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2021-12-21 Final Packet (2)CALHOUN COUNTY C®MMISSION ERR' COUI[ T All Agenda Items Properly Numbered -jzContracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's �) l Documents for Clerk Signature Flagged On thisay of 022 a complete and accurate packet for 2— 1 S4- of O 2022 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. k4VV Calhoun County Judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA NOTICE OF IVIEEI ING — 12/21/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern gyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF M EETWG The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, December 21, 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: ATsILED ,, a„ ,— actor,„b�.. k� Call meeting to order. BEC i 2021 Invocation. . _ r , Pledges of Allegiance. ' am 4�General Discussion of Public Matters and Public Participation. 'S Hear report from Memorial Medical Center. Gl°�f . aP Public Hearing regarding a Request to Vacate and Abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting 9th street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, further described in the Application. Property Owners are Nam Pham and My La. Gl� 2r �Y✓Consider and take necessary action to Vacate and Abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting 9th street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, fuger described in the Application. Property Owners are Nam Pham and My La. (DEH) 9 8. Consider and take necessary action to approve Geigle's Utilities for Inspections agreement for the public restroom septic system located at Magnolia Beach Restroom and authorize Commissioner Hall to sign a 1-year contract. (DEH) 9/Consider and take necessary action to approve the renewal of the General Land Office Coastal Lease, GLO ID: CL20000005, and authorize Commissioner Lyssy to sign all necessary paper work. (VLL) Page 1 of 3 iNOEIC:E OF MEETING 12/21/)022 Konsider and take necessary action to approve the Final Plat of Jameson Subdivision No. 2 in Port O'Connor, Texas, situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas. (GDR) 1� Consider and take necessary action to issue a County credit card to Agri Life Extension agent Halley Hayes with a credit limit of $5,000. (RHM) tlConsider and take necessary action to increase the credit limit to $5,000 for the following Agri Life Extension agents: Emilee Deforest, RJ Shelly and Karen Lyssy. (RHM) 7.3. Consider and take necessary action to approve Noemi Cruz and Karen Lyssy for appointment to the Calhoun County Library Board. Noemi is replacing Magda Wyatt and Karen is replacing Pam Lambden. (RHM) Y o44.+Co1ntder and take necessary action to award the bid, approve the contract and authorize the County Judge to sign all necessary documents for the Annual Supply Contract Agreement for Inmate Food Services for the Calhoun County Adult Detention Facility, Bid Number 2023.04, for the calendar year 2023, with the option to renew yearly if agreeable with both the successful bidder and Calhoun County. (RHM) 75. Consider and take necessary action to accept Cash Count Reports for the following County Offices: Juvenile Probation tf Calhoun County Museum e! Sheriff — Narcotics Buy Money e Sheriff — Petty Cash -e: Tax Assessor -Collector ,V County Treasurer .j;r County Clerk .b Criminal District Attorney d, Floodplain Administration ,k Justice of the Peace, Precinct 1 J�- Justice of the Peace, Precinct 2 16. Consider and take necessary action to accept Cash Audit Reports for the following County Offices: Justice of the Peace, Precinct 4 County Clerk t'." Justice of the Peace, Precinct 2 d'�Calhoun County EMS e"'�Calhoun County Extension Service `i.� County Treasurer Criminal District Attorney — Hot Check Fee Fund tf/Criminal District Attorney — Hot Check Restitution Fund `� District Clerk Page 2 of 3 NOTICE (-)F MEETING - 12/21/2022 17. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 1 as Surplus/Salvage and remove from inventory. (RHM) 18. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 2 as Waste and remove from inventory. (RHM) 19. Accept Monthly Reports from the following County Offices: ' Justice of the Peace, Precinct 3 - November 2022 tiK Treasurer - July 2022 4ii' Treasurer - August 2022 Treosu.ror-SeAe"eta Z,e522 Treasurer - Quarterly Statement of Balances - 3rd Quarter 2022 bK Treasurer - Investment Report - 3rd Quarter 2022 20. Consider and take necessary action on any necessary budget adjustments. (RHM) Approval of bills and payroll. (RHM) Richard H. Meyer, County J—Ag Calhoun County, Texas A copy of this Notice has been placed. on the outside bulletin board of the Calhoun County Courthouse, 211. South Ann Street,. Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx ore under "Commissioners' Court Agenda' for any official court postings. Page 3 of 3 NOTICE OF MEETING— 12/21/2022 Richard H. Meyer County judge David ]H[aH, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney 1£addie Smith, Deputy Clerk REGULAR TERM 2022 § DECEMBER 21, 2022 BE IT REMEMBERED THAT ON DECEMBER 21, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Judge Richard Meyer called meeting to order at 10 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Vern Lyssy congratulated and thanked Peggy Hall for her 19 years of service to the County. 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the report. Page 1 of 5 NOTICE OF MEETING— 12/21/2022 6. Public Hearing regarding a Request to Vacate and Abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting gth street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, further described in the Application. Property Owners are Nam Pham and My La. Closed regular meeting at 10:24 Anne Marie Odefey explained the request to vacate. Opened regular meeting at 10:25 7. Consider and take necessary action to Vacate and Abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting gth street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, further described in the Application. Property Owners are Nam Pham and My La. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve Geigle's Utilities for Inspections agreement for the public restroom septic system located at Magnolia Beach Restroom and authorize Commissioner Hall to sign a 1-year contract. (DEH) Pass 9. Consider and take necessary action to approve the renewal of the General Land Office Coastal Lease, GLO ID: CL20000005, and authorize Commissioner Lyssy to sign all necessary paper work. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve the Final Plat of Jameson Subdivision No. 2 in Port O'Connor, Texas, situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas. (GDR) Henry Danysh explained the Final Plat. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 5 NOTICE OF MEETING—12/21/2022 11. Consider and take necessary action to issue a County credit card to AgriLife Extension agent Hailey Hayes with a credit limit of $5,000. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to increase the credit limit to $5,000 for the following AgriLife Extension agents: Emilee Deforest, RJ Shelly and Karen Lyssy. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 13. Consider and take necessary action to approve Noemi Cruz and Karen Lyssy for appointment to the Calhoun County Library Board. Noemi is replacing Magda Wyatt and Karen is replacing Pam Lambden. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to award the bid, approve the contract and authorize the County Judge to sign all necessary documents for the Annual Supply Contract Agreement for Inmate Food Services for the Calhoun County Adult Detention Facility, Bid Number 2023.04, for the calendar year 2023, with the option to renew yearly if agreeable with both the successful bidder and Calhoun County. (RHM) Bid was awarded to Performance Food Group RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 5 NOTICE OF MEETING— 12/21/2022 15. Consider and take necessary action to accept Cash Count Reports for the following County Offices: a. Juvenile Probation b. Calhoun County Museum c. Sheriff — Narcotics Buy Money d. Sheriff — Petty Cash e. Tax Assessor -Collector f. County Treasurer g. County Clerk h. Criminal District Attorney I. Floodplain Administration j. Justice of the Peace, Precinct 1 k. Justice of the Peace, Precinct 2 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to accept Cash Audit Reports for the following County Offices: a. Justice of the Peace, Precinct 4 b. County Clerk c. Justice of the Peace, Precinct 2 d. Calhoun County EMS e. Calhoun County Extension Service f. County Treasurer g. Criminal District Attorney — Hot Check Fee Fund h. Criminal District Attorney — Hot Check Restitution Fund i. District Clerk RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 1 as Surplus/Salvage and remove from inventory. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 5 NOTICE OF MEETING—12/21/2022 18. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 2 as Waste and remove from inventory. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Accept Monthly Reports from the following County Offices: I. Justice of the Peace, Precinct 3 — November 2022 ii. Treasurer — July 2022 iii. Treasurer — August 2022 iv. September — July 2022 v. Treasurer — Quarterly Statement of Balances — 3rd Quarter 2022 vi. Treasurer — Investment Report — 3rd Quarter 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. 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 21. 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 Page 5 of 5 # 05 I NOTICE OF MEETING—12/21/2022 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 Sara Rodriguez, County Attorney Kaddne Smith, Deputy Clerk REGULAR TERM 2022 § DECEMBER 21, 2022 BE IT REMEMBERED THAT ON DECEMBER 21, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Judge Richard Meyer called meeting to order at 10 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Vern Lyssy congratulated and thanked Peggy Hall for her 19 years of service to the County. 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the report. Page 1 of 17 # 06 NOTICE OF MEETING - 1212.112022 6. Public Hearing regarding a Request to Vacate and Abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting 9th street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, further described in the Application. Properly Owners are Nam Pham and My La. Closed regular meeting at 10:24 Anne "MarieOdefey explained the request to vacate. Opened regular meeting at 10:25 Page 2 of 17 I Pl_1BUCHEARING —12/21/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 (Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4- NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Monday, December 21, 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 December 21, 2022 at 10:00 a.m. regarding a Petition to Vacate and Abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting 9th street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, further described in the Application. Property Owners are Nam Pham and My La. The public shall have the right to be present and participate in such hearing. Richard H. Meyer, County J ge 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. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.ore under "Commissioners' Court Agenda' for any official court postings. DEC 112022 J ,p GOu yS A fN DrVQif g 9y, Page 1 of 1 Mae Belle Cassel From: amo@pordavacalaw.com (Anne Marie Odefey) <amo@portlavacalaw.com> Sent: Thursday, December 15, 202211:08 AM To: Maebelle Cassel(maebelle.cassel@calhouncotx.org) Cc: David Hall Subject: Request for Agenda item for 12/21/22 - Pham road closure Attachments: Notice and Application (posted).pdf; Order Declaring Closure.pdf; S25538.00 SIGNED REDUCED COPY.pdf CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recoenize the sender and know the content is safe. Attached please find application and notice for requested abandonment, as well as a proposed order. This is the Pham property and they are requesting abandonment of a .009 acre undeveloped alley in Mallory's First Addition to Magnolia Beach. I have also attached the survey plat. All statutory requirements have been met. I would appreciate your placing the following item on the agenda for December 21, 2022: Consider and take necessary action to vacate and abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting 9th Street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, further described in the Application. Property Owners are: Nam Pham and My La. Thank you and please let me know if there are any questions. Anne Marie 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@Xortlavacalaw.com **Please note our office will be closed for the holidays beginning December 23, 2022, and we will reopen on January 3, 2023.** 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. # 07 NOTICE OF MEFTING — 12/21/2022 7. Consider and take necessary action to Vacate and Abandon a portion of unconstructed alley in Mallory's First Addition to Magnolia Beach described as a 0.009 of an acre of an alley abutting 9th street and near the 600 Block of N Ocean Drive, Port Lavaca, Texas, further described in the Application. Property Owners are Nam Pham and My La. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 ' AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 17 STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN NOTICE OF INTENT TO ABANDON A PORTION OF PUBLIC ROAD IN MAGNOLIA BEACH, CALHOUN COUNTY, TEXAS Attached is a petition to abandon a portion of a public road located in Magnolia Beach,. Calhoun County, Texas, which application is intended to be filed with the Calhoun County Commissioner's Court and heard by the Commissioner's Court upon expiration of twenty days after November , 2022, being the date that this Notice of Intent is posted at the following locations: on the portion of the public road to be abandongd, at J & T One Stop, and the Courthouse door in Calhoun County, Texas. /% f1 0 Arineaiie Odefey, Attorney Nam P barn and My La P. 0. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN APPLICATION AND PETITION TO ABANDON A PORTION OF A PUBLIC ROAD TO THE HONORABLE COMMISSIONER'S COURT OF CALHOUN COUNTY: NOW COMES, Nam Pham and My La, being the owners of Lots Five (5) and Six (6) in Block Eight (8), Mallory's First Addition, Calhoun County, Texas, according to the plat of said townsite recorded in Volume Z, Page 351, Deed Records of Calhoun County, Texas, hereby petitions Commissioner's Court to abandon the following portion of a certain designated public road in said county pursuant to Texas Transportation Code Section 251.051, to -wit: BEING a 0.009 acre tract of land out of the William H. Mallory's First Addition to Magnolia Beach being a portion of a 10-foot Alley situated in Block 8 according to the established map or plat thereof as recorded in Volume Z, Page 351 of the Map & Plat. Records, Calhoun. County, Texas, said 0.009 acre tract being more particularly described by metes and bounds on Exhibit "A" attached hereto. In support hereof, the undersigned parties, Nam Pham and My La, being the owners of Lots Five (5) and Six (6) in Block Eight (8), Mallory's First Addition, Calhoun County, Texas, will show the Court that: a. There are no other property owners in said precinct whose.property rights will be affected by the abandonment of the above described portion of said road; b. The county has never opened or maintained said portion of said road; c. Texas Transportation Code Section 251.051 and Section 251.052 provide that a county mayalter an existing roadway; and d. The Applicant is the adjoining landowner. WHEREFORE, the undersigned party, Nam Pham and My La, being the owners of Lots Five (5) and Six (6) in Block Eight (8), Mallory's First Addition, Calhoun County, Texas, according to the plat of said townsite recorded in Volume Z, Page 351, Deed Records of Calhoun County, Texas, pray that after proper notice of this petition to abandon the following portion of a certain roadway in said county pursuant to Texas Transportation Code Section 251.051 & Section 251.052 has been posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route and on the site of the portion of the road to be abandoned as required by law, that this Honorable Commissioner's Court enter an order abandoning that portion of the road described above, to the Applicants pursuant to Texas Transportation Code Section 251.051 & Section 251.052, WITNESS OUR HANDS, this b. day of November, 2022. P. 0. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 STATE OF TEXAS § COUNTY OF CALHOUN §, This instrument was sworn to and acknowledged before me on this the t3day of November, 2022, by Anne Marie Odefey. 1 Notary Public, State of Texas kli ; PATRICIAKOENNINC My Notary ID 8718WF2 sRaa,'` EapIwN0vamb8r28,2026 %J ALLEY CLOSURE 0.009 ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.009 acre tract of land out of the William H. Mallory's First Addition to Magnolia Beach being a portion of a 10-foot Alley situated in Block 8 according to the established map or plat thereof as recorded in Volume Z, Page 351 of the Map & Plat Records, Calhoun County, Texas, said 0.009 acre tract being more particularly described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northwest line of Ninth Street (a 40-foot Right -of -Way) marking the south corner of Lot 5, Block 8 of the aforesaid Mallory's First Addition for the east corner of the herein described tract, from which a found 3/4" pipe marking the east corner of said Lot 5, Block 8 bears.North 27°21'35" East, a distance of 80.03 feet; THENCE, South 27'21'35" Westalong the northwest right-of-way line of said Ninth Street, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC.' along the northwest right-of-way line of said Ninth Street marking the east corner of Lot 6, Block 8 of said Mallory's First Addition for the south corner of the herein described tract; THENCE, North 68'28'36" West, departing the northwest right-of-way line of said Ninth Street, with the northeast line of said Lot 6, Block 8, a distance of 40.02 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northeast line of said Lot 6, Block 8 marking the west corner of the herein described tract; THENCE, North 27'21'35"East, across the aforementioned 10-foot Alley, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." marking a common corner between Lots 4 & 5, Block 8 of said Mallory's First Addition for the north corner of the herein described tract; THENCE, South 68'28'36" East, along the southwest line of said Lot 5, Block 8, a distance of 40.02 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.009 acretract of land, more or less. Basis of bearing is based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00004123283598 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the bestof my knowledge and belief. Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No.6616 525538.00 EXHIBIT 40 k BEING A 0.009 ACRE TRACT OF LAND OUT OF THE WILLIAM H. MALLORYS FIRST ADDITION TO MAGNOLIA V9 BEACH BEING A PORTION OF A 100.FOOT ALLEY SITUATED IN BLOCK B ACCORDING TO THE ESTABLISHED MAP OR PLAT THEREOF AS RECORDED IN VOLVME Z. PAGE 351 OF THE MAP S PLAT RECORDS, CALHOUN 3° COUNTY, TEXAS PREP SITE nAn aeTamLaL. LAVACA BAY VICINITY MAP NOTE TIE BE IN Tf PUPUC ED NFAEON lUY OR ION NOT BE IN S.9 ONCE MIHD.- CRI, COUNTY OR 0 20 40 SinTE suaomsmN oRelNwcEs. ® BASIS OF REMIND IS BI5E0 ON 1Ne ER SI ,jW GRAPHIC SCALE WFEEf CD11ML ZONE (4C%). T16 SURVEY WAS .U. USIHO p COMBIXF0 EGIEFACTOR OF 1.0000f12]2B]SSO (OEOIOIZv. W." (9 66CO'BO' E 40.00'1 3/4' ]/a' PIPE. E 6B'"RUB E IO x PIPE PW[ ¢aln G:PA;Mm@tlFhSSW28'36' T 5 (fNMi.IDaU] fl�^dPltTtle 9COiA'd B LCK 8 3 B LO C K 9 VFLOT 3 LOT 4NIsp LOT 1 FBIIBYE0.009 Acres9' E BEGINNING RR BEFR9 N 6T19']I' W _�pTl®I J® I.T9' To. PROHER PERtt GOP10• ALLEY -�jI R IS LOT 13 LOT 6 x& LOT 33 2 II �R vrtureusE � a sx6o PPON W R p1_ F^ '9 / /joez PER •O4W R.B FSR ff 1 N 6B'23'S9 W 9f96' (gER $EE FCS 3/Y T'EO® Pp IN BB'00'00' W 95.W') OEINC plpE / \BEruL LOT 12 LOT T LOT 12 NOT 1. SCALE _•..—.. ••• CEMFAIINE Of ORM �C 600 NORTH OCEAN DRIVE (APPARENT 60' RIGHT-OF-WAY) THE ABOVE PLAT AND ACCOMPANYING LEGAL DESCRIPTION WERE REPARED FROM AN ACTUAL SURVEY MADE ON THE GROUND UNDER MY SUPERVISION IN NOVEMBER. 2022 AND ARE TRUE ANO CORRECTTO THE BEST OF MY KNOWLEDGE AND BELIEF. ACCORDING TO THE FLOOD INSURANCE RATE MAP (FIRM) FOR CALHOUN COUNTY, TEXAS, COMMUNITY PANEL NUMBER 4807C COSINE. MAP REVISED OCTOBER 16, 2014, THE SUBJECT PROPERTY IS LOCATED IN ZONE VE (EL 12) WHICH IS A SPECIAL FLOOD HAZARD AREA, COASTAL FLOOD ZONE WITH HAZARD (WAVE ACTION); BASE FLOOD ELEVATION DETERMINED. ' nnl'�' E,f./.PQ N{_ 9SIONEO: 11I22I2022•••••• •••%••••BRB ICHAEL K WIL IAM WIl11AM3REGISTEREDK OFESMS6REGISTERED PROFESSIONAL LAND SURVEYORz1�a'�p�TEXAS Np. 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Pall l., pIRMRIWlIIm &W AM.T.NllRCP-F6F1 FlRRSPC..1 DRAWN BY: LIM JOB NO.: 826538.00 MW VACATE AND ABANDON A PORTION OF PUBLIC ROAD IN MALLORY'S FIRST ADDITION IN MAGNOLIA BEACH, CALHOUN COUNTY, TEXAS A( on v a m t'de by Commissioner ' and seconded by Commissioner o to Vacate and Abandon a portion of a public road in Mallory's First Addition in Magnolia Beach, Calhoun County, Texas as shown on the following Order with exhibits attached. voted in favor of the motion. ORDER DECLARING CLOSURE OF A PORTION OF PUBLIC ROAD IN MALLORY'S FIRST ADDITION IN MAGNOLIA BEACH, CALHOUN COUNTY, TEXAS WHEREAS, on the 21" day of December, 2022, the Commissioner's Court of Calhoun. County, Texas considered the request of Nam Pham and My La, being property owners in Precinct 1 of Calhoun County, Texas, to abandon and vacate the following portion of a public road in Mallory's First Addition to Magnolia Beach, Calhoun County, Texas more fully hereinafter described and as shown on the Exhibit "A" which is attached to this order and incorporated by reference. WHEREAS, Texas Transportation Code §251.051 vest in the Commissioner's Court the authority to abandon and vacate a portion of the road; and WHEREAS, the Commissioners have not previously classified the subject road as either a first class or second class road; and WHEREAS, the Commissioner's actions to abandon or vacate the road have not been enjoined or sought to be enjoined by any party; and WHEREAS, proper notice of the petition to abandon and vacate the road has been posted. at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route, being at J & T One Stop and on the property at the portion of the road to be 1 9 abandoned and vacated, for at least twenty (20) days before the date the application was made to the Court; and WHEREAS, the Commissioners have considered the request to abandon and vacate the portion of the road designated as a ten foot (10') alley in Mallory's First Addition to Magnolia Beach more particularly described by metes and bounds on the attached Exhibit "A"; and WHEREAS, all requirements of Texas Transportation Code §251.051 and §251.052 have been complied with in declaring said road to be abandoned and vacated. NOW, THEREFORE, ON MOTION DULY (MADE BY Commissioner and SECONDED by Commissioner II and upon said Motion having been unanimously approved by the Commissioner's Court in a properly posted public meeting; IT IS ORDERED AND DECREED, that Calhoun County does hereby CLOSE, ABANDON and VACATE that portion of road designated as a ten foot (10') alley in Mallory's First Addition in Magnolia Beach more particularly described by metes and bounds on the attached Exhibit "A". IT IS FURTHER ORDERED AND DECREED that on the date this Order is signed, title to the portion of road closed by this Order is vested in Nam Pham and My La, pursuant to Texas Transportation Code §251.058(b). IT IS FURTHER ORDERED AND DECREED that a copy of this Order is to be filed in the Official Records of Calhoun County, Texas and a duly filed copy of the Order shall serve as the official instrument of conveyance of the closed portion of the road, Mallory's First Addition in Magnolia Beach, Calhoun County, Texas from CALHOUN COUNTY to Nam Pham and My La, pursuant to Texas Transportation Code §251.058(b). 2 SIGNED THIS 2111 day of December, 2022. CALHOUN COUNTY, TEXAS H NORABLE RICHAhb MEYER, CALHOUN COUNTY JUDGE ATTESTED TO BY- ANNA GOODMAN CALHOUN COUNTY CLERK By: Deputy Clerk ALLEY CLOSURE 0.009 ACRES THE STATE OF TEXAS} THE COUNTY OF CALHOUN) BEING a 0.009 acre tract of land out of the William H. Mallory's First Addition to Magnolia Beach being a portion of a 10-foot Alley situated in Block 8 according to the established map or plat thereof as recorded in Volume Z, Page 351 of the Map & Plat Records, Calhoun County, Texas, said 0.009 acre tract being more particularly described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northwest line of Ninth Street (a 40-foot Right -of -Way) marking the south corner of Lot 5, Block 8 of the aforesaid Mallory's First Addition for the east corner of the herein described tract, from which a found 3/4" pipe marking the east corner of said Lot 5, Block 8 bears North 27'21'35" East, a distance of 80.03 feet; THENCE,. South 27°21'35" West, along the northwest right-of-way line of said Ninth Street, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northwest right-of-way line of said Ninth Street marking the east corner of Lot 6, Block 8 of said Mallory's First Addition for the south corner of the herein described tract; THENCE, North 68'28'36" West, departing the northwest right-of-way line of said Ninth Street, with the northeast line of said Lot 6, Block 8, a distance of 40.02 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northeast line of said Lot 6, Block 8 marking the west corner of the herein described tract; THENCE, North 27'21'35" East, across the aforementioned 10-foot Alley, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING,. INC." marking a. common corner between Lots 4 & 5, Block 8 of said Mallory's First Addition for the north corner of the herein described tract; THENCE, South 68°28'36" East, along the southwest line of said Lot 5, Block 8, a distance of 40.02 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.009 acre tract of land, more or less. Basis of bearing is based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00004123283598 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. /\ -'�-� 11/22/2022 Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 525538.00 EXHIBIT� BEING A 0009 ACRE TRACT OF LAND O� OF THE WILLIAM H. MPLLORY'8 FIRST POBNIH TO MAGNOLIA BEACH BEING A PORTION OF A 10-FOOT ALLEY SITUATED IN BLOCK 8 ACCORDING TO THE. ESTABLIeryEO � ) 41 V MAP OR PLAT THEREOF AS RECORDED IN VOLUMEZ. PAGE 351 OF THE IMP& PLAT RECORDS, CALHOUN COUNTY,TECAS yF 1\ PS I, { SITE " W `.,X LAVACA BAY VICINITY MAP F'_' 0 20 40 - el P 1' ce =9U"' ] I'll u, c'IVr\ '5117 eEL lu ccu ISE m ; ,vwc.x� P E eev :u:.-imrsexes- v _nP Plllll�L P..11 . .b.-AEF- ",A , a.11. 1PE VO. B I VJ PHICS.EINFEET ESP, IGM iSJU4o L. 'a.OAEPSV IA LC"T-L tEF •:1+3IDiE :m' IS 53'OObU' I: gg) 3', PIPE S'o8'35'S3'E eLLO Fll W4' IF- 9 n LOT 5 Ell �, u_v _ �< BCK e Ur. //.� W s �• P.L O s x EsD : LOT LOT .; P„, Z� 3 xEAIII Alley CIDSDTe LEVEPEU �''p. S..'PGEL61E r 0.009 Acres _ PowroF ,L 5 6S'2s'3B' E I BEGINNING ax SEARS :I1 ...E 3m w �, 10' ALLEY 6 ssrz sa N 692836'aW -IS LET 1 I 40.02' Or / LOT li LOT e Ler' 21 }I ` ' ¢Ixcas: 1".o n W F(` 'I Il bn'23'S5'�N SEE, /- �i3R R.. PP A900'p95 tv Fp') OEiNL Y_ LOT 12 LOT ] 2Ex:. I LQ-12 _ _ _ xm. EI t—ERt- 600 NORTH OCEAN DRIVE (APPARENT 60 R16HT-OF �NAT) THE ABOVE PLAT AND ACCOMPANYING LEGAL DESCRIPTION WERE REPAREO FROM AN ACTUAL SURVEY MADE ON THE GROUND UNDER MY SUPERVISION IN NOVEMBER. 2022 AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. ACCORDING TO THE FLOOD INSURANCE RATE MAP (FIRMI FOR CALHOUN COUNTY, TEXAS, COMMUN" PANEL NUMBER d605TO 0"GA MAP REVISED OCTOBER 16. 2011, THE SUBJECT PROPERTY 18 LOCATED IN ZONE VE IL E12) WHICH IS A SPECIAL FLOOD HAZARD, AREA, COASTAL FLOOD ZONE WRH HAZARD (NAVE ACTION); BASE FLOOD ELEVATION DETERMINED s1GNED: URBAN SURVEYING. ING r,P✓f9� F,'YA�''',Y"--.a/ai1 BY: MICHAEL K. WILLIAMS •11� 's 'oSTG '+: /M1� REGIBTEREOPROFE8510NAL LAND SURVEYOR LEGEND I 1E, o N Sr;Tx c'.xPP=xwml':s. c,P Fi0 o xEsDOEST, Pr..Ej eECEPinI '..'I F Ix DUrv, pb4n; 9.OP? xp[OY.P�.Vx46 Po51N.CE ` I MenceO 11-1 F aurXct 1¢ I'PIarl Fstr IE3SU13P9 tr r. e.p RuI, n Fob na .�., Valuma P 9e 16�.l PIuxl X.cr6;em vainue Volume IRS?fc]e <W xhenO oi.'F.' oI ".T:s. ,6An4et Ez et1urn. 11_.. ,. La esu w B aortae amq l]511llo-PNi .1.1 9u"'INTEFIFEINI)YeI F.1-111.P DRAWN 6Y: MRW JOB NO, S25538.00 STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN NOTICE OF INTENT TO ABANDON A PORTION OF PUBLIC ROAD IN MAGNOLIA BEACH, CALHOUN COUNTY, TEXAS Attached is a petition to abandon a portion of a public road located in Magnolia Beach, Calhoun County, Texas, which application is intended to be filed with the Calhoun County Commissioner's Court and heard by the Commissioner's Court upon expiration of twenty days after November a 2022, being the date that this Notice of Intent is posted at the following locations: on the portion of the public road to be abandoned, at J & T One Stop, and the Courthouse door in Calhoun County, Texas. Vam Plaat i and My La P. O. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: CK�I�l�Y11•Z�75[N\/J[iI11�1 APPLICATION AND PETITION TO ABANDON A PORTION OF A PUBLIC ROAD TO THE HONORABLE COMMISSIONER'S COURT OF CALHOUN COUNTY: NOW COMES, Nam Pham and My La, being the owners of Lots Five (5) and Six (6) in Block Eight (8), Mallory's First Addition, Calhoun County, Texas, according to the plat of said townsite recorded in Volume Z, Page 351, Deed Records of Calhoun County, Texas, hereby petitions Commissioner's Court to abandon the following portion of a certain designated public road in said county pursuant to Texas Transportation Code Section 251.051, to -wit: BEING a 0.009 acre tract of land out of the William H. Mallory's First Addition to Magnolia Beach being a portion of a 10-foot Alley situated in Block 8 according to the established map or plat thereof as recorded in Volume Z, Page 351 of the Map & Plat Records, Calhoun County, Texas, said 0.009 acre tract being more particularly described by metes and bounds on Exhibit "A" attached hereto. In support hereof, the undersigned parties, Nam Pham and My La, being the owners of Lots Five (5) and Six (6) in Block Eight (8), Mallory's First Addition, Calhoun County, Texas, will show the Court that: a. There are no other property owners in said precinct whose, property rights will be affected by the abandonment of the above described portion of said road; b. The county has never opened or maintained said portion of said road; c. Texas Transportation Code Section 251.051 and Section 251.052 provide that a county mayalter an existing roadway; and d. The Applicant is the adjoining landowner. WHEREFORE, the undersigned parry, Nam Pham and My La, being the owners of Lots Five (5) and Six (6) in Block Eight (8), Mallory's First Addition, Calhoun County, Texas, according to the plat of said townsite recorded in Volume Z, Page 351, Deed Records of Calhoun County, Texas, pray that after proper notice of this petition to abandon the following portion of a certain roadway in said county pursuant to Texas Transportation Code Section 251.051 & Section 251.052 has been posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route and on the site of the portion of the road to be abandoned as required by law, that this Honorable Commissioner's Court enter an order abandoning that portion of the road described above, to the Applicants pursuant to Texas Transportation Code Section 251.051 & Section 251.052. WITNESS OUR HANDS, this 6 day of November, 2022. P. 0. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 STATE OF TEXAS § COUNTY OF CALHOUN §. This instrument was sworn to and acknowledged before me on this the 95 day of November, 2022, by Anne Marie Odefey. t��, Notary Public, State of Texas :g PATRICIAKOENNINQ [ • I's MyNotaiylDp71&9"2 E)IresNWember25,2023 P) ALLEY CLOSURE 0.009 ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.009 acre tract of land out of the William H. Mallory's First Addition to Magnolia Beach being a portion of a 10-foot Alley situated in Block 8 according to the established map or plat thereof as recorded in Volume Z, Page 351 of the Map & Plat Records, Calhoun County, Texas, said 0.009 acre tract being more particularly described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northwest line of Ninth Street (a 40-foot Right -of -Way) marking the south corner of Lot 5, Block 8 of the aforesaid Mallory's First Addition for the east corner of the herein described tract, from which a found 3/4" pipe marking the east corner of said Lot 5, Block 8 bears.North 27'21'35" East, a distance of 80.03 feet; THENCE, South 27`21'35" West, along the northwest right-of-way line of said Ninth Street, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northwest right-of-way line of said Ninth Street marking the east corner of Lot 6, Block 8 of said Mallory's First Addition for the southcorner of the herein described tract; THENCE, North 68°28'36" West, departing the northwest right-of-way line of said Ninth Street, with the northeast line of said Lot 6, Block 8, a distance of 40.02 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northeast line of said Lot 6, Block 8 marking the west corner of the herein described tract; THENCE, North 27`21'35" East, across the aforementioned 10-foot Alley, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." marking a common corner between Lots 4 & 5, Block 8 of said Mallory's First Addition for the north corner of the herein described tract; THENCE, South 68'28'36" East, along the southwest line of said Lot 5, Block 8, a distance of 40.02 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.009 acre tract of land, more or less. Basis of bearing is based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00004123283598 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 525538.00 EXHIBIT • .I EXHIBIT BEING A 0.009 ACRE TRACT OF LAND OUT OF THE WILLIAM H. MALLORYS FIRST ADDITION TO MAGNOLIA BEACH BEING A PORTION OF A 10.FOOT ALLEY SITUATED IN BLOCK B ACCORDING TO THE ESTABLISHED MAP OR FLAT THEREOF AS RECORDED IN VOLUME Z, PAGE 351 OF THE MAP 8 PI -AT RECORDS, CALHOUN COUNTY, TEXAS LAVACA BAY 0 z0 40 GRAPHIC SCALE IN FEET E LGT 5 B LIb C K B LOT } I LOT 4 REA OENCE a0. OVER D Alley Closure REM 1 0.009 Acres AS fiB'28ZS'36' E 10' ALLEY 1\L I \ ago beCLe9e VICINITY MAP THENO MOT BE IN Y DESCRIBED HEREON MC OR MAY Eni BE IN LIMPLWILE WOES. Litt. COYNtt OR SIAiE SYL ONILIDN ORDINANCES. BASIS OF REASONS IL BISEO ON THE MAS SOAR NAME COORSINAR SYSTEM (NAD ES). SONH Cai ZONE pzoq. THIS Stmew WAS ADJUSTED MR. A COMBINED SCALE FACFLP OF IA000412]3ECNS (ISCIN A). W ¢ W 3 B L O C K 9 {�I 4 o LOT 1 r �rc Z. Z � s � 0 N � LOT 13 LOT 6 e LOT 13 2 II nS y AIAI E 0' N ¢ r� 'xl SNEde,O .'� _ / rude / r mOM 2.B o ..' 1 /59R Mm F9N 'CyW' FER N 66D'S5' W 9495' SEE FBP I ]/9. TpEp ® PP (N Ba'00'OO' W 95.00') OE}AIL / PIPE LOT 12 LOT l \ 02TYL LOT 12 NOT TD 9Pll£ CENRWJNE OE MI NLVEPi 600 NORTH OCEAN DRIVE (APPARENT 60' RIGHT—OF—WAY) NNE BFLAINC OISIµCE LI C 2T21 ]5 W 10.05 L2 N D'21']5 E 10.05 THE MOVE PLAT AND ACCOMPANYING LEGAL DESCRIPTION WERE REPARED FROM AN ACTUAL SURVEY MADE ON THE GROUND UNDER MY SUPERVISION IN NOVEMBER, M22 AND ARE TRUE AND CORRECT TO THE PEST OF MY KNOWLEDGE AND BELIEF. ACCORDING TO THE FLOOD INSURANCE RATE MAP (FIRM) FOR CALHOUN COUNTY, TEXAS, COMMUNITY PANEL NUMBER 4810225E, MAP REVISED OCTOBER 16, 2014, THE SUBJECT PROPERTY IS LOCATED IN ZONE VE (EL 12) WHICH IS A SPECIAL FLOOD HAZARD AREA, COASTAL FLOOD ZONE WITH HAZARD (WAVE ACTION) BASE FLOOD ELEVATION DETERMINED. OF y.t0*...ayN SIGNED: 11I2112022•••••••'•••••••••••••••••••••••••• URBAN WiMICHAEL K WILLIAMS MICHAELX. WIWAMS ............. .................... REGISTERED WIWAMS 1 fifi76 l REGISTERED PROFESSIONAL LAND SURVEYOR �•'gPACBsn Gi'•� TEXAS N0. 8616 91,�.... ...•)C{O LEGEND 3n...le.aea eymEeM au en nd.a min. a,.Mn9. OCR 0 9I.I.CSTREA ARBARygme 161'CAP FBX By FOONOyn'6ipELRECM TPEO® TELEFXONEPEDE9TN Pp ji POWER ... R ® SEPTIC 1. A/C AIRCONDMONER WOOOPTNCE OHL— OVEPXFPD ONES No L00000. E ISO) RECORD BFANXGe N.C. Note: Tne releeencee Den I. 111 to: 1. R... M Title E.... h Pe,leemetl Intl PTaNtlOE by Fidelity Mott ... I title neu Tenoe. OP NI. CBSIgn299, 2. Evhleet to N.AMcllve Covenants and/or Eoaemenla Be corded In: Volume 2. Sege 0, Pill Peco,ds. CoNwn County, Tnoe. Volume 3. Sege ]CI. Pln Bbiend, Called. County, Tees. (BI... Me—S) Volume 392, Peg, 43, need Biondi. Celleun County Texoc. (does Xot All-0 Volume 01, Pego AD. Deed B... Men Cohen C... ty, Texee. (BlenMn in MI / kU��'' r Land Surveying a Aerial Imaging Y TFYAB N61319 et "buttl 021 ml SW PMCNIO, }TOGS ry1012.6851 FIPMtllDl n31e3 DRAWN BY: MM JOB NO.: S26638.00 VACATE AND ABANDON A PORTION OF PUBLIC ROAD IN MALLORY'S FIRST ADDITION IN MAGNOLIA BEACH, CALHOUN COUNTY, TEXAS A fpn w s made by Commissioner �A 1 1 and seconded by Commissioner a 1AS to Vacate and Abandon a portion of a public road in Mallory's First Addition in Magnolia Beach, Calhoun County, Texas as shown on the following Order with exhibits attached. I, W % q i & nIff" Vq 5 (,11d PfSC/ voted in favor of the motion. ORDER DECLARING CLOSURE OF A PORTION OF PUBLIC ROAD IN MALLORY'S FIRST ADDITION IN MAGNOLIA BEACH, CALHOUN COUNTY, TEXAS WHEREAS, on the 21" day of December, 2022, the Commissioner's Court of Calhoun County, Texas considered the request of Nam Pham and My La, being property owners in Precinct 1 of Calhoun County, Texas, to abandon and vacate the following portion of a public road in Mallory's First Addition to Magnolia Beach, Calhoun County, Texas more fully hereinafter described and as shown on the Exhibit "A" which is attached to this order and incorporated by reference. WHEREAS, Texas Transportation Code §251.051 vest in the Commissioner's Court the authority to abandon and vacate a portion of the road; and WHEREAS, the Commissioners have not previously classified the subject road as either a first class or second class road; and WHEREAS, the Commissioner's actions to abandon or vacate the road have not been enjoined or sought to be enjoined by any party; and WHEREAS, proper notice of the petition to abandon and vacate the road has been posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route, being at J & T One Stop and on the property at the portion of the road to be 1 abandoned and vacated, for at least twenty (20) days before the date the application was made to the Court; and WHEREAS, the Commissioners have considered the request to abandon and vacate the portion of the road designated as a ten foot (10') alley in Mallory's First Addition to Magnolia Beach more particularly described by metes and bounds on the attached Exhibit "A'; and WHEREAS, all requirements of Texas Transportation Code §251.051 and §251.052 have been complied with in declaring said road to be abandoned and vacated. (NOjjW, THEREFORE, ON MOTION DULY MADE BY Commissioner lit � t and SECONDED by Commissioner J � IyV , and upon said Motion having been unanimously approved by the Commissioner's Court in a properly posted public meeting; IT IS ORDERED AND DECREED, that Calhoun County does hereby CLOSE, ABANDON and VACATE that portion of road designated as a ten foot (10') alley in Mallory's First Addition in Magnolia Beach more particularly described by metes and bounds on the attached Exhibit "A". IT IS FURTHER ORDERED AND DECREED that on the date this Order is signed, title to the portion of road closed by this Order is vested in Nam Pham and My La, pursuant to Texas Transportation Code §251.058(b). IT IS FURTHER ORDERED AND DECREED that a copy of this Order is to be filed in the Official Records of Calhoun County, Texas and a duly filed copy of the Order shall serve as the official instrument of conveyance of the closed portion of the road, Mallory's First Addition in Magnolia Beach, Calhoun County, Texas from CALHOUN COUNTY to Nam Pham and My La, pursuant to Texas Transportation Code §251.058(b). 2 SIGNED THIS 2 1 " day of December, 2022. ATTESTED TO BY: ANNA GOODMAN CALHOUN COUNTY CLERK CALHOUN TY,TEXAS 1 HO ORABLE RICHARD ME CALHOUN COUNTY JUDGE Deputy Clerk ALLEY CLOSURE 0.009 ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.009 acre tract of land out of the William H. Mallory's First Addition to Magnolia Beach being a portion of a 10-foot Alley situated in Block 8 according to the established map or plat thereof as recorded in Volume Z, Page 351 of the Map & Plat Records, Calhoun County, Texas, said 0.009 acre tract being more particularly described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northwest line of Ninth Street (a 40-foot Right -of -Way) marking the south corner of Lot 5, Block 8 of the aforesaid Mallory's First Addition for the east corner of the herein described tract, from which a found 3/4" pipe marking the east corner of said Lot 5, Block 8 bears North 27°21'35" East, a distance of 80.03 feet; THENCE, South 27°21'35" West, along the northwest right-of-way line of said Ninth Street, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northwest right-of-way line of said Ninth Street marking the east corner of Lot 6, Block 8 of said Mallory's First Addition for the south corner of the herein described tract; THENCE, North 68°28'36" West, departing the northwest right-of-way line of said Ninth Street, with the northeast line of said Lot 6, Block 8, a distance of 40.02 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the northeast line of said Lot 6, Block 8 marking the west corner of the herein described tract; THENCE, North 27°21'35" East, across the aforementioned 10-foot Alley, a distance of 10.05 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." marking a common corner between Lots 4 & 5, Block 8 of said Mallory's First Addition for the north corner of the herein described tract; THENCE, South 68°28'36" East, along the southwest line of said Lot 5, Block 8, a distance of 40.02 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.009 acre tract of land, more or less. Basis of bearing is based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00004123283598 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. �WL 11/22/2022 Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 525538.00 EXHIBIT Re 4 � BEING A 0.000 ACRE TRACT OF IANO OUT OF THE WILLIAM H. MALLORV'S FIRST ADDITION TO MAGNOLIAp BEACH BEING A PORTION OF A 10-FOO7 ALLEY SITUATED IN BLOCK B ACCORDING TO THE ESTABLISHED MAP OR PLAT THEREOF AS RECORDED IN VOLUME 2, PAGE 351 OF THE MAP 6 PLAT RECORDS, CALHOUN COUNTY, TEXAS S e �MInEY SITE 2]60 pLaFa LAVACA BAY VICINITY MAP NOTE: THE BE IN NC VPLIANC EO HEREON MAY OR MAY OR NOT BE IN AGN ORDINANCES. WITH LILY, COUNTY B ZB 40 STATE SVROMSION ORDINANCES. ® PLAT OF BEARING IS RAGED ON THE TEXAS STATE CUTE COORDINATE STSIFM (NPO 0]), SOUTHAS CENTRAL. zoxG (COMB D S E rA wor GRAPHIC SCALE N FEET - ADJUSTED USING A COMBINED SCALE IPCLOB OE 1.00006123203590 (EE01012A). 3/A' IS ecoD'OO" E 40.00) 3/a• 3/a. PIPE 66'3II E 4DGS' PIPE PIPE 1FOR'I.M.IM ApJIBr4limITM:N JUNDwmwM 115AUREN o. c¢arM'a wm M2,Pma93t 3 Pnln e¢CJP1N:, LOT 5 B P-aI mu 69FINM�o VT'P�e S' � _ BL CK 6 8w b8 W3` RLOCH 9 0v E d 1 D C Ae r m 0 LOT 3 LOT 4 .9' aoe 13.a' N LOT 1 I=— z 7_- C AR., AEOVE COVERED Ally CID9OrB a CONCBEIE N 0.009 Acres BElnw POINTOF 5 6e'20'36" ES BEGINNING «, 40.02' PR BGRS N 61'99'ST. W 1.]9' FROM PROPERLY CORNER PSI PER LOT 13 FSR Off. LOT 12 10' ALLEY LOT B LOT 13 .x RDusE RE s1.D4-D sxED .920N 0023's5' W 94.96' SEEP�,ED 0 PP (N 6EW'00' W 93pO') OCTAILLOT ) DETAIL LOT 12 NOT TO SCAT CEMERLIME Of OITCN --�� CULVERT LEGEND ' 600 NORTH OCEAN DRIVE e.�wm"ma°»I"19�m (APPARENT 60' RIGHT-0FWAY) SST 0 EUAAy RIEELRERww er CAP FOR LWE BFMINC OISTM'CE TEED® TELEPRONEPEOEETAL LI 5 2]'2135 W IO.OS' PP 0 POWERPOLE u x zrv'3s' E 10.Os' NC .AIR CONDITIONER n — SA DVERIO LOSE. IN OPOO'OR- E 0.00) BOACROPENGING&DUSTARCE TIE, Tbe,ele,enaa bu.l n aublal tea THE ABOVE PLAT AND ACCOMPANYING LEGAL DESCRIPTION WERE REPAIRED FROM AN ACTUAL SURVEY WOE ON THE GROUND UNDER MY SUPERVISION IN NOVEMBER, 2022 AND 1. R...m Tin. s...m P,,f, m.b ..4 Pr.alb.b by RbLuy N,U... I ml. mar —A. GE No. 22SONEE9. ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. Z. EUS1e[1 to rattlMoll Cnrenonta .nE/.r E.aP—I R...itl.b in. ACCORDING TO THE FLOOD INSURANCE RATE MAP.(FIRM) FOR CALHOUN COUNTY, TEXAS, Vbt— 2, P,b, S. Pmt RI-rd , Cbnoun c.unty. Taos. COMMUNITY PANEL NUMBER 4BG57C 0225E, MAP REVISED OCTOBER 16. 2014, THE SUBJECT P.E. 3s1, 11.1 B.-O., O.I6..n C.wly. T...P. (Gnaw„ ITI 392, PROPERTY IS LOCATED IN ZONE VE (EL 12) WHICH IS A SPECIAL FLOOD HAZARD AREA, V'Ium. P.9. a, wsb R...m.. Lmb... E..." Ta.a.(0... NOT AN.0 COASTAL FLOOD TONE WITH HAZARD (WAVE ACTION); BASE FLOOD ELEVATION V.l.m. 101, P191 003, Dl R—,b , C.Ib..n C..nly, T. - (BIIAPI M N.Iw.) DETERMINED. � T¢'•.:I" gta'9NLantl SDrveylNg aAeMRI ImRBinO SIGNED: ii122@022 QfD WIWAMSGIATRXAR URBAN SURVEYING, INC. ... ......... POIREEPAS' "... ENTER wERPT. BY: MICHAEL K. WILLIAMS 16 BEIETERE EIRnlGCPIRI SAM ANTONIO. TEXAS(210) 2SI FIRMANRI REGISTERED PROFESSIONAL LAND SURVEYOR91O�'•TEXASND.fi616 •'•-�� DRAWN BY. MKW IiNf' JOB NO,; $25538.00 EXHIBIT BEING A 0.009 ACRE TRACT OF LAND OUT OF THE WILLIAM H. MALLORY'S FIRST ADDITION TO MAGNOLIA I ry EACH BEING A PORTION OF A DID FOOT ALLEY SITUATED IN BLOCK B ACCORDING TO THE E6TA NZIS In MAP OR PLAT THEREOF AS RECORDED IN VOLUME Z. PAGE 351 OF THE MAP A PLAT RECORDS, CALHOUN j \ COUNTY, TEXAS q DM1Cxpv i I $LTE� \ n 1 V, n9 LAVACA BAY VICINITY MAP rvEREow eE °ry 0 20 40 sr+rE suo°ImVON G. N11110 ® HUI ONE C9 WIEeEa",I,, TM(NA, CojEASED ON LEE n[ GRAPHIC SCALE IN FEET E Lf+ROR 0. I.°O„Onn2es9e+(ceeup; s sac°'O°' E a CO') 3/'I, ]/9' PIPE A MISS' E 1J. SEE ff n i ;'B I•M11Cs 1 I a3 :i't L1 f 5 '> LOT 5 y LI`M f." F A'2 RL CK s LET 3 LOT a Ce�aw - DO o LOT 1 Z- b Z xcwSPI°` Alley Closure .—I cox ROEO 0.009 Acres DEL POINT OF 5 BW26'36` H BEGINNING Qm re FREE N s x 5vv9ar V ' 'e]' `�' INTO aA pc.xD 1OALLEY O 55J ; ° ue' sse N b6'26'36eoW' DES °'LIR �p g0.02' LOU 1- / j�/'/ LOT' 6 OT 13 S 51.Y ' N' 9 ELI LLL iSR iSR N bR c5=0) 0 L �- -' TEED PP Ma600'CO'n / plpE LOT 12 LOT ] \°,TUC I LOT^_ m r0 s� .. —_. NLLE�- 600 NORTH OCEAN DRIVE � 1 e -JEE . (APPARENT 60- RIGHT-OF-WAY) Do O sl Al I 9 *peB�o ETa< .TEI ro C°09'0°N _ OCO. C'1 NC.NDS..Sn°InmrcE ire tract i"`e.ae a sueye< b. THE ABOVE PLAT AND ACCOMPANYING LEGAL DESCRIPTION WERE REPAREO FROM AN ACT UAL SURVEY MADE ON THE GROUND UNDER MY SUPERVISION IN NOVEMBER,.2 AND me. -D'—'F ey "E", P.1-1 T.u- ARE TRUEAND CORRECT TO THE BEST OF Mi KNOWLEDGEAND BELIEF. Ineveenee b No 3Y5O1999 1. m Reaeewe vem..ma a.e/o; em.mrme O—;me .. ACCORDING TO THE FLOOD INSURANCE RATE MAP (FIRM) FOR CALHOUN COUNTY, TEXAS, ee. CoU— eeumyT— , COMMUNITY PANEL NUMBER CB05TC 0225E, MAP REVISED OCTOBER 16. 2019, THE SUBJECT i Pege 351FIePmOi Reoemu cemew Cowly, A.ua. (meen rvrrm.) PREDREW LOCATED IN ZONE VE (EL 12) WHICH IS A SPECIAL FLOOD HAZARD AREA, me Spv. pose a, ogee Ree.rm, mueun [.uny, i..... (mac A.l 11-11 FIB COASTAL LOOD ZONE WITH HAZARD (WAVE ACTION): BABE FLOOD ELEVATION umeme e s 3, eee emme Cmn.m D.-C, Texee o1l 1., 1. bbmee) CEfERIANED. / i e l tll(Q� L tlS rveyingRAeriall aggln9 SIGNED: 11I;?i2D�'+ ...... L K. fYILLIAfIi pbDnbeya URBAN GURVEYING,INC. BY: MICHAEL K. WILLIAMS q 8l6 Wgs Flq s V:ID T bulmr°ulo iEw, 15aym�som eNa;olmen REGISTERED PROFESSIONAL LAND SURVEYOR (9'OP%P5 AN'OQ� TEXAS No M16 DRAWN BY: MKW $uRy�i /i JOB NO: S2553800 • 1: �Z12� `22 1 12�� I NOTICE OF MEETING — 1.2/21/2022 8. Consider and take necessary action to approve Geigle's Utilities for Inspections agreement for the public restroom septic system located at Magnolia Beach Restroom and authorize Commissioner Hall to sign a 1-year contract. (DEH) Pass Page 4 of 17 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for December 21st, 2022. Consider and take necessary action on approval of Geigle's Utilities for Inspections agreement for public restroom septic system located at Magnolia Beach Restroom and authorize Commissioner Hall to sign 1 year contract. Sincer , Da E. Hall DEH/apt Gelgle's Utilities 1587 Oliver Road Victoria, TX 77904 Phone! (361) 570-0203 Fax: (361) 237-4848 www.guwastewater.com guwastewater@gmail.com To: Calhoun County Pret 1 Magnolia Attention: David Hall 202 S Ann St Port Lavaca, TX 77979 start:1/8/20z Total Fee: $1,600.00 End: 1/8/2024 Site: Magnolia Beach Restroom, Port Lavaca, TX 77979 Dear Customer, Date Printed: 12/5/2022 Owner Phone (361)552-9242 Victoria County Public Health Department County: Calhoun Permit: 2013-257 Installed: 11 /2712013 This letter is to inform you that your SERVICE contract for your aerobic septic system is due to expire on the above date. Enclosed please, find a new contract for your signature. Please return it to me with your payment due 30 days prior to the above date. Also please verify your address and phone number as listed above and notify me of any corrections. A completed contract will be sent back to you, and, one will be forwarded to the authorizing agency. The renewed contract is due to the authorizing agency thirty days prior to the expiration of the current contract. If you have any questions, please call me at (361) 570-0203. Thank you in advance for your cooperation in expediting this matter. Sincerely, ---------------------- Pay to: Geigle's Utilities 1587 Oliw Road: Victoria, TX 77904 Fax: (361) 237-4848., Phone: (361) 570-0203 Customer/ID: Calhoun County Prot 1 Magnolia 802 Method of Payment El CHECK El Name on Card: Ptease return this ponion with payment and Signed Contract ❑ Please check here if Address is incorrect. (Correct on Back) Contract Amount Due: 'i $1,600.00 Amount Paid: Check Number; CARD NUMBER: ___ ____ CVV #: lgl Hs Utilities 1587 Oliver Road Victoria, TX 77904 Phone: (361) 570-0203 Date: 12/5/2022 Fax: (361) 237-4848 www.guwastewater.com guwastewater@gmail.com To: Calhoun County Prct 1 Magnolia Attention:David Hall 202 S Ann St Port Lavaca, TX 77979 Phone: (361) 552-9242 Subdivision: Site: Magnolia Beach Restroom, Port Lavaca, TX 77979 County: Calhoun Installer Hurrs Waste Water Management Ltd Installed: 1127/2013 Agency: Victoria County Public Health Department Mig/Brand: NORWECO / NonNeco Contract Period Start Date: 1181210 233 End Date: 11812, 24 Permit #: 2013-257 Email: David.hall@calhouncobr.org Warranty Expired: 112712015 3 visits per year- one every 4 months Geigle's Utilities This is to Certify that the above COMMERCIAL sewage system has a RENEWED inspections agreement per Texas Commission on Environmental Quality (TCEQ) standards for on site sewerage facilities as required. Inspection reports by Geigle's Utilities will be filed with the authorized agency as required by the TCEQ regulations. A weather proof tag or label will be attached to the controller showing the month that each inspection was made. Items included on the Inspection Report generally include aerators, filters, irrigation pump, air compressor, disinfection device, chlorine supply, OK System light, spray field vegetation, probe, sprinkler or drip backwash. We will visit your site within 48 hours of you notifying us of a problem. Geigle's Utilities is certified by the manufacturer of your system. The air filter will be cleaned at each visit. This agreement does not include the cost of repairs. This agreement does not include the cost of chlorine. Owner: Date* Certified Inspector: # 09 ' NOTICE OF MEETING—12/21./2022 9. Consider and take necessary action to approve the renewal of the General Land Office Coastal Lease, GLO ID: CL20000005, and authorize Commissioner Lyssy to sign all necessary paper work. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 17 Vern L Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 December 14, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: (361) 552-9656 Fax (361) 553-6664 Please place the following item on the next Commissioners' Court Agenda Vern VL/Ij • Consider and take necessary action to approve the renewal of the General Land Office Coastal Lease, GLO ID: CL20000005, and allow Commissioner Vern Lyssy to sign any and all paperwork. 4� GENERAL LAND OFFICE APPLICATION FOR RENEWAL OF COASTAL LEASE GLO ID. CL20000005 Expiration Dates November 30, 2020 Please type or print in the blanks below all applicable information. If information requested is not applicable, indicate by placing N/A in the blank ISSUANCE OF THE COASTAL LEASE FOR WHICH YOU HAVE APPLIED IS C"ONTEVGENT UPON VERIFICATION OFTHE INPORMATION Si11311MITTED, PAYMENT OF APPROPRLATEFEES, A DCOMPTIANCENITHALLAPPLICABLEREGULATORYREQUIREME`NT.S, I. Applicant Information (Responsible Party Under Contract): A. Name: Calhoun County Mailing Address: 5812 FM 1090 City/State/Zip: Port Lavaca, TX 77979-51.68 Telephone: Home: Work: (361)553-4600 Cell Phone: (512) 925-3040 Fax: (361) 553-4444 Email Address: kimste ,calhouncotx.or B. Please list any changes/corrections to demographic information above in the spaces provided below if applicable: Name: Calhoun County Mailing Address: 5812 FM 1090 N City/State/Zip: Port Lavaca, TX 77979 Telephone: Home: N/A Work: (361)552-9656 Cell Phone: (361) 212-9656 Fax: (361) 553-6664 Email Address: vern.lyssy@calhouncotx.org H. Signature of , pplicant Calhoun County By: Commissioner, Pct. 2 Signature Title Vern Lyssy _12/21/2022 Printed Name � � Date Information collected by electronic mail and by web form av subject to the Public Information Act, Chapter 552, Government Code. c_c.ann0oa0s Cussen,erzn, c000000686 rrv��rYu 1 AppRenewCL_090114 STATE OF TEXAS § COUNTY OF CALHOLIN CQA ,$TAL LEASE RIENE, WAL ALF_IDAVIT The undersigned being first duly sworn on oath, states as follows: 1. The undersigned is the grantee under Coastal Lease No. Q,20000005 (the "C12); 2. The undersigned has applied to the General Land Office (the "GLO") to renew the Cf. for an additional term; 3. The undersigned has complied with all of the terms of the CL during its term and has complied with all of the guidelines and rules of flit OLD and the School Land Board (the "SLB') applicable to the CL; 4. The undersigned has not made any iraprovements, additions, or modifications to the Premises, as shown on the exhibit, attached hereto ondlacorpomfed Herein by reference, during the term of tbe CL, without the advance written consent of the 0 LO; and 5. The undersigned acknowledges that the SLIT and the GLO will rely on the truth of the statements contained herein in issuing the renewal of the CL. In the event that any of the statements herein prove to be untrue, the renewal CL shall be subject to immediate termination, which will require that the undersigned remove all structures om the Premises. GRANT 4:)adho C Unty By: 12/21/2022 Signature Date Vern Lyss irinied Name ACKNOWLEDGMENT STATE OF --TEXAS C0I7NTy 01z CALHOUN — § This r byL%, for Calhoun Count Notary Public, State of MAE BELLE CASSEL My Notary ID # 132012524 My commission expires: Expires May 14, 2023 Information collected by electronic mail and by web form is subject to the Public Information Act, Chapter 552, Government Code. (120000005 Cn4omerff); C000000686 dlindltv 2 Appli=wU-090114 Lavaca Bay Tldw -I'HWM Visibility: V Unvegetated Submerged 151 Wde Concrete Rubble Rip -rap 4 fi FT NTS ryC Road TITLE: Calhoun County /CI_2000ii605 COMPANY: Texas General Land Office DRAWING SCALE: 11n:2011 Nx 14' * -4'HWM Unvegetated Submerged 15'Wide Concrete Rubble Rip -rap + i mtteavie Stroreline State Owned Filled Submerged Lands (2.05 acres) Upland Elevation: V WN Upland Vegetation: paved area and, manicured lam 350 It Natural Sand Private Land 10'x 12'concrete slab and ramp for portable restrooms DATE OF INSPECTION: 01-27-2011 CREATOR: mhardin - g MODIFIED BY: KTunnall TEXAS GENERAL LAND OFFICE APPLICATION FOR RENEWAL OF COASTAL LEASE NOTES: 1. The application will be reviewed by the GLO Field Office to verify site conditions. Lessee will be advised regarding term length, special conditions, and payment amounts. It will then be submitted to the Texas School Land Board (SLB) for consideration. if approved by SLB, a contract will be prepared and sent to Lessee for signatures. 2. Lessee is advised that in accordance with the, easement agreement, unless renewed on a timely basis, hold -over occupancy beyond the expiration date of the easement is subject to increased lease payment amounts. 3. Lessee is advised that in accordance with provisions of the easement agreement, if the agreement is not renewed, all private property and man-made improvements must be removed and the premises returned to pre -easement conditions within 120 days of the expiration date. CL20000005 Customerll3: C000000686 dlindley 3 AppRenmCl e090114 #10 ' NOTICE OF MEETING—12/21/2022 10. Consider and take necessary action to approve the Final Plat of Jameson Subdivision No. 2 in Port O'Connor, Texas, situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas. (GDR) Henry Danysh explained the Final Plat. 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 17 Gary D. Reese County Commissioner County of Calhoun Precinct 4 December 15, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for December 21, 2022. • Consider and take necessary action approve the Final Plat of Jameson Subdivision No. 2 in Port O'Connor situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas Sincerely, Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: aarv.reeseC@,ealhouncotx.ore — (361) 785-3141 — Fax (361) 785.5602 a pp R i y t it 9 S N51'31'59'E \ 215.00' O _______� �___I____ 2I O pi F 3: 2 j g sim o a r r q $ y4 t g A® Z ---------------- Y y q a S ; �� raSEwo_u<lnv_.L--' s' _______u _____ cn r mom$ c g3 E ^?m z z 9 m _______________' z o 9A2g E O a r R z O 9 � •� � O leg c0 g{ � B ___W_gRMAg4___ ___uL•RpA•£___ R�¢ S t � N q 561'31 59 W 2 5.00 3nN3AV 308NON n R X1 2 flV nn»$$o a2 dam.. ¢ 9 � SSSSB oe:y:�• Wq P ppi ffli,. .Si G & W ENGINEERS, INC. a s F • ENGINEERING • SURVEI1NG • PLANNING • �+ ~ c ^ s ap O o p 205 W. UVE OAK STREET. PORT LAVACA• 1EKA5 »979 m rm W' O o b TBPELS FlflN NO.: 10022100 FINAL PLAT (361) 552-009: PORT LAVACA (979) 323-]106. BAY CITY #11 NOTICE OE MEETING-12/21./2022 11. Consider and take necessary action to issue a County credit card to Agri Life Extension agent Hailey Hayes with a credit limit of $5,000. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall; Lyssy, Behrens, Reese Page 7 of 17 Mae Belle Cassel From: ellen,heim @ag.tamu.edu (Ellen M. Heiman) <ellen.heiman®ag.tamu.edu> Sent: Wednesday, December 14, 2022 9:16 AM To: Mae Belle Cassel Subject: Agenda Items ICAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good morning Mae Belle! I needing to put two agenda items for December 2l if that is possible. Not sure how this works but this is what I am needing: • Hailey Hayes is needing a County Credit Card with a $5,000 limit • We need to increase Emilee DeForest Credit Card from $2,000 to $5,000 Please let me know what other information you will need. Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port Lavaca, TX 77979 361-552-9747 work PEXAS' A&M cRows a EXTENSION Tee il'"ItiXASASM VNIYGRST�'V # Zz NOTICE OF MEETING— 12/21/2022 12. Consider and take necessary action to increase the credit limit to $5,000 for the following AgriLife Extension agents: Emilee Deforest, RJ Shelly and Karen Lyssy. (RHM) RESULT: APPROVED {UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Page 8 of 17 Mae Belle Cassel From: Mae Belle Cassel<MaeBelle.Cassel@calliouncotx.org> Sent: Wednesday, December 14, 2022 9:32 AM' To: ellen.heimm@ag.tamu.edu Subject: RE: Agenda Items giairv_.. Fi C'�i'i/Lt,V l.i "�'Z.Y G'vL i.1/.�'v'{ i.S't•{:i.,; . From: ellen.heiman@ag.tamu.edu (Ellen M. Heiman)[mailto:ellen.heiman@ag.tamu.edu] Sent: Wednesday, December 14, 2022 9:29 AM To: Mae Belle Cassel <MaeBelle.Cassel@ca!houncotx.org> Subject: RE: Agenda Items 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. Thank you! Go ahead and add to up all the Extension Agents credit card limit to $5,000 per Karen. From: Mae Belle Cassel <MaeBelle.Cassel@calhouncotx org> Sent: Wednesday, December 14, 2022 9:28 AM To: Ellen M. Heiman <ellen.heiman@ag.tamu edu> Subject: RE: Agenda Items S«ill ad<V -, ou r _cciue'i, !rr the Gila Ite."t 1 #13 NOTICE OF MEETING— 12/21/2022 13. Consider and take necessary action to approve Noemi Cruz and Karen Lyssy for appointment to the Calhoun County Library Board. Noemi is replacing Magda Wyatt and Karen is replacing Pam Lambden. (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 9 of 17 Calhoun County Library Board Port Lavaca, Texas December 13, 2022 Judge Richard Meyer: The Calhoun County Library Board presents Noemi Cruz and Karen Lyssy for approval by Commissioners' Court for appointment to this Board. Noemi is replacing Magda Wyatt, and Karen is replacing Pam Lambden. We would greatly appreciate you including this on the agenda of your next meeting. Sincerely, Dina Sanchez Calhoun County Library Director #14 ' NOTICE OF MEETING- 1.2/21%J_022 14. Consider and take necessary action to award the bid, approve the contract and authorize the County Judge to sign all necessary documents for the Annual Supply Contract Agreement for Inmate Food Services for the Calhoun County Adult Detention Facility, Bid Number 2023.04, for the calendar year 2023, with the option to renew yearly if agreeable with both the successful bidder and Calhoun County. (RHM) Bid was awarded to Performance Food Group 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 17 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Wednesday, December 14, 2022 4:18 PM To: MaeBelle.Cassel@calhouncotx.org; richard.meyer@calhouncotx.org Cc: cindy.mueller®calhouncotx.org; Erica.Perez@calhouncotx.org Subject: Annual Supply Contract Agreement for Inmate Food Services Good Afternoon, Please place the following item on the agenda for Commissioners Court next week, December 21, 2022. • Consider and take necessary action to award the bid, approve the contract and authorize the Judge to sign all necessary documents for the Annual Supply Contract Agreement for Inmate Food Services for the Calhoun County Adult Detention Facility. Bid Number 2023.04, for the calendar year 2023, with the option to renew yearly if agreeable with both the successful bidder and Calhoun County. Thank you, fl¢mi Cabr¢ra Calhoun County 2166isstant auditor 361-553-4613 361-553-461ae UaX) Calhoun County Texas COUNTY OF CALHOUN SHERIFF BOBBIE VICKERY 211 SOUTH ANN STREET, PORT LAVACA, TEXAS 77979 &mmittzd to community CJVEEQI To: Calhoun County Judge Richard Meyer CC: Calhoun County Commissioners David Hall —Pct. 1 Vern Lyssy — Pct. 2 Joel Behrens — Pct. 3 Gary Reese — Pct. 4 Re: Food Service Contract Dear Judge, After much consideration, it is my recommendation that we award the food service contract to Performance Food Service. The prices are either equal to or at a lower cost to the county for the same products. The other main positive is that Performance Food Service is located in Victoria, TX. Meaningthat due to proximity, we will not have to wait for needed or required items that we unexpectedly run out of as well as anytime during any disaster, either natural or manmade, they will be able to accommodate us within a very reasonable time frame. Thank you, riff BJ VcikeCalhoun Cu eriffs' Off ce Main Office (361) 553-4646 Facsimile (361) 553-4668 Calhoun County, Texas Calhoun County Adult Detention Facility INVITATION TO BID FORM FOR THE ANNUAL SUPPLY CONTRACT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY Bid Number 2023.04 January 1, 2023 thru December 31, 2023 With the option to be extended yearly, if agreeable with both the successful bidder and Calhoun County Bidder's Name and Address Performance Food Service 204 N Brownson St. Victoria, TX 77901 Type text here PLEASE TYPE. IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE. • WHITE OUT IS NOT ACCEPTABLE • ITEM OR ITEMS NOT BIDDING: MARK "NA" UNDER COST OR LEAVE BLANK • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • BE SURE TO COMPLETE, SIGN AND DATE THE LAST PAGE OF THE INVITATION TO BID FORM PLEASE NOTE: The bidder may request the Invitation to Bid Form be erriailed to them in the Excel Format.. If the bidder requests the Invitation to Bid Form be sent to them in the Excel Format, the bidder understands that the form and format shall not be changed in any way. The bidder shall not delete or add items to the Invitation to Bid Form. THE BIDDER UNDERSTANDS THAT BY CHANGING THE FORM AND/OR FORMAT OF THE INVITATION TO BID FORM IN ANYWAY SHALL DISQUALIFY THEIR BID. The Excel Format maybe requested only as a means to enter the required information. Requests for the Excel Format of the Invitation to Bid Form must be sent to Peggy Hall, Assistant Auditor, at peggy.hall@calhouncotx.org or by calling 361-553-4610. Page 1 of 20 f, . Item# Pack/Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on Howaften used: 1 / 40 Ib Apples Sliced Solid Pack Fresh weekly 24 / 2 oz Apple Slice Red weekly 262065 6 /#10 Packer Apple Sauce Unsweet $37.03 Weekly 228600 6 /#10 West Creek Apple Sauce Sweet $59.97 Weekly 268381 1 / 300 ct West Creek Bacon Precooked Thin $42.95 Weekly 374642 1 / 30 lb overed Wagor Bacon Slab Sliced Raw $90.77 weekly 567061 12 / 6 ct 36/4 oz Burry Bagel Plain Sliced 2.3 oz $24.00 Weekly 993374 6/5lb GILSTER Baking Powder $40.23 quarterly 551017 2411 lb 1/5 LB CLBR GRL Baking Soda $5.63 quarterly 71055 1 / 40 lb Packer Bananas green tip $25.76 weekly 327907 2 / 7 lb 6/1 LBS West Greek Base - Beef Granular $39.86 quarterly 920817 2 / 9 lb 1/20 LBS CHEFSOWN Base- Chicken Flavor Paste $113.52 quarterly 1 / 5 oz Basil Ground quarterly 628621 1 / 5 oz MAGELLAN Basil Leaf Tmc tn�v-i hgre ^ir= $7.10 Quarterly 883686 111 lb 1/8 OZ MCCRMCK Bay Leaves $21.79 Quarterly 33147 6/#10 ALLENS Bean Baked Oven Prepared $51.16 Weekly 6 / #10 Bean Chili Homestyle I weekly 975269 6/#10 ALLENS Bean Chili Chuck Wagon Max $39.04 Weekly 1 / 20 lb Bean Cut Green Bean - Frozen Weekly 469074 6/#10 SENECA Bean Cut Green Bean - Canned $33.39 Weekly 993318 1 / 20 lb West Creek Bean Green Regular Cut $36.81 Weekly 6/#10 Bean Great Northern Fancy Quarterly 6/#10 Bean Kidney Dark Red Quarterly 390388 1 / 20 lb SILVER SOURCE Bean Baby Lima Bean - Dry $31.70 Quarterly 1 / 20 lb Bean Navy Pea Dry Quarterly 53858 6 / #10 BUSHS Bean Pinto Fancy $37.75 Weekly 655907 1 / 50 lb CONTIGO Bean Pinto Triple Clean Dried $38.28 weekly 6 / #10 Bean Pork and Beans Fancy weekly 80071 6 / #10 RANCH ST Bean Ranch Style Fancy $59.92 weekly Page 2 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 127667 6 / #10 1/50 LB SANTIAGO Bean Refried $164.67 Weekly 6 /#10 Bean Vegetarian Baked Beans Weekly 803579 415 lb tub RDGCRST Beef BBQ Beef Chopped with Sauce $11.16 Weekly 927133 5 / catch 4/11 AV IBP Beef- Brisket Boneless 120 No Roll $3.11/LB quarterly 158685 2 / 7 lb avg 1 /12.5 LB West Creek Beef- Roast Top Round Cooked $6.09/LB Quarterly 988508 8 / 10 lb avg 1BP Beef Ground Fine 73/27 $1.98/LB Weekly 346113 40 / 4 oz Packer Beef - Patty 4/1 With Tvp $30.28 Weekly 40 /4 oz Beef- Patty Breaded weekly 90 / 3 oz Beef - Patty Flame Broiled Quarterly 160 / 3 oz Beef & Chicken Patty 3 oz Ckd Weekly 102 / 2.5 oz Beef Patty Charbroiled pre-cooked Quarterly 54644 54 / 3oz 53/3 OZ ADVNCPR Beef Salisbury Steak Cooked $67.25 Weekly 918352 3 / 24 Ib avg Packer Beef Shoulder Clod $3.13/LB Quarterly 976119 4014 oz ADVANCE Beef Steak Fritter Natural 4/1 Raw $57.89 Weekly 333993 2/5 lb Packer Beef Stew Meat $44.13 Weekly 940035 5/6 lb HOLTEN Beef Steak Finger.97 oz $60.52 Weekly 160 / 1 oz Beef Steak Finger Breaded Cooked 1 oz weekly 240 / 1 oz Beef Steak Finger Breaded Cooked Wg weekly 3046 24 / 8 oz 12012.1 OZ CONESTOG Biscuits Buttermilk 10 ct $47.56 Monthly 96 / 1.55 oz Biscuits Dinner Rolls Thaw & Serve Weekly 47724 216 / 2.2 oz PILLSBRY Biscuits Dough Southern Style $67.77 weekly 216 / 2.2 oz Biscuit Dough Butter Flavored Weekly 72 / 3oz BURRY Bagel Cinnamon Raisin Sliced $40.81 weekly 180/1 oz 192/.75 OZ FLOWERS Bread Roll Dinner Par -Baked $34.12 Weekly E 8 / 24 oz 10/24 OZ GOODBREAD Bread Sandwich Wheat Loaf $19.90 weekly 8 / 24 oz 10/24 OZ GOODBREAD Bread Sandwich White Loaf $17.52 Weekly 533044 6 / 12 doz 31100 CT EL MATDR Bread Tortillas Corn $11.31 Weekly 588568 18 / 24ct 6/20 CT LORGTRLL Bread Tortillas Flour $20.93 Weekly 12 / 1 lb Bologna Turkey Club weekly 433714 1 / 20 lb West Creek Broccoli Cuts $27.81 weekly Page 3 of 20 Item# Pack/Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 873948 12 / 49 oz West Creek Broth Chicken $47.66 Quarterly 2 / 20 ct Bun Crustini Sandwich 4.5 in Weekly 6 / 8 ct Bun Crustini Sandwich 4.5 in weekly 598723 2! 20 ct 96/2 OZ GOODBREAE Bun Hamburger Wheat $16.92 Weekly 6 / 8 ct Bun Hamburger Wheat Weekly 2/20 ct Bun Hamburger White Weekly 962584 6 / 8 ct ROTELLAS Bun Hamburger White $28.86 Weekly 436528 6 / 12 ct 96/1.6 OZ GOODBREAD Bun Hot Dog $19.29 Weekly 439824 72 / 4 oz 9614 OZ RESERS Burrito Beef & Bean $42.20 Weekly 132263 64 / 4 oz 72/4 oz BTCHRBOY Burrito Beef & Bean Red Chili $49.90 Weekly 951894 1150 lb PACKER Cabbage Green $16.89 Monthly 6 / 5 lb Cake Mix Chocolate Monthly 6 / 5 lb Cake Mix Devils Food Monthly 988774 6 / 5 lb GILSTER Cake Mix White $42.91 Monthly 43269 6 / 5 lb GILSTER Cake Mix Yellow $42.96 Monthly 952439 1 / 12 ct, Packer Cantaloupe Fresh $30.32 Weekly 61306 1 / 50 Ib sack Packer Carrots Jumbo $16.70 Weekly 863496 12 / 2 lb 6/410 CN West Creek Carrots Diced $40.43 Weekly 863495 j 6 / #10 West Creek Carrots Sliced Canned $39.56 Weekly 283307 1 / 20 lb 12/2 LB West Creek Carrots Smooth Sliced $41.84 Weekly 6 /#10 Carrots Sliced Medium Weekly 1 / 151b Catfish Nugget Breaded 2-4oz Weekly 433752 1 / 20 lb 1212 LBS West Creek Cauliflower L.QF $36.83 Monthly 865031 1 / 40 lb PEAK Celery Fresh 76240 4 / 26 oz 4/35 OZ HOSPTLTY Cereal Bulk Corn Flakes Weekly 4 / 32 oz Cereal Bulk Crispy Rice Weekly 12/28oz Cereal Cream of Wheat L$3428Weekly Weekly 627575 12 / 28 oz MALTOML Cereal Farina Enriched Weekly 295374 4 /45 oz 4/40 OZ KELLOGGS Cereal Bulk Frosted Flakes Weekly Page 4 of 20 Item# Pack/Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 41501 4 / 46 oz 4/35 OZ HOSPTLTY Cereal Bulk Fruit Dyno Bites WHIRLS B $24.45 Weekly 4 / 50 oz Cereal Bulk Granola Lowfat Weekly 4 / 39 oz Cereal Bulk Honey Nut Cheerios Weekly 4 / 44 oz Cereal Bulk Honey Nut Scooters Weekly 1 / 50 to Cereal Oats Rolled #5 Weekly 76243 6 / 36 oz 4/35 OZ HOSPTLTY Cereal Bulk Raisin Bran $24.84 Weekly 4 / 35 oz Cereal Rice Tootie Fruitie I Weekly 231511 6/5 lb ULTIMELT Cheese American Melt Loaf $94.50 Monthly 158718 6/5 lb 4/5 LB West Creek Cheese Product American 120 Slices $60.31 Weekly 4 / 5 lb Cheese American 184 Slices Weekly 79063 4 / 5 lb ROMA Cheese Cheddar Shredded Imitation $36.60 quarterly 199429 2 / 5 lb 1/5 LB West Creek Cheese Cheddar Jack Shredded $17.28 weekly 199430 2 / 51b 1/5 LB West Creek Cheese Cheddar & Mont. Jack Shreeded $17.99 Weekly 201099 2 / 5 lb NTRSBST Cheese Cottage Cheese Sm Curd 4%2% SM $24.60 Weekly 999958 10 / 3 lb 10/3 LBS NTRSBST Cheese Cream Cheese Loaf Grade A $95.73 Monthly 873456 100 / 1 oz 10OL75 OZ PHILLY Cheese Cream Pc Cup $33.06 Monthly 6 / 5 lb Cheese Melting Loaf Yellow Monthly 875191 4 / 5 lb SLVR SRC Cheese Mozzarella Reg Shredded $62.38 Monthly 2 / 5 lb Cheese Pimento Cheese Spread Monthly 6 / 29 oz Cheese Powdered Cheese Mix Weekly 6 / 5 lb Cheese Queso Melt weekly 4 / 10 lb Chicken Boneless Skinless Chicken Thighs - Plain Weekly 1 / 10 lb Chicken Boneless Skinless Chicken Thighs - Flavored Weekly 4/5 lb Chicken Breast BIRD Slinger Weekly 415675 2/5 lb TYSON Chicken Breast Diced Grilled $66.09 Weekly 387382 60 / 3.1 oz 51/3,16 OZ BRAKEBSH Chicken Breast Patty Breaded $40.13 Weekly 52 / 3.07 oz Chicken Breast Patty CNWG Weekly 480264 2 / 5 lb JOHN Chicken Breast Pulled Cooked $51.26 Weekly 2 15 lb Chicken Breast Fritter Weekly 160 / 3 oz Chicken Patty Breaded Cooked Weekly Page 5 of 20 Item # Pack / Size Pock/Size if different from Listed Brand Description Cost Estimate on How Often used: 290529 2 / 51b TYSON Chicken Breaded Chicken Fritter $41.33 weekly 107 / 1.5 oz Chicken Breakfast Patty quarterly 415667 2 / 5 lb TYSON Chicken Diced All White Cooked $54.30 weekly 52 / 3 oz Chicken Breast Fillet Fajita Monthly 1 / 101b Chicken Fajitas Sliced Chicken Raw weekly 529380 2 / 5 lb CONTIGO Chicken Fajita Strip Cooked $52.58 Monthly 2 / 5 lb Chicken Fajita Meat Lacocina Monthly 615282 1 / 10 lb 6/4 LBS RYCFOODS Chicken Fajita Thigh Meat Frozen $3.95/LB Monthly 4 / 10 Ib Chicken Leg Meat Bonless weekly 2 / 5 lb Chicken Meat Diced 112 in weekly 266792 1 / 20 lb 2/5 LBS REDLBLT IChicken Nuggets Raw $31.07 Monthly 158758 4 / 10 lb West Creek Chicken Thigh Meat Raw Frozen $41.67 Monthly 4/5 lb Chicken Thigh Diced - Raw Monthly 4/4 lb Chili Frozen - With Beans weekly 77758 6 / 5 lb CHILIBWL Chili Frozen - Without Beans $89.06 weekly 6 / #10 Chili Canned -With Beans weekly 6 / #10 Chili Canned - Without Beans weekly 241716 6 / #10 ROMA Chili Hot Dog Sauce'w/meat $43.86 Monthly 67408 8 / 1 lb FRITOS Chip Frito Corn Bulk $19.79 weekly 10 / 16 oz Chip Potato Kettle weekly 32479 6 / 16 oz LAYS Chip Potato Regular Bulk $18.70 weekly 241349 8 / 16 oz RUFFLES Chip Potato Ridged Ruffled $26.07 weekly 969520 6/2 lb MISSION Chip Tortilla Yellow Round $37.19 weekly 798149 3 / 50 ct 2/30 CT FRTO LAY Chip Variety $42.11 weekly 242837 1 / 5 lb 1/18 OZ MCCRMCK Cinnamon Ground $14.10 Monthly 548174 1110 lb MAGELLAN Coconut Sweetened Coconut $34.60 Monthly 806295 12/2lb, 6/25.9OZ FOLGERS Coffee Traditional $82.91 weekly 12 / 2 lb Coffee Can weekly 319354 42 / 1.25 oz 42/1.2 oz DYNAFLO Coffee Todays Gourmet w/Filter $33.85 weekly 880547 4 / 5 lb ct PEAK Coleslaw Mix Shredded $25.67 weekly Page 6 of 20 Item# Pack/Size Pack/Size if different from Listed Brand Description Cost Estimate on How Often used: 1 / 10 Ib Cookie Chocolate Chip weekly 1 / 10 lb Cookie Oatmeal Homestyle weekly 1 / 10 lb Cookie Sugar Homestyle weekly 1 / 5 lb Cookie Vanilla Wafers weekly 999316 320/1 oz OTIS SPU Cookie Dough Chocolate Chip $59.51 weekly 987217 320 / 1 oz VAL ZONE Cookie Dough Oatmeal Raisin $63.93 weekly 999315 320 / 1 oz VAL ZONE Cookie Dough Sugar $56.50 Weekly 975047 6 / #10 ALLENS Corn Cream Style $52.68 Monthly 993261 1 / 20 lb West Creek Corn Cut $33.15 Weekly 995594 6 / 2 lb Goldeflcrlsp Corn Corn Nuggets Sweet Battered $36.55 Weekly 863494 6 /#10 West Creek Corn Whole Kernel Fancy Canned $40.69 weekly 240 /.67 oz Corn Dogs No Sticks Weekly 989759 240 / .67 oz LEONS Corn Dogs Turkey Mini - No Sticks $45.98 weekly 982245 6 / 5 lb HOSPTLTY Cornbread Mix Homestyle $47.93 weekly 6 / 3.5 lb Cornbread Stuffing Mix Monthly 32556 1 /25lb PIONEER Cornmeal $19.56 quarterly 27930 200 / 2 pk NABISCO Crackers Graham Honey Mid - Individually Wrapped $27 84 Monthly 12 / 16 oz Crackers Saltine - Bulk weekly 969113 500 / 2 pk LANCE Crackers Saltine - Individually Wrapped $18.19 Monthly 969797 300 / 2 pk 50012 PK LANCE Crackers Cafe Club $21.62 Monthly 636245 24 / 12 oz CAFDLGHT Creamer Non Dairy Canister $39.96 Weekly 1 / 4.5 lb Cumin Ground quarterly 201325 4/1 gal West Creek Dressing Coleslaw $54.34 quarterly 998959 200 / 12 gm 100/1.5 OZ VLL GDN Dressing PC Italian Packets $22.89 Monthly 4/1 gal Dressing Lt Italian Dressing Gallon Monthly 201344 4 / 1 gal West Creek Dressing Ranch Buttermilk Gallon $51.04 quarterly 258900 200 / 12 gm SAU ER Dressing PC Ranch Buttermilk $22.44 weekly 228973 1813.2 oz HVR Dressing Ranch Mix $36.90 weekly 158946 60 / 1.5 oz 100/1.5 OZ VLL GDN Dressing PC Thousand Island $27.61 monthly 201341 4/1 gal West Creek Dressing Honey Mustard $67.33 Monthly 326247 12 / 24 oz 12/18 OZ West Creek Drink Mix Fruit Grape Powdered $44.97 weekly 12 / 24 oz Drink Mix Strawberry Powdered weekly Page 7 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost Estimate on How Often used: 238713 12 / 24 oz 12/18 OZ FRSTQLTY Drink Mix Fruit Punch Powdered $25.85 weekly 284820 12 / 24 oz 12/18 OZ FRSTQLTY Drink Mix Pink Lemondade Powdered $25.85 Weekly 12 124 oz Drink Mix Peach Powdered Weekly 12 / 1.8 oz Drink Mix Sugar Free Fruit Punch Powdered Weekly 12 / 2.2 oz Drink Mix Sugar Free Pink Lemonade Powdered weekly 516568 15 / 2 lb 6/5 LBS PAPETTIS Egg Mix Scrambled w/2% Milk $59.83 Weekly 1 / 20 lb Eggs Whole Liquid w/citric weekly 439684 2 / 20 lb NTRSBST Egg Whole Liquid w/citric $9821 weekly 605348 200 / 1 oz 160/1.6 OZ PAPETTIS Egg Scrambled Patty Round $44.57 weekly 543850 1 / 10 lb 6/12 CT DEBELFDS Egg Hard Cooked Peeled $24.55 weekly 520720 11200 ct NTRSBST Egg Fresh Shell Jumbo USDA MARKET Weekly 968974 36 / 3 oz 72/3 oz Minh Egg Roll Pork & Vag Roller Grl $56.16 Monthly 80 / 2 oz Egg Roll Vegetable Monthly 99184 90 / 1.75 oz 90/1.63 OZ FERNANDO Enchilada Cheese IQF $27.91 Weekly 90 11.75 oz Enchilada Chicken Weekly 33517 1 / pt 1/QT SAUER Extract Vanilla Imitation $11.95 quarterly 561191 1 / 15 lb MKNGBASA Fillet Swai Fillet 5-7 oz $44.55 Weekly 1 / 10Ib Pollock Stick Brd 1 oz Monthly 1 / 10 lb Fish Strip 1.5 oz Breaded Weekly 405234 4110 lb 1/10LBS WRLDDCK Fish Pollock Fillet 4-6 oz $38.93 Weekly 1 / 10 lb Fish Pollock Rect Breaded Wg Weekly 1 / 10 lb Fish Pollock Rect Brd wgcn 3.6 Weekly 40557 1 / 101b Packer Fish Tilapia Fillet 3-5 oz $33.51 Weekly 876348 1 / 101b Packer Fish Tilapia Fillet Iqf 5.5-6oz $36.47 weekly 81991 1 / 50 lb ROMA Flour All Purpose $22.75 Monthly 24277 80 / 2 oz 1/10LBS FARMLAND I Franks All Meat 8/1 $33.66 Monthly 977511 215 lb CAROLINA Franks Turkey 29.50 Monthly 416232 6 / 5 lb. LUIGI French Fries RC 3/8 IN $34.96 weekly 416234 6 / 5 Ib LUIGI French Fries CC 1/2 inch $35.85 weekly French Toast Plain weekly 21759 5 / 2 lb FARMRICH French Toast Stick $34.61 Weekly 373131 6 / #10 West Creek Fruit Cocktail X Lt Syrup $63.56 weekly 972225 6 / #10 CELEBRTY Fruit Mix Lt Syrup $82.59 weekly Page 8 of 20 Item# Pack/Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 236593 1/7 lb 1/5 LB ROMA Garlic Granulated $29.77 Monthly 880728 24 / 3.14 oz 18/2.5 OZ HTHY USA Gelatin Cup $51.89 Monthly 12 / 24 oz Gelatin Mix Mixed Assorted Citrus Monthly 12 / 24 oz Gelatin Mix Lime Monthly 12 / 24 oz Gelatin Red Variation Monthly 1 / 35 lb Grapefruit Ruby Choice 40 weekly 891742 6 / 13 oz MORRISON Gravy Mix Brown Country Style $23.16 Monthly 68195 6 / 14 oz PIONEER Gravy Mix Chicken $28.26 Monthly 971932 6124 oz 6/1.5 LB SHWNEEMI Gravy Mix Peppered $20.89 Monthly 967624 6 / 11.3 oz PIONEER Gravy Mix Pork Roast $31.14 Monthly 353926 6 / 11.3 oz 6/14OZ SHWNEEML Gravy Mix Turkey Roasted $18.90 Monthly 6 / 3 Ib Greens Mustard Greens weekly 883838 2 / 14 lb 2112LB RDGCRST Ham Boneless Pit Style $4.06 weekly 492044 2 / 10-12 lb SLVR SRC Ham Buffet Style $2.51 weekly 615 lb Ham Chopped Quarterly 4 / 3 lb Ham Pre -Sliced Quarterly 2 / 13 lb Ham Shaving Cooked 4 x 6 Deli weekly 2 / 10-12 lb Ham Shaving Smoked Boneless Quarterly 254977 4 / 3 lb FARMLAND Ham Sliced Smoked $58.22 Quarterly 211771 j 4 /.2 lb 4/2.5 LB West Creek Ham Sliced Smoked $64.21 Quarterly 2 / 20 ct Hamburger Buns weekly 294266 120 / 2.2 oz 12/10 CT SIMPLOT Hashbrowns Golden Patty $43.36 weekly 6 / 3 lb Hashbrowns Redi Shred weekly 613 lb Hashbrowns Lqf Shredded weekly 1 / 30 lb Honey Dew Melon US #1 8 ct weekly 6 / 12 ct Hot Dog Buns weekly 955722 2 / 5 lb HRTLND C Hushpuppies Regular Round $26.49 weekly 4 / 5 lb Hushpuppies Homestyle weekly 372380 1 / 12 lb 1/2LB BETTRCRM Icing Chocolate $6.39 Quarterly 1 / 12 lb Icing Vanilla Quarterly 352908 200 / .5 oz West Creek Jelly PC Assorted Cup $16.19 Monthly 2001.5 oz Jelly PC Grape Cup weekly 341349 70 / 4 oz ARDMORE Juice Apple 100% Carton Carton $15.86 weekly 352647 70 / 4 oz ARDMORE Juice Orange 100% Carton $21.52 weekly Page 9 of 20 Item # Pack / Size Pack/Size if different from listed Brand Description Cost ESTIMATE on How Often used: 35595 1000 / 9 gr HUNTS Ketchup Individual Packets $38.66 weekly 878195 6 / #10 West Creek Ketchup Standard $40.99 Weekly 907437 1 / case PEAK Lettuce Iceberg $54.60 Weekly 880490 4 / 5 lb PEAK Lettuce Shred 1/4 Inch $42.31 Weekly 526268 900 / 5 gr West Creek Margarine PC Cup Spread $30.49 Monthly 526267 432! 14 gr West Creek Margarine pcks $33.41 518672 30 / 1 lb West Creek Margarine Solids Pure Vag $3728 Monthly 41978 12 / 16 oz 12/1 LB JET -PUFF Marshmallows Jet Puffed MINI $26.52 quarterly 201350 4/1 gal West Creek Mayonnaise Heavy Duty Gallon $52.42 Monthly 352917 200 / 12 gm 200/9 GM West Creek Mayonnaise PC $1722 weekly 1 / 30 lb Melons Honey Dew US #1 8 ct weekly 312453 2 / 5 lb LUIGI Meatballs Beef & Chicken $31.41 weekly 320 / .5 oz Meatballs Flame Broiled weekly 375689 320 / .5oz 2/5 LBS ROMA Meatballs Italian $41.88 weekly 63701 37 / 4.25 oz 48/4.25 OZ MORNSTR Meatless Black Bean Burger $84.46 quarterly 48 / 4.26 oz Meatless Black Bean Burger quarterly 200 / .75 oz Meatless Chicken Nugget Quarterly 215 lb Meatless Chicken Tender Quarterly 4 / 2.51b Meatless Chorizo Crumble Quarterly 48 / 3.4 oz Meatless Garden Burger Blk Bn Quarterly 69300 4813.4 oz GRDNBRGR Meatless Garden Patty $71.56 Quarterly 112 / 1.3 oz Meatless Sausage Patty Quarterly 4 / 8 ct Meatless Veggie Griller 5 oz Quarterly 76 / 3.15 oz Meatloaf Patty Deluxe Weekly 4 / 15 oz Meatloaf Pull Apart Weekly 14 / 15 oz Meatloaf Pull Apart weekly 515409 24 / 14 oz CONTIGO Milk Condensed Sweetened $58.85 Monthly 515396 24 / 12 oz NTRSBST Milk Evaporated $43.30 Monthly Page 10 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATEon How Often used: 954528 1 / 251b 1/50 LB RED[ -LAC Milk Powdered Skimmed NF $165.83 Monthly Milk Powdered Homo Vitamin D Monthly 949697 4/1 gal BORDEN Milk 2% Reduced Fat 1 Gallon $26.40 weekly 4 / 1 gal Milk Homo Vitamin D 1 gallon weekly 25 / 1/2 pt Milk 1% Reduced Fat 1/2 pint cartons weekly 25 / 1/2 pt Milk 2% Reduced Fat 1/2 pint cartons weekly 25 / 1/2 pt Milk Homo Vitamin D 1/2 pint cartons weekly 25 / 1/2 pt Milk Skim Nonfat 112 Pint weekly 234877 4/1 gal West Creek Mustard Prepared Gallon $25.36 quarterly 194581 50015.5 gr West Creek Mustard PC Pouch $17.56 weekly 875041 6/1 gal 4/1GA BRILLIAN Oil Butter Flavored $57.51 Monthly 532395 6/1 gal West Creek Oil Pan & Grill Trans Fat Free $77.81 Monthly 464940 6 / 17 oz 6/21 OZ VEGALENE Oil Pan Spray $39.48 Monthly 897414 1 / 35 lb SLVR SRC Oil Shortening Clear Fry $45.50 Monthly 987476 1120 lb PACKER Okra Cut 1/2 inch Grade A $40.07 weekly 41886 1 / 20 lb 4/5 LB STILWELL Okra Cut Heavily Breaded $31.88 Weekly 878466 6 / 2 lb 4/5 LB FRST SWT Okra Cut Breaded Southern Style $23.28 Weekly 1 / 3 lb Onion Dried Flakes Chopped Monthly 31900 4 / 5 lb 1/5 LB Packer Onion Sliced $12.57 Monthly 75119 1 / 50 lb Packer Onion Yellow Jumbo Sack $28.00 Monthly 986922 1 / 35 lb 1/40 LBS Packer Oranges Fresh $27.93 weekly 945843 1 / 35 lb 1/40 LBS Packer Orange Choice $30.36 Weekly 16899 6 / #10 Packer Oranges Mandarin Oranges Broken Lt $44.07 Weekly 55674 6 / #10 ROLAND Oranges Mandarin Orange Whole Segments $94.54 weekly 1112 oz Oregano Ground quarterly 518063 144 / 1.2 oz 144/1.23 OZ EGGO Pancake Original - Frozen $30.99 weekly 264703 1 / 10 oz 1/16 OZ ROMA Parsley Flakes $13.05 quarterly 991275 2/5 lb 1/10LBS GILSTER Pasta Egg Noodle Wide 1/2 Inch $17.76 Monthly Page 11 of 20 Item# Pack/Size Pack1 size if different from Listed Brand Description Cost ESTIMATE on How often used: 251644 2 / 101b LUIGI Pasta Elbow Macaroni $24.21 Monthly 12 / 16 oz Pasta Lasagna Ribbed Monthly 235758 2 / 10 lb LUIGI Pasta Penne Rigate $24.03 Monthly 256747 2110 lb LUIGI Pasta Spaghetti Thin 10 Inch $25.55 Monthly 267816 6 / #10 SLVR SRC Peaches Sliced Extr Lt Syrup $70.99 Weekly 6 / #10 Peaches Diced Extra Lt Syrup Weekly 308156 6 / 5 lb West Creek Peanut Butter Creamy $58.68 Weekly 352920 200 / 0.75 oz West Creek Peanut Butter Pc $41.97 Weekly 229692 6 / #10 West Creek Pears Sliced Light Syrup $59.02 Weekly 6 / #10 Peas Blackeyed Weekly 993248 1120 lb SLVR SRC Peas Peas & Diced Carrots Frozen $35.41 Weekly 1 /20lb Peas Green Weekly 863490 6 /#10 SLVR SRC Peas Sweet Mixed $47.04 Weekly 1 / 18 oz Pepper Black Gound Fine Pure Monthly 12127 oz Peppers Chili Diced Green Monthly 61393 1/1 1/9 Bulk Packer Pepper Bell Green Chopper $20.96 Monthly 522428 6/#10 CONTIGO Pepper Jalapeno Nacho Sliced $31.07 Quarterly 889889 1 / 7 lb 6/24 OZ BADIA Pepper Lemon Seasoning $40.07 Quarterly 373244 4/1 gal West Creek 10ickles Dill Relish $32.26 Monthly 4/1 gal Pickles Dill Relish Premium Monthly 905302 1 / 5 gal CHF SUPR Pickles Dill Sliced Hamburger $22.72 Monthly 627006 6143 oz HRTG OVN Pie Pumpkin 10 Inch PreBaked $60.43 Quarterly 20968 6 / 81 oz 6/#10 CN Packer Pineapple Chunks in Extra Lt Syrup $65.52 Weekly 409842 6 / #10 12120 OZ DOLE Pineapple Sliced in Juice $22.91 Weekly 793956 6 / #10 Packer Pineapple Tidbits in Juice $43.73 Weekly 128 / 3.31 oz Pizza BrealM %T-`coaSbusage Monthly 973512 96 / 4.48 oz THE MAX Pizza Pepperoni Whole Grain $66.42 Monthly 241560 36 / 8 oz 20/22 OZ GMED PRD Popcorn Kit All In One $44.70 Monthly 542953 6/6-8 lb West Creek Pork Loins Boneless $2.19 Monthly 981928 40 / 3.75 oz 40/40Z ADVANCE Pork Patty Breaded Cooked $41.13 Monthly 262316 52 / 3.1 oz 46/3.5 OZ ADVANCE Pork Patty Rib Shape Cooked $54.05 Monthly Page 12 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 46 / 3.5 oz Pork Rib Patty Monthly 80 / 3 oz Pork Rib Patty w/BBQ Sauce Monthly 2 / 5 lb Pork Tip for Taco Especial Monthly 612.5 lb Potato Hashbrown Redi Shred weekly 892085 6 /#10 6/5.31 LB WHIPP Potato Instantwith milk $79.41 Weekly 23907 1 / 50 lb Packer Potato Idaho #2 $27.79 Weekly 215645 1 / 50 lb Packer Potato Red #2 $29.69 Weekly 1 / 50 lb Potato Russet 10 oz US #2 Weekly 908018 1 / 50 lb PEAK Potato Russet 80 ct IDA $38.49 Weekly 908016 1 / 50 lb PEAK Potato Russet 90 ct IDA $33.15 weekly 6 / #10 Potato Sweet Cut Fancy weekly 815 lb Potato Tater Bites Seasoned Weekly 197438 6 / 5 lb West Creek Potato Tater Tots $56.03 weekly 863489 6 /#10 West Creek Potato White Diced $48.48 Weekly 533549 6 /#10 SLVR SRC Pudding Banana $48.21 weekly 533540 6 / #10 West Creek Pudding Chocolate $56.31 weekly 6 / 112 oz Pudding Chocolate Rtu Pouch Weekly 24 / 3.625 oz' Pudding Chocolate Sugar Free Weekly 6/#10 Pudding Lemon Weekly 69456 6 / #10 LKY LEAF Pudding Tapioca $58.86 Weekly 5333562 6 / #10 SLVR SRC Pudding Vanilla $46.93 weekly 314300 6 /#10 48/3.25OZ SNCK PCK Pudding Vanilla Sugar Free $19.10 Weekly 341758 6 / 112 oz GEHLS Pudding Vanilla Rtu Pouch $41.10 Weekly 24/6/1 oz Raisins Individual Packs weekly 24 / 15 oz Raisins Golden Seedless Weekly 79975 6/#10 CHEF BOY Ravioli Beef RTU $55.33 Weekly 982042 1 / 50 lb ADOLPHUS Rice Long Grain $27.06 Weekly 881438 1 / 50 lb 1/25LBS COMET RC Rice Long Grain Parboiled 4% Broken $15.29 weekly 4 / 3 lb Rice Vegetable Fried Weekly 880509 4 / 5 lb PEAK Salad Mix Lettuce in Bag $42.66 Weekly 973366 1 / 30 lb 2/12LB TEXAS Salad Potato Homestyle $60.22 Monthly Page 13 of 20 Item# Pack/Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 941525 384 /.5 oz 2/5 LBS CNTNTL D Salami All Meat Sliced $58.38 Weekly 725262 4 / 4.3 lb 213/30Z NTLFDGRP Salisbury Steak w/ Mush GRV $91.08 Weekly 334001 1 / 25 lb West Creek Salt Iodized Table $9.08 Quarterly 948592 4/1 gal CLMNT FD Sauce BBQ $29.08 Monthly 282280 6 / #10 GIRT PLNS Sauce Cheese $46.72 Weekly 869292 6 / #10 SLVR SRC Sauce Cheese Nacho $60.21 Weekly 24 / 14 oz Sauce Cranberry Jellied Quarterly 309093 4/1 Gal 6/#10 CN LA VICT Sauce Enchilado Mild RTU $52.33 Weekly 6 / #10 Sauce Enchilada Mild RTU Weekly 4 / #10 Sauce Manwich Sloppy Joe Weekly 483978 4/1 Gal LA VICT Sauce Picante Mild Gallon $60.54 Monthly 233006 6 / #10 ROMA Sauce Pizza $38.60 Weekly 4/1 gal Sauce Soy Sauce Gallon Monthly 6 / #10 Sauce Spaghetti RTU Weekly 652767 200 / 9 gr 200/3GM TABASCO Sauce PC Taco $1627 Weekly 512743 500 / 9 gr 500/7GM TEX PETE Sauce PC Taco $24.67 Weekly 352931 200 / 7/16 oz 200/12GM West Creek Sauce Tarter Creamy Packets $16.56 Weekly 948217 1 / 1 gal KIKKOMAN Sauce Teriyaki $14.96 Monthly 78779 6 / #10 ROMA Sauce Tomato Fancy $33.86 Weekly 922471 4 / 1 gal FRSTQLTY Sauce Worcestershire $23.74 Quarterly 955446 2 / 5 lb ALAMO Sausage Beef Breakfast Chorizo $28.56 weekly 461948 107 / 1.5 oz 1/10LBS JONESDRY Sausage Chicken Patty Cooked $39.89 weekly 128 / 1.25 oz Sausage Turkey Cooked Weekly 979449 215 lb ALAMO Sausage Chorizo Pork Raw $28.12 Weekly 2/5 lb Sausage Ground Bulk Raw Mild $32.66 Weekly 381342 200 / .8 oz West Creek Sausage Link Natural .8 oz Cooked $32.66 Weekly 92 / 1 oz Sausage Link Mild 1 oz Cooked Weekly 2 / 5 lb Sausage Pork Topping Cooked Weekly 1 / 10 lb Sausage Smoked Rope Cooked Weekly 903606 154 / 1.25 oz 120/1.33oz HORMEL Sausage Patty Cooked $39.98 Weekly, 12 / 17 oz Seasoning Creole Quarterly Page 14 of 20 Item# Pack/Size Pock/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 979484 154 / 1.25 oz 107/1.50Z HRML F&E Sausage Patty Cooked $40.22 weekly 469743 12 / 17 oz 1/81_13S TONY CHA Seasoning Creole $19.48 quarterly 1 / 8 lb Seasoning Creole Original quarterly 1 / 24 oz Seasoning Mexican Rub Mix quarterly 242891 1 / 23 oz 1/29OZ MCCRMCK Seasoning Montreal $1422 quarterly 931953 1 / 4.5 lb 115 LB LAWRYS Seasoning Salt Traditional $22.11 Monthly 6 / 15 oz Seasoning Sloppy Joe Mix weekly 1 / 24 oz Seasoning Taco quarterly 1 / 35 lb Shortening Clear Fry Liquid Monthly 57884 12 / 50 oz CAMPBLLS Soup Chicken Noodle $61.95 Monthly 265729 12 / 50 oz West Creek Soup Cream of Chicken $69.08 Monthly 265740 12 / 50 oz West Creek Soup Cream of Mushroom $67.46 Monthly 374514 12 / 50 oz West Creek Soup Cream of Potato $40.67 Monthly 26091 12 / 50 oz CAMPBLLS SOUP - Tomato $55.74 Monthly 79959 12 / 50 oz CAMPBLLS Soup - Vegetable $75.95 Monthly 337679 4 / 5 lb NTRBST Sour Cream Cultured $38.13 Monthly 39001 6/#10 POPEYE Spinach Chopped Fancy $43.93 weekly 400 / .88oz Spring Roll Vegetable Mini quarterly 200 11.76 oz Spring Roll Vegetable 1.76oz quarterly 61467 Vol Fill Packer Squash Zucchini Mad 18-25 $20.26 weekly 54036 24 11 lb ARGO Starch Corn $37.43 quarterly 739340 613.5 lb 6/560Z BNSORGNL Stuffing Mix Cornbread $80.50 weekly 909692 12 /2lb IMP SUG Sugar Brown light in Bag $31.86 Monthly 594275 1150 lb Packer Sugar Pure Cane Extra Fine $40.17 weekly 1 150 lb Sugar Pure Cane Granulated weekly 330812 12 / 2 lb IMP SUG Sugar Powdered White $31.66 quarterly 100 / 1 oz Syrup PC Pouch -Cup Weekly 56001 100 / 1 Oz 100/1.1 OZ SMUCKERS Syrup PC Pouch -Cup Sugar Free 1 oz $18.91 Monthly 271901 120 / 1.5 oz 4/30 CT RODRIGZ Tamale Beef in Husk 1.5 oz $44.96 Monthly 341 ! 0.75 oz Taquito Shredded Beef weekly 952969 96 / 1 oz MT STIRL Tea Bags 1 oz $15.31 weekly 885823 9611 oz 192/1 OZ PRV ESTA Tea Iced Filter Pouch 1 Gal $38.21 Weekly Page 15 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on Now Often used: 301706 1125 lb Packer Tomatoe Bulk Cafe $39.03 Weekly 878218 6 / #10 West Creek Tomatoe Diced in Juice $34.97 Weekly 301313 12128 oz RED GOLD Tomatoe Diced With Green Chills $35.07 Monthly 986522 1 / 25 lb Packer Tomato Roma #2 $23.10 weekly 44693 6 / #10 JHS Topping Chocolate Fudge $107.54 Monthly 12/1 lb Topping Whip Mix Add Water quarterly 957488 6 / 66.5 oz Packer Tuna Chunk Light in Water $94.79 Monthly 1211 lb Turkey Breast Lunchmeat Combo weekly 891746 2 / 8-9 lb SLVR SRC Turkey Breast Oven Roasted $4.03 Monthly 891751 2 / 9.9.5 lb c 2/9 AV West Creek Turkey Breast Smoked Skinless $4.79 Monthly 1 110 lb Turkey Burger Homestyle Monthly 3015.33 oz Turkey Burger Mediterranean Monthly 474241 2 / 10lb CAROLINA Turkey Ground Bulk Chub $61.15 weekly 4110 lb Turkey Ground Tubes 80/20 weekly 2 / 5 lb Turkey Diced White Weekly 2 / 7-8 lb Turkey Ham Buffet Deluxe weekly 12 / 1 lb Turkey Lunchmeat Combo weekly 5 / 5 lb Turkey Medallion Roasted Monthly 2 / 5 lb Turkey Ham - Diced Cured Weekly 128 / 1.25 oz Turkey Sausage Patty Cooked weekly 6 / 2 lb Turkey Sliced Smoked .70 weekly 1 / 40 lb Turkey Thighs Bnls Skinless Monthly 562818 6 / #10 Packer Vegetables - Mixed Fancy $33.92 Weekly 1 / 20 lb Vegetables - Blend Peas & Carrots weekly 6 / #10 Vegetables For Stew Fancy Chunky Monthly 922356 12 / 2 lb Packer Vegetables - Blend Stir Fry $41.76 Monthly 993299 1 / 20 lb West Creek Vegetable Blend California $30.46 Monthly 1 / 20 lb Vegetable Blend Capri Mix Monthly 1120 lb Vegetable Blend Oriental Mix Monthly Page 16 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often Used: 12/2 lb Vegetable Blend Scandinavian Monthly 433738 1 / 20 lb West Creek Vegetable Blend Winter Mix $28.94 Monthly 993227 1 / 20 lb West Creek Vegetables - Mixed 5 Way $31.13 weekly 505876 12 / 12 ct 144/1.23OZ EGGO Waffles $28.89 weekly 977198 6 / 910 BRUCE Yams - Cut $50.05 Monthly 26476 20/1 lb FLISHMAN Yeast Saf Instant Red Label $67.04 quarterly 1/8 lb Yogurt Greek Plain weekly 6 / 32 oz Yogurt Plain Original Lowfat Weekly 4 / 61b Yogurt Vanilla Dannon Pro Weekly 6132 oz Yogurt Vanilla Low Fat weekly 48 / 4 oz Yogurt Variety Pack Light weekly 51800 48 / 4 oz LT & FIT Yogurt Variety Pack $21.21 weekly 48 / 4 oz Yogurt Variety Rasp/Peach Orig weekly NON-FOOD ITEMS BEGIN ON THE FOLLOWING PAGE Page 17 of 20 Item # Pack / Size Pack/Size if different from listed Brand Description Cost ESTIMATE on How Often used: NON FOOD ITEMS: 253656 10 / 100 ct SLVR SRC Apron, Plastic Full Length Mad Wt 24x42 $66.55 quarterly 253656 11100 ct FRST MRK Apron, Plastic White Disposable $21.27 Quarterly 968687 11500 ct PRIMESRC Bag Ice 10 lb Draw String $59.63 112000 ct Bag Sandwich w/Flip Top Quarterly 11500 ct Bag Sandwich Reclosable 6.5x6 Quarterly 618979 11500 ct FRST MRK Bag Zip Seal Quart $24.81 Quarterly 618982 1 / 200 ct FRST MRK Bag Freezer Reclosable 1 Gallon $34.32 Quarterly 618982 1 / 250 ct FRST MRK Bag Reclosable Zip 1 Gallon $21.11 Quarterly 130196 1 / 100 ct REYNOLDS Bag Freezer Reclosable Zip 2 Gallon $33.76 Quarterly 878901 1 / 500 ct AM Bag - White Paper Bag 4LB/6LB/70LB $18.23/$24.9 $146.23 243640 128 / 2 oz FRST MRK Cleaner Floor Degreaser $70.20 Quarterly 6412 oz Coffee Filter Packs Monthly 239879 2 / 100 ct SLVR SRC Container Foam Hngd 3-c White $26.63 quarterly 992662 40 / 25 ct DART Cup, Foam 12 oz $56.17 Monthly 74386 40 / 25 ct DART Cup, Foam 16 oz $73.01 1 Monthly 10 1100 ct Cup Lids for 12 oz Monthly 943117 10 / 100 ct DART Cup Lids 12L Trans Slotted $35.49 Monthly 10 / 100 ct Cup Lids for 16 oz Monthly 33494 10 / 100 ct DART Cup Lidis for 16L Trans Slotted $36.32 Monthly 243533 2/1 gal 4/1 GA FRST MRK Detergent Paramount Heavy Duty $62.30 weekly 577596 1 / 5 gal DAWN DET I Detergent Speed Clean $91.70 Weekly 243578 1 / 5 gal FRST MRK Detergent Dishwasher $102.81 Weekly Type text here Page 18 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often Used: 899594 1 / roll 1/2000 SLVR SRC Film 18 x 1000 Clear Wrap $27.04 Monthly 157547 1 / roll 1/500 FT FRST MRK Foil 18 By 1000 $49.27 1 / roll Foil 24 x 500 #633 EX H Monthly 542940 4 / 10 ct 12/1 CT FRST MRK Grill Cleaning Pad GRILL BRICK $22.87 weekly 10 1100 ct Gloves Clear Plastic Large weekly 240780 10 / 100 ct SLVR SRC Gloves Vinyl Powder Free Large $44.67 weekly 602606 10 / 100 ct HANDGARD Gloves Vinyl Powder Free Xlarge $43.50 Weekly 437483 1 / 144 ct HANDGARD Hairnet Dark Brown Light Weight $20.90 Weekly 1 / roll Label 100% Dissolvable weekly 875073 1 / 250 ct NTL CHEK Label 2 x 3 Dissolvable Use By $26.59 Weekly 996070 1 / 1000 ct FRST MRK Liner Pan Lift Off Grease $77.34 Monthly 255121 1 / 260 ct PRIMESRC Meal Kit (K F S Napkin) MW W $21.90 quarterly 980837 1 ea BEST-VAL Mitt - Oven Mitt Black 17 $12.61 1 / roll Plastic Wrap Monthly 247801 1 / 5 gal FRST MRK Rinse Aid Fast Dry $92.57 Weekly 27757 6/1 qt SSDC Sanitizer Redi San Rtu $36.08 weekly 349380 4 / 500 ct 241400 CT Packer Straws 7.75 Jumbo Clear Wrap $78.07 Monthly BE SURE TO COMPLETE, SIGN AND DATE THE NEXT PAGE Page 19 of 20 Food and Non -Food Items not listed on this Invitation to Bid Form shall be provided at: Cost Plus 8.5 Bidder understands that Calhoun County or their representative may audit the Cost Plus Percentage at any time and the documentation necessary for this audit will be provided at no additional charge to Calhoun County or their representative. Other charges, fees, delivery fee and or fuel surcharge must be listed here. $ Charge: Amount or NA Type of Charge Fee: Amount or NA Type of Fee Delivery Fee per invoice Amount or NA $ 6.50 Fuel Surcharge per invoice Amount or NA per invoice per invoice The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other bidder, that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date Authorized Signature & Title: Print Name & Title of Authorized Signature: Kim Caballero - Area Manager Phone Number: Email: kim.caballero@pfgc.com Page 20 of 20 CONTRACT AGREEMENT FOR THE ANNUAL SUPPLY CONTRACT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY STATE OF TEXAS COUNTY OF CALHOUN This contract agreement is by and between CALHOUN COUNTY acting through their ADULT DETENTION FACILITY (hereinafter called the "DETENTION FACILITY") and Performance Food Service (hereinafter called "PROVIDER") and is for the furnishing of food and non-food items to the DETENTION FACILITY. The effective date of this contract agreement is January 1, 2023 and is for a period of one year from that date. This contract agreement will end at 11:59 PM on December 31, 2023. This contract agreement has the option to be extended yearly, if agreeable with both the DETENTION FACILITY and the PROVIDER and approved by Calhoun County Commissioners Court. The request for the contract agreement extension from the PROVIDER must be provided in writing to the DETENTION FACILITY by October 111 of each year and the contract agreement extension must be approved by Commissioners Court prior to the end date of the preceding contract agreement. ' The food and non-food items to be provided are set out in the attached Invitation to Bid Form and said prices, plus any charges, fees, delivery fee and/or fuel surcharge, if any were awarded, will be honored for the one year period and approved extensions, if any. If a food or non-food item(s) is substituted with a different brand or comparable (alternate, different pack size, quantity) item(s), the item(s) shall be billed at the awarded bid price or lower. The price of the substituted item(s) shall not be more than the awarded bid price for that item(s) taking into consideration the pack size and quantity. The price of the substituted item(s) may be lower than the awarded bid price. Any food or non-food items ordered not on the attached Invitation to Bid Form shall be provided at Cost plus 8.5 %. The DETENTION FACILITY, their representative and/or the County Page 1 of 5 Auditor's office may audit the cost plus percentage at any time and the PROVIDER will provide the DETENTION FACILITY, their Tq?gras6n_- d7%Trend/or the County Auditor's office with the paper and/or electronic documentation necessary for this audit at no additional charge. DETENTION FACILITY agrees to pay for said food and/or non-food items within sixty (60) days once the DETENTION FACILITY has been presented with an invoice and verification that said food and/or non-food items have been delivered and received. PROVIDER will use its best efforts to provide quality food items and good and healthy food but makes no warranties express of implied about their fitness for use. PROVIDER will provide food items that are needed for inmates with high blood pressure, diabetics or for religious reasons. PROVIDER will offer equipment, services or other items not listed on the Invitation to Bid Form to the DETENTION FACILITY free of charge, at discounted prices, cost or cost plus percentage. Other items and equipment may include dispensers for coffee, chemicals and other items used in the DETENTION FACILITY'S kitchen. Deliveries will be made at specific times (at Least twice a week) and in sufficient quantities to ensure that there will be sufficient food on hand at the DETENTION FACILITY to make and provide all meals. Deliveries will be made between Monday and Friday between the hours of 7:00 AM to 10:00 AM and 1:00 PM to 4 PM in order not to disrupt the DETENTION FACILITY'S kitchen in preparing meals. Should an ordered item(s) not arrive as ordered, wrong item(s) is delivered, or item(s) is delivered damaged, PROVIDER will deliver the correct or substitute item(s) within 24 hours from the date the missing or damaged item(s) was supposed to be delivered. No extra charges, fees, delivery fee and/or fuel surcharge will be allowed to be billed to correct the error or damaged item(s). Page 2 of 5 Should the PROVIDER not be able to supply an item(s) to the DETENTION FACILITY, the DETENTION FACILITY may purchase the item(s) from another source without being in conflict with the awarded bid and this contract agreement. Liquid items will be delivered in plastic crates to prevent damages when stacked. A sales representative from the PROVIDER shall contact the DETENTION FACILITY'S Jail Administrator, Jail Administrator's appointed representative and/or Jail Kitchen Officer at least monthly, in person, to discuss any issues or new food or non-food items offered. New food or non-food items shall be offered to the DETENTION FACILITY at the lowest possible cost or cost plus the percentage listed on the Invitation to Bid Form and awarded by Commissioners Court and PROVIDER shall provide information to the DETENTION FACILITY on the calculation of this cost and shall be subject to audit by the DETENTION FACILITY, their representative and/or the County Auditor's office at no additional charge. All food and non-food items listed on the Invitation to Bid Form are speculative items and should not be considered as firm items to be purchased during the term of this contract agreement or approved extensions, if any. Order processing shall be made available by fax and / or website. By acceptance of this contract agreement PROVIDER agrees to notify the DETENTION FACILITY'S Jail Administrator and the Calhoun County Sheriff of any solicitations from employees of Calhoun County for services not officially associated with the DETENTION FACILITY'S operations. PROVIDER is prohibited from offering, giving, selling, supplying, or conveying in any way or form, food or non-food items for personal use to employees of Calhoun County. Samples may be provided to the DETENTION FACILITY for use within the facility for evaluation purposes. Intentionally Left Blank Page 3 of 5 This Contract Agreement documents shall include the following documents, and this Contract Agreement does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract Agreement: 1. This Contract Agreement 2. Invitation to Bid Form 3. Bid Specifications 4. General Conditions — Calhoun County, Texas All disputes or protests will be held in Calhoun County, Texas. IN WITNESS WHEREOF, the undersigned have executed this contract agreement to be effective as of January 1, 2023. r- SIGNED AND ACCEPTED this the �Lday of e c a .-r ��r— , 2022. Intentionally Left Blank Acknowledgements on Next Page Page 4 of 5 DETENTION FACILITY: Calhoun County, Texas Calhoun County Adult Detention Facility By: Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street P Floor, Suite 301 Port Lavaca, TX 77979 Performance Food Service Print Name: Kim Caballero Title: Area Manager Address: 204 N Brownson St. Victoria. TX 77901 Date ATTEST: Calhoun County Clerk Anna Goodman By: �b�d A�i,I��V , Print Name: C�� I �, S(" 1rh Titb AT' By: PriE Titl Page 5 of 5 BIDDER INFORMATION Please Type. If handwritten, must be in ink and legible Bidder's Name: Performance Food Service Address: 204 N Brownson St. TX 77901 Remittance Address: 204 N Brownson St. Victoria, TX 77901 Telephone: 361-582-7500 Fax: 361- 582-7577 Email: kim.caballero@pfgc.com Signature of Authorized Representative: vrw Printed name of Authorized Rep: Kim Caballero ORDER — CONTACT INFORMATION Order Contact Name & Title: Kim Caballero -Area Manager Order Contact Telephone: 361-212-3751 Order Contact Fax: 361-582-7577 Order Contact Email: kim caballero(atfgc corn INVOICES — CONTACT INFORMATION For Invoice Inquiries: Contact Name & Title: Kim Caballero -Area Manager Contact Telephone: 361-212-3751 Contact Fax: 361-582-7577 Contact Email: kim.caballero(a)pfgc.com STATE OF TEXAS {} AFFIDAVIT COUNTY OF Calhoun {} Kim Caballero being first duly sworn, deposes and says: that he or she is (Type or Print Name) the Area Manager of Performance Food Service having its (Type or Print Title) (Type or Print Name of Company/Firm) principal address at 204 N Brownson St. Victoria, TX 77901 (Type or Print Physical and Mailing Address) who submits herewith to Calhoun County the attached bid/proposal; that he or she is the person whose name is signed to the attached bid/proposal; that said bid/proposal is genuine; that the same is not sham or collusive; that all statements of fact herein are true; and that such bid/proposal was not made in the interest or behalf of any person, partnership, company, association, organization or corporation not herein named or disclosed. Affiant further deposes and says: that the bidder/proposer has not directly or indirectly by agreement, communication or conference with anyone, attempted to induce action prejudicial to the interests of Calhoun County, or of any other bidder/proposer, or anyone else interested in the bid/proposal contract; and that the bidder/proposer has not in any manner sought by collusion to secure for himself/herself/itself/themselves an advantage over any other bidder/proposer. Affiant further deposes and says: that prior to the public opening and reading of bids/proposals, said bidder/proposer: a) did not, directly or indirectly, induce or solicit anyone else to submit a false or sham bid/proposal; b) did not, directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder/proposer or anyone else would submit a false or sham bid/proposal, or that anyone should refrain from submitting a bid/proposal or withdraw their bid/proposal; c) did not, in any manner, directly or indirectly, seek by agreement, communication or conference with anyone to raise or fix the bid price/proposal of said bidder/proposer or of anyone else, or to raise or fix any overhead, profit or cost element of their price/fee or of that of anyone else; d) did not give, offer to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with the submitted bid/proposal; and e) did not, directly or indirectly, submit their bid/proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative hereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent, thereof, to any individual or group of individuals, or to any official, employee or agent of Calhoun County prior to the official opening of this bid/proposal. Affiant further deposes and says: that the bid price(s) or proposed fees contained in this bid/proposal have been carefully checked and is submitted as true and correct, agrees to furnish any and/or all items/services upon which bid prices or proposed fees are awarded and upon the conditions and requirements contained in the bid/proposal. Signature of Affiant Kim Caballero - Area Manager Printed Name and Title of Affiant SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath, states that the facts contained in the above are true and correct, this /Z day of i� PiYvl_b r� 20 'LZ O FLOR SELENE PINEDA Notary IDk1256a9726 Signature o oary Public My Commission Expires Np/§@gfember 21, 2025 CERTIFICATE OF INTERESTED PARTIES FORM 1295 l of l 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: i Name of business entity filing form, and the city, state and country of the business entity's place of business. - 2022-960996 Performance Food Service Victoria, TX United States Date Filed: 12105/2022 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. - Calhoun County Adult Detention Facility Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2023.04 Annual Supply Contract Agreement for Inmate Food Services at the Calhoun County Adult Detention Facility January 1, 2023 through December 31, 2023 Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is 4 (kr1,� �� and my date of birth is My address is Iv • 1JC ouprlO;'On , ��+=rc Imo. (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the k a day oft_, 20ai (month) (year) - ESISignature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us version v3.5.1.eba rer42 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICEUSEONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense If the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a busines rel tionshfp with local governmental entity. 2 Checkthis box if you are fill g an updatsto a previouslyfiled questionnaire. (The law requires thatyou file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the dale on which you became aware that the originally filed questionnaire was incomplete or Inaccurate.) 31 Name of local government officer about whom the information is being disclosed. Name of Officer 4J Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? ElYes FIND B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? FlYes FIND 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. 6 ❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7 1% u- [� Signature of vendor doing business with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 Page 2 of 2 CERTIFICATION REGARDING DEBARMENT & SUSPENSION AND OTHER RESPONSIBILITY MATTERS In accordance with the Executive Order 12549, the prospective primary participant certifies to the best of his / her knowledge and belief, that its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offence in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification. d. Have not within a three-year period preceding this application / proposal had one or more public transactions (federal, state, or local) terminated for cause of default. e. Acknowledge that all sub -contractors selected for this project must be in compliance with paragraphs (1) (a— d) of this certification. Kim Caballero - Area Manager Name and Title of Authorized Agent o�6 L. 0J'Ca&&_ Signature of Authorized Agent I am unable to certify to the above statements. My explanation is attached. Date Page 3 of 3 Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000) The undersigned certifies, to the best of his or her knowledge and belief, that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for Influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, 'Disclosure Form to Report Lobbying,' in accordance with its instructions. (c) The undersigned shall require thatthe language paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). The Contractor,Performance Food Servicg certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any. 1a(aa, Date Approved by OMB 0348-0046 Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See myP.mC .. f., nn},jic tno-iiun A,*-1-.--N I. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a. contract b. a. bid/offer/application 0.1b. a. initial filing grant initial award b. material change c. cooperative agreement c. post -award d. loan For material change only: e. loan guarantee Year quarter f. loan insurance Date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Sabatvardee, Enter Prime _ Subawardee Name and Address of Prime: Tier , if Known: Voca<o- A ,jj.c 14osVL&"t�� aoq ti. by-QLL bDVN V 1,60.. ka I y- '1-19 o ( Con ressional District, if known: Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, ifapplicable: S. Federal Action Number, ifknown: 9. Award Amount, ifknown: I0. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (if individual, last name,fenstname, Ml): dierentfiomNo. l0a) (last name, first name, MI): 11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This Signature: , disclosure of lobbying activities is a material representation of fact upon which reliance was placed 1 Print Name: nx - e V o %r 6 by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 Title: } &e CL, U.S.C.1352. This Information will be reported to the Congresssemi-annuallysemi-annually and will be available for public Telephone No.:'JlokDate: k 1 2-'2- inspection. Any person who falls to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Federal Use Only Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97) Page 2 of 2 HOUSE BILL 89 VERIFICATION FORM Certification Required by Texas Government Code Section 2270.001 The 85' Texas Legislature approved new legislation, effective September 1, 2017, which amends Texas Local Government Code Section 1, Subtitle F, Title 10, Government Code by adding Chapter 2270 which states that a government entity may not enter into a contract (which includes contracts formed through purchase orders) with a company for goods orservices unless the contract contains a written verification from the company that it: 1) Does not boycott Israel; and 2) Will not boycott Israel during the term of the contract Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli - controlled territory, but does not include an action made for ordinary business purposes; and 2. "Company" means a for profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. I, (authorized official) Kim Caballero , do herebyverify the truthfulness and accuracy of the contents of the statements submitted on this certification underthe provisions of Subtitle F, Title 10, Government Code Chapter 2270 and that the company named below: 1) Does not boycott Israel currently, 2) Will not boycott Israel during the term of the contract; and 3) Is not currently listed on the State of Texas Comptroller's Companies that Boycott Israel List located at https://comptroller.texas.gov/purchasing/publications/divestment php Performance Food Service Company Name of Authorized Official Title of Authorized Official Kim Caballero Printed Name of Authorized Official Date a RESIDENCE CERTIFICATION Pursuant to Texas Government Code §2252.001 et seq., as amended, Calhoun County requests Residence Certification. §2252.001 et seq, of the Government Code provides some restrictions on the awarding of governmental contract; pertinent provisions of §2252.001 are stated below: Sec. 2252.001(3) "Nonresident bidder" refers to a person who is not a resident. ❑ I certify that (4) "Resident bidder" refers to a person whose principal place of business is in this state, including a contractor whose ultimate Parent company or majority owner has its principal place of business in this state. is a "Nonresident Bidder" of Texas (company Name) as defined in Government Code §2252.001 and our principal place of business is (city and State) ® I certify that Performance Food Service (Company Name) defined in Government Code §2252.001. 7 ` .� On Signature of Authorized Agent Kim Caballero -Area Printed Name and Title of Authorized Agent Date is a "Resident Bidder" of Texas as Calhoun County, Texas Calhoun County Adult Detention Facility INVITATION TO BID FORM FOR THE ANNUAL SUPPLY CONTRACT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY Bid Number 2023.04 January 1, 2023 thru December 31, 2023 With the option to be extended yearly, if agreeable with both the successful bidder and Calhoun County Bidder's Name and Address Ben E Keith 17635 Ben E Keith Way Selma, TX 78154 • PLEASE TYPE. IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE. • WHITE OUT IS NOT ACCEPTABLE • ITEM OR ITEMS NOT BIDDING: MARK "NA" UNDER COST OR LEAVE BLANK • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • BE SURE TO COMPLETE, SIGN AND DATE THE LAST PAGE OF THE INVITATION TO BID FORM PLEASE NOTE: The bidder may request the Invitation to Bid Form be emailed to them in the Excel Format. If the bidder requests the Invitation to Bid Form be sent to them in the Excel Format, the bidder understands that the form and format shall not be changed in any way. The bidder shall not delete or add items to the Invitation to Bid Form. THE BIDDER UNDERSTANDS THAT BY CHANGING THE FORM AND/OR FORMAT OF THE INVITATION TO BID FORM IN ANY WAY SHALL DISQUALIFY THEIR BID. The Excel Format may be requested only as a means to enter the required information. Requests for the Excel Format of the Invitation to Bid Form must be sent to Peggy Hall, Assistant Auditor, at peggy.hall@calhouncotx.org or by calling 361-553-4610. Page 1 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often Used: 136575 1 /40lb 4/3# Sun Rich Apples Sliced Solid Pack Fresh $40.78 Weekly 009848 24 / 2 oz Sun Rich Apple Slice Red $16.70 Weekly 125049 6410 Ellingtn Apple Sauce Unsweet $39.99 weekly 125048 6 / #10 Ellingtn Apple Sauce Sweet $41.99 Weekly 530824 1 / 300 ct Paqtnpqv Bacon Precooked Thin $55.71 Weekly 101756 1 / 30 lb Coverwgn Bacon Slab Sliced Raw $85.39 Weekly 398821 12 / 6 ct Lenders Bagel Plain Sliced 2.3 oz $22.56 Weekly 696005 615 lb Clab irl Baking Powder $82.84 quarterly 696130 24 / 1 lb Hos tity Baking Soda $20.63 quarterly 018004 1 / 40 lb Packer Bananas green tip g $27.84 weekly 811196 2/7 lb Kth/Home Base - Beef Granular $39.91 quarterly 124194 2/9 lb Kth/Home Base - Chicken Flavor Paste $46.14 quarterly 774007 1 / 5 oz Mcormick Basil Ground $11.67 quarterly 774010 1 / 5 oz Mcormick Basil Leaf $6.57 Quarterly 774911 1 / 1 lb Txcustom Bay Leaves $16.31 quarterly 650061 6 /#10 Aliens Bean Baked Oven Prepared $42.63 Weekly 123883 6 /#10 Ellingtn Bean Chili Homestyle $99.94 Weekly 650070 6 / #10 Aliens Bean Chili Chuck Wagon Max $35.87 Weekly 334355 1 / 20 lb Mrkn/Fc Bean Cut Green Bean - Frozen $28.79 Weekly 650010 6 / #10 Aliens Bean Cut Green Bean - Canned $34.95 Weekl y 334355 1 / 20 lb Mrkn/Fc Bean Green Regular Cut 9 $28.79 weekly 121800 6 / #10 Bushbest Bean Great Northern Fancy $32.42 Quarterly uarterl 158788 6 / #10 Bushbest Bean Kidney Dark Red $32.42 quarterly 122432 1 / 20 lb Ellingtn Bean Baby Lima Bean - Dry $34.87 quarterly 122437 1120 lb Ellingtn Bean Navy Pea Dry $19.14 Quarterly 650082 6 /#10 Bushbest Bean Pinto Fancy $32.42 Weekly 652031 1150 lb Gransabr Bean Pinto Triple Clean Dried $31.57 Weekly 111698 6 / #10 Lakeside Bean Pork and Beans Fancy $33.61 Weekly 6 / #10 Ranchsty Bean Ranch Style Fancy $51.98 Weekly y Page 2 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed How Often used: 782002 6 / #10 Aliens Bean Refried $42.28 Weekly 117441 6/#10 Bushbest Bean Vegetarian Baked Beans $48.68 Weekly 546001 415 lb tub Tx Chili Beef BBQ Beef Chopped with Sauce $65.91 weekly 150913 5 / catch Packer Beef - Brisket Boneless 120 No Roll 2.99/# Quarterly 501004 2 / 7 lb avg Wilson Beef - Roast Top Round Cooked Beef 5.60/# 506080 8 / 10 lb avg Packer Beef Ground Fine 73/27 2.33/# weekly 506104 40 / 4 oz Holten Beef - Patty 4/1 with Tvp $24.18 Weekly 40 /4 oz Beef- Patty Breaded NA Weekly 509345 90 / 3 oz Tndrbrl Beef- Patty Flame Broiled $95.17 Quarterly 115464 160 / 3 oz Minutemn Beef & Chicken Patty 3 oz Ckd $117.13 weekly 509341 102 / 2.5 oz 90/2.5oz Tndrbrl Beef Patty Charbroiled pre-cooked $83.69 Quarterly 509403 54 / 3oz Beko Beef Salisbury Steak Cooked $51.61 Weekly 504750 3/24lbavg 2/24#av Cargill Beef Shoulder Clod $2.96 Quarterly 508013 40 / 4 oz Beko Beef Steak Fritter Natural 4/1 Raw $44'56 weekly 154223 2 / 5 Ito 4/5# Texas Fd Beef Stew Meat $79.88 Weekly 181628 5/6 lb Advancep Beef Steak Finger.97 oz $153.22 Weekly 508101 160 / 1 oz Apf Red Beef Steak Finger Breaded Cooked 1 oz $48.83 weekly 240 / 1 oz Beef Steak Finger Breaded Cooked Wg NA Weekly 24 / 8 oz Biscuits Buttermilk 10 ct NA Monthly 398435 96 / 1.55 oz Rotella's Biscuits Dinner Rolls Thaw & Serve $32.40 Weekly 412852 216 / 2.2 oz Conestog Biscuits Dough Southern Style $45.62 Weekly 123905 216 / 2.2 oz pioneer Biscuit Dough Butter Flavored $48.12 Weekly 398829 72 / 3oz Lenders Bagel Cinnamon Raisin Sliced 26.89 Weekly 111495 18011 oz Schubert Bread Roll Dinner Par -Baked 27.94 weekly 290073 8 / 24 oz Frsh/Kth Bread Sandwich Wheat Loaf 18.49 weekly 290020 8 / 24 oz Frsh/Kth Bread Sandwich White Loaf 16.71 weekly 408183 6 / 12 doz 12/30ct Cardona Bread Tortillas Com 16.07 Weekly 408617 18 / 24ct 21/12ct Mex Orig Bread Tortillas Flour $24.58 Weekly 492012 12 / 1 lb Jennie O Bologna Turkey Club $46.23 Weekly g 1 / 20 lb Mrkn/Fc Broccoli Cuts 21.68 weekly Page 3 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on Howe ften Used: 180622 12 / 49 oz 12/50oz Hanover Broth Chicken $31.89 Quarterly 2 / 20 ct Bun Crustini Sandwich 4.5 in NA Weekly 161914 6 / 8 ct Oroweat Bun Crustini Sandwich 4.5 in $14.25 weekly 2 / 20 ct Bun Hamburger Wheat NA Weekly 161826 618 ct Oroweat Bun Hamburger Wheat $16.53 Weekly 155869 2 / 20 ct Mrsbaird Bun Hamburger White $10.25 weekly 106518 6 / 8 ct 5/12ct Frsh/Kth Bun Hamburger White $13.18 Weekly 290220 6 / 12 ct Frsh/Kth Bun Hot Dog $15.98 Weekly 385084 72 / 4 oz Fernando Burrito Beef & Bean $41.83 Weekly 385147 64 / 4 oz Elmontry Burrito Beef & Bean Red Chili $41.83 Weekly 092005 1 / 50 lb Packer Cabbage Green $24.78 Monthly 691402 6 / 5 lb Contmill Cake Mix Chocolate $39.68 Monthly 691402 6 / 5 lb Contmill Cake Mix Devils Food $39.68 Monthly 691401 6 / 5 lb Contmill Cake Mix White $35.47 Monthly 691400 6 / 5 Ito Contmill Cake Mix Yellow $35.47 Monthly 117566 1 / 12 ct Mrkn/FC Cantaloupe Fresh $32.95 Weekly 098010 1 / 50 lb sack Packer Carrots Jumbo $22.44 Weekly 336335 12/2 lb Mrkn FC Carrots Diced $31.85 Weekly 113583 6/#10 Lakeside Carrots Sliced Canned $35A3 Weekly 336151 1120 lb Mrkn FC Carrots Smooth Sliced $28.00 Weekly 113583 6 /#10 Lakeside Carrots Sliced Medium $35.43 Weekly 455030 1 / 151b Harvest Catfish Nugget Breaded 2-4oz $38.67 Weekly 337112 1 / 20 lb Mr n FC Cauliflower LQF $26.48 Monthly 102012 1 / 40 lb Mr n FC Celery Fresh $48.77 Weekly 799100 4 / 26 oz Kelloggs Cereal Bulk Cont Flakes $26.69 Weekly 799855 4 132 oz IWO-M Cereal Bulk Crispy Rice $28.00 weekly 799224 12 / 28 oz ua er Cereal Cream of Wheat $28.96 weekly 799226 12 / 28 oz OSpt ty Cereal Farina Enriched $29.38 Weekly 799116 4 /45 oz i mom Cereal Bulk Frosted Flakes $38.00 Weekly Page 4 of 20 Pack/Size Item # Pack / Size if different Brand Description cost ESTIMATE on How Often from Listed used: 799120 4 / 46 oz MOM Cereal Bulk Fruit Dyno Bites $39.87 weekly 799137 4 / 50 oz Kelloggs Cereal Bulk Granola Lowfat $62.89 weekly 799276 4 / 39 oz Cheerios Cereal Bulk Honey Nut Cheerios $62.74 Weekly 799080 4 / 44 oz MOM Cereal Bulk Honey Nut Scooters $53.64 Weekly 799204 1 / 50 lb Quaker Cereal Oats Rolled #5 $35.96 Weekly 799114 6 / 36 oz M Q M Cereal Bulk Raisin Bran $41.33 Weekly 799103 4 / 35 oz MOM Cereal Rice Tootie Fruitie $34.31 Weekly 147902 6 / 5 lb Welcomed Cheese American Melt Loaf $81.26 Monthly 133070 615 lb Hilldale Cheese Product American 120 Slices $84.88 Weekly 121802 415 Ib Schreibr Cheese American 184 Slices $62.04 Weekly 121801 4 / 5 lb Schreibr Cheese Cheddar Shredded Imitation $40.40 quarterly 166422 2 / 5 lb Gldhrvst Cheese Chedder Jack Shredded $31.08 Weekly 016181 2 / 5 lb 4/59 Schreibr Cheese Chedder & Mont. Jack Shreeded $65.26 Weekly 158931 2 / 5 lb 4/5# Daisy Cheese Cottage Cheese Sm Curd 4% $37.28 Weekly 742002 10 / 3 lb Gldhrvst Cheese Cream Cheese Loaf Grade A $81.73 Monthly 132429 100 / 1 oz Gldhrvst Cheese Cream Pc Cup $24.67 Monthly 761010 6 / 5 lb Gldhrvst Cheese Melting Loaf Yellow $94.64 Monthly 107524 4 / 5 Ito 6/5# 1950-127 Cheese Mozzarella Reg Shredded $88.37 Monthly 759001 2 / 5 Ito Gldhrvst Cheese Pimento Cheese Spread $52.07 Monthly $64.62 173684 6 / 29 oz Pioneer Cheese Powdered Cheese Mix Weekly $83.26 158882 6 / 5 lb Welcomed Cheese Queso Melt Weekly Packer Chicken Boneless Skinless Chicken Thighs - $49.87 487156 4110 lb Plain Weekly 487105 1 / 10 lb Supreme Chicken Boneless Skinless Chicken Thighs - $40.88 Flavored weekly NA 4 15 lb Chicken Breast BRD Slinger Weekly 134206 2 15 lb Tyson Chicken Breast Diced Grilled $52.11 Weekly 487831 60 / 3.1 oz 67/2.4oz Brkbush Chicken Breast Patty Breaded $42.33 Weekly 488221 52 / 3.07 oz Tyson Chicken Breast Patty CNWG $29.37 Weekly 104549 2 / 5 lb Waynefrm Chicken Breast Pulled Cooked $44.32 Weekly 159105 2 15 lb Brkbush Chicken Breast Fritter $24.28 Weekly 487702 160 / 3 oz Tysonred Chicken Patty Breaded Cooked $29.77 Weekly Page 5 of 20 Pack/Size Item# Pack/Size if different Brand Description Cost Estimateon from Listed HowOften Used: 114922 2/5 lb Tyson Chicken Breaded Chicken Fritter weekly 122494 107 / 1.5 oz Jones Chicken Breakfast Patty 43.44 Quarterly 488422 2 / 5 lb Plathvst Chicken Diced All White Cooked 46.66 weekly 487726 52 / 3 oz 300 3.1oz Tyson Chicken Breast Fillet Fajita $109.33 Monthly 122391 1110 lb 4/10# Texas Fd Chicken Fajitas Sliced Chicken Raw $135.55 Weekly 487365 2 / 5 lb Perdue Chicken Fajita Strip Cooked $49.16 Monthly 102198 2 / 5 lb Gransabr Chicken Fajita Meat Lacocina 3.19/# Monthly 487080 1 / 10 lb Supreme Chicken Fajita Thigh Meat Frozen $40.88 Monthly 487856 4110 lb Packer Chicken Leg Meat Bonless $41.38 Weekly 104890 2 / 5 lb Tyson Chicken Meat Diced 112 in $57.72 weekly 488362 1 / 20 lb 2/5# Tysonred Chicken Nuggets Raw $27.22 Monthly 487156 4110 lb Packer Chicken Thigh Meat Raw Frozen $49.87 Monthly 487529 4 / 5 lb Tyson Chicken Thigh Diced - Raw $55.33 Monthly 101470 4 /4 lb Campbell Chili Frozen - With Beans $61.02 Weekly 106559 6 15 lb Cocinagr Chili Frozen - Without Beans $68.18 Weekly . 123884 6 / #10 Ellingtn Chili Canned -With Beans $86.08 Weekly 123883 6 /#10 Ellingtn Chili Canned - Without Beans $107.89 Weekly 123885 B / #10 Ellingtn Chili Hot Dog Sauce w/meat $71.63 Monthly 699399 8 11 lb Fritos Chip Frito Corn Bulk $18.77 Weekly 2 10 / 16 oz eepnvr Chip Potato Kettle $28.67 Weekly 6 / 16 oz Lays Chip Potato Regular Bulk 17.83 Weekly 699253 8 / 16 oz Ru as Chip Potato Ridged Ruffled $24.50 Weekly 106058 6 / 2 lb Gransabr Chip Tortilla Yellow Round $21.81 Weekly 180270 3 / 50 ct Fritolay Chip Variety $40.73 Weekly 774022 1 / 5 lb Spiceds Cinnamon Ground $30.24 Monthly 180112 1 / 10 lb 30 1# Snowflak Coconut Sweetened Coconut $32.93 Monthly 640345 12 / 2 lb 6 Elgmcof Coffee Traditional $91.99 Weekly 1212 lb Coffee Can NA weekly 640555 42 / 1.25 oz S&D Coffee Todays Gourmet w/Filter $20.67 Weekly 092071 4 / 5 lb ct Mrkn Rss Coleslaw Mix Shredded 24.11 Weekly Page 6 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost Estimate on How Often used: 417108 1 / 10 lb 144/1oz Bestmaid Cookie Chocolate Chip $36.87 Weekly 772046 1 / 10 lb 60/2.5oz Grandmas Cookie Oatmeal Homestyle $23.78 weekly 417080 1110 lb 44/1 oz Bestmaid Cookie Sugar Homestyle 35.45 Weekly 772011 1 / 5 lb 2/2# Nillawf Cookie Vanilla Wafers $13.86 Weekly 432441 320 / 1 oz Valuzone Cookie Dough Chocolate Chip $52.92 weekly 432442 320 / 1 oz Valuzone Cookie Dough Oatmeal Raisin $56.86 Weekly 432443 320/1 oz Valuzone Cookie Dough Sugar $50.24 Weekly 650172 6 / #10 Aliens Corn Cream Style $43.42 Monthly 338602 1 / 20 lb Mrkn/Fc Com Cut $26.80 weekly 338837 6 / 2 lb Freds Corn Corn Nuggets Sweet Battered $38.23 weekly 125734 6 / #10 Ellingtn Corn Whole Kernel Fancy Canned $36.15 Weekly 240 / .67 oz Corn Dogs No Sticks NA weekly 124523 240 1.67 oz Ellingtn Corn Dogs Turkey Mini - No Sticks $39.59 weekly 147566 615 lb Krusteaz Combread Mix Homestyle $42'89 weekly 117439 6 / 3.5 lb Ellingtn Cornbread Stuffing Mix $65'88 Monthly 119165 1 /25lb Ellingtn Commas. $14.97 quarterly 772080 200 / 2 pk Honeymad Crackers Graham Honey Mid - Individually Wrapped $21.48 Monthly 771314 12 116 oz Premium Crackers Saltine - Bulk $40.27 Weekly 771332 500 / 2 pit Lance Crackers Saltine - Individually Wrapped $14.83 Monthly 771510 300 / 2 pit 500/2ct Lance Crackers Cafe Club $19m Monthly 639071 24 / 12 oz N Joy Creamer Non Dairy Canister $45.98 weekly 104930 1 / 4.5 lb Gransabr Cumin Ground $27.51 quarterly 119441 411 al Ellingtn Dressing g Coleslaw $54.77 Quarterly 164882 200112 gm 60/1.5oz Ellingtn Dressing PC Italian Packets $13.15 Monthly 119440 4/1 gal Ellingim Dressing Lt Italian Dressing Gallon $26.70 Monthly 119442 4 / 1 gal Ellingtn Dressing Ranch Buttermilk Gallon $58.98 quarterly 674146 200 / 12 gm Ppl Dressing PC Ranch Buttermilk 20.60 weekly 122557 18 / 3.2 oz Ellingtn Dressing Ranch Mix. 27 13 weekly 164879 60 11.5 oz Ellingtn Dressing PC Thousand Island SIL6,01 Monthly 662323 4/1 gal Select Dressing Honey Mustard $62.02 I Monthly 122648 12 / 24 oz Ellingtn Drink Mix Fruit Grape Powdered $42.22 weekly 175585 12 / 24 oz 12/18oz Litedeli Drink Mix Strawberry Powdered $41.31 weekly Page 7 of 20 Item# Pack/Size Pock/Size if different from Listed Brand Description cost Estimate on How Often used: 122642 12 / 24 oz E ingtn Drink Mix Fruit Punch Powdered $41.38 Weekly 122647 12124 oz Ellingtn Drink Mix Pink Lemondade Powdered $41.38 Weekly 122644 12 / 24 oz EI ingtn Drink Mix Peach Powdered $ 41.38 Weekly 630281 12 / 1.8 oz Crystlgt Drink Mix Sugar Free Fruit Punch Powdered $51.32 Weekly 630280 12 / 2.2 oz Crystlgt Drink Mix Sugar Free Pink Lemonade Powdered $51.32 Weekly 393123 15 / 2 lb Papettis Egg Mix Scrambled w/2% Milk $55.29 Weekly 393402 1 / 20 lb 15/2# Papettis Eggs Whole Liquid w/citric $55.38 Weekly 393399 2 / 20 lb Papettis Egg Whole Liquid w/citric $72.53 Weekly 144678 200 / 1 oz 144/1.75oz Papettis Egg Scrambled Patty Round $42.53 weekly 138229 1 / 10 lb Papettis Egg Hard Cooked Peeled $26.96 weekly 996030 1 / 200 ct 1/15dz Packer Egg Fresh Shell Jumbo USDA $48.97 weekly 125169 36 / 3 oz Minh Egg Roll Pork & Vag Roller Grl $28.42 Monthly 380264 80 / 2 oz Le Gourm Egg Roll Vegetable $26.88 Monthly 385417 90 11.75 oz 0/1.63oz Fernando Enchilada Cheese IQF $26.01 Weekly 385424 90 / 1.75 oz Fernando Enchilada Chicken $26.17 Weekly 777035 1 /pt Mcormick Egad Vanilla Imitation $4.53 Quarterly 451369 1 / 15 Ib Mekngbas Fillet Swell Fillet 5-7 oz $42.61 Weekly 145785 1 / 101b Trident Pollock Stick Brd 1 oz $51.81 Monthly 455779 1 / 10 lb Fpi Fish Strip 1.5 oz Breaded $49.15 Weekly 451711 4 / 10 lb Packer Fish Pollock Fillet 4-6 oz $138.66 Weekly 455743 1 / 10 lb Trident Fish Pollock Red Breaded Wg $40.47 Weekly 459619 1 / 10 lb Trident Fish Pollock Red Brd wgcn 3.6 $52.73 Weekly 100933 11 101b Packer Fish Tilapia Fillet 35 oz $35.15 Weekly 100934 1 / 10Ib Packer Fish Tilapia Fillet Iqf 5.5-6oz $34.01 Weekly 119163 1 /50 lb Ellingtn Flour All Purpose $22.21 Monthly 80/2 oz Farmland Franks All Meat 8/1 $29.62Monthl2 /5 Ib Butterbl Franks Turkey $25.80 Monthly 6 / 5 Ib Kth/Home French Fries RC 318 IN $32.51 Weekly V 6 / 5 lb Kth/Home French Fries CC 1/2 inch $31.42Weekly Papettis French Toast Plain $48.63 Weekly 5 / 2 lb 12/2# Farmrich French Toast Stick $54.36 Weekly 125647 6 / #10 Kth/Valy Fruit Cocktail X Lt Syrup $57.00 Weekly 125646 6 / #10 Kth/Valy I Fruit Mix Lt Syrup $57.55 Weekly Page 8 of 20 Item# Pack/Size Pack/Size if different from Listed Brand Description cost ESTIMATE HowOften How Often used: 104929 117lb 1/6.5# Gransabr Garlic Granulated 34A7 Monthly 767052 24 / 3.14 oz Jello Gelatin Cup Monthly 122655 12 / 24 oz Ellingtn Gelatin Mix Mixed Assorted Citrus 87 Monthly 767043 12 / 24 oz Royal Fd Gelatin Mix Lime Monthly 122654 12124 oz Ellingtn Gelatin Red Variation Monthly 027120 1 / 35 lb Packer Grapefruit Ruby Choice 40 43.94 Weekly 145923 6 / 13 oz 6/6.830Z Knorr Gravy Mix Brown Country Style $18.85 Monthly 797060 6 / 14 oz Pioneer Gravy Mix Chicken $27.14 Monthly 797246 6 / 24 oz Morrison Gravy Mix Peppered $23.63 Monthly 797237 6 / 11.3 oz Pioneer Gravy Mix Pork Roast $30.57 Monthly 724 6 111.3 oz Pioneer Gravy Mix Turkey Roasted $25.85 Monthly 012362 613 lb Packer Greens Mustard Greens $27.15 weekly 538315 2 / 14 lb Farmland Ham Boneless Pit Style Weekly 538680 2 / 10-12lb Menumstr Ham Buffet Style Weekly 6 / 5 lb Ham Chopped NA Quarterly 138554 413lb 6/2# Hilshire Ham Pre -Sliced S56.25 Quarterly 538220 2 / 13 lb Farmland Ham Shaving Cooked 4 x 6 Deli $229.88 weekly 2 / 10-12 lb Ham Shaving Smoked Boneless NA Quarterly 4/3 lb Danspriz Ham Sliced Smoked $52.76 Quarterly 176508 412 lb Hatfield Ham Sliced Smoked $34.36 Quarterly 2/20ct Mrsbaird Hamburger Buns $10.25 weekly 120 12.2 oz Ore Ida Hashbrowns Golden Patty $35.64 weekly 6 / 3 lb 6/2.5# Goldngrl Hashbrowns Redi Shred $52.97 weekly 7758 6 / 3 lb Oregonpo Hashbrowns Lqf Shredded $32.99 weekly 1175159 1 / 30 lb Mrkn/Fc Honey Dew Melon US #1 8 ct $24•09 weekly 6 / 12 ct Frsh/Kth Hot Dog Buns $15.98 weekly 2 / 5 lb Ellingtn Hushpuppies Regular Round $21.76 weekly 415 lb Hagys Hushpuppies Homestyle $42.24 weekly 691585 1 / 12 lb 1/11# GId Mad Icing Chocolate Quarterly 691586 1 / 12 Ib 1/11# Gid Mad Icing Vanilla Quarterly E$377.07 677079 200 /.5 oz Smuckers Jelly PC Assorted Cup Monthly 677036 200 /.5 oz Smuckers Jelly PC Grape Cup weekly 318011 70 / 4 oz Ard Firm Juice Apple 100% Carton Carton $14.89 weekly 318034 7014 oz Ard Firm Juice Orange 100% Carton $20.09 weekly Page 9 of 20 Item# Pack/Size Pack/Size ifdlfferent from Listed Brand Description Cost ESTIMATE on How often Used: 146969 1000 / 9 gr 1906 Ketchup Individual Packets $23.60 Weekly 122416 6 /#10 Kth Home Ketchup Standard $35.05 weekly 138201 1 / case Mrkn Fc Lettuce Iceberg $37.48 weekly 223065 4 / 5 lb Mrkn Rss Lettuce Shred 1/4 Inch $39.86 Weekly 148179 900 / 5 gr 912/5gr Landolak Margarine PC Cup Spread $25 25 Monthly 129724 432 / 14 gr Gldhrvst Margarine pcks 30.89 119460 30 / 1 lb Ellingtn Margarine Solids Pure Vag S40.82 Monthly 800711 12 / 16 oz Jetpufed I Marshmallows Jet Puffed $24.68 1 Quarterly 111293 411 gal Kens Mayonnaise Heavy Duty Gallon $52.28 Monthly 170886 200 / 12 gm Ellingtn Mayonnaise PC $18.70 Weekly 117569 1 / 30 lb Mrkn/Fc Melons Honey Dew US #1 8 ct $24.09 Weekly 104374 2 / 5 lb Bonici Meatballs Beef & Chicken $47.33 weekly 522410 320 / .5 oz Advancep Meatballs Flame Broiled $59.58 weekly 522408 320 / .5oz Rosina Meatballs Italian $44.38 weekly 149335 37 / 4.25 oz Drpraegr Meatless Black Bean Burger $53.48 Quarterly 372073 4814.25 oz Mornstar Meatless Black Bean Burger $86.39 Quarterly 372090 200 / .75 oz Mornstar Meatless Chicken Nugget Quarterly 172464 2 / 5 lb Beyond Meatless Chicken Tender 69 89 Quarterly 165031 4 / 2.51b Hormel Meatless Chorizo Crumble 65.27 Quarterly 372084 48 / 3.4 oz Gardnbrg Meatless Garden Burger Blk Bn 66 97 Quarterly 372081 48 / 3.4 oz Gardnbrg Meatless Garden Patty $66.97 Quarterly 372100 11211.3 oz Mornstar Meatless Sausage Patty $64.77 Quarterly 372067 4 / 8 ct Ratners Meatless Veggie Griller 5 oz $41.22 1 Quarterly 509618 76 / 3.15 oz Smartpic Meatloaf Patty Deluxe $94.75 weekly 4 / 15 oz Meatloaf Pull Apart NA weekly 14 / 15 oz Meatloaf Pull Apart NA weekly 798022 24 / 14 oz Magnolia Milk Condensed Sweetened $54.27 Monthly 798001 24 / 12 oz Velvet Milk Evaporated $29.73 1 Monthly Page 10 of 20 Item# Pack/Size Pock/Size il'different from listed Brand Description cost ESTIMATE on Often HoUsed: Used: 798059 1 / 25 Ib Ramsen Milk Powdered Skimmed NF $75.44 Monthly Milk Powdered Homo Vitamin D NA Monthly 171994 411 gal Oakfarms Milk 2% Reduced Fat 1 Gallon $23.40 Weekly 171983 4 / 1 gal Oakfarms Milk Homo Vitamin D 1 gallon $25.18 Weekly 284410 25 / 1/2 pt Oakfarms Milk 1% Reduced Fat 1/2 pint cartons $10.69 Weekly 119825 25 / 1/2 pt Dairypur Milk 2% Reduced Fat 1/2 pint cartons $10.94 Weekly 25 / 1/2 pt Milk Homo Vitamin D 112 pint cartons NA Weekly 119827 25 / 1/2 pt Dairypur Milk Skim Nonfat 1/2 Pint $10.17 Weekly 124165 4/1 gal Kth/Valy Mustard Prepared Galion 19.74 Quarterly 160130 50015.5 gr 500179r Frenchs Mustard PC Pouch 13.86 Weekly 119462 6 / 1 gal Ellingtn Oil Butter Flavored $95.74 Monthly 119462 6/1 gal Ellingtn Oil Pan & Grill Trans Fat Free $95.74 Monthly 698007 6 / 17 oz Pam Oil Pan Spray $27.01 Monthly 779123 1 / 35 lb Kth/Home Oil Shortening Clear Fry $43.03 Monthly 342150 1 / 20 lb Mrkn/Fc Okra Cut 1/2 inch Grade A $23.81 Weekly 325205 1 / 20 lb Beko Okra Cut Heavily Breaded $22.27 Weekly 124370 612 lb Ellingtn Okra Cut Breaded Southern Style $14-98 weekly 775002 1 / 3 lb Mcormick Onion Dried Flakes Chopped $15.89 Monthly 155091 4/5 lb Taylorfm Onion Sliced $55.91 Monthly 155030 1150 lb Mrkn/Esn Onion Yellow Jumbo Sack $28.01 Monthly 031111 1 / 35 lb Mrkn/Esn Oranges Fresh $34.60 Weekly 031112 1135 lb Mrkn/Esn Orange Choice $33.47 Weekly 134842 6 /#10 Ewimport Oranges Mandarin Oranges Broken Lt $52.15 Weekly 134841 6 /#10 Ewimport Oranges Mandarin Orange Whole Segments $60.50 Weekly 774929 1 / 12 oz Txcustom Oregano Ground $ 11.76 Quarterly 184539 14411.2 oz Krusteaz Pancake Original - Frozen $28.85 Weekly 774727 1 / 10 oz Mcormick Parsley Flakes $14.02 Quarterly 151773 2/5 lb Bellacib Pasta Egg Noodle Wide 112 Inch Monthly v Page 11 of 20 Item # Pack / Size Pack/Size If different from Listed Brand Description Cost ESTIMATE on How Often used: 151772 2 / 10 Ib Bellacib Pasta Elbow Macaroni $26.75 Monthly 151784 12 116 oz Bellacib Pasta Lasagna Ribbed $20.00 Monthly 151786 2 / 10 lb Bellacib Pasta Panne Rigate $27.20 Monthly 151778 2 110 lb Bellacib Pasta Spaghetti Thin 10 Inch $26.75 Monthly 125643 6 / #10 Kth/Valy Peaches Sliced Extr Lt Syrup $56.59 Weekly 125648 6 /#10 Kth/Valy Peaches Diced Extra Lt Syrup $56.59 Weekly 165099 6 / 5 lb Ellingtn Peanut Butter Creamy $53.47 Weekly 170314 200 / 0.75 oz Ji f Peanut Butter Pc $43.80 weekly 125641 6 /#10 Kth/Valy Pears Sliced Light Syrup $57.98 Weekly 113580 6/#10 Lakeside Peas Blackeyed $36.00 Weekly 104049 1 / 20 lb Sunfield Peas Peas & Diced Carrots Frozen $32.95 Weekly 343503 1 1120lb Simplegd Peas Green $29.10 weekly 125740 6 / #10 Kth/Valy Peas Sweet Mixed $40.69 Weekly 774165 1118 oz Spicecis Pepper Black Gound Fine Pure $10.32 Monthly 685214 12 127 oz Rosarita Peppers Chili Diced Green $65.67 Monthly 165010 1/1 1/9 Bulk Mrkn/Esn 113epper Bell Green Chopper $28.41 Monthly 110417 1 6 /#10 Gransabr Pepper Jalapeno Nacho Sliced $30.74 quarterly 774829 1 / 7 lb Txcustom Pepper Lemon Seasoning $30.51 quarterly 100059 4 1,1 gal Bstmdpro Pickles Dill Relish $25.86 Monthly 123286 4/1 gal Ellingtn Pickles Dill Relish Premium $30.83 Monthly 680023 1 / 5 gal Chefsupr Pickles Dili Sliced Hamburger $22.10 Monthly 430075 6143 oz Chef P Pie Pumpkin 10 Inch PreBaked $53.13 quarterly 600379 6181 oz Dole Pineapple Chunks in Extra Lt Syrup $50.57 Weekly 134844 6 /#10 Ewimport Pineapple Sliced in Juice $60.84 Weekly 600373 6 / #10 Dole Pineapple Tidbits in Juice $59.41 Weekly 384029 128 / 3.31 oz Tonys Pizza Breakfast Turkey Sausage $57.74 Monthly 384420 96 / 4A8 oz Tony's Pizza Pepperoni Whole Grain $55.39 Monthly 653001 36 / 8 oz Fancyfrm Popcorn Kit All In One $31.25 Monthly 153400 6 / 6-8 lb Smithfid Pork Loins Boneless $2.06 Monthly 544251 40 / 3.75 oz Advance Pork Patty Breaded Cooked $40.83 Monthly 532351 52 / 3.1 oz Qtf Pork Patty Rib Shape Cooked $45.75 Monthly Page 12 of 20 Pock/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed How Often used: 532010 46 / 3.5 oz Pork Rib Patty ttY $52.72 Monthly 532421 80 / 3 oz Kingcmnd Pork Rib Patty w/BBQ Sauce Y $69.57 Monthly 2 / 5 lb Pork Tip for Taco Especial NA Monthly 650337 6 / 2.5 lb Goldngrl Potato Hashbrown Red! Shred $52.97 Weekly 650332 6 / #10 Basic Potato Instant with milk $74.65 Weekly 170065 1 / 50 lb Packer Potato Idaho #2 $27.84 Weekly 169149 1 / 50 lb Mrkn/Fc Potato Red #2 $33.81 Weekly 1 / 50 lb Potato Russet 10 oz US #2 NA Weekly 129483 1 / 50 lb Mrkn/Fc Potato Russet 80 ct IDA $42.22 Weekly 129478 1 / 50 lb Mrkn/Fc Potato Russet 90 ct IDA $35.40 Weekly 650380 6 / #10 Princela Potato Sweet Cut Fancy $41A9 Weekly 8 / 5 lb Potato Tater Bites Seasoned NA Weekly 179187 6/5lb Gardenmd Potato Tater Tots 44.38 Weekly 650314 6 / #10 Aliens Potato White Diced 45.13 ,Meekly 123289 6/#10 Ellingtn Pudding Banana 51.47 Weekly 177979 6 / #10 Luckylf Pudding Chocolate $49.35 Weekly 765457 6 / 112 oz Ge Is Pudding Chocolate Rtu Pouch $40.35 Weekly 765037 24 / 3.625 oz Jello Pudding Chocolate Sugar Free $14.40 weekly 148023 6/#10 an you Pudding Lemon $56.19 Weekly 123293 6 / #10 E ingtn Pudding Tapioca $53.36 Weekly 177712 6 / #10 Luckylf Pudding Vanilla $49.35 Weekly 6 / #10 3/#10 Luckylf Pudding Vanilla Sugar Free $28.85 68464 weekly 765458 6 / 112 oz Gehls Pudding Vanilla Rtu Pouch $41.14 Weekly 148925 24 / 6 / 1 oz 144/1.5oz Boghosan Raisins Individual Packs $36.97 Weekly 800058 24 / 15 oz Packer lRaisins Golden Seedless $57.67 Weekly 782029 6 / #10 Chefboy Ravioli Beef RTU $51.14 weekly 654044 1 / 50 lb Producer Rice Lang Grain $24.36 weekly 654060 1 / 50 lb Rice Long Grain Parboiled 4% Broken $26.18 Weekly Cpmet Ri 157429 4 / 3 lb Gldnti r Rice Vegetable Fried $47.43 weekly 127018 4 / 5 lb Mrkn Rss Salad Mix Lettuce in Ba9 40.67 Weekly 768119 1 /30lb 1 1/32# Rons Salad Potato Homestyle 65 Monthly Page 13 of 20 Pack/Size Item # Pack / Size if different Brand Description cost Es- IT MATE on from Listed Now often Used: 547118 384/.5oz Smithfield Salami All Meat Sliced $49.35 Weekly 374616 4 / 4.3 lb Stouffer Salisbury Steak w/ Mush GRV $83_72 Weekly 142210 1 / 25 lb Tru-Flo Salt Iodized Table $7.07 Quarterly 660017 4 / 1 gal Lll Pig Sauce BBQ $26.56 Monthly 660556 6 / #10 Gehls Sauce Cheese $48.97 Weekly 660583 6/#10 Mipueblo Sauce Cheese Nacho $57.67 Weekly 600059 24 / 14 oz 6/#10 u y ist Sauce Cranberry Jellied $54.89 Quarterly 68 5 4 / 1 Gal 2/5 Gal ransa r Sauce Enchilado Mild RTLI $16.15 weekly 6 / #10 av7 OrSauce Enchilada Mild RTU $51.15 weekly 4 / #10 anwtcSauce Manwich Sloppy Joe $37.93 Weekly 4/1 Gal Sauce Picante Mild Gallon $15.92 Monthly 6 / #10 EllIng nSauce Pizza $36.15 weekly 124163 4/1 gal hiling n Sauce Soy Sauce Gallon $24.25 Monthly 125660 6 / #10 Lr ITmgtn Sauce Spaghetti RTU $37.63 weekly 169281 200 / 9 gr Flavrtrs Sauce PC Taco 11.27 Weekly 674096 50019 gr Heinz Sauce PC Taco 33.92 weekly 674812 200 / 7/16 oz Kraft Sauce Tarter Creamy Packets $18.56 weekly 660122 1 / 1 gal Kikkoman Sauce Teriyaki $14.08 Monthly 125658 6 /#10 Ellingtn Sauce Tomato Fancy $31.72 Weekly 660298 4/1 gal Caj Chef Sauce Worcestershire $26.02 Quarterly 541205 2 / 5 lb Alamo Sausage Beef Breakfast Chorizo $25.97 Weekly 122494 107 / 1.5 oz Jones Sausage Chicken Patty Cooked $44.98 Weekly 492773 128 / 1.25 oz J Dean Sausage Turkey Cooked $40.28 Weekly 541029 2 / 5 lb Alamo Sausage Chorizo Pork Raw $26.02 Weekly 539067 2/5 lb Tenn Prd Sausage Ground Bulk Raw Mild $30.73 Weekly 123509 200 / .8 oz Speciair Sausage Link Natural .8 oz Cooked $40.91 Weekly 541587 92 11 oz 192/1 oz Beko Sausage Link Mild 1 oz Cooked $37.58 weekly 549125 215 lb Hilshire Sausage Pork Topping Cooked $25.34 Weekly 158485 1 / 10 lb J Bar B Sausage Smoked Rope Cooked $24.66 weekly 540018 15411.25 oz Tenn Prd Sausage Patty Cooked $52.97 weekly 774458 12 / 17 oz Chachere Seasoning Creole $43.05 Quarterly Page 14 of 20 Item # Pack / Size Pack/Size ifdifferent from Listed Brand Description cost ESTIMATE on How Often Used: 540018 154 / 1.25 oz Tenn Prd Sausage Patty Cooked $52.97 weekly 774458 12 / 17 oz Chachere Seasoning Creole $43.05 Quarterly 115570 1 / 8 lb Chachere Seasoning Creole Original $18.02 Quarterly 1 / 24 oz Seasoning Mexican Rub Mix NA quarterly 774450 1 / 23 oz Mcormick Seasoning Montreal $11.11 quarterly 774396 1/4.5lb Mcormick Seasoning Salt Traditional $16.82 Monthly 660606 6 / 15 oz Mcormick Seasoning Sloppy Joe Mix $31.57 weekly 660714 1/24oz Mcormick Seasoning Taco $11.35 quarterly 779123 1 / 35 lb Kth/Home Shortening Clear Fry Liquid $43.03 Monthly 808040 12 / 50 oz Campbell Soup Chicken Noodle $51.18 Monthly 808030 12 / 50 oz Campbell Soup Cream of Chicken $57.32 Monthly 808060 12 / 50 oz Campbell Soup Cream of Mushroom $58.55 Monthly 808083 12 / 50 oz Campbell Soup Cream of Potato $64.95 Monthly 808090 12/50oz Campbell Soup -Tomato $43.95 Monthly 808100 12 / 50 oz Campbell Soup - Vegetable $62.50 Monthly 669027 4 / 5 lb Daisy Sour Cream Cultured $32.53 1 Monthly 650395 6 / #10 Popeye Spinach Chopped Fancy $39.28 weekly 167053 400/.88oz Gokouju Spring Roll Vegetable Mini $47.73 quarterly 164128 20011.76 oz Gokouju Spring Roll Vegetable 1.76oz $45.45 quarterly 200098 Vol Fill Packer Squash Zucchini, Mad 18-25 $27.90 weekly 697100 24 / 1 lb Argo Starch Com $34.09 Quarterly 117439 6 / 3.5lb Ellingtn Stuffing Mix Combread $65.88 weekly 780009 12 / 2 lb Imperial Sugar Brown light in Bag $29.78 Monthly 139985 1 / 50 lb Madison Sugar Pure Cane Extra Fine $38.30 weekly 139985 1 / 50 lb Madison Sugar Pure Cane Granulated $38.30 weekly 781005 12/2lb Imperial ISugar Powdered White $29.78 Quarterly 677255 100 / 1 oz 100/1.4oz Smuckers Syrup PC Pouch -Cup $14.91 weekly 793036 10011 oz Smuckers Syrup PC Pouch -Cup Sugar Free 1 oz $17.31 Monthly 385792 120 / 1.5 oz Rodriguz Tamale Beef in Husk 1.5 oz $43.01 Monthly 385179 341 / 0.75 oz Posada Taquito Shredded Beef $87.99 weekly 168936 96 / 1 oz I Elgtntea Tea Bags 1 oz $19.10 weekly 167861 96 / 1 oz I Ce lonat Tea Iced Filter Pouch 1 Gal $24.03 weekly Page 15 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How open Used: 211111 1 / 25 lb Packer Tomatoe Bulk Cafe $33.52 weekly 125654 1 6 /#10 Ellingtn Tomatoe Diced in Juice $31.51 Weekly 171913 12 /28 oz Del Sol Tomatoe Diced With Green Chills $26.25 Monthly 210114 1 / 25 lb Packer Tomato Roma #2 $35.23 Weekly 791075 6 /#10 Jubilee Topping Chocolate Fudge $90.40 Monthly 122650 12/1 lb Ellingtn iTopping Whip Mix Add Water $36.01 Quarterly 134852 6 / 66.5 oz Ewimport Tuna Chunk Light in Water $79.74 Monthly 492012 12/1 lb Jennie O Turkey Breast Lunchmeat Combo $46.23 weekly 492131 2 / 8-9 lb Jennie O Turkey Breast Oven Roasted 3.24/# Monthly 492291 2 / 9.9.5 lb c Carolina Turkey Breast Smoked Skinless 3.85/# Monthly 105126 1 / 10 lb Perdue Turkey Burger Homestyle $38.52 Monthly 492254 30 / 5.33 oz Butterbl Turkey Burger Mediterranean $38.97 Monthly 492990 2 / 101b Butterbl Turkey Ground Bulk Chub $39.77 Weekly 100167 4 / 10 lb Carolina Turkey Ground Tubes 80/20 $41.02 Weekly 492949 2 / 5 lb Butterbl Turkey Diced White $37.50 Weekly 492682 2 / 7-8 lb Carolina Turkey Ham Buffet Deluxe $2.41 Weekly 492012 12/1 lb Jennie O Turkey Lunchmeat Combo $46.23 Weekly 147797 5 / 5 lb 2/5# Carolina Turkey Medallion Roasted $54.55 Monthly 492681 2 / 5 lb Butterbl Turkey Ham - Diced Cured $37.50 Weekly 492773 128 / 1.25 oz J Dean Turkey Sausage Patty Cooked $40.28 weekly 492340 612 lb Ellingtn Turkey Sliced Smoked .70 $54.55 Weekly 15018E 1/40 lb Shendoah Turkey Thighs Bnls Skinless $114.18 Monthly 139312 6/#10 Lakeside Vegetables - Mixed Fancy $40.38 Weekly 349712 1 / 20 lb Mrkn/Fc Vegetables - Blend Peas & Carrots $31.56 weekly 125737 6/ #10 Ellingtn Vegetables For Stew Fancy Chunky $40.13 Monthly 349198 12 / 2 lb Mrkn/Fc Vegetables - Blend Stir Fry $53.13 Monthly 349245 1 / 20 lb Mrkn/Fc Vegetable Blend California $24.43 Monthly 349350 1 / 20 lb Mrkn/Fc Vegetable Blend Capri Mix $33.61 Monthly 349450 1 / 20 lb Mrkn/Fc Vegetable Blend Oriental Mix $33.43 Monthly Page 16 of 20 Pack/Size Item # Pack/ Size if different Brand Description Cost ESTIMATE on from listed How Often used: 349609 1212 lb Mrkn/Fc Vegetable Blend Scandinavian $45.64 Monthly 349642 1 1 / 20 lb 12/2# 1 Mrkn/Fc Vegetable Blend Winter Mix $31.66 Monthly 344137 1/20lb Simplegd Vegetables - Mixed 5Way $26.78 Weekly 127425 12 / 12 ct Eggo Waffles $27.64 Weekly 650380 6 /#10 Princela Yams - Cut $41.49 Monthly 697001 20 / 1 lb Lesaffre Yeast Saf Instant Red Label $75.91 quarterly 164989 118 lb Whitemtn Yogurt Greek Plain $32.23 Weekly 173924 6 / 32 oz 6/64oz Mountain Yogurt Plain Original Lowfat $35.20 Weekly 108099 4 / 61b Dannon Yogurt Vanilla Dannon Pro $36.27 Weekly 283934 6 / 32 oz Dannon Yogurt Vanilla Low Fat $18.83 Weekly 283861 48 /4 oz Light&Ft Yogurt Variety Pack Light $20.30 Weekly 113016 4814 oz YOPlait Yogurt Variety Pack $26.35 Weekly 283256 48 / 4 oz Yoplait Yogurt Variety Rasp/Peach Orig $25.50 weekly NON-FOOD ITEMS BEGIN ON THE FOLLOWING PAGE Page 17 of 20 Item# Pack/Size Pack/Size ifdifferent from Listed Brand Description Cost ESTIMATE on How often Used: NON FOOD ITEMS: 883595 101100 at Disco Apron, Plastic Full Length Med Wt 24x42 $116.86 Quarterly 883597 1 / 100 ct Disco Apron, Plastic White Disposable $13.32 Quarterly 875379 1 / 500 ct Wet Pak Bag Ice 10 lb Draw String $72 99 875027 1 / 2000 ct Essntial Bag Sandwich w/Flip Top $33.69 Quarterly 875403 1 / 500 ct Reynolds Bag Sandwich Reclosable 6.5x6 $21.64 Quarterly 875405 11500 ct Reynolds Y Bag Zip Seal Quart $41.16 Quarterly 875321 1 / 200 at Reynolds Bag Freezer Reclosable 1 Gallon $29 08 Quarterly 129707 1 / 250 ct Essntial Bag Reclosable Zip 1 Gallon $38.07 Quarterly 875322 1 / 100 ct Reynolds Bag Freezer Reclosable Zip 2 Gallon $29 50 Quarterly 181523 1 / 500 ct Watkins Bag - White Paper Bag $28.41 885225 128 / 2 oz Ssdc Cleaner Floor Degreaser $44.66 Quarterly 640555 64 / 2 Oz 42/1.25oz S&D Coffee Filter Packs $20,67 Monthly 116600 21100 ct 1 /150ct Essntial Container Foam Hngd 3-c White 23.67 Quarterly 860041 40 / 25 ct Dart Cup, Foam 12 oz 53.15 Monthly 860060 40 / 25 ct Essntial Cup, Foam 16 oz 76.75 Monthly 860045 10 / 100 ct Dart Cup Lids for 12 oz 33.58 _ — Monthly 860045 10 / 100 ct Dart Cup Lids 12L Trans Slotted 33.58 Monthly 860055 1 10 1100 ct Dart Cup Lids for 16 oz 34.36 Monthly 860055 10 / 100 ct Dart Cup Lidis for 16L Trans Slotted 34.36 Monthly 887097 2/1 gal Ssdc Detergent Paramount Heavy Duty 83.14 Weekly 887056 1 / 5 gal Essntial Detergent Speed Clean 106.24 weekly 887005 1 / 5 gal Essntial Detergent Dishwasher 81.94 weekly Page 18 of 20 Item # Pack / Size Pock/Size if different from Listed Brand Description Cost ESTIMATE on How Often Used: 181110 1 / roll Empress Film 18 x 1000 Clear Wrap $27.18 Monthly 182981 1 / roll Crystlwr Foil 18 By 1000 $61.50 184479 1 / roll Durable Foil 24 x 500 #633 EX H $164.28 Monthly 888048 4 / 10 ct Scotchbr Grill Cleaning Pad $65.35 Weekly 883757 10 / 100 ct Valugard Gloves Clear Plastic Large $36.66 Weekly 883757 10 / 100 ct Valugard Gloves Vinyl Powder Free Large $36.66 Weekly 883769 10 / 100 ct Valugard Gloves Vinyl Powder Free Xlarge $36.66 weekly 883708 1 / 144 ct Disco Haimet Dark Brown Light Weight $18.09 Weekly 117334 1 / roll Cambro Label 100% Dissolvable $17.90 Weekly 878231 1 / 250 ct Daymark Label 2 x 3 Dissolvable Use By $15.51 Weekly 875476 1 / 1000 ct Dixie Liner Pan Lift Off Grease $60.85 Monthly 162196 1 / 250 ct Wallace Meal Kit (K F S Napkin) MW W $21.31 Quarterly 115577 1 ea Johnritz Mitt- Oven Mitt Black 17 $9.36 181109 1 / roll Empress Plastic Wrap $16.91 Monthly 887078 1 / 5 gal Essntial Rinse Aid Fast Dry $139.35 Weekly 885915 6/1 qt Ssdc Sanitizer Redi San Rtu $26.53 Weekly 178675 4 / 500 ct Crystl Straws 7.75 Jumbo Clear Wrap $66.84 Monthly BE SURE TO COMPLETE, SIGN AND DATE THE NEXT PAGE Page 19 of 20 Food and Non -Food Items not listed on this Invitation to Bid Form shall be provided at: Cost Plus 12 561 Bidder understands that Calhoun County or their representative may audit the Cost Plus Percentage at any time and the documentation necessary for this audit will be provided at no additional charge to Calhoun County or their representative. Other charges, fees, delivery fee and or fuel surcharge must be listed here. $ NA Charge: Amount or NA Type of Charge $ NA Fee: Amount or NA Type of Fee $ NA Delivery Fee per invoice Amount or NA $ NA Fuel Surcharge per invoice Amount or NA per invoice per invoice The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other bidder, that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 12/12/2022 Authorized Signature & Title: Print Name & Title of Authorized Signature: EmilyLynch- District Sales Manager Phone Number: 361-205-4070 Email: eslynchCa)benekeith.com Page 20 of 20 #15 ' N0110E OF MEETING—12/21./2022 15. Consider and take necessary action to accept Cash Count Reports for the following County Offices: a. Juvenile Probation b. Calhoun County Museum c. Sheriff — Narcotics Buy Money d. Sheriff — Petty Cash e. Tax Assessor -Collector f. County Treasurer g. County Clerk h. Criminal District Attorney i. Floodplain Administration j. Justice of the Peace, Precinct 1 k. Justice of the Peace, Precinct 2 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 17 i L Candice Villarreal t"ASSISTANTAUmrOR October 18, 2022 Mr. Luis Leija Juvenile Probation Department Calhoun County Courthouse Annex I Port Lavaca, Texas 77979 Dear Mr. Leija: PORT IAVACA, TEXAS 71979 16115534610 FAX 136115534614 PEOOYNAIL CRISTRNATUAiON DEOU CABRERA ERICA PERFZ ASSISTANT AUDITORS In accordance with Local Government Code Chapter 115, a cash count of funds collected by your office was conducted on October 18, 2022. At the time we conducted our audit, no cash funds had been received and no other exceptions were noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4463. Respectfully Submitted, Erica Perez Assistant Auditor Approved by: Cindyeller cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File I C1RN19 S DEMICABBERA PE9RYRRLL 202.1r. B CRISTINATUAZON Can0ice Villarreal PORT LAYACA, TEXAS 71979 ERICA PEREZ VASSISTANTA11011011 TELEPHONE (3611553-4610 FAX 136115534614 ASSISTWAnnITORS October 18, 2022 Vicki Cox Calhoun County Museum 301 S. Ann Street Port Lavaca, Texas 77979 Dear Ms. Cox: In accordance to Local Government Code Chapter 115, a cash count of the funds collected in the Museum Gift Shop was conducted on October 18, 2022. The Gift Shop has been authorized change funds totaling $25.00. The cash count totaled $34.73. When reconciled with receipts 1172 through 1173 totaling $9.73, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4463. Respectfully Submitted, f/4 U, Fm6 Erica Perez Assistant Auditor Approved by: ly,Lr Cindy Mueller County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File i PEGGY HALL 202 S. MMUITE B BENU CABRERA Candice Villarreal PONT LAVACA.TEAAS71079 ERICAPEREZ 1"ASSISTARTA9BITOR TELEPHONE (3611553-4610FAX 13811553-4614 ASSISTANT AUDITORS September 28, 2022 Honorable Bobbie Vickery Calhoun County Sheriff Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Sheriff Vickery: In accordance with Local Government Code Chapter 115, a cash count of the Narcotics Buy Money fund was conducted on September 27, 2022. The cash count of your funds totaled $3,730.00. When reconciling with the balance at the end of the log sheet (receipt #711326) the funds were found to be short $100.00. At the time of our audit, the reason for the shortage was unknown. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4613. Respectfully Submitted, uj\& U Demi Cabrera Assistant Auditor Approved by: Cindy Mueller ltio CXJ V County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File i CASRI ,�EAAS PE00YHALL CRISTINATUAEON 202 S. ITE B OEMI CARNERA Candice Villarreal PORT LAVACA, TEMS 71979 ERICA PEREZ 1" ASSISTANTAURITOR TELEPHONE 136115534610FAX13611553.4614 ASSISTANT AUDITORS September 28, 2022 Honorable Bobbie Vickery Calhoun County Sheriff Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Sheriff Vickery: In accordance with Local Government Code Chapter 115, a cash count of tire funds collected in your office was conducted on September 23, 2022 and September 27, 2022. Your petty cash fund consists of an authorized sum of $100.00. The cash count of your petty cash fund totaled $100.00; therefore, the funds were found to be in balance and no exceptions were noted. At the time of our audit, the front office had not taken in any funds and all receipts have been accounted for. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-5534613. Respectfully Submitted, Demi Cabrera Assistant Auditor Approved by: Cindy Mueller County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Arty. Sara Rodriguez, Asst. District Atty. Auditor's File Candice Villarreal 1"ASSISTANTAUOITOR December 13, 2022 C 202 S. MFMITE B PORT LAVACA, TEXAS 77979 TELEPHONE 13611553.4610 FAX (36115534614 Honorable Kerri Boyd, Tax Assessor -Collector Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Boyd: PE09Y HALL CRISTINATUAION UEMICABRERA ERICA PEREZ ASSISTANTAUOITORS In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on December 12, 2022. Your office has been authorized funds totaling $1,800.00: four cash drawer change funds of $100.00 each, office change fund of $500.00, vault change funds of $890, and petty cash monies in the amount of $10.00. The cash count of Workstation ID#0 cash drawer change fund of $100.00 totaled $484.50 with credit cards totaling $2.06. When reconciled with the payment report totaling $386.56, the funds were found to be in balance with no exceptions noted. The cash count of Workstation ID#100 cash drawer change fund of $100.00 totaled $649.50 and credit cards totaling $228.40. When reconciled with the payment report totaling $777.90, the funds were found to be in balance with no exceptions noted. The cash count of Workstation ID#200 cash drawer change fund of $100.00 totaled $274.00. When reconciled with the payment report totaling $174.00, the funds were found to be in balance with no exceptions noted. The cash count of Workstation 1D#250 cash drawer change fund of $100 totaled $153.00 with credit cards totaling $587.60. When reconciled with the payment report totaling $618.00 and credit card fees totaling $22.60, the funds were found to be in balance with no exceptions noted. The cash count of the office ($500) and vault ($890) change funds totaled $1,390.00, therefore the funds were found to be in balance. The cash count of petty cash funds totaled $56.78, when reconciled with the over/short log totaling $46.78, the funds were found to be in balance. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4613. Respectfully Submitted, QVO,L e a-) Demi Cabrera Assistant Auditor Approved by: Cindy Mu411er County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Arty. Sara Rodriguez, Asst. District Atty. Auditor's File Candice Villarreal 1f'ASSISTANTAVOITOR September 27, 2022 Honorable Rhonda Kokena County Treasurer 201 West Austin Street Port Lavaca, Texas 77979 Dear Mrs. Kokena: PORT LAVACA, TEKRS 71979 PHONE 13011553.4610 FAN 13611553.4614 PEOOY HALL OEW CARRERA ERICA PEREZ ASSISTANT AUDITORS In accordance with Local Government Code Chapter 115, a cash count of funds received by your office was conducted on September 23, 2022. The cash count of office funds totaled $25,449.84. When reconciled to the corresponding documentation and treasurer receipts for Fees and Fines and the General Fund, the funds were found to be in balance and no exceptions were noted. A cash count was also conducted on the Jury Pay imprest fund which has been authorized for $5,000.00. The Jury Pay funds on hand totaled $2,264.00. When reconciled with the jury pay cash drawer reconciliation sheets totaling $2,736.00, the funds were found to be in balance. Thank you and your staff for the assistance and cooperation extended during our cash count. 1Respectfully Submitted, Demi Cabrera Assistant Auditor Approved by: Cindy Mue4ler County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File C GIB '1UM PE66YHALL CRISTIHATOAZOH 2D2 S. IiE B DEMI CABBERA Candice Villarreal PORT LAVACA,TERAS71979 ERICA PEREZ 1"ASSISTMTAUOITOR TELEPHOHE13811553-4610FAX 136115534614 ASSISTARTAUBITORS October 19, 2022 Honorable Anna Goodman, County Clerk Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Goodman: In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on October 19, 2022. Your office has been authorized funds totaling $230.00: (2) cash drawer change funds in the amounts of $115.00 each. The cash count of the front Odyssey and Eagle cash drawer change funds totaled $1,291.00 with credit cards/E-Transfers totaling $1,909.00. When reconciled with receipts for the day totaling $2,970.00; the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation extended by you and your staff during the cash count. Respectfully Submitted, qo�p Erica Perez Assistant Auditor Approved by: Cindy fj-dt County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, Dist. Arty. Sara Rodriguez, Asst. District Arty. Auditor's File 91D 11am PEOOYHALL CRISTINATRAION 202 S. URE B DEMI CABRERA Candice Villarreal PORT LAVACA, TEKA977979 ERICA PEREZ 1"TASSISrANrADDITOR TELEPHONE 136115534610FAX136115534614 ASSISTANT AUDITORS October 19, 2022 Honorable Dan Heard Criminal District Attorney Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Mr. Heard In accordance with Local Government Code Chapter 115, a cash count of your office fund was conducted on October 19, 2022. The office fund consists of an authorized petty cash fund of $100.00. The cash count of your office funds totaled $100.00, therefore the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4463. Respectfully Submitted, qW P"If Erica Perez Assistant Auditor Approved by: Cindy Mueller County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File 1 6A1l,vFLU15 PE90YHALL CRISTINATOAZON 2025. UTTER OEMICARRERA Candice Villarreal PORT LAVACA, TEXAS71979 ERICA PEREZ I"ASSISTANTAUOITOR TELEPHONE (36115534610 FAX 130115534614 ASSISTANT AUDITORS October 19, 2022 LaDonna Thigpen Calhoun County Floodplain Administrator Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Thigpen: In accordance with Local Government Code Chapter 115 a cash count of your office funds was conducted on October 19, 2022. The cash count of your funds totaled $60.00. When reconciled with receipt 962065 totaling $60.00, the funds were found to be in balance with no exceptions noted. Thank you for your assistance and cooperation you extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4463. Respectfully Submitted, 4t-64 Erica Perez �f Assistant Auditor Approved by: Cindy Mueller County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File C GASNI °full" PE60YHALL CRISTINA TUAiON 202S. UITEB OEMICARRERA Candice Villarreal PORT LAVACA, TEXAS 71979 ERICA PEREZ 1°ASSISTARTAUDITOR TELEPHONE 13611553,4010EAM136115534614 ASSISTANTAUOITORS October 18, 2022 Honorable Hope D. Kurtz Justice of the Peace Precinct 1 201 West Austin Street Port Lavaca, Texas 77979 Dear Judge Kurtz: In accordance with Local Government Code Chapter 115 a cash count of your office funds was conducted on October 18, 2022. The cash count of your office funds totaled $3,313.90 with credit card transactions totaling $1,489.00. When reconciled with receipt 33704007 through 33704026 totaling $4,802.90, the funds were found to be in balance with no exceptions noted. A cash count of your petty cash fund authorized for $50.00 was also conducted. Your petty cash funds on hand totaled $50.00, therefore, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4463. Respectfully Submitted, q1i, f nv% Erica Perez Assistant Auditor Approved by: Cinder County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Arty. Auditor's File ll C ,eTEAAS PEOBYKUL CRISTINATOAZON 202 S. UITE B BEMI CABRERA Can0ice 0iliarreal PORT LAVACA,TERAS 71979 ERICAPERE2 1nASSISTANTAU0ITOR TELEPHONE 1361)553.4610FAX 13611553-4614 ASSISTANT AUDITORS October 18, 2022 Honorable Hope Kurtz Justice of the Peace Precinct 2 201 West Austin Street Port Lavaca, Texas 77979 Dear Judge Kurtz: In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on October 18, 2022. The cash count of your office funds totaled $2,367.35 with credit card transactions totaling $1,153.35. When reconciled with receipts 3427263 through 3427273 totaling $3,520.65, the funds were found to be over $.05. A credit card payment was processed for $.05 over the total amount receipted. You have corrected the receipt to reflect the additional $.05 collected. A cash count of your petty cash fund was also conducted. The petty cash fund consists of an authorized sum of $200.00. Your petty cash funds on hand totaled $200.00; therefore, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation extended by you and your staff during our cash count. Respectfully Submitted, U,F - Erica Perez Assistant Auditor Approved by: 0iVnVdy MGeI1 County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Arty. Sara Rodriguez, Asst. District Arty. Auditor's File #16 N01 ICE OF MEETING—12/21/2022 16. Consider and take necessary action to accept Cash Audit Reports for the following County Offices: a. Justice of the Peace, Precinct 4 b. County Clerk c. Justice of the Peace, Precinct 2 d. Calhoun County EMS e. Calhoun County Extension Service f. County Treasurer g. Criminal District Attorney — Hot Check Fee Fund h. Criminal District Attorney — Hot Check Restitution Fund i. District Clerk RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 17 G I PE60YRALL 202 S. AMITE B OEMI CABRERA Candice Villarreal PORT LAVACA, TEXAS 77979 ERICA PEREZ 1nASSISTANTAURITOR TELEPHONE 13611553,4610FAX 1361)553.4614 ASSISTANTAUOITORS October 12, 2022 Honorable Wesley Hunt Justice of the Peace Pct. 4 Seadrift, Texas 77983 Dear Judge Hunt: I recently conducted an audit of your office records. The audit included an examination of reports, receipts and supporting documentation for the period of January 1, 2021 through September 30, 2021. In sampling the citations issued, the following exceptions were noted: In March of 2021, an MVBA payment for $357.50 was posted twice; once to the correct citation number and once to a different citation number. Due to the money already being allocated by the time of my audit; a payment adjustment had to be made in August of 2022 to correct the overpayment of court cost, fees and fines. • Two MVBA payments, one in September of 2021 for $269.75 and the other in November of 2021 for $279.07, were posted even though no funds had been received. The payments were posted off a partial payment notification email sent by MVBA. The funds were received in March of 2022 upon my request. Your clerk is now aware of MVBA's notification process and knows when to post payments. In August of 2021, your office received a check from the Treasurer's office (Fees and Fines) totaling $320.00 for a payment that was made at the county Jail. The payment was entered as a credit card payment instead of a check. The error had gone unnoticed until January of 2022; at that time, the August payment was reversed and a new payment was entered with a January date but with the same receipt number from August. Due to the payments being included in the August 2021 monthly report and the January 2022 report; a manual adjustment had to be done on the August 2022 monthly report to correct the overpayment of court cost, fees and fines. All Paid payments made on April 14th, 19th and 20th of 2021 were still outstanding at the end of the month. It is recommended checking the All Paid system regularly for any payments that might have been missed during the week. • A Parks and Wildlife citation that was paid in full in December of 2021 was not submitted to Parks & Wildlife until April 2022. County Auditor's Office Page 2 10/12/2022 • A citation that was satisfied by Defensive Driving in November 2021, was still in pending status at the time of my audit. It was verified that all documents had been received and the citation was corrected while I was in your office. A citation that was deferred did not get charged the correct court cost. It had gone unnoticed that Hill Country does not include the Local and State Traffic Fine as part of the court cost. These fines have to be paid as stipulated in TC 542.403 & 542.4031(2). A copy of the Justice Court Convictions Court Cost Chart was given to your clerk to help with determining the court cost based on the category. As stated in my previous audit, according to CCP 45.051(a) on a plea of guilty or nolo contendere by a defendant or on a finding of guilt in a misdemeanor case punishable by fine only and payment of all court costs, the judge may defer further proceedings without entering an adjudication of guilt and place the defendant on probation for a period not to exceed 180 days. The Judge may allow the defendant to enter into an installment plan or perform community service to discharge all or part of those cost. • The citation list given tome by the Sheriffs office showed a defendant had four violations; your *office only showed two violations. Your clerk pulled the ticket and realized the two violations that were missing; they were entered into Hill Country in August of 2022. The citation list from the Sheriffs office showed three violations for one defendant. In Hill Country only two violations were listed. When looking at the ticket, your clerk noticed that one of the violations was listed under "Office Use"; a deputy told me that it is not uncommon for violations to be listed in that section if there are multiple violations. More research will need to be done on why violations show up in that section. It is not common knowledge among the clerks, that violations entered in that section will need to be in Hill Country. There was a conversation with your clerk about the posting of Jail Credit/Community Service in Hill Country. Community Service and Jail Credit should be posted into Hill Country as a non -monetary payment and will be given a receipt number. It was recommended for your clerk to call Hill Country about posting these types of payments. It was also discovered at this time that JP's were not always getting receipts from the Sheriffs office regarding Jail Credit. New procedures have been put into place to ensure each clerk is getting their receipts. A list of Jail Credits for the year has been provided to your clerk, it was recommended to your clerk to go through the list and check that proper credit has been given. After noting for the above, I found nothing that would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties -Justice of the Peace Manual" as issued by the Comptroller of Public Accounts of the State of Texas. It appears that the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I appreciate the excellent cooperation extended to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4613. County Auditor's Office Respectfully Submitted, Demi Cabrera Assistant Auditor Approved by: Cindyeller County Auditor Page 10/12/2022 cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File C ERICA PEREZ PE60YHALL 202S ANMITEB CRISTINAT11AZON Candice9illarreal FORT LAVACA. TEXAS 77979 OEMICABRERA 1"ASSISTANTAUOITOR TELEPHONE 13611553-4610FAX1361)5534614 ASSISTARTAUOITORS October 06, 2022 Honorable Anna Goodman, County Clerk Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Goodman: I recently conducted an audit of the County Clerk's office including an examination of the reports, books, and supporting documentation for the period of January 01, 2021 through December 31, 2021. The following exceptions were found during the current audit: • While balancing your Cash Bond Account, it was found that a cash bond reimbursement that was sent out twice in error; once to the defendant and once to the DA, has yet to be recouped. This is causing your bond account to be short $250.00. You have made attempts to recover the money from the defendant through certified mail with no response. It is recommended these funds be reimbursed back to the Cash Bond Account so that it is stated true and correct. After noting for the above exceptions, I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation extended by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4463. Respectfully Submitted, ()t� �& w Erica Perez Assistant Auditor Approved by: Cinuell r County Auditor County Auditor's Office Page 2 10/6/2022 cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File R CMADUNCOMMMU PEBGY HALL CRISTINATOAZON 202 S. ANN SUITE B UEMI CABRERA Candice Villarreal PORT LAVACA, TENRS77979 ERICA PEREZ 1" ASSISTANTAUOITOR TELEPHONE 136115534610 FAX 136115534614 ASSISTANT AUDITORS November 7, 2022 Honorable Hope Kurtz Justice of the Peace Pct. 2 Port Lavaca, Texas 77979 Dear Judge Kurtz: I recently conducted an audit of your office records. The audit included an examination of reports, receipts and supporting documentation for the period of July 1, 2020 through December 1, 2021. During the examination I noted the following exceptions: • A violation for Unauthorized coating had the incorrect court cost. It is recommended getting with Hill Country support to change the master violation file so future citations will be correct. • A citation dismissed by deferral per the DA's office did not have the correct court cost paid. The Local and State Traffic Fine have to be paid even with a deferral as stipulated in TC 542.403 & 542.4031(2). 1 have provided your clerk with a copy of the Justice Court Convictions Court Cost Chart that list the mandatory Court Cost, Fines and Reimbursement Fees. • One citation was charged two warrant fees. The citation has been paid in full; therefore, the funds have already been disbursed as per statute by the Treasurer's office. To correct the fees Hill Country will need to do an adjustment to that citation in the current month and then a refund can be issued to the defendant. • A citation paid in full in February of 2021 was left with a status of Pending. The citation was corrected during my audit. • A citation satisfied by Jail time in June of 2021 had a status of Paid in full instead of Jail Credit. The citation was corrected during my audit. • It was noticed that on some citations, fees added after a citation has gone to collections, were not being included in the collection total. Your clerk stated that she would get in contact with Hill Country on how to make sure the collection fee is updated when new charges are added. • A citation issued in February 2021 and dismissed in March 2021 for registration renewal could not be located. County Auditor's Office Page 2 11/7/2022 A credit card payment made on July 30th was not posted until August 318t. A credit card payment made on October 18th and one on October 26t" was not posted until October 31st. It is recommended checking the All Paid system regularly for any payments that might have been missed, especially at the end of the month. e During my audit we discussed when the $10 Failure to Pay Admin fee could be added to a citation. Your clerk stated research had been done, but no clear answer could be found. You stated that you would bring that up in discussion at your next training. This is just a reminder to submit voided receipts with an explanation to the County Treasurer when periodic deposits are made. After noting for the above, I found nothing that would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties - Justice of the Peace Manual" as issued by the Comptroller of Public Accounts of the State of Texas. It appears that the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I greatly appreciate the generous cooperation extended to me by your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553- 4613. Respectfully Submitted, Dim (WW Demi Cabrera Assistant Auditor Approved by:, la� Cindy Miaeller County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Atty. Auditor's File C WS PEGGY GALL CRISTINA TUA10N 202 S ANN SUITE B ERICA PERU CANDICEVILLARREAL PORT LAVACA, TEXAS 71979 DEMICABRERA 1"ASSISTANTA90ITOR TELEPHONE (3613553-4610FAX (3611553.4014 ASSISTANT AUDITORS December 13, 2022 Dustin Jenkins, EMS Director Calhoun County EMS Port Lavaca, Texas 77979 Dear Mr. Jenkins: An audit was recently conducted of the EMS Department for the period of April 1, 2022 through September 30, 2022. I examined the reports, receipts, and supporting documentation for this period. On the 2Id Quarter audit, the Emergicon Billing was more than collected amount because of two (2) negative payments reported on Emergicon itemize billing. When I talked to your office manager, she immediately contacted Emergicon and recently got an answer that the correction on their error will be reflected on their December billing. I found nothing that would lead me to conclude that the balance and collections of your office for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation extended by your staff during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at (361) 553-4615. Respectfully Submitted, Cristina Tuazon ( cc: Assistant Auditor Judge Stephen Williams Judge Richard Meyer County Commissioners Approved by: Sara Rodriguez, Asst. District Attorney �� Auditor's File Cindy MtYelleru County Auditor WIS PESOY HALL CRISTINATOAZON 202 S ANN SUITE B ERICA PEREZ CANDICEIRWIRREAL PORT LAVACA, TEXAS 71979 DEMICARRERA VASSISTANTADDITOR TELEPHONE (3611553.4610FANI3611553-4614 ASSISTANTAUDITORS December 13, 2022 Karen Lyssy, County Extension Agent Calhoun County Extension Service Port Lavaca, Texas 77979 Dear Mrs. Lyssy: I examined the Contract Agreements for Building Use and Corresponding Receipts for the period of April 1, 2022 through September 30, 2022. In this audit, your new office manager was given a copy of the Calhoun County Commissioners Court Rules and Regulations for Fairgrounds and Agricultural Building Facilities together with the List of Exempt Entities. The Calhoun County Treasurer also sent an email on how to streamline your deposit and what items goes to the auditor's office. In my conversation with your office manager I emphasize that she can always call our office if she has any questions. I found nothing that would lead me to conclude that the balance and collections of the Extension Office Rental Deposits and Fees for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation your staff gave me during the audit. If you have any questions, please do not hesitate to contact me at 361-553-4615. Respectfully Submitted, Crist�J-- on Compliance Auditor Approved by Cindy Mu ler County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Attorney Sara Rodriguez, Asst. District Atty. Auditor's Office BEMICABRERA PEGGY HALL 202 S ANN SUITE B ERINA PEREE CANDICEVILLARREAL PORT LAUACA,TERAS71979 CRISTINATUAZOR I"RSSISTARTAURROR TELEPHONE (361)553-4610FAX L3611553-4614 ASSISTANTAUOITORS September 26, 2022 Honorable Rhonda Kokena Calhoun County Treasurer Port Lavaca, Texas 77979 Dear Mrs. Kokena: In accordance with Local Government Code, Section 115.003, 1 have performed an audit of your records from January 1, 2022 through March 31, 2022. 1 reviewed the receipts, disbursements, balances of cash on hand, and your monthly Treasurer's Reports. A proof of cash was prepared for the audit month and all reconciling adjustments were accounted for. Also, your Treasurer's Reports for the selected months were reconciled to the County's general ledger maintained by our office and all reconciling items were accounted for. In this audit, we have talked about several outstanding stale checks that needs to be voided to make the funds available to the General Fund. In our conversation you mentioned that you will be working on the stale checks to get it all cleared, This is governed by Local Government Code 116.116; uncashed checks issued by County Treasurer become non-negotiable after one year and shall be credited as revenue to the County. There were errors found on the County Treasurer's Reports for the First Quarter of 2022. In our conversation, we discussed several differences between General Ledger totals and your monthly County Treasurer's Report. After our discussion, you posted some unposted items that corrected the differences. You mentioned to submit the corrected reports to the Commissioner's Court for approval. I recommend that sessions be posted at the end of the following month. With regards to the audit findings of several stale checks on Memorial Medical Center Operating Checking Account, in my conversation with MMC Chief Executive Officer, I recommend to send a check to you as the County Treasurer for the total of all stale checks more than a year plus the money that was sent in error to the State Comptroller with necessary documents attached to it. She said that she is working into it to be in compliance with the Texas Statute. This is ruled by Local Government Code 116.116, uncashed checks issued by County Treasurer become non- negotiable after one year and shall be credited as revenue to the County. I recommend for your office to follow through on this matter. I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation you and your staff gave me during this audit. If you have any questions concerning the audit, please do not hesitate to contact me. Respectfully Submitted, C�Tuaz Cristina Tuazon Compliance Auditor Approved by: Cindy Mueller County Auditor Yj cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Dan Heard, District Attorney Sara Rodriguez, Assistant District Attorney Auditor's File PEOOY HALL CRISTINA79AZON 202 S ANN SUITE B ERINAPEREZ CANDICEVILLARREAL FORT LAVACA, TEXAS 77979 UENICABRERA 1ffASSISTANTAUOITOR TELEPHONE 13611553-0610FAX136115534614 ASSISTANTAUOITORS December 13, 2022 Honorable Dan Heard Criminal District Attorney Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Mr. Heard: An audit was recently conducted of the District Attorney's Hot Check Fee Fund for the period of April 1, 2022 through September 30, 2022. 1 examined the reports, receipts and disbursements, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your Hot Check Fee Fund for this period were not, in all material respects, appropriately charged, collected and remitted. 1 appreciate the cooperation your staff extended to me during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4615. Respectfully Submitted, ^-- Assistant Auditor V Approved By: Q^- U� v Cinder County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Sara Rodriguez, Asst. District Atty. Auditor's File HE PEUBY NALL CRISTINA79AZON 2023 ANN SUITED ERINAPEREZ CANDICE VILLARREAL PORT WYACA, TEMS77979 DEMI CANREBA 1"ASSISTANTAUDITOR TELEPHONE 136115534610FAX 136115534614 ASSISTANT AUDITORS December 13, 2022 Honorable Dan Heard Criminal District Attorney Calhoun County Courthouse Port Lavaca, Texas 77979 Dear Mr. Heard: An audit was recently conducted of the District Attorney's Hot Check Restitution Fund for the period of April 1, 2022 thru September 30, 2022. 1 examined the reports, books, receipts and disbursements, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your Hot Check Restitution Fund for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation your staff gave during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at 553-4615. Respectfully Submitted, Cris,,'t�in*Tusz Compliance Auditor Approved by: nnnn . Cindy Mu>'ller County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Sara Rodriguez, Asst. District Attorney Auditor's File PE09Y BALL CRISTINATUA20N 202 S ANN SUITE B ERICA PEREZ CANDICEUILIARREAL PORT IAYACA,TEXAS 71979 REMICABRERA 1"ASSISTANT AUDITOR TELEPHONE 136115534610 FAX 13611553-4614 ASSISTANT AUDITORS December 13, 2022 Honorable Anna Kabela District Clerk Calhoun County Courthouse Port Lavaca, Texas 77979 Dear Ms. Kabela: I recently conducted an audit of your office. The audit included an examination of the reports, books, and supporting documentation of the District Clerk's office for the period of April 1, 2022 through September 30. 2022. 1 found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. Just a reminder that the Trust(Excess Fund Binder be updated on a regular basis. appreciate the cooperation you and your staff gave me during this audit. If you have any questions concerning the audit or if I can help in any way, please feel free to call me at 553-4615. Respectfully Submitted, l� CrisCris in Assistant County Auditor Approved by: Cindy 1&V County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Attorney Sara Rodriguez. Asst. District Atty. Auditor's File #17 NOTICE OF MEETING—.12/21/2022 17. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 1 as Surplus/Salvage and remove from inventory. (RHM; RESULT: APPROVED EUNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 . AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 17 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Justice of the Peasce Precinct 1 Requested By: Hope Kurtz Inventory Reason for Surplus/Salvage Number Description Serial No. I IHP PRINTER IJPDCGSTIC4 BROKEN - DOES NOT PRINT Approved by: KIM #18 ' NOTICE OF MEETING — 1.2/21/202.2 18. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 2 as Waste and remove from inventory. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 17 Hope D. Kurtz 201 W Austin, Room 2 0 December 13, 2022 Justice of the Peace, Precinct 2 Port Lavaca, TX 77979 • (361) 553-4622 Please place the following item(s) on the Commissioners Court agenda for the date indicated: Agenda for December 21, 2022 Consider and take necessary action to declare waste for the following item(s) in the Justice of the Peace Precinct 2 inventory: Asset #450-1212- Desk Asset # 450-1213-Desk (Broken and outdated, unable to repair) Res ectfully, Hope D. Kurtz Justice of the Peace, Pct. 2 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: � P Requested By: q�� Cam, �lr��-�z #19 NO F10E OF MEETING—12/21/2022 19. Accept Monthly Reports from the following County Offices: i. Justice of the Peace, Precinct 3 — November 2022 ii. Treasurer — July 2022 III. Treasurer — August 2022 iv. September — July 2022 v. Treasurer — Quarterly Statement of Balances - 3rd Quarter 2022 vi. Treasurer — Investment Report — 3rd Quarter 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 17 - 'CA JJOUN COUNTY AIRPORT MAINTENANCE ,2,839.45 APPELLATE JUDICIAL SYSTEM 6083.06 COURT FACILITYFEE FUND - .. 2,503;172.20 COASTAL -PROTECTION FUND 8,902.80 COUNTY AND DIST COURT TECH FUND 8 COUNTY CHILD ABUSE PREVENTION FUND COUNTY CHILD WELFARE BOARD FUND 1,39..66 82 COUNTY JURY FUND 104737 276,000.89 COURTHOUSE SECURITY 16 304.36 COURT INITIATED GUARDIANSHIP FUND 42,010.8] DIST CLK RECORD PRESERVATION FUND COURT REPORTERS SERVICE FUND 950.86 32196]66 1,"7.00 CO CLK RECORDS ARCHIVE FUND 8,190.59 COUNTY SPECIALTY COURT FUND COUNTY DISPUTE RESOLUTION FUND 114,783.01 16,766.58 DONATIONS DRUG/DWI COURT PROGRAM FUND -LOCAL 26,527.35 JUVENILE CASE MANAGER FUND 13,624.08 4,513.66 FAMILY PROTECTION FUND JUVENILE DELINQUENCY PREVENTION FUND GRANTS 254311.18 JUSTICE COURT TECHNOLOGY 93,444.OB 6,336.]4 JUSTICE COURT BUILDING SECURITY FUND LATERAL ROAD PRECINCT #1 019 819 LATERAL ROAD PRECINCT#2 819 LATERAL ROAD PRECINCT #3 B 19 LATERAL ROAD PRECINCT *I ' 1,341.99 LANUAGE ACCESS FUND i, ]]6. JUROR DONATIONS - HUMANE SOCIETY JUROR DONATIONS VETERANS SERVICES 66842 .2 JUSTICE COURT SUPPORT FUND 4,653.616B8 PRETRIAL SERVICES FUND g, 3.18 LOCAL TRUANCY PREVENTIONIDIVERSION FUND LAW LIBRARY LAW ENT OFFICERS STD. EDUC.(LEOSE) 211]88.47 29 518.34 ,8.34 2951 POC COMMUNITY CENTER RECORDS MANAGEMENT -DISTRICT CLERK 2,288..12 55 RECORDS MANAGEMENT-COUNTYCLERK 245,232.23 RECORDS MGMT&PRESERVATION 50,230.64 ROAD & BRIDGE GENERAL . , 85923994 1,659,239.94 SMILE PIERIBOAT RAMP INSURIMAINT CAPITAL PROD- BOGGY BAYOU NATURE PARK 124,239,555.94 .39 80 CAPITAL PROD -AMERICAN RESCUE PLAN ACT 2021 2243.230.07 CAPITAL PROJ -KING FISHER BEACH PARK CAPITAL PROD MAG INDIANOLA BEACH PAVILIONS 305,332.22 CAPITAL PROJ- CDBG OR INFRASTRUCTURE 283,465.06 CAPITAL PROJ- CDBG - MIT INFRASTRUCTURE (0.23) CAPITAL PROJ CHOCOLATE BAYOU BOAT RAMP 21,09021 CAPITAL PROJ- ELECTION MACHINES CAPITAL PROJ -RB INFRASTRUCTURE 236,340.21 13 CAPITAL PROJ ENERGY TRZ#i 89,93].20 CAPITAL PROJ AIRPORT RUNWAY IMPROVEMENTS T,461.35 CAPITAL PROJ MAGNOLIA BEACH EROSION COW 00 125,00009 CAPITAL PROJ EVENT CENTER 5.927 CAPITAL PROJ FIRETRUCKS&SAFETY EQUIP .09 CAPITAL PROD -GREEN LAKE PARK- 16824 2,. CAPITAL PROJ HATERIUS PARKIBOAT RAMP j,160.74 CAPITAL PRO HOG BAYOU IMPROVEMENTS 5,000.00 CAPITAL PROJ PORT ALTO PUBLIC BEACH 1,484.0E CPRJ- SWAN POINT SHORELINE RESTORATION 98,T16.00 CAPITAL PROJ HURRICANE HARVEY FEMA CAPITAL PROJ IMPROVEMENTS PROJECTS 33fi,389.10 CAPITAL PROJ HOSPITAL IMPROVEMENTS 2.339,692.66 2,33S.W0.66 CAPITAL PROJ-MMC LOANS 00 ARREST FEES 94241 BAIL BOND FEES (HB 1940) 1,320 CONSOLIDATED COURT COSTS (NEW) 1,320.00 639.00 12 CONSOLIDATED COURT COSTS 2020 113,. DNA TESTING FUND 8500 285.5 D DRUG COURT PROGRAM FUN - STATE ELECTION SERVICES CONTRACT ]9152.61 ELECTRONIC FILING FEE FUND 19926 EMS TRAUMA FUND 1,193.26 17 FINES AND COURT COSTS HOLDING FUND 7.847.31 mporL IDgy w!,l uRon this day and have found the same to be FUND NAME JUDICIAL FUND(ST. COURT COSTS)_ 29.50 JUDICIAL& COURT PERSONNEL TRAINING FUND JUDICIAL SALARIES FUND 510.58 JUROR DONATION -TX CRIME VICTIMS FUND 432.00 JUVENILE PROBATION RESTITUTION 97R LIBRARY GIFT AND MEMORIAL 9.42 40,]340.739.42 MISCELLANEOUSCLEARING 11,5960 REFUNDABLE DEPOSITS 2.000.00 STATE CIVIL FEE FUND 1,14D.22 CIVIL JUSTICE DATA REPOSITORY FUND 1.65 JURY REIMBURSEMENT FEE 2 41] STATE CONSOLIDATED CIVIL FEE FUND 3,1 3.946. SUBTITLE C FUND7.050.69 5.20.60 SHIPP OF GRIM INDIGENT DEFENSE TIME PAYMENTS 235.10 489.28 TRAFFIC LAW FAILURE TO APPEAR UNCLAIMED PROPERTY 13,20].89 TRUANCY PREVENTION AND DIVERSION FUND 1T234 BOOT CAMPIJJAEP 14]43 JUVENILE PROBATION 224,147.43 FOTAL OPERATING FUNDS s.......aa DA FORFEITED PROPERTY FUNDS 30,809.18 SHERIFF NARCOTICS FORFEITURES 32,491.68 CERT OF OB-CRTHOUSE I&S SERIES 2010 29,482.80 CENT OF OB-CRTHOUSE I&S SERIES 2012 38,202.92 CAL CO FEES & FINES 111,269.50 TOTAL OTHER COUNTY FUNDS 241,056.08 MEMORIAL MEDICAL CENTER 1,03 OPERATING 38 INDIGENT HEALTH CARE ,,4242.8.224 432.8 PRIVATE WAIVER CLEARING FUND CLINIC CONSTRUCTION SERIES 2014 536.68 NHASHFORD 162,771 ]2 NH BROADMOOR 101,912.84 NH CRESCENT 164,511.04 NH SOLERA BACA - NHASHFORDBACA NH BROADMOOR DACA NH GULF POINT- PRIVATE PAY 3,658.99 I NH GULF POINT PLAZA MEDICAREIMEDICAID 6. 8,6534 1180,656.34 NH BETHANY SENIOR LNING TOTAL MEMORIAL MEDICAL CENTER I )RAINAGE DISTRICTS NO, 6 33,3T7.19 NO.8 128,205.92 NO.1B-MAINTENANCE _ 178,MD.16 NO. 11-MNNTENANCErOPERATING 136J45.27 - NO. ibRESERVE 225,889.15 TOTAL DRAINAGE DISTRICTS 6 700,837.69 OPERATINGACCOUNT 225,963.81 PAYROLLTAX 1,882.23 TOTAL WCID: 22T,866.04 :ALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING 6 67,366.01 FROSTBANK Is 1,960.87 m have made an examination of the County Teeasurefs quarterly Gary Reesa, mmisaioner Pct4 Anna Goodman, County Clerk CALHOUN COUNTY TREASURER'S OFFICE FUND NAME 09Z0 FUND NAME JUDICIAL FUND(ST. COURT COSTS) JUDICIAL& COURT PERSONNELTRAINING FUND 09/30/22 ' GENERAL 19,249,021.00 34,996.Bl AIRPORT MAINTENANCE APPELLATE JUDICIAL SYSTEM 2,639.45 JUDICIAL SALARIES FUND. 10.58 510.00 932.00 COURT FACILITY FEE FUND 5,083.a6 JUROR DONATION -TX CRIME VICTIMS FUND 97.57 COASTAL PROTECTION FUND 2,SOS,172.2: JUVENILE PROBATION RESTITUTION 40.739.42 COUNTY AND DIU COURT TECH FUND 8,902.80 LIBRARY GIFT AND MEMORIAL 11,599.60 COUNTY CHILD ABUSE PREVENTION FUND 839.66 MISCELLANEOUS CLEARING 00 COUNTY CHILD WELFARE BOARD FUND 1.413.82 REFUNDABLEDEPOSRS , 1 COUNTYJURYFUND 1,847.37 276,000.89 STATE CIVIL FEE FUND CIVIL JUSTICE DATA REPOSITORY FUND ,140.0.22 1.65 COURTHOUSE SECURITY COURT INITIATED GUARDIANSHIP FUND 15,304.36 JURY REIMBURSEMENT FEE 141.27 3,908.20 DIST CLK RECORD PRESERVATION FUND 42,010.87 STATE CONSOLIDATED CIVIL FEE FUND 7,050.60 COURT REPORTERS SERVICE FUND 950.86 SUBTITLE C FUND 00.62 CO CLK RECORDS ARCHIVE FUND 321,447.68 SUPP OF GRIM INDIGENT DEFENSE 235.10 COUNTY SPECIALTY COURT FUND 8,190.59 TIME PAYMENTS 489.28 COUNTY DISPUTE RESOLUTION FUND 4,783.01 TRAFFIC LAW FAILURE TO APPEAR 13,207.99 DONATIONS 116,766.50 26,727.35 UNCLAIMED PROPERTY TRUANCY PREVENTION AND DIVERSION FUND 172.34 DRUGIDWI COURT PROGRAM FUND -LOCAL 147.43 JUVENILE CASE MANAGER FUND 13,624.08 BOOT CAMP/JJAEP 224,208.09 FAMILY PROTECTION FUND 14,513.66 JUVENILE PROBATION JUVENILE DELINQUENCY PREVENTION FUND 9,288.06 GRANTS 254,311.16 JUSTICE COURT TECHNOLOGY 93,444.08 JUSTICE COURT BUILDING SECURITY FUND 6,338.19 36,402,270.55 LATERAL ROAD PRECINCT#1 TOTAL OPERATING FUNDS LATERAL ROAD PRECINCT#2 819 8.19 DA FORFEITED PROPERTY FUNDS 30,609.18 LATERAL ROAD PRECINCT#3 8.19 SHERIFF NARCOTICS FORFEITURES 66 LATERAL ROAD PRECINCT#4 LANUAGE ACCESS FUND 1,344.89 CERT OF OB-CRTHOUSE I&S SERIES 2010 29,482.80 JUROR DONATIONS -HUMANE SOCIETY 1,778.42 CERT OF OB-CRTHOUSE &S SERIES 2012 38,202.92 11,269.60 JUROR DONATIONS VETERANS SERVICES 685.92 CAL CO FEES& FINES 247,056.08 247,056.08 JUSTICE COURT SUPPORT FUND 4,853.61 TOTAL OTHER COUNTY FUNDS PRETRIAL SERVICES FUND 67,786.16 . LOCAL TRUANCY PREVENTIONIDIVERSION FUND 21,248.47 MEMORIAL MEDICAL CENTER 1,03B,428.24 LAW LIBRARY 211,780.38 OPERATING 32,28 LAW ENF OFFICERS STD. SOLO. (LEOSE) 29,518.34 INDIGENT HEALTH CARE 432.05 432. POO COMMUNITY CENTER 17,48B.12 PRIVATE WAIVER CLEARING FUND 535.68 RECORDS MANAGEMENT -DISTRICT CLERK 2,232.55 CLINIC CONSTRUCTION SERIES 2014 162,T/1'72 RECORDS MANAGEMENT -COUNTY CLERK 246.237.23 NH ASHFORD 101,912.84 RECORDS MGMT & PRESERVATION 50,730.64 NHBROADMOOR 164,511.04 ROAD &BRIDGE GENERAL 1,659,239.94 NH CRESCENT 56,974.42 SMILE PIEWBOAT RAMP INSUR/MAINT 24,555.39 NHFORTBEND - 1,.5 CAPITAL PROJ- BOGGY BAYOU NATURE PARK 186.758.80 NH SOLERA 98,8773.57 98 CAPITAL PROJ -AMERICAN RESCUE PLAN ACT 2021 2,243,230.07 NH GOLDEN CREEK CAPITAL PROJ- KING FISHER BEACH PARK 56,116.00 NH SOLERA DACA CAPITAL PROJ MAG INDIANOLA BEACH PAVILIONS 305,332.27 NH ASHFORD DACA CAPITAL PROD- CDBG DR INFRASTRUCTURE 283,465.06 NH BROADMOOR DACA 9,658.99 CAPITAL PROD-CDBG- MR INFRASTRUCTURE (0.23) NH GULF POINT -PRIVATE PAY ifi8,858.94 CAPITAL PROD CHOCOLATE BAYOU BOAT RAMP 21,095.01 NH GULF POINT PLAZA MEDICAREMIEDICAID 18B,504.50 CAPITAL PROJ- ELECTION MACHINES 0.21 NH BU14ANY SENIOR LIVING 86,430.12 CAPITAL PROJ -RB INFRASTRUCTURE 238,346.13 NH TUSCANY $ 295,844.90 CAPITAL PROJ ENERGY TRZ#1 89,937.20 MONEY MARKET $ 2,655,711.25 CAPITAL PROJ AIRPORT RUNWAY IMPROVEMENTS 77,461.35 TOTAL MEMORIAL MEDICAL CENTER CAPITAL PROJ MAGNOLIA BEACH EROSION CONT 175,000.00 CAPITAL PROJ EVENT CENTER 10,927.09 DRAINAGE DISTRICTS 19 CAPITAL PROJ FIRE TRUCKS & SAFETY EQUIP 6,448.fi0 NO.6 , 128,205.05.92 CAPITAL PROD -GREEN LAKE PARK 7,160.74 NO.8 1 16 CAPITAL PROD HATERIUS PARKIBOAT RAMP 7,824.87 NO. 10-MAINTENANCE 135,,145.45.27 CAPITAL PRO HOG. BAYOU IMPROVEMENTS 6,000.00 NO. 11-MAINTENANCEIOPERATING 225,889.15 CAPITALPROJ PORTALTO PUBLIC BEACH 1,40478 NO. 11-RESERVE $ 700,837.69 CPW- SWAN POINT SHORELINE RESTORATION 98,76.00 TOTAL DRAINAGE DISTRICTS CAPITAL PROJ HURRICANE HARVEY FEMA - CAPITAL PROJ IMPROVEMENTS PROJECTS 336,369.10 CALHOUN COUNTY WCID#1 225,963.81 CAPITAL PROJ HOSPITAL IMPROVEMENTS 2,399,602.8E OPERATINGACCOUNT 1,882.23 CAPITAL PROD 44MC LOANS 4,000,000.00 PAYROLLTAX 221,848.04 ARRESTFEES 042.41 TOTALWCID - SAIL BOND FEES (HB 1940) 1,320.00 CONSOLIDATED COURT COSTS (NEW) 1,639.12 CALHOUN COUNTY PORT AUTHORITY CONSOLIDATED COURT COSTS 2020 16.761.50 MAINTENANCE AND OPERATING Is 67,086.01 DNA TESTING FUND 265.00 DRUG COURT PROGRAM FUND -STATE 52.61 CALHOUN COUNTY $ 1,280.87 ELECTION SERVICES CONTRACT 79,111.64 FROSTBANK ELECTRONIC FILING FEE FUND 193.26 EMS TRAUMA FUND FINES AND COURT COSTS HOLDING FUND 1,404.17 7,847.31 TOTAL FUNDS 1 $ 40,203,548.50 WeOeu no' County and Commiuionem in and forCalhcun Go ty,T a hereby ceody0mtwe have made an examination ofNe CounlyTremmefs quarterly report usonlhlsdayantlhara found Mesametobe sm"Isndin e*N .. Non unry tl8e Dan'Hal, one 1 Go.. pclJoel 9ehmns, mission, For wory noeae, movvortr Pcl4 SWORNTO DSUBSCRIBED FORE ME, County Judge, and County Comadveieram strait Calhoun County each respectively, on0ts U day cf 202 ZGZ; BEFORE ME, to undersigned auNodry,an Nis Daypasonally appeared Monda3,l(okena, CountyTreasurer ofCNhoun County vhosays tat OevANln and foregoing repodB a he eandcofrest -e n ,., — —.,........n,M —Iul eni„vlMaln AaaIn FILED FOR RECORD AND RECORDED THIS.dayof Jana-afr 28H ZOZ3 ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT 2022 CODE AMOUN. JUSTICE OF PEACE NO. 3, NOVEMBER. 2022 REVISED 02/02/2021 CASH BONDS ADMINISTRATION FEE -ADMF BREATH ALCOHOL TESTING - BAT' CONSOLIDATED COURT COSTS-CCC 0.25 STATE CONSOLIDATED COURT COST-2020 682.00 . LOCAL CONSOLIDATED COURT COST-2020 154.00 COURTHOUSE SECURITY-CHS 0.02 - COP CIVIL JUSTICE. DATA REPOSITORY FEE -CJDR CORRECTIONAL MANAGEMENT INSTITUTE-. CMI ,OR - CHILD. SAFETY -CS - CHILD SEATBELTFEE -CSBF . CRIME VICTIMS COMPENSATION -CVC DPSC/FAILURE TO APPEAR -OMNI-.DPSC 0.18 '. ADMINISTRATION. FEE FTA/FTP.(aka OMNI)-2020 : ELECTRONIC FILING FEE - EEF 'FUGITIVEAPPREHENSION - FA - GENERAL REVENUE -GR - CRIM- IND LEGAL SVCS SUPPORT -IDF 20.01 JUVENILE CRIME&DELINQUENCY -: JCD JUVENILE. CASE. MANAGER FUND -JCMF f JUSTICE COURT PERSONNEL TRAIN ING -JCPT JURORSERVICE FEE =JSF 0.04 LOCAL ARREST FEES - LAF 45.00 - LEMI LEDA LEGG OCL PARKS &.WILDLIFE ARREST. FEES -PWAF STATE ARREST FEES-SAF 10.03 SCHOOL.CROSSING/CHILD SAFETY FEE-. SCF SUBTITLEC -SUBC STATE TRAFFIC FINES -EST 9.1:10-STF - TABC ARREST FEES-TAF TECHNOLOGY FUND -TF 0.02 TRAFFIC -TFC 319.17 LOCAL TRAFFIC FINE-.2020 19.15 TIME PAYMENT -TIME TIME PAYMENT REIMBURSEMENT .FEE- 2020 15.09 TRUANCY'PREVENTION/DIVERSION FUND -TPDF 0.01 ,. LOCAL.& STATE WARRANT FEES WRNT 100.31 - COLLECTION SERVICE FEE-MVBA CSRV 193.50 DEFENSIVE DRIVING' COURSE - CDC - DEFERRED FEE - OFF 196.00. DRIVING EXAM FEE- PROV DL FILING FEE -FFEE STATE .CONSOLIDATED 'CIVIL FEE -2022 105.00. LOCAL. CONSOLIDATED: CIVIL FEE -2022 165.00 - FILING FEE SMALL CLAIMS -FFSC JURY FEE .-JF .COPIES/CERTIFED COPIES -CC INDIGENT -FEE -CIFFor INDF JUDGE PAY RAISE FEE -JPAY 0.04 - SERVICE FEE -SFEE 75.00 OUT -OF -COUNTY SERVICE FEE ELECTRONIC FILING. FEE -EEF CV -EXPUNGEMENTFEE-:EXPG EXPIRED RENEWAL -EXPR - ABSTRACT OFJUDGEMENT -AOJ ALL WRITS :-WOP/WOE -DIES FTA FINE-DPSF LOCAL FINES -FINE 1,289.68 LICENSE & WEIGHT FEES -.LWF 'PARKS&WILDLIFE FINES-.PWF - SEATSELT/UNRESTRAINED CHILD FINE SEAT - JUDICIAL & COURT PERSONNEL TRAINING-JCPT - OVERPAYMENT (OVER $10)-OVER -' OVERPAYMENT ($10 AND LESS) -AVER :RESTITUTION - REST PARKS & WILDLIFE -WATER SAFETY FINES-WSF L-V3,3-89 MARINE SAFETY PARKS .& WILDLIFE -: MSO TOTAL ACTUAL MONEY RECEIVED. TYPE:. AMOUNT TOTAL WARRANT FEES 100.31 ENTER LOCAL WARRANT FEES 100.00 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO REPORT STATE WARRANT FEE$ 0.31 RECORD ON TOTAL PAGE OF HILLCOUNTRYSOFMARE MO REPORT TO DA F-COUNTY SERVICE FEE.. BONDS TOTAL DUE TO OTHER; SURERS RECEIPTS FOR MONTH 'LEASE INCLUDE D.R. REQUESTING DISBURSEMENT 'LEASE INCLUDE D.R. REQUESTING DISBURSEMENT 'LEASE INCLUDE D.R. REQUESTING DISBURSEMENT (LEASE INCLUDE D.R. REQUESTING DISBURSEMENT PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) Calculate from ACTUAL Treasurers Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/5/2022 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 1,289.68 CR 1000-001-44190 SHERIFF'S FEES 153.27 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 338.32 ADMINISTRATIVE FEES 196.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 534.32 CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00 CR 1000-001-44063 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 15.09 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 193.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,260.86 CR 2670-001-44063 COURTHOUSE SECURITY FUND $53.92 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $0.01 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $44.02 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $0.00 CR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $55.00 CR 2669-001-44063 COUNTY JURY FUND $1.10 CR 2728-001-44063 JUSTICE COURT SUPPORT FUND $125.00 CR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $25.00 CR 2725-001-44063 LANGUAGE ACCESS FUND $15.00 STATE ARREST FEES DPS FEES 2.07 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 2.07 CR 7070-999-20610 CCC-GENERAL FUND 0.02 CR 7070-999-20740 CCC-STATE 0.23 DR 7070-999-10010 0.25 CR 7072-999-20610 STATE CCC- GENERAL FUND 68.20 CR 7072-999-20740 STATE CCC- STATE 613.80 DR 7072-999-10010 682.00 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 CR 7860-999-20740 STF/SUBC-STATE 0.00 DR 7860-999-10010 0.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 0.00 CR 7860-999-20740 STF- EST 9/1/2019- STATE 0.00 DR 7860-999-10010 0.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/5/2022 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2022 CR 7950-999-20610 TP-GENERAL FUND 0.00 CR 7950-999-20740 TP-STATE 0.00 DR 7950-999-10010 0.00 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 2.00 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 18.01 DR 7865-999-10010 20.01 CR 7970-999-20610 TUFTA-GENERAL FUND 0.06 CR 7970-999-20740 TUFTA-STATE 0.12 DR 7970-999-10010 0.18 CR 7505-999-20610 JPAY - GENERAL FUND 0.00 CR 7505-999-20740 JPAY - STATE 0.04 DR 7505-999-10010 0.04 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.00 CR 7857-999-20740 JURY REIMB. FUND- STATE 0.04 DR 7857-999-10010 0.04 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.00 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.00 DR 7856-999-10010 0.00 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 0.01 7998-999-20701 JUVENILE CASE MANAGER FUND 0.01 DR 7998-999-10010 0.01 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 105.00 105.00 TOTAL (Distrib Req to OperAcct) $3,389.50 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT; 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS t $0.00 TOTAL COLLECTED -ALL FUNDS $3,389.50 LESS: TOTAL TREASUER'S RECEIPTS $3,389.50 REVISED 02/02/2021 OVER/(SHORT) $0.00 Page 2 of 2 12/1512022 13:02 CALHOUN CO AUDITREAS Q:A1g3615534614 P.0011003 CALHOUN COUNTY TEXAS COUNTY TREASURER'S REPORT MO21THOn JULYW22 BEGINNING FUND FVNDBAIAVCB RECBIPIS DISBURSEMENTS FUNDBAIANCE OPERATING FUNDS: GENERAL S 33,184,924.27 S 2,603,950.40 S 3,555,928.3 S 32,232,94639 AIRPORT MAINTENANCE S 38,531.M 16.13 1,821,93 36.123.02 APPELLATE JUDICIAL SYSTEM S 831.27 197.96 1.029.23 COURT FACILQ'Y FEE FUND 5 2,940.19 770.57 3,711.06 COASTAL PROTECTION FUND S 2.599.779.90 1,128.A7 42.030.50 2,558,877.77 COUNT' AND DIST COURT TECH I= S 2.699.10 10A9 $176959 COONIY CHILD ABUSE PREVENTION FUND S 837.54 0.95 $33.09 COUNTY CHILD WELFARE BOARD FUND S 1,242.10 8254 1.324.64 COUNTY JURY FUND S 1,38D.25 123.41 1.503.66 COURTEOUSESECURITY S 285.961.46 2,498.54 11.313.34 277.146.66 COURT INITIATED GUARDIANSHIP FUND S 14.305.25 216.30 14,72155 DIST CLK RECORD PRESERVATION FUND S 41,956.39 48.17 41.904.56 COURT REPORTERS SERVICE FUND S $64.17 36.66 900.93 CO CLK RECORDS ARCHEVEFUND S 355.329.54 5.114.24 49,09S.85 311,347.01 COUNTY SPECIALTY COURT FUND S 7.248.04 337.99 7.596.03 COUNTY DISPUTE RESOLUTION FUND S 2.765.79 73833 3,504.01 DONATIONS S 115,733.72 659:03 13,16 116,379S9 DRUGIDWI COURT PROGRAM FUND -LOCAL S 26,561,45 90.70 26,632.15 JUVENILECASB MANAGER FUND S 14,777A1 50.88 357.07 14,471.22 FAMILY PROTECTION FUND S 14,494.91 6.29 14,50).20 JUVENILE DELINQUENCY PREVENTION FUND S 9.276.05 4.03 9.280.08 GRANTS S 467.972.30 48.013.65 13.056.65 502,829.30 JUSTICE COURTTECHNOLOOY S 91,51139 793.73 92,305.52 JUSTICE COURTBUOAING SECURITY FUND S 6,277.22 21.19 6.298.40 LATERAI.ROAb PRECINCT#1 S 41344.16 1.90 4,346.05 LATERAL ROAD PRBCINCT#2 S 4.344.16 1.89 4.346.05 LATERAL ROAD PRECINCT#3 S 4.344.16 1.99 4,346.05 LATERALROADPRECINCT#4 S 4,344.16 1.89 4.346.05 LANUAGEACCESSPUND S 717AT 211.68 999.09 JUROR DONATIONS -HUMAN SOCIETY S 1AGE23 154.00 1,562.23 JUROR DONATIONS - VETERANS SERVICE OFFICE $ 45636 88.00 544.36 JUSTICCOURTSWPORIFIIND $ 2,903.20 600.41 31603.51 PRETRIALSERVICESFUND S 07,672.76 31.06 87.710.02 LOCAL TRUANCY PREVBNTIONIDIVERSION FUND S 19.121A2 9S0.30 29,071.72 LAW LIBRARY 3 211.434.17 1,383.20 1.206.61 211,610.76 LAW ENP OFFICERS STD. EDUC. REOSE) S 29,480.20 IZ80 29A93.00 POCCOMMUNITYCENTER S 31.431.89 2,263.65 3,07635 30,639.19 RECORDS MANAGEMENT- DISTRICT CLERK S 2,077.83 46,91 2.121.74 RECORDS MANAGEMENT-000INTY CLERK S 243,727.72 5,076.29 2,580.00 216,226.01 RECORDS MONT & PRESERVATION S 46,373.72 1,597.64 47,971.36 ROAD&BRIDGE GENERAL S 11586,2ID.89 20.099.45 1.06,300.34 6MRE PIERIBOAT LOD NSURIMANT S 25,330.20 11.00 352.90 25,001.70 CAPITAL FEW- BOGGY BAYOU NATURE PARR S 196,739,90 186,751.60 CAPITAL PROI AMERICAN RESCUE PLAN ACT S 216.482.15 2.067.66630 96.501.89 2187,442.77 CAPITAL PRO)- KING FISHER BEACH PARK S 56.115.00 56,115.00 CAPITAL PROJ MAQINDLANQLA REACH PAVO.LIONS S 314571.00 314,571.00 CAPITAL PRO)- COBO DR INFRASTRUCTURE S 63,111.61 63.111.61 CAPITAL: PRO! -MBO.MITNPRASIRUC URE S 673,890.40 673,810.63 (0.23) CAPITAL PROI CHOCOLATE BAYOU BOAT VAMP S 105,370.52 7,915.00 97AS5.32 CAPITAL PROI - ELECTION MACHINES S D.21 0,21 CAPITALPROI-RB INFRASTRUCTURE S 530,278.74 135,586.50 3%.672.24 CAPITALPRDIENBRGYTRZ#I S 210,538,30 210,838.30 CAPITAL FEW AIRPORTRUNWAY IMPROVEMENTS S 77,461.35 77,461.35 CAPITALPRO; MAGNOLIA REACH EROSION CONT $ 175,000.0D 175,000.00 CAPII'ALPROJ EVENT CENTER S 125,927-09 125,927.09 CAPITAL PROJPIRHTRUCKS &SAFHTY EQUIP S 4.448.68 6,448.60 CAPITAL PROI-GREEN LAM PARR S 7.160.74 5.000.00 5.000.00 7,160.74 CAPITAL PROI HATERNS PARMOAT RAMP $ 7.124,17 7,924.97 CAPITAL PRO HOG BAYOU IMPROVEMENTS 6,0D0.00 S 6,000A0 CAPITAL PROI PORT ALTO PUBLIC BEACH S 1.484.79 1,49438 CPRI. SWAN POINT SHORELINE PMTORA71ON 90,392.00 $ 80,392,00 CAM rALPROI HURRICANE HARVEY FEMA S CAPITAL PROI IMPROVEMENTS PROJECTS S 34369.10 344,369.10 CAPITAL PROI HOSPITAL IMPROVEMENTS S 2,339,602.66 2,339,602.66 CAPITAL PROI-MMC LOANS S 4.900.000.00 419001OD0.Do ARRPSTPEES S 1,1a5.23 192.69 786.35 59157 BAR. BOND FEES( FIR 1940) $ 1.755.00 630.00 2,119.50 265.50 CONSOLIDATED COURT COSTS(NEM S 3,71026 991.23 4.m.32 497-17 CONSOLIDATED COURT COSTS 2020 S 27,031.43 12,091.11 39.210.01 3,917.46 DNA7ESTINGFUND S 301.75 42:24 90.89 260.10 DRUG COURTPROGRAM FUND• STATE 200J17 79.16 223.86 36.27 45,499,273.32 5,011.77132 4,tWI455ll.M I 69 OS 212.1 Page 1 of 3 1211512022 13:03 CALHOUN CO AUDITREAS ffAX)3615534614 P.0021003 COUNTY TREASURER'S REPORT MONTH On JULY 2022 BEGINNING ENDING FUND FUNDBAIANCE RECEIPTS DISBURSEMENTS FUNDMIANCE pXRAMNG FUN •BA RWARD 44419.273.32 T 5,458,297.32 S 4,642,358AB S 0,305,212.16 SLEC13ON SERVICES CONTRACT 85,54054 31.60 95.576.74 ELECTRONIC FILING FEE FUND 23557 46.69 362.26 (30.001 EMS TRAUMA FUND 2,436.39 562.24 2,584.86 413.77 FINES AND COURT COSTS HOLDING FUND 7.947.11 7,847.31 INDJGRNTCNa1E0ALSBRVICB 57.10 5730 JUDICIAL FUND(ST. COURT COSTS) OAO 1500 15.00 DAD JUDICIAL& COURT PERSONNELTRAINwG FUND ".53 5.00 45.04 4A9 JUDICIAL SALARIES FUND 023.94 268.65 1,M7.03 65AG JUROR DONATION -TX CRIME VICTIMS FUND 400.00 32.00 16M 41600 ] NB.EPROBATION RESTITUTION 24237 40.00 18000 10257 LIBRARY OI+TAND MEMORIAL 4D,706.27 17.67 40.721.94 MISCELLANEOUS CLEARING 11.684.81 46952 239.17 11.01336 REFUNDABLE DEPOSITS 2AO.00 2.000.00 STATSC(VI,FRBFIIND (3,479.25) 4,939.40 IAIL27 6128 CIVIL JUSTICE DATA REPOSITORY FUND 2.94 0.90 3A4 030 JURY REIMBURSEMENT FEE MISS 94.64 35431 39.08 STATE CONSOLIATED CIVIL FEE FUND 3.412.00 3,438.24 51850.74 OBO SUBTTD-ECFUND 110,319.02 3,942.31 13,549.24 712J9 SUPP OF CRIM INDIGENT DEFENSE 15258 61.39 191.62 2235 TIME PAYMENTS 805.79 220.28 56000 466.07 77AMC LAW FAILURE TO APPEAR 1.136.73 2D4,24 911.36 419.61 UNCLAI EDPROPBRTY 13,201.54 5.33 13.207.09 TRUANCY PREVENTION AND DIVERSION FUND 214.32 34A5 67.87 180.90 BOOT CAMPOJARP 147A3 147A3 JUVENILBPROBATION S 49,086,916.10 3 5,502,408.71 $ 4,728,321.04 $ 49.061,003.77 SUBTOTALS TAXES IN ESCROW QAo 0.00 0910 TOTALOPERATINOFUNDB 49 61 M3.n OTHER FUNDS DA FORFEITED PROPERTY FUND 23,650.39 132.22 7S,00 23.107.61 SHERIFF NARCOTIC FORFEITURES 45,244.20 61528.00 6.805.13 45,267.87 CENT OF OB-CRTHSE REP SERIES 2010 508,994.53 2.977.22 511,971.81 CERT OF06-CRTHOUSE I&S SERIES 2012 587,791.14 3,856.37 691,63741 CAL. CO. EBBS & PINES 1 .14 MEMORIAL MEDICAL CENTER OPERATING 587,900.74 3,247,28046 4,144,61634 S (31D,239M) MONEY MARKET 703.6) 0.15 - $ 703.78 MDIGENTBEALTRCARE 5.019.90 10222.84 15,242.74 PRNATBWAIVERCLSARINOFUND 431.07 0.06 - 431.93 CLINIC CONSTRUCTION SERIES 2014 536.47 0.07 530.54 HIS ASHFORD 160,916.D9 469.521.69 451,522.60 195,915.10 NH BROADMOOR 79,970.52 436.794.63 240,942.22 294,912.93 NHCRRSCRNT 111.044.85 422.56430 399,741.19 1",867.96 NHFORTBEND 14.836.33 188,938,12 93,294.84 110,419.61 NHSOLERA 109,166.72 578A94.S3 336,468.03 351,193.22 NH GOLDEN CREEK 10,041.40 335,732A4 259.126.90 86,6M6.96 NH SOLERA DACA 0.00 ODD NH ASHFORD DACA 0.D0 0.00 NHBROAOMOORDACA 0.00 ODD NH GULP POINIE• PRIVATE PAY 4.608.13 0.528.15 55,154.26 12,972.02 NN GULF POINT PLAZA MEDICARE I MEDICAID 61.072.46 210.032.64 2DB,292.01 92,013.09 NNBRINANYSENIORLIVINO 24.997.66 799.710.14 754.437.12 69,281.09 NKTUSCANYUVIN43 13 910.40 352B39.32 3186M8.70 173.001.02 TOTAL MEMORIAL MEDICAL CENTER FUNDS .7 I 7,19kd76.16 $ 7,211,154.73 1 1758.10 oRA1NAGEDISTRICIS No.6 33.469.28 4.76 S 31.473.04 NO.8 140,170.16 17AS 300.00 139,388.04 NO.10•MAINTENANCE 187,977.85 SOJB 188,028.73 NO.11-MAINTJNANCEIOPRRA77NO 173,570.65 1,442.17 111822.58 163.190.24 NO. II -RESERVE 7 910.11 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY WCmOt OPERATING ACCOUNT S 3D3,200.06 2337 46,139.40 S 237,084,03 PAYROLLTAX S 2AI9.33 179.UI_323&43 TOTAL WCM FUNDS CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING CALHOUN COUNTY FROST BANK 1,975.87 1 7 . 7 240.94 7186 ,79 7 10 .BI 2 04"M TOTAL MMC, DP-DIST., NAV. DIST, WCID A FROST $ 62921,78928 $ 12,796,57431 $ 12,167,78632 f f3.550,62Z27 TOTALALLFUNDS Page 2 of 3 12/1512022 13:03 CALHOUN CO AUD/TREAS (FAX)3615534614 P.0031003 COUNTY TREASURER'S REPORT MOMMOPI JULY 2022 BANK RECONCILIATION LESS: CEET.OFDEN FUND OUTSTNDODEN PLUS: CNBCXS BANK FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE OPERA73NG• $ 40.961.003.77 54.WO.64 719,315.81 5 30,525,459.00 OTHER D A FORPETIED PROPERTYFUND 23.707.61 75.00 23,781.61 SHERIFF NARCOTIC FORFEITURES 43.267.97 1,809.00 6554.13 50,01300 CERTOF OB-CRTHSEREPSERIES 2010 511.971.91 1,695.56 - 510,37525 CERTOF OB-CRTHOUSE IRS SERIES 2012 691,637.51 2,193.39 689,443.93 CAL, Do FEES &PINES 95.372.88 11,886.77 9,212.00 92,099.01 MEMORIAL MEDICAL CENTER OPERATING $ (310,239.44) - 2,166,670.64 1,856,431.20 MONEYMARKeI' 703.7E 703.7E INDIOENTHBALTHCARE 15,242.74 10,221.65 4,933.59 9.934.68 PRIVATE WAIVER CLEARING FUND 431.93 - - 431.93 CLINIC CONSIRUCDON SERIES 2014 535.54 - - 536.54 NH ASHFORD 198,915.1E - - 198,915.1E NH BROADMOOR 294,912.93 - - 294.912.93 NH CRESCENT 1",657.96 - - 144.867.96 NH FORT REND 110.479.61 - - 110,479.61 NH SOLERA 351,193-22 - - 351,193.22 NH GOLDEN CREEK 96,64E-94 - - SOWN NHSOLERADACA 0.00 - 0.00 NH ASHFORDDACA A00 - 0.00 NHBROADMOORDACA OAO - OBO NHGULFPOINTPRIVAIEPAY 12.972.02 - 12,972.02 NH GULF POINTS PLAZA MEDICARE/MEDICAID 92,813.09 - 92,013.09 NH BEGiANY SENIOR LIVING 0,281.08 - - 69AR1.08 NHTUSCANYVR.LAOE 173,DD1.01 - - 113.001.02 DRAINAOR DISTRICT: 33.544.65 NO.6 $ 33.473E4 0." 33,472.54 NO.3 139.399.04 0.02 . 475.60 139,163.62 NO. HI MAINTENANCE 18E,02E.73 0.02 - 188,028.71 NO, I I MAINTSNANCWOPERA71NG 163,190.24 359.r2 - 162,83DT52 NO. 11 RESERVE 22S,830.06 - - 225,83D.05 CALHOUN COUNTY WCm 01 •••• OPERATING ACCOUNT 257A84.03 - - 257,084.03 PAYROLLTAX 2,238.43 CALHOUN COUNTY PORT AUTHORITY •••• 67,351.9E MAINTENANCSVOPRRATWG 67503.79 - - 67,503.7E is CALHOUN COUNTY*"* FROSTBANK 1.970.87 - - 1,970T87 ]4 ••• PROSPERITY BANK CDs• OPERATING FUND •••• THEDEPOSIT RYFORCALHOUN COUNTYWCID IS INTFSNAMONAL BANK OFCOMMERCE-PORTLAVACA •••• THE DEP03RORYFORCALNOUN CO. NAVIOA77ON DISTRICT IS FIRST NA77ONAL BANK -PORT LAVACA •"•• THE DEPOSITORY FORCALHOUN COUNTY FROSTIS FROST BANK - AUSTIN, TEXAS •••• RA9IWFSTEANK CDs -OPERATING FUND $15,036.186.14 THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS 15 PROSPERITY BANK, PORT LAVACA Court coats and fees collected and reported may not be current an to due to non•co I a by other county Dffices. I hereby certify that the current balances are correct to all monies at have en cec�ved by/the Co c y Treasurer as 1f the date of this report. 4 n . A � 1LO , n 7PNTY TREASURER /r Page 3 of 3 12115/2022 13:04 CALHOUH CO AUDITREAS (FA=615534614 P.0011003 CALHOUN COUNTY TEXAS COUNTY TREASURER'S REPORT MONTHOP: AUGUST2022 BWINNING ENDLNG FUND FUND BALANCE RBCELFTS DISBURSEMENTS FUNDBAJANCE UPEUWNGFUNDS: E 32,232.946.38 E Z,799,113.Z5 E I4,509,961.61 E 7Aj22,111SH OENERA1. AIRPORT MAINTENANCE 36,723.0E 13.03 17837 961b1 35,767A6 1.207.10 APPELLATE JUDICIAL SYSTEM 1.029.23 3,711.06 712.00 4,423.06 COURT FACILITY PER FUND COASTAL PROTECTION FUND 2,55A,877.n 900.31 45.659.39 2,514,128.70 8,840.18 COUNTY AND METCOURTTECH FIEND 9,76939 70.59 838.73 COUNTY CHILD ABUSE PREVENTION FUND 830.09 0,64 85.47 1,413.11 COUNTY CHILD WELFARE BOARD FUND 1,324.64 1,503.66 180.01 1.623.67 COUNTYJURY FUND COURTHOUSE SECURITY 277.146.96 2.122.67 1.669.72 277,606.61 COURT INITIATEOGUARDIANSHIP FUND 14.721.55 335.23 15,056.78 41,929.45 DIST CLK RECORD PRESERVATION FUND 41,904.56 U89 4915 950.39 COURT REPORTBRS SERVICE FUND 900.23 311.347.03 4.560,64 315.908.57 CO CLK RECORDS ARCRIVE FUND COUNTY SPECIALTY COURT FIND 7,3B6,03 338.37 7,924.40 COUIMY DISPUTE RESOLUTION FUND 3,504.01 116,379.59 659.00 1,502.98 139.64 4,163.01 117.742.93 DONATIONS DRucom COURT PROGRAM FUND LOCAL 26,652.15 9A7 26,661.6E 14,065.04 itMn,1LBCASE MANAGER FUND 14,471.22 118.96 5.15 525.04 14.506.35 PAMI•YPROTECHON FUND JUVENILE DELINQUENCY PREVENTION FIEND 14.501.20 9.280.08 3,30 9,283,3E 502,829.30 16,571.05 24,125.02 495,575.33 GRANTS JUSTICE COURT TECHNOLOGY 92,305.52 6,299.40 597.47 11.64 92,902,99 6.314,04 JUSTICE COURT BUILDING SECURITY FUND 4,345.05 1.54 4.347.59 LATERAL ROAD PRECINCT 91 LATERAL ROAD PRECINCT #2 4,345.05 1.54 4,347.59 LATERAL ROAD PRECINCT 63 4,346.05 4,346.05 1.54 1.54 4.347.59 4.141,90 LATERAL ROAD PRECINCTB4 999.09 181.80 1.170.89 LANGUAGE ACCESS FUND JUROR DONATIONS -HUMANE SOCIETY 1.562.23 176.19 1.738,42 JUROR DONATIONS- VETERANS SERVICES $44.36 10456 643.92 4,220.61 JUSTICE COURT SUPPORT FUND 3,603.61 97,710.92 625.00 31.17 17,741.99 PRETRIAL SERVICES PUND LOCAL TRVANCY PREVENT70N/rnVER510N FIND 1,306.61 320.771.76 33 LAW LIBRARY LAW MWOFFICERS STD. EDUC, (LEDSE) E20,610.72 29,493.00 1,646.04 10.48 29,303.4E POC COMMUNITY CENTER 30,619.19 4,660.69 26.16 4,513.53 30.686.55 2.150.90 RECORDS MANAGEMENT -DISTRICT CLERK RECORDS MANAGEMENT -COUNTY CLERK L124.74 246.226.01 4,627.50 11,185.28 239.668.23 RECORDS MGMT& PRESERVATION 47.971.36 1,606,300.34 1.336.35 11,168.9E 49,357.71 1,630,76930 ROAD &BRIDGE OBNBRAL 6MIIEPIERIBOATRAMP INSURIMA1NT 25.008.70 3.89 98.46 24,919.13 CAPITAL PROI - BOGGY BAYOU NATURBPARK 130,758.30 2,197,642.n 55.597.30 186.73350 2,243,230.07 CAPITAL PROD AMERICAN RESCUE PLAN ACT OF 2021 96.113,00 CAPITAL PROI KING FISHER PARK CAPITAL PROI MAGJNDIANOLA BEACH PAVILLIONS 56,115.00 314.571.00 - 32250 314.049.30 CAPITAL PROI- CDBGDR INFRASTRUCTURE 63,111.61 360,947.57 119,955.71 304,103A7 (0.23) CAISTALPROI-ev GMTfLOR"TRUCTURE 3 (0.23) 97,455.52 72,460.51 24.995.01 CAPITAL PRO) CHOCOLATE BAYOU BOAT RAMP 0.21 CAPITAL PRO] -ELECTION MACHINES CAPITALPROJ-RBINFRASTRUCR)RI 0.21 394,672.7 4,059.19 39D, CAPITAL PROI ENERGY TRZ AI 210.93830 9,0040 201,833.90 77,4613S CAPITAL FEW AIRPORT RUNWAY IMPROVEMENTS 77,461.35 175,000.00 COITAL PROJ MAGNOLIA BEACH EROSION CONT 175.0W.00 125,927.09 CAPITALPROJEVFRTCPRTER 125,927.09 6,449.69 6,448.61 CAPITALPROJ FIRE TRUCKS & SAFETY EQUIP 1.160.74 7.160.74 CAPITAL PROI -GREEN LAKEPARK 7.824.87 7,824.87 CAPITAL PROD HATERIUS PARKMOAT RAMP $ 6,000.00 CAPITAL PRO HOG BAYOU IMPROVEMENTS 61000.00 1,434.75 CAPITAL PRO) PORT ALTO PUBLIC BEACH 1,434.78 18,394.00 E 99,776.00 CPRH- SWAN POINT SHORELINE RESTORATION 90.392.00 CAPITAL PROI HURRICANE HARVEY MMA CAPITAL PRO) IMPROVBMBMSPROJECTS - 344,369,10 7.500.00 1 CAPITALPROJ HOSPITAL IMPROVEMEN73 2,319,602.6E, 2,339.692.066,39 6000 CAPITALPROl-MMC LOANS 4,000,0DOA0 591.57 162.04 793.61 ARRESTPRES BAIL BOND FEES (HE 1940) 263.50 645.00 233.50 673.00 CONSOLIDATED COURTCOSTE(NEM 497.17 3.912.46 543A8 9,289.49 467.14 3,91Z.22 573.51 9,289.73 CONSOLIDATED COURTCOSTS 2020 260.10 0.95 10.09 250,36 DNA 7071NO FUND .7 55.96 0.31 DRUG COURT PROGRAM POND -STATE Page 1 of 1211512022 13:04 CALHOUN CO AUDITREAS ffAX)3615534614 P.0021003 COUNTY TREASURER'S REPORT MONTH OF. AUGU8T2022 BEGINNING ENDING FUND PUNDBALINCE RECEIPTS DISBURSEMENTS PIJNDBALINCE OPERATING FUNDS -BALANCE FORWARD $ 49.303.212.16 S 3,312,327.04 $ 14.918,313.16 $ 37.799,226.04 ELECTION SERVICES CONTRACT 85,576.74 30.20 6,534,82 70,072.12 EECIRONICOLINGPEEFUND (30.00) 30.79 0.79 EMS TRAUMA FUND 413.77 613.73 287.21 74029 PINES AND COURT COSTS HOLDING FUND 7.847.31 7,847.31 INDIGENT CIVIL LEGAL SERVICE 57.30 57.30 JUDICIAL FUND(ST. COURT COSTS) 0.00 ODO JUDICIAL@ COURT PERSONNEL•ISWMNGFUND 4.49 3.00 9.49 JUDICIAL SALARIES FUND 65.46 121.3E 57.41 129-41 JUROR DONATION -TX CRIME VICTIMS POND 416.00 16.00 43280 JUVENILE PROBATION RESTITUTION 102.37 10237 LIBRARY OIPT ANP MEMORIAL 40,723.94 14.47 40,738AI MISCELLANEOUS CLEARING 11,913.96 143,05 446.91 11,510.10 REFUNDABLE DEN1Sr15 2.000.00 21000D0 STATE CWI.FIIE FUND 61.93 537.60 21.88 577.40 CIVIL JUSTICE DATA REPOSITORY FUND 0.30 0.70 0.37 043 JURY REIMBURSEMENTPER 33-06 55.33 39.29 54.12 STATE CONSOLIDATED CIVIL FEE FUND 0.00 2,204.20 2.20420 SUBT77TECFUAID 712.89 3,476.72 57236 3.617.03 SUPP OF CRIM INDIGENTDEFEJSE 22.35 26,87 21.21 25,01 TIMEPAYMENTS 460.07 63.53 560.03 (25A3 TRAFFIC LAW FAILURE71D APPEAR 419.61 104.60 453.65 61136 UNCLMMEDPROPERTY 13,2D7.09 0.37 13,207A6 TRUANCYPREVENHON AND DIVERSION FUND 100.90 24.29 67.99 137.30 ROOTCAMP/JJAEP 147.43 147A3 JUVPND.EPROBAMON 391443.47 143,69 64.946.27 326.64229 5 49.961,003.77 $ 3.319,946,54 5 14,092,324.66 S 31,299.621.65 SUBTOTALS AXES IN ESCROW 0.00 0A0 0,00 TOTAL OPERATING PUND$ OTHERFUNDS DA FORFEITED PROPERTY FUND 23,707.61 452.23 410.00 23,679.04 SFMRWP NARCOTIC FORFEITURES 4S,267.87 5.60 8,136.73 37,136.74 CERT OFOB•CRINSEREP SMM 2010 511.971.81 4.034.71 488,70D.00 27.326.52 CERT OF OB•CRTHOUSE I&S Set¢S 2012 691,637.S1 5.247.43 661.475,00 15.409.94 CAI-, CO. FEES & PINES 72. 91.262.19 96.202.62 MEMORIAL MEDICAL CENTER OPERATING (310.239.44) 004,191.04 4.310,772.53 S 1,674.606.07 MONEY MARKET 703.78 0,11 $ 703.93 IND TEN ' HEALTHCARE 15,242.74 6.923,69 17,147.84 5.020.59 PRIVATE WAVER CLEARING FUND 431.93 0.06 431.99 CLINIC CONSTRUCTION SEW 2014 536.34 0.97 536.51 NH ASFORD 192.915.12 574.244.23 629.414.34 144.745.07 NH BROADMOOR 294.912.93 588.231.12 712,504.48 170.639,57 NRCRESCENT 144,867.96 647,542.15 644.123.21 143.286,90 NHPORTBEND 110,479.61 402,580.14 412,566.96 100A92.79 NH SOLIRRA 351,193.22 966.372.50 969.392.70 240,172.93 NHOOIDBHCREEK 96,646.94 553.734.8 584,595.56 55,836.01 NHSOLRRA DACA 0.00 0.00 NH ASFFORD DACA 0.00 0.00 NH BROADMOOR DACA 0.00 0.00 M50ULPPOINTE.PKNATSPAY 12,972.02 100,113.37 108,371.46 4,913.93 PIN OIILFPOINT PLAZA MEDICARE MEDICAID 92,813.09 369.591,22 311.603.06 149,799,25 NH BBTIJANY SENIOR LIVING 69.281.08 833.303.16 590.081.65 312,502.59 NHTUSCANYVR.IAGE 173.GDI.02 7121 A9 6135.350.69 279.655.82 TOTAL MEMORIAL MEDNCAL CENTER FUNDS S 1 17 1 ] $ 3,207,634.05 DRAINAGE DIST UM NO.6 33,473.04 3 33.00 5 33,506.04 NO, 9 139.388.04 190.55 11,370.73 120,207.89 NO. 10-MAINTENANCE 199.029.73 57.70 0.035.24 179,111.19 NO, II.MAINIPNANCP/OPERATING 163.190.24 2,430.35 4.592.10 161.017.70 NO. II -RESERVE 5 749,910.1t 2,740.4 726 761.74 TOTALDRAINACE DISTRICT FUNDS CALHOUN COUNTY WCID 61 OPERATING ACCOUNT 5 237,084.03 17.94 11,126A2 S 245,975.55 PAYROLLTAX $ 2.238,13179.10 S 2 259IM-46 17.94 11 TOTAL WCIP PONES CALHOUN COUNTY PORT AUTHORIN MAFYTEiIANCE AND OPERATING 7 2. CALHOUN COUNTY FROST BANK 3 1.970.97 $ S 5.00 S 1,969.97 S 2 PI465.82 S 11 63409.94 9,941,455.34 TOTAL MMC. DR. DIST., NAV. DIST. WCID & FROST 8 53 SO 7.21 $ 18,334,377.33 $ 26,084.404.17 S 42AS0,600A4 TOTAL ALL FUNDS Page 2 of 3 12/1512022 13:05 CALHOUN CO AUDITREAS TAX)3615534614 P.0031003 COUNTY TREASURER'S REPORT I MONTHOR: AUGUST2022 LESS. CERT,OP DRPI FUND OUTSTNDCDKP/ PLUSI CHECKS BANE ND B 0 TTBMS TANDING BALANCE - OPERATING • S 38,258,625.65 5 8,781.16 5 550,415.51 8 38,030,161.00 nER A FFORFEr1EDPROPER7Y FUND 23.679.94 - 490.00 24,139.94 SHERIFF NARCOTIC FORFEITURES 37.135.74 6,327.13 43,464A7 CERT OFOB-CRTHSEREF SERIES 2010 27,32052 483.31 - 26,643.21 CERT OF OR-CRTEOUSEI&S SERIFS 2012 35,400.94 624.15 34,785.09 CAL CO FEES k PINES 96,202,62 7.436.00 5,457.42 94.224.04 MEMORIAL MEDICAL CENTER OPERATINOt 1,674,386.07 2,654,004.10 4,325,590.87 MONEY MARKET 703.93 703.93 INDIGENT HEALTHCARE S,020.59 6,923.S1 12.331.39 10,43SA7 PRIVA71EWAIVERCLEAMOPUND 431.99 - - 431.99 CLNIC CONSTRUCTION SERIES 2014 536,61 - - 536.61 NH ASHFORD 144,745.07 - - 1",745.07 NHBROADMOOR 170.639.57 170,63957 NH CRESCENT 148,886.90 - 148.216.90 NHFORTBEND 100.492.79 - - 100,492.79 NH SOLERA 249.172.93 - - 249.172.93 NH GOLDEN CREEK 55,836.01 - - 55,836.01 NH SOLERA DACA 0.00 0.00 NH ASHFORD DACA 0.00 - - 0.00 IHIBROADMOORDACA 050 - - 0.00 NH GULP POINT PRIVATE PAY 4.913.93 - - 4.913.93 NH GULP POINTE PLAZA MEDICARE/MEDICAID 149.799.25 - - 149.790,25 Nu BETHANYSEWMAUVING 312,102.59 - - 312.502.59 NHTUSCANY VIL AGE 279,665.82 - - 279,665.02 DRAINAGEDISTRICIN NO.6 33.506.04 - 33,506.04 No.a 128,107.89 - 11,209.30 139.497.39 NO. 10 MAINTENANCE 178,151.25 - - 173,151.28 NO. It MMNIENANCPJCPERA71NG 161,037.70 - 161.037.70 NO.11 RESERVE 223,650.93 - 225.259.93 CALHOUN COUNTY WCH)11 OPERATING ACCOUNT 245,975.55 - - 246.075.55 PAYROLLTM 2,060.33 - - 2.060,33 CALHOUN COUNTY PORT AUTHORITY MAINIENANCB/OPERATING•••• 67,821.50 - - 67,821.5E CALHOUN COUNTY FROSTBANK 1.955.87 - 1365.57 0.00 •••• THE DEPOSITORY FOR CALHOUN COUNTY WCID IS INTERNATIONAL BANK OF COMMERCE -PORT LAVACA " THEDEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICTIS FIRST NATIONAL BANK -PORT LAVACA •••• THE DEPOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK -AUS•IN, 71XAS •••• EASTWEXBANKCDe-OPERATINOPUNO $15,041,976.61 •••• TEXASCAPITALBAN1:85,000.000.60 •••• NEMANK-DALIA5,17XAS S5,005,58504 THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS 19 PROSPE PORT LAVACA UourL costs ana Tees CO1lectee ana reportea may riot DD curt an0 Up -to ate clue WyMn-ogn p pine by other county /- ,,Z-z/- 2-Z PREc 3 of CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: SEPTEMBER2022 BEGINNING ENDING FUND FUNDBAL4NCE RECEIPTS DISBURSEMENTS FUNDRALiNCE OPERATING FUNDS: $ 20,522,117.98 $ 2,626,247.32 $ 3,899,344.30 $ 19,249,021.00 GENERAL- AIRPORT MAINTENANCE 35,767.46 118.01 888.66 $ 34,996.91 $ 2,639.45 APPELLATE JUDICIAL SYSTEM 1,207.60 1,431.85 $ 5,083.06 COURTFACILITYFEEFUND 4,423.06 2,514,128.70 660.00 10,956.50 $ 2,503,172.20 COASTAL PROTECTION FUND 9,840.18 62.62 $ 8,902.80 COUNTY AND DIST COURT TECH FUND 0.93 $ 939.66 COUNTY CHILD ABUSE PREVENTION FUND 838.73 0.71 $ 1,413.82 COUNTY CHILD WELFARE BOARD FUND 1,413.11 163.70 $ 1,847.37 COUNTYJURYFUND 1,683.67 277,606.61 2,139.28 3,745.00 $ 276,000.99 COURTHOUSESECURITY COURT IMITATED GUARDIANSHIP FUND 15,056.78 247.58 $ 15.304.36 DIST CLK RECORD PRESERVATION FUND 41,929.45 81.42 $ 42,010.87 $ 950.86 COURT REPORTERS SERVICE FUND 950.38 OAS 5,539.11 $ 321,447.69 CO CLK RECORDS ARCHIVE FUND 315,90857 7,924AO 266.19 $ 8,190.59 COUNTY SPECIALTY COURT FUND 4,163.01 620.00 $ 4,793.01 COUNTY DISPUTE RESOLUTION FUND 117,742.93 443.08 1,419.43 $ 116,766.58 DONATIONS DRUGIDWI COURT PROGRAM FUND -LOCAL 26,661.62 65.73 596.39 $ 26,727.35 $ 13,524.08 JUVENILE CASE MANAGER FUND 14,065.04 55A3 7.31 $ 14,513.66 FAMILY PROTECTION FUND 14,506.35 9,283.38 4.68 $ 9,288.06 JUVENILE DELINQUENCY PREVENTION FUND 495,575.33 16,840.02 258,104.19 $ 254,311.16 GRANTS JUSTICE COURT TECHNOLOGY 92,902.99 541.09 $ 93,444.08 $ 6,336.74 JUSTICE COURT BUILDING SECURITY FUND 6,314.04 22.70 2.19 4,341.59 $ 8.19 LATERAL ROAD PRECINCT#1 4,347.59 4,347.59 2.19 4,341.59 $ 8.19 LATERAL ROAD PRECINCT#2 4,347.59 2.19 4,341.59 $ 9.19 LATERAL ROAD PRECINCT#3 4,347.59 2.19 4,341.59 $ 8.19 LATERAL ROAD PRECINCT#4 1,170.89 174.00 S 1,344.89 LANUAGE ACCESS FUND JUROR DONATIONS -HUMANE SOCIETY 1,739.42 40.00 $ 1,778.42 JUROR DONATIONS VETERANS SERVICES 648.92 40.00 $ 4,689.92 $ 61 JUSTICE COURT SUPPORTIUND 4,228.61 625.00 $ 87,786.18 PRETRIAL SERVICES FUND 87,741.99 44.19 530.71 $ 21,248.47 LOCAL TRUANCY PREVENTION/DIVERSION FUND 20,717.76 1,261.64 1,206.61 $ 211,790.39 LAW LIBRARY LAW ENF OFFICERS STD. EDUC. (LEASE) 211,725.35 29,503.48 14.96 $ 29,518.34 POC COMMUNITY CENTER 30,69655 2,615.46 15,813.89 $ 17,488.12 $ 2,232.55 RECORDS MANAGEMENT -DISTRICT CLERK 2,150.90 81.65 5,570.71 1.71 $ 245,237.23 RECORDS MANAGEMENT -COUNTY CLERK 239.668.23 1.372.93 $ 50,730.64 RECORDS MGMT&PRESERVATION 49,357.71 1.630.769.30 28.470.64 $ 1,659,239.94 ROAD & BRIDGE GENERAL 24,919.13 12.55 376.29 $ 24.555.39 6MR.EPIER]BOAT RAMP LNSURIMAINT $ 186.759.80 CAPITAL PROI- BOGGY BAYOU NATURE PARK 186,758.80 CAPITAL PROD- AMERICAN RESCUE PLAN ACT2021 2,243,230.07 S 2,243,230.07 CAPITAL PROJ - KING FISHER BEACH PARK 56.115.00 $ 56,115.00 CAPITAL PRO] MAG_INDIANOLA BEACH PAVILIONS 314,048.50 8,716.23 $ 305,332.27 CAPITAL PROJ- CDBG DR INFRASTRUCTURE 304,103.47 - 20,638.41 $ 283.465.06 (0.23) CAPITALPRQI -CDBG-MIT INFRASTRUCTURE $ (0.23) 3,900.00 $ 21,095.01 CAPITAL PROI CHOCOLATE BAYOU BOAT RAMP 24,995.01 CAPITAL PROJ- ELECTION MACHINES 0.21 152,267.92 $ 0.21 $ 238,346.13 CAPITALPROJ-RBINFRASTRUCTURE 390,614.05 201,833.90 - 101,896.70 $ 99,937.20 CAPITAL PROD ENERGY TRZ#1 CAPITAL PROD AIRPORT RUNWAY IMPROVEMENTS 77,461.35 $ 77,461.35 CAPITAL PROI MAGNOLIA BEACH EROSION CONT 175,000.00 $ 175,000.00 $ 125,927.09 CAPITAL PRO] EVENTCE47ER 125,927.09 $ 6,448.68 CAPITAL PROJ FIRE TRUCKS & SAFETY EQUIP 6,448.68 $ 7.160.74 CAPITAL PROJ-GREEN LAKE PARK 7.160.74 $ 7,921.97 CAPITAL PROJ HATFRIUS PARK]BOAT RAMP 7,824.87 $ 6,000.00 CAPITAL PRO HOG BAYOU IMPROVEMENTS 6,000.00 $ 1,484.79 CAPITAL PROJ PORT ALTO PUBLIC BEACH 1,484.78 $ 98,776.00 CPRJ- SWAN POINT SHORELINE RESTORATION 98,776.00 $ CAPITAL PROJ HURRICANE HARVEY FEMA - 336.869.10 - 500.00 $ 336,369.10 CAPITAL PROI IMPROVEMENTS PROJECTS $ 2,339,602.66 CAPITAL PROJ HOSPITAL IMPROVEMENTS 2,339,602.66 $ 4,000,000.00 CAPITALPROI-MMC LOANS 4,000,000.00 753.61 188.80 $ 942AI ARRESTFEES BAIL BOND FEES(HB 1940) 675.00 645.00 $ 1,320.00 $ 1,639.12 CONSOLIDATED COURT COSTS (NEW) 573.51 1,065.61 7,471.77 $ 16,76150 CONSOLIDATED COURT COSTS 2020 9,289.73 $ 285.00 DNA TESTING FUND 1 250.86 0.31 34.14 52.30 S 52.61 DRUG COURT PROGRAM FUND -STATE SUBTOTALS $ 37.799.226.04 $ L705.879.96 1 $ 4.497.7 91 $ 36.007.367.41 Page 1 of 3 COUNTY TREASURER'S REPORT MONTH OF: SEPTEMBER 2022 BEGINNING ENDING FUND FUNDBAJANCE RECEIPTS DISBURSEMENTS FUNDBAIANCE OPERATING FUNDS -BALANCE FORWARD $ 37,799,226.04 $ 2,705,979.96 $ 4,497,738.59 $ 36,007,367.41 ELECHON SERVICES CONTRACT $ 79,072.12 39.52 - $ 79,111.64 ELECTRONIC FILING FEE FUND $ 0.79 192.47 $ 193.26 EMS TRAUMA FUND 740.29 663.88 $ 1,404.17 FINES AND COURT COSTS HOLDING FUND 7,847.31 $ 7,847.31 INDIGENT CIVIL LEGAL SERVICE 57.30 $ 57.30 JUDICIAL FUND(ST. COURT COSTS) 0.00 $ - $ 29.50 JUDICIAL & COURT PERSONNEL TRAINING FUND 9.49 20.01 $ 510.58 JUDICIAL SALARIES FUND 129.41 381.17 $ 432.00 JUROR DONATION -TX CRIME VICHMS FUND 432.00 40.00 $ 97.57 JUVENILE PROBATION RESTITUTION 102.57 35.00 LIBRARY GIFT AND MEMORIAL 40,738.41 1.01 292.92 $ 40,739.42 $ 11,599.60 MISCELLANEOUS ANEOUS CLEARING 11,610.10 282.42 $ 2,000.00 REFUNDABLE DEPOSITS 2,000.OD 577.60 562.62 $ 1,140.22 STATE CIVIL FEE FUND CIVIL JUSTICE DATA REPOSITORY FUND 0.63 1.02 $ 1.65 JURY REIMBURSEMENT FEE 54.12 2,204.20 87.15 1,702.00 $ 141.27 $ 3,906.20 STATE CONSOLIDATED CIVIL FEE FUND 3,617.05 3,433.55 $ 7,050.60 SUBTITLE C FUND SUPP OF CRIM INDIGENT DEFENSE 28.01 62.61 $ 90.62 TIMEPAYMENTS (25.43) 260.53 $ 235.10 TRAFFIC LAW FAILURE TO APPEAR 68.56 420.72 $ 489.28 UNCLAIMED PROPERTY 13,207.46 0.53 $ 13,207.99 TRUANCY PREVENTION AND DIVERSION FUND - 137.30 35.04 $ 17234 BOOTCAMP/1JAEP 147.43 326642.89 595.32 102.94D.12 $ 147.43 S 224.299.09 JUVENILE PROBATION SUBTOTALS $ 38,288,625.65 $ 2,714,656.53 $ 4,601,011.63 $ 36,402,270.55 TAXES IN ESCROW 0.00 0.00 0.00 38 298 625.65 2,714,656.53 4,601,011.63 36402 270.55 TOTAL OPERATING FUNDS OTHER FUNDS D A FORFEITED PROPERTY FUND 23,679.84 6,929.34 30,609.18 SHERIFF NARCOTIC FORFEITURES 37,136.74 971.47 516.53 37,491.68 CERT OF OB-CRTFISE REF SERIFS 2010 27,326.52 2,156.28 29,482.80 CERT OF OB-CRTHOUSE I&S SERIFS 2012 35,409.94 2,792.98 38,202.92 CAL CO. FEES & FINES 96.202.62 240.206.39 225.139.51 111.269.50 GSS 2525 5 19,5 MEMORIAL MEDICAL CENTER 1,674,886.07 $ 3,764,848.56 $ 4,401,306.39 $ 1,038,428.24 OPERATING MONEYMARKEf 703.93 $ 295,140.97 $ 295,844.90 INDIGENT HEALTHCARE 5,020.59 27.703.69 32,724.28 PRIVATE WAIVER CLEARING FUND 431.99 0.06 432.05 536.68 CLINIC CONSTRUCTION SERIES 2014 536.61 144,745.07 0.07 503,465.03 485,438.38 162,771.72 NIL ASFORD NHBROADMOOR 170,639.57 430,246.34 498,913.07 101,912.84 NH CRESCENT 148,286.90 628,593.57 612,369.43 164,511.04 NHFORTBEND 100,492.79 249,211.53 292,729.90 56,974.42 NH SOLERA 249,172.93 707,304.06 799,105.43 157,371.56 NH GOLDEN CREEK 55,836.01 403,737.22 360,699.66 98,873.57 NH SOLERA DACA 0.00 0.00 0.00 NH ASHFORD DACA 0.00 0.00 NII BROADMOOR DACA NH GULF POINTE-PRIVATE PAY 0.00 4,913.93 58,460.60 59,715.54 3,658.99 NH GULF POINT PLAZA MEDICARE/MEDICAID 149,799.25 330,j54.39 313,697.30 166,656.34 NH BhrHANY SENIOR LIVING 312,502.59 748,802.69 872,720.78 188,584.50 NH TUSCANY VILLAGE 279.665.82 521538.76 718.774A6 86.430.12 $ 3 297 634.05 $ 8.673.607.54 $ 9.415 530.34 S 2.555 711.25 TOTAL MEMORIAL MEDICAL CENTER FUNDS DRAINAGE DISTRICTS 33,506.04 10.65 139.50 $ 33,377.19 NO. 8 128,207.89 17.23 19.20 128,205.92 O. NO. 161,037.70 178,220.16 II.MAINTENANCE NO. 11-RESERENANCFJOPERATING 66.40 I,130.32 5833 27,058.83 NO. I I -RESERVE 225.858.83 225.858.83 225.889.15 $ 726761.74 12.68 S 1.312.fi8 $ 27.236.73 700,837.69 700637.69 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY WCID Nl $ 245,975.55 53.94 20,065.68 $ 225,963.81 OPERATING ACCOUNT $ 2060.33 178.10 S 1882.23 PAYROLLTAX TOTALWCIDFUNDS S 248035.88 53.94 20,243.71 $ 217846.04 S 67821.58 S 135.79 S 91.36 $ 67866.01 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING CALHOUN COUNTY S 1965.87 S S 5.00 $ 1960.87 FROSTBANK 4,342,219.12 S 8,675,109.95 S 9,463,107.21 $ 3,554,221.86 TOTAL MMC, DR. DIST., NAV. DIST, WCID & FROST $ 42,850,600A4 $ 11,642,722.94 $ 14,289,774.88 $ 40,203,548.50 TOTAL ALL FUNDS Page 2 of 3 COUNTY TREASURER'S REPORT MONTH OF: SEPTEMBER2022 BANK RECONCILIATION LESS: CERT.OF DEFY FUND 0U73TNDG DEP/ PLUS: CHECKS BANK FUND BALANCE OTHERITEMS OUTSTANDING BALANCE OPERATING • $ 36,402,270.55 100,558.71 531,680.84 $ 36,833,392.68 OTHER D A FORFEITED PROPERTY FUND 30,609.18 652.60 165.00 29,956.58 37,656.68 SHERIFF NARCOTIC FORFEITURES 37,491.68 29,482.80 976.29 28,506.51 CERT OF OB.CRTH$E REF SERIES 2010 38,202.92 1,262.96 36,939.96 CERT OF OB-CRTHOUSE I&S SERIES 2012 111,269.50 22,717.57 11,225.48 99,777AI CAL CO FEES &PINES MEMORIAL MEDICAL CENTER 1,038,428.24 2,062,110.76 3,100,539.00 OPERATINGS 295,844.90 295,844.90 MONEY MARKET' INDIGENT HEALTHCARE 32,724.26 27,702.16 7,331.81 12,353.93 432.05 PRIVATE WAIVER CLEARING FUND 432.05 536.69 CLIFEC CONSTRUCTION SERIES 2014 536.68 162,771.72 NH ASFORD 162,771.72 I01,9i2.64 NH BROADMOOR 101,912.84 164,511.04 164,511.04 NH CRESCENT 56,974A2 56,974.42 NH FORT BEND 15737t.56 157,371.56 NH SOLERA , 98,873.57 98,973.57 NH GOLDEN CREEK 0.00 0.00 NH SOLERA DACA 0.00 0.00 NH ASHFORD DACA 0.00 00 NH BROADMOOR DACA 8. 6599 NH GULF POINT PRIVATE PAY 3,658.99 Ifi6 NH GULF POINTE PLAZA MEDICARE MEDICAID 166,656.34 1,896.93 .656. .34 190.481.43 NH BETEAN SENIOR LIVING 188,58450 86 86,430.12 NH TUSCANY VILLAGE 86,430.12 DRAINAGE DISTRICT: 33,377.19 33.377.19 NO. 128,205.92 128,205.92 NO.9 NO. 10 MAINTENANCE 135,145.27 0.01 178,220.15 134.575.99 NO. 11 569.28 225,889.15 RESERVE NO. 17 RESERVE 225,889.15 225,889.15 CALHOUN COUNTY WC/D #1 225 91 225963.81 OPERATING ACCOUNT ,963.81 1,882.23 1,,882.23 PAYROLL TAX CALHOUN COUNTY PORT AUTHORITY 67.866.01 MAINTENANCF/OPERA77NG'xx 67,866.01 CALHOUN COUNTY 1,960.87 1,960.87 FROST BANK TOTALS 40,203,548.59 1S 2614 10.82 42 fifi351 .70 ... THE DEPOSITORY FOR CALHOUN COUNTY WCID IS INTERNATIONALBANK OF COMMERCE -PORT LAVACA •rx' THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRSTNATIONAL BANK -PORTLAVACA •x.s THE DEPOSITORY FOR CALHOUN COUNTY FROST IS FRGSTBANK-AUSTIN, TEXAS sssr EAS7WEXBANKCDS-OPISRATINGFUND$15,047,582.41 xsss TEXAS CAPITAL BANK$5,012,968.32 srxx NEXBANK-DALLAS. TEXAS $5,015,969.89, THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS PROSPERIT��PORT LAVACA ^ Court costs and fees collected and reported may not be hereby certify that the current balances are correct to all of this report. other county offices. I reasurer as o$ the date Z.Z/_"' Page 3 of 3 0 w w w ��ppryry��pp^^ pp ryry PP S 1pNON0NmNNy��N ��Oym1m ,Qm T,F 00�OnpI , , 'm Nm S AW �Q�pp OOmP'OQONNNNNQ" mtm�ln N�YNlr 100 A ��PQNN VVl) ani N m N y w N s S W W F Q Q P Z C F e �N w m yyp {{pp ppppwq vNi ON SONim lmpNmON 0N0 n`1ry�mN01S�N O�OIY^m1N^rim SoOoOmgNNCw�JN��{C{rr�I�NoN�{o{NyyNQe-�mO m(r(ryNryppi N�0}}O�QQS �NINNmN, Mug. 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'Z OUWCHOCOp WRe�VC� Wm�� 22Ca9 � j�Wp<ZZOoz<<ZOSym i= Uwa w I pad "c�Eizzzzzz zzz�iiio COD m NOm1N q, �M MIV 000 N_ IILA � � 0 � OVINN � p0 O N O O N N ww y CPN W m mm Cl � N01V N w p 00d p O 0 080 o $ "' moo 400o a e d C Y O O Q ONN N N w � o0o F � W N V� U Q w QF W 'o C � F Z O W m � o U a W w 6 �Sg N F S yN W F m 00z yO F U*9w YY w Zzz 6m� � <Q x a N¢wa X W W uuul-111 Z 2 # 20 I NOTICE (N MEErING—12/i/2022 20. 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 16 of 17 I§ �§ I# Mpg OR m _O _§ m�B q©§ owl 8SS 0 � X k ) �2 �$ Is k k m q A 2 \ § m § M§ m �■ ; ■§ § kk ( Zk $ § Mk < § �) e= k �) @ f ] § �) ` 2 0) § z( ■ § k ) § � | v: m: »� � M z I z 0 k § ) I£ Is |k |) I$ E §§§ wm■ o; Q) \) (n ! \ ■ , �222 § §00 m §\{ E §e,§ § ; § ) ) I# �k |k Is k 0 ( m q A 2 § § k § k d \ ) \� A� k / A q A 2 § § 5= n= o= O C= i= L= D=_ n= mmm� � �A�W� om 0 A A 7� A DDDO m m m� OC z 00� �o�c 0 0 r Et 0 0 m m o z m N O Z r m _N 71= TI_ D m n O 0 �- z m D= D z '1= ymmm�z m _ m o Z_ i z m 60000 N pGp)OOQA y z Z D D D D m 2-zi-zizzeR 3- r= < a m ' m w A xyx Fi a n r r _ s �= fF O E9 0 f9 0 0 EATT 0 0 0 0 m= �o = 3= O T m=_ O 0 0 0 O z =_ Z _ Z (p O= j j IiT O O A fA O O T t0 = O 0 0 0 0 0 = fA En � EA I['n Ipp la fA N m w = m N T o 000SoC3 OI 2 I 4 m 3 m m z 0 3 m 0 n r N m m m N O a r n rn Z n o m e C_ A o r D 9 z m �o Cl)� c v eaa r m `211 ti >3 cn m a fN O z n C'! 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T mo = o 1= n m =_ m z= m a= n m = r- m= T Z 3 m �= C C =1 0 a= m 3 v= o p= Z A z m co = Co m ICp W �= A y Ze o m z G)= m 3 O V m= m Y z •�_ z--i y m= 0 r m (i = 9 ti r r =_ JOIN "' v=_ m== U== 1= m= Z- C Z z== v a 0= z O O O Al O (l = I. m=_ ;0E m=_ GE C= ma la 3 v- o m=_ m _ o z=_ z = OE N = N =_ O O = = � O 5 T Iji m m z T v a m �p m 1 m Z � a 0 m m z O v m z a cX 0 3 z Z N � `i O a C n n u A N A W = � o O o e n A D O U) D v D 1 �ozm r C D D Mai a(nZ D A 55 m z 0 z zzzzo D O O O D G)O G) z z z z S� 9 3 i m 000 to to '°10++ a c v m m=_ o z 'a-- m A? �? zi me a` m€ m y? r9 2 e ° m: z � A � c O c z (A y s v m T m 0 V) N IL"II9 z n m m m n C O c 0 Z 0 «� § § m ) I# I I» 2 § ■ ■ o; m m: "a) � § � ■: z % �) - m m k) \ ; z| M) 2 ` m . z) ) §o; o: s m! % m z a( ■ R ■ ■. k m) _ I G § ) �§ § _ § B � . z m ) §k m mk k k m ;OE �) N k) ) § t z § Ek § 2 0 q) m ° M\ rz) k M\ ■ n , §■_ §. �§ § I ■ ■ § #21 i NOTICE OF MEETING - 12/2.1/2022 21. Aooroval 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 Page 17 of 17 _1 i(1 O d� Lfl W N Mi P T M1 l9 M M M r N N M M t/} ICI Yi Eh aaaaa PW waa�� a. W U N D a W W w DNM W C H W N N N H A i i p H Wa F raj ray U Cal ra 0 r NNa F W W a,A U Q N N O N N N �i w a w V w a � H W a 0 n7 �aH O a H H x W W W U N F MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 21, 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 969,178.74 TOTAL TRANSFERS BETWEEN FUNDS' $ 109,66' ' TOTAL NURSING HOME UPL EXPENSES $ 846,648.66 TOTAL INTER-GOVERNMENTTRANSFERS $ GRAND TOTAL:DISBURSEMENTS-APPROVED December 21, 2022: $ 1,914,391.74 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 21, 2022 PAYABLES AND PAYROLL 12115/2022 Weekly Payabies 430,491.28 12/16/2022 Texas HHSC-inspection fee 500,00 12/19/2022 Memorial Medical Center -petty cash 29.00 1211912022 McKesson-34013 Prescription Expense 4,824-05 12119/2022 Amedsource Bergen-340B Prescription Expense 2,193.51 12/19/2022 Payroll Liabilities -Payroll Taxes 123,999A8 12/1912022 Payroll 388,949.29 Prosperity Electronic Bank Payments 12112-12115/22 Credit Card & Lease Fees 5,088.37 12114/2022 Department of Treasury Internal Revenue Service-2021 correction of 941 2,900.00 12/12-12/16/22 Pay Plus Patient Claims Processing Fee 204.08 TOTA4 PAYABLES; PmROLL AND ELECTRONIC BANK PAYMENTS! $ '959,178.74, TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 12/15/2022 MMC Operating to Fort bend -correction of NH insurance payment deposited 194.60 into MMC Operating 12/15/2022 MMC Operating to Crescent -correction of NH insurance payment deposited 8,174.50 into MMC Operating in error 121l 5/2022 MMC Operating to Golden Creek -correction of NH insurance payment 14,976.05 deposited into MMC Operating in error 12/15/2022 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 6,835.57 deposited into MMC Operating 12/15/2022 MMC Operating to Tuscany VIllage-correction of NH insurance payment 37,854.65 deposited into MMC Operating 12/1512022 MMC Operating to Bethany -correction of NH insurance payment deposited into 37,901.18 MMC Operating in error TRANSFER OF FUNDS BETWEEN NURSING HOMESIMMC 12/19/2022 Crescent to Tuscany -correction of Tuscany Insurance payment deposited into 4,628,00 Crescent in error TOTA. L TRANSFERS BETWEEN FUND$'' $ 709,584.45j NURSING HOME UPL EXPENSES 12119/2022 Nursing Home UPL-Canlex Transfer 491,690.35 12/19/2022 Nursing Home. UPL-Nexion Transfer 56,050.77 12/19f2022 Nursing Home UPL-HMG Transfer 40,312.69 12/19/2022 Nursing Home UPL-Tuscany Transfer 22,521.76 12/1912022 Nursing Home UPL-HSL Transfer 214,708.25 NURSING HOME BANK FEES 12/1512022 Ashford -Enhanced analysis fee 102,32 QIPP CHECKS TO MMC 12119/2022 Bethany 20,262A1 TOTAL NURSING HOME UPL EXPENSES $' 84SA48.55 TOTAL INTER -GOVERNMENT TRANSFERS: $ 01RAND170TAL DISBURSEMENTS APPROVED Dect;rrlger 21; 2022 $ %114,691:74. Page 1 of 15 RECEIVED BY THE COUNTY AUDITOR ON D 1 �15/2022 21Z t MEMORIAL MEDICAL CENTER 2�t3g AP Open Invoice List CALt�UUN COUNTY, TEXAS Due Dates Through: 12/31/2022 Vendor# Vendor Name Class Pay Code 10950 ACUTECAREINC invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross INV1050 V✓ 12/15/2012/2012012/30120 1,400.00 RFID FEE Vendor Totals Number Name Grass 10950 ACUTE CARE INC 1,400.00 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC - CENTRAL DIV v/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 9132501546 ✓ 12/14/20. 11/29/20 12/24/20 178.82 OXYGEN 9993255528 12114120 11/30120 12125/20 355.25 RENTAL CYL 9993252517 ✓ 12114/20 11130/20 12125/20 912.46 RENTAL CYL 9132546909/ 1 W14/20 11/30/20 12/25/20 2,385.72 RENTALBULK Vendor Totah Number Name Gross A1680 AIRGAS USA, LLC -CENTRAL DIV 3,832.25 Vendor# Vendor Name / Class Pay Code A2218 AQUA BEVERAGE COMPANY / M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 238340 ✓" 12115/2011/30/2012/2512CI 35.98 WATER 3i// 2383412M5/2011/30/2012125/20 75.94 0 ap_open_invoice.templata Discount No -Pay Net 0.00 0.00 1,400.00 t% Discount No -Pay Net 0.00 0.00 1,400.00 Discount 0.00 No -Pay 0.00 Net 178.82 ✓/ 0.00 0.00 355.25.1/ 0.00 0.00 912.46 0.00 0.00 2,$85.72 Discount No -Pay Net 0.00 0.00 31832.25 Discount No -Pay Net 0.00 0.00 35.98 .% 0.00 0.00 WATER 2$8339 ✓/ 12/15/2011130/2012125/20 25.98 0.00 WATER Vendor Totals Number Name Gross Discount A2218 AQUA BEVERAGE COMPANY 137.90 0.00 Vendor# Vendor Name Class Pay Code A0400 AUREUS RADIOLOGY LLC Invoice# Comment Tran Or Inv Dt Due Dt Check D Pay Gross Discount 2837180.,E 11130/2011/2812012/261PO 3.400,00 0.00 LAB STAFFING (11111- Ilin12-b) 5W'24 Vendor Total: Number Name Gross Discount A0400 AUREUS RADIOLOGY LLC 3,400.00 0.00 Vendor# Vendor Name Class Pay Code ,/ 12800 AUTHORITYRX y Invoice#, Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 1602 V 12/14/20 12/01/20 12/02/20 15,732.00 0.00 0.00 No -Pay 0.00 75.94 25.98 Net 137.90 No -Pay Net 0.00 3,400,00 No -Pay Net 0.00 3,400.00 No -Pay Net 0.00 15,732.00 340 Vendor Total: Number Name Gross Discount No -Pay Net 12800 AUTHORITYRX 15.732.00 0.00 0.00 15,732.00 Vendor# Vendor Name Class Pay Code 81220 BECKMAN COULTER INC ✓ M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tnip_cw5report61946... 12/15/2022 Page 2 of 15 110290388 ✓ 11/3012U 11/29/20 12/24/20 95.28 0100 0.00 95.28 LAB SUPPLIES 110294091,/ 11/30120 11/30120 12125/20 3,874.83 0.00 0.00 3,874.133 ACCESS 2 LEASE / / 110295597 112/14/2012101/20 12/26/20 184.95 0.00 0.00 184.95 ✓ LAB SUPPLIES ' 110295375 „ / 12/14/20 12/01/20 12/26/20 584.05 0.00 0.00 584.05 SUPPLIES 110297349 12/14/20 12/02/20 12/27/20 2,072.71 0.00 0.00 2,072.71 L,AB SUPPLIES 715.70 110207541 J/ 12/14/2012/021201PJ27120 715.70 0.00 0.00 1/ L AB SUPPLIES / / 110297102 ✓ 12114/20 12102/20 12127/20 2,771.39 0.00 0.00 2,771.39 ✓ LAB SUPPLIES 110296984 //12/14/2012/02/2012/27/20 65.12 0.00 0.00 65.12 LAB SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 10,364.03 0.00 0.00 10,364.03 Vendor# Vendor Name Class Pay Code B1320 BEEKLEY CORPORATION M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV15576461/ 12101120 09/12120 10112120 959.45 0.00 0.00 959.45,// Sr1pV li cS Vendor Totals Number Name Gross Discount No -Pay Net B1320 BEEKLEY CORPORATION 959.45 0.00 0.00 959.45 Vendor# Vendor Name Class Pay Code f 14636 BLUE CROSS BLUE SHIELD ✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check D' Pay Gross Discount Na-Pay Net 113022 12/07/20 11/30/20 12/30/20 35.00 0.00 0.00 35.00 ✓ REFUND Vendor Totals Number Name Gross Discount No -Pay Net 14636 BLUE CROSS BLUE SHIELD 35.00 0.00 0.00 35.00 Vendor#Vendor Name Class Pay Code 13892 BLUE CROSS BLUE SHIELD REFUND ,/ Invoice# Comment Tran Dt Inv Dt Due Ot Check D- Pay Gross Discount No -Pay Net / 101.96 113022A 12/07/20 11/30/20 12/30/20 101.96 0.00 0.00 v� 'REFUN❑ 1,587.60 113022 12107120 11180/20 1 P130/20 1,587.60 0.00 0.00 -REFUND Vendor Totals Number Name Gross Discount No -Pay Net 13692 BLUE CROSS BLUE SHIELD REFUND 1,689.56 0.00 0.00 1,689.50 Vendor# Vendor Name Class Pay Code / 12740 BUILDING KID STEPS ✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Not NOV22-2,/ 12/14/2012/01/2012/16/20 1,026.00 0.00 0.00 1,026.00 SPEECH THERAPY NOV22-3 f 12/14/20 12/01/20 12/16/20 550.00 0.00 0.00 s5o.w THERAPY !SPEECH NOV22.1 12/14/201210112012/16120 J 1,065.00 0.00 0.00 1,065.00 ✓ SPEECH THERAPY Vendor Totals Number Name Gross Discount No -Pay Net file://!C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report61946... 12/15/2022 Page 3 of 15 12740 BUILDING KID STEPS 2,641.00 0.00 0.00 2,641.00 Vendor# Vendor Name Class Pay Code 11295 CALHOUN COUNTY INDIGENT ACCOUN Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 120822 12/14/20 12/08/20 12/09/20 10.00 0.00 0.00 10.00 TRANSFER Vendor Totals Number Name Grass Discount No -Pay Net 11295 CALHOUN COUNTY INDIGENT ACCOUN 10.00 0.00 0.00 10.00 Vendor# Vendor Name Class Pay Code 13264 CERVEY, LLC f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 19466 f 12/14/20 IP105/2012130/20 1,699.00 0.00 0.00 1,699.00 LICENSE MONTHLY Vendor Totals Number Name Gross Discount No -Pay Net 13264 CERVEY, LLC 11699,00 0.00 0.00 1,699-DO Vendor# Vendor Name Class Pay Code CI BOO CITIZENS MEDICAL CENTER Vv Invoice# Comment Tran of Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 2022-5 12/16/20 12/16/20 12/20/20 62,279.80 0.00 0:00 62,279.80 ✓'� AN ETHESIA SERV PMT 5 Vendor Totals Number Name Grass Discount No -Pay Net C1600 CITIZENS MEDICAL CENTER 62,279.80 0,00 0.01) 62,279.80 Vendor# Vendor Name Class Pay Code 10212 CLINICAL PATHOLOGY LABS ✓ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay, Net 176569022110 v/ 12/14/20 11/30120 12/25120 20,594.25 0.00 0,00 20,594.25 LAB SERV Vendor Totals Number Name Gross Discount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 20,594,25 0,00 0.00 20,694.25 Vendor# Vendor Name Class Pay Code J 14080 CORROHEALTH, INC. ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 896421,/ 12/14/20 11130/20 12130/20 2,348.20 0.00 0.00 2,348.20 CODING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 14080 CORROHEALTH, INC. 2,348.20 0.00 0.00 2,348.20 Class Ventlor# Vendor Name Class Pay Code 14608 COTIVITI / Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net / 113022 12/07/2011/30/2012130120 76.19 0.00 0.00 76.19 -!UdE 4T-FUND Vendor Totals Number Name Gross Discount No -Pay Net 14608 COTIVITI 76.19 0.00 0.00 76.19 Vendor# Vendor Name Class Pay Code 14292 DEARBORN LIFE INSURANCE COMPAN , / invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121322 1211512012/1312012131120 3,625,48 0.00 0.00 3,625.48 LIFE INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 14292 DEARBORN LIFE INSURANCE COMPAN 3,625.48 0.00 0.00 3,625.48 Vendor# Vendor Name Class Pay Cade file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.coin/u88125/data_5/tmp_cw5report61946... 12/15/2022 Page 4 of 15 10060 DETAR HOSPITAL ✓ ICP Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross 113022 11/30/2011/3012012/30/20 710.01 LAB SERVICES NOV 22 Vendor Totals Number Name Gross 10060 DETAR HOSPITAL 710.61 Vendor# Vendor Name Class Pay Code / 10368 DEWITT POTH & SON ✓ Invoice# Comment Train Dt Inv Dt Due DI Check D Pay Gross 70172701 / 11130/20 11/30120 12/25120 207.69 SUPPLIES 7009040 ✓ IPJ01 /20 11/16/20 12/11/20 567.03 SUPPLIES 7011560 / SUPPLIES 7013860 ✓ 12101 /20 11117120 12/12120 12/01/20 11/22/20 12/17/20 Discount No -Pay Net 0.00 0.00 710.61 Discount No -Pay Net 0.00 0.00 710.61 Discount No -Pay Net 0.00 0.00 207.691-11/ 0.00 0.00 567.03 ✓ 109.64 0.00 592.08 0.00 SUPPLIES Vendor Totals Number Name Gross Discount 10368 DEWITT POTH & SON 1,476.44 0.00 Vendor# Vendor Name Class Pay Code 11011 DIAMOND HEALTHCARE CORP f Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount IN20055564✓ 12114/20 12101120 12126/20 31,144.58 0.00 BEEH HEALTH NOV 22 IN20055565 ✓ 1PJ14120 1210112012126/20 19,165.67 0.00 NOV 22 CPR Vendor Totals Number Name Gross Discount 11011 DIAMOND HEALTHCARE CORP 50,311,25 0.00 Vendor# Vendor Name Class Pay Code / 11291 DOWELL PEST CONTROL✓ Invoice# Comment Tran Ot Inv Dt Due Ot Check D- Pay Gross Discount / 13619 ✓ 12114/20 11130120 11/30/20 105.00 0.00 PESTS CONTROL Vendor Totals Number Name Gross Discount 11291 DOWELL PEST CONTROL 105.00 0.00 Vendor# Vendor Name Class Pay Code / 10175 DSHS CENTRAL LAB MG2004 �.r Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 121222 12/14/20 12/12/20 12/25/20 945.18 0.00 CM1838 LAB SERV Vendor Totals Number Name Gross Discount 10175 DSHS CENTRAL LAB MG2004 945.18 0.00 Vendor# Vendor Name Class Pay Code 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Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount / 78435 ✓ 1PJ14/20 12/12120 12/12/20 23,000.00 0.00 � � uQ t` 44) aalvs Vendor Totals Number Name Gross Discount 14648 E FRIEDMAN ASSOCIATES INC 23,000.00 0.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS Z 0.00 109.64 ✓ 0.00 592.08 �.✓ No -Pay Net 0.00 1,476,44 No -Pay Net 0.00 31,144.58 ✓`� 0.00 19,166.67 No -Pay Net 0.00 50,311.26 No -Pay Net 0.00 105.00 No -Pay Net 0.00 105.00 No -Pay Net 0.00 945.18 No -Pay Net 0.00 945.18 No -Pay Net 0.00 23,000.00 No -Pay Net 0.00 23,000.00 file:///C:/Userslitrevino/cpsilmenumed.cpsinet.com/u88125/data_5/tmp_cw5repor161946... 12/15/2022 Page 5 of 15 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 41754./ 12114120 11130/20 12/10/20 4,980.00 0.00 0,00 4,980.00,,,/ CAPEK/SCANKS 41775 ✓ 12/15/20 12/15/20 12/25/20 40,062.50 0.00 0.00 40,062.50 PHYSICIAN SERV 1-16-lix) Vendor Total: Number Name Gross Discount No -Pay Net 11284 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0.00 1,205.31 ✓r PHONE 3615520338 Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,205.31 0.00 0.00 1,205.31 Vendor# Vendor Name Class Pay Code � / 12404 GE PRECISION HEALTHCARE, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 6002279038 iJ 1211412012/0112012/31/20 2,422.50 0.00 0.00 2,422.50 IMAGING CONTRACT 6002279205,/ 12114/20 IPJ0112012/31/20 868.16 0.00 0.00 868A6,% IMAGING CONTRACT 6002279000 12114/2012/01/2012/31120 680.00 0.00 0.00 680.00 IMI�GING CONTRACT 6002279086 ✓/ 1211512012/0112012/31/20 5,665.83 0.00 0.00 j 5,665.83 imaging contract 60022790391/ 12/1512012/01/2012131/20 61.67 0.00 0.00 61.67 ✓� IMAGING CONTRACT 6002279036 ,/ 12/15/20 12/01/20 12/31/20 3,588.58 0.00 0.00 3,588.58 IMAGING CONTRACT 6002279037 t/ 12/15120 12/01/20 12/31/20 85.67 0,00 0.00 88.57✓ IMAGING CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net file://!C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report61946... 12/15/2022 Page 6 of 15 12404 GE PRECISION HEALTHCARE, LLC 13,373.41 0.00 0.00 13,373.41 Vendor# Vendor Name Class Pay Code / 12948 GREAT AMERICA FINANCIAL SVCS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 32950495 +//12/14/20 12/01/20 12/31/20 10,562.22 0.00 0.00 10,562.22 V COPIER LEASE Vendor Total: Number Name Gross Discount No -Pay Net 12948 GREAT AMERICA FINANCIAL SVCS 10,562.22 0,00 0.00 10,562.22 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY,/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 2321Wv/ 11/30/201112912012129/20 286.12 0.00 0.00 286.12 „✓ SUPPLIES 2322162.// 11/30/2011/30/2012/30/20 405.01 0.00 0,00 405.01 if SUPPLIES / 2319941 ✓ 12 O1120 1112PJ20 12/22/20 556.26 0.00 0.00 '955,26 .i SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,247.39 0.01) 0.00 1,247.39 Venclor# Vendor Name Class Pay Code 10804 HEALTHCARE CODING & CONSULTING / Invoice# Comment Tran Dt Inv Ot Due Dt Check O Pay Gross Discount No -Pay Net 13266 / 12/14/20 11130/2012/30/20 265.00 0.00 0.00 255.00 CHARTS Vendor Tolals Number Name Gross Discount 10804 HEALTHCARE CODING & CONSULTING 255.00 0.00 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES „Z Invoice# Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount Jcomment 100691 12115/2011/2712012/27/20 4,610.52 0.00 LEASE Vendor Totals Number Name Gross Discount 11552 HEALTHCARE FINANCIAL SERVICES 4,610.52 0,00 Vendor# Vendor Name Class Pay Code / H0416 HOLOGIC INC ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount 10340101 / 12/14/2n 11/23/20 12/14/20 236.26 0.00 SUPPLIES Vendor Total: Number Name Gross Discount H0416 HOLOGIC INC 236.26 0.00 Vendor# Vendor Name Class Pay Code 11200 IRON MOUNTAIN ti/ Invoice# omment Tran Dt Inv DI Due Dt Check D Pay Grass Discount / HBZB128 �/ 11/3012011/30/2012/30/20 881.22 0.00 SHREDDING Vendor Totale Number Name Gross Discount 11200 IRON MOUNTAIN 881.22 0.00 Vendor# Vendor Name Class Pay Code / 11285 ITA RESOURCES INC ✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount MMC122022 / 12MWO 12/12/2012/25/20 26,635.99 0,00 No -Pay Net 0.00 255.00 No -Pay Net 0.00 4,610.52 No -Pay Net 0.00 4.610.52 Na-Pay Net 0.00 236.25 ✓� No -Pay Net 0.00 236.25 No -Pay Net 0.00 881.22 ✓'` No -Pay Net 0.00 881.22 No -Pay Net 0.00 26,635.99 file:lllC:/Users/ltrevino/cpsi/memmed.cpsinet.coni/u881251data_51tmp_cw5report61946... 12115/2022 Page 7 of 15 RESP PROF FEES Vendor Totals Number Name Gross Discount No -Pay Net 11285 ITA RESOURCES INC 26,635.99 0.00 0.00 26,635.99 Vendor# Vendor Name Class Pay Code f 14540 JINDAL X LLC ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2022-23-013 ✓ 12/14/20 12/08/20 12/16/20 9,000.00 0.00 0.00 9,000,00 REVENUE CYCLE MOT Vendor Totals Number Name Gross Discount No -Pay Net 14540 JINDALX LLC 9,000.00 0.00 0.100 9,000.00 Vendor# Vendor Name Class Pay Code D1710 KEEP-U-NEAT CLEANERS W Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 120122 12115/2012/01/2012/31/20 1,295.00 0.00 0.00 1,295.00 r/F DRY CLEANING Vendor Totals Number Name Gross Discount No -Pay Net D1710 KEEP-U-NEATCLEANERS 1,295.00 0.00 0.00 1,295.00 Vendor# Vendor Name Class Pay Cade / 10867 KYLIE GAINES f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 120922 12/14/20 12/09/20 12/19/20 34.63 0.00 0.00 34.63 1/ TRAVEL- %CiijZej%_ jhtj Vendor Totals Number Name Gross Discount No -Pay Net 10867 KYLIEGAINES 34.63 0.00 0.00 34.63 Vendor# Vendor Name Class Pay Code 11600 LEGAL SHIELD / Invoice# Comment Tran Of Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121522 12114/20 12115120 12115/20 391.80 0.00 0.00 391.80 PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 11600 LEGALSHIELD 391.80 0.00 0.uo 391.80 Vendor# Vendor Name F Class Pay Code L1640 LOWE'S BUSINESS ACCT/SYNCB .% W Involce# 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Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 176606 12/14/20 1113012012/25/20 3,027.53 0.00 0.00 3,027.53r,/ / COLLECTION FEES/COURTCt 176605 ✓ 12/14/20 11/30/20 12/25/20 2,128.34 0.00 0.00 2,128.34 f� COLLECTION FEES Vendor Totals Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 5,155.87 0.00 0.00 6,165.87 Vendor# Vendor Name Class Pay Cade M2470 MEDLINE INDUSTRIES INC ,% M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 2241320236 11/30/20 11/29120 12124/20 246.19 0.00 0.00 246.19 .% file;///C;/Userslltrevino/cpsiln-iemmed,cpsinet.cons/u88125/data_5/tmp_cw5report6l 946... 12/ 15/2022 Page 8 of 15 su/pPLIES 2241320235 ✓ 11/30/20 11/29/20 12124/20 25.88 0.00 0.00 25.88 ✓ SUPPLIES 2234625450 J 12/01/2010/20/2011/14/20 7,717.22 0.00 0.00 1,717.22 2235253054 V// 12/01/20 10/24/20 11118120 189.81 0.00 0,00 189.81 rj MEDICAL SUPPLIES ' 2235784109 12/0112010/27/20 11/21/20 1,615.39 0.00 0.00 1.616.39 ✓, SU PLIES 0.00 0.00 5.60 2235784113 12/01/2010/271PO 11/21/20 5.60 SUPPLIES 2237032497 ,/� 12/01/2011/03/201112812U 992.02 0.00 0.00 992.02 yj SUPPLIES 2238986658✓ 12/01/2011/12/2012/07/20 328.70 0.00 0.00 32B.70 y/ 2241433384 V1 12/13/20 11/30/20 12/25/20 42.30 0.00 0.00 42.30 ,/ SUPPLIES 2241433382 ✓/ 12113/2011/30/2012125120 173.28 0.00 0.00 173.28 ✓ SUPPLIES 2241433386 12/13/20 1 t/3o/20 12/25/20 67.41 0.00 0,00 67.41 ✓' SUPPLIES 404.97 2241433383✓ 12/13/2011/3012012125120 404.97 0.00 0.00 W SUPPLIES 2241434504✓ 12/13/20 11/30120 12125/20 56.24 0.00 0.00 56.241- SUPPLIES-G/S 2241433381v'/ 12/13/201113012012/25/20 132.92 0.00 0.00 132.92 SUPPLIES 22414S3380/ 12113120 11130120 12/25/20 201.96 0.00 0.00 201.95 v'f SUPPLIES 2241434501 ✓ 1W14/20 11130/2012/25/20 3,214.03 0.00 0.00 3,214.03 SUPPLIES 2241433389/ 121141201113012012/25/20 37S9 0.00 0.00 37.69 .✓ SUPPLIES 2241433387✓ 12/1412011/3012012125120 94.56 0.00 0.00 94.56 SUPPLIES i 2241433392 f� 1211412011/30/2012125/20 1,044.64 0.00 0.00 1,044.64 f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 10,590.81 0.00 0.00 10,590.81 Vendor# Vendor Name Class Pay Code l M2550 MELSTAN, INC. f w Invoice# Comment Tran Ol Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 057702 12/14/20 12/05/20 12/15/20 84.70 0.00 0.00 84.70 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2550 MELSTAN, INC. $4.70 0.00 0.00 84.70 Ventlor# Vendor Name / Class Pay Code G0333 MICHAEL GAINES ✓/ IN Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121522 12/15/2012/15/2012/25120 1,500.00 0.00 0.00 i 1,500.00 TRAVEUCONF REIMS file:///C:/Users/ltrevino/cpsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report6l946... 12/ 15/2022 Page 9 of 15 Vendor Total: Number Name Gross Discount No -Pay Net G0333 MICHAEL GAINES 1,500.00 0.00 0.00 1,500.00 Vendor# Vendor Name Class Pay Cade M2685 MICROTEK MEDICAL INC M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Grass Discount No -Pay Net 6272234502✓ 12I13/2009/2712010/27/20 352.08 0.00 0.00 352.08 V SUPPLIES CENTRAL SUPPLY 6273176621 „+% 12/13120 11/09120 12/09/20 176.04 0,00 0.00 176,04 ✓ SUPPLIES CIS Vendor Tctak Number Name Gross Discount No -Pay Net M2685 MICROTEK MEDICAL INC 528.12 0,00 0.00 528.12 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP,/ w Invoice# Comment Tran Ot Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 120822 12/14/20 12/08/20 12118/20 308.67 0.00 0.00 308.67 e,r� PAYROLLDEDUCT - 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/ 8970495 ✓ 12/14/20 12/07/20 12/17/20 37.06 0,00 0.00 37.06 v/ PHARMINVENTORY 8969531 �/12/14/20 12/07/20 12/17/20 53,66 0.00 0.00 53.66 f PHARMINVENTORY 31.56 8967878 v' 12/14/20 12/07/20 12/17/20 31.66 0.00 0.00 �,✓ PHARMINVENTORY / 3610 J 12/14/20 12/08/20 12/18/20 -0.87 0.00 0.00 -0.87 PHARM INVENTORY CR l 8973230 ✓ 12/14/20 12/08120 12/18/20 430.01 0,00 0.00 439.011✓ PHARMINVENTORY / 8973229 ✓ 12/14/20 12/08/20 12/18/20 5.29 0.00 0.00 5.29 ✓ PHARMINVENTORY 0.00 253.30 ✓f 8983220✓ 12714/2012/08120 12/18/20 253.30 0.00 PHARMINVENTORY ' 8976030 12/14/2012 OB12012118/20 326.18 0.00 0.00 326.18 of /PHARMINVENTORY 8976029 ,12/14/20 1210812012118120 / 69.64 0.00 0.00 89,64 ` PHARMINVENTORY 8983219 J 1PJ1412012/11/2P IPJ21/20 357.87 0.00 0.00 357.87 PHARMINVENTORY 898088E ,f 12/1412012/11/2012/21/20 57.52 0.00 0.00 $7.52 ✓'� PHARM INVENTORY ` 8984893 12/14/2012/12/2012122/20 115.04 0100 0.00 115,04✓ /PHARMINVENTORY 8984890 ✓ 12/1412012/12/2012122/20 330.03 0.00 0.00 330.03 INVENTORY ,PHARM 8987125✓/ 12/1412012/12/2012/22/20 746.43 0.00 0.00 746.43 file://!C:/Users/ltrevino/cpsUmemmed.cpsinet.com/u88125/data_5/tmp_cw5report61946... 12/ 15/2022 Page 11 of 15 PHARMINVENTORY 8984894 12114/20 12112/20 12122/20 222.21 0.00 0.00 222.21 ✓ PHARMINVENTORY 8984895✓/12114/2012/1212012/22/20 5,307.08 0.00 0.00 5,307.08 .✓ PHARMINVENTORY 89871261/ 1 V14120 12/12/20 12/22/20 320.20 0.00 0.00 320.20 ✓ PHARMINVENTORY 8984106 ✓/12/14/20 12/12/20 12/22/20 1,177.02 0.00 0.00 1,177.02 /PHARMINVENTORY / ✓ 8984892 ✓ 12114/2012112120 12/22/20 38.60 0.00 0.00 38.60 PHARMINVENTORY 8984691 12/14/20 12/12/20 12/22/20 7,60 0.00 0.00 7.60 f PHARM MVENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10538 MORRIS & DICKSON CO, _LC 22,290.62 0,00 0.00 22,290.62 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 8800967971 / 11/30/20 11/25/20 12/28/20 323.$0 0.00 0.00 323.30 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 323.30 0.00 0.00 323.30 Ventlor# Vendor Name Class Pay Code 12056 NEOGENOMICS LABORATORIES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5937744 � 11/30/201113012012/30/20 1,225.00 0.00 0.00 1,225.00 ✓ LAB SERV Vendor Totals Number Name Gross Discount No -Pay Net 12090 NEOGENOMICS LABORATORIES 1,225.00 0.00 0.00 1.225.00 Vendor#Ventlor Name Class Pay Code 13624 NEXION HEALTH AT NAVASOTA INC ,/` Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net TELEMED20221202 12/1412012107/2012/20/20 d 1,000.00 0.00 0.00 1,000.00 .% TELEMEDICINE - VendorTotalsNumber Name Gross Discount No -Pay Net 13624 NEXION HEALTH AT NAVASOTA INC 1,000.00 0.00 0.00 1.000.00 Vendor# Vendor Name Class Pay Code 11155 PARAREV ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 12700 ,� 12/14/20 12/01/20 12/31/20 950.00 0.00 0,00 950.00 QTRLY PROCESSING / 12606 12/14/2012/01/2012131l20 3,084.00 0.00 0.00 3,084.0G REVENUE INTEGRITY PROG Vendor Totals Number Name Gross Discount No -Pay Net 11155 PARAREV 4,034.00 0.00 0.00 4,034.00 Vendor# Vendor Name Class Pay Code 12544 PATRICK OCHOA / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 12D122A 1 PJ1412012/0112012/02l20 520.00 0.00 0.00 '920.00 / LAWN MAINT 120122B 12/14/20 12/0112012/02/20 - 200.00 0.00 0.00 200.00 tile:///C:/Users/Itrevino/cpsihnemmed,cpsinet.corn/u88125/data_5/tmp_cw5report61946... 12/ 15/2022 Page 12 of 15 LAB SUPPLIES 120122 12114/20 12101/20 12125120 380.00 0.00 0.00 380.00 V' LAWN MAWT Vendor Totals Number Name Gross Discount No -Pay Net 12544 PATRICK OCHOA 1,100,00 0.00 0.00 1,100.00 Vendor# Vendor Name / Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net IN000562429 I/ 12I412011/3012012130/20 2.624.74 0.00 0.00 2,624.74 Vendor Totals Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 2,624.74 0.00 0.00 2,624.74 Vendor# Vendor Name Class Pay Code 10896 OIAGEN INC Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net �omment 998586305 12J14/2011/23/2012/23/20 209.28 0.00 0.00 209,28 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10896 QIAGEN INC 209,28 0.00 0.00 209.28 Vendor# Vendor Name Class Pay Code ' RAPID�t ✓/ f1'IK'�1( 1 Z� Invoice# QommentJJ Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net !� 16162 '/ 1 PJ14/2012/1312012/23/20 231.20 0.00 0.00 231.20 HEAVY BOND PAPER ' Vendor Totals Number Name Gross Discount No -Pay Net 13272 RAPID AIR 231,20 0.00 0.00 231.20 Vendor# Vendor Name Class Pay Code R1401 REFUGIO COUNTY MEM. HOSPITAL ✓ W Invoice# Comment Tran Dt Inv Di Due Dt Check D Pay Gross Discount No -Pay Net 20221027A 12114120 10126/20 11126/20 108.60 0.00 0.00 108.60" PHARMINVENTORY / 20221026E 12114MO 10/26/20 11/26/20 492.50 0.00 0,00 492.50 V 20221117RCMH 12/14[2011/17/2012M7/20 2,777.28 0.00 0.00 2,777.28 PHARM INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net R1401 REFUGIO COUNTY MEM. HOSPITAL 3,378.38 0.00 0.00 3,378.38 Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIQUEZ ✓,+ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 120622 IPJ14120 IPJ0612012116/20 45.38 0.00 0.00 45.381-/ TRAVEL 5&0'S ' 121222 12�/�1.4"/2"0 1211212012/20/20 43.94 0.00 0.00 43.94 TRAVEL REIM -, 1)km Vendor TotalsNumber Name Gross Discount No -Pay Nat 11764 ROBERT RODRIQUEZ 89.32 0.00 0.00 89.32 Vendor# Vendor Name Class Pay Code / S1800 SHERWIN WILLIAMS W Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net f 9522-4,/ ,/ 12/15/2011/21/2012/06/20 25.34 0.00 0.00 25.3v SUPPLIES file:///C:fUsers/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/trnp_cw5report61946... 12/ 15/2022 Page 13 of 15 Vendor Totals Number Name Gross 51800 SHERWIN WILLIAMS 25.34 Vendor# Vendor Name Class Pay Cade 11296 SOUTH TEXAS BLOOD & TISSUE CEN Vz Invoice# omment Tran Ot Inv Ot Due Ot Check D Pay Gross 107026982 11/30/20 11/30/20 12/25/20 5,395.00 Discount No -Pay 0,00 0.00 Net 25.34 Discount No -Pay Net 0.00 0.00 5,395.00,/ BLOOD CM8310 1/ 11/30/2011130/20 12/25/20 -3,555.00 0.00 0.00 -3,555.00 CREDIT Vendor Totals Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 1,840.00 0.00 0.00 1,840,00 Vendor# Vendor Name / Class Pay Code 12288 SPBS CLINICAL EQUIPMENT SRVC ✓ Invoice# Gom/ ont Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net INV0197312221 12/14/20 12/01120 12/02/20 10,238.92 0.00 0.00 10,238.92 V' CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 12288 SPBS CLINICAL EQUIPMENT SRVC 10.238.92 0.00 0.00 10,238.92 Vendor# Vendor Name Class Pay Code / 11672 STANLEY ACCESS TECH LLC ✓ Invoice# Comment Tran Ot Inv Ot Due of Check D Pay Gross Discount No -Pay Net 0906867063 12/14120 10/04/20 11103/20 2,566.96 0.00 0.00 2,566.95 ✓ DOOR PARTS/TRAVELILABOR ' Vendor Totals Number Name Gross Discount No -Pay Net 11672 STANLEY ACCESS TECH LLC 2,566.96 0.00 0.00 2,566.96 Vendor# Vendor Name Class Pay Code $3960 STERICYCLE, INC f Invoice# Comment Tram Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 4011375451✓ 12114120 12101120 12131/20 2,702.49 0.00 0.00 2,702.49✓ DISPOSAL Vendor Totals Number Name Gross Discount No -Pay Net 5396o STERICYCLE, INC 2,702.49 0.00 0.00 2,702.49 Vendor# Vendor Name Class Pay Code 13628 STRYKER FLEX FINANCIAL,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not / 271013 ✓ 12/14/20 11115/20 1PJ25120 1.294.26 0.00 0.00 1,294.26 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 13528 STRYKER FLEX FINANCIAL 1,294.26 0.00 0.00 1,294.26 Vendor# Vendor Name , Class Pay Code T2539 T-SYSTEM, INC ✓ W Invoice# Comment Tran Dt Inv Ot Due Dt Check Dr Pay Gross Discount No -Pay Net / 895935 12/14/20 11/30/20 12/30/20 ✓ 6,130.42 0.00 0.00 6.130.42 ✓ PHYSICAN ER TRACKING Vendor Totals Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 6,130.42 0.00 0.00 6,130.42 Vendor# Vendor Name Class Pay Code T0420 TELEFLEX MEDICAL ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9506263040 / 12/01/201112112012107/20 48.45 0.00 0.00 46.46,/ SUPPLIES file:/NC:lUserslitrevinolepsilmemmed, cpsinet.com/u88125/data_5/tmp_cw5report6l946... 12/15/2022 Page 14 of 15 Vendor Totals Number Name Gross Discount No -Pay Net T0420 TELEFLEX MEDICAL 48.46 0.00 0.00 48.46 Vendor# Vendor Name Class Pay Code 14168 TEXAS HHSC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 120922 12/14120 12109/20 12120120 500.00 0.00 0.00 500.c0 INSPEC FEE /UNIT SURGERY Vendor Totals Number Name Gross Discount No -Pay Net 14168 TEXAS HHSC 500,00 0.00 0.00 500.00 Vendor# Vendor Name / Class Pay Cade 107$2 THERACOM, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 223561364-301 12114120 10/24120 11/24120 2,(mae 0,00 0.00 2,052.86 ✓/ PHARMINVENTORY ' Vendor Totals Number Name Gross Discount No -Pay Net 10732 THERACOM, LLC 2,052.86 0.00 0.00 2,052.86 Vendor# Vendor Name Class Pay Code / 13616 TRIOSE, INC,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net T81139325 1/ 12/14/20 12/09/2012/24/20 267.80 0.00 0.00 267.80 FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net 13610 TRIOSE, INC 267.80 0.00 0.00 267.80 Vendor# Vendor Name Class Pay Code / U1064 UNIFIRST HOLDINGS INC / Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 8400409900 ,� 12/14/20 12/01/20 12/26/20 62,67 0.00 0.00 62.67 ✓ / LAUNDRY 8400409861 12/14/20 12/01/20 12/26/20 ✓ 202,31 0.00 0.00 202.31 ✓ LAUNDRY 8400409859 ✓f12/14/20 12/01/20 12/26/20 204.61 0.00 0.00 204.61 LAUNDRY 8400400862�/ 12/14/2012/01/201PJ26120 214.85 0.00 0.00 214.85 ,..� LAUNDRY 8400409858✓ 12/1412012/01/2012126/20 32.01 0.00 0.00 32.01 LAUNDRY 8400409880 1pit 412012/01/2012126/20 ✓ 76.28 0.00 0.00 76.28,% LAUNDRY 8400409860 ✓/12114120 12/01/20 12126/20 177.17 0.00 0.00 177.17 LAUNDRY 8400410087�// 12/14/20 12/01120 12126/20 2,403.87 0.00 0.00 2,403.8% LAJJNDRY 1,594.96,i� 8400409866 ✓� 12/14/2012/01/2012126/20 1,594.96 0.00 0.00 LA/UNDRY 8400410066 7 12/14/20 12/05/20 12/30/20 45.12 0.00 0,00 45.12 LAUNDRY 8400410065 12114/20 12/05120 12/30/20 48.15 0.00 0.00 4B115_,,- LAUNDRY Vendor Total.- Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 5,062.00 0.00 0.00 5,062.00 Vendor# Vendor Name Class Pay Cade file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report61446... 12/15/2022 Page 15 of 15 14660 VEF ENGINEERING V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 22-365 12/14120 11/30/20 11/30120 300.00 0.00 0.00 300.00 WINDSTORM INSPECTION Vendor Totals Number Name Gross Discount No -Pay Net 14660 VEFENGINEERING 300.00 0.00 0.00 300.00 Vendor# Vendor Name Class Pay Code / WOUND CARE SPECIALISTS ✓ 10556 Invoice# Comme t Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net WCS00005465 7 12113120 09/01/20 09130120 8,225.00 0.00 0.00 8,225.00 % WOUND CARE AUG 22 ' Vendor Totals Number Name Gross Discount No -Pay Net 10556 WOUND CARE SPECIALISTS 8,225.00 0.00 0.00 8,225.00 Report Summary Grand Totals: Gross Discount No -Pay Net 430,491.26 0.00 0.00 430,491.28 APPROVE© ON gy DEC 15 22po2z 080%wrou 1; S file:///C:/Users/ltrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report61946... 12/ 15/2022 Page 1 of I RECEIVED BY THE ON MEMORIAL MEDICAL CENTER DF011, 0 JAW?n P�4 6 2�2Z AP Open Invoice List ap_open_invoice.template g P� Dates Through: CALH0 �67RN� Class Pay Code 1� C" CT41i68 UTIXAS HHSC Invol 1 Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ,/ 12: 12/14/2012/09/2012/20,1,220�'' 500.00 0.00 0.00 50 o 7777____ /INSPEC FEEIUNIT SURGERY L(Mu Wr Gi > / / 121622 ✓ 12/16/20. 1016/2012120120. 500.00 0.00 OAO 500.00 ✓ INSPECTION FEE ' Vendor Total, Number Name Gross // Discount No -Pay 0.00 Net 1,000AO J�Q'Oli 14168 TEXAS HHSC t D, to 1,000_'00 0.00 Report Summary // Grand Totals: Gross Discount (A No -Pay 0.00 Net 1,01�00 1,00#0 J�u• 0-00 APPROVED ON DEC 16 2022 CAM-RUNIM" file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report73431... 12/16/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDIFOR ON DEC 19 2022 CALHOWNt"N-TEXAS 09:31 MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_invoice.template Vendor# Vendor Name Class Pay Code 12246 MEMORIAL MEDICAL CENTER vl Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 12162022 12119/20. 12/16/2012/21/20. 29.00 0.00 0.00 29.00 r% PETTY CASH Vendor Total -Number Name Gross Discount No -Pay Net 12246 MEMORIAL MEDICAL CENTER 29.00 0.00 0.00 29.00 Report Summary Grand Totals: Gross Discount No -Pay Net 29.00 0.00 0.00 29.00 �i rJ; Jl l7► li,a DEC 19 2022 caLHOElDii &UI a§ file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/888125/data_5/tmp_cw5report89825... 12/19/2022 MSKESSCIN As of; 1211612022 Pape: 002 To ensure PreWr Crean to your STATEMENT account, delach and return this stub with your remittance ccmnanr: e400 DC: 8115 As 12/16/2022 Page: 002 MailIto: Corny. 8000 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory: DUE VIA ACH DEBIT AP information Statement for Informon only for information Slalemenl for information only 815 N STREET 632536 AVACVIRGINIA PDRT LAVACA T% 77979 Data: feu Data: 12/AI2022 Cast: 632536 PLEASE CHECK ANY Data: 12/17/2022 ITEMS NOT PAID (1) atlonal Account a36 Sl Ertl Cash Amount P Amcant P asceivabb Billing Due Date Data Member lielerence Member DaxtlptlOn Discount ss F (9re ) net F Number (hot) PF column Is'nd: P = Past Dae Item, F = Future Sae It... blank a Camcht Dec Item TOTAL National Acd 632536 MEMORIAL MEDICAL Ct34T92 Subtotals: 4,922.50 USD 0.00 Due If Paid On Time: Future DM: If Paid fH 1212012022, USO 4,824.05 0.00 Pay This Amount: 4.824.05 USD Disc lost If Wid late: Pant Dua: 98.45 Last Payment 2,451.97 1f Paid Alter 1212012022, Dan If Paid late: U50 4,922.50 08/OT/2017 Pay this Amount: 4.11M 0 USD \ 1 APPRUM ON gyO�EpCDM1ry9p2022 CA7.FK)llN CilUN1NU 4,'724^38 99-'7P 4, 824 .135 x For AR Inquiries please contact 800-867-0333 MWESSON c..1.1: 6000 WALMART 1098IMEM MITI MS MEMORIAL MEDICAL CENTER VICKY KALISFK 815 N VIRGINIA ST PORT IAVACA TX 77979 As o1: 1211612022 Nam 001 To ensure proper oed8 to your STATEMENT amount, dabsch and return this dub with you remittance DC: 8115 As of: 1211612(122 Page: 001 Mail to. Comp: 8000 AMT DUE R13AITTED VIA ACH OMIT Twdtory: 400 AMT DUE REMITTED VIA ACH D®IT Statement for information only Statement far InfmrmmI. only Customer: 256342 Date: 12/1712022 Cost: 256342 PLEASE CHECK ANY Date: 12/17/2022 ITEMS NOT PAID IV) fain, Due Receivame ational Account 4Pm2e 3fi Cash Amount P Amount P Number e Data Data Number Reference Description Discount (gress) F (net) F Number Customer Number 256342 WALMAKT 109SIMFM MEI PNS 905.13✓ 7383974732 12/12/2022 12120/2022 7383974732 56381625 1151nvoice 18.47 92. ✓ 7383974736 12112/2022 12/20/2022 7383974736 5646861B 1151nvsice 0 .16 O.ifi 45.08✓ 7383974737 12112/2022 12/2012022 7383974737 56466610 1151nvoice 0.92 46,00 ✓ 7384102121 1211212022 1212012022 7384182121 $6378809 1951nvoice 12.59 629.59 617.00 1.86 ✓ 7384326305 12/13/2022 12/20/2022 7384326306 56742269 1151mmice 0.04 1.90 7384481886 12/13/2022 12120/2022 7384481886 56671346 1951nvoice 22.22 1.111.17 1,088.95a! ✓ 7384616601 12/14/2022 12/20/2022 7384616601 58817006 1151nv0ice 6AS 302.79 296.73 ✓ 12114/2022 1212DI2022 7384616603 56888321 1151nv0ice 0.01 0.35 0.34 7384616603 12f1412022 12120/2022 7384616804 56905656 1ifilr oice 0.18 0.16 ✓ ✓ 7384616604 7384795571 1211412022 12120/2022 7384795571 56829911 1151nvoice 0.05 2.43 2.38 1211512022 1272012022 7384902190 67001070 11 St..[" 31.66 1.583.24 1.551,58 ./ 7384902190 12/1512022 12120/2022 7385054754 56940940 19510voice 0.95 47.46 46.51 i/ 7385054754 12/16/2022 12/20/2022 T385182902 57089342 1151nvatce 3.43 1T1.4T 168,04 r/ 7365182902 12/16/2022 12/20/2022 7385182003 57164953 1151nvdce 0.01 0.31) 0,38 t/ 7385162903 PP column legend: P = Part Due Item, F = Future Due Item, blank = Current Due Item TOTAL Customer Number 256342 WAEMART 10981MER M® MS Subtotals 4,820.73 USD Future Due: 0.00 Due It Paid On Timm If PaM By 1212012022, USD 4.724.32 4,724.32 USD Olec lost if paid late; Past Due: 0.00 Pay This Amount: 96.41 Lad Payment 13,168,17 If Pad After 1212012022. Due It leald Late: USD 4,82D.73 12/12/2022 Pay ibis Amount: 4.020.73 USD APPROVED ON DEC 19 2022 cABY0%Wlig AAali"a I For A2 Inquiries please contact 800-867-0333 MSKESSON Gncsny', 800 CVS PHCY 74751MEM MC MS MEMORIAL MEDICAL CENTER VICKY I(ALISEK 815 N VIRGINIA ST PORT LAVACA TX 77979 As of. 12/16/2022 Page: 001 To ensure proper credit to year STATEMENT accourd, detach and return thin Mob with your mmklaneo OC: 8115 As of: 1206/2022 Page: 001 Mall to: Comp: 8000 AMT DUE R ITTED VIA ACH DEBT Territory: 400 AMT DUE F04ITTEO VIA ACH OMIT Statement for information only Statement for Information only Customer. 635438 Date: 12/17/2022 Cast: 835438 PLEASE CHECK ANY Date: 12/1W022 RMIS NOT PAID (s) a Billing Due RaceWeblN ¢Ir�.Hand Account a36 Cash Amount P Amount P ReceNable Data Date Number Rofarenae Description obtainNi ed na.) F (net) F Number Customer Number 835438 CVS PHCY 74751MBM MC PHS 12/14/2022 12/20/2022 7384810321 2040016 1161nvoice 2.04 101.77 99.73 r/ 7384810321 O PF column legend: P = Post Due Item, F e Future Due team, blank = Comm Due Ilan TOTAL' Customer Number 835438 CVS PHCY 747SIMEM MO MS Subtotals: 101.77 USO Future Due: 0.00 If Paid By 1212012022, Past Due: 0.00 Pay This Amount: tact Payment 13.108.17 If Patd After 12120/2022, 1211212022 Pay tide Amount: APPROVED ON �yD�;Epc�N1 9 22002R2pp 0AWDUN COUNTY. TP.XAS Dan It Paid On Time: / USO 99.73 '/✓ 99.73 USO Udee lost H paid late: 2.04 ono N Paid Late: 101.77 USO USG 101.77 /f For AR Inquiries please contact 800-867-0333 1of1 .VL STATEMENT Statement Number: 64283403 A erlsourceBer en, Date: 12-16-2022 m 9 AMERISOURCEBERGEN DRUG CORP WALGREENS p12494 3408 1001352841037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER SUGARLANDTX 77478.6101 1302NVIRGIMMST PORT LAVACA TX 77979-2509 Sal- Fri Due in 7 days DEN: RA0289276 866-451-9655 AMERISOURCESERGEN PO Box 905223 Not Yet Due:72,10.51 CHARLOTTE NC 2829M223 Current Past Due: Test Due: AccountBalance: Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 12-12-21)n 12-23-2022 3115726477 168761 Invoice 990.07 0.00 0.00 990.07 25.1 190.31 12-12-20V 12-23-2022 3115728478 168763 Invoiee 190.31 0.00 0.31 12-124022 12-23-2022 3115728479 168764 Invoice 0.30 O.aO 53a10 12-12-2022. 12-W022 3115775935 1MB12 Invoice 538.10 0.00 110.57• 12-13-2022 1242 2(22 3115942359 168121 Involve 110.57 0.00 249.91 12-142022 12-23.2022 3116130355 168837 Invoice 249.91 0.00 111.63 12-15.2022 12-2MO22 3116305263 168853 Invoice 111.63 8.00 2.67 124fi-2022 12-2 20Y1 3116472234 1668" Invoice 2.67 Current Day 1.15 s JG-30 Days 31-60 Days 61-90 Day:. 91-120 Days Ovar 120 Days 2193.61 One a.90 0.00 0.00 0.00 0.9a Reminders You for Your Payment Due Date Amount F12�16-2022 Amount 12-23-2022 2,193.61 (1,127.69) Total Due:/ /3,193:ST i TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" a"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" FT6-DIGITSETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #try ENTER: I� L� El $ 123,94918' 1 $ 62,791.06 $ 15,060.14 $ 46,147.98 CHECK S CALLED IN BY: CALLED IN DATE: CALLED IN TIME: # k9 # F:1AP-Paymll FileslPayroll Taxes12022WM R1 MMC TAX DEPOSIT WORKSHEET 12. 15.22.x1s 12119/2022 941 RECITAX DEPOSIT FOR MMC PAYROLL ..c. PAY PERIOD: BEGIN 12W2022 S PAY PERIOD: ENO 12/164022 PAY DATE: 1212312022' GROSS PAY: $ 653,044.37 DEDUCTIONS: AIR S 477.16 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS $ 1,173.73 SUNLIFE ACCIDENT $ 733.10 SUNLIFE VISION SUNLIFE SHORT TERM DIS $ 2,037.47 BCBS VISION S 981.85 CAFE-D $ 1.535.79 CAFE-H S 23,063,19 5 - 5 - CAFE-P CANCER CHILD 5 602.77 CLINIC 5 275.00 COMBIN $ 280,87 CREOUN S - DENTAL S DEP-LF SUNLIFE TERM LIFE $ 947.07 SUNLIFE HOSP INDEM 5 618.50 FED TAX $ 46,147.98 FICA-M $ 7,530,07 FICA-0 S 31,395.53 FIRST C FLEX S 5 3,566.73 FLX-FE S GIFT S S 171.45 GRP4N GTL HOSP-1 LEGAL S 1,08C06 OTHER $ 437.00 NATIONAL FARM LIFE S 1.700.96 MED SURCHARGE S PR FIN S RELAY REPAY STONEDF 5 640.86 STONE STONE 2 STUDEN TSA-R S 38,713.15 UWIHOS $ - TOTAL DEDUCTIONS: $ '164,095.08 S NET PAY: $ 388,949.29 $ - "9lIOIhew1C11Ap,Wler'.'' 1 TOTAL CAFE 126 PLAN: 5 33,722.72 E ARABLE PAY: 5 519'311.65 5 506,377.68 "CA I AT W- Fmm MMC RMed DifferenceICA-MED(ER) ,1sw S 7,530.02 ICA- MED (EE) usw S 7.530.02 S 7,530.07 S (0.0; ICA-SOC SEC (ER) szow $ $1,395.42 ICA -SOC SEC(EE) ozws IS 31,395,42 $ 31,395.53 $ (0.1. ED WITHHOLDING $ 46,147.98 S 46,147.98 $ 5 TAX OEPOSM 8 123.999.18 123,998,85 3 FICA -MEDICARE xaow S 15,060.04 $15,D80.14 FICA -SOCIAL SECURITY wow $ 62.790.84 $62,791.06 PREPARED BY: FED WITHHOLDING $ 46,147.98 S46,147.98 PREPARED DATE: TOTAL TAX: $ 123,998.86 $123.999.18 $ (0.32) S REVISED 30&2014 �KA1. cxnl TOTALS 1 $ 653,044.37 477.16 1.173.73 733.10 2,037.47 981.36 1,636.79 23,063.19 602.77 27SA0 280.87 947,87 618.60 46,147.98 7,530.07 31.395.53 3,566.73 171.45 1.064,08 437.00 1,700.96 640.86 $ 38.713.15 S S 164,096.08 $ 388.549.29 Exempt Amt: Employees over FICA.SSS Cap: Sharma Odonnell $ 4,371.52 Roshanda Thomas S 8,562.45 Paycode S - Employee Raimb.: TOTAL: 5 12,933.97 Mayra Martinez 12/1912022 #26 Rt MMC TAX DEPOSIT WORKSHEET 1215.22,xis: TAX OEPOSIT WORKSHEET 1211912022 Eur. Cate: ...�i5;2: - KE703I:L NED3CA', CEUT£R ?ale .pd Tana: 12100 Payroll Register ! Bi-Reekly ) ?2REG Par Percd 12i52 22 - 1V:-;'22 Rung _ Final Sucman •-- P a y C e a e S u m n a r ------------------- -- ---------------------- C e d u c t_ r- c s S u n I a r y .............. Paycd Description Mrs 10TISEInnIEOI_'_I Grass I Ccde Ame9a: --------------------------------- 1 ------------- REGU 5R PAY-SL 9P0450 ---------------------- !f Y II ._...._...--._---------._.......-_------.-._-.-..-..------_-- 212134.39 A!P . 717.16 A/F.2 APT 1 REGPAR PAY-S3 35611.00 A A N :7 8;iS 35 „7:11SC AKAXDS SCEM 981.55 1 REGULAR PAY-Sl 400.15 Y N U 1299C.00 MOTE CAPE P. CAF5-1 2 REGUX.. PAY-S2 271_2.2; 65395.F6 G.FE•2 CAFL-3 2 REGULAR PAY-S2 134.75 Y R IT 5221.62 CAT: 5 CAFE•C CAPE-D 1535.79 3 RECUL.`R PAY-S3 159.75 A N :I . - :2.55 C,F£-F CAF3-9 .23063.'_9 0 A F 1 3 REGMAR PAY-S3 8a.75 Y :I \ 3959.70 CAFS-L CAFE - CANCER 4 CALL SACK PAY 36.00 1 1 M D A' 1555.a2 C91LD b(-2.71 CLERIC -275.0) CCNEIt7 280.a' - CALL RACK PAY 365C 1 2 U \ Y 3402.49 CP.2JDR DD AD"+ DE\TAL 4 CALL SACK PAY 1.5C '.' 2 B :: T 88.94 DEP-IF D:S-IF EA" CALL 'rnY 25:9.5C e . 17 N 563i.00 F;7CSE FEDTAX . 46147.Ba F:CA-R . 7530.n7 D WUSLE TIME 37,75 \ 1 \ 17 '*392.90 FSCA-D . 31395.53 FiRSTC FL-'.( S • 3566.73 C DCU01E :IRE :L.00 \ 2 \ I, 73C. a3 Ky. Fi FCET n FLFA. D DCUSLE TIME 8.25 \ 3 \ 11 614.63 GIFT S . 171.15 GRANT GRP-IN C DOG .E TIME ii.SD '. . N IT 465.91, G-L E-M--1 :: TF7 D D0173LE TIME 5.25 Y 2 N'M 235.40 LEAF Hal. 189.5E RASA. 01.9 E EKTPA WAGES Y '. \ Il `; 67807.55 MEAL3 • 227.-- ME7TS MCSC INSERVIC"e 14.00 9 1 K IT 451.52 IT-. SCj MCM NATM, 1700.95 'F. EY.TEL7ED- TUNE 5S-EAIG. 526.8P . _ .: 5 13,44.75 C ^?% F'r:' P31"• P PAID-TIME-GPF 222.33 S \ 11 `.; 536E.66 PR FIN RELAY REPAY P PAID•" !E-CFE Fir)"O \ :: 17 2115E2.S7 Srx SMIS < pCS F CALL PAY 2 6O.0 \ i :: N 1E0.OD S"-l.: SIDMDF 640.36 STO.IE Y YMCA/rnngSS v. I! e 15.00 STG:1E2 ST:DW, cLnI-CC 733.:0 CALL FAY 3 48.00 5 _ .`i 17 14i.OD SCT;1'_ -. i3.'3 S'U\I:� _...`.D S!? IF ,;7.0? SUNSTD 2P37.47 91N17S SLTCEC M-1 TSA-n TSA-C TSA-P 7SA-R - 58713.15 TFICK UNI90R 2U.2a I70HOS . _... _._.__...... __. Gra.:d .aa_s: 21215.33 ------- f Cmea: n:D44._7 Ded:c[icre: 164055. P6 Net: 398549_c9 i Checks Coot:- FT 196 P". 6 .-_...................... ..._.------__--_--.-...__.... Other 55 Fenale 132 Male ------------- 24 Credit .......... OverAnt 20 2eroIlec ___ .............................. Tem Total: ._..------• 256 izl��t12Z Eon Cate: 1219/22 14ERDRI.AL MRDICAL CE\TEP, BI-WEEKLY ?age _ 7tna: li:00 •"' Creci Rac aC2_ •.. F2ELSI, Pic Pecled 12+02'22--1211'_f22 Run- 1 IYie=L'E: :mlool OPE A-.M - FECSPERITT Bar, Kale Amount CHECK M. DATE -2652 YARISSA CCHOA 14.30 OOC63273 12/23/22 20696 DAKIEL4 CAMi.CF:O 36.92 00G63214 1ej23(22 5013E ELIJA.H EST.PADA MAE OOG63215 12/23(22 65148 MkRIA IY:T_GUEZ 459.53 000632 h 12i21/:2 6A: ELAI1CARo8A VILLARREAL 32353 OCG53271 :7i2022 78128 ALEKA QDIITIANIL4.A 257.79 0OC61215 12/23/22 00041 CARL :c"E KIBS 760, 0: DC 12r 21122 DOOR3 SYLVIA A A'ARC.4S 255.31 DD 12/23/22 60094 SYLVIA A MI9DDZA 839.49 CD 12123/22 00113 JACLY:l CARE20D 1223.64 CC 324'l:2 OD132 SANDRA A BRAG 864.51 DD 12j23;22 00192 BREV D PEBA 2066.0: ➢0 12iW:2 00270 PAGEL4 M BDRGIII 4149.40 DD 12/21!22 00344 S.AMFA LEE RUDDICK 26iMa DD i2i23/22 00367 BILLIE F DUCKWORTH 1719.41 DD 12/23/22 OD352 MONICA T CARR 115iAo CO 2423i22 00399 LIKDA J TIJER:BA 2555.49 DD 12i23,(I2 00401 VELMA J Pill. 1776.35 DD 12/23/22 00417 SF.EP4? L KI313 ;137.7? C: 00423 DOK11 V STRIB;O 2106.87 DD IV21IC2 00402 00582 CYN =:IA L FUSEItIG 162C.51 CD 32%22!22 ODE76 SEEM SAY HEA7HCCCK 1103.54 OD 12,21122 :0681 HIM RENEE 1V.}CS !SC4.3S ➢D 00691 MaR1A C FAEIM 1103.40 OD 32;23/12 ,rgn1 K1i'FEE : E =_.1;K=. 146;-51 ➢C 11,212: 00955 ::•:iLI•. II I3 KCLKBY 1675.05 DD 121'21'22 C:015 SUSAN E S:'v,C1E'! 1847.91 OD 14123/22 Sk4R01i }: SP.1 S 825.52 DD 12i21/22 01234 JENTSE K SVETL:K 2011.la DD 121,23/22 7:24i 6LAL'DY M4CE 1972.52 DD .y 23(22 01367 k4.4ILYR A SAL'DERS 5314.61 DD 11M/22 01791 RAUB:.'W .., J KCUDAI' 1777.22 DD 1423122 02011 ERIN R CI:£ MER. 3969.32 D➢ 12R3r22 02014 ADAPITA C CFATJ 1292.85 DD i2i 23122 G2021 ERIKA O"RUTA-SMCEEZ 2I90.38 7D 12j23/22 02022 A1+AIOA J GEICGS 2462,90 DD 121e3!22 020h4 ?12n;_RCIA S116,ae _.. 147'l22 02097 71.17 H GAIBES 17E6.O? DO 12i23l22 02099 7EACI H SEEFC`K 2916.04 CD l2123/22 02I12 LESLIE TiOM S 1559.52 DD 12('29 22 52122 ➢A77N L:RY4 2860.24 DD 12/23122 C211'5 E:K3 MIT' 2526.;4 DC 12i21/22 92154 TJSTIBE c7RELCZYK 2066.4e DD 12i23122 02162 ma:1:1 -plait 1519.i3 D. Lr23f.= 02168 JEKSICA 101IGHT ;154.35 DD 12121.122 U193 TIK,: VEKGLAR 371D.04 DD 12i23/22 02271 D.AKII J E.3E'iIR 2033.60 DD 12121Ist 02301 TCOL.?S 7232:11A 3934.01 DD 12/23/22 2301 MTIE £ In.; 2194.20 OD 12123122 02315 B27A 1•I Mv, 5089.25 ED 12123/22 12322 RICK Osl.:U; A 831.02 DD 1Y 23,�22 0233' :DSSICA E BIEPLE 2533.14 DD 12121!22 Run Late: 12i19122 Ir+!CiIAL KELIC,1 TENTER DI'MMY Page 2 ....�: li:M •• • Cnec.. %egist, : a" P"<•IM Pac 2e*4od 121102;22--12115/22 Rum 1 yo:=IIE- ^CCCOC2 CPERAT3/IS - FRCS?FRIT.1 Nua. Race kmua: CHECK `X :ATE 02346 XMIETTE L FALCON 1E56.2S DD 12/23/22 02416 JANELLE SCOTT 1366.91 DO Ii/23/22 0251E MGLL LVKA 53PULl's'DA 974.5E DC 1si2?r22 02552 VERDNIC4 PAGOS:N 2121,65 D➢ 12/23/22 D2622 JESUSS FLARIE VCL'_3REAL 16C8.74 D➢ _2113122 02619 MELISSA NEMEY 2499.39 DD 12/23/22 02701 ROFMA WhIlME COHUE 2879.3, DO 12i23122 02719 DAW F. MCCLELWIID 1961.54 DD 12123/22 02735 ZANLRA A GPRC3A 1524.17 DD 1:i23/22 02161 JESSICA N.CRTUEZ 2302.95 DD 12i 23/22 82794 HEATEER L vuTCF1:.R 1666.9E DD I"i23/2% 02812 9RMANY N RUD➢ICK 2007,D7 DD 1/123122 02907 NA.RSA F LONG RLA 1150,4E DD 12i23122 02927 Y.ICIG3L I. GAIANS 3OC9.54 DD 12123!22 02963 DD?fDTHY J R3NDON 744.84 DO 12123/22 0297C DIAIRIE G "KINSGN 19E6.83 DD 12/231'22 03854 aXgMINE R HERRERA. 1267.6, DD 12123/12 ',•.Or7 CCURT.9E D :H'9RLKY.L 2077.76 CD '.2i 23!22 05006 RECINA 4 NARTINEZ 1925.02 DO 12%23/22 05122 F_ }_SSA PZ.NGEL 3E2.47 .: 12i 2?)22 05195 KIMOMY HAU 669.6E DD 12/23122 05345 EStCA A017EN 2527.3_ aD i2i 2?/22 0564E A'dAWA R KEY L673.22 DD i211211C2 D5757 5}AR.ON T HOLDER 42?6.i5 DD 01123 CYN =*IF. GUFRRA.. 1437.99 DD 11121122 v 71f7 CHi'2 A 71RCE 1723.32 DO 07879 D?A11A C SACC.D,A 1109.60 DC 12i2l/22 ._•, c7 CRT"-R.LRE A SAENZ 4527.35 OD n'n1 22 ._d1'e COURTNEY L EOR.KCVSKY 159i.51 DD 12 23122 :2411 K3KBERLY J 5EYIIA 3216.92 DO 12/23122 MIS LI5A 1 HLN➢7➢6A 552.LS DO 31123122 12153 JJLIA UNITS 2031.74 DO 12i23/22 :2392 31:1ICACAJ'Y E65.13 DD lii2?G2 15057 KYLE L DANiEL 2509.07 DD 12123/22 121 SA9A1ClAR RARLE'! 1349.51 LD 1:;21 2 ;139 KRISTEN 117COLE 1501.70 DD 12i23/22 :5171 JESS?^'. 3ARRCN 3?19.57 CC _A 2v- :5256 COUF.TN3Y A SALAZAR 1650.21 DD 12/23/22 -52E6 DAna R }L'w.?K 1505.SE ED i2j 23.'F2 3555 STEPHAIIIE HARTIN 1705.20 DO 12121/22 :5509 ,T,R SE .NGE'i9N ?SC1.53 ED C2/23122 : 915 ERI NE d Uy 1903.26 DD 12123/22 201C2 K'-.YA. iW4F.:T 1350.40 CD 12123/22 20145 3 :TALI. EO.0 745.09 DO 12/23/22 20i56 CP3II ASHLEY 425LOM1: 2234. i3 D➢ 12i 23I22 :017< Py9 akM M,42 D➢ l2/23122 203E4 k.E!:SSA ZANORARO 962.34 CD U!"I22 202C6 KELLI E GOFF 2266.52 DD 11l73!22 20117 E!Lir'LA G FARTL 2592.55 CD 12123/22 20243 YTIAIIIE CCRT.EZ 11.7.73 DE' 12i23/22 Z5254 JESSICA C WrYNIEE 744.46 CC 1203/22 27494 3x:AANA S ?ASSMORE 166.IS CC 12i 23122 :0742 CIV IA. LOPEZ 256.7E CD i2i23/22 .C75e J?u:2 SADLER 1141.12 C➢ 1-2,'231:2 ~/� _ , B» m Vv.le: { _ a pay Per4cd :away »: z — e m- _=c m; / »� _;. ca m m;e az :i m 20977 _ate me , _ . LEL wz = m 21629 _n _m ma =gym e= - / , / , G.W. j m,_, wa z N1.131122 23120 „ s y m ,»m \e % =:m« - se ulza c, =m:u 31035 s VIET a« ; \; u m:_, e: . 3 ;, , m= CDm , m r Co _ a. CYNTHIA. m 1944.7i m ; . : e n ! as DC. m _, ma = m eE x ma : a Dom n _, ma , m BE , MLVa »> DD _._, a= _2 a Sum. ,e, sa =;=u ,m m: », !' a s o c, \ % M\m - 3 ,m aV s ! // : 1212 1u a mr =1 c ,o a ». _ c9 _12JZ31,2 »— = as = u 41205 _ma_ ca =gym r IRAWEN cm = u _m,_. mu m o ; a sm ms = « 21, _ MIN ma : m , _._ 4» a«� -7365 m = \ u .tea ,i ca zm _, ae = a m ,. » : : a , e mP m m zJ «, m - _ u 41896 _ F.IDIEUE EVERY 591.92 CDr .e _» m: _ a _„ . »z = m — «e InS=R; « / , c, _ 6 _ _� = az = m m . we . m a:N : ae = « :! a; _ 14231.1 u: = ez r:wm Run Date: 12/19/22 NENORIAL NEOICAL CENTER 01-tiSEKLY Tim 13:00 '•`• Check Register +'•' Pay Pari0d 12102/22--12/15/22 Run: 3 Y}2e-N 100 0901 OPERATING. - ?RO$PERITI NDr. Have P?Auac CHRCH NUN DATE S0016 HIGdELLE MKDRAL£S 1416.03 CD 12123/22 S0022 REGINA A JOHNSON 539A2 DD 12/23/22 50148 PELR:1 C4ULDIN 3200.47 DD 12/23/22 50161 BRITTNEY MICHELLE ZAMORA 1404.12 GD 17123/22 50248 MCKENNA VILLEOAfi 512.34 DD 12/23/22 50232 JACOB 1'11 '0I4ILTON 2461.50 OD 12/23122 50310 JAS14INE CRIDEBY 763.68 ED 12/23/22 50546 MELANIE K ShMAY➢A 1997.86 CD 12/23/22 90573 DEASA R ➢XVIS 1342.45 DD 1"si23122 SOB% 96T3R S DAVIS 1235.12 LD 12/23/22 50719 DEBRA R MISTERED 2190.9C ED 12/23/22 50928 ADINA RODRIG'UES 516.38 D➢ 12/231Z2 53541 JACLYN B HAP.TL 1552.23 DO 12/23/22 54024 KONICA A ESCALAN72 1206,71 CD 12123!22 55025 LEA C RESENDBZ 366.50 O➢ 12/23/22 55026 IRENd B PEREZ 553.69 DO 12121/22 55127 APRIL N KDBALA 2647,57 D➢ 12/23/22 S5371 BLANCA 1ERNA4DEZ 1157.06 DD 12123122 55382 SHANNON JACILDO 1551.52 DD 12/23/22 55658 WUPD WES 700.53 DD 12/23/22 58115 BECV MARIE MINAS 007.54 DD lwa/22 58510 RITA L EOLSNSKY 792.90 DD 12/23122 60112 ROBBRT A RODRICUE2 1945.38 DE 12,23/22 60131 NORA OVALLE WA2 DO i2/23/2e 6015E DANIEnt M EAGLE 969.25 DD ]2123122 60163 NIGDALIA CLA20 513.44 ED >2in/22 60165 TERESA A BENITEZ 156S.46 DD 121L/22 60412 CERISTO^PW GALINDO 913.79 ED 12/23/22 60616 LOROiHY A LONGORIA 1364.69 ED 12/23/22 60067 RODOLPHO VASCUEZ 1590.53 CO 17123/22 92322 ALAI iG GH2 1153.54 DD 12/23122 63124 SANXAN H GARCIA 878.46 DD 12123/22 63295 JASON RUBIO 647A8 D➢ 12/23/22 65100 °ELiCITA BONUZ 550.61 EU 12123/22 65123 NJ -HA W4p3AN 7eCi5 ED iZ/23/22 65136 VIA KO.WrK 69B•77 CD 12/23/22 6515i SLIA ULACHIA 949.17 DD 12123/22 65162 CLAUDIA RUIZ 550.96 OD 1'e!23122 6516e NO.RA MIREL8G 674.90 DD 12123/22 65189 EL'i24h SANCHEZ ?18.99 DO 12/23/22 65213 LEE SINERLY 1376.91 DD 12/23/22 65269 NATA.LIE BARSKELD E50.11 DD 12/21/22 45393 RN41NA A PEREZ 1102.63 DO 12/7.3121 fi5453 Aj+P.LIA L 71ORES 144.26 DD 12,123122 65463 MABIA I VHIOZ 719.05 DD 12,123122 6S486 ROSA R.ODRIGUEZ 866.E3 DD 12/23!22 65513 FAZIA MORALES 906.24 DD 12123!22 65705 DQN1TILA HERRERA 831.45 ➢D 1212312E 65715 NAR!A R GOMEZ 825.9E ➢O 12!n/22 6-865 MARIA £ LEDEZNR 714.49 DO 12!23122 53368 DOUITILA GARCIA 175.24 DO/2123/22 68568 CHRISO?H5P. Xr.4 £ORD 953.a1 DO 12/23/22 0379E NAZAP.IO DIAZ HER11ALDEZ 3952.39 DO 12/23/22 73119 EPAA N 3LED50E 2120.21 DO 12123!22 Page 4 HOIST? Run Dace: 12119/22 HSNORIAL NEOICAL CSNTER BI-REERLY Page 5 T`_&a: ?:GO ••• ....... Regtstec e... ?c3ST? Pay Pe._od 12i02122--12115i22 Ran: 1 -FeArt" .3000001 OP' ?Il:F - Pn'26F331?'l :IIR. EaT.a AT= CHECK \JN DM 72727 CERISdD7RA LSTII RO'1AREE, 34.14 OD 12i23/22 3749 m:OP.IA N R?ID 2316.41 LD 32i23122 74159 CP3OL VILLARREAL 1199.25 DO 12/23/22 75340 3I_, PTLLEE. 1818.19 CD i7i 23122 16H3 IRNA DELEON 594.67 DD /2/23122 i40E7 ?ASGS GEORGIA CAimm 787 52 CO :21 iu 76111 TP?AH S'OBLETI 914.32 CC 12l23/22 76115 JE1]IIFER F. CA:RI.00d 666.14 DD 12i23/22 74120 I<4:cE5 GANA;ES 1328.73 CD 12i21/22 7613E RAREN D GARCIA 693,16 DO 12i23122 7 E210 ZOE'.'1'sLARML 593.35 DD i212V:2, 76300 AIDA JLMIENEZ 670.56 DO 12/23/22 76313 ?,W.UT L EAP.TON 701.77 DD 2123122 76493 3ATRINA A PO'Af3DA 1484.01 DO i2j22/22 76647 CHERYL A. 5"a" 1294.92 OD -2123/22 15706 GREGORY E 14O9ALE5 638.3E ➢D 22i23/22 7698E FAl;ES6A TR25TAIl 297.44 DO 32i23122 77E44 FAREN A G=AliB 1035.92 DD 12i23122 78020 NIM R FASSNGP.E 1206.78 DO 12i23122 78055 3YAdm J FGHE3 639.2E DD 12i23!22 78072 DONIA H RAKINGS 1444.2E DD 12/23l22 78186 AIMM F CCOg 4C6. C9 i23i32 73151 JMiIS J ORASSE 814.96 DD 12;23;22 7820 WISSA C A16'AIIwl 1576.57 DD 12i23/22 783I4 JESSICA L GrVER 2215.47 DD 15I23'22 78566 Y.ELTSSA V GEE 845.21 DO 12i21!22 797E4 AS: SY p 3ADLEY 174:'.98 DD i2,23'22 7877E SARA 11 RUBIO 33BB.44 DD 12/22(22 `37K E?'-SiES R i1A.CF.:CE3 2913.175 DD i2j 2I122 78787 FARAH I JANAR 2508.72 DO 12123!22 73d97 DAYLS J RCBIPSOII 739.47 DD i2/23 2 80008 AA.N D 9ESIO 2539.0E OD 12i 23/22 $0141 iRRIIE ORTA 1639.19 DD 12;23722 82227 CAIT5IN A E tiEiPa- 1129.76 M 1?; 1312'e 864B2 NEGAll R FAR?ER 745.00 DD 12;21122 83e_5 :ISr. P1 7RSIYG 'I1:.53 JJ 12 23l22 68321 PIMRRW DE LOS SRITOS 2642.11 DD 13/23!22 35508 M'ARLEI'? SOLSELL 1-r51.7; DD '43'._ 889Q4 PAYPA q FARTINEZ 1488.3E DD 12121122 30320 RCS'r_ FDA S THCPAS 4085.0E DO S2/22/22 93221 AA'CRI3 N Y-03E5 1086.01 ➢D .212?l22 98754 ADRTA`INA :4 GALI�AN 150.2: D➢ 52123122 38d549.29 Qay 'plug MEMORIAL MEDICAL CENTER 3 / • 62 +' PROSPERITY BANK 2 • 39 ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT--- December 12, 2022- December 18, 2022 127.4v Ci 36. 56 + Data Bank Description MMC Notes Amount Iy...'rk 17/12/2022 PAY PLUS ACHTRANS 45299291101000696464690 - 3rd Party Payer Fee 36L .`r�'R,Jgg•L� pp��(I( 12/12/2022 TSY5/TRANSFIRST DISCOUNT 39300982541616611. - Credit Card Processing Fee 64912 L.4..{'17-'1 12/12/2022 TSY5/TRANSFIRSTOISCOUNT393009825899466110 - Credit Card Processing Fee 129.00 649.p.:el 12/12/2022 TSYS/TRANSFIRST DISCOUNT 413WW13324196110 - Credit Card Processing Fee 671.19 129•UU 'L 12/12/2022 TSY5/TRANSFIRST DISCOUNT 413990913323856110 - Credit Card Processing Fee 112.67 12/12/2022 TSY5/TRANSFIRST DISCOUNT 413998013324016110 - Credit Card Processing Fee 700.14 671 19 T 12/12/2022 TSTS/TRANSFIRST DISCOUNT 41399NI391837 G110 - CredItCard Processing Fee MAL 112.61 . 12/12/2022 TSYS)TRANSFIRST DISCOUNT 413998013683976110 - Credit Card Processing Fee 47931 700I4 12/1212022 TSY5/TRANSFIRST DISCOUNT 413998013323936110 - Credit Card Processing Fee 2,076.25 17/1212022 IRS USATAXPYMT 2702746445766636103601004368 -Payroll Taxes 125.547.79* 30.Iti ' 12/13/2022 PAY PLUS ACHTRANS 452579291101000697427389 - 3rd Party Payor Fee 2.39: 1316817 S1'%:- 4 7 95 I 12/13/21122 MCKESSON DRUG AUTO PER ACK05294889910000141 -340B Drug Program Expense 12114/2022 IRS USATAXPYMT 2702748927568446103601OD2141 -Payroll Taxes hK `wpD.s�0y 2 U')6`�.i r 12/14/2022 PAY PLUS ACHTRANS 452579291 1030006984039B3 3rd Party Payer Fee }SeAyJ 120 139 ' 12/1412022 IRS U5ATAXPYMT 2702748548131316105601021213 -Payroll Taxes 303.473rf 12/15/2022 TEXAS COUNTY DES RECEIVABLE 0419210N024631 - Retirement Funding 198,S5A8k,f 80'06 12/15/2022 TOMS FOMS PYMT 052-1737276-0004100012502498 - Credit Card Processing Fee 120.09 12115/2022 TOMS FDMS PYMT 052-17435480004300012499626 - Credit Card Processing Fee 80.0E 5, 068 Pr 12/15/2022 FOMS FDMS PYMT 052-174BS47-OOG 4100,1112503346 - Credit Card Processing Fee Corporate Card Payment 40.03 2.455.19,t.* I�C"�'� 12116/2022 WIRE OUT CBNA INCOMING SETTLEMENT ACCOUNT 12/16/2022 PAY PLUS ACHTRAN5452579291101000690338501 -CaRlank - 3rd Party Payer Fee -3656'. 1127.697C-*t' C.Ir(jCt3 p1L 2+4U1i 4I + 12/16/2022 AMERISOURCE BERG PAYMENTS 010000776B 2100D02 - 340B Dreg Program Expense 349,370.22,E4.4�"k4r+'7 , 1 December 19, 2022 204 U 6 - ANDREW DEL055ANTOS 110. 0 8.4 Memorial Medical Center PROSPERITY BANK D r'TrYl o ppvVNDi (Z' 14' 2T' C(, 3 4 9 s 3 '/ (I . 2 + 9 U 0 11 l i ' ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -ESTIMATED ACES 12S 5" 8, 192 1,i .,. 1 16:r - I i - Date Description MMC Net., 3U '49 rt - 145,7';y..46 - 2'455.19 1 ,,i . - i, �-' '�_ : .,;. ��`•_ De�lMVRE1>$•fPN t , 1 2 "t • 6 4 _ AN DREW OE LOS SANTOS Center DEC 19 2022 192`43 s: Memorial Medical ca�'aw,trci11ll7YEu, TORA9 8' 192.45 + 8. 142.4: - n.nn .. Name (not your trade name) Employer identification number (EIN) Column 1 Column 2 Column 3 Column 4 Totalcorreated Amount originally Difference amount (far ALL reportedoras (If this amount Is employees) previously corrected _ negativenumber, 'tax correction _ (for ALL employees) use a minus Signj 6. Wages, tips, tip, a _ _ 1 I Use the amount in Column Forms you prepare your Formaw•2w whenw-2c. comes, (Form 941, line 2) �_J 7. Federal income tax withheld _ Copy m Lalun from wages, tips, and other _ 3 here . compensation (Form 941, line 3) 8. Taxable social security wages (Form 941 or 941 SS, line 5a, ' — __ u 0124' . Column 1) — • if you're correcting your anployer snhare only, use b.psz. sae mawchons. 9. Qualified sick leave wages` �iI (Form 941 or 941-SS, line 5a(I), — L� __ x0.062= Column l) -use line 9 buy forquelfded sick lexvewage mum after Mamh31.2020, forleavetakenbsfere Apdi t, 2021. 10. lea es* family leave wages' family (FormQualified4 (Form or ,line — __ x 0.062 = Column l)' Useline, 10 any for qualified family leave wages pold after March31,2020, forleave taken before ApdN, 2021. 11. security tips (Form b e social uri51btips (F r Taxable 9a 1-SS, Pruse _ _ x 0.124^ _ `If you're aonecmng your employer share only, use 0.062. Sea lmetmctlions. 12. Taxable Medicare wages &tips (Form 944 or 941-SS, line 5c, Column 1) 2 579,917 , t1 2,419,141 11 100,000 • 00 x 0A29" = 2 900 • 00 • If you're consomme your employer share only, use ovi4 . see mem atione. 13. to TaxabAdditional _ care Tax Medicare Additional Medicare Taz _ E= n' 0.009' _ withholding IFOrm 941 or • Certain wages and ups reported in Column 3 shouldn't be multiplied by duds. See Instructions. 941 line d) 14. Section and 1Taxdue is _ � Copy Column 3rare. rmand1Taxdue on Demand unreported tips (Form 941 or 941-SS, line 51) 15. Tax adjustments (Form 941 or adjustments _ Copy Column a ham Sax 7 through 9) . 16. quit small business payroll tax _ � see credit increasing research for J mstruc6ons ��II activities (Form 941 or 041SS, line Ila; you must attach Form 8974) 17. Nonrefundable portion of _ see for qualified sick and family Imwamans leave wages for leave taken before April 1, 2021 (Form 941 or 941-SS, line 11b) 18a. Nonrefundable portion of employee retention credit' _ __ 36 527 . 12 36,077 • 12 1,450 • 00 ISea unions -1,45D 00 (Form 941 or 941-SS, line lie) • Use iine file only for corrections to quarters bolikoung after Mara"l, 2020, and before January 1. 2022, 184. Nonrefundable credit for �� see sick and fportion family leave qualified sickandfamnyleave ,nat moss wages for leave taken after March 31, 2021, and before October 1, 2021 (Form 941 or 941-SS, line 11d) 186. Nonrefundable portion j� _ _ see setrucuans dCOBRA premium assistanceports credit L (Form 941 or 941-SS, line 118) -f 18d. Number Individuals eetl _ COBRA premium assistance �� (Form 941 or 941-SS, line 11 fl —� 19. Special addition to wages for _ _ see etax income federal mco I -I inswcuoms 20. special addition wages for �� _ _ sea specie security taxes mstmao°na 27. Special addition to wages for ditto �� _ see �� Medicare instructions Form 941-X (Rev. 4-2022J Page 2 Page 1 of 1 RECEIVED 6Y THE COUNTY AUDITOR ON DEC 15 202E MEMORIAL MEDICAL CENTER 12/15/2022 AP Open Invoice List 0 fliAL}11'kf1U?�i;OUNrY. TF-KA, Dates Through: ap_open_invoice.templale Vendor# Vendor Name Class Pay Cade 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 120622 1014/20 12/06/20 01/02/20 194.50 0.00 0.00 194.50/ TRANSFER N11 iYi.GNIIULIL j L li LU-�1�IAl)!G� li>:'It j?,K Off, vn _ . Net Vendor Totals Number Name Gross Discoun No -Pay 11820 FORTBEND HEALTHCARE CENTER 194.50 0.00 0.00 194.50 Report Summary Grand Totals: Gross Discount No -Pay Net 194.50 0.00 0.00 194.50 �4. DEC 15 2022 CAL`HOUhf g0UN1YITlh)tq� file:///C:/Users/Itrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report58278... 12/ 15/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR AUDITOR ON DEC115/200222 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 CALHOUNIMPINTY. TEj{A i Dates Through: ap_open_invoice.tempiate Vendor# Vendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 120522 12/141201210512001/05120 194.50 0.00 0.00 194.50 TRANSFER NNlAsIjY .1, V60LldRpol�JtL tnl1 NL1ua, npL✓aiiit- 120822 12/14/2012108/2001/08120 7,980.00 0,00 OJ00 7,980.00 ✓ TRANSFER 11 11 Vendor Totals Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 8,174.50 0.00 0.00 8,174.50 Report Summary Grand Totals: Gross Discount No -Pay Net 8.174.50 0.00 0.00 8,174.50 DEC 15 2022 %4CHt7UNf GOUN7Y, IWPAS file:///C:/Users/Itrevino/cpsi/memmed. cpsinet.com/u88125/data_5/tmp_cw5report87114... 12/15/2022 Page 1 of 1 RECEIVED BY THE CrO1�UNTY AUDITOR ON Df2r A5222022 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List ap_open_Involce.template 12:09 CALHOUN COUNTY. TEXAS Dates Through: Vendor# Vendor Name Class Pay Code 118$6 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 120222 14/201210212001/0020 31306.50 12'11 0.00 0.00 3,306.501 TRANSFER W1'1 19ibUri ZC WJJL I64 1rL'Ir hkW4, L Op4Y:_I'�'1/ QQ / 1.195.58✓ 120522 12114120 12105120 01/05/20 1,195.58 0.o 0.00 TRANSFER rr ' 1,167.00 120522A 12/14/2012/0512001105120 1,167.00 0.00 0.00 „% TRANSFER I'Ir 120622 12/14/20 12/06/20 01/06/20 4,091.62 0= 0.00 4,091.62 TRANSFER Ir r, ' 5215.35 120822 12/14/20 12/08/20 01/08/20 5,215.35 0.00 0.00 TRANSFER 11 1, ' Vendor Total: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 14,976.05 0.00 0.00 14,976.05 Report Summary Grand Totals: Gross Discount No -Pay Net 14,976.05 0.00 0.00 14,976.05 APPROVED ON DEC 15 2022 CABH'COUNTY ITRAS file:///C:/Users/ltrevino/cpsi/memmed.cpsinct.com/u88125/data_5/tmp_cw5report16776... 12/ 15/2022 Page I of I COUNTY AUDITOR ON DEG2Ag52&2 22 '!j.ALNOUN COUNTY, —jEyM Vendor# Vendor Name 12696 GULF POINTE PLAZA MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_i nvoice.template Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 120122A 12/14/20 12/01/20 01101120 4,187.82 '14 0.00 000 TRANSFER �� YtJNtkU. V61VII d*'A fc IL )V-W— 120222 12/14/20 12102/20 01102/20 1,393.84 0.00 XV 0.00 TRANSFER ll �I 120722 12/1412012107/20 01/07/20 253.91 0.00 0.00 TRANSFER tt it Vendor Total: Number Name Gross Discount No -Pay 12696 GULF POINTE PLAZA 5,835.67 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 5,885.57 0Ao 0.00 DEC 15 2022 CALHOt1NU�0UNTY tT&Q Net / 4,187.82 ✓ 1,393.84 1 253.91 Net 5,835.57 Net 5,835.57 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88l25/data_ 5Amp_cw5report57838... 12/15/2022 Page 1 of 1 RECEIVED BY TE COUNTYAUDITOR014 12746/212§ 2022 12:08 t A,ALNOUNWUNTV.TEM Vendor* Vendor Name / 13004 TUSCANY VILLAGE MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.template Invoice* Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 120122A 12114/20 12101120 01/01/20 2,925.00 0.00 0,00 TRANSFER NO A0110M, MW &POM flu: Irtb , Iy�IK ' 001,k--� 1l'ro 120222 12114/2012/02/2001/02/20 336.01 0.00 0.00 TRANSFER II It 120522 12/14/20 12JOS120 01/05/20 1.053.67 0.00 0.00 TRANSFER II II 120522A 12/14/20 12/05/20 01/05/20 2,860.00 0.00 0.00 TRANSFER K II 120522E 12/14/20 12/05/20 01/05/20 8,341.00 0.00 0.00 TRANSFER it I t 120622 12/14/20 12/06/20 01/02/20 6,513.07 0.00 0.00 TRANSFER 4t ,I 120722 12/14/20 12/07/20 01/07/20 760.68 0.00 0.00 TRANSFER I, II 120722A 12/14/20 12/07/20 01/07/20 14,756.38 0.00 0.00 TRANSFER II II 120822 12/14/20 12/08/20 01/08/20 308.84 0.00 0.00 TRANSFER U Vendor Totals Number Name Gross Discount No -Pay 13004 TUSCANY VILLAGE 37,854.65 0.00 0.00 Grand Totals: Gross 37,854.65 v cwrr4,�v 4m* 00 Net 2,925.00 f 336.01 i 1,053.67 ✓/ 2,860.00 V// 8,341.00 ✓ 6,513.07 760.68 1 14,756.38 yI` 308.84,f/ Net 37,854.65 Report Summary Discount No -Pay Net 0.00 0.00 37,864.65 flle:///C:/Users/Itievino/cpsi/memmed.cpsinct.com/u88125/data 5/tmp_cw5report84546... 12/15/2022 Page 1 of 1 RECEIVEOBYTHE COUNTY AUDITOR ON 2022 MEMORIAL MEDICAL CENTER 129ff2_'j25 or u'z 0 12O AP Open Invoice List ap_apen_invoice.template ��t,HOUN COL1N3 r; TE;S� Dates Through: 9 Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 120522 12/14/20 12/05/20 01/OUP0 5,308.75 0.00 0.00 5,308.75 TRANSFER NW1`1SVkyu(, n�IIW kti tfW L BP,K D 120622B 12/14/20 12/06/20 01/01/20 7,921.49 0.00 7,921.49 ..� TRANSFER 1i it 120622A 12114/20 12106/20 01/04/20 5,271.77 0.00 0.00 5,271.77 TRANSFER 1l 0 120622 12/14120 12/06/20 01/06/20 2,045.52 0100 0.00 2,046.52 TRANSFER N 1( 120822 12/14/2012/08/2001/01/?0 17,353.65 0.00 0.00 / 17,353.65, TRANSFER K It Vendor Totals Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 37,901.18 0.00 0.00 37,901.18 Report Summary Grand Totals: Gross Discount No -Pay Net 37,901.18 0.00 0.00 37,901.18 NpROVED ON DEC 15 2022 CALHOUid COUNTY,ITE%A8 file:///C:/Users/Ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report43120... 12/ 15/2022 FROM CRESCENT TO TUSCAY A q 12/19/22 FOR ACCT- USE ONLY Ell 11rnprestCasp. 11 Ll1 A IP Checi( 1:71 Mail Check to Vendor r[Retum Check Lo Depi GATIONV&*TEXAS I 0,,., f%IT DEVOTED PAYMENTS DEPOSITED INTO CRESCENTS ACCOUNT BUT BELONG TO TUSCANY . .. ........ ---------- - ------ -- — ------- APPROVED ON DEC 19 2022 Mayra Martinez Memorial Medical Center Nursing Home 0PL Weekly Canter Transfer Prosperity Accounts 12/19/2022 Pmbua Armxm e.elmm�[ xama x„w ubnaa .xlne A*W— 1. d4n9 ;. 1 I15.2Ta.63 AW C1%f593 , 248,414.11% N6.151A4 y95.119.13a/ rife.'kga'S}," gefiaa'Y6I"i—w 90,959.99✓ W,3145VWg344.00 % 1latoo�n�e 139e9-^'c'' 90+491 5 '_ 42+295"lb 100+Sclts`Llt.l 4y1a69U•'% ]; rvo[C OnM1 eolvnm olvm#,¢awJlke lrvmrenfarorbenunin9nvme Nor11 (eNPKaunlnoav04nbelenetof SSmIAOIMMCaf➢oLlePrn Wanettau+i I \HX Weetbinvnen\NN VR)NnISg9ummaM1p13WnemboVINVPLTxnM,6ummary Ll LSRxw roa.y eepmin[ aa4n[a 11e,)65.1e Bank Balance lID,76534 vld.a m 1..In Balance SmPO pnoberinlertn 34.41� NeYemblrinterGl 3).ST✓ omberlmare9 4a,ua<e.hnc.n.elrramnr M4 114603.16 lagl06m t/ Ban40abntt 1R0.106.90 VaNanm Leave In Balanm 1m00 �1 pn.ber lmeravt 233E nmRmb. I raf ss.6e ✓ oerembali m . najun Bolan -Fro filet nmt 139,956J11 942]6-10 / .ant Salome Vnlan[e leaueln Balenee too. / 4,62b00yi// 0[Vmm PAVae'VSTe TBISGNY Onobetlnmlbn 26.17✓/ Nevembealnleftat 30.80✓ oeaembummm� Aaim3enameFunnm Amt 9.,ut1s a142L19 Bank Balan[e V.nun[e a}.aEl.l leiVeln Belin[! IBO.W OLlebtrin)rtevt N..oahralnmrlal La9fi 0eremba lmerpt Adiml Oalanapramler Amt a;395.1G lm$19m Ban40alancf Variance I 1m53905 loom 130,955.90 1 90,491.13 / 42,295.16 / 1o0,344.00 Laivdn bi ma APPROVED 014 DEC 19 2022 oLmberm3eran u.n .�� CALHO UPJJ&n�( . xovmnberm4emn +sae ✓ lJF! vlJ IV1% j[-Jt,�� 0lremaermmnn Adimce,lmrertmmmr nml lm.eum 44y698.39 p 1RA SP[45 c A d�'I LI ANOaEW OE WS 5ANT05 4n N 'yV g :F ]]/I1/1011 XXb[CHO NRWIMPM]4HgHI11tNNlF91Il IyW)pP xNOfCNOXCCUIMPMT)![6]3at41O11t698L IytZ/ME UHCCOMMVHII9 RXCCUIMIM3312COPLE IUANO 1VtZAall21LMDZZ VHCCOMMUHNlVCK AIMPMtlAEEN-IUEXWZ IZ/IMO}t NNR-EC IMXIVC-lUPRM1llHmWLSW93 IZ/WN]1 ANCO MUNITYIMPMP]L6[QH11.0119I 19 INHA0ZZ YIiCCOM1IMVXRt PLM[CWMPMt]IMJYH 119lAVl .1EIMll NNB�LCNO M(CIPIMPIA3]262I6llWRAlllpLSfi 1]/li/IDZ13n EtU PvNIHO� IZ/l5/IO]t WMf YCH WWBVNNIM MG03[EM[F 2 li/15A0Ei NXB [[xoNttIFI1,IPMl'fliN3iu LLLob209163 1]/l6/!02} NHBECNO N[CIaIM9MT]16DZSOtl4WJIZf]}9 I2/IA/10i1 4ne1VmYD SM9C XCryalA1PAR )19IIIZl39lllAM ZLIWXI21 uN[COMMUMNY 9l HCf141MPRR ]I6WH119lWJfi ly1WEO21 UN[LOMIAUFRV PI K[UIM9M3 )16WH11916%a Et/12110M Nx0'tLHp llC[UIMPMt 11.141, Mp%aU.Iil M/Iy103Z NNA � [CMO NCLUII.IPMJlI6WN11110.1'Y2fi91& 1Z/iy3W3 WUEENM NH6 iCN0 NCLWMYMt W[WNI1MAdu269]Bt UNCLOMMUNI[YPLHLMIMPMLM6WZ...W R, 1Z/Iy1W Z Ullf COMMUNMPLNCCW MPMt]CLCOMZI..9ID%O INIZ/lpS) XUMAN4<NAM58N¢WMPMI iN16111Y.q]L339 wi,1001, HGLl11NU9•VNS9LIINE"N't 0ORIPWY1IUMD WLUNIll Hx9-E.HCCWMPMTILI MIEIWGUZ13fi10 ER UIER22 HNB-ECHOHCCLVMPW ME OMUL10�}U419 IyU1202E nNA-[CHOXLCIAIMPMT 116A3411 L1®213919 12/13/3012 UNC[OMMUXI[9PLNCMIMIRETPHMSIE19NW2 IS/la/Z533 NUMAHAfNAORAXll41MPMT]%A61 LL'RTpEStd lt/10/ipEZ NNO�[CNO NCCWMPMTT<ftllYgaED%R19KA 1y11p03i Nx0�LCNp MC[UIMIMI P6mMt141OYA249M6 EE/IAAWt UN[[OMMUxIn PL XCCWMPMI I<6WWIL 910m0 01.91 HUMAHACXAOUANCMIM RRIT 14E13¢W15A9 IZ/2d(NDN WUI! O NUMAXS HEALTH MPMT 1]L6093LIE9M12 12/JAM22 MINFox]GMIXNERLTW?MRT[x1L115111 LZ/191NCE MAXM[AYox[tNlAMN9 PMN)fA3d10f.WmE393C1 CpZ9 UJUIROR 12/I6P022 HUMANACLUTIONHCCUIMPM13NUE IZIXN2A5 1.'/16120Z2 HMLTKHUMAO5a NCCWM9MT95YAEd.II ) R/I6(SOi2 HFAITNxUMNXyVCHCfIWMIMt UL[mW{INO4l lull/IDLE Depm' lu17/2I HNB-EC110 NCCIAIMPAff ]660Na31960WJ269]BL WW1033 UHCCOMMUNIry PINCCUIMPMT]16o]3L1191ob1 11/WlOR OEVOTLONfALTHPXCMIMPMT IA360I91516631 31/33/2032 DEVOTEOHEALTHPNCCUIMPMT 11114.197516629 12113JZ022 HNB- ECHO HCMIMPMT 74600141199WW213419 1413/2022 HUMANA (31A pI30 H[[UIMOMT3%8644200m35I4 12/13/2022 IIUWMCHA 0150 HCCUIMPMT3WN4alCCLW' 1514 l2141202Z WUe0N6311hMre NCMIMPMT)46W-1I 1143N 12/141202E NON r WLUYIUIMPM1rt]d6m341311C420 %AS /2/1512022 NOVITASSOWYIOR NC[UIMPMT6]OHE39300m1]4 IV1512027 CB36[ 1]/li(EOII WIIIEOV]C4NTE%XEAIMCAREC[NTER5111 Iy15/2023 HIML HeLOHCCiHCCUIMPMCNtl"E OIS974 12/15/2022 HIM ON DIES HCMAIMVMT4114400 NCOIi Iy15/3DN CK265 C1140158 NCMIMPMT390064@m001523 Iu1612on a:ss 1u16120n HUMANA CHA EEIi19CLAMPMTOmmm0Ym3UMI IVIN2022 HUMNEOHlA 015BHC W MPMT 1900044]OESESIS ]ul6/im2 DNOtEONFALTX PNCCWMPMT 12]140395mB515 Euvapa ap4D1 tul�IDti UtICCONOXC[WMPMZPm]311W0MIlF92M II/IS/IOn UNCCOMMVNIFYDCNUWIMDMI tiMO311191WJ9 U/W2022 M[p11NMU AMXSKMLRdIMPMI1f1bpM 11]R#} U113130U XXBFMpMCCWMDMil4Em)i1111mTtIHl9 UIl6130U NIIB-ECHV NC<WMDM1If )969A3421Wm[U1L96Y U2 UNCmMMVN[N0.9tO]b UJOINOIt M10f 0UTCPITEX HEALTHCARE E RECUNIM14 U/l0Et AMD SODImna Hl.RVPMT1PW41116]64 upimtt CM99 nJ}_jter_Om Inntl6Pln� gtPP/Camps NPP/C9mp1 QHMICRNUO CUPP/COmpKUp. QUPPN NH PORTION S.l3Lw5 - 5,1S 19,15 ISAISIS • NS)6N - 1i.536.5a 30APP.at. - IO.051,15 1.05Lf5 - 1d51.E5 31,311.50 - )9 . 3.113.50 $.)25.z"Rss3o, l@3 / 9 a l✓ aM33 660.i3 16.509.5E J W.IOfi.aT - k0,>OS60 ' - 19690E - I,96903 )6331 - )ALAI 6A9W / 669.60 IR 2U.W 11A,TIS.SA 11D,)o6.50 J 6pij1 ler•OVI T-1th"In MMCPOISTIP'1 CUNNIC mpl OIPP/Camp2 DIPp/Cpmpi QIpP/C..,,"Mpu EUPPTI NIIORTION - I.I.J. ARM to 4.30 - 2.%0.30 53.W U.44 HIM 35,So1.36 35,503,16 3AI4w I9ME% - LB;W6.A0 :,Wf61 - .61 51 - SIACU.61 7.1 I3.MI ll ".RU - S5,241.31 5.341.99 99 5,241.5. - 3,oiT50 020.0 6,32Op0 E6 10115.70 .A ID.O6 MAE 21M 3.5M l.SQA9 E, 6289 62.fi9 z,Alp)o 2,e107p 19.0b1.9)J 6.1W.50 6.30a50 - Io,6116F 10481.68 40i.Z5 o.os Ops 46A%.Ol. 139.956.i0 d 139,956.96. MMCPORTION T.,U SE,QM r nj 9 thtml COmpl CIpp/Camp2 QIpP/Wmp] QIPp/C..'4SI QIPPTI NNPOR310H 11.316,5A I1,3URM, µ33,15 - 1,513.I9 - 10,42100 - ]0.926W - MORE) - 6I2.W ID,696.86 - 10.44. as 7.505,00 7.5o5.00 7,I1I-4 - 2.217.45 2A5O00 - ;46Om 1.585.17 I,s05.11 4,261 Es - 1.162.35 I W00J 142,62627 - 4,IW CU 4,100.00 2,175.02 - 4115.82 4,ua A)✓ SHOW - 9.6m0 ' C,ILSm 6,7IS.m MMCP01111ON TlTI P� Trintler.ln O1pP)@mPl NPP/Ump2 OMP/[amp3 QIPP/CAmP.&UMVi QIPPT NNAQI - 75I5 - 79.1$ 13.67p.16 29,478. IV. 162.0] .11. - 4.30.30 ME, - 76.82 B,L619I 3.11tu 3.952.SB 5.10193J 8.A Im.l6 39 m 4Z -I6 4x.399.36 uxxw+.nru.nn:.ne+m Do '..e Wn...... V.M. wme H6+m oowmn.a l:.ssu mru 12.1, 2022AIM V12IN12 INES ]]/li/LIEi HNB. [GNONCCUIMPMT 7460010"W 1HW003692M I 12/li/2022 HNB.(MO HCCWMPMT T46W3900349201 I3/11P02Z UHC COMMUNITY PL NCCUIMPMT 74 003411110PoJ l3/1yi013 UHC COMMUNITY PLNCCUIMPAn W3413 246910000 U/l1/3033 HULTHHUI nUWCNCCUIMPMT2114003411300T2 22/l3/2033 HNO.ECHO NCWIMPMTi46003411440000111419 22/13/1022 NNE ECHO HCOMMPMT 246003411N0000113419 22/13/393E HU UI4ACHAOISBHCCWMPMT 39016243WCU1514 12/14/2023 U i.dH.+IH,. HCCLA MPM3]4W0U'% 1213M IIA02021 HNB-ECHO NCCUIMPMT 746003411 M000 249116 12/14/2022 HNB ECHO NCCUIMPMT 246003+1t 44W0@49682 1'24/2022 HNE ECHO HCCUIMPW 24600M1l MCOWM9549 12114/2022"mc,V PUSC NCCUIMPMl3MII19U111ID0Q IE/M/5022 UHCCOMMUNITYPLHCCWMPMT246M34-1 ICAO I2/13/MII WIRE OUT GNTEX MAIN GR3 CENTERS III IL19/102] M0.NAGUNOIIETIEMMN6PMNiNMCMW]0148341 32/19/1023 NNO.ECHDHCCUIMPMf T46003411M0000289289 1U15/Mn ".R.moowi,UIMPMT".m,IMmA m"3 '211612022 CN1254 12116/M22 HNN.ECHOWQAIMPMTTIMMII+ )29]E9 11/16RW2 Am.l6'wpnSC H.LMMPMT3197433330111000 11/16/2023 UnlledN.JNmeNCCU1MPMTT4bCOM11920W0 TOTALS MMCPORn¢N Ti4011u:991 }nntle+4n WPP/Cam01 NPP/Comex ¢lop([omp3 glPp/[omp4B1+PNN ¢IPPn i,]2Lif ' i5D5 3,9I9.0 1,94950 2600 2s.9s 62RO 9,670.7. A91J6 0:.2 .83 i8989.)3 1,751,96 0.411.67 - - 9,964.00 5i.1l7mx]SO ' N'.I NH PORTION 6,121.33 ]9639 35.05 23,930.To 1,149.50 1,I36.00 ISLS 30.10 EMT - 8.671.76 7,49].76 141e3 TEAT 289,73 .flL96 19.964,W 1578 s,E27.50 1.631E9 b,611.6E 1]].0] - iT].01 / 50 33].i 31T.50 94 I903MA0 t00.3N.00' 413239" 496430.0 496�WO.6T 12/19/2022 Treasury Center or Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 S7,665,586.79 $7,912,580.77 $7,666,586,79 $7,567,146,E '4551 CAL CO INDIGENT $9,884.55 $9.884.55 $9.884.55 $9,884.; HEALTHCARE 3660 GULF POWTE PLAZA - $100.00 $100.00 5100.00 5100.0 DACA •4454 MEMORIAL MEDICAL? S55,195.07 357,195.07 $56,195.07 $55,692.' NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL $536.90 S536.90 5536.90 S536.E CENTER -CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL $6,606,375.99 S6,632,585.61 56,506,375.99 S6,416,024.1. CENTER -OPERATING '4373 MEMORIAL MEDICAL $432.23 S432.2.3 S432.23 $432.2 CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL $118,765.24 ✓ / $120,137.98 S118,765.24 $124,228.4 CENTER INH ASHFORD 4 403 MEMORIAL MEDICAL $140.106,90 f S140,106.90 S140,106.90 S135,091.E CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL $95,276.10 $126,791.86 $95.276.10 S90,389 c CENTER INH CRESCENT '4446 MEMORIAL MEDICAL $42.421.19 $52,264.64 $42,421.19 $47,603.1 CENTER INH FORT BEND '4438 / MEMORIAL MEDICAL $100,529.05 $110,314.09 $100.529.05 $96,355.? CENTER /SOLERA AT WEST HOUSTON '2998 MMC -MONEY MARKET $296,644.60 S296,644.60 S296,644.60 $296.644.6 FUND '5506 MMC-NH BETHANY $235,134.62 $235,134.62 S235.134.62 5227,150.E SENIOR LIVING 15441 MMC -NH GULF POINTS S15,761.53 S52,171.64 $18,761.53 S14,881.E. PLAZA - MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $23,801.06 $29,092.61 $23,801.06 $23,568.E PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $22,621.76 $49,187.47 $22,621.75 S28,561 VILLAGE ' IItaICilIE Page generated co 12'1912022; Copyrght 2022 Prosperity Bank. https:/lprosperity.olbanking.comlonlineMessenger Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 12/19/2022 PreNeis Mature Beginning Number Balanre 6J,665.3B NPre'OnNbebnrer ojovn SS.Cao wIDbe numNenea to thenuning home. Note 3: Each arrwnt has base barons aFS1g0 Char MMCdeaafited roagen ceeeunt �: ii/ii�f.j❑1 :�l b. DEC 19 2022 Ily CALLHOUN COUNTY IV" Pending red.,', Beginning Pmount to Be Trani erred to Nursing )e ge. B¢lanp Home SQ195.0J 55,050.77, Bank Balanv 56,596.0] Variance leave In Balance 100.00 prtaberinter¢in 17.91/ Naaembet lnterex 36.90/ Uerember Interest Atllml Belana/TransierAml JCSR 56,e50.71 ✓ I t—� npprovetl: I1;+:A 1'... ANBBEW PB LOS SGNTBS 1g/19/2033 1 \NN Weekly Teamlen@1N UK Tramler S.—I` Ia33\0erembOtNH UPLTnnOer Summery 12.19.33.111, 11/212022 HNB 12/1212O21 HNfi NCKEEKCIRLTMEE]66003a5166O0W269118 t3113/1O22 GOWFNCRFFIR5t CR MEPCOEP 32203569200001266 f2/19/]@2 TSYSRRLHSFIRSt CRCO0fP X3fi615558]691291 ❑/25/2W1 WIRE OUT HE%ION HEALTH G/b/a GOWEN CREEK HE 12/16/2022 TSYS/FRANSFIRSTCRCO0EP5636N55582691291 12/16/2022 HFAITH HOMRH SVC HCCIAIMPMT 12960036113O12I MMCDORNON gIPP/C➢mp6 Tnn�S tnndenln gIPP/<omp3 WPP/Cump2 qOP/CamDi 61apu gIPP9 NH PORTION - 96.331.56 ,332li - 3.67531 3,683.373 3,65906 1 3.659m 3,65906 - 3,65906 67,5Z0.96 ' 330 f0 11268 3]0.00 133.60 6)610.98 %/56 O50)i / Sb.O5O.rz% 1211912022 Treasury Center uyv,Gu 4 Account Number Current Balance Available Balance Collected Balance Prior Day Belem: Number of Accounts: 16 $7,665,586.79 $7,912,580.77 $7,665,586.79 $7,567,146.5 '4551 CAL CO INDIGENT 59,884.55 59,864.55 59,884.55 59.864.E HEALTHCARE "3660 GULF POINTE PLAZA - $100.00 5100.00 S100.00 S100.0 DACA '4454 MEMORIAL MEDICAL 1 $56,195.07 $57,195.07 $56,195.07 $55,692.£ NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL $536.90 $536.90 $536.90 $536 c CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL 56,506,375.99 56,632,585.61 36,506,375.99 56,416,024.- CENTER-OPERATING '437 MEMORIAL MEDICAL $432.23 $432.23 $432.23 5432.2 CENTER- PRIVATE WAIVER CLEARING "4381 MEMORIAL MEDICAL $118,765.24 5120,137.98 $118,765.24 5124,228.4 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL $140,106,90 $140.106.90 5140,106.90 5135,091 CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL $95,276.10 5126,791.86 595,276.10 590,389S CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $42,421.19 $52,264.64 542,42IA9 $47,603.1 CENTER I NH FORT BEND "4438 MEMORIAL MEDICAL 5100,529.05 5110,314.09 5100,529.05 $96,355.7 CENTERISOLERAAT WEST HOUSTON 42998 MMC-MONEY MARKET $296,644.60 5296,644.60 $296,644.60 5296.644.E FUND 'S506 MMC-NH BETHANY $235,134.62 $235,134.62 5235,134.62 5227,150.E SENIOR LIVING -5441 MMC -NH GULF POINTE 516,761.53 $52,171.64 516,761.53 $14,881 PLAZA- MEDICARE/MEDICAID '5433 MMC -NH GULF POINTE $23.801.05 $29.092.61 523,801.05 523,568.`. PLAZA - PRIVATE PAY `3407 MMC -NH TUSCANY $22,621.76 $49.187.47 $22,621.78 S28,561.E VILLAGE nwale Page genernlerl on 12,1912022: Copyright 2022 Prosperity Bank. htlps:llprosperity.olbanking.comlonlineMessenger 1/1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 12/19/2022 Pr[v10Yf M[[Ount BgNning hrvi^Ys a[ea,m Bell atan'. nYm AMU WYOLM�2a a,lhnxafmt3 ,, 95.665.11 xem OnHba�ona5 a/ve+Ss.Owwdmrxe^penedmme nu,^nvneme. Nv[e2: EarllY[reun[M+°6meb°bn[ml$lOa,D°(MMCPeFv^+M ru°Pe^ °°[°unn ARWVM ON DEC 19 2022 Am°we to B[ P+ndln[ 77 +n[fenede 0 oe du red..B+ mnm wbna .Nnnl x l3,BO1.06 23,6P0.61[/ BmkB,hnee 13.90t. . Wn Beon[e laoW D.hl� ao.b,Inn ... 11 1A1/ xwembui.tereft ....be, lntetnt AdfVn 0+3,nee/ron+eerdmt 2'."'un Pm°unttn Be r�nsre+md t° Pending tne. •+a. nrin e.w[. P In xeme/ to du mails, 16,622.02 lea W... 16.161.0 Lee—B+bna 1W'0 On°ha[Inle+efl iO.D X Wemhe+lnte+ert le'l+ n+[e mDe[I R0Ad!.,B+l+na/Tnnde[P.1mt 56,or. .0i / lflAll u do.utm+�! J III^ PNBflFW BEtO55nMY05 )wH Weau,mmIlo+Wx uat r11n1e,3°mmenUONitiaMbVI.BBlrl+mmsumm,n 12/12/1021 NN8, ECHO HC MPMT)4644MI14M000169118 17/12/2022 HNB ECHO HCIAIMPMT>46003411440=20284 12/12/2D22 HUMANA CHA DIS8 HCCIAIMPMT 62492242ON01329 12/13/2022 HNB - ECHO HCCWIMPMT>46003411440000213620 12/13/20N HNB- ECHO HCCIAIMPMT 746003411440=213429 32/13/2022 HUMANA CHA D15D HCC,NMPMt 62498E 4200DU1524 12/14/2022 HNS. ECHO HCCIAIMPMT)46W3411440W0249331 12114102E HUMANA INS CO HCCIAIMPMT 6149928300oOSI8222 121151201E WIREOUTHMG5ERNCULLIC 12/15/2022 HNB ECHO IKCIAIMPMT 74MOUll 440000289734 1L15/2022 NN8 ECHO HCUVMPMT 74HOUll 440M0189734 12/15/2022 AMAAW HMLUMPMT 112109179011 W WOSR971 12/16/2022 NN8- ECHO HCCIAIMPMT)46W3AI1440000215229 ]21611012 HNB- ECHO HCCUMMPMT)4MOW11 MOMO215729 MMCPORTION QIPP/Camp QIPP/Ca.,4 Tunffer-0ut TrTrP 41PP(DOmpl S QIPP/C0mP3 &lapse QIPPTI NH PORTION 23.5E 33.53 16.70 16.70 14,OE0.00 - 14,06D.00 115.26 11556 21.71 - 21.72 5A92 60 5.042.50 466,01 - 4660E / 6023E 6U3.22 }I,59B.3B I15.6} 219.6E 2.2.26 - 3442.36 - 116.85 126.65 � 126.65 .6.65 I05 65 - 105.65 2159838 b90 23- - 6] 21.690.67 MMC PORTION "Y1} WW ` IIYrYliy}l F itf� QIPP/Came 41PP/C4m10. PI - yµ}5,TM t An ' Tnniler-Out rani aEeeJn QIPP/COm9I 2 4PP/ComP3 &UPIR QIPP TI NN PORTION t 12/14/2022 DOPOMERCHANT 4.5D.88 2.550.91 ERC 001 11214/3022 MARCH RCHCCUU IT 09M]8518811389 2$57,U - 6.057.43 HUMAN 0D II/14/)OII NFAl1N HUMAN SV[N[[IAIMPMT V4E00341130132 - / 6.05>43 II/15/20n WIRE OUT HMG SERVICES. 11C 95.525.60 - 1,556.00 12115102EWPS-TMEPCOMNACHC9AIMPMT2401375IM21000 - I,Ss6M Lamm 12/16/2022 MMCHANTSANNCDOEPOSIT49647851668991M001 Logo'. I 95525 fi0 166220E - 16.6E2.02I 12732398 40,313.69 40,3U.69 12I19/2022 Treasury Center Gyv vVr Account Number Current Balance Available Balance Collected Balance Prior Day Belant Number of Accounts: 16 $7,665.586.79 $7.912,580.77 _ $7,665,586.79 $7,567,146.E •4551 CAL CO INDIGENT $9,884.55 $9.884.55 $9,884.55 $9,884.E HEALTHCARE •3660 GULF POINTE PLAZA - $100.00 5100.00 S100.00 S100.0 DACA '4454 MEMORIAL MEDICAL $56,195.07 557,195.07 $56,195.07 $55,692.£ NH GOLDEN CREEK HEALTHCARE *4365 MEMORIAL MEDICAL $536.90 S536,90 S536-90 5536.E CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL S6,506,375.99 56,632,585.61 56,506,375.99 S6,416,024.1 CENTER -OPERATING •4373 MEMORIAL MEDICAL $432.23 S432,23 $432.23 $432.2 CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL $118,765.24 S120,137.98 $118,765.24 $124,228.4 CENTER/NH ASHFORD •4403 MEMORIAL MEDICAL $140.106.90 5140,106.90 5140,106,90 $135,091S CENTER/NH BROADMOOR *4411 MEMORIAL MEDICAL $95,276.10 5126,791.86 $95,276.10 590,389.E CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $42,421.19 $52,264.64 $42,421A9 547,603.1 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL $100,529.05 $110.314.09 5100,529.05 $96,355.7 CENTER I SOLERA AT WEST HOUSTON •2998 MMC -MONEY MARKET $296,644.60 S296.644.60 5296,644.60 5296,844.E FUND '5506 MMC NH BETHANY $235,134.62 $235,134.62 $235,134.62 5227,150.E SENIOR LIVING 'S� 441 MMC •NH GULF POINTE $16,761.53 $52,171.64 $16,761.53 $14,881 E PLAZA- MEDICAREIMEDICAID 'S433 MMC-NH GULF POINTE $23,801,06 $29,092.61 $23,801.06 $23,568 E PLAZA - PRIVATE PAY *3407 MMC -NH TUSCANY $22,621.76 $49.187.47 522,621.76 528,561 .� VILLAGE mdwale. Page generateo en 121912022; Copyright 2022 Prosperity Bank. P httpsY/prosperity.olbanking.com/0nlineMessenger 1/1 Memorial Medical center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 12/19/2022 P—uVn lvnvunity 0e uteunt sec nnW IxWnmamjWtxyrgImiR; x -7;S L*C `? x:9 xnmx.. ,sum s:.mrm.am udeu- ea oRmlu - Rnmrarnxrdmm. zLn,76a6.Lss o—s - a",n / R,521.16 Bankeabnte R611.16✓ Varnnrr lemin Balantf IWAO Pdj. BalanulTnndnamt 3tSifi16 V n NRr.WY6olvnoa 0/ow,55,WJwillhetranglRM fo tarnunlnRavme. aoowvetl:.l'.4-i;:,;,�„f Noltl:fnh v[rounr horv6afa6vfennojStdl [hm MMfdepmrtadtvopen enevnf. PNGREW OElO55WYe5 ` 2 iiil ilk �� orb DEC 19 2022 CALHOUNUCOUN'Tl? T&§ 37NNsda 11/12(2022 HNR- s 11/13/ID22 HNB- ECHO NCCIAIMPMT 746003411 440000213620 121IS/2022 WMEOUT HNIAR ENTERPRISES, UC 12/15/2022 Deposit 12/16/2022 CK7113 12/16/2022 HN6-ECHO HCCIAIMPMT 746003411440000225729 MMCPOPTION QIPP/[omP QIPP/Come Pp/Comp Tmnsfer4ut TsansfeMn 1 QIPP(Eomp2 3 4&I.PEe QIPPTI NHPORTION 9,924.07 - 9,924.07 / 7,314.49 - 7,314.49 34,77 1401.00 1,402.00 9,821.01 � ,- ' 3,881.20 - 3A81.20 12/1912022 Treasury Center Account Number Current Balance Available Balance Number of Accounts: 16 $7,665,586.79 $7,912,580.77 •4551 CAL CO INDIGENT $9.884.65 $9,884.55 HEALTHCARE '3660 GULF POINTS PLAZA - S100.00 $100.00 DACA '4454 MEMORIAL MEDICAL I $56,195.07 $57,195.07 NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL $536.90 $536.90 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL $6,506.375.09 $6,632.685.61 CENTER. OPERATING '4373 MEMORIAL MEDICAL $432.23 S432.23 CENTER - PRIVATE WAIVER CLEARING •4 MEMORIAL MEDICAL $118,766.24 S120,137.98 CENTER/NH ASHFORD •4403 MEMORIAL MEDICAL $140.106.90 $140,106.90 CENTERINH BROADMOOR `4411 MEMORIAL MEDICAL $96,276.10 $126,791.86 CENTER NH CRESCENT '4446 MEMORIAL MEDICAL $42,421.19 $62.264.64 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL $100,529.05 $110,314,09 CENTER I SOLERA AT WEST HOUSTON '29 MMC-MONEY MARKET $296,644.60 $296,644.60 FUND •5506 MMG •NH BETHANY $235,134.62 $235,134.62 SENIOR LIVING 5441 MMC-NHGULF POINTE $16,761.53 $52,171,64 PLAZA- MEDICARE/MEDICAID .5 MC -NH GULF POINTE $23,801.06 $29,092.61 PLAZA -PRIVATE PAY '3407 MMC -NH TUSCANY $22,621,76 � $49,187.47 VILLAGE oN� Collected Balance Prior Day Balanc $7,665,586.79 $7,567,146.° 59,884.55 59.884: $166.09 $169.c $56,195.07 $55,692.2 $ $ 536.90 $6 Copyright 2022 Pmspedfy Bank. htlps://prosperity.olbanhing.com/onlineMassenger 95,278.10 $90,389.9 $42,421.19 5100,529.05 $96,355.7I.i. 5296,644.60 $296,644.E ` $235,134.62 $227,160.E i.` 518,761.53 $14,881 :��' $23,801,06 $23,568°` $22,621.76 $28,581 .E. • indicate: Page generatetl on 12/19/2022 1 Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Pr05(IerityAccounts 12/19/2022 YwNum Aaount Be{mNnE 1 N Num➢er mhnes ei3his'F�0r1V, _� ee.aav xvmonlrbomnamo/vm$AOJB wRvNvn�ln/•d[o menminv r+°'*4 Nv¢ l: ELrh v[<vunl Am Y 6m< bvbn teo/$ICfI tAv[ ASMC depwilN f o Ypm vonunr. DEC 19 2022 CA O,ffFUf%s Amwruta B. Iendin{ T•vremdlo M.dlpn Tod.' Be Irvin Bal nve a.N Na"m�e meat 135.1316i. 119AOa.y/ ft.aa.m.e 235,1340 uunve 1Nvrin Galante low 10.36IAi �/ SUfeP19PSSPNrP pftuberlmemt / nw.meer mlmn V.12 3L11 ✓ p..emeamumt gdlune.lannpn Se. Am ils:3mu +� t l3/I . WEWo`Efp$ r- I;xx w»sMtnmeer•txxws*n.nvsumm•nsim..0..mcxtxnuvl ir.mra summ•n OJ91i.11. t I It ale 9"x,5 •� .,�^� ILIV3033 Oro -I W WMxi oepeyt W12120 2 WPPHt U/12/30x2 Cepotlt ILIu2m ...-E ILll/3023 HNO - ECHO NgWMPW 746003611 M00003691IH l2/12/x023 N1.11 NON[[RIMPM3I160036I16i00Pp269116 IZI1ym12 DPOmi[ 1211VZI2A WmEO TMATMuHH,e PFC NH JL36335162110000350 12/16/1.. WIR"LTHH POST S VI1 NN.11< SIp6/3013 HEALTH HUMAN 3VCIICCWMPM33]<4001<1130163 mmCPCHTION TFuulecYJ TonElOAR QUIP/CPmPl QVP/WmP2 QPVlWmP3 QVP/UO,YUP30 CORPTI NHPC9i1CN - 0352L96 02,5)1.96 0.699.55 0,099.55 S.6t1.9i $614.95 - 9L619.33 91,619.1I SMRA6 S1990" 170.76 UE36 - 59.497.50 19.07.50 /- 22,70539 17019A2 {,0954] Kul. MA2.99 A0.6E091✓ 7993711 06AIDA3 x30.91D.665I 0b19.62 4.M3.9) ID,26261 ]16,TI8)A J 12119/2022 Treasury Center r Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,665,586.79 $7,9t2,580.77 $7,665,586.79 $7,567,146.E '4551 CAL CO INDIGENT 59,884.55 $9,884.55 $9,884.55 $9,884.5 HEALTHCARE '3660 GULF POINTE PLAZA - $100.00 5106.00 5100.00 5100.0 DACA '4454 MEMORIAL MEDICAL f NH GOLDEN CREEK $56,196.07 $57,195.07 $56.195.07 $55,692.3 HEALTHCARE '4365 MEMORIAL MEDICAL $536.90 5536.90 5536.90 5536 c CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL $6,606.375.99 $6.632,585.61 $6,506,375.99 $6,416,024.1 CENTER - OPERATING '4373 MEMORIAL MEDICAL $432.23 S432.23 $432.23 5432.E CENTER - PRIVATE WAIVER CLEARING -4381 MEMORIAL MEDICAL $118,765.24 S120,137.98 $118,765.24 5124,228.4 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $140.106.90 5140,106.90 $140,106.90 5135,091 c BROADMOOR '4411 MEMORIAL MEDICAL 595,276.10 $126,791.86 595.276.10 $90,389.E CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $42.421.19 $52.264.64 542,421A9 $47,603.1 CENTER/NH FORT BEND -4438 MEMORIAL MEDICAL CENTER I SOLERA AT $100,529.05 $110,314.09 5100,529.05 $96,355.7 WEST HOUSTON -2998 MMC-MONEY MARKET $296.644.60 5296.644.60 $296,644.60 5296,644.E FUND 'S506 MMC-NH 13ETHANY $235,134.62 $235,134.62 $235.134.62 5227,150.E SENIOR LIVING '5441 MMC-NH GULF POINTE PLAZA- $16,761.53 $52,171.64 $16,761.53 $14,881 c MEDICARE/MEDICAID '5433 MMC-NH GULF POINTE 523,801.06 $29,092.61 523.801.06 523,568! PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $22,621.76 $49,187.47 $22,621.76 $28,561.E VILLAGE ' ind.cale, Pape generated on t2119i2022 : Copyright 2022 Prosperity Bank. 1 https:tlprosperity.olbanking.com/onlineMessenger fit MEMORIAL MEDICAL CENTER 12/19/22 APPROVED ON DEC 19 2022 FUR AC.-T. USE GMI Y 01 Imp r &s t r .1 li I FAIP Check Mz, i I i:"I F - d k : 'j Vendor RErml F, chGck w cjep;: AMOUNT _5�20262.41 G/L 1"'IUMSFR� 10255040 ----------- -1v! A•AA 1-:1.0, el Into,^. cenTek,I.c. 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