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2023-04-05 Final PacketNOTICE OF MEETING—4/5/2023 April 5, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING 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. THE FOLLOWING MEMBERS WERE PRESENT: (ABSENT) Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order by Commissioner David Hall 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. n/a 5. Hear report from Calhoun County Chief Appraiser. Jesse Hubbell gave the report. Page 1 of 4 NOTICE 0l- MEETING -- 4/.5/2023 6. Consider and take necessary action to approve a Resolution in support of Gulf Bend Community Collaborative Plan. (RHM) Jeff with Gulf Bend explained the background of the resolution that Commissioner Hall read. RESULT: APPROVED [UNANIMOUS] MOVER: s Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to update the signatures for the Federal Surplus Property Program and authorize the County Judge to sign all necessary documents. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve the Infrastructure Development Plan for the Marquis Laydown Yard. (VLL) Scott Mason explained the plan. Commissioners agreed to pass on the item due to lack of written agreement with drainage district. 9. Consider and take necessary action to approve the General Interlocal Agreement with the City of Point Comfort. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, ,Behrens, `Reese 10. Consider and take necessary action to authorize Commissioner Behrens to sign the Specific Project Approval with the City of Point Comfort for the reconstruction of Julia Street. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 4 ' NOTICE OF MEETING—4/5/2023 11. Consider and take necessary action to authorize the County Judge to sign the Agreement for Professional Services with Urban Engineering for Additional Environmental Services for Calhoun County Green Lake Park Improvements — Phase 1, Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to authorize the County Judge to sign the amended Sanitary Control Easement between Calhoun County and Port O'Connor Improvement District — original easement was signed July 15, 2020. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall;Lyssy, Behrens, Reese 13. Consider and take necessary action to acknowledge an increase in the Sheriffs Forfeited Property Fund 2022 budget as follows: vehicle 2860-999-74050 - $2,687.00 and Forfeitures — Other 2860-001-45060 - $2,687.00. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to accept an insurance proceeds check in the amount of $6,921.45 from VFIS for an ambulance accident on 9/28/22. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese 15. Approve the minutes of the March 29, 2023 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 4 N0110E OF MEETING-4/5/2023 16. Consider and take necessary action to declare the attached list of items from Calhoun County EMS as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese 18. Approval of bills and payroll. (RHM) MMC Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall Lyssy, Behrens, Reese County Bills 2023: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:31am Page 4 of 4 ✓ �1411 Agenda Items Properly Numbered I/ Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's __L_) All Documents for Clerk Signature Flagged On this the l �'h� day of 2023, the packet for the 7pp L of 2023 Commissioners Court Regular Session was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant C O M M I S S I O N E RS C O U RT C H E C KL I S T/FORM S AGENDA NOTICE ON MEETING 4/5/2023 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ILyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4- NOTICE OF MEETING The Commissioners' Court off Calhoun County, Texas will meet on Wednesday, � April 5, 2023 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: � V . 6 FILED �� A7 O'CLOCI __ M 1. Call meeting to order. c�i4vil�i zJuG�C�'�u" AR 3 1 2Q23 j 2. Invocation. cou NA c BY, GEC ,/3. Pledges of Allegiance. l ✓4. General Discussion of Public Matters and Public Participation. ,,Gto4e-e- 5. Hear report from. Calhoun County Chief Appraiser. -3-e'�X 914 bh /( (�C4 J�S 6. Consider and take necessary action to approve a Resolution in support of Gulf Bend Community Collaborative. Plan. (RHM), 'T.e4T( "cn4 t J 7. Consider and take necessary action to update the signatures for the Federal Surplus Property Program and authorize the County Judge to sign all necessary documents. (VLL) Gt7ro. Consider and take necessary action to approve the Infrastructure Development Plan for the Marquis Laydown Yard. (VLL) -J Lq. Consider and take necessary action to approve the General Interlocal Agreement with the City of Point Comfort. (JMB) �` \V0. Consider and take necessary action to authorize Commissioner Behrens to sign the Specific Project Approval with the City of Point Comfort for the reconstruction of Julia Street. (JMB) Page I of 2 NOTICE OF MEETING—4/5/2023 Consider and take necessary action to authorize the County Judge to sign the Agreement for Professional Services with Urban Engineering for Additional Environmental Services for Calhoun County Green Lake Park Improvements — Phase 1, Calhoun County, Texas. (GDR) 12. Consider and take necessary action to authorize the County Judge to sign the amended !!! Sanitary Control Easement between Calhoun County and Port. O'Connor Improvement District — original easement was signed July 15, 2020. (GDR) 13. Consider and take necessary action to acknowledge an increase in the Sheriff's Forfeited Property Fund 2022 budget as follows: vehicle 2860-999-74050 - $2,687.00 and. Forfeitures — Other 2860-001-45060 - $2,687.00. (RHM) •V4. Consider and take necessary action to accept an insurance proceeds check in the amount of $6,921.45 from VFIS for an ambulance accident on 9/28/22. (RHM) J � &, 15. Approve the minutes of the March 29, 2023 meeting. JT16. Consider and take necessary action to declare the attached list of items from Calhoun t County EMS as Waste. (RHM) &7S 17. Consider and take necessary action on any necessary budget adjustments. (RHM) J18. Approval of bills and payroll. (RHM) Vk ichard H. Meyer, C untydge 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 ail times. This Notice shall remain posted continuously for at least 72 hours precedingthe scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of °° p ■ ■ ❑ o O�y ^ V/ � O UJ O O O O O O O O O O O O 01 # 05 I NOTICE OF MEETING-4/5/2023 April 5, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING 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. THE FOLLOWING MEMBERS WERE PRESENT: (ABSENT) Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order by Commissioner David Hall 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. n/a 5. Hear report from Calhoun County Chief Appraiser. Jesse Hubbell gave the report. Page 1 of 14 'pD 2 2++ O O D 'pN0 _= N p N +++ i0 D m D m p N � W 3 N im+NrD fn1 3m N m D9 4 K M 3 N N y 3 TI T T O C C A O C C A ? �0D D p Fi 0 A W N W O p C C -$1 y N F+ F+ 00 f M F+ 00 00 N F+ N {OO{pp V V N F+ N t0 N W N O A V lD Fes+ A N O V Oo N � lM1 tANNi+l i+' D N � Ni/`tR NiR t/P n A A =i m H < � G w r x +-. w m N m -1 N A t a' < w O lDw 0 A O+ m F+ G V+ N O ` w m0 w pAp NE C V N V W V N C W W W l!+ Ol W O rn N 0o 00 Q co I+ O V N V O O Ot V A w D uxi b ON X r N A fCii `OAf W W W m N W G t0 T O V W W< N V 0 W J W O A N r pOppp1 N O N W w C W N m 01 w Oo Ot N N N O+ C A W �ONi O+ O W F+ V m O o O S w N lO W VOi t�O W !rl'I V V W 00 N N m A N t0 l0 N V b ? H W N V l0 00 N O A N N A F+ D Omj pWp n O r F+ F+ tp N W F+ r in oa io i+ o+ io C in oAAo in w t+ C+ C lN++ tNp lNi+ W V OAi rn FW+ G V N A � rn D D y � -yx1 -xxi D D W 0] P m r rn 9 Calhoun County 10 Year History Year ITax Ratel Taxable Valuel value+/- I Levyl Levy +/- 2022 0.5970 4,127,841,543 466,521,007 25,079,944.81 2,342,623.51 2021 0.6101 3,661,320,536 99,702,979 22,737,321.30 1,470,885.99 2020 0.5872 3,561,617,557 176,782,664 21,266,435.31 2,082,743.27 2019 0.5572 3,384,834,893 102,409,471 19,183,692.04 2,809,631.57 2018 0.4900 3,282,425,422 47,124,666 16,374,060.47 251,465.32 2017 0.4900 3,235,300,756 -24,975,662 16,122,595.15 -96,708.31 2016 0.4900 3,260,276,418 -153,832,128 16,219,303.46 -732,358.32 2015 0.4900 3,414,108,546 -115,253,384 16,951,661.78 -550,874.80 2014 1 0.4900 3,529,361,930 30,911,101 17,502,536.58 168,996.62 2013 0.4900 3,498,450,829 17,333,539.96 Page 1 of 1 # 06 ' NOTICE OF MEETING — 4/5/2023 6. Consider and take necessary action to approve a Resolution in support of Gulf Bend Community Collaborative Plan. (RHM) ssioner Hall read. r: APPROVED [UNANIMOUS] Vern Lyssy, Commissioner Pct 2 DER: Joel Behrens, Commissioner Pct 3 Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 14 RESOLUTION IN SUPPORT OF GULF BEND COMMUNITY COLLABORATIVE PLAN WHEREAS, rural Texas communities are facing an increasingly complex mental healthcare future while Texans undergoing mental health crises stand an 8 to 1 chance of incarceration rather than hospitalization; and WHEREAS, the primary purpose of Texas jails is to incarcerate those who have committed crimes rather than housing those who suffer from mental illness; and WHEREAS, rural Texas jails are not resourced to provide adequate mental healthcare services but are forced to serve as the de facto primary rural mental healthcare facilities for the mentally ill; and WHEREAS, the Gulf Bend Community Collaborative plan provides a viable solution to reduce criminalization of the mentally ill in Calhoun County through a comprehensive jail diversion and preventative treatment program; and WHEREAS, Calhoun County is committed to offering assistance to the mentally ill through collaboration with various community organizations; and WHEREAS, the Gulf Bend Community Collaborative Plan provides for a viable solution to the problem of incarceration of non-violent persons suffering from mental health episodes; NOW, THEREFORE, BE IT RESOLVED, that the Calhoun County Commissioners' Court supports the Gulf Bend Community Collaborative Plan and calls upon the Texas Legislature to bring this plan to fruition so that we may properly address the mental health issues in rural Texas. Passed and Approved this the 5th of April, 2023. Richard H. Meyer, u y 7J�dge/ David E. H 11 Vern Lyssy Commissi er, Precinct 1 Commissioner, Precinct 2 Joel". Behrens GaryReese Commissioner, Precinct 3 Commissioner, Pret 4 ttest: Anna Goodman, County Clerk )eputy Clerk Page 1 of 1 # 07 NOTICE OF MEETING— 4/5/2023 7. Consider and take necessary action to update the signatures for the Federal Surplus Property Program and authorize the County Judge to sign all necessary documents. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 14 Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 March 22, 2023 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 next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 ® Consider and take necessary action to update signatures for the Federal Surplus Property Program and authorize Judge Meyer to sign. Sincerely, Vern Lyssy VL/f � 7 ° FEEl)I l �% SURPLUS F4I:14 INSTRUCTIONS FOR COMPLETING THE APPLICATION TO RECEIVE FEDERAL SURPLUS PROPERTY (41 CFR 102-37) • Complete pages 2-6 and return per the instructions at the bottom of this page. • Page 6 must be signed by your organization's AUTHORIZING OFFICIAL. An "Authorizing Official" is the chief executive or financial officer for the applicant organization with authority to execute legal documents on your organization's behalf. • Some organizations must submit supporting documentation with the application. See pages 8-11 for details. • Public/government agencies are eligible. Certain nonprofit organizations, Veterans Service Organizations, Service Educational Activities, volunteer fire/EMS/search & rescue departments and small businesses may also qualify. To determine if your organization may be eligible, please refer to the categories listed on pages 2 and 8-11 or contact us. o All organizations must reapply every three (3) years. • INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. IF YOU HAVE QUESTIONS OR NEED ASSISTANCE, PLEASE CONACT US AT (512) 9624167 OR federal. surolusgAfc.texas.00v. • Narrative Forms, Add/Delete Representative Forms, and all other program forms are available for download from the "Forms" section of ourwebsite: www.SurolusTexas.aovffederal.. • Instructions for completing page 2: o SECTION 1: Provide the full legal name of your organization and Federal Employer ID #. Provide the complete mailing address of your organization as recognized by the U.S. Postal Service. If the street address is different from the mailing address, provide that address or directions if located on a ruralor remote area. Provide a phone number (required), fax number (optional) and an email address (required). E-mail addresses provided will receive notices about program updates, account status, compliance actions, and available property. o SECTION ll: Check the boxthat best describes your organization's type or primary purpose. If you are unable to determine which box to check, please see pages 8-11 for an explanation of the eligibility requirements for each type of organization, or contact our office for assistance. o SECTION III: Check only one box. o SECTION IV: Indicate source(s) of funding for your organization. Depending on your organization type,.. you may need to include a description of programs/services and facilities and/or supporting documentation regarding funding source(s). Public agencies (i.e., cities, counties, state agencies, public schools) are not required to submit additional documentation forthis section. o SECTION V: Nonprofit organizations must provide a current, valid IRS Tax Exemption. Leff er indicating your organization is exempt under Section 501 of Internal Revenue Code, The name of the organization on the IRS fetter must match the name provided in Section I of this application. If not, applicant must include sufficient evidence, such as amendments to Articles of Incorporation or Assumed Name filing certificates, to establish the connection. Public/government agencies, small businesses, Veterans Service Organizations, and VFDs are not required to submit documentation for this section. o SECTION VI: Most nonprofit organizations are required to submit evidence of current approval„ accreditation or license from a nationally recognized accrediting or licensing organization. SBA 8(a) and Veteran owned small businesses must submit proof of approval from the SBA. Public/government agencies and VFDs are not required to submit additional documentation for this section. SUBMIT PAGES 2-6 OF APPLICATION TO: Applications maybe emailed, faxed ormaired. TEXAS FACILITIES COMMISSION'. FEDERAL SURPLUS PROPERTY PROGRAM P.O. BOX 13047 AUSTIN, TX 78711-3047 TEL: (512) 962-4167 FAX:. (512) 236-6173 federal. surolus(o)tfc.texas.00v For more information about the Federal Surplus Property Program and to view available inventory„ please visit: www.SurolusTexas.gov/federal Page 1 of 11 Rev IM423 G FEDEARAL SURPLUS 1. ORGANIZATION NAME & INFORMATION: Calhoun County 74-6001923 LEGAL NAME OF ORGANIZATION (include DBA name if applicable) FEDERAL EMPLOYER ID (EIN) 211 S. Ann Ritita 301 Port Lavar. TX 77979 STREET ADDRESS (no P.O. Boxes) CITY STATE ZIP CODE MAILING ADDRESS (if different from above) CITY STATE ZIP CODE Calhoun (3611553-4600 (361) 53-4444 COUNTY TELEPHONE # FAX #t FISCAL YEAR END DATE: 12/31 EMAIL: richard.meyer(cr�.calhouncotx.Org II. TYPE/PURPOSE OF ORGANIZATION: (Check the box that best describes your organization. See pages 8-11 for requirements for specific types of organizations.) ❑ city ❑ Public School, School District or ESC ❑ Volunteer Fire Dept:.,. EMS. or Rescue Squad Ilk County ❑ Open -Enrollment Charter School, ❑ Emergency Services District ❑ State Agency ❑ College or University ❑. Provider of Assistance to Impoverished Persons ❑ Conservation (i.e., soil, water, or aliify district) ❑ Child Care Center or Preschool ❑, Provider of Assistance to Homeless Persons Q Economic Development or COG ❑ Foster Care orAdoption Services Q Program Funded for Older Americans ❑ Educational Radio or TV Station ❑ Sheltered Workshop! Vocationai. Rehabilitation Program []I SBA 8(a) Business ❑ Library ❑ Residential Treatment Center ❑ Veteran. OwnedSmall Business Museum ❑ Heath Center (clinic, hospital, etc.) ❑ Veterans`Service Organization ❑ Zoo, Planetarium or Aquarium ❑ Service Educational Activity (e.g., scouts) ❑ Historic Light. Station III. APPLICANT STATUS: (check one) ❑O Public/Government agency (includes public schools &vol. firedepts.) ❑ Nonprofit organization ❑Small business IV. SOURCE(S) OF FUNDING: N Tax -supported 0 Grants 9 Contributions ❑®' Other FeeS fines interest V. (For nonprofit organizations only) HAS THE ORGANIZATION BEEN DETERMINED TO BE TAX EXEMPT UNDER SECTION 501 OF THE INTERNAL REVENUE CODE OF 1986? ❑Yes ❑ No Vt. IS THE ORGANIZATION APPROVED, ACCREDITED, OR LICENSED? ❑ Yes ❑No Required fornonprofit education orhealth organizations, conservation organizations, Veterans"Service Organizations, small businesses and Service Educational Activities. IF YES, BY WHAT AUTHORITY? Page 2 of it Rw. 4B2P29 AUTHORIZED REPRESENTATIVES I. An "Authorized Representative" is a person authorized to sign for the release of property on your organization's behalf. An Authorized Representative must sign in the "Signature" provided space below to sian for the release of property. u. Persons listed below without a signature may visit ourwarehouses and will be included in email broadcasts from our office but will not be able to sign for the release of property. ni. All representatives listed in prior applications or account updates will be deleted from the account. iv. E-MAII ADMIWSSES P.ROYIbED MAY'REEEIVE.NBTICE5 ARntff 1130MRAPA uanATF4% er_enr uNr V. Valid driver's license or state issued photo ID maybe required prior to entering state or federal facilities. vl. The Authorizina Official fsionino on naaa 6 of tha Annlicatinnl mall monmatirauv ha rnrr.rdcrr a. (initial here) I, as the Authorizing Official, do NOT want to be an Authorized Representative able to sign for property. (Leave blank if the Authorizing Official should be an Authorized Representatim.J IMPORTANT NOTE REGARDING SIGNATURES: Unauthenticated digital signatures, signature stamps or signature images will not be accepted. A physical signature is preferred. If a physical signature cannot be obtained, we can also accept digital signatures authenticated by a third party such as Docu-Sign or Adobe Acrobat. NAME TITLE TELEPHONE and EMAIL ADDRESS gIGNATURE (example) John Doe County Judge (512)123-4567 John.doe@gmail.com J... i70Pi David Hall County (361) 552-9242 Commissioner david.hall@calhouncotx.org Vern Lyssy County (361) 552-9656 Commissioner vern.lyssy@calhouncotx.org Joel Behrens County (361) 893-5346 Commissioner joel.behrens@calhouncotx.org Gary Reese County (361) 785-3141 Commissioner gary.reese@calhouncotx.org Mark Stevens Pct. 1 Foreman (361) 552-9242 angela.torres@calhouncotx.org Ronald Best Pct. 2 Foreman (361) 552-9656 lesa.jurek@calhouncob(.org John Perez Pct. 3 Foreman (361) 893-5346 lynette.adame@calhouncotx.org Frank Gerking Pct. 4 Employee (361)-785-3141 april.townsend@calhouncotx.org &11 Rev. rM022. AUTHORIZED REPRESENTATIVES i. An "Authorized Representative' is a person authorized to sign for the release of property on your organization's behalf. An Authorized Representative must sign in the "Signature" provided space below to sign for the release of nroyefir. u. Persons listed below without a signature may visit our warehouses and will be included in email broadcasts from our office but will not be able to sign for the release of property. ill. All representatives listed in prior applications or account updates will be deleted from the account. v E MAIL ADDRESSES PROVIDED MAY RECEIVE NOTICES S ATUS COMPLIANCE ACT ONS AND AVAILABLE RO ERTYABOUT PROGRAM UPDATES, ACCOUNT, v. Valid driver's license or state issued photo ID may be required prior to entering state or federal facilities. vi. The Authorizing Official (signing on page 6 of the Application) will automatically be included as an Authorized Representative unless indicated below: a. (initial here) I, as the Authorizing Official, do NOT want to be an Authorized Representative able to sign for property. (Leave blank if the Authorizing Official should be an Authorized Representative.) IMPORTANT NOTE REGARDING SIGNATURES: Unauthenticated digital signatures, signature stamps or signature images will not be accepted. A physical signature is preferred. If a physical signature cannot be obtained, we can also accept digital signatures authenticated by a third party such as Docu-Sign or Adobe Acrobat. Carlos Padron Asst. Foreman (361)552-9242 /) Pct. 1 david.hall@calhouncotx.org C John Mayne Magnolia Beach (361)484-5272 VFD Chief johnmayne20l3@gmail.com Mike Noel Magnolia Beach VFD Asst Chief (940)781-5345 johnmayne20l3@gmail.com Ryon Gossett Six Mile VFD (361)676-7966 Chief ryongossett@yahoo.com Galen Johnson Olivia -Port Alto (361)920-0330 VFD Chief lynette.adame@calhouncotx.org Nathan O'Neill Port O'Connor (361)220-1120 VFD Chief noneill@poctx.com Page 3b of 11 Rev. 1 Y 023 Calhoun County the donee, agrees that the program for or in connection with (Legal Name of Applicant Organization) which any property is donated to the donee will be conducted in compliance with, and the donee will comply with and will require any other person (any legal entity) who through contractual or other arrangements with the donee is authorized to provide services or benefits under said program to comply with all requirements imposed by or pursuant to the regulations of the General Services Administration (41 CFR 101-6.2 and 101-8) issued under the provisions of Title VI of the Civil Rights Act of 1964, as amended, Section 606 of Title VI of the Federal Property and Administrative Services Act of 1949, as amended, Section 504 of the Rehabilitation Act of 1973, as amended, Title IX of the Education Amendments of 1972, as amended, Section 303 of the Age Discrimination Act of 1975, and the Civil Right Restoration Act of 1987, to the end that no person in the United States shall on the ground of race, color, national origin, sex, or age, or that no otherwise qualified handicapped person shall solely by reason of the handicap, be excluded from participation In, be denied benefits of, or be subjected to discrimination under any program or activity for which the donee received Federal assistance from the General Services Administration; and hereby gives assurance that it will immediately take any measures necessary to effectuate this agreement. The donee further agrees (1) that this agreement shall be subject in all respects to the provisions of said Federal statutes and regulations (2) that this agreement obligates the donee for the period during which it retains ownership or possession of the property, (3) that the United States shall have the right to seek. judicial enforcement of this agreement, and (4) that this agreement shall be binding upon any successor in interest of the donee and the word "donee" as used herein includes any such successor in interest. COUNTYICOUNTIES SERVED BY APPLICANT ORGANIZATION: Calhoun County Payment is due 30 days from the invoice date. Payment for property must be in the form of a check drawn on the account of your organization or parenticharter organization. State agencies must pay via Interagency Transaction Voucher (ITV). Our agency code is 303. If you have questions about how to submit a payment, please contact us at 512-962-4167 or federal.surplus(8ttfe.texas.nov. For new accounts for nonprofit organizations, small businesses, and volunteer fire / EMS I search $ rescue departments, please submit the following with your application: a A voided check or deposit slip, copy of recent bank statement or fetter from bank certifying payment account name. The name on the account must match the name on your application and IRS letter (if applicable). If your organization has a 'MN'that you will be submitting payment under, and that is not listed on your IRS letter, then you must submit evidence that your"DBA" has been registered with the proper authority. e If a parent/charter organization will be submitting payment on your behalf, then you must also provide an explanation of the relationship between your organization and parent organization. For account renewals for nonprofit organizations, small businesses, and volunteer fire I EMS I search & rescue departments. please check one of the following: ❑ Our organization will continue using the same payment account in our organization's name. ❑ Our organization will have a parent organization pay on our behalf. Name of Parent Organization: Relationship: ALL applicant organizations must provide a Payment Point of Contact who will receive notices regarding overdue payments: Name: Richard H. Mever Title: County Judge Email: richard meyer(dcalhouncotx org Phone: (361) 553-4600 Page 4 of 11 Rev. 1XFNZD DONEE CERTIFICATIONS & AGREEMENTS NO "State agency" = Texas Facilities Commission; Donee"= yourorganization (a) THE DONEE CERTIFIES THAT: (1) It is a public agency, a. nonprofit institution or organization exempt from taxation under section 501 of the Internal Revenue code of 1954, a Veteran -Owned Small Business or an SBA 8(a) business; within the meaning of section 2030) of the. Federal Property and Administrative Services Act of 1949, as amended, and/or the regulations ofthe General Services Administration (GSA), the Department of Veterans Affairs (VA) or Small Business Administration (SBA). (2) If a public agency, the property Is needed and will be used by the recipient for carrying cuter promoting for the residents of a given political area one or more public purposes, or if a nonprofit tax-exempt institution or organization, the property is needed for and will be used by the recipient for educational'. or public healthpurposes, including research for any such purpose, or for programs for older individuals, or SEA organizations, or assistance to homeless(impoverfshed, or assistance to Veterans.. (3) If an SBA 8(a) business or Veteran -Owned Small Business, the business is located and operated within the State, and that it will usethe acquired surplus personaf property in the normal conduct of its business activities. Personal or non -business use is prohibited. (4) The property is not being acquired for any other use or purpose, orfor sale or other distribution; or for permanent use outside the State, except withprior approval ofthe State agency and GSA. (5) Funds amavallable to pay all costs and charges mcfdentto donation. (6) This transaction shall be subject to the nondiscrimination regulationsgoveming the donation of surplus personal property issued under Title. Vl Of the Civif Rights Act of 1964. Title VI Section 606 of the. Federal Properly and Administrative Services Act of 1949, as amended, and Section 504 of the Rehabilitation Act of 1973, as amended, Title IX ofthe Education Amendments of 1972, as amended, and Section 303 of the Age Discrimination Act of 1975 and the Civil Right Restoration Act. of 198T. (7) In accordance with 28 C.F.R. Section 42A01-42.415, the Federal Surplus Property Program collectsinformation related to a. donees race and national origin in order to provide GSA officials, upon request, with enough Information for determfning compliance with applicable civil rights laws. Data is collected for those donees who; (II are eligible to participate in the FSP Program; (2) those actually participating in the recipient's programs and activities; (3) those deniedparticipation In the recipient's program. (811fa SBA 8(a) business, the terms Identified In (b), (c), and (d) may not apply. SBA 8(a) businesses must follow SBA guidelines. (b) THE DONEE AGREES TO THE FOLLOWING FEDERAL CONDITIONS: (1) All items of property shall be placed in use for the purpose(s) for which acquired within one year of receipt. Property shall he continuedIn use for such purposes for at least. one year from the date the property was placed in use, Some property must be used longer than one year (see Section (a)). Inthe event the property is not so placed in use, or continued in use, the donee shall immediately notify the State agency, and at the donee's expense, return such property to the State agency,or otherwise make the property available for transferor other dispossf by the State agency, provided the property is still usable as determined by the State agency. (2) Such special handling or use limitations as are imposed by General Services Administration (GSA) on any item(s) or property. (3) In the event the property is not used or handled as required by (b)(1) and: (2), fifle and right to the possession of such property shall: atthe option of GSA revert to the United States of America and upon demand the donee shall release such property to such person as GSA or its designee shall direct.. (c) THE DONEE AGREES TO THE FOLLOWING FEDERAL CONDITIONS, APPLICABLE TO ITEMS WITH A UNIT ORIGINAL ACQUISITION COST OF $5,000 OR MORE AND PASSENGER MOTOR VEHICLES, REGARDLESS OF ACQUISTION COST. THE FOLLOWING'S CONDITIONS DO NOT APPLY TO VESSELS 50 FEET OR MORE IN LENGTH AND AIRCRAFT, FOREIGN GIFTS OR OTHER ITEMS OF PROPERTY REQUIRING SPECIAL HANDLING OR USE LIMITATIONS, REGARDLESS OF THE ACQUISTION COST OR PURPOSE FOR WHICH ACQUIRED: (1) The propertyshall be used only far the purpose(s) for which acquired and for no other purpose(s). (2) There shall be a period of restriction which will expire after such property has been used for the purpose(a) for which acquired for a period of 18 months fromthe date the properly is placed in use. Not applicable to Service Educationist Activities (SEAs). (3) In the event the property is not used or handled as fequired by (b)(1) and (2) and (c)(1) and (2), title and right to the possession of such property shall at the option of GSA revert to the United States of America and upon demand the donee shall release such property to such person as GSA or its designee shall direct. (d) THE DONEE AGREES TO THE FOLLOWING TERMS, RESERVATIONS, AND RESTRICTIONS: (1) From the date it receives the property and through period(s) of time the conditions imposed by (b), (c) and (f) remain in effect, the doneeshag not sell', trade, tease, lead, bail, cannibalize, encumber, or otherwise dispose of such property, or remove it permanently, for use outside the State,without the prior approval of GSA under (b) and (f), artha State agency under (e) and (f). The proceeds from any sale, trade, lease, loan, bailment, encumbrance or other disposal of the property shall be remitted promptly bythe donee to GSA or the State agency, as the case may be. SBA 8(e) businesses and Veteran -Owned Small Businesses must also obtain prior approval. from SBA in addition to the State agency and GSA. (2) In the event any of the property is sold, traded leased, loaned, bailed, cannibalized, encumbered, or otherwise disposed of by the donee from the date It receives the properly through the periods) of time the conditionsimposed by (b), (c) and (0 remain in effect, without prior approval of GSA or the State agency, the donee,. at the option of GSA or the State agency, shall pay to GSA or the State agency, as the case may be, the proceeds of the disposal or the fair market value or the fair rental value of the property at the time of such disposal, as determined by GSA or the State agency. (3) If at any time, from the date it receives the property through the period(s) of time the conditions imposed by (b), (c) and (I). remain in effect, any of the properly is no longer suitable, usable, or further needed by the donee for the purpose(s) for which acquired, the donee shall promptly notify the State agency, andshall, as directed by the State agency, return the property to the State agency, release the property to another donee or another State agency, a. department or agency of the United States, sell or otherwise dispose of the property. The proceeds from any sale shall be remitted promptly by the donee to the State agency. (4) The donee shall make reports to the State agency on the use, condifion, andlocation of the property and on other pertinent: matters as may be required time to time by the State agency. (5) At the option of the State agency, the donee may abrogate the State conditions set forth in (c) and the State terms, reservations, and restrictions pertinentthereto in (d) by payment of any amount as determined by the State agency- (0) THE DONEE AGREES TO THE FOLLOWING CONDITIONS, APPLICABLE TO ALL ITEMS OF PROPERTY: (1) The property acquired by the donee is on an "as is, where le basis, without warranty of any kind, and the Government of the United States of America, the State of Texasv ifs agencies or assigns, and employees thereof will be held harmless from any or all debts, liabilities, judgments, costs, demands,. suits, actions, or claims of any nature arising from or incident to the donation of the property, its use, or final disposition. (2) Where a donee carries insurance against damages to or loss of property due to fire or other hazards and where loss of or damage to donated property with unexpired terms, conditions, reservations or restrictions occurs, GSA or the State agency, as the case may be, will be entitled to reimbursement from the donee out of the insurance proceeds, of any amount equal to the unamortized portion of the fair market value of the damaged or destroyed donated items_ (f) THE DONEE AGREES TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS APPLICABLE. TO THE. DONATION OF AIRCRAFT AND VESSELS (60 FEET OR MORE IN LENGTH) HAVING AN ACQUISITION COST OF $5,000 OR MORE, AND FOREIGN. GIFTS OR OTHER ITEMS OF PROPERTY REQUIRING SPECIAL HANDLING OR USE LIMITATIONS, REGARDLESS. OF THE ACQUISITION COST OR THE PURPOSE FOR WHICH ACQUIRED: (f) The donation shall be subject to the additional special terms, conditions, reservations, and restrictions set forth in the Conditional Transfer Document. orotheragreements executed by the authorized donee representative. (9) THE DONEE CERTIFIES by signing and submitting this lower fier proposal, the prospective lower fier participant, as defined in 41 CFRiO5-68, certifies to the best of ifs knowledge and belief that itand its prinefpaW (a) Are not presently debarred, suspended, proposed for debarment„ declared ineligible,or voluntarily excludedfrom participation in this transaction by any Federal department or agency. (b) Where the prospective lower Her participant is unable to certify to any of the above; such prospective participant shall attach an explanation to this proposal. (h) THE DONEE UNDERSTANDS thatby execution of this document, it is considered a sub recipient of federal financial assistance pursuantto the SingfeAudif:Actof 1984 and further agrees to provide the State agency with results of the audit required by OMB Circular A-133.. (i( THE DONEE UNDERSTANDS that e-mail addresses provided may receive notices about programupdates and available property. AddfOonallv.. Information on property donated to your 'organization. inclucligg pictures and service charge(s) paid may be used by Federal Surolus P onerb Pr dram for marketing and outraiseb Purposes. Page 5 & 11 aev. fQzx23 Participating organizations (referred to as "donees") are required to use the property obtained through the program for a, specific amount of time before the property can be sold, transferred or otherwise disposed of. The compliance period is often determined by the "original acquisition cost" of the item. The "original acquisition cost" is defined as the amount the federal government paid when it was initially purchased. a Property must be used for the program(s) approved for participation in the Federal Surplus Property program. m All property must be placed into use within one year of the invoice date. a Property is considered "in use" as soon as it is ready and able to serve its intended purpose. • The compliance period varies according to item and donee type but is at least 12 months from date put into use. o For property valued at less than $5,000 in original acquisition cost, the compliance period is 12 months from file date put into use. o For property valued at $5,000 or morein original acquisition cost and all passenger motor vehicles, the: compliance period is 18 months from the date put into use. Not applicable to Service Educafional Activities. m TFC staff performs scheduled and unscheduled onsite property compliance visits to ensure the property is being: used as represented. The donee agrees to make the property available for visual inspection by TFC staff in a timely manner. • If the property is not paid for in full or is not being used or handled as required, the donee will be required, at its expense, to return the property to TFC or offer for transfer to another donee, as instructed by TFC. • Property must be used and stored at the street address listed on page 2 of this Application, or at other appropriate donee -managed satellite locations in Texas (for example, county precinct barns, district fire stations, school campuses, maintenance/transportation warehouse). Property may not be removed indefinitely from an approved location, orfrom the State of Texas, without prior, written approval from TFC. o Property may not be stored at a personal residence, unrelated business or storage facility, or any other location that is not managed by the donee organization. Property is not for personal use; it must be readily accessible to all donee staff. a Donees are required to complete reports regarding property use as a condition of participating in the program. o During the compliance period, the donee may not sell, trade, lease, lend, bail, cannibalize, encumber, or otherwise dispose of such property, or remove it permanently, for use outside the State, without the prior,. written approval of TFC and/or GSA. SBA approval may also be required for small businesses. o If property is sold, transferred, or otherwise disposed of during the compliance period, the donee may be subject to penalties and fines, as well as possible state or federal prosecution. IMPORTANT NOTE FOR SBA 8(a) APPLICANTS: If applying as an SBA 8(a) business, I understand that the property compliance terms identified above do not apply to my business and that as an SBA 8(a) business I must follow SBA property compliance guidelines. Additionally, I understand that I may not have access to certain items — including aircraft or property with an original acquisition cost of $5,000 or more —if my business is due to graduate from. the SBA 8(a) program with insufficient time to cover the entire federally required compliance period for that item. IMPORTANT NOTE FOR VETERAN OWNED SMALL BUSINESS APPLICANTS: If applying as a veteran -owned small business, I certify that the small business is unconditionally owned and controlled by one or more eligible veterans, service - disabled veterans, or surviving spouses; and the business has registered, and is in "certified" status in the SBA's. VetCert program database under the procedures found in 13 CFR § 128. IMPORTANT NOTE REGARDING SIGNATURES: Unauthenticated digital signatures, signature stamps or signature images will not be accepted. A physical signature is preferred. If a physical signature cannot be obtained, we can also accept digital signatures authenticated by a third party such as Docu-Sign or Adobe Acrobat. Richard H Meyer Count r Judge FIRST LAST AME (typed or printed) TITLE l SIGNATURE OF AUTHORIZING IA L ATEZ3 (ex. Chief Executive or Financial Officer; Mayor/City Manager Counfy Judge, Superintendent President Fire Chieo a ,aM • 1: NOTICE OF MEETING-4/5/2023 8. Consider and take necessary action to approve the Infrastructure Development Plan for the Marquis Laydown Yard. (VLL) Scott Mason explained the plan. Commissioners agreed to pass on the item due to lack of written agreement with drainage district. Page 4 of 14 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 March 28, 2023 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 next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 • Consider and take necessary action to approve the Infrastructure Development Plan for the Marquis Laydown Yard. Sincerely, Vern Lyssy VL/lj fiVnema, �mra�X �o SETA(o"`G.�s.«,R�®anoxew«, _ rewa.i .o�.�a `.... awma•we.e.ns.0 n.. swdx�.�vw.am.sun. I n # 09 ' NO I ICE OF MEETING — 4/5/2023 9. Consider and take necessary action to approve the General Interlocal Agreement with the City of Point Comfort. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 14 GENERAL INTERLOCAL AGREEMENT THE STATE OF TEXAS § COUNTY OF CALHOUN § This contract is made and entered into this 54day ofj2023, `g by and between Calhoun County, Texas, hereinafter referred to the "County," and the City of Point Comfort, Texas, hereinafter referred to as the "City." WITNESSETH In consideration of the mutual covenants and agreements set forth in this Contract, and other good and valuable consideration stated herein below, County and City hereby mutually agree as follows: ARTICLE I. PURPOSE It is the purpose of this contract to improve and encourage the efficiency and effectiveness of the County and the City by authorizing the fullest range of intergovernmental cooperation. Specifically, the County is hereby contracting and agreeing with the City to perform certain governmental functions and services. These governmental functions and services include the undertaking of maintenance or repair of roads, highways and/or streets located within the corporate limits of the City. Pursuant to Section 791.001 of the Texas Government Code, the City desires the County to perform certain maintenance and repairs to its streets and drainage as determined by the City and the Commissioner of Calhoun County Pet. 4; and pursuant to section 791.001, the work is to be performed within the city limits of Point Comfort and the City agrees to reimburse the County for expenses incurred by the County in performance of this Contract. This reimbursement shall be either monetary or in -kind services between the City and the County and shall be charged out by each entity to the other. ARTICLE II. AUTHORITY This Contract is entered into by the parties hereto pursuant to the Texas lnterlocal Cooperation Act, Section 791.002 of the Texas Government Code. The authority for the legislation is set out in said lnterlocal Cooperation Act. This Contract shall be governed by and subject to the laws of the State of Texas and, specifically, any of the terms and conditions of this Contact are subject to and shall be construed in accordance with the construction of the Texas lnterlocal Cooperation Actrecited hereinabove. ARTICLE Ill. CONSIDERATION In consideration for the County providing the governmental functions and services as set out hereinabove, the City hereby agrees to pay the County the sum of $1.00 per year due on the anniversary date of the execution of this Contract. ARTICLE IV. TERM The term of the Contract shall commence on the date of execution hereof and shall terminate two years later, unless extended by mutual agreement. ARTICLE V. SPECIFIC APPROVAL REQUIRED Pursuant to Section 791.014 of the Texas Government Code, if the County enters into an interlocal contract under which the County agrees to undertake projects for the construction, improvement, or repair of buildings, roads, streets, or other facilities, the Commissioners' Court of Calhoun County must give specific written approval to each individual project before the project is begun. The written approval must be given in a document separate from the interlocal contract and must describe the type of project to be undertaken and identify the location of the project. 2of4 ARTICLE V I. SEVERABILITY If any provision of the Contract is held invalid, such invalidity shall not affect other provisions or applications of the Contract which can be given effect without the invalid provision or application, and to that end, the provisions of this Contract are declared to be severable. ARTICLE VII. MISCELLANEOUS PROVISIONS This Contract constitutes the entire agreement between County and City and supersedes any prior understandings or written or oral agreements between the parties respecting the subject matter of this Contract. No amendment, modifications, or alteration of the terms of this Contract shall be binding unless it is in writing, dated subsequent to the date of this Contract, and duly executed by the parties to this Contract. If, as a result of a breach of this Contract by either parry, the other party employs an attorney or attorneys to enforce his rights under this Contract, then the defaulting party agrees to pay the other parties' reasonable attorney's fees and costs incurred to enforce this Contract. This Contract shall be binding upon and inure to the benefits of the parties hereto, their respective heirs, executors, administrators, legal representatives, successors and assigns. SIGNATURE PAGE TO FOLLOW 3 of EXECUTED IN D PLICATE ORIGINALS, retained by each party hereto, effective the -5'k day of 2023. CALHOUN COUNTY, TEXAS CITY OF POINT COMFORT, TEXAS By: 6 By: Richard Meyer, 61 Stephen Lambden, Mayor In Calhoun County Judge David I County Precinct 1 Vern Lyssy County Commissioner, Precinct 2 By: � Joe B hrens County Commissioner, Precinct 3 By: n'.. in N Gary Ree e County Commissions , recinct 4 ATTEST: By: WA4, 1Itd� Anna Goodman, County Clerk Calhoun County, Texas Al Im 4 of 4 #10 NOTICE OF MEETING—4/5/2023 10. Consider and take necessary action to authorize Commissioner Behrens to sign the Specific Project Approval with the City of Point Comfort for the reconstruction of Julia Street. (JMB) RESULT: ' APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 14 Specific Project Approval STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN § Whereas the City of Point Comfort (hereinafter "City") and Calhoun County (hereinafter " ounty"), are parties to that certain General Interlocal Agreement dated �3(the "Interlocal Agreement")for the purpose of maintenanc and repair of roads, highways and/or streets located within the corporate limits of the City; and Whereas the Interlocal Agreement requires that the Commissioner's Court of Calhoun County must give specific written approval to each individual project before the project is begun in a document separate from the Interlocal Agreement; Now therefore, the Parties hereto mutually agree as follows: 1. Subject to the terms of the Interlocal Agreement, and in accordance with Section 791.014 of the Texas Government Code, the County specifically approves the project described herein, which shall be known as the "Julia Street and Murrah Street Reconstruction Project." 2. The County shall: a. Reconstruct Julia Street from the railroad tracks to the intersection with Runnels Street, and Murrah Street from its intersection with Jester Street to its intersection with Lamar Street, for a combined length of approximately 1200 linear feet. Such reconstruction shall include reclaiming and resetting the base material and sealing the base with oil and topping with Grade 4 PE Rock in a process commonly known as chipseal or sealcoat paving of the street, between the existing curbs (the Reconstruction"). b. Supply all materials for the Reconstruction and complete the Reconstruction using county employees or contractors. C. Complete the Reconstruction within 45 days after the City or its contractor removes the existing pavement and reclaims the existing base material not counting bad -weather days. d. Within 30 days after completion of the Reconstruction, invoice the City for the County's cost of materials used in the Reconstruction, including a copy of the invoice to the county. 3. The City shall: a. Remove the existing pavement and reclaim the base material in the area to be reconstructed, using City employees or contractors. b. Notify the County of the scheduled date for the removal of the existing pavement not less than seven days before the work is scheduled to be completed. C. Within 30 days after receipt of invoice from the County for materials used in the Reconstruction, pay the County the invoiced amount not to exceed fifty thousand dollars ($50,000.00). 4. Should any paragraph, sentence, subdivision, clause, phrase, or section of this Contract be adjudged or held to be unconstitutional, illegal or invalid, the same shall not affect the validity of this Approval as a whole or any part of provision thereof, other than the part so declared to be invalid, illegal or unconstitutional. [SIGNATURE PAGE FOLLOWS] 2 of 3 EXECUTED IN DUPLICATE ORIGINALS, retained by each party hereto, effective the TX/ day of 2023. CALHOUN COUNTY, TEXAS CITY OF POINT COMFORT, TEXAS By: V ' 1 By: Joe ehrens, Sfel5fientambden, Mayor County Commissioner, Precinct 3 ATTEST: By: AFAww(�'� Gotmty Clerk Calhoun County, Texas 3 of 3 NOTICE OF MEETING-4/5/2023 11. Consider and take necessary action to authorize the County Judge to sign the Agreement for Professional Services with Urban Engineering for Additional Environmental Services for Calhoun County Green Lake Park Improvements — Phase 1, Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, CommissionerPct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 14 Gary D. Reese County Commissioner County of Calhoun Precinct 4 March 29, 2023 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 April S, 2023. • Consider and take necessary action to authorize Judge Meyer to sign the Agreement for Professional Services with Urban Engineering for Additional Environmental Services for Calhoun County Green Lake Park Improvements - Phase 1, Calhoun County, Texas. Sincerely, 1 OL, Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: ¢arv.reese r ..calhouncotx.are — (361) 785-3141 — Fax (36I) 785-5602 CERTIFICATE OF INTERESTED PARTIES FoRM 1295 lafl Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2023-1000159 Victoria Engineering, Inc. dba Urban Engineering Victoria, TX United States Date Filed: 03/29/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, Texas 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. UE Jab #23596.00 Additional Environmental Services performed by Urban Engineering through a subcontract with Compass Environmental Solutions, LLC for Calhoun County Green Lake Park Improvements - Phase 1 4 Name of Interested Party City, State, Country (place of business) Nature ofinterest (check applicable) Controlling Intermediary Schmidt, Thomas Victoria, TX United States X Urban, Larry Corpus Christi, TX United States X Bridges, Ray Victoria, TX United States X Glaze, Matt Victoria, TX United States X Fromme, Cheyanne Victoria, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION Ray M. Bridges _ My name is ,and my date of birth Is USA My address is , (street) (city) (state) (zip code) (country) 1 declare under penalty of perjury that the foregoing is true and correct. Victoria Texas 29th March 23 Executed in County, State of , on the _day of , 20 (month) (year) Sig ature of authortz racting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.3ac881bc0 Urban Engineering TREF# F 16 (Signature) Matt A. GlazeNice President (Printed Name/Title) 3/2j/�� (Data Calhoun County J24-74��7 l (S gnature) 61/ bc-A eJ k. Me yQv- Printed Name/Title) q-5--zo47 (Date) Page 2 of 3 e n g i n e e r i n g AGREEMENT FOR PROFESSIONAL SERVICES Date: March 28, 2023 Professional Firm: Urban Engineering 2004 N. Commerce Victoria, Texas 77901-5510 Tel No. (361) 578-9836 Project Name/Location: Additional Environmental Services Calhoun County Green Lake Park Improvements — Phase 1 Calhoun County, Texas Project No.: E23596.00 Client: Calhoun County Attn: Mr. Gary Reese Calhoun County Commissioner Precinct #4 P.O. Box 177 Seadrift, TX 77983 Scopellntent and Extent of Additional Environmental Services: I. Environmental Services 1. Additional field days for Cultural Resources Pedestrian Surveys. 2. Additional days for Research & Reporting. Special Conditions: 1. Additional Environmental Services will be performed by Urban Engineering through a subcontract with Compass Environmental Solutions, LLC. (See attached proposal) 2. This agreement supplements the original agreement approved on May 18, 2022 between Calhoun County and Urban Engineering. Fee Arrangement: Additional Environmental Services $23,250.00 (fixed fee) Billings/Payments: Invoices for Urban Engineering's services shall be submitted, at Urban Engineering's option, either upon completion of such services oron a monthly basis. Invoices shall be payable within 30 days afterthe invoice date. If the invoice is not paid within 30 days, Urban Engineering may, without waiving any claim or right against the Client, and without liability whatsoever to the Client, terminate the performance of the service. Late Payments: Accounts unpaid 30 days after the invoice date will be subject to a monthly service charge of 1.5% on the then unpaid balance. Changes or Modifications: Any changes or modifications to this Agreement must be in writing and approved by both Urban Engineering and the Client. Page 1 of 3 (Continued) TERMS AND CONDITIONS Urban Engineering shall perform the services outlined in this agreement for the stated fee arrangement. Access To Site: Unless otherwise stated, Urban Engineering will have access to the site for activities necessary for the performance of the services. Indemnification: The Client shall, to the fullest extent permitted by law, indemnify and hold harmless Urban Engineering, his or her officers, directors, employees, agents and subconsultants from and against all damage, liability and cost, including reasonable attorney's fees and defense costs, arising out of or in any way connected with the performance by any of the parties above named of the services under this agreement, excepting only those damages, liabilities or costs attributable to the sole negligence or willful misconduct of Urban Engineering. Dispute Resolution: Any claims or disputes made during design, construction or post -construction between the Client and Urban Engineering shall be submitted to non -binding mediation. The Client and Urban Engineering agree to include a similar mediation agreementwith all contractors, subcontractors, subconsultants, suppliers and fabricators, thereby providing for mediation as the primary method for dispute resolution between all parties. Certificate of Merit: The Client shall make no claim for professional negligence, either directly or in a third -party claim, against Urban Engineering unless the Client has first provided Urban Engineering with a written certification executed by an independent design professional currently practicing in the same discipline as Urban Engineering and licensed in the State of Texas. This certification shall: a) contain the name and license number of the certifier; b) specify each and every act or omission that the certifier contends is a violation of the standard of care expected of a design professional performing professional services under similar circumstances; and c) state in complete detail the basis for the certifier's opinion that each such act or omission constitutes such a violation. This certificate shall be provided to Urban Engineering not less than thirty (30) calendar days prior to the presentation of any claim or the institution of any arbitration or judicial proceeding. Certifications, Guarantees and Warranties: Urban Engineering shall not be required to execute any document that would result in their certifying, guaranteeing or warranting the existence of conditions whose existence Urban Engineering cannot ascertain by a visual site inspection. Limitation of Liability: In recognition of the relative risks, rewards and benefits of the project to both the Client and Urban Engineering, the risks have been allocated such that the Client agrees that, to the fullest extent permitted by law, Urban Engineering's total liability to the Client for any and all injuries, claims, losses, expenses, damages or claim expenses arising out of this agreement from any cause or causes, shall not exceed the professional service fee in this agreement. Such causes include, but are not limited to, Urban Engineering's negligence, errors, omissions, strict liability, breach of contract or breach of warranty. Termination of Services: This agreement may be terminated by the Client or Urban Engineering should the other fail to perform its obligations hereunder. In the event of termination, the Client shall pay Urban Engineering for all services rendered to the date of termination, all reimbursable expenses, and reimbursable termination expenses. Ownership of Documents: All documents produced by Urban Engineering under this agreement shall remain the property of Urban Engineering and may not be used by the Client for any other endeavor without the written consent of Urban Engineering. Page 3 of 3 compass WIOOOM[Phl ShF1618 February 23, 2023 Mr. Matt A. Glaze, P.E. Urban Engineering 2004 N. Commerce Street Victoria, Texas 77901 Re: Change Order #1 Proposal for Additional Cultural Resources Field Surveys Calhoun County Green Lake Park Development Long Mott, Calhoun County, Texas Dear Mr. Glaze Thank you for allowing Compass Environmental Solutions, LLC (COMPASS) the opportunity to provide Calhoun County and Urban Engineering (Urban) with a scope of work proposal and cost estimate for conducting natural and cultural resource surveys and permitting support for the proposed Green Lake Park development project near Long Mott, Texas. To date, COMPASS has assisted Urban and Calhoun County with initial natural and cultural resource surveys and permitting guidance related to development of the park and associated amenities under an approved work. However, evolving field conditions has necessitated the need for a change order to the original scope of work approved on Tune 8, 2022. The following provides a brief statement on current workload, additional out of scope items required to be completed, and a cost estimate for this work SCOPE OF WORK This change order presents the cost estimate for supplemental tasks that were not outlined in the original scope of work. Additional tasks not originally included in the SOW include: Up to five (5) additional field days for cultural resource surveys: The extent of the prehistoric material is beyond what was previously recorded and requires additional field time and directs to complete site delineation. This includes additional field personnel that were required to assist in site delineation to State standards due to the increasing size of the sites, and to monitor backhoe trenching which was requested by the State and the Texas Historical Commission (THC). This task also includes out of scope remobilization time and directs are needed to resume field work. Up to four (4) days for research and reporting: Additional research time will be expended to procure copies of documents not available online and housed at the Texas Archeological Research Laboratory in Austin, Texas, and additional reporting time will be required for an Architectural Historian to report standing structures observed on the property. Curation Fees TBD: Originally no diagnostic artifacts were anticipated to be observed during field work; however, stone, bone, and ceramic artifacts have been collected. Laboratory time will be required to process and analyze the collected materials. Currently, it is not known how many artifacts will require curation. Costs for curation of the collected artifacts will be calculated upon completion of the project and invoiced in a separate scope of work and cost estimate. ASSUMPTIONS COMPASS made the following assumptions during the development of this scope of work: • Calhoun County and Urban will secure access to the property prior to any field visit. • This scope of work and cost estimate includes up to five additional days of fieldwork and up to 1625 Cottonwood School Road • Rosenberg, Texas 77471 •832.595.9064 Urban Engineering Change Order # I Proposal for Additional Cultural Resources Field Surveys Calhoun County Green Lake Park Development Long Mott, Calhoun County, Texas February 23, 2023 Pg. 2 four additional days for research and reporting. This estimate does not include costs associated with investigation or analysis of finds beyond those outlined in the original proposal or on forthcoming curation fees. The cost for this additional work will be determined separately on a case by case basis dependent on the nature of the find(s) and submitted at a later date under a separate cost estimate and scope of work. COST ESTIMATE COMPASS will conduct the scope of work and cost estimate for Change Order #1 on a fixed fee cost of $23,250.00, bringing the overall project budget to $85,022.50. This change order will be conducted on a lump sum basis, and include all labor, equipment, and expenses incurred by COMPASS during the performance of this scope of work. Project costs will not exceed the proposed budget without prior approval from Urban. For project budgeting purposes, COMPASS will bill the client on a monthly basis for work completed prior to the date of billing. SUMMARY AND CONDITIONS OF ENGAGEMENT To accept this cost estimate, please sign and date below and return an electronic copy to COMPASS. Terms and conditions of this cost estimate and scope of work will follow the Professional Services Agreements originally approved on June 8, 2022. This proposal is valid for 60 days. COMPASS greatly appreciates the opportunity to provide this scope of services and cost estimate. If you have any questions or would like any additional information, please feel free to contact me at (832) 595-9064 or mehastain,afcompassenvs.com. Sincerely, 4,4� A4e& Matthew Chastain, P W S Principal / Senior Coastal Ecologist AGREED AND ACCEPTED this day of 2023 By Urban Engineering Sign Name Print Name Print Title 1625 Cottonwood School Road • Rosenberg, Texas 77471 • 832.595,9064 # 12 NOTICE OF MEETING - 4/5/202:3 12. Consider and take necessary action to authorize the County Judge to sign the amended Sanitary Control Easement between Calhoun County and Port O'Connor Improvement District — original easement was signed July 15, 2020. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 14 j TE Or. TFh Gary D. Reese County Commissioner County of Calhoun Precinct 4 March 23, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: (i 5) Please place the following item on the Commissioners' Court Agenda for , 2023. • Consider and take necessary action to authorize Judge Meyer to sign the amended Sanitary Control Easement between Calhoun County and Port O'Connor Improvement District - original easement signed July 15, 2020. Sincerely, �\0111-� Gary D. Reese GDR/at P.O. Ilos 177 - Seadrift. Taus 77953 - email: earc reuse a calhmmcoEx on- - t361) M-3141 Pas 13611 785-5602 SANITARY CONTROL EASEMENT DATE: GRANTOR( ): COUNTY OF CALHOUN, TEXAS GRANTOR'S ADDRESS: 301 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 GRANTEE: PORT O'CONNOR IMPROVEMENT DISTRICT GRANTEE'S ADDRESS: 39 DENMAN ROAD, PORT O'CONNOR, TEXAS 77982 SANITARY CONTROL EASEMENT: Purpose, Restrictions, and Uses of Easement: 1. The purpose of this easement is to protect the water supply of the well described and located below by means of sanitary control. 2. The construction,; existence, and/or operation of the following within a 150-foot radius of the well described and located below are prohibited: septic tank. or sewage treatment. perforated drainfields; areas Irrigated by low dosage, low angle spray on -site sewage facilities; absorption beds; evapotranspiration beds; abandoned, inoperative or Improperly constructed water wells of any depth; underground petroleum and chemical storage tanks or liquid transmission plpellnes; sewage treatment plants; sewage wet wells; sewage pumping stations; drainage ditches which contains industrial waste discharges or wastes. from sewage treatment systems; animal feed lots; solid waste disposal sites; landfill and dump sites; lands on which sewage plant or septic tank sludge is: applied; lands Irrigated' by sewage plant effluent; military facilities; Industrial facilities; wood -treatment facilities; liquid petroleum and petrochemical production, storage, and transmission facilities; Class 1, 2, 3, and 4 injection wells; pesticide storage and mixing facilities; and all other constructions or operations that could pollute the groundwater sources of the well that is the subject of this, easement. For the purpose of this easement, improperly constructed water wells are those wells which do not meet the surface and subsurface construction standards for a public water supply Weil. 3,. The construction, existence and/or operation of the or concrete sanitary sewers, sewer appurtenances, septic tanks, storm, sewers, cemeteries, and/or the existence of livestock. in pastures Is specifically prohibited within a 50-foot radius of the water well described and located below. 4. This easement permits the construction of homes or buildings upon the Grantor's property and farming and ranching operations, as long as all Items in Restrictions Nos. 2 and 3 are recognized and followed, The Grantor's property subject to this Easement is described in Volume 231, Page 878 of the Official Public Records of Calhoun County. PROPERTY SUBJECT TO EASEMENT: All of that area within a 150 foot radius of the Port O'Connor Improvement District water well located as shown on the attached plat and being partly out of that 20.0-acre tract of land conveyed by Port O'Connor Municipal Utility District (now Port O'Connor Improvement District) to Calhoun. County, Texas as described In Volume 231, Page 878 of the Official Public Records of Calhoun County, Texas and partly out of that 2.18-acretract of land conveyed by Part O'Connor Municipal Utility District (now Port O'Connor Improvement District) to Calhoun County, Texas as described in volume 401, Page 352 of the Official Public Records of Calhoun County, Texas. TERM: This easement shall run with the land and shall be binding on all parties and persons, claiming under the Grantor(s) for a period of two years from the date that this easement is recorded; after which time, this easement shag be automatically extended unfit the use of the. subject water well as a source of water for public water systems ceases. ENFORCEMENT: INVALIDATION: Enforcement of this easement shall be proceedings at law or in equity against any person or persons violating or attempting to violate the restrictions in this easement, either to restrain the violation or to recover damages. Invalidation of any one of these restrictions or uses (covenants) by a judgment or court order shall not affect any of the other provisions of this easement, which shall remain in full force and effect. FOR AND IN CONSIDERATION, of the sum of One Dollar ($1.00) and for other good and valuable consideration paid by the Grantee to the Grantor(s), the receipt of which is hereby acknowledged„ the Grantor does hereby grant and convey to Grantee and to Its successors and assigns the sanitary control' easement described In this easement. GRANTOR: L DUN COUNTY, TEXAS By: v STATE OF TE AS § COUNTY OF VV1lIl,A�-41Vk1,/ § BEt= E the under. ;signal appeared . _�A-4 / f-e the person whose name is subscribed same for the purposes and consideration. MAE BELLE CASSEL '• My Notary ID # 132012524 ', yk•.gt.'• Expires May 14, 2023 ACKNOWLEDGMENT 2j&S .2 personally, known to me to be _ to me that he executed the 'bih expressed. Notary Public in and for THE STAT OF TEXAS My Commission Expires: 5 Q Z-5 on the day of E: 2785248.79 TEXAS STATE PLANE COORDINATES. SOUTH CENTRAL 7,0NF, NAME CALH0UN COUNTY' TEXAS 2.18.ACRE TRACT VOL 401, PACE 252'. OFFICIAL. PUBLIC RECORDS. I 6T0\z\ ROCO0GA10 PC' R MU0T0 P0RT0•C0NN0UNTY rSL"I✓.0..—' I CALHOUN AC O 198PGi10 �. PUBLIC RECORDS .\ I P0RT 0' C0NN0R MU0 TO I OPFICI,AL S0A 90UVOL 21p�g4 I OFFICIAL PUBLIC "'CORD'S Rmuo I COUNTY ` I TO CALHOUN PUBLIC IIEC RDDS OFFICIAL s FP- _ STATBHIGKWAV1S513V. VUN268P0899 �.-- — OF CALHOUN C0UN'rXTEXAS -� DEED RECORDS SANITARY CONTROL EASEMENT AROUND THE PORT O' CONNOR IMPROVEMENT DISTRICT WELL NO.6 IN THE SANTIAGO GONZALES SURVEY, ABSTRACT 19, CALHOUN COUNTY, TEXAS AND BEING OUT OF THAT CALHOUN COUNTY CALLED 20.0 ACRE' TRACT DESCRIBED AT VOLUME 231, PAGE 878 AND THAT CALLED 2.18 ACRE TRACT DESCRIBED AT Vp 401, PAGE. 352 IN THE OFFICIAL PUBLIC RF _ _ �LHOUN COUNTY, TEXAS r J46 D. Mercer, RPLS 1924 JOHN D. MERCER & ASSOCIATES Surveyor Firm No. 10116600 #13 NOTICE OF MELTING—4/5/2023 13. Consider and take necessary action to acknowledge an increase in the Sheriffs Forfeited Property Fund 2022 budget as follows: vehicle 2860-999-74050 - $2,687.00 and Forfeitures — Other 2860-001-45060 - $2,687.00. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pd 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy,`Behrens,Reese Page 9 of 14 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: 2022 FORFEITED PROPERTY FUND ADJUSTMENT DATE: APRIL 5, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR APRIL 5, 2023 * Consider and take necessary action to acknowledge an increase in Sheriffs Forfeited Property Fund 2022 budget as follows: Vehicle 2860-999-74050 $2,687.00 and Forfeitures -Other 2860-001-45060 $2687.00 Sincerely, Bobbie Vickery Calhoun County Sheriff #14 NOTICE OF MEETING-4/5/2023 14. Consider and take necessary action to accept an insurance proceeds check in the amount of $6,921.45 from VFIS for an ambulance accident on 9/28/22. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AY _ ES: Commissioner Hall, Lyssy, Behrens, Page 10 of 14 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <candice.villarreal@calhouncotx.org> Sent: Monday, March 27, 2023 4:04 PM To: maebelle.cassel@calhouncotx.org; Richard H. Meyer, David Hall; vern lyssy; joel.behrens@calhouncotx.org; Gary Reese Cc: Dustin Jenkins Subject: Agenda Item - Insurance Proceeds - EMS Accident 9/28/22 Attachments: VFIS Proceeds - EMS 092822.pdf MaeBelle, Please add the following to the next available Commissioners Court agenda. • Consider and take necessary action on insurance proceeds check in the amount of $6,921.45 from VFIS for an ambulance accident on 9/28/22. Thank you, @ Canrlwe Nilfarreal 1s1 Assistant Auditor Calhoun County Auditors Office 202 S. Ann Street, Suite B Ton Lavaca, 7Y77979 1Thone (361)553-4612 Calhoun County Texas #15 ' NOTICE OF MEETING 4/5/2023 15. Approve the minutes of the March 29, 2023 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner+'Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 14 Richard H. Meyer County judge David Hail, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 ,Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, March 29, 2023, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. 10 re i~r County Judge Calhoun County, Texas Anna Goodman, County Clerk Deputy Clerk a V o 23 Date Date ® .2 Page 1 of 1 NOTICE OF MEETING — 3/29/2023 March 29, 2023 MEETING MINUTES OF CAL.HOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING 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. THE" FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order by Judge Richard Meyer at 10 am 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. n/a 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the report =_ Page 1 of 7 NOTICE OF MEETING — 3/29/2023 6. Consider and take necessary action to proclaim April as Child Abuse Prevention Month in Calhoun County, Texas. (RHM) 7. Consider and take necessary action to proclaim April as Sexual Assault Awareness Month in Calhoun County, Texas. (RHM) the proctannation. APMOVED [UNANIM0I3S3 Vern Wssy; Commissioner Pcti 2 c naryDeese, Commissioner 8. Consider and take necessary action to designate April as Fair Housing Month in Calhoun County, Texas and authorize the Commissioners' Court to sign the Resolution. (RHM) 9. Consider and take necessary action to update the signatures for the Federal Surplus Property Program and authorize the County Judge to sign all necessary documents. (VLL) pass 10. Consider and take necessary action to approve a resolution acknowledging and accepting the Operation Stone Garden Grant for 2022 and authorize the County Judge to sign all necessary documents. (RHM) RESULT: APPROVED [UNANIMOUSj MOVERi Gary Reese, Commissioner Pct 4 SENDER: ::Joel Behrens, Commissioner Pct 3. - AYES, 3udge Meyer, Commissioner Hall, Lyssy, Behrens, Reese' , Page 2 of 7 NOTICE OF MEETING — 3/59/2023 11. Consider and take necessary action to authorize a loan in the amount of $235,560 from the General Fund to the Grants Fund for the 2022 Operation Stone Garden — eGrant Award # 3192808. (RHM) RSSUL 7AVJPKUVbV [UNANIMOUS] MOVERrfb;od Hall;>Commissroner Pct 1 SECONDER: Verr1 LysS� Commssroner Pct 2 ' AYES Judge Meyer, Commissioner Hail, Lyssy, Behrens, Reese,. 12. Accept the Contract Close-out documents from Clyde Kazmfr Construction, Inc. and approve the payment of the final pay application(s) for the Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign the construction close-out documents and any other necessary forms. (DEH) RESULT; APPROVED [UNANIMOUS,] MOGER' David Hail{'Cornmissioner` Pd 1 SECONDER: , Vern Lyssy;_Cp.mmissioner Pct 2 AYES Judge Meyer,ommis5ioner Hall, Lyssy, -Behrens, Reese 13. Consider and take necessary action to award the bids for the Calhoun County Roof Recovers of Three Buildings: The Calhoun County Courthouse Annex II, the Calhoun County Agricultural Building and the Calhoun County Seadrift Public Library and authorize the County Judge to sign all necessary documents. (RHM) RESULT APPROVED [UNANIMOUS] NIQYER Vernlyssy, Commissioner Pct 2 SECONDER:: David HaII, Commissioner;Pct 1 AYES Judge Meyers Commissioner Hall, Lyssy, Behrens Reese 14. Consider and take necessary action to approve the Specifications and Contract Documents for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Auditor and G & W Engineers, Inc. to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, April 18th, 2023 in the Commissioner's Courtroom, Sealed Bids are due before 2:00:00 pm, Wednesday, May 10, 2023 in the County Judge's Office. (DEH) RESULT APPROVEp �UNANII�Ou wIOVER. David Ha1I Commissioner Pct1 SECONbER ; Vern Lyssy , Commissioner Pcl 2 AYES. Judge Meyer, Commissioher.Hall, Lyssy, Behrens, Reese'' Page 3 of 7 NOTICE: OF MEETING — 3/29/2023 15. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by Commissioner David Hall that is related to the Calhoun County Combined Dispatch Facility Project. (DEH) RESULT APPROVED 11UNANIMI QS _ MOVER 'Gary Reese, Commissioner pct 4 SECONpEFa David H II 'Commissioner pct 1 AYES Judge Meyer, Corrsmissiondr iiali, Lyssy, Behrens, Reeseet 16. Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Supply Contract for Fly Ash — Road Material, Bid Number 2023.06 for the period May 10, 2023 through December 31, 2023 and authorize the County Auditor to advertise for the bids. Sealed Bids are due before 2:00:00 PM, Tuesday, April 25, 2023 in the County Judge's Office. (RHM) RESULT ,. APPROVED [UNANIMOUS MOVER ' David Hall torn issloner Pct 1 - SECONDER: Joel Behtrisommissiorter`Pct 3 AYES.• Judge Meyer, Commissiorer Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to approve the Specifications, Project Manual and Plans for the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements and authorize the County Auditor and Urban Engineering to advertise for bids. A pre -bid meeting shall be held at 10:00 AM, Monday, April 17, 2023, at the Hog Bayou Public Boat Ramp located off SH 35 in Calhoun County, Texas. Bids are due before 2:00:00 pm, Wednesday, April 26, 2023 In the County Judge's OfFlce. (GDR) RESULTAPPRO�/ED [UNlIIViMOUS] MOVER Gary Reese, Comrtiissioner Bet 4 SECONDER; Joel Behrens, Comrrissi0ner Pct 3 AYES 5udge Meyer, Commissioner Hali, Lyssy, Behrens, Reese 18. Consider and take necessary action to authorize Urban Engineering to release any addenda to the bidding documents approved by Commissioner Gary Reese that is related to the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements. (GDR) RESULT. APRROVEI7 [UNANIMOUS] MOVER GaryReese; Commissioner Pct.4 SECONDER: Joel Behrens, Commissloner Pct 3 BYES: Judge Meyer, Commissioner Hall' iyssy, Behrens, Reese'=' Page 4 of 7 NOTICE OF MEETING—13/29/2023 19. Consider and take necessary action to authorize CivilCorp, LLC to perform topographic, bathymetric and coastal boundary surveys at Port Alto marsh for a lump sum total of $31,400.00 to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents, (JMB) I�ESULt APPROVED [UNNIMOUS] MOVER1 Joel Behrens, Commissioner Pet 3 SECONDER; Gary Reese, Commesioner,Pct 4 AYE5 Judge Meyer, Comrrn§sioneP Hall, LysSy, Behrens, Re 20. Consider and take necessary action to authorize Triton Environmental Solutions, LLC to perform wetland delineation and sensitive aquatic resources surveys at Port Alto marsh for a lump sum total of $19,537.68 to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents, (JMB) IfEi %T*.: APPROVED [UNANIMOU5j N)IOVER. Joel Be reds, Commissioner Pct 3 ECi NDER: Gary Reese, . oMmissioner PCt 4 AYES: , ]uQge Meyer, Cornmissioner Hall, Lysy, Behrens, Reese:'-; 21. Consider and take necessary action to close a portion of Main Street in Port O'Connor, Texas from the intersection of 2nd Street/SH 185 and Main Street; west.150 feet on May 27, 2023 and July 8, 2023 for street dances. (GDR) RESrU1.Ta APPRbVED [UNANIMOUS M0 /Elrt Gary Reese, ComrnissIoner.. Pct 4 SECONDER: Jgel Behrens, Commissioner Pct 3 AYE5, Judge Meyer, Co m loner_Mall, Lyssy, Behrens, Reese 22. Consider and take necessary action to authorize Dina Sanchez, Calhoun County Library Director to sign the service agreement contract with Compass Flooring Innovations to remove and replace the flooring in the Seadrift Library, (RHM) RESULT APPRO1i'ED [UNANIMOUS] M4fia/Ei' Vern Lyssy Commissioner Pet 2 SECONDER: Dabid Hall,`Commissloner PCt 1 AYES Judge Meye,.CommisslonerHall, 1Lyssy, Eehrers, Reese !. 23. Approve the minutes of the March 22, 2023 meeting. RESULT Z. APPROVED [UNANIMOU$] MOVERG Vern Lyssy _ Com -I sl leri.Pot2 SECONDER: Joel Behrens, Commissioner Wct 3 AYES, 5udge Meyer, Commissioner Hall, Lyssy, Behrens, Rtiese Page 5 of 7 I NOTICE OF MEETING -3/29/2023 24. Consider and take necessary action to transfer a 2000 Dodge Dakota, VIN IB7GL22N9YS517226, inventory number 565-658 to the Sheriff's Office to be declared as Surplus/Salvage and remove from Road & Bridge, Precinct 2s Fixed Asset inventory. (VLQ APPROVED RqgULT." [UNANIMOUS] " ERi Djvldflzill, Corrig-1Pt .16sioner.. 'z'A. 4 Cary - Reese, P,'-' Commissioner .RdIp- n 441 1]- 113 K 400 q lsmonerl S 66 25. Consider and take necessary action to remove a 2000 Dodge Dakota, VIN IB7GL22N9YS517226, from the Sheriffs Office fleet. (RHM) RESULT, APPROVED [4 CorWiihiWibner'ft MOVERI71 SIE,CONDER-0 MAid H I,l, Comm-iWSsiIdnIerpfa!l AYES: Judge eyer, ComnisionOtAl , LyssyBehrbnsReesa 1, 26. Consider and take necessary action to declare the attached list of items from CCEMS as Surplus/Salvage. (RHM) RESULT APPROVED �APPROVEDEUNANIMOU$1. —--'Conm[ssloher Pd3- ;. 9CONDER1ZGOy-Reese Commissioner.pa"4 AYES judge eeYpri: Commissioner Hi11,L- Y5 s 3ahre,, Reese . o 27. Consider and take necessary action to declare the attached list of Items from CCEMS as Waste. (RHM) ES I& i 0 MOVER David a :,'Co Issionell. -SEC -E"R: -Gary Reese, Commissioner P4AXES - judge e 0MMISSICrz 11 LySY Behrens, 28. Accept Monthly Reports from the following County Offices: I. Sheriff - February 2023, corrected ii. Tax Assessor -Collector - February 2023 RESULT - APPROVED [UNANIMOUS] MQUER Vern L -yss -00rnrhjssior1&?Ct I: - SE QNbER David -Hall, Com: --fisslarier P' ,'A �05t- e Judge M yer, CqrnMi§,$Jdner Hall:: - Sthren.M-Rees:`: Page 6 of 7 NO"rICE OF MEETING — 3/29/2023 29. Consider and take necessary actinn nn anv naceccary hiirinat arliiictmantc (RHMI 30. Approval of bills and payroll. (RHM) f�IMiv ears. _ - RESUV APPROVED[UNANIMOUS IvfMEW David Hafl,Commissioner Pet .. - SI CONDER Uer.n Lyssy Comrriis$ldher fret 2 AYES; Judge Meyer, Commissioner Mafl, LysSy, Behrens, Reese: Adjourned 10:54 Page 7 of 7 #16 NOTICF OF MEETING — 4/5/2023 16. Consider and take necessary action to declare the attached list of items from Calhoun County EMS as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hail, Lyssy, Behrens, Reese Page 12 of 14 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun Co EMS Requested By: Dustin Jenkins Inventory Number Description Serial No. Reason for Waste Declaration 10 Hampton & Rhodes Mattresses Old 4 Sealy Back Saver Mattresses Old 1 No Name Brand Mattress Old #17 ' NOI ICE OF MEETINC 4/5/2023 17. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner=Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens,', Reese Page 13 of 14 ■ § M: . z . m ® 2 @ ' ■; �� m: k § §: § s: ■ ■ � m: _. ■ � ■ ■ � a P, � ■ z I z @ W (\� W, G \ 2 § § § § § IE N )§n§ b �6, k ■ m $ 2 L. r a a � ■ z I z 0 § §2§ m § 2§ m m) z ��j � � k §\) § 2 Z| A !»a ■ » : ■ » z) o. M,E m �M/- §ch z§ k § §( �:RB o § M| - \ m § m( c § G ■) § ■� ) . /a7 79�� | / «\§{8�■ III !§ § § ,B § lBB� 3En \ 2 � z z� z I m m °' m; 0 O -U� 3 3 a? m .'0'• z m: m Z'; w �i ,Z � n 3: z M€ C ;0? m:: z <: m:: m C T m: :�z 5 g = C N D m . = co loll ISO O 0 ve m: 0e a: 3' m Z:. �e Ze OE -F 0 O O 3 � v= c z 'u_ O m 3g= i 3E m ME Z= m a o Z= m m °< "n m �= C °c z fin m$i ■ ' §§. § 0: m! »| s; m: z: z; @| ■: o! / § 2 k q A 2 § § #18 NOTICE OF MEETING—4/5/2023 18. Approval of bills and pavroll. (RHM) MMC Bills:' RESULT: APPROVED [UNANIMOUS] MOVER: pavid Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens, Reese County Bills 2023: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:31am Page 14 of 14 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---April 05 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL. PAYABLES, PAYROLL AND ELECTRON[d. BANK PAYMENTS $ 228,162 68 , TOTAL TRANSFERS BETWEEN FUNDS S 93,041.78'' TOTAL NURSING :HOME UPL EXPENSES $ 2,108;368.84 TOTAL INTER•GOVERNMENTTRANSFERS, $ _ GRAND TOTAL DISBURSEMENTS APPROVED A ri106, 2023 5 2,429,SSI22 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---April 06, 2023 PAYABLES AND PAYROLL 3/30/2023 Weekly Payables 194,164.03 3/30/2023 Patient Refunds 5,170.80 4/3/2023 Frontier -phone services 39.55 4/3/2023 City of Pon Lavaca -water 4,425.99 4/3/2023 McKesson-3406 Prescription Expense 9,554A4 4/3/2023 Amerisource Bergen-340B Prescription Expense 2,505.71 4/3/2023 Health Equity -Wage works employee FSA 10,829.20 Prosperity Electronic Bank Payments 3/27/2023 Credit Card & Lease Fees 561.00 3/27-3/31/23 Pay Plus -Patient Claims Processing Fee 294,11 3131/2023 ExpertPay- child support 607.27 TOTAL PAYABLES, PAYROLL AND ELECTRONIC _BANK PAYMENTS' $ 223j452.60 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 3/30/2023 MMC Operating to Crescent -correction of NH insurance payment deposited into 5,700.00 MMC Operating in error 3/30/2023 MMC Operating to Golden Creek-cwrrection of NH insurance payment deposited 21,225.36 Into MMC Operating in error 3/30/2023 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 19,488.26 deposited into MMC Operating 3/30/2023 MMC Operating to Tuscany Village -correction of NH insurance payment 43,313.76 deposited Into MMC Operating 3/30/2023 MMC Operating to Bethany -correction of NH insurance payment deposited into 3,314.40 MMC Operating TOTAL TRANSFERS BETWEEN FUNDS 93,041,78 NURSING HOME UPL EXPENSES 41312023 Nursing Home UPL-Cantex Transfer 602,612.02 413/2023 Nursing Home UPL-Nexion Transfer 111,637.60 4/3/2023 Nursing Home UPL-HMG Transfer 65,945.02 4/312023 Nursing Home UPL-Tuscany Transfer 388,933.78 413/2023 Nursing Home UPL-HSL Transfer 477,363.26 QIPP CHECKS TO MMC 4/312023 Ashford 114,316.60 4/3/2023 Broadmoor 40,651.47 41312023 Crescent 27,468.02 4/3/2023 Fort Bend 36,981.06 413/2023 Solera 34,264.67 4/312023 Golden Creek 54,723.94 4/3/2023 Gulf Pointe 41,502,34 4/3/2023 Tuscany 66,436.44 4/3/2023 Bethany 44,823.48 TRANSFER BETWEEN FUNDS TO MMC OPERATING 4/312023 Ashford -Interest Eamed 97.20 41312023 Brcadmoor-Interest Earned 99.20 4/3/2023 Crescent -Interest Earned 96.88 4/3/2023 Fort Bend -Interest Earned 37.57 4/3/2023 Solera-Interest Earned 131,63 4/312023 Golden Creek -Interest earned 58.06 4/3/2023 Gulf Pointe MM-Interest Earned 49.68 413/2023 Gulf Pointe PP -Interest Earned 15.78 4/3/2023 Bethany -Interest Earned 143.14 TOTAL NURSING HOME UPL EXPENSES $2,108,359;84; TOTALINTER-GOVERNMENT TRANSFERS' $ GRAND TOTAL DISBURSEMENTS APPROVED April 05, 2023 $ 2,420jifI122i RECEIVED BY THE COUNTY AUDFfOR ON MAR 3 0 20 03/30/202 GAt11t�y�4 OUtui`i. TEWS Vendor# Vendor Name 14620 AETNA .� Invoice# 230637 MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dates Through: 04/2012023 Class Pay Code Comment Train Dt Inv Dt Due Dt Check D Pay Gross 03/30/20 03/031PO 04/03/20 22.65 Page 1 of 11 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 22.66 ✓ REFUND Vendor Totals Number Name Grass Discount No -Pay Net 14620 AETNA 22.65 0100 0,00 22.65 Vendor# Vendor Name Class Pay Code 14028 AMAZON CAPITAL SERVICES-" Invoice# Comment Tran Ut Inv Dt Due Dt Check D Pay Gross Discount. No -Pay Net 1 C1C-CHTT-3XWG ✓/ 03/26/20 03/20/20 04/19120 28.97 0.00 0.00 28.97 SUPPLIES _ Vendor TotalE Number Name Gross Discount No -Pay Net 1402B AMAZON CAPITAL SERVICES 28.97 0.00 0.00 28,97 Vendor# Vendor Name Class Pay Code A1360 AMERISOURCEBERGEN DRUG CORF,," W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 3128172425 ✓ 03/30/20 03/29/20 04/04/20 28.16 0.00 0.00 28.16 v' INVENTORY Vendor Total; Number Name Gross Discount No -Pay Net A1360 AMERISOURGESERGEN DRUG CORP 28.16 0.00 0.00 28.16 Vendor# Vendor Name Class Pay Code 12800 AUTHORITYRX ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 1652 ✓ 03/30/20 01/03/20 01/04/20 338.00 0.00 0.00 338.00 CVS CLAIMS Vendor TotalE Number Name Gross Discount No -Pay Net 12800 AUTHORITYRX 338.00 0.00 0.00 338.00 Vendor# Vendor Name Class Pay Cade M2485 BAYER HEALTHCARE v` M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 6010432897 1/ 03/29/20 03/09/20 03/29/20 828,06 0.00 0.00 828.06 SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 828.06 0.00 0.00 828.06 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC .! M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1 ] 0500953 +/ 03/29/20 03/16/20 04/09/20 1,417.90 0.00 0.00 1,417.90 SUPPLIES 110513476 ✓ 03/29/20 03/22/20 04/16/20 85,07 0.00 0.00 85.07 SUPPLIES 5470952 ✓ 03/30/20 03/13/20 04/07/20 5,016.58 0.00 0.00 5,016,58 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 131220 BECKMAN COULTER INC 6,519.55 0.00 0.00 6,519.55 Vendor# Vendor Name Class Pay Cade 13892 BLUE CROSS BLUE SHIELD REFUND file:///C:/Users/ltreviuo/cpsi/tnemmed. cpsiuet.com/u88125/data_5/tmp_cw5report747744... 3/30/2023 Page 2 of 11 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 225669 v^' 03/30/20 03/00120 04103/20 76.52 0.00 OW 76.52 REFUND 205763 ✓ 03/30/20 03/03/20 04/03/20 189.71 0.00 0.00 189.71 REFUND 215754 03/30/20 03/06/20 04/06/20 81.52 0.00 0.00 81.52 ✓" V,'" REFUND 206111 J 03/30/2003/2112004/16120 81.52 0.00 0.00 81.52 REFUND Vendor Total: Number Name Grass Discount No -Pay Net 13802 BLUE CROSS BLUE SHIELD REFUND 429.27 0.00 0.00 429.27 Vendor# Vendor Name Class Pay Code Bi 650 BOSART LOCK & KEY INC "' M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 125886 y _ 03/2912003/1412004/01/20 133.70 0.00 0.00 133.70 v ^ KEYKS Vendor Totals Number Name Gross Discount No -Pay Net 81650 BOSART LOOK & KEY INC 133.70 0.00 0.00 133,70 Vendor# Vendor Name Class Pay Code C1048 CALHOUN COUNTY ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032423 03/30/20 03/24/20 04/06/20 89.54 0.00 0.00 89.54 FUEL Vendor Total; Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 89.54 0.00 9.00 89.54 Vendor# Vendor Name Class Pay Code 14064 CAPITAL ONE +-`J Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1647629980 03/29/20 03/19/20 04/13/20 634.60 0.00 0.00 634.60 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14064 CAPITALONE 634.60 0.00 0.00 634.60 Ventlor# Vendor Name Class Pay Code 14260 CAREFUSION SOLUTIONS, LLC a^ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7000142870-9 v' 03/30/20 02/28120 04/05120 150.84 0.00 0.00 150.84 SUPPLIES 1002037187-8 6:', . 0313=0 03/08/20 01/04/20 1,788.00 0.00 0.00 1,78800 MAINT 1002037188-6 .,-" 03/30/20 03/08/20 04/01/20 2.00 0.00 0,00 2.00 �r MAINT Vendor Total -Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1,940,84 0.00 0.00 1,940.84 Vendor# Vendor Name Class Pay Code � C1992 CDW GOVERNMENT, INC, t'' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net H024781 4,. 03/15/20 02/28/20 03130120 1,078.64 0.00 0.00 1,078.64 LVO M90Q HH42990ri 03/29/20 03/09/20 04108/20 1,912.51 0.00 0.00 1,912.51✓� SUPPLIES HL15355 ✓' 03/29/20 03/16/20 04/15/20 1,992,86 0.00 0.00 1,992.86 ✓ file:/(/C:/Users/ttrevino/cpsilmemmed.cpsinet.coin/u88125/data_5/tmp_cw5report747744... 3/30/2023 Page 3 of 1 l SUPPLIES Vendor Totahi Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 4.984.01 0.00 0.00 4.984.01 Vendor#Vendor Name Class Pay Code C1390 CENTRAL DRUG t'f W Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 032723 03130/2003f2712004/01/20 38.80 0.00 0.00 38.80 1 INVENTORY Vendor Totals Number Name Grass Discount No -Pay Net C1390 CENTRAL DRUG 38.80 0.00 0.00 38.80 Vendor# Vendor Name Class Pay Code C2157 COOPER SURGICAL INC ✓ - M Invoice# ,Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 6592082 ✓/ 03114/20 03109120 04/01/20 397.73 0.00 0.00 39T7$ Vim. SUPPLIES cHRISTAIN10 Vendor Total: Number Name Gross Discount No -Pay Net C2157 COOPER SURGICAL INC 397.73 0.00 0.00 397.73 Vendor# Vendor Name Class Pay Cade 10368 DEWITT POTH & SON �•' Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 713269-1 ✓ 03/29/20 03/20/20 04114/20 6718 0.00 0.00 57.18 SUPPLIES Vendor Total. Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 57.18 0.00 0.00 57,18 Vendor# Vendor Name Class Pay Cade 11284 EMERGENCY STAFFING SOLUTIONS , / Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 42067 f 03/30/20 03/31/20 04/10/20 40,062.50 0.00 0.00 40,062,50 PHYSICIAN SERVICE ILI V e 7VVI-) . Vendor TotalE Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class Pay Code 14136 EPI-EDWARD PLUMBING ✓- Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 56047 ✓'� 03130/2003124/2003/24/20 1.755.19 0.00 0.00 1,755.19 LABOR/MILEAGELlIcAl4yra 1,) . Vendor TotalE Number Name Gross Discount No -Pay Net 14136 EPI-EDWARD PLUMBING. 1,755.19 0.00 0.00 1,755,19 Vendor# Vendor Name Class Pay Code C2510 EVIDENTv' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net T2303091378 r`' 03/30/20 03/09/20 04/03/20 18,979.52 0.00 0.00 18,979.52 ✓ T2303161378 ✓' 03/30/20 03/16/20 04/10/20 7.813.16 0.00 0.00 7,813.16 BUSINESS SERV Vendor TotalE Number Name Gross Discount No -Pay Net C251U EVIDENT 26,792.68 0.00 0.00 26,792.68 Vendor#Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ✓ M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 1209070 03/29/20 03/10/20 04/04/20 110.96 0.00 0.00 110.96 y -' file:///C:/Users/Itrevino/epsi/memmed.cpsinet.cotil/u88125/data_5/tmp_cw5 report747744... 3/30/2023 Page 4 of 11 SUPPLIES 1247094 ✓ 03/29/20 03/13/20 04/07/20 38.45 SUPPLIES 1287906 �, 03129/2003/14/2004/13WO 1,442,71 SUPPLIES 1287904 v'' 03/29/20 03/14/20 04/05/20 246,02 SUPPLIES 1328P07 vl 03/29/20 03/15/20 04/09/20 7.23 SUPPLIES 13680001� 03/29/20 03/16/20 04/10/20 145.60 SUPPPLIES 1358002✓` 03/2912003/16/2004110120 1,316,11 SUPPLIES 1443042 v'�' 03/29/20 03/20/20 04/14/20 177.95 SUPPLIES 1443041 Y`� 03/29/20 03/20/20 04/14/20 177.95 SUPPLIES 1482986,:' 03/29120 03/21/20 04115120 128.54 SUPPLIES 1482985 ✓ 03/20/2003/21/2004/15/20 128.54 SUPPLIES 1482987 ✓' 03/29120 03r1 /20 04/15/20 842.63 SUPPLIES 1524533 S 03/29/20 03/22/20 04/16/20 478.64 SUPPLIES 1524532 v' 03/29/20 03/22/20 04/16/20 62.99 SUPPLIES 1524530 v' 03/29/20 03/22/20 04/16/20 213.03 SUPPLIES 0.00 Mo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0,00 0.00 arr.1 0.00 0.00 0.00 38.46 ✓ 1.442.71 .- 246.02 7,23 ✓ 145.60 v'`- 177.95 l-'' 177.95 U' f 128.54 1Z 128.54 vl 842,63 ✓` 478.64 ✓ 52.99 213.03 f 1524531 ✓' 03/29/20 03122/20 04/16/20 213.03 0.00 0.00 213.03 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 5,720.38 0.00 0,00 5,720.38 Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net 031923 03/30/20 03/19/20 04/12/20 70.40 0.00 0.00 70.40 �..% PHONE Vendor Total: Number Name Gross Discount No -Pay Net 11183 FRONTIER 70.40 0.00 0,00 70.40 Vendor# Vendor Name Class Pay Cade 12636 FUSION CLOUD SERVICES, LLC e fr Invoice# Comment Tran Ot Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 28823454 ✓" 03/30/20 03/16/20 04/15/20 33,85 0.00 0.00 33.85 PHONE Vendor TotalENumber Name Grass Discount No -Pay Net 12636 FUSION CLOUD SERVICES, LLC 33.85 0.00 0.00 33.85 Vendor# Vendor Name Class Pay Cade 11149 CBS ADMINISTRATORS, INC 1/'F Invoice# Comment Tran Dt Inv 01 Due Dt Check D Pay Grass Discount No -Pay Net 205884141148 03/30/20 03/23/20 04/01/20 6,197.57 0.00 0.00 6,197.57 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.coin/u88125/data_51tmp_cw5report747744... 3/30/2023 Page 5 of 11 INSURANCE APR 23 Vendor Totals Number Name Gross Discount ND -Pay Net 11149 GBS ADMINISTRATORS, INC 6,197.57 0.00 OAO 6,197.67 Vendor# Vendor Name Class Pay Code G1001 GETINGE USA «' Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 6992174303 '' 03/29/20 03/16/20 04/01 /20 59.75 0.00 (1.00 59.75 V- SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net G1001 GETINGEUSA 59.75 0.00 0.00 59,75 Ventlor# Vendor Name Class Pay Code W1300 GRAINGER ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check R Pay Gross Discount No -Pay Net 9642892807 ✓ 03/29/20 03/16/20 04/10/20 300.60 0.00 0.00 300.60", SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER. 300.60 0,00 0.00 300.60 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 2369038 f 03129/20 03121 /20 04/20/20 674.61 0.00 0.00 674.61 2369198 r 03/29/20 03/21/20 04/20/20 35.61 0.00 SUPPLIES 2369136 03129/20 03121/20 04120/20 8,196.90 0.00 SUPPLIES Vendor Totals Number Name Gross Discount G1210 GULF COAST PAPER COMPANY 8,907.12 0.00 Vendor# Vendor Name Class Pay Code 11182 HEATHER MUTCHLER Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount 032923 03/29/20 03/29/20 04/01/20 312,26 0.00 TRAVEL REIMB 01 1-1 --ahT1z3) 0f1-Y/-tfit- tAkt A FLt- Ventlor Totals Number Name Gross Discount 11182 HEATHER MUTCHLER 312.26 0.00 Vendor# Vendor Name Class Pay Code H1269 HENRY SCHEIN INC..r' Invoice# Comment Tran Ot Inv Dt Due Dt Check D- Pay Gross Discount 35435498 V/ 03/29/20 03/09/20 03/09/20 87.02 0.00 SUPPLIES Vendor Total; Number Name Gross Discount H1269 HENRY SCHEIN INC. 87.02 0.00 Vendor# Vendor Name Class Pay Code H0416 HOLOGIC INC v' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 10300786 03/29/20 10/22/20 11/22/20 -137.50 0,00 CREDIT MP201 10461730 ✓' 03/29/20 03/13/20 03/29/20 708.75 0.00 SUPPLIES Vendor Totals Number Name Gross Discount H0416 HOLOGIC INC 571.25 0.00 0.00 35.61 0100 8,196.90 +.,,.- No -Pay Net 0.00 8,907,12 No -Pay Net OAO 312.26 r.f No -Pay Net 0.00 312.26 No -Pay Net 0.00 87.02 ✓ - No -Pay Net 0.00 87.02 No -Pay Net 0.00-137.50 �.- 0,00 708.75 No -Pay Net 0.00 571.25 file:///C:/Users/ltrevino/cpsi/memmed. cpsinet.com/u88125/data_5/tmp_cw5report747744... 3/30/2023 Page 6 of 11 Vendor# Vendor Name Class Pay Code 10530 HUMANA Invoice# Comment Tran Dt Inv Dt Due Dt Check 0- Pay Gross Discount No -Pay Net 180386 yrr 03/30/20 03/07/20 04/07/20 120.00 0.00 0.00 120.00 1 REFUND 22464t1 03/30/20 03/21/20 04/15120 296.15 0.00 0.00 296.15 REFUND 224790 03/30/20 03/21 /20 04/15/20 117.60 0.00 0.00 117.60 REFUND 229090 ✓ 03/30/20 03/21/20 04/15120 119.13 0.00 0.00 119.12 REFUND ADELINA BENAVIDE: 225553 .' 03/30120 03/21/20 04/15120 119.13 0.00 0.00 119.13 REFUND ADELINA BENAVIDE: Vendor TWO Number Name Gross Discount No -Pay Net 10530 HUMANA 772.01 0.00 0.00 772.01 Vendor# Vendor Name Class Pay Code 14812 / Invoices Comment Tran Dt Inv Dt Due Ot Check 0- Pay Gross Discount No -Pay Net 032423 03/30/20 03/24/20 04/01/20 47.25 0,00 0.00 47.25 REFUND Vendor Totals Number Name Grass Discount No -Pay Net 14812 47.25 0.00 0.00 47.25 Vendor# Vendor Name Class .. Pay Code 14364 JACQUELINE HERRERA .: _ Invoice# Comment Tran Ot Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 032823 03/29/20 03/28/20 04/01 /20 40.02 0.00 0.00 40.02 TRAVEL-6 (jk4k OW13 -�vY 91711-L3 Vendor Total -Number Name Gross Discount No -Pay Net 14364 JACQUELINE HERRERA 40.02 0.00 0.00 40.02 Ventlor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC .% M Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 2258085598 y/ 03/29120 03115120 04109/20 58.15 0.00 0= 58.16 SUPPLIES 2258085582 ✓ 03/2912003/15/2004109120 272.90 0.00 0,00 272.90 SUPPLIES 2258085585 ✓` 03/29/20 03/15/20 04/09/20 23.74 0.00 0.00 23.74 y' SUPPLIES 2258085596 ,/' 03/29120 03/15/20 04109/20 120,06 0.00 0.00 120.06 SUPPLIES 2258085689 a/ 03/29/20 03/15/20 04/09/20 425.73 0.00 0.00 425.73 „- SUPPLIES 2258085594 -/ 03/29/20 03/15/20 04/09/20 5,116.97 0.00 0.00 5,116.97 " SUPPLIES 2258065597 v1 03/29/20 03/15/20 04/09/20 95,48 0.00 0.00 95.48 4 SUPPLIES 2258158550 „/ 03/29/20 03/15/20 04/09/20 116.81 0.00 0.00 116.61 SUPPLIES 2258085587 r� 03129/20 03/15120 04/09/20 264,61 0,00 0.00 204.61 SUPPLIES 2258205527 ✓� 03/29/20 03/16/20 04/10/20 -47.63 0.00 0.00 -47.63 file:///C:/Users/ltrevinotepsilmemmed.cpsinet.com/u88125/data 5/tmp_cw5report747744,.. 3/30/2023 Page 7 of 1 t SUPPLIES 2258298830 ✓ 03/29/20 03/16/20 04/10/20 -23.74 0.00 0.00 -23.74 y� SUPPLIES 2258592590 r' 03/29/20 03/18/20 04/12/20 221.28 0.00 0.00 221.28 ✓ SUPPLIES 2258684739 03129/20 03/19/20 04/13120 131.08 0.00 0100 131.08 ✓ SUPPLIES '✓, 2258711823 v 03/29/20 03/20/20 04/14/20 105.89 0.00 0.00 105.89 r� SUPPLIES 2256711824 %/`f 03/29/20 03/20/20 04/14/20 147.88 0.00 0.00 147.88 SUPPLIES 2258915288'�/ 03/29/20 03/21/20 04/15/20 67.90 0.00 0.00 67.90,E SUPPLIES - 2258915287 r/"' 03/29/20 03/21 /20 04/15/20 100.03 0.00 0.00 109:03 ✓� SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 7,206.14 0.00 0.00 7.206.14 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC v' Invoice# .Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9373329 ✓ 03/30/2003/22/2004101/20 8.69 0.00 0100 8.69 :INVENTORY 9374615 v 03130/20 03/22120 04/01120 977.52 0.00 0.00 977.52 INVENTORY 9372571 .% 03/30/20 03/22/20 04/01/20 4,208.70 0.00 0100 4,208.70 INVENTORY 9376945 r� 03/30/20 03/22/20 04/01/20 94.42 0.00 0100 94.42 v' INVENTORY 9376309 4/ 03/30/20 03/22/20 04/01 /20 246.14 0.00 0.00 246.14 P" INVENTORY 9375673./ 03/30/20 03/22/20 04101/20 11,25 0.00 0.00 11.25 INVENTORY 9373328 ✓" 03/30/20 03/22/20 04/01/20 4.85 0.00 0.00 4.85 V ,. INVENTORY 9375946 ✓f 03/30/20 03/22/20 04/01/20 8,846,10 0.00 0.00 8,846.10 ✓' INVENTORY 9374514 03/30/2003/22/2004101/20 6.44 0.00 0.00 6,44 `.. INVENTORY 1500 1% 03/30/20 03/22/20 04101 /20 -0.76 0.00 0.00 -0.76 r CREDIT 9378105 > •` 03/30/20 03/23/20 04/02/20 4,355.76 0.00 0.00 4,355,76 INVENTORY 1805 ✓ 03130/2003/23120 04/02/20 -162.29 0.00 0.00 -162,29 CREDIT 9368431 ✓`" 03/30/20 03/26/20 04/05120 48.03 0.00 0.00 48.03 INVENTORY 9388432 >•'' 03/30120 03/26/20 04/05/20 1,668.24 0.00 0.00 1,668.24 ✓ INVENTORY 9386390 ✓- 03/30/20 03/26/20 04/05/20 907.48 0.00 0.00 907.48 ✓" / INVENTORY - 9386391 v` 03/30/20 03/26/20 04/05/20 474.18 0.00 0.00 474.18 ✓� file:///C:/Users/Itrevino/cpsihnemnied.cpsinet.com/u8 8l25/data_5/tmp_cw5report747744... 3/30/2023 Page 8 of 11 INVENTORY SC2188 ✓J 03/30/20 03/27/20 04106/20 117.64 0.00 0.00 117.64 SERVICE CHARGE SC2189,/03130/20 03127/20 04108/20 218.80 0.00 0.00 218.80 >•''� SERVICE CHARGE SC2190 �� 03/30/20 03/27/20 04/06/20 96.35 0.00 0.00 96.35 b' .SERVICE CHARGE 9392089,/ 03/30/20 03/27/20 04/06/20 165.02 0.00 0.00 165,02 y f� INVENTORY 9389299 yf 03130/20 03/27/20 04/06120 4,504.16 0.00 0.00 4,504.16 ai INVENTORY 9390124 03/30/20 03/27/20 04/06/20 86.52 0.00 0.00 86.52`- INVENTORY 9390123 V . 03130/20 03127/20 04/06/20 1,220.60 0.00 0.00 1,220.60 _.INVENTORY 9392090✓r 03/30120 03/27/20 04/06120 48.85 0.00 0.00 48,851Z INVENTORY _ 9397960✓ 03130120 03/28/20 04107/20 2,610.52 0.00 0.00 2,610.52 ✓ ,INVENTORY 9395590 ✓ 03/30l20 03/26/20 04/07/20 42.90 0.00 0.00 42.90 ..' .INVENTORY 9397959 ✓ 03/30/2003/28/2004/07/20 4,057.49 0.00 0.00 4,057.49 INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 34,863.60 0.00 0.00 34,863.60 Vendor# Vendor Name Class Pay Code 10868 NOVA BIOMEDICAL v� Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 91134563, 03129/20 03120/20 03/29120 120,00 0.00 0.00 120.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10868 NOVA BIOMEDICAL 120.00 0.00 0.00 120.00 Vendor# Vendor Name Class Pay Code 01201 OZARK BIOMEDICAL, LLC ..` M Invoice# Comment Tran DI Inv Dt Due Dt Check D- Pay Gross Discount NoaPay Net 345495 ✓-�` I 03/29/20 03/16/20 04/01/20 360.00 0.00 0.00 360.00 y.- SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01201 OZARK BIOMEDICAL, LLC 360.00 0.00 0.00 360.00 Vendor#Vendor Nam Class Pay Code 14764 PL-CPR, LLC V Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 186 ,/ 03/22/20 03/18/20 04/17/20 750.00 0.00 0.00 750.00 r: PALS (5@ 150) . 185 r 03/22/20 03/18/20 04/17/20 525.00 0.00 0.00 525.00 V, ACLS (33=@ 175) 187 03/22/20 03120/20 04/19120 750.00 0.00 0.00 750.00 w�- ACLS RERT (5 @150) Vendor Totals Number Name Gross Discount No -Pay Net 14764 PL-CPR, LLC 2,025,00 0.00 0.00 2,025.00 Vendor# Vendor Name Class Pay Code file:///C:/Users/itrevino/cpsi/memmed.cpsinct.com/u88125/data_5/tmp_cw5report747744.., 3/30/2023 Page 9 of 11 10896 CIAGEN INC ✓ Invoice# Comment Tran Dt Inv of Due DI Check D Pay Gross Discount No -Pay Net 998727462 r 03/29/20 03/20/20 04/19/20 359.93 0.00 0.00 359.93 v' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10896 OIAGEN INC 359.93 0.00 0.00 359.93 Vendor# Vendor Name Class Pay Code 11080 RADSOURCE v' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SC32090423 •' 03/29/2003112/2004/06/20 1,791.67 0.00 0.00 1,791.67 SERVAGREEMENT SC32690423 ✓ 03/29/20WWII 04/10/20 1,708.33 0,00 0.00 1,708.33 SERV AGREEMENT Vendor Total: Number Name Gross Discount No -Pay Net 11080 RADSOURCE 31500.00 0.00 0.00 3,500.00 Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIQUEZ v' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Nei 032323 03/29/20 03/23/20 04/01/20 93.42 0.00 0.00 93.42 REIMBURSEMENT 3122�23�}'ritvL{.�-p �krrS, Oi'7'1ts t'r4t'.,4 , 4cti- 032723 03/29/20 03/27/20 04/01/20 46.18 0.00 0.00 46.18 TRAVEL REIMBIWV4 "w Vendor Totals Number Name Gross Discount No -Pay Net 11764 ROBERT RODRIQUEZ 139.60 0.00 0.00 139.60 Vendor# Vendor Name Class Pay Code 14808 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 030322 03/30/20 03/03/20 04/03/20 103.13 0.00 0.00 103.13 �„- REFUND Vendor Totals Number Name Grass Discount No -Pay Net 14808 103.13 0.00 0.00 103.13 Vendor# Vendor Name Class Pay Code S0900 SAM'S CLUB DIRECT ✓'� w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032023 03/29/20 03/20/20 04/08/20 744.59 0.00 0.00 744.59 ✓' SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net 80900 SAM'S CLUB DIRECT 744.59 0.00 0.00 744.59 Vendor# Vendor Name Class Pay Code .. S2001 SIEMENS MEDICAL SOLUTIONS INC w� M Invoice# Comment Tran Dt Inv Dt Due Dt r Check D, Pay Gross Discount No -Pay Net 116346766✓ 03/30/20 03/16/20 04/10/20 2,375.92 0.00 0.00 2,375.92,,E-' CONTRACT SN 1530 - VendorTotalsNumber Name Gross Discount No -Pay Net S2001 SIEMENS MEDICAL SOLUTIONS INC 2,375.92 0.00 0.00 2,375.92 Ventlor# Vendor Name Class Pay Code 10094 ST DAVIDS HEALTHCARE v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net MMCPL2023.02. r{'J 03/29/20 03/27/20 04101/20 420.00 0.00 0.00 420.00 FEB 23 CONNNECTIVITY FEE Vendor Totals Number Name Gross Discount No -Pay Net titer///C:[ Jsers/ttrevinolepsi/memmed.cpsinct.com/u88125/data_5/tmp_cw5repoll747744... 3/30/2023 Page 10 of I 1 10094 ST DAVIDS HEALTHCARE 420.00 0.00 0.00 420.00 Vendor# Vendor Name Class Pay Code S3940 STERIS CORPORATION v� M Invoice# Comment Tram Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10961967 / 03/29/20 03/151PO 04/09/20 202.80 0.00 0.00 202.80 v� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net $3940 STERIS CORPORATION 202.80 0.00 0.00 202.80 Vendor# Vendor Name Class Pay Code 12476 SUN LIFE FINANCIAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032323 03/30/20 03/22/20 04/10/20 11.027.97 0.00 0.00 11,027.97 MARCH 2O23 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 12476 SUN LIFE FINANCIAL 11,027.97 0.00 0.00 11,027.97 Vendor# Vendor Name Class Pay Code 14524 SYSMEX AMERICA, INC.V` Invoice# Comment Tran Dt Inv Dt Due Dt Check 0Pay Gross Discount No -Pay Net 94686044 ,/'F` 03/29/20 03/24/20 04/20/20 527.44 0.00 0.00 527.44 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14524 SYSMEX AMERICA, INC. 527.44 0100 0.00 527.44 Vendor# Vendor Name Class Pay Code 13880 TEXAS SELECT STAFFING �,-/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032323 03/30/20 03/23/20 04/01/20 8,000.00 0.00 0.00 8.000.00 v DEPOSIT FOR JOSEPH ESQUP_ll-21V ILw , Vendor Totals Number Name Gross Discount No -Pay Net 13880 TEXAS SELECT STAFFING 8,000.00 0.00 0.00 8,000.00 Vendor# Vendor Name Class Pay Code 14828 THE UNIVERSITY OF TEXAS HEALTH v Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2860 j 03/30/20 08/05/20 09/05/20 900.00 0.00 0.00 900.00 v' CONTRACT RENEWAL Vendor Totals Number Name Gross Discount No -Pay Nei 14828 THE UNIVERSITY OF TEXAS HEALTH 900,00 0.00 0.00 900.00 Vendor# Vendor Name Class Pay Code 14012 TK ELEVATOR CORPORATION ,ill Invoice# Comment Tran Ot Inv Ot Due Dt Check D' Pay Gross Discount No -Pay Net 3007070103 v1 03129120 02/01120 03101/20 1.447.77 0100 0.00 1,447.77 MAINTENANCE. Vendor Totals Number Name Gross Discount No -Pay Net 14012 TK ELEVATOR CORPORATION 1,447.77 0.0o 0.00 1,447.77 Vendor# Vendor Name Class Pay Code 14372 TRIAGE,LLC Mr Invoice# Comment Tran Dt Inv Ot Due Dt Check 0 Pay Gross Discount No -Pay Net INV1796718674 V" 02/22120 (13/17/20 04116/20 5.028.00 0.00 0.00 5,028.00 >1"" STEVEN SHAW 3/5.3/11 Vendor Totals Number Name Gross Discount No -Pay Net 14372 TRIAGE, LLC 5,028.00 0.00 0.00 5,028.00 Vendor# Vendor Name Class Pay Code tile://!C:/Users/ltrevino/cpsi/memmed.cpsinet.cmn/u88125/data_5/tmp_cw5report747744... 3/30/2023 Page 11 of 11 U1064 UNIFIRST HOLDINGS INC ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check DPay Gross Discount No -Pay Net 8400417904 ✓ 03/22/20 03/20/20 04/14/20 59.46 0.00 0.00 59.45 LAUNDRY / 8400417924 ✓i 03/22/20 03/20/20 04/14/20 2,430.11 0.00 0.00 2,430.11 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1004 UNIFIRST HOLDINGS INC 2,489.56 0.00 0.00 2,489.56 Vendor# Vendor Name Class Pay Code U2000 US POSTAL SERVICE Invoiceii Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032823 03/29/20 03/28/20 04/01l20 2,200.00 0.00 0.00 2,200.00 POSTAGE Vendor Totals Number Name Gross Discount No -Pay Net U2000 US POSTAL SERVICE 2,200.00 0.00 0.00 2,200.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC , / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9111298323 ,/ 03/30/20 03115/20 04/09/20 1,571.57 0.00 0.00 1,571.67 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,571.67 0.00 0.00 1,571.67 Vendor# Vendor Name Class Pay Code W1270 WISCONSIN STATE LABORATORY W Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 30019930 03/29/20 02/13/20 03/31/20 350.00 0.00 0.00 350.00 vr� V SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1270 WISCONSIN STATE LABORATORY 350.00 0,00 0.00 350.00 Report Summary Grand Totals: Gross Discount No -Pay Net 194,164.03 0.00 0.00 194,164.03 ..PPAOVEDrON �'AAR 3 U 20E3 itY COUNTY 4UD17913 :+7l.Hk3L,m cnUNIT. GXAS file:///C:/Userslltrevinolcpsilmemmed.cpsinet.com/u88125/data 5/tmp_ew5reporL747744... 3/30/2023 RECEIVED By THE RDt Wn )WWOR ON WEkIl 2023 PATIENT 044MUN CP.AERRWOEXAS ARID=0001 TOTAL --------------------- TOTAL APPROVED ION MAR 3 0 20Z3 .�ARLHt1unt �k�FiF7�S MEMORIAL 6IEDICAL CEI4TER EDIT LIST FOR PATIENT REFM'DS ARIMO01 DATE PAY FAT AMUNT CODE TYPE DESCRIPTION 196.72✓ 2 AE 50.00✓yr 3 REF117ff 164.06✓ 2 RRFUNI 20.00 ✓ 2 ARM 50.00 ✓ 3 REFuN 10.00 ✓ 2 REFINE 50.00 ✓ 2 RHEFUNT 70.00 r' 2 REFUP 13.80 ✓ 2 REFor 26.42 ✓ 3 REFUSE 73.20 %/ 2 REFUND 30.00 ✓ 2 REFUND 18.90,.r 2 REFUND 116.89 ,: -_ 2 REFUND 20.09 yr, 2 REFUND 344.63 "` 2 REFUND 17.27 ^ 2 REFUND 81.93 2 REFUND 75.00 3 HIMID 17MD✓ 2 REFUND 122.85 2 REFUND 53.31 3 REFUND 15.D0✓ 2 REFUND 300.00 2 REFUND 43.58 2 REFUNT 100.00 ✓� 2 REFUR' 250.00✓ 2 REFUND# 25.00 ✓, 2 REFUSE. 13.66 yr 2 REFURC 242.49 -/ 2 RE 100.00 ✓ 2 REFU 98.10 ✓ 2 REF 10D.D0 ✓ 3 REF 50.00 ✓ 3 RE 199.59v 5 REIN[ 76.45�i 2 RE 711.27 ✓ 2 REFUND 159.00 v `. 2 REFUND 57.96 ✓" 2 REFUND 97.18 v` 2 REFUND 56.89 ✓ , 2 REFUND 125.00 ✓'j 2 REFUND 10.40 a1" 3 REFUND 125.00 ✓" 2 REFUND 152.39✓ 2 REFUND 331.22 ✓' 2 REFUND 5170.80 ------------------------------------------- 5170.80 PAGE 1 APCDEDIT GL NUN RECEIVE08YTHE COUNTY AUDTIIOR ON APR 0 3 2023 CALHO 0NO3/202 Ty' TEXAS MEMORIAL MEDICAL CENTER AP Open Invoice List 10:27 Dates Through: Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoices! Comment Tran or Inv Ot Due Ot ChecK D Pay Grass 031923 03/30/20 03/19/20 04/12/20 04/05/20 P 70, PHONE_0- ) do (r`A- 032323 03/31/20 03/23/20 04/15/20 39.55 PHONE Vendor Totals Number Name Gross 11183 FRONTIER 109:85 Report Summary Grand Totals: Gross Discount 09 0.00 APPROVED ON APR 03 2023 & ( COUNTS AWE IT J LHOUN rOLIN y Tr-k4� 0 ap_open—Invoice.template Discount No -Pay 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 No -Pay 0.00 Page 1 of 1 Net 7 70.40 39.55 Net 10y:65 Net 1045 file:!//C:/Users/itrevino/cpsi/memmed.cpsinet.cowlu88125/data_5/tmp_cw5report8485382... 4/3/2021 RECEIVED ON COUNTY A001TOR ,APR 0 3 Z023 CAl..141dftffi%4T'I, TEXAS MEMORIAL MEDICAL CENTER AP Open Invoice List 0 70:29 ap_open_Involce.template Dates Through: Vendor# Vendor Name Class Pay Code C1730 CITY OF PORT LAVACA ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay 032123 03l3l/20 03121/20 W05120 54.47 0.00 0.00 WATER 032123C 03/31/2003/21/2004105/20 245.73 0.00 0.00 WATER 032123A 03/31120 03/21/20 04105.120, 17.10 0.00 0.00 WATER 0321423E 03/31/2003/21/2004105120 4,109.59 0.00 U0 WATER Vendor TotafsNumber Name Gross Discount No -Pay. C1730 CITY OF PORT LAVACA 4,425,99 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 4,425.99 0.00 0.00 APPROVED ON APR �y0 3 20273 RLN2T % GOUNTY.1 T£kAS Page I of I Net 54.47 Y , 245.73 , j 17.10 v' i 4,105.69 +` Net 4,425.99 Net 4,425,99 file:!//C:/Users/ltrevino/cpsi/memmed,cpsinet.corn/u881251data_5/tmp_cw5 report4709476... 4/3/2023 MSKESSON STATEMENT As of 03/31/2023 cw„�ny: eou4 DC: 8115 MEMORIAL MEDICAL CENTEE f AMT DUE REMITTED VIA ACH DEBIT Insanitary: AP Stmement for information only 615 N VIRGINIA STREET Cemomen 632536 PORT tAVACA T% 77979 Date: 04/01/2023 Page: 002 To ensure proper cmd0 to your ammunt, detach and rmum tits stub al Your remklence As of: 03/31/2023 Page: 002 May to: Comp: 8000 AMT DUE REMITTED VIA AM DEBIT Statement for information only Oust: 632536 PIFASE CHECK ANY Date: 0410112023 fiQMS NOT PAID (�) Snares .... e DateDue Number cash amount P Amount P Number Date Dale Number Reference Oescriplbn Discount (greee) F (net) F Number PF column Iegelf0: P = Past Due Item, F = Future Due Item, blank a Carom Due Item TOTAL Natl4rxl Acct 632536 MEMORIAL MEDICAL CENTER SUMe1a1a: 9.740.94 U50 Future Due: 0.00 0. It Paid On Tlme: 11 Paul By 0410412023, USD ,.% 9,554.94J Pam Due: 0.00 Pay Thls Amount: 9.554.94 USO Dlec hrsl M WW late: 195.00 Let Payment 2.451.97 If Paul After 04104f2023, Dole H Paid We: OW0712017 Pay this Amount: 9,749.94 USD USD 9.749.94 APR 032923 J�'J For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT As of: 03/31/2023 Page: 001 putt our To eom, Proper to your ao emo ear n.Nerr1 and re his ras v eooa stub wfh Your ..His. WALMART 1098IMM MID PRS AMT DUE RENID'm VIA ACH DEBIT T DC: ails Tons., 400 As of: 03/31/2023 Man to: Page: 001 Comp: 800c MEMORIAL VICKY KAUSEt MEDICAL CENTER Statement for Information only Customer 256342 AMT DUE REMITTED VIA ACH OMIT Statement to( information only 815 N VIROINIA ST DMe: 04/012023 FORT IAVACA T% 77979 Cuss 256342 PLEASE CHECK ANY Dale: 04/01/2023 ITEMS NOT PAID (�) fiilGn9 Due �Ne0snol A.eam 98 Fifeer Cesh Amount F Amount P Rece(vabh Dale Dale r Pander Number Reiemnce Oesctlption Oiscounl (gross) F (net) F Number Customer Number 256342 WALMAW 1098/0AHa MM MS 03/27/2023 04/04/2023 7406990320 60878568 1151nvoice 31.78 1,588.90 1,557.12 ✓ 7406990320 0=712023 04/04/2023 740GD90323 68919200 115Inv°ice 8.10 405.05 396.96 7400990323 03/27/2023 04/04/2023 7407004933 69092660 1151nv°ics 12.23 611.32 599.09 ✓ 7407004933 03/27/2023 04/04/2023 7407004935 6SD92660 1151nvoice 0.02 0.95 0.93 1. 7407004935 03/27/2023 04/04/2023 7407205709 68889671 1151nvoice 2.86 142,82 139.96 ✓ 7407205709 03/27/2023 04/04/2023 74072115710 69030660 1951nvoice 0.86 43.16 42.30 7407206710 03/27/2023 04/04/2023 7407205711 68964684 1951nvome 0.15 0.15 7407205711 03/27/2023 04/04/2023 7407205712 68BB4330 1951nvoice 0.01 0.32 0.31✓ 7407205712 0312BJ2023 04/04/2023 7407345779 69114426 1151mmice 0.12 0.12✓ 7407345779 03128/2023 04/04/2023 7407345780 69135626 1151mmice 3.55 177.52 173.97 v" 7407345760 03/28/2023 04/04/2023 7407360306 69215489 1151nveice 0.02 0.02 ✓ 7407360306 03/20/2023 04/04/2023 7407635379 69293027 1151nv°ice 15.09 794.45 778.56 ✓ 7407635379 03129/2023 04/04/2023 7407635380 69361862 11 Simmica 3.28 163.90 160.62 ✓ 7407635380 01/29/2023 04/0412023 7407847284 69372210 1151nv6ce 2.63 131.49 128.66 / 7407647284 03/29/2023 04/0412023 7407849771 59270854 1951nvoice 1.33 66.40 65.07 7407849771 03/30/2023 04/0412023 7407927078 69429840 1151nv01ce 24.19 1,209.44 1.185.25 ✓ 7407927078 03/30/2023 04/04/2023 74D7931186 69504197 I151nveice 21.81 1,090.70 1,068.89 '' 7407931186 03/31/2023 04/04/2023 7408213629 69556023 1151nveice 15.90 794.78 778.08'�, 7408213529 03/31/2023 04/04/2023 7408213633 69565023 1151nv°ice 0.54 27.24 26.70 7408213533 03/31/2023 04/04/2023 7400230880 69628297 If5lnvoice 0.03 1.27 1.24 % 7406230880 03/31/2023 04/04/2023 7408413358 69575780 1951nvoice 1.03 51.50 50.47 7408413358 For AR Inquiries please contact 800-867-0333 STATEMENT CampenY 9000 WALMART 1098/MW MED MS AMT DUE RHd1TTED VIA ACH OMIT MEMORIAL MEDICAL CENTM✓ Statement for information only VICKY KAUSEK 015 N VIRGINIA ST PORT IAVACA TX 77979 As 0f. 03/31/2023 Page: 001 To senors proper credit to your BCC 4M. selfish eM mlum this pub wM your mmhtanee GO: ails As of: 03/3112023 Page: 001 Territory: 400 Mail to: Comp: 8000 ANT DUE REMITTED VIA ACH D®IT Customer. 256342 Statement for Information only Date: 04/01/2023 Cust: 256342 PUEASE CHECK ANY Date: 04/0112023 ITEMS NOT PAID (r) PF column egemi: P = Past Due Item, Na1f.1a1'9208&% L%1536 blank = Current 0. It.. 8 TOTAL Customer Number 256342 WAI.MART 1098IMM MED PHS 6ubtalals: 7,301.50 USD Future Due: 0.00 0. If Pale On Time: If Paid By 04/0412023, USO 7.155.46 Past Due. 0.00 Pay This Amount: 7,155.46 USO Oisa Ion if paid late: 146.04 18n Payment 16.582.38 If Paid Alter 0410412023, Due If Paid blei 03/27/2023 Pay this Amount: 7,301.50 USO USO 7,301.50 Lfd�pcl� nPPROVED ON APR 03 223 By e',p1tNP Ab Dn +:ALNOUL11 C"ITTY Tens For AR Inquiries please contact 800-867-0333 m_RcZ1wry STATEMENT As a1: 03/31/2023 Pe9e: 901 m TO ewvapmperat to your attain, detach and myour ndthis company: so. stub with your madames CC: 8115 As pf: 93/31/2023 Page: 001 CVS PHCY 8923/MW MC PHS j AMT DUE RBdITTED VIA ACM DEBIT Temtary: 400 Mal to: Camp: 8000 MEMORIAL MEDICAL CENTER/ Statement for information only AMT DUE REMITTED VIA ACH DEBIT VICKY KALISEA Customer•. 835434 Statement for Information only 815 N VIRGINIA ST Date: 04/01/2023 PORT LAVACA TX 77979 Cult: 835434 PUEASE CHECK ANY DMe: 04/01/2023 fT8A5 NOT PAID (✓) ailing Duo ReceWeb131ational Account RMS 6 Cash Amount P Amount P ReceM6k Onto Data Number Reference Description Dlataunt (green) F (net) F Number Customer Number 835434 CVS PHCY 8923/MEAt MC PHS 03/29/2023 04/04/2023 7407637675 2261104 115lncoics 2.07 103.71 101.64 ✓ 7407637675 03/29/2023 04/04/2023 7407637676 2261104 1151r tOto 46.70 2,339.13 2,292.35 ,j 7407637676 FF column Iegenc: P = Past Due Item, F = Future Due Item, blank o Current Due Item TOTAL Customer Number 635434 CVS PNCY 8923/MEN MC MS SUMoishe 2,442,84 USD Future Due: 0.00 Doe 9 Paid on T'use j If Pain By 04/114/2023, USO 2.393.99 Past Due: 0.00 Pay Thin Amount: 2.393.99 USD Diet lost K to lane 45.85 fLast Payment 16.582.38 It Paid After 0410412023, 0. If Paid fate: 03127M2023 Pay this Amount: 2,442.84 USD USD 2�t(.J4442.84 \\ . PROVM O'a p'q © 3 }' 3y GO'JtiR' AUD40R UlICUN CY)UPlrs Tzgac For AR Inquiries please contact 800-867-0333 nnsReawry STATEMENT Ae cY. 03/31I2023 Page: 001 Toensure credam thus natu ar eo lateen and Tatum etch comp. , s000 anub with your Imminence DC: 8115 As of: 03/31/2023 Page: 001 CVS WCY 747511AW MC MS AMT DUE HWITTEO VIA ACH DEBIT Territory: 400 Mail to: Camp: 8000 MEMORIAL MEDICAL CMTEi Statement for Information mrIV AMT DUE FEIAITTED VIA ACH DEBIT VICKY KADSEK Cu4amer. 835436 Statement for information only 815 N VIRGINIA ST Date: 04/01/2023 FORT IAVAGA TX 77979 Curt: 835438 PLEASE CHECK ANY DOW 0410112023 nBAS NOT PAID (+) Being Dat Mlonal Amount 6 Rumiterl� �251T Cash Amount P P ReceNebM Dale Date Number Reference Description Discount (gross) F (nall (mn F Number Customer Number 835438 CVS PHCY 7475/108111 MC PHS 03/29/2023 04/04/2023 7407820105 2291105 1151nvoice 0.11 5.60 5.49 V 7407820105 PF column Mgend: P = Feat Due Item, F = Future Due Item, blank = Current Due Item TOTAL• Customer Number 835438 CVS PHCY 7476/MBA MC PHS suMot4lr. 5.60 USD FAum Co.. 0.00 Due If Pala On nme: If Paid By 2023, USD 5.49 PaM Due: 0.00 Pay This Amount: 5.49 USD 13 Ofm lost 8 paid late: 0.11 fast Fryman[ 16,582.38 If PaM After 2023, Duo If Pall late: 03/27/2023 Fey this Amount: 5.60 USE, USD 5.60 :APPROVED UNAN 4 (3f23 03 sr ecu;�=TY AunToa .Au;oure conun� T�IAs For AR Inquiries please contact 800-867-0333 b) STATEMENT Statement Number: 64901889 AmerisourceBeCgefl- Date: 03-31-2023 i of AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 340B 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER t/ 1001352841037028186 SUGAR LAND TX 77478b101 1302 N VIRGINIA ST PORTIAVACATX 77979-2609 Sal- Fri Due in 7 do,. DEA: RA0289276 866451-9655 AMERISOURCEBERGEN PO Sax 905223 Not Yet Due: D.00 CBARLOTTE NC 28290-5223 Cueenl: 2,50511 Past Due: 0.00 Total Due: 2,5531 AewwtBelanw', 2.50SJ1 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 03-27-2023 0407.2023 3127MI053 170173 Involw 3.45 0.00 3.45 03.27-2023 04-07-2023 3127952U81 170174 Invoice 214A0 0.00 214.46 03-274023 04-074023 3127952OR 170175 Invoice 116.82 0.00 116.82 03.27-2023 U-07-2023 3127988966 170223 Imoiw 25.97 0.00 25.97 03-27-2023 M-07-2023 312798896.7 170n4 Invoice 116.82 0.00 116.82 OY28-2023 04-07-2023 3128118238 170230 Immiw 1,576.63 (.00 1,576.63 O3 9-2023 W-07-2023 3128266WI 170241 Invoice 78.05 0.00 78.05 03-30.2D23 N074)23 3128410873 170249 Invoice 14.08 0.00 14.98 03 1-2D23 04-07-2023 31285NMI 170259 Invoice 64.99 0.00 64.99 0&31-2023 0"7-2023 3128556762 170260 Ireoiw 293,54 0.00 293.54 Current 1-15 Days 1640 Days 3160 Days 61-90 Days 91-120 Days Over 120 Days 2.505.71 0.00 Q00 0.00 0.00 0.00 0.00 Thank You for Your Payment Date Amount 0341-2023 (2,46BA2) APPROVED cAU 1°✓, �4}�e{in tteM�rr:1:, Reminders Due Dale 04-07-2023 Total Due:�� trl tl0-asi\ 6.J� ! . W;t ' cK 4 s0031q C p3(z3 Memorial Medical Center ACH Payment Request 10,829.20 Account: Operating- •4357 Account: MUFG Union Bank Account Number: 3120004394 Routing Number: Wage Works Employee FSA Payment March Invoices Invoices 4973720, 5933554, 4913267, 4888626, 4960266 by: Caitlin Clevenger {, Date: 4 9 2023 are: 1Nl�t` i� 4/3/2023 by; n o. , i P � APPROVED 414 4 4-3123 APR 03 ? 2 HealthEquity To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageVlWorks Remit: Via Wire or ACH Credit to MUFG Union Bank, N.A. FSA/HRA/DC Acct #: 3120004394 Routing #: 122000496 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com Description Visa Card Payments - HCFSA 2023 INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 Account# Invoice Date 2052366 03/27/2023 PO # DUE DATE 06/26/2023 _ Invoice # AMOUNT DUE INV4973720 $2,536.60 Plan Code Amount HCFSA2023 2,536.60 `, e Total Amount Due $2,536.60J q(31-?-:3 HealthEquity- To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to MUFG Union Bank, N.A. FSAIHRAlDC Acct #: 3120004394 Routing #: 122000496 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employerwageworks.com Description Visa Card Payments - HCFSA 2023 Total Amount Due INVOICE WaCorks, Inc. 4609 Regent Blvd. Irvingg,TX 75063 214.596.6900 Account# Invoice Date 2052366 03/20/2023 PD# ---- DUE DATE- -- 06/20/2023 Invoice # AMOUNT DUE INV4933554 $1,176.82 Plan Code Amount HCFSA2023 1,176.82 $1,176.82// HealthEquitya WageWorks INVOICE To: Memorial Medical Center WageWorks, Inc. PO Box 25 4609 Regent Blvd. Port Lavaca TX 77979 Irving, TX 75063 214.596.6900 Account# Invoice Date Remit: Via Wire or ACH Credit to MUFG Union Bank, N.A. FSA/HRAIDC Acct #: 3120004394 Routing #: 122000496 2052366 03113/2023 Po # DUE DATE Please include invoice # in your payment addenda for ACH Credit or Wire payment. 06/12/2023 Log on to our employer websile to view detailed invoice Invoice # AMOUNT DUE reports: employer.wageworks,com INV4913267 $868.73 Description Visa Card Payments- HCFSA 2023 Total Amount Due Plan Code Amount HCFSA2023 868.73 $868.73✓ HealthEquity° WageWorks INVOICE To: Memorial Medical Center WageWorks, Inc. PO Box 25 4609 Regent Blvd. Port Lavaca TX 77979 Irvingg,TX 75063 214.596.6900 Account# Invoice Date Remit: Via Wire or ACH Credit to MUFG Union Bank, N.A. 2052366 03/06/2023 FSA/HRA/DC Acct #: 3120004394 Routing #:122000496 PO # DUE DATE Please include invoice # in your payment addenda for ACH Credit or Wire payment. 06/05/2023 Log on to our employer website to view detailed invoice Invoice # AMOUNT DUE reports: employer.wageworks.com INV4888626 $5,666.80 Description Plan Code Amount _ PMBPayments - HCFSA 2023 HCFSA2023 213.19 Visa Card Payments - HCFSA 2023 HCFSA2023 2,841.11 PMB Payments - HCFSA 2022 HCFSA2022 2,612.50 U, ti� /�,�jt�Nit� Total Amount Due `I- (3 i z 3 $5,666,80�f HealthEquity' WageWorks INVOICE To: Memorial Medical Center WageWorks, Inc, PO Box 25 4609 Regent Blvd. Port Lavaca TX 77979 Irving, TX 75063 214.596.6900 Remit: Via Wire or ACH Credit to: MUFG Union Bank, N.A. Admin Fee Account # Invoice Date Acct# 3120004386, routing # 122000496. 2052366 03/23/2023 Please include Invoice # and Account # in your payment addenda for ACH Creditor Wire payment. PO# Invoice # Check Payment: WageWorks Inc P.0 Box 45772, San _ _ _INV4960266 Francisco, CA 94145-0772. Please include the invoice # in DUE DATE AMOUNT OUE remittance advice or return a copy of the invoice with the check. 04/2412023 $580.25 Description Quantity Fee Amount Healthcare - Benefit Period: Mar 2023 Monthly Compliance Fee 1 50.00 50.00 HC FSA Admin Fee - Current Plan Year 77 5.25 404.25 HCDC FSA Admin Fee - Current Plan Year 2 5.25 10.50 HC FSA Admin Fee - Prior Plan Year 21 5.25 110.25 DC FSA Admin Fee - Prior Plan Year 1 5.25 5.25 Total Amount Due $580.25 Page 1 of 1 ELECTRONIC onto Bank Description 3/27/2023 TRANSFIRST LLCVMC SETTLE 41399801332385611 3/27/2023 PAY PLUS ACHTRANS 452579291 101OW699183747 3/29/2023 PAY PLUS ACHTRAN5452579293103000690012641 3/28/2023 MCKESSON DRUG AUTO ACH ACH0543070091000012J 3/29/2023 PAY PLUS ACHTRAN5452579291101000690929698 3/30/2023 PAY PLUS ACUTRAN5452579291101OW692036936 3/31/2023 PAY PLUS ACHTRANS 452579291101011003019838 3/31/2023 EXPERTPAY EXPERTPAY 74600341191000010193589 3/31/2023 AMERISOURCE BERG PAYMENTS 0100007768 2100002 3/31/2023 MEMORIAL MEDICAL PAYROLL 746003411113122650 MEMORIAL MEDICAL CENTER PROSPERITY BANK -- March 27, 2023 - April 2, 2023 MMCNotes - Credit Card Processing Fee - 3rd Party Payor Fee - 3rd Party Payor Fee - 3408 Drug Program Expense -3rd Parry Payor Fee -3rd Party Payor Fee -3rd Party Payor Fee -Child Support Payment - 3408 Drug Program Expense Paywll W`r`�a t,s`t-f1 Kt �h^. -%J ApH13,2023 ANDREW OE LOS SANTOS Memorial Medical Center 0-�rr YUi�ed lE'1/�Sl.p yJ (. C� Date Memorial Medical Center PROSPERITY BANK OPERATING ACCOUNT --ESTIMATED ACHS Description 5,t�n'j� tt*rt r1�-, April 3, 2023 MMCNotes .F..PPAOVED 0A/ APR 03 " BY k1_10"U'i t,9J. _:A1F IA ' IV A, n Amount 56100 12267 58.88 i 16,582.38.*- 75.15fl a4a4 I 2,466.42i(" 412,161.19 432,672.37 %i Fs6 561 •i?I! 561 PAJ Pf'lAS 1 2',2 5f, '15 • L 24,,4 1 5 - j , 294 6 0'% • ''/ 561.0 294^II 6( —2'1 Amount 6•��_ 2.g664- - 1'Q.61IE q Page 1 of l RECEIVED BY THE COUNTY AUDYT09 ON MAR 3 0 2023 03/30/2023 :ALHOSISZOUNi !, TEXAS Vendor# Vendor Name 11824 THE CRESCENT MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.lemplate Invoice# Comment Tran on Inv Dt Due Dt Check D Pay Gross Discount No -Pay 032123E 03/29120 03/21/20 04/21120 5,70010.00 0.00 0.00 TRANSFERWW jj)SOt25V.t� V J}u.� dtl)6h1'�r.k. i1n'iv lN�{1t1t OP+-YtI�'`Iy' Vendor Totals Number Name Gross Discount Ndd-Pay 11824 THE CRESCENT 5,700.00 0.00 0.00 Grand Totals: VPR0\/Fr; CiN M,AR 8 0 2023 eY COUNTY AUDffq CALHOUN COUNTY, Tc`.CAS Report Summary Gross Discount No -Pay 5,700.00 0.00 U0 Net 5,700.00 e' Net 5,700.00 Net 5,700.00 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report752144... 3/30/2023 Page 1 of 1 BY THE riti.ElYED +,CUNTY AUDITOR ON MAR 3 0 2023 MEMORIAL MEDICAL CENTER 03/30/22��22 MTMB 0 r"hLNO 01161M 1 os AP Open Invoice List ap_open_invoice.tCmplate Dales Through: Vendar# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Trani DI Inv Dt Due DI: Check D-Pay Gross Discount No -Pay Nei 032123D _fPAWSi1r 03/29/20 03/21/20 04/21/20 1,373.36 0.00 0.00 1,373.36..E S"PPW6S- WU IIIS1Jy1 1(P_ PaPAJ dtp()Si V=A th-, hLt4kc DPL1Kk'tvtl) . 032123C 03/29/20 03/21120 04/21/20 19,852.00 0.00 0.00 19,852.00 TRANFER a 11 Vendor TotaN Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 21,225.36 0.00 0.00 21,225.36 Report Summary Grand Totals: Gross Discount No -Pay Net 21,225.36 0.00 0.00 21,225.36 An . I PROVED UN MAR 3 0 Z023 .^...4LF1QqA 0U, OUNTYD,'TE file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_ew5report809042... 3/30/2023 Page 1 of 1 RECEIVED BY THE COGWY;�AUDITOR ON oa/Roillog32023 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List J OCOUNTY-7EMS ap_open_Invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA InvoiceN Comment Tran Ot Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 032223 03/29/20 03/22/20 04/22/20 1,217.20 0.00 0.00 1,217.20 TRANSFER No �yKI c1tVohi$ccL. 1R-hy lVkmt, ov(W1C3-NT`� . 032123B 03/30/20 03/21/20 0 22/20 18,271.06 0.00 0.00 18.271.06 TRANSFER" 91 , Vendor Totals Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 19,488.26 0.00 0.00 19,488.26 Report Summary Grand Totals: Gross Discount No -Pay Net 19,488.26 0.00 0.00 19,488.26 . PPPR ?VM ON] /ii;? 3 0 2023 BY COUNTY AUDITOR .!,LHouls COUNTY, 94S file:///C:/Users/Itrevino/cpsi/memmed.cpsinet. coin/ti88125/data_5/tmp_cw5report826579... 3/30/2023 Page 1 of l RECEIVED BY THE COUNTIAUDITOR ON M03/3 &#23 623 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 1 oa��07 COUNTY, TEAS ap_open_invcice.template CALHOUK Dates Through: Vendor# Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due DI Check D- Pay Gross Discount No -Pay Net 032123E 03/29/20 03/21/20 04/21/20 9,13LL0.76 0.00 0.00 9,130.76 ri TRANSFER Og 1WijyWU£. VJW_j f�1.ilA-7i�Ia 1^TU 1&WL_ oyt%ilhy' . 032323 03129120 03/23120 04123/20 34,183.00 0.00 `0:0g 34,183.00 ✓� TRANSFER" t1 Vendor TotalE Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 43,313.76 0.00 0.00 43,313.76 Report Summary Grand Totals: Gross Discount No -Pay Net 43,313.76 0.00 0.00 43,313.76 MAR 3 0 2U3 BY COUNTY AUDITOR CALHOUN 0UN Y TEXAS file:///C:/Users/ltrevino/cpsi/memmed.cpsinet. com/u88125/data_5/tmp_cw5 report671688... 3/30/2023 Page 1 of l RECEIVED BY THE COUI," AUDITOR ON MAR 3 0 2PI MEMORIAL MEDICAL CENTER 03/30/2023 0 AP Open Invoice List "'AMN t'OUNT/ 7EXAf7 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 032123E 03/29120 03/21/20 04/21/20 31.95 0.00 0.00 31.95 TRANSFER } {nSu♦^0.1ttJL I1f:1 Cll+%6�iAe� jt+ Ii+\pLiL 4}j�lYt�-, . 032223 03/29/20 03/22/20 04/22/20 3,282.45 0.00 0. 3,282.45 ,./J TRANSFER " it Vendor Total: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 3,314.40 0.00 0.00 3,314.40 Report Summary Grand Totals: Gross Discount No -Pay Net 3,314.40 0.00 0.00 3,314.40, ArPROVED OW MAR 3 0 202.E CALHOLi9•IU COUPItt TEXAS file:!(/C:/Users/ltrevino/cpsilmemmed.cpsinet. coin/n88125/data_5/tmp_cw5report840094... 3/30/2021 Memorial Medical Center Nursing Home UPI Weekly Cantex Transfer Prosperity Accounts 4/3/2023 wwb + Mennl BNInrJw NrN r WMint Xunin Me,>n N.mMr nml rWt /i q 0.nrIU Bn0, / niN 11mWm10 Ba lnrollrtedbnunint 19£909,9.09 ✓ 195.15202�.300.363.69n l 3011,41976 ]93,915.96 O+nt Balance 306pm19.rs16 fa/ Vuiance leaveIn Balanu Imm <MEMOROIIP OIPP ..Ta3Al ' MWNAQIPP �16,smly ✓xAB 3.nwnml<ren �'Al febnarylnleren M+rchlnlrtn) / /0." 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'l49A. 3/30/EO WIPEOUTGNfF%HFKIH CPRECFNTFR9111 t43.P6331 j - 3/30/2021 HHL[CHON[[.HCCLUT4WWU14404ME}331i $ 551.50 - 3/30/2023 UHCQONUAUN HCMCIARAP47NDMII9W Q0.0MiA0 41369 3/30f2023 UEVOTEDMUNMPIHCCWMPMt ]46WM119{OOW - EIS.W 1513.68 3/30/20II DfVOTEDHfALTMPH[CWMPMi l311iO3%233129 - k2M.M 4366W - 4266.00� bImaR' .. : iB33.:. .. .:.•393'1 3/3jjN33 CK222W) 14.19W I' OWNS CK215 6.OM W- VII/1023 Np.,- Mll/2023 Ii'vIst 11,w3.R1 3/1112023 NOVRASSMALTHPHCCWWAST6)11IMSMMI0J RWff 1sM50 - 3,15000 3/)t/SO230EV0]EONGLNIPNCCWMPMT 11LIb396918628 - 2 2,630W - 1,650.td J/]I/2033 AMERWROUP<ORPOEPP3AIEMFF394PM6515100D 1: 139SA6 �. )AMAO. 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KIM% 360406 ✓ 93,4M.43 JANHwteWTrA,ila,sXUnkoewnlew9rwlYrteu]}o1]apil\Nx Lm 9omlloadW27a umaNa9239a NE[I ' 9krMPW6N1=0 TL[n l[3r11 qWP/tPmpl MMEPORTOx QIPP/C0m01 yPP/Cvmp3 G!P/fump161aps¢ OIPPTI NH Po4)IGH 3127/20" UHCCOMMUNMPINCCWMPMT)4600141191W00 1.9Y9B$ - 1.9P9.70 3/1]/3013 UHCCOMOLUNCMt - - 16 MVIMP 676300420MI27 ]/3)/10Li NOVRPSSOtUT10N HCLIRIMPM}6]631061000023J � 11619W IZ61902 - OM ]1.MM 3/2]]5033.FMERIfiPgUPC01P0 [iFmIEM1R9i943pR21]1000 - "law 8.60LN iSOBi9i l0�36Y lg39111 I13N301i Amxl6e6up T%5[MKIAIMPM133U616936]II1CQ0 3,09358 3,093.96 1/1M1W3 l0A2109 1.3)SSO y30539 9.4}5.]Q L05260 3121t.2] NNB ECHONCMIMPM]JKW3611940W0}Bb91 - 1,33133 1301.15 3/19/10$I HNBECN0MCMIMPMi )NW361f 91000011}391 1.009.54 BA04.59 3/M/}O13 NMTEXRAM OMIRSIR XOW3Q - 551111 563160 L®3Aa 99A36 Sat81 WIAEO 1/30/10}3 W UM 131,Ugy06 �� tgdKegLtNJEt CCWMMR6CEMER1111 l/30/1013 YM3[OM0IN[artNCCWMPMi I160036111}9316 ]AJp00 7474W 3/30/1Y]311HCCOMMlIN31Y PL HCCIAVAPMI ]6690NI3910040 - 1,9 Ld.6J - IC6613 }pymK-RaaMeeRmwnl 3114 U.M 3/31R013 CRI161 10.666.11f 3/31/20130WOPt 1g36B.00 39,39800 1/33/10110M04t 15.445.19 IS,N3.19 3/31130B Oo", 21.509.30 }1,590.30 V3112031 HNB-ECHOHCMIMPMT )46W34114400W3609$$ 3/31/1013 HUMAl1AIN3CONCCWMPMI1fi659P81B30100IM I.J4654 /(•;gS00 6.54 1g1/10N AMEMfiroYPCORro ERRYMEMff1tH9lN 1f10W � 10.95355 / 1 0.6)1>G Z9)66O -3355 pp - 31S)56.)6J/ 196.130.39J ,f31139.]5 5.)µ.0) Col."I4.093.93 951616 34.3N.6] i.' t0.3SAQ S31B61.]3 TOTFU URT410.W 15S RM 1EOAM11 3%n3m 153p41 WS.C7.24 MIAM776W,)fi U 413/2023 Treasury Center + Account Number Current Balance Available Balance Collected Balance Prior Day Salem: Number of Accounts: 16 $10,163,133.32 $10,171.734.96 $10,163,133.32 S10,163,133.3 '4551 CAL CO INDIGENT $14,007.50 S14,007.50 $14,007.50 514,007E HEALTHCARE •4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $166,519.60 S170,019.79 $166,519.60 8166,519.E HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537.33 S53T33 $537.33 S537.£ 2014 '4357 MEMORIAL MEDICAL $5.983,094.76 $5,932.871,04 S5,983,094.76 $5,963,094.7 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.58 S432.58 $432.58 S432.E WAIVER CLEARING '4381 MEMORIAL MEDICAL $308,419.7�f S315,601.53 $308,419.76 S308,419.7 CENTER/NH ASHFORD '4403 / CENTERMEDICAL / ✓ $136.007.70 ,/ $140,258.50 $136.007.70 S136,007.7 BROADMOOR �. '4411 / MEMORIAL MEDICAL ` $125,935.36 ✓ ✓ S125,935.36 $125,935.36 $125,935.3 CENTER/NH CRESCENT ✓ '4446 MEMORIAL MEDICAL / $130,556.65 ✓ $130,5%65 $130,556.65 $130,556.E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL.. // CENTER I SOLERA AT ✓ / S156,316.85 ,/ S169.097.87 $156,316.85 S155,316.E WEST HOUSTON '3660 MMC-BETHANY SR $100.00 5100.00 $100.00 5100.E LIVING - OACA `2998 MMC-MONEY MARKET S2,055,592.31 $2.055,592.31 S2,055,592.31 S2,055,592.2 FUND '5506 MMC-NH BETHANY $522,429.88 $523.505.34 $522,429.86 5522,429.E SENIOR LIVING •5441 MMC-NH GULF POINTE S59,145.81 $81,122.97 $59.145.81 $59,145.E PLAZA - '5433 MMC -NH GULF POINTE $48,567.01 $48,590.53 $48,567.01 $48,567.0 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $455.470.22 $463,505.66 S455,470.22 $455,470.2 VILLAGE - indicate: Page generated on 04103/2023 i Copyright 2023 Prosponty Bank. r hftps,ilprosperity.olbanking.com/oniineMessenger ill Memorial Medical Center Nursing Name UPL Weekly Nexion Transfer Prosperity Accounts 4/3/2023 Prewaus A[[OYnt g[glnnlrig Numbs Bolan¢ I 191ds950 NPm:OnrybpfannsOfpvers5,0tlOw196e trance rredty the n.w, hemr. NOff 2: EO(h p((OVn(AVSO bmrbvhnce of$lOJ1Av[MMCdepotitM tv apm vcmunf tPPROV`D (YI -APR 03 2023 By COUNTY AyUyrfOi# TE Pmdlne TPday'a IIII&Mnp 4moVnt K 9e T..d.-d 1. NUning 9CP..I. Be,... Ixama 166,519.60 f� 111,63).60 Bank Balanre .... 9.fi0 Vd/ Vamnce . Len. In Balance 100.00 supenat OUIP Sa,)g3.9ay% January lntmen �i9.a3 Febrvary lnt... Pt .A6730 M.,h Interest aZ.33/ AdluRBalan(NrranderAmt 5646— 111.637.60 d' A0.f'Y/1SJ11J 1�' Ll ANOeEW OE LOS SANTOs 4/3/3033 I:\NII W-1,11311.1h,1\1VII UPI TIandal5ummaryV033tN11 UPLTnn,W Summary M 0123 N. MMCPORTM ----------- "a�l" •� _y 1• y.. �^ 41. sS"^ T.Itd,�.j Tni,,F.Mn QIPP/0.0 QIPP(COmp3 QIPP/Cows &UPS QIPPT NNPQRTION 31}71}023TSVS/iMNSNR6TQC00fp5136&SSSB]fi9t)91 - 1]OM }]000 S/ 9.11 ttv5(IMWfIMT@f00ll56]661555M691191 41124 QlM 3/»/1033 NOWAS SOLUTION H LNMPMT06W]4}000OIIT 9A39.0 9,W9,06 3/II/}O11 NNS-ECHOWC IMPMT)46M341IM M0}4T464 1O,412.73 10,412.73 3/}9/}013 TSYUiRAN55WSTCRCOOEP5416PA555M691791 3,314.55 1.3M51 3/19/1023 HN6-EdOHCCUIMPMT746M34114M00163033 .1.0 - W.. 3/t91 023 NNO-ECHO HCCUIMPMTT06603411MM00}BS03 I10.33 1}031 3/i9/lOD NOVITASSOLVTIOHHCCUIMPMTGT6W3430M0175 5.134M 5.13646 3/19(SW3<en6aP:MUM64m<Ad M»65433DM 313MWI59 - 30A m 24ASM 6AMI, z7x"? 3,WA47 3/30/}0}3 WIREOIITNEXWNNP1TNE/b(0 WWENCRMK 159,66136 f - - 3/30/2013 7WSAMNSFIMTd CO OEP5136MSSW691) 91 11556:63 1,15463 MUM, CNI'll 3/31/3033 Q'Sw 66.993.50 68•99450 3/I1/1013 TSYSlTMN561R5i C0.CO0fP5036615558)691)91 - 5,3W 00 5,21MM 3glAOA CmHmeMOny0mePd0091fi59335341llMM340 - 39Y1i94 DI.CO 4»Q!4 ) I090.4T 191623.» 466,3pA). 4t,»aM I1,R9n y,TT39a5,/ t14659.M 4/3/2023 Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts! 16 $10,163,133.32 $10.171,734.96 S10,163,133.32 $10.163,133 2 '4 51 CAL CO INDIGENT $14,007.50 $14,007.50 $14,007.50 $14,007.E HEALTHCARE '4454 MEMORIAL MEDICAL lI NH GOLDEN CREEK $166519.60/, v S170,019.79 S166,519.60 $166,519.E HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537.33 S537.33 S537.33 S537.; 2014 '4357 MEMORIAL MEDICAL S5,983,094.76 $5,932,871.04 $5,983,094,76 $5.983,094.7 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.58 S432.58 S432.58 S432.E WAIVER CLEARING '4381 MEMORIAL MEDICAL 5308,419.76 S315,601.53 S308,419.76 $308,419.7 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $136,007.70 S140,258.50 $136,007.70 $136,007.7 BROADMOOR '4411 MEMORIAL MEDICAL $125,935.36 S125,935.36 $125,935.36 $125,935 2 CENTER INH CRESCENT '444 MEMORIAL MEDICAL S130,556.65 S130,556.65 $130,566.65 $130,5561 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT $155,316.85 S169,097.87 $156,316.55 S156,316.E WEST HOUSTON '3660 MMC -BETHANY SR S100.00 S100.00 $100.00 S100.0 LIVING - DACA '2998 MMC -MONEY MARKET S2,055.592.31 S2,055,592.31 $2,055,592.31 S2,055,592.: FUND '5506 MMC -NH BETHANY $522,429.88 $523,505.34 S522,429.88 S522,429.E SENIOR LIVING '5441 MMC-NH GULF POINTE PLAZA- $59,145.81 $81,122.97 $59.145.81 $59,145.E MEDICARE/MEDICAID '5433 MMC •NH GULF POINTE $48.567.01 $48,590.53 $48,567.01 S48,567.0 PLAZA - PRIVATE PAY ' 4 7 MMC-NH TUSCANY $455,470.22 $463,505,66 $455.470.22 $455,470.2 VILLAGE indicate: Page generated on 04/0312023 r Copyright 2023 Prospenly Bank. 1 https://prosperity.olbanking.com/onlineMe5senger 1f1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Pmsperity Accounts 4/3/2023 PnalaM axeunt aealnNq x„nlnnxfima xwnbxa wmn k�SPE�ik:,AYA?kli[r}L. 's€' +p'j )9.as) 3e v.wMa BmkBalma 'n Uave tea.['�n enann SUikMORNPE amamllBBe mn)nm4a9 48567,01 6,w a, 4%SG7 u 19CAv ,41.5a[.)4 hnuarylntemt �L99 EebNarvlmat ert.91 ya Matthlnte[ul . Mjuat BalanveRnmlefNnl 6.96F.95.0 J� FrW. OmvuM lv 9e aununl stain., N.A., TnvinveG[n x J Numbar _ 9[Lae mllenoul ilham(anln [b5,bfi9.I5I �tlal'hilxd newub ivtlaYsbnNNnafia4nn Nun nNvme 65,89295 J 59•US101 J f - ✓ 59,Ia9.91 58.996.13 / 9ankdhnm 99.141 a1 f V�eNnce toae in Dix— taa.aa January lnlanat Iy).)6 9ebrvalmenat 1pp u Marth lntvot adlurtuhnee/lnnaln[aml 59.996.11 f a%� Fauxnv/n/mimNmRw6uNAXle qmi• ToNumN5F60.9 65,H5.91 r` Nnn. 55e99xnt6amrn[Jnnemma nm[m9hame. nv[wee: +�s9F Fl NoIeS: Eac [M1x[OuntMtabafe6WanneJ51991hvf MMLCewfilNmData vrtvunc h /JIOPFW OFlM9aNim , a/3 Nll APPROVED ON PR 03 ?GZ3 BY COUNTY DIXIR _ :ALHOIIM Cl')L,, , ' rEGAS llxMweell/lranilenVlxuvL I—af.1 ummatj102Nix VR 11—W)umman HUB -ECXONCCIAIMPMT]46003411440000200SS HN8-ECHO HCCIAIMPMT 7460034U 4"W247664 H138- ECHO HCWIMPMT 7469034U 440pW282003 3@}f�7{3 A66p4mAwces 3/3212023 01099 3/31/2023 HNB- ECHO HCCIAIMPMT]460034134400 US0]9] 3/31/2023 fkMene Mae,2emeAM 0087654335143110W0240 3/27/2023 MERCHA14TB.4NM000EPOSIT49W85108099I00W1 31'2712N3 HBALTH HUMAN SVC HCCIAIMPMT 174600341130132 3/28/2023 NOMOIAN I3A HCCLAIMPMT 6758224200001369]]2 3/30/2023 WIRE OUT HMG Rp ppd 3Np, 0-Comme09al $13012023 MERCHANT BANBCO DEPOSIT 4907851480 91I 3/30/2023 HNB-ECHO HOCLAIMPMT7460014H 440W0223227 3/30/2023 HNB-ECHO HMUIMPW746003411 MM00223217 3/3120Wo6Te'Atw_4YIt' 3/3L/2@3 Deposit 3/31/]OU HFAIiN HOMRN SVC MCCMIMPMY 1746Y0341130133 MMCPOBNON OIPP/Comp OIPP/ComP4 Tranrler-Out ier^afepin Qlpp/COmpl 2 OIPP/COMp3 BUpfe QIPPTI NX PORTION 143.14 - 443.14 1.16620 - 1,266.20 U4.96 - 124.36 179.96 179.96 26990 269.90 23A74.91 18,81S.01 4,60all 11,164A2 2.309.65 76,64 - 76.64 736 - 7 7.36 - 90.90 ( ! - 9040 It525.6z. 118.169.]Z 43]530 1B33TbT 21BT95. T93Q.96 {' 4B4OSB.S9S ✓ OENI.74 J 8.995.19 41,501.94 61956,26 MMC POMION OIPP/Comp QuPP/Comp, Tr4n0e1•Oe1 half gy I OIPP/COIOpl 2 OPP/COm0 ®tepee WPPTI NH PORTION 2,223.83 - 2,223.83 2,400.00 2,400.00 ]]2.79 - 772.79 65,668.15� - - 1A60.78 11460]8 - 337.73 - 337.33 71S60.75 ],560.]S 1 1436 - ''l4aj - 41,27239 41,272311 - ]96]4] I 1.96]4] 65.663.0 39.01L01, L J 59.01LSAL F 145,0UL11 102,46A60 3],004.]4 8.995.19 41302.34 4/3/2023 Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Belem: Number of Accounts: 16 $10,163,133,32 $10,171.734.96 $10,163.133.32 $10,163,133 '4551 CAL CO INDIGENT $14,007.50 $14.007.50 $14,007.50 $14,007.; HEALTHCARE '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK $166,519.60 S170,019.79 S166,519.60 S165,519.E HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES S537.33 $537.33 $537.33 S537.3 2014 '4357 MEMORIAL MEDICAL $5,983,094.75 $5,932,871.04 $5,983,094.76 $5.983,094.7 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $432.58 S432.58 S432.58 S432.: WAIVER CLEARING •4381 MEMORIAL MEDICAL S308,419.76 S315,601.53 $306,419.76 S308,419.7 CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH S136,007.70 S140,258.50 $136.007.70 S136,007.7 BROADMOOR '4411 MEMORIAL MEDICAL S125,935.36 S125,935.36 $125,935.36 $125.935.3 CENTER I NH CRESCENT '4446 MEMORIAL MEDICAL $130,656.65 $130,556.65 S130.556.65 S130,556.E CENTER / NH FORT BEND '4438 MEMORIAL MEDICAL CENTER / SOLERA AT 5156,316-85 S169,097.87 $156,316.85 - S156,316.E WEST HOUSTON *3660 MMC -BETHANY SR $100.00 $100.00 S100.00 $100.0 LIVING - DADA •2998 MMC -MONEY MARKET $2.055.592.31 $2.055,592.31 S2,055,592.31 $2,055,592: FUND '5506 MMC-NH BETHANY $5220429.88 $523,505.34 5522,429.88 5522,429.E SENIOR LIVING '5441 GULF POINTE / ✓ $69,145.61 S01,122.97 $59,145.81 $59,145.E PLMMC AZA-NH MEDICARE/MEDICAID `5433 % MMC-NH GULF POINTE $48,567.01 $48.590.53 $48.567.01 S48,567.0 PLAZA -PRIVATE PAY `3407 MMC-NH TUSCANY $455,470.22 S463,505.66 S455,470.22 S455,470.2 VILLAGE ' indicate. Page generated on 0410312023: Copyright 2023 Prosperity Bank. r https:/Iprosperity.olbanking.com/onfineMessenger III Memorial Medial Center Nursing Home JPL Weekly Tuscany Transfer Prosperity Accounts 4/3/2023 Pnv pm unl tv Be P[[aunt Be6lnnFy Pandln{ TnmleneElo Nunln NOmn umMt 41mee Tnn[Ief.Out /T[melenln Ofned pe tNt Tads v0e InNn ealan[e Nw[I Nome N 20s.Td3.W ✓ 30E.6Y3.05 �CX,l>p.EE 480.400.3E �R8R,9M.>a m eanl mhn4s51 xx�( wrlente �l NWe: Pobtbkn[na(awr 55.W0uAbe Vaq/m<d(e (donvmn9hwne. uwY. EveF vecoun(Fva v bmebvin+ao/ AMtbvt MMCtlewttlrd to wm amuN. CALLHCOUNTY ILINTU' T—,Av L[fveln Buhnn 10.00 / AMMGR08PNPP 56,6E6ALV t MONNAMPP 9�eEG.43 ✓ J FdMLOdvnNfnminrPmt 3B1 33.3e I V� pevreved: b�h 0'M rw /a/zoz3 .WOetwo tas—un MMCPOBTION F try•.'. {"'x"- NjMII+_n_LPf40 DIPP/COMP WPP/CC o MPPICOMP ' jf161<PlJp l DIPP/CpnPi 3 bLP%P OPPI NN"RIMON HHB- ECHO HCCWMPMi}<66030144MIU i53 5,059.90 - 5,059.90 pMEp160WPCO0POE>SYMENPEK'1505615IISOtl1 - 38.wu 1.71).2] 19930.57 1913]393 19,3}393 M1FPI0MUPCO6POE?PYGIEM E616L6]992t1000 - 2g5L0.Ot E6.Si630 Emm 1451916 ;990.96 HHBECHO 16,110.11 - 16.11088 ASSCLTIINMPM]}66003611600000SB1113 NOVITb SOWIIOH HCCUIM9MT E]6f016i0000ll5 01yN16.2] - 1];606.2] }016fOWO10 MIRED - t0,111.b 6)Ii31 ;]36.]O 9,t10.1; F.K605 RPRISES,tLC LINEARENTERPRISES, 101,381.50 f HNB-ER HCCI IMPM77IEES,LLC HHB-F[HOHCCl61MPM1a06003611680000}I321] - 5.03L1 - Sp018p � 1,636.69 - /. gtt: 3;li1� 10.50IA0 arliLo'MmYllt CF119 2O,41118 3/31/2023 D)P91B 6,001.00 - 6. 03.0O 3/31/2023 D9P0111 106,181.71 - 106,131.71 3131/2023 HMO EWOHC.MPMT 74dO03011110060261070 , 114.588.39 . 11<,584 39 31311VM CME8W000P CO8P0 EAR)MENT 1F 191/7111000 - '10.0Ia.SO - ]31d5 1 9.n 11)9;9.3 I0LK3A6 l665.3)032 62AK.A 10.iM.56 1.]17.1) 39,910.57 K.06.0 i/318,919.a9 .> 4/3/2023 Account Number Number of Accounts: 16 '4651 CAL CO INDIGENT HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON '3660 MMC -BETHANY SR LIVING - DACA '2998 MMC-MONEY MARKET FUND "5506 MMC-NH BETHANY SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID •5433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY '3407 MMC-NHTUSCANY VILLAGE Treasury Center Current Balance Available Balance $10,163,133.32 $10,171,734.96 $14,007.50 $14,007.50 $166,519.60 S170,019.79 Copynght 2023 Prospanty Bank. htips://prosperity.olban king.com/onlineMessenger S537,33 $537.33 S5,983.094.76 S5,932,871.04 $432.58 S432.58 $308.419,76 S315,601.53 $136,007.70 S140,258.50 $125,935.36 S125,93$.36 $130,656.65 $130.556.65 $156,316.85 $169,097.87 $100.00 $100.00 $2,055,692.31 $2,055.592.31 S522,429,88 S523,505.34 $59,145.81 $81,122.97 $48,567.01 $48,590.53 $455,470.22 /� $463.505.66 ay., may, Collected Balance Prior Day Belanc $10,163.133.32 $10,163,133 2 $14,007.50 314,007.E $166.519.60 S166,519.E $537.33 $537.3 S5,983,094.76 $5,983,094.7 $432.58 $432 S308,419.76 $308,419.7 $136.007.70 S136,007.7 $125,935.36 $125,9351 $130,556.65 $130,556.E S156,316.85 $156,316.E S100.00 51001 52,055,592.31 $2.055,592 $522,429.88 S522,429.E $59,145.81 $59,145.E S48,567.01 $48,567.0 $455,470.22 S455,470.i momale, Page generates on 041U312023: Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 4/3/2023 AnOW[ XUNn None NYTN. xole:OnIYhokr—ofo.n 9S0e0.rUbe awr/mMfe 1ha w.,, h..,- Now 2; Eva b IhofOballb0IM?&QfSIW wat MMCINdPIMIO ftM OffOVRZ ab CtOUd'T' AUDIT09 1-HMJ=`P _,pUPM TEX.CS ... n R A-11.a. M.tliurt lnvl.md la vl laCa a0. inNn &Yon Nurii Name/ - 33S.tl29BB A7).363.36 bans ybn[e 5]La29. Wrbn �1O0 D1 suvaiDaavv su".1r w" lanuaryimen.l ✓Istl Fbm.rymunu �a J MarcANlertn ev]9.// AGun Ba4n¢fRanl[�n91[f��l 9iL3[�3A6 Aonrmed: A h A Uf }i0 L ANDR[WDF[o39L .— 6(3/1b23 I:ixX weeRhinmlmWxVtt ion.Msumm.rvR20t3Vlx UY[!rm[Miwnmarvlu.bi.x3 ay. 3/21/2023 HNB- ECHO HMUIMPW746CO3411 M00002MI55 4M 3127120D NOVRASSOLUTIONHCCWMPMI676161420000127 3127110H HEALTH HUMAN SVC HCCUIMPW I74600NJUD162 3/18(2023 Oepask 3/26/2023 NOVI]A$WLVTIONHCCWMPMT6}N814100W353 3/19/2023 NCVRAS SOLUTION HCCWMPW 67N814200 I75 3(19A0]3 Cop EOUTFOt VAf Nm./6543353631I0000I59 3/20/2923 SVIVW SOLUTUVACCWMPt 3/30/ID13 NOVRAS SOtV3WN X[CWMPMi6]6f81620YJ0t68 3/3,y]Y23 A8}V/6Aemip' 313U2023 C P.Vl 1131)M. 3/31/M1023 0,W, Oep00l 3f31/2023 NpoMl NOVITA 3/31/2023 HEAMS5O NSV HCUIMPMi6]646MU113010> 3131/2023 NUIiX XUMAHSVCNCWIMPAR I]<60039ll30163 3AL3013"C6MamA3m3tam9AW0081�4335Yass399po1m. MMCPORTON a.If 93 113MeLI OIPP/CVM-1 OIpP/CPmp2 OIPPIU.p3 OVP/Cp.pIto. OIPPII NXPOHRON - 15,316.39 15.276.39 216.37B03 216.278.03 Sloes 510." 5.923.31 5,323.31 S3]628] 53,5618P 2813.1.55 201341.55 • 25327,16 WMCSM 4,16P.38 11.644.9] ]A81:19 206.i26.15 19,319 15 19,319 l5�// 26.OEE36 . • 79,146.23 .1833 30.632.36 30 10.6 - 6. MOO 6545 - 17,UaPT� 3 - i S,mM 00D � � / S.WO S.m0.00 4/312023 Account Number Number of Accounts: 16 '4551 CAL CO INDIGENT HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER I NH CRESCENT '4446 MEMORIAL MEDICAL CENTER / NH FORT SEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT WEST HOUSTON `3660 MMC -BETHANY SR LIVING - DACA '2998 MMC -MONEY MARKET FUND '5506 MMC -NH BETHANY / SENIOR LIVING J •5441 MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID '5433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY '3407 MMC NH TUSCANY VILLAGE Current Balance $10.163,133.32 $14,007.50 $166,519.60 Copyright 2023 Prosperity Bank. hltps.//pros parity.olbanking.comlonlineMessenger Treasury Center Available Balance $10,171,734.96 $14,007.50 S170,019.79 $537.33 S537.33 $5,983,094.76 S5,932,871.D4 $432.58 $432.56 $308,419.76 S315,601.53 $136,007.70 $140,258.50 $125,935.36 S125,935.36 S130,556.65 S130,556.65 $156,316.85 S169,097.87 $100.00 % S100.00 $2.055,592.31 S2,055.592.31 $522,429.88 S523,505.34 $59,145.81 $81,122.97 $48.56701 $48.590.53 $455,470.22 S463,505.66 =vim r,N, Collected Balance Prior Day Balanc $10,163,133.32 S10,163,133.2 $14,007.50 $14,007.5 $156,519.60 $166.519.E $537,33 S537.3 $5,983,094.75 S5,983,094.7 S432.58 $432.E S308,419.76 8308,419.7 S136,007.70 S136,007.7 S125,935.36 S125,935.E S130,556.65 S130,556.E S156,315.85 S156.316.E 5100.00 5100.0 $2,055,592.31 52,055,592.2 $522,429.88 5522.429.E $69,145.81 559,145.E $48,567.01 S48,567.0 $455,470.22. $455,470.2 ' mdi:ale Page generated on 04t0312023 P A y MEMORIAL MEDICAL CENTER iatA Requesr:ed: 4/3/23 FOR ACCT. USE ONLY Imp"est cash �tjl LqA/P CheckAPR . []IVfall '-hECk t4 't%E`ni{Ur 6`1 CpWl Pt t,"UgVT4R JReturn Check co Depi: "MOUNT GA NUMBER:10255040 I r.XPL*lAT1OtN: AMERIGROUP Q1, DEC, AND JAN QIPP & MOLINA JAN QIPP J I r Mayra Martinez IVIEVIORAL MED!CAL CENTER E K R E Q U EST p MEMORIAL MEDICAL CENTER Date Hequpst,d: 4/3/23 y -Y APPROVEE-D fN "PR 03 ZU" A 11 By CGUN FY AUTO -ALHfAINJ COUNTY,WRAS FOP. ACCT. USEGNILY Ellimprest C-ash FIA/P Checl� K"�P chock: to Vendor Fln'ewlril Crie.".k lo Opp, AhfiOLINNT _$40,651.47 FlUrVIEF.R: 10255040 9XPLA!'I'M"ION: AMERIGROUP Ql, DEC, AND JAN QIPP & MOLINA JAN Q(PP Mayra Martinez BY: 't L(73 23 N/If-J"VIORIAL I'viEDIC-AL CENTE..R R r QUEST L. r. - E p MEN40RIAL M ED ICALCENTER 4/3/23 A FOR ACCT. USEONLY A'P che.6 03 -2023 F-1 mail ctjoc'k j cou, wry. T8x'1s L iRetufr. AMOUNT $27,468.02 10255040 FXPLAHIATIQR!: AMERIGROUP Q1, DEC, AND JAN QIPP & MOLINA JAN QIPP Mayra Martinez ki"d- 0 AUTHORIVIFF) BY: -- LW y N, 1 E M(1) R 11 A L k/l E D 1 C'A it- C F N -T MEMORIAL MEDICAL CENTER 4/3/23 FOP ACCT. USE MNLY CIIrnpre=_i Cash ❑A/P Ched,, Ul M F. 11 Che, k tc� V.- ndur CA "IUWBEFR: 10255040 FXPLAN','Vl'!rjNj: AMERIGROUP Ql, DEC, ANDJAN QIPP & MOLINAJAN QJpp Mayra Martinez 7- P A P,/!FM0RiAP",l'AEDK-'AL CENTER MEMORIAL MEDICAL CENTER 4/3/23 IYUK ALL[. U.,t 0(%[.Y y �PPROVEI) isi ImprestCash APR 031 41�,, []A,;I, :,herl- 17 L Mziii r'heck to Vendor 7 4S X_ f` Lj -ru, -hrfc;,icy oepl ,fiS $34 10255040 t.XPLAHAT!OtN: AMERIGROUP Ql, DEC, AND JAN QIPP &MOLINA JAN QIPP - - - - - - - -- - IMayra Martinez -. ILI' 4-,s 12 p A Y E K/lFIV! 0RIAL "AEDICAL FFN EP- ._._.__.._.. := f i_-, MEMORIAL MEDICAL CENTER 7atr-. R gEiested: 4/3/23 ^�kJHOCJ UN7Y AUDITOR t� cOUWF', TEXAS FOR ACCT. USE CNl`r 11 rni7rF St ra5i1 DIA/P Chad 7,111ail Check tc VLndor L.jR^tur rt C'h�-cF 4o bepi AMOUNT _ $5gi723.94 (J: NUMBER: 10255040 EXPLAP!A1'!Gha: SUPERIOR DEC AND JAN QIPP µ.,. Mayra Martinez ___- — .tit t✓;ti[_E�.3 .UX�!��tStA.',.._1.�._ � M E M Its -R I A t- I'vIll E D 1 C"A L N! "IF ER r. MEMORIAL MEDICAL CENTER -IPHC)Vrc N C. 0 3 202 EXPLANATION: SUPERIOR DEC AND JAN QIPP Mayra MarVnez 4/3/23 FOR Ac.- I N i-riprest 'ash 11A/p Check vi OUNly AUDITOR Hr j�i COUNTY, 10255040 .., t , f reEQ •--r MEMORIAL MEDICAL CENTER Date Requested: 4/3/23 rkNFa13(A.tL`-0 fy�6 FOR ACTT. USE ONLY IiImprest Lish []A%P Checl. E—]Mail Check tn'lendur L-� JiicLLfYi Ciir-;:L, in [iepi AMOUNT $66436A4 %LI'IUi'>'iP,E'R; 10255040 PU91JA1'ON: AMERIGROUP Q1, DEC, AND JAN QIPP & MOLINAJAN QIPP ---Mayra Martinez p A is — ----- ----- ]VIEMOMAL k/IEEACAL CEN'T rr,*'.R MEMORIAL MEDICAL CENTER 4/3/23 AMOU.,N'T t.x}-L-A A T � 0 NI: SUPERIOR DEC AND JAN QIPP Mayra Martinez rORACCT. LJSF LjImprest F71A/P Cheer. 03 Ll ?U,/, Mail Chc-k to 'viLrilor Fj Rerun: Chr-(:7 Lo Dept CIL NIlIvIBER! 10255040 MEMORIAL fvlED!(-"Ai- C"EN-111-19, MEMORIAL MEDICAL CENTER A y �,PPROVED CiNs E APR 0 3 Z023 '.�.y 000PPY AUDffQP NS -�ALHOUN COWITY. TEXA $87.20 EXPLANAT!ON: JANUARY— MARCH 2023 INTEREST EARNED plu'�lj.E l3v- 4/3/23 FOR ACCT. USE Oflt.Y Imprest Cash 11A/PCheck OlkloilCheck toVendor 71 L IReturn, luivid', ij 'Depi: ------------- -- — -------- Mayra Martinez Bf, 4 (-3 lvlliwAAIOMAL 11,AEUCAl CENTER CK REEQUIll MEMORIAL MEDICAL CENTER Date Requested: 4/3/23 A FOR ACCT. USE ONLY —I 1111pi Est Casi; APPROVED ON �A/P Cinecg -APR 03 2023 nNIZO h..,K lendor By COUNTY AUDITO FlRetul-i' 'tkd LO Dept COUWry TE.QNs AMOUNT __$99.20 Glo NUMBER: FX'OLA?!A!-iGN: JANUARY — MARCH 2023 INTEREST EARNED Mayra Martinez A y UR-PAURIAEL I'ViErDICAL CIDN"'TTER -1 MEMORIAL MEDICAL CENTER 4/3/23 j-UP ACCI. USE ONLY Appq0VELO L)hl Ll Imprest Cash L—]A/PChecr. A'Pr' 03 20-7-1 1 Nlzilif CFcr,, La Vendor LJ Ret"'rr Chti-Cl; "(1 ')eP' , JDITQR ;ALHGUN COJN-01', TEXT AflAOUNIT $96.88 Glh .-I ul f,,(,'B E X P L I r hG JANUARY — MARCH 2023 INTEREST EARNED MEMORIAL MIENC AL CF_NI ER p MEMORIAL MEDICAL CENTER A L..HFCI( REQUE',55T Date ,d: 4/3/23 ".Pni�OVEI3 ii€ti APR 03 20e3 :,ALHO jf;'k✓�[jL}PAyiV, dTEXRS ✓t011 NIT 37.57 G/L iJUN1S=F;: FOR ACCT. USL M I LY �Imprest Cash �A/PCherk D Mall C'hedi to Vendor Cj-Rcturn Chec:Lo DepC n ji JANUARY— MARCH 2O23INTEREST EARNED it MaY ra Martinez L---- —--- — --- -- ------- I ------ --------- 1` ti`7II I'vIEDCAL CENIFERZ MEMORIAL MEDICAL CENTER i),ir. Requested: A Y �IPPROVED OM A13R 03 2023 AMOUNT $131X3 CA i,IUIV3FR: JANUARY — MARCH 2023 INTEREST EARNED it 4/3/23 R)R.ACCT. USE 0!JLY DAIP ChEck h4aH Cheri to Qndar ElRatum Check to Dept Mayra Martinet � AofnCAW V: N4 E M 0 FA i A L fV1 E D I C A L C EiNTER lj-H-f-v Ptce, . -.- L P MEMORIAL MEDICAL CENTER 4/3/23 A oN APR 03 2323 ,;ALHOUN T_)(AS FOR ACCT. USE ONLY F] Imprest Cash E]A/P Check 10100il Check tc Vendor Der.um Ch-ck W Depi AMOUNT✓ G/1 NUMBER: EXPLA Wk -.10-NI: JANUARY - MARCH 2023 INTEREST EARNED IC Mayra Martinez C- p A y KAPMORIAL !\AED!CAL CENTFE ..R CCHECK REC"i.F'S' MEMORIAL MEDICAL CENTER 4/3/23 FOR ACCT. USEONLY 1-111 rinprest Cash OR 03 20211 mail -1,ck to Vpndor Retui n Check. W Depi 31 COUNT,' AUDITOR CALHOLEN CO1.7K17Y, TEXAS AMOUNT [.XPLANAT!ON: JANUARY — MARCH 2023 INTEREST EARNED Rf-0UF4:TLI-) BY: Mayra Martinez D BIY: p A NAE M 0 R I A L ME'D I AI- C E INT E R GH 'ECK RE QUEST MEMORIAL MEDICAL CENTER 0-cite Kequesed: 4/3/23 t� APPPOVED %l APP, 03 N?" Lh�Y COUNTV AUDITOR HCXP� COUNv! 7EXAS " [00LIHNIT $15.78 V-/—/ G/L HUTVRER: [--.YPI AWATiON: JANIJARY— MARCH 2023 INTEREST EARNED "F,, JE Mayra Martinez -- .... -------------- L AU i HIIJRIZFE, P'Y FOR ACCT. USE 0 NILY DImprestCash nA/P Check Mail Check to Vendor 01ccl, Lo I __________________ kXrEM 0R it A|. 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