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2024-06-19 Final PacketNOTICE OF MEETING - 6/1.9/2024 June 19, 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: Karla Perez The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10:02 by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a Page 1 of 6 NO I ICE OF MEETING — 6/19/2024 5. Approve June 12, 2024 Commissioners' Court Regular Meeting Minutes. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct'2 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: > Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to take the following vehicles to Auction and remove the first three, from the following list off the Sheriffs Office Inventory. (RHM) i) 1998 GOLD YAMAHA 4 WHEELER (VIN 3Y44WUW08WA027365) - Inventory ii) 1995 BLUE YAMAHA 4 WHEELER (VIN 3Y43HNAOOSA183025) - Inventory iii) 2004 FORD 4D CROWN VIC (VIN 2GCEC19VO41261267) — Inventory iv) 2009 MAZDA 6 (VIN IYVHP81A795M15783) — Seized v) 2004 CHEVY ALALANCH (VIN 3GNEK12T34G112877) - Seized RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action on removing asset number 565-0783 a maroon 2001 Dodge Ram Pickup VIN 3B7HC13Y81G798018 from Precinct is inventory and return it to the Sheriff Office inventory. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES:' Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action on allowing Patrick Schubert to establish new service with AT&T Firstnet for a County issued phone. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese` Page 2 of 6 NOTICE OF MEE ING -- 6/1.9/2024 9. Consider and take necessary action on issuing Patrick Schubert a County credit card with a $5000 limit (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: f Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve the transfer from Black Mountain Energy to AEP TEXAS INC. and The County of Calhoun, on the Access and Utility Easement dated June 14, 2024 and authorize Judge Richard Meyer to sign any related documentation. (RHM) RESULT: APPROVED [UNANIMOUS]; MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action on insurance proceeds check from VFIS in the amount of $1,000.00 for damages to an EMS Vehicle on 3/15/24. (RHM) RESULT: APPROVED [UNANIMOUS]' MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct l AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Indian Point Erosion Project. (DEH) pass 13. Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Highway 316 Erosion Project in conjunction with TxDOT. (DEH) Pass Page 3 of 6 NO] ICE OF MEETING-6/19/2024 14. Consider and take necessary action to approve the Final Plat of the Leita Subdivision, (Replat of Lots 1-3 and 10-12 in Block A of Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records) Santiago Gonzales Survey, Abstract No.18 of Calhoun County, Texas. (GDR) Henry Danysh explained the fi RESULT: APPROVED;[ MOVER: Gary Reese, C cernwneo. v,orooh..,�.,..' plat. 4NMOUS] nissioner Pct 4 imissioner Pct 3 imissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to approve Addendum No. 1 for Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvement Phase 2 Project — GLO Contract No. 20-065-064-C182 for Calhoun County, Texas. (DEH) Scott Mason explained that the addendum was a clarification of questions asked at meeting. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct`1 SECONDER: VernLyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Accept and approve HEBP 2024 -2025 insurance rate, effective date October 2024. Authorize Judge Meyer to sign renewal. (RHM) Rhonda Kokena gave information about rates/plans increase due to high claims. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct'1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Discuss and take necessary action to open credit accounts with United Vision Logistics. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 NO110E OF MEF I-ING - 6/19/2024 18. Consider and take necessary action to approve a 2.5-million dollar draw from the 4-million dollar line of credit made available to Memorial Medical Center from Calhoun County, which was previously approved by Commissioners Court. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner?ct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Accept Monthly Reports from the following County Offices: L Justice of the Peace, Pct 3 - May 2024 ii. Sherifrs Office - May 2024- 1st Revised iii. District Clerk - May 2024 iv. Texas Agrilife Extension Service - May 2024 a. 4-H and Youth Development b. Agriculture and Nature Resources c. Family and Community Health d. Coastal and Marine RESULT: APPROVED [UNANIMOUS]` MOVER: Vern Lyssy, Commissioner Pct'°2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 - SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 NOTICE OF MEETING -- 6/1.9/2024 21. Approval of bills and payroll. (RHM) MMC Bills RESULT: APPROVED [UNANIMOUS], MOVER: David Hall, Commissioner Pct 1 SECONDER: _ Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2024: RESULT: APPROVED [UNANIMOUS]: MOVER: David Hall,Commissioner Pct-1 SECONDER: Vern Lyssy, Commissioner Pct2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 6 All Agenda Items Properly Numbered Contracts Completed and Signed i' All 1295's Flagged for Acceptance (number of 1295's �) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this day of 2024, the packet for the�day of 2024 Commissioners' Court Regular Session was subn fitted from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun Countyjudge/Assis ant AGEND NOTICE OF MEETING — 6/19/2024 Richard H. Meyer County judge David Ball, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, June 19, 2024 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. 2. Invocation. 3. Pledges of Allegiance. 4. General Discussion of Public Matters and Public Participation. I-7FILED CLOCK—Cg JUN 14 2024 courtrrcL114"W98.$ii' SUNrr�x ,ns °gym, �I4+ K U I r y ) 5. Approve June 12, 2024 Commissioners' Court Regular Meeting Minutes. (RHM) 6. Consider and take necessary action to take the following vehicles to Auction and remove the first three, from the following list off the Sheriffs Office Inventory. (RHM) i) 1998 GOLD YAMAHA 4 WHEELER (VIN JY44WUW08WA027365) - Inventory ii) 1995 BLUE YAMAHA 4 WHEELER (VIN JY43HNAOOSA183025) Inventory iii) 2004 FORD 4D CROWN VIC (VIN 2GCEC19VO41261267) — Inventory iv) 2009 MAZDA 6 (VIN 1YVHP81A795M15783) — Seized v) 2004 CHEVY ALALANCH (VIN 3GNEK12T34G112877) - Seized Consider and take necessary action on removing asset number 565-0783 a maroon 2001 Dodge Ram Pickup VIN 3B7HC13Y81G798018 from Precinct 1's inventory and return it tc the Sheriff Office inventory. (DEH) 8. Consider and take necessary action on allowing Patrick Schubert to establish new service with AT&T Firstnet for a County issued phone. (DEH) Page 1 of 3 NOTICE OF MEETING — 6/19/2024 9. Consider and take necessary action on issuing Patrick Schubert a County credit card with a $5000 limit (DEH) 10. Consider and take necessary action to approve the transfer from Black Mountain Energy to AEP TEXAS INC. and The County of Calhoun, on the Access and Utility Easement dated June 14, 2024 and authorize Judge Richard Meyer to sign any related documentation. (RHM) 11. Consider and take necessary action on insurance proceeds check from VFIS in the amount of $1,000.00 for damages to an EMS Vehicle on 3/15/24. (RHM) 12. Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Indian Point Erosion Project. (DEH) 13. Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Highway 316 Erosion Project in conjunction with TXDOT. (DEH) 14. Consider and take necessary action to approve the Final Plat of the Leita Subdivision, (Replat of Lots 1-3 and 10-12 in Block A of Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records) Santiago Gonzales Survey, Abstract No.18 of Calhoun County, Texas. (GDR) 15. Consider and take necessary action to approve Addendum No. 1 for Bid No. 2024.08 — Infrastructure at Little Chocolate Bayou County Park Playground Improvement Phase 2 Project - GLO Contract No. 20-065-064-C182 for Calhoun County, Texas. (DEH) 16. Accept and approve HEBP 2024 -2025 insurance rate, effective date October 2024. Authorize Judge Meyer to sign renewal. (RHM) 17. Discuss and take necessary action to open credit accounts with United Vision Logistics. (VLL) 18. Consider and take necessary action to approve a 2.5-million dollar draw from the 4-million dollar line of credit made available to Memorial Medical Center from Calhoun County, which was previously approved by Commissioners Court. (RHM) 19. Accept Monthly Reports from the following County Offices: i. Justice of the Peace, Pct 3 — May 2024 ii. Sheriff's Office — May 2024- 1st Revised iii. District Clerk — May 2024 iv. Texas Agrilife Extension Service — May 2024 a. 4-H and Youth Development b. Agriculture and Nature Resources c. Family and Community Health d. Coastal and Marine Page 2 of 3 NOTICE OF MEETING -- 6/19/2024 20. Consider and take necessary action on any necessary budget adjustments. (RHM) 21. Approval of bills and payroll. (RHM) Ri ari�r, County Ju Calhoun County, Texas A copy of this Notice has been placed on the inside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public during regular business hours. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 3 of 3 # 04 NOTICFOIF MEETING-6/19/2024 5. Approve June 12, 2024 Commissioners' Court Regular Meeting Minutes. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens,Commissioner Pct 4 AYES: Judge Meyer,' Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 18 NOTICE OF MEETING — 612/2024 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Clyde Syma, Commissioner, Precinct 3 Gary ]Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, June 12, 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. Richard Meyer, County Judge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 NOTICE OF MEETING — fi/1.2/2024 June 12, 2024 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10am by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a Page 1 of 4 NOTICE OF MEETING — 6/12/2024 5. Approve June 5, 2024 Commissioners' Court Regular Meeting Minutes. (RHM) RESULT; I MOVER. APPROVED [UNANIMOUS3 Vern Lyssy, Comrnissloner Pct 2 5ECONDER Gary Reese, Commissioner`Pct 4 AYES: Jele udge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to approve the Lease Agreement between Stofer Limited Partnership-McNeel Trusts and Calhoun County for the 0.761 acres (King Fisher Beach) in Port O'Connor, Texas and authorize Judge Meyer to sign the Agreement. (GDR) 7. Consider and take necessary action on Insurance proceeds check from TAC in the amount of $4,725.41 ($9,725.41— $5,000.00 deductible) for contents stolen from a Sheriff Office Vehicle on 05/03/24. (RHM) iRE$ULT 4OVER: APPROVED [tJNANIMOUS1 , Vern Lyssy, Commissioner act 2 -SECONDER: AYES �avld Hall, Corrlm ssigner pet 1 3,udge Meyer, Comnrissioner:Hall, Lyssy, Behrens, Reese B. Consider and take necessary action on writing a letter of support to the GLO - Coastal Management Program for the Keller Peninsula Breach Protection Project and have Judge Richard Meyer sign all documents. (RHM) 9. Consider andtake necessary action to accept anonymous donation to the Sherifrs Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $75.00. (RHM) APPROVED [UNANIMOUS]; " MAYER. " Vern Lyssy, Gl>mMISSldner Pct 2 SECONDER: Qavid. HaII CorrmIssIoIier kt 1 AYES. Judge Meyer, GommIssioner Hall, Lyssy, Behrens, Reese Page 2 of 4 NOTICE OF MEETING -- 6/12/2024 10. Consider and take necessary action to approve the Preliminary Plat and the Drainage Plan of The Docs at POC. (GDR) 11. Consider and take necessary action to approve Change Order No. 9 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize County Judge to sign. (DEH) 12. Consider and take necessary action to approve Change Order No. 10 for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize County Judge to sign. (DEH) generator. . ULT. APPROVED: Cl JER, Vern Lyssy, Coi t-ommiss I ;2 13. Hear report from Calhoun County Coastal Marine Resource Extension Agent on the Matagorda Bay Fishing Cooperative Oyster Farming Program and recognize the local Oyster Farmers for completion of this program. (RHM) R7 Shelley gave introduction on Oyster Farming. Program in Calhoun Cpunty,and gave out certificates to those who have completed the course. Page 3 of 4 NOTICE OF MEETING — 6/12/2024 14. Accept Monthly Reports from the following County Offices; L Floodplain Administration — May 2024 if. Justice of the Peace, Pct 1— May 2024 III. Justice of the Peace, Pct 2 — May 2024 IV. Sheriff's Office — May 2024 v. County Clerk — May 2024 15. Consider and take necessary action on any necessary budget adjustments. (RHM) Noylull. fRflln) M.NIC B�IIs =: RESULT, •;' APPRbVED [UNANIMOUS M17R bavid-Mall, Commissioner Pct 1. $EX EI Vern Ly§sy, Commissiorler Pct.2 5. Tudge Meyer, Commissioner Hall, Lyssy, Behrens,; Reese Adjourned 10:28am Page 4 of 4 # 06 NOTICE 01- MEETING -- 6/19/2024 6. Consider and take necessary action to take the following vehicles to Auction and remove the first three, from the following list off the Sheriffs Office Inventory. (RHM) i) 1998 GOLD YAMAHA 4 WHEELER (VIN JY44WUW08WA027365) - Inventory ii) 1995 BLUE YAMAHA 4 WHEELER (VIN 3Y43HNAOOSA183025) - Inventory iii) 2004 FORD 4D CROWN VIC (VIN 2GCEC19V041261267) — Inventory iv) 2009 MAZDA 6 (VIN 1YVHP81A795M15783) — Seized v) 2004 CHEVY ALALANCH (VIN 3GNEK12T34Gi12877) - Seized RESULT: APPROVED [UNANIMOUS]' MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 18 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: REMOVE VEHICLES FROM INVENTORY LIST OF VEHICLES GOING TO AUCTION DATE: JUNE 10, 2024 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR JUNE 19, 2024 * Consider and take necessary action remove several vehicles from Sheriff's Office Inventory. They will be going to auction. See list below: 1998 GOLD YAMAHA 4 WHEELER VIN JY44WUW08WA027365 1995 BLUE YAMAHA 4 WHEELER VIN JY43RNAOOSA183025 2004 FORD 4D CROWN VIC VIN 2GCEC19V041261267 Also going to auction are seized vehicles: 2009 MAZDA 6 VIN IYVHP81A795M15783 2004 CHEVY ALALANCH VIN 3GNEK12T34G112877 Sincerely, Bobbie Vickery Calhoun County Sheriff ' NOTICE OF MEET ING--6/19/2024 7. Consider and take necessary action on removing asset number 565-0783 a maroon 2001 Dodge Ram Pickup VIN 3137HC13Y81G798018 from Precinct 1's inventory and return it to the Sheriff Office inventory. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 18 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for June 19th, 2024. Consider and take necessary action on removing asset number 565-0783 a maroon 2001 Dodge Ram Pickup VIN 367HC13Y81G798018 from Precinct 1's inventory and return it to the Sheriff Office inventory. Sincer David . Hall DEH/apt NOTICE OF MEETING - 6/19/2024 8. Consider and take necessary action on allowing Patrick Schubert to establish new service with AT&T Firstnet for a County issued phone. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese,' Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 18 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for June 19th, 2024. • Consider and take necessary action on allowing Patrick Schubert to establish new service with AT&T Firstnet for a County issued phone. SiqdH Dall DEH/apt # 09 NOTICE OF MEETING - 6/19/2024 9. Consider and take necessary action on issuing Patrick Schubert a County credit card with a $5000 limit (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer,Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 18 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for June 19th, 2024. • Consider and take necessary action on issuing Patrick Schubert a County credit card with a $5000 limit Sincer 2-- David . Hall DEH/apt NOTICE OF MEETING — 6/19/2024 10. Consider and take necessary action to approve the transfer from Black Mountain Energy to AEP TEXAS INC. and The County of Calhoun, on the Access and Utility Easement dated June 14, 2024 and authorize Judge Richard Meyer to sign any related documentation. (RHM) RESULT: APPROVED [UNANIMOUS]; MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 18 AKEII 1 NION11O _,- HUSTON' 1612 Summit Avenue, Suite 100 Fort Worth Texas 76102 Jusun P. Huston D 817.632.6301 F 817.900.8585 E 1hu,ton@bamolaw.com May 16, 2024 Via Email and FedEx. Judge Richard Meyer 211 S. Ann St., Ste. 301 Pod Lavaca, Texas 77979 Judge Meyer - Richard.Meyer a@calhouncotx.org Re: Access and Utility Easement dated June 14, 2023 (the "Agreement") by and between County of Calhoun ("Grantor") and Black Mountain Energy Storage II, LLC ("Grantee") regarding the easement located in Calhoun County, Texas (the "Property") Dear Judge Meyer: This law firm represents Grantee with respect to the Agreement. Pursuant to Section 9 of the Agreement, Grantee desires to assign Grantee's interest in the Agreement to an unaffiliated third party. The proposed assignee is AEP TEXAS INC., and upon the assignment, they will assume all the obligations, covenants, and conditions applicable to Grantee under the Agreement. Please note, the proposed assignee will be the operator of the electric lines servicing Grantee's land (the intent of the easement grant), which is further described in the Agreement as the "Project Land." The assignment form will be prepared on the proposed assignee's standard form, but we wanted to ensure that such assignment would be approved in accordance with the Agreement. If so, please sign this letter and return it to indicate your agreement to the foregoing proposed assignment. Should you have questions, or require additional information, please do not hesitate to contact me. Thank you in advance for working with us in this matter. Sincerely, y , ' Justin P. Huston Approved: CALH OUNTY,TEXAS l By: ounty Judge CalhouniOunty, Texas NOTICE OF MEETING-6/19/2024 11. Consider and take necessary action on insurance proceeds check from VFIS in the amount of $1,000.00 for damages to an EMS Vehicle on 3/15/24. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 18 DmentGlatfelter Claims ManageInc FISQ) P 0 Box 5126 , v York, PA 17405 (800) 233-1957 CALHOUN COUNTY 202 8 ANN STREET, SUITE B PORT LAVACA, TX 77979 PAYMENT IS BEING ISSUED FOR: auto claim for 2020 Dodge ambulance vin CHECK NUMBER: 0000078465 4292 full deductible reimbursement CLAIM NUMBER: TXCM24030684 PAYMENTAMOUNT: $**-***1,000.00 Payment on behalf of National Union Fire Insurance Company of Pittsburgh, PA Any person who knowingly, presents a false or fraudulent claim for the payment of a loss Isguilty ofacrime and subject to criminal prosecution and'dvil ponallies. d deshbach PLEASE DETACH VOUCHER AND DEPOSIT CHECK PROMPTLY LWK21un&W GlaffelterClairnalMainegament, Inc I POBox.5126,-. , m 00-295 CHECKNO. 0000078465 Z 1&70�1 ---qg 17P �1,1 FjZff.(X17jf,4 P�w -'t'z fil�;5 --M &I llark IF P, 0 CHECK bAf�1�- 0610312b2fttz alter this dale - CLAIM NUMBER I POLICY NUMBER _E_ iPAYEE TAXPAYERID As NT1 POLICY DATES TXCM24630684 VFNUCM0002369.04 WInStar Insurance Group LLC 1 12024-IMIMiii AGENT 2 POLICY HOLDER CLAIMANT DATE OF Loss CALHOUN COUNTY CALHOUN COUNTY 0311512024 #12 I NOTICE OF MEET ING - 6/19/2024 12. Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Indian Point Erosion Project. (DEH) Pass Page 9 of 18 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for June 19th, 2024. Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Indian Point Erosion Project Sincer David . Hall DEH/apt MEMORANDUM OF UNDERSTANDING BY AND BETWEEN CALHOUN PORT AUTHORITY AND CALHOUN COUNTY, TEXAS REGARDING EROSION CONTROL PROJECT UPON CALHOUN PORT AUTHORITY SUBMERGED LANDS WHEREAS, Calhoun Port Authority, previously known as the Calhoun County Navigation District, a political subdivision of the State of Texas ("Port"), and the County of Calhoun, State of Texas ("County") (hereinafter collectively referred to as the "Parties" and separately as a "Parry"), both acknowledge that environmentally responsible stewardship and management of public lands and resources that are within their respective jurisdictional control is a worthy public policy; and WHEREAS, the Parties have determined that construction, maintenance, repair, and/or replacement of one or more facilities, structures, or configurations of erosion control mechanisms, on certain submerged land owned by the Port (the "erosion Control Project") is consistent with and in furtherance of each of the Parties' public purposes; and WHEREAS, the respective governing bodies of the Parties have agreed that the County, in conjunction and cooperation with, and pursuant to one or more grants, financial assistance programs, or other regulatory initiatives, with one or more public authorities, such as the Texas General Land Office, may implement the Erosion control Project with administrative, equipment, engineering, maintenance, repair and replacement costs to be borne, as between the Port and the County, Solely by the County and not by the Port. Nothing herein shall be construed as constituting the Port as a party, or as an interested third -party, to any grant, contract, or other undertaking by the County with respect to the Project in the absence of a separate, express, written executed and delivered consent by the Port to become a party or interested third -party, following due proceedings by and authorization of the Port's governing body. IT IS, THEREFORE, FOLLOWING DUE MOTION, SECOND AND DELIBERATION, RESOLVED AS FOLLOWS: 1. This Memorandum of Understanding is approved by the respective governing bodies of the Parties. 2. The recitals above are approved and adopted by the respective governing bodies of the Parties. 3. The Port agrees that the County may undertake the Project, in accordance with this instrument including its recitals, to be conducted on submerged lands owned bythe Port and Page 1 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands Identified by the highlighted areas on aerial images, plats or diagrams attached hereto as Exhibit "A" and adopted herein by reference (the" Port Property" to be affected by the Project). 4. The Executive and administrative staff of the Port and the County, and the Parties' respective legal counsel are authorized and directed to take such additional, alternative or further action as may reasonably and lawfully permitted or required by applicable law, practice, or procedure of the Parties to give effect to this Memorandum of Agreement. 5. This Memorandum of Understanding shall be governed by and construed solely in accordance with the laws of the State of Texas, including but not limited to all provisions related to dispute resolution between units of Texas local government, without regard to its conflicts of laws, rules, statutes, decisions, or principals that would lead to the application of the law of any other state, country, or jurisdiction. To the extent, and only to the extent, required by applicable Texas law or mandatory federal law, federal law governs this Memorandum of Understanding to the extent but only to the extent required by such mandatory federal law. 6. Jurisdiction and venue for any judicial action brought hereunder or related hereto, whether byway of an action for enforcement, interpretation, breach, or otherwise, shall lie exclusively in the State District Courts of Calhoun County, Texas. Notwithstanding the foregoing specification of exclusive mandatory jurisdiction and venue, neither Party waives, and both of the Parties expressly reserve, to the fullest extent available under Governing Law, its immunityfrom or its requirement of the satisfaction of all requirements or conditions of Governing Law with respect to the execution, levy, garnishment, or any tangible, intangible or interests herein for any action or proceeding or judgement or order from litigation brought hereunder or related hereto. Notwithstanding the foregoing specification of exclusive mandatory jurisdiction and venue, neither Party waives, and both of the Parties expressly reserve, to the fullest extent available under Governing Law, its immunity from suit, liability, or proceedings in, or judgement by, and federal court whether located in Texas or elsewhere and whether by way of initial proceeding or by removal, or by third -party joinder, or otherwise. To the extent that Governing Law requires that any such action must be brought or may properly be brought in a federal court, then the Parties expressly agree that venue of any such federal court action shall lie exclusively in the United States District Court for the Southern District of Texas, Victoria Division. 7. The Memorandum of Understanding may only be amended or supplemented by the written agreement of the Parties. 8. This Memorandum of Understanding expires or terminates the earliesttooccur ofthe delivery of not less than one hundred eighty (180) days priorwritten notice by one Partyto the other Party, or the tenth (10t1) calendar year anniversary of the Effective Date of this Memorandum of Agreement. Provided, that prior to or within one (1) calendar year after the expiration or termination of this Memorandum of Understanding, the Parties may by written agreement extend Page 2 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands The duration hereof by one or more add itionaltime periods, each of them being not more than an additional ten (10) calendar years as stated in such written extension agreement. 9. This Memorandum of Understanding does not become affective unless it has been executed by an authorized representative of both Parties, and such executed instrument is delivered by each Parry to the other Party. This Memorandum of Understanding may be executed and delivered in multiple counterparts, and delivery may be accomplished by hand delivery, postal service, commercial document delivery service, or by email attachment with receipt confirmed by a reply email. If this Memorandum of Understanding becomes effective, it shall be deemed effective as of _, 20_ (the "Effective Date"). [Signature Page to Follow] Page 3 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands PASSED, ADOPTED AND APPROVED, by a vote of "for" and "against" on _, 20_. CALHOUN PORT AUTHORITY By: Board Chair Calhoun Port Authority ATTEST: , Board Secretary Calhoun Port Authority STATE OF TEXAS COUNTY OF CALHOUN Acknowledged before me, Notary Public, by , in his capacity as Board Chairman of, and as the act and deed of, Calhoun Port Authority, on _, 20_. Notary Public, State of Texas CALHOUN COUNTY: By: Richard Meyer, County Judge Calhoun County STATE OF TEXAS COUNTY OF CALHOUN Acknowledged before me, Notary Public, by Richard Meyer, in his capacity as County Judge of, and as the act and deed of, Calhoun County, on _, 20_. Notary Public, State of Texas Page 4 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands #13 ' NO ICE OF MEETING 6/19/2024 13. Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Highway 316 Erosion Project in conjunction with TxDOT. (DEH) Pass Page 10 of 18 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for June 19th, 2024. • Consider and take necessary action on approving the Memorandum of Understanding between Calhoun County and Calhoun Port Authority on the use of submerged lands for the Highway 316 Erosion Project in conjunction with TXDot. Sincer David . Hall DEH/apt MEMORANDUM OF UNDERSTANDING BYAND BETWEEN CALHOUN PORTAUTHORITY AND CALHOUN COUNTY, TEXAS REGARDING EROSION CONTROL PROJECT UPON CALHOUN PORT AUTHORITY SUBMERGED LANDS WHEREAS, Calhoun Port Authority, previously known as the Calhoun County Navigation District, a political subdivision of the State of Texas ("Port"), and the County of Calhoun, State of Texas ("County") (hereinafter collectively referred to as the "Parties" and separately as a "Party"), both acknowledge that environmentally responsible stewardship and management of public lands and resources that are within their respective jurisdictional control is a worthy public policy; and WHEREAS, the Parties have determined that construction, maintenance, repair, and/or replacement of one or more facilities, structures, or configurations of erosion control mechanisms, on certain submerged land owned by the Port (the "erosion Control Project") is consistent with and in furtherance of each of the Parties' public purposes; and WHEREAS, the respective governing bodies of the Parties have agreed that the County, in conjunction and cooperation with, and pursuant to one or more grants, financial assistance programs, or other regulatory initiatives, with one or more public authorities, such as the Texas General Land Office, may implement the Erosion control Project with administrative, equipment, engineering, maintenance, repair and replacement costs to be borne, as between the Port and the County, Solely by the County and not by the Port. Nothing herein shall be construed as constituting the Port as a party, or as an interested third -party, to any grant, contract, or other undertaking by the County with respect to the Project in the absence of a separate, express, written executed and delivered consent by the Portto become a party or interested third -party, following due proceedings by and authorization of the Port's governing body. IT IS, THEREFORE, FOLLOWING DUE MOTION, SECOND AND DELIBERATION, RESOLVED AS FOLLOWS: 1. This Memorandum of Understanding is approved by the respective governing bodies of the Parties. 2. The recitals above are approved and adopted by the respective governing bodies of the Parties. 3. The Port agrees that the County may undertake the Project, in accordance with this instrument including its recitals, to be conducted on submerged lands owned bythe Portend Page 1 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands Identified by the highlighted areas on aerial images, plats or diagrams attached hereto as Exhibit"A" and adopted herein byreference (the "Port Property"to be affected bythe Project). 4. The Executive and administrative staff of the Port and the County, and the Parties' respective legal counsel are authorized and directed to take such additional, alternative or further action as may reasonably and lawfully permitted or required by applicable law, practice, or procedure of the Parties to give effect to this Memorandum of Agreement. 5. This Memorandum of Understanding shall be governed by and construed solely in accordance with the laws of the State of Texas, including but not limited to all provisions related to dispute resolution between units of Texas local government, without regard to its conflicts of laws, rules, statutes, decisions, or principals that would lead to the application of the law of any other state, country, or jurisdiction. To the extent, and only to the extent, required by applicable Texas law or mandatory federal law, federal law governs this Memorandum of Understanding to the extent but only to the extent required by such mandatory federal law. 6. Jurisdiction and venue for any judicial action brought hereunder or related hereto, whether byway of an action for enforcement, interpretation, breach, or otherwise, shall lie exclusively in the State District Courts of Calhoun County, Texas. Notwithstanding the foregoing specification of exclusive mandatory jurisdiction and venue, neither Party waives, and both of the Parties expressly reserve, to the fullest extent available under Governing Law, its immunityfrom or its requirement of the satisfaction of all requirements or conditions of Governing Lawwith respect to the execution, levy, garnishment, or anytangible, intangible or interests herein for any action or proceeding or judgement or order from litigation brought hereunder or related hereto. Notwithstanding the foregoing specification of exclusive mandatory jurisdiction and venue, neither Party waives, and both of the Parties expressly reserve, to the fullest extent available under Governing Law, its immunity from suit, liability, or proceedings in, or judgement by, and federal court whether located in Texas or elsewhere and whether byway of initial proceeding or by removal, or by third -party joinder, or otherwise. To the extent that Governing Law requires that any such action must be brought or may properly be brought in a federal court, then the Parties expressly agree that venue of any such federal court action shall lie exclusively in the United States District Court forthe Southern District of Texas, Victoria Division. 7. The Memorandum of Understanding may only be amended or supplemented by the written agreement of the Parties. 8. This Memorandum of Understanding expires or terminates the earliesttooccur ofthe delivery of not less than one hundred eighty (180) days priorwritten notice by one Partyto the other Party, or the tenth (1011) calendar year anniversary of the Effective Date of this Memorandum of Agreement. Provided, that prior to or within one (1) calendar year after the expiration or termination of this Memorandum of Understanding, the Parties may by written agreement extend Page 2 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands The duration hereof by one or more additional time periods, each of them being not more than an additional ten (10) calendar years as stated in such written extension agreement. 9. This Memorandum of Understanding does not become affective unless it has been executed by an authorized representative of both Parties, and such executed instrument is delivered by each Party to the other Parry. This Memorandum of Understanding may be executed and delivered in multiple counterparts, and delivery may be accomplished by hand delivery, postal service, commercial document delivery service, or by email attachment with receipt confirmed by a reply email. If this Memorandum of Understanding becomes effective, it shall be deemed effective as of _, 20_ (the "Effective Date"). [Signature Page to Follow] Page 3 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands PASSED, ADOPTED AND APPROVED, by a vote of "for" and "against' on _, 20_. CALHOUN PORT AUTHORITY By: Board Chair Calhoun Port Authority ATTEST: , Board Secretary Calhoun Port Authority STATE OF TEXAS COUNTY OF CALHOUN Acknowledged before me, Notary Public, by , in his capacity as Board Chairman of, and as the act and deed of, Calhoun Port Authority, on _, 20_. Notary Public, State of Texas CALHOUN COUNTY: By: Richard Meyer, County Judge Calhoun County STATE OF TEXAS COUNTY OF CALHOUN Acknowledged before me, Notary Public, by Richard Meyer, in his capacity as County Judge of, and as the act and deed of, Calhoun County, on _, 20_. Notary Public, State of Texas Page 4 of 4; Memorandum of Understanding Between Calhoun Port Authority and County of Calhoun, State of Texas, Regarding Erosion Control Project Upon Calhoun Port Authority Submerged Lands Highway 316- Exhibit A #14 NOTICE OF MEETING —6/19/2024 14. Consider and take necessary action to approve the Final Plat of the Leita Subdivision, (Replat of Lots 1-3 and 10-12 in Block A of Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records) Santiago Gonzales Survey, Abstract No.18 of Calhoun County, Texas. (GDR) Henry Danysh explained the final plat. RESULT: APPROVED [UNANIMOUS] MOVER: Gary;, Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 18 Gary D. Reese County Commissioner County of Calhoun Precinct 4 June 12, 2024 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for June 19, 2024. • Consider and take necessary action to approve the Final Plat of the Leita Subdivision, (Replat of Lots 1-3 and 10-12 in Block A of Port O'Connor Townsite according to the plat recorded in Volume 2, Page 001 of the Calhoun County Plat Records) Santiago Gonzales Survey, Abstract No.18 of Calhoun County, Texas. Sincerely, Gary. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: 4ary reesencalhoancotx.ore — (361) 785-3141 —Fax (361) 785.5602 a ur0 eve :COIL-M W(L) VDVAVI da0a :bon -ass Esc) .. ltlld "IVNid m m o COIaaOCI 4ON rvxrd sdet o' s o_ 6LOLL SYX31 'VOVeVI LHOd MUM NV0 3 n M 90a z N z N i ? o ri • D IN tl • DNU3AN05 • DNI833NIDN3 • '� f p — OKI `SHHHNIoNH A v D a s 5 YY y § e gggg egeee sTp gp6 $� �� '^ F 3 85 3p gg £a 66 qq � a 'z °agggpg�§� 99� ps 33mg �� xq^ 00 Eb Rb¢ egg dE y(gP 4�E C tl ggA Wsr F� F BLOCK 152 F F Eo H oo OI ao .OaW a 0 �z k ~ -(--- A-----SECOND-------STREET---- - � s j r� iCC.ae• � , ioC.aC�wao' r - f ____________aa _ �_�,\ __ i �____ ---____�,_ a a i z CID CQ H"n E- C) is O Z \ O r r r'= � vl r 0 y r W p0'0oC . 9• �b W q gg Gl'Gli E. 3�e #15 NOTICE OF MEETING - 6/19/2024 15. Consider and take necessary action to approve Addendum No. 1 for Bid No. 2024.08 - Infrastructure at Little Chocolate Bayou County Park Playground Improvement Phase 2 Project - GLO Contract No. 20-065-064-C182 for Calhoun County, Texas. (DEH) Scott Mason explained that the addendum was a clarification of questions asked at meeting. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy„Commissioner Pct-2 AYES: Judge Meyer,, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 18 ADDENDUM N0.1 to the CONTRACT DOCUMENTS FOR BID NO.2024.08 INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK PLAYGROUND IMPROVEMENTS PHASE 2 FOR CALHOUN COUNTY, TX WEST AUSTIN STREET PORT LAVACA, TEXAS TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 And CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1 JUNE 139 2024 Prepared by: G&W Engineers, Inc. 205 West Live Oak Port Lavaca, Texas 77979 (361) 552-4509 G & W Engineers, Inc. Texas Registered Engineering Finn 17-04188 Project No. 5310.011 e OF•rEk,'1 SCOTf P. MASON •............................. 127993 Texas Serial No. 127893 Date: 06. 1 q. 2Lf Page / of 2 Clarifications to the original Contract Documents, Contract Drawings and/or Specifications have been deemed necessary, and in certain cases, revisions to the original Contract Documents, Contract Drawings and/or Specifications are required. If discrepancies and/or inconsistencies exist between these specified revisions and the original Contract Documents, Contract Drawings and/or Specifications, said Addendum No. 1 shall govern. CLARIFICATIONS: 1. Forms required with proposal as part of the bid package will be acceptable with signature using electronic signature. 2. The meeting minutes and RFI answers shall be incorporated into the Contract Documents. 3. This project is tax exempt and a certificate will be supplied to awarded contractor. 4. EWF (mulch) from playground shall be stockpiled owner to decide on location and it must be clear from obstructing vehicles, storm drainage, play, walking trail and accessible for owner to transport during or after construction. 5. Wind resistant in the bid schedule, as well as, the drawings, does not mean TDI approved products. It is a request that structures shall be manufactured, designed and resistant to reasonable winds. Engineer's seal and signature along with windstorm inspection is not required to be incorporated into the project or pricing. At a minimum, it shall be capable of resisting tropical storm force winds by design with out removal of the canopy material. 6. Canopy material, more specifically, its attachment to the structure will be required to have quick connect/disconnect hardware. 7. An artistic, realistic or simplified rendition of the improvements shall be provided with the sealed bid. 8. At a minimum and in addition to clarification 7 above, catalogue excerpt of all of the proposed equipment shall be provided with the sealed bid. 9. Rubber surfacing "design" or rendition is preferred and can be included in clarification number 7, or provided separately, but shall not be a required submission with the sealed bid. 10, Bidder shall be required to provide adequate supporting documentation with sealed bid that the proposed equipment meets the minimum requirements of the drawing. This includes but not limited to: age range, capacity, ADA events, etc. Page 2 of ADDENDUM NO. 1 (Ame 13, 20241 frJmmmnvc nl/IA, Clrmvinlefln2nn cb.gftd Ph9kmrrndfuyrrorenrems Plane 2 Ca253/0.01lr) G&WENGINEERS, INC. 205 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987 TBPE Firm Registration No. F4188 • TBPLS Firm Registration No. 10022100 June 04, 2024 — 10:00 A.M. G&W Project #: 5310.011e Infrastructure at Little Chocolate Bayou County Park Playground Improvements Phase 2 Project — PRE -BID Conference — MEETING MINUTES Held at Park under Pavillion Attendees: See Attached Sign in Sheet Scott Mason (SM) opened up the meeting and welcomed everyone who was in attendance. Proceeded to introduce Commissioner Hall (DH). SM also suggested that we discuss all of the front-end documents first and then would go over drawings at the end. SM explained that this is grant project and that there are very specific requirements for the grant. Proceeded to inform everyone that all questions would be would be answer at this meeting to the best of SM ability. It was also explained that any answer given at the meeting was verbal at this time and that an addendum would be issued and that will be the final answers. SM also notified bidders that the cut- off day and time for last questions regarding the bid documents is under the instructions to bidders. From that point no answers to questions will be provided. Also, it was discussed that all questions after this pre -bid conference would need to come in CivCastUSA Q/A section format to SM. SM began discussing some of the specific grant requirements which included conformance to the Davis Bacon Wage Rate requirements. SM discussed that it will be the contractor's responsibility to verify their payroll and compliance and submit required forms on a weekly basis. SM discussed that all forms will be required to submitted that are noted in the package even if they are believed to be not applicable. SM confirmed bid due date and explained that 2:00:00 p.m. is strict and not a second after. Explained that bids are due at this time and date to the judge's office and that it is located on the third floor at the court house. SM explained that bids will have to be submitted in the proposal provided in the bid package and no other formats will be allowed. SM discussed the requirement for the bidder to specify the amount of calendar days on provided form and that a bid bond or cashier's check was required. SM asked if there were any further questions concerning the matters that had been discussed up to that point. At that time there were no further questions as the question concerning discussion to this point. SM continued the meeting by discussing the budget for the projects. SM proceeded to let bidders know that the construction budget for the project is $700,000.00. SM discussed that it will be up to the bidders to determine what vision, theme and layout will be best. At a minimum it will need to include the parameters outlined in the documents and drawings. SM explained that the bids will be considered based on lowest but more importantly the best bid. It was told to attendees, that submitting a bid low Engineering 0 Consulting 0 Planning 0 Surveying G&WENGINEERS,INC. price will not be an automatic award if it is not in the best interest of the County. It was explained that we have tried to provide a canvas and it will be up to the bidder to make sure that they use the budget and provide their best options and renditions for the county to consider what is the best value and in their best interest. SM discussed temporary signage and the requirements set forth in the documents. He then proceeded to tell bidders that during construction it is anticipated to have wage surveys randomly. It was discussed that it is anticipated that construction may not be of significant time, however manufacturing of equipment and delivery might make the calendar days longer. SM explained this is okay and bid the calendar days in a way that you can ensure you can complete your obligation and contract. The number of days is a small factor when considering bids, but only when the differential between two bids is substantial. SM opened the floor for questions regarding what had been briefly discussed or any other questions. A question was asked regarding the bid schedule and whether or not it would be required to have windstorm inspections and windstorm engineer and the cost associated. SM answered no, but will clarify in addendum. A question was asked regarding the bid item for rubber surfacing and if it would be okay to have more than 50% color. SM explained that this would be allowed, however, this is a decision the bidder would have to make and how it effects the budget and the overall value. SM stated it may not be worth it if it means you present a lower priced equipment. SM then provided an overview of the playground improvements and drawings and briefly explained the components of the project. SM opened the floor for questions regarding the drawings. A question was asked about drainage. It was explained that under the mulch there is slope from one end to the other. At the low end there was a sock drain and a pipe leaving. SM explained that when removing mulch in that area more care would be taken as to not damage it. It is anticipated to reuse the drain if desired. If it is not incorporated into the new surfacing, the County will take possession of it for reuse elsewhere and it would be the contractor's responsibility to remove it and save it. A question was asked if a plastic liner would be required for the surfacing and base. SM responded no; it is not required. No Further questions were asked regarding the plans and specifications and the meeting was adjourned. Please reference supplemental attachment included within the addendum that has all questions raised at the meeting and any other RFI(s) that have come in before the question deadline. This attachment has detailed questions and official written FINAL answers. Engineering Consulting Planning Surveying Z H W W LU w a :w f= f-N N 0 V rJ u l- a L �CA, JY Oc O d � _ rc f _ a a a z q � a Z t G&WENGINEERS, INC. 206 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987 TBPE Firm Registration No. F4188 • TBPLS Firm Registration No. 10022100 G&W Project #: 5310.01 le Infrastructure at Little Chocolate Bayou County Park Playground Phase 2 — Request for Information Responses Cutoff Time June 7, 2024 at 5:00 PM EMAILED RFI's: None CIVCASTUSA O/A SECTION: When is the estimated start date for this project? 05/27/2024 2:43 PM see uses The start date will be dependent on manufacturing time and the bid calendar days. There will also be time before starting construction to execute a contract, have a pre -construction meeting, and review submittals. Therefore, there is not a hard date per say. 2. Would you please post the pre -bid meeting attendees list? 0e/07/2024 a:29 AM see Use The pre -bid meeting attendee list is attached to this addendum no. 1. Engineering Consulting 0 Planning 0 Surveying #16 I N0110E (:?F MEF ING — 6/19/2024 16. Accept and approve HEBP 2024 -2025 insurance rate, effective date October 2024. Authorize Judge Meyer to sign renewal. (RHM) Rhonda Kokena gave information about rates/plans increase due to: high claims. RESULT: APPROVED [UNANIMOUS]` MOVER: David Hall, Commissioner Pct I SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 18 2024 - 2025 Renewal Notice and Benefit Confirmation Group: 32810 — Calhoun County Return to TAC by: 06/28/2024 Anniversary Date: 10/1/2024 Please initial and complete each section confirming your group's benefits and fill out the contribution schedule according to your group's funding levels. Fax to 1-512-481-8481 or email to heatherh@county.org. For any plan or funding changes other than those listed below, please contact Heather Hanson at 1-800-456.5974. Medical: Plan 1400-NG $35 Copay; $2000 Ded; 80%; $4000 OOP Max RX Plan: 5E-NG $10130150, $100 Ded Your % rate increase Is: 8.9% Your payroll deductions for medical benefits are: Pre Tax Current Tier Rates Employee Only $993.16 Employee + Spouse $2,194.96 Employee+Child . $1,378.52 Employee + Child(ren) '$1,877.30 Employee + Family $2,941.52 New Rates New Amount New Amount Effective Employer Employee 10/1/2024 Pays Pays $1,081.64 $2.390.30 $1,501.20 $2,044.38 $3,203.32 Initial to accept Medical Plan and New Rates. New Amount Retiree Pays (if applicable) $ I $ $ o -- $ 6J, $ ` $ ^-Q--- $ a be $-- 32810 — Calhoun County, 2024-2025 Renewal Notice and Benefit Confirmation Dental: Plan ll 100% Prevent.; $50 Ded; 80% Basic; 50% Major Your % rate increase is: 1.7% Your payroll deductions for dental benefits are: Pre Tax New Rates New Amount New Amount New Amount Current Effective Employer Employee Retiree Pays Tier Rates 10/1/2024 Pays Pays (if applicable) Employee Only $25.08 $25.50 $ 31, 1 q. $ �,6a $ — C3 --- Employee+Spouse $55.28 $56.22 $ d3,q4 $ 3a,2 $ O Employee + Child(ren) $50.26 $51.10 $ o2. , $ Employee + Family $80.42 $81.78 $ Initial to Dental Plan and New Rates. accept Vision: VALUE-12112124, $10 Exam Copay, $15 Lenses Copay, $130 Frame Allowance Your % rate Increase is: 0.0% New Rates Current Effective Tier Rates 10/1/2024 Employee Only $4.58 $4.58 Employee+Spouse $8.72 $8,72 Employee + Child(ran) $9.18 $9.18 Employee + Family $13.52 $13.52 Initial to accept Vision Plan and New Rates. Your payroll deductions for vision benefits are: Pre Tax New Amount New Amount New Amount Employer Employee Retiree Pays Pays Pays (if applicable) $ -- 0 $ $ �U $_e) Is $�� $--, E} c..-- $ J� $ — f? — 32810 — Calhoun County, 2024-2025 Renewal Notice and Benefit Confirmation Basic Life Products: Coverage Volume: $10,000 Current New Rates Amount Amount Rates Effective 10/112024 Employer Pays Employee/Retiree Pays (if applicable) Basic Term Life $0.242 $0.242 100% 0% Basic AD&D $0.030 $0.030 100% 0% J�tlnitlal to accept New Basic Life Rates. 32810 — Calhoun County, 2024-2025 Renewal Notice and Benefit Confirmation WAITING PERIOD Waiting period applies to all benefits. Employees Elected Officials 60 days -1st of the month following date of hire but first of 60 days -1 at of the month following date of hire but first of the month the month Ak Initial to confirm. 32810 — Calhoun County, 2024-2025 Renewal Notice and Benefit Confinnafion COBRA ADMINISTRATION Please indicate how your group manages COBRA administration: ® County/Group processes COBRA on OASYS *County/Group is responsible for fulling COBRA notification process and requirements. ❑ BCBS COBRA Department processes COBRA *BCBS COBRA Department administers via COBRA contract with the County/Group ❑ County/Group processes TAC HEBP Continuation of Coverage on OASys (< 20 employees) *County/Group is responsible for fulfilling notification process and requirements Initial to confirm COBRA Administration. PLAN INFORMATION Broker or Consultant Information Please confirm your broker or consultant's name, if applicable: Carolee Smith Please list changes and/or corrections below Agency Name Glass, Sorenson and McDavid, Inc / Agency Address PO Box 1478 d Rockport, TX 78381 Broker Representative or Carolee Smith Consultant's Name Contact Phone Number 361-729-5414 Contact Email Address csmith@gsminsurors.com Initial to confirm Broker or Consultant information. • Please update broker or consultant's information. • If applicable, broker commissions are included in rates listed on page 1. • Retirees pay the same premium as active employees regardless of age for medical and dental. • Rates based upon current benefits and enrollment. A substantial change in enrollment (10% over 30 days or 30% over 90 days) may result in a change in rates. • Form must be received by 6/2812024 in order to avoid additional administrative fees. • Signature on the following page is required to confirm and accept your group's renewal. 32810 - Calhoun County, 2024-2026 Renewal Notice and Benefit Confirmation TAC HEBP Member Contact Designation Calhoun County As specified in the Interlocal Participation Agreement, each Member Group hereby designates and appoints, as indicated in the space provided below, a Contracting Authority of department head rank or above and agrees that TAC HEBP shall NOT be required to contact or provide notices to ANY OTHER person. Further, any notice to, or agreement by, a Member Group's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Member. Each Member Group reserves the right to change its Contracting Authority from time to time by giving written notice to TAC HEBP. /Please list changes and/or corrections below. Name Honorable Rhonda S. Kokena, CIO V Title Treasurer Address 202 South Ann Street, Suite A Port Lavaca, TX 77979 Phone 361-553-4619 Fax 361-553-4614 Email rhonda.kokena@calhouncotx.org CONTACTBILLING Responsible for receiving all invoices relating to TAC HEBP products and services. Please list changes and/or corrections below. Name Honorable Rhonda S. Kokena, CIO V Title Treasurer Address 202 South Ann Street, Suite A Port Lavaca, TX 77979 Phone 361-553-4619 Fax 361-553-4614 Email rhonda.kokena@calhouncotx.org COUNTY TAC HEBP's main contact for daily matters pertaining to health benefits. ease list changes and/or corrections below. Name Honorable Rhonda S. Kokena, CIO V Title Treasurer Address 202 South Ann Street, Suite A Port Lavaca, TX 77979 Phone 361-553-4619 Fax 361-553.4614 Email rhonda.kokena@calhouncotx.org G of County Judge or t`U-2. Please PRINT Name and Title -.�o -2aZ� Date The Texas Association of Counties would like to thank you for your membership in the only all county -owned and county directed Health and Employee Benefits Pool in Texas, 32810 — Calhoun County, 2024-2025 Renewal Notice and Benefit Confirmation nL Staniger. TEXA1 ASSOCIATION Of COUNTMA It'll TII I'll F1111-1 IMP RF11MI Ill-' HEALTHY COUNTY WELLNESS CONTACT DESIGNATION Calhoun County WELLNESS COORDINATOR The Wellness Coordinator is the primary contact regarding the Healthy County wellness program. The wellness coordinator is responsible for administrating Healthy County components and informing employees of all wellness resources available. Current Wellness Coordinator Please list changes and/or corrections: Name: Mrs. Lesa lurek 4 Title: Administrative Assistant Address:5812 FM 1090 Port Lavaca TX 77979 Email: lesa.jurek@calhouncotx.org Phone Number: (361) 552-9656 WELLNESS SPONSOR The Wellness Sponsor is responsible for supporting the coordinator in administrating Healthy County components and encouraging county employees to access all Healthy County wellness resources available. An elected official in this role is preferred to illustrate management support for wellness. Current. Wellness Sponsor Name: Mrs. Candice Villarreal Title: Auditor Address: 202 S Ann St Ste B Port Lavaca TX 77979-4204 Email: candice.villarreal@calhouncotx.org Phone Number: (361) 553-4610 Phase list changes and/or corrections: Better.CLejt*h)y Together. TExAs AssomANON of Coo erces ilreuu wn P:,umnrri Ba�rnrs Pnn�. HEALTHY COUNTY WELLNESS CONTACT DESIGNATION Calhoun County WELLNESS COORDINATOR #2 The Wellness Coordinator is the primary contact regarding the Healthy County wellness program. The wellness coordinator is responsible for administrating Healthy County components and informing employees of all wellness resources available. Current Wellness Coordinator#2 Please list changes and/or corrections: Name: Mrs. Clard Atkinson Title: HR Director Address:131 N Virginia Ste F Port Lavaca TX 77979-4203 Email: clarri.atkinson@calhouncotx.org Phone Number: (361) 553-4450 WELLNESS SPONSOR #2 The Wellness Sponsor is responsible for supporting the coordinator in administrating Healthy County components and encouraging county employees to access all Healthy County wellness resources available. An elected official in this role is preferred to illustrate management supportforwellness. Current Wellness Sponsor #2 Please list changes and/or corrections: Name: Title: Address: Email: Phone Number: Contracting Authority 5ignaturc Date: &T"it 0 Together. Better. Stronger. HEALTHY COUNTY: COUNTY SPECIFIC INCENTIVE PROGRAM Calhoun County A County Specific Incentive (CSI) is a wellness program that rewards employees and/or spouses for healthy behaviors such as completing an annual exam, tobacco affidavit, or participating in a physical activity program in exchange for avoiding a premium contribution, a lower monthly premium, earn additional days of PTO, or other rewards decided on by the County or District. Penalties and Rewards are administered at the county or district level. Healthy County is available to assist in the process of designing, communicating, and tracking a CSI. Employees will be able to view their progress and completion of the incentive online or via mobile app. Calhoun County's CSI Our records indicate that Calhoun County currently has a County Specific Incentive program in place. Please make a selection below to let us know if you would like to keep your current design in place for the 2024- 2025 plan year, or if you would like to make modifications to your current design. If you select "Yes," your TAC HEBP Wellness Consultant will reach out to you to confirm reward and penalty options for the upcoming plan year. Please also feel free to contact your consultant at any time to begin this process. If you decide to make changes to your CSI, there is a six week waiting period before employees can view the program online. Current C51 > I Annual Physical: 8 Hours of PTO Please select on Yes, we would like to continue with the same CSI program for the 2024-2025 plan year. ❑ We are interested in making changes to our CSI program. 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N N r W O 0 S O M O< 0 0< 0 M 10 O O W O t0 f0 0 W M M N O a O O M W W W N O< O O O O N O O N O O O O W y a m M O M W r M 10 W N< [Y O W wo a< M W 10 r 0 0 0 U' n W M r0 N � M t0 V f0 m�O l0 W O O r Cnp N V' M LR N N r O 0W � (p (O N � t0 � M. N coarovoi�nvn�ri of o.IV a- �u3 as vy ui u3 cs»»ss es En�w a m m m m ro o m v goo o vm tr0 � m O n m N n OD' o 0oI nco LnaLnLQ C eo 0o ao ao ao of I: � r� is r; n ll3 fA fR (fl i9 V}VY fA fR fA fA (» OI o �q a rl c II II V � O V M O N OD OD ED N 10 O M N W F / m W amD W Wwm W W W� mows L , O C Gti O Q N r Q- d J a p Z O m m a o N � C O N � rn m o r�� y U Nm 1. o V/ d - O � N jq cq w = W N tf T+ C C W 7 C O. [sl Mryw. H W 0 d 7 9 .h O wy t0f d Cl)N Cl) N N N N o a O N O 0 a N N N N W y N N N N N N N — ¢NOzooLL '1 #17 NOTICE OF MEETING - 6/19/2024 17. Discuss and take necessary action to open credit accounts with United Vision Logistics. (VLL) RESULT: APPROVED [UNANIMOUS], MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 18 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 May 29, 2024 Honorable Richard Meyer Calhoun County Judge 211 &.•Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the next Commissioners' Court Agenda (361)552-9656 Fax (361)553-6664 • Discuss and take necessary action to open credit accounts with United Vision Logistics UVL TERMINAL #:086 UVL TERMINAL CONTACT: Amanda Srubar To provide an accurate invoice, please complete the following items: Date: 5/22/24 Customer: Calhoun County Pet 2 1. What reference information should appear on your invoice? Please provide example next to selected items if available. ❑ Purchase Order # If you requlrethls, we don't ❑ APE # ❑ Well Charge ❑ Other(s) 2. UVL provides a standard waybill as proof of delivery. What additional backup paperwork is needed with your invoice? i.e., Shipper's BOL, Scale Ticket, etc. NIA 3. Do you have any additional invoice requirements not listed above? 4. Preferred delivery method of invoices? ❑ Paper ❑ Electronic/Portal Portal Information ® E-mail E-mail Address: lesa.jurek@calhounctox.org Company's standard reference document can be submitted in lieu of completing page 2 of UVL's Credit Application. However, UVL requires the firm's legal name and signature on page 2 acknowledging Terms and Conditions. Remit Credit Application and Customer Billing Information To: United Vision Logistics E-mail: new .customeifa7neloi_tics.com Fax: 337-839-4104 �mena.inde:lLC¢a.aun _ ,,� ._ UVL TERMINAL #: WL TERMINAL CONTACT: Amount of Credit Requested: $1 u UUQ Firm's Legal Name: The County of Calhoun Texas DBA Name: Customer's Phone #: 961-552-9656 Customer's Fax #: 361-554-6664 Billing Address: 5812 FM 1090 N City, State, Zip: Port Lavaca TX 7797q If different from Billing Address Physical Address: Same City, State, Zip: Contact E-mail Address- lesa iurek(Dcalhouncotx org Type of Business: County Road & Bridge (Please be specific) ❑ Corporation ❑ Partnership ❑ LLC ❑ Proprietorship Is this a Public Company? ❑ Yes ❑ No State of Incorporation: Federal ID #: 74-6001923 D&B#: Subsidiaries or Affiliations: President/CEO: Date Business Started: Controller: MC# Accounts Payable Contact: Lesa Jurek Email: lesa.lurekOcalhouncotx org TRADE REFERENCES NOTE: Trade references must be relative to the last 90 days of business activity. Please include In this list at least one transportation company as a reference. COMPANY NAME CITY, STATE PHONE, EMAIL, & FAX# 1. 3. 4. APPLICANT HEREBY CERTIFIES THAT THE INFORMATION CONTAINED HEREIN IS COMPLETE AND ACCURATE. THIS INFORMATION HAS BEEN FURNISHED WITH THE UNDERSTANDING THAT IT IS TO BE USED TO DETERMINE THE AMOUNT AND CONDITIONS OF THE CREDIT TO BE EXTENDED. FURTHERMORE, APPLICANT HEREBY AUTHORIZES UNITED VISION LOGISTICS TO RESEARCH CREDIT THROUGH THE ABOVE TRADE REFERENCES AND/OR A CREDIT-REPORTING AGENCY TO VERIFY INFORMATION CONCERNING CREDIT EXPERBINCE ALL INVOICES RENDERED BY UNITED VISION LOGISTICS ARE NET SO DAYS. UNITED VISION LOGISTICS RESERVES THE RIGHT TO ASSESS ONE AND ONE-HALF PERCENT (0121/) PER MONTH ON PAST DUE INDEBTEDNESS FOR COLLECTION, HANDLING, LATE FEES AND INTEREST. IN THE 8�HNT UNIff��D VISION LOGISTICS RETAINS THE SERVICES OF LEGAL COUNSEL OR A COLLECTION AGENCY TO COL LHCT ANY OUTSSAH�NO 177TEDNESS, APPLICANT SHALL BE RESPONSIBLE FOR REASONABLE ATTORNEY AND COLLECTION AGENCY FBES OR COgSb'TS. //// SIGNATURE: f_ I SIGNATURE: -- PRINTED NAME: Vern Lvssv PRINTED NAME: TITLE: Commissioner TITLE: COMPANY: Calhoun County, Pet. 2 DATE: DATE: 6/5/24 lot,i,I i I,., ,I,, 2 of 2 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos, 1- 4 and 6 if there are Interested parties. OFFICE USE ONLY Complete Nos.1. 21 3, 6, and 6 if there areno interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. UV Logistics LLC 2024.1171263 Lafayette, LA United States Date Filed: 2 Name of governmental entity or state agency that is a party tote contract for which the form is 06/05/2024 being filed, Calhoun County - Precinct 2 Date Acknowledged: g Provide the Identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 06052024 UV Logistics LLC Credit Application 4 Name of Interested Party City, State, Country (place of business) Nature of Interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLA T�IION /j� /� My name is /Y f f I �• f V 6UI U(I , and my date of birth is My address is �S�L, (street) /2 r.,n,-, (city) (state) (ZIP coda) (country) ✓�and . I declare under penalty f per(ury t at the foregoing is true correct. Executed in_��ty, State of on the day of 2D (month) (year) / Vp Signature o uthonzetl agent of contracting business entity (Dederenq Farms provided bV Texas Fthics ......ca nusanme.a.us Version V4.1.0.078abao #18 NOTICE OF MEETING — 6/19/2024 18. Consider and take necessary action to approve a 2.5-million dollar draw from the 4-million dollar line of credit made available to Memorial Medical Center from Calhoun County, which was previously approved by Commissioners Court. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct.2 SECONDER: David Hall, Commissioner Pct l AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 18 #19 ' NOTICE OF MEETING - 6/19/2024 19. Accept Monthly Reports from the following County Offices: I. Justice of the Peace, Pct 3 — May 2024 ii. Sheriff's Office — May 2024- 1st Revised III. District Clerk — May 2024 iv. Texas Agrilife Extension Service — May 2024 a. 4-H and Youth Development b. Agriculture and Nature Resources c. Family and Community Health d. Coastal and Marine RESULT: I APPROVED [UNANIMOUS] MOVER:.. Vern: Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 16 of 18 ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OFREPORT 2022 CODE CASHBONDS ADMINISTRATION FEE - ADMF BREATH ALCOHOL TESTING -BAT CONSOLIDATED COURT COSTS -CCC .STATE CONSOLIDATED COURT COST- 2020 LOCAL CONSOLIDATED COURT .COST- 2020 COURTHOUSE SECURITY -CHS -0JP CIVIL JUSTICE DATA REPOSITORY FEE- CJDR :CORRECTIONAL MANAGEMENT INSTITUTE - CMI CR CHILD SAFETY- CS _ CHILD SEATSELT FEE -CSBF CRIME VICTIMS COMPENSATION -.CVC OPSC/FAILURE TO APPEAR - OMNI - OPSC 'ADMINISTRATION FEE FTAIFTP.(ake OMNIp 2020 ELECTRONIC FILING FEE - EEF "FUGITIVE APPREHENSION - FA GENERAL REVENUE -GR CRIM - IND LEGAL SVCS SUPPORT- IDF JUVENILE CRIME & DELINQUENCY- JCD JUVENILE CASE MANAGER FUND -JCMF JUSTICE COURT PERSONNEL TRAINING - JCPT JUROR SERVICE FEE -JSF LOCAL ARREST FEES - LAP LEMI LEDA LEOC COL ' PARKS & WILDLIFE ARREST FEES- PWAF STATE ARREST FEES - SAF SCHOOL CROSSING/CHILD SAFETY FEE -SCF SUBTITLE - SUBC STATE TRAFFIC FINES -EST 9.1.19- STF TABC ARREST FEES -TAF TECHNOLOGY FUND -TF TRAFFIC -TFC LOCAL TRAFFIC. FINE-.2020 TIME PAYMENT - TIME TIME PAYMENT REIMBURSEMENT FEE- 2020 TRUANCY. PREVENTIONIDIVERSION'FUND - TPDF LOCAL& STATE WARRANT FEES- WRNT COLLECTION SERVICE FEE-MVBA- CSRV DEFENSIVE DRIVING COURSE - DDC DEFERRED: FEE OFF DRIVING EXAM FEE- PROV DL FILING FEE -FFEE STATE CONSOLIDATED CIVIL FEE,- 2022 LOCAL CONSOLIDATED CIVIL FEE - 2022 FILING FEE SMALL CLAIMS -FFSC JURY. FEE -JF COPIESICERTIFED COPIES.: CC INDIGENT FEE - CIFF.or INDF JUDGE PAY RAISE FEE .-JPAY SERVICE FEE:- SFEE OUT -OF -COUNTY SERVICE FEE ELECTRONIC FILING FEE - EEF CV EXPUNGEMENTFEE •EXPG EXPIRED RENEWAL = EXPR ABSTRACT. OF JUDGEMENT-AOJ ALL WRITS - WOP / WOE 'DPS FTA.FINE - DPSF LOCAL FINES - FINE LICENSE& WEIGHT. FEES -LWF PARKS & WILDLIFE FINES - PWF SEATBELTIUNRESTRAINED CHILD FINE' -SEAT :JUDICIAL &.COURT PERSONNEL TRAININGJCPT OVERPAYMENT (OVER $10)-OVER '.OVERPAYMENT ($10 AND: LESS) - OVER RESTITUTION -REST PARK$ & WILDLIFE -WATER SAFETY FINES-WSF MARINE SAFETY PARKS & WILDLIFE- MSO TOTAL ACTUAL MONEY RECEIVED TYPE:. TOTAL WARRANT FEES ENTER LOCAL WARRANT FEES STATE WARRANT FEES DUE TO OTHERS: DUE TO CCISD - 50% of Fine on JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASHBONDS TOTAL DUE TO OTHERS REVISED 02t0212021 209.75 W2.81 183.89 20.98 0.32 97.29 40.00 10.49 12.69 20.98 35.95 55.00 97.32 391.13 20.98 9.73 23,47 58.09 24.77 8.49 412,19 890.75 10.00 126.00 198.00 31.47 1W.00 290.00 1,510.70 - 6,93704 AMOUNT 412.19 200.00 RECORDONTOTN,PA OF WVWWSOFRN MO. DEPORT 212.19 pECORDONTOT/LPAGEOFH0.L000NTRVSOFIWPAE MO. PFPDRT AMOUNT OR0 aEaseWCWM D.R REQUMNO DISMUNW 0.00 BFASEINa.UDE on. REGUESNNG DRURSEMENT 0.00 R.FABEINq.UDE D.RPMUMTINGDW8UR8EMEM 0.00 RLA IN UOE D.RREOUE9TING0l8WR8E ENT 0.00 RFABEIN UDE D.R REOUE®TWOgSWRBEMEM DF PEIXIIPED) 0. -00 AMOUNT ,937. Calculatefrom ACTUAL Treasurer's Receipts sz9a MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 6/3/2024 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: MAY YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45013 FINES 1,800.70 CR 1000-001-44190 SHERIFF'S FEES 449.70 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 10.00 CHILD SAFETY 0.00 TRAFFIC 33.20 ADMINISTRATIVE FEES 236.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 279.20 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 CR 1000-001-44063 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 24.77 CR 1000-00144145 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 890.75 TOTAL FINES, ADMIN. FEES & DUE TO STATE $3,595.12 CR 2670-001-44063 COURTHOUSE SECURITY FUND $80.10 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $5.25 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $73.52 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $12.69 CR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $65.68 CR 2669-001-44063 COUNTY JURY FUND $1.31 CR 2728-00144063 JUSTICE COURT SUPPORT FUND $150.00 CR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $30.00 CR 2725-001-44063 LANGUAGE ACCESS FUND $18A0 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 STATE ARREST FEES DPS FEES P&W FEES TABC FEES DR 7070-999-10010 DR 7072-999-10010 DR 7860-999-10010 DR 7860-999-10010 53.44 0.00 0.00 TOTAL STATE ARREST FEES 53.44 CCC-GENERAL FUND 20.97 CCC-STATE 188.78 209.75 STATE CCC- GENERAL FUND 80.26 STATE CCC- STATE 722.35 802.61 STF/SUBC-GENERAL FUND 4.87 STF/SUBC-STATE 92.45 97.32 STF- EST 9/1/2019- GENERAL FUND 15.65 STF- EST 9/1/2019- STATE 375.48 391.13 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 6/3/2024 COURT NAME: JUSTICE OF PEACE NO.3 MONTH OF REPORT: MAY YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 28.05 28.04 CR 7950-999-20740 TP-STATE 56.09 DR 7950-999-10010 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE DR 7480-999-10010 0.00 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.05 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-STATE 9.44 CR 7865-999-20740 10.49 DR 7865-999-10010 CR 7970-999-20610 TLIFTA-GENERAL FUND 32.43 64.86 CR 7970-999-20740 TL/FTA-STATE 97.29 DR 7970-999-10010 CR 7505-999-20610 JPAY - GENERAL FUND 3.15 28.32 CR 7505-999-20740 JPAY-STATE 31.47 DR 7505-999-10010 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 2.10 18.88 CR 7857-999-20740 JURY REIMB. FUND- STATE 20.98 DR 7857-999-10010 CIVIL JUSTICE DATA REPOS: GEN FUND 0.03 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: STATE 029 CR 7856-999-20740 0.32 DR 7856,999-10010 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 CR 7502-999-20740 0.00 DR 7502-999-10010 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 4.25 7998-999-20701 JUVENILE CASE MANAGER FUND 4.25 DR 7998-999-10010 849 ELECTRONIC FILING FEE - CV STATE 0.00 7403-999-22889 0.00 DR 7403-999-22889 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 126.00 126.00 TOTAL (Distrib Req to Oper Acct) $5,937.04 DUE TO OTHERS (Distrib Req Attchd) 0.00 CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: OUT -OF -COUNTY SERVICE FI 0.00 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $6,937.04 LESS: TOTAL TREASUER'S RECEIPTS $6,937.04 OVER/(SHORT) $0.00 REVISED 02/02/2021 Page 2 of 2 SHERIFF'S OFFICE MONTHLY REPORT May-24 BAIL BOND FEE $ 525.00 CIVIL FEE $ 675.08 CASH BOND $ - JP#1 $ 3,481.40 JP#2 $ 1,057.50 JP#3 $ 511.50 JP#4 $ 320.00 JP#5 $ - SEADRIFT MUN. $ PC MUN $ 1,370.20 PROPERTY SALE PRE-INDITMENT TOTAL: $ 7,940.68 G�� 9- 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT May 2024 Miles traveled: County Vehicle 253: Personal Vehicle 384 Selected major activities since last report May 1 — POC Elementary Egg to Chick CCF Livestock Meeting May 2 — Seadrift Elementary Egg to Chick May 5 — CCF Poultry Clinic May 7-10 — SALE Leadership Experience Conference (College Station) May 13 — Ag in the Classroom May 16 — 4-H PALA Meeting County 4-H Council Meeting May 20 — Brazoria County 4-H Mock Interviews (Virtual) May 22 — Moreman Gin Annual Meeting May 23 — AgriLife Center — Corpus Christi — 50' Anniversary May 29—D1 l 4-H Horse Show May 30 — 4-H End of Year Party at Outlaw Pass (Victoria) Direct Contacts by: Office: 12 E-mail: 117 Facebook Posts/Followers: 10 posts/672 followers Site: 7 Newsletters: I Instagram Posts/Followers: 8 posts/254 followers Phone/Texts: 32 4-11 Enrollment: 173 youth; 29 adult volunteers Major events for next month— June 2024 June 6 — Texas 4-H Roundup (College Station) June 7 — 4-H Video interviews June 10 — Matagorda County Star Award Interviews (Bay City) June 11 — Major Show Steer Tag In-1 June 12-14 — Dl 1 4-H Leadership Lab (Alleyton) June 17 — Tri-County Record Book Judging June 18 — 4-H Sportfishing Trip in POC June 19 — DeWitt County Star Award Interviews (Cuero) June 20 — 4-H Photography Camp in POC June 21 — 4-H Star Award/Scholarship Interviews June 24 — Refugio County Star Awar Interviews (Refugio) June 25 — Calhoun Library Program CCF Sheep/Goat/Swine Tag In June 26 — Calhoun Library Program Emilee S. DeForest Calhoun CEA — 4-H and Youth Development May 2024 Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT May 2024 Miles traveled: County Vehicle: 184 Personal Vehicle: 140 Selected major activities since last report 1- Calhoun County Jr. Livestock Meeting 2- Calhoun County Cattlemen's Banquet 4'- Calhoun County Sheep project selection 8' — Row Crop Committee Planning Meeting 9' — 10' — Spring Faculty Conference 13" — Calhoun County Ag in the Classroom 14" — D 13 Texas Farm Bureau Engage Event 17" — 19' — Texas Pork Producers 2l't — POC Community Garden Program 241h — Master Gardener Program 28' — Calhoun County Livestock Site Visit 291h — Horse Show Direct Contacts bv: Office: 7 E-mail: 77 Facebook Posts/Followers: 15 posts/629 followers Site: 5 Newsletters: 1 Instagram Posts/Followers: 0 Post/ 0 followers Phone/Texts: 57 Major events for next month — June 2024 Each Wednesday Livestock Judging Practice 6" — 4H Roundup Gala 8' — Calhoun County Fair Jr. Commercial Heifer Tag in 18' — Crop Tour 23-25' — Cotton Incorporated Women Tour Hailey Hates Calhoun CEA — Agriculture and Natural Resources June 4.2024 Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Family and Community Health EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT May 2024 Miles traveled: 432 County Vehicle 4 Personal Vehicle Selected maior activities since last report: . ➢ May Meetings- 2, 3, 6, 14, 15, 16, 20, 21 & 22 - Library Board, TEAFCS 2027 Conference, Memorial Medical Foundation Board, Last TEEA Meeting, WAT in Pool, Lunch and Learn at the Hospital, Senior Citizen's Board, OLG SAC, United Way Board, meeting with CJ/Part Lavaca Wave -WAT in Pool and Dinner Tonight ➢ May -1-3, 6, 8-10, 13, 15-17, 20, 22-24, &29-31 Strong People Strong Bodies Mornings (extension office auditorium and First United Methodist Church), & Evenings (Auditorium) - 5 classes a week. ➢ May 2, 14, 16, 21 & 23 Texas Healthy Building Block Training to Help Childcare Centers ➢ May 7 & 8 Spring AgriLife Boards Meeting in Brownwood ➢ May 9 & 10 District 11 Spring Faculty Conference ➢ May 10 & 11 Set up and Judge at Buc Days Food Challenge Contest in Corpus Christi ➢ May 13 Ag Day with All Agents at the Fairgrounds ➢ May 15 Meeting with HOPE Highschool - Working on being a HST School ➢ May 20 & 21 Food Manger's Class in Calhoun County ➢ May 23 50' Anniversary Corpus Christi AgriLife Center - Thanks for Coming Judge and Com. Reese ➢ May 28 Early Childhood Educators Training Direct Contacts by: Office: 5 Volunteers: 4 Facebook Page Post 53 Followers 702 Instagram Posts 39 Site: 5 Newsletters: 90 Facebook profile 1025+ Friends 2 posts Phone/Texts: 73 In Person Educational Participant Contacts - 415 Maior events for next month - June 2024 ➢ June Meetings- 4, 7, 18, 20, & 24 District 11, Memorial Medical Foundation Board, Southeast Regional Advisory Committee, United Way Board, Senior Citizen's Board, and Volunteer Steering Committee, ➢ June - 3, 5, 7, 10, 12, 14, 17, 19, 21, 24, 26, & 28 Strong People Strong Bodies Mornings (extension office auditorium and First United Methodist Church) - 3 classes a week. ➢ June 2-3 Healthy (South) Texas Youth Ambassador Summit - With Clay Brumfield - Our Ambassador ➢ June 5, 10, 12, 17, 19, 24, & 26 Walk Across Texas in the Pool ➢ June 7 Filming Diabetes Programs in Corpus Christi with Healthy South Texas ➢ June 10-13 Cooking Camp with YMCA ➢ June 13 Dinner Tonight Emergency Preparedness with Luke Drosche our Disaster Assessment and Recovery Agent with AgriLife -at the Fairgrounds - All are Welcome. ➢ June 17 County Record Book Judging in Calhoun County (with Aransas and Refugio Counties) ➢ June 19 County Lunch and Learn Cooking Well with Diabetes for County Employees ➢ June 20 HST Program Planning for the District here at the Bauer Exhibit Building ➢ June 23- 27 South Texas Judges and Commissioner's Conference in South Padre - working some of it ➢ June 25 Early Childhood Educators Training Karen P. Lvssv Calhoun Name County CEA - Family and Community Health May 2024 Title Date (Month -Year) Texas A&M AgriLife Extension • Texas A&M University System • College Station, Texas Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY May 2024 Miles traveled: County Vehicle 932 Personal Vehicle 0 Selected major activities since last report. 5/3 — 41h grade Beach Cleanup at Lighthouse Beach 5/7 — Oyster Substrate Meeting at UTA 5/9 and 5/10 — AgriLife Faculty Meeting 5/13 — Ag in Classroom for 31d grade 5/13 — Red Cross First Aid/CPR/AED Instructor Recertification Training 5/4, 5111, 5/18. 5/25 — Oyster Farm Training for Matagorda Bay Fishing Cooperative Members 5/20 — Green Lake Park meeting at Urban Engineering 5/23 — 501h Anniversary Program at Corpus Christi AgriLife Center 5/29 and 5/30—YMCA Camp Water Safety Programs Direct Contacts by: Office: 6 E-mail/Letters: 312 Instagram Posts/Followers: 6/1008 Site:6 Newsletters: 0 Phone/Texts:243 Volunteers:0 Maior events for next month — June 2024 June — Calhoun County YMCA Summer Camp Programs June 12d — Matagorda Bay Fishing Cooperative Presentation at Calhoun Co. Commissioners Court Name County COURT Coastal and Marine Agent May 2024 Title Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas COUNTY EXTENSION OFFICE ._...__-.,....___....................._......._...__... May Sven Other Other Travel Description" Miles Meals Lodging (Listed) (Cost) Dote 05/06-05/08/2024 Oyster Substrate/Shoreline Modeling Meeting - Arlington - CMR -CP 692118.0 - 05/07-05108/2024 TEAFCS Board Meeting - Brownwood- FCH -CP }840 05/07 - 05/10/2024 SALE -LE Conference - College Station - 4-H - PV 70 0 — 05/09 - 05/10/2024 District Faculty Conference - Edna - 4-H, CMR, FCH, AGNR - CP l70 0 __- 05/10 - 05/112024 Buc Days Food Challenge - Corpus Christi - FCH - CT _ Agrilife Center 50th Anniversary -Corpus Christi - 4-H, FCH, CMR - Cl' 1860.0 -- 05/23/2024 05/29 - 05/302024 Water Safety Program - Port Lavaca - CMR - CT 70.0 05/292024 Horse Shaw - Edna - 4-H, AGNR - CT PV -denotes use of personal vehicle; CP -denotes ogent carpooleA to event; CV - denotes use of county van 'CT - dannms use nfcounty, lmek; y yCEA-CMR denotes RJ Shelly CEA-FCH denotes Karen L ss ; CF.A-ACINR denotes Hailey Hayes; CEA4-H denotes Emilee DeForest ; expenses incurred by mein performance of y official duties for tile month shown. 1 hereby certilu' l t this is a true and correctreport of travel (mileage) and other i Karen Lyssy R. J. Sh Emilee Deforest Hailey Hayes County Extension Agent County Extension Agent iAgent County oAgent County Extension 6 Fmniiy &'Comnwniry Health Coastal Marine Resourc� - 4-H & Youth D I p l t Ag &N al Resnu cs - ouch v MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS COURT NAME: DISTRICT CLERK MONTH OF REPORT: May YEAR OF REPORT: 2024 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDIT 1000.00144190 SHERIFF'S SERVICE FEES $971,21 1000-00144140 JURY FEES $149,80 1000-00144045 RESTITUTION FEE $0.00 1000-001.44020 DISTRICT ATTORNEY FEES $0.00 1000-001-49010 REBATES -PREVIOUS EXPENSE $4.41 1000-00149030 REBATES -ATTORNEYS FEES $1,360.62 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-00144322 TIME PAYMENT REIMBURSEMENT FEES $74.55 1000-00143049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $765.70 CRIMINAL COURT $4.45 CIVIL COURT $1,401.50 STENOGRAPHER $374.50 CIV FEES DIFF $0.00 1000-001-44050 DISTRICT CLERK FEES $2,546.15 1000-999-20771 FAMILY VIOLENCE FINE $0.00 1000-999-10010 CASH -AVAILABLE $5,106.74 2706-00144055 FAMILY PROTECTION FEE $0•00 2706-999-10010 CASH - AVAILABLE $0.00 274G-001.45055 FINES - DISTRICT COURT $793.23 2740-999-10010 CASH - AVAILABLE $793.23 2620-00144055 APPELLATE JUDICIAL SYSTEM $74.90 2620-999-10010 CASH - AVAILABLE $74.90 2648-00144055 COURT FACILITY FEE FUND $299.60 2648-999-10010 CASH - AVAILABLE $299.60 2670-00144055 COURTHOUSE SECURITY $300.13 2670-999-10010 CASH -AVAILABLE $300.13 2673-00144055 CRT RECS PRESERVATION FUND- CO $0•00 2673-999-10010 CASH - AVAILABLE $0.D0 2725-00144055 LANGUAGE ACCESS FUND $44.94 2725-999-10010 CASH - AVAILABLE $44-94 2739-001.44055 RECORD MGMT/PRSV FUND - CLERK $584.71 2739-999-10010 CASH - AVAILABLE $584.71 2737-00144055 RECORD MGMT/PRSV FUND -DIST CLRK $0,28 2737-999.10010 CASH - AVAILABLE $0.28 2731-00144055 LAW LIBRARY $524.30 2731.999-10010 CASH - AVAILABLE $524.30 2663-00144050 CO & DIST CRT TECHNOLOGY FUND $0.43 2663-999-10010 CASH - AVAILABL $0.43 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH -AVAILABLE $0.00 2667-00144055 CO CHILD ABUSE PREVENTION FUND $0.44 2667-999-10010 CASH - AVAILABLE $0.44 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $0.00 7502-999-10010 CASH-AVAILABE $0.00 7383-999-20610 DNA TESTING FEE - County $0.16 7383-999-20740 DNA TESTING FEE - STATE $1.42 7383-999.10010 CASH -AVAILABLE $1.58 7405-999-20610 EMS TRAUMA FUND - COUNTY $17.10 7405-999-20740 EMS TRAUMA FUND - STATE $153.90 7405-999-10010 CASH - AVAILABLE $171.00 7070-999-20610 CONSOL. COURT COSTS - COUNTY $0.17 7070-999-20740 CONSOL. COURT COSTS - STATE $1.54 7070-999-10010 CASH - AVAILABLE $1.71 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $101.49 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $913,41 7072.999-10010 CASH- AVAILABLE $1,014.90 2698-001.44030-010 DRUG CRT FROG FEE - COUNTY (PROGRAM) $128 2698-999-10010.010 CASH - AVAILABLE $128 7390-999-20610.999 DRUG COURT FROG FEE - COUNTY (SVC FEE) $0.26 7390.999-20740-999 DRUG COURT PROG FEE - STATE $1.02 7390.999-10010-999 CASH -AVAILABLE $128 7865.999-20610.999 GRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.00 7865.999-20740-999 GRIM - SUPP OF IND LEGAL SVCS - STATE $0.01 7865.999-10010-999 CASH - AVAILABLE $0.01 7760-999-20790-010 GRIM - DUE TO STATE - NONDISCLOSURE FEE $0,00 7760-999-10010-010 GRIM - DUE TO STATE - NONDISCLOSURE FEE $0.00 7950-999-20610 TIME PAYMENT - COUNTY $1.15 7950-999-20740 TIME PAYMENT - STATE $1.14 7950-999-10010 CASH - AVAILABLE $2.29 7505-999-20610 JUDICIAL SUPPORT-CRIM - COUNTY $0.00 7505-999-20740 JUDICIAL SUPPORT -GRIM - STATE $0,04 7505-999-10010 CASH - AVAILABLE $0.04 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $0.00 7505-999-10010-010 CASH AVAILABLE $0.00 2740.001 35050 BOND FORFEITURES $0.00 2740-999.10010 CASH - AVAILABLE $0.00 2729-001.44034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.12 7857-999.20740 JURY REIMBURSEMENT FUND- STATE $1.08 7857-999.10010 CASH - AVAILABLE $1,20 7860-999.20610 STATE TRAFFIC FINE- COUNTY $0,00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH - AVAILABLE $0.00 7403-999-22888 DIST CRT - ELECTRONIC FILING FEE - CIVIL $0.00 7403-999-22991 DIST CRT - ELECTRONIC FILING FEE - CRIMINAL $0.49 CASH - AVAILABLE $0.49 LOCAL CONSOL. COURT COST 1000-001-44050 DISTRICT CLERK FEES $219.41 1000-999-10010 CASH - AVAILABLE $219.41 2739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $137,13 2739.999.10010 CASH - AVAILABLE $137,13 2669.001A4050 COUNTY JURY FUND $5A9 2669-999.10010 CASH - AVAILABLE $5.49 2670-OOIA4055 COURTHOUSE SECURITY $54.85 2670-999-10010 CASH - AVAILABLE $54.85 2663-001A4050 CO& DIST CRT TECHNOLOGY FUND $21.94 2663-999-10010 CASH - AVAILABLE $21.94 2676-001-44050 COUNTY SPECIALTY COURT FUND $137.13 2676-999-10010 CASH - AVAILABLE $137.13 TOTAL: $575.94 1 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - STATE $0.00 7855-GW20651-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $0.00 7855SW20792-010 DIST CRT -OTHER THAN DIVORCEIFAMILY LAW - STATE $0.00 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $0.00 7855.999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE - 7855-999-20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY 7855.999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $0.00 7855.999-10010-010 CASH - AVAILABLE 0.00 2677-001-44050-999 COUNTY DISPUTE RESOLUTION FUND $224.70 2677-999-10010-999 CASH - AVAILABLE $224.70 7858-999-20740-999 DIST CLK - DUE TO STATE CONSOLIDATED FEE 2022 $864.06 70W999-10010-999 CASH AVAILABLE $664.06 TOTAL (DIstNb Req to Oper Acct) $10,966.12 $10,390.18 DUE TO OTHERS (DIstr16 Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 0.00 REFUND OF OVERPAYMENTS 9.43 DUE TO OTHERS 220.19 TOTAL DUE TO OTHERS $229.62 REPORT TOTAL - ALL FUNDS 10,619.60 PLUS ANT OF RETURNED CKS 0.00 LESS: TOTAL TREASURERS RECEIPTS (10,619.80) Revised 04/03/23 OVER I (SHORT) $0.00 DISTRICT COURT May STATE COURT COSTS REPORT 2024 May SECTION I: REPORT FOR OFFENSES COMMITTED COLLECTED COUNTY STATE 0111120 - Present + . ,.:,�,>,r 101.49 913.41 01101/04.12/31/19 $1.23 0.12 1.11 09/01101 - 12/31/03 0.4-8 0.05 0.43 09/01/99 - 08/31/01 - - 09/01/97-06131/99 - - 09/01/95.08/31/97 - - 09/01/91-08/31195 4 _ TOTALS $1,016�61- 10166 914.95 BAIL BONDS FEES DNA TESTING FEES 1.58 0.16 1.42 EMS TRAUMA FUND 171.00 17.10 153.90 JUV. PROS, DIVERSION FEES JURY REIMBURSEMENT FEE $1.20 0.12 1.08 INDIGENT DEFENSE FUND $0,01 0,00 $0.01 STATE TRAFFIC FEES $0.00 - $0.00 DRUG CRT FROG FEE $2.56 $1,54 1.02 SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEAR/PAY FEES - - JUD. FUND-CONST. CO. CRT. JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE $2.29 1.15 1.14 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $0.04 - 0.04 ELECTRONIC FILING FEE - CR $0.49 $0A9 NONDISCLOSURE FEES -CR $0.00 $0.00 TOTAL STATE COURT COSTS $1,195,78 $ 121.73 $ 1,074, 05 CIVIL FEES REPORT May COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL. MARRIAGE ELECTRONIC FILING FEE - CV $0.00 $0,00 NONDISCLOSURE FEES - CV 0 $0.00 $0.00 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROS CRT INDIG FILING FEES STAT PROB CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES $TAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONTT CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW 0 $0.00 - - DIST CRT OTHER THAN DIV/FAM LAW 0 $0,00 - - DIST CRT OTHER CIVIL FILINGS 0 $0.00 - - FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE 0 $0,00 $0.00 JUDICIAL & COURT PERSONNEL TRANING FEE 0 $0,00 - $0.00 2022 STATE CONSOLIDATED FEE 4 $664.06 $664,06 COUNTY DISPUTE RESOLUTION FUND 224.70 224,70 TOTAL CIVIL FEES REPORT $ 888.76 $ - $ 888,76 TOTAL BOTH REPORTS $ 2,084,54 $ 121.73 $ 1.962,81 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 420 A 45450 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Anna Kabela Address: Title: District Clerk City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7340-999-20759-999 District Clerk Monthly Collections - Distribution S10,390.18 May 2024 V# 967 TOTAL 10,390.18 L &7-.a f Signature of Official Date NOTICE OF MEETING - 6/19/2.024 20. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct'4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 17 of 18 9 a a - rnrn�N� 3 rn� 3 0= rnrnewv N AfWp00))� m A m m= o oo'oe G A� ffg �= mom m m Dz ��F -i m - 3= DD m 0Ev_ A' D A m=_ zx m Kcn +n a N a z G)m n�mv 0 0 z= aD �m;o z A� z a= �-1� m�cmiiz O czi� os 3- �z`�' z��a < m i z N1= on3 ai �'cp3 m N C m= pm^' m m=_ m m 0 70 = cc cn Z < m m vs' Ca! a O C n c0o0mc0= mo� C m� 00, ro f000 C aco m 3= n00Z o 0000 ai i0 G= o zoo cicA)�AcAi m�A 0 ; mAA Z Z Z y Z �+ r= ~ —z z Q m= m a x o C�= 0 0 a w m= a a r � N= r r N a di EA EA EA EA EA ' mim RE Alm 0000 00 z m= a o00 i M= 0 0 0 0 o o T G 3= o 0 0 0 Wi m Z 5 = Z__ r«a n�i O 0 _ EA EA T O O T O O O O EA 1wR � 0000 00 3 G1= o 00 0 � Z H O 0 m EA mI d1 EATS z = O OEA O T O O O O 00 T m = O O O O N = d c° p 0 ui m w 9' pappp gm�j a �pj�j�� = r� r� MCy^ gymy O O O p� T F O O T F = O 000 pA Rol F� m a N O z m 3 z N m m a 0 n C m m k 10 m z N m co M: a€ 3 m: Z: 0: NE o; C 0 n m m m n r C O 0 9 z 3 r w y c c zz X cn O c n cn O a r �z nm n Z Pm Z n m m < a n 5 � m m 3 00 zz m z m a 3 z'•, N 0>? 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ESULT: APPROVED [UNANIMOUS] OVER: David Hall, Commissioner Pct 1' :CONDER: Vern;Lyssy, Commissioner Pct 2 e11n_ l...l--hA—,.:..W nII IvcaiJRehranc County Bills 2024: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern,Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 18 O O W I O O M O N O O H N O If. f� O O M O O I(M N O O Q ^ N . N ul rl M W If1 M O 1p f� O O O l0 h W I� L` l0 L` t0 cM O 4(1 Ill vl O� N N ti m W M t0 C M In N N H H N .� CT CT R H H H Ill M M H M M M M I,y m xxaaaaaaaaaa a aa��444�444� � a+ z � I o w Q 'I CD Pd M '" a Y N 17. N Q M ra O H H E. H Q F Hod H a N�� wac a F � a I❑ VI M N L I 40 a� I N pwS�oMo e ai N l H a 4 I\\ H U> v N tine V I m 14 w 0 w a1 9�µ a w a a . b .�1 H Ha .4mE. 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VI O U O W W U b A O O O O C to O V O A T A O m P O O o o 3 3 o m n � b O N O O p 6 rt a a a z m N y Z y n � 0 0 0o O w w ? P 3 Rv �1S Ab -i n n an c� ; n n zn zn a W - o a � O m P b V U U O O O O C O O O O O O O O �i e O O O ° z z o o o e � 6 zi -zi N A O O P Z z O O O o a a' _ a z 3 � z z o � O e a n r)m OC n r C� O Z n � Dm �m zm wm z K zn m pao 'o' �nzn0 O 0 m S C) D y y9 r �n m= 5 _6 O O no O O O v a A � 3 m m y 3 e u J JO r O O O n 1 R �n Zn zn < n� r) n� a 0 0 0 d m m m 3 3 3 3 z zm z N N N A N C O Jo A 3 >ti o`no Dwr �00 a n> n- ozn > DyrD- cDi°> -Fio� 73z��y� mw 0m DOw v'" zw� cz cz Nb F w H N W A W Sp W a OY J b N O N J O A o- b N a 0 0 0 z z o 0 E o a a 3 S m 3 Z m Z o e Q e a m e A C O tn- � nC n -j O z in 3 y c o r In n 0 m' p � \ \ , \ {\ 2 4 iL 9 z O E G m v i [m� 3 Z Z O�yy b b n V c7~7aa mmm yy pmm m 1>m zA 3 m amD cm- cn- mc «p cmo G mn m yw zOrr m zr m nom m y O,z�m z m Zz Am o j p -z-1 n z O x n a a rn rn a a o. a a. W a a a n W Ca U W W O O b V T J O O p A o° " <n mp °y °� nym m� 55 �� ° = r p rn w mz ND ND NY lj X m9 r W m m m AD 7.�t n FAQ AW AA p'G m X fr7y m,� .30 z COC Om n R O O Y -m3 m m m W N F J J O J to J O J O J O �D N T Oa N Vr O T W O� W E5 R O I O N A N � O O_ O_ O O z R' •j _O _O _O ��C �yC rb-C A C rb-C C rC C C n b C mC FC C m C a W << w<< 9 < nb O< Y < nb 0m< 9 < nq n< Cep < P b �vy�7� c'Z� O• b NHyA mA n'O A mA b nA mF V�q A vlOv Qyyb rmo b na rb wA b nb y OOzm R310 � m W [" W [m yA W rp yON O W O W a yrn Za ,.,rn Za ^N�a jR za Ca <.�. ny w zz =�n 7ya { <m <> mAD 2' m O Oy .9{ { 20 X X A A A A A A A A A A rt T v e i a_ fi a a e• C v 5 _ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---June 19, 2024 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES �TOTAL:PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS _. $ 1,138,164.13'' [TOTAL TRANSFERS'. BETWEEN FUNDS $ 154,373.89 TOTAL NURSING HOME UPC EXPENSES $ 1,178,647.86: 'TOTAL.,INTER-GOVERNMENTT.R'ANSFERS. $ :� MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---June 19, 2024 PAYABLES AND PAYROLL 6/13/2024 Weekly Payables 554,065.85 6/13/2024 Patient Refund 209.64 6/14/2024 Citibank Credit Card -see attached (Erin) 3,740.58 6/14/2024 Citibank Credit Card -see attached (Roshanda) 592.50 6/17/2024 McKesson-340B Prescription Expense 5,502.36 6/17/2024 Amerisource Bergen-340B Prescription Expense 393.83 6/17/2024 Payroll Liabilities -Payroll Taxes 116,311.54 6/17/2024 Payroll 371,125.82 Prosperity Electronic Bank Payments 6/17/2024 90 Degree Benefits- employee Insurance claims 78,223.68 6/17/2024 Credit Card Fees 4,475.89 6/17/2024 Sales Tax - May 2024 1,988.08 6/17/2024 Pay Plus -Patient Claims Processing Fee 251.53 6/17/2024 Health Equity-HSA Contributions 1,272.83 TOTAL(PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 1}138,154:13. TRANSFER BETWEEN FUNDS FROM MMCTO NURSING HOMES 6/13/2024 MMC Operating to Solera-Correction of insurance payment payment deposited into MMC 1,428.00 Operating in error 6/13/2024 MMC Operating to Fort bend -Correction of Insurance payment deposited into MMC 2,040.00 Operating in error 6/13/2024 MMC Operating to Broadmoor-Correction of Insurance payment deposited into MMC Operating In error 83.85 6/13/2024 MMC Operating to The Crescent -Correction of Insurance payment deposited into MMC Operating in error 26,648.07 6/13/2024 MMC Operating to Golden Creek Healthcare -Correction of insurance payment deposited Into MMC Operating in error 92,770.90 6/13/2024 MMC Operating to Gulf Pointe Plaza - Correction of insurance payment deposited into MMC Operating 3,158.69 6/13/2024 MMC Operating to Bethany -Correction insurance payment deposited into MMC Operating in error 28,244.38 1T0TAL TRRNSFER5:BETWEEN FUNDS $ 154r373.89r, NURSING HOME UPI. EXPENSES 6/17/2024 Nursing Home UPL-Cantex Transfer 787,146.80 6/17/2024 Nursing Home UPL-Nexion Transfer 97,970.67 6/17/2024 Nursing Home UPL-Tuscany Transfer 79,272.63 6/17/2024 Nursing Home UPL-HSLTransfer 129,340,51 QIPP CHECKS TO MMC 6/17/2024 Ashford - Molina April QIPP Hospital Portion 12,272.66 6/17/2024 Broadmoor - Molina April QIPP Hospital Portion 4,560.89 6/17/2024 Crescent- Molina April QIPP Hospital Portion 3,422.94 6/17/2024 Fort Bend - Molina April QIPP Hospital Portion 3,838.61 6/17/2024 Solera - Molina April QIPP Hospital Portion 3,707.03 6/17/2024 Tuscany - Molina April QIPP Hospital Portion 7,679.88 TRANSFER OF FUNDS BETWEEN NURSING HOMES 6/17/2024 Crescent to Tuscany -Tuscany insurance payment deposited into Crescent in error 49,435.24 TOTAL NURSINGHOME UPC EXPENSES $ 1,178,647:86-! >TOTALINTER-GOVERNMENTTRANSFERS $ [GRAND TOTAL ,DISBURSEMENTS APPROVED '.June,19,.2024 _ - $ 2,471,175.881; RECE1vE0 BY THE COUNTY AUDITOR ON 06/13/2024 JUN 13 2024 MEMORIAL MEDICAL CENTER 12:51 AP Open Invoice List 0 CALHOUN COUNTY,TEXAE Due Dates Through: 07705/2024 ap_open invoice.template Vendor!/Jendor Name Class Pay Code 13180 ADVANCED STERILIZATION PRODUCT Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net ,r 8020681980 05/201202 051301202 06129/202 2,519.50 0.00 0.00 2,519.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13160 ADVANCED STERILIZATION PRODUCT 2,619,50 0.00 0.00 2,519.50 Vendor# /Vendor Name Class Pay Code A1680 -� AIRGAS USA, LLC - CENTRAL DIV M % Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not J 5508427719 05131/202 05/31/202 06130/202 987.78 0.00 0,00 987.78 OXYGEN ./ 5508427718 05131/202 05/31/202 06/301202 585.23 0.00 0.00 585.23,/ OXYGEN Vendor Totals: Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC - CENTRAL DIV 1.573.01 0.00 0.00 1,573.01 Vendor# /Vendor Name Class Pay Code 14028 .,( AMAZON CAPITAL SERVICES Invoice# Comment Tran Ot Inv Dt Due Dt Check Ot Pay t FMHX3RJRNH6 Gross Discount No -Pay Net .,r 05/31/202 05/30/202 06/291202 123.79 0.00 0.00 123.79 � 1VOK60LG3GGL .,� 06105/20206/04/20207/041202 83.28 0.00 0.00 8328 SUPPLIES ../ 147HDG9CIYJP 06112/20206/04/20207104/202 17.23 0.00 0.00 17.23 y SUPPLIES Vendor Totals: Number Name Grass Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 224.30 0100 0.00 224.30 Vendor# /Vendor Name Class Pay Code A1360 J AMERISOURCEBERGEN DRUG CORP Vd Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1 3177823380 08/1220206/10/20206125/202 38.90 0.00 0.00 38.90 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net A1360 AMERISOURCEBERGEN DRUG CORP 38.90 0.00 0.00 38.90 Vendor#j Vendor Name Class Pay Code 128007 AUTHORITYRX, LLC Involce# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 7000062187 06/12/20206/11/20206/22/202 10,709.36 0.00 0.00 10,709.36 340B EXPENSE Vendor Totals: Number Name Gross Discount No -Pay Net 12800 AUTHORITYRX, LLC 10,709.36 0.00 0.00 10,709.36 Vendor#(Vendor Name Class Pay Code / 14088 ,! AZALEA HEALTH JInvoice# Comment Tran Dt Inv Ot Due Dt Check Ot Pay Gross Discount No -Pay Net 104970 06/01/20206/01/20206/011202 594A0 0.00 0.00 594.00 MONTHLY FEE Vendor Totals; Number Name Gross Discount No -Pay Net 14068 AZALEA HEALTH 594.00 0,00 0.00 594.00 Vendor# /Vendor Name Class Pay Code 81150 �t BAXTER HEALTHCARE W / Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net / J 82418269 061111202 05/24/202 061181202 196.66 0.00 0.00 196.66 .r1 SUPPLIES J 82451674 06/11120206/03/20206/28/202 631.20 0.00 0.00 631.20 � SUPPLIES J 02452144 06/11120206103120206/28/202 3,071.40 0.00 0.00 3,071.40 f SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 3,899.26 0.00 0.00 3,899.26 Vendor# Vendor Name Class Pay Code B1220 j BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 1 111349608 06/01/202 06/031202 071031202 1,345.78 0.00 0.00 1,345.78 v r SUPPLIES _J' 111351137 08/01/202 06/03/202 07/03/202 453,84 0.00 0.00 453.84 .f SUPPLIES J 111360460 06/06/202 08/06/202 07101/202 52.16 0.00 0100 52./6 ' SUPPLIES 111349011 06/121202 061031202 07/03/202 3,290.13 0.00 0.00 3,290.13 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 81220 BECKMAN COULTER INC 5,141.91 0,00 0.00 5,141.91 VendoMt /Vendor Name Class Pay Code C1048 CALHOUN COUNTY W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net r 4 053124 05/31/20205131/20205/31/202 39,760.69 0.00 0.00 39,750,69 ELECTRICITY Vendor Totals; Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 39,750,69 0.00 0.00 39,760.69 e Vendorit F Vendor Name Class Pay Code 11295 CALHOUN COUNTY INDIGENT ACCOUN 1Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 061024 06111/20206/01/20206/02/202 10.00 0.00 0.00 10.00 COPAV Vendor Totals: Number Name Gross Discount No -Pay Net 11295 CALHOUN COUNTY INDIGENT ACCOUN 10.00 0.00 0.00 10.00 Vendor#/Vendor Name Class Pay Code 13264 -f CERVEY, LLC Invoice# Comment Tran Dt Inv Di Due Dt Check Dt Pay Gross Discount No -Pay Net J 28919 05/26120200/05/20206130/202 1,699.00 0.00 0.00 1,699.00.,// MONTHLY FEE Vendor Totals: Number Name Gross Discount No -Pay Net 13264 CERVEY, LLC 11699.00 0.00 0.00 1,699.00 Vendor# JVendor Name Class Pay Cade 01600 .J CITIZENS MEDICAL CENTER W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net .142024-21 05/30/202 06/10/202 06/221202 63,355.97 0,00 0.00 63,355.97 � CRNA MAY 24 COVERAGE Vendor Totals: Number Name Gross Discount No -Pay Net C1600 CITIZENS MEDICAL CENTER 63,356.97 0.00 0.00 63,355.97 Vendor# Penclor Name Class Pay Code 15188 '`� CLARITY ENROLLMENT SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net ! 1602 OW06/202 06/01/202 07/01/202 354.00 0.00 0.00 354.00 \ J CARRIER CONNECTION Vendor Totals: Number Name Gross Discount No -Pay Net 15188 CLARITY ENROLLMENT SOLUTIONS 354.00 0.00 0.00 354.00 Vendor# Vendor Name Class Pay Code 13000 %CLEARFLY Invoice# Comment Tran Dt Inv Dt Due Di Check Ot Pay Gross Discount No -Pay Net -rJINV612397 061011202 06/01/202 06/15/202 1,204.79 0100 0.00 f 1,204.79 PHONE Vendor Totals: Number Name Gross Discount No -Pay Net 13000 CLEARFLY 1,204,79 0.00 0.00 1,204.79 Vendor# Vendor Name Class Pay Code 10212 CLINICAL PATHOLOGY LABS % Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net '.I 176562024050 05/311202 05131/202 06/30/202 23,770,21 0.00 0.00 23,770.21 Vendor Totals: Number Name Gross Discount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 23,770.21 0.00 0A0 23.770.21 Vendor# /Vendor Name Class Pay Code C1166 COASTAL OFFICE SOLUTONS W Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Not JOEOT269101 06111/202 061071202 06/171202 635.40 0.00 0100 635.40.,l7 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C1166 COASTAL OFFICE SOLUTONS 635,40 0.00 0.00 635.40 Vendor# +endor Name Class Pay Code 13336 COCA COLA SOUTHWEST BEVERAGES Invoice# Comment Tran Dt Inv Dl Due Dt Check Ot Pay Gross Discount No -Pay Net j 41646717014 06/01120206/05/20207/05/202 466.20 0.00 0.00 466.20 BEVERAGES Vendor Totals: Number Name Gross Discount No -Pay Net 13336 COCA COLA SOUTHWEST BEVERAGES 466,20 0.00 0.00 466.20 Vendor# %Vendor Name Class Pay Code 14608 V COTIVITI Invoice# Comment Tran Dt Inv Dt Due Ot Check Ot Pay Gross Discount No,Pay Net 13075B4182535 05131/202 05/061202 05/201202 64.10 0.00 0100 / 64.10 J PT REFUND 1307684179410 05131/202 05/061202 05120/202 75.89 0.00 0.00 75.89 t,/r PT REFUND Ventlor Totals: Number Name Gross Discount No -Pay Net 14608 COTIVITI 139.99 0.00 0.00 139.99 // Vendor# J Vendor Name Class Pay Code 14400 �/ CULINARY CONCESSIONS LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net i JINV00001371 05/31/20205/31/20206/30/202 36,286,89 0.00 0.00 36.286,89 :J CAFETERIA Vendor Totals: Number Name Gross Discount No -Pay Net 14400 CULINARY CONCESSIONS LLC 36,286.89 0.00 0.00 36,286.89 Ventlor#rrVendor Name Class Pay Code t0060,J DETAR HOSPITAL ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JDTR2405017 061061202 06105/202 07/051202 574.34 0.00 0100 574,34 LAB SERV Vendor Totals: Number Name Gross Discount No -Pay Net 10060 DETAR HOSPITAL 574.34 0.00 0.00 574.34 Vendor# /Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# Comment Tran Ot Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net ft J 7387700 06/041202 06/041202 06129/202 138.52 0.00 0.00 138,52 J SUPPLIES i .� 7571710 06/11/202 05/30/202 061241202 24.66 0,00 0.00 24.66 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH 8 SON 163,18 0.00 0.00 163.18 Vendor#( Vendor Name Class Pay Code 11091 ,j ECOLAB Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay JInvoice# 6345822135 06/11120206101/202 238.15 0.00 0.00 LEASE PYMT DISHWASHER �cL.ti:{G } ��'tc�l ,Gi Vendor Totals: Number Name GfOSS Discount No --Pay 11091 ECOLAB 238.15 0.00 0.00 Vendor#tI Vendor Name Class Pay Code 11284 J EMERGENCY STAFFING SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No-Pay -1/43297 06113/202 06/15/202 06125/202 40,052.50 0.00 0.00 ER PHYSlt.�,� Vendor Totals: Number Name Gross Discount No -Pay 11284 EMERGENCY STAFFING SOLUTIONS 40.062.50 . 0.00 0.00 Vendor# !Vendor Name Class Pay Code F1050 N FASTENAL COMPANY M Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay -.IInvoice# TXPOT269544 05/31/202(15/29/20206/28/202 42,40 0.00 0.00 / COOLING TOWER J TXPOT269577 05/31/20205130/20206129/202 24.13 0,00 0.00 SUPPLIES t .,( TXPOT269582 05131/202 05/30/202 06/29/202 166.34 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay F1050 FASTENAL COMPANY 234.87 0.00 0.00 Vendor#%Vendor Name Class Pay Code 10689 J FASTHEALTH CORPORATION Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 1 OBA24MMC 06111/20206/01/20206/16/202 1.090.00 0.00 0.00 WEBSITE Vendor Totals: Number Name 10689 FASTHEALTH CORPORATION Ventlor#/ Vendor Name Class Pay Code 13568 FEDEX FREIGHT / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay .,� 851554419 05/311202 05/30/202 06/29/202 SHIPPING Vendor Totals: Number Name 13568 FEDEX FREIGHT Vendor# /Ventlor Name Class Pay Code 10003 J FILTER TECHNOLOGY CO, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J 122144 05/31/202 05120/2,02 06/221202 SUPPLIES Vendor Totals: Number Name 10003 FILTER TECHNOLOGY CO, INC Vendor#/ Vendor Name Class Pay Code 13016 FIRST INSURANCE FUNDING f Invoice# Comment Tran of Inv Dt Due Dt Check Dt Pay �f 060724 06112/20206/07/20207/011202 INSURANCE f 061124 06/12/202 06111 /202 06/30/202 INSURANCE INSTALLMENT Gross Discount No -Pay 1.090.00 0.00 0.00 Gross Discount No -Pay 76.46 0.00 0.00 Gross Discount 76.46 0,00 Grass Discount 11960.05 0.00 Gross Discount 11960.05 0.00 Gross Discount 7,262.78 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0,00 Net ,238;Y5 � Lo CO Net 238-15- Net 40,062.50 �r Net 40,062.50 Net 42.40 24.13 168.34 j Net 234.87 Net 1,090.00 Net 1,090.00 Net 76.46 - Jl Net 76.46 Net 1,960.05 ..�' Net 1,960.05 No -Pay Net r 0.00 7,262,78 l 3,631,39 0.00 0.00 3,631.39 J Vendor Totals: Number Name 13016 FIRST INSURANCE FUNDING Vendor#!/Vendor Name Class Pay Code F1400 FISHER HEALTHCARE M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay �12005633 05/14/20205102120205/27/202 SUPPLIES Vendor Totals: Number Name F1400 FISHER HEALTHCARE Vendor# Vendor Name Class Pay Code 11183 .,/FRONTIER Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 11 052324 05/311202 05/23/202 06/171202 Gross Discount No -Pay Net 10,894.17 0.00 0.00 10,894.17 Gross Discount No -Pay 67.73 0.00 0.00 Gross Discount No -Pay 87.73 0.00 0.00 Gross Discount 25.58 0.00 TELEPHONE SERVICE Vendor Totals: Number Name Gross 11183 FRONTIER 25.56 Vendor#!Vendor Name Class Pay Code 1240417 GE PRECISION HEALTHCARE, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross .,1 6OU2680262 06105/20206/011202071101/202 5,665.83 tt IMAGING CONTRACT U. 1, j,f - 6002680602 06/05/202 06/01/202 07/01/202 998,34 IMAGING CONTRACT R `j t. .. u 6002680255 4k 06/05/202 06/011202 07/011202 3,588,58 IMAGING CONTRACT U. `} 2� }1�1 , J 6002680257 06105120206/01/20207101/202 2,422,50 IMAGING CONTRACT k . 1 . - LL� ti,A ,. J.,l� 211 6002680258 06/05/202 061011202 07/011202 61.67 IMAGING CONTRACT 6002680256 06/05/20208/01/20207/01/202 86.67 IMAGING CONTRACT 1, y �1 19 t p v'-ILI 1.1 Vendor Totals: Number Name Gross 12404 GE PRECISION HEALTHCARE, LLC 12,823,59 Vendor#%Ventlor Name Class Pay Code 12948 -! GREAT AMERICA FINANCIAL SVCS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 36691312 051311202 081031202 06130/202 10,085.54 Vendor Totals: Number Name 12948 GREAT AM ERICA FINANCIAL SVCS Vendor# (Vendor Name Class Pay Code G0401 - GULF COAST DELIVERY Discount 0.00 Net 87,73 J' Net 87.73 No -Pay Net 0.00 25.58 No -Pay Net 0.00 25.58 Discount No -Pay Net / 0,00 0.00 5,665.83 `i' 0.00 0.00 998.34./ 0.00 0,00 3,588.58 .,,% 0.00 0.00 2,422.50 0.00. 0.00 61.67,J 0.00 0.00 86.67 Discount No -Pay Net 0.00 0.00 12,823.59 Discount No -Pay Net 0.00 0.00 10,885.54 ,,f Gross Discount No -Pay Net 10,68554 0.00 0.00 10,885.54 JInvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross U53124 05/311202 06/31/202 06/301202 75.00 DELIVERY SERVICES Vendor Totals: Number Name hr [ ) Ly Gross G0401 GULF COAST DELIVERY 75.00 Vendor# 7Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 2,941568 Gross ,J 06/111202 06/041202 07/041202 1,157.71 SUPPLIES Vendor Totals: Number Name Gross G1210 GULF COAST PAPER COMPANY 1,167.71 Vendor# Vendor Name class Pay Code 11552 ,r HEALTHCARE FINANCIAL SERVICES Discount No -Pay Not 0.00 0.00 75,00 , f Discount No -Pay Net 0.00 0.00 75.00 Discount No -Pay Net / 0.00 0.00 1,167.71 .� Discount No -Pay Net 0.00 0.00 1,167.71 Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay J 20241430 05/311202 05/27/202 07101/202 LEASE PUT 48 Vendor Totals: Number Name 11662 HEALTHCARE FINANCIAL SERVICES Vendor# I Vendor Name Class Pay Code 14916 -J HEWLETT-PACKARD Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay .,( 100000202684 05/31/202 05/17/202 05131/202 JULY RENTAL Vendor Totals: Number Name 14916 HEWLETT-PACKARD Vendor# JVendor Name Class. Pay Code 10922 ^ HUNTER PHARMACY SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay .,� 6025 05/311202 05/31/202 06120/202 Vendor Totals: Number Name 10922 HUNTER PHARMACY SERVICES Vendor#Vendor Name Class Pay Cade 10442 INTERSTATE ALL BATTERY CENTER t Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay -./ 1901103025143 06111/20206/04120206/1 PJ202 SUPPLIES Vendor Totals: Number Name 10442 INTERSTATE ALL BATTERY CENTER Ventlor# /Vendor Name Class Pay Code J0150 .j J & J HEALTH CARE SYSTEMS, INC Invoice# Comment Tran Dt Inv Dt Due Dt Cheek Dt Pay J938722267 (1611 PJ20206/05/202071051202 SUPPLIES Vendor Totals: Number Name J0150 J & J HEALTH CARE SYSTEMS, INC Vendor# /Vendor Name Class Pay Cade 15492 _ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay J STAJOB0001 05/31/202 05/06/202 05/06/202 PT REFUND Vendor Totals: Number Name 15492 - Vendont (Vendor Name Class Pay Code K0532-J KAVU-TV Invoice# Comment Tran Dt Inv D1 Due Ot Check Dt Pay _I 7021 05/31/202 03/31/202 04/30/202 ..,I 707212 05131/202 04/28/202 05128/202 ADVERTISING Vendor Totals: Number Name K0532 KAVU-TV Vendor# /Vendor Name Class Pay Code 15504 ,1KVCT-TV Invoice# Comment Tran Ot Inv Dt Due Dt Check Ot Pay 707221 05/31 /202 03/31 /202 04/30/202 ADVERTISING Vendor Totals: Number Name 16504 KVCT-TV Gross Discount No -Pay Net r 4.610.52 0.00 0.00 4,610.52 ,j/ Gross Discount No -Pay Net 4,610.52 0.00 0.00 4,610.52 Gross Discount No -Pay Net 573.53 OM 0.00 f 573.53 Gross Discount NaPay Net 573.53 0.00 0.00 573,53 Gross Discount No -Pay Net 16,292.94 0.00 0.00 15,292.94 Gross Discount No -Pay Not 15.292.94 0.00 0.00 16.292.94 Gross Discount No -Pay Net 216.00 0.00 0.00 216.00 u/ Gross Discount No -Pay Net 216.00 0.00 0.00 216.00 Gross Discount No -Pay Net 615.20 0.00 0.00 / 615.20 , / Gross Discount No -Pay Net. 616.20 0.00 0.00 615.20 Gross Discount No -Pay Net 40.00 0.00 0.00 r 40.00 Gross Discount No -Pay Net 40.00 0.00 0.00 40.00 Gross Discount No -Pay Net r 40.00 0.00 0.00 40.00 74.00 0.00 J 0.00 74.00 Grass Discount No -Pay Net 114.00 0.00 0.00 114.00 Gross Discount No -Pay Not 1 32.00 0.00 0.00 32.00 �! Gross Discount No -Pay Net 32.00 0.00 0.00 32.00 Vendor# /Vendor Name Class Pay Code L1001 ,f LANDAUER INC W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101220008 OM1/202 05/161202 06115/202 810.70 0.00 0.00 J 810.70 DOSIMEfRY SERV Vendor Totals: Number Name Gross Discount No -Pay Net L1001 LANDAUER INC 810.70 0.00 0.00 810.70 Vendor#/ Vendor Name Class Pay Code 15496 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net _ f LEEPET001 05/31/202 05/07(202 05YO71202 68.00 0.00 0.00 68.00 .tff PT REFUND Vendor Totals: Number Name Gross Discount No -Pay Net 15496 68.00 0.00 0.00 68,00 Vendor# Vendor Name Class Pay Code L1640 LOWE'S BUSINESS ACCT/SYNCB W Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net .f 053124 06/11/202 05/31/202 06/28/202 561,73 0.00 0.00 501.73 SUPPLIES VendorTotals: Number Name Gross Discount No -Pay Net L1640 LOWE'SBUSINESS ACCT/SYNCB 561.73 0.00 0.00 561.73 Vendor#(`Vendor Name class Pay Code 11141 'J MEDICAL DATA SYSTEMS, INC. Invoice# Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount No -Pay Net ,'192759 05/31/202 05/311202 06125/202 213.31 0.00 0.00 213.31 ,.) BUSINESS SERVICE Vendor Totals: Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 213.31 0.00 0.00 213.31 Vendor# )Vendor Name Class Pay Code M2470,j MEDLINE INDUSTRIES INC M Comment Tran Dt Inv Ot Due Dt Check Or Pay Gross Discount No -Pay Net / JInvoice# 2321578099 08/051202 061051202 06(30/202 4,368.76 0.00 0.00 4,368,76 J SUPPLIES �221439050 06106/202 06/04/202 06/29/202 108.98 0.00 0.00 108.98 SUPPLIES 2321578094 06/06l20206l05l20206/30/202 1,942.00 0.00 0.00 1,942.00 .l SUPPLIES J 2321579700 06106/202 06/051202 061301202 42.77 0.00 0.00 42.77 �r SUPPLIES J 221578096 OW06/202 08105/202 06/301202 21.33 0.00 0.00 21.33 SUPPLIES `r J 2321578095 06/06/202 06/051202 061301202 103.96 0100 0.00 103,96 SUPPLIES ,l 2321578097 06/06/202 06/05/202 06/30/202 27.36 0.00 0.00 27.36 SUPPLIES J/ 2321578093 061061202 06/05/202 06130/202 102.24 0.00 0.00 102.24 .. fir SUPPLIES �r 2321578098 06/06/20206105/20206/30/202 1,170.09 0.00 0.00 1,170.09 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 7,887.49 0.00 0.00 7,887.49 Vendor#%Vendor Name Class Pay Code 10182 �a MERCEDES SCIENTIFIC / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net -.i 2842587 05/311202 05131/202 06/30/202 54.17 0.00 0.00 54.17 tr SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10182 MERCEDES SCIENTIFIC 54.17 0.00 0.00 54.17 Vandor4 j Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2060648 061111202 061031202 061131202 7.00 0.00 0.00 7.00 / INVENTORY 2077119 06/11/20206/06120206/16/202 557.87 0.00 0.00 557,87 INVENTORY 2076817 06/11/20206/06/20206/16/202 50.78 0.00 0.00 50.78,.,/ INVENTORY r 2073797 v 00/11120208/06/202061161202 4,699.30 0.00 0.00 4,699.30 INVENTORY ' 2076812 06/11/202 06/061202 06/161202 711.05 0.00 0.00 711.05,F� 1 INVENTORY I 21377120 06111/202 06/06/202 06/16/202 108.08 0.00 0.00 108.08 J INVENTORY J 2082920 OB/11120206/09/20206119/202 9,564,76 0.00 0.00 9,564.7E INVENTORY J 2082919 06/111202 06/09/202 061191202 116.51 0.00 0100 116.51 .% INVENTORY J2081808 06/11/202 06/09/20206/19/202 599.38 0.00 0.00 599.36 J INVENTORY / J 2075963 06111/202 06/091202 06/191202 104.58 0.00 0.00 104.58 INVENTORY J 2061520 06/12/20208/03120206/13/202 408.52 0.00 0.00 408.52 -J INVENTORY % 2061521 v 06/12/20206/03120206/13/202 12,095.75 0.00 0.00 r 12,095.7E INVENTORY J 2064077 06/12/20200/04/20206114/202 8.41 0.00 0.00 8.41 INVENTORY 2060843 061121202 06104/202 051141202 28.07 0.00 0.00 28.071f INVENTORY J 2066842 06/12/202 06/04/202 06/14/202 0.97 0.00 0.00 0.97 � INVENTORY 2065868 06/1 W202 06/041202 001141202 3,921.36 0.00 0.00 3,921.38 INVENTORY J 2070456 06/1212020610512OW 06/15/202 6.94 0.00 0.00 6,94 .J INVENTORY 11 2070457 d 06/12/20206/05/20206/15/202 482.50 0.00 0.00 482.50 V INVENTORY .J 2069357 06112(202 061051202 06115/202 43.33 0.00 0.00 43.33 INVENTORY J 1071949 06112/20206105/20206/15/202 11381.99 0.00 0.00 ` 1,381.99 J INVENTORY ,f 2071948 06/12/20206/05/20206/15/202 1,205.02 0.00 0.00 1,205.02 `•/ INVENTORY J 2087765 06112(202 06/10/202 06/251202 13.79 0.00 0.00 13.79 INVENTORY 2087766 06/1 PJ202 06/101202 06/25/202 1,202.03 0.00 0.00 J 1,202.03".% INVENTORY 2084883 06/12/202061101202061251202 12,381.92 0.00 0.00 12,381.92 INVENTORY Vendor Totals; Number Name Gross Discount. No -Pay Net 10536 MORRIS & DICKSON CO, LLC 49,699.91 0.00 0.00 49,699,91 Vendor# Vendor Name Class Pay Code 13548 " NACOGDOCHES TRANSCRIPTION Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net .,� 8404 06112/20206110/202061201202 120.68 0.00 0.00 120.68 ✓ TRANSCRIPTION.-'1_�y ,l Vendor Tclals: Number Name Gross Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 120.68 0.00 0.00 120,68 Vendor#/Vendor Name Class Pay Code 01500 „j OLYMPUS AMERICA INC M Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net J36358878 06107/20206/07/20207/00202 204.60 0.00 0.00 204.60 SUPPLIES •136364602 08/07/202 06107/202 07/02/202 1,125.00 0.00 0.00 1,126.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,329,60 0.00 0.00 1,329.60 Vendor# Vendor Name Class Pay Code 11155 j PARAREV Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 916410 06111/202 06/01/202 07101/202 950.00 0.00 0.00 950A0 / PRICE TRANSPARENCY 916409 08/11/202 06/011202 07/01/202 3,084.00 0.00 0.00 3,084.00 J PRICE TRANSPARENCY Vendor Totals: Number Name Gross Discount No -Pay Net 11155 PARAREV 4,034.00 0.00 0.00 4,034,00 Vendor#j Vendor Name Class Pay Code 10162 ,f PARTSSOURCE, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net -.i 05286081 06/04/202 06/04/202 07104/202 474,74 0.00 0.00 474.74 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10162 PARTSSOURCE, LLC 474.74 0.00 0.00 474.74 Vendor# j Vendor Name Class Pay Code S0905 „J PERFORMANCE HEALTH M Invoice# Comment Tran Dt Inv Ot Due Dt Check Or Pay Gross Discount No -Pay Net IN97706223 .J 06112/202 061111202 06/301202 35.33 0.00 0.00 35,33 PT SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net S0906 PERFORMANCE HEALTH 35.33 0.00 0.00 35.33 Vendor# 1Vendor Name Class Pay Code 12708 POO ELECTRIC, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 4049 06/12120203/20120206/30/202 925,00 0.00 0.00 925.00 INSTALL STARTER MED AIR CON Vendor Totals: Number Name Gross Discount No -Pay Net 12708 POC ELECTRIC, LLC 925.00 0.00 0.00 925.00 Vendor#1 Vendor Name Class Pay Code 11932 '! PRESS GANEY ASSOCIATES, INC, Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net .•� IN000650910 05/311202 05/31/202 06/30/202 2,038.92 0,00 0.00 r 2,838.92"•/ CONTRACT FEES Vendor Totals: Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 2.838.92 0.00 0.00 2,838.92 Vendor# Vendor Name Class Pay Code 12480 PRO ENERGY PARTNERS LLC Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net r 24050600 06/11/202 06/111202 06126/202 1,981.47 0.00 0.00 1,981.47 J ENERGY Vendor Totals: Number Name Gross Discount No -Pay Net 12480 PRO ENERGY PARTNERS LLC 1,981,47 0.00 0.00 1,981.47 Ventlor# Vendor Name Class Pay Code 11251 RAPID PRINTING LLC Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 23732 06/12/202 06110/202 061301202 37.99 0.00 0.00 37.99.J1 APPOINTMENT CARDS Vendor Totals: Number Name Gross Discount No -Pay Net 11251 RAPID PRINTING LLC 37.99 0.00 0.00 37.99 Vendor# )Vendor Name Class Pay Code 11240 `J REMI CORPORATION Invoice# Comment Tran Dt Inv Or Due Dt Check Dt Pay Gross Discount No -Pay Net 1061559 06/12/20205/31/20206/22/202 14,835.43 0.00 0.00 14,835.43 ..;/ ANNUALAGREEMENT .h+� �1 ii /)t (^ L �J Vendor Totals: Number Name Gross Discount No -Pay Net 11240 REMI CORPORATION 14,835.43 0.00 0.00 14,635.43 Vendor# )Vendor Name Class Pay Code 15264 "/ REPUBLIC PAIN SPECIALISTS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net !30 05131120205131/202 OM01202 a 7,000.00 0.00 0100 7,000.00 Vendor Totals: Number Name Gross Discount No -Pay Not 15264 REPUBLIC PAIN SPECIALISTS 7,000,00 0.00 0.00 7,000.00 Ventlor# /Vendor Name Class Pay Code S1800 J SHERWIN WILLIAMS W Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net j 043024 05131/202 041301202 05/20/202 385.88 0.00 0.00 385.88 ,J! PAINT Vendor Totals: Number Name Gross Discount No -Pay, Net S180D SHERWIN WILLIAMS 385.88 0.00 0.00 385.88 Vendor# Vendor Name Class Pay Code J 10936 SIEMENS FINANCIAL SERVICES / Invoice# Comment Ten Dt Inv Ot Due Dt Check Dt Pay Grass Discount No -Pay Net JJ 56382400049575 05/31120205/26/20206/20/202 4,195.74 0.00 0.00 7 4,195.74 RENTAL Vendor Totals: Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 4,195.74 0.00 0.00 4,195,74 Vendor#, Vendor Name Class Pay Code '1 10699 SIGN AD, LTD. Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net .,�Invoice# 301050 061011202 06/01/202 06111/202 410.00 0.00 0.00 410.00 ADVERTISING .,�1..L7 Vendor Totals: Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD. 410,00 0,00 0.00 410.00 Vendor- 1 Vendor Name Class Pay Code 11296 �/ SOUTH TEXAS BLOOD & TISSUE CEN Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net ,r 108040838 05/311202 05131/202 06/25/202 5,227.00 0.00 0.00 5,227.00 BLOOD J Vendor Totals: Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE DEN 5,227.00 0.00 0.00 5,227.00 Vendor# )'Vendor Name Class Pay Code C1010 �/ SPARKLIGHT W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net -,j 001524 06/01120206101/20206/151202 1.842.00 0.00 0.00 1,842.00 v� 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 52694 j STANFORD VACUUM SERVICE M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net. .J 49SD31 06105/20206/05120206/20/202 550.00 0.00 0.00 550.00 GREASETRAP ,! Vendor Totals: Number Name Gross Discount No -Pay Net 52694 STANFORD VACUUM SERVICE 550.OD 0.00 0.00 550.00 Vendor# Vendor Name Class Pay Code r S3960 J STERICYCLE, INC Invoice# Comment Tran Dt Inv Dt Due Dt - Check Dt Pay Gross Discount No -Pay Net -% BOU7180731 05/311202 05/18/202 06/17/202 3,079.00 0.00 0.00 3,079.00 J WASTE DISPOSAL t` n n 1� 0 9 AI L ` J L�� "i? Vendor Totals: Number Name Gross Discount No -Pay Net 53960 STERICYCLE, INC 3,079.00 0.00 0.00 3,079.00 Vendor# Vendor Name Class Pay Code 53940 -� STERIS CORPORATION M Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net )Invoice# �1 12466404 061111202 06/041202 061291202 202.80 0.00 0.00 202.80 1 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 53940 STERIS CORPORATION 202.80 0.00 0.00 202.80 Vendor# Vendor Name Class Pay Code J S2830 STRYKER SALES CORP M Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net j9206394291 06/111202 06107/202 06112/202 451.30 0.00 0.00 451.30 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 52830 STRYKER SALES CORP 451,30 0.00 0.00 451.30 Vendor# Vendor Name Class Pay Code J T2539 T-SYSTEM, INC W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net r 915673 05/311202 05/311202 06130/202 6,130.42 0.00 0.00 6,130.42 *� PHYSICIAN TRACKING Vendor Totals: Number Name Grass Discount No -Pay Net T2539 T-SYSTEM, INC 61130.42 0.00 0.00 6,130.42 Vendor# Vendor Name Class Pay Code 15488 •j TEXAN FLOOR SERVICE r Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net / 114291 05/31/20205/29/20206/281202 99.169.39 0.00 0.00 99,169.39 J ER FLOORING GRANT Vendor Totals; Number Name Gross Discount No -Pay Net 1548E TEXAN FLOOR SERVICE 99,169.39 0.00 0.00 99,169.39 Vendor#/Vendor Name Class Pay Code 10698 TEXAS DEPT OF STATE HEALTH SRV Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net r _,+ 060124 06112120206/01/20206/30/202 2,545.00 0.00 0.00 2,545,00 RADIATION CONTROL -CT I pp t / \1`��}`''' Vendor Totals: Number Name Gross Gross Discount No -Pay Net 10698 TEXAS DEPT OF STATE HEALTH SRV 2,545.00 0.00 0.00 2,545.00 Vendor# PVendor Name Class Pay Coda 10732 THERACOM, LLC Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J -�Invoice# 225266502301 05/31120205124120206/20/202 3,247.58 0.00 0.00 3,247.56 INVENTORY Vendor Totals: Number Name 10732 THERACOM, LLC Gross Discount No -Pay Net Vendor# Vendor Name 3.247.68 0.00 0.00 3,247.58 Class Pay Code 14372 TRIAGE, LLC Comment Tran Dt Inv Dt Due Ot Check Dt Pay INV1796968671 Gross Discount No -Pay Not ..,�Invoice# 06106/20205131/20206/30/20e 3,467.50 0.00 / STEVEN SHAW 0.00 3,467.50.J J INV1796972888 0&121202 06/07/202 06/301202 3,467.50 0.00 0.00 3,487.50 S SHAW �1 Vendor Totals: Number Name Gross Discount Nc-Pay, Net 14372 TRIAGE, LLC Vendor# ,Vendor Name 6,935.00 0.00 0.00 61935.00 Class Pay Code 13616 -JTRIOSE, INC �Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay TRIS5498 Gross Discount No -Pay, Net 05/31/20205/14120205/29/202 128.24 0.00 0100 FREIGHT 128.24 JTRIS7054 05/31/202 05/30/202 06114/202 235.56 0.00 / FREIGHT 0.00 235.56 / TRIB7486 05/311202 06/03/202 06/18/202 51.33 FREIGHT 0.00 0.00 51.38 / Vendor Totals: Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC Vendor,Yr Ventlor Name 415.13 0.00 0.00 415.13 Class Pay Cade C2510 J TRUBRIDGE M ( Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay T2408101378 Gross Discount No -Pay Net _J 05131120206110/20207/05/202 10,662.90 0.00 0100 / 10,662,90 CODING/CONSULTING A2406051378 00/06/20206105120206/30/202 SOFTWARE 22,786.00 0.00 0.00 22,786.00 J Vendor Totals: Number Name 02510 TRUBRIDGE Gross Discount No -Pay Net Vendor# Vendor Name 33,448.90 0.00 0.00 33,448.90 f' Class Pay Code U1064 J UNIFIRST HOLDINGS INC Invoice# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2921034147 08112/20206/08120207101/202 220.39 0.00 LAUNDRY OM 220.39 2921034142 0611 PJ202 06/06/202 07/01/202 253.47 0.00 f LAUNDRY 0.00 253.47 / 2921034145 06/1 W2D206/06/20207/01/202 321.10 0.00 . LAUNDRY 0.00 321,10 ,f 2921034143 06112120206/06/20207/01/202 3,342.62 0.00 0.00 LAUNDRY 3,342.82 -.i J292103414E 06/12/202 06/06/202 D71011202 LAUNDRY 161.96 0.00 0.00 161.96 2921034141 06/12/202 06/06/202 07/011202 - 125.40 D:00 0,00 125AD LAUNDRY J 2921034144 06/12/20206/06/20207/01i202 34.04 0.00 0,00 34.04 j LAUNDRY t J 2921034148 06M 2/20205/06/20207/011202 282.90 D.00 / LAUNDRY 0,00 282.90 .J Vendor Totals: Number Name U1064 UNIFIRST HOLDINGS INC Gross Discount No -Pay Net Vendor Vendor Name 4,741.88 0.00 0.00 4,741.88 Class Pay Code 15444 VANDERBILT HEALTH Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J C100054476 05/31/20205/31 f20206/30/202 160.85 0.00 0.00 160.86 JAN-MARCH FEES MIA I Vendor Totals: Number Name i� L Gross Discount No -Pay Net 15444 VANDERBILT HEALTH 160.85 0.00 0.00 160.85 Vendor# Name Class Pay Code j/Vendor 11400 V WEST COAST MEDICAL RESOURCES / ! �l Invoice# INV114078 Comment Tran Dt Inv Dt Due Dt Check Dt Pay 06/04/202 06/03/202 07/03/202 Gross 1.074.00 Discount 0.00 No -Pay 0.00 Net / 1,074.00 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11400 WEST COAST MEDICAL RESOURCES 1,074.00 0.00 0.00 1,074.00 kupol t Scrrrn_ay Grand Totals: Gross Discount No -Pay Net 561,346.78 0.00 0.00 561,346.78 APPROVED ON g JcUoN 13 p2024 CALHOUNU COUNT , TOEXAS `61 +3Z;6-7II r6i,108.63 o' 220.00 +''GD��ZC%Cuno�n� 561 328.63 0 361 , 328 ^ 63fS� Sns =ao6s�ss o MOWED RUII DATE: 06/13/24 AbUNTYAUWORON NgF,ORIAL MEDICAL CENTER PAGE 1 TIME: 12M JUN 13 2024 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCWEDIT PATIENT PAY PAT 1MMBER PAYEE NAICA NOUN COUNTY, TEXAS DATE AMOUNT CODE TYPE DESCRIPTION GL NUM 1592601 O1_ 111221 209.64 J 2 REFMMI FOR- T' 77979 ARID-0001 TOTAL 209.64 -----'-____________________________ ---__._.._..____..____ TOTAL APOFI M ON JUN _q 3 20Z44�A CIADV oNq`C% iNTY, 5EX`A'$ 209.64 CITIBANK CORPORATE CAPS® Account Statement s'- `a C4mm4:c0 Ca:4Aomum ,yam y Account !nqu'Yesi M N CLMIIOER ■1a/1p TO;F,ee 1.(800).248.4533 nte;nal'onel 1-(904)•954.7314 gccount Num6erE XXXX-XXXX•XXXX-8228 TDWTTY. 1-(877)-305.7278 Send Not'ce of ST'n9 Errors and Customer SeN`ce mquVes to: C:TIBANK N A PO BOX 6125 S:OUX FALLS SD 57117.812E I Post Date Tmns 0x1e MCC Referenc4Number Descfptann.11inon • 05110 --�""""'""— NOTICE MEMO'sTEM(S) L5TE0 BELOW ^^•--=-�—=-+--+.. 05N9 Amount 9399 051343741316000572643N 1 NPDS NPDB.HR6AGOV FAIRFAX VA 05110 OSI10 55432864131200591846943 2 NICS6.20598 22033 USA 2so V 0521 591 0520 5912 65436874142171g2257]712 3 AMA'CREDENTALNG 80062h83357 :MPRM SRX 503E 60611 VSA 4q pp ,. 05f23 05121 3065 5543283,114320095429934 LEOGEWOOD NJ 1824819 USA LO5080 q SODTWES 5284241181202 800g35.9792 TX CLEVENGEPIERN DEPARTURE 0512124 79235 UB0. �� , 06123 05MI 3066 65432894143204595420942 5 HOUWN Y DEN SOUTHWES 526229GISM19 Boo.435.9792 TX CLEVENGERIERN DEPARTURE06g224 75235 USA 0523 OS21 3066 55432864143204595429926 SNWNT HO 6 OUT WEB 7800.435- CLEVENGEMER'N DEPARTURE 05212gX 75235 USA 2300 �, '✓ 06127 0524 5734 56207394146610062634436 7 DEN WN Y HOU D'6 ERT 0527 0524 3740 55432864146205486004113 8 LEH UT TOWNEPLACESTESSEGVN SEGUN a4043 USA 864 00 •„r `/ TX 76031 75234 75294 USA 447.49 i CHECK:N:o512Wa24 '7 0529 o528 9399 55488724150091271001730 9 i TXDPS CR ME REDS AUSTN 06103 OSDO 8002 B4573741522ON73700044 TX 697668088 78752 USA 16363 r 10 TEXAS HOSP.TAL ASSOC AUSTN TX 78701 USA 81500 V! v it v -`^---"""'•'-"•' -TOTALAMOUNTOF MEMO, TEM(5) 33.740.68 n NOTCE. SEE REVERSE S'DE FOR MPORTANTNFORMAT:CN APPROVFr1 ...._._............................__...—...................... Page i of2 CiTiBANK N.A. FJY COUNTY ditiY•4 PO BOX B725 Account Number �1A�\h7U-UI.TO, XXXX ALtiC1�IXXXX(6229 L dIE AS XXXJXune VOUX FALLS SO 57117.612E Statement C:OS'ng Date 03 2024 ER CLEVENGER 202 5 ANN ST., STE A PORT LAVACA TX 77979.4204 00010079643 Not an mote Foryour recordsony MEMORIAL MEDICAL py per{ENTER 1•+ l�J� Bill To: 915 N. VIRGINIA ST, Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 FAX: (361) 552-03I2 13 PHONE: 5 PHONE: (361)552.6713 61) .03 Vendor Name: / FAX: pp (361) 552.0312 t• jY (l q Date: [ !7 J d 3 L J Vendor Address: Vendor Phone #: Vendor Fax #: 1 2 3 4 5 6 7 9 10 Est. Freight Contact: Quoted By: Byycr. P.O. # Account # Initiated B - 1 12ot1 dC�le(z !%alp pI�� G��h — `C)Yld�t' �- C��•i- �/j 0Y1 C Date 1 0 ,may/�s ,¢;y�,� ; l" y'� - �@ &l�/j�/1 �j (p Q°�, t. Total Cost TOTAL COST Dept. Director Dir. Nursing E.T.A. Dir. Clinical services CFO Administrator 'it �.� MEMORIAL MEDICAL CENTER PURCfJASE ORDER Bill TO: 815 N. VIWINTA ST. Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PORT LAVACA, TX 77979 FAX:' (361) $52-0312 PHONE: (361) 552-6713 1 FAX: (361)552-0312 Vendor Name: Date: Vendor Address: P.O. Vendor Phone Account # Vendor Fax #. Initiated By. Date Required ExpenseR Department baliverTo un Lino Qty. Catalog Number No. Dwoription Unit Cast UnitExtended Mora. cost A, U(g ` 2 4tv— " 3 TH 2.50 1t CIO 6 0 5 1 7 "S 23 00 00 + 4 It 7 4 D 157 63 + 1 5 0 0 + Contact: Quoted Dr. Buyer. P Est. Freight Est. Total Cost TOTAL CosPIt t Date Dept. Director Dir. Nursing EXA. Dir. Clinical Services CFO Admi is 11 11 w Account Statement CommcrclMt Ra5H4NaA9 THOMAOMAB - m Aunt Inquiries: Tall Free: 1-(800)-248-4553 �Lr International: 1-(9114)-954.7 14 Account Number: XXXX-XXXX-XXXX-9457 TDOITTY: 1-(877)-SO5.7276 Summary of Account Activity TotalA ony $592.50 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 our records only. Coedit Limil CLOSED Cash Advance Until p Statement Closing Date 0910312024 Days in Billing Period 31 Post T's Date Date MCC Reference Number DescripOaMomtlon Amount --""""""""' NOTICE MEMO ITEMS) LISTED BELOW ''"".... «....... ' 05106 05/02 8062 554573741242W873700023 1 TEXAS HOSPITAL ASSOC AUSTIN TX 78701 USA 190.00 05107 MOB 9399 05134374128H00068754580 2 NPOBNPOB.HRSA.GOV FAIRFAX VA 220M USA 2.50 -/ N108472696 .«.«.............. TOTAL AMOUNT OF MEMO ITEM(S)- $592.60 NOTICE:SEE u d iRTANT INFORMATION Page 1 of2 C ��. CITIBANK X6 N.A. PO BOX 6125 SIOUX FALLS SD 57117.6125 ROSHANDA S THOMAS 202 S ANN ST PORT LAVACA TX 77979-4204 APPNOvEC1 ON, Jcci�IV i 4'?�t)2, CAlHOUP�rCl1NT141 e Account Number XXXX-XXXX-XXXX-9457 Statement Closing Date June 03, 2024 00007105040 Not an involce. Far your records only. MEMORIAL MEDICAL CENTER PURCHASE ORDER Bill To: 815 N. VIRQINIA ST. Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX:' (361) 5522-0312 FAX{r : (361) S52.0312 Vendor Name: l ✓ ��1� Date: ca i (a ! D 3 Vendor Address: Vendor Phone #: Vendor Fax #: P.Q. # Account# Initiated By. - Date Required Expense# D aliment Form 09401 � DeliverTa line Qty. Catalog Number Description Unit Cost Unit . Extended No. .,. , Meas. Cost „ 5 6 90^00 2-50 u v 0 7 it 592.50 o s 9 10 NOTES: Fst. Freight Est. Total Cost TOTAL COST J q A * �9G fvkc Contact: Date: Dept. Director Quoted BY Dir. Nursing Buyer. E.T.A. Dir. Clinical Service CFO Administrst LlH� MSKESSON STATEMENT MEMONAL MEDICAL CENTER / ANT DUE NFydITTED VIA ACH DEBIT AP Statement for ndormalion only 615 N IA EET`// AVACVIRGI PORT IAVAGA TX TT9T9 X 779 As d: 06/14/2024 Pape: 002 To enaun proper care to Year account, detach and nt. this stub with Your nmhlana OC: 8115 Customer INV SupplD: As of: 0611412024 Papa: 002 Mall to: Camp: 6000 Temlory: AMT DUE RMIRTED VIA ACH OMIT Customer. 632536 statement for inforinalton only Data: 06115/2024 Cost: 632536 PIPASE CHECK ANY Date: 06/15/2024 ITEMS NOT PAID (.r( S3IIn9 Due Re"waMBNatlalld Account r36 CAAeh Amouat P Amount P ReceMble Dale Dale Number Relannn Desorild Ment (pleas( F Qld) F Number PF cdwnn legend: P = Past lluu Item, F = i efure D. Nam, blank = CrareM Due Item TOTAL National Aad 632536 MEAORIAL MEDICAL CENTER SuMdals: 6,614.66 USD Future Due: 0.00 Pad Due: 0.00 test Payment 2,451.97 08107/2017 5,487.57 + I.81 + 3.18 + 502 • s1i 0 It Mid By 0611812024, Pay This Amount: 5502.36 USD If Mid After 0611a12024, Poy this Amount: 5.614.66 USD APPROVED ON JUN 17 2024 CALHOUMUGIO1� TYYITE%AS For AR Inquiries please contact 800-867-0333 Due If Pala On Time: USD 5.502.36h / DNe IM N paid late: ✓ 112.30 Due N Paid late: ` USD r 5,614.66 J�i \.� CV cbit.`(i,J QGG�ai�1QlV1.�{l-J MWESSON STATEMENT a emr 000a WALMART 1098/MEN MED PHS, AMT DUE REMITTED VIA ACH DEBTMEMOWAL MEDICAL CENTER WO VICKYKALI/ Statement for information only 815 N VIRGINIA ST PORT LAVACA TX 77979 As of. 06/14/2024 Page: 001 To Serena XoPar costa to your soonest, Mao and (alum this DC: 8115 club wkh You/ Nor as toe Cualomar INV SUMID: As of: OW14/2024 Pape: 001 Temtofy: 7001 Mall to: Come: 8000 AMT DUE REMITTED VIA ACH DEBIT Customer: 256342 Statement for inremtticn only Data. 06/15/2024 Dead: 256342 IRFAGE CHECK ANY 06/15/2024 ITEMS NOT PAID (.I EltDale: 08 RepWabf�rtional Amount �4538 Date a Number Nofamnve D ac4pti Disc Discount Amount P (gmas) F ` t) n1 F N ca�N Cost N he 258342 Wg1AfAR1' 10981MEM M® PNS 06/10/2024 06/18/2024 7501498940 202059477 1151nv41ce / 06/10/2024 00/18/2024 7501498941 202124986 1151nvow, 1.00 50.24 49.249 7501498940 06110/2024 06118/2024 7501498942 20212498E 1151nvoice 2.60 130.06 130.08a( 7501498942 OB/10/2024 OB/18/2024 7501669342 202108166 1951nvoica 0.08 0.08 x 7501g9B94I OBI10/2029 OB/18/2024 76016893g9 20213W91 ISSIm Bice 18.67 933,27 81 q.60K ]501889342� 00110MO24 06/10/2024 06/1812024 760166934q 201991988 1951nvoice 1.43 71.63 70.20 x 7501669343 06/10/2024 7501769344 202213463 1151.01. 58.41 2,920.42 2.862.01 k 7501669344 06111/2024 06/18/2024 06/18/2024 7601794331 202223838 11516voice 0.01 0.33 0.321( 760179433Bq 06111/2024 760195/631 [02360005 1151nv01ce 0.03 1.27 1.24 E 7501951631✓ 06112/2024 0601812024 7502049469 202420991 26.23 1,310.95 1,280.93 iC 7502049467 06112/2024 06/18/2024 7502224348 2025481143 115lnvoica OA2 0.32 0.93 1( ,� 7502224349v 06/1312024 06/18/2024 7502309590 202501567 1151nvoice 0.01 0.32 0.01k 7502309590 06/13/2024 O6/18/2024 7502478708 20250158] 1151nvoice 0.95 0.031( 7502478708 06/14/2024 06/18/2024 7602572901 202600669 1151nv91ce 0.02 7502572901 OW14/2024 06/18/2024 7502727811 202600688 1151nvoice 8.39 7.42 A 41.42 �( 7502512801 PF column IegaM: 1951nvoica 2.57 2.52 25.98 125.98 123A6X 7502727811 .. P = Past Be. it... F = Future Ouo Item, hlank = Cumnl Oue on TOTAL Custmner Numher 256342 WgLMARr f0981MEM M® PHS Subtotals: 5.599.37 USD Future Due: 0.00 Past One: 0.00 N Pain By 0611812024, ono 1f Poia On Thee: PaY This Amount: 37 USD 7.USD 5,487.37 /✓ last Payment APPROVED ON 5,467.37 01se foal IfPant late: 06/10/2024 13,194.38 If Paid After 0611812024, 112.00 PeY this Amount: JUN 1 7 Z1124 5,599.37 USO Due If Paid We: g C� NN U rrppq USD 5,599.37 CALHOUN COUPN�!ITE" s For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of. 06I14I2020 r Page: 00, T�osing, � Maoft lum this umo�•v: e000 stub wah your "loaner H® MCY Od34/M@d Mm OC: 8115 Customer INV Su 0: PHS pc of: 06/14/2024 Pa 001 Page: Mail to: Comp: 8000 AMT DUE RBdITTED VIA ACH DEBIT Terdt MEMORAL MEDICAL CENTQ2 / ory' 7001 J Statement for Information only , AMT DUE R VIA ACH DEBIT VICKY NALISIX Customer. r information Statement for inbrmatlon. only y 815 N VIRGINIA ST Date: 06/1512020 12024 MW IAVACA TX 77979 cum: 190813 PLEASE CHECK ANY Data: 06/15/2024 R68S. NOT PAID (v) 011lrg Dua Date Data ..."Notional Accounts tH45yt0 Cash Amount P Amount P Ra��ry�Ne Number Reference Deotsptlan Discount (games) F (men F uN mbar Customer Number 190813 NEB MCY 0434IMEM MED PNS 00/12/2024 06/18/2024 760204688D 3095398 115m olae 0.24 12.05 11.81 X 750204688D� PF column luBenJ: P • past Due It... F - Future Due R.M. blunt, - Current Duo Item TOTAL Custamar Number 190813 NE3 MCY 04341MM M® PNS Sublotels: 12.05 USD Rdure Due: 0.00 Due If Pam On Turin: 1r Pam By 0GRAU2024, USD 11.81X✓ PaN Due: 0.00 Pay This Amount: 11.61 USD Dbe lost a gaol& Gte: 0.24 last P2024 13,194.38 N Due M PNts late: 08I1012024 y this Amongl181L021. Pay thb Anx1uM: 12A5 USO USD 12.05 � II - LI APPROVED ON )UN 17 )n?,! BY COU $:A ` TY Al/CIT A CIAI.HOUM1IeurnY, TS For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT �aBry: 6000 CVS MCY 74161ME% MC RIS / AMT DUE R ITTED VIA ACH DEBIT MEMORIAL MEDICAL CENTER J VICKY muse( / Slatal emenl for inlormlon only 815 N VIRGINIA ST J PORT LAVACA TX 17979 0= 9 Don od As of. 061102024 OC: Bits Customer INV Suppla Temtory: 7001 CUmemaf, 835437 Date: 0611512024 OaspdPlion Cosh Petp: 001 To opelea pmew onedit to yo- aopooll, deteoh am1 Odom this Stub with your nemidemn As of: 0611412024 Page; 001 Mall ton comm 8000 AMT DUE REMITTED VIA ACH DEBIT Slelmomt for information only Cum: 835437 PLEASE CHECK ANY Dme: 06115;2024 ITEMS NOT PAID jv) Amount P Amount P !QaoebeWa lorovl F ----••........ —.awal GYS PHCY 74161mm MC MIS 06/12/2024 06/1812024 7502248124 3309293 115invorce 0.06 I'F 3 4 3.18 1( 7502248124 column NBalm: P = Pam Conhem, IF� FmuO Due Item; blank = Cunam Doe Item TOton TpL• Cuay7 Numb- 835437 CVS R1CY 7419/MEN MC PHS SuNmab: 3.24 USD FmuO Due: 0.00 past Dus: If Poid By O6H612024, 0,00 Pay This Amount: Lest Payment 0611012024 13.194.38 If Paid After OSHS12024. PaY this Amount: APPROVED ON JUN 17 2024 C.ALt7DUNUGOUM ED TEXHA£ Duo N Pmd On Time: USD 51811 3.t6 USp Dlso bet If paid lade: VVVVVV 0.06 3.24 USD OW N Fold Lab: USD 3.24 cDft �f2CL, For AR Inquiries please contact 800-867-0333 % STATEMENT Statement Number. 67627371 AmerisourceBergen- Date: 06-14-2024 i Of AMERISOURCEBERGEN DRUG CORP WALGREENS#12494340B 1101352841037028188 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER ,/ SUGAR LAND TX 77478.8101 1302 N VIRGINIA ST • PORTLAVACATX 77979-2509 DEAbet- RA0269276 FB Due In 7 days 866- 66-451-9855 AMERISOURCEBERGEN PO B.. Soma Not Yet Due: p,pp CHARLOTTE NC 28290.5223 Cuvent'. 393.0 Peat Due: 0.0 Talal Due: 39183 ft unl Balance: 393.83 Account Activity Document Due Reference Purchase Order Document Original Lest Receipt Amount Received Balance Date Date Number .Number Type Amount 06.10-2024 06214024 3177917296 ]006735980 Nudes 80.64 X D.00 89.54 06-10.2024 0621-2024 31n917297 7006746115 Involve 73.69 X 0,00 73,69 . 06-10.2024 06.21-2024 3177917296 70DO757189 Involve 19.90)( 0A0 19.9D 06.11-2024 06.21-2024 3178082890 7MB764136 Invoke 5.89 N 0.00 also 06-12-mm pG21-2024 3178262603 7006771641 Im loe 6&54 X 0.00 56.54 0&13-2024 06-21-2024 3175393394 7006761339 Invviw 44,22 X 0.00 44.22 06-142024 W-212024 317854MM 70D6790610 Involve 104053C 0.00 104.0E Current 1-15 Days 10-30 Days 31-60 Days 67-80 Days 91-120 Days Over 120 Days 393.83 0.00 0.00 0.00 0.00 0.00 0.00 Thank You for Your Payment Reminders APPROVED ON Date Amount Due Date Amount 06-142024 n (105]55) JUN 17 10%4 M-21-2024 393.83 Total Due: 393.83 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGIT TAXPAYER 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-DIGITTAX 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" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER CALLED IN BY: CALLED IN DATE: CALLED IN TIME: #### ENTER: ###I r 0 943.7_7 If 0 $ 116,311.54 1 $ 61,829.46 $ 14,459.96 $ 40,022.12 +r J:IAP-Payroll FileslPayrall TaxeM024*13 R1 MMC TAX DEPOSIT WORKSHEET 06.13.24AIS 611712024 941 REC/TAX DEPOSIT FOR MMC PAYROLL PAY PERIOD: BEGIN ••e 513112024; Y01 PAY PERIOD: END BHS• M&4 PAY DATE: Bl21/2o GROSS PAY: $ 537,971.38 DEDUCTIONS: A/R S 200.00 ADVANC BOOTS MUTUAL CRITICAL ILLNESS MUTUAL ACCIDENT IRS TAX MUTUAL SHORT TERM DIS MUTUAL VISION $ 873.04 CAFE-O $ 1,276.22 CAFE•H $ 3101737 $ $ CAFE-P CANCER CHILD $ 570.69 CLINIC $ 521.19 COMBIN $ 250.86 CREOUN $ DENTAL y DEP-LF MUTUAL TERM LIFE $ 1.373.93 MUTUAL HOSP INOEM S 672.50 FED TAX $ 40.022.12 FICA-M S 7,229.98 FICA-0 $ 30.914.73 FICA-M ADDITIONAL FIRST C FLEX S $ 6,265.31 FLX-FE $ GIFT 5 S 196.49 MUTUAL CRITICAL ILLNESS S 1,092.55 MUTUAL ACCIDENT $ 729.14 MUTUAL SHORT TERM DIS $ 1,884.21 LEGAL S 1.167.41 OTHER $ 2.612.76 NATIONAL FARM LIFE S 1,105.50 MEDSURCHARGE $ 295.00 Blank RELAY REPAY STONEOF $ 896.00 STONE STONE 2 STUDEN SSA-R $ 36,869.53 UWIHOS $ TOTAL DEDUCTIONS: S 166,846.53 $ 7HounwrcNpFPOar ' NET PAY: $ 371126,82 $ TOTAL CAFE 125 PLAN: '•'4MWb $ WTCN6aCg1'•'"' "eji 39,346.94 TAXABLE PAY: $ 498,624.41 $ {98,624.41 :ICA-MED(ER) $ "CALC0L4TE0•• Fmm MMCRaoen Dififerance :ICA - MED (EE) 145% , ca $ 7,230.05 7,230.05 $ 7,229.98 $ 0.07 'ICA - SOC SEC (ER) s2m1 $ 30.914.71 ICA-SOC SEC(EE) woe $ 30.914.71 $ 30,914.73 S (0.02 ED WITHHOLDING $ 40,022.12 $ 40,022.1E REVISED 3/182014 K 1 TOTALS S - I S 537,971.36 TAX DEPOSIT: 4 116,311,64 $ 116,311.54 FICA -MEDICARE 2mx $ 14,460.10 $14,469.96 FICA - SOCIAL SECURITY 1240% $ 61,829.42 $51.829.46 PREPARED BY: FED WITHHOLDING $ 40,022.12 $40.022.12 PREPARED DATE: TOTAL TAX: $ 116,311.64 $116,311.64 $ 0.10 200,110 873.04 1,276.22 31,017.37 5-10.69 521.19 250.26 1.37 3.5 i 572.50 40.022.12 7.229.98 30.914.73 5,285.31 196.49 1.092.55 729.14 1.884.21 1.157.41 21512.76 1.105.60 295.00 895.00 16,969.5:f Ia MATgi avoRN-a W uo wttr aeraxw S It 371,128.82 leeeT191R1Pg11�"'&IGWIMICIIR$Peef" Exempt Amt: Employee$ over FICA -SS Cap: Michael Gaines Paycode S - Employee Reimb.: TOTAL: S Andde Flores 6/1W2024 913 RI MMC TAX DEPOSIT WORKSHEET 06.1324.x1; TAX DEPOSIT WORKSHEET 61172024 Rua Date: 06/17/24 Tice: 09:00 ?inal S�maan • Pay C c d e Sart mart' PayCd .....__...__... Description 1 - .............. -REGULAR PAY-51 1 REGULAR PAY-Sl 1 REGULAR PAY-S1 2 REGULAR PAY-S2 2 REGULAR PA.Y-S2 3 REGULAR PAY-S3 3 REGULAR PAY-83 4 C41L BACK PAY 4 CALL BACK PAY 4 CALL BACK PAY 4 CALL SACK PAY - CALL PAY D DOUBLE IIME D DOUBLE TIME D DOUBLE TIME D CCLXE TIME E EXTRA WAGES E EX -RA WAGES F FiDI3.iAL LEAVE INSERVICE N EXTENDED -ILLNESS -BANK P PAID -TINE -OFF P PAID -TINE -OFF X CALL PAY 2 Y YMCA/CURVES 2 CALL PAY 3 MEMORIAL MEDICAL CENTER Face 110 Payroll Register 18i-NeeRly I P2REC Pay ?eriod 051,1124 - 06/13/24 Ruff I _________________________ ........+__ D e d u c t i o n s S e m m a T Y............. Nrs---------------------- Gross Code AlrrJutt 9070.00 K 1H39A0 N N N N 265.25 Y N N 2997.50 N N N 102.25 Y N N 1646.5D N N N 124.25 Y N N 21.75 N I N 11 Y 23.50 N 2 N N Y .25 Y 1 N II Y .75 Y 2 N N Y 2135.50 N 1 N N 7.75 N 1 9 N 19,00 N 2 N N 2.00 K 3 A II 8.50 Y 3 N N N N N N N 1 N 1f N 48.00 10.00 N 1 N N 404.00 N 1 N N 66,10 A N t1 N 1170.00 N 1 N N 104.00 N 1 V N N N N N 72.00 N 1 N N ..................... Grand Totals; 20939.93-•----- Class: ------ -----I Checks-COUnt:- n 206 PT 13 Other 42 Fe^A3z 234 Mile _______________-__..__....._..___..._.._ 230535.53 A/R 200.00./A/P.2 A/R3 85197.00 ADVANC AWARDS BCBSVI 8506.08 BOOTS CAFE H U73-1 79346.34 CAFE-2 CAFE-3 CAFE-4 4949.08 CAPE-5 CAF3-C CAFE-9 5742S.21 CAPE-F CAFE-F. 31017.37/CAFE-I 6314.33 CAFE-L CAF P CANCER 1004.51 CNILD 570.69JCLINIC 521.wCOmm 890.44 CP.EDUN OD ADV DENTAL 12.21 DEP-LF DIS-LF �J 37.76 EATCSH Hi TAX 40022.1GJ L.F, 127140 FICA-0 30914.734FIRSTC FL3K S 610.24 FLY FE FORT D FUTA. 1599.07 GIFT S 196.494ORAN'T GRP_IN 2146.74 GTL HOSP-I. NSA 994.50 ID TT IRSTAX LEAF 600.00 LEGAL 257.44ASA 900.00krALS 1929.75 MEiVIS NISC N;SC/ 914.68 MgCSHR NOOACC 729.14J!O0 ILL 277,72 MOOIIH7 572,5040OLIF 2373.93JNOO5TD 11691.54 MWVIS 873.04W737D, ll05.SO/OTEER. 1996.65 PHI PR FIN 35955.39 RELAY REPAY SAME 368.00 SCP,•dR5 SSGNON ST-TX 30.OD STONDF 895.00.i9T0.ME SIOIE2 216.00 simEN SUNACC SURILL SUNILU SUKLIF SU14STD SU7WIS SURCHO 295,00ITSA.1 TWA-2 TSA-C TSA-P TSA-R 36869.53JTOTION GNU F0R U01HOS 1276.22y 250.86J 7225.9ad 4521.67J 763.64 J 2512.70 H92.SSJ 3ae4.21J 537971.35f Deductions; 166845.53f Net: 3TI12S.82.i, 26 Credit OvarAnt 1L Zero let Term total: 260 ........... ................... (,2(I`1 I.I % WIK swswm,� APPROVED ON S JUN 1 7 2024 (;p zy- CABHOU Nu COIL NN' TEAS rz m sm iilrlli s uwye ]Ofl"IU51 l 11 0 �NNubItlM VIV S 111.® / InW31Mu1Mptlffn]ArtY )IWbin YIYlNt N11tl135 >ati� APPROVED ON JUN 17 2024 CANWNU&,NAIIV'RAS APPROVED ON JUN 17 2024 BY CAIHOU MI WAS MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT-- June 10, 2024 -June 16, 2024/ CP51"Handwritten 0ate Bank Description MMCNotes Amount Check"g 014/2024 PAY PLUS ACHTrans MM00261147W10IMM995 -3rd Party Payer Fee 38,38��J 9012 6/14/2024 AMERISOURCE BERG PAYMENTS 010000776521ONO2 - MOB Drug Program Ea pen re 1,057.55.rc. 5006 38 58 + 6/13/2024 WIRE OUT HEALTHEQUITY -Wageworks 11,764.64)( $005: 1 51 , 6/13/2024 PAY PLUS ACHTrans 00000002S9782761010006983 - 3rd Party Payer Fee -111.51/ 9012: 6/12/2024 PAY PLUS ACHTran500000002578829710100OG971 - 3rd Party Payer Fee 26:70✓ 9012: 2 6 - 7 0 + 7¢°9fy 6/11/2024 MCKESSON DRUG AUTO ACH ACH060378989IM00124 -3908 DrtryugProgram Expense 13,199.38 500D n� 6/10/2024 TSYS/TRANSFIRST MERCH FEES 3930098254161661 - Credit Card Processing Fee $95.89-/ 9012 6/10/2024 TSYS/rRANSFIRST MERCH FEES 4135980133241961 - Credit Card Processing Fee 456.28✓ 9012 0°C 6/10/2024 TSYS/TRANSFIRST MERCK FEES 4139980139240161 - Credit Card Processing Fee 3r236.54/ 9012 I 6/10/2024 TSYS/TRANSFIRST MERCH FEES 4139990133239362 - Credit Card Processing Fee 11374,70 � 9012 II�' ` �l vaI, 6/10/2024 TSYS/THANSFIRST MERCH FEES 4139980133238561 - Credit Card Processing Fee 279.72/ 9012 �P95r a9 6/10/2024 TSY5/TRANSFIRST MERCH FEES 4139980135839761. - Credit Card Processing Fee 9012 6/10/2024 IRS USATAKPYMT 27NS62222111026103601MI390 -Payroll Taxes „232.76 '//'" 113,023.3S at 8005 1, ,5"2e F 6 " 143,767.39 ✓ + i 36 5 J4 + 1*374.70 + 1'i n. Ji>yn 'Zit i l� ? xa\,, Jana 17. 2024 279 °'72 + ANDREW DE LOS SANTOS 4 I i.. �—'-F 232 ° J 6 + Memorial Medical Center' stT-,t�'r WG(.(-.D(l . PROSPERITY BANK-- r'rT-TYUJG". L�� \ t!. U� 2' 0 ELECTRONICTRANSFERS FOR OPERATING ACCOUNT —ESTIMATED ACHS 0 ° C Date DesaloCon 6/19/2024 - W EBFILE TAX PYMT DD -Sales Tax r L Ati ��dll� June 17,2024 ANDREW DE LOS SANTOS Memorial Medical Center .APPROVED ON JUN l 7 2024 CALF101 I J CO IN�pITEXAS MMC Not Amount 2 5 I° S 3 T_ 1.980.03 p.1,75°Ra 4 .727. 42 0 1,9BB.08 COMPTROLLEVEXAS.GOV Confirmation: You Have Filed Successfully Sales and Use Tax Period Ending 05/31/2024 (2405) Taxpayer lD:- User lD� Reference Number: - Date and Time of Filing: 06/10/2024, 02:15:42 PM PAYMENTSUMMARY Electronic Check State Amount:$1,506.12 Local Amount: 8481.96 Amount to Pay: $1,988.08 Electronic Check: $1,988.08 Taxpayer Name: MEMORIAL MEDICAL CENTER Taxpayer Address: 815 N VIRGINIA ST PORT LAVACA, TX 77979-3025 IP Address: 24.116.195.218 Entered By: Caitlin Clevenger Email Address: ccievenger@mmcportlavaca.com Telephone Number: (361) 552.0272 Payment Reference Number:- Type of Bank Account: Checking Trace Number- Accountholder Name: Memorial Medical Center Bank Routing Numbol Bank Account Numbe� Payment Effective Data: 06/1912024 CREDIT SUMMARY Credits Taken Are you taking credit to reduce taxes due on this return? Licensed Customs Broker Exported Sales Did you refund sales tax for this filing period on Items exported outside the United States based on a Texas Licenced Customs Broker Export Certifications? LOCATION SUMMARY Loco Total Texas Sales Taxable5ales Taxable Purchases 00004 24,219 24.219 0.00 SubTotet 24,219 24,219 0 Total Tax for Locations No No Subject to state Subjectto Tax (Rate.0625) State Tax Due Local Tax Local Tex Rate Locat Tax Due Total Tax Due: Timely Filing Discount: Balance Due: Pending Payments: Total Amount Due and Payable: 24,219 1,513.69 24,219 0.02 484.38 24,219 1,513.69 24,219 484.38 1,998.07 81,998.07 - 89.99 $1,988.08 - $0.00 $1,988.08 (Stale amount due is $1,596.12) ( Local amount due is $481.96 ) 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 $153.25 $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 3/1/2024 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 2/1/2024 Health Savings Account $0.00 $25.00 722.83 $ 550.00 1,272.83 EIECEIVED BY THE IW' "gym' AUDITOR ON 2:27 zoza 1WN 13 2024 2:27 Vendor# VendorNamVWOUNCOUNTY,TEXAS 11828 SOLERA WEST HOUSTON MEMORIAL MEDICAL CENTER AP Open Invoice. List Due Dates Through: 07/09/2024 Class Pay Code 0 ap_open_invoice.template Invoice# Comment Tian Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 1053124 1 06107120205/31/20200�71081202 1.428.00 0.00 0.00 1,428.00 / TRANSFER a . �'Y�Y 1n 1 �N� ��1� �'�Y� V\ Q,X V 0 ( Y { Vendor Totals: Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOUSTON 1,428.00 0.00 0.00 1,428.00 11 _sur::i;:unm;�rp Grand Totals: Grass Discount No -Pay Net 1,428.00 0.00 0.00 1,428.00 APPROVED 0111 JUN 13 2024 BY COUNTY rA11DITOR C. CALHOUN COLNiI, TEXAD RECEIVED BY THE COUNTYAUDITOR ON 06/13/2024 JUN 13 2024 MEMORIAL MEDICAL CENTER 12:26 AP Open Invoice List CALHOUN COUNTY, TEXAS Due Dates Through: 07/09/2024 Vendor# endor Name Class Pay Code 11820 ORTSEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 053024A 061071202 05/31/202 07108/202 164.70 0.00 TRANSFER J 053124 06/07/202 05/31/202 07108/202 2,040.00 0.00 �y TRANSFER �'� , fov �i 1 ,�. ��4U �1JV6• �o Vendor Totals: Number Name i V..l>f `1 �� _�w Gross Discount 11820 FORTBEND HEALTHCARE CENTER 2,204.70 0.00 R-pol i :"Lfw .nary Grand Totals: Gross Discount No -Pay 2,204.70 0.00 0.00 APPROVED ON JUN 13 24p L2 CALB.H ONNU C OL!NTYUI TEQAS 0 ap_open_I nvoice.template No -Pay Net 0.00 164.70 0.00 2.040.00 J No -Pay Net 0.00 2,204.70 Net 2.204.70 RECEIVED BY THE COUNTYAUDRORON 06r13/2024 MEMORIAL MEDICAL CENTER 12:26 JUN 13 2024 AP Open Invoice. List 0 Due Dates Through: 07/09/2024 ap_open-Invoice.template Vendor# 1Vendor Nat"OUN COUNTY, TEXAS Class Pay Code 11832 J BROADMOOR AT CREEKSIDE PARK / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1 06/03/20207/08/202 06D324 . 06/0(7/20�/ 20.32 0.00 0.00 20.32 v � (/ J TRANSFER I�J ' r I)V' ) ' � i4b I y�' MD�~' i n.UY-Dr O�,27 060324A 06/07/202 06103/202 07/08/202 63.53 0.00 0.00 63.53 J TRANSFER t it Vendor Totals: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT CREEKSIDE PARK 83.86 0.00 0.00 83.85 T+anon auatrr:; -ry Grand Totals: Gross Discount No -Pay Net APPROVED ON83.65 0.00 0.00 83.85 JUN 13 2024 CABHOON COUNTY.. TEXAS RECEIVED By THE 06/13/2024 YIR COUNWAUDITON MEMORIAL MEDICAL CENTER 12:26 JUN 13 2024 AP Open Invoice List Due Dates Through: 07/09/2024 Vendor# Vendor Name OLIN TEXAS Class Pay Code 11824 `-/THECRESCENT CALH COUNTY, Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount 052424 08/07/202 051231202 06/29/202 4,488.00 0.00 TRANSFER � �S - 1r �i i1' AiI,). I I� i I f�� 0 �'Y) (7�1{, I / 052324 06/07/20205/23/20207/08/202 3,355.00 0.00 TRANSFER li ' 052424A 06/07/202 05/23/202 07108/202 5,304.00 0.00 TRANSFER 1' / 052924 06/071202 05/23/202 07/08/202 6,120.00 0.00 TRANSFER t, I. '1053024 06/07/202 05130/202 07108/202 49,07 0.00 TRANSFER Y , t' / J 053124 06/071202 05/31/202 07/08/202 204.00 0.00 TRANSFER I 'Y J 053124A 06/07/202 05131/202 07/081202 5,700.00 0.00 TRANSFER t, ,I .� 060324 06/07/20206/03/20207/08/202 1,428.00. 0.00 TRANSFER l' it Vendor Totals: Number Name Gross Discount 11824 THE CRESCENT 26,648.07 0.00 a:r�c o.::rnrYie:'v Grand Totals: Gross Discount No -Pay 26,648.07 0.00 Ai'PgOVEp ON 0.00 JUN 13 -20)a BY CORNN' TV A' IT R GALHOLIN CD!�tJ :n 0 ap_open_i nvoice.template No -Pay Net 0.00 ` 4,488.00 J 0.00 3,355.00 ✓ 0.00 5.304,00 .// 0.00 6,120.00 -Y 0.00 49.07 J 0.00 204.00 ✓ 0.00 5.700.00 0.00 1,428.00 No -Pay Net 0.00 26,648.07 Net 26,648.07 RECEIVED BY THE OOUNTY AUDITOR ON 06/13/2024 MEMORIAL MEDICAL CENTER JUN 13 2024 AP 1227 Open Invoice List Due Dates Through: 07/0912024 Vendor #� Vendor N&MeHOLIN COUNTY, TEXAS Class Pay Code 11836 GOLDENCREEK HEALTHCARE dnvoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 1/052324 0810712020)5123/202071081202 18,063.48 TRANSFER y� 052824A 06107/202 05/281202 07106/202 65,245.76 TRANSFER ' i j 052824 06f07/20205/28120207/08/202 350.00 TRANSFER It +' J 052924B 06/07/202 05/291202 07/08/202 2,013.65 TRANSFER `, / ,J 052924 061071202 05/29/202 07/08/202 140,68 TRANSFER t , f 052924A 06/07/202 05129/202 07/081202 34.12 TRANSFER L, t L J 053024 OW07/20205130120207/08/202 93.64 TRANSFER ,, I • 11053124 06/07/202 05/31/202 07/08/202 294.20 TRANSFER t• t , 053124A 06/07/202 05/31/202 07/08/202 1,253.54 TRANSFER t- t ' 060324A 081071202 06/03/202 07108/202 4,080.00 060324 06107/202 06/03/202 07/08/202 280.10 11 ,. 060424 06/121202 06/041202 07/091202 0.03 TRANSFER �` `• J 060424A 06/1 M02 06104/202 07109/202 921.69 TRANSFER t . t� Vendor Totals: Number Name Gross 11836 GOLDENCREEK HEALTHCARE 92,770.90 _iz1.'bPL SiR)IIYEiile Grand Totals: APPROVED' Gross Discount No -Pay 92,770.90 0.00 0.Ou JUN 13 2024 CALHOI�UNTY Co /N rvD'll.".XA� 0 ap_open_invoice.template Discount 0.00 i No -Pay Net 0.00 18,053.48 0.00 0.00 65,245.76 0.00 0.00 350.00 0.00 0.00 2,013.66 J 0.00 0.00 140.68 J 0.00 0.00 34.12 0.00 0.00 93.64 ✓� 0.00 0.00 294.20 .f 0.00 0.00 1,253.64 J 0.00 0.00 4.080.00 J 0.00 0.00 280.10 v/ 0.00 0.00 0.03,// 0.00 0.00 921.69 Discount No -Pay Net 0.00 0.00 92,770.90 Net 92,770.90 RECEIVED BY THE COUNTY AUDITOR ON 2:28 oz4 , 1JUN 13 2024 2:28 Vendor# Vendor NameCALHOUN COUNTY, TEXAS 12696 GULF POINTE PLAZA MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dates Through: 07/09/2024 Class Pay Code / Invoice# Comment Tian Dt Inv Dt Due Dt Check Dt Pay Gross Discount J 053024 , 06/07/v2�0r2205/31/20207108/202 I !t 3,158.6p9 0.00 TRANSFER W\� .Y l'i' O' \fwX �\v,-1u `�pu, ` , l ,li� 0,[ Vendor Totals: Number Name ! Gross Discount 12896 GULF POINTE PLAZA 3.158.09 0.00 Grand Totals: Gross 3,158.69 APPROVED ON JUN 13 wA CALHOUt,Ul OL�NVDITEXAS Discount No -Pay 0.00 0.00 0 ap_open_invoice.template No -Pay Net / 0100 3,158.69 '/ No -Pay Net 0.00 3,158.69 Net 3.158,69 RECEIVED BY THE COUNTY AUDITOR ON O6/13/2024 MEMORIAL MEDICAL CENTER 12:28 JUN 13 2G14 AP Open Invoice List Due Dates Through: 07/09/2024 Vendor#Vendor Name CALHOUN COUNTY, TEXAS Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# J Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 052324A 00/07/202\0�5/23r/20207/08/2L02 2p04.00 f r�R� `r� TRANSFER 1 . 1�1 Y` (W � I �,M 1,� 1 VJ �'YV �\ 052924 06/07/2'01205/28/20207108/202 A��'/�1 19.03 TRANSFER I- J052824 06/07/202 05/281202 07108/202 8,134.20 J052924A TRANSFER �, ` 06/07120205/29/20207108/202 14,314.38 TRANSFER 11 J' 052924E 06/07/202 05/29/20207/08/202 29.76 TRASNFER ,/ 053024 06/071202 05/30120207/08/202 164.70 TRANSFER it , , J 053124 06107/202 05/31/202 07/08/202 204.00 TRANSFER l r r ,J 052324 06/07/202 05131/202 07/08/202 4,591.62 / 060424 TRANSFER ei J 06/1 V202 06104/202 07/09/202 582.69 TRANSFER Vendor Totals: Number Name Gross 12702 BETHANY SENIOR LIVING 28.244.38 -rn, Grand Totals: Gross Discount No -Pay 28.244.38 0.00 0.00 0 ap_open_i nvoice.template Discount 0.00 No -Pay Net 0.00 204.00 0.00 0.00 19.03 J 0.00 0.00 8,134,20 0.00 0.00 14,314.38 ✓/ 0.00 0,00 29.76 0.00 0.00 164.70 0.00 0.00 204.00 0.00 0.00 4,591.62 V 0.00 0.00 682.69. J" Discount No -Pay Net 0.00 0.00 28.244.38 Net 28,244.38 Memorial Medical Center Netaln`Home UPl Week[} Centex Tnnlrer Plo3Pefity Acmuma / 6/lf/2024 V/ ✓ J 1-0 e.ruwe ,m nn,e me+Jm ,.�mm Y.nnwnnnexm. 11P.04f.10 ilf.)lef9 111.W.10 Sl.Ill.l $13,411.15 lINGYnu ]a6.1111) 4minlJne INW MVNvmYm,nunAr % Mpne,lM41!! I}.]]S.N •4/pm Npl%(m pnlfrfN (o O MrrpgfMxlgl V `/ , YJYap ".a, Yal)e.10 J - V SII.INW Y-SXSS% nwwl. .k4HJ1 aal¢lo 11AIII9 2151438e15 + 161,617.41 192:41:5-20 + 57179.3^68 + 17 1 52r1�6 + 0 fgrmrymYnm e(prn SSODMM,nnSMrMY4fwgPxn,. IMeI}uxnwrnnemxmhmySlYnurMNl4wuhamoenlr<Y+r 1nxwMY)rWmNxon umun,w.+xNNgxxcn, lwnrnlunnnyalne 1pXl Nunn 1(p.33 NrYMrrnn 19}q Imr nlx,rl ,4nrI0,WurlrrmWr<mr ll]AY.\1 Ia.NSN // R1\YYnee NAYS03 �/ V,rl,n,e 4en In 0J,n[, Im.M MOIIa4ellpll! ,,SM.Y .IIxIN4,n1. 191]0 MryNbnn 11fJS Iuily M,n,l ,awb w�YYmemf r,ml THIS W I }%nlu I/ Y.u.Yx. Ssa•IS,n mnrn. 4,nwu— IWW P,Im Ppnl lwi I! luvq. 0.32 m —..wICMP 1A1}.M GJm Mn<lwlleiYMq! NA13N aMlMx,n }N 9I MryM,rY[1 lWf] NyIM.n,I YIW m4nurt,.m4. M, vMe. 04mM V e,u bn.w n.lm.% bsI.IJ[a[, =00 M+Iu, aarlloo! }aoll1 Aare Mnxl 611) Mry M,na 0f 11 Iun,Nlm,l .gwe,l[.Wlnmrn4m ,,.lf1Y 1g1N 1a V Iw NI IoIla 10 YYYn[e Y.w Yl,lxn Imm aNenr.l1011 },M).m la1,b1>Al mp,afs.xP })J91.11 Y 1)1,1113i APPROVED ON JUN 17 2024 6V 1VM� AR'T?�A MlINI,r,Y Sn11 CALHO 1N l; 11I T- 5 Ium Mlfbll ,q'w e,wrtr,nwr,nr YSAsvb \/ lmnm,nreas Yr.uue t� Apwewe: �NS(}'; 'TCIt la •—!- I Y� F� le.bt��\ J Pxoe1W o11ossArlros y1)ryela VNH l• r� I 4L"MRY '"�1..: �'�"'' BnA.MDlVWYI " n� °T /1 •[ f�0 QII/(4m11 QIIP/Cem1 aPP(am1 a1P/WmPIdYO[e gIPPq NHIOMION M6NWWIOVIIINN WIDM Hfi111iMM PMM6¢fgJ]Lpp9lll P6M✓/ UY/MH MHB. 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S'9K'M WIWMM M[MM NVMtXSYCN((YIMVMl3>INp311230111 _ j 6I,U226 mog V/ 0.aAle / I:),222.66 2. �•/ 19.IB9.24t9 Tmus Y61.92 IbLILO.03 K1 HA62 xau US6W 21 M14 M31,M49 omanuna vvmvrow Account Name '4357 MEMORIAL MEDICAL CENTER OPERATING $1.725,812.84 $1.667,615.51 $1,725,812.84 $1.678,720,84 M355 MEMORIAL MEDICALCENTER- CLINIC SERIES 2014 $544.56 $544.55 $544.55 5544.55 '4373 MEMORIAL MEDICAL CENTER PRIVATE WAIVER $438.3a $438.38 $438.38 $438.38 CLEARING '4351 MEMORIAL � MEOICALCENTERf / $226,181.17✓ $2,---2907899 $220.181.17 $198,983.32 NHASMFORG ✓ 4403 MEMORIAL MEDICALCENTER/ $166,625.85 5222,554.46 $166,625.85 $147,057.30 NHBROADMOOR '4411 MEMORIAL MEDICALCENTER? / $258,432.88 NH ��/ $264,637.62 $258,432.88 5252,133.12 CRESCENT '4435 MEMORIAL MEDICALCENTER// SOLERA AT WEST $180,154.70✓ $191.021.65 $180,154.70 5173,175.75 H0USTON '4446 MEMORIAL `i-- MEDICAL $41,880.98 ✓,, S41.BB0.98 541,880.98 $38.078.48 HH NH FOR FORT BEND '4454 MEMORIAL MEDICALINN GOLDE GOLDEN CREEK $99.413.54 $100.413.54 $99,413.54 $92.021.54 HEALTHCARR E '5433 MMC -NH GULF POINTE PLAZA- $458.34 $458.34 $468.34 $458.34 PRIVATE PAY 'SUI MMC -NH GULF POINTE PLAZA• $3.738.04 $3,738.04 $3.738.04 $1,553.04 MEDICAREIMEDICAID 'SSOS MMC •NH -- BETIMNYSENIOR $129,948.72 $13008.90 $129,948.72 5107,332.43 LIVING *34OT MMC VILLVILLAGE TUSCA $87.062.51 $101,434.05 $87,052.51 $87,052,51 '3660 MMC •ETHANY SR LIVING • DACA $100.00 5100.00 $100.00 $100.00 *3998 MMC MARKETFUNDMONEY $6.000.00 $5,000.00 $5.000.00 $5,000.00 Total Balance $2,925,782.50 $2,959,615.21 $2.925,782.50 $2,782,649.60 R.Pm pv..roma a�4DROo24 aP.m:u 4nt LDr Pnpe2a12 Memorial Medical Center Nursing Home UPL Weekly NeHlon Transfer Prosperity Accounts 6/17/2024 J pnyfd.. R Nsfl B"InnlvH Nunln Ham. Number NW. 182,492.94 BounnvWwmvaivn RwG.NNt Creek: xeabn XeaRA.e Gafden Me4 WNb Frye Bank,NA � J panan9 but /TmnAerin �0e.aib LOi 98.HTl.6] _ Bank B.I.. Varnna leaueln 8alann allmpymao d,*NIMH Oalm pymn.wetlro TV}nny Nte:. Each anma/auer$S,UG9wlUAe rmnrJenNmMenum'npMme. Nate 2: v[A v¢aunMawbvn8.bnre o/$IDONetMMCdepmifetl nPomattounC APPROVED ON JUN 17 2024 BY COUNTY AUDITOR CALHOUN COUNTY. TD(A Today'a6erinnlL�[ Amauntm Be TramingCta xuNnH Bdann H.7 J 98.439.59. Rpr wenn 152.47 Maylnnrw 215.55 }wH l.W." / Aeluneannaurnander mna r^ 9ppmvAN R -r 1L: nl Jc ANDRWO0.EWDHlO3NNH09 6/17/2@0 IANHWe yh-'NnelHUOLT... SummanL24}15NH UY}TramgeSummaryfi ll.}a 9 {{� p 1i',rE4 G ode ' ' NMCPOgTOH g. oh*�*I 9)INMM I311/fMXK KTCRL00FIHMHHH)H4fl "S"'— IIiMEfE4Yt Sid IAH.W plq/(pmOE yp//Cpm 3 fA9NLNn03 6YpK yIPT HN pOgIION NN/}011 NMLTNIT NCMIMPM! 1]KMKIIWl13 I.pH00 NIX MMIN WTHd10 NIO}q X X14M O/0/3 Wl0[NGPtRNt l5LAy0H l5MN S,SOl00 111312024 115154 11,115.92 111]1}OI4 RYY1MN1fIMTG[OOfIHf6H35H]HI)91 6/I21302I T5WFWffIMTCR000VWIHS4I1101711 ;MXS 959630 4lUNIX KQ309 1/IINH3 3p0109 f/14MM 4n ,.1 1XNX.I.XInmD3S1N1 1,.1.1 1}" 9.WSC1 145D].0) 95MM ENCRIE EALTIM011HIJMKIIOH M::E NLIfNCOLPT I]FIH9IWJ]N y}]y f 11.SOO.N GIMOH00lO f/1WN11 7,511 N9�MTCRIDOdH1SH5HOH1191 4391% 1/10/]ONISYS/fMH3fIMTCR[OOEPHIIM5.511]11 &M,l, 1�391.90 1.391.90 L/IMW90010fNIMIMEALTMERC 0O 1101H 9WXXONSf / SASSA0 EIWIM M MLMHUNUkN IMWMPMT17i JMIIZ 1A10W ,V/j }1.53lfl 151.951A)./ 9&91).6/ oaiMucMM warwMw Account Name •4357 MEMORIAL MEDICAL CENTER OPERATING $1.726,812.84 $1,6671616.51 57,725,812.84 $1,678,720.84 4399 MEMORIAL-'—"'- MEDICALCENTER- CLINIC SERIES 2014 $544.55 $544.55 $544.55 $644.55 '4373 MEMORIAL MEDICALCENTER• PRIVATE EWAIWgIVER $438.38 $438.38 $438.38 $438.38 CLEARING •4391 MEMORIAL MEDICAL CENTER NH ASHFORD $226,181.17 $229.078.99 $226,181.17 $196,903.32 '4403 MEMORIAL MEOICALCENTERI $166,625.85 $222.554.46 $166,625.85 $147,057.30 NHEROADMOGR •"It MEMORIAL ' MEDICALCENTER! - $258,432.88 5264,637.82 $258,432.88 S252,133.12 NHCRESCENT •4438 MEMORIAL MEDICALCENTER! WEST $180,154.70 $191.021.65 $180,154.70 S173,175.75 HOSTONOUSTON T '4446 MEMORIAL MEDICALCENTER/ $41.880.98 541,880.98 $41,880.98 538,078.48 NHFORTBENO �__• '4454 MEMORIAL MEDICALINH / GOLDEN CREEK ✓ $99.413.54� $100,413,54 599,413.54 $92,021.54 HEALTHCARE '6433 MMC -NH GULF POINTE PLAZA- $458.34 $458.34 $458,34 $458.34 PRIVATE PAY '5441 MMC -NH GULF POINTE PLAZA• 53,738.04 $3.738.04 $3.738.04 $1,553.04 MEDICAREIMEDICAID '5506 MMC -NH BETHANY SENIOR $129,945.72 $130,698.90 $129.948.72 5707,332.43 LIVING w$87,052.51 '3407 MMC •NH' TUSCANY VILLAGE $701,434.05 S87,052.51 $87,052.51 SR LIVI G-DACA $100.00 5100.00 $100.00 $100.00 '2999 MMC AIEMC.MDNEY MARK $5,000.00 $5,000.00 $5,000.00 $5,000.00 Total Balance $2.923,782.50 $2.959,615.21 $2,925,782.50 $2,782,049.60 Re0M44narale4 on 4G17/202449,03,, 4A11 Cat P-9.2a12 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity 0.CCount9 6/17/ 6)17/2G39 pttrlau. ;/ J 9p[.nnl 9.nnwH HUMrnNpm. � Xumh. 4Ymt Tnntlrbu[ T�reNn 95a11 �Ip6n mn9Mwn as9v vNimn t....F MYnn span / ONm pYmtpwptl[o MMC 1ll.11,/ I. / J � � e01YnaSYMeRnmfnMnl lW.11 � hpNom / Amevnl bpa FawnO 6.dnNnp v rnnn[mtllp NuM Xpme Hw.M[ Bibn[e Tnmhbm eL]3615 U.135.a1 /]nmlmM / 3,i199L v� // HYnFp Hpme 4nk MYn¢ l}]e.w Vuuna ppp SHveln &Ynm ICQW pnKlni�nfamvnenbr9ullNe:ntt9Yn. Ntlivn9.YmnRnmN.Mm awa � iii TOTNLTMMSr[N _ 1T10.15 / Nplc IINy baMro o/ pm ]f.SW wNl Le owjged[p M[ nwlnp Ipnn. Klei: Ea[hprtpwlAmvpneWwp(piil W MptMM[depoue0napenm[amt .O C JUN 17 2024 GkIHR014SI'INY"' OE3(AS MIORIW assossax�" 1/13/I029� I:Vrx NY.NYTnmI[rrWN I:RInmfHlumm..ryVmMNN WL1rNlln9unmpY6.l]M AF W MGR06k nul W12/2024 O-ECHO PMT745I341 6/I]p026 HNB- ECHO HCCUIIMPMT]6W0341L"O=291]6t 6/11/1024 HNC HCClMI MT]46003N116R000029WZ9 6/111MZ6 -ECHO M HNB-ECHO HCC PMT740036116300002533355 6/11/Nl< HNB - E<HD HCCIAIMPMT]66N3611 G60N0253331 MMCP0RTHIN QIPP/Comp QIPP/COmp0 Tyr 3{9(�oj hi.Aervtn QIpP/COmpl i QIPP(CPmp3 Slapu QIPPTI NNPORTION 7,575541 - 58.81 - 58.81 152.91 - 152.81 112.61 117.61 29.11 / - 29.11 . MM[POPTION I+„ ut. I �, �9fp 3 A gIPP%COmP QIPP/Comps _ µ r yt Tramkr-0ul aMier•In gIPP/[OmPI 2 gIPP/ComP3 &up,. QIPPTI NNPORTION 6/16/N24 MERCNRNTBRNR[p0EPO5R096QB51666991O0001 - ;169.00 p9 6/13/N94 WIREOUTHMGRPtlG5NP,IP.CamwHuA <1,918.@✓ - / 2.185.00 , 6/10/2026 MERC ANTBRNRCODEPO5O49MI851696991NO1 11234,9l ✓ l,]3Y 91 41A38.O2 I1.a19.91. ^9 49,013.56 3,nSZ5 CaIRMCn9 \,M,Ivlew Aeeeunl Nanee '4357 MEMORIAL MEDICAL CENTER- $1,725,812.84 S1.667,615.51 S1,725,812.84 S1,678,720,84 OPERATING '4385 MEMORIAL MEDICAL CENTER- $544.55 $544.55 $544.55 $544.55 CLINIC SERIES 2014 '4373 MEMORIAL u V— MEDICAL CENTER- PRIVATE WAIVER $438.38 S436.38 $438.38 $438.38 CLEARING '4301 MEMORIAL ^^ ~— MEDICALCENTERI $226,181.17 $229,078.99 S226,181.17 $198,983.32 NH ASHFORD '4403 MEMORIAL MEDICAL CENTERI $166,625.85 $222,554.46 $166,626.85 S147,057.30 NHBROADMOOR '"It MEMORIAL MEDICAL CENTER S258,432.88 $264,637.82 $258,432,88 $252,133.12 NH CRESCENT '4436 MEMORIAL MEDICAL CENTER SOLERAATWEST $180,154,70 S191,021.65 S180,164.70 S173.175.75 HOUSTON '4446 MEMORIAL MEDICALCENTERI S41,880.98 $41,880.98 $41,880.98 $38.078.48 NN FORT BEND '4464 MEMORIAL MEDICAL I NH $99,413.54 $100.413.64 $99,413.54 S92,021.54 GOLDEN CREEK HEALTHCARE '5433 MMC-NH GULF POINTE PLAZA- f $458.34 $458.34 $458.34 $450.34 PRIVATE PAY '5441 MMC -NH GULF / POINTE PLAZA- / S3,738.04 ✓��/ $3.738.04 S3,738.04 $1.553.04 MEDICAREIMEOICAID '9506 MMC -NH BETHANY SENIOR S129,948.72 $130,698.90 $129,948.72 S107,332.43 LIVING '3407 MMC -NH $87,052.51 $101.434.05 $87,052.51 $87,052.51 TUSCANY VILLAGE '3660 MMC-BETHANY $100.00 $100.00 $100.00 $100.00 OR LIVING -DACA '2908 MMC-MONEY MARKET FUND $5,000.00 $5,000.00 $5,000.00 $5,00D.00 Total Balance $2.925,782.60 $2,959,615.21 $2,925,702.50 $2.782,649.60 ROOM ➢ ,alalee 9e W174024 99:0334 AM COT - Page 2 at memorial medical Center Nursing Home UPL WeeklV Tuscany Transfer Prosperity mounts 6/17/201T/2024 J ahnme a.pnnW noon) rrvMNneem J xurdn Nom. uumav alma Trnvlee-0u1 Tnminan SaMUM p udh TOJv Ya< Innle 4Ynn nle xeme ;e �f$.1 r).)DA1 'ISA})Al aa,%1.5). Br,K351 )gZ1lAl ✓ nnL alma 81,03.)1 Vuimts hbiF peM ONYnMi 0)WeI $r,qp m4AI emlfMN m N! evTeO hPTI. h'oal: [adartrvn<Aa nhme alanaa/$4b1Ao1MMCPepon([droMma4ounl, APPROVED ON JUN 17 2024 W.CALHOUN lN'il�IT€XAS Levee lnelmte 1M.W Mal=11NOY 7,619.0 NIWdBWMe/hmrter Not 71 Mal✓ Aeeruad:WUl.��J: r�2�14.�e��\ •NYREW pFIpS)MRM 6/1)/1p3a MMC PORTION �K f^J'= ^,.P',• QIPP/Comp QIPP/Came QIPP/COmp ,� Transfer -Out J Tnnsfer•In 1 QIPP/Cpmpt 9 46Lepse QIPP TI NH PORTION 6/13/2024 WIRE OUT VILUME POST ACUTE HEALTH SERVICE 75.427.41 , 6/13/2024 Deposit 816.00 - MAD 6/23/2024 Deposit 21.2sium - 21,258.00 6/12/1024,MOUNANEAL711MMOUNAAOIO2211075642000017 - 8,73"1 6,622.05 2,116:66 7.679.88 1,057,83 6/11/2024 Deposit - 49,123.20 / 49,123.20 6/10/2024 Oepool 7.....60 J 7,017.60 75A27,11 86,952.51 6,622.OS A115.66 7.679.98 79.772.61 ✓� Daiancee uveNiew Account Name '4367 MEMORIAL MEDICAL CENTER- $1,726,812.84 $1,667,016.51 $1,725,812A4 S1,678,720.04 OPERATING -4345 MEMORIAL MEDICAL CENTER- $544.55 $544.55 $54k55 $544.55 CLINIC SERIES 2014 '4373 MEMORIAL MEDICALCENTER- PRIVATE WAIVER $438.38 $438.38 $438.38 $438.38 CLEARING CLENG '4381 MEMORIAL MEDICAL CE14TER1 $228,181.17 $229,07B.99 $226,181.17 $198,983.32 NHASHFORO -4403MEMORIAL � MEDICAL CENTER $166.625.86 5222,554.4E $166.625.85 $147,057.30 NHBROADMOOR 'M11 MEMORIAL MEDICALCENTERI $268,432.88 $264,637.82 $258.432.68 $252,133.12 NH CRESCENT '4438 MEMORIAL MEDICALCENTERI SOLERAATWEST $180.154.70 S191,021.65 $180,154.70 $173.175.75 HOUSTON '4446 MEMORIAL MEDICALCENTERI 541,880.98 $41.880.98 $41,880.98 $38.078.48 NHFORTBEND '4454 MEMORIAL LIR GOLDEN CREEK HOLDEEK S99,413.54 $100,413.64 S99,413.54 $92,021.64 HEALTHCARE -5433 MMC -NH GULF POINTE PLAZA- $458.34 $458.34 $458.34 $458.34 PRIVATE PAY 'S441 MMC -NH GULF POINTE PLAZA- $3,738.04 S3,738.04 $3.736.04 51,553.04 MEDICAREIMEDICAID '5506 MMC-NH BETHANY SENIOR S129,948.72 $130,698.90 S129,948.72 5107,332.43 LIVING TUSCA TUSCAN0-NXNY VILLAGE 58L052.51 $1Od 1.434.05 �587,05zo $87,052.61 '3650 MMC BETHANY SR LIVING -DACA $100.00 $100.00 $100.00 $100.00 '2998 MMC-MONEY MARKET FUND $5.000.00 $5,000.00 $5,000.00 S5,000.00 Total Balance S2,925,782.50 $2,959,615.21 $2,925,782.60 $2.782,649.60 R.,.� ,.rM.d.. WITR9N 09MU AM COT Pege2ol2 Memorial Medical Center Nursing Home UPI. Weeldy HSLTranster Prosperity Accounts 6/17/2024 V rre4w. Fc0urt e.p.mrX Xunine Mem. / NwnF.. e.l.ntl Tnnl.l-0 9 �H.9i SIAS6) N.W:nHybfNMtl e3mW${Wq x,Xd4000 n &QuCd. n,W.. Na(e ): MMa.wnrFu.o Faelalere NSIW Mtt MM[delwi.MUONeefroint. v.wW ✓ / . Mraitln xm.wu. e.mnnn.ea r. APPROVED ON JUN 1 7 %024 lu CALH0. �a?Jyv01jr�xas IMAW o I3e.H1]3 Wri W..h 81— IW.Oo pm M...n IH.n M.Yr^Wr.rt 3030 Nm. M.nll F{ruaa.hr(u.RnM..Nmt Ib 3b3l.., —r-� PXDPFW DF Lo3MMbS .1711014 ewn WxWv.mr.nWr mtinednwmmgjMl.Wnunrnmr<rwmm.h$n.0 _ MMCPORTIM ..k� w gIPP/Camp) yPP/(amyl glPp/Wmpl NPP/CempYllpv: ISMnm's Iy" gIIPT NNP'Wo ]0.y065 0W34 MSPUEO1UL10NNCCUMPMT61N35131W]IT] t13l]lfib%6N] L11V=4 /( L,USLt 4.1T5.61 WIKME0ESWMP NR.SMf L/13/HR4 WIM WTPoM1TUVRG HN.EIC 51.6L.71 ✓ , 6I13/1111C paeu[ N,NLA 44,63R3B C/I=- No., � 1 MA. 19,650.10 L/14MIA NWSWSIPhCN]M 1111MU ISW SWEEP FA L1105Mtt NpnSaSfOtNIOXM¢WLVArtLTNLl410.W161 16.336T0 3FICLN 4 16.328.70 36.106.N oaiaouns uvwvinw Account Nam '4357 MEMORIAL MEDICAL CENTER- $1.725,812.84 $1.667,615.51 $1.725.812.84 $1.678,720.84 OPERATING -- '4365 MEMORIAL �— MEDICAL CENTER - $644.55 $544.55 $644.55 $544.55 CLINIC SERIES 2014 '4373 MEMORIAL MEOICALCENTER- PRIVATE WAIVER $438.38 S438.36 $438.38 S438.38 CLEARING '4381 MEMORIAL.4.� MEDICAL CENTER $226,151.17 $229,078.99 $226,181.17 S198,983.32 NH ASHFORD '4403 MEMORIAL MEDICAL CENTER $166,625.85 $222,554.46 S166,625.85 $147,057.30 NH BROADMOOR Y411 MEMORIAL MEDICAL CENTER] $258,432,88 $264,637.82 $256.432.86 S252,133.12 NH CRESCENT '4438 MEMORIAL MEDICAL CENTER SOLERA AT WEST S18D,154.70 $191,021.66 S180,154.70 $173.175.75 HOUSTON '4416MEMORIAL MEDICALCENTER/ S41,860.98 S41,880.98 S41,880.98 $38,078.48 NH FORT BEND '4454 MEMORIAL MEDICAL]NH GOLDEN CREEK $99,413.54 $100,413.54 $99,413,54 $92.021.54 HEALTHCARE '6433 MMC -NH GULF POINTE PLAZA• $458.34 $458.34 $458.34 $458.34 PRIVATE PAY '5441 MMC -NH GULF POINTE PLAZA- $3,738.04 $3,738.04 $3.738.04 $1,663.04 MEDICAREIMEDICAIO '511011 MMC -NH J �S107.332.43 BETHANYSENIOR ✓ $129,948.72✓�/ 5130,698.90 5129,948.72 LIVING '340r M H $87,052.51 $101,434.05 $87,052,51 $87.052.51 TUSNYVILLAGE Y VI '3660 MMC-BETHANY SR LIVING- DACA $100.00 S16D.00 3100.00 $100.00 -2998 MMC -MONEY $5,000.00 $5,000.60 $5,000.00 $5,000.00 MARKETFUND Total Balance $2,925,782.50 $2.959,615.21 $2,925,782.50 $2,782,649.60 Reaanaono,alea 0"60 V/2a24 a .034AM COT Pao. 2012 MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Date Requested: 6/17/2024 A YAPPROVED ON E JUN 17 2024 E cASNou�u aLwr°t qAS AMOUNT: EXPLANATION: FOR ACCT USE ONLY ❑ imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 12,272.66 / G/L NUMBER: 10255040 Molina April QIPP Hospital Portion REQUESTED BY: Caitlin Clevenger AUTHORIZED BY P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 6/17/2024 APPROVE:O ON JUN 17 2024 OA6t90UNU GO iNi1tlITE�(715 J $ 4,560.89 ✓ EXPLANATION: Molina April QIPP Hospital Portion FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: I' Is, t 61 l 1(-zy P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 6/17/2024 APPROVED ON'' JA 1 7 2024 WCA�OUN'IYuI WAS FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 3,422.9q G/L NUMBER: 10255040 EXPLANATION: Molina April QIPP Hospital Portion J REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: (P(1-1(L`- P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 6/17/2024 APPROVED ON )UN 17 2024 CA HOIIN COUNTYITEXAS J S 3,838.61/ EXPLANATION: Molina April QIPP Hospital Portion FOR ACCT USE ONLY ❑ Imprest Cash ❑ A(P Check ❑ Mail Check to Vendor ❑ Return Check to Dept GA NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: �� tail: hts: :CL P A Y E E / W411PI0W J MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 6/17/2024 'hPAOnVED O.N JUN 1 7 m24 CABNOUNUCOUNTYDITDEK4S $ 3,707.03 ,/ EXPLANATION: Molina April QIPP Hospital Portion FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept GA NUMBER: 10255040 J REQUESTED BY: Caitlin Clevenger AUTHORIZED BY:�I,Sl— � P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 6/17/2024 APPROVED ON HIN 17 0��1 U TY AUDIT R nl'NTV r Xr,- FOR ACCT USE ONLY ❑ Imprestcash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 7,679,88, G/L NUMBER: 10255040 EXPLANATION: Molina April QIPP Hospital Portion REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: 0ia, J J J OIPP PMTSTO MMC6.13.20 QIPP Payment to MMC from Nursing Facilities Commissioner's Court 6/19/20M nk—U [Yp heee GLtl ,MNXm Torsi Pet. Pr me"t MMC-Prof etl 0 am" MMLProreremin9560.89m ]W55010 12,271.66 12272166 bn9n03< ro, enry 3.422.91 a122,99 9 1rm er 4G.ldc MMcFl-ell]Q55010 3.838.61Pmr ar MM[Rrm eraWISS010 1025M 3ID].033EOr.03 Wt MMCRroF en 0 mtl ]9 E020 ]0/W3a Pro, am MMC-Pnu aril erW 1@55m0 ]02650p 6n9n021 Behan Pro, W MMCRrm era 262968 9,629.Y n nOM iu,[a Prof erdy MMC-Peoera 0 e.w 10E55010. 35AB,A2 ]s,1ex.6z Tanlr Apprm,ed: I�VlAA2Ai- oved: ANONEW OE LOS SANTOS 6/17/2024 P A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST Tuscany Village ./ Date Requested: 6/17/2024 APPROVED ON AN 1 7 20'24 CAAOR HO CO �NTY TEEXXAS 1 AMOUNT: $ 49,435.24 EXPLANATION: Claim Payment owed by The Crescent to Tuscany FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 21400007 r I REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: A,A,-n[j-u Lh-` (z