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2023-12-13 Final PacketI NOTICE OE MEETING — 12/13/2023 December 13, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS, COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. CountyJudge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10:00am by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Judge Meyer ask the court to pray for Andrews County Judge Charlie Falcon. Page 1 of 6 NOTICE OF MEET ING - 12/13/2023 5. Public Hearing regarding amending the 2023 and 2024 Calhoun County budgets. Regular meeting closed at`10:02am Candice Villarreal read amendments. Regular Meeting opened at 10:09am 6. Consider and take necessary action to approve the amendments to the 2023 and 2024 Calhoun County budgets. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to authorize Commissioner Hall to act as general contractor for the Precinct 1 Magnolia Beach/Indianola Maintenance Facility (aka "Beach Barn' project. (DEH) pass 8. Public Hearing regarding a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas. Regular, meeting closed at 10:10am Carl Bedgood explained the petition to vacate and abandon. Regular meeting opened at 10:12am 9. Consider and take necessary action to approve a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER. Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese' Page 2 of 6 NO-IICE OF MEETING—12/13/2023 10. Consider and take necessary action to approve the granting of variance from subdivision regulations for Lot 2, Block 2, Espiritu Santo Bay Resort, Port O'Connor, Texas. Property owner is Blue Cut Ventures, LLC. (GDR) 11. Consider and take necessary action to authorize the opening of a credit account with Collins Supply, Inc. for the County and authorize Judge Meyer to sign the applications. (GDR) RESULT. APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to authorize the County Judge to sign the Sales Contract for the purchase of 118 Leona Street, 308 S Ann Street and 312 S Ann Street. (RHM) 13. Consider and take necessary action to authorize Precinct 3 Justice of the Peace Tanya Dimak to sign a Service Agreement with Sparklight to add phone services. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action on the annual renewal with MIP Fund Accounting Software and authorize the County Auditor to sign the quote. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:, David Hap, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese' Page 3 of 6 NOTICE OF MEETING — 12/1.3/202:3 15. Consider and take necessary action to approve the emergency purchase of a 2019 Chevrolet Silverado 1500 from Victory GMC-KIA for the amount of $44,695.49 due to a shortage of necessary patrol vehicles. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER:, Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall; Commissioner .Pct.l AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to approve a credit card with a limit of $2,000.00 for Nathan Lapham, Calhoun County Code Enforcement Officer. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to award the bids for Road Materials, Bid Number 2024.02, for the period January 1, 2024 through December 31, 2024. (RHM) Commissioners agreed to approve the proposed bids. RESULT: APPROVED [UNANIMOUS] MOVER:. Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to declare Asset 24-0538 as Surplus/Salvage and remove from Precinct 4 Road & Bridge inventory. This asset is to be used as trade-in for new equipment. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Consider and take necessary action to transfer the attached list of equipment from the Calhoun County Museum to R & B Precinct 3. (RHM) RESULT01 APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: 11 Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 NOTICE OF MEETING — 12/13/2023 20. Accept Monthly Reports from the following County Offices: i. County Clerk — November 2023 ii. District Clerk — October 2023, corrected iii. District Clerk — November 2023 iv. Floodplain Administration — November 2023 v. Justice of the Peace, Precinct 1 — November 2023 vi. Justice of the Peace, Precinct 2 — November 2023 vii. Justice of the Peace, Precinct 4 — November 2023 viii. Justice of the Peace, Precinct 5 — November 2023 ix. Sheriff's Office — November 2023 Commissioners agreed to send furniture to auction. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: " Gary Reese, Commissioner Pct4 AYES:,"Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action on any necessary budget adjustments. (RHM) 2023: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2024: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER; Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 NOTICE OE MEETING — 1.2/1.3/202:3 22. Approval of bills and payroll. (RHM) MMC Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: 'Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 6 Ce '-a and Signed All .:a5's Flagged for Acceptance (number of 1295's ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this ay of 2023, the packet for the day of �.� e.✓ 2023 Commissioners Court Regular Session was submitted from the Calhoun County Judge's office to the Calhoun County Clerk's Office. 4kmxt Calhoun County Judge/Assistant AGENDA Richard H. Meyer County, judge David Hall, Commissioner, Precinct 1. Vern 1Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Cary Reese, Commissioner,, Precinct:4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday;. December 13, 2023 at 10.00 a.m. in the Commissioners' Courtrooun in the. County Courthouse at 211 S. Ann. Street, Suite 104, Port Lavaca, Calhoun County, Texas.. AGENDA The subject matter of such meeting is as follows: Call meeting to order. /� Invocation. L3�Pledges of Allegiance. '< General Discussion of Public Matters and Public Participation. MOM, I v�eL e 5. Public Hearing regarding amending the 2023 and 2024 Calhoun County budgets, Q �iOonsider and take necessary action to approve the amendments to the 2023 and 2024 Calhoun County budgets. (RHM) ?VvY' Consider and take necessary action to authorize Commissioner Hall to act as general contractor for the Precinct 1 Magnolia Beach/Indianola Maintenance Facility (aka "'Beach Barn'o project. (DEH) GN- o�. Public Hearing regarding a Petition to Vacate and Abandon a 0.283-acre tract situated, in the Juan. Cano Survey, Abstract. No, 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated, the: Juan; Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of, the Plat Records of Calhoun County, Texas. Page I of i NOTICE OF MEETING,— 12/13/2023 4R C-11off' Consider and take necessary action to approve a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract. situated the Juan Cano Survey, Abstract No. S. and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume. Z, Page. 28, of the Plat Records of Calhoun County, Texas. (DEH) 10. Consider and, take necessary action to approve the granting of variance, from subdivision regulations for Lot 2, Block 2, Espiritu Santo Bay Resort, Port O'Connor, Texas., Property, downer is Blue Cut Ventures, LLC.. (GDR) Y1. Consider and take necessary action to authorize the opening of a credit account with Collins Supply, Inc.. for the County and authorize Judge Meyer to sign the applications. (G R) Y2. Consider and take necessary action. to authorize the County Judge to sign the Sales: Contract for the purchase of 118 Leona Street, 308 S Ann Street and 312. S Ann Street. (RHM) 73. Consider and take necessary action to authorize Precinct 3 Justice of the Peace Tanya, �Dimak to sign a Service Agreement with Sparklight to add phone services. (RHM)i4. Consider and take necessary action on the annual renewal with MTP Fund Accounting Software and authorize the County Auditor to.sign the quote. (RHM) tr/Consider and take necessary action to approve the emergency purchase of'a 2019 Chevrolet Silverado 1500 from Victory GMC-KIA for the amount of $44,695.49 due to, a. shortage of necessary patrol vehicles. (RHM) 1Consider and take necessary action to approve a credit card with a limit of $2,000.00' for �Nathan Lapham, Calhoun County Code Enforcement Officer. (RHM) 1 17.Consider and take necessary action to award the bids for Road Materials; Bid Number �2024.02, for the period January 1, 2024 through December 31, 2024. (RHM) ,9 Consider and take necessary action to declare Asset 24-0538 as Surplus/Salvage and remove from Precinct 4Road & Bridge inventory. This asset is to be used as trade-in for new equipment. (GDR). 19. Consider and take necessary action to transfer the attached list of equipment from, the Calhoun County Museum to R & B Precinct 3. (RHM) Page 2, of.3 NU ( ! 1JiN41 i IIIVIIJ '/l:Sr u' 20. Accept Monthly Reports from. the following County Offices: 1--County Clerk November 2023 i District Clerk — October 2023, corrected' ifi� District Clerk — November 2023 WH Floodplain. Administration — November 2023 v! Justice of the Peace, Precinct 1— November 2023 Vie Justice of the Peace, Precinct 2 — November 2023 aff Justice of the Peace, Precinct 4 November 2023 afli Justice. of the Peace, Precinct 5 — November 2023 W." Sheriff's Office — November 2023 21. Consider and take necessary action on any necessary budget adjustments (RHM) -22. Approval of bills and payroll. (RHM) g4624 Richard H. Meyer, County udf e Calhoun County, Texas A copy of this Notice has been placed on: the outsidebulletin board of the Calhoun County Courthouse, 211 South, Ann Street, Port Lavaca, Texaslwhlch is readily accessibleto the general public at all times. This Notice shall remain posted continuously for at least 72hours preceding the scheduled meeting time. For yourconvenience, you mayvisitthe county'swebsite at. www.calhouncotx.orgunder "Commissioners" Court Agenda" for any official court postings. Page.3. of'3 # 04 NOTICE OF MEETING — 1.2/1.3/2023 December 13, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS, COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10:00am by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Judge Meyer ask the court to pray for Andrews County Judge Charlie Falcon. Page 1 of 19 Calhoun County Commissioners Court Public Participation Form NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk prior to the time the agenda item (or items) you wish to address are discussed before the Court. Instructions: Fill out all appropriate blanks. Please print or write legibly. NAME: ADDRESS: TELEPHONE: PLACE OF EMPLOYMENT: F�C/ EMPLOYMENT TELEPHONE: Do you represent any particular group or organization? YE N (Circle one) If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: Which agenda item (or items) do you wish to address? J '(1 In general, are you for or against the agenda item (or items)? /��` # 05 NOTICE Oi= MEE fING--12/1.3/2023 5. Public Hearing regarding amending the 2023 and 2024 Calhoun County budgets. Page 2 of 19 Richard ]H . Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 joel.Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, December 13, 2023 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. 'The Calhoun County 'Commissioners' Court will hold a Public Hearing on amending the 2023 and 2024 Calhoun County Budgets. 'This notice:is :in accordance with Section 111.007 and Section 111.0075 of the Texas Local 'Government code. Anna Goodman, County Clerk .By,-. Deputy Clerk f Richard H. Meyer, County Xudge Calhoun County, Texas FILED AT r-31 O'CLOCK P M DEC U 8 2023 ANNAIvI: GOODMAN OOUNTY CLERKCALHOUN COUNN,TEXAS BTsx^I Q-- DSEPUTY rA copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, :Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding thescheduled meeting time. For your convenience, you may visit the county's website at ww, w. calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 1 of 1 M R y LL ca `) } uJ1 — ZI Lie reW, I 1 1 I i 1 1 I I I I i I 1 Ell. N' N, I a W' '—. W N, Q■ m 2I I O � z 0 Z W O � N ' d rG y � a g W d Ca C z_ cW a z LN L 71 41 M N N r f i O O =i G m � Z a z GODr �. a W `1 o lu Q9 W g WLZ I � 111 cm G� W W IapIww 19 g Z Z em�3 N O N a `W F W o C°0'Z O Z d IRMO Z W WCk Z: z. W W 2' W' C c m. N. � u ' _ YI `Q o I A t cW WI lu x °z 9 Z c z 6 1 v 55 1 9 I a 9 G m a I a re awl 9 I 6 N N cli U 0 M a� o � N sit d ?� LL J Q v}a w ZW a VAt Z x'Oz R O N F� f fop N O 00 0 V M` d; M; In 0) O' W 0 M I� N ' oC I a I W ! i' Q'm Z l Z RO o CLO Z -IY GOO _ d a W O Fma.,,ww _ Q Z W Z Nd C 1 m N 0 Z Z v ~ Z co; R N wa 0 Go -cc Q co, o Ion: Z.. W a: Z W Z z m 6 I O C ;gill! !vd ; ' o 9 z to m,0 ! W )t e a 0 rn a \ § ■ � � § � � \ k R � I O co,O C O O' O' tl _ . e C nines o f9N f9' b i a Ig e = N N N N N N N N N N 0 0 w m 6 J : w N a > O o w CJ N. 0 (q U) 0 K �JKato �az_a Q =r 0 - ix cou)00�- ZmgotSH �a n M N.. s N w m co m d a o o olc tl�tlj �; Y N, Y ... o c o O O G ry6.D�A� (fl f9 fHtl �yy C m O O O G WmHHfAtl W i 1 i F z Y I I I I rn co �7 Z Z 5 w a it 0 C9'V 6 L 9— u 0 cV E 0 w w N' N � WW r G W M�I 0 N Q m Z O ZQZ J u Z w W d Zz W a Qi W 1MM W Co M N _N Q1 Ca G! Z R IZ 0 y m o Al a ?� W ZW g W O L2 a al # 06 I NOTICE OF MEETING— 12/13/2023 6. Consider and take necessary action to approve the amendments to the 2023 and 2024 Calhoun County budgets. (RHM) RESULT: " APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER:, Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 19 # 07 NO-IICF OF MFFfING—12/].3/2023 7. Consider and take necessary action to authorize Commissioner Hall to act as general contractor for the Precinct 1 Magnolia Beach/Indianola Maintenance Facility (aka "Beach Barn') project. (DEH) pass Page 4of19 David E. Hall Calhoun County Commissioner, Precinct 91 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for December 13th, 2023. • Consider and take necessary action on authorizing Commissioner Hall to act as general contractor for the Precinct 1 Magnolia Beach/Indianola Maintenance Facility (aka "Beach Barn") project. Si4cerL DHall DEH/apt NOTICE OF MEETING — 1.2/13/2023 8. Public Hearing regarding a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas. Regular meeting.closed at 10:10am Carl Bedgood:explained the. petition to vacate and abandon. Regular meeting opened at 10.:12am Page 5 of 19 i'lil.3ll I,'c;lill,ll,� i.'! ,lily Richard H. Meyer, County judge David Hall, Commissioner, Precinct 1. Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct.4 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday,, December 13, 2023 at 10:00 a.m. in the Commissioners' Courtroom in. the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun. County, Texas. NOTICE IS BEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing regarding a Petition to Vacate and Abandon a 0.283-acre. tract situated. in. the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according; to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat. Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan. Cano: Survey„ Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas. The public shall have the right to be present and participate in such hearing. R chard H. IVleyer, County udge Calhoun County; Texas A. copy of this Notice has been placed on the outsidebulletin board of the Calhoun County Courthouse, 211. South Ann. Street;, Port. Lavaca, Texas. This Notice shall remain. posted'continuously for at least.72 hours preceding the -scheduled meeting. time.. For your convenience, you may, visit the county's website at www.calhouncotx.oraunder"Commissioners`CoumAgenda" for any, official. court. postings. ' FlL�0 r ��I 'elaCK.__ EC 08 Page 1 of 2 # 09 NOTICE OF MEETING -- 12/13/2023 9. Consider and take necessary action to approve a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas. (DEH) Page 6 of 19 THE STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN § AMENDED APPLICATION AND PETITION TO ABANDON AND CANCEL OF PORTION OF CLUB DRIVE IN BAYSIDE BEACH UNIT I TO THE HONORABLE COMISSIONERS COURT OF SAID COUNTY NOW COMES, Teresa Malinek being the owner of Lots 8 & 9 Block Bayside Beach Unit 1 and Robert Carl Bedgood owner of 32.2 acre Club Grounds who hereby petition Commissioner's Court to discontinue, abandon, cancel and close the following a portion of Club Drive described below pursuant to Texas Transportation Code Section 251.051, to -wit: Tract One: BEING a tract or parcel of land containing 0.283 acres, more or less, situated in and a part of the Juan Cano Survey, Abstract No. 5, in Calhoun County, Texas being the portion Club Drive which runs between the Club Grounds and Lots No. 8 & 9 Block 80 as shown on map of Bayside Beach Unit I prepared Jno S. Fenner dated June 22, 1927, of Bayside Beach recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas being fully described by metes and bounds and plat on Exhibit "A" attached hereto Tract Two: BEING a tract or parcel of land containing 0.251 acres, more or less, situated in and a part of the Juan Cano Survey, Abstract No. 5, in Calhoun County, Texas being the portion Club Drive which runs between the Club Grounds and Lots No_ 8 & 9 Block 80 as shown on map of Bayside Beach Unit I prepared Jno S. Fenner dated June 22, 1927, of Bayside Beach recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas being fully described by metes and bounds and plat on Exhibit "A" attached hereto In support hereof the Petitioners will show the Court that: a.) The property adjoining the portion of the roadway is owned by the undersigned; b.) There are no other property owners in said precinct whose property rights will be affected by the closing of the above -described portion of said road; d.) The county has never opened or maintained said portion of said road; e.) Texas Transportation Code Section 251.051 provides that a county is abandoned when its use has become so infrequent that one or more adjoining property owners have enclosed the road with a fence continuously for at least 20 years; f.) Texas Transportation Code Section 251.051 vests in the Commissioners the authority to abandon the Public Road and the Commissioners have not previously classified the subject road as either a first class or second class road; g.) There is no necessity for continuance of such portion of said road and. h.) Texas Transportation Code Section 25I.058(b) provides that upon abandonment title to that portion abandoned shall vest jointly in the owners of the property that abuts, the abandoned road. WHEREFORE, the undersigned parry, Teresa Malinek, being the owner of Lots No. 8 8c 9 in Block 80 Bayside Beach Unit No. 1 and Robert Carl Bedgood being the owner of the Club Grounds in Bayside Beach Unit 1, Calhoun County, Texas; prays that after proper notice of this petition to abandon road has been posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route and on the site of the abandoned road as required by law, that this honorable Commissioners Court enter an order discontinuing, abandoning and closing the above described portion of said road. WMsh:ands, this 6th day f December 2023 Teresa Malinek i COUNTY OF VICTORIA m This instrument was sworn to and acknowledged before me on this the � day, of December, 2023, by Teresa Malinek and Robert Carl Bedgood. Michele Hans= Mg Commission 2 EzDkea IC I J 1 N w2o25 NOTARY PUBLIC IN A IH FOR THE. Nataty ID IS533326257 STATE OF TEXAS. Print or Type Name of Notary My Commission Expires:. TRACTI 0.283 ACRES THE STATE OF TEXAS} THE COUNTY OF CALHOUN) BEING a 0.283 acre tract of land situated in the Juan Cant, Survey, Abstract No. 5, and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z Page 28, of the Plat Records of Calhoun County, Texas, said 0.283 acre tract of land being more fully described by metes and bounds as follows: All bearings, distances and acreages are Grid, State Plane Coordinate System NA083, Texas South Central Zone, US Survey Feet. Mapping angle is+1-13'07" and the combined scale factor is 0.99996499. BEGINNING at a S/S" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set ( N 13,382,719.11, E 2,767,636.45) in the curving southwest right of way line of Brighton Avenue (SO' Right -of -Way) said rebar bears South 09'28'47" West, a distance of 2678.01 feet from US.G.S. Monument "Indianola 2" said rebar also bears South 28'38'40"West, a distance of 1692.01 feet from a Calhoun County Survey Reference Mark located in the foundation slab of the LaSalle Monument on Ocean Drive. THENCE, departing the southwest line of said Brighton Avenue, along the centerline of aforesaid unimproved Club Drive (Right-of-way width varies), South 18-37'07" West, a distance of 93.61 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for angle point in the centerline of Club Drive; THENCE, continuing along the centerline of Club Drive, South 14'08'S9" West, at 52.44 feet pass a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for reference, and continuing for an overall distance of 281.25 feet to a point for corner in a curve concave to the northeast; THENCE, along said curve, radius = 850.03 feet, arc length = 37.26 feet, internal angle = 02"30'42", chord bears North 51°29'45" West, a distance of 37.26 feet to a point for comer marking the south corner of Block 80 of said Sayside Beach Subdivision, same being in the west right-of-way line of said Club Drive; THENCE, North 15'35'50" East, along the common line of said Club Drive and said Block 80, at 245.22 feet pass a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for reference, and continuing for an overall distance of 265.22 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for the point of curvature of a curve to the left; THENCE, along said curve to the left with the north line of said Block 80, radius = 25.00 feet, art length = 63.27 feet, internal angle =145"00'00", chord hears North 56'54'09"West, a distance of 47.69 feet to a point for comer in the southeast right-of-way line of unimproved Baylor Street (per plat V. Z, P.28 P.R.C.C.); THENCE, North 50'36'02" East, a distance of 104.31 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set in the aforesaid curvingsouthwest right-ofway line of Brighton Avenue; THENCE, along said curve of Brighton Avenue, radius = 140058 feet, arc length = 19.46 feet, internal angle = 00°45'18", chord bears South 58"55'45'East, a distance of 18.46 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds 0.293 acre of land, more or less. The foregoing fieldnote description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November and December 2023 and are true and correct to the best of my knowledge and belief. Urbab SUrveylA Inc' }' By: Terry T.R ick ezl�ln� Registered Professional Land Surveyor Texas No. 4943 526207.00—Tract I TRACT II 0.251 ACRES THE STATE OF TEXAS} THE COUNTY OF CALHOUNI BEING a 0.251 acre tract of land situated in the Juan Cano Survey, Abstract No. 5, and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded In Volume Z Page 28, of the Plat Records of Calhoun County, Texas, said 0.251 acre tact of land being more fully described by metes and bounds as follows: All bearings, distances and acreages are Grid, State Plane Coordinate System NAD83, Texas South Central Zone, US Survey Feet. Mapping angle is+1'13'07" and the combined scale factor is 0.99996499. BEGINNING ate 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set ( N 19,292,719.11, E 2,767,636.45) in the curving southwest right of way line of Brighton Avenue (SD Right -of -Way) said rebar bears South 09'28'47" West, a distance of 2678.01 feet from U.S.G.S. Monument "Indianola 2" said rebar also bears South 28°38'40"West, a distance of 1692.01 feet from a Calhoun County Survey Reference Mark located in the foundation slab of the LaSalle Monument on Ocean Drive. THENCE, along said curve of Brighton Avenue, radius = 1400.58 feet, arc length = 18.46 feet, internal angle = 00'45'18", chord bears South S9'41'03" East a distance of 18.46 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set to mark the point at which the east right-of-way line of aforesaid Club Drive intersects said southwest right-of-way line of said Brighton Avenue, same being the north west corner of "pub Grounds" of said Bayside Beach Subdivision; THENCE, South 12'42'00" West, along the common line of said Club Drive and "Club Grounds", at 150.00 feet pass a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC", set for reference and continuing for an overall distance of 383.41 feet to a point for comer in a curve concave to the northeast; THENCE, along said curve, radius = 850.03 feet, arc length = 37.40 feet, internal angle = 02'31'16", chord bears North 54'00'44" West, a distance of 37.40 feet to a point for comer in the centerline of dub Drive; THENCE, North 14MB'S9" East, along said centerline of Club Drive, at 219.81 feet pass a 5/8" steel rebar with yellow plastic rap stamped "URBAN SURVEYING INC.", set for reference and continuing for an overall distance of 281.25 feet to a 5/8" steel rebarwith yellow plastic cap stamped "URBAN SURVEYING INC.", set for angle; THENCE, North 18"3707" East, continuing along the said centerline of Club Drive, a distance of 93.61 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds 0.251 acres of land, more or less. Theforegoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November and December, 2023 and are true and correct to the best of my h� Registered Professional Land Surveyor Texas No. 49a3 526207.00—Tract II Mllwilmml Mae Belle Cassel From: David.Hall@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Sent: Thursday, December 7, 2023 10:50 AM To: Mae Belle Cassel Subject: Fwd: Sent from David's iPhone David Hall Commissioner Precinct 1 Calhoun County Office 361-552-9242 Cell 361-220-1751 Begin forwarded message: From: cbedgood@gtstx.com Date: December 7, 2023 at 10:48:16 AM CST To: David Hall <David.Hall@calhouncotx.org> Subject: RE: CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. How about this: Petition by Teresa Malinek being the owner of Lots 8 & 9 Block Bayside Beach Unit 1 and Robert Carl Bedgood owner of 32.2 acre Club Grounds to discontinue, abandon, cancel and close the a portion of Club Drive pursuant to Texas Transportation Code Section 251.051 -----Original Message ----- From: David Hall <David.Hall@calhouncotx.org> Sent: Thursday, December 7, 2023 10:27 AM To: Carl Bedgood <cbedgood@gtstx.com> Subject: Re: Can you please send the wording for the agenda item as well? Thanks Sent from David's iPhone David Hall Commissioner Precinct 1 Calhoun County Office 361-552-9242 Cell 361-220-1751 On Dec 7, 2023, at 10:23 AM, cbedgood@gtstx.com wrote: CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. David See attached Amended Petition. Please advise that you received this and place on next week's agenda. Thank you for your help. -----Original Message ----- From: Scanner gtstx <scanner@gtstx.onmicro'soft.com> Sent: Thursday, December 7, 2023 10:18 AM To: Carl Bedgood <cbedgood@gtstx.com> Subject: ECOS,YS M6235cidn [00:17:c8:e8:ac:e6] <doc01064520231207101733.pdf> Calhoun County Texas Calhoun County Texas THE STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN § ORDER DECLARING ABANDONMENT AND CANCELATION OF PORTION OF CLUB DRIVE IN BAYSIDE BEACH UNIT I WHEREAS, on the day of December, 2023 the Commissioner's Court of Calhoun County, Texas considered the request of Teresa Malinek and Robert Carl Bedgood to discontinue, abandon and close the following portion of a certain designated road in said county pursuant to Texas Transportation Code Section 251.051, to -wit; Tract One: BEING a tract or parcel of land containing 0.283 acres, more or less, situated in and a part of the Juan Cano Survey, Abstract No. 5, in Calhoun County, Texas being the portion Club Drive which runs between the Club Grounds and Lots No. 8 & 9 Block 80 as shown on map of Bayside Beach Unit I prepared Jno S. Fenner dated June 22, 1927, of Bayside Beach recorded in Volume' Z, Page 28 of the Plat Records of Calhoun County, Texas being fully described by metes and bounds and plat on Exhibit "A" attached hereto Tract Two: BEING a tract or parcel of land containing 0.251 acres, more or less, situated in and a part of the Juan Cano Survey, Abstract No. 5, in Calhoun County, Texas being the portion Club Drive which runs between the Club Grounds and Lots No. 8 & 9 Block 80 as shown on map of Bayside Beach Unit I prepared Jno S. Fenner dated June 22, 1927, of Bayside Beach recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas being fully described by metes and bounds and plat on Exhibit "A" attached hereto WHEREAS, in support thereof Teresa Malinek showed the Court and the Court determined that: a.) The property adjoining the portion of the roadway is owned by the Teresa Malinek and Robert Carl Bedgood; b.) There are no other property owners in said precinct whose property rights will be affected by the closing of the above -described portion of said road; d.) The county has never opened or maintained said portion of said road; e.) Texas Transportation Code Section 251.051 provides that a county is abandoned when its use has become so infrequent that one or more adjoining property owners have enclosed the road with a fence continuously for at least 20 years; f.) Texas Transportation Code Section 251.051 vests in the Commissioners the authority to abandon the Public Road and the Commissioners have not previously classified the subject road as either a first class or second class road; g.) There is no necessity for continuance of such portion of said road and h.) Texas Transportation Code Section 251.058(b) provides that upon abandonment title to that portion abandoned shall vest jointly in the owners of the property that abuts the abandoned road. NOW THEREFORE, ON MOTION DULY MADE BY Commissioner David Hall and SECONDED BY Commissioner IT IS ORDERED AND DECREED that Calhoun County does hereby abandon, vacate and close a tract or parcel of land described as follows: Tract One: BEING a tract or parcel of land containing 0.283 acres, more or less, situated in and a part of the Juan Cano Survey, Abstract No. 5, in Calhoun County, Texas being the portion Club Drive which runs between the Club Grounds and Lots No. 8 & 9 Block 80 as shown on map of Bayside Beach Unit I prepared Jno S. Fenner dated June 22, 1927, of Bayside Beach recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas being fully described by metes and bounds and plat on Exhibit "A" attached hereto Tract Two: BEING a tract or parcel of land containing 0.251 acres, more or less, situated in and a part of the Juan Cano Survey, Abstract No. 5, in Calhoun County, Texas being the portion Club Drive which runs between the Club Grounds and Lots No. 8 & 9 Block 80 as shown on map of Bayside Beach Unit I prepared Jno S. Fenner dated June 22, 1927, of Bayside Beach recorded in Volume Z, Page 28 of the Plat Records of Calhoun County, Texas being fully described by metes and bounds and plat on Exhibit "A" attached hereto IT IS FURTHER ODERED AND DECREED THAT on the date this order is signed, pursuant to Texas Transportation Code Section 251.058 (b) the title to the Tract One shall vest in Teresa Malinek and the title to Tract Two shall vest in Robert Carl Bedgood. IT IS FURTHER ORDERED AND DECREED THAT a copy of this order be filed in the Official Records of Calhoun County, Texas and duly said duly filed copy of this Order shall serve as the official instrument of conveyance of the title to the Tract One to Teresa Malinek and the title to Tract Two to Robert Carl Bedgood. SIGNED THIS 12th day of December 2023. CO SIONERS OF CALHOUN COUNTY, TEXAS Calhoun County Judge Calhoun County" Co,6umissioner Precinct No. County Commig'sioner Precinct No. 2 Commissioner Precinct No. 3 County Cossioner Precinct No. 4 TRACT 1 0.293 ACRES THE STATE OF TEXAS} THE COUNTY OF CALHOUN) BEING a 0.283 acre tract of land situated in the Juan Cana Survey, Abstract No. 5, and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z Page 28, of the Plat Records of Calhoun County, Texas, said 0.283 acre tract of land being more fully described by metes and bounds as follows: All bearings, distances and acreages are Grid, State Plane Coordinate System NAD83, Texas South Central Zone, US Survey Feet. Mapping angle 1s+1"13'07" and the combined scale factor is 0,99996499. BEGINNING at a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set ( N 13,382,719.11, E 2,767,636.45) in the curving southwest right of way line of Brighton Avenue (50' Right -of -Way) said rater bears South 09'28'47" West, a distance of 2678.01 feet from U.S.G.S. Monument "Indianola 2" said ration also bears South 28.38'40"West, a distance of 1692.01 feet from a Calhoun County Survey Reference Mark located in the foundation slab of the LaSalle Monument on Ocean Drive. THENCE, departing the southwest line of said Brighton Avenue, along the centerline of aforesaid unimproved Club Drive (Right-of-way width varies), South 18'37'07" West, a distance of 93.61 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for angle point in the centerline of Club Drive; THENCE, continuing along the centerline of Club Drive, South 14"08'59" West, at 61.44 feet pass a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for reference, and continuing for an overall distance of 281.25 feet to a point for comer in a curve concave to the northeast: THENCE, along said curve, radius = 850.03 feet, arc length = 37.26 feet, internal angle = 02'30'42", chord bears North 51-29'45" West, a distance of 37.26 feet to a point for corner marking the south corner of Block 80 of said Sayside Beach Subdivision, same being in the west right-of-way line of said Club Drive; THENCE, North 15'35'50" East, along the common line of said Club Drive and said Block 80, at 245.22 feet pass a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for reference, and continuing for an overall distance of 265.22 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set for the point of curvature of a curve to the left; THENCE, along said curve to the left with the north line of said Block 80, radius = 25.00 feet, arc length = 63.27 feet, internal angle=145°00'00", chord bears North 56°54'09"West, a distance of 47.69 feet to a point for corner in the southeast right-of-way line of unimproved Baylor Street (per plat V.2, P. 28 P.R.C.C.); THENCE, North 50"36'02" East, a distance of 104.31 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set in the aforesaid curvingsouthwest right-of-way line of Brighton Avenue; THENCE, along said curve of Brighton Avenue, radius = 1400.58 feet, arc length = 19.46 feet, internal angle = 00'45'18", chord bears South 58'55'45"East, a distance of 18.46 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds 0.283 acre of land, more or less. The foregoing fieldnote description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November and December 2023 and are true and correct to the best of my knowledge and belief. _ G or rF a /?_TERRY 'L •AUDOICIC.(! Urbab Survey Inc. Inc. p '+ 4943 By: Terry T. Rulidick wS d�+`.J' ��.. .. +... Registered Professional Land Surveyor YD SUFN� d Texas No. 4943 S26207-00 — Tract I 5 n ) sy e:a f�3 2 TRACTII 0.251 ACRES THE STATE OF TEXAS} THE COUNTY OF CALHOUN] BEING a 0.251 acre tract of land situated in the Juan Cano Survey, Abstract No. 5, and being a portion of unimproved Club Drive accordingto the plat of Bayside Beach Subdivision as recorded in Volume Z Page 28, of the Plat Records of Calhoun County, Texas, said 0.251 acre tract of land being more fully described by metes and bounds as follows: All bearings, distances and acreages are Grid, State Plane Coordinate System NAD83, Texas South Central Zone, US Survey Feet. Mapping angle is+1'13'07" and the combined sole factor is 0.99996499. BEGINNING at a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC" set ( N 23,382,719.11, E 2,767,636.45) In the curving southwest right of way line of Brighton Avenue (50' Right -of -Way) said rebar bears South 09'28'47" West, a distance of 2678.01 feet from U.S.G.S. Monument "Indianola 2" said rebar also bears South 2838'40"west, a distance of 1692.01 feet from a Calhoun County Survey Reference Mark located in the foundation slab of the LaSalle Monument on Ocean Drive. THENCE, along said curve of Brighton Avenue, radius = 1400.58 feet, arc length = 1SA6 feet, internal angle = 00°45'18", chord bears South 59-41'03" East a distance of 18.46 feet to a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC." set to mark the point at which the east right-of-way line of aforesaid Club Drive intersects said southwest right-of-way line of said Brighton Avenue, some being the north west comer of "Club Grounds" of said Bayside Beach Subdivision; THENCE, South 12°42'00" West, along the common line of said Club Drive and "Club Grounds", at 150.00 feet pass a 5/8" steel rebarwith yellow plastic cap stamped "URBAN SURVEYING INC", setter reference and continuing for an overall distance of 383.41 feet to a pointfor corner in a curve concave to the northeast; THENCE, along said curve, radius in 850.03 feet, arc length = 37AD feet, internal angle = 0231'16", chord bears North 54'00'44" West, a distance of 37AO feet to a point for comer in the centerline of Club Drive; THENCE, North 14"08'59" East, along said centerline of Club Drive, at 219.81 feet pass a 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING INC.", set for reference and continuing for an overall distance of 281.25 feet to a 5/8" steel raper with yellow plastic cap stamped "URBAN SURVEYING INC.", set for angle; THENCE, North 18'37'07" East, continuing along the said centerline of Club Drive, a distance of 93.61 feet to the POINT OF BEGINNING, CONTAININGwithin these metes and bounds 0.251 acres of land, more or less. The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November and December, 2023 and are true and correct to the best of my knowledge and belief. „ Urdvm Survey+fig, inc. � By:TerryT. Ra1 "'r�dick 6`�'f Registered Professional Land Surveyor Texas No. 4943 526207.00—Tract II 04 n 9 4 "� 4 3 'a.` E � �<� ' � � � �» < �t �� #10 I NOTICE OF MEETING - 12/13/2023 10. Consider and take necessary action to approve the granting of variance from subdivision regulations for Lot 2, Block 2, Espiritu Santo Bay Resort, Port O'Connor, Texas. Property owner is Blue Cut Ventures, LLC. (GDR) franca explained variance. APPROVED [UNANIMOUS] Gary Reese, Commissioner Pct 4 . .,_�...z ., r`-. miccinnarDrt i Page 7 of 19 Gary D. Reese County Commissioner County of Calhoun Precinct 4 December 4, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for December 13, 2023. • Consider and take necessary action to approve the granting of variance from subdivision regulations for Lot 2, Block 2, Espiritu Santo Bay Resort, Port O'Connor. Property owner is: Blue Cut Ventures, LLC. Sincerely, rA Garyy l Reese GDR/at P.O. Box 177 — Seadrill. Texas 77983 — email: gary.reese(a),calhouncoix.ora — (361) 785-3141 — Fax (361) 785-5602 Mae Belle Cassel From: tricia@portlavacalaw.com (Tricia Koenning) <tricia@portlavacalaw.com> Sent: Friday, December 1, 2023 2:40 PM To: maebelle.cassel@calhouncotx.org Subject: FW: Request for Agenda Placement Attachments: 20231201142312501.pdf CAUTION: This email originated from outside of the organization. Donot click links or open attachments .,n„ raenoni ze the sender and know the content is safe. From: Tricia Koenning Sent: Friday, December 1, 2023 2:37 PM To: maebelle.cassell@calhouncotx.org; gary.reese@calhouncotx.org Subject: Request for Agenda Placement Mae Belle, Please consider this request for placement of agenda item on the December 13, 2023 agenda. Mr. Arriaga has discussed this matter with Commissioner Reese, who has approved the same. For your convenience, I have attached the Resolution Granting a Variance from Subdivision Regulations. I would appreciate your placing the following items on the agenda for December 13, 2023: * Consider and take necessary action to approve the granting of variance from subdivision regulations for Lot 2, Block 2, Espiritu Santo Bay Resort, Port O'Connor. Property owner is: Blue Cut Ventures, LLC Thank you. Tricia Koenning, Legal Assistant Roberts, odefey, Witte & Wall, LLP Attorneys at Law P. 0. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 (Telephone) (361) 552-5368 (Fax) ROBERTS, ODEFEY, WITTE & WALL, LLP -- CONFIDENTIALITY NOTICE: This electronic message is intended to be viewed only by the individual or entity to whom it is addressed. It may contain information that is privileged, confidential and exempt from disclosure under applicable law. Any dissemination, distribution or copying of this communication is strictly prohibited without our prior permission. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, or if you have received this communication in error, please notify us immediately by return e- mail and delete the original message and any copies of it from your computer system. 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RESOLUTION GRANTING A VARIANCE FROM SUBDIVISION REGULATIONS THE STATE OF TEXAS § COUNTY OF CALHOUN § WHEREAS, The Commissioners' Court of Calhoun County has received a request from Teddy Scott Wilson, Member of Blue Cut Ventures, LLC, owner of Lot Two (2), Block Two (2), Espiritu Santo Bay Resort, Port O'Connor, Calhoun County, Texas (hereinafter "Owner") for a variance from the subdivision regulations adopted by the County on December 13, 2007, as amended from time to time; and WHEREAS, the variance requested pertains to Part 3: Design Standards; Section 301 (4) by decreasing the side setback line by one foot (l'), resulting in a four foot (4') side setback line, and decreasing the front building setback line by one foot (P), resulting in a nine foot (9') front building setback line; and WHEREAS, in support of the request, Owner of Lot Two (2), Block Two (2), Espiritu Santo Bay Resort, Port O'Connor, Calhoun County, Texas, will show the Court that: a. The encroachment into the set backs is minimal, less than a foot and is not encroaching onto another property; b. The variance will not affect utilities or utility providers providing services to any lot; c. Compliance, at this point, would be impractical as the construction of the improvements is complete; d. The variance is not detrimental or contrary to the health and safety of residents of the subdivision; e. Owner will comply in all other respects with subdivision requirements; and f. The variance will not impede the orderly subdivision of other land in the area. WHEREAS, the members of the Commissioners Court considered the evidence and upon motion and second, adopted the following resolution: NOW THEREFORE BE IT RESOLVED BY THE COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS: 1. The Commissioners Court of Calhoun County, Texas makes the following findings: a. The Court considered the nature of the proposed variance, the use of the land involved and the existing uses of the subdivision. b. The Court considered and found that there would be no effect upon the public health, safety, convenience, or welfare of other property owners in the vicinity if the variance is granted. C. The Court considered and found that there would be no effect upon utility providers or the delivery of utility services in the subdivision if the variance is granted. d. There are special circumstances or conditions affecting the land involved such that the strict application of the Subdivision Regulations would be unreasonable. e. The granting of the variance will not be detrimental to the public health, safety, or welfare, or injurious to other property in the area. f. The granting of the variance will not have the effect of preventing the orderly subdivision of other land in the area in accordance with the provisions of the Subdivision Regulations. g. The granting of this variance is in harmony with the general purposes and intent of the Subdivision Regulations so that the public health, safety, and welfare may be secured and substantial justice done. h. That under the Calhoun County Subdivision Regulations this Court has the authority to issue a variance. 2. That the Commissioners' Court of Calhoun County hereby GRANTS a variance as to Part 3: Design Standards; Section 301 (4) by decreasing the side setback line by 2 one foot (1'), resulting in a four foot (4') side setback line, and decreasing the front building setback line by one foot (1'), resulting in a nine foot (9') front building setback line as requested. BE IT FURTHER RESOLVED that copies of this resolution be entered in the minutes of this Court. j'r+ PASSED AND APPROVED by Calhoun County Commissioners' Court on this f D day of , 2023. Calhoun County Commissioner, Pct. Joel ehrens Calhoun County Commissioner, Pct. 3 ATTEST: Anna Goodman, County Clerk MUM zr By: Deputy Clerk Calhoun County Commissioner, Pct. 2 ft Do Gary e se Calhoun County Commissioner, Pct. 4 MORTGAGE IOAN tj3EEG19QN TRnc'rv.: LOTS ME11) AND TWO (211N BLOOK IWO (Si OF TH€ 18PTui1f BANiO FAY HENDRY. OMHWN CWNiY. TEXAS: A00021111NO IC 1ME: HA, CF aAll, A1IHOIVISf,N Of NpL IMOEN AJ* ISO A A R, C"o"'A{. Kr,ORPSCFGLOOUN CCUWTY� TIXA5, .. OI" v , Is . LN M• ,IELV — 0 20 40 GRAFHICMCAMNFEET 1AT tO I LOT 11 LOT 11 .N- /f ' i __ �` 10' dYl}�NIL Nni_, F.Gtl%fc AM IwuNCWN�b -,bA M,�l rem om BOY RF.sDEwcE �PLOT 2 H m LOT I fit � n LOT J N o 5 1 e°y 1 m fi h- -NSiot ` MA xnEft F E 1 Y tgFy�. F DNYT 'i i. pY Iy dtlBPoH'NN �v Ti[R vor PZI � 15 CIRCLE HOOK vRHe (50' RIGHT-OF-WAY) n,. RVN..,r waL a.Njs•1 eu 1-.1 So s.:akWwm eo,e wb bsa oY EIgIIIy,Wlonel 1fIM Inwm:u 4vpnlN 6.N.. 3,4eyC5TA -S-5.5N.Y 10 A�WISDI. C.Nn.OR �m;/uOaumYnl. R.HeaA H: (C )) WYN .tt x.. mvl-01H2P OxY! I kmmW. c, iao, lOW m aj yNIaNiA W..1-o1Evv Cn4f l RaelY. Gn v4n!/ awu N x.: ^.Rz-oM�1 enrml B:vmm• un lacy tam: ffe. Ml NL Rtt P.pHe OHO im GwnlY la {Eu. N.mni WOm.LPq..BI�'l. "A C.hv NYi (Rm+n Ilmim) ravum.tt Na ImIB�. dnm N..um.,'cmnmN cmrnr. rum. fBmv aNRI.m1 ma TL .wry. LI 1 -..w I.L. 9vb Icae s 1x1 To THE LIMHOLD€NS ANOION BNE OAWENS Cw THE PHENISEaS WEV€o AND 109HEY.NLF CORIPANW OFVEOFASIGRIV DOGSI1ER0CCOESH ON WAD IS OEMITHEND"AT THERE PEOPERTY IMCHEVNCIES. OOOHEkEON AHORTAi ZZ AND MEA, UIECT.ANO THAT THERE ARE NO Olal'RETANOIES. 0.'�YFl.IOT&. SHGRFR+:ES M ANFA,fiDIP(ARNY DNE. WAY.FOTS: T ASS I64 WfRW.N, RLAO RN(.' OF LAIPRONEA W RASA 0CPS& bON NIGHTS W' DDORJ;OEPT ASSHOWW NFRECN. ANR THAT AA4=NOP€RTY Hag ACOE&aTO ANO FNCVA OGOIGTGO RCACiYAV. AMORBINGTUTHE MOOD MSUHANCE'. RATE NL IFIFMj FOR THE CITV OF FORTUVONNOR, OAl WN COUNTY; TEXAS, COLKSUNITY PANEL NUMBER•506TC WSM— MAPREWSEO OCr. SB. EDP/ THE SOVROT PNOFERTY 1S LOCATED IN ZONE Ayj, WHICH !M A SPECIAL FLOOD HAYRDARSk BASF. FLOOD ELEVAMN DETERMINE. u MONEC RBAN SORDEYINO. W. BY: NIMAEL K 1YdLNMS REGISTERED PROFESSIONAL ANDSURVEYOR TEXASNO.BSIS Y i 09 S o LEGEND- T So, Q eII14YvREii [(Pv4 NrtA :V"tlF rsA YF .GewvTs1eL=eE+G ® m cla+ravnm. dE9 � �V%:F.!EOEsiAL M/6 Lli.JAn"M1wE1: ENEWFNTLNE (N 'JY'OEOI'4 DNS) M9C'NYOPNol GiILNE kanG 6BNMRN9 pcnOIlmFOOD NC. RA dN t )8 69fiY PM1M fl T' r nvs ievn xv . m, I flViHrtMYY h%AE %IJffiCrL NW.I I. V413 MrAWN MY: FM JOB NO.: 402010 NOTICE OF MEETING— 1.2/13/2023 11. Consider and take necessary action to authorize the opening of a credit account with Collins Supply, Inc. for the County and authorize Judge Meyer to sign the applications. (GDR) RESULT:. APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3, AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 19 Gary D. Reese County Commissioner County of Calhoun Precinct 4 December 5, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for December 13, 2023. • Consider and take necessary action to open a credit account with Collins Supply, Inc. for the County and authorize Judge Meyer to sign application. Sincerely, Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: sary reeseamcalhouncomore — (361) 785-3141 — Fax (361) 785-5602 INDIVIDUAL DEPARTMENTS TO BE BILLED SEPRATELY - SEE ATTACHED LIST Collins Supply, Inc. 118-C Stoner Rd. Victoria, TX 77901 PH 361.578.7473 ** FAX 361 485.9990 CREDIT APPLICATION Name of Business: CALHOUN COUNTY Mailing Address: 202 S ANN ST Physical Address: Type. of Business:: COUNTY GOVERNMENT Phone: 361-553-4610 Fax: Number of Years in Business: Type of Ownership: Corporation ( } Partnership (j United Partnership O Individual ( ) COUNTY GOVERNMENT NAME OF PRINCIPALS OF COMPANY 1. 2. 3. Name Address nnTT Tn T nnTmITV nnMMTSSTOMF.RS COURT BANKING INFORMATION Bank Name: PROSPERITY BANK Account No: Bank Officer: Address/Phone No: CREDIT REFERENCES Phone Number Name Address Phone Number 1 TRI-WHOLESALE PO BOX 540; PORT LAVACA TX 77979 361-552-3775 2 VICTORIA FARM EQUIP PO BOX 1996; VICTORIA TX 77901 361-573-2497 3. VICTORIA OLIVER CO 2303 N MAIN ST; VICTORIA TX 77901 361-575-2562 1 (we) understand thatthe information furnished to you on this credit application is for the purpose of obtaining credit from your firm and that l am (we are) authorized in my (our) capacity to bind my (our) firm accordingly, I (we), the undersigned, hereinafter call guarantors, do jointly and severally, unconditionally guarantee and promise to be held personally liable for all indebtedness accrued under this continuing agreement. That all past due accounts, notes orjudgments may assess penalty charges at the rate of ten percent (10%) per annum. In the event of default and referral to an attorney or collection agency I (we) agree to pay reasonable costs and attorney s fees. I understand that the above information is given for the purpose of obtaining credit and I certify that to the best of my knowledge the above i ation is complete and accurate. t Customer's Signature: Date: Date: Customer's Signature: CALHOUN COUNTY PRECINCT 1 202 S. ANN ST. STE A; PORT LAVACA TX 77979 361-552-9242 Office Manager/AP Contact - ANGELATORRES;aneela.torres calhouncotx.ore CALHOUN COUNTY PRECINCT 2 5812 FM 1090; PORT LAVACA TX 77979 361-552-9646 Office Manager/AP Contact - LESAIUREK; lesa.iurek@calhouncotx.org CALHOUN COUNTY PRECINCT 3 24627 STATE HIGHWAY 172; PORT LAVACA, TX. 77979 361-893-5346 Office Manager/AP Contact - LYNETTE ADAME; Iynette.adame@calhouncotx.ore CALHOUN COUNTY PRECINCT 4 P.O. BOX 177; SEADRIFT, TX 77983 361-785-3141 Office Manager/AP Contact - APRIL TOWNSEND; april.townsend@calhouncotx.orz CALHOUN COUNTY BUILDING MAINTENANCE 211 S. ANN ST; PORT LAVACA, TX 77979 361-553-4499 EVERETT WOOD; everett.wood@calhouncotx.ora "91a39 (back) ,re (Rev.4-13/8) Texas Sales and Use Tax Exemption Certification This certificate does not require a number to be valid. agency Port 1.9 I, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxable items described below or on the attached order or invoice) from: Seller: Collins SuPPIY, Inc Street address: 2118-C Stoner Rd ..city, State, ZIP code: Victoria TX 77901 Description of items to be purchased or on the attached order or invoice: Purchaser claims this exemption for the following reason: Local Government I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with the provisions of the Tax Code and/or all applicable law. 1 understand that itis a criminal offense togive an exemption certificate tothe sellerfortaxable items fhatl know, atthe time ofpurchase, willbe usedin a manner otherthan thatexpressedin this certificate, anddepending on the amount oftax evaded, the offense mayrange from a Class C misdemeanor to a felony of the second degree. Title Date P rchaser /'! esiewID: mauousov"n5zoza Assistant Auditor 12/13/2023 here bQ>V}1A �./m NOTE: This certificate cannot be issued for the purchase, lease, or rental of a motor vehicle. THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE VALID. Sales and Use Tax "Exemption Numbers" or "Tax Exempt' Numbers do not exist. This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. Send Result Report reKHOCEM3 MFP � F y y " ��a .:,, a1f •s->..,a <:.� 1. i 12/14/2023 09:38 Firmware Version 2R6 2000.005.501 2022.04.06 [2R6_1000.005.0011 [2R6_1100.001 0071 [2R6_7000 006 4031 _ Job No.: 037840 Total Time: 0001'22" Page: 003 Complete Document: doc03784020231214093554 _N3IV=vxL C3pMW.11NT3 TO BE BILLa3 9E!PhT.S.x - 886 ATTACHED nM Collins Supply, Inc. t1To•C Stoner Rc. VotNda, TX 77901 FH 391X&T473"FAX 391AS539:0 CREDIT APPLICATION Name of Susness: LQadw cp=ir Type orBusines5. caus9'a C0'ren"HeNr Mailing ,Address. aoa 0 ad" ''e Phone: oeL-ss�-aclo PTyslcal Address: Fax: Nllmharn OAM In BIIs1nF.e.S: T/pa of 0v nnLShlpr Cortalmrnn i ) Par'ierch p I I t!nitRd Parn3rtnlp r ; Iadivilna. �,) CCAM GOV''sulmP NAME OF PRINCIPALS OF COMPANY tiara Address PMre Number I. na-:emv -- BANKING INFORMATION. Eank Name: peossnvk.r BAM AcccuslNo' Bank 0lfuer: .acdresslPhcre No. CREDIT REFERENCES are A cress Phcne Number 1 I. szL-wxow9wa ec aoz saw :onr 9avaaa mx wsw ee o-sr•]ves 2 .xeMnxn cam C4a3r co vox L99e, VFCTMA = e73.2 :e1-3]]•3e57 e TS^] J61-595-L]ev t (vfe) underawnd Ihattte informa[3rwinstei to yeuor @Isenalk applxakri Ls tar tha;utpoaect ana rg cacti: mal,yvur(Irlll and Mail am jA8 are) aNhdrtax in Gy (cur} capa* In hind my(oury non accuNi:yly, t Ivre): Ibe;adersignad.'iercha7arcal guarcnWrs, d3bady a� severally, ul;onciropally g3aranil Thnal put+uampeeWnotesoaefcral ie May 9nes aocrOlti etthls canl%ra agreement. ) par l pasi . in theoa idt notes dtand tabard d b edam penalty ohccge t aleay I (-) pemenl(10°<'j parennum In the evenlatderadlend refern� ban sbomay ormllaalionacercy I Iwo) agresiapay reasoneblacade arA atbmey'she9. I un]erslsnd lhalthestvvs Intouredonk;1*1 to, lheputposeafdblalning credit 1101 Carol? that a the eis.Vynty Suuabdgeaiaabove ii gA aWuisvum3lela mid aLuumtr. Clatumees 31g1atuw. Oate OI —/ 3— Z— 211 Cialmnels SlUnalurc: Date: n„ na+c and Time Destination 001 12/14/23 09:36 93614859990 limes type 0001'22" FAX OK 20UXIOU Normal/UTT L V9Y94U1bbb I 1 #12 NOTICE OF MEETING - 12/13/2023 12. Consider and take necessary action to authorize the County Judge to sign the Sales Contract for the purchase of 118 Leona Street, 308 S Ann Street and 312 S Ann Street. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: Gary Reese, Commissioner'Pct 4, AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 19 #13 NOTICE OF MEETING 12/13/2.023 13. Consider and take necessary action to authorize Precinct 3 Justice of the Peace Tanya Dimak to sign a Service Agreement with Sparklight to add phone services. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy; Behrens„Reese Page 10 of 19 Mae Belle Cassel From: tanya.dimak@calhouncotx.org (Tanya Dimak) <tanya.dimak@calhouncotx.org> Sent: Monday, December 4, 2023 9:27 AM To: MaeBelle Cassel Subject: Agenda Item Attachments: JP#3 Sparklight Contract.pdf Good Morning, Can you please put me on the next agenda? I have a Sparklight contract that I need permission to sign. We currently have a contract for internet services with them. We are only adding phone services. Thank you, rt e alga —onw?a/r, Justice of the Peace, Pct. 3 Calhoun County, TX P.O. Box 542 * 112 Jones St Point Comfort, TX 77978 361-987-2930 361-987-2940fax Calhoun County Texas DocuSign Envelope ID:: ODC3BDA2-C848481.8-A1D1-E90EAE7066FB Business Service Agreement S Pa rkl i g h t^ Pate: 1214/2023 8:10 AM. Business SparklightBusiness Account Rep: Fernando Mayorga SparklightSystem Address: Phone Number.: (602) 364-6146 Z10 E Eadl Dave. Phoenix, AZ 85012 Fax Number: Customer Information Authorized Customer Representative Company 1, Justice of the Peace Pct 3 Full Name: Tanya Dimak Street Address: 112 Jones St Billing Telephone: 1 (361) 987-2930 City1State1Zip: Point Comfort, TX, 77978' Fax: Billing Address: Contact Number. 361'9872930 City/StatelZip: POINT COMFORT, TX 77978 Email: tanya.dimak@calhouncotx.org Sparklight 103673893 ccc nt# Taxes and Fees Not Included. aervrce. Quantity 1 Mbps x 5Mbps.-Fi/Router2 rSemicecription Installation Charge(May Include Construction): $Q'.00 Term, (In Months):: 36 Total: $180.91 I. elepRWIM �11— Type Telephone# voicemail'. Line 1. Ported. 361'1987291.9 Y EUnlimited Line 2 Ported. 3619872930Y Card Phone Line 1. Parted 36119872940 N, Equ pmen Quantity Unit Price. Total. Fee Description 1 $10,9g $10.99 Modem Lease BE REVISED AFTERWARD. THOUGH VIDEO SERVICE FEES MAY BE INCREASED, HSD AND PHONESERVICt i WILL NOT BE INCREASED DURING THE TERM', SEPARATELY, THE EQUIPMENT FEES MAY BE REVISED Page.1 of DocuSign. Envelope 10: ODC3BDA2-C848-4B1.8-A}D1:-E90EAE7066FB ALL SERVICE CHARGES ARE SUBJECT TOAD D ITIONAL APPLICABLE LOCAL, STATE AND FEDERAL TAXES, FEES OR SURCHARGES AS REQUIRED OR PERMITED BY LAW. agrees to be bound by and comply with the terms of this Business Services Agreement and the General Terms ditions available atwhich are incorporated herein by this refer( "General Terms'). THE GENERAL TERMS INCLUDE AN ARBITRATION SECTION, WHICH, PROVIDES THAT (TIES DESIRE TO RESOLVE ANY CONTROVERSY OR CLAIM ARISING OUT OF OR RELATING TO THE BUSIN ,VICES AGREEMENT THROUGH ARBITRATION, AND BY AGREEING TO ARBITRATION, CUSTOMER IS GIB CERTAIN RIGHTS, INCLUDING THE RIGHT TO TRIAL BY JURY. Sparklight may accept this Business Bar% mment by (a) countersigning below;, or (b) commencing to deliver the Service(s) specified in this Business Sergi Customer Authorized Signature Name (Print) Date Tanya Di.mak. Page 2 of 4 DacuSign Envelope ID: ODC38DA2-C848-4Bt8-AIDt:-E90EAE7066FB /Sparklig ht' Business Letter of Agencv Authorized Name: Tanya Dimak Company Name: Justice of the Peace Pct 3 Billing Address POINT COMFORT, TX 77978 Company authorizes Cable One, Inc. dlbla Sparklight Business ("Sparklight) to act as Company's, agent in dealing with its current service provider for the: purpose of moving, some or all of its telephone services to Sparklight. Company also authorizes Sparklight to obtain any information from, its current service provider about the Company or its current services which is necessary to transition services. By signing below, the Company's authorized signatory to this document hereby designates Sparklight to become Company's new service provider forthe telephone number(s) listed on the following page of this documeft l choose Sparklight to provide local telephone service for the telephone number(s) listed: on the following page of this document. • I choose Sparklight to provide local toll telephone service for the telephone number(s) listed on the following page of this document. • I choose Sparklight to provide long distance toll telephone service: for the telephone number(s) listed on the following page of this document. • I choose Sparklight to provide international toll telephone service for the telephone number(&) listed' on the following page of this document. I certify that I am at least eighteen. years of age, and am authorized to, bind the Company to the designation of Sparklight as the provider for the services and telephone number(s) identified above. I understand that the Company may, choose only one provider for each telephone service and number(s) identified herein. There, will'. be no charge for the service transfer and Sparklight will be responsible for any and all porting fees. By signing my name below, I acknowledge that I have read, understand and agree with these statements. Authorized Customer Signature: Tanya D#,mak Printed Name: Date Signed: Title: Company Name: Justice of the Peace Pct 3 Page 3 of 4 DocuSign Envelope ID: ODC3BDA2-C848-0518-A101-E90EAE7066FB Authorized Telephone Numbers: 3619872919,3619872930,3619872940, Page 4 of 4 #14 NOTICE OF MEETING--.12/13/2023 14. Consider and take necessary action on the annual renewal with MIP Fund Accounting Software and authorize the County Auditor to sign the quote. (RHM) Page 11 of 19 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <ca ndice.vi llarreal @calhouncotx.org> Sent: Saturday, December 2, 2023 8:51 AM To: MaeBelle.Cassel@calhouncotx.org;'Richard H. Meyer' Cc: 'Commissioner Hall'; 'vern lyssy'; joel.behrens@calhouncotx.org; 'Gary Reese'; candice.villarreal@calhouncotx.org Subject: Agenda Item - MIP Software Renewal Attachments: Renewal Order Form - Final - 2023-12-01T165402.576.pdf Mae Belle, Please add to the agenda for December 13, 2023: • Consider and take necessary action on annual renewal with MIP Fund Accounting Software and allow County Auditor to sign the quote. Thank you, ILA Tort Lavaca, TC 77979 41fww,,(361)553-4611 Calhoun County Texas kk z,communttybronds MIP FA Quote Number: Q-117033 Quote Date: 12/01/2023 Quote Expires on: 12/14/2023 Commencement Date: 12/15/2023 Contract End Date: 12/14/2024 Contract Term: 12 Payment Terms: Net 30 Calhoun County, Texas 202 South Ann Street, Ste B Port Lavaca, TX 77979-4204 ORDER SUMMARY MIP FA by Community Brands 9620 Executive Center Drive N. #200 St. Petersburg, Florida 33702 Representative: Tony Slan Cindy Mueller 1 (361) 553-4610 cindy.mueller@calhouncotx.org g .... a��VlA�lh`��E�IA��".,nkrSUyQ �s�� `, .`�r��t��,��, ,u,�,x�^t";�, a�,�� .�:.�ds*�. � ��,.� ��, ;�,5_��,:•V,r`��;"�,"��s�s' Product Name Qty List Price MIP On -Premise: Accounts Payable - M&S 1 $817.89 MIP On -Premise: Additional User(s) - M&S 9 $2,642.49 MIP On -Premise: Additional User(s) - M&S 1 $778.87 MIP On -Premise: Advanced Security - M&S 1 $588.51 MIP On -Premise: Allocation Management - M&S 1 $817.89 MIP On -Premise: Bank Reconciliation - M&S 1 $391.91 MIP On -Premise: Budget Management - M&S 1 $654.05 MIP On -Premise: Data Import/Export - M&S 1 $391.91 MIP On -Premise: Direct Deposit - M&S 1 $391.91 MIP On -Premise: Forms Designer- M&S 1 $293.61 MIP On -Premise: GASB Reporting- M&S 1 $391.91 MIP On -Premise: General Ledger- M&S 1 $1,309.41 MIP On -Premise: Payroll - M&S 1 $1,145.55 Maintenance and Support Subtotal: $10,615.91 TOTALS Total $10,615.91 Terms & Conditions This order form ("Order Form") is entered into on the last date of signature below ("Effective Date") by and between Calhoun County, Texas, a Government with offices located at 202 South Ann Street, Ste B, Port Lavaca, TX, 77979-4204 (the "Licensee") and Community Brands Intermediate, LLC and Affiliates, a Limited Liability Corporation with offices located at 9620 Executive Center Drive N, St. Petersburg, Florida 33702 (the "Licensor'), for the provision of Services listed above. This Order Form is subject to Licensor's terms and conditions (the "Terms and Conditions"), a copy of which is available on Licensor's website at hftps://www.communitybrands.com/CBTermsandConditionsDec2l and supersedes all prior, conflicting agreements or representations, written or oral between the parties for the Services listed. Capitalized terms in this Order Form will have the meanings given in the Terms and Conditions. Order Form Term: The term of this Order Form is 12 Months ("OF Term"). This Order Farm shall automatically renew for a term of the same length as this OF Term, unless either party provides written notice of intent not to renew no later than one hundred twenty (120) days prior to the expiration of this OF Term. In the event that this Order Form is automatically renewed, Licensor may increase Fees for these Services no more than once per annum. IN WITNESS WHEREOF, the parties hereto, each by a duly authorized officer, have entered into this Order Form as of the Effective Date. LICENSEE LICENSOR By: Name: Title: Date: By: Name: Title: Date: #15 I NOTICE OF MEETING-- 12/13/2023 15. Consider and take necessary action to approve the emergency purchase of a 2019 Chevrolet Silverado 1500 from Victory GMC-KIA for the amount of $44,695.49 due to a shortage of necessary patrol vehicles. (RHM) Page 12 of 19 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: ACCEPT DONATION TO SHERIFF'S OFFICE DATE: DECEMBER 13, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR DECEMBER 13, 2023 * Consider and take necessary action for an emergency purchase of a 2019 Chevrolet Silverado 1500 from Victory GMC-KIA for the amount of $44,695.49. This purchase is due to a shortage of necessary patrol vehicles. Sincerely, Bobbie Vickery Calhoun County Sheriff G =VICTOR'Y Purchaser's Name (Print) — City, State [ hereby agree to purchase from cmek Nn. I Year VICTORY GMC - KIA ® 4702 N. NAVARRO ❑ 5101 N. NAVARRO �^ VICTORIA, TEXAS 77904 VICTO 61A, TEXAS 4542 7901 361-572-8425 FAX 361-572-8046 FAX 361-489-4850 Date NOV 29 2023 www.victoryvehicies.com Address Has. Cell Res. Phone Phone Phone USED vehicle ❑ DEMO under the terms and conditions specified the f❑ NEW ® ollowing n - Miles Equipment installed on this automobile by the factory is all of the equipment due me except: Selling Price ACCESSORIES SOLD AS EQUIPPED All Used Cars Sold "AS IS" Unless Otherwise Indicated Here Below DESCRIPTION OF TRADE-IN Make Body Typese ADE 1Year # E I Serial # Payoff To Color Miles Stock # Year Make Body Type TRADE 2 License # Serial # Payoff To Color Miles Stock # ff NTARY FEE IS =LAVENTA. FICIAL FEE. A DOCUMENTARY FEEQUIRED BY LAAY BE CHARGED TO BUYERS FOR FEE EXCEED HANDLING NA RLETS TAMOUNT AGREED TO BYY THEHIS NOTICE IS BY LAW. DOCUMENTACARGO OFICIAL. LA LEY NO EXIGEIMPONGA UN OCUMENTAL. PERO ESTE PODRIAE A LOS CRES POR EL MANEJO DE LA DOCUMENTACION EN CON LA VENTA. UN CARGO T ACORDADA FOR AS PARTIES. ESTA NOTIFICACIbNSE XIGE POR LEY. The Dealer's Inventory Tax charge is intended to reimburse the dealer for ad valorem taxes on its motor vehicle inventory. The charge, which is paid by the dealer to the county tax assessor - collector, is not a tax imposed on a consumer by the government, and is not required to be charged by the dealer to the consumer. 11/29/2023 Date Special intro Package Discount Rebate Assigned to Dealer Trade -In Alimvauce Trade Difference Payoff Balance Blue Steel DD / TW / W S Dealer Prep Fee Dealer's Inventory Tax Sales Tax License Fee Title Fees Inspection Fees Documentary Charges Net Balance Due Cash Receipt # EXT. SERVICE CONTRACT Balance Due + I N/A 1 PaY ments @ 44695.49 Begin 01/13/24 LIEN INFORMATION Amount of Lien 44695 .49 Lien Date 11/29/2023 Draft on Amount of Drag N/A Authorized try CREDIT SALE The following is an offer to purchase vehicle described hereon on credit on terms described herein and authorization to obtain information to determine credit worthiness Of customer. NO CONTRACTUAL OBLIGATION IS HEREBY CREATED - Full disclosure as required y Federal Consumer Protection Act will be made prior to consummation of credit transaction by purchasers signature to an installment sale contract. 11/29/2023 Slµnalure rr,' d t Sala) Dnre solo Aopro.ru Dr This order 11 not relid until amapted by an officer of Viaoq GMC Kia #16 i NOTICE OF MEETING;—12/13/2023 16. Consider and take necessary action to approve a credit card with a limit of $2,000.00 for Nathan Lapham, Calhoun County Code Enforcement Officer. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall; Commissioner Pet 1 SECONDER: Joel Behrens, Commissioner?ct 4 AYES: . Judge Meyer, Commissioner Hall,,Lyssy, Behrens, Reese Page 13 of 19 #17 NOTICE OF MEETING 12/13/2023 17. Consider and take necessary action to award the bids for Road Materials, Bid Number 2024.02, for the period January 1, 2024 through December 31, 2024. (RHM) Page 14 of 19 CALHOUN COUNTY, TEXAS PROPOSED AWARD BID TABULATION ROAD MATERIALS ANNUAL SUPPLY CONTRACT, BID NUMBER: 2024.02 For the Period Beginning January 1, 2024 and Ending December 31, 2024 3.793 BASELINE PRICE ON NOVEMBER 27, 2023 FOR DIESEL FUEL ADJUSTMENT ON DELIVERY PRICE (www.ela.gov/petroleum/gasdiesel) (Gulf Coast Area) Bids that appear to be Low Bid are highlighted in Yellow -HAVE NOT BEEN AWARDED Proposed Bids that are not the Low Bid are in red ' Tie Bids: In the event of Tie Bids, the winning bid is determined per Texas Local Government Code 262.027(b). ROAD MATERIALS Bid Item #1: Limestone - 1/2 Inch to Dust or Equivalent BIDDER LOCATION Unit MATERIAL DELIVERY I TOTAL I MINIMUM LOAD/ORDER AND REMARKS, IF ANY Precinct 1 I Ton I $13.00 1 $23.00 T 24 TONS I QUALITY HOT MIX, INC. Precinct Ton $13.00 $23.00 $36.00 24TONS REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 3 Ton $13.00 $24.00 $37.00 24TONS Precinct4-P Ton $13.00 $25.25 $38.25 24TONS Precinct4-S Ton $13.00 $21.25 $34.25 24TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Page 1 of 4 Bid item #2: Limestone - 3/4 Inch to Dust or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $13.00 $23.00 $36.00 24TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 Ton $13.00 $23.00 $36.00 24TONS Precinct 3 Ton $13.00 $24.00 $37.00 24TONS Precinct 4-S Ton $13.00 1 $21.25 $34.25 24TONS Precinct 1 Ton $36.40 25TONS, K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $36.40 25 TONS Precinct 3 Ton $37.40 2S TON$ Prednct 4-S Ton $3&90 25 TONS Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $13.00 $22.00 $35.00 24TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 Ton $13.00 $22.00 $35.00 24TONS Precinct 3 Ton $13.00 $23.01 $36.00 24TONS Precinct4-S Ton $13.00 $21.00 $34.00 24TONS Precinct 1 Ton $35.85 25 TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton 535.85 25 TONS Precinct 3 Ton $36.85 25 TONS Precinct 4-S. I Ton 1 $36.35 1 25 TONS Page 2 of 4 Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct Ton $13.00 $23.90 $36.90 24TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct Ton $13.00 $22.90 $35.90 24TONS Precinct 3 Ton $13.00 $24.90 $37.90 24TONS Precinct4-P I To $13.00 $25.90 1 $38.90 24TONS Precinct4-S TO $13.00i $23.90 $36.90 24TONS Precinct Ton $37.00 24TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: NURSERY, TX Precinct 2 Ton $36.00 24'T6NS Precinct Ton $39.00 TONS Precinct 4-P I Ton $39.00 24TONS Precinct 47S Ton - $38.00 24TONS Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $67.00 $15.00 $82.00 25 TONS QUALITY HOT MIX, INC. Precinct 2 Ton $67.00 $15.00 $82.00 25 TONS REMARKS: ALL DELIVERIES ARE IN END DUMP _ Precinct 3 Ton $67.00 $17.00 $84.00 25 TONS TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF Precinct 4-P Ton $67.00 $20.00 1 $87.00 25 TONS AVAILABLE Precinct 4-S. Ton $67.00 $17.00 $84.00 25 TONS. Bid Item #8: -Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $67.00 $15.00 $82.00 25 TONS QUALITY HOT MIX, INC. Precinct 2 Ton $67.00 $15.00 $82.00 25 TONS REMARKS: ALL DELIVERIES ARE IN END DUMP Precinct 3 Ton $67.00 $17.00 $84.00 1 25 TONS TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF Precinct 4-P Ton $67.00 - $20.00 $87.00 25 TONS AVAILABLE Precinct 4-S Ton $67.00 $17.00 $84.00 25 TONS Page 3 of 4 Bid item #14: Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $102.00 $15.00 $117.00 25 TONS QUALITY HOT MIX, INC. Precinct 2 Tan $102.00 $15.00 $117.00 25 TONS REMARKS: ALL DELIVERIES ARE IN END DUMP - Precinct 3 Ton $102.00 $15.00 $117.00 25 TONS TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED PROVIDED IF Precinct 4-P Ton $102.00 $17.00 $119.00 25 TONS AVAILA ABLE Precinct 4-5 I Ton $102.00 $16.00 $118.00 25 TONS Page 4 of 4 CALHOUN COUNTY, TEXAS BID TABULATION ROAD MATERIALS ANNUAL SUPPLY CONTRACT, BID NUMBER: 2024.02 For the Period Beginning January 1, 2024 and Ending December 31, 2024 3.793 BASELINE PRICE ON NOVEMBER 27, 2023 FOR DIESEL FUEL ADJUSTMENT ON DELIVERY PRICE (www.eia.gov/petroleum/gasdiesel) (Gulf Coast Area) Bids that appear to be Low Bid are highlighted in Yellow - Please Review Tie Bids: In the event of Tie Bids, the winning bid is determined per Texas Local Government Code 262.027(b). ROAD MATERIALS Bid Item #1: Limestone -1/2 Inch to Dust or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY $36.00 24TONSQUALITY HOT MIX, INC. ALL DELIVERIES RE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE n $36.00 24 TONS Rn n Eg$23.00 $37.00 24 TONS on $38.25 24TONS on $34.25 24TONS Precinct 1 Ton $7.00 $29.10 $36.10 25 TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $7.00 $29.10 $36.10 25 TONS Precinct 3 Ton $7.00 $30.10 $37.10 25 TONS Precinct 4-P Ton $7.00 $32.60 $39.60 25 TONS Precinct4-S Ton $7.00 $29.60 $36.60 25TONS Precinct 1 Ton $6.75 $39.78 MIDTEX MATERIALS, LLC REMARKS: PLUS FUELSURHARCE Precinct 2 Ton $6.75 $39.78 E$46.53MTONS Precinct3 Ton $6.75 $39.78 Precinct 4-P Ton $6.75 $42.12 Precinct 4-S Ton $6.75 $39.78 $46.53 Page 1 of 9 Bid Item #2: Limestone - 3/4 Inch to Dust or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $6.75 $31.10 $37.85 25TONS MAREK & MAREK TRUCK WASH, INC. DBA FRANK MAREK TRUCKING Precinct 2 Ton $6.75 $31.10 $37.85 25 TONS Precinct 3 Ton $6.75 $32.10 $38.85 25TONS Precinct 4-P Ton $6.75 $31.10 $37.85 25TONS Precinct 4-S Ton $6.75 $31.10 $37.85 25TONS Precinct 1 Ton $13.00 $23.00 $36.00 24TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct .Ton $13.00 $23.00 $36.00 24TONS Precinct 3 Ton $13.00 $24.00 $37.00 24TONS Precinct4-P Ton $13.00 $25.25 $38.25 24TONS Precinct4-S Ton $13.00 $21.25 $34.25 24TONS Precinct 1 Ton $7.30 $29.10 $36.40 25TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $7.30 $29.10 $36.40 25TONS Precinct 3 Ton $7.30 $30.10 $37.40 25TONS Precinct 4-P Ton $7.30 $32.60 $39.90 25 TONS Precinct 4-S I Ton 1 $7.30 1 $29.60 $36.90 25TONS Precinct 1 Ton $7.00 $30.00 $37.00 24TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, TX Precinct 2 Ton $7.00 $30.00 $37.00 24TONS Precinct 3 Ton $7.00 $32.00 $39.00 24TONS Precinct 4-P Ton $7.00 $34.00 $41.00 24TONS Precinct 4-S Ton $7.00 $32.00 $39.00 24 TONS Precinct 1 Ton $6.75 $39.78 $46.53 25TONS MIDTEX MATERIALS, LLC REMARKS: PLUS FUEL SURHARCE Precinct 2 Ton $6.75 $39.78 $46.53 25TONS Precinct Ton $6.75 $39.78 $46.53 25TONS Precinct 4-P Ton $6.75 $42.12 $48.87 25TONS Precinct4-S Ton $6.75 $39.78 $46.53 25TONS Page 2 of 9 Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent BIDDER LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY Precinct 1 $6.25 $31.30 $37.35 25 TONS Ton $6.25 $31.10 $37.35 25 TONS MAREK & MAREK Precinct 2 Ton TRUCK WASH, INC. Precinct 3 Ton $6.25 $32.10 $38.35 25 TONS DBA FRANK MAREK TRUCKING Precinct 4-P Ton $6.25 $31.10 $37.35 25 TONS _ Precinct 4-S Ton $6.25 $31.10 $37.35 25 TONS Precinct 1 Ton $13.00 $22.00 $35.00 24 TONS QUALITY HOT MIX, INC. Precinct 2 ?on $13.00 $22.00 $35.00 24 TONS REMARKS: ALL DELIVERIES ARE IN END DUMP $13.00 $23.00 $36.00 24 TONS TRAILERS. BELLY DUMP TRAILERS CAN Precinct 3 Ton BE REQUESTED & PROVIDED IF Precinct 4-P Ton $13.00 $24.50 $37.50 24 TONS AVAILABLE Precinct 4-S Ton $13.00 $21.00 $34.00 24 TONS Precinct 1 Ton $6.75 $29.10 $35.85 25 TONS $6.75 $29.10 $35.85 25 TONS K LEASE SERVICE, INC. Precinct 2 Ton dba MATAGORDA Precinct 3 Ton $6.75 $30.10 $36.85 25 TONS CONSTRUCTION &MATERIALS Precinct 4-P Ton $6.75 $32.60 $39.35 25 TONS Precinct 4-S Ton $6.75 $29.60 1 $36.35 25 TONS 1 Precinct 1 Ton $25.00 $12.00 $37.00 24 TONS $25.00 $11.00 $36.00 24TONS COLORADO MATERIALS, LTD Precinct 2 Ton REMARKS: I Precinct 3 Ton $25.00 $13.00 $38.00 24 TONS PICKUP LOCATION: NURSERY, TX 1 _ Precinct 4-P Ton $25.00 $14.00 $39.00 24 TONS Precinct 4-S Ton $25.00 $13.00 $38.00 24 TONS Precinct 1 Ton $6.75 $39.78 $46.53 25 TONS Precinct 2 Ton $6.75 $39.78 $46.53 25 TONS MIDTEX MATERIALS, LLC Precinct 3 Ton $6.75 $39.78 $46.53 25 TONS Precinct 4-P Ton $6.75 $42.12 $48.87 25 TONS Precinct 4-S Ton 56.75 $39.78 $46.53 25 TONS Page 3 of 9 Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Ton $13.00 $23.90 $36.90 24TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE PrecinctTon ®reclncta4-STon $13.00 $22.90 $35.90 24TONS Ton $13.00 $24.90 $37.90 24 TONS Precinct Ton 513.00 $25.90 $38.90 24TONS To $13.00 $23:90 $36.90 24TONS Ton $25.00 $12.00 $37.00 24TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: NURSERY, TX fPrecinct1 ct 2 Ton $25.00 $11.00 $36.00 24TONS ct 3 Ton $25.00 $13.00 $38.00 24TONS Precinct4-P Ton $25.00 $14.00 $39.00 24TONS Precinct4-S Ton $25.00 $13.00 $38.00 24TONS Bid Item #5: Item 265-2.2 Fly Ash or Equivalent Fly Ash that meets the requirements of DMS 4615 "Fly Ash for Soil Treatment" Class CS or FS Delivered in pneumatic tankers with spreader bar LOCATION Unit MATERIAL DELIVERY TOTAL BIDDER MINIMUM LOAD/ORDER AND REMARKS, IF ANY Precinct 1RTon$56.00 $118.39 $174.39WTONSPrecinct MIDTEX MATERIALS, LLC 2$56.00 $118.39 $174.39Precinct 3$56.00 $118.39 $174.39 Precinct4-P$56.00 $118.39 $174.39Precinct 4-5 Ton $56.00 $118.39 $174.39 Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275.2-1, Hydraulic Cement Type 1, 47 lb Bag (Cost per Pallet) List # of 47 lb Bags on a Pallet BIDDER LOCATION Unit I MATERIAL DELIVERY I TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY Precinct Ton NO BIDS RECEIVED 1, 2, 3, 4-P & 4-S -of 47 Lb Bags on Pallet Page 4 of 9 id Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent BIDDER LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY recinct 1 Ton Ton $67.00 $67.00 $15.00 $15.00 $Bz•DO $82.00 25 TONS 25 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP recincY2 'recinct 3 Ton $67.00 $17.00 $84.00 25 TONS TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF precinct 4-P To $67.00 $20.00 $87.00 25 TONS AVAILABLE ?recinct 4-S To $67.00 $17.00 $84.00 25 TONS Precinct 1 Ton $55.00 $30.00 $85.00 24 TONS Precinct 2 Ton $55.00 $30.00 $85.00 24TON COLORAD O MATERIALS, LTD REMARKS: Precinct 3 Ton $55.00 $32.00 $87.00 24 TONS PICKUP LOCATION: HUNTER, TX Precinct 4-P Ton $55.00 $34.00 $89.00 24 TONS Precinct 4-S I Ton 1 $55.00 $32.00 $87.00 24 TONS 'recinct 1 Ton $40.00 $53.90 $93.90 24 TONS precinct 2 Ton $40.00 $55.00 $95.00 24 TONS Precinct 3 Ton $40.00 $57.20 $97.20 24 TONS Precinct 4-P Ton $40.00 $55.00 $95.00 24 TONS Precinct 4-S Ton $40.00 $55.00 $95.00 24 TONS Intentionally Left Blank -- Continued on next page VULCAN CONSTRUCTION MATERIALS, LLC Page 5 of 9 Bid Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $67.00 $15.00 $82.00 25 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 Ton $67.00 $15.00 $82.00 25 TONS Precinct 3 Ton $67.00 $17.00 $84.00 25 TONS Precinct 4-P I To $67.00 $20.00 $87.00 25 TONS Precinct 4-S TO $67.00 $17.00 $84.00 25 TONS Precinct 1 Ton $55.00 $30.00 $85.00 24TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, TX Precinct Ton $55.00 $30.00 $85.00 24TONS Precinct Ton $55.00 $32.00 $87.00 24TONS Precinct 4-P I Ton 1 $55.00 $34.00 1 $89.00 1 24TONS Precinct 4-S Ton $55.00 $32.00 $87.00 24 TONS Precinct 1 Ton $39.00 $53.90 $92.90 24TONS VULCAN CONSTRUCTION MATERIALS, LLC Precinct 2 Ton $39.00 $55.00 $94.00 24TONS Precinct 3 Ton $39.00 $57.20 $96.20 24TONS Precinct 4-P Ton $39.00 $55.00 $94.00 1 24TONS Precinct 4-S Ton $39.00 $55.00 $94.00 24TONS Bid Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1, 2, 3, 4-P & Ton NO BIDS RECEIVED 4-S Bid Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1, 2, 3, 4-P & Ton NO BIDS RECEIVED 4-S Page 6 of 9 Item 302, Type E, Grade 5, Ice Rock (Non Coated Limestone Only) or Equivalent Bid Item #11: BIDDER LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY Precinct Ton $19.60 $29.10 $48.70 25TONS $19.60 $29.10 $48.70 25 TONS K-C LEASE SERVICE, INC. Precinct 2 Ton dba MATAGORDA Precinct 3 Ton $19.60 $30.10 S49.70 25TONS CONSTRUCTION & MATERIALS Precinct 4-P Ton $19.60 $32.60 $52.20 25 TONS Precinct 4-S Ton $19.60 $29.60 $49.20 25 TONS $30.00 $30.00 $60.00 24TONS Precinct Ton Precinct 2 Ton $30.00 $30.00 $60.00 24TONS COLORADO MATERIALS, LTD REMARKS: Precinct Ton $30.00 $32.00 $62.00 24TONS PICKUP LOCATION: HUNTER, TX Precinct4-P Ton $30.00 $34.00 $64.00 24TONS Precinct 4-S Ton $30.00 $32.00 $62.00 24TONS $35.00 $32.00 $67.00 24TONS QUALITY HOT MIX, INC. Precinct 1 Ton Precinct 2 Ton $35.00 $32.00 $67.00 24TONS REMARKS: ALL DELIVERIES ARE IN END DUMP $35.00 $32.00 $67.00 24TONS TRAILERS. Precinct 3 Ton BE REQUESTED & PROVIDED IF Precinct4-P Ton $35.00 111111 $32.00 $67.00 24TONS AVAILABLE Precinct 4-S To.. $35.00 $32.01 $67.00 24 TONS Bid item#12: Item 330, Type D (Pre -Mix Limestone) or Equivalent BIDDER LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY Precinctl Ton $70.00 $53.90 $123.90 24TONS Precinct Ton $70.00 $55.00 $125.00 24TON5 VULCAN CONSTRUCTION Precinct 3 Ton $70.00 $57.20 $127.20 24TONS MATERIALS, LLC Precinct4-P Ton $70.00 $55.00 $125.00 24TONS Precinct 4-5 Ton $70.00 $55.00 $125.00 24 TONS Page 7 of 9 id Item #13: Item 330, Type D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent BIDDER LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY recinct 1, 2, Ton 3, a-P & NO BIDS RECEIVED 4-S 50lb Bag Bid Item #14: Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent BIDDER LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY $102.00 $15.00 $117.00 25 TONS QUALITY HOT MIX, INC. cinct 1 Ton cinct 2 Ton $102.00 $15.00 $117.00 25 TONS REMARKS: ALL DELIVERIES ARE IN END DUMP cinct 3 Ton $102.00 $15.00 $117.00 25 TONS TRAILERS. AN E REQUESTED & PROVIDED IF cinct 4-P Ton $102.00 $17.00 $119.00 25 TONS AVAILABLE cinct4-S Ton $102.00 $16.00 $118.00 25TON5 $86.00 $30.00 $116.00 24 TONS ecinct 1 Ton ecinct 2 :cinct 3 Ton Ton $86.00 $86.00 $30.00 $32.00 $116.00 $118.00 24 TONS 24TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, TX ecinct4-P Ton $86.00 $34.00 $120.00 24TONS ecinct4-S Ton $86.00 $32.00 $118.00 24TONS id Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent BIDDER LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER AND REMARKS, IF ANY recinct 1 Ton $110.00 $50.92. $160.92 25 TONS recinct 1 Ton $110.00 $50.92 $160.92 25 TONS WALLER COUNTY recinct 3 Ton $110.00 $49.40 $159.40 25 TONS ASHPALT, INC. Irecinct 4-P Ton $110.00 $60.80 $170.80. 25 TONS 'recinct4-S Ton $110.00 $60.80 $170.80 25TONS Intentionally Left Blank -- Continued on next page Page 8 of 9 Bid Item #16: Item 432 Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY $28.50 $82.60 $111.10 25 TONS MIDTEX MATERIALS, LLC REMARKS: FUEL SURHARLE jPrecinct FlTon $28.50 $82.60 $111.10 25TONS $28.50 $82.60 $111.10 25TONSpLUS $28.50 $82.60 $111.10 25TONS $28.50 $82.60 $111.10 25 TONS Page 9of 9 U.S. Energy Information eia Administration EIA has resumed its regular data publication schedule, but intermittent disruptions to data. availability via dashboards, tools, and data browsers on our website will continue as we complete our planned system upgrades. Petroleum & Other Liquids Notice: Reformulated Gasoline i- G) iPr „e ESTI eM-5 fur R'AVD 4 oenver Ratolrrnulated Gasoli?ie ReAsiicirns U.S. Regular Gasoline Prices*(dollars per gallon) Nd riaMTg X'ILr 11/13123 11120/23 11/27/23 Change from weekago year ago U.S. 3.349 3.289 3,238 i -0.051 $ -0,296 East Coast IPADD1) 3.212 3.166 3.155 3 -0.011 `& -0.�A3 B+ .v Engiland �PAJD 'r1A� 3.413 3.366 3.342. $ -0.024 + -0.358 C.muaalAl�anCiC�P7%TCDIB) 3.455 3.444 3.430 -0.014 -#-0.325 LvnerAtlanyORADDIC) 3.007 2.943 2.937 +-0.006 +-0.293 mio,.w ast iPADD21 3.185 3.124 3.031 .0.093 - + -0.343 GIN Coasg 4PPAIDDS) 2.809 2.786 2.710 -3L -0.076 + -0.205 Rocky „louot4a %'RA D4) 3.338 3.197 3.106 -0.091 -0.433 West Coast rtPADD5):, 4.520 4.417 4.363 i •0.054 '1 -0.229 well Caast less C-Afrmiia. 4.133 4.033 3.968 + -0,065 ; -0.376 States 11113/23 11120/23 11/27123 Change from week ago yearago Cal',forrsa 4.870 4.769 4.719 b -0.050 -0.094 Cdcrado 3.105. 2.955 2.891 -0.064 -0.256'. Panda 3.124 2.979 2.959 •0.020 ' -0.378 Masssachusels 3.428 3.388 3.352 + -0.036 ' ' -0.338 MInnescla 3.235 3.152 3.079 '# -0.073 "I' -0.260 Change from 11120123 1MV23 week age gearago 11/13723 3.428 3,411 -0.017 'f -0.252 3.481 2.949 .'.-0.159- -0.511 3.234 3,108 [Jb,.Ja 2.644 '' -0.093 2.732 2.737 Pexa 4.209 -0.064 -0.182 4.329 4.273 �flrasaarlgt3rn Cities 3.385�- .0.030 -0.364 3.454 3,415 3nt�n 3,448 .0,085 -0,451 3.591 3,533 ChSc:ag 3,016 -0.057 -0.358 3.178 3.073 -0,041 -0.220 3.014 2.849 2.808 IJ�irnvwr 2.636 '" .0.053 % .0.1'.95. 2.755 2.689 I-io�Lstas�u 4.670 } -0.061 -0.115 4.820 4.731 1-08 A�nq:eles ? 3.206 3.063 3,013 " -0.050 -0.348 3.308 -0.006 % -0.31.1 +tear `� e^te CP.y 3.328 3.314 4,861 4,766 .0.093 -0.017 San :=varcre>v0.. 4.924 4.0.146 4.566 4.491 4.446 .0.046 3eaeiJe Diesel Fuel Prices"(doiiars per gallon) u.s. on-Highwtay Changefrom ' 94113123 11120123 11127123 week ago year ago. 4.294 4.209 4.146 - -0,063 + -0.995 41S. 4-165. 4.121 4-0.034 .1,215 PPqq I=aa° eiia$t AriA5�V1''1, F 4.220 4.483 4.457 4.447 ,,-0.010, -1..413 4.471. 4.467 '`' .0.004 ` -1,409 4:.?PP1Pa' Attarr IC �I'�^'4ti�1•i��'/ 4.528 ' 4.007 3.959 .0,048 r -1,129 I_srN�rAttantio W;;lD1'Gt 4.079 4.308 4.207 4.115 -0.092 r .0.993 n I` 2 C+f,tatwtesB( aab�)� 3,793 F- 4048 -0.906 3.927 3.841 Gulrc coast (PADL>3y 4.268 4.204 -0.064 ? •1,188 nine"ay MA 31.nEa on (PAJDI04), 4.356 . 5.069 4,997 a' -0.072 -0,669 Nrg'est Gust (?X13DI-1 5.139 4.651 4.571 4.490 T' .0.081 -0.879 ,mkeat Coat peSS CaP[0finira 6,679 .0.061 "J' -0.427 5.699 5.640 C.alifi�crica. CALHOUN COUNTY,TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2024.02 January 1, 2024 through December 31, 2024 Vendor's Name & Address Cu�ul �� hug P,k°,c '-7 7477 • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid item Listed or Equivalent) Bid Item #1: Limestone -1/Z Inch To Dust or Equivalent Price per ton. / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct ,.- Ton ( (3, , q -Nis Precinct I Tan. Preanct3' Ton Tan Precfnct4-RI `thy, Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite - MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct l Ton � �� ,(�U [ S.cC J ti. �4J ' y q _� t '}d "�� Pred net ; Ton I -_ ( CU. ,. .l'J I 1..- q�13 , 1 Precinct 3 Ton l [ . cG' i ,� t�' .L(i i I w J 7.C{j , 7t ( IG✓Ij Precinct 4-PI Ton [ > [ Precinct4-S i Ton I (3-T ' 3� �� I �j .7 iz n5 Remarks: Page 31 of 65 Item #3: Item 247, Type A Limestone, Grade 2 [13/4 inch] or Equivalent Price per ton. / delivery price to County Stockpile and/or Johsite - MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL ; LOAD/ORDE I Precinct 1 Ton �� I .G�i ' Precinct I Ton l 1 3.c.G+ 7.GG IGC ICii$ f (`i j cE E.0 G 5 PraoineY3 : Ton I : i 3'7.a' Precinct 4-P Ton. - Precinct 4-5 i Ton. ! l Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price Parton / delivery price to County Stockpile and/or Johsite LOCATION Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price Parton / delivery price to County Stockpile and/or Johsite LOCATION Unit MATERIAL DELIVERY _ _ TOTAL rvuwunv,.. LOAO/ORDER ' Precinct 1 I Ton i 3. G�' � � C - G 1 I 3 C 'Precinct 2 : Ton I i [ j.G� qq I J' . i 3 ].Qlr q ,FcnS Precinct Ton. L I Precinct 4-F I Ton i j.GL `i�U I ? r f i f ,cc; I ,S3.�G 3'C.i glt Precinct4-51 Ton Item #5: Item 265-2.2 Fly Ash or Equivalent see specifications, old Item 05 for more information on this material Price per ton / delivery price to County Stockpile and/or Johsite LOCATION =Unij=tMATE1'R=1AL DELIVERY TOTAL Precinct 1 Ton — I. 1 f Sr Precinct Ton. i : l Precinct 3 : Ton. ' I 1 Precinct 4-P' Ton ' l : arerinet4-S 1 Ton f MINIMUM LOAD/ORDER Page 32 of 65 Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(Cost per Pallet List a of 47 lb Bags on a Pallet Price per unit I delivery price. to County Stockpile and/or lobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOADJORDER 1 1 1 Precinct 1 Tan _.. —Of 47 lb 1 i Sags on Pallet i i Precinct 2 Ton l I _of47lb t ' Bags on Pallet 4 Pretlnct3 ; Ton i _of 47 lb I l Bags an Pallet l of 47 1b i I Bags on Pallet I 1 i Precinct 4•5, ; Ton of 47Ib t i Baas on Pallet I ' Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton[ delivery price to County Stockpile and/or lobsite _... MINIMUM LOCATION Unit. MATERIAL DELIVERY TOTAL. LDADJORDER Precinct 1 Tan t l � [ •cr,, Precinct 2 I Ton fJ.. I. 0 l Precinet3 I Ton 7,cA ( 7.(',C l 1 Precinct4•P i Ton GG � G' �'� - �/� `'( , l L 7�ti Precintt4S Ton Remarks: Page 33 of 65 id Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM Unit MATERIAL DELIVERY TOTAL LOAD/ORDER t f % i ffPrecinctlTon Tan C. l ' i ! 7 E l G Tart U Rs�,ct a7 ;L t precinct 3 f.�' - i Precinct 4•P I Ton 7. Precinct4-S To temarks: Item 302, Type PE, Grade 3 (Pre -Coated Rock) Bid Item #9 *Material Source out of * or Equivalent Price per tan / delivery price to County Stockpile and/orlobsite MINIMUM LOCATION unit MATERIAL _DELIVERY TOTAL. LOAD/ORDEI Precinct 1 Ton i L I Freclnct 2 ; Ton t ; , i I i Precinct Ton , I , I ; I { Precinc[4-P I Ton I , I aeorinrt 4-9 l Ton arks: Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per tan / delivery price to couE tStockile and/or Jobsite MINIMUM' LOCATION. Unit MADELIVERY , TOTAL LOAD/ORDER. Precinct l Tan - -- - 4-P ; Ton , 4_s : Ton Remarks: Page 34 of 65 Bid Item #11: Item 302, Type E. Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton. / delivery price to County Stockpile and/or Jobs[ to MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton 3 � C(1 �� 9 C 7• cU II J Precinct2 Ton 3 7'Cft 1 ` ' Precinct I Ton S ; I Precinct 4-PI Ton }�.�' I i2, ^ J Precinct 4-S 1 Ton I 3 .( D;>•G{i ' ry u f,6,( 1 I ! ,y� 1-� 0 S Remarks: Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton I delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I Ton I I Precinct 2 1 Ton , I Precinct I Ton I I i t I Precinct4P I Ton I 1 1 t I Precinct 4-51 Ton ' f Remarks: Intentionafly Left Blank Page 35. of 65 i Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent see Specifications, aid Item. #13 for more information on this material Stoakpitearid/or lobsite. (Ten andlor50Ito Bag)MINIMUM Price per unit / delivery price to County LOCATION Unit MATERIAL DELIVERY _. .TOTAL I LOADJORDER 1 1 Precincts 1 Ton 1 50lb Bag Precinct 2 `. Ton. 1 50 lb Bag ZZ . Precinct I Ton t 50.lb Bag 1 1 Precinct 4-P I Tan 1 t ! 50lb Bag 1 .Precinct 4-S ! Ton i 50lbBag . I ! I emarks: lid Item #14: Item 3341, Type D Hot Mix Cold Ladd Asphalt Concrete Pavement or Equivalent See specifications. aid Item p14 for more Information on this materia.. Price per ton / delivery price to County Stockpile and/or lobsite _. MINIMUM. Unit MATERIAL DELIVERY LOAD/ORDER (TOTAL n I 1 Ton l GI .G(, 1 � C-C t 1 1 7 &0 rPrecinct Ton. Ton i%��i 1Ton. l l Y l(J.GU I ��',. cG... I t 1 B'G•S; Ton Remarks: Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpile and/or J:obsite _ MINIMUM. LOCATION Unit MATERIAL DELIVERY TOTAL `... ..LOAD/ORDER 1 r Yl 1 Precinct l i Ton 1 1. I I 1 Precinct 2 Ton I l Precinct3 Ton 1 1 I Precinct4-P t Ton Precinct4-5I Ton I Page 36of 55 Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap,12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or Joosite. MINIMUM LOCATION Unit MATERIAL DEUVERY TOTAL LOADJORDER Precinct t, i Ton IA II I I I Precinct I. I Ton '..Precinct 3 Tan , Precinct 4-P l Ton Precinct4-S i Ton Remarks: The undersigned affirms that they ore duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this aid. The undersigned affirms that they have read the entire Invitation to Bid Pocket and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: I Authorized Signature & Title: fJ C f I, Et (F? T. Type Name & Title of Authorized Signature: ��Y 4` u- � r?s A t" f Phone Number: � 7 � q -I 'q °166 Email: � aR Q 4'i I' Py 11410n, )� ( C/o, Exceptions and or Variations from Specifications and/or additional Notes: 'NOTE" ALL DELIVERIES ARE IN END DUMP ' TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE, page 37 o6 65 CALHOUN COUNTY,TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2024.02 January 1, 2024 through December 31, 2024 Vendor's Name & Address `ti1��Ctxn i�nS�y�ic ,ury "rG\zy%05, uC �g�ar �e��cu,•n p1Ut� S'�� 5�u • Please Type. If handwritten, must be in ink and legible. white out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Item #1: Limestone -1/2 Inch To Dust or Equivalent Price Der ton / delivery price to County Stockpile and(orlobsite MATERIAL I DELIVERY. f.. TOTAL Precinct 1 i Ton i Precinct 2 1 Ton i Precinct 3 1 Ton Precinct4-P Ton Precinct 4-S Ton rks: 4 V MINIMUM Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite LOCATiDN Unit MTERIAL DELIVERY OTALL=d Ton 2 i Ton 3 Ton l 4-P Ton Ton Remarks: Page 31 of 65 Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATIONUnit N Remarks: Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/41nch] or Equivalent Price per ton I delivery price to county Stockpile and/or Jobsite MINIMUM LOCATION. Unit MATERIAL DELIVERY TOTAL _ LOAD/ORDER. 1 i. ; ,. `. I I Precinct 1 . Ton. 1 I ' I , ' I I Precinct 2 I Ton I t 1 1 1 Precinct 3 Ton I I Precinct 4-P Precinct 4-S I Ton I ' Remarks: Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications,. Bid Item 45 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCpTtON.'.. Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Ton Precinct I - Y ' l 1 t Precinct 2 ! Ton f Precinct Tort I I I F I 1 Precinct4-P k Ton t I 1 I Precinct 4-5 ; Fan 1 Remarks: 1v� ' MATERIAL DELIVERY TOTAL LOAD/ORDER I ; Precinct 1 Ton 4 1 Precinct 2 ; Ton ' � 4 - Preeinet3 Ton I I I Precinct4-P I Tan I � i Precinct 4-5 ; Ton Page 32. of 65 Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 27S-2.1, Hydraulic Cement Type 1, 47 lb Bag(cost per Pallet List If of47lb Bags on a Pallet Price per unit / delivery price to County Stockpile and/or lobsite MINIMUM LOCATION I Unit MATERIAL , I reeinct 1 1 1 Ton ` of 47 Ib - A 1 gags on Pallet 1 i 'eecinct 2 1 Ton 1 1 of 47 1b 1 Bags on Pallet 4 1 Precinct 1 Ton —of 47 Ib 1 I Baas an Pallet ; 4-P i�— _ of 47 lb 1 flags on Pallet _of 47 lb Bags on Pallet DELIVERY I TOTAL Item #7: Item 302, Type PS, Grade 3 (Pre -Coated Rack) or Equivalent Price per ton I delivery price to county Stockpile and/orJobsite ON I Unit MATERIAL 1 Tan 1Vi0 Ton I .y '.. I 4_p 1 Tan 1 V a-51 Ton 1 DELIVERY J ✓ $5-1 Liz $55 MINIMUM' TOTAL LOAD/ORDER. �Ai .7.0 2�A `lln5 �7n5 12K �-,rn �5 ZK Page 33 of 65 item #8: item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to county Stockpile and/or Job -site "nit MATERIAL DELIVERY TOTAL LOCATION �� I 1 ` ' � . ' �53 .�t� �,ryZ Ga `� 5 k Precinct 1 Ton t Z Ton J 7= '5 1 3 O Ton ' 3g55 4•P i Ton O 4-51 Ton a I Z,A oyli qK iZK R� - Item 302, Type PE, Grade 3 (Pre -Coated Rock) Item #9: * or Equivalent *Material Source out of Price per ton / delivery price to county stockpile and/or Jobsite ,,.,...r,...n,u MATERIAL DELIVERY TOTAL Ton Ton Item 302, Type PE, Grade 4 (Pre -Coated Rock) Item #10: * or Equivalent *Material Source out of Price. per ton / delivery price to county Stockpile and/or Jobsite. LOCATION Unit =NIATERIALDELIVERY TOTAL 1 1 Precinct 1 I Ton ' l i j i Precinct 2 { Ton -- Ton 4-P MINIMUM MINIMUM Page 34 of 65 Bid Item ##11: Item 302, Type E, Grade 5, Ice Rack (Nan -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/orlobsite MINIMUM. LOCATION Unit MATERIAL DELLVERY TOTAL LOAD/ORDER. Precinct 1 I Tan I _ , I i _ Precinct 2 ;. Ton i I - � I t I Precinct 1 Ton ' I I I ' o Precinct4-P I Ton Precinct 4-5 Ton ' Remarks! Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 i Ton _ Precinct 2 , Ton I Precinct 3 Ton t = ' !`fl�55 i�r25 's2Kcn5 Precinct 4-P Ton - - I ' Precinct 4•S I Tan Remarks: intentionally Left Blank Page 35 of 65 id Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item 913 for more information on this material Price per unit /delivery price to county Stockpile and/orlobsite (Ton and/or $01b Bag) - MINIMUM LOCATION Unit MATERIAL TOTAL 1 LOAOJORDER ,DELIVERY ; Precinct 1 1 Ton E t i 50lb Bag I ' Precinct 2 1 Ton 1 SO lb Bag j 3 .Ton .50 Ib Bag I [Prechict ecinct4-P I Tan. ' I 50IhBag t Precinct 4-5 1 Ton . 1 ; SOIbBag l Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, aid.. Item #14 for mar? information on this materia.. Price per ton / delivery price to County Stockpile and/or lobsite -- MINIMUM. LOCATION UniS.. MATERIAL DELIVERY TOTAL LOAD/ORDER i Precinct 1 Tan I I Precinct ' an -. I Precinct 1 Ton. I ` Precinct4-P I.. Ton . I ..v.. orcrinrt 4.S I. TOR Remarks: ! vt J Bid Item #15: A5PPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton I delivery price to County Stockpile and/or lobsit? MINIMUM n�.nni ir.I,t MATERIAL DELIVERY I TOTAL LOAD/ORDEI Precinct 1 t l Precinct 2 Ton Ton I I I - I ; f l Precinct 3 Ton l I i Precinct 4-F t Ton I Precinct 4-S ; Ton ; i i Rb Remarks: Page 36 of 65 Item #16: Item 432, Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent Price per ton / delivery LOCATION t Unit I Precinct 1 Tan_ i Precinct 2 ' Ton i precinct k Tan Precinct 4-P 1 Ton Precinct 4-5 1 Tan -ounty Stockpile and/or Jobsite MATERIAL DELIVERY TOTAL MINIMUM The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the afficial opening of this Bid. The undersigned offr`rms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount trip, favor, or service to any official, employee or agent of Colhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: , Z:Z` Authorized Signature & Title, \ Type Name & Title of Authorized Signature: YJ,t� UyiUY Nri(Ak I -- Cw`G�' � �1MC.rYtiCn+� �ttiNl Phone Number: Z�U `q�+4'UEmail: rOl Exceptions and. or Variations from Specifications and/or additional Notes. Yob` Page 37 of65 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2024.02 January 1, 2024 through December 31, 2024 Vendor's Name & Address i0o Ba x /9 Please Type. if handwritten, must be in ink and legible. White out is not acceptable. -SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton./ delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL QELNERY TOTAL LOAD/ORDER 1 [ I � 3�� I �1� Precinct Ton I Precinct 2 Tort 7 ' �3 a� 53 s Precinct 1 Ton Precinct 4-P I Ton _ Precinct4.5 Ton Remarks:s F ✓ S�r��;•< __ Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton f delivery price. to County Stockpile and/or labsite MINIMUM. LOCATION Unit. MATERIAL DELIVERY TOTAL LOAD/ORDER. ' 18 ' I 7$ 1 �..� Precinct 1 I Ton I 75 I a8 S 5 Precinct Ton - �. I I d-7f { 31,'i8 I -3 ' Precinct Ton ' Precinctl-P I Tan Precinct 4-5 I Tan Remarks: Fy:C,r d Page. 31 of 65 Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER75 Remarks: - Bid item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 Precinct 1 , Ton I I i 1 Precinct 2 1 Ton t n Precinct I Ton Precinct 4-P 1. Ton 1 ' I Precinct.4-S I f Ton I 7 j Remarks: Bid Item Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item 45.for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1. � Tan I f. Precincts Ton : l Precinct 3 , Ton pry>� ad I, 1 l i 1 Precinct4-P Ton -4. 1 �'� 31 '. Precinct4.S ; Ton ills.? Remarks: , 1 Precinctl I Tan 1 ' Y �r7� ��J� ' 1' Precinct 2 Ton ;. i ✓ a� i Precinct 3 I. Ton Precinct 4-P l Ton Precinct 4-S , Ton { Page 32 of 65 Page 33 of 66 Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite g111Y11 luivt LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER , I Precinct 1 Ton 1 Precinct ; Ton 1 , 1 Precinct t Tan I , 1 1 1 1 1 ; 1 ' Preeinct4-P = Tan 1 , 1 Precinct 4-5 ; Ton i E , i ` Rem #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price. to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY LTOTAL I LOAD/UHUEH I 1 ' I Precinct . Ton 1 ' Precinct 2 I Ton I , I I t t I ' t 1 ' Precinct 3 1 Ton ' 1 ; 1 1 i I , 'Precinct4•P Ton 1 ` 1 Precinct 4-S i Ton 1 , 1 4 arks: item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per tan / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOADJORDER I `` 1 Precinct 1 1 Ton Precinct 2 1 Ton 1 1 1 t 1 1 Precinct 1 Ton 1 , 1 I I 1 1 Precinct 4-P , Ton 1 I 1 1 1 , 1 � Preeinct4-5I Ton 1-- Page 34 of 65 Bid Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton ( delivery price to County Stockpile and/or lobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I Ton 1 l j Precinct 2 l Ton I I ' Precinct 3 I Ton I I Precinct 4-P I Ton ' i " I Precinct 4-5 Ton Remarks: Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/or lobsite _ - MINIMUM LOCATION. Unit MATERIAL DELIVERY TOTAL LOAD/ORDER. l l Precinct 3. l Ton ' _... " Precinct I. Ton l r l Precinct Ton l I Precinct4-P I'. Ton " :Preci'ncti4-S ; Ton I Remarks: intentionally Left Blank Page. 35 of 65 Bid Item #13: Item 330 D, Pothole Repair, Limestone Rack Asphalt (LRA) or Equivalent See Specification, Bid Item #13 for more information on this material Price per unit J delivery price to county Stockpile and/or Jobsite (Ton and/or 50 lb Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL. LOAD/ORDE Precinct l Ton f i l 4C lb Bag ' , Precinct 2 i Ton i , 50 lb Bag I , 'Precinct3 I Ton I ' l 501b Bag I l I l Precinct4-P 1 Ton l I ' F 50 lb Bag f Precinct 4•5I Ton 50 lb Bag Remarks; Bid Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications: Bid Item 914 for more information on this materia, Price per ton / delivery price to county Stockpile and/or Jobsite MINIMUM' LOCATION. Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 Y Ton I Precinct 2 ; Ton I I l , Precinct Ton l Precinct 4-P Tan Precinct4-5 Ton. Remarks:' ' Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I Ton I l I Precinct i Ton Precinct : Ton l , Precinct4-P Ton i I i Precinct4-S I Ton Remarks: Page 36 of 65 Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap,12" Limestone or Equivalent Price per ton./ delivery price to County Stockpile and/orJohsite LOCATION Unit MATERIAL DELIVERY TOTAL ]=LO=JAkD/ORDER f. i pi. Precinct 1 Tan Prec1nct2 Ton ,$G' _. 1�. 186�� p Precinct3 Tan l VI&I 1 L Precinct 4-13 Ton . s® i -- t I F , - 4t� $® I t pg Precinct 4-S I Ton mQ Remarks: }°saSzrA The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date:/�P l.!`✓S Authorized Signature & Title: Type Name & Title of Authorized Signature: Phone Number: a �i�Ca� Email, ryaA�'SCe�nu�r +�(S� �a.ao�wa Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of 66 CALHOUN COUMY, rEXAS INVITATION TO BID FORM. ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2024.02 January 1, 2024 through December 31, 2024 Vendor's Name & Address WAl L c2 ('w&rr e LTt !Al~?- 7�nln �4112�L�_�_ vinS'gA • Please Type. if handwritten, must be in ink and legible. White out is not acceptable, • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listedor Equivalent) Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per. ton / delivery price to County Stockpile and/or Jobsite 9 4-P 4-S (Remarks: MATERIAL I DELIVERY I TOTAL Item #2: Limestone 3/4 Inch To Dust or Equivalent Price per ton / delivery price to county Stockpile andJor Jobsite Unit I MATERIAL I DELIVERY I TOTAL Ton 3 1 Ton Remarks: MINIMUM MINIMUM Page 31 of 65 Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton.. / delivery price to County Stockpile. and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER r , Precinct I ` Ton , Precinct 2. Tan i f i Precinct 1 Tan ii t Precinct 4-P : Ton 1 I . I i Precinct 4-5 t Ton t. ` Remarks: Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and(or Jobsite. MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton l I r Precinct 2 I Ton 1 I Precinct ; Ton : r I Precincts-P I Ton i : Precinct 4-S ; Ton Remarks: Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item.45 For more information on this material Price per ton J delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct l Ton I i Precinct 2 Ton Precinct 3 Ton Precinct 4-P t Tan t Precinct 4-s } Ton Remarks: Page 32 of 6S Bid Item #6: Item 275, Cement or Equivalent 275.2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(Cost per Pallet List 4 of 47 Ib Bags on a Pallet Price per unit/ delivery price to County5tockpile and/or fobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton. ' _0f47 lb 1. ` f aagson. Pallet I S 1 Precinct : Fan G _.... of4?Ib l 1 Bags on Pallet 1. _.. ; Precinct 3 1 Ton I 1 _of 47 lb! ` Bags on Pallet Precinct 4-P + Ton. t ' _of471U I l ' Does on Pallet I ' i I Precnct4-S f Ton I _of 471bi I Bags on Pall ett Remarks: Bid Item #7s Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and[o r Jobsite MINIMUM .LOCATION Unit MATERIAL DELIVERY TOTAL. LOAD/ORDER y Precinct 1 Ton Precinct 2. ; Ton. I. I Precinct 3 Ton I I t Precinct 4.P ;. Ton I t I 1 Precinct 4-S Ton t Remarks: Page 33 of 65 Bid Item #8: item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton ( delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL LOAD{ORDER Precinct 1 Ton Precinct 2 Tan Precinct 3 Ton Page 34 of 65 Bid Item #11: Item 302,Type E, Grade 5, Ice Rock (Nan -Coated Limestone Only) or. Equivalent Price per ten/delivery price to County Stockpile and/or lobslte MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 i I I 'Precinct 1 . Ton I_. Ton 4-5 ! Ton Item #12: Item 330, Type D (pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobs! te _-- MINIMUM LOCATION unit MATERIAL I DELIVERY TOTAL LOAD[ORDE 1 E Ton 2 I 3 .' Ton Precinct 4-P I Ton i Precinct 4-5 Ton Intentionally Left Blank Page 35 of 65 Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent Sze Speeifitatic ns, Rid Item. #13 for more information on this matenaI Price per unit/ delivery price to County Stockpile and/or Jobsite iron and/or 501b Bag) MINIMUM LOCATION Unit MATERIAL I DELIVERY TOTAL LOAD/ORDEI 1 ' Ton So lb Bag 2 Ton 50lb Bag 3 Ton t SO Ito Bag 4-P 1 Ton r. 1 501b Rag 4-S Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See 5peci6cations, Rid Item H14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL I DELIVERY TOTAL LOAD/ORDE 1 11rr, 4-PTon 4-5 i Ton Remarks: Bid Item #15: A5PPM 4202 Grade IV High Performance Cold Mix or Equivalent Price per ton ( delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION. Unit MATERVAL QELIVERY TOTAL LOAD/ORDE Precinct 1 I Ton i `co r O fRa t 1 } (7 q2'-1 TIX' Precinct z ! Ton R3 f 91 1 Precinct 3 Ton 00 I � . 70 ' M OA FrecincL 4-P; Ton. d OO Zfi.. ^-7 O ' -z5 Tarim I precinct 4-S f 1 � ID ,00 Tan � 1: &O.W 1 �/7�. ) fo:w ! '...._ ^f C -r Remarks: Pape M of 65 Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap,12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or lohsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER. I Precinct 1 Ton. i PreCXnCt Z Ton i I j Precinct 3 Ton 1 I Precinct 4:-P I Ton 1 I Precinct 4-5I Ton I i Remarks: The undersigned affirms that they are duty authorized to execute this Sid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid: The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Authorized Signature & Type Name &Title of Authorized Signature _11 '0AVl1S x3 VO fc_Iuf Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of fi5 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2024.02 January 1, 2024 through December 31, 2024 Vendor's Name & Address • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton/ delivery price to County Stockpile and/or Jobsi,te _ MINIMUM'.. LOCATION UNIT MATERIAL DELIVERY TOTAL LOADIORDER Precinct E 1. Ton I I Precinct 2 I Ton I I 'Precinct3 Tort I. Precinct4-PI Ton I I Precinct4-S I Tan l Remarks: Bid Item #2: Limestone - 3/4Inch To Dust or Equivalent Price per ton. / delivery price to. County Stockpile and/or Jobsite MINIMUM LOCATION. Unit DELIVERY TOTAL LOADIORDER .MyATERIAL 'Precinct 1 Ton I l Precinct 2 Ton I '4d,,k`C ' I Precinct I Ton I .lye%.tail I3l.''�`4 + Precinct 4-P ; Ton. I `7 . I �°"'�E.'L�. o-i I14 1. D is ! t r Precinct 4-S I Ton - . o I Remarks: 004^ � wot- Page .31 of 65 Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton J delivery price to County Stockpile and/orlobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOADJORDER. I I ,Z.gyai•9. Precinct 1 I Ton I Prednct2 ;: Tan 0 ' q I a Precinct Ton I 2-S. J I 3- 319.0•c, 1 _._. I Precinct 4-P I Ton,�ei _..... 1 ' ''' Precinct 4-S j Tan •' ' I Remarks: a Kati Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton( delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER. i I Precinct 1 Ton F'co 13-ozo i 3 .ti3v7 I �✓ i I I Precinct 2 I Tor 12 �- I ' . I IL. co I I q, Precinct 3 Ton 7-SoinI `f3-Cro I' I Precinct 4-P I Ton I Z. •. '.OD I 2y r Precinct 4-S I Ton t �" ' •Ear ' 1� , �S... Remarks: Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid: item #S for more informationon this material Price per tan / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton ' I Precinct Ton I I Precinct a l Ton I i 1 I Precinct4-Pi Ton 1 I I I Precinct 4-5 ; Ton ' I Remarks: Page 32 of 65 Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1,47 lb Beg(Cost per Pallet List # of 47 lb Bags on a Pallet Price per unit/ delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/DRDER Precinct T I Ton. ' _a`471bi I.. Bags on Pallet I I I ' I I I j I Precinct Ton ' of 47lb i. + II Bags on Pallet Precinct i Ton iof 47lb Bags on Pallet i + ' Precinct4-P i Ton _0471b 1 Bags on Pallet i I i I Precinct4-S ; Ton I I I I of 47lb11 ` I + ¢ Bags an Pallet I I Remarks: Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I Precinct Ton ' I Precinct Ton I I Precinct 3 Ton � �b �?--aD vO. * II i I i Precinct4.P ; Ton IJ`�•�✓'D I ° ..°~.o I + .Precinct4-S f Ton. S5.0 I 3a-_O;C:) j277.0zv Remarks; Page 33 of 65 Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or lob 5ite _.... MINIMUM LOCATION Unit MAT€RIAL. DELIVERY TOTAL LOAD/ORDER Precinct ].. Ton iS ao Precinct2 j Ton .. �'� 1-3A Precinct Ton 0 Oz. Precinct4-P � Ton I I 'JKO-o I ` Precinct4-S.I Ton i � ��•� � �+•a2 I •�. Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to CountyStockpi le and/or Jobsite Unit 1 MATERIAL I DELIVERY I TOTAL Precinct A Precinct 2 3 l Ton 4-P t Ton 4-S 1 Ton IBid Item #10• Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price ner ton / delivery price to County Stockpile ane/or lobsite MATERIAL I DELIVERY I TOTAL 1 1 Ton 2 Ton i 3 Ton — ^- 4-P f Ton I 4-S ; Ton MINIMUM MINIMUM Page.34. of 65 Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton J delivery price to County Stockpile and,torJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct Tan 1 3,c�•uQ .t'�+ 1 %nD.DD 2 Precinct 1 Ton Prednct4-P1 Ton 1 zx,�-Cel 1S .Dip t ':c•4. ED Precinct4.51 Ton I''u`Y+v !,a.s '•�L'' Item #12: Item 330,Type D (Pre -Mix Limestone) or Equivalent Price per ton[ delivery price to County Stockpile and/orJobsite MINIMUM. LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE 1 I Precinct 1 Tan I ' 1 Precinct Ton I I 1 l i l Precinct 3. . Ton i Ton Remarks: intentionally Left Blank Page 35 of 65 Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Spedfications, Bid Item 1113 for more Information on this material Price per unit / delivery price to County Stockpile and/orlobsite. (Tan. and/or 50 Ib. Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER l 1 1 I Precinct 1 Ton 1 I' SO Ih Bag 1 1 1 I 1 1 Precinct Ton 1 50I1) Bag l : Precinct Tan ' 50lb Bag t I , t { 1 FriScinct4•P f Ton ' 1 ' 50 lb Bag. l 1 I 1 Precinct4-5 t Ton 1 l 1 I 1 1 50lb Bag 1 1 Remarks; Bid Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt. Concrete Pavement or Equivalent See Specifications, Bid Rem k14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOA,D�f/ORDER Precinct 1. { Ton Precinct r Tan �. 'f?�iC). '6-u0 Precinct 3 i Tan Precinct4-P Ton I Precinct4-5 �. Tan Remarks.-.ewaena Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpileand/ or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER i I i Precinct 1 Ton 1 i Precinct } Ton I l Precinct3 j Ton f'" 1 Precinct4-P i Tan , Precinct4-S �.__... Ton.. 1 1 1 Remarks: Page 3E ofa5 Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent Priceper ton ( delivery price to County Stockpile and/orlobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL. LOAD/ORDER , I Precinct Ton t i t Precinct I Ton I I I i Precinct t Ton e v I I Precinct4-p I Ton I I I t i I Preeinct4-S I Ton I I I Remarks: The undersigned affirms that they are duty authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity; future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: Authorized Signature & Title: Type Name & Title of Authorized Signature i Phone Number: sip , 3� 6-13!2� Email:. NZsA�D�sTt 'ytID6•Ces � Exceptions and or Varlatiom from Specifications and/or additional Notes: Page 37 of 65 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number:2024.02 January 1, 2024 through December 31, 2024 Vendor's Name & Address k ( i oncP. ;Pt 11 ir.PGi DBA Ma4aGbCu0.U15U uAtopc M I )1�lZ5H 35 S Please Type. If handwritten, must be in Ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton/ delivery price to county stock pileand/or lobsite __.. MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER. Precinct i Ton 1 1. 71 R.i0 / 1 36++0 nC � faits 17.f Precinct 2 1. Tqn 1. 1 .10 .5 fQn Precinct Tan '17.00 36.10 13/.: Ifr�t✓ 7 05 Precinct 4.P 1 Ton l , 319.0 /XVG q/ �} /1 Precinct 4.5 1 Ton i r ,QQ �Df 9, 60 Cf� } �} 1-'Y1.:60 I ��/ T1.S Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM. .LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinctl Ton . o (� %./V /ny 3(o. y0 I a5 to Precinct2 I Ton ` 7.30 : l0 136.1/a 5 &125 // Precinct3 I Ton 1?, 0 0./Q li3�•7 ! c'•' Tqn ?. 3Q Prncinct.4-P ; ' 159, q0 6 Precinct 4-51 Ton 17340 �GY% L�iJ I5"7, `0 2 n5 Remarks: Page 31 of 65 Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL //� I DELIVERY TOTAL C LOAD/ORDEI ` Precinct t Ton 10,75 J7/} •16 I35, ' cSfOnS I_ Precinct 2 Ton ' 10.75 q.lQ 35 €�5 ! a5+on.5 Precinct Ton ` �, / I , 10� p t�J it 5 Precinct 4-P l i (� ^7G Ton i 15 I i i ' 39. 35 , i; 95-k 5 PrecinetOSl Tan Remarks: Bid item #4, Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / del€very price to County Stockpile and/or lobsite MINIMUM LOCATION Unit MATERIAL I DELIVERY TOTAL LOAD/ORDE Precinct 1 I Ton Precinct i Ton IPrecincf-4-P I Ton Remarks: Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item AS for more information on this material Price per ton / delivery price to County Stockpile and/orlobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TAL LOAD/ORDE E I Precinct 1 I Ton ' Precinct 2 ? Ton Ton Page 32 of 65 Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb BaglCost per Pallet List # of'47lb Bags on a Pallet Price per unit/ delivery price to Caunty Stockpile and/or lob site MINIMUM LOCATION. Unit MATERIAL DELIVERY TOTAL LOAD/ORDER r I ' t 1 Precinct 1 Ton I of 47 1b1 I Bags on Pallet l j I. l 1 I I 'Precinct2 1 Ton —of 47 lb; ' Bags on Pallet ' . 1 Precinct 1 Ton 1 j I of 47 lb Nu 1 1 Bags on Pallet I I I 1 Precinct.4-P Ton I _ 716 I I F 1 l BdB on Pallet l I. i Precmcr4-S I. Ton ; I i of47lbj I 1 Bags on Pallet Remarks: Bid Item #7: Item 302, Type PS, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 I Ton ` I ' I : I I Precinct I Ton I I 1 1 1 1 1 1 i i Precinct I To E Precinct 4-P j Ton I ' 1 1 I I ' 1 Precin - I Ton l I Remarks: Page 33 of 65 Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit. MATERIAL DELIVERY TOTAL LOAD/gAIDE Precinct i �. Ton I ; Precinct I Ton 1 3 Remarks: Ton f Ton Bid Item #J: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite LOCATION I Unit I MATERIAL I _DELIVERY I TOTAy---I LOAD/ORDER I I Precinct 1 Ton I 1 Precinct 2 I Ton ! Hu I 1 Pre i i Ton Precinct 4-S I Ton Remarks: Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per tan / delivery price to County Stockpile andjor Jobsite MINIMUM. LOCATION Unit MATERIAL DELIVERY TOTAL LOAD E Precinct Ton. Precinct 4-S ! Ton Page 34 of 65 Bid item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER n Precinct 1 Ton. I /, �O (y, (C? +7 10 70 , 7a G i 16l Precinct 2 Ton ' l �. �41 _...�0 ! Precinct Ton ' /(� (Q� ;cJl/ • i� � /f.� / a�1(1j i a�j ` v I. 1119,60 , a"�(0( 1 5aye• i Precinct4-P Ton. /yl Precinct 4-S i Ton i / ` �" 1�I u+u ryas`-' I ` I ,go y/t7"/� ' ' /)5 Item #12: Item 330, Type O (Pre -Mix Limestone) or Equivalent Price per tan / delivery price to County Stockpile and/or Jobsite. inraTrnn I unit I MATERIAL I DELIVERY I TOTAL 1 I Ton 4-P I Ton 4-S 1. Ton Intentionally Left Blank MINIMUM Parde. 35 of 66 Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications,Bid Item 013 for more information on this material Price per unit / delivery price to County Stockpile and/orlohsite (Ton. and/or 5016 E LOCATION Unit I MATERIAL I DELIVERY TOTAL 1 50lb E 2 Ton 1 5016 8 3 Ton $ 0 Ib E 4-P Ton MINIMUM LOAD/ORDER ltem #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement. or Equivalent See Specifications, Bid. item #14 for more information on this materia. MINIMUM LOCATION Unit MATERIAL DEUVE TOTAL LOAD/ORDER Precinct I I Tan , l Precinct 2 1 Tan ; Ton Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton ( delivery price to County Stockpile and/or Johsite MINIMUM. LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDEI Precinct : Tan A I Precinct 2 l Ton.. Precinct l Ton. I I. 4-5 i Ton Page 36 of 65 Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap,12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or Jabsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/OBOE I I Precinct 1 I Ton I I I Precinct Ton I Precinct Ton I I 1 i I Precinct4-P I Ton I I 1 t Precinct4•STon 1 f Remarks: The undersigned affirms that they are duty authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid: The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFYTHE BID Date: 11 /2/ Authorized Signature & Title; onp�� ` Type Name & Title of Authorized Signature: Glenn Damblgz5 , (V f Phone Number: 97q'JQ3—ft Email: MCA1MnQV4�M.Cfat11 Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of 65 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2024.02 January 1, 2024 through December 31, 2024 Vendor's Name & Address 1'A arc lc d- tAotreV- 'l'r14 Wcx3lrr Xne, of 6 Iran K JAL ar- -%4 k Pgc:Ye' ra j El 62 r • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid item Listed or Equivalent) Bid Item #1: Limestone -1/2 inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER. Precinct 1 Ton 1 I 1 1 Precinct 1 Ton Precinct 3, Tan 1 1 Precinct 4-P Ton Precinct4-S I. Ton. r 1. Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct ` Ton �_ I• Imo' I .Z19 S :)C, 'T-diS Precinct 1 Ton 1 3 I. Precinct Ton I „i' 3�d..VCi i'• I TAS.. Prec1nct4-P; Ton 1I �YJI�'•I o' II6Y Precinct4-S I Ton 1 1,.-Is: l • '• Remarks: Page 31. of 65 Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile andJar lobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER pp Precinct 1 Ton I g,p.. I. I.0 -t '3 1 3 5 Precinct2.... , Ton. 3 p.. Precinct3 Ton Precinct 4-P Ton. Lm . I to - -S a Precinct 4S I Ton 5 I 10 1 37.35 1 Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 inch] or Equivalent Price per ton / delivery price to County Stockpile and/orlobsite NIMUM LOCATION Unit MATERIAL DELIVERY TOTALD/ORDE =LO41 Precinct Ton I Precinct 2 Ton ' Precinct Ton E f 4-S I Ton Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item#5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL. LOAD/ORDE Precinct L Ton , I I Precinct f Ton Precinct 3 Ton i Precinct.4-P I Ton I I I I I Precinct 4-S I Ton . Page 32 of 65 Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(Cost per Pallet. Lists of 47 lb Bags on a Pallet Price per unit/delivery price to County Stockpile and/or lobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD[ORDER Precinct 1 Ton I _of471b Bags on Pallet } I Precinct 2 1 Ton I ' j 1 _of471b Bags on Pallet Precinct3 1 Ton { If l _... I of 47 lb; 1 Bags on Pallet ; II ( I I I Precinct4-P I Ton ' 1 of 47 lb I Bags on Pallet Tonof47 lb 1 Ff Bags on Pallet 1 1 Remarks: Bid Item #7s Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton ( delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit tvIATERIALj DELIVERY TOTAL LOAD/ORDER 1 Precinct 1 t. Ton i I 1 1 Precinct { Ton I ' 1 Precinct 3 Ton 1 I I ? 1 f I Prednct4-P Fan I Precinct 4-5 Ton ' Remarks: Page 33 of 65 Bid Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobslte LOCATION Unit MATERIAL DELIVERY TOTAL L Precinct I Ton I I t Precinct2 Ton f I Precinct 3 1 Ton I Precinct4-P i Ton i f M Bid Item #3: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/orlobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE 11 Ton 2 Ton 4-P I Ton (Bid Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct I Ton I Precinct 2 Ton ;. Precinct 3 Tan 1 I I ' t Precinct 4-P ; Ton 1 I I 1 , Page 34 of 65 Bid Item #11: Item 302, Type E. Grade 5, Ice Rock (Non -Coated Limestone only) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION LUnit MATERIAL DELIVERY TOTAL LOAD/ORDER I 1 Precinct 1. ' Ton 1. Precinct2 I Ton i 1 l Precinct3 Ton. _. I i I Precinct 4-P ! Ton : ' I } i I t = Precinct45 Ton Ii i Remarks: Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile. and/or Johsite _ MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOADJORDER f I I t Precinct I Ton i 1 Precinct Ton Precinct 3 Ton ; I Precinct4-P Ton i I , Precinct4-S ; Ton i Remarks: Intentionally left Blank Page 35 of55. Rid Item #13; Item 330 D, Pothole Repair, limestone Rock Asphalt {LRAE or Equivalent See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/orJobsite (Ton and/or SO lb E LOCATION. Unit MATERIAL DELIVERY TOTAL Precinct 1 1 Ton I C 50 lb Bag I � t Precinct 2 Ton So lb Bag I 1 1 I I Precinct 3 I Ton I I I 1 50 lb Bag i i Precinct 4-P 1 Tan I 1 f 1 50 lb Bag 1 1 1. Precinct 4-S 1 Ton I 1 I 1 50 lb Bag 1 MINIMUM ltem #14: Item 334, Type D Hot Mix Gold laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more Information onthis materia- Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD[ORDE recinct 1 Ton recinct 2 1 Ton 'recinct 3 i Ton �recinct4-P 1 Ton. Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to county Stockpile and/orJobsite MATERIAL I DELIVERY I TOTAL. Precinct 1 Ton Precinct t Ton Precinct 1 Ton T Precinct4-P Ton. Precinct4-S Ton IuIR11011T,l Page 36 of 65 Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap,12" Limestone or Equivalent Price per ton.! delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER. Precinct 1 Ton ' I i 1 I Precinct Ton I t I Precinct 3 1 Ton 1 I I i I I I Precinct4-P i Ton I I I I I t I Precinct4-S 1 Ton Remarks: The undersigned affirms that they are duty authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any officiof employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: t t— F'9'— Authorized Signature & Type Name&Title of Authorized Signature: E r-exrnYK t,.,l.. ni"Iea.re'k Pr e& i e:@e,n+ Phone Number: C�-)q — SA 3' 01 3 A Email: M Y k`n11 g-A V CA & u 3a.1 go .'r Ezr r Exceptions and Or Variations from Specifications and/or additional Notes: Page 37 of 65 # is NOTICE OF MEETING— 1.2/13/2023 18. Consider and take necessary action to declare Asset 24-0538 as Surplus/Salvage and remove from Precinct 4 Road & Bridge inventory. This asset is to be used as trade-in for new equipment. (GDR) Page 15 of 19 Gary D. Reese County Commissioner County of Calhoun Precinct 4 December 8, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for December 13, 2023. • Consider and take necessary action to declare Asset 24-0838 as Surplus/Salvage and remove from Precinct 4 Road & Bridge inventory. Asset to be used as trade in for new equipment. Sincerely, A �0, W-� Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: mrv.reese r� calhouncotx.ore — (361) 785-3141 — Fax (361) 785-5602 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: 570 — Pct 4 R&B Requested By: Commissioner Gary Reese Inventory Reason for Surplus/Salvage h I Description Serial No. Declaration 24-0538 HEXMI 304.5EXTC FXT00110 TRADE IN FOR NEW EQUIPMENT EXCAVATOR #19 NOTICE OF MEETING-- 1.2/1.3/202--3 19. Consider and take necessary action to transfer the attached list of equipment from the Calhoun County Museum to R & B Precinct 3. (RHM) Page 16 of 19 Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: Inventory Number Description Serial No. Transfer From/To Department k wl h Lj # zo NOTICE OF MEETING — 12/13/2023 20. Accept Monthly Reports from the following County Offices: i. County Clerk — November 2023 ii. District Clerk — October 2023, corrected iii. District Clerk — November 2023 iv. Floodplain Administration — November 2023 v. Justice of the Peace, Precinct 1— November 2023 vi. Justice of the Peace, Precinct 2 — November 2023 vii. Justice of the Peace, Precinct 4 — November 2023 viii. Justice of the Peace, Precinct 5 — November 2023 ix. Sheriff's Office — November 2023 Page 17 of 19 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION NOVEMBER 2023 OFFICIAL PUBLIC. DESC BECOME CARL/FAMILY CRIMINAL RECORDS PROBATE TOTAL DISTRICT ATTORNEY FEES 1000-44020 $ 209.50 $ 209.50 BEER LICENSE 1000-42010 $ 10.00 $ 10DO COUNTY CLERK FEES 3000-44030 $ 257.00 $ 419.00 $ 7,841.55 $ 543.00 $ 9,060.55 APPEAL FROM JP COURTS 1000-44030 $ - S - COUNTY COURT ATLAW NIJURY FEE 1000-44140 $ - JURY FEE 3000-44140 $ - $ - $ - ELECTRONICFILINGFEESFORE-FILINGS 1000-44058 $ - $ - $ - IS - $ - JUDGE'SEDUCATIONFEE 1000-44160 IS - $ - $ - $ 30.00 $ 30.00 JUDGE'S ORDERISIGNATURE 1000-44180 $ 22.00 IS - $ - $ 66.00 $ 88.00 SHERIFF'S FEES 1000-44190 $ - $ 244.15 $ - IS 200.00 $ 444.15 VISUAL RECORDER FEE 1000-44250 $ 63.75 $ 63.75 TIMEPAYMENTFEE- COUNTY --NEW2020-- 1000-94332 $ 105.00 $ 105.00 COURT REFPORTER FEE 1000-44270 $ 75.00 $ - IS - $ 150.00 $ 225.00 RESTITUTION DUE TO OTHERS 1000-49020 $ - ATTORNEY FEES -COURT APPOINTED 1000-49030 $ - $ - APPELLATE FUND (TGC) FEE 2620-"030 $ 15.00 $ 30.00 $ 45.00 COURTFACILITYFEEFUND 2648-04030 $ 60.00 $ - $ - $ 120.00 $ 180.00 TECHNOLOGY FUND 2663-44030 $ 41.90 $ 41.90 COUNTYJURYFUND "NEW2020-- 266944030 IS 30.00 $ 10.47 $ $ 60.00 $ 100.47 COURTHOUSE SECURITY FEE 2670-44030 $ 60.00 $ 104.75 $ 289.00 $ 125.00 $ 578.75 COURT INITIATED GUARDIANSHIP FEE 2672-44030 $ 1BO.00 $ 180.00 COURT RECORD PRESERVATION FUND 2673-44030 $ - IS - $ - $ - COURTREPORTER SERVICEFUND•-NEW2020-- 2674-44030 $ 31.42 $ 31.42 RECORDS ARCHIVE FEE 2675-44030 $ 2,580.00 $ 2.580.00 COUNTYSPECIALTYCOURT •-NEW2020-1 2676-44030 $ 209.50 $ 209.50 COUNTYDISPUTE RESOLUTION FUND 267744030 $ 45.00 $ - $ - It 90.00 $ 135.00 DRUG&ALCOHOL COURT PROGRAM 269844030-005 $ - $ - JUVENILECASEMANAGER FUND 2699-0 033 $ - $ - FAMILY PROTECTION FUND 2706-44030 $ - $ - JUVENILECRIME& DELINQUENCYFUND 2715-44030 $0.00 $ - LANGUAGEACCESSFUND 2725-44030 $ 9.00 $ - $ - $ 18.00 $ 27.00 PRE-TRIAL DIVERSON AGREEMENT 2729-44034 $ - $ - LAWLIBARYFEE 2731-44030 $ 105.00 $ 210.00 $ 315.00 RECORDS MANAGEMENT FEE -COUNTY CLERKK 2738-44380 $ - $ 2,700.00 $ 2,700.00 RECORDS MAN GEMENT FEE - COUNTY 2739-44030 $ 130.00 $ 261.88 $ 95.00 $ 486.88 FINES - COUNTY COURT 2740-45040 $ 3,768.59 $ 3,768.59 BOND FORFEITURE 2740-45050 $ - $ - STATE POLICE OFFICER FEES - STATE (DIPS) (20%) 7020-20740 $ - $ - CON50LIDATED COUFIT COS IS -COUNTY 7070-20610 $ - $ - CONSOUDATED COUFIT COSTS -STATE 7070-20740 $ - $ - CONSOLIDATED COURTCOSTS-COUNTY '"NEW20207072-20510 $ 123.90 $ 123.90 CONSOLIDATED COURTCOSTS-STATE "NEW2020"7072-20740 $ 11115.10 $ 1,115.10 JUDICIAL AND COURT PERSONNEL TRAINING -ST (100%7502-20740 $ - $ - $ - $ - DRUG& ALCOHOL COURT PROGRAM - COUNTY 7390-20610 $ - $ - DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740 $ - $ - STATEELECTRONICFILINGFEE-CIVIL 7403-22887 $ $ - $ - $ - STATEELECTRONICFILINGFEECRIMINAL 7403-22990 $ - $ - EMS TRAUMA -COUNTY (10%) 7405-20610 $ 405.75 $ 405.75 EMS TRAUMA - STATE (90%) 7405-20740 $ 45.08 $ 45.08 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ - $ - $ - CIVIL INDIGENT FEE -STATE 7490-20740 $ - $ - $ - JUDICIAL FUND COURT COSTS 7495-20740 $ - $ - JUDICIAL SALARY FUND - COUNTY (10%) 7505-20610 $ - $ - JUDICIAL SALARY FUND -STATE (90%) 7505-20740 $ - $ - JUDICIAL SALARY FUND (CIVIL&PROBATE) -STATE 7505-20740-005 $ - $ - IS - TRAFFICLOCAL(ADMINISTRATIVE FEES) 7538-22884,1000-44359 $ - $ COURT COST APPEAL OF TRAFFIC REG(1P APPEAL) 7538-22885 $ - BIRTH -STATE 7855-20780 $ 142.20 $ 142.20 INFORMAL MARRIAGES -STATE 7855-20782 IS - $ - JUDICIALFEE 7855-20786 $ - $ - $ - IS - FORMAL MARRIAGES -STATE 7855-20789 $ 210.00 $ 210.00 NONDISCLOS URE FEE - STATE 7855-20790 $ - $ - $ - $ - $ - TCLEOSECOUFIT COST -COU NTY (10%) 7856-20610 $ - $ - TCLEOSECOURTCOST -STATE (90%) 7856-20740 $ - $ - JURY REIMBURSEMENT FEE -COUNTY (10% 7857-20610 $ - $ - JURY REIMBURSEMENT FEE -STATE (90%) 7857-20740 $ - $ - CONSOLIDATED CRTCOSTS- STATE (PR FAM CV) SB43 7858-20740 $ 137.00 $ - $ 137.00 STATE TRAFFIC FINE -COU NTY(5%) 7860-20610 $ - $ - STATE TRAFFIC FINE -STATE (95%) 7860-20740 $ - $ - STATE TRAFFIC FINE- COUNTY(4%) 91112019 7860-20610 $ - IS - ,STATE TRAFFICNNE-STATE (95%)91112019 7860-20740 $ $ 1 .1 2 1942M3 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION NOVEMBER 2023 r•OFFICIAL PUBLIC`. DESC GLCODE CIVIL/FAMILY .CRIMINAL RECORDS PROBATE TOTAL. IN DIG ENT DEFENSE FEE -CRIMINAL - COUNTY (10%) 7865-20610 $ - $ - INDIGENT DEFENSE FEE -CRIMINAL -STATE (90%) 7865-20740 $ - $ - TIME PAYMENT - COUNTY (50%) 79SO-20610 $ - $ - TIME PAYMENT - STATE (50%) 7950-20740 $ - $ - BAIL IUMPING AND FAILURETOAPPEAR -COUNTY 7970-20610 $ - BAIL IUMPINGANDFAILURE TOAPPEAR -STATE 7970-20740 $ ' DUE PORT IAVACA PD 9990-99991 $. 1.25 $ 1.25 DUESEADRIFTPD 9990-99992 $ - $ - DUE TOPOINT COMFORT PD 9990-99993 $ - $ - DUE TOTEXAS PARKS ISWILDLIFE 9990-99994 $ $ - DUE TOTEXAS PARKS St WILDLIFE WATER SAFETY 9990-99995 $ - DUETOTABC 9990-99996 $ DUE TO ATTORN EY AD LITEMS 999D-99997 $ - DUE TOOPERATING/NSF CHARGES/DUE TO OTHERS 7120-20759 $ $ $ 319.00 $ 527.00 $ 846.00 $ 945.00 $ 7,161.00 $ 14,091.75 $ 2,444.00 $ 24,641.75 TOTAL FUNDS COLLECTED $ 24,641.75 (0.00) FUNDS HELD IN ESCROW: $ - AMOUNT DUE TO TREASURER(2DRB): I$ 23.794.50 TOTAL RECEIPTS: $� AMOUNT DUE TO OTHERS (LESS SF-Sh $ 847.25 REGISTRY DEPOSITS CASH BONDS AND CERTffICATE50F DEPOSIT CASH ON HAND REGISTRY OF COURT FUNDS (PROSPERDYI _ BEGINNING BOOK BALANCE [ W/3]/2013 ]$ 841.381.62 FUND RECEIVED $ 5,500.00 `*BALANCE OF CASH BONDS" $ 60,177.50 DISBURSEMENTS $ 1,000.00 ENDING BOOK BALANCE[ 11/3a/ID2i _ $ 845,881.62 "OTHER REGISTRY ITEMS" $ 785,729A2 'IBC CASH BOND CHECKS" BANK RECONCILIATION REGISTRY OF COURT FUNDS ENDING BANK BALANCE 11/30/2423 $ 855,665.12 -TOTAL REGISTRY FUNDS- $ 845,881.62 OUTSTANDING DEPOSITS" $ - OUTSTANDING CHECKS" $ 9,]83.50 Reconcl/e4: $ - RECONCILED BANK BALANCE 11/30/2023 $ 845,881.62 n[ agOnCITC MCI n IN TRI ICT- RRr1CPFRITY RANK CEFS .......... Date Issued. :Balance Purchases/ WRhanwals Balance 1013112023 ' Intereat 11130123 10440 1/24/2018 $ $ $ 10441 1/24/2018 $ $ 10442 1/24/2018 $ 1,299.25 $ 1,299.25 10443 1/25/2018 $ 1,299.25 $ 1,299.25 104" 1/25/2018 $ 9,811.53 $ 9,811.53 10445 1/25/2018 $ 9.811.53 $ 9,811.53 10446 1/25/2018 $ 9,811:53 $ 9,811.53 10449 6/9/1955 $ 20,650.16 $ 143.14 $ 20,793.30 10454 3/2/2018 $ 3,645.70 $ 3,645.70 10455 3/2/2018 $ 3,645.70 $ 3,645.70 10486 8/26/2020 $ 5.976.53 $ 39.92 $ 6.016.45 10495 12/22/2021 $ 34,787.10 $ 34,787.10 10498 12/22/2021 $ 34,787.08 $ 34,787.08 10504 2/14/2023 $ 11,086.56 $ 76.85 $ 11,163.41 10505 2/14/2023 $ 9,412.68 $ 62.87 $ 9,475.55 TOTALS: $156,024.60 $ 322.78 $ $ 156,347.38 � 1-a"- 12/4/2023 l( Submitted by: Anna M Goodman, County Clerk Date ichard Meyer, Calhoun County go Date 2 OF REPORTS I214/2023 *Treasurer Receipt Numbers: 020,035,044 F20230CT010, MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS ACCOUNT NUMBER COURT NAME: DISTRICT CLERK MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2023 ACCOUNT NAME DEBIT CREDIT 1000-00144190 SHERIFF'S SERVICE FEES $574.35 1000-001-44140 JURY FEES $163.20 1000-00144045 RESTITUTION FEE $0.00 1000-00144020 DISTRICT ATTORNEY FEES $0.00 1000-001-49010 REBATES -PREVIOUS EXPENSE $3.15 1000-001-49030 REBATES-ATTORNEY'S FEES $269.46 1000-00144058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-001 14322 TIME PAYMENT REIMBURSEMENT FEES $44.39 1000-00143049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $159.00 CRIMINAL COURT $4.96 CIVIL COURT $1,403.52 STENOGRAPHER $358.00 CIV FEES DIFF $0.00 1000-001-44050 DISTRICT CLERK FEES $1,925.48 1000-999-20771 FAMILY VIOLENCE FINE $0.00 1000-999-10010 CASH - AVAILABLE $2,980.03 2706-001-44055 FAMILY PROTECTION FEE $0.00 2706-999-10010 CASH - AVAILABLE $0.00 2740-001-45055 FINES - DISTRICT COURT $963.23 2740-999-10010 CASH - AVAILABLE $963.23 2620-001-44055 APPELLATE JUDICIAL SYSTEM $71.60 2620-999-10010 CASH - AVAILABLE $71.60 2648-001-44055 COURT FACILITY FEE FUND $286.40 2648-999-10010 CASH - AVAILABLE $286.40 2670-001-44055 COURTHOUSE SECURITY $287.06 2670-999-10010 CASH - AVAILABLE $287.06 2673-001-44055 CRT RECS PRESERVATION FUND- CO $0.00 2673-999-10010 CASH - AVAILABLE $0.00 2725-001-44055 LANGUAGE ACCESS FUND $42.96 2725-999-10010 CASH - AVAILABLE $42.96 2739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $452.38 2739-999-10010 CASH - AVAILABLE $452.38 2737-001-44055 RECORD MGMT/PRSV FUND -DIST CLRK $0.31 2737-999-10010 CASH - AVAILABLE $0.31 2731-001-44055 LAW LIBRARY $501,20 2731-999-10010 CASH - AVAILABLE $501.20 2663-001-44050 CO & DIST CRT TECHNOLOGY FUND $0.46 2663-999-10010 CASH - AVAILABL $0.46 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH - AVAILABLE $0.00 2667-001-44055 CO CHILD ABUSE PREVENTION FUND $0.60 2667-999-10010 CASH - AVAILABLE $0.60 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $0.00 7502-999-10010 CASH-AVAILABE $0.00 7383-999-20610 DNA TESTING FEE - County $0.19 7383-999-20740 DNA TESTING FEE - STATE $1.70 7383-999-10010 CASH - AVAILABLE $1.89 7405-999-20610 EMS TRAUMA FUND - COUNTY $0.00 7405-999-20740 EMS TRAUMA FUND - STATE $0.00 7405-999-10010 CASH - AVAILABLE $0.00 7070-999-20610 CONSOL. COURT COSTS - COUNTY $0.12 7070-999-20740 CONSOL. COURT COSTS - STATE $1.10 7070-999-10010 CASH - AVAILABLE $1.22 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $57.85 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $520.69 7072-999-10010 CASH- AVAILABLE $578.54 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $0.33 2698-999-10010-010 CASH -AVAILABLE $0.33 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $0.07 7390-999-20740-999 DRUG COURT PROG FEE - STATE $0.26 7390-999-10010-999 CASH -AVAILABLE $0.33 7865-999-20610-999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.00 7865-999-20740-999 CRIM - SUPP OF IND LEGAL SVCS - STATE $0.02 7865-999-10010-999 CASH - AVAILABLE $0.02 7760-999-20790-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7760-999-10010-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7950-999-20610 TIME PAYMENT- COUNTY $0.65 7950-999-20740 TIME PAYMENT - STATE $0.64 7950-999-10010 CASH - AVAILABLE $1.29 7505-999-20610 JUDICIAL SUPPORT-CRIM - COUNTY $0.01 7505-999-20740 JUDICIAL SUPPORT-CRIM - STATE $0.05 7505-999-10010 CASH - AVAILABLE $0.06 7505-999-20740-010 JUDICIAL SALARIES -CIVIL- STATE(42) $0.00 7505-999-10010-010 CASH AVAILABLE $0.00 2740-001-45050 BOND FORFEITURES $0.00 2740-999-10010 CASH - AVAILABLE $0.00 2729-001-44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.35 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $3.17 7857-999-10010 CASH - AVAILABLE $3.52 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH - AVAILABLE $0.00 7403-999-22888 DIST CRT- ELECTRONIC FILING FEE - CIVIL $0.00 7403-999-22991 DIST CRT- ELECTRONIC FILING FEE - CRIMINAL $0.56 CASH - AVAILABLE $0.56 -44050 DISTRICT CLERK FEES $125A0 -10010 CASH - AVAILABLE $125.10 -44055 RECORD MGMT/PRSV FUND - COUNTY $78.19 -10010 CASH - AVAILABLE $78.19 -44050 COUNTY JURY FUND $3.13 -10010 CASH - AVAILABLE $3.13 -44055 COURTHOUSE SECURITY $31.28 -10010 CASH - AVAILABLE $3128 -44050 CO & DIST CRT TECHNOLOGY FUND $12.51 -10010 CASH - AVAILABLE $12.51 -44050 COUNTY SPECIALTY COURT FUND $78.19 -10010 CASH - AVAILABLE $78.19 TOTAL: $328.40 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - STATE $0.00 7855-999-20657-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $0.00 7855-999-20792-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE $0.00 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $0.00 7855-999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE $0.00 7855-999-20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY $0.00 7855-999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $0.00 7855-999-10010-010 CASH - AVAILABLE $0.00 2677-999-44050-999 COUNTY DISPUTE RESOLUTION FUND $214.80 2677-999-10010-999 CASH - AVAILABLE $214.80 7858-999-20740-999 DIST CLK - DUE TO STATE CONSOLIDATED FEE 2022 $274.84 7858-999-10010-999 CASH AVAILABLE $274.84 TOTAL (Distrib Req to Oper Acct) $7,320.43 $6,992.03 DUE TO OTHERS (Distrib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 340.00 REFUND OF OVERPAYMENTS 0.00 DUE TO OTHERS 3.99 TOTAL DUE TO OTHERS $343.99 REPORT TOTAL - ALL FUNDS 7,336.02 PLUS AMT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (7,336.02) Revised 04/03/23 OVER / (SHORT) $0.00 DISTRICT COURT STATE COURT COSTS REPORT SECTION I: REPORT FOR OFFENSES COMMITTED 01/1/20 - Present 01/01/04 - 12/31/19 09/01/01 - 12/31/03 09/01 /99 - 08131 /01 09101 /97 - 08/31 /99 09101 /95 - 08/31 /97 09/01/91-08131/95 DNA TESTING FEES EMS TRAUMA FUND JUV. PROS. DIVERSION FEES JURY REIMBURSEMENT FEE INDIGENT DEFENSE FUND STATE TRAFFIC FEES DRUG CRT PROG FEE SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEARIPAY FEES JUD. FUND-CONST. CO. CRT. JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE DRIVING RECORD FEE JUDICIAL SUPPORT FEES OCTOBER 2023 OCTOBER INTY STATE 57.85 520.69 0.06 0.49 0.03 0.31 0.03 0.30 1.89 0.19 1.70 $3.52 0.35 3.17 $0.02 0.00 $0.02 $0.00 - $0.00 $0.66 $0.40 0.26 $1.29 0.65 0.64 ELECTRONIC FILING FEE - CR $0.56 $0.56 NONDISCLOSURE FEES - CR $0.00 $0.00 TOTAL STATE COURT COSTS $587.70 $ 59.56 $ 528.14 CIVIL FEES REPORT OCTOBER COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV $0.00 $0.00 NONDISCLOSURE FEES - CV 0 $0.00 $0.00 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROB CRT INDIG FILING FEES STAT PROB CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONST CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV &FAMILY LAW 0, $0.00 - - DIST CRT OTHER THAN DIV/FAM LAW �_,__... 0 $0.00 - - DISTCRTOTHERCIVILFILINGS _ '0': $0.00 - - FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE 0 ! $0.00 $0.00 JUDICIAL R COURT PERSONNEL TRANING FEE 0r $0.00 - $0.00 2022 STATE CONSOLIDATED FEE - 2. $274.84 $274.84 COUNTY DISPUTE RESOLUTION FUND 214.80 214.80 TOTAL CIVIL FEES REPORT $ 489.64 $ - $ 489.64 TOTAL BOTH REPORTS $ 1,077.34 $ 59.56 $ 1,017.78 CALHOUN COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct Address: City: State: Zip: Phone: DISTRIBUTION REQUEST DR# 420 A 45265 PAYOR Official: Anna Kabela Title: District Clerk ACCOUNT NUMBER DESCRIPTION : AMOUNT" 7340-999-20759.999 District Clerk Monthly Collections - Distribution $6,992.03 OCTOBER 2023 V# 967 TOTAL 6,992.03 Signature of Official I-Z- -13- z Date * Treasurer Receipt Numbers: F2023NOV009, 024,035 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS COURT NAME: DISTRICT CLERK MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2023 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDIT 1000-001-44190 SHERIFF'S SERVICE FEES $1,487.79 1000-00144140 JURY FEES $80.00 1000-001-44045 RESTITUTION FEE $0.00 1000-001-44020 DISTRICT ATTORNEY FEES $0.00 1000-001-49010 REBATES -PREVIOUS EXPENSE $5.22 1000-00149030 REBATES-ATTORNEY'S FEES $216.88 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEES $66.92 1000-001-43049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $84.00 CRIMINAL COURT $2.96 _. CIVIL COURT $1,046.29 STENOGRAPHER $200.00 CIV FEES DIFF $0.00 1000-00144060 DISTRICT CLERK FEES $1,333.25 1000-999-20771 FAMILY VIOLENCE FINE $20.00 1000-999-10010 - CASH - AVAILABLE $3,210.06 2706-001-44055 FAMILY PROTECTION FEE $0.00 2706-999-10010 CASH - AVAILABLE $0.00 2740-001-45055 FINES - DISTRICT COURT $1,463.44 2740-999-10010 CASH - AVAILABLE $1,463.44 2620-00144055 APPELLATE JUDICIAL SYSTEM $40.00 2620-999-10010 CASH - AVAILABLE $40.00 2648-00144055 COURT FACILITY FEE FUND $160.00 2648-999-10010 CASH - AVAILABLE $160.00 2670-00144055 COURTHOUSE SECURITY $168.97 2670-999-10010 CASH - AVAILABLE $168.97 2673-00144055 CRT RECS PRESERVATION FUND- CO $16.35 2673-999-10010 CASH - AVAILABLE $16.35 2725-00144055 LANGUAGE ACCESS FUND $24.00 2725-999-10010 CASH - AVAILABLE $24.00 2739-00144055 RECORD MGMT/PRSV FUND - COUNTY $265.27 2739-999-10010 CASH - AVAILABLE $265.27 2737-00144055 RECORD MGMT/PRSV FUND -DIST CLRK $13.80 2737-999-10010 CASH - AVAILABLE $13.80 2731-00144055 LAW LIBRARY $280.00 2731-999-10010 CASH - AVAILABLE $280.00 2663-00144050 CO & DIST CRT TECHNOLOGY FUND $0.30 2663-999-10010 CASH - AVAILABL $0.30 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH - AVAILABLE $0.00 2667-00144055 CO CHILD ABUSE PREVENTION FUND $16.54 2667-999-10010 CASH - AVAILABLE $16.54 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $5.00 7502-999-10010 CASH-AVAILABE $5.00 7383-999-20610 DNA TESTING FEE - County $0.39 7383-999-20740 DNA TESTING FEE - STATE $3.48 7383-999-10010 CASH - AVAILABLE $3.87 7405-999-20610 EMS TRAUMA FUND - COUNTY $1.29 7405-999-20740 EMS TRAUMA FUND - STATE $11.63 7405-999-10010 CASH - AVAILABLE $12.92 7070-999-20610 CONSOL. COURT COSTS - COUNTY $0.05 7070-999-20740 CONSOL. COURT COSTS - STATE $0.48 7070-999-10010 CASH - AVAILABLE $0.53 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $92.46 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $832.10 7072-999-10010 CASH -AVAILABLE $924.56 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $0.19 2698-999-10010-010 CASH - AVAILABLE $0.19 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $0.04 7390-999-20740-999 DRUG COURT PROG FEE - STATE $0.15 7390-999-10010-999 CASH - AVAILABLE $0.19 7865-999-20610-999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.00 7865-999-20740-999 CRIM - SUPP OF IND LEGAL SVCS - STATE $0.01 7865-999-10010-999 CASH - AVAILABLE $0.01 7760-999-20790-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7760-999-10010-010 CRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7950-999-20610 TIME PAYMENT - COUNTY $0.30 7950-999-20740 TIME PAYMENT - STATE $0.29 7950-999-10010 CASH - AVAILABLE $0.59 7505-999-20610 JUDICIAL SUPPORT -GRIM - COUNTY $0.00 7505-999-20740 JUDICIAL SUPPORT-CRIM - STATE $0.02 7505-999-10010 CASH - AVAILABLE $0.02 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $46.33 7505-999-10010-010 CASH AVAILABLE $46.33 2740-001-45050 BOND FORFEITURES $0.00 2740-999-10010 CASH - AVAILABLE $0.00 2729-001-44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.10 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $0.94 7857-999-10010 CASH - AVAILABLE $1.04 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH - AVAILABLE $0.00 7403-999-22888 DIST CRT - ELECTRONIC FILING FEE - CIVIL $30.00 7403-999-22991 DIST CRT - ELECTRONIC FILING FEE - CRIMINAL $0.30 CASH - AVAILABLE $30.30 -44050 DISTRICT CLERK FEES $199.90 -10010 CASH - AVAILABLE $199.90 -44055 RECORD MGMTIPRSV FUND - COUNTY $124.94 -10010 CASH - AVAILABLE $124.94 -44050 COUNTY JURY FUND $5.00 -10010 CASH - AVAILABLE $5.00 -44055 COURTHOUSE SECURITY $49.98 -10010 CASH - AVAILABLE $49.98 -44050 CO & DIST CRT TECHNOLOGY FUND $19.99 -10010 CASH - AVAILABLE $19.99 -44050 COUNTY SPECIALTY COURT FUND $124.94 -10010 CASH - AVAILABLE $124.94 DIST CRT - DIVORCE & FAMILY LAW -STATE $0.00 $0.00 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $0.00 -010 7855-999-20784657-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE $0.00 7855-999-20792-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $23 77 7855-999-20658-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE $2.64 7855-999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY $0.00 7855-999-20 DUE TO STATE - NONDISCLOSURE FEE $26 41 7855-999-20610-010 CASH - AVAILABLE $120.00 7855-999-10010-010 COUNTY DISPUTE RESOLUTION FUND $120.00 2677-999-44050-999 CASH -AVAILABLE 2677-999-10010-999 $232.00 DIST - DUE TO STATE CONSOLIDATED FEE 2022 $232.00 7858-999-20740-999 ACLKSH AVAILABLE CASH 7858-999-10010-999 TOTAL (Distrib Req to Oper Acct) $8,112.17 $7,587.43 DUE TO OTHERS (Distrib Req(s) attached) 0.00 ATTORNEY GENERAL (RESTITUTION) 700.00 OUT -OF -COUNTY SERVICE FEES 000 REFUND OF OVERPAYMENTS .00 12.57 DUE TO OTHERS TOTAL DUE TO OTHERS $712.57 REPORT TOTAL - ALL FUNDS 8,300.00 0.00(g,300.00) PLUS AMT OF RETURNED CKS LESS: TOTAL TREASURER'S RECEIPTS OVER / (SHORT) $0.00 Revised 04/03/23 DISTRICT COURT NOVEMBER STATE COURT COSTS REPORT 2023 NOVEMBER SECTION I: REPORT FOR OFFENSES COMMITTED COLLECTED COUNTY STATE 01/1/20-Present j � ' �- 1� („„i 92.46 832.10 01/01/04 - 12/31/19 - $0 53'r 0.05 0.48 09/01/01 - 12/31/03- 09/01/99-08/31/01 - - 09/01/97 - 08/31/99- 09/01/95 - 08/31/97- 09/01/91-08/31/95�'n` - - TOTALS $925.09 92.51 832.58 BAIL BONDS FEES __ DNA TESTING FEES 3.87 0.39 3.48 EMS TRAUMA FUND 12.92 1.29 11.63 JUV. PROS. DIVERSION FEES JURY REIMBURSEMENT FEE $1.04 0.10 0.94 INDIGENT DEFENSE FUND $0.01 0.00 $0.01 STATE TRAFFIC FEES $0.00 - $0.00 DRUG CRT PROG FEE $0.38 $0.23 0.15 SECTION It: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEAR/PAY FEES JUD. FUND-CONST. CO. CRT. JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE DRIVING RECORD FEE JUDICIAL SUPPORT FEES ELECTRONIC FILING FEE - CR NONDISCLOSURE FEES -CR TOTAL STATE COURT COSTS CIVIL FEES REPORT $0.59 0.30 0.29 $0.30 $0.30 $0.00 $0.00 $944.20 $ 94.82 $ 849.38 NOVEMBER COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV NONDISCLOSURE FEES - CV 0 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROB CRT INDIG FILING FEES STAT PROB CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONST CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW DIST CRT OTHER THAN DIV/FAM LAW 01. DIST CRT OTHER CIVIL FILINGS FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE JUDICIAL & COURT PERSONNEL TRANING FEE 2 2022 STATE CONSOLIDATED FEE 3 COUNTY DISPUTE RESOLUTION FUND TOTAL CIVIL FEES REPORT $ $30.00 $30.00 $0.00 $0.00 $0.00 $0.00 - - $26.41 2.50 23.91 $46.33 $46.33 $5.00 - $5.00 $232.00 $232.00 120.00 120.00 459.74 $ 2.50 $ 457.24 TOTAL BOTH REPORTS $ 1.403.94 $ 97.32 $ 1.306.62 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 420 A 45265 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Anna Kabela Address: Title: District Clerk City: State: Zip: Phone: ACCOUNT NUMOER DESCRIPTION AMOUNT 7340-999-20759.999 District Clerk Monthly Collections - Distribution $7,587.43 NOVEMBER 2023 V# 967 TOTAL 7,587.43 e sienature of OfficialU Date Calhoun CountyFloodplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: Debbie.Vickery@calhouncotx.org November 2023 Development Permits Report For Commissioners Court:12/13/23 New Homes — 7 Renovations/Additions — 2 Mobile Homes — 2 Boat Barns/Storage Buildings/Garages -1 Commercial Buildings/RV Site - 2 Tank-0 Fence — 0 Pool-0 Drainage- 0 Pipeline — 0 Sandpit — 0 Total -14 Total Fees Collected: $840.00 Receipt No: 92513,925814,925815,925816,925817,925818,925819,925820,925821,925822,9 25823,925824,925825,925826 T I� MONTH OF REPORT YEAR OF REPORT ADMINISTRATION FEE -A[ BREATH ALCOHOL TESTING - I CONSOLIDATED COURT COSTS C STATE CONSOLIDATED COURT COST- 2 LOCAL CONSOLIDATED COURT COST- 2 COURTHOUSE SECURITY - CIVIL JUSTICE DATA REPOSITORY FEE - C, CORRECTIONAL MANAGEMENT INSTITUTE - CHILD SAFETY - CHILD SEATBELT FEE - C( CRIME VICTIMS COMPENSATION - ( ADMINISTRATION FEE FTA/FTP (aka OMNI)-2 ELECTRONIC FILING FEE - I GENERALREVENUE- CRIM - IND LEGAL SVCS SUPPORT - JUVENILE CRIME & DELINQUENCY -, JUVENILE CASE MANAGER FUND- A JUSTICE COURT PERSONNEL TRAINING - X JUROR SERVICE FEE - LOCAL ARREST FEES - PARKS & WILDLIFE ARREST FEES - SCHOOL CROSSING/CHILD SAFETY FEE - S SUBTITLE - SU STATE TRAFFIC FINES -EST 9.1.19, S TABC ARREST FEES -T TECHNOLOGY FUND - TRAFFIC -T LOCAL TRAFFIC. FINE- 2( TIME PAYMENT -TI TIME PAYMENT REIMBURSEMENT FEE- 2( TRUANCY PREVENTION/DIVERSION FUND -TP LOCAL & STATE WARRANT FEES - WR COLLECTION SERVICE FEE-MVBA-CS DEFENSIVE DRIVING COURSE - D DEFERRED FEE -E DRIVING EXAM FEE- PROV FILING FEE - FIE STATE CONSOLIDATED CIVIL FEE -21 LOCAL CONSOLIDATED CIVIL FEE - 2( FILING FEE SMALL CLAIMS -FF JURY FEE - COPIES/CERTIFED COPIES - INDIGENT FEE - CIFF or IN JUDGE PAY RAISE FEE- JF SERVICE FEE - SF OUT -OF -COUNTY SERVICE F ELECTRONIC FILING FEE - EEF EXPUNGEMENT FEE - EN EXPIRED RENEWAL- E) ABSTRACT OF JUDGEMENT -J ALL WRITS - WOP /N DIES FTA FINE - DF LOCAL FINES - F LICENSE& WEIGHT FEES -L PARKS & WILDLIFE FINES - P SEATBELT/UNRESTRAINED CHILD FINE - BE '- JUDICIAL & COURT PERSONNEL TRAINING-J( • OVERPAYMENT (OVER $10) - 0% OVERPAYMENT. ($10 AND LESS) - 0% RESTITUTION - RI PARKS & WILDLIFE -WATER SAFETY FINES-V MARINE SAFETY PARKS & WILDLIFE- N TOTAL ACTUAL MONEY RECER ENTER LOCAL WARRANT STATE WARRANT TO OTHERS: TO CCISD - 50%of Fine on JV cases TO DARESTITUTION FUND JND OF OVERPAYMENTS -OF-COUNTY SERVICE FEE BONDS TOTAL DUE TO OT REVISED 02/02/2022 60.00 0.00 218.14 3,091.04 697.99 21.81 0.00 0.24 0.00 0.00 0.00 0.00 0.00 161.04 79.34 0.00 0.00 0.00 10.91 0.00 22.83 0.00 21.81 190.39 0.00 0.00 0.00 0.00 56.17 34.95 0.00 30.00 889.04 0.00 21.81 3.00 53.33 15.24 239.30 7.69 767.77 1,911.40 10.00 0.00 0.00 0.00 231.00 363.00 0.00 0.00 0.00 0.00 300.00 0.00 0.00 0.00 0.00 0.00 0.00 1.313.14 5,099.13 0.00 1,305.18 246.00 0.00 226.60 0.00 0.00 REPORT REPORT 0.00 1p::EINCLUDE DRREQUESTINGDISBURSEMENT 0.00 PLEASE INCLUDE DR. REQUESTING DISBURSEMENT 226.50 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT (IF REQUIRED) Treasurer's Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/4/2023 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2023 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 6,731.05 CR 1000-001-44190 SHERIFF'S FEES 960.71 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 10.00 CHILD SAFETY 0.00 TRAFFIC 56.33 ADMINISTRATIVE FEES 139.34 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 205.67 CR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 CR 1000-001-44061 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 239.30 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 123.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1.911.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $10,471.13 CR 2670-001-44061 COURTHOUSE SECURITY FUND $260.65 CR 2720-00144061 JUSTICE COURT SECURITY FUND $5.45 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $221.24 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $22.83 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $249.28 CR 2669-001-44061 COUNTY JURY FUND $4.99 -16.00 CR 2728-001-44061 JUSTICE COURT SUPPORT FUND $$33.00 CR 2677-00144061 COUNTYRESOLUTION FUND CR 2725-001 44061 AGE ACCESS FUND -- STATE ARREST FEES DPS FEES 77.34 P&W FEES 11.23 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 88.57 CR 7070-999-20610 CCC-GENERAL FUND 21.81 CR 7070-999-20740 CCC-STATE 196.33 DR 7070-999-10010 218.14 CR 7072-999-20610 STATE CCC- GENERAL FUND 309.10 CR 7072-999-20740 STATE CCC- STATE 2,781.94 DR 7072-999-10010 3,091.04 CR 7860-999-20610 STF/SUBC-GENERAL FUND 1.50 CR 7860-999-20740 STF/SUBC-STATE 28.50 DR 7860-999-10010 30.00 CR 7860-999-20610 STF- EST 9/l/2019- GENERAL FUND 35.56 CR 7860-999-20740 STF- EST 9/l/2019- STATE 853.48 DR 7860-999-10010 889.04 Page 1 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/4/2023 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2023 CR 7950-999-20610 TP-GENERAL FUND 7.62 CR 7950-999-20740 TP-STATE 7.62 DR 7950-999-10010 15.24 Page 2 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/412023 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2023 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.09 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 9.82 DR 7865-999-10010 10.91 CR 7970-999-20610 TL/FTA-GENERAL FUND 53.68 CR 7970-999-20740 TL/FTA-STATE 107.36 DR 7970-999-10010 161.04 CR 7505-999-20610 JPAY - GENERAL FUND 2.91 CR 7505-999-20740 JPAY - STATE 26.15 DR 7505-999-10010 29.06 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 2.18 CR 7857-999-20740 JURY REIMB. FUND- STATE 19.63 DR 7857-999-10010 21.81 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.02 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.22 DR 7856-999-10010 0.24 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 3.85 7998-999-20701 JUVENILE CASE MANAGER FUND 3.85 DR 7998-999-10010 7.69 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 231.00 231.00 TOTAL (Distrib Req to OperAcct) $16,392.35 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 226.50 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 1,109.40 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $1,335.90 TOTAL COLLECTED -ALL FUNDS $17,728.26 LESS: TOTAL TREASUER'S RECEIPTS $17,728.26 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 3 of 3 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 45264 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Hope Kurtz Address: Title: Justice of the Peace, Pct. 1 City: State: Zip: Phone: ACCOUNT NUMBER. DESCRIPTION AMOUNT 7541-999-20759.999 JP1 Monthly Collections - Distribution $16,392.35 NOVEMBER 2023 V# 967 TOTAL 16,392.35 C Signature of Official Date ENTER COURT NAME: - JUSTICE OF PEACE NO.2 ENTER MONTH OF REPORT November ENTER YEAR OF REPORT - 2023 CODE AMOUNT CASH BONDS 0.00 - ADMINISTRATIONFEE -ADMF 0.00 BREATH ALCOHOL TESTING -BAT 0.00 - CONSOLIDATED COURT COSTS -CCC 83.76 STATE CONSOLIDATED COURT COST-2020 396.39 - LOCAL CONSOLIDATED COURT COST-2020 89.50 COURTHOUSE SECURITY -CHS 8.37 CJP 0.00 CIVIL JUSTICE. DATA REPOSITORY FEE -CJDR 0.11 CORRECTIONAL MANAGEMENT INSTITUTE -CMI 0.00 OR 0.00 CHILDSAFETY - CS 0.00 J CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE TO APPEAR - OMNI -DPSC 127.45 - ADMINISTRATION FEE FTAIFTP (eke OMNI). 2020 40.00 ELECTRONIC FILING FEE -EEF 0.00 - FUGITIVE APPREHENSION - FA 0.00 GENERAL REVENUE-GR 0.00 CRIM- IND LEGAL SVCS SUPPORT-IDF 4.19 JUVENILE CRIME & DELINQUENCY -JCD 0.00 JUVENILE CASE MANAGER FUND -JCMF 10.00 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUROR SERVICE FEE -JSF 8.37 LOCAL ARREST FEES -LAF 34.01 LEMI 0.00 OCL 0.00 PARKS& WILDLIFE ARREST FEES -PWAF 2.91 - STATE ARREST FEES - SAF 5.53 - SCHOOLCROSSING/CHILD SAFETY FEE -SCF 0.01) .SUBTITLE C-SUBC 4.OD STATE TRAFFIC PINES -EST 9.1A9-STF 194.51 TABC ARREST FEES -TAF 0.00 TECHNOLOGY FUND -TF 8.37 TRAFFIC-TFC 0.40 LOCAL TRAFFIC FINE-2020 11.66 - TIMEPAYMENT -TIME 62.96 TIME PAYMENT REIMBURSEMENT FEE-2020 16.18 TRUANCY PREVENTION/DIVERSION FUND -TPDF 2.90 LOCAL & STATE WARRANT FEES - WRNT 594.23 COLLECTION SERVICE FEE-MVBA-CSRV 825.37 DEFENSIVE DRIVING COURSE -.DDC 0.00 DEFERRED FEE - OFF 0.00 DRIVING EXAM FEE- PROV DL 0.00 FILING FEE -FFEE 0.00 STATE CONSOLIDATED CIVIL FEE -2022 105.00 LOCAL. CONSOLIDATED CIVIL FEE -2022 165.00 FILING FEE SMALL CLAIMS -FFSC 0.00 JURY FEE -JF 0.00 COPIES/CERTIFED COPIES -CC 0.00 '. INDIGENT FEE -CIFF or INDF 0.00 .JUDGE PAY RAISE FEE -JPAY 12.56 _ .SERVICE FEE -SFEE 75.00 OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE -EEFCV 0.00 - - "EXPUNGEMENTFEE-EXPG 0.00 EXPIRED RENEWAL -EXPR 0.00 ABSTRACT OFJUDGEMENT -AOJ 5.00 ALLWRITS-WOP/WOE 0.00 DPS FTA FINE -DPSF 0.00 LOCAL FINES - FINE 2,033.22 LICENSE & WEIGHT FEES-LWF 0.00 -- PARKS :&WILDLIFE FINES -PWF 34.00 SEATBELT/UNRESTRAINED CHILD FINE - SEAT 0.00 - JUDICIAL& COURT PERSONNEL TRAINING-JCPT 0.00 ` OVERPAYMENT (OVER $10)-OVER 0.00 - OVERPAYMENT($10 AND: LESS) -OVER 0.00 RESTITUTION - REST 0.00 PARKS &WILDLIFE -WATER SAFETY FINES-WSFI 0.03 MARINE SAFETY PARKS & WILDLIFE -MSO 0.00 TOTAL ACTUAL MONEY RECEIVED - $4.960.97 TYPE: r AMOUNT TOTAL WARRANT FEES - 594.23 - ENTER LOCAL WARRANT FEES 40045 MMRD ON TOTAL PAGE OF HILL COUNTRY SOFRYARE MG.REPORT STATE WARRANT FEES $193.78'RECORD ONTOTAL FACE OFHILL COUNTRY SGm ARE W.WORT DUE TO OTHERS: AMOUNT DUE TO CCISD-50% of Fine on JV cases 0.00 PLEASE INO DE D.R REQUESTING DISBURSEMENT DUETODARESTITUTION FUND. -. O.00 RIiasE wctUNG Da REQUESTINGOISBURSEMENT REFUND OF OVERPAYMENTS. 0.00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 6A0 PLEASE INCLUDE OR REQUESTING DISBURSEMENT CASH BONDS -.- OAO PLEASE INCLUDE OR REQUESTINGUSBURSEMENTUF REQUIRED) TOTALDUE TO OTHERS $0.00' TREASURERS RECEIPTS FOR MONTH: AMOUNT CASH, CHECKS, M.O.s&CREDIT CARDS $4960.97 lCalculato from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS-. $4960.97 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/1/2023 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: November YEAR OF REPORT: 2023 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 2,038.32 CR 1000-001-44190 SHERIFF'S FEES 596.24 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 12.08 ADMINISTRATIVE FEES 40.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 52.08 CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00 CR 1000-001-44062 JP FILING FEES 5.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 16.18 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 825.37 TOTAL FINES, ADMIN. FEES & DUE TO STATE $3,608.19 CR 2670-001-44062 COURTHOUSE SECURITY FUND $37.60 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $2.09 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $33.94 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $10.00 CR 2730-001-44062 LOCAL TRUANCY PREVENTION & DIVERSION FUND $31.96 CR 2669-001-44062 COUNTY JURY FUND $0.64 2728-boi44du JUSTICE COURT SUPPORT FUND $$15 �CR CR 2677-001-44062 COUNTY DISPUTE RESOLUTION FUND CR 2725-001-44062_ _ _ LANGUAGE ACCESS FUND 00 j STATE ARREST FEES DPS FEES 39.86 P&W FEES 0.58 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 40.44 CR 7070-999-20610 CCC-GENERAL FUND 8.38 CR 7070-999-20740 CCC-STATE 75.38 DR 7070-999-10010 83.76 CR 7072-999-20610 STATE CCC- GENERAL FUND 39.64 CR 7072-999-20740 STATE CCC- STATE 356.75 DR 7072-999-10010 396.39 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.20 CR 7860-999-20740 STF/SUBC-STATE 3.80 DR 7860-999-10010 4.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 7.78 CR 7860-999-20740 STF- EST 9/1/2019- STATE 186.73 DR 7860-999-10010 194.51 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/1/2023 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: November YEAR OF REPORT: 2023 CR 7950-999-20610 TP-GENERAL FUND 31.48 CR 7950-999-20740 TP-STATE 31.48 DR 7950-999-10010 62.96 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.42 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 3.77 DR 7865-999-10010 4.19 CR 7970-999-20610 TL/FTA-GENERAL FUND 42.48 CR 7970-999-20740 TL/FTA-STATE 84.97 DR 7970-999-10010 127.45 CR 7505-999-20610 JPAY - GENERAL FUND 1.26 CR 7505-999-20740 JPAY-STATE 11.30 DR 7505-999-10010 12.56 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.84 CR 7857-999-20740 JURY REIMB. FUND- STATE 7.53 DR 7857-999-10010 8.37 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.01 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.10 DR 7856-999-10010 0.11 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 1.45 7998-999-20701 JUVENILE CASE MANAGER FUND 1.45 DR 7998-999-10010 2.90 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 105.00 105.00 TOTAL (Distrib Req to Oper Acct) $4,932.07 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 28.90 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $28.90 TOTAL COLLECTED -ALL FUNDS $4,960.97 LESS: TOTAL TREASUER'S RECEIPTS $4,960.97 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: DISTRIBUTION REQUEST DR# 450 A 45261 PAYOR Official: Thomas Dio Title: Justice of the Peace, Pct. 2 ACCOUNT NUMBER DESCRIPTION AMOUNT 7542-999.20759-999 JP2 Monthly Collections - Distribution $4,932.07 November 2023 V# 967 TOTAL 4,932.07 r of Official Date 12/06/2023 08:51Calhoun County JP 4 (FAX)3617852179 P.002/005 REVISED 02/02/2021 ADMINISTRATION PEE -ADMF 20.00 BREATH ALCOHOL TESTING - BAT CONSOLIDATED COURT COSTS- CCC STATE CONSOLIDATED COURT COST-2020 334.31 LOCAL CONSOLIDATED COURT COST-2020 61.71 COURTHOUSE SECURITY. CHS CJP CIVIL JUSTICE DATA REPOSITORY FEE - CJDR CORRECTIONAL MANAGEMENT INSTITUTE - CMI DPSCIFAILURE TO APPEAR - OMNI - OPEC ADMINISTRATION FEE FTAIFTP (Ske OMNI). 2020 10.00 ELECTRONIC FILING FEE- CEF FUGITIVE APPREHENSION - FA GENERAL REVENUE -GR CRIM-IND LEGAL SVCS SUPPORT -IOP JUVENILE CRIME & DELINQUENCY - JCD JUVENILE CASE MANAGER FUND - JCMF JUSTICE COURT PERSONNEL TRAINING -JCPT JUROR SERVICE FEE. JSr LOCAL ARREST FEES -LAF 22.04 PARKS & WILDLIFE ARREST FEES- P STATE ARREST FEES - SCHOOL CROSSING/CHILD SAFETY FEE - STATE TRAFFIC FINES -EST 9.1,19-STF 50.00 TABC ARREST FEES -TAP TECHNOLOGY FUND-TF TRAFFIC-TFO LOCAL TRAFFIC FINE-2020 3.00 TIME PAYMENT -TIME E PAYMENT REIMBURSEMENT FEE-2020 30.00 :Y PREVENTION/DIVERSION FUND -TPDF LOCAL &'STATE WARRANT FEES - WANT COLLECTION SERVICE FEE-MVSA-CSRV 66.50 DEFENSIVE DRIVING COURSE - DEC DEFERRED FEE - OFF DRIVING EXAM FEE- PROV DL FILING PEE -FPEE STATE CONSOLIDATED CIVIL FEE -2022 126.00 LOCAL CONSOLIDATED CIVIL FEE -2022 190.00 FILING FEE SMALL CLAIMS - FFSC JURY FEE -JF COPIES/CERTIFEO COPIES - CC INDIGENT FEE- CIFF Or INDF JUDGE PAY RAISE FEE- JPAY SERVICE FEE - SFEE OUT -OF -COUNTY SERVICE FEE ELECTRONIC FILING FEE - EEF CV EXPUNGEMENTFEE-EXPG EXPIRED RENEWAL -EXPR ABSTRACT OF JUDGEMENT -AOJ ALL WRITS-WOP/WOE 165101) OPS FTA FINE- DPSF LOCALFINES-FINE 459.94 SEATSELTAJNRESTRMNED CHILD FINE -SEAT -JUDICIAL & COURT PERSONNEL TRAINING-JCFT -OVERPAYMENT (OVER SI D)%VER OVERPAYMENT (610 AND LESS) -OVER [-- RESTITUTION -REST PARKS & WLLOLIFE-WATCR SAFETY FINES-WSF MARINE SAFETY PARKS & WILDLIFE - ME O TOTAL ACTUAL MONEY RECEIVED g633s0 TYPE: AMOUNT TOTAL WARRANT FEES 0.00 ENTER LOCAL WARRANT FEES NFCORD ON TCTLLPACE OF HILLCOUNTRY 90AWA1E MO. REPORT STATE WARRANT FEES 0.00 RECORD ON TOTAL FADE OP H&LCOUNIRY SOFTWARE MO. REPORT )A RESTITUTION FUND 0.00 PXMINCLUOE G.0.IEWESDNGDEU0.8BAHIi I OF OVERPAYMENTS 0,00 PU4AD01NCLUDE GR MQUE6NG DINUMEMEW -QUNTY SERVICE FEE OAO PLFAEEINCWGE GRREmIEEiINGCIERIR3EMEM INDS 0.00 PLFAEE INCLUDE O.R. REQUESTING DISSUMEMINT IT RIOOIFEM TOTAL DUE TO OTHERS $0.00 from ACTUAL T ..mN1'4 Reefp% 12/06/2023 08:52Calhoun County JP 4 (FAX)3617852179 P.003/005 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/4/2023 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2023 ACCOUNTNUMBER ACCOUNT NAME AMOUNT CR 1D00-001-45014 FINES 469.94 OR 1000-001-44190 SHERIFF'S FEES 17.63 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 3.00 ADMINISTRATIVE FEES 30.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 33.00 OR 1000-001-44010 CONSTABLE FEES -SERVICE 155.00 OR 1000-001.44064 JP FILING FEES 0.00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 OR 1000-001.49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-00144322 TIME PAYMENT REIMBURSEMENT FEE 30.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 58.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $764.07 OR 2670-001-44084 COURTHOUSE SECURITY FUND $21.60 CR 2720-001-44064 JUSTICE COURT SECURITY FUND $0.00 OR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $17.63 OR 2699-001.44054 JUVENILE CASE MANAGER FUND $0.00 CR 2730-001-44064 LOCAL TRUANCY PREVENTION & DIVERSION FUND $22.04 OR 2669-001-44064 COUNTYJURYFUND $0.44 OR 2728-001-44064 JUSTICE COURT SUPPORT FUND $150.00 CR 2677-001-44084 COUNTY DISPUTE RESOLUTION FUND $30.00 OR 2726-001-04064 LANGUAGE ACCESS FUND $18.00 STATE ARREST FEES DPS FEES 4.41 P&W FEES 0.00 TABC FEES 0.00 OR 7020-999-20740 TOTAL STATE ARREST FEES 4.41 OR 7070-999.20610 CCC-GENERAL FUND 0.00 OR 7070-999-20740 CCC-STATE 0.00 DR 7070-999.10010 0.00 CR 7072-999.20610 STATE CCC- GENERAL FUND 33.43 OR 7072-999-20740 STATE CCC- STATE 300.88 DR 7072-999-10010 334.31 OR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 OR 7860-999-20740 STF/SUBCSTATE 0.00 DR 7860-999-10010 0.00 OR 7860-999-20610 STF- EST 9/l/2019- GENERAL FUND 2.00 OR 7860-999-20740 STF- EST 911/2019- STATE 48.00 DR 7800-999-10010 50.00 Page 1 of 3 12/06/2023 08;52Calhoun County JP 4 (FAX)3617852179 P.004/005 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 12I4I2023 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2023 CR 7950-999-20610 TP-GENERAL FUND 0.00 CR 7950.999-20740 TP-STATE 0.00 DR 7950-999-10010 0.00 Page 2 of 3 12/06/2023 08: 52 Ca I houn County JP 4 (FA%)3617852179 P.005/005 MONTHLY REPORT .OF COLLECTIONS AND DISTRIBUTIONS 12/4/2023 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2023 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20510 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.00 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 0.00 OR 7865-999-10010 0.00 CR 7970-999.20610 TL/FTA-GENERAL FUND 0.00 CR 7970.999-20740 TL/FTA-STATE 0.00 DR 7970-999.10010 0.00 CR 7505-999-20610 JPAY-GENERAL FUND 0.00 CR 7505-999-20740 JPAY - STATE 0.00 DR 7505-999-10010 0,00 CR 7857.999-20610 JURY REIMB. FUND- GEN. FUND 0.00 CR 7857-999-20740 JURY REIMB. FUND- STATE 0.00 DR 7857-999-10010 0.00 CR 7856.999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.00 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.00 DR 7856-999.10010 0.00 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998.999-20740 TRUANCY PREVENT/DIV FUND - STATE 0.00 7998-999-20701 JUVENILE CASE MANAGER FUND 0.00 DR 7998-999-10010 0.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 OR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 126.00 126.00 TOTAL (Disfrib Req to OperAcct) $1,538.60 DUE TO OTHERS (Dist►ib Req Attcho) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0-00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $1,538.50 LESS: TOTAL TREASUER'S RECEIPTS $1,538.60 REVISED 02/02/2021 OVER/(SHORT) $0.00 I l Z-lS-'z,3 Page 3 of 3 H n C C HH y Ng n W y r Hr O00 HN..4 n.�roH NnE ro'e n n'L yO yOy yOy N�zO7 ([yapf� to 0 HO ro roro'AZ 4CO4 by mTO�9J' 7�-+n n pqN H Hnm 005�41Hi [+rfmZ NH y�t�nm OOC a�'004tee4tltltl '�`3 9ngU H 02 M �3+KJON N�NJ �IHO Np O -O OOH Z '� H O .ro W O M Z O [�•I Prof W W N kf C Z� N K y my � M r O N 10 H � M O Hrb1 pl R1 <r+/Y'A mmORl T1m O .�oC T� 4�. N W W KH to PJrCSJN r H O W y HN m CC'+1v NC �aJ �'O l'i O i3-I H Ogg O n ro0 FI [�,� CO ZuiCZC Np ai�N �K � w'0 W H �O b .ate O RI Hie �z Imo+ CggCd A [ysJ e�e m K� O H b N N ll� J T Y 1p N UI J JO N.nm W mN 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4] G]4�4]L]G1 Gl G�G� G1 G� G1 OOOG]L�L]O m r r r r r r r r r r r r r r r r L. r r n n n a n o n n n n n n n n n n n n n P n 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 v L•OJ N m n LOe [va N N m COe Cv] N the ROJ LOe the tqe [ve tqe the tOe H W W N Vi Y O N O O N O .p O m W 61 m O W W W O W 1p O O J 6\ S Y W Y Y N Y Y N O o O p a 0 0 0 0 0 0 0 N 0 0 0 In O O O N o Y N N Y Ja 01 l0 Y W Y U O m m 0 .P o 0 0 0 N O 0 0 0000 Y 0 m O O O 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O o O O O O O O O O O O O O O o O O O o O O O Y N Y Y (J1 Y Y W m p, q (n Y Y Y J O Ja O g W O O N W W Y O W t0 O O W m W m O 4 N O �C 00010 J Os(n w Oal to NYO,NmY Y N b J N O O N O O m p1 O O O Y O O Y N O O O O m O N J O O �P O O O m O 01 m m O O N O O O O O W O N J x W W W W W W W W W W W J J J J J J J J J J J W W W W W W W W W W W O O O O O O O O O O O r W m h' n r W m O n o J ?' O n w Sow W n n J `S n J owl J owl J 00, w H i J n b J O w O 0 �O N o t0 .3 O J N 71 5' H 01 N 0 H ll� N m H sa N A m O W N W W i9 N 9 b W% I+ w O LV (1 m w H t) H n H n O 0 A O 0 (1 O w Z w O a m � X41 XN XN XN X�y' 'YH XH FCm+ y b '�O W',Otl N N O N O N O N N N H N N N N N N 5 N 40 C N 40 O N ;oo m N �10 tf �o Zo Zo Z o C b W b w r w N r W N r W H N H w H N H w H N H w N �o w N N $ N z l Z I r i I r l K I K I K 1 i w w w w N Y N �0• w H O tp r J 'y' tl1 N O O p b O m \ \ \ \ \ \ \ \ \ \ \ O O o O O O O O O O O W W W W W W W W W N F+ \ \ \ \ \ \ \ \ \ \ \ N N N N N N N N N N N o O O o O O O O O O O N N N N N N N N N N N W W W W W W to w N N N fn w (n � N iC N W n n n n n n o n on on n n n n n n n n o n n n n n n O O m m rn m m m m m w O O o O O O O O O N O O N 0 0 0 0 0 0 0 0 o ff o o J n cni n cni < cni tni m m O O O O O O O O F+ 1p O O O O o O O O UI O HN N N Lw+ N IW+ Y N Y Y � C o O O O O O O O O O O O O O O O F+ � Uv N O O O O N N N n 4n N O O O O w w w w w w w w w w w wi J J J J J J J J J J W W m m m m m W m m W O O O O O O O O O O O OH w n �pV H W N H W now OF W n yy N m O r W n t+ m n r W n r m n K tz4 N X M X [9[09 m X L+OI J F W fFl UN1 Vi X LRO a F m w X N F r m m N W p p 3 3 3 3 r N n1 N ieJ N �! N N N N N W N N • N � N N i ni o� ni xi x� xi ci ci ci zi H o f a o M O H O o a o m o W O L9 0 0 y w m w m w N W w w w r W r W r w w K O n w Q W n W N N N W W W W O J O m O 01 O J m m J a W N O p \ \ \ \ \ \ \ \ \ \ \ Y O O O O O O O O O O fn m m m m W m W W W W \ \ \ \ \ \ \ \ \ \ \ N N N N N N N N N N N O O O O O O O O O O O N N N N N N N N N N N W W w W W W W W W W W M N In N U� N In UI Ut lfi U� N a o 0 0 0 0 0 0 0 0 0 W o 0 0 0 0 0 0 0 0 0 n o N n n () N n o A o n n n n n n n n o n N o n 0 o fn m T m T m T m 91 O1 m W N N N N N N N N N N O O O O O O O O O O O a O O O O O O O O O O cri n cri n �i n 0 � cni n N Y 0 N 0 a a a m a a a a a a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ZE Vi Ui N f!i N to w (n N W o O o 0 o O O o O O O 6 4 O O O O O o O O O O O O O O O O O W W W W W W W W W W Y M M M Y M Y Y M Y O O O O O O O O O O O O O O O O O O O O J J J J J W W W J W J W J m O S o O N m n S O O b Y m O y O 0 7 o m O �tl �o m n H m m O H b m ryry�� c 3 yy b O N to O N m W Y �p 9i S m O y J 0 rry A w �t Y• F Z Z Z b b rt Y rr W ft M N �Y H N R H N tl b N H O N n N m G N rym N n m N n N Y wow yVi W O W o T N M o T N m O o 2 N O. O O o Z N N jya O k Z N d H m k V Y N ip 1 wow N k1 1 W O ry g l $' 1 H 11 H W " k b W H I N k b W H O. H W W� N .T. s m x m x m x 7� x°' SAD m � ym ym ba LnC Rnl � Cp1 b ty�tl o g�g Xym O O O H N N N N N N 1\+ O O N y N N N N O N N N N W N W N W N W N W N N O N o N O N W W W W W 0m "z z N W N N O N O a N O\ Y Y 0 0 n n n n tnj z z � m G m O W O p � N N C1 N Y N J I Y Y N N Y IiHj j O O O O O am O N O O W m . p W O m pl Y N In O Y � r O J O N O O (j1 O N O O W O 'V m H N r O fP O p Y N V Y m O F+ O O O O O m N 3 O Z �1 Y W Y n N N N N O o O O o _ O SHERIFF'S OFFICE MONTHLY REPORT Nov-23 BAIL BOND FEE $ 285.00 CIVIL FEE $ 208.75 CASH BOND $ 1,500.00 JP#1 $ 3,865.40 JP#2 $ 874.50 JP#3 $ 591.50 JP#4 JP#5 $ 370.50 SEADRIFT MUN. $ 190.00 PC MUN OTHER TOTAL: $ 7,885.65 l #21 ' NOTICE OF MEETING - 12/13/2023 21. Consider and take necessary action on anv necessary budoet adiustments. (RHM) 2023: RESULT: 'APPROVED[UNANIMOUS]- MOVER: Gary Reese, Commissioner Pd 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Cornmissioner Hall, Cyssy, Behrens, Reese Page 18 of 19 I a 12 � ■ § Ll � r 0 § / Ul @ z § z �\} $ 2 § §G; § B ■ ■ ■ � |a ; ■® �§ 0 -C/ �§ § » �e■ \ ■OM s e■a lia a N N W CD w J Z J C Q J ti a wz z� a rn ro 6 � � a 0 w w J F 0 w V K W N m w 0 !O iz` :r :z :CW C :d iW 0 W z It F� H V It H W C z W 0 0 0 0 0 0 0 O O O O O O RN N N N ay C9 N 0 f9 O W = = m a O N O m 0 0 .7 m m N O N N N O N N N C Wy I� i9 0 V' 7 I� Oi ppC My ER (fl fA� = Z WY� My VIM My �u O O O O O O O N N N N N O� O O O O = = o m 7 0 N O m 0 0 � O W V NN �- � C� =N 0 0 0 0 0 0 0 yy O E9 f9 fH O O (fl 0 O 0 O = d' � o 0 0 0 0 0 0 0 W m fA fA (fl f9 M E9 O EA Cp N N NMN 6Q I� V K W = z ii fA EA W W = r 00000000 y,� fA f13 Hf fA fA fA fR W 0 f9 = W = c 000000000 W N f9 W Ui fn' M fA N fA fA O = d C W fA E9 fA f9 fA (A !H fN W = C W fA fA EA ER fR E9 fA fA fA J J O O i N z O n w = = z W a zz d r r Z O =_ tt W r r 6 r r r r r Za Z¢ Z z Z Z Z Z ZQ Z z z z z z zQ m K K W Q = z QzQ Q a K K<<< K K K H O O U` O C7 C7 U' r V = M W 000000000 W OOOOOOOZ a = a x 000000000 O zzZzzzzW lazzzzzzzzz Nz a m m m m m m m¢ m m m m m m m = W Q�j ^ gp W z m m m m m m m m m m m m m m m m m m =V O V 19 d �% F = z =O W w =N U V U K. 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W EZ WiW i� Z F W 3Q ri z C m v U U =I o s a a I' Z F Z W LL W Q Li rn a � � % E § U � k § 0 � a q 7 2 2 IEEE. BB§}}j � ■ . a�,rNv §�}\ � §■ a f §�sa_� � ■ 2 . §22aa; ' q §■ � � ■ § &SS! § »!»Cl 000/ 222§ § g0mmc , Z §§ ;L ■ :2 / /! Q �/( �,88[ B �000u lz § CL ; §)§§ @ W@( :LLI � §&%� §■ ■ ; ■,,,. § 2 B00}c ;§ / LLJ LLI z a # 22 I NOI ICE OF MEETING - 12/1.3/2023 MMC Bills RESULT: APPROVED=[UNANIMOUS] MOVER: David Hall, Commissioner `Pct 1 SECONDER;" Vern Lyssy, Commissioner Pct 2 AYES; Judge Meyer, Commissioner Hall, Lyssy, Behrens; "Reese , CountyB.ills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 19 of 19 P 1 r M N w m N M O O l0 O O Ot 41 M O m OG OO 1` 1G 1G 1( L9 O O O M m H NM •M H M C N r O\ OJ (n C O M N N O W M t` N rb'i tnM H<D L`ON AN v1 r L(1 M d� N M 01 O tp rl O i(1 b OO N 01 C M . O O y� M N H e-I N M N H O1 W W O N O N to H C M C m H N t? H a a W a a a a a a a a a s a a a a waaaaaaaa��a�a� 0 M H � a m o m a m as pa u ON H H $ H$ H M H M N M W W W M M M M N 14 N NNaaaNNNaU O k7a NNNaaaNNNa�e N as \\\ M M M\\\ M a w M N M OD GDmNNNmmmNm mN r5N N N N N N N N N N N q S N w N W aaawwwaaa xm gw &wadi a a a w m m a 0.4 R a� rA 0°az°awta°Oa°am w wa UU Ui�,'H >�U.'F.' O> U W ca ewwwaaawo 0 o as aqq Li aaaGU mf4 mwM ti m E q m q a r W H m E S H U E �a z w a.4 w o a W a Urmn OVO1 E m u U z a H 2 W£ z m 0WH H F U H W E H H U Z H r.�>a'0 q RC z W WCWUF 9 EHa Oa HWaW £E El W Ww 0m U U H H UUUTiN OEr10 Pi HEl EW q m U£WHua✓O U D E >HaH7 MI Q r b R W r b MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 13.2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL POA!0"S PAWiiOF L ANa ELECT rR©WC BANK PAYMENTS $ 643,427.74 ✓ TbULTRANSFERS BETWEEN FUNS' $ 1i84p4pZl�, TOTAL NURSING;,t{OME,tlPE EXPENSE^s' TOTAL INTEtGOVERNMENTTRANSFER,S $ U14132.64✓ GRANIQ.TOTAL PISBURSEMENTS.APPOQVED bOoomber t3,.2023 4 111%432.61. MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 13, 2023 PAYABLES AND PAYROLL 12/7/2023 Weekly Payables. 507,423.02. 12712023 Patient Refunds 773.60 12/11/2023 Citibank Credit Card -see attached. 412.02 12/11/2023 Sledcycle Inc. -shredding. 2,795,69 12/11/2023 Republic Services Inc. -waste 1.671,76 12/11/2023 Lowe's Business/SYNCB-late fee 29.00 12/11/2023 Discovery Medical Network -physician services 11116-11130123 124,032.19 12/1112023 Sparklight-internal. 2,032.40 1211112023 McKesson-340B Prescription Expense 2,307,46 1211112023 Amedsource Bergen-3406 Prescription Expense 529.38 Prosperity Electronic Bank Payments 12/4-12/6123 Credo. Card & Lease Fees 842.92 121812023 Cleargage-Patient Financing Service 117.37 12144218123 Pay Plus -Patient Claims Processing Fee 237.48. 1219/2023 HarlandClarke-checks for NH. accounts 90.02. 121612023 ExpertPay- child support. 570.69 12/412023 Authnst Gateway Bilikord. Party Payor Fee 32.70 fQ [AL PAVABLE.S, PAYRQEC AN@,EEECTRONIC-BANK PAYMENtS fi?f3,887.7i7' TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 121712023 MMC Operating to Crescent -correction of NH. insurance payment deposited 15,960.00 into MMC Operating. in error 121712023 MMC Operating. to Golden Creek -correction of NH insurance payment 72,984.67 deposited into MMC Operating in error 12/7/2023 MMC Operating. to Gulf Pointe Plaza - comection at NH insurance payment. 1.319.51 deposited into MMC Operating in error 1217/2023 MMC Operating. to Tuscany Village -correction of NH Insurance payment 13,420A5 deposited Into MMC Operating In error 1217/2023 MMC Operating to Bethany -correction of NH insurance payment deposited into 80,717.64 MMC Operating in error T&AL. NSFER6`BE[�IkEBNk[II�DS $ ;8 4822T NURSING HOME UPL EXPENSES 12/1112023 Nursing Home UPGCantex Transfer 393,719.91. 12M 112023 Nursing Home UPL-Nexion Transfer 139,669.69' 12/11/2023 Nursing Home UPL-HMGTransfer 105,182.61 1211112023 Nursing Home UPL-Tuscany Transfer 112,625.29 12/1112023 Nursing Home UPL-HSL Transfer 102,789-.65 QIPP CHECKS TO MMC 1201/2023 Ashford 12/1112023 Broadmoor 12/11/2023 Crescent 1211112023 Fort Bend 12/11/2023 Solera 12/11/2023 Tuscany TQT,Ak,NUBSING�HOMEUPI, EXPENSES TOTAL INTER-G&P-RNMENT TRANSFERS, 12,906-04 4,773,60 3,559.20 4,027.76 3,863.82 8,015.04 °�aat RAND TOTAL,DISOUROOMEM APPJRdVEO Decem6`er ta,,2an 6 t n� 12r7/23, 1:08 PM tmp_cw5report921300039001626959.1i1m1 JECOVEOZYrRiE y MEMORIAL MEDICAL. CENTER 12% 7/,(y4M'dtl2"3 13:O04T2EC 0 ! Z02`� AP Open. invoice List �a' Due Dates Through:1 n9/2023 Vendor# Ve3deIlEXAS, Class Pay Code k`i'451110 AIRGAS USA, LLC - CENTRAL DIV ✓ M Invoice# Tran Dt Inv Dt Due Ot Check Dt Pay Gross /Comment 9144511314✓ 11130120211/30120212125/902 2,481.16 OXYGEN BULK //, 5504079739 V' 11130120211/30/2021 V25/202 284.42. 3 OXYGEN. 550407978 v` 11/30/20211/30120212/25/202 1,101.05 OXYGEN Vendor Totals: Number Name Gross A1680 AIRGAS USA, LLC-CENTRAL DIV 3,866.63 Vendor# Vendor Name I Class Pay Code 14592 AMERICAN HEART ASSOCIATION. INC ✓/ Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 570683 ✓ 11/30120211/15/202121201202 51000.00 SW HW 24 PLEDGE Vendor Totals: Number Name Gross. 14592 AMERICAN HEART ASSOCIATION INC 5,000,00 Vendor* Vendor Name Class Pay Cade A2150 ANNOUNCEMENTS PLUS TOO AGAIN ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D1 Pay Gross 600 / 1WO6120212119120212/29/202 1.3,00 PRINTING 4669 ✓� 1PJ06/202'. 05/04/20205/14/202'. 82.99 PRINTING Vendor Totals: Number Name A2150 ANNOUNCEMENTS. PLUS TOO AGAIN Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE CO..✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 016034 11/30/20210/16120210/311202' SUPPLIES Vendor Totals: Number Name A2600 AUTO PARTS & MACHINE CO. Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC Invoice# Comment Tran Dt Inv. Dt Due Dt Check. Dt Pay 3745743 ✓ ^ 11/30/20211/30/202 12/25/202 ` KARIANN DUNN WE 11/23123 Vendor Totals: Number Name 11766 AYA HEALTHCARE INC Vendor# Vendor Name Class Pay Code d B1220 BECKMAN COULTER INC V M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 110724484 ✓ 11101120207/06/20207/31/202 JSUPPLIES 11092.6851 K' 11/01/20210/18120211/12/202 SUPPLIES 111001374 ✓ 11128/202 11/03/202 11/28/202 SUPPLIES 110962982✓� 11/281P0211106/20212/01/202 SUPPLIES Gross 95.99 0 ap open_invoice.template Discount No. -Pay Net 0.00 0',00 2,491.16a``f 0.00 0.00 284.42,. 0.00 0.00 1„1..01.05 V t. Discount No -Pay Net 0.00 0.00 3,866.63 Discount 0.00 Discount 0.00 Discount 0.00 0.00 Discount 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay O,OD 0.00 No -Pay 0.00 Net 5,000.00. ✓- Net 51000.00 Net 13.00' ,/' 82S9 e/'l Net 95.99 Gross Discount. No -Pay Net 491.68' 0.00 0,00 491.68 ✓�� Gross. Discount No -Pay Net 491_68' 0.00 0.00 491.68 Grass. Discount No -Pay Net 3,979.13 0.00 0.00 3,97913 Gross Discount No -Pay Net 3,979.13 0.00 0.00- 3,979.13 Gross Discount. 1.,805.00 0.00 467.40 0.00 342.20 0.00 1,634.66 0.00 file:///C:/Usera/ttrevino/cpsUmemmed.cpsinet.com/u881251data 5/tmp_pw5report92l300039001626959.html Na-Pay Net 0100' 1.,805.00. wF 0.00 467.40. 0.00 342.20 ✓"� 0.00 1,634.66 ✓� 1112 12/7123, 1:08 PM tmp_cw5repor1921300039001626959.html 11097498011 /28/202 11/131202 12/08/202 379.87 0.00 0.00 379,87 SUPPLIES 110994686 of 11/2812021 I/PlIP0212/16/202 507.52 0.00 0.00 507.52 SUPPLIES 110746867 11/30120207118/20208112/202. 1,424,79 0.00. 0.00. 1,424.79, ✓' SUPPLIES 110958016 ✓ 11130120211/03/20211/28/2.02 982.00 0.00 0.00 982.00 SUPPLIES 110981608�// 11/30/20211/15/20212/10/202 1,268.45 0.00. 0.00 1,288.45✓ CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net B1220 BECKMAN. COULTER INC 8,831,89 0.00 0.00 9.831,89 Vendor# Vendor Name Class Pay Cade 10024 BECTON, DICKINSON & CO (BD) ✓� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 911201.7734 y 11/2812021.1117/20212/17/202 266.75 0.00 0.00 266.75 ✓r SUPPLIES Vendor Totals: Number Name Gross Discount. No -Pay Net 10024 BECTON', DICKINSON & CO (SD) 266.75 0.00 0.00 26&75 Vendor# Vendor Name Class Pay Code. 13972 BEYER MECHANICAL LTD Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount. No -Pay Net IN2-031617✓ 11:/30/20211/30/20211130/202 51,069.81 0.00 0.00, ,r 51,069-A1. ✓ REMAINING. BALANCE Vendor Totals: Number Name. Gross Discount No -Pay .Net 13972 BEYER. MECHANICAL LTD 51,069.81 0.00 0.00 51,069.81.. Vendor# Vendor Name Class Pay Code 14680 BLAIS MICROSCOPE COMPANY LLC y/' Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 090623 11/30/202091051202101051202 575.00 0.00 0.00 575.00yn•^ Vendor Totals: Number Name: Grass Discount No -Pay Net 14680 BLAIS MICROSCOPE COMPANY LLC 57&00, 0.00 0.00 575.00 Vendor# Vendor Name Class Pay Code 15132 /f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross. Discount No -Pay Net 258522 .1" 11/30/202111081202. 12/08/202 120.00 0.00 0,00 1.20.00 PTREFUND Vendor Totals: Number Name Gross Discount No -Pay Net 15132 120.00 0.00 0.00 120.00 Vendor* Vendor Name Class Pay Code B1800 BRIGGS HEALTHCARE v' M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross. Discount No -Ray Net 13445377✓ 11/28/20211/1412021 Wl4/202 140,20 0.00 0.00 140.20 SUPPLIES Vendar Totals: Number Name Gross Discount No -Pay Net B1800 BRIGGS HEALTHCARE 140,20 0.00 0.00 140.20 Vendor# Vendor Name Class Pay Code C1048 CALHOUN COUNTY , W Invoice# Tran Ot Inv Ot Due Ot Check Ot Pay Gross Discount. No -Pay Net f/'Comment 52776374 r 11/30120211127120212/2.7/202 W&67';.p11%..Jq 0.00 0.00 508:.67, ,.`ELECTRICITY PT 52779805 vp 11/30/2021 V2,7/20212/27/202 8.47 0.00 0.00 8,47 ELECTRICITY MAIN 52775458 ✓+ 11/30120211/27120212/27/202 33,076.53 0100 0:00 33,076.5$ yi ELECTRICITY MAIN tile:MC:/Userslltrevinolepsi/memmed,cpsinel.com/u88125/data_5/tmp^cw5report921300039001626959.html 21112 12/7/23, 1:08 PM imp_cw5report921300039001626959.html f 52775467 f 11/30/20211/27/20212/27/202. 1,512.53 0.00 0.00 1,512.53✓' ELECTRICITY CLINIC / 5277,9460 / 11/30120211/27/202 IPJ27/202 19.82 O.OQ 0.00 19.82> ELECTRICITY MAIN 120723 12/07f20212/07/20212115/202 150,000.00 OAO 0,00 150,000.00 vA LOAN PMT 6/18 v' Vendor Totals: Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 185,1'.28.02 0.00 0.00 1'.85,126.02 Vendor# Vendor Name Class Pay Code 15152 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 120593 11130/202 11/20/202 12120/202 250.41 0.00 0.00 250.41.y,,.'' PT REFUND Vendor Totals: Number Name Gross Discount No -Pay Net. 15152 IA 250.41 0.00 0,00 250',41 Vendor# Vendor Name. Class Pay Code 15160 ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Cheek Dt Pay Gross Discount No -Pay Net 235055 1.1/30/20211127/20212127/202 134.27 0.00 0.00 134.27 V PT REFUND Vendor Tatals: Number Name Gross. Discount NO -Pay Net. 15160 134.27 0.00 0',OO 134.27 Vendor# Vendor Name Class Pay Code 13000 CLEARFLY ✓` Invoice# Comment. Tran Ot Inv Ot Due Ot Check. Dt Pay Gross. Discount Na-Pay Net INV56381801 12101/20212101120212/151202 1,20B.25 0.00 0.00 1,208.25 PHONE Vendor Totals: Number Name. Gross Discount No -Pay Net. 13000 CLEARFLY 1.208.25. 0.00 0.00 1,208,25, Vendor# Vendor Name Class Pay Code 15116 COMPUGROUP MEDICAL- EMDS INC. „! Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross. Discount No -Pay Net 9090014701 ✓/ I I f30/202081311202.12123/202 257.72 0.00 0.00 257.72 ✓ EPCS SETUP 9090024076R ✓ 11130120210130/2021212=02 20,617.20 0.00 0.00. 20,61�7.20 ✓'r HOSTING 711-12/81123 Vendor Totals: Number Name Gross Discount No -Pay Net. 1511E COMPUGROUP MEDICAL- EMDS INC. 20,874.92 0100 0.00 20,874.92. Vendor# Vendor Name Class Pay Code 12264 CROSSROADS. MECHANICAL, INC f Invoice# Comment Tran Dt tnv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 10269 ✓' 11/30I20210/26/202111261202 260.44 0,00 0.00 260A4 wi_ CONDENSER FAN Vendor Totals: Number Name Gross. Discount No -Pay Net. 12264 CROSSROADS MECHANICAL, INC 260.44 0.00 0.00 260,44 Vendor# Vendor Name Class Pay Code 12988 DIESEL FUEL MAINTENANCE, INC Invoice#Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount Na-Pay Net ,r 11180 ! 11130/202 06113/202 07/131202 350A0 0.00 0.00 350.00: 61" SAMPLE TESTING Ventlor Totals: Number Name Gross. Discount No -Pay Net 1298E DIESEL FUEL MAINTENANCE, INC 35c.00 0.00 0.00 350.00 Vendor# Vendor Name Class Pay Code 11291 / DOWELL PEST CONTROL r,r Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 23135'/ 11/30120211/27/20211128/202 505.00 0.00 0.00 505.00 file:ll/C:lUserslltreAno/cpsi/memmed,cpsinetcomlu88125/data_5/tmp_cw5reporl921300039001626959.html 3112 1217123. 1:08 PM imp cw5reporl921300039001626959.html PEST CONTROL 23158 11/30120211127/20212/22/202 105.00 0.00 0.00 105.00 PESTS CONTROL Vendor Totals: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL. 610,00 0.00 0.00 610.00 Vendor# Vendor Name Class Pay Code 15108 'IS rf Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 249729 ✓ 11/30/20211/27/20212115/202 45.00 0.00 0.00 45.00✓" REFUND-JACOB Vendor Totals: Number Name Gross Discount No -Pay Net 15108 IS 45.00 0.00 0.00 46.00. Vendor# Vendor Name Class Pay Code 10175 DSHS CENTRAL LAB MC2004 ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 110223 11/30/20211/02/20211/27/202 1,271.00 0.00 0.00 1,271.00 LAB SERV Vendor Totals: Number Name Gross Discount No -Pay Net 10175 DSHS CENTRAL LAB MC2004 1,271.00 0.00 0.00d 1,271.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS ✓f Invoice# Comment Tran Dt Inv Dt Due Dt Check. Dt. Pay Gross Discount No -Pay Net / 42765 ✓/ 11130120211/30/20212/101202 9,465.00 0.00 0.00 %466.00 PHYSICIAN SERV 0C,6jV'g AL j Vendor Totals: Number Name Gross. Discount No -Pay Net 11284 EMERGENCY STAFFING. SOLUTIONS 9,466,00 0.00. 0'.00 9,465.00 Vendor# Vendor Name Class Pay Code 14136 EPI-EDWARD PLUMBING ✓ Invoice# . Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount Na-Pay Net. 67076./ I PJ06/2021006120212/O6/202 6,966.00 0.00 0.00 5,966.00 ✓` LEAK. REPAIR Vendor Totals: Number Name Gross Discount No -Pay Net 14136 EPI-EDWARD PLUMBING 5,966-00 0'.00 0.00 5,966.00 Vendor# Vendor Name Class Pay Code 15052 FAVORITE HEALTHCARE STAFFING / Invoice# , Comment Tran Dt Inv Dt Due. Dt Check Dt Pay Gross Discount No -Pay Net 1469880 1/ 11/30/202 1 IJ151202121011202 5,771.25 0,00'. 0.00 5.771.25 ✓- LYSSA CORTINAS W/E 1 i/10/23 �Ljj 1462884R 11130120211/29/20212101/202 23.75 0,00 0100 23.75 SHORT PAID INVOICE 1471497 p 11/30/20211129120212/20/202 3,538.75 0,00 0.00 3,538.75 LYSSA CORTINAS W/E11/23@3 / f.%/ Vendor Totals: Number Name Gross Discount No -Pay Net 15052 FAVORITE HEALTHCARE STAFFING 9,333.75 0100 0,00 9,333.75 Vendor# Vendor Name Class Pay Cade 14335 FIRETRON, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check. Dt Pay Gross Discount Na-Pay, Net 219362 of 11/30120202113/20203/15/202. 220,00 0.00 0.00. 220.00 SENSOR. REPLACEMENT 235138d 11/30120P 08117120209116/202 375.00 0.00 0.00 375.00 FIRE EXTINGUISHER 238421 ✓ 11/30/20209/27/20210/27/202 240.00 0.00 0.00 240.00 SMOKE DETECTOR REPL 243280 r` 11/30/2021.1/28/20212/28/202 1,475.00 0.00 0.00 1,475.00 f- SPRINKLERS 243281✓ 11/30120211/26120212/26/202'. 240.00 0.00 0.00 240.00 file,///C.,/Users/ltrevino/cpsi/memmed.cpsinaLcom/u88l25/data_5/tmp_aWSreport921300039001626959.htmi 4112. 12/7/23, 1:08 PM tmp cw5repon921300039001626959.html SMOKE DETECTOR Vendor Totals:: Number Name 14336 FIRETRON, INC Vendor# Vendor Name Class Pay Code 10599 FORVIS Invoice# Comment. Tran Dt Inv Dt Due Ot Check Dt Pay 1926871 ✓� 11130120211/30/20212/25/202. DY 13 US PMT Vendor Totals: Number Name 10599 FORVIS Vendor# Vendor Name Class Pay Code 11183 FRONTIER „/� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 112323 1.1/30/20211123/202 12/18/202 PHONE Vendor Totals: Number Name 11183 FRONTIER Vendor# Vendor Name Class Pay Code 16128 GEORGE SEALY MASSINGILL M.D. ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay 113023 11130/202' 11130/20212115/20P TRAVEL Vendor Totals: Number Name 115128 GEORGE SEALY MASSINGILL M.D. Vendor# Vendor Name Class Pay Code W1300 GRAINGER v'{ M Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay /Comment 9920719144✓ 11/30/20211/30/20212125/202 SUPPLIES 9919742008-/ 11/30/20211/30/20212125/202 SUPPLIES Vendor Totals: Number Name W1300 GRAINGER Vendor# Vendor Name Class Pay Code 12380 HEALTH SOLUTIONS DIETETICS ✓� Invoice# Comment Tran Dt Inv Dt Due Ot Check. Dt Pay 11242S 11/30/202'.11/24/20212/15/202 DIETICIAN SERV (_'tt�3..-1,g -L5) Vendor Totals: Number Name 12380 HEALTH SOLUTIONS DIETE71C9 Vendor# Vendor Name Class Pay Coda H0031 HIED CREDIT RECEIVABLES DEPT308 Invoice# Comment Tran Dt Inv Or Due Dt Check Dt Pay 11272023 11130/20211 /27/20212/251202 SUPPLIES Vendor Totals: Number Name H0031 HEB CREDIT RECEIVABLES DEPT308 Vendor# Vendor Name Class Pay Code H0416 HOLOGIC INC v"f Invoice# E Comment Tran Dt Inv Dt Due Ot Check Dt Pay 10742479./ 11/28/20211/14/20212/29/202 Gross Discount No -Pay Net. 2,550.00 0.00 0.00 21550.80 Gross Discount. No -Pay Net. 14,150.00 0.00 0.00 14,150.00� Grass Discount No -Pay Net 14,150.00 0.00 0.00 14,150.00 Gross Discount. No -Pay Net 25,82 0.00 0.00 25.82: V' Gross Discount No -Pay Net 25,82 0.00 0.00 25.82 Grass Discount. No -Pay Net 1,059.46 0.00 0.00 1,069A6 Grosse Discount No -Pay Net. 9,059.46 0.00 0,00 1,059.46 Gross Discount No Pay 449.00 0.00 0.00 98.40 0.00 0.00 Gross. Discount No -Pay 547,40 0,00 0100 Gross. Discount No -Pay 3,400.00 0.00 0.00' Gross Discount No -Pay 3,400.00 0:00 0.00 Gross Discount No -Pay 11e44&68 0.00 0.00 Grosse Discount No -Pay 1 11___-_8.88 0.00 0100 Gross 708.75 SUPPLIES Vendor Totals: Number Name Gross H0416 HOLOGIC INC 708,75 Vendor# Vendor Name Class Pay Code 11692 INJOY HEALTH EDUCATION ✓J file:///C:/Users/ltrevino/cpsilmemmed.apalnet.comtu88l26ldata_5/tmp pw5report921300039001626959.html Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Net 449,00 ✓' 98.40 Net 547.40 Net 3,400.00:'- Net 3,400.00 Net -1448..88'. Net 1,118, 9 Net 708.75 v e- Net 708.75 5112 12/7/23, 1:08 PM tmp_cw5report921300039001626959.htmi Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INV-347376 V 11130120211127120212120/202 225.00 0.00 0.00 225,00 ANNUAL PORTAL FEE Vendor Totals: Number Name Gross Discount No -Pay Net 11692 INJOY HEALTH EDUCATION 225.00 0.00 0.00 225,00 Vendor# Vendor Name Class Pay Code 11200 IRON MOUNTAIN. J` Invoice# Comment Tran Dt Inv Dt Due Dt Check. Dt Pay Gress Discount No -Pay Net HZGZ322 r%� 11/29120211/281202121281202 1,373.76 0.00 0.00 1,373.76 SHREDDING Vendor Totals: Number NameGross Discount No -Pay Net 11200 IRON MOUNTAIN 1,373.76 0.00 0.00 1,373.76 Vendor# Vendor Name Class Pay Cede / 11108 ITERSOURCE CORPORATION. ✓ Invoice# F Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 711713 ✓ 12/01120212/01/20212102/202 250.00 0.00 0.00 250.00 ✓ MONTHLY PHONE SUPPORT Vendor Totals: Number Name Gross. Discount No -Pay Net 11108 ITERSOURCE CORPORATION 250.00 0.00 0.00 2W00 Vendor# Vendor Name Class Pay Code 15156 Invoice# , Comment Tran Dt Inv Ot Due Dt Check Dt. Pay Gross Discount No -Pay Net 247507> / 11/30/20211/211202121211202 120.00 0.00 0.00 120.00 PT REFUND Vendor Totals: Number Name Gross Discount No -Pay Net 15156 120.00 0.00 0.00 120.00 Vendor# Vendor Name , Class Pay Code 14720 LABORIE MEDICAL TECHNOLOGIES v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 90511 D91 s/ 11/30/20211/06/20212/07/202 389.75 0.00 0.00 389.75 ✓ SUPPLIES Vendor Totals: Number Name Gross. Discount No -Pay Net 14720 LA80RIE MEDICAL TECHNOLOGIES- 389.75 0.00 0.00 389.75 Vendor# Vendor Name Class Pay Coda L1001 / LANDAUER. ING c/ W Invoice# Comment Tran. 01 Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101169084 ✓ 11130/20211/15/20212/15/202 743.30 0.00 0.00 743.30. DOSIMETRY SERVICES. Vendor Totals: Number Name Grass Discount. No -Pay Net L1001 LANDAUERMC 743.30 0.00 0,00 743,30, Vendor# Vendor Name Class Pay Code. L1288 r LANGUAGE LINE SERVICES W Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Grosse Discount. No -Pay Net 11166919 V 11/30120211/30120212125/202 73.10 0.00 0.00 73.10 V' INTERPRETATION Vendor Totals: Number Name Gross Discount No•Pay Net L1288 LANGUAGE LINE SERVICES 73,10. 0.00 0.00 73.10 Vendor# Vendor Name Class Pay Code �,. 10972 M G TRUST J Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 113023 11130/20211/30/202121151202 1,115.86 0.00 0.00 1,115.86 ✓f PAYROLLDEDUCT Vendor Totals: Number Name Grosse Discount: No -Pay Net 1.0972. M.GTRUST 1,116,86 0.00 0.00 1,115.86 Vendor# Vendor Name Class Pay Code. 15140 i a� flle:///C:/Users/itrevinolepsi/memmed.cpstnet.com/u88l25/data 5/tmp_cw5reparl921300039001626959.htmi 6112 12/7123, 1:08 PM tmp_cw5report921300039001626959.htm1 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net /: 241251 v^ 11130/20211/15/20212/161202 70.30 0.00 0.00 70.301,/ PT REFUND Vendor Totals: Number Name Grosse Discount No -Fay Net 15140 70.30 0.00 0.00 70.30 Ventlor# Vendor Name Class Pay Code 11141 MEDICAL DATA SYSTEMS, INC. / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 187275 11/30/20211130/20212/15/202 56.05. 0.00 0.00 5&0561,f BUSINESS SERV 187477 11130/20211/30/20212/15/202 1'.,391.63 0-.00 0.00 1,391.63 -Z COLLECTION. FEES 187478 ✓F 11130/20211/3012021PJ25/202 5.62 0.00 0.00 r 5.82 f COLLECTION FEES 1874761// 11/30120211/30/2021PJ25/202 044.27 0.00 0.00 644.27 ✓1 COLLECTION FEES Vendor Totals: Number Name Gross Discount No -Pay Net 11141 MEDICAL. DATA. SYSTEMS, INC. 2,096.77 0.00 0,00 2,09&77 Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INC. V' A/P Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount. No -Pay Net 1d'142a 11/30/20211/14/20212114/202 20,72 0.00 0.00 20,72. V 590 INDIGENT Vendor Totals: Number Name Gross Discount No -Pay Net 10613 MEDIMPACT HEALTHCARE SYS, INC. 20.72 0.00 0.00 20.72 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M. Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net /Comment 2296017228J 11128120211/28/20212/23/202 76.19 0.00 0:00, 76.19 SUPPLIES 22960172271/ 11/28120211/28120212/231202 9,84 0.00' 0.00' 9.84 ter, SUPPLIES VendorTolalst Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 86.03 0.00 0.00 86.03 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC. Invoice# Comment. Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 113023 1 V30/20211/30/20212115/202 416.26 0.00 0:00 41'.6.26 PAYROLL DEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL. CLINIC 416.26 0.00. 0.00 416.26 Vendor# Vendor Name Class. Pay Code ,r 15124 MIMEDX GROUP INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross. Discount No -Pay Net 902071 11130/202 05130/202 061301202 13,698.00 0.00 0100 13,698.00 f EPIFIX 7X7 902075 1.1/30/20205/30/20206130/202 10,418,00 0.00 0.00 10,418.00 ✓"� EPIFIX / 911389 �f 12/OV20208/03/20209/031202 10,41..8.00 0.00 0.00: 10�418.00, EPIFIX Vendor Totals:. Number Name Grass Discount. No -Pay Not 15124 MIMEDX GROUP INC. 34,534.00 0,00. 0.00 34,534.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON. CO, LLC % Invoice# Comment Tran Dt Inv Dt. Due Dt Check Dt Pay Gross Discount No -Pay Net J 09220330✓ 11/30/202 021121202 02122/202 -67.1.6 0.00. 0.00 -67.16 file:/I/C:/Users/Itrevino/cpsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5repod921300039001.626959.html 7112. 12/7/23, 1:08 PM tmp_cw5report921300039001626959.htm! / CREDIT 1149714 Y 11/30120210/11/20210/21/202 3,351.75 0.00 0,00 3,351.75 '+'' INVENTORY 1199475 11/30/20210/24120211/03/202 0.08 0.00 0.00 0.08 INVENTORY 1199474 ✓ 11/30/20210/24/20211/03/202 20.07 0.00 0.00 20.07 INVENTORY 1226366✓/ 11/30/20210/31/202'11/101202 5,175.12 0.00. 0.00 5,175A2 INVENTORY / 1292329 ✓` 11130/20211/15/20211/25/202 2,915.34 0.00 0.00 2,915.34 w° INVENTORY SC3862✓ 111301202 11/271202 12107/202 52.86 0.00. 0.00 52.86 INVENTORY SC. f SC3863v' 11130120211/27/202121071202 112.31 0.00 0.00 112.31 ✓ INVENTORY SC F. S03064✓1 11/30/2021 V27/20212/07/202 31.13 0.00 0.00'. 31.13 INVENTORY SC / 1342865✓ 11/30/20211/29/20212/09/202 1,682.34 0.00 0.00 1,682.34 INVENTORY 1342864 11/30/202.11/29/20212/09/202 1%73 0.00 0.00 156.73 4-'! INVENTORY 1348249✓ 11/30/20211/30/20212/10/202 36.57 0.00 0.00 38.67'✓ INVENTORY 1348247 r/' 11130120211/301202121101202 67.47 0,00. 0.00 67.47,/- INVENTORY 1348248 11130/202111301202' 12/10l202 4,773.19 0,00 0.00 4,77319 w11 . INVENTORY 1355753 r/ 121011PO212103120212/13/202 3.32 0.00 0.00 3.32 r% INVENTORY 1355754,, 12101/20212/03120212/131202 1,201.57 0.00 0.00 1..201.57 we-. INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS 8 DICKSON CO, LLC 19,512.69 0.00 0.00 19,512.69 Vendor# Vendor Name Class Pay Code 12096 NEOGENOMICS LABORATORIES/ Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 7016218 ✓ 11130120211/30/20212/15/202 12,165.00 0.00 0.0o 12.1.65.00 LAS SERV Vendor Totals: Number Name Gross Discount No -Pay Net 12096 NEOGENOMICS LABORATORIES 12,165.00 0.00 0.00 12.165,00 Vendor# Vendor Name Class Pay Code / 13624 NEXION HEALTH AT NAVASOTA INC pf Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross: Discount. No -Pay Net 20230702NOV 11130/20211130/20212/15/202 1,000,00 0.00 0600 1.,000.00 rr, TELEMED NOV 23 Vendor Totals: Number Name Gross Discount No -Pay Net 13624 NEXION HEALTH AT NAVASOTA INC 1,000.00 0.00 0.00: 1.,000,00 Vendor# Vendor Name Class Pay Code 12708 POO ELECTRIC, ( LLC y' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3957 12/081202 12104/202 12/061202 2,720.00 0,00 0.00 2,720.00 MATERIALS 3960 v'f 12/06/20212/051202. 12/06/202 3,127.50 0.00 0.00 3,127.50 t!f MATERIAL Vendor Totals: Number Name Gross. Discount No -Pay Net 12708 POO ELECTRIC,. LLC 5,847.50 0.00 0.00 5,847,50 file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88l25/data_5/imp_cw5report92l3o0039001626959.html 8112 1217/23, 1:08 PM tmp_cwSmport921300039001626959.html Vendor# Vendor Name Class Pay Code 11480 PORT LAVACA PLUMBING �/ Invoice# Comment Tran Dt Inv Dt. Due Dt Check Dt Pay Gross Discount No -Pay Net 000187V` 111301202 11/161202 12/07/202 550.00 0.00 0.00: 550.00 V- CLEAR DRAIN Vendor Totals: Number Name Gross Discount No -Pay Net 11480 PORT LAVACA PLUMBING 550,00 0.00 0.00 550,00 Vendor# Vendor Name Class Pay Code P2200 POWER HARDWARE +!r W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount. No -Pay Net. 113023 11130/202. 111301202 12f10/202 126.79 0.00 0.00 126.79 SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net P2200 POWER HARDWARE 1.26,79 0100 0.00 126.79 Vendor# Vendor Name Class Pay Code 10372 PRECISION DYNAMICS CORP (PDC) Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 9354679430 ✓ 11/30f20211/14/20212/14/202 204.36 0.00 0,00 204$6 of SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay, Net 10372 PRECISIONDYNAMICS CORP (PDC) 204.36 0.00 0.00 204,36 Vendor# Vendor Name Class Pay Code 11251 RAPID PRINTING LLC ✓ Invoice# Comment Tran Dt Inv Or Due Dt Check Dt Pay Gross Discount No -Pay Net 20216 �/ 1 V30120210f20/20211/011202 170.52 0.00 0.00 170.52 COROPLAST SIGNS Vendor Totals: Number Name Gross Discount No -Pay Net 11251 RAPID PRINTING LLC 170.52 0.00 0.00 170.52. Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIQUEZ� Invoice# Comment Tran Dt Inv Ot Due Dt Check. Dt Pay Gross Discount No -Pay Net 120423 12/04/20212/04/20212ME/202 21.75 0.00 0.00 21.75 TRAVEL 12431 Z3 KfES 1'i16 ItyAt1P.'S Vendor Totals: Number Name Gross Discount No -Pay Net 11764 ROBERT RODRIQUEZ 21.75 0.00 0.00 21 JS Vendor# Vendor Name. Class Pay Code 51700 SHARK INC W% M Invoice# Tran Ot Inv Dt Due. Ot Check Dt Pay Gross Discount No -Pay Net /Comment y IN02023588 1.1/30120208/l 6/20209/161202 131.76 0.00 0.00 131.76 yd" SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 51700 SHARN ING 131'..76 0.00 0.00 131.76. Vendor# VendorName Class Pay Coda r 10936 SIEMENS FINANCIAL SERVICES vl Invoice# Com ant Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount. No -Pay Net 56382400011832 1.1/30/20211124120212114/202 4,038,24 0.00 0.00 4,038.24 ✓1 RENTfAL 56382400012553 11/30/20211/29/20212f19/20e' ✓ 1,333.33 0.00 0.00 1.,338.33 LEASE Vendor Totals: Number Name Gross. Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 5,371.57 0.00 0.00 5,371.57 Vendor# f Vendor Name Class Pay Code 14868 SINGLETON ASSOCIATES, P.A. ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 246-113023-001 11130/202 11/30/202 12/01/202 16,066.66 0.00 0.00 16,066,66 ONSITE SERVICES NOV 23 file:///C:IUsersfltrevino/cpsi/memmed.cpsinet.com/u88l25/data_Sltmp cw5report921300039001626959.html 9f12 12/71P3, 1:08 PM Imp cw5report92t300039001626959.html. Vendor Totals: Number Name Gross Discount No -Pay Net 14868 SINGLETON ASSOCIATES, P.A. 16,066.66 0.00 0.00 16,066.66 Vendor# Vendor Name Class Pay Code 12472 f SOMETHING MORE MEDIA, INC, �./ Invoice# Comment Tran Dt Inv Dt Due Ot Check Ot Pay Gross Discount No -Pay Net 2159 V/ 11/30/20211129120212114/202 2,525.00 0,00 0.00. 2,525.00 0{" ADVERTISING. Vendor Totals: Number Name. Gross Discount No -Pay Net 12472 SOMETHING MORE MEDIA, INC. 2,525.00 0.00 0.00 2,525.00 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN. air Invoice# Comment Tran Ot Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net. 107036307 ✓ 1.1/30/20211/30/20212/25/202 4,717.00 0.00 0.00 4,71.7.00 ' BLOOD CM10985 v"� 11/30/20211/30/20212/25/202 -792.00 0:00 0.00 -792.00y-' CREDIT Vendor Totals: Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE. CEN 3,925.00 0.00 0.00 3,925.00 Vendor# Vendor Name Class Pay Code 12288 SPBS CLINICAL EQUIPMENT SRVC Invoice# Comment Tran Dt Inv Ot Due Dt. Check Ot Pay Gross Discount No -Pay Net INV019731223 Ve12101120212101/20212102/202 9,458.59 0.00 0.00 9,458.59 CONTRACT Vendor Totals: Number Name Gross. Discount No -Pay Net. 12288 SPBS CLINICAL EQUIPMENT SRVC 9,458.59 0.00 0.00. 9,458.59 Vendor# Vendor Name Class Pay Cade 15144 STACEY HAFERNICK ./ Invoice# Comment Tran. Dt Inv Dt Due Dt Check Dt Pay Gross. Discount No -Pay Net 257126 ✓� 11/3012{12111171202.12/17/202 47.25 0100 0.00 47.25 > •f PT REFUND Vendor Totals: Number Name Gross Discount. No -Pay Net. 15144 STACEY HAFERNICK 47.25 0.00 0:00 47.25 Vendor* Vendor Name Class Pay Code 11772 STERIS INSTRUMENT MANAGEMENT „f Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 2302913 ./ 11/30120208/20/20209/141202 51.75 0.00 0.00 51.75 ,r^` SUPPLIES. 2310972,/r 11130/20200/07/20210/02/202 391.,00 0.00 0100 391,00. we - SUPPLIES 2313148,ff 11130120209110120210/05/202 526.00 0.00 0.00 526.00 SUPPLIES 2422993,f' 111301202 03/291202 04/23/202 51.75 0A0 0.00 51.75 vt`l SUPPLIES ! 2422966 y> 11/30/20203129120204123/202 52.61 0.00 0.00 52.61. SUPPLIES 2448308J 111301202 05123/202 00/17/202 57.34 0.00 0.00 57.34 SUPPLIES 2473611 y''r 11/30/20207118/20208/12/202 52.97 0.00 0.00 52.97 ,r✓� SUPPLIES 2421048 V' 11/30/20203125/20204/19/202 280.76 0.00 0.00' 280.76 SUPPLIES 2441179 rj'A 11/30/202 051041202 05/29/202 167.66 0.00 0.00 167.66 " SUPPLIES f 2703721 J 11/30/2021 V13/20212/08/202 59.04 0.00 OAO 59,04 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net file:///C:/Users/itrevino/cpsi/memmed.opsinet.mm/u88l25/data_5/imp_cwSreport921300059001625969.html 10/12 12/7123, 1:08 PM tmp_cw5repart921300039001626959.html 11772 STERIS INSTRUMENT MANAGEMENT 1,690.88 Vendor# Vendor Name Class Pay Cade 14212 SURGICAL DIRECT SOUTH V Invoice# Comment Tran Or Inv Ot Due Dt. Check Dt Pay Gross 9310 L,%r 11/30/20207/26/20208/26/202 3,865.00 SUPPLIES 9317 / 11130/20211/28/20212/2M02 2.200;00 SUPLIES Vendor Totals:. Number Name Gross 14212 SURGICAL DIRECT SOUTH 6,065.00 Vendor# Vendor Name �, Class Pay Code T1450 TEXAS ASSOCIATION. OF COUNTIES +f W Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross DP-2023-3-0292 V/ 11/30/20211108/20212/08/202 2,291.33 3RD QTR UNEMPLOYMT 2023 Vendor Totals: Number Name. Grass T1450 TEXAS ASSOCIATION OF COUNTIES 2,291.33 Vendor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO tlW Invoice# Comment Tran. Dt Inv Ot Due Dt Check Dt Pay Gross 1005232035 11/30120211130/202121201202 9,91'.8.00 WORKERS COMP Vendor Totals: Number Name Grass T2204 TEXAS MUTUAL INSURANCE CO 9,91.8.00 Vendor# Vendor Name Class: Pay Code 10758 TEXAS SELECT STAFFING, LLC ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross / 0023090 J 11130120211109/2021�1.10/P02 4,125.00 BRANDON BATES WE 11/4/23 tecv 0023185 ,% 11/30l20211/30/20212/011202 61380,00 B BATES M MARTIN WE 11/26/23 .?. Vendor Totals: Number Name Gross 10788 TEXAS SELECT STAFFING, LLC 10,505.00 Vendor# Vendor Name Class Pay Code T2250 TK ELEVATOR. CORPORATION M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross 5002311723 ✓ 11/30120211/21/2021PJ07/202 1,006.00 LABOR/TRAVEUOIL. GREASE Vendor Totals: Number Name Gross T2250 TK ELEVATOR CORPORATION 1,006.00 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran. Dt Inv Dt Due Dt Check Dt Pay Gross. 2921019595 '/ 1.1/30/20211/30/202 12125120"e: 201.02 LAUNDRY 2921019597 1/ 11/3012021 V30/2021PJ251202 41,05 LAUNDRY 2921019598 / 11/30/20211/30/2021PJ251202 301.04 LAUNDRY 2921019$94 1/7 11/30/20211/30/20212/251202 122.26 LAUNDRY 29210196011f/ 11/30/20211130/20212/251202 112.46 LAUNDRY 2921019596y/ 11/30/20211130/20212/25l202 2,131.13 LAUNDRY 2921019600 11/30120211/30/20212125/202 319.07 File:l//C:/Users/ltrevine%psilmemmed.cpslneLCom/u88125/data_51tmp_cw5repon921300039001626959.html 0.00 0.00 1,690.88 Discount No -Pay Net 0.00 0X0 3.865.00 0.00 0.00 2,200.00 v' Discount No -Pay Net 0.00- 0.00 61065.00 Discount No -Pay Net 0.00 0.00 2,291.33' Discount No -Pay Net 0.00 0.00 2,291.33 Discount No -Pay Net 0.00 0.00 9,918.00 Discount No -Pay Net 0.00 0.00 9,918.00 Discount No -Pay Net 0100 9.00. 4,1!25.00�. 0.00 0.00 6,380.00 V, Discount No -Pay Net 0.00 0.00 10,505.00 Discount No -Pay Net 0.00 0.00 1,006.00.✓ Dlecount NO -Pay Net 0.00 0.00 1,006.00 Discount No -Pay Net 0.00 0-.00 201.02 0.00: 0.00 41.05 0.00 0.00. 301.04,v/' 0.00 0.00 A 12226- ✓ 0.00 0.00 1'.12,46 v'f 0.00 0.00 2,131.13 ,. 0.00 0.00 3119.07 11112 1217/23, 1:08 PM tmp_cw5report921300039001626959.html LAUNDRY 2921019599✓f11/30/20211/30120212/251202 254.19 0.00 0.00 254.19 LAUNDRY 2921019793,/ 12/01120212/04120212/29/202 91..80 0.00 0.00 91.80v.' /LAUNDRY � 2921019792 ✓ 12/01120212/04/20212129/202 2,682.37 0.00 0.00 2',882.37 ✓ LAUNDRY Vendor Totals: Number Name Gross Discount No -Pay Net Ul064 UNIFIRST HOLDINGS INC 6,456.39 0.00 0.00 6,456.39 Vendor# VendorName Class Pay Cade 11280 VICTORIA ADVOCATE / Invoice# Comment Tran Dt Inv Dt Due DI Check DI Pay Gross Discount No -Pay Net 0321539 11130/20211130/202 IPJ15/202 27.10 0.00 0.00 27.10- yF' NEWSPAPER Vendor Totals: Number Name Gross Discount No -Pay Net 11280 VICTORIA ADVOCATE 27.10 0.00 0.00 27,10 Vendor# Vendor Name Class Pay Code 10768 VICTORIA MEDICAL FOUNDATION 6l// Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross. Discount No -Pay Net , 14-21951f 11/30120211,21/2021 M2/202 208.30 0.00 0t00 209..301 ,. MEMBERSHIP DUES -T NORMAN 14.2194 n/ 11/30120211121/2021112VZ02 302.05 0.00 0.00. 302.05 V' MEMBERSHIP DUES M RUPLEY Vendor Totals: Number Name Gross Discount No -Pay Net 10768 VICTORIA MEDICAL FOUNDATION 510.35 0.00 0.00 5%35 Vendor* Vendor Name Class Pay Code 12208 WAGEWORKS V Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INV5895635 , / 11/30120211127/20212/IS/202 475.25 0.00: 0.00: 475.25 MONTHLY COMPLIANCE/FSA Vendor Totals: Number Name Gross Discount No -Pay Net 12208 WAGEWORKS 475.25 0.00 0.00 47525 Vendor# Vendor Name Class Pay Code 14624 WELLMED MEDICAL MANAGEMENT Z Invoice# Comment Tran Dt Inv Or Due Dt Check Dt Pay Gross Discount No -Pay Net / 257573 e` 11130/20211/13/20212113/202 178.16 0.00 0.00 178.16. REFUND. Vendor Totals: Number Name. Gross Discount No -Pay Net 14624 WELLMED MEDICAL MANAGEMENT 178.16 0.00 0.00 178.16 Vendor# Vendor Name Class Pay Code 10556 WOUND CARE SPECIALISTS / Invoice# Comment Tran. Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net WCS00006342 ✓ 11130120211101/20211/30/202 16,750,00 0.00 0400 16,750.00 Vey WOUND CARE SERV Vendor Totals: Number Name Gross Discount. No -Pay Net 10556 WOUND CARE SPECIALISTS 16,750.00 0.00 0.00 16,760,00 Ventlor# Vendor Name ! Class Pay Code 15148 i Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 258294 11/30120211/17120212117/202 119.11. 0.00 0.00 19.11 PT REFUND Vendor Totals: Number Name Gross. Discount. No -Pay Net 15148 19.1.1 0.00 0.00 19.11. Grand Totals: Gross Discount No -Pay Net 507,424.31 0.00 Os00 507,424.31 file:///C,./Users/Itmvino/cpsilmemmed.cpsinet.com/u88125/dat4_5/tmp owbreport921300039001626959,html 42fj/� r 9 -50 ,�r(u 2 i� f y b . T7 Op r3iN-I qs3• ova- WAX*W8Y-fHE R T W. 1'f 1'"O)l 14EI40RIAL MEDICAL CENTER PAGE I ME 6192023 EDIT LIST FOR PATIENT REFUNDS ARID=0001. APCDEDIT PATIENT PAY PAT DATE AMOUNT CODE TYPE DESCH ------------ ................`----------------- 113023 26. 01 2 REFUND 11302I 412.. 22 ✓, 2 REFUND 113023 50.00../ 2 f/ REFUND 113023 175.00 2 REFUND 113023 10.37 ✓ 2 REFUND 113023 100.0�Z 3 REFUND ARID4001 TOTAL ----------------------------------------------------- ---------------------------------- 773.60 TOTAL DEC 0 7 2023 G diH'H7t.F6'p T 773.60 CITIBANK CORPORATE CARD Account Statement Cepaa.m-as;d Asaunt. R08NANOA AUWAS To.F:ca 1-(800)24B-0S53 Jn�Y41ba J meinatona. 1-(904)-954-7314 Account Number. XXXX-XXXX-XXXX:-9467 TDI 1.(677).505-7276 Summary of Account Activity Not an Invoice. For your records only,. Taie, Act'Vry $412.02 C:ed't Lml S15,000 Send NaI of B'!i'ng Boom and Customer Smca nqu'res to, QT;SANK.NA., PO BOX 6125. S=X FALLS SO 57t17-6125 Cash Adransa L'm1 SBA Statement Cios'ng'. Date 1210312023' Days'na "It Pa. ad 30 Transactlons - ----- •--- - NOTIQE MEMO TEM(S) LISTED BELOW— -------A 11107 11106 9399 $5480723311091277000696 1 TXDPSCRNICRECS, AUSTW TX 78752 USA 11107 11106 9399 05134373311600(140185233 2 NPDBNPDBHRSA.GOV FARFAX VA 22033 USA N701100413 11107 11106 9399 05134373311600040185316 3 NPOB:NPDSHRSA.GOV FA'RFAX VA 22033 USA. Ntat1o0600 11116 11115 166S 55436673320163201208276 4 HAMPTONINNS PORT IAVACA TX 77979 USA 00901 CHECK IN, 11/14/2023 0004697 11129 1V28 5074 55446413332839203072252 5 FERGUSON.ENT4797 NOTORW TX 77904 USA MEMORADPL g NOI SEE REVERSE SIDE FOR 1MPORTANT'NFORMAT.ON �oC0 a CTBANK N A IGI IB1 PO BOX0125 SiOUX FALLS SD 57177-8125 ROSHANDA S THOMAS 202 S ANN ST PORT LAVACA TX 77979-4204 Page . of 2 f M'' ,/� 59�. � LAO51)OLk3 L{ga'1C8y 0 3447 },,'' L1O41100 001. '.r Oj? QJnM��UliTiE)tA-D Account Number XXXX-XXXX-XXXX-9457 Statement Closing Date December O3.2023 00007905040 Notan'mlace. 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IO.1. aaxn'a to a -a moo nanm. as 0 Sea M ''.'he dmM.y O' Code. de VA. VnsUKBda U. . ng v Move apmb am w:h a me shad Most nng he naa":y 04 Sao... P.h.SMo?n..0 Cb'pO as d'e'Ml ally Oa aba 'en a s n.'.W nw ngw.nn 60 dead .'.M1e da..Y he Mope be :typo..b a `wa a'. a.' so . r. awre be dspado� i. he dsyau USPMskeb' hedolde Ma'9a. Page 2 of 2 n u. Cmpaa aag'n Camp.ny a- Ca OM09` Seem /andae'an. DO Sao be IWe FMse Used Vaal Mega � p:S. he N MEMORIAL MEDICAL CENTER PURCHASEORDER Bill To: 9 15 N. VIRGINIA ST. Ship To: 815 X. VIRGINIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: .(361) 552-6713 PHONE* (361) 552-6713 FAX:' (361) 552-0312 FAX: (361) 552-0312 Vendor Name: ( :b l �. %Date: Vendor Address: P.O. # Vendor Phone M Account# Vendor Fax #-, Initiated B Date Required Expense# Department DeliverTo i wi m w ff�v A Line No. Qty. Catalog Numbw Description UnitCost— Unit ExterLded Meas. Cost y V—L S 3 4 L) 5U 6 414a14, WE Y 7 —1 �36v-t'fl 1�j to Est Freight Est. Total Cost TOTAL COST 4 MEMORIAL MEDICAL CENTER PURCHASE ORDER Bid To: 815 N. VIRGINIA ST. Ship To! 815 N. VIRGINIA ST, PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (36I) 552-6713 FAX:(361)552-0312 FAX: (361)552.0312 Vendor Name: t ( % �� ,l 1 Date: Vendor Address: Vendor Phone M. Vendor Fax #: P.O. ## Account # Initiated. By: v:,..., x oanr. Date Required Fxpense41 Department Deliver To Line Qty. Catalog Number Description Unit Cost Unit Extended No. Man. Cost 1 �1r' ( i '(' (" y1U "ve LS .'fir (-`ri-ylur eow- v�s r Z l??, L (Ci1i1 iJ✓f.� `�115vi(7 i€ �. C '!(IPi: i � • IFU p '{T'na': dR.'—, to Est. Freight Contact: Date: Quoted By: Buyer: ET•A Est. Total Cost Dept. Director TOTAL COST 4 4 b'', i)) Die Nursing. Die Clinical Services CFO Administrator�i�l��%t(l;H..) v 12111?@CHwEKYTj*E tmp_cw5repod1909947397395357621.html COUWYAdl'D71fCRON V2T"t 29B MEMORIAL MEDICAL CENTER 12;40 AP Open Invoice List . 0 Dates Through; ap_open_invoice.template C. 6� Class. Pay Code 53960 STERICYCLE,. INC Invoice# Comment DHI127 Tran Dt Inv Dt Due 01 Check Dt Pay Gross Discount No -Pay Net 11130/202111271202121271202 2,795.69 0.00 0.00 2.795.69 DISPOSAL. Vendor Totals: Number Name Grass Discount No -Pay Net. 53960 STERICYCLE, INC 2.795.69 0.00 0.00 2,795.69' Grand Totals: Grass Discount No -Pay Net 2.795.69 0.00 0.00 2,795.69 A?PROM ON DISC 112023 By C',11Y.IhNC 1, t'i€ u file://tC:/Users/ltrevinofcpsVmemmed.cpsinet.com/uee 125/data_5/tmp_cw5reP0dl 909947397395357621.html 1/t l21111,22aMXf ffW tmp_pw5repart2732846395480457268,html COUNTY A�U^a'S&TUR CN 12/A,(, II1 2023 Z3 MEMORIAL MEDICAL CENTER 0 12:41YZ AP Open Invoice List ap_open_invoice.template rA ��al W'Y,'rtXAS -Vendor Oates Through: 0"endork Name Class Pay Code 14920 REPUBLIC SERVICES, INC. Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net ON-1- 001307533 11130120211/26/20212126/202 1,671.76 0.00 0.00 1.671.76 ✓ WASTE Vendor Totals: Number Name Gross Discount No -Pay Net 14920 REPUBLIC SERVICES, INC.. 1,671.76 0.00 0.00 1,671..76 Grand Totals: Gross Discount No -Pay, Net 1.671.76 0.00 0,00 1,671..76 AIe:/NC:lUseralltrevinolcpsUmemmed.cpslnat.comlu89125/data_511mp_cw5report2732846395480457266.html 1/1. 12/11fiVE jFWT ;E CC11yi`HV,R1lL T0R On tmp_cw5report2621121917318381692.html 1 1�2431 20231 MEMORIAL MEDICAL CENTER 12:41 AP Open Invoice List. 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"` ap open Invoice,templa[e CA'tSrd Dates Through: Vendor# Vendor Name Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net . 113023 11 13=0211/3=02 12/01/202 124,032.19 0.00 0.00. 124,032.19 PHYSICIAN SERV IV—!113G1'y3- Vendor Totals: Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 124.032.19 0.00 0,00 124,032.19 Grand Totals: Gross Discount No -Pay Net 124,032.19 0.00 0100 124,032.19 .,� -. F. F.,[ DEC 112023 fileJl/C:lUmrstitrevinolepsilmemmed.cpeinet.comlu88125/det4_5flmp_pw5report7904844532712672784.htmi 111 1211c6u,}(` oRO0 imp_cw5reportS067210231411620148.html go,j1 20?3 MEMORIAL MEDICAL CENTER 12K AP Open Invoice List 12:42 CALHOUN CpLPP6 Y1"E3/Au Dates Through: Vendor# Vendor Name Class Pay Code C1010 SPARKLIGHT w invoice# Commem Tran Ot Inv Dt Due Dl Check Ot Pay Gross Discount. 112823 11130/2021112B/20211129/202 4 awo nn OAO INTERNET Vendor Totals: Number Name Gross Dlsccunt C1010 SPARKLIGHT 1 R42-00 0.00 2.. Grand Totals: Gross Discount No -Pay B7„�94 0— 0.00 0.00 0 ap_open_Invoice.template No -Pay Net 0.00 1442:06 1' P.32 , No -Pay Not 0.00 1;94'+i.00.., '32_ Net 1V;Bd2:00 file:ltiCJUserslltrevino/cpsi/memmed.cpsinet.eom/uB8125ldata 5/tmp_,ow5reportSO67210231411620148.htmi ill MSKESSON A. of: 12/08/2023 Page: 002 To... Proper credit to your STATEMENT account,detach and Mum this Ccmpeq: GOOD stub with your "Ittanve DC:. 8115 As. of: 1WOU12023 Pager 002 MEMORIAL MEDICAL CENTER Customer INV SUMID: Me0 to; COMPG 8000 AMT DUE REdITTED VIA ACH OMIT Teottory: AP Statement for Inlvrmativn only AMT DUE REMITTED VIA ACH. DEBT 615 N VIRGINIA STREET Destomnu: 632536 Statement tar information only FORT LAVACA TX 77979 Dale: 1PJ(39/2023 Cost: 632536 PLEASE CNg)K ANY Data: 12/09/2023 ITWS NOT PAID IV) WIDE Due PaceNabl�etlonel. Recount b3apfl Cash Amount P Amount P As Ise Date Date Number Relarenee Daecdption Oievoun (9.) F (net) F Nonuser PF column legentl: P =. Peel Due Item, F = Future Due. Item, blank. = Curren Due. Item TOTAL 1491D.1 Acol 632536 MWOIEAL MEDICAL CENTER SuWotels: 2,354.55 USO Munr Due: 0.00 Due It Feld On Time: N Paid By 12112/2023, USD Z307.46 V Past Due: 0.00 Pay This Amount: 2,307.46 USD DNe lost M paW. Who 47.09 last Payment 2.451.97 If POW After 1211212023, Due It Pald Late:. 08107/2017 Pay, tlde Amours: 2.354.55 USD USD 2,354.56 �' l4 y. I 07, 4 BEC 11 ?P— waeig�°f i101 Via,.. For AR Inquiries please contact 800-867-0333 uzGuu�l,z�� MSKESSON STATEMENT As oL 12/08/2023 Page: 001 To snsure proper metlK to your accou t,. Moahfarad relpm. this Company: noon BMW W kh your IMIM611cB WAI.MART 1098/MBA MED PHS MEMORIAL MEDICAL CENTER AMT DUE R RTED VIA ACH DEBIT VICKV KALISW Statement for Information. only 815 N VIRGINIA ST PORT I.AVACA TX 77979 er IN Customer Customer lNV SupplO: Territory: 7001 Customer. 256342 Oats: 12/09MG23 As of; 12108/2023 Page: 001 Idea I. C-19N000 Statement . REMITTED EIntonationI A AConly OMIT Cult. 256342 PLEASE CHECK ANY Dale: 12/09/2023 ITBASNOT PAID. (1) BNrg Due Data Data RecerVeblju."..1 Acwunl VM6 Number Resonant. Daxdptbn Cash Welcome(g.-II Amount P F AmsuM Is RaceWebb (net{. F Number Customer Number 266342 WALMAW 12/04/2023 12/1212023 109SAIM MED 7461504272 RCS 977078OU 1151nvoice 1.34 66.99 / 65.65- 746160427R 1 W0412023 12/12/2023 7461684273 97744604 1151mmoe 0.16 / 0.16 J 7461684273 12/0412023 12112MO23 7461684274 97762249 1151nvmice 0.01. 0.32 0,31 j� 746169.4274 12104/2023 12/12/2023 12/04/2023 12/1212023 7461697260 7461861634 97847082 97713803 1151nvolca. 1951nvolce 1.00 6.51 50.24 325.50 49.24 / 7461697260 318.99 J' 7451861634 42/04/2023 12/1212023 7461861635 97634064 /951nvsicn 0.34. 17.23 Mae.", 7461861635. '. 12/05/2023 12/12/2023 7462048573 97890951. 1151nvoice 0.10 0.10f 7462048573 12/05/2023 IV1212023 12/0S/2023 12/12/2023 7462048574 7462048975 97890951 97963069 I151nvoice 1151numcs 1.21 0.84 60.42 42.07 59,21. / 7462040574 41'..23 sf 7462048575 12/05/2023 12/12/2023 7462187276 97097889 1951nvdml 0,01 0.32 0.31..�� 7462187278 12/05/2023 12/12/2023 7462107279 97904182 1151nvoice 0.01 D.32'. 0.31 „f 7462187279 12/05/2023 12/12/2023 7462334991 98128104 1151nv01ce 1.21 Mat; 59.42 y' 7462339891. 12/06/2023 IW12/2023 7462520128 98063699 1951nvoica 5.24 261.82 256'.59 . 7482520128 lW06/2023 12/12/2023 7462520129 97793648 11 SI.m.e 0.02 0.95. 0.93 .E� 7462620129 12/07/2023 12112MO23 7462671042 96200000 1151nvsice 8.36 418.15. 409.79�,f' 7462671042 12/07/2023 12/12/2023 7462671043 98273813 1151nvole 0.10 0.10 v` f 7462671043 12/07/2023 12/12/2023 7462796605 98208908 195involm, 2.53' 126,28 123.75 v' 7462796605 IV0812023 12/12/2023 746291996E 98399568 1151nvoice 18.28 913.00' 895.62 Jf 7462919955. PF 4Wumn Mgarsh P = Red Due Item, F = RAmm 0. Item, blank = Commit Due Item TOTAL Customer Number 256342 WALMART 1098/041911 MED PNS Subtoeln 2,345.60 USO FEW. Due: 0.08 Due It Paid. On Time:'. If Paid 9y IVIPJ2023, USD 2,298.59 ' a` Pest Due: 0.00 Pay This Amount: 2,298.59 USD 01m loaf R paid late: lam Payment 12/04/2023 8,017.91 If Paid After 1211212023, Pay this Amoum: 2,345.50 USD 46.91 Due. If Peld late:. USD 2.345.50. c,arroLi�l4'�.ns For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As ef: 12108/2023 Paso, Bet To muurs Proper weed to your aceaur . Adech, and return this tympany: eaav stub wMyour remiffir. DC: 8115 As. d:. 12/08/2023 Page: 00t CVS PHCY 8823/MB4 MC MSCuda rer INV SupplD: MAIL to: Comp:. 800 ALIT DUE REMITTED VIA ACH.. OMIT Territory: 7001 MBADRIAL MEDICAL CENTER Statement for Information only AMT DUE. REBUTTED. VIA ACH DEBIT VICKY KAUSRI( Cudomee 835434 Statement for information only 815 N IA ST Date: 12/09/2023 PORT LAVACAVACA TX 77978 Cud: 835434 PLEASE. CHICK ANY Date: 12/09/2023 IrEMS NOT PAID (Y) SfIM9 Due u HaeNablil Blond 0.xount �1at25 6 Cash Amount P Amount P Secdvabk Oats Date N,enber fbference Description Discount (9rsse) F (net) F Number Cudomw Number 835434 CVS PHCY 8923IM0A MC PNS 1VOW2023 12/12/2023 7462353694 2879086 11Slnvo1ce 0.08 3.02 3.74- y 7462353B94 0 PF on umn leaned: P = Pad 0. 1tam,. F = Peters Due Item.,. blank = Covert Due Rem TOTAL_ Customer Number 835434 CV5 PHCY e923/MBA. MC PHS Subtotals: 3.82 USD. r um Dus: 0.00 Due It Palt Co Timer / If Pail By 12/12/2023, LSD 33.]4,"� Pad Due: 0.00 Pay This Amount: 3.74 USO Dise. lad K "Id late: 0.08 Lad Payment aM7.91 It Paid After 12MV2023, Due. If Paid late: 12/04/2023 Pay tMa Amount: 3.82 USD LSD 3.82 APPRI-WED ON i 12973 :1TY /sn,mo�fl, For AR Inquiries please contact 800-867-0333 MWESSON ccmmm:e000 CVS PHCY 7416JMW MC PHS MEMORIAL MEDICAL CENTER VICKY KALISEK 815 N VIRGINIA ST PoRf I.AVACA TX 77979 STATEMENT A. of: 12/OBC2023 Page: 001 To emem, propar credit to your emmunt, detach and Mi We stub withyour mmlRenae. cc: 8115 Customer INV SurplD: As of: 12108/2023 Page: 001 Mall he C—P:.8000 AMT DUE REMITTED VIA ACH DOM Territory: . 7001 Statement for information only AMT DUE REMITTED VIA ACH DOM Custamsr. 035437 Statement for information only Date: 12M9/2023 Cud: 935437 PLEASE CHECK ANY Dale: 12/09/2023 ITEMS NOT PAID (s I Billing Due Heeaivabk °r °rep ncmunr. ilrliO a Cazh Amount P Amount P Nacaivatik m Dote Data Nuber We.Description piecmnd (9.) F oat). F Number Customer Number 835437 CVS PHCY 7416IMBA MC PHIS 12/06f2023 12/12/2023 7462539202. 2077720 tt 5fnvoice 0.10 5.23 5.13. 1 7462539202 PF column fagend: P = Pant Due Rem, F e Mute OM Ham, blank. = Current Due Nam TOTAL Customer Number 836437 CVS PHCY 7416 MM MC PHS Subtmafm 5.23 USD Mum Due: 0.00 11 Paid By 1W1212023, Past Duo: 0.00 Poy ThM Amount: last Payment 12.890.53 It PeM Alter 12M2/2023,. 1112012023 Pay this Amount: WesrOV0, C" �`,fDEC 1 pA ply 73 LI!4II�'F41IiN� Due. It Mot On Time: US0 5.13/ 5.13. USD 01e lost H paid ohn. 0.10 Due If PaM fate:: 5.23 USD USD 5.28. For AR Inquiries please. contact 800-867-0333 STATEMENT Statement Number: 66463507 AmensourceBergen- Date: 12-08-2023 1. of 1' ABC DC SUGARLAND WALGREENS 912494340E 1001352841037028186 12727 W. AIRPORT BLVD. MEMORIAL. MEDICAL CENTER ✓ SUGAR LAND T 77478-6101 1302 N VIRGINIAST PORT LAVACA TX 77979-2509 Set-Fa,Duein7days DEA: RA0289276 866451-9655 AMERISOURCEBERGEN PO Box 90=3 Not Yet Due: 0.00 CHARLOTTENC 28290.5223 Current 529.38. Past Due;: 0.00 Total Due:: 529.36 Account Balance. n9:38 Account Activity Document Due Reference Purchase Order Document. Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 12A4-2023 12-15-2023 3155200038 7004924456 Invoice 81.1E 0.00 91.1K 1 12-042023 12-15-2023 3156200039 700493ID65 Invoice 31.85 0.00 31.65 12-042023 12A1 2023 3103NO87 70049500a! Invoice 125.47 0.00 126.47 ? 12-0 0)23 12-15.2023 3156329088 70NO40730 Invoice 1.80 0.00 1.80. ffi05.2023 1fr1&2023 3156495154 7004961611 Invoice 16.16 0.00 16.16 f 12.05.2023 12.152023 31SM95155 7064960759 Invoice 115.28 0.00 115.28 12-06-2023 12-152023 3156SR726 70U971003 Invoice 14.90 Q.W. 14.00: 12-1)7-2023 124&2023 3156823846 7W4980795 Invoice 131.77 0.00 131.77 Current 1-15 Days 1630 Days 31-60 Days 61.90 Days 91-120 Days Over 120 Days 629.38 O100 0.00. 0.00 0.00 0.00 000 Thank You for Your Payment Reminders Data Amount Due. Date Amount. 12d 2023 (Afi.941 12-152023 529.36 529t36, ! irL. � aef�arolrn ON DEC DEC 112022 ca�0`drturt IPq Rye4� 3u MEMORIALPER CALCENTER PROSpERRYBANK Y 4 Y - ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —Dec { 4-Dec 10,. 2023�/ 66 f'" Data Bank 1nlplion MARC Notes CF Amount. Ces ((' 41 :+ ` 121812023 PAY PLUS 0W0 SACHTrens 0000898)001101010006920 12/8/2023E%PERTPAYERPERTPAY746034119100001431730 -3rd Party Payar Fee $ !84.041 12/8/2025 AMERISOURCE BERG PAYMENTS 0IM007702100002 -Child Support Payment - 3408 Drug Program Expense $ $ 1 LLPW""R e'••R 57li 12/8/2023 MEMORIAL MEDICALPAYROLV46003411113122650 12/8/2023 CLEARGAGE LLC -Payroll $ 378992.20r�t p CLEARGAGE. SQGRRADMFU67R8D ME - Patient Financing.5ervice $ Y I2/7/2023 PAY PLUS ACHTram 000000008887047ID10006910 12/6nOM -3rd Party Payar Fpe $ WIREOUTHEALTHEQUITY -Wageworks S 5199,774 Nw"pl, pl 12/6/2023 PAY PLUSACHTmm0000000087045351010006997 -3rd Party Payor Fee $ 12/fi/2023 HARLANDCLARRECHg:ORDERS 15FG406502212R591 - a A,ks for NHRCt1Un6. $ 12/6/2023 FDMSFDMS PYMT 05246018311OOD 4100012826670 -Credit Card Processing Fee $ 32:g5a 1215/2023 PAT PLUS ACHTrzns00000000859)4541010DOfi985 - 3rd Party Payar Fee $ �JL��iI" I1 P AOerA. 12/5/2023 MERCHANT BANRCD FEE 9711609108M 91000012797 - Credit Card Processing Fee $ San 911.-fd i. 33/5/2033 MEPCMgNTBANRCDFEE 9JS1fi091388T9111O001D9) -Credit Card PmcesAng.Fee $. 9195 12/5/2023 MERCHANTBANHCDOISCOUNT971160910883910000 - Credla Card Processing Fee $ MINEMEN 22/512023 MCgSS0610RUG AUTO ACH ACM5767582910000175 - 340E Drug Program.Ekpeme $ 8,014:91 12/5/2023 FOM5FOMSPYMTO52-2000500-0 041OW12323566 - Credit Card PFee $ 2TCrnSring' Sw. ci ki 12/4/2023 STATE COMPTRLRTE%NET 07953118/312012100002. Accrued ANQIFP10 $ 1,983r903. gt„' " 32 - 4: �. 12/4/2023 PAY PLUS ACHTMRIGE0000008450Afi 101000ENS 3rd Party Payor Fee $ , 12/4/2023 MERCHANTBANRCD FEE 971160913987910000I0435 - Credit Card Processing :Fee $ YLZ'Ep 1Z/4/2023 MERCHANT BANRCD015000NT9)116191398)910000 - Credit Card Prouoerg Fee $ 38mm 9..y_. 12/4/2023 MERCHANTDANRCD INTERCHNG971150913811791000 -Credi4CaN.Processing Fee $ 1g6.S91 12/4120B AUTHNET GATEWAY BILLING 132773831 INCON168 - 3rd Party PaWr Fee 5 '.I 19'" yi _ / 9 > ' 6 I 1.3)8:281.28 December 11, 2023 ANDREW DE LOSSANTO$ ` Memorial Medical Center I�� N R �,NViv U 4' . ♦AI'k-- '�' �L- a k k - w 2 r 3 7 8, C b 1' .- ',- bYpPxUW� bl• i!-°$• D-3, L4'A' �I�Rt.. ELECfRONICTRAN5FFR55DA OPEPATING. -176Sg��'Y/�' Date Gantt S- � _ - MMC:Na. Amount e^ i ; It 11, 2023 ANDREW DELOSSANTOS _December Memorial Medical Center 1'A41'IN Ro2,> .. OR I a /II ll�'t01fi1�HIi7'� .. rAVBIHR1AVilu rzISY,.kF� 1217/23, 12:24 PM tm p_cw5report7582839241194907292.htm1 AECFJ'YEV W WE 12/67%ftV AUDITOR ON MEMORIAL MEDICAL CENTER 12.213EC '0 7 a0e3 AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross. Discount 112923 1/30120211129/20212/29/202 1ii/ 15,960.00 0.00 Y`;;K tt TRANSFER �il$9➢ll Ku 5Wj 8A.8fa i4ea IW+ N ��.0 U3rc"'BL-j Vendor Totals: Number Name 1 Gross Discount. 11824 THE CRESCENT 15,960.00 0.00 Grand Totals: DEC 07CO23 0 ap_open_invoice.template No -Pay Net 0.00 16,960.00 y„+ No -Pay Net 0.00 15,960.00 Gross Discount No -Pay Net 15,900.00 0.00 0.00 15,960.00 tile:lUC:lUsers/Itrevino/cpsVmemmed.cpslnet.com/u88125/data_Sltmp_cw5report7582839241194907292.htm1 111 12/7123, 12:23 PM tmp_cw5repo3480187870766257783.html RECEIVED 6Y T61E 3hUDiTOR ON MEMORIAL MEDICAL CENTER I 20 12. n 2023 �� d '- AP Open Invoice List 0 ap_open_invoice.template Dates Through: Vendor# VendorName Class Pay Code `'�1�8u''1LENCRREE HEALTHCARE Invoice# Comment Tram Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 112723 11/30120211/27120212/27/202 17,442,00 U0 0A0 17,442.90 y!'' TRANSFER. Ott 'IffiUl C.E fpf 4.[pd4N7#al Y'll-° kkhkL (1JV:tjIP: PRj . 112823C 11130/20211/28/20212/28/202 2,982.90 0.00 0.00 2,982.90. TRANSFER 14 0 112823A 11/301202 111281202 121281202 2.01.1.57 0.00 0.00 2,011.57 w'E TRANSFER 91. P 7. 112623B 11130/202 11128/202 121281202 50,547.30 0.00 0.00 50,547.30 TRANSFER 4 >r Vendor Totals: Number Name Gross Discount No -Pay Net. 11836 GOLDENCREEK HEALTHCARE 72,984.67 0.00 0.00 72,984.67 Grand Totals: Gross Discount No -Pay Net 72,984.67 0.00 0.00 72,984.67 APMOVIM ON t E1 072023 '6_CR P&MI 7E16iC'u C.4 IliO _ , 81e:dfC:lUserslllrevino/Cps[/memmed.cpsineLCOmfu881251data_51imp_Cw5report48o187870766257783.html 1/1 1217123, 12:23 PM tmp_cw5reportl 337068180644802688.html BYIH'E _'aECEWED 16?jwf AUw04t Ct4 MEMORIAL MEDICAL CENTER 12107/2023 12:230EC ;� f�TL AP Open Invoice List Dates Through: VtowiuY0.4rti0WFMe 'SAi Class Pay Code 12696 GULF POINTE PLAZA. Invoice# Comment Tran Dt Inv Ot DueDt CheckDt Pay Gross Discount 112823 11130120211128/202121281202 1,200.00. 0.00 TRANSFER �1, 4§J,1j'&W FJ'oLf Jj41Ekte dv4 �'WW4- aV "i-'6A\1 113023 11/30120211130/20212/301202 119.51 0,00 W` TRANSFER 0 n9 Vendor Totals: Number Name Gross Discount 12696 GULF POINTE PLAZA 1.319.51 0.00 Grand Totals: Gross Discount No -Pay 1,319.51 0.00 0.00 APPROVW ON DEC Q 7OW ��q_y023 0 ap_open._invoice.template No -Pay 0.00 0.00 No -Pay 0.00 Net 1,319.51 Net 1,200.00 119.51 10"" Net 1,319.51 fife:(f/C:lUsers/Ilrevinolcpsi/memmed.cpsinst.comlu881251data_51tmp_ew5report1337068180644802688.html 1N 12/7/23, 12:24 PM Imp_cw5report4360763440093837835.html 12/071023 ,'�MOR opt MEMORIAL MEDICAL CENTER 0 1224 0�`• 1' ®2'� AP Open Invoice List ap_openjnvoice.template. Dates Through: Vendor# Vendor�Naame�cy Class Pay Code 13�N-"'`TUSLIFiIVY �IN& Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross. Discount No -Pay Net 112723 1y�1/p30/20211127/20212127/202 460.45 0.00 0.00 460.45. E TRANSFER t)" 1VISUT"111 VJM' J` c�tfDS4�1i zj 04 WxIL DtC"nL) 112723A 11/30120211/27/20212/27/202 12,960.00 0,00 0.00 12,960.00 TRANSFER Vendor Totals: Number Name •Gross Discount No -Pay Net. 13004 TUSCANY VILLAGE 13,420.45 0.00 0.00 13,420.45. Grand Totals: Gross Discount No -Pay Net 13,420.45 0.00 0.00 13,420.45 'ON DEC b 7 2023 flle://IC:lUsers/Itrevino/cpsi/memmed.cpsinet.wm/u88125/data_51tmp_cw5report4360763440093837835.html 111. 1217/23, 12:21 PM Imp_cw5report3215398921219240858.htmi B'YT11£ ��tpyCEIVEI) MEMORIAL MEDICAL CENTER 12/()7/20WY .AU=on On 0 AP Open Invoice List 1221 ; 0 $ ap open_invoice.templaie 'IDEC -7023 Dates Through: Vendor# Vendor Name Class Pay Code 2792'CU�ERi��kl�1�'FSENIRR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net. 112723 8,685.57 0.00 0.00 8,685.57 f y11130/20211/27/20212/27/202 �p TRANSFER. N# IVt94BkLi94Z r'h!� alfof-AaA ktt-w '6fAYb�t- gip' zU1��4'�`� 112823A 11130/20211/28/202 12/28/202 2.080.95 0.00 0.00 2,089.95 TRANSFER A rr 112823 11130/20211128120212128/202 30,832.65 0.00 0.00 30,832.65 TRANSFER. tt 0, 112823B tt/30/20211128/20212128/202 4.943.92 0.00 0.00 4.943.92 TRANSFER It O1V / 113023A 11/30/20211/30/20212/30/2.02 32,433.14 0.00' 0.00 32,433.14 aF TRANSFER 1t tt 113023 11/30/20211/30/20212/30/202 1.732.41 0.00 0.00 1,732.41 TRANSFER.a V Vendor Totals: Number Name Gross Discount. No -Pay Net 12792 BETHANY SENIOR LIVING 80,717.64 0.00 0.00 80,717.64 Grand Totals: Gross Discount No -Pay Net 80,717.64 0.00 0.00 80,717.64 RAIL + n ^. DEC a 7 9D23 nXR file:///C:/Users/ltrevino/cpsitmemmed.cpsinatcom/u88l251data_51tmp_cw5report3215398921219240658.htmt ill Memorial Medial Qatar NJrvne Hem. 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WPPT' NNPONf10M - DMAe 1;31t-35 eL131 - n;DTOIf l f,WLb IV`UUW. 61Db[ S,Pa m $ago - 1Q91eso - - ' I0,916.56 - L3N.6] SAWN PSU4 ,3 oalmwo6 wervinw Account Name '4357 MEMORIAL MEDICAL CENTER. $649.757.04 S656,566.58 S649,757.04 $1,391,761.23 OPERATING '4336 MEMORIAL MEDICAL CENTER- $540,48 $540.48 $540.48 $540.4B CLINIC SERIES 2014 '43T3 MEMORIAL MECICALCENTER- PRIVATE WAIVER $435.11 5435.11 $435.11 $435.11 CLEARING '4381 MEMORIAL / MEOICALCENTER! / $110.897.64 , $164,960.52 $110,897.64 $8,125.97 NH ASHFORD ✓✓✓ '4403 MEMORIAL MEDICAL CENTER $92,561.40 $132,599.67 S92,561.40 S11,927126 NH BROADMOOR '4411 MEMORIAL MEDICALCENTERI / $97,241,40 $163,971.43 $07,241.40 $58,764.09 NH CRESCENT ✓ '430 MEMORIALMEDI SOLE A ATWSSRI � WEST / $64.212.30 / $108,097.93 $64,212.30 $26,866.56 HOUSTON HOUSTON i '4446 MEMORIAL MEOICALCENTER/ f $60,222.77 $70,187.60 $60.222.77 $14.150.70 NH FORT BEND -4454 MEMORIAL MEDICAL GOLDEN CREEK GOLDEN $140,086.79 5188.315.03 $140,086.79 $40,819.81 HEALTHCARE '5433 MMC-NH GULF POINTE PLAZA- $14.477.99 $14,784.45 $14A77.99 $14,477.99 PRNATEPAY 'S441 MMC-NH GULF POINTEPLAZA. $90,904.62 $90,904.62 S90,904.62 $50.034.99 MEDICAREIMEDICAIO '5506 MMC -NH BETHANY SENIOR $102267.37 S103,284,14 $103,267.37 S65,241.87 LIVING '3407 Y MMC -NH VILLAGE TUSC $120.740.33. $130,144,39 $120,740.33 $5,735.57 '3600 MMC-BETHANY SR LIVING - DACA $100.00 $100.00 $100.00 $100.00 '2998 6 MAR 97-MD M F FUNDD $2,099.978.78 $2,099.978.76 $2,099.978.78 $2,099,978.78 Total Balance S3,645,424.02 $3,924,870.73 $3,643,424.02 $3.788,960,43 RaWdoo.mHe an 121 IMM31117:15AM CST Pepa2o12 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts io/23/zoza P¢waus Aco9un[ G{rnnlne Nunln Name Np — Baba¢. nMa,Qm TnnareN, 31A96.BI L 31,319.11 139.669.69 N.[a: OnM DPb¢n ya¢r $fpW wR3W mvnyernC ro fha euwfn9 home. NM 2. Each aC¢IMf Not a ha¢ EPbnn of $BM that MMC ft"Ua fp open attpunL DEC 112323 Tn -V'S {Lmini Ameunita APTnm1MrM to NnrXa{ 1x0,B86.T9 Bank Balance 310,A8&]9 variann - le>peinaabn¢. SDD.DO Ortafipint¢nac 18350u0p 6 MaadmLMln[~ U3.6P AEryrt Balan¢/rraMfer Antt�9:669:6e. �CByEB � APP..d. 1h'ettl79r�ClL..:✓��ia I.rT"� \ t'1bY ^..0 ` ANDB DELOSW3TOS T� ]l(33/1013 1:\NX WnYlyTnntlen\NN OPLTramfn6ummary\5033\NNUPLTontfee5ummary 111L33 W[)tmT qpY! MM3 WIRE OUTEERW3VCN[CwMP.MMEO311MW IM)M33 WIRE YUTMVNIYNVIM Wy�fdtGNGFECNt. SNROS)M[m HWM VCMIMYEr RI7RWlamuM ul!/Im3 x[µ)Xxu[MXrvc M[CVVIrMf nC[OOMIiIUux V/6{AL 15K/MlxfflMGG0.V 1416M1111>6!1>9l IVEAR)I3 EOmIIKMFMFYT M[R[m)ll]01%IISdV1S "Ma4n MWMT%IAfMFMiIl31Mb]GIDL991. w6Mt3 NlNMXYMwW[KKCMmrM11fCMMllb11! iIIVMS3 i3Y!/[RWS[[0.fiC0.CO [IVSIYYlfl3M1)9t WS/1W3 40101XG[[YNVLI MIME[[ Vm]M flmmlMf VA/M23 WG[NCIIE[YNVITM[MO[I llbllifl0'61tM WV10V ilYIAMNSi1MTCRCYO[PNMMS[Nlifl)!l ILVNV i![S/IMINflKTGCOU[Py3W3l111691)9t wWb13 xxY.FMgxawmoMrlMFmRu1bM]nxu ILI/IOtl xFMTNNUMYI TKXCCWMPM[t)IMM1VMl1 1 "MCpRPl" wRR/CompY iM9311f.9Yf Ri9>ftCi9 MPP/M MC NFI/GmYS owtoNV! Itup. GMTI xx M0.110X 0.I1..0 - bA6U9 - 10.39615 I2.79A99 U119.11 • 1i1im - 1,uLm afelm i,9R9.m ;IM,m CUM 6;139.m ]dAN.m - 3C,Wi,m MmMRS - 9W,36 w3a ELN Smm Nm.m 3.113.31 - 3,113.38 ]]611 $36.41 - LMYM 1,369.M o` rc b]19.I1 ]39.60�N. ifif .f � ,a ll9.669A. v omanws werv,ew Account Name '4357 MEMORIAL MEDICAL CENTER- S649,757.04 $656,566.58 $649.757.04 $1.391,761.23 OPERATING '4365 MEMORIAL MEDICAL CENTER• $540.48 $540.48 $540.48 $540AG CLINIC SERIES 20t4 '4373 MEMORIAL MEDICAL CENTER • $435.11 $435.11 $435.11 $435.11 PRIVATE WAIVER CLEARING '4391 MEMORIAL MEDICALCENTERI S110,897.64 $164,960.52 $110,897.64 $8,125.97 NH ASHFORD '4403 MEMORIAL MEDICALCENTERI $92,561.40 $132,599.67 $92,561.40 S11,927,28. NHBROAOMOOR -4411 MEMORIAL MEDICAL CENTER! $97,241.40 $163,971A3 $97,24140 $58,764.09 NH CRESCENT '4439 MEMORIAL MEDICAL CENTERI SOLERA AT WEST $64,212.30 $108,097.93 $64.212.30 S26.866.56 HOUSTON '4446 MEMORIAL MEDICAL CENTER I $60,222.77 $70.187.60 $60,222.77 $14,150.70 NH FORT BEND '4456 MEMORIALMEDIC LI H $140,066.79 $108,316.03 $140,086.79 $40,819.81 GOLDE GOLDEN CREEK E ��///!!! ,� HEALTHCARE '5433 MMC AN GULF POINTE PLAZA.. S14,477.99 S14,784.45 S14,477.99 $14,477.99 PRWATEPAY 'S"I MMC-NH GULF POINTE PLAZ0.- $90,904.62 $90,904.62 $90.904.62 S50,034.99. MEDICAREAMEDICAIO -8506 MMC -NH BETHANY SENIOR $103,267.37 $103,284.14 $103,267.37 $65,241.87 LIVING Q7 MMC MH VILLAGE TU TUSC $120,740.33 $130,144.39 $120,740.33 $5,735.67 '3600 MIND 41ETHANY $100.00 $100.00 $100,00 $100.00 SR LIVING -DACA '2098MMC•MONEY MARKETFUND $2,099.976.78 $2,099,978.78 $2.099,978.76 S2,099,978.78 Total Balance $3,643,424.02 $3,924,870.73 $3,645,424.02 $3,785.960.43 Rawangenente4 an Ia1 V2623 %127:IS Al CST P., yel l Memorial Medtml Center Nursing Home IIPL Weekly HMG Transfer Prosperity Acmunu 12/11/2023 MAIr . auwm XurMaHuma f HwnM• 1..397.0 e¢dew IbtWnt P.(Inrdn{ .0 xma HumW dalnxe ISM3J2 xwc mNemwtn efaenSSPm wMhebanrfexedtawenunmpheme. NMe1: EPrhatrnw2M1wahmeeebn¢alSlm NatMMtdepmdgroq%nettmnt.. on DEC 1 i ton P.M., penedX eenkwhnre Van leave i. Bann¢ anowtwee rnmlemdm d d sn99 mlaxsu•n¢yneMname u....Y.+v 4nouniteBa v.min3 rnndmndro � Tads .& nn &Itnw HW Nome le,lw.62 fMb1 4nk4bn<e 90,9P1.62. JJ" Wnan¢. Inrveln Sal.— IM.9P mlwt Wrwe(rnnnfMamt 9a.1d,61. `" Tmurwssmw us;uxrt*. �cd' awnwd 'flu'VC 2r_t�[ axplRW pelOf31WP03 ram. 2213112023 I:Wn weeW mnanknx tnlnnnx sammwVeuwx wlTnndxsnn.wx u.su2 MMCPORTION QIPP/Camp QIPP/Omp4 innfhrvONt INnA4r•In QIPP/Cempl i gIP1(Cemp3 &bpfa giPP 11 NH PORTION 1217/1029 WRE OIILHMG Rehpod5N5.LP- Commntlol 9.397.69 - 12/6/103 NOC SWEEP PAC 4261210000226373R SWEEP GR - 13,375,67 18,3)547 I2/4/N23 HNB- ECHO HCCIAIMPMT 748003411N00W28E46 - 963.1E - 963.11 12/4/2021 HNB- ECHO HCCWIMPMT)480M411 N6W@87716 - 39.20 39.20 939).69 103T1.99 n/ �f^- Ia3>799�' MIMIC PORTION gIPPIComp QIPP/Comp4 Tm.sk of T.d4 Mn grop(C9mp1. } QIPP/CpmP3 &URN QIPPTI NHPQRTON. 12/e/N23 OmmsR 40,8am 40,869.63 U/]/ID23 WIRE0VFNMOR4ckport SNG•EP-C4mm4tWl /4,931.72 - 1217IM3 MEPCN4NTOANRWOEPOSfT4964115168899100001 47,194.99 - q,190.99 l21611033 MEflCHA1RBANRCp OEPOSR49MIM148N9100001 - MOM - 1,307.00 22/4/2023 MERCIHANG000FMSIT9617151808991p0001 - 1.431M / - 1,433.00 0 14,933.72 . 90.904.62 .f 908W.6tf 24331.41 105.162.61 HIS.M626 oeiencen uVelnew Account Nam, '4367 MEMORIAL MEDICAL CENTER- $649,757.04 $656,566.58 $649,757.04 $1,391,761.23 OPERATING '4365 MEMORIAL MEDICAL CENTER- $540.48 $540.48 $540AS $540.48 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER $435.11 $435.11 $435.11 $435.11 CLEARING '4301 MEMORIAL MEDICALCENTERI 5110.897.04 $164.960.52 $110,897.64 58,125.97 NHASHFORD 'M03 MEMORIAL MEDICALCENTERI $92,561,40 $132,599.67 $92,561A0 $11,927.28 NHBROADMOOR '4111 MEMORIAL ' MEDICALCENTERI $97,241.40 $163,971.43 $97,241.40 $58.784.09 NH CRESCENT '4438 MEMORIAL MEDICAL CENTERAT WEST AT WEST $64,212.30 $108.097.93 $64,212.30 526,866.56 HOUSTO HOUeTON '4446 MEMORIAL MEDICALCENTERI $60,222.77 $70.187.60 $60,222,77 $14,150.70 NH FORT BEND '4454 MEMORIAL MEDICAL! GOLDEN CREEK $140,086.79 $188.315,03 S140,086.79 $40,819.81 HEALTHCARE '5422 MMC-NH GULF / POINTEPLALA- ,j $14.477.99 /' $14,784.45 S14.477.99 514,477,99 PRIVATE PAY , f 'S441 MMC -NH GULF POINTEPLAZA. $90.904.62 $90,904.62 $50.034,99 MEDICAREMIEDICAID ,/$90.904.62. '5506 MMC -NH RE714ANY SENIOR S103,207.37 S103,204.14 $103,267.37 $65,241,67 LIVING '3407 MNYVILLAGE TUSC S120,T40.33 $130,144.39 5120,740.33 $5,735,57 MMC DACA 43ETHANY '30SR LIVING SR90 NIM -BETH $10000 $10000 $100.00 $100,00 '2556MTFUND -MONEY *2999M FUND $2,099,978.78 $2,099.978.78 52,099,978.78 $2,099,978.78. Total Balance $3.645,424.02. $3,924,870.73 $3,645,424.02 $3,788,960.43 R-Pwq..uwd., 1i111R02311:27:15 AM CST —^— ----1i`^- P.S.2ef2 Memorial Medical Center Nursing Home UPL weekly Tuscany Transfer Prosperity Hccounts 12/11/2023 v..w.n "."me. aoa.n. eytmm�e f vmeme mnum..am NUN. xm.. g/ ]1&s6ul nusul: tsgGov sio.>NSE1112,624.Sf vm.... E..n N S.W. Sm.N f MWn.nsloYW mw M]E.NyyY .elu0.EWnnR.b.rm Nn1 IS sun e.ICOwyNe.nm Nww SCtW WrN Wn.f :MmNemnwe�wne. bom I�IUi.. P1 4 A•. NNel: and ncWn.Amo N..NbI[IOfSSW NefMMC dnnil.0 (o cpm v[[anl. ANDRENDESGSIJUImS DEC 112023 12/8/2023 1141 12/8/2023 Deposit 1218/2023 Deposit 12/8/1023 MLCINAHEAETNGYIMIXBIAMQEO1UG�3B4BO6p0IE 12/8/2023 HNB•ECHOHCCIAIMPMT746003411440a00276441 32/8/2013 HNB-EMOHCCI IMPMT746003411440000276046 12/812023 NOVITR$ SOLUTION HCCWMPMT 06202 42000O194 IU7/2023 WIRE OUT UNSM ENTERPRISES, LLC 12/4/2023 NOMM SOLUTION HCCLIIMPMT 57GMI 420000123 MMC PORTION QIPP/Camp QIPP/Camp QIPP/Comp Tea0sfer-Om TmsMe,40 1 QIPP/Cemp2 5 46Lpse. QIPPTI. NH PORTION 2M0.05 i 0 - - a 8� 50969.Re - 50,989.63 0 12422 - 12,427.00. - BAX44 7AM-64 LA228O QD36O4: 962.411 0 5499839 - 34,998.39 - 81909111 8,909.11 0 1349.24 1,349.24. 27592118 0 - - 0 2995.52. 21995.52 R%561.23 ,</ 1E0,690.33„ 7.053.64 11922,30 11,015A4 112.675.29. / eamow6 uaannaw Account Name '4357 MEMORIAL MEDICALCENTER- $649,757.04 $656.565.58 $60,757.04 $1,391,761.23 OPERATING '4365 MEMORIAL MEDICALCENTER- $540.48 $540.48 $540.48 $540:48 CLINIC SERIES 2014 '4373 MEMORIAL MEDICALCENTER- PRIVATE WAIVER $435.11 $435.11 $435.11 $435.11 CLEARING '4381 MEMORIAL MEDICALCENTER! $110.897.64 $164.960.52 S110,897.64 $8,125.97 NH ASHFORD '4403 MEMORAL MEDICALCENTER! $92,561.40 $132,599.67 592,561.40 $11,927.28 NH BROAOMOOR L411 MEMORIAL MEDICALCENTER/ S97,241AO S163,971.43 $97,241.40 S58,764A9 NH CRESCENT '4438 MEMORIAL T MEDICALCENNTER!SOLERET MEDICA $64,212.30 $108,097.93 $64.212.30 $26,86C66 HOUSTON '4446 MEMORIAL MEDICALCENTERI $60,222.77 $70,187.60 $60,222,77 $14.150.70 NH FORT BEND '4454 MEMORIAL MEDICINH GOLDEN CREEK CREEK $140,086.79 $188,315.03 $140,086.79 S40,819.81 HEALTH HEALTHCARE '5433 MMC 4111 GULF POINTEPLAZA- $14,477.99 $14,784.45 S14.477.99 514,477.99 PRIVATE PAY '5441 MMC AN GULF POINTEPLAZA- $90,904.62 $90,904.02 $90,904.62 $50,034.99 MEDICAREIMEDICAID '5506 MMC AN BETHANY SENIOR S103,267.37 S103,284.14 S103,267.37 $65.241.67 LIVING '3407 MMC VILLAGE TUSC ILLAGE $120,740.33,f�- $130.144.39 S120,740.33 S5.735.57 '3660 MMC -BETHANY $100.00 $100.00 $100.00 $100.00 SRLIVINO-OACA '2998 MMC-MONEY MARKETFUND $2,099,978.78 S2,099,978.78 52,099,978.7E $2,099,978.78 Total Balance $3,645,424.02 $3,924,870.73 $3,645,424.02 $3,788,960AS Repan OenemiWan W 1WXO 11:Yl:15AM CST papa Sat Z Memorial Medical Center Ni Home UPI Weekly HSLTransfer Prosperity AmunU 12/11/2023 'I A[[awk w, M —�— Nm[:has an aver sxmp Xaleeuw,/m dmM[nwN gnema. NW[III FI aahaa[mmr a,e6v[ebnbnnarStWMNMMCdewanadrogwwaeuM, DEC 11Mn lanxwa.kpmnn.�\xxmknnn.mm.aNtxomnx unn.mMsuwn.nual.n III Madlun Mlvum knG[ TnMmadro Lnk NNXp IV3.36/3] Varlan \ L[vreln,Balanu 1W.W' Xw[mhwlnMNN. ItS.M Miul[a,l,rmfr/rr,nff rAm, jar knLmm,J' � aeMwad: wvr✓!Ta • .:.7 a„ B: 'TM" '—may dxeuw oeEosswTm n] 'ua T..Om t T—mJ I WtP/(am03 0"/Qm a NYI(Cimpi ca"fC.M41U.. QlFV I HHp IW ]yy10i3 ppaW 0 UMU - IGAM.16 SL 413 lllIZi65W35MS 6 Umm y396.1< 1Z IMU W16Z W"Ou UVRZRX11.= L. O 1LZ(SOZ3 KKSWUF MUM 13316S63Z6 SSWUF ZX 0 Maw - 13,7ZO.OZ WOOD O[poYt O MUM - 6.Wes WlMu ppo6t o UW.0 - 3 IM& 1f/S/10Z3 MXMEUZMU% SSSUHb167MSYZZYtN O 1.3 - 61two iZWon NNB-(G101XYWMVMZNWJNIiM%MUSUS O e W96 INA 0..Kfwa! \7vmvww Account Name '4357 MEMORIAL MEDICAL CENTER- $649,757.04 $656.566.58 $649.757.04 $1.391,761.23 OPERATING '4365 MEMORIAL MEDICAL CENTER- WOA8 $540.48 $54048 $540.48 CLINIC SERIES 2014 '4373 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER $435.11 $435.11 $436.11 $435A1 CLEARING '4381 MEMORIAL MEDICAL CENTER $11OA97.64 6164,960.52 $110,897.64 $8,125.97 NH ASHFORD '4403 MEMORIAL MEDICALCENTERI $92,561.40 $132,599.67 $92,561.40 $11,927.28 NHEROADMOOR L411 MEMORIAL MEDICAL CENTER $97,241.40 $163.971.43 $97,241.40 $68.764.09 NH CRESCENT '4438 MEMORIAL. MEDICAL CENTER SOLERA AT WEST $64,212.30 $108,09-1.93 $64.212.30 $26,865.56 HOUSTON '4448 MEMORIAL MEDICALCENTERI $60,222.77 $70.187.60 $60,222.77 $14,150.70 NH FORT BEND '4454 MEMORIAL MEDICALINH GOLDEN CREEK $140.086.79 $188,315.03 $140,086,79 $40,819.81 HEALTHCARE '6433 MMC-NH GULF POINTS PLAZA- $14,477.99 $14.784.45 $14,477.99 $14,477.99 PRIVATE PAY 'W1 MMC -NH GULF POINTEPLAZA. $90,904.62 $90,904.62 $90.904.62 $50,034.99 MEDICAREIMEDICAIO 'SOB MMC 4 H ` SETHANYSENIOR $103,267.37. $103,264,14 $103,267.37 $65,241.87 LIVING '11SC7 Y MMC •VILLLLAGE. TU $120740.33 $130,144.39 $120,740.33 $5,735.57 '36 UYIING -EETHANY SR LIVING - DACA SR $100,00 $100.00 $1 UM $100.00 '2908 MMC-MONEY MARKETFUND $2,099,978.78 $2.099.978.78 $2,099,978.78 $2,099,978.78 Total Balance $3,645.424.02 $3,924,870.73 $3.645,424.02 $3,788,960.43 Recml panmteE.n IW11Re251127: 15 M CST Peg 2.12 MEMORIAL MEDICAL CENTER CHECK REQUEST U Memorial Medical Center Date Requested: 12/11/2023 0 Y E FOR ACCT USE ONLY APPROVW ON ❑ imprest Cash. E DEC 112023 ❑, A/P Check ❑ Mail Check to Vendor lit" C F .A �, T Lr€4iwfklll�TB i1LNM1 It S ❑ Return Check to Dept AMOUNT: $ 12,906.04 GA NUMBER: 10255040 l0aw9PL1II4131 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: Let zL;, u2-1116 S MEMORIAL MEDICAL CENTER CHECK REQUEST N Memorial Medical Center Date Requested: 12/11/2023 I1 Y E E APPRDVM ON DEC 112,323 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail. Check to Vendor ❑ Return Check to Dept AMOUNT: $ 4,773.60 GA NUMBER: 10255040 EXPLANATION: c REQUESTED BY: Caitlin Clevenger AUTHORIZEDBY: I�—Nak�z3 MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center A Y E AMOUNT: EXPLANATION: Date Requested: 12/11/2023 DEC I $ 3,559.20 Z. FOR ACCT USE ONLY ❑'. Imprest Cash ❑ A/P Check ❑. Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: t-��o(2-3-5 MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Date Requested: 12/11/2023 A Y E E APPROVED ON Y 12023 FOR ACCT USE ONLY ❑ I mprest Cash ❑A/P Check Mail Check to Vendor ❑ Return. Check to Dept AMOUNT: $ 4,027.76 G/L NUMBER: 10255040 EXPLANATION: REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: r _, lda any �z1wa91:1 MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Date Requested: A 12/11/2023 Y E FOR ACCT USE ONLY E APPROWD ON ', ❑ Imprest Cash ❑ A/P Check 'DEC I qnn ❑ Mait. Check to Vendor r,_�,, y,,i9.w" si 3_ ❑ Return Check to Dept AMOUNT: $ 3,853.82 f GA NUMBER: 10255040 EXPLANATION: REQUESTED BY: Caitlin Clevenger �` I' r AUTHORI2EDBY: Il�•, oC:a1._ti u1II%�Z3 P A Y E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 12/11/2023 E APPROVM ON tDEC FOR ACCT USE ONLY ❑ Imprest Cash ❑'. A/P Check ❑Q Mail Check to Vendor ❑.. Return Check to Dept AMOUNT: $ 8,015.04,G/LNUMBER: 10255040 EXPLANATION: REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: Ilk"r f". e F 00 jC 3c 93 °3 '0 qO°3 O'Op3 G y yz �S Omm �� z � z rr y n n Z A Z 0 Z ? m y n m m O 'Da w A z A N o m - c c E 61 o J O W O W O J O y c ZCi 6Ci y m m ? 00 a z GDi O m 0 m O C m N P 00. pQ. 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