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2024-01-10 Final PacketNOTICE OF MEETING — 1/10/2024 January 10, 2024 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT METIIN 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 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 loam by 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. n/a Page 1 of 7 I NOTICE OF MEETING—1/1-0/2024 5. ADDrove the minutes of the January 3. 2024 reaular meeting. RESULT: _ APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pet f AYES: Judge Meyer; Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to Declare a Local State of Disaster for the ongoing Border Disaster Crisis. (RHM) 7. Consider and take necessary action to approve the contracts with the following awarded bidder for Asphalts, Oils and Emulsions, Bid Number 2024.03, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. Cleveland Asphalt Products, Inc. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall,, Commissioner Pct 1 SECONDER: Gary Reese; Commissioner Pct 4 AYES. Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve the contracts with the following awarded bidders for Road Materials Bid Number 2024.02, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. K-C Lease Service dba Matagorda Construction & Materials b. Marek & Marek Truck Wash dba Frank Marek Trucking c. Colorado Materials, LTD d. Vulcan Construction Materials, LLC e. MidTex Materials, LLC RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 7 NOTICE OF MEETING— 1/10/2024 9. Consider and take necessary action to authorize Commissioner Behrens to sign the 2024 Maintenance contract with Hurt's Wastewater Management for Precinct 3 septic system. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall; Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to reappoint Liz Zarate to the Calhoun County Parks Board for the remaining 2024 term. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese . 11. Consider and take necessary action to appoint members of the Dispatch Advisory Board to manage the Emergency Communications Division (Combined Dispatch). (DH) Page 3 of 7 NOTICE OF MEETING-- 1/10/2024 12. Consider and take necessary action to accept the following audit reports: a. Justice of the Peace, Precinct 1 — Q3 — 2023 b. Justice of the Peace, Precinct 2 — Ql Q2-Q3 — 2023 c. Justice of the Peace, Precinct 3 — Q3 2023 d. Justice of the Peace, Precinct 4 — Q3 2023 e. Juvenile Probation Department — Q3 2023 f. Waste Management — Q3 2023 g. DA Hot Check Fee Fund — Q3 2023 h. DA Hot Check Restitution Fund — Q3 2023 I. District Clerk — Q3 2023 j. EMS — Q3 2023 k. Floodplain Administration — Q3 2023 I. Justice of the Peace, Precinct 5 — Q3 2023 m. Museum — Q3 2023 n. Fairgrounds Facility Rentals — Q3 2023 o. POC Community Center Rentals — Q3 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese"", Page 4 of 7 ' NOTICE OF MEETING— 111.012024 13. Consider and take necessary action to accept the following cash count reports: a. Treasurer — 12/15/23 b. Waste Management — 12/15/23 c. DA — 12/5/23 d. District Clerk — 12/15/23 e. Elections — 12/5/23 f. EMS — 10/8/23 g. Fairgrounds Facility Rentals — 12/8/23 h. Floodplain Administration — 12/5/23 i. Justice of the Peace, Precinct 1— 11/15/23 j. Justice of the Peace, Precinct 2 — 11/20/23 k. Justice of the Peace, Precinct 3 — 12/13/23 I. Justice of the Peace, Precinct 4 — 12/14/23 m. Justice of the Peace, Precinct 5 — 12/13/23 n. Juvenile Probation — 11/15/23 o. Museum — 12/5/23 p. Sheriff — Buy Money — 11/15/23 q. Sheriff — 12/20/23 r. Tax Office — 12/15/23 s. Library — Main — 10/28/23 t. Library — Port O'Connor — 12/12/23 u. Library — Seadrift — 12/12/23 v. POC Community Center — 12/12/23 w. Adult Detention — 12/20/23 14. Accept Monthly Reports from the following County Offices: i. Justice of the Peace, Precinct 5 — December 2023 ii. Floodplain Administration — December 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Oct 1 AYES: Judge Meyer, Commissioner.Hall, Lyssy, Behrens; Reese Page 5 of 7 NO-1 ICE OF MEETING - 111012024 15. Consider and take necessary action to amend the 2024 District Attorney Forfeiture Fund budget in the amount of $6147.52 to cover salary supplements and FICA for William A. White and Trevor A. Finster. also the amount of $1,000.00 to cover expenditures such as civil citation fees in asset forfeitures. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commmssioner Pct 1. SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action on any necessary budget adjustments. (RHM) 2023 RESULT:: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commission' Oct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Ly*, Behrens, Reese 2624 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Cbmin issionerPct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 7 ' NOTICE OF MEEi1NG -- 1/10/2024 17. Approval of bills and oavroll. (RHM) MMC Bills' RESULT:: APPROVED [UNANIMOUS] MOVERS : David Hall, Commissioner Pct 1 SECONDER: Nern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens,; Reese Adjourned 10:27 am Page 7 of 7 PACKET COMPLETION SHEET ✓ All Agenda Items Properly Numbered ✓ Contracts Completed and Signed ✓ All 1295's Flagged for Acceptance (number of 1295's I ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this z day of for the Ja�t day of/tk'O� Court Regular Session wa submittet to the Calhoun County Clerk's Office. ivx� Calhoun County Judge/Assistant 2024, the packet 2024 Commissioners' the Calhoun County Judge's office AGENDA NO11C1 () IM1I IlN(i ;I/I )/1U1_-:1 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 MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday January 10, 2024 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: ATI' o OCK kr! Call meeting to order. !Invocation. JAN 0 5 2024 ®Y: PU ``Pledges of Allegiance. 4/. General Discussion of Public Matters and Public Participation. '5. Approve the minutes of the January 3, 2024 regular meeting. Consider and take necessary action to Declare a Local State of Disaster for the ongoing Border Disaster Crisis. (RHM) (;? Consider and take necessary action to approve the contracts with the following awarded bidder for Asphalts, Oils and Emulsions, Bid Number 2024.03, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. Cleveland Asphalt Products, Inc. Consider and take necessary action to approve the contracts with the following awarded bidders for Road Materials Bid Number 2024.02, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. K-C Lease Service dba Matagorda Construction & Materials b. Marek & Marek Truck Wash dba Frank Marek Trucking c. Colorado Materials, LTD d. Vulcan Construction Materials, LLC e. MidTex Materials, LLC Page 1 of 3 NOM 1 0-4 kli 111INU /1(Jj)0?4 `3 Consider and take necessary action to authorize Commissioner Behrens to sign the 2024 Maintenance contract with Hurt's Wastewater Management for Precinct 3 septic system. � (JB) i0. Consider and take necessary action to reappoint Liz Zarate to the Calhoun County Parks Board for the remaining 2024 term. (JB) t'1. Consider and take necessary action to appoint members of the Dispatch Advisory Board to manage the Emergency Communications Division (Combined Dispatch). (DH) I2. Consider and take necessary action to accept the following audit reports: a. Justice of the Peace, Precinct 1— Q3 — 2023 b. Justice of the Peace, Precinct 2 - Q1 Q2-Q3 — 2023 c. Justice of the Peace, Precinct 3 — Q3 2023 d. Justice of the Peace, Precinct 4 — Q3 2023 e. Juvenile Probation Department — Q3 2023 f. Waste Management — Q3 2023 g. DA Hot Check Fee Fund — Q3 2023 h. DA Hot Check Restitution Fund — Q3 2023 i. District Clerk — Q3 2023 j. EMS - Q3 2023 k. Floodplain Administration — Q3 2023 I. Justice of the Peace, Precinct 5 — Q3 2023 m. Museum — Q3 2023 n. Fairgrounds Facility Rentals — Q3 2023 o. POC Community Center Rentals — Q3 2023 q'3. Consider and take necessary action to accept the following cash count reports: a. Treasurer — 12/15/23 b. Waste Management — 12/15/23 c. DA — 12/5/23 d. District Clerk — 12/15/23 e. Elections — 12/5/23 f. EMS—10/8/23 g. Fairgrounds Facility Rentals — 12/8/23 h. Floodplain Administration — 12/5/23 i. Justice of the Peace, Precinct 1— 11/15/23 j. Justice of the Peace, Precinct 2 — 11/20/23 k. Justice of the Peace, Precinct 3—12/13/23 I. Justice of the Peace, Precinct 4 — 12/14/23 m. Justice of the Peace, Precinct 5 — 12/13/23 n. Juvenile Probation — 11/15/23 o. Museum — 12/5/23 p. Sheriff — Buy Money — 11/15/23 Page 2 of 3 i NO Il f 0[ IVIt I SING q. Sheriff — 12/20/23 r. Tax Office — 12/15/23 s. Library — Main — 10/28/23 t. Library — Port O'Connor — 12/12/23 u. Library — Seadrift — 12/12/23 v. POC Community Center — 12/12/23 w. Adult Detention — 12/20/23 74. Accept Monthly Reports from the following County Offices: Justice of the Peace, Precinct 5 — December 2023 Floodplain Administration — December 2023 K Consider and take necessary action to amend the 2024 District Attorney Forfeiture Fund budget in the amount of $6147.52 to cover salary supplements and FICA for William A. White and Trevor A. Finster. also the amount of $1,000.00 to cover expenditures such /as civil citation fees in asset forfeitures. i6. Consider and take necessary action on any necessary budget adjustments. (RHM) '67. Approval of bills and payroll. (RHM) Richard H. Meyer, County J e Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www,calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Order setting regular term days for FY 2024 Page 3 of 3 # 04 NO-IICE OF MEETING—1/10/2024 January 10, 2024 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 3oel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct i Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10am by 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. n/a Page 1 of 14 #5 NOTICE OF MEETING--1/10/2024 5. Approve the minutes of the January 3, 2024 regular meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hail, Lyssy, Behrens, Reese Page 2 of 14 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, January 3, 2024, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Zt Richard H. Meyer, �Judge Calhoun County, Texas Anna Goodman, County Clerk OepuOCILerk%gb-- — /o— Z Vz— Date I-10-Y4 Date Page 1 of 1 NOTICE OF MEETING—1/3/2024 January 3, 2024 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 loam by Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Comm!ssloner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation, Happy New Year! Page 1 of 3 NOTICE OF MEETING 1/3/2024 5. Consider and take necessary action to approve a resolution nominating a candidate to fulfill the unexpired term of Mr. W. H. "Bill' Bauer, Jr. (RHM) 7. 8. Approve the minutes of the December 20, 2023 regular meeting. REJ�.T APAROU�p [UNANIMCfTJSt� 40UERVern Lyssy,Comrnlsioner Pc2 5EC011r�ECt David HalI;Comml�soner Isct_ AYES. 7iadge Meyer, Corn�rssioner_till, Lyssy, Bhren$, Reese Consider and take necessary action on any necessary budget adjustments. (RHM) Page 2 of 3 I NOTICE OF MEETING—1/3/2024 9. Approval of bills and payroll. (RHM) Adjourned 10:22am Page 3 of 3 #6 NOTICE OF MEETING— 1/10/2024 6. Consider and take necessary action to Declare a Local State of Disaster for the ongoing Border Disaster Crisis. (RHM) n an opportunity for receiving Lone Star Grant. APPROVED [UNANIMOUS] Vern Lyssy, Commissioner Pct 2 David Hall, Commissioner Pct 1 Judge Meyer, Commissioner Hall,; Lyssy, Behrens, Reese Page 3 of 14 RICHARD H. MEYER Calhoun County judge 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: richard.meyer@calhouncotx.org DECLARING A LOCAL STATE OF DISASTER WHEREAS, Calhoun County on the 10th day of January, 2024, has suffered widespread or severe damage, injury, or loss of life or property (or there is imminent threat of same) resulting from the ongoing Border Disaster Crisis and; WHEREAS, the Calhoun County Judge has determined that extraordinary measures must be taken to alleviate the imminent threat to citizens of Calhoun County and all agencies responding to this disaster and; NOW, THEREFORE, BE IT PROCLAIMED BY THE CALHOUN COUNTY JUDGE: 1. That a local state of disaster is hereby declared for Calhoun County pursuant to §418.108(a) of the Texas Government Code. 2. Pursuant to §418.018(b) of the Texas Government Code, the state of disaster shall continue for a period of not more than seven days from the date of this declaration unless continued or renewed by the Commissioners' Court of Calhoun County. 3. Pursuant to §418.018(c) of the Texas Government Code, this declaration of a local state of disaster shall be given prompt and general publicity and shall be filed promptly with the Calhoun County Clerk. 4. Pursuant to §418.018(d) of the Texas Government Code, this declaration of a local state of disaster activates the Calhoun County emergency management plan. This proclamation shall take effect immediately from and after its issuance. ORDERED this 101h day of January, 2024. ATTEST: �Vw w1 VW► ` Calhoun County Clerk 0011� Richard H. Meyer, Cou udge www.calhouncotx.org NO i ICE OF MEETING - 1_/10/2024 7. Consider and take necessary action to approve the contracts with the following awarded bidder for Asphalts, Oils and Emulsions, Bid Number 2024.03, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. Cleveland Asphalt Products, Inc. RESULT: APPROVED'[UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 14 CONTRACT go r vt THIS CONTRACT, made and entered into this 2.?- day of .l =1111 ,cJ 20 My by, and between the County of Calhoun (hereinafter called "County") and Cleveland Asphalt Products, INC. (hereinafter called "Contractor/Hauler"), W ITN ESS ETH: WHEREAS, the Contractor/Hauler did on November 30,2023, submit a BID for ASPHALTS, OILS AND EMULSIONS, Bid Number 2024.03 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Asphalts, Oils and Emulsions as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: I. Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; iii. Bid Specifications and Conditions; iv. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACTO HAULER (IN INK): LI-M DATE: 12/22/2023 INITIALS OF COUNTY (IN INK): DATE: 1110 2 d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all products/materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the products/materials ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said products/materials from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACTO AULER (IN INK): t DATE: 12/22/2023 INITIALS OF COUNTY (IN INK): DATE: d10174 IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed bytheir authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. CALHOUN COUNTY By: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 S Ann St 3rd Floor, Ste 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: Cleveland Asphalt Products, INC. Print Name: Clayton Moore Title: Sales Address: POBox1449 Shepherd, TX 77371 ATTEST: CALHOUN COUNTY CLERIC ANNAGOODMAN ,��i I �� �� 4 CERTIFICATE OF INTERESTED PARTIES FORM 71295 1of1 Complete Nos• 1- 4 and 6 if there are interested parties, OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2023-1106880 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Cleveland Asphalt Products, INC, Shepherd, TX United States Date Piled: 12f22f2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledgeda 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2024.03 Annual Supply Contract for Asphalts, Oils and Emulsions. A Name of interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is Clayton Moore and my date of birth is My address is Shepherd TX 77371 USA (street) (city) (state) (zip code) (country) I declare underpenalty of perjury that the foregoing is true and correct. Executed in San Tacinto County, State of Texas _, on the 2ndday of T)Pccmher , 20_2 _, (month) (year) signature of a0iorized agent of contracting business entity (Declarant) Forms provided by I exas Ethics Commission www.ethics.state.tx.us Version V3.5.1.flb8c3f1 CERTIFICATE OF LIABILITY INSURANCE '1 IF DATE(MMIDDIYYYY) 12127/2023. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the poltcy(ies) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsoment(s). PRODUCER Bowen, Miclette & Britt Insurance Agency, LLC 2800 North Loop West, Suite 1100 Houston TX 77092 CONTACT Montoya -NAME'PHON-Sara FAx - AIC No E#: 713-880-7100 Alc No,713-880-7166 AIL ADDRESS: smontoya@bmbinc.com INSURERIS) AFFORDING COVERAGE NAIC# INSURER A: Admiral Insurance Co 24856 INSURED Cleveland Asphalt Products, Inc. P O Box 7449 INSURER B: Everest Indemnity Ins CO 10851 INSURERC: Texas Mutual Insurance Company 22945 INSURER D: Shepherd TX 77371 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1814154994 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADOLSUBR POLICY NUMBER POLICYEFF MM/DD/YYYY) POLICY EXP IMMIDD[YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y FEI-PPL-211349-08 8/1=23 8/1=4 EACH OCCURRENCE I$1000.000 CLAIMS -MADE q OCCUR DAMAGE TRENmTED PREMISES Ee ouRence $ 300,000 MED EXP (Any one parson) $ 25,000 PERSONAL &ADV INJURY $1000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY ❑PRO- ECT LOC PRODUCTS - COMP/OP AGO $2,000.000 Is OTHER: B AUTOMOBILE LIABILITY Y Y CF3CA00331-231 8112023 Bl1/2024 COMBINED SINGLE LIMIT Ea accident $ 1000000 BODILY I NJURY(Per person) s ANY AUTO AUTOSNED X AUTOSULED I BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Peraccident $ HIRED AUTOS X NON -OWNED AUTOS A UMBRELLA LIAB X OCCUR Y N FEI-EXE-21850-08 8/1/2023 BHQ024 EACH OCCURRENCE $3,000,000 X AGGREGATE $ 3,000,000 EXCESS LIAB CLAIMS -MADE OED, RETENTION$ s , C WORKERS COMPENSATION AND EMPLOYERVUABIUTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? ❑Y „ NIA Y 010118211D „ 811=3 8/1I2020 X STATUTE OERH b E.L. EACH ACCIDENT $ ta00.000 E.L. DISEASE - EA EMPLOYEE $1.000.000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remadcs Schedule, maybe attached if more space is required) The following policy provisions end/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing the Contact Person as shown above, General Liability; Blanket additional insured Ongoing Operations perform #CG 20 26 07 04 Blanket additional insured Completed Operations perform #CG 20 37 10 01 Blanket waiver of subrogation per form #ECC-320-0712 See Attached... Calhoun County 211 S. Ann St., Suite 301 Port Lavaca TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED All ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: �c/f,/tea ADDITIONAL REMARSCHEDULE Page 1 of 1 AGENCY Bowen, Miclette & Britt Insurance Agency, LLC NAMED INSURED Cleveland Asphalt Products, Inc. P O Box 1449 Shepherd TX 77371 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Blanket primary/non-contributory per form #ECC-548-0317 Automobile: Blanket additional insured per form # CA 20 48 10 13 Blanket waiver of subrogation per form # ECA 24 503 02 14 Blanket primary/non-contributory perform #ECA 02 514 0121 Worker's Compensation: Blanket waiver of subrogation per form. #WC 42 03 04 B Excess: Blanket additional insured perform # EXS2000722 Blanket waiver of subrogation per form # EXS2000722. 0 ACORD 101 (2008101) © 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD Cleveland Asphalt Products, Inc. Endorsement Number; 13 This endorsement, effective 08l0112023 attaches to and forms a part of Policy Number FEI-PPL-21849-08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In consideration of an additional premium of $Applied, this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an Additional Insured. required to complete this in Section II � Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury', 'property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. All other terms and conditions under the Policy remain unchanged. CG 20 26 07 04 Copyright, Insurance Services Office, Inc„ 2004 Page 1 of-2 Cleveland Asphalt Products, Inc. Endorsement Number: 19 Additional Insured O - - ��. � ?� � iCompleted Operations Blanket This endorsement, effective 08/01/2023attaches to and forms a part of Policy Number FEI-PPL-21849-08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization; Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. Location And Description of Completed Operations: Those project locations where this endorsement is required by contract. Additional Premium: A lied (If no entry appears above, information required to complete this endorsement will be shown in the 6eclarations as applicable to this endorsement.) " Section If — Who is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and Included in the "products completed operations hazard". All other terms and conditions under the Policy remain unchanged. CG 20 37 10 01 ^ 0 ISO Properties, Inc., 2000 Page 1 of 1 NOTICE 01= MEETING — 1/10/2024 8. Consider and take necessary action to approve the contracts with the following awarded bidders for Road Materials Bid Number 2024.02, for periods January 1, 2024 thru December 31, 2024 and authorize the County Judge to sign all necessary documents. a. K-C Lease Service dba Matagorda Construction & Materials b. Marek & Marek Truck Wash dba Frank Marek Trucking c. Colorado Materials, LTD d. Vulcan Construction Materials, LLC e. MidTex Materials, LLC 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 14 CONTRACT THIS CONTRACT, made and entered into this 10 day of I(�,11UQ Y,YIp 20Qq by and between the County of Calhoun (hereinafter called "County") and mar{kMarek"ITruckwash'Uyic 1< 1^tl cc rl !c T F v 4k' r,(hereinafter called "Contractor/Hauler). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 28, 2023, submit a BID for ROAD MATERIALS, Bid Number 2024.02 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Road Materials as described in the Contract Documents. b) The Contract Documents shall include the following documents, and.this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; III.' Bid Specifications and Conditions; iv. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRA HAULER (IN INKl1 DATE: INITIALS OF COUNTY (IN INK): _,�� DATE: 1160 Zu� d) This contract is entered into subject to the following conditions; 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liagle for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay.. 3) The Contractor/Hauler, when required, must deliver all materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the material(s) ordered within twenty-fuur (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said material(s) from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such ,provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT//g/H,AULER (IN INK _ DATE: INITIALS OF COUNTY (IN INK): G�i� I DATE: I Itoll IN WITNESS WHEREOF, THE COUNTY AND CONTRACTORMAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to ail appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. CALHOUN COUNTY By: 4�- e�= Honorable Richard H. MeyeIV Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULIER; Print Name: La)- More' K- Title: -- Pf-{_ r z „ Address:.P. V, 6 o}c G Lj -1 El Ca � 7 t-I 3"7 CALHOUN COUNTY CLERK ANNAGOODMAN Complete Nos.: 1- 4 And 6 If there are interested parties, Complete Nos, 1, 2, 3, 5, and 0 if there are no interested parties. Name of business entity filing form, and the city, state and country of the of business, Marek & Marek Truck Wash, Inc. dba Frank Marek Trucking El Campo, TX United States Calhoun County, Texas the identification number used by the governmental entity or stateagency to track or ton of the services, goods, or other property to be provided under the contract. 2024.021/1124-12131124 Annual Supply Contract for Road Materials, Bid Number 2024,02 FORM 1295 1of1 Filed: contract, and provide a 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controliing Intermediary Marek, Frank El Campo, TX United States X Marek, Gloria El Campo, TX United States X Check only if there is NO Interested Party. M My name is ff C-fa. st K W . n &L C r je and my date of birth is My address is El C ar�npi:? j_ ? 7 l)! F} u (street) (naY) (siaec) (zip code) (country) I declare under penally of perjury that the foregoing is true and correct. Executed in (tCounty, $tale of , on the a8 day of r.--✓eC.:—, 20_.I?I. (month) (year) Signature of authorized agent of contracting business entity (Oedarant) Ethics CONTRACT THIS CONTRACT, made and entered into this day of ✓ 20 G•�"by, and between the County of Calhoun (hereinafter called "County") and s{-C Lease ServiM Inc DaA (hereinafter called "Contractor/Hauler"), WITNESSETH: WHEREAS, the Contractor/Hauler did on November 28, 2023, submit a BID for ROAD MATERIALS, Bid Number 2024,02 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Road Materials as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: i. Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; iii. Bid Specifications and Conditions,; iv. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically /provided for in such amendment. INITIALS OF AWARDED CONTRACT /HAULER (IN INK): /�— DATE: �/z:1 INITIALS OF COUNTY (IN INK): _ DATE: I D d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" rneans a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure° shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the material(s) ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said material(s) from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT R HAULER (IN INK): DATE: INITIALS OF COUNTY (IN INK): _ _ DATE: ° 10 12y IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copses of the original executed Contract will be distributed to all appropriate parties.. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY r By: nla Honorable Richard H. N6wr Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: Print Name: U 1egn C pr less Title: Address: 13ry 014y 7- -),?yry ATTEST: CALHOUN COUNTY CLERK ANNAGOODMAN By: dAu & lo� Print Name: Vvfj // // 10 CERTIFICATE OF INTERESTED PARTIES FoRm 1295 ( urrtpletc Not k. --4 and 6 if i1wiv me int, rostud panic", OFFICB USF OWY coa;plew NO$. 1. 2, 3 6 and 6 if thcfa uru no hueioytr d ptfnte<;. CERTIFICATION OF FILING i Nara of Wrlinoss entity tiling; form, and the city, state and country of Zito busatess entity's place Certificate Number; of business.. 2t)2:i-9.O4iO3f30 lc-Q [oasts `9ervlee, lets DBA MaWgur0a Com,irucdon & rih WN Iis f3;y tarty rY lJnitea st:iwflare Filed: 2 Name of governmental entity or state agency ,hat is a pony to ttie contract for vhia is iarin is t 11102202.3 being tiled Calhoun County Oate Achnowledged: i` Provide tire Identification number used by the govemmental entity or state ugancy to backer identity the contract, tend provide a descriptiot+ot the services, goods, or other property to he provided under the Contra" 2024,02 Rood Msteilral Nature of interest Notre of Interested Party City, state, Country (place of business) (check applicable) �,,, Contraliing intermediary Kwtskopt-5•uce Lauise, rx Unitec States x r 6 Check only it there is No interested Party, 6 UNSWORN DECLARA'nONt�-,�1t`� ��cc,,ee.. and my dake—off .n,. My name is„_._ 7„.,(jij_._t,,..Lt.Wt.lY_ 4y...EIM gbirth's_ r My address is, V/"fV ..._ ... (semetl - tYi r7tairt i-iA rsx ei sourSy4 t eleclare under panalty at perjury, that the forefining is true and COM?0, t' 7 J ? Executed in, .,..._..—MoJA Ror(3Cv-.--._.._ ._ County, State of —.. on tho G day of1170�.20 s . �—' t,,,amrt lvean jignPttVe of yyiehanz<�d agent At CantraGtir>;j business ftn5ty P darant) Farms provided by-rexas Ethics Commission wvrw.ethi'; state.tx.us Version V3,5.1.$ ,1 6, ce I4CLEASE-01 JAP1E CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/ODIYYVY) fl.l I�li�a /,90 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsampindki PRODUCER I CONTACT Janet Corson Texas Insurance & Financial Services, Inc. (PHONE 102 N. Washington St. i_(AJC No, Ext)(979) 793-2827 El Campo, TX 77437 E:.NA16__ iane4vinc rnm INSURED KC Lease Service, Inc Dba Matagorda Construction & Materials P. O. Box 428 Louise, TX 77455 COVERAGES r=PTIEIr ATE all laaREo. .. KEV.Snwii Calhoun County 202 S Ann St. STE B Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE �LJ J.v 1 V/Val ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CONTRACT THIS CONTRACT, made and entered into this 10 day of ay ay:MU 20_ by, and between the County of Calhoun (hereinafter called "County") and ( c-sr• NN2z -, (hereinafter called" Contractor/Hauler"). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 28, 2023, submit a BID for ROAD MATERIALS, Bid Number 2024.02 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Road Materials as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; iii. Bid Specifications and Conditions; iv. Bid Form; This instrument; and vi, Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically p Guided for in such amendment. INITIALS OF AWARDED CONTRAC R/HAULER (IN INK): DATE: I g `y INITIALS OF COUNTY (IN INK): DATE: 1 O 2 d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the material(s) ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said material(s) from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRAPR/HAULER (IN INK): DATE: 4 INITIALS OF COUNTY (IN INK): 6-4K DATE: IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY r By: Honorable Richard H. Mey Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: t II-0 Print Name: Title:'+9Gis Address: 7 a zy- ' ATTEST: CALHOUN COUNTY CLERK ANNAGOODMAN Ile CERTIFICATE OF INTERESTED PARTIES FORM 1295 1ef1 Complete Nos, 1- 4 and 6 if there are Interested parties. Complete Nos. 1.2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2024-1108266 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Colorado Materials, Ltd San Marcos, TX United States Date Piled: 01103/2024 2 Name of governmental entity or state agency that is a party to the contract r whit t e rill is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract, 2024.02 ROAD MATERIALS 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION rQ My name is " C `*ivy" and my date of birth is �r^ My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in i. `�" (.,- County, State of ti"s on the � ay of , 201 (month} (year) a o adthorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethicsstate.tx.us Version V3.5.1.f2b8c3t1 CONTRACT THIS CONTRACT, made and entered into this 10 day of j[1n 20�t by, and between the County of Calhoun (hereinafter called "County") and Vulcan Cons -uc-h cm (hereinafter called "Contractor/Hauler"). W ITN ESSETH: WHEREAS, the Contractor/Hauler did on November 28, 2023, submit a BID for ROAD MATERIALS, Bid Number 2024.02 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Road Materials as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; III, Bid Specifications and Conditions; iv, Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACT/HAULER (IN INK): DATE: INITIALS OF COUNTY (IN INK): _ DATE: { (0 2cI d) This contract is entered into subject to the following conditions: 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliver the material(s) ordered within twenty-four (24) hours from the time of the order or'the date and time specified by the County, the'County reserves the right to cancel the order and re -order the said material(s) from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACT /HAULER (IN INK): �_ DATE: !21 Z -20 INITIALS OF COUNTY (IN INK); _ DATE: 111017,0 IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed bytheir authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2024 and end on December 31, 2024. COUNTY: CALHOUN COUNTY By: _ Honorable Richard H. M er Calhoun County Judge Calhoun County Courthouse 2115 Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 C \O'NTRACTOR/HAULER: VJ`IrAV\ �Y� M l�kkMIUlj,Ur C By. Print Name: T;yyUY Title: Av-,uL\3ek Address: [001 Rtewg✓\ OO.Ce. SFe S00 &x-, -Ty 1Qul. ATTEST: CALHOUN COUNTY CLERK ANNAGOODMAN V0 , ..& PrintName: Smith Titlel can Uak CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos, 1- 4 and 6 if there are Interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties, CERTIFICATION OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number; of business. 2023-1097204 Vulcan Construction Materials, LLC San Antonio, TX United States Date Filed: 2 Name of governmental ent ty or state agency that is a party to the contract for which the form is 11/22/2023 being filed, Calhoun County Date Acknowledged; 3 Provide the identification number used by the governmental entity or state agency to track or Identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. _ 2024.02 Road Materials 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Vulcan Construction Materials, LLC San Antonio, TX United States X 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION My name is .�}�`t (X and my date of birth is . My address is m. )CAtn fAVIk(;; i() (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. mot' n Executed in hmratl County, State of i'��� , on the Z.Z day of V`�xl , 20-L j (month) (year) Signature of a prized agent of contracting business entity (Declarant) Forms proviaea try i exas emlcs commission www:ethics.state.tx.us Version V35.1.01381ab6 CONTRACT THIS CONTRACT, made and entered into this �_ day of j�,,;_,._ _ 20� by, and between the County of Calhoun (hereinafter called "County") and /7/r<JTa,�ff'�r^r.1'�S Gjt (hereinafter called"Contractor/Hauler"). WITNESSETH: WHEREAS, the Contractor/Hauler did on November 28, 2023, submit a BID for ROAD MATERIALS, Bid Number 2024..02 to be used by County Precincts in Calhoun County, Texas. NOW, THEREFORE, in consideration of the following mutual agreement and covenant, it is understood and agreed by and between the parties hereto as follows: a) The Contractor/Hauler is hereby granted the sole and exclusive right and privilege within the territorial Jurisdiction of the County and shall furnish all personnel, labor, equipment, trucks, and all other items necessary to perform all of the work and to deliver the Road Materials as described in the Contract Documents. b) The Contract Documents shall include the following documents, and this Contract does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract: I. Invitation to Bid, Instructions and Term of Contract; ii. General Conditions; 1, iii. Bid Specifications and Conditions; 1, iv. Bid Form; V. This instrument; and vi. Any addenda or changes to the foregoing documents agreed to by the parties hereto. c) All provisions of the Contract Documents shall be strictly complied with and conformed to by the Contractor/Hauler, and no amendment to this Contract shall be made except upon the written consent of the parties and approved by Calhoun County Commissioners Court. No amendment shall be construed to release either party from any obligation of the Contract Documents except as specifically provided for in such amendment. INITIALS OF AWARDED CONTRACT R/HAULER (IN INK); IJ DATE: � a INITIALS OF COUNTY (IN INK): _q DATE: I 0 d) This contract is entered into subject to the following conditions; 1) The Contractor/Hauler shall procure and keep in full force and effect throughout the term of this Contract all of the insurance policies specified in, and required by, the Contract Documents. 2) The Contractor/Hauler shall not be liable for the failure to wholly perform his duties if such failure is caused by force majeure. "Force Majeure" means a delay encountered by the Contractor/Hauler in the performance of its obligations under this Contract which is caused by an event beyond the reasonable control of the Contractor/Hauler. Without limiting the generality of the foregoing, "Force Majeure" shall include, but not restricted to the following types of events; acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. Any event constituting a Force Majeure must be reported by the Contractor/Hauler to the County in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. 3) The Contractor/Hauler, when required, must deliver all materials ordered by the County within twenty-four (24) hours from the time of the order or the date and time specified by the County. In the event the Contractor/Hauler is unable to deliverthe material(s) ordered within twenty-four (24) hours from the time of the order or the date and time specified by the County, the County reserves the right to cancel the order and re -order the said material(s) from the vendor which submitted the next lowest bid and can deliver within twenty-four (24) hours or the date and time specified by the County. 4) In the event that any provision or portion thereof of any Contract Document shall be found to be invalid or unenforceable, then such provision or portion thereof shall be reformed in accordance with the applicable laws. The invalidity or unenforceability of any provision or portion of any Contract Document shall not affect the validity or enforceability of any other provision or portion of the Contract Documents. INITIALS OF AWARDED CONTRACTOR/HAULER (IN INK): A S DATE: Z / INITIALS OF COUNTY (IN INK): Ae DATE: 110 m IN WITNESS WHEREOF, THE COUNTY AND CONTRACTOR/HAULER, have caused this Contract to be executed by their authorized agents in one original. Additional copies of the original executed Contract will be distributed to all appropriate parties. The effective date of this Contract will begin on January 1, 2074 and end on December 31, 2024, COUNTY: CALHOUN COUNTY By: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 S Ann Street 3rd Floor, Suite 301 Port Lavaca TX 77979 CONTRACTOR/HAULER: ^07P.v I By: / ..._ Print Name: Title: A4,y,4 c r W- Address: 2-" 'I3e sc / �' 7 ATTEST: CALHOUN COUNTY CLERK ANNA GOODMAN WOW )I Print Name: r 1 %I Title:,r� i� W I CERTIFICATE OF INTERESTED PARTIES FORM 1295 1or1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2,3, 6, and 6 if there are no interested parties, CERTIFICATION OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number: of business. 2023-1093836 Midtex Materials LLC FAYETTEVILLE, TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 11/13/2023 being filed. Calhoun County, Texas Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2024.02 Road Materials Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable( Controlling I Intermediary Midtex Materials, LLC Fayetteville, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is Aleg H s®'f /%f and my date of birth is ,��5q/�yy/ 9'7�^ My address is �L (,��f`� -/--t, �"' "' '/ (street) (city) (state) (zip code) country) I declare under penalty of perjury that the foregoing is true and correct. tg� 1 Executed in P'�1C_' County, State of >/ ✓ `� , on the day of1j66,4a. 2t J. �� (month) (year) ignature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us version vs.b,l.utsblaob #9 NOTICE OF MEETING - 1./10/2024 9. Consider and take necessary action to authorize Commissioner Behrens to sign the 2024 Maintenance contract with Hurt's Wastewater Management for Precinct 3 septic system. (JB) RESULT: APPROVED [UNANIMOUS] MOVER:. Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 14 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Fort Lavaca, Texas 77979 — Office (361) 893-5346 — Fax (361) 893-5309 Email: ioel.behrensna.calhouncotx.om Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for January 10, 2024. Consider and take necessary action to authorize Commissioner Behrens to sign the 2024 maintenance contract with Hurt's Wastewater Management for Precinct 3 septic system. Sincerely, Joel Behrens Commissioner Pct. 3 Date: 12/14/2023 To: Calhoun County Pct 3 24627 St. Hwy 172 Port Lavaca, TX 77979 Hurt's Wastewater Management, Ltd. P.O. Box 6621321 Hwy 172 Ganado, TX 77962 County: Calhoun Installer: Colin Marshall Agency: Victoria County Health Dept. - Environmental MfgIsland: Norweco960-500-SVP- -- Phone: (800) 841-3447 Fax: (361) 771-3452 www.hurtswastewater.com Contract Period Customer ID Start Date: 2/1212024 2832 End Date: 2/12/2025 71 Site: 24627 St. Hwy 172, Port Lavaca, TX 77979 Email: joel.behrens@calhouncotx.org Permit: 2008-173 Installed: 6/4/2008 Hurt's Wastewater Management, Ltd. ananty Expired: 6/4/2010 3 visits per year- one every 4 months Subdivision: .. Map Key: Terms of Maintenance Contract 1.) Three (3) inspections per year (at least one every 4 Months). Inspections include adjustment and servicing of the mechanical, electrical and other applicable components to ensure proper function. This includes inspecting the control panel, aerators and filters. Replacement/repair costs will be charged directly to the homeowner. A Hurt's Wastewater Management, Ltd. employee will visit the site within 48 hours of a problem being reported. Inspections may be performed anytime during the month they are due, with a two week grace period before and after the month the inspections are due. 2.) The homeowner is responsible for maintaining -a chlorine residual of at least 1.0 mg/L in the treatment system. This can be accomplished by using chlorine (calcium hypochlorite) tablets for systems designed with a tablet chlorinator. Swimming pool tablets must not be used in the aerobic system designed for chlorine tablets because they cause corrosion of the components of the system. At the time of a service inspection, the service representative will inform the homeowner if the chlorinator does not contain sufficient tablets or liquid chlorine (whichever is applicable) to effectively disinfect the wastewater. 3.) The required routine reporting of system operation and function to the local authority, as required by OSSF regulation, will be covered by the policy. Any additional visits, inspections or sample collections required by specific County Agencies, TCEQ or any other regulatory agency in your jurisdiction will not be covered by the policy. 4.) The contract may be voided if NON -BIODEGRADABLE MATERIALS are used in the system. 5.) All Commercial systems will have a BOD and TSS test performed annually. Additional charges will be charged to owner for BOD and TSS testing. This warranty is strictly limited to the above terms and does not include the cost of replacement components, chlorine or pumping of sludge build-up. The maintenance policy includes labor charges only for normal routine inspections and maintenance. Additional service calls are not covered by the policy. Service determined to be caused by abuse or neglect is not covered by the policy. Failure to pay for service call, labor, and/or replacement components not covered under warranty will void contract. VIOLATIONS include shutting off the electric current to the system for more than 24 hours, disconnecting the alarm system, restricting ventilation to the aerator, overloading the system above its rated capacity, introducing excessive amounts of harmful matter into the system, or any other form of unusual abuse. The homeowner agrees to provide Hurt's Wastewater Management Ltd. with all gate combinations, keys, etc. necessary to gain access to the system for the purpose of conducting routine inspections or service calls grior to the start date of this contract and notify Hurts Wastewater Management immediately with any changes and provide the new combinations or keys. By signing this form, both maintenance provider and homeowner agree to the terms of this policy. THIS POLICY DOES NOT INCLUDE PUMPING SLUDGE FROM UNIT IF NECESSARY. Please check your contract preference: 300.00 Service contract only; no chlorine (homeowner must install own chlorine) $375 00 Service contract with chlorine provided F11ease mctade yp payrnent_with e s geed contralti Home Owner: / y Mom' Date: % L7 %�. Phone: Hurt's Wastewater Management Ltd.: Date CERTIFICATE OF INTERESTED PARTIES FORM 1295 1011 Complete Nos, 1- a and 6 if there are Interested parties. OFFICE USE ONLY Complete Nos. 1. 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2024-1107626 Hurt's Wastewater Management, LTD Ganado, TX United States Date Filed: 01/02/2024 2 Name of governmental entity or state agency that is a party to the contract for which the Torn is being filed. Calhoun County PcL 3 Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract Permit: 2008.173 Septic Maintenance Contract 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name 1s Brad Hurt and my date of birth is - My address is mommommEftikim (street) (City) (state) (zip code) (country) I declare under penalty of pedury that the foregoing is true and correct. Executed inJackSOt1 County, State of TeXnS "a Idayof _fan ,20Z4_. F. J (.nA) (year) Sighs re of razed agent of contracting business entity eclaront) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.f1b8c3f1 #10 NOTICE OF MEETING - 1/1.0/2024 10. Consider and take necessary action to reappoint Liz Zarate to the Calhoun County Parks Board for the remaining 2024 term. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 14 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172^Olivia, Port Lavaca, Texas 77979 —Office (361) 893-5346 —Fax (361) 893-5309 Email: ioel.behrens@.calhonncotx.org Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for January10, 2024 Consider and take necessary action to reappoint Liz Zarate to the Calhoun County Parks Board for the remaining 2024 term. Sincerely, Joel Behrens Commissioner Pct. 3 1/2/2024 County County Precinct 3 Joel Behrens To Whom It May Concern: Please accept this as my official request to remain on the Precinct 3 Parks and Recreation committee for another term. Thank you for the opportunity to work with others to improve our parks in our home community. Sincerely, Liz Zarate #11 NOTICE OF MEETING 1/10/2024 11. Consider and take necessary action to appoint members of the Dispatch Advisory Board to manage the Emergency Communications Division (Combined Dispatch). (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES:'.Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 14 David E. Hall Calhoun County Commissioner, Precinct 41 202 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 January 10th, 2024. • Consider and take necessary action to appoint members of the Dispatch Advisory Board to manage the Emergency Communications Division (Combined Dispatch). Sincer I David . Hall DEH/apt Dispatch Advisory Board Shall be made up of participating entities* and not consist of elected officials: City of Port Lavaca Calhoun County Sheriff's Office Calhoun County EMS Port Lavaca Fire Calhoun County Volunteers Calhoun County ISD Seadrift PD Point Comfort PD 9-1-1 Chief of Police Sheriff's designee EMS Director Fire Chief President of Volunteer Association Chief of Police Chief of Police Chief of Police Director • A Participating entity is defined as one that helps fund the Emergency Communications Division (Combined Dispatch) budget through an interlocal agreement between the said entity and Calhoun County #12 I NOTICE OF MEETING— 7/10/2024 12. Consider and take necessary action to accept the following audit reports: a. Justice of the Peace, Precinct 1— Q3 — 2023 b. Justice of the Peace, Precinct 2 — Q1 Q2-Q3 — 2023 c. Justice of the Peace, Precinct 3 — Q3 2023 d. Justice of the Peace, Precinct 4 — Q3 2023 e. Juvenile Probation Department — Q3 2023 f. Waste Management — Q3 2023 g. DA Hot Check Fee Fund — Q3 2023 h. DA Hot Check Restitution Fund — Q3 2023 i. District Clerk — Q3 2023 j. EMS — Q3 2023 k. Floodplain Administration — Q3 2023 I. Justice of the Peace, Precinct 5 — Q3 2023 m. Museum — Q3 2023 n. Fairgrounds Facility Rentals — Q3 2023 o. POC Community Center Rentals — Q3 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 14 Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, -7X 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors November 29, 2023 Honorable Hope Kurtz Justice of the Peace Pct. 1 Port Lavaca, Texas 77979 Dear Judge Kurtz: I have completed an audit for your office records. The audit included an examination of reports, receipts and supporting documentation for the period of July 1, 2023 through September 30, 2023. In sampling the fees charged and documentation on citations issued, the following exceptions were noted: Three citations were not charged the $15.00 Time Payment Reimbursement fee as stipulated in CCP 102.030. It states, "A person convicted of an offense shall pay a reimbursement fee of $15 if the person pays any part of a fine, court cost, or restitution, or another reimbursement fee, on or after the 31' day after the date on which a judgement is entered assessing the fine, court cost, restitution, or other reimbursement fee." It is recommended the fee be added to citations once the first partial payment or any partial payment has been made on or after 311 day. One citations' $5.00 arrest fee had been miscoded. It states in CCP 102.011, "$5 for issuing a written notice to appear in court following defendant's violation of a traffic law, municipal ordinance, or penal law of this state..." It was found the citation was coded to the Sheriffs Office instead of Parks and Wildlife which lead to a shortage being sent to Parks and Wildlife. Twenty-one citations issued after January 1, 2020 had been coded to old OMNI codes, $6.00 OMNO and $4.00 OMNC, which are used for citations issued before January 1, 2020 along with $20.00 OMND. As stated in TC 706.006(a), all defendants that are issued citations after the revision of this statute in 2020, "who fail to appear for a complaint or citation for an offense..." are required to pay a single reimbursement fee of $10.00. Citations issued after January 1, 2020 are coded to OMNR having a single $10.00 fee since 100%of this fee now stays with the county. Due to these citations being coded to OMNO and OMNC the state received a portion of these fees. After speaking to your clerk it was stated citations are put into OMNI when issuing a warrant for arrest. However, the coding is done by LGS. It was stated LGS will be notified of these actions taking place to make sure this will be resolved for future cases. Five citations that were issued before January 1, 2020 had been coded to the new single OMNI code and fee, $10.00 OMNR instead of the codes and fees of $4.00 OMNC, $6.00 OMNO and $20.00 OMND. Due to these citations being coded to the new OMNI code the entire amount was kept by the county instead of additionally being charged the $20.00 OMND code and then sending the correct percentage to the state. After speaking to your clerk it was stated this will also be addressed when notifying LGS of citations not being coded consistently. After noting for the above, I found that nothing would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties —Justice of Peace Manual" as issued by the Comptroller of Public Accounts of the State of Texas. It appears the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I immensely appreciate the cooperation provided to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: ZM, 66� Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File CRISTINATUAZON ERICA PEREZ 202 S ANN SURE B OEMI CARRERA PORT LAVACA, TEXAS 71979 ALENIS CRUZ TELEPHONE 13611553-4610FAX0611553-4614 ASSISTANTAUOITORS November 13, 2023 Honorable Tad Dio Justice of the Peace Pct. 2 Port Lavaca, Texas 77979 Dear Judge Dio: I have completed an audit for your office records. The audit included an examination of reports, receipts and supporting documentation for the period of January 1, 2023 through June 30, 2023. In sampling the fees charged and documentation on citations issued, the following exceptions were noted: Two citations were missing the $15.00 Time Payment Reimbursement fee as stipulated in CCP 102.030. It states, "A person convicted of an offense shall pay a reimbursement fee of $15 if the person pays any part of a fine, court cost, or restitution, or another reimbursement fee, on or after the 3111 day after the date on which a judgement is entered assessing the fine, court cost, restitution, or other reimbursement fee." One citation was found to be open in the system and added the fee. It is recommended the fee be added to citations once the first partial payment or any partial payment has been made on or after 3151 day. One citation issued in 2022 was coded to old OMNI codes, $6.00 OMNO and $4.00 OMNC, which are used for citations issued before 2020 along with $20.00 OMND. As stated in TC 706.006(a), all defendants that are issued citations after the revision of this statute in 2020, "who fail to appear for a complaint or citation for an offense..." are required to pay a reimbursement fee of $10.00. These citations are coded to OMNR having a single $10.00 fee since 100% of this fee now stays with the county. Due to these citations being coded to OMNO and OMNC the state received a portion of these fees. It was found two MVBA payments (paid by one defendant) of $373.00 and $438.00 were posted in the December 2022 monthly report, however were not received from the collection agency. After speaking to your clerk it was noticed the deposit totaling $811.00 containing these payments sent by MVBA to your clerk to be approved, was not approved. While speaking to the collection agency's finance department, documentation was able to be presented showing MVBA was told only $230.00 was owed to your office and to refund the defendant the rest of the amount paid. It later showed the $230.00 paid was posted to a third ticket issued to this defendant in 2018. In this documentation it was also stated by your clerk that the payment of $373.00 was paid directly to the office as of 12-12-2022, however no proof of this payment was able to be found. Your clerk stated there was confusion when accepting deposits due to the amount of tickets the defendant had at the time therefore, the defendant did not pay $373.00 to the office. When researching, a fourth ticket was found for this defendant that was closec and paid in full by money orders in the last quarter of 2018. After speaking with the previous Justice of the Peace Judge for Pct. 2, new information was given being the defendant was arrested and served time in July 2022 which could be used as the form of payments in December for both the citations that were mistakenly posted. The previous Justice of the Peace Judge for Pct. 2 stated the system should show jail time served as the payments instead of credit card and your clerk will be getting in contact with LGS to have the system reflect this. Seeing that these citations have been closed in the system since December 2022 and the money has already been sent to the state, your office should take action to reconcile the payments however seems necessary. It is recommended to post MVBA payments after approving the correct deposits sent by the collection agency to make sure the balances for each citation are being collected accurately. After noting for the above, I found that nothing would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties —Justice of Peace Manual' as issued by the Comptroller of Public Accounts of the State of Texas. It appears the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I immensely appreciate the cooperation provided to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephan Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, DistrictAtty. Christy Dunn, Asst. District Atty. Hope Kurtz, Justice of the Peace Pct. 1 Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors December 11, 2023 Honorable Tad Dio Justice of the Peace Pct. 2 Port Lavaca, Texas 77979 Dear Judge Dio: I have completed an audit for your office records. The audit included an examination of reports, receipts and supporting documentation for the period of July 1, 2023 through September 30, 2023. In sampling the fees charged and documentation on citations issued, the following exceptions were noted: One citation issued in 2022 was coded to old OMNI codes, $6.00 OMNO and $4.00 OMNC, which are used for citations issued before 2020 along with $20.00 OMND. As stated in TC 706.006(a), all defendants that are issued citations after the revision of this statute in 2020, "who fail to appear for a complaint or citation for an offense..." are required to pay a reimbursement fee of $10.00. These citations are coded to OMNR having a single $10.00 fee since 100% of this fee now stays with the county. Due to these citations being coded to OMNO and OMNC the state received a portion of these fees. After getting in contact with LGS it has been said the OMNR code will be programmed to all citations issued a failure to appear after January 1, 2020. One citation that was issued before 2020 has been coded to the new single OMNI code, $10.00 OMNR instead of the divided codes of $4.00 OMNC, $6.00 OMNO and $20.00 OMND. Due to this citation being coded to the new OMNI code the entire amount was kept by the county instead of being charged the $20.00 OMND code and then sending the correct percentage to the state. LGS has stated they will be correcting the system for future citations. After noting for the above, I found that nothing would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties —Justice of Peace Manual' as issued by the Comptroller of Public Accounts of the State of Texas. It appears the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I immensely appreciate the cooperation provided to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, A&�� Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephan Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal --County Auditor Calhoun County Cristina Tuazon 202 S. Ann St'.suite B Demi Cabrera Erica Perez Port Lavaca; TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) SS3-4610 Fax (36I) SS3-46I4 Assistant Auditors December 14, 2023 Honorable Tanya Dimak Justice of the Peace Pct. 3 Port Lavaca, Texas 77979 Dearludge Dimak: I have completed an audit for your office records. The audit included an examination of reports, receipts and supporting documentation for the period of July 1, 2023 through September 30, 2023. In sampling the fees charged and documentation on citations issued, the following exceptions were noted: One citation was missing the $15.00 Time Payment Reimbursement fee as stipulated in CCP 102.030. It states, "A person convicted of an offense shall pay a reimbursement fee of $15 if the person pays any part of a fine, court cost, or restitution, or another reimbursement fee, on or after the 3111 day after the date on which a judgement is entered assessing the fine, court cost, restitution, or other reimbursement fee." One citation was able to be corrected in the system since the citation was not yet paid in full and closed. It is recommended the fee be added to citations once the first partial payment or any partial payment has been made on or after 31s' day. One deposit was not delivered to the Treasurer's Office within the required time frame. It states in CCP 103.004, "The commissioners court of a county with a population of less than 50,000 may authorize an officer who is required to deposit the money in the county treasury not later than the 15th day after the date that the money is collected." Due to the first dated receipt being 10/02/23, the deposit should have been delivered to the Treasurer's office on or before 10/17/23. • One citation that was issued in July was shown to have the final action of Dismissed —After Deferral, however there was no disposition date entered for the citation. It was said your office is still waiting on information from the defendant to be able to close the citation. It was stated your clerk will go through tickets for this year to see if they are missing Sheriff Office citation numbers and DPS ticket numbers since working in the new system and enter them accordingly. After noting for the above, I found that nothing would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties —Justice of Peace Manual' as issued by the Comptroller of Public Accounts of the State of Texas. It appears the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I immensely appreciate the cooperation provided to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: j Candice Villarreal County Auditor cc: Judge Stephan Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal -County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Derrti Cabrera Erica Perez Port Lavaca; 7X 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors December 12, 2023 Honorable Wesley Hunt Justice of the Peace Pct.4 Seadrift, Texas 77983 Dear Judge Hunt: 1 have completed an audit for your office records. The audit included an examination of reports, receipts and supporting documentation for the period of July 1, 2023 through September 30, 2023. In sampling the fees charged and documentation on citations issued, the following exceptions were noted: • One citation was not charged the $15.00 Time Payment Reimbursement fee as stipulated in CCP 102.030. It states, "A person convicted of an offense shall pay a reimbursement fee of $15 if the person pays any part of a fine, court cost, or restitution, or another reimbursement fee, on or after the 31" day after the date on which a judgement is entered assessing the fine, court cost, restitution, or other reimbursement fee." Due to the citation still pending in the system your clerk was able to add the fee. It is recommended the fee be added to citations once the first partial payment or any partial payment has been made on or after 315t day. • One citation was only entered to have a single fine amount of $258.00 without court costs or arrest fee added. Your clerk was contacted and made aware of the error. Due to the citation still pending in the system, your clerk was able to get in contact with LGS to fix the fees accordingly before any payment was made by the defendant. • One citation for the violation of "Fail to Reg Veh (Motr Carrier)" was entered to have a charge of $81.00 paying court costs. Your clerk stated it was judge's orders to only charge the court costs, however there is not documentation or notes showing these were judge's orders. It was stated the recommendation for having documentation was made after this citation was closed. • One monthly report was shown to have $20.00 in the Administration Fee FTA/FTP code, after calculation it was found $10.00 belonged to a citation issued in 2019. As stated in TC 706.006(a), all defendants that are issued citations after the revision of this statute in 2020, "who fail to appear for a complaint or citation for an offense..." are required to pay a single reimbursement fee of $10.00. However, since the citation was issued before the revision in 2020, it should have the previous OMNI fees of $6.00 OMNO, $4.00 OMNC and $20.00 OMND. Due to this citations being under the Administration Fee FTA/FTP, the entire amount was kept by the county instead of additionally being charged the $20.00 OMND code and then sending the correct percentage to the state. • One monthly report was shown to have $84.00 in the DPSC/Failure to Appear— OMNI code and $29.63 in the Administration Fee FTA/FTP code. After calculation it was shown $6.00 of the Administration Fee FTA/FTP code belonged to DPSC/Failure to Appear— OMNI code. It was noted there was an error when calculating the amounts while completing the monthly report. It is recommended to have documentation filed with citations that you choose to only charge court costs showing these are your orders. After noting for the above, I found that nothing would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties —Justice of Peace Manual" as issued by the Comptroller of Public Accounts of the State of Texas. It appears the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I immensely appreciate the cooperation provided to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephan Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal CountyAuditor Calhoun County Cristina Tuazon 202 S. Ann SG, Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors November 29, 2023 Mr. Luis Leija Juvenile Probation Department Calhoun County Courthouse Port Lavaca, Texas 77979 Dear Mr. Leija: I conducted an audit of the Juvenile Probation Department's Restitution and Supervisory Fee collections. The receipts and supporting documentation were examined for the dates July 1, 2023 through September 30, 2023. I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation your staff extended to me during the audit. If you have any questions, please do not hesitate to contact me at 553-4615. Respectfully Submitted, Cristina Tuazon J cc: Compliance Auditor Judge Stephen Williams County Judge Richard Meyer County Commissioners Approved by: Sara Rodriguez, District Atty. �� Arnold Hayden, Assistant District Atty. Auditor's File Candice Villarreal County Auditor 1" ERICAPEREZ DEMICABRERA 202 S ANN SURE B ALEXIS C89Z PORT LAVACA, TEXAS 77979 CRISTINATUAZON TELEPHONE (36115534610 FAX 13611553-4614 ASSISTANTAUDITORS November 01, 2023 Vern Lyssy Commissioner Precinct 2 5812 FM 1090 Port Lavaca, Texas 77979 RE: Waste Management 3rd Quarter Audit for 2023 Dear Commissioner Lyssy: I recently conducted an audit of the Waste Management Gate Collections. The receipts and supporting documentations were examined for the dates of July 01, 2023 through September 30, 2023. During the audit, the following exception was noted: There are three commercial customers who are not up-to-date on payments for their commercial accounts. The combined total of the three past due accounts for services rendered from July 01, 2023 through September 30, 2023 equals $260.00. After speaking with your on -site clerk, she mentioned she has no way of knowing if payments have been made since the payments are sent directly to your office manager. It was recommended that your on -site clerk copy your office manager when sending out invoices through email. This will allow your office manager to notate when the account will be past due, send out past,due invoices to the commercial customers, and if payment is still not made, suspend their account per the Calhoun County User Fee policy. It should also be noted, when establishing commercial credit accounts, it was agreed that duplicate receipts would be turned in weekly in order for our office to be able to conduct a timely account of all outstanding funds due to the county. There have been several instances were weeks will pass without any receipts being turned in even though the Landfill is being used by commercial customers. It is recommended that commercial receipts, including voided, be turned in weekly in order to keep accurate and apt records of all monies due to the county. After noting the above, I found nothing that would lead me to conclude the balances and collections for this period were not, in all material respects, appropriately charged, collected and remitted. If you have any questions concerning this audit, please feel free to contact me at (361)-553-4463. Respectfully submitted, U (, Pwv'�- Erica Perez Assistant Auditor Candice Villarreal County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Sara Rodriguez, District Attorney Arnold Hayden, Asst. District Atty. Auditor's File Cand " arreal � TOR c S CRISTINATUAZON ERICA PEREZ 202SARM SUITE R OEMICARRERA FORT LAVACA. TEXAS 71979 ALEXIS CRUZ TELEPHONE 13611553-4610FAM136115534614 ASSISTAMTAUOITORS November 20, 2023 Honorable Sara Rodriguez Criminal District Attorney Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Rodriguez: An audit was recently conducted of the District Attorney's Hot Check Fee Fund for the period of July 1, 2023 through September 30, 2023. 1 examined the reports, receipts and disbursements, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your Hot Check Fee Fund for this period were not, in all material respects, appropriately charged, collected and remitted. 1 appreciate the cooperation your staff extended to me during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4615. Respectfully Submitted, Cristin� � -- Assistant Auditor Approved By: Cam&,a, �&Mta ; Candice Villarreal County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Arnold Hayden, Asst. District Atty. Auditor's File Ca;8W1 real R S CRISTINATOAZON ERICA PEREZ 202 S ANN SUITE U UEMI CARRERA PORT IAUACA,TEAAS77979 ALEAISCRUZ TELEPHONE I3611553.4610FAX I3611553-4614 ASSISTANTAOOITORS November 20, 2023 Honorable Sara Rodriguez Criminal District Attorney Calhoun County Courthouse Port Lavaca, Texas 77979 Dear Ms. Rodriguez: N An audit was recently conducted of the District Attorney's Hot Check Restitution Fund for the period of July 1, 2023 through September 30, 2023. 1 examined the reports, books, receipts and disbursements, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your Hot Check Restitution Fund for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation your staff gave during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at 553-4615. Respectfully Submitted, X i Cristina Tuazon Compliance Auditor Approved by: , a.'L,.,& vw-&W Candice Villarreal County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Arnold Hayden, Asst. District Attorney Auditor's File i CRISTINA TUAZON ERICAPEREZ 202 S ANN SUITE R OENI CAR6ERA PORT IAVACA, TEXAS 77979 AEERIS CRUZ TELEPHONE 13611 553-4610EAX13611553.4614 ASSISTANT AUDITORS November 20, 2023 Honorable Sara Rodriguez Criminal District Attorney Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Rodriguez: An audit was recently conducted of the District Attorney's Hot Check Fee Fund for the period of July 1, 2023 through September 30, 2023. 1 examined the reports, receipts and disbursements, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your Hot Check Fee Fund for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation your staff extended to me during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4615. Respectfully Submitted, Cristin� � -- Assistant Auditor Approved By: r Camc x V �,�a� Oe & Candice Villarreal County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Arnold Hayden, Asst. District Atty. Auditor's File CRISTIRIITUAZON ERICA PEREZ 202 S ANN SUITE R OEM CABRERA PORT LAVACA, TEXAS 71979 ALEXISCRU1 TELEPHONE 13611553-4610 PAX 136115534614 ASSISTANTAUUITORS November 20, 2023 Honorable Anna Kabela District Clerk Calhoun County Courthouse Port Lavaca, Texas 77979 Dear Ms. Kabela: I recently conducted an audit of your office. The audit included an examination of the reports, books, and supporting documentation of the District Clerk's office for the period of July 1, 2023 through September 30, 2023. In this audit, a Minor Trust Account need current interest earned information in the Log Book. in our conversation, after pointing out the finding, your clerk called the bank to ask for the statement. The bank showed that the interest statement was mailed but was not received in your office. I suggested to ask the bank for another interest earned statement for your record and this was emailed to you and a copy was forwarded to me. I recommend to call the bank within two (2) weeks past the date of interest posting if the Bank Statement is not received. After noting the above, I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation you and your staff gave me during this audit. If you have any questions concerning the audit or if I can help in any way, please feel free to call me at 553-4615. Respectfully Submitted, Cristina Tuazon Assistant County Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Attorney Arnold Hayden, Asst. District Atty. Auditor's File CRISTINA P TUAEON BEMICABRERA 2023ANN ST, STE B ERICAPEREZ PINT IAVACA,TEXAS 77979 AEERIS CRUZ TELEPHONE 136115534610FAX13611553-4614 ASSISTANTA901TORS November 21, 2023 Dustin Jenkins, EMS Director Calhoun County EMS Port Lavaca, Texas 77979 Dear Mr. Jenkins: An audit was recently conducted of the EMS Department for the period of July 1, 2023 through September 30, 2023. I examined the reports, receipts, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your office for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation extended by your staff during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at (361) 553-4615. Respectfully Submitted, Cristina Tuazon J Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Sara Rodriguez, District Attorney Arnold Hayden, Assistant District Attorney Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St.iSuite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) SS3-4614 Assistant Auditors December4, 2023 LaDonna Thigpen Calhoun County Floodplain Administrator Calhoun County Courthouse Port Lavaca, TX 77979 Dear Ms. Thigpen: An audit was conducted of the Flood Plain receipts for the period of July 1, 2023 through September 30, 2023. 1 examined the receipts, permit logs, and took a sample testing of cash receipts. In this audit, there were some wrong and missing information found in some receipts. I recommend reminding your employee to be more diligent in writing Information on the receipts. After mentioning the above, I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. 1 appreciate the cooperation you gave me during this audit. If you have any questions please do not hesitate to contact me at 361-5534615. Respectfully Submitted, Cristina Tuazon Compliance Auditor Auditor (� proved by: Ap17 Candice Villarreal cc: County Auditor Judge Stephen Williams County Judge Richard Meyer County Commissioner Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's Office Candice .Villarreal ,County Auditor Calhoun County Cristiaa Tuazon 202 S. Ann St.,; Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone(361)553-4610 Far (361) 553-4614 Assistant Auditors December 14, 2023 Honorable Nancy Pomyka► Justice of the Peace Pct. 5 Port 0 Connor, Texas 77982 Dear Judge Pomykal: I have completed an audit for your office records. The audit included an examination of reports, receipts and supporting documentation for the period of July 1, 2023 through September 30, 2023. In sampling the fees charged and documentation on citations issued, the following exceptions were noted: One citation was not charged the $15.00 Time Payment Reimbursement fee, as stated in CCP 102.030, "A person convicted of an offense shall pay a reimbursement fee of $15 if the person pays any part of a fine, court cost, or restitution, or another reimbursement fee, on or after the 311 day after the date on which a judgement is entered assessing the fine, court cost, restitution, or other reimbursement fee." It is recommended the fee be added to citations once the defendant pays any part of their balance on or after the 31'L day. Two OCA reports were received out of the possible three being a 66.7% reporting rate. When running the monthly reports individually it was noticed the month of September was not uploaded. District clerks, county clerks, justice courts and municipal courts are required to submit reports and other information to various state agencies as well as other entities. As stipulated in 71.035(b) of the Texas Government Code and Chapter 171 of the Texas Administrative Code, it is required to submit court activity reports each month to the Texas Judicial Council. Due to the Texas Office of Court Administration's Court Activity Reporting and Directory System being an important resource for our auditors it is recommended to upload necessary reports monthly. One citation that was issued this year was entered to have the OMNI fees of OMNR $10.00 and OMNC $4.00 and OMNO $6.00. As stated in TC 706.006(a), all defendants that are issued citations after the revision of this statute in 2020, "who fail to appear for a complaint or citation for an offense..." are required to pay a single reimbursement fee of $10.00. It was stated LGS added the additional OMNR fee but failed to remove the others. Due to the citation still pending in the system your clerk was able to remove the incorrect OMNO and OMNC $10.00 being charged. On a monthly report it was shown to have $70.00 in the DPSC/Failure to appear— OMNI code. After calculation it was found $10.00 belonged to a 2023 citation which should have been coded to Administration Fee FTA/FTP since 100% now stays with the county. This is just a reminder to include AIIPaid reports with monthly reports when turned into the Auditors Office. After noting for the above, I found that nothing would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties —Justice of Peace Manual' as issued by the Comptroller of Public Accounts of the State of Texas. It appears the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I immensely appreciate the cooperation provided to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephan Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors November 29, 2023 Vicki Cox Calhoun County Museum 301 South Ann Street Port Lavaca, TX 77979 Dear Ms. Cox: An audit was conducted of the Calhoun County Museum for the period of July 01, 2023 through September 30, 2023. I examined the register tapes, weekly closeout reconciliations and deposits to the Treasurer's office for gift shop collections. During the audit the following exception was noted: On receipt #1225, the wrong item was listed as being sold. This caused the customer to be overcharged and made the item listed on the receipt short during a physical inventory count and the item that should have been listed over. We had to adjust the Museum Inventory List in order to take into account what was actually sold. It is recommended that all items and prices be verified with the Calhoun County Museum Gift Shop Inventory List prior to sale in order to reduce possible errors. After noting for the above, I found nothing that would lead me to conclude that the collections for this period were not, in all material respects, appropriately charged, collected, remitted, and reported. I appreciate the assistance and cooperation that you and your staff have given me during the audit. If you have any questions, please do not hesitate to contact me at (361) 553-4463. Respectfully Submitted, U.tK FKk1 Erica Perez 1" Assistant Auditor Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors November 21, 2023 Karen Lyssy, County Extension Agent Calhoun County Extension Service Port Lavaca, Texas 77979 Dear Mrs. Lyssy: I examined the Contract Agreements for Building Use and Corresponding Receipts for the period of July 1, 2023 through September 30, 2023. In this audit, an event was missed to log in the computer calendar. I recommend reminding the employee the importance of following the Rules and Regulations. This is not a finding, just a documentation that a Key Deposit was refunded to a customer that did not follow Calhoun County Commissioner's Court Rules and Regulations for Fairgrounds & Agricultural Building Facilities. The County does not refund any deposits if the Rules and Regulations are not followed. This Key Deposit refund was approved by you and RBI Commissioner. After noting for the above, I found nothing that would lead me to conclude that the balance and collections of the Extension Office Rental Deposits and Fees for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation your staff gave me during the audit. If you have any questions, please do not hesitate to contact me at 361-553-4615. Respectfully Submitted, ristina Tuazon cc: Compliance Auditor Judge Stephen Williams County Judge Richard Meyer County Commissioners A yroved by: Sara Rodriguez, District Attorney /; n _(° mawat Arnold Hayden, Asst. District Atty. b �. 1 l (i Auditor's Office Candice Villarreal County Auditor Erica Perez November 29, 2023 Honorable Gary Reese County Commissioner, Precinct 4 Seadrift, TX 77962 Dear Commissioner Reese: Candice Villarreal County Auditor Calhoun County 202 S. Ann St., Suite B Port Lavaca, TX 77979 T 553-4610 Fax (361) SS3-4614 Cristina Tuazon Demi Cabrera Alexis Cruz I recently conducted an audit of the Port O'Connor Community Center rental contracts for the period of July 1, 2023 through September 30, 2023. I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation you and your staff extended to me during this audit. If you should have any questions concerning this audit, please do not hesitate to contact me at (361) 553- 4615. Respectfully Submitted, Cristina Tuaz� Assistant Auditor Approved by: �"4. (A.. L Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Assistant District Atty. Auditor's File #13 NOT ICE OI- MEE I ING 1/10/2024 13. Consider and take necessary action to accept the following cash count reports: a. Treasurer — 12/15/23 b. Waste Management — 12/15/23 c. DA — 12/5/23 d. District Clerk — 12/15/23 e. Elections — 12/5/23 f. EMS — 10/8/23 g. Fairgrounds Facility Rentals — 12/8/23 h. Floodplain Administration — 12/5/23 i. Justice of the Peace, Precinct 1 — 11/15/23 j. Justice of the Peace, Precinct 2 — 11/20/23 k. Justice of the Peace, Precinct 3 — 12/13/23 I. Justice of the Peace, Precinct 4 — 12/14/23 m. Justice of the Peace, Precinct 5 — 12/13/23 n. Juvenile Probation — 11/15/23 o. Museum — 12/5/23 p. Sheriff — Buy Money — 11/15/23 q. Sheriff — 12/20/23 r. Tax Office — 12/15/23 s. Library — Main — 10/28/23 t. Library — Port O'Connor — 12/12/23 u. Library — Seadrift — 12/12/23 v. POC Community Center — 12/12/23 w. Adult Detention — 12/20/23 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, CommissionerfPct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 14 Candid Villarreal County ,Auditor Calhoun County Cristina Tuazon 202 S. Ann S4; Suite B Dent! Cabrera Erica Perez Port Lavaca;=TX 77979 Alexis Cruz First Assistant Auditor Telephone (36l) 553 4610 Fax (36l) 553-4614 Assistant Auditors December 15, 2023 Honorable Rhonda Kokena County Treasurer 201 West Austin Street Port Lavaca, Texas 77979 Dear Mrs. Kokena: In accordance with Local Government Code Chapter 115, a cash count of funds received by your office was conducted on December 15, 2023. The cash count of office funds totaled $705,148.79. When reconciled to the corresponding documentation and treasurer receipts for Fees and Fines and the General Fund, the funds were found to be in balance and no exceptions were noted. A cash count was also conducted on the Jury Pay imprest fund which has been authorized for $5,000.00. The Jury Pay funds on hand totaled $4,300.00. When reconciled with the jury pay cash drawer reconciliation sheets totaling $700.00 the funds were found to be in balance with no exceptions noted. Thank you and your staff for the assistance and cooperation extended during our cash count. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by - Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Arty. Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca,, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-46I0 Fax (361) 553-4614 Assistant Auditors December 15, 2023 Honorable Vern Lyssy County Commissioner, Precinct 2 Calhoun County Waste Management Port Lavaca, Texas 77979 Dear Commissioner Lyssy: In accordance with Local Government Code Chapter 115, a cash count was performed on your office funds on December 15, 2023. Your office has been authorized funds totaling $250.00. The cash count totaled $453.00. When reconciled with receipts 17788 through 07803 totaling $203.00, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: eob& Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tnazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, -TX 77979 Alexis Cruz First Assistant Auditor Telephone (36l) 553-4610 Fax (361) 553-4614 Assistant Auditors December 5, 2023 Honorable Sara Rodriguez Criminal District Attorney Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Mrs. Rodriguez: In accordance with Local Government Code Chapter 115, a cash count of your office fund was conducted on December 5, 2023. The office fund consists of an authorized petty cash fund of $100.00. The cash count of your office funds totaled $100.00, therefore the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Christy Dunn, Asst. District Atty. Auditor's File Candice Villarreal Catunty Auditor Calhoun County Cristina Tuazon 202 S. Ann St.., Suue B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors December 15, 2023 Honorable Anna Kabela Calhoun County District Clerk Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Kabela: In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on December 14, 2023. Your office has been authorized change funds totaling $125.00: (5) cash drawer change funds with $20 each and (1) cash drawer change fund with $25. The cash count of your funds totaled $58.00 with credit card/e-file transactions totaling $3666.25. When reconciled with receipts for the week totaling $3699.25, the funds were found to be in balance and no exceptions were noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, 76e "� I � Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice. Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann Sh, Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361} 553-4610 Fax (36I} 553-4614 Assistant Auditors December 5, 2023 Mary Orta Elections Administrator Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Orta: In accordance with Local Government Code Chapter 115 a cash count of your office funds was conducted on December 5, 2023. The cash count of your office totaled $0: no receipts were taken at the time the audit was conducted. Thank you for the assistance and cooperation your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, 71-41 �+� Alexis Cruz Assistant Auditor Approved by: Cjte,6 V a v w6bi Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Christy Dunn, Asst. District Atty. Auditor's File Candice Villarreal - County Auditor Calhoun County Cristina Tuazon 202 S. Ann St,:Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-46I0 Fax(361) 553-4614 Assistant Auditors October 8, 2023 Dustin Jenkins EMS Director Calhoun County EMS 705 Henry Barber Way Port Lavaca, Texas 77979 Dear Mr. Jenkins, In accordance with Local Government Code Chapter 115 a cash count of your office funds was conducted on October 8, 2023. The count of funds totaled $5,669.63 in checks; when reconciled with the payment log totaling $5,669.63, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, •76W y� Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, -TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (36I) 553-4614 Assistant Auditors December 8, 2023 Karen Lyssy County Extension Agent Calhoun County Extension Service County Road 101 Port Lavaca, Texas 77979 Dear Mrs. Lyssy: In accordance with Local Government Code Chapter 115, a cash count of funds collected by your office for Fairground Facility Rentals was conducted on December 8, 2023. The cash count of your funds totaled $0; no receipts were taken at the time the audit was conducted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz v Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal CountyAuditor Calhoun County Cristina Tuazon 202 S. Ann St.,: Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephaxe (361) 553-4610 Fax (36I) 553-4614 Assistant Auditors December 5, 2023 LaDonna Thigpen Calhoun County Floodplain Administrator Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Thigpen: In accordance with Local Government Code Chapter 115 a cash count of your office funds was conducted on December 5, 2023. The cash count of our funds totaled $120.00. When reconciled with receipts 925827 through 925828 totaling $120.00, the funds were found to be in balance with no exceptions noted. Thank you for your assistance and cooperation you extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: AM4�cG Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Arty. Christy Dunn, Asst. District Atty. Auditor's File CANDI REAL CRISTINA P TUAZON OEMICABRERA 202 S ANN ST, STE B ERICA PEREZ FORTLAUACA, TEXAS71979 ALEXIS CRUZ TELEPHONE 13611553-4610FAX 136115534614 ASSISTANT AUDITORS November 15, 2023 Honorable Hope D. Kurtz Justice of the Peace Precinct 1 201 West Austin Street Port Lavaca, Texas 77979 Dear Judge Kurtz In accordance with Local Government Code Chapter 115 a cash count of your office funds was conducted on November 14, 2023. The cash count of your office funds totaled $110.00 with credit card transactions totaling $2,795.50. When reconciled with receipts 33706198 through 33706213 totaling $2,905.50 the funds were found to be in balance with no exceptions noted. A cash count of your petty cash fund authorized for $50.00 was also conducted. Your petty cash funds on hand totaled $50.00, therefore, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4613. Respectfully Submitted, Demi Cabrera Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. CAI ..Wuu KaRD PEGGY HALL CRISTINATUAZON 202 S. UITE B DEMI CABBERA PORT LAVACA, TEXAS 77979 ERICA PEREZ TELEPHONE 136115534610 FAX 136115534614 ASSISTANT AUDITORS November 20, 2023 Honorable Thomas Dio Justice of the Peace Precinct 2 201 West Austin Street Port Lavaca, Texas 77979 Dear Judge Dio In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on November 14, 2023. The cash count of your office funds totaled $684.80 with credit card transactions totaling $1,597.30. When reconciled with receipts 3427877 through 3427885 totaling $2,281.60, the funds were found to be over $0.50. The overage will need to be included with your next deposit. A cash count of your petty cash fund was also conducted. The petty cash fund consists of an authorized sum of $200.00. Your petty cash funds on hand totaled $200.00; therefore, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation extended by you and your staff during our cash count. Respectfully Submitted, �awu Ccl��wtc� Demi Cabrera Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal County -Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca'TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax(361) 553-4614 Assistant Auditors December 13, 2023 Honorable Tanya Dimak Justice of the Peace Precinct 3 PO Box 543 Point Comfort, TX 77978 Dear Judge Dimak: In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on December 13, 2023. Your office has been authorized a petty cash fund of $50.00. At the time of our arrival, no funds had been taken in and all receipts were accounted for. The cash count of your petty cash funds totaled $50.00, therefore for the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation your staff extended during the cash count. Respectfully Submitted, Alexis Cruz Wyw� Assistant Auditor Approved by: CW�tu 60toL� Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Arty. Arnold Hayden, Asst. District Atty. Auditor's File Candice. Villarreal County Auditor Calhoun County Crislina Tuazon 202 S. Ann St,.Suile B Deml Cabrera Erica Perez Port Lavaca, --TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 353-4610 Fax (361) 553-4614 Assistant Auditors December 12, 2023 Honorable Wesley Hunt Justice of the Peace, Precinct #4 PO Box 520 Seadrift, TX 77983 Dear Judge Hunt: In accordance with Local Government Code Chapter 115, a cash count of your office fund was conducted on December 12, 2023. The count of your office totaled $445.00 in credit card transactions. When reconciled with receipts 63945575 through 63945576 totaling $445.00, the funds were found to be in balance and no exceptions were noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Arty. Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St. -Suite B Demi Cabrera Erica Perez Port Lavaca, IX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors December 12, 2023 Honorable Wesley Hunt Justice of the Peace, Precinct #4 PO Box 520 Seadrift, TX 77983 Dear Judge Hunt: In accordance with Local Government Code Chapter 115, a cash count of your office fund was conducted on December 12, 2023. The count of your office totaled $445.00 in credit card transactions. When reconciled with receipts 63945575 through 63945576 totaling $445.00, the funds were found to be in balance and no exceptions were noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Cll,Gl Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Cristina Tuazon 202 S. Ann&j Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 55- ---0 Fax (361) 553-4614 Assistant Auditors December 13, 2023 Honorable Nancy Pomykal Justice of the Peace, Precinct #5 P. O. Box 446 Port O'Connor, Texas 77982 Dear Judge Pomykal: In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on December 13, 2023. Your office has been authorized a change fund of $25.00. The cash count of funds totaled $25.00; therefore, the funds were found to be in balance with no exceptions noted. The cash count of funds totaled $300.00 with credit cards. When reconciled with receipt number 378106 totaling $300.00, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: / t �14% /i Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. Dist. Arty. Auditor's File CAI CRISTINATUAZON ERICA PEREZ 202 S ANN SUITE B BEMI CABRERA PORT LAVACA, TEXAS 71979 ALEXIS CRUZ TELEPHONE 136115534610 FAX 136115534614 ASSISTANTAUUITORS November 15, 2023 Mr. Luis Leija Juvenile Probation Department Calhoun County Courthouse Annex I Port Lavaca, Texas 77979 Dear Mr. Leija: In accordance with Local Government Code Chapter 115, a cash count of funds collected by your office was conducted on November 14, 2023. The cash count of funds totaled $95.00. When reconciled with receipt 2704 totaling $95.00, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4613. Respectfully Submitted, /-) A r Cr ) Demi Cabrera Assistant Auditor Approved by: 61 Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice'Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (36I) 553 4610 Fax (36I) 553-96I4 Assistant Auditors December 5, 2023 Vicki Cox Calhoun County Museum 301 S. Ann Street Port Lavaca, Texas 77979 Dear Ms. Cox: In accordance to Local Government Code Chapter 115, a cash count of the funds collected in the Museum Gift Shop was conducted on December 5, 2023. The Gift Shop has been authorized change funds totaling $25.00. The cash count totaled $25.00: no receipts were taken at the time the audit was conducted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Christy Dunn, Asst. District Atty. Auditor's File CAI 1411 CRISTINATUAION ERICA PEREI 202 S ANN SUITE R UEMI CARRERA PORT LAVACA. TEXAS 77979 ALENIS CRUZ TELEPHONE 13611553-4610FAN13611553-4014 ASSISTANTAUOITORS November 15, 2023 Honorable Bobbie Vickery Calhoun County Sheriff Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Sheriff Vickery: In accordance with Local Government Code Chapter 115, a cash count of the Narcotics Buy Money fund was conducted on October 23, 2023. The cash count of your funds totaled $4,820.00. When reconciling with the balance at the end of the log sheet (receipt #711356) of $4,820.00, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4613. Respectfully Submitted, OQ,W OCLUALkl-� Demi Cabrera Assistant Auditor Approved by: '1 LG�/I'l0�(u ,cQ-La-/"& Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File CARD I RREAL OR c s CRISTINATUAZON ERICAPEREZ 202 SANN SUITE R OEMI CARRERA PORT LAVACA, TEXAS 71979 ALEXIS CRUZ TELEPHONE (36115534610FAX13611553-4614 ASSISTANT AUDITORS November 15, 2023 Honorable Bobbie Vickery Calhoun County Sheriff Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Sheriff Vickery In accordance with Local Government Code Chapter 115, a cash count of the funds collected in your office was conducted on October 23, 2023. Your petty cash fund consists of an authorized sum of $100.00. The cash count of your petty cash fund totaled $100.00; therefore, the funds were found to be in balance and no exceptions were noted. The cash count of the front office box totaled $5.00, when reconciled with receipt 65855 totaling $5.00, the funds were found to be in balance. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4613. Respectfully Submitted, amCA)tercc� Demi Cabrera Assistant Auditor Approved by: U�- Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann :$f; Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 5S3-4610 Fax (361) 553-4614 Assistant Auditors December 15, 2023 Honorable Kerri Boyd, Tax Assessor -Collector Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Boyd: In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on December 14, 2023. Your office has been authorized funds totaling $1,800.00: four cash drawer change funds of $100.00 each, office change fund of $500.00, vault change funds of $890, and petty cash monies in the amount of $10.00. The cash count of Workstation ID90 cash drawer change fund of $100.00 totaled $17,558.13 with credit cards totaling $1,278.49. When reconciled with the payment report totaling $18,736.62, the funds were found to be in balance with no exceptions noted. The cash count of Workstation ID#100 cash drawer change fund of $100.00 totaled $405.55 with credit cards totaling $152.44. When reconciled with the payment report totaling $457.99, the funds were found to be in balance with no exceptions noted. The cash count of Workstation I13#200 cash drawer change fund of $100.00 totaled $1,111.00 with credit cards totaling $1419.23. When reconciled with the payment report totaling $1,319.23, the funds were found to be in balance with no exceptions noted. The cash count of Workstation ID#250 cash drawer change fund of $100 totaled $153.00 with credit card transactions totaling $22.88. When reconciled with the payment report totaling $75.00 and credit card fees totaling $0.88, the funds were found to be in balance with no exceptions noted. The count of the Web Dealer workstation totaled $22,582.63. When reconciled with the payment report totaling $22,582.63, the funds were found to be in balance with no exceptions noted. The cash count of the office ($500) and vault ($890) change funds totaled $1,395.00, therefore the funds were found to be $5.00 over. The cash count of petty cash funds totaled $132.19, when reconciled with the over/short log totaling $121.43, the funds were found to be 0.76 over. The following day a new report was provided revealing an error made on the previous report. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Candice .Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors October 8, 2023 Dina Sanchez Calhoun County Library Port Lavaca, Texas 77979 Re: Port Lavaca Library Dear Ms. Sanchez: In accordance with Local Government Code Chapter 115, a cash count of your office funds was conducted on October 8, 2023. Your office has been authorized funds totaling $150.00: petty cash in the amount of $50.00, an office change fund of $80,00, and a cash drawer change fund of $20.00. The cash count of your petty cash funds totaled $40.01. When reconciled with petty cash receipts totaling $10.46, the funds were found to be over $0.47, it is recommended the $0.47 be included in your next deposit as a donation. The cash count of the change fund totaled $80.00; therefore, the funds were found to be in balance with no exceptions noted. The cash count of the front cash drawer change fund totaled $114.24. When reconciled with the collection logs totaling $114.24, the funds were found to be in balance with no exceptions noted. The cash count of the funds for the days prior totaled $161.39. When reconciled with the collection logs totaling $161.39, the funds were found to be in balance with no exceptions noted. Thank you for you and your staffs assistance and cooperation extended during the cash count. Respectfully Submitted, Alexis Cruz � Assistant Auditor Approved by: C/e�j U L{ (0'41va'e' Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Candice Villarreal County Aui#t or Calhoun County Cristina Tuazon 202 S. Ann St; Suite B Demi Cabrera Erica Perez Port Lavacd"TX 77979 Alexis Cruz First Assistant Auditor Telephone(M 5534610 Fax(361)553-4614 Assistant Auditors December 12, 2023 Dina Sanchez Calhoun County Library Port Lavaca, Texas 77979 RE: Port O'Connor Library Dear Ms. Sanchez: In accordance to Local Government Code Chapter 115, a cash count of the funds collected in the Port O'Connor Library was conducted on December 12, 2023. The library has been authorized change funds totaling $20.00. The cash count totaled $22.70. When reconciled with the collection logs totaling $2.70, the funds were found to be in balance with no exceptions noted. The cash count of the funds collected on prior days totaled $33.85. When reconciled with the collection logs totaling $33,85, the funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz " Assistant Auditor Approved by: Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal County Auditor Calhoun ,County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca,''TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553-4610 Fax (361) 553-4614 Assistant Auditors December 12, 2023 Dina Sanchez Calhoun County Library Port Lavaca, Texas 77979 RE: Seadrift Library Dear Ms. Sanchez: In accordance to Local Government Code Chapter 115, a cash count of the funds collected in the Seadrift Library was conducted on December 12, 2023. The library has been authorized change funds totaling $20.00. The cash count of your office totaled $29.40. When reconciled with the collection logs totaling $9.40, there funds were found to be in balance with no exceptions noted. Thank you for the assistance and cooperation you and your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: C Ct Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Arty. Arnold Hayden, Asst. District Atty. Auditor's File e Villarreal my Auditor Cristina Taazon 202 S. Amr St., Suite B Demi Cabrera Erica Perez Port Lavaca,''& 77979 Alexis Cruz First Assistant Auditor Telephone = 553-4610 Fax (361) 553-4614 Assistant Auditors December 13, 2023 Honorable Gary Reese County Commissioner, Precinct 4 Seadrift, Texas 77979 RE: Port O'Connor Community Center Dear Commissioner Reese: In accordance with Local Government Code Chapter 115 a cash count of your office funds was conducted on December 13, 2023. At the time of our arrival, no funds had been taken in and all receipts were accounted for. Thank you for the assistance and cooperation your staff extended during the cash count. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: &MZ4(�P- Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Arty. Arnold Hayden, Asst. District Atty. Auditor's File Candice Villarreal County Auditor Calhoun County Cristina Tuazon 202 S. Ann St., Suite B Demi Cabrera Erica Perez Port Lavaca, TX 77979 Alexis Cruz First Assistant Auditor Telephone (361) 553 46I0 Fax (361) 553-4614 Assistant Auditors December 20, 2023 Honorable Bobbie Vickery Calhoun County Sheriff Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Sheriff Vickery In accordance with Local Government Code Chapter 115, a cash count of funds collected by the Adult Detention Center was performed on December 20, 2023. The cash drawer consists of an authorized sum of $100.00. The count of the cash drawer for outgoing Commissary funds totaled $97.00. When reconciled with drawer receipt 3031 totaling $3.00, the funds were found to be in balance with no exceptions noted. The cash count of funds collected for Commissary accounts and Cash Bond accounts totaled $113.00 with checks and money orders totaling $31.49. When reconciled with receipts 103628 through 103630 totaling $129.49 and receipt 19708 totaling $15.00, the funds were found to be in balance with no exceptions noted. If you have any questions, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: Cp �Vi,Q mKaQ Candice Villarreal County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Arnold Hayden, Asst. District Atty. Rachel Martinez, Jail Administrator Auditor's File #14 ' NOTICE OF MEETING—1/10/2024 14. Accept Monthly Reports from the following County Offices: I. Justice of the Peace, Precinct 5 — December 2023 ii. Floodplain Administration — December 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 14 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 December 2023 Development Permits Report For Commissioners Court: 01/10/24 New Homes - 6 Renovations/Additions -1 Mobile Homes - 0 Boat Barns/Storage Buildings/Garages -1 Commercial Buildings/RV Site - 0 Tank - 0 Fence - 0 Pool-0 Drainage- 0 Pipeline - 0 Sandpit - 0 Total - 8 Total Fees Collected: $480.00 Receipt No: 925827,925828,925829,925830,925831,925832,925833,925834 Mae Belle Cassel From: Jana.Gregory@calhouncotx.org (Jana Gregory) <Jana.Gregory@calhouncotx.org> Sent: Tuesday, January 2, 2024 2:48 PM To: maebelle.cassel@calhouncotx.org; anna.kabela@calhouncotx.org Subject: December 2023 Distribution Report Attachments: doc00463320240102102807.pdf Good morning and Happy New Year! Please see attached the December 2023 Distribution Report. Happy New Year! Ja4ia, (i''epryi-y Court Clerk to Justice of the Peace Pct. 5 Calhoun County, Texas 361-983-2351 ph. 361-983-2461 fax. jana.gregory@calhouncotx.org Calhoun County Texas m W m m J J J 0 R� n W U1 `YL? R ON rt RJ rt Y 0Z N W m d z N R M N Z N O k N a O w o no a M m w o M 1 2 1 a• N 0. K W 0. W 'Tl W �. N Q W ''n N •'Y N LNp z W W H W N •'b N O (z] C' O W W p � 3 bl M � id M O O W W W W W W W W W W H 61 H H W O lD m Y O O O N W 4� 0 m H Y H on yy 3w Cn ylOf "9 5yn1 O tw'1 A �0 i n N W O W N W Y H Y Y Y N N 00 O O O O d a O O O U1 N H W O W m W J K N q N w iG Ol Y N � Y Y V O W tp O O Y Y .O O pwj tr� H O Y \p N \p Y O O N O Y 40 N N N O O O N O ��O gm pgW n N O W O H J {P O p p O O O O O O O O O W N W O O ya p m m Y W O N J O W m N N W Y O O O LP O N O O O O O O O O rj �9A W W W W J J J J m m m m Oros H�QJ N o-' Y [pp[++II O o C Z e n 4 N A N O o O o 2 w R.Ow 0 n qw 0 O � 1 '.O o o 'S 01 x W Z J � H � P w w ro i on 0 cCn � C z Y Y c°a Y H N \ 7J H N O N N \ N O N W \ \ H N N N y N O N W O N W O N W o N W 'V M N Y N a W N 0 o m o 0 w o 0 H n n � N 0 W m O O a O O Y O O n f01 p a O O Y Y Y a N O o m o ti n Z W m C {T 0 0 .nl n C H r IPO ((O]] Mb HN yC1N Vroi !roil CCO N4CJ LO" AA(m'] L�+J3 C7bJ yxbZ In-ln C� I"Cb� H 000 Z ZL�eV� IH-I [r�J �m 51'%im N�m m oOO �n5z2KrZ n nlb] O OH61 O L*n1HCm LO+'M+170Hx+ OHHH w m HO H;V O KC OOH gHg IpZ 'b mnOO.E G1N�Nro Y� •q HOH NO N RJ yl 0 0 O z 7J H K m m m H \\ M C O m m mCg m ro C r b Z m r o N po wH G7i Uri Nmmm t+l PN]L�9 KHLN+1 [Ns1 nC� HNm o aoa N S b 11 1 A �A H z m s1 n H IY H O H gg N ��JJ N N m p, 0 z m 3 ro 0 0 Z .000 H "OW n n v mKmz m \1° r [H^M O H a� mm m Mym cm ^] rr 00o zzzzzzzzzzzzzzzzzzzzzz 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 em"t""r G]4]NG]L] Ct G14141 GT W 4]G1 Gl G1 G)G) NG1 G147 G1 r r r r r r r r r r r r r r r r r r r r r r Ono n 0 0 0 0 0 n n n O n O O n O O n O n n O n 0000000000000000000000 L0�9M N LOi LOL NL09409 ta•1 Ca]M lbl m M M W L�J ta9 NL��1 [�'1 [��][d•][�+] M N W O O O O O O W rn O a N W N m p\ N a N a Y O Oo �O O O Ip T N l0 Y W W V1 O lA N u H N N O1 �O O O O N N N p� Y UI i O a O 4� W pf I,n N O Of O O O O O U� . O1 O O O O O O O O O N O O O W O O O O O O N O O O a N F• O o O O O O d O O O O O 01 O O (n O O O O1 H b W W Y J N O O O O N Y N N W N W a W a W t+ Y O W O N a N w a m O O O O O p J tp N W O W �O p� 1p O N O� O 1p O O O O t0 W O W O\ Y O Y W 000 O O O O O O O O O O O O O O O O O O O O O O O O O O o O p d o 0 o 0 0 0 o p P o 0 0 0 0 0 0 0 0 0 0 Y o W w W W O W N N O a Y N Y o Ol N O O N O N O W W N O W 01 O N a N a a p� J O 0 0 0 N O W O O a O W W O m N O� Y a H O W 10 a 0 a J N N F Y O O J m tD N W N Y a O W W O W O N N p p {n V O O N O O W O b Y O 0 0 0 O O O �O N O W O 10 10 O O �O O O O N O O M O J O O O O UI Of O O 01 O O N O l9 01 O O N a O O O O O O� O (ll �p m 0 #15 NOTICE OF MEETING—1/10/2024 15. Consider and take necessary action to amend the 2024 District Attorney Forfeiture Fund budget in the amount of $6147.52 to cover salary supplements and FICA for William A. White and Trevor A. Finster. also the amount of $1,000.00 to cover expenditures such as civil citation fees in asset forfeitures. RESULT:' APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 .SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 14 SARA M. RODRIGUEZ CALHOUN COUNTY CRIMINAL DISTRICT ATTORNEY Christy Brown Dunn, First Assistant CDA Arnold K. Hayden, Assistant CDA W. A. (Bill) White, Assistant CDA Randy R. Crider, Investigator Trevor A. Finster. Assistant CDA Alicia F. Gonzales. Victim Asst. Coordinator January 4, 2024 Hon. Richard Meyer Calhoun County Judge Calhoun County Commissioners Court RE: Forfeiture Fund Dear Richard Meyer and Commissioners: This letter is to advise you that I am amending the 2024 Forfeiture Fund budget in the amount of $6,14T52. The amendment is needed to cover salary supplements and FICA for William A. White and Trevor A. Finster. These supplements are for the period of January 1, 2024 through December 31, 2024. This is a supplement that has been previously approved by Commissioners Court for other salary supplements for the Assistant District Attorneys. In addition, I am amending the 2024 Forfeiture Fund an additional $1,000.00. The amendment is needed to cover expenditures such as civil citation fees in asset forfeitures. I also anticipate additional funds may be needed for qualifying purposes before the end of the year. As per Chapter 59 of the Code of Criminal Procedure requires that I advise the Commissioner's Court of a change in the forfeiture budget. Accordingly, please place this on the next available Commissioner's Court agenda. Thank you for your attention to this matter. Very truly yours, Sara M. Rodriguez, Criminal District Attorney For Calhoun County, Texas SMR/laj 211 South Ann Street, Suite 302 (361) 553.4422 • Fax (361) 553-4421 Port Lavaca, Texas 77979 Email: da@calhouncotx.org #16 NOTICE OF MEETING - 111,012024 16. Consider and take necessary action on any necessary budget adjustments. (RHM) 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissionel Pet 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 13 of 14 Ow w� M W co Z w IL w m� w M O W IL IL D O N H z 0 O ci Q pp uuu�aaa � � W N O w 0 0 0 0 0 0 0 �I www w v� w w e z rn rn rn rn rn 01 W T T m C W 01 01 W m r z r N w CC2 i d a o5 z rq 00 wLIJ G�J J y } Q Qa0Jg¢ =3 w ¢ r f n Z Q ow-,zgLU owF- Z d O J a o m � U 2 s OR N O N O (D W (D ap 7 M M tp O M 6 0 N 0 r r O w J Q F 0 H w z Z z Z W r z C9 Z J 7 [0 :O 3M ;N EZ EF EZ :W E� €d EW :Q � I- z ■ B�aaa\a 2 a§asa, B■ ■ § ( &SS2 !&&± occo 2;;2 @ ■ § - S « § \ ; § Z 2 2 §)\§\ �;§K! f (kS\ § ` `°°§ 2 (\§\ I0000 k k :k ;a :z :z :§ :L :§ B■aa/§ w2so- §§- §� ■I kl k� §■ §�aa! al § § \ S 17 § 0 §w§(/0z� & mmo� � §� �■}}�'sk k §B aas2j a �aaaaaj 2 §� § 0 § ; < § ` ) �zz5&� % »»»!§ S cocoa ® ;;222 z% �\ § nm § §aa}§2 a �z § =z �§ Vaasa 2 !■ § § k� §§ § § § ; e ■ ®&2/ & \/q � < |� § o § 22% o — ( § 0 �I§ ` = � ; § §v 2 & \� § § 0§ |Ul 2 §�\ \z B �(] § c2 (§ ® ■ ` ] k� ( w /$ § | § )Ul _ � ■ LLI _ �(\ �C4 .a :z a 2 � � $ Z LL LU LU ul Z Z LL tl! 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O !q i0 iF iW a 'W �0 W U z Q LOU zc 0 LUgW z J = W U U N_ Z O N C � � w J 9 0 w U z z w z g 0 z m O i a 000 s 5 ZZ QZ K Q 00 zz rn rn Z Q U Z 2 LU H J i (Qj C w U U O w w aa 2 Q wa _ M O � V ao N N 0 w J 0 0 w w U w w N J V G w g U Z w LU w w W e0 e01 €0 eZ eF- :z :W €d EW 0 w � ON O» w OM OW �aps a `rs ffi z z 0 0 �. z z % e 0 6 O W Z al O � h 0 O a g w L� o� z O K J F r U Z U w K a w U w a 0 W U N 7 7 ti 5 Ol a # 17 NOTICE OF MEETING—1/10/2024 17. 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 2023 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 2024 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:27 am Page 14 of 14 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 10 2024 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS TOTAL TRANSFERS BETWEEN FUNDS TOTAL NURSING HOME UPI. EXPENSES TOTAL INTER -GOVERNMENT TRANSFERS $ 521,272.60 $ 151,783.93 $ 842,024.62 GRAND TOTAL DISBURSEMENTS APPROVED January 10, 2024 $ 1,515,081.15 `� MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --- January 10 2024 PAYABLES AND PAYROLL 1/4/2024 Weekly Payables 312,893A5 1/8/2024 McKesson-340B Prescription Expense 3,779.10 1/8/2024 McKesson-3408 Prescription Expense S97.80 1/8/2024 Amerisource Bergen-340B Prescription Expense 548.51 1/8/2024 Amerisource Bergen-340B Prescription Expense 554.23 1/8/2024 Amerisource Bergen-3408 Prescription Expense 4,900.00 1/8/2024 Health Equity -Wage works employee F5A 8,504.09 Prosperity Electronic Bank Payments V3.1/5/24 Credit Card & Lease Fees 786.18 1/15/2024 TCDRS December Retirement 197,165.48 12/29/23-1/5/24 Pay Plus -Patient Claims Processing Fee 643.07 1/5/2024 ExpertPay- child support 570.69 1/2/2024 Authnet Gateway Billing-3rd Party Payor Fee 35.00 TOTAL.PAYABLES,: PAYROLL AND ELECTRONIC BANK PAYMENTS $ 521,272.60 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 1/4/2024 MMC Operating to Broadmoor-correction of NH Insurance payment deposited Into 600.00 MMC Operating 1/4/2024 MMC Operating to Crescent -correction of NH insurance payment deposited into 8,120.00 MMC Operating in error 1/4/2024 MMC Operating to Golden Creek -correction of NH Insurance payment deposited. into 70,589.78 MMC Operating in error 1/4/2024 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment deposited 3,000.21 into MMC Operating in error 1/4/2024 MMC Operating to Bethany -correction of NH insurance and OIPP payment deposited 69,473.94 Into MMC Operating in error TOTAL TRANSFERS. BETWEEN FUNDS $ 151,783.93 NURSING HOME UPL EXPENSES 1/8/2024 Nursing Home UPL-Cantex Transfer 302,800.95 1/8/2024 Nursing Home UPL-Nexton Transfer 144,738.27 1/8/2024 Nursing Home UPL-HMG Transfer 6,223,99 1/8/2024 Nursing Home UPL-Tuscany Transfer 225,473.71 1/8/2024 Nursing Home UPL-1-151-Transfer 160,034.95 TRANSFER BETWEEN FUNDS FROM NURSING HOMES TO MMC 1/8/2024 Ashford -Interest famed 523,32 1/8/2024 Broadmoor-Interest Earned 462.85 1/8/2024 Crescent -Interest Earned 799.62 1/8/2024 Fort Bend -Interest Earned 263,72 1/8/2024 solera-Interest Earned 623.56 1/8/2024 Golden Creek -Interest earned 458.19 1/8/2024 Bethany -Interest Earned 621A9 TOTAL NURSING HOME UPL EXPENSES $ 842,024.62 TOTAL INTER -GOVERNMENT TRANSFERS GRAND TOTAL DISBURSEMENTS APPROVED January 10, 2024 $ 1,S1S,081:15 114124. 12:48 PM Imp_cw5report308O710159641698517.him1 RECEIVED BY THE 01/0a ,0't'4. V AUDITOR ON MEMORIAL MEDICAL CENTER 12:46JAN AP Open Invoice List 0 2024 Due Dales Through: 01/26/2024 Vendor# Vendor Name Class Pay Code 1y�,}r 10u'Ac0 f7t Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount INV1625 f 01/02/20201/021202 OV20/202 1,400.00 0.00 RFID FEE Vendor Totals: Number Name Gross 10950 ACUTE CARE INC 1,400.00 Vendor# Vendor Name Class Pay Code 13180 ADVANCED STERILIZATION PRODUCT v" Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross 8020470149 v/ 12/29/20203106/20204/0&202 $74,06 SUPPLIES 8020488178 ✓ I PJ29/202 05/30/202 06/301202 1,876.00 SUPPLIES 8020500607 ✓ 121291202 07105/202 08YO51202 333.97 SUPPLIES 8020509080 ✓ 1029/202 07/071202 08107/202 427.61 SUPPLIES 8020509460 ✓ 12/29/20207127120208/27/202 878,92 SUPPLIES 8020509795 >/ 12/29/20207/28120200/28/202 333,97 SUPPLIES 8020510982 ✓I 01/02/20207/31/202(18/30/202 878.92 SUPPLIES / 8020517546 ✓ 01/02/20208/15/20209/151202 93.64 SUPPLIES 8020525581✓/01/02/2D208/30/202OB/30/202 2,519.50 /SUPPLIES 8020577167+/ 01/02/20211/29/20212/29/202 2,519.50 CONTRACT &30/23-8/29/24 Vendor Totals: Number Name Gross 13180 ADVANCED STERILIZATION PRODUCT 10,735.09 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC-CENTRAL DIV✓/ M Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross 9145487146 ✓ 12/29/202.12/31/20201/25/202 2,481,16 OXYGEN BULK 5504872688 / 12129120212/31/20201126/202 257.11 /OXYGEN 5504874073! 12129120212/31/20201125/202 1,128.20 Vendor Totals: Number Name Gross A1680 AIRGAS USA, LLC - CENTRAL DIV 3,866,47 Vendor# Vendor Name Class Pay Code A1705 ALIMED INC. ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross PIPS VO4129013 12J01 /20211 /03I20211 /18/202 162.13 SUPPLIES Vendor Totals: Number Name Gross A1705 ALIMED INC. 162.13 Vendor# 14028 Vendor Name 1 Class Pay Code AMAZON CAPITAL SERVICES Y file://IC:/Usersiltrevino/cpsitme mmed.cpsinet.com/u88l25/data_5/tmp_cw5report3080710159641698517.html Discount 0.00 Discount 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Discount 0.00 Discount 0.00 0 ap_open_invoice.template No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 0.00 0.00 0.00 0.00 I 0.00 0.00 No -Pay 0.00 No -Pay 0.00 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Discount 0.00 Discount 0.00 No -Pay 0.00 No -Pay 0.00 Net 1,400.00 Net 1,400.00 Net 874.06 1,875.00 ✓ 333,97 ✓ 427,81 ✓ 878,92 333,97 878.92 ✓ 93,64 ✓ 2,519.50 ✓ 2,519.50 ✓� Net 10,735.09 Net 2,481.16 ✓� 257.11 ws"� 1,128.20 ,d Net 3,866.47 Net 162,13 ✓ Net 162,13 1110 114124. 12:48 PM tmp_cW6repart308O710159641698517.htmI Invoice# Comm nt Tran. Of Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1 L7V-NFPB-QVML12/06120212/10/20201/09/202 128,96 0.00 0.00 128.96 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 128.96 0.00 0.00 128.96 Vendor# Vendor Name Class Pay Cade A1360 AMERISOURCEBERGEN DRUG CORP ,% W Invoice# /Comment Tran Of Inv Of Due Dt Check Dt Pay 3152020171 d Gross Discount No -Pay Net 11/14/20210/26/20201/24/202 1,445.00 0.00 0.00 1,445.00 INVENTORY / 3159147337 r/' I PJ2912021 PJ28120201/03/202 4,900.00 0.00 0.00 4,900.00 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net A1360 AMERISOURCEBERGEN DRUG CORP 6,345.00 0.00 0.00 6,345.00 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY f M Invoice# / Comment Tran Of Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 123843 „/ 12129/202 11/30/202 12125/202 50.00 0,00 0.00 50.00 rs'� WATER Vendor Totals: Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 50.00 0.00 0.00 50.00 Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE CO. f W Invoice# Comment Tran Dt Inv Dt Due Dt Check of Pay Gross Discount No -Pay Net 123023 12130/20212/30/202011141202 180.73 0.00 0.00 180.73 u.✓ SUPPLIES q,L6 4t(Vite &Ar)r.., Vendor Totals: Number Name Gross Discount No -Pay Net A2000 AUTO PARTS & MACHINE CO. 180.73 0.00 0.00 180.73 Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC,% Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay 3787746 ✓ Gross Discount No -Pay Net 12/29/20212/14/20201/14/202 2,956.50 0.00 0.00 2.956.50 p% KARIANN DUNN 1210542/07/23 Vendor Totals; Number Name Gross Discount No -Pay Net 11756 AYA HEALTHCARE INC 2,956.50 0.00 0.00 2,956.50 Vendor# Vendor Name Class Pay Code 14088 / AZALEA HEALTH ✓ Invoice#,/ Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 99005./ 01102/20201/01/20201/021202 594.00 0.00 0.00 594.00 MONTHLY PROC Vendor Totals: Number Name Gross Discount No -.Pay Net 14088 AZALEA HEALTH 594,00 0,00 0.00 504,00 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 5482199 �/ 12129/20212/13120201/071202 5.016,58 0.00 0.00 5,016.58 ✓°� ,MAINT CONTRACT 111042654 ✓/ 1 PJ29/20212/15120201/09/202 1,288.45 0.00 0.00 1,288.45 ✓� CONTRACT 5482688 12129/20212/25/20201/19/202 1,337.05 0.00 0,00. 1,337,05 LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 51220 BECKMAN COULTER INC 7.642.00 0.00 0.00 7,642,08 Vendor# Vendor Name Class Pay Code 01048 CALHOUN COUNTY f W Invoice# Comment Tran Dt Inv Dt Due Of Check Of Pay Gross Discount No -Pay Net file:///C:/UsersAtrevino/cpsi/memmed.epsinet.eom/uB8125/data_5/imp_cw5report3080710159641698517.html 2/10 114124. 12:48 PM tmp_cw5report308O710159641698517,htmI 122823 12129/202 12/28/202 01/11/202 208.89 0.00 0.00 208.89 ,G• FUEL Vendor Totals: Number Name Gross Discount No -Pay Net 01048 CALHOUN COUNTY 208.89 0.00 0,00 208,89 Vendor# Vendor Name / Class Pay Code C1325 CARDINAL HEALTH 414, INC. ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 80031115221/ 12/291202 02/28/202 03/251202 1,031.53 0.00 0.00 1,031.53 SUPPLIES 8003122096 ✓ 12/29/202 03/111202 041051202 393.45 0.00 0.00 393.45 V' SUPPLIES 8003148428 ./ 12/29/20204,/08/20205103/202 266,42 0.00 0.00 266.42 /SUPPLIES 8003154367 12129120204115/202051101202 205.65 0.00 0.00 205.65 ✓" SUPPLIES 8003189291 12129/202 05/20/202 06/141P02 3.009.68 0.00 0.00 3,009.68 ✓�� S)1PPLIES 003210440 8✓/ 12/29/20206/17/20207/12/202 407.55 0.00 0.00 407.55✓- ,S/UPPLIES 8003239669 ✓ 12/29/202 07/15/202 08/09/202 447.15 0.00 0.00 447.15 SUPPLIES 8003245912 12/29/20207/22/20208/16/202 169.65 0.00 0.00 169.66 0+' /SUPPLIES 8003251101 ✓ I PJ29/202 071311202 081251202 259.62 0.00 0.00 259.62 SUPPLIES 8003272480 1PJ29120208119/20209/131202 456.54 0.00 0,00 456.54 .� SUPPLIES 8003292211 ✓/1 PJ29/202 09109/20210/041202 306.60 0.00 0.00 306.60 SUPPLIES 8003304122 1S12(29/20209123120210/181202 165.47 0.00 0.00 165.47 S)IPPLIES 8003309482 ./ 12129/20209/30120210/25/202 289.72 0100 0.00 289.72 ✓ SUPPLIES 8003324684 12/29/20210/08/20211/02/202 514.73 0.00 0.00 514,73 w'�f SUPPLIES 8003337009 / 12/29/20210/31/20211/25/202 181.07 0.00 0.00 181.07 SUPPLIES Vendor Totals; Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 8,104.84 0.00 0100 8,104.84 Vendor# Vendor Name Class Pay Code 14260 CAREFUSION SOLUTIONS, LLC / Invoice# Cgmment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1002191022.9 �/ 12129120212/07/20201/071202 1,788.00 0.00 0.00 1,788.00 MAINT 1002191023-7 IPJ20120212/07/202011011202 2.00 0.00 0.00 2.00 MAINT Vendor Totals: Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1,790.00 0.00 0.00 1.790.00 Vendor# Vendor Name / Class Pay Cade 13000 CLEARFLY d Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Nei INV571850 V/01/031202 01/01/202 01/151202 1,207.79 0.00 0.00 1,207.79 PHONE Vendor Totals: Number Name Gross Discount No -Pay Net 13000 CLEARFLY 1,207.79 0.00 0.00 1,207.79 Vendor# Vendor Name Class Pay Code file:///C:/Users/ltrevino/cpsi/memmed.cpsinel.comlu88125/data_5/tmp_cw5repart3o80710159641698517.himl 3/10 114124. 12:48 PM tmp_cwSrepart308O7l Ol5964l698517.htmI C1166 / COASTAL OFFICE SOLUTONS ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount OE-OT-24721-1 ,S 12/12/20212/12/202121221202 39,226.98 0.00 1ST-3RD FLOOR RENOVATION 5+x-uje, c&Wvi'*y pbdium I Ghuw,✓5, a-fr. Vendor Totals: Number Name Gross Discount C1166 COASTAL OFFICE SOLUTONS 39,226.98 0.00 Vendor# Vendor Name class Pay Code 11030 COMBINED INSURANCE r% Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 122923 12/29120212/29/20201/011202 543.66 0.00 PAYROLLDEDCUT Vendor Totals: Number Name Gross Discount 11030 COMBINED INSURANCE 543.66 0.00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 741078.0 v� 12/29/20212/27/20201/21/202 622.11 0.00 SUPPLIES Vendor Totals: Number Name 10368 DEWITT POTH & SON Vendor# Vendor Name / Class Pay Code 11291 DOWELL PEST CONTROL ✓ Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay 24028 d 12/27/20212/26120201/20/202 PEST CONTROL Vendor Totals: Number Name 11291 DOWELL PEST CONTROL Vendor# Vendor Name Class Pay Code 11284 / EMERGENCY STAFFING SOLUTIONS u� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 42841 12/31 /20212123/202 01/13/202 CAPEK/THOMPSON / 42817 i/ 12131/20212131/20201/10/202 PHYSICIAN SERV [ tj Vendor Totals: Number Name 11284 EMERGENCY STAFFING SOLUTIONS Vendor# Vendor Name Class Pay Code 15052 FAVORITE HEALTHCARE STAFFING v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 1474712 ✓ 1 PJ29120212/27/202 01/15/202 L CORTINAS 12/19.12/21/23 P--U Vendor Totals: Number Name 15052 FAVORITE HEALTHCARE STAFFING Vendor# Vendor Name / Class Pay Cade 11183 FRONTIER ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay 122323 12129120212/23/202 01/16/2D2 PHONE Late rt.t 14 JD Vendor Totals: Number Name 11183 FRONTIER Vendor# Vendor Name Class Class Pay Code 14156 FUJI FILM ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay f 91422238 12/29/20212/251202 01/24/202 VERTEX II CONTRACT Vendor Totals: Number Name No -Pay Net 0.00 39,226.98 No -Pay Net 0.00 39,226.98 No -Pay Net 0.00 543.68 tl-'� No -Pay Net 0.00 543.66 No -Pay Net 0.00 622.11 Gross Discount No -Pay Not 622,11 0.00 0.00 622.11 Gross Discount No -Pay Net 105,00 0.00 0.00 .r 105sx) Gross Discount No -Pay Net 105.00 0.00 0.00 105.00 Gross Discount No -Pay Net 3,545.00 0.00 0.00 3,545.00 40,602.50 0.00 0.00 40,602.50 1/ Gross Discount 44,147.50 0.00 Gross Discount 3,491.25 0.00 No -Pay Net 0.00 44,147.50 No -Pay Net 0.00 3.491.25 Gross Discount No -Pay Net 3,491.25 0.00 0.00 3,491.25 Gross Discount No -Pay Net 39.82 0.00 0.00 39.82 Gross Discount No -Pay Net 39.82 0.00 0,00 $9.82 Gross Discount No -Pay Net 7,908.33 0.00 0.00 7,908.33 Gross Discount No -Pay Net file:/1/C:lUsers/ltrevinc/cpsVmemmed.cpsinet,com/u881251data 5/tmp cw5report3080710159641698517.html 4110 114/24, 12:48 PM tmp_cw5report308O710159B4l698517,htmI 14156 FUJI FILM 7,908.33 0.00 0.00 7,908,33 Vendor# Vendor Name / Class Pay Code 10283 GE HEALTHCARE ✓ Invoice# omment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 60-25.2112 01/02/202 011011202 01/261202 998,34 0.00 0.00 098.34 IMAGING CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 10283 GE HEALTHCARE 998.34 0.00 0.00 998.34 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY v/ M Invoice# / Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 2484098✓ 12/29/20212126120201/25/202 802,49 0.00 0.00 802.49 ,. SUPPLIES Vendor Talals: Number Name Gross Discount No -Pay Net 01210 GULF COAST PAPER COMPANY 802,49 0.00 0.00 802.49 Vendor# Vendor Name Class Pay Code 12380 HEALTH SOLUTIONS DIETETICS �/ Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net 122923 12129/20212/29/20201/20/202 4,260.00 0.00 0.00 4,250.00 1,° DIETICIAN SERV ( 1741 , d94"1<11 2,3) Vendor Totals: Number Name Gross Discount No -Pay Net 12380 HEALTH SOLUTIONS DIETETICS 4,250.00 0.00 0,00 4,250.00 Vendor# Vendor Name Class Pay Code / H1227 HEALTHSURE INSURANCE SERVICES d Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 452301/02/20201/02/20201/01/202 26,845.00 0100 0.00 26,845.00 / DOLI RENEWAL2024 4522 ✓ 01102/20201/02120201/02/202 27,807.38 0.00 0.00 27,807.38 .f BILLING ERRORS/OMISSIONS 20: Vendor Totals: Number Name Grass Discount No -Pay Net H1227 HEALTHSURE INSURANCE SERVICES 54,652.38 0.00 0.00 54,652.38 Vendor# Vendor Name Class Pay Code H0031 HEB CREDIT RECEIVABLES DEPT308 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 4189 12/29/2021 PJ29/20201/25/202 635,76 0,00 0.00 635.76 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net H0031 HEB CREDIT RECEIVABLES UEPT308 635.76 0.00 0.00 635.76 Vendor# Vendor Name Class Pay Code 11285 ITA RESOURCES INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net MMC12024 01/04/20201/03/20201/23/202 28,723.31 0.00 0.00 28,723,31 rrf� RESPIRATORY Vendor Totals: Number Name Gross Discount No -Pay Net 11285 ITA RESOURCES INC 28,723.31 0.00 0.00 28,723.31 Vendor# Vendor Name Class Pay Code 11108 ITERSOURCE CORPORATION Invoice# Comment Tran Dt Inv Dt Due DI Check Ot Pay Grass Discount No -Pay Net 711722 ✓,/ 01103120201101120201/02/202 250,00 0.00 0.00 250.00 MONTHLY BERV Vendor Totals: Number Name Gross Discount No -Pay Net 11108 ITERSOURCE CORPORATION 250,00 0.00 0.00 250.00 Vendor# Vendor Name �� Class Pay Code 10972 M G TRUST ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 122823 12/29/20212128120201110/202 11015.86 0.00 0.00 1,015.86 u� file:///C:/Users/IVevino/cpsi/memmed.cpsinet.comfu88l25/data_5/tmp_cw5repon3080710159641698517.html 5/10 114124. 12:48 PM tmp_cw5repart3080710159641698517.html PAYROLLDEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 10972 M G TRUST 1.015,86 0.00 0.00 1.015.86 Vendor# Vendor Name Class Pay Code M2470 / MEDLINE INDUSTRIES INC f M Invoice# CCpmment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2299589561 ✓ 12/26/20212/21120201/15/202 29.94 0.00 0.00 / 29.94 nr°' SUPPLIES 2301023711 12131/202 12131/202 01/25/202 16.13 0.00 0.00 16.13 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 46.07 0,00 0.00 46,07 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC -/ Invoice# Comment Tram Ot Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 122823 12/29/2021 PJ28/P02011101202 130,00 0.00 0.00 130.00 ' PAYROLLDEDUCT Vendor Totals: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 130.00 0.00 0:00 130.00 Vendor# Vendor Name Class Pay Code / 10536 MORRIS & DICKSON CO, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net SC4058✓/ 12/29/2021PJ26120001/051200 93.24 0.00 0.00 93.24 wr SERVICE CHARGE SC4060 ,/f 12129120212126/200 01/05/200 18.91 0.00 0.00 18.01 SERVICE CHARGE SC4059 f 12/29120212126120001/05/200 181.65 0100 0.00 181.65,-, INVENTORY 1452219✓ 12f29/2021PJ271202011061202 846.88 0,00 0.00 846.88 e% INVENTORY 1449264✓ 12129120212/27/20201/061202 3.95 0.00 0.00 3.95 INVENTORY 1452218�/ 12/29/20212127120201/06/202 540.40 0.00 0.00 540.40 e� INVENTORY f, 1449206 a/ 12/29/20212127/20201/061202 54.82 0.00 0100 54.82 INVENTORY 1449265 L/ 12129/2021 PJ27120201/061202 28.14 0.00 0.00 28.14 to°' INVENTORY 1452217JJ 12/29120212127120201/06/202 1,040.31 0.00 0.00 1,040.31 ✓, / INVENTORY 1451608 ✓ 12/29/20212/27/202 01/06/202 6.323.81 0.00 0.00 6,323.61 INVENTORY 1449263 r% 12/29/20212/27/20201106/202 3,135.17 0.00 0.00 3,135.17,,-" :INVENTORY 14,96008 ✓ =9/20212/28/20201/07/202 234A6 0.00 0,00 234.88 w� INVENTORY / 1454123 12/29/20212/28/20201/07/202 717.78 0.00 0100 717.78 INVENTORY f 1457102y/ 12/29/20212/28/20201/07/202 1.84 0.00 0.00 1.84 a✓�� ,. INVENTORY 1454782✓ 12/29/20212/28/20201/07/202 617.84 0.00 0.00 617.84 . INVENTORY 14541211 PJ291202 12128/202 011071202 3,611.54 0.00 0.00 3,611.54 v% INVENTORY 1457103 ✓/ 12/29/2021 PJ28/20201/07/202 193.80 0.00 0.00 103.80 % INVENTORY file:///C:/Users/ltrevino/cpst/memmed.cpslnet,com/u881251data 5Rmp_cw5report3O8O7l Ol5964l698517.himi 6110 1/4/24, 12:48 PM tmp_cw5report3080710159641698517.html / 1427031 / 01/01/202 12/20/202 12/30/202 153.79 0.00 0.00 153.79 �Z INVENTORY 1463935.% 01/01/20201/01120201/11/202 1,326.20 0.00 0.00 1,326.20 ✓�� INVENTORY 1463934 r/ 01101/20201/02/20201/12/202 611,63 0.00 0.00 611.63 / INVENTORY 1469231„d 01Po4/20201/02/20201/12/202 469.42 0.00 0.00 489.42 INVENTORY 1469230✓ 01/04/20201/02/20201/12/202 103.03 0.00 0.00 103,03 Lam/ INVENTORY Vendor Totals: Number Name Grass Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 20,329.01 0,00 0.00 20,329.01 Vendor# Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 8201 1/1' 12/29/202 11/271202 12/07/202 182.53 0.00 0.00 182.53 VI/ TRANSCRIPTION 1_0+C pj 1+01 / e_ 821E ,d 12/29/20212J18/20212128/202 201,47 0,00 0.00 201.47 TRANSCRIPTION O-4tL �tt- 11111 Vendor Totals: Number Name Gross Discount No -Pay Nat 13548 NACOGDOCHES TRANSCRIPTION 384.00 0.00 0.00 384.00 Vendor# Vendor Name Class Pay Code 10736 PARAGARD DIRECT Invoice# Co mant Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net DMI10492539 11114120210126/20201/24/202 577.32 0.00 0.00 577.32 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10736 PARAGARD DIRECT 577.32 0.00 0.00 577132 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 05050939✓/ 12/29/20212/08/20201/20/202 10,18 0.00 0.00 10.18c� SUPPLIES / o5050937 er 12129/202 121081202 01/201202 220.08 0100 0.00 220.08 '.}uppmq 'fib iLG /gUPPLIES 05056116 L/ 12/29/202 12113/202 01/20/202 161.69 0.00 9.00 161.89 y✓' SUPPLIES 45Wpp;nh q,lf? Vendor Totals: Number Name Gross Discount No -Pay Net 10162 PARTSSOURCE, LLC 392.15 0,00 0.00 392,15 Vendor# Vendor Name Class Pay Code 12708 POC ELECTRIC, LLC / Invoice#/ Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3980 I PJ29/20212/27/20201/20/202 ✓ 1,500,00 0.00 0.00 1.500,00 LABOR/TILES DOM ROOM/CLASS / 3981aA 12/29/20212/27/20201/20/202 2,400.00 0.00 0.00 2,400.00 .sl DEMO/LIGHT FIXTURES Vendor Totals: Number Name Gross Discount No -Pay Net 12708 POC ELECTRIC, LLC 3,900,00 0.00 0,00 3,900.00 Vendor# Vendor Name / Class Pay Code P2200 POWER HARDWARE pJ W Involce# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Grass Discount No -Pay Net 1284e3 12/29/2021 W31/20201/10/202 19,98 0.00 0.00 19.98✓ AlSUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net P2200 POWER HARDWARE 19.98 0.00 0.00 19.98 Vendor# Vendor Name Class Pay Code file:///C:/Userstitrevinotepslfinemmed.cpsinet.coMu88125/data_5/tmp_cw5mport3O80710159641698517.html 7/10 114/24. 12:48 PM tmp_cw5repo03O8O710159641698517.htmI 14920 REPUBLIC SERVICES, INC, ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount Na-Pay Net 00131259t 12/291202 12/26/202 01/16/202 1,671.76 0.00 0.00 1,671.76 �847-001912511 WASTE pIj6i`01jT1j•z-q Vendor Totals: Number Name Gross Discount No -Pay Net 14920 REPUBLIC SERVICES, INC. 1.671.76 0.00 0.00 1,671.76 Vendor# Vendor Name Class Pay Code S0900 f SAM'S CLUB DIRECT ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 122023 12/29/20212/20120201/081202 -2411.62. 0.00 0.00 41U.62-311.0� SUPPLIES/MEMBERSHIP _ Vendor Totals: Number Name Gross Discount No -Pay Net S0900 SAM'S CLUB DIRECT 41"2 0.00 0.00 .2fw:62371•a , Vendor# Vendor Name Class Pay Code 10936 / SIEMENS FINANCIAL SERVICES ✓ Invoice# Comment Tran Dt. Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not 66382400018966 V/12129120212129/20201/181202 1,333.33 0.00 0.00 1,333.33 W� LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 1,333.33 0.00 0.00 1,333.33 Vendor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC �'I M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 116477474 ,/ 12/29/20212/24/20201/18/202 3,402.25 0.00 0.00 3,402,25 >r' AGILE MAX Vendor Totals: Number Name Gross Discount No -Pay Net S20DI SIEMENS MEDICAL SOLUTIONS INC 3,402.25 0.00 0.00 3,402.25 Vendor# Vendor Name Class Pay Code S2220 SKIP'S RESTAURANT EQUIPMENT W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 452782 d/ I PJ29/202 I PJI 8/20201/03/202 102.20 0.00 0.00 102.20 TURNER/KNIVES Vendor Totals: Number Name Gross Discount No -Pay Net S2220 SKIPS RESTAURANT EQUIPMENT 102.20 0.00 0.00 102.20 Vendor# Vendor Name Class Pay Code 11296 / SOUTH TEXAS BLOOD & TISSUE CEN ✓ Invoice# /Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 107036769✓ 12129120212/15PZ02011091202 6,072.00 0.00 0.00 6,072.00 rs� / BLOOD CM11110 ✓ 12/29/20212/15/20201/09/202 -4.224.00 0.00 0.00 -4,224.00 CREDIT 107036901,% 12129120212129/20201/231202 1,320.00 0;00 0.00 1,320,00�- LOOD CM11179 I PJP9/2021 PJ29/20201/2W02 -1,848.00 0.00 0.00 -1,848,00 CREDIT Vendor Totals: Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE DEN 1.320.00 0.00 0.00 1.320.00 Vendor# Vendor Name Class Pay Code 10845 STAPLES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gro Discount No -Pay Net 3556032527 1 PJ317202120120212/31/202 -1� 9 0.00 0.00. -19�w CREDIT Vendor Totals: Number Name Gro Discount No -Pay Net 10845 STAPLES -1789 0.00 0.00 -19.49 Ventlor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILI Y/ Ple:I/IC:/Users/itrevino/cpsi/memmed.cpsinet:com/uB81251data_5/tmp_cw5report3080710159641698517,himl 8110 1/4124, 12:48 PM tmp_cw5report3080710159641698517.himl Invoice# / Comment Tran Ot Inv Dt Due Dt Check Ot Pay Gross Discount 4863564 ✓ I PJ291202 I PJ1 51202 011201202 2,490.00 0.00 SUPPLIES Vendor Totals: Number Name Gross 10735 STRYKER SUSTAINABILITY 2,490.00 Vendor# Vendor Name Class Pay Code 12476 SUN LIFE FINANCIAL / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 122623 12129/20212/26/200 01 /01 /202 10, 662.79 LIFE INSURANCE Vendor Totals: Number Name Gross 12476 SUN LIFE FINANCIAL 10,662.79 Vendor# Vendor Name Class Pay Code 14280 TEXAS DEPART OF LICENSING&REGU t/ Invoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross 101 B9072 12/29/20212/20/202 01/19/202 140.00 TX266614lrX281082 Vendor Totals: Number Name Gross 14280 TEXAS DEPART OF LICENSING&REGU 140.00 Vendor# Vendor Name Class Pay Code 11303 / TEXAS DEPTOF ST HEALTH SERVS y Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Grass 010224 01/04/20201/01/20201/20/202 500.00 TRAUMA FACILITY DESIGNATION Vendor Totals: Number Name Gross 11303 TEXAS DEPT OF ST HEALTH SERVS 500.00 Vendor# Vendor Name j Class Pay Cade 10758 TEXAS SELECT STAFFING, LLC Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross 0023336 12/29/20212128/202 12/29/202 8,305.00 B BATES M MARTIN 12/23/23 Q.h! Vendor Totals: Number Name Gross 10758 TEXAS SELECT STAFFING, LLG 8.305.00 Vendor# Vendor Name Class Pay Code T3130 TRI-ANIM HEALTH SERVICES INC M Invoice# comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross ,+ 600092927 ✓ IPJ29/20212/13/20201=12.02 415.73 Vendor Totals: Number Name Gross T3130 TRI-ANIM HEALTH SERVICES INC 415.73 Vendor# Vendor Name Class Pay Code U1064 j UNIFIRST HOLDINGS INC u+- Involce# Comment Tran DI Inv Dt Due Dt Check DI Pay Gross 2921021379 / 12l29/20212125/20201/19/202 91.80 LAUNDRY 2921021378 v, 12/29120212/25/202011191202 2,796.93 LAUNDRY 2921021683 r,/ 12/29/20212/28/202 OIIMP02 29,95 L UNDRY 2921021681� 12l29l20P 12128/20201/221202 205.61 /LAUNDRY 2921021684✓ I PJ29/202 I PJ28120201/22/202 299.34 LAUNDRY 2921021680 I2/29120212/28/202 01/22/202 116.30 LAUNDRY 2921OP1685 / 12129/202 12/281202 011221202 254.19 51eaUC:lUserslltrevino/cpsl/memmed.cpsinet.mm/uBB125/data 51(mp_cw5report3080710159641698517.html Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0,00 Discount 0.00 Discount 0,00 Discount 0.00 No -Pay 0100 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 No•Pay 0.00 No -Pay 0.00 No -Pay, 0.00 No -Pay 0.00 No -Pay 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 0.00 r rr 0.00 0.00 0.00 0,00 0,00 0.00 Net 2,490.00 Net 2,490.00 Net 10,662.79 Net 10,662.79 Net 14M00 � ,1 Net 140,00 Net 500.00 y. Net 500,00 Net 8,305.00 Net 81305.00 Net 415.73 Net 415.73 Net 91,80 2,796.93 r% 29.95 v 205.81 299,34✓✓ 118,30 254.19 9/10 114/24. 12:48 PM tmp_cw5report3060710159641698517.html UNDRY 2921021682 12129/20212/28/202 01 /22/202 /LAUNDRY 2921021686✓ 12/29/202 12/28/202 0112PJ202 LAUNDRY 2921021687 J 12/29/20212/28/20201/22/202 LAUNDRY Vendor Totals: Number Name U1064 UNIFIRST HOLDINGS INC Vendor# Vendor Name Class Pay Code 12208 WAGEWORKS / ✓ Invoice# C/omment Tran Dt Inv Dt Due Dt Check Ot Pay INV6002824 1PJ2M0212/26/20201/25/202 J MONTHLY COMPLIANCE/FSA Vendor Totals: Number Name 12208 WAGEWORKS Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC Invoice# Co`plment Tran Dt Inv Dt Due Dt Check Dt Pay 41114334433 �/ 1 J27/20212129120201123/202 SUPPLIES 9111427729✓ 12129/20212/141202011081202 CONTRACT Vendor Totals: Number Name 11110 WERFEN USA LLC Vendor# Vendor Name Class Pay Code / 10556 WOUND CARE SPECIALISTS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay WCS00006428 / 12/29/20212/0V20212/30/202 WOUND CARE SERV Vendor Totals: Number Name 10556 WOUND CARE SPECIALISTS Bopmt summu", Grand Totals: Gross Discount 312,713.16. 0100 5 1 2 f9=69 APPROWD ON g JANN04g2024pqq CALHOUNU COUNT ITJ(AS 2.974.86 0.00 0.00 2.974.86 254.61 0.00 0.00 254,61 117.86 0,00 0.00 117.86 Gross Discount No -Pay Net 7,143.65 0.00 0.00 7,143.65 Gross Discount No -Pay Net 475.25 0.00 0.00 475.25 �,fr Gross Discount No -Pay Net 475,25 0= 0.00 475.25 Gross Discount No -Pay Net 475.00 0,00 0.00 475.00 ' 1,571.67 0.00 0100 1,571.67 Gross Discount No -Pay Net 2,046,67 0.00 0.00 2,046.67 Gross - Discount No -Pay Net 13,950.00 0.00 0.00 13,950.00 Gross Discount No -Pay Not 13,950.00 0.00 0100 13,950.00 No -Pay Net 0.00 312,713.16 <21UIr2 7 (0 ihvafL= W aF( H �q f�a di,b; i -fvr uv. 3112.1 M, qh 81eU//C:(Users/ltrevino/cpsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5report3080710159641698517.html 10r10 MSKESSON o—nNr: emmm / MEMORIAL MEDICAL CENTER,/ AP 615 N VIROINIA STREET PORT LAVACA TX 77979 STATEMENTAs d. 12/29/2023 Page: 002 T. enaw Proper creditto Your amused, detain and ralum this dub with your resin ts. DC: Cusoms, INV Supp10: As of: 12/29/2023 Pe 002 Mail to: Comp 8000 ANT DUE REdITTED VIA ACH D®R Territory: Statement for information only AMT CUE REMITTED VIA ACH 00IT Customer: 832596 Statement for intonation only Date: 12/30/2023 Cad: 632636 PLEASE CHECK ANY Out.: 12MO12023 GEMS NOT PAID (V) mng Du. NemNabl�e0oiml pxaunl gyi6 aCash Amount P Amount P Recelvable Ode pate Number Reference De sopllon Diamonds (9mr) F (net( F Number PF column legend, P = Peat Ole Item, F = Furtum Due Item, blank = Consul Due Item TOTAL National Acmt 632636 MEMORIAL MEDICAL CENTER 6ulaulde: 3,856.23 USD Ftaum Due: 0.00 D Paid By 01102/2024, Pad Due: 0.00 Pay This Amount: Led Payment 2,451.97 D Paid After 01I0212024, 09/07/2017 Pay this Ameunto 3r705^It r 62.3 3r 779 10 APPROVED ON g JCAp`N 0 8p�2024 CALHOUfd COLIV1 6i; sue It Paid On Time: USD 3,779.10 3,779.10 USD Oleo led it paid let.: 77.13 0. It Paid We: 3.856.23 USD USD 3.856.23 lf`d(2�f For AR Inquiries please contact 800-867-0333 MSKESSON coma..:.... WALMAFT 1098IMEM MED PHS MEMORIAL MEDICAL CENTER / VICKY KALISEK ✓ 815 N VIRGINIA ST FORT LAVACA TX 77979 STATEMENT ANT DUE REAIITED VIA ACH D®IT Statement for Information only As of: 12/29/2023 Pane: 001 To erwme, Proper aedk to your accm et, ddm and mum IMa sub with yaur mmgtance DC: 8115 Customer INV SuMID: As Melt t: 12/29/2023 Comp 8001 Territory: 7001 AMT DUE REMITTED VIA ACH DEBIT Cualemar: 256342 Statement for information Only Dale: 12/30/2023 Cue: 256342 PLEASE CHECK ANY Date: IV3012023 ITEMS NOT PAID (♦) Ming Due Recelvam mmrlal Account b4b2�/TB OMB out. Number 1lafemnce pescdlnlan Carh Discount Amount P (grew) F Amount P (net) F Rec.lvabb Number Coal. Number 256342 WAIMAW 1098/MEN MED PHS 1226/2023 01/02/2024 7466413127 400359037 1151nvoice 100 50.24 49.24 7466413127✓ 12/2012023 01102MO24 7466676330 100234701 1951nvotce 0.03 1.27 1.24 7466676330 12/26/2023 01/02/2024 7466676331 100168627 1951nvoice 0.01 0.32 0.31 7466676331 12/27/2023 01/02/2024 7466810761 100559841 1151nvelce 1.34 66.99 65.65 7466810761 12/28/2023 01/02/2024 7467067429 100632727 1151nvulce 2.42 120.64 118.42 7467087429.1 12/20/2023 01/02/2024 7467238930 100639653 1951nvolee 11A6 557.79 546.63 7467238930✓ 12/29/2023 01/02/2024 7467346519 100776759 1151nvoice 0.20 0.20 7467345519J 12/29/2023 OIJ0212024 7467346520 100775759 1151nveice 23.11 1,155,57 1,132.46 7467346520 12/29/2023 01/02/2024 7467346521 100849100 1151nvolce 0.10 0.10 ✓ 7467346521 ✓ 12/2912023 01/02/2024 7467346523 100870450 1151nvalce 36.56 1,827.80 1.791.24 7467346523 PP mlumm legend: P = Rost Due Item, F = Mum Due 1mm, blank = Current Due Nam TOTAL• Cutlamer Number 256342 WAIMART 10BBIMEA M® PHS Sublot.ls; 3,781.12 USD Future 4Due: Peat Due: Iaat Payment IW25/2023 APPROVED ON JAN 082024 0.00 8 Peld BY 0110212024, 0.00 Pay This Amount: 1.082.72 It PN1d After 0110212024, AnY this Amount: Ous H Pald On Time: USD 3,705.49 v+ 3,705.49 USD Dix lost K Paid late: 75.63 One If Paid late: 3.781.12 USD USD 3.781.12 i (� CALM COUPITYI?I TEXAH For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT Ae o~ 12/29=23 Page, 001 To ¢neon Proper er.1111 to your xsount, dialect, a d ranan thk e000 stub With your remMence DC: 8115 CVS Dadamer Now SUMID: FHS AMT DUE REMMED VIA ACH D®R At d: 12/2912023 Page: 001 Mall to: Comp. 8000 RIAL MEDICAL C NT Tonto.: 7001 VICMEMORIAL KAUSEK CBJTHi / Statement for information only ✓ AMT DUE REMITTED VIA ACH DEBIT 815 N VIRGINI Cudomm: 835430 815 N IA ST Statement for information only PORE IAVACA T% ]]8]9 Date: 12/30/2023 AVAC Cud: 835430 PLEASE CHECK ANY Data. 12/30/2023 REMS NOT PAID (1) MIIin9 Due 1@cetuebaldiaml Account VUp6 COsh Date Date Number Iblarenca Description Amount P (gram) F Amount P ecOW (nut) F NRu benebb Customer Number 035430 CVS PHCY 1035E/MM MC ME 12/27/2023 01/02/2024 7465020807 2929095 1151nvolce 0.23 11.49 11.26 7466820807,= PF cofuren P:geod: P = Pad Due It. , F = Put. Due is , Inner = earned 0. Kam TOTAL Cudamm Number 835430 US PHCV tU386/MI68 MC PHS summald 11.49 USD Future Due: 0.00 If Paid By 0110212024, Pad Due: 0.00 Pay This Amount: 0- If Paid On Ti.— LSD 11.26� 11.26 USE, 01m lad 8 Paid kte: Lad Payment 1,0e2.72 If Pall After Otl02/2024, 0.23 Due it Paid tan: 12/25/2023 Pay this Amount: 11.49 LED LED 11.49 APPROVED ON g JCCAppNN�0 8pp202r4ppp CABHOMU oU TY�1tEXAs For AR Inquiries please contact 800-867-0333 U.v�Clf'ua.T 0.J.a�J.WJi..� m=R�aa�ln STATEMENT As m: 12/29/2023 Page: DDt To ensure proper credit to your account, detach and mtum Me cam, 8090 stub with your m ditanee DC: 8115 CVS PHCY MBA MC Customer INV 6upplD: MSCustomer As of! 12/29/2023 Pege: OD1 Mall to Camp: 8000 DUE REMTTED VIA ACH DEBIT Territory: 7001 M BdORIAL MMEDICAL CENTER MEDICAL VICKY KALISEH Statement for information only AMT DUE REMITTED VIA ACH DEBIT Customer. 895438 Statement for information only 815 N VIROINIA ST Data: 12/30/2023 PORT LAVACA TX 77979 Cum: 835438 PLEASE CHECK ANY Dale: 12/30/2023 ITEMS NOT PAID (r) Billing Due Ha elva0d'ooal A..unt biralp8 Cash Amount P Amount P Ratelveble Data Data Numl We.. Description Discount (9ms9) F (nm) F Number CUWamm Number 835438 CVS PKCY 747SIMM MC MS 12/27/2023 01/02/2024 7466998311 2930011 1151nVWoe 1.27 63.62 ��11 62.35 74669911311 ✓L� PF column "nd: P = onto Due hem, F = restore Due Item, blank = Current Dud Item TOTAL• Customer Number 835438 CVS PMCY ]4]5/MEM MC PPS Subtmols; 63.62 USD Futu a Due: 0.00 Due It Feld On Time: 11 Pant By 01102/2024, USD 62,35 Past Due: 0.00 Pay This Amount: 62.35 USD Dies log 8 pald late: Lam Payment 1,062]2 It Paid After 01l02/202q, .27 D. It Peld lam: 12/2512023 Pay this AmcoM: 63.62 USE, USD 63.62 I(AI2y APPROVED ON g J((ApN NN08gq2��0pp24pppp CABHODUU COUNTY 1 TfXAS For AR Inquiries please contact 800-867-0333 STATEMENT en,/adny: ease MEMORIAL MEDICAL CENTER J AMT DUE R@AITTfD VIA ACH DEBIT AP Statement for information only 815 N VIRGINIA STREET PORT LAVACA TX 77979 As of: 01/05/2024 Pa9a 002 To emum Protest, uedR to year epcanta, tbmch. and No. this stub with your mmlOmHe DC: 8115 Customer INV Supp10: As of: 01/05/2024 Dennis Page: 002 Mail to. Territory: ANT DUE REMITTED VIA ACH DEBIT Customer. 632536 Statement for information any Dole: 01/06/2024 cue; 632536 PLEASE CHECK ANY Veto: 01/06/2024 REIS NOT PAID (r) ailing 0. ReceleabbN41118na1 Account W45y16 Cash Amount P Amount P Revivable Date Date Number Ratemrlw Deunption Discount (gage) F (real) F Number PF column legend: P = Past Ow Rem, F = Fulum Due Item, blank = Current Dw Rom TOTAL National Ants 632535 MHdORIAL MEDICAL CENTER Sub otalc Retum Due: 0.00 It leald By 011DIV2024, Past Due: 0.00 Pay This Amount: fast PeYment 2.451.97 N Paid After 0110912024, 08/07/2017 Pay this Amount: 0.0 856.08 + 3.13 + 35.24 't' 3.35 + 897-80 a: 216.12 USD Due It Reld On Tema: USD 807.80 897.80 USD DNe lost N p id late: 18.32 Due N Paid We: 916.12 USD USD / _9E1.6_.12 0tr�-0x� �,Fio1 .,�a,nA6Jx 4 la Iz� APPROVED ON JAN 0 8 2024 eAI.FIOUN C0 Dry, E7(As For AR Inquiries please contact 800-867-0333 MSKESSONSTATEMENT A• °" °"U6/2D24 Pew: °°' To ensure "°p"4red01e One stub t, erM return IWe coma.�r� eoo0 your club w6h your remNiana DC: 8115 WALMART 1098/ME1,M MED WE/ Customs, INV 6apPID: As ol: 01/05/2024 Page: 001 Mail to: Comp: 8000 AMT DUE RSAITTEO VIA ACH DEBIT Territory: 9001 MEMONAL MEDICAL CENTEA ✓ Statement for information only St T DUEment REMITTEDfor VIA CDEBIT VIM Muse( Cuslown 256342 only 815 N VIRGINIA ST Date: 0110612024 PORT IAVACA TX 77979 Curt: 256342 PLEASE CHMK ANY Date: 01/06/2024 ITEWS NOT PAID (+) Bi01ng Due Reael,,oallonai Account b3 5 6 Cash Amount P Amount P 17ecaivabM Data Data Number Reference Oesctption Discount (grace) F (wt) F Number Customer Number 256342 WALMART 1098IMM MED WE 01/02/2024 01/09/2024 7467716331 101011769 1151nvoice 0.16 0.16 7467716331� 01/02/2024 01/09/2024 7467961646 100082304 196involce 1.67 83.30 81.63 7467951646,r 01/D2/2024 01/09/2024 7467951647 100903936 1951nvoice 5.24 261.82 256.58 7467961647� 01/03/2024 01/09/2024 7468119193 101277275 1151nvoice 0.01 0.65 0.64 746HII9193� 01/03/2024 01/09/2024 7408273852 IU1283736 1951molce 1.30 54.91 63.61 7460273852./ 01104MG24 01/09/2024 7468408252 101412037 115lnvolw 0.01 0.33 0.32 7468408252✓.� 01/04/2024 01/09/2024 7468557518 iD141B851 last.oise 6.62 331.11 324.48 7468557518y 01/0412a24 01/09/2024 7468579406 101425308 1151moice 2.60 130.22 127.62 74GB579406V�, 01/05/2024 01/09/2024 7468683322 101542292 115lnvolce 0.10 0.10 7468603322 01/05/2024 01/09/2024 7458834412 101549036 1951nvalce 0.02 0.95 0.93 7468834412 PF autumn Iege nd: P - Past Ow item, F e Nture Dun Item, blank = Current Due stem TOTAL Customer Number 256342 WAIMANT 109B/MHA Men ME Suhtwo(e: 073.55 USD Mum Dw: 0.00 Uw If Polt On Time: It PN4 By 0110912024, USD 856.08 Pest Due: 0.00 Pay This Amount: 856.08 USD Dlw last 8 Ptlt later 17.47 test Payment 3,779,10 It Po14 After 0110912024, Due It Paid tale: 01/01/2024 Pay this Amount: 873.55 USD 873.I�65,-JL��� 1USD APPROVED ON JAN 0 0 2024 By CALHOUNUKO'LiA ,I NS For AR Inquiries please contact 800-867-0333 STATEMENT r—wm: anon CVS PNCY 103561MW MC PHS/ ANT DUE REMITTED VIA ACN OMIT RI MEMOAL MEDICAL CENTER ✓ Statement for information only VICKY KALISEK 815 N VIRGINIA ST PORE LAVACA TX 77979 As of: 01/0512024 Pass: 001 To amllm Pmper crofit to your secoud, defeah slat Mum this dub with year mm8lenca DC: 8115 Customer INV SupplD: As of: 0110512024 Raga: 001 Mall to: Comp: 8000 Territory; 7001 AMT DUE Nm VIA ACN OMITrem Cuo&: 835490 Statement farr Information only Date: 01/06/2024 Cud: 835430 PLEASE CHECK ANY Date: 01/06/2024 HEMS NOT PAID (r) Billing Due IteeeNabl�Mtonel Aeeount ?6 Coal, Amount P Amount P NeeeNeble Date Dde Number Woman. Descdptlon Dixoud (gross) F (not) F Number Customer Number 835430 CVS MCY 1035WMEM MC INNS 01/03/2024 O1/09/2024 7468122380 2943898 1151noolee 0.06 3.19 3.13 7460122380 ,= PF autumn legend: P = Rare Due ft., F = Future Cue Item, blank = Current Due Item TOTAL Customer Number 835420 CVS MCV 10356IMEM Me PIS SuMah,ho 3.19 USD Future D. 0.00 If Peld By 01109/2024, Pest our. 0.00 Pay This Amount: 3.13 USD Iasi Payment 3,779.10 If Rald After 01109/2024, 0110IM024 Ray this Amouat: 3.19 USD APPROVED ON ggYY JAooN 08 202T4�q CAtNO(1N NTY AU711J�AS For AR Inquiries please contact 800-867-0333 Due U Peld On Time: USD of. lost 8 plat late: 0.06 Due If Pold Late: USD rr 3.19 Qrvl.cl�TakrU�N.�o.?�� ila(-Z m:Kr-bbv V STATEMENT As d: Ot/052024 Pegs: 001 our To ensure proper ate08 b your musu , Rope d eo orlon wo 0ome�v: s000 stub wbh your orm8tence DC: 8115 As of: 01/05/2024 Page: Dal Customer INV SUPPID: Mall to: Comp. 8000 CVS PHCY 8923/MQ4 MC MS AMT DUE RWITTED VIA ACH DEBIT Territory: 7001 NIEVORIAL MEDICAL CENTER Statement for Information only AMT DUE RANTED VIA ACH DEBIT for Information only VICKY KALISIX CiestStatement 0 835434 816 N VIRGINIA ST pate /06/2024 Date, 01 POfIT IAVACA TX 77979 Cue! 835434 PLEASE CHECK ANY Data: 01/06/2024 IT04S NOT PAID (�) But Due x Hseelveblretlonal Aoceum MPG Cash Amount P Arnaud P ReceWebk Oats Date Neither Refemnu Dtsoultakn Olaaount (gorse) F (rot) F Number Customer Number 835434 CVS PICY 09231MM MC MS 01/03/2024 01/09/2024 7468170954 2943801 1151nvo1ce 0.72 35.96 35.24 7468170954 �0 PF adu rm legan4: P = Past Out Item, F = F10ma Due Kam, bank = Current Due Item TOTAL- Customer Number 835434 CVS PHCY 6923/MFM MC PIS SuMolals: 35.96 USD Fmuor Dean 0.00 Due It Rat4 On Three: If Pd0 By 011099024, USD 35.24✓ Pam Due: 0.00 Pay Two Amount: 35.24 USD Dlse bat b pew eta: 0.]2 Loaf Payment 1.082.72 If Palo AXar 0110912024, 0. If Palo late: 12/25/2023 Pay the Amount: 35.96 use USD 35.96 ��al2y- APPROVED ON JAN 08 2024 CANlYiol.�i"�oUOR'WPAS For AR Inquiries please contact 800-867-0333 MSKESSON As of: 01105/2024 Page: 001 To ensure proper creep to your STATEMENT axourit, itetaeh land mum are �nemv: coos stub with your remittance DC: 8115 Customer INV SupplD: A. of: 01/05/2024 Pepe: 001 Mall to: Camp: 0000 CV6 Pr1CV 79]b/MBvI MC MIS AMT DUE RENUTTED VIA ACH DEBIT TeMtory: 7001 MEMORIAL MEDICAL CENTER / Statement for Information only AMT DUE RWITTED VIA ACH DEBIT VICKY KALISEX ✓ Container. 635438 Statement for information only 815 N VIRGINIA ST Date: 01/06/2024 PORT IAVACA TX 77979 Cost: 835438 p SE CHECK ANY Date: 01/06/2024 ITEMS NOT PAID (v) 01II39 Oue x pspNabla etbnel Account tu65t08 Coah Amount P Amount P Resolvable Dam Date Number Reference Description DNeOum (9mss) F (nett F Number Customer Number 836438 CVS PHCV 7475/1HBA MC PUS 01/03/2024 Ot/09/2024 7468307439 2944698 1151nvolce 0.07 3.42 3.35 7468307439� O PF column legend P = Pest Due Item, F = "um Don Item, blank = Current Due Item TOTAL• Customer Number 835438 CVS PHCY 747S/MM MC PIS SUMalale: 3.42 USD Future 0": 0.00 It Pald By 01/0912024, Due If PaId On Than USD 3.35 1/ Pest Due: 0.00 Pay This Amount: 3.35 USD Dix lost it paid lale: 0.07 last Payment 3,779.10 If Pant After 0110912024, Due It PeIO Late: 01/01/2024 Pay this Amount: 3.42 USD USD 3.42 //Qp tlu�2L{- APPROVED ON JApN 08p2024p rALNOU^' 17R If�'�`-'DI7E%AS For AR Inquiries please contact 800-867-0333 bN Ame sourceBer en^ STATEMENT Statement Number: 66668450 g Date: 12-29-2023 t of l AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 NOB 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 100135204103702aiN SUGAR LAND TX T7478.6101 1302 N VIRGINIA ST PORT LAVACA TX 77979.2509 DEA: RA0289276 Sat- Fd Due in 7 days 666451-9656 AMERISOURCERERGEN �.....�.•.�-'6'v� PO Box 905223 CHARLOTTE NO 282905223 Not Y41 Due: 0.00 Conant: 433.51 Past Due: 0.00 T01d Oue: 433.51 Account Balance: 439.51, Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 12-26.2023 01.0&2024 3168886563 7001141028 Invoice 02.91 12-26-2023 01-05.MN 315860604 7005152530 Invoioice 53.66 0.00 62.91 72-2&2023 Ot-0&2024 3158886565 7005165862 Invoice 172.13 0.00 53.65, 124&2023 oi-0 2024 3158886566 7005177495 Invoice 17.80 1.00 172.13 12-27-2023 01.05-20N 3159ON934 7005185404 Invoice 37.48 0.00 17.80 i 12-29-2023 01-05-2024 3159323723 M05205756 Involve 89.54 0.00 37.46,+ 0.00 89.54 Current 1-16 Days 16d0 Days 31450 Days 1: 13 Days 91-120 Days Over 12U Days 433.51 0.00 0.00 0.00 0.00 0.00 0.00 Thank You for Your Payment Reminders Date Amount Due Gate Amount 12-29-2023 D.UILOO) 01-05-2024 433.51 1 Well Due: 433.51 / I,�vt.t�uz¢u,'4Jcl-%3h ha�n, APPROVED ON JAN 0 6 2024 GWc Ay??.1 9A8 c�BY IN�a Program Charge Invoice Number: 355983959 0r1 AmensourceBergen° INVOICE Invoice Date: 12/28/2023 AMERISOURCEBERGEN DRUG CORP SENDERRA RX PHY 340B 8078 / 037983771 ,. 501 PATRIOT PARKWAY MEMORIAL MEDICAL CENTER • ROANOKE TX 76262-6336 3712 E PLANO PKWY STE 200 "0 PLANO TX 75074-1831 LIC: 26699DEA: 01/05/2024STATE FS1799610 PPOBox905223 AMERISOURCEBERGEN DRUG CORP MEMORIAL MEDICAL CENTER days501 PATRIOT PARKWAY 815 N VIRGINIA ST ROANOKE TX 76262-6336 PORT LAVACA TX 77979EBERGENSTATE LIC: 0077623 DEA: RA0316958 C 282905223 Qty e P. 1 EA PHARM DATA SERVICES PRICE MAINTENANCE 80000014 55.00 55.00 063786 APPROVED ON J��ANN0y8p2�002r4op CABLHDRUCOUNNI WAS Iry°u have any questions, our Customer Service teem is here to help. Please all 844-222-22/3 or email service®amedeourcebeigenam Total Amount: 55.00 Thiswholasel° tlieMSuloA ore memheraf theeHllek of euchwholeeve tlBNburpgpumhaeetl Ne,hatt tdrady from tha menureolvmh exclusive Olseibulordthe menufa rum6ormpacta9er Nat purchese4 the partied tlirectly rmm the marstrulumr I130G:Wa0Ni260e531291m°he TyXZFV OrdaType 2PGM =1P.U13 Terms of sale and claims on reverse side IProgram Charge Invoice Number: 365983897 °f 1 AmerlsourceBergen° INVOICE Invoice Date: 12/28/2023 AMERISOURCEBERGEN DRUG CORP US BIOSERVICES CARROLLTON 340B 100270691 /018626707 501 PATRIOT PARKWAY 5025 PLANO PARKWAY SUITE 100 • ROANOKE TX 76262.6336 CARROLLTON TX 75010 55.00 01/05/2024 AMERISOURCEBERGEN DRUG CORP MEMORIAL MEDICAL CENTER • Sat - Fri Due in 7 days 501 PATRIOT PARKWAY 815 N VIRGINIA ST ROANOKE TX 76262-6336 PORT LAVACA TX 77979 AMERISOURCEBERGEN PO Box 905223 STATE LIC: 0077623 CHARLOTTE NC 28290-55223 DEA: RA0316958 1 EA PHARM DATA SERVICES PRICE MAINTENANCE 80000014 unit E.W�ded 55.00 55.00 083786 APPROVED ON JCCAppN 0 8p220n24np COIINiV, I TEAS CALLHOIINU If you have any questions, our Cuatomer Service team is here to help. Please call 84 222-2273 or email service®emerieoumeberen.com Total Amount: 56.00 ThI¢wM1oleeale tliaNbmor, ore memberd Ue aRlhte d each wholesale tlisNbuloypumM1ecetl iM1e proauat alrecay from the manufacturer, excuslo dislnbutorof the menuredurer,or mpackperthel pumbased are praductaimctly from 0e manufacuer IGGC:4WWO&VZAM1131rW TWp UV GNxTypa:2PGM 2.11.00.4 - Taf111a ofsale and dalmB on RVerseaide STATEMENT Statement Number: 66639781 AIT1eTISOUCCeBergen- Date: 01-05-2024 1 Of i AMERISOURCEBERGEN DRUG CORP WALGREENS 012494 MOB 1001352841037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER • SUGAR LANDTX 77478-6101 1302 N VIRGINIA ST • PORT LAVACA TX 77NO-25M Be,-Fd Due in 7eeys DEA: RA0289276 868451-9855 AMERISOURCEBERGEN PO Box 905223 Nel Yet Due O.oO CHARLOTTE NC 2829&5223 Cloes: 554.23 Past Due: 0.00 Total Due: 554.23 Acceunl Balance: 554.23 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 01.02-2024 01.124024 3106MB37 7NS213207 Involve 16AS 0.00 16,16. 01-02.2024 01-12-2024 3159554638 7005225097 Imelce 20.66 0.00 20.88 01-02.2024 01.12 20N 3169564839 7005236,118 Invoice 12.11 OAO 12.11 c / 01-02-2024 01-12-2024 31MB55040 7006246426 Invoice 21.34 0.00 21.N 01-02-2024 01-12Q024 310555041 7005213196 Involeo 67.64 6.60 67.64. 01-03-2024 01-12-2024 310797907 7005253121 Invoice 134.52 0.00 134.52.E Q"-0 2024 01-124?024 3159969444 7005261407 Invoice 2.40 0.00 2.40 0146.2024 01.12-2024 3160117070 7005274341 Invoce 287.75 0.00 287.75 e 014&2024 01-12-2024 31M117071 7005271995 Invoce 1.35 0.0 1.35 Current 1-15 Days 16.30 Days 31.60 Days 61-90 Days 91-120 Days Over 120 Days 04.23 o.00 1 0.00 0.00 0.00 0.00 0.00 Thank You for Your Payment Reminders Date Amount Due Date Amount 01.05.2024 (543.51) 01-12-2024 554.23 Total Due: 664.23 APPROVED ON JAN U 8 nZ4 ournuAWRAS BY 29 AmerlsourceBer en° STATEMENT Statement Number. 66604178 l of l g Date: 12-31-2023 AMFJi1SOURCESERGEN DRUG CORP 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER -TX ✓ 815 NORTH VIRGINIA 1000555M/03708650 SUGAR LAND TX 77478�6101 PORT LAVACA TX ]7979 1025 SemillonNly Due In 10 Bays DEA: RA0289276 866451-9655 AMERISOURCEBERGEN PO Box 978528 Not Yet We: 0.00 DALLAS TX ]539]-8626 Cunent 4.900.00 Past Due: 0.00 Total Ow: 4.9U0.00 Account Balanw: 4.90D.00 Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date _. Date Number Number Type Amount Current 1.15 Days i6.30 Days 31-60 Days 61.90 Days 91420 Days Over 120 Days a.soo.00 o.ao D.90 0.09 0.00 0.00 D.oD Reminders Due Date APPROVED ON JAN 0 S 2024 CA%0 (W'ff0UW"'&s Total Due: 4;900.00 1 tiv�2� Memorial Medical Center / Transfer Request 8;504.09 , Operating- •4357 Account: US BANCORP FSA/HRA/DC ACCT ACCr Explanation: 158300195894 Invoice numbers: 5912640, 5947106, 5966852, 5986478 b7: Caitlin Clevenger c by: I �u rc • r �o ieyl ,r' ,4P.P.ROVED 'I lfNl JAN 0 9 2024 Date: 1 8 2024 ' `''!f1Uf�I COUNTY,ITEXAS Date: HealthEquity- WageWorks INVOICE To: Memorial Medical Center ✓ WageWorks, Inc. PO Box 25 Port Lavaca TX 77979 4609 Regent Blvd. Irvingg, TX 75063 214.596.6900 Remit: Via Wire or ACH Credit to US BANCORP __- Account # '�, Invoice Date --- - - FSAIHRAIDC Acct M 158300195894 Routing 4:122235821 2052366 ! 12/04/2023 Please Include invoice # in our payment addenda for ACH — P0 # I ----- -- DUE GATE _ Credit or Wire payment. 03/04/2024 ✓ Log on to our employer website to view detailed invoice Invoice# -- e # _]_ �INV5912640 A E - MOUNT DU--- - reports: employer.wageworks.com $1,324.59 Description Plan Code Amount Visa Card Payments - HCFSA 2023 HCFSA2023 1,324 59 Total Amount Due $1,324.59 ,/ HealthEquity- To: Memorial Medical Center PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSA/HRA/DC Aoct #:158300195894 Routing #: 122235821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com Description j PMP Payments - HCFSA 2023 Visa Card Payments - HCFSA 2023 INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 — -- Accvunttl Invoice Data 2052366 12111/2023 _. PO # DUE DATE _ 03/11/2024 ✓ Invoice # AMOUNT DUE INV5947106 $1,240.54 Plan Code Amount _ -�--- -^� HCFSA2123--. -- 16.37 ! HCFSA2023 1,222.17' e Total Amount Due $1,240.54 ,/ HealthEquity To: Memorial Medical Center/ PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSAIHRAIDC Acct #: 158300195894 Routing #: 122236821 Please include invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed Invoice reports: employer.wageworks.com PMP Payments - HCFSA 2023 Visa Card Payments - HCFSA 2023 INVOICE WageWorks, Inc. 4609 Regent Blvd. lrving, TX 75063 214.596.6900 Account # Invoice Date 2052366 I 12/18/2023 Po # DUE DATE -- / 03/18/2024 ✓ Invoice # AMOUNT DUE INV5966652 §570 95 Plan Code HCFSA2023 HCFSA2023 Amount (768.39) 250.76 1,088.58 Total Amount Due $570.95 ,/ HealthEquity° To: Memorial Medical Center✓ PO Box 25 Port Lavaca TX 77979 WageWorks Remit: Via Wire or ACH Credit to US BANCORP FSA/HRA/DC Acct #: 158300195894 Routing #:122235821 Please include Invoice # in your payment addenda for ACH Credit or Wire payment. Log on to our employer website to view detailed invoice reports: employer.wageworks.com Repayments - HCFSA 2023 PMB Payments - HCFSA 2023 PMP Payments • HCFSA 2023 Visa Card Payments - HCFSA 2023 INVOICE WageWorks, Inc. 4609 Regent Blvd. Irving, TX 75063 214.596.6900 1 __Account # _ Invoice Date_ 2052366 12126/2023 I PO # DUE DATE INV5986478 Plan Code HCFSA2023 HCFSA2023 HCFSA2023 03/25/2024 _AMOUNT DUE $5,368.01 j Amount (392.84) 1,397.84 424.87 3,938.14 Total Amount Due $5,36B.01✓ PAy vi M 186- 19 81 -'74 88•u8 MEMORIAL MEDICAL CENTER 1 U 2 • `J b + PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- Des: 292023-Jan 72024 183• 1'1 EpAY Date Bank Description MMorFee Ampu.-.,>�. 1/5/2@4 PAY PLUS ACHTrans W00000112583201030006934 -3rd PaM Prior Fee $ .1R -S �,7U 67 � $ 1/5/2024 EXPE RTPAY EXPERTPAY 74500341191000013518936 -Child Support Payment $ 8 v. 1/5/2024 AMERISOURCE BERG PAYMENTS 01000077682100002 - 3408 Drug Program Expense $ 54351,TX 5 1/5/2024 MEMORIAL MEDICAL PAYROLL 74600341111312265D -payroll $ 373,754:92?�'- 1 1/5/2024 FOMS FDMS PYMT 052-2000500A004100012165327 - Credit Card Processing Fee $ 75,67 9 75.6Y +' 1/5/2024 FDMS FONTS PVMT 052-1601830-0004100012168012 - Credit Card Processing Fee $ 32.4 9 'J2.4'+ t 1/4/2024 PAY PLUS ACHTrans MMOD0111312841GION6924 - 3rd Party Payor Fee $ 9 1/3/2024 PAY PLUS ACHTrans COOMOO109567991010006905 - 3rd party Payor Fee $ 9 171 98 i 2/3/2024 MERCHANT BANKCD FEE 971IM91388791OW016408 - Credit Card Processing Fee $ 171.99 9 4„yy + 1/3/2024 MERCHANT BANKCD FEE 97116091088391000016408 - Credit Card Processing Fee $ 9.95 S172'6U 1/3/2024 MERCHANT BANKCD INTERCHNG 971160913887910M - Credit Card Processing Fee $ 172.60 ' 1/3/2024 MERCHANT BANKCD DISCOUNT 97116091088391OND Credit Card Processing Fee $ 19.95 1(/. 5 1/3/2024 MERCHANT BANKCD DISCOUNT 9711609138879100M - Credit Card Proressing Fee $ 303.58 1/2/2024 PAY PLUS ACHTrans Og0000D10863a9910100069g9 - 3rd Party Payor Fee $ IS, 30> 58 t 1/2/2024 MCKESSON DRUG AUTO ACH AC405BOB378910000156 - 340B Drug Program Expense $ _0 3,779. 0$",Y- r 8¢6• 1$ -Y 1/2/2024 AUTHNET GATEWAY BILLING 1329343131040000150 - 3rd Party Payor Fee $ S A.u.....r 12/29/2023 PAY PLUS ACHTrans 000D000306789911010006977 - 3rd Party Payor Fee $ q�i_'{ e;00,g 9 i^'Is`na's- 12/29/2023 AMERISOURCE BERG PAYMENTS 01000077682100002 -340B Drug Program Expense $ 1,110 5 35.00 i 381,332.47 , 643^0y + I� � 5'i06v �� c JanuaryB, z6z4 ANDflEW DE LOS SANTOS 786 Memorial Medical Center 7�'A1Ywdrd DI-o32`1w 35.U11 = PROSPERITY BANK A, Vae p(y„V,J. Nw low} 01101A 2 • 034 • 14 .. ELECRONIC TRANSFERS FOR OPERATING ACCOUNT -ESTIMATED ACHS Data Description MARC Notes Amount 3 8 1 , 3 3rJ 1/15/2024 -TEXAS COUNTY ORS RECEIVABLE 041921000024329 - Retirement Funding $ 187,16548. j4p U1 - ,-- 197,165.48 y � \/ /T.fit::a I]� is 'S}L- lani ary 8, 2024 I .[ 11 1 - ANDREW OE LOS SANTOS APPROWD ON 2, 0 3 4. 9 it 1 Memorial Medical Center .1cA��V 2 , C13 4 • 4 4 �ry���i A21`)�21�y1yT ',T�IiFSUN C't11.INTYITE7tA$- o•uu +: Date/Time 01.04-2024/03:56PM Submitted By Pay Date 12-31.2023 Employee Deposits $75,557.08 Employer Contributions $111,608.40 Group Term Life Premiums $0.00 / Total $287,165.48 ./ Comments Payroll File December 2023 Retirement Upload.xlsx/ 114/24, 11:22 AM tmp_cw5repart320522670804877609.htm1 RECEIVED BY THE COUNTY AUDITOR ON p4 �p MEMORIAL MEDICAL CENTER 0,RM00 4 0 2024 11:21 AP Open Invoice; ap_open_Invoice.template Dates Through; ;.AV§iibdNiGq§F�&6V.Ne@S Class Pay Cade / 11832 BROADMOOR ATCREEKSIDE PARK t0 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 122923 1pJ29/20212l29/20201/29/202 600.00 0.00 0.00 600.00 TRANSFER 14N }IltS1MNU.F. V6�kV &(foScttd 'in� tkMt- d qU kn''��-- Vendor Totals: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT CREEKSIDE PARK 600.00 0.00 0.00 600.00 ficport summary Grand Totals: Gross Discount No -Pay Net 600.00 0.00 0.00 600.00 M JAN 04 2024 cABLW%U f;oUN7YD1rEXAs file:n/C:IUserslltrevinolcpsilmemmed.cpsinet.com/u881251data_5/tmp_cw5report320522670804877609.html 1!7 114124, 11:25 AM tmp_pw5report8l70631930731867771.htmI RECEIVED BY THE COUNTY AUDITOR ON 01104/202rr,,4 MEMORIAL MEDICAL CENTER 11:25JAN 0 4 2024 AP Open Invoice List 0 Dates Through: ap_open_invoice.template qq VrAo j/p?Cy.ArftjfTB�ESAS Class Pay Code 1424 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 122923A 12/29/202 12/29/202 01/291202 400.00 0.00 0.00 / 400.00 6f TRANSFER NO J1VUV tn.j_ pyntl CtWci+td jv+ KK&L- (,V(111 .00 122923B 12/29/20212/29120201/29/202 5,320.00 0.000) 0.00 5,320.00 y/ TRANSFER 122923 12/29/20212/29/20201129/202 2.400.00 0.00 0.00 2,400.00 Y� TRANSFER 0 rr Vendor Totals: Number Name Gross Discount No -Pay Net 11824 THECRESCENT 8,120,00 0.00 0.00 8,120.00 Grand Totals: Gross Discount No -Pay Net 8,120.00 0.00 0.00 8,120.00 AppRovw ON gg JAppN �{0 4 �2024�l�jp CALHOLINU C111�TVIiTXA� file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report8170631930731867771.html 1!1 1/4/24, 11:26AM tmp_cw5report9199608591888136159.html 01/04/r2D THE —NTYIE6 MEMORIAL MEDICAL CENTER 0 IT 1125DUNTYAUDITOR ON AP Open Invoice List ap_open_invoice.templatfl Dates Through: AA Vend�rrF�N�ildlor"1�7tje Class Pay Code 11836 GOLDENCREEK HEALTHCARE °"4v4nUNrSvdid6Y6y, mxg ,Qmment Tran 01 Inv Dl Due Dt Check Of Pay Gross Discount No -Pay Net 122923E 12/29/20212/29/20201/291202 5,440.33 0.00 0.00 5,440.33 TRANSFER NH in6vlkKU. V�W�J iat-PDSt tads IK-111 Ovc"�Y- 122923 12/29/20212129/20201/29/202 403.28 0.00 0.00 403.28 TRANSFER IL �I 122923G 12129120212129/20201129/202 417.33 0.00 0.00 41Z33 TRANSFER tr I` 122923D 12/291202 12129/202 01/29/202 206.25 0.00 0.00 206.25 TRANSFER " br 122923F 12r29/20212/29/20201/29/202 350.49 0.00 0.00 350.40 TRANSFER k � 122923E 12/29/20212/29/20201/29/202 2,784.04 0.00 0.00 2,784.04 / TRANSFER t� ` 122923A 12/29/20212/29/20201/291202 55,375.18 0.00 0.00 55,375.18 TRANSFER 1` %.r 1229230 12129120212/29/20201/291202 5,612.88 0.00 0.00 5,612.88 ✓- TRANSFER i, �I Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 70,589.78 0.00 0.00 70,589.78 Grand Totals: Gross Discount No -Pay Net 70,589.78 0.00 0.00 70,589.78 APPROVED ON JAN 0 4 2024 CALHOUNU COUNTY�I TEXAS file://IC:lUsers/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_51tmp_cw5report9199608591888136159.html 111 1/4124, 11:24 AM imp_cw5repor12084973307286236445.html MEMORIAL MEDICAL CENTER 01 /04/202CEIVED BY THE 0 11:zd, OUNT V AUDITOR ON AP Open Invoice List ap_open_invoice.template E��fl �pey�t ,pn{��� µAA��Jr�',1 VendotF 'heft Jam Dates Through: Class Pay Code 12696 GULF POINTE PLAZA ..-RLHOI�RVdfcli: IT", TE66ffiment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 122923B 12/29/20212129120201/29/202 533.46 0.00 0.00 533.46 vv TRANSFER 14N l(lSUVkVW F6N4j dfP051�1rj_ In� W_*\-L OVW i_ �.00 122923A 1 PJ291202 121291202 01/291202 1,056.75 0.00 1,066.75 TRANSFER It It 122923 12/29/202 12/291202 01/29/202 1,400.00 0.00 O.OD 1,400.00 TRANSFER t' v Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 3,000.21 0.00 0.00 $,000.21 R.po;l S"11man, Grand Totals: Gross Discount No -Pay Net 3,000.21 0.00 0.00 3,000.21 APPROVED ON ee JAppN N0}y4 ZGZ44Q� CFlLIIO NUGOII)Ml WAS file:/1/C:IUserslltrevinolepsitmemmed.cpsinet.com/u88l25/data 5/tmp_cw5report2084973307286236445.htmi i 1/1 1 M124, 11:23 AM trap_cw5repart9009436336708933123.htmi RECEIVED BY THE OTGo,412MAAUOITOR ON MEMORIAL MEDICAL CENTER AP Open Invoice List 0 11:22 0 4 2024 ap_openinvoice.template JAN Dates Through: Vendor# Vendor Name / Class Pay Code 1R792ml,e T.i4AIJNTWAfbR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 122623 12129120212126/20201/27/202 408.40 0.00 0.00 408.40 TRANSFER NIi tVISUftt.t, pdjy, - depoGitdj W_V_A, Op:: Irt� 122923E 1 PJ29120212129/20201/29/202 2,395.45 0.60 0.00 2,395.45 d' TRANFER It It 122923 13,886.10 0.00 0.00 13,886.10 aes tt12/29/20212/29/20201/29/202 TRANSFER +' 122923A 12129/20212129/20201129/202 3,196.80 0.00 0.00 3,196.80 TRANSFER It it 122923D 12/29/2021 PJ29/202011291202 4,600.00 0.00 0.00 4,600.00 ✓ TRANSFER it or 122923C 12129/20212/29/202 01/29/202 176.27 0.00 0.00 176.27 TRANSFER It N / 122923E 12/29/20212/29/20201/291202 44,810.92 0.00 0.00 44,810.92 r✓ TRANSFER t' t' Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 69,473.94 0.00 0.00 69,473.94 ih_pOY, S,ailpitlfinTl Grand Totals: Gross Discount No -Pay _ Net 69,473.94 0,00 0.00 09,473.94 APPROVED ON JAN 104 2024 ^aly Qlu�(�CTMjrI i79XAS file:/UC:/Users/ltrevino/cps8memmed.cpslnel.com1u88125/data_5/tmp_cw5report9009436336708933123.html ill Memerwl McOkal Gnzer y Nome Url WeaklWeakly Gmea Tranger P..1. 118/2024 ccounK 3/6/303$ lNw • rss,4111] SmrP tl^^u♦ mu4rmrlrmYwmrvvr ISL ISI.M) .Y IY.z. ]K.W.fS 1K.dlf} ]$,We,6 / a eMbrmerien MYr YmNeNm. pVr Y.{f nKi.tlw. 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I1n9/101) Ue[Y361 INJe 9f I6A.6p 119,173.S3 ,/ 59.06).5[ MMCPORTgN - - nmj f.nOrt�.-hi1 COMP/C..'I CAPPCpmp] gimp/Camp, C31PP/CampCU'Ro gIPPTI NN PORTION .9-1: NrtSRO )SAW W VIPOM OA'UIEOXUIM PN[<UIRMMI ]ICUW11CA51i 9,WJW 9.094,0 OnDM W1R[OVI WIIq MERIIXUPEUMf0.5111 laD.a]]l6. - U+/1WI NHL[WONCCUMA PMTICfWMIIMgtlp211011 9.lai.il 6.359.]t MIML)ICW14pocammC6611 11,030,ei - 1].9]O.p2 VVIDD. wcxu PryC(INMPMi 1MW)1%SSM9 - 1i.316m M.3I6.m 112M.0[VOl[pN[4TN 1/M0M DrPom - )IpW - 3JD.W 1121103e MAHA4ERNOXfi19LLMIb IMNT�biIMAI SEES - b1.6S 1/V]OIA 1.11, is - LV6.12 E/1/31k1.NkkIXNOMANSYC N1lliAYMR1TIlWII11YMi II.IIO.W. 21.4001'' Vl/30M O[WrtO NFMIM P HCCIMMpMT]1PWISSOIMf - S,AW,W - SAID ,00 I/Zn0140EV01Ep HEUMPRCIMANNT]IW1P]HOIMI - I1.091,W 19g9].m nnN 0D MAM I M . - 1$650mIn/O DEVOTED ME4IN P RMARNIMI ]IDC0l3VADII. 1/1V301d o+ewA+ UIID +46 V, "eIjIe A 243AD11119Mn il NN WMPMT)ill ,. S.luatVIW.I e[vHITI.FWPxcgsA.Hp iillu � JEDm / / - 3sm60 111%1]I 1a26A.09 JbO [ d�q/ MMCPORTON ir+n... / ,Y�]CLN CIPP/Campt CPP)fOmpl CIIPIQW0 CIPPCamp96YpA, WPPT1 NNPORTON 1/V)0H WnFDUTUNiEixFLL6N URF 4XTPIm ".E513i�/f l/M0)R Mn11+dXUNhl'l.. ARMT)ApANNII 2AId, ISA.,6 154.2, 11010E WIIM11nIIM+m MfCYMM1] fAlAJ6 1".. yI,E , 9m.m ]n/lOM MpPA IPI mMXCCAIMIMt 7460"DJ111MbM ,3Wm - 9300,E Innm(:NUL111NMMANmIMµIA`M6FIwM!{INIpl - xtt141v.� 1p.5it�f9 a/Mnou .+eerdl o.L n.9D MSD 1TnV3Wl fN.+nM lA,6I,✓ . 61.[1139.// 32110+A5./ 330WAS� MMCPORTON _ TnnJYlyquA T CRP/famDl OPP/Campi QDP/Cqm 3 CIPP/CampM.". CIPITI NHPO0.TON Inn03A VET INC AIR P+Im+n 711mM145313171010%) 35115)6 35.42516 U41HEA WM[OVTUNR[NUIINUPI f[NRR3111 M)d9ll W/M)t NUM4xacM.+pRO MCCUMPMI 116]629443Em19 3,751E 441=4 UANOMMA Man HEUIMPMI MEE14l1124 M ONE a)Cm WIDE MNpul-. il"LEDONK 711003411024). YE)m I,m0A0 MUCHMRXO4[ANOHMMYMNI/MMPVJCCGgpJ14441 L6AE - 1,610,E Ul/l@A UnilatlMnHNnn NC<WMIMIIIVdlµlplOW (SWSf - 1,$O8.51 EOWIION Nf[WMPMiM%MgarylN Y.0%E - 1,056.50 low!NDVIIRS VIVIDIJ. NII[iNNA-.4 INNIPVMRI>YEHIlRC12 MsI[kM. / SS_pool M11vIOii liAAnam imox 4/ ]ID.OE QHA ]l/I9/3WI HM1MIxN l,OELAe� I NUM. N& INS IJJZUEP 3,710.E IABIR) ICHO NCCWM9MT l4ImMll MgWI16UA ImHCCNCCWMPMiI) .. 96'11, OSAAUI {0.f65.08 ID.Iolm 1W9nDM HAS IU39I1D31 MN6-[IHOMfCWMIMI iIfm)aIlMWP19f352 / i,3W.58 1.301.A1� / / 2F0.90Lm. if'%�W2S�1/' TOTA13 AME95.i9 0I5,39123 4951594,23 Balances Overview Account Name `4357 MEMORIAL MEDICAL CENTER- $2,051.618.43 $2,037,788.53 $2,051,618.43 $2,345,109.21 OPERATING '4365 MEMORIAL MEDICAL CENTER- $541.17 $541.17 $541.17 $541.17 CLINIC SERIES 2014 *4373 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER $435.66 $435.66 $435,66 $435.66 CLEARING *4381 MEMORIAL MEDICAL CENTER/ � $158,084.92 / / v $170.261,57 $158,084.92 $157,917.44 NH ASHFORD '4403 MEMORIAL MEDICAL CENTER! $59,571.40/ / $69,253.17 $59,571.40 $59,571.40 NHBROADMOOR ✓ `4411 MEMORIAL MEDICAL CENTER IV$143,279.20,/ / $207,031.37 $143,279.20 $169,285.20 NH CRESCENT '4438 MEMORIAL MEDIC MEDICAL CENTER/✓ A WEST $104,755.33 ✓ / ✓ $107,073.73 $104755.33 $69,330.07 HOUSTON '4446 MEMORIAL MEDICAL CENTER I/ NH FORT / $32,294.27,/ / $38,309.27 $32,294.27 $32,294.27 BEND J '4454 MEMORIAL MEDICAL I GOLDEN CREEK $208,771.57 $214,036.57 $208,771.57 $191,721.64 HEALTHCARE *4551 CAL CO INDIGENT $9,718.80 $9,718.80 $9,718.80 $9,798.80 HEALTHCARE *5433 MMC -NH GULF POINTE PLAZA - $3,345.44 $3.345.44 $3,345.44 $3.345.44 PRIVATE PAY '5441 MMC -NH GULF POINTEPLAZA- $6,323.99 $69,048.59 $6,323.99 $6,323.99 MEDICAREIMEDICAID '5506 MMC -NH BETHANY SENIOR $180,994.97 $180,994.97 $180,994.97 $107,129.02 LIVING *3407 MC -NH USCA TUSCANY VILLAGE $225,573.71 $267,122.63 $225,573.71 $190.473.71 '3660 MMC-BETHANY SR LIVING - DACA $100.00 $100.00 $100.00 $100.00 *2998 MMC-MONEY MAR MARKET FUND $604,779.54 $604,779.54 $604,779.54 $604,779.54 Total Balance $3,790,188.40 $3,979,841.01 $3,790,188.40 $3,948,156.56 Report generated an 01108/2024 09:59,56 AM CST Page 2 of 3 Memorial Medical Center Nursing Home UPL Weekly Nexlon Transfer Prosperity Accounts 10/23/2023 haulou9 Account stained, 15,675.33 Nate: On2,f Ianceacla—$$, 00 wNlbe ona /ened a thenurrt, banns. Note Z. such aonaunt hot o face babna.15100 thotMMCdepdoted to opeftd ont JAN 0 8 2024 By CALL.NOOLItJ �OUN.j1.. i TEXFIS I:\NN Wee3ly Tranderv\NN UPITantlerlemmanYN024\NN 4Pl Tum(n Summary L6.24 TedaY'c&Slnning "Punt to B4 Transferred to Nursing Nam4 / 144.)39.1) l Bank Oabnce M8,77LS7✓ Variance l Lease In Balance aoOw JVPP YR 6)Irar IOr Refund 4P,518.18 ✓ gIPP SNPertOr 13.956.93� Octaberintenat 283.50 Na)embertnt0rtlt f33.60 Oecember lnterert 141.09 Adjust Balana/rnolfcr Aml 144 )36.2)f l &q/ � rq � ANORBWOBIOSSA1TT05 1/a/2024 MMCpORitON QIPI(Campb r.30S}.r.gW T+rnle�l� Q pllKempl ql]P/CampL QUI/Camp SUPW QIPP it NNpggOON SAN... GOIOCNCRLLMIIIS MIATC 0LI R}W5691KW1199 3g91 (0 VT/lOIb Cmlane Muu]ImelCryWt]6y33fb 1LL00W1N1 3,091.00 IMIDH WIRE WINIMINNIP1}X aryl] WLOLNCR[IINC li.95693 S / biiL 13.956.93 YYIQlI - V . TSVS Yf/101b!M3/[MNSMfICRCOQ[PH36]i5]]M691]9] 50.09IW ]0.091.0> VI/1014 G0101Nfq[CMCRC MI8C DE I2103S691Mf011N LIMY 1.i065a V3/IOl+gMO[NCM[MWCY WIMISC DIP UNITS. 911}0) xiM 83000 UY1021 NON9AS SOW}IONNIXWMPMi 61609713031611] SITU,39 Qe�pl 5302 VUlall UYIO}I SUN Iti91.39 %IS - g1.199.19 l(HSNR]ICSTIPW7SJMYSSSM[93191 V}/SWb MNb [CIIOKK[WMIM}N601911MWA136]99 u}lm L317.00 N[11TN MIM.W fVCINWMY41151311WM1130LL1 9q3 5993 13/3V1023 IdJN lohmum /3VI"I1 a9I ! A0,51kill Ili19tl033 !]pry1IMNRSCCq[OOIIH3IYDMG11 WIW✓ 14109 I1/19/1013 g010LNfP[fMX[RLi M(RCO[PI330E631KMIaM 1 / L3CW 1,34LB2 ]100] �� 81000 y Balances Overview Account Name *4357 MEMORIAL MEDICAL CENTER - $2,051,618.43 $2,037,788.53 $2,051,618.43 $2,345,109.21 OPERATING •4365 MEMORIAL MEDICAL CENTER - $541.17 $541,17 $541.17 $541.17 CLINIC SERIES 2014 `4373 MEMORIAL MEDICALCENTER- $435.66 $435.66 $435.66 $435,66 PRIVATE WAIVER CLEARING `4381 MEMORIAL MEDICAL CENTER $158,084.92 $170,261.57 $158,084.92 $157,917.44 NH ASHFORD *4403 MEMORIAL MEDICALCENTER/ $59,571.40 $69,253.17 $59,571.40 $59,571.40 NHBROADMOOR *4411 MEMORIAL u MEDICAL CENTER 1 $143.279.20 $207,031.37 $143,279.20 $169,285.20 NH CRESCENT 04438 MEMORIAL MEDICAL CENTER 1 SOLERA AT WEST $104,755.33 $107,073.73 $104,755.33 $69,330.07 HOUSTON •4448 MEMORIAL MEDICAL CENTER $32,294.27 $38,309.27 $32,294.27 $32,294.27 NH FORT BEND •4454 MEMORIAL MEDICAL I NH �/ GOLDEN CREEK $208,771.57 $214,036.57 $208,771.57 $191,721.64 HEALTHCARE *4551 CAL CO INDIGENT $9,718.80 $9,718.80 $9,718.80 $9,798.80 HEALTHCARE •5433 MMC -NH GULF POINTEPLAZA- $3,345.44 $3,345.44 $3,345.44 $3,345.44 PRIVATE PAY •5441 MMC •NH GULF POINTE PLAZA - $6,323.99 $69,048.59 $6,323.99 $6,323.99 MEDICARE/MEDICAID `5506 MMC -NH BETHANY SENIOR $180,994.97 $180,994.97 $180,994.97 $107,129.02 LIVING *3407 MMC -NH TUSCANY VILLAGE $225,573.71 $267.122.63 $225,573.71 $190,473.71 •3660MMC -BETHANY SR LIVING - DACA $100.00 $100.00 $100.00 $100.00 *2998 MMC-MONEY MARKET FUND MAR $604,779.54 $604,779.54. $604,779.54 $604,779.54 Total Balance $3,790,188.40 $3,979,841.01 $3,790,188.40 $3,948,156.56 Report generated an 01/0812024 09:69:56 AM CST Page 2 of Memorial Medical Center Nursing Home UPI. Weekly HMG Transfer Pr05Perity FCC0011s 1/8/2024 vnxnn+ Amae A[<ewf e.tlwm6 / vtnm.a rw0-ele xun Nom. Nwne[r 46nn Vann.h, TnmrinClvllnnd W mxe rad. ,et In n BJ+me unln xome n'3.PS • 3,2W.)6 ✓ ]N.6B �` L6 (fhn1L1� wn. worm Tdls,llo% mmese untm mianct l[PW Ae\ms anwnrtnmroAm[ 3.2hudJ� vntlnn+ Amvunne ee Au6wf 0<Ona4µ / vmexN hmd,mtlle Nu+ NOm1 B,IIn[a �{ln.Nm Tnml+t•b Cf1+1'le.retl 0, YI[ Ta6,' Lm Bdln[t unln Hamt 3.611.aB - 2.]l" Y 6.321.99 6.221.99 Bm40annn 6331.99 Vali,nte leanin Bll,nte low Adi.Oalan[./fnm4rlml fTN.991+/y RautMeb/ mienlsGWlPo'vH/Yaie TorALPUUu%CRT 9,166.1] Nvrc: a,neammt+Nnn.6s.9wxiueunn./wNmmrnwxnshome. Mete l: Fe<h 0<Munf M1e.aeele M1eianbe/SIW Ihe[NM[depe+itedmapmof<ounf. AppROVEO ON JAN 0 8 2024 BY or, CIALH TOM c\xxweekN inMeMxx ui'tlrbrtrcsummmU9Hlnx ur\rnm4rwmm+n \.L.i, AxoaewoF lessAxr6s l/e/xexd MMCPDXTION QIPP/C4mP QIPP/Cemp4 Toneferilu[ Traniferin QIPP/COmPl 1 QIPP/Comp3 &laple QIPP TI NH PORTION 1/3/2024 HNB. EMO HCCIAIMPMI 34f00331144OWOlOWZI MS 78.85 1/2/2014 HNB.CCH0NCCIAIMPMTA60W411440000236799 5635 56.35 IZ13112023 Added to Account 9.40 LSAB 144di8 .J'i 144.68 .99 / MMC p0BT10N QIPP/Camp QIPP/ComP4 Transfer-0ur TMn�•gI QIPP/Comp3 E QIPP/Camp3 &Up,e QIPPTI NH PORTION 1/2/2W4 MPRCHAM BANBCDDEMUTL96 7MIS80991W WI 2.34600 2.346.W 1/2/30E4 HNB- MHO HCMIMPMT 7AW9341144000236MI 314,95 314.95 12/31/2073 AddedloAmunt 51.14 / � 51.16 2,712.11 , ;f - 17U 11 1,896.79..2 854.79 Balances Overview Account Name *4357 MEMORIAL MEDICAL CENTER- $2,051,618.43 $2,037,788.53 $2,051,618,43 $2,345.109.21 OPERATING *4365 MEMORIAL MEDICAL CENTER- $541.17 $541.17 $541.17 $541.17 CLINIC SERIES 2014 •4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER$435.66 $435.66 $435.66 $435,66 CLEARING *4381 MEMORIAL MEDICAL CENTER $158,084.92 $170,261.57 $158,084.92 $157,917.44 NH ASHFORD •4403 MEMORIAL MEDICAL CENTER I $59,571.40 $69,253.17 $59,571.40 $59,571.40 NHBROADMOOR •4411 MEMORIAL MEDICAL CENTER I $143,279.20 $207,031.37 $143,279.20 $169,285.20 NH CRESCENT *4438 MEMORIAL MEDICALCENTERI SOLERA AT WEST $104,755.33 $107,073.73 $104,755,33 $69.330.07 HOUSTON '4446 MEMORIAL MEDICAL CENTER 1 $32,294.27 $38,309.27 $32,294.27 $32,294.27 NH FORT BEND •4454 MEMORIAL MEDICAL GOLDE GOLDEN CREEK $208,771.57 $214,036.57 $208,771.57 $191,721.64 HEALTHCARE *4551 CAL CO INDIGENT $9,718.80 $9,718.80 $9,718.80 $9,798.80 HEALTHCARE •5433 MMC -NH GULF / POINTEPLAZA- / $3,345.44/ $3.345.44 $3,345.44 $3,345.44 PRIVATE PAY *6441 MMC -NH GULF POINTEPLAZA- $6,323.99/ $69,048.59 $6,323.99 $6,323.99 MEDICAREIMEDICAID •6506 MMC—NH BETHANYSENIOR $180.994.97 $180,994.97 $180,994.97 $107,129.02 LIVING *3407 TUSCANY VILLAGE TUSCA YVILL $225,573.71 $267,122.63 $225,573.71 $190,473.71 •366o MMC •BETHANY $100.00 $100.00 $100.00 $100.00 SR LIVING - DACA •2998 MMC -MONEY $604,779.54 $604,779.54 $604,779.54 $604,779.54 MARKETFUND Total Balance $3,790,188.40 $3,979,841.01 $3,790,188.40 $3,948,156.56 Report generated an 0110812024 09:59:56 AM CST Page 2 of 3 Memorial Medical Center Nursing Home UPI. Weekly Tuscany Transfer Prosperity Accounts 1/8/2024 Vmlem Ldw accwm ea�nnive / - penalnx n.W Trannarla[v Huraln Xvm! Numb. ealann Trfn,lo-0ul Tnnalaln QiGr[ntl pr mlu TM ae nnin 4bna Nunin Nem! »Allb )SA31R xESA».tl � - 3I5.f»l1 S,Q3.» BaN bhn[e II5,6»Al Vairan[e Leawln411n[! Ipp.cO Mlunea'.'^^n``eeRnm3wnm) xif mal l Nere: MlYdMvnmv/ever 55,4tl W110e Nanflefrva MrdenunineRmme. bp�aretl,l6�/'(411.. "r(.il ` �L1�� Nde l: farA vnvunfdvfvdmrhvlvnnWSlWrdpl MM[tlepvitMbvpmpr[mnr, M'pRIW p[IpSSPN3pf � 1(d/MH JAN 0 8 2024 CA6NOlRJ 9PUM�`l�I� Transfer•Out 1/S/2024 11412024 DePmIT WIRE OUT LINEAR ENTERPRISES. LLC 60,774.89 1/4/2024 Depolit 1/3/2DZ4 HNE- ECHO HC0AIMPMT 746003411440000MG621 - 1/3/2024 NOMTAS SOLOTION HCOMMPMT 676201420000114 - 12/31/2023 Added t4 menu,, 12/29/2023 Cheek 1144 14,656.96 12/29120Z3 NONITAS SOLUTION HCCLAIMPMT 676201420000173 MMC PORTION QIPP/Camp QIPP/Comp QIPP/temp TraRsfeMn 3 4&Lapse QIPPTI NHPORTION 35,100.W - 35,200.00 23,651.4E - 23,651.48 3,291.37 - 3,291.37 76,100.11 - 76,10OAl 139.91 - 139.91 Balances Overview Account Name *4357 MEMORIAL MEDICAL CENTER• $2,051,618.43 $2,037,788.53 $2,051,618.43 $2,345,109.21 OPERATING *4365 MEMORIAL MEDICAL CENTER- $541.17 $541.17 $541.17 $641.17 CLINIC SERIES 2014 •4373 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER $435.66 $435.66 $435.66 $435.66 CLEARING •4381 MEMORIAL MEDICAL CENTER $158,084.92 $170,261.57 $158,084.92 $167,917.44 NH ASHFORD *4403 MEMORIAL MEDICAL CENTER] $59,571.40 $69,253.17 $59,571,40 $59,571.40 NHBROADMOOR •4411 MEMORIAL MEDICAL CENTER I $143,279.20 $207,031.37 $143,279.20 $169,285.20 NH CRESCENT *4433 MEMORIAL MEDICAL CENTER! SOLERA AT WEST $104,755.33 $107.073.73 $104,756.33 $69,330.07 HOUSTON •4446 MEMORIAL MEDICAL CENTER I $32.294.27 $38,309.27 $32,294.27 $32,294.27 NH FORT BEND •4454 MEMORIAL MEDICAL/ GOLDEN CREEK $208,771.57 $214,036.57 $208,771,57 $191,721.64 HEALTHCARE •4551 CAL CO INDIGENT $9,718.80 $9,718.80 $9,718.80 $9,798.80 HEALTHCARE •5433 MMC -NH GULF POINTEPLAZA- $3,345.44 $3,345.44 $3,345.44 $3,345.44 PRIVATE PAY *5441 MMC -NH GULF POINTE PLAZA- $6,323.99 $69,048.59 $6,323.99 $6,323.99 MEDICAREIMEDICAID •5506 MMC -NH BETHANY SENIOR $180,994.97 $180,994.97 $180,994.97 $107,129.02 LIVING *3407 TUSCA YVILL TUSCANY VILLAGE $225,573.71 J' ✓' $267,122.63 $225,573.71 $190,473.71 LIVING ING• OACA -BETHANY SR SR LI $100.00 $100.00 $100.00 $100.00 *2998 MMC -MONEY MAR MARKET FUND $604,779.54 $604.779.54 $604,779.54 $604,779.54 Total Balance $3,790,188.40 $3,979,841.01 $3,790,1B6.40 $3,948,156.56 Report generated on 01/08/2024 09ZS:56 AM CST Page 2 of 3 Memorial Medical [enter Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 1/8/2024 p—I-. vmmne pmeuwmBe B..e.nt soul-m. N.m.Nr n.ml.mem xuNnH 41mn TaI.O. ut nmtenm de reedVIII.110n 1 n.e wn xome 165,05690 tH5r861, 160511Re 1'01999) t60A31.9S / Burk Glantp 3Be.9919 Vu Jf I—... R.I.— 1.0 IvvPsu..xw 30.:3853 V/ amBerinurex 131b/ nev.mb.rlmnm 113L neumbv l...... N110999999////// J Mlmt B.I.-ty.r..w.t R Bef/ Hate: Gtlydokn[rs oJw.rSS.IXdmllbNmnr/erMmth...... h—... e..ravw:ILW AJTOI :'tea ` r�1�,0 ` NotebEa[bamunlao.aba¢baanNBI S3M3Ao1 MM[6rpmilMroosna[aunf. ...c.mw.3Nnrw 41a 1/B)303. APPROVED ON JAN 0 8 2024 BY CAIHOWCOU0f TEXAS uxxw.tx/mnnn.ylxuvumnrtx mmm.namaxxevlr,...rxsumm.nl.u. MG ION +nj Tnnalerin QI/PJlampl CIM/COMPS qPP/Cpmp) OIPP(Cemp66lpa[ 131PP 11 NHPORIION 1/6/Alp 0[Pm3 ) ,Bl I - 34.301.31 l/Y2014 N04TN)IP9MKIN 31311165365191 SWEEP PR ;N},0} l 2= Y3}AN "'POW 1£661 67 - IS,S64.67 1/5/AU H03P2[OI WUN aymm1a N) p)IS16X039391 9134. 91349 I/ =4 GNP. NM49mI RCX=I631S5[y 1110Yp3pl '/ - // A.+L.f3 YUAIp WIRI OVI I"... PEE, 1. 1.5"61 Y312O24 NBC SWEEP FM 9236 2111N665f6956IMIP YR 4p960) - 4.0361N V312O24 D=1 � S.N3.N - 3.34N Y3130I4 . MR 2IA6333 3 YS/3Np a.".. 631T.pl / 51,297 16 S1A93 Ill)Y103i .516[tl 1OM[eunl 1[SN J - 16p,9p ) 0p[m ppSfA6 - 1I99 ,OSl. Ino 11❑9/AN 0[p1111 WA 454359 11.569.59 l21P9/}oi5 xo5PICf Uf SuulH NymmLLMlll1}S65WSNso /i,cf5.15 r - L6I5.35 , Balances Overview Account Name *4357 MEMORIAL MEDICAL CENTER- OPERATING $2,051,618,43 $2,037,788.53 $2,051,618.43 $2,345.109.21 •4365 MEMORIAL MEDICAL CENTER. CLINIC SERIES 2014 $541.17 $541.17 $541.17 $541.17 •4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER $435.66 $435.66 $435.66 $435.66 CLEARING *4381 MEMORIAL MEDICAL CENTER/ NH ASHFORD $158,084.92 $170,261.57 $158,084.92 $157,917.44 *4403 MEMORIAL MEDICAL CENTER! NHBROADMOOR $59,571.40 $69,253.17 $59,571.40 $59,571.40 *4411 MEMORIAL MEDICAL CENTER/ NH CRESCENT $143.279.20 $207,031.37 $143,279.20 $169,285.20 *4438 MEMORIAL MEDICAL CENTER I SOLERA AT WEST $104,755.33 $107,073.73 $104,755.33 $69,330.07 HOUSTON *4446 MEMORIAL MEDICALCENTER1 NH FORT BEND $32,294.27 $38,309.27 $32,294.27 $32,294.27 *4454 MEMORIAL MEDICAL GOLDEN CREEK $208,771.57 $214 036,57 $208,771.57 $191,721.64 HEALTHCARE *4551 CAL CO INDIGENT HEALTHCARE $9,718.80 $9,718.80 $9,718.80 $9,798.80 '5433 MMC -NH GULF POINTS PLAZA. PRIVATE PAY $3,345.44 $3.345.44 $3,345.44 $3,345.44 •5441 MMC -NH GULF POINTEPLAZA- $6,323.99 $69,048.59 $6,323.99 $6,323.99 MEDICAREIMEDICAID *5506 MMC -NH BETHANYSENIOR✓ $180,994.97✓ $180,994.97 LIVING ✓✓✓ /� V $180,994.97 $107,129.02 *3407 MMC -NH TUSC TUSCANY VILLAGE $225,673.71 $267,122.63 $225,573.71 $190,473,71 *3660 MMC-BETHANY SR LIVING -DACA $100.00 $100.00 $100.00 $100.00 MMC-MONEY MAR MARKET FUND $604,779.54 $604,779.54 $60477954 ,, $604,779.54 Total Balance $3.790,188.40 $3,979,841.01 $3,790,188.40 $3,948,166.56 Report generated an 01108/2024 09:69:68 AM CST Page 2 of 3 Ashford P MMC A Y E E AMOUNT: EXPLANATION: REQUESTED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST Date Requested: 1/8/2024 APPFIOVE® ON JAN 08 2024 FOR ACCT USE ONLY ❑ imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 523.32, G/L NUMBER: Q4 Interest 21400012 Michelle Cumberland AUTHORIZED BY: I �, o,: ^ ) ram, Il�l2`f- Broadmoor MEMORIAL MEDICAL CENTER CHECK REQUEST P MMC A Y—�— E E AMOUNT: $ 462.85./ EXPLANATION: Q4Interest Date Requested: 1/8/2024 APPROVED OP JAN Q 8 2024 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: REQUESTED BY: Michelle Cumberland AUTHORIZED BY: 21400009 IIa(Z�{ Crescent MEMORIAL MEDICAL CENTER CHECK REQUEST P MMC Date Requested: 1/8/2024 A Y FOR ACCT USE ONLY E APPROVED ON ❑ Imprest cash E f4 ❑ A/P Check JAN 0 8 2024 �cl Nnl qt' � E] Mail Check to Vendor CABHO'LlNUCn ITlfv6i`r �.@ ❑Return Check to Dept AMOUNT: $ 799.62✓ G/LNUMBER: 21400010 EXPLANATION: Q4Interest REQUESTED BY: Michelle Cumberland AUTHORIZED BY: Fort I MMC A Y Fz E AMOUNT: EXPLANATION: REQUESTED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST Date Requested: 1/8/2024 APPROVED ON -,IAN 0 8 2024 BY COUN au I TEXTY AUr7I7ARAs a! nI a 263.72Z Q4 Interest FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 21400008 Michelle Cumberland AUTHORIZED BY: c� I(UIZ`� Solera MEMORIAL MEDICAL CENTER CHECK REQUEST Q MMC Date Requested: Y E E APPROVES! ON JAN 0 S 2024 AMOUNT: EXPLANATION: FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to vendor ❑ Return Check to Dept $ 623.56 r! G/L NUMBER: Q4 Interest REQUESTED BY: Michelle Cumberland AUTHORIZED BY: tle�2� 1/8/2024 21400011 Golden Creek,/ P A Y E E AMOUNT: MMC EXPLANATION: MEMORIAL MEDICAL CENTER CHECK REQUEST Date Requested: APPROVED Ot JAN 0 8 2024 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept 1/8/2024 $ 458.19/ G/LNUMBER: 21400013 Q4 Interest REQUESTED BY: Michelle Cumberland �341:N1:it4�al:1'A r l I e I2.-�-t MEMORIAL MEDICAL CENTER CHECK REQUEST P MIMIC Date Requested: 1/8/2024 A Y E FOR ACCT USE ONLY APPROVED ON ❑Imprest Cash E ❑ A/P Check JAN 0 8 2024 pp pp''rt qq E] Mail Check to Vendor CABLHDUhj NTnyj JAW"7r9YdI� ❑ Return Check to Dept AMOUNT: $ 621.49,/ G/L NUMBER: EXPLANATION: Q4Interest 21400015 REQUESTED BY: Michelle Cumberland AUTHORIZED BY: � )� tlP N W N W O l0 O N O O O O O O N 0 0 0 0 M '1 W m ei m O •M 1I1 N N �O .i N � M N b M N �y/1 r N W Iff N rl N �,y^ tO 'i C \xxxaill an,awww le. 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