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2024-10-09 Final PacketNOTICE Of MEETING — 10/9/202.4 October 9, 2024 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS' COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 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. Commissioner Lyssy reminds public to keep Florida in their prayers as they are in direct hit for the Category 5 Hurricane Milton. Page 1 of 4 ' NOTICE OF MEETING—10/9/2024 5. Approve October 2, 2024 Commissioners' Court Meeting Minutes. (RHM) RESULT: APPROVED'[UNANIMOUS] MOVER: VernLyssy, Commissioner Pct 2 SECONDER: J,oel'Behrens, Commissioner Pet 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Consider and take necessary action to approve the Memorandum of Understanding (MOU) between The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) and the Calhoun County Sheriff's Office and allow the Sheriff to sign all necessary documents. Sheriff Vickery explained the'MOU and expressed the added resources will be beneficial for the County. RESULT: APPROVED [UNANIMOUS] MOVER:' GaryReese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: ` Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to declare the items listed on the attached waste declaration form (12 Box Springs; 12 bed Frames; 3 mattresses) from EMS as waste and approve their disposal. (RHM) RESULT: APPROVED [UNANIMOUS]; MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Hear progress report from Calhoun County EMS Director regarding CCEMS & Girard & Associates QA/QI program. (RHM) Dustin 7enkins explained and; read a'letter from the program director. 9. Consider and take necessary action to authorize Commissioner Reese to accept and sign proposal with Pest Solutions for Fire Ant Control at Bill Sanders Memorial Park for the playground equipment, sign, and all picnic tables in the amount of $1,000. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct"3 SECONDER: David Hall, Commissioner Pct 1 AYES:' Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 4 NOTICE OF MEETING - 10/9/2024 10. Consider and take necessary action to apply for the Matagorda Bay Mitigation Trust Grant for Feral Hog Control for the prevention of water pollution. (RHM) Halley Hayes explained the grant would provide 6 traps for the County to help with the overpopulation of Feral Hogs. RESULT: APPROVED [UNANIMOUS]' MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct ,3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese' 11. Consider and take any action deemed necessary to authorize Judge Meyer to sign Texas Enterprise Zone Reports for the reporting years of 2018, 2019 and 2020. (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. Accept Monthly Reports from the following County Offices: a) Justice of the Peace Pct 1- September, 2024 b) Justice of the Peace Pct 2 - September, 2024 c) Justice of the Peace Pct 4 - September, 2024 d) Justice of the Peace Pct 5 - September, 2024 e) Floodplain Administration - September, 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Nall, Lyssy, Behrens, Reese 13. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary, Reese, Commissioner Pct,4 SECONDER: Joel "Behrens; Commissioner Pct 3 " AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 4 ' NOTICE OI-MEETING--10/9/2024 14 Annrnval of hillc anri nnwrnll /RPM\ S: APPROVED [UNANIMOUS] David Hall, Commissioner Pct 1. Pct`s !r Hi County Bills: RESULT: APPROVED'[UNANIMOUS] MOVER: David Hall, Commissioner Pct I; . SECONDER: Vern Lyssy, Commissigner':Pct 2 AYES:': Judge Meyer, Commissioner Hall; Lyssy, Behrens, Reese Adjourned 10:23am Page 4 of 4 All Agenda Items properly Numbered Contracts Completed and Signed All 1295`s Flagged for Acceptance (number of 1295's I ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this _ L___ day of 2024, the packet for the 4h day of L:'LbL 2024 Commissloners' Court Regular Session was submitted from the Calhoun County 3udge's office to the Calhoun County Clerk's Office. Calhoun County judge/Assist/ nt /_�l�l �1 �i�� I NO FICF_ OF MEETING - 10/9/L024 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, October 9, 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 AT`� FILED The subject matter of such meeting is as follows: o'CIOCI M 1. Call meeting to order. 2. Invocation. 3. Pledges of Allegiance. 4. General Discussion of Public Matters and Public Participation. H' T 0 4 2024 couHqMD114 NQNUN7 -&X4 OEPUTw 5. Approve October 2, 2024 Commissioners' Court Meeting Minutes. (RHM) 6. Consider and take necessary action to approve the Memorandum of Understanding (MOU) between The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) and the Calhoun County Sheriff's Office and allow the Sheriff to sign all necessary documents. 7. Consider and take necessary action to declare the items listed on the attached waste declaration form (12 Box Springs; 12 bed Frames; 3 mattresses) from EMS as waste and approve their disposal. (RHM) 8. Hear progress report from Calhoun County EMS Director regarding CCEMS & Girard & Associates QA/QI program. (RHM) 9. Consider and take necessary action to authorize Commissioner Reese to accept and sign proposal with Pest Solutions for Fire Ant Control at Bill Sanders Memorial Park for the playground equipment, sign, and all picnic tables in the amount of $1,000. (RHM) 10. Consider and take necessary action to apply for the Matagorda Bay Mitigation Trust Grant for Feral Hog Control for the prevention of water pollution. (RHM) Page 1 of 2 I NOJICEOFMEEl1NG- 0/9/2024 11. Consider and take any action deemed necessary to authorize Judge Meyer to sign Texas Enterprise Zone Reports for the reporting years of 2018, 2019 and 2020. (RHM) 12. Accept Monthly Reports from the following County Offices: a) Justice of the Peace PCt 1- September, 2024 b) Justice of the Peace Pct 2 - September, 2024 c) Justice of the Peace Pct 4 - September, 2024 d) Justice of the Peace Pct 5 - September, 2024 e) Floodplain Administration - September, 2024 13. Consider and take necessary action on any necessary budget adjustments. (RHM) 14. Approval of bills and payroll. (RHM) Richard H. Meyer, County Judge 0 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,c@lhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 NOTICE OF MEETING—10/9/2024 October 9, 2024 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING AT 10:00 A.M. IN THE COMMISSIONERS, COURTROOM IN THE COUNTY COURTHOUSE AT 211 S. ANN STREET SUITE 104 PORT LAVACA, CALHOUN COUNTY, TEXAS. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 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. Commissioner Lyssy reminds public to keep Florida in their prayers as they are in direct hit for the Category 5 Hurricane Milton. Page 1 of 11 NOTICE OF MEET ING - 10/9/2024 5. Approve October 2, 2024 Commissioners' Court Meeting Minutes. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens,Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 11 NOTICE OF MEETING — 10/2/2024 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct B Clyde Syma, Commissioner, Precinct 3 (nary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, October 2, 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 Deputy Clerk Page 1 of 1 NOTICE OF MEETING—10/2/2024 October 2, 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. Sheila Dierschke with Hunter Hadley's Quest gave information on event they will be hosting December 7"' and Invited the Dub4c to attend. of 4 I NOTICE OF MEETING - 10/2/2024 S. Approve September 25, 2024 Commissioners' Court Meeting Minutes. (RHM) 'AP MOVER Vern ;S tsct -T SECONDER; noel Behrens, oninnis P Nel Reese; Hal 6. Hear Report from Memorial Medical Center. (RHM) -77777779 7. Consider and take necessary action to approve a proclamation declaring October 6-12, 2024 as National 4-H Week in Calhoun County. (RHM) dy raid the -proclarttpfibin 8. Consider and take necessary action to waive the 60-day waiting period for insurance for the City employees transitlioning to County employees for the Emergency Communications Division only. This Is a one-time instance and pertains to no other department. (DEH) APPROVED L C e n r SNDER Davi d Ill AEE•r: Judge IV, n Reese Behrens, 9. Consider and take necessary action to approve Change Order No. 1 for the Magnolia Beach - Ocean Drive Bulkhead Cap Replacement Project using GOMESA funds and authorize the County Judge to sign. (DEH) RESU4T E 1) . ,[UKArUMDUS3 MOVER. 7del.Behrens, Commissioner Pc : DiMd Hall Commissioner I S:E0QN0 JudgeM; er C0 S5 naIlL�SsyrBehrens,',. Reese: Page 2 of 4 NOTICE OF MEETING— 10/2/2024 10. Consider and take necessary action to approve a contract with Great American Financial Services for a Kyocera 4054ci copier/fax machine for the District Attorney's Office and authorize the County Judge to sign. (RHM) CfESULT APPROVED [UNANIMOUS wIDVER s David Hail.; Commis5ioner:Pck 1 SONDER Vern Lyssy, Commi5sio0er Pc ECE 2 AYES Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to approve the Specifications and Contract Documents for Bid Number 2024.10 Annex Building Roof Improvements Project for Calhoun County, Texas and to authorize G & W Engineers, Inc. and the County Auditor to advertise forbids. A pre -bid meeting shall be held at 10:00 am, Tuesday, October 22, 2024 at the Commissioners Courtroom. Sealed Bids are scheduled to be due before 2:00:00 pm, Tuesday, November 5, 2024 at the County Judge's Office. (RHM) RES4ILT, APPROVED;[UNANIMOi�S] M)VER� Gary Reese, Commissioner PCt g SEb1VdER, Vern'tyssy, �ominissioner Pet 2 AVES' Judge Meyer, CommISM ner.:Hall, Lyssy, Behrens, Reese.: - 12. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda necessary to the bidding documents if approved by County Judge that Is related to the Bid Number 2024.10 Annex Building Roof Improvements Project for Calhoun County, Texas. (RHM) RI SUL APPROVED [UNANIMOUSZ MOVER = -David Hall:;. CommrsSiRner Pet l SEcOftE1i Joel Behrens_ComMis5loner Ott 3 . jetYES Judge Meyer;.Com. missoner Hall, Lyssy, Behrens, Ruse ' 13. Consider and take necessary action to approve the specifications/scope of services for the Request for Qualifications, RFQ 2024,11 for Professional Engineering, Architectural, and Surveying Services for the CMP Cycle 29 Grant, GLO Contract No. 25-003-009-E702 for New Amenities at Bill Sanders County Park and authorize the County Auditor to advertise for these services. RFQ 2024.11 will be due by 2:00 PM, Monday, November 4, 2024. (GDR) itES�1Li ;APPROVED [UNANIMOUS MOVER Joel Behrens; Commissioner Pc. 3 5)EOND.,ER Gary Reese, Commissioner,pct 4 AIfESJudge Meyer, Cis missione'r'HaII, LysS' Behrens, Reese Page 3 of 4 I NOTICE OF MEETING — 10/2/2024 14. Consider and take necessary action on any necessary budget adjustments. (RHM) RE1LT,1PPRDVEDUNXNIMOUSj ];del Behrens, Behrens,a :�,a Tsyr. 15. Approval of bills and payroll. (PHM) Adjourned 10:33am. Page 4 of 4 NOTICE OF MEETING 10/9/2024 6. Consider and take necessary action to approve the Memorandum of Understanding (MOU) between The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) and the Calhoun County Sheriffs Office and allow the Sheriff to sign all necessary documents. Sheriff Vickery explained the MOU and expressed the added resources will be beneficial for the County. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct4 SECONDER. Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 11 Consider and take necessary action to allow Sheriff Vickery to enter into an MOU agreement with ATF (Alcohol Tobacco and Firearms) and allow Sheriff Vickery to sign. MEMORANDUM OF UNDERSTANDING BETWEEN THE BUREAU OF ALCOHOL, TOBACCO, FIREARMS AND EXPLOSIVES (ATF), And Calhoun County Sheriff's Office This Memorandum of Understanding ("MOU") is entered into by and between the Bureau of Alcohol, Tobacco, Firearms and Explosives ("ATF") and the Calhoun County Sheriffs Office as it relates to the ATF Task Force (herein referred to as the "ATF Task Force"). AUTHORITIES The authority to investigate and enforce offenses under provisions of this MOU are found at 28 U.S.C. § 599A, 28 C.F.R. §§ 0.130, 0.131, and 18 U.S.C. § 3051. PURPOSE The Task Force will perform the activities and duties described below: a. Investigate firearms trafficking b. Investigate firearms related violent crime c. Gather and report intelligence data relating to trafficking in firearms d. Conduct undercover operations where appropriate and engage in other traditional methods of investigation in order that the Task Force's activities will result in effective prosecution before the courts of the United States and the State of Texas. MEASUREMENT OF SUCCESS The success of this initiative will be measured by the participating agencies' willingness to share certain information, (i.e., crime statistics) for the purpose of measuring the success of the task force as well as its performance. Mission Activities: • Deter Illegal Firearms Trafficking and Violent Gun Crime • Firearms Criminal Possession and Use • Combat Criminal Organizations • Deter Misuse of Explosives, Bombs, and Bombings • Research Fire and Investigate Arson ATF JLEO Task Force MOU - March 2022 Page 1 PHYSICAL LOCATION Officers assigned to this Task Force by their employer shall be referred to as task force officers (TFOs). TFOs will be assigned to the ATF Corpus Christi Field Office and will be located at Corpus Christi, Texas. SUPERVISION AND CONTROL The day-to-day supervision and administrative control of TFOs will be the mutual responsibility of the participants, with the ATF Special Agent in Charge or his/her designee having operational control over all operations related to this Task Force. TFOs shall remain subject to their respective agencies' policies and shall report to their respective agencies regarding matters unrelated to this agreement/task force. With regard to matters related to the Task Force, TFOs will be subject to Federal law and Department of Justice and ATF orders, regulations and policies, including those related to standards of conduct, sexual harassment, equal opportunity issues and Federal disclosure laws. Failure to comply with this section could result in a TFO's dismissal from the Task Force. PERSONNEL, RESOURCES AND SUPERVISION To accomplish the objectives of the Task Force, ATF will assign 2 Special Agents to the Task Force. ATF will also, subject to the availability of funds, provide necessary funds and equipment to support the activities of the ATF Special Agents and TFOs assigned to the Task Force. This support may include office space, office supplies, travel funds, funds for the purchase of evidence and information, investigative equipment, training, and other support items. Each participating agency agrees to make available to its assigned task members any equipment ordinarily assigned for use by that agency. In the event ATF supplies equipment (which may include vehicles, weapons, or radios), TFOs must abide by any applicable ATF property orders or policy and may be required to enter into a separate agreement for their use. To accomplish the objectives of the Task Force, the Calhoun County Sheriffs Office agrees to detail 1 fulltime TFOs to the Task Force for a period of not less than two (2) years. All full-time TFOs shall qualify with their respective firearms by complying with ATF's Firearms and Weapons Policy. SECURITY CLEARANCES All TFOs will undergo a security clearance and background investigation, and ATF shall bear the costs associated with those investigations. TFOs must not be the subject of any ongoing investigation by their department or any other law enforcement agency, and past behavior or punishment, disciplinary, punitive, or otherwise, may disqualify one from eligibility to join the ATF JLEO Task Force MOU - March 2022 Page 2 Task Force. ATF has final authority as to the suitability of TFOs for inclusion on the Task Force. DEPUTATIONS ATF, as the sponsoring Federal law enforcement agency, may request at its sole discretion that the participating agency's TFOs be deputized by the U.S. Marshals Service to extend their jurisdiction, to include applying for and executing Federal search and arrest warrants, and requesting and executing Federal grand jury subpoenas for records and evidence involving violations of Federal laws. Such requests will be made on an individual basis as determined by ATF. A TFO will not be granted Department of Justice legal representation if named as a defendant in a private -capacity lawsuit alleging constitutional violations unless all deputation paperwork has been completed prior to the event(s) at issue in the lawsuit. The participating agencies agree that any Federal authority that may be conferred by a deputation is limited to activities supervised by ATF and will terminate when this MOU is terminated or when the deputized TFOs leave the Task Force, or at the discretion of ATF. ASSIGNMENTS, REPORTS, AND INFORMATION SHARING An ATF supervisor or designee will be empowered with designated oversight for investigative and personnel matters related to the Task Force and will be responsible for opening, monitoring, directing, and closing Task Force investigations in accordance with ATF policy and the applicable United States Attorney General's Guidelines. Assignments will be based on, but not limited to, experience, training, and performance, in addition to the discretion of the ATF supervisor. All investigative reports will be prepared utilizing ATF's investigative case management system, (N Force) utilizing ATF case report numbers. The participating agency will share investigative reports, findings, intelligence, etc., in furtherance of the mission of this agreement, to the fullest extent allowed by law. For the purposes of uniformity, there will be no duplication of reports, but rather a single report prepared by a designated individual which can be duplicated as necessary. Every effort should be made to document investigative activity on ATF Reports of Investigation (ROI), unless otherwise agreed to by ATF and the participating agency(ies). This section does not preclude the necessity of individual TFOs to complete forms required by their employing agency. Information will be freely shared among the TFOs and ATF personnel with the understanding that all investigative information will be kept strictly confidential and will only be used in furtherance of criminal investigations. No information gathered during the course of the Task Force, to include informal communications between TFOs and ATF personnel, may be disseminated to any third party, non -task force member by any task force member without the express permission of the ATF Special Agent in Charge or his/her designee. ATF JLEO Task Force MOU - March 2022 Page 3 Any public requests for access to the records or any disclosures of information obtained by task force members during Task Force investigations will be handled in accordance with applicable statutes, regulations, and policies pursuant to the Freedom of Information Act and the Privacy Act and other applicable federal and/or state statutes and regulations. INVESTIGATIVE METHODS The parties agree to utilize Federal standards pertaining to evidence handling and electronic surveillance activities to the greatest extent possible. However, in situations where state or local laws are more restrictive than comparable Federal law, investigative methods employed by state and local law enforcement agencies shall conform to those requirements, pending a decision as to a venue for prosecution. The use of other investigative methods (search warrants, interceptions of oral communications, etc.) and reporting procedures in connection therewith will be consistent with the policy and procedures of ATF. All Task Force operations will be conducted and reviewed in accordance with applicable ATF and Department of Justice policy and guidelines. None of the parties to this MOU will knowingly seek investigations under this MOU that would cause a conflict with any ongoing investigation of an agency not party to this MOU. It is incumbent upon each participating agency to notify its personnel regarding the Task Force's areas of concern and jurisdiction. All law enforcement actions will be coordinated and cooperatively carried out by all parties to this MOU. INFORMANTS ATF guidelines and policy regarding the operation of informants and cooperating witnesses will apply to all informants and cooperating witnesses directed by TFOs. Informants developed by TFOs may be registered as informants of their respective agencies for administrative purposes and handling. The policies and procedures of the participating agency for handling informants will apply to all informants that the participating agency registers. In addition, it will be incumbent upon the registering participating agency to maintain a file with respect to the performance of all informants or witnesses it registers. All information obtained from an informant and relevant to matters within the jurisdiction of this MOU will be shared with all parties to this MOU. The registering agency will pay all reasonable and necessary informant expenses for each informant that a participating agency registers. DECONFLICTION Each participating agency agrees that the deconfliction process requires the sharing of certain operational information with the Task Force, which, if disclosed to unauthorized persons, could endanger law enforcement personnel and the public. As a result of this concern, each participating agency agrees to adopt security measures set forth herein: a. Each participating agency will assign primary and secondary points of contact. ATE JLEO Task Force MOU - March 2022 Page 4 b. Each participating agency agrees to keep its points of contact list updated. The points of contact for this Task Force are: ATF: Juan Hernandez, RAC Participating Agency: Bobbie Vickery, Calhoun County Sheriff, Calhoun County Sheriff's Office EVIDENCE Evidence will be maintained by the lead agency having jurisdiction in the court system intended for prosecution. Evidence generated from investigations initiated by a TFO or ATF special agent intended for Federal prosecution will be placed in the ATF designated vault, using the procedures found in ATF orders. All firearms seized by a TFO must be submitted for fingerprint analysis and for a National Integrated Ballistic Information Network (NIBIN) examination. Once all analyses are completed, all firearms seized under Federal law shall be placed into the ATF designated vault for proper storage. All firearms information/descriptions taken into ATF custody must be submitted to ATF's National Tracing Center. JURISDICTION/PROSECUTIONS Cases will be reviewed by the ATF Special Agent in Charge or his/her designee in consultation with the participating agency and the United States Attorney's Office and appropriate state's attorney offices, to determine whether cases will be referred for prosecution to the U.S. Attorney's Office or to the relevant state's attorney's office. This determination will be based upon which level of prosecution will best serve the interests of justice and the greatest overall benefit to the public. Any question that arises pertaining to prosecution will be resolved through discussion among the investigative agencies and prosecuting entities having an interest in the matter. In the event that a state or local matter is developed that is outside the jurisdiction of ATF or it is decided that a case will be prosecuted on the state or local level, ATF will provide all relevant information to state and local authorities, subject to Federal law. Whether to continue investigation of state and local crimes is at the sole discretion of the state or local participating agency. USE OF FORCE All TFOs will comply with ATF and the Department of Justice's (DOJ's) Use of Force orders and policies. TFOs must be briefed on ATF's and DOJ's Use of Force policy by an ATF official and will be provided with a copy of such policy. ATF JLEO Task Force MOU - March 2022 Page 5 BODY WORN CAMERAS AND TASK FORCE OFFICERS In accordance with DOJ policy, dated October 29, 2020, Body Worn Cameras (BWCs) may be worn by TFOs operating on a Federal Task Force when their parent agency mandates their use by personnel assigned to the task force. In such cases, the parent agency must request to participate in the TFO BWC program and, upon approval, shall comply with all DOJ and ATF policies, and the required procedures, documentation, and reporting while participating on the task force. MEDIA Media relations will be handled by ATF and the U.S. Attorney's Office's public information officers in coordination with each participating agency. Information for press releases will be reviewed and mutually agreed upon by all participating agencies, who will take part in press conferences. Assigned personnel will be informed not to give statements to the media concerning any ongoing investigation or prosecution under this MOU without the concurrence of the other participants and, when appropriate, the relevant prosecutor's office. All personnel from the participating agencies shall strictly adhere to the requirements of Title 26, United States Code, § 6103. Disclosure of tax return information and tax information acquired during the course of investigations involving National Firearms Act (NFA) firearms as defined in 26 U.S.C., Chapter 53 shall not be made except as provided by law. SALARY/OVERTIME COMPENSATION During the period of the MOU, participating agencies will provide for the salary and employment benefits of their respective employees. All participating agencies will retain control over their employees' work hours, including the approval of overtime. ATF may have funds available to reimburse overtime to the state and local TFO's agency, subject to the guidelines of the Department of Justice Asset Forfeiture Fund. This funding would be available under the terms of a memorandum of agreement (MOA) established pursuant to the provisions of 28 U.S.C. section 524. The participating agency agrees to abide by the applicable Federal law and policy with regard to the payment of overtime from the Department of Justice Asset Forfeiture Fund. The participating agency must be recognized under state law as a law enforcement agency and their officers/ troopers/investigators as sworn law enforcement officers. If required or requested, the participating agency shall be responsible for demonstrating to the Department of Justice that its personnel are law enforcement officers for the purpose of overtime payment from the Department of Justice Asset Forfeiture Fund. This MOU is not a funding document. In accordance with these provisions and any MOA on asset forfeiture, the ATF Special Agent in Charge or designee shall be responsible for certifying reimbursement requests for overtime expenses incurred as a result of this agreement. ATF JLEO Task Force MOU - March 2022 Page 6 AUDIT INFORMATION Operations under this MOU are subject to audit by ATF, the Department of Justice's Office of the Inspector General, the Government Accountability Office, and other Government -designated auditors. Participating agencies agree to permit such audits and to maintain all records relating to Department of Justice Asset Forfeiture Fund payments for expenses either incurred during the course of this Task Force or for a period of not less than three (3) years and, if an audit is being conducted, until such time that the audit is officially completed, whichever is greater. FORFEITURES/SEIZURES All assets seized for administrative forfeiture will be seized and forfeited in compliance with the rules and regulations set forth by the U.S. Department of Justice Asset Forfeiture guidelines. When the size or composition of the item(s) seized make it impossible for ATF to store it, any of the participating agencies having the storage facilities to handle the seized property agree to store the property at no charge and to maintain the property in the same condition as when it was first taken into custody. The agency storing said seized property agrees not to dispose of the property until authorized to do so by ATF. The MOU provides that proceeds from forfeitures will be shared, with sharing percentages based upon the U.S. Department of Justice Asset Forfeiture policies on equitable sharing of assets, such as determining the level of involvement by each participating agency. Task Force assets seized through administrative forfeiture will be distributed in equitable amounts based upon the number of ful4dime persons committed by each participating agency. Should it become impossible to separate the assets into equal shares, it will be the responsibility of all the participating agencies to come to an equitable decision. If this process fails and an impasse results ATF will become the final arbitrator of the distributive shares for the participating agencies DISPUTE RESOLUTION In cases of overlapping jurisdiction, the participating agencies agree to work in concert to achieve the Task Force's goals and objectives. The parties to this MOU agree to attempt to resolve any disputes regarding jurisdiction, case assignments and workload at the lowest level possible. LIABILITY ATF acknowledges that the United States is liable for the wrongful or negligent acts or omissions of its officers and employees, including TFOs, while on duty and acting within the scope of their federal employment, to the extent permitted by the Federal Tort Claims Act. Claims against the United States for injury or loss of property, personal injury, or death arising or resulting from the negligent or wrongful act or omission of any Federal employee while acting within the scope of his or her office or employment are governed by the Federal Tort Claims Act, 28 U.S.C. sections 1346(b), 2672-2680 (unless the claim arises from a violation of the ..... ... ATF JLEO Task Force MOU -March 2022 Page 7 Constitution of the United States, or a violation of a statute of the United States under which other recovery is authorized). Except as otherwise provided, the parties agree to be solely responsible for the negligent or wrongful acts or omissions of their respective employees and will not seek financial contributions from the other for such acts or omissions. Legal representation by the United States is determined by the United States Department of Justice on a case -by -case basis. ATF cannot guarantee the United States will provide legal representation to any state or local law enforcement officer. Liability for any negligent or willful acts of any agent or officer undertaken outside the terms of this MOU will be the sole responsibility of the respective agent or officer and agency involved. DURATION This MOU is effective with the signatures of all parties and terminates at the close of business on September 30, 2029. This MOU supersedes previously signed MOUs and shall remain in effect until the aforementioned expiration date or until it is terminated in writing (to include electronic mail and facsimile), whichever comes first. All participating agencies agree that no agency shall withdraw from the Task Force without providing ninety (90) days written notice to other participating agencies. If any participating agency withdraws from the Task Force prior to its termination, the remaining participating agencies shall determine the distributive share of assets for the withdrawing agency, in accordance with Department of Justice guidelines and directives. This MOU shall be deemed terminated at the time all participating agencies withdraw and ATF elects not to replace such members, or in the event ATF unilaterally terminates the MOU upon 90 days written notice to all the remaining participating agencies. MODIFICATIONS This agreement may be modified at any time by written consent of all participating agencies. Modifications shall have no force and effect unless such modifications are reduced to writing and signed by an authorized representative of each participating agency. SIGNATURES B.45bie Vicke ate Michael T. Weddel CYate Calhoun County Sheriff Special Agent in Charge, ATF Calhoun County Sheriffs Office Houston Field Division ATF JLEO Task Force MOU - March 2022 Page 8 ' NOTICE OF MEETING-- 1.0/9/2024 7. Consider and take necessary action to declare the items listed on the attached waste declaration form (12 Box Springs; 12 bed Frames; 3 mattresses) from EMS as waste and approve their disposal. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct`i SECONDER: Joel Behrens, Commissioner Pct 3 AYES: ' I Judge Meyer, Commissioner Hall, Lyssyt Behrens, Reese Page 4 of 11 Debbie Vicke From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Monday, September 30, 2024 4:46 PM To: debbie.vickery@calhouncotx.org Cc: Donna Hall; Erika Rojas Subject: Commissioners Court Agenda Item: Waste Declaration Attachments: Waste Declaration Form BoxSprings2024.pdf Debbie, Please add the following to the next Commissioners Court Agenda: Consider and take necessary action to declare the items listed on the attached waste declaration form (12 Box Springs; 12 bed Frames; 3 mattresses) as waste and approve their disposal. This system has lived past its life expectancy and is no longer serviceable. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 Calhoun County Texas Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County EMS Stations Requested By: Dustin Jenkins INVENTORY NO DESCRIPTION SERIAL NO REASON FOR WASTE DECLARATION ©�� ®s NOTICE OF MEETING—10/9/2024 8. Hear progress report from Calhoun County EMS Director regarding CCEMS & Girard & Associates QA/QI program. (RHM) Dustin Jenkins explained and read a letter from the program director. Page 5 of 11 Debbie Vickery From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Monday, September 30, 2024 4:41 PM To: debbie.vickery@calhouncotx.org; Donna Hall; Erika Rojas; john.mayne@calhouncotx.org Subject: Commissioners Court Agenda item QA/QI progress report Debbie, Please place the following on the next Commissioners Court Agenda. Hear progress report from Calhoun County EMS Director regarding CCEMS & Girard & Associates QA/QI program. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 Calhoun County Texas I NOTICE OF MEETING — l.0/9/2024 9. Consider and take necessary action to authorize Commissioner Reese to accept and sign proposal with Pest Solutions for Fire Ant Control at Bill Sanders Memorial Park for the playground equipment, sign, and all picnic tables in the amount of $1,000. (RHM) RESULT: APPROVED [UNANIMOUS], MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 11 Gary D. Reese County Commissioner County of Calhoun Precinct 4 October 1, 2024 Honorable Richard Meyer Calhoun County judge 211 S. Ann Port Lavaca, T% 77979 RE: AGENDA ITEM Dear judge Meyer: Please place the following item on the Commissioners' Court Agenda for October 9, 2024. • Consider and take necessary action to authorize Commissioner Reese to accept and sign proposal with Pest Solutions for Fire Ant Control at Bill Sanders Memorial Park for the playground equipment, sign, and all picnic tables in the amount of $1,000. Sincerely, G1`aa Reese GDR/at P.O. Box 177 - Seadrift. Texas 77983 — email: earv.reeseQkalhouncotx.org — (361) 785.3141 — Fax (361) 785-5602 Kevin J. Runge President Sandra Jo Runge Vice -President Specifications and Proposal for the Performance of Fire Ant Control Calhoun County Commissioner Bill Sanders Park Seadrift Texas 1. Intent: A. This agreement is intended to constitute a mutual understanding between Calhoun County, Bill Sanders Park and Pest Solutions, Inc., the pest control contractor. B. The specifications cover services to be rendered by Pest Solutions, Inc., the pest control contractor, at the facilities listed. 2. Scone of Work: Fire Ant Control services are to be rendered by Pest Solutions, Inc., the pest control contractor, covering the actual performance of fire ant control work in accordance with the following specifications: A. The control of fire ants by treating grounds with granular baits and granule treatment on all grass lawn areas around picnic tables, and lot where playground equipment sits, and around sign area, approximately 110,000 sq ft.. B. In the above paragraphs, the word "control' is defined as the periodic eradication of existing infestation and the prevention or limitation of re -infestation within practical limits. C. E P A standards will be maintained. 3. Materials: A. The materials used in fire ant control work shall conform to Federal, State, and Local Ordinances and Laws and shall be acceptable to Calhoun County. Mailing: PO Box 5371 — Victoria TX 77903 Phone 361-580-ANTS (2687) Physical: 2607 E Rio Grande -Victoria, TX 77901 Fax: 361-580-2688 "Providing the Quality, Courtesy and Professionalism You Deserve" 3. Schedule: A. A Pest Solutions, Inc. service representative shall proceed to the Bill Sanders Park once every month. All areas requiring attention shall be treated in order to achieve effective fire ant control. B. A Pest Solutions Inc. service representative shall make additional visits and treatments as they are deemed necessary. Such services shall be made promptly when requested. C. All services, regular and special, shall be rendered at such times as not to interfere with employees and other persons in and about the premises. 4. Nature of Work: All fire ant control work shall be performed in a safe manner and in accordance with the most modem and effective fire ant control procedure. 5. Pest Control Contractor: Pest Solutions, Inc., shall be available and prepared to render service as required and necessary to comply with these specifications. 6. Calhoun County, Bill Sanders Park shall extend all necessary cooperation to insure effective result from the fire ant control program. 8. Insurance: Pest Solutions, Inc. carries full insurance coverage for your protection. 9. Period of Agreement: This agreement shall be effective and shall continue in force for a period of one-year being then subject to cancellation by either parry with a thirty day written notice. 10. Compensation: Charges for the services indicated above shall be a total of $2,000.00 for a period of one year. CMUan) —� ,option for only around playground equipment, sim and all picnic tables, charges for this wo� Accepted: Signed: Mailing: PO Box 5371 — Victoria TX 77903 Physical: 2607 E Rio Grande - Victoria, TX 77901 Sincerely, �`--�•'' evin President Date: Phone 361-580-ANTS (2687) Fax: 361-580-2668 "Providing the Quality, Courtesy and Professionalism You Deserve" CERTIFICATE OF INTERESTED PARTIES FORM =95 10111 Complete Nos.1 • a and s P time are bdNastad penes. OFFICE USE ONLY Complete Nos.3.2. %S. and a trthem am nolamrered pelves. CERTIFICATION OF FILING Certlgeesa Number. 2D241221300 1 Name ofalbushu�hreo milky DDngtam,andthedb. stete and country olthe business erM^place Pest Sotudon% Inc. Vt Mft TX United States Data Freed: 10,D3/2024 Name of governmental or awe agency the is a paw to Ineeontraet being MOIL Calhoun County Dale dged: M htt V 2 Providetlm Mortification numberused bypte govammNmalandWors4h Allow tobackor Nendrylhe and provide dawlpdon orttm services, goods, m odw paoperlyta bo provided rmdmdm cwdmcL IGM2024 Pestaml Temil a rxntrof 4 Name atmtememd Pony Ctty,3tete.6ourrtry(pteeeol budame) tiommotintarebt (aheekk ppltea010) Corbelling Ineemwdlnry Runge, Kahn Vidoda, TX United States X S Cheek only 0 Uwe is NO Interested Party. ❑ a UNSMRN DECLARATION p Mynamels__. IC.C/iV1v✓ /�-GL"��1� .and nydete afMNrb Myaddmssls (meeq (dPor) (stela) pipmde) (money) 1 dedwe under Pmftof peluyydtetdm fomgaNg isbue end caned. E3eeeNdM M1 G'R,oq Count. SMe at �36 .dn dmLsl yofn>,; _20 Vaem) b"d signature of makot mof Wencling business ardby Forms provided bV Texas Efts Com ilmdon twuw.atidea.stam er ua MM.. VA r n eA.rearn I NOTICE OF MEETING—1.0/0/2024 10. Consider and take necessary action to apply for the Matagorda Bay Mitigation Trust Grant for Feral Hog Control for the prevention of water pollution. (RHM) Hailey Hayes, explained the grant would provide 6 traps for the County to help with the overpopulation of feral Hogs. RESULT: APPROVED ([UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 11 MATAGORDA BAY MITIGATION TRUST MATAGORDA BAY MITIGATION TRUST REQUEST FOR PROPOSALS CALHOUN COUNTY Calhoun County Mitigating Impacts of Feral Hogs to prevent pollution #2024-2025-01 Judge Richard Meyer Calhoun County 211 S. Ann St Ste. 301 Port Lavaca, TX77979 361-553-4600 Phone Richard. mever aakalhouncotx:org Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects PART IV MATAGORDA BAY MITIGATION TRUST APPLICATION FORM- 2024-2025 Funding Cycle (Please address all questions. Include additional pages if necessary) 1. Program/project contact information: Name of Lead Investigator/Program Manager: Judge Richard Meyer Calhoun County Name of organization: Calhoun County Physical address: 211 S. Ann St. Ste. 301 Port Lavaca, TX 77979 Mailing address (include mail code if applicable): 211 S. Arm St., Suite 301 Port Lavaca, TX 77979 Email address: Richard.mever@calhouncotx.org Telephone number: Deadline: October 14, 2024 At 5:00 PM Please contact Steven J. Rube, with any questions. Trustee@mbmTrust.com Check the funding priority that applies to your proposed project: General Call: _Public Education _Youth Camps X Land for Pollution Prevention _Public Access Improvement _Environmental Research _Environmental Advocacy Habitat Restoration Specific Call No.1: GLO CRP, GOMESA Projects Specific Call No. 2: Dedicated Mitigation Projects RFP# 2024-2025-01 Page 2 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects (361) 553-4600 Fax number: (361) 553-4444 Name of Project Manager or Authorized Representative, if appropriate: Same Email address for Project Manager or Authorized Representative: Same *Note: Notifications will be sent electronically 2. Applicants must be classified as a government or non-profit organization. Provide Federal Tax ID number or IRS Letter of Determination Calhoun County: TIN: 74-6001923 DUNS: 087309324 3. Program/project name: Calhoun County Mitigating Impacts of Feral Hogs to prevent pollution 4. Implementation and conclusion dates of program/project: March 1, 2025, to February 28, 2026. 5. Amount requested: $15,769.56 6. Proposed project summary (100 words or less). Calhoun County's economy, reliant on agriculture, oyster and shrimp industry, and tourism, faces threats from feral hogs, causing approximately $33 million in annual damages. Hogs also threaten water quality, contributing to high fecal coliform levels in local bays and waterways, and the GBRA diversion canal which supplies Calhoun County drinking water. To mitigate this, we propose purchasing six Pig Brigs traps to help landowners and county personnel reduce the feral hog population and limit water contamination risks. This project's goal is to prevent pollution from entering County waterways by removing the invasive feral hogs from land along the water ways. RFP# 2024-2025-01 Page 3 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects 7. Brief history and mission statement of the proposing organization (150 words or less): As a coastal county surrounded by water on three sides, agriculture, and outdoor activities are important for many residents and visitors. The waterbodies in Calhoun County and their surrounding ecosystems are critical in supporting the economic livelihood of the Calhoun County agriculture, the commercial fishing industry, as well as the local fishing, hunting, and birding guides. Removing these hogs will prevent pollution from entering the waterbodies.It will also reduce erosion along the land/water interface. The Calhoun Extension Office takes pride in educating the public to ensure they understand the importance of caring four the land, waterbodies, and surrounding ecosystems in the area so they will know why it is so important that they be protected and taken care of in the future. 8. Describe the need for or value of the project and how it addresses the selected funding priority. Calhoun County has a diverse economy, with substantial contributions from conventional agriculture, the oyster and shrimp industry, and tourism. However, feral hogs pose a significant threat to these economic sectors. The damage caused by feral hogs results in an estimated $2.5 billion annually in lost annual revenue in the U.S from grain crops, hay, and cattle production and harming our water ways. We have roughly $33,000,000 in damage annually to Calhoun County. The oyster industry in the Texas gulf coast region, with a harvest value of approximately $9,823,950 during the 2022-2023 season. High counts of fecal coliforms could lead to the closure of bays for oyster harvesting. In addition to economic impacts, feral hogs are all along the GBRA diversion canal, which is the source for the majority of Calhoun County's drinking water. These hogs are also heavily impacting Green Lake. We want to ensure the traps we utilize are light weight and easy for landowners and county employees to utilize. Therefore, we plan to buy 6 pig brigs traps. To have at different locations around the county for landowners and county personnel to use. Pig Brigs traps have been tested and proven to work. This will ensure we are able to provide resources to landowners who need to trap feral hogs to ensure we are able to decrease the risk of E.coli in our waterways. RFP# 2024-2025-01 Page 4 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects 9. List the goals and objectives of the proposed project: The primary goal of this grant proposal is to mitigate the negative impacts of feral hogs caused pollution on Calhoun County water ways. Our key objectives include: 1. Establishment of a more sustainable ecosystem with reduced environmental impacts from the feral hog population. 2. Conduct educational seminars to enhance public awareness and understanding of feral hogs' biology, safety, concerns, and management strategies in Calhoun County. 3. Train and assist landowners in trapping and removal of feral hogs in Calhoun County. 4. A reduction in the pollution caused by feral hogs in Calhoun County's waterways. 5. Preservation of the oyster industry's productivity by minimizing the risk of bay closures due to feral hog -related fecal coliforms. 10. Describe the methods to be used in the proposed project. Please provide a list of tasks, deliverables and milestones. Please indicate what permits or authorizations are needed to implement project, if any, and if those have been secured: No permits needed. 11. Describe the impact the project will have on the areas it benefits and the longevity of those benefits. The trapping and harvesting of feral hogs will provide immediate and long-lasting benefits to our local ecosystem. By reducing hog populations, we will see cleaner drinking water entering the GBRA water treatment plant, which enhances public health. Cleaner waterways will also support healthier aquatic life, benefiting both the local environment and the oyster and shrimp industries, which are essential to our economy. Furthermore, this project will increase community awareness and understanding of feral hog management strategies, encouraging long-term engagement and proactive conservation efforts. These benefits will continue to strengthen the region's environmental resilience and economic stability for years to come. RFP# 2024-2025-01 Page 5 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects 12. Attach vitae or resume of Lead Investigator/ Program Manager of the proposed project. The Calhoun County Extension Office personnel have decades of experience working on, in, and around the waterbodies, and ecosystems that surround the Middle Texas Coast. They are professional educators, and they are supported by and have access to the resources of Texas A&M AgriLife Extension Service. Judge Richard Meyer will be the project manager for the proposed project. The Calhoun County Extension Office reports to Calhoun County Commissioners Court. Judge Meyer is authorized by the Court to sign contracts for Calhoun County. 13. Financial information: a) Total budget for this project: $ 15,769.56 b) Matching funds (in -kind services or cash) (Not required but desirable for proposals in response to the general call for proposals. Insert the 60% match from GLO or other funding for proposals in response to the Specific Call for Proposals No. 1): $ 2,299.56 c) Amount being requested from the Trust $ 15,769.56 Amount being requested from the Trust: Material for four traps: Pig Brigs $2,628.26 X 6= $15,769.56 Total: $15,769.56 Matching Funds: 2-3 Hour workshops Professional's time $600.00 Facility Rental $500.00 Game Camera $199.99 X 6=$1,199.94 *Texas A&M AgriLife extension will provide training to landowners prior to them checking out traps. Total: $2,299.94 Grand Total Requested for Grant: $ 15,769.56 RFP# 2024-2025-01 Page 6 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects 14. Please provide a task and expense budget. Note: Indirect/overhead costs are limited to 15% of salaries charged to the project. No indirect/overhead costs. The full amount of the award will be used to purchase six pig brig traps. Should the Matagorda Bay Mitigation Trust fund this project, the undersigned agrees: a. To enter into a contract specifying the terms and conditions of the engagement. b. To designate where any dissertation or thesis can be accessed by the Matagorda Bay Mitigation Trust if applicable (e.g., website, publication source, etc.); c. To provide digital images of project activities; and d. To provide evidence of full and proper credit to the Matagorda Bay Mitigation Trust for support of this research/project in all publications and other appropriate forums. X Signature of Lead Investigator/ Signature of Authorized Program Manager Organization Officer or Board Officer Submittal Date: 10/11/2024 Submit completed applications to (PDF file size limit: 15MB): httys://www.mbmtrust.com/rfi)s/ RFP# 2024-2025-01 Page 7 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects PART V - ATTACHMENTS All Attachments are to be returned with Submittal RFP# 2024-2025-01 Page 8 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects ATTACHMENT A - SUBMISSION EXCEPTIONS/CLARIFICATIONS Anv exceptions taken or clarifications made to this RFP must be itemized on the lines below. Additional pages may be added as needed. If there are no exceptions or clarifications, please indicate "NONE" and sign where indicated at the bottom of the page. Item # Description NONE The above exceptions and clarifications (and any additional pages identified) are the ONLY exceptions/clarifications to the specifications. I understand that the Trust may not accept additional exceptions produced after final submission of this response. Signature Respondent No Exceptions are taken to this RFP. ignature Richard Meyer Respondent Date /W_y,-zY Date RFP# 2024-2025-01 Page 9 of 22 Matagorda Bay Mitigation Trust RFP for 2024-2025 Funding Cycle Projects ATTACHMENT B -ACKNOWLEDGMENT The undersigned agrees this submission becomes the property of the Matagorda Bay Mitigation Trust (Trust) after the published submission deadline. The undersigned affirms they have familiarized themselves with the specification, drawings, exhibits and other documents; the local conditions under which the work is to be performed; satisfied themselves of the conditions of delivery, handling and storage of materials and equipment; and all other matters that will be required for the work before submitting a response. The undersigned agrees, if this submission is accepted, to furnish any and all items/services upon which prices are offered, at the price(s) and upon the terms and conditions contained in the specification. The period for acceptance of this submission will be 120 calendar days from the filing deadline noted herein unless a different period is noted. The undersigned affirms that they are duly authorized to execute this contract, that this submission has not been prepared in collusion with any other Respondent, nor any employee or representative of the Trust, and that the contents of this submission have not been communicated to any other Respondent or to any employee or representative of the Trust prior to this submission. Respondent hereby assigns to the Trust any and all claims forovercharges associated with this contract which arise under the antitrust laws of the United States, 15 USCA Section 1 et sea.,and which arise under the antitrust laws of the State of Texas, Tex. Bus. & Com. Code, Section 15.01, et seq. The undersigned affirms that they have read and understand the specifications, all exhibits, and attachments contained in this RFP package. The undersigned agrees that the RFP package posted on the website are the official specifications and shall not alter the electronic copy of the RFP package, without clearly identifying changes. The undersigned understands. they will be responsible for monitoring the Trust Website at: hftt)s://www.mbmtrust.com/rfb to ensure they have downloaded and signed all addendum(s) required for submission with their response. In submitting a response to the Trust, the Responder offers and agrees that if the response is accepted, the Responder will convey, sell, assign or transfer to the Trust all rights, titles and interest in and to all causes to action it may now or hereafter acquire under the Anti-trust laws of the United States and the State of Texas for price fixing relating to the particular commodities or services purchased or acquired by the Trust. At the Trust's discretion, such assignment shall be made and become effective at the time the Trust tenders final payment to the Responder. Acknowledge receipt of following addenda to the RFP: Addendum No 1 Dated Addendum No 2 Dated Addendum No 3 Dated Received Received Received I certify that I have made no willful misrepresentations in this submission, nor have I withheld information in my statements and answers to questions. I am aware that the information given by me in this submission will be investigated, with my full permission, and that any misrepresentations or omissions may cause my submission to be rejected. NAME AND ADDRESS OF RESPONDENT: Judge Richard Meyer 211 S. Ann St. Ste 301 Port Lavaca, TX 77979 Tel. No. 361-553-4600 AUTHORIZE PRESENTATIVE: Signature AUTHORIZE. % Date 10/11/2024 Name Richard Meyer Title Calhoun County Judge Email. Richard.meveracalhouncotx org_ RFP# 2024-2025-01 Page 10 of 22 NOTICE. OF MFFTING — 3.0/9/2024 11. Consider and take any action deemed necessary to authorize Judge Meyer to sign Texas Enterprise Zone Reports for the reporting years of 2018, 2019 and 2020. (RHM) RESULT: APPROVED [UNANIMOUS], MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct`1 AYES: Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese Page 8 of 11 Governing Body: ��P'CE UFT w x F � 5 Texas Enterprise Zone Program MANDATORY ANNUAL REPORT FORM Reporting Period: September 1, 2017 through August 31, 2018 (State Fiscal Year 2018) Complete and submit this original report form. You must submit this form with regard to the enterprise zone program activity in your jurisdiction, in accordance with the Texas Enterprise Zone Program Act, Texas Government Code, Chapter §2303.205, on or before October 1, 2018. If this report is not received by the due date, your community will be ineligible to receive any further enterprise project designations, and any applications for enterprise project status submitted for the September 1, 2018 round will be placed on hold until the report is received. Further, this document is not considered to be received unless it has the original signature of the governing body liaison. Mail this original form to the following address: Mailing Address: Office of the Governor Economic Development and Tourism Texas Economic Development Bank Texas Enterprise Zone Program Post Office Box 12428 Austin, Texas 78711 (512)936-0100 Street Address (for overnight mail service): Office of the Governor Economic Development and Tourism Texas Economic Development Bank Texas Enterprise Zone Program 1100 San Jacinto Austin, Texas 78701 (512)936-0100 For additional information on the Texas Enterprise Zone Program, contact the Texas Economic Development Bank at (512) 936-0100. Governing Body Liaison (as stated in the nominating ordinance or order) Prefix Mr. First Name Richard Last Name Title County Judge Organization Calhoun County Street Address 211 S. Ann St. Suite 301 Mailing Address 211 S. Ann St. Suite 301 City Port Lavaca State TX Zip 77979 4203 Phone Number 361.553.4600 Fax Number 361.553.4444 Email Address richard.meverClcalhouncotx.org Community Websitehttos://www.calhouncotx.orcl/ To the best of my knowledge and belief, the information contained in this Mandatory Annual Report is true and correct, as evidenced by my signature below. Signature �� Date (Governing Bo Liaison) P.O. BOX 12428 1 AUSTIN OPEN - TEXAS WIDE US MESS" TX 78711 1 512-936-0100 1 WWW. GOVERNOR. STATE.TX.US 1/ 4ii�f L�f.'i ++A of<s State FY 2018 Enterprise Zone Program Mandatory Annual Report Calhoun County Enterprise Zone Activity Estimated local zone administration costs (salaries & non personnel costs) For only those businesses receiving incentives during the reporting period, indicate which statement below you believe best describes the impact the local incentives offered had on revenues received/generated as a result of the program during the reporting period. ❑ Significantly Positive ❑ Slightly Negative ❑ Slightly Positive ❑ Significantly Negative ❑ No Effect, Break-even For only those businesses receiving incentives during the reporting period, indicate which statement below you believe best describes the anticipated or planned impact the local incentives offered will have for the next 5 — 10 years on revenues received/generated as a result of the program. ❑ Significantly Positive ❑ ❑ Slightly Positive ❑ ❑ No Effect, Break-even Businesses Assisted, Located and Retained Total Number of Businesses Assisted Projected Capital Investment Projected Jobs to be Created or Retained Slightly Negative Significantly Negative No Inquiries Received During Reporting Period ❑ Businesses Businesses Businesses Assisted Only' Located z Retained' 'Businesses Assisted Only — Businesses which received assistance, but have not located in the community. Include general or enterprise zone specific inquiries or requests (telephone or written) for information by businesses interested in the enterprise zone program or the community, site location and research assistance, or businesses participating in workshops or seminars which include information on the enterprise zone program. Do not include businesses that actually located to or are already located in the community. Loocated Businesses — Businesses that located in the community due specifically to the existence of the zone program or the incentives offered and were not previously located in the community prior to the reporting period. 'Retained Businesses — Existing businesses already located in the community that received assistance or were retained due specifically to the existence of the program. Include those requests where information, permit/regulatory assistance, program application/participation or providing incentives was a significant reason the business was retained. Page 2 -TEXAS C", G 'i ^_-..: State FY 2018 Enterprise Zone Program Mandatory Annual Report Calhoun County Cost and Benefits of Local Incentives A business which was granted one type of incentive may impact other sources of revenue. The revenue or expenses may not necessarily correlate directly line by line and may need to be reflected across other areas. For example, a new business locating in the community and granted tax abatement may still increase local sales taxes or fees; OR a business offered land below market value may still increase property taxes, pay fee and local sales taxes. No Activity During Report Period ❑ Revenue Revenue Foregone Received/ Refund Costs/ Net Generated EEx ensesIncurred Revenue/Loss Property Tax Local Sales Tax Permit, License or Development Fees Utility Hook-up Fee Municipal Utility Rates Transfer, Use, Sale of Land/Buildings Venture Capital, Low Interest Loans Job Training Programs, Services. Infrastructure Improvements Business Parks, Incubators, Services Housing Loans, Programs, Services Fire, Police, Transportation Services Other Totals Incentives Available During Report Year Tax Abatement Not Somewhat Tied to Jobs, Important Important Important Critical Investment? Yes No ❑ Local sales tax refund ...................................... --- .............. ❑............. ❑................ ❑............. ❑............. __10------ 0 ® Property tax abatement ............................ __----- ............. ❑............. ❑--............. ®............. ❑....... - ------ ---❑...... 0 ❑ Tax increment financing -infrastructure-- ............................ ❑...... ---- --- ❑................ ❑------------- ❑.................. ❑...... ❑ Financial Incentives ❑ Low interest loans ............................................................. ❑............. ❑............... ❑............. ❑.................. R---... ❑ ❑ Leveraged or venture capital loan pools ............................ ❑............. ❑.......... ---- ❑............. ❑.............. _,E]...... ❑ ❑ Development fee reductions/waivers--------------.... -............. ❑............. ❑---............ ❑............. R----- ..... ........ ❑...... ❑ Page 3 N 'tYi�itC?[4 S:_ State FY 2018 Enterprise Zone Program Mandatory Annual Report Regulatory Relief Calhoun County Not Somewhat Tied to Jobs, Important Important Important Critical Investment? Yes No ® Zoning changes or variances .................................... -------- ❑............. ❑............. _®------------- ❑.................. ❑.--_M ® Accelerated zoning and permit procedures ........................ ❑---- -........ ❑ ............... M.-.-......... ❑.................. ❑ Deferred compliance with ordinances ................................ ❑_-........... ❑- -------------- ❑.-__-____-_--❑_ ----------------- ❑--.--.❑ Job Training and Services ❑ Retraining programs, customized training ..... ...... --- ---------- -❑............. ❑ ........ ..----- ❑............. ❑.................. ❑ Training grants for new permanent jobs ................. ---------- ❑............. ❑.......... .._-❑............. ❑............... --- ❑ Employee relocation support. ......................................... _11 .... ........ ❑............... ❑----------- ❑.................. ❑_ ..❑ ❑ Literacy and employment skills programs .......................... ❑............. .............. ❑.-.. ❑.................. ❑...... ❑ Business/Industrial Services ❑ Use of underutilized public buildings ................................. ❑--------- -... ❑............... ❑_-........... ❑.................. ❑ Reduced rates by municipally -owned utilities .................... ❑---------- .--❑- -------------- ❑�..------ ____❑- ----------------- ❑_--_-.❑ ❑ Reduced rates by investor -owned utilities or co-ops .......... ❑.... --------- ❑............... ❑............. ❑.................. ❑------ ❑ ❑ Sale, transfer of land/buildings below market .................... ❑...... - ----- ❑............... ❑ ..---- ---❑ ............E ❑ ® One -Stop permitting or assistance services ....................... ❑....... ------ ❑............... ®............. ❑.................. ❑. 2 ❑ Development of business area, incubator .......................... ❑- ------------ ❑- -------------- ❑- ---------- ❑- ----------------- El❑ Improvement in Public Facilities M Capital improvements in infrastructure .............................. ❑--_---------- ❑- ------------- .M----.........❑- ----------------- ❑ M M Creation or improvement of parks ........ --........................... ❑------------- ❑............... M--........... ❑.................. ❑...... M ❑ Neighborhood youth centers .............. _---- ........................ El_ ---------- ❑............... ❑...... ...... ❑.................. ----------------- ❑......❑ Enhanced Community Services ® Improved fire and police services-- ------------------------ ------ --❑............. ❑.............. 0............. ❑.....- ❑ M ® Community crime prevention programs .................. ----------- ❑............. ❑.... _-- ...... M............ ❑..... ------ ...... ❑...... M ❑ Day-care, health and clinic services ❑............. ❑... El ............. ❑- ❑ ❑ ❑ Special public transit routes, fares, shuttles ....... __--- __ ........ ❑- ------------ ❑. -------------- ❑..........._El ----------------- ❑_-. ❑ ❑ Drug abuse programs. ................................. ---................. ❑......... ....❑............... ❑........ ..... 0.................. F ❑ ❑ Energy conservation programs .......................................... ❑------------- ❑............... R............. ❑..............._0......❑ ❑ Senior citizen assistance programs----------------------------------❑-------------❑---------------❑-------------❑.............-----❑......❑ Improvements to Housing Yes No ❑ Transfer of abandoned housing ............................ ...... ❑............. 0 -------------- ❑............El. ----------------- ❑---.-.❑ ❑ Paint or building materials grant program ....... ______............ ❑....... __,_❑._............. ❑............. ❑................ -- ❑ Creation of homestead program ........................................ ❑------- ..... ❑............... ❑............. ❑............. .... ❑...... ❑ ❑ Weatherization of zone housing---- ---------------------------- -------❑............. ❑--------------❑ ............. 11_ ----......--❑......❑ ❑ Low interest loans for housing rehabilitation.......... _.......... ❑............. ❑----........... ❑............. ❑ ----------------- 1-1❑ Page 4 -TE1/ i5'�u'.G1EN _sEa State FY 2018 Enterprise Zone Program Mandatory Annual Report Calhoun County Cost and Benefits of Local Incentives How successful have the local efforts been to achieve the community's revitalization goals for the Program during the reporting period? ❑ Exceeded Expectations ❑ Somewhat Successful ❑ Unsuccessful How successful do you believe the local revitalization efforts will be to achieve the community's revitalization goals for the Program for the next 5 — 10 years? ❑ Very Successful ❑ Somewhat Successful ❑ Unsuccessful How successful have the state incentives offered through the Program been toward achieving the community's revitalization goals during the reporting period? ❑ Exceeded Expectations ❑ Somewhat Successful ❑ Unsuccessful How has the number of requests for information and/or participation in the Program by businesses, individuals, or community groups changed during the reporting period or from the previous year? ❑ Significant Increase ❑ Slight Decrease ❑ Slight Increase ❑ Significant Decrease ❑ Remained Constant Industrial Revenue Bonds — Summarize all industrial revenue bonds issued to finance enterprise projects, or businesses located in an enterprise zone. Issuer Taxable Tax -Exempt Bond Amount Total Page 5 N itii-::ii-r�f!i s State FY 2018 Enterprise Zone Program Mandatory Annual Report Calhoun County Recommendations and/or Suggestions — What additional state incentives, legislation, programs or services would enhance your ability to achieve the revitalization goals or economic objectives of your community and/or your enterprise zones? Page 6 N YiisG'�[`i State FY 2018 Enterprise Zone Program Mandatory Annual Report Calhoun County Success Story — Provide a brief success story of a business that has had or will have a significant impact on the community because of the enterprise zone program. Include information on the private and public partnerships and efforts, the incentives and why the enterprise zone program was important. The success story may be used in the Economic Development Bank Annual Report to the State Legislature, the Governor and the Legislative Budget Board. Please make sure the applicable business, individual or group has given permission to include the success story in this report. Page 7 Governing Body: O�PTE gFT W � F x t Texas Enterprise Zone Program MANDATORY ANNUAL REPORT FORM Reporting Period: September 1, 2018 through August 31, 2019 (State Fiscal Year 2019) Complete and submit this original report form. You must submit this form with regard to the enterprise zone program activity in your jurisdiction, in accordance with the Texas Enterprise Zone Program Act, Texas Government Code, Chapter §2303.205, on or before October 1, 2019. If this report is not received by the due date, your community will be ineligible to receive any further enterprise project designations, and any applications for enterprise project status submitted for the September 2019 round or later will be placed on hold until the report is received. Further, this document is not considered to be received unless it has been signed by the governing body liaison. E-mail this completed form to EnteroriseZone( Gov.Texas.Gov For additional information on the Texas Enterprise Zone Program, contact the Texas Economic Development Bank at (512)936-0100. Governing Body Liaison (as stated in the nominating ordinance or order) Prefix Mr. First Name Richard Last Name Meyer Title County Judge Organization Calhoun County Street Address 211 S. Ann St. Suite 301 Mailing Address 211 S. Ann St. Suite 301 City Port Lavaca State TX Zip 77979 4203 Phone Number 361.553.4600 Fax Number 361.553.4444 Email Address richard.meyer(8calhouncobc.org Community Websitehttos://www.calhouncob(.org/ To the best of my knowledge and belief, the information contained in this Mandatory Annual Report is true and correct, as evidenced by my signature below. Signature Date /0—%— Z (Governing Body L n) Calhoun County Community Incentives Incentives Available During Report Year ❑ Local Sales Tax Refund ® Tax Abatement ❑ Tax Increment Financing ❑ Freeport Exemption ❑ Economic Development Sales Tax (4A) Contribution ❑ Economic Development Sales Tax (4B) Contribution ❑ Chapter380/381 ❑ Other Tax Deferrals, Tax Refunds or Tax Incentives ® Zoning Changes / Variances ® Building Code Exemptions ® Impact / Inspection Fee Exemptions ® Streamlined Permitting ® Improved Police and/or Fire Protection ® Community Crime Prevention Programs ❑ Special Public Transportation Routes or Reduced Fares ® Capital Improvements in Water and Sewer Facilities ® Road Repair ® Creation or Improvement of Parks ❑ Low -Interest Loans for Housing Rehabilitation or New Construction ❑ Transfer Abandoned Housing to Individuals or Community Groups ❑ Low -Interest Loans for Business ❑ Use of Surplus School Buildings for Incubators ® Provision of Publicly Owned Land for Development Purposes ® One -Stop Permitting, Problem Resolution Center or Ombudsmen ® Promotion and Marketing Services ® Job Training and Employment Services ❑ Retraining Program ❑ Literacy and Employment Skills Programs ❑ Vocational Education ❑ Customized Job Training Other Incentives 2 irise Zone I List of Active EZP Designations and Incentives No Enterprise Zone Projects Approved During Reporting Awarded and Used for Each in the Fiscal Year Period ❑ EXAMPLE: Company XYZ Improved Fire and Police Services Freeport Exemotion $625.00 Designation Date 09/04/18 5 020.00 Building Code Exemptions $963.00 Include Incentives Awarded and Community crime prevention Road Repair $3.602.00 Used programs $3,023.00 Local Sales Tax Refund $1,020.00 Zoning changes or variances 1 326.00 Property Tax Abatement $5,030.00 Chapter 380 $12,030.00 Company Name Formosa Plastics Incentive $ Incentive $ Corporation, Texas Incentive $ Incentive $ Designation Date 06/01/18 Incentive $ Incentive $ Include Incentives Awarded and Incentive $ Used Incentive $ Incentive $ Comoanv Name Incentive $ Incentive $ Designation Date 00/00/00 Incentive $ Incentive $ Include Incentives Awarded and Incentive $ Incentive $ Used Incentive $ Incentive $ Incentive $ Company Name Incentive $ Incentive $ Designation Date 00/00/00 Incentive $ Incentive $ Include Incentives Awarded and Incentive $ Incentive $ Used Incentive $ Incentive $ Incentive $ Comoanv Name Incentive $ Incentive Designation Date 00/00/00 Incentive $ Incentive Include Incentives Awarded and Incentive $ Incentive $ Used Incentive $ Incentive $ Incentive $ 3 State FY 2019 Enterprise Zone Half 0 Single 4 Double Jumbo 1 Triple Jumbo 0 Annual Total Number of Designations since Inception of the Program Industrial Revenue Bonds — Summarize all during reporting period. Issuer M revenue bonds issued to Taxable Tax -Exempt ❑ ❑ ❑ ❑ Total enterprise projects Bond Amount Governing Body: y,�p:fE Opp x r Texas Enterprise Zone Program MANDATORY ANNUAL REPORT FORM Reporting Period: September 1, 2019 through August 31, 2020 (State Fiscal Year 2020) Complete and submit this original report form. You must submit this form with regard to the enterprise zone program activity in your jurisdiction, in accordance with the Texas Enterprise Zone Program Act, Texas Government Code, Chapter §2303.205, on or before October 1, 2020. If this report is not received by the due date, your community will be ineligible to receive any further enterprise project designations, and any applications for enterprise project status submitted for the September 2020 round or later will be placed on hold until the report is received. Further, this document is not considered to be received unless it has been signed by the governing body liaison. E-mail this completed form to EnterpriseZoneCla Gov.Texas.Gov For additional information on the Texas Enterprise Zone Program, contact the Texas Economic Development Bank at (512) 936-0100. Governing Body Liaison (as stated in the nominating ordinance or order) Prefix Mr. First Name Richard Last Name Meyer Title County Judae Organization Calhoun County Street Address 211 S. Ann St. Suite 301 Mailing Address 211 S. Ann St. Suite 301 City Port Lavaca State TX Zip 77979 4203 Phone Number 361.553.4600 Fax Number 361.553.4444 Email Address richard.mever(alcalhouncotx.ora Community Website https://www.calhouncotx.ora/ To the best of my knowledge and belief, the information contained in this Mandatory Annual Report is true and correct, as evidenced by my signature below. Signature Date (Goueming Body a on) Calhoun County Community Incentives Incentives Available During Report Year Local Sales Tax Refund Tax Abatement Tax Increment Financing Freeport Exemption Economic Development Sales Tax (4A) Contribution Economic Development Sales Tax (4B) Contribution Chapter 380/381 Other Tax Deferrals, Tax Refunds or Tax Incentives Zoning Changes / Variances Building Code Exemptions Impact / Inspection Fee Exemptions Streamlined Permitting Improved Police and/or Fire Protection Community Crime Prevention Programs Special Public Transportation Routes or Reduced Fares Capital Improvements in Water and Sewer Facilities Road Repair Creation or Improvement of Parks Low -Interest Loans for Housing Rehabilitation or New Construction Transfer Abandoned Housing to Individuals or Community Groups Low -Interest Loans for Business Use of Surplus School Buildings for Incubators Provision of Publicly Owned Land for Development Purposes One -Stop Permitting, Problem Resolution Center or Ombudsmen Promotion and Marketing Services Job Training and Employment Services Retraining Program Literacy and Employment Skills Programs Vocational Education Customized Job Training Other Incentives 2 Enterprise Zone Activity List of Active EZP Designations and Incentives No Enterprise Zone Projects Approved During Reporting Awarded and Used for Each in the Fiscal Year Period ❑ EXAMPLE: Company XYZ Improved Fire and Police Services Freeport Exemotion $625.00 Desionation Date 09/03/19 5 020.00 Building Code Exemptions $963.00 Include Incentives Awarded and Community crime prevention Road Repair $3.602.00 Used oroorams $3,023.00 Local Sales Tax Refund $1,020.00 Zonina chances or variances 1 326.00 Property Tax Abatement $5,030.00 Chaoter 380 $12,030.00 Company Name Formosa Plastics Incentive $ Incentive $ Corporation. Texas Incentive $ Incentive $ Designation Date 06/01/18 Incentive $ Incentive $ Include Incentives Awarded and Used Incentive $ Incentive $ Incentive $ Company Name Incentive $ Incentive $ Designation Date 00/00/00 Incentive $ Incentive $ Include Incentives Awarded and Incentive $ Incentive $ Used Incentive $ Incentive $ Incentive $ Comoanv Name Incentive $ Incentive $ Designation Date 00/00/00 Incentive $ Incentive $ Include Incentives Awarded and Incentive $ Incentive $ Used Incentive $ Incentive $ Incentive $ Company Name Incentive $ Incentive $ Designation Date 00/00/00 Incentive $ Incentive $ Include Incentives Awarded and Incentive $ Incentive $ Used Incentive $ Incentive $ Incentive $ 3 FY 2020 Enterprise Zone Annual Total Number of Designations since Inception of the Program Half 0 Single 4 Double Jumbo 1 Triple Jumbo 0 during reporting period. Issuer Sl revenue )nds issued to finance Taxable Tax -Exempt ❑ ❑ ❑ ❑ Total projects Bond Amount NOTICE OF MEETING—10/9/2024 12. Accept Monthly Reports from the following County Offices: a) Justice of the Peace Pct 1 — September, 2024 b) Justice of the Peace Pct 2 — September, 2024 c) Justice of the Peace Pct 4 — September, 2024 d) Justice of the Peace Pct 5 — September, 2024 e) Floodplain Administration — September, 2024 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy„Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 11 INTER COURT NAME. ODSTICE OF PEACE NOr,1 INTER MONTH OF REPORT 3EPTEMBER :LATER YEAR OF REPORT 024 CODE AMOUN CASH BONDS :" 0,00 REVISED 02/02/2022 ADMINISTRATION FEE -ADMF 5000l BREATH ALCOHOL TESTING -BAT y: 401. CONSOLIDATED COURT COSTS -CCC? 160:00� STATE CONSOLIDATED COURT COST. 2020 `c 3,24735' LOCAL CONSOLIDATED COURT COST-2020" 72326'. COURTHOUSE SECURITY-CHS .';. 16.00? CJP ,` QOR, CIVIL JUSTICE DATA REPOSITORY FEE -CJDR t' Ok, CORRECTIONAL MANAGEMENT INSTITUTE CMI �'. DOB, OR 6.63. CHILDSAFETY-CS 0.00,; CHILD SEATBELT FEE -CSBF <:: 0100\ CRIME VICTIMS COMPENSATION -OVID - OLOD;. OPSCIFAILURE TO APPEAR -OMNI-DPSC : 158.{i !. ADMINISTRATION FEE FTAIFfP (aka OMNI)- 2020 13iv'l . ELECTRONIC FLING FEE EEF 6.66' .FUGITIVE APPREHENSION -FA ''1 0:66' GENERALREVENUE-GR 006` CRIM- IND LEGAL SVCS SUPPORT -IDF ,- SUII�, JUVENILE CRIME & DELINQUENCY -JUG ,. 0�00'i JUVENILE CASE MANAGER FUND JCMF Ir 1}23 JUSTICE COURT PERSONNELTRAINING JCPT JUROR SERVICE FEE JSF 1S.001 LOCALARRESTFEES-LAF : 1Q4�03t LEMI LEDA LEDO is 0.0b% PARKS& WILDLIFE ARREST FEES -PWAF Viz. 7,81gj1 STATE ARREST FEES -SAF I 2B%8y SCHOOL CROSSINGICHILD SAFETY FEE -SCF 0061 SUEITITLE C -SUBC , -. 3080'. STATE TRAFFIC FINES-ESTOLIA1 STF ( 5Bd.88i : TABC ARREST FEES -TAF!. TECHNOLOGY FUND-TF •(: -TS.OW TRAFFIC TFC 'i 3.00j LOCAL TRAFFIC FINE- 2020'F 33,89` TIME PAYMENT TIME -. TIME PAYMENT REIMBURSEMENT FEE- 2020°: 31710`I. TRUANCY PREVENTION!DIVERSION FUND -TPDF LOCAL& STATE WARRANT FEES -WRNT p: 820.62' COLLECTION SERVICE FEE-MVBA-CSRV 1' 238T.?t� DEFENSIVE DRIVING COURSE -CDC 000t DEFERRED FEE —OFF DRIVING EXAM FEE- PROV DL FILING FEE -FFEE 5d Wl STATE CONSOLIDATED CIVIL FEE -2022{, }59001 LOCAL CONSOLIDATED CIVIL FEE- 20221' 29T-0Q1 FLING FEE SMALL CLAIMS -FFSC rt __.AA i - - JURY FEE -JF�`, -COPIESICERTIFED 0.00{ COPIES - CC INDIGENT FEE -CIFF Or INDF - '- BLOW 000:! JUDGE PAY RAISE FEE -JPAY4 2000, - SERVICE FEE -SFEE 150,Z OUT -OF -COUNTY SERVICE FEE 'Q-003 ELECTRONIC FLING FEE -EEF CV r. 0.00' EXPUNGEMENTFEE-EXPG ''. 0.09 : EXPIRED. RENEWAL -EXPR 0.60i ABSTRACT OF JUDGEMENT -AOJ SOD,+ ALL WRITS -WOP!WOE r'. 156,00" UPS FTA FINE- DPSF Zhl), 4 LOCALFINES FINE 41648;40: LICENSE & WEIGHT FEES -LWF ` 0.& PARKS&WILDLIFE FINES -PWF 441.77: SEATBELTAINRESTRAINED CHILD FINE -SEAT 074 JUDICIAL& COURT PERSONNEL TRAININGJCPT '0`00; 'OVERPAYMENT (OVER $10)-OVER 16.66. OVERPAYMENT($10 AND LESS) OVER D;00; RESTITUTION -REST '. 0:00! PARKS & WILDLIFE -WATER SAFETY FINES-WSF '- O.OD MARINE SAFETY PARKS B WILDLIFE-MSO". .O,OOt TOTAL ACTUAL MONEY RECEIVED : YPE: - AMOUNT 'OTALWARRANTFEES 828.52 ENTER LOCAL WARRANT FEES ';, -Bt4 f0i RECORD axiom& PAGE OF HALL COUNTRYSOFMARE NO REPORT STATE WARRANT FEES. $214A2 HMO ON TOTAL PAGE OF HILL GOUNTRI SOMAPE NO REPORT IUETOOTHERS: AMOUNT IUETOCCISD-50%o(Fw,op JVcases `,,D'�OOi xEASElxcwa oR ro:ouEslwc dsecesEwESR IUE TO DA RESTITUTION FUND 0.00 KEW11HUME OR ROUEsnNG DINURSENENT IEFUND OF OVERPAYMENTS. 0.00 PIEA:Elxttuce DR PEoueaTwc gseuasENExr )UT-OF-COUNTYSERVICE FEE- -0.00 PlEA6EIHCW�--OR R'tOUESi41GGPRUR6EMEHi ASHBONDS O.0O PLEA.f'INIXUR DR REW"eGPNGO.SBUREEME11TpFREGU:Re-01 TOTAL DUE TO OTHERS 0.00 REASURERS RECEIPTS FOR MONTH: AMOUNT )ASWCHECWS M:Qs&GREOR„: AR - -: -' $18,BBB:076 Cciculrteham ACTUAL Treasurers Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/1/2024 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 7,216.98 CR 1000-001-44190 SHERIFF'S FEES 1,035.93 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 36.89 ADMINISTRATIVE FEES 183.57 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 220.46 CR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 CR 1000-001-44061 JP FILING FEES 59.00 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 317.10 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.37 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 2,367.21 TOTAL FINES, ADMIN. FEES & DUE TO STATE $11,516.05 CR 2670-001-44061 CR 2720-001-44061 CR 2719-001-44061 CR 2699-001-44061 CR 2730-001-44061 CR 2669-001-44061 CR 2728-001-44061, CR 2677-00144061 CR' 2725-001-44061 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 DIPS FEES P&W FEES TABC FEES DR 7070-999-10010 DR 7072-999-10010 DR 7860-999-10010 DR 7860-999-10010 COURTHOUSE SECURITY FUND $268.64 JUSTICE COURT SECURITY FUND $4.00 JUSTICE COURT TECHNOLOGY FUND $225.50 JUVENILE CASE MANAGER FUND $11.23 LOCAL TRUANCY PREVENTION & DIVERSION FUND $261.88 COUNTY JURY FUND $5.24 JUSTICE COURT SUPPORT FUND $225-60' COUNTY DISPUTE RESOLUTION FUND $45.00 LANGUAGE ACCESS FUND27.00 r 48.82 15.63 0.00 TOTAL STATE ARREST FEES 64.45 CCC-GENERAL FUND 16.00 CCC-STATE 144.00 160.00 STATE CCC- GENERAL FUND STATE CCC- STATE 324.73 2,922.55 3,247.28 STF/SUBC-GENERAL FUND 1.50 STF/SUBC-STATE 28.50 30.00 STF- EST 9/1/2019- GENERAL FUND 22.59 STF- EST 9/1/2019- STATE 542.10 564.69 Page 1 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/1/2024 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 12.50 CR 7950-999-20740 TP-STATE 12.50 DR 7950-999-10010 25.00 Page 2 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/1/2024 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2024 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.80 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 7.20 DR 7865-999-10010 8.00 CR 7970-999-20610 TLIFTA-GENERAL FUND 52.14 CR 7970-999-20740 TL/FTA-STATE 104.27 DR 7970-999-10010 156.41 CR 7505-999-20610 JPAY - GENERAL FUND 2.40 CR 7505-999-20740 JPAY - STATE 21.60 DR 7505-999-10010 24.00 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 1.60 CR 7857-999-20740 JURY REIMB. FUND- STATE 14.40 DR 7857-999-10010 16.00 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.02 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.18 DR 7856-999-10010 j 0.20 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 4.00 7998-999-20701 JUVENILE CASE MANAGER FUND 4.00 DR 7998-999-10010 8.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 189.00 189.00 TOTAL (Distrib Req to Oper Acct) $17,082.57 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 1,905.50 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $1,905.50 TOTAL COLLECTED -ALL FUNDS $18,988.07 LESS: TOTAL TREASUER'S RECEIPTS $18,988.07 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 3 of 3 CSf_ 010I1I'ilk0 COUNTY 201 West Austin PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: DISTRIBUTION REQUEST DR# 450 A 45567 PAYOR Official: Hope Kurtz Title: Justice of the Peace, Pct. 1 ACCOUNT NUMBER DESCRIPTION AMOUNT 7541-999-20759-999 JP1 Monthly Collections - Distribution $17,082.57 SEPTEMBER 2024 V# 967 TOTAL 17,082.57 3ignamre or uinnar -- I SCHOOL RESTITUTION REST LIFE -WATER SAFETY. FINES-WSF IAFETY PARKS & WILDLIFE MSO )TAL ACTUAL MONEY RECEIVED FEES ENTER LOCAL. WARRANT FEES STATE WARRANT FEES 30%of Fine on JV ceaea ITUTION FUND RPAYMENTS 'SERVICE FEE TOTAL DUE TO OTHERS NO- ?00, xi )"40 I':90' 1.061 L�L� dDz' 7,U{I D 0= a o oyio? tb$ �I, q 7.60' IUNT 568' B'QY£ RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE NO REPORT 8.88 RECORD ON TOTAL PAGE OF RILL COUNTRY SOFTWARE MO REPORT IUNT _ PLEASEINCLUCE OR REOUESTINGMSBURSEMENT 0OO PLEASEINCLUDE OR MQUESTINGUSWRMMENT 100 PLEASEINCLUDE OR. REOUESTINONSWRMA4DIT OIDO PLEAEINCWOE DR. REWESTINGUSWRSEMENT 0.00 PLEAKINCLUDE DR REOUESTINGOISBURSEMENi pf RECUIPED) i'0. IUNT Calculate from ACTUAL Troaaumfa R"elpta 7.60 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/1/2024 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: September YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 1,063.27 CR 1000-001-44190 SHERIFF'S FEES 351.73 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 11.94 ADMINISTRATIVE FEES 152.63 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 164.57 CR 1000-001-44010 CONSTABLE FEES -SERVICE 450.00 CR 1000-001-44062 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 50.18 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 660.90 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,640.65 CR 2670-001-44062 CR 2720-001-44062 CR 2719-001-44062 CR 2699-001-44062 CR 2730-001-44062 CR 2669-001-44062 CR 2728=00144062 OR 2677-'QQ144062 CR 2725_001-44062 - - 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 COURTHOUSE SECURITY FUND $17.09 JUSTICE COURT SECURITY FUND $0.24 JUSTICE COURT TECHNOLOGY FUND $14,32 JUVENILE CASE MANAGER FUND $4.17 LOCAL TRUANCY PREVENTION & DIVERSION FUND $16,72 COUNTY JURY FUND $0.33 ND 31.73 0.00 0.00 TOTAL STATE ARREST FEES 31.73 CCC-GENERAL FUND 0.93 CCC-STATE 8.42 9.35 STATE CCC- GENERAL FUND 35.94 STATE CCC- STATE 323.42 359.36 STF/SUBC-GENERAL FUND 0.35 STF/SUBC-STATE 6.66 7.01 STF- EST 9/1/2019- GENERAL FUND 8.17 STF- EST 9/1/2019- STATE 196.06 204.23 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/1/2024 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: September YEAR OF REPORT: 2024 CR 7950-999-20610 TP-GENERAL FUND 0.00 CR 7950-999-20740 TP-STATE 0.00 DR 7950-999-10010 0.00 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.05 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 0.42 DR 7865-999-10010 0.47 CR 7970-999-20610 TL/FTA-GENERAL FUND 10.00 CR 7970-999-20740 TUFTA-STATE 20.00 DR 7970-999-10010 30.00 CR 7505-999-20610 JPAY - GENERAL FUND 0.14 CR 7505-999-20740 JPAY - STATE 1.26 DR 7505-999-10010 1.40 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.09 CR 7857-999-20740 JURY REIMB. FUND- STATE 0.85 DR 7857-999-10010 0.94 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.00 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.02 DR 7856-999-10010 0.02 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 0.24 7998-999-20701 JUVENILE CASE MANAGER FUND 0.24 DR 7998-999-10010 0.47 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 252.00 252.00 TOTAL (Distrib Req to Oper Acct) $3,986.50 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 321.00 OUT -OF -COUNTY SERVICE FE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $321.00 TOTAL COLLECTED -ALL FUNDS $4,307.50 LESS: TOTAL TREASUER'S RECEIPTS $4,307.50 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 45566 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Thomas Die Address: Title: Justice of the Peace, Pct. 2 City: State: Zip: -Phone:- ACCOUNT NUMBER DESCRIPTION AMOUNT 7542.999.20759.999 JP2 Monthly Collections - Distribution $3,986.50 September 2024 V# 967 TOTAL 3,986.50 Signature of Official �_/ Date 10/03/2024 07;43Calhoun County JP 4 (FAX)3617852179 P,001/005 Facsimile Cover Shut Date: October 3, 2024 Page (s) 5 (Including Cover) FROM: JUSTICE COURT PCT. 4, CALHOUN COUNTY 103 W. Dallas Street, P.O. Box 520 Seadrift, Texas 77983 FAX: 1-361-785-2179 PHONE: 361-785-7082 TO: County Commissioner Court Office Attn: I I FAX: 361-553-4444 ; PHONE: 361-553-4600 Ref: September 2024—JP4 Monthly Money Distribution Report Attached is our JP4 Court Monthly Distribution Report. Please give me a call if you have any questions. Ij Thankyou, Patsy Spence, JP4 Court Clerk Judge 'WesCey J. Nunt 10/03/2024 07:43Calhoun County JP 4 (FAK)3617852179 P.002/005 ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT CI CASH BONI ADMINISTRATION FEE • AO BREATH ALCOHOL TESTING -E CONSOLIDATED COURT COSTS • C STATE CONSOLIDATED COURT COST- 21 LOCAL CONSOLIDATED COURT COST- 21 COURTHOUSESECURITY-C 0 CIVIL JUSTICE DATA REPOSITORY FEE - CJ CORRECTIONAL MANAGEMENT INSTITUTE- I CHILD SAFETY - CHILD SEATBELT FEE- CE CRIME VICTIMS COMPENSATION - C OPSCJFAILURE TO APPEAR • OMNI. OF ADMINISTRATION FEE FTA/FTP (aka OMNI)- 21 ELECTRONIC FILING FEE - E FUGITIVE APPREHENSION GENERAL REVENUE - CRIM - IND LEGAL SVCS SUPPORT. JUVENILE CRIME S DEUNQUENCY-J PARKS & WILDLIFE ARREST FEES - STATE ARREST FEES SCHOOL CROSSING/CHILD SAFETY FEE SUBTITLE C - STATE TRAFFIC FINER -EST 5.1.1' LOCAL TRAFFIC FINE TIME PAYMENT IE PAYMENT REIMBURSEMENT FEE :Y PREVENTION/DIVERSION FUND - LOCAL & STATE WARRANT FEES-1 COLLECTION $ERMCE FEE•MVBA- DEFENSIVE DRIVING COURSE DEFERRED FEE DRIVING EXAM FEE- PRI FILING FEE - STATE CONSOLIDATED CIVIL FEE COPIES/CERTIFED COPIEI INDIGENT FEE- CIFF o JUDGE PAY RAISE FEE - SERVICE FEE, OUT -OF -COUNTY SERVIC ELECTRONIC FILING FEE-E EXPUNGEMENTFEE- EXPIRED RENEWAL - LOCAL FINES - LICENSE & WEIGHT FEES PARKS & WILDLIFE FINES SELYAINRESTRAINED CHILD FINE kL & COURT PER80NNEL TRAINING - • OVERPAYMENT (OVER $10)-< • OVERPAYMENT ($10 AND LESS). TOTAL ACTUAL MONEY TO OTHERS: TO CCISD - 50%9f Fine on JV Oases TO DA RESTITUTION FUND JND OF OVERPAYMENTS OF -COUNTY SERVICE FEE 4 BONDS TOTAL DUE TO 07.00 372,00 84.00 12.00 0.10 0.50 15.00 80.00 5.00 2.00 0.00 2.00 8.00 30.00 5.00 5.00 170.07 12.00 1025 25.00 2.00 322.80 42.00 68.00 10.00 344A0 1.380.08 0.00 PLEMEINCWW O.RNEWEEZDAIU IRANT 0.00 RFAEEROLUW OA. P2W1E7N0 N1NMSINENT 0.00 14EAW RtxUW O.RP6000SIN608WR1FMiNr 0.00 PLMSIMf1UW DANiWfi$1Np ORBUNEM;Ni 0.00 FV:MENIXeW aR FEWaerNYadeNREENaNieFRaiaFEq )UNT 020 CAINIMe Rem ACTUALTreeeerere RecelOq $.20 10/03/2024 07:43Calhoun County JP 4 (FA%)3817852179 P.003/005 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/112024 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2024 ACCOUNTNUMBER ACCOUNTNAME AMOUNT R 1000-001-45014 FINES 1,724.08 R 1000-001-44190 SHERIFF'S FEES 38.00 f ADMINISTRATIVE FEES. DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 10.26 ADMINISTRATIVE FEES 80.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 90.25 OR 1000-001.44010 CONSTABLE FEE SERVICE 0.00 OR 1000-001.44064 JP FILING FEES 1 0.00 OR 1000-001-44090 COPIES / CERTIFI'ED COPIES 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000.001.44322 TIME PAYMENT REIMBURSEMENT FEE 0.00 OR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999.20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999.20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 OR 1000.999.20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999.20770 DUE TO JP COLLECTIONS ATTORNEY 322.90 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,175.23 OR 2670-001-44064 COURTHOUSE SECURITY FUND $38.40 OR 2720-001-44064 JUSTICE COURT SECURITY FUND $3.00 �R 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $36.00 PR 2699-001-44064 JUVENILE CASE MANAGER FUND $0.00 OR 2730-001.44064 LOCAL TRUANCY PREVENTION & DIVERSION FUND $30.00 OR 2669-00144064 COUNTY JURY FUND $0.60 OR 2728-001-44064 JUSTICE COURT SUPPORT FUND $50.00 OR 2677-00144064 COUNTY DISPUTE RESOLUTION FUND $10.00 OR 2725-001-44064 LANGUAGE ACCESS FUND $6.00 OR 7020-999-20740 OR 7070-999-20610 CR 7070-999-20740 OR 7072-999-20610 OR 7072-999-20740 OR 7860-999.20610 OR 7800-999.20740 �R 7860-999-20610 GR 7860-99940740 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 1.00 1 1.00 0.00 TOTAL STATE ARREST FEES 2.00 CCC-GENERAL FUND 12.00 CCC-STATE 108.00 120.00 STATE CCC- GENERAL FUND 37.20 STATE CCC- STATE 334.80 372.00 STF/SUBC-GENERAL FUND 0.00 STF/SUBC-STATE 0.00 0.00 STF- EST 9/1/2019- GENERAL FUND 6.83 STF- EST 9/1/2019- STATE 164.04 170.87 Page 1 of 3 10/03/2024 07:44Calhoun County JP 4 MONTHLY REPORT OF COLLECTI 10I1I2024 COURT NAME: JUSTICE OF I MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2024 NO, 4 (FAX)3617852179 P.004/005 CR 7950-999-20610 TP-GENERAL FUND 12.50 CR 7950-999.20740 TP-STATE 12.50 DR 7950-999-10010 25.00 Page 2 of 3 10/03/2024 07;44Calhoun County JP 4 (FAX)3617652179 P.005/005 1 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/1/2024 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2024 CR 7480-999.20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999.10010 I 0.00 CR 7865-999.20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.20 CR 7865-999.20740 GRIM-SUPP OF IqD LEG SVCS-STATE 1.80 DR 7865-999-10010 2.00 CR 7970-999-20610 TUFTA-GENERAL FUND 0.00 CR 797D-999-20740 TUFTA-STATE 0.00 DR 7970-999-10010 0.00 CR 7505-999-20610 JPAY - GENERAL FUND 1.00 CR 7505-999.20740 JPAY - STATE 9.00 DR 7505-999-10010 10.00 CR 7857-989-20610 JURY REIMB. FUND-GEN. FUND 0.80 CR 7857-999-20740 JURY REIMB. FUND- STATE 7.20 DR 7857-999.10010 8.00 R 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.01 PR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.09 DR 7856-999-10010 0.10 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 OR 7502-999-10010 0.00 7998-999.20740 TRUANCY PREVENT/DIV FUND - STATE 1.00 7998499-20701 JUVENILE CASE MANAGER FUND 1.00 DR 7998-999.10010 ' 2.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE Olga OR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 42.00 42.00 TOTAL (Distrib Req to OperAcct) $3.103,20 DUE TO OTHERS (Distrib Req Attchop CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $3,103.20 LESS: TOTAL TREASUER'S RECEIPTS $3,103.20 OVER/(SHORT) $0.00 Page 3 of 3 Calhoun CountyrFloodplain Adminis= Lion 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: derek.walton@calhouncotx.org September 2024 Development Permits Report For Commissioners Court: October 9th, 2024 New Homes - 4 Renovations/Additions - 0 Mobile Homes - 3 Boat Barns/Storage Buildings/Garages - 0 Commercial Buildings/RV Site -1 Addition - 0 Fence - 0 Pool - 0 Drainage - 0 Pipeline - 0 Total Fees Collected: $480.00 Receipt numbers: 920509, 920510, 920511, 920512, 920513, 920514, 920515, 920516 County Judge Date /O --9— - I NOTICE OF MEETING — 10/9/2024 13. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer; Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 11 s ■ § z g o m k ) § ( ) B� §§§ ■ § % )/ m )k 0 ))§ z M.O § ■ R . up G § c §� r / %_� ■ % § § ;§ it z M ) w� § %) # z m �) 4 \» ■ z § ;Q ( ; 2 § j a@\ 3 _ .§] ■/ \ `] _§ It § § � k , o � 2 k q % t ) § � � k ` / § m m ]) ) 2 )� § % ) � � � ■ 2: �� mom: ;3 ■ m ;; §B m % z ME § § % M) 2 ƒ ) 3) m 0 m z| o 0 )p I■ z \ 7 ) \EI C)( 2 n§ \ , , o g; ■ % 4| ■ § § A) § ■ o ME § k �\ § ® ■ § § z % q = § � \ M/ 00 »§ — ■. g) z( /`d �! 0 �\ rn§ m_ )2= m& ;°§ ■■ m. m §) \ME §§k m|— ©! %000 �; Roon r) P 2§§2 ■§ ] �§ En z mk ca a 2 § ■ § _�§ M) s =, �� ■ m= # _, Z) - § O( ' mom Ul� AI � _ sfw _§ �aCO� m 0 B ■ - ■ m v| c m2 § § z 'C; ■ m z �§ ( k ) �) % ■ z| o ■ -IE m k §\ ' ° ■§ / m v§ In 2 o �; ■ M§ ® § r| j % k k ; q § x ) K ■ ; § k v: m: »: F 3: m: z. z; o: o: � § f O ME T-p a= ooe cn 3= m= < Z= � m =_ o cn Z= { m_ Z= O= m M_ a o m g3 0= 1 a Z= z n a m= o m R1= n= r < 600 zz� _= i 3oc� Z=_ O yzz r= O = P %i o O O � ti _ M= O o00 m= a =; ME m= o 000 Z= zo _ N= O O eepp �ci O O T ^+ V=_ = = O O O O O iYi C O Efl T O O O O T = O O C3 O O m K m 0 m z m m c n D r N m 0 m N O D r n rn m m N N� A N A N (O N �OK(n-o D C -CDJ �0-? nzomzmFnm n y cn cn A— 0 cnm<00 n A m m F) OC zmm� )cnK a mo z m m M �m az cn m J co co co co co imm�c�o cfDv= 0 z z z z z >00000 O O O n O z z z z z z z z z z m o Caf n O C cn 0cz )�(£ �\ �. ƒ; m z; > §■ \ > 20 \ k �§ k§ z ; �k ( @& ® %) 20000 �. ;coon §2Z §7 5 e „ ■ _ ■ z§ / § ■ �) ® a j § � _l _m§ I2 �/ gym §§ ) k k\}@@©■ ) $ O-mcc m■ ■ B z B § z � k : o ( ( ) A ) N ) A ) 2 ) In ) § k v § k _ V W ~ Mz z o z<Mp O z m z 3 z m y Z Z � o v O c a M 0 T ° 0 Z =_ � T =_ m n C B O m m O � yo ° C 0 Z 00 N C% v _ A m m zz = c� 0 O C UP a n r r C = s = O O O o = = T CC iYi T T M O M O EA fA O O ��T11 O O O O T O O O O O�j �RpI sOs = O O O O rn m Z �� ° 3 3 O z z 2T O{o i o > n m a m Z o cn m m a 0 C z J O ffA A A I Y D -ZI -ZI Q� � a 3 � m 9z K 11 m o z In m C A z C v T N z O 3 r. 0 m 3 9 O m m m N 8 s O 0 O 3 3 v' z o r" v 3 ; a: m T �E z M. m z: N �e z° z€ 3: m me v rE r m WE z_ C A c y C d z A O ys o� Z 0 Z m m m n C O N N E CT N W W W Cj O O N N N oocoiioop 0 z c 0 O C T K a m 0 �C3 MK z (N U a m c g m � r m a co mco coa a co co mco� flco co co co= 0 z z z z z D O O O O 7 G)0 0 G) P 3 T yj O N m W tR fA 0 0 0 0 0 O 0 0 0 0 0 0 m a Z O 8 0 BAR CIE -n CZ E Q a= z 3= m Z= Tm Z a= 3= � m=__ 'n ;0= C 0= v a= v=_ a° Z=_ a=_ Z W 0 �= 00 =_ 0 0= 0 m m= 0 m L) m= Z �= 0 _ i z= Ci= 0 a �- r 4 {� ■ M $ z . m B § ■ k 0 ( % q A 2 � § 0 k v § k ' NOTICE OF MFF. FlNG--10/9/2024 14. Approval of bills and payroll. (RHM) MMC Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: ' Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese, County Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct`2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:23am Page 11 of 11 vi o 0Pd w z 0 K � H H Q O m Q. 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S_.._ 0,14 Ca,RANDTO"A,L b(sB RS 'E T4 APPR'6NYCUiOoiobgrf '024�• ,� $. ;:,i '&,28$:1'jj', MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --October 9.2024 PAYABLES AND PAYROLL 10/3/2024 Weekly Payables 10/7/2024 MCKf'.sson-340B Prescription Expense 10/7/7.024 Amerisource Bergen-3408 Prescription Expense 10/7/202.4 Payroll Llabllities-Payroll Taxes 10/7/2024 Payroll Prosperity Electronic Bank Payments 10/7/2024 Pay Plus -Patient Claims Processing Fee 10/7/2024 Authnet Gateway 10/7/2024 Credit Card Discount Fee 10/7/2024 Credit Card interchange Fee 10/7/2024 Credit Card Fee 10/7/2024 Credit Card Chargeback 10/7/2024 Federal Express Payment 10/7/2024 Health Equity-HSA Contributions �0T9liE!RIpY'Ai9LESi PANYkt06Lk'fiNOVEbEeiRdIU161Bl�Nf(�?JN3iP/18NT5 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 10/3/2024 MMC Operating to Broadmoor-Correction of insurance payment deposited into MMC Operating in error 10/3/2024 MMC Operating to The Crescent -Correction of insurance payment deposited into MMC Operating in error 10/3/2024 MMC Operating to Golden Creek Healthcare -Correction of insurance payment deposited Into MMC Operating in error 10/3/2024 MMC Operating to Tuscany Village -Correction of Insurance payment deposited into MMC operating in error 10/3/2024 MMC Operating to Bethany -Correction of insurance payment deposited into MMC Operating in error 10/3/2024 MMC Operating to Centex Health Care Centers -Correction of Insurance payment deposited into MMC Operating 418,711.14 8,141.80 2,493.88 114,131.11 367,096.11 361.94 31.50 474.29 230.50 184.46 5D.&2 707.71 1,447.83 142.61 5,892.00 50,129.36 13,578.00 34,685.81 48,725.05 $_ 4db_bbi i �f©]GJYI sTRY,tN$PEPo$;8Tn1`WWE�Nl�SUINOS _ �--- _ . - $ ..—_U9 _%118 NURSING HOME UPL EXPENSES 10/7/2024 Nursing Home UPL-Cantex Transfer 365,217,55 10/7/2024 Nursing Home UPL-Nexion Transfer 23,820.71 10/7/2024 Nursing Home UPL-HMG Transfer 6,284.13 10/7/2024 Nursing Home UPL-Tuscany Transfer 35,865.71 10/7/2024 Nursing Home UPL-HSL Transfer 22,368.75 QIPP CHECKS TO MMC 10/7/2024 Ashford - Molina July & Y6 ADJ2 & Wellpoint July Hospital Portion 36,471.51 10/7/2024 Broadmoor -Molina July & Y6 ADJ2 & Wellpoint July Hospital Portion 13,420.72 10/7/2024 Crescent - Molina July & Y6 ADJ2 & Wellpoint July Hospital Portion 10,051.06 10/7/2024 Fort Bend - Molina July & Y6 ADJ2 & Wellpoint July Hospital Portion 11,453,29 30/7/2024 Solera - Molina July & VR6 ADJ2 & Wellpoint July Hospital Portion 10,936A9 10/7/2024 Tuscany- Molina July & V6 ADJ2 & Wellpoint July Hospital Portion 22,761.68 TRANSFER BETWEEN FUNDS FROM NURSING HOMES TO MMC 10/7/2024 Ashford-Q3 Interest Earned 580.54 10/7/2024 Broadmoor-Q3 Interest Earned 49151 10/7/2024 Crescent-Q3 interest Earned $36.46 10/7/2024 Fort Bend-Q3 Interest Earned 146.39 10/7/2024 Solera-Q3 Interest Earned 192A3 10/7/2024 Golden Creek-Q3 Interest earned 447.13 10/7/2024 Bethany-0 Interest Earned 220.99 4TORAINtJR81NtH®MErIFPImEJ�RL9MEb ;$ 5&1rG87S05 INTER -GOVERNMENT TRANSFERS 10/7/2024 IGT DSH 2O24 paid October 2024 567,507.19 fiQIfAtG.I,NiTaLRaQ1Y'ERNMEh}T+IiiYANSFERS, __ _ d— _ _ RECEIVED BY THE COUNTY AUDITOR ON OCT 0 3 2024 MEMORIAL MEDICAL CENTER 10/03/2024 0 1224 AP Open Invoice List CAL1901iP1 C(1UfJM, TE-Xv9§ Due Dates Through: 10/25/2024 ap_opon_invoice.tomplate Vendor# Vendor Name Class Pay Code A1680 JAIRGAS USA, LLC-CENTRAL DIV M Invoice# Comment Tran Dt Inv Ol Due Dt Check 0t Pay Gross Discount No -Pay Net / 5SI1290473 10/02/20209130/20210/251202 1.010.22 0.00 0.00 1,010.22 V/ 5511290536 10102/202 09130/202 10/25/202 277,65 0.00 0.00 277.65 �! Vendar Totals: Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC - CENTRAL DIV 1,287.87 0.00 0.00 1,287.87 Vendar#/Vendor Name Class Pay Code 14026 I AMAZON CAPITAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 1GPVRGYM3FO4 09/24/202 09/24/202 Gross Discount No -Pay Net 10/241202 80.37 0.00 0.00 80.37 J 1HVX6K3MWFP3 10/02/202 09/19/202 10/191202 457.81 0.00 0.00 457.81 / Vendor Totals: Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 638.18 0.00 0.00 538.18 Vendor# (Vendor Name Class Pay Code 10419 ,� AMSU INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 224147954 09/25/20209/16/2021006/202 Gross Discount No -Pay Not 104.37 0.00 0.00 104.37 / Vendor Totals: Number Name Gross Discount No -Pay Net 10419 AMBU INC 104.37 0.00 0.00 104.37 Vendor# / Vendor Name Class Pay Code 10592 ../ AMERICAN PROFICIENCY INSTITUTE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J698139 09/24/20209/18/20210/131202 18,510.00 0.00 0.00 18,519,00 J698219 10/02/20209/18/20210/13/202 2,219.00 0.00 0.00 2,219.00 Vendor Totals: Number Name Gross Discount No -Pay Net 10592 AMERICAN PROFICIENCY INSTITUTE 20,738.00 0.00 0.00 20,738.00 Vendor# //�endor Name Class Pay Code A 1360 �r AMERISOURCEBERGEN DRUG CORP W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J3189973429 10/01/20209126/202101011202 578.00 0.00 0.00 J/ 578.00 d J804920005 10/01/202 09127120210/03/202 6.16 0.00 0.00 6.16 J Vendor Totals: Number Name Gross Discount No -Pay Net A1360 AMERISOURCEBERGEN DRUG CORP 584.16 0.00 0.00 564.16 Ventlor#/ Vendor Name Class Pay Code 15456 AMERITEX ELEVATOR SERVICES INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 20250335 10/01120210101/20210/01/202 750.00 0.00 0.00 750.00 / Vendor Totals: Number Name J Grose Discount No -Pay Not 15456 AMERITEX ELEVATOR SERVICES INC 750.00 0.00 0.00 750,00 Ventlor# /Vendor Name class Pay Code A2218 Y AOUA BEVERAGE COMPANY M Invoice# Comment J171047 Tran Dt Inv Dt Due Dt 10/01/202 091121202 10/07/202 Check Ot Pay 171048 JJJ 10/01 /202 09/12/202101071202 Vendor Totals: Number Name A2218 AQUA BEVERAGE COMPANY Vendor# Vendor Name Class Pay Code 12800 AUTHORITYRX, LLC Invoice# Comment Tran DI Inv Dt Due Ot Check Dt Pay / -,/ 7000059628 10/01/20209/20/20210/20/202 Vendor Totals: Number Name 12800 AUTHORITYRX, LLC Vendor# Vendor Name Class Pay Code 14088 AZALEA HEALTH Invoice# Comment Tran Dl Inv Dt Due Ot Check DI Pay /109427 10/03/202 10/01120210101/202 v OCTFEES Vendor Totals: Number Name 14088 AZALEA HEALTH Vendor# /Vendor Name class Pay Code B1150 v/ BAXTER HEALTHCARE W Invoice# Comment Tran DI Inv of Due DI Check Dt Pay J 82878999 10/021202 09/16/202 10111/202 82925039 10/02/202 09/26/20210/21 /202 Vendor Totals: Number Name B1150 BAXTER HEALTHCARE Vendor# /Vendor Name Class Pay Code 81220 BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay 5493850 10/01 /202 09125/202 10/20/202 111590173 10/02/202 09/26/202 10/21/202 Vendor Totals: Number Name B1220 BECKMAN COULTER INC Vendor# endor Name Class Pay Code B13SEEKLEY CORPORATION M Invoice# Comment MIN0140745 Tran Dt Inv Dt Due Dt 09/24/202 09/23/202 09124/202 Check 01 Pay -�� Vendor Totals: Number Name B1320 BEEKLEY CORPORATION Vendor # Vendor Name Class Pay code 14120, CALHOUN COUNTY EMS Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay _j 202408 081311202 09/031202 10120/202 Vendor Totals: Number Name 14120 CALHOUN COUNTY EMS Vendor# r/endor Name Class Pay Code C1326 .,f CARDINAL HEALTH 414, INC. IN Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 71.00 0,00 0.00 71.00 V 41.00 0.00 0.00 41.00 J Gross Discount No -Pay Net 112.00 0.00 0.00 112.00 Gross Discount No -Pay Net 8,013.31 0.00 0.00 8,013.31 / Gross Discount No -Pay Net 6,013.31 0100 0.00 6,013.31 Gross Discount No -Pay Net 594.00 0.00 0.00 594.00 Gross Discount No -Pay Net 594.00 0.00 0,00 594.00 Gross Discount No -Pay Not 169.69 0.00 0.00 169.69 .� 43,52 0.00 0.00 43.52 J Gross Discount No -Pay Net 213.21 0.00 0.00 213.21 Gross 1,337.05 Discount 0.00 No -Pay 0.00 Net 1,337.05 152.92 0.00 0.00 152.92 J Grass Discount No -Pay Net 1,489.97 0.00 0.00 1,489.97 Gross Discount No -Pay Net 497.60 0.00 0.00 497.50- Gross Discount No -Pay Net 497.50 0.00 0.00 407.50 Gross Discount No -Pay Net 3,080.00 0.00 0.00 3,080.00 Grass Discount No -Pay Net 31080.00 0.00 0.00 8,080.00 Gross Discount No -Pay Net 8003631083 .,,� 09/30/202 09/26/202 10/211202 300.33 0.00 0.00 300.33 / Vendor Totals: Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 300.33 0.00 GM 300.33 Vendor# Vendor Name Class 14260 V CAREFUSION SOLUTIONS, LLC Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Not / 10023570962 10/01/20209/09120210/01/202 1,788.00 0.00 0.00 1.788.00 J OCTOBER BILLING PERIOD ' 1 Vendor Totals: Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1,788.00 0.00 0.00 1,788.00 Vendor# Vendor Name Class Pay Code C1992 JCDW GOVERNMENT, INC. M Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Grass Discount No -Pay Not AABR57F 10102/202 09/171202 10/171202 591.59 0.00 0.00 591.59� Vendor Totals: Number Name Gross Discount No -Pay Net 01992 CDW GOVERNMENT, INC. 591.59 0.00 0.00 591.59 Vendor#%Vendor Name Class Pay Code C1390d CENTRAL DRUG W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J092324 09124/202 09/23/202 1009/202 33.95 0.00 0.00 33.95 / \/ Vendor Totals: Number Name Gross Discount No -Pay Net C1390 CENTRAL DRUG 33.95 0.00 0.00 33.95 Vendor# %Vendor Hama Class Pay Code C1166 1J COASTAL OFFICE SOLUTONS W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / OEOT279491 09/24/202 09/201202 09/30/202 480.00 0.00 0,00 480.L10 J Vendor Totals: Number Name Gross Discount No -Pay Net C1166 COASTAL OFFICE SOLUTONS 480,00 0.00 0,00 480.00 Vendor# endor Name Class Pay Cade 13336' COCA COLA SOUTHWEST BEVERAGES Invoice# Comment Tran Dt Inv Dt Due Dt J43574886006 Check Dt Pay Gross Discount No -Pay Nat 10/02/202 10102/202 10/02/202 -150,00 0,00 0.00 -150.00 J43574880004 10/02/20210/02120210/02J202 897.30 0.00 0.00 897.30 Vendor Totals: Number Name Gross Discount No -Pay Nei 13336 COCA COLA SOUTHWEST BEVERAGES 747.30 0.00 0.00 747.30 Vendor# /Vendor Name Class Pay Code C1850-,� CODONICS INC M Invoice# Comment Tran Dt Inv DI Due Dt Check Ot Pay Gross Discount No -Pay Net J .,J 0000288841 10/01/20209/24/202 10/04/202 809.94 0.00 0.00 809.94 Vendor Totals: Number Name Gross Discount No -Pay Net C1850 CODONICS INC 809.94 0.00 0.00 809.94 Vendor# randor Name Class Pay Code 02552 NCREST HEALTHCARE SUPPLY Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 0310704 10/02/20209125/20210/251202 280.20 0.00 0.00 280.20,/ Vendor Totals: Number Name Gross Discount No -Pay Nei C2552 CREST HEALTHCARE SUPPLY 280,20 0.00 0.00 280.20 Vendor# Vendor Name Class Pay Code 10060-JDETAR HOSPITAL ICP Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net J DTR2409018 10/021202 10/01/202 101021202 92,96 0.00 0.00 9296 Ll 1'C� SEPTEMDER INV PERIOD C1 a Vendor Totals: Number Name Grass Discount No -Pay Net 10060 DETAR HOSPITAL 92.96 0.00 0.00 92:96 Vendor# endor Name Class Pay Code 10368 �„jDEWITT POTH & SON Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net % 7673301 .J 09/25/202 09/10/202 10/05/202 165.30 0.00 0.00 165.30 tij /1 7679250 Vr 09/25/202 09/25/202 10/20/202 366.59 0.00 0.00 366.59 7693150 10/02/202 09125/20210/20/202 199.38 0.00 0.00 199.38 7693390 10/02/202 091251202101201202 107.57 0.00 0.00 107.67 Vendor Totals: Number Name Gross Discount No•Pay Net 10368 DEWITT POTH & SON 83&04 0.00 0.00 838.84 Vendor# endor.Name Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net .�MMG093024 ("1`�0�/03/20209/30/20210103/202 134,801,13 0.00 0.00 134,801.13 j ' 1 I,.Q I0 I C14 Vendor Totals: Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 134,801.13 0.00 0.00 134,801.13 Vendor# Vendor Name Class Pay Code 1 *129 DOWELL PEST CONTROL Invoicell Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net „/ 37365 09/01/202 09130/202 10/25/202 150.00 0.00 0.00 160.00 ,J J37042 091251202 09/25/202 10/20/202 75.00 0.00 0.00 75.00-%// J 37364 10101120209130/20210/25/202 105.00 0.00 0.00 105,00 J 37321 10/011202 09130/202 101251202 260.00 0.00 0.00 260.00 37339 10/01/20209/30120210/25/202 505.00 0.00 0.00 505.00 J Vendor Totals: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 1,105.00 0.00 0.00 1,105.00 Vendor#/Vendor Name Class Pay Code G0501 �( DR JEANNINE GRIFFIN W Invoice# Comment 100224A Tran Dt Inv Dt Due Ot Check Dt Pay 10/02/20209/30/20210/021202 Grass 1,500.00 Discount 0.00 No -Pay 0.00 Net 1,500.00 Vendor Totals: Number Name Gross Discount No -Pay Net G0501 UP JEANNINE GRIFFIN 1,500.00 0.00 0.00 1,500.00 Vendor# Vendor Name Class Pay Code 14832 OR JOHN CLINTON Invoice# Comment Tran Dt Inv Or Due Dt Check DI Pay Gross Discount Nc-Pay Not 1/1002240 10/02/20209/30/202 1,800.00 0.00 0.00 1,800.00 "I 1 1 3yt_I t / Vendor Totals: Number Name Gross Discount No -Pay Not 14832 OR JOHN CLINTON 11800.00 0,00 0.00 1,800.00 Vendoru Vendor Name Class Pay Code 14924'J DR, TIMU KWI Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay / 1002248 101021202 09/30/202 Vendor'iotals: Number Name 14924 DR. TIMU KWI Vendor#/Vendor Name Class Pay Code 12488 �, DURFOLD CORPORATION Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay 10099 10/021202 09/24/20210/02/202 Gross Discount 11500.00 0.00 Gross Discount 1,500.00 0.00 Gross Discount 1,944.00 0.00 Vendor Totals: Number Name Gross Discount 12488 OURFOLD CORPORATION 1,944.00 0.00 Vendor# Vendor Name Class Pay Code 11264V EMERGENCY STAFFING SOLUTIONS Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount JInvoice# 43596 10/01 /202 09/30/202 101101202 40,062.50 0.00 Vendor Totals: Number Name Gross Discount 1 I264 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 Vendor# /Vendor Name Class Pay Cade 14708 IJ EQUALIZE RCM SERVICES Invoice# Comment 538000 Tran Or Inv Dt Due Dt 09101/20210/01/20210/01/202 Check Ot Pay Gross Discount .J 68.76 0.00 Vendor Totals: Number Name Gross Discount 14708 EQUALIZE RCM SERVICES 68.76 0.00 Vendor#/Vendor Name Class Pay Code R1165 FARAHJANAK /Invoice# Comment 092724 Tran Dt Inv D1 Due Dt Check Dt Pay Grass Discount 10/011202 09127/202 10/011202 90.60 0.00 rrx [I C�-� , Vendor Totals: Number Name Gross Discount R1185 FARAH JANAK 00,60 0.00 Vendor# Vendor Name Class Pay Code F14ptl FISHER HEALTHCARE M Invoice# Comment 1458061 Tran DI Inv Dt Due Ot 09/04/202 Check Dt Pay Gross Discount ,J 08122/202 09116/202 1,273.68 0.00 6208190 09/241202 091241202 10/19/202 530.13 0.00 J2831131 10/01/20205/09120206/03/202 1,474.97 0.00 SUPPLIES J5358495 10/02/202 09/131202 10/08/202 15.90 000 5430750 J1 10/02/20209/17/20210/12/202 1,832.70 0.00 j 5430749 10/02/202 09/17/2021Oft 2/202 248.93 0.00 J 5506375 10/02120209/19/2021Oft 4/202 123.13 0.00 J5575600 10/02/20209123120210118/202 1248.36 0.00 j6614679 10/02/202 09/24/202101191202 9.81 0.00 Vendor Totals: Number Name Grass Discount No -Pay 0.00 No -Pay 0.00 No -Pay 0,00 No -Pay 0,00 Net 1,500.00 Net 1,500.00 Net 1,944.00 \ / Net 1,944.00 No -Pay Net 0.00 40,062.50 'J ` No -Pay Net 0.00 40,062.50 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 No -Pay Net 68.76 J Not 68.76 Net Net 90.60 Net 1,273.68 V 530.13 1,474.97 „/ 15.90 % 1,632.70 248.93 123.12 1248.36 9.81 / Net F1400 FISHER HEALTHCARE Vendor# Vendor Name �FUJI Class Pay Code 1415G FILM Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay / J 91539262 10/01/202 09/25/202 10/01/202 Vendor Totals: Number Name 14156 FUJI FILM Vendor# /Vendor Name Class Pay Code G0401 �• GULF COAST DELIVERY Involco# 895110 Comment Tran DI Inv Dt Due Of Check Dt Pay 09/30120210/01120210/011202 .� �vt«�a�� Vendor Totals: Number Name G0401 GULF COAST DELIVERY Vendor# Vendor Name Class Pay Cade 12380,y HEALTH SOLUTIONS DIETETICS I InVeiCe# Comment Tran Dt Inv Of Due DI Check Of Pay .,I 090124 09/30/202 10/011202 10/011202 Vendor Totals: Number Name 12380 HEALTH SOLUTIONS DIETETICS Vendor# Vendor Name J Class Pay Code 10804., HEALTHCARE CODING & CONSULTING Invoice# Comment Tran DI Inv Dt Due Of Check Dt Pay / 14916 10/01/20203131/20204/30/202 .. MARCH CHARGES Vendor Totals: Number Name 10804 HEALTHCARE CODING & CONSULTING Vendor# ,(Vendor Name Class Pay Code 1-11269 ,� HENRY SCHEIN INC. Invoice# Comment Tran Ut Inv DI Due Dt Check DI Pay J14731316 09125/202 09/19/202 10/19/202 Vendor Totals: Number Name H1269 HENRY SCHEIN INC. Vendor# /Vendor Name Class Pay Code 10530r HUMANA Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 093024 10102/202 09/30/202 10102/202 Vendor Totals: Number Name 10530 HUMANA Vendor8/ Vendor Name Class Pay Code 15852,1 HUMANA MILITARY Invoice4 Comment Tran Dt Inv Dt Due Dt Check Dt Pay -J GARKIE0001 10/03/202 09/30/202 10/03/202 Vendor Totals: Number Name 15852 HUMANA MILITARY Vendor# Vendor Name Class Pay Code 11285 -_:' ITA RESOURCES INC Invoice# Comment Tran DI Inv DI Due Of Check DI Pay j MMC102024 10/03/202 10/01/202 10121/202 Vendor Totals: Number Name 6,757.61 0100 0.00 6,757.61 Gross Discount No -Pay Net 7,908A3 0.00 0.00 7,908.33 Gross Discount No -Pay Net 7,908.33 0.00 0.00 7,908.33 Gross Discount No -Pay Net 50.00 0.00 0.00 50.00 / Gross Discount No -Pay Net 50.00 0.00 0.00 50,00 Gross Discount No -Pay Net 31400.00 0.00 0100 3,400.00 Gross Discount No -Pay Net 3.400.00 0.00 0.00 3,400.00 Gross Discount No -Pay Net 262.00 0.00 0.00 262.00 v Gross Discount No -Pay Net 262,00 0.00 0.00 262.00 Gross Discount No -Pay Net 19.88 0.00 0100 19.88 Grose Discount No -Pay Net 19,88 0100 0.00 1988, Gross Discount No -Pay Net 52.52 0,00 0.00 52.52 / Gross Discount No -Pay Net 52.52 0,00 0,00 52.52 Gross Discount No -Pay Net 55,00 0.00 0.00 55.00 / Gross Discount No -Pay Net 55,00 0.00 0.00 56.00 Gross Discount No -Pay Nei 29,862.84 0.00 0.00 29,B62.84 Gross Discount No -Pay Net 11285 ITA RESOURCES INC Vendor#/ Vendor Name Class Pay Code 111081 ITERSOURCE CORPORATION Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 1j 711811 10/01 /20210/01120210/01 /202 Vendor Totals: Number Name 11106 ITERSOURCE CORPORATION Vendor#Vendor Name Class Pay Code W1372"`! JOHN B WRIGHT LLC Invoice# Comment Tran Ot Inv Dt Due Dt Check Di Pay �l 100224 10/02/202 09130/20210/021202 Vendor Totals: Number Name W1372 JOHN B WRIGHT LLC Vendor# Vendor Name Class Pay Code M2178 j MCKESSON MEDICAL SURGICAL INC InvQIce# Comment Tran Ot Inv Of Due Dt Check Dt Pay `r 22694005 09/30/202 09127/20210/151202 J 22686440 10/02/20209126/20210/11/202 J22686227 10/02/202 09/26/202 10115/202 J22696990 10/02/20209/30120210/15/202 Vendor Totals: Number Name M2178 MCKESSON MEDICAL SURGICAL INC Vendor# Vendor Name Class Pay Code 10613 V MEDIMPACT HEALTHCARE SYS, INC. A/P Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay 092724 10/021202 09/301202 10/02/202 Vendor Totals: Number Name 10613 MEDIMPACT HEALTHCARE SYS, INC. Vend or# Vendor Name Class Pay Code M247 MEDLINE INDUSTRIES INC M Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay 1I 2336606247 09/18/20209/23/20210/18/2C2 2336684343 09/18/20200/24/20210/19/202 2335749249 09/24/20209/24/202101 01202 J2335684342 09124/202 091241202 10/19/202 2336520927 09/25/20209/25/202 10/20/202 I2336820925 09/26/202 09125/202 101201202 -,� 2336820931 09/25/202 09/25/202 10/20/202 J2336820932 09/25/202 09/25/20210120/202 J2336820923 09/25/202 09/25/202 10/20/202 29,862.84 0.00 0.00 29,862.84 Gross Discount No -Pay Nei 250.00 0.00 0.00 250,00 / �t Gross Discount No -Pay Not 250.00 0,00 0.00 250.00 Gross Discount No -Pay Net 2,500.00 0.00 0.00 2,600.00V/ Gross Discount No -Pay Not 2,500.00 0.00 0.00 2,500.00 Gross Discount No -Pay Net 870.79 0.00 0.00 070.79 93,47 0,00 0.00 93.47 i 699.41 0.00 0.00 699.41'�/ 22,61 0.00 0.00 22.61 ..f Gross Discount No -Pay Net 1,686.28 0.00 0.00 1,686.28 Gross Discount No -Pay Net 13.79 0.00 0.00 13.79 j Gross. Discount No -Pay Net 13.79 0.00 0.00 13.79 Gross Discount No -Pay Net 189.21 0.00 0.00 189.21 238.64 0.00 0.00 238.64 99.02 0.00 0.00 99.02 •.1 56.72 56.72 0.00 0.00 -../ 42.00 0.00 0.00 - 42.60 c j, 395.64 0.00 0.00 395.64 ./ 57.78 0.00 0.00 57.78 109.59 0,00 O.OD lQuit 24.57 0.00 0.00 24.57 , / f2336820928 09/25/202 09/25/20210120/202 14 2336820929 09125/202 09/25/202 101201202 1 2336820924 09/25/202 09/25/20210120/202 Vendor Totals: Number Name M2470 MEDLINE INDUSTRIES INC Vandorit I Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP W Comment Tran DI Inv Dt Due Dt Check Dt Pay �IInvoice# 092824 10/01120210/01 /202 10/01 /202 Vendor Totals: Number Name M2621 MMC AUXILIARY GIFT SHOP Vendor# )Vendor Name Class Pay Code 10636.,E MORRIS & DICKSON CO, LLC Inveioe# Comment Tran Dt Inv Dt Due Di Check Dt Pay ' 2478148 10/01/20209/24/20210/04/202 ti J2479146 10/01/202 09124/202 10/04/202 •� 2478149 10101/202 09/241202 10/04/202 2481726 10/01 /202 09/25120210/051202 J2480319 10/01/20209/25/20210/051202 .� 2481350 10101 /202 09/25/20210/051202 rl 2480321 10/01 /202 09/251202 10/05/202 _'( 2482656 101011202 091251202 10/05/202 .,% 2479839 10/01/202 09/25120210/051202 J2462656 10101/202 09/25/202 10/051202 2467127 10101 /202 09126/20210/051202 J2485262 10/01/202 09/26/202 10/061202 .J 2487648 10/01120209/26/20210/06/202 2485263 10/01/202 09/26/202 10/06/202 J2487649 10101/20209126120210/06/202 Vendor Totals: Number Name 10536 MORRIS & DICKSON CO, LLC Vendor## Vendor Name Class Pay Code M2659 MXR IMAGING, INC M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay J 8801184186 09/24/202 09124/20210124/202 Vendor Totals: Number Name 16,032.64 0.00 0,00 16,032,64 99.90 0.00 0.00 99.90 v� 25.40 0.00 0.00 25.40 Gross Discount No -Pay Net 17,371.11 0.00 0.00 17,371.11 Gross Discount No -Pay Net 151,21 0.00 0.00 151.21 / t Gross Discount No -Pay Net 151.21 0.00 0.00 151.21 Gross Discount No -Pay Net 822.93 0.00 0.00 / 822.93 �J 821.05 0.00 0.00 821.05 .J 154.11 0.00 0.00 154.11 41.92 0.00 0.00 41.92./ 956,56 0.00 0.00 956,56 �( 46.02 46,02 0.00 0.00 23.51 J 23.61 0.00 0.00 4.54 0.00 0.00 4.54 •� 10,892.96 J 10,892.96 0.00 0,00 79.85 0.00 0.00 79.85 J 870.95 0.00 0.00 870.95J 4,712.65 0.00 0.00 4,712.65 j 94.50 0100 0.00 94.50 -If 903,81 0.00 0.00 903.81 �I 7,738.72 0.00 0.00 7,738.72 Gross Discount No -.Pay Net 28,164.08 0.00 0.00 28,164.08 Gross Discount No -Pay Net 66.49 0.00 0.00 86.49 / Gross Discount No -Pay Net M2659 MXR IMAGING, INC Vendor# (Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay 8487 09/01120210/011202 10/11/202 Vendor Totals: Number Name 13648 NACOGDOCHES TRANSCRIPTION Vendor# Vendor Name Class Pay Code 13624 �� NEXION HEALTH AT NAVASOTA INC Invoice# Comment Tran Ot Inv Ot Due Dt Check Dt Pay -' 090124 101031202 10105/202 101051202 Vendor Totals: Number Name 13624 NEXION HEALTH AT NAVASOTA INC Vendor# )Vendor Name Class Pay Code 01500` OLYMPUS AMERICA INC M Invoice# Comment 35889523 Tran Dt Inv Dt Due Dt 09/24/202 09/25/202 Check DI Pay 10/18/202 Vendor Totals: Number Name 01500 OLYMPUS AMERICA INC Vendor# /Vendor Name Class Pay Code 10152 '4 PARTSSOURCE, LLC Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay 05448225 10/02/20209/13/202 10/13/202 Vendor Totals: Number Name 10152 PARTSSOURCE, LLC Vendor# andor Name Class Pay Code P1800 •,� PITNEY BOWES INC W Invoice# Comment Tran Dt Inv Dt Due DI Check DI Pay / 1026126198 09/01/20209/23/2D210/23/202 Vendor Totals: Number Name P1800 PITNEY SOWES INC Vendor# Vendor Name Class Pay Code 14764-, PL-CPR, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay 339 10/01 /202 09/24/202 10/01/202 Vendor Totals: Number Name 14764 PL-CPR, LLC Vendor# Vendor Name Class Pay Code 10554 .REPUBLIC SERVICES 4847 Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay / `f 0847001357389 10101 /202 091131202 10/16/202 Vendor Totals: Number Name 10554 REPUBLIC SERVICES #847 Vendor#/Vendor Name Class Pay Code Si001^ SANOFI PASTEUR INC W Comment Tran Ot Inv Dt Due On Check DI Pay -1/Invoice# 7141779683 10/01/202 091241202 10/24/202 , 7141779685 10/01/202 09/24/202 10/24/202 86.49 0.00 0.00 86.49 Gross Discount No -Pay Net 105.04 0.00 0.00 105.04 f Gross Discount No -Pay Net 105.04 0.00 0.00 105.04 Gross Discount No -Pay Net 1,000.00 0.00 0.00 1,000.00 / Gross Discount No -Pay Net 1,000,00 coo 0.00 1,000.00 Gross Discount No -Pay Net 204.60 0.00 0.00 204.604J / Gross Discount No -Pay Net 204.60 0,00 0.00 204.60 Gross Discount No -Pay Net 26.38 0,00 0.00 28.38 Gross Discount No -Pay Net 28.38 0.00 0.00 ,.28.38 Gross Discount No•Pay Net 8,004.37 0.00 0.00 8,004.37 / Gross Discount No -Pay Net 8,004.37 0.00 0.00 6,004.37 Gross Discount No -Pay Net 455.00 0.00 0.00 455.00 Gross Discount No -Pay Net 455.00 0,00 0.00 455.00 Gross Discount No -Pay Net 2,050.98 0.00 0.00 2,059.98 , Gross Discount No -Pay Net 2,059.98 0.00 0.00 2,059.98 Gross Discount No -Pay Net 4.941.76 0.00 0.00 4,941.76 9,166.39 0.00 0.00 9,166.39 ../ Vendor Totals: Number Name Gross Discount No -Pay Net S1001 SANOR PASTEUR INC 14,100.15 0.00 0.00 14,108.15 Vendor# Vendor Name Class Pay Code 14716 SINGLETON ASSOCIATES PA Invoice# Comment Trar Dt Inv Ot Due Ot Check Ot Pay 5537 10/01120209/24/20210/01/202 Gross Discount No -Pay Net / 74.40 0.00 0.00 74.40 -J J 5150 10101/20209/24/20210101/202 357.86 0.00 0.00 357,85,,/ Vendor Totals: Number Name Gross Discount No -Pay Net 14716 SINGLETON ASSOCIATES PA 432.25 0.00 0.00 432,25 Vendor Vendor Name Class Pay Code 52270 SMILE MAKERS M Involcelf Comment Tran Ot Inv Dt Due Dt Check DI Pay 9013844 Gross Discount No -Pay Not 10/02/20209/23/20210/18/202 357.87 0.00 0.00 357.87 J Vendor Totals: Number Name Gross Discount No -Pay Net 52270 SMILE MAKERS 357.87 0.00 0.00 357.87 Vendor# Vendor Name Class Pay Code 12472 1 SOMETHING MORE MEDIA, INC. / Invoice# Comment Tran Dt Inv DI Due DI Check DI Pay Gross Discount No -Pay Net j,1 2218 09/30/20209/27/20210/121202 2,526.00 0.00 0.00 2,52500 / Vendor Totals: Number Name Gross Discount No -Pay Not `J 12472 SOMETHING MORE MEDIA, INC. 2,525.00 0.00 0.00 2,525,00 Venderlf Vendor Name Class Pay Code 12288 - SPBS CLINICAL EQUIPMENT SRVC Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 'Invoice# INV050001024 10/011202 10/01/202 10/061202 9,836.92 0.00 0.00 9,836.92 ` Vendor Totals: Number Name Gross Discount No -Pay / Net 12288 SPBS CLINICAL EQUIPMENT SRVC 91635,92 0.00 0100 9,830.92 Vendor#� Vendor Name Class Pay Code 10094--.. ST DAVIDS HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Of Check Of Pay Gross Discount No -Pay Not r \1 MMOPL202408 10/02/202 09/30/202 10/021202 375.00 0.00 0.00 375,00 �� J - - _cc L-. / i 1`-�-^ VendorTotals; NumbC�� Nam " Gross Discount No•Pay Net 10094 ST DAVIDS HEALTHCARE 376,00 0.00 0.00 375.00 Vendork, Vendor Name Class Pay Code 539 _ STERIS CORPORATION M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 11342017 Gross Discount No•Pay Nei 06/27/20207/07/20210/19/202 •1,890.20 0.00 0.00 -1.890.20 PARTS 12881941 10/02/202 09125/202 101201202 3,075.84 0.00 0.00 3.075.84 J 12880490 10/02/202 09/251202 10/20/202 97-68 0.00 0.00 97.68 ,'/ 12886264 10/021202 09/26/202 10/21/202 218.40 0.00 0.00 218.40 Vendor Totals: Number Name Gross Discount No -Pay Net 53940 STERIS CORPORATION 1,501.72 0.00 0.00 1.501,72 Vendor# Vendor Name Class Pay Code 15092- STEVE BROCK Invoice# Comment Tran Ot Inv DI Due Di Check Dt Pay Gross Discount No -Pay Net 100224 10/031202 10/03/202 10/03/202 255.14 0.00 400 255.14" (/ Vendor Totals: Number Name muse Discount No -Pay Net 15092 STEVE BROCK 255.14 0.00 0.00 ,_255.14 Vendor# ender Name Class Pay Cade 10735 7TRYKER SALES, LLC Invoices Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net / 9207261311 09/24/202 09123/202 10/23/202 288.74 0.00 0.00 288.74 / Vendor Totals: Number Name Gross Discount No -Pay Net 10735 STRYKER SALES, LLC 288,74 0.00 0.00 288.74 Vendors Vendor Name Class Pay Code 142121 SURGICAL DIRECT SOUTH J9346 Invoices Comment Tran Dt Inv Dt Due Dt Check Dt Pay 09/25/20209124120210/24/202 Gross Discount No -Pay Net 4,200.00 0.00 0.00 4,200,00,/ Vendor Totals: Number Name Gross Discount No -Pay Net 14212 SURGICAL DIRECT SOUTH 4,200.00 0.00 0.00 4,200.00 Vendor#' Vendor Name Class Pay Code 16856^\ TEXAS A&M HEALTH SCIENCE CENTE invoices Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net JH183751 10/03/202 10/01/202 10/03/202 5,250.00 0.00 0100 51250,00 % Vendor Totals: Number Name Gross Discount No -Pay Net 15856 TEXAS A&M HEALTH SCIENCE CENTE 5,2%00 0:00 0.00 5,250.00 Vendors Vendor Name Class Pay Code 15844_J TEXAS HEALTH AND HUMAN SERVICE Invoices Comment Tran DI Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 100324 10/03/20210/03/20210I03/202 100.00 0100 0.00 100.00 ' Vendor Totals: Number Name Gross Discount No -Pay Net 15844 TEXAS HEALTH AND HUMAN SERVICE 100.00 0.00 0.00 100.00 Vendor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO w Invoicest Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net �J 1000188825 10/03/202 09/30/202 10/20/202 4,819.00 0.00 0.00 4,819.00 , cdLit J Vendor Totals: Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 4,819.00 0,00 0.00 4,819.00 Vendors Vendor Name Class Pay Code 10732:7 THERACOM, LLC Invoices Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gress Discount No -Pay Nei / 225431672301 07/311202 07/25/902 10/23/202 3,140.66 0.00 0.00 3,140.86 4 IJ Vendor Totals: Number Name Gross Discount No -Pay Net 10732 THERACOM, LLC 3,140.86 0.00 0100 3,140,86 Vendorit Vendor Name Class Pay Code 15396 , THIRD COAST DISTRIBUTING LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net I33196 10/02/202 09/30/202 10/021202 304.62 0.00 0.00 304.62 / / Vendor Totals: Number Name Gross Discount No -Pay Net 15396 THRD COAST DISTRIBUTING LLC 304.62 0.00 0.00 304.62 VendorN /Vendor Name Class Pay Code 11908 �.f TMS SOUTH Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net I v% INV135352 09/24120209/23/20210/23/202 365.90 0.00 0.00 365.90 � \/ INV132964 10/02/202 09/03/202 10/03/202 483.00 0,00 0.00 483.00 j Vendor Totals: Number Name Gross Discount No -Pay Net 11908 TMS SOUTH 848.90 0.00 0,00 848.90 Vendorit Vendor Name Class Pay Code 11002� TRUSTAFF / Invoice# Comment 2263753A Tran DI Inv Dt Due Dt Check Dt Pay 09/24/20209/19120210/19/202 Gross Discount No -Pay Net 3,228.72 0.00 0.00 3,228.72� Vendor Totals: Number Name Gross Discount No -Pay Net 11002 TRUSTAFF 3,228.72 0.00 0.00 3,226.72 Vendor# /Vendor Name Class Pay Code U1064�/ UNIFIRST HOLDINGS INC invoice# Comment 2921042631 Tran Di Inv Dt Due Dt Check Dt Pay 09/23/20209/19/202.10/19/202 Gross Discount NO -Pay Net 209.23 0.00 0,00 209.23 J 2921042632 09/23/202 09/19/202 1 Oft 9/202 1,973.19 0.00 0.00 1,973A9 / J2921040438 10/01/20208/22/20209116/202 154.04 0.00 0.00 154.04,/ J2921043144 10 -1120209/26/20210121/202 157.44 0.00 0.00 157,44 J 2921043146 10101/202 09/261202 10/211202 134.42 0.00 0.00 134.42 2921043143 101011202 09/261202 10121/202 162.14 0.00 0.00 162A4 J .,J 2921043138 10/01120209126I20210/211202 120.73 0.00 0.00 120,73 �/ `(f 2921043139 10/01/202 09/261202 10/21/202 217.40 0.00 0.00 217,401%/ .-,J 2921043141 10/01/202 09/26/202 10121/202 34.04 0.00 0.00 34.04.J f2921043140 10101/20209/26/20210/21/202 2,113,70 0.00 0.00 2,113.70 J J 2921043142 10/0 1 /202 091261202 10/21/202 372.12 0.00 0.00 372.12 v/ 2921043340 10/01 /202 09130/202 10125/202 2,566.57 0.00 0.00 2,566.57 j Vendor Totals: Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 8,215.02 0.00 0.00 8,215.02 Vendorit Vendor Name Class Pay Code 11280,1 VICTORIA ADVOCATE Invoico# Comment Tran DI Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net ' 0341566 09101/20209/01/20209/011202 139.30 0.00 0.00 139.30� Vendor Totals: Number Name Gross Discount No -Pay Net 11280 VICTORIA ADVOCATE 139.30 0,00 0.00 139.30 Vendor# Vendor Name Class Pay Code 19110 _, WERFEN USA LLC Invoice# Comment Tran Dt Inv DI Due Dt Check Ot Pay Gross Discount No -Pay Net J9111625990 09/24/20209123/20210/18/202 8,505.00 0.00 0,00 8,505.001 Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WER FEN USA LLC 8,505.00 0.00 0.00 81505.00 Vendor# Vendor Name Class Pay Code 1140(j WEST COAST MEDICAL RESOURCES Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net / INV116261 091241202 07/301202 08/29/202 895,00 0.00 0.00 895.00 INV117307 v 09/24/202 08/26/202 09/251202 39.00 0.00 0,00 39.00 Vendor Totals: Number Name Gross Discount No -Pay Net 11400 WEST COAST MEDICAL RESOURCES 934.00 0.00 0.00 934.00 Vendor# Vendor Name Class Pay Code 15840 �- Invoicelf Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 092724 10/02/202 09/27120210/02/202 20.00 0.00 0.00 20.00 J Vendor Totals: Number Name Gross Discount No -Pay Net 15840 20.00 0.00 0.00 20.00 Vendor#f Vendor Name Class Pay Code 10556 „� WOUND CARE SPECIALISTS Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net JWGS00006909 09/01/202 09/01/202 09/30/202 12,200.00 0.00 0.00 12.200.00� Vendor Totals: Number Name Gross Discount No -Pay Not 10566 WOUND CARE SPECIALISTS 12,200.00 0.00 0.00 12,200.00 Grand Totals: Gross Discount No -Pay Net 418,872.89 0.00 0.00 418 1 APPROVED ON OCT O,Rt-U2� cA�wtaC1�1�n'�AS r pc 3 `�� C` YlO'"�J!�,:C,.;r�a.--(? 4t✓�'1`'�'l`iVCs..Q_.. MSKESSON camsenr. sass MEMORIAL MEDICAL OMTM AP 815 N VIRGINIA STREET POW LAVACA TX ]]9]9 STATEMENT ,/ j AMT DUE REMITTED VIA VIA ACH DEBITTerritory: J Statement for information only As of: 1010412024 DO: r IN ils Customer V SupplD: - Customer: 632536 Date: 10/06/2024 P&p: 002 To Moues proem aetl3 to your aeoaml, "Wh and Mum this Mule with your romltlaMM As of: 10/04/2024 Page: 002 Mail to: Comp: 8000 AMT DUE REMITTED VIA ACH OMIT Statement for Information only cum; 632536 PLEASE CHECK ANY Date: 10/05/2024 ITEMS NOT PAID (+) te Duo Roelvabl�otlunel Account 5y36 bile )aOots Number Reference Cash Description Dlscount P Amount P Receivable (EmittedF (on F Number IF column legend: P > Past Duo Item, F - Future DIM Item, blank . Current Due Imes 'OTAL Netbol Aect 682636 MEMORIAL MEDICAL CENTER Subtotals: 8,308.00 USD Mure Do: 0.00 Due If Paid On Time: If Paid By 10y0S/2024, USD 8,141.80 Mat Due: 0.00 Pay This Amount 8.141.90 USD DIM lost It Pao lets: Met Payment 2,451.97 It Peltl Attar 10/08I2024, Duo 11 Paid1.elo: 66.20 18/07/2017 Pay this Amount: 8,308.00 USD USD 8,308.00 L 1,, •.I I�4.O�\D1A%U.S� 1-Q� - ��41,6U� '. -..' APPROVED ON 1 C 1-1 I2G 24 OCT 0 7 ?W4 GALHOUN CA��P1!ITI:aAS For AR Inquiries please contact 800-867.0333 MSKESSONSTATEMENT A. of: f0/04/2024 Page: 001 To ensure proper creditto yam account, tletaeh and return this �^neny� es4a stub with your madhouse OC: 8115 HEB PHCY 04341MEM Mm PHS Customer INV SupplD: As ot0/04/2024 1; Page: 001 Mail f: Comp; 800 MEMORIAL MEDICAL CBJTEn AMT DUE REMITTED VIA ACH DEBT Territory: 7001 VICKY KAUSIX / Statement for Inlormallon only AMT DUE REMITTED VIA ACH DEBIT 915 N VIRGINIA ST J Customer: 190613 Statement for Information only VAC POST LAVACA TX ]]9]9 Date: 10/05/2024 cum: 190813 PLEASE CHECK ANY Data: 10/06/2024 ITWS NOT PAID (+) filling Due RsceWabljilatlonal Account bW6 late Data Number nele mute Cash Description Discount Amount P Amount P nz;IN—fie (groan) F (net) F Number :uatomar Number 190013 HEM PHCY 0434IMEM MED PHS 0/02/2024 10/08/2024 7624455919 4200654 1151ruim.e 0.32 16.91 15.59 J 7524455949 O IF column lagantl: P = Past Due Item, F = Future Due Item, blank = Current Due Item 'OTgL• COetgnor Number 100873 NEB PHCY 0434/MEM MED PHS Subtemm: 15.91 USD 'uture Due: 0.00 Due If Pam On Time: It Paid By 1010812024, USD 1s.5g teat Due: 0.00 Pay This Amount: 15.59 USD Dlec lost It sold late: ant Payment 13,153.08 If Paid After f0/118I2024, Due It Peltl We: 0.32 I0/23/2024 Pay this Amount: 15.91 USD USD 1 `5.91 APPROVED ON g OCT I40 7 N,24 CALNOUNUCOIJNIV, I IEXAS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 10/04/2024 Page: 001 To ensure proper credh to your account, detach anal return this wn�sw�v: 8040 stub withyour remittance DC: B115 ART 709E/M EM MFD RI,$� Customm INV Su D: As of: 10/04/2024 Page: 001 Mail to: Comp: 8000 MEMWALM ANT DUE REMITTED VIA ACH OMIT 1AL MEDICAL CENTER/ TeRhory: 7001 VICKY Statement for information only AMT DUE REMITTED VIA ACH DEBIT 915 N VIRGINIKALISE Bib N IA ST / Customer 256342 Statement far information only AVAC PORT LAVACA T% ]]9]9 �., Date: 10/05/2024 Cuet: 256342 PLEASE CHECK ANY Date: 10/05/2024 ITEMS NOT PAID (�) lolno9 _._.._t4.._ Nea¢IVeblatlonal Account 36 Asle Number R0leience Cash Dewdplian Discount Amount P Amount P Mee1yable (9reae) F (.0 F Numbm :nmamm Number 256342 19/2812024 10/00/2024 19/28/2024 1WOW2024 19/25/2024 10/08/2024 19/28/2024 10/0B/2024 19/30/2024 10/08/2024 KV30/2024 10/08/2024 19/30/2024 10/08/2024 19/30/2024 IOIOB12024 19/30/2024 10/08/2024 19/30/2024 10/00/2024 19/30/2024 10/08/2024 0/01/2024 10/08/2024 0/01/2024 10/0012024 0/01/2024 10/0812024 0/01/2024 10/05/2024 0/01/9024 10/00/2024 0/01/2024 101OW2024 0/01/2024 10/00/2024 0/0112024 10/08/2024 0101/2024 10/08/2024 0/01/2024 10/08/224 0/02/2024 10/08/2024 0/02/2024 10/08/2024 0/02/2024 10/08/2024 0/02/2024 10/08/2024 0/02/2024 10/08/2024 0/02/2024 10/08/2024 0/02/2024 10/08/2024 0/02/2024 101OW2024 0/02/2024 1(1108/2024 0/02/2024 10/08/2024 WAIMART 1090IM FM MED 7523046830 7523846831 7623846832 7523846833 7524114089 1524114090 7524114091 7524114092 7524114003 7524114094 7524114095 7624385643 7524385644 7524385645 7524185646 7524385647 762438564E 75243OS649 7524305650 7624385651 7524385652 7524653996 7524653997 7524653996 7524653999 7524654700 7524654701 7624654702 7524064703 7524654704 7524654705 RIB 207286247 11 Slnvoico 17,12 856.76 835.64 '/ 7623846830 207407070 1151nvolce 17.12 955,76 838,64 J 7523846031 909719607 1151nvalco 17A2 855.76 838.64 J 7523846832 204471982 1151nvolce IA6 72.82 91.36 J/ 7523846833 206987101 11 Wavelet, 0.05 0.06 �./, 7524114099 2126738B9 II5lnvoice 5.16 258.22 253.06 7524114090 208974220 11a Invoice 2.74 136.05 134.11 7524114091 21266BBB5 1151nvoice 0.01 0,32 0.31 / J 1524114092 212641400 1151nvoice 6.56 327.86 321.30 7624114093 206794080 1151nvolce 2.14 106,81 104.67 ✓/ 7524114094 208295096 1151nvome 22.52 1.126.23 1,103.71 J' 7524114095 211413206 115Invoice 0.01 0.32 0.31 1, 7524385643 212443630 115Invoice 0.08 0.06 J 7524365644 212847236 115lnvoice 1.67 83.20 81.61 7524385645 212790294 115Invoice 6.56 327.86 321.30 7524385646 208478244 115Invoice 0.02 0.96 0.93 7524385647 207405136 1151nvaice 0.01 0.32 0.31 J 7524386640 207510005 1151nvoice 0.01 0.63 0.62 7524385649 208116698 1151nvoice 0.01 0.32 0.31 / JF 7524385650 211E44496 1151nvoice 0.01 9.32 0.31 J 7524385651 211878991 1151nvoice 0.01 0,63 0.62 ✓ 7524385652 209619654 1151nvolce 1.60 79.05 76.25 -J 7824653996 206626912 1151nvWce 1.17 58.47 57.30 ✓ 7524653997 211413206 1151nvaice 0.01 0.32 0.31 7524053990 206628912 1151nvoice 1All 99.09 07.11 .� 7524653999 208825470 1151nvolco 6.62 331.12 324.50 7624654700 208620292 1151nv¢Ice 0.01 0.63 0.52 +� 7524654701 208704078 1151nvalce 0.01 0.32 3.31 ..r'/ 7524654702 212027694 7151nvaic¢ 4.77 238.67 233.60 J/ 7524654703 211678991 1151nvoice 0.01 0.32 0.31 J 7524654704 212144708 tl Slnvaico 0.01 0.63 0.02✓ 7524654705 For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT camnam. a4¢4 WALMART 1098/MEM MED PIA MEMORIAL MEDICAL CENTER ! ANT DUE REMITTED VIA qGH DEBIT VICKY KALISIX / Statement for Information only 815 N VIRGIAVAC IA ST �./ POST LAVACA TX 77979 filling pua pecalvebl�atlonal Account Ui'W6 Into Data Number Pefemrrce AS of: 10/Od/2024 DC; 8115 Cualomer INV Supp1D: Territory: 7001 Customer: 256342 pate: 10/05/2024 Cash Description Cash Page; 002 aTo amenn, aoMt detach and return this stub with your m ndfi nee As of: 10/0412024 Page; 002 Mail to: DUMP: 0000 AM7 DUE REMITTED VIA ACH DEBIT Stateroom! for inlormallan only Give: 256342 PLEASE CHECK ANY Date: 10/05/2024 ITEMS NOT PAID (+) Amount P Amount Receivable tgmss) F (n¢I) F 0/03/2024 10/00/2024 7524937421 208220871 1151nvolce 4.39 219.56 /Number 215.17 J 7524937421 0/03/2024 10/00/2024 7524937422 207510065 1151nvoice 1.56 77.95 76.39 -J 7524937422 0/03/2024 10/00/2024 7524937423 209134117 1151nvolce 1.56 77,95 76.39 7524937423 0/03/2024 10/00/2024 7524937424 213108135 11 Shovelco 5.16 258.22 253.06 J 7524937424 0/03/2024 10/08/2024 7524937426 208939618 1151nvoice 0.01 0,32 0,31 J 7624937425 0/04/2024 10/08/2024 7525197492 207699360 1151nvoice 5.23 261.41 256.18 .,E 7625197492 0/04/2024 10/08/2024 7525197497 212501589 1151nvolce 0.05 0.05 /. ]625197497 0/04/2024 10/OB/2024 7525197500 207286247 115lnveice 0,38 19.01 15.63 7525197500 0/04/2024 10/0012024 7525197508 210681042 115Immico 0,38 19,01 10AS �// 7525197508 0104/2024 10/08/2024 7526197512 212412678 115Invoice 0.38 19.01 18.63 'J 7525197512 0104/2024 10/08/2024 7525197514 213211407 116Invoice 0.01 0.54 0.63 J/ 7,25197514 0/04/2024 10/08/2024 7525197619 209286154 1151nvolce 6AI 445.28 436.37 '.// 7525197519 0/04/2024 10/00/2024 7526197624 206644076 115Invoice 1,17 58.47 57.30 -✓ 752SI97824 0/04/2024 10/06/2024 7525197527 21318DB48 115Invoice 1.60 80.07 78.47 7625197527 0/04/2024 10/08/2024 7525197533 200939818 1151molco 0.02 0.96 /J 0.93 7525197533 ,7 IF column legaml; P = Past Due Item, F = Future Due Item, blank = Current Due Item 'OTpI.; Cuatamar Number 266342 WAtMART 108BIMEN MED PHS Subtotals: 7,358.27 USD ,hire Due: 0.00 Due It Paid On Tim n If Paid By 10108/2024, / USD 7,21LO6✓ last Due; 0.00 My This Amount: 7.211.06 USD Dice lost it Paid late: Ad Payment 6,0E M1.06 If Paid filler 10/08I2024, Due It Paid late: 47.21 19/30/2024 Pay this Amount: 7.358.27 USD USD 7.368.27 APPROVED ON OCT 0 7 20N i� I -r I z�-z�l pp Iryy7�y qq��T7'ppqq CAbHD�1PN COIIN"IY,1TEXg5 For AR Inquiries please contact 800-867-0333 MSKESSONSTATEMENT As of: 10/04/2024 Page: 001 To seams proper cOadh to your account, detach mhd return this c rrpnrr, 0000 stub with your remittance DC: 6115 HIM PHGY WHSFJMFM MID WS Customer INV Suwlm As of: 10/04/2024 Paga: 001 Mall to: Carp: 8000 MEMORIAL MEDICAL CENTM AMT DUE REMITTED VIA ACH DEBIT Statement for Tertory: 7001 information only VICKY NALISIX AMT DUE REMITTED VIA ACH D®IT 815 N VIRGINIA ST CmelOma: 020405 Slelement for Inlcrmalion only PORT IAVACA T% 77979 Data: 10/0612024 Cum: 820405 PLEASE CHECK ANY Data: 10/05/2024 ITEMS NOT PAID (�) u pill Due Hecelvabl4Petlenal Account T r38 >aie Date Numbs, --_— Rehashes Cash Description Dlxount Amount P (gross) F Amount p Rdxsdlabla (nm) F Number ;Umnsm Number 820405 H® PHCY WHSE'MEM MID MS 0/04/2024 10/0812024 7524992833 82410-055-175706 1151nvolce 0.38 19.16 18.78 ✓ 7524992B33 O 1F column legend: P = past DUO Item, F = Palure DUO Item, blank = Current Due Item 'OTAtt Customer Nhmmer 820405 H® PHCY WHEIRMW MED PBS Subtamis 19.16 U30 Ntus Due: 0.00 Due It Paid On Time: 11 Pald By 10/011/2024, Use 1B.78,// 'Bret Due: 0.00 Pay This Amount: 18.78 USD Disc lost It paid late; AN Payment 6,044.38 11 Paid After 10/08/2024, Due If Paid late: 0.38 19130/2024 Pay this Amount 19.16 USD USD APPROVED ON / J } .19.16 Q-"`"-z—Lct,La'X OoCTIN07?00?T4pq OABHOLIN COUNII'IlE%AS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 10/04/2024 Page: 001 To mmum pope, omen to year aecmmt, detach and ,alum this Company: Coal Nub With your mardthwCB DC: e'1s CVS R45 Cuslamer INV SupplD: As of: 10/04/2024 Pa a 001 9 Mail to. Comp: 8000 AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL IAU MEDICAL CBJTER✓ C NT Territory: 7001 Statement for Information only VICKY KALI5IX AMT DUE REMITTED VIA ACH DEBIT 015 N IA ST 015 N Customer: 835430 Stalemonl for information only AVACVIRGII PORE LAVACA TX 77979 J Data: 10/05/2024 Cook 835430 PLEASE CHECK ANY Date: 10/0512024 ITEMS NOT PAID (�) filling Dua necelvabllatlmad Account pS late Data Number Reference Cash Deeodpion Discount Amount P (gross) F Amount P Reoelvabls (,rep F Number :umomer Number 835430 CVS PRICY 10366/MFM MC PHS 0/02/2024 10/08/2024 1524456355 3569500 1151nvoicu 10.56 528.09 617.53 1+ 7524456355 O �F column letters: P = Past Due Item, F = Futum Due Item, blank = Cement Due Item - 'DTAI: Cuelamer Number 836430 CVS PHCY V036sIM@A M M—C MS_ __... ................. _.....__.... __..... __._—__ Subtmalso 528.09 USO k1um Due: 0.00 Due If Paid On Time: If Paid Ely 10/0812024, USD 517.53 ✓ last Due: 0.00 Pay This Amount: 517.53 USD Dive fact if pald late: Asl Payment6,014.30 If PaW After 10/0e/2029, Due 11 Paid isle: 0,56 19/30/2024 Pay this Amount: 528.09 USD USD 528.09 lY'V�Q)'4'k-4+`I1.JV.LVIie.!.�(YY lu�i lwz--� Ai INWVI�b'ON OCT '0720gq24 BY mU)�O�yP1N9'4' CALL N For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of 10/04/2024 Pogo: 001 To oro m Proper oredn to your ecoolmt, Mtmn end return this cvm� v: eoeo stub with your mtnhlemoo DC: $115 CVS HiCY 8923/MM MC PHS Customer INV 6upplD: 10/04/2tl2M1 Pe f: Comp: 80000 Mail As of: o:1 MEMORIAL MEDICAL CENTER✓ AMT DUE REMITTED VIA ACH DEBIT Slatemenl Territory: 7001 VICKY KAMSW for Information only AMT DUE REMITTED VIA ACH DEBIT 815 N VIRGINIA ST J Catamaran. 835434 Summand for infom,aliun only VAC PORT LAVACA T% ]7970 Date: 10/05/2024 Cush B35434 PLEASE CHECK ANY Date: 10/05/2024 N $ NOT PAID (�) )mo rlatlonal Aecounl Oia4 e Doto Neoel�vabl Cash Amount P cam Oemnptlon Dimamt (groea) F Amount p Itcafveble (re) F Number :uHmner Number 835434 CVS PHCY 8923/MEM Me PHI 0/02/2024 10/08/2024 7524496095 3569523 115lnvoice 5.43 271.50 / 266.07 J 7524486D95 O W column IogerM: P n Past Duo Item, F e Future Due Item, blank a Current Due Item 'OTAL Cwamror Number 888494 CVS PHCY 6923/MEA MC PHS Statement: 271,50 USED 'mum Due: 0.00 Due It Paid On Time: If Palo By 10/08/2024. USD 266.07 rest Due: 0.00 Pay This Amount: 266,07 USD Dim mat It Pew late: am Payment 8,014.36 If Paid After 10I08/2024, Due If Paid lal¢: 5.43 1913012024 Pay this Amami: 271.60 USD USD 271.50 APPROVED ON g OCT 07 `2'0024pp CALHOIINOC i�Ntt.IMAS For AK Inquiries please contact 800-867-0333 MWESSON STATEMENT C.Ma W eune CVS PHCY 7416/MEM MC PHS MEMORIAL MEDICAL CENTER,/ AMT DUE REMITTED VIA ACH OMIT VICKY KAUSEK Statement tar information only 615 N VIRGINIA ST PORT LAVACA TX 77979 As of: 1010412024 Page: 001 To ensure proper crack to your eocounl, March coal return this stub with your mmhtance DC: oils Customearr INV SupplD� As of: 10/04/2024 Page: 001 Mall to: Comp: 8000 Territory: 7001 AMT DUE REMITTED VIA ACH DEBIT Customer; 635437 Statement for Information only Date: 10/0512024 Cust: 836437 PLEASE CHECK ANY Date: 10/OS/2024 ITEMS NOT PAID (✓) 91111g D F nmkebl�allanal Account y98 lets Dueeto Number Reference Description :usb mer Number 835437 CV8 PHCY 7416IME.7 MC PHS 0/0272024 10/08/2024 7524639549 3567905 1151nvolce re column legens: P = Pact Due Item, F = Mum Due Item, blank = Current Duo Item -OTAU Cuetamm Number 835437 CVS PHCY 7416/MBA MC pHS SublMelw +sum Duo: 0.00 II Pam By 1010612024, Mar Due: 0.00 Pay This Amount: Am Payment 6.014.36 If Paid After 1010812024, 19/30/2024 Pay this Amount: oDiscount 1.38 68.97 USE) APPROVED ON OCT pRU0 7 2024 CALLHHOW CNi�91TT & Amount P Amount P 'Roaelvebi. (grcua) F (rleq F Number 68.97 67.59 V 7524639549 f Due If Paw On Time: USD 67.59 67.59 USD Disc lest It paid late: 1.38 Due K Pals Late: 68.97 USD USD 68.97 lul /(Zu7 `-F For AR Inquiries please contact 900-867-0333 MSKESSON STATEMENT Company; 9009 CVS PHCY 74751MW MC PHS / AL MEDICAL CENTER qMT DUE REMITTED VIA qCH D®IT VICKY KALISE Sleiemnl for mlarmation only 815 N VIRGINIA ST J PORT LAVACA Tx 77979 As of: 10/04/2024 Page: ON To eneure Proper credit to your account, daWdII and Mum this stub wbh your remittance DC: 8115 Customer er IN As of: 10/04/2024 Page: 001 Territory: 7001 V 6upp10: Mail to: Comp: 8000 AMT DUE REMITTED VIA ACH D®IT Customer: 835438 Statement for Information on, Date: 10/05/2024 Cush 835438 PLEASE CHECK ANY Date: 10/05/2024 ITEMS NOT PAID (,I Ailing Duo Reeelveblratlonal Account W6 )ate Date Number Fet... Description :umomer Number 636438 CVS PHCY 7475/MEM Me PHS 0/02/2024 10/08/2024 7524661702 3570557 11 Slnvoice 1F column legend: P = Pest Duo Item, F = FNum Duo Item, blank = Current Due Item 'OTAL Customer Number 835438 CVS PHCY 7475/MBA MC PHS Subtotalm Aaure Due: 0.00 It Paid DY 1010812024, but Due: 0.00 Pay The Amount: .A Payment 0.014.36 It Paid After 10/0812024, 19/30/2024 Pay this Amount: Cash Amount P Amount P Receivable Discount (W.) F (rim) F Number 0.92 46.10 LIED APPROVED ON OCT 0 7 2024 CAGLHOII LINTYIBAS 46.10 46.18 v 7524661702 Due It Pale On Time: USE) 45.IS1 45.18 USD DI. lost if paid late: D.92 Due It Paid late: 46.10 USED /I use J� 466.A0-� '`1 U.,'VJV/ac2ti �i21-OUX.)LLYUdiJ� ZL JF For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number 68362782 Date: 10-04-2024 AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 340B 12727 W AIRPORT BLVD. MEMORIAL MEDICAL CENTER ✓ vein 35284 1037026186 SUGAR IAND TX 77478-6101 1302 N VIRGINIA ST / PORT LAVACA TX 77979.2509 �•! ■III DEA: RA0289276 Sat - Fri Due In 7 days 866-451-9655 AMERISOURCEBERGEN PO Box 905223 Not Vet Due: BOB CHARLOTTE NC 28290.5223 Cunene. 2.493.88 Past Due: (8,345.27) Total Due: (5,851.39) Account Balance: (5,851,39) Document Due Reference Purchase Order Document Dale Date Number Number Tv.re Original Lest Receipt Amount Received Balance Amount 09.15.2024 09-27..2114 3188668083 7007604734 Invoice 1.18 u.uu zslan 09g6.2024 Os•15.2024 09-27.2024 3188660884 7007615443 Invoice 162.58 l i 'II '1 �) ✓ 0.00 8.00 t.10 162.50 09-27-2024 3188660885 7007616471 Invoice 53.65 tl00 03.55 08-15-2024 09-15:2024 09.27.207A Og.2]-2024 318B688806 3188868887 7007615471 7007625239 Invoke Invoice 3.00 42,47 .�fT}I"� �/ / ). Ir' 0.00 3,00 0946.2024 09-27.2024 3188769005 7007632041 Invoice 22.1 // ��I C.'� I �, /,. - 0.00 0.00 42.47 22.90 094 ]-202a 09.18¢024 09-2T-2024 310OBU241 7007642080 Invoke 1.073,40 C i l 0.00 1 tp7340 09-27-2024 3189027160 7007649387 Invoice 96,87 ^I 0.00 9687 09-18-2024 OB 2]-2024 3189027161 7007649550 Invoice 63.77 0.00 60.77 09-19-2024 09-27-2024 3189269361 7007657077 Invoice 10.12 �".�\ 000 f0.i2 09-20-2024 09.27-2024 JI894237d7 700766623E Involco 196.76 0.00 196.]G 09-23-2024 10-04-2024 3169594801 7D07670485 Invoice, 39.33 0,00 39.33 09-23-2024 09-23-2024 10-04-2024 10-04-2024 3189594602 31895NO03 7007681977 7007693546 Invoice 15203 _]� GI,'I 0.00 152.83 09-23-2024 Involcr 21,60 _ j 0.00 21A0 t0A0.2024 3189594604 7007671903 Invoice 1.35 =14 0.00 1.35 09-23-2024 10A4.202d 3189594805 7007681830 Invoice 12.06 ti� -N \ 0.00 1206 09-24.2024 09-244024 205568 3IB5257235 Customer Payment 93.11 08-15-2024 186,22 (93.111 09.24-2024 0924,2024 206568 3185098913 Customer Paymenl 17.81 OB-14-2024 35.22 (I7.6t) 08.24.2024 09-24 2024 20556E 31847846G5 Customer Paymenl 2288.36 00-12-2024 4,576J2 (2,288 36) 09-24-2024 09-24.2024 2056e 31847MG65 Customer Payment 238.09 08-12-2024 476.18 (2 Og) 00.24.2024 09-24.2024 2D5588 3184784888 Customer Payment 72.71 08-12.2024 14642 09.24-2024 09.24.2024 205568 3185601961 Customer Payment 1.113.39 08-19.2024 2,226.78 (1,113.39)j 09.24-2024 OB-24.2024 205566 3104764667 Customer Payment 75.10 08-12-2024 15020 (75.10) 09.24-2024 09-24.2024 205568 3185600879 Customer Paymenl 3,759.63 08.19-2024 7.610.26 (3,750.63) 09-24.2024 09.24.2024 205568 3184944579 Cuslamer Payment 137.J0 08-13.2024 274,60 113730)i 09-242@4 09.24-2024 205588 31BSfi07950 Customer Payment 16250 08-19.2024 325.16 (162.58). Ame sourceBergen- STATEMENT Number 68352782 Date: 10-04-2024/ 2ef2 Accou nt Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 09-24-2024 0924-2024 205568 3185601953 Customer Payment 61.66 08.19.2024 123.32 (61,66) 09.24-2024 09-24.2024 205568 3185601952 Cuelomer Payment 31573.38 08-19.2024 7,14676 (3,573.38) 09-24.207.4 09-24.2024 205666 3184945100 Customer P4ymenl 233.46 08-13-2024 466 92 (233.46) 09-24-2024 10.04-2024 3189762327 70076985 Invoice 19.34 0.00 1. 34 D9-24-2024 10-04.2024 3189782328 70076988DO D9 Involce 7.18 0.00 1.1848 DD-25-2024 10-04-2024 3189915028 7007708839 Involm 31.25 0.00 / 31.25 D9-25-2024 10 04-2024 3189916029 7007706639 49vaim 1,00 000 150 09-26-2024 IM4-2024 3189915470 7007707306 Involm 90.87 D.00 96.87 D9-26-2024 10.01.2024 3190003221 700771620D Involm 4,35 OAD 4.35 09-27-2024 10.04-2024 3190232253 7007727328 Involm 1,110.64 0.00 1,110.64 D9-27-2024 10-04.2024 9190232254 70W725674 Involm 1.35 000 1.35 39-29-2024 39-29-2024 10-114024 10-11-2024 319040WO 3190405451 700"38574 7007746624 Involm Invalm 14.58 0.00 / ./ 14.58J/ 39-29.2024 10-11.2024 3190406452 7p07753430 Involm 36.1] 16.68 0.00 0.OD �� ✓/ 36. i 7,/ 16.88Y )9.29-2024 10.11.2024 3190405453 7007746628 Involm 2.62 O.OD J 262/ 10-01-2024 10.11.2024 3190562373 7007759822 Involm 9.28 0.00 920✓ 10-02.2024 10,11.2024 3190747625 7007768917 Involm 64.59 0.00 / 8459.E 10-02.2024 1041-2024 3190747626 7007769170 Invoice 2.09 0.00 .f 2.09/ 10-03.2024 10-11.2024 3190934007 7007777237 Invoice 96,00 0.00 / 96.90,E 10-03-2024 10-11-2024 3190934096 7007700503 Invoire 2.147.16 D.00 .,% 2,147.16, IO04.2024 I041.2024 3191071129 7007767813 Involm 103,61 0 00 103 61 / Current 1-15 Days 16-30 Days 31-GO Days 61-90 Days 91.120 Days Over 170 Days 2.493.80 (8,345.27) 0.OD 0.00 0.00 0.00 0,00 APPROVED ON OCT 0 7 2U?44pp CA16.NO�1N�I0AgV'. TG7(R:S Reminders Due Date Amount 09.24.2024 (11.826,38) M27.2024 1,987.96 10-04.2024 1,493,15 10-11-2024 2,493.86 Total Due: (5,851.39) TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800.572-8683) a"ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" F711MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" ❑"IF FEDERAL TAX DEPOSIT ENTER 1" 7"ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGITTAX 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: l 0 941 # $ 114,131.11 1 $ 60,976.44 $ 14,260.56 $ 38,894.11 # J:v+P_Payroll Fileslpayroll Taxes=24%21 R1 MMC TAX DEPOSIT WORKSHEET 10.03.24.xis 10/712024 941 RECITAX DEPOSIT FOR MMC PAYROLL -.009P PAY PERIOD: BEGIN 0061M41 ,. l VOIDS PAY PERIOD: END 101kd0 , PAY DATE: 10tuelaik", GROSS PAY: $ 528,840.19 DEDUCTIONS: AIR $ 376.00 ADVANC BOOTS MUTUAL CRITICAL ILLNESS MUTUAL ACCIDENT IRS TAX MUTUAL SHORT TERM DIS MUTUAL VISION S 840.28 CAFE.D $ 1,217.48 CAFD-H $ 29,489.62 S $ CAFE-P CANCER CHILD S 610.99 CLINIC S 76.73 COMBIN S 280.85 CREOUN $ DENTAL S DEP-LF MUTUAL TERM LIFE $ 1,260.69 MUTUAL HOSP INDEM 11 491.50 FED TAX $ 38.894.11 FICA-M S 7,130.28 FICA-0 $ 30,488,22 FICA-M ADDITIONAL FIRST C FLEX B S 4,690.64 FLX-FE $ GIFT S S 114.01 MUTUAL CRITICAL ILLNESS S 1,066.63 MUTUALACCIDENT S 608.22 MUTUAL SHORT TERM DIS S 1,777.74 LEGAL S 986.91 OTHER $ 2,869.73 NATIONAL FARM LIFE S 1,266.63 MEDSURCHARGE S 255.00 Blank RELAY REPAY STONEDF $ 895.00 STONE STONE 2 STUDEN TSA-R 6 36,115.81 UWIHOS $ TOTAL DEDUCTIONS: $ 161,812.08 ^eke Wmlxmoml . NET PAY: S 367,036.11 -"ex014e3 MWWT• TOTAL CAPE 125 PLAN: 5 37,103.02 REVISED 3/182014 rrvexuueevs- VmOEOCK121 AODRIONALCK(1) ADDITIONAL CK111 TOTALII S •91101104NT4NRNOnP'^WCVLO14itCIIxEPM1i^^9„PL4e WTCHp4vOKY"�MWMD44iCN 5 It 628,848.19 375.00 840.28 1.217.48 29.469.62 610.99 76.73 250.86 1,260.69 494.50 38.894.11 7,130.28 30,488,22 4,690.64 114.01 1,066.63 698.22 1.777.74 986.91 2.859.73 1,258.03 255.00 895.00 S 36,115.81 $ 181,812.08 $ 387,038.11 rAXASLE PAY: $ 491.746.17 $ 491745.17 Exempt Aml: "CAWULATEO" From MMC Reeee Difference Employees over FICASS Cap: -ICA . MED (ER) use S 7,130.30 Michael Gaines =ICA - MED (EE) use $ 7,130.30 $ 7J30.28 $ 0.02 FICA - SOC SEC (ER) seer S 30,488.20 PICA -SOC SEC(EE) awe $ 30,408.20 S 30,488.22 $ (0.02) Peycode S- Employee Relmb.: FEO WITHHOLDING S 38.894.11 $ 30,094.11 TOTAL: $ Tax DEPOSIT: a 114.131.11 S 114.13111 FICA -MEDICARE xoce $ 14,260.60 $14,260.56 FICA -SOCIAL SECURITY owx $ 60,978.40 $00,976.44 PREPARED BY: Andre Flores FED WITHHOLDING $ 38,894.11 $38,894A1 PREPARED DATE: 1o17I2024 TOTAL TAX: $ 114,131AI $114,131.11 $ - #21 R1 MMC TAX DEPOSIT WORKSHEET 10,03 24M, TAX DEPOSIT WORKSHEET IOR12024 Rcn Cate: 1C r07!24 N240RIAL 1,M:CAL MrM TEme: 10:33 Payroll Register I 11441eekly I Pay Period 09l20i24 - 10/63/24 Rona 1 ins: Svman• '.. F a y C a d e S 'a T. m a r y--- ------- ----- _-_---_-. Faycd Y.............................. Descnptan .......--- llrs OT1Sir, I .............•----• VIE IHOC2� 3 REGULAR PAY -Si 9970.25 14 N N 1 REGULAR. PAY-S1 1939.50 A R 11 N i REGULAR PAY-S1 277.2i Y N 11 REGGWAR PAY-S2 2%4.2i N N IT 2 REGULAR PAY-S2 4.00 A N N N REGULAR PAY-62 104.00 Y 11 Il 3 REGULAR PAY-S3 1504.75 V N R REGULAR PAY-53 E.00 N l' N N REGULAR PhY-S3 104,OD Y N 11 CAL] BACK PAY 15.50 N 1 N II Y CAL1 BACK PAY 17.75 N 2 N N Y CAL:, BACK -A, 2.00 N 7 N N Y 4 CAL:, BACK ?A'i .51 Y I N K 1' CALL SACK PAY .25 Y 2 11 11 Y C CALL PAY 2367.50 N 1 N N D DOUBLE TISIE 19.15 3 1 N IT C DOUBLE TIME 14.00 N 2 R 11 C DOUBLE TII•IE 9.25 N 3 N N DOUBLE 11161E Me Y 1 N 11 _ DOCESE ME 4.00 Y 2 N 11 DOUBLE ;DYE 5.00 'i 3 17 ]1 E EKIFA 'WAGES N It N E EF.TRA WAGES 1 I ➢ !: ISM NAGBS N 1 N IT N F FUNERAL LEAVE 12.PC :I 1 K 11 - i210MC2 10.2i N 1 N EI G MY LEAVE 8.00 N I N N V. Ex"ENDED-IL1!IE66-BA11K 0.00 N N N I1 K EY.TENDED- ILLNESS- BXIK 138.00 H 1 N IT P PAIM NE-DFF 478.2E N N N N P PAID -MIS -OFF 863.00 N 1 :4 N Y. CALL RAY 2 234 H 11 ? N 11 Y YBCA/CURVES N N N N 2 CALL ?AY 3 90,00 N i N N t PRONE L .",A.TA N N II N .-...__----- I—Deduccicns Sunoary--- GY05a � iGdE A]Jll]: ................................................... ...... 23,500.53 A/P. 315.6OAIP.2 AIP.S 94913.03 ACVANC ANAP.DS BCBSL'I 100s2.40 BCOTS CAFE H CAFi-I 11927.24 CAFE-2 CAFE-3 CAFE-4 25L 60 CAFE-i CAF-:-C CAFR-D 4361.50 CAFE-_. GAPE -I. Zi, 5 R. 62y&L. . 52233, 16 CAP_ L CAFE-, CANCER 4:1.36 C31;0 6Img_LINIC 76.71hommN 5352.50 CR M, DG ADV M.nll 805.2E DEP-LF OIS-'1F 97 91.6E EA7CSN FEDTAK 33394. IlkCh-N 94.01 FICA-0 1 )4 8 9 . 1 k)F2STC FLEX S 24.42 FLY FE FOR7 D FB'A -2.59 G:.q 5 lic ,0:✓GPAVI GRP-IN 4775.00 GIL RDSP-I RSA 13:1.99 :" TFT IRSTAE LEAP MOM LEGL 168.9MIASA 826.9N(lEALS USS.S5 N£PIts DCSC SC/ 584.9E hd4CSNR IIWACC 998, 22.A7DILL 543.9E 14h7IN'C ;§1.5JCOLIF 1253, GFJCOSTO 545.30 400VLS 840.204ATFNd 1256.63AHS3 -856.00 PHI PHP"' PR FIN 2!.N RELAY REPAY SAMS 2231.25 SCF.GOS `y`y1GNON ST-TK 4:3,84 S"ONDF 895,O KM STONE2 !H.12 ST01fi SUNACC SWILL 439,7: SU12IN'O SD'NLIF ,SL:7ETB 275.12 SNP'/I6 BJACHG 255.0-0JISA-1 3601.67 TSA-2 ]'SA.-C TSA-F 9744.54 TSA-R 36115.011MON UNIFOR 2204.13 VOROS 468 90 30.30 270.00 111i.00 Pane 110 P2REG :217.48f 250.8E ✓ 1130.28 / 3942.81✓ 147.83 ✓ 2839.73✓ .066,63V 1777.74 ✓ ----•-----•••-•-•- Grand To:als: 20907.51------- I Gress; i29348.19V ]edocrtcns: 161812.ORJ Net: 367 r•±5.:1M C:tecks Ccua:- F1 203 P7 13 Other 43 Fm.e 230 :Isle 29 Credit Oterw 11 iero?let ?am Total 258 •----.-..----..................... ____ ................. .... ---... ....... ................... -.--.---- ......... --'----' MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- Sept 30,2024 - Oct 6, 2024 Data Bank Description 10/4/2024 PAY PLUS ACHTrans 38573959101000G98893180 P 10/4/2024 HPHG LLC MEMOR PREM MemMedCtr PIW y 11312265 10/3/2024 PAY PLUS ACHTrans 38389117 101000697643195 P 10/3/2024 MERCHANT RANKCD FEE 971160913997 92000016178 10/3/2024 MERCHANT BANKED FEE 97116091089391000016178 10/3/2024 MERCHANT BANKCO DISCOUNT 971160910683910000 10/3/2024 MERCHANT RANKCO DISCOUNT 971160913887 910000 10/3/2024 MERCHANT BANKCD INTERCHNG 97116091388791000 10/2/3024 PAY PLUS ACHTrans 3823429410100069554DU54 P 10/2/2024 HPHG LLC MEM PORT MemMedCtr P[lav 1131226500 10/2/2024 HARIAND CIARKE CHK 08DER51900 83502212115 91 10/2/2024 AUTHNET GATEWAY BILLING 137977572 104000010D 10/1/2024 PAY PLUS ACHTmns 38052717 I01000694033777 P 10/112024 MERCHANT 8ANKCO CHARGEOACK 971160913887 9100 10/1/2024 MCKESSON OR UG AUTO ACH ACH0619372991NO0159 9/30/1D24 PAY PLUS ACHTraos 37927443 1010006926ODS67 P 9/30/2024 IRS USATAKPYMT 2704674SO748612 6103601002588 9/30/2024 HPHG LLC MEW PT IA MemMedCtr PILav 113122650 MMC Notes - 3rd Party Payer Fee - Health Insurance Premium Payment 3rd Party Payer Fee - Credit Card Processing Fee -Credit Card Processing Fee - Credit Card Processing Fee - Credit Card Processing Fee - Credit Card Processing Fee - Bud Party Payor.Fee - Health Insurance Claim Payments -Depo k Bpok Operating - Bid Party Payer Foe 3rd Party Payer Fee Credit Card Processing Fee - 3409 Drug Program Expanse - 3rd Party Payer Fee -Payroll Taxes - Health Insurance Claim Payments "PSI "Handwritten Amoun CharrV4 207160"/ 901376 66,383J9.- 800596 ,nf1Q@Bd 901377 1•i431.� 901379 .43,85� 901379 'A99a' 901380 1�+lR39-/ 301381 230.50/ 901382 1s82..^ 901383 62,640.61!°f-- 800597 60.36/1; 901384 31.50 i 901385 a27.32i 901385 50.82� 901387 6,014.3131y, 50064E r1.A,32'/ 901388 122,245.184` -- 800598 30,134.35�%, 800599 )BB,g12.16./ I L DOctober 7, 2024 Antlrew Do Los Santos {may Memorial Medical Center ' 'yam"�`1'%1EL�,G �� G.2 2L4 ,L PROSPERITY BANK 7'LvE(k-. C„, 7 C�. 25.. Z'-1 CC ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT - ESTIMATED ACHS Data Description "me Ant— Amount 10/10/2024 STATE COMTRLR TEMPT APPROVED ON -OSH IGT i.. 567,507.19 x/ 10/7/2024 ACH Payment FEDERAL EXPRESS DEBIT EPA O-Fed Ex Pymt 707.71 pCa'i1 ury9sL�2�a)2,iLI1� GAD1011N U(71JAIiV 171EXp 568,214.91 �II \ I -,{ U G✓;vs�X/t Y i JC �_ IN Y" October 7, 202. Andrew De Los Santos Memorial Medical Center j. CC. C CC 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 7/1/2024 Health Savings Account $0.00 $ 25.00 10/1/2024 Health Savings Account $25.00 $ 25.00 1/1/2024 Health Savings Account $60.00 $ 25.00 9/1/2024 Health Savings Account $0.00 $ 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 2/1/2024 Health Savings Account $0,00 $ 25.00 8/1/2024 Health Savings Account $0.00 $ 25.00 1/1/2024 Health Savings Account $0.00 $ 25.00 2/1/2024 Health Savings Account $163.25 $ 25.00 10/1/2024 Health Savings Account $0.00 $ 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 Moo $ 25.00 1/1/2024 Health Savings Account $0.00 $ 25.00 9/1/2024 Health Savings Account $0.00 $ 25.00 1/1/2024 Health Savings Account $25.00 $ 25.00 7/1/2024 Health Savings Account $0.00 $ 25,00 1/1/2024 Health Savings Account $0.00 $ 25.00 2/1/2024 Health Savings Account $0.00 $ 25.00 $747.83 $ 700.00 Total $1,447.83 RECEIVED BY THE COUNTY AUDITOR ON 10/0312024 OCT 0 3 2024 MEMORIAL MEDICAL CENTER 12:26 AP Open Invoice List CALHOUN COUNTY, TEXAS Due Dates Through: 10/26/2024 Vendor# /vendor Name Class Pay Code 11832 V BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount 092724 10/02/202 09/20/20210/26/202 142.61 0.00 ems. Rvy t� CLLIP. \ n-c b CY-10-)c L) pt Vendor Totals: Number Name Gross Discount 11832 BROADMOOR AT CREEKSIDE PARK 142.61 0.00 Grand Totals: Gross Discount No -Pay 142.61 0.00 0.00 APPFtME) ON OCT 03 2024 oALLNOUW q(3UNtttPIT'VXAS 0 ap_op en_I nvoioe.template No -Pay Net 0.00 142.61 `// No -Pay Net 0.00 142.61 Net 142.61 RECEIVED BY THE COUNTY AUDITOR ON 10/03/2024 OCT 0 3 2024 MEMORIAL MEDICAL CENTER 12:26 AP Open Invoice List CALHOUN COUNTY, TF_W Due Dates Through: 10/26/2024 Vendor# endor Name YTHE Class Pay Code 11824 CRESCENT Invoke# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount 0920204 10/02/202 09/20/202 10/26/202 4,692.00 0.00 \ `� S . �rYlt; Cfi.r�� . 1 r l't i7 't`(ltY� C, t•�C • t'l ..Q..r r`v .� 092624 10/02/202 09/20/202 10/26/202 1,200,00 0.00 Vendor Totals: Number Name Gross Discount 11824 THE CRESCENT 5,892.00 0.00 spun `.urr ; r. ry Grand Totals: Gross Discount No -Pay 6,892.00 0.00 0.00 APPROVED ON OCCo T 0 3p22002r46p (:.48HO( COUNN,ITFXAS 0 ap_open_invoice. template No -Pay Net 0.00 4,092.00 t/ 0.00 1,200.00 No -Pay Net 0.00 5.892.00 Net 5,892.00 RECEIVED BY THE COUNTY ALIDITOR ON. 10/03/2024 OCT 03 20277' MEMORIAL MEDICAL CENTER 12:27 AP Open Invoice List VendorCALHOUN COUNTY, TEXAS Due Dates Through: 10/26/2024 #/Vendor ame Class Pay Code 11836Y GOLDENCREEK HEALTHCARE J Invoice# 092024 Comment Tran Dt Inv Ot Due Ot Check Dt Pay Gross Discount 10/02/202091201202 10/26/202 140.68 0.00 C • CQSL K=. \-� ' t�l YIC C)pt- �n r q•- 092024A 10/02/20209/20120210/26/202 1,224.00 0.00 IJ 092324 10/02/202 09/20/202 10126/202 1,123.71 0.00 092424 10/02J20209/20/202 10/26/202 9.403.96 0.00 r 092524 10/02/202 09/20/202 10/26/202 34,809.99 0.00 092724 10/02/202 09/20/202 10/261202 5.00 0.00 092724A 10/02/202 09/20/20210/26/202 11655.10 0.00 092724E 10/021202 09/20/202 10/26/202 1,455.50 0.00 092724C , 10l02120209l20J20210/26/202 310.42 0.00 .j 092724D 10/02/20209/20/20210/26/202 259.26 0.00 Y1O S,c� Ct ��pr°ct� C4,-LGross VentlorTotals: Number Name Discount 11836 GOLDENCREEK HEALTHCARE 50,388.62 0.00 Grand Totals: Gross Discount 50,388.62 0.00 APPROVED ON OCT 03 2024 CFl_HUtIhU C; UNITEXAS 0 ap_open-Invoice. tamplate No -Pay Net 0.00 140.68 0.00 1,224.00�/ 0.00 1,123,71 0.00 9,40.3.96 0.00 34,809.99 0.00 5.00.J 0.00 1,655.10 0.00 1,466.50 0.00 310.42/ 0.00 J 259.26 a No -Pay Net 0.00 50388 2 No -Pay Not 0.00 §.0,3gg.g2 �50,\ 2q 1111C DBYTHE COUNTY AUDITOR ON 10/03/2024 OCT 0 �18 2024 MEMORIAL MEDICAL CENTER 1228 AP Open Invoice List CALHOUN COUNTY, TPA® Due Dates Through: 10/26/2024 Vendor#endor Name Class Pay Code 13004 \TUSCANY VILLAGE Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross Discount 092324 10/02/202 09120/20210/261202 9,090.00 0.00 / 092524 10/02/202 09120/202 10/26/202 1,632.00 0.00 ' .� 092524A 10/02/202 09/201202 10/26/202 2,856.00 0.00 , Vendor Totals: Number Name Gross Discount 13004 TUSCANY VILLAGE 13,578.00 0.00 Grand Totals: Gross Discount No -Pay 13,578.00 0.00 0.00 APPROVED ON OC�j TN70y31ZZ,(�T4 gg CA LHOI)NU COIIN'N I r�AS 0 ap_ope n_invoice.tem plate No -Pay Net 0.00 9,090.00 \/ 0.00 1,632.00 0.00 2,856.00 J No•Pay Net 0.00 13,578.00 Net 13,578.00 RECEIVED BY THE COUNTY At 1r)(TOR ON 10/03/2024 OCT 0 3 2flje MEMORIAL MEDICAL CENTER 0 12:28 AP Open Invoice List ap_open_involce.template Due Dates Through: 10/26/2024 Vendor#/Vendor ROWOUN COUNTY, TEY.AS Class Pay Code 12792 � BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net J 092024 10/02120209/20/20210/26/202 2,888.10 0.00 0Ao J 2,986.10 092024A 10/02/20209/20/20210/26/202 31239.59 0.00 0.00 31239.59 _1/ .--( 092324 10102/202 09/201202 101261202 204,00 0.00 0.00 204.00 -J 092324A 10/02/20209/20120210/261202 47.27 0.00 0.00 47.27 092424 10/02/20209/20/20210126/202 2,024.12 0.00 0.00 2,024,12 J J002524 10/02/20209120/20210/26/202 264.78 0.00 0.00 2.64.78 j 092524A 10/02/20209/20120210/26/202 1,930,96 0.00 0.00 1,930.9E ..j 092624 10/02/20209/20/20210/26/202 5,002.14 0.00 0.00 5,002.14 092724 10102/202 09/201202 101261202 6,744.72 0.00 0.00 6,744.72 092724A 10/02/20209/20/20210/261202 11,983.23 0.00 0.00 11,983,23 092724E 10/02/20209/20/20210/26/202 268.90 0.00 0.00 258.90 .,./ Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 34,685.81 0.00 0.00 34,685.81 01; SLlll. Grand Totals: Gross Discount No -Pay Net 34,685.81 0.00 0.00 34,685.81 APPROVED ON g OCT NO3 2�0024 p CALHOCt1N COUNq�..'i?PAS RECEIVED BY THE COUNTY AUDITOR ON 10/03/2024 OCT 0 3 2024 MEMORIAL MEDICAL CENTER 13:52 AP Open Invoice List Due Dates Through: 10/2612024 Vendors/Vendor Na^HOUN COUNTY, TEXAS Class Pay Cade 11088 ' CANTEX HEALTH CARE CENTERS LLC / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay '1I1I 092724 10/02/202 09/20/20210/26/202 Vendor Totals: Number Name 11088 CANTEX HEALTH CARE CENTERS LLC ,-._,;;w Scut Grand Totals: Gross Discount 48,725.05 0.00 APPROVC40 ON OCT 03 2024 CA©liOL NCll.141T 1TRA14 0 ap_open_invoice.tempiate Gross Discount No -Pay Net 48,725.05 0.00 0.00 48,725.05 Gross Discount No -Pay Net 48,725.05 0.00 0.00 48,725.05 No -Pay Net 0.00 48,725.05 Memorial Medlin Cenrer Nursing Home UPL W401Y Can1011 T2m/er Prmneriw Pccoun6 10p/3d14 / m _w, ..r«.n 1 aeauu Ir.",ai' news wWme.aw Avrmm�nnW reW«9.naa.MenA J-�4 IW,918f9 MAu.101✓19,411A / � J � lA,lxS)S i59,993 ll.nx.,9� j J / rannl /� xAl.luax,/18nann9/ rw, r:m.e.•,«wee,.m«umXnavmuwr«9rcamw"n"rXwew.r � wnwsvu..,l«,waun a«nXl.«.,mronwnv.l r,+nrxlM...r Ie.vr u.wuul•w rao.m Wam.Ywnwr.XAAeaau u.laA)A !/ w•Ilp.m mM1 n.4m er l mreu,.« lave / nW en•un use/ Y.•Funn IWM ,// nm.nen«wnwnn.•nmr lysta l/ Ilx.lH•e ' / BOUtlmn UV69A0 ✓ Nnrnu InwIn BY•nu Imm MpIIn.VVpMIyMY60a11 S,xlS.Bx w.nrammh B.1N.19 lehnuml lu.u✓ .uYNunw IAExp � uAl bLwY Uvf �: aa.rt.,wwn,.Xe«�nr In,nYn/J �m191 / B,nl erh V•rLm Y•wp Wuq ImM MMIn.0r,91a9MY6Aal1 3AY.H+ WAp'glury 6.PA.R \/ SU,A1.15 / 4 n.maa9 ,/ J wwu,.•l ,mae� unwl-•w xmis/ ,alwlsX,rcrt.,•Y«eln, sa.lwen �.1( fS.H,J, 13.M).a3 A.rnemw lsssvu v.nw n,w lneY,na IWm WIIn, m9Aluh MHYj 1 11111 ✓// WYIMIn11Nr 0/Mn91 ,uNwwnrt 1L Iw'� .,'eP,lr,n 116i MH H4„rl W61 / •awomwrvmn«smr mmu ,A1.169n // y� ]19�)95.1a e,nk0,lrnu 1•I.IN,9 ✓ NNnv m..lneY«u lmm AP BbIIn, OlnluhM K411 / 1}IfiA✓/ WllpAllul, 6.A1950✓ O Iw,Mlrr••, lm„ gW d CACHOU sale+en,.«nw.r«n„ Inn9n� eteevxlrtns m.xa.f Mlnw OHaSanla OPIUM PROVED ON CT 0 7 2024 mnx wee6N rnM).�semwe.mn.6wmLmMevaz+wa0r[nwxm.[pe.^I..6 n,vue.]v1.o ra•1 MMCrORIION arv/(emo 1,31 IIPM9ePH1 .n7t aov/mmo[ aYr.• gIPP/[emri glvP/mmWaY u glopn xx pnpnnx m/+RM4 UnnemloonnuumMMPMn+MMMu nYM ;4WWIWa 10/IIIOSI - + ZM..5e7 III ...lcomWWlPrIIINM.1.1m1it1[W5911914W M) 5 IW+WN.VIUlm9.NN $016 66 10/YPM ]101[,..]. 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U9A16.69 R.M9A1 lAILW M1IOd1/ llrlll,fll MMCPORMON aPP/Comp L34 j},9p]IPPO} tTj4p13pJp 0.1PP/6om L LYOu 4111/(amp9 41PP/LOmpNYpM aPPil NN pOX8?3 Itl ld BALE 911.61 3,166.91 0.0M.13 - 13.81 8.01"1, 14MLil 10,M163 93.J9 19539 I6,n0W 16j1p.W 393 L6].L A.Sta7Li•� � '1.potiR J': 9HN9 .Yl - i�eo;_!1'✓� 1lsV;u 1sAa.Nnn MLdl 14112 Im.M IM NI ', 1tl71'I/big`MollpglMl;WNWAY4UMMQItIPBfilftiaso •.. I110RM4 NMIM 11 HM M Sp L6xa6,/-Y 0M6a6 AI�MdecBal�/7[e6eJUL M" 16M1, 11 rw.r apn/(vmP2,34 UPPIcbmpt aum WPPICOmpj apI/[mmp6 BIL52 IW]3 arvn I nx vaxriox /6tpFti✓ '?iFJ INAM MMC PORTION gI1P9 ❑RmI3C3J j19piT9];Jp up..IA apP/fumpj RYpM aPPlComp3 qMP/fcmPltllp]e aPPn NX PUXn4N 1WIROM UxCCOMMUNXYM Nf[WMPM]I1NnY1191CCOJ I,MO.II - 1,630 Lt INIRMI UNLCOMMUxeM1pHCCMIMFMT7I \• )712. IDE9R0]I MRL.UT.4614HFA.WM] lillY 1411141M / 5.]I]W VIZ. SAI].W WAM11, Iry1R021 WIRf OUtGXI[M NEAUNUPIMMIMIII WAA04 MtilIN41N1Ai11jA4MVi1 1,(0.11BEM81}0@OA9: pL1Y,b1 ✓/ . / -. "446✓ mc. ./` i1wW,�f ,1d16�9 t/ 193¢'.tli• 1D)]/IOM MANM(ANDMMI]lBMM3PMM iYill - 94pb 9"so NCLCr6M/IiWtiMM(I.xI[IsK1NOH4MIIN ],,,]SO..,W 51 tIoWll1mlN};1d 0.56 IN]/MI UN(OMMUNIWItHCIw7dmu2 l= 106543.02U1 10MI HUMA(NAOxWMMT491614M11 .UOW 1.12000 0IM1 NxR'9COlKIT?4M411+WEMIS] 5.1mol I1 .UMnl9HMUIdNxNlOar(nu4 1Ii1I10IYM4:.: IOpA!1 NMI•fCR4W.I.PM1IW1111Y1M10 79A rk✓ ! 659Sp :-;3 7.99881 JAM/ WVM24 UnnNN.nllum xMGIMv6En1(9pLM UMM 1.6'A,W 11a5000 Lwu wYW III WII Gml0-1..4 W.40... Imm...OMI dl I.n6 nernl..eo.]v]..9.19.a nw P., 2 IWI/30]. VNC CDMuyNXYp{M<(WMIMi 1L6bH11 BILRV EE.i5.65 22,435,65 IW@WC MOVRYf01U]gXHLCWMpMl6]6110.f0UJU! 1611a 16319 9/10/3036 NNt EMWICCWMOM636Cm33114400902] 2 Yl Of - - 4F" 9/ 14. yMNONnBWn."'AM9Ml Uwull 12.3Y ` Ifi.t3166 16.13)6X 9/bp016 NOVRAt 50tVilONNCMIM9MI6163IDL3LOA166 J 66I81 Ef3.03 LLWPt / 1' Le e]c_m% _ u ./tea 7 1EB9W.50 TWA* 161132M 66&36906 0003tp 17M36 t M% 366031A0 Balances Overview Account Name *4357 MEMORIAL MEDICAL. $2,245,436.23 $2,304,073.03 $2,245,436.23 $2,270,031.34 OPERATING *4365 MMC-CLINIC SERIES 2014 SERIES $547.27 $547.27 $547.27 $547.27 *4373 MMC -PRIVATE WAIVER WAIVER CLEARING $440.58 $440.58 $440.58 $440.58 •4381 MEMORIAL MEDICAL/NH ✓ $71,904.23f J $71,904.23 $71,904,23 $61,718.56 ASHFORD *4403 MEMORIAL MEDICAL/NH / $131,769.48 j $131,769.48 $131,769.48 $114,271.17 BROADMOOR `4411 MEMORIAL MEDICAL l / NH $70,092.51 ✓ $70,092.51 $70.092.51 $65,490.61 CRESCENT '4438 MEMORIAL j MEDICAL ISOLERAQ� $141,369.49/ -•! $141,369.49 $141,369.49 $136,857.19 WEST HOUSTON *4446 MEMORIAL MEDICAL! NH FORT/ $35,547.11 f . f $36,598.64 $35,547.11 $35,547.11 BEND •4464 MEMORIAL MEDICAL/NH GOLDEN CREEK $24,367.84 $36,380.21 $24,367.84 $19,367.84 HEALTHCARE *4551 CAL CO INDIGENT $12,701.74 $12,701,74 $12,701.74 $12,701.74 HEALTHCARE *5433 MMC -NH GULF POINTE PLAZA- $4,961.43 $5.536.56 $4,961.43 $4,961.43 PRIVATE PAY •5441 MMC -NH GULF POINTE PLAZA - $6,384.13 $37,141.82 $6,384.13 $6,224.13 MEDICARE/MEDICAID *5506 MMC -NH BETHANY SENIOR $43.356.01 $56,491.11 $43,356.01 $30,765.23 LIVING *3407 MMC• TUSCANY VILLAGE USC $58,727.39 $58,727.39 $58,727.39 $23,476.28 MMC-BETHANY SR LIVING SIR LIVING • DACA $100.00 $100.00 $100.00 $100.00 *2998 MMC -MONEY MAR MARKET FUND $5,048.56 $5,048.56 $5,048.56 $5,048.56 Total Balance $2,852,754.00 $2,968,922.62 $2,852,754.00 $2,787,549.04 Report generated on 10107/2024 11:58:20 AM CDT Page 2 of Memorial Medical Center Nursing Home UPL weekly Nexion Transfer Prosperity Accounts 10/7/2024 P.W.m \/ I Annunt BelNn1o9 otodin6 Tod.{[Be0lnnln$J Amount to Be Tnn9erredtu HunlnA V Nunn Nome Number eal.nae 1r9m.ro lid Ttn0s3eniA 0 oeib Baan[a Name 169,927.17 169,Ss3.EA 2699AR1 11,567.04 23r621171 / 6.0641en a 21,367.0A Valence LWA In B+l+nn I00,00 aautlna lnrormanon hr Golden creel: Ne+ien Nml[hateeFlen CneA Well[ Fomo Bank NA NOW Onry b0enne u79uer$S,= willbe tmngerred to the nuniny home. Net. at BOch anaunt hme hme Dolanne($ILtl shot A me dpotlttd la open oaaune. APPROVED ON OCT 0 7 2024 3VHInl.rttt 151.91 72 e ttotemst 113,50 6eAt lntaeet 11350 Adjust B.I.nR(Tn ef., Ant, I3.BIYA1 ✓ Mdlew Oe LASS.nta. SOn/1024 I \NN WxYly Tr+nden\NN abt M1m+ler Summ+ry\10E11HN UPLrnmf<r summ+ry 102I4 IaR)Mll GOIOtN(Pl1NNl4ll MlRC 01913]03M 91KMIbi laupo:l (nMl ul Win011 i W[RCA1ilU1AITMO .10 IR WIP9n91 ta1/1911 401pIN(RtiMlGlf MIR[ 0191n0156fI0YgIPW IOnIlO11 WIPI OVI NINIONIIIRIl11 J/h11401RiN (RFlN 11( MMCVOR130N URR/mm0 Tnn r. T I nln QIPPI .pl a90/(em03 0100/fnmp9 W9M MOPT1 NNOORTION S.RO.M 9.[CO UO o.ctna ee / gape 86 Llllss✓ z8s3.33. 1X1.39 RW 1395.00 ly,9A65 . 165 tO 16300 90012M IVMIN09 NOlIXOITu ner RBB I131118X6081N( SS81.0 '� 51511.88 / /3,1939s 6955AUJ 31930.31 <,I}IU / I55 S;I61U�/ Balances Overview Account Name '4357 MEMORIAL MEDICAL- $2.245,436.23 $2,304,073.03 $2,245,436.23 $2,270.031.34 OPERATING *4365 MMC -CLINIC SERIES SERIES 2014 $547.27 $547.27 $547.27 $547.27 '4373 MMC - PRIVATE WAIVER CLEARING $440.58 $440.58 $440.58 $440.58 '4381 MEMORIAL MEDICAL/NH $71,904.23 $71,904.23 $71,904.23 $61,718.56 ASHFORD '4403 MEMORIAL MEDICAL/NH $131,769.48 $131,769.48 $131,769.48 $114,271.17 BROADMOOR '4411 MEMORIAL MEDICAL/ NH $70,092.51 $70,092.51 $70,092.51 $65,490.61 CRESCENT •4438 MEMORIAL MEDICAL I SOLERA @ $141,369.49 $141,369.49 $141,369.49 $136,857.19 WEST HOUSTON '4446 MEMORIAL MEDICAL / NH FORT $35.547.11 $36,598.64 $35,547.11 $36,547.11 BEND '4454 MEMORIAL MEDICAL/NH GOLDEN CREEK % $24,367.84/ $36,380.21 $24,367.84 $19,367,84 HEALTHCARE ✓ *4551 CAL CO INDIGENT $12,701.74 $12,701.74 $12701.74 $12,701.74 HEALTHCARE '5433 MMC -NH GULF POINTE PLAZA - $4,961.43 $5,536.56 $4,961.43 $4,961.43 PRIVATE PAY *5441 MMC -NH GULF POINTEPLAZA- $6,384.13 $37,141.82 $6,384.13 $6,224.13 MEDICARE/MEDICAID '5506 MMC -NH BETHANY SENIOR $43,356.01 $56,491.11 $43,356.01 $30,765.23 LIVING USCMMC NH USC TANY VILLAGE $58,727.39 $58,727.39 $58,727.39 $23,476.28 "3 60 MMCLIVING -DAC ANY SR LIVING - DACA $100.00 $100.00 $100.00 $100.00 *2998 MMC -MONEY MAR MARKET FUND $5,048.56 $5,048.56 $5,048.56 $5,048.56 Total Balance $2,852,764.00 $2,968,922.62 $2,852,754.00 $2,787,549.04 Report generated on 10107/2024 11:58:20 AM CDT Page 2 of 2 Mari Medical Center Nursing Homo ❑PL WeeNly HMG Transfer Prosperity Accounts tn/T/2024 anon eeaanv( Posen( mmlmmy Nunl Neme Xrm:mr &4rca inn111MN Tnm4Mn [btlune 0[ 4 TM[ rBe Innln a[4n[e Muhl MuS. I,ST91[ ]0199 a,963A] [Ir[n[In B[nY erbnn a,egY Verlun InWIn 6e4n[e I[O!Q •'� ItlINUtl[nn/Inmin Rmt 1[11.1a vnd.W .ma:rmRa e. •n 4[InnIM PeMIn( .,� v1/ inmfemtllo rNM Nom! u Numbn lnmllrAN ryr ClnM T1]ef w Ya[ Toe[ ra[Im161t11.13 ✓ N 6,294.t3 f 3J31ui.Lp l) B[nY B[Im[e 6,36113 V[rr[n[e lenein&Ima IWw Rayllnl:nlarm111an W 6Wr"inl) llul'i o.ry mu.nr el anrts,ao.�nm rrnpmmro uanunuename. Nof!]:(atR W[aMfX[IaMrf pelanreo/SlW rlrol MM(tlfFOMed(aoneno[[eunl. •e d OCT 0 7 202A CAteNl1RUcOIIAWV-AS I,tliun ONnn/In:uler RrM 6)M!) / TM.LL1R[NSlpl) 11.11356 uer..wsM vmw IBpp9xa I:\ml WfnMNRmnnWxom vmner Semm[:N]mnxx lv;rnmrnwmmfnlo T.n on 20/2/2024 HNB•ECHO HOCLAIMPMT 746003411440000243036 10/2/2024 HNB ECHO HCCLAIMPMT 746003411440000243537 10/1/2024 HNO ECHO HCCtAIMPMT 74600341144000W934" 9/30tVNII Added to Attount MMC PORTION QIPp/Comp QIPP/Com04 T.PMtt4101 T an�s1 ,I. I QIPP/CPmpl 2 QIPP/CQMP3 Supt0 QIPP TI PAN PORTION 153.81 152.91 I53,l1 153.78 21.00 r 71A0 4A0,,f 4.M MMC PORTION MINE QIPP/Comp QIPP/COmp4 1nn4krv0o[ T14A414L QIPP/C.mPl 2 QIPP/ComP3 &UPS. QIPPTI NNPORTION 10/4/3034 MERCHANT RANKED DEPOSITT 49MIS51888991COMI 16000 160.00 9/30/2024 A44tdto AM4nl 24.10 14.15 9/30/2024 MERCHANT BANCCO DEPOSIT 496U85188899100003 "'SI.07 2.752,07 9/30/7024 MERCHANT nAN6000EPOSIT 4964/8518889 R00001 4' 330.00 \ MAD 3.246.29 3,E45.25,� 3 626.84 3,d26484 Balances Overview Account Name *4357 MEMORIAL MEDICAL • $2,245,436.23 $2,304,073.03 $2,245,436.23 $2,270,031.34 OPERATING *4365 MMC •CLINIC SERIES 2014 SERIES $547.27 $547.27 $547.27 $547.27 MMC •PRIVATE WAIVER WAIVER CLEARING $440.58 $440.58 $440.58 $440.58 14381 MEMORIAL MEDICAL/NH $71,904.23 $71,904.23 $71,904.23 $61,718.56 ASHFORD *4403 MEMORIAL MEDICAL/NH $131,769.48 $131,769.48 $131,769.48 $114,271.17 BROADMOOR '4411 MEMORIAL MEDICAL/NH $70,092.51 $70,092.51 $70,092.51 $65,490.61 CRESCENT •4438 MEMORIAL MEDICAL/SOLERA@ $141,369.49 $141,369.49 $141,369.49 $136,857.19 WEST HOUSTON '4446 MEMORIAL MEDICAL/NH FORT $35,547,11 $36,598,64 $35,547.11 $35,547.11 BEND '4454 MEMORIAL MEDICAL/NH GOLDEN CREEK GOLDE $24,367.84 $36,380.21 $24,367.84 $19,367.84 HEALTHCARE *4551 CAL CO INDIGENT $12,701.74 $12.701.74 $12,701.74 $12,701.74 HEALTHCARE *5433 MMC -NH GULF POINTEPLAZA- $4,961.43./ $5,536,56 $4,961.43 $4,961.43 PRIVATE PAY *5441 MMC -NH GULF POINTE PLAZA • $6,384.13 1 j $37,141.82 $6,364.13 $6,224.13 MEDICARE/MEDICAID *6506 MMC •NH BETHANY SENIOR $43,356.01 $56,491,11 $43,356.01 $30.765.23 LIVING *3407 MMC NH TUSC TUSCANY VILLAGE $58,727.39 $58,727.39 $58,727.39 $23,476,28 *3660 -BETHANY SR LIVING • DACA LIVING $100.00 $100.00 $100.00 $100.00 MMC -MONEY MAR MARKET FUND $5,048.66 $5,048.56 $5,048.56 $5,048.56 Total Balance $2,862,754.00 $2,968,922,62 $2,852,754.00 $2,787,549.04 Report generated on I=712024 11;58:20 AM COT Page 2 of 2 Memnrlal Medical Contcr Nufsinp Home UPL Weekly Tuscany Transfer Prosperity Accounts 10/i/2024 V Rallu ` evnrtleM Amun! IMinnlry v6ndlna 9 T mfe e6 to NulItd It NumM. BelOnp {reveler2II /Tr Nlgdn �W Olere6 OepollSe Tndwl6e[Inn ne Blllnre Nurline Nom[ 502,111.31 S12.66i.6tl f9.19)68 58.11].l9 / 39165.11 ✓ Wk blmm 58,]91J9✓ Vublwe uwlM UUnm IMM MMIMA pVP Ink and Y68d13 $961.95✓ wa,ln51ury 150mm✓ N!ln JOry EObn4I0)OVH$S,OYlwllb!!/anll!/M1tl/othenurynebOm!- No: e R f o N a[maa r bm o 6ort bokna W $1 W Nw! MM[ tlpnned m apm attwn/. teppROVED ON oc5 0 7 20A GAiHOUN��"�y'�'AS tllull6tlmnffrNtlo Pml 35.d6f.11 (/ Aeweredl� L �/ 11i2 ..+�-Y -iVl F�l� andrew0llasenme YYY 1ap/Mln MMC PORTION OIPP/Camp QIPP/COMP QIPP/Camp hanS(el-Out Transfer -In 1 QIPP/Comps 3 4&lapse QIPP TI NH PORTION 10/4/2024 INTUIT 85888011SILL—PAY TUSCANY VILLAGE 220 - / 324.27 - 324.27 10/4/2024 HNa- ECHO HCCLAIMPMT 746003411"GOD0136524 J 34,926.94 - 34,926.84 10/2/2@4 Check 1172 20,66627 / - 10/2/2024 WIRE OUT VILLAGE POST ACUTE HEALTH SERVICE 502.011.37- 10/2/20291MOLINAHEALTHCAR M0UNM0H 039093642000018 10,32116. 7742.80✓ $¢7636,t' "81.98 el 1,739.18 ./ 1011/2024 HN8•ECHO HCCIAIMPMT 7460034114400002MMS 10/l/2M4: MUPOINT COAPE:PAYMENT IM807341110000 : 5,92P 31 / J i5,011.31,/ 17,448.O8 2,663.7J., 1_3729.70/ 6,929.31 1,331,62 Z 9/30/2024 Added to Atlatim 259.12 - 259.12 9/9012024 Oepmlt 6,942.00 - 8,942.00 9/30/2024 OepOHt / 301.54 I - 301.54 9/30/2024 HN8• ECHO HCCtAIMPMT 746MO411440000234092 - ,.,f 2.278.11 �1 - 2,278.11 Balances Overview Account Name *4357 MEMORIAL MEDICAL- $2,245.436.23 $2,304,073.03 $2,245,436.23 $2.270,031.34 OPERATING *4365 MMC •CLINIC SERIES 2014 $547.27 $547.27 $547,27 $547.27 *4373 MMC -PRIVATE WAIVER CLEARING $440.58 $440.58. $440.58 $440.68 *4381 MEMORIAL MEDICAL/NH $71,904.23 $71,904.23 $71,904.23 $61,718.56 ASHFORD *4403 MEMORIAL MEDICAL INH $131,769.48 $131,769.48 $131,769.48 $114,271.17 BROADMOOR *4411 MEMORIAL MEDICAL I NH $70,092.51 $70,092.51 $70.092.51 $65,490.61 CRESCENT "4438 MEMORIAL MEDICALISOLERA@ $141,369.49 $141,369.49 $141,369.49 $136,857.19 WEST HOUSTON *4446 MEMORIAL MEDICAL I NH FORT $35,647.11 $36,698.64 $35,547.11 $35,547.11 BEND •4454 MEMORIAL MEDICAL GOLDSN CREEK GOLDE $24,367.84 $36,380.21 $24,367.84 $19.367.84 HEALTHCARE *4551 CAL CO INDIGENT $12,701.74 $12,701.74 $12,701.74 $12,701.74 HEALTHCARE *0433 MMC -NH GULF POINTE PLAZA - $4,961.43 $5,536.56 $4,961.43 $4,961.43 PRIVATE PAY *6441 MMC -NH GULF POINTE PLAZA - $6,384.13 $37,141.82 $6.384.13 $6,224.13 MEDICAREIMEDICAID *5506 MMC -NH BETHANY SENIOR $43,356.01 $56,491.11 $43,356.01 $30.765.23 LIVING *3407 MMC-NH TUSCANY VILLAGE ✓ $58. 727.39 , $58,727.39 $58,727.39 $23,476.28 *3660 SR LIVING -DAC ANY SR LIVING • DAGA $100.00 $100.00 $100.00 $100,00 MMC-MONEY MAR MARKET FUND $5,048.56 $5,048.56 $6,048.56 $5,048.56 Total Balance $2,852,754.00 $2,968,922.62 $2,852,754.00 $2,787,549.04 Rapon generated on 10/07/2024 11:58:20 AM COT Page 2 of 2 Memalial Medical Center Nursing Home UPL Weekly HSI.Trenster Prosperity Accounts 10/7/2024 RrfHruf J RmJlq �eT0Y11nBr .lrtwnt B[rImI1Rr M TfmlrnfLlOV Nmrl Man Hum M6rw Inn[/n.aut inm3min btleneC Rf .O' roC[ r0 nl erbnrc xuNn x / l;mas Clatl iEJ91.W ai3fb el 3},36AJ5 Blirnn 4A)36.01 W"Sad .r L— Imm�n &bn[r IOSW SYntler 3uq[ntl 11 AJl l 10,616ll./ IYIYIn]rnlr llsv; Rualm[un l.3n / uettnarw 2: / N 1r.Onryemennra/ourrlAaoow+BarvamknrJ�omrnun�npno-n r. Note): Fx0 ertrunrem r Mnpfk Of SIW IM MMCdngPIM M W mcdnc, APPROVED ON OCT o 7 2o?A CALHOvW(10% aelwufan fnnnarreml / x sRea3 AA'PIEpP—L MO1 yl. RJrewsanlrou 1110.1 —1lo.1.1l MMCI ON ?QBg�,,Qyt T.1111T arr/fpmr3 aoP/temy2 a0r/Camys arv/CBmpi6uPJe a0rn ,ii, MMON Jolg2ou xx0.[cxo,ICC4�MOMt>IfADA02sR14W2)Swe / LsxeS •/ IWNBII NO[PICt O90O1rtxvµmeeu N[Jutl2bOJ50v, _ I 6,f2fd972,L1.0[ 1ia180 lUfS.SS J,94S35 lON/102\IIW MFEVFAC%2t NOC 6963M 6fY111110202 5.@i.50 - S.OEL58 J MM4 NpC3W[O iR[ki36 31316963ID1[JISW[[P iA 6.030R 6,09092 20N120S6 WIRl11Ui PORJIPVMG HN, IIC 6.SIe.iJ � ' Balances Overview Account Name *4357 MEMORIAL MEDICAL- $2,245,436.23 $2,304,073.03 $2,245,436.23 $2,270,031.34 OPERATING *4365 MMC - CLINIC SERIES 2014 $547.27 $547.27 $547.27 $547.27 *4373 MMC •PRIVATE WAIVER WAIVER CLEARING $440.58 $440.58 $440.58 $440.58 *4381 MEMORIAL MEDICAL INH $71,904.23 $71,904.23 $71,904.23 $61.718.56 ASHFORD *4403 MEMORIAL MEDICAL INH $131,769A8 $131,769.48 $131,769.48 $114,271.17 BROADMOOR *4411 MEMORIAL MEDICALINH $70,092.51 $70,092.51 $70,092.51 $65,490.61 CRESCENT *4438 MEMORIAL MEDICAL /SOLERA@ $141,369.49 $141,369.49 $141,369.49 $136,857.19 WEST HOUSTON *4446 MEMORIAL MEDICAL I NH FORT $35,547.11 $36,598.64 $36,547,11 $35,547.11 BEND *4454 MEMORIAL MEDICAL INH GOLDEN CREEK $24.367.84 $36,380.21 $24,367.84 $19,367.84 HEALTHCARE *4551 CAL CO INDIGENT $12,701.74 $12,701.74 $12.701.74 $12,701.74 HEALTHCARE *6433 MMC -NH GULF POINTE PLAZA • $4,961.43 $5,536.56 $4,961.43 $4,961.43 PRIVATE PAY *5441 MMC -NH GULF POINTEPLAZA- $6,384.13 $37,141.82 $6,384.13 $6,224.13 MEDICAREIMEDICAID *5506 MMC -NH BETHANY SENIOR ✓ $43,356.01A $56,491.11 $43,356.01 $30,765.23 LIVING *3407 NH TUSCUSCMMC•ANY VILLAGE $58,727.39 $58,727.39 $58,727.39 $23,476.28 *3660 MMC •BETHANY SR LIVING SIR LIVING • DACA $100.00 $100.00 $100,00 $100.00 *2998 MMC -MONEY MAR MARKET FUND $5,048.56 $5,048.56 $5,048.56 $5,048.56 Total Balance $2,852,754.00 $2,968,922.62 $2,852,754.00 $2,787,549.04 Report generated an 10/07/2024 11:5820 AM CDT Page 2 of 2 P A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/7/2024 AMOUNT: $ 36,471.51 OCT (0120 EXPLANATION: Molina July and Y6 Adj 2 and Wellpoint July,% 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: u�� P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/7/2024 OCT '0 7 2024 9Y'CdUN'((yy /Ajil7AS C.OUN J $ 13,420.72 ,/ EXPLANATION: Molina July and Y6 Adj 2 and Wellpoint July . 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: P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/7/2024 OCT 0 7 M4 C&OU�UGL�JAW TE `�` $ 10,051.06 EXPLANATION: Molina July and Y6 Adj 2 and Wellpoint July / 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: �L hnr• , rI n,� jyi.� ib (-1 I2022�- C •r�aJaCs�arv�� P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/7/2024 APPROVM OhS OCT 07 i.v-= I�R!y� gl9DIm x AS J $ 11,453.29 EXPLANATION: Molina July and Y6 Adj 2 and Wellpoint July FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Retum Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: a P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/7/2024 •• r OCT 07 2c = CALHOUN COUNWTEY,AS J $ 10,936.49 EXPLANATION: Molina July and Y6 Adj 2 and Welipoint July 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:(1 P A Y E E AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 10/7/2024 APPROVED ON C AH(3UN"Cbyu TVDt7 %S J 5 22,761.68 EXPLANATION: Molina July and Y6 Adj 2 and Wellpoint July Z FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept GA NUMBER: 10255040 �I REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: (fin-ak ks,kt� iL?;ch� went QIPP PM3S i0 MMC 10J.39 QIPP PaMentta MMC from Nur3ine Fadlldes r.......re.1....•.....» NN Namp PromBank MRb [kp Pa ee 6lp MNMalktyb W t fill n MTpI 0.,C A,bf.,d N., etll MMbpme erlt 0 CtlIIn MMGPros erlt 0 ere9ln MMGPm3 eNr 0 Crd91 MMC.PMS erw ernll MMC Pros e09 0 eMnn MMC Prof erlt O elalln MMC PIas Crlt 0 u,h MMC.Pr%p.,jty 0 erO, TPYI: 19 380.]0, 3E,090.81 36p]1.51 10 ] i0E4 OrwJmepr� Prw ¢rl1 Crermnt Pme erie Pan Oene Pias evil Solaro Pcm e09 GONen CI¢PA ftspality B90nnf prw ¢rll Ntnan Pmi lil 535i.5] B,16B.15 13AEO.R 0/]/1014 3,9pt94 4,488.31 9,31fi.99 B981.98 41.M.50 � 6,196.12 20n51.06 OO/502-0 964,97 31461.E PPOM 6639.50 10936.49 P/1014 30{2/1034 13;]M.I0 1 024 ]2]61.6B PJ2024 63]89.10 308.099.]8 J J J J Approve0jJA, ]l{UL'( L 1L 1�•/vI /S� ANONEW OE LOS SANTOS ]OPR014 p mmc MEMORIAL MEDICAL (T.N'T'ER C.-HECK REQUE.ST Dal-- R,.aqljested: 10/7/24 A APPROVED ON OCT 0 7 Byovr TEXA S GALH XAS FOR ACCT. USE ONLY Dlmprest Cash 0A/P check Owzall Check to Vendor RE-wi vt Check to Dent ANIJOUNf 580.54 GIL NUMBEP,, 10255040 CXPLANATION, Quarter 3 Interest Z MEMORIAL IVIEDICAI_ C:t=NF E R f-'.-.HECI( RE0.UES'F P MMC I)at:a Requested: 10/7/24 A APPROVED ON — — --- — f0f? ACL'7. USE Gh1LY —"1 v _A_ ___�__._._. .___--. OCT 0 7 zva I�i� Irnpre.st: Cash BY COUW7, ARl,IT.?R L_.IA/P ,.heck CALHOUN COUN . TEXAS L-IMail Che-.kto Vendor F ElRer.w n Check to Jep; i AMOUNT 491.51 ✓ " EXPLANATION: Quarter 3 Interest ItI'2U :iTEC+D' Caitlin Clevenger G/L NUMBER: 10255040 V ,j I'Olilt F ` B` -.. ._.... .. __ _.. - . ic)l- 126zq, p A y E E IMEMORIAL MEDICAL CEN"FER REQUES-1 m IM C Dat-- Requested: 10/7/24 APPROVED ON 0 C. T 0 7 t%UN COUNTY XAS FOR ACCT. USE ONLY F1Imprest Cash []A/P Check p Moll Check to Vendor PlIeturn Chick to Dew AMOUNT 836.46 CIA NUMBER: 10255040 EXPLANATION: Quarter 3 Interest .� MEMOMAL MEDICAL (INFIFER CHECK REQUInST p mmc A y APPROVED ON 0 7 ?02(1 UaTrl1equested: 10/7/24 nImplest Cash F]A/P Chec,, D Mail Check to Vendor FiReturn Check Lo Depi A IVIO LJ NT 146.39 NWASH: 10255040 I MMC _.---_---._.---.-_.__.___-------________��e / MEMORIAL MEDICAL CENTER CHECK REQUEST -----..__ Data Requested: 10/7/24 APPROV50 ON �� CAL41011N GnUN� `,I��xAS AMOUNT 192.43, Z J EXPLANATION: Quarter 3 lnteres� FOR ACCT. USE ONLY LU Imprest Cash ❑A/P rhe: k I�Mail Check, to Venaar uRevii n Chcdc.. to Dept G11. NtJfv113£R1 10255040 RCQUESTUDBY: Caitlin Clevenger AUfIJORVEI!By: �, p MMC AMOUNT 447.13 NfEPd1C}RIAL POEDICAL CENTER Date Requested: 10/7/24 EXPLANATION: Quarter 3 Interest✓ RI (2UF:DTI., i BY: Caitlin Clevenger APPROVE133 ON 0CCpT 0 7qq; .',Qp CABHOt1NU Cn JtltI TEXAS FOR ACCT, USE ONLY j �ItnprestCash DA/P check I]Mail Check to Vendor JReturn Check to Depi GA NUMBER: 10255040 MEMORIAL MEDICAL. CENTER - - CHECK REQUEST MMC Date Requested, 10/7/24 AMOUNT 220.99 EXPLANATION: Quarter 3 Interest,/ REQUESTED BY: Caitlin Clevenger _ APPROVED ON 00�C:T 0 7 pp CAgLF1011NUC1 �NVy0tTEXAS FOR ACCT. USE ONLY ❑ Imprest Cash nA/P Check Mail Check to Vendor FilReturn Check Lo Dept G/L NUMBER: 1025SO40 ALITHORIZFF, -_._.___._.._.------.._._.__._.- -__ QTO InNrest"Q31024 TO MMC Interest To MMC From NH MIN.me Front CPSieenk AatN CNN Pe ¢e OLN And net. Ashford �/ Pros erily &oaderow J "Prm At Cmxwnl . Pros .rlt fort Pend Pros efit 5.1era -Pros erl Golden Creek Pros our 0ethany -Pros edt MMC-Pros .rll 0 eMOn MMC-Pros erlt 0 eralln MMUPro S nd 0 eralln MMC.Pros "1 0 ¢r.en MMC Pros ne,. -en MMC Pros en 0peratln MMC-Prosperity0 Operating ;I," 1 _ _ lul September 1u -Se [ember, 58054 �10/>/102a 993.91 10/1/1W4 Jet -Se tomb® 836.96 ]Op/2014 Julk«-Se lember September 1e6.39 191.93 ]0/1/1024 10/J/2o24 Jul -Se lember sul 5e lember 44].13 10/1/io24 220.99 " ]0112024 1�915.45 Note: Andrew Ue Los Sento; 10/7/2024 Transaction Summary Transaction Complete Trace #: Texas Health and Human Services Commission Memorial Medical Center Operating County •,, Payment Total Bank Routing and Account Number $567.507,1,4 Settlement Date 10110/2024 i DSH Amount $567.507.19 Entered By ndrew De Los Santos Page No: 7 of i Run Date: 1012/2024 Run Time: 17:41:32