The URL can be used to link to this page

2024-02-14 Final PacketI NOTICE OF MEETING— 2/14/2024 February 14, 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 Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County)udge Commissioner Pct i 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 5 NOTICE OF MEETING — 2/1.4%1024 5. Consider and take necessary action to approve Change Order No. 5 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Judge to sign all documents. (DEH) Scott Mason with G&W explained the change needed. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER': David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to approve the final plat of Driftwood Shores at Wolf Point. (JMB) d changes. !ULT: APPROVED [UNANIMOUS ✓ER: Joel Behrens, Commissioner ONDER David Hail, Commissioner Pc S: Judge Meyer, Commissioner R Pct 3 t1 Hall, Lyssy, Behrens, Reese i 7. Consider and take necessary action to approve a lease agreement with Xerox Corporation for a Xerox C8145H copier and authorize the County Judge to sign this agreement for the Calhoun County AgriLife Extension Service. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to continue participation in TAC HEBP ARTS Program and authorize the County Judge to sign the agreement. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese . Page 2 of 5 NOTICE OF MEETING - 2/1.4/2024 9. Consider and take necessary action to accept an anonymous donation in the amount of $75.00 to the Sheriffs Office to be deposited into the Motivation Account (2697-001- 49082-679) (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to authorize the Sheriff to pay GT Distributors invoice numbers INVO986023 ($28,810.92) and INVO986025 ($4,967.40) out of the 2023 budget. These two purchases were placed on August 17, 2023 and August 21, 2023 and were for new firearms for all licensed peace officers. (RHM) Sheriff explained supply and demand issues and asked the court to approve. RESULT: APPROVED [UNANIMOUS] MOVER:. Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Approve the minutes of the January 24, 2024 regular meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:., Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 5 NO I ICE OF MEE SING - 2/14/2024 12. Accept Monthly Reports from the following County Offices: I. County Clerk - December 2023 ii. County Clerk - January 2024 III. Justice of the Peace, Precinct 1- January 2024 iv. Justice of the Peace, Precinct 2 - January 2024 v. Justice of the Peace, Precinct 3 - January 2024 vi. Justice of the Peace, Precinct 5 - January 2024 vii. Texas Agrilife Extension Service - January 2024 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine viii. Sheriff's Office - January 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action on any necessary budget adjustments. (RHM) 2023: RESULT: APPROVED [UNANIMOUS] , MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 ' AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2024: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER. Joel Behrens, Commissioner Pct 3 AYES Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 5 NOTICE O MEETING 2/14/2024 14. Approval of bills and payroll. (RHM) C Bills < iULT: APPROVED [UNANIMC VER: David Hall, Commissionei 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 Adjourned 10:19am Page 5 of 5 PACKET COMPLETION SHEET All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) 4L All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this i,� day of 2024, the packet for the �� day of 2024 Commissioners' Court Regular Session was submitted fro4i the Calhoun County Judge's office to the Calhoun County Clerk's Office. 944tb Calhoun County Judge/Assistant AGENDA NOTICE OF MEETING — 2/14/2024 Richard H.1M[eye>r County judge David Nall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Neese, Commissioner, Precinct 4 NOTICE OF MEETING T YThe Commissioners' Court of Calhoun County, Texas will meet on Wednesday, February 14, 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 f �;�1 /� The subject matter of such meeting is as follows: AT�L1Ltl�. "OCIOCK l M Call meeting to order. FEB 0 9 2024 Invocation. cou t',"" aO ��ua aura / BY: PUTY �/ "3Pledges of Allegiance. 4General Discussion of Public Matters and Public Participation. 'S./Consider and take necessary action to approve Change Order No. 5 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Judge to sign all documents. (DEH) '( 6. Consider and take necessary action to approve the final plat of Driftwood Shores at Wolf /Point. (JMB) 7. Consider and take necessary action to approve a lease agreement with Xerox Corporation for a Xerox C8145H copier and authorize the County Judge to sign this �agreement for the Calhoun County Agrii-ife Extension Service. (RHM) �. Consider and take necessary action to continue participation in TAC HEBP ARTS Program and authorize the County Judge to sign the agreement. (RHM) Consider and take necessary action to accept an anonymous donation in the amount of $75.00 to the Sheriff's Office to be deposited into the Motivation Account (2697-001- 49082-679) (RHM) Page 1 of 2 I N0l I(.E OF MI LI ING 2/J4/20PI I0. Consider and take necessary action to authorize the Sheriff to pay GT Distributors invoice numbers INV0986023 ($28,810.92) and INV0986025 ($4,967.40) out of the 2023 budget. These two purchases were placed on August 17, 2023 and August 21, 2023 and were for new firearms for all licensed peace officers. (RHM) 11. Approve the minutes of the January 24, 2024 regular meeting. 12. Accept Monthly Reports from the following County Offices: i- County Clerk — December 2023 tif. County Clerk — January 2024 Ill Justice of the Peace, Precinct 1— January 2024 KC Justice of the Peace, Precinct 2 — January 2024 v�Justice of the Peace, Precinct 3 — January 2024 t� Justice of the Peace, Precinct 5 - January 2024 vii. Texas Agrilife Extension Service - January 2024 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health vn�4. Coastal and Marine SherifFs Office — January 2024 41 Consider and take necessary action on any necessary budget adjustments. (RHM) 14. Approval of bills and payroll. (RHM) r e Richard H. Meyer, County 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.caJliouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 # 04 N011CF OF MEETING - 2/14/2024 February 14, 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 Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 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 11 # 05 I NOTICE (�l= MEETING ..- 2/14/2024 5. Consider and take necessary action to approve Change Order No. 5 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Judge to sign all documents. (DEH) Scott Mason with G&W explained the change needed. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner.Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 11 Mae Belle Cassel From: Sent: To: Subject: Attachments: Sent from David's iPhone David Hall Commissioner Precinct 1 Calhoun County Office 361-552-9242 Cell 361-220-1751 Begin forwarded message: David.Hall@calhouncotx.org (David Hall) <David.Hall @calhouncotx.org> Tuesday, February 6, 2024 2:47 PM Mae Belle Cassel Fwd: Request for Agenda Item 02-14-24 5310.020 - Dispatch C05-For Court 020524.pdf From: smason@gwengineers.com Date: February 6, 2024 at 2:31:42 PM CST To: David Hall <David. Ha ll@calhouncotx.org> Cc: "demi.cabrera" <demi.cabrera@calhouncotx.org>, angela.torres@calhouncotx.org, Anthony Gohlke <anthonyg@gwengineers.com>, Glynis King <gking@gwengineers.com>, candice villarreal <candice.villarrea I@calhouncotx.org> Subject: RE: Request for Agenda Item 02-14-24 CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. David, We need to request the following for the change order number 5 to be approved in court. For your information, this is not a project total $$$ increase, as we are using money from the $35k allowance that was included in the bid. Consider and take necessary action to approve Change Order No. 5 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize County Judge to sign. (DH) Thank you, Scoff- P. Macaw, P.E. Lead Project Engineer G&W Engineers, Inc. CHANGE ORDER No, Five (5) PROJECT CALHOUN COUNTY COMBINED DISPATCH FACILITY DATE OF ISSUANCE 02/05/24 EFFECTIVE DATE 02/14/24 OWNER CALHOUN COUNTY OWNER's Contract No. N/A CONTRACTOR BLS CONSTRUCTION, INC. ENGINEER G & W ENGINEERS, INC. Job# 5310.020 You are directed to make the following changes in the Contract Documents, Reason fmr Change Order: Supply Schluter Kerdi Ramp (ADA Compliant Required) to shower systems in rooms 105 & 106. Contractor is ordered to use the allowance budget for this Change Order request. Overall Contract Price to remain the same. Attachments (List documents supporting change) BLS Construction Change Order No. 5 Request CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES: Original Contract Price Original Contract Times $ 1,877,350.00 Substantial Completion: 290 Ready for final payment: May 27, 2024 days or dales Contract changes from previous Change Orders No. 1 to No. 2 Net changes from previous Change Orders No. 1 to No. 4 $ 12,187.30 7 Days — Original Contingency Allowance Budget $35,000.00 day' Changes to Cont. Allowance from Previous C.O. No. 3 to 4 $4,148.97 Net Cont. Allowance Changes from C.O. Numbers 3 to 5 Allowance Budget Prior to this Change Order $30,851.03 $5,128.12 C.O. No. 5 approved amount $979.15 New Contigency Allowance Budget $29,871.88 Contract Price prior to this Change Order Contract Times prior to this Change Order $ 1,889,537.30 Substantial Completion: 287 Ready for final payment: June 3, 2024 days or date, Net Increase (deereas) of this Change Order Net Increase (decrease) of this Change Order $ From Allowance N/A Contract Price with all approved Change Orders Contract Times with all approved Change Orders $ 1,889,537.30 Substantial Completion: 287 Ready for final payment: Jute 3, 2024 daya or dales RECOMMENDED: APPROV ACCEPTED: LnSineer(Amtmriaed S tsttu'c) 0 e,(Awhodnd Signature) Contractor(Amhodeed Signnmre) G & W Engineers, Inc. Calhoun County BLS Construction, Inc. Date: 0 ` , 0S 2 41 Date: z.o Z`'' Date: {., ii. ZD�2 y From: smason@gwengineers.com <smason@gwengineers.com> Sent: Thursday, February 1, 2024 11:29 AM To: 'David Hall' <David.Hall@calhouncotx.org> Cc: 'demi.cabrera' <demi.cabrera@calhouncotx.org>; 'Angela.Torres@calhouncotx.org' <Angela.Torres@calhouncotx.org>; 'Anthony Gohlke'<anthonyg@gwengineers.com>;'Glynis King' <gking@gwengineers.com>; 'candice villarreal' <candice.villarreal@calhouncotx.org> Subject: Request for Agenda Item 02-07-24 Importance: High David, We need to request the following for the change order number 4 to be approved in court. For your information, this is not a project total $$$ increase, as we are using money from the $35k allowance that was included in the bid. Consider and take necessary action to approve Change Order No. 4 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize County Judge to sign. (DH) I will be sending the form hopefully by the end of the day. Waiting BLS to sign. But wanted to get the agenda item in. Thank you, Scaft P. Masovw, P.E. Lead Project Engineer G&W Engineers, Inc. Calhoun County Texas # 06 I N0110E 01 MEF. flNG — 2/14/2024 6. Consider and take necessary action to approve the final plat of Driftwood Shores at Wolf Point. (JMB) bond changes. RESULT: / MOVER: J SECONDER: AYES: J concerns and court approved Final PI PPROYED [,UNANIMOUS] iel Behrens, Commissioner Pct 3 avid Hall, Commissioner Pct 1 , v i Page 3 of 11 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(a calhouncotx.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 February 14, 2024. Consider and take necessary action to approve the final plat of Driftwood Shores at Wolf Point. Sincerely, Joel Behrens Commissioner Pct. 3 § 232 34. Bond Requirements, TX LOCAL. GOVT § 232.O04 Vernon's Texas Statutes and Codes Annotated Local Government Code (Refs & Antics) Title 7. Regulation of Land Use, Structures Businesses and Related Activities Subtitle B. County Regulatory Authority Chapter 232. County Regulation of Subdivisions (Refs & Armes) Subchapter A. Subdivision Platting Requirements in General V.T.C.A., Local Government Code § 232.004 § 232.004. Bond Requirements Currentness If the commissioners court requires the owner of the tract to execute a bond, the owner must do so before subdividing the tract unless an alternative financial guarantee is provided under Section 232.0045. The bond must: (1) be payable to the countyjudge of the county in which the subdivision will be located or to the judge's successors in office; (2) be in an amount determined by the commissioners court to be adequate to ensure proper construction of the roads and streets in and drainage requirements for the subdivision, but not to exceed the estimated cost of construction of the roads, streets, and drainage requirements; (3) be executed with sureties as may be approved by the court; (4) be executed by a company authorized to do business as a surety in this state if the court requires a surety bond executed by a corporate surety; and (5) be conditioned that the roads and streets and the drainage requirements for the subdivision will be constructed: (A) in accordance with the specifications adopted by the court; and (B) within a reasonable time set by the court. Credits Acts 1987, 70th Leg ch. 149 § 1 eff. Sept 1 1987. Amended by Acts 1989, 71st Leg ch. 1 § 54(b)eff. Aug 28 1989; Acts 1999, 76th Leg ch. 129 § 6 eff. Sept I 1999. V. T. C. A., Local Government Code § 232.004, TX LOCAL GOVT § 232,004 Current through the end of the 2023 Regular, Second, Third and Fourth Called Sessions of the 88th Legislature, and the Nov. 7, 2023 general election. conflict with other street names within the County and has met with developers' engineer, surveyor or representative to resolve any conflicts. No construction Is authorized in the Proposed subdivision before the Final Plat is approved by the Commissioners Court Approval of the Final Plat by the Commissioners Court does not Mena that the roads constructed Pursuant to the Plat will be accepted for maintenance by Calhoun County. 204 Approval by Commissioners Court: After examining the Final Plat, the Commissioners Court must approve or disapprove the Final Plat If the plat is disapproved, it must be returned to the owner and the reasons for the disapproval- must be given to the Subdivider. If the Final Plat is approved by the Commissioners Court, the Subdivider has the following options concerning the filing of the Final Plat: on I : If the Subdivider desires to file the final plat prior to completion ofthe construction of the streets and/or utilities, or other facilities in a subdivision, (for both private subdivisions with private streets and public subdivisions with public streets) the Sub -divider must provide appropriate financial security in accordance with these regulations. Financial security may be arranged in one of the following methods: a A construction bond may be filed by the Subdivider payable to Calhoun County in the amount of 125% of the estimated cost of construction. The bond must be a surety provided by a surety company licensed to operate in the State of Texas. b. The owner may provide funds in escrow, certificate of deposit, an irrevocable letter of credit or other financial instrument satisfactory to the Commissioners Court in the amount of 110 % of the estimated cost of construction. C. The owner may draw down on a monthly basis funds in escrow or certificate of deposit or letter of credit in an amount equal to 90% of the value of the completed with application to and approval from the Commissioner's Court d. A construction bond for the construction ofroads must include a maintenance bond to guarantee the roads to 2 years after they are built and must cover 20% of the cost of construction for the roads as provided in Section 304 subsection 5 of these rules. After acceptable financial security is filed with the County, the County Judge and Commissioner in whose precinct the subdivision is located in, will sign the Final Plat and the owner can then file the Final Plat with the office ofthe Calhoun County Clerk,. ti2: If the owner desires not to tee the construction, the final plat will be witbhe.M from filing until the completion ofthe construction ofthghstreet$, public water supply and distribution, public sewage collection and treatment facilities, drainage and other facilities provided by fire developer. At such time that the Calhoun County Commissioner, , or a qualified engineering firm, certifies to the Commissioners Court that the construction is completed according to the Calhoun County specifications, the County Judge will sign the final plat and the Subdivider can then file the Final Plat with the office of the Calhoun County Cie& A space must be provided on the Final Plat for the signatures by the County Judge, and the County Commissioner of the respective precinct 205 Cony Retained by County: A copy of the Final Plat will be retained by Calhoun County, 206. Vacating ofa Subdivision: Whenever any person or corporation may desire to vacate any subdivision or a part of a subdivision in which the person or corporation has an ownership interest, the party(S) may Petition the Calhoun County Commissioners Court The petition must contain a description ofthe subdivision or part of the subdivision to be vacated and the names of persons who would be affected by the action. Petitions for the vacation ofasubdivision must be submitted to the Calhoun County Clerk. The County Clerk Page 9 rd 93 THE MAIN STREET AMERICA GROUP cno�e Bond No. S-308285 KNOW ALL MEN BY THESE PRESENTS, THAT, we, DKRS Driftwood Shores, LLC as Principal, and NGbI Insurance Company, 4601 Touchton Road East, Suite 3400, Jacksonville. FL 32246, as Surety, are held and firmly bound unto the Treasurer of Calhoun County, Texas, Rhonda Kokena , as Obligee, in the full and just Stan of Three Million One Hundred Sixteen Thousand Five Hundred Sixty Seven Dollars & 001100 ($3,116,567.00) for the payment of which sum, well and truly to be made, the said Principal and Surety bind themselves, and their respective heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal is the owner of a certain tract of land in Calhoun County. Texas more particularly described as follows: 350.64 acres at 325 Shoreline Drive Port Lavaca TX 77979 to be known as Driftwood Shores Subdivision . WHEREAS, The Principal has entered into an agreement with the Obligee, wherein the Principal agrees to construct the following: Road & Drainase Improvements, as wells as Electrical Infrastructure Improvements per county code in said tract. NOW, THEREFORE, the condition of this obligation is such that, if the Principal shall faithfully perform the ternis of said agreement on its part shall fully indemnify and save harmless the Obligee from all cost and damage which the Obligee may suffer by reason of failure so to do and shall fully reimburse and repay the Obligee all outlay and expense which the Obligee may incur in making good such default, then this obligation shall be null and void, otherwise it shall remain in full force and effect. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this 5th day of Februarv,2024. Attest Attest DKRS Driftwood Shores LLC BY: (Seal) James David Kilgore, Managing Member NGM Insurance Company BY:2 G iSeal) Marl. Phillips, Att rney-in-Fa& snivrw000 sxonss • .@ x �� -x�-,n: n i9`J 1 3 1 3F' t ri ri •_ _ � .„ ^VtiY" Lsot avass u�--e.•3» CS Y" R�Sl96Q nNx4xw wr 1 / uNXuxwda �/ cwvc oeu DflIFTWOOD BIIOOEB . %Fw . M= r4�r.� .''yam Rill m� 1 11 i I11 I !rM� I l,i v. �S °A yMrgt�yHur • ® GlwxCnxw 6Ir .WPr II V� rl w. 1 � 44 ' 1'• �':zrq°"gl'{ ��; *"�� ®_ -' _ rrt ggg @eaagrs lm n .w. wmiil�'iuti•uxn.r i � �', .. j�l ;(i ', �.; 1,. 1 w,W. �as%%fP" '"� p.,„...�; a ,..�^ ) G � „ o y.�.��., . •=.*La.-;: �VY{lt .. 1, 1 ( eat=` � tl �e•`"`� :;� ® ._.�a:::_ 1� 1a\ y, ,.�+""e+•�?°�..• 3• Fs °+zF°< •:v :,F;. �` ',rt�� 0 0 0 A� i �1.1,1 .b5t9S�p y pp 1 xeu .x.n �Ii �n ' � 1�1k�ixe"••-" ,mErare• � ...00IFTWBIIOflE9 K — �a111111w ...-:'�".xi•^ t( ,pin n i !� _.i ! it � W ....... ..._..._,._. J 3 I q r I_ 1 it u IJI a it • •I..i1 w�..lyi. li i I I 1 f 15 I' 9 B p p B B O p ie• i 0 b uwxuxun unr .V .., _�" w I,} WM a 9RIFTW0009NOR69 r0 p m IP & O � _ Xj v o° •;,:: di 1. SCR.. w. w........n.«, a .0 ' .......m..........,,.. O X. X. r, '-' ,_--•- ai---^. � is ,N �F ° °o o ®° ©I ° 8 0 .. g - e ° / ipv !g is un�xuxw wr /9 1 _ m. um n u r sARJ.Rk ......Ih nw .r .� ,��•-. � � I DRIFTWOOD BNOflE9 6% a; ; Yj O �Ty,\\.hh p �naxuxw en. r. �• p p : °o // wxnxCnxu. w. ea °... d,. j. p°®® p ° ° 00 p ° °' e O O ° i E ° O O O O p p Go O e o o p O 'o oO �_ cnw.vunweer �_ .6. �}+ �'riJl Y'•1�...' i n w DRIFTWODD ERDREB E Ut. ...... 5 .. .......,... ��.`�4.«.�.. Fc- C'T"Y Fd •y �'•: choke No 14 ��4�;+ �,a „'fie' 8 kR'4 4)I Ek'rtr a " }1s 3 1 i ,.. � � . }',,�' i"T .ir ,a.r�yy:. °� y,,��., y^ -., • � i� ilti� �at�.f i.� � �aty arLjl�k ��i � � � � �d a�Si � <., .- (do ! 3 t�4l1eries F wtat, �;,,et i s , { r�" "9YTrck�fi�d x{in fair 'r3{sxk'kl'LaYI{�p ` ri i S t�e`fa i°C�TY9tni'V .r�EtCi��:9L�F'ICt!!�;tran'tI6fl5a+' S6i4'tik'titsd9�Sre�,...+'4B`<:r.„1"' . �� cs} �htw3r ,taxi, ex I� f•;t ^ t .. 4i.�'l.rc'r.:�� .•s C:`a'h •z'. G+f {f fyti ��_', ..m. ..,,. rrik�r taroM!� P'�ks f I av at f, t'� _" .a—`{ f•r See tw a.�� rsrs ., i Fa , tis+i,� - s nctlk j% F;trcft{�att 19fc PtCFF IttLA fIIZ!Q? ,: N'•• a•a-, { O,2 �Ctt�'ff}fifi�l ,ta.. ,.7.. t• � [e i.. � k 7i G. , =f�'. , .� 7 Y-. , Jt' tf#tiittbRltl + ware . G t: ` fort, '�Iarftf r� itc°t+:{n: l9art 1'Ia►G16i"w 4dtf-irf�Cc z vu;; # 07 I NOTICE OF MEETING - 2/14/2024 7. Consider and take necessary action to approve a lease agreement with Xerox Corporation for a Xerox C8145H copier and authorize the County Judge to sign this agreement for the Calhoun County AgriLife Extension Service. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER:,, Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner.Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 11 Mae Belle Cassel From: Sent: To: Cc: Subject: Attachments: ellen.heiman@ag.tamu.edu (Ellen M. Heiman) <ellen.heiman@ag.tamu.edu> Wednesday, February 7, 2024 2:45 PM Mae Belle Cassel Karen P. Lyssy Xerox Contract Xerox Contract 2024.pdf aks or open attachments unless the sender and know the is safe. Good afternoon, Mae Belle. Please put this on the agenda for February 14, 2024 court. • Consider and take necessary action to approve a lease agreement with Xerox Corporation for a Xerox C8145H copier and authorize the County Judge to sign this agreement for Calhoun County AgriLife Extension Service. Thanks! Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port Lavaca, TX 77979 361-552-9747 work f (AAl XX7A�S�AT&M C a s 1- ,, 1 LY AN D SeaUnt 4-H ! 1 l 1GIU LIFT r r n 5 i i, i i i Texas caeowsre EXTENSION Lease Agreement customer: CALHOUN COUNTY Burro: COUNTY OF CALHOUN Install: COUNTY OF CALHOUN STE 1 STE 1 186 COUNTY ROAD 101 186 COUNTY ROAD 101 PORT LAVACA, TX 77979-6081 PORT LAVACA, TX 77979.6081 Tax ID#:. Stale or Local Government Negotiated Contract: 072804700 1. C8145H (XEROX C8145H) Br Finisher-213 Hp - Customer Ed • Analyst Services Lease Term: 48 months I - Xerox C8045 SIN BTB650717 Purchase Option: FMV Trade -In as of Payment 48 2/2912024 1. C8145H $143.82 1: Black and 1-15,000 Included - Consumable Supplies Included for all prints While 15,001+ $0.0051 - Pricing Fixed for Term Impressions 2: Color All Prints $0.0456 Impressions Total $143.82 Minimum Payments (Excluding Applicable Taxes) Customer acknowledges receipt of the terms of this agreement Thank You for your business) which consists of 2 pages including this face page. This Agreement is proudly presented by Xerox and Signer: Judge Met Phone: (361)552-9747 Dahill Indust Dab (210)805.8200 information on your Xerox Account, go to Signature: Date: a For mw.xerox.comlAccounlManaaement . � I v I c 1 U 1 U U 1 0 0 0 U Lease Agreement INTRODUCTION: 1. NEGOTIATED CONTRACT. The Products are subject solely to the terms in the Negotiated Contract identified on the face of this Agreement, and, for any option you have selected that is not addressed in the Negotiated Contract, the then -current standard Xerox terms for such option. GOVERNMENT TERMS: 2. REPRESENTATIONS & WARRANTIES. This provision is applicable to governmental entities only. You represent and warrant, as of the date of this Agreement, that: (1) you are a Stale or a fully constituted political subdivision or agency of the Stale in which you are located and are authorized to enter into, and carry out, your obligations under this Agreement and any other documents required to be delivered in connection with this Agreement (collectively, the "Documents'); (2) the Documents have been duly authorized, executed and delivered by you in accordance with all applicable laws, rules, ordinances and regulations Gncluding all applicable laws governing open meetings, public bidding and appropriations required in connection with this Agreement and the acquisition of the Products) and are valid, legal, binding agreements, enforceable in accordance with their terms; (3) the person(s) signing the Documents have the authority to do so, are acting with the full authorization of your governing body and hold the offices indicated below their signatures, each of which are genuine; (4) the Products are essential to the immediate performance of a governmental or proprietary function by you within the scope of your authority and will be used during the Tenn only by you and only to perform such function; and (5) your payment obligations under this Agreement constitute a current expense and not a debt under applicable state law and no provision of this Agreement constitutes a pledge of your tax or general revenues, and any provision that is so construed by a court of competentjudsdiclion is void from the inception of this Agreement. 3. FUNDING. This provision is applicable to governmental entities only. You represent and warrant that all payments due and to become due during your current fiscal year are within the fiscal budget of such year and are included within an unrestricted and unencumbered appropriation currently available for the Products, and it is your intent to use the Products for the entire term of this Agreement and make all payments required under this Agreement. If your legislative body does not appropriate funds for the continuation of this Agreement for any fiscal year after the first fiscal year and has no funds to do so from other sources, this Agreement may be terminated. To effect this termination, you must, at least 30 days prior to the beginning of the fiscal year for which your legislative body does not appropriate funds, notify Xerox in writing that your legislative body failed to appropriate funds. Your notice must be accompanied by payment of all sums then owed through the current fiscal year under this Agreement. You will return the Equipment, at your expense, to a location designated by Xerox and, when returned, the Equipment will be to in good condition and free of all liens and encumbrances. You will then be released from any further payment obligations beyond xerox- those payments due for the current fiscal year (with Xerox retaining all sums paid to date). PRICING PLAN/OFFERING SELECTED: 4. FIXED PRICING. If "Pricing Fixed for Term" is identified in Maintenance Plan Features, the maintenance component of the Minimum Payment and Print Charges will not increase during the initial Term of this Agreement. GENERAL TERMS & CONDITIONS: 5. REMOTE SERVICES. Certain models of Equipment are supported and serviced using product information that is automatically collected by Xerox or transmitted to or from Xerox by the Equipment connected to your network ("Remote Product Info') via electronic transmission to a secure off -site location ("Remote Transmission'). Remote Transmission also enables Xerox to transmit Releases of Software to you and to remotely diagnose and modify Equipment to repair and correct malfunctions. Examples of Remote Product into include product registration, meter read, supply level, Equipment configuration and settings, software version, and problem/fault code information. Remote Product Info may be used by Xerox for billing, report generation, supplies replenishment, support services, recommending additional products and services, and product improvemenddevelopmem purposes. Remote Product Info will be transmitted to and from you in a secure manner mutually agreeable to the parties. Remote Transmission will not allow Xerox to read, view or download the content of any or your documents or other information residing on or passing through the Equipment or your information management systems. You grant the right to Xerox, without charge, to conduct Remote Transmission for the purposes described above. Upon Xerox's request, you will (a) provide contact information for Equipment such as name and address of your contact and IP and physical addresses/locations of Equipment and (b) ensure that any Maintenance Release or Update released by Xerox to provide security patches, releases and/or certificates for the Remote Transmission and/or Software is promptly enabled by Customer upon notification by Xerox or by the Equipment or when otherwise made available on xerox.com. You will enable Remote Transmission via a method mutually agreeable to both parties, and you will provide reasonable assistance to allow Xerox to provide Remote Transmission. Unless Xerox deems Equipment incapable of Remote Transmission, you will ensure that Remote Transmission Is maintained at all times Maintenance Services are being performed. If you are unable to maintain Remote Transmission, or if Xerox disables Remote Transmission from any Equipment at your request, or if you disable Remote Transmission from any Equipment, Xerox reserves the right to charge you a per device fee for such affected Equipment due to the increased service visits that will be required in order to (x) obtain such information, (y) provide such transmissions, and (z) provide such Maintenance Services and Consumable Supplies that otherwise would have been provided remotely and/or proactively. NOTICE OF MEETING — 2/14/2024 8. Consider and take necessary action to continue participation in TAC HEBP ARTS Program and authorize the County Judge to sign the agreement. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5of11 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <cand ice.vi Ila rreal @calhou ncotx.org> Sent: Tuesday, February 6, 2024 6:47 PM To: 'Mae Belle Cassel' Cc: 'rhonda kokena';'Richard Meyer' Subject: Agenda Item Request Attachments: 2024 ARTS file deadlines.pdf; ARTS Renewal Confirmation Program Agreement 2024.pdf Please place the following item on the agenda for February 14, 2024: • Consider and take necessary action to continue participation in TAC HEBP ARTS Program and authorize County Judge to sign agreement. No 1295 is needed because TAC is a governmental entitiy. Note that some parts of the fillable form did not work correctly. Thank you, Candice Villarreal Calhoun County Auditor Calhoun CountyAudiitor's Office Tort Lavaca, TC 77979 None (361)553-4611 Calhoun County Texas -J' r A; E X i\ s Ass .d c I A f 10 J N February 1, 2024 Y iiEN IaITS POOL Affordable Care Act Reporting and Tracking Service (ARTS) Renewal Information The Texas Association of Counties Health and Employee Benefits Pool (TAC HEBP) has begun the renewal process for those counties and districts participating in the Affordable Care Act Reporting and Tracking Service (ARTS). Renewal will enable your entity to produce the forms required by IRS Sections 6055/6056 for calendar year 2024, assuming this reporting continues to be a requirement. Reporting will consist of Form 1095C, which must be provided both to employees and the IRS (plus transmittal Form 1094C, filed with IRS). Current law requires all employers with 50 or more full-time equivalent employees to file these forms. ARTS will provide measurement period tracking for 2024 and beyond (to determine whether an employee must be offered health coverage), as well as affordability testing for groups that require employee contributions toward the cost of their own health coverage. As your county or district provides health benefits through TAC HEBP ARTS will continue to be available at NO COST in 2024, assumiggprogram deadlines are met Your entity will need to continue sending employee, payroll, and unpaid leave of absence files to TAC HEBP in order to utilize this service for the 2024 reports. Payroll data must be provided for each payroll cycle. Employee files must be provided, at a minimum, once per quarter. LOA files may be provided if and when applicable. The information provided will be used to determine: 1) whether individuals are eligible for a federal premium subsidy or tax credit; and 2) whether your entity is subject to penalties under the ACA employer mandate. Some payroll vendors have worked with TAC to produce these files for you. You will be responsible for the completion of required information in your payroll system and submission to TAC, but this eliminates the need for manually producing additional spreadsheets. If you use a payroll system that will produce the required IRS forms, and you determine that your entity does not need measurement period tracking or affordability monitoring, you may not need ARTS. It is a service offered by TAC and is completely optional. Enclosed is the 2024 ARTS Renewal Confirmation Program Agreement on page 1. Please return a signed copy (initials on pages i and 2, signature on page 3) to your Employee Benefits Consultant or email to ARTS@county.org no later than 3/31/2024 if your entity wishes to continue its participation in the program. If you have any questions, please contact your Employee Benefits Consultant at (800) 456-5974. n* � �la,h Tta',XAs �1,4.5(1(,IA1T ION Of [,OUN 0"*11-It"ALT11 AND EMPl,c YEt, f31 NLi rrs PooL ACA Reporting and Tracking Service (ARTS) 2024 Renewal Confirmation Program Agreement HEBP Member: (Pooled Group or ASO) Program Services The ARTS program includes the following services: • Measurement, Administrative, and Stability Period tracking for 2024 and notification of eligibility for part-time / variable / seasonal employees (can provide tracking back to beginning of Measurement Period if 2023 data was provided by county/district); • Reporting for your county/district regarding the status of potential benefits -eligible employees, • Production of your county/district's 1095C forms, shipped to you for distribution to employees (optional direct mail service for additional fee); • Transmission of your county/district's 1094C and 1095C forms to the IRS. Program Requirements 1) Participants agree to provide employer, payroll, employee and unpaid leave of absence (LOA) files related to the group's Health Benefits Plan in the file format designated ted by TAC HEBP (ARTS Data File Guide attached): o Payroll data files must be provided for each payroll cycle, and should be submitted at least once per calendar month. o Employee data files must be provided, at a minimum, once per quarter. o LOA data files may be provided if and when applicable. NOTE: It is critical that you provide your files in the proper format and the correct naming convention. Failure to do so may result in our inability to provide this service to your county or district. 2) Group agrees to pay program fees as described in the 2024 ARTS Fee Schedule on page 2. Enrollment and Data Submission Deadlines • Please refer to the enclosed "2024 Deadlines for ARTS Files" document for details. ■ Groups who wish to participate in the ARTS program must return the signed documents to TAC HEBP no later than �larch 31, 2024 in order to participate. ■ Data file transmission to TAC HEBP must begin no later than August 5, 2024, to avoid late fees, however, we recommend that you continue sending your files after each payroll or at least monthly to avoid getting backlogged. tials, TAC HEBP - ARTS Renewal Confirmation Program Agreement 2024 - Page 1 of 3 g5xn Ti,k,tS ASSc)c )A. ION Of' (;(WNT IES HEALTH ANi) B> ,\Li,,rrs POOL ACA Reporting and Tracking Service (ARTS) HEBP Member (Fully Insured or ASO) 2024 Fee Schedule for Renewing Participant 1 E✓ ARTS Annual Subscription Fee *$4.75 / form Waived Z 'nI Optional Forms Distribution (group If applicable, will be billed in 2025 I�JJ chooses to have TAC mail employee forms) $1.50 /form after forms are produced 3 a Late fee for service election form (after 313112024) $1,500 4 ® Late fee for data submission $3,000 If applicable, will be billed in 2025 (after 8/5/2024 and/or 111012025) after forms are produced Total Amount Due: (if zero, enter 0.00) *Per 1095C form Fees subject to change annually �iitials i TAC HEBP - ARTS Renewal Confirmation Program Agreement 2024 - Page 2 of 3 Tii,x;15 ,t'��,`^'(�t'If�TION !)f Ct()t!N'1lli� HEA1,1'11 ANt) l mvi.oym-' BENE ITS POOL. ACA Reporting and Tracking Service (ARTS) Contact Designation Form Contracting Authority: Calhoun County (Group Name) hereby designates and appoints, as indicated in the space provided below, a Contracting Authority of department head rank or above and agrees that any notice to, or agreement by, a Group's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Group. Each Group reserves the right to change its Contracting Authority from time to time by giving written notice to HEBP. Name: Rhonda Kokena Title: County Treasurer Address: 202 S Ann St, Ste A Port Lavaca, TX 77979 Phone: 361-553-4620 Fax: 361-553-4614 Email: rhonda.kokena@calhouncotx.org Primary Contact: Main contact for data file and reporting matters pertaining to the ARTS program. Name: Candice Villarreal Title: County Auditor Mailing Address: 202 S Ann St, Ste B Port Lavaca, TX 77979 Delivery Address (no PO Boxes): same as above Phone: 361-553-4610 H4FA-A-6eewed Fax#: 361-553-4614 Email: candice.villarreal@calhouncotx.org Other Contact Emails for ARTS correspondence regarding data files, if any: erica.perez@calhouncotx.org of County JudgVor Contracting Authority Richard H. Meyer, County Judge Print Name and Title Payroll Software provider: MiP Fund Accounting/Community Brands Software Version #: 24.1.0.0 ;?.-w-�zw Date TAC HEBP - ARTS Renewal Confirmation Program Agreement 2024 - Page 3 of 3 2024 Deadlines for ARTS files z G oCD M January -June July — September 0 a a Cr Cr a. CD `; CD ARTS Files Due to TAC no later than 815124 y Due by Due by Due by Due by Late Penalty: $3,000 10/31/24 11/30/24* 12/15/24* 1110/25*A ARTS Agreement due by 3/31124 Late Penalty: $1,500 Q_Ti:xr\s ASSO(I 'riON Of' COUNTIES HEALTH ANu BMILavcr BENEFITS Pool, * NOTE: If these file deadlines are not met, TAC HEPB will not guarantee timely production of 1095C forms A If all 2024 ARTS files not received by 1/10/25: Late Penalty: $3,000 2024 Deadlines for ARTS files z G CD 5L m m January -June July —September Cr �CD CD ARTS Files Due to no later than 815/24 Due by Due by Due by Due by Late Penalty: $3,000 10/31/24 11130124* 12115/24* 1/10/25*" ARTS Agreement due by 3131/24 Late Penalty: $1,500 * NOTE: If these file deadlines are not met, TAC HEPB will not guarantee timely production of 1095Cforms " If all 2024 ARTS files not received by 1/10125: W,T F,XAs AssocIATIoN of COUNTIES Late Penalty:$3,000 'HFAFr11 ANo ENIP.ontF BrN1FIrs POOL ' t,-i,,i rs Pact., February 1, 2024 Affordable Care Act Reporting and Tracking Service (ARTS) Renewal Information The Texas Association of Counties Health and Employee Benefits Pool (TAC HEBP) has begun the renewal process for those counties and districts participating in the Affordable Care Act Reporting and Tracking Service (ARTS). Renewal will enable your entity to produce the forms required by IRS Sections 6055/6056 for calendar year 2024, assuming this reporting continues to be a requirement. Reporting will consist of Form 1095C, which must be provided both to employees and the IRS (plus transmittal Form 1094C, filed with IRS). Current law requires all employers with 50 or more full-time equivalent employees to file these forms. ARTS will provide measurement period tracking for 2024 and beyond (to determine whether an employee must be offered health coverage), as well as affordability testing for groups that require employee contributions toward the cost of their own health coverage. As your county or district provides health benefits through TAC HEBP, ARTS will continue to be available at NO COST in 2024, assuming program deadlines are met. Your entity will need to continue sending employee, payroll, and unpaid leave of absence files to TAC HEBP in order to utilize this service for the 2024 reports. Payroll data must be provided for each payroll cycle. Employee files must be provided, at a minimum, once per quarter. LOA files may be provided if and when applicable. The information provided will be used to determine: 1) whether individuals are eligible for a federal premium subsidy or tax credit; and 2) whether your entity is subject to penalties under the ACA employer mandate. Some payroll vendors have worked with TAC to produce these files for you. You will be responsible for the completion of required information in your payroll system and submission to TAC, but this eliminates the need for manually producing additional spreadsheets. If you use a payroll system that will produce the required IRS forms, and you determine that your entity does not need measurement period tracking or affordability monitoring, you may not need ARTS. It is a service offered by TAC and is completely optional. Enclosed is the 2024 ARTS Renewal Confirmation Program Agreement on page 1. Please return a signed copy (initials on pages 1 and 2, signature on page 3) to your Employee Benefits Consultant or email to ARTSQcounty.org no later than'i/31/202� if your entity wishes to continue its participation in the program. If you have any questions, please contact your Employee Benefits Consultant at (800) 456-5974. pxxn, TION Of * IILAI.I ll Atv1J Emvi_oYL,:1,, Bl:i\LI,-rrs Pool, ACA Reporting and Tracking Service (ARTS) 2024 Renewal Confirmation Program Agreement HEBP Member: (Pooled Group or ASO) Program Services The ARTS program includes the following services: • Measurement, Administrative, and Stability Period tracking for 2024 and notification of eligibility for part-time / variable / seasonal employees (can provide tracking back to beginning of Measurement Period if 2023 data was provided by county/district); • Reporting for your county/district regarding the status of potential benefits -eligible employees; • Production of your county/district's 1095C forms, shipped to you for distribution to employees (optional direct mail service for additional fee); • Transmission of your county/district's 1094C and 1095C forms to the IRS. Program Requirements 1) Participants agree to provide employer, payroll, employee and unpaid leave of absence (LOA) files related to the group's Health Benefits Plan in the file format designated by TAC HEBP (ARTS Data File Guide attached): o Payroll data files must be provided for each payroll cycle, and should be submitted at least once per calendar month. o Employee data files must be provided, at a minimum, once per quarter. o LOA data files may be provided if and when applicable. NOTE: It is critical that you provide your files in the proper format and the correct naming convention. Failure to do so may result in our inability to provide this service to your county or district. 2) Group agrees to pay program fees as described in the 2024 ARTS Fee Schedule on page 2. Enrollment and Data Submission Deadlines ■ Please refer to the enclosed "2024 Deadlines for ARTS Files' document for details. ■ Groups who wish to participate in the ARTS program must return the signed documents to TAC HEBP no later than arch 31, 2029� in order to participate. Data file transmission to TAC HEBP must begin no later than August 5, 2024, to avoid late fees, however, we recommend that you continue sending your files after each payroll or at least monthly to avoid getting backlogged. _.� iInitials,� TAC HEBP-ARTS Renewal Confirmation Program Agreement 2024 - Page 1 of 3 �yxxtx, TV, X As AssoclA * HFAl,Tli .AND EMI'LOYE'E BLxLi�rr5 lloo1.. ACA Reporting and Tracking Service (ARTS) HEBP Member (Fully Insured or ASO) 2024 Fee Schedule for Renewing Participant 1 D✓ ARTS Annual Subscription Fee *$4.75 / form Waived Optional Forms Distribution (group If applicable, will be billed in 2025 2 $1.50 /form after forms are produced chooses to have TAC mail employeeforms) P El Late fee for service election form 3 (after 313112024) $1,500 4 ® Late fee for data submission $3'000 If applicable, will be billed in 2025 (after 8/5/2024 and/or 111012025) after forms are produced Total Amount Due: (if zero, enter 0.00) *Per 1095C farm Fees subject to change annually &lt als TAC HEBP- ARTS Renewal Confirmation Program Agreement 2024- Page 2 of 3 Tt?X1s Assoc I1t"I()N 0f [Atfll�l'I"it? I. ., ACA Reporting and Tracking Service (ARTS) Contact Designation Form Contracting Authority: Calhoun County (Group Name) hereby designates and appoints, as indicated in the space provided below, a Contracting Authority of department head rank or above and agrees that any notice to, or agreement by, a Group's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Group. Each Group reserves the right to change its Contracting Authority from time to time by giving written notice to HEBP. Name: Rhonda Kokena Title: County Treasurer Address: 202 S Ann St, Ste A Port Lavaca, TX 77979 Phone: 361-553-4620 Email: rhonda.kokena@calhouncotx.org Fax: 361-553-4614 Primary Contact: Main contact for data file and reporting matters pertaining to the ARTS program. Name: Candice Villarreal Mailing Address: Title: County Auditor 202 S Ann St, Ste B Port Lavaca, TX 77979 Delivery Address (no PO Boxes): Phone: 361-553-4610 same as above Email: candice.villarreal@calhouncotx.org H41?Andr$eemed Fax#: 361-553-4614 Other Contact Emails for ARTS correspondence regarding data files, if any: erica.perez(a)calhouncotx.ora of County J&dgd or Contracting Authority Date Richard H. Meyer, County Judge Print Name and Title Payroll Software provider: MiP Fund Accounting/Community Brands Software Version #: 24.1.0.0 TAC HEBP - ARTS Renewal Confirmation Program Agreement 2024 - Page 3 of 3 NOTICE OF MEETING— 2/1.412024 9. Consider and take necessary action to accept an anonymous donation in the amount of $75.00 to the Sheriff's Office to be deposited into the Motivation Account (2697-001- 49082-679) (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 11 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: ACCEPT DONATION TO SHERIFF'S OFFICE DATE: FEBRUARY 21, 2024 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR FEBRUARY 21, 2021 * Consider and take necessary action to accept anonymous donation to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $75.00. Sincerely, Bobbie Vickery Calhoun County Sheriff i E HERBERT AND BARBARA DECKER LIVING TRUST BARBARA DECKER, TRUSTEE . HERBERT M DECKER, TRUSTEE ,2 30.8968/3798 IM BISCAYNE ST Z PORTLAYACA,-rx:7Z9]8. , DA--� y � DOLLARS � ceie wa F�EEDflM # Zo NOTICF OF MEETING-, — 2/14/2024 10. Consider and take necessary action to authorize the Sheriff to pay GT Distributors invoice numbers INVO986023 ($28,810.92) and INVO986025 ($4,967.40) out of the 2023 budget. These two purchases were placed on August 17, 2023 and August 21, 2023 and were for new firearms for all licensed peace officers. (RHM) Sheriff explained supply and demand issues and asked the court to approve. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7of11 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER COUNTY JUDGE SUBJECT: 2023 BUDGET ITEM DATE: FEBRUARY 21, 2024 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR FEBRUARY 21, 2024 * Consider and take necessary action to allow the Sheriff to pay GT Distributors, invoice # INV0986023 ($28,810.92) & 1W0986025 ($4,967.40) out of 2023 budget. These two purchases were placed on 8/17/23 & 8/21/23 & were for new firearms for all licensed peace officers. Sincerely, Bobbie Vickery Calhoun County Sheriff #11 NOTICE OF MEETING — 2/14/2024 11. Approve the minutes of the January 24, 2024 regular meeting. RESULT: APPROVED [UNANIMOUS] MOVER: + Vern Lyssy, Commissioner Pct 2 SECONDER; Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 11 Richard H. Meyer County judge David Hall, Commissioner, Precinct I 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 24, 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. l Richard H. Meyer, ty Judge Calhoun County, Texas Anna Goodman, County Clerk Date a. IU.goaN Date Page 1 of 1 NOTICE OF MEETING-- 1/24/2024 January 24, 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 Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 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, Galen Johnson gave a quick report on last year's numbers. Page 1 of 7 ' NOTICE OF MEETING — 1/2.4/2024 S. Consider and take necessary action to appoint a Judge Pro -Tern of the Commissioners' Court and the Court's representative to Memorial Medical Center's Board of Managers monthly meetings. (RHM) 6. Consider and take necessary action to utilize funds from the Local Assistance and Tribal Consistency Fund to pay for Southern Software licenses and peripherals in order for all Calhoun County Constables to stay in compliance with state mandated reporting requirements. (DEH) RESULT6 APPROVED [UNANIMOUS] MOVER avid Hall; Commissioner PCt.l SECONDER-.` Gary. Reese; Commissioner PCt 4 AYES Judge Meyer; Cornmissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve a Petition to Vacate and Abandon a 0.283-acre tract situated in the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas and a 0.251-acre tract situated the Juan Cano Survey, Abstract No. 5 and being a portion of unimproved Club Drive according to the plat of Bayside Beach Subdivision as recorded in Volume Z, Page 28, of the Plat Records of Calhoun County, Texas. (DEH) RESULT.: APPROVED [UNA . MO.US] MOVER:-. :David -Hall Commissioner Pct 1 SECONDER. Vern L s; Commissioner Pct 2 Y_ SY, AYES Judge Meyer, Conimissloner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to authorize the Texas Water Safari to use Bill Sanders Memorial Park for the finish line for the 2024 Texas Water Safari and authorize the use of park facilities and overnight camping from June 6 — June 13, 2024. Postponement dates are June 20 — 27, 2024 and July 11— 18, 2024. (GDR) RESULT:.;:. APPROVED [UNANIMOUS] MOVER: Joel Behrens, lCornmissioner. Pct. 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES. Judge Meyef, Commissloner. Hall, Lyssy, Behrens, Reese Page 2 of 7 NOTICE OF MEETING—1/24/2024 9. Consider and take necessary action to lower the speed limit to 20 mph on Swan Point Road from the corner of Swan Point Road and Falcon Point Road to Bill Sanders Memorial Park, (GDR) RESULT: ! APPROVED [UNANIMOUS] Gary•Rees e,Commissioner=Pct4 SECONDER ' ]oel Behrens, Commissioner:'Pct 3 AYES.` -Judge Meyer;.Com missioner `Hall, Lyssy, Behrens, Reese:. .: 10. Consider and take necessary action to accept the Agreement for Professional Services with Urban Engineering for a Orthomosaic Survey for the Texas Parks and Wildlife Boggy Bayou Trails Grant in the amount of $6,000.00 and authorize Commissioner Reese to sign all documentation. (GDR) 11. Consider and take necessary action to accept the Agreement for Professional Services with Urban Engineering for Engineering Services in the amount of $6,800.00 for Boggy Bayou Nature Park Improvements, Phase 2; Coastal Management Program Cycle 26 GLO Contract No. 24-089-000-E345 and authorize Commissioner Reese to sign all documentation. (GDR) RESULT APPROVED'[UNANIMOUS] Gory Reese, Commissioner Pct 4 .5ECON : ER Joel Behrens, Coinmissiof)R: Pct 3 AYES Judge Meyer, Commissioner Hall, Lpssy, Bq, rens, Reese: 12. Consider and take necessary action to accept the Matagorda Bay Mitigation Trust Contract No. 057 — Bill Sanders Memorial Park Pavilion and Shade Canopy and authorize the County Judge to sign all documents. (GDR) RESULT APPROVED [UNANIMOUS MOVER , . Gary Reese, Commissioner Pi 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES -Judge Meyer, Commissioner Hali, Lyssy, Behrens, Reese:... Page 3 of 7 NOTICE OF MEETING1/24/2024 13. Consider and take necessary action to reappoint Melissa Lester to another two-year term to the Gulf Bend Center Board of Trustees. (RHM) RESULT: ' APPROVED [UNANIMOUS] MOVER, ` Vern Lyssy, Commissioner Pet 2 , S.ECONiSER David'Hall, Commissioner,Pct 1 ' AYES Judge Meyer, Commissioner Hafl, LySsy, Behre4s, Reese 14. Consider and take necessary action to accept the Interlocal Agreement with the VEDC Regional Partnership and authorize the County Judge to sign all documentation. (RHM) Janis thanked the court. RESULT` APPROVED [UNANIMOIi✓S] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel.Behrens, Commissioner Pct 3 AYES: Judge Meyer, Comrmfssloner Hall, Lyssy, Behrens, Reese; .. 15, Consider and take necessary action to authorize the EMS Director to sign an Affiliation Agreement with Axon Education, LLC to allow their students to perform their ambulance clinical requirements with the Calhoun County EMS. (RHM) RESULT::: APPROVED [UNANIMOUS], EIOVER; David Hall; Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES 5udgq..Meyer, Commissioner. HaII, Lyssy, Behrens, Reese 16. Consider and take necessary action to award the bid for Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services for the Calhoun County Adult Detention Center for the two-year period beginning February 15, 2024 and ending February 14, 2026 with the option to renew yearly for one year terms upon Commissioners Court approval. (RHM) RESULT APPROVED [UNANIMOUS] MOVER. ' David Hall; Commissioner kil: 1 SECOND%ER: Vern Lyssy, Commissioner Pct 2 . AYES Judge.Meyer, Coii`irRissipner HaII, Lyssy, Behrens, Reese 17. Enter Continuing Education hours for Tax Assessor -Collector, Kerri Boyd, into the official record. (RHM) RESULT. APPROVED [UNANIMOUS] MOVER` Vern Lyssy, Commissioner.Pct 2 SECONDER: Joel Behrens, Commissioner PCt 3 AYES judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese; .; Page 4 of 7 NOTICE OF MEETING--1/24/2024 18. Consider and take necessary action to approve the FY 2024 Interlocal Agreement and authorize Judge Meyer to sign all documents. (RHM) Calhoun County Soil & Water Conservation District No. 345 $7,750.00 RESULT: "` APPRbVEb [UNANIMOUS] I'OVER•; Vern Lyssy, Commissioner Pct 2 SECONDER Gary Reese, CbrnM1 slonet Pct 4 - ' AYES: Judge.Meyer, Com,missiorrerHall, Lyssy; Behrensr Reese.. 19. Approve the minutes of the January 10, 2024 regular meeting. RESULT..: APPROVED [U,NANIMOUS] - MOVER., :",`. `Vern Lyssy, Colninissi0ner,PCt 2 SECOND R•. _ David Ha I ;Commissioner.ct 1 AYES Meyer, Commissioner Hall, LysSy, Behrens, Reese Judge CIL- 20. Consider and take necessary action to declare as Waste the attached list of Seized Property from the Sheriffs Office. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER Gary.. Reese; Commissioner Pct 4 SECONDER. :David Hall; _Commissioner.Pct 1 AYES 'Judge Meyer,, Commissioner: Hall, Lys8y, S.ehrens, geese_ 21. Consider and take necessary action to declare as Waste the attached list of items from Memorial Medical Center. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER:, Joel Behrens, Commissioner Oct 3 SECONDER Gary Reese, Commissioner P. ct 4 AYES Judge Meyer, Commissioner Hell,,LysBehrens,, Reese 22. Consider and take necessary action to declare as Surplus/Salvage the attached list of equipment from the District Attorney's Office. RESULT:;: APPROVED [UNANIMOUS] MOVER::;David Hall; Commissioner Pct 1 SECONDER: • Vern Lyssy, Conimissioner.:Pet 2 AYES: , Judge Meyer, Commissloner: Hall, Lyssy, Behrens, Reese Page 5 of 7 NOTICE OF MEETING --1/24/2024 23. Accept Monthly Report from the following County Office: i. Tax Assessor -Collector — December 2023 RESULT. APPROVED [UNANIMOUS] I�TOVER._>. ':Vern Lyssy; Commissioner Pct,2 SECONDER:; 7oel Behrens, Commissioner k 3 Al(ES. Judge Meyer, Commissioner: Hall, Lyssy, Behrens, Reese 24. Consider and take necessary action on anv necessary budget adiustments. (RHM) 20-23 --- RESULT: APPROVED [UNANIMOUS] MOVE(I: Gary(Reese, Commissioner k 4 9S OND:ER: Joel :Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall; Lyssy, Behrens, Reese 2024 RESULT: - APPROVED [UNANIMOUS] MOVIER. ; -: GaryReese, Commissioner oct 4 SECONDER: Joel Behrens;. Commissioner'PCt 3 AYES Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese. Page 6 of 7 NOTICE OF MEETING--1/24/2024 25. Approval of bills and payroll. (RHM) Adjourned 10:33am Page 7 of 7 #12 ' NOTICE OF MEE I ING 2/1.4/2024 12. Accept Monthly Reports from the following County Offices: i. County Clerk — December 2023 ii. County Clerk — January 2024 iii. Justice of the Peace, Precinct 1— January 2024 iv. Justice of the Peace, Precinct 2 — January 2024 v. Justice of the Peace, Precinct 3 — January 2024 vi. Justice of the Peace, Precinct 5 — January 2024 vii. Texas Agrilife Extension Service — January 2024 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine viii. Sheriff's Office — January 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 11 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION DECEMBER 2023 OFFICIAL PUBUC - DESC GLCODE CIVIL/FAMILY CRIMINAL RECORDS PROBATE TOTAL DISTRICT ATTORNEY FEES 1000-44020 $ 87.38 $ 87.38 BEER LICENSE 1000-42010 $ $ CLERK 1000-44030 COUNTAPPEAL $ 162.20 $ 174.75 $ 72,512.40 $ 276.00 $ 73,125.35 FROM CO APPEAL FROM JP COURTS 3000-94030 $ _ $ _ COUNTY COURT AT LAW#1 JURY FEE 100044140 $ JURY FEE 1000-44140 $ - $ _ $ _ ELECTRONIC FILING FEES FOR&FILINGS 1000-44058 $ - $ $ - $ _ $ _ JUDGE'S EDUCATION FEE 1000-44160 $ - $ - $. - $ 15.00 $ 15.00 JUDGE'S ORDER/SIGNATURE 3000-44180 $ 24.00 $ - $ - $ 40.00 $ 64.00 SHERIFF'S FEES 1000-44190 $ - $ 130.34 $ - $ 150.00 $ 280.34 VISUAL RECORDER FEE 1000-44250 $ 86.25 $ 86.25 TIME PAYMENT TEE-COUNTY"NEW2020"" 1000.44332 $ 90.00 $ 9090.0000 COURT REFPORTER FEE 1000-44270 $ 25.00 $ - $ - $ 75.00 $ 100.00 RESTITUTION DUE TO OTHERS 1000-49020 $ _ ATTORNEY FEES -COURTAPPOINTED 1000-49030 $ - $ - APPELLATEFUND(TGC)FEE 2620-44030 $ 5.00 $ 15.00 $ 20.00 COURTFACILITYFEE FUND 2649-44030 $ 20.00 $ - $ - $ 60.00 $ 80.00 TECHNOLOGY FUND 2663-44030 $ 17.47 $ 77.47 COUNTYJURY FUND ""NEW2020"" 266944030 $ 10.00 $ 4.37 $ - $ 30.00 $ 441.37 COURTHOUSE SECURITY FEE 2670-44030 $ 20.00 $ 43.69 $ 334.00 $ 60.00 $ 457.69 COURT INITIATED GUARDIANSHIP FEE 2672-44030 $ 90.00 $ 90.00 COURT RECORD PRESERVATION FUND 2673-44030 $ - $ - $ _ $ _ COURTREPORTERSERVICEFUND"NEW2020"' 2674-44030 $ 13.11 $ 13.11 RECORDS ARCHIVE FEE 2675-44030 $ 3,190.00 $ 3,190.00 COUNTYSPECIALTYCOURT''NEW2020"" 2676-44030 $ 87.38 $ 87.38 COUNTYDISPUTE RESOLUTION FUND 2677-44030 $ 15.00 $ - $ $ 45.00 $ 60.00 DRUG& ALCOHOL COURT PROGRAM 2698-44030-005 $ - $ _ JUVENILE CASE MANAGER FUND 2699-41333 $ - $ _ FAMILY PROTECTION FUN D 2706-44030 $ - $ _ JUVENILE CRIME& DELINQUENCY FUND 2715-44030 $0.00 $ - LANGUAGEACCESSFUND 272S-44D30 $ 100 $ - $ - $ 9.00 $ 12.00 PRE-TRIAL DIVERSON AGREEMENT 2729-44034 $ - $ _ LAW LIBARY FEE 2731-44030 $ 35.00 $ 105.00 $ 140.00 RECORDS MANAGEMENT FEE - COUNTYCLERKK 2738-44380 $ - $ 3,230.00 $ 3,230.00 RECORDS MANGEMENT FEE - COUNTY 2739-44030 $ 30.00 $ 109.22 $ 45.00 $ 184.22 FINES -COUNTY COURT 2740-45NO $ 1,047.96 $ 1,047.96 BOND FORFEITURE 2740-45050 $ - $ _ STATE POLICE OFFICER FEES - STATE (UPS) (20%) 7020-20740 $ - $ _ CONSOLIDATED COURTCOSTS- COUNTY 7070-20610 $ - $ _ CONSOLIDATED COURT COSTS - STATE 7070-20740 $ - $ _ CONSOLIDATED COURTCOS75.COUNTY "NEW20207072-20610 $ 108.30 $ .0 CONSOLIDATED COURT COSTS -STATE "NEW2020"'7072-20740 $ 874.70 $ 974974.70 JUDICIAL AND COURT PERSONNELTRAINING-ST(300%7502-2W40 $ - $ - $ _ $ _ DRUG& ALCOHOL COURT PROGRAM -COUNTY 7390-20610 $ - $ _ DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740 $ - $ _ STATE ELECTRONIC FILING FEE - CIVIL 7403-22887 $ - $ _ $ _ $ _ STATE ELECTRONIC FILING FEE CRIMINAL 7403-22990 $ - $ _ EMS TRAUMA -COUNTY (10%) 7405-20610 $ 225.75 $ 225.75 EMS TRAUMA -STATE (90%) 7405-20740 $ 25.08 $ 25.08 CIVI L IN D IGE NT FEE - COUNTY 7480-20610 $ - $ _ $ _ CIVIL INDIGENT FEE -STATE 7480-20740 $ - $ _ $ _ JUDICIAL FUND COURT COSTS 7495-20740 $ - $ _ JUDICIAL SALARY FUND-COUNTY)10%) 7505-20610 $ - $ _ JUDICIAL SALARY FUND -STATE (90%) 7505-20740 $ $ _ JUDICIAL SALARY FUND )CIVIL&PROBATE) -STATE 7505-20740-005 $ - $ - $ _ TRAFFIC LOCAL (ADM IN ISTRATIVE FEES) 7538-22884,1000-44359 $ - $ _ COURT COST APPEAL OF TRAFFIC REG)1P APPEAL) 7538-22885 $ _ BIRTH - STATE 7855-20780 $ 138.60 $ 138.60 INFORMAL MARRIAGES -STATE 7855-20782 $ 12.50 $ 12.50 JUDICIAL FEE 7855-20786 $ - $ - $ _ $ _ FORMALMARRIAGES-STATE 7855-20788 $ 300.00 $ 300.00 NONDISCLOSURE FEE -STATE 7855-20790 $ - $ - $ - $ - $ _ TCLEOSE COURT COST- COUNTY(10%) 7856-20610 $ - $ _ TCLEOSE COURT COST -STATE (90%) 7856-20740 $ $ _ JURY REIMBURSEMENT FEE -COUNTY (10% 7857-20610 $ - $ _ JURY REIMBURSEMENT FEE -STATE (90%) 7857-20740 $ - $ _ CONSOLIDATED CRTCOS73 -STATE (PR, FAM, CVIS841785S.20740 $ 137.00 $ - $ 137.00 STATE TRAFFIC FINE -COUNTY(5%) 7860-20610 $ - $ _ STATE TRAFFIC FINE -STATE (95%) 7860-20740 $ - $ _ STATE TRAFFICFINE. COUNTY(4%) 9/1/2019 7860-20610 $ $ _ STATE TRAFFICFINE-STATE (96%)9/1/2019 7860-20740 $ $ 5:10.REPOR MMONTHLV LJI OR ANO TREASURER REPORTS=3.123123.TREM.ER REPORTS IOF2 2 W/ . CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION DECEMBER2023 OFFICIAL PUBLIC DESC GLCODE CIVILAAMILY CRIMINAL 'RECORDS ..PROBATE TOTAL INDIGENT DEFENSE FEE -CRIMINAL - COUNTY (10%) 7865-20610 $ - $ - INDIGENT DEFENSE FEE -CRIMINAL -STATE (90%) 7865-20740 $ - $ - TIME PAYMENT - COUNTY (50%) 7950-20610 $ - $ - TIME PAYMENT -STATE (50%) 7950-20740 $ - $ - BAIL JUMPING AND FAILURE TOAPPEAR -COUNTY 7970-20610 $ - BAIL JUMPING AND FAILURE TOAPPEAR -STATE 7970-20740 $ - DUEPORTLAVACAPD 9990-99991. $ 13.75 $. 13.75 DUE SEADRIFT PD 9990-99992 $ - $ - DUETOPOINT COMFORT PD 9990-99993. $ - $ DUE TO TEXAS PARKS & WILDLIFE .. 9990-99994 $ -. $ - DUETOTEXAS PARKS& WILDLIFE WATER SAFETY 9990-99995 $ - DUETOTABC 9990-99996 $ - DUE TOATTORNEY ADLITEMS 9990-99997 $ - DUE TOOPERATING/NSF CHARGES/DUE TO OTHERS 7120-207S9 $ $ $ 170.00 $ 500.00 $ 670.00 $ 486.20 $ 3,239A9 $ 19,887.50 $ 1,515.00 $ 25,128.19 TOTAL FUNDS COLLECTED $ 25,128.19 (0.00) FUNDS HELD IN ESCROW: $ - AMOUNT DUE TO TREASURER(2DR'S): Lj 24,444.44 TOTAL RECEIPTS: I$. 25,128.19AMOUNT DUE TO OTHERS (LESS SF'S): $ 683.75 REGISTRYDEPOSITS? CASHBONDS AND_.CERTIFICATEST)F DEPOSIT .,l CASH ON HAND, REGISTRY OF COURT FUNDS IPROSPERrrYI BEGINNING BOOK BALANCE 11/3e/2023 $ 845.881.62 FUND RECEIVED $ - "BALANCE OF CASH BONDS" $ 58,177.50 DISBURSEMENTS $ 2,700.00) ENDING BOOK BALANCE 12/31/20M $ 843,181.62 -OTHER REGISTRY ITEMS- $ 785,029.12 "IBC CASH BOND CHECKS" $ 25.00) BANK RECONCILIATION REGISTRY OF COURT FUNDS ENDING BANK BALANCE 12/31/2023 $ 850,680.12 "TOTAL REGISTRY FUNDS" $ 843,181.62. OUTSTANDING DEPOSITS` $ - OUTSTANDING CHECKS" $ 7,49150 Reconclletl: It - RECONCILED BANK BALANCE 12/31/2023 $ 843,181.62 OF DEPOSITS HELD IN TRUST- PROSPERITY BANK CD'S Date Issued :Balance:. Purchases/ Withdrawals Balance 11130/2023 .Interest 12/31123 10440 1/24/2018 $ $ $ 10441 1/24/2018 $ $ 10442 1/24/2018 $ 1,299.25 $ 1,299.25 10443 1/25/2018 $ 1,299.25 $ 1,299.25 10444 1/25/2018 $ 9,811.53 $ 9,811.53 10445 1/25/2018 $ 9,811.53 $ 9,811.53 10446 1/25/2018 $ 9,811.53 $ 9,811.53 10449 6/9/1955 $ 20,793.30 $ 20,793.30 10464 302018 $ 3,645.70 $ 24.09 $ 3,669.79 10455 3/2/2018 $ 3.645.70 $ 24.09 $ 3,669.79 10486 8/26/2020 $ 6,016.45 $ 6,016A5 10495 12/22/2021 $ 34,787.10 $ 208.15 $ 34,995.25 10496 12/22/2021 $ 34,787.08 $ 208.15 $ 34,995.23 10604 2/14/2023 $ 11,163.41 $ 11,163.41 10505 2/14/2023 $ 9,475.55 $ 9,475.55 TOTALS: $156,347.38 $ 464.48 $ $ 166,811.86 / c 01, / , Aoe)Jl J4(� 2/6/2624 Submitted by: Anna M Goodman, County Clerk Date ' 1 7i l'f-Wi Richard Meyer, Calhoun County Judge a Data 2 OF SO,REPORTSWONTHLVWUDROR AND TREASURER REPORTS2023.113123 TREASURER REPORTS eM024 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION JANUARY 2024 OFFICIAL - PUBLIC- DESC GLOODE. CNIL/FAMILY .CRIMINAL RECORDS PROBATE TOTAL DISTRICT ATTORNEY FEES 1000-44020 $ 182.32 IS 182.32 BEER LICENSE 1000-42010 IS - $ - COUNTY CLERK FEES 3000-44030 $ 302.00 $ 364.63 $ 9,593.45 $ 367.00 IS 10,627.08 APPEAL FROM JP COURTS 3000-44030 $ - $ - COUNTY COURT ATLAW OIJURY FEE 1000-44140 IS - JURY FEE 1000-44140 $ - $ - IS - ELECTRONIC FILING FEES FOR E-FILINGS 1000-44058 $ - $ - IS - $ - $ - JUDGE'SEDUCATIONFEE 1000-44160 $ - $ - $ - $ 30.00 IS 30.00 JUDGE'S ORDER/SIGNATURE 1000-44180 $ 30.00 $ - IS - $ 64.00 IS 94.00 SHERIFF'S FEES 3000-44190 $ 150.00 IS 115.71 $ - $ 175.00 $ 440.71 VISUAL RECORDER FEE 1000-44250 $ 60.00 $ 60.00 TIME PAYMENTFEE- COUNTY "NEW2020'- 100044332 $ 30.00 $ 30.00 COURT REFPORTER FEE 1000-44270 IS 100.00 IS - $ $ 150.00 $ 250.00 RESTITUTION DUE TO OTHERS 1000-49020 $ - ATTORNEY FEES -COURT APPOINTED 1000-49030 $ - $ - APPELLATE FUND (TGQFEE 2620-44030 IS 20.00 IS 30.00 $ 50.00 COURTFACILITYFEE FUND 2648-44030 $ 80.00 $ - $ - $ 120.00 $ 200.00 TECHNOLOGY FUND 266344030 $ 36.46 $ 36.46 COUNTYJURYFUND •"NEW2020'i 2669144030 $ 40.00 $ 9.12 $ - $ 60.00 $ 109.12 COURTHOUSE SECURITY FEE 2670-44030 $ 80.00 $ 91.16 $ 2.00 $ 120.00 $ 293.16 COURT INITIATED GUARDIANSHIP FEE 2672-44030 $ 180.00 IS 180.00 COURT RECORD PRESERVATION FUND 2673-44030 $ - IS - $ - $ - COURTREPORTERSERVICEFUND"'NEW2020-- 2574.44030 $ 27.35 $ 27.35 RECORDS ARCHIVE FEE 2675-44030 IS 2,780.00 $ 2,780.00 COUNTYSPECMLTYCOURT--MEW2020" 267644030 $ 182.32 $ 182.32 COUNTYDISPUTE RESOLUTION FUND 2677-44030 IS 60.00 $ $ $ 90.00 $ 150.00 DRUG& ALCOHOL COURT PROGRAM 2698-44030-OD5 $ - IS - JUVENILE CASE MANAGER FUND 2699-44033 $ - $ - FAMILY PROTECTION FUN D 2706-44030 $ - $ - JUVENILE CRIME & DELINQUENCY FUND 2715-44030 $0.00 $ - LANGUAGEACCESSFUND 2725-44030 $ 12.00 $ - $ - $ 18.00 $ 30.00 PRE-TRIAL DIVERSON AGREEMENT 2729-4,1034 $ - IS - L4W LIBARY FEE 2731 "030 $ 140.00 $ 210.00 $ 350.00 RECORDS MANAGEMENT FEE - COUNTYCLERKK 2738-44380 $ - $ 2,860.00 $ 2,860.00 RECORDS MANGEMENT FEE - COUNTY 2739-44030 $ 140.00 $ 227.90 $ 90.00 $ 457.90 FINES-COUNTYCOURT 2740-45040 $ 1,431.55 $ 1,431.55 BOND FORFEITURE 2740-45050 $ - $ - STATEPOLICEOFFICER FEES- STATE (DPS) (20%) 7020-20740 $ - $ - CONSOLIDATED COURT COSTS -COUNTY 7070-20610 $ - $ - CONSOLIDATED COURT COSTS -STATE 7070-20740 IS IS - CONSOLIDATED COURTCOSTS-COUNTY "NEW20207072-20610 $ 61.60 $ 61.60 CONSOLIDATED COURTCOSTS-STATE "NEW2020-'7072-20740 $ 654.40 $ 554.40 JUDICIAL AND COURT PERSONNELTRAINING- ST I100%7502-20740 $ - $ - $ - $ - DRUG& ALCOHOL COURT PROGRAM - COUNTY 7390-20610 $ - $ - DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740 $ - $ - STATEELECTRONICFILINGFEE -CIVIL 7403-22887 $ - IS - $ - $ - STATE ELECTRONIC FILING FEE CRIMINAL 7403-22990 $ - $ - EMS TRAUMA -COUNTY (10%) 7405-20610 $ 213.30 $ 213.30 EMSTRAUMA -STATE (90%) 7405-20740 $ 23.70 $ 23.70 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ - IS - $ - CIVIL INDIGENT FEE -STATE 7480-20740 $ - $ - $ - JUDICIAL FUND COURT COSTS 7495-20740 $ - $ - JUDICIAL SALARY FUND - COUNTY (10%) 7505-20610 $ - IS - JUDICIAL SALARY FUND -STATE (90%) 7505-20740 $ - $ - JUDICIAL SALARY FUND (CIVIL&PROBATE) -STATE 7505-20740-005 $ - IS - $ - TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884,1000-44359 $ - IS - COURT COSTAPPEALOF TRAFFIC REG UP APPEAL) 7538-22885 $ - BIRTH - STATE 7855-20780 $ 136.80 $ 136.80 INFORMAL MARRIAGES -STATE 7855-20782 $ - $ JUDICIAL FEE 7855-20786 $ - $ - $ - $ - FORMALMARRIAGES - STATE 7855-20788 $ 270.00 $ 270.00 NONDISCLOSURE FEE - STATE 7855-20790 $ - $ - $ - $ - $ - TCLEOSECOURT COST - COUNTY (10%) 7856-20610 $ - IS - TCLEOSECOURT COST - STATE (90%) 7856-20740 $ - $ - JURY REIMBURSEMENTFEE -COUNTY (10% 7857-20610 IS - $ - JURYREIMBURSEMENTFEE-STATE (90%) 7857-20740 $ - $ - CONSOLIDATED CRT COSTS - STATE (IN, FAM CV) S8417858-20740 $ 274.00 $ - $ 274.00 STATE TRAFFIC FINE - COUNTY (5%) 7860-20610 $ - IS - STATE TRAFFIC FINE - STATE (95%) 7860-20740 $ - $ - STATE TRAFFICFINE.000NTY(4%) 91112019 7860.20610 $ - $ - ,STATE TRAFFICFINE-STATE(96%)91112019 7860-20740 $ $ 1 OF SAOREPORTOMONTILYNUUROR AND TREASURER REPORTS25260131 M.TREASURER REPORTS WW.RU CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION JANUARY 2024 OFFICIAL PUBLIC. DESC GLCODE CIVIL/FAMILY. CRIMINAL RECORDS : PROBATE TOTAL INDIGENT DEFENSE FEE -CRIMINAL -COUNTY (10%) 7865-20610 $ - $ - INDIGENT DEFENSE FEE -CRIMINAL -STATE (90%) 7865-20740 $ - $ - TIME PAYMENT - COUNTY (50%) 7950-20630 $ - $ - TIME PAYMENT - STATE (50%) 7950-20740 $ - $ - BAILIUMPINGAND FAILURE TOAPPEAR -COUNTY 7970-20610 $ - BAILIUMPINGANDFAILURE TOAPPEAR -STATE 7970-20740 $ - DUEPORTIAVACAPD. 9990-99991 $ 10.00 $ 10.00 DUE SEADRIFT PD 9990-99992 $ - $ - DUE TOPOINT COMFORT PD 9990-99993 $ 10.00 $ 10.00. DUE TO TEXAS PARKS & WILDLIFE 9990S9994'. $ - $ - DUE TOTEXAS PARKS WILDLIFE WATER SAFETY 9990-99995 $ - DUETOTABC 9990-99996 $ -. DUE TO ATTORN EY AD LITEMS 9990.99997 $ DUE TO OPERATING/NSF CHARGES/DUE TO OTHERS 7120-20759 $ $ $ 250.00) $ $ (250,00) $ 1,428.00 $ 3,631.51 $ 15,392.25 $ 1,704.00 $ 22,155.76 TOTAL FUNDS COLLECTED $ 22,155.76 - FUNDS HELD INESCROW: $ - AMOUNT DUE TO TREASURER(2DR'S): $ 22,385.76 TOTAL RECEIPTS: $ 22755.76 AMOUNT DUE TO OTHERS (LESS SF-S): $ (230.00) �._ REGISTRY DEPOSITS, CASH BONDS AND CERTIFICATES OF DEPOSIT CASH ON HAND REGISTRY R FUNDS P PER BEGINNING BOOK BALANCE L__]2/a3/1033, � $ 843,181.62 FUND RECEIVED $ ,870870.0000 "BALANCE OF CASH BONDS" $ 58,597.50 DISBURSEMENTS $ 2,450.00 ENDING BOOK BALANCE F 1/31AM4 [$ 843,601.62 "OTHER REGISTRY ITEMS" $ 785,029.12 _IBC CASH BOND CHECKS" $ 25.00 BANK RECONCILIATION REGISTRY OF COURT FUNDS ENDING BANK BALANCE 1/31/2024 $ 849,485.12 "TOTAL REGISTRY FUNDS" $ 843,601.62 OUTSTANDING DEPOSITS- $ OUTSTANDING CHECKS" $ 5,883.50 Reon40eIt - RECONCILED BANK BALANCE 1/31/20M $ 8 CERTIFICATES OF DEPOSITS HELD INTRUST. PROSPERITY BANK - CD'S Date Issued -' `:Balance- PDYchasesl . W'dhdrawals Balance 12131/2023 Intarest 01/31/24 10440 1/24/2018 $ $ $ 10441 1/24/2018 $ $ 10442 1/24/2018 $ 1,299.25 $ 7.53 $ 1,306.78 10443 1/25/201B $ 1,299.25 $ 7.53 $ 1,306.78 10444 1/25/2018 $ 9,811.53 $ 56.88 $ 9,868.41 10445 1/25/2018 $ 9,811.53 $ 56.88 $ 9,868.41 10446 1/25/2018 $ 9,811.53 $ 56.88 $ 9,868.41 10449 6/9/1965 $ 20,793.30 $ 20,793.30 10454 3/2/2018 $ 3,669.79 $ 13.04 $ 3.682.83 $ 10465 302018 $ 3,669.79L$EE $ 10486 8/26/2020 $ 6,016.45 $ 6,016.45 10496 12/22/2021 $ 34,995.25 $ 34,995.25 10496 12/22/2021 $ 34.995.23 $ 34,995.23 10504 2/14/2023 $ 77, 163.41 $ 11,163.41 10506 2/14/2023 $ 9,475.55 $ 9,475.55 TOTALS: $156,811.88 $ 14Q657.98 066/ii- AvwlnA x, 2/612024 Submitted by: Anna M Goodman, County Clerk Date t 2 -1 Y -Z Ritchard Meyer, Calhoun County udge Date 2CF2 Y 120N w k, :INTER MONTH OF REPORT :NTER YEAR OF REPORT CODE AMOUNT IJANUARY 2024 REVISED 02/02/2022 CASH BONDS 0.00 ADMINISTRATION FEE -ADMF 70.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS -CCC 102.32 STATE CONSOLIDATED COURT COST-2020 3,722.41 LOCAL CONSOLIDATED COURT COST-2020 840.55 COURTHOUSE SECURITY -CHS 1024 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 0.21 CORRECTIONAL MANAGEMENT INSTITUTE - CMI 0.00 CR 0.00 CHILD SAFETY -CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE TO APPEAR -OMNI-OPSC 101.83 ADMINISTRATION FEE FTAIFTP (aka OMNI)- 2020 63.13 ELECTRONIC FILING FEE -EEF 0.00 FUGITIVE APPREHENSION - FA 0.00 GENERAL REVENUE -GR 0.00 CRIM- IND LEGAL SVCS SUPPORT -IDF 5.11. JUVENILE CRIME&DELINQUENCY -JCD 0.00 JUVENILE CASE MANAGER FUND -JCMF 12.90 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUROR SERVICE FEE-JSF 10.24 LOCALARRESTFEES-LAF 158.42 LEMI O.DD LEDA 0.00 - LEOC 0.D0 PARKS& WILDLIFE ARREST FEES -PWAF 126.30 STATE ARREST FEES - SAF 28.77 SCHOOL CROSSING/CHILD SAFETY FEE -SCF 0.00 SUBTITLE C -SUBIC 0.00 STATE TRAFFICFINES-EST 9.1.19-STF 713.21 TABC ARREST FEES-TAF 0.00 TECHNOLOGY FUND -TF 10.24 TRAFFIC-TFC 0.00 LOCAL TRAFFIC FINE- 2020 42.78 TIME PAYMENT -TIME 0.00 TIME PAYMENT REIMBURSEMENT FEE-2020 341.83 TRUANCY PREVENTION/DIVERSION FUND -TPDF 5.12 LOCAL & STATE WARRANT FEES - WRNT 708.64 COLLECTION SERVICE FEE-MVBA-CSRV 2,090.74 DEFENSIVE DRIVING COURSE -DDC 20.00 DEFERRED FEE -DFF 0.00 DRIVING EXAM FEE- PROV OIL 0.00 FILING FEE -FFEE 0.00 STATE CONSOLIDATED CIVIL FEE -2022 210.00 LOCAL CONSOLIDATED CIVIL FEE -2022 330.00 FILING FEE SMALL CLAIMS - FFSC 0.00 JURY FEE -JF 0.00 COPIES/CERTIFED COPIES - CC 0.00 .INDIGENT FEE -CIFFor INDF 0.00 JUDGE PAY RAISE FEE- JPAY 15.34 SERVICE FEE -SFEE 75.00 OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE- EEF CV 0.00 EXPUNGEMENTFEE-EXPG 0.00 EXPIRED RENEWAL -EXPR 0.00 ABSTRACT OF JUDGEMENT -AOJ 0.00 ALLWRITS-WOP/WOE 0.00 DIES FTA FINE -.DPSF 969.98 LOCAL FINES - FINE 6,644.59 LICENSE & WEIGHT FEES -LWF 0.00 PARKS & WILDLIFE FINES -PWF 4,655.00 SEATBELT/UNRESTRAINEDCHILD FINE - SEAT 20.00 /- JUDICIAL& COURT PERSONNEL TRAINING-JCPT 0.00 . OVERPAYMENT (OVER $10)-OVER 0.00 ` OVERPAYMENT($10AND LESS) - OVER 0.00 RESTITUTION - REST 0.00 PARKS & WILDLIFE -WATER SAFETY FINES-WSF 0.00 MARINE SAFETY PARKS & WILDLIFE- MSO 0.00 TOTAL ACTUAL MONEY RECEIVED AMOUNT TYPE' ENTER LOCAL WARRANT FEESI 579.48 (RECGBD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MD REPORT STATE WARRANT FEES $129.16 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFNARE MO. REPORT CCIBD-50%of Fine on JV cases 0.00 PLEASE IrvcLUDE DR RBoussrlNC DISBURSEMENT DA RESTITUTION FUND 0.00 REAGE INCLUDE DRREOUESTING DISBURSEMENT ) OF OVERPAYMENTS [_ 0.00 PLEASE INCLUDE D.RREOUESTING DISBURSEMENT -COUNTY SERVICE FEE 0.00 PLEASEINCLUDE DRBEGUESTINGDISBURBEMENr ONES 0.00 PLEASE INCLUDE DR BEGUESPNG DISBURSEMENTHF RECORD) TOTAL DUE TO OTHERS 0.00 Treasurers Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 2/l/2024 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: JANUARY YEAR OF REPORT: 2024 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 7,242.82 CR 1000-001-44190 SHERIFF'S FEES 963.28 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 20.00 CHILD SAFETY 0.00 TRAFFIC 42.78 ADMINISTRATIVE FEES 133.13 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 195.91 CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00 CR 1000-001-44061 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-00144322 TIME PAYMENT REIMBURSEMENT FEE 341.83 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 10.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 2,090.74 TOTAL FINES, ADMIN. FEES & DUE TO STATE $10,919.58 CR 2670-001-44061 COURTHOUSE SECURITY FUND $301.87 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $2.56 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $250.40 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $12.90 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $300.20 CR 2669-001-44061 COUNTY JURY FUND $6.00 _ CR 2728-001-44061 JUSTICE COURT SUPPORT FUND $2501.00 CR 2677-001-44061 COUNTY DISPUTE RESOLUTION FUND $50.00 CR 2725-001-44061 LANGUAGE ACCESS FUND _ _ $30.00 STATE ARREST FEES DPS FEES 31.59 P&W FEES 25.26 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 56.85 CR 7070-999-20610 CCC-GENERAL FUND 10.23 CR 7070-999-20740 CCC-STATE 92.09 DR 7070-999-10010 102.32 CR 7072-999-20610 STATE CCC- GENERAL FUND 372.24 CR 7072-999-20740 STATE CCC- STATE 3,350.17 DR 7072-999-10010 3,722.41 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 CR 7860-999-20740 STF/SUBC-STATE 0.00 DR 7860-999-10010 0.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 28.53 CR 7860-999-20740 STF- EST 9/l/2019- STATE 684.68 DR 7860-999-10010 713.21 Page 1 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 2/1/2024 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: JANUARY YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 0.00 CR 7950-999-20740 TP-STATE 0.00 DR 7950-999-10010 0.00 Page 2 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 2/1/2024 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: JANUARY YEAR OF REPORT: 2024 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.51 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 4.60 DR 7865-999-10010 5.11 CR 7970-999-20610 TUFTA-GENERAL FUND 33.94 CR 7970-999-20740 TUFTA-STATE 67.89 DR 7970-999-10010 101.83 CR 7505-999-20610 JPAY - GENERAL FUND 1.53 CR 7505-999-20740 JPAY-STATE 13.81 DR 7505-999-10010 15.34 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 1.02 CR 7857-999-20740 JURY REIMB. FUND- STATE 9.22 DR 7857-999-10010 10.24 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.02 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.19 DR 7856-999-10010 0.21 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 2.56 7998-999-20701 JUVENILE CASE MANAGER FUND 2.56 DR 7998-999-10010 5.12 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 210.00 210.00 TOTAL (Distrib Req to OperAcct) $17,066.15 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 3,956.75 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $3,956.75 TOTAL COLLECTED -ALL FUNDS $21,022.90 LESS: TOTAL TREASUER'S RECEIPTS $21,022.90 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 3 of 3 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 45324 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Hope Kurtz Address: Title: Justice of the Peace, Pct. 1 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7541-999-20759-999 JP1 Monthly Collections - Distribution $17,066.15 JANUARY 2024 V# 967 TOTAL 17,066.15 Z— Signature of Official Date ENTER COURT NAME: JUSTICE OF PEACE NO.2 ENTER MONTH OF REPORT January ENTER YEAR OF REPORT 2024 CODE AMOUNT CASH BONDS 0.00 ADMINISTRATION FEE -ADMF 30.00 - BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS -CCC 145.06 STATE CONSOLIDATED COURT COST-2020 758.00 LOCAL CONSOLIDATED COURT COST-2020 154.00 COURTHOUSE SECURITY -CHS 14.50 CJP 0.00 CIVIL JUSTICE DATA. REPOSITORY FEE -CJDR 0.14 CORRECTIONAL MANAGEMENTINSTITUTE -CMI 0.00 -. CR 0.00 - CHILD SAFETY - CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION-CVC 0.00 DPSC/FAILURE TO APPEAR -OMNI-DPSC 570.48 ADMINISTRATION FEE FTAIFTP take OMNI)-2020 71.72 ELECTRONIC FILING FEE -EEF 0.00 FUGITIVE APPREHENSION -FA 0.00 GENERAL REVENUE -GR 0.00 CRIM- IND LEGAL SVCS SUPPORT -IDF 7.23 JUVENILE CRIME & DELINQUENCY -JCD 0.00 JUVENILE CASE MANAGER FUND -JCMF 20.25 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUROR SERVICE FEE =JSF 14.50 LOCAL ARREST FEES -LAF 25.28 LEMI 0.00 LEDA 0.00 LEOC 0.00 OCL 0.00 PARKS& WILDLIFE ARREST FEES -PWAF 1.49 STATE ARREST FEES -SAF 41.35 SCHOOL CROSSING/CHILD SAFETY FEE -SCF 0.00 .SUBTITLE C-SUBC 8.18 STATE TRAFFIC FINES -EST 9.1.19-STF 306.04 TABC.ARREST FEES-TAF 0.01) TECHNOLOGY FUND -TF. 14.50 - TRAFFIC -TFC 3.83 LOCAL TRAFFIC FINE. 2020 14.91 TIME PAYMENT - TIME 66.98 TIME PAYMENT REIMBURSEMENT FEE-2020 76.00 TRUANCY PREVENTION/DIVERSION FUND -TPDF 7.23 '. LOCAL & STATE WARRANT FEES- WRNT 724.08 COLLECTION SERVICE FEE-MVBA-CSRV 1,378.86 DEFENSIVE DRIVING COURSE -DDC 0.00 DEFERRED FEE - OFF 19.00 DRIVING EXAM FEE- PROV DL 0.00 -. - FILING FEE -FFEE 0.00 STATE CONSOLIDATED CIVIL FEE-2022 336.00 LOCAL CONSOLIDATED CIVIL FEE -2022 528.00 - FILING FEE SMALL CLAIMS -FFSC 0.00 JURY FEE -JF 0.00 COPIES/CERTIFED COPIES -CC 0.00 INDIGENT FEE -CIFF or INDF 0.00 JUDGE PAY RAISE FEE -JPAY 21.74 SERVICE FEE -SFEE 675.00 OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE-- EEF CV 0.00 EXPUNGEMENTFEE-EXPG 0.00 _ EXPIRED RENEWAL -EXPR 0.00 ABSTRACT OF. JUDGEMENT -AOJ 0.00 ALL WRITS- WOP /WOE 0.00 DPSFTA FINE -DPSF 0.00 LOCAL FINES - FINE 3,053.26 LICENSE & WEIGHT FEES -LWF 0.00 PARKS & WILDLIFE FINES -PWF 157.49 SEATBELTNNRESTRAINED CHILD FINE - SEAT 0.00 -JUDICIAL & COURT PERSONNEL TRAINING-JCPT 0.01) . OVERPAYMENT (OVER $10)-OVER 0.00 OVERPAYMENT($10 AND LESS) - OVER 0.00 RESTITUTION - REST 0.00 PARKS & WILDLIFE -WATER SAFETY FINESWSF 0.00 MARINE SAFETY PARKS & WILDLIFE -MSO 0.00 TOTAL ACTUAL MONEY RECEIVED $9244.08. TYPE: AMOUNT TOTAL WARRANT FEES 724.06 - ENTER LOCAL WARRANT FEES. 252.77 IRECORDON TOTALPAGE OF HIRCOUNTRYSOFTwARE MD x KRT STATE WARRANT FEES $471.29 RECORDON TOTAL PAGE OF HILiCOUNTRV SOFTWARE MO. REPORT DUE TO OTHERS:- AMOUNT DUE TO CCISD-50% of Fine on JV oases 0.00 PLEABE INCLUDE OR REQUESTING USBURSEMENT DUE TO DA RESTITUTION FUND 0.00 PLUSEIACLUOE ORREGUESTINGOISBURSEWRT REFUND OF OVERPAYMENTS. 0.00 L0.00 Pt SEiecwDE D.R. REOUESTINGINSBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00 PIEASEINCLUM OR.REOUESOxn DISBURSEMENT CASH BONDS PLFASEINCLUM OR.FEm1ESTINGDISBUR MEMpFREGUIREDI TOTAL DUE TO OTHERS 0.00 TREASURERS RECEIPTS FOR MONTH: AMOUNT CASH, CHECKS, M.O.s&CREDIT CARDS $9,244.08 Calculate from ACTUAL Treasurer's Recelpts TOTAL TREAS. RECEIPTS 9 244.08 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 2/l/2024 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: January YEAR OF REPORT: 2024 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 3,076.88 CR 1000-001-44190 SHERIFF'S FEES 689.35 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 18.74 ADMINISTRATIVE FEES 120.72 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 139.46 CR 1000-001-44010 CONSTABLE FEES -SERVICE 675.00 CR 1000-001-44062 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 75.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,378.86 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,034.55 CR 2670-001-44062 COURTHOUSE SECURITY FUND $64.78 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $3.63 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $58.50 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $20.25 CR 2730-001-44062 LOCAL TRUANCY PREVENTION & DIVERSION FUND $55.00 CR 2669-001-44062 COUNTY JURY FUND _ $1.10 CR 200144062 728- _ JUSTICE COURT SUPPORT FUND $400.00' CR 2677-001-44062 COUNTY DISPUTE RESOLUTION FUND $80.00 CR 2725-001-44062 LANGUAGE ACCESS FUND $48.00 f STATE ARREST FEES DPS FEES 102.53 P&W FEES 0.30 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 102.83 CR 7070-999-20610 CCC-GENERAL FUND 14.51 CR 7070-999-20740 CCC-STATE 130.55 DR 7070-999-10010 145.06 CR 7072-999-20610 STATE CCC- GENERAL FUND 75.80 CR 7072-999-20740 STATE CCC- STATE 682.20 DR 7072-999-10010 758.00 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.41 CR 7860-999-20740 STF/SUBC-STATE 7.77 DR 7860-999-10010 8.18 CR 7860-999-20610 STF- EST 9/l/2019- GENERAL FUND 12.24 CR 7860-999-20740 STF- EST 9/l/2019- STATE 293.80 DR 7860-999-10010 306.04 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 2/1/2024 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: January YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 33.49 CR 7950-999-20740 TP-STATE 33.49 DR 7950-999-10010 66.98 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.72 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 6.51 DR 7865-999-10010 7.23 CR 7970-999-20610 TUFTA-GENERAL FUND 190.16 CR 7970-999-20740 TUFTA-STATE 380.32 DR 7970-999-10010 570.48 CR 7505-999-20610 JPAY - GENERAL FUND 2.17 CR 7505-999-20740 JPAY - STATE 19.57 DR 7505-999-10010 21.74 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 1.45 CR 7857-999-20740 JURY REIMB. FUND- STATE 13.05 DR 7857-999-10010 14.50 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.01 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.13 DR 7856-999-10010 0.14 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 3.62 7998-999-20701 JUVENILE CASE MANAGER FUND 3.62 DR 7998-999-10010 7.23 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 336.00 336.00 TOTAL (Distrib Req to OperAcct) $9,110.21 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 133.87 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $133.87 TOTAL COLLECTED -ALL FUNDS $9,244.08 LESS: TOTAL TREASUER'S RECEIPTS $9,244.08 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 45324 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Address: Title: City: State: Zip: Phone: Thomas Dio Justice of the Peace, Pct. 2 ACCOUNT NUMBER- - - - - DESCRIPTIONS - - AMOUNT- 7542-999-20759-999 JP2 Monthly Collections - Distribution $9,110.21 January 2024 V# 967 Signature of Official Date TOTAL 9,110.21 BRI CONED STATE CONE f LOCAL CONE CF DPSC ADMINISTR CR JU% JUV JUSTICE C PART SCHOOL SI TIME P/ TRUANCY PF LOC COLT JUSTICE OF PEACE NO.3 JANUARY 2022 2024 conF AMOUN INU LOCAL JVUJ JUPPVKI - IUF VILE CRIME & DELINQUENCY - JCD JILE CASE MANAGER FUND JCMF 40.84.. JRT PERSONNEL TRAINING JCPT ' JUROR SERVICE FEE JSF 32.00 LOCAL ARREST FEES LAF 32.61 LEMI LEDA LEOC OCL & WILDLIFE ARREST FEES PWAF , STATE ARREST FEES SAF 35.00 TOSSING/CHILD SAFETY FEE -SCF 'SUBTITLE C SUBC 120.00' TE TRAFFIC FINES -EST 9919 STF - 250.00 TABC ARREST FEES TAF ' TECHNOLOGY FUND TF 32.00 `TRAFFIC TFC 12.00 LOCAL TRAFFIC FINE-2020 15.00: TIME. PAYMENT TIME MENT REIMBURSEMENT FEE-2020 781[. , VENTION/DIVERSION FUND -TPDF 16.00: &.STATE WARRANT FEES,WRNT 500.00•. CTION SERVICE FEE MVBA CSRV 897:94 -FENSIVE DRIVING COURSE DOC 10.00 'DEFERRED FEE DFF, DRIVING,EXAM'FEE- PROV DC 'EXPUNGEMENTFEE EXPG EXPIRED RENEWAL EXPR. ABSTRACT OF JUDGEMENT AOJ ALL WRITS- WOP/ WOE DPSFTA FINE DPSF LOCAL FINES FINE 1,51762. LICENSE & WEIGHT FEES LWF PARKS & WILDLIFE FINES PWF SEATBELT/UNRESTRAINED CHILD FINE SEAT J-JUDICIAL& COURT PERSONNEL TRAININGJCPT ` OVERPAYMENT(OVER$10)-OVER ` OVERPAYMENT($10 AND LESS) OVER :RESTITUTION REST PARKS & WILDLIFE WATER SAFETY FINES WSF ' MARINE SAFETY PARKS&WILDLIFE -MSO TOTAL ACTUAL MONEY RECEIVED' 6,474:00- TYPE: AMOUNT TOTAL WARRANT FEES 500.00t ENTER LOCAL WARRANT FEES 200.00` RECORDON TOTALPAGE OF HILL COUNTRYSOFTWARE MO REPORT STATE WARRANT FEES BJULUUU' RECORDONTCTALPAGE OF HILL COUNTRYSOFTWARE MO. REPORT DUE TO OTHERS: - AMOUNT. DUE TO CCISD 50%'of Fine on JV cases 0:00:: PLEASE INCLUDE DR REQUESTING DISBURSEMENT DUE TO DA RESTITUTION FUND O:OCj PLEASE INCLUDE OR REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 0.00: PLEASE INCLUDE DR REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00' PLEASE INCLUDE DR REQUESTING DISBURSEMENT CASH BONDS 0.00` PLEASE INCLUDE DR REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERS 0.00- TREASURERS RECEIPTS FOR MONTH. AMOUNT CASH; GHECKS, M.O.s & CREDIT CARDS $5,474.OP Calculate from ACTUAL Treasurer's Receipts TOTAL TRFJ15. RECEIPTS. 5,474:00 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 2/1/2024 ACCOUNT NUMBER CR 1000-001-45013 CR 1000-001-44190 CR 1000-001-44363 CR 1000-001-44010 CR 1000-001-44063 CR 1000-001-44090 CR 1000-001-49110 CR 1000-001-44322 CR 1000-001-44145 CR 1000-999-20741 CR 1000-999-20744 CR 1000-999-20745 CR 1000-999-20746 CR 1000-999-20770 CR 2670-001-44063 CR 2720-001-44063 CR 2719-001-44063 CR 2699-001-44063 CR 2730-001-44063 CR 2669-001-44063 CR 2728-001-44063 CR 2677-001-44063 CR 2725-001-44063 CR 7020-999-20740 CR 7070-999-20610 CR 7070-999-20740 CR 7072-999-20610 CR 7072-999-20740 CR 7860-999-20610 CR 7860-999-20740 CR 7860-999-20610 CR 7860-999-20740 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JANUARY YEAR OF REPORT: 2024 ACCOUNT NAME AMOUNT FINES 1,517.62 SHERIFF'S FEES 500.61 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 10.00 CHILD SAFETY 0.00 TRAFFIC 27.00 ADMINISTRATIVE FEES 30.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 TOTAL ADMINISTRATIVE FEES 67.00 CONSTABLE FEES -SERVICE 225.00 JP FILING FEES 0.00 COPIES / CERTIFIED COPIES 0.00 OVERPAYMENTS (LESS THAN $10) 0.00 TIME PAYMENT REIMBURSEMENT FEE 7.81 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 DUE TO STATE -DRIVING EXAM FEE 0.00 DUE TO STATE-SEATBELT FINES 0.00 DUE TO STATE -CHILD SEATBELT FEE 0.00 DUE TO STATE -OVERWEIGHT FINES 0.00 DUE TO JP COLLECTIONS ATTORNEY 897.94 TOTAL FINES, ADMIN. FEES & DUE TO STATE $3,215.98 COURTHOUSE SECURITY FUND $51.05 JUSTICE COURT SECURITY FUND $8.00 JUSTICE COURT TECHNOLOGY FUND $54.08 JUVENILE CASE MANAGER FUND $40.84 LOCAL TRUANCY PREVENTION & DIVERSION FUND $27.60 COUNTY JURY FUND $0.55 JUSTICE COURT SUPPORT FUND $400.00 COUNTY DISPUTE RESOLUTION FUND LANGUAGE ACCESS FUND $48.00_ STATE ARREST FEES DPS FEES 67.00 P&W FEES 0.00 TABC FEES 0.00 TOTAL STATE ARREST FEES 67.00 CCC-GENERAL FUND 32.00 CCC-STATE 288.00 DR 7070-999-10010 320.00 STATE CCC- GENERAL FUND 34.23 STATE CCC- STATE 308.06 DR 7072-999-10010 342.29 STF/SUBC-GENERAL FUND 6.00 STF/SUBC-STATE 114.00 DR 7860-999-10010 120.00 STF- EST 9/1/2019- GENERAL FUND 10.00 STF- EST 9/1/2019- STATE 240.00 DR 7860-999-10010 250.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 2/1/2024 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JANUARY YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 0.00 CR 7950-999-20740 TP-STATE 0.00 DR 7950-999-10010 u.uu CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.80 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 15.20 DR 7480-999-10010 16.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.00 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 0.00 DR 7865-999-10010 0.00 CR 7970-999-20610 TL/FTA-GENERAL FUND 0.00 CR 7970-999-20740 TL/FTA-STATE 0.00 DR 7970-999-10010 0.00 CR 7505-999-20610 JPAY- GENERAL FUND 4.80 CR 7505-999-20740 JPAY -STATE 43.20 DR 7505-999-10010 48.00 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 3.20 CR 7857-999-20740 JURY REIMB. FUND- STATE 28.80 DR 7857-999-10010 32.00 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.06 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.54 DR 7856-999-10010 0.60 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 8.00 7998-999-20701 JUVENILE CASE MANAGER FUND 8.00 DR 7998-999-10010 16.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 336.00 336.00 TOTAL (Distrib Req to Oper Acct) $5.474.00 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $5,474.00 �y LESS: TOTAL TREASUER'S RECEIPTS $5,474.00 REVISED 02/02/2021 Z OVER/(SHORT) $0.00 Page 2 of 2 w w w w w J J J J J m m m m m N N Y F+ H n y o z trio N [x'f .No SYm n tx+1� n 7 N a H M N Z N 1" N o 6 0 N y ? l O n R r R Z � [x�i R N O O N '. n• H K 4 N N N N O H N n 4 O N H K N K ^7 ^�- 5tA O W O W O M �' N z K J Z J CO 01 m J 9 F Z RJ a Z x H xq m x zoz c O W N N N Y O tIl $ W N N N N N O O O O O N N N N N 00 N W w U m w m J $ N O $ O N O N N O O N m O O O O O m O m w O O 3O 3O 3O N a $ O O O O O m a Y O O O O O I H . m O N P a pWi a m W J 1p N O O O O m m m o 0 0 o e O H 'ZA H H N J O p O p W W N Y J O O O Q O N F` o to m m O o w p o N $ J Y N N m O N O O O O n n N NN y y H 3 n M G O0 NMN[�•1 WC5MV Wy�H4 [OnLb+' E MHyn K!y1 HH nNrCb' nLOr+ y2y gOgzH qySq� SmH t0+ M mNNm HHrH NfOL^T 0uOroi0Om AEH bOm yyyg4C V0q� 0nn0 2C H Z00 5 c0bHmH3 Y] 0 0 m ozM MH ht b H r b b1 r N pt g A H r O Y• N 7. H •A H r N C1 [l m W K 0 ^I O O O m n N n fi m r [G r H t•1 K H W O N H 'A b33J O 1 1 H R Im-1 L�1 imi H p n N z [A H L%l M 0 N Rl d O a z3w a m m2 '] m C b L7 7 m N N x�.-. n... IA HP1 Zn] ry m[v tnO W bKgJ ^i W m o r z� m w N N N W . 0 o p o 0 0 0 z z z z z z z z z z z z z z z z z r 000 O O O O O O O O O O O D O O O O O � m 4)G]p G] 4)O Gf 4� 04141 GI Gl 4� L)G�OOpp m r r r r r r r r r r r r r r r r r r r r non n n n n n n n n o n n n n n n n o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o C t'1 o o a o a a v o o v o 0 0 0 0 0 0 O W teJ C<I M td ttl LC C9 [n p1 C9 C1 e9 N [9 Cl N m t1 N yyH 0 N 1D W .O Y N 0 0 00 " 000rn pp c `-.00 Y� u o 0 oma O O O O m p d O N a O J W O O p J J J 0 N N O O O O O J O N Y N F+ h+ F+ W (P N O W a O O O O W O O N O O O l0 W O O O O O O O O W O O O O W O O m O O O J J H N N W J tp Y W m O O O1 Y Vi Y Y J O O O O O O O O O O O O O O O O N F+ O J O O O O Q O H N N W J N V W Ja Y N W 1+ 01 N O F+ N O 0.0 O O O O N O O O N a O J W O O O J J 0 o O d o O O O o o p 0 0 0 0 0 0 0 0 0 0 0 O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O o O O O O O O o Y O O O O J O O O O1 O O O Y O W N W O O O m Ui O O O O m O O O N O O O N a (T W m O O O •.1 Ur N N m N a m N O O O O O o O O O O O O O UI a O O O O O N W W W W W W W W W W W I J J J J J J J J J J J Y Y Y Y Y Y Y Y V V n 4 N O p N n b N n 33 N n N N n N N 00. Y rn n 0 N O k O a fv K n O m nZ d Z rt b d ¢a ¢z am rm ¢N ¢n< ¢n an am¢m '0 m rt (~T 4Y') tf CI 7 N fl Z PI' m rt m n rt` O d N 0 d TJ o d n 0 O d C o d ro O d N 0 d H m b 0 d O N k N n I-i N k O N fy N k N N k O N n O N k m Y k �.LCC N n 2' N 1 b I Z I H I Vi 1 H I H I M I I 1 N I m z m o x x z 0 o cl O o 0 0 0 0 0 o a Y •jJ Y Y O N O O O O \ \ \ \ \ \ \ \ \ \ \ N N N N N N N N N N N O O O O O O O O O O O N N N N N N N N N N N a a a a a a a s a a a ro w m ro m n on ro m n E b n E H n H n s H n H I I Y a.n w Y N N Uf O N O N a m N O O O O O a O O O O O O 66 O O o 0 o J o 0 0 0 o m o 0 0 m rn W m w m I H I H W N N W N O N O In O N O O U� O O O o rn O 0 0 O O N 0 0 O O O O N O O O O O pl O O r r w rn r r n r n r n n r n n ro n n m n m n W m n n n m n n n z n z n a v n n n m n n n <o <n < <o I W I H Y V Y J Y Y W V Y Y N O V a a N a 01 a W a q ii to O a O O O O b O N O N O W UI O O O O O Y O O O O O N O O m ti E r E r H r .ro. H � � H H n LZf Y LZ•1 (�] � n N a W IO O O O O O O O p Y W V I tp a a a o w O W N W O O O O O O O O O o O O O O 0 0 O O O O Z H W H N Y q Y J W q O O O O O O I N N O O O O O O O O O O O O O O O I W N N a a V V W W N N N O N N N O O O o 41--tnh1 2 sexa,t, `uol;elS aSa[loo . ma;SXS f4!S10e1ufl ygagy sexat, agy . uolsualxH a3l'IIaSV WWV stxay bZOZ Annuef luam olanatl gjnoA Put H-b — dHg ;saiodaQ •S aallmH aallatxd lmog z[no XaolsaAI-I V MID H-b apuao 4,L UPPnaS — d'IHS In3Pulvv — 6Z kmnagad aptao 4,9 U!JPtaS — d'IHS [n3PUTW — LZ ,tatnzgad SulloQW Ilounoo H-b Clunoo Idol — 9Z Cjunjgo j lsaluoo SulSpnf 3IaolsaA[q — mogS �IaolsaArt oluoluy utS — SZ ,iaurugad aallat.,d Imog zino NaolsaA1q V WCID H-b apzuo 4,L ISlzptaS — d'IgS 1n3Pulw — ZZ ,Cnrugad opuzo 4,9 BizPuoS — d'IHS In3pul— oZ ,Cserugad Smo.utg 1031MW put za;laH Sulpaaag — mogS 3I301saA1 I oluoluy MS — LI-Z I /Uunsga3 aallatad Imog zinO 3Ia01saAPI V WCID H-b Sululu{I MID [unJJ!A aPLID 4,L BPPtaS — d IHS [n3PulW — 8 ,in;nagad opwD 4,9 8lapuoS — d'IHS [n3Pui — 9 dn;naga3 SullaaW V-lVd H-b laa[ozd uapauo inoqu za,H-b glim SullooW — g .fxnnagod aallouad Imog zma NaolsaAlrl V WCID H-b apuao y,L UPPI30S — d'IHS [n3Pulw — I Xxenagad f,ZOZ tn.tgag — gluom;xau J03 s;uana ao,uyg sxaalunloA llnPt 6Z `•glnoX OLI :IuauupoJud H-6 61 :s;xa L/auogd saamol[o3 8bZ/slsod £ :saamo[[od/s;sod mujSuasul I :s la;;a[senaM Z :a;iS szamotiO3 LS9/slsod I I :sjamollod/slsod 3loogaatg LZI :Iluw-d 6 :aa•-IJ0 q: s;au; sjoluoS Sulltnptao ,CliszaAluft olulS uojojm L co; smalA.,aluI 31ooW — I £ ,Cnnuu f apuuJ 4,9 8rzpuaS — d'IgS In3PuM — O £ jC.itnut f Sullaalnl Ilaunoo H-b ,Clunoo aptao 4,L BPpuaS — d'IgS ln3Pu!W — 6Z Xunuu f aallatad Imog zlna 1301saAl•l V MID H-4 — SZ Qunuu f SullaaW XaolsaAl l doo — bZ ,Caunuu f optao y q 8lzptaS — d'IgS 1n3Pul— £Z kitnuuf aallatad Imog zln3I0ols0A17 W W(ID H-b — Si ,Cxunuuf aSpnf digsuuuLmogS luoo llunoo saaanN—LI tmmmf aallatzd Imog zlna 3I30lsaAFI V WCID H-b — I I /,jtnuu f SulloaW Suluuuld luouwLunol Sulgsld lunlJIA H-b MIS — 6 ,Genus f ;ao a r;su[ aauls sal;lnl;au 101um pa;aalaS 0 a[algaA Ituoszad •06I alalgaA unoo :pajama; sal!W t,ZOZ Baunutp I2IfI03 SUHNIOISSINIV03 AIAIf[Oo OI ,LZIOdaI AIIAII3V NIOISNaIXd ;uatudolanaQ q;nod{ puu H-t, 4,z ^ }�/_�Z suxal, `ua;u;S a20110D . wa;s,fS 41saanlun WWV suxaZ agZ . uolsua;xg a3l'IiISV WWV stxay bZOZ £ Ajunuuf saoanosa2f ltar4uN put aanlinou V — VaD unoglu3 S0 L� a H "a ;uf {a„V J aduviob! W WV J n;u«vJ ULLU4LrJ — gj8C, umaod sal;amu moo suxay — g,9Z Sullaalnl aolg — guOZ uopumpg saalunH — R61 mogS 1119 01119 suxay -,.I I -0 osanoo fl9D anoH b — g,L osanoD flgo ItnlalA tao101A /unoglUD anoH S -A 6ZOZ unagag—q;uom;xauAo;sluana.ao•uW 8 :slxa,l,/auogd saamollo3 0 /lsod 0 :saamopog/s;sod meaSe;sul 0 :saal;alsmaN I :04S saamol[o3 8S9/slsod 91 :sjamollo3/s;sod 3loogoaud 8E :Ilum- rg 8 :03ujo q slaw; quaft 2d f4unog ulaolOIA aoTuaut gllm laaut put lgSnogl x[tA1 [un1a1A — guff (1,9Z aql uo anp) paulujgnS laodad uollMsuomaQ llnsag — s9Z Sullaalnl 31001saAl'I -if SjunoD unoq[uD — g,t Z a3uaaa3uog nuaang uum3 uuolaauiy — P,ZZ — g 6I dlunoo sunX it aulmS paaag 4!ssulD -g,8I (g,9Z oql uo anp) poulwgnS laoda-d lummoul amllnauIRy — g 9I aauluxuioD aagouu-d puu aamaud 2unoA nuaang uuu3 suxa,l — g,f I — g,l I 2111109m Ddg-1 -g,6 •popuallu spq 81 uoponpg saalunH -y,8 oTuilD aulmS epa0211112Yq — g,9 l.Io as lsul aaals s311IAl;39 1019111 pa;aalaS 8L5alolgaA luuosaad •Z8I a[olgaA Ajunoo :palanu. I sallW t,ZOZ sAunuuf ,Lilfloa SuamoISSIb1Iwoa A LAlfloa o.L ixoiju AZIAuav moismaim saaAnosa21 luAn;uN puu aan4ln3la2V ssxaa, `uol;slS a2a[[oD . wals,i8 4?saaAlun WWV sexa I, . uolsualxg a3l'I?1$V W7RV ssxa t (asaA-gluow) also 17ZOZ 4unoj Unoqluj al;l.L Iglsag 14junwwoD pus Ilws3— VdD aureN ss -I •d uaasg lallgA+ u x[ul Illm am os epuasV oq; uo aq [llm a jA) ImoD s,aauolsslwwoD of uollelaaaaa;uI — 8Z qad Q Bunaleay saoleonP3 PoogPl?qD — LZ qad Q 0£:I-0£:I I awoa aseald — wnaod saanlnd solllunwwoD sexay — 9Z qad Q alnlllsul 2unoA OA 0111 IV ZZ-6I qa3 Q •Bulledlolued plogwnag guID-motIS Xoo;saA17 oluoluV ueS ;e aSua[IegD Pood 2ulopnf - 8 qad Q a3l'I?AV pm M gllm sdogs3laom (19MVHD Pug 11I1) - L qad Q -hpuoW goea sosselD Z - sasselo Buluang pue BuluaoW umo(I aleoS dfl dolS 9Z pug ZI `S - qad Q •3100m a sasselo L - (umlaollpnV)s8uluaAg ag `(loogaS glapeaS) suoouzagV `(um;aollpne aog;o uolsualxa)sSuluaow salpog SuoalS aldoad �uoalS -(s (ePlloH pue spuaXaam ldaoxa) AVQ AggAg - qad Q 2uluueld I?wwns aall[wWOD ,tans?ApV uol;Iag;seag;noS W `oaulwwoD OuuaalS aaalunloA `paeog XuAk pallufl `pmog s,uazl;1O aoluaS `DVS O'IO `DVHS QSIDD `I I;o?a;sl(l LZ W ZZ `OZ `8I `SI `ZI 19 -s5ullaaW Xnnagad Q t,ZOZ mnagad— ilwow;xou ao; SluaAa ao?lnl sloogoS Ie I8I Z + (?gnp?A?Pu?) LIE— sloeluoD Iced?oWE leuolleanpg uosaad uI Obi :slxay/auogd slsod L spualad +SZOI algozd 3loogaoed :UapalsmaN ZI :aI?S I£ s;sod u aulsuI 669 saamollod BS;sod a&d 3loogaaed 9 :szaa;unloA 0 :aag3O :,(q sloeluoD loan?O sluedlol;aed 9£ — loogos qO?H adoH le Oulaleay utmwN — I £ uef Q sluedlalW 6 — 3ululeay aoleonpg poogPi?gD Flagg 0£ uef Q sluedlolued OZ — ,tlunoD apioSejtY1 u; Ou?uleay ueonx 0£ ugf Q saapualle OOOZ aano — sloogos QSIDD Ilu Ie DVg Un goluAk g;?m 5u?uleay osngv logoalV Pue 3uldsA `lXue;uad tZ W £Z UUf Q 08 - lj1apeaS ul uotingp1slQ pool ao; sadloag glim saa,ild pap?Aoxd £Z ugf Q aOuallggD Pood gllm PaXaoAk SZ Pue ZZ Uef Q uolledlollaed dllep aSeaane L-S •3I00m e sasselo Z loogos sexay glnoS ,SglleaH ao3 loogaS IllapeaS ;u salpog 2uo4S aldoad Ouoa;S PaPPV i £ `SZ `£Z `8I uvf Q 0£ - IelldsoH aql le meal pue goun l aql It Bulluasaad LI uef Q (ozaaa; 3o asneoaq pouod;sod) Ll uollga-1 ao3 elaolo?A ul ;Iu?laOW WEIGI spueH IN LI uef Q sluapnls ogloads;o Igauoq ao3 QSIDD gIIm sOulPOW LDDdD — 6Z T I I uef Q 8-S •3I90m a sasselo £ sasse1D 2?uluang pue 8ulmoW umop ap:oS dfl dolS 6Z Pug ZZ `(Pauod;sod)SI `8 ugf Q uo?Iedlollaed uolssos a2eaaee I?-S '31aam a sasselo S sOuluang pup sftuaow salpog 2uoalS aldoad 2uoalS — I£ W 6Z `9Z-VZ `ZZ `6I-LI `(azaa4 ogl;o asneoaq pallaoueo)SI `ZI-01 18 `S-£ uuf Q 8ugooW Igoad-uoNunogleD ag `aalllwwoD 2ulaaalS aaalunloA'(pallaoueo)preog AAN polluf l `DdD l `pagog ,ta¢agl'I `Bullo;)W Mal £Z W 61 `9I `6 `b `Z -sOullaPW ,Genuuf Q :IIOCIQI Isel souls salllAlloe ao ew Paloalag alalgaA Ieuosaad 0 alolgaA AlUnOD 881 :Palaneal 8911 t bZOZ,Ugnugf lHfIOD SH2 NOISSINNOD A,LNfIOD 01 IH04laU A.LIAIZDV NOISNaLXH q;luag4lunwwoD pun Sliwgg Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT January 2024 Miles traveled: County Vehicle Personal Vehicle 0 Selected major activities since last report. 1/8 — Hunter Education Program 1/12-1/14 — GRTIJ Youth Trout Camp Program 1/16 — TXGLO CCT Meeting with City of Port Lavaca 1/18 —TX ASBPA Meeting in Galveston 1/19 — TXSG Coastal Monitor Meeting in Corpus Christi 1/22-25 —Fort Worth Stock Show 1/27-28 —Aggie Invent Jr. at Calhoun High School Direct Contacts by: Office: 5 Site: 3 Phone/Texts: 151 E-mail/Letters: 352 Newsletters: 0 Volunteers: 0 Maior events for next month — February 2024 Instagram Posts/Followers: 9/964 2/7 — TXGLO CCT GIFT and CHARMED workshops with City of Port Lavaca 2/9 — San Antonio Stock Show Wildlife Seminars 2/13 — TXSG Tour of Calhoun Co. water sensor locations 2/15 — State Aquarium Education Training 2/16 — Crab Trap Overflight 2/19 —Hunter Education Program 2/24 — Matagorda Bay Fishing Cooperative Annual Meeting Name Coastal and Marine Aaent Title Texas A&M AgriLife Extension Calhoun County January 2024 Date (Month -Year) The TexIM University System - College Station, Texas o tod Pr �o_g o o l p I `C �?% �•••y N R. � a M c I IOC O �O �O asi.j 0 O raO� � 'I y C U A W N rr 3 1 '✓•1 x Ri I n �o Co.Ids �b mC�a soli �I� e o��n � I m I on O rA V ^� i jell �> l `G 0,)o no y blp, 1 AA C N O Olb .P I t / p +- o. S y � I i ! III I rz Q V ID I 1 1 r w SHERIFF'S OFFICE MONTHLY REPORT Jan-24 BAIL BOND FEE $ 255.00 CIVIL FEE $ 613.50 CASH BOND $ - JP#1 $ 2,552.10 JP#2 $ 1,502.00 JP#3 $ - JP#4 $ - JP#5 $ - SEADRIFT MUN. PC MUN $ 351.00 PROPERTY SALES $ - PRE-INDICMENT $ 20,000.00 TOTAL: $ 25,273.60 t Z � ( A #13 NOTICE OF MEETING — 2/14/2024 13. Consider and take necessary action on any necessary budget adjustments. (RHM) 2023: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2024: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER. Joel Behrens, Commissioner Pct 3 ` AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 11 °moo goo zoo 71 T T (n 7 M c T(n -Z E o= o m= a=_ z� o C_ a � N = W V? O: N = V (y O_ W O M M z a O z I N n C C v m no a M z -4 0 c v n m m m n C v c Z O O N O W m m m N m Ap� W N @a9 W W O N N O O (O Ol O p <� A A O< 3 N m m m m 1 0 m c S m w o m e O 'D O v a a m�--u m p Z Z v D Q m z OQ D m D D O< m 0 Z N r r O O z m m x m m z� � z Z n< G N m m z m m m m m 0 c Z G) O v fN 9 z m 1 N c p m s� m commco <o co <o �' m m<o co <o �o co <oZ zzzzzzzzo 00000000 AO AO 70 0� O O O AO zzzzzzzz zzzzzzzz a fA EA EA f9 EA E9 EA 4A Iw !91 0 0 0 0 0 0 0 0 LE EA EA EA E9 fA lA 4A M T T O O O O O O O O m E fA EA (NO 0 V m O N.O. 00 N e J EA fA Oo EA EA &i E9 &i T O O O O O O O O 1'R f9 N - - - I m ^� J (O m O N 7 W fp OD A N O) A V T� m 9 O z m 3 z z b! In m a 0 0 m m m k 9 m z W m CA I m n m 1 2 z O U! a r r W N N Cad W O O O O g < O co m D 0 c zI -m -0 M m 0 20 m ti N O 9 m y 3 O n Z A e pO AO pO z z z a 3 O O O O O T EA EA !A fA 4A T o O O O O EA O ;a $ a CA a n O c z (AA mu: PI.: Mi li Ei mi zi z€ ai 3€ mi m mi 0: Oi m 2 0 a m m m a C v c m T a X 3 m z I z 0 m y � § § § § § § g .4 $ % § 2 m k m zm % § § k ® § § v 10 � s z 4 z 0 k §$§ mm■ \� {� gym§ \ co B " ®®■ rp ZE6 m )2\ § § I-i ■ a § § ) ) - coo B� mm § 000 0 0k0 k 6 2 A N A 2 ) § k 0 § k k m ƒ t■t|£ t■tl£ I | �(B � ■ ;§ § : z ■ ]§ § : )I § z § | Co �2am 2 | | § m .. m | (; § 3 .� 7@, i§k 0 ;§� § ' )) c ;�■ % § B � § X ) t « � � �) m= ® Z) z= o■ o k t � = g � _ § �§ m )� #, § m) §. »; ■ 0 0 m �) 2 2 ` k k k k CA ; z; ( \ z § »; EI ° m ƒ ƒ § m: 6 ■: 8 ; x; � §) &� �) § R §§2 k § §3 § (z % ) � § ■ � F7 k #14 NOTICF. OF MEETING — 2/14/2024 14. Approval of bills and Davroll. (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 Counnty 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 10:19am Page 11 of 11 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPk6,V L LIST FOR - February-14. 2024' by:CT INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES 0.00 SUBTOTAL 0.00 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) 4,166.67 Subtotal 4,166.67 Co -pays adjustments for January 2024 00 Reimbursement from Medicaid 0.00 COUNTY, TEXAS DATE: CC Indigent Health Care VENDOR # 852 ACCOUNT NUMBER DESCRIPTION OF GOODS OR SERVICES QUANTITY UNIT PRICE TOTAL PRICE 1000-800-98722-999 Transfer to pay bills for Indigent Health Care $4,166.67 approved by Commissioners Cotiit'dn 02/14/2024 1000-001-46010 January 31, 2024 Interest ($12.36) $4,154.31 COUNTY AUDITOR APPROVAL ONLY THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CO N AND REQUEST THE COUNTY TREASURER TO PAY MOV E OVE H ATION. f /J BY: 2/14/2024 FEB 12 202� C U CAY0 C U DEPARTMENT HEAD DATE 0 0 g `*J d PROSPERITY BANW Statement Date Account No THE COUNTY OF CALHOUN TEXAS CAL CO INDIGENT HEALTHCARE 202 S ANN ST STE A PORT LAVACA TX 77979 13193 1/31/2024 `""'4551 Page 1 of 2 r:STATEMENT SUMMARY Public Fund Contractual Ckg w Int Account No '*:**4551.< 01/01/2024 Beginning Balance $9,79B.80 1 Deposits/Other Credits + $12.36 1 Checks/Other Debits $80,p0 01/31/2024 Ending Balance 31 Days in Statement Period $9,731.16 Total Enclosures 1 "DEP051TS/OTHER CREDITS Date Description Amount 01/31/2024 Accr Earning Pymt Added to Account $12.36 CHECKS Check Number Date Amount 12623 01-05 $80.00 ,._DAILY ENDING BALANCE -A I Date Balance Date Balance Date Balance 01-01 $9,798.80 01-05 $9,718.80 01-31 59,731.16 EARNINGS SUMMARY Below is an itemization of the Earnings paid this period. " Interest Paid This Period Interest Paid YTD MEMBER FDIC $12.36 Annual Percentage Yield Earned $12.36 Days in Earnings Period Earnings Balance NYSE Symbol "PB" Cristina Tuazon From: mescalante@mmcportlavaca.com (Monica Escalante) <mescalante@mmcportlavaca.com> Sent: Friday, February 9, 2024 1:32 PM To: Cristina Tuazon Subject: Indigent Report Hi, I do not have any claims/bills to submit for Indigent Care. The 2 Invoices I have received from Medimpact did not had any activity. I am down to just 1 Indigent patient as of January when I removed 2 patients. So I have nothing to submit to the County for January's report. Thanks, CI-LP1CP Coordivlator M mortal Medical Cevlter 515 N, Virgivlia St. "Port Lavaca, -Tx -7761-7q Office - 3(a1-552-0340 Tax - 3r0-552-0333 Imescala�lteltmync�ortlavaca cove MEMORIAL YtEDICtit CENTER So Mtzch... So Close! MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 14, 2024 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 1,676,047.51 TOTAL TRANSFERS BETWEEN FUNDS $ 114,324.88 TOTAL NURSING HOME UPI. EXPENSES $ 81.4,461.51 TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL. DISBURSEMENTS APPROVED February 14, 2024 $ 2,604,833.90 1/ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 14 2024 PAYABLES AND PAYROLL 2/9/2024 Weekly Payables 550,538.90 2/9/2024 Citibank Credit Card -see attached 2,386.38 2/12/2024 Lowe's Business/SYNCB-supplles and late fee 567.94 2/12/2024 Discovery Medical Network -physician services 1/16-31/24 221,499.34 2/12/2024 Great American Financial Services -copier leases 10,525.69 2/12/2024 Texas Mutal-insurance 4,624.00 2/13/2024 HHSC-Repayment of uncompensated care demonstration year 8 overpayment 326,650.15 2/12/2024 McKesson-3400 Prescription Expense 5,635.35 2/12/2024 Amerisource Bergen-340B Prescription Expense 601.87 2/1212024 Payroll Liabilities -Payroll Taxes 115,981.52 2/12/2024 Payroll 372,101.33 Prosperity Electronic Bank Payments 2/5-2/6/24 Credit Card & Lease Fees 764.06 2/19/2024 Sales Tax for January 2024 1,875.13 2/7/2024 Cleargage-Patient Financing Service 117.37 2/5-2/9124 Pay Plus -Patient Claims Processing Fee 466.65 2/13/2024 Comerica Bank -Captive Ins. -required non -premium funding 23.24 program yeas 60,284.00 2/14/2024 Health Equity-HSA Contributions 1,367,83 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 1,676,047.52 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 2/8/2D24 MMCOperating to Solera-correction of nursing home insurance payment deposited 13,327.67 into MMC Operating 2/8/2024 MMCOperating to The Crescent -correction of nursing home. insurance payment 16,720.00 deposited into MMC Operating in error 2/8/2024 MMC Operating to Golden Creek Healthcare -correction of nursing home insurance 8,930.56 payment deposited into MMC Operating in error 2/8/2024 MMC Operating to Gulf Pointe Plaza -correction of nursing home insurance payment 22,108.10 and QIPP deposited into MMC Operating In error 2/8/2024 MMC Operating to Tuscany Village -correction of nursing home QIPP payment 25,274.10 deposited into MMC Operating in error 2/8/2024 MMC Operating to Bethany -correction of nursing home insurance payment and QIPP 27,964.45 deposited into MMC Operating in error TOTAL TRANSFERS BETWEEN FUNDS $ 114,324.88 NURSING HOME UPL EXPENSES 2/12/2024 Nursing Home UPL-Cantex Transfer 615,285.82 2/12/2024 Nursing Home UPL-Nexion Transfer 34,979.90 2/12/2024 Nursing Home UPL-HMG Transfer 60,743.83 2/12/2024 Nursing Home UPL-Tuscany Transfer 33,529.69 2/12/2024 Nursing Home UPL•HSLTmnsfer 69,922.27 TOTAL NURSING HOME UPI. EXPENSES $ 814,461.51 TOTAL INTER -GOVERNMENT TRANSFERS GRAND TOTAL DISBURSEMENTS APPROVED February 14,.2024 $ 2,604,833.90 218/24, 2:42 PM tmp_cw5reportl 238164885723146827.html ON GRECEIVED NUUDrrQR UTY A3 MEMORIAL MEDICAL CENTER 02/O,gJ,2p240 0 14: tll3i $ Z�72^ AP Open Invoice List Due Dates Through: 03/01/2024 ap_open_invoice.template �Q1jlJtSrl3411�A1 JIT�r�$ Class Pay Code 11237 3WON, LLC ✓� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3641 01/31/20201/08/2020=11/202 1,194.00 0.00 0.00 1,194.00 CREDENTIALING - 3697 02/07120202/02120203/01/202 597.00 0.00 0.00 597.00 PRACTIONER CREDENTIALING Vendor Totals:. Number Name Grass Discount No -Pay Net 11237 3WON, LLC 1,791.00 0.00 0.00 1,791.00 Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE 15521 ✓ Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 113023 01/31/20211/30/20212/25/202 11163.16 0.00 0,00 �- 1,163.16 ao'' SUPPLIES ltja1j23-i11301Z37 123123 01/31120212/31/202.01125/202 533.00 0.00 0.00 533.00 ✓r SUt�Ods C12IolI'z3' 1"zi✓4�7-3� 013124 02108/20201/31/20202/25/202 889.51 0.00 0.00 J 889.51 �r SUPPLIES LI -1�4-- I13t1a4) Vendor Totals: Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 2,585.67 0.00 0.00 2,586.67 Vendor# Vendor Name Class Pay Code 10950 ACUTE CARE INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INVI675 / 02/01/20202/01/20202/20/202 1,400.00 0.00 0.00 1,400.00 RIFD FEE Vendor Totals: Number Name Grass Discount No -Pay Net 10950 ACUTE CARE INC 1,400,00 0100 0.00 1,400.00 Vendor# Vendor Name Class Pay Code 11960 ALAMO.SCIENTIFIC, INC Invoice# Comment Tran Dt. Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 933937y/ OV31/20201/290202/07/202 149.00 0100 0.00 149.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11960 ALAMO SCIENTIFIC, ING 149.00 0.00 0.00 149.00 Vendor# Vendor Name Class Pay Code 12232 ALCOR SCIENTIFIC ✓' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross. Discount No -Pay Net 164598 "r 01/31/202 01/291202 021061202 1,700.00 0.00 0.00 1,700-.00� CONTRACT ISED al z-112K-'LIzL J Z-q Vendor Totals: Number Name Gross Discount No -Pay Net 12232 ALCOR SCIENTIFIC 1,700.00 0.00 0.00 1.700.00 Vendor# Vendor Name Class Pay Cade 14028 AMAZON CAPITAL SERVICES / Invoice# Comma 1 Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net XQN-W43P-D6C7 71 iOl/31/20201/16/20202116/202 -193.30 0.00 0.00 -193.30 CREDIT 1XNB-GKRJ-IKV9 ✓ 01/31/20201125/202021241202 54.29 0.00 0.00 54,29 ✓"- SUPPLIES 1J7M-GRQK-GQHW ,/ 01 /31/202 01/29/202 02128/202 419.97 0.00 0.00 419.97 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 280.96 0.00 0,00 280.96 file:!//C:/UsersPIrevinc%psi/memmed.cpsinet.com/u8B125/data_5/tmp_cw5repor11238164865723146827.html 1117 2/8/24, 2:42 PM tmP_cw5mportl238164885723146827.html Vendor# Vendor Name Class Pay Code A215O ANNOUNCEMENTS PLUS TOO AGAIN f W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dl Pay Gross Discount No -Pay Net 5513 e"-- 02/07/202 OV02/20202/12/202 82.99 0.00 0.00 82.99,11' PRINTING Vendor Totals: Number Name Gross Discount No -Pay Net A2150 ANNOUNCEMENTS PLUS TOO AGAIN 82.99 0.00 0.00 82.99 Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3910744 ✓ 01/31/20201/25/20202/25/202 4,515.75 0.00 0100 4,515�75 ✓r DUNN t I j 17_- I I i 8 I yV) LVIJ rrKARIANN 3927032 ✓ 02107/20202/01/20202129/202 972.00 0.00 0.00 972.00 KARIANN DUNN 1 I'2a ( n'I 1_V Il 4e'� Vendor Totals: Number Name Gross Discount No -Pay Net 11756 AYA HEALTHCARE INC 5,487.75 0.00 0.00 5,487.75 Vendor# Vender Name Class Pay Code 14088 AZALEA HEALTH Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 100374 w'�' 02/07/202 02/01/202 02/171202 594.00 0.00 0.00 594.00 MONTHLY PROCESSING ^ Fwr wnYy n141 Vendor Totals: Number Name Gross Discount No -Pay Net 14088 AZALEA HEALTH 594.00 0.00 0.00 594.00 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 81671132 ✓ 01/18/20201109/20202103/202 337.25 0.00 0.00 337.25 SUPPLIES Vendor Totals:. Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 337.25 0.00 0.00 337.25 Vendor# Vendor Name Class Pay Code M2405 BAYER HEALTHCARE ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount NO -Pay Net 6011009047�/ 01/31/202.01/25/20202/07/202 11380.10 0.00 0.00 1,380.10 s✓ SUPPLIES Vendor Totals; Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE. 1,380.10 0.00 0.00 1,380.10 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC yf M Invoice# /Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 111089980 W01/31/202 011111202 02/05/202 1,431,63 0.00 0.00 1,431.63 SUPPLIES 111090501 01/31/202 01/111202 021051202 96.13 0.00 0.00 96.13 .✓ FREIGHT 5483472 ✓ 01/31/20201/13/20202/07/202 5.016.58 0.00 0100 5,016.58 CONTRACT 111092203/ 01131/20201/16/20202/09/202 1,288.45 0.00 0.00 1,288.45 ✓ CONTRACT 111104636 ✓/ 01/31/20201/2212020211SY202 1,486.90 0,00 0.00 1,486.90 1111%445 01131/20201123/20202/171202 113.41 0.00 0.00 113.41 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 81220 BECKMAN COULTER INC 9,433.10 0.00 0.00 9,433.10 Ventlor# Vendor Name Class Pay Code 13972 BEYER MECHANICAL LTD ✓/ file:l//C:IUserslltrevino/cpsl/memmed.cpsinet.comlu88125/date 5/tmp_cw5reportl238164885723146827.html 2/17 218/24, 2:42 PM tmp_cw5reportl238164885723146827.html Invoice# Comment Tran DI Inv Of Due Dt Check Of Pay Gross Discount No -Pay Net IN-034725 ✓ 01102/202 12106/202 12/06/202 3,383.65 0.00 0.00 3,363.65 Q-xhia<c d0.at UtMt V41✓e,un ion t %4"S , f i Ft, Vendor Totals: Number Name Gross Discount No -Pay Net 13972 BEYER MECHANICAL LTD 3,383,65 0.00 0.00 3,383.66 Ventlor# Vendor Name Class Pay Code B1655 BOSTON SCIENTIFIC CORPORATION ✓ M Invoice# Comment Tran Of Inv Dt Due Of Check Of Pay Gress Discount No -Pay Net 996389980 .,r/01/31/20201/03/20201/31/202 773.00 0.00 0.00 773.00 ✓'� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1655 BOSTON SCIENTIFIC CORPORATION 773.00 0,00 0.00 773.00 Vendor# Vendor Name Class Pay Code 81800 BRIGGS HEALTHCARE ✓ M Invoice# Comment Tran Dt Inv DI Due Ot Check Dt Pay Gross Discount No -Pay Net 8450854./ 01/31/202 01/231202 02/071202 152.90 0.00 0.00 152,90 ✓ SUPPLIES B451145 01/31/20201125/20202/071202 152.90 0.00 0.00 152.90 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1800 BRIGGS HEALTHCARE 305.80 0.00 0.00 305.80 Vendor# Vendor Name Class Pay Code 15248 BRIGHTLY SOFTWARE INC. v✓ Invoice# C mment Tran Of Inv Of Due Of Check Ot Pay Gross Discount No -Pay Net INV-215308 01/31/202 06129/202 07/29/202 5,563,27 0.00 0.00 5,56327✓ WORX HUB Vendor Totals: Number Name Gross Discount No -Pay Not 15248 BRIGHTLY SOFTWARE INC. 5,563.27 0.00 0.00 5,563.27 Vendor# Vendor Name Class Pay Code B0437 C R BARD INC M Invoice# Tran Of Inv Dt Due Of Check Dt Pay Gross Discount No -Pay Net /,Comment 86855509✓ 01/31120201/03/20202/02/202 178.86 0100 0.00 178.86 r✓ SUPPLIES 8693090E✓ 01131120201/23120202/22/202 178.86 0.00 0.00 178.86 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 30437 C R BARD INC 357.72 0.00 0.00 357.72 Ventlor# Vendor Name Class Pay Code C1048 CALHOUN COUNTY W Invoice# Bomment Tran Of Inv Of Due Dt Check Ot Pay Gross Discount No -Pay Net 52842105 yr/ 01/31/202.01129/20202/281202 693.71 0.00 0.00 693.71 .✓ ELECTRICITY-'101 W. VIYgink SF, Ll 10-1�1'+�7-4� 52816136 ✓ 01/31120201/29/20202128/202 8.47 0.00 0.00 8.47 ✓' ELECTRICITY - 105 IV. Vi1'+51naS1'. (111n- tz`7UIL3) 52848558 ✓ 01/31/20201/29/20202/281202 19,92 0.00 0.00 19.92 v1 ELECTRICITY ^ Hatpin! 10- 00LL 1710 `ow 52841137 ✓ 01/311202 01/29/202 02/29/202 31,533,77 0.00 0100 31.633.77 ELECTRICITY tklK i} i 0- ( ri117- tjl¢jwi- 52848555 01131/202 01/29/202 02129/202 1,625.53 0.00 0.00 1,625.53 ELECTRICITY lot4 N. Vivly Ylu �-� lf'�1tY' t1i'liz.d) 020624 02/08/20202/091202 150,000.00 0.00 0.00 150,O0OA0 LOAN PMT B Vendor Totals: Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 183,981.40 0.00 0.00 183,981.40 Vendor# Vendor Name Class Pay Code C1325 CARDINAL HEALTH 414, INC, vIx W file:///CaUsers/Itrevirro/cpsVmemmed.cpsinetcom/u88125/data_5/tmp_cw5reportl238164885723146827.html 3117 2/8/24, 2:42 PM imp_cw5report1238164885723146827.html Invoice# Comment Tran Dt Inv Ot Due Dt Check. Dt Pay Gross Discount 8003409751✓/01/311202 01120/202 02/14/202 17220 0.00 S PPLIES 8OD341659001/31/202 01/21/202 021151202 623.66 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount C1325 CARDINAL HEALTH 414, INC. 795.76 0.00 Vendor# Vendor Name Class Pay Code 01992 COW GOVERNMENT, INC. M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross NW29311 ✓ 01/31/20201105/202021041202 3,078.92 SUPPLIES Vendor Totals: Number Name Gross 01992 COW GOVERNMENT, INC. 3,078.92 Ventlor# Vendor Name Class Pay Code 13000 / CLEARFLY r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross INV579707 ✓ OPJ07/20202/01/2020211 W02 1,207.79 TELEPHONE Vendor Totals; Number Name Gross 13000 CLEARFLY 1,207.79 Vendor# Vendor Name Class Pay Code C1166 COASTAL OFFICE SOLUTONS W Invoice# Comment Tran Ot Inv Dt Due Di Check Dt Pay Gross. OE-OT-25412-1 r% 01/31/20201/29/20202108/202 926.00 SUPPLIES Vendor Totals: Number Name Grass C1166 COASTAL OFFICE SOLUTONS 926.00 Vendor# Vendor Name f Class Pay Cade 11030 COMBINED INSURANCE ✓' Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross 011524 01131/202 01/15/202 02/14/202 524.56 PAYROLL DEDUCT Vendor Totals; Number Name Gross 11030 COMBINED INSURANCE 524.56 Vendor# Vendor Name Class Pay Code 13232 COMPADRES DESIGN INC Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross 4,9196 ✓/ 02/08/202 OPJ09/20202/09/202 316.23 TROUBLESHOOT Vendor Totals: Number Name Gross 13232 COMPADRES DESIGN INC $16.23 Ventlor# Vendor Name Class Pay Code C1970 / CONMED CORPORATION ✓ M Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross S. 10448711 ✓ 01131/20201/03/20201108/202 373.62 SUPPLIES 10470325 f 01131/20201/26/20202O71202 351.43 SUPPLIES Vendor Totals; Number .Name Gross C1970 CONMED CORPORATION 725.05 Vendor# Vendor Name Class Pay Code 10060 / DETAR HOSPITAL J ICP Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross DTRZ401024 d' 02/08/20202/02/202 OPJ29/202 116.20 LAB SERV file:///C:/Users/itrevino/cpsl/memmed.cpsi net.comtu88l25/data_51tmp_cw5report l238164885723146827.htmi Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 No -Pay Net 0.00 172.20 0.00 623,56 Ll" No -Pay Net 0.00 795.78 Na-Pay 0.00 No -Pay 0.00 No -Pay oleo No -Pay 0,00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0,00 Discount 0.00 O.Oo Discount 0.00 Discount 0.00 Net 3,078.92 ✓ Net 3,078.92 Net 1,207.79 Net 1,207.79 Net 926.00 Net 926.00 No -Pay Net 0.00 524.56 p% No -Pay Net 0.00 524.56 No -Pay 0.00 No -Pay Oleo No -Pay 0.00 0.00 No -Pay 0.00 Net 316.23 Net 316.23 Net 373.62 351,43 Net 726.05 No -Pay Net Oleo 116.20 4117 218124. 2:42 PM Imp_cw5reportl238164885723146827.html Vendor Totals: Number Name Gross Discount No -Pay Net 10060 DETAR HOSPITAL 116.20 0.00 0.00 116.20 Vendor# Vendor Name Class Pay Code 10368 / DEWITT POTH & SON ✓ Invoice# % Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net 744300.0 01131120201/24/2D202/18/202 228.54 0,00 0.00 928.54 ✓'� / SUPPLIES 744300.1 01/31/20201126/20202/20/202 77.44 0.00 0.00 77.44 SUPPLIES 742$17.0 011311202 01/261202 021201202 79.62 0100 0100 79,62 ✓� SUPPLIES 744300.2 v'� 01/31/202 01130/202 02124/202 81.20 0.00 0.00 61.20 SUPPLIES 744642-0 ✓ 01/31/20201131/20202/25/202 233.26 0.00 0.00 233.26 SUPPLIES 744938.0 ✓ 01/31/20202/02/20202/27/202 97.44 0.00 0.00 97.44 j SUPPLIES 744860-0 r02/02/20202102(202 OW271202 129,34 0.00 0.00 129.34 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 1036E DEWITT POTH & SON 906.64 0.00 0.00 906.84 Vendor# Vendor Name Class Pay Code 11011 DIAMOND HEALTHCARE CORP b ,. Invoice# C mment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net IN-------- 02/071202 021011202 021261202 31,144.58 0.00 0.00 31,144.58 JJAN BEHAV HEALTH IN20056085 ,/ OPJ07120202/01/20202/26/202 19,166.67 0.00 0.00 19,186.67 JAN CPR Vendor Totals: Number Name Grass Discount No -Pay Net 11011 ❑IAMOND. HEALTHCARE CORP 50,311.25 0.00 0.00 60,311.25 Vendor# Vendor Name Class Pay Code G0501 OR JEANNINE GRIFFIN .-�� W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 011724 01/31120201117/20202/01/202 1,000.00 0.00 0.00 11000.00 PEDIATRIC CALL 41 7-1 P 7-^ t 7-1 7_3 j z3 ) W_�" 020624 01/21/20201/2620202/06/202 000.00 0.00 0.00 3,000.00 PEDIATRIC CALL( I ( L;1'M 11 17'411117.I,'11LV114�1 Vendor Totals: Number Name Gross Discount No -Pay Net G0501 DR JEANNINE GRIFFIN 4,000.00 0.00 0.00 4,000.00 Vendor# Vendor Name Class Pay Code / 14832 DR JOHN CLINTON ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 112723 01/31/2021PJIW0`21211 W202 2,000.00 0.00 0.00 2,000.00 tJ' PEDIATRIC CALL { 11110 t 1 1 1 21 'L4) L IL O Z"'I 1 '7-3) 011724 010/20201/17/20202/01/202 1,800.00 0.00 0.00 1.800,00 v� PEDIATRIC CALL ( 17-1 N ( 7-3) If 1 -`V 1 - ('1110 V") Vendor Totals: Number Name Gross Discount No -Pay Net 14832 DR JOHN CLINTON 3,800.00 0.00 0.00 3,800.00 Vendor# Vendor Name Class Pay Code W1372 / DR. JOHN WRIGHT ✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 112623 01/31/20212/13/20212/14/202 3,000.00 0.00 0.00 3,000.00r,, PEDIATRIC CALL (1113 - It 15-1 7?1)1 01 as 2-41 1-3) 011724 01/31/2020111720201/181202 6,000.00 0,00 0.00 6,000.00 PEDIATRIC CALL I7A I -Iz14) 7.Y)(,17.115(11-1"W4-j.176 271 1_ 1-2-1 "t`i- iz1311 zi 020624 01/31/20202/0620202/06/202 1,500,00 0.00 0,00 1,500.00 file:/qC:/Userslllrevino/cpsi/memmed.cpsinet.com/u68125/data_5/tmp_cw5reportl238164885723146827.html 5117 2/8/24, 2:42 PM tmp_cw5reportl238154885723146827.html PEDIATRIC CALL �I�ItI`1�bll z`t)I Vendor Totals: Number Name Gross Discount No -Pay Net W1372 DR. JOHN WRIGHT 10.500.00 0.00 0.00 10.500.00 >' Vendor# Vendor Name / Class Pay Code 14924 DR. TIMU KWI v Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 013124 01/31/202 021061202 021151202 2,000.00 0.00 0.00 2,000.00 ✓ \ PEDIATRIC CALL 1`I I t 2 - I IN I7�() (I I; 1(2.1) 112324 01/31/202 12/13/202 01/13/202 3,500.00 DJ)O 0.00 3,500.00 s.^' PEDIATRIC CALL ii (I In 4 - 411 tct 1 7,3 ) ( a I La- U S Ea ("tx) Vendor Totals: Number Name Gross Discount No -Pay Net 14924 DR. TIMU KWI 51500.00 0.00 0.00 5.500.00 Vendor# Vendor Name Class Pay Code 12044 DRIESSEN WATER INC. (CULLIGAN) f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay. Net 01312024 01/311202 01131/202 02122/202 700.20 0.00 0.00 760.20 4/' WATER Vendor Totals: Number Name Gross Discount No -Pay Net 12044 DRIESSEN WATER INC. (CULLIGAN) 760.20 0.00 0.00 760.20 Vendor# Vendor Name Class Pay Code 14508 EITAN GROUP NORTH AMERICA, INC ,% Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net IN-10-47154 ,/ 01/31/20201/22/20202122/202 321.26 0.00 0.00 321.26 SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net 14508 EITAN GROUP NORTH AMERICA, INC 321.26 0.00 0.00 321.26 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS a-' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 4293) 01131/20201/31/20202/101202 175.00 0.00 0.00 175.00 THOMPSON (-I z1 all i.3� Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 175,00 0.00 Q00 175.00 Vendor# Vendor Name Class Pay Code - 14708 EQUALIZE RCM SERVICES ,f Invoioe# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 534473 / 02/07/20202/01/20203/01/202 5,500.00 0.00 0.00 5,500.00 KPI/REVENUE CYCLE/AR PERSO Vendor Totals: Number Name Gross Discount No -Pay Not 14708 EQUALIZE RCM SERVICES 5,500.00 0.00 0.00 5,500.00 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. .� W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 8-354.99995 r 01/31120212121/20201115/202 105,30 0.00 0.00 105.30 FREIGHT 8.375.03009 . 01/31/20201/11/20202/D5/202 43,69 0.00 0.00 43.69 FREIGHT 8-381.39267 �/ 01/31120201/18/20202/121202 81.02 0.00 O.DO 81.02 ✓'` FREIGHT Vendor Totals: Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 230.01 0.00 0.00 230.01 Vendor# Vendor Name Class Pay Cade F1400 FISHER HEALTHCARE „/' M Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 3097610 -�" Ot/01/20205/18/20206N2/202 3,157.20 0.00 0.00 3,167.20 SUPPLIES file:f//C:IUsers/itrevinolcpsl/memmed.cpsinet.com/u881251data_51Imp_cw5reportl238164885723146827.html 0117 2/8124, 2:42 PM tmp_cw5reportl238164885723146827.html 6530067.1 01/01/20209/27/20210/221202 361.41 0.00 0.00 361.41 ✓+- SUPPLIES 8314302 ✓ 01102/202 121071202 01101/202 15,154.36 0.00 0.00 15,154.36 SUPPLIES 8819891 ✓ 01 /25/202 01/03/202 011281202 426.23 0.00 0.00 426.23,% / SUPPLIES 9146686 J 01/25/20201/17/20202111/202 127,22 0.00 0.00 127:22 L� SUPPLIES / 8988190 ✓ 01/91120201110120202104/202 682,80 0.00 0.00 682.60 SUPPLIES 9249469 .✓ 01/31/20201/22/20202/16/202 203.50 0.00 0.00 203.50�1 SUPPLIES 9287117 W/ 01131/20201/23/20202/17/202 356.00 0.00 0.00 / 366.00 es'" SUPPLIES / 9267116 ✓ 01131/20201123/20202/171202 1,972.36 0.00 0.00 1,972.36 SUPPLIES 9287115 .lam 01131120201/23/20202/17/202 356.00 0.00 0100 356,00 SUPPLIES 9326121 .f 01/31/20201/24/2020211B/202 260.13 0.00 0.00 260.13 / SUPPLIES 9364140 ✓ 01131/20201/25120202JI91202 3,687.53 0100 0.00 3,687,53 SUPPLIES /. 9364141 ✓ 01/31 /202 01 /25/202 02I19/202 612.56 0.00 0.00 612.56 s� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 27,35T30 0.00 0.00 27,357.30 Vendor# Vehdor Name Class Pay Code 10599 FORVIS r / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gloss Discount No -Pay Net / 1974657 0/ 01/311202 01/29/202 02/23/202 6,116.25 0.00 0.00 6.116.25 OB /BEHAV HEALTH SERV 1973913 ✓ 011/31/20201131/20202/25/202 3,150.00 0.00 0.00 3,150.o0 AUDIT FEES Vendor Totals: Number Name Gross Discount No -Pay Net 10599 FORVIS 9,266.25 0.00 0.00 9,266.25 Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012324 01/31/20201123120202/16/202 25.83 0.00 0,00 25.83.,," PHONE Vendor Totals: Number Name Gross Discount No -Pay Net 11183 FRONTIER 25.83 0.00 0.00 25.83 Vendor# Vendor Name Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC ./ Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net fCpmment 6002594114✓ 02/07/20202/Oi/20203/01/202 3,588.58 0,00 0.00 3,588.58 IMAGING CONTRACT 6002594121 02JO71202 02/01/202 03/011202 5,065,83 0.00 0.00 5,665.83 „✓ IMAGING CONTRACT 6002594117 a/ 02107120202/01/20203/01/202 61.67 0.00 0.00 61,67,,' IMAGING CONTRACT 6002694437 ✓ 02/07/20202/01/20203/01/202 998.34 0,00 0.00 998.34 IMAGING CONTRACT 6002594116 ✓f02/071202 02/01/202 03101/202 2,422.50 0.00 0.00 2,422.60 IMAGING CONTRACT 6002594115 f 02107120202/01/202031011202 86.67 0.00 0.00 86.67 filell/C:/Userslltrevino/cpsl/memmed.cpslnet.com/u88125/data_5/Imp_Cw5reportl238164885723146827.htm1 7/17 218124. 2:42 PM tmp_cw5reportl 238164885723146827.html IMAGING CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 12,823.59 0.00 0.00 12,823.59 Vendor# Vendor Name Class Pay Cade W1300 GRAINGER „/ M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 9975195695.X 01/31/202 01125/202 02/191202 178.24 0.00 0.00 17824 ✓' SUPPLIES Vendor Totals; Number Name Gross Discount No -Pay Net W1300 GRAINGER 178.24 0.00 0.00 178.24 Vendor# Vendor Name Class Pay Code G0401 GULF COAST DELIVERY „/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 013124 '01/31/20201119/20202/18/202 25.00 0.00 0.00 25.00 / SLIDES 1 t'r U1 Vendor Totals: Number Name Gross Discount No -Pay Net G0401 GULF COAST DELIVERY 25,00 0.00 0.00 25,00 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY v M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dl. Pay Gross Discount No -Pay Net 2496500./ 01/31/20201/30/202 UPJ291202 883.11 0.00 0.00 883,11 N% SUPPLIES 2496496 01131/20201/30/20202129/202 197.12 0.00 0.00 197.12 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,080.23 0100 0.00 1,080.23 Vendor# Vendor Name Class Pay Code H0032 H +H SYSTEM, INC. y/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 042771'/ 01/311202 01/24/202 02/071202 64.62 0.00 0.00 64,52� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net H0032 H + H SYSTEM, INC. 64.02 0.00 0100 64.62 Vendor# Vendor Name Class Pay Code 12380 HEALTH SOLUTIONS DIETETICS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012624 01/31/20201/31/20202/2912.02 3,400.00 0.00 0.00 3.400,00 DIETICIAN SERV (115- 117.E J L4) Vendor Totals: Number Name Gross Discount No -Pay Net 12380 HEALTH SOLUTIONS DIETETICS 3,400,00 0.00 0.00 3,400.00 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES , - Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 100852384 ✓` 02/071202 01/26/202 03/011202 4,610.52 0.00 0.00 4,610.52 LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 11552 HEALTHCARE FINANCIAL SERVICES 4,610.52 0.00 0100 4,610.52 Vendor# Vendor Name Class Pay Code 14916 HEWLE17-PACKARD,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 601020978/ 02/01/2020=1120203/011202 573.53 0.00 0.00 573.53 �f RENTAL Vendor Totals: Number Name Gross Discount No -Pay Net 14916 HEWLETT-PACKARD 573.53 0.00 0.00 573,53 Vendor# Vendor Name Class Pay Code 12868 HOLTCAT d' file:(//C:/Users/Ilrevino/opsi/memmed,cpsinst.comtu88125/data_5/tmp_cw5reportl298164885723146827.html 8117 218124. 2:42 PM Imp_cw5reportl 238164885723146827.html Invoice# .Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net EZ23660 �/ 01/31/20201/26120202/10/202 6,537.73 0.00 0.00 6,537.73 6/ FUEL SYSTEM TEST Vendor Totals: Number Name Gross Discount No -Pay Net 12868 HOLT CAT 6,537.73 0= 0.00 6,537.73 Vendor# Vendor Name Class Pay Code 11200 IRON MOUNTAIN Invoice# Comment Tran Ot Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net JDRV240 f 01131/20201/31120202/25/202 1,343.17 0.00 0.00 1,343.17 SHRED Vendor Totals: Number Name Gross Discount No -Pay Net 11200 IRON MOUNTAIN 1,343.17 0.00 0.00 1,343.17 Vendor# Vendor Name Class Pay Code. 11285 ITA RESOURCES INC v1 Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net MMCO22024 Z 01131/20201/31/20202/20/202 28,871.72 0.00 0.00 28,871.72 RESPIRATORY BERM Vendor Totals: Number Name Grass Discount No -Pay Net 11285 ITA RESOURCES INC 28,871.72 0.00 0.00 28,871.72 Vendor# Vendor Name Class Pay Code 11108 ITERSOURCE CORPORATION ✓ / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 711728,,,' 01131/20201/31/202021011202 3,911.46 0.00 0100 3.911.46 XIO PILOT 7117341/ 02/061202 02JOl /202 02/02/202 250.00 0.00 0.00 250,00 MONTHLY PHONE SUPPORT Vendor Totals: Number. Name Gross Discount No -Pay Net 11108 ITERSOURCE CORPORATION 4,161.46 0.00 0.00 4,161.46 Vendor# Vendor Name Class Pay Code L1288 LANGUAGE LINE SERVICES f w Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount Na-Pay Net 11212941.`✓ 01/31/20201/3l/20202/25/202 75.68 0,00 0.00 75.68;i' INTEREPRETATION SERV Vendor Totals: Number Name Gross Discount No -Pay Net L1288 LANGUAGE LINE SERVICES 75,68 0.00 0.00 75.68 Vendor# Vendor Name Class Pay Code 11141 MEDICAL DATA SYSTEMS, INC. / Invoice# Comment Tran Dt Inv Dt Due Dl Check Dt Pay Gross Discount No -Pay Net 188956 01131/202 01/311202 02/25/202 47.93 0,00 0.00 47.93ya/ BUSINESS SERV / 189309 J" 01/31/20201/81/20202/25/202 61.49 0.00 0.00 61.49 COLLECTION FEES ` 189308 ✓ 01/31/20201/31/20202/25/202 1,196.87 0.00 0.00 1,196.87 COLLECTION FEES / 198307J 01/31/202 01/31/202 02125/202 782A9 0.00 0,00 782.49 vim' COLLECTION FEES Vendor Totals: Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 2,088.78 0,00 0.00 2,080.78 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC f M Invoice# C mment Tran Dt Inv Dt Due Dl Check Dt Pay Gross Discount No -Pay Net 2291292134� 01/01/20210/25/20211119/202 16.54 0.00 0.00 15.54 ✓ /SUPPLIES �/ 2300330090 01/02/20212/27/20201/21/202 726.92 0.00 0.00 726.92 SUUgPLIES 2300673344 y'" 01/02/20212129120201/23/202 35.03 0.00 0,00 35.03 file:///C:/UsersAtrevinolcpsi/mammed,cps(not.com/u88l25/data S/tmp_cw5reportl 238164885723146627.html 9/17 218/24, 2:42 PM tmp_cw5reportl 238164885723146827.htmi SUPPLIES i2.73 urpyli:y 12i-15 Fveiykf 2300935249 ✓ 01/02/20212/30/20201/24/202 2%61 0.00 0.00 29.61 1+i t svpril" 25.uz vy'i.34,l- /gUPPLIES 2301023712✓ 01102/20212/31/20201/251202 50.58 0.00 0.00 50.58 SUPPLIES 2301023713 f 0 1102/202 12/31/202 01/25/202 959.47 0.00 0.00 959.47 SUPPLIES 2301023714/ 01102/20212/3120201/25/202 4.47 0.00 0.00 4.47 u SUPPLIES 230102371 01/02/20212/3120201/25202 45.12 0.00 0.00 45, 12✓ SUPPLIES 2301189791 ✓ 011101202 01/03/202 01/28/202 31.05 0.00 0.00 31.05 SUPPLIES 2302267027 01/17/20201/0920202/03202 -125.22 0.00 0.00 -125.22 CREDIT 2302397719 /" 01/17/20201/10/20202/04202 1,709,43 0.00 0.00 1,709.43 SUPPLIES 2302397721 01/17/20201/10120202/04/202 22.56 0.00 0.00 22,56 ✓" SUPPLIES 23026444790.E 01/171202 01/11/202 02/05/202 469.76 0.00 0.00 469.76 rww SUPPLIES 2302644478 ✓'.� 01/17/202 01/11/202 02105/202 1,332.74 0.00 0.00 1,332.74 ✓� SUPPLIES 2302806521 ✓ 01/17/20201112/20202/06202 564.94 0.00 0.00 564.94 v/f SUPPLIES 2304589609Z 01/31/20201124120202/18202 1,002.81 0.00 0.00 1,002.81 (SUPPLIES 2304589608 e/ 01/31/20201/24/20202/18202 22.56 0.00 0.00 22.56 ✓ SUPPLIES 2304764908 vI 01/31202 01/25/202 02/19/202 55.53 0.00 0.00 55.53 v� Sj/PPLIES Z- ------V, 01/3120201126120202120/202 420.24 0.00 0,00 420.24 SUPPLIES 2305401708 / 01131/202 01/30/202 02/24/202 25.11 0.00 0.00 25,11 SUPPLIES I,v, svptpw ( Z3A9 Yeoyki 2305401709 / 01131/202 01/301202 02124/202 19.68 0.00 0.00 19.68 v'" SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 7,417.93 0.00 0.00 7,417.93 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC f Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net CM87431 ✓ 01/31/202 01/18/202 01/28/202 -2.66 0.00 0.00 -2.66 CREDIT 1575617 f 01/31/20201/2920202/08202 39.41 0.00 0.00 39.41 / INVENTORY 1579728 f 01131/20201129/20202/08/202 109,40 0.00 0.00 109.40 ✓� / INVENTORY 1574248 V' 01/3120201/29/20202J08/202 9.53 0.00 0,00 9.53 INVENTORY 1574249 01/31/20201/29/20202/08/202 87.34 0.00 0.00 87.34 INVENTORY ,+ 1579729d 01 01/31/202SW=02/091202 1,058.73 0.00 040 1,058.73 INVENTORY 1577478 ij 01/31/20201/30/20202/09/202 41.22 0.00 D,00 41.22 ..�`- INVENTORY Flle:ll/C:/Users/Itrevino/cpsi/memmed.cpslnel.comfu88125/data_5/tmp_Cw5reportl238164885723146827.htmi 10117 2/8/24, 2:42 PM tmp_cw5report1238164885723146827,html / 1584916 ri D1/31/20201/311202021101202 191.70 0.00 0.00 191,70 y' INVENTORY 1564018 ,/ 01/311202 01/31/202 02/10/202 67.76 0.00 0.00 67.76 s��r :INVENTORY f 1584779 01/311202 01131/202 02110/202 78.59 0.00 0.00 78,59 .✓ INVENTORY 15829721 01/31/20201/31/20202110/202 116.41 0.00 0.00 115.41 eE. INVENTORY 1584780 ,d 01/31/202 01/31/202 021101202 88.05 0.00 0.00 88.05;,,.'� INVENTORY / 1585455,E 01131/202 01/311202 02/10/2D2 466,25 0.00 0.00 466,25 ✓� .INVENTORY 1584121 sF 01/31/20201131/202021101202 323,85 0.00 0.00 323.85 ✓� INVENTORY 1588216 W 02/01/20202/01/20202/11/202 08.32 0.00 0.00 68.32, / INVENTORY 1689993✓` 02101/20202/01/20202111/202 55.06 0.00 0.00 56.06,,-� INVENTORY 1589992 ✓f 02101/202 02/01/202 02/11/202 405.36 0.00 0.00 405.36 ,✓ f INVENTORY 1588217 �r / 02/01/202 02/01/202 02/11/202 0.19 0.00 0.00 0.19 INVENTORY 1596182 y% 02/01/202 02/041202 02/14/202 583.48 0.00 0.00 583.46 ✓� /.INVENTORY 1597017 02I01120202104/20202114/202 8,492.35 0.00 0.00 8,492.35 INVENTORY 1596180 02101120202/04/202 02/14/202 8.11 040 0.00 8.11 INVENTORY 1596179,/f 02/01/20202/04120202/14/202 376.59 0.00 0.00 376.59 ✓` INVENTORY 1596181 02101120202/04120202/14/202 246,80 0.00 0,00 246.80 INVENTORY 1601725 02/07/202 02/05/202 02/15/202 116.86 0.00 0.00 116.86 INVENTORY / CM91971,E 02/07/20202/06/2D202116/202 -18047 0.00 0.00 / -180.47 kr CREDIT / 1604390 02/07/20202100/20202116/202 7,242.61 0.00 0,00 7,242,61 INVENTORY 1605048 ,J 02/07/202 02106/202 02/161202 463.43 0.00 0.00 463,43 ✓� INVENTORY 1608957 �/' 02107120202/06/20202/16/202 3,168,02 0100 0100 3,168.02 INVENTORY CM91972, 02/07/20202/06120202/16/202 -7,244.83 0.00 0.00 -7,244.83 CREDIT 1608956,E/ 02/07/20202106/20202/1 61202 146,14 0,00 0100 146,14 4''f INVENTORY 1604391,,,/ 02/07/20202/06/20200161202 15,246.44 0.00 0.00 15,246,44 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 31,870.04 0.00 0.00 31.,870.04 Vendor# Vendor Name Class Pay Code M2659. MXR IMAGING, INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 8801111690 V 01/31/20201/30/20202/29/202 173.73 0.00 0.00 173.73 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net fle:l//C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report1238164885723146827.html 11117 218/24, 2:42 PM tmp_cw5reportl238164885723146827.html M2659 MXR IMAGING, INC 173.73 0.00 0.00 173.73 Vender# Vendor Name Class Pay Code 1354E NACOGDOCHES TRANSCRIPTION `✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 8255 N✓' 01131/20201124/20202(03/202 193.03 0.00 0.00 193.03 y/r TRANSCRIPTION I_&t� f,,0(- u1. 1.3 mW `I I Ittictvd Lr1 [t2B1;3-1 ( s1 LN) Vendor Totals: Number Name Gross Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 193.03 0.00 0.00 193.0$ Vendor# Vendor Name Class Pay Code 11198 / NORTH COAST MEDICAL INC O Invoice# , Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net $063731 ,,.` 01/31/202 01/25/202 02124/202 95.30 0.00 0.00 95.30 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11198 NORTH COAST MEDICAL INC 95.30 0.00 0.00 95A0 Vendor# Vendor Name Class Pay Code 11472 OCCUPRO LLC „/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 34316 �f 02108/202 02107/202 03101/202 472.60 0.00 0.00 472.60 �,✓� MONTHLY LICENSE Vendor Totals: Number Name Gross Discount No -Pay Net 11472 OCCUPRO LLC 472.50 0.00 0.00 472.50 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS , / Invoice# Comment Tran Dt Inv Dt Due Dt Check Di Pay Grass Discount No -Pay Net 1853368059 01/31/20201126/202021251202. 190.04 0.00 0.00 190,04 tv`' SUPPLIES 18633701.97 s1' 01/3//20201/29/20202/28/202 762.16 0.00 0,00 752.16 ✓ SUPPLIES 1853374154✓ 01/31/20201130/20202/29/202 279.62 0.00 0.00 279.62 ,..! SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 1,221.82 0.00 0.00 1,221.82 Vendor# Vendor Name Class Pay Code P2200 POWER. HARDWARE ,/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 020524 02108/202 02/05/202 02115/202 131.90 0.00 0,00 131.90 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net P2200 POWER HARDWARE 131.90 0.00 0.00 131.90 Vendor# Vendor Name Class. Pay Code 11932 PRESS GANEY ASSOCIATES, INC, �,/ Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net IN000632755 ,'om01/31/20201/31/20202/29/202 2,729,72 0.00 0.00 2,729.72 CONTRACTFEES Vendor Totals: Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 2,729.72 0.00 0.00 2,729.72 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 Net 56382400024029 ,.! 01/31/202 01/24Y202 02/13/202 4,038,24 0.00 0.00 4,038,24 �✓ � RENTAL I.a4L cl Arp)� ;3.b.r;'u 56382400025141 ✓/0t/31/20201/30/20202/19/202 1,333.33 0.00 0.00 1,333.33 RENTAL Vendor Totals: Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 5.371.57 0.00 0.00 5,371.57 flie:(//C:IUsers/Itrevinolepsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5reportl238164885723146827.html 12117 2/8/24, 2:42 PM Imp cw5reportl 238164885723146827.html Ventlor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC v/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 11649002E ,,./ 01/31/20201/16/20202/10/202 2.451.95 0.00 0.00 2,451,95 a! SYMBIA EVO CONTRACT 116492739 f 01/31/20201/24/202021181202 3,402,25 0.00 0.00 3,402.25 CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 52001 SIEMENS MEDICAL SOLUTIONS INC 5,854.20 0.00 0.00 5,85420 Vendor# Vendor Name Class Pay Code 10699 / SIGN AD, LTD. ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 296833 ✓ 02/0B/20202/01/202021111202 4%00 0.00 0.00 410.00 ADVERTISING Vendor Totals: Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD, 410.00 0.00 0.00 410.00 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CENT' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 10703276%Y 01/31/202 06130/202 07/251202 2,430.00 0.00 0,00 2,430.00 BLOOD G 4411� CM10513 0_1/31/20209/16/20210/10/202 -1,056.00 0.00 0.00 -1,056.00 A p IV' 1,75 CREDIT 107034519 ✓f01131/20209/15120210/10/202 2,376.00 0.00 0.00 2,376.00 BLOOD 11)15 1 7Z., Vendor Totals: Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 3,750.00 0.00 0.00 3,750.00 Vendor# Vendor Name f Class Pay Code C1010 SPARKLIGHT ✓ w Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 012624 01/31/20201/26/20201127/202 1.842.00 0.00 0.00 1,842.00W_� INTERNEE Vendor Totals: Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT 1,842.00 0.00 0.00 1,842.00 Vendor# Vendor Name Class Pay Code 15236 SPECIALTY PROFESSIONAL ,>/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1240000067 ir' 01131/20201/19/202A2119/202 3,610.00 0.00 0,00 3,610.00 P/MBERHELZER (+Its - I1-71z4)I fg-hrJ 1240000099 V 01131/202 01/26/202 02/15/202 3,728.75 0.00 0.00 3,728.75 y� AMBER HELZER G I 14 - 1 I le 1.4 M V-VI Vendor Totals: Number Name Gross Discount No -Pay Net 15235 SPECIALTY PROFESSIONAL 7,338.75 0.00 0.00 71338.75 Vendor# Vendor Name Class Pay Code 10094 ST DAVIDS HEALTHCARE �/ Invoice# Comm Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net MMCPL2023-12 f 01/31/202 01125/202 02125/202 420.00 0.00 0.00 420.00✓� DEC CONNECTIVITY Vendor Totals: Number Name Gross Discount No -Pay Net 10094 ST DAVIDS HEALTHCARE 420.00 0.00 0.00 420.00 Vendor# Vendor Name Class Pay Code 10845 STAPLES / Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 35.96032525 / ✓ 01/02/202112131/20201/301202 379.84 0.00 0.00 379.84 SUPPLIES 3556032533 ,./ 01/02/20212/31/20201/30/202 107,32 0.00 0.00 107.32 ✓ Ne:/1/C:/Users/ltravino/cpstimemmed.cpainet.comlu88l25/data_5/tmp_cw5report1238164885723146827.html 13117 218124. 2.42 PM tmp_cw5reportl 238164885723146827.1html SUPPLIES 3556032534 ✓/01/02/20212/31/20201/31/202 18.39 0.00 0.00 18.39 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10845 STAPLES 505.55 0.00 0.00 505.55 Vendor# Vendor Name Class Pay Code S3960 STERICYCLE, INC r,% Invoice# Comment Tran Of Inv Of Due Of Check Of Pay Grass Discount No -Pay Net 8005947103 w/ 02/061202 01/18/202 02/17/202 2,496,69 0.00 0.00 2496,69 WASTE DISPOSAL g--1 45 •l, H Vendor Totals: Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 2;495:69 0.00 0,00 2495.69 Vendor# Vendor Name Class Pay Code Z'1 Wy.0 r1 T2539 T-SYSTEM, INCH' W Invoice# Comment Tran Dt Inv Of Due Dt Check Dt Pay Gross Discount No -Pay Net 911474 el 01/31/202 01131/202 02129/202 12,620.42 0.00 0.00 12,620.42 PHYSICIAN TRACKING/HOSTING Vendor Totals: Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 12,620.42 0.00 0.00 12,620.42 Vendor# Vendor Name Class Pay Code T0420 TELEFLEX MEDICAL ✓ / Invoice# Comment Tran 01 Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9507718477 ✓'/ 01/02/20211120/202121201202 541.00 0.00 0.00 541,00 SUPPLIES Vendar Totals: Number Name Grass Discount No -Pay Net T0420 TELEFLEX MEDICAL 541.00 0.00 0.00 541,00 Vendor# Vendor Name Class Pay Code 14856 TEXAS A&M Invoice# Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net (Comment H182134 r� 01/31/202 01/301202 02105/202 6,825.00 0.00 0.00 6,825.00 INTERQUAL SERVICES YR 2 Vendor Totals: Number Name Gross Discount No -Pay Net 14856 TEXAS A&M 6,825.00 0.00 0.00 6,825,00 Vendor# Vendor Name Class Pay Cade 15252 TEXAS DEPARTMENT OF STATE ,% Invoice# Comment Tran Ot Inv Of Due Dt Check Dt Pay Gross Discount No -Pay Net 020124 02/08/20202/01/2020211W02 250.00 0.00 0.00 250.0o Mf, NEONATAL DESIGNATION FEE 02012024 02/08/20202/01/20202/15/202 250.00 0.00 0.00 250.00 MATERNAL DESIGNATION FEE Vendor Totals: Number Name Gross Discount No -Pay Net 15252 TEXAS DEPARTMENT OF STATE 500.00 0.00 0.00 500,00 Vendor# Vendor Name Class Pay Code 10765 TEXAS HOSPITAL ASSOCIATION �/ Invoice# Comment Tran Of Inv Of Due. Of Check Of Pay Gross Discount No -Pay Net 020124 01/31120202/01/20202/02/202 8,310.75 0.00 0.00 8,310.75� COMPASS-2024 Vendor Totals: Number Name Gross Discount No -Pay Net 10765 TEXAS HOSPITAL ASSOCIATION 8,310.76 0.00 0.00 8,310.75 Vendar# Vendor Name Class Pay Code 10758 TEXAS SELECT STAFFING, LLC Invoice# Comment Tran Of Inv Of Due Dt Check Dt Pay Gross Discount No -Pay Net 0023511 02/07/20202/01/20202/021202 8,167.50 0.00 0100 8.167,50 B BATES/ M MARITN Vendor Totals: Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 8,167.50 0.00 0.00 8.167.50 file:ll/CaUsers/Itrevino/cpsVmemmed.cpslnet.com/u88125/data 5/tmp cw5report1238164885723146827.html 14117 2l8/24, 2:42 PM tmp_pw5report123Bl64885723146827,htm1 Vendor# Vendor Name Class Pay Code 10985 THE COMPLIANCE TEAM, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 00041172 ,,� 01/31/202 01/241202 01124/202 1,115,99 TRAVEL NIZNIK 1z1-117.1, 00041173 01/31/20201/24120201/251202 336.08 TRAVEL -S. DAY II'�� t� Vendor Totals: Number Name Gross 10985 THE COMPLIANCE TEAM, INC 1,452.07 Vendor# Vendor Name Class Pay Code 15120 TIGER SUPPLIES INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross 0001112986 yam% 01 /31/202 01108/202 02108/202 901.00 SUPPLIES Vendor Totals: Number Name Gross 15120 TIGER SUPPLIES INC. 901.00 Vendor# Vendor Name j� Class Pay Code T2250 TK ELEVATOR CORPORATION tr M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 3007724214 02107/20202101/2020PJ02/202 1,534,62 OI VGREASE 2/4-4/30123 Vendor Totals: Number Name Gross T2250 TK ELEVATOR CORPORATION 1,534.62 Vendor# Vendor Name Class Pay Code 51801 TRACI SHEFCIK ✓ W Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross 020724 02/07/20202/07/20202/08/202 888.00 DEA RENEWAL Vendor Totals: Number Name Gross 51801 TRACI SHEFCIK 888,00 Vendor# Vendor Name Class Pay Code T3130 TRI-ANIM HEALTH SERVICES INC M Invoice# Comment Tran Dt Inv of Due Dt Check Dt Pay Grass 600146236 ,,.�01131/202 01/22/202 02/16/202 416.51 SUPPLIES Vendor Totals: Number Name Gross T3130 TRI-ANIM HEALTH SERVICES INC 41&51 Vendor# Vendor Name Class Pay Code 14372 TRIAGE, LLC ei Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross INV1706007319`i'6 4 011311202 01/261202 02/26/202 3,467.50 STEVEN SHAW W4:.1/20/24 t' 6 - I 11T21-- Vendor Totals: Number Name Gross 14872 TRIAGE, LLC 3.467.50 Vendor# Vendor Name / Class Pay Code 13616 TRIOSE, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross TRI173257 01/31/202 01/03/202 01/18/202 51.56 FREIGHT TRI173973 .^'/ 01/31/202 01/10/202 01125/202 77.72 FREIGHT TRI174531 „�' 01/31/202 01117/202 02/01/202 224.57 FREIGHT TRI175128 �./� 01/31120201/23/202021071202 256.00 FREIGHT TRI175718ys/01/31120201/30/20202/14/202 90.79 file:///C:/Users/ltrevino/cpsl/mommed.cpsinet.com/u88125/date_5/Imp_cw5report1238164885723146827. html Discount No -Pay Net 0.00 0.00 1,115.99 0.00 0.00 336.08 Discount No -Pay Net 0.00 0.00 1,452.07 Discount No -Pay Net 0.00 0.00 901.00 Discount No -Pay Net 0.00 0.00 901.00 Discount No -Pay Net 0.00 0.00 1,534.62 Discount No -Pay Net 0.00 0.00 1.534,62 Discount No -Pay Net 0.00 0.00 688.00 ,`- Discount No -Pay Net 0.00 0.00 888.00 Discount No -Pay Net 0.00 0.00 416.51 Discount No -Pay Net 0.00 0.00 416.51 Discount No -Pay Net 0.00 0.00 3,467.50 y✓� Discount No -Pay Net 0.00 0.00 3,467.50 Discount No -Pay Net 0,00 0.00 51.56 0.00 0.00 77.72 0.00 0.00 224.67_-" 0.00 0.00 256.90 0.00 0.00 90.79 15/17 218/24, 2:42 PM tmp_cw5reportl 238164885723146827.html FREIGHT 0800019164 ✓ 01/31/202 01131/202 02115/202 9.15 0.00 0.00 9.15 f LATE FEE Vendor Totals: Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 710.69 0.00 0.00 710.69 Vendor# Vendor Name class Pay Cade 11001 ULINE �-' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 173333623 f 01/31/20201118120202117/202 1,117.95 0.00 0.00 1,117.95./ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11001 ULINE 1,117,95 0.00 0.00 1,117.96 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2921023749 V// 01/311202 01/25/202 02119/202 124.40 0.00 0.00 124.40.✓ LAUNDRY 2921023747✓- 01/31/20201/25/20202/19/202 254,19 0100 0,00 254.19 v' LAUNDRY 2921023748.,i 01/31/20201/25/20202/19/202 228.21 0.00 0.00 228.21 JLAUNDRY 2921023743 v' 0 1 /31/202 01/251202 02/19/202 162.68 0.00 0.00 162.58✓ LAUNDRY 2921023746✓- 01131/202 01125/202 02/191202 299.51 0.00 0.00 299.51 LAUNDRY 2921023745 ✓r 01131/20201/25/20202/19/202 29.95 0.00 0.00 29.05 ✓ LAUNDRY 2921023744✓ 01/31/20201/26120202/19/202 2,522.03 0.00 0.00 2,522,031/' L/jUNDRY 2921023742 ✓/ 01/31/20201/25/20202/1 9/202 123.11 0.00 0.00 123,11 Lf}UNDRY 2921023941 ✓/ 011311202 01129/202 02/23/202 2,542.00 0.00 0.00 2,542,OO,i LAUNDRY 2921023942✓r 01/31/20201/29/20202/23/202 91.80 0.00 0.00 91.80 LAUNDRY 291024257 ✓/ 02/07120202/011202021261202 308.55 0.00 0.00 308,55 ✓ LAUNDRY 2921024255 Jf 02107/202 02101/202 02/26/202 2,266.15 0.00 0.00 2.266.15 LAUNDRY 2921024258 J 02/07/202 02/011202 02/26/202 254.19 OAD 0.00 254.19 LAUNDRY 2921024253 f 02/07/202 02/01/202 02/26/202 120.82 0.00 0.00 120,82 LAUNDRY 2921024256 02107120202/O 1120202126/202 29.95 0.00 0.00 29,95 LAUNDRY 2921024260 J/ GPJ07/20202/01/20202/26/202 116.70 0.00 0.00 116.70 ✓' LAUNDRY 2921024254,/ 02/07/202 02101/202 02126/202 182.25 0.00 0.00 18225 LAUNDRY 2921024259 __/ 02/07/202 02/01/202 02/26/202 238.72 0.00 0,00 238,72 LAUNDRY Vandar Totals: Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 9,895.11 0.00 0.00 91895.11 Vendor# Vendor Name Class Pay Code 12400 UPDOX LLC ,%/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net flle:tl/C:/Users/Itrevino/cpsi/memmed.cpsinat.comlu88125/data 5/tmp_cw5reportl238164865723146827.html 16117 2024. 2:42 PM / lmp_cw5reporN 238164B85723146827.html INVO0477388 ✓ 01/31/20201/31/20202/25/202 1,269.18 FAX Vendor Totals: Number Name Gross 12400 UPDOX LLC 1,269.18 Vendor# Vendor Name Class Pay Code 11280 VICTORIA ADVOCATE i% Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 0326005 01 /31/202 01/31/202 02/28/202 NEWSPAPER Vendor Totals: Number Name 11280 VICTORIA ADVOCATE Vendor# Vendor Name Class Pay Code 12548 WAGEWORKS, INC Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay TR116686 01/311202 01101/202 02101/202 COBRA JAN 24 Vendor Totals; Number Name 12548 WAGEWORKS, INC Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC .i Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 9111441732 t/' 01131/20201/15/202021091202 CONTRACT 9111447052 01/31/202 01123/202 021171202 / 9111449176 J 01131/202 01/291202 021231202 SUPPLIES 9111449175 yip 01/31/20201/29/20202/23/202 SUPPLIES 9111450206 _ 01/31120201130/202021241202 SUPPLIES Vendor Totals: Number Name 11110 WERFEN USA LLC Vendor# Vendor Name Class Pay Code W1270 WISCONSIN STATE LABORATORY V/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 30021446 ✓f 01/02/20209/01/20210/311202 SUPPLIES Vendor Totals: Number Name W1270 WISCONSIN STATE LABORATORY li;_ne�^E ;i;wnn:,ry Grand Totals: Gross Discount 550,238.90 0,00 550,238.U,., , 2-495 69 2,795.69 510,538.9 v z APPROVED ON FIB U 9 20Z4 cA"HoffiiUNWAs 0100 0,00 1269.18 ,✓ Discount No -Pay Net 0.00 0.00 1.269.18 Gross Discount No -Pay Net / 27A0 0100 0.00 27.10'✓ Gross Discount No -Pay Net 27.10 0.00 0,00 27.10 ✓ Gross Discount No -Pay Net 131.25 0.00 0.00 131.25 f Gross Discount No -Pay Net 131.25 0.00 0.00 131.25 Gross Discount No -Pay Net 1,571.67 0.00 0.00 1,571.67 2,306,99 0.00 0.00 2.306.99 v% 1,678.76 0.00 0.00 1,678.76 ✓ 432.36 0.00 0.00 432,36 810.36 0.00 0.00 810.36 ✓f Grass Discount No -Pay Net 6,800.14 0,00 000 6.800.14 Gross Discount No -Pay Net 604.00 0.00 0.00 604.00 Grass Discount No -Pay Net 604.00 0.00 0.00 604.00 Nc-Pay Net 0.00 550,238.90 < 21465 9 7 �}h 1 ,J ty CO YYGGI-inl - Wrl�) I'L-1 yr�-Lq amu,n�l pi,.l�u up _ 455'0, ou-tio Ole;/l/C:/Userstitrevinolcpsilmemmed.cpsinetcom/u88125/data_5/tmp_cw5reportl238164885723146827,htmt 17/17 n 71.IIA'1" pl )ry*I1A ��.i �...':t.l-!� ivliglTJAAWCORPORATE CARD auto° Account Statement Commgrcbl Da re Acmont V1120 aA6 TXOn1A5 Account Inquiries: Toll Free: 1-(800)-248.4553 Intemational: 1-(904)-954-7314 AeeountNumber: XXXX-XXXX-XXY.X-9457 TQQrF Y: 1-(877)-505.7276 Send Notice of Billing Errors and Customer Service Inquiries to: CITIBANK, N.A, PO BOX 6125. SIOUX FALLS SD 57117.6125 Transactions Not an invoice. For your records only. Credit UMII S15,000 Cash Advance Limit So Statement Closing Date 0210312024 Days in Slofn0 Period 31 ""••""•"'-'-"•' NOTICE MEMO ITEM($) LISTED BELOW •••••'••••• ....... 01108 01105 9399 05134374006600036595179 1 NPDS NPDB.HRSA.GOV FAIRFAX VA 22033 USA 160 N103341932 ' 01/08 01/05 9399 05134374DDBMM3655252 2 NPOBNPOB.HRSA.GOV FAIRFAX VA 22033 USA 1250 y NIMS65698 01/08 01105 9399 05134374OW600036595336 3 NPDBNPDB.HRSA.GOV FAIRFAX VA 22033 USA ,/2,fi01-' N103366859 01/08 01105 9399 05134374006600036595419 4 NPDBNPDB.HRSA.GOV FAIRFAX VA 22033 USA 0s'a 1--' N103:87033 01108 01106 $999 SS432864008205170276980 5 AMA'CREDENTIALING 800.621.8335 IL 60811 USA ✓4�4.00 01/ti 01110 9399 0513437,10116000338,16051 6 NPDBNPOB.HRSXGOV FAIRFAX VA 22033 USA '2.60 V, 01/71 01/70 9398 05/39374017800033646135 1,1103512838 7 NPDBNPDMHRSA.GOV FAIRFAX VA 22033 USA f1.fi01/ N103513081 01111 01111 8929 55432864011206616265162 6 AMA'CREDENTALING 800-621-0335It 60611 USA Na00 tf 01112 01111 6912 9436874012160126608649 9 IMPRIMISRX503B LEDGEWOOD NJ USA 1824819 01115 U1112 9399 09134374013600033846949 10 NPDB NPDB.HRSA.GOV FAIRFAX VA 22033 USA N103S91035 ✓2.50 01115 01112 9399 05134374013600033847020 11 NPOB NPDB.HRSA.GOV FAIRFAX VA 22033 USA ,r. N1D3809309 "2;50 01/15 01/13 8999 55432664013207217968948 12 AMACREOENTALING 600.621.8335 IL 60611 USA yg4;c0 b�' ("/to 01115 5968 5543286401520704401680 13 GOToCom•GoTdNeelfng golocam MA u5A 1;-' — 61432ABF •BFD 491 r68f8,00 a •, NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION "' • CITIBANK, N.A. CB PO BOX 6125 SIOUX FALLS SO 57117-6125 ROSHANDA S THOMAS 202 S ANN ST PORT LAVACA TX 7-i979-42o4 Pagel of 4 Account Number X.)XX-XXXX-XXXY-9457 Statement Closing Date February 03, 2024 00007905040 Not on Involco, For your records only. • Roraala O bslaf5rlose CartlMmpjta(aly:OvlakpAwnel'ules ole ot%nexy daY, • PaymMrs:YoumalmalxapaYnl d yarmdfmAy anoold o,aad Chose 24 yaMsa M+Y•dbNa CLaWmer �+rvze leltpralwnumberapvrJlsden Meflwta esggCdSAmag➢r. Fkvserge Metaane agan¢vkn:m rcthave Mx CalfilanaAer Meehtementto kjbnaros(uastlm Catmpolate Call entire Paymem (CAWel,auad (ar carahWda2 p Paying by maY, pleau Neal svlfaknemaaelg lflfe Pldxxahe yauraawmt fldmberM the fmntd ma Mrcfn • CwdlfdMOt bO CrmleaCOW Each Ashamed),mitnl" ma CCdrt WO(at habna COW Is as mos to FaaMNdPYWIdaCounW, Plpaebe pule W led M CanPany theµ u rlsytnenl Wdwrfoww dur Ioral"labllo Wy 5:W. llnC mope yThoe, a oil off Cofm,dtl y tan � Any ws' An a tM pony nol amcum CC Coale line tans (and k satin FI VOOMIS 0 Clas W SAO pby Eastam Time, it w. ye d 1W as U rlsal pay, can aim by mddp Wr nfro 1t ACN ar rash CAM. 0 an MINUMAd y th andIOltlaa YI• W ampny and is a PwNon Col Me fail eamtafy erpeattfa. oea. the odd an the Unct COCA. auect Mebh, and cihermah0tls. Coll the numterM foe hW U This stalemW la CC Mil nd amus. • in lncepau Or RM Oft a CanyaMy a Cbedhdda credit und: The Company may'M,an ch ngbe W crepe vad, by anal ad Mrsoato Cow Customer SeMWs, Our telephone Ion are open every day, 2e ndm a day at Its (Aporeds, number speurhvt an NW Cannot MisAn Mmant Addieuna C ddJdAr: The WnPMY MY 'MIA UPIli rat addhbnal GwMalkas by WnWoing Cue COnstaata Wd SeMce. Ow telephone looddre Wen ENVY MY, V IOere a day at the b onsid e, number 9Peeakd on the (Carl of ME atnlomant. Lima one Col COlpalate Casdper Camhoad. afIAWnsaWva CU/nc sad: You can dany Manage your us ,Mn o Cam erloa wi the CINManaager Aord, Wa, costw aget Mawas you W mMaw business eperan Role afyµhefeamurd the globe 11.Your amputer a "bogdavce; yvu Wn vim. smtaaama Wine as vx11 as tolallm mcdOrd balances, To losomor for ChNeenager, Please log M toymw.chynermaer.emulWm ome alkk an the •Sett 140=11sM (Of GWhtadera link Than share, foldr, the W WpW 0, nadjbh your .CWNfa • MCaro aEmr. car pxaflane Abed yaer Blile Yau am fapanublo lye oppithp MetlbwmtemWlknWoees.Your A Wit sumt .ntimmaryb Mhat You bod,a Old uaduMMem, MaeMM, for meleladdlea Mal had fat hood (.Woad. or far doodred mealivndae: Yau should alW NMater the process aye w auounl Sea mod, InWuealY aiW a amAm a Mande Or a a add, far nine, you IOW bean baud o Come Alp, Is not ahMa. TO begin the deeper. reason, pfoodn, vbb ciPon . YOU MY aim dbpma a MMOion by Wftg W Cat You may yon, W us M a sapamm shed at We o ands dpfAAm an Me fart .(this a1MemW 01 don do .enter➢mW W a Nil' akdo use waf. • to nW lhawmranM.d Manscron la us erlaa dada. WWlmallen B eam MP W Mdeem, a CorddaClka d en us, • Me1Mdm Cbpmps If Me COmpprny or Garold.( was unsuacessWl as w rAp r e a Mp ete nor eye BanY. Noss youOU rawnalbta lorlhe tlbWld Canpany RaMrfaadaM: Oy M laoytmm W any emaunW aWfgSd W the AOWunf, WE Company, () mrf(ny the aginal Application for the Acaum" Md ➢uaathl ad ail pemina m ME unept Nahagnyg9uCh APPIL➢IWn, and (BlautWr ias YtataNWYptl ux U be FrsauM ufaer Me Whose, of The Wwrae Q(d AOmpment by an CaldhatleM W vAMam amp wplsdud. SpCad4 lnroomforl an Cash Medawar CiWnaOcea may Sat a coal, khans of exr 1Ea,OnI Ica CsM4AQFS(dde. • Tye CamhddalaA As dampPCanad Lime b a part U Ihp 6mYaldels TOWI CantLEE,ebfantan(,m ATINe a Cede • Mw Cash AMYdnda Tram ATrgs, a awe Pzmcwl laanlawdnn Number (PINT b regvkM ter sl¢wM F•urpaan. Page 2 of 4 in On nond'obatd mabem car pry Maya slavm by Me Bank no to be W Ms. Ma eork may.her, Ma Company or comhOlder we fbo located M Ma WpWWC PgMh l far adds Copy d any Moulded MO W ACAY Ot CdeMdtler raquosta Won as dapeonte wfaak Awnson. f fl m Account: XXXX•XXkX XXXX.9457 Transactions (con't) 01116 0116 5099 554588$4017069205561678 14 PERSONNEL CONCEPTS ONTARIO CA 91761 USA �•' ANDRIEFLORES01712/ yfST.75 0122 01119 9399 05134374020600030942445 15 NPOB NPDS.HRSA.GOV FAIRFAX VA 22033 USA V' N103829187 y2:50 OV22 01f19 9399 05134374020600030942510 16 NPDB NPDB.HRSA.GOV FAIRFAX VA 22033 USA N103829539 �34001j' 0122 0120 6999 55432864020209218872421 17 AMA'CREOENTIALING 800-621-=511 60611 USA 44.00 1� OU24 0123 9399 55488724024091275005768 18 TXOPS CRIME RECS AUSTIN TX 76762 USA u6.63 V 0126 01125 9399 09134374026600033311263 19 NPDBNPDS.HRSA.GOV FAIRFAX VA 22033 USA 2S0 N104MIS14 ✓ 01129 01126 9399 051343740276=34663438 20 NPDBNPOB,HRSA.GOV FAIRFAX VA 22033 USA fL50 v 1,110073164 ° 0129 0127 8999 66432864027201257360374 21 AMA'CREDENTIALING 800.821.83351L 60611 USA i88.00 V 0IM0 OV29 8699 75416234029192524996456 22 ACHE -MEMBER SERVICES CHICAGO IL 60606 USA 02101 01131 9399 05134374032600031280916 23 NPDB NPDS.HRSA.GOV FAIRFAX VA 22033 USA 2.50 N104249628 / """""""•"'•' TOTAL AMOUNT OF MEMO ITEM(S); $2,366.38 ,M*f�wvm ON FEB 09 2024 CALHOUN CTOYUNTYI�TWAS m m Page 3 of 4 m m Account: XXXK-XX"-X)=4457 Page 4 of 4 MEMORIAL MEDICAL CENTER PURCHASE ORDER Bill To: S IS N. VIRGINIA ST. Ship To: 8IS N. VIRGINIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX:' (361)552-0312 FAX:^ ! (3)61%) 552-0312 Vendor Name: �� (Ji 'P r�'U Date: J 1 1 t 910 i Vendor Address: Vendor Phone #: Vendor Fax #: P.O. # Account # Initiated By: Date Required Expense it Department Formk 9401 Deliver To Line Qty. Catalog Number Description No. flail Coat Dnh Extended t Meas. Cost 1 �i'Pr� � - I F .'�'ej . 5c Z _ JP(Dt6- I orzGlri 3 4 5 r r 6 rl�� C t+- AmA to NOTEEst. Freight Est. Total Cost TOTAL COST %S�:r/ —(,,�, `��(�� , , fil/ 4 d/i F - l L+ i—'b�i1 F/t/I r!�, A /1 ( . Contact: Date: Dept. Director Quoted By: - Dir. Nursing Buyer. E.T.A. Dir. Clinical Services MEMORIAL MEDICAL CENTER PURCHASE ORDER Bill To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 ShiP To: 815 N. VIRGINIA ST. PHONE: (361) 552-6713 PORT LAVACA, TX 77979 FAX:' (361)552-0312 PHONE: (361)552-6713 Vendor Name: FAX: (361) 552-0312 �-�� d��,lx�.��(� r�, - } Rate: J —� G`o r Vendor Address: Vendor Phone #: Vendor Fax #: t z 3 a 5 6 7 s 9 to Est. Freight Contact: Quoted Br. Buyer. P.O.# Account# Initiated By: AmA (Jvr Ui ��iYlfi rd Yyj�'ln �%TTl ZL1/ Date: E.T.A. 3 Est. Total Cost IVI C, Dept. Director Dir.Nun;ing _ Dir. Clinical Services TOTAL COST 3 (�q 6:,• oc 3L).0o L4 q'. oc MEMORIAL MEDICAL CENTER PURCHASE OR DER Bill To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361)552-6713 FAX:' (361) 552.0312 �l Vendor Name: Vendor Address: 2.50 + 2.30 + 2.50 + 2.50 + 44.00 + 2.50 r 2.50 4a..ot•1 + 2.5u + 2,5u + 144 00 + G96, 00 187-75 r 2-bo r 3u,r(, ;. 44,.0o + 15 5 -!ia 2.-50 2.5o 8Iq= tI .s 345.00 2450 a 680'�ot3 r 2. tt Contact: Quoted By: Buyer. Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361)552.6713 FAX: (361) 552-0312 Date: r j � 111 o m- P.O. Account # Initiated By: Expense 9 Department DForm d 9401 elivu To Catalog Number Description Unit Cost Unit Meas. Extended Can N Pnr- d rr /AIV c 6f)e e,-y (dtf-)L , nG iitl-t°�r-i(N. ;6�' Y•. ?------,� b0lltdYw._i`4�Gtsur� : 'rti1 tiiit.t I„f�� b k"U O o Est. Freight Est. Total Cost TOTAL COSH T Ztu HC, ;y Date: Dept. Diseet, Dir. Nursing E.T.A. Dir. Clinical Admininmtor 2112124, 11:50 AM tmp_ow5report6632995576151114741,hlml BY THE y;{R1E�C��E-yIVED ODi`2/2024 UDITOR ON MEMORIAL MEDICAL CENTER +-ems y 1 tl"�B 1 2 2024 AP Open Invoice List 0 Dates Through: ap_open invoice.template Vendor# Vendor Name / Class Pay Code 4:A4WAhlN G@Hff i'-AI 6AfCA FINANCIAL SVCS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 35833073 01/31!20201/31/20202!29/202 10.525.69 0.00 0,00 10,525.69 LEASE 11210 t23 ' O t 11-1121) 4j Vendor Totals: Number Name Gross Discount No -Pay Net 12948 GREAT AMERICA FINANCIAL SVCS 10,525.69 0.00 0.00 10,525.69 Grand Totals: Gross Discount No -Pay Net 10,525.69 0.00 0.00 10.525.69 FEB 12 2024 CABHOUN pOUNTY,IW}A9 file:///Ct/Usersillrevinolcpsilmemmed.cpsinet.com/u88l25/data 5!Imp_cw5report6632995576151114741,html 1/1 2112/24, 11:57AM Imp_cw5report368558741473028425.himl HECEIVPP_U 13Y THE COUNTY AUO1TOR ON MEMORIAL MEDICAL CENTER _ 02/11p^ 1 O2A d a1 & 2024 AP Open Invoice List 0 11:57 ap_open invoice.template Dates Through: Ve(<Qq>c,;rVe3fd'oytTafn4t=,/'-P Class Pay Code 10780 DISCOVERY MEDICAL NETWORK INC Invoice4 Comment Tran DI Irw Dt Due DI Check Dt Pay Gross Discount No -Pay Net / MMC013124 01/31/20201/311202021011202 221,499.34 0.00 0.00 221,499.34 vp/ n PHYSICIAN SERV y4P"Vv1 JJ �4' 31 � ypyy Vendor Totals: Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 221,499.34 0.00 0.00 221,499.34 Grand Totals: Gross Discount No -Pay Net 221A99.34 0.00 0.00 221,499.34 APPROVED ON FEg 12 2024 O HOUOtJ COUNTY,I MS 6Ie:1/1C:/Users/Itrevino/cpsllmemmed.cpsinat.comlu88125/data_51tmp_cw$report368558741473028425.html 111 2112/24, 11:46 AM tmp_cw5report1171782782479190092.html SECEIVED BY THE Q^2?12NTY AUDITOR ON Q^ MEMORIAL MEDICAL CENTER 1 tr:-0 DD t.y y S ti 7 �� , AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code C��tfi401i„-'L'OtiUE'S BUSINESS ACCT/SYNCB w Invoicee Comment Tran Dt Inv Dt Due Dt Check Dt Pay 013024 01131/20201130120202/28/2W SUPPLIES } I0.}C (CA, II.IQ Vendor Totals: Number Name L1640 LOWE'S BUSINESS ACCT/SYNCB Grand Totals: Gross Discount $67.94 0.00 Gross Discount 567.94 0.00 Gross Discount 567.94 0.00 No -Pay 0.00 0 ap_open invoice.template No -Pay Net 0.00 567.94 % No -Pay Net 0.00 567.94 Net 567.94 file:tilC:)Userslltrevino/cpsilmemmed.cpsinst.comiu881251data_5/tmp_cw5report1171782782479190092.html try 2/121241%"Mf3-4'iWL tmp_cw5reportl3560694376894271.html C65jW AUDITOR 014 02/WP,4 2 2024 4A MEMORIAL MEDICAL CENTER 12:04 AP Open Invoice List nt,ffffYy gfg,MgdNQOrYdrida' P8 Dates Through: class Pay Code T2204 TEXAS MUTUAL INSURANCE CO w Invoice# Comment Tran Dt Inv Dt Due Ot. Check Dt Pay Gross 1006422725 02/12/20202/02/20202/221202 4,684.00 INSURANCE Vendor Totals: Number Name Gross T2204 TEXAS MUTUAL INSURANCE CO 4.684.00 Grand Totals: Gross Discount No -Pay 4,684.00 0.00 0.00 APPROVED ON FEB 12 2024 0&gVr0UARIW4q 0 ap open_nvoice.template Discount No -Pay Net 0.00 0.00 4.684.00 Discount No -Pay Net 0.00 0.00 4.684.00 Not 4,684.00 file:/IIC:/Userslitrevino/cpsilmemmed.cpsinet.coMu661251data_5ltmp_cw5report13560694375894271.htmi ill 2112124, 4:47 PM tmp_cw5report3697568200230040801.html RECEIVED BY THE COUNTY ON MEMORIAL MEDICAL CENTER 24UDITOR 0 1f"FZB 12 Z024 AP Open Invoice List ap_open_nvoice.template Dates Through: rN S Class Pay Code '1�"5pVeyn(d1o�r�# CVpee�nnddNorr 88 HHSC Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 021224 02/12120202112/2020211 Z1202. 326,650.15 0.0o 0= 326.650.15 DSH FUNDS Vendor Totals: Number Name Gross Discount No -Pay Net 11588 HHSC 326.650AS 0.00 0.00 326,650.15 Grand Totals: Gross Discount No -Pay Net 326,650.15 0.00 0.00 326,650.15 APPROM ON FEB 13 2024 cnBYioc(�}��Uf��q� Ole:/1lC:IUserslllrevinolcpsifinemmed.cpsinet.comtu88125/data_5/tmp_cw5report3697568200230040801.html ill MEMORIAL MEDICAL CENTER CHECK REQUEST DATE REQUESTED: 2/12/13 A HHSC AR MC1470 E 4601 W. Guadalupe St. APPROVED ON E Austin, TX 78751 8 F�EpB�N1�ySg2�0®2ry4�q CAL 0 COUNTY,MAS AMOUNT: 326,650.15 GA NUMBER: 60570000 EXPLANATION: Repayment of Uncompensated Care Demonstration Year 8 overpayment. REQUESTED BY: AUTHORIZED BY: _, r TEXAS Health and Human Services Email: janglin@mmcporllavaca.com CC: janglinnmmcportlavaca.com Investigation No: 672019057285301 Attention: Jason Anglin Memorial Medical Center 815 N Virginia Street Port Lavaca, TX 77979-0025 Texas Health and Human Services Commission Cecile Erwin Young Ereculwe conun'siuner' May 26, 2023 ff Subject: Notice of Overpayment of Demonstration Year 8 Uncompensated Care and Demand for Refund of Overpayment Amount for Memorial Medical Center (CCN 451356), Dear Jason Anglin, The Health and Human Services Commission (HHSC) annually completes a reconciliation of Section 1 115 Transformation Waiver Uncompensated Care (UC) payments to confirm allowable costs for each hospital. The reconciliation is required under the Standard Terms and Conditions of the Waiver and ensures that UC payments to a hospital do not exceed the hospital's eligible uncompensated costs of providing services to Medicaid patients and the uninsured. if UC payments exceed eligible costs in the program year of reconciliation, HHSC must recoup the amount of the overpayment. Notice of Oyernavment of Demonstration Year 8 UC Funds The independent audit for the UC Demonstration Year 8 (DY 8) indicates that Memorial Medical Center received payments in excess of allowable UC costs resulting in an overpayment of $561,351,00. Since Memorial Medical Center funded the state share of $234,700.85, your hospital needs to return the federal share only amount of $326,650.15. All Funds Amount: $561,351.00 State Share: $234,700.85 Federal Share S326,650.15 P.O. Box 13247 • Austin, Texas 78711-3247 • 512.424-6500 • hhs.texas.gov The audit report and provider data summary are available for viewing on HHSC's Provider Finance website at: hhwni�fJ hh>.t as �u�'h��:;nii_ils-clinicl� -,nu it-+�� 11�� dime )_11 ti1_11ute 11i._ cIdlli! Rem ittance Within thirty days of the receipt of this letter, your facility should send a check, payable to Texas HHSC, to one of the following addresses: When responding, please reference the Investigation number 672019057285301. Regular Mail HHSC AR MCI 470 P.O. Box 149055 Austin. TX 78714-9055 Overnight Mail HHSC AR MCI470 4601 W Guadalupe Street Austin, TX 78751 If Memorial Medical Center is unable to refund the full amount of the current overpayment within 30 days of the date of this letter, Memorial Medical Center must contact HHSC Provider Finance Staff to discuss repayment options. If the provider is able to establish a good cause why it cannot refund the entire amount within 30 days. HHSC may enter into a written agreement with the hospital establishing repayment terms. If within 30 days the hospital has not paid the full amount or entered into a written agreement with HHSC to do so, HHSC may withhold any or all future Medicaid payments until HHSC has recovered an amount equal to the current overpayment. If you have questions about the information in this letter or if you wish to discuss repayment options, please contact Adam Brown at (737) 465-9992 or PFD UC_Payments c hhs.texas.gov. Sincerely. A&M 966M Manager, Provider Finance Payments Health and Human Services Commission From: HHSC PFD RAD UC Payments <PFD UC PiymentS-enlstexa S.=DV> Sent: Wednesday, February 7, 2024 10:22 AM To: Jason Anglin <JAnplin�a m ncportlayaca_ennv; Jason Anglin <;Ant;1nC)rnmcp0rt1avaca.con1>; Steve Brock <srocl< a nuncportlavaca.cotp>, audrey_ rtr�Porvis.c0m; Roshanda S. Thomas <i thoma;(�mmcoortlavacacom> Cc: HHSC PFD RAD UC Payments <PFD UC ea-yments®r lihs.tex 5gov> Subject: ACTION REQUIRED: UC DY 8 Recoupment Notification - Memorial Medical Center Importance: High t.;01t0nc This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good morning, Memorial Medical Center has a past due overpayment for UC 2019. Memorial Medical Center will be placed on TMHP Vendor Hold effective Monday, February 19,• 2024 and will not receive Medicaid Payments until the overpayment has been satisfied. Providers that submit Payment in full on or before Wednesday February 14 2024 will be unaffected. Attached please find the original email/recoupment letter for your reference, HHSC Provider Finance Payments Texas Health and Human Services Commission North Austin Complex P.O. Box 149030, Mail Code H-400 4601 Guadalupe St Austin, TX 78751 ' TEXAS Health and Human Services Confidential: This [ronnnission is confidential and intended solely for the use of the individual or entity to which it is addressed. If you receive this tronsrnission in error please notify sender and remove rill copies from your computer. From: HHSC PFD RAD UC Payments <PFD UC PaVmentstN llhs.texas .e4V> Sent: Friday, May 26, 2023 10:30 AM To: Jason Anglin <ianglin®mmqportlavaca.com>;Jason Anglin <inq nfam�n_�n�cportlavaca.c0m> Cc: Quintanilla,Sarah (HHSC) <Sarah-QUlntanlllat,Dhhstesds -ov>; Brown,Adam (HHSC), <Adam.Brown04 Q hhs texas f!aI>; HHSC PFD RAD UC Payments <PFD UC Pavments(an is, texasgo Subject: UC DY 8 Recoupment Notification - Memorial Medical Center Good morning, Attached is your notification of UC DY8 overpayment and demand for refund of overpayment amount. For information about this letter or you wish to discuss repayment options, please refer to the contacts within the letter. Thank you, HHSC Provider Finance Payments Texas Health and Human Services Commission North Austin Complex Mail Code 1470 4601 Guadalupe St Austin, TX 78751 l] J TEXAS E t; Health and Human Services Confidential: This transmission is confidential and intended solely for the use of the individual or entity to which it is addressed. If you receive this transmission in error please notify sender and remove all copies from your computer. MSKESSONSTATEMENT As of: 02/09/2024 Palle: 002 To ensure proper credit to your account, detach and nation the Ce.o. :a000 stub with your nmitlence / DC: 8116 Customer INV SupplD: As of'.02/09/2024 Page: 002 Mail fix Camp: 8002 MEMORIAL MEDICAL LINTER \ AMT DUE REMITTED VIA ACH DEBIT TeMtory: AP Statement for information only AMT DUE REMITTED VIA ACH DEBIT 015 N VIRGINIA STREET 2536 Cute: Statement for information only PORT LAVACA TX 77979 Date: 02H 0/2024 021 01 Curt: 632536 PLEASE CHECK ANY Data: 02/10/2024 ITEMS NOT PAID (�) ulling Due ReceieableNatlonal Account WT at36 Cash Amount P Amount P ReceNable late Date Number Reference Oesedpllen Discount (S.) F (not) F Number T column legend: P = Pawl Due Item, F = Fulura Due Item, blank = Conant Due Item 'OTAL National Aect 632636 MEMORIAL MEDICAL CENTER Subtotals: 5,750.37 USD uturs Due: 0.00 Due If Paid On Time: If Paid By 0211312024. USD 5,635.35 1. last One: 0.00 Pay This Amount: '� 5,635.35 USO 4 Disc lost 0 paid late: 115.02 Awl Payment 2.451.97 It Paid AHer 0211312024. Due If Paid We: 18107)2017 Pay this Amount: 5.750.37 USD USD 6,750.37 5. 62U-54 - 2.81 + 1.87 10-13 5, 63.5. 3.5 x APPROVED ON RyFCEpB�l417y2p220p7T4pp CALHO COUNTV,ITEXAS For AR Inquiries please contact 800-867-0333 MCKESSONSTATEMENT As of 02/09/2024 Page: 001 To ensure proper =on to your account, detach and Mum this s Pwn goes stub with your mmktonee MED PHS AMT DUE REMITTED VIA ACH DEBIT WA MEMORMARTIAL MEDIC10981MAL MCKY AL MEDICAL CENTER Statement for Information only 815 N KALISIX PO N AVACVIRGIIA ST PORT WVACA TX ]7979 OC: 8115 Customer INV Su ID: T.Raty: 7001 pP Customer: 256342 Date: 02/1012024 As of: 0210912024 Pa a 001 9 MaN to: Comp: 8000 AMT DUE REMITTED VIA ACH DEBIT Statement for Information only Cw: 256342 PLEASE CHECK ANY Date: 02/1012024 ITEMS NOT PAID (�) Win Due late Date alianel gccaunl p�gs36 Recelveb Drefir Number Reference Descfftion Cash Discount Amount P (groat) F Amaunl P Recelvable (net) F Number :uetomer Number 256342 WAWA" 109aitaw Mm "a 12/0512024 02/13/2024 12/06/2024 02/13/2024 12/06/2024 02/13/2024 12/0512024 02/13/2024 12/06/2024 02/13/2024 12/06/2024 02M3/2024 12/0512024 02113/2024 2/07/2024 02M312024 12/07/2024 02/13/2024 12/08/2024 02113/2024 12/08/2024 0211312024 12/0812.024 02/13/2024 12/08/2024 02/13/2024 12/09/2024 02/13/2024 2/09/2024 02/13/2024 7475173281 7475173284 7475382444 7415382445 7475535960 7475689384 7475689385 7475814102 7475981015 7476073268 7476063186 7476083187 T476261872 7476345340 7476613128 104963000 105002048 105008196 104929028 105173663 105085135 105186085 105395121 105335699 105465350 ID5531178 105546830 105471880 105565303 103591829 1151nvalce 415lnvolce 1951nvoice 1951nvoice 1151nvaice 1151nveice 1151nvoice 1151nvoice 1951nvoloo 1151n,o1ce 1151nvoice 1151nvaice 1951moice 1151pvoice 1951nvolce 0.02 1.21 5.23 0.04 0.02 0.03 0.01 0.82 1.21 1.21 6.05 5774 41,09 0,03 0.98 60.32, 261.50 1.90 0.03 0.95 127 0.65 41.16 60.32 60.53 302.65 2,887.10 2,05C62 1.27 0.96 1475173281 fism 7475173284 256.27 •� 7476382444 1.86 `� 7475382445 0.03 74756 5960 0.93 e/ 7475689384 1.24 •� 7475689385 0.64 ✓ 7475814102' 40.34 ✓ 7475961015 59.11 ✓/ 7476073268 59.32 s/ 7476082186 296.60 ✓� 7476083187 2,829.36 ✓. 7476261872 2.013.53 ✓ 7476345340 124 "� 7476513128 1F column legend: P = NO Due Item, F = Future Due Rem, blank = Current Due Item 'OTAC Customer Number 256342 WAUHART 1098IMETA MED PHS Subtotals+ 5.735.25 USD ,,.lure Due: 0.00 Ous If Paid On Time: cast Due: 0.00 If Paid By 0211312024, Pay This Amount: 5,620.54 USD USD 5,620.54 �. Diac Iasi R paid Into: ast Payment 3,160.13 1210512024 1( Paid After 02/1312624, Pay this Amount. 5,735.25 USD Due If Paid Isle: 14.71 USD 5,735.25 FFoof31Ty2 t Z pZt10p2h7�p 011VOINU COUNTYi TE%Atl For AR Inquiries c > please contact 800-867-0333 MSKESSON STATEMENT As of: 02/09/2024 Page: 001 To ensure pmper credit to your account, detach and return this mmaem moo stub with your remittance CVS PHB DC: 8115 Customer INV SapplD: As of: 0210912024 Page: 001 Mail to: Coat p: 8000 AMT DUE REMITTED VIA ACH DEBIT Territory: 7001VIC MEMORIAL MEDICAL C NT MEMORIAL MEDICAL CENTER Statement for information only ANT DUE REMITTED VIA ACH DEBIT KIRGINI Customer. 835430 Statement for Information only 815 N Sty N AVAC IA ST PORT LAVACA TX ]]979 Date: 02/10/2024 Cum: 835430 PLEASE CHECK ANY Date: 02/10/2024 ITEMS NOT PAID (v) a11onM Account �s 3 gating Due miveb Q3mer6 Cash Amount P Amount P BbwWeble Nu )ate Data Number Reference Description Discount (gates) F (no) F Number )umomer Number 835430 CVS PHCY 10356IMM MC PH$ 12/0712024 02113/2D24 7475800711 3021819 1151nvoice 0.06 2.87 2.81 J 7475800711 W whim" legend: P = Pant Due Item, F = Flare Due Item, Wank = Current Due Item 'OTAL' Customer Number 035430 CVS PHCY 10356/MFM MC PHS Subtotals: 2,87 USO 'utum Due: 0.00 Due If Paid On Time: If Paid By 0211312024, USD 2.81 1 last Dun: 0.00 pay This Amount: 2.81 USD Disc lost 9 paid late: 0.06 asl Payment 1,278.76 II paid After 0211312024, Due If hid late: 11/1512024 Pay this Amount: 2.B7 USD USD 2.07 APPROVED ON F�EpB N12 p2�0�2�4�p MIS CALLFIOUNU COUMf'L <Z For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 02/09/2024 Page: 001 To ansum proper creditto your aeceem, esteem and mturn this comgoy: eaao stub with your mm8tance OC: 8115 Customer INV SupplD: As of: 02/09/2024 Page: 001 CVS PHCY 8923/META MC PHS ANT DUE REMITTED VIA ACH DEBIT Territory: 70D1 Mail to: Comm: 8000 MEMORIAL MEDICAL CFNTHt Statement for information only Alal m UIE REMITTED f In ACH DEBIT MEMO KALISIX 835434 DOW. 815 N VIRGINIA ST Data: 02I10/2024 02/ PORT IAVACA T% 77979 Curt: 835434 PIFASE CHECK ANY Data 02/10/2024 ITETaS NOT PAID (✓) filling Due ReeelYablON alimed Account MY, Cash Amount P Amount P Raeeiveble )Me Data Number Retest.. Description Discount (grass) F (mat) F Number Justomer Number 835434 CVS PHCY 8923/MEM MC PHS 12/07/2024 02/13/2024 7475876194 3022542 1151nvolca 0.04 / 1.91 1.97 ✓ 7475876194 O IF column legend: P = Pact Due Item, F = rmum Due Item, blank = Current Due Item 'OTAL: Customer Number 836434 CVS PHCY 69231MEM MC PHS Subtotal$: 1.91 USD :arum Due: 0.00 Due If Paid On Time: � If Paid By 0211312024, USD 1.87- hat Due: 0.00 Pay This Amount: 1.87 USD Disc lost 0 Paid late: 0.04 am Payment 3.180.13 N Niel After 02M312824, Due If Pstd fate: 12NW2024 Pay this Amount: 1.91 USD USD 1.91 APPROVED ON '2 11`)...I Z� FEB 12 pp2024 CALHOCUr COUNYP'I "AAS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 02/09/2024 Page: 001 To ensure proper credit to your account, detach dead return this umo.�r: e000 stub with your remittance OC: 6115 Customer INV SupplD: As of: 02/092024 Page: 001 CVS PHS AMT DUE RHdITTED VIA ACH DEBIT Territory: 7001 Mail to: Comp: 8000 MEMOMCYRIAL MEDICAL EN MmICAI CENTER Statement for Information only AMT DUE REMITTED VIA ACH DEBIT VICMEMORIAL RIRGINIAUSW Customer. 835437 Statement for information only B15 N 815 N IA ST Data. 02/10/2024 AVAC PORT LAVACA TX 77979 Curt: 835437 REUSE CHECK ANY Date: 02/10/2024 ITEMS NOT PAID (.�) q filling Due Racaivabla'atlonal Account VU38 Cash Amount P Amount P ReasNable )ate Date Number Rare=. Description Diseoum (gross) F (net) F Number :umomer Number 835437 CVS PHCY 7416IMFM MC MS 12/07/2024 02/13/2D24 7475998841 3020712 1151mmice 0.21 10.34 10.13 7475998841 O 'F column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item "OTAL Customer Number 835437 CVB PHCY 74181MEM MC PHS sultotak: 10.34 USD `uhme Due: 0.00 Due If Paid On Time: N Paid By 0211312024, USD 10.13'� 'ad Due: 0.00 Pay This Amount: 10.13 USD Oise lest N paid late: 0.21 Ast Payment 3,268.32 If Paid After 0211312024. Due If Pold late: 11/2912024 Pay this Amount: 10.34 USD USD 10.34 APPROVED ON FEB 12 2024 BU CAMO 4ARI&s For AR Inquiries please contact 800-867-0333 AI lot 1 STATEMENT Statement Number: 66847522 AmerisourceBergen- Date: 02-09-2024 AMERISOURCEBERGEN DRUG CORP WALGREENS 012494 3403 1001352841037026186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER/ SUGAR LAND TX 774784i101 1302 N VIRGINIA ST PORT LAVACA TX 77979-2509 Sat -Fn Due In 7 days DEA: RA0289276 866-451-9655 AMERISOURCESERGEN PO Box 905223 Not Vet Due: 0.00 CHARLOTTE NC 282905U3 Gwent 601.87 Past Due: 0.00 Total Due: 001.87 Account Balance: 601.87 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 02-05-2024 02-16-2024 3163450836 7005575708 - Invoice IllIll0.00 / ✓ 8048_ 02.05-2024 02-16-2024 3163456837 7005507357 Invoice 12.51. G.00 12's 02-05.2024 02-16-2024 3163556092 70055SM71 Invoice 144.62 • 0.00 149.82� 02-06.2024 02-16.2024 3163731024 70056CM59 Invoke 14.13. 0.00 14.13✓. 02-07-2024 02-16-2024 3163896043 7005617282 Invoice W.05 • 0.00 WAS ✓ 0248-2024 02-16-2024 31640220B5 7005626241 Invoice 6.05 0.00 a.05� 0249-2024 02-16-2024 31"173066 7DOW35952 Insoles 118.16 0.00 118.18✓ 0249-2024 02-10-2024 31B4173067 7005636298 Invoice 67.60 . 0.00 67.60 ✓/ 02-0"024 0246-2024 3164173NO 7005638875 Invoice 121.07. 0.00 121.07✓ Current 1.15 Days 16.30 Days 31.60 61.90 Days 91.120 Days Over 120 Days 601.87 0.00 e.ee B t�, 0.00 B.a9 o.eB Reminders Due Date Amount 02-16.2024 601.87 Total Due: , 101i89�' APPROVED ON FEB 12 2024 L CAUiDI1N CQUNTY, 7EXA5 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8583) ED "ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" "IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" F-16-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER CALLED IN BY: CALLED IN DATE: CALLED IN TIME: #### ENTER: ###f- 0 U Ell 115,9815,2', 1 $ 61,840.14 $ 14,462.56 $ 39,678.82 1# J:1P.P-Payroll FIIeslPaymll Taxes120241R4 R1 MMC TAX DEPOSIT WORKSHEET 02.08.24.xis 2/12/2024 941 RECITAX DEPOSIT FOR MMC PAYROLL .1 PAY PERIOD: BEGIN 1/26/2024 y4 PAY PERIOD: END 21812024 PAY DATE: '2/,1612024 GROSS PAY: $ 538,143.96 DEDUCTIONS: AIR 4 211.44 ADVANC BOOTS MUTUAL CRITICAL ILLNESS MUTUAL ACCIDENT IRS TAX MUTUAL SHORT TERM DIS MUTUAL VISION $ 888.72 CAFE-D $ 1,263.40. CAFE-H $ 30,985.39 $ CAFE-P CANCER CHILD 5 $70.69 CLINIC $ 45.00 COMBIN S 260.89 CREDUN S DENTAL S DEP-LF MUTUAL TERM LIFE $ 1,362.33 MUTUAL HOSP INDEM $ 606,50 FED TAX $ 39,678.82 FICA-M $ 7,231.28 FICA-O $ 30,920.07. FICA•M ADDITIONAL FIRST C FLEX $ 6,185.48 FLX-FE S GIFTS S 143.09 MUTUAL CRITICAL ILLNESS S 1,091.00 MUTUAL ACCIDENT $ 766.77 MUTUAL SHORT TERM DIS 6 2,037.88 LEGAL $ 1,206.28 OTHER b 1,888.13 NATIONAL FARM LIFE $ 1.321.05 MEDSURCHARGE S 315.00 Blank RELAY REPAY STONEOF 6 1,140.86 STONE STONE 2 STUDEN TSA-R $ 36,964.53 UWIHOS $ TOTAL DEDUCTIONS; $ '166'042.63 $ ^y+au,nMaiEXesPanr NET PAY: $ 372,101.33 $ wlx�knAuttngeeam^ TOTAL CAFE 125 PLAN: $ 39.433.85 Le: TAXABLE PAY: $ 496710.11 $ 498710.11 "CALCULATED" From MMC Rep9n DtflerOREe :ICA-MED(ER) ,ax $ 7,231.30 :ICA-MED(EE) u¢x $ 7,231.30 $ 7,231.28 $ 0.02 :ICA -SOC SEC (ER) 620% $ 39.920.03 :ICA -SOC SEC(EE) e14x $ 30,920.03 $ 30,920.07 $ (0.04 ;ED WITHHOLDING $ 39,678.82 $ 39.678.82 REVISED 31187014 xA TOTALS $ - 1 $ 538.143.95 TAX DEPOSIT: $ 115.981.48 5 115.981.52 FICA -MEDICARE Ilex $ 14,462.60 $14,462.56 FICA -SOCIAL SECURITY 120. $ 61,840.06 $61,840.14 PREPARED BY: FED WITHHOLDING $ 39,678.82 $39,678.82 PREPARED DATE: TOTAL TAX: $ 115,981.48 $115.981.92 $ (0.04) 888.72 1,263.40 30,956.39 570.69 46.00 260.86 1.362.33 606.50 39,678.82 7,231.28 3D,920.07 6,186.48 143.09 1.091.08 765.77 2.037.88 1,205.26 1,888.13 1,321.05 315.00 1,140.86 36,564.53 S - IS 166,042.63 tixaxaAWrcx� $ —1 $ 372,101.33 Exempt Amh Employees over FICA -SS Cap: Roshenda Thomas Michael Gaines Paycode 8 - Employee RaImb.: TOTAL: S Andre Flores 2/1212024 04 RI MMC TAX DEPOSIT WORKSHEET 02.08,24 ale: TAX DEPOSITWORKSHEET 2N2/2D24 Run Dace: 02/09/24 BEMORIAL MEDICAL CENTER Page 110 TCne: 15:5B Payroll Register 1 Bi-Weekly 1 P2REG Pay Period 01/26/24 - 02/08/21 ROn£ 1 %nal Summary •-- P a y C 0 d e S u m m a r y ---------------------------------- .--------- D e d u c t_ a n s S u n m a r Y ----•-•.----- ?ayCd Description Hrs 1GTISHIW3IEOICe1 Gross Code ;mount 1 REGULAR PAY -Si 9060.00 N N 11 232599.68 AIR 211.44,A/R2 AIP.3 1 REGULAR PAY-51 2001.50 N N N N 97893,10 ADVANC AWARDS BCBSVI 1 REGULAR PAY -Si 406.00 Y N N 13101,53 BOOTS CAFE H CAFB-1 2 REGULAR PAY-S2 2687.50 11 N 11 73222.96 CAFE•2 CAFE-3 CAPE.4 2 REGULARPAY-S2 22.50 N N it N 28.13 CAFB•5 CAPR-C CAPE•D 1263,40J 2 REGULAR PAY•S2 150.75 Y N if 6641.50 CAPS-F CAPE-H 30955.39-b:E-I 3 REGULAR PRY-S3 1633.50 N N N 56662.41 CAFE-L CAFE-? CANCER 3 9EGULIR PAY•S3 48,75 A N N N 60.94 CHILD 570,69AINIC 45.0%tOMBIN 250.85 � 3 REGULAR PAY-S3 80.75 Y N N 3505.76 CR23UN O0 ADV DENTAL 4 CALL BACK PAY 32.50 R 1 N N Y 1469.03 DEP-LF DIS-LF FAT 4 CALL BACK PAY 49.25 N 2 N N Y 2260131 BATCH FEDTA% i9678. B2iFICF.•M 7231,28./ 4 CALL BACK PAY 6.OD N 3 N N Y 299.82 FICA-0 30920.07/F1BSTC FLEX S 4580.90.E 4 C CALL BACK PAY CALL ?AY .75 2303.00 Y 2 N 1 N N K Y N 49.32 FLX FE ORT D FUTA 4606.00 GIFT S 143.091MIT GRP-IN D DOUBLE TIME 7.25 N 2 N 37 658,9E GTL HOSP•1 NSA 604.58E D DOUBLE TIME 15.75 N 3 11 N 1460.1E SD TIT IRSTAX LEAF E EXTRA WAGES N ;1 N N •100.00 LEGAL 306.76.E44SA. 890. WEALS 1888.13E E EXTRA WAGES N 1 N N N 2594.75 KETVIS MISC RISC/ F FUNERAL LEAVE 4a.00 R 1 N I1 614.1fi FC4CSHR MGOACC 165,74,001LL 1091.08� INSEAVICE 97.75 N l 11 N 3229.01 MCOIW 606.50dMCOLIF 1362.33.MODSTD 2037,86� I INSERVFCE 11.25 Y 1 11 N 637.62 MOOVIS 888.72 NATFML 1321.0510TNE.4 J JURY LEAVE 12.00 N 1 N H 216.12 PHI PHI-'* PR Flll R EXTENDED -ILLNESS -BANK 487.00 N 1 N R 13676.37 RELAY REPAY SA149 P PAID-TIMS-OFF 897.00 N 1 N N 22300.91 SCP.U73S SIGNON ST•TX X CALL PAY 2 144.00 N 1 N N 288.00 STONDF 1140.9d$70NE STONE2 Y YMCA/CURVES N N N N 75.00 STUDEN SURACC SHRILL Z CALL PAY 3 48.00 N 1 N N 144.03 SUNIA71 SUNLIF SUNSTD p PAID TIME OFF - PROBATION -24.00 N N N N -321.60 SuRIVIS SORCHG 315,04TSA•1 TSA-2 TSA-C TSA-P TSA-R 36964.53JMION UNIFOR LWINOS ----------------•---- Grand Totals: 21022.75------- ; Gross: 538143.96.E DedUctitns: 166042.63J Pat: 372101;33J Checks Com- FT 210 PT 15 Other 41 Fewie 239 Mal. 26 Credit OVerAmt 10 2eroNet Teto Total: 265 t.......... ..................................__..........--------'.__... . So Date: 02/12/24 MEMORIAL MEDICAL CENTER Ell -WEEKLY Page Tine: ID:IB MI Check Reoieter -00 F2DISTP Pay Period 0:126124--02/08124 Run: 1 yi Type=NET 10000001 OPERATING - PROSPERITY Sue':. Nana AtOlmt CHECK NUM DATE 02136 TABIMY ESQUIVEL 463.01 00063387 02/16/24 20857 JOSHUA LOPEZ 212.09 0006338a 02116/24 65745 01RRIA LU/SA RODRIGUEZ 925.50 00063389 02/16/24 00041 CA.RL LEE KING 1010.75 DD 02116/24 00083 SYLVIA A VARGAS 1051.99 DD 02116/24 00113 JACLYN CARREON 1291.47 DD 02116/24 00132 SANORA A BRAUN 828,07 DD O2116124 OOI92 SAM D PENA 1763.35 DD 02/16/24 00387 BILLIE F DUCKWORTH 1764.46 DD 02/16/24 00392 MONICA T CARR 126738 DD 02/16/24 00399 LINDA J TIJBRINA 2931.05 DD 02/16/24 00401 VELWA J PINA 2646.03 DD 02/16/24 00417 SHERRY L KING 2361.09 DD 02/16/24 60423 I= V STRINGO 1977.60 D➢ 02/16/24 004B2 PAN EIKAC 1531.35 DD 02/16/24 00581 CYNTHIA L RUSHING 1659.93 DD 02116124 00681 RILLA RENEE WOOD 1152.66 DD 02/16/24 00692 DEBORAH E WITTNEBE3T 348.22 DD 02/16/24 C0697 MARIA C FARIAS 1116.67 DD 02/16/24 00707 KIMBERLY EBEL= 1620.54 DD 02/16/24 00895 EE'ILIE DIANE NILKEY 707,66 DO 02/16/24 0117a PATRICIA LAUREN HERPES 450.59 DD 02/16124 01191 SHARON K SPARKS 516.02 DO 02/16124 01234 JEN33E N SVETLIK 2347,51 DO 02/16/24 D1241 MANDY FACE 1887.11 DO 02/16/24 01367 MARILYN A SANDIER 106.10 DO 02/16/24 01451 JENNIFER L ZISSA 801.43 DD 02/16/24 01791 RLUSRANA;i J MONDAY 2609.90 DO 02/16/24 02011 SHIN A CLEVENGER 3907.15 OR 02/16124 02014 AGAPITA C CARTU 680.36 DD O2/16/24 02021 ERIKA OSORYIA-SANCHEZ 2808.52 OD 02/16124 02022 AMANOA J GRIGGS 2549.64 00 02/16/24 02064 PITA LAURA GARCIA 1380.07 00 02/16/24 02099 TRACT M SHEFCIK 2890.B3 DD 02/16/24 02112 LESLIE THOINYS 2411.77 DD 02116124 02132 JASMINE RUTZ 1967.84 DD 02/16/24 02135 NO.RMA ALLISON 1097.05 DD 02/16/24 02154 JUSTINE SIRELCZYK 1350.10 DD 02/16/24 02156 AMERY S HOLT 68,34 DD 02/16/24 02162 MIRIAM PALM 2441.00 DO C2/16/24 0216E JESSICA KNIGHT 2424.87 DD 02/16/21 12193 TIKi 7ERGLAR 2039.70 DD 02/16/24 D2201 CORRINE VILLEGAS 1170.06 DD 02/16124 02271 DAWN J SUBENIR 2294.56 D➢ 02116/24 02301 NICOLAS TITERiNA 1935.07 DD 02/16/24 02302 CATHERINE YARIE DECILOS 152.10 OD 02/16/24 02303 CONNIE M PADIERNA 3000.25 DO 02/I6/24 02312 HANNAH M GOOD 462.85 ➢D 02/16/24 02315 NINA M GREEN 2337.81 DO 02/16124 02146 JEANETTE L FALCON 1028.64 DD 02/16/24 02411 JANELLS SCOTT 1940,00 DD 02/16124 02435 SAAIANIHA TANTON 1090.45 DD A2/16/24 02511 KAGDALENA SEPULVEDA 363.10 DD 02/16/24 Ran Cate: 02/12/24 MEMORIAL MEDICAL CENTER BI.BEEKLY Page 2 Time: 10:18 •••. Check Register .... P2DISTP Pay Period 01/26/24--02/08124 Run: 1 Tyge=NET 10000001 OPERATING - PROSPERITY Num, Name Arkunt CHECK NUN, DATE 02552 VSAONICA RAGUSIN 1895.46 DD 02/16124 02612 MEGPAN ODELL 447.B4 DO 02/16124 32622 JESOSA MARIE BENAVICSS 1121.47 D➢ 02/16/24 02670 MELISSA. NESLONEY 2223.16 DD 02/16/24 02701 RONDA GQHLK"e 2294.16 DD 02/16/24 02719 DAAT7 M N,CCLELLAND 1976.i8 DD 02/16/24 92720 ELDA M LUE,RA 1505.77 DO 02/16/24 D2733 ROBIN N PLEDGER 2454.18 DO 02/16/24 D2735 Z.ANDER A GARCIA 380.83 DO 02/16124 02794 HEATHER L MOTCHLER 1967.42 DO 02/16/24 0281E B97TTA1Y N AUDOiCR 2593.37 DO 02/16124 D2907 MARIA F LONGORIA 129B.90 DD 02/16124 02927 MICHAEL L GAINES 2790.36 DO 02116/24 02963 DOROTHY J REI7DON 1065.41 DO 02116/24 02970 DIANNE G ATKINSON 2204.66 DD 02116/24 03064 JACQUE-INE R HERRERA 1430.57 DD 02/16/24 05003 COURTNE D THU.HLKILL 2859.25 DD 02/16/24 05006 REGINA A MARTINE2 2899.42 DD 02116/24 05007 JAMIE K NEYLAND 2269.37 OD 02/16124 05122 NA.RISSA RARGEL 397.94 DD 02/16/24 05264 SA.RA NEITE 400.60 DD 02/16124 D5345 ERICA NGUYEN 959.7i DD 02/16/24 05641 AMAN➢A R KEY 1972.50 DD 02/16124 97123 CYNT:HIA. GUERRA 1614.94 DD 02/16/24 51147 CHAD A VORCE 2143.51 DD 02/16/24 01878 DIAI4A C SAUCEDA 1162.72 DD 02/16/24 11197 C.AT::ERINE A SAENZ 3715.37 DD 02/16/24 :1412 COURTNEY L M03KOVSKY 1549.0E DD 02/lfi/24 12011 KIMBERLY J P.EYNA 997.91 DD 02/16/24 i2115 LISA J HINOJOSA 949,04 DD 02/16124 12129 MICHAEL HERMES 1729.29 DD 02/16/24 12609 RAELIN R L0A 566.57 DD 02/16/24 I5097 KYLE L DA:NIEL 2962.55 DO 02/16/24 15131 SAVANNAH EARLEY 1527.93 DO 02/16/24 15139 KRISTEN NICOLE BALLARD 1724.50 D➢ 02/16/24 15163 KELSEY HEINOLD 2902.59 DD 02116/24 15171 JESSICA BARRON 414.80 DO 02116/24 15236 YESSENIA L GRANAUO5 964.02 D➢ 02/16/24 15286 DA77 M MAREK 2006.62 DD 02/16124 15909 JULIE NGUYEN 2131.13 DD 02/16124 15915 3RiANNE J KEY 2979.87 DD 02/16124 20012 ALEXIS LGREDO 301.29 DD 02/16124 20112 YULNA PATRICA RODRIGUEZ 306.20 DO 02/16/24 20144 SOPHIE M PECENA 615.84 DD 02/16/24 20156 ERIN ASHLEY WISDOM 169296 DO 02/16/24 20168 JOSHUA PEPPERS 1432.97 DD 02/16/24 20184 MELISSA ZANORANO 786.77 DD 02/16/24 20206 XELLI 3 GOFF 1620.45 DD 02116/24 20207 SHAWNA G HARTL 3150.32 DO 02/16/24 20243 MELANIE CORTEZ 1073.36 DD 02/16/24 20272 ANGELA YEAGER 2270,26 D➢ 02/16/24 20294 JESSICA D NALVER 977.76 D➢ 02/16124 20324 PATRICIA 67RIBLEY 251D.40 DO 02/16C24 29343 SAVANNAH N SOCARAA6 564.2E DO 02/16/24 Run Date: 02/12/24 NEHOR-.AL MEDICAL CENTER BI-WEEKLY Page 3 T'ne: 10:18 CAe" Register -.. P2DIS7P Pay Period 01/26/24--02/08/24 Run; 1 7yne=N7 10000001 OPERATING • PROSPERITY Hum. Name Amount CHECK NUM DATE 20456 SAYDI A ST C':AIP. 173.15 D➢ 02/16/24 20484 BRIANNA S PASSMORE 434.5 OD 02/16/24 20759 JAMIH SADLER 1405.14 ➢D 02/16/24 2078E JAYLIN RA11REZ 514.66 DD 02/16/24 20797 BETPAN9 H DIMS 2309.63 DO 02/16/24 20977 CHERYL L TESCH 1631.48 DO 02/16/24 20980 SAVANA LENTO 659.79 OD 02/16/24 2-450 DIANA E LEAL 1537.01 DD 02/16/24 21629 JACOBY R CBANFORD 1324.20 DD 02/16/24 22493 BRITTANY E NAVARRO 2196.80 DD 02/16/24 2261E HEATHER L LOPEZ 1090.23 DD 02/16/24 25022 ANGER L LOYA 472.21 DO 02/16/24 20034 KRISTINA A MERGER 1130.28 DO 02/16/24 20120 JESSICA V SELVERA 874,23 DO 02/16/24 29195 KELLY A S5.01T 1971.80 DO 02/16/24 3'.035 STACIE L EPLEY 1624.84 DO 02/16/24 3.054 LORA L LANEDEN 911.34 DD 02/16/24 3.D99 ARACELY Z GARCIA 1072,39 DD 02/16/24 32215 LAUREN PHILLIPS 1475.71 DD 02/16/24 33251 CYN:HIA L BIAS 1198,30 DD 02/16/24 31313 KATHERINE LYNN JIEENSZ MIMI OD 02/16/24 3:315 STACY L FARMER 1699.78 DD 02/16/24 33463 EDNARD E NATULA 2598.00 DO 02/16124 31509 RACHEL A HEFFN'ER 20B1.07 DO 02/16/24 3MI KAYLA M ALVARE2 1699.58 DO 02/16124 301le CRYSTRLLA F KISIAH 1024.63 DO 02/16/24 30198 MADELINE ANDERSON 977.45 DO 02/16/24 30420 JOLIAN HEYSQUIERDD 943.34 OD 02/16/24 4:062 CHEYENNE VERSA 498.05 DD 02/16/24 41112 A.NASTASIA L PEREZ 651.14 DO 02/16/24 41171 TOMAIE M TREVINO 626,12 OD 02/16/24 41219 GUADALUPE OLANCEZ 646.35 DO 02/16/24 4:225 LE5LIE A CRAIGEN 1288.88 DO 02/16/24 41236 PAMELA K VANNOY 1S23.28 DO 02116/24 41251 SAM YBAR80 71D.21 DO D2/16/24 41261 BERIIICE AGUIIAR 947.91 DD 02/16/24 4:269 BERENICE LUGO 752.40 DD D2/16/24 41274 KAREN GANN 1D83.29 DD 02/16/24 41279 PAMELA R HARMON 628.23 0D 02/16/24 41347 ADRTAXNA D STEREOS 740._8 DD 02/16/24 4141e AROEL N, CASSEL 932.32 DD 02/16/24 41426 TASHA NORM 3440,73 D➢ 02/16/24 41506 JOSEPAT LUGO TORRES 863.91 ➢D 02/16/24 41546 SFANMSI MARTINEZ 3216.57 OD 02/16/24 41612 SONJA A GUAJARDO 1005.71 OD 02/16/24 41617 JACQDELINE M MARTINEZ 872.45 ➢D 02/16/24 417D5 KELSEY R TAYLOR 717.46 DD 02/16/24 41896 REME MICHELLE EMERY 595.05 DD 02/16/24 41897 ROKANNA HONOE 725.49 DO 02/16/24 41901 JUANITA R HILLER 1097.06 DD D2/16/24 41952 KAYLEMI TREVINO 141.47 D➢ 02/16124 42106 CHRISTY SILVAS $93,95 DO 02/16/24 42112 SOCORRO C GONZALES 1065.46 DO 02/16/24 42122 LEI ANA CHAVANA 1726.57 D6 02/16/24 Run Date: 02/12/24 MRMORIAL MEDICAL CENTER BI-NEERLY Page 4 Time: 10:18 "•• Check Register ••'• P2DISTP Pay Period O1/26/24--02/08/24 IUD: I 7yoe=HET 10000001 OPERATING - PROSPERITY Num. Name AMUM CHECK YJN, DATE 42125 MARIA LUCY CALZADA 732,58 DD 02/16/24 42304 HIM T NUUM 2188.84 DD 02/16/24 42536 N.4RIAH A SOCARRAS 675.79 DO 02/16/24 42820 RARIA 0 CHAVEZ 819.55 DO 02/16/24 42842 SHARMA S 0 DONNELL 3254.37 DD D2/16124 49680 JESSICA BUSH 254.19 DD 02/16124 50148 PENNY GOULDEN 3308.15 DO 02/16/24 50161 BRI".TNEY MICHELLE ZAVORA 259.26 DO 02/16/24 50250 SUMMER E NICHOLSON 130,75 DD 02/16/24 50282 JACOB W HAMILTON 2530.40 OD 02/16/24 50310 JASMINE GRIG83Y 361.10 DD 02/16/24 50546 MEIANIR R SAMAYOA 2109.09 DO 02/16/24 50573 DERMA A DAVIS 1822.7E DD G2/16/24 50596 HE1":"! S DAVIS 2132.11 UD 02/16124 50719 DBBRA H MUSTERED 2225.93 DD 02/16,124 WU ADINA GERDES 709.21 DO 02/16/24 53541 JACLYN B HARM 1531.61 DO 02/16/24 54024 MONICA A BECALM" 1279.07 DO 02116/24 55025 LEA C RESENDEZ 1356.74 DD 02/16/24 55026 IRENE B PEREZ 806,64 DD 02/16/24 55127 A.PRIL N RUBALA 69.41 DO 02/16/24 55234 BLOM SOTO 571.2E DO 02/16/24 55371 BIANCA HERNANDEZ 467.62 DO 02/16/24 55382 SPANNON JACILDO 576,30 DD 02/U/24 55658 LAM WILKE 828.82 DD 02/16/24 58115 BECRY MARIE SEE 979.86 DD 02/16/24 58510 R17A L POLENSICY 657.54 DD 02/16/24 60112 ROBERT A RODRIQUEZ 2012.20 OD 02/16124 60131 NORA OVALLE 520.87 DO 02/16/24 '0145 REGINA ZAVGRA 1B70.73 DD 02/16/24 60156 DANISLLE M MISER 1436.31 DD 02/16/24 60165 TERESA A BENITEZ 2322.94 OD 02/16/24 60262 IRA R SHARP 735.10 DD 02/16/24 60529 JASON J LOYA 1207.40 D➢ 02/16/24 MIS DOROTHY A LONGORIA 721.33 DD 02/16/24 62322 ALAN KNIGHT 1568.9E DD 02/16/24 63193 MICHABL SOCAM 1096.80 OD 02/16/24 63458 VIRGINIA C BERNARDINO 919.16 OO 02/16/24 65100 FELICITA BONOZ 634.44 DO 02/16/24 65125 PARTRA CUMPEAN 836.12 DD 02/16/24 65127 VERONICA ORTIZ 939.41 DD 02/16124 65136 TINA RORAICK 993,08 DD 02/16/24 65148 YA.?TA INIGUEZ 036.59 DD 02/I6J24 65151 ILIA OLACHIA 638.31 ON 02/16/24 65189 ELVIRA SANCHEZ 645.51 DO 02/16/24 65205 JUANA SANTILLM 769.36 DO D2/16/24 65213 LEE S261ERLY 1135.92 DO 02/16/24 6524? DIANA CASTILLO 682.57 ➢D 02/16/24 65269 NATALIE HARMELD 970.77 OD 02/16/24 65315 ELVA RODRIGUEZ 942,26 OD 02/16/24 65393 @.AMA A PEREZ 1204.35 DO 02/16/24 65453 APALIA L PLORES 1494A0 DD 02116/24 v59E3 MARIA I VELOZ 926.52 DO 02/16/24 65406 ROSA RODR.GUEZ 694.57 DD 02/16/24 Run Date: 02/12/24 MEMORIAL ME➢ICAL CEN EA BI-WERXLY Page 5 Time: 10:18 •++' check Remater ++^ P201STP Pay Period 01/26/24--02/08/24 Run: I -Ypa-VE7 1V00001 OPERATING - PROSPERITY Hum. Name Argun: CHECK HUM DATE 65513 MRRIA MORALES 1208.41 DO 02/16/24 65105 DOMITILA HERRERA 759.72 DO 02/16/24 65715 MARIA R G0I4EZ 970.77 DO 02/16/24 65865 MA.RIA F LED324 $15.56 DD 02/16/24 68366 DONITILA GARCIA 395.55 OD 02/16/24 60568 CHRISTOPHER RUTHERFOR➢ 808.95 D➢ 02/14/24 60792 NAZARIO ➢IAZ HERNANDEZ 2055.25 DO 02/16/24 70119 SARA N BLEDSOE 2391.27 DD 02/16/24 72727 CHRiSAEDRA LYNN KO'JAREK 102.42 DO 02/16,124 73749 GLORIA N REID 2429.08 DD 02/16/24 74259 CAROL VILLARREAL 1141.71 DO 02/16/24 7S190 BIEA MILLER 2106.7E DO 02/16/24 16076 ALBXAVDRIA Y KNISLEY 470,25 DO 02/16/24 76115 JETT7IFER R CARLOCK 590.74 DD 02/16/24 76220 RML CAMALES 1231.56 DD 02/16/24 7613E KAREN D GA.RCIA 712.54 DD 02/16/24 76210 ZOE VILLAAREAL 396.44 DO 02/16/24 76300 AIDA JIMENEZ 949.74 DO 02/16/24 76313 PAMELA I BARTON 805.22 DO 02/16/24 76403 KATRINA A POKLU➢A 1240,98 OD 02/16/24 76647 CHERYL A SEE 957.79 DO 02/16/24 76706 G.REGORY S MORALES 768.27 DO 02/16/24 76054 MARY PATTERSON B14.02 DD 02/16/24 76985 VANESSA TRISTAN 418.05 DD 02/16/24 77646 PARER A GONZALES 1040.45 DO 02/16/24 78020 MISTY R PASSMORE 1552.36 DO 02/16/24 78056 KYANN J POWER 502.39 D➢ 02/16/24 7BO72 DONNA M RAWLINGS 1366.69 D➢ 02/16/24 79128 ALEXA WINTANILLA 795,03 DO 02/16/24 78287 MA.RISSA D ALMA3IZAR 2176.95 CO 02/16/24 78336 JESSICA L GLOVER 1765.84 GO 02/16/24 70566 M.ELISSA K GEE 526.89 OD 02/16/24 7B764 A.SHLEY D HADLEY 2191.25 DD 02/16/24 ?8781 KRIST?N R MACHICER 2276.47 DO OZ/16/24 78707 FARAH 1 JANAK 2569.70 DO 32/16/24 10697 D.AYLE J ROBINSON 726.85 DO 02/16/24 80000 A➢AM D BESIO 2423.34 DO 02/16/24 80141 JE4NNIE DRTA 1473.04 DD 02/16/24 8092E BRYAN HOBGCOD 1834.54 DO 02/16/24 82227 CAITLIN A CLEVENGER 1226.15 DO D2/16/24 06482 NEW M HARPER 835.93 ➢O 02/16/24 86576 ELSA HERRERA 875.71 DO 02/16/24 88125 LISA M TREVINO 1159.65 DO 02/16/24 68148 M.ICHELLE CtRMERLANO 1697.38 DD 02/16/24 08321 ANDREW IS LOS SANTOS 2636.82 DO 02/16/24 80435 JOB GARCIA 1794.86 D➢ 02/16/24 90320 ROS:WDA S THOMAS 5505.74 ➢O 02/16/24 90929 SIEVE SHOCK 4809.87 DO 02/16/24 93231 A.NDRIE M :LURES 1842.74 DO 02/16/24 93241 SARIAH N RUBIO 1250.05 OD 02/16/24 mm ADR2ANNA B GALVMf 159B.63 OD 02/16/24 372101.33 MEMORIAL MEDICAL [ENTER 358 81) ` PROSPERITY BANK 25 ` 1 ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- Feb 5, 2024-Feb 11,2024 '. 56•'7 'Y + 7.56 - Date Bank010006Dan Mil Notes cPsi ° Ida I R • 3 I Amount � ` 2/9/2024 RWSACHhamURCE - 3rd Parry Payer Fee g81 456'6? 2/8/2024 AMPAY BERG PAYMETS010461U1602100 D1p000])6B2ID0p02 -340B Drug Program Expense 1,203.66 dE WIRE OUT HEALHEQUITMENTS 2/8/2024 WIRE OUT MEALTHEQUITY -Wageworks 16.126.93.;�� G[iCYAGyU 2/8/2024 PAY PLUS ACHTans 01KI000014338902 IOIOM6914 - 3rd Party Payor Fee ,7S..y2 2/7/2026 PAY PLUS ACHTans G000D00141664611010MB902 2/7/2024 CLEARGAGE LLCCLEARGAGE, A7KVLW761PCPl50242 -3rd Party Payor Fee T - PBUeatyPayorFeencing rvice r" Sst 2/6/2024 PAY PLUS ACHTnns 00DWpU140726051010D069139 - 3rd Party Payer Fee «.<,.G 2/6/2D24 MCKESSON DRUG AUTO ACH ACHOSS54873930000151 -340BDmg Program Expense 3,1811.13" 2/6/2924 FOMS FDMS PYMT 0521601830000410WS2405587 - Credit Card Processing Fee 32,46� 32`4h' 3 2/5/2024 PAY PLUS ACHTans 000000013965711101MG976 - 3rd Party Payor Fee ', LBaq. 1 y ° qg 2/5/2024 MERCHANT BANKCD DISCOUNT 97116091088391=0 - Credit Coldard Processing Fee 193�5 2/5/2024 MERCHANT BANKCD DISCOUNT 97116091388791000D - Credit Card Pmcessing Fee 2IN 2v7 y6 2/5/2024 MERCHANT BANKC0 FEE 91116091388791000p30940 - Credit Card Pmcessing Fee 171.71 171 71 e 2/5/2024 MERCHANT RANKCD FEE 97116091088391000010940 - Credit Card Processing Fee 9.95 2/5/2024 MERCHANT BANKCO 11,111 HNG9711091388791GOD - Credit Card Processing Fee 156;37 9 2/S/2024 IRS USATAXPYMT 271114,13613143654 6103MIONS30 -Payroll Taxes 2.226.374 156-3'/ ~ 2/5/2024 IRS USATAXPYMT 2704432,10406206103601001154 -Payroll Taxes 133,435.18L 2/5/2024 FDMS FDMS PYMT 052-200050G 00041M012897879 - Credit Card Processing Fee 75.67 75. 6/ 1s7,S203s 7 6 4• 0 6 - ,i-2'_\y ;;�.,;T;�p- 1-�}:-v`. ijan.. f'•.. ANDREW OE LOS SANTOS February 22, 2024 I 1 7 " J / - Memorial Medical Center lrpytUVrd 0q AT 2'l tL 764 LI In h PROSPERITY BANK x j(" ll "v,,A 01,,31, Z4 LL 1 34 i' 011 % ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —ESTIMATED ACHS Bate Description MMCNpte Amount 1 5'1 2/19/2024 - WERFILE TAX PYMT DO - Sales Tax 1.875.13 ✓ � I l (1 j ' 6 1, '- 2/14/2024 HEALTH EODITY- HEALTH SAVING CONTRIBUTIONS -EmpDeduct/Employer Coutribut 1'.367.83 1 E.>-J — 126 '9 5`1tiU-li - ANDREW DE LOS SANTOS February 12, 2024 1 s 34F, • 06 Memorial Medical Center 1.34N^U8 . I.348•l, r. - U• 0C1 COMPTROLLEVEXAS.GOV ee 0 Confirmation: You Have Filed Successfully Sales and Use Tax Period Ending 01/31/2024 (2401) Taxpayer ID: Taxpayer Name: Entered By: Sarah Henderson User ID: MEMORIAL MEDICAL CENTER Email Address: Reference Number: 3924117986 Taxpayer Address: Date and Time of Filing: 815 N VIRGINIA ST PORT LAVACA, TX Telephone Number: (361) 552.0342 02/OB/2024,10:48:27 AM 77979-3025 IF Address: PAYMENTSUMMARY Electronic Check Payment Reference Number: Type of Bank Account: Checking State. Amount; $1,420.55 Trace Number: Accountholder Name: Local Amount: $454.58 Memorial Medical Center Operating Amount to Pay: $1.875.13 Bank Routing Number: Electronic Check: $1,875.13 Bank Account Number; Payment Effective Date: 02/19/2024 CREDIT SUMMARY Credits Taken Are you taking credit to reduce taxes due on this return? No Licensed Customs Broker Exported Sales Did you refund sales tax for this filing period on items exported No outside the United States based on a Texas Licenced Customs Broker Export Certifications? LOCATION SUMMARY Lac# TotalTexas Taxable Sales Taxable Subject to State State Tax Due Subject to Local Tax Rate Local Tax Due Sales Purchases Tax(Rate.0625) Lacal Tax 00004 22843 22843 0 22843 1427.69 22843 0.02 456.86 SubTotat 22843 22843 0 22843 1427.69 22843 456.96 Total Tax for Locations Total Tax Due: Timely Filing Discount: Balance Due: Pending Payments: Total Amount Due and Payable: $1,884.55 $1,884.55 - S9.42 $1,875.1$ $0.00 $1,875.13 ( State amount due is S1,420.55) ( Local amount due is $454,58 ) Start Date Benefit EE Per Pay Cost ER Per Pay Cost 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $100.00 $25.00 1/1/2024 Health Savings Account $147.91 $25.00 1/1/2024 Health Savings Account $41.67 $25.00 1/1/2024 Health Savings Account $60.00 $25.00 1/1/2024 Health Savings Account $10.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $25.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 2/1/2024 Health Savings Account $25.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 2/1/2024 Health Savings Account $163.25 $25.00 1/1/2024 Health Savings Account $50.00 $25.00 2/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $100.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $25.00 $25.00 1/1/2024 Health Savings Account $0.00 $25.00 1/1/2024 Health Savings Account $20.00 $25.00 2/1/2024 Health Savings Account $0.00 $25.00 $767.83 $600.00 Total Contributions: $1,367.88 Memorial Medical Center Transfer Request 60,294.00 From Account: Operating- *4357 Account: COMERICA BANK ATTN: CAPTIVE INSURANCE :aunt Number: 1853450201 Raul danatlom. PREMIUM FUNDING REQUIREMENT -COLLATERAL Guested by: Caitlin Clevenger by: FEB 13 2024 CA94I &NIMS Date: 2 1 4 Date: COMMUNITY HOSPITAL INSURANCE COALITION RECIPROCAL IC C/o Strategic Risk Solutions (VT), Ltd. 159 Bank Street, Fourth Floor Burlington, Vermont 05401 Member Name Memorial Medical Center Contact Name Roshanda Thomas, CEO E-mail rthomas@mmcportlavaca.com Invoice No: 2024-Feb. 02 invoice Date: 2/13/2024 Due Date: 2/27/2024 Required Non -Premium Funding 2023-24 Program Year $ 60,284.00 NOTE: Please do not mall your payment. All payments must be made via wire or ACH, per below instructions. PAYMENT BY WIRE / ACH Comerica Bank Attn: Captive Insurance 411 West Lafayette, 5th Floor M/C 3331 Detroit, MI 48226 Routing t 072000096 Acct#1853450201 Credit to Account: Community Hospital Insurance Coalition Reciprocal IC Please direct questions to Samil Labadle (S12) 607-4282 / samanthi lLPheaubsure.com Erica Perez From: rhonda.kokena@calhouncotx.org (rhonda kokena) <rhonda.kokena@calhouncotx.org> Sent: Tuesday, February 13, 2024 3:28 PM To: Erica.Perez@calhouncotx.org Subject: FW: MMC - Fully Executed CHIC Participation Agreement and Collateral Invoice Attachments: CHIC Collateral Invoice 2024- Memorial Medical.pdf; CHIC Form W-9.pdf Here you go ma'am. See Below. From: sbrock@mmcportlavaca.com (Steve Brock)[mailto:sbrock@mmcportlavaca.comj Sent: Tuesday, February 13, 2024 3:19 PM To: Rhonda Kokena (rhonda.kokena@calhouncotx.org) <rhonda.kokena@calhouncotx.org> Cc: Roshanda S. Thomas <rthomas@mmcportlavaca.com> Subject: FW: MMC - Fully Executed CHIC Participation Agreement and Collateral Invoice CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Rhonda: I know that we can't get this in tomorrow's approvals. Is there any way to pay it before the 28`h? Steve. From: Samantha Labadie <SamanthaL@healthsure.com> Sent: Tuesday, February 13, 2024 3:00 PM To: Steve Brock <sbrocl(@mmcoortlavaca.com>; Roshanda S. Thomas <rthomas@mmcoortlavaca.com> Cc: Andrie Flores <aflores@mmcoortlavaca.com>; Sariah Rubio <Sariah.Rubio(ta mmcoortlavaca.com>; Jennifer Fudge <ienniferf@healthsure.com,>; georgia.reis@strateeicrisks.com Subject: MMC- Fully Executed CHIC Participation Agreement and Collateral Invoice CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Steve & Roshanda, Attached is the fully executed CHIC Captive Participation Agreement for your records and the CHIC Collateral Invoice. Next Steps The next step to secure your membership in the Community Hospital Insurance Coalition ("CHIC') medical stop -loss insurance program is to finalize the non -premium funding requirement we have referred to as "collateral". As a reminder, the collateral remains in your member account with Comerica Bank to be used by Berkley, the reinsurance partner, and funds are only drawn if the combined claims experience of the group is higher than the expected amount that is funded through premiums. All members are required to provide Collateral funding to the Program in the form of cash. For collateral funding to be paid in cash, such payments must be made in one annual lump sum at the beginning of the policy year. An invoice for collateral funding is enclosed. Collateral must be remitted electronically via ACH. The deadline for posting collateral is due by 2/16/2024 . Please reply to confirm receipt and indicate if you wish to further discuss the process. ACH Information: PAYMENT BY WIRE / ACH Comerica Bank Attn: Captive Insurance 411 West Lafayette, 5th Floor M/C 3331 Detroit, MI 48226 Routing # 072000096 Acct #1853450201 Credit to Account: Community Hospital Insurance Coalition Reciprocal IC Thank you, Samii Labadie Account Executive Upcoming 000: ALTHSUK iJµV€;R GO IT ALONE 5900 Southwest Parkway I Building 2 Suite 200 1 Austin TX 78735 Office: (512) 607-4282 SamanthaLCcDhealthsure.com I healthsure.com CA License NO: 6011029 Calhoun County Texas 218/24, 11:26 AM tmp_ow5report4603O655010146774B4.himI :IECENED BY THE COUMY AUDITOR ON 021je t2A MEMORIAL MEDICAL CENTER t1 g� ij 2024 AP Open Invoice List 0 11:J2gF Dates Through: ap_opan_invoice.templale ,ugn,Jgfjpl VpT11oTNa1",AS Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 020124 02/07/20202101/20203/021202 13,327.67 0.00 0.00 13,327.67 y,/ ;r TRANSFERNo jyjsijMyuj_ pyryl+ Aepo61jod lniro YNhtiL bpCrr+Vj Vendor Totals: Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOUSTON 13,327.67 0.00 0.00 13,327.67 Ronort 5ummaYV Grand Totals: Gross Discount No -Pay Net 13.327.67 0.00 0.00 13,327.67 APPROVED ON FEB 0 8 2024 file:!/lC:lUsers/Itrevinolcpsl/memmed.cpsinet.com/u881251data_5/tmp_cw5report4503065501014677484.html 1/1 2/8/24, 11:28 AM tmp_cw5report6595975204643823648.html RECEIVED BY THE ;,�&2VDITOR ON MEMORIAL MEDICAL CENTER 1 �-, �) ?024 AP Open Invoice List Dates Through: Na Class Pay Code pVe�ntldo)r# �Vendor r; 1..1824N L: THE We CRNT Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount 020124A 02107/20202/01120203/021202 0.00 TRANSFER 1, hr(i 'IVjkVrKA(t ip Mt deVo6(} A Ir2 l4,200.00 WV`n u Draw-4h19n 020124C 02107/202 021011202 03/021202 2,800.00 U0 TRANSFER I% 'r 020124 02/07/20202/01120203/02/202 9,120,00 0.00 TRANSFER " r' 020124E 02/071202 021011202 03/02/202 600.00 0.00 TRANSFER " " Vendor Totals: Number Name Gross Discount 11824 THE CRESCENT 16,720.00 0.00 Grand Totals: APPROM ON FEB 0 S 2024 CALLHOIIN COU 1WNPAS 0 ap_open_i nvoice.template No -Pay Net J 0.00 4,200.00 0.00 ✓// 2,800.00 0.00 9,120.00 v/ 0.00 600.00 No -Pay Net 0.00 16,720.00 Fiepori Summn,,a ; Gross Discount No -Pay Net 16,720.00 0.00 0.00 16,720.00 file:l//C:/Users/Itrevino/cpsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5repart6595975204643823648.html III 2/8/24, 11:27AM tmp_cw5repod5194625604908827162.him I RECEIVED BY "rHE MEMORIAL MEDICAL CENTER 02/08d2Wa AUDITOR ON AP Open Invoice List 11:2 DEB 0 8 2024 Dates Through: Ventlor# Vendor Name Class Pay Code Iq'>�60uN:GijwENrW99,--HEALTHCARE V/ Invoice# Comment Tmn Dt Inv Dt Due Dt Check Dt Pay Gross Discount 012924D 01/31/202 01/29/202 03/02/202 0.25 0.00 TRANSFER NN' Ih�U Y1.�.� �lh h4! JP,POr7�{a� 1N I J"ti Q'QZ 0,A1III� 012924C 01/311202 01/291202 03/02/202 2,697.83 0.00 TRANSFER t% rl 012924 01131120201/29/20203/02/202 4,224.15 0.00 TRANSFER tt II 012924E 01/31/202 01/29/202 03/02/202 16.69 Ulu TRANSFER It I. 012924A 01/31/202 01129/202 031021202 729.56 0.00 TRANSFER II II 013124 01131/20201/31/202031021202 $74.85 0.00 TRANSFER II It 020124 02/07/202 02101/202 031021202 587.23 0.00 TRANSFER 'I u Vendor Totals: Number Name Gross Discount 11836 GOLDENCREEK HEALTHCARE 8,930.56 0.00 Grand Totals: Gross Discount No -Pay 0.930.56 0.00 0.00 APMVM ON g FEB ttN0�y8p2��02T4�j CAN) COUNTY NPA151 0 ap_open_i nvoice.template No -Pay Net 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.00 No -Pay 0.00 Net 8,930.56 2,697.83 ,S 4,224.15 ram` 16.69 e 729.56 g>✓ 674.85 587.23 Net 8,930.56 file://1C:/Users/ltrevino/cpsilmemmed.cpslnet.com/u88125/data 5/tmp_ow5report5194625504908827162.html 1/1 2/8/24, 11:28AM tmp_cw5reportl 004672698042142856.html RECEIVED BY THE 0AW24UDITOR ON MEMORIAL MEDICAL CENTER 1 t ® 8 2024 AP Open Invoice List 0 ap_open_invoice.template r-TB Dates Through: Vendor# Vendor Name Class Pay Code 7'A196WN C(GUICRPOINT6 PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 013124 01131/20201131/20203/02/202 200.28 0.00 0.00 200.28 TRANSFER �kA ^UVKKU- p,L 1tV jk--�t kLh+•t pVf "IVU� 020024 02/06/20202109/20203/09/202 21,907.82 0.00 0.00 / 21,907.82�/ Y61GT REFUND Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 22,108.10 0.00 0.00 22,108.10 1"': r StI! ii! x,ary Grand Totals: Gross Discount No -Pay Net 22,108.10 0.00 0.00 22,108,10 file:IIIC:lUserslltrevino/cpsilmemmed,opsinet.com/u88125/data_5/tmp_pw5report1004672698042142856.html 111 218/24, 11:29 AM tmp_cw5report6690380160435923692.html BY THE OnRENEIVED DITOR ON MEMORIAL MEDICAL CENTER 02/08/�24 1 fir, n 2024 AP Open Invoice List 0 Dates Through: ap_open_invoice,template Vtee1ppndor# (Vieendor Name CA1130�dgC TUMEAVYVELAGE ✓/ Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 020924 02/061202 02/09/202 03/091202 25,274.10 0.00 0.00 25,274.10 L/ Y6 IGT REFUND Vendor Totals: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 25,274.10 0.00 0.00 25,274.10 i�ip�9, Su:nmllrV Grand Totals: Gross Discount No -Pay Net 25,274.10 0.00 0.00 25.274.10 APPROVED ON FEB 0 6 2024 CAMA19U NON file:lllC:IUserslitmvinolcpsi/memmed.cpsinet.comlu88125/data_5/Imp_cw5report6690380160435923692.html try 218/24, 1111:2f.6,EAyM Imp_cw5reportl 035677734055466905.html 0?�!fq(fAVP4,EDI BY HE MEMORIALMEDICAL CENTER 11:28 Open Invoice List FEB 0 8 2024 Dates Through: Vendor# Vendor Name Class Pay Code J.RT?I r)IJN 06T1MNY1WIlQR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 012924 011311202 01129/202 03/021202 61.39 0,00 TRANSFER Woi tntU V&AU- pHttl.4 drpo6i �0 �' 14W M1t14C open-h"� 012924A 01/31/20201/29120203/02/202 2,38417 0.00 TRANSFER 11 Ir 013124A 01131/20201/31/20203/02/202 226.87 0.00 TRANSFER It It 013124 01131120201/31(20203/02/202 4,000.00 0.00 TRANSFER It tI 020924 02/06/20202/09/20203/09/202 21,292.02 0.00 Y6 IGT REFUND Vendor Totals: Number Name Gross Discount 12792 BETHANY SENIOR LIVING 27,964.45 0.00 13,po:1 Sa,�anar; Grand Totals: Gross Discount No -Pay 27,964.4S 0.00 0.00 AW10VIED ON FEB �N0�y8 p2�0p274Q8 CALHOUN CDUMl't-t�"S 0 ap_open_i nvoice.template Na-Pay 0.00 0.00 bIGH1 0.00 0.00 No -Pay 0.00 Net 27,964.4E Net 61.39 2,384.17 1 226.87 a/ 4,000.00 ✓ 21,292.02 r� Net 27,964.45 file:///C:lUsers/ltrevinolcpsVmemmed.epoinet.com/u88l25/data_5/tmp_cw5reporil035677734056466905.html 1(1 Memorial Medical Canter Nursing Home UFL Weekly Clna;Tmm/er prwperlty Amount; 2/12/20Se NaNn u�l /InmMan �m14 41eMN a.n.erm YlnumnmmMurN1 :� ,f/..rAr.mn ll1A]I )ei 1;;.6fe9e IM.0.}6a J - y n,)D.N � II9r96SA 4n)pXNul lir.)f;p V6Xna Wm In 41ne )tlI.M✓ / biue9r4n.inmrN;mr t]pf6lA� PPPPPPr wl�a,E�lR veg/ T.T'!Np411.y.j+%X'� l 111.910Aa .)691"AI.6I]sl, I.."t)f se"n. 9 /r 6rA eX.� VrXrm W.n M 1Yw tmm / •a.rr Ynmm�bmrNAml lama �/F///% . wwjff'�i�Yr,��`.!V ":Y UI.1 91R�].];9.Il Ji.9,ue]a JJJ ]FN]All iF9.396.1e �� e.N41;m N9.g9.11 V.nxp Mrnln4lun ]mm / ].,.—a �"a �'"y.,. J ft ,.I/..... W er{ml lamn/Ixn4x6mt i6p9FY� e].MIS ISA99.41 L/ 9N.en.ne VnI.— e1.M. X sa—rn 9.4nm on. 4numl Xbn.l lei!] / /�- �FM; blunl.pw/IrlryN{nl ;i.6L11 ,/, w�rryy �yyyyL/ 1.9..a)ll ✓lW.YF9a 9]flr .N 9n.m V.n.m U,1661) a],x6F19� 96.N9.9]�/ 4.m In 9Y.no Worse 120196;_.t1r< r 741671 58 w 2 4 5 y (. 9 A a 87,659^41 86.889>9/ 6151285°8k r vq..n rf FF W ON FEB 12 2�02/4 l.nu.r6Y4ryr1 ]ervn 9.pm]rr.glnanr i661{ r � NO�•.�, �� 6{,666M i0_gLIMNY66; VY j- 616 .j MDUNo[LO W TUS S/)L19Sa X1MX Wx41r.nXm41X VHlrnilx R+nnnY\RIa1Xx Vvl Irmrlx;wmq LN.1. N9/]ON gnA91llU 10OII UNLWMMVIINY PLN[MIMPMI ]IfmNLL910Lm N9/l%f YMLfOMMVHgY1l MCENIMIMI]f{Nidll9lmV f UKK(OMMUNIIVILNCCNIMPMt)ffWN1191Mm N9/]OlB UK (OMNUHIIYPINCMMIPMt ]IKONI191MN NB/ION IR[WINNtO WRDnGIIN fARfCMRRMO W4N14 MX136UF.VIOX[tl3m MX6 PMW Wlw]:90'bp3l(1 w/1034 LM4 PIm9 L]/.y][ VNC<OMMUMIh9L X[[WMPM]]IyplfLL9lMm W6/IOEf VXC WAIMUNXYPl11CfWMIM1)16mHLl9lmfO WS/10If UX[.MMUXNVII HLMIMPMl M6mNt(91QW 24110II MOYLIM fdWIpH HtGNMPMBBtm»gmAlfl 1p/loi�q.n nM 3/9/Al1 YniINNnI11raM NC[WMpM1316WN111N34 1»/1014 YXCCOMMYNNV PLKKCWMpMI»F.m1191Wb W9/N11 YNG[ PLMG<WMIMf 3M0]Ht191aT 3fI/30M VNCCDW.URT"MMYMIIYILN[GWMIML 1LBm41191W]} ]/9/30I1 YIA'UNU NSVCHUWMPWIRAdOwla:0. 319pOM HlXlO1 NV1ANNSVCN[LWMpMi'I]NWNm3W1] 1/1IM24 VONWMGMIXNfNTXG9t CENRX9111 WINE wPS.Wd NLfWMPM9NCm3fIlMMWNNm WC/30I1 MRPfupplemmm ry[GWMOMf>Ifw3111 W)M MIXO/303EN grttliss 113YMWMMUNNVPLNCCWMOMltftm. I1711931 UMCfOMMVNNYILNcfU)MPW74IMLi1WH1191d]ti 1/6/3914 YXC WMMYXNYpLN[G/1MIMI )l6WlCllflm.V 1/ff104 XNf-ILHONLLWMPMi ]IMOLIIMm»lLObl W M24 UMCOMMYNMPINCLWMVJ.9 MOVERAJURROT WS/M11 VNG WMMVXNYrt N[MIMPML]aMLIM1191IXN WIMDN . nN "India LXM11 UTINE`NNA. [CMON[[WMIMI )]{wMllfbll0»SIb MINE` Umccolomumr, IXUMLIMi)4(WLil9lmb SA/AW 9 UHCCOMMUN. Pl NCCUUMIRR RUROOMY L.11 W WINE VxCOOMMUNTEVIINC(WMIMS]4Cm41111mY1 M IME UNC.MMUNM PLMfCWMIMf }4fa41t 91f.} ImolE UMCOMMVXIIYP{M(CWMPIT!]IWH1191[4p 2mm, HEALTH SOlVfpX NC<WMOMI6]115dipa IAR WIN. WOKOU WITIOLNCN we ISIµplEtt3m9i S/A/1014 DEWTIE ]WLTRIKCLUIIIIENt(MIII S/N10]I OtYDiFO11G1TX 11XCUInIiMf 2U.11AMml UNSOl1 NV01[DHGL]MI MMEQUIT 21OTRU 14AA3 UAIl@E OfVMfDN[XL1XI NCMIMPM 2UOOUIS119A1 UA/IDS4 OIWTfONCMW P IICC WMPMI llmmSl5lNl9 =2124 0[VOhONUIiHPHC[UIMIMf SImmflumss UG]OS1 "VIM TOU4MP HCCUIMPW lltl4QmW51 MINOR "VIM 10lYTpN11IMIMIMT6]63]l1EWN15) WPM LMMPlt3 N/IDN NWIT N/IDl1 XDVI(NSDIVTIpx NCCWMIMi6)63111I(y11I9 S/UION U VOT.N[MM P Nm WMIMT l]mWlM4)m S0MIl pfVpi[OXUITIPH[fWMPM} tlWOl66YN6 wimm DCVa[OMM]XPXccuompmr ISKWSYY1w US/lON OfVDtfp X[MMPH[CWMIMT i](®16[15,30 1/bJNI{ HNf-I(MMCUIMPMT]IE.41IIM4V21]MS t/J(]O1E INMANRINI. XCCWMPM1E06MDImmLWiGW Pal �,i. .'.0I..a..i '0O'J`4 i4xvu'.:.4'f^t ; Iryl O11(A W9/5014 UKWMMVNWPLHaUIMPWI] MILS1 10/iN4 NXC.MMVNQLILHOCUUMPMT741TmmNPLOLW ]/ nN4 XGIiH XUMRN]YC XUUIMPMf i>LIm41i3mbl 1/D/1m1 WNF OMGMExNGt]NNAf fCMEN III WMNSI XHfi-ILNOHLIWM9Mf]f6m4t111f1.19mSI WI/]0N xM-9cnp HCC41MrMr14W4LL 110%OSfWI NE. WI1 cnM mch..13OWHOn HCLIRIMPMr61s6Ms]aYOm] UA1mi N/NE. bpp01 U1/NN NNp-[<NO M[UIMPM]]Lml4p m0Yp]5913s 1/6/1024 UOiCCOM IRNre KKMIMPMiN 74MM III W12024 UNCCOMMUNOVPLHCCNIMPMT146WM11910.W 315/2W4 JKOOMWPSUPMUHTIIIR NLUMPKET VICT IU41U 3I5/3011 MNP SePPhmLMI H(CLUMIMI IIW]]Ill mllm IAON ]ME MIME UaUMnMil COPM13M91UNIVILIWCCMWIMMpP MjPPWmWM AIJ IUR m A D14 UNCWMMVNIEYPIHCLWM Wm MPMfMEl91 2M lry/IDII YM LOMMUNIIYPI NCIGIMPMiMVaTAMll9114-0 IMlN14 YNC (OMMYMNYpI NC(UIMPMI W6mWl91mm l/9/NE. WIRE OUT THWEEg61NIEIX.mI I/4lOM wME 0U1 GMER NfMTN GRF [ENIEMIII UEAI031 S0.01AMpNEI1rm MM IMMmmp]Om001W C1 pliOlC qM 129p MEN PNC-ICNOKM:A1pMf lE{W(1111C.I3wA9H I/I/1024 NUM IWCONCCWMIM]Wm159ISTddI 2/I/SOSE NYMN4IME CUXCLGmIMLEp6pINO SINRM5N0 TI3Pt18^oue ?f!W(P.-1M1I apP/WmpL QIPp/m.pi aPp/femp9 QIPp/(pmpLL.YP9 campli NNPOREON UASEL9 ( - }1319.N i1.519.N 4361M (563.db 5934911 9&369.3 I6,196Q CASKET 14),493,96 / f mild. I2.00.01 3Lm9A9 - ;6991t - 1,fi99.11 - 4»IA9 - 1,782,19 3,w9u 3,N919 9.SII.Y - 9311.88 F1. MMCpOR4DN TftMC,pJN Tnndnnln avI/Wmpl arr/cOmri QIPp/CpmP9 QIPP/mmp4&N04 alPll Nx PONOON m.MS.11/� - ILm.m - 12&SS.W m.w2lb IS,W238 1.111.63 A,w]34 4,199.63 4w].91 9,91601 2.916.01 ./% Iw.W.d1 y - 131110 1,121.40 � lm.H 19].51 mAS556 - _ _ - I4A1 - I4.33 bml3 443A U3.Y ,11.1X 8.11612 - 8.11913 M.m / / SM.6] OR I19.09 m;SB9.11 / ]O.6D.SS % im9li Mmt aRgdn Trt^JLRYS / IppLQj1 aIP/mm 1 gIPP/mmp9 aPPImmP3 41Pp/mmp4WP+e aPPTI HNPORIION ' 1,624AR - 8,636.86 m.. 3.00 I.I. IT 11,09.12 I4 20.74620 LE I'mo TREAT 1R6-01 ' 11.511, 1.4324 l.ROOm I'm VA... 67,73&. ts"m 9.SII. SA.m 5.400.W - 5.I95.80 I4 011.mi. ,mim 14,08IA0 AREA,36&1} 1.910.96 / - . 440. PI 9,0{639 6]Sam fi,]SO.W - 2OI43.00 i0.N1.00 - 27.".. 9A11. 81m.W M]. 61) q ' 1,fmm !l _ ll1.919.m� 3N,N&1(/I' - GG M291.14,� MMCpo"ON 711ASCO'CER, /-7dide'd arf/mmpl PIPP/fbmp2 QW/mmpl QVP/mmp16Y0m yPPll MXPOMIOX 10,6)0.91 U 1.]4,4 1,3m3 N.11991 TOMS: 1]10R49 ]],309.49 f2Df3.98� TEAT IB IEA..Bfi "Ada." m.098J /.' fmm MATTE/_ 6 00.q mm 2.E00.. TURA'S - 11,919.15 AI)).91 4,M5.91 ' f9 $50.70 119.51 019.51 1666 IM46 13.893A1 GI jjf MMCPoMION 1 Tnn_yQJ /'Tnn IRr., (11"10.0 QIIPfmmP2 QIPp/Gmp] QIPP/mmpl&Y w glppll MNPORt10N JOSJI.I1 U maw.. 1D,d4o.. NPm.M }4.3M.1E I1331.16 - 23.513.14 bllw 61104 1$9,II9 W f ;mD. 9.A3.D0. - L9m20 - 1,960.20 I1,15900 - 11AIISM 7.90500 1,909.w 9\xxweeNn,nnen\um ow.,YwH wenmeen\m9g199HwHgxx um pawnlowx.9xbillla mgwV comm... NccWMOMr91c9NexttlYii9 /x,,51" M=4 YHCWMMVNMVINKWM9MR,K0,9jSIW 6£99 / )h/SW9 YNC COMMVHMYIMMIMIMi>xRNx,1191NJ1 f ll9}.il rn,1 i<1091 65.99 TOSRC9 A25Y.L 6xf.xHSA1 615 LSAx U� Balances Overview Account Name *4357 MEMORIAL MEDICAL CENTER- $1,940,303.45 $2,042,623.66 $1,940,303.45 $1,652,825,05 OPERATING *4365 MEMORIAL MEDICAL CENTER- $541.86 $541.86 $541.86 $541,86 CLINIC SERIES 2014 '43T3 MEMORIAL MEDICAL CENTER- $436.21 $436.21 $436,21 $436.21 PRIVATE WAIVER CLEARING •4361 MEMORIAL , MEDICAL CENTER $121,353.80 $122,842.83 $121,353.80 $64,874.73 NH ASHFORD *4403 MEMORIAL MEDICAL CENTER I / $74,998,55 $76,671.48 $74,998.55 $24.743.48 NH BROADMOOR ✓ V e' •4411 MEMORIAL MEDICALCENTERI i $245.739.11�j $288,309.94 $245,739.11 $221,272.41 NH CRESCENT/ *4438 MEMORIAL MEDICAL CENTER SOLERA AT WEST $87,266.75 �✓ $89,795.43 $87,266.75 $37,765.31 HOUSTON '4446 MEMORIAL MEDICAL CENTER I/ $87,660.78./ $87,704.00 $87,660.78 $69,398.45 NH FORT BEND *4464 MEMORIAL MEDICAL I GOLDEN CREEK $35,326.78 $35,665.96 $35,326.78 $40,423.40 HEALTHCARE *4551 CAL CO INDIGENT $10,427.52 $10,427.62 $10,427.52 $10,427.52 HEALTHCARE '5433 MMC -NH GULF POINTEPLAZA- $14,034.88 $14,034.88 $14,034.88 $14,034.88 PRIVATE PAY *5441 MMC -NH GULF POINTE PLAZA - $46.908.95 $46,908.95 $46,908.95 $45,674.04 MEDICAREIMEDICAID `5506 MMC -NH BETHANY SENIOR $70,283.14 $72,205.84 $70,283.14 $71,303.56 LIVING *3407 MMC TUSCANY VILLAGE TUSCLL $33,629.69 $33,629.69 $33,629,69 $14,425.69 • MMC -BETHANY SIRLIVING -DACA LIVING $100.00 $100.00 $100.00 $100.00 *2998 MC -MONEY MARKET FUND MARKE $606,605.19 $606,605.19 $606,605.19 $606,605.19 Total Balance $3,375,616.66 $3,528,503.44 $3,375,616.66 $2,864,851.78 Report generated on 021121202408:55:12 AM CST Page 2 of 3 Memorial Medical Center Nursing Home UPL Weekly Nealan Transfer Prosperity Accounts 1/22/2024 Wale., AUuont Bou"Ing iiN.cY5u Heme y Number 9ol.n' 2ran6e, at ✓T'w4Nr ,Oy 19B,5B9.08 198,239.00 34,939.90 Note: Only balaMn 'lever 15,Qb vlllb< bent/emd to The nurslnq hems. Mate 2. sent account hasa bwc balance 011100 That MMCdeaashed to open''amr.. FEB 12 2024 CALHOUN COUNTY,�T�XA� Tadaa'e B.Hnning Amount to Be TnMerred to Nursing BatenU Nome 3S,326]8 34,W9.90 / Bank Bale.. 35,326.70 '. Varian' leer. In Balance lOD,00� Hnuarvint...n MRS.1/ Atljun Ba6n'Rran Ner Aml 3a.9>9.94 .�g� ApprWld,. DEL 55AM� 4S 21121202e IANH Wea11y TnnacrsWN upl Tpm/.'Summary\MZ4\NH BNnam\ar Summary 3.11.14 Man 9.6, ON, •-- . 011r YS/IDSP aW RIDS I/)/10IL LSAnMt611RII[M1LO0t9 YlW]U9II91]91 ]N/10I1 LRF[KX[RLcmmmPIl]R]5691W]]Wl L9/MS9 HrA" WAGX WIRE O N"ITRdA]MLULfP]YSWLLI WIp[ WiNIXpNNYIiN C/3p GOlOfN LR[FKNL WWNI1 UVASI 60101HCP[(KNNI]MIR[D[P1S20156910MH19 N/mY 9 YI/IOY D1,DereL1 y]/M]1 RYSRMx511MT 9YS6R15SY]69l]9i tTMIR Snn0110 MFRC DIP ISMI5691fAtl13]) .6.10RFfRMMLT 1linON aed RSOi 21102 x[YTuODP IS[: Pm] lMOi[9911RRVUII6bA]bnm. OMD NCRfl SnnOY IfYfnMXfNMiCRLROl9N]WSS9n691S91 L5n036 IfRnMNS[IRSi[RCOOa Yl6Y55f9M9tl 9i MPOIA NNR [CNONttWMPMTMiaYllllWNiRww MMCPoMOH, aPP/WmPB SSRDIGI:Cu[ Gmnn�n nlvv/mmPl arv/comvx art/Comol aL9P1[ ulvvn n>tvoanW SQ59.99 S/ . 351.Y 731.M R75.00 nS.. LL635.Y 19,41S.01 MAMA 1.399P3 LIBIDO ]O.l]R3S - • iP16.91 1•076.91 1,610w - 3,611,.04 33)SLSB �/ t]]s R0 3.973.00 LYBw LB19.03 - MR50 � 66R90 �� Su.99�SN.Y 194219.0019RS19.00 3R.9)9SOi Balances Overview Account Name •4357 MEMORIAL MEDICAL CENTER- $1,940,303.45 $2,042,623.66 $1,940,303,45 $1,652,825.05 OPERATING •4365 MEMORIAL MEDICAL CENTER- $541.86 $541.86 $541.86 $541.86 CLINIC SERIES 2D14 *4373 MEMORIAL MEDICAL CENTER• $436.21 $436.21 $436.21 $436.21 PRIVATE WAIVER CLEARING •4381 MEMORIAL MEDICAL CENTER $121,353.80 $122,842.83 $121,353.80 $64,874.73 NH ASHFORD '4403 MEMORIAL MEDICAL CENTER 1 $74,998.55 $76,671.48 $74,998.55 $24.743.48 NHBROADMOOR *4411 MEMORIAL MEDICAL CENTER 1 $245,739.11 $288,309.94 $245,739.11 $221,272.41 NH CRESCENT *4438 MEMORIAL MEDICAL CENTER/ $87,266.75 $89,795.43 $87,266.75 $37,765.31 SOLERA AT WEST HOUSTON 64446 MEMORIAL MEDICAL CENTER 1 $87,660.78 $87.704.00 $87,660.78 $59,398.45 NH FORT BEND `4454 MEMORIAL j �'' L GOLDEN CREEK GOLDE $35,326.78,i, � $35,665.96 $35,326.78 $40,423.40 � HEALTHCARE %551 CAL CO INDIGENT $10,427.52 $10,427.52 $10,427.52 $10,427.52 HEALTHCARE `5433 MMC -NH GULF POINTE PLAZA• $14,034.88 $14,034.88 $14,034.88 $14,034.88 PRIVATE PAY '5441 MMC -NH GULF POINTEPLAZA- $46,908.95 $46,908.95 $46,908.95 $45,674.04 MEDICAREIMEDICAID *5506 MMC •NH BETHANY SENIOR $70,283.14 $72,205.84 $70,283.14 $71,303.56 LIVING •3407 MMC -NH TUSCANY VILLAGE $33,629.69 $33,629.69 $33,629.69 $14,425.69 *3660 MMC -BETHANY $100.00 $100.00 $100.00 $100.00 SR LIVING - DACA •2998 MMC -MONEY $606,605.19 $606,605.19 $606,605.19 $606,605.19 MARKETFUND Total Balance $3,375,616.66 $3,528,503.44 $3,375,616.66 $2,864,851.78 Report generated on 02H212024 08:55:12 AM CST Page 2 of 3 Memorial Medical [enter Nursing Home NPL Weekly HMG Transfer Prosperity Accounts 2112/2O24 Pm mn a[[wm NUN Num. •" v..usns Bank Balan4 VarN a..<m Baann voco Falun e.Nnnrtnndn Nmr ixxA]e dmnumre Be TnmNntdtu YnNem eroeunl to Be Invent BB(IMIM IenGnF Tnnrl[mtlfe N�un�:LN�wn N••+" BFbnn {nnaNnout JTnnrleNn %.fYalNatttl peeaa TOL 1BF Inni BaNnee Nunlry Name �' ��I�iVi�",'�f,•1W1„ d >,U01.89 J 6.9H.t9<6,BW.99// e6991.95� dfi.10a.95 � 1/ mnk Babna a6.909.9i Vrtlan<e BwJMlnlwma4nler6ul11eMlegm: xx.: oay mmnn[ qa.a. Ssme .an m Nennanad ro ne ninNn9 hang. No[e}; fo[hn[amt Boaumnmlwn e/$]W MotMM[da4eJbdrneprneetam. FEB 12 2024 CALHOUN COUNTV,WOU leave In &4n[e A.. J PdNN 44nnRnn[lerdmt diF6B]B , TOPUTMNSFBne pryiq. axoNtwoBlvssnnTos e v nsxwN I:Wx waeYlvinnJenWn uel rnnuer wmmna{tBANn uYr Tnmler Fummary ].ti xa MMC PORTION �w£p•l _I QIPP/Camp QIPP/C4mp4 Transfer -Out flee -In QIPP(EDmpi 2 QIPP/Cpmp3 &lapse QIPPTI NHPORTION 2/8/2024HNE-ECHOHCCUIMPMTT4WP3411g4W002%239w 2841 - 78.41 2/6/M24 NDCSWEEPFACHM131DLdJ123395215WEEPFR - 12,41867 - 12.428.67 MMCP0RllON n rmoffolumm QIPp/CnmP CHPp/Camp4 .F„_ a, 1I Tran3fet-0Ot Tmnsf •.l QIPP/Compl 2 glPp/CPmp3 &14p34 QIPPTI NH PORTION 2/912 24 MERCHANTUNRCDOEMS1149GT851983991WW1 1,23A.91 1.234.91 2/E/2024 WIRE OUTHMO Rmkp4N 5NF, lP•Commenml 2/8/2024 WPSdMEPCONTMCHCCIAIMPMT25D2SS9212210W 80.0 - 80.00 2/1/2D24 Depp ft 224.25 - 224.25 2(5/2D24 MERCHANT MN6CO DEPOSIT 496178518889910DW1 45,269.79 - 45.269.79 6.981.395V 961809.95.r/ 46E0891 6.981.89 59.906.03 F 59306.03 ; i Balances Overview Account Name '4357 MEMORIAL MEDICALCENTER- $1,940,303.45 $2,042,623.66 $1,940,303.45 $1,652,825.05 OPERATING '4365 MEMORIAL MEDICALCENTER- $541.86 $541.86 $541.86 $541.86 CLINIC SERIES 2014 •4373 MEMORIAL MEDICAL CENTER - $436.21 $436.21 $436.21 $436.21 PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER I $121,353.80 $122,842.83 $121,353.80 $64,874.73 NH ASHFORD '4403 MEMORIAL MEDICAL CENTER I $74,998.55 $76,671.48 $74,998.55 $24,743.48 NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER I $245,739.11 $288,309.94 $245,739.11 $221,272.41 NH CRESCENT '4438 MEMORIAL MEDICALCENTER/ SOLERA AT WEST $87,266.75 $89,795.43 $87,266.75 $37,765.31 HOUSTON '4446 MEMORIAL MEDICAL CENTER $87,660.78 $87,704.00 $87,660.78 $59,398.45 NH FORT BEND '4454 MEMORIAL MEDICAL/NH GOLDEN CREEK $35,326.78 $35.665.96 $35.326.78 $40,423.40 HEALTHCARE '4551 CAL CO INDIGENT $10,427.52 $10.427.52 $10,427.62 $10,427.52 HEALTHCARE '5433 MMC -NH GULF POINTEPLAZA- $14,034.88� f $14,034.88 $14,034.88 $14,034.88 PRIVATE PAY '5441 MMC -NH GULF J POINTE PLAZA $46,908.95 - V J`r $46,908.95 $46,908.95 $45,674.04 MEDICAREIMEDICAID '5506 MMC •NH BETHANY SENIOR $70,283.14 $72,205.84 $70,283.14 $71,303.56 LIVING *3407 MMC -NH TUSCANY VILLAGE TUSC $33.629.69 $33,629.69 $33.629.69 $14.425.69 LIVING - pACA MMC •BETHANY SIR SR LIVING $100.00 $100.00 $100.00 $100.00 *2995 MMC -MONEY MARKET FUND MAR $606,605.19 $606,605.19 $606,605.19 $606,605.19 Total Balance $3,375,616.66 $3,528,503.44 $3,375,616.66 $2,864,851.78 Report generated on 02/121202408:55:12 AM CST Page 2 of 3 Memorial Medical Center Hursin6 Home UPL Weekly Tuscany Transfer Prosperity Accounts 2/12/2024 9fmuc Nxc Only lei 11ho, aWsrW -11 JSIM Af As.0 IA-114xn[. Nn le l: Loali v[[ounl k Oe o avlf 6don[e of $I W rtlu MMC tl epxi(ed M epen v[[wnt FEB 12 2024 CAR 0O p0UWWPAS Amoum to sf BankW ... )3,639.69'9� Vatlann lnre In 9ehna 1W.W / Adiml Oalmn/rnpv/x amt fMIW / An.a.OF.1Sarno, l/1yi031 MMC PORTION _ QIPP/ComP gIPP/CPmP QIPP/CPmp *v a L b;:_ Transler-out ra s/erin 1 gIPP/[omp2 3 4&lapse QIPPTI NN PORTION 2/9/2024 Oep.It - 18,900.00 18,900.00 2/9/2024 MOLINA HEALTHCAR MOUNAACH 01256543420ND11 - 304.00 - 304.00 2/8/2024 WIRE OUTMLIAGEPOSTACUTEHEALTHSERVICE 10.036.61✓ ,/ - 2/8/2024 HNB-ECHO NCOAIMPMT 74600341144000U95452 - 465.87 465.87 2/7/2024 Check h1146 20.840.98 ✓ - - 2/7/2024 DAPmit - 4,47553 - 4,478.53 2/6/2024 NOVITAS SOLUTION NCCLAIMPMT 676203420NOISS 9,381.29 /% 938329 129.871.59, 33,529.6y 33 529.69 Balances Overview Account Name *4357 MEMORIAL MEDICAL CENTER- $1.940,303.45 $2,042,623.66 $1,940,303.45 $1,652,825.05 OPERATING `4365 MEMORIAL MEDICAL CENTER - $541.86 $541.86 $541.86 $541.86 CLINIC SERIES 2014 *4373 MEMORIAL MEDICAL CENTER- $436.21 $436.21 $436.21 $436.21 PRIVATE WAIVER CLEARING *4381 MEMORIAL MEDICAL CENTER! $121,353.80 $122,842.83 $121,353.80 $64,874.73 NH ASHFORD `4403 MEMORIAL MEDICAL CENTER 1 $74,998.55 $76,671.48 $74,998.55 $24,743.48 NHBROADMOOR '4411 MEMORIAL MEDICAL CENTER I $245,739.11 $288,309.94 $245,739.11 $221,272.41 NH CRESCENT •4438 MEMORIAL MEDICAL CENTER 1 $87,266.75 $89,795.43 $87,266.75 $37,765.31 SOLERA AT WEST HOUSTON •4446 MEMORIAL MEDICAL CENTER 1 $87,660.78 $87,704.00 $87,650.78 $59,398.45 NH FORT BEND *4454 MEMORIAL MEDICAL I NH $35,326.78 $35,665.96 $35,326.78 $40.423.40 GOLDEN CREEK HEALTHCARE *4551 CAL CO INDIGENT $10.427.52 $10,427.52 $10,427.52 $10,427.52 HEALTHCARE *5433 MMC -NH GULF POINTEPLAZA- $14,034.88 $14,034.88 $14,034.88 $14,034.88 PRIVATE PAY `5441 MMC -NH GULF POINTEPLAZA- $46,908.95 $46,908.95 $46,908.95 $45,674.04 MEDICARE/MEDICAID '5506 MMC -NH BETHANY SENIOR $70,283.14 $72,205.84 $70,283.14 $71,303.56 LIVING *3407 MMC-NH TUSCANY VILLAGE / US�/ $33,629.69,� / $33.629.69 $33,629.69 $14,425.69 •3660 MMC-BETHANY $100.00 $100.00 $100.00 $100.00 SR LIVING -DACA `2998 MMC -MONEY $606,605.19 $606,605.19 $606,605.19 $606,605.19 MARKETFUND Total Balance $3,375,616.66 $3,528,503.44 $3,375,616.66 $2,864,851.78 Report generaled on 02/12/2024 08:55:12 AM CST Page 2 of 3 Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 2/12/2024 weww, lemon. Be/InrJn/ nomMlYa^IrnmoJrrerJS,WawiNLee /meero Nenunlnppome. Note}fnMonwntAmraur bbnneJ51W MrtALM[tlmwfMrommereewt APPROVED ON FEB 12 2024 CALHOUN COUMii4 RAe .w" M,eMn Mwwna Br Tnmleoedro Ynk B,bnn pg11e.1/ N lenNnraalann New .an,.wlmnnn`r...m, .. w ,. ram, --�— aNBREW pElOB5RM0i 3A.A.A0 GWHWCtMrtnmre.WH uvl Tne,Nt%MMINWAWRwlrrm:tel Wmm,ry LIP.l4 MMCPOP]ION pp .. 9LC[1nAut /TJ3pElAS.3p QIWu-PI OIPP/UmP] yPP/COTPl OUP)[glllP661[PI[ OItPTI HNPO0.)ION ]/9/IDN HOlIIC[ Ofmwll.fi , Nf ]IS@IWAII. 1,59L59 I/9/NN6 N[4]X]OIM1xpICNfGpIM9M51N60]MMI E 5,1I1.69 1,99B.59 imm. WU60XI POftl. .Wm ]WAl[O11// 5,1]H99 01=4 We It 11.1563E I1,356.R )MIDE6 NKSW[IPMUM 319161M0 219Wl[PIA I41W.fi )b1ID36 Oroe41 eA3en 34P0]0 1,OlL.AI )/]/N]1M[4MHVM9HSVC NCMIMPMT IHEIXp111W16i 216mm Gn3p6L 1363.39 M."A _ 943.50 WI M14 bPmft J 14696.1i E6,69CJ1 ]/6/M)A ftM$WIfP[Kk[16 II11N"43014 W6lPfP MM2zu:m NCC-ICH.. 3,1109E 3.21M znlnzI .Pwu%6939I3e3w<f15R ]/5/MM XNB.[CMOX[CWMIMi>6fN3<I166bW][O1W // ]IOA] 3,]10.9! __ mz3A6 69AE21). - 330.11 699RV,/ Balances Overview Account Name •4357 MEMORIAL MEDICAL CENTER- $1,940,303.45 $2,042,623.66 $1.940,303.45 $1,652,825.05 OPERATING `4365 MEMORIAL MEDICAL CENTER - $541.86 $541.86 $541.86 $541.86 CLINIC SERIES 2014 •4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER $436.21 $436.21 $436.21 $436.21 CLEARING •4381 MEMORIAL MEDICAL CENTER/ $121,353.80 $122,842.83 $121,353.80 $64,874.73 NH ASHFORD `4403 MEMORIAL MEDICAL CENTER 1 $74,998.55 $76,671.48 $74,998.55 $24.743.48 NHBROADMOOR •4411 MEMORIAL MEDICAL CENTER/ $246,739.11 $288,309.94 $245,739.11 $221,272.41 NH CRESCENT `4438 MEMORIAL MEDICAL CENTER I SOLERA AT WEST $87,266.75 $89,795.43 $87,266.75 $37,765.31 HOUSTON *4446 MEMORIAL MEDICAL CENTER $87,660.7B $87.704.00 $87.660.78 $59,398.45 NH FORT BEND •4454 MEMORIAL MEDICAL I NH GOLDEN CREEK $35,326.78 $35,665,96 $35.326.78 $40,423.40 HEALTHCARE *4551 CAL CO INDIGENT $10,427.52 $10,427.52 $10,427.52 $10,427.52 HEALTHCARE *5433 MMC -NH GULF POINTE PLAZA- $14,034.88 $14,034.88 $14,034.88 $14,034.88 PRIVATE PAY *5441 MMC •NH GULF POINTEPLAZA- $46,908.95 $46,908.95 $46,908.95 $45,874.04 MEDICAREIMEDICAID *5506 MMC -NH BETHANY SENIOR ,/ $70,283.14 $72,205.84 $70,283,14 $71,303.56 LIVING *3407 MMC -NH TUSC TUSCANY VILLAGE $33,629.69 $33,629.69 $33,629.69 $14,425.69 *3660 MMC -BETHANY SR LIVING -DACA $100.00 $100.00 $100.00 $100.00 *2998 MMC -MONEY MARKET FUND $606,605.19 $606,605.19 $606,605.19 $606,605.19 Total Balance $3,375,616.66 $3,528,503.44 $3,375,616.66 $2,864,851.78 Report generated on 02/1212024 08:55:12 AM CST Page 2 of 3 6 l 6 ADy m`c 'mc m rm^ O O o 0 un �n nn on Z OC 3 R 4 �° y n a m ti ti �. = n 00 0 0 OC OC yay r + H y x a c m m n n 0 0 0 o No wp n o o yo ca a Mz O Fr N p O m ti m tr^ m y m Fyn m y m ti m y y o m O y m y rt R � >C tr-m a nz g n� '0ay yO yO no mn En k �` p > D� yng r�Z � D n �� ~ryGi -i -D7 y0 m n 3 n O Z m r, O r K > m C Z o m � N y y N' N., w -� A O� w0 o0 n W n n on -in ',. N c w m .o y W D 0 H 00 0w O H m 0 nyy O Z3 '^ O cn no O .y m n n 0 J D O n O W "] N y n A y y r n 3 r y F O m 0 y C e \ m .Ky. v h O a 9 7 O c N N U A to U U N U N O O O O N U N U W P W p N J j U U U pa U O O n I a I 1 o o 0 o 0 o W a a N 0 0 � n R _6 O O O O O O � ! £ § 2 - 7 § k ) ! I£ ■ � 2 a O e O a - 3 'a z -1 v n T % 8 § 2 { = 2 2 ` § § 2 ! $ | a y mN13 z �i m tzi 0Nro r O ox� a K H C 7y tj n H c vH zpu k H a e y C N pu ro K t 13 C H 3 t z z H C fn i 14 t m m H t d1 F 3 a z a K C z 4 tl M to twa y m C [ Gt K PU 4 ~ N l7 O H N N f] O & N 5yn M Iy 4] w O v�i �d ro?+ro 69 69 69 69 FA � {� i/1 i/f H m m N H m N a s J J O W W W H J U U U U j UI H W �1 O 00 A A W W O N O N 0 >c Rm3 nnm3 a m'3 m3 >n °noz °Moat o z� oz m A A zz D pMz > r r w m n 0 0 my Dm Q1 c �' m a A O A m r O � y v D -i w P P P P P P P P P P P P P P VPi W W U P T P n 1 2 N Oryrx 0y N N 0 N O N O mN m rr O Om rm rm m m rm mT n n$ � � �< . rm y�.yrr, cr cr cr yr �� a A Z r Zz m� > > m yK zz m N< Zz w{ zz y< Zz zZ Zz S 2 D m a < < v B N-nC ti ym i K K Z E E > > m m > > m m W O Go O O W O Ca O W O W O N N O N O A b A P W O W O IO2 W A W A W A W F W y N D D O l0/i O O p O O O O O O O O W AC JC ST Ac 2r mw 27j m>> iiF r>c. rL �� O1 OZ a A am� �z 3-zi +m, -zi na 2 'na .0 n C, r Wm>N P s < N W m >LV>W m 3 �•� O 00 O9 U m O U U R iG r"m '=.� gZ <W 'PJ � n 0 Q M O A W P U A J J N P P O O U F O O O O J U �OV O O O W ° y 3 ° m 0n °z m m N W 0 ° 0 V_ J n O > ° c -C:i z, y y mP IF' 1" o ° x4 x14 y r0 nH =vmi w w o n l='ti v C r C m F y on 2 O p 0 m m m P P P P P P P P P P P P P P n P P P P P P P P P P P P P P O O O u N a VOi .Op N N N N N N N N N n n n O -1 N N QT N N Ox N N 0x N N N N N N N N N N N N N N N N N N N N N N A pA C n rm rm rm 0x rm 02 0x OS 0x 02 0S OS 02: OS OS rm rm rm rm rm rm rm rm rm rm a YN -Zi �N r yr yr yr yr yr .-{r yr .yr yr yr S rn K Z>> Om Qm ^pm Om gm pm pm pm Om. pm pm �r Qm pm Om Z m0 N ZZ ZZ ZZ ZZ ZZ ZZ ZZ ZZ ZZ ZZ ZZ zZ ZZ ZZ m mN Nm Nm NA Nm NA Nm Nm NA NA NA NA a'A NA NA m n n n n n n n n Q n n n n n a J. W_ W J .J. J J 2 V 2 �2 2 J 2 O �p W G Oa W W Oa W Oa Ge O O O O O O O O O O W O Oa O O Oi O G G G e e e G m w G e e w o a O p N A A A A A A .. A A A A F A A B n y y� 3 m3 Q � n i $N Z N'A `A A Gr i2 NQ W Q �X Ax y o c b BOO P❑� Ap O A"CrJi A"Sr'I � GV N rl m m O m c N O O Q n N C n ° C 'z ° W ° W 0 N0 N0 00 y c° --z3 y w y a -zi K K K yzZ K �'� z °m z C) rzi. A & n a c > c z z m m a a m X o o n n m m O 3 � m A m A A n n n n y — 0 0 0 00 ob w 0 ° z n b p K m ro0 c Z > z 3 z 9 -zi K m x 0 > m m n z O r m C C u>> c 9 n m cm- m Z n C P O U W O N W O U N U N P b P W o P nm 2m rO n� �mX -+rim m0< W ap OD m> <C3A r pa c`� z O >nyyy h'3 r > zN by n m m n > n y w z W W N b J O W J J P b y y b W q O O W O J � t4ii, c nn o° tin yn DO >O na Occ vn 3� ron 3>r r_n °Z 77yaan z ZZ -ap � >Z mT. yX CON c0 C~7 w zN q r w -q i3 t� m w J on mn °z- so m0 K m PO p O 0 a3 n r 1 rt H a n P n r a � r � rt m 0 N y Or m Z z m A ore ti M m p K m > j>i r on K o n � ,o z O o N < C O 3 � I A � N N = O N � A p O 4 N O a A W o n n on nn nn nn R 0 0 o00 00 00 00 y< io m F x D Y C Vai m a 0 a N Q p n O O O 09 ob x n $ 0 n O Dr DD 0 m m n o 0 - y H O f ,omp vm 0 z Zy m > y n 0 0 a m r 0 r 0 "a 0< 4 z H � a r C m N m m H 0 y C C n0 m v -1 m N U y V 2 G W O O O O O �p W r O O O W O O ry A m �m 10 A A A t Om 'n -3 a� OX < >x w Z r W W r CO K w � y y� FF ^ m n �R= ^ O urR ama -AG < m n aO 000 nm m mac y Z zr 3 Z 00 n Z n p 0 0 O< to N W q W w p� O tNn O O O O O C O 0 N N O N A No xnp p no p o � gn3m 3mym NNna NNnA �N KEND pD D 0> Dxm m yyy wNnA 'm o �r Z T_. noNinp a m- O �w �m�' x ar >r �n Zoo 'C9A�° �D gD t oD oD o' 9 m z y p n U C O F O n` O '° 9 O O �''= ao W. rl m wm '-� D D^'a r F yZv mn .o OF -1 D nn n nN N �+ ap m g ?0y C m n� nn_ "= a _ m D a -Da 3 m ao o 5 .I e § o m m O O O O O N zz -Ni H n z z o o n n z m N W N U O O O - O m m 9r � m �,, ap 2 n O t ni m O D n r O z0 y O O A p O y r r m y N C n r m -Ai m y N m N N W W W O W O O O O 0 0 0 0 0 O m q A q Ep O O 0 Fp A a 1 °z m Oz P W GO Oa b O O O W N P P W P O O O O J O O W W J N N N N W b A N W > N O O O U b N S A P O b W J O m N N m N O N O N mop N o 0 n 0 n ?n n n y bn z i zy?-i W -i c-7 p N y zaA Zxx AA um,= 3A 3 Npvi N� uCi win p°� -i N y A N WCa U W J W � Oa O N J U U y O O c O c o 0 0 n aZ O n r O r ° > z E < n n O y -Ai O y J J O J O P P a O O O u O O C 6 ° 00 �3 y3 O O a g p O 3 A C c n N N o z N a P b O O ry oa oe O e O u a a o O NN <D a zN VJ Na -- ° ym Oz N z 9 r J W Po O w O P O U O N O O O O P O m n A a s m 3 > 3 3 m am O = am <a m > ja amiz mza mZ m 3n Mn n K z { z K m 0 n a r W U O W y O y W n O y m> > Q1 K o Xc C m m 10 m l r O v N9 < o a > ~ z y � q o 0 n N 3 m z y o y y N n AO Os N W W U U U N A J �O u T v P w WO r 6 A no Oo D O "ay' O 00 no O zW a x0 SO x0 Za �O r0 < ym zm y m m m m zn j no n Ac O,crn O,Cr,� nm jD n� o hj 'z or or n rr- a F F F am '� y fn gn gn n n-i r r r K r { { K �' n O O O O a z m N G ~O a D 9 y O N m w m vai m ran vD, r' m O m cr- rr- r� M p r r� n rh n o y S 9 9 a n w N N N N O W pa A V A P U P U J W W U V U U J J U VO A N J A W N U N U F �O U .JP = O J w U U U U A P N N P G W A N 3 W P F A �O rj V J N om y3 'vm mm m3 Nm m 3 Sm 03 nm m O$ S m. K Wm ag nm m mm Kg 'am m3 m -im rm nm -i rm„3 >3 N N r N a N N N n N 0K O N K N m N n N 3 N �3 N m9 a 0K d n" n- - o 'pN 7 - "'- - aN NN sc ma za y RE o A O N VNi t�i iz)- p a U Ian' 1 r.� t S N a_ n P 3 ' z Oyn0 m U W COO X ap HO O rO ay rn o �� S 9 m m z m 'gym n n D D py m z o n0 z n O O O r z m z m X{ S x0 w z z m T a y A 0 c A O �n � O O O 0 l x m mm O Om m <X n z z n n o oz o yz " z y H { O m < m 3 < p � tn*f m 9n A Q U m rn m y Z_ y m r O m 3 C O w � P < w A y < � m m w' w a u a a a a a a a c rn a 0 b O b .. O O N O O O O O O O O N N p a ny O� o D7� D xn n n n Om nm yA y DC A 0x Om Om D D D >m Op OA y Cr pr Cr ZZ �¢ c• �,a 3 p-n �0 r r n Z Z o ZO K O°C r 0m Om om r r r n- C- Z Z Z my0 -yi < O j -zi -D-i -D-I X frrl � z a N y b o 0 0 El -10 CO xm -Nm T.m m Gr%m -m m m m m �Um MWm MWm -i W_ D �`N N y (q N N N NON 0 Vl O—Vi z < < fn U Vi fA Vi (A O — •P Uf N 7. W ... z VUi ... d „ < „< < xi v Li in S p ° J — b T U F U b A U O J A V O J O Ce O O O� U M a A O N CO CO O O W N O 6 O A A O O O O �" n4 >° g0 a mn m o 0 oa °z 3 = = z z w a a J O P o m � O J O P O P Vi W w °rm Z y° m °zyz m O J J ass�se 3 0 n e m 'u r A R � wm ym A wa waw-i,> S� n ya ya m� �z 9 o z o y r 00 00 zo o90 a a '< z 0 '< aO Z o w m j n m< n >O D N n r O X z -zl m { 0 m 3 -i C ° O N G O A v W CO ma na RMf 2a ,b N9 n Ed fin`+ "�'NZ 9a, O z z p m m m m ;1 O A c a a mn rnnn mn n� nn O Sp z Z o Za om 'om .nnm nm m m 03 m $ fm]Om fm]O n0 NO x0 72 O O p n p S 3 n 3y n n K m r y P O O Ga O O t�A N N V� U VUi O O O n 2 nm rm p m� a> Pm rn-y bm Am aM 'Am �� A -ir yZ N ��C3`ny mz�z 9z90 O z 3 m rzAy az0 o m 3n n nn n BE z R. '� n� m m m m m m 0 O o o O O O O O O O zo F eta O N A q W z �O W �p b P P C O a— n- 0— aP nP yP r 'ter r pr Or Or r yr r w N m \ _ i„ 1 n w X y n w 0? a c u U w y c rp m3 mz mz y r w m Nt<�1 z yD -n n3 < y> A O vAe m z m O a J N P F A N N � IJ O O P F. W D• W O A P _ O O O O o r m H a as m m A O n0 m0 a C C n a U U O N O � •C O b n O O yO m 9 K y h Z y m n m m K O O y n o 4 z b U W W W 6 W Orm am Orm OA ti Kn OA m m C C O y m 61 C r J `., r 3 zo G y yr A j A A z z r z "'�v, or O O a 9 0 °zz n z°z za yc �° n n a r a m y n a z-Aui Om A 9 X if Z y n Z Z W A W q N Vqi A O O N N W C 0 J b O b ' Ca O O q W W O O q pv C J. z wQ A9u 3 W z CO A A pp A < t-' c �y 9 N -C o o D nu n� I D J N O K = N '-pi a k a - n f � _� h _� .Ni J mn y a O N N J fl1 O OO nJ f)J a r) mm N R S P O W N O b N U J N tUn J J W W J W U O W b O O W b O O O U O b n a 0 0 0 0 0 0 v l O y y p V ,m0 m m D 3 z U A O O O �D n rz> n DD lto7 3D m0 cif C m C n v' tn] �Z-I �C yC aC mC Qo 'ao o no �d >v m m fDjZ m m� 3 n Boaa z Dl� V+ n D ;^ r u Vi u P u W P W P W P W P P P yOj y yOj r W N J O O O O O N O U T O O O n p R O m RI, -I A O 'flm 3 N N �m nx Om to m: 0 n InN w w G 0 FD)C -y-1 D D a fir"' �m C-1 r �m y Qm � �m a r �m a OO O O %.>> F m m m 6 o D Ir_' Cr.' Pr' � -z-] 1 Z N yy zz °z zz zz zz zz zA wN.7 y0 T. yn wn tin y0 C n O 0 A r G U N J O O W O O O O O O O O O O b b �D Wb �O b O US O O O Z O N N N N b b b b b b U p O y 9n CS T.x T.� '�'J u- T. _ r =z'm n- m� n mf- 3n mDF 'fin zn K� m-] xv xG oAwC xG mo xN H ZD An Ay� n°'v m o Ay 77ya� �yf 7y� CO CO CO CO Ny COA 7� A 7� ADr �tD" O mn .Jin o� w3 ate{ z{ { { { w ym w w oy-1 y W 0-ya D D a N m r i Fm3 w w a g z z rlO .� 3 3 2 o NSA i°� O W O 9 N W rt _S A P J b W ea W U W W pp W N P O A n a 0 0 0 0 0 0 �O O mjD v n z z nl ~ x o -i ° G e n 'i A DO I <�a yyn aZD Oyn -7�D myn r�D •nyn ZD yn -iza myn D yn O'D yNn D Fyn n r y Z F -i Z m ODm rDm DDm 9m z0 no mno =A0 n� n m ano Dm >m yn0 yDC n0 ro C O m < m Q m Q m m m 9 m m m m m K m m m F O O CO U J J V J U U O O O O O tOi� A VOi w {On N tOn J O U V tOi� q H p r n rt n an K n 0-1 mm r O m-7 A-i z n O9 nN LA>n1anm Om O> CmCym 0Q ?<' DD 9D Da y YZ ZD n 3 z m Z < z< 2 a m m I'yl m -ai O 0 -ai n .a.7 z a z o Oz m z o o N to lA to Vi P P U J P G w = w O O O O O O O pSD z 0 U A A W W J W J U A OJ LO P C C C C C C C C O 3 C q 3 J Po pp J O J pa w - 3n 30 30rrin 3n 3� 2n 3n — C O C O C O C O C O C O C O 20 C O O O w°O y 00 yJ AO O y3 ym InJ y y �^ y A n n n n A zOz z z A A .Np a a A F p a y Rm m m R y fm/! rA H O j N e O N U b W � O V`Di N J NUP tWi� b 0 O 0 l tt A �O p � p n A -I o m p 9_ ut O � 3 c � r N N a Z m O c N o �` o• a. a a a o 0 o w w O A A A A O O O O O O w tOn N O O p G o mp2 02 OS oAz OS �n 9 C DC D rppp SC 02 tr"O m Az wpZ D n� aq0 ow�� nD F � m -Ci�Cir A m pams A< paom ow�D cm d m X azzza H Ncar-z mp� n m H a A z r 0 0 0 0 0 0 J Uh O O M N F ^ D©W - 2 W CO rj. o1_J w\ J2 O uo O �w An W y my n W z 00tt m Ott LP am 6 N U lAA W D N z°m w SOD .OD v'y au-ni a�,y 7C '� �y ao,ant c °rn0 Oj `w n8 Z Nv p �V ' SD NA xA xZ 2 `J'A O O P m O v S O O N n yC 9 n N m O m zC Z 7� 9 O N ' A P F S a S z � 'a p Q N O U V+ T IJ J w T M T A F O J Oo Q P.O O w O (n F y P p O O O N O W J 0 0 n n n w w w w w w w w w w w w w w w r N N N y N y N N N N N y N N N N N y N O O O O O O O O O O O O O O O O O O O p C R x O x O O A_ OO A O O A O_ OO A O? O0 0 O O A y c x bb� aax az >>x ax >>x ax a az ax yyx yyx ax ax ax En �n zn A z0 z0 z0 ZO z0 ZO z0 z0 z0 z0 'z0 z0 z0 z0 z0 y0 y0 9 mti m {r {r {r {r {r {r {r {r {r {r {r {r {r {r {r AD Ay ti y H y H y w vmi y w rmn w y y y m „Nm -Ni p z m nr A� n� nr fz7� nr A� nr n� n,i � nr A� nr nr ,�r rr- cr- z n m m m m m m m m m m m m m m m n n r O n z N N W W W W W W W W W W W W W Vi n� O O O O O O O O O O O O O O O W U O N 3 O AW m m W A A A-i A m A A x A A n .b b A A A w. m m Rr, vNJ m z W o' m m W 0 m mnu O O rn D W a A 0 D.-�y -_ri E Ny r�iir C mD D 0 O < "'�3 AZy rvo A 3 A y m W m 3 0 m m m m w m0 a i t m A - yr N m y Z y O mr O.O yy z yy { r a A A b r7 A y w x "m w j '� A O A C m m F y n o 2 y 71 0 m � A F m I P N O U J P J N eZ 'n a O a N yy n i r O 0 y A yy m r Om m rr- H m N N m m � O N N N N N O O O O O O O O n� n-i n-i xn rn rn n-i N m� n n-i o oA_ oa_ oA ac oz oz oA a .oF, A oA 00 a's _ yys En �H �y a's m 3a a'2 a'om j 0 O j 0 m O W rif O O K m n z -n r -� m :� ; y nm nm O ntm np m n� m A r m m m °z °z N N N N N N N O O O O O O O n-i n-i n- n- n- n-i n--1 O A O A O? O A O A O? O ?� aF aF mF aF aF aF �F ax ax ax ax x ax a zo zo zo zo �Zo zo zxo m -� m -� m zN zN zz" na n� n> n� n> n> nr m m m m m m m o. O m W P P W U U w P N b P P P P W P P w P 10 ry W Oi W O O �O W W W W W W W J J J N J Co J ut J J J J J J J J J = N N N O o0e O N w VAi •_ � _ � � �• -•• z m = tv O W m m m m m m m W O m z m a w m m D m m k w m N O W N a rn Cs ;s W W s m N -i S A L. N ut y O th O N 01 za m n N o �i A m An mnx x a F F nn m c oy O w y n F A = r m F0 p0 A D a mA D p n c z a y y A� Dm mmm mnl .-6 -1 Y 3 A m Z vDzi mc7 rOd m C zZ { �? 0 v A O n P N N P J w W Cc P O �O W J W U .Np b J N b n 6 J P J W U U U U U U Vi W U N N N N N N N N N N O O O O O O O O O O O O Sn 0000 O r rn ,0 oa o� ac a a a a y �c c N m rr y r m m m m r m Z O Z O � O :1 m :< m y a C aC a a a z a - nI rZy Z> C-i y-ci-Cl 3 z brF o0000 o a m m W w w m u� H� u cui u O O N W U tJii U w �O O � W y W W W W c O W S A W N N N N G N m N m fJ ? m a° a a a y m m � H n "' n A m y y m w .a C w F r O O 4 q U VWi W N J t Oi U W W W �D 4O CO T �p -0 b O JV v A y > A o r m z 0 0 VJ� U P U U U W U V� W N U w to W W W W W W W W W W W W N N N N N N N N N N N N O O N N N N r O O O O p 6 R x0 xC) xn yy0 o 0 0 3 r yx " � rn_ rn n< ny 0 o an nf<� n< 0-7 0y zCr FCC- zCr Aamm %rm- E ODA 'Doti �Z 02 On O'9—mm D 3-i-ni 3A 3? �' yOrW mm oY OD 90 <r�' O<' A z z .w .U' aA aS r r 3y a,°v DA DS DT a s z a n nz-z0 �<o z z-z0z0 o°O 'o 'o m� mNoo "� n� m� n zy zD n n n n a s y z z a m a n a a m n m y H ti '< -< 0 Z b y W P w w P U U = GO U U W O A P C N N NN p U �p U W N J U U P Oa y �p pa N Ce N J P J P W w W A J J A A N J W N O N N J J — �O AA R1 W rnA C W nA W A A A 3A A 3A 7� A A A A A A A A A �A A A A n we w C y W to W W w w w in W W w w W rn w [a W m w {A w W CO w W W l9 w w w to w W rn O W W n— w n N w N w N w N ° r a Rml y x r [' S Z 9 a c 9 W 1 3 a a�,maymm Zv a O n <ya m 3 py m C�- A �1 x ° 0 E y F C w r. z m y y n n m A y y A A < m V'mA Vl N A 0 m ry 3 a0 e S W N O' n a L V, P n O ,O r y > m O m -i f) D y r w W w w w W N N N N N N O O O O O O °z ooc oC: oW �� cm cmrm 3m m�'3 ,nm„ 3yna Dm n� "m m v n AP N `O A A W N T C 9 u y W W W tD W A A lAD A A A vai 'tl A P O P A `ND O r O< m m 0 C D � a a 6 O W O b N P b J O O N O O O O O O ut V, N N p 6 p o a x an rn rn xa za < A ym w-a m am yzya 02 Oz aC aC a -ya Za oD my p-rn pm < 3 pW p0 -Z Z yK ny ww ww %� OC OB O O as as 3 m a r Ap Z Z w w Z O b .pr m F b F Zm 2a of m A A So ]� F w ym mw 0 Om m m m Cm m a [, j 9 m J R1 W b b 'i . b N T a A ,mn m m Z.. ,gym NO O Z Z O a O iz)r r 3 O n a „ z z A V V A A U b A A U V> A O O O N O O N N A Ub a IL 0 a O a n o ti z fN n W � ° O n m o m r D Pyit b r � � m N N w w w w w w w w w w w w w w w w w w w w w l n N N r N N N N N N tbi, N O O O O O O n O O O O O O O p CR. x0 rr r mn n-7 20 nn nn Oyy r n-7 0 o3? ar Aw ay yx 0 n 0Off' OF Oa OA OA v,x yx 9 y gnyy z Z ax n .<°rr- Ozvm mm nzboE �boF borE- 0 boE nav an�v z y °�2mj*'y _ °n3nDrn n 3 D D�) > oo3+ m m m m r r -ZC -ZC y y n n n n J W F F N N Jn ,p W J A N J J J J J J J J V A A F F �yO O O O O El N o o b b o < < o o u o 0 0 0 0 o e ,,Sb IJ N N Q F N N N N N N b DQ1 W 3O CO yA as �a 7J A Oa A A A bA F a F F F n F ro` a F .Op y W W W N W W W D W D W W W W a �o a> y"' �GD w iZ3 CA yN Na rW a u y� mw 5 rn ° rr- mAO n m O y0 3 O -I D ti 3 � n 5 in A 6 O a Z m x x m y r m m A m A x m 3 y y Z > > m m m 0 m m zi < y > m rn y O O O O O O O O O N -i A Q v n n A q w W w W N N W n n R yy yw wi 0y wm vw yy .w rn Cr mr cr G Om _Dyr X DA rp n<O S O S O S O S 0 m O S 0 2 OS O D m m O- yr am wrZ Z�m Zyr ZAm rZwmZA rZymA ry.mA rymm pDA y) ZD aj XA y oeZ cr cr ccr cr m Zm 2 i ny vZZ Z Z Z 0 c p m 0 0 0 3 n n n n n n n n K K K K K K K K O O y O O r p y n z E5 rt O O O O O O O O O U P P W G G w m G G w G yA o pS:E. 0A nAu U ncA'P vWa S'DMWA D3Fo >w A 'o 0M.N WF pKWF C 0 p ZZ�\ as o� �m 3 J -1 y0y � mA mUA 5' z3 J Py�l, _w w iz y an my"y a_a N�F yO AZ n O m_ w m m Z y m -i -1 '}' N N N W N J b VNi JV' A w W VOi � W O O VPi C W P - A n 6 ayn F a a a n m z 3 y c o a c O O 9 J U n O i O F 0 3 D N r n c n y m y n y m 9 O z r O m O 7m� a O y z m Z w m OO m yo 3 a 9 0 m [Oi1 a > m 9 c N y z N r 9 m n m ur P P a w w o o o w w w w O O O O N J U W U W W U U W A O O q r O O O O O O O O O O O O O A p 6 R pm m� pA m� �nm zo D F T T. rm rm y m a a mZ O m a 0�-r" O r� m3Occc ah Dy mm a n �'� Zm mm Om yz O'a 'a c > O DO zC 0 m z w C) nA DO A� O0 z A a p r'm rm DZ m O z zm 3 m rm a nF o ,zn m n ny n n0 cri0 <Z z 00 w -yy1 > N A 'F A y Z X 0 0 m z 0 0 0 zm P J A O P w w A P P P U U U U CO A W w U W N �D U O O O O J A q N W N W O A A L W 22 J w m 0 N 0 000 00 O 0 O N-IO o N -O O t�J Vl A 0 0 A p 9 y 00 y m F Z N ym m m pm m zm^z o O w 3 9rnnn ,i �y OA A m Z0i m o n o H O a ,z-t a 0 y N c z = _ z O P W O J J J Ce U w J P J C O in O O V, IJ w b O W P W O O O O O O O O J N J O O v E 0 a rz O v z z O l m m y o 9 a a' R 3 3 3 z -mm o m � n e rn- P m A y N'z m y C K v � r q m 9 m Z o. rn a w 0 0 0 o u r c n rt y y y m z y y ox P a x C ac < zZ O z°z z°z 3 y y m y m A° m y m A K C) A m n 00 O oe O oo O rn .o N zg �a D D as p S S n 9 9 0 S b 3 No 30 �°z =A w°a T C a x y W e O o m v y y a O m -jj wD a n 6 O O O ° z z o 0 0 a 5 0 0 m m _ m m 3 Z Z -i -i o � a e n e e D m rn- y AO o O 3 N w S O rb N w n A r A (j _ a o m a 3 m -ni n rr- n J � 0 9 3 b Z Z O O O v 0 3 fA i 0 a O z �y l d t ti o � o � 9 V n b <�a rZa za �a pza �a as n OCpA zyC c D�C c 7.YC c C zCn ypA Cn a7.f , n aA o Zm m 0 nzm m 0 zm m 0 m m 0 v, >azm m 0 YZm m 0 Om D O m nz � vim n m a m me N N N N N c n rnrn rnm a O -1 mm a mm -nm A y n n o Ov, Dy -i Ow -i Oy Oy �y y z�a a za a za d 3 m0 m0 F w� y0 y0 "a'1 nz z° O O O O O O O C O O O O O O O O ry� Aa a�DAa a 30 30 30 =0 30 C C C O C C O C C z z W z W z z A A A > A A A O , ro O O O Ca to A W �O O 0 = o z o yc m y a D m m 3 -i o .o � e a � n "gin Sin awn m� wn °ham rwn yn yn yn r 0 a z a a 0Zo 3 a Ga ,W� 3Ga Ga WGa m C p Can mGn nn i C Mzm ZO nzm m m G zm 00 rsm 0 yam 0 ZM 0 ym m 0 Fm 0 A m m m m j m m m z 0 0 0 0 = 3 b c z o a t' C n ' m P. O w z < w a a z D r y N N N N N N N N N N N N O J P A W N J p 6 N Ox '%I fait .n la*1 A y0 0xm 'n tart A �fx�*1 F 3 Cy Cy m w m m F n y N m j Z.t roDi. y m NO o X D 0 z a z °z o m o O O O O O O O O O O e o J W W M W J W J W m � m� �� m'Dr mA ay ay ay 'aD n aD 3 c O O 3n 3n� 3n 3� 3� 3� r 3 n G G _3n O G 0 C O C O C C O O O L. O O N Z3 N N N N 3 3 V1 D m m m m D O m O J 'i1 N Yl Q z m m m m z m m m D z m m m m N N N N N N N N N N N 9 A N O N P P � tNn w W A U p O A N Iu 0 0 ( \ � 2 ! £ \ j \ � } @ @ / /§ « \ § §( ; ;{ ! \ rm �)) ( �) 0 n ZO L 9 m m s z z O O C o L A Q C y< o vmi< � co co z- z- n n o O rr r o m m � m m 0 0 0 P o z 0 a p O v c byy � H P � 3 o � O b a b n _ O yyn mzn ACn 'nzn za myn wn rvzin yn -nwn 00 3n r m cn zZa mcn ]cQ ;o cn cn zcn cn min n no -7 S A 0 O O o np Tzm mno nZm np =m zm np yZm na ZRmf n0 �Zm n0 zPm fz'�O. Zm n0 Am -7 t7 Pm'm a0 O m m m m m m m m D- z y y < < O -i oa 9 r m 3 f] A O m c z n y m y y r c 3 � 0 m n n z me z t.' r n nyi m y a a -zi n r r y m < < r P to N N N N N N N N N N N W J J J J P P P P P P mo 21 za �X +r-im 0m a yp 0m� a �XmX �m 3 m O 00va O O SZ , -yi y rn=w y>ry amz ym zDn m y y y m mr0i� .y pw m m0 m0 F m0 m D a yn -i p yn yn T• yn X yn D D 5 D D S -ai -ai -ai O z C Z W Z Z Z to N J T J M W J Ce J w J to 0 W J W b U b b b O O O z p J A W O N O N O N O N O N O N O N O N O N O N O N e o O Q O N O O O O O O O O O O O 3 b �< ma �D AD AD �D '�D a9 'on aD 'on In 9n-7 D< 3n m �v y9 3n 3n 3n 3 n 3� g_n O O O O O O O O O O CN 3C _O n N N N n> O o o O N O N o N o N O N o N 0 N 0 N 0 0 N a a O A c P J w w p w q w A yP b - U J VNi T J < A J N W W O O y W A W A O A O O - n A W O O W O O