The URL can be used to link to this page

2004-11-29REGULAR NOVEMBER MEETING THE STATE OF TEXAS § COUNTY OF CALHOUN § HELD NOVEMBER 29, 2004 BE TT REMEMBERED, that on this the &' day of November, A.D., 2004 there was begun and holden at the Courthouse In the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer County Judge Roger C. Galvan Commissioner, Precinct 1 Michael J. Balajka Commissioner, Precinct 2 Kenneth W. Finster Commissioner, Precinct 4 Wendy Marvin Deputy County Clerk Commissioner H. Floyd was absent from the meeting. Thereupon the following Proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge of Allegiance. A Motion was made by Commissioner Balajka and seconded by Commissioner Galvan that the minutes of August 12, 2004 meeting be approved as presented. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. Michael J. Pfeifer County Judge Michael J. Balajka Commissioner, Precinct 2 Wendy Marvin Deputy County Clerk • Roger C. Galvan Commissioner, Precinct 1 Kenneth W. Finster Commissioner, Precinct 4 725 1 -A Ls ad a�t$ILY. Y i_ —(I -'I L The Memorial Medical Center monthly financial report was presented by Jamie Jacoby. Buzz Currier, Hospital Administrator, wanted to let the Court know that the Dialysis Center will not be sold. The newspaper reported that that the Hospital was making a profit off of the Dialysis Center and this is not true, they loose. between $100,000 and $400,000 a year. There was an express need in this community for a Dialysis Center and they feel they run as excellent center. MEMORIAL MEDICAL CENTER 815 N. Virginia Street Port Lavaca, TX 77979 (361) 552-6713 CFO REPORT Cash: The operating fund balance increased by $578,829 to $1,238,997 during the month of October. This is an increase of 88%. Receivables: Patient receivables decreased by $435,142 to $5,410,975 in October, a decrease of 7%. Days in receivable at month end were 51.80. Current Ratio: The current ratio is 3.45:1. Revenues: Gross revenues for October were $3,120,373 and YTD are $29,937,129. This compares favorably to budget by $471,165 and to the prior year by $1,259,315. Deductions from revenue are $14,864,802. This is unfavorable to budget by $494,941 and to the prior year by $496,435. Net revenue YTD is $15,804,097, which exceeds budget by $107,662 and the prior year by $367, 347. Revenues continue to be strong for MMC, and deductions are turning around due to the Critical Access designation. At the current revenue levels we should continue to show profitability for the near term. Expenses: Operating expenses YTD are $885,365 below the budgeted amount and $422,406 below the prior year level after ten months. Net operating and Net: The ten month period shows a net operating gain of $1,267,729, This exceeds budget by $993,752 and the prior year period by $786,752. In October the cost report settlement for 2000 was repaid in the amount of $23,447. This leaves only the 2001 cost report to be repaid; it was repaid in the amount $96,739 on November 11. The November financials will reflect the final amount for all prior period cost reports. (We will have a short year report for the seven months ending July 31. This report is due at year end.) 726 11 0 is Net loss YTD is $12,321 which exceeds budget by $883,301 and the prior year by $463,879. Summary: Given the trend we've had the last two months I anticipate that we should show a net profit after depreciation by year end. With diligent monitoring of expenses we should also be able to accumulate a reasonable cash reserve. The cash on hand at the end of October represents approximately 24.8 days of cash. (We require about $50,000 per day to operate.) Our goal should be to accumulate 120 days cash on hand or $6,000,000. This is the hospital industry benchmark. E 727 MEMORIAL MEDICAL CENTER YEAR-TO-DATE SUMMARY OCTOBER 31, 2004 OPERATING REVENUE LESS: OPERATING EXPENSES CHANGE IN INVESTMENT: Accounts Receivable- (Incr) Decr Accounts Payable- Incr (Decr) Prepaid Expense- (Incr) Decr Inventory (Incr) Decr TOTAL INVESTMENT CHANGE (INCR) DECR PLUS: Depreciation Cost Report Settlements PLUS: County Subsidies Hospital Total Cash- Incr (Decr) LESS: Equipment Purchases NET CASH- INCR (DECR) 15,804,097 (14,527,367) (579,014) (113,866) (46,505) (37, 682) 1,276,729 (777,068) 499,661 857,136 (431,915) 924,882 0 (138,646) 1 766,236 728 7 0 U • • CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: OCTOBER 2004 BEGINNING - ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE MEMORIAL MEDICAL CENTER: OPERATING MEMORIAL. RESTRICTED DONATION INDIGENT HEALTHCARE S660.167.99 17,403.17 13,802.83 1,97139 $2,190.969.27 22.11 - 17.54 166,169.40 S1.612,139.16 0.00 0.00 166.291.73 $1,238.997.10 17,425.28 13,820.37 1.849.06 TOTALS $693,34538 $2357,1 77.32 $1.778.430.89 SIX2.091.81 ANKRECONCILIATION LESS: CERT. FUND OFDEPOSIT PLUS: CHECKS BANK FUND BALANCE OTHERTTEMS OUTSTANDING BALANCE MEMORIAL MEDICAL CENTER: OPERATING MEMORIAL - RESTRICTED DONATION INDIGENT HEALTHCARE 1,238,997.10 17,425.28 13,820.37 1,849.06 D.00 0.00 0.00 0.00 403385.06 0.0D 0.00 2.624.72 1,642382.16 17,425.28 13.82037 - 4373.78 TOTALS 51.272091.81 I 50:00 I S405,909.78 S1,678,001S9 729 MEMORIAL MEDICAL CENTER PORT LAVACA, TEXAS PHYSICIAN'S ANALYSIS REPORT OCTOBER 31, 2004 REVENUE YTD YTD YTD - CONTRACTUAL WRITEOFF NET REVENUE - NAME MONTH YTD AMOUNT_ AMOUNT GENERATED PERCENT APOSTOL, C.F. - 2,260.14 311,899.12 79,022.81 21,832.94 212,043.37 68% WILLLAM, GA 53,205.73 821,136.14 169,231.41 57,479.53 594,425.20 72% LIN, M.S. SMITH, J.K 233,435.29 1,728,906.00 579,396.16 121,023.42 1,028,486.42 59% CHEN _ 49,657.34 1-,008,245.76 298,844.10 70,577.20 638,824.46 63% MCFARLAND,T.R 0.00 195,421.66 :26,069.60 2,393,705.63 52,070.36 - 642,083.14 8,824.87 167,559.39 65,174.37 1,584,063.10 52% GRI171N, JEANNINE 11,568.17 176,558.50 11,220.06 12,359.09 152,979.34 - 66% 71% BUNNELL,D.P. NIRATSUWAN 264,144.58 2,962;435.47 1,231,616.00 207,370.48 1,523,448.99 - 51% ARROYO-DIAZ, R 111,862:31 -98,446.91 534,969.43 2,267,734.35 130,403.26 970,728.93 - 37,447.86 367,118.31 69%, GILL 0.00 507,981.40 257,775.00 158,741.40 35,558.70 1,I38,264.02 214,647.70 Sp°� 42% WILLIAMS, W. CUMMINS, M. 0.00 279,070.55 43,118.99 19,534.94 216,416.62 78% RUPLEY, M. 28,821.23 35,691.98 405,749.66 178,930.87 105,364.60 28,402.48 271,982.59 67% LBE'+U 75,170.16 749,038.23 37,.190.93 253,004.60 12,525.16 52,432.68 129,214.78 443,600.96 72% 59% CROWLEY, W 141,449.26 529,749.40 0.00 37,012.46 491,736,94 93% 0.00 STEINBERG, R RAMOS LABORATORY 13,914.12 (34,251.91) 107,531.89 (29,299.17) 22,158.79 7,52T23 77,845.87 72% VISMING PHYSICIANS 617,867.33 4,025,409.83 (2,463.31) 853,920.26 (2,050.94) 281,778.69 (24,784,92) 2,889,710,88 85% ER PHYSICIANS NO LOCAL PHYSICIAN 626,381.13 5,917,200.83 935,613.03- 407,204.06 4,474,383.74 72% 77% 77/° OTHER - 140.00 13,336.80 4,685.08 933.58 7,718.15 595,187.27 5,492,933.91 667,574.43 536,393.95 4,288,965.53 78% • TOTS- 3,120,372.72 302408,294.22 7,342,558.63 2,280,469.17 20,785,266,42 68% 3 730 • 0 CURRENT ASSETS CASK OPERATING Fin WREST PETTY SASH ACCENBiT MMP BOND PfM MS. IMP HOSPITAL PORTION RESTRICTED DONATION MRP BOND SIBIii6 FURVINTEREST 70TAL CASH....... ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE MIMANCE FUR DEBT PLAZA SPECIALYCTCLIMS RECEIVABL MM ACCOUNTS RECEIVABLE 1 PARTY RECEIVABLE TIF GRANT TOTAL ACCOUNTS RECEIVABLE...... INVENTORIES RADIOLBGY—FILM LADORA30RY IBM SURGERYSUPPLY DIETARY MAINTENWEPNY E TOTAL INVENTORY ................ •vr•u a�•r. •va o ai•r�. TOTAL PREPAID EvENSES......... TOTAL CURRENT ASSETS........... PLANT, 1 EOOIFHf1T COST TOTAL PROPERTY, PLANT, L EONIIP TOTAL UNRESTRICTED ASSETS...... NEMAL NEDICAL Ewa BALANCE SHEET AS OF= 10/31/04 THIS YEAR LAST YEAR 10/31iO4 10/31/03 1,27,8,997.10 M.M.00 625.00 .(0) .W 13,859.97 36.7.1 1"M8.518.28 5,410,975.45 (2,576,550.00) .00 1%,474.47 984.00) 2,990,515.92 4.995.93 110,413.31 97,463.% 149,097.48 8,863.05 3:217.77 133703.61 5(R,7M.11 "7,616.52 51000.00 625.00 .00 .00 13,648.88 36.21 1,016,926.61 4,787,429.42 (2,321,792.00) .00 241,570.s'7 .00 .0q 2,707,206.79 3,679.95 50,482.57 100,275.79 158,:36.0 11,074.00 2,826.2 131,100.08 457,675.5 11i12r04 UPS([ AN LAST MONTH O9i30m4 660,167.99 5,000.00 6 5.00 .00 .00 13,842.43 36.21 679,671.63 5,846,117.14 (2,793,800.M) .00 301,556.10 (384.00) .110 3,353,489.24 5150B.99 101,728.11 97,871.73 149,097.48 8,863.05 3,217.77 133,703.61 499,990.74 61,579.13 33,576.b7 62,620.10 26,208.75 66,445.b6 52,803.51 95,175.90 88,828.85 119,249.17 4-851,965.11 4,270,637.80 4,652,400.78 32,142.60 8,837,744.87 32,142.60 8,835,058.87 32,142.60 8,037,744.87 2,413,482.05 10M8,861.51 2,413,482.03 9,902,683.2E 2,413.482.S 10,048,861.51 900,501.27 7,249,846.35 900.501.27 .m, 7n.5sl.ot:( .uu nn (15,616,389.40) (16,178,248.27) Do (15,532,117:75) 6,616,342.88 12,325421.83 6,700,614.53 U,468,307.99 16,596,159.63 11,3S,015.31 4 731 TAX REPORTABLE M DISCOLOR LO1SP ODLIBRTIDY FOR BONBS TOTAL EDRRENT I ram r rm .. LUC TETOY LIABII= MMP DOW LOS TERM LEASE T07AL LUNG TERO LrAmn mca.... TOTAL LMI rrrrs.............. RETAM EARNINGS WRIA FLU BALANCES YEAR-TB-OATE CAIR/LOn TOTAL CENERAL Fin OALANCE..... TOTAL LBBEMCTED LIABUMS. RESTRICTED Fm Asms MEMORIx FIB® FORMA TUST 70TAL RESTRICTED FIM ASSETS... RESTRICTED FOND iTaan rrrrc RESTRICTED FOND BALAKE FOWN 7RLLST BALANCE TOTAL RESTRICTED FLM LIM----- BALANCE SHEET�� 11112104 10-50 RN AS OF: 1(v31n)4 THIS YEAR LAST YEAR LAST MONTH 10/31/t14 10i31iO3 09130104 4291018.97 502,124:21 408,873.54 83,511.23 33,064:36 126,581.26 360,630.76 303,045.49 3121022.46 .30.1 (17.29) .00 564.72 604.89 4.90 .0U .0n 145,817.00 .00 .00 .00 295,613.39 284,643.39 2%,613.39 236,979.tn1 396,832.00 236,979.00 - .00 (18,290.00) .00 .00 61716.N ,W 1,406,338.07 1,508,803.07 1,525>891.55 .On 2310,000.00 .00 $v2,119.iN 1,107,3GU.U0 852,I19.0n 832>129.00 3,417,36U.W 852,119.00 2,258,457.i17 4,926,163.07 2,378,Oi0.55 91222,172.20 12,146,1%.45 9>2n,172.20 (12,321.2B) (476,199.89) (247,167.44) 9,209,850.92 11,669,996.56 8,975,004.76 11,468,307.99 16,596,159.63 11,3S,015.31 17,425.28 17,165.89 17,403.17 533,637.41 533,637.41 M,637.41 SS1,OG2.69 rJ0,803.3U 551.(w0.sB 17,4 4.29 17,10.39 17,403.17 533,637.41 533,637.41 533,637.41 M1,062.69 550,803.30 SSt,IwU.58 5 732 • `r u • Operating Revenue Inpatient Revenue: Medicare Medicaid Other Total IP Revenue YTD IP Revenue Variance Outpatient Revenue Medicare Medicaid Other Total OP Revenue MEMORIAL MEDICAL CENTER OPERATING STATEMENT For th-10 Month- Ending October 31, 2004 SINGLE MONTH Current Budget Pnor Year 549,106.13 565,418.04 398,052.28 127,361.16 164,264.24 159,805.99 253.363.57 320.676.66 203,996.68 929,830.86 1,050,358.94 761,854.95 1,027,770.25 1,088,294.93 963,952.51 269,244.08 164,977.83 226,762.81 893,527.53 739,131.50 1,002,217.18 2,190,541.86 1,992,404.26 2,192,932.50 YTD OP Revenue Variance - Total Operating Revenue 3,120,372.72 3,042,763.20 2,954,787.45 YTD Total Revenue Variance Revenue Deductions Medicare Cont. Adj. (418,164.98) (780,919.41) (870,165.54) Medicare Pass-thru 0.00 0.00 58,814,00 Medicaid Cont. Ad). (124,766.71) (166,694.37) (190,940.12) Indigent/Charity Cont Adj. (125,383.91) (89,836.67) (90.689.10) Bad Debt Expense (460,373.12) (177,797.54) (202,376,41) Other Deductions (181,513,97) - (243,832,52) (227,486.66) Total Rev Deductions (1,310,202.69) (1,459,080.51) (1,522,843.83) Deducts as % of Oper Revenue Payments es % of Oper Revenue Other Revenue Cafeteria Sales 7.008.16 7,622.95 8,377.79 Interest Income 2.020.07 2,540.98 1,485.68 Interest from Bonds 17.54 0.00 8.11 Interest from Hosp Portion 0.00 0.00 0.00 Mall Rental 768.00 0.00 7,883.00 Miscellaneous Income 7,056.00 2,964.46 3,188.41 Total Other Revenue - 16,869.77 13,128.41 20.942.99 Net Revenue YEAR TO DATE — Current YTD Budget YTO Pnor YTD 5,172,649.41 5,563,121.75 5,348,638A2 1,297,808.82 1,816,216.95 1,280,269.89 2,717,650.77 3,155,101.53 2,578,341.77 9,188,109.00 10,334,44023 9,207,250.08 (1,146,33123) I19,141.08) 9,817,235.06 10,707,419.68 7,161,27925 2,499,894.71 1,623,108.99 1,533,381.91 8,903,065.45 7,272,10026 11,247,067.68 21220,185.22 19,602,688.93 19,941,728.84 1,fi17,496 29 1,278,456.38 30,408,29422 29,937,129,16 29,148,978.92 471,165.06 1,259,315.30 (8,190,725.61) (7,683,140.80) (8,521,724.97) 516,810.00 0.00 554,158.96 (2,018,181.46) (1,640,057.48) (1,870,293.06) (1,081.922.31) (898,386.70) (720,730.80) (2,280,469.18) (1,749,298.33) (1,840,406.58) (1,830,313.89) (2,398,997,52) (1,969,37025) (14,864,802.45) (14,369,860.83) (14,368,366.70)- 50.58 % 48.00°/ 51.19 49.42% 52.00Yo 48.81% 79,084.15 75,000.00 79,909.70 12,879.75 25,000.00 33,599.34 194.60 0.00 300.60 0.00 0.00 0.00 62,232.40 0.00 101,327.84 106,213.83 29,166.67 444,000.77 260,604.73 129,166.67 559,138.25 1,827,039.80 1,596,811.10 1,452,886.61 15,804,096,50 15, 696,435.00 15,439,750.47 Page -1. 6 733 MEMORIAL MEDICAL CENTER OPERATING STATEMENT For Me 10 Montle Ending October 31, 20" SINGLE MONTH — YEAR TO DATE — Current Budget Prior Year Current YTD Budget YTO Prior YTD Operating Expense Salaries 616.757.30 616,16923 595,001.83 5,951,251.11 6,061,796.98 5,951,384.75 Employee Benefits -Professional 134,485.48 153,095.97 205,462.82 1,367,687.54 1,506,266.69 1,689,234.06 Fear 223,180.44 239,389,51 226,711,64 2,077,312.01 2,392,395.10 2,184,746.05 Plant Operation 36,750.61 34,780.27 31,584.24 431,361.93 347,208.40 343,185.85 Hospital General 47,763.88 50,583.34 44,776.12 547,207.03 505,833.40 500,502-08 Other Operating Expenses 425,537.28 464,784.92 482,554.33 4,152,547,53 4,599,231.45 4,280,720.47 Total Operating Expense 1,484,474.99 1,558,803.24 1,586,090.98 14,527,367.15 15,412,732.02 14,949,773.26 - (885,364.87) F (4Z2,406.11)) Net Operating Gain/(Loss) 342,564.81 38,007.86 (133,204.37) 1,276,729.35 283,702.98 489,977.21 Non -Operating Expense Depreciation 84,271.65 126,932.50 124,61523 857,135.63 1,269,325.00 1,259,542.10 Cost Report Settlement 23.447.00 0.00 0.00 431,915.00 0.00 0.00 Contribution to County 0.00 0.00 0.00 0.00 0.00 0.00 Total Non -Operating Expense 107,718.65 126,932.50 124,615.23 1,289,050.63 1,269,325.00 1,259,542.11) Total Operating Gaint(Loss) 234,846A6 (88,924.64) (257,819.60) (12,321,28) (985.622.02) (769,564.89) County Subsidy 0.00 0.00 (265,023.87) 0.00 0.00 (293,365.00) Net Gain/(Low) after Subsidy 234,848.16 (88,924.64) 7,204.27 (12,321.28) (985,622.02) (476,199.89) Page 4- R 734 • 0 • N U C O C6 � m U W C O N 0 .z X N m` F- N U N C N O X N c 9QcnCc) • 7 a 735 WL 1— z W 0 �f 1.f 0 2 LLJ .J m Q 9 AU O V o W N Q' r: N M Z ul OO U U Q O LL U. 00 CD y Z Q Q h o CO o (p a 0 o m. a m o J r� O M CO N CO ('? GD N 0) M (D CO N (D O N O 0 O LO M CD Itr m v" co LO mo 00 �o rno Mo (no O R (o 'r M M N r W (0 0) O N m 'r .- .- er N O N to �. O N W C h. lD O1 (D IZp N LU Cl) N W O o o O o o N e W e mV' (n N D) Cl) LO NM (n M T � 'at co o o m N r- v m (ri N ai Q) N Q O o M o D) o o N o (p o O O C O ti N O m O) O <Y M W W 0) OD¢ M O (O O N LO com� c o m o N NO. M (O N LOW O N M m n O (D M a O W O � m (D Q O N � (V M Q) w M 0 N m 0 0 (D o in (� ?I-(0 W� 0 0 M W M� -'I N 0 7 O m V W m p O C O O 0 O M N N O N (D N C O_ J Q Cl)G C C = vav va-s aQ� �a O OLLI > < 131 m a 736 • Ll CJ • MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMW 11112A)4 10:Z AM FOR THE 10 MONTHS ENDING 10i31104 ACTUAL S I NBUDGET MtBVARIANCE r: VAR T E A R T O D A T E OD NONNRff5II1C STATION ACTUAL BUDGET t VARIANCE 4 VAk tMT3)E REME OHNSES REVEX E. 9,695.00 9,695.0) 15,272.11 (S,ST,14? (36.51) 15,2i2.14 (5>577.14) (36.51) 129,705.00 129,705.00 150,258..11 (20,553.11) (13.67) SALARY OTHER DPf3W. 32,623.60 4,658.M 17,909.79 (14,713.81) (82.15) 2,597.91 (2.W)31) (79.30) 258,697X 175,696.16 (83,000.95) (47.24) TOTAL E7O'Li a 37,281.82 20,507.70 (16,774.12) (81.79) 61,627.13 320,324.54 26,315.94 (35,3ll.49) . 134 (134.18) _ 202,012.10 (118,312.44) 56) I l GWV(LOSS (27,586.22) (5,M.56) NBOmn STATION WAIR ROUTINE WMRE 1WVE3N?E 1cJ,9w.O(1 125,9�.00 135,132.56 135,132.56 EXPE7NSE5TUTfL SALARIES �(B. 79,711.34 79,416.99 EXPENSES 5G,962.(38 119,512.34 108,929 63 NET CAINi(LOSS 31,957.62 26,202.T ON (22,351.26) (426.91) (170,619.54) (51,753.99)- (138,865.55) (268.31) (9,207.56) (9,207.56) (300.3-,) 15,262.80 14,%2.0 5,754.89 mpwHinal mvtm wGUTPATIETREVEN 68,62.Dt) 71.520.00TOTAL (2,E3J.59) REVEAUE. DANSESd8,685.0t7 71,M0.59 (2,835.59) SALA 50,471.57 45,833.75 (4,637.32) S TOTAL N:TtPflNSES 58,321.59 63,019.33 4,b.74 JET QW(LOSS 10,363.41 -8,%.26 1,8G2.15 NHRSm STATION EVOR ROOTLff REmm �T� RE"E. 6,640.00 6,640.00 10,628.50 10,628.50 (3,988.50) 6,908.50) BALESALARIES EXPENSES 4,976.U4 11.057.94 4,081.98 TOTAL DOMES 8,357.15 13,339.688 4,982.53 WT CAINV( m (1,717.z) (2,711.18) -- 944.03 i i6.81) (6.81) 1,230,000.00 1>Z30,(i(Nt.M 1,329,530.00 1,31 (99,530.00) ,530.00 (99,530.00) 37) 51.70 805,797.93 181,371.8v 781,301.67 (24,496.26) L3.73 987,169.78 293,088.17 1,074,389.84 111,716.32 87,220.06 38.11 8.11 21.9d 242,830.22 25v,140.16 (12,309.94) (4.82) (3.%) 628.075.00 703,670.24 (74,795.24) (10.62) .96 (3.9d) •� 628,875.00 .00 703,670.24 .00 (74,795.24) .00 (10.42) (1D.11) 54.32 408,453.90 450,945.00 112,491.10 9.42 7.45 73>398.77 481,02.67 170,696.63 621,641.63 97,297.86 139,788.96 57.00 2L48 21.90 147,OM.33 82,MS.61 64,993.72 79.23 (37.52) (37.52) 881695.W 881655.00 1W,W0.75 (I51875.72 (15.18) 104.570.75 (15,874.75) (15.18) 36.91 39.47 94,851.00 319_Z3.20 108>795.83 LL,531.36 13,944.8-1 1281 37.-Z 118,784.20 131,327.19 (1,401.84) 12,541.99 (6:,-) 9.55 36.66 (30,089.20) (26,756.44) (3,332.76) (12.45) 9 737 n� n LLM LL to OEPARTMERTAL INCOME STATERENT 11i1v" Al=51 AM FOR THE IO NONTHS WING 10131n14 SIA9LE N 0 0 T H - YEAR TO DATE - ACTUAL BUDGET f VARIANCE Y. VAR ACTUAL BUDGET f VARIANCE Z VAR SURGERY AND alum REVEME ROOM IMPATIENT REVENO MMTIFNT MEN 581966.45 121,111.75 64,648.74 173,680.01 (5,682.29) (2,568.26) (8.78) (30.26) 5M1005.15 1,264,697.65 636,060.20 (132,0Z.05) (20.76) TOTAL REVEMOE. OFEM 180,078.20 M328.75 (5G,250.55) (24.44) 1,769,702.81) 1,708,787.31 2,-W,847.51 (443,009.66) (575,144.71) (25.93) (24.52) SALARIES LEASE AND RENTAL 40,654.86 505.88 52,125.49 4,884.E U,47063 4,578:45 22.00 89.64 382,2SO.34 S12,J47.50 130,597.16 25.46 OTUER EVENSES TOTAL EVEKSES 36,246.58 44,611.17 8,364.59 18.74 6,245.07 296,450.92 4818C.30 439,452.30 42,598.23 143,001.38 87.21 32.54 77,407.32 101,620.99 24,213.67 25.82 684,M.37 1,001,1 LT.L) 316,196.77 31.58 NET GA17Tt(L055 1-)2,670.88 136,707.76 (34,036.88) (24.89) 1,084,756.47 1,343.71M.41 (258,947.94) (19_27) REVMF ROMINE REMM 70TAL KI MIIE. 3.510.80 3,510.00 21395.97 1,114.03 46.49 181640.0U 231 r� L27 (4,933.27) (20.921 EVENS S 2,395.97 1,114.03 46.49 18,640.00 2;,573.21 (4933.27) (20.92) SALARIES EVENSXO UU (a � UO 118.81 11S.95 UU (118_81> UU TOTAL E'JPEMS ,to .UO .00 .00 .00 .M 372.76 UO .00 (25.95) (372.76) .00 MET GAINfREVEM 3,510.00 2,395.97 1,114.03 46.49 18,267.24 3,573. ? (5,306.03) (u.50) OBSERVATION RRUM REVElO1E INFATMU` REI MO OUTPATIENT EM 6,435.j)o .00 6,435.00 .00 91900.00 .00 TOTAL REVEMUE. .01) 6,435.00 19,124.06 19,124.66 (19,124.06) (12,68946) (1fil.h)) (66.35) 56,23))JO 1881156.11 (131,026.111 (70.11) 66,130.00 188,156.11 (M,026.11) (64.85) LABOR Alm DELIVERY REW34F INPATIENT REVENO OUTPATIENT REM 4,482-75 1,166.M 11,250.70 1,412.16 (6,767.1) (60_15) Q2 993,00 110,692.38 (47,499.38) (43.09) TOTAL REVENUE. 5,649.U0 12,662.86 (245.01) (7,(0.86) (17.41) (55.38) 16,186.50 79,179.50 13,893.84 2292.66 16.50 ENPEM L?4,586.4 (45,4U6.72) (36.44) SALARIES O71B R D(PENB0 7,5%.77 1,264.6(1 174S.47 2,973.95 9,457.70 11709.35 55.45 57.47 85.668.74 167,7B4.16 82,115.42 48.94 TOTAL EV191SES 3,869.37 20,027.42 U,167.05 5<,_75 18,502.48 104,171.22 29,2B9.05 197,073.21 10,786.5 92,901.99 36.82 MET 9Mf(LOSS (3,211.37) (7,364.56) 4>IS.19 56.39 (24,991_72) (72,406.99) 47,49%27 47.14 65.52 10 738 7 0 0 0 DEFACTNENTAL INC SATENERT 11r12iO4 Ill=S1 AN FOR THE 10 MONTHS ENDING W31/04 ACTUALYEAR SINGLE DI{D6E7 MONTH f VARIANCE 8 VAR ACTUAL TO DATE— IUDW. t VARIANCE ; VAR INPATIENT MAW f REVEN 38,344.80 8,531.1(i 64,938.77 15,596.79 (26,591.93) (7,,)64.96) (40.94) (45.29) 394>908.96 638,913.28 (244,004.32) C_38.19) DP�7M i5E8 46.877.9,1 80,534.79 (33,656.89) (41.79) 91,019.25 485,928.21 153,495.10 (62,425.85) (40.69) SALAR1i5 1>240d10 21910.44 792,358.38 (3,M,43,r.17) (30.67) 8THM ElPfySE TOTAL ZVE14E5 14,401.83 15,641.83 53,674.77 1,670.44 19: 72.94 57.39 57.23 35,118.27 28,635.01 �,�.91 SG,030.94 ".78 36>585.21 20,943.38 _ 57.24 1147,722.`4 72234 3GU,775.92 171,042.64 213,073.58 59,32 59.05 NET SAW(L088 31,236.07 431949.58 (12,713.51) (28.72) 338,205.87 43i,562.46 - Y AND IV 7NE7tAPY RPIM (93,356.59) (21.63) INPATIENT R.EVEND DUTOTAL RT ENUE. 205,87.21 148,124.11 w2,129.50 122,$ 5.8p (46,292.i9) (18.36) 1,991,453.31 2,480,dn.82 (489,175.51) EXPDWREVENUE. 354>124. 74,9,ie.30 25>461.31 (20>830.98) 20.72 (5.55) 1,176,856.31 3>1",309.62 1,2D8,447.51 (31,5913D) (19.71) (2 61> 3,699,074 33 ((31,766.7ll (14.11) PkOF.ESSIONAL rS 10.023.98 8,063.94 7,52B.26 7,916.61 (2,490.72) (147_27) (33.06) 93,232.14 74,117.49 (19,114.65) (25.78) E� TOTAL ErL?Em 88,877.53 106,%5.45 49,529.72 64,979.65 (39,347.81) (1.86) (79.44) 80,(W.66 SS2AF4.01 79,166.70 487,916.73 (G4t4879. 8> NET 6Al /am (41,985.80) (d4.61) 725,G82.81 641' )` (84,481.89) (1_'+.21> (13.17) Dff_BSI�( TtPiRAPY 247.158.87 309,975.G5 (62,ffi6.78) (20 26) 2 ,492,GZG.ffi 3,047,875.41 (605,248.60) (19.SS) v Mu l ICLVM "ATMIT REMUO .00 .00 U0 .00 .00 ll0 T REVEIAO:. EKSES.00 .ai .00 .00 00 00 MAW MR E)ffaw TOTAL EXPENDS .00 W .uD 0u Jo .00 -80 00 .80 NET MW(LDSS .0) .00 •uu .Da i 11 739 MAUKIML ALJIILML LtA1tK DEPARTMENTAL INCOME.STATEMERT FOR THE 10 MONTHS ENDAl6 10131iO4 SINGLE MONTH ---- ACTUAL BUDGET s VARIANCE Y, VAR. i iii�s •tLn6i WATIDR REAR 35,359.00 OUTPATMIT REVEN 209,897.00 S,REVFNUE. OH 245,256.00 SALARIES 60.887.87 PRO ES5L8 W FEE 81,060.04 LEASE i RENTAL 1,546.76 OTHER DTEISES 13,881.T7 TOTAL EVE M La7,376.4 MET GAIN/(LOSS 87,879.56 ER PA9SICIM REVENUE DWATMIT WAX . 26372.00 OUTPATIENT REVEN 1586530.25 TOTAL REVENUE. 179,902.25 BMQXY MEDICAL SERVICE REVENUE M7IDTT REYEA'O .00 OUTPATIENT REVEN .00 ExPTOT S REVW. 00 SALARIES ,p0 LEASE i RENTAL .00 OTIff.R EIPENSES .00 (INSEBW COUNTY suo 9 :Dn TOTAL E30'EMSES .00 NET =fl ,(LOSS .00 LAMM I PATHOLOGY kEMdIE DHITMIT REVEWu 104,935.40 OUTPATMIT REVEN 288,647.64 TOTAL REVENUE. O PEiISES 593,583.04 SALARIES 42.063.88 LEASE i RENTAL 4,768.14 am DWENES Z925.75 TOTAL DMERSES 102,757.77 MET GAW(LDSS - 290,8w.27 11/12iO4. 10=51-AM -YEAR TO DATE ACTUAL BUDGET $ VARIANCE i VAR 26,140.02 9,218.98 35.26 373,604.12 257,M.15 116,419.97 45.26 151,092.40 58,804.60 38.91 1,854,010.26 1,486,551.39 j67,455.87 24.71 177,232.42 68,023.58 38.38 2,227,614.38 1,743>738.54 483,875.24 27.74 53,423.i3 (7,444.54) (13.97) 564,037.85 Sw,61G.67 (38,421.18) (7.30) 76,666.67 (4,393.37) (5.73) 772,873.% 766,666.70 (6,207.26) (.80) .99 2,230.37 JS • 9,504J.28 (4,177.49) (46.05) 113,327.03 93,263.99 ( M .2 141,594 28 (15,782.16) (11.14) 1,468,008.47 1,405,547.36 (62,461( .11) (4.44) 75,638.14 52,241.92 146.58 759>605.91 338,191.18 421,414.73 124.60 12,073.63 9,278.37 76.72 226,059,25 118,985.59 l07,073.66 89.99 120,638.25 132,731.88 37,892.00 47,170.37 31.40 35.53 1,375,054.12 1,186,924.72 188,119.40 15.85 1,601,113.37 1,305,910.31 295,203.06 22.60 .00 .00 .00 .00 .00 .00 •00 - •(J(l .(m .00 .00 .UO .00 .00 .00 .00 .(KJ .00 .W .00 .00 .00 ,00 .00 .00 .00 UG .(KJ 49,45 .W .00 .;A[ (492.05) .00 nn .a .00 Jo 173.85 .00 (173.35) .00 .00 .w W .W .00 - .00 .00 .00 .00 .(X --,00 _. .W .U0 .W - 6G5.90 .cm .00 .O0 (665.90) .00 .00 .00 .00 .00 (69.90) .00 (665_90) _m 1041237.94 228,019.20 697.46 .66 1,01)1,831.32 i.A25,566.69 (23,735.37) (2.31) 333,057. 1 60,=8.90 18.17 3>717,724. 9 3,2716,854.35 40,869.74 13.45 45+99.83 4,7m.00 310r.95 (18.14) 6.73 (,38) 406,917.70 443,724.17 36,806.47 8.29 55201.88 (723.87) (1.31) 46,386.43 542,903.12 47,500.00 545,763.10 1,113.57 2,859.99 2.34 52 IM:051.71 2,293.91 2.18 996>207.25 11036,987.27 40,780.02 3:93 228,005.43 62,819.84 27.Z5 2,721,516.84 2,239,867.08 481,649. 76 21.50 I 740 • 0 0 MEMORIAL MEDICAL CENm DEPARTMENTAL INCOME STATEMENT ll/V/U4 W-51 AM FOR THE 1U MONTHS ENDING 10131iO4 ACT UAL SI49LE 8066ET MONTH i VARIWE i VAR Y pR TO DAiE moDD epNx REVENUE AC118(L BUDCET S VARIANCE �. VAR OUTPATIENT REVEN 18,011.25 17,224.25 14,693.10 3,317.95 ll.5`,i7.12 4.58 198,047.86 144,563.D7 TOTAL TffSN.Nt�. ESPENSEE 3v,224.�5 20,334 -18 14,875.07 204.= + 73.09 81,87P.50 279,127.3G `,�`i,G46.62 25.432.8E 4.`i.70 E1T'NTISES 8,G04.99- 5,801.91 2W, ((9.69 78.917.67 39.41 . TOTAL E(PENSES 81604.91 5,801.91 (2,803.03) - (2,80-3 S) (48.31) (48.31) 63,344.G3 57,083.34 0 (6,261.29) 1U.96) NET CAIN/Qms 26,619.31 - _ 63,344.63 57,M 34 (G>261_29) (1U.96) 14,547.27 12,07'.04 82.98 215,782.73 143,126.35 72,GSG.38 0.76 OCCUKTIONAL MEDICINE REVENUE . IMPATIENT REMW ONTPATIENT RESB:N .00 .110 .thi Ji .00 .UU •UO ,OJ) TOTAL RE"E. Jo .00 .(M .0U •00 _01) .00 Jo .00 .00 PROFESSIONAL FEE -pJ) .40 .AO 'oJ) •P0 .no OTHER .00 •("J On 10 TOT CUPEMSL .11o :00 'JA'i .11o .Ot1 .1D ..M .60 .0U Jn .00 CADV(LDSS .m) .Ot) ,00 nO TTESTINC REma .00 OUTPATIENT REVEN TOTAL REi�. mum .00 .40 .w .00 tU 00 UO .00 .00 SALARIES . � JQ .00 .00 .UU .00 0 0TR1V_ .DO 00 oU .Uo •00 S .Iw .00 .(w .00 .(w ..00W 00 .w .00 .40 .00 4ET WM/(LOSS -00 _ .00 .00 .Do .00 .00 ELEMGE�WIOLOMPHY (EKG) MMME .OU .U0 .00 .00 .00 INPATIENT RVVENU OUTPATIENT REUETU 7B,893.U0 45,659.UU 17,666.19 SO,853.94 1,226,01 6.99 160,277.25 173,812.19 (13,535-24) (7.78) TOTAL REVREVE. 64>552.UD bB,520,1T (5,194.94) (3,968,13) (10.21) (5.79) 451,032.75 500,337.09 (99,304.34) (9,85) 611,310.00 674,149-2 (62,839.59) (9.32) TTOE1ffE7m 2,646.03 2,971.41 325.38 32538 10.95 26,431.84 29.360.03 2,928.19 9.97 10.95 26.43L84 29,360.03 2,928-19 %97 NET 6ARi(L855 61,905.97 65,548.72 (3,642.75) (5.55) 584,878.16 644,789.55 (59,931.39) (9.29) • 741 13 0lMKIJIL WARL LLAILR DEPARTHWAL INCOME STATFME7IT. FOR THE 10 MONTHS ENDING SN31n)4 SIN6LE MONTH ACTUAL BUD&E7 1 VARIANCE % VAR RADIOLM REVEIBff DnTM(T REVEND 14,317.75 16,182.32 (1,264.47) (11.52) OETPATIDiT REVEN 115,798.08 100,179.86 ' 15,418.21 15.59 TOTAL REVNHOE. L%115.83 116,362.18 - 13,753.65 11.31 BMW PROMESSIONIL FEE 3,650.00 J2,5W.O(t OT18ik EVEW 14,625.70 13.033.04 (1,592.66) TOTAL EPENSES 59.736.95 67,007.19 7,270.24 ,(12.22) 10.84 )ET QB/(LO% 70,378.88 49,354.99 21,023.89 42.59 REVEIOD BUITIM REVENU 5.333.OU 4,471.34 861.15 19.25 OUTPATMFi Win 31,803.84 3918%.27 (8,092.43) (20.28) TOTAL WJENUE. E)O')C<W 37,136.84 44,368.12 (7>231.28) -(16.29) OTHE3t OTEM 4101.64 7,808.47 3,706.23 47.47 TOTAL EPEEB 4,101.64 7,808.47 3,706.83 47.47 AET QUW(LOSS 33.035.20 36,559.b;, (3,524.Z) (9.64) ULTRASOUND REYME BnTIENT MWE A,318.00 4,939.21 (621.=) (12.57) OJTPATIM REVEM 39,736.93 40,317.17 (8,%',.24) (11.76) E1D 7AL REYME. 44,054.93 53,258.38 (9,203.45) (17.28) LEASE i RENTAL 00 W .00 Ofl1 MWIENSEi 4.644.93 2,6ri.46 (1,949.47) .00 (72.32) TOTAL EWMES 4,644.93 2,695.46 (1,949.47) (72.32) NET &A11N(LDSS 39,410.W �,562.7' (ll,152.7') (n.OS) IT SCAN REVENI3E DMATIDIT RE9Ei81 23,765.25 34,411.11 (10,645.86) (W.93) OOTPATMIT REM IMIS2.50 140,586.47 13,566.03 9.64 TOTAL E REMI E. 177,917.75 174,997.58 2,920.17 1.66 LEASE 1 RENTAL 32,495.00 20,000.00 7,SOS.W 37.52 BTHERR ONPEM 7,960.43 9,242.62 282.19 3.42 TOTAL E7tP©tBES 20,455.43 28,242.42 7,787.19 27.57 NET &UP(LOSS IV,462.32 146,754.96 10,707.36 7.29 1L1&04 10=51 AM YEAR TO DATE - ACTUAL BUDGET $ VARIANCE 122,404.15 1,148,067.39 1,270,471.53 460,659.42 24,850.92 145,508.99 631,019.33 639,452.20 90,438.48 411,676.59 502,115.07 43,362.15 43,362.15 458,752.92 58,904.69 456,308.66 525,2E-1.35 .W 31,131.96 31,131.96 484,081.39 337>5%.00 11932,392.15 2,269,988.15 141,019.24 8L585.93 223,60.`,.17 2,046,382.98 159,213.11 ?85>6gG.47 1>194,853.58 506,439.16 25>OW.00 128,403.Q(1 659,842.16 485 011.42 43,997.31 39b527.85 436," .16 76,153.31) 7GI53.30 360,371.86 48,59J.41 475,398.20 523, 993.61 .00 25.790.W 25,790.00 498,203.61 338,561.01 11393,189.58 1,721,750.59 2W,000.00 80,808.27 280,808.27 1,440,942.32 X VAR (36,808.96) (23.11) 162,426.91 16.47 - 125,617.9r 10.97 45,779.74 9.03 - 149:08 .59 (17,105.99) (13-32) 28,822.B3 4.36 154,440.78 31.84 46,441.17 135.55 19,148.74 4.87- 65,589.91 15.02 32,791.15 43.05 32,791.15 43.A5 98,381.06- 27.29 10,309.29 21.21 (19,089.54) (4.01) (8>780.26) (1.67) .00 .00 (5,341.96) (20.71) (5,341.%) (20.71) (14,122.M) (2.83) (965.01) (.28) 549,202.S7 39.70 548,237.56 31.84 58,980.76 29.49 (1,777.66) (2.19) 57,203.11) 20.37 605440.66 4201 14 742 0 • 0 MNUADW EVENUE DnTD7[T ;mu WPAT.ffNT REVEW -TOTAL REVem. 4 r ai a - �flljnmz# r . NET MD/(LOSS MEMORIAL MEDICAL EWER DEPARTMENTAL INCOME STATEMENT FOR THE 10 MONTHS ENDIN 10�31iO4 ACTUAL S I NBUD6ET . MSOVAARIANCE i VAR .Da -6,089.5(i ,(1 6,(WU,89 48 .61 6,089.50 6,040.89 .61 48.61 2,486.47 2,579.84 93.37 2,496.47 2,579.84 93-.37 3,603.03 3,461-05 141.98 NRi REVENUE IWATIENT REYEiW 6 , 11/12/04 10=51 AM ACNAL YEAR TO DATE - BUDGET S VARIANCE .00 315.U0 •88 6ZVA.00 •80 62,619.00 3.61 15,958.71 3.61 15,7v8.71 4.10 46,6GU.29 264.03 50.97 59,434.41 2,869.59 59,698.44 2,920.56 24,760.0 8,801.32 24,760.03 8.801.32 34,M.41 11,791.88 VAR 19.30 4.82 4.09 35.54 35.54 3;.55 OHTPATmff RE9EX ,079..5 119,026.79 10,985.41 -126,976.17 (4,896.16) (7,919:38) (44.47) (6.26) 94,772.33 108482.18 (13,309.35) O HNES '04 1.37,9d1.5B (12835,54) (9.30) 1,207496.64 1,301.868.99 -L249,281.63 1,357,363.81 (42,184.97) (3.37) OTHER E]OENm 30,Cl.50 31,565.15 C55,494.82) t4.08) TOTAL EXPam 30,657.50 31,565.15 7U7.65 707.65 224 2.24 310,60.49 31(6688.49 315,548.37 4,859.88 1.54 NET 6ADV(LOSS 94,268.54 _ 1061396.43 (12,127.89) 315,548.37 4459.80 1.54 ANESTiff5IA (11.37) 991,1$U.50 i,41.815.44 (SU, 634.94) (4.86) fEiEiW RE 30169.50 38,G927AOT's , -Z-99) 301,36.74 4. 2 (79,319.54) TOTAL lU9,b1b.25 .91 308>P.G1 9,5(9.4 ,. . 128 ,482.50 1,163,4.25 64,153.47 178,32.(L (20.83. 24.06EXPENSES PRUESSIONAL FEE46,,105..64 44,6325 L064839.74 9909.49 9.29 IR£NTA 56.30 0. (1,475.39) (6.30) (3.30) SL60) 382,:.60 446,302.SU 64481.90LEASEE AS 5,0.48 . 8,852.1 Z3-62) (3 (63.3) 8.87�TOTAL 36,702.21 3,1.0- (3,602.18) f10.88,617.311 ADrtL85 (7.S2) ,2:68 479,902.53NE 60,389.6 1124.3585 D lIlfiT 60,17T.50 (2,2.30.67) (3.70) 7 44.33Gw`7 54,937.23 - 1%399.34 27_25 REVENUE PATIENT REYEW BHTTOTAL REVENUE. 394,2T-L, 394,257.12 347,218.34 347>216.34 47,038.78 47.038.78 13.54 3,619,079.03 3,416,18OA0 202>898.63 EXPENSES SALARIES 13.54 3,619,079.03 3,416.180.40 202,896.63 5.93 5.93 OTHER 8 TOTAL fl(PEMSES 29,851.41) 33,S06.32 27,631).71 56,G49.2.3 (2,220.66) 23:142.91 (8.03> 40.85 481,105.46 2 63,357.72 84,279.97 20,922.25 24.8, 758,731.08 59,140.01 830,1990. 4 78 034.55 72,259.76 3.12) NET GAIMr(L888 330.899.40 262,939.37 67,Mix 25.24 2,860,347.95 8.69 2,585, 189.56 275.158.39 10.64 • 15 743 MLMOKIAL MEDICAL EEMTER DEPARTMENTAL INCOME STATEMENT 11/12iO4 10=51 AM FOR THE 10 MONTHS ENDING 10i31l04 SINGLE MONTH -YEAR TO DATE ACTUAL KWET f VARIANCE Y, VAR ACTUAL BUDGET f VARTANCE 'r. VAR CARDIOPE0.11�(RY REYM INPATIENT REMN OUTPATIEAT RE{A:M 91,327.50 251692.25 109,838.51 22,615.43 f18>5ll.D1) (16.85) 951,665.63 1,090,669.12 (129,403.49) TOTAL REt(ElBff. ll7>019.i5 132,453.94 3,06.82 (15,434.19) 13.60 (11.65) 269,822.5G 222,506.60 - 47.315.96 �.26 f 1,221,488.19 1,303,175�.72 (91,687.43) (6.26) SALARIES LE45E i RENTAL OTHER EIS .UG rn.U1 32,293.46 .U0 500.00 27,059.46 .00 L:99 .OD 4.59 .UO 4,896.17 .00 . 51000.0U .00 103.83 .00 2.07 TOTAL OHMS 32,770.47 27, 549.46 (S-34.40) - (5.2ll.111) (19.34) (18.90) 308,406.89 313,303.UG 270,504.17 (37,902.72) (14.01) 275,504.17 (37.7%.89) (13.71) NET CADk(LOS8 84,249.28 1044M.48 (2(6645.20) (19.68) 908,185.13 1,027,671.% (119,486.42) (11.42) CARDIAC REHAB RETTi]B1E DnTMIT REVM OHTPATIENT Rm ll,) nn llfi .00 .00 JX D) n,i .00 TOTAL .00 .11t) .11,? .OU .0) .n0 .00 .0,? .00 .00 DOPUMREVENUE. .DO .DO .D0 .00 .00 SWAM OTHER E5 .PA h? ll0 n0 DU h) UO UO TOTAL E]O'E7M : : 1 NET QW(L085 UU ll0 N M UU llU vj DO OEETTATIONAL THERAPY REVENiff MnTmw REWW OI nTIENT REVET! 1.765.75 11135:69 1,164.32 63U.% 55.47 8,334.50 ll>173.78 (2,839.28) (25.41) TOTAL R£yom. .UO 1,765.75 2,300.01 (1,164.32) (534.2G) (10O.D0) (23= 4>610.12 ll>45v.31 (6,845.19) (59.75) E30'fNSES 12,944:62 21',629.(�9 (9>684.47) (42.79) SALADS OTHER .AL .UO w5.00 SPU. .DU H,.00 P 100.00 .0 •40 S . 50i+.00 100.00 967.5 967.50 5100rt.W 4.U32.50 .65 S,000.UO 4,U32.5P SU.65 NET CM.,(LOSS 1,765.75 1400.01 (34.26) (1.90) 11>9T7.1'. 17429.09 (5,651.97) (32.06) MVENE iINAFIDlT REVE'Nfl OHTTOTAL PATmfT REUEN 25,24LOP 125,812.50 26,953.63 115,937.4,? (1,712.63) (6.35) 203,316.25 265.1B8.95 (61,872.70) (23.33) E)PQ(SEi REUEiAN. 151,053.SD 142,891.U3 9,875.10 8,162.47 8.51 5.71 1,145,454-.16 1,348,770.41 1,140,674.34 1>405,863.29 4,779.82 .41 (571092.88) (4.06) PRWERMNAL FEE OTHER OPENSU 40,06.17 2,166.74 37>500.00 2,799.46 (2,543.17) (6.78) 367,444.65 375ah)0.01) 7,5,;,,.35 2.U1 TOTAL E 42,209.91 40,299.46 632.72 (11910.45) 22.40 (4.74) 16,945.&? 27>808.33 10,862.71 39.06 384,390.27 402,8U8.33 18,41O.D6 4.57 NET CAIEV(LOSS 1A8,84i.59 1U21591.57 6,252.12 6.)r 964,380.14 1,003,g54.% (38,674.82) (3.85) i 16 F 744 HOME HEALTH CARE REVENU B"Tim Mm OOTPATIDtT REVEN EXPENSES REVENIE. SALARIES LEASE I RENTAL OTHER aENS£S 70TAL EXPENSES NET .GAD1/(LOSS HOSPICE REVERE OMTPATIDfT KVD TOTAL RPMR. EXPENSES SALARIESMFESS_ FEE OI18:R EXPENSES TOTAL E7MSE6 RY HEALTH CARE REYME SINGLE ACTUAL DO WT MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE SO MONTHS ENDING 10/31/04 MONTH $ VARIANCE X VAR .00 10410K.50 .00 84,235.27 W 15,047.3 100,482.50 84,2fii.27 15,847.23 31,803.01 26,208-.89 (5494.12) .00 U.-7 83.33 15,958.87 10,990.56 (4,968.31) 47,761.88 37,282.78 (10,179.10) 52,320.62 461952.49 55168.13 illul(m 1(1=51 AM ACTtO(t 9 EAR OQO 7 0 4DATF- UARffiNCE .w 18.81 w 1,A17,832.30 .80 828,766.32 .0U 189,065.98 18.81 1,017,832.30 828,766.32 189,065.98 (21.34) 288,72.03 257,861.67 (341,891.36) 100.80 S24.40 83301 308.90 (45.20) 147,144.87 1091290.96 (37,853.91) (28.10) 436,422.30 367.985.93 (68,436.37) 11.43 581,410.(0) 460,780.39 120,629.61 8 VAR .w 22.81 22-21 (11.97) 37.06 (34.63) (18.59) 26.17 .mJ .DU .W .00Of) •m> .DO .00 .mJ .00 .th) .00 00 .00 .,h) .UO .CO .w 00 .00 .J)O .mJ .00 0n :pi) U0 'Dn .00 )0 .00 .ml .m) : .00 .00 Dn nJ .00 on m, nn mJ nD OUTPATIENT RM 7VTAL REVEK.. .00 UU .UU .00 EXPEOW .U(+ . .w OU :li UO .00 .00 SALARIES OTHER EXPENSES - - .00 .U0 .00 .00 00 U : U� .U0 .00 .UU TOTAL EXPENSES .80 .00 .00 ,Op .00 .00 .00 .00 NET GAINI(LOS5 .00 .00 on w w .Oo .00 In tlIEY REMM U0 UO E OOTPATID(T MEN RODE..00 w r11) w q, .00 EXPENSES .m smom PROEESSIUk TEE .00 .0U w .Ut .00 m1 .1h) OTHER TOTAL flfffllS •01) •DU •00 .w .00 .01) 00 .00 .00 .n0 - .Dn AU .00 -00 .lro .DU NET Ulm (LOSS .01.1 .00 .00 _ .DO 17 .0U .DO .00 .00 .00 .w Jo .w .00 .w .w .AO .w 745 qL DEPARTME)TALi(IKOME STATEfW FOR THE 10 MONTHS ENDING W/31/04 SZNGLE MONTH ACTUAL BUDGET $ VARIANCE i VAR CHEMICAL DEPFIKKY REYEHID: DOTPBTmT REVER .00 - .00 TOTAL REvEIUD:. 05118E8 km UU SEAM FEE Jm .UO 00 OTHERPRB .00 TOTAL EVENSES :mi :m NET BATH/(L= DIETARY REVENE INPATIYNT REVm J to OUTPATIETTT REVEN .00 DmTOTTAL .n0 .DO .11D SALARIES 12,618.32 12,901.84 PROFESSIONAL FEE 1,300.00 1,733.33 OTHTOTAL WENSES Calm 29,511. 8 31,667.10 NET GAT1V(LDSS (29,511.8) (31,667.10) MEDICAL RECORDS 01PENSES SALMM LEASE 1 RE)RAL 161876.55 1,733.84 21,976.04 21666.67 OTHERR.EXffilgS 1,637.09 4,022.46 TOTAL E):PMS 20,M.48 28,"%17 CARE PROC¢AEI EXPENSES OTHER EXPENSES 1,251.97 D0 TOTAL EllPENSES 1,251.87 UO MAT1CTENKE E>9F)MSES SALARIES 13,539.16 12. 53.05 TOTAL ETO'Ei a 15,13.15 14,642.44 PLANT DPERAiIW ETF'EW 45.M ELECTRICITY 27,91616.67 07ER 1 � 64 'm OTHER E1QEILSES nD .DO 61809.43 TOTAL OHM 3b,885_bi - 34,7800.?7 1L12m4 10=51 AM ACTUAL V EAR ATE OUDGETT O iDVARIANCE 2 VAR .00 .(fla .DO .w .D0 .00 .00 .00 on .00 .00 _ .00 .(m .00 .(o AD :W to .00 ..00 .Wnn .(m 1W .DU to .00 .00 _ .00 .Kl .(m .DU .0U .00 .UU .DO .00 Jo .W .00 .00 .DO .00 283.52 2.19 126,773.88 126,937.50 43333 24.99 131137.50 17,333.30 1,438.47 8.44 164534.45 167,64n.89 2,155.32 6.90 304,445.83 3111911.69 2,155.32 6.80 (304,445.83) (311,911.59) 5.099.49 23.20 184,401.54 216,215.83 932.93 34.98 17,788.41 261666.70 2>385.37 59.30 38,834.77 40,006.55 8,417.69 29.36 241,024.72 2r.m.08 (1,251.87), .00) 4,516.77 D0 (1,251.87) .00) 4,516.77 .00 (986.11) (7.85) IB,665.27 123,505.83 508.40 24.33 14,140.10 20,671.11 (4T7.71) (3.26) 137,82%37 144,176.94 9.17 16.92 450.00 541.70 2,489.65 8.91 250,275.81 279,166.70 (Sr906.64) .00) 46,912.31 DO .00 .00 36,89.76 1,302.48 19.12 97,069.05 .DO 67,50').D0 (2,ID5.34) (6.05) 431,496.93 347,208.41) .DO .DO .00 .nD .00 Dn .nn .DD .DO :DD 163,62 .12 4,195.80 24.20 3,106.44 1.85 7,465.86 71465.86 239 31,814.29 14.71 8,878.29 33.29 1,171.78 2.92 41,864.36 14.79 (4,516.77) .80 (41516.77) .00 (179.44) (.14) 61531.01 31.59 6,351.57 4.40 91.70 16.92 28,890.89 10.34 (46,912.31) pU (36,89.76) .00 (29,569.n5) (43.80) (84,288.53) (24.27) 18 746 • • HENORTAL-MEDICAL CEwM DEPARTMENTAL INCOME STATEMENT 11112AA 10:51 AN FOR THE 10 NONTHS ENDING 1(✓31iO4 SINGLE MONTH YEAR TO DATE ACTllAL BUDGE7 6 VARIANCE % VAR ACTUAL BUDGET $ VAWNCE Y VAR GR8(N98S M7IPENSEB SALARIES. OTHER E70'ENSES 1,294.7U 0( TOTAL OpENSES 1,294.70 .0( TRANSPORTATION OTiNSES SALARIES Om C70'F315E<S LZ4.75 17 1,643.20 TOTAL EID'ra 1,845.15 1,803.37 HOUS}]OEPING EXPENSES SALARIES OTHER E)S wo 18>482.97 9,748.30 2,888.54 7,392.U2 TOTAL E)(PEIfSES 28,231.27 29,28U.56 LA1" DDI MSES SERVICES 8,437.99 9,000.00 OOUTSIDE 01) TOTAL C)ffENSE6 8,637. 4>00001) luaTy me WEM 5,430.r, . 51559.92 TOTAL V ES EN 5,887 46 6,329.18 MIENti(T ENSES SAS' S OTHTOTAL ER EVEMSES 1,925.05 6,106.83 136 M7MSES 2,066.07 7 � 89 WIAL IDIBCNAR6E Eaum PLANg SALMIS OTHER S 4,960.00 379.44 7,293.98 S 5,339.44 8(W,JJ 8,A98.53 IMMUN COUNTY IXDMT onm SWARM OTHER OPE SES 3,.24173. 173 .00 COUNTY OiEBEf (3,175.83) .00 TOTAL EVENSES 510.02 ,rA) in) 0 .80 .00 .w (1,294.70) .00) 6314.45 .m (1,294.70) .716) 6,314.45 .D(r .0(r <33.23) (2.87) 12,111.54 11,385.00 (14.79) (2.48) 16,9 6.86 M741.48 3,4U5.57 15.rS 1961027.35 M,355.D0 (2,_Zd.28) (31.87) 64,243.36 72,448.40 1,049.29 3.S8 260,270.71 297,803.10 362.U1 4.0.'' 69,667.30 01) .30 362NI 4..00 02 69,667.30 0.07 2.32 S6,878.24 .65 41.99 5,274.85 451.72 7.13 6MS3.09 4,121.78 68.47 19,414.89 1,147.04 89.05 2400.57 1,328.82 72.06 21,215.46 "333.98 31.99 46,1,^3.76 C4.11 52.83 3,849.9 21759.09 34.U6 S0,073.41 (31512.61) .fi)) 32,691.70 (173.24) .00) M.95 31175.83 .00 (33,r)Bt).U8) (510.02) w) (136.43) .OU .06 (6,314.4S) .00 (6,319.4S) .80 (726.54) (6.38) 3,491.16 23.45 764.62 1.30 19,327.65 2.97 8, 2j.04 11.32 27,532.69 9.56 90 O0.80 20,332.70 22.59 .00 .00 901".00 201332.70 .00 22.59 54,702.50 Q.175.74) (3.97) 6,91998 1,645.13 23.77 (v1,M:48 (530.61) M0 60,093.33 40,668.44 .. 67.68 11,208.94 8,408.37 75.01 71,292.27 49,076.81 68.83 71,763.'14 Z,539.SB 35.58 7,714.36 31864.71 al.09 79,477.70 29,404.29 36.99 .00 (32,691.70) .a .00 (251.95) .00 JI) 33,880.08 .00 .00 136.43 .w 19 747 iw� 1rcv L . LuI" DEPARTMENTAL INCOME STATEMT n/12iO4 10-51 AN FOR THE 10 MONTHS ENDING i(v31fi4 SINGLE NONTH YEAR TO DATE ACTUAL BUDGET !VARIANCE VAR ACTUAL BUDGET $ VARIANCE z VAR OBSIWM OFFICE EiP IM SALAAM 19,2Q.69 19,951.26 LEASE I RENTAL 527.27 150.00 IMLECT w sm 3,763.76 2,500.00 OTHER EXPENSES 7,836.03 9,803.35 TOTALE'P'ENSES 31,371.75 32,407.61 Eval aTim EXPERES SALAPM #THER DES 9,993.19 8,827.38 TOTAL emom 10,9970.57 10.7U.18 DATA ESS11(G SALATOES 5,677.29 2,721.90 MU EXPENSES 10,991.91 12,108.47 TOTAL EXPENSES 16,669.20 14,830.37 Mum MKIMTTATIIN! EXPENSES WI AM DTHER F 0'Ew 9,980.33 31448.n 8,649.00 2,095.69 TOTAL EXPE m 13,428.44 10,744.69 MIME SWERYISOR EXnm sk-am FM DWERM .00 "00 TOTAL MEASES .BD .00 .Dn 3 ECITON CONTROL ETow SALAFM OM :,,356.50 . TOTAL ExPEl65E5 6,207.211 .Op EDWATIDN TXPENSES SALARM ffHa TJAPENSES 3„ 1.04 3,066.68 41256.05 1,226.06 TOTAL E34'ENSES 61599.7° 5,476.11 ACCOUNTING ENPi3m SALMM 5,758.47 57810.39 OTT TOTAL apme 9,343.30 9,300.85 184,(079.88 10.56 i (379.27) (252.24) 11500.00 (1,263.76) (SO.M) 29,308.32 251000.00 1,967.32 20.66 92,596.09 97,5v8.56 L035.86 1 3.19 297,6(2.K 320,'M.73 Si>165.8ll (13.20) 91,123.25 86450.00 911.42 48.25 10,086.55 18,078.51 (254.39) (2-37) 91.270.40 104,929.51 14,705,61 7.49 (2,579.88) (171.99) (4,308.32) (17.23) 14,962.47 15.33 LL,779.88 7.11 5,666.15 .20 • 7.99I.9b 44.0 13,658.11 13.01 (2:9:a.39) (108.57) 49,833.90 26,780.00 (23,053.90) (86.08) 22 12 1:116.56 9.0,180.91 =,1(u).61 919.67 ,75 (I SOX) (12.39) 170,014.81 147,880.61 (22,L34.23) (14.96) (1,331.33) (15.39) 90,779.73 85,095.00 (1,352.42) (64.55) 16,017.23 20,761.52 (2,683.75) (24.97) 106,7%.96 105,856.54 (5,694.73) (6.68) 41744.29 °.7_.85 (940.44) (.88) .00 m 00 .0n .00 .n(i .00 :M .�G ;uo BA .00 (5,356.50) (850.71) .00) 45,716.32 6,329. 7T .00 (45,716.82) .DO (6,207.211 .W) JAD 52;1)46.59 M .00 (6,329.71) (52,1M.59) .00 .80 717.01 (1,840.62) 16.87 (150.12) 41,863.91 18,695.14 41,815.0 12,(M.97 (48.91) (6,612.17) (.11) (54.72) (1,123.bll (20.51) 60,M948 53,P7.97 (6,661-U) (12.35) 51.92 (94.45) 89 (2.70) Y5,724.94 41,427.88 57,166.66 1,441.72 2.52 (42.53) (.45) 104,152.82 34,772.42 91,945.08 (13,649.46) (1.2,207.74) (39.24) (13.27) 20 748 • MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT 11112n)4 10-51 AM FOR THE 10 MONTHS ENDING iwi/m ACTUAL S I NBDD6ET Mf VARIANCE i VAR Y E A R T O D A T E ONEXISTkAACTUAL TI�I RUDUT VARIANCE i VAR SALARIES LEASE i RENTAL 20,114.94 46.76 21,628.43 1U0.Ori 1,5li.49 u.30 6.99 246,676.36 + , 1 >795.84 , OTHER E; S EMDEES SU,08L86 30,243.50 38.9m.25 2B>840.39 53.30 74.09 793.80 262,466.89 387,806.35TOTAL 60,65U.6S 30,407.1B NX ,7R ,<. 2,>339.44 91665. 32..32 BUSINESS OPEN;ES DE1ff10FlIENT OTHER ERPEHSES SmAm 3,967.78 304.97 41003.06 671.49 35.28 366.72 .88 42,153.76 39,385.OU 2, i1 TOTAL E7�E5 4,272.75 4,674.75 40200 54.59 8.59 4,545.30 6,468.76 923.46 1,923.4G 9.02) 29.73 HOSPITAL GENERAL 16,699.06 45,85.76 (845.30) (i.89) EXPENSES womm [or IN 8NEMPLOYwff INS 24' •24 4-166.67 2G•666.G1 2,428.4; 9.1U 336.090.2i 2bG,6Gb.7(t (49,423.S1) PROFLIABILM I S,G47.28) 1>91G.b7 4>188.3G (730.61) 100.52 - 30,933.67 41,466.70 1U,733.U3 (26.83) 25.7r LEASE 1 RENTAL OTHER EXP9:N5ES 1,4u.50 2, 7'.N.OU 1,324.50 (9.22) 48.16 37,368.68 20,534.01 79,166.70 (8,733.98) (1U.3G) TOTAL E70'EiMU:S 13,278.85 47>568_18 9,083._, 50>583.34 (4,i95.52) (46.18) 70,75.37 27,500.(ip 9U>833.30 26,965.99 0,097.93 �.33 00RE�CES/PUBLIC RELATIO 3,i(15.SG 5.96 545,462.uU Sg5,833.40 (39>828.60) (7.87) m TOTAL EXPfRSES 3,542.27 5,206.65 - 1,663.70 31.95 34.227.45 - 51,226.66 16:"9.21 33.18. S,8g2_ZZ 1q.311.3`i 4,51�..3 43.72 55>577.84 103,420.78 14 W.73 59.09 PORCHAM EXPEi15E5 47>842.94 , 4d...G OTHER 5 35 7,775.26 643. 8,0(�.67 i>180.49 °33.41 2.91 73,M,.iO 78,7�.0q TOTAL EXPENSES 81418.61 91189.16 5r.14 77(1:55 45.50 8.38 10,197.41 2,056.18 1541 AUiILLARY EXPENSES 83,430.51 9U,8<1 18 ,5,561.9U 7420.67 . SALARIES EIPENSES EpERSES .00 DU Dq(.55) 01) JoTOTAL - .J 73.7 1 _ 1) (73.17) W PLAZA TY a s (73.17) .00 SALARIES E70' ESESt4:ilSES .00 .06 .DO .(a .00 _A0 JAI .O4 493.30 i493. O) .0 (493.30) .00 .UO .G0 .Or1 .00 .G0 493.30 .410 .00 .U0 ,rW • 21 n[ Uu ncvuHL tn*)tx DEPARTMENTAL INCOME STATEMENT 11112n)4 10=71 AM FW( THE 10 MONTHS ENDING 10131AX ACTUAt SI1-9LE MONTH BUDGET i VAT(IANCE Y, VAR YEAR TO DATE - . ACTUAL BUDGET 3 VARIANCE Y, VAR WMRIAL MEDICAL PLAZA REMWE .RENTALS T68.04 :w 768.00 .00 768.00 62,232.4)) .0U 62,232.40 .0!) O ENSES ,ll0 62,232.40 .w) 62,232.40 .DO SALAW........ OTHER ENPERSE". 3,22.1.38 12,729.44 W (3,22138) 007 (12,729:44) 33,266.20 00 (317 ,266.28) .00 TOTAL MUM 15450.82 .00 .00) .00 (15,950.02) - 146,598.16 179,864.44 .00 (146,598.16) .00 .00) .00 (179,864.44) .00 NET GAW(LOSS (15,182.82) AO (15,132.82) 00) (117,G3 .04) 00 (117,632r:W) 00 _ SUBTOTAL GAIN) b719>23Fr,42 1,589,918.97 129,316.45 8,13 16,865,217.10 15,566,897.15 1,298,319.95 8.34 WiLARE CUR A MEDICAID COMB A (418,164.98) (124,766.71) (780,909.41) (166,694.37) 562,744.43 41,927.66 46.45 (8,190,725.61) (7,683,140.90) (507,584.81) 3NDnw CONTR A (42,756.72) w) (42,756.72) MIS (2 U18.181.46) (1.640.057.48) (378,123.98) CHARITY CARE BAD DEBT E)WERSE (82,627.19) (468,373.12) (89,836:67) (177,797.54) 7,209.48 (P.82,575.58) 00) 8.02 (308,714.73) (753,207.58) .00 (898,366.70) (308,714.73) 14v,159.12 OTHER DEDUCTIONS TOTAL REVENTff (181,513.97) (243,232.52) 62,318. 5 (158,93) 25.u`5 (2,260,469.18) f1,83p,3i3.89) (1,749,298.33) <2:39$,997.52i (531,170.85) (1,310,202.69) (1,459,07MI) 148,867.92 1p.21) (15,381,612.45) (14,369.H6p.83i 566,683.63 (1.)7i1,751.d2) EM PLOVEE SITS REFIRD NT H0SPITAIMTION 19,717.52 65,818.33 23,292. 5 76,M.51 7471.83 10,411.18 LIFE Lt50t0ANCE 988.15 1,050.74 70.59 DMAL INSURANCE 678.20 3049.18 2,370.98 LONG TERM Dn 2,093.19 2,329.2 236.04 PATOTALRM � (25.%) .00 25.96 TOTAL OTHER OP 11399,472.11, 1,565,0729.52 165,557.40 OTHER REVEJW MEDICARE PASS-TH .00 .D0 CAFETERIA BALES 7,D08.16 7,'22.95 .00 (614,79) INTEREST INCOME INTEREST INEOPE 2,D20.n7 17.54 2,540. 98 (520.91) W]EREST IN EWE pp 17.54 MISCELLAkuS IN 7,856.00 2:764.480 4491.52 TOTAL OTHER RE 16,101.77 13128.41 2,973.36 HET OPERATffi 335>865.07 38>017.86 297:847.21 (6.60) (23.05) JO 16.15 (30.36) 23.70 (7.04) 15.34 201,852.42 229,166.67 27,314.25 11.% 13.65 671,251.93 750,00OX0 78,748.07 10.49 6.66 77.75 9,387.56 22,671.40 10,416.67 30>000.00 11029.1.1 7,328.60 9.87 24.Q 10.13 211CM2 n916.67 1,496.4 6.53 .00 15.75 (8.93) 926,574.40 .00 1,0Q,5W.01 8.93 115192.5.61 .m 11.11 l0Xi 16.308.186.85 15,412,360.84 (895,826.01) (5.81) .00 516,810,)k wi 51618MOO (20. 0) 1122,879.75 25.)i) ).0 (12,1D),w> .00 (48.48) 194.60 w 194.60 .00 .AO 138.01 106,2L.83 29,16667 77,047.161 264.16 22.64 _715,182.33 129,166:67 5860015.66 453.68 783.44 1,27,,212.58 283,702.98 988,509.60 348.4.5 22 750 r • MEMORIAL MEDICAL CENTER DEPARTIENRAL INCOME STATEMENT FOR THE 10 MONTHS ENDIIliL?iO4 10-51 AA NG 1iv31 SW ACTUAL o I DUD6ET N;GVN T H - ARIANCE VAR ACTUAL Y E A R T O D A T E NOk-OPERATDIC MUSE O CET t VARIANCE 7. VAR DEPIELIATIMKAN UO A QN-W>.9 ON F 4.1419 .0n to .0.O() 00 ?t1>14G. 'i pUU -00D (9>,741.97) ^ &516.72 ,.707.19? (301,146 .l)94 09_ i ON TO ' b5.(gi Om 45b,281.`2 1,2G9>3w.0UC01mm n-A:043.48 .UiUDEMMMTION-P� 6445 TOTAL 7MN!-OPER Ni 84,271-65 .00 .(m L'6,932.50 Q°>G6U.85 33, .U0 .00 .00 .� DU TOTAL.OPERATIN M,593.41 (88,914.64) 857,L�5Jo 1,2b9>M.90 �, 4L 189.37 .W 32.47 CROMlTY SUitmY 340,508.06 38.?.9G --(in = 4].,07G.95 _ (98<,> 622.r) 1,40U,698.97 142.11 NET SADI/tL088 .00 Ax .ou (88,914.64) 390.508.06 .UU - 00 _ �n 251,593.42 38 .96 n 915,07G.,5 1,400,698:97 142.11 23 751 MEMORIAL MEDICAL CENTER ACCOUNTS PAYABLE BOARD OF TRUSTEES APPROVAL LIST FOR OCTOBER 2004 DATE APPROVED A/P & PATIENT BY COUNTY AUDITOR REFUNDS 10/1/2004 (weekly) $ 145,817.00 _ 10/7/2004 (weekly) $ 270,104.11 10/14/2004 (weekly) $ 136,251.38 10/21/2004 (weekly) $ 138,701.45 10/27/2004 (monthly) $ 116,399.35 10/28/2004 (weekly) $ 259,594.80 -1013112004 (voided checks) $ (651.24) TOTAL $ 1,066,216.85 MONTHLY PAYABLES FOR NOVEMBER 2004 $ 139,050.51 2003 2003 VTD 2004 2004 YTD Referral $ 205,270.16 $ 203,294.00 Charity $ 66,891.34 $ 530,719.00 $ 82,627.39 $ 756,416.05 Indigent $ 172,537.95 $1,068,150.01 $ 116,649.20 $1,624,984.70 24 752 0 • • • RM DM:11/05/04 MMMIAL MMICAL amm PAGE 1 Tffi:15:2s CRECE REGISTER GLCAASG - 10/01/04 Tmw 10/01/04 UNE--CHECK -------------------------------------------------- CODS N0HM DATE 'ANom PAYEE A/P 104711 10/01/04 145,817.00 TRAILS*.warm EMM PATE TOTALS: 145,817.00 • 25 753 RUM D272:11/Ds/04 - MEMORIAL MEDICAL CENTER PAGE 1 TIME:15;25 CHECK REGISTHR GLMMEG 10/07/04 THBP 10/07/04 eAmc- eeECK------------------ ------- ------------------- ----- COGE NUMBER DATE AMC= PAYEE A/P 104212 10/07/04 196.00 Am A/P 104213 10/07/04 125.35 ADANS MARK DBLLAS A/P 104214 10/07/04 120.05 ADVANCED HEALTH EDUCATI A/P 104215 10/G7/04 249.61 AERIFORN/IWECO-POET LAV A/P 104216 10/07/04 510.00 APPLIED MEDICAL A/P 104217 10/07/04 452.10 MARY ALEJOWD A A/P 10421E 10/07/04 443.17 ASpBCP x=c&L SSBTsEs A/P 104219 10/07/04 374.50 AW850HE PAGING In A/P 104220 10/07/04 5,137.74 BANKCARD CENTER A/P 104221 10IC7104 697.33 BAXTZR HEALTHCARE CORP A/P 104222 10/07/04 23,691.13 BERGEN NRONSNIG DRUG CO A/P 104223 10/07/04 21.45 BOSART LOCK A KEY = A/P 104224 10/07/D4 4,453.00 CAL C@I YEDEHAL CREDIT A/P 104225 10/07/04 122.96 ROBY CANTO A/P 104226 10/07/04 164.50 CERTIFIED LABORATORIES Alp 104227 10/01/04 91.85 CSED/CASH PROCESSING A/P 104228 10/07/04 55.00 CLEF A/P 104229 10/07/04 180.00 Cmummm COORDINATOR A/P 104230 10/07/04 168.80 BELBN DAVIS A/P 104231 10/07/04 815.27 DELL FnRN=&L SHRVICES A/P- 104232 10/07/04 95.40 KATBERM DIETZEL Al? 104233 10/07/04 149.48 DRURY IN A SUITES A/P 104234 10/07/04 249.75 RMBASBY SPITES A/P ID4235 10/07/04 73,656.00 ENCARE NORTE TEKAS 2/p 104236 10/07/04 37.09 EN1'MMSE RRNF-A-CAR A/P 104237 10/07/04 18.48 FIRESTONE OF PORT LAVAC A/P 10423E 10/07/04 4,506.46 FISHER SMAITBCARE A/P 104239 10/07/04 64.00 JOYCE FLAwax A/P 104240 10/07/04 988.15 FORT DEARBORN LIFE IHC A/P 104241 10/07/04 11591.41 GE MEDICAL SYSTEMS A/P 104242 10/07/04 30.00 G T PICKUP R DELIMT A/P 104243 10/07/04 250.00 ROBERTS, ROHERTS A ODEF A/P 104244 10/07/04 3,227.05 GE. EEALTECAHE FIN SRVS A/P 104245 10/07/04 669.87 GULF COAST PAPER CONAN A/P 1D4246 10/07/04 3,500.00 LLOYD LANE GONER, MD p. A/P 104247 10/07/D4 880.00 H A H OVERHEAD DOOR A/P 104248 10/07/04 381.44 HELLIE FORCE mEDICAL A/P 104249 10/07/04 162.18 SALLY) RICKL Al? IOU50 10/07/04 59.10 BILL CODETRY DAIRIES A/P 3,04251 10/07/04 34.00 PAT ERAHICKY A/P 104252 10/07/04 1,286.02 INSTITUTIML. TRUST COM A/P 104253 10/07/04 10.99 PASCOUNIFOEM CO A/P- 104254 10/07/04 63.18 JECKER FLOOR A GLASS A/P 104255 10/07/04 232.35 LYDIA'S PROFEssIONAL ON VP 104256 10/07/04 50.00 MEMORIAL MEDICAL CENM A/P 104257 10/07/04 12,957.23 mmo;L AL MEDICAL CEATBR A/P 10425E 10/07/04 6,546.15 TERRY W NCCLAIH CRNA A/P 104259 10/07/04 377.35 HAD= A COUEY A/P 104260 10/07/04 24.14 JANE MCCAAN A/P 1D4261 10/07/04 853.33 N=sON affmhL MEDICI 26 754 • • • • ROE DATE:1'1/05/04 MEMORIAL REMICAL CENTER PAGE 2 T=:15:25 CHECE REGISTER GLCEREG 10/07/04 TERU 10/07/04 Banc--Isaac-------------------------------------------------- CODE Nm4BER DATE AEOOET PAYEE - - A/P 104262 10/07/04 924.00 EBRIDIAE PRMSSIOEBL S A/P 104263 10/07/04 64.60 LIN➢8 HEM A/P 1D4264 10/07/04 105.00 CHERYL MITCHELL e!P 104265 10/07/04 11997.19 SATIONAL BBBEFITS PARTS A/P 104266 10/07/04 3,250.00 EOTRITICN OPTIONS A/P 104267 10/07/04 100.00 HARM OLASCUAGA VP 104268 10/07/04 105.00 OUTBURST ADVERTISING A/P 104269 10/07/04 138.46 DIIC'BELLE ORTA A/P 104270 10/07/04 412.50 POPULAR LEASING A/P 104271 10/07/04 4.47 POEER ELECTRIC A/P 104272 10/07/04 203.00 R G A ASSOMTES INC A/P 104273 10/07/04 2,540.00 RADIOLOGY Wml]YPTED A/P 104274 10/07/04 40.00 REGION 3 NORSBHOP REGIS A/P 104275 10/07/04 71.98 SIGEY SIZER A/P 104276 10/07/04 2,044.00 SO TER BLOOD & TISSUE C A/P 104277 10/07/04 4,715.74 SYSCO - SAN ANTONIO, LP A/P 104279 10/07/04 650.96 STATE CMM'MOLLER P 104279 10/07/04 19,785.45 TEAS REHAB /P 104220 10/07/04 931.73 TLC STAFFING A/P 104281 10/07/04 54,771.51 THUS CO & DISTRICT RET A/P 104232 10/07/04 126.27 TRW DEFT OF Hm4AN HER A/P 104293 10/07/04 169.67 TESAS Gm1Rwn= STODEN A/P 104284 10/07/04 8,299.00 TEZA6 HOSPITAL INS H= A/P 104295 10/07/04 129.96 TEZAS NIA® ws:rc INC A/P ID4296 10/07/04 90.00 Tsmam A/P 1D4287 10/07/04 11D.OD TRIPLE D SECDHYTY CORPO A/P 104289 10/07/04 61.50 OIA= NAY OF CALHOUS C A/P 104289 10/07/04 168.98 ELVA VELA A/P 104290 10/07/04 14.00 THE VICTORIA COLLEGE .A/P 104291 10/07/04 600.00 Lnw V08EANP A/P 104292 10/07/04 157.49 NALE&RT CMDONM A/P 104293 10/07/04 1,487.08 NASTE XDaGENWr A/P 1D4294 10/07/04 50.66 BLIZAESTE NBHTHROOA A/P 104295 10/07/04 12,759.97 FIHERV SEALTE - TENNESS A/P 104296 10/07/04 409.26 AL3N NILBCN A/P 104297 10/07/04 175.00 nrA A/P 104298 10/07/04 9.02 NICHOLS SELBA 14AE A/P 104299 10/07/04 150.28 PRnX=AL LIFB INA'OR m A/P 104300 10/07/04 41.46 BAEBR LE= A/P 104301 10/07/04 9.72 NICHOLS ME Alp 104302 10/07/04 1,295.94 SLDB CROSS & SIZE SBIEL A/P 104303 10/07/04 22.00 RUBIO SARY HELEN A/P 104304 10/07/04 36.05 NCCAULEY GARY w 8: 270,104.11 27 755 RDN DATE:11/05104 XSERIAL NEDICAL CUM PAGE 1 TINE:15:26 CIICX REGISTER GLCRREG 10/14/04 THOU 10/14/04 RANE--CCEECB---- ------------------------------- --------------- C®E OMER DATE ANOUNT, PAYEE A/P 104305 10/14/04 16.43 ACE EARL = - pDRm,S A/P 104306 10/14/04 148.28 AEBLtORN(IWECO-pORT LAV A/P 1D4307 10/14/04 2,107.45 eO mimosYSTEES INC A/P 104308 10/14/04 185.00 ARRRICAR BOAHPATI= A/P 104305 10/14/04 1,812.75 AMR Ca HOSPITAL Assoc A/P 104310 10/14/04 494.00 ARM Pncn - COUNTY C A/P 1D4311 10/14/04 917.42 AIRGAS-SOUTHREST A/P 104312 10/14/04 421.76 CAR MML BEAUS A/P ID4313 10/14/04 220.00 A[48RICAN COLL= OP SEA A/P 104314 10/14/04 47.60 AQUA BEVERAGE COVAHT A/P 104315 10/14/04 29.08 NADIRS ARROLD A/P 104316 10/14/04 190.00 Am PLY=" CERTER A/P 104317 10/14/04 1,042.46 AVERTIS PASTEDE A/P 104318 10/14/04 2.72 ESTER. B&PaU TPES A/P 104315 10/14/04 582.76 Urm HEALTHCARE CORP A/P 104320 10/14/04 100 VOp,DED A/P 104321 10/14/04 22,871.61 SEE= BRUNSWIG DRUG CO A/P 104322 10/14/04 600.00- BETTER GARDENS E LAMSC A/P 104323 10/14/04 91.46 nmr C2WT0 A/P 104324 10/14/04 6.90 CIRIEffiS REDICAL CIOTER A/P 104325 10/14/04 1,499.27 DR. WILLIAR J. CRORLEY UP 104326 10/14/04 101.66 =,w DAVIS A/P 104327 10/14/04 9.96 Sm. DAMS A/P 104326 10/14/04 50.59 EATHERISE DIM= A/P 104329 10/14/04 144. 00 THE DOCTORS' GERM A/P 104330 10/14/04 107.00 DUW(NiR CLEARERS A/P 104331 10/14/04 648.00 ELITE NURSING SERVICES A/P 104332 10/14/04 3,261.70 OR= A/P 104333 10/14/04 703.52 STACIE EPLEY A/P 104334 10/14/04 393.95 FACTS Am CONPARISOSS A/P 104335 10/14/04 37.96 FEDERAL EXPRESS CORP. A/P 104336 10/14/04 1,153.35 FISHER EEALTSCARE A/P 104337 10/14/04 179.00- PRED PRICE SENIRORS A/P 104338 10/14/04 312.47 GE mmCAL SISTERS A/P 104339 10/14/04 251.92 G. NEIL CORPORATICN A/P 104340 10/14/04 12.58 ESTHER GARCIA A/P 104341 10/14/04 300.00 ROBEETS, ROBERTS A ODEP A/P 104342 10/14/04 83.90 GRMVIEVE SDTBBRLAND A/P 104343 10/14/04 214.98 G A A BLECPRONIC A/P 1D4344 10/14/04 374.72 GOLF COAST PAPER-CCEPAR A/P 104345 10/14/04 290.56 ERALTH FORCE NEDICAL A/P 104346 10/14/04 105.74 SALLY ,i HICXL A/P 104347 10/14/04 91.84 HILL COMMY DAIRIES A/P 104348 10/14/04 31.28 ,TESUSITA S. HERMOZZ A/P 104349. 10/14/04 49.47 PAT HRASICXY A/P 104350 10/14/04 82.00 IS= PIHAN m SERVICES A/P 104351 10/14/04 17.22 IVAN A/P 104352 10/14/04 410:00 ITS/Pmm,04 A/P 104353 10/14/04 8.99 JA8C0 USIpORN CO A/P 104354 10/14/04 710.48 JE RECOGHITIDN CO 28 756 0 11 • RM DATE:11/05/04 MEMORIAL MBDICAL CEAT58 PAGE 2 T1ME:15:26 CHECK REGISTER _ GLCRREG 10/14/04 TERD 10/14/04 BARK --CHECK ---------------------------------------------------- CODE ---------------------------------------------------------------------------------------------- NOMMER. DATE mum" PAYEE A/P 104355 10/14/04 111.66 SHELLY JENMGS A/P . 104356 10/14/04 30.00 RROLL LABORATORy SPECIA A/P 104357 10/14/04 32.53 THE LAPTOP SPECIALIST - A/P 104358 10/14/04 291.90 LIFELINE SYSTEMS I7C A/P 104359 10/14/04 42.26 LOWE'S HOME CENTERS IIC A/P 104360 10/14/04 4,130.18 LrM PHARMACY MAMGEME Alp 104361 10/14/04 22,251.29 MEMORIAL MEDICAL CENTER A/P 104362 10/14/04 - 372.57 MALLII4C om inc A/P 104363 10/14/04 25.84 JANE MCCARN A/P 104364 10/14/04 .00 VOIDED A/P 104365 10/14/04 13,644.44 NCMSON GBNRRAL MECICA A/P 104366 10/14/04 714.64 MMMRTIL MEDICAL CENTER A/P 104367 10/14/04 924.00 MERIDIAN PROFESSIONAL S A/P 104368 10/14/04 68.00 Lnm MEYEB A/P 104369 10/14/04 1-1,664.84 PARRISE MOODY 4 FIRES, A/P 104370 10/14/04 1,425.00 PREMIER SLEEP DISORDERS 104371 10/14/04 130C.D0 POSTMASTER OA/P P 104372 10/14/04 4.39 POWBR ELECTRIC P 104373 10/14/04 256.00 R G A ASSOCIATES I= A/P 104374 10/14/04 6.49 RADIO BRICK A/P 104375 1D/14/04 120.70 SADISSON Mm HASRET S A/P 104376 10/14/04 1,308.75 RECEIVABLE MANAGMM, A/P 104377 10/14/04 588.54 SANDY SDDDICE A/P 104378 10/14/04 - 119.97 SEARS A/P 104379 10/14/04 26.00 SHIP SHUTTLE TARI SHAVI A/P 104380 10/14/04 4,538.00 SO TEA. BLOOD A TISSOE C A/P 104381 10/14/04 15.00 STRICTLY BOSIMESS A/P 104382 10/14/04 202.40 LARA SUDIR A/P 104383 10/14/04 .00 VOIDHD 9/P 104384 10/14/04 3,534.80 SYSCO - SAN ANPONIO, Lp A/P 104395 10/14/04 9.18 TAILOR SAME A/P 104386 10/14/04 10,000.00 TEAM REHAB VP 104387 10/14/04 1,989.97 TLC STAFFING A/P 104388 10/14/04 1,773.75 TEXAS HOSPITAL ASSOCIAT A/P 104389 10/14/04 6,075.00 TRA P271M DATA SYSTBQI A/P 104390 10/14/04 1,487.28 TORCH A/P 104391 10/14/04 73.75 U=RST HOLDINGS A/P 104332 10/14/04 30.00 U6= WAYS OF Tom A/P 104393 10/14/04 5.00 THE DMIVERSITY OF RANSA Alp 1D4394 10/14/04 186.52 ELVA VELA A/P 104395 10/14/04 1,528.33 VERIEON A/P 104396 10/14/04 4.14 VICTt7RIA OFFICE E=PMH A/P 104397 10/14/04 221.34 WALMART COMMUMM 104398 10/14/04 81.26 ELIZABETH WESTBROOK 104399 10/14/04 171.67 DEPARTM®"T OF VETERANS 104400 10/14/04 189.18 REF7ND DEPARIMUT A/P I04401 10/14/04 204.86 REFOND DEPARTIM A/P 104402 10/14/04 479.11 PRINCIPAL LM INSOSANC Alp 1D4403 10/14/04 158.10 PRINCIPAL LIFE INSORANC TOTALS: 1.36,251.38 29 757 REN DATB:11/05/04 mmrvTa1, WICAL CMM PAGE 1 TM:15:26 CSBCK REGISTER GLCRRBG 10/21/04 TBRD 10/21/04 Am--CHBCK-------- ---------------------------------- CODE NMMER DATE ANOW __--__------------------------------------------------------------------------------------------------------------------- PAYEE - 1/P 104404 10/21/04 56.18 ACE HLRDWLRE - PORTEH,B LIP 104405 10/21/04 765.00 ADVANCED HEALTH BDD®TI LIP 104406 10/21/04 15.00 ADVBRTIS261G OR AIR L/P 104407 10/21/04 110.29- ABRIFORWINBCD-PORT LAY LIP 104408 10/21/04 122.25 CONSTELLLTIOH RBW EMERG LIP 104409 10/21/04 96.80 A148R = EIDNBY rm LIP 104410 10/21/04 374.60 A4=CAN MEDICAL ASSOCI • LIP 104411 10/21/04 17.00 ESTER BARRIERTES LIP 104412 10/21/04 1,896.03 BAXTER HEALTHCARE CORD LIP 104413 10/21/04 .00 YCIDED A/P 104414 10/21/04 30,663.09 BRRGEN BRUHSWIG DRUG CO LIP 104415 10/21/04 1,927.56 BEST WESTM PORT LAVAC - L/P .104416 10/21/04 4,453.OD- CAL COM FEDERAL CREDIT LIP 104417 10/21/04 250.00 CPLHOUN Comm PEST CON LIP 104418 10/21/04 166.60 RUST CANTU L/P 104419 10/21/04 283.50 CARROLL SIGN MASTERS A/P 104420 10/21/04, 91.85 CSED/CASH PROCESSING A/P 104421. 10/21/04 22.54 CIMGOLAR WIRSLESS A/P 104422 10/21/04 325.60 PAM COLLim A/P 104423 10/21/04 473.46 CONMS LIP 104424 10/21/04 208.26 CROME PLAZA SO08TON MS LIP 104425 10/31/04 377.00 DAVIS A WILRSAS® P. C. A/P 104426 10/21/04 205.24 DATASEARCR LIP 104427 10/21/04 30.00 DMM DAM LIP 104428 10/21/04 101.32 Mom DAVIS - LIP 104429 10/21/04 115.OD PATRICIA G DELGADO LIP 104430 10/21/04 57.77 F,ATBELnW DIETM LIP 104431 10/21/04 263.25 EMSASST SUITES A!P 104432 10/21/D4 1,144.04 % IPR NDRTH THn A/P 104433 10/21/04 226.65 FISHER HEALTHCARE A/P 104434 10/21/04 515.71 FORT DEARHORH LIFE IMSR LIP 104435 10/21/04 1,475.63 R®EATS, ROBEBT& A ODEF A/P 104436 10/21/04 5,000.00 BRE®L GARZA A/P I04437 10/21/04 84.95 GR88NHOUSE FLORAL DESIG • LIP 104438 10/21/04 124.25 GULF COAST COLLBCFIONS A/P 104439 10/21/04 596.43 GOLF COAST PAPER. COMPAM A/P 104440 10/21/04 100.00 GOLDS$ CRESEMT. RAC A/P 104441 10/21/04 65.47 E E BDTT GROCER! A/P 104442 10/21/04 116.28 SALLY J HICRL A/P 104443 10/21/04 161.49 HILL COONTRT DBIRIRS LIP 104444 10/21/04 83.50 PAT HRAMICRT LIP 104445 10/21/04 304.85 IEOM FI®MCIAL SERVICES LIP 104446 10/21/04 1,303.11 IHSTI=mu TRDST CM A/P 104447 10/21/04 77.49 MANS A/P 104448 10/21/04 30.00 JAM -JACOBT A/P 104449 10/21/04 1,087.00 LIFELINE- SYSTEMS II4C A/P 104450 10121104 500.00 MEMORIAL HBAMABB BOSPIT A/P 104451 10/21/04 3,073.64 MmoRIAr MEDICAL CENTER A/P 104452 10/21/04 6,546.15 TERRY W MCCLLIN CSNL LIP 104453 10/21/04- 38.02 JAMB ECC3AN 30 758 • • ROB DATE:11/05/04 MEMORIAL MEDICAL CENTER PAGE 2 Tnm:15:26 CHECKREGISTERGLCEREG 10/21/04 TRRG 10/21/04 RANK -CHICK ---------------------------------------------------- CODE NUMBER DATS AMOUNT PAYEE A/P 104454 10/21/04 4,367.67 MCEESSON GENERAL MEDIC2 A/P 104455 10/21/04 555.00 mm-ED A/P 104456 10/21/04 816.79 ISTLYFF A/P 104457 10/21/04 762.35 MERIDIAN pROFESSIWAL S A/P 1D4458 10/21/04 1,972.00 MERRITT, HAWRINB A ASSO A/P 104459 10/21/04 32.98 Ln= METER A/P .104460 10/21/04 772.50 MMOLTA FIlOANCIAI, SERVI A/P 104461 10/21/04 1,401.00 BDCMEALTS A/P ID4462 10/21/04 101.32 BARVEY OLASCDAGA A/P 104463 10/21/04 138.46 MICHELLLE ORTA A/P 104464 10/21/04 192.75. PTTAEY BONES INC A/P 104465 10/21/04 234.00 POLE CITY DIRRCTORIES A/P 104466 10/21/04 $3.80 PORT LAVA® NAVE A/P 104467 10121/04 15.11 POWER ELECTRIC A/P 104468 10/21/04 123.75 THE PUBLIC RECORD BDLLE A/P 104469 10/21/04 169.25 R G A ASSOCIATES IWC A/P 104470 10/21/04 3,635.00 RADIOLOGY ONUS= �P 104471. 10/21/04 98.60 METHYL RIVERA /P 104472 10/21/04 99.73 SHERWII9 41ILLIAMC A/P 104473 10/21/04 20.06 SIGEY SIZBR A/P 104474 10/21/04 5,000.00 SOOTEBAST TEENS HOSPITA A/P 104475 10/21/04 449.50 SPECTRA LABORATORIES A/P 104476 10/21/04 290.00 STAMFORD VACDDM SERVICE A/P 104477 10/21/04 14,962.91 STAFF CARE A/P 104478 10/21/04 7,751.02 SYOCO - SAW ANPCNIO, LP A/P 10447.9 10/21/04 995.40 STERICYCLE, = A/P 104480 10/21/04 8,435.04 TRW LINEN COMPANY LTD A/P 104481 10/21/04 7.82 TAYLOR RACEE A/P 104482 10/21/04 1,316.15 TLC STAFF= A/P 104483 10/21/04 159.55 TAMED MANOFACNRIMG, A/P 104484 10/21/04 12,495.00 TOSHIBA AMMAICA MEDICAL A/P 104405 10/21/04 654.47 TERNS GLASS A T1N1718G A/P 104496 10/21/D4 144.31 TRW G®AAN770 STDDEN A/P 104487 10/21/04 399.38 PAT TRIGG A/P 104488 10/21/04 35.55 OBIFIR.ST EOLDIBGS A/P 104489 10/21/04 61.50 DBITBD WAY OF CALE= C A/P 104490 10/21/04 179.86 ELVA VELA A/P 104491 10/21/04 880.30 VBRIZOM SOOTRWEST A/P 104492 10/21/04 285.DO LTEHE VOSEAMP Al? 104493 10/21/04 120.84 WAL1®RT COMMEITY A/P 104494 10/21/04 45.90 RLIURETH WESTBROOK A/P 104495 10/2l/04 148.D0 YOM PLOMBING CO A/P 104496 10/21/04 768.60 BOSLBESB ADMINIBTRATORS 1 104497 10/21/04 15.00 SPRAGGIMS BEVERLY ID4498 10/21/04 39.94 STEiABT R038 104499 10/2l/04 66.54 BARBER DELLA A/P 104500 10/21/04 55.99 LOFLIB ROBERT A/P 104501 10/21/04 31.60 - PETERSON FRANCES A/P 104502 10/21/04 69.25 NARSERVE, INC A/P 104503 10/21/04 101.50 JAMESON FRANK - A/P 104504 10/21/04 57.24 REM DEP/CASH DISBORS 31 759 RON DLTE:11/05/04 K MIt➢M 1030ICLL Czmm Tffi:15:26 CRECR REGISTER 10/31/04 TM 10/21/04 RENR--Cep(------------------ `-------------------------------- CODB SMOM UTE LRm m PA79E LIP 104505 10/21/04 61.54 PffiDT SOB LIP 104506 10/21/04 51.35 ERME mmmm LIP 104507 10/21/04 110.79 COATS TOSUE L LIP 104508 10/21/04 21.31 ROBISON EMT 2/P 104509 10/21/04 41.27 FLORES GOLDLLDPE LIP 104510 10/21/04 479.56 EMY IYLE LIP 104511 10/21/04 10.44 STO M ROBBRTL 1 LIP 104512 10/21/04 41.42 ROBBER CRLLL LIP 104513 10121/04 75.52 RM Maw LIP 104514 10/21/04 22.25 OISER SIUNTRL LIP 104515 10/21/04 55.90 PORT LSPdC2 CLINIC LSSO LIP 104516 10/21/04 22.02 LIGETFOOP LINDL TOPLLS: 138,701.45 PLG6 3 GLCRRBG 32 760 9 • i RUN DATE:11/05/04 MENORILL MMICAL CENTER PAGE 1 TIES: 15:26 CHECK REGISTER GLCRREG 10/27/04 ME 10/27/04 BAHR--CCBECA---------------------------------------------------- CODE RUBBER DATE AEO@7T PAYEE UP ID4517 10/27/04 401.00 PIRMST IHC A/P 104518 10/27/04 04,85 AEERICW ACADE4Y OF CER A/P 104519 10/27/04 3,792.82 CARDIMBL EEALTH A/P 104520 10/27/04 _ 39.96 ALL SX m A SQpPLy d/P 104521 10/27/04 535.3.2 ARROW INTERNATIONAL INC A/P 10454 10/27/04 515.00 ARTffiiOCARE CORPORATION I/P 1D4523 1D/27/04 187.50 ASSAY TECHNOLOGY A/P 104524 10/27/04 443.17 ASPELR EEOICAL SISTEES A/P 104525 10/27/04 1,361.40 C R BARD INC A/P 104526 10/27/04 26,867.98 BECIM COULTER INC A/P 104527 10/27/04 53.15 BELTWAY EEDICAL INC A/P 104522 10/27/04 97.91 HIODEI EEDICAL DISTEND A/P 104529 10/27/04 193.60 BALLARD EEDICAL PRODDCT A/P -104530 10/27/04 2,923.00 BOSTON SCIEMTIPIC CORK A/P 104531 10/27/04 145.39 Bow TREE WEDICAL, LLC /P 104532 10/27/04 79.63 BRIGGS CORPORATION /P 104533 10/27/04 - 78.90 BROWN INOOSTRIES IRC A/P 104534 10/27/04 755.30 Comm CORPORATION LIP 104535 10/27/04 499.27 COW GOPEBE6M, INC. A/P 104536 10/27/04 211.44 COOPERBURGICAL INC A/P 144537 10/27/04 .00 VOIDED A/P 104538 10/27/04 .00 VOIDED A/P 104539 10/27/04 4,065.31 TBE CWNM CMMANL A/P ID4540 10/27/04 13,251.23 CPSI A/P 104541 10/27/04 5,110.39 DAME BEEINO A/P 104542 10/27/04 379.93 ➢ARTEN CDNPOTER MpLy A/P 104543 10/27/04 14,072.72 SOURCP,ONS EEALTI me TE A/P 104544 10/27/04 146.10 DI-CEEE, INC. A/P 104545 10/27/04 295.03 DROEEOED mm CAN CORP A/P 104546 10/27/04 53.97 ➢PC INODSTRIES, M A/P 104547 10/27/04 65.00 EPRRIDAY HERO A/P 10454E 30/27/04 8,972.9E PRESffil1IIS USA EANUACTO A/P 104549 10/27/04 538.60 GE WSmcAL SISTEEH, IM A/P 1D4550 10/27/04 28.06 GLOBAL OOSINEMy SOLUTI A/P 104551 10/27/04 78.50 HAVEL'S IrORPDRATSD LIP 104552 10/27/04 142.40 EMIR CARE LOGISTICS I LIP 104553 10/27/04 255.00 NILL-RUN A/P 104554 10/27/04 259.95 IAOR OPFICE SOLUTIONS LIP 104555 10/27/04 299.92 INFOLAB IRC A/P 1D4556 10/27/04 121,00 INEDNPARAHLB A/P 104557 10/27/04 - 107.90 IHNIMIX PUBLIERING GROG 104558 10/27/04 1,283.68 IRBTRmn H'TA m LABMW 1D4559 10/27/04 265.50 IAfpLIESTERS P 104560 10/27/04 65.28 J=m, INC. A/P 104561 10/27/04 208.32 TGRENTOME SUPPLY A/P 104562 10/27/04 885.DO LINPATEC CORPORATION A/P ID4563 10/27/04 319.20 LNA NORTH anIICA A/P 1D4564 10/27/04 311.04 EAIRI,IHE EEDICAL INC LIP 1D4565 10/27/04 655.85 mol-GARB CO SNC A/P 104S66 10/27/04 21.57 ESD-FART 33 761 RDN DATE:11/05/04 ERMR +. puplcu PAGE 2 O'I1�:15:26 CRECXRHGISTER GLCRREG 10/27/04 THUM 10/27/04 RSNR--CIICR---- _________________ CAE Elm DATE AM M? PAYEE LIP 104567 10/27/04 112.65 MEDIX PEIRMACEOTICALS A LIP 104568 10/27/04 302.95 mmLEARN A/P 104569 10/27/04 92.80 dQ:OT&d7IC PRYSIO-CDATRD LIP 104570 10/27/04 63.05 mmnRmPIC NSA, INC. Alp 104571 10/27/04 69.70 MEGAD= mmICLL LIP 104572 10/27/04 1,362.97 MOORE WALLLCH LIP 104573 10/27/04 139.58 NBTA A/P 104574 10/27/04 1,089.38 GNENS A MmIOR A/P 104575 10/27/04 1, 019.25 oPPICE COMMONICATIGNS S LIP 104576 10/27/04 302.57 ON-SM TESTING SpECIAL LIP 104577 10/27/04 102.20 PHILIPS =ICU SYSTEMS A/P 104578 10/27/04 24.70 ODAHTEREASTRH LIP 104579 1D/27104 3,227.29 ODEST DIAGNOSTICS Alp 104580 10/27/04 58.37 RC MEDICAL, INC LIP 104581 10/27/04 226.82 REM, INC Alp 104592 10/27104 152.39 RPC REPROCESSING PRODDC A/P 104583 10/27/04 366.75 RESPONSIVE pR=HHS IN LIP 104584 10/27/04 122.94 RYAN EERCD PRODOCTS COR LIP 104585 10/27/D4 23.10 53I4QO 33NBRlATLONAL LIP 1M86 10/27/04 832.96 ST JORN RECORD PROGHAHH L/P 104587 10127/04 77. OD STERIS CORPORATION LIP 104588 10/27/04 271.36 TAYLOR-mm,LLC LIP 104529 10127/D4 753.56 TEXAS RLECTRYCAL SpppLY LIP 104590 10/27/04 1,606.04 TEYSSEMARppp ELEPATOR c A/P 104591 10/27/04 1,139.00 TEEM HIOm A/P 104592 10/27/04 222.09 LABELING SYSTEM LIP 104593 1D/27/04 50.35 TRI-AM HEALTH SERTICE A/P 104594 10127/04 6,701.70 TRI-STATE HOSPITAL SNpP A/P 104595 10/27/04- 188.50 TRrAM HIOTECR DISTRIE LIP 104596 10/27/04 1,241.15 OARTSD STATES SDRGICAL A/P 104597 10/27/04 913.00 WATER L pMHH TECRNCLCG A/P 104538 10/27/04 316.96 Zn2W D5, INC. TOTALS: 116,399.35 34 l M 11 RON DATE:11/05/04 MmmnL MEDICAL CBFTER PEGS 1 TIEI::15:26 CHECK REGISTER GLCIMG 10/29/04 TEPM 10/28/04 B=--CBECX ---------------------------------------------------- CODE NUMBER DATE ANOMIP PATBE A/P 104599 10/28/04 11.99 ACE RVMWAnv - PORTER'S LIP 104600 10/28/04 34,711.18 COaSTS.La=oN REM ERERG A/P 104601 10/28/04 260.00 APPLIED HEDICAL LIP 104602 10/28/04 114.95 AEA SERVICES, INC. A/P 104603 10/28/04 50.40 ClRDIAat HEALTH A/P 104604 10/28/04 2,683.32 APLAC A/P ID4605 10/28/04 60.78 ANBTERDAM PRIA=(; & LI A/P 104606 10/28/04 172.64 EADIHE ARNDLD A/P 104607 10/29/04 2,72 BSTEE BAERIBM,I,BS A/P 104608 10/28/04 440.64 BA7CTER REALTHCARE CORP A/P 104609 10/29/04 57.08 BOOS A/P 104610 10/28/04 1,453.83 BECEMAE COULTER CAPITAL A/P 104611 10/28/04 .00 VOIDED .A/P 104612 10/28/04 12,302.38 BERGEN BRONSNIG DRUGCC) LIP 104613 10/28/04 3,936.93 BIO-MAD PLUS IRC P 104614 10/28/04 560.00 BERNETT BROTHERS, INC P 104615 10/28/04 272.95 INIM& Bmmm A/P 104616 10/28/04 275.00 CALHODM CUUMy PEST OUR A/Y 104617 10/28/04 111.86 RUBY CANFT A/P 104618 10/28/04 312.61 CVTIFIBD LABORATORIES A/P 104619 10/28/04 346.30 CITIZENS MEDICAL. CE TBR A/P 104620 10/28/D4 7,127.12 CITY OF POST LAVACA A/P 104621 10/28/04 99.28 HELBD7 DAVIS A/P 104622 10/28/04 2,175.00 DAYSPRING TRAIMIIJG LIP 104623 10/28/04 226.36 DELL rnuIL-In SERVICES A/P 104624 10/28/04 US-94- EE'PBB M D=TZEL LIP 104625 10/28/04 501.00 ME PAPER A PACKAGING A/P 104626 10/28/04 - 153.80 MONICA ESCEL&M A/P 104627 10/28/04 20.64 FEDERAL MRESS CORP. A/P 104928 10/28/04 701.02 FIEFSTOME OF POET LAvAC A/P 1D4629 10/28/04 6,028.72 FISHER HEALTHCARE A/P 104630 10/28/04 95.76 GARDEELARD NURSERY A/P 104631 10/28/04 24,956.71 GE REALTECARE FIN SRVS A/P 104632 10/28/04. 5,173.71 GOLF COAST PAPER CCMPEN A/P 104633 10/28/04 36.57 H E BUTT GRocERy A/P 104634 10/28/D4 384.00 HEALTH FORCE MEDICAL LIP 104635 10/29/04 120.00 FERRY SCBEIR INC. A/P 104636 10/28/04 107.78 SALLY J HICEL A/P 104637 10/28/04 150.14 PAT RREFD:CRY A/P 104638 10/28/04 900.00 IMPATH = A/P 104639 10/28/04 7.50 JEMIE JACOBY A/P 104640 10/29/04 13.99 JASCO OHIFFORM CO 104642 10/28/04 568.62 THE LAPTOP SPECIALIST 104642 10/28/04 291.90 LIF'ELLIHE SYSTEMS IRC A/P 104643 10/28/04 2,400.00 LONE STAR MOVIY4G A/P 104644 10/22/04 4,130.18 LDKER PHARMACY MARAGBME A/P 104645 10/28/04 4,701.69 MEEUETxT MEDICAL CENPER A/P 104646 10/28/04 18.70 JENE MCCARR A/P 104647 10/28✓04 3,806.78 HIMSSOR GENERAL MEDICA LIP 104648 10/28/04 849.25 MERIDIAN PROMSIM1 S 35 763 EVtI DATE:1MIN OZICETIT =C&L CENTER TIIffi:15:26 CHECK REGISTER 10/28/04 T8[07 10/28/04 REER--=CR----'-----'------------------ ------- COLE NMW LAKE MOUNT PAYEE LIP 104649 10/22/04 43.26 L= EEYRE LIP 104650 10/28/04 100.00 EARVET OLASMIGA LIP 104651 10/28/04 48.94 PIT19EY EMS INC LIP 104652 10/29/04 412.50. p080LAR LEASIRG LIP 104653 10128/04 1,000.00 POSTRLSTER LIP 104654 10/28/04 167.28 PROGRESSIVE D =cs A/P 104655 10/28/04 99.97 RADIO SEAM LIP 104656 10/22/04 1,100.00 RADIOLOGY DNLINLTEO LIP 104657 10/23/04 14,916.41 STAPP CARE LIP 104658 10/28/04 14.95 SN = CELEERMCRS MC LIP 104659 10/28/04 900.56 SISCO.- SAN Ammo, LP LIP 104660 10/28/04 8.1E TAILOR SAM LIP 104661 IV33/04 10,000.00 TEAK REHAE LIP 104662 10/23/04 49.00 TESTELGRER INC LIP 104663 10/28/04 876.28 TLC STAFFING LIP 104664 10/28/04 135.00 TRT COOAID8LCITIONS INC LIP 104665 10/28/04 53,137.12 TEXIq CO A DISTRICP SET LIP 104666 10/28/04 19,994.00 TEEM MTOAL INSURANCE LIP 104667 10/28/04 23,447.00 'TRAILBLAZER EEIM SETS LIP 104668 10/28/04 130.22 PAT TRIGG LIP 104669 10123/04 105.30 US 701 COMANY. LIP 104670 10/38/04 136.26 UEILFIRST mLDIEGS LIP 104671 10/22/04 187.96 UNIFORM ADVAM= A/P 104672 10128/D4 161.45 UNITED PARCEL SERVICE LIP 104673 10/28/04 1,719.00 UNITED SERVICES LIP 104674 10/28/D4 156.06 ELVA VELA LIP 104675 10/28/04 4,663.27 VEF=M-SOOTNRSP A/P 104676 10/28/04 258.40 LTM VOSEAEP LIP 104677 U128.104 159.9D wn mwe cmmmx.TT A/P 104678 10/28/04 5.10 ANGELICA WALTHER LIP 104679 10/28/04 14.96 RT.TZIMM WESTERoor LIP 104580 10/28/04 97.50 EOWLETT SIRE LIP 104681 10/22/04 12.70 GIReONS sm=cE E A/P 104682 10/28104 64.29 ORT= PRYLIP R LIP 104683 10/28/D4 22.72 VILLLEREAL MOM LIP 104684 10/28/04 71.37 SACESON 14DDR18E LIP 104695 10/29/04 18.02 POEM EARILYR LIP 104696 10/28/04- 170.16 DENODP RYCBARD A/P 104697 10/28/04 37.15 SCOTT STEM TOTALS: 259, 594.80 PAGE 2 GLCEREG 36 764 0 • REM DATE:11/05/04 MEMORIAL MEDICAL CASTER PAGE 1 TIIS8:15:27 CHECK AHGISTBR GLCKAEG 10/31/04 TEED 10/31/04 Bw--CHECK----------------------------------- ----------------- CODE HOMeER DATE ARMT PAYHE VP * 102368 10/31/04 10.00CR THE U MMSI4T OF KAMSA A/P * 104125 10/31/04 115.000R PATRICIA G DHLGADO A/P 104143 10/31/04 526.24CR HOTEL 71 TOTALS: 651.24CR • 37 765 RON DM: 11/05/04 MSMOEIIL 1®ICAL CENTER PAGE: 1 TM: 11:32 - AP OPEN MMICS LIST THE DOE DATE OF 11/24/04 I.MPEN YEDu HAMS ........................... CLS.INPOICm.......... m OT.79F DT.DOE DT.CE DT..PC ....... GROSS ..... DISC ...... 1D-PAI........ NET AMD ACPITS PARffi7= FOELISEBR G 618051 103104 110104 112404 325.31 .DO 325.91 TOTALS .......................................: . 325.91 .00 325.91 11430ADVANCE MEDICAL DESIGDS IN - E S1649427 100704 033004 M404 50.79 .00 50.79 91652421 103104 102804. 112404 50.79 .00 50.79 TOTALS .......................................: 101.58 .00 101.58 A1640 AIRCIST ]FC . E 230175229 101904 092904 112404 174.50 .00 174.50 - 230182696 103104 102104 112404 125.50 .00 125.50 TOTALS .......................................: 300.00 .00 300.00 11825 CLRDIML EBALTE B -08I01295 102604 100204 112404 730.64 .00 730.54 08101309 102604 101504 112404 719.92 .00 718.32 03201329 103104 102204 112404 806.34 .00 806.34 O9101345 103104 103104 112404 - 913.88 .00 913.88 TOTALS ................................. ......: 3165.78 .00 3169.78 A2260 ARROW INIMU=OM INC E 1905249 101804 100604 112404 535.12 .00 535.12 TOTALS .......................................: 535.12 - .00 535.12 12270 AATMBOTEP, INC N 457195 103104 101304 112404 3159.57 .00 3159.57 TOTALS .......................................: 3159.57 .00 3159.57 12276 ARTHRO`AVR CORPORITIDN E N432797 101204 100504 112404 -176.00 .00 176.00 N434930 102504 101404 112404 176.00 .00 176.00 N436881 103104 102204 LU404 176.00 .00 176.00 _ TOTALS .......................................: 529.00 .00 528.00 12346 ASPBCT MMCAL SISTSFLS E 118511 103104 103004 L12404 443.17 .00 443.17 TOTALS .......................................: 443.17 .00 443.17 B0437 C R BARD INC 1 29999161 100704 092904 =404 326.38 .00 326.38 70 S206 100704 093004 U2404 127.70 .00 127.70 2919883 102604 101304 112404 326.38 .00 326.36 29117593 103104 102704 U2404 648.38 .00 - 648.38 TOTALS .......................................: 1428.84 .00 1428.84 B1220 BECEMAN. COOLTBR INC N 5957161N07 093004 092404 112404 8266.51 .00 8266.51 585716=08 093004 092404 112404 1160.00 .00 1160.00 587659ANIO 101404 092904 =404 574.00 .00 574.00 58 USLI 1.1 101404 093004 112404 278.60 .00 278.60 38 766 • 0 RM DATE: U/05/04 MCMRIAL MEDICAL CMM TIMB: 11:32 EP OPEN 15VOICE LIST THRD DOE DATB OF 11/24/04 PEGS: 2 A20PEN 7E4ID8:NHME........................... CLS.29VOICEf ......... TRS DT.M DT.DOS DT.CK L/T..PC ....... GROSS ..... DISC NO-PAI ...... ........ Im 587659EN12 101464 093004 112404 778.80-- .00 778.90 305092FL0I 102604 101164 LU404 308.76 308SIUMO 102604 100704 M404 11541.88 .00 308.76 306557FL0I 103104 101204 112404 598.98 .00 11541.88 TOMS .......................................: .00 598.98 23507.53 .00 -23507.53 B1341 REELITFWORKS . M 0099906-IN 1DO704 092804 112404 170.05 TOTALS .......................................: .00 170.05 170.05 .00 17G.05 B1400 BID= INC - M 72186 101804 100804 112404 - 2062.00 .00 2062.00. 85207 103104 102104 U2404 5773.00 TOTALS .......................................: .00 5773.00 7835.00 .00 7835.00 H1655 BOSTOI4 SCffiPTIFIC CORPORAT - M 905WS66 101204 100504 =404 289.00 905469454 102604 101304 112404 669.00 .00 289.00 905589912 103104 102704 112404 675.50 .00 669.00 TOTALS, .00 675.50 ...................................... 1633.50 .00 1633.50 B1B00 BRIGGS CORPORATION M 2064969 RT 101404 110604 112404 55.31 2068542 RI 101804 101104 112404 38.06 .00 55.31 TOTALS .00 38.06 ........................._.............: 93.37 .00 93.37 B1210. BRISTOL-MIERS SQOIBB COMPA M 702578 102104 100704 112404 29.76 710976 102604 1008D4 112404 13.93 .00 28.76 TOTALS .......................................: 42.69 .00 .00 13.93 42.69 C1410 CERTIFIED LABORATORIES M 942485 103104 102504 112404 168.35 .00 168.35 TOTALS .......................................: 168.35 .00 168.35 C1441 M INCORPORATED M 536097 101204 100104 112404 107.36 .00 107.36 TOTALS .......................................: 107.36 .00 107.36 C1478 CBHBNIMG L BETE CD MC M SLU3796 RI ID3104 102204 112404 190.46 .00 190.46 TOTALS .......................................: 190.46 .00 190.46 81 CBAMPICS MANOFXTORMG LLC 10 W 30970 101204 093004 112404 96.80 .00 96.80 TOTALS .......................................: 96.80 .00 96.90 CSB50 CODONICS =C M 056579 100704 093004 112404 427.98 .00 427.98 TOTALS- ..................................... 427.99 .00 427.98 C1970 CCORPORATION M 257918 101204 093004 112404 33.72 .00 33.72 39 767 RRN DM: 11105/04 MMPTAT, M=CAL Cum TM: 11:32 AP OPEN INVOICE LIST THRO DOE DATE OP 11/24/04 PAGE: 3 IMPEN ll=.Iim......... I ................. CLS-IMICS1 ......... TRY DT.IP DT.DDE DT.CE DT..PC ....... GROSS ..... DISC ...... NO-PA2........ IM 258042 101204 093DD4 112404 91.62 .00 91.62 268161 102604 1D1404 IU404 70.05 ,00 70.05 269690 102904 101504 112404 91.62 .00 91.62 273564 103104 102104 U2404. 120.73 .00 180.73 TOTALS .......................................: 467.74 .00 467.74 C1992 CDW GOV88E@1T, INC. _ N OS62376 102604 091504 U2404 40.28 .00 40.28 _ PH55230 102604 100704 U2404 127.39 .00 127.39 PE32008 102604 101404 112404 611.02 .00 611.02 M6583 103104 102504 112404 362.64 .00 362.64 TOTALS .......................................: 1141.33 .00 1141.33 C2150 COOK MEDICAL INCORPMUTED E 10440766 102604 100504 U2404 393.00 .00 393.00 TOTALS........ .................................: 393.00 .00 393.00 C2297 COVER ONE N 8371 101204 100204 112404 841.78 .00 841.78 TOTALS .......................................: 841.78 .00 841.78 C2450 THE CWN= COKPAN2 N 02590 1DO604 092804 112404 79.68 .00 78.68 02610 1DO604 092804 112404 - 159.00 ,OD 159.00 02688 ID0604 093004 112404 1.57 .00 1.57 02689 100604 093004 1124D4 19.45 .00 19.45 02635 100704 092904 112404 468.63 .00 466.63 02778 100704 100404 lUA04 17.50 .00 17.50 02780 1D0704 100404 112404 4.42 .00 4.42 02791 100704 100404 IU404 56.57 .00 56.57 02D65-1 101204 100804 112404 -9.71 .00 -9.71 02915 101204 ID0504 113404 18.37 .00 18.37 02835 101204 100504 =04 100.61 .00 100.61 02874 101204 100604 IU404 212.97 .00 212.97 02875 02876 101204 100604 112404 101204 IDD604 =04 14.26 8.55 .00 14.26 02990 101804 101104 112404 57.11 .00 .00 8.53 57.11 02992 101204 101.1D4 =04 49.39 .00 49.59 03061 101904 101304 112404 27.10 .00 27.10 03023 101904 101304 112404 17.62. .00 17.52 - 03125 102904 101404 U2404 71.96 .00 71.96 03126 -03133 101904 101404.112404 52.33 .00 52.33 101904 101404 112404 245.00 .DO 245.00 02859 102604 IOD504 112404 199.79_ .00 199.79 03014 102604 I0004 112404 318.00 .00 318.OD 03212 102604 101804 112404 - 7.86 .00 7.86 02983 103104 101104 U2404 1366.47 .00 - 1366.47 03163 103104 101504 112404 33.06 .00 33.06 03232 1031D4 101904 112404 44.66 .00 44.56 03243 103104 101904 112404 252.95 .00 252.95 03289 103104 102004 112404 1.41 .00 1.41 40 1 4w E i RW DATE: 11/05/04 DOMIAL MEDICAL CMTTER TINE: 11:32 AP OPEN INVOICE LIST THRD DUE DATE OF 11/24/04 PAGE: 4 APOPEN V 'BDJ>E.NAI�................. ..........CLS.INVOICES......... TEN DT.I9V DT.DOE,DT.CE DT..PC....... GROSS ..... DISC...... NO -PAY ........ 1RT 03312 ID3104 ID2004 U2404 386.56 .00 386.56 03325 303304 102104 112404 195.00 .00 195.00 03334 103104 102104 112404 41.13 .00 95.00 03358 103104 102204 112404 139.00 .00 - 141.13 03381 00 103104 102204 112404 14.67 .00 14.67 03382 103104 102204 112404 17.72 .00 .72 65.99 72 03323 103104 102204 112404 65.99 .00 17 17 03394 103104 102504 112404 - 65.00 .00 65. 20 03399 103104 102504 112404 110.22 .00 00 03427 103104 102604 112406 ..00 110.22 03428 103104 102604 112404 7.86 208.00 86 .00 - 03429 103104 102604 112404 7.86 100.40 .00 100.40 03103104 102704 112404 590.61 .00 03520 520 103104 102804 212404 590.61 5.68.OD 5.68 TOTALS ..................................... ..: 5962.62 .00 5862.62 �2510 CPSI E 170011 100604 093004 112404 225.00 .00 170540 101206 093004 112404 765.70 702.00 .DO 765.70 k0410051378 101604 100504 112406 10902.00 .00 10902.00 171162 101804 100804 112404 220.00 .00 220.00 170839 102604 100604 112404 416.16 .OD 171453 102704 101304 112404 404..00 416.16 172491 103104 102004 112404 - 404.94 94 00 527.65404 94 172654 103104 102104 112404 115.56 .00 TOTALS .......................................: 115.56 13567.01 .00 13567.01 D0350 DARE HERRING E 93153883 ID2504 100504 112404 2649.84 .00 2643.84 9M6237 102604 100704 112404 1101.42 .00 1101.42 93156238 102604 100704 112404 1828.93 .00 1828.93 93161165 102604 101204 112404 342.53 .DO 342.53 93162678 102604 101304 112404 423.75 .00 423.75 9319391D 102604 101404 112404 25.06 .00 25.06 93168795 103104 102004 =404 3471.00 .00 3471.00 TOTALS .......................................: 9842.53 .00 3842.53 D1243 SOORCEONE HEALTRCARE TECHN N 8223604 IM04 100504 112404 469.96 .00 469.96 9223605 101404 100504 IU404 2058.69 .00 2058.69 8223606 101404 100504 112404 52.25 .00 52.25 8224642-101804 100504 112404 2341.65 .00 2341.65 8234046 101804 101104 112404 348.60 .00 348:60 • 2236414 1DI904 101204 =404 234.92 .00 234.98 8236415 101904 101204112404 52.25 .00 52.25 8238722 101904 101304 112404 4395.09 .00 4395.09 8244342 102604 101504 112404 602.35 .00 602.35 8249402 102604 101904 112464 52.25 .00 52.25 8140421 103104 090204 112404 143.38 .00 143.38 9249401 103104 101904 112404 1591.03 .00 1591.03 8255749 103104 1021D4 112404 1131.35 .00 1131.35 41 769 ME DASR: 11/05104 MERM MgplC)y CS8173R T1ffi: ll:32 AP OPEN INVOICE LIST THRU DOE DATE OF 11/24/04 PAGE: 5 APOPEN V=.wm........................... CLS.IDVOICSI......... TIM DT.m MOM DT.CX DT..PC ....... GROSS ..... DISC ...... NO -PAY ........ NET $263587 103104 102604 112464 52.25 .00 52.25 2269733 103104 102704 112404 81.55 .00 81.55 $269734 103104 102704 112404 - 658.88 .00 658.88 8267519 103104 102704 112404 94.80 .00 54.88 TOTALS ........................................: 14361.39 .00 14361.39 -B1090 EDWARDS LIFESCIMC'ES N 286224 TOTALS ........................... 103104 102704 112404 1833.34 1833.34 .00 .00 1833.34 1833.34 21230 ELECTRO NBDICAL EQOD? CO I N 289156 100604 092904 112404 79.00 .00 _ 79.00 TOTALS .......................................: 79.00 .00 79.00 =41 ELSEVM SCimm OSA 59613442 103104 102604 112404 35.96 .00 35.96 TOTALS .......................................: 35.96 .00 35.96 B1600 E-Z-EMI INC. N 578520 101804 100704 M404 111.03 .00 111.03 579712 102604 101504 112404 111.03 .00 111.03 TOTALS ....................................... 222.06 .00 222.06 F1402 FIRST HRALTH0m pRODOCTS M 268287 100704 092804 U2404 30.77 .00 30.77 TOTALS .......................................: 30.77 .00 30.77 F1780 FRESENOOS On MANOFACTURIB M 52220470 101204 032804 M404 3336.00 .00 3336.00 92223653 IM04 093004 112404 188.70 .00 188.70 - 92225986 101204 100404 212404 1515.66 .00 1515.66 92240070 102604 101804 =404 2905.20 .00 2905.20 92241498 103104 101904 U2404 16B0.00 ,00 1680.00 92249302 103104 102604 112404 2664.00 - ,00 2664.00 TOTALS .......................................: 12289.56 .00 12289.56 F1900 FDN BEPRBSS ANC M 595267532-01 103104 102004 =404 50.95 TOTALS., .00 50.95 ..................................... 50.95 .00 50.95 G0120 GE MBDIf2L ssSTMIS, INFO T 5306907 102604 101504 112404 72.95 5389783 102704 102104 112404 57.40 .00 72.85 TOTALS .......................................: 130.25 .00 .00 57.40 130.25 G1265 GIROS ENT LLC M 309555 101204 100104112404 96.15 .00 96.15 T01'ALS.......................................: 96.15 .00 31050 RAVEL'S IBCORPORATED N 00651897 101404 093004 112404 73.50 .00 73.50 42 1 770 RYQ4 DATE: 11/05/04 M MORLAL EMICLL CENTER TIM: 11:32. AP OPEN ]LNOICE LIST THRII DOE ME OF 11/24/04 PAGE: 6 APOPEN -MM........................... CLS'ZM'CSt......... Mu DT.1BP DT.DIIE DT.CE DT..FC....... GROSS..... DISC...... NO -PLY........ HET 00653156 102604 101504 112404 -0053874 103104 102204 U2404 TOTALS .......................................: 73.50 73.50 220.50 .00 .00 .00 73.50 73.50 220.50 E1135 HEALTH CARE LOGISTICS MC M 1302176 100604 092904 1:2404 TOTALS .......................................: 202.40 202.40 .00 .00 202.40 202.40 H1269 HENRY SCHELN ANC. 7334236-01 102604 101504 112404 TOTALS ........................................: 120.30 120.30 .00 .00 120.30 120.30 H1399 HILL -ROM M 12512118 103104 102704 112404 TOTALS ........... .... ........................: 316.00 316.00 .00 .00 316.00 316.00 :1700 HOLLISTBR INC M 91564432 103104 102104 M404 TOTALS .......................................: 59.35 59.35 .00 .00 59.35 59.35 10950 INFOLAB INC M 1992182 101204 100504 112404 1999113 102704 102004 112404 TOTALS .......................................: 90.55 9. 181.1010 .00 .00 .00 90.55 90.55 181.10 10951 11EOMPARARLE M 12605 101904 100404 112404 TOTALS ....................................... 84.00 84.00 .00 .00 84.00 84.00 '11288 ISOPURE CORP M 117189 102604 101304 112404 TOTALS .......................................: 198.10 198.10 .00 .00 198.10 198.10 J1392 J=ON, MC. M TC905452 102604 102104 112404 TOTALS ....................................... 65.28 65.28 .00 .00 65.28 55.28 J1416 JOHNSON SUPPLY M 06036416 103104 101304 LU404 TOTALS ....................................... 212.29 212.29 .00 .00 212.29 212.29 L0700 LABCORP OF AMERICL HOLDING M • 15991936 101404 100104 112404 16036476 101404 100104 112404 TOTALS ....................................... 10287.42 94.00 10371.42 .00 .00 .00 10287.42 84.00 10371.42 L1430 L=VATEC CORPOAATICH M 3930259 102604 101304 112404 TOTALS ....................................... 300.00 300.00 .00 .00 300.00 300.00 L1438 LH2 HORTR A=CA. M 262170 101404 100504 =404 159.60 .00 159.50 43 17,71 1 RLA DATE: 11/05/D4- REMBIAL MEDICAL TIME: 11:32 AP OPEN IMVOICE LIST Tmm DOE DATE OF 11/24/04 PAGE: 7 APOPER VStiDA.xw........................... CLS. 3SVOICB#......... TEE DT.INV DT.DOE DT.CE DT„PC....... CROSS..... DISC...... NO-PAI........ NET 265180 102704 102004 112404 79.80 .00 79.00 TOTALS ........................................: 239.40 .00 239.40 L1470 LASETM A ASSOCIATES, INC. M 332335 102604 101904 112404 570.00 .00 570.00 TOTALS ....................................... 570.00 .00 570.00 M1500 nws PLmmm PARTS M 401299 102604 101904 112404 520.02 ,00 520.02 • TOTALS .......................................: 520.02 .00 520.02 M2460 MEDIA PE&MUCEDTICALS an M 39675 103104 102004 112404 112.65 ,H 112.65 TOTALS .......................................: 112.65 .00 112.65 M2485 MEDBAD INC M 90959668 102604.1015D4 112404 721.44 .00 721.44 90857202 103104 101104 LU404 1925.00 .00 1925.00 -TOTALS .......................................: 1646.44 .00 2646.44 M2499 MEDTEONIC OSA, INC. N 5585712 101804 100604 IU404 63.05 .00 63.05 TOTALS .................................:.....: 63.05 .00 63.05 12556 MEGADSME MEDICAL N I0365996 101204 100604 1U404 69.70 .00 65.70 TOTALS .......................................: 69.70 .00 69.70 113332 MOORS NALLAcz M 421016810 101204 100504 112404 97.69 .00 87.69 TOTALS .... ................................... : 87.69 .00 87.69 P1475 PHILIPS MEDICAL S75TEMs ES N 9DO0298622 101904 101304 112404 366.56 .00 366.56 TOTALS ...................... ...... ........... : 366.56 .00 366.56 • P1650 P17•T.TMr NBCS M IV6681D9 101804 IODS04 112404 84.00 .00 84.00 TOTALS .......................................: 84.00 .30 84.00 P2180 POSITIVE PROMOTIONS M 01896665 102604 101304 112404 298.83 .00 298.83 TOTALS ....................................... 298.83 .00 298.93 Q0560 =RTERELST88 M P595174001019 101904 101104 112404 43.95 - TOTALS ........... .................... ........: 43.85 .00 .00 43.99 43.85 R1464 RPC REPROCESSING.PAODDCTS M 99583 100704 092804 LU404 309.74 .00 309.74 100286 1OZ604 100604 U2404 154.59 .00 154.59 44 772 RR DATE: 11/05/04 TRIAL MEDICAL TIffi: 11:32 AP OPEN INVOICE L ST TIRO DOE DATE OF 11/24/04 Pam' 8 PPOPEN VENW.NHN6........................... CLS.INVOICE1 ......... TRR DT.INV OT.DDE DT.CE DT..PC GROSS.....DISC ....... ...... ND -ply ........ SET TOTALS .......................................: 464.33 .00 464.33 -R1468 RESPONSIVE pAOVIDERS INC E 0045256-0 101204 1DO604 112404 126.50 - OM399-IN 102604101504 U2404 .00 126.50 .00 253.00 253.00 253.00 90905 S3MEM PRESTON N 44504089 103104 102004 112404 222.37 TOTALS_ .00 222.37 .......................... ••........: 222.37 .00 222.37 S1355 SENSOEMMIC8 CORP N 744146 101904 101204 112404 105.35 TOTALS ........... .00 105.35 ............................: 125.35 .00 185.35 S1901 SIEMENS E s2270 siuLE mums 11390481 TOTALS ....................................... 102704 101904 112404 .... 140.00 140.00 .00 .00 140.00 140.00 N 2627184 102604 101804 =404 19.90 TOTALS .00 19.90 ............... ........................: 19.90 .00 19.90 S2679 ST TOHR RECORD pROGRANS C 01764686 101204 093004 112404 32.63 01765215 101404 100104 112404 . 118.50 .00 32.63 01772 10E604 101204 112404 830 .00 118.50 01T75T94 94 102604 101404 =404 . 64.60 .DO 8.30 01775295 102604 101404 112404 169.85 .00 -.00 64.60 01778439 102604 101904 112404 16.0 168.H5 01770087 10E704 100704 2404 ll 269.50 .00 161.60 01776343 103104 101504 112404 27.22 .00 269.60 01779493 103104 102004 117404 107.7E .00 24 95 017SQ624 103104 102104 112404 .00 107.22 . 0178/105 103304 102204 1id404 23.28 23.28 .00 46.39 TOTALS............ . •........... •••..... ......: 1030.32 .00 23.28 .00 1030.92 S2830 STRYKER SALES CORP N 631888A 101904 101204 112404 1229.99 TOTALS .00 1229.99 ........................................ U29.99 .00 1229.99 S2633 STRYKER SALES CORPORATION 19152 N 102704 102704 112404 3988.60 TOTALS .......................................: 3988.60 .00 .00 3988.60 3988.60 �40 SRERIS CORPORATION N 968307 100704 093004 112404 339.00 .00 339.00 992603 102704 102104 112404 58.2E TOTALS ........................................: 397.28 .00 58.28 .00 397.28 T0381 TIMR-MM;LLC - w 3806 101404 100704 11T404� 271.35 - .00 271.36 45 773 3 «sm; 11/05)04 d031m= B®ICAL Cam _ PAGE: 9 TM: 11:32 AP OM IRVOICB LIST THE➢ DOB DATE OF 11/24/04 APOPBH VSEID4.mm........................... CLS.=ICB4......... Taw DT.IAV DIM DT.CB DT..PC.... -GROSS ..... DISC...... M-PAY........ MT TOTALS .......................................: 271.36 .00 271.36 T0735 Tm-AID w 35769 102704 101304 112404 224.49 .00 224.49 TOTALS .......................................: 224.49 .00 224.49 T1900 T=AS BLBCTRICLL SRPPLT B 12198 101204 101204 112404 323.80 .00 323.80 12235 101804 100404 112404 11.34 .00 11.34 • 12247 101204 100904 112404 95.52 .00 95.32 TOTALS .......................................: 430.66 .00 430.66 T2590 THMM BIOSTAB B 392014 102604 LOO504 112404 435.00 .00 435.00 392015 102604 100504 112404- 257.05 .00 257.05 TOTALS ....................................... 692.05 .00 692.05 73190 TRI-STATE HOSPITAL SUPPLY 1 1737368 101404 ID0604 =04 1038.90 .00 1838.80 1731788 101204 092SO4 112404 50.50 .00 50.50 1732222 101804 092904 IU404 1043.29 .00 1043.89 1745583 202604 101904 112404 156.00 .00 156.00 1746637 102604 101904 112404 241.00 .00 241.00 1747939 102604 102004 112404 437.90 .00 437.90 1745514 102704 101804 112404 11.93.20 .00 1193.20 1745545 102704 101804 M404 1.3.53 .00 13.53 1753057 103104 102704 112404 981.92 .00 981.92 TOTALS .......................................: 5956.74 .00 5956.74 W130O W w GR1ildM =C B 936-126899-2 103104 102704 112404 58.55 .00 58.55 TOTALS .......................................: 58.55 .00 58.55 10100 1-RITE INC B 332073 TOTALS ........................... 101204 093004 112404 59.52 .00 59.52 59.52 .00 59.52 Z1005 ZMM ➢S, INC. N 363020 100704 092904 112404 134.11 .00 134.11 407333 102604 101404 112404 - 26.74 .00 26.74 407334 102604 101404 IU404 286.06 .00 2S6.06 427690 102704 102004 112404 35.06 .00 35.06 TOTALS ....................................... 481.37 .00 421.97 CRUM TOTALS .................................: 139050.31 .00 139050.31 46 774 • I• REFERRALS FOR THE MONTH OF OCTOBER FINANCIAL CLASS N - REFERRAL ACCOUNTS FINANCIAL CLASS O - REFERRAL ACCOUNTS FINANCIAL CLASS I - INHOUSE ACCOUNTS FINANCIAL CLASS X - MEDICARE ACCOUNTS TOTAL CHARITY FOR THE MONTH OF OCTOBER CHARITY FOR THE YEAR OF 2004 I• $ 68,820.74 $ 93,534.13 $ 37,782.66 $ 3,156.47 $ 203,294.00 $ 82,627.39 $ 756,416.05 47 775 CHARITY ACCOUNTS OCTOBER 2004 Date Amount Due Charity Patient Name of of from Adjustment Service Bill Patient ROSEMARY VILLARREAL 06/20/04 $ 434.19 $ 43419 ROSALINDA FLORES 06/05/04 $ 324.50 1 1 $ 324.50 ROSALINDA FLORES 06/17/04 $ 18.00 1 $ 18.00 ROSALINDA FLORES 06/19/04 $ 177.75 $ 177.75 BERTHA BRUMBELOW 06/07/04 $ 311.50 $ 15.58 I $ 295.92 LUCIA COUTINO 06/11/04 $ 315.50 $ 315.50 ALICIA DELGADO 05/27/04 $ 295.00 $ 88.50 $ 206.50 ASHLEY EDWARDS 06108104 $ 481.50 $ 24.08 $ 457.42 ARTUR0 FERNANDEZ 06/20/04 $ 493.75 $ 493.75 MARYJUAREZ 05/23/04 $ 223.50 $ 223.50 VANESSA LEE 06/14/04 $ 266.91 $ 266.91 JULIO MORALES SR 06/13/04 $ 273.91 $ 13.70 $ 260.21 JOHN PITONYAK 06/22/04 $ 9T44 $ 97.44 CELIA SALINAS 06/11/04 $ 214.75 $ 42.95 $ 171.80 CELIASALINAS 06/11/04 $ 339.00 $ 67.80 $ 271.20 NANCY SHARP 06/07/04 $ 338.75 $ 338.75 ROBERT CALZADA 06/14/04 $ 165.75 $ 165.75 LILLY CAMPBELL 06/08/04 $ 344.50 $ 137.80 $ 206.70 KIM COBBLE 06/14/04 $ 395.00 $ 118.50 $ 276.50 VERONICA ESCALANTE 06/16/04 $ 370.00 $ 370.00 DOLORES GONZALES 06118/04 $ 200.00 $ 40.00 $ 160.00 OVIDIO MEZA 06/24/04 $ 438.19 $ 438.191 MICHAEL MONK 06/03/04 $ 398.50 $ 79.70 $ 318.80 ELIZABETH SPRAGUE 09/22/00 $ 266.50 $ 53.30 $ 213.20 SUSAN MURPHY 12/29/03 $ 415.03 $ 166.02 $ 249.01 JESSIE BALBOA 06/02/04 $ 1,032.00 $ 1,032.00 LACYSAUNDERS 04/27/04 $ 14,736.94 $ 2,947.39 $ 11,789.55 MARY BARGAS 05/24/04 $ 81929.34 $ 8,929.34 CONNIE ZAMORA 06/23/04 $ 822.44 $ 822.44 JEREMY BEHRENS 05/25/04 $ 6,423.73 $ 6,423.73 LINDA VILLNUVE 06/23/04 $ 1,949.14 $ 1,949.14 MARCELLATAYLOR 06/01/04 $ 1,287.60 $ 1,287.60 SANDRA SALCEDO 06/04/04 $ 564.25 $ 564.25 PHILLIP ROMINE (6/16/04 $ 526.91 $ 526.91 PHILLIP ROMINE 06/17/04 $ 237.50 $ 237.50 PHILLIP ROMINE 06/22/04 $ 436.75 $ 436.75 EDWARDRODRIGUEZJR 06/09/04 $ 1,201.50 $ 600.75 1 $. 600.75 COURTNEY LACY 06/16/04 $ 828.20 $ 828.20 JOES ESTRADA 06/18/04 $ 1,266.19 $ 63.31 $ 1,202.88 COLLEEN ARRUDA OS/14/04 $ 3394.57 $ 419.73 $ 7,974,84 BLANCA GALVAN 01/20/04 $ 1,042,54 $ 52.13 $ 990.41 MARSHALL FURSTENFELD 02/13/04 $ 7,403.40 $ 740.34 $ 6,663.06 MARSHA) I FURSTENFELD OZ/23/04 $ 844.25 $ 84.43 $ 759.82 48 776 0 • is • • CONSUELO URIAS 05/25/04 $ 214.50 $ CONSUELO URIAS 05/28/04 $ 880.86 214.50 $ ANDRES SALCEDO 06/02/04 $ 1,676.35 880.86 $ 1,676.35 SONIA ROMERO 06/02/04 $ 844.75 $ SONIA ROMERO 06/03/04 $ 91.00 844.75 $ SONIA ROMERO 06/15/04 $ 1,719.00 91.00 $ 1,719.00 DENNIS BABY 06/03/04 $ 1,110.50 $ 111.05 $ 999.45 BRANDY POINTER 06/09/04 $ 574.85 $ 574.85 LA URA GUITERREZ 06/01/04 $ 737.00 $ 737.00 KELLY CRAINER 06/15/04 $ 530.85 $ BOBBIE CARRERA 06/12/04 $ 594.50 530.85 $ LATISHA ANDERSON 04/14l04 $ 15,548,47 $ 1,554.85 594.50 $ 13,993.62 TOTALS Chan Bad Debt 90,049.30 7,421.91 $ 82,627.39 Paid b Medicaid —Paid b Patient ' Paid by Insurance 49 777 MEMORIAL MEDICAL CENTER COL. CODE PAT. TYPE PAT. 4 PAT, NAME GUARANTOR NAME WRITE OFF AMT. L 1 B67007 AMADOR GUADALUPE AMADOR GUADALUPE 877.12 I 1 B67381 HERRERA ERNESTO RSRRERA BRNEETO 988.12 i 1 B67969 GONZALES WILLIAM J GONZALES WILLIAM J 516.81 I ! 268116 PERALES PJWGIO PERALES REMIGIO 4$1.41 I 1 B68577 MOSER DOROTHY KRADSER DOROTHY 752.95 I 1 B69633 STEWART JOHN W STEWART JOHN W B50.00 I 1 B70290 RIM JOHN RILEY JOHN 1493.76 i 1 B70750 OLIVAREZ ROY OLIVAREZ ROY 4465.09 1 2 B63616 JOHNSON MICHAEL JOHNSON MICHAEL 28S1.53 I 2 B64498 .MEYHR KAYI.A N MEYER LINDA 105.28 I 2 B64652 CANACHO KUM CAMACRO MARIA 222.61 I 2 B64977 GARCIA ESTHER GARCIA ESTABR 58.05 1 2 B67302 BENAVIDES VIRGINIA BENAVIDES VIRGINIA 1391.75 1 2 B67807 PEREZ JD041E 0 PERRZ JINNIE 0 155.79 1 2 B67872 CHANNK LRMOY CNANEK LEROY 69.85 I 2 B67876 ZEAL OSCAR JR LBAL OSCARSR 372.89 1 2 B68267 NAMES ASHLEY HARRIES TT 78.20 1 2 B69008 CLINM OTIS CLEMENT OTIS 245.64 1 2 B69664 FLANIAGAN BETTR L FLANAGAN BETTY L 425.B9 1 2 B69704 HEIZER RRISTY HEIZER ZRISTY 142.30 1 1 369967 QUM DEWS W QUM Dams W 243.95 1 2 B70OB5 NGUYEN TRINE RIM NGUYEN TRIM RIM 300.00 1 2 B70516 SALINAS ROSALINDA SALINAS ROSALINDA 100.00 1 2 - B70010 KEMPER DARRELL KEMPER DARRELL 98.85 I 2 B71054 JANRCIA SHEILA JANECKA SBEILA 684.76 I 2 371148 GRAHAM CHARLOTTE A GRAHAM CNARIL)PfE A 28.81 I 2 B71169 JANECEA GARY L JANECKA GART L 36.21 i 11 B71212 MOZLEY HOWARD F M02LEY HOWARD F 456.0B I 2 B71306 RUTLEDGE JOSEPH RUTLEDGE JOSEPN 375.00 I 2 B71821 SAWYER JOANN T SAWYER JOANN T 183.13 I 2 B71B44 GARCIA ESTELA V GARCIA ESTELA V 696.15 I 2 B72242 MAY THOMAS MAY THOMAS 464.00 i 2 B72367 BURKETT HAREM BUR= NA ARA 200.00 i 2 B72369 IAMILTON JACK RAY HAMILTON JACK RAY 111.39 I 2 B72431 DOWNS KYRSTIN DOWNS SONYA 200.00 I 2 B72495 HEYSQUIERDO DAVID HEYSQUIERDO DAVID 167.99 1 2 B72547 RUSSELL DALE RUSSELL DALE 531.49 I 2 B72819 BRO M IORTLYN M BROGGSR FATTREW A 19S.45 I 3 B68246 GARCIA ZACHARY GARCIA ZACHARY 10.00 I 3 B68612 FRANKS RUN FRANKE KEVIN 240.94 I 3 B68814 IARTL JERRY HARTL JERKY 128.94 I 3 B69113 FLORES MARY JOAREZ MARY 441.75 - 3 B70645 MILLS GLORIA M MILLS JIM 84.30 I 3 B70653 MCCAffitOLL BETTY MCCARROLL BETTY 9607.10 I 3 270844 WRYICK REHBCCA WRYICK ERNE= 589.16 I 3 B71378 RAHN RONALD DALE RAID? RONALD DALE 201.25 I 3 B71379 POKLUDA ALLAN POKLUDA ALLAN 89.82 I 3 B71739 SHUMBRRA MARK J SHUMM MARK 147B.70 I 3 B71967 SAENZ MARCUS SAENZ MARCUS 945.16 1 3 272281 BARN DORCTEY E HAHN LINDA R 166.00 I 3 B72631 STOVALL M EE M STOVALL MAMIE M 359.00 I 3 872916 BARNETT JESSICA YOUNG CIARLES 741.11 I 3 B72932 KING PATRICIA KING PATRICIA 788.75 I 3 B72999 GARZA SAUL GAM SAUL 300.38 PAGE 1 50 778 • 11 • • MEMORIAL MEDICAL, CENTER PAGE 2 LJ n7rr COL. CODE PAT. TYPE PAT. 0 PAT. NAME GUARANTOR NAME WRITE OFF ANT. Subtotals • 37782.66 51 779 MEMORIAL MEDICAL CENTER PAGE 3 ERR AT . COL. CODE PAT. TYPE PAT.. I PAT. NAME GUARANTOR NAME WRITE OFF AMT. N 1 B68602 DETER DANNY JETBR DANNY 776.96 N 1 B70059 DUENEZ GARER DUMZ LINDA 595.92 N 1 B70641 DELEON PAULINO DELEON PAULINO 6199.44 N 1 B79859 ALCALA MAGALI PUENTE ALCALA MAGALI PUENTE 2672.36 N 2 B59736 HALL GWBN A HALL GWEN A 742.42 N 2 B60971 LLORANCR TYLISNA LLORABCE TYLISHA 654.80 N 2 B61166 COFFEY DEBORAH COFFEY DEBORAH 36.81 N 2 B62153 JACRSON GERHARDT J JACKSON GERHARDT J 240.60 N 2 B66832 GONZALES VICKI GONZALES VICRI 156.25 N 2 B672BO LARA VALENTINA LANA VALENTINA 25.93 N 2 B67334 GRIMALDO JOE H GRIMALDO JOE H 19.51 N 2 B68142 HODGES DBMS HODGES DMW15 75.00 N 2 B6990B GORMAN MICHAEL J GORMAN MICHAEL J 563.62 N 2 B70113 GRIFFITH RAYLA GRIFFITH RIM 204.25 N 2 B70347 LUCKEY MATTHEW LDCKEY MATTHEW 107.50 N 2 B70860 CANTU GLORIA CANTO GLORIA 30.62 N 2 B70925 LICERIO LUCID LICERIO LUCID 238.64 N 2 B70940 RABBIS TYRONE RABBIS TYRONE 604.25 N 2 B71119 HANCOCK JOHN L HANCOCK JOHN L 452.31 N 2 B71186 LEAL MARY 0 LEAL MARY 0 375.00 N 2 B71240 JANUARY SYLVIA A JANUARY SYLVIA A 164.56 N 2 B72363 GUM JOSE SEEM JOSE 12.24 N 2 B72395 CHAVEZ IDA CHAVSZ IDA 80.00 N 2 B72972 BAREFIELD RAVEN RARVAIZ DORA 226.00 N 2 B73042 GONZALEZ FLAVIO JR GOliZALEZ FLAVIO JR 227.25 N 3 B64619 GONZALES OSCAR L JRG CONSTRUCTION 68.48 H 3 865075 ROVARER LESTER GENE JR ROVAREG LESTER GEE JR 27.70 N 3 B65078 EALUERA JOE JR BALDERA JOE JR 227.75 N 3 B65754 LAGUNA EMMA LAGONA FIDENCIO S 503.27 N 3 B65885 VMS STEVEN C EVANS STEM C 90.00 N 3 B66751 ROVARER LESTER G JR , RDVARER LESTER G JR . 76.56 N 3 B66957 RRAUSER CAROL RRADSER CAROL 2154.44 N 3 B67368 LUNA JULIE LU1A JULIE 211.00 N 3 B67395 BRUMBELOW LOUIS BRUMBELOW LOUIS 30.95 N 3 B67895 GONZALES AYSHAY NICOLE PATILLD�NICOLE MARIE N 3 B67949 CADY JESSICA LYNN CADY JESSICA LYNN 378.97 1486.25 N 3 B67950 ESTES SUN CADY JEREMY SR 232.50 N 3 B67951 CADY JEREMY DANIEL JR CADY JEREMY DANIEL SR 232.50 N 3 B67958 CALZADA CHRIS AIM CALZADA CHRIS ALM 602.75 N 3 B67996 GRIFFITH BRANDON LEE GRIFFITH MELODIE 560.35 N 3 B68090 CLARK FORREST MARK FORREST 150.00 N 3 868241 ARRIAGA MARIA ARRIAGA MARIA 184.69 N 3 B68250 LBDWIR PAUL HENRY LEDWIR PAUL HERBY 841.00 841.00 N 3 368349 LOWRANCE VERA LOWRANCE VERA 118:07 N 3 B68470 ICE CHRISTINE ICE CHRISTINE 392.50 N 3 B68460 ARNN PAUL ARNE PAUL 1379.30 N 3 B68944 INGRAM HELEN BMW HELON N 3 B68960 BOECR VERONICA BOECR VERONICA 423.44 399.50 N 3 B69295 FALTESER ROBIN FALTESER ADA 288.82 N 3 B69362 LEONARD SHAM LEO ARD SHAM 770.00 N 3 B69407 FERGUSON PAULA FERGUSON PAULA 1592.16 N 3 B69498 BELLY GBDRGE BELLY GEORGE 2225.10 N 3 369614 ICE CHRISTINE ICE cN ISTINE 16.00 N 3 1369741 HADLEY DARCIE HADLEY DARCIS 349.75 N 3 B69994 BURKHART JAMIE BURKHART JAMIE 88.40 52 w • El u MEMORIAL MEDICAL CENTER COL. CODE PAT. _____________________________ TYRE PAT. k PAT. NAME _ GUARANTOR NAME WRITE OFF AMT. N 3 B70171 CANO JOSE CANO JOSE 481.00 N 3 B70178 J➢STISS DARLEHE JUSTISS DARLENE 2517.10 N 3 870240 LOPEZ REYNAL➢O JR IAPEZ RBYNALDO SR 552.91 N 3 B70272 LOOM MATTHEW LUCKEY MATTHEW - 1121.00 N 3 B70300 ESCOBAR CATARINO JR ESCOBAR CATARINO JR 574.75 N 3 B7D3B2 GALINDO ERICA MARIE GALINDO ERICA MARIE 618.75 N 3 B70421 ADAMS COREY THOMAS ADAMS COREY THOMAS 155.03 N 3 B70430 HARBORTH SUSAN A HARBORTH DANIEL 48.48 N 3 B70468 CASTILLO NICOLE REM CASTILLO NICOLE RENEE 281.50 N 3 B70537 LAMPHIER RAYNESKYLEN GRAHAM RHONDA 832.50 N 3 B70545 HALL JAMES HALL JAM 255.25 N 3 B70703 GOSLIN JESS GOSLIN CHAD 47.64 N 3 1370704 GRIFFITH KAYLA GRIFFITH KIM - 12.24 N 3 B70709 BRUM8EIA1 BERTHA LYNN BRU93LUW BERTHA LYNN 41.37 N 3 B70775 DORSEY SAMEKIA DORSEY SAMEKIA 340.50 N 3 B70851 GRIFFITH KAYLA GRIFFITH KIM L2.23 N 3 B1095B HALL LETICIA. HALL LETICIA 177.75 N 3 B70970 FRIOM BOBBY JR FENNER BOBBY SR 57.09 N 3 B71097 FREEMAN ROBERT FREEMAN ROBERT 1039.25 N 3 B71108 ICE CHRISTINE ICE CHRISTINE 558.16 N 3 B71247 GUAJARDO RAFFIA GUAJARDO RAFELA 403.75 N 3 B71342 HARBORTH MICHELLE HARBORTH MICffiLE 435.00 N 3 B71358 GONYON CALISTA GUNYON Guam 460.10 N 3 B71424 GALINDO ERMILO GALINDO ERMJLO 90.72 N 3 B71547 DELEON DANELLE DEMON DAVID 177.75 N 3 B71723 GALINDO ERICA MARIE GALINDO ERICA MARIE 646.75 N 3 B71770 ALMANZAR MARL J ALMANZAA MARK J 1135.10 N 1 B72092 DOOLIN L°RX DOGLIN ALEX 196.33 N 3 B72107 FLORES PATSY FLORES PATSY 688.91 N 3 B72112 GORDON MICHAEL GORDON MICHAEL 642.50 H 3 B72125 AGUILAR CALEB ANDREW AGUILAR JOSE LUIS 179.50 N 3 1372146 ESPARZA TRINIDAD ESPARZA TRINIDAD 925.35 N 3 272150 GARCIA ABEL GARCIA ABEL $66.66 N 3 B72154 CANTRELLE DINO CANTRELLE DINO 274.94 N 3 B72323 BAREFIELD DANUIEL RIAN MIDDLETON RUBY 409.55 N 3 B72372 ARMSTEAD CHASE 0 ARMSTEAD DENISE 229.22 N 3 B72459 HILL MATTHEW HILL ROGER 50.00 N 3 B72584 GAHM FRANCISCA - GARCIA FRANCISCA 464.75 N 1 B72551 BU➢D-NATALIE BUDD NATALIE 426.06 N 3 B72641 BRANDON TIM MATTHEW SEEMS PATRICIA 1052.25 N 3 B72713 GRIMALDO HECTOR GRIMALDO HECTOR 530.50 H 3 B72BB4 JONES AMY JONES AMY 384.55 N 3 1372988 GARZA SYLVIA ••* + GARZA SYLVIA 1036.75 N 3 B72904 LOPEZ KRYSTAL.RENEE -LOPEZ PAUL 481.60 N 3 B72916 DELGADO JAMIE DELGADO JAMIE 580.75 N 3 B72959 AGUAYO JERRY AGUAYO JERRY 653.25 N 3 B72984 CMWNA LINDA CARMONA LIMA 543.19 N 3 B72968 GUAJARDO EDDIE JR GDAJARDO EDDIE SR 390.25 N 3 B74736 CARRERA BOBBY allUMA BOBBY 225.00 N 3 B74920 HEIDELBERG TAWAWNA SKIDELBERG TAWANNA 698.35 N 3 B75019 CUMPEAN FLORIA CUMPEAN FLORIA 953.60 N 3 B76533 COBURN TRAVIS DWAYNE COBORN TRAVIS DWAYNE 526,25 N 3 B78125 GLOOR CODY GLOOR CO➢Y 2220.45 N 3 B79219 GUAJARDO E➢DIE GUAJARDO EDDIE 852.75 N 3 B79707 - KURTZ ROY KURTZ ROY 3841.19 PAGE 4 53 '781 PAGE 5 COL. CODE PAT. TYPE PAT. 1 PAT. NAME GMRANTOR NAME WRITE OFF AMT. N 3 B81247 HENDERSON NILLIAM HENDERBON NILLIAM ___ 1160.75 -' N 3 B82815 DEANDA 'BONY DEANDA TONY 512.50 N 3 882985 GDBRRA MICMA OOERRA MICBABti 953.91 Subtotals 68820.74 782 0 0 • MEMORIAL MEDICAL CENTER COL. CODE PAT. TYPE PAT. I PAT. NAME GUARANTOR NAME WRITE OFF AMT. 0 1 B65661 PORSCHE KLAY PURSCHE BRIAN 304.00 0 1 B66763 TABOR WANDA TABOR WANDA 1744.76 0 1 B67611 TABOR WANDA TABOR WANDA 695.74 0 1 B68112 SERNA ALFREDO D SERNA ALFRED 40.00 0 1 B68592 WILLIAMT EUGENE WILLIAMS EUGENE 1133.76 0 1 B69381 OVALLE DANIEL A OVALLE MARY 25.00 0 1 SID461 VICKERY GRANDEE VICKERY ADAM 561.47 0 1 B70544 VICKERY DRAKE VICKERY ADAM 86.51 0 2 B51130 WEARDEN EDWARD WEARDEN EDWARD 1598.56 0 2 B54576 REDDING RACHEL REDDING RACHEL 29.53 0 2 B61450 WHITE ANNETTE WHITE ANNETTE 523.52 0 2 B62953 SANDERS BRANDY SANDERS BRANDY 486.84 0 2 B63205 VRAM ➢EBRA DIANE VEACR DEBRA DIANE 279.49 0 2 B63234 TAYLOR ROXANNE TAYLOR ROXANNE 209.38 0 2 B64111 THOMPSON MYLES F THOMPSON MYLES F 233.47 0 2 B64821 MENDEZ JOSE JESUS MONT MENDEZ JOSE JESUS MONT 6768.25 0 2 1165535 VASQUEZ JEREMY VASQUEZ MELISSA 342.35 0 2 B65967 PYLE MICRELLE PYLE MICHELLE 211.16 0 2 B66409 THOMPSON MYLES F THOMPSON MYLES F 284.82 0 2 B67305 SUMMERS JANICE SUMMERS JANICE 190.92 0 2 B67672 RAMIREZ JAMS E 'RAMIREZ JENNIE 124.50 0 2 B67740- REYES ROSA REYES ROSA 103.00 0 2 B68106 SERNA ALFREDO JR SEW ALFRE00 JR 311.50 0 2 B68433 OWEN ANNA OWEN ANNA 1270.50 0 2 B68446 VASQUEZ CHARLES G VASQUEZ CHARLENE G 225.01 0 2 B69767 RIVERA CYNTHIA RIVERA CYNTHIA 73.75 0 2 B68865 WILSON JURY D WILSON JUDY D 492.45 0 2 B69076 TABOR WANDA TABOR WANDA 95.73 0 2 B69384 MENDEZ JOHN MENDEZ JOHN 197.34 0 2 B69438 VILLEGAS REYMON➢O R VILLEGAS REYMUNDO R 332.75 0 2 B69544 REDDING RACHEL REDDING RACHEL 22.69 0 2 B69599 MENDEZ JOHN MENDEZ JOHN 445.17 0 2 B69656 ROBINSON LILLY ROBINSON LILLY 318.16 0 2 B69706 RODRIGUEZ MANUEL ALYSIA RENEE INC 1630.75 0 2 B69794 WOODS WYATT MALCOLM WOODS WYATT MALCOLM 279.01 0 2 B70199 TABOR WAM➢A TABOR WANDA 49.69 0 2 - B71026 TAYLOR WARREN 0 E TAYLOR WARREN D E 153.62 0 2 B71063 MUSGRAVE EDDIE MUSGRAVE EDDIE 164.41 0 2 B71069 MEREDEITH MICHAEL MEREDEITH MICHAEL 326.39 0 2 B71182 WOOD ROYCE JR WOOD ROYCE JR 221.04 0 2 B71219 URESTE EVELIA URESTE GEORGE E. 10.00 0 2 B71450 MACBACEK AMY MACHACEK AMY 275.00 0 2 B71516 WILLIAMS LORAINE WILLIAMS LORAINE 64.00 0 2 B71713 MENDOZA MARIAN MENDOZA MARIAN 277.56 0 2 B71734 WOOD COME WOOD COME 3273.50 - 0 2 B71924 SCANTLEN PEGGY W SCANTLEN PEGGY W 2%.25 0 2 872351 MCALISTER DANIEL K MCALISTER DANIEL K 85.40 0 2 B72402 THOMANN 'NARY B THOMANN MARY B -65.64 0 2 B72652 OCHOA YOLANDA OCHOA YOLANDA 69.00 0 2 B73083 THOMANN MARY B THOMANN MARY B 250.75 0 3 965398 URESTE ADELA GREETS ADM 38.6D 0 3 B65994 THOMAS CATHERINE THOMAS CATHERINE 694.19 0 3 B66103 TAYLOR CHRISTIAN SCOTT TAYLOR DOLORES 155.43 0 3 366707 TSCHOEPE BRIM TSCHOEPE BRIAN 274.75 0 3 B67013 QUIREY BROOKE QUM BROOKE 1541.35 PAGE 6 55 783 MEMORIAL MEDICAL CENTER ,COL. CODE PAT. TYPE PAT. # PAT. NAME GOARANTOR NAME WRITE OFF AMT, 0 3 B67148 OLACHIA JOSE GUADALUPE OLACHIA MARTINA 563.00 0 3 B67266 SADCEDO ISRAEL RENE SAUCEDO I= 1199.00 0 3 B67526 RIM AMANDA M RIVERA MGTEEL 196.99 0 3 B67730 MATSON JAMES MICHAEL MATSON JAMES MICHAEL 477.00 0 3 B67849 VARGAS GUSTAVO VARGAS GUSTAVO 358.75 0 3 B67998 PERMS CLOYCE PBRTUNS CLOYCE 1862.16 0 3 B68173 VARGAS GUSTAVO VARGAS GUSTAVO 2708.10 0 3 B68185 URESTE KATHRYN A URRSTE KATHRYN A 2874.00 0 3 B68364 PERKINS CLOYCE PERKINS CLOYCE 311.25 0 3 B68588 SEGURA VIRIDIANA SEGURA VIRIDIANA 686.35 - 0 3 B68810 NELSON RONALD NELSON RONALD 328:26 0 3 B68947 WILLIA14S NICOLE T WILLIAMS NICOLE T 544.75 0 3 B62948 STORENSXI SHEILA STORENSKI SHEILA 520.75 0 3 B68949 MORRIS STRPHANIE.• MORRIS STEPHANIE 404.25 0 3 B68971 MEDINA CYNTHIA MEDINA CYNTHIA 655.75 0 3 B69004 YBARRA LORETTA YBARRA LORETTA 294.00 0 3 B69063 TREVINO ALEJANDRA 77=0 ALEJANDRA 499.19 0 3 B69172 RUTZ OMAR RUIZ OMAR 391.91 0 3 B69300 TANDY JULIE TANDY MARK - 114.26 0 3 B69305 REYES SANDRA RSCAMILLA MILTON 604.75 0 3 B69312 WILSON MARGARITA M WILSON MARGARITA M 59.81 0 3 B69324 PEREZ YULIANA PEREZ YULIANA 343.00 0 3 B69330 SALDIVAR JENNIFER SALDIVAR JENNIFER 318.12 0 3 B69341 VILLEGAS RRYMONDO R VILLEGIS RZTMUNDO R 177.75 0 3 B69347 SAENZ ELMO My SAENZ DONNA 76.67 0 3 B69360 PEREZ YULIANA ORREZ YULIANA 531.50 0 3 B69605 MAY AUSTIN ORSAK DEVAN M 886.25 0 3 B69607 MAY TYLER ORSAK DEVAN 862.85 0 3 1369738 TALLENT KAITLYNN DORRIS STEPRANIE 238.50 0 3 B69740 SIMPSON DERETTA SIMPSON DERETTA 233.50 0 3 B69925 ORSAK DEVAN URBAN DEW 578.10 0 3 B699B1 ORTIZ LYDIA M ORTIZ LYDIA M 272.16 0 3 B69909 WISHERT DAN RAY WISHERT DAN RAY 65.45 0 3 B70004 MORALES JAMME MORALES JAMME 703.25 0 3 B70043 YOUNG SARA YOUNG SARA 582.DD 0 3 B7016B PEREZ APRIL LYNN PEREZ APRIL LYNN 461.DO 0 3 870169 PAGE RAYMOND JEFFERY PAGE RAYMOND JEFPERY 470.50 0 3 B70173 MIRELES CONNIE MIEELES CONNIE 1166.94 0 3 B70389 TAYLOR ROXANNE TAYLOR ROXANNE 73 .43 0 3 370432 MOSES JOSHUA P MOSES JOSHUA P 333.00 0 3 B70526 PAGE RAYMOND JEFFBRY PAGE RAYMOND JBPFERY 961.35 0 3 B70540 MATSON JAMES MICBASL MATSON JAMES MICHAEL 411.50 0 3 B70549 WALTHER ANGELICA *.. a WALTHER ANGELICA 550.50 0 3 B70644 MONREAL FRANCISCO J MDNREAL FRANCISOO J 346.25 0 3 B70680 MORIN MARCOS MORIN MARCOS 277,75 0 3 B706B9 PEREZ JASON PEREZ JASON 671.50 0 3 B70706 PATRICK ROBERT PATRICK ROBERT 1026.10 0 3 B70717 TOMPKINS -LISA M TOMPKINS LISA M 235.75 0 3 B70728 YOUNG SARA YOUNG SARA 809.41 0 3 B70789 TAYLOR WARREN D E TAYLOR WARREN D E 218.65 0 3 B70848 P M= JACINTO RAMIREZ JACINTO 230.00 0 3 B70052 TREVINO JACLYN NICOLE TREVINO JACLyN NICOLE 47.50 0 3 B70BB1 MARTINEZ HENRY MARTINEZ HENRY 614.66 0 3 - B70903 MUNIZ ZAVIER LAWRENCE MARTINEZ VANESSA 272.75 0 3- B71051 YBAlM ROXANNE YBARRA ROXANNE 903.45 PAGE 7 56 • • • • MEMORIAL MEDICAL CENTER COL: CODE PAT. TYPE PAT. 4 PAT. NAME GUARANTOR NAME WRITE OFF AMT. 0 3 B71101 VARGAS RAFAEL VARGAS RAFAEL _.___ 586:50 0 8711 TREVINO GGADALUPE JR TREVINO GOADALOPE JR 1090.50 0 3 871111 11 NBMES PEGGY - NEMES ALEA 63 p J B71329 TREVINO GQAIIALUPE JR TREVI170 GQA➢ALDPE JR 92.50 92.50 0 3 B71330 MORALES VALERIE RAY MORALES JAIME - 221.00 0 3 B71331 SERENA BLIDA S&RBNA BOA 341.75 0 J 871343 ZAMHRANO JOHN R ZAMERANO JOHN R 221.00 p B71348 PADRON BRIAN}A LBIGN PAORON BRIM 221.00 - 0 3 B71398 WILSHER TERESA WILSHER TERESA 862.85 0 3 B71417 RAMIREZ PHII.LIP RAMIREZ PHILLIP 0- 3 B71427 REYES GUADALUPE III REM LIZZIE 433.35 177.75 0 871461 REEVES BUM RBEVES BUM D 488.25 0 3 B71535 NONBNMACHER ANGELA NONENMACHER ANGELA 645,60 0 871541 RUIZ 6AAINA AOIZ LEO 554.55 0 3 B71544 YOST BRIONA ANION TIMES ANTHONY 2D0.9B 0 3 O J 371639 B71732 MONTALVO FERNANDO IV MARMOLEJO PRISCILLA CARRBRA REBBCCA CARBAJAL MELISSA 226.50 0 J B7ll12 WALLBCR RAREN50 NAL18CR XARBN 734.75 739.75 0 3 871826 MARTINEZ JOANN MARTINEZ ERNESTO V 76.43 0 071979 ZAMORA CHRISTINE ZAMORA CHRISTINE 884.25 0 3 B72096 TAYLOR GARY TAYLOR GARY 00 0 3 B72122 WILLIAMS NICOLE T.25 WILLIAMSW1I,LIAMS NICOLE T 765.25 0 3 B72145 MENDEZ ROBERT MENDEZ ROBERT 880.25 0 3 B72194 TREVINO LARRY TREVINO LARRY 1982.90 0 3 B72219 VERHAGE .7TACY L VBRHAGE ETACY L 1038.44 0 3 B72309 YHARRA ROXANNE YHARRA ROXANNE 0 3 B72311 YBARRA ROXANNE YBARRA ROXANNE 2 0 3 B72315 VILLARREAL LEEM VILL RREA RAM H JR 221.00 .00 23 0 B72329 PEREZ JAMES RAY PEREZ DAMES RAY . 222 222.7575 0 3 B72429 ZAPATA LARRY ZAPATA LARRY 16.41 0 872939 ROGERS LGQIS RGGERS LOUTS 342.50 0 3 872451 MIRHL85 DANIEL MIRELES DANIEL p 872599 P8N➢ERGRASS DALE PBNDBRGRASS GALE 357.91 357.19 14 0 3 B72599 SIMPSON JAIME NICOLE SIMPSON JAIME NICOLE 455.50 0 872601 QUINTANILLA ALPASD JR QQINTANILLA ALFREp JR 177.75 0 3 872623 VALDEZ RLISEO VALDBZ ELI5S0 717.00 p 872716 WISE MICHAEL T WISE MICIAEL T 370.19 0 J B72721 MORGAN GNEGORY MORGAN GREGORY 14.49 0 072724 THOMPSON JOHN TAOMPSON JOHN 3 1.9 0 3 B72824 MORALES JAMES MORALES JAMES 861.00 0 B72845 TORREB NATW,IA MARISOL TORR85 HBRNICE 0 I 372853 TREVINO GOADALi7PE TREVINO GUADALUPE - 140.93 81.46 p B7.2875 MORGAN GREGORY MORGAN GREGORY 881.25 25 0 3 B72886 MUNIZ DIANA R MUNIZ DIANA A 0 B72889 MARROQUIN JASON JR MARROQUIN JASON SR 50.00 0 J • H72891 RODAIGUBZ JOAN MANOEL RODAIGUEZ JQAN MANOEL 063.19 5063.9 0 3 572908 TAYLOR CHERYL L TAYLOR WILLIAM 268.44 0 - MARIN JORGE L NAM MAJORGE L 646646.6060 0 3 B72926 MARROQUIN JASON MARROQUIN JASON 0 B72976 TONNES ALONZO TONNES ALONZO :35 601 601,5 0 3 B72979 ZARATE BONIFACIO BAND ZARATE SONIFACIO BAND 614.00 0 3 B72995 HENDON RICTARD RENDON RICHARD 630.14 0 T B73006 PEREZ ROBERT PEREZ ROBERT 195.00 0 3 B73055 SAMAYQA NANCI SAMAYOA tANCI 254.25 0 3 B73122 QQIST MARC QUIST MARC 954.35 PAGE 8 785 MEMORIAL MEDICAL CENTER COL. --------------------------------------------------------------------- CODE PAT. TYPE PAT, 9 PAT. NAME GDAEANTOR NAME 0 3 B77532 VASQUEZ ANTHONY '*' VASQUEZ ANTHONY 0 3 B77556 ZERRATO PATRICIA ZERRATO PATRICIA 0 3 B81880 RANGEL OLIVIA GDTIERREZ MIGDEL Subtotals WRITE OFF AMT. 967.50 875.19 462.50 93534.13 PAGE 9_ Zl • • • MEMORIAL MEDICAL CENTER COL. CODE ________________________________________________ PAT. TYPE PAT. # PAT. PAMB GUARANTOR NAME WRITE OFF ANT. X i B49255 SUMMER; WILLIAM SUMMERS WILLIAM 114.19 X 1 - B66839 WHITEAKER BESSIE M WHITEA.KER BESSIE M 20.00 X 1 B68220 PARTLOW LUCILLE PARTLOW LUCILLE 20.00 X '- B68257 LEWIS TUMMY L LEWIS TOMMY L 11.12- X 1 B6837H WILEY MIX WILEY FERLIX 894.74 X 1 B68583 COLEMAN JOSEPH JR COLEMAN JOSEPH JR 31.12 X 2 B44253 SUGGS ALBERTA SUGGS ALBERTA 125.65 X 2 B65710 FINLEY CRAMS FINLEY CRAMS 62.4E X 2 R66962 MENDOZA EUSEBIO MENDOZA EDSEBIO 58.87 X 2 B67111 PEEPLES PAUL E PEEPLES PAUL E 214.53 X 2 867115 SEGURA FELICITA SEGURA FELICITA 261.58 X 2 B67902 STALEY JANE STALEY JANE 174.11 X 2 B67683 CARDONA RUPERTA CARDOIA RUPERTA 112.71 X 2 B67731 WILLIAMS PATSY WILLIAMS PATSY 16.96 X 2 B68191 ORTA SAN JUA[A CHIA SAN JUANA 37.17 X 2 B68400 VILLAFOERTE DOLORES VILLAFOERTE DOLOREB 127.73 X 2 B68773 CAMACHO EENITA CAMACHO BENITA 225.02 X 2 B68775 MENDEZ MARY P MENDEZ MARY P 225.02 X 2 B68813 ALEXANDER VIOLET L ALEXANDER VIOLET L 212.39 X 2 B69036 HUTH BERNICE RUTH BERNICE 71.51 X 2 869190 RIELY S B RIELY S B 22.55 X 2 B69280 IRWIN RANGY IRWIN NANCY 18.96 X 3 B6715B WOODARD RAYMOND WOODARD RAYMOND. 27.75 X 3, B67976 ROGER$ STANLEY GENE EDGERS STANLEY GENE 11.50 X 3 B68656 CASTILIA JESSE E CASTILLO JESSE E 23.75 X 3 B68957 WARREN BOBBY WARREN BOBBY 22.00 X 3 B68853 GONZALES SAMUEL GONZALRS SAMUEL 13.00 Subtotals 3156.47 Grand totals 203294.00 Total lines = 362 PAGE 10 59 78'7 County Name rAr,H0iTN Report Month/Year NOVEMBER 2004 I.. Application /Case Data Cases 1. Applications Approved During Report Month 13 2. Applications Denied During Report Month 1, 05 3. Active Cases Denied During Report Month 17 II. Creditable Expenditures During Report Month 1. Physician Services $ 16744.25 2. Prescription Dru s $ 26909.95 3. Hospital, Inpatient Services $ 26464,93 4. Hospital, Outpatient Services $ 45623,08 5. Laborato /X-Ra Services $ 906.99 6. Skilled Nursing Facility Services $ .00 7. Farnily Planning $ .00 Subtotal $ 116649.20 Equals (=)REPORTMONTH TOTAL S 116649 .20 FISCAL YEAR )1.61n.r uv Signature of Person Submitting Report Name and Title TOTAL $ 1624884.70 Date Coordinator 60 m • • • • • s 1► 1►Y Y I N 1. I 1. IT r v CASE NAME ADDRESS BIRTH SS# ElJG. 004248 AGUILAR, 610 GTY RD.101 #16 - DATE DATE DYLSIA(CAMPOS. JOSE PORT LAVACA, TX 12/18/70 N/A 7126104 004248 AGUILAR, JORGE 1116 SCHOOLEY ST. PORTLAVA TX 1/26/89 N/A 7/26/04 004248 AGUILAR, GERARDO - 610 CI'Y RD 101 #16. - 10/14/90 PORT LAVACA, TX N/A 726/04 003461 ARAIZA, ALICE BOX 126 GUADALUPE RIVER TNOLI TX. 07/24/43 464-66-2021 0129/98 004125 ARCHANGEL, CL.Etv1ENCIA 503 S. SAN ANTONIO - PORT LAVACA, TX 1120 75 459-81-3087 11/25/03 004296 ARMOLA, FRANK 602E S. COLORADO PORTLAVACA,TX 3-1.64 450-37-4001 9-29-04 004190 ARREDONDO, CONNIE 233 ALCOA DR. #703 PORT LAVACA, TX 10/17/47 449-74-3524 4/13/04 003265 AVII.A, AURORA 129 SEASCAPE 09/05/34 PORT LAVACA, TX NIA 10/04/96 004209 BAILEY, JOHN 848 MARGIE TEWMEY PORT LAVACA, TX 2/16/51 045-46-4726 4/2/04 004209 BAILEY, SHARON 848 MARGIE TEWMEY PORT LAVACA- TX 4/30/42 326-00-0324 428/04 004206 BAKER, ANDY 2177 HOLLOMAN RD PORT LAVACA, TX 8/20/88 461-21-0925 513/04 004254 BAL.DERA, RAQUEL 126 AVE D 11/25/71 PORT LAVACA, TX 463-37-6784 724/04 004254 BALDERA, SAMMY 126 AVE D 12/5n2 PORT LAVACA,TX 454-51-3521 8/1/04 003860 BARRINGTON, CONNIE Z39 CHARLOTTE 1130/6 PORT LAVACA, ACA, TX 467-47277 09/11/01 004018 BAZAN, NOE 316 % WAUSTIN OS/3 U56 PORT LAVACA, TIC 450-06-7979 0326103 004290 BELLAH, CULLEN PO BOX 294 2-20-81 PORT LAVACA,TX - 455-895106 9-10-04 003554 BERNARDINO, ' PO BOX 1337 GUII.LERM NA PORT LAVACA, TX 6/28/85 N/A 10/7/98 004289 BLANCO, MAURICIO 714 S. SAN ANTONIO 1-16-72 PORT LAVAC TX 639-22-3793 9.5_04 004289 BLANCO, VERONICA 714 S SAN ANTONIO ARELLANO PORT LAVACA, TX 10-10-74 N/A 9-27-04 004111 BLEVINS, KELLY 423 N. GUADALUPE 9/28/84 PORT LAVACA, TX 640-10-5736 10/26/03 004051 BOYKIN, GEORGETTA 110 AIRLINE PORT LAVACA, 0123/64 08/06/03 TX 456-41.6428 004092 BRADFORD, MARSHALL PO BOX 848 PORT O'CONNOR, 9/8/48 824 03 TX 465-84-8706 003879 BRICENO, MARTHA 112 DALE ST. PORT LAVACA,TX p4/09/69 02/14/02 N/A 004000 BROWN, HARVIE 1100 S. BENAVIDES PORT LAVACA, 09/30/42 02/14/02 TX 463-62-3215 003611 CALDERA, JESSE 1309 W. TILLEY PORT LAVACA, Ol/15/63 05/03/99 TX 457-37-9401 003701 CALZADA, ABIGAIL PO BOX 1278 PORT LAVACA, TX 02/1U31 02/16/00 463-84-3022 61 of 004248 CAMPOs JOSE 610 CI'YRD 101 #16. 10/3n7 7 26/04 PORT LAVACA, TX N/A 004093 CANADA,RICKY 33L AMO)EACHAVE 7-23-56 I1-1-04 VACA 464-98-7147 003661 CARBAJAL, GUADALUPE 1418 MEADOWVIEWPORT 4/24/85 9/29/99 LAVACA. TX NIA 003661 CARBAJAL, MARIA 1418 MEADOW VffiW 08/02/48 - 09/26/99 PORT LAVACA, TX 456-23-3045 004236 CARRILES, ABEL PO BOX 305 PORT O CONNOR, TX 11/17/48 466-87-1797 6/13/04 003004 CASTIL.LO,. CRISTOBAL 611 OAKLAND AVE 4/9/86 7!6/04 SEADRIFf, TX NIA 004131 CASTILLO, JENNIFER 709 S. COLORADO 12 29/92 12 3/03 PORT LAVACA, TX NIA 003004 CASTILLO, JOSE 612 OAKLAND AVE. 1/13/59 7/6/04 SEADRIFT,TX NIA 003004 CASTILLO, M[LEIDY 611 OAKLAND AVE 9/17/89 7/6/04 SEADRIFT', TX N/A 003004 CASTILLO, NOELIA 611 OAKLAND AVE 10/26/62 7/6/04 SEADRIFT, TX NIA 003004 CASTILLO, 2ULMA 611 OAKLAND AVE 8/19/84 7/6/04 SEADRIFT, TX NIA 004201 CAUSEY, MESSY 401 SUNNYDALE 10/9n6 4/12/04 PORT LAVACA, TX 465-79-7652 003554' CERVANTES, EDILIA PO BOX 1337 PORT 03/08/60 10/07/98 LAVACA, TX - N/A 004103 CESMAS, CL.EX ENTINA 115 OAK GLEN #202 4/30/61 4/26/04 PORT LAVACA. TX 633-78-5022 004291 CHANIK, BLANCA, 223 N. BANAVIDES 12-25-37 9-27-04 PORTLAVACA,TX 635-346604 004291 Nam' LYND�, 223 N. BENAVIDES PORT 3-2567 9-16-04 LAVACA, TX 456-41-9703 004103 CHARL.ES, MAMIE 161 MORALES RD. SEADRIFT', 6/28/50 10/31/03 TX 458-90-8971 004038 CLXNE, CHERI PO BOX 996 SEADRIFT, SE 07/26/54 06/23/03 TX 456-84-2693 004170 COEN, ROBIN 11 HOUSTON ST. 6/13n4 3/5/04 PORT LAVACA, TX 467-33-0440 PO BOX 267 (NO LONGER 004265 COFFEY, DANIE[, ABLE TO RECEIVE MAIL) 9-3-53 455-966336 8-14-04 SEADRIFI', TX 004301 COFFEY, ROY, PO BOX 303 PT LAVACA, TX 12-2364 465-19-9974 10-18 04 004159 CONTRERAS, JOSE PO BOX 241 SEADRIFI, 6/14/92 2/23/04 TX N/A 004159 CONTRERAS, MARLA PO.BOX 241 1/5/90 SEADRIFr, TX N/A 1/30/04 004232 CORDELL, LINDA 716 N. OCEAN DR �ORT 7/13/60 LAVACA, TX 452-43-7550 6/17/04 004232 CORDELL PERRY 2716N.OCEAN DR - PORT LAVACA, TX 460-29-8292 004226 CRAINEI� KELLY PO BOX 22 6/19/69 1/1214 SEAADRIFr, TX 462-67 3276 004259 CROBER, KENNETIi 1319 EDI DR - PORT 1/19141 8/10/04 LAVALAVAC-TX 460-80-3616 003864 CRONE, JULISSA PO BOX 826 ol/22/8 1 11/07/01 PORT 0 CONNOR, TX 463.61-5048 62 790 is • • • 004197 CUELLAR, LOSE - 515 BAY ST. PORT LAVACA, TX 1/7/50 457-88-1513 4/26/04 003825 CUELLAR, RAQLM 205 INDIANOLA PORT LAVACA, 2X 12/06, 72 467-53-9817 07/03/01 004129 004286 004044 004318 004131 004131 003138 004185 004176 004278 004315 004294 003762 004280 004150 004130 DELACRUZ, ADELLA DELACRUZ SR., JADv E DELAGARZA, BLIDA DELBOSQUE, OLGA DELGADO, EI�ME IA DELGADO, TIRSO DIERCKS, CAROLINE DIL EI ROBERT DONAHUE, LOUELLA DOWN, BARBARA ESCOBAR, MARKUS -- ESQUIBEL. ELFIGO ESQUIVEL, DAVID ESTRADA TERESA EZ?rrCC.L, LAMES FALCON, IOE - PO BOX 1464 PORT LAVACA, TX POBOX 1464 PORT LAVACA, TX 612 HALF LEAGUE #32 PORT LAVACA, TX PO BOX 448 PT COMFORT, TX 709 S. COLARADO PORTLAVACA, TX 709 S. COLORADO PORTLAVACA,TX 891IDGE WATER PORT LAVACA, TX 610 S. B,NAVIDES PORT LAVACA, TX 501 W. CLEVELAND ST, SEADRIFT, TX - - 423 S. NUECES PORT LAVACA,TX PO BOX32 SEADRIFT,TX 619 N. TTtWiI Y #LOB PORT LAVACA, TX 415 N. GUADALUPE PORT LAVACA, TX 612 HALF LEAGUE #8 PORT LAVACA, TX PO BOX 377 POINT COMFORT, TX 613 BONORDEN PORT LAVACA., TX 7/3/51 6-26-60 09/06/43 2-13-46 10/4/62 1128/54 02/28/49 6-19-74 10/2/47 5-23.62 4-6-64 11/18/54 06/20/55 10-14-52 8/18/63 4/26/54 455-96-7275 N/A 641-01-0702 461-47-6646 N/A N/A 343-36-4614 372-80-3283 460-80-9437 450-45-9029 _456-57-0341 460-99-9841 463-02-6721 455-96-5902 467-31-8590 467-94-5614 3/5/04 9-5-04 07/21/03 10-26-04 12/3103 12/3/03 04/11/96 11-1.04 3/14/04 8-29-04 11-1-04 9-29-04 07/14/00 7-29-04 11/9/03 12/3/03 004151 FELLERS, lOHN 511 S. VIRGINIA PORT LAVACA, TX 4-1-66 450-57-6939 1-19-04 003981 FLORES, ANDREA 414 S. LAVACA PORT LAVACA, TX 09/11/81 N/A 01/07/03 003980 FLORES, CLAUDIA 414 S. LAVACA -PORT LAVACA, TX 02/02/72 N/A 01/14/03 003736 FLORES, IRENE 414 S. LAVACA PORT LAVACA, TX. 06/18/65 N/A 05/08/00 004123 FLORES, PATSY PO BOX 1158 PORTLAVACA` TX 3-4-58 465-21-1650 9-27-04 003915 FOSSATL JOEL 479 POWDERHORN PORT LAVACA TX, 03/24/61 467-19-0679 06/24/02 004080 FRANCO, SIMONA 233 ALCOA DR- #901 PORT LAVACA, TX 12/23/47 454-76-4371 9/24/03 003706 FREDERICK, ANGELA 306 HOLIDAY LANE #1 PORT LAVACA, TX OS/15/70 455-69-8813 02/19/00 004094 FUENTFZ, 1UANITA PO BOX 213 - PORT LAVACA TX 7/24/49 45-78-0720 ]0/2/03 004138 GAINES, CHERYL POBOX 782 SEADRIFT, TX 2-15-76 459.61-9102 16-22-04 63 79 004198 FUMES GALO, NANCY 115 OAKGLEN *202 12/24/90 4/27/04 PORT LAVACA, TX N/A 004198 FUMES GALA, RIGOBERTO 115 OAKGLEN *202 PORT 3130/88 4/27 04 LAVACA, TX N/A 004218 GARCIA, ADELFA 1702 N. BENAVIDES 6/26/47 PORT LAVACA, TX 466-82-2168 3/24/04 003897 GARCIA, DEMETRIA PO BOX 92 PORT 0 CONNOR, TX 12/22 35 N/A 03/19/02 004089 GARCIA, MARY C. - PO BOX 1106 PORT LAVACA, TX - 11/23/49 4.60-80-3694 8/20/03 004052 GARCIA,TANGALEEN 102 S. MAIN 11/28/58 7127/03 APR d66-29-2909 004008 GARZA, CLARA BOX 4TX SEADRIFT, TX 2 23/54 464-92-4634 6/17/04 004257 GARZA, ESPFR AN7n 1309'h SPRINGWOOD LANE 12/17/64 7/1/04 PORT LAVACA, TX 459-25-7069 004288 GARZA, LORENZO 612 HALF LEAGUE #2 10-17-74 8-25-04 PORTLAVACA, TX N/A 004119 GIL, OLIVIA 612 HALF LEAGUE #51 12/28/69 PORT LAVACA- TX N/A 11/21/03 003965 GODINAZ, LEONARD 502 BENAVIDES - -PORT LAVACA, OS/02/42 11/14/02 TX 628-05-1509 004250 GONZALEZ, FLORENTINO PO BOX 372 PT CONTORT, 6/17/56 7/28/04 TX 455-116588 1 004240 GONZALEZ, IVAN 610 W. WILSON PORTLAVACA, 4/10/85 7.b.p4 rX N/A 003956 GONZALEZ, SHARON 108 CARBIDE RD PORT LAVACA, 07/02/64 10/21/02 TX 263-61-1677 004210 GRANADOS, ROBERTO PO BOX 1366 9/11/69 5/7/p4 PORT LAVACA, TX N/A 003867 HAMILTON, ARETHA 1304 TIL EY PORT LAVACA, 03/04/63 12/05/01 TX 465-35-7645 004256 HAWKINS, JAMES 1100 ALCOA DR 430 10/30/55 PORT LAVACA, TX 453-13-4176 7/31/(M 004256 HAWKJNS, JOANNA 1100 ALCOA DR #30 2/3/45 PORT LAVACA, TX 455-70-8542 8/6/04 003249 HEIT, JOYCE PO BOX 238 SEADRIFT, TX - 11/16/50 09/12/96 45f 004243 HELMS, LARRY POBOX233 3/14/43 SEADIN,X 8 7/4/04545003478 HERNANDEZ, LORENO 2 08/09/41 03/12J98PORTLAVACA. TX 48-5610 004239 HERNANDEZ, LUCIA 918 W. LEONA 12/19/62 PORT LAVACA, TX 450-79-2271 7/5/04 004091 HERNANDEZ, MARINA PO BOX 290 1/2 83 PORT LAVACA- TX 455-596075 10-15-03 004262 HERNANDEZ, VINCENT 1514 BUEKEDALE 5-18-68 PORT LAVACA, TX 453-73-7345 7-27-04 004155 HEYSQUffi2DO, BRENDA 310 ALCOA #12 11/8l70 PORT LAVACA, TX 465-49-2725 6/1/04 004175 HEYSQUIERDO, CAROLYN PO BOX 420 913/48 PORT LAVACA, TX 456-82-7280 3/25/04 003474 HOLT, JOANN PO BOX 320 POINT COMFORT, TX 11/12I56 458-23-0148 02/18/98 004208 HUGHES MARL, 1100 ALCOA DR #7 3/17/48 PORT LAVACA, TX 459-72-5708 4/25/04 64 792 • • • 003950 IBARRA,ANDREA 004025 JACKSON, CARLA . 004124 JACKSOI- LAVER 003908 JARAhULLO i.TCA -W3430 JARAAIIII,O, NOBERTO 003430 .JAR Ajm 1 n NOBERTA 003430 JARAMIILLO, DRALIp -003430 JARAM 1O.RAUL 004224 JJMENEZ, MARY • -ON260 JOHNSON, IDA 004260 JOHNSON, KEVIN 004161 KESTER, ROBERT D04032 KNOWLES, JOSEPH 004121 KURTZ, RAYMOND 004238 LARA, JUAN QUEVEDE . OD4284 LAVJOLEITE, CMUS 004279 LE, HUYEN TEE 004181 LONGORIA, RENE 003799 LOPEZ, ABENAMAR 004266 LOPEZ, ADAM 004140 LOZANO, ARMANDO 004093 LOZANO, ESMER Ar nA 004088 LOZANO. JANIE • 004272 LOZANO, JOSEPHIIM 003995 LUERA, NUCHAEL 003989 MCCLOSKEY, MICBELLE 003924 MCDANIM, JOHN 004179 MCILWAIN, JOHN 4-14 S-LAVACA PORT LAVACA, TX 0=6134 306-t.A RM i1`J?m2E.1CING PORTLAVAI-A TY 11/29/61 3-10-80 -O6/lb(61 09/01/61 -0I/12188 t`1�►_\�771011fID1 POWT LA Tom... 11113/44 1k5-S-3FSA?FITA PORT LAVACA, TX 311vm i45 S. JUANITA PORT LAVACA; TX W15/62 106 AVE C PORT LAVACA, TX 2/26/50 . 91 W. DOLPHIN PORT LAVACA, TX -68/0376J 1277 E. Ri4XWEL1, PORTLA:VACA, TX 7-6-52 119 N. SAN ANTONIO . PORT LAVACA, TX 10/9/62 2251LEON DR PORT LAVACA, TX 8-25-90 3.L9 S. NUECES PORT LAVACA, TX 7-12-73 511 N. BENAVIDES PORT-LAVACA, TX 11/25/59 619 N. TRINITY #9 PORTLAVACA-TX 04/03/54 300 WAREHOUSE PORT LAVACA- TX 10-13-72 610 C R Wl PARK PLAZA LAT#12,PTLAVACA 12/23/54 177 MARIA ST. PORT LAVACA, TX 10/26/65 1815 W. GEORGE 411 PORTLAVA 7/30/50 WOCAEGE PORT LAVACA- TX 12-25-67 PO BOX 1035 PORTLAVACA,TX 06/21n4 PO BOX 722 PORT 0 CONNOR, TX 7n/62 PO BOX 401 PT COMFORT, TX 08/19/52 77 GUADALUPE RIVER DR TIVOLL TX 2/15/84 NFA N/A N/A N/A 449-29-0 538 65 09/24/02 D5/07/®3 1I-?5.03 9-29-04 12/15/97 -12/15/97 -09/12/97 12/15/97 -68/04 8110/04 8/1/04 2/19/04 -06/04/03 8-17-04 5115104 9-3-04 9-3-04 4/2/04 02/27/01 8-3-04 Jn/o4 10/23/03 11/6/03 7-19-04 12/25/02 7/1/04 07/03/02 12/19/03 793 004095 MALDONADO, 1627 OREN 3!1/47 10 24/03 CONCEPCION PORT LAVACA, TX 465-92-7592 003946 MAREK, AUDREY PO BOX 136 10/31/51 10/2ll02 SEADRIFL. TX. -464-86-2283 004223 MAREK,EDDIE 3 SWANSPOINT RD. 10/31/72 6/2/04 SEADRIFT, TX 77983 453-75-0332 002228 MARTINEZ, ANITA 1508 AVALON 09/03/46 OS/01194 PORT LAVACA, TX 451-74-3536 003897 MARTMEZ, AURORA 209 JUA.NITA 08/20/44 03/19l02 PORT LAVACA, TX 449-72-1829 004276 MARTINEZ, GERARDA 2111 W. AUSTIN #14 10-3-70 5-31-04 PORT LAVACA, TX N/A 004275 MARTINEZ, GONZALO 1925 CENTRAL 1-10-39 8-13-04 PORT LAVACA, TX 456-89-0106 004246 MARTINEZ, MARINO 605 BROOKOLLOW 7/18/48 7/19/04 PORT LAVACA, TX N/A 003842 MARTTNEZ, OSCAR PO BOX 34 SEADRIFT, 09/24/42 09/10/0] TX 465-60-9697 001152 MARTTNEZ, PETRA PO BOX 452 SEADRIFT, TX. 02/18/31 N/A 0325/91 004159 MARTRIM, VERONICA PO BOX 241 SEADRIFT, 7/18l73 2/20/04 TX N/A 004159 PETRA 24 1Tx CMARTINEZ,RUNE CATALINA �R 4/24/96 N/A 2123/04 004146 MATSON, JULIA PO BOX 1575 PORT LAVACA, TX 11/5/62 451-37-2827 12 3/03 005056 MAUER, KATHY PO BOX 1253 0980/73 08/09/03 PORTLAVACA,TX 463-77-2199- 004065 MAYBERRY, GREGORY 4-48 W. KRUSE AVE 12/29/53 8/1J04 PORT LAVACA, TX 530-46-4440 004065 MAYBERRY, MARGARITA 448 W. KRUSE AVE 6/1/53 8l2/04 PORT LAVACA, TX 458-02-1618 004214 MAYORGA, MARIO 612 HALF LEAGUE #29 12/3/68 5 21l04 PORT LAVACA, TX 451-49-0306 004258 MELENDEZ, SAUL 619 N. TRINITY #5B 10-31-81 5-10-04 PORT LAVACA, TX 183-65-2105 004011 MMJNA,KART PO BOX1418 PORT LAVACA, Tx 07/25/54 459-31-3621 03/18/03 004283 MENDEZ, ROBERT 702 W. MAHAN 5-3-80 PORT LAVACA, TX 462-89-7117 6-4-04 004241 MENDOZA, PATRICIA 1811 HOLLOMAN DR 4/14/60 PORTLAVACA, TX 466-21-0705 7/12/0 004273 MIKOLAS, LESLIE PO BOX 564 SEADRIFT, 2-14-63 9-1-04 TR 45843-1918 003760 MONROY, DELFINA 505'/, W. MAIN 11/02/50 PORT LAVACA. TX 465-92-9635 09/28/00 004234 MONTEMAYOR, JOSE PO BOX 1594 PORT LAVACA, 2-17-51 6-24-04 TX NIA 004253 MONTEMAYOR, MIGUEL PO BOX 1722 9-28 67 PORT LAVACA, TX - 632-32-5704 8-2-04 004234 MONTEMAYOR, ESTHELA PO BOX 1594 7-21-53 PORT LAVACA, TX N/A 7.2-04 004137 MONTGOMERY, CHARLIE PO BOX 841 5/1/59 SEADRIFT. Tx 466-06 8490 10 28 03 004314 MOORE, LINDA ANNEITE 1100 ALCOA DR 4122 PTLAVACATx 5-26-71 463�7_3989 9-29-04 66 794 • • • • • 004269 MORALES, JOSE 619 S. SAN ANTONIO PORT LAVACA, TX 4111756 N/A 7-30-04 004300 004112 0041I2 004229 W4102 004167 004127 004249 004316 004178 MORALES, SAMUEL MUNIZ, GREGORIO MUNIZ, YOLANDA MUNOZ, JOSE MURPHY, JONATHON NEAL, FRANKLIN NGUYEN, LIEU THI NIETO, SANDRA OAKLEY, JOY OCHOA, JOSIE 300 WAREHOUSE PORT LAVACA, Tx 608 W. WILSON PORT LAVACA, TX 608 W. WILSON PORTLAVACA TX 311 LAVACA ST. PORT LAVACA, TX 405 ROYAL RD. PORT LAVACA., TX PO BOX 536 SEADRIF I TX PO BOX 638 SEADRIFT, TX 1123 TILLEY ST, PORT LAVACA, TX 295 DAVIS RD SEADRIFT, TX 412 S. NUECES PORT LAVACA, TX 6-14-60 5/9/66 11/26/66 10/28/58 2/7n9 6/20158 12/27/45 3nn1 8-22-56 6/20/54 463-19 81I2 466-93-4785 461-53-7712 467-82-9165 460-45-0086 450-31-7981 586-46-.1262 N/A 451-04-8341 466-31-9335 10-6-04 l ln/03 11/7/03 5/12/04 718/04 2126/04 12/1/03 7/26/04 10-25.04 3/22/04 004235 004244 004237 003730 004255 004298 ODELL, CANDICE ODELL, SUE ANN OLIVAREZ, ISABEL ORTIZ, ANTONIO OZUNA, EPOLITO PASS III, WI r AM PO BOX 458 SE 'TX PO BOX 602 SEADRIFI', Tx 213 LASALLE ST. PORTLAVACA TX 608-A PARKVIEW PORT LAVACA, Tx 1103 W. LEONA PORT LAVA TX 714 S. VIRGINjA PORT LAVACA., TX 5/3n5 12/8/54 12/8/53 11/15/42 1017153 7-21-53 462-31-0215 455-02-6266 460-90-2545 451-66-9311 467-946616 458-06-1335 6/15/04 7120/04 7/6/04 01/18/00 8/4/04 10-4-04 004075 PATTa LO, ROSE 1100 ALCOA DR #8 PORT LAVACA, TX 7/26/55 459-17-8818 8 27/03 004252 pELKEY, DEB ORAH 310 GLENBROOK PORT LAVACA, TX 5/10/57 458-19-0063 7/30/04 004134 PENA, SAMUEI, 1001 SCHOOLEY ST. PORT LAVACA, TX 1/22/84 466-77-1212 12/15/02 004037 PEREZ DULCE 818 W. LIVE OAK PORT LAVACA, TX 07/15/92 N/A 06/07/03 004037 PEREZ SR, Er.Tn c 818 W. LIVE OAK PORT LAVACA, TX N/A 06/07/03 004037 004037 PEREZ JR, ELIAS 1�N�1�'P11=Z� FRANCLSCA 818 W. LIVE OAK PORT LAVACA, TX 818 W. LIVE OAK PORT LA% TX 07/23/94 10/10/64 N/A N/A 06/07/03 06/07/03 - 004037 - 004037 PEREZ, MARIA DE LA LUZ PEREZ, At RIA DE LOS ANGELES 818 W. LIVE OAK PORTLAVACA TX 818 W. LIVE OAK PORT LAVACA, TX 02/10/88 11/15/95 N/A N/A 06/07/03 06/07/03 004037 PEREZ, MARIAEL.i7ABETR 818W.LIVEOAK PORT LAVACA, TX 06/02/86 N/A 06/07/03 004061 PEREZ, REMU10 PO BOX 226 PORT LAVACA. TX 04/27/48 459-78-2194 08/1UO3 67 795 003553 PEREZ, URSULA PO BOX 1534 10/17l43 10/07l98 PORT LAVACA,TX N/A 004037 PEREZ, ZOYLA 818 W. LIVE OAK 10/2U89 06/07/03 PORT LAVACA, TX N/A 004212 PIPES, DONALD 618 S. ANN 12/20/57 5/18/04 PORT LAVACA, TX 449-13-5917 003875 PRESSLEY, TROY 627 W. GEORGE#139 06/23/70 01/17/02 PORT LAVACA, TX 498-72-8676 004193 PRESTON, MARY 334 ALAMO BEACH AVE 2_25-55 11-1-04 PT LAVACA, TX 451-02-0339 003865 PRINCE, DIANA 206 SEAGREEN 09/08/55 11/04/01 PORT LAVACA, TX 454-04-1133 004293 PRINCE, SALINA I IS LAVILLA 4/4/77 9-17-04 PORT LAVACA, TX 461-71.4844 004204 RAM11= JOSS DE JESUS PO BOX 347 3/24/86 5/4/04 POINT COMFORT, TX 618-27-7069 004184 R AMIREZ, MEL,ISSA 86 AVE AEAST 7/19no 4/8/04 PORT LAVACA, TX 459-39-7937 004302 REYES, CHRISTINA 530 W. LIVE OAK PORT LAVACA, TX 12-21-69 466-25-4747 9-24-04 004304 REYES, JOE 1315 SHOFNER PT LAVACA, TX 2-11-43 451-66-9409 9-27-04 004304 REYES, OLIVIA 1315 SHOFNER PT LAVACA, TX 11 - 465-74-6433 10-18-04 004048 1 RHYNE, AUTUMN PO BOX414 PORT O CONNOR, TX 10/13/84 462-77-8887 08/03/03 004086 RIVERA FRANCES PO BOX 1538 PORT LAVACA, TX 6/13/57 454-04-0695 10/1/03 004086 RIVERA, FRED PO BOX 1538 3/21/58 10/1/03 PORT LAVACA, TX 465-92-9812 004292 RIVERA, MICHAEL 1604 HOLLOMAN DR 12-24-83 8-30-04 PORTLAVACA, TX 440-86-2305 003713 ROBLEDO, ESTELLA 612 E. AUSTIN SEADRIIT, TX 05/23/56 264-45-9056 01/I1/00 004040 ROBLES, BRENDA 410S. LAVACA PORT LAVACA, TX 08/09/62 455-15-8512 07/01/03 004066 RODRIGUEZ, ARMANDINA 607 N. NUECES 8/8/58 9/11/03 PORT LAVACA, TX N/A 004303 RODRIGUEZ, BALDO 614 S. ANN PORT LAVACA, TX 9-25 65 462-97-6922 10-1-04 004066 RODRIGUEZ,-CAMILO 607 N. NUECES 7/18/56 9/6/03 PORT LAVACA, TX N/A 004303 RODRIGUEZ, OLGA 614 S. ANN ST PORT LAVACA, TX 4-11 68 631-34-2690 10-15-04 003939 RODRIGUEZ, ZOILA 414 S. LAVACA 11/11l14 08/22/02 PORT LAVACA, TX N/A 004220 ROGERS, INA 423 S. JUANITA PORT LAVACA, Tx 11/22/65 457-55-7664 5/18/04 004102 RUSSELL, CHASTTY 405 ROYAL RD. 1/2/80 7/8/04 PORT LAVACA TX 495-82-3218 004162 SAENZ, MANUEL 233 S.ALCOA#804 9/1981 2/24/04 PORT LAVACA, TX 464-55-4918 004110 SALAZAR, IRENE 1812 OREN ST. PORT LAVACA, 11/15/54 11/7/03 TX 457-13-2809 003752 SALINAS, AURORA J 512 N. COLORADO PORT LAVACA 77 12 26/42 08/18/00 463-6"900 M 796 • • • • • 004200 003772 004264 003625 004054 004281 004219 004219 004219 004219 004077 004077 003370 003979 00426] 003874 004217 003991 SANCHEZ, IRENE SANCHEZ, JANIE SANCHEZ, JOSEP14 SANDOVAL, JOSE SEE, JAMES SILGERO, MARCELA SILVA, DELFINA PALOMO SILVA, ERWIN SILVA, KEVIN SILVA, RAUL SLATE, ELIOUSE SLATE, RICHARD SOTO, JUAN SPARKS, )ERRy SPITZER, ALAN STRINGO, ESMERALDA TAMAYO, DOMINGO TAYLOR, ROBBI 320 SEADRIFT PORT LAVACA, TX 308 S.JUANITA PORTLAVACA,TX 308 S.JUANJTA PORT LAVACA, TX 709 S. COLORADO PORT LAVACA, TX PO BOX 725 SEADRIFT, TX 10408 STATE HWY 35 SOUTH PORT LAVACA, TX 612 HALF LEAGUE #16 PT LAVACA, TX 612 HALF LEAGUE #16 PT LAVACA, TX 612 HALF LEAGUE #16 PTLAVACA, TX 612 HALF LEAGUE 416 PTLAVAC TX PO X BO823 SEADRJTT TX PO BOX 823 SEADRIFT, TX 619 N. TRINITY #11B PORT LAVACA, TX PO BOX 1223 PORT LAVACA-TX 420 RANDLE PORT LAVACA, TX 1100 ALCOA 4F25 PORT LAVACA, TX POBOX 920 SEADRIFT, TX 77993 PO BOX 22 PORT 0 CONNOR, TX 9/14/63 04/30/51 11-18-82 12/30/23 06/24/64 8-13-44 12-24-48 8-7-90 12-16-91 5-17-69 5/19/42 3/16/60 08/31/60 10/19/53 5/7/57 08/10/46 4/29/65 04/04/59 458-35-9669 467-94-5094 458-93-9958 N/A 467-15-3520 463-70-4001 N/A N/A N/A N/A 209-36-6224 436-27-3105 466-25-7116 455-02.6571 267-35-5595 451-49-6459 467-37-1856 464-19-7775 3/3/04 11/15/00 8-12-04 05/20/99 09/18/03 9-27-04 10-22-04 10-22-04 10-22-04 10-22-04 9/11/03 9/11/03 07/03/97 12/17/02 8/4/04 01/17/020 5/6/04 02/06/03 004194 TELLEZ, CATARINO 610 ELLA ST. PORT LAVACA, TX I2/6/42 453-99-5612 1/14/04 004062 003871 THOMA S, JANA THROWER, WINONA 820 HACKBERRY PORT LAVACA,TX PO BOX 374 SEADRIFT, TX. 9/12/64 06/01/49 448-62-7178 436-64-9633 8/19/03 11/28/01 004295 TORRES, ANGELITA 117 S. JUANITA PORT LAVACA, TX 6-29-65 461-33-3705 9-1-04 004245 TREVINO, DOMINGO 264 MARIA ST. - PORT LAVACA, TX 4/19/67 - 467-55-2098 7128/04 004016 URESTE, ANDREW 948 CARVARAL RD SE,gDgg-I, TZ{ 7/27/53 449-082624 9-22-04 003700 VARGAS, DELIA 310 ALCOA 012 PORT LAVACA, TX 09/12/76 N/A 05/28/02 004001 VELASQUEZ, ADELLA 417 W. RAILROAD PORT LAVACA, TX 09110/51 467 9q-6177 02/19/02 .003773 VILLARREAL, ANGELICA PO BOX.843 SEADRIFI, TX 07/3U87 466-55-0497 11/02/00 001181 VILLARREAL, JOE 4616 HWY 35 SOUTH PORT LAVACA, TX 06/28/43 462 66 4073 04/25/91 69 797 04271 VILLARREAL, MARY A - 1302 SHOFNER PORT LAVACA, TX 2-12-52 455-02-5657 9-10-04 04192 100.03527 Viii ARREAL, ROSEMARY PO BOX 8439/3/50 SEAD=,TX 460-90-4959 4/21/04 Vii i ARREAi , SALOME 2302 LARRY PORT LAVACA, TX. 03/03/54 461-•42-9937 08/24/98 004106 WALDEN, GRML PO BOX 423 PT. O'CONNOR, TX 8/29/63 259-33-6926 2/12/04 004215 WALLACE, RAQUEL PO BOX 528 PORT LAVACA, TX 12/21/41 464-72-1384 3125/04 004055 row WALLACE, TERESA 532 N. COMMERCE PORT LAVACA, TX 06/16/64 569-19-8273 08/18/03 003691 WARREN, PATRICK PO BOX 229 POINT COMFORT, TX 03/17/59 462-11-7190 Ol/07/00 004222 YBARRA, ROSALINDA POBOX 184 POINT COMFORT, TX 5/21/46 465-74-7078 5110104 004035 ZAMBRANO, MICHAEL 104 KMLNK RD. PORT LAVACA, TX 01/22 63 461-23-2293 05/18/03 004101 ZAMORA, HECTOR 519 S. SAN ANTONIO PORT LAVACA, TX 8/4/64 384-68-2606 10/2103 004157 ZAMORA, PATRICK 1620 W. MAIN LOT 12B TX 8/1177 464-9] 4899 215/04PORTLAVACA 004157 ZAMORA, SHEILA MAIN 123 PORT LAVACA, TX 228 465-074963 2/10/04 70 m • • 0 • MEMORIAL MEDICAL CENTER PATIENT STATISTICS OCTOBER 2004 THIS MONTH THIS MONTH LAST YEAR THIS YEAR TO DATE LAST YEAR TO DATE PATIENTS ADMITTED ADMISSIONS FROM ER AVERAGE LENGTH OF STAY PATIENT DAYS OF SERVICE PERCENT OF OCCUPANCY" AVERAGE DAILY CENSUS MAXIMUM ON ANY ONE DAY MINIMUM ON ANY ONE DAY ADJUSTED PATIENT DAYS 107 52 3.98 426 54.97% 13.74 21 6 1,430 97 42 3.88 376 25.27% 12.13 2127. 6 1,458 1,140 605 3.80 4,330 29.58% 1420 2 14,332 1,156 588 3.79 4,377 30.00% 14.40 27 0 13,855 SWING BED DAYS 36 6 159 6 �CU PATIENTS ADMITTED CU,PATIENT DAYS 25 63 15 50 280 603 276 635 OB'S ADMITTED OB DAYS OF SERVICE 13 28 18 48 156 368 164 388 PEDIATRIC ADMISSIONS PEDIATRIC DAYS OF SERVICE 10 24 2 3 42 91 33 89 NEWBORNS FOR MONTH AVERAGE LENGTH OF STAY DAYS OF SERVICE 10 1.90 19 17 2.24 38 128 2.12 271 141 2.02 285 MEDICARE PATIENTS ADMITTED AVERAGE LENGTH OF STAY DAYS OF SERVICE 51 4.69 239 47 4.45 209 568 4.46 2,533 579 4.46 2,584 MEDICAID PATIENTS ADMITTED DAYS OF SERVICE 19 56 20 59 203 529 200 547 DEATHS AUTOPSIES 2 0 3 1 26 2 29 7 RGERY: INPATIENT PROCEDURES 40U OUTPATIENT PROCEDURES CESAREAN SECTIONS"" TOTALS 18 107 4 129 12 170 5 187 148 1,148 40 1,336 153 1,503 31 1,687 "Based on 25 beds 71 799 THIS MONTH THIS YEAR THIS MONTH THIS MONTH LAST YEAR TO DATE LAST YEAR OUTPATIENT VISITS 1,611 1,961 16,202 16,081 EMERGENCY ROOM VISITS 798 783 7,694 7,795 EMS RUNS 0 0 TOTALS 2,409 2,744 23,896 23,876 LABORATORY: INPATIENT PROCEDURES 4,052 3,338 39,024 39,129 OUTPATIENT PROCEDURES 17,530 16,264 160,169 145,816 TOTALS 21,582 19,602 199,193 184,945 • i:7"r]i NWiWA INPATIENT PROCEDURES 144 126 1,393 1,518 OUTPATIENT PROCEDURES 607 678 5,927 5,965 BONE DENSITY 22 33 206 305 NUCLEAR MEDICINE 78 91 1,003 1,022 ULTRASOUNDS 124 149 1,441 1,471 CT SCANS 162 188 1,930 1,887 MAMMOGRAPHY 79 166 739 888 MRI 96 139 980 1,193 TOTALS 7312 1,570 13,619 14,249 PHARMACY IV SOLUTIONS DISPENSED 1,506 1,327 13,289 12,828 DRUGS DISPENSED 11,020 9,218 104,208 144,270 HIGH COST DRUGS DISPENSED 1,965 567 14,150 11,576 TOTALS 14,491 11,112 131,647 168,674 RESPIRATORY THERAPY INPATIENT PROCEDURES 1,860 1,377 19,056 21,923 OUTPATIENT PROCEDURES 653 484 6,733 7,701 STRESS TESTS 2 5 EKGS 207 164 31 1,966 80 2,174 EEGS 4 8 40 35 TOTALS 2,726 2,038 27,826 31,913 PHYSICAL THERAPY INPATIENT PROCEDURES 358 269 2,761 3,617 OUTPATIENT PROCEDURES 1,994 2,654 18,741 22,265 HOME HEALTH VISITS 119 139 1,291 1,113 TOTALS 2,471 3,062 22,793 26,995 72 = E • THIS MONTH THIS YEAR THIS MONTH THIS MONTH LAST YEAR TO DATE LASTYEAR HOME HEALTH CARE: MEDICARE VISITS 304 817 OTHER VISITS 33 8,149 6,417 ST/SS 0 9 79 65 PHC HOURS 0 3 6 13 HOSPICE 0 0 0 0 TOTALS 837 0 829 0 6,234 0 6,495 • DIETARY: MEALS SERVED TO PATIENTS 1,315 1,345 13,437 14,255 MEALS SERVED IN CAFETERIA 2,931 3,111 31,555 31,875 TOTALS 4,246 4,456 44,992 46,130 DIETITIAN CONSULTS COST PER PATIENT DAY WIO DEPR INCOME PER PATIENT DAY BREAKEVEN W/O DEPRECIATION 3,484.68 4,28B.83 10.57 4,218.33 3,864.06 13.15 3,355.05 3,649.91 12.95 3,415.53 3,527.47 13.93 AVERAGE DAILY CENSUS PATIENTS ABOVE / BELOW BREAKEVEN COST PER ADJ. PT. DAY W/O DEP. INCOME PER ADJ. PT, DAY 13.74 3.17 1,038.39 1,273.01 12.13 (1.02) 1,087.64 996.30 14.20 1.25 1,478.76 1,608.72 14.40 0.47 1,312.65 1,355.67 • 73 801 Judge Pfeifer opened the Public Hearing regarding the Application to Vacate and Abandon Redfish Acres Subdivision at 10:10 a.m. Mr. David Roberts spoke regarding this property stating that in order to approve the final plat of the Breaks Subdivision, Redfish Acres Subdivision will need to be vacated and abandoned, and there were no further public comments. Judge Pfeifer dosed the public hearing at 10:12 a.m. APPLICATION TO VACATE AND ABANDON REDFISH ACRES SUBDMSION: A Motion was made by Commissioner Finster and seconded by Commissioner Balajka to approve the Order to vacate and abandon Redfish Acres Subdivision. Commissioner' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. REDFISH ACRES File # Val M99358 392 § IN THE COMMISSIONER'S § COURT OF CALHOUN § COUNTY, TEXAS The Calhoun County Commissioner's Court, at a duly authorized meeting of the Court on November 29, 2004, in accordance with its properly posted Agenda Item conducted a public meeting in the Calhoun County Commissioner's Courtroom at the Calhoun County Courthouse at 10:00 a.m. to permit any interested person to be heard concerning the abandonment of the Redfish Acres Subdivision, an 18.085 Subdivision situated in and part of the Santiago Gonzales Survey, Abstract 19, Calhoun County, Texas. At the conclusion of the hearing, in accordance with the Agenda Item, HEREBY APPROVES and makes this Order canceling the Redfish Acres Subdivision and abandoning the Plat thereof as recorded in Volume. Z, Page 568 of the Map and Plat Records of Calhoun County, Texas. PASSED AND APPROVED this the 29 h day of November, 2004. ABSENT Commissioner Precinct 3 County e Commissioner Precinct 2 L�GcJ. �-GuaZ� Commissioner Precinct 4 Lm • • CJ File # Vol Pg b9O3M 392 97 CERTIFICATE OF TRUE COPY OF PAPER OF RECORD CJ STATE OF TEXAS § COUNTY OF CALHOUN § I ANITA FRICKE, County Clerk of Calhoun County, Texas and Clerk of the Commissioners' Court of Calhoun County, Texas, do hereby certify that the foregoing Is a true and correct copy of an excerpt from the Minutes of the November 29, 2004 meeting of said Commissioners' Court as the same appears on file in my office. Give under my hand and seal of said Court, at office in Port Lavaca, Texas, this the 19" of January, 2005. • ANITA FRICKE, County Clerk, and Clerk of the Commissioners' Court, Calhoun County, Texas. By. Wendy MarvjA Deputy This 8ace�ot has h�e@➢,rTe�ttiredp� this far lieeadiog iota the UitiClal Pohlit =10,, de h* scar that ue do set disolsiute due is Vac, peed, crier, Seo or Wind U'41 Filed for Record in: Calhoun County Honorable Anita Fricke County Clerk Bn:Jan 19 210 at BP:BV Receipt Nwber - 4790 By, Sharon Bright vepury OR DEDICATION OF FINAL PLAT OF THE BREAKS SUBDMSION IN PORT O'CONNOR, TEXAS: A Motion was made by Commissioner Finster and seconded by Commissioner Gaivan that the Final Plat of the Breaks Subdivision in Port O'Connor, Texas be approved with the exception that the roads will not be accepted by the County. Commissioners' Galvan, Balalka, Finster and Judge Pfeifer all voted in favor. SEE ATTACHED PLAT • C� Mark Crippen reported that there is 54 days worth of weather impact on the new jail construction project and the completion date as of now Is September 1D, 2005. He reported there have not been any new slabs poured In the last few weeks due to the weather because of the fad It takes to long for them to dry out The project budget cost at this time B looking good. ISSUES RELATING TO COURTHOUSE RE •nr Mark Crrppen reported that on the relocation part of the project it Is about Bo% complete with the design . Phase. There was a meeting with the Jail Commission on November le regarding the temporary holding cells at the Memoirs, Medical Plaza. There will be one last design review meeting with the department heads this • week regarding their space. HEAR FROM KR ror.ER CONSTRUCTION REGARDING RECOVsov cry CONSTRUCTION PRQECM1 ---�—� Kevin Krueger reported to the Court in regards to the Progress on the New Jail Construction Project. He stated that he has had a couple of crews ready to go for the last three weeks, but until there Is at least 5 days of dry weather more People are not going to do any good. He stated in the past 8 to 10 weeks there has only been 1 week that It has not rained. They have hired 20 more Personnel and also more supervision. They will be working twelve hour days and also weekends and working nights is not out of the question. They are going to add a third casting bed so they can cast more panels at one time, when the panels are done they will go up quickly. tester Contracting is going to build gravel roads so that the concrete vehicles have excess Into the site to pour when there is a heavy rainfall. Mr. Krueger wants the Court to know that they are committed to getting this Jail built and will do whatever it takes to get the job done. AMBULAN ONTRACT WITH HOSPICE OF crnr,1 A A Motion was made by Commissioner Finster and seconded by Commissioner Balajka to approve the Ambulance Contract with Hospice of South Texas and Authorize Henry Barber, EMS Director to sign Contrail Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. e `Ambulance Service Agreement The parties to this Agreement are: Hospice of South Texas Ambulance Service Provider (ASP): 1908 N. Laurent, Ste. 430 Victoria, Texas 77901 361.572-4300 Calhoun County EMS 216 East Mahan Port Lavaca, TX 77979 Telephone: 36/- <S; - 114o Hospice of South Texas (Hospice) is a Texas not -for -profit corporation, providing comprehensive services to the terminally ill patient and the patient's family. Calhoun County EMS ('ASP') is engaged in the business of medical transportation and other services. The ASP is duly licensed by the State of Texas Department of Health to provide ambulance transportation and has trained Personnel who are certified by the State of Texas Department of Health. Hospice and the ASP desire to enter into an Agreement in which the ASP will Provide medical transportation services, on an as -requested basis only for Hospice patients. In consideration of the mutual promises contained in this Agreement, Hospice of South Texas and the ASP agree as follows: 1. Term. This Agreement is effective as of November 1, 2004, and shall continue in full force and effect for a period of one year. This Agreement will renew automatically yearly on the same terms and conditions unless either party sends to the other party written notice of termination thirty (30) days before the expiration of the Agreement, by certified mail, return receipt requested, at the address listed above. 2. Services, ASP shall provide medical transportation for Hospice's patients, who require medical transport on an as requested by Hospice basis. ASP shall comply with all applicable rules, regulations, ordinances, and laws that apply to the medical transportation of Hospice's patients. ASP shall be responsible for furnishing all necessary Personnel and vehicles. ASP agrees to recover and return all equipment transported with the patient. 3. Fe as. The fees for services are stated in the attached Schedule 1. • Billing. ASP agrees to provide a billing statement that includes the patient's name, date of service, and transport destination. Hospice agrees to pay for services properly billed to it within forty-five (45) •days of receipt of ASP's invoice for services. 5 Insurance and Inds If Hospice and ASP shall maintain liability insurance in the minimum amounts required by applicable law. Each party agrees to indemnify the other party and Its officers, directors, employees, and other agents from all suits, actions, losses, damages, claims, or liability, including without limng the genereIlly of the foregoing, all expenses of litigation, court costs, attorneys tees and expenses, and expert witness fees, arising out of its negligent acts or the negligent acts of its employees or agents in the performance of the Agreement. 6HIPAA Addendum. The ASP agrees to comply with all the requirements of the Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), as provided in the HIPAA Addendum attached to this Agreement as Schedule 2. 7. Amendment. This Agreement embodies the entireagreement between the parties and supersedes all prior agreements and understandings whether written or verbal. This Agreement may be amended or modified only by a written instrument signed by both parties. 8. Assignment. This agreement shall be binding upon and inure to the benefits of the parties, their successors and assignees. 9. Legal Construction. In the event that any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceabllity shall not affect any other provision and the Agreement shall be construed as if such invalid, illegal, or unenforceable provision had never been contained in it. 10. Complaints. Hospice agrees that all complaints or unusual incidents involving personnel or service of the ASP will be promptly reported to management of The ASP and will be described in an incident report detailing the circumstances surrounding the complaint or incident, including the persons or entities involved, date and time of events at issue, and description of events at one time. 11. No Agency. The relationship of the parties is that of independent contractors. Neither party shall be deemed to be the agent, partner or fiduciary of the other, and neither is authorized to take any action binding upon the other. 12. Texas Law. This agreement shall be governed by the laws of the State of Texas. Venue shall be in Victoria County, Texas, 13. Entire Agreement. This Agreement, including any attached Schedules, is the sole agreement of the parties and supersedes any prior understandings or written or oral agreements between the parties. This agreement may be executed in multiple counterparts, each of which shall be deemed an original. AGREED TO on the10 _day of wodefg4 2004. W .grgifill Name and Title of Authorized Individual Calhoun County EMS By: Mary ginia Jaco s, Executive irector Hospice of South Texas • • SCHEDULE I SCHEDULE OF CHARGES: • Area(s) served Ambulance: l Ql/X by //n'/ //�/ Cf 0 &'4f Transports 0 to 50 miles Base Rate %aS per loaded mile Transports over 50 miles Base Rate S•.2S per loaded mile Rd Trip Transfers 0 to 50 miles 9 a Base Rate S•as oer loaded mile Round Trip Transfers over 50 miles 12 Base Rate S aS per loaded mile per hour for wait time over 2 hours ALS supplies that may be used will incur additional charges. AGREED TO on the _day of DIX tMbc,C 20 is (N (Name aAftlefthorized Individual) (Name oCompany) By: / 1 Executive Direct/or Hospice of So Texas • EON SCHEDULE2 HIPAA ADDENDUM Patient/Resident Health Records (HIPAA). The ASP agrees to comply with all federal and state laws, rules and regulations pertaining to notice of uses and disclosures, disclosure, security and privacy of, and access to, patient records, including patient rights regarding "protected health information" under the Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and implementing rules and • regulations under 45 CFR §164.102 et. Seq. "Protected Health Information" shall have the same meaning as the term "protected health information" in 45 CFR § 164.501, limited to the information created or received by the ASP from or on behalf of Hospice, the ASP further agrees to the following requirements and procedures: The ASP agrees to not use or disclose Protected Health Information other than as permitted or required by this Agreement or as required by law. The ASP agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Agreement, HIPAA or other relevant law. iii. The ASP agrees to mitigate, to the extent practicable, any harmful effect that is known to Hospice of a use or disclosure of Protected Health Information by Hospice in violation of the requirements of this Agreement, HIPAA or other relevant law. iv. The ASP agrees to report to Hospice any use or disclosure of the Protected Health Information not provided for by this Agreement, HIPAA or other relevant law, of which it becomes aware. V. The ASP agrees to ensure that any agent, including a subcontractor to whom it provides Protected Health Information received from or created or received by Hospice on behalf of Hospice, agrees to the same restrictions and conditions that apply through this Agreement to Hospice with respect to such information. vi. The ASP agrees to provide access, at the request of Hospice, within a reasonable . time and in a reasonable manner, to Protected Health Information in a Designated Record Set, if applicable, to Hospice or, as directed by Nursing Facility, to an individual in order to meet the requirements under 45 CFR § 164.524. vii. The ASP agrees to make any amendment(s) to Protected Health Information in a Designated Record Set, if applicable, that the Hospice directs or agrees to pursuant to 45 CFR § 164.526 at the request of Hospice or an Individual, and in a reasonable time and manner. vill. The ASP agrees to make internal practices, books, and records, including policies and procedures and Protected Health Information, relating to the use and disclosure of Protected Health Information received from, or created or received by the ASP on behalf of Hospice, available Hospice and/or to the Department of Health and Human Services, in an appropriate time and manner, or as designated by the Department of Health and Human Services, for purposes of determining Hospice's compliance with HIPAA and implementing regulations. ix. The ASP agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for Hospice to 4 0 respond to a request by an individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR § 164.528. X. The ASP agrees to provide Hospice or an individual, within a reasonable time and manner, information collected in accordance with this Agreement to permit Hospice to respond to a request by an individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR § 164.528. • • Pass on this Agenda Item. ACCEPT AMENDED NARCOTICS FOFErrURE BUDGET • A Motion was made by Commissioner Balajka and seconded by Commissioner Galvan to Accept the Amended Narcotics Forfeiture Budget. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. Bud eI Amendment Request Date: November 10. 2004 To: Calhoun County Commissioners' Court From: Calhoun County Sheriffs Office I request an amendment to the 2004 budget for the following line GT Ac�co unlit No 74055 716—� 60 63920 45060 46030 Account Name Amendment Reason Vehicles 47,063 00 Equipment (7,000 00) • Miscellaneous 14,403 00 Forfeiture Revenue (40,731.00) Interest Revenue (200.00) Net Change in the budget for this department is: 1315 � Other remarks or justification: �0-08 I understand that my budget cannot be amended as requested until approval is obtained - Signature of department head: Date of Commissioners' Court Approval: Date posted to General Ledger account($): • Pass on this Agenda Item. :. u_. .. _; _ A 1161 .: .lJol-WIL61611H kvil A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to Approve New Subdivision Regulations for Calhoun County and Authorize Judge Pfeifer to sign. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted In favor. iSUBDIVISION REGULATIONS & RECREATIONAL VEHICLE PARK REGULATIONS SUBDIVISION REGULATIONS FOR CALHOUN COUNTY AND RECREATIONAL VEHICLE PARK TABLE OF CONTENTS PART 1: General Provisions 101_ Title 2 102. Purpose 2 103, Jurisdiction 2 104. Definitions 2 • PART 2: Procedure 201, Concept Plan 202. Preliminary Plar 4 5 5 203. Final Plat 204. Approval by Commissioners Court 7 205. Copy Retained by County Engineer 7 206. 'Vacation of a Subdivision 207. Replatting 7 208 Amended Plats 7 8 PART 3: Design Standards & Required Improvements 301. Minimum Lot Size 302. Utilities 8 303. Drainage Design 8 304. Streets and Roads 8 11 PART 4: Recreational Vehicles 13 PART 5: Administration 401. Responsibility for Administration 402. Review of Plans 14 403. Appeals 14 404. Amendments 14 405. Validity and Repeal 14 406. Enforcement and Penalties 14 14 Page 1 i:. 811 19- -04 08:49 From - PART 1: GENERAL PROVISIONS 101. TITLE T-609 P.03 F-846 This law, in accordance with the authority granted by the Legislature ofthe State of Texas in Article 6702-1, Section 2.401 and 2.402, of the Revised Civil Statues; as well as, Section 12.002, of the Texas Property Code; shall be ]mown and may be cited as the Calhoun County Subdivision Regulations. 102. Purpose The regulations contained herein are intended to protect the health, safety, and welfare ofthe citizens of Calhoun County. These regulations have been adopted to provide minimum standards by which land may be subdivided and developed for the benefit of the citizens of Calhoun County, 103. Jurisdigtion These regulations apply to the owner or owners of any tract of land situated outside of the jurisdiction of any incorporated town or city in Calhoun County, Texas, and who may hereafter divide the same into two (2) or more parts, any part of which is less than ten (10) acres in size, for the purpose of sale, rental, lease or building development. These regulations are not intended to prohibit or to be applied to testamentary land divisions, dividing of land among family members or the division of land as a result of the dissolution of a corporation or partnership. These regulations apply to the subdivision of land into lots for rental purposes, including mobile home parks and other similar land uses. 104_ Definitions . L Amended Plat: The revisions to a subdivision of any lands within the subdivision that was designated in a previous plat as Reserved for Fugue Development. 2. Block: A parcel of land entirely surrounded by public highways, streets, streams, railway rights -of -way, Parks, etc., or a combination thereof. The County Engineer or County Commissioner serves as the County=s authority as to the determination of questions regarding the limits or extent of a block 3. Building or Setback Line: Aline established, in general, parallel to the front street line. No building or structure may be permitted in the areabetween the building line and the street right-of-way. 4. Commissioners Court: The Commissioners Court of Calhoun County. 5. County: "Calhoun County 6. County Enldneer: The County Engineer of Calhoun County or a designated qualified Engineering firm. 7. County AMW The County Judge of Calhoun County. S. County Road: See the definition of AStreet=. (part 1, page 2). is 9. Drainways Minor: Road ditches or ditches draining sections of the subdivision. Mal" Collector ditches receiving drainage from one or more minor ditches or dranage from offsite ditches. ease 2 812 IS- -04 08:48 From- T-608 P.04 F-846 10. Easement: A right given by the owner of a parcel of land to another person, public agency or private corporation for specific and limited use of that parcel. 11. Flood Plain: That area subject to inundation by flood, having a given percentage of Probability of occurrence in any given year, based on existing conditions of development within the watershed area, as determined by the Flood Plain maps • F.I.R.M. as designated by F.E.M.A. AFederal Emergency Management Agency_ located in Flood Plan administrators office. 12. Floodwav: The channel and adjacent areas of water course within which no obstructions to flow are allowed, so that the 100 year flood may pass without cumulatively increasing the 100 year flood plain elevation more that one (1) foot. The floodway will be defined by the Flood Plain maps F.I.R.M. as designated by F.E.M.A. AFederal Emergency Management Agency_ located in Flood Plain Administrators Office. All provisions ofthese subdivision regulations specified shall comply with all requirements as stated in Calhoun County Flood Plain ordinance. 13. Geometric Design Standards- The minimum allowable engineering geometric standards ,ldopted by Calhoun County affecting the functional traffic level operation, service and safety of highways, and roads and streets in Calhoun County. 14. 1:2-t Any plot of land occupied or intended to be occupied by one building or a group of buildings, and accessory buildings and uses, and having its principal frontage on a street. 15. Planned Unit Develooment: An area with a specified minimum contiguous acreage to be developed as a single entity according to a unified site design plan, containing one or more residential areas, office uses, commercial uses, industrial uses, public and quasi -public uses, or any combination thereof. • 16. Plat: A map of a tract of land, which represents the plan for the develop., of subdivision. Preliminary Plat: A map of a proposed land subdivision showing the character and Proposed layout of the tract in sufficient detail to indicate the suitability ofthe proposed development. Final Plat: A map of a land subdivision prepared in a form suitable for filing ofrecord with necessary affidavits, dedications and acceptances, and with complete bearings and dimensions of all lines defining lots (and elevation of each lot) and blocks streets, alleys, Public areas, drainage, and other important information. 17. Resubdivision: The redesign of an subdivision,together with anychanges of lot size therein, or the relocation of any street lines or of lines, 18. Roadwav: That portion of any street or road, between curbs or shoulders, designated for vehicular traffic. 19. Street: Any public thoroughfare, right -of --way, which affords the principal means of access between various land use activities. Primary Arterial: Any expressway, freeway, or thoroughfare whose function is the • movement of traffic. Secondary Arterial: A primary thoroughfare whose predominate function is the movement of traffic but which provides more access than normally associated with a Primary arterial. Collector Street: A street designed to serve equally the functions of access and Page 3 813 19- ' -04 09:49 From- T-609 P.05 F-946 movement. Collector streets serve as links between local streets and arterials Local Street: A neighborhood or minor street whose primary purpose is to provide access to abutting properties. Cul-de-Sac; A local street having one end open to vehicular traffic and having one closed end terminated by a turnaround. Frontage or Service Road; A collector or local street generally parallel to and adjacent to arterials, which provides access to abutting properties and protection from through traffic. 20. Subdivider or Deverper: Any person, partnership, firm, association, Corporation (or combination thereof), or any officer, agent employee, servant or trustee thereof, who performs or participated in the performing of any act toward the subdivision of land, within the intent, scope and purview of these regulations. 21. Subdivision: The division of a tract or parcel of land into two (2) or more parts for the purpose of laying out lots, meets, and other land uses, for purchase, rent, lease, or use by members of the public. 22. Vacate; To annul or cancel a subdivision plat, street, or easement. 23. Variance: A form of relief granted to a subdivider by the Commissioners Court, and granted on the basis of the following criteria: a. the existence of circumstances or conditions affecting the subdivider's property in such a way that the mitt application of these regulations would deprive the subdivider of the reasonable use of his/her land, and b. the subdivider's offer of evidence that the grant of a variance is absolutely necessary for the preservation and enjoyment of his/her property rights, and c. the subdivider's offer of evidence that the variance will not be detrimental to the health, safety, and general welfare or real property in Calhoun County, and d. that the grant of a variance will not be simply a matter of convenience or expedience but is founded on the principals of reasonableness and substantial justice. PART2• PROCEDURE 201. Concept Plan; Prior to the submission of a preliminary plat of the subdivision of land within the jurisdiction of Calhoun County, a Subdivider should submit a Concept Plan to the County Commissioner, Calhoun County Engineer, or a qualified engineering firm designated by the County_ The Concept Plan serves the purpose of showing an intent to subdivide, and it gives the Subdivider an opportunity to discuss general concepts, including drainage details, policies, laws, etc., at an early stage in the development process. The Concept Plan should contain the following information: 1. The location of the tract in relation to the surrounding area. 2. The location of the tract in relation to any utility district. 3. The approximate location of all existing structures within the tract 4. The names of the owners of all property adjoining the tract as disclosed by the most recent assessor—s records. 5. All existing streets, roads, wet and dry weather water courses, and other significant physical features both within the tract and within two hundred (200) feet of it. 6. The approximate location of proposed streets and property lines. 7. A north arrow and a graphic scale. Page 4 D • • 19- -04 06:50 From- T-609 P.06/16 F-646 8. The direction of and the approximate distance (s) to the nearest major street intersection(s). The Calhoun County Commission, Calhoun County Engineer, or a qualified engineering firm, designated by the County must review the Concept Plan within ten (10) working days and must report to the Subdivider his/her opinion as to the merits and general feasibility of the project • 202: Preliminary Plat: The Subdivider must prepare a preliminary plat and submit six.(6) copies of it to the Calhoun County Commissioners Court, Calhoun County Engineer, or a qualified engineering firm selected by the county. The plat must be Submitted at least faurteno n er A. — after which, it will be automatically null and void. The preliminary plat must show the information: Any variances from these regulations shall be addressed with the submission ofthe preliminary plat. 1. Subdivision Name: The proposed name of the subdivision. The name must not duplicate and be easily confused with other subdivisions located in Calhoun County. 2_ Subdivision Ownership: The names, addresses and telephone numbers of the Owner (s) of the proposed subdivision and the name, address and telephone number ofthe Engineer, Landscape Architect, Site Planner, and/or Surveyor responsible for the preparation of the preliminary plat. 3. Location and BounqM Lines: The location of the proposed subdivision, together with the boundary lines and their relation to adjoining properties, existing street rights -of -way, their relationship to existing subdivision on the same tract. 4. Lot Block and Street Layout The location and width of existing and proposed streets, roads, lots, blocks, alleys, building lines, easements, parks, school sit features relating to the proposed es, and any other I The plat must show the outline of adjacent Properties for a distance of not less than one -hundred (I Go) feet, and how the streets, in the Proposed subdivision will connect with adjacent land or with adjacent subdivisions. The • acreage of the proposed subdivision must be shown on the plat. 5. Street Names: Street Names shall be submitted in writing and reviewed by the 911 Coordinator. The 911 Coordinator sball within seven (7) days indicate whether the names resolve any conflicts. conflict with other street names within the county and meet with the developers engineers to 6. Drainage and Topoeranhv: The preliminary plat must show the drainage plan the Physical features of the property, including water courses, the onahundred (100) year flood Plain boundaries and source of information, ravines, bridges, culverts, present structures, lot and street layout and other features of importance prepared by aprofessionai engineer who is registered in the State of Texas. Stormwater drainage facilities must be designed so as to mrmmize any increase in the quantity or velocity of stormwaterrunofffrom the subdivision. This information must demonstrate compliance with Chapter 26, and Article 16, respectively, of the Texas Water Code. All engineering calculations must be submitted with the preliminary plat. The topography of the tract must be shown on the preliminary plat by means of contours of ten (10) foot intervals tied to United States Geological Survey (USGS) maps. Contours of lesser intervals may be required to determine topography and drainage. 9. Land use: Designation ofthe proposed uses of land within the subdivision whether for residential, commericial, industrial, or public use. This information must containthe location and characteristics of any existing buildings or structures which are to remain on the Proposed subdivision site. 8. DrawingRAuirements: The Preliminary Plat must show the North point, scale and • date. It must be drawn to a scale not exceeding one (1) inch equal to two -hundred (200) feet, and must be presented on a maximum of 24 x 36 size sheets_ 9. Water and Sewer: The Subdivider must submit a plan for providing water and sewage within the proposed subdivision and must clearly present it on the Preliminary Plat The proposed water. supply must be shown, i.e., municipal water, rural water supply Page 5 815 19- -04 08:50 From- T-609 P.OT/16 F-846 corporation, municipal utility district, privately owned water system, individual wells, etc., including the location of fire hydrants, if any. All public water supplies,ust be approved by the Texas Department of Environmental Quality. The plan for sewage disposal must be shown, i.e., municipal sewer service, municipal utility district, privately owned/organized sewer disposal system, individual sewage facilities, etc. If the Subdivider intends that each lot purchaser will provide private sewage facilities to his/her • own lot, then copies of percolation tests performed by a professional engineer, registered in Texas, registered sanitarian, or a reputable testing laboratory must be provided, together with a letter stating the recommendations as to the type of sewage system to be installed. If private sewage facilities are to be used, the location of each percolation test must be noted on the Preliminary Plat, and the area covered by that test must be clearly outlined on the plat. All proposed private sewage facilities must be in accordance with the policies and laws of Calhoun County and the State of Texas. The Crossroads Public Health District Department is hereby designated as the final authority regarding the rue of private sewage systems. The information provided by the subdivider must demonstrate compliance with Chapter 26, and Article 16, respectively, of the Texas Water Code. 10. Subdivisions Within Extraterritorial Jurisdictions: If the location of the proposed subdivision is within the extraterritorial jurisdiction of any city, town or utility district within Calhoun County Texas, the preliminary plat must be approved by the governing body of that jurisdiction prior to the submission of the Preliminary Plat to the Commissioners Court. Where the subdivision lies within the jurisdiction of both Calhoun County and the town or city,or utility district the more stringent of the regulations will apply. 11. Annroval Procedure: Ifthe Commissioners Court does not approve, disapprove, or ask for clarification of the preliminary plat within thirty (30) days of the date of initial meeting for the consideration of the Preliminary Plat, it will be deemed approved and so endorsed by the Commissioners Count. Approval of the Preliminary Plat does not constitute acceptance ofthe proposed subdivision, but is merely an authorization to proceed with the preparation of the final plat No construction is authorized in the nronosed snhdiviain., hi.. H e V -...r 203. Final Plat: After the preliminary plat has been approved by the Commissioners Court, a final plat for recording must be prepared and submitted by the Calhoun County Commissioners Court, the County Engineer, or a qualified Engineering firm designated by the County, at least fourteen (14) days prior to the Commissioners Court meeting at which Count approval is requested- The final plat must show all ofthe information required on the Preliminary plat Additionally, the Final Plat must show the following: 1. Location and Accuracy: Location of lots, streets, roads, public highways, utility easements, Parks, one -hundred (100) year flood plain boundaries and source of flood plain information, and other pertinent features, must be shown with accurate dimensions in feet and decimals of feet and bearing, with length, radii and angle of all curves, and with all other information necessary to duplicate the Final Plat on the ground. Plan and geometric design standards of streets, drawings and drainage calculations prepared by an Engineer registered in the State of Texas must be submitted separately. The location of building lines on all streets, and drainage easements, other public rights -of - way or future rights -of -way must be shown on the Final Plat 2. Certification and Dedication of the Owner(s): Certification must be provided by the owner or owners of all land within the subdivision ofhishheir dedication ofall streets, public highways, alleys, utility and drainage easements, parks, if any, and other land dedicated for public use forever, signed and acknowledged before a Notary Public by the Owner. 3. Certification by a istered Public Surveyor: Certification must be provided by a Registered Public Surveyor that the plat correctly represents a survey made by bim/her, and • that all of the lot comers and boundary markers are correctly placed as shown thereon; including dimensions, elevation, hearings and other technical information needed for platting each lot on the subdivision. 4. Certification of Water Stem: Certification must be provided by the Crossroads Public Health District Department which certifies that the proposed water supply will meet the minimum standards of Calhoun County and the State of Texas. Page 6 Be 19- -04 0a:50 From- T-609 P.0a/16 F-a46 E • 5. Certification of Sanitary Sewer Svstern: Certification must be provided by the Crossroads Pribhc ilcalth District Department which certifies that the proposed sanitary sewer system meets the minimum standards of Calhoun County and the State of Texas. 6. Certification anti Atroroval by City: Certification must be provided by appropriate representatives of any city having extraterritorial jurisdiction over the area in which the subdivision is located. 7. area in which the subdivision Certification must be provided by extraterritorial jurisdicuon over the 8. Deed Restrictions/Coveoants: A copy of the deed restrictions/restrictive covenants imposed within the subdivision must accompany the Final Plat. Cou Aiimrovai by Commissioners Cotut; After examining the Final Plat, the Commicciortm Court must approve or disapprove the Final plat. If the plat is disapproved. it must be returned to the owner and the reasons for the disapproval must be given to the Subdivider. If the Final Plat is approved by the Commissioners Court, the Subdivider has the following options concerning the filing of the Final Plat: O ion 1; If the Subdivider desires to file the 6na1 plat prior to completion of the construction of the streets and/or utilities or other facilities in a subdivision, the Subdivider must provide appropriate financfollowialing security methods;in accordance with these regulations. Financial security may be arranged in one of the a. A construction bond may be filed by the Subdivider payable to Calhoun County in the amount of 125% of the estimated cost of construction. Thebond mustbe a surety provided by a surety company licensed to operate in the State must s. b. The owner may provide funds in escrow, certificate of depositan irrevocable letter of credit or other financial instrument ,satisfactory to the Commissioners Court in the amount of I W % of the estimated cost of construction. c. The owner may draw down on a monthly basis funds in escrow or certificate of deposit��%of the value of the � leted terified by an enginaped by thommisssions Court, After with The and Commissioner in Whose precicinctlthee subdivision ion is located inn, will sign the inal Plat an thee owrieJudger can then file the Final Plat with the office of the Calhoun County Clerk,. 9tion 2: If the owner desires not to guarantee the construction, the final plat will be withheld from g until the completion of the consttttction of the streets, public water supply and distribution, public sewage collection and treatmerrt facilities, drainage and other facilities provided by the eem developer. At such time that the Calhoun County Commissioner, Calhoun County Engineer, or a according to the Cce algho>m Coun es to the Commissioners Court that the Rae tion is completed ubdividifeder can then file the Fina Pat witcJud h the offffice of the Calhoun Cewi�ork plat and the A space must be provided on the Final Plat for the signatures by the County Judge, and the County Commissioner of the respective precinct. 205Covv Retained by Coun Fn ' eer. A copy of the Final Plat will be retained by Calhoun County Ersgmeer and Calhoun ounty. S06. Vacation apart a §ua r � ��• whenever any person or corporation may desire to vacate any subdivision or a part of a subdivision in which the person or corporation has an ownership interest, the parry(s) may petition the Calhoun County Commissioners Court. The petition must contain a description of the subdivision or part of the subdivision to be vacated and the names ofpersons who would be affected by the action. Petitions for the vacation of a subdivision must be submitted to the Calhoun Count} Clerk. The County Clerk must publish the proposed vacation in a newspaper of Ceneral circulation for a period of not less than thirty (30) days prior to the public hearing at which othe mmissioners Cwill ourt muconsidered. t issue a wriittapproving enpstat ment to the Calhoun Couthe vacation of all or a nty Clerk to vart of a acate same 207. BARIatting: In order for a subdivision to be replaned, it must first be vacated. Replatting of a subdivtsron must follow the same procedures as described in Sections 201 to 206 of this Part ofthis Ordinance. 208. Amended Plats• A subdivision plat may be amended to revise a portion of a plat designated Page 7 817 19- ' -04 00:50 FrOm- T-609 P.09/16 F-646 AReserved for Future Development. The procedure shall be the same as if a new plat was being filed. PART 3: DESIGN STANDARDS 301. Minimum Lot Sizes And Set Backs L All lots in a subdivision platted for single family residences with both potable water and sewage disposal facilities provided by on site units shall contain a minimum surface area of one (1) acre of land. 2. All lots in a subdivision platted for single family residences served with public water system and on lot disposal of sewage shall contain a minimum surface area of21,700 square feet. (1/2 acre) 2. All single family residences in a platted subdivision served by both public water and public sewage disposal system shall contain a minimum of 50 foot frontage, l00 foot depth and 6,000 square foot surface area except as noted in item 4 below unless a variance is granted by the Calhoun County Commissioners Court 4. All single family residential lots shall have a Twenty (20) feet set back line on front of the lot adjoining the street and a Five (5) feet side set back line except corner lots shall have a Twenty (20) feet set back on the side adjoining the side street. 5. All lots for condominium, townhouse or other multi -family developments shall be reviewed by the Commissioners Court and approved by approval at the preliminary plat stage to insure adequate property size for parking, fire protection, emergency vehicles or other required services. 6. All mobile home lots shall conform to the same requirements as single family residents contained herein. In addition to the minimum requited in Item 1-5 above, all lots shall have the minimum requirements as outlined by the "On -Site Sewage Facilities" as published by the Texas Commission on Environmental Quality, latest addition 302. Utilities All public utilities serving part or all of any proposed subdivision shall be approved by the appropriate local or State Agency and shall be constructed as shown on the plans. 2.. Utility easement shall be provided for proposed or future utilities as indicated below. a. All lots adjoining other lots on their back property lines will have aminimum Of a ten (10) foot utility easement on the back line (twenty foot easement for both lots) b. Lots not adjoining other lots at their back property line shall have aminimum fifteen (15) foot easement along the back line. 303. Drainage Design 1. Prior to the submission of any plat of a proposed subdivision to the Calhoun County Commissioners Court, a complete Engineering Study, Drawage Design and Construction Drawings shall be prepared by an Engineer, registered in the State of Texas. The study, calculations and construction drawings shall be submitted to the Commissioner in whose precinct the proposed subdivision is located, for his review and approval aminimum of fourteen (14) days prior to the requested date of action by Page 9: L0 i • 19- -04 06:51 From- T-609 P.10/16 F-946 the Calhoun County Commissioners Cow, The design shall include all necessary requirements to adequately handle all drainage water entering into and being generated as a result of the subdivision. 2. Drainage Design shall be based on the following criteria; . a. Oenerali All storm drainage calculations shall be based on Mannings Equation for Flow. Manningss_Equation for Flour Q=Ax1.486xR2?xS5*n Q = Discharge in cubic feet per second A = Cross sectional area of the drainage way in square feet n = Roughness coefficient R = Hydraulic radius in feet = p ** Wetted perimeter of the drainage way in feet S = Slope of hydraulic gradient in foot per foot b. Roughness Coefficients: 1. Reinforced concrete pipe* - n = .012 2. Corrugated metal pipe* • a- Asphalt Coated n = .024 b Asphalt paved inert - n = .020 C. Fully asphalt lined - a = .012 3. Smooth interior plastic pipe - n = .009 4. Reinforced concrete boxes - n = .012 5. Concrete lined open channel - n = .013 6. Unlined open channels - a. Bottom width < 25 it, - n - .040 b. Bottom width > 25 ft. - n - .035 ' The type of pipe to be used shall be approved by the County Commissioner, in whose precinct the project is located. c. Design Criteria for Unlined Open Channels; • Minimum Velocity 2 feet per second Maximum Velocity 4 feet per second Minimum Free Board 1 foot Page 9 Is- ' -04 08:81 From- T-609 P.11/16 F-846 Minimum Side Slope 3 foot horizontal to 1 foot vertical or as approved by Commissioners Court Bottom Width As required Minimum Easement Width 30 feet or as approved by County • Commissioner Minimum Slope 0.10 percent d. Design Criteria for Lined Channels: Minimum Velocity 2 feet per second Maximum Velocity 10 feet per second Minimum Free Board 1 foot Minimum Side Slopes 2 foot horizontal to 1 foot vertical Bottom Width As required Minimum Easement Width 30 feet or as approved by County Commissioner Minimum Slope 0.10 per cent e. Road and Street Ditches All ditches adjoining streets and roads shall conform to Attachment "A", • entitled "Calhoun County Typical County subdivision Roads" £ Driveway Culverts All culverts placed for access to a lot shall be sized to carry a minimum of 125% of the Design Requirement including entrance and exit losses_ Minimum size shall be 15". Determination of Run -Off: Run -Off from subdivisions will be determined by the "Rational Method", from the equation below and a C factor based on total development of the proposed subdivision. Intensity for runoff calculations for minor drainways with in the subdivision will be based on a Five (5) year storm and a Twenty Five (25) year storm for all major dtainways within the subdivision. Q=CIA Q = Cubic feat, per second I = Intensity in inches per hour A = Area in acreage C = Run-off coefficient 4. Outfalls from ditches into natural or constructed drainageways shall enter at orabove • the grade of drainage channel. Ifnecessary, drop or other type outfall structures shall be installed to prevent erosion These structures shall be placed so as to not interfere with maintenance of the channel. 304. Streets and Roads Page 10 10- -04 08:51 From- T-602 P.12/I6 F-848 All public roads or streets to be constructed as access to or within a platted subdivision shall be constructed in accordance with the following design requirements prior to the roads, streets, drainage or other improvements being accepted by the Commissioners Court for County maintenance. 1. General: a. The Calhoun County Commissioner, in whose precinct the subdivision is being constructed, will have final approval of the elevation of all roads constructed within the subdivision. b. All road and streets to be built upon a minimum right-of-way width of sixty (60) feet. c. All drainage ditches, bridges, drainage pipes and water courses shall be designed in accordance with the section entitled Drainage and shall be subject to inspection and approval of Calhoun County prior to any acceptance of any dedication. d. All street cross sections shall conform to the Attachment "A", which is entitled "Calhoun County Typical County Subdivision Roads"_ e. When Texas Highway Department Standard Specifications are mentioned it shall mean latest addition. f. Street Signs clearly indicating the name of streets shall be installed at every intersection and signs shall conform to standard municipal street signs utilized by the City of Port Lavaca, 2. Materials: • a. Subbase All subbase for asphaltic pavement with a plasticity index greater than fifteen (15) shall be stripped of all existing vegetation and lime stabilized to a depth of six (6) inches with six (6) percent by weight lime unless laboratory tests indicate that less than six (6) percent lime will reduce the plasticity index to less than fifteen (15). In no case will less than 3% lime be utilized. Any subbase with a plasticity index less than fifteen (15) shall be stripped of all existing vegetation, roots etc., prior to compaction. b. Base Flexible base material shall be durable particles of processed gravel mixed with approved binder. Flexible bate material shall be Grade 2 in conformance with Texas Department of TrdnVortation Standard Specifications for Construction of Highways, Streets and Bridges, Item 247 - Flexible Base. Material shall be dePosi`ed, mixed and shaped to provide a uniform mixture without segregation of fine and course material. c. Primer Coat Primer coat material shall be type MC-30 Cut -Back Asphalt as defined in Texas Department of Transportation Standard Specifications for Construction of Highways, Streets and Bridges, Item 300 - Asphalts, oils and Emulsions. d Aggregate Page I I 821 10- -04 08:51 From- T-809 P.13/16 F-846 3. Aggregate for surface treatment for other than Hot Mix -Cold Laid applications shall be precoated natural limestone Type PE conforming to the Texas Department of Transportation Standard Specifications for Construction of Highways, Streets and Bridges, Item 302 - Aggregate for Surface Treatments. If a Hot Mix -Cold Laid application is utilized, the aggregate for surface treatment shall conform to the applicable requirements for a Type D paving system as defined in Texas Department of Transportation Standard Specifications for Construction of Highways, Streets and Bridges, Item 334 - Hot Mix -Cold Laid Asphaltic Concrete Pavement. e. Asphalt Asphalt material for surface treatment shall be AC-5 in accordance with Texas Department of Transportation Standard Specifications for Construction of Highways, Streets and Bridges, Item 300 - Asphalts, Oils, and Emulsions, and if a Hot Mix -Cold Laid application is utilized, asphaltic material shall conform to the applicable requirements of Texas Department of Transportation Standard Specifications for Construction of Highways, Streets and Bridges, Item 334 - Hot Mix -Cold Laid Asphaltic Concrete Pavement. Installation: a. Subbase Lime stabilization of subbase shall conform to Texas Department of Transportation Standard Specifications for Construction of Highways, Streets and Bridges, Item 260 - Lime Treatment for Materials Used as Subgrade (Road Mixed) with all lime being added dry unless otherwise approved. Compaction of subbase material shall be provided by sheep -foot rollers or other approved methods to provide a uniform compaction of 95%modified density in accordance with ASTM Standard 1557 at a moisture content between optimum moisture and five (5) percent above optimum moisture. Flexible base material deposited upon the subgrade shall be spread and shaped the same day. Flexible base material shall be deposited, mixed and shaped in such a manner to prevent "nests" of segregated coarse or fine material. Thickness of the base material shall be not less than six (6) inches compacted in place. Material shall be compacted by approved methods to obtain a uniform compaction of 95% modified density and a smooth, graded surface satisfactory to ENGINEER. Base Material shall be watered or dried to provide a moisture content between optimum moisture and five (5) percent above optimum moisture during the compaction process. c. Primer Coat Before the application ofprimer coat, the surface of flexible base shall be cleaned by sweeping or other approved methods. Primer coat shall be applied when, in the opinion of ENGINEER, the base is thoroughly dry and satisfactory to receive prime coat. Asphaltic material for primer coat shall be applied at a rate of 0.20 to 0.30 gallons per square yard conforming to Texas Department of Transportation Standard Specifications for Construction of Highways, Streets and Bridges, Item 310 - Prime Coat (Asphaltic Cutback Material). d_ Two Course Surface Treatment Asphaltic pavement, for other than Hot Mix -Cold Laid applications, shall consist of a two course surface treatment conforming to the applicable requirement of Page 12 • Is -04 08:51 From- T-608 P.14/16 F-846 • 4. Texas Department of Transportation Standard Specifications for constriction of Highways, Streets and Bridges, Item 316 - Surface Treatments. Surface shall be broomed prior to rolling. Application rates shall be as indicated below: First Course Second Course Gallons of Asphalt Per Square Yard 0.30 0.24 Gallons of Emulised Asphalt per Square Yard 0.36* 0.32* *AC rate divided by the residual Asphalt Content of emulsion (usually .65) x .80. Aggregate Grade No. 3PE No. 4PE Cubic Yards Aggregate to Square Yard Ratio 1:75 1:95 e_ Hot Mix - Cold Laid Surface Treatment For Hot Mix -Cold Laid applications, the asphaltic pavement shall consist of a Type D Hot Mix -Cold Laid asphaltic concrete with a mat thickness of not less than 1'/z inches conforming to the applicable requirements ofTexas Department of Transportation Standard Specifications for Construction ofHighways, Streets and Bridges, Item 334 - Hot Mix -Cold Laid Asphaltic Concrete Pavemern. Testing: DEVELOPER shall provide for the services of an independent soil testing laboratory to perform those compaction tests indicated above. Tests shall be performed every five hundred (500) feet at the centerline of the road and two (2) feet from the outer edge of the subbase and base and at all intersections. Test results shall be submitted to ENGINEER by the testing laboratory. No compaction testing failing by more than 5% will be acceptable and 95% of all tests shall pass the compaction requirements. 5. Following completion of all streets and roads and prior to acceptance by the courts, the developer shall submit to the county Commissioner, all test results indicating all streets and roads meet these requirements. PART 4: RECREATIONAL VEMCLES Name of Park and Location 1. A written emergency evacuationplan with alternate vehicular access and egress routes. The plan to be approved by Calhoun County, and should he posted at various locations throughout the R.V. Park and/or distributed to the R.V. operator upon entering the R.V. Park. 2. An emergency warning system with required maintenance and periodic testing. . 3. R.V.'s should not be allowed to remain in the R.V. Park with unaired tires (time should be allowed to make immediate repairs), or on permanent blocks. 4. Egress of R.V.'s should not be prevented by stored or fixed items, such as stairs, porches, etc. S. Each R.V. should, if self powered (motor home), be capable of evacuation under its own power, and always kept w running order, and if dependent on external power for Page 13 823 evacuation, be accompanied by a tow vehicle in running order. 6. Calhoun County will inspect R.V. Parks on a regular basis and violations shall be corrected, or the R.V. Park will be suspended, and all R.V.0s removed until the violations are corrected. 7. All permanent structures (restrooms, office facilities, laundry facilities, etc.) must meet the local requirements - elevations, utilities and sewerage as defined in Calhoun County Flood Plain Ordinance. 8. Roads and streets in R.V. Parks shall be a minimum width of 20' and constructed of suitable material to be passable under all weather conditions. PART 5: ADMINISTRATION 401. Responsibility for Administration: It will be the responsibility of the Calhoun County Engineer, or County Commissioner, in Precinct subdivision is located, to serve as administrative officer for purposes of this law. 402. Review of Plans: Calhoun County may at its option utilize the County Engineer or a selected qualified Engineering Firm to review the engineering design and calculations required by this ordinance. All costs of such review will be paid for by the developer. 403. Appeals: A person aggrieved by an action or decision of the County Engineer, or County Commissioner, pertaining to this Law may, within thirty (30) days of the date of the notice of the action or decision, appeal same to the Calhoun County Commissioners Court. These appeals are not exclusive, but are cumulative of any other remedies at law or in equity. 404. Amendments: The Calhoun County Commissioners Court may, from time to time, adopt and amend these regulations, and the rules, procedures, and policies associated with this Law. This Law may be amended by the Commissioners Court after a public hearing in which due notice has been given to the citizens of Calhoun County. 405. Validity and Reveal: If any part, section, paragraph, clause, provision or portion of this Law is held to be invalid or unconstitutional by a court of competent jurisdiction, such a holding will not affect any other part, section, paragraph, clause, provision or portion of this Law. All ordinances or parts of ordinances of Calhoun County in conflict with this Law are hereby repealed. 406. Enforcement and Penalties: Civil Penalties: Whenever it appears that a violation or the threat of a violation of any of the terms and conditions of these regulations exists, the County Attorney may institute a suit in a court of competent jurisdiction in Calhoun County through his/her office's attorney seeking injunctive relief or other appropriate civil penalties, or both against the person(s) committing or threatening to commit the violation Criminal Penalties: A person who violates any provision of these regulations is subject to a Class B Misdemeanor which shall be punishable by a fine set by a court of competent jurisdiction. Each day that a violation exists constitutes a separate ofense. PASSED AND APPROVED on this 29th day of November, 2004. ATTEST. G� Anita Fricke, County Clerk COMMISSIONERS COURT, CALHOUN COUNTY, TEXAS POP Page 14 824 • 19- -04 06:52 From- T-609 P.16/16 F-646 1 I I I 1 I I zo...�p 30'-0" 60'-0" R.O.W. TYP. RADIUS @ CUL DE SAC N.T.S. t B' 24' , B' 9 9 2 20 2 9 9 COURSE R.O.W. LINE �ROAO ELE aTION TODITCHBE R.O.W. LINE APPROVED BY "TREATWENT COUNTY COMMISSIONER 2.5 BASE 2 5 • TYP. RESIDENTIAL STREET SECTION N. T. S. ATTACHMENT A CALHOUN COUNTY TYPICAL COUNTY SUBDIVISION ROAD 82 COUNTY TREASURER - DISTRICT CLERK TAX ASSESSOR/COLLECTOR 7P #3 MONTHLY REPORTS; County Treasurer, District Clerk, Tax Assessor/Collector and JP #3 presented their monthly reports for Octobei 2004 and after reading and verifying same, a Motion was made by Commissioner Finster and seconded by Commissioner Balajka that said reports be accepted as presented. Commissioners' Galvan, Balajka, Finster Judge Pfeifer all voted in favor. CALHOUN COUNTY TREASURER'S REPORT MONTH OF: OCTOBER 2004 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTSGENEFAL FUND BALANCE ROAD & BRIDGE GENERAL 291,481.49 29,347.98 0.00 320,829.37 ROAD & BRIDGE PRECINCT #3 11.024.00 22.26 0.00 11.046.26 IMWY 87/FMI090 1.377,302.55 2,780.54 295,762.50 1,084,320.59 ROAD MAINTENANCE PRECINCT #4 14,251.58 28.77 0.00 14.280.35 LATERAL ROAD PRECINCT#1 3,689.05 3,591.74 3,673.43 3,607.36 LATERAL ROAD PRECINCT#: 3,689.05 3,591.74 3,673.43 3.607.36 LATERAL ROAD PRECINCT#3 3,689.05 3,59174 3,673.43 3,607.36 LATERAL ROAD PRECINCT#4 3,689.04 3,591.74 3,673.42 3.607.36 JUVENILE PROBATION 145,130.32 39,615.60 28,922.49 155,923.43 BOOT CAMP/JJAEP 137.358.29 277.30 8.681.29 128,954.30 AIRPORT MAINTENANCE 39.792.51 8031 2,144.80 37,718.02 LIBRARY GIFT AND MEMORIAL 45.570.40 142.00 0.00 45,712.40 LAW LIBRARY 60,158.13 1,346.45 0.00 61,504-59 CAPITAL PROJ-RB INFRASTRUC URI 32,73248 0.00 0.00 32,732-48 CAPITAL PROD- AIRPORT IMPROVEMENT➢ 9,294.49 0.00 0.00 9.294.49 CAPITAL PROD-PARKINOLOT 80,543.81 0.00 0.00 80,543.81 CAPITAL PROJ-NEW EMS BLDG 19,196.25 0.00 0.00 19,196.25 CAPITAL PROJ-NEW JAIL BLDC 0.00 326,534.50 326,534.50 0.00 CAPITAL PROD -MAGNOLIA BEACH EROSION 78.234.75 0.00 0.00 78,234.75 CAPITAL PROJSWAN POINT PARR 74,720.40 0.00 0.00 74,720.40 CAPITAL PROD -LIGHTHOUSE 0.00 0.00 0.00 0.00 CAPITAL PROJ-MOLD REMFDIATIOP 3,117.68 0.00 1,884.44 1,233.24 CAPITAL PRO] -COURTHOUSE RENOVATION 501,519.86 55.620.11 54,607.63 502,53234 CAPITAL PROJ-COASTAL IMPROVEMENT,' 103.920.31 10,000.00 31,991.15 81,929.16 CAP PROJ-LITTLE LEAGUE PARK -STORM REPAIF 63.98 0.00 0.00 CAP PROJ-PCT I PIERS -STORM REPAIR 22.00 0.00 0.00 63.98 CAP PRO]-PCr 1 BULKHEAD -STORM REPAIF 10.25 0.00 0.00 22.00 10.25 CAP PROJ-PCT I ROAD SIGNS -STORM REPAIR 5,725.47 0.00 5,725A7 0.00 CAP PROJ-PCT 2 - STORM REPAIRS 25.280.95 0.00 0.00 25,280.95 CAP PROJSWAN POINT RD-STORM REPAIF 5515.54 0.00 0.00 5,515.54 CAP PROJ-HATERMS PRK BOAT RAMPSTRM REI 33,148.15 0.00 0.00 CAP PROJ-PORT ALTO PURL BEACH -STORM REI 30,384.78 0.00 0.00 33.148.15 CAP PROD-PCT I RD RECONST-STORM 548,873.11 0.00 122,115.52 30384.78 426,757-59 CAP PROJ-PCT 1 RD RECON. TCDP DR#723031 80,108.82 0.00 40,705.17 39,403.65 CAP PROJSEADRJFT ME TRUCK 12,000.00 0.00 0.00 12,000.00 CCISD/SEADRIFT/CO. ROAD PROJECT 14,852.32 0.00 0.00 14,852-32 POC COMMUNITY CENTER 7,619.68 1,590.38 1,457.42 7.752.64 CHAMBER TOURISM CENTER 223.16 0.00 0.00 FINES AND COURT COSTS HOLDING FUND 21,340.61 (12,322.05) 0.00 223.16 DONATIONS 127,408.75 70T04 1,622.47 91018.56 126,493.32 ANIMAL CONTROL -CAW: 138.97 0.00 0.00 138.87 SHERIFF FORFEITED PROPERTY 1.034.07 2.09 0.00 RECORDS MANAGEMENT -COUNTY CLERK 101,555.90 205.02 1,036.16 CORDS MGMT & PRESERVATION 66,83L38 3.103.66 3,620.36 0.00 98,140.36 COURTHOUSE SECURITY 168,901.78 1,740.54 0.00 69,935.04 170,642.32 GRANTS LAW ENE OFFICERS STD. EDUC. (LEOSE) 52,271.96 105.53 357.09 52,020.40 JUVENILE PROBATION RESTITUTION 8,952,54 18.07 701.83 8,268.78 ELECTIONS CONTRACT SERVICE 3,439.71 6,346.67 19.00 3,378.69 80.02 CRIME VICTIMS COMPENSATION 1,389.79 475.71 368.47 2,538.11 1,758.26 4,294,27 ARRESTFEFS COMPREHENSIVE REHAB. 1,740.06 494.61 1,933.94 0.00 290. 83 ]UDICAL PERSONNEL TRAINING113.86 25.00 0.00 25.00 0.83 CONSOLIDATED COURT COST 22,236.70 15.34 9,077.80 129.20 31,314.50 0.00 0.00 FUGITIVE APPREHENSION 290.50 35.93 326.43 0.00 JUVENILE CRIME &DELINQUENCY 27.92 3.15 201.07 (170.00) TRAFFIC LAW FAILURE TO APPEAF 1,558.32 725.18 2,283.50 0.00 CORRECTIONAL MANAGEMENT INSTITUTE 27.37 2.7E SUBTITLE C FUND 9,209.13 4,157.38 30.08 13,366.51 0.00 0.00 APPELLATE JUDICIAL SYSTEM 1,489.15 173.01 999.77 662.39 INDIGENT CIVIL LEGAL SERVICE 468.N 180.00 655.48 (6.30) TIME PAYMENTS 5,751.72 1.461.95 7,213.68 (0.01) PUVENILE DELINQUENCY PREVENTION FUND 6,927.97 13.99 0.00 JUSTICE COURT TECHNOLOGY 19,231.77 853.91 6,941.86 REFUNDABLE DEPOSITS 2,225.00 0.00 0.00 0.00 20.085.68 MISCELLANEOUS CLEARING 2,443.44 28,434.28 4,911.98 2,225.00 25.965.74 JUSTICE OF THE PEACE CLEARING 41,506.21 (9,079.02) 1,163.10 31,264.09 SUBTOTAL (SEEPAGE 2 FOR TOTAL; $ 11.040,016.71 $ 995,430.54 $ 2S5Q710.58 $ 9,464,736.67 Paee 1 of 3 826 • MONTH OF: OCTOBER 2004 BEGINNING ............RECEIPTS FUND OPI^'llATINO FUND-BALANCH FORWARD FUND BALANCE - DISBURSEMENTS BNDING FUND BALLVCE AINAL JUSTICE PLANNING $ 11,040,016.71 $ 995,430.54 $ 2550,710.58 S 9,484,736.67 ERALREVENUE 'ENFORCEMENT 10.00 0.00 20.00 30.00 0.00 OFFICER STANDARDS 0.00 0.00 0.00 OFFICERS CONTINUING EDUCATION L50 0.00 1.50 0,00 . BOND FEES (I18 1940) 0.00 0.00 0.00 LAMED PROPERTY 1,620.00 0.00 1,620.00 0.00 4TH ALCOHOL TESTING 2,517.86 0.00 0.00 2,517.86 'E CIVIL FEE FUND 0.00 0 [E STOPPERS FUND 3,145.00 2.951.80 .00 6,090.30 6..50 CIAL FUND (ST. COURT COSTS' 2,00 200 200 6.50 SUBTOTALS 1394 97 15.OD 1,609.97 2.W 0.00 J EJ ESCROW TOTAL OPERATING FUN'�S U.W S 1I 1xn 181,656.11 0.W 181,656.11 COMB. HOST. REV. & TAX CERTIF. OF OBLIO. CONSTRUCTION (JAIL) 106,293.15 6,683,310.19 4,809.44 0.00 111,10259 CONSTRUCTION (JAB.) SERIES 2003-I & S 216,357.00 11.938.24 326,534.50 6.368,713.93 COURTHOUSE RENOVATION FUND SERIES 2004 5.709.297.42 15,095.66 0.00 231,452.66 CERT. OF OB-CiTHSE REN. I&S FUND SERIES 2004 10.215,73 54,607.63 5,664,905.52 TAX ANTICIPATION NOTES I&S 27,257.44 3,748,46 0.00 31,005.90 TAX ANTICIPATION NOTES-FORMOSA 375.00 0.00 0.00 375.00 PCT. I RD RECONST. TCDP N723037 0.00 JURY WREST -DISTRICT COURT 1.00 19,470.00 19,470.00 0.00 JURY IMPREST-COUNTY COUAI 2,050.14 3.40 30.00 2,023-54 TOTAL O R, & O PE OTHER CO. Nl1NI1C 741.90 _...... ___ _ _ 0.00 522.00 » o on 0 OPERATING $ MEMORIAL 660,167.99 $ 2,190,969.27 $ 1,612,139.16 S 1,238,997.10 RESTRICTED DONATION 17,403.17 22.11 0.00 17,425.28 INDIGENT HEALTHCARE 13,802.83 17.54 0.00 13,820.37 TOTALS $ 1,971.39 166,169.40 166,291.73 1,949.06 693,345.38 S 2,357.177.32 $ 1,779.430.89 $ 1,272,09181 DRAINAGE DISTRICT, NO.6 NO. 8 S 12,81244 $ 280.56 $ - S NO. 10-MAINTENANCE 51.449.79 328.76 11,871.20 13 093 00 39,907.35 NO. 10-DEBTSERVICH 28,783.64 288.19 0.00 29,071.83. NO. Il-MAINTENANCEOPERATING 45557.64 235.68 0.00 45,79332 NO. 1I-DEBT SERVICE 109,783.07 6,203.81 15.465.95 IM520.93 NO. 11-RESERVE 68.487.73 50,6n% 1,093.94 0.00 69,561.57 TOTALS S 367,567.27 $ 0.00 50,757.36 8,495.24 95.24 $ 27,337.15 $ 348,725.36 =ALHOUN COUNTY NAVIGATION DIST MAINTENANCE AND OPERATING $ 109,000.27 $ 2,559.15 E 7,067.32 $ 104,492-10 TOTAL MMC, DRAINAGE DIST, &NAV. DIST. $ TOTAL ALL FONDS 1,169,91192 $ 2,368,231.71 $ 1,812,835,36 f 1725 09.27 827 Pace 2 of 3 u CALHOUN COUNTY TREASURER'S REPORI IMONTH OF: OCTOBER 2004 BANK CONCILIATION LESS: CERLOFDEP.I FUND FUND 0UTSTNDGDEP.1 PLUS: CHECKS BANK BALANCE 077LERTFEMS OUTSTANDING BALANCE OPERATING * $ 9,668,919.14 $ 10,659,497.19 $ 1,240,97T52 $ 250,399.47 - JURY UPREST-DISTRICT COURT - JURY IMPREST-COUNTY COURT 2,02.3.54 0.00 628.00 2,651.54219.90 0.00 1,214.00 1,433.90 CALHOUN CO. DISASTER GRANT FLINT 1.00 0.00 19475.14 19,476.14 COMB. HOSP. REV. & TAX CERTIF. OF OBLIG. 111,102.59 CONSTRUCTION (JAIL) * * 6,368,713.93 4,232-86 0.00 106,869.73 CONSTRUCTION (JAIL) SERIES 2003-I & S 6,000,000.00 326,534.50 695.248A3 231,452-66 13.990.82 0.00 217,461.84 COURTHOUSE RENOVATION FUND SERIFS 2004 *** CERT. OF OB-CRTHSE REIN. I&S FUND SERIES 2004 5,664,905.52 5,500,000.00 54,60763 219,513.15. 31,005.90 3,739.13 0.00 27,266.77 TAX ANTICIPATION NOTES ZIP & SKG TAX ANTICIPATION NOTES - FORMOSA 375.00 0.00 0.00 375.00 0.00 0.00 0.00 0.00 MEMORIAL MEDICAL CENTER OPERATING 1,238.997.10 0.00 MEMORIAL v,425.2a13,820.37 403,385.06 1,64Z38Z16 RESTRICTED DONATION 0'00 0.00 17,425.28 INDIGENT HEALTHCARE 0.00 0.00 143,3730.37 1,849.06 0.00 2,524.72 ,373.7978 DRAINAGE DISTRICT: NO. 8 13,093.00 264..28 000 12,828.72 NO. 10 MAINTENANCE 39,907.35 275.95 0.00 39,631.40 NO. DEBT SERVICE 29,071.83 45,793.32 251.61 0.00 28,920.22 NO. 11 CE/OPERATING 100,520.93 177.79 0.00 45,615.53 NO. 11 DEBT SERVICE 11 DEBTSMARTrERVI 69,581.57 5,747.77 0.00 94,773.16 NO. II RESERVE 50,757.36 94.00 0.00 ,.36 0 0.00 0.00 50 50,757757.36 CALHOUN CO. NAVIGATION DIST MAINTENANCE/OPERATING x x * * 104,492.10 0.00 0.00 104,492.10 TOT'LS I S 23,804,028.45 27�189,174.61 2,049.34657 3,66d,250.41 CUs - OPERATING FUND $10,000,00( "• CDs - CONSTRUCTION (JAIL) $6,000,00( CDs -COURTHOUSE RENOVATION $5,500,00( •"• THE DEPOSITORY FOR CAL 4OLTN CO. NAVIGATION DISTRICT IS FIRST VICTORIA NATIONAL BANK - PORT LAVAC THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVAC/ �", - RJIONDA S. MCMAHAN COUNTY TREASURER Page 3 of 3 CALHOUN COUNTY. TEXAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT Remittance to Coun Treasurer: Road and Bridge General Fund: Fines Bond Forfeiture General Fund: District Clerk's Fees Sheriff's Fees Jury Fees Law Library Fund: C.J.P.F.: L.E.O.S.: C.v.C.A.: J.P.T.: C.S.. B.A.T.: C.B.F.: Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Civil Indigent Filing Fee: Abused Children's Fund: C.M.I.: A.J.S.F.: -,S&piam6,r Interest: TOTAL NEWrTTANCE TO COUNTY TREASURER: Remittance to Others - Out -of -County Sheriff's Fees: State: C.A.R. Fund: TOTAL REwrTTANCE TO OTHERS: TOTAL EXPENDITURES: ENDING BALANCE: TOTAL: Reconciliation With Cash in Bank: Balance in Checking Account: Outstanding Receipts: Outstanding Checks: Outstanding Criminal Receipts: TOTAL: ..Outstanding Checks: EEMITTANCES (October. 2004) 4- 3�FG SO 3S. 93 S7 q-.ac S I i z 27 i 37 --- 28 z88 20 789.93 13 833 i� � 53 00 3 59 4 77 'h 44g DISTRICT CLERK ;cam M CALHOUN COMM, TESAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT District Clerk's Fees: Certified Copies Criminal Court Civil Court Stenographer Records !Management Fund Courthouse Security Fund Civil Indigent Filing Fee Sheriff's Fees: Civil Court Civil Jury Jury Fees: Lav Library Fees: C.J.P.F. L.E.O.S.: C.v.C.A.: J.P.T.: C.S.. B.A.T.: C.R.F.: Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Abused Children's Fund: C.H.I. A.J.S.F.: TOTAL FEES: Bond Forfeiture: Fines: Criminal Court C.A.R. Fund - State: Other Collections: Reimbursable Costs A.* LZZ4 SK.# 2i30 GK$� eK.il. Ltz ck_/F zz30. c K.�k zzzc TOTAL CASH RECEIPTS: INTEREST RARMM: BEGINNING BALANCE: TOTAL. RESOURCES: RECEIPTS (October, 2004) 2 54L.00 32 8.65 z 4q9 CZ 7 s.on M , 3Gv,7q IG 44 4( E c 7 3.>7 205. 3 8 2S. on 8 • 3 G A_2 27 JZ,q 7 9.78 Ni • . 0 SUMMARY TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT FOR: 0cx0aRR 2004 Title Certificate Fees $ Title Fees paid TXDOT 6,201.00 Title Fees Paid County Treasurer Salary fund $ 3,916.00 • $. 2,285.00 Motor Vehicle Registration Collections $ Disabled Person Fees 69.747.72 Postage $ .00 255 55.00 Paid TXDOT $ Paid County Treasurer $ 66,799.77 Paid County Treasurer Salary Fund $ $ 3,276.95 Motor Vehicle Sales & Use Tax Collections $ Paid State Treasurer 336,584.65 $ 336,584.65 Special Road/Bridge Fees Collected $ 10,616.00 Paid TxDOT - R/B Fees Paid County Treasurer - R/B Fees $ . , 318.48 $ 10.297.52 Texas Parks & Wildlife Collections Paid Texas Partcs & Wildlife $ 1,885.00 Paid County Treasurer salary fund $ 1, $ 88188.50 .50 State Beer & Wine Collections Paid Texas Alcoholic Beverage Commission $ 1,495.00 Paid County Treasurer salary fund $ 1,4 38.00 $ .00 County Beer &Wine Collections $ Paid County Treasurer, county beer & wine 380.00 Paid County Treasurer, salary fund $ 361.00 $ 19.00 Renewal Fees for County Beer & Wine Paid County Treasurer -renewal fees $ 10.00 $ 10.00 Additional Postage - Vehicle Registration ; $ Paid County Treasurer - Additional postage 20 $ .20 Interest earned on P&_W 13.01 and Refund — Accounts $ Paid County Treasurer - Int. on P&W & Ref, $ 13.01 Interest earned on Office Account Paid County Treasurer - Navig. East $ 294.65 Paid County Treasurer- all other districts $ 2.18 Overpayments $ 292.47 Current Tax Collections $ 137.64 Penalty and Interest - Current Roll $ 8,985,356.89 yp payment Discount for earl $ Delinquent Tax Collections $ 13,690.61 $ 269,467.60 • Penalty &Interest - Delinquent Roll Collections for delinquent tax attorney $ 4,561.33 $ 2,832.36 Advance - F M & L taxes Advance - County AdValorem taxes $ 88.55 Paid County Treasurer - Navig. East $ 8,417 Paid County'Trm� urer - all other districts 65,. $ ,01616.32 $ Paid CCAD 1% Collection Fees 175,291.83 Paid County Treasurer, delinq. Tax atty. Fees $ $ 2,832.36 831 Summary Payment in lieu of taxes Paid County Treasurer - Navig. East Paid County Treasurer - All other districts Boat/Motor Sales & Use Tax Collections Paid State Treasurer Paid County Treasurer, Salary fund Special Farmers Fees Collected Paid State Treasurer, farmers fees Hot Check Collection Charges Paid County Treasurer, hot check charge Overage on Collection/Assessing Fees Paid County Treasurer, overage refunded $ 10.438.35 $ 75.00 $ 45-0 Page 2 $ 9,916.43 $ 521.92 $ 75.00 $ 45.00 $ 9,444,693.41 $ 9,444,693.41 TOTAL OF ABOVE RECEIPTS PAID TO COUNTY $ 9,444,693.41 GLORIA A.'OCHOA Tax Assessor -Collector MICH County Judge 832 • • • 11/01/2004 Money Distribution Report Page JUDGE GARY NOSKA JP#3 REPORT FOR OCTOBER 2004 _____________________________________ Receipt Cause/Defendant I Code Amount Code Amount Code Amount Code Amunt I Code Amount Code 1 Amount I Total 0041512 2004.29247 09/30/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 I I I PENA, RUBEN ARTURO DDC 10.00 i i TF 4.00 I SUBC 30.00 I 95.00 Morey Order i I 0041513 2004-29221 10/01/2004 I TFC 3.00 I CCC 40.00 I I CHS 3.00 I I SAF 5.00 I FELLERS, JAMES DEAN I FINE 50.00 I TF 4.00 I SUBC 30.00 I 135.00 Cash 0041515 2004-29252 10/05/2004 I $FEE 60.00 I INDF 2.00 I FFEE 10.00 MORALES, ANGEL I I I I 72.00 Money Order i i I 0041516 2004-29253 10/05/2004 I SFEE 60.00 I INDF 2.00 FFEE 10.00 STRICTLY BUSINESS NEW ! I I I 72.00 Money Order 0041517 2004.28926 10/05/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 SHOEMAKER, LISA MICHELLE I SUBC 30.00 I FINE 110.00 i TIME 25.00 TF i 4.00 I 220.00 Cash 0047518 2003-28071 10/05/2004 I FINE 30.00 I ROLLINS, EVA JEANETTE I 30.00 Morey Order I I I I i 0041579 2004-29254 10/06/2004 + TFC 3.00 I CCC 40.00 I I CHS 3.00 I I I GARCIA, RAFAEL RODRIGUEZ FINE 110.00 I SAF 5.00 I TF 4.00 I SUBC 30.00 I 195.00 Cash i 0041520 2004-29177 10/06/2004 I TFC 0.28 I CCC 3.64 I CHS 0.27 LAF 0.45 FOUNTAIN, JANET ALENE I SUBC 2.73 I FINE 10.00 I I i TIME 2.27 i TF 0.36 I 20.00 Cash 0041521 2004-29190 10/06/2004 I TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 PORTER, BRIAN LEE DDC 10.00 i i i SUBC 30.00 i 95.00 Money Order i i 0041522 2004-29204 10/D6/2004 I TFC 3.00 I CCC 40.00 CHS 3.00 I SAF I 5.00 I TF 4.00 I I GREEN, NIX III I DDC 10.00 I SUBC 30.00 I 95.00 Morey Order 0041523 2003-28282 10/07/2004i FINE 95.00 WILLIAMS, JERRY LYN 95.00 Money Order i i i i i 0047524 2004-29022 10/07/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 HERNANDEZ, MARIO SOTO I SUBC 30.00 I FINE 50.00 I I I TIME 25.00 I TF 4.00 I 160.00 Morey Order 0041525 2004-28777 10/08/2004 CCC 40.00 CHS I 3.00 SAF I 5.00 TF I I I SAENZ, MANUEL WRIEL i i 4.00 FINE 253.00 j j 305.00 Comm Service I I i i i 0041526 2004-28776 jjj 70'/--0,,rrgg/2 SAENZ, MANUEL WRIE�i}�LO3 TFC FINE 3.00 I 70.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 I TF I 4.00 I I SUBC 30.00 I 185.00 Comm Service I I I i 0041527 2003-28384 10/08/2004 WRNT 50.00 TIME 25.00 50.00 BARRIOS, JESUS I I 125.00 Cash iFINE 0041528 2004-28914 10/08/2004 I FOJTIK, LARRY JAMES I TFC SUBC 0.42 I 4.09 CCC 5.45 I CHS I 0.41 I LAF 0.68 I TIME 3.41 I TF 0.54 I 15.00 Money Order I 0041529 2004-28636 10/08/2004 I CCC 40.00 I CHS 3.00 I TIME I 25.00 I TF I 4.00 I PWF 100.00-I PWAF I 5.00 POSADA, EFREM C. I I 177.00 Money Order I I 0041530 2004-28951 10/12/2004 I FINE 108.00 METZ, STEPHEN 108.00 Money Order I I I I I I I I i 833 A 11/01/2004 Money Distribution Report Page 2 JUDGE GARY NOSKA JP#3 REPORT FOR OCTOBER 2004 _______________________________________________ Receipt Came/Defendant i Code Amount i Code Amount i Cade Amount i Code Amount i Cade Amount i Code Amunt TotaL 0041531 20D4-29232 10/12/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 195.00 FONTANA, FRANCIS MICHEAL FINE 110.00 Money Order 0041532 2004-29259 10/13/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 so, SONG-HOUI DOC 10.00 SUBC 30.00 95.00 Cash 0041533 2004-29184 10/14/2004 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 SUBC 30.00 305.00 CRISTOBAL, YESENIA MOJICA FINE 220.00 Money Order i 0041534 2004-29183 10/14/2004 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 SUBC 30.00 105.00 CRISTOBAL, YESENIA MOJICA FINE 20.00 I Money Order i 0041535 2004-29033 10/14/2004 OF 10.00 MEADOR, MELODY JOY i i i 4 10.00 Pars"I Check 0041536 2004-28914 10/14/2004 TFC 0.41 CCC 5.45 CHS 0.41 LAF 0.68 TIME 3.41 TF 0.55 FOJTIK, LARRY JAMES SUBC 4.09 15.0010 Money Order 0041537 2003-27984 10/18/2004 URNT 50.00 TIME 25.00 FINE 110.00 RODRIGUEZ, ISRAEL 185.00 Cred-Card/Trmfr 0041538 2004-29258 10/18/2004 TFC 3.00 CCC 40.00 ( CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 95.00 GUNTER, CHARLES EDNARD DDC 10.00 - Money Order 0041539 2004-29211 10/18/2004 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 SUBC 30.00 135.00 GONZALEZ, RICARDO FINE 50.00 i i Money Order 0041540 2004-29210 10/18/2004 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 TF 4,00 SUBC 30.00 115.00 GONZALEZ, RICARDO FINE 30.00 Money Order 0041541 2004-29255 10/18/2004 TFC 3.00 CCC 40.00 CHS 3.00 I SAF 5.00 TF 4.00 SUBC 30.00 95.00 SAMARRIPA, AMELIA DELAGADO DDC 10.00 Money Order 0041542 2004-29174 10/18/2004 TFC 2.72 CCC 36.36 CHS 2.73 LAF 4.55 TIME 22.73 TF 3.64 100.D0 NAVARRO, CRUZ HERNANDEZ SUBC 27.27 Money Order i 0041543 2004-29261 10/18/2004 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 SUBC 30.00 215.00 MACHACEK, MELISSA HARE FINE 130.00 Money Order i 00415" 2004-29239 10/18/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 195.00 FERRERI, JAMES COLLIER I FINE 110.00 ' Personal. Check 0041545 2004-29277 10/18/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 155.00 NEWTON, JOHN C. FINE 70,00 Money Order 0041546 22340 10/18/2004 TANGUMA, HENRY LEE JCPT 1.00 FINE 300.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.25 CHS 3.00 341.25 • Jail Credit 0041547 21940 10/18/2004 JCPT 1.00 CVC 15.00 TFC 3.00 CCC 17.00 FA 5.00 JCD 0.25 300.00 TANGUMA, HENRY LEE I CHS 3.00 LAF 5.00 FINE 250.75 Jell Credit 0041548 2004-29236 10/19/2004 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 155.00 EILERS, MICHEAL TODD I FINE 70.00 Money Order 834 �J 11/01/2004 Money Distribution Report Page 3 JUDGE GARY NOSKq JP#3 REPORT FOR OCTOBER 2004 _________________________________________ Receipt Cause/Defendant _ _ i Code Amount Code Amount Code Amount Code Amount Code Amount i i i i I Code Amount I Total OD41549 2004-29192 10/20/2004 I TFC 3.00 I CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC ZUBIATE, ELM RENE I FINE 130.00 i i 30.00 i 215.00 Personal Check i i - 0041550 2004-29260 10/22/2004 1TFC 3.00 I CCC 40.00 I CHS 3.00 I LAF 5.00 I IF 4.00 I SUBC 30.00 OD ZEPEDA, HELEORO CANALES FINE 50.00 I 135.00 Cash i I OD41551 2004-29222 10/22/2004• I TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 I SUBC 30.00 ENDERLI, CALVIN EUGENE JR I FINE 130.00 i I 215.00 Money Order i i 0041552 20D4-29275 10/22/2004 I TFC 3.00 I CCC 40.00 CHS 3.00 LAF 5.00 WE1, TSUN -LIANG I DDC 10.00 I i i TF 4.00 SUBC 30.00 I 95.00 Personal Check i I I 0041553 21087 10/26/2004 I JCPT 1.00 I LEOC 2.00 I LEHI 0.50 I CVC 15.00 CJP PEREZ, CRISTIAN ALEJANDRO GR 2.50 TFC 3.00 LAF 5.00 LEDA I 5.00 I CR 5.00 I 200.00 Personal Check i i i i 1.00 i FINE 160.00 0041554 2004-29205 10/26/2004 1TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 LAIN, RUSSELL LYNN I FINE 110.00 I TF 4.00 I SUBC 30.00 I 145.00 Money Order I I 0041555 2004-29177 10/26/2004 FINE 20.00 I FOUNTAIN, JANET ALENE I I i 20.00 Cash i i 0041556 2004-29023 10/26/2004 I TFC 3.00 I CCC 40.00 I CHS 3.00 I SAF 5.00 CORONADO, LENORA F. I FINE 70.00 i TF 4.00 i SUBC 30.00 i 155.00 Coins Service I i i 0041557 9242 10/26/2004 I CCC 40.00 I CHS 3.00 LAF 5.00 TF I ZIPI ZIPPERERG ,, GARY ALAN 4.00 FINE 248.00 i 300.00 Jail Credit i I i I i i i 0041558 2004-29241 10/26/2004 CCC 40.00 I CHS 3.00 I LAF 5.00 IF ZIPPER„ GARY ALAN 4.00 I FINE 53.00 I I 105.00 Jail Credit 0041559 9240 10/26/2004 I CCC 40.OD I CHS 3.00 I LAF 5.00 I TF 4.00 ZIP ZIPPERERG ,, GARY ALAN I FINE 243.00 I 295.00 Jail Credit 0041560 2004-29214 10/27/2004 I TFC 3.00 CCC 40.00 CHS 3.00 RODRIOUEZ„ ISSAC N JR. FINE 20.00 I LAF 5.00 IF 4.00 I SUBC 30.00 I 105.00 Money Order i 0041561 2004-29185 10/28/2004 I TFC 3.00 I CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 NARIN, FREDDIE FINE 20.00 i i i I SUBC 30.00 I 105.00 Personal Check �+�t5i4 uo.l�d, io-so� C_os)sz iE anon} -. A.9a��, • 835 • 11/01/2004 Money Distribution Report _-------------------- _------------------------------------------------------ Page 4 The following totals represent - Actual Money Received _________________________________ Type Code Description Count Retained Disbursed Money -Totals COST CCC CONSOLIDATED COURT COSTS 31 113.09 1,017.81 1,130.90 COST CHS COURTHOUSE SECURITY 31 84.82 0.00 COST CJP CJP 1 84.82 0.50 4.50 5.00 COST CR CR 1 0.50 4.50 5.00/ COST CVC COMPENSATION TO VICTIMS OF CRIME 1 1.50 13.50 COST FA FUGITIVE APPREHENSION 0 0.00 15.00 COST GR GENERAL REVENUE 1 0.00 0.00 COST JCD JUVENILE CRIME AND DELINQUENCY 0 0.25 2.25 2.50 COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 1 0.00 0.10 0.00 0.90 0.00 COST LAF SHERIFF'S FEE 14 56.36 0.00 1.00 56.36 COST LEHI LAW ENFORCEMENT MANAGEMENT INSTITUTE 1 0.05 0.45 COST LEDA LAW ENFORCEMENT OFFICE ADMINISTRATION 1 0.10 0.90 0.50 1.00 COST LEOC LEOCE 1 0.20 1.80 2.00 COST PWAF TEXAS PARKS & WILDLIFE 1 4.00 1.00 5.00 COST SAT DPS 17 68.00 17.00 85.00 • COST SUBC SUBTITLE C 30 40.91 777.27 818.18' ` COST TF TECHNOLOGY FUND 31 113.09 0.00 113.09 COST TFC TFC 31 84.83 0.00 84.83 COST TIME TIME PAYMENT FEE 9 78.41 78.41 156.82 COST WRNT WARRANT FEE 2 100.00 0.00 100.00 FEES DOC DEFENSIVE DRIVING 7 70.00 0.00 FEES DF DISMISSAL FEE 1 70.00 10.00 0.00 10.00 FEES FFEE FILING FEE 2 20.00 0.00 20.00 - FEES INDF INDIGENT FEE 2 0.20 3.80 FEES SFEE SERVICE FEE 2 120.00 0.00 4.00, FINE FINE FINE 120.00 27 2,173.00 0.00 2,173.00 FINE PWF PARKS & WILDLIFE FINE 1 15.00 85.00 100.00 FINE SEAT SEATBELT FINE 0 0.00 0.00 0.00 Money Totals 41 3,154.91 2,009.09 5,164.00 The following totals represent - Jail Credit & Community Service .. COST CCC CONSOLIDATED COURT COSTS 8 27.40 246.60 274.00 COST CHS COURTHOUSE SECURITY 8 24.00 0.00 24.00 COST CJP CJP 0 0.00 0.00 0.00 COST CR CR 0 0.00 0.00 0.00 COST CVC COMPENSATION TO VICTIMS OF CRIME 2 3.00 27.00 30.00 COST FA FUGITIVE APPREHENSION 2 1.00 9.00 10.00 COST GR GENERAL REVENUE 0 0.00 0.00 0.00 COST. JCD JUVENILE CRIME AND DELINQUENCY 2 0.05 0.45 0.50 COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 2 0.20 _ 1.80 2.00 COST LEH SHERIFF'S FEE 4 20.00 0.00 20.00 COST LEMt LAW ENFORCEMENT MANAGEMENT INSTITUTE 0 0.00 0.00 0.00 COST LEDA LAW ENFORCEMENT OFFICE ADMINISTRATION 0 0.00 0.00 0.00 • COST LEDC LEOCE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS 3 12.00 3.00 15.00 COST SUBC SUBTITLE C 2 3.00 57.00 60.00 COST TF TECHNOLOGY FUND 6 24.00 0.00 24.00 u 11/01/2004 Money Distribution Report Page 5 ---------------------------------------------------•----.--------------------------- The following totals represent - Jai( Credit & Cmmunity Service Type Code Description Count Retained Disbursed Money -Totals COST TFC TFC 3 COST TIME TIME PAYMENT FEE 9.00 0.00 .00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 0 FEES DOC DEFENSIVE DRIVING 0 0.00 0.00 0.00 FEES OF DISMISSAL FEE 0 0.00 0.00 0.00 FEES FFEE FILING FEE 0 0.00 0.00 0.00 FEES INDF INDIGENT FEE 0 0.00 0.00 0.00 FEES SFEE SERVICE FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE PWF PARKS & WILDLIFE FINE 8 1,487.75 0.00 1,487.75 FINE SEAT SEATBELT FINE 0 0.00 .00 0.00 1 15.00 155.00 30.00 _ Credit Totals 8 1,626.40 359.85 1,986.25 The following totals represent - COMbined Money and COST CCC CONSOLIDATED Credits COURT COSTS 39 140.49 1,264.41 COST CHS COURTHOUSE SECURITY 1,404.90 COST CJP CJP 39 108.82 0.00 108.82 COST CR CR 1 0.50 4.50 5.00 COST CVC COMPENSATION TO VICTIMS OF CRIME 1 3 0.50 5.00 COST FA FUGITIVE APPREHENSION 0.50 49.00 COST GR GENERAL REVENUE 2 1.00 1.00 10.00 12.50 COST JCD JUVENILE CRIME AND DELINQUENCY 1 2 0.25 2.25 COST JCPT JUDICIAL AND COURT PERSC'NEL TRAINING 3 0 os 0.25 0.50 COST LAF SHERIFF'S FEE 2.70 3.00 COST LEHI LAW ENFORCEMENT MANAGEMENT INSTITUTE 18 1 6.36 76 36 0•45 0.00 6.36 70.50 COST LEOA LAW ENFORCEMENT OFFICE ADMINISTRATION 1 0.10 0.90 COST LEOC LEOCE 0.10 0.90 1.00 1.00 _ COST PWAF TEXAS PARKS & WILDLIFE 1 0.20 1.80 2.00 COST SAF DPS 1 4.00 1.00 5.00 COST SUBC SUBTITLE C 20 50.00 20.00 100.00 COST TF TECHNOLOGY FUND 32 43.91 834.27 878.18 COST TFC TFC 37 137.09 0.00 137.09 COST TIME TIME PAYMENT FEE 34 93.83 0.00 93.83 COST WRNT WARRANT FEE 9 78.41 78.41 156.82 FEES DDC DEFENSIVE DRIVING 2 100.00 0.00 100.00 FEES OF DISMISSAL FEE 7 70.00 0.00 70.00 FEES FFEE FILING FEE 1 10.00 0.00 10.00 FEES INDF INDIGENT FEE 2 20.00 0.00 20.00 FEES SFEE SERVICE FEE 2 0.20 3.80 4.00 FINE FINE FINE 2 120.00 0.00 120.00 FINE PWF PARKS & WILDLIFE FINE 35 3,660.75 0.00 3,660.75 FINE SEAT SEATBELT FINE 1 15.00 85.00 100.00 1 15.00 15.00 30.00 Report Totals 49 41781.31 2,368.94 7.150.25 837 11/01/2004 Money Distribution Report Page 6 __________________________________________________ DATE PAYMENT -TYPE FINES ______________________________________________________________________________ COURT -COSTS FEES BONDS RESTITUTION OTHER TOTAL 00/00/0000 ACTUAL MONEY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CREDITS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 COMBINED 0.00 0.00 0.00 0.00 O.OD 0.00 0.00 09/01/1991 ACTUAL MONEY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CREDITS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 _ COMBINED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/1993 ACTUAL MONEY 0.00 0.00 0.00 0.00 0.00 CREDITS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 COMBINED 0.00 0.00 0.00 0,00 0.00 0.00 0.00 09/01/1995 ACTUAL MONEY 160.00 40.00 0.00 0.00 0.00 0.00 CREDITS 0.00 0.00 0.00 0.00 0.00 0.00 200.00 0.00 COMBINED 160.00 40.00 0.00 0.00 0.00 0.00 200.00 09/01/1997 ACTUAL MONEY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 i CREDITS 550.75 90.50 0.00 0.00 0.00 0.00 641.25 I COMBINED 550.75 90 .50 0.00 0.00 0.00 0.00 641.25 • 09/01/1999 ACTUAL MONEY 0.00 0.00 D.00 0.00 0.00 0.00 CREDITS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 COMBINED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/2001 ACTUAL MONEY 140.00 75.00 0.00 0.00 0.00 0.00 215.00 CREDITS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 COMBINED 140.00 75.00 0.00 0.00 0.00 0.00 215.00 09/01/2003 ACTUAL MONEY 145.00 75.00 0.00 0.00 0.00 0.00 CREDITS 0.00 0.00 0.00 0.00 0.00 0.00 220.00 0.00 COMBINED 145.00 75.00 0.00 0.00 0.00 0.00 220.00 01/01/20D4 ACTUAL MONEY 1,828.00 2,477.00 224.00 0.00 0.00 0.00 4,529.00 CREDITS 967.00 378.00 0.00 0.00 0.00 0.00 1,345.00 COMBINED 2,795.00 2,855.00 224.00 0.00 0.00 0.00 5,874.00 TOTALS ACTUAL MONEY 2,273.00 2,667.00 224.00 0.00 0.00 0.00 5,164.00 CREDITS 1,517.75 468.50 0.00 0.00 0.00 0.00 1,986.25 COMBINED 3,790.75 3,135.50 224.00 0.00 0.00 0.00 7,150.25 W A 11/01/2004 Money Distribution Report Page 7 ------------ _---------------- ______1-_____ DATE PAYMENT -TYPE F NES COURT -COSTS FEES BONDS RESTITUTION OTHER TOTAL - State of Texas Quarterly Reporting totals Description Count Collected Retained Disbursed State Comptroller Cost and Fees Report Section 1: Report for Offenses Committed 01-01-04 - Forward 31 1,130.90 113.10 1,017.80 - 09-01-01 - 12-31.03 0 09-01-99 - 08-31-01 0.00 0.00 0.00 09-01-97 - 08-31-99 0 0.00 0.00 0.00 09-01.95 - DB-31-97 0 0.00 0.00 0.00 09-01-91 - 08-31-95 8 32.00 3.20 28.80 Bail Bonds Fee 0 0.00 0.00 0.00 DNA Testing Fees 0 0.00 0.00 0.00 aa EMS TrauFurl (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0 0.00 0.00 0.00 State Traffic Fees 30 0.00 818.18 0.00 . 40.90 777.2828 Section 11: As Applicable State Police Officer Fees 18 Failure to Appear/Pay Fees 90.00 72.00 18.00 Judicial Furl - Count County Court 0 0.00 0.00 0.000 Judicial Furl - Statutory County Court 0 0.00 0.00 0.00 Motor Carrier Weight Violations 0 0.00 0.00 0.00 Time payment Fee 0.00 0.00 0.00 Report Sub Total 9 156.82 78 43 78.39 96 2,227.90 307.63 1,920.27 State Comptroller Civil Fees Report CF: Birth Certificate Fees 0 CF: Marriage License Fees 0 0.00 0.00 0.00 CF: Declaration of Informal Marriage g 0.00 0.00 0.00 CF: Nondisclosure Fees 0.00 0.00 0.00 Juror CF: Juror Donations 1 10.00 10.00 0.00 CF: Justice Court Indig Filing Fees 0 2 0.00 0.00 0.00 CF: Stet Prob Court Indig Filing Fees 0 4.00 0.20 3.60 CF: Stet Prob Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Stet Cnty Court Indig Filing Fees 0 0.00 O.00 0.00 CF: Stat Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Cnst Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Cnst Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Dist Court District 8 Family Lew 0 0.00 0.00 0.00 CF: Dist Court Other Divorce/Family Law 0 0.00 0.00 0.00 CF: Dist Court Indig Filing Fees 0 0.00 0.00 0.00 Report Sub Total 0.00 0.00 0.00 3 14.00 10.20 3.80 Total Due For This Period 99 2,241.90 317.83 1,924.07 1=LaowiIirr�S�S�ITTl4 �a�lllil s Claims totaling $8,156,832.18 were presented by the County Treasurer, and after reading and verifying same, a motion was made by Commissioner Finster and seconded by Commissioner Galvan that said claims be approved for payment. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. Claims totaling $2,399.00 for Precinct #3 were presented by the County Treasurer, and after reading and verifying same, a motion was made by Commissioner Galvan and seconded by Commissioner Finster that said claims be approved for payment. Commissioners' Galvan, Finster and Judge Pfefier all voted in favor and Commissioner Balajka voted against. ACCOUNTS ALLOWED — HOSPITAL: Claims totaling $1,494,730.32 were presented by the County Treasurer, and after reading and verifying same, a• motion was made by Commissioner Galvan and seconded by Commissioner Finster that said claims be approved for payment. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. ACCOUNTS ALLOWED — HOSPITAL INDIGENT HEALTHCARE: Claims totaling $120,815.39 were presented by the County Treasurer, and after reading and verifying same, a motion was made by Commissioner Galvan and seconded by Balajka that said claims be approved for payment. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. ITEMS TAKEN OFF THE EMERGENCY MANAGEMENT INVENTORY AND RETURNED TO THE OWNER OF THE WEATHER SYSTEMS: A Motion was made by Commissioner Balajka and seconded by Commissior,Jr Galvan to accept the following Items taken off the Emergency Management Inventory and returned to the Owner of the Weather Systems; Inventory #406-0052-1991 computer RRA 0072, RCA 0374 radair weather watch system, model 1000 (upgraded to 386-40) and Inventory #406-0049 -1990 computer/receiver — used radair computer. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer all voted in favor. Memo To: From: CC: Date: November 12, 2004 Re: Please declare the following items surplus/salvage so they can be taken off of inventory and returned to the owner of the weather systems. 1. Inventory #406-0052 — 1991 Computer RRA 0072, RCA 0374 Radair Weatherwatch System, Model 1000 (upgraded to 386-40) 2. Inventory #406-0049 —1990 Computer/Receiver-Used Radair Computer Thank you. • • A Motion was made by Commissioner Galvan and seconded by Judge Pfeifer to declare the following items of County Property as surplus/salvage; Item #21-0181 John Deere Riding Tractor, Serial #MOL277C062094 (Precinct 1) and Asset #456-0032 - Desk - All steel Metal w/6 drawers, $199.95 remove from JP #2 inventory and donate to Fair Association. Commissioners' Galvan, Balajka, Finster and Judge Pfeifer al voted in favor. ROGER Ce GALVAN Calhoun County Commissioner Precinct #I 211 S. Ann ��°"" Fax (361) 553-8734 Port Lavaca, 77979 Pager (361) 579-7915 (361) 552-9242 Mobile (361) 935-3552 OC,4 November 15, 2004 TO: Honorable Judge A Pfeifer FROM: Comm Roger C. Galvan RE: Agenda Item Please add the follos•ing line item to Commissioner's Court meeting scheduled for iY ay, November $g 2004. rnoa 0 k j a9 Discuss and take necessary action to declare the following line item surplus and to remove from current precinct #1 inventory list: Item #21-0181 John Deere Riding Tractor, Serial #MOL277Co62094 M. Balajka, Pct, #2 H. Floyd, Pct 93 K Finster, Pct #4 92 Ben Comiskey, Auditor ra swe Fro,W� 841 James W. Duckett 9 Justice of the Peace. Precinct 2 201 W Austin, Rm 11 • Port Lavaca, TX 77979 • (361) 553-4622 • Fax (361) 553-4625 November 9, 2004 Please place the following item(s) on the Commissioners Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 29, 2004 • Consider and take necessary action to declare surplus and donate to Fair Association the following item in Justice of the Peace Precinct 2 inventory: Asset #456-0032 — Desk — Allsteel metal w/ 6 drawers, $199.95 Respectfully, James W. Duckett Justice of the Peace, Pet. 2 ISM � 0 0 IEW Go � � 0 02 Q Lai am In— Do � CM .CA � � � o cla GOD � 0 GOD GOD rE N co , mvET22STm_S Ate_ was made & Commissioner Balaaand seconded ¥ Commissioner k_ that the ��AgBudget m__ be approved _Rresented. Commissioners' Galvan, Bala; Rster and Judge Pfel»all voted m kid } ( \ & � 9 » # # ) ) a � § ■ §} � R x §§ 2 LL � / 0 \ § LL LL § %k §B$§ §7� §|§ Elm 7 |\ IM-M � � � 0 � 06 Q � � GOD � � coo � � � � � Go � e , GODI � � cma §■■|{{2| .§§§� | ■| 2 2a � § §a■888 . z § § §§ 118 m m @ @m § B # a a as §) (( §, §2 2 z ■� � ! § E . 2 2 \ | B 10 �` \ | e ( | ° ( § ■� d4]\ c 0 0 0 0 0 0 I-Im GOD � 0 C6 dc IMEN M m GOD � � � � � 0 C.a CWII� � 0 GOD GOD � � o roa h 21 $ a e(|||| §§§ki 0 §8��'� #2|2 ! / j ) ■ k 0k 0 § j§ | $a99 § ` \ §§ UA t §§22222 � § } � § 9| § §§2 2 gl! | BE § |7 If 8 8 a s 8 51 0 e I� a RE • • • 0 • mN N m g $ 8 8 8 O n x U Y2$9t w o G n 8 8 8 8 8 cr. S a oaCc N f 0 r W $ 8 s 8 $ a88 $ $ j W K W a kw 8 $ 8 8 8 0 0 0 r r r I r J z U 4% m `Z Za LU 2 0 Z= WW 0 e W Q Q 0 z LL J cc W z W 0 W Z 0 z LL u z E QI Q a N mks 9 8 8 9 8 a s L N $ 8 $ 8 8 8 $ 8 8 W� 8 8 n $ $ 8 8 $ g $ $ 8 8 8 8 8 8 8 8 Z Z Z Z Z 2 Z 2 7fo ai $ A 3 � di A I 0 I PROM � v � 661 0 35 � � ca 3 I k LL § j ) / 2� B ( k a s 9 99 4#«! I ■ k # 2 § # E # K ( ! §§ �� # a @ # @ # # @ @ # , @ | ■ @ §! @ , a a 2 a a ! ! a ! 2 § ; § B§ 2 2 28 2 2 2 28 §zH k \ (\) (k ( ■■ ■ ■ ■ ■ ■ ■ ■ ! ■ § &\ \� a � § cc k j \ a Ini C) / E �( c / 2 \ / / � \ k z U- 648 0 I* 1] 0 � 11 In= Ewa GOD MR go C6 � � � .� � O mc .� ion � � 0 can GOD 0 GOD C40 � 0 CMD 0 2 k\ W` �f kcc > � § Q« §§222 §§ j 2 �( ! B B z § B »,Ea ■ ! k # # § § a ®k ! & § f §�}■ § § §2 § $ § j § § § ( , k tH U ® § §(§§�§ r`■�■ § E ) ) § § ■ § q �6*fjl2 |7 k � F-; MI N¢ LL Q Z j Q f LL Z w J f 1• Z w J Z W y 0 ¢ w Q z F Q Z w Z W= z Q LL g g g g 0 0 0 0 z z $ z W U < 'O 6 yZj U 2 O q �u F O 5 O ? w U m a S C tOa f N aQ N 10 Imp C IE' i N 0 W C'► JLu O N ¢ CS 11.1 � W Q Z F W 1wm wz Q IL < w ° 91 rq W W LL z O ~ f W Z J Wo a QW LL 2~ Z W w W ,c s 0 C P M. 0 � � OMEN GOD � cm C6 INC � � � � GOD � � � � � � � 0 an GOD 0 GOD � � 0 v Al @E OzLL ■(# Wzw LU §)§ z §k§ a z �! 2 �| §§§ ■! # |a� w k(§ || ■@| j .. 0 \ § §§§ � §§| #mama Cl §k§ �§ k§} k) §| � ! z ■■ § cc IL kLLI } LL� W� §2 n �q z Lu §go @ a o ■ | �§ , §0 O� | %) / S. 0 ■| IL t § Lz L § �! c 2 ƒ z LLI %j� I z z§ ic \2 |\ § / \ coIMM Z W 661 Q an 0 ca E� GOD 0 m O GOD 5a co V LL Q co z Z in •■ 2 LL in Z` W im Z Z W Z41 C W (rtrt co V 2 W 2 W Zm f Z zQ Z Z GP 6 �< LL� D 0 z z 3! N z z 0 8 s Z M,wI �/ O Q z 0 3 R, �. O 2 O Q QQN cai Q � L r Q 2 w Z z Z QQ LL • w O O 352 0 0 • coo Qi co cro om CLM i Mm Mm Q tz cm 0 a om ffilom COD Go W co 35 GOD co w MI � H0 a •• Z 0 W Z O Wo Q ¢ W it W Q ¢ 0 z LL LL a= 111 a�a w m _ Z f Z IL LL a a z z z of N Z 0 Q 0 w z w CL J a U w Z 0 z D LL IF Is z 2 Al [7 z z a LL y -j Lt f w 0 Z lil LLJz F 2 W z F Z W LL 0 N s s s 1 a g x 0 g= s 0� a ug O 6 H o a O $ o a [CuYs;j� N U o 99 8 8 O N 2 a w W � �y a 8. 8 � W C s kV s 00 tnIo U " Q 2Io 0 Z Z) LL J w Z W is w Q Z 0 Z D LL 10 u =z 0 N 8 8 a Z z Z qo Q S Z W O a S p p t1 W 0 Z Z z ffi on N F2 W W c gwil x yyyyyy a a a w 0 N 3 • i • 0 0 0 Imm 52 � 0 � dc Z .� GOD � � � � � � .go am �. v� 0 � _cwo 2 Im o v � § �\ 2 -j \ ■W!§ § �}j �2§j § �7z. $k L' �§ § ■ § ■ } § [ | i i , ; $ a » # @ a a � . ■ a § | ! ` Il � | K § §| | $ 2 | § B2 2 2 22 2 � \ \ £ � ) � ■ � ' ` ■ § | / § §k >)) k ) §■ ; # ■ N ! . E ■! . § §»§� §00 ■�� § § ) 12 2 § | � ■ 2 2 ; } / d� lmrm 22 mma � � � _w IR .� � � 4. m Im" m CA � Z O � Go � v \ § ■ k §§§� ) ■.m a¥ j(7 » §§ §§ g( L § § 20 \ k j } ■® § # §\ §\ § � §k ° • @ s @ @ k § §§ | | $ | §00000 ■!■kik § & ( k \ \ � � ° - ! 7 f , ) k §k / / / § � 4| B B §§�§ 4 , , §B§2 L t §|7 A k ) 0 .A m MI � 0 0 Imm � � 0 L � Z !m )MM � � � INC i� .� � � o� � � 661 � 0 re GOD � v | ! I§iag� | 2 | §§ 2 2 | } | 2 §§ | § §§ | 2 | § ,§ § 2 § § , �)\ E , §| k \ k ■^ k § B ■ , a a a MR # « a a §§ - a § § # ■ , �| ! § § | ) §; § § § ■� � � ; � ! � 7i § k t § § §�2 §\ §) k k § § § 2 ; � � §B22 ■ § k |i §� id g 0 9 I9 si w � y6Q 8 8 8 !Ny p8 N N 8L O O O 0 z D LL Ul z W W ZI • ggs 0 8� 8 8 8 8 8 8 8 8 8 8$ 8 8 mrn r pgp l`�8� g g g og 8 8 8 $ ysg� na p$ gpy Z N N w 6 W O Hwy p8 p8' 8p pa Q8 a s es ps ps ps �gj ps ps s LL ¢ N O O O O O O O O O O O O O z z z z z z z .z z z z z z w � •W y j U W O C N w ¢ � w S m d¢ 0 0 d $yam y > z ¢ EE(o t0- o F F < ¢ o z a w o g z N C H w w J z O 3 a O U Z m N < a 6 'o 'o 'O s 0 i 3 r H a 5 e Ifl N N N N 1� y N N N ID 0 b pT i N ' a 3 85f 0 0 • h MI � 0 y z •• Z D Z � J W Z � O z LU Z1 Q ¢ 2 Z z Wz z w Q a LL s 8 s s 3 z U 5 cWi m —> Q W ¢ tli Q� a M w v ¢ ° •• U z LL 2 W W Z ~ J lu W y Lu W •Zw zW W Luy 3 LLI IM ¢ z r Q Z w z z Z Q LL O S u e c 'a Jol IF E u � g g r y^� loa dI¢ o w _ F z z ° r LL Z J f � � = J z" �NQ LLJ W LIJ F O it � W Q Z w Z f w Zlu Q ¢ LLLL ° 2 0 Y Fm O ff INC 0 m Ca kk GOD re GOD 52 ma W? y 0 g U W m 0 W a W m Al m 68 ... 8 8 H�LL o� D a •• LL Z �on Z v Wo aLLI s ALli ¢ g = z 3 W w Q Z W f�}y Z Z L Cj a LLL c Court was adjourn II V O 2 2 w n U 0 O S (W! Na 2 tQW7 m e x N 6 W at 11:10 a.m. O 8 m O m m 8 N Nm E Z m N t • •