (k su more lnfemellns Tnchnomgy Systems Customer is fvopmalla. an all Soft.. Ammon ale And More Is ear a iaay tr any Stich Anumeng, but WII include such aoilwum as pad of Ilse Agreement. Owner does tons own any AolNmro s a marmot ,.Asia, eny Internet In JI to Caxton, to Aaoednnue MM top Ap eamnnt va or, 10:days ofIll. aephefii A,..N.oItoppo ton, Iur Wlm n,ser A.,.. ul It.. ALupumonl OunWoom Wit dolivnf the Fyninm to Omer in p,ad randtten, nntl apaIn ..of IOr normal.., and leer. 11. LnnaSnh of Syesm: Th. Cmstamnr WA keep its System allho location npouln.0In ]his Agreement Ties Casmmel M.It Obtain Carl Vl1]II0:1 panlpSs.,"...an Ills S nwro net Claims' WA anew Comes or (Is agame to Inspect If,. System al eny anaommon time -Whoever Itisaaelpd. 12. ApolOnment; THE CUSTOMER HAS NO RIGHT TO SELL. TRANSFER. ENCUMBER, SUBLET OR ASSIGN rHE SYSTEM OR THIS AGREEMENT. Owner may A. Intends, or mango this AgropmanLWhom! notice nntl if Omer doss, in. Aspirin. Von have the some dates Pad been, a DWnm Ina£ bed Wit nut fl. Ve is bedom any OI rompe a911'ei Vila. Omer Wit faun that& obiipeU ,a, one CrlSbmeOeamot that ftre starts at the ..It.... WII AVl be:.Atr: IU as,, St.lm£, defenses or wle„ theenVHrmtra may no,. ln"' DAT.r. iR MARES NO WARRANTY EXPRESS OR IS PIT fOR A:PARTICUTAR PURPOSE OR' SYSTEM IS MERCHANTABLE- OWNER TRANSFERS TO CUSTOMER ANY Arri BN WARRANTIES MATT_ BY THE: VARIOUS MANUFACTURERS REPRESINTED IN Iflai AGREEMENT. CUSTOMER AGREES CUSTOMER HAS SELECTED THE SUPPLIER AND EACH :.ITEM OF 'SYSTEM AND ASSOCIATED PRODUCTS 'BASED UPON ITS SOWN JUDGMENT AND 'DISOLttIM ANY RELIANCE 'UPON ANY ORAI. STATEMENTS OR AGAINST ANY SUPPLIER, LICENSOR OR MANUFACTTIRER, AND FAILURE OF A SERVICE PROVIDER TO PROVIDE SFRVICEs Wit NOT F%GUSE CUSTOMER'S OlIft AGATICANS TO OWNER UNDER THIS AGREEMENT. 14. OMeal and Reaper A:ThaCoslome, Wp bo In dMaull 11 A, of the falluMrg...use If Customer daps Imbpay lfly .,Petrel under fill. Agrni er the, Arm do. io Opener or any other *silly, 01) Urmdmmbranchbb onyother tonAll Ann A9mummll or any athe, agraumonf Will Omer or Say Joanne o,memenl v4lb nay other rally, (III) CUMEmar AT any p...Jr. plus 10001VAS OF testa.lea(M)Cantnmm..it..1)A., slide far.. Milleaeat OI I .. [.]A, people,, nA at,, naseam 'Gallant., .IAibnlly MU of Its rental: or (Vill) Custom n Makes to avmunlnNy'.Ilia or have' tied Apainalll an saian C trA nlor defaults. Center ,an lake Ilia AolluWng -rumors Customer to pay 1) all so duo ...Ail. , A , uneapimdl ton dlscaunied:m Mean]value la atom It. Britain, to Ownms As this CUrtmomen .liable' a: ow vralsuily fn, Coslomnr premiss atla.any Seat as ... effort Will Inf pcArm.l .1 this nlereal GA ail Pnsdlm am.uaA, dorm No due date. 1111e Cus nnnds msponsiblfly As onionskin rium 15, Beat.... A9raomonl And ppInsists of fit.: THE CUSTOMER AGREES THAT THIS AGREEMENT Mil RE flOVErTNEO UNDER THE APPLICABLE LAW OF THE STATE IN WHICH OWNER (OR, IF ACSICNED •UY OWNER, mWNrR'S Aftenci n MAINTAINS ITS PRINCIPAL OEHCEs AND ANY DISPUTE CONCERNING THIS AGREEMENT WILL IMF AD UDICATED IN:A FFOF.RAL OR STATF. COURT IN SUCH STATE.. OWNER tANO 116 ASSIGNEE) AND CUSTOMER WAIVE THE RIGHT TO A 1RIA1. BY :JURY IN `HE 2VEW OF A-IAVVi AND WANE ANY RIGHT TO TRANSFER VF-NUF Is. Renewal sort Return of System: one, the Minimum Tom, as depend by the ftornm.nt and DAytWpan extension thereof, this AUro mo.l WII aulomaMAlly snow an A moN. (121 month basic unless 1) JIM 2lnnla fmalliea emmr In wnTiA, net loss than gonays parr tothe eepl•alsn ni iho Meat T'nrm Al extanol n of its-inienlion to plum,• to System and 2) Ilia Cualomer mbrmr In. Sy lam as:. Provided bar.. Prwidud In. Carlo.., Ma given such timely, naliw, It shall return the SMAOS, height and Insurance groans Is Dome, In go" raptor mndlllon and wnsing order. nMlaary weerand tent sencoi in a manner nntl or a Imurnan dae]gnetud by Omer. The Cllslefna mum they eny mealmn argils Gen Mai the System is moelued In VOW woMlnp wropllan by Owner err Us apmA. Caelomer IS m rralm IA for pmloElmp And mormVi0p any canOdoAUsl dana4mopos Staretl on the System poor In 11, aelum for any earn. Customer Innynnlderminnl" this Agmnrflnrd.aey Wlhea 6nnoi...... As. IT. Olho, Right.: Tao C.Uhanw Imes Ih.I Dalai (relay. m IAlum io ...An, nay rights, 'lees net pmvael Owner fmnl axekelsap gam NI a let., limit. If any and of this Ap...... I I. fmmtl Is bn Invert, Ihnn station 101 oyAbom , not Of am other pans antl hale rro ens ahel Ire mAM(md t. M. misses "I.. As yemdlied by Inw. no. Items IF Ihls Agreement sup rsedi any Amorous Paldl.se poor. ter. UCCr2A Pandidonm Cartoon, sp vas sh)• and sit Agree And ramadms granted to Castumer under secliona yA5GfTnAA.gttp M Olson DOC and.press the IMs As ni m et, In ire hand. of OWN-. asegmeeis, 0, amn be treated A. aA ....menl.Offi. type depned in Section 103(1)(g) I!Arbso M of the UCC 13. Entire Agmamonl'. Tips A9mamenLmPmram, In. enll n Alm ononl bviwaan 0.1 and the Customer m,oml., M,Ro ant, of flee System, Nunn- boor nor the Cp,mol WIlbe bound by Any amendment, waive,; err pill,, charge unless agreed to In willing end coned by LAM Panel. 20. MISCELLANEOUS: My Change he eny of the names and conditions AT Bee Agmpnmm meal be In porthl and Atoned by Orel., Ces anor a0tnni however, thin Omer Is aulhollmd, wlMops hatomto Custemm, to supply nt5o ng arnon.han are.mal ton... mom 01001Aipmai a. olds verslunal Cualam.fe slpnnlnr.an lMn AnmamRnLxhOn mlalived by O+mpr shall ba lempoo am.,. Contemner net odpfordly Signed. I Immva, ]We%Agmphous shell be binding A. Omar man sisland by tlWner. Both Coleman and Owner agree fill the ..ran al the. Agmarnent old, onsai arglrsl I,emplum sled wnrldele in. odg]nal uulhanulias Fail. NMI" 00 days .her OwMla advent, CUsloner sit deft... all requested (nfamratiun (including tax returns) whroh Omer deems reasonably nAra,Sgh• to determine Olaennen almost fm.read.11llionned faithful pedemars..1 Tao if., hani Page 2 of 2 Rev. 02/21/2017 #16 NOTICE OF MEETING — 7/27/2022 16. Approve the minutes of the July 6, 2022 and July 13, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 14 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County,, Texas met on Wednesday, July 6, 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. Attached are the true and correct minutes of the above referenced meeting. R chard H. Meyer, County Judge Calhoun County, Texas Anna Goodman, County Clerk Deputybr, Clerk Page 1 of 1 NOTICE OF MEETING - 7/6/2022 ]Richard H. Meyer County judge David IFlalll, Commissioner, Precinct 1 (ABSENT)Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Anna Goodman, County Clerk Kaddie Smith, Deputy Clerk NOTICE OF MEETING The Commissioners' Court off Calhoun County, Texas will meet on Wednesday, July 6, 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 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A 5. Consider and take necessary action to lift or retain the county burn ban. (RHM) Judge Meyer reinstated the bum ban, declared state of local disaster and banned all fireworks. Page 1 of 4 NOTICE OF MEETING — 7/6/2022 6. Consider and take necessary action to declare the attached list of equipment as salvage and remove from Road & Bridge, Precinct 2's Fixed Asset Inventory. This equipment will be sold in auction. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 7. Consider and take necessary action to declare the attached list of equipment as salvage and remove from Waste Management's Fixed Asset Inventory. This equipment will be sold in auction or was previously approved for trade in. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 8. Consider and take necessary action to deposit sheet metal recycling check for $1,058.86 from Texas Port Recycling to Road & Bridge, Precinct 2 account 1000-500-53510, Road & Bridge Supplies. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: GaryReese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 9. Consider and take necessary action to approve the amended Purchasing Policy to include language recommended by the Texas General Land Office for cost and price analysis and negotiation prior to award of contracts using federal funds. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 10. Consider and take necessary action to approve the amended Budgetary and Financial Management Policies to include language recommended by the Texas General Land Office for principals on advance payments and cost allowability. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct i SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Page 2 of 4 NOTICE OF MEETING — 7/6/2022 11. Consider and take necessary action to authorize the County Clerk to sign an agreement with DSHS to enable the County Clerk to issue birth certificates from other counties. (RHM) PASS 12. Consider and take necessary action to approve the installation of a credit card terminal at the Calhoun County Museum and authorize the County Judge to sign the service agreement. (RHM) PASS' 13. Consider and take necessary action to approve the proposal from G & W Engineers, Inc. for Professional Consulting Services related to the Roof Re-cover Renovations at Calhoun County Annex II, Calhoun County Ag Building and Calhoun County Seadrift Library and authorize the County Judge to sign the proposal. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Oct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 14. Accept Monthly Report from the following County Office: I. Tax Assessor -Collector — May 2022 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 15. 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, Behrens, Reese. Page 3 of 4 NOTICE OF MEETING — 7/6/2022 16. Approval of bills and payroll. (RHM) MMC: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese County: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Adjourned: 10:13a.m, Page 4 of 4 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 The Commissioners' Court of Calhoun County, "Texas met on Wednesday, July 13, 2022, at 10:00 a.m. in the Commissioners' Courtrooms in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard H. Meyer, C ty Judge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 NOTICE OF MEETING — 7/13/2022 Richard 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 Cleric The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, July 13, 2022 at I0:00 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 Ir Director to sign all documentation. (DEH) RESULT:. APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct I . 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 B. 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 — 7/13/2,022 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 A. 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 Hall, 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 #17 NOTICE OF MEETING — 7/27/2022 17. 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 13 of 14 / \ §§/2a00 o 2 §o e ® §� ° OW k §a §§�}} % )Z § ■ L §m 2 2 k % � k 7 2 2 \ ) z k 2 § a � 0 a§2aaaa §§ §�00000 a - § IMNO 9 ONO § ) Ui k 8 �k :o iz :z Lu :JL :§ z lu 0 0 � z � Ul I- § B § _0000000 §w—K&#C46RJ ©+®© � §■■—® �^ §aa§saaaa § I §w §------- §§saaaaaa ■ § �&S&SS&&S !&»»»!!» 00000000 2222222; ■,_,_,�,_ §®mmmmmm@ ■° \ LU o / §\ o � § Z](LLu LU (g\CO0F< §\M\)LuU/ /)\2\()\ ■$,,,2-= §§d)§§\k k § § k § § B m _17 f w N 0 ao0o w F zz w w a U D U) _ �w O f9 0 O N J Q F O F O O J z 2 C1 F z O_ L K 0 z z e0 eW e� :z €r :z :W €g €d iW L 6 H H F z z z 19l 0 C7 0 000 z z z 001 � W O W a A w w e0 €a :Z €r :z EW €d iW oG O N Ol a 0 mI WIM vi w � min N w U K W w g U Qo w a w w m¢ Z N O a � � a T 5 m a W Q C i w m a H � F o N N O Z C e i C L � O n N z H z W 4 W O cl R J Z g Z Z R F z n u a gIsi Q a w LU z w w 0 W �a> W w �co W uJ Z_p 20 0 w 0 0 w mE H z W 2 W u a z W uJ �n �n ono � W In l(J L(I lA Ci � � CO 00 Op CD o �n moo �a�- `o a w�uri uri rn m m n a O �noo�o �s w W 0 0 0 0 0 00000 W ova wF»vf w� w LU J J J 6� ❑ p i Q Q � < 2 aaZ� Z CL N(D�8Nq(O �XXQZF Z W ZI M M m Q 0 U U K CL ? �aa �00 (~i)U)i �mmoo a H F U U »�& N Z Z K W a a o N W O] N Lao, � N OI'o r r m m F- : O ! Ui z ;F s :z W WW :d 9G � �0 O � i W F W LL Q J a W y Q a aW O m o L o z ;z W !W V a z a z !CWC w G hZ ~ T) t W W z Z o LLI{� LLI m W yd F z m O t1 a V 0: O V z 1: a O N N 19 o» S W O e 7r coo yJ fA f9M 0 19 :zz W a e W O N N N L �O p0 :d 6 fA fR 19 W LL IW� J 0 � oOF f OF uw C Y z it HOaz W 0 H z N W m lu 6 7 :z d ;W d !W z LU O U !W v zz 44 I� Z Z zz ;z 00 :z H 7 F- W m m �F- O O a W o pa p W,0$ g e v v ww 12 # is NOTICE OF MEETING — 7/27/2022 18. 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 County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjorned: 11:25 a.m. Page 14 of 14 M C W O��rIOMNOO C ifl 'i ifl N O Lfl N O O r N N N M O i O ifla N H M 01 N N M �(1 O � � N d O O1MrlN d�c-IH OJH N ifl 'i d� OD �O N N r N xaxxxxxa o [L/4 w FL w w PI 4 N N N 0 �fl Y1 N N N N n o 0 .... coo aaa as E E E N N 0 W V a a a N N Li iZ. mw to W Fj fq �W W W WAN £ZS NGWG++ NN N N H O F. H N N H N N H N N N a N N a a \\\N\\NH .a a N HH P P P N P P H - 000N N x z N aaaHaaFwm C C4 °a 000 a0a'CaEF >4:40440ww a aaa�saa�eaa N � a N Q W a W a E a H U1 a A a a x O V a a W cn O H w a �z w 0Wa o0p �'�a° 2 � E Cal WWz O z O S w aE. El zUz 4pq L O H W N � H H Ag w0 4 N WW V FC z W Hy00 Ufa >. xx iw7 E wH w w w 2 o w 0 0� O O O O O O O O O O O O MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---July 27 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 414,664;06 TOTAL TRANSFERS BETWEEN FUNDS' TOTAL_ NURSINCa'HOME UPL EXPENSES; TOTAL INTER-GOVERNMENTTRANSFERS $ 701,934.69 $ 2,627.39,, ✓ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --- July 27, 2022 PAYABLES AND PAYROLL 7/21/2022 Weekly Payables 396.156.86 7/26/2022 Aqua Beverage Company -water 101.92 7125/2022 Driessen Water Inc. -water 514.00 V21/2022 Patient Refunds 2,072.38 7/26/2022 Frontier -telephone 1,072.33 7/25/2022 Sparklight-cable 4,151.01 7/25/2022 McKesson-340B Prescription Expense 6,017.08 7/25/2022 Ameriscurce Bergen-340B Prescription Expense 1,87T67 Prosperity Electronic Bank Payments 7/18-7122/22 Pay Plus -Patient Claims Processing Fee 400.80 7/22/2022 ExpertPay child support 2.290 01 TOTAL PAYABhE5a PAYROLL g1�D EL`_ECTRONI.BANIC PAYMENTS $ 474,55AA6 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 7/21/2022 MMC Operating to Ashford -correction of NH QIPP payment deposited into 3,438.65 MMC Operating 7121/2022 MMC Operating to SoWa-correction of NH QIPP payment deposited into 1,811.78 MMC Operating 7/21/2022 MMC Operating to Fort bend -correction of NH QIPP payment deposited into 1,635.10 MMC Operating 7/21/2022 MMC Operating to Crescent -correction of NH QIPP payment deposited into 1,311.75 MMC Operating In error 7/21/2022 MMC Operating to Golden Creek -correction of NH insurance and QIPP 72.926.94 payment deposited into MMC Operating in error 7/2112022 MMC Operating to Gulf Pointe Plaza -correction of NH Insurance and QIPP 14,430.00 payment deposited into MMC Operating 7/21/2022 MMC Operating to Tuscany Village -correction of NH insurance and QIPP 26,420.31 payment deposited into MMC Operating 7/21/2022 MMC Operating to Bethany -correction of NH insurance payment deposited 75,262.95 Into MMC Operating in error TOTALTRANSPGRS BETWEEN=FUNS $ 79Z;057,:48`• NURSING HOME UPL EXPENSES 7/26/2022 Nursing Home UPL-Cantex Transfer 274,126.09 7/26/2022 Nursing Home UPL-Nexion Transfer 59,194.53 7/25/2022 Nursing Home UPL-HMG Transfer 78,364.40 7125/2022 Nursing Home UPL-Tuscany Transfer 29,916.53 7/25/2022 Nursing Home UPL-HSL Transfer 260,334.14 T.OTAL,NURSING-6 IE UPL EXPENSES 707;934:69, INTER -GOVERNMENT TRANSFERS 7125/2022 IGT DSH 2O22 to be paid August 06, 2022 2,527.39 SOTALINTER=GOVSRNIVIEN TRANSFERS $ 2,527,39' GRANO TOMAJO158URSKMENI AP.P.ROVED 41 27„ 2022 $1 ISA53161 Page 1 of 11 RECEIVED BY THE COUNTYAUDITORON JUL07/21/222 022MEMORIAL MEDICAL CENTER 7 �ng� AP Open Invoice List CALHOU14ANTY."GEXAD' 0 ap-open Invoioe.template Due Dates Through:0811112022 Vendor# Vendor Name Class Pay Code 10995 ABILITY NETWORK (SHIFTHOUND) ,/ Invoice# Comment Tran Ot Inv or Due Dt Check D Pay Gross Discount No -Pay Net 22M0o99368 V 07/20/20 07/07/20 08/06/20 647.28 0.00 0.00 647.28 of SCHEDULING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 10995 ABILITY NETWORK (SHIFTHOUND) 647,28 0.00 0.00 647.28 Vendor# Vendor Name Class Pay Code A1660 AIRGAS USA, LLC - CENTRAL DIV ✓ M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 9989671980 ✓ 07/20/20 06/30/20 07/26/20 892,96 0.00 0.00 892.96 OXYGEN 9989671978 07/20/20 06/30/20 07/25/20 546.16 0.00 0.00 545,16 ..-' RENTAL 9989671981 ✓ 07/20/20 06/30/20 07/25/20 290.41 0.00 0.00 290.41 ✓' RENTAL Vendor Totals Number Name Gross Discount No -Pay Net A1660 AIRGAS USA, LLC- CENTRAL DIV 1,728.53 0.00 0.00 1,728.53 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC ✓ M Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 11003081 ✓ 07/13f20 07/07/20 08/07/20 1,904.26 0.00 0.00 1,904.26 ✓ 110003052 ✓� 07/13/20 07/07/20 08/07/20 292.96 0.00 0.00 292.96 ✓ SUPPLIES E459965 ✓ 07/20i20 07/05/20 07/30/20 6,249.42 D.00 0.00 6,249.42 V" CONTRACTLEASE Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 8,446.64 0.00 0.00 8,446.64 Vendor# Vendor Name Class Pay Code 11072 BIO-RAD LABORATORIES, INC ✓ Invoice# C mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 905657812 07/19/20 07/07/20 07/19/20 536.16 0.00 0.00 536.16 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11c72 BIO-RAD LABORATORIES, INC 536.16 0.00 0.00 536.16 Vendor# Vendor Name Class Pay Code 14236 CARRIER CORPORATION Invoice# Comment Tran Dt Inv Or Due Dt Check D-Pay Gross 90206217 Discount No -Pay Net 07/19/20 06/29/20 07/29/20 12,830.00 0.00 0.00 12.830.00 ✓' CHILLER RENTAL JUNE 22 6 In3laa- 6I14I a7-) 90206216 07/19/20 06/29/20 07/29/20 12,830.00 0.00 0.00 12,830.00 MAY 22 -CHILLER RENTAL (ui la c - 5 I? 1 Vendor Totals Number Name Gross Discount No -Pay Net 14236 CARRIER CORPORATION 25,660.00 0.00 0.00 25,660.00 Vendor# Vendor Name Class Pay Code 13284 CERVEY, LLC wl Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file;!//C:/Userslitrevinolepsi/memmed.cpsinet.eons/u88125/data_5/tmp_cwSreport507437... 7/21/2022 Page 2 of 11 17059 f 07/2V20 07/12/20 08/01/20 1,699.00 0.00 0.00 1,699.00 LICENSE Vendor Vendor Totals Number Name Gross Discount No -Pay Not 13264 CERVEY, LLC 1,699.00 0.00 0.00 1,699.00 Vendor# Vendor Name Class Pay Code 10723 CILIA LABORATORY PROGRAM ,i Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 070522 07/20/20 07/05/20 08/05/20. 180,00 0.00 0.00 180.00 •' FINAL CERTIFICATE FEE Vendor Totals Number Name Gross Discount No -Pay Not 10723 CLIA LABORATORY PROGRAM 180.00 0.00 0.00 180.00 Vendor# Vendor Name Class Pay Code 14304 COFFEE BARREL, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net AUG22 07/19/2007/22/2008/01/20 56,875.00 0.00 0.00 56,875.00 ✓ INTERIM PRACTICE ADMIN 3F (rb II- 14 131 I-rl) Vendor Totals Number Name Gross Discount No -Pay Net 14304 COFFEE BARREL, LLC 56,675,00 0.00 0.00 56,875.00 Vendor# Vendor Name Class Pay Code 14080 CORROHEALTH, INC. v' Invoice# Comment Tran Ot Inv Dt Due DI Check D- Pay Gross Discount No -Pay Net 756991 f 07120120 06130/20 07/30/20 2,197.76 0.00 0.00 2,197,75 CODING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 14080 CORROHEALTH, INC. 2.197.75 0.00 0.00 2,197.75 Vendor# Vendor Name Class Pay Code 11368 CYRACOM LLC ✓ Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2022028535 07/13/20 07/11/20 08/10/20 647.95 0.00 0.00 647.95 INTERPRETATION SERV 11 Vendor Totals Number Name Gross Discount No -Pay Net 11368 CYRACOM LLG 647.95 0.00 0.00 047.95 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON ✓ Invoice# Comment Tran Ot Inv Ot Due Dt Check DPay Gross Discount No -Pay Net 6864620 r% 07/13/20 07/05/20 08/05/20 718.63 0.00 0.00 718.53 ✓' SUPPLIES 6864640 ✓ 07/13/20 07/06/20 08/06/20 68.66 0.00 0.00 68.66 f SUPPLIES 6869800 ✓ 07/13/20 07/08/20 08/08/20 222.00 0.00 0.00 222.00 f SUPPLIES 6864641 ✓' , 07/13/20 07/08/20 08/08/20 104.74 0.00 0.00 104.74 v-- SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 1,113,93 0.00 0.00 1,113.93 Vendor# Vendor Name Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC „i` Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net MMC071522 07121120 07/20/20 07121/20 109,167.23 0.00 0.00 109,167.23 v' PHYSICIAN SERVICES (-tit--t IISIZ�) Vendor Totals Number Name Gross Discount No -Pay Net file:/1/C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88l25/data_5/tmp_cw5report5O7437... 7/21 /2022 Page 3 of I 1 10789 DISCOVERY MEDICAL NETWORK INC 109.167.23 0.00 0.00 1D9, 167.23 Vendor# Vendor Name Class Pay Code 11291 DOWELL PEST CONTROL f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10633 ✓ 07/13/20 07/09/20 08/09/20 505.00 0.00 0.00 505.00 PESTCONTROL 10634 ✓ 07/13/20 07/09/20 08/09/20 260.00 0.00 0.00 260,00 ✓ PEST CONTROL Vendor Totals Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 765.00 0.00 0.00 765.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS �' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 41353 07/20/20 07116/20 07/25/20 40,062.50 0.00 0.00 40,062.50 ER PHYSICIAN STAFFING 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 C2510 EVIDENT y M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net A2207061378 .^/ 07/21/20 07/08/20 07/31/20 20,290.00 0.00 0.00 20,290.00 HARDWAREfTECH SUPPORT T2207121378 ✓' 07/21/20 07/12/20 07/31/20 23,659.55 0.00 0.00 23,659.55 v' CONSULTING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net C2510 EVIDENT 43,949.55 0.00 0,00 43,949.55 Vendor# Vendor Name Class Pay Code 10689 FASTHEALTH CORPORATION ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 07A22MMCA✓/ 07/21/20 07101/20 07118120 495.00 0.00 0.00 495.00 WEBSITE MONTHLY �- Vendor Totals Number Name Gross Discount No -Pay Net 10689 FASTHEALTH CORPORATION 495.00 0.00 0.00 495.00 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ✓- M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 4319791 ✓ 07/19/20 07/05/20 07/30/20 262.03 0.00 0.00 262,03 ✓ SUPPLIES 4359116 ✓ 07/19/20 07/06/20 07/31/20 928.48 0.00 0.00 928.48 ter` SUPPLIES 4359117 ✓ 07/19/20 07/06/20 07/31/20 297.72 0.00 D,00 207.72 SUPPLIES 4359118 v' 07/19/20 07106/20 07/31120 39.58 0100 0.00 39.58 SUPPLIES 4282692 .r 07/20/20 07/01/20 07/26/20 131.02 0.00 0.00 131,02 SUPPLIES 4282690.✓ 07/20/20 07/01/20 07/26/20 131.02 0.00 0.00 131.02 ✓- SUPPLIES 4282691 V-' 07/20/20 07101 /20 07/26/20 240.42. 0.00 0.00 240.42 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net f le:///C:/Users/ttrevino/cpsi/memmed.cpsinet.coin/u88125/data_5/tmp_cw5report507437... 7/21 /2022 Page 4 of 11 F1400 FISHER HEALTHCARE 2,030.27 0.00 0.00 2,030.27 Vendor# Vendor Name Class Pay Code - 11184 FLDR DESIGNS LLC v' Invoice# Comment Tran Ot Inv Dt Due Dt Check D- Pay Gross Discount No -Pay_ Net 15437 / 07/19/20 06115/20 07/15/20 1,176.70 0.00 0.00 1,176.70 vim` PATIENT IMAGING DISC Vendor Totals Number Name Gross Discount No -Pay Net 11184 FLDR DESIGNS LLC 1,176.70 0.00 0.00 1.176.70 Vendor# Vendor Name Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC ✓'' Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 6002164587 1/ 07/19/20 07/01120 07/31120 6,665.83 0.00 0.00 8,665.83 ✓" CONTRACT 6002164508 07/19/20 07/01 /20 07/31/20 680.00 0.00 0.00 680.00 ✓' CONTRACT 6002164562 ,,i` 07/19/20 07/01/20 07131/20 2,422.50 0.00 0.00 2,422,50 CONTRACT 6002164742 ,ii 07/19120 07101120 07/31120 868.16 0.00 0.00 a68.16 v`t CONTRACT 6002164561 „/ 07/19/20 07/01/20 07/31/20 86.67 0.00 0.00 86.67 CONTRACT 6002164563 ✓/ 07/1912D 07/01/20 07/31/20 61.67 0.00 0.00 61.67 CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 9,784.83 0.00 0.00 9,784.63 Ventlor# Vendor Name class Pay Code 10804 HEALTHCARE CODING & CONSULTING ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 12642 � 07/19/2006/30/2007/30/20 1.798.00 0.00 0.00 1,796.00 ✓' CODING Vendor Totals Number Name Grass Discount No -Pay Net 10804 HEALTHCARE CODING & CONSULTING 1,798.00 0.00 0.00 1,798,00 Vendor# Vendor Name Class Pay Code H0416 HOLOGIC INC Vi Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10193683 / 07/19/20 07/08/20 07/19/20 900.00 0.00 0.00 900.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H0416 HOLOGIC INC 900.00 0.00 0.00 900.00 Ventlor# Vendor Name Class Pay Code 10922 HUNTER PHARMACY SERVICES Y' Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 4982 „% 07/21/20 06/30/20 07/20/20 14,813.10 0.00 0.00 14,813.10 �- PHARM SRVS-ADOLPH Vendor Totals Number Name Gross Discount No -Pay Net 10922 HUNTER PHARMACY SERVICES 14,813.10 0.00 0.00 14,813,10 Vendor# Vendor Name Class Pay Code 11200 IRON MOUNTAIN ✓ Invoice# 'Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net GSGS478 ✓ 07/20/20 06130120 07/30/20 694.99 0.00 0.00 694.99 SHREDDING file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.coin/u881251data_5/tmp_cw5report507437... 7/21 /2022 Page 5 of 11 Vendor Totals Number Name Gross Discount No -Pay Net 11200 IRON MOUNTAIN 694.99 0.00 0.00 694.99 Ventlor# Vendor Name Class Pay Code 14364 JACQUELINE HERRERA./' Invoice# Comment Tran Ot Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 072022 07/21/20 07/20/20 07/27/20 37.00 0.00 0.00 37.00 TRAVEL REIMI'(5-lY'7 ta;t4-iw7k l/I14;� Vendor Totals Number Name Grass Discount No -Pay Net 14364 JACQUELINE HERRERA 37.00 0.00 0.00 37,00 Vendor# Vendor Name Class Pay Code L0700 LABCORP OF AMERICA HOLDINGS M Invoice# Comment Tran Ot Inv t Due Dt Check D Pay Gross Discount No -Pay Net 73570133 ✓� (17120/20 07/02/20 07/27/20 15.00 0.00 0.00 16.00 - LAS SERVICES ✓ 73468398 ✓r 07120/20 07102/20 07/27/20 15.00 0.00 0.00 15.00 LAB SERVICES 73562618 v ' 07/20/20 07/02/20 07/27/2o 79.25 0.00 0.00 79.25 v- LAB SERVICES Vendor Totals Number Name Gross Discount - No -Pay Net L0700 IABCORP OF AMERICA HOLDINGS 109.25 0.00 0.00 109.26 Vendor# Vendor Name Class Pay Code 12628 LEGATO „' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net C2394 v/ 07/20/20 05/31/20 06/30/20 11358.33 0.00 0.00 1.358.33 BILLBOARD/FLYER Vendor Totals Number Name Gross Discount No -Pay Net 12628 LEGATO 1,358.33 0.00 0.00 1,358.33 Vendor# Vendor Name Class Pay Code 10972 M G TRUST z Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071822 07/20/20 07/18/20 07/27/20 640.86 0.00 0.00 640,86 ^' PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 10972 M G TRUST 640.86 0.00 0.00 640.86 Vendor# Vendor Name Class Pay Code 14512 ✓ Invoice# Comment Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay Nei 071422 07/20/20 07/14/20 07/27/20 50.00 0.00 0.00 50.00 REFUND Vendor Totals Number Name Gross Discount No -Pay Net 14512 50.00 0.00 0.00 50.00 Ventlor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 19569041 / 07/13/20 07/08/20 08/05/20 115.12 0.00 0.00 115,12 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 115,12 0.00 0.00 115.12 Vendor# Vendor Name Class Pay Code 11141 MEDICAL DATA SYSTEMS, INC. ;' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net H le:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report507437... 7/21/2022 Page 6 of 11 172622 07119120. 06/30/20 07/25/20 286.97 COLLECTION FEES Vendor Total: Number Name Gross 11141 MEDICAL DATA SYSTEMS, INC. 286.97 Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INC. v' Alp Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 30485319 W/ 07/20/20 07/08/20 07/28/20 35.51 INDIGENT Vendor Total; Number Name Gross 10613 MEDIMPACT HEALTHCARE SYS, INC. 35.51 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC fr. M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 2217836203✓,. 071191200710212007/27/2o 65.98 SUPPLIES 2218013656 % 07/19/20 07/04/20 07/29/20 133.50 SUPPLIES 2218110196 ,// 07/19/20 07/04/20 07/29/20 167.65 SUPPLIES 2218013658 ✓/ 07/19/20 07/04/20 07/29/20 910.39 SUPPLIES 2218013654 ✓ 07/19/20 07/04/20 07/29/20 331.64 SUPPLIES 2218013652 / 07/19/20 07/04/20 07/29/20 165.82 SUPPLIES 2218013653 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 286.97 v' Net 286.97 Net 35.61 Net 35.61 Net 65.98 133.50 v' 167.66 ✓` 910.39 0.00 0.00 331.64 ✓` 0.00 ,. 07/19/20 07/04/20 07/29/20 165.82 0.00 SUPPLIES 2218013657 i/ 07/19120 07/04/20 07/29/20 2,921.36 0.00 SUPPLIES 2218133 0.00 0,00 0.00 865 4. 07/19/20 07/05/20 07/30/20 57.00 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay M2470 MEDLINE INDUSTRIES INC 4,919.16 0.00 0.00 Ventlor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC ✓" Invoice# Comment Tran Ot Inv Dt Due Dt Check 0, Pay Gross Discount No -Pay 070122 07/20/20 07/14/20 07/27/20 195.00 0.00 0.00 PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay 10963 MEMORIAL MEDICAL CLINIC 195.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC t/r Invoice# . Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay 8411501 ✓ 07/20/20 07/10/20 07/20/20 338.94 0.00 0.00 INVENTORY 8411500 07/20/20 07/10/20 07/20/20 47.75 0.00 0.00 INVENTORY CM50034 ,i 07/20/20 06/30/20 07/10/20 -21.89 0.00 0.00 CREDIT 7670508 83B9857 �% 07/20/20 07/04/20 07/14/20 226.33 0.00 0.00 165.82 v 166.82 21921.35 v' 67.00 ✓ Net 4.919.16 Net 195.00 ✓` Net 195.00 Net 338.94 ` 4T75 228.33 � file:///C:iUsers/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report507437... 7/21 /2022 Page 7 of 1 I INVENTORY 8387171 ,/� 07/20/20 07/04/20 07/14/20 3,384.46 0.00 0.00 3.384.46 ✓i INVENTORY 8389855 ✓ 07/20/20 07/04/20 07/14/20 491.64 0.00 0.00 491.64 INVENTORY 8387173 07/20/20 07/94/20 07/14/20 64.36 0.00 0.00 64,36 ✓ ' INVENTORY 8391214 ii 07/20/20 07/05/20 07/16/20 3.617.30 0.00 0.00 3,617.30 .� INVENTORY 8393895 y�'� 07/20/20 07/05/20 07/15/20 336.67 UG 0.00 336.67 INVENTORY 8393091 ✓ 07/20/20 07/05/20 07/15/20 220.02 0.00 0.00 220.02 INVENTORY 8393893 Vi 07/20/2007105/2007/15/20 15.04 0.00 0.00 15,04 INVENTORY 4726 dr 07/20/2007106/2007/16120 -1.83 0.00 0.00 -1,83 CREDIT 8396358 vi' 07/20/20 07/05/20 07/16/20 74.69 0.00 0.00 74.69 INVENTORY 8397892 ✓ F 07/20/20 07/06/20 07/16/20 6,457.96 0.00 0.00 5.457.96 INVENTORY ✓�' 8396360 ✓ 07/20/20 07/06/20 07/16/20 207.54 0.00 0.00 207.54 INVENTORY 8398063 r 07/20/20 07/06/20 07/16/20, 3,634.19 0.00 0.00 3,634.19 INVENTORY 8404642 ✓ 07/20/20 07/07/20 07/17/20 32.52 0.00 0.00 32.52 INVENTORY 8404643 ,/ 07/20/20 07/07/20 07/17/20 59323 0.00 0.00 593.23 INVENTORY 8401516 �% 07/20/20 07/07/20 07/17/20 81.75 0.00 0.00 81.75 INVENTORY 8412650 f 07/20/20 07/11/20 07/21/20 306.32 0.00 0.00 306,32 INVENTORY 8412649✓ 07/20/20 07/11/20 07/21/20 3,705.87 0.00 0.00 3,705.87„r INVENTORY 8415636✓, 07/2012007111/2007/21/20 88.99 0.00 0.00 88.99 v" INVENTORY 8415635 ✓ 07/20/20 07/11/20 07/21/20 393.75 0.00 0.00 393.75 ✓' INVENTORY 5923 ,1 07/20/20 07/11/20 07/21/20 -129.41 0.00 0.00 -129.41 ,, CREDIT 3507004 8414231 ✓ 07/20/20 07/11/20 07/21/20 129.01 0.00 0.00 129.01 INVENTORY 8417779 07/20/20 07/12/20 07/22/20 263.48 0.00 0.00 283.46 INVENTORY 8417780 ✓ 07/20/20 07/12/20 07/22/20 198.46 0.00 0.00 198.46 INVENTORY 8417781 � 07/20/20 07/12/20 07/22/20 80.32 0.00 0.00 80.32 INVENTORY z 8419669 of 07/20/20 07/12/20 07/22/20 814.54 0.00 0.00 814.54 INVENTORY file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report507437... 7/21 /2022 Page 8 of 11 8417777 .�' 07/20/20 07/12120 07/22/20 71.20 0.00 0.00 71.20 , .INVENTORY 8419668 ✓� 07/20/20 07/12/20 07/22/20 588.23 0.00 0.00 588.23 INVENTORY 8417776 1% 07/20/20 07/12/20 07/22/20 6.07 0.00 0.00 5.07 v" INVENTORY 8425444 /` 07120/20, 07/13/2007/23/20 70.30 0.00 0.00 70.30 v INVENTORY CM52650 y/� 07120/2007/13/2007/23/20 -438.49 0.00 0.00 -438,49 .•' CREDIT INV831SS28 8425445 �� 07120120. 07/13/20 07/23/20 25.09 0.00 0.00 25.09 U' INVENTORY CM53086 07/20/20 07/14120 07/24/20 -65.97 0.00 0.00 -55.97 ✓y. CREDIT INV 8283082 8427907 `j 07/20/2007/14/2007/24120 1,663,31 0.00 0.00 1,663.31 INVENTORY 8427906 %� 07/20/20 07/14/20 07/24/20 221.90 0.00 0.00 221.90 0'/ INVENTORY 8430629 f 07/20/20 07/14/20 07/24120 1.81 0.00 0.00 1.81 INVENTORY CM53087 07/20/20 07/14/2007/24/20 -1,92727 0.00 0.00 -1,927.27 CREDIT INV 8387171 8387172A / 07121/20 07/04/20 07/14/20 74.69 0.00 0.00 74.69 v' INVENTORY 8409166A �''� 07/21/20 07/10/20 07120M 74.69 0.00 0.00 74.69 INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 25,048.56 0.00 0.00 25.048.56 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 88009216101/ 07/19/20 07/08/20 08/07/20 241.14 0.00 0.00 241.14 SUPPLIES 8800022363 ✓� 07/19/20 07/12/20 08/11/20 202.37 0.00 0.00 202.37 , - SU,'PLIES 8800922362 „f 07/19/20. 07/12/2008/11/20 -259,45 0.00 0.00 -259.45 ✓ CREDIT 8600918143 Vendor TolalE Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 184.06 0.00 0.00 184.06 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 26798 / 07/20/20 07/07/20 08/06/20 502.11 0.00 0,00 502.11 LICENSE Vendor TotaiE Number Name Gross Discount No -Pay Net 11472 OCCUPRO LLC 502.11 0.00 0.00 502.11 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC v' M Invoice# Comment Tran Dt Inv Dt Due DI Check 0 Pay Gross Discount No -Pay Net 32913465 V' 07/19/20 07/07/20 08/01/20 1,125.00 0.00 0.00 1,125.00 v' CONTRACT file:///C:/Users/Itrevino/cpsi/mermned.cpsinet.cons/u88125/data_5/tmpicw5report507437... 7/21/2022 Page 9 of 11 Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA ING 1.125.00 0.00 0.00 1.125.00 Vendor# Vendor Name Class Pay Code P1470 PHILIP THOMAE PHOTOGRAPHER v W Invoice# Comment Tran Dt Inv Dt Dua Dt Check D Pay Gross Discount No -Pay Net 10222 ,/ 07/20/20 07/18/20 07/20/20 100.00 0.00 0.00 100.00 PHOTO PRINTS Vendor Totals Number Name Gross Discount No -Pay Net P1470 PHILIP THOMAE PHOTOGRAPHER 100.00 0.00 0.00 100.00 Vendor#Ventlor Name _ Class Pay Code P2100 PORT LAVACA WAVE-' W Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 063022 07/19/20 06/30/20 07/25/20 606,78 0.00 0.00 605.78 VACCINE CONFIDENCE AD Vendor Totals Number Name Gross Discount No -Pay Net P2100 PORT LAVACA WAVE 605.78 0.00 0.00 605.78 Vendor# Vendor Name Class Pay Code 11080 RADSOURCE ..'' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SC32690722 r/ 07/19/20 06116/20 07111/20 1,708.33 0.00 0.00 1,708.33 LEASE 7116.B/15'22 -, Vendor Totals Number Name Grass Discount No -Pay Net 11080 RADSOURCE 1,708.33 0.00 0.00 1,708.33 Vendor# Vendor Name Class Pay Code 11764 ROBERTRODRIQUEZ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071522 07/20/20 07/15/20 07/27/20 ? r� g 26.�✓� 0.00 0.00 26..p8 '1.8- 411 TRAVEL REIM6 Vendor Totals Number Name Gross Discount No -Pay Net 11764 ROBERTRODRIQUEZ rb 126. 8 0.00 0.00 26.;dp8 7-�•�I Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES .., Invoice# Comment Tran Dt Inv Ot Due Dt Check D- Pay Gross Discount No -Pay Net 56382200045486 ✓ 07/19/20 07/02/20 07/22/20 4,038.24 0.00 0,00 4,038,24 JULY 22 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 4,036.24 0.00 0.00 4,038.24 Vendor# Vendor Name Class Pay Code 10699 SIGN AD, LTD. ,✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 276283 07120/20 07/01120 07/11/20 400,00 0.00 0.00 400.00 LEASEIADVERTISING Vendor Totals Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD, 400.00 0,00 0.00 400.00 Vendor# Vendor Name Class Pay Code 12472 SOMETHING MORE MEDIA, INC. / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1796 �/ 07/20/20 06/30/20 07/15/20 2,225.00 0.00 0.00 2.225.00 ADVERTISING Vendor Totals Number Name Gross Discount No -Pay Net 12472 SOMETHING MORE MEDIA, INC. 2.225.00 0.00 0.00 2,225.00 file;!//C:/Users/ttrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report507437... 7/21 /2022 Page 10 of 11 Ventlor# Vendor Name Class Pay Code 12288 SPBS CLINICAL EQUIPMENT SRVC Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net INVO11323 ,! 07/13/20 07/01/20 08105/20 13.384.80 0.00 0,00 13,384.80 BI BED SERV QTRLY JUNE 22 Vendor Totals Number Name Gross Discount No -Pay Net 12288 SPBS CLINICAL EQUIPMENT SRVC 13,384,80 0,00 0.00 13,384.80 Vendor# Vendor Name Class Pay Cade 83960 STERICYCLE,INC v/ Invoice# Comment Tran Ot Inv Di Due Dt Check D Pay Gross Discount No -Pay Net 4011030835 ✓ 07120120 07/01/20 07/31120 2.697.55 0.00 0.00 2,69T55 DISPOSAL Vendor Totals Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 2,697.55 0.00 0.00 2,697.55 Ventlor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1003824162 yr 07/20/20 07/07/20 07/27/20 177.00 0.00 0.00 177.00 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 177.00 0.00 0.00 177.00 Vendor# Vendor Name Class Pay Code 11908 TMS SOUTH % Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV52860 r/ 07/13/20 07/12/20 08/11/20 194.08 0,00 0.00 194.08 ✓ , SUPPLIES INV52859 ' 07/131200711212008/11/20 160.90 0.00 0,00 160.90 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11908 TMS SOUTH 354.98 0.00 0.00 354,98 Ventlor# Vendor Name Class Pay Code T3130 TRI-ANIM HEALTH SERVICES INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 65113765 V ' 07/19/20 07/08/20 08/02/20 47.75 0.00 0.00 47.75 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net T3130 TRI-ANIM HEALTH SERVICES INC 47.75 0.00 0.00 47.75 Ventlor# Vendor Name Class Pay Code U1064 UNIPIRST HOLDINGS INC +/ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 8400398279,,/ 07120/20 06/30120 07/25120 181.03 0.00 0.00 181.03 ..` LAUNDRY 8400398494 ✓ 07/20/2007/04/2007129/20 59.82 0.00 0100 59.82 LAUNDRY 8400398493 v' 07/20/20 07/04/20 07/29/20 48.15 0.00 0.00 48.15 LAUNDRY 8400398516 ✓ 07/20/20 07/04/20 07/29/20 2,106.88 0.00 0.00 2,106.88 LAUNDRY 8400398805 �/ 07/20/20 07/07/20 07/31120 186.86 0.00 0.00 186.86 ' LAUNDRY 8400398820 y/ 07/20/20 07/07/20 07/31/20 86.58 0.00 0.00 86.58 ,. fite:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report5O7437... 7/21 /2022 Page 11 of 11 LAUNDRY 8400398806,,.' 07/20/20 07/07/20 07/31/20 225.23 0.00 0.00 LAUNDRY 8400398804-- 07/20/2007/07/2007/31/20 191.69 0.00 0.00 LAUNDRY 8400398807 07/20/20 07/07/20 07/31/20 211.12 0.00 0.00 LAUNDRY 8400398828 ✓ 07/20/2007/0712007131/20 1,318.79 0.00 0.00 LAUNDRY 8400398842 v ' 07/20/20 07/07/20 07/31/20 104.76 0.00 0.00 LAUNDRY 8400398803 .. - 0712WO 07/07/20 07/31 /20 30.71 0.00 0.00 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay U1064 UNIFIRST HOLDINGS INC 4,751.62 0.00 0.00 Vendor# Vendor Name Class Pay Code V0554 VCS SECURITY SYSTEMS W ti Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay 246169 07/21 /20 06/27/20 07/27/20 626.51 0.00 0.00 CAMERA INSTALL IT Vendor Totals Number Name Gross Discount No -Pay V0554 VCS SECURITY SYSTEMS 626.51 0.00 0.00 Vendor# Vendor Name Class Pay Code 10793 WAGEWORKS, INC. Invoices{ Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay 071822 07/20/20 07/14/20 07127/20 3,264.15 0.00 0.00 PAYROLLDEDUCT Vendor Totals Number Name Gross Discount No -Pay 10793 WAGEWORKS, INC. 3,264.16 0.00 0.00 Ventlor# Vendor Name Class Pay Code 11110 WERFEN USA LLC v' Involc # C 225.23 191.69 211,12 1,31 a.79 104.76 ,. 30.71 Net 4.751.62 Net 626.51 Net 826.51 Net 3,264.15 «� Net 3,264.15 e omment Tran Dt Inv Ot Due Dt Check D, Pay Gross Discount No -Pay Net 9111184399 V- 07/13/20 07/11120 08111120 1,770.00 0.00 0.00 1,770.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,770.00 0.00 0.00 1,770.00 Grand Totals: APPRINIMOM JUL 21 2022 By COUNTY AUDITOR CALHOUN COUNTY, TEXAS Report Summary Gross Discount No -Pay 396,154,73 0.00 0.00 Ph &I r yCA�1 Net 396.154.73 A-#14,154.54 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5Amp_cw5report507437... 7/21/2022 Pave i of i RECEIVED BY THE COUNTY AUDITOR ON JUL 2 5 2022 MEMORIAL MEDICAL CENTER 07i25/2022 p CALHWbl COUNTY, TEXAS AP Open Invoice List Due Dates Through: 08/11/2022 ap_open_invoice.temolate Vendors Vendor Name Class Pay Code A2215 AQUA BEVERAGE COMPANY ✓ M Invoice# Comment Train Dt Inv Ot Due Dt Check D Pay Grass Discount No -Pay Net 202679 ✓ 07125/20 05/31120 06/25/20 45.96 0.00 0.00 / 45.96 r/ /WATER 207719 07i25/20 ✓ 06I30120 07/25/20 55.96 0.00 0.00 55.96 WATER Vendor Total; Number Name Gross Discount No -Pay Net A2216 AQUA BEVERAGE COMPANY 101.92 0.00 0.00 101.92 Report Summary Grand Totals: Grass Discount No -Pay Nei 101.92 0.00 0.00 101.92 APPROVOON JUL 2 5 2022 SY COUNTY AUDITOR CALHOUN COUNTY, TEW file:///C:/users/itrevino/cpsi/meninied.cpsiiiet.cLini/u8812ia,'dsti_ilttnp_c%N-5report12128... 7/2 /2022 RECEIVED BY THE COUNTY AUDITOR ON JUL 2 5 2022 CfflM nOUNTY, TEXAS MEMORIAL MEDICAL CENTER AP Open Invoice List 3:31 Due Dates Through: OB71112022 VendorB Vendor Name Class Pay Code 12044 DRIESSEN WATER INC.(CULLIGAN) InvoiCCA Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 2701184 ✓ 07/25/20 05109/20 0622/20 407.50 WATER 2726249 ✓ 07/25/21)05:/26,120 06/22120 31.50 WATER 2794633 ✓ 07/25/20 06126120 07/22/20 31.50 WATER J 2848396 ,/ 07/25/2007/1&200&11120 43.50 WATER Vendor Totals Number Name Gross 12044 DRIESSEN WATER INC. (CULLIGAN) 514.00 Report Summary Grand Totals: Gross Discount 514.00 0.00 APMO11WON JUL 2 5 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Paste 1 Of 1 0 aF open_invoice.template Discount No -Pay Net 0.00 0.00 40z50 ✓/ 0.00 0.00 31.50 y� 0.00 0.00 31.50 0.00 0.00 43.50 ✓ Discount No -Pay Net 0.00 0.00 514.00 No -Pay Net 0.00 514.00 ,t 11 le:fi'/C:/Users/Itrevino/cpsi/niei nined.cpsinet.com./d 8125aidal.1-5/mip —ew5report68712... 7/25/2022 RECEIVED BY THE COUMY AUMOR ON RUN DATE: 07/21/22 Ij - 2.112022 PATI �,�EENAMEy' TF3{A$ -PAY PAY PAT AMOUNT COOK TYPE DESCRIPTION MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIRUT REFUNDS AP.ID=0001 DATE 072022 012022 072022 072022 072022 072022 072022 072022 012022 072022 072D22 072022 072022 072022 012022 072022 072022 072022 072022 072022 ARM-0001 TOTAL 2072.I0 1/, -------------- ------ TOTAL N"Vftam JUL 21 2022 OAWObUNCRUX ® 2072.38 MDE 1 APCDBDIT GL NUM RECEIVED BY THE COUNT/ AUDITOR ON JUL 2 5 2022 MEMORIAL MEDICAL CENTER 07/26/2022 0 CALHCOUMY, TEXAS AP Open Invoice Lst Due Dates Through: 08111i2022 ap_ open_invoice.template Vendors Vendor Name Class Pay Code 11183 FRONTIER Invoices Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 070222A 07/25/20 07/02/20 07i26120 1,072.33 0.00 0.00 TELEPHONE Vendor Totals Number Name Gross Discount No -Pay 11183 FRONTIER 1.072.33 0.00 0.00 Report Summary Grano Totals: Gross Discount No -Pay 1,072.33 3.00 0.00 lY RMWON JUL 2 5 2022 BY COUNTY AUDITOR CAIHOUN COUNTY, TEXAS Page 1 of l Net 1.072.33 Net 1.072.33 Net 1.072.33 file;/!/C:/Users/ltrevinotcpsilmemmed.cpsinei.etim ti88125aldata_5/Uup_c1%5report67520... 7i25/2022 Pace I of 1 RECEIVED BY Tt4L COUNTY AUDITOR C* MEMORIAL MEDICAL CENTER 07/2�/YOE2 q 5 ZCI ., AP Open Invoice List 0 13:31 �i ap_open_invoice.template Due Dates Through: o8A 1:2022 QAUWWeWltr d?TEM6 Class Pay Code C1010 SPARKLIGHT / IN Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay 071522 07/25/20 07/15/20 0716/20 115,78 0.00 0.00 CABLE 071522C 07/25.20 07/16/20 07.' 16120 93.65 0.00 0.00 CABLE 071522A 07125i2007115r200716120 2.258.00 0.00 0.00 CABLE 071522E 0725/20 07/15/20 07'16,,20 1,683.58 0.00 0.00 CABLE Vendor Total; Number Name Gross Discount No -Pay C1010 SPARKLIGHT 4,151.01 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 4,151.01 0.00 0.00 AFFROMON JUL 2 5 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Net 115.78 v 93.65 2,258.06 1,683.56 Net 4,151.01 Net 4,151.01 file:///C:/Users/Itrevino'epsi/memmed.cpsinct.comfu88l 25e(tata_5hmp_c rv5report 383?5,.. 7/25/2022 MSKESSON STATEMENT As W: 07/22/2022 Page: 002 To makes proper omath to your accused, Meeh m l mtum thisw•v: euao stub with your mmKtanee DC: 0115 As of: 07122MO22 Page: 002 MEMORIAL MEDICAL CENTER ANT DUE REMITTED VIA ACH DEBIT Terdt y: Mall la. Come: 6900 AP statement for intonation only AMT DUE REMITTED VIA ACH DEBIT 515 N VIRGINIA STREET Cupomen.. 632536 Statement for Intonation only PORT IAVACA TX 77979 Dale: 07/23/2022 CUM: 032536 PLEASE CHEDK ANY Dale: 07n3/2022 ITEMS NOT PAID (+) Elting Due Rgeolyab�'lalbnal Aoeouat pe Cash Amount P Amaunl P Ibealvabk Data Date Number Refem. Dessiptlon Dimmed (gmse) F (rot) F Number PF odumn hgand: P = Pap Due Item, F = Future Due hem, blank = Current Due Item TOTAL National AeW 632536 MEMORIAL MEDICAL CENTER SuMWah: 6.139.87 USD Future Owe: 0.00 0. If Pall On Tem. N Mid et, 0712612022, USD 6.017.08 Pap Oue: 0.00 Pay This Amount: 8,017.08 USD Oho lop If pa16 late: 122.79 lap Poymers 2,451.97 N Pak! After 0712612022, Due If Pald We: 08107MO17 Pry thla Ampmt! 6.139.87 USD USD 5.139.B7 APPROMON JUL 25 2022 SY COUNTY AUD" CAI.1 "CIX)Nry, TEXAS For AR Inquiries please contact 800-867-0333 m_IICJJVIY STATEMENT AS oi: 07/22/2022 Page: 001 To MPWW meek to Your a4munL delaeh and Mum this aaneM': BaOY aH111 with Your mmHtemm DC: 6115 As of: 07/22/2022 Page: 001 HIM PHCY 0434IMEM MED PNS AMT DUE REMITTED VIA ACH DEBIT Territory: ))90 Mall to: Camw 8000 VICVIC" AL MEDICAL CCal13i Statement for inlormalian only AMT DUE REMITTED VIA Apt DEBIT KAUSE( Comor m. 190813 Statement for information only 815 N 815 N IA ST Date: 07/23MO22 AVACVIRGI POHI'LAVACA T% )]9l9 Cost! 190813 REASE CHECK ANY Ounce O]/23/2022 nCAS NOT PAID (�) Mn. �N�lstlwwl Amount d3�/18 cam Amount P Amount P DHe Data Numbw W.. Deeaddion Discord (gmm) F =umberMe (W) F Number Customer Number 1908t3 HES PHCY 0434/MEA1 MED PHS 07/20/2022 07/26/2022 735495SOBS 2017056632 1151nvolas 0.02 0.80 0.78 ✓ 7354955056 PF ealwnn legend: P = Past Due Item, F = Fulwe Due Hem, blink = Owners Due Hem TOTAL Customer Number 190813 HEM PHCY 0434 MM NEC M5 Subtotals: 0.60 USD Fmwe Due: 0.00 Due 11 f hl On Time: H Paid BY 0712612022, USD 0.78✓ Net Due: 0.00 Pay This Amount: 0.78 USD vice lost H Paid let. Led Parment 3,841.91 If Pant 0T/2B/2022, DIt Pant late: 0.02 ue 07/1812022 Pay this AmmmE 0.60 U30 USD 0.80 /l" om JUL 2 5 2021 MM cA tM &U�® For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As d: 07/222022 Page: of TO omme, proper amNt to yun eorn1N, dNach and mt. this tanpvry�. eaoa NIN ernh yaw minhim a WALMAHT 1098/MEM MED PHS AMT DUE NE4ITTED VIA ACH DEBIT MEr1ONIAL MEDICAL CENTER Stateroom for Information only VICKY KAUSE( 816 N VIRGINIA ST MW LAVACA TX 77979 DID: 8115 TermSry: 400 Customer. 256342 Dale: 07/23/2022 As ol: 07/22/2022 Page: 001 Men lm Camp: 8000 AMT DUE FEMITTED VIA ACH DEBIT Statement for inloormlan only GIN: 256342 PLEASE CHECK ANY Dde: 07/232022 ITEMS NOT PAN tom) 901n9 Due Date We NeorwernPellonal Account r1A538 Numbm 11.. Dese 1pUan Discount Amount P (9mse1 F (w)AnomP morb.Reemelvable (rM) F Numbar Customer Number 256342 WALMANT 1098IMM MEO PHS 07/1612022 07/26/2022 7354403861 0716220913 1151nv0ice 21.06 1.053.16 1,032.13W 7354403861 07/1812022 07/26/2022 7354412218 39943363 1151nvoice 2.20 109.98 tD7.78- 7354412218 07/1812022 07f26/2022 7354412219 40045940 1151nvoice 0.16 0.16, 7354412219 07119M022 07/26/2022 07/2U/2022 07/26/2022 7354671566 0710920901 7354983577 40300368 1151nvaice 115invaice 7.64 3B1.98 0.09 374.34 ✓ 7354871586 0.09 +' 7354983577 07120/2022 07/26/2022 7354983578 40360458 1151nvaice 0.07 3.38 3.31 7354983578 07/202022 07/26/2022 7355121942 0719220741 195bvoice 5.91 295.42 289.51 ✓ 7355121942 07/20/2022 07/26/2022 7355121943 0719220736 I151nvoice OA7 33.36 32.69 ✓ 735SI21943 0741/2022 07/20/2022 73552376B5 40421199 /151mmice 0.16 0.16✓ 7355237685 07/21/2022 07/26/2022 7355390480 072022073E 1151nvoice 7.04 362.00 344.96.% 7355390480 07/22/2022 07/26/2022 7355498925 40532311 1151molce 3.67 183.45 179J8 1 7355498926 U7/2W2022 07/28/2022 7356495926 40532311 1151nvoice 0.04 1.90 1.86: 7311498926 07/22/2022 07/26/2022 7355498927 40595640 1151nvaice 15.89 794.59 778.70 1 7355g9B427 07/22/2022 07/26/2022 7355042749 0721221108 1151nvoice 0.02 0.95 0.93 7355642]49 PF cekunn legend: P . Pad Due Item, F = PAum Due hem, blink = Cunum One, hem TOTAL: Cudamm Number 256342 WALAIAITT 1098IMEM NEED PHB SuMmeb: 3.210.57 USO Fubm Doe: 0.00 Due N Pdd On TMe: Pad Due: 11 Paid By 072612022, 0.00 Pay ThIS Ammm1: 3.146.36 USD USD 3.146.36 Dix bet 8 paid late: lad P 07/1612022022 2 3.841.41 If Pest After 22, Pay Ohio Amount: 3,210.5] USO 84.21 OwH Paid Isle: USO 3.210.57 APPRO"O" JUL 2 5 2922 GUI. GODUMYA11 N" � > COUNTY. TEW For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As m: 07/2212022 Pape: 001 To seems tempo credit to your account,ddede and atom this ume.w: easo pub with your remlitanc e OC: 6115 As ol: 07/22AN22 Page: 001 HER MY M 490/MB4 MC MS AMT DUE RMITTED VIA ACH D®IT Temfory: 400 Mail ta. Camp: aDpO MBAOML MEDICAL CENTER Statement for Information only ANT DUE RByRTED VIA ACH DOW VICKY KAUSBC Curd464450 Statement for information only 815 N VIRGINIA ST Onto: 071 3RO22 Onto: O]/23/2022 PORT IAVACA TX 77979 Cud: 464460 PIFARE CHECK ANY Oda•. 0712312022 FIRMS NOT PAID t.r) 956g Dun NecelahlaNatlonal Account M9 g�38 Cash Amount P Rout p�melvmbb Dais Dme Number Reference Descriptbn Dissonant used F (net) IFNumber Cos. Number 464450 HER MY PC 49U/MBA Me MS 07/21/2022 07/26/2022 7355215465 5SX621113 115lnvoice 1.10 55.23 64.13 1/ 7355215465 07/22/2022 07126/2022 7355463191 55x623458 1151nvmlce 0.65 32.54 31.89 ./ 7355463191 B PF caiuma iegend: P = Pest Due Item, F = Future Due hem, blank . Cement Due Rem TOTAL Customer Number 464450 HER MY PC 480/MI#1 Me MS subtotals: 87.77 USD future Due: 0.90 Due It Paid On Time: If PIN By 07/2612022, USO 66.02 ✓ Pad Duo: 0.00 Pry This Amount: 86.02 USD Was last 8 paid late: 1.75 lad Payment 3.841.41 It Feld After 0712912022, Due If PeM late: 07/1 M022 Pay title Amaum: 87.77 USD USD 87.77 arrTxMM(N JUL 2 5 2022 Byc NrYALIMM O�FquN txXx4rv.Tq{Ai For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT a: 07/22r2022 Page: 00, To enwm proper to your M ecwuml Hetaoh oral M.. IMa comwro: eaoo slob will, Yom ramManw DC: 8115 As of: 07122/2022 pegs: 001 CVS PHCY 89231MBr1 MC MS AMT DUE R ITTED VIA ACH DEBIT Teatory: 400 AlaB to: Comp: 80DO MEMCNIAL MEDICAL CENTM Stmement for infoonmion only AMT DUE REMITTED VIA ACH OMIT VIC" KALISEC ustomon 83643d C Statement for infermaion only 815 N VIHGNIA ST Clodnde: 07r23/543 2022 PCRT IAVACA T2 77979 Cuet: 836434 PtEABE CHECK ANY Dale: 07/23/2022 Ir9AS NOT PAID (v) 0�01rg Oue RsoBh,.40tOW Account b5j&36 Cash Amount P Amount P RlttiveWe Data Dale Number fbeferarmo Description Olabount (grans) F (net) F Numbm Customer Number 835434 CVS MCY 8923/MSM MC MS 07/20/2022 07/26/2022 7354979664 1788264 1/5lnaoice 56.40 2,820.06 2.763.66 .% 73549796" O PF column Ngen4: P = Post 0. ft., F = Futum Due Hem, blank = CurarH Duo Item TOTAL CumA mM Number 835434 CVS PNCY 8923/MBA MC MS SublaW: 2.820.06 UM Forum Dux 0.00 Due If Mid On Tlmm If Pant By 0712W022, USD 2.763.66 .% Pea[ Due: 0.00 Pay This AmowA: 2,763.66 USD Diso lost X pant late: 56.40 tan Payment 9.255.14 11 Pant Aflm 0712612022, Due X Paid late: 07111/2022 Pay NH Amount: 2.820.06 USD USD 2.820.06 XPADVEDION JUL 2 5 2022 OY COUWY AUOROR CALHOUN COUNTY, 7EW For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT A. o1.- 07/2212022 Page: 001 To amens, Proper mmtlfl to your account, Bataob am M. two C Pcu: 600e sluts w8ts your mm"anea DC: 8115 As of: 07M2/2022 Peg.: 001 CVS PHCY 7475/MFM MC PHS AMT DUE PBr11TTED VIA ACH DEBIT Territory:Man 400 to: Carom8000 MEMORIAL MEDICAL CENTER Statement Information only AMT DUE REMITTED VIA ACH D®IT VICKY KALISIX CHMoman: 835488 Statement for Inionnallon only 015 N VIMINIA ST Out.: 07/23/2022 PORT LAVACA TX 77979 Cult: 835438 PIFABE CHECK ANY Date: 07123MG22 D99S NOT PAID (+) 130mm Due RemNabidVatiooet Account bWG Cash Amount P Anrasu P RecolvebN Dale Data Number Ref. ce Description Discount (moaal F tort) F Numbm Customer NYmtsM 63643B CV5 REEDY 7475/MM MC PHS 07/20/2022 0]/26/2022 7355145932 1788069 1151nvolce 0.41 20.67 / 20.26 ✓ 7355145932 PF column agsM: P = Pact Due Hem. F . Fut.. 0. Ham, bank = Current Ow Ham TOTAL Cualc nar Number 835438 CV8 PHCY 7475/MM MC PIS Sublotale: 20.67 USD Future Due: 0.00 Dua H Peld on Time: If POW 8y 07/26MO22, USD 20.26P,% Pact Due: 0.00 Pay Tbls Ammmt: 20.26 USD Diem loot H pas IMm 0.41 Last paynmm 3.841.41 H PeIO Alter 0712812022, Ow H Rest W. 0711=022 Pry Has Anu m t: 20.67 USD USD 20.67 XPRMCH JUL 25 2022 BYCCRJNTYAUXM For AR Inquiries please contact 800-867-0333 1w STATEMENT Statement Number. 83412898 1 of AmerlsourceBergen, Date: 07-22-2022 AMERISOURCEBERGEN DRUG CORP WALGREENS e124N 3408 1001352N / 03702818E 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER SUGARLANDTX 7747MI01 13W N VIRGINIA ST PORT IAVACA TX 77979-2509 Sal -Fd Due in 70ays DEA: RA0289276 886-051.9655 AMERISOURCEBERGEN P.O. Box 905223 Nnl Yet Due: 0.00 CHARLOTTENC 2629&5223 Cueenl: 1,877.67 Past Due: 0.00 Total Due: 1.877.67 Amount Balance: 1,877A7 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 07-1&2022 07-2&2022 30%662376 166734 Invoice 157.78 0.00 157.7E 07-10-2022 07-29-2022 30N662317 166735 Invoice 0.29 am an 07-1&2022 0740-2022 3099662378 IM736 Invoice 15473 0.00 154,73 07-1&2022 07-29.2022 300679293 168783 Invoice 200.86 0.00 200,88 ' 07-1&2022 07-2&2022 3ON815092 166794 Invoice 49577 am 495.77 ' 07-1&2022 07-29.2022 3099816093 166795 Invoice 0.09 0.00 0.09 07-2&2022 07.29.2022 3099967695 1668N Invoice 116.37 0.00 115.37 07-21-2022 07-29-2022 3100107107 IN811 Invoice 327.91 0.00 327.91 ,' 07-22-2022 07.29-20U 3100274623 1WO22 Invoice 424.8E Q00 424.85 Current 145 Days 16-30 Days 61-fi0 Days 61-90 Days 914 20 Days Over 120 Days 1.e77.67 0,60 MEMORIAL MEDICAL CENTER PROSPERITY BANK FOR OPERATING ACCOUNT—. JULY 19, 2022 -DULY 24, 2022 Date Bank Description 7/22/2022 PAY PLUS AOITRAN5452579al 101000692339957 7/22/2022 EXPERTPAY EXPERTPAY 74600341191000012413923 7/22/2022 AMERISOURCE BERG PAYMENTS 010000776921D0002 7/22/2022 MEMORIAL MEDICAL PAYROLL 746003411113222650 7/21/2022 PAY PLUS ACHTRANS 452579291101OM690519818 7/20/2022 WEBFILE TAX PVMT DO 902/0663758021000026181 7/20/2022 PAY PLUS ACHTRANS 452579291101000699678920 7/19/2D22 PAY PLUS ACHTRANS 452579291101000698820668 7/19/2022 MCXESSON DRUG AUTO ACH ACHOSI03616910000134 7/18/2022 PAY PLUS ACHTRANS 4525n29110100D697902774 MMC NnMs - 3rd Parry Payor Fee -Child Support Payment - 3400 Drug Program Expense Payroll - 3rd Party Payor Fee -Sales Tax - 3rd Parry Payor Fee -3rd Party Payor Fee - 3408 Drug Program Expense -3rd Party Payor Fee William little, CFO � July 2S, 2022 Memorial Medical Center ai ilc 4ylvv,A 0�'`w "E2 CL. PROSPERITY BANKy'-flPYJWxd n'1'1371- CC, ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —ESTIMATED ACAS Date 8/5/2022 DSH IGT Memorial Medical Center Description -DSH IGT 2022 MMC Notes PW p�u� I.41 15tl IN•4> moun 22 5J j , l 4i91, ,4klU •U,' 724.1 363,173.23. 1 '5.82•) 150,72 3,841 400-ru ' :323.90:y 2. 2 9 1'. • U I 3]3,822,89 2 6 9 U- G 1 571 82)•-t' r J o" l:. 81 1 v Amount 2 • 6 9 U - f3 1_ 2,52].39 2537:39. 2+ 6 9 U° U l 0 0 Ci Transaction Summary Transaction Complete Trace :t Texas Health and Human Services Commission Memorial Medical Center Operating County .39 Page No: i or I Run Date: niwzozz Run Time: io:w:so Marlev ODonnell From: Texas Health and Human Services Commission <txhhs@public.govdelivery.com> Sent: Friday, July 15, 2022 2:33 PM To: Marley ODonnell Subject: DSH 2O20 Redistribution Payment and IGT Call CAUTION: This:email ariginatedfrom outside ofthe organization. Do not.clicklinks or open attachments unless you CA TEXAS aHealth and Human Services DSH 2O20 Redistribution Payment and IGT Call The Texas Health and Human Services Commission (HHSC) has identified additional federal funds available for Disproportionate Share Hospitals (DSH) 2020, totaling approximately $51 million dollars (approximately $76 million dollars all funds). These additional funds are the result of the increase in Federal Medical Assistance Percentage (FMAP) due to CQVID, as well as recoupments from overpaid providers that have now been collected. To fund this payment, additional Intergovernmental Transfer (IGT) is required, which will be collected based on the enhanced FMAP of 67.08%. Additional payments and IGT are included in the "Final IGT and Payment Redist" tab of the DSH 2O20 Redistribution file. The IGT file is available for review on the Provider Finance Department website here: Disproportionate Share Hospitals l Provider Finance Department (texas.gov) As the 8-quarter rule is quickly approaching, HHSC will issue payments and the IGT call concurrently. Cash on hand will be used to support the payment until the IGT is received. If the payments are not fully funded, HHSC may be required to adjust payments proportionately. To ensure that all government entities receive this notification, HHSC strongly encourages providers to send this information to any government entity who is IGT'ing on their behalf. Below are the pertinent dates associated with the DSH Redistribution payment: • August 4 Last date to schedule transfer in TexNet • August 5 IGT Settlement Date • August 5 State Owned Hospitals submit Journal Entry • August 11 Latest DSH Payment Date **Late IGTs will not be accepted. Please ensure you select the DSH bucket in TexNet when you enter your IGT. It is imperative that you send a screen shot/PDF copy of the confirmation/trace sheet from TexNet or an email with the confirmation number, settlement date and IGT amount if the TexNet is submitted over the phone, to DSHPavmentstaahhsc.state tx us. Additional information regarding the TexNet process can be found at this link. State owned hospitals must send a copy of their Journal Entry to DSHPavment5@hhsc state tx us. HHSC will not send confirmation emails confirming receipt of Trace Sheets. Please include two contacts and their phone numbers and email addresses, should HHSC have any questions regarding the TexNet received. If you have questions regarding the DSH payment process, please send an email to DSHPavmentsahhsc state tx us. You t?c.Ve subscribed tc cat updates about Tcxas Heal?I i and Human Sendcas (I-IHS). For Mora Informatia , about HI -IS, please visit our we 'te. Sta Connected �0 (en eePznop SHARE Subscriber Services Manage Preferences I Unsubscribe I HeID This avail *as mil to =r• usin_ c,.0elnery Gen-r:cnzHiocs Clout cn cMZ!i oP Te m He?;m ,,: Human arnires Comroizslpn - 707 17:n St. Suitc 4000 - Dan.,,, CO u0202 90VOEUVERY� State 16.187.288.60 5,328,855.37 Non•State 60,210,081.10 5,561,587.75 Page 1 of 1 RECENEOBYiHE AUDITOR ON COUNTY JUL 21 2022 07/21/2022 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 qAt-HQ73COUNTYTE� Dates Through: ap_open_invoice.temptate Vendor# Vendor Name Class Pay Code 11816 ASHFORD GARDENS Invoice# Comment Tran Dt Inv Ot Due Dt Check D, Pay Gross Discount No -Pay Net 071422A 07/21/20 07/14/20 08/15/20 3,438.65 0.00 0.00 3,438.65 MAY UHC OIPP Vendor Total: Number Name Gross Discount No -Pay Net 11816 ASHFORD GARDENS 3,438.85 0.00 0.00 3,438.65 Report Summary Grand Totals: Gross Discount No -Pay Net 3,438.65 0.00 0.0D 3,438.65 "s PRa t oM JUL 21 2022 BY COUNTY AU OALHOUN COUNty 7 MR file://iC:/Users/ittevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report618999... 7/21 /2022 Page 1 of 1 fAU NLLT�jAUUDROR ON `IU07i A0?922 MEMORIAL MEDICAL CENTER 1o:gs AP Open Invoice List 0 ap_open_invoice.template 1-s;�.LP;/�3y;,;:tiF)Fjl,Fyy 7pty tom, - Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net 070522 07/20/20 07/05/90 08/15/20 30,786.09 0.00 0.00 30,786.09 �f TRANSFER ON IMti YCFII(JI, VgKn djf(t 1i4.p L J)Vyy\,IWL l)Q wbvl /. 070622 07/20/20 07/06/20 08/16/20 TRANSFER t 3,705.84 0.00 0.00 3.705.84 17 070722 07/20/20 07/07/20 08115/20 3,533,74 0.00 0.00 3,633.74 TRANSFER 070822 07120/20 07108/20 08115/20 1,092.17 0.00 0.00 1,092.17 TRANSFER t1 i1 071122 07120/20 07/11/20 08/15/20 9,072.77 0.00 0.00 9,072.77 L,/. TRANSFER 1R 11 071222 07/2012007/12/2008115/20. 27,072.34 0.00 0.00 27,072.34 TRANSFER ll 11 Vendor TotalENumber Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 75,262.95 0.00 0.00 76.262.95 Report Summary Grand Totals: Gross Discount No -Pay Net 75,262.95 0.00 0.00 75,262.95 JUL 212022 CAALLHO�UN DI U� file:I//C:/Users/ltrevino/cpsi/memmed.cpsinet.com/tt88125/data 5/tmp_cw5report284920... 7/21/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON 1UL21 f%22Z0?2 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:46 Dates Through: ap_open_invoice.template ..ALH(J? JWNUMOW" Class Pay Code 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 071422A 07/21120 07/14/20 08115/20 1,635.10 0.00 0.00 1,635.10 MAY UHC QIPP Vendor TotalF Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTHCARE CENTER 1,635.10 0.00 0.00 1,635.10 Report Summary Grand Totals: Gross Discount No -Pay Net 1.636.10 0.00 0.00 1,635.10 JUL 21 2022 CAL40UN COUNNTUNTY UY�jEM file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report 177518... 7/21 /2022 Page 1 of 1 RECEIVED BYCOUNTYAUDITORON JUL 07/2'I/022022 MEMORIAL MEDICAL CENTER �t 4qag,, AP Open Invoice List 0 CALHO69--COUNTY TE11At9 D Th ap_open_invcice.template ales rough. Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Ot Inv Dt Due Dt Check 0 Pay Gross Discount 070622 07/20/20 07/06/20 08/15@0 0.00 L, TRANSFER NA W14),r,Rv it�rkj <1t�J11L/I` ( tt5�,607.37 Ik' 14-L OVCRAr{ .� 070722 07/20/20 07/07/20 08/15/20 885.20 0.00 TRANSFER 11 �1 071122 07/20/20 07/11/20 08/15/20 17,127.36 0.00 TRANSFER it 1t 071222 07120/20 07/12120 08/15/20 46,165.10 0.00 TRANSFER tt %% 071222E 07/20/20 07/12/20 08115120 87,89 0.00 TRANSFER It it 071222A 07/20/20 07/12/20 08/15/20 611.50 0.00 TRANSFER t� 071422A 07/21/20 07/14/20 08/15/20 2,442.52 0.00 MAY UHC OIPP Vendor Totals Number Name Gross Discount 11836 GOLDENCREEK HEALTHCARE 72,926,94 0.00 Report Summary Grand Totals: Gross Discount No -Pay 72,926.94 0.00 0.00 JUL 21 2022 CALHOUN COUNTY, TTM No -Pay 0,00 0.00 0.00 0.00 0.00 0.00 1� 0.00 No -Pay 0.00 Net 5,607.37 r 885.20 v 17,127.36 ✓ 46.165.10 ✓` 87.89 v 611.50 ✓� 2,442.52 Net 72.926.94 Net 72,928.94 file:///C:lUserslltrevinolcpsi/memmed.cpsinet.com/u8 8125/data_5/tmp_ew5report 117351... 7/21 /2022 Page I of I RECEIVED BY THE COUNTYAUMTOR ON JUL 21 202? 07/21/2022 MEMORIAL MEDICAL CENTER 1a1 iQUN COUNTY, TEXAS AP Open Invoice List 0 ap_open_invoioo.template Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 070522 07/20/20 07/05/20 08M 5/20 1,294,06 0.00 0.00 1,294.06 TRANSFER M I ulrou Vxl r v4silcJ IKh 4V\K(, opGt,:-}1 {tll Vi 070622 07/20/20 07/06/20 0811 5/20 45.87 0.00 U.00 45.87 TRANSFER 070622A 07/20/20 07/06/20 08/15/20 376.13 0.00 0.00 376.13 ✓/ TRANSFER It U 071222 07/20/20 07/12/20 08/15/20 11,631.59 0.00 0.00 11,631,59 TRANSFER �- 071422A 0712112007/14/2008/15/20 1,082.35 0.00 0.00 1,082.35 MAY UHC OIPP Vendor Total; Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 14,430.00 0.00 0.00 14.430.00 Report Summary Grand Totals: Gross Discount No -Pay Net 14,430.00 0.00 0.00 14,430.00 APPRO CM JUL 212022 BY COUNTY AUMM CALHOUN COUINVIT"O'S file:///C:lUsers/Itrevino/cpsi/memmed.cpsinet.conT/u88125/data_5/tmp_cw5report717333... 7/21 /2022 Page 1 of 1 RECEIVED BY THE COUNTYAUDITORON JUL 21 2022 07/21/2022 MEMORIAL MEDICAL CENTER CAtli �A'NTY, TEAS AP Open Invoice List 0 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON InvolceH Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071422A 07/21/20 07/14/20 08/15/20 1,611.78 0.00 0.00 1,611.78 MAY UHC OIPP Vendor TolalE Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOUSTON 1,611.78 0.00 0.00 1,611.78 Report Summary Grand Totals: Gross Discount No -Pay Net 1,611.78 0.00 0.00 1,611.78 ARWVEDONi JUL 21 2022 d• BY COUNTY AUDITOR CALHOUN COUNTY, T`XAG i file:(//C:/Users/ltrevino/cpsi/memmed,cpsinet, com/u88125/data_5/tmp_cw5report405464... 7/21 /2022 Page 1 of 1 RECEIVED BY THE COUNTYAUDITORON 11 MEMORIAL MEDICAL CENTER 0JJ20�1222 1 �.4 CALHOUN 68LINTY, TEAS AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code 11824 THE CRESCENT Invo' k C 0 ap_open_invoice.template we omment Tran Dt Inv Dt Due DI Check D- Pay Gross Discount No -Pay 071422A 07/21/20 07/14/20 08/15/20 1.311.75 0.00 0.00 MAY UHC OIPP Vendor Totale Number Name Gross Discount No -Pay 11824 THE CRESCENT 1.311.75 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 1,311.75 0.00 0.00 APPROVMON JUL 2 1 2022 9YC0UNVYA1JDff0R CALHOUN COUNTY, TOM Net 1,31175� Net S 1,311.75 I i Net i 1,311.75 file:///C:/Userslltrevinolepsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report491815... 7/21 /2022 Page 1 of 1 eounm AAuutwoR OAP JUL 212" a MEMORIAL MEDICAL CENTER 0 10:48 AP Open Invoice List Dates Through: ap_open_invoice.template U�OUN 96AW•>%Wfiilbf+Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 070522 07/20/20 07/05/20 08/15/20 2.513.40 0.00 0.00 2,513.40 TRANSFER qW IMOV1•.1ku. qNj atptanjcd 111A� 1>,tuk. N,fi�; 070622A 07/20/20 07/06/20 08/15/20 11750.50 0.00 / 0.00 1,750.50 ✓ TRANSFER tt �. 070622 07/20/20 07/06/20 08/15/20 9,538.90 0.00 0.00 9,538.90 TRANSFER It tt 070722 07120/20 07/07120 08115/20 4,133.81 0.00 0.00 4,133.81 tZ TRANSFER tt 11 070822 07/20/20 07/08/20 08/15/20 2,528.50 0.00 0.00 2,528.50 y/ TRANSFER It it 071122 07120/20 07111120 08115/20 1,081.90 0.00 0.00 1,081.90 TRANSFER j1 11 071222 07/20/20 07/12/20 08/15/20 2,679.83 0.00 0.00 2,579,83 TRANSFER t1 It 071422A 07/21/200711412008/15120 2,293.47 0.00 0.00 2,293.47 MAY UHC QIPP Vendor Total: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 26,420.31 0,00 0.00 26.420.31 Report Summary Grand Totals: Gross Discount No -Pay Net 26,420.31 0.00 0.00 26,420.31 JUL 2I 2022 BY COUNTY AUDITOR CA LHOUN COUNTY, TEXAS •file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_51tmp_ew5report315782... 7/21 /2022 Facility ID Facility Name Total UHC Deposits 4811 Ashford 55,953.57 105818 Broadmoor 20,312.22 105314 Crescent 18,946.62 4628 Fort Bend 23,121.63 105006 Solera 22,469.25 102540 Golden Creek 36,269.52 100806 Gulf Pointe 16,021.01 103462 Tuscany 33,384.06 Bethany Total UHC Desosit 226,477.83 IONIC PORTION QIPP/COMPS QIPP/Comp2 QIPP/Comp3 QIPP/ComP4& Lapse QIPP TI NH PORTION 49,076.28 6,977.29 52,524.93 3,438.65 20,312.22 20,312.22 16,323.12 2,623.50 17,634.87 1,311.75 19,851.48 3,270.20 21,486.58 1,635.10 19,245.60 3,223.55 20,857.38 1,611.78 31,384.48 4,885.04 33,827.00 2,442.52 13,856.32 2,164.69 14,938.67 1,082.35 28,797.12 4,586.94 31,090.59 2,293.47 198,846.62 27,631.21 212,662.23 13,815.61 MAY 55,953,57 20,312.22 18,946.62 23,121.68 22,469.15 36,269,52 16,021.01 33,384.05 226,477.83 Memorial Medical Center Nursing Home UPL Weekly Centex Transfer ProsperitVAccounts 7/25/2022 A+wum a.iae2M Aw vmami e,uinm6 A.wmmaemoaa.mar+xnnlni xnnn wm. x.mw e.l.e+. mnrlmlM ,lanwr.m ,w rM aaNma Nnm. 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Imm 3,950.W 7.310.00 3.3]O.m ' 9,M3m 9315A0 A2)S.m 3.195.m - Lm6W - ISW.51 2,I35050 2,N IWm 116m IN ' 61S.11 Sl6m IN.NA AB 635.1) 3]YaA • BRAIN5,269.15 - LP¢II. 6,ll9.m 1.114.61 IW.60P.OB. 6443159 IMALS )1L92i.)i 171.711gF BERMS 7/2512022 Quick View Select Quick View Accounts Account Number / Name Account Type v, Search All oDA Account Number Current Balance Treasury Center Select Group Groups Add Group Data reported as of Jul 25, 202: Available Balance Collected Balance Prior Day Belenc Number of Accounts: 15 $2,498,806.36 $2,951,223.90 $2.498,806.36 $2,641,590.1 '4551 CAL CO INDIGENT S9.953.49 $9,953.49 $9,953.49 $9.953.4 HEALTHCARE '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK $61,374,53 $117.847.94 $61,374,53 $41.790.0 HEALTHCARE '4365 MEMORIALMEDICAL. CENTER -CLINIC SERIES $536 47 5536.47 $536.47 $536.4 2014 '4357 MEMORIAL MEDICAL $1,777,438.21 51,801,229.06 51,777,438.21 52,055,843.7 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $431 87 5431 87 $431.87 5431.E WAIVER CLEARING *4381 MEMORIALMEDICAL CENTER/NH ASHFORD $60,743.42 r' S146,623.29 $60,743.42 $26.995.7 '44C3 MEMORIALMEDICAL CENTERI NH 532.378.04 ✓'� 5164,161.05 $32,376.04 $2,905.2 BROAOMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT $74,647.02 Vi $97,728.78 $74,647.02 $68,994.3 '4446 MEMORIAL MEDICAL CENTER/NH FORT BEND $25.148.88 v' $34.179.66 $25,148.88 $19,013.4 '4438 MEMORIAL MEDICAL CENTER / SOLERA AT $81 709 73,' $114,690.66 $81.709.73 $66,992.£ WEST HOUSTON •2998 MMC -MONEY MARKET FUND $703.63 5703.63 $703.63 5703.E 'S506 MMC -NH BETHANY SENIOR LIVING $260,434.14 $275,191.27 5260,434.14 $254,688.2 '5441 MMC -NH GULF POINTE PLAZA- $61.851.36 $65,488.26 $61.851.35 $59,035.0 MEDICARE/MEDICAID •5433 MMC-NH GULF POINTE PLAZA - PRIVATE PAY $21,441.05 $21.631.48 $21,441.05 516,59Z; '3407 MMC -NH TUSCANY VILLAGE $30,016.53 S100.826.99 $30,016.53 c $17,108.. https:/Iprosperily.Gibanking.com/onlinaMessenger r 1/1 Memorial Medical tenter Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 7/25/2022 Pnvbus Mt0lnt Bltinnln0 pentlinR TadaYl Be{InnN! 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Npn2EachpapuatFes o bmrbalpnee p/$1(p IhptMMCQeppaipQ tppprna¢pvnt vnulaM UTTLE, ao } ]J3sRDx} JUL 2 5 2022 1:\NN WeeFIT Tramlvt\NH Vpl Randn Summarytlb3}\luly\NH UVLipndN SummaMP1.I5.}}.tln J/WlOal Depa41 )/:N21ITAUNHUMANNCHCCIAIMPM!U1600N3U011I ]/9/ID)] XH6-FCNI]XCCWMPMIHWNII M[OOONl91B VIV2022 gCNSMUMENl SERVICEA105T31919990169913] 7/20/1022 Ts"ImNSN64i6TCDStlMi 5416MMS6769119 J/)0/l0l] TNS/fMN OMNEXIO 6TCOSRMTM36N5556N91]9 DINCAM 7/ll/101a WEAWIRL H"LWAIONNMET lmp 1174mil ]/ll/l0) H4UM HUMANS MPW?IMPMT IM100N113011 i 7/22/1021 NNB ECHO HCMIMPMf J16p03011MOC9Y]0R13 /tI/)Ota HFAITNNUMAN SVCfICC41MPMJ UA6Df1<1U011I )/ILl6la Ctill�naiMMEmN.U.NWf/ 631s�T11000p1C5 nn/Nn A[Tx+AW3NccuIMrMTls6blT96o s16mfJsly NMCPoIRIIXI GIPO/(alnp! ii NIPP/[e t WT/Comma WM Oempa dlNpw fIVPU MMPONn9 - Lll1.99 1.3]T.93 LP5.9] • l6.Ola]9 IAM.]! - 0,9NR6 - 0.960A6 - e.160.W - 1].SSO.W 13T5g00 =Q. - 1.495.00 - 1p 00 3)9uM - 89R0 - 159.]0 - 11.)21.)i - 11]21.25 6.04113S 6.00729 - A980,041 lat¢ro• i m.91 271,0 U.9A6.Y p.i16.6T • ]1R . 7/2512022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Aecpunt Type Atltl Greup [DDA Data reporled as of Jul 25 202: Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $2,498,806.36 $2,951,223.90 $2,498,806.36 $2,641,590.9 '4551 CAL CO INDIGENT 59,953.49 $9,953.49 $9,953.49 $9.953.4 HEALTHCARE `4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $61,374.53. $117.847.94 $61.374,63 $41,790.0 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.47 5536.47 5536.47 5536.4 2014 *4357 MEMORIAL MEDICAL S1,777,438.21 51,801,229.06 51,777,438.21 $2,055,843.7 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $431.87 $431.87 $431.87 5431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL $60,743.42 S146,623.29 $60.743,42 $26,995.7 CENTER INH ASHFORD •4403 MEMORIAL MEDICAL CENTER INH $32.376.04 $164,161.05 $32,376.04 $2,905.e BROADMOOR '4411 MEMORIAL MEDICAL $74,647,02 $97.728.78 $74,647.02 $68,994.3 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $25.148.88 $34,179.66 525148.88 $19.013.4 CENTER INH FORT BEND *4438 MEMORIAL MEDICAL CENTER /SOLERA AT $81,709.73 5114,690.06 $81,709.73 $66,992.$ WEST HOUSTON '2998 MMC -MONEY MARKET $703.63 5703.63 S703.63 5703.E FUND •5506 MMC -NH BETHANY $260.434.14 $275.191.27 S260.434,14 $254,688.2 SENIOR LIVING •5441 MMC -NH GULF POINTE PLAZA - 561.851.35 $65.488.26 $61,851.35 559,0351C MEDICAREIMEDICAID 'S433 MMC -NH GULF POINTE $21,441.05 $21,631.48 $21.441.05 $16.597 E PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $30.016.53 5100,826,99 530,016.53 $17,106.E VILLAGE 1 https:Hprosperity.olbanking.comlontinaMessenger 1/1 Memorial Medial Center Nursing Home ❑PL Weekly HMG Transfer Prosperity accounts 7/25/2022 Pnoun Na Nom. 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"o Z.Such —.1 FnaLnebaNnne/SlCallloiMMCP[vwaedmopm O[rovn[. r�xkg ;� b ®I N' JUL 2 5 2022 ,axxw«kryttlnrtmWxun nm,nrsummnkN}sVWrtxxm[ mmNrsummsrvai.}s3}.rlx Lprillnnron Wylmmn Lunn lnimN •yun4MmRnndnCm[ 6L}iYf TmutxwsPw n }caw bcom.[e: wlul0.Nurns, rio 1 mkllan 1/18/2022 HNS-ECHO HCCWMPMT 746003411440000289856 7/0/2022 HIM -ECHO HCCUIMPMT74ND3411410WD289856 7/19/2022 HUMANA CHA DISK HCCUMPMT SUMZ4200E01016 7/19/2022 HUMANA INS CO HCCUIMPMT 624982830000599786 7/19/2022 HUMANA INS CO HCCUIMPMT 620932830DCDSOO2W >/19/2022 HUMANA CHA DIM HCCUIMPMT 624982420000I224 7/19/N22 HUMANA CHA 015E HMIAIMPM16240124200 I2% 7/22/2022 WIREOUTHHOSE6V a.u.0 7/221ZD22 HNE-ECHO HCCUMPMT 74 MII 40DW242213 T/2]1202t C6nt9n6 M�MtpmeACR 008)65/]l5141110000165 MMC PO0.TION QIPP/Come OIPP/CR.94 Transfer-Oue Tnnsfar•In QIPP/Comps 2 OIPP/C4mp3 Obpse OIPPTI NN PORTION - 39.20 - 39.20 - 106.73 205.73 - 12,S80.OU - 12.580.00 - 498.34 - AMU - 823.18 - U3.18 - 1,525.45 - 1,525AS - 915.90 915.90 • 115.54 - 115.54 - 4.728A0 - 4.T28A0 1&13).S3 / 21.33Z34 , / � 21,33234 MMC PORTION QIpP/Comp CIIPP/CPmP4 Tnn+lerOVl Tnnsfx-In QMP/ComPl 2 OIPP/COMP3 8lap5e QIPP iI NH PORTION T/IB/20I1 0ap9Ht 14.151.93 14,151.93 9/19/2022 MERCHANT BANACO ORMIT 4964I8SI9U99100001 - 1.2M.00 126400 7/IM3021 HN9- ECHO HUUIMPAR7460¢34q 44MO289856 - I63MA3 1fi,500A3 7/19IM22 HMI - ECHO HCCUIMPMT 746003611 NDWOI41914 - 10.109.54 10,109.54 7/IO/20I2 MERCHANT RAMROD [REPORT 49MTSS168999104001 - 1.5M.00 1,50400 7/IO/2022 HMO- EOIO HCCUIMPMT 74W3411440000211265 - 10.9E7.00 lO.S1TQ8 7/I2/IOII HEALTH HUMAN SVC HCCUMPMT 1746[0341130132 2616.29 / 2,81E,28 57.03A6 1 J 5)46926 10.07.33 78ARS.60 )BAM ED 7/2512022 Quick View Select Quick View Accounts Account Number I Name Agcount_Type Treasury Center Select Group Groups Add Group Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $2.498,806.36 $2,951,223.90 $2,498,806.36 $2,641,5904 '4651 CAL CO INDIGENT $9,953.49 $9,953.49 $9.953.49 $9,953A HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $61,374.53 $117,647.94 $61,374.53 $41,790.0 HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES S536.47 $536,47 $536.47 $536.4 2014 '4357 MEMORIAL MEDICAL S1.777,438.21 $1,801,229.06 $1,777.438.21 $2,066,843.7 CENTER - OPERATING •4373 MEMORIAL MEDICAL CENTER -PRIVATE S431.87 $431.67 $431,87 5431.E WAIVER CLEARING '43 1 MEMORIAL MEDICAL S60,743.42 $146.623.29 $60.743.42 $26,995.7 CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL CENTER I NH 0 $32.376.4 S164,161.05 $32,376,04 $2,905.2 BROADMOOR •4411 MEMORIAL MEDICAL $74.647.02 S97,728.78 $74,647.02 $68,994 CENTER I NH CRESCENT •4446 MEMORIAL MEDICAL $25.148.88 S34,179.66 $25,148.88 $19,013A CENTER f NH FORT BEND '4438 MEMORIAL MEDICAL CENTER! SOLERA AT $81.709.73 $114,690.66 $81,709.73 c $68,992.- WEST HOUSTON '2998 MMC -MONEY MARKET $703.63 S703.63 S703.63 S703.E FUND '5506 MMC-NH BETHANY SENIOR LIVING $260,434,14 5275,19127 S260.434.14 S254,688.3 *5441 MMC -NH GULF POINTE PLAZA- $61,851.35 e/ $65,488.26 $61,851.35 $59,035.0 MEDICAREIMEDICAID *5433 MMC -NH GULF POINTE $21,441.05 V $21,631.48 $21,441.05 $16,597.E PLAZA - PRIVATE PAY •3407 MMC-NH TUSCANY $30.016.53 S100826.99 $30,016.53 $17,108.E VILLAGE r hdps:l/prosperky.olbanking.comlonlineMessenger 1N Memorial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 7/25/2022 n.Meu3 xm.wueaa a<twm 9nMnuY � wemna rYmrfinea9e XUNn Ham. XumMr ze. TSanJrrvMS TnmYFln QitlenN G. Y TaL .D. Inni Hwtl Ibme 11 69.S3983 69,R9aJ /39.91a.9 s - 10.013 '19�91633 V BtMABal.—Bal.-30,a115F33 Vulann lem MGWte IN,� YajwI NYMe/IYnflMeml 2D.91F91 Nate: wrheYntt3 v/orm SSAeaw�9DeNwS(anN ralMnmXnp home. f Nartl:faW v<munthm vhvSehMon<en/SlW fhm MM[aeptrta6leepfn IN[aw3. Z.Ln1{S.CDO 1 JUL 2 5 ZOZZ y I 7/18/2022 peewit 7/28/2022 Molina HC al TX HCCW MPMT PNI2757178944200 7/19/2022 HN8- ECHO HCCIAIMPMT 745003411440000242146 7/21/2022 WIRE OUT LINEAR ENTERPRISES, LLC 7/12/2022 OePosit MMC PORTION QIPP/Comp OIPP/Camp OIPP/camp TransfeT-Ou[ Transfer -In 1 OIPP/Comp2 3 4&Iepse QIPPTI NNPORTION 7,719.37 7,719.37 3,265.47 - 3,265.47 6.023.69 6.023.69 69,429.83 , 12.906A0 12,908.00 69,929.83 29�936.53 29,93653 7125/2022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number! Name Groups Add Group Account Type Searrh All DDA Data reporter) as of Jul 25 202; Account Number Current Balance Available Balance Collected Balance Prior Day Salant Number of Accounts: 15 $2,498,806.36 $2,951,223.90 $2,498,806.36 52,641,590.E '4551 CAL CO INDIGENT $9,953.49 $9,953.49 $9,953.49 $9.953.4 HEALTHCARE '4454 MEMEDICAL NH GOLDENOLDEN CREEK / $61,374.63 $117,847.94 $61.374.53 S41,790.0 HEALTHCARE •4365 MEMORIAL MEDICAL CENTER •CLINIC SERIES 5536.47 S536A7 $536.47 5536.4 2014 •4357 MEMORIAL MEDICAL $1.777,438.21 51,601,229.06 57,777,438.21 $2,055.643.7 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE 9431.87 5431,87 $431.87 $431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL 560,743.42 5146,623.29 $60,743A2 526,995.7 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH 532,376.04 5164,161.05 $32,376.04 $2,905.2 BROAOMOOR '4411 MEMORIAL MEDICAL $74.647.02 $97,728.78 $74,647.02 $68,994,2 CENTER !NH CRESCENT '4446 MEMORIAL MEDICAL $25,148.88 $34,179.66 525,148.88 $19,013.4 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT $81.709.73 $114,690.66 $81,709.73 $66,992 E WEST HOUSTON '2998 MMC -MONEY MARKET $703.63 5703.63 $703.63 5703,E FUND 'S506 MMC •NH BETHANY $260,434.14 5275,191.27 5260,434.14 5254,688 SENIOR LIVING 441 MMC -NH GULF POINTE PLAZA - $61.851.35 $65.486.26 $61,851.35 $59,035.0 MEDICARE/MEDICAID 'S433 MMC -NH GULF POINTE $21.441,05 $21.631.48 $21,441,05 516,597.E PLAZA -PRIVATE PAY '3407 MA•NH TUSCANY $30,016.53 ,/ S100,826.99 530.016.53 517,108 VILLAGE https:!/prosperity.olbanking.com/onlinaMessonger 1r1 Memorial Medical [enter Nursing Home UPL 'Meekly HSLTtansfer Prosperity Accounts T/25/2022 11.1M 1 p.nelry amnwt Mee >aount e.)IMeq Memnn Tnn 1—d. Nmmr NYmee( aJann T.n+IlrvOu) �TmN1.nln t)I CIanE R! • eM Ta +),I..k 9.6 . NUMn Nmm. S).3A.9{ ))p)P9. ✓ 360.3Mq) MO,a3ila 2fip.33C10 NnY ybnM 360.434.19 ✓ VnNntt M+veln&Note 300p0 apms.+vlN Mry1nMX1) l Adj.,, aalM, tt/ln fwIn.r)m1 Noff:f)nNbvlanta o)wer)),pOprAla[(mm+/ertA�otAenunNp M1Yme iyn(MTE; G/L�///ff Nntf1:[ttM1atMYn(anfapMfaO/antln/S+LtlMCfMMCOeM2Nloopm Y[[avn(. WIWAMN)NEr Cfp — 7/301302, JUL 2 5 2022 tWxwNsryrn.amWx ua rr.mrn svmm.gVOi)V.Mxxtvinmaeaumm.rym,xs.R+Iu MMCPOROON j(3PPIn-0ut mm/eng y99/CPmot CmP/cRw2 OPPIUMPI m9P/mOpUI w a9m I NN90RNON 3,69550 - 3,695.50 2.631.56 2,613.56 58,430.29 - SBAle29 1,55&00 - 1,559W 9.225.00 S.M. - 89.152.33 - R9.151.33 55.050.9t - , W18/202i O ,Eil 7/18/M22 D,PoSII 7/18/MEl Mlwtlt )/19/2022 Oe9a1 7/19/M22 Owmll 71ZOIZ022 NOVITASSOWTIONHCCLMMPMS6764014Z WM9 7/2UM23 WIPE OU MIAVACA NNELL )/11/3022 Oe9P@ 8,537A8 - B531.36 )/21/MZZ HOVOASSIXUIIONHCC3NIMPMT67"81420N0131 80.736.93 0.71633 71221202E NOVffM OLUTIONHCCIAIMPM16WUal42PA0136 55.050.96 t 2W.N).0 r 160 U)A) 7)25/2022 Quick View Select Quick View Accounts Account Number / Name Account Type Search All ODA Account Number Current Balance Number of Accounts: 15 $2,498,806.36 *4651 CAL CO INDIGENT $9,953.49 HEALTHCARE •4454 MEMORIAL MEDICAL 1 $61.374.53 NH GOLDEN CREEK . HEALTHCARE '4365 MEMORIAL MEDICAL $536.47 CENTER - CLINIC SERIES 2014 ,4357 MEMORIAL MEDICAL S1,777,438.21 CENTER -OPERATING -4373 MEMORIAL MEDICAL $431.87 CENTER -PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL $60,743.42 CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL $32,376.04 CENTER/NH BROADMOOR •4411 MEMORIAL MEDICAL $74,847.02 CENTER ! NH CRESCENT *4446 MEMORIAL MEDICAL $25,148.88 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL $81,709.73 CENTER /SOLERA AT WEST HOUSTON .2998 MMC -MONEY MARKET $703.63 FUND 'S506 MMC -NH BETHANY 5260,434.14 SENIOR LIVING *5441 MMC -NH GULF POINTE $61,851.35 PLAZA - MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $21,441.05 PLAZA - PRIVATE PAY •3407 MMC NH TUSCANY $30,016.53 VILLAGE htipsil/prosperity.olbanking.comlonlineMessenger Treasury Center Select Group Groups Add Group Data reported as of Jul 25, 202t Available Balance Collected Balance Prior Day Balanc $2,951,223.90 $2,498,806.36 $2,641,5904 $9,953,49 $9,953219 $9,953.4 $117,847.94 561,374.53 541,790.0 5536.47 5536A7 $536.4 51,801,229.06 $1,777,438.21 52,055,843.7 5431.87 5431.87 5431,E 5146,623.29 $80,743A2 $26,995.7 S164,161.05 532,376.04 $2,905.3 $97.728.78 $74,647.02 $68,994.1 $34,179.66 525,148.88 S11%013.4 $114,690.66 $81.709.73 $66,992.E 5703,63 $703.63 5703.E 5275.191.27 5260.434.14 5254,688.3 565.486.26 $61,851.35 $59,035.0 $21.631.48 $21,441.05 $16,597.E 5100,828.99 530.016.53 $17.108: V1 y zr m lam oz oz A an z zn zn n `)m m m m m z z m Am7� D r r 9 N b n O C XC rn r m y r ym n mm "o h c m b 'z y z >' n y P P = P P P P P P P P P P P y P P b O O O O O O O O O O O O O O O O O O p 6 rt sn xn xn xn sn xn xn r55 r r v r h Hx n n m> g> g> g> m gm < D C C C> C > C > C D C p nm 0 nm 00 A A C C D Om Gm Om Om Om Om Om �r>- <_m Z z =0 ny0 =0 z e >O EyO EyO EO >0 90 EO x y 03 mm m m Z> zY z>' z >O m Ay Ay A>y �y ay Fy �w > yD m F .b mA m� m� y O�' O N O N � r r r r r r r O .n.� nm > z o o e Z >y9 Z P P P P P N P U P ut P P p > �j w b W b b b M y x W z b C NVi N u V R N N IJ H3 w3 �? h3 �> ur3 �� w3 �� u,3 �� via as v,> �> >> a? v� 9Z 9z �>> Z �2. z -3 `i z z y�O -j ti C i m o U✓ P m o V) P m o N P m o HP m o (A P m o (AP m o VIP m o [A P D o m o (/1J 0 0 o P P P D o y o rL'P D o 0 P v>z• W O b O O O O J z'Q� H O J O 13 N O J zT S 1� A 0� N z'P_ 0 O P O J m n •OJ CJ yJ yP D D yJ yy D a c n m C m C W C c9 x �-. m o A M 7� 7y u, y n o. > Y z t an d "n m "n m Z O> z 0 o v o z o o a A n mo W n m -1 ti c Vi J O U A O O b m J W b ut CO b �p b W A b W G IJ �p A Ge M Of A b W O _6 b O -ci Z-Ci �-ci am >m m am Tm X» a n F c z o 0 m D z 0 P P P P P P P P P P P P P P P P � OPi q /Ua A A N N N N N U A A P U U U U U U n a P P P P a a r U n N O O O O O O p 6 R m n m n n Om m m m>n on n yyy<F zn xn sn xn >xa < -z] -z3 v O-zl AAy a ;m;t y�y �r n <a A Fp yip yp >�p ap Z Dr n0 9 7+aA�i O mv' mmmy my 3 z > z > > K z z z rz z n n n ri n m < m < < m m n a a a a. a O O W O O N tWn O O U U N U U J U A U Z O r O O O O r O A O N w ^ p na o o°O Dii30 Di�,O C ZZxa>3 D3rn On�R3a C�nCxm3a 3rn tivyrn3 ti�yg�a. �vw,ga. ?3�. zOC NC yCa 10 m10 Z z OzZCy�rnzs zryy0 0> 6a n� tiop1 fn�Lj 'Nn i' �A 20 o e a a O n m m m m S 9 9 9 9 o\ r < aA O a a m X e D n O p0rp -v�i 'c n D fit C O Z Z 'Z Z a Q P N U O A A O w A O J J P y N N W + ! @ G ` ®` G ) () ) ) )§ j _ { \ (! ` _ §§ ) § ` )) _ 7 ) _ , \ \ / \§ c ) _ /) \ ^ :0 R] \ \ [\ \(\)\\\ /() kk{ !l;+;7;\) §§` MO< \ \ j ) �(� �( irr � ( ` ® ( ) \ \ \\\ ») �(( / ! \2� ~ 7\\ )\\ `{) ^/2§\ \\ \� i 0 0 0 0 0 0 0 0 0 0 0 a rt gO a a mm �m �m mm �m �m �� �m a £� z Z DFO �O 0 r0 �O > rO CO ta-O �O 3 D D r0 0 rr0 r0 r0 r0 r0 f° 3 �r. .m� �•mn �.mn �� rm rm rm rm a° °a n n N N N N N N M P P P P P P P P C 3 O O O N N = N N N N N N c>a �aMa tma KjmA �mm� rNnn -xAn0 mx� 9 naH nmba y� Cmm�-3aCm C yy C waC mvC-i y- �Cy-4 0y-3 m a ana aa a ?a a am ? a s H A H H ro o n 9 -Aayi H ^' D N a n N n Y a= a n s n a n mu u A o y a as a 9 a n a a p a a N v� O O O O O U O O N U b J W VUi to O tJI� p O O M p p O p N O r N a v k k r� r: r� r NCD Q Q u Q U U ka Q ka u k= O ku k N Wu G'. 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