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2004-12-23REGULAR DECEMBER TERM HELD DECEMBER 23, 2004 THE STATE OF TEXAS § • § COUNTY OF CALHOUN § BE IT REMEMBERED, that on this the 23r° day of December, A.D., 2004 there was begun and holden at the Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Tenn of the Commissioners' Court, within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer Roger C. Galvan Michael J. Balajka H. Floyd Kenneth W. Finster Wendy Marvin APPROVAL OF MINUTES: County Judge Commissioner, Precinct i Commissioner, Precinct 2 Commissioner, Precinct 3 Commissioner, Precinct 4 Deputy County Clerk A Motion was made by Commissioner Balajka and seconded by Commissioner Finster that minutes of September 23, 2004 be approved as presented. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted In favor. Michael J. Pfeifer County Judge Roger C. Galvan Commissioner, Precinct 1 Michael J. Balajka Commissioner, Precinct 2 H. Floyd Commissioner, Precinct 3 Kenneth W. Finster Commissioner, Precinct 4 Wendy Marvin Deputy County Clerk MEMORIAL MEDICAL CENTER — MONTHLY FINANCIAL REPORT: Buzz Currier read the monthly financial report for November 2004. Mr. Currier stated that the Hospital Board approved the purchase of medical equipment and a new pediatrician Dr. David Lewis was hired for the Port Lavaca Clinic and they are also looking for a Primary Care Physician for the Port Lavaca Clinic. • M 0 MEMORIAL MEDICAL CENTER YEAR-TO-DATE SUMMARY NOVEMBER 30, 2004 OPERATING REVENUE LESS: OPERATING EXPENSES CHANGE IN INVESTMENT: Accounts Receivable- (Incr) Decr Accounts Payable- Incr (Decr) Prepaid Expense- (incr) Decr Inventory (Incr) Decr TOTAL INVESTMENT CHANGE (INCR) DECR PLUS: Depreciation Cost Report Settlements • PLUS: County Subsidies Hospital Total Cash- Incr (Decr) LESS: Equipment Purchases NET CASH- INCR (DECR) 17,600,635 (16,021,996) (499,007) (61,694) (67,867) (34,434) 1,578,639 (663,002) 915,637 938,144 (528,654) 1,325,127 1,325,127 A 1,325,127 1 109 0 110 • • i MEMORIAL MEDICAL CENTER PORT LAVACA, TEXAS PHYSICIAN'S ANALYSIS REPORT NOVEMBER 30, 2004 - YTD YTD YTD NAME REVENUE MONTH YTD CONTRACTUAL WRIT&OFF NET REVENUE AMOUNT AMOUNT GENERATED PERCENT APOSTOL, C.F. 3,182.35 315,081.47 79,022.81 22,055.70 214,002.96 68% WILLIAM, G.A. LIN, M.S. 53,626.75 874,762.89 182,870.61 61,233.40 630,659.88 SMITH, J.K. 202,571.08 88,895A9 1,931,477.08 1,097,140.95 676,412.03 135,203.40 1,119,861.65 58%° CHEN 126,069.60 355,017.97 52,070.36 76,799.87 8,824.97 665,323.12 65,174.37 68%°0.00 MCFARLAND, T.R. GRIFFIN, JF,ANNINE 165,416.33 2,559,121.96 709,051.95 179,138.54 1,670,931.47 52% 65% BUNNELL,D.P. 15,999.08 234,424.34 192,557.58 3,196,859.81 14,695.92 1,298,108,96 13,479.03 164,382.63 ° NIRATSUWAN 65,859.33 600,828.76 154,216.81 223,780.19 1,674,970.66 52% -DIAZ, R. 14,677.02 2,412,411.37 1,032,705.43 42,058.01 168,868.80 404,553.93 1,210,837.14 GILL WII,LIAMS, W. 0.00 507,981.40 284,697.25 35,558.70 187,725.45 50%ARROYO ° CUMMINS, M. 0.00 41,777.21 279,070.55 447,526.87 43,118.99 19,534.94 216,416.62 78% RUPLEY, M. 15,173.10 194,103.97 117,376.49 41,604.75 31,326.88 13,587.28 298,823.50 138,911.94 67 7 /0 LEE, J CROWLEY, W 224,757.57 973,795.80 323,678.30 68,165.71 581,951.79 60% 90,802.23 619,551.63 . 0.00 43,368.6] 576,183.02 93% g3% STEINBERG, R. RAMOS LABORATORY 2,963.93 (20,426,78) 110,395.82 22,474.82 7,727.71 80,193.29 73% VISITING PHYSICLANS 556,991.50 (49,725.95) 4,592,401.33 (2,463.31) (3,480.82) (43,781.82) 88% ERPHYSICLANS 441,092.79 6,258,283.61 925,590.26 1,021,706.66 320,768.09 438,079.85 3,336,042.99 73% NO LOCAL PHYSICIAN 290.74 13,627.54 4,798,497,10 77 /° OTHER _ _ 818,040.34 6,31Q,974.25 4,685.08 707,753.96 953.93 415,930.87 7,988.53 5,187,289.42 59% - 820/, TOTAL 3,146,004.10 33,554,298.30 8,044,396.10 2,322,963.55 23,186,938,64 69% 3 ill NEPARIAL )MICAL CENTER RALANCE SHEET 12/10/04 11:43 AN AS OF: 11/30/04 TRIP YEAR LAST TSAR LAST MONTE 11/30/04 11/30/03 1D/31/04 CURRENT ASSETS USE OPERATING POND 1,577,752.12 927,497.52 1,238,997.10 IMPRIST CASE ACCOUNT 5,000.00 5,000.00 51000.00 PETTY CASE 925.00 625.00 625.00 W BOND PROC88O5 .00 .OD .00 IN EOSPITAL PORTION .00 .00 .00 1ESTRICTIM DURATION 13,876.96 13,658.91 13,059,97 99MP BOND SINKING PUND/IRTSRBNT 36.21 36.21 36.21 TOTAL CUR ..................... ............... 1,597,290.29 ............... 546,817.64 ............... 1,258,518.28 ACCOUNTS 1ECMABL6 PATIENT ACCOUNTS RECEIVABLE 5,330,368.11 41542,800.63 5,110,975.45 ALI MARCE FOR BAD DEBT 12,512,733.00) 12,371,792.OD) 12,576,550. 00) PLAZA SPICIALTY CLINICS RECEIVABL .00 .00 .00 NISC ACCOUNTS RICSIVABLI 233,343.62 279,740.39 156,474.47 TIM PARTY RSCSIVABLE (304.00) .00 (384.00) TIP GRANT .00 .00 00 . TOTAL ACCOUNTS RECEIVABLE...... ............... 3,052,114.73 ............... 2,150,749.02 ............... 2,990,515.92 INVBpTORIES RADIOLOGY --FILM 4,103.18 4,179.39 4,995.93 LABORATORY 114,349.70 55,797.10 110,413.31 CBmu SUPPLY 91,171.03 97,454.93 91,493.96 SURGERY 149,097.48 152,236.63 149,097.48 DISTART B,B63.05 11,074.00 81663,05 MA]BSEvm 3,217.77 2,826.53 3,217,71 PBAREACT 133, 703.61 131,100.0E 133,703.41 TOTAL INVARTORY................ ............... ............... 504,506.42 460,668.66 ............... 507,755.11 PREPAID SEPSNSSs PREPAID INSURANCE 56,712.50 36,327.43 61,579.13 PREPAID EIPERSRS 59,825.37 52,352.83 33,596.67 TOTAL PREPAID EXPENSES......... ............... ............... 116,537.97 ... 88,680.26 .......... .. 95,175.80 TOTAL CURRENT ASSETS....,.,,,,, 5,270,509.41 ............... ............... 4,346,915.58 ......... 4,851,965.11 ...,. PROPERTY, PLANT, A EQUIPMENT LAM 32,142.60 32,142.6D 32,112.60 BUILDINGS 1, B37, 744.81 9,937,741.97 8,937,744.97 FIM SQUIFlRNY 2,413,432.03 21413,02.03 2,413,482.03 MAJOR MOVABLE SOUIPNXNT 10,042,461.51 91903,726.55 10,048,861.51 M13Ekm MICAL PLAZA 900,501.27 7,249,146.35 900,501.27 REPORTABLE BOND ISSUARNCE COST .00 70,557.00 ,00 CONSTRUCTION IN PROGRESS .DD .00 ,00 LESS: ACCUXULATSD DEPRECIATION (15, 691, ]97.87) 116,302,(58.18) (15,616,309.40) TOTAL PROPERTY, PLJUIT, 6 EQUIP ............... 6,528,934.41 ............... 12,2D5,041.22 ............... 6,616,342.88 TOTAL UNEESTRICSD ASSETS...... 11,799,443.82 16,551, 956.80 11,466,307.99 112 • • 4 • • NBNORIAL MICAL CENTER BALANCE 8886T 12/10/04 11:43 AN AS OP: 11/30/04 7=3 YEAR LAST YEAR LAST HUNTS 11/30/04 11/30/03 10/31/04 C➢BRBNT LIABILITIES ACCOUNTS PAYABLE 481,191.15 -472,624.12 429,018.57 ACCRUED PAYABLIS 200,890.61 59,219.28 83,511.23 ACCRUED PAYROLL 414,535.60 356,259,11 360,630.76 AMR= ➢BTIARVBBT .00 (17.29) ACCRUED STATE BALES TAX 673.04 $32.92 ,00 584.72 IBM PARTY PAYABLES RXIERTION•CONSTRUCTION IN PROGRES .00 AD .00 ACCRUED VACATION/ROLI➢AY/SIGN .00 295,613.39 .00 284,643.39 ,00 295,613.39 CAPITAL IMES OBLIQTION 236,979.00 396,832.00 236,975.00 NO, BONDS .00 .00 REPORTARLE BOND ➢ISCOUNT .00 (18,290.00) .00 BOSP OBLIGATION ?OR BONDS .00 15,469.00 .00 .00 TOTAL CURRENT LIABILITIES....., ... 1,629,822.79 ............... 1,567,372.53 ............... 1,406,338.07 LONG TERN LIABILITIES RID' BONDS .DO 2,310,000.00 LONG TERN LEASE - 852,119.00 1,107,360.OD .00 852, 119, 00 TOTAL LONG IERN LIABILITIES.... ............... 152,119.00 ............... 3,417,360.00 852,119.00 TOTAL LIABILITIES .............. 2,482,001.73 ............... 4,984,732.53 ............... 2,156,457.07 ............... RETAINED BARNIBGS GBSERAL POBD BALANCES YW-TO-DATE GMAOS8 9,222,172.20 12,146,196.45 9,222,172.2D 95,269.82 ............... (M,972.18! ............... {32, 711,28) ............... TOTAL GENERA' POND BALANCE••••, 9,317,442.02 ............... 11,567,224.27 ............... 3,201,850.92 ............... TOTAL UNRESTRICTED LIABILITIES. 11,799,143.11 16,551,956.80 11,468, 307, 99 ............... ............... ............... RESTRICTED FORD ASSETS NBNORIAL PD101 PORNDSA TRUST 17,446.70 17,187.05 17,425.28 533,637.41 533,637.41 533,637.11 TOTAL RESTRICTED FMASSETS... .............. I SS1,OB4.1] - ........... . ............. 550, 824.46 ............... 551, 062.69 RESTRICTED FORD LIABILITIES RESTRICTED POND BALANCE PORNOSA TRUST BALANCE 17,446.70 17,187.05 17, 425.28 533,637.41 533,637.11 533,637.41 'TOTAL RESTRICTED POND LIAB..... ....... ........ .. ............ ..... 551, 089.11 550, .829.96 .-.551, ,-.6.... 062.69 J 113 Operating Revenue Inpatient Revenue Medicare Medicaid Other Total IP Revenue YTD IF Revenue Variance Outpatient Revenue Medicare Medicaid Other Total OP Revenue YTD OP Revenue Variance Total Operating Revenue MEMORIAL MEDICAL CENTER OPERATING STATEMENT For the 11 Months Ending November 30, 2004 SINGLE MONTH — YEAR TO DATE — Current Budget Prior Year Current YTO Budget YTD Prior YTD 616,191.89 547,178.77 651,812.18 5,788,841.30 6,110,300.52 6,000,450.60 116,535.46 158,965.37 176,338.91 1,414,344.28 1,775,182.32 1,456,608.80 225,411.41 310,332.23 210.731.48 2,943,062.18 3,465,433.76 2,789,073.25 958,138.76 1,016,476.37 1,038,882.57 10,146,247,78 11,250,916.60 10,246,132.65 1,042,637.98 1,053,188.60 767,771.58 312,355.91 159,655.99 195,683.34 832,871.45 715,288.55 887,915.87 2,187,865.34 1,928,133.14 1,851,370.79 YTD Total Revenue Variance 3,146,004.10 2,944,609.51 2,890,253.36 Revenue Deductions Medicare Cont. Adj. (640,030.77) (755,718.79) (799,088.49) Medicare Pass-thru 75,000.00 0.00 34,547.00 Medicaid Cont. Adj. (335,749.65) (161,317.15) (236,419.91) Indigent/Charity Cont. Adj. (286,941.89) (89,836.67) (98,094.40) Bad Debt Expense (42,494.37) (172,062.13) (191,947.59) Other Deductions (145,847,75) (235,966.96) _ (175,120.58) Total Rev Deductions (1,376,064A3) (1,414,901.70) (1,466,103.97) Deducts as % of Oper Revenue Payments as % of Ober Revenue )then Revenue Cafeteria Sales Interest Income Interest from Bonds Interest from Host, Portion Mall Rental Miscellaneous Income Total Other Revenue Net Revenue (1,204,66e.84) ss,eea.6s) 10,859,873.04 11,760,608.28 7,929,050.83 2,812,240.62 1,782,824.98 1,729,065.25 9,735,936.90 7,907,388.81 12,13083.55 23,408,050.56 21,530,822.07 21,793,099.63 1,877,228.49 F 1,614,950.93 33,554,298.32 32,881,738.87 32,039,232.28 672,559.65 1 F-175-15-56-6-574 (8,830,756.38) (8,438,859.59) (9,320,793.46) 591,810.00 0.00 568,705.96 (2,353,931.11) (1,801,374.63) (2,106,712.97) (1,348,864.20) (988,203.37) (818,825.20) (2,322,963.55) (1,921,360.46) (2,032,354.17) (1,976,161.64) (2,634,964.48) (2,144,490.83) (16,240,866.88) (15,784,762.53) (15,834,470,67) 50.17°/ 48.00% 51:26% 49.83°/ 52.007% F 48.749/6 8,024.84 7,377.05 7,619.66 87,108.99 82,377.05 87,529.36 2,207.47 2,459.02 1,484.14 15,087.22 27,459.02 35,083.48 16.99 0.00 10.03 211.59 0.00 310.63 0.00 0.00 0.00 0.00 0,00 0.00 1,000.00 0.00 7,269.37 63,232.40 0.00 108,597.21 16,350.00 2.868.85 14,104.62 121,563.83 32.035.52 458.105.39 28,599.30 12,704.92 30,487.82 287,204.03 141,871.52 689,626.07 1.796.538.97 1,542,412.73 1,454,637.21 17.600,635,47 17,238,847.73 16.894, 387.68 Pao_e-1- 114 6 A Operating Expense Salaries .Employee Benefits Professional Fees Plant Operation Hospital General Other Operating Expenses Total Operating Expense • MEMORIAL MEDICAL CENTER OPERATING STATEMENT For the 11 Months Ending November 30, 2004 SINGLE MONTH — Current Budget Prior Year 605,705.68 596,292.79 578,928.73 133,960.38 148,157.34 180,201.56 216,495.55 239,139.51 191,912.26 39,846.78 34,661.41 28,774.60 57,307.88 50,583.34 49,197.76 457,884.13 454,631.79 404.184.68 1, 511, 200.40 1, 523,466.18 1, 433,199.59 Net Operating Gain/(Loss) 285,338.57 18,946.55 21.437.62 Von -Operating Expense Depreciation Cost Report Settlement Contribution to County 81,008.47 96,739.00 0.00 126,932.50 0.00 0.00 124.209.91 0.00 0.00 Total Non -Operating Expense 177,747.47 126,932.50 124,209.91 Total Operating Gain/(Loss) 107,591.10 (107,985.95) (102,772.29) :ounty Subsidy 000 000 0.00 Net Gain/(Loss) after Subsidy 107,591,10 (107-985.95 (102,772.29) Page k YEAR TO DATE — Current YTD Budget YTD Prior YTD 6,556,956.79 6,658,089.77 6,530,313.48 1,501,647.92 1,654,424.03 1,869,435.62 2,293,807.56 2,631,534.61 2,376,658.31 471,208.71 381,869.81 371, 960.45 604.514.91 556,416.74 549,699,84 4,610,431.66 5,053,863.24 4,684,905,15 16,038,567.55 16,936,198.20 16,382,972.85 (897,630.65 (344,405.30) 1,562,067.92 302,649.53 511,414.83 938,144.10 1,396,257.50 1,383,752,01 528,654.00 0.00 0.00 0.00 0.00 0.00 1, 466, 798.10 1,396,257.50 1,383,752.01 95,269.82 (1,093,607.97) (872,337.18) 0.00 0.00 (293,365,00) g512B9w82 (1,093,607.97) (578,972.18) 115 w LWL 1� Z LLJ a _U ES CW C J _a 5O L W 2 W J m >o () N W c � M Ul Ul Z M = m 0� U W U 0 Q Z !J. LL 0 0 CD cn Z_ Q Q N o C' o h o LP a m o N o QV LLi mCl) O m O N O F N N m r O r m Cl) Ln M m LL7 m m M M L(i o M o h o O o ({ o coo p O f� Ln M N [D r m c m Cl) Ln N O r (p r O r m N m r d' CC C m(6 V Ln O m LLl M N N m O M a o O o o o LOIr 0 Ln r. 7 c m Ln 0 7 p (v�j N � C m m N CT. M co fD M m N o N o !tee mo N o mo m N O O O C Lo co O m N r O r M, p O N M m N li a)m C m v a o O o N o r o (p LL m m OMCO O •-- m f� (Dmmrmm t` r MM(mpMm HIN4— I� w V Mco� LNnD N m _ J Q LLl C U (n C O U C L)LLJ U C U C U va a- a Jd _L�_) LU Q a M m a N E 00 0 Z O CD m Ln Ln 116 E • MEMORIAL MEDICAL CENTER DEPAATHINIaL INCOME STATEMENT 12/10/04 30:50 AM FOR THE 11 MONTES ENDING 11/30/04 -----•-S I N G 1 8 M 0 N T S------.--. --•-•-••---- Y S A A T O D A T E----.---.... ACTUAL BUDGET $ VARIANCE Y VAR ACTUAL BUDGET $ VARIANCE 1 VAR OB NURSING STATION PZ79 E ROUTINE REVENUE 9,125.00 14,779.49 (5,654.49) (38,251 138,030.00 165,037.60 (26,207.60) (15.87) • TOTAL R8VBN0B. 91115.00 14,779.49 (51654.49) (38.25) 131,030. 00 165,037.60 (26,207.60) I15.B11 EIPBUSES SALUTES 30,610.55 17,332.05 (13;286.50) (71.65) 289, 315.66 191,028.Il 196,287.45) 149.881 OTEER MINSES 3,420.57 2,654.27 (766.30) (28.87) 65,048.00 28,970.21 (36,077.79) (124.53) TOTAL EXPENSES 34,039.12 19,986.32 (14,052.80) (70.31) 354,363.66 221,998.42 (132,365.24) (59.62) MET GAIN/(LOSS (24,914.12) (5,206.83) (19,707.29) (379.48) (115,533.66) (56,%0.82) (158,572.84) 1278.30) ]DISURG NURSING STATION - PBVSNUE ROUTINE REVENGE 115,340.00 130,773.45 (15,433.45) 111,8D) 1,345,340.00 1,460,303.45 1114,90.45) (7.87) TOTAL REVENUE, 115,340.00 130,773.45 (15,433.45) (11,80) 1,345,340.00 1,460,303.45 (124,963.451 17.87) EIPBNSRS SALARIES 83,734.75 76,849.34 (6,885.451 (8, 95) BB9, 532.77 BSB, 151.01 (31,J81.711 13.fi5) GfJ3BA BYPSN5E5 11,759.35 25,088.80 17,329.45 51.57 153,131.20 322,176.97 129,045.77 4D.D5 TOTAL MENUS 35,494.14 305,938.14 10,444.OD 9.85 11012,663.92 1,180,327.9E 37,664.06 8.27 .............. ............. .............. SET GAIN/12AE$ 19, 845.86 24, 835.31 .............. .............. . ..-... 14,909.45) (20.09) 292,576.08 :71,975.47 117, 299.39) 16.171 ICU HORSING STATION REVENGE INPATIENT REVENO 62,685.00 69,213.47 (6,528,47) (9.43) 691,560.00 772,883.71ONTPATIBNT 880 I81, 313.711 I10, 51) . .00 .00 .00 .00 ,00 TOTAL REVENUE. 62,685.00 69,213,47 (6,528,47) (9.43) 691,560.00 772,883.71 I81, 323.111 I10, 51) EIPENSES SALARIES 45,009.37 44,355.25 1654.12) (1.471 453,463.27 495,9DO.25 41,836.98 8.44 O'PBBR EXPENSES 9,151.20 16,943.74 7,792..54 45.59 $2,549.37 187,640.37 105,09D.40 56.00 TOTAL EIPSN58S 54,160.51 61,298.99 7,138.42 11.64 536,D13.24 682,940.62 146,927.38 21.51 NET GAIN/(LASS 8,524.43 7,914.48 609.55 7.70 • . 155,546.71-.--$9, 943.09 65, 603.67 72.93 ...... • NURSERY NUPSING STATION RE48H98 ROUTINE ENV= 51050.00 10,285.65 (4,395.65) (42.73) 94,585.00 114,856.40 (20,271.40) (17.64) TOTAL REVENUE, 51190.00 10,285.65 (4,395.65) (12.73) 94,585.00 EXPENSES 114, 856, 40 (30,273 AO) (17,64) SALARISS 7,394.18 ln,701.23-3,307.05 30.90 102,245.18 119,497.06 17,251.88 14.43 OTEER EXPENSES 11460.10 "228.54 768.44 34.48 25,353.10 24,159.90 TOTAL EXPENSES 81854.18 12,929.77 4,075.49 31.32 127,638.48 144,256.96 16 610.48) 11.521 -----•........ ............. .............. MET GAIN/ILOSS (2,564.28) (2,644.12) 1320.16) 112.10) I73, OS1.4B) (29,/00.56) (],652.92) (11.921 .............. 9 • 117 A MEMORIAL MEDICAL CENTER DSPARTNENIAL INCOIB STATEMENT 12/10/04 10:50 AM FOR IRS 11 MONTHS ENDING 11/30/04 ••••••--- S I N G L E M O N T I---------- --•--------- Y E A R T O D A I A ------------ AcruAl . BVDGST $ VARIANCE 4 VAR AC= BUDGET S VARIANCE 4 VAR SDRGSRY AND RECOVERY REVENUE ROOM INPATIENT RBVBNG 57,376.05 62,563.29 (5,247.24) (8138) 561,321.20 698,623.49 (137,302.25) (19.65) OGTPATIVT RSVEN 122,574.95 168,077.42 145,502.47) (27.07) 1,388,272.60 1,976,864.73 (488,532.13) (26.03) TOTAL 13V3BGE. 179,891.00 230,640.71 (50,749.71) (22,00) 1,949,593.8D 2,575,488.22 (625,894.42) (24.30) EXPENSES SALAMIS 40,755.97 50,444.01 9,688.04 19.2D 423,006.31 563,291.51 140,285.20 24.90 LEASE AND RENTAL 445.98 4,184.33 4,434.35 90.7E 6,695.05 53,727.63 47,032.58 87.53 OT88R EXPENSES 27,531.12 43,251.71 151120.59 36.34 323,982.04 482,704.01 159,721.97 32.88 TOTAL EXPENSES -------------- 68,731.07 38, 580. 05 ------------- 29,842.98 30.27 753,683.40 1,099,723.15 346,035.75 31,46 NET GAIN/(DOSS 111,153.93 132,060.66 -----••------- (20,306.73) (15.93) .............. 1,195,910.40 ....'......... 1,475,765.07 .............. (279,954.67) (18.96) SWING BED RDW PBV&l7GA RODTIRE REVENGE 4,680.00 2,318.68 21361.32 101.83 23,320.00 25,891.95 (21371.95) (9.93) • TOTAL REP=. 4,68D.00 2,318.68 2,361.32 101.83 23,320.D0 25,891.95 (2,571.95) (9.93) EXPANSES 811ARIN8 .00 .00 .00 .00 118.81 :DO (118.81) .00 OTHER EXPENSES .00 .00 .00 .00 253.95 .00 (253.95) .OD TOTAL EXPENSES -------------- .OD ----------••- .OD .DO .00 372.76 .Do (372.76) .00 EST GAIN/RSPHN 4,68D.00 2,318.68 -------------- 2,361.32 -•----••------ 101.83 -------------- 22,947.24 25,B91.35 ------------- (2,944.71) (11.371 OBSERVATION REVENGE REVENGE INPATIENT AEVENG 11,385.00. .DO 11,31S.00 .00 21,285.00 .00 2112B5.00 ,DO OVIPATIENT SEVEN 475.00 18,507.16 (18,032.16) (97.13) 56,705.00 206,663.27 (149,558.27) (72.56) TOTAL REVENGE. 11,8GO.Do 18,307.16 (6,647.IC (35.91) 77,990.00 206,663.27 (128,673.27) (62.26) LABOR AND DELIVERY EXVE130E INPATIENT RUM 1,375.50 10,887.7E (91512.28) 187.36) 64,368.50 121,580.16 (57,211.66) (47.05) OUTPATIENT HIM 1,327.25 1,365.61 (39.36) (2.88) 17,513.75 15,260.45 2,253.30 14.76 TOTAL REIRM. 2,702.75 12,254.39 (9,551,64) (77.94) $1,832.25 136,940.61 (54,958.36) HO.16) EXPENSES SAWRIES 5,304.79 16,503.37 11,198.58 67.85 90,973.53 184,227.53 93,314.OD 50.63 OTHER EXPENSES 1,315.83 21BB0.45 1,56432 54.31 19,818.31 32,169.50 12,351.19 38.39 TOTAL EXPENSES -------------- 6,620.62 ------------- 19,383.82 12,763.20 65.14 11D,791.84 216,457.03 105,665.19 48.81 NET GAIN/(LOSS (3,917.87) ------------ (7,129.43) •- 3,21136 ---........... 45.04 .......... (28,905,59) ----- (79,616.42) -.----------' 50,706.61 63.68 118 • 10 E • XWRIAL EBUICAL CEM DIMMMAL INCOEE STATIIWT FOR TEE 11 ROUT85 ISDING 11/30/04 --•----- S I N G L R N D N T I•--------. ACTUAL BUDGET $ VARIANCE A VAR CEN= SUPPLY REVIROS 1NPATIEr REVENO 33,158.19 621843,9� OUTFATTENT WIN 7,502.65 15,092.9'1 TOTAL REVENUE. 41,040.84 77,936.9: EXPENSES SALARIES 1,187.75 2,816.5E OTEIR EXPENSIS 17,973.24 32,737.42 MAL EXPENSES 191160.99 35,553.97 .............. SIT GAIN/(Loss 21,875.85 ............ 12,392.54 PEARSACY AND TV TELWY RPM INPATIENT IEVENU 211,155.80 243,996.27 WTPATIM RRVE27 122,935.52 118,863.69 TOTAL RIY82n. 334,091.32 162,853.96 EX asm SALARIES 9,704.20 7,290.25 72DF85SIONAI FIE 8,260.36 7,916.67 EXPENSES 59,350.88 47,945.62 TOTAL WIESER 77,315.44 63,152.54 -------- NIT GALS/(Loss - ----- 256,775.08 -----•------- 299,707.42 C16P IRFOSION Tm3my REVIUM INPATIENT REVENO .00 .00 OUTPATIENT RIM .00 .00 TOTAL HUM. .00 .00 EXPBSSES SALARIES .00 .DO OTEER ETPENSES .00 .00 TOTAL EXPENSES .00 .00 -------------- NET CAIN/(Loss ------------- .00 .00 12/10/04 I0:50 AN ............ Y I A R T D D A T E............ ACTUAL BUDGET $ VARIANCE A VAR (29,385.75) (46.751 428,367.15 701,757.22 (273,390.07) (38.95) 17,510.32) 143,76) 98,601.90 168,538.01 (69,936.17) (41,19) (36,096.07) (47.34) 526,969.05 070,295.29 (343,326.21) 139.44) 1,628.80 57.$2 13,791182 31,451.56 17,659.74 56.14 24,764,18 15.09 153,091.51 364,198.33 211,806.82 50.04 16,392.38 .............. 46,1D 166,883.33 .............. 396,349.89 229,466.56 57.89 (20,503.09) (48.37) 360,015.72 --- .......... 473,915.40 .............. 1113,859.68) (24.02) 132,840.47) (13.45) 2,202,609.11 2,724,625.09 4,071.83 3.42 1,299,791.83 1,321,311.20 (28,768.64) (7.92) 3,502,400.54 051,936.29 12,413.95) (33.11) 102,936.34 811401.14 1343.69) (4.34) 88,307,02 87,083.37 (11,405.26) (23.78) 611,754.89 535,862.35 (14,162.30) (22.42) 802,999.25 704, 353.41 (12,931.54) 114.32) 2,699,402.69 3,347,582.83 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .o0 00 .00 .00 .DO .00 .00 .00 (522,015.90) (19.15) (27,519.37) (2.07) (519,535.35) (23.56) (21,528.6D) 126.N1 11,223.65) 11.401 (75, B92.SQ 114.16) 198, 644.791 114.00) 1648,120.141 (19.36) .00 .00 .00 .00 .00 .00 .00 .DD .00 .00 .Do oD 00 .00 11 119 14ENORM NEDICKL CENTER DEPARTMENTAL IRC01E STATESM PGR THE 11 NONTHS EATING 11/30/04 •---•---- S I N G L E N 0 N T E ---------- ACTUAL, BUDGET $ VARIANCE A VAR EMERGENCY ROOM 18VBMUE INPATIENT Rum 45,831.25 25,296.7 OMIT= P8VE7 173,491.50 146,216.1 TOTAL REVENUE. 219,322.75 171,515,2 BSPEREES SALARIES 59,680.04 51,700.0 PROFESSIONAL P86 76,349.16 76,666.E LEASE I RENTAL 1,362.35 2,000.0 12/19ID4 20:30 AN .........--- Y 8 A R T O D A T E----------- ACTUAL BUDGET $ VARIANCE A VAR 0 9 20,534.46 81.17 419,435.37 282,400.94 5 27,273.05 18.65 2,027,501.76 1,632,772.84 4 47,807.51 27.87 2,446,937.13 1,915,253.78 0 (71980.04) (15,43) 623,717.89 577,316.0 7 316,91 .41 849,223.72 843,333.37 637.65 31.00 19,131.58 12,C00.00 2 (3,926.62) (42.85) 126,417.17 102,427.51 9 (10,952.10) (7.841 1,618,490.7E 1,545,077.55 36,855.41 115.22 828,446,37 370,176.23 21,930.25 187.38 255,653.00 13D,689.09 20,390.10 17,46 1,512,191.62 1,303,671.42 42,321.05 32.94 1,771,884.62 1,434,360.51 134, 954.43 48.48 394,728.92 24.17 511,683.35 27.76 (46,401.22) (8.03) (5,89D.35) (.69) 2,668.02 13.03 423,989.66) (23.42) (73,413.21) (4.75) 458,270.14 123.75 129,OD3.91 98.71 208,520.20 15.99 337,524.11 23.53 .00 .00 .00 ,00 .00 .00 .00 .00 .00 .OD .00 .00 .00 .OD .DO .00 .00 .00 .00 .00 .00 .00 Do .00 690.07 .00 (198.02) .00 199.02 .00 .00 .DO 173.85 .00 - (173.85) .DO .00 .00 .00 .OD .OD .00 .OD .OD .00 .00 .00 .00 690. D7 .00 124.17) ,Do 24.17 .00 ........... .............. .............. .............. 690.07 .00 24.17 ,DO 24.17 .00 (354.73) (.35) 1,102,352.01 1,126,442.11 (24,090.10) (2.13) 60,808.06 27.46 2,998,130.74 2,472,725.57 525,413.17 21.24 60,453.33 18,75 4,100,490.75 3,599,157.68 501,323.07 13.92 (2,268.47) (5,19) 452,831.17 487,369.17 34,538.D0 7.08 11,655.37) (35.59) 52,831.$D 52,250.0D (581.80) Y1,111 (250.01) (.46) 597,103,8R 599,713.85 2,609.97 .43 fl,213.85) (4.11) 1,102,766.05 1,139,333.02 36,566.17 3.20 56,235.48 25.56 2,597,723.90 2,159,834.66 537,889.24 21.86 L 120 C] • 12 MODEM aDICAL CENTER DEPARTMENTAL INCOHB STATEHEET 12/10/04 10:50 AN FOR TEE 11 HONTES ENDING 11/3D/04 -------- S I H G L E H 0 N T E-------.-- ............ T 9 A R T O D A T 2----------•. ACTUAL MOST $ VARIANCE A VAR ACTUAL EDDGET S VARIANCE A VAR RL00D BANK REVSNIIB A'PATIENT MUD 35,277. 00 14,219.32 21,057.68 148.09 233,324.86 158,782.39 74,542.47 46.94 - MPATIENT REM 9,869.25 5,473.43 4,395.82 00.31 90,948.75 61,120.05 29,828.70 48.80 TOTAL SPENDS. MUSES 45,146.25 19,692,75 25,453.50 129.25 324,273.51 219,902,44 104,371.17 47.46 MUSES 12,552.94 51614.75 (6,938.19) (123.57) 75,897.57 62,698.09 (13,199.48) (21.05) TOTAL EZP39SES 12,552.94 .............. 51614.75 ............. (6,938.19) .............. (123.S7) 7S,897.57 621698.09 (13,199,46) (21.05) NET GAIH/ILOSS 32,S93.31 -14,078.00 16,515.31 131.51 .............. 249,376.04 __....._..... 157,204.35 .......... 91,171.69 57.95 OCCOPATIORAL MEDICINE REFENDB INPATIENT MENU .00 .00 ,Do .00 ,OD ,DO OUTPATIENT REM ,00 .00 .00 .00 .00 .Do .00 .00 TOTAL UvUaE. .OD .00 .00 .Do .00 .00 .00 .DO .Do MINES .OD PROPESSIORAL PEE ,00 .00 .00 .00 DTESR EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES ----------•--- .DO .00 --•--------•- .00 ---------- .00 .00 .00 .00 .00 .00 .00 .00 ,00 NET GAIN/(LOSS .00 .00 -- .00 ....... .00 .00 .00 .00 .00 SAFETY DUTIES REVm OUTPATIENT REM .00 .00 .00 TOTAL RSVEEOB. .00 .00 .00 .00 .00 .00 .DO AD MUSES .00 SALARIES .00 .00 - .00 .00 .OD .00 DTEER MUSES .00 .00 .00 .OD .Do .00 TOTAL EXPBNSSs .00 .00 .00 .00 .00 .00 •----------•-- -------•----- -----•-----•- .00 .00 .OD .00 .00 .00 NET GATE/(Loss .Do ,00 .00 ,Do ,00 .Do .00 .00 ELECTROCARDIOLOGRAPRY (EEG) RVM ISPATI INPATIENT RYYBND OUTPATIENT RIM 21,998.75 17, D96.32 1,402.43 25.75 181,776.00 190, 908.81 19, 132.811 14.78) TOTAL MUDS. 47,380.75 49,213.48 (1,832.73) (3.72) 4981413.50 $45,550.57 (51,137.07) (9.30) EXPENSES 68,879.50 6i,309.80 2,565.70 3.87 600,189.50 740,459.38 (60, 169.88) (8.13) EXPENSES TOTAL MUSES 2,815.88 21815.88 2,912.60 96.72 3.32 29,247,72 32,272.63 3,024.91 9.37 -------------- ------------- 2,912.60 -------------- 96.72 3132 29,247,72 32,272.63 3,024.91 2.37 NET GAIN/(LOSS 66,063.62 63,337.20 2,666.42 .............. 4.20 .............. 650,941.71 .............. 708,186.75 157,244.97) (BIDE) 13 E 121 RADIOLOGY REVINDE INPATIENT RUM MTPATIRNT REM TOW, REVB17U8. EXPBMES SALIRIRS P1017SSIDML PRE OTEEB. EXPENSES TOTAL EXPENSES NIT OAIN/ILOSS MM18AR MERDTCI28I RBM M INPAT UT Rvm OUTPATIM REFBN TOTAL REVENUE. EXPENSES DIM EIP3N75R5 TOTAL EXPENSES M60RIAL AIDICA6 CENTER DSPART616ATAL INCONB STATEM FOR TET 11 MONTHS ENDING 11/30/04 •-••----- 6 I E C 4 8 N O N T E------•--. ACTUAL BUDGET 5 VARIANCE A VAR 12/10/04 10:51 AN ............ YEAR TO ➢ ATE ------------ ACTUAL BUDGET $ VARIANCE A VAR 9,300.00 15,660.30 (5,760.30) (16.78) 132,301.15 112,533.38 96,948.24 15,585.11 16.07 1,260,600.76 122,433.38 112,608.54 9,824.84 8.72 1,392,904.91 44,190.84 49,813.69 5,622.85 11.28 504,850.26 3,650.00 2,300.00 (11150.00) (49.00) 28,500.92 11,591.55 12,647.59 16,350.39) (50.21) 164,506.94 66,838.79 .............. 64,961.25 ............. (1,877.54) (2.89) 697,858.12 55,594.59 .............. 47,647.29 71947.30 16.67 ----•---•----- 695,049.79 7,117.00 41327.61 31,057.59 38,609.30 41,184.59 42,936.91 3,031.12 7,447.19 3,031.12 .......... 7,447.19 ............. NET GAIN/(LDSS 30,153.47 35,485.72 VLTRAEOUNO RBVENOE INPATIENT RIM 5,314.26 OUTPAT261TE am 38,175.52 TOTAL R848f40B. 43,789.78 EXPENSES LEASE 6 REMAL .00 OTHER EEPBNS85 31168.95 TOTAL WIESER 3,168.95 -------------- M GAIN/(LOSS 40,620.83 �fa4u,1;l INPATIENT R8VE34U 19,154.25 OTPATIRNT WE 161,646.25 TOTAL RUM. 180,8D0.30 SEPEESES LEASE A REMAL 12,455.00 cm EXPENSES 4,061.66 TOTAL EXPENSES 17,356.66 NET GAIN/(LOSS 163,443,84 4,779.86 46,76D.49 51,540.35 .OD 21497.54 2,487.54 49,052.81 33,301.08 136,031,44 169,352.52 20, 090.00 7,899.03 27,899.03 141,453.49 174,971.41 11082,588.71 11257,462.12 556,252.85 27,500.00 141,050.56 724,803.41 532,638.71 2,759,39 64.68 97,565.48 48,324.92 (4,551,71) 111.78) 445,734.18 431,137.15 (1,752.32) (4,01) 543,299.66 479,462.07 4,416,07 59.19 46,393.27 83,600.49 4,416.07 ........... 53.29 46,393.27 83,600.49 2,663.75 7.50 .............. 496,9D6.39 .............. 395,861.58 534.40 11.18 64,218.55 53,375.27 (8,284.97) (17.71) 494,784.18 512,158.69 (7,750.57) (15,03) 559,003.13 575,533.96 .DO .00 ,00 .00 (981.41) (27,39) 34,300.91 28,277,54 (681.41) (27.39) 34,300.91 29,277.54 18,431.91) (17.181 524,702.22 547456.42 (14,146.83) (42.48) 356,750.25 371,862.09 25,594.81 18.01 21094,038.40 1,519,241.02 11,447.98 6.75 2,450,788.65 1,191,103.11 7,505.00 37.52 153,514.24 220,000. DO 3,037.37 38.45 87,447.59 88,707,30 10,512.37 37.78 240,961.83 308,701.30 21,930.35 15.54 2,209,826.82 1,582,395.81 (42,569.20 124.34) 178,012.05 16.44 135,442.79 10.77 51,402.59 9.24 (11000.92) (3.63) (23,436.38) (16.62) 26,945.29 3.71 162,388.08 30.48 49,240.56 101.89 1097.03 3.38 93,837.59 13.31 37,207.22 44.50 37,207.22 44.50 101,044.81 25.52 10,843.68 20.31 (27,M.51) (5.24) (16,530.83) (2.87) .00 .00 (6,023.37) 121.30) 16,023.37) (21.30) 122,554.207 (4.12) 115, S11,B91 (9.06) 514,791.3E 37.83 559,685.54 29.55 66,485.76 30.22 1,259.71 1,42 97,745.47 21.94 627,431.01 39.65 122 • • 0 14 MEMORLU, MEDICAL CENTER DEPARTMENTAL INCOME STATNMENT FOR TUN 11 MONTHS MING 11/30/D4 ------•-- S I N G L H M 0 N T H---------- Am= BUDGE7 $ VARIANCE A VAR 12/10/04 10:50 AM ........... Y E A R T O D A T 2 ------------ ACTUAL BUDGET $ VARIANCE A VAR MAMMOGRAPRY REVENDB INPATIENT RBVBNU 80.00 .00 00.00 .DO 395.00 264.03 130.97 49.90 OCTPATIBNT ENTER 9,438.50 5,846.02 31592.48 61.45 71,742.50 65,280.43 61462.07 9.B9 TOTAL REVENUE, 91518.50 5,846.02 3, 612.48 62.82 72,137.50 65,S44.46 6,593.04 10.05 EXPENSES OTHER EXPENSES 1,934.5B 2,337.11 462.59 19.29 17,893.29 27,157.20 9,263.51 34.11 TOTAL EXPENSES 1,934.58 2,397.17 462.59 19.29 17,093.29 27,157,20 91263.91 34.11 -------------- -------------------------- .............. ENT GAIM/ILOSS 71513.92 3,448.85 41135.07. 119.05 54,244.21 38,387.26 15,856.95 41.30 al REVENUE INPATIENT REVEMO 3,061.77 ,10,631.04 (11565.27) (14.76) 103,834.10 118,713.22 114,879.12) 112.531 DDTPATIENT REM 127,122.50 I22,890.17 4,242.33 3.45 1,334,119.16 1,372,161.80 (37,942.64) (2.76) TOTAL HVENUS. 136,184.27 133,511.21 2,673.06 2.00 1,438,053.26 1,450,875.02 (52,821.76) (3.54) EXPENSES OTHER EXPENSES 30,293.80 31,463.52 11175.72 3.73 340,902.29 347,017.89 - 6,035.60 1.73 TOTAL EXPENSES 30,293.80 31,469.52 11275,72 3.73 340,922.25 347,017.89 6,035.60 1.73 .............. ............. .............. NET GAIN/(Loss 105,130.47 102,D41.69 3,848.7E 3.77 1,097,070.97 1,143,857.13 (46, T86,161 (4.09) AAEBTBEsIA REVENUE INPATIENT ='ENC 25,791.00 37,444.55 (11,653.55) (31.12) 327,157.75 418,130.84 (90,973.09) 121.75) OUTPATIENT URN 91,788.25 67,293.7E 21,434,47 36.39 954,270.7S 751,417.25 202,623.50 26.99 TOTAL UPENDS. 117,579.25 104,738.33 12,040.52 12.26 1,281,428.50: 1,169,578.09 1111850.41 9.56 EXPENSES PROFESSIONAL PEN 51,253.99 . 44,630.25 (6,623,74) (14.84) 433,474.59 490,932.75 57,458.16 11.70 OY LEASE E RENTAL .00 50. DD 50.00 100.00 589.87 550.00 (39.37) (7.24) %eR SXPENSSs 8,354.88 3,278.15 (5,076.73) (154.86) 45,057.09 36,376.18 (B,678.91) 123.85) TOTAL EXPENSES 59,608.87 47,958.40 (11,650.47) (24.29) 479,121.55 527,860.93 48,739.38 9.23 .............. ............. .............. NET am/(LOSS 37,970.38 56,772.93 2,190.45 2.09 802,306.95 611,717.16 160,589.79 25.02 DIALYSIS UNIT REVENUE OUTPATIENT REVEN 457,070.12 336,017.74 121,052.38 36.02 4,071,149.15 3,752,198.14 323,951.01 8.63 TOTAL HVIO M. 457,070.12 336,017.74 121,OS2.38 36.02 1,076,149.15 3,752,198.14 323,951.01 8.6J EXPENSES SALARIES 30,117.D1 26,739.43 13,377.58) (12.63) 307,742.63 298,590.26 (9,152.37) (3.06) OTHER EXPENSES58,53D.74 55,178.76 (3,351,90) (6.07) 539,636.20 614,316.77 74,682.57 12.15 TOTAL EXPENSES 88,947.75 B11918.19 (6,729.56) (8.21) $47,378.83 912,909.03 65,530.20 7.17 .............. ............. .............. _ _ NET GAIN/(LOSS 368,422.37 254,099.55 111,322.82 44.99 3,228, 770.32 2,839,289.11 389,481.21 13.71 15 0 123 0 WORM MEDICAL CENTER DEPAR096ENTAL INCOXI STATEMENT 12/10/04 10:50 AR FOR THE 11 ROM ENDING 11/30/04 --------- S I N G L E M O N T I - --------- ............ YEAR TO DATE- ------- - ACTUAL BUDGET $ VARIANCE k VAR ACTUAL BUDGET $ VARIANCE k VAR CARDIOPULMONARY REVENGE INPATIENT REVSND 99,765,75 106,295.33 (6,52938) (6.14) 1,D51,431,3B 1,186,964.45 (135,533.07) (11.41) OUTPATIENT SEVEN 26,461.00 21188SX 4,575.10 20.90 296,283.56 244,352.50 51,891.D6 21.23 TOTAL REVENUE. 126,226.75 128,181.23 (11954.48) (1.52) 1,347,714.94 1,431,355.95 (83,642. D11 (5.84) EXPENSES SALARIES .00 .OD .00 .00 .00 .Do ,DO LEASE R RENTAL 37.48 500.OD 162.52 92.50 4,533.65 5,500.00 566.35 .DO 10.25 OTHER EMSES 29,117.01 27,061.37 (2,055.64) (7.59) 337,523.90 297,565.54 (39,958.36) 113.42) TOTAL EXPENSES 29,154.49 -------------- 27,561.37 ------------- (11593.12) -------------- (5.78) 342,457.55 303,065.54 (39,392.D1) (12.99) NET GAIN/(LOSS 97,072.26 100,619,86 (3,547.6D) (3,52) .............. 1,DOS;257.39 .---.......... 1,128,231.41 .............. (123,034.02) 130.90) CARDIAC REHAB RInm PATI IMPATIENT R89EN0 .00 ,00 .OD ,OD .00 .00 OUTPATIENT WIN .00 .OD .00 .OD .Do .00 ,00 ,OD .00 .00 TOTAL REVENUE. .00 ,00 .00 .00 .00 ,00 ,00 EXPENSES .00 SALARIES .00 .00 .00 .00 .00 ,00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .OD .00 .OD TOTAL ZXPENSES .Do ............. .Do ............. .00 .OD .00 .DO .00 .00 .00 EST am/ILOSS .00 .Do .............. .00 .00 -------------- .OD .............. .............. .00 ,00 .00 OCCUPATIONAL THERAPY 117M INPATIENT REVEEU 751.50 11099.01 (347.57) (31.62) 51086.00 12,272.B5 (3,185.85) (25.96) OUTPATIW REVBN 221,75 1,116.75 (905.00) (80.31) 4,831.87 12,582.06 (71750.19) (61.59) TOTAL REVENGE. 973.25 2,225.82 (1,252.57) (56.27) 13,917.87 24,854.91 (10,937.04) (44.00) EXPENSES SALARIES .00 .00 .00 .00 ,00 .DO .DD .00 OTHER EXPENSES 945.00 500.00 (445.00) (89.00) 1,912.50 5,500,00 31587.30 65.22 TOTAL EXPENSES -------------- 945.00 ------------- 500.00 (445.00) (89,DD) 11912.50 5,300,00 3,587.50 65.22 NET an/ 28.25 -------------- 1,725.82 (1,697.57) (98.36) .............. 12,005.37 .............. .............. 19,354.91 (7,349.54) (37.97) PHYSICAL THERAPY REVENUE INPATIENT SPENT! 32,386.25 26,O04.16 1,302.09 24.16 235,702.50 291,273.11 (55,570.81) (19.07) OUTPATIENT REM 139,329.74 112,197.19 27,132.25 24.18 1,284,783.90 1,252,871.83 31,912.07 2.54 TOTAL REVENUE. 171,715.99 138,281.63 33,434.34 24.17 1,520,486.40 1,544,144.94 (23,658.54) (1,53) EXPENSES PROEESSIONAL PEE 40,000.00 31,500.00 12,500,00) (6.66) 407,444.65 412,500.00 5,055.35 1.22 OTHER EXPENSES 3,294.69 2,717.21 (577M) (21.25) 20,240.31 30,525.54 10,285.23 33.69 TOTAL EXPENSES -------------- 43,294,69 40,217.21 (3,077,48) (7,65) 427,6$4.96 443,025.54 15,340.58 3.46 • NET GAIN/(LOSS ------------ 128,421,30 --- 9B4O64.49 ----------- 30,356.86 ......... 30.95 .... - 1,092,8D1.44 .....--.....-. ....---------- 1,101,115.40 (91111,56) (.75) 124 16 • MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR TEE 11 MONTHS ENDING 11/30/04 S I N G L E M O N T E----...... ACTUAL BUDGET $ VARIANCE A VAR HOME MUTE CARE 121lD/04 M50 AN ----------- YEAR To DATE ------------ ACTUAL BUDGET $ VARIANCE A VAR IMPATIENT INVENT .00 .00 ,Do .00 .00 .00 OUTPATIENT SEVEN 84,335.40 81,518.00 21817.40 3.45 1,102,16L70 910,284.32 ,Do 191, 883.38 ,DO 21.07 TOTAL REVENUE. 84,335.40 81, 518.00 2,817,40 3.15 11102,167.70 930,284,32 191,883.38 21.07 EXPENSES SALARIES 27,02B.86 25,363.44 (11665.42) (6.56) 3151781,89 283,225,11 (32, 556.78) 111.99) TEASE R RENTAL .00 83.33 83.33 100,00 524.40 916.63 392.23 42.79 OURIE MINSES 7,857.64 ID,837.63 2,979.99 27.49 155,002.51 120,128.59 (34,873.92) (23.D3) TOTAL EXPENSES 34,886.5D 36,284.40 11397.90 3.85 471,308.80 404,270.33 (97,038.47). (16.58) NET GAIN/(LOSS 49,440.90 45,233,60 4,215.30 9.31 .............. 630,858.90 .............. 506,013.99 .............. 124,844.91 24.67 HOSPICE REVENUE OUTPATIENT HIM .00 .OD .00 TOTAL EEVBROB. .00 .00 .00 .OD .00 .00 ,Do L00 MUSES L00 .00 .00 .00 .00 SALAAI85 .00 .00 .00 .00 .00 .00 PROFESSIONAL PEE .00 .00 .00 .00 .00 .00 OTEER EXPENSES .OD .00 .00 .00 .00 .OD .00 TOTAL EXPENSES .00 .00 .00 .00 .DO .00 .00 -------------- ------------- -----------•- .DO .00 .00 .00 .00 .00 HST GAIN/(Loss .00 .00 .00 .00 .00 .00 .00 .00 PRIMARY HEALTH CARE REVENUE DUTPATIRMT am .80 .00 TOTAL REVENUE. .00 .00 00 MUSES L00 Lao .00 .DO ,DO SALARIES .00 ,Do .00 .00 .00 OTHHR EXPENSES .DO .00 .00 .00 .OD .00 TOTAL EXPENSES .00 ,00 .00 •DO .00 --- .Do .Do Do .Do LoD NET GAIN/(Loss .DO ,00 - .00 .00 .00 .00 .00 DO MEN VIEW REFUSE OUTPATIENT RBVEN .00 TOTAL REVENUE. ,00 .00 .00 ,00 .OD .00 LOD .00 8%PENSSs ,pp .00 L00 .DO .00 .DO .Do SALARIES .00 00 0° ' '00 PROFESSIONAL FEE •00 ,DO .00 .DO .00 .00 OTEER EXPENSES .00 .Do ,00 .00 .Do .00 TOTAL EXPENSES .00 ,00 .OD .00 .00 .DO .0o .00 .00 -------------- -----------o .00 .DO ,00 .00 °° °° NET CAN/ILOSS .00 .°° .00 ,Do .DO .OD DO .00 17 125 WORIAL MEDICAL CENTER DBPARTIDLYRAL INCOME STATEMENT FOR THE 11 MONTHS ENDING 11/30/04 ---•----- S I H G L E M 0 N T H---- • ----- ACTUAL BUDGET $ VARIANCE A VAR CHENICAL DEPENDENCY 12/10/04 10:50 AM ---••------ YEAR TO D ATE ----------- ACTUAL BUDGET $ VARIANCE A VAR CUTPATIENT WIN .00 .00 ,00 .DO .00 .00 .00 .00 TOTAL RBVENNE. .00 .00 .00 ,00 ,DO .00 .00 .00 EXPENsIs SALARIES .00 .00 .Do .DO .00 .00 .00 .00 PROFESSIONAL FEE -.00 .00 .00 .00 .00 .DO .00 .00 OT88R EXPENSES .00 .00 .Do .00 .00 .00 .00 ,DO TOTAL EXPSN9Es .00 .00 .00 ,00 .OD .00 ,DO .00 -------------- ------------- -------------- -------------- -------------- -------------- NET GAIN/(Loss .00 .00 .00 .00 ,00 .00 .00 .OD DIETARY RUM INPATIENT Ism ,00 .00 .00 .DO .00 ,OD .00 .DO OUTPATIENT RIVER .00 .00 .00 .00 .00 .00 .00 ,00 I= RBVENOE. .00 .00 .00 .00 .Do .OD .00 .00 MINSES SALARIES 12,359.98 11,185.66 85.68 .68 139,173.86 135,423.16 249.30 .17 PROFESSIONAL FEE 1,300.00 1,733.33 433.33 24.99 14,437.50 19,066.63 4,629.13 24.27 DOW EXPENSES 14,233.54 16,522.25 2,288.71 13.85 171,767.99 184,161.14 51395.15 2.92 TOTAL EXPENSES 27,933.52 30,741.24 2,007.72 9.13 332,379.35 342,652.93 10,273.5E 2.95 .............. .............. .............. .............. NIT GAIN/12As8 127,933.52) 13D,741.24) 2,SD7,72 9.13 (332,379.35) (342,652.93) 10,273.58 2.99 MEDICAL RECORDS EXPENsEs SALARIES 16,291.55 21,267.13 4,975.5E 23.39 200,693.09 237,482.56 36,789.87 15.49 LEASE R RBNW, 1,601.00 2,666.67 11065.67 39.96 19,389.41 29,333.31 91943.96 31.89 mm MINSES 51086.53 3,998.85 (1,087.68) 127.191 43,921.30 44,DD5.40 84.10 .19 TOTAL EXPENSES 22,973.08 27,932.65 4,953.57 17.73 264,003.80 310,821.73 46,817.93 15.06 CARS PROGRAM EXPENSES OTEBI EXPENSES 784.78 .00 (784,781 .00) 5,301.55 .00 (5,301,55) .OD TOTAL EXPENSES 714.78 ,Do (784.78) .OD) 5,301.55 .00 (5,301.55) ,DO MEIHTInm EXPENSES SALARIES 12,315.88 12,148.12 (367.76) (3,02) 136,2D1.15 135,653.35 (547.20) (.40) OTEER EXPENSES 1,052.07 2,044.04 932.77 48.55 15,192.17 22,715.95 71523.78 33.12 TOTAL WINDS$ 13,567.55 14,192.96 625.01 4.40 151,333.32 158,369.9D 6,976.5E 4.40 PLANT OPERATIONS EXPENSES LEASE A RENTAL 45.00 54.17 9.17 16. 92 495.00 595.87 100.87 16.92 E1,1CTRICITT 26,DO3.43 27,916.67 1,913.24 6.85 276,279.24 3D7,083.37 3D,804.13 10.03 NAM A SERER 5,598.54 .00 (51598.54) .00) 51,510.85 .Do (52,510.85) .00 GAS 3,531.64 .00 (3,531.64) ,OD) 401321.40 .00 (40,321.4D) .DO DONNE EXPENSES 4,185.17 6,690,57 1,805.40 26.58 101,954.22 74,190.57 (21,763.65) (37.42) TOTAL EXPENSES 40,063.78 34,561.41 (51402.37) (15.5B) 471,560.71 381,869.81 (89,690,9D) (23.48) 126 18 0 • • • MBNORIAL MEDICAL CENTER DEPAR=,U INCOME STATEMENT 12/10/04 10:50 AM FOR THE 11 MONTHS ENDING 11/30/04 --------- S I N G L E M 0 N T S----------............ I E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE 8 VAR ACTUAL BUDGET $ VARIANCE 1 VAR GROUNDS EXPENSES SALARIES .00 .00 .00 .00 .00 ,Do .00 .00 OTHER EXPENSES 517.63 .DO ml.63) .00) 6,932.08 ,OD (6,932.08) .00 TOTAL EXPENSES 617.63 .00 (617.63) .00) 6,932.08 ,Do 16,332.08) .00 TRANSPORTATION EXPENSES SALARIES 1,152.00 1, 119.83 (32.17) (2.87) 13,263.54 12, 504. 83 (758.71) (6.06) OTHER EXPENSES 373.36 628.09 254.73 40.55 5,238.68 619B4.57 11745.89 24.99 TOTAL EXPENSES 1,525.36 1,747.92 222.56 12.73 18,502.22 19,489.40 987.1E 5.06 HOUSEXEEPING EXPENSES SALARIES 20,377.73 21,182,46 904.73 3.79 216,405.08 236,531.46 20,132.38 8.51 OTHER EXPENSES 5,220.33 7,132.66 11512.27 26.81 65,463.75 79,S11.06 10,117.31 12.71 TOTAL EXPENSES 25,598.12 26,315.12 2,717.00 9.59 285,868.83 316,118.52 30,249.69 9.56 LAmmy EXPENSES OUTSIDE SERVICES 6,020.71 9,000.DO 2,979.29 33.10 75,68B.01 991000.00 23,311.99 23.54 OTHER EXPENSES .00 .00 .00 .00 .00 .00 - .Do .00 TOTAL EXPENSES 6,020.71 9,000.00 2,973.29 33.10 75,688.01 99,000.0C 23,311.99 23.54 SECURITY EXPENSES SALARIES 5,242.97 51380,58 137.61 2.55 62,121.21 60,083.08 (2,038.13) (3,39) OTHER EXPENSES 414.72 650.73 236.01 36.26 5,689.57 7,570.71 11881.14 24.84 TOTAL EXPENSES 51657.69 6,031.31 373.62 6.19 67,010.78 67, 65J.79 (156.99) (.131 PERFORMANCE INPROVEMOM EIPENNES SALARI85 1, 783, i1 5,909.84 4,126.13 69.81 21,198.60 65,993.17 44,794.57 67.17 OTHER EXPENSES 564.39 1,005.73 441.34 43.88 31364.96 12,214.67 2,843.71 72.45 TOTAL EXPENSES 2,34S.1D 6,915.57 4,567.47 66.04 24,563.56 78,207.04 53,644.28 68.55 SOCIAL WORXBR/DINCHARGE PLANNI EXPENSES SALARIES 41800.00 71059,68 21258.68 31.99 51,023.76 78,822.02 27,798.26 35.26 OTHER EXPENSES 367.20 724.72 357.52 49.33 41216.85 8,435.08 4,222.23 50.03 TOTAL EXPENSES 51167.20 7,783.40 2,616.20 33,61 55,240.61 87,261.10 32,02D.49 36.69 CALHOUN COUNTY INDIGENT EXPENSES SALARIES 3,376.49 .00 (3,376.49) ,Do) 36,068.19 .00 (36,069. 19) .00 OTHER EXPENSES 12.26 .DO (12.26) .00) 264.21 .00 (264.21) .00 COUNTY OFFSET (3,160.82) .00 3,160.82 .00 (36,240.90) ,00 36,240.90 .00 TOTAL EXPENSES 227.93 .00 (227.93) .001 91.5D ,Do 151.50) .DO 19 i 127 12NORIAL HBDICAL CENTER MAXIMAL INCOME STATES E 12/10/04 10:50 AN FOR TEE 11 NONTES ENDING 11/30/04 M 0 H T B---------- ............ Y E A R T O G A T 2 ----------- ACTUAL BUDOET $ VARIANCE 4 VAR ACTUAL E00GET $ VARIANCE 4 VAR BUSINESS OFFICE MUSES SALUISS 19,560.63 15,310.5' LEASE A RENTAL 336.52 150.0i COLLECTION WIN 11863.15 2,500.01 OTM SNPSNSES 24,222.17 9,738.31 TOTAL EXPENSES 45,9B2.47 31,698.9: CDOUNICATIONS MUSES SALARIES 8,441.40 6,542.62 OTM EXPENSES 820.32 1,7D6.91 TOTAL SIPENSES 5,261.72 10,249.51 DATA PROCESSING MESSES SAIABIES 51218.78 2,634.10 Dim MINSES 11,545.2D 12,091.66 TOTAL EXPENSES 16,763.98 14,725.76 NURSING ADHIMSTRATION EXPENSES SALARIES 9,147.47 8,370.DD GREEN EXPENSES 2,016.22 2,071.61 TOTAL EXPENSES 11,163.69 10,441.61 SOUSE SUPERVISOR EXPENSES SALARIES .OD ,Do OT'ffi EXPENSES ,DO .00 TOTAL EXPENSES 'co ,Do INFECTION CONTROL MUSES SALARIES 51124.56 .00 OTHER EXPENSES 606.65 .00 TOTAL EXPENSES 5,731.21 .00 EDUCATION EXPENSES SALARIES 3,364.48 4,112.95 OTHER RXPSNSES 761.39 1,140.53 TOTAL SIPENSES 4,125.87 5,253.48 ACCOUNTING - EXPENS85 SALARIES 5,700.41 5,622.55 OTBSR WINNERS 3,324.33 3,465.23 TOTAL EXPENSES 9,024.74 910BB.18 (250.06) (1.29) 201,179.19 215,634.74 (186.52) (124.34) 4,416.40 1,65D.DD 636.85 25.47 31,171.47 27,500. 00 (14,183.21) (148.72) 106,818.26 107,256.92 (14,283.54) (45.06) 343,SB5.32 352,081.66 101.22 1.18 E9,625.25 95,392.62 886.53 51,94 1D,906.87 19,765.42 981.81 9.63 100,532.12 115,179.04 12,594.61) (92.12) SS, D52.68 29,414.10 546.46 4.51 131,726.14 131,192.27 12,038.22) (13.84) 186,778.82 162,6D6.37 1777.47) 19,28) 39,327.20 9)1465.00 55.39 2.67 18,033.15 22,833.13 (722.08) (6.91) 117,960.65 116,238.13 .00 .00 .00 .Go .00 .Do .00 .00 .DO .00 ,00 .00 (51124.56) .W SD,891.38 .Do (606,65) .00) 6,936.42 .00 (5,731,21) .00) 57,777.80 .00 740.47 1B.19 - 45,228.42 45,927,95 379.14 33.24 19,456.53 13,223.5D 11127.61 21.46 64,684,95 59,151.45 (77.46) (1.371 61,425.35 62,703.61 140.90 4.06 51,752.21 38,243.63 63.44 .69 113,177.56 101,033.26 14,435.53 6.70 (2,766.40) (167.66) (3,671.47) Ill.35) 418.66 .44 8,496.34 2,41 5,797.37 6.04 81872.55 44.87 14,645.9E 12.71 (25,639.59) (87.16) 1,466.13 1.10 (24,172 .45) (14.26) 16,462.20) (6.917 4,713.68 21.02 (1,662.52) (1.42) .00 Do .00 .00 .00 .00 (50,841.38) .00 (6,936.42) .00 (57,777.8D) .00 699.53 1.52 (6,233.01) (47.13) (51533.50) (9.35) 1,364.26 2.17 (13,508.561 (35.32) (12,144.30) (12,02) 128 20 i 0 • • • • MEMORIAL ME➢ICAL CENTER DEPARTMENTAL INCOME STATE61ERt 12/30/04 10:50 AR FOR THE 11 NONTRS ENDING 11/30/04 N 0 N T B--------- - - M B A R T O D A T 2 ------------ ACPDA1 BDDCBt - $ VARIANCE 4 VAR ACTOAL--- BUDGET $ VARIANCE t VAR ADMINISTRATION EXPENSES SALARIES 19,603.11 20,930.73 1,327.62 6.34 266,279.47 233,726.57 (32,552.90) (13.92) LEASE A RENTAL 12,866.70 IDD. 00 112,766J0)(12766.70) 13,660.50 I,IDO.00 (12,56050) (1141.86) OTHER EEPENSER 41,496.39 38,664.01 (2,832.38) 17.321 301,961.1E (26,410.16 122,507. 08 28.72 70TAL EXPENSES 73,966.20 59,694.74 (14,271.46) (23.90) 583,903.25 661,296.93 77,393,68 11.70 SVSINESS DEVELOPMENT EXPERSES SALARIES 3,931.72 3,873.94 (57.78) (1.49) 46,085.48 43,258.54 (2,826.54) (6.53) Onm EIPSNSES 3D2.46 462,06 159AD 34.54 41341.16 6,930,82 2,003.06 30.05 TOTAL EXPENSES 41234.18 41336.00 101.82 2.34 50,933.24 50,109.76 (743d8) (1.48) HOSPITAL GENERAL, EXPERSES HORHEARS CORP IN 23,738.00 26,666.67 2,928.58 10.98 359,828.36 253,333.37 (66,494.99) (22.661 m7B61PLDYHENT INS (17.84) 41166.67 1,124.51 1D0.42 30,315.83 45,833.37 14,917,54 32,54 PROP LIABILITY 1 8,647.28 7,916.67 (730,61) (9,22) 96,015.96 27,083.37 (81932.59) (10.25) LEASE A RENTAL 2,839.16 21750.00 (89.16) (3.24) 23,373X 30,25D.DC 6,176.83 22.73 OTM EXPENSES 21,940.19 9,083.33 112,856.B6) 1141.54) 92,675.56 99,916.63 7,241.07 7.24 TOTAL EXPENSES 57,146.1E 50,583.34 (6,563.54) (12.97) 602,808.88 556,416.74 (46,392.14) (8.33) MW RESORRCEBIMLIC RSLATIO RXPERSES SALARIES 3,428.53 5,038.69 11610.16 31,95 37,655.98 56,255.35 19,609.37 33.07 OTHER EEPERSES 21097.16 51209.22 3,111.96 59.74 23,447.55 57,403.24 33,955.69 59.15 TOM EXPENSES 51525.69 10,247.81 4,722.12 46.07 61,103,53 113,668.59 52,565.06 16.24 PHRCEASING WHERE SALARIES 7,546.D4 7,750.33 204.29 2.63 80,779.14 86,515.33 51766.19 6.66 OTHER EXPENSES 934.75 11205.75 271.00 22.47 11,132.16 13,261.33 2,129.77 16.05 TOTAL RIPENESS $1480.75 81956.08 475.25 5.30 91,911.30 95,807.26 7,895.96 7,91 Amill ARY EXPENSES SALARIES .00 .00 .00 .00 ,DO ,00 EXPENSES 9.25 ,00 ,40 .00 19.25) .0) 2.42 ,00 82.42.00 TOTAL EXPENSES 9.25 .00 (9.25) ,0$( 01 2.92 ,00 82.42) .00 PLAEA SPECIALTY CLINICS SALARIES ,00 .00 .0D .OD 993.30 ,00 (493.30) .00 BIPBN5B5 .00 .DO .OD .OD (493,30) ,D0 TOTAL EXPENSES ,DO .00 .00 .00 .DD 493.30 .00 21 129 MEMORIAL MEDICAL CENTER DEPXRTNEETAL INCOME STATEMENT 12/10/04 10:50 AN FOR THE 11 NORM ICING 11/30/04 -•••--•-- S I N C 1 9 N 0 N T I ---------- ............ Y I A R T O D A T 2----- ----- ACTUAL BUDGET $ VARIANCE A VAR ACTUAL BUDGET $ VARIANCE $ VAR MEMORIAL MEDICAL PLAZA REVENUE RENTALS 1, DDD. DO ,OD 1, O00. DO .00 63,232.40 .00 63,232.40 .00 TOTAL REVENUE, 1,000. 00 .Do 1, 000. 00 .00 63,232.40 .00 63,232,40 ,00 EIPENSBS SALARIES........ 11 9D2.33 ,00 (1,902.33) ,001 35,168.61 .00 (35,168.61) .00 OTHER EXPENSES.. 11299.86 ,00 (1,255.98) .00) 147,898.04 .00 (147,898.041 .Oo TOTAL EXPENSES 3,202.21 .00 13-,202,21) .D01 183,066.65 .00 1183,066.65) .00 ----------------------------------------- ------------- .....-........ ........-.-... NET GAIN/IIOSS (21202.21) .00 (2,202.21) .00) (119,834,25) .00 (119,834.25) .00 SUBTOTAL GAIN/ 1,114,629.30 1,523,684.31 20D,944.99 13.18 18,SB9,846.40 17,D90,581.46 11499,264.94 8.77 OTHER OPERATING EXPENSES RPM DEDUCTIONS MEDICARE CONTR A (640,D30.77) (755,718.79) 115,488.02 15.30 (8,83D,756.38) (8,438,859,59) (391,896.79) (4.64) MEDICAID COATA A 1335,749.65) (161,317.15) (174,432.50) (108.13) (2,353,331.11) (1,801,374.63) (552,555.48) (30.67) INDIGENT COMM A (7D,284.26) .00 (70,204.26) .00) (378,998.93) .DO (378,998,99) .00 CHASM CARE (216,657.63) 185, 836.67) (126,82D.96) (141.16) (969,865.21) (988,2D3.37) 10,338.16 1.85 BAD DEBT EXPENSE (12,494.37) (172,062.13) 129,567.76 75.30 (2,322463.55) (1,921,360.46) (401,603.05) (20.90) DIM DEDUCTIONS 1145,147,75) 1235,966.96) 90,119.21 38.19 12,97$461.64) (2,634,964.48) 658,802.84 25.00 TOTAL REVENGE (1,451,064.431 (1,414,901.70) (36,162.73) (2,55) (16,832,676.88) (15,784,762.53) (1,047,911.35) 16.63) EMPLOYEE BENEFITS HBTNOOKINT 18,631.42 22,540.98 3,309.56 17.34 220,483.84 251,707.65 31,223.81 12.40 HOSPITALIZATION 64,949.95 73,770.49 6,820,54 11.95 736,201.88 823,77D.49 $7,568.61 10.63 LIFE INSURANCE 955.37 1,024,39 $3.22 6.75 ID,342.93 110441126 11098.33 9.59 BUM INSURANCE 31000.58 2,950.82 149.76) (1.68) 25,671.98 32,950.82 7,278.84 22.09 LONG TERN ➢IS 2,094.12 2,254.10 155.28 7.06 23,514.84 25,170.77 1,655.93 6.57 PAYROLL CLEARING (21.76) .00 21,76 .00 (30.69) .00 30.69 .00 TOTAL EMPLOYEE 39,610.38 102,540.98 12,930.60 12.61 1,016,184.78 1,145,04D.99 128,856.21 11.25 TOTAL MM OR 1,540,671.21 1,517,442.66 (23,232.13) (1.53) 17,848,861.66 16,929,803.52 (929,058.14) (5,42) Om RHVENUB MEDICARE PASS-TS 75,000.OD ,Do 751000.D0 .00 591,110.00 ,Do 591,8_0.00 .OD C.AFX7ERIA SALES 1,024.84 7,377.D5 647.75 8.78 871108.99 82,377,D5 4,731.94 5.74 INTEREST INCOME 2,207.47 2,459.02 (251.55) (10.22) 15,087.22 27,459.02 (12,371.8D) ((5,05) INTEREST INCR.E 16.99 .OD 16.99 .00 - 211.59 .Do 211.59 .00 INTEREST INCOME .00 .00 .00 .Do ,DO .DO .00 .OD MISCELLANEOUS IN 15,350.00 2,660.85 12,481.15 435.05 121,563.83 32,035.52 05,528.31 279.46 TOTAL OTHER RE 100,599.30 12,704.92 87,894,3B 691.81 015,181.63 141,871.53 673,910.04 475.01 .............. ............. .............. -------------- -------------- ----- •-------- HE OPERATING 204,553.79 18,946.55 265,607.14 1401.87 1,556,766.37 302,649.53 1,254,116.84 414.37 L 130 i i i 22 • • MEMORIAL MEDICAL CUM DSPARTIMM INCDME STATEMENT FOR TEE 11 MONTHS ENDING 11/30/04 --------- S I N G L E M 0 N T B---------- ACTUAL BUDGET $ VARIANCE A VAR NON -OPERATING EXPENSE DEPRECIATION -LAN ,00 ,00 .00 .00 DEPRECIATION-BUI 27,473,97 .00 (27,473.97) .00) DEPRECIATION -PIE 8,081.13 .00 (9, a81.13) .00) DEPRECIATION-NA0 44,653.37 126,932.50 82,279.13 64.82 DEPRECIATION-POR .00 ,00 .00 .00 CONTRIBUTION TO .00 .00 .00 .00 TOTAL NON-OPER $1, 008.47 -------------- 126,932.50 45,924.03 36.17 TOTAL OPERATIN 203,545.32 ...........;0= ---•--------- (207,985.95) ---•--------•- 321,531.27 28B.49 COUNTY SUBSIDY .oP ............. .00 .............. .aa De NET GAIN/(LOSS 203,545.32 1107,985,95) 311,531.27 288.49 12/10/04 10:50 AN ............ Y E A R T O D A T 2 ------------ ACTUAL BUDGET $ VARIANCE A VAR .00 ,OD .00 .DO 328,620.89 .00 (328,620.89) .00 108, 508.32 .00 (101,588.321 .DO 50D,934.89 1,396,237.50 895,322.61 64.12 .00 .00 .00 .00 .Do 00 00 .00 338,244.10 1,396,257.50 458,113.40 32.81 61B,622.27 (1,093,607,97) 1,712,230.24 156.56 ...... .............. Do DD .0o Do ---- -------------- -----------•-- 618,622.27 (1,093,607.97) 1,712,230.24 156.56 23 L 131 MEMORIAL MEDICAL CENTER ACCOUNTS PAYABLE BOARD OF TRUSTEES APPROVAL LIST FOR NOVEMBER 2004 DATE APPROVED A/P & PATIENT BY COUNTY AUDITOR REFUNDS 11/4/2004 (weekly) $ 255,961.90 11/11/2004 (weekly) $ 215,954.70 11/18/2004 (weekly) $ 117,511.39 1112312004 (weekly) $ 148,885.10 11/24/2004 (monthly) $ 139,050.51 TOTAL Referral Charity Indigent $ 877,363.60 MONTHLY PAYABLES FOR DECEMBER 2004 $ 137,163.97 2003 2003 YTD 2004 2004 YTD $ 206,323.73 $ 210,984.41 $ 66373.91 $ 597,092.91 $ 228,772.64 $ 985,188.69 $ 165,423.97 $1.233,573.98 $ 103.958.47 $1.728.843.17 132 24 �7 • RON DATE:12/03/04 MENORIAL MEDICAL CENTER PAGE 1 TINE: 09:36 CHECK REGISTER GLCKRBG 11/04/04 THRU 11/04/04 BANK --CHECK____________________________________________________ CODE NUMBER DATE AMOUNT PAYEE A/P 104668 11/04/04 A/P 104689 11/04/04 A/P 104690 11/04/04 A/P 104691 21/04/04 •A/P 104691104/04 A/P 104693 a/oa/oa A/P 104694 11/04/04 VP 104695 11/04/04 i/P 104696 11/04/04 \lp 104697 11/04/04 1/P 104698 11/04/04 k/P 104699 11/04/04 '/p 104700 11/04/04 ,/P 104701 11/04/04 ,/P 104702 11/04/04 ./P 104703 11/04/04 ./P 104704 11/04/04 ./P 104705 11/04/04 ./P 104706 11/04/04 /P 104707 IliO4/04 /P 104708 11/04/04 /P 104709 11/04/04 /P 104710 11/04/04 /P 104711 11/04/04 /P 104712 11/04/04 /P 104713 11/041D4 /P 104714 11/04/04 /P 104715 11/04/04 /P 104716 11/04/04 /P 104717 11/04/04 'P 104718 11/04/04 'P 104719 11/04/04 P 104720 11/04/04 'P 104721 11/04/04 'P 104722 11/04/04 'P 104723 11/04/04 'P 104724 11/04/04 P 104725 11/04/04 _P 104726 11/04/04 P 104727 11/04/04 P 104728 ll/04/04 P 104729 11/04/04 P 104730 11/04/04 P 104731 11/04/04 P 104732 11/04/04 P 104733 11/04/04 P 104734 11/04/04 P 104735 11/04/04 P 104736 11/04/04 P 104737 11/04/04 95.00 AORN 100.40 ACE HARDWARE - PORTER'S 925.27 AIRGAS-SODTHWEST 541.17 CARDINAL HEALTH 53.55 AQUA BEVERAGE COMPANY 395.00 AWESOME PAGING INC 218.89 EALDM COOKS 1,535.24 BANKCARD CENTER 4.42 ESTER BARRIENTES 1,679.98 BAXTER HEALTHCAHE CUSP 549.99 BOOS .00 VOIDED 23,772.18 BERGEN RRUNSWIG DRUG CO 2,473.05 BIO-MED PLUS INC 20.00 BENNETT BROTHERS, INC 4,343.00 CAL CON FEDERAL CREDIT 114.92 RUBY CANTU 91.85 CSED/CASH PROCESSING 1,688.70 CINGOLAR WIRELESS 100.64 HELEN DAVIS 815.27 DELL FINANCIAL SERVICES 40.06 KATHERINE DIE= 72,468.00 =ARE NORTH TEXAS 11.30 FEDERAL EXPRESS CORP. 2,343.22 F7SMER HEALTHCARE 35.28 THE FRAME SHACK 3,227.05 GE HEALTHCARE FIN SRVS 544.40 GULF COAST PAPER COMPAN 3,500.00 LLOYD LANE SOBER, ED p. 119.19 H E BUTT GROCERY 11.90 HAYES ELECTRIC SERVICE 7B6.56 HEALTH FORCE MEDICAL 47.60 SALLY J HICKL 75.25 HILL COUNTRY DAIRIES 76.47 PAT HRANICKy 78.00 IKON FINANCIAL SERVICES 1,262.77 INSTITUTIONAL TRUST COM 26,357.00 ITA RESOURCES, INC 58.80 LYDIA'S PROFESSIONAL ON 55.00 MEMORIAL MEDICAL CENTER 285.00 MERION PUBLICATIONS, IN 3,857.33 MEMORIAL MEDICAL CENTER 201.28 MALLINCKRODT INC 65.00 ACR 6,546.15 TERRY W HCCLAIN CRNA 284.95 NAURITZ & COUEY 27.54 TANE MCCARN 7,848.88 ECKESSON GENERAL NEDICA 461.88 MERIDIAN PROFESSIONAL 0 60.18 LINDA MEYER 25 133 • RUN DATE:12/03/04 H6MORIAL MEDICAL CENTER PAGE 2 Tffi;09:36 CHECK REGISTER - GLCKREG 11/04/04 TERU 11/04/04 BANK --CHECK -------------- -_----_-.__---_.______-______________ CODE MEER DATE AMOUNT PAYEE A/P ______________________________________________________________________________________________________ 104730 11/04/04 90.00 MINOLTA FINANCIAL SERVI A/P 104739 11/04/04 21600.00 NUTRITION OPTIONS A/P 204740 11/04/04 - 135.00 NFPA LIP 104141 11/04/04 705.24 OWENS A MINOR A/P 104742 11/04/04 - 165.90 CHRISTINA OLASCOAGA A/P 104743 11/04/04 207,67 OUTBURST ADVERTISING LIP 104744 11/04104 138,46 MICHELLE ORTA A/P 104745 11/04/04 2,400.00 PREMIER SLEEP DISORDERS A/P 104746 11/04/04 1,200.00 POSTMASTER LIP 104747 11/04/04 35.98 POWER ELECTRIC A/P 104748 11/04/04 618.95 R G A ASSOCIATES INC A/P 104749 11/04/04 29.97 RADIO SHACK A/P 104750 111041D4 260.00 RADIOLOGY UNLIMITED A/P 104751 11/04/04 89.94 RESPIRONICS A/P 104752 11/04/04 15.64 RACEE TAYLOR AIP 104753 11/04/04 5,237.00 SO TEE BLOOD A TISSUE C • A/P 104754 11/04/04 16,275.71 STAFF CARE A/P 104755 11/04/04 22.00 STRICTLY BUSINESS A/P 104756 11/04/04 3,038.15 SUMMIT RECOVERY SPECIAL A/P 104757 11/04/04 4,123.25 SYSCO - SAN ANTONIO, LP A/P 104758 11/04/04 110.00 THE SPORTS STOP A/P 104759 11/D4/04 25,874.17 TEAM REHAB A/P 104760 11/04/04 153.04 TRW GUARANTEED STUDEN A/P 104761 11/04/04 8,299.00 TEXAS HOSPITAL INS EXCE A/P 104762 11/04/04 59.95 TEXAS WIRED MUSIC INC A/P 104763 11/04/04 646.04 THYSSENKRUPP ELEVATOR C A/P 104764 11/04/04 125.00 PATTI TAUMANN A/P 104765 11/04/04 6,400.00 3M PDL7478 A/P 104766 11/04/04 219.50 PAT TRIGG A/P 104767 11/04/04 85.00 .TRIPLE D SECURITY COAPO LIP 104768 11/04/04 37.67 UNIFIRST HOLDINGS LIP 104769 11/04/04 61.50 UNITED WAY OF CALHOUN C LIP 194770 11/04/04 163.95 ELVA VELA LIP 104771 11/04/04 2,218.51 THE VICTORIA ADVOCATE A/P 104772 11/04/04 425.25 LYNNE VOSKAMP 4/P 104773 11/04/04 162.85 WAImm COMMUNITY 4/P 104774 11/04/04 952.34 WASTE MANAGEMNT 1/P 104775 11/04/04 86.70 ELIZABETH WESTBROOK VP 104776 11/04/04 11.99 THE WIRELESS STORE 1/P 104777 11/04/D4 175.00 CALHOUN COUNTY YMCA VP 104778 11/04/04 24.16 JASPER LULA D qP 104779 11/04/04 127.29 GARRETT ANNIE :/P 104780 11/04/04 300.00 HERNANDEZ CHRISTINA • LIP 104781 11/04/D4 90.75 HERI=EZ PETER LIP ID4782 11/D4/04 111.57 IGLESIAS JOANN ,/P 104783 11/04/04 168.77 BICXFORD ANN ./P 104784 11/04/04 300.00 IGLESIAS JOANN ./P 104785 11/04/04 22.14 LIU Y ./P 104786 11/04/04 18.14 EMBER NOLAN ./P 104787 11/04/04 39.73 JEMELKA CALVIN J ./P 1D4788 11/04/04 14.45 ADAMS GLORIA 134 26 RUN DATE:12/03/04 14EEORIAL MEDICAL CENTER TINE: 09:36 PAGE 3 CHECK REGISTER GLCKREG 11/04/04 THRU 11/04/04 BANK --CHECK ---------- _______ CODE NDMBER DATE AMOUNT PAYEE A/P 104789 11/04/04 37.92 ADANS GLORIA A/P 104790 11/04/04 24.90 GOINGS JASON VP 104791 11/04/04 94.35 CRANPDRD THUAEAN A/P 104792 11/04/04 85.57 DEBADLT SCOTT VP 104793 11/04/04 37.84 ABRAHBN NESLEY A/P 104794 11/04/04 13.60 KINBROUGH JAM •A/P A/P 104795 11/04/04 104796 11/04/04 25.71 19.93 HASTINGS RICK CARDENAS ELVA A/P 104797 11/04/04 491.50 KEEPER GARY POTALS: 255,961.90 • 27 • 135- RUN DATE:12/03/04 MEMORIAL MEDICAL CENTER TIME;09;36 - CHECK REGISTER 11/11/04 TERV 11/11/04 BANE--CEECR--- I --------------------------- CODE HOMER DATE AMOUNT PAYEE A/P 104798 11/11/04 31.83 ACE HARDWARE - PORTER'S A/P 104799 11/11/04 185.48 AERIFORM/IWECO-PORT LAV A/P 104800 11/11/04 385.00 ANITA FRICKE - COUNTY C A/P 104801 11/11/04 1,776.71 BAXTER HEALTHCARE CORP A/P 104802 11/11/04 763.16 BCOS A/P 104803 11/11/04 16,338.36 BERGEN BRUNSWIG DRUG CO A/P 104804 11/11/04 1,002.52 BIO-MD PLUS INC A/P 104805 11/11/04 124.44 ROBY CANTO A/P 1D4906 11/11/04 97.92 HELEN DAVIS A/P 104807 11/11/D4 79. 00 ANNETTE DELGADO A/P 104808 11/11/04 96.32 KATHERINE DIETZEL A/P 104809 11/11/04 37.69 DLE PAPER A PACKAGING A/P 104810 11/11/04 3,.531.64 ENTER A/P 104811 11/11/04 5.10 MARIA FAAIAS A/P 104812 11/11/04 38.24 FEDERAL EXPRESS CORP. A/P 104013 11/11/D4 955.37 FORT DEARBORN LIFE INC A/P 104814 11/11/04 498.83 FOWLER ENERGY COMPANY A/P 104815 11/11/04 1,591.41 GE MEDICAL SYSTEMS A/P 104816 11/11/04 49.41 GULF COAST PAPER COMPAN A/P 104817 11/11/04 30.26 H E BUTT GROCERY A/P 104819 11/11/04 217.00 RCRPO A/P 104819 11/11/04 434.70 HEALTH FORCE MEDICAL A/P 104820 11/11/04 63.58 SALLY J RICKL A/P 104821 11/11/04 10.07 RILL COUNTRY DAIRIES A/P 104822 11/11/04 64.29 PAT BRANICKY A/P 104823 11/11/D4 - 958.90 LIFELINE SYSTEMS INC A/P 104824 11/11/04 4,130.18 LUKER PHARMACY MANAGENB A/P 104825 11/11/04 110.65 LYDIA'S PROFESSIONAL ON A/P 104826 11/11/04 23,753.34 MEMORIAL MEDICAL CENTER A/P 104827 11/11/04 34.34 JANE MCCARN A/P 104828 11/11/04 2,760.96 MCKESSON GENERAL MMDI& A/P 104829 11/11/04 157.00 MEMORIAL MEDICAL CENTER A/P 104830 11/11/04 481.25 MERIDIAN PROFESSIONAL S A/P 104831 11/11/04 72.08 LINDA MEYER A/P 104832 11/11/04 236.82 MICRO ASSIST, INC A/P ID4833 11/11/04 139.00 MMWR A/P 104234 11/11/04 - 1,998.92 NATIONAL BENEFITS PARTN A/P 104835 11/11/04 629.12 OWENS A MINOR A/P 104936 11/11/04 77.24 PITNEY BOWES INC 1/P 104837 11/11/04 436.00 PORT LAVA& WAVE VP 104838 11/11/04 240.00 RADIOLOGY UNLIMITED UP 104839 11/11/04 465.14 RECEIVABLE MANAGEMENT, UP 104840 11/11/04 184.00 RENAISSANCE AUSTIN ROTE UP 104841 11/11/04 22,157.50 STAFF CARE JP 104842 11/11/04 38.89 STRICTLY BUSINESS UP 104843 11/11/04 3,643.63 SYSCO - SAN ANTONIO, LP UP 104844 11/1104 575.27 STATE COMPTROLLER JP 104845 11/11/04 12.92 TAYLOR RACER ./P 104846 11/11/04 10,000.00 TEAM REHAB JP 104847 11/11/04 115.00 TEXAS PUBLIC HEALTH ASS PAGE 1 GLCKREG t �V� 28 L • • RUN DATB:12/03/04 MEMORIAL MEDICAL CENTER TI2:09:36 CHECK REGISTER 11/11/04 THRU 11/11/04 BANK --CHECK -------------------------------------------------- 'ODE NUMBER DATE --------------------------- AMOUNT PAYEE VP 10484E 11/11/04 --------------------------------- 347.07 THYSSEMKRUPP ELEVATOR C 1/P 104849 11/11/04 96,739.00 TRAILBLAZER HEALTH ENTE VP 104850 11/11/04 167.96 ELVA VELA 1/P 104851 11/11/04 1,085.16 VERIZON SOPTHWEST L/P 104852 11/11/04 106.86 WALMART COMMUNITY L/P 104853 11/11/04 10.20 ANGELICA WALTHER 104854 11/11/04 480.72 WASTE MANAGEMENT •I/P ,/P 104855 11/11/04 362.44 WATERMARK GRAPHICS INC ./P 104856 11/11/04 18.70 ELIZAEETH WEST -BROOK ./p 104857 11/11/04 13,025.64 FISERV HEALTH - TENNESS ./P 10485E 11/11/04 45.00 SHELLY ZAVALA ./P 104859 11/11/04 945.00 CHRISTINA, ZAPATA-ARROYO /P 104860 11/11/04 41.74 SEAMAN GEORGIA= /P 104861 11/11/04 88.00 WHITEIBYAD EATHLEEN /P 104862 11/11/04 18.74 WILLIAMS SOSEPHINE M /P 104863 11/11/04 17.44 REGAN AM L /P 104864 11/11/04 155.32 MAKINE VESLEY /P 104865 11/11/04 15.17 WHITCOMB ROSELLA /P 104866 11/11/04 30.00 TAPLEY LIMA /P 104867 11/11/04 12.OB WEBB LORENE /P 10486B 11/11/04 37.15 RAGUSIN OF=2, /P 104869 11/11/04 16.00 RIVERA NARY /P 104870"11/11/04 44.71 WILLIAMS JENCy A /P 104871 11/11/04 151.00 WILLOUGHBY mum /P 104872 11/11/04 14.67 ROBISON LARRY p /P 104973 11/11/04 54.30 MCCAULSy GARY ,P 104874 11/11/04 16.00 COMISKEY BEN JR 'P 104875 11/11/04 16.00 MARTINEZ LYDIA 'P 104876 11/11/04 20.75 SANCHEZ FELIPE 'P 104877 11/11/04 20.50 PRESLER SHARON - + 'P 104878 11/11/04 34.80 CURTIS COLEEN YTALS: 215,954.70 • PAGE 2 GLCKREG 29 %: 131 RON DATE:12/03/04 MEMORIAL MEDICAL CENTER PAGE 1 TIME:09:36 CHECK REGISTER GLCKREG 11/18/04 THRU 11/18/04 HANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 104879 11/10/04 46.12 ACE HARDWARE - PORTER'S A/P 104880 11/18/04 123.39 CONSTELLATION NEW ENERG A/P 104381 11/19/04 2,081.90 AG MICROSYSTEMS INC A/P 104882 11/18/04 10.20 ANIYERITZA VELAZQUEZ A/P 104983 11/18/04 350.04 AIRGAS-SOUTHWEST A/P 104884 11/18/04 1,109.76 CARDINAL HEALTH A/P 104885 11/18/04 120.00 AMASON APPLIANCE SERVIC A/P 104806 11/18/04 1,551.74 AMERICAN KIDNEY FUND A/P 104887 11/18/04 74.25 ANHOONCffiffiCTS PLUS A/P 104888 11/18/04 31.96 ESTER BARRIEHTES A/P 104889 11/18/04 106.63 BAITER HEALTHCARE CORP A/P 104290 11/18/04 .DO VOIDED A/P 104891 11/19/04 37,239.59 BERGEN BRUNSWID DRUG CO A/P 104892 11/18/04 2,486.46 BEST WESTERN PORT LAVAC A/P 104893 11/18/04 4,343.00 CAL COM FEDERAL CREDIT A/P 104894 11/18/04 12,820.00 CALHOUN COUNTY A/P 104895 11/18/04 103.36 RUBY CANTO A/P 104896 11/10/04 3,070.00 CHIP WARDLAW CONSTRUOPI A/P 104897 11/18/04 91.85 CM/CASH PROCESSING A/P 104898 11/18/04 39.96 LAURA CORNETT A/P 104899 11/18/04 44.99 COMPUTER RAID A/P 104900 11/18/04 473.46 CO96.Q5 A/P 104901 11/18/04 31.54 HELISSA CUMPIAN LIP 104902 11/18/04 113.90 HELEN DAVIS A/P 104903 11/18/04 25.82 RITA DAVIS A/P 104904 11/18/04 61.90 MELISSA DELGADO A/P 104905 11/18/04 76.98 KATHERINE DI3TZEL A/P 104906 11/18/04 599.15 DIVERSIFIED BUSINESS BY A/P 104907 11/18/04 40.00 THE DOCTORS' CENPER VP 104908 11/18/04 1,349.76 EMCARE NORTH TEXAS VP 104909 11/18/04 17.81 FEDERAL EXPRESS CORP. 1/P 104910 11/18/04 73.28 CONIE FIELDS VP 104911 11/18/04 1,455.20 FISHER HEALTHCARE 1/P 104912 11/18/04 96.00 G T PICKUP A DELIVERY UP 104913 11/12/04 382.75 ROBERTS, ROBERTS A ODEF UP 104914 11/18/04 624.84 GULF COAST PAPER CONPAN t/P 104915 11/18/04 63.24 SALLY J HICIG, UP ID4916 11/18/04 79.12 HILL COUNTRY DAIRIES ,/P 104917 11/1B/04 78.74 PAT HRANIM ,/P 104919 11/18/04 82.00 IKON FINANCIAL SERVICES ./P 104919 11/18/04 1,946.91 INSTITUTIONAL TRUST COI ./P 104920 11/18/04 207.10 IVANS ./P 104921 11/18/04 30.00 KROLL LABORATORY SPECIA ./P 104922 11/18/04 20.25 THE LAUNDROMAT ./P 104923 11/18/04 500.00 MEMORIAL HERMANN HOSPIT ./P 104924 11/18/04 7,778.43 MEMORIAL MEDICAL CENTER ./P 104925 11/18/04 6,546.15 TERRY W MCCLAIN CRNA /P 104926 11/18/04 37.06 JANE MCCARN /P 104927 11/18/04 8,151.56 MCKESSON GENERAL MBDICA /P 104928 11/18/04 124.60 MEMORIAL MEDICAL CENTER 138 • 30 RUN DATE:12/03/04 MEMORIA, MEDICAL CENTER ' TIME:09:36 PAGE 2 CHECK REGISTER GLCEREG 11/18/04 THRU 11/18/04 BAHR--CHECK--------------------------- ------------------------- CODE NUMBER DATE AMOUNT PAYEE P ---------- 104929 11/18/04 ___ --------------------------- 443.40 MERIDIAN PROFESSIONAL S A/P 104930 11/18/04 25.84 LINDA MEYER A/P 104931 11/18/04 1,669.44 MINOLTA FINANCIAL SERVI A/P 104932 11/18/04 160.40 GILMA MORENO A/P 104933 12/18/04 1,390.50 NDCSEALTH A/P 104934 11/18/04 174.71 OWENS A MINOR A/P A/P 114135 11/18/04 104936 11/18/04 22.10 138.46 EARVEY OLASCUAGA MICHELLE ORTA A/P 104937 11/18/04 1,000.00 POSTMASTER A/P 104938 11/18/04 8.68 POWER ELECTRIC A/P 104939 11/19/04 209.75 R G A ASSOCIATES INC A/P 104940 11/18/04 25.18 RADIO SHACK A/P 104941 11/18/04 7.50 DONNA RAWLINGS 9/P 104942 11/18/04 149.00 REALITY BASED MANAGENSH 1/P 104943 11/18/04 65.00 SHIP SHUTTLE TAXI SERV, 1/P 104944 11/18/04 2,392.00 SO TER BLOOD A TISSUE C 1/P 104945 21/18/04 464.00 SPECTRA LABORATORIES \/P 104946 21/18/04 403.44 STAFF CARE I/P 104947 11/18/04 3,553.90 SYSCO - SAN ANTONIO, LP �/P 104948 11/18/04 775.90 STERICYCLE, INC ./P 104949 11/18/04 55.00 ERIN TAYLOR ./P 104950 11/18/04 8.84 TAYLOR BACHE ,/P 104951 11/18/04 49.00 THSTBNCEER INC ./P 104952 11/18/04 1,042.14 TEXAS DEPT OF MEAN SER ./P 104953 11/18/04 149.20 TEXAS GUARANTEED STUDEK /P 104954. 11/18/04 5,000.00 TEXTS HOSPITAL INS EXCH /P 104955 11/18/04 73.76 UNIFIRST HOLDINGS /P 104956 11/18/04 54.95 UNIFORM ADVANTAGE /P 104957 11/18/04 61.50 UNITED WAY OF CALHOUN C /P 104959 11/18/04 142.12 ELVA VELA /P 104959 11/18/04 2.10 VICTORIA OFFICE EQUIPME /P 104960 11/18/04 236.73 wALNAeT CoMmMITY /P 104961 11/18/04 44.20 ELIYABETH WESTBROOK •7TAL5: 117,511.39 31 • 139 RUN DATE:12/03/04 MEMORIAL MEDICAL. CENTER PAGE 1 TI2:09:36 CEECN REGISTER GLCXREG 11/23/04 TRRU 11/23/04 BANR--CEEC&---- _--------------------- __________________________ CODE NUMBER DATE AMOUNT PAYEE A/P 104962 11/23/04 19.9E ACE HARDWARE - PORTER'S A/P 104963 11/23/04 5.93 AERIFORM/IWECO-PORT LAV A/P 104964 11/23/04 145.00 ARM A/P 104965 11/23/04 338.07 CARDINAL HEALTH A/P 104966 11/23/04 245.00 AMERICAN COLLEGE OF HEA A/P 104967 11/23/04 2,791.96 AFLAC A/P 10496B 11/23/04 35.02 ESTER BARRIENTES A/P 104969 11/23/04 1,081.11 BARTER HEALTHCARE CORP A/P 104970 11/23/04 1,453.83 BECK= COULTER INC A/P 104971 11/23/04 725.00 BCOS A/P 104972 11/23/04 5,483.41 BHRGRN BRUNSWIG DRUG CO A/P 104973 11/23/04 1,173.66 BOH18 BEARING A POWER T A/P 104974 11/23/04 3,000.00 CALMDUN CTY COMMUNITY N A/P 104975 11/23/04 71.40 RUBY CANTO A/P 104976 11/23/04 14.49 CINGULAR WIRELESS A/P 104377 11/23/D4 1,142.DD DAVIS A WILXHRSCN P. C. A/P 104978 11/23/04 130.90 HELEN DAVIS A/P 104979 11/23/04 50.12 DETAR HOSPITAL A/P 104980 11/23/04 24.55 KATHERINE DIETZZL A/P 104981 11/23/04 58.43 DOMINO'S PIZZA A/P 104982 11/23/04 25.00 ECFNG A/P 104983 11/23/04 21.48 FEDERAL EXPRESS CORP. A/P 104984 11/23/04 664.80 FISHER HEALTHCARE A/P 104985 11/23/04 507.85 FORT DEARBORN LIFE INSO A/P 104996 11/23/04 50,938.68 GE MEDICAL SYSTEMS A/P ID4987 11/23/04 24,956.71 G8 HEALTHCARE FIN SRVS A/P 104998 11/23/04 678.20 GULF COAST PAPER COHPAN A/P 104989 11/23/04 75.00 HOST FITNESS PRODUCTS A/P 104990 11/23/04 82.96 SALLY J HICXL A/P 104991 11/23/04 83.37 HILL COUNTRY DAIRIES A/P 104992 11/23/04 214.92 HOLIDAY INN RIVERWALX H A/P 104993 11/23/04 74.32 PAT HRANICXY A/P 104994 11/23/04 304.95 IRON FIancIAL SERVICES A/P 104995 11/23/04 120.11 INGENIX PUBLISHING GROG A/P 104996 11/23/04 23.80 JAMIE JACDBY A/P 104997 11/23/04 6,904.28 MEMORIAL MEDICAL CENTER A/P 104998 11/23/04 28.56 JANE MCCARN A/P 104999 11/23/04 1,323.45 MCXESSON GENERAL MEDICA A/P 105000 11/23/04 816.79 METLIFE A/P 105001 11/23/04 636.35 M =IAN PROFESSIONAL S A/P 105002 11/23/04 200.00 MMMCA SECURITY A/P 105003 11/23/04 35.70 LINDA MEYER A/P 105004 11/23/04 37.95 NATIONAL CAMPAIGN A/P 105005 11/23/04 72.79 OWENS A MINOR A/P 105006 11/23/04 150.00 PALMETTO GSA A/P 105007 11/23/04 545.68 PALMER HOUSE HILTON S/P 105008 11/23/04 31.50 PORT LAVACA WAVE 1/P 105009 11/23/04 9.50 POWER ELECTRIC 1/P 105010 11/23/04 251.00 RENTAL SERVICE CORPORAT i/P 105011 11/23/04 101.75 R G A ASSOCIATES INC 140 32 i • • RON DATE:12/03/04 MEMORIAL MEDICAL CENTER - TIME: 09:36 CHECK REGISTER 11/23/04 TERD 11/23/04 BANR--CEECR----------------------------- --------------------- CODE NUMBER DATE --------------------- AMOUNT PAYEE k/P 105012 11/23/04 --------------------------------------- 7,500.00 ROBERT ZELSEY E ASSCCIA A/P 105013 11/23/04 100.64 SIGNY SIZER A/P 105014 11/23/04 1,700. 00 STAFF FOOD SERVICE, INC A/P 105015 11/23/04 55.00 DANETTE BEPHAMY B/P 105016 11/23/04 3,744.86 SYSCO - SAN ANTONIO, LP 1/P 105017 11/23/04 6,020.71 TEXAS In= COMPANY LTD i/P 1/P 111111 11/13/04 105019 11/23/04 24.48 1,225.44 TAYLOR RACEE TLC STAFFING I/P 105020 11/23/04 12,495.00 TOSHIBA AMERICA MEDICAL JP 105022 11/23/04 492.00 TURNING POINT INC. ./P 105022 11/23/04 92.45 TRC ./P 105023 11/23/04 64.94 UNIFORM ADVANTAGE ./P 105024 11/23/04 161.16 ELVA VELA /P 105025 11/23/04 4,611.40 VERIZON SOUTHWEST /P 105026 11/23/04 300.00 JOHNNy VILLARRM /P 105027 11/23/04 694.05 WALMART CITY /P 105029 11/23/04 24.82 ELIZABETH WESTHROOZ /P 105029 11/23/04 145.00 Z-SCAN INC /P 105030 11/23/04 450.00 REP= DgpAp MNT /P 105031 11/23/04 37.12 RAMPMBIER NORMA IF 105032 11/23/04 42.42 Emu VIVIAN /P 105033 11/23/04 305.67 MARKm ARLENE V /P 105034 11/23/04 24.40 CAIN ROLAND S /P 105035 11/23/04 105.00 HAZER PAUL D a IF 105036 11/23/04 212.55 REFUND DEPARTMENT 'P 105037 11/23/04 47.38 ARNOLD NADINE 'P 105038 11/23/04 34.79 PFEIFFER PETER RAY 'P 105039 11/23/04 79.28 LAND ARTHUR B 'P 'P 105040 11/23/04 99.57 ZURICH SERVICES CORPORA 105041 11/23/04 37.15 CANION VICZI 'P 105042 11/23/04 16.00 ZEIGLER MARY E -P 105043 11/23/04 17.87 NSWMAN VINCENT P 105044 11/23/04 10.84 MBUDERS CALVIN D TALS: • 148,895.10 PAGE 2 GLCZREG 33 141 RUN DATE:12/03/04 MEMORMIL MEDICAL CENTER PAGE 1 TIME:09:37 CHECK REGISTER G7,CM9 11/24/04 THRO 11/24/04 SANK --CHECK ------------------------------- CODE NUMBER DATE AMOUNT PAYEE -----------•--------------------------------------------------------- ------------------------------------- ------- A/P 105045 11/24/04 325.91 ACTIVE PARENTING PUBLIS A/P 105046 11/24/04 101.5E ADVANCE MEDICAL DESIGNS A/P 105047 11/24/04 300. 00 AIRCAST INC A/P 105048 11/24/04 31169.78 CARDINAL HEALTH A/P 105049 11/24/04 535.12 ARROW INTERNATIONAL INC A/P 105050 11/24/04 3,155.57 ARTHROTEN INC A/P 105051 11/24/04 528.00 ARTHROCARE CORPORATION A/P 105052 11/24/04 443,17 ASPECT MEDICAL SYSTEMS A/P 105053 11/24/04 1,428.84 C R BARD = A/P 105054 11/24/04 23,507.53 BECKMAN COULTER INC A/P 105055 11/24/04 170.05 REALITYWORKS A/P 105056 11/24/04 7,835.00 BIOMET INC A/P 105057 11/24/04 1,633.50 BOSTON SCIENTIFIC CORPO A/P 105058 11/24/04 93.37 BRIGGS CORPORATION A/P 105059 11/24/04 42.69 BRISTOL-MYBRS SQUIBB CO A/P 105060 11/24/04 168.35 CERTIFIED LABORATORIES A/P 105061 11/24/04 107.36 CVC INCORPORATED A/P 105062 11/24/04 190.46 CHANA= L RETS CO INC A/P 105063 11/24/04 96.80 CHAMPION MANUFACTURING A/P 105064 11/24/04 427.98 CODOMICS INC A/P 105065 11/24/04 467.74 CONNED CORPORATION A/P 105066 11/24/04 1,141.33 CDW GOVER10MNT, LNC. A/P 105067 11/24/04 393.00 COOK MEDICAL-IMCORPORAT A/P 105068 11/24/04 841.78 COVER ONE A/P 105069 11/24/04 .00 VOIDED A/P 105070 11/24/04 .00 VOIDED A/P 105071 11/24/04 5,862.62 THE COUNCIL COMPANY A/P 105072 11/24/04 13,567.01 CPSI A/P 105073 11/24/04 9,842.53 DADE BEBRffiG A/P 105074 11/24/04 .00 VOIDED. A/P 105075 11/24/04 14,361.39 SOURCEONE HEALTHCARE TE A/P 105076 11/24/04 1,833.34 EDWARDS LIFESCIENCES A/P 105077 11/24/04 79. 00 ELECTED MEDICAL EQUIP C KIP 105078 11/24/04 35.96 ELSEVIER SCIENCE USA KIP 105079 11/24/04 222.06 E-Z-EM, INC. KIP 105080 11/24/04 30.77 FIRST HEALTHCARE PRODIIC KIP 105081 11/24/04 12,289.56 FRESENIUS USA MANUFACTU 1/P 105082 11/24/04 50.95 FUN EXPRESS INC 1/P 105093 11/24/04 130.25 OR MEDICAL SYSTEMS, IMF \/P 105084 11/24/04 96.15 GIRDS ENT LLC UP 105085 11/24/04 220.50 RAVEL'S INCORPORATED UP 103086 11/24/04 202,40 HEALTH CARE LOGISTICS I LIP 105087 11/24/04 120.30 HENRY SCHEIN INC. Up 105088 11/24/04 316.00 HILL -ROM ,/P 105099 11/24/D4 59.35 HOLLISTER INC JP 105090 11/24/04 181.10 INFOLAB INC dP 105091 11/24/04 94.00 INKOMPARABLE ./P 105092 11/24/04 198.10 ISOPURE CORP .IP 105093 11/24/04 65.2E =ON, INC. /P 105094 11/24/04 212.29 TOHNSCN SUPPLY I L14 • 11 • 34 RUN DATE:12/03/04 MBNORILL MEDICAL CENTER TIMB:09:37 PAGE 2 CHECK REGISTER GLCRREG 11/24/04 THRU 11/24/04 BAHR--CHECK------------------ __________________________________ .ODE NUMBER DATE -------------- AMOUNT PAYEE LIP _--------------------------- 105095 11/24/04 10,371.42 ____------ _------------ _--------- _--------------------------------------- LAECoRp OF AMERICA HOLD LIP 10509E 11/24/04 300.00 LINVATSC CORPORATION Up ID5097 11/24/04 239.40 Lu NORTH AMERICA - ,/P 105098 11/24/04 570.00 LASHLEY R ASSOCIATES, I ./P 105099 11/24/04 520.02 MK'S PLaMEIXG PARTS ./P 105100 11/24/04 112.65 NEDIX PHARMACEUTICALS A _/P ./P 105101 11/24/04 105102 11/24104 2,646.44 63.05 EEDRAD INC MEOTRONIC USA, INC. /P 105103 11/24/04 69.70 HEGAUTHE MEDICAL /P 105104 11/24/04 87.69 MOORE WALLACE IF 105105 11/24/04 366.56 PHILIPS MEDICAL SYSTEMS IF 105106 11/24/04 84.00 PILLING WECK (P 105107 11/24/04 298.83 POSITIVE PROMOTIONS IF 105108 11/24/04 43.85 QUARTERMASTER /P 105109 11/24/04 464.33 RPC REPROCESSING PRODUC /P 1D5110 11/24/04 253.00 RESPONSIVE PROVIDERS IN /P 105111 11/24/04 222.37 SAMMONS PRESTON /P 105112 11124IC4 185.35 SENSORNEDICS CORP /P 105113 11/24/04 140.00 SIEMENS /P 105114 11/24/04 19.90 SMILE MARERS ,P 105115 11/24/04 1,030.92 ST JOHN RECORD PROGRAMS ,P 105116 11/24/04 1,229.99 STRYKER SALES CORP 'P 1D5117 11/24/04 3,988.60 STRYEER SALES CORPORATI 'P 105118 11/24/04 397.28 STHRIS CORPORATION 'P 105119 11/24/04 271.36 TAYLOR-XED,LLC 'P 105120 11/24/04 224.49 TEEN -AID 'P 105121 11/24/04 430.66 TEXAS ELECTRICAL SUPPLY P 105122 11/24/04 692.05 TEERM0 EIOSTAR P 105123 11/24/04 5,956.74 TRI-STATE HOSPITAL Sapp P 105124 11/24/04 58.55 W W GRAINGER INC P 105125 11/24/04 59.52 X-RITE INC P 105126 11/24/04 481.97 zn=R a5, INC. TALS: 139,050.51 • 35 J E RUN DATE: 1Z/03/04 MEMORIAL MEDICAL CENTER TIME: 09:34 AP OPEN INVOICE LIST TERU DOE DATE OF 12/15/04 PAGE: I APOPEN VENDCNAM&........................... CLS, INVOICE9 ......... TEN DT,INV DT.➢0E DT.CE DT. -PC ....... GROSS..... DISC...... NO -PAY........ NET A1430 ADVANCE MEDICAL DESIGNS IN M 91655129 113004 112304 121504 54.63 .00 54.63 TOTALS .......................................: 54.63 .00 54.63 A1640 AIR= INC M 230196451 111604 110301 121504 101.00 .00 101.00 TOTALS ....................................... 101.00 .00 101.00 A1825 CARDINAL HEALTH M 08101370 111604 110504 121504 582.27 .00 582.27 08101389 113004 111204 121504 1510.59 .00 1510.59 TOTALS ....................................... 2092.86 .00 2092.86 A2001 AMSTERDAM PRINTING R LITHO 8569179 113004 112204 121504 413.79 .00 413.79 TOTALS ........................ 413.79 .D0 413.79 • A2227 ARRANT HEALTHCARE I394091 113004 111804 121504 99.50 .00 99.50 TOTALS ....................................... 99.50 .00 99.50 U276 ARTBROCARE CORPORATION M N440002 111604 110304 121504 177.00 .00 177.00 N442204 111604 111004 121504 177.00 .00 177.00 M444255 113004 111704 121504 177.00 .00 177.00 N445982 113004 112304 121504 340.00 .00 340.00 TOTALS .......................................: 971.00 .00 871.00 30437 C R BARD INC M 55183711 111604. 110504 121504 368.00 .00 368.00 53193204 113004 111804 121504 50.00 .00 50.00 55196815 113004 1123D4 121504 691.90 .00 691.90 TOTALS .......................................: 1109.80 .00 1109.80 1220 BECKMAN COULTER INC M 585716AN09 101204 093004 121504 12759.94 .00 12759.94 585716AN10 101204 093004 121504 8605.14 ,00 8605.14 585716AN11 101204 093004 121504 1642.52 .00 1642.52 318956FL0I 111604 102904 121504 21635 ,00 216.85 587659AN13 111604 110104 121504 702.80 .00 702.80 587659AN14 111604 102904 M504 278.60 .00 278.60 587659AN15 111604 102904 121504 172.80 .00 172.80 309514=1 113004 110304 121504 12090.16 .00 12090.16 • 326584FL0I 113004 111004 121504 25.76 .00 25.76 TOTALS .......................................: 36494.57 .00 36494.57 1400 BIOMET INC M 109225 113004 111209 121504 5872.0D .00 5872.00 TOTALS .......................................: 5872.00 .00 5872.00 _490 BALLARD MEDICAL PRODUCTS M 1636731 113004 110104 121504 303.87 .DO 303.87 k 144 36 ,RUN DATE: 12/03/04 MEMORIAL MEDICAL CENTER TIME: 09:31 AP OPEN IINOICE LIST TBRD DDE DATE OF I2/15/04 PAGE: 2 APOpgN VEND#.NAME........................... CLS.INVOICE#......... TRN DT.INV DT.DOE DT.CK DT.,PC....... GROSS..... DISC...... NO -PAY........ NET TOTALS .......................................: 303.87 .00 303.87 B1655 BOSTON SCIENTIFIC CORPORAT M 905714517 111704 111004 121504 309.00 .00 309.00 TOTALS .......................................: 309.00 .00 309.00 31B10 BAISTOL -MiBRS SQDIBB COMPA M 034885 111604 110104 121504 74.79 .00 74.74 TOTALS .......................................: 74.74 .00 74.74 11834 BSN MEDICAL INC M 310950 111604 102804 121504 230.75 315406 113004 111104 121504 - 145.00 .00 230.75 TOTALS .......................................: .00 145,DD 375.75 .00 375.75 1440 CV EVOLOTION- W IV697009 113004 112304 121504 186.90 TOTALS ........................... .00 186.90 ............: 186.90 ..00 186.90 1443 CYGNOS MEDICAL N 15644 113004 112304 121504 213.00 TOTALS .00 213.00 ................ ........... .......... ..: 213.00 .00 213.00 147E CHANGING L BETE CO INC M 51144650 RI 113004 111504 121504 152.50 TOTALS ................ .00 152.50 ........... ...... .. ....: 152.50 .OD 152.50 1855 COLBY MANOFACTDRING CARP M 2411609 113004 112204 121504 218.63 TOTALS .......................................: .00 218.63 218.63 .00 218.63 _970 CONMED CORPORATION M 267903 111604 101304 121504 207.32 • 279105 284113 111604 102804 121504 113004 110604 121504 .62 .00 .00 291.62 285452 113004 110504 121504 33.72 180.73 ,00 3.72 3.2 289693 113D04 111104 121504 37.33 ,00 180.73 295323 113004 111804 121504 301.15 .0D 37.33 296605 113004 11190d 121504 183.24 .00 101.15 296762 113004 111904 121504 72.05 .00 183,24 TOTALS ........... .00 72.05..................... .......: 907.16 •00 907.16 952 CDW GOYSRMMgNT, INC. M PP51480 113004 111504 121504 309.47 PQ82.941 113004 111704 121504 08.9 .00 309.47 PR41591 113004 111804 121504 108.99 .00 309.47 TOTALS .00 108 .99 ...... ••••••• 727.93 727,93 .00 .00 727.93 727.9 150 COOK MEDICAL INCORPORATED M 10506099 113004 110904 121504 491.20 10522397 113004 111704 121504 205.99 ,00 . .00 20505.99 37 E 145 RUN DATE: 12/03/04 MEE: 09:34 14EMORIAL MEDICAL CENTER AP OPEN INVOICE LIST TERV DUE DATE OF 12/15/04 PAGE: 3 APOPEN VENDCNAME ............................ CLS.INVOICEN......... TRN DT.INV DI.DUE DT.CR DT..PC....... GROSS..... DISC...... NO -PA?... ..... NET C2450 TEE CODNCIL COMPANY .12510 CPSI TOTALS ....................................... 697.19 .00 697.19 M 03637 111604 110204 121504 21.60 ,00 21.60 03638 111604 110204 121504 4.96 .00 4.96 03639 111604 110204 121504 90.96 .00 90.96 03658 111604 110204 121504 86.80 .00 86.80 03685 111604 110304 121504 492.58 .00 492.59 03606 111904 110304 121504 45.30 .00 45.30 03687 111604 110304 121504 56.46 .00 56,46 03772 111604 110504 121504 86.61 .00 86.61 03773 111604 110504 121504 5.50 .00 5.50 03872 111604 110904 121504 29.32 .00 29.32 03873 111604 110904 121304 2.36 .00 2.36 03894 111604 111004 121504 338.90 .00 338.90 D3905 111604 111004 121504 50.77 .00 50.77 03985 113004 111204 121504 65.04 .00 65.04 03986 113004 111204 121504 75.99 .00 75.89 03997 113004 111204 121504 51.90 .00 51.90 03988 113004 111204 121504 123.94 .00 123.94 03991 113004 111204 1215D4 21.24 .00 21.24 04001 113D04 111504 121504 291.90 .00 291.90 D4013 113004 111504 121504 32.96 .00 32.96 04017 113004 111504 121504 11.54 .00 11.54 04102 113004 111704 IM04 52.26 .00 52.26 04118 113004 111704 121504 283.86 .00 283.86 04209 113004 111904 121304 367.50 .00 367.50 04217 113004 112204 121504 120.18 .00 120.18 04218 113004 112204 121504 207.00 .00 207.00 D4219 113004 112204 121504 86.66 .00 86.66 04220 1130D4 112204 121504 104.79 .00 104.79 04222 113004 112204 121504 17.94 .00 17.94 04225 113004 112204 121504 26.13 .00 26.13 04233 113004 112204 121504 127.50 .00 127.50 04278 113004 112304 121504 326.89 .00 326.89 04207 113004 112404 121504 14.96 .00 14.96 04314 113D04 112904 121504 224.81 .00 224.81 04322 113004 112904 121504 11.82 .00 11.82 04324 113004 112904 121504 25.99 .00 25,98 TOTALS .......................................: 3984.81 .00 3994.81 M 173117 111604 102704 121504 378.42 .00 378.42 173293 111604 102904 121504 3150.00 .00 3150.00 174114 111604 110304 121504 341.19 .00 341.19 A0411041378 111604 110404 121504 10922.00 .00 10922.00 174718 113004 111004 121504 524.28 .00 524.28 174904 113004 111104 121504 198.00 .00 198.00 175754 113004 111704 121504 438.60 .00 438.60 175935 113004 111904 121504 671.12 .00 671.12 176333 113004 112404 121504 2700.00 .00 2700.00 38 1 146 • • • ,RUN DATE: 12/03/04 MEMORIAL MEDICAL CENTER TIME: 09:34 AT OPEN INVOICE LIST THRD DUE DATE OF 12/15/04 PAGE:. 4 APOPEN VEND9.X=........................... CLS.INVOICEk......... TRN DT.INV DT;DUE DT.CM DT..PC....... GROSS..... DISC...... NO -PAY........ NET 176398 113004 112404 121504 375.36 .00 375.36 TOTALS .......................................: 19698.97 .00 19698.97 10350 DADE SEERING M 931BD664 111904 110204 121504 504.72 93184257 113004 110504 121504 3134.57 .00 504.72 • .93186197 93191795 113004 110804 121504 113004 111504 1215 D4 39.39 1052.18 .00 .00 3134.57 39.39 93201598 113004 112404 121504 3948.63 .00 1052.18 TOTALS .00 3948.63 .......................................: 8679.49 .00 8679.49 11243 SCURCEONE HEALTHCARE TECHN - M 8290472 111604 110504 121504 1380.26 9343322 111604 110904 121504 2.9 .00 1380.26 8343363 111604 110904 121504 61030.97 .00 234.98 9350074 113004 111204 121504 222.50.00 .00 610.97 A359382 113004 111604 121504 234.98 222.50 8359383 113004 111604 121504 2519.2E .00 234.98 8359384 113004 111604 =504 - 4657.35 .OD 2519.28 8363757 113004 111804 121504 177.94 .00 4657,35 TOTALS ......... .00 177.94 .. .................. ..........: 10038.26 .00 30036.26 L406 DI-CHEM, INC. W 26962 113004 110504 121504 71.98 TOTALS ......... .00 71.48 .. .............. .. ............: 71.98 00 71.98 .640 DOCUMENT CONTROL SYSTEMS I M 19336 113004 111704 121504 107.37 TOTALS ......... .00 107.37 ..............................: 107.37 .00 107.37 .090 EDWARDS LIFESCIENCBS M 305690 113004. 111704 121504 56.74 TOTALS .......................................: .00 56.74 56.74 .00 56.74 .230 ELECTED MEDICAL EQUIP CO I M 291711 111604 110404 121504 79.00 TOTALS ....... .OD 79.00 ...... .. ............... •••••••••: 79.00 .00 79.00 241 ELSEVIER SCIENCE USA 59771949 111604 110504 121504 - TOTALS ......... 67.46 .00 67.46 .......................... ....: 67.46 .00 67.46 320 EPIMED M 00022989 111604 102904 121304 532.00 TOTALS . .. .......................... .DO 532.00 ••••••••••; 532.00 .00 532.00 129 EQUAL DIAGNOSTICS M 0118310-IN 113004 112204 121504 455.02 TOTALS ................. .00 455.02 .. ............ ........: 455.02 .00 455.02 00 E-Z-EM, INC. M 581300 111604 102804 121504 111.03 .DO 111.03 Is 39 G.., JA LJ RON DATE:. 12ID3104 MEMORIAL MEDICAL CENTER PAGE: 5 . TIME: 09:34 AP OPEN INVOICE LIST THRU On DATE OF 12/15/04 APOPEN VEND#.NAME........................... CLS,INVOICE# ......... TRW DT.INV IT DUE DT.CR DT..PC....... GROSS..... ,DISC ...... NO -PAY......,. NET TOTALS .......................................: 111.03 .00 111.03 E3550 Del M 6853105 111604 102704 121504 103.07 .00 103.07 -TOTALS .......................................: 103.07 .00 103,07 F1403 FISHER & PAYKEL HEALTHCARE M 10136405 113004 112404 121504 1071.37 .00 1071,31 TOTALS .......................................: 1071.37 .00 1071,37 F1780 FRESSNIUS USA MANOFACTORIN M 92252955 111604 103104 121504 1540.95 .00 1640.95 92267637 113004 111504 121504 3581.40 .00 3581.40 9226940E 113004 111604 121504 150.90 .OD 150.90 92272383 TOTALS ....................... 113004 111904 121504 .... .. .... ......: 808.96 6182.21 .00 .00 808.96 6182.21 G0962 GBNESIS WORId)WIDE BRTEHPAI 0017940-IN 113004 111504 121504 53.38 .00 53.38 TOTALS .............. ................ ......... : 53.33 .00 53.38 G1265 GYROS HHT LLC M 319372 111704 110904 121504 364.02 .00 364.02 319379 111704 110904 121504 130.80 .00 130.80 TOTALS ..... .................................. : 494.92 .00 494.82 90959 HARLEE MEDICAL TECH, INC. 3597 113004 112904 121504 349.25 .00 349.25 TOTALS .......................................: 349.25 .00 349.25 H1050 HAVEL'S INCORPORATED M 00655225 111604 110504 121504 73.50 .00 73.50 00656012 113004 111204 121504 73.50 .00 73.50 TOTALS .......................................: 147.00 .00 147.00 E1135 HEALTH CARE. LOGISTICS INC M 133610B 113004 112304 121504 273.78 .00 273.78 TOTALS .......................................: 273.78 .00 273.78 91600 HOBART SALES & SERVICE N TC905514 111604 102904 121504 32.79 .00 32.79 MOD HOLLISTER-INC TOTALS .......................................: 32.79 .00 32.79 • M 91573110 111604 102804 121504 127.50 .00 127.50 TOTALS .......................................: 127.50 .00 127.50 13405 HULL ANESTHESIA M 0278608-IN 111604 110104 121504 124.51 .00 124.51 0279101-IN 111704 111004 121504 246.13 .00 246.13 TOTALS .......................................: 370.64 .DO 370,64 :0521 INVIVO RESEARCH INC. W 203017 113004 110504 121504 890.13 .00 290.13 40 148 - RON DATE: 12/03/04 MEMORIAL MEDICAL CENTER . TIME: 09:34 AP OPEN INVOICE LIST THRU DOE DATE OF 12/15/04 PAGE: 6 APOPEN VEND4.NAME........................... CLS. INVOIF9......... THE DT.INV DT.DDE DT.CK DT..PC....... GROSS..... DISC...... NO -PAY........ NET 203165 113004 110904 121504 228.38 203416 113004 111204 121504 102.26 .00 ..00 228.38 TOTALS 102.26 .......................................: 1220.77 .00 1220.77 I0950 INFOLAE INC M 2009095 113004 111004 121504 90.55 TOTALS .......................................: 90.55 .00 90.55 •I0951 .00 90.55 INEMARAELE M 13071 113004 110304 1215D4 106.00 13167 113004 110904 121504 70.00 .00 106.00 13195 113004 111004 M504 150.00 .OD 70.00 TOTALS .00 150.00 ............. ...... ............ ........: 326.00 .00 326.00 :1100 INSTRDNENTATION LABORATORY M 9100169296 111604 110204 M504 1851.92 9100169567 111604 110404 121504 600.00 .00 1851.E2 TOT8L5............. .00 - 600.00 ..........:...... .... ......: 2451.82 .00 2451.82 1127 INTEGRATED MEDICAL SYSTEMS - 167666 111604 110904 121504 133.00 TOTALS .................... .00 133.00 ......... ..........: 133.00 .00 133.00 1260 IATOKIMETERS - N 156398 113004 111704 121504 _161.50 TOTALS .......................................: .00 161.50- 161.50 •00 161.50 1392 JIMSON, INC. M YC906134 113004 113004 121504 98.07 TOTALS ..................... .00 98.07 98.07 .00 98.07 L405 JEDMED M 337267DI 111704 111104 121504 567.83 TOTALS ............... .............. .. ........: 567.83 .00 567.83 .00 567.83 225 KROLL LABORATORY SPECIALIS W 470334-1 113004 022904 121504 135.00 TOTALS ............. .00 135.00 ........ ..................: 135.00 .00 135.00 500 LAB SAFETY SUPPLY INC M 1005561093 113004 111704 121504 225.58 TOTALS ............. .00 225.58 .. ...... ..................: 225.58 .00 225.58 700 LABCORP OF AMERICA HOLDING M 16154057 111604 103004 121504 4390.30 16238481 111904 103004 1215D4 56.00 .00 439D.30 TOTALS............. .00 56.00 .... .. .....................: 4446.30 .00 4446.30 130 LINVATEC CORPORATION - M 3979309 113004 112304 121504 300.00 TOTALS ............. .00 300.00 .................. .. ......: 300.00 .DD 300.00 138 LMA NORTH AMERICA M 270480 113004 111604 121504 1554.00 .00 554.00 41 ;,7r i RON DATE: 12/03/04 MEMORIAL NEDICAL CENTER PAGE: 7 TIME: 09:34 AP OPEN INVOICE LIST THRU DOE DATE OF 12/15/04 APOPEN VEND#.NAME........................... CLS.INVOICE1......... TRN DT. INV UT.DUE DT. Cl DT.. PC ....... GROSS ..... DISC...... NO -PA: ........ NET 270845 113004 111704 121504 159.60 .00 159.60 TOTALS .......................................: 1713.60 .00 1713.60 M1959 MARSH MEDIA W 17470 111704 093004 121504 153.89 .00 153.89 TOTALS ....................................... 153.89 .00 153.89 M2273 MIDWEST BCIENCE RIOCENTER, M 52578 113004 110304 1ZL504 196.09 .00 186.08 TOTALS .......................................: 186.08 .00 186.08 M2310 MEDELA INC M 2665556 111604 102904 121504 279.78 .00 279.78 TOTALS .......................................: 279.78 .00 279.78 92320 MEDIBADGE • M 139208 111609 102804 121504 52.50 .00 52.50 141064 111604 110904 121504 47.55 .00 47.55 TOTALS ....................................... 100.05 .00 100.05 12465 MEDLEARN W 85500 113004 111504 121504 206.95 .00 206.95 - TOTALS .......................................: 206.95 .00 206.95 U485 MEDRAD INC M 90876566 113004 112104 121504 721.44 .00 721.44 TOTALS ........................................: 721.44 .00 721.44 12499 MEDTRONIC USA, INC. w 5717769 113004 111104 121504 224.10 .00 224.10 5722755 113004 111204 122504 60.00 .00 60.00 TOTALS .......................................: 284.10 .00 284.10 2556 MEGADYNE MEDICAL W 10370209 111604 110304 121504 69.70 .00 69.70 10369071 111604 102704 121504 69.70 .00 69.70 TOTALS .......................................: 139.40 .00 139.40 2644 MESA LABORATORIES INC M 0188501-IN 113004 110904 121504 232.00 .00 232.00 TOTALS ......................... I..............: 232.00 .00 232.00 2625 MICROTEK MEDICAL INC M 1414708 111604 111004 121509 76.86 .00 76.86 TOTALS .......................................: 76.86 .00 76.86 3175-THE MORGAN LENS M 215385 113004 111704 121504 191.35 .00 191.35 TOTALS .......................................: 191.35 .00 191.35 02 MOLDED PRODUCTS M 235054 1130G4 111504 121504 171.95 .00 171.95 150 42 'RUN DATE: 12/03/04 EEMORIAL MEDICAL CENTER TIME: 09:39 AP OPEN INVOICE LIST TEND DUE DATE OF 12/15/04 PAGE: 8 APOPEN VEND*.NAME........................... CLS.INVOICE4......... TRN DT.nTV DT.DUE DT.CE DT„PC....... GROSS..... DISC_ ...NO -PAY........ NET TOTALS ........................................: 171.95 .00 171.95 44230 MORGAN SCIENTIFIC INC M 9629 113004 110504 121504 131.00 .00 131.00 TOTALS .......................................: 131.00 .00 131.00 • I0320 NCCLS W 29586 113004 111204 121304 436:00 .00 438.00 TOTALS ........................................: 438.00 .oQ 438.00 11410 ON -SITE TESTING SPECIALIST W 1417 111604 112604 121504 278.97 .00 278•97 TOTALS .......................................: 278.97 .00 278.97 0570 QUEST DIAGNOSTICS W 9105843851 113004 102704 121504 2137.69 9105970675 113004 102704 121504 362.70 .00 2137.69 9106000130 113004 102704 121504 42.00 .00 362.70 TOTALS .00 42.00 ................... .................... : 2542.39 .00 2542.39 1045 R 4 D BATTERIES INC M 525583 111604 110504 121504 178.81 TOTALS ............. .00 178.E1 ...................... ....: 178.81 .00 176.81 L430 REMEL INC M 448812 111604 110104 121504 209.31 A53793. 111604 110404 121504 66.00 .00 209.31 TOTALS ......... .00 86.00 ..............................: 295.31 .00 295.31 .464 RPC REPROCESSING PRODUCTS M 102757 113004 110804 121504 215.55 TOTALS ...................... .00 215.55 ........... ......: 215.55 .OD 215.55 468 RESPONSIVE PROVIDERS INC M 0045701-IN 111604 130104 121504 149.60 .00 0045826-IN 111604 111004 121504 0045932-IN 113004 111704 121504 268.50 .00- 206.50 206.50 TOTALS .......................................: 64.60 64.60 424. 6D .00 .00 424.60 347 SYNTRES M 07155413RZ 113004 110404 121504 27.47 TOTALS ....................... .00 27.47 ................: 27.47 .00 27.47 579 ST JOEN RECORD PROGRAMS M 01786953 111604 102904 121504 124.31 01786955 111604 102904 122504 544.33 •00 01762064 111604 110104 121504 .00 539.34 544.34 01794600 111604 110904 121504 09.89 109.89 .00 44.33 01795697 113004 111004 121504 163.85 .00 142.66 O1904554 113004 112204 121504 .00 142.66 T07'ALS..... 69,85 ,00 69.85 .. .. ............. ••••••••••••••: 1030.36 .00 1030.38 30 STRYEER SALES CORP M 675920.. 113004 111504 121504 356.73 .00 356.7. 3 43 i RUN DATE: 12/03/04 - M MRIAL MEDICAL CENTER PAGE: 9 TIME: 09:34 AP OPEN INVOICE LIST THRU DUE DATE OF 12/15/04 APOPEN VEND4.N'M..................... ......CLS.7INOICE4.........TRH DT.INV DS.DDE DT.CH DT..PC....... GROSS..... DISC...... NO -PAY........ NET TOTALS....... 356.73 .DD 356.73 92900 SUN MImICAL INC tl I0022691 113004 111804 121504 TOTALS.......................................: E3940 STERIS CORPORATION M 1021582 113004 111304 121504 1029559 113004 111904 121504 TOTALS ....... ................................ : T1900 TRW ELECTRICAL SUPPLY 64.67 .00 64.67 64.67 .00 64.67 160.29 .00 160.29 61.00 .00 61.00 221.29 .00 221.29 • M 12442 111604 110204 121504 29.90 .00 29.80 12496 113004 110904 121504 301.95 .00 301.95 12546 113004 111704 121504 168.90 .00 168.90 TOTALS .......................................: 500.65 .00 500,65 T2590 TRERMO B109TAR M 397293 113004 110304 121504 TOTALS.......................................: T3130 TM-AMIM HEALTH SERVICES I M H0Ti43209375 113004 111504 121504 TOTALS.___ .................... .......... T3190 TRI-STATS HOSPITAL SUPPLY M 1756133 111664 110304 121504 1763313 111604 111004 121504 1764296 113004 111104 121504 176B703 113004 111704 121504 1769898 113004 111804 121504 1771970 113004 112204 121504 TOTALS.......................................: W1601 WATER & POWER TECHNOLOGICS W 58657 113004 1122D4 121504 58658 113004 112204 121504 TOTALS.......................................: Z1005 ZIMtlER US, INC. 428.35 .00 428.35 428.35 .00 428.35 127.99 .00 127.99 127.99 .00 127.99 1097.48 .00 1097.48 800.92 .00 800.92 50.50 .00 50.50 2331.76 .00 2331.76 57.54 .00 57.54 241.00 .00 241.00 4579.20 .00 4579.20 2230.00 .00 2230.00 2679.00 .00 2679.00 4909.D0 .00 4909.00 W 431621 111604 1D2704 121504 48.68 .00 48.68 473693 111604 110304 121504 19.46 .00 19.46 478017 111604 110404 121504 100.11 .OD 100.11 • 478223 111604 110404 121504 59.94 .00 59.94 496920 113004 111004 121504 621.47 .00 621.47 498224 113004 111104 121504 67.99 .00 67.99 510221 113004 111504 121504 378.53 .00 378.53 - 521096 113004 111804 121504 139.80 .00 139.80 TOTALS__ .................................. 1435.98 .DO 1435.98 GRAND TOTALS .................................: 137163.97 .00 137163.97 5 12 44 • 0 REFERRALS FOR THE MONTH OF NOVEMBER FINANCIAL CLASS N - REFERRAL ACCOUNTS $ 68,902,35 FINANCIAL CLASS O - REFERRAL ACCOUNTS $ 87,983.50 FINANCIAL CLASS I - INHOUSE ACCOUNTS $ 40,844.03 FINANCIAL CLASS X - MEDICARE ACCOUNTS $ 13,254.53 TOTAL $ 210,984.41 CHARITY FOR THE MONTH OF NOVEMBER $ 228,772.64 CHARITY FOR THE YEAR OF 2004 $ 985,188.69 45 t _ 153 CHARITY ACCOUNTS NOVEMBER 2004 .Date Amount - Due Charity Patient Name of of from Adjustment Service Bill Patient BABY DENNIS 06/03/041 $ 273.25 1 $ 27.33 1 $ 245.92 BABY DENNIS 07/19/04 $ 296.34 $ 29.64 $ 266.70 HICKS STEPHEN 07/12/04 $ 9,617.70 $ 961.77 $ 8,655.93 HICKS STEPHEN 1 07123/041 $ 3,682.89 1 $ 368.29 1 $ 3,314.60 ESCALANTE V 07/09/04 $ - 68.25 $ 68.25 IBARRA-LOPEZ GERARDO 67126-1041 $ 477.00 $ 95.40 1 $ 381.60 LOPEZ JOSEPHINE 07/22/04 $ 225.25 $ 11.27 $ 213.98 MARMOLEJO JOSE 07/16/04 $ 585.60 $ 175.68 $ 409.92 OVALLE ROSITA 07/15/04 $ 221.00 $ 11.05 $ 209.95 REYNA ADELA 07/14/04 $ 402.41 $ 120.73 $ 281.68 RIVERA MARIA 07/23/04 $ 490.50 $ 490.50 SALCEDO SANDRA LEE 07/14/04 $ 177.75 $ 177.75 SALINAS FELIXJR. 07122/04 $ 238.25 $ 47.65 $ 190.60 TULLOCK BEN 07/16/04 $ 228.75 $ 22.88 $ 205.87 ROGERS DONNA 05/06/04 $ 25.50 Is 25.50 RLVAN BLANCA I U3/03/041 $ 238.47 1 $ 11.93 $ 226.54 ORES ROSALINDA 07126/041 $ 75.00 1 Is 75.00 FLORES ROSALINDA 07/30/041 $ 295.00 1 1$ 295.00 THOMPSON MYLES U4/26/041 $ 494.76 1 $ 296.86 $ 197.90 THOMPSON HOPE 0 - B/04 $ 75.D0 1 $ 45.00 1 $ 30.00 AMEJORADO GLORIA CF8-/23/041 $ 80.001 1$ 80.00 CORDELL LINDA 1 08/17/04 $ 72.75 $ 72.75 COUTINO LUCIA1 081231041 $ 479.41 $ 479.41 GONZALES NICOLAS1 08/16/04 $ 431.50 $ 43.15 1 $ 388.35 JIMENEZ CARLOS 1 08/09/041 $ 200.00 1 1$ 200.00 MARTINEZDELIA 1 08/22/04 $ 228.501 $ 228,50 OLACHIA MARTINA 08/03104 $ 396.66 $ 19.84 $ 376.82 OSORNIA AMPARO 08/26/04 $ 432.161 $ 432.16 PITONYAK JOHN 08/20/04 $ 116.50 1 $ 116.50 REYES OLIVIA 08/13/04 $ 363.75 $ 18.19 $ 345.56 SANCHEZ ROSAMARIA . 08/08/04 $ 359.50 $ 359.50 SCOGGINS JANIE 08/19/04 $ 233.75 IS 23.38 $ 210.37 VILLARREAL MARY 08/17/04 $ 322.50 $ 322.50 PEREZ BETTY 07/19/04 $ 471.50 1 $ 471.50 FIRORA DIANA 04/09/04 $ 412.00 $ 288.40 $ 123.60 LACY COURTNEY 07/231041 $ 6,517.701 1 $ 6,517,70 MARTINEZFRANCISCOJR. 07/21/04 $ 1,476.25 $ 1,476.25 - MORALES GLORIA 07/22/041 $ 591.66 1 $ 591.66 SHARP NANCYA. 07/13/04 $ 5,142.541 $ 5,142.54 VELEZ MARY 07/14/04 $ 1,408.19 $ 1,408.19 VELEZ MARY 027/27/04 $ 80.00 $ 80.00 WELCH DOUG 07/21/04 $ 798.95 $ 798.95 GRIMALDO JOSIE 0407/04 $ 555.50 $ 27.78 $ 527.72 TREVINO ROMIRO 1 03/29/04 $ 433.22 $ 129.97 S 303.25 TREVINO ROMIRO 1 08/12/04 S 3.348.25 $ 1,004,48 S 2,343.77 POPE ROBERT S. 77/23/04 $ 3,646.55 S 3,646.55 154 i 0 46 9 • VrL RVOCRI J. U8126/04 $ 1,154.95 $ 1,154.95 MARCUS JUDY 07/10/04 $ 18,442.88 $ 18,442.88 MARCUS JUDY 07/28/04 $ 2,314.10 - $ 2,314.10 MARCUS JUDY 07/29/04 $ 396.00 $ 396.00 MARCUS JUDY 07/31/04 $ 665.41 $ 665.41 BARKASZI STEVE 08/18/04 $ 3,107.25 $ 3,107.25 CASTILLO RICHARD 08/20/04 $ 2,293.76 $ 458.76 $ 1,835.00 GARCIA SAN JUAN 08/15/04 $ - 2,798.35 $ 559.67 $ 2,238.68 MONTEMAYOR MIGUEL 07/19/04 $ 23,851.58 $ 23.851.58 MONTEMAYOR MIGUEL 07/31/04 $ 963.10 $ MUNOZ MARY LYNN 08/13/04 $ 801.00 $ 963.10 PONCI PAUL JR. 08/04/04 $ 5,302.50 $ 801.00 PONCI PAUL JR. 08/20/04 A --no P 5,302.50 .. 47 155 ARRUDA COLLEEN 07/11/041 $ 228.75 $ 11.44 $ 217.31 CHAPA YOLANDA 07/03/041 $ 788.94 $ 39.45 $ 749.49 FLORES ROSALINDA 07/01/041 $ 1,299.35 $ 1,299.35 FLORES ROSALINDA 07/08/04 $ 103.50 $ 103.50 LACY COURTNEY 06/25/041 $ 1,272.45 $ 1,272.45 LACY COURTNEY 07/01/041 $ 324.50 $ 324.50 MARTINEZ FRANCISCO JR. 06/09/04 $ 6,338.75 $ 6,338.75 RADFORD TONY 06/07/04 $ 1,134.10 $ 340.23 $ 793.87 ROMERO SONIA 06/25/04 $ 1,981.04 $ 1,981.04 ROMERO SONIA 06/30/04 $ 2,536.50 $ 2,536.50 SALINAS CELIA 06/09/04 $ 874.91 $ 174.99 $ 699.92 SALINAS CELIA 07/11/04 $ 284.25 $ 56.85 $ 227.40 SALINAS FELIX JR. 07/05/04 $ 281.50 $ 56.30 $ 225.20 URESTE ADELA 07/02/04 $ 556.25 $ 27.82 1 $ 528.43 VILLNUVE LINDA 06/25/04 $ 889.641 1 $ 889.64 HICKS STEPHEN 05/20/041 $ 19,147.28 1 $ 1,914.73 $ 17,232.55 HICKS STEPHEN 06114/041 $ 256.75 1 $ 25.68 $ 231.07 GARCIA MARK 06/12/041 $ 2,736.35 $ 273.64 $ 2,462.71 GARCIA MARK 06/28/04 $ 456.66 $ 45.67 $ 410.99 CUELLAR NATALIA 06/06/04 $ 2,014.44 $ 2,014.44 CUELLAR NATALIA -06/09/04 $ 177.75 $ 177.75 CUELLAR NATALIA . 06/15/04 $ 221.00 $ 221.00 CUELLAR NATALIA 06/29/04 $ 339.00 $ 339.00 MCGUIRE DONNA 07/18/04 $ 11,431.51 $ 1,143.16 $ 10,288.35 GONZALES VELMA 07/28/04 $ 177.75 $ 8.89 $ 168.86 GONZALES VELMA 08/03/04 $ 579.50 $ 28.98 $ 550.52 GARCIA SONJA 08/05/04 $ 566.501 $ 566.50 ESOUIVEL SELMA 1 07/16/041 $ 625.25 1 $ 125.05 $ 500.20 CHRISTIAN SHELIA 1 07/271041 $ 1,599.44 $ 159.95 $ 1,439.49 CASTILLO RODRIGO 07/22/041 $ 1,016.10 $ 203.22 $ 812.88 BRUMBELOW BERTHA 07/14/04 $ 1,640.35 $ 82.02 $ 1,558.33 BRUMBELOW LOUIS 08/04/04 1,178.60 $ 58.93 $ 1,119.67 ARMOLA FRANK 07/28/04 8,278.75 $ 3,311.50 $ 4,967.25 ADAME JERRY ALLEN 07/20/04 582.25 $ 58.23 $ 524.02 RODRIGUEZ MARIO 05/17/04 854.50 $ 85.45 $ 769.05 MENDEZLIBNI 07/30/04 1,343.00 $ 1,343.00 MEZA OVIDIO 06/26/04 351.00 $ 351.00 MEZA OVIDIO 06/29/04 290.50 $ 290.50 HATCHER PATRICIA 06/19/04 221.00 $ 221.00 GARCIA ROSALIE 07/01/04 637.44 $ 191.24 $ 446.20 NGUYEN TOMMY 07/08/04 324.50 $ 324.50 PITONYAK JOHN 07/07/04 476.75 $ 476.75 TOTALS 246,827.11 18,054.47 $ 228,772.64 Charity Bad Debt " Paid by Medicaid Paid by Patient Paid by Insurance 156 48 i 11 • 0 INHOUSE MEMORIAL MEDICAL CENTER November-04 COLL CD PT TYPE PT NUM PATIENT NAME GUARANTOR NAME W/O AMT 3 B74232 AGUILAR JOHN ANDREW AGUILAR JOHN ANDREW 40.57 1 B74316 BRISENO JESSICA BRISENO JESSICA 400.00 3 B74629 CANO RUBEN CANO RUBEN 1,100.00 3 B73509 CARDONA ANDY CARDONA ANDY 350.00 3 B74235 CARROLL LANDA CARROLL JEFF 268.21 2 B75873 CONSUEGRA INES CONSUEGRA INES 927.96 3 B73424 DANIELS JOSHUA DANIELS JOSHUA 294.44 3 B69310 ELDER JOSEPH ELDER JEANNIE 618.00 2 B71504 ENNIS DAVID ENNIS DAVID 625.00 2 873906 ESCOBAR ESTHER ESCOBAR ESTHER 3,833.85 2 B68013 ESPARZA SARA T ESPARZA ANTONIO - 131.09 I 1 B75849 ESTRADA NOAH ESTRADA EDWARD 232.58 2 B70351 FRUTELLE MELBA T FRUTELLE MELBA T 139.12 2 B71848 FRUTELLE MELBA T FRUTELLE MELBA T 31.49 1 B73273 GAGE BECKIE GAGE KEITH 160.00 3 B73399 GALVAN IRENE + GALVAN IRENE 118.41 3 B74892 GARZA MARIA ELENA GARZA MARIA ELENA 60.00 3 B69643 GONZALES MICHAEL R GONZALES MICHAEL R 167.28 2 B63334 GRAVES KENDALL GRAVES KENDALL 1,235.00 2 B70896 GRIGSBY MARJORIE N GRIGSBY MARJORIE N 123.35 2 B74508 HART KIMBERLY HART KIMBERLY 907.25 3 I B76206 HAWES ALFRED III HAWES ALFRED III 1 B68957 HERRERA ANDREA R A ANDREA R 890.70 I 3 B66704 KILGORE KASEY KILGOR 249.25 3 B76172. LESTER CHRISTOPHER LE TER BEVERLY 587.25 559.45 2 B74016 PINA FERNANDO POL 2 873976 POLK RICHARD POLK CRYSTAL CRYSTAL 32.45 3 B75042 RAGLE SHARON RAGLE S 1,212.30 3 975296 ROGERS STEVE + STEVEARON 2,467.91 3 874623 RUPPELIUS MARGARITA RO PELIUS MARGARITA ,284.60 459.91 2 B75330 RUSSELL BARBARA RUSSELL DALE 3 B75511 RUSSELL BARBARA RUSSELL DALE 147.80 188.88 3 B75840 RUSSELL BARBARA RUSSELL DALE 2 B73213 SALLES DONNA J SALLIES DONNA J 192.13 2 B70091 SANDERS KELLE FAYE CASTANEDA KAREN 98.30 3 B67114 SAUCEDA CHINO R JR SCHROE 228.97 3 B69745 SCHROEDER SARAH R SARE SEAROEDAN SARAH 277.26 27Z26 3 B76221 SEARCY DANA R SEARCY DANA R 37.36 3 B74348 SHAW GAIL M SHAW GAIL M I 1 874769 SHELTON RICHARD SHELTON RICHARD 837.36 3 B71297 SINGLETERRY SHAWN SINGLETERRY LISA 6,512.35 2 B75955 SMITH RENEA SMITH RENEA 1 3 B76184 STAFFORD REUBEN GLEN STAFFORD REUBEN GLEN 125.55. 1 B75026 STEPHENSON JENNY 75 238.00 238.00 3 B74064 STEWART MICHAEL W STEWART MICHAEL W 00 3 B75495 TATE STACY LYNN TATE STACEY LYNN . 69gg.99 49 157 INHOUSE MEMORIAL MEDICAL CENTER COLL CD PT TYPE PT NUM PATIENT NAME 1 2 B70135 THOMPSON CARLA 1 2 B68442 THOMPSON JUDY 1 2 B74721 TIJERINA MARY T 1 2 B74958 TIJERINA MARY T 3 B73912 TIJERINA MARY T 1 B71166 TODDJOHN SR 3 B69628 TORRES VIRGINIA 1 B71484 TUDOR PATRICIA 3 B73405 WALKER MICHEAL 3 B70009 WARDLAW VELMA I 2 B73624 WATKINS CHARLES JR i 3 B74874 WETHERINGTON CAROL 3 B61972 WILLCOXEN BARBARA GUARANTOR NAME W/O AMT THOMPSON CARLA 156.67 THOMPSON JUDY 5.20 TIJERINA MARY T 1,172.25 TIJERINA MARY T 2,606.21 TIJERINA MARY T 846.60 TODD JOHN SR 846.00 TORRES VIRGINIA 54.24 TUDOR PATRICIA 703.96 WALKER HEATHER 35.00 WARDLAW VELMA 64.23 WATKINS CHARLES JR 1,091.52 WETHERINGTON CAROL 200.00 WILLCOXEN BARBARA 1,836.30 40,844.03 • Is 50 REFERRALS COLL CD PT TYPE PT N N 3 B732 N 3 B742 N 3 B762 N 3 B740 N 3 6747 N i B712 N 3 B7591 N 2 B726 N 3 B7592 N 3 86741 N 2 87036 N 2 B7013 N 1 B6987 N 3 B7406 N 3 67556 N 3 B 7441 N 3 B7359 N 3 B7449 N 2 B7268 N 3 8747 N 2 B6735 0 0 6 5 9 4 9 MEMORIAL MEDICAL CENTER UM PATIENT NAME 64 AGUILAR JOE LEWIS JR 05 AGUILAR JOE LEWIS JR 27 ALAMIA DAVID 58 ALBRECHT CHRISTOPHER 40 ARMSTEAD KAYLA 51 ARRUDA COLLEEN 3 AUCOIN STEPHANIE 27 BAKER JACK M 1 BALDERA GLORIA 2 BALES JEANETTE 8 BANKS BONNIE 7 BARNHART DONNA 9 BATES EVELYN 2 BOYD ANN E 0 BRAWN CATHERINE 8 BYRD WESLEY 8 CAMACHO ALLISON 6 CAMACHO TOMMY III 6 CARDONA DAVID 34 CHAVANA TRISHA CHRONISTER APRIL CLARK MICHAEL COLLINS MARLENA COMPTON ROGER COTSOVOLOS EST['""' + CROXTON SHELLY CUMPIAN JENNY DELGADO MARCELINO DIERCKS DUSTIN JR DOMINGUEZ ROBERT F DORRIS STEPHANIE DORSEY SAMEKIA DRAKE RANDY A DRAKE RANDY A DUDLEY YVONNE G DUENEZ IRENE P DUENEZ NORA DURHAM PEGGY DURHAM PEGGY EDWARDS TAMARA EMERY JUDITH A ESCOBAR SHERYL ESQUIVEL VIRGINIA ESTRADAJOE EVINS BRENDEN S EVINS BRENDEN S EVINS MICHELLE FARIAS DANIELLE FARMER JAYDEN GUARANTOR NAME AGUILAR JOSE AGUILAR JOSE ALAMIA DAVID ALBRECHT CHRISTOPHER ARMSTEAD DENISE ARRUDA COLLEEN AUCOIN STEPHANIE BAKER JACK M BALDERA GLORIA BALES JEANETTE BANKS BONNIE BARNHART DONNA BATES JOHN BOYD ANN E BRAWN CATHERINE SANDERS BRANDY CAMACHO DAVID CAMACHO TOMMY III CARDONA RENE CHAVANA TRISHA CHRONISTER APRIL CLARK MICHAEL COLLINS MARLENA COMPTON ROGER COTSOVOLOS ESTI CROXTON SHELLY CUMPIAN JENNY DELGADO MARCELINO DIERCKS DUSTIN DOMINGUEZ ROBERT F DORRIS STEPHANIE DORSEY SAMEKIA DRAKE RANDY A DRAKE RANDY A DUDLEY YVONNE G DUENEZ PAUL X DUENEZ NORA DURHAM PEGGY DURHAM PEGGY TODD CHERYLA EMERY JUDITH A ESCOBAR SHERYL ESQUIVEL VIRGINIA ESTRADA JOE EVINS ERIC S EVINS ERIC S EVINS MICHELLE FARIAS DANIELLE WIGGINS TRSHA RENEE W/O AMT 1,007.50 18.35 636.44 736.75 50.00 419.73 467.50 89.68 337.25 283.75 149.25 240.04 613.02 150.00 224.44 685.60 164.74 600.00 258.30 315.16 258.32 454.98 26.05 361.50 902.38 342.25 481.00 345.50 580,19 552.50 439.00 467.50 300,00 1,024.25 275.83 141.97 342.40 375.97 523.45 1,261.25 288.55 100.00 109.90 34,82 96.99 72.25 13.96 114.42 177.75 51 159 REFERRALS MEMORIAL MEDICAL CENTER COLL CD PT TYPE PT NUM PATIENT NAME N 3 B73352 FARMER JAYLON LEE N 3 B74870 FILLA CHRISTOPHER N 3 B73583 FINSTER LINDY- N 2 B75464 FIVECOAT ALICIA GAY N 2 B74139 FIVECOAT JOHN N 3 B73396 FIVECOAT NICOLE N 3 B75289 FLORES ALICE N 3 B76093 FORD GLEN N 3 B68633 FRANCOJOSE M N N N N N N N N N N N N N N N N N N N N N N N 2 1 2 3 3 2 2 3 2 3 3 3 2 3 3 3 3 N 3 N 2 N 3 N 1 N 3 N 3 N 3 N 3 B65367 B62650 B63767 B76137 B75548 B73434 B65766 B70654 B74443 B74251 B68140 B72663 B73204 B74934 B73270 B74161 B75292 B70317 B74216 B75725 B62241 B71818 B74225 B60708 B67046 B70975 B72443 B73539 B74574 B71113 B67394 N 3 B73503 N 3 B74011 N 3 B75923 N 3 B74809 N 3 B71339 N 3 B72283 N 2 B73023 N 2 B73224 N 2 B73699 FUENTES DORA FURSTENFELD MARSHALL FURSTENFELD MARSHALL GAGE MELANIE GAITAN ROSALINDA GALINDO ADOLPH GALINDO RENIE GALVAN DORA GALVAN JOE SR GALVAN KASSANDRA GAMBLE DEREK GAMEZ JESSICA J GARCIA DANIEL GARCIA DANIEL GARCIA FELIPE JR GARCIA JORGE JR GARCIA MANUEL GARCIA MARK GARCIA MARK GARCIA MARK GARCIA MAURO JR GARCIA MAURO JR GARCIA OFELIA GARCIA SANTOS III GARZA CLARA E GARZA CLARA E GARZA DAKOTA GARZA DAKOTA GARZA DAKOTA GARZA DARLENE GARZA MARCUS GERKING FRANK GERYK REBECCA C GIBSON MADISON GONZALES ERNEST ADAM GONZALES GABRIELLA GONZALES LINDA GONZALES RUBY GONZALEZ FLAVIO JR GONZALEZ FLAVIO JR GUARANTOR NAME WIGGINS TASHA FILLA ROBERT FINSTER LINDY" FIVECOAT ALICIA GAY FIVECOAT JOHN FIVECOAT JOHN FLORES ALICE FORD GLEN FRANCO JOSE M FUENTES DORA FURSTENFELD MARSHALL FURSTENFELD MARSHALL GAGE MELANIE GAITAN ROSALINDA GALINDO ADOLPH GALINDO RENIE GALVAN DORA GALVAN JOE SR GALVAN JEFFERY HI TECH GAMEZ JESSICA J GARCIA DANIEL GARCIA DANIEL GARCIA FELIPE GARCIA JORGE GARCIA MANUEL GARCIA MARK GARCIA MARK GARCIA MARK GARCIA MAURO A GARCIA MAURO A GARCIA OFELIA GARCIA SANTOS III GARZA CLARA E GARZA CLARA E GARZA ALFRED GARZA ALFRED GARZA ALFRED OARZA ELIBERTO GARZA MARCUS GERKING FRANK GERYK REBECCA C GIBSON TRACEY RENEE GONZALES CHARLENE GONZALES RODNEY GONZALES LINDA GONZALES RUBY GONZALEZ FLAVIO JR GONZALEZ FLAVIO JR W/O AMT 17T75 250.00 299.75 21.69 107.18 113.07 762.60 513.75 134,98 144.80 740.34 84.43 567,25 431.75 243.25 67.42 1,102.75 232.81 300.52 1,635.94 821.51 476.60 691.00 444.00 202.99 1.030.75 68.79 273.64 45.67 513.48 46.57 184.50 236.55 133.30 351.60 1,388,19 177.75 20.20 197.50 45.00 50.00 30.00 337.25 177.75 37.72 177.75 70.36 179.67 359.90 160 0 r� i 52 REFERRALS MEMORIAL MEDICAL CENTER COLL CD PT TYPE PT NUM PATIENT NAME GUARANTOR NAME N 2 B66875 GONZALEZ FRANCISCA M GONZALEZ FRANCISCA M N 3 B71803 GONZALEZ ROSA GONZALEZ ESTELLA N 2 B75905 GOSLIN JESS GOSLIN CHAD N 3 B68462 GRASSE JAMIE GRASSE JAIME N 3 B74528 GREEN WYOZIE GREEN WYOZIE N 2 B68554 GREER TWYLA GREER TWYLA N 2 B52347 GRIGGS ELENTHA GRIGGS ELENTHA N • 2 B72962 GRIGGS ELENTHA GRIGGS ELENTHA N 2 B70370 GRIMS PATRICIE GRIMS PATRICIE N 2 B70607 GRIMS PATRICIE GRIMS PATRICIE N 3 B71239 GRIMS PATRICIE GRIMS PATRICIE N 1 B70837 GRUNOW MARY GRUNOW MARY N 3 B75533 GUAJARDO EDDIE JR GUAJARDO EDDIE SR N 3 675228 GUERRA MARIA GUERRA MARIA N 3 B74172 GUERRERO ERSILIA OUERRERO ERSILIA N 3 B72820 GUEVARA MATTHEW R GUEVARA STEPHEN R N 2 B67135 GUICE NORMA GUICE GENE N 3 B66904 GUICE NORMA GUICE GENE N 3 B69893 GUTHRIE MATTHEW GUTHRIE MATTHEW N 2 B75762 GUZMAN DIANE GUZMAN DIANE N 3 B73174 GUZMAN DIANE GUZMAN DIANE N 3 B74245 GUZMAN JESSE GUZMAN YOLANDA N 3 B71388 GUZMAN NOAH SETH GUZMAN TONIA N 3 B75791 GUZMAN ROLAND GUZMAN ROLAND N 3 B64560 HALL BRENDAN HALL GERI W N 3 372281 HALL JENNIFER DAWN HALL JENNIFER DAWN N 3 B74911 HALL LETICIA HALL LETICIA N 3 B69350 HAMILTON CELIA LEE HAMILTON CELIA N 3 872191 HARDIN JACQUELYN HARDIN DfONE W N 3 B76220 HARGUS DAVID LYNN JR HARGUS DAVID LYNN JR N N 3 B73384 HARVILL LOGAN SAWBERGER KIRK W N 3 B73555 HERNANDEZ CATHERINE HERNANDEZ PETER 3 B74837 HERNANDEZ JESSICA L HERNANDEZ JESSICA L N N 3 B75837 HERRERA LUIS HERRERA LUIS N 2 670226 HEYSQUIERDO CRYSTAL RODRIGUEZ ANNA BELL N 3 B75583 HEYSQUIERDO DANNY HEYSQUIERDO DANNY N 3 B74445 HEYSQUIERDO DAVID JR HEYSQUIERDO DAVID N 2 B67528 HEYSQUIERDO JANIE HEYSQUIERDO JANIE N 2 B67715 HEYSQUIERDO JAME HEYSOUIERDO JANIE N 3 B69328 HEYSCUIERDO JOHN HEYSQUIERDO JOHN N 3 B74362 HEYSQUIERDO SHARYLE LY HEYSQUIERDO SHARYLE Ll N 3 B74632 HICKS CHRISTIE HICKS CHRISTIE N 3 B76041 HICKS GENE YARBORAUGH MELBA N 1 671921 HICKS STEVEN HICKS STEVEN N 2 B63042 HICKS STEVEN HICKS STEVEN N 2 B74141 HICKS STEVEN HICKS STEVEN N 3 B71542 HICKS STEVEN HICKS STEVEN 3 B74163 HILL CHRIS HILL CHRIS N 3 B75397 HILL CHRIS HILL CHRIS 53 0 W/O AMT 211.38 50.00 475.59 114.49 177.75 30.58 2,278.45 201.94 504.75 291.76 2,357.25 561.44 410.25 221.00 245.75 681.00 494.50 141.50 177.75 566.52 38.49 362.75 25.00 221.00 667.49 304.24 288.50 529.25 923.35 2,401.16 622.10 72.39 794.60 630.92 542.56 413.25 263.00 194.44 416.58 413.00 490.00 459.16 972.69 1,146.43 49.38 1,914.73 25.68 863.00 23.25 161 REFERRALS COLL CD N N N N N N N N N N N N N PT TYPE PT NUM 2 B70838 3 874909 3 B75728 3 874511 .3 3 3 N 3 N 3 N 3 877535 B72115 B79222 B79386 579498 B67801 575922 B71408 B75707 B67363 B70420 B73400 MEMORIAL MEDICAL CENTER PATIENT NAME HOBBS JOHN WILLIAM JR JASZEWSKI JEAN JONES ALEXIS JONES KAY KRAMER KEN KRAUSER JIMMY LARGENT TINA LARGENT TINA LARGENT TINA LEWIS ROBERT LONGSTREET SANDRAL LOPEZ BRENDA LYNN LOPEZJESSE LOPEZ JOSEPHINE LOPEZ JOSEPHINE LUCKEY MATTHEW GUARANTOR NAME HOBBS JOHN WILLIAM JR JASZEWSKI JEAN JONES AMY JONES KAY KRAMER KEN KRAUSER JIMMY LARGENT TINA LARGENT TINA LARGENT TINA LEWIS ROBERT LONGSTREET SANDRA L LOPEZ BRENDA LYNN LOPEZJESSE LOPEZ JOSEPHINE LOPEZ JOSEPHINE LUCKEY MATTHEW W/O AMT 229.00 665.65 283.51 177.75 1,690.94 541.75 968.85 26.85 291.50 507.75 359.25 82.02 1, 78T40 31.85 47.70 344.00 68,902.35 0 0 54 RUTR 0 0 REFERRALS COLL CD 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PT TYPE PT N 3 B740 3 B735 3 B805 3 B7661 3 5743 3 B752 3 B7317 3 B7583 3 B7618 3 B8502 3 B7'12 3 B7619 3 B7333 3 B7554 0 3 O 3 0 3 0 3 0 3 0 3 0 0 0 0 0 0 0 0 0 O O 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 3 3 B7356 B8174 B7182 87156 87437 87404 B741 B7618 674954 B75926 B74061 875304 B71387 868253 B73825 B81543 B76205 B72325 867596 3 B68858 3 671545 2 B66665 3 B75407 3 B60479 3 B73672 3 B69731 3 B74455 3 B76222 3 B83413 3 870205 3 B70670 3 B73255 3 B72863 B81312 873784 1 1 0 3 5 6 0 MEMORIAL MEDICAL CENTER UM PATIENT NAME 33 MALONE BRENDA 93 MARTINEZ LINDA 74 MARTINEZ PETRA C 6 MAYNARD SHELLI 64 MCLEAD CHARLIE R 94 MCLEAD CHARLIE R 8 MCLEAD DEBRA SAENZ 3 MCLEAD DEBRA SAENZ 2 MCMILLION DEVAN 1 MCNEW DEVIN 7 MILLER SHANNON 5 MILLSPAW REBECCA 7 MONK MICHAEL 5 MORALES PETER MORENO THERESA NEWMAN AMIE R NOEL MARY LOU ORR MELISSA KAY ORTIZ LYDIA M PECENA KAILA 04 PEPPERSJOSHUAJR PEREZ APRIL LYNN PEREZ MARGARITO JR PEREZ RAMONA PEREZ ROBERT PEREZ SAUL PETTA DARCY PHILLIPS ESSIE PHILLIPS TRISTIN X PLUMMERAMANDA POLONSKY ALLEN JR POPAL CHRIS POPE ROBERT S POPE ROBERT S POPE ROBERT S POWERS MICHAEL PUGH BRET RADCLIFF WENDY RADFORD TONY RADFORD TONY EARL RAMIREZ ELIZE RAMIREZ KARINA RAMIREZ PHILLIP RAMOS ELVA RAMOS ELVA RAMOS RICHARD RANDALL STEVE RANGELCARLOS RESENDEZ FELIX GUARANTOR NAME MALONE BRENDA MARTINEZ LINDA RODRIGUEZ JULIAN MAYNARD SHELLI MCLEAD CHARLIE R MCLEAD CHARLIE R MCLEAD DEBRA SAENZ MCLEAD DEBRA SAENZ MCMILLION DEBBIE MCNEW DEVIN MILLER SHANNON MILLSPAW REBECCA MONK MICHAEL MORALES ELMO MORENO THERESA NEWMAN AMIE R NOEL MARY LOU ORR MELISSA KAY ORTIZ LYDIA M PECENA DAWN HARDIN JACQUELYN ANN PEREZ APRIL LYNN PEREZ MARGARITO JR PEREZ JULIAN D PEREZ ROBERT PEREZ SAUL PETTA TIMOTHY PHILLIPS REGINALD I PHILLIPS VIRGINIA PLUMMER AMANDA POLONSKY ALLEN JR RICHARDSON YESSIE POPE ROBERT S POPE ROBERT S POPE ROBERT S POWERS RICKY AGUILAR DEBRA RADCLIFF WENDY RADFORD TONY RADFORD TONY EARL RAMIREZ ELIZE RAMIREZ MARICELA RAMIREZ PHILLIP RAMOS ELVA RAMOS ELVA RAMOS RICHARD RANDALLSTEVE RANGELCARLOS RESENDEZIRMA W/O AMT 235.75 224,50 221.00 599.25 708.75 601,00 477,00 454.50 436.50 771.30 686.55 358.75 79.70 670.00 353.00 638.25 50.30 35.40 348.00 430.16 234.75 333.50 764.41 349.75 717.30 479.50 19.37 125.38 365.50 556.50 109.19 236.75 51.80 53.87 65.49 307.49 587.75 553.50 340.23 534.75 529.51 578.00 898.00 1,432.25 221.00 840.75 60.00 177.75 766.60 55 163 REFERRALS MEMORIAL MEDICAL CENTER COLL CD PT TYPE PT NUM PATIENT NAME GUARANTOR NAME W/O AMT 0 3 B72185 RESENDEZ RANDY RESENDEZ RANDY 75,00 0 3 B74493 RESENDEZ TESSA RESENDEZ TESSA 625.75 0 3 B73544 REVARD SANDRA REVARD SANDRA 613.00 0 3 B75235 REYES GUADALUPE JR REYES GUADALUPE JR 447.50 0 2 B68762 RICO MARIA DE JESUS RICO FLORENCIO 264.93 0 2 B69709 RICO MARIA DE JESUS RICO FLORENCIO 55.59 0 3 B72192 RIVERA AMANDA M RIVERA METHEL 92.39 0 2 B74086 RIVERA GUADALUPE RIVERA ELOY B SR 421.92 0 2 B75111 RIVERA GUADALUPE RIVERA ELOY B SR 117.84 0 3 B74219 RIVERA GUADALUPE RIVERA ELOY B SR 51.92 0 3 873594 RIVERA ROBERT JOSEPH M RIVERA ROBERT J 227.50 0 3 B75932 RIVERA ROBERT JOSEPH M RIVERA ROBERT J 589.95 0 3 B68609 ROBERTS EMILY A ROBERTS ANNA S 50.00 0 2 574253 RODRIGUEZ ARMANDO RODRIGUEZ ARMANDO 2,551.34 0 2 B73430 RODRIGUEZ EDWARD JR RODRIGUEZ EDWARD JR 580.75 0 3 B69508 RODRIGUEZ JOAQUIN RODRIGUEZ JOAQUIN 145.19 0 3 B72461 RODRIGUEZ JOSE MANUEL RODRIGUEZ GLORIA 750.60 0 3 871469 RODRIGUEZ MARIO RODRIGUEZ MARIO 85.45 0 3 B72135 RODRIGUEZ MELODY RODRIGUEZ BARBARA 218.07 0 3 B76187 RODRIGUEZ VALERIE ACEVES LINDA 404.66 0 1 B70637 ROGERS ANGELA M ROGERS ANGELA M 523.47 0 2 B75704 ROGERS ANGELA M ROGERS ANGELA M 141.62 0 3 B76214 ROGERS CHARLES E ROGERS CHARLES E 20.20 0 3 B71709 ROGERS STANLEY GENE ROGERS STANLEY GENE 11.50 0 3 B70659 ROSENBROCK KIM ROSENBROCK J S 189.17 0 3 870690 ROSENBROCK LINDSEY ROSENBROCK LINDSEY 186.20 0 2 B67836 RUBIO JOANN RUBIO JOANN 425.80 0 2 563442 RUDDICK MARK RUDDICK MARK 1,034.30 0 3 B68849 SAENZLUCY SAENZLUCY 1,194.85 0 3 B71984 SAENZLUCY SAENZLUCY 230.00 0 3 B72157 SAENZLUCY SAENZLUCY 298.25 0 3 B 67402 SAENZ LUIS SAENZ LUIS 577.25 0 3 672849 SALAZAR ARTHUR TOM VALENTINE 1,007.75 0 3 B70025 SALAZAR THOMAS III SALAZAR THOMAS III 312.04 0 3 B73744 SALDIVAR RAMON SALDIVAR RAMON 217,41 0 2 B74100 SALINAS CELIA SALINAS CELIA 70.50 0 3 B69978 SALINAS CELIA SALINAS CELIA 174.99 0 3 B73941 SALINAS CELIA SALINAS CELIA 42.95 0 3 B74170 SALINAS CELIA SALINAS CELIA 67.80 0 3 B75623 SAMAYOANANCI SAMAYOANANCI 1,180.75 0 2 B74319 SAMUDIO SAM MCDONALD GAIL 281.99 0 3 B73398 SANCHEZ BOGAR IVAN JR SANCHEZ MONICA 229.00 0 3 B74368 SANCHEZ BOGAR IVAN JR SANCHEZ MONICA 485.50 0 2 B68101 SANCHEZ ESMERALDA SANCHEZ ESMERALDA 204.25 0 3 B65397 SANCHEZ FIDENCIO G SANCHEZ FIDENCIO G 172.06 0 1 670730 SANDERS RICHARD SANDERS RICHARD 11,759.11 0 3 B73601 SANDOVAL RODOLFO JR SANDOVAL ROSA 575,00 0 2 B65204 SANTACRUZ VICTOR M SANTACRUZ VICTOR M 1,821.50 0 3 875365 SANTUCCI TONI SANTUCCI ANTOINETTE 528.00 • • s 56 1 164 • • REFERRALS COLL CD PT TYPE PT NUM 0 1 B69553 0 3 B74360 O 3 B70969 O 2 B74291 0 3 B75048 O 2 B74003 0 3 B73588 0 3 B75033 0 3 B74932 0 3 B73417 0 3 B72099 0 3 B75517 O 3 672922 0 2 B74415 0 3 B72076 0 2 B67542 O 3 B67979 0 3 B71407 0 2 875644 0 3 B73552 O 3 B73712 0 2 856983 0 1 875732 0 3 B60595 S 0 3 B71439 S O 3 662081 S 0 3 B75406 S 0 3 B79536 T 0 1 B6E302 T 0 3 B63861 T 0 1 B73535 T 0 3 B76139 TI 0 1 B65665 TI 0 3 B68946 T 0 3 870732 T 0 3 B76037 T C 2 B71678 T 0 3 B72850. T 0 3 875184 U 0 2 B68290 U 0 3 B73708 VA C 3 B73549 VA 0 3 B75523 VA 0 3 874060 VA 0 3 B75528 VE 0 2 B70600 VI 0 3 B84064 VIL 0 2 B71094 VIL 0 3 B69734 VIL MEMORIAL MEDICAL CENTER PATIENT NAME SAUNDERSLACEY SERENA ELIDA SERRATA ANGELITA A SERVANTES SALLY SERVANTES SALLY SERVANTES SALLY SERVANTES SALLY SERVANTES SANTIAGO JR SHARP HAILY SHELTON SHAWN SHEPHERD ALYSSA SIDNEY TERENCE SINCLAIR JULIE SMITH AUTUMN T SMITH MICHAEL JACOB SMITH NANCY SMITH NANCY SOLIS JANIE SQUYRES ANGIE STAFFORD MCCULLEN STANLEY DARRYL S STEIN NED STEWART PAM TOCKER RUDOLF TOVALL TIMOTHY TOVALL WILLIAM S- TRELOW LINDA HOMAS ACIE HOMPSON HOPE HOMPSON HOPE HOMPSON MICHAEL JERINA JAVIER MES ERICA YOST OLIVER NATASHA OFIRES BEATRICE OFIRES MARCOS RUBEN RINH LOAN THUY RINH SON KIM RESTE SAMUEL RESTI LEROY DELL LADEZ TROY LDEZ LEO LLEY CANDACE R RGASJOSHUA RHAGE STACY L CKERY DEBRA L LARREAL DAVID LARREAL JACOB NO LARREALJACOB NO GUARANTOR NAME SAUNDERSLACEY SERENA ELIDA SERRATA ANGELITA A SERVANTES SALLY SERVANTES SALLY SERVANTES SALLY SERVANTES SALLY SERVANTES SANTIAGO JR SHARP JENNIFER SHELTON SHAWN CROBER JULIE SIDNEY TERENCE SINCLAIR JULIE SMITH AUTUMN T SMITH MICHAEL JOE SMITH NANCY SMITH NANCY SOLIS JANIE SQUYRES ANGIE STAFFORD RICKY STANLEY DARRYL S STEW NED STE WART PAM STOCKER RUDOLF STOVALL DEBBIE STOVALL DEBORAH L STRELOW LINDA THOMAS ACIE THOMPSON MYLES THOMPSON MYLES THOMPSON MICHAEL TIJERINA JAVIER TIMES ERICA YOST TOLIVER RENETTE B TORRES BEATRICE TORRES VALERIE TRINH LOAN THUY TRINH SON KIM URESTE SAMUEL URESTI LEROY DELL VALADEZ TROY VALDEZ LEO VALLEY CANDACE R VARGASJESSE VERHAGE STACY L VICKERY DEBRA L SALDIVAR MAYRA PEREZ ANITA PEREZ ANITA 57 W/O AMT 2,947.39 760.64 651.00 163.16 390.91 1,084.71 3,457.75 462.80 531.10 474.75 65.86 936.19 184.69 179:75 100.00 382.75 75.00 36.47 53.55 104.94 357.04 715.80 876,82 216.84 200.86 50.00 394.66 948.10 70.95 15.16 3,363.50 551.50 10.00 21.96 233.00 365.25 123.75 85.57 735.50 113.90 1,672.54 266.28 726.00 510.05 528.75 77.59 179.50 159.50 179,00 165 REFERRALS MEMORIAL MEDICAL CENTER COLL CD PT TYPE PT NUM PATIENT NAME 0 3 B74337 VILLARREAL LAURA ANN 0 3 B71696 VILLARREAL PAUL REY 0 2 B69497 WALTON SUSAN 0 3 968684 WALTON SUSAN 0 2 B74105 WARNER LINDSAY 0 3 B86364 WARNICK SHERYL 0 2 B75761 WHITAKER EDITH + 0 2 B69956 WHITE ANNETTE 0 3 875830 WILLIAMS CHARLENE 0 3 B68650 WOOD SHERRY T 0 2 B63387 WRATISLAW SHERYL 0 3 B74196 YBARRA TRACY LYNN 0 3 B73945 YOUNG SARA 0 3 B72715 ZAMORA IRMA T 0 3 B74346 ZARATE BRODY 0 3 B78138 ZIENTO LIZZETTE GUARANTOR NAME W/O AMT VILLARREAL LAURA ANN 917.25 VILLARREAL HEATHER 221.00 WALTON SUSAN 74.43 WALTON SUSAN 130.95 WARNER DEBBIE 127.89 WARNICK SHERYL 237.75 WHITAKER EDITH + 296.77 WHITE ANNETTE 983.04 WILLIAMS CHARLENE 752.44 WOOD JOHN 734.85 WRATISLAW CLINTON T 84.25 YBARRA TRACY LYNN 663.05 YOUNG SARA 1,181.00 ZAMORA IRMA T 762.44 MIRELES CONNIE 177.75 ZIENTO LIZZETTE 843.00 87, 983.50 58 1 66 • • • • • MEDICARE COLL CD PT TYPE PT N X 3 B703 X 3 X 2 X 2 X 2 X 3 X 3 X 1 X 3 X 3 X 2 X 2 X 3 X 1 X 2 X X X 1 X 2 X 2 X 3 X X X X X X X X X X X 3 2 2 2 2 2 3 3 3 3 3 2 2 2 PA B704 B715 B71 B722 B721 B721 B689 B716 B706 B7081 B672 B679 B7028 B6950 B7009 B7071 B7113 B7227 B7152 B7096 67155 B6708 B6779 B7061 B69 B69321 B70950 B71796 B70158 B71416 B70628 870263 550668 867544 671305 3 669640 1 B71328 2 B47048 1 B70916 1 B71289 2 B69145 3. B72178 1 869311 3 B67268 3 B67912 3 B72143 1 B70960 1 B70438 04 2 0 2 MEMORIAL MEDICAL CENTER UM PATIENT NAME 31 ALLEN BARBARA 36 ALLEN BARBARA 11 BANGS JOSEPH 9 BAREFIELD LENORA 15 BILLEAUD GARLAND RAY 39 BILLEAUD GARLAND RAY 84 BILLEAUD GARLAND RAY 51 BROWNLEE LORRAINE 23 COOK WALTER R 47 CULPEPPER LEARA J 1 ESCOBAR ARMANDA S 22 FOX HARRY 33 FRANCO ANTONIA 2 FRANK MARIE 7 GARCIA RAMON D 6 GARZA ANTONIO 8 GARZA ANTONIO 6 GONZALES MARY P 9 GONZALES MARY P 3 GRIGSBY MARJORIE N 5 HAITH JACK 7 HARPER JAMESL HILSCHER MARIAN HILSCHER MARIAN HILSCHER MARIAN 444 IRWIN NANCY KOLAR IRVING KUCHLER PAUL W LANGLEY TERESA MIRELES DANIEL MONTOYA ALFONCINA MOONEY RAY MORALES ROY OGLE LEONARD A PARTLOW LUCILLE PRIDDY ETTA M PRIDDY ETTA M PRIDDY FOREST PROCTOR GEORGE A RAMOS JOE D SR RAMOS JOE D SR RAMOS JOE D SR RODGERS ROBERTL ROEMER CLYDE R ROGERS STANLEY GENE ROGERS STANLEY GENE ROGERS STANLEY GENE SAENZ RAUL SAINZ AURORA GUARANTOR NAME ALLEN BARBARA ALLEN BARBARA BANGS JOSEPH BAREFIELD LENORA BILLEAUD GARLAND RAY BILLEAUD GARLAND RAY BILLEAUD GARLAND RAY BROWNLEE LORRAINE COOK WALTER R CULPEPPER LEARA J ESCOBAR ARMANDA S FOX HARRY FRANCO ANTONIA FRANK MARIE GARCIA RAMON D GARZA ANTONIO GARZA ANTONIO GONZALES MARY P GONZALES MARY P GRIGSBY MARJORIE N HAITH JACK HARPER JAMES L HILSCHER MARIAN HILSCHER MARIAN HILSCHER MARIAN IRWIN NANCY KOLAR IRVING KUCHLER PAUL W LANGLEY TERESA MIRELES DANIEL MONTOYA ALFONCINA MOONEY RAY MORALES ROY OGLE LEONARD A PARTLOW LUCILLE PRIDDY ETTA M PRIDDY ETTA M PRIDDY FOREST PROCTOR GEORGE A RAMOS JOE D SR RAMOS JOE D SR RAMOS JOE D SR RODGERS ROBERTL ROEMER CLYDE R ROGERS STANLEY GENE ROGERS STANLEY GENE ROGERS STANLEY GENE SAENZ RAUL SAINZ AURORA W/O AMT 204.63 151.18 145.32 37.92 228.88 44.30 58.38 29.38 54.00 312.77 214.53 174,65 105.89 856.00 165.79 876.00 611.00 876.00 39.18 56.70 6L59 58.47 137.67 107.76 135.32 81.32 33.16 49.92 112.16 347.25 21.25 127.82 31.32 10.95 80.00 159.02 155.32 876.00 168.92 155.32 889.82 13.82 254.91 1,545.0E 11.50 11.50 11.50 873.66 454.59 59 167 MEDICARE COLL CD X X X X X X X X X X X X X PT TYPE PT NUM 2 B54888 3 B71369 2 B70092 3 672147 2 B63056 3 B71704 2 B68738 2 B71800 2 B72200 3 B70533 3 B70650 2 864807 2 B65978 MEMORIAL MEDICAL CENTER PATIENT NAME SOLIS LUIS STAHA STELLA TORRES MANUELA TRUETT HELEN J TYLER MARY URESTE GEORGE E VILLARREAL SALOME F WARREN ISABEL WILBURN SHIRLEY L WILLIAMS DOUGLAS WILLIAMS ROBERT L ZAMORA ARTURO ZAMORA ARTURO GRAND TOTALS GUARANTOR NAME SOLIS LUIS STAHA STELLA TORRES GUMESINDO TRUETT HELEN J TYLER MARY URESTE GEORGE E VILLARREAL SALOME F WARREN ISABEL WILBURN SHIRLEY L WILLIAMS DOUGLAS WILLIAMS ROBERT L ZAMORA ARTURO ZAMORA ARTURO W/O AMT 42.44 75.62 18.96 45.98 132.03 102.01 77.76 91.25 177.51 11.50 106.26 25.39 78.40 13,254.53 210.984.41 60 it -is 0 • E • • CIHCP MONTHLY FTNANCTAT IA-M -REPORT County ]Fame CALHOUN I. Application /Case Data Report Month/Year11ECEMBER 2004 1 Applications Approved During Report Month I 11 vJ 2. Applications Denied During Report Month 04 3 Active Cases Denied During Report Month Oj II. Creditable Expenditures During Report Month 1. Ph sician Services $ 10289.90 2.Prescri tionDru s $ 3. Hos ital, In atient Services $ 26024.85 34710.01 4. Hospital, Outpatient Services $ 31977.84 5. Laboratory/X-Ray Services $ 955.87 6. Skilled Nursin Facility Services $ 7. Farrly Plannin $ .00 .00 Subtotal $ 103958.47 Equals (=)REPORT MONTH TOTAL S 103958.47 FISCAL YEAR Signature of Person Submitting Report TOTAL $ 1728843.17 Print Name and Title Monica Dscalante lep- 9 -0 0 Date Coordinator 61 :. 169 CIHCP TOTAL MMC IN -PATIENT CIHCP TOTAL MMC ER -PATIENT CHARGES 2004 CHARGES 2004 JANUARY $ 36,120.47 JANUARY $ 15,184.53 FEBRUARY $ 65,308.76 FEBRUARY $ 23,123.90 MARCH $ 25,094.92 MARCH $ 19,804.36 APRIL $ 22,281.30 APRIL $ 16,447.77 MAY $ 101,520.70 MAY $ 25,888.99 JUNE $ 58,928.00 JUNE $ 27,255.38 JULY $ 4,587.00 JULY $ 29,982.39 AUGUST $ 34,633.95 AUGUST $ 17.888.45 SEPTEMBER $ 38,291.73 SEPTEMBER $ 20,195.97 OCTOBER $ 38,523.29 OCTOBER $ 20,586.04 NOVEMBER $ 30,996.13 NOVEMBER $ 28.462.32 DECEMBER $ 30,292.67 DECEMBER $ 20,245.46 TOTAL $ 486,578.92 CIHCP TOTAL OUT -PATIENT CHARGES 2004 JANUARY $ 39,270.45 FEBRUARY $ 59,197.59 MARCH $ 42,964.58 APRIL $ 41,511,34 MAY $ 70,591.33 JUNE $ 90,708.38 JULY $ 57,019.12 AUGUST $ 57,108.28 SEPTEMBER $ 73,530.08 OCTOBER $ 67,431.05 NOVEMBER $ 65,122.24 DECEMBER $ 29,420.01 TOTAL $ 693,874.45 Submitted by: Monica Escalante TOTAL $ 265,065.56 62 T141 £9 x J Q W 2 F 2 W C7 U. 50 Z ❑ O zs j a o O W M ZC4 000 4 o U � e- W U o H o o ¢a Ow LL x yQ W U 2 H C Z W a x w W- E a 7 L� L� CIHCP MONTHLY TOTALS JAN. 2004 THRU DEC. 2004 JANUARY $ 107,607.84 FEBRUARY $ 283,806.49 MARCH $ 116,452.84 APRIL $ 142,973.91 MAY $ 22T,541.52 JUNE $ 184t0 JULY $ }a7AUGUST $1157SEPTEMBER $ T627 OCTOBER $ 145756.43 NOVEMBER $ 116,849.20 DECEMBER $ 103;958.47 YEAR TOTAL $ 1,836,451.01 TOTALS OUT -PATIENT IN -PATIENT RY RY $ $ 42,474.96 64,210.91 $ $ 23,571503 54,161.66 H $ 52-050.5� $ 22,284.50 M— $ 45 208.34 18,484.55 $ 75,254,31_ 68,323.56 $ 8865.2 $- 31,801.82 $ 49390.9 s- 3,981.33 T $ 4 747.78 30,084.74 ER $ 53,423.4 33,285.74 OCTOBERMONTHLY ER $ 59,169.33 S- 33-,487.1gER DECEMBER $ $ 45,623.0 24,212.34 $$ $ 26,464.93 25,8121 0l YEARLY TOTAL $ 632,831.19 $ 371,822.09 172 64 • • 0 CASE 004248 004248 004248 003461 004125 004296 004320 004190 003265 004209 004209 004206 004254 004254 003860 004018 004290 003554 004289 004289 CALHOUN COUNTY QUALIF NAME ADDRESS- AGUILAR, JORGE AGUILAR, GERARDO ARAiZA, ALICE ARCHANGEL,CLEMENCIA ARMOLA, FRANK ARQUIETA, JENNY ARREDONDO, CONNIE AVILA AURORA BAMEY, JOHN BAII.BY, SHARON BAKER, ANDY BALDERA,RAQUEL BALDERA SAMMY BARRINGTON, CONNIE BAZAN, NOE BELLA J, CULLEN BLANCO, MAURICIO 004111 BLEVINS KELLY 004051 BOYKIN. GFORGE77A 004092 BRADFORD, MARSHALL 003879 BRICENO. MARTHA 003611 CALDERA JESSE 003701 CALZADA. ABIGAII. INDIGENTS BIRTH SS# _ 610 CTY RD.101 #16 PORT LAVACA TX 610 CTY RD. 101 #16 PORT LAVACA, TX 12/18f7B 1/26/89- 610 CI'Y RD 101416. PORT LAVACA, TX BOX 126 GUADALUPE RIVER TIVOLI, TX 09/24/43.- 503 S. SAMANTONIO PORT LAVACA,TX II/20/75 602B..S(".nT .f1R An0 POgT LAVACA TK 3-1 64 .I2_lQX VMMRC:TNTA #28-. PTLAVAfA TX 6-1-75 -233-ALCOADR.4703. _PORT.LAVACA.TX 10/17/4T 129. SEASCAPE - POA7^�Lq.V,pC , Ty- 08/05/34 "gMA4WAE TER1&Y POATiL",-VACA, TX 2/16/51 PORT L.A cAC,#, TX 4/30/42 217L7-H&L,LOA£4N RD -. -PORTLAVAgA 8/20/88 --126-frV&1} --PORT LA -VAC,,, TX 11/25/71 1-26 ?rV£D P6RT bAVACA TX 12/5/72 25'9CifA�2E,E}T-pE PORT-LAFtACA; TX 11/30/64 3M6 121- W. AUS'P123 POR`P I :kitAa TX 08/31/56 P613M 294 PC" LAVACA, TX 2-20-81 Pb'BOx'I337- PORT-LAVACA TX 6/28/85 71-4-SSAN ANTl7p10 PORTLAVACA "= 1-16-72. 7I-45: SAN ANTONIO 'ORTTAVAC TX 1G-10-74- 123 N. GUADALUPE 10RTLAVACA TX 9/28/84- .10 AIRLINE � 'ORT LAVACA- TX 01/23J" 'O BOX 848 'ORT O'CONNOR TX 9/8 48 12 DALE ST. 4 ORT LAVACA. TX. 04/09/69 309 W. TILLEY ORTLAVACATX 01/15Kn � BOX 1278 4 DRTLAVACA Iry G2/11/31 N/A 65 18i M [!'� 7126/04 7/26/04 7/26/04 O1/29/98 I'/25/03 9-29-04 10-29-04 4/I3/104 10/04/96 4/2/04 4/28/04 5/3/04 7/24/04 811/04 09/11/01 03/26/03 9-10-04 10/7/98 9-5-04 9-27-04 10/26/03 08/06/03 8124103 02/14/02 05/03/99 02/16/00 173 004248 CAMPOS, JOSE 610 CTYRD 101 #16. 10/3/77 PORT-1=AF`AC& TX _ N./.A 7/26/04 004093 CANADA, RICKY 3-3*"A'AMCBEAlffR-AT- 7.23-56 P`PLAFACet,.T• 464=98=714`' 11-1-04 003661 CARBAJAL, GUADALUPE Y4'MMLAD0WyMW 4/24/85 PORTLAtfACE, TX NIA 9/29/99 -003661 CARBAJAL, MARIA MMlvlE DOWVM-W 08/02l48 PORrl;ArAC TX 4552;•3045 09/26/99 004236 CARRII.E$ ABEL PCr BOX .PORT-O"CONNM 1la7L48 6/13/04 TX 46G_77-1797- 003004 CASTILLO, CRISTOBAL 617 QAKLANJJ AVE 4[4/8Ci 7/6/04 SEADR=, TX N/A 004131 CASTILLO, JENNIFER 704 S. COLORADO �� PpRIT,AVACA,' % N/A 12/3/03 003004 CASTILLO, JOSE 611 OAKLAND AVE. SEADRIFT, TX 1l13l59 N/A 7/6/04 003004 CASTILLO, MILE 611 OAKLAIBD AVE 9117/89 SEADRIFI,TX N/A 7/6/04 003004 CASTILLO, NOEL 611 OAKLAND AVE 10/26/62 'RIFT, SEADRIFI', TX N/A 7/6/04 003004 CASTILLO, ZULMA 611 AVE 8/19f84 7/6/04 SEADRIFT, TX N/A 004201 CAUSEY, MISSY 401 SUNNYDALE PORT 10/y�� 4/12/04 LAVACA, TX 465-79-7652 003554 CERVANTES, EDILIA PO BOX 1337 PORT 03/OS/60- 10/07/98 LAVACA, TX N/A 004291 CRANIK, BLANCA 223 N. BANAVIDES PORT LAVACA, 12-25-37- 9-27-04 TX 635-34-6604 004291 CRANIK, LYNDELL 223 N. BENAVIDES PORT LAVACA, 3-25-67 9-16-04 TX 456-41-9703 004103 CHARLES, MAMIE 161 MORALES RD. SEADRIFT, TX 6/28/50 - 10/31/03 458-90-8971 004038 YNE, CHERI PO BOX 996 SEADRIFT, m�6/54- 06/23/03 TX. 456-84-2693 004170 OEN, ROBIN 11 HOUSTON SZ. 6/13Y74 3/5/04 PORT LAVACA_ n 462-33444II 004301 COFFEY, ROY PO BOX 303 PT 12-23-64 10-18-04 LAVACA. TX. _ 4446.5.19-92a24 004159 CONTRERAS, JOSE PO BOX 241 SEADRIFT, 6/14 92 2/23/04 TX ) IlA 004159 CONTRERAS, MARIA PO BOX 241 SEADRIFT, 1/5/90 TX IS"1/30/04 004232 CORDELL, LINDA 2716 N. OCEAN 9R 7/13/60 f 6/17/O4 PORT LAVACA- TX 45-1 ;-753q 004232 CORDELL, PERRY 2716 N. OCEAN DR PORT 6/11/59 6/17/04 LAVACA, TX 460 9 9292 004226 CRABBER KE T Y PO BOX 22 SEADRIFT, 6/19/69 5/12/04 TX 462-67-3246-- 004259 CROBER. KENNETH 1319 JUSTICE DP - 8/19/48 8/10/Oa PORT LAVACA- TX - 466-86-36}6- 003864 CRONE. JULISSA PO BOX 826 PORT 0 CONNOR- I-X Ol/22/81 4G3-61-504$- 11/07/O1 004197 CUELLAR- JOSE 515 BAY ST. PORT 1/7/50 4/26/04 LAVACA. TX 4-57=88-15V 003825 CUELLAR, RAQUEL 205 INDIANOLA 12/06/72 07/03/01 PORT LAVACA. TX. gyr_5 ;-qgn 174 66 • 0 E • 0 • 004129 I DELACRUZ, ADELLA 004286 I DELACRUZ SR, JAIME 004044 DELAGARZA, ELIDA 004318 I DELBOSQUE, OLGA 004131 DELGADO, ENEDELIA 004131 DELGADO, TIRSO 004332 DIEHL JR , DONALD 003138 DIERCKS, CAROLINE 004185 DILLER, ROBERT 004176 DONAHUE, LOUELLA 004278 DOWNS, BARBARA 004315 ESCOBAR, MARKUS 004336 ESPARZA, ZELSA 004294 ESQUIBEL. ELFIGO 003762 ESQUIVEL, DAVID 004280 ESTRADA, TERESA 004150 EZM I , JAMES 004130 FALCON, JOE 004151 FELLERS, JOHN 003981 FLORES, ANDREA 003980 FLORES, CLAUDIA 003736 FLARES, IRENE 004123 FLORES, PATSY 003915 FOSSATI, IOEL 004080 FRANCO. SIMONA 003M6 I FREDERICK AN GELA 004094 I FUENTEZ. JUANITA 004138 + GAINES. CHERYL rUKl-LAVACA,—IX MARGIETEWMI PORTLAVACA;TX 89 EDGE WATER PORT LAVACA- TX 610 S. BENAVIDES PORT LAVACA, TX SOI W. CLEVELAND SEADRIFf, TX 423 S. NUECES PCRT LAVACA, TX 50 BOX 32 MADRIFT, TX i26 N. Ci26 C L00`RADp 'ORTLAVpCA TX �i9 N. TRINITY gum LA ALF LA' TX UPE TX Iff; TX tPCMlkT:LAVACA,.lX. S.LAVACA- TJOVACA,.TX- 4145. LAVACA PORT LAVAC.A,- 7X PO-Bay, PORT LA VACA, TX 479- O PORT LAVACA- T-X 233-ALC RDAO�4;+ PORT LA�TX 306 HOLIDAY Le+cNEa PORTLAVACA pu VACA TX 7/3151 6-26-60 09/06/43 2-13-46 10/4/62 1128/54 1-31-72 02/28/44- 6-19-74- 10/2/47 5-23-& 4-6-64 1-26-65 IIIIW54 W20/54 I(Y-Y5-52 426/54 4-1--66 09/11/81 02/02/72 06/18/65 3-4-58 03/24/61 12/23/47 05115170 7/24/49 2-15-76 456-57 4f3 '+ 1 67 3/5/04 9-5-04 07/21/03 10-26-04 12/3 03 12/3/03 11-1-04 04/11/96 11-1-04 3/14/04 8-29-04 11-1-04 l l-4-04 9-29-04 07/14/00 7-29-04 11/9/03 12/3/03 1-19-04 01/07/03 01/14/03 05/08/00 9-27-04 06/24/02 9/24/03 175 GARCIA, ADELFA 702 N. BENAVIDES 6126/47 PA&T L/rVA£ k FX 466=82 2168- 5/24/04 GARCIA, DEMETRIA 03/19/02 N/A GARCIA, EFRAIN PO-BOX218- PT 7-16-79 11-19-04 e6N�RY, pY NYrt !004008 GARCIA, MARY C. PO -BOX 1206 11/23/49 8/20/03 PORi`LAVACr1;'TX 460=80-3M4- GARCIA, SUSIE F`BOX2T8 PT-C_ 'Tx 10-30-62 9-21-04 ON=� 456-3�9--7T37 GARCIA, TANGALEEN NVUN EA ,r 11/28/58 7/27/03 466'-ZY-Z909 GARZA, CLAP PUBOX324 2/23/54 6/17/04 SE-ADR>F1 Tx 464-42 4634 0042-57 GARZA, ESPERANZA ' 1309 %, SPRINGWOOD LANE 12/17/64 PORT LAVACA, TX 459-25-7069 7/1/04 004288 GARZA, LORENZO - 612 HALF LEAGUE #2 10-17-74 8-25-04 PORT LAVACA, TX N/A 004119 GIL, OLIVLA 612 HALF LEAGUE #51 12/28/69 PORT LAVACA, TX N/A I1/21/03 003965 GODINAZ, LEONARD 502 BENAVIDES/oy, 11/14l02 PORT LAVACA, TX 628-05-1509 004326 GONE, PETRA 612 HALF LEAGUE #47 7-042 PT LAVACA, TX 460-85-0304 11-8-04 004250 GONZALEZ, FLORENfINO PO BOX 372 6117/56- 7/28/04 PT COMFORT, TX 455-11.6588 004240 GONZALEZ, IVAN 610 W. 4/10/85 7-6-04 PORTLLAVACA-TX N/A 003956 GONZALEZ, SHARON 108 CARBIDE RD 07 02 64 /21/02 PORT LAVACA, TX 263-61-1677 004210 GRANADOS, ROBERTO PO BOX 1366 9/I1/69 E517/04 PORTLAVACA TX N/A 004233 GRANT, BARANICE 204 SEASHELL 747579-17-9071 12-1-04 PORT LAVACA,_TX 004329 GUZMAN, CHRISTINE 1304 TII,L.EYIO PT LAVACA, TX 0-66-5-411 1]-12-04 003867 HAMILTON, ARETHA 1304 TILL.EY 03/04/63 12/05/01 PORT LAVACATTX 46S-1S:764S 004256 HAWKINS, JAMES 1100 ALCOA DR.430_ 10/30(55 7l31704 PORT LAVACA, TX 45a-13 alzb. 004256 HAWKINS, JOANNA 1100 ALCOA DR #30- 2/3/45 8/6/04 PORT LAVACA, TX 455-70-8-542 0043Z2 HEINAMAN, MARY AN 414 S. TRINITY 9-26-60 11-9-04 PORT LAVACA- TX 457-4-1- 6405 003249 HEIT, JOYCE PO BOX 238 11/16/50 09/12/96 SEADRIFL TX 454-92-3829- 004328 HELMS, DENISE PO BOX 233 9-14-75 II-1-04 SEADRIPT. TX 464-71-8280- 004243 HELMS, LARRY PO BOX 233 3/14/43 7/4/p4 SEADRIFT. TX 459-66-3-15 003478 HERNANDEZ, LORENZO 215 VIRGINIA 08/08/41 03/12/98 PORT LAVACA. TX 458-08-561tr - 004239 HERNANDEZ, LUCIA 918 W. LEONA 12/19/62 715/04 PORT LAVACA. TX 450-79-2271 004091 HERNANDEZ. MARINA PO BOX 290 PORT LAVACA: TX 1/2/83 I 45-5-59-6045 10-15-03 0 0 68 �s 004262 1 HERNANDEZ, VINCENT 1514 BURKEDALE 5-18-68 POR�BAiFfcE4 TX 453-73-734f 7.27-04 004155 HEYSQUIERDO, BRENDA 3-t Wt2 11/8l70 POR`PLAMA A; TX -. 465-69-2725. 6/1/04 004175 HEYSQUMRDO, CAROLYN PfiBM 420- 9/3/48 PORT 1rkv*�k TX 456-82--?286- 3/25/04 003474 HOLT, JOANN P07BOX 320- -pong7-coNI�RT- Tx 11/12/56 458=23--0T4$ .. 02/18/98 004208 HUGHES, MARY ..POI'�A... 3LL7L4% 419=7Z_5705 4/25/04 003950 IBARRA, ANDREA 4T4-S:-LAPACA POAT'LAVACA; T% 02L26L34 - N/A - 09/24/02 004025 JACKSON, CARLA 306NLARTIlViUTfB;RKING g6KT-LA"�TACA, TX 11/29/61- 46I-I5--4949 05/07/03 004124 JACKSON, LAVERNE 208 SEAGREEN - 11.17-62 PORT LAVACA, TX 454-33-9177 11-25-03 003908 JARAMILLO,LISA 440WILBORNRD PORT LAVACA, TX 3_10-80 466-59-1926 9.29-04 003430 JARAMISLO, NOBERTO PO BOX 924 SEADRIPT TX 06/16/61 N/A 12/15/97 003430 JARA1vIILLO, NOBERTA PO BOX 924 SEADRIFT, TX 09/01/61 NIA 12/15/97 nmeon Un nnv one ---.-- •.........,..w, vicewtt. - - ----- SEADRIFf, TX 01/12I89- NIA 09/12/97 003430 JARAIvIILLO, RAUL PO BOX 924 SEADRIPT, TX N/A 12/15/97 004309 JD- ENEZ, JOSE PO BOX 703 PT COMFORT, TX t0-20--6t 466-19-0590 10-15-04 004224 JIIMJENEZ, MARY 310 RANDLE PORTLAVACA, 461-80-1966 6/3/04 004260 JOHNSON, IDA 145 S. JUANITA PORTLAVACA,,.TX 3/I215 - 467-94.6957 8/10/04 004260 JOHNSON, KEVIN 145.5-JUANITA. - PORT LAVACA, TX 8tI5/67 45 3-21-1538 8/1/04 004348 7UAREZ, SANDRA PO BOX218 SEADRIET TX 5-1L87 N/A 11-1-04 004161 KESTER, ROBERT 1D6 AVE C PORTLAVACA M T76M 433_58.SFA8. 2/19/04 004323 KNAPP, ROBERT ALLEN 1620_W. MAIN 1!3e PT LAStACA. TX_ 11-4-60 532,74- inr.7 9-8-04 004121 KURTZ, RAYMOND 1277 E. MAX�Vrr r PORT LAVACA,T-X-. 7'6-52 �� 8-17-04 004238 A LARJUAN QUEVEDE 119 X SAN ANT9AIiq-. PORT LAVACA�TX- 10/9/62 457-99-20.1-7 - 5/15/04 004284 LAVIOLETTE, CHRIS 2251 LEONDR PORT LAVACA, -TX 8-25-80 52439-3912- 9-3-04 004279 LE, HUYEN THI 314-5: N{JECES PORT LAVACft TX 7-12-73 54-3-39-9453 - 9-3-04 OOa181 LONGORI25 RENE 511 N. BENAVIDES- 003799 I LOPEZ, ABENAMAR PORT LAVACA,TX 619 N. TRINITY#q- 11/25/59 467.23 4746 4/2/04 PORT L-AVACEc T7f 04/03/54 N/A 02/27/01 004266 I LOPEZ. ADAM 004140 PORT LAVACA: TX 610 CR 161 P 10-13-72 526-51-8553 8-3-04 I LOZANO, ARMANDO ARItP1::4Z-A r LOT*r PT LAFf eA 12/23/54 t5i_ri _nnrr ` 1/7/04 - 69 004093 LOZANO, ESMERALDA 177 MARLS ST. PeRT..L,A3`ACA-' 10/26/65 - 46}_}9,:7ggg 10/23/03 004088 LOZANO, JANIE - lat5rw-OE0RGE- - -PeR`f-iTx k{tAE 7/30/50 ,. �,r.1948 11/6/03 004272 LOZANO. JOSEPHINE rn-a-W G? -PORP-L'rtvACA; T 12-25 67 467---M-9469- 7-19-04 003995 LUERA, MICHAEL PO -BOX n3-5 T VACS TX o6/zi/74 465-7r-676S 12/25/02 003989 MCCLOSKEY, MICHELLE PCJ-BOX722- 7/7/62 PORT-0- TX 450=35=7IZ8 771704 003924 MCDANIEL, JOHN PO-BOX-40I 08/19/52. -PI'COfi2FnRT,.'IX 453-'94_ZIIIS 07/03/02 004179 MCILWAIN, JOHN 77 GTAITALUFEIZTVEAT7R. TIVOLI; TX 2/15/84 453-97-9340 12l19/03 004095 MALDONADO, 1627 OREN CONCEPCION PORT LAVACA, TX 3/1/47 465-92-7592 10/24/03 003946 MAREK, AUDREY PO BOX 136 SEADRIPT, TX. 10/31l51 464-86-2283 10/21/02 004223 MAREK, EDDIE 3 SWANF.PO NLT RD. SEAD=, TX 77983 10/31/'7� 453-75-0332 6/2/04 002228 MARTINEZ, ANITA 1508 AVALON PORT LAVACA, TX 09/a3f46 - 451-74-3536 05/01/94 003897 MARTS EZ, AURORA 209 JUANITA 08/20144- PORTLAVACA, TX 449-72-1829 03/19/02 004276 MARTINEZ, GERARDA 2111 W. AUSTIN#14 PORTLAVACA, TX _ M-3-� N/A 8-31-04 004275 MARTINEZ, GONZALO 1925 CENTRAL PORTLAVACA, TX 1-10-39 456-89-0106 8-13-04 003842 MARTINEZ, OSCAR PO BOX 34 SEADRTFT, TX. 09124t42 465 60-9697 09/10/01 001152 MARTINEZ, PETRA PO BOX 452 5EADR[FT, TX. 02/18131- N/A 03/25/91 004159 MARTTNEZ, VERONICA PO BOX 241 7/18173- SEADRIIT'Tx N/A 2/20/04 004159 MARTINE.Z,PE'IRA P0.BOX241 CATALINA SEADRIFT, TX 4/7-4/96 N!A 2/23/04 004146 MATSON, JULIA PO BOX 1575 PORTLAVACA,.TX 1115162 451 ��2822 12/3/03 005056 MAUER, KAT14Y PO BOX 1253 09/30/73 PORTLAVACA._TX 463-722199 08/09/03 004065 MAYBERRY, GREGORy 448 W KRUSE AVE PORT LAVACA, TX 12129/53 530-46-4"0 8/2/04 004065 MAYBERRY, MARGARITA 448 W. KRUSE AVE 6/1/53 PORT LAVACA, T'X 452 W-461.8- 8/2/04 004214 MAYORGA, MARIO 612 HALF LEAGFUI3 #29 - PORT LAVACA- TX 12/3/68 /-1-49-0306- 5/21/04 004115 MELENDEZ, ALEX 619 N. TRINITY #SB PT LAVACA- TX 4-7-97 N/A 11-1-04 004115 MELENDEZ, ANGEL 619 N. TRINITY SSB-- PTLAVACA, TX 4-20-89 WA 11-1-04 004115 MELENDEZ, CANDELO 619 A TRINITY #5B 9-23-60 PTLVACA.TX NfA 11-1-04 004258 MELENDEZ, SAUL 619 N. TRINITY #5B- 10-31-81 PORT LAVACA TX 153-65-2105 8-10-04 004115 MELENDEZ. ZENAIDA 611 N. TRINITY #5B- 6-5-60 PTLA1AC1.T 1dtA 11-1-04 178 E 0 70 004011 MELINA., KAKI PO BOX 1418 _P6RT-LAVACf�-'FX 07/25/54 03/18/03 459.31=362-1- 004253 MENDEZ, ROBERT 702-W' NhtHAt,�- 5-3-80 POR`P-LAFfAt?Ar T 462-t9--7 t1`Y 6.4-04 004241 MENDOZA, PATRICIA 18LtH6LLOmAN-1DJt 4/14/60 PMT'L:AVAEA�, 7X 466-2i--0705 7/12/04 004273 MIKOLAS, LESLIE PC3Cr S64 2-14-63 ��. TX & 45S-43I9IS 9-1-04 003760 MONROY, DELFINA 505�T, � PORT-LAVAC TX 11/OZ/50 465-92-9635- 09/28/00 004234 MONTEMAYOR, JOSE PO BOX-I594 LAVACr3tiTX- 2-17-51 N/A 6-24-04 004253 MONTEMAYOR, MIGUEL FOBU-VI722 9-28-67 PORT LAVACA, TX 632-32-5704 8-2-04 004234 MONTEMAYOR, ESTHELA PO BOX 1594 PORT LAVACA. TX 7-21-53 N/A 7-2-04 004137 MONTGOMERY, CHARLIE PO BOX 841 SEADRIFT, TX 511159 466-06-8490 10/28/03 004314 MOORE, LINDA ANNEITE 1100 ALCOA DR #22 PTLAVACA.TX 5-26-71- 463-67-3989 9-29-04 004042 MORALES, JAMES PO BOX 346 SEADRIFT, TX 10-19-69- 459-41-8914 11-1-04 004269 MORALES, JOSE 618 S. SAN ANTONIO PORT LAVACA, TX 4/1H56 N/A 7-30-04 nn� inn 'inn Cl/..aunt Tcl ------ ��v..rwno' 0: vlu� PORT LAVACA, TX 6`14-68- 463-19-8112 10fi-04 004345 MORALES, SENON PO BOX 573 SEADRIFT, TX 8-2-7-65r- 456-47-1892 11-30-04 0041I2 MUNIZ, GREGORIO 608 W. WILSON PORT LAVACA, TX 5/9/66- 466 93-4785 Il/7/03 004112 MCRIIZ, YOLANDA 608 W. WILSON PORT LAVACA, TX 11/26/66 461-53-7712 11/7/03 004229 MUNOZ, JOSE 311 LAVACA 5T- PORT LAVACA„TX. IQ/2&t58- 467-82-9165 - 5/12/04 004102 MURPHY, JONATHON 405_RD-YAL RD PORT LAVACA,-TX z 4b0 45-0086 7/8/04 004167 NEAL, FRANKLIN PO�OX.536 _ SEADRIFT, TX- 6IM759 450_3-1-7981. 2/26/04 004127 NGUYEN, LIEU THI PaSOX-638 � - SEAI]RIF'11TX 12/27/4S ., 586_,46-12(2._ 12/1/03 004242 NGUYEN, NGUYET TIE P8 )3C1X 14 SEADRIFT, TX-. 10-10-49 439 41-2844- 10-1-04 004242 NGUYEN, THONG PO BOX 14 SEADRIFT, TX 10-1-44 4�1-4-369. 10-1-04 004249 NIETO, SANDRA 1123 TILLEY ST. PORT LAVACA TX 3/7171 PF/!t 7/26/04 004316 I OAKLEY, Joy 295 DA-WS RD SEADRIFT, TX 8-22-56 451-04-8341- 10-25-04 004178 OCHOA, JOSIE 412 S. NUECES PORT LAVACA TX 6/20/54 466.31-9335- 3/22/04 004235 ODELL. CANDICE PO BOX 458 004244 I ODELL, SUE ANN SEADRIFT. TX PO BOX 602 5/3/75 46-2-31-021-5- 6115104 004237 I OLIVAREZ. ISABEL SEADRIFT, TX 213 LASALLE ST, 12/8/54 455-02-6266 I 7/20/04 PORT LAVACfL'pX 12/8/53 - _ ah�a I 7/6/04 71 - 179 003730 ORTIZ, ANTONIO 608-A PARKVIEW 11l15i42 PORT LA -VAC.} DE 451.6693-rt - 01/18/00 004342 OWEN, JOHNATHAN PO-BOX-1253 - 11-11-80�,rr-8898- FOR`P LAvAc T 10-4-04 004255 OZUNA, EPOLITO UO3--W: LEON Pr 10/7/53 PtJRTiAVhCE� TX 46'J=9t-66-M 8/4/04 004298 PASS III, WILLIAM 7M S. VMGINI`¢ 7-21-53 PORT-LAVACA, TX 458_06_r3 10-4-04 004075 PATTILLO, ROSE IMTAtCOADKn 7/26/55 8/27/03 _ PORT-LAVACA, TX' 459--r"8 rM 004252 PELKEY,DEBORAH 3TJGLENBROIIK- 5/10/57 PORTLAVACrC LX 45r-Iy--006 7/30/04 004134 PENA, SAMUEL I001 SCHOOLEP'ST-. 1/22/84 P-ORT-LAVACI� TX 466-7T.-M2 12/15/03 004037 PEREZ, DULCE 818 W. LIVE OAK 07/15/92 PORT LAVACA TX N/A 06/07/03 004037 PEREZ SR, ELIAS 818 W. LIVE OAK PORT LAVACA, TX N/A 06/07/03 004037 PEREZ a, ELIAS 818 W. LIVE OAK 07/23/94 PORTLAVACA TX N/A 06/07/03 004037 HERNANDEZ-PEREZ, 818 W. LIVE OAK FRANCISCA PORT LAVACA, TX 10/10/64 N/A 06/07/03 004037 PEREZ, MARIA DE LA LUZ 818 W. LIVE OAK PORT LAVACA, TX 02/10/88- N/A 06/07/03 004037 PEREZ, MARIA DE LOS 818 W. LIVE OAK ANGELES PORT LAVACA TX 11/15/95 N/A 06/07/03 004037 PEREZ, MARIA ELIZABETH- 818 W. LIVE OAK 06/O2/86. 06/07/03 PORTLAVA TX N/A 004061 PEREZ, REMIJIO PO BOX 226 PORT 04127i4S 08/11/03 LAVACA, TX 459-78-2194 003553 PEREZ, URSULA PO BOX 1534 PORT 10/17/43 10/07/98 LAVACA, TX N/A 004037 PEREZ, ZOYLA 8I8 W. LiVE OAK PORT 1021/w 06/07/03 LAVACA TX N/A 004212 PIPES, DONALD 6J8 S. ANN 12/20/57 5/18/04 PQRTLAVACA-UL 449_ _5917 003875 PRESSLEY, TROY 6.27 W. GEORGEAUg- 06/23/M 01/17/02 PORT LAVACA, TX 4Y8.,72-8626 004193 PRESTON, MARY 334 ALAMO BEACELAVE. 2-25-55 PT LAVACA, TY- - 451-02-033,g i1-1-04 003865 PRINCE, DIANA 206 SEAGREEN PORT 09/08/55 11/04/01 LAVACA, TX 454-04-.1-13a 004293 PRINCE, SALINA 118 LAVILLA 4/4/77 9-17-04 PORT LAVACA, TX Cl �, 464-73.,49". 004347 RAMIREZ, CHARLES PO BOX 1373 2-6.67 10.1-04 PORT LAVACA, TX _ 463-,1-5886• 004204 RAMIREZ, JOSE DE JESUS PO BOX 347 - 3/24/86 5/4/04 POINT COMPORT. T-X 6-15-27-7069- 004184 RAMIREZ, MELISSA 86 AVE A EAST }/19/70 4/8/04 PORT LAVACA, TFh 4.59-399-7g}} 004302 REYES, CMUSTAIA 530 W. LIVE OAK- PORT r 12-21-69 9-24-04 LAVACA TX 466-25h74}- 004304 REYES. JOE 1315 SHOFNER 2-11-43 9-27-04 PT LAVACA, TX 451-66.9409-- 004304 REYES, OLIVIA 1315 SHOFNER PT LftVACA T 11-I1-45 10-18-04 465-74143? `r1J u Is 72 • 0 0 004048 RHYNE, AUTUMN PO BOX 414 I pcR-T-&,L�14Ng1�..Tx 10/13/84 462•.N,8887- 08/03/03 004086 I RIVERA, FRANCES MrMB t1538 6/13/57 PORT LAVAe?,TX 454=64-0695- 1011103 004086 RIVERA, FRED 1B@Ti38- PORT tAvAc T--t 3121/58 465-92-9832- 1011/03 003713 ROBLEDO, ESTELLA &ITM `USTIN- OS/23756 SEADRHT Tx- .. 264�45_8�6. Ol/1 U00 004040 ROBLES, BRENDA 4T05I:AVACA PORTLAVAC,d X 08l09/62 455-I5-8517- 07/O1/03 004066 RODRIGUEZ, ARMANDINA. 607NNIIECES' PORT-LAVACA TX- R/RM - IVA 9/11/03 004066 RODRIGUEZ, CAMII 0 607-N NCJECES PORT'LAVACK: TX 7/18156. NIA 9/6/03 004340 RODRIGUEZ, GUnJERMO 811 S. ANN PORT LAVACA, TX 2-10-84- 632-82-2368 9-30-04 003939 RODRIGUEZ, ZOILA 414 S. LAVACA PORT LAVACA, TX 11/11/74, N/A 09/22/02 004331 kUDDICK, JOSEPH 339 PECAN ST. MICHAEL PT LAVACA, TX 6-1-53 454-04-0768 11-14-04 004102 RUSSELL, CHAS= 405 ROYAL RD. PORT LAVACA, TX 1/2/80 495-82-3218 718/04 004295 SAENZ, FORTINO 612 El LA PORT LAVACA, TX 8-27-64 450-39-9363 11-1-04 004295 SAENZ, MARIA 612 ELLA PORT LAVACA TX 1-31-66 465-51-7345 11-1.04 004308 SALAZAR ALFONSO 521 GARNER PT LAVACA, TX 2`I7-63 N/A 10-27-04 004308 SALAZAR, DORA (MOM) 521 GARNER PT LAVACA, TX 6-"3 N/A 8-29-04 004308 SALAZAR, DORA (CHILD) 521 GARNER PT LAVACA, TX 4-1-87 N/A 10-27-04 004308 SALAZAR, DULCE 521 GARNER - PTLAVACA-TX 9-11-89 -,_ N/A 10-7.04 004110 SALAZAR, IRENE PORT AVLAV C ACA.TX_ tflI5/54 13- 45.7- 2809 11/7/03 003752 SALINAS, AURORA J 512N_ COLOR9Da PORT LAVACf-T3L 1226/47 4G3 68 840a 08/18/00 004200 SANCHEZ, Il2ENE 320 SEADRIFT . PORT LAVACA, TX 9/14/63 45$35-966q - 313/04 003772 SANCHEZ, 7ANIE 308 S.JUANIT'A PORT LAVACA, TX 04/30/51 46Z94-SB94. 11/15/00 004264 SANCHEZ, JOSEPH 308 S.JUANITA PORTLAVACA,'FX 11-19-92 4-g3-9958- 8-12-04 003625 SANDOVAL' JOSE 709 S. COLORABO- PORT LAVACA. TX 12/30/25 N/A 05/20/99 004072 SERVANTES, EVA 205 LASALLE ST'. PORT LAVACA,T-X 8-26-51 461-23-8828 11-1-04 004321 I SHARP, HEATHER 140 SILK STOCKff46- PT. LAVACA, TX- 8-5-63 359.60.9536 11-3-04 004281 SILGERO, MARCELA 10409 STATE HVt�t 35-SOEF£H- PORTLAVACA'� 8-13-44 463-70.40p1- 9-27-04 004219 I SII,VA DELFINA PALOMO 612 HALF LEAGFiE-#16 PT LAVACA, TX 12-24-48 N/A 10-22-04 004219 SII VA ERWIN 612 HALF LEAGUE #M PT LAVACA TX- 8-7-90 N/A 10-22-04 73 004219 SII,VA, KEVIN 612 HALF LEAGUE #.16 IZ-I6-9I I0-22.04 PT LAVACA, TX N/A 004219 SJLVA,RAUL PT �,� 5-17-69 10-22-04 N/A 004077 SLATE, ELIOUSE 5/19/42 9/11/03 SRADRfFT, TX 208 36-622#- 004077 SLATE, RICHARD mBoxlrz3/16/60 9/11/03 SEAD=, TX 436 27-=- 003370 SOTO, JUAN 629"N77R11= #= PORT LAVACA TX" 08/31/60 _ 466-Z5=- 07/03/97 003979 SPARKS, JERRY PO-B_=3 'TX 10/19/53 12/17/02 PORT LAVACi _ 4S5--OT-6S7T 004327 STATLER, VALERIE 753SWAN-PTT1D=A RD6-3-58 8-25-04 SFADRTF7, TX 56T-3�-7806 003874 STRINGO, ESMERALDA 1100 ALCOA #25 08/10/46 01/17/020 PORT LAVACA, TX 451.49-6459 004217 TAMAYO, DOMINGO POBOX 920 4/29/65 5/6/04 SEADRIFT, TX 77983 467-37-1856 004062 THOMAS, JANA 820 RACK13ERRY 9/12/64 8/19/03 - PORT LAVACA, TX 448-62-7178 003871 THROWER, WINONA PO BOX 374 06/Ol/49 11/28/01 SEADRIFT, TX. 436.64-9633 004285 TORRES, ANGELITA 117 S. JUANITA 6-29-65 9-1-04 PORT LAVACA, TX 461-33-3705 004245 TREVINO, DOMINGO 264 MARIA ST' 4/19/67 7/28/04 PORT LAVACA, TX 467-55-2098 004016 URESTE, ANDREW 848 CARVARAL RD 7/27/53 9-22-04 SEADRIFT, TX 449-082624 003700 VARGAS, DELTA 310 ALCOA #12 09/12/76 05/28/02 PORT LAVACA, TX N/A 004330 VELA, SOFIA 169 WALNUT 11-4-77 11-18-04 PT LAVACA, TX 451-91-5217 004 001 VELASQUEZ, ADELLA 417 W-RAI1ROAl2 mml5r 02/19/02 PORT LAVACA, TX 467-94 6177 .003773 VII,LARREAL,ANGELICA POBOX943 - 07131/91- 11/02/00 SEADRIFT, TX_ 466-55-0.497 001181 VILLARREAL, JOE 4616 HWY 35 SOL>Tf3 06/28/43 - 04/25/91 PORT LAVACA_TX_ 462-66-4073.. 004271 VII.LARREAL, MARY A 1302 SIIOFNER _ 2-12-11 9-10-04 PORT LAVACA- TX. 455-02-5657 004192 VILLARREAL, ROSEMARY POBOX-843 9/3/50 4/21/04 SEADRIFT. TX 460-W-4959 003527 VILLARREAL. SALOME 2302 LARRY 03/03/54 08/24/98 PORT LAVACA, TX 461_42-943Z 004106 WALDEN,GRDTDL PO BOX423 g/29/63 2/12/04 PT. O'CONNOR Tx 2-55-33-69?4 004215 WALLACE, RAQUEL PO BOX 528 12/26/46 , 3/25/04 PORT LAVACA, TX 464-72-1394 004055 WALLACE, TERESA 532 N. COMMEREE- 06/16/64 09/18/03 PORT LAVACA, TX >68-19-8273 003691 WARREN,PATRICK PO BOX229 I t 03/17/59 Ol/07/00 POINT COMFORT, TX 462-11-7190 004222 YBARRA, ROSALINDA POBOX 184 5/21/46 5/10/04 POINT COMFORT, TX 46,-74-7078 004035 ZAMBRANO, MICHAEL 104 KLINK RD. 01/22/63 f ` 05/18/03 PORTLAVAC/.TX 461-23-2293 74 L - 182 • Cl 0 0 • 004101 J ZAMORA, HECTOR 519 S. SAN ANTONIO PDRT L-AVACt, 8/4/64 384-68-26(* 10/2103 004157 ZAMORA, PATRICK P&BBx95S PORTfLA-VAEk,-PX 81im - 464=91-4899 - 215/04 004157 ZAMORA, SHEILA 13(T; @X 95S TX 2/26778 --465=6Y-4963 2/10/04 75 PATIENTS ADMITTED ADMISSIONS FROM ER AVERAGE LENGTH OF STAY PATIENT DAYS OF SERVICE PERCENT OF OCCUPANCY" AVERAGE DAILY CENSUS MAXIMUM ON ANY ONE DAY MINIMUM ON ANY ONE DAY ADJUSTED PATIENT DAYS SWING BED DAYS ICU PATIENTS ADMITTED ICU PATIENT DAYS OB'S ADMITTED OB DAYS OF SERVICE PEDIATRIC ADMISSIONS PEDIATRIC DAYS OF SERVICE NEWBORNS FOR MONTH AVERAGE LENGTH OF STAY DAYS OF SERVICE MEDICARE PATIENTS ADMITTED AVERAGE LENGTH OF STAY DAYS OF SERVICE MEDICAID PATIENTS ADMITTED DAYS OF SERVICE DEATHS AUTOPSIES SURGERY: INPATIENT PROCEDURES OUTPATIENT PROCEDURES CESAREAN SECTIONS" TOTALS 'Based on 25 beds MEMORIAL MEDICAL CENTER PATIENT STATISTICS NOVEMBER 2004 THIS MONTH THIS MONTH LAST YEAR 111 120 71 60 3.36 3.92 373 470 49.73% 32.64% 12.43 15.67 21 24 3 8 1,225 1,308 52 20 29 33 58 88 12 14 24 29 4 3 8 5 7 14 2.71 1.71 19 24 55 67 4.29 4.67 236 313 19 26 43 66 1 8 0 2 12 10 110 108 4 1 126 119 THIS YEAR TO DATE 1,251 676 3.76 4,703 29.25% 14.04 27 2 15,557 211 309 661 168 392 46 99 135 2.15 290 623 4.44 2,769 222 572 27 2 160 1,258 44 1,462 LAST YEAR TO DATE 1,276 648 3,80 4,847 30.23% 14,51 27 0 15,163 26 309 723 178 417 36 94 155 1.99 309 646 4.48 2,897 226 613 37 9 163 1,611 32 1,806 i 1 84 76 • CJ • THIS MONTH THIS YEAR THIS MONTH THIS MONTH LAST YEAR TO DATE LAST YEAR OUTPATIENT VISITS 1,456 1,568 17,658 17,649 EMERGENCY ROOM VISITS 744 831 8,438 8,626 EMS RUNS 0 TOTALS 2,200 2,399 26,096 0 26,275 LABORATORY: INPATIENT PROCEDURES 3,947 4,376 42,971 43,505 . OUTPATIENT PROCEDURES TOTALS 14,380 18,327 14,625 174,549 160,441 19,001 217,520 203,946 RADIOLOGY: INPATIENT PROCEDURES 135 185 1,529 OUTPATIENT PROCEDURES 550 1,703 BONE DENSITY 569 6,477 6,534 NUCLEAR MEDICINE 31 85 25 237 330 ULTRASOUNDS 127 59 1,088 1,081 CT SCANS 134 1,568 1,605 MAMMOGRAPHY 153 166 2,083 2,053 M R I 116 85 855 973 TOTALS 104 1,302 87 1,084 1,280 1,310 14, 921 15,559 'HARMACY: IV SOLUTIONS DISPENSED 1,397 DRUGS DISPENSED 1,328 14,686 14,156 HIGH COST DRUGS DISPENSED 9,968 10,440 114,176 154,156 TOTALS 1,968 1,440 166 15,575 12,742 12,790 12,934 144,437 181,608 ZESPIRATORY THERAPY: INPATIENT PROCEDURES OUTPATIENT PROCEDURES 2,165 2, 21,221 24,742 STRESS TESTS 761 991 991 7,494 8,692 EKGS 7 4 38 84 EEGS 241 206 2,207 2,380 TOTALS 3,174 5 40 40 4,025 31,000 35,938 HYSICAL THERAPY: INPATIENT PROCEDURES OUTPATIENT PROCEDURES HOME HEALTH VISITS TOTALS 0 386 2,328 66 2,780 277 1,962 101 2,340 3,147 21,069 1,357 25,573 3,894 24,227 1,214 29,335 77 HOME HEALTH CARE: MEDICARE VISITS OTHER VISITS ST/SS PHC HOURS HOSPICE TOTALS DIETARY: MEALS SERVED TO PATIENTS MEALS SERVED IN CAFETERIA TOTALS DIETITIAN CONSULTS • THIS MONTH THIS YEAR THIS MONTH THIS MONTH LAST YEAR TO DATE LAST YEAR 739 713 8,888 7,148 5 11 84 76 0 0 6 13 0 0 0 0 0 0 0 0 744 724 8,978 7,237 11 1,180 1,494 14,617 15,749 2,959 2,754 34,514 34,629 4,139 4,248 49,131 50,378 COST PER PATIENT DAY W/O DEPR 4,007.05 3,049.36 3,406.76 3,380.02 INCOME PER PATIENT DAY 4,816.46 3,094.97 3,742.43 3,485.53 BREAKEVEN W/O DEPRECIATION 9.92 15.43 12.66 14.06 AVERAGE DAILY CENSUS 12.43 15.67 14.04 14.51 PATIENTS ABOVE / BELOW BREAKEVEN 2.51 0.24 1.38 0.45 COST PER ADJ. PT. DAY W/O DEP. 1,220.38 1,096.07 1,630.90 1,290.30 INCOME PER ADJ. PT. DAY 1,466.89 1,112.47 1,791.60 1,330.58 78 NEAR REPORT FROM THE AIRPORT ADVISORY BOARD IN REGARDS TO A POSSIBLE NEW HANGER TO BE BUILT AT THE CALHOUN COUNTY AIRPORT-. Willie Wooldridge, Airport Advisory Board Chairman stated that the Board had met and unanimously and agreed that it would be a benefit to the County for Mr. Stanger to build the hanger at the Airport. The basic proposal is a 60 x 70 foot hanger that Mr. Stanger would build at his expense and after 20 years he would then give the hanger to the County. The only action • the Court would need to take at this time is to decide if they want to move forward with some type of proposal. The Court asks Mr. Stanger to get a plan together and bring it back to Commissioners' Court. APPROVE FINAL PLAT FOR ANGLER'S ALLEY SUBDIVISION IN PORT O'CONNOR TEXAS: A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to Approve the Final Plat for Anglers' Alley Subdivision In Port O'Connor, Texas with no County Roads on the Plat. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. SEE ATTACKED PLAT • APPROVE FINAL PLAT FOR OYSTER POINT SUBDBnSION SECTION II IN PORT O'CONNOR, TEXAS: A Motion was made by Commissioner Finster and seconded by Commissioner Balajka to Approve the Final Plat for Oyster Point Subdivision Section II in Port O'Connor, Texas. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. SEE ATTACHED PLAT • • W • Judge Pfeifer opened the Public Hearing regarding petition to vacate portions of the Recorded Subdivision Plat of Port O'Connor Townsite, Calhoun County at 10:20 a.m. Mr. Marek spoke to the Court in regards to the Petition to Vacate Portions or the Recorded Subdivision Plat of Port O'Connor Townsite, Calhoun County; he stated there is a small part of an alley way that is being abandoned by this re -plat. G & W Engineers, Inc. has met with the MUD District and received a statement from them stating they have no objections with that part of the alley way being abandoned. There were no further comments and Judge Pfeifer closed the Public Hearing at 10:23 a.m. 3N BLOCK 47): A Motion was made by Commissioner Finster and seconded by Commissioner Floyd to accept the Petition of Barton D. Riley to Vacate Portions of the Recorded Subdivision Plat of Port O'Connor Townsite, Calhoun County. (Part of Lots 5, 6, 7, & 8 of Block 47 and that Portion of the Alley that is located between Lots 5 and 6 on one side and Lots 7 and 8 on the other side, all in Block 47). Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted In favor. Fal P =90356 V392 91 9 NOTICE REGARDING VACATING PORTIONS OF THE RECORDED SUBDIVISION PLAT OF THE PORT O'CONNOR TOWNSITE CALHOUN COUNTY, TEXAS The Petition of BARTON D. RILEY and wife, SARAH N. RILEY, INDIVIDUALLY AND AS TRUSTEES OF THE BARTON D. RILEY AND SARAH N. RILEY REVOCABLE TRUST, to vacate portions of the recorded subdivi- sion plat of THE PORT O'CONNOR TOWNSITE, Calhoun County, Texas was heard by the Court on the 23 day of D ect4�b Gr 2004 and such application was granted. The property vacated by the Court's Order is a portion of Lots 5, 6, 7, and 8 of Block 47, and that portion of the Alley that is located between Lots 5 and 6 on one side and Lots 7 and 8 on the other side, all in Block 47; all being located in the Port O'Connor Townsite as recorded in Volume 2, Page 1, of the Deed Records of Calhoun County, Texas, such property being shown on the attached survey map, and such property being re - platted as approved by the Court today. Pursuant to Section 232.008 of the Texas Local Government Code and Part II, Section 208 of the Calhoun County Subdivision Regulations, the County Clerk of Calhoun County, Texas, is directed to record this instrument to give notice of the vacating of a portion of such plat of the Port O'Connor Townsite. SIGNED this 2-3 day of 2004. COMMISSIONERS COURT OF CALHOUN COUNTY, TEXAS HONORABLE 01IM PFEIFER, L.189 CALHOUN COUNTY JUDGE FVol 00090356 392 92$ STATE OF TEXAS § § COUNTY OF CALHOUN § This instrument was acknowledged before me on this Q-� day of DeGC�wba! 2004, by the HONORABLE MIKE PFEIFER, CALHOUN COUNTY JUDGE. Susan RINy NWW Public, Mf' SateTexas 01 Comndaeion Exp*ires' /1prU 18. 2008 RETURN TO: HOWARD R. MAREK HOUSTON, MAREK & GRIFFIN, L.L.P. P.O. Box 2329 Victoria, Texas 77902 cathy\riley, barton\notice vacating portion of subdivision 2 NOTARY PUBLIC, ST E OF TEXAS 190 • • • L L n-r I 2v AUEY r �4 Sri$, ppppip, Ip�.,] d I f CK p0 I44L acaR [N83R2'E] _ ( N63'10'S4" E� 39.91, .N 241/3R _ 29.99 10.90' J r ^m 1 J N M N63'17'17"E 9.29' r*i N63'17'17"E 69.97' euu.owc ol, 3 (- a 1 y N,, m q 1N0 5 my n GONG. N Ea12 'A' O BlDll AIED OEM/ ]OJ/Y63 aC0.R. m `� 1DE/I33 aGQR. 233/3J, aaaR. = U n 21.V j U Q w TWO STORY NOUSE / 2cu/s3F aca2 ,ej-r 7 � � a p O x4• 3 TRACT II 3.4'-L go 0.08 ACRE ^ EIEVAIEG 21.4' �� I ��r J ACT I O. N 1o.ar Z S63'22'00"W 40.00' S6�i'22'00"W OWATER 70.00' (56372'W] (4G) S4lRx'W) lonsE IxnnwG) MLIEII (70'] S63.22'40"W 9.03 sHFu ---------TYLER--z=---AVENUE------ SURVEY PLAT SHOWING PART OF LOTS 5-8 IN BLOCK 47 PORT O'CONNOR TOWNSITE LEGEND VOLUME 2, PAGE 001 OF. THE G emsimc 3/8• NDN ROD CALHOUN CO. PLAT RECORDS o EMSTNG 1/2' ,RON ROD SAN11AGO GONZALES SURVEY, A-19 _,- CASTING DIM&" FENCE CALHOUN COUNTY, TEXAS ) PLAT OR DEED oALL TRACT I BEING THE SAME PROPERTY DESCRIBED IN DEED DATED JULY 13, 1973 FROM DONALD F. FOX, ET UX, TO BARTON D. RILEY, ET UX, RECORDED IN VOLUME 281, PAGE 965 OF CALHOUN COUNTY DEED RECORDS. FLOM DATA TRACT II ACCO ODIG TO THE MPR04MATE SCAIE OF 1NE NATMAE RMY) NSURANCE RA1F. MAP, OMHUNIW BEING THE SAME PROPERTY DESCRIBED IN SPECIAL WARRANTY PANE' "0. ASS433 0003 C. RENS'" DUNCE 5. 1905. Tws PROPERTY IS LOCATED 94 FOIL L. DEED DATED OCTOBER 4, 2000 FROM BARTON D. RILEY AND SARAH N. RILEY TO BARTON D. RILEY AND SARAH N. RILEY AS TRUSTEES FOR THE BARTON D. RILEY AND SARAH N. RILEY REVOCABLE UVING TRUST, RECOREO IN VOLUME 265, PAGE 514 OF CALHOUN COUNTY OFFICIAL RECORDS. 4 NE14RY A. DAHYSN. REGStERED PROFESSIONAL LAND VIRWYOR. DO HOMEY CFIl1KY TIA1 TIE PLAT ]NOWT IIFNEON TRACT III BEING A PORTION OF THE ALLEY IN BLOCK 47 OF THE ` AHD A FICLANOIE OESCIIWYION � PREP PLPRESENTS IHE RESULT A SO AGE 0 ypRD4Sq-VVOER MY PORT O'CONNOR TOWNSITE RECORDED IN VOLUME 2,-PAGE 001 OF THE CALHOUN COUNTY DEED RECORDS DIREC H D Y OF 1E OF 7'F \ BARTON RILEY "c A WE Ms. we ENRY A D I t -1 I; G & W ENGINEERS, INC. IlEmy DANYSR N RL °L;'9� ES.uae `_11L' • ENGINEERING -SURVEYING *ARCHITECTURE *PLANNING ` 205 W. LIVE OAK ST. PORT LAVACA, TEXAS 77979(361) 552-4509 1801 71h ST.. SUITE 290 BAY CITY, TEXAS 77414 (979) 323-7100 RENSIM OATE:.A)"f 3, 2003 MAW DT. REGIw'o Br: OATEI' sCN{: J.H.D. O.W.D.. MAY 22 2003 AU Hu: DRAYNII: No.; 1' - 20' 9732-014 9732-011 191 �,. EXHIBIT "A" N990,356 V392 12 PORT O'CONNOR MUNICIPAL UTILITY DISTRICT P.O. BOX 375 PORT O'CONNOR, TEXAS 77982 361-983-2652 t�CC�as y f 2004 To Whom it May Concern: At the (,/e« hjy !� S607 meeting of the Port O'Connor Municipal Utility District Board of Directors, Barton D. Riley requested closure of aportion of the alleyway for Block 47 in the original townsite of Port O'Connor Texas. Mr. Riley presented a proposed plat of the easement closure for consideration. The Board of Directors of the Port O'Connor Municipal Utility District has no objection to the utility easement closure of a part of Block 47 as presented once the property is re -platted. Sincerely, �//� d�Hawes, President Port O'Connor Municipal Utility District Thisshis beta this Mo cordiin, sntoeOicialWhlic Neco ds. ed hen6► swap that re do eat discriueate use to Pan, Creed, Color, Sea or National Origin. Filed for Record in: Calhoun County Honorable Anita Fricke County Clerk On:Jan 19 2W at 01:25P Receipt {lusher - 47216 By, Sharon Wright �� 192 • • is • Judge Pfeifer opened the Public Hearing regarding petition to vacate portions of the Recorded Subdivision Plat of Port O'Connor Townsite, Calhoun County at 10:25 a.m. Mr. Marek spoke to the Court in regards to the Petition to Vacate Portions of the Recorded Subdivision Plat of Port O'Connor Townsite the effect of this will be the closing of a portion of Water Street. Also, on this Plat Kenneth E. Clark and Grady Jean Clark will give to the County a Drainage Easement across Water Street. Commissioner Finster also stated that Mr. Joe D. Hawes the adjacent property owner has written a letter stating that he is in favor of this. They are also proposing to close the part of 8" Street that is located West of Mr. Clark's property and East of Mr. Hawes property. There were no further comments and Judge Pfeifer closed the Public Hearing at 10:29 a.m. una 1 wr DLVLR li/ 1: Motion was made by Commissioner Finster and seconded by Commissioner Balajka to accept the Petition of Kenneth E. Clark and Grady Jean Gark to Vacate portions of the Recorded Subdivision Plat of Port O'Connor Townsite, Calhoun County, (Block 217, and that portion of Water Street located South of Block 217 and South of 80' Street, and that portion of 8"' Street located West of Block 217). Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. File # Val P 00090357 392 23 NOTICE REGARDING VACATING PORTIONS OF THE RECORDED SUBDIVI ION PLAT OF THE PORT O' ONNOR TOWN ITE CALHOUN COUNTY TEXAS The Petition of KENNETH E. CLARK and wife', GRADY JEAN CLARK, to vacate portions of the recorded subdivision plat of THE PORT • O'CONNOR TOWNSITE, Calhoun County, Texas was heard by the Court on the 231d day of December, 2004 and such application was granted. The property vacated by the Court's Order is Block 217, and that Portion of Water Street that is located south of Block 217 and South of 8`h Street and that portion of 8°h Street that is located west of Block 217; all being located in the Port O'Connor Townsite as recorded in Volume'2, Page 1, of the Deed Records of Calhoun County, Texas. Pursuant to Section 232.008 of the Texas Local Government Code and Part II, Section 208 of the Calhoun County Subdivision Regulations, the County Clerk of Calhoun County, Texas, is directed to record this instrument to give notice of the vacating of a portion of such plat of the Port O'Connor Townsite. SIGNED this • L3_ day of '&:!t etn'2004. COMMISSIONERS COURT OF CALHOUN COUNTY, TEXAS �4e Az '4',LE fII PFEIFER, CALHOUN COUNTY JUDGE 193 File # Vol Pg M96,357 392 24 STATE OF TEXAS § § COUNTY OF CALHOUN § This instrument was acknowledged before me on this J'_ day of PPGe,m iLr , 2004, by the HONORABLE MIKE PFEIFER, CALHOUN COUNTY JUDGE. Mwy 8 uft ang NOTARY PUBLIC, ST OF TEXAS UWY EEC APr018. 2008 1•7*4- ri 7�rTi2 HOWARD R. MAREK HOUSTON, MAREK & GRIFFIN, L.L.P. P.O. Box 2329 Victoria, Texas 77902 eathy\clack, kenneth\vacate calhoon Property\notice vacating portion of subdivision 2 • 0 File ##� Jpx Va}l� P �yK7 EXHIBIT "A" �17�757 25 PORT O'CONNOR MUNICIPAL UTILITY DISTRICT P.O. BOX 375 PORT O'CONNOR, TEXAS 77982 361-983-2652 1 J - Ll i — 2004 • To Whom it May Concern: At the _ Lp P e m 6 e 2 meeting of the Port O'Connor Municipal Utility District Board of Directors, Kenneth E. Clark requested closure of a portion of Water Street and 81s Street in the Original Townsite ofPort O'Connor Texas. W. Clark presented a proposed plat ofthe street closure for consideration. The Board of Directors of the Port O'Connor Municipal Utility District has no objection to the closure as presented once the property is re -platted. Sincerely, Teddy Halke's, President Port O'Connor Municipal Utility District This Oonaed bu hen receiW by this Office fir .kCN* g into the Official PWk kwds. * do hfi* scar tbA n do at divrWr h du h Dr WV, Sn ar MAW 6`4ia Filed for Record in. Calhoun Count • Honorable Alta Fricke County Clerk On -Jan 19 M at 81:2V Receipt Zber - 4M6 By, Sharon Wright is 195 zs- -04 14:13 From- T-93T P.03/09 F-954 J.OE HAWES The Honorable Kenneth Finger Calhoun County Commissioner 211 S. Ann SG Port Lavaca, Texas 77979 Dear Kenneth; 2004 • I am the owner of the property located to the south and west of Mr. Clark's property shown on the attached stuveyplat I appmve of the re -plat as it is shown and specifically I approve of the Closing of Water Street and 8i4 Street at the locations shown on the plat. Sincerely, )4f- ��C,4-� Joe Hawes i 196 • • • iWXi 316zR • is is Judge Pfeifer opened the Public Hearing Amending the 2004 and 2005 Budgets at 10:30 a.m. Cindy Mueller, Assistant County Auditor read the Budget Amendments for 2004 and 2005 and after the Budget Amendments were read the Public Hearing was dosed at 10:38 a.m. by Judge Pfeifer. A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to approve the following Budg^A Amendments for 2004 and 2005 and Budget Amendment #580 was not accepted. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted In favor. 0 0 c Z LL Q W Z W 125 LU Z 0 Z J. W LL W 9 IF w Z F Z W d W C i E I m Ilk I Q W O IL Z O y O W S Q W m Q J O Z Q Z C Z U. 16 III ool& W Z f pl� � LLI W h G f. LL W ggw —j pI 7 W Q LU W Z J 0 a Ion i ILI W n zim IL LL p m N r R, • i G Z LL J LU W Z W (9 ed a z 0 z LL E 0 J LL w C Z LL J W W z W UJI 0 z M LL G z LL J Lu W z W 0 z c z m LL on �,'J qW a IN § 1�1 0 1• • G Z M U. J w Z w a W Q Z G Z LL • Bb� 201 w� a V. a W 2 g 0 N N w W a V a 0 m I1 a W z Z G 2 LL � a 8 0 IN � � S 8 8 Aa J pJ F U F Q a t � C O y 09l W a N 9 Im z` Ir z W H d W G 1.1 W a L I- z W Q d GI 0 ul F Nis 8 x �I€5 g r lu 8 202 • f L I• J N 0 13C a ae W� ;ao ¢ W j N m o� W o Y U m U z a � LL O cr a W Q W � g z z LL LL Ipla'a 14, 'III 0 z LL J cr W z ,WR V ui z z c z LL 19 eai 1WI2I 9, IMi 203 s� a 0 Z LL Q w W Z W 0 W Q Z 0 Z M LL 0 Z LL J w W Z W 0 W Q Z 0 Z 7 LL 8 8 kul e1 9 J 0 204 • � 0 0 ■ k j z § \ z k LL $ 2 § § 2 | 2 2 a z § | § $ 2 2 §§ § - | k � 2 2 § 2 t ! k « i ?(§ |/ § 4 k ACCEPT SETTLEMENT CHECK IN THE AMOUNT OF $9,616.56 FROM VFIS OF TEXASLREGNIER & ASSOCIATES FOR 2002 CHEVY AMBULANCE,• A Motion was made by Commissioner Balajka and seconded by Commissioner Galvan to accept the settlement check In the amount of $9,616.56 from VFIS of Texas/Regnler & Associates for a 2002 Chevy Ambulance. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. Glatfelter Claims Management, Inc. P O Box 5126 York, PA 17405 (800)233-1957 REGNIER & ASSOCIATES INC 3420 EXEC CENTER DRIVE STE 301 AUSTIN,TX 78731-1626 PAYMENT IS BEING ISSUED FOR: DAMAGE TO 2002 CHEVY EWER CHECK N MBER: 0000161478 AMBINCLUDES LEssft0005.00 PMT CLAIM NU SER;-TXTX204101146-02� INCLUDES LETTERING 0 85.00 PAYMENT AMOUNT: $--9,616.56 Payment on behalf of American Alternative Insurance Corp. Are/ Penon Who bNti nVy posenta a hoe or fmud~, aaim for afe payment or a lou la 9ui ty of a dime and aubjact lc G 111i-t prosecution and Civil penelities, BARTHD VFIS Please detach VdUCher and deposit check promptly. 4 'i 3 ttS A3+� r1 k i }i V Al. B >r ff � .r, a �;� Ai3THORIZE 5lGNi,��.URE 206 • L_J A Motion was made by Commissioner Balajka and seconded by Commissioner Finster to pass the Order Setting the Day of the Week and Location and Alternate Location of Regular Term for Commissioners' Court for 2005 Calendar Year. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted In favor. ORDER SETTING DAY OF WEEK, LOCATION AND ALTERNATE LOCATIONS OF REGULAR TERM FOR COMMISSIONERS' COURT FOR 2005 CALENDAR YEAR Motion by Commissioner Balajka, seconded by Commissioner Finster, and carried, that the following order be entered: At a regular term of the Commissioners' Court in and for Calhoun County, Texas, held in the regular meeting of said Court in the County Courthouse in Port Lavaca, Texas, on the 23rd day of December, 2004, with County Judge Michael J. Pfeifer presiding, and Commissioners Roger Galvan, Michael Balajka, and H. Floyd present, and with Deputy County Clerk Wendy Marvin in attendance, there having come on for hearing the matter of determining the day of week and location of the regular term of Calhoun County Commissioners' Court for the calendar and fiscal year, 2005, it was ordered that the regular term should be the second and fourth Thursday of each month. The location of such meetings will be the Commissioners' Courtroom located in the County Courthouse, Port Lavaca, Calhoun County, Texas. The first alternate location of such meetings will be the Memorial Medical Plaza, 1300 N. Virginia Street, Port Lavaca, Calhoun County, Texas. Second Alternate location of such meetings will be the Bauer Exhibit Building, County Road 101, Port Lavaca, Calhoun County, Texas. IT IS SO ORDERED this 23rd day of December, 2004. ATTEST: ANITA FRICKE, County Clerk By: ��► � Gh;uAnv Depuley Clerk COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS Mir. rJudge 40 A Motion was made by Commissioner Galvan and seconded by Commissioner Floyd to Approve BI-Weekly Pay Periods for County Employees. Commissioners' Galvan, Balajka, Floyd, Flnster and Judge Pfeifer all voted in favor. A Motion was made by Commissioner Flnster and seconded by Commissioner Balajka to authorize the County Librarian to apply for Federal Universal Fund E-Rate for reduction in rates in telecommunications service, Internet access and Internal connections. Commissioners' Gavan, Balajka, Floyd, Fnster and Judge Pfeifer all voted In favor. A Motion was made by Commissioner Flnster and seconded by Commissioner Galvan to award The Pharmacy as low Bidder for Indigent Drugs for the period January 1, 2005 through December 31, 2005. Asphalts, Oils and Emulsions Bids for the period January 1, 2005 through June 30, 2005 were as follows; AC-5 was awarded to Gulf States Asphalt Co., Inc. as low bidder for Precinct 3 (Pct 3 was the only Precinct that requested this Item), RC250 was awarded to Cleveland Asphalt Products, Inc. for all Precincts, CRS-2 was awarded to Cleveland Asphalt Products, Inc. for all Precincts, CRS-2P was awarded to Gulf States Asphalt Co., Inc. for all Precincts. Road Material Bids for the period January 1, 2005 through June 30, 2005 were as follows; Dry Rip Rap Material was awarded to Sanchez Materials for all Precincts, Type A Limestone, Grade 3 (1- +h inch) was awarded to Quality Hot Mix Precinct 1 & 3 and Sanchez Materials Precinct 2 & 4, Type B (Flexible Processed Base), Grade 3: (Min PI 6) was awarded to C W & A, Inc. Precinct 1, 2 & 4 and Prihoda Gravel Company Precinct 3, Type PE Cropping Rock) Grade 3 was awarded to Vulcan Materials Co. SW Division for all Precincts, Type PE (Topping Rode Grade 4 was awarded to Vulcan Materials Co SW Division for all Precincts, Type D (Pre -Mix Limestone) was awarded to Vulcan Materials Cc SW Division for all Precincts, Type D (Hot -Mix Cold Laid Asphaltic Concrete Pavement) was awarded to Quality Hot Mix for all Precincts, Limestone 3/4 inch to Dust was awarded to Quality Hot Mix for Precinct 1 & 3 and Sanchez Materials for Precinct 2 & 4, Type E (White Rock) No Pre -Coat, Grade 3 there was a tie bid between Quality Hot Mix and Sanchez Materials for Precinct 1 & 3 to determine who received the bid they drew names and the bid went to Sanchez Materials, Sanchez Materials also received the bid for Precincts 2 & 4, Type PB (Topping Rock), Grade 4 was awarded to Quality Hot Mix for all Precincts, Type E (White Rock) No Pre -Coat, Grade 4 there was a tie bid between Quality Hot Mix and Sanchez Materials for Precinct 2 to determine who received the bid they drew names and the bid went to Sanchez Materials, Quality Hot Mix was awarded the bid for Precinct 1 & 3 and Sanchez Materials was awarded the bid for Precinct 4. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted In favor. 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N�N LL cl w H y k Y O O O O ao m ox W �j O w - m0 m Uo' U _Y it IL _ 0. w ¢m O w co co O� Y O b w CaJp w� KZ K� wx wN w Q 3 Q J O g 'r n I `o S • • A CAlHQAB COWB AEXAS BID SHEET- INiAigN TO um THE PHARMACY 9 VMM PLAN PORTLAVACA TX 77VO • BID MR DBfm mws FAO fWk JANUARY 1, MO5 r. FMjO: DECEMBER 31, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER COUN7YJUDGE, 3RD FLOOR CALHOUN COUNTY BIDS SHOULD BE SUBMITTED IN A SEALEDENVELOPE COURTHOUSE, PLAINLY MARKED: LEDDI RD71X77979 RUGS FOR RJDIGEN)S I Ni BIDS RECENED AFTER TH NIN 11M I I ---' - _--- Fa'rry JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANfA MED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DONS NOT DISCRIMINATETOECOUNTY. THE 64515OUNTY OF CALHOUN, TEXAS 6 AN EQUAL OF RELIGION. AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. RACE COLOR NATIONAL OPoGIN, SIX, SPECIFICATIONS• DRUGS FOR INDIGENTS — — — — — — — — — — - - - - - THE AMOUNT SHOWN SHOULD ADDED CO BE THE PERCENTAGE OF -AVERAGE WHOLESALE PRICE RED BOOK- THAT W ILL BE OTHER CO ADDDEDUCTED FROM EACH PRESCRIPTION TO ARRIVE AT THE PRICE (INCLUDING CONTAINERS AND ALL STS) CHARGED THE COUNTY PER PRESCRIPTION. -AVERAGE WHOLESALE PRICE RED BOOK' WILL BE MADE AVAILABLE TO THE COUNTY WHEN REQUESTED. EACH MONTHLY BILUNGWILL INCLUDE THE FOLLOWING: PHA PRICE REFILL AND PRICE. RMACY NAME, DATE, PATIENT NAME, DRUG, AMOUNT, NEW OR BOAMIMOff • MEMORIAL MEDICAL CENTER HEALTH DEPARTMENT SHERIFF'S DEPT CALHOUN COUNTY JAIL AUHMM=UKAND FWNANE k I I,o ho Domy FOB PHARMACY FOB PHARMACY FOB PHARMACY FOB PHARMACY KW UH UY EWIMD13 TU TIE AM SP9 D:piM _ _ , . W Qdmsday, November 17, 2004 • 7 iA EACH PRESCRIPTION EACH PRESCRIPTION EACH PRESCRIPTION EACH PRESCRIPTION THfPUO�ENUNBFR__ � b l—,5'� `abD BM TaEPuUMACx: 215 : T l t i#lI 1�; TMS Bm SFIEET- . �DOWDB IBm1G8V�S: - INVITATION TO Big mom PRESCR M SHOP 1202 It VIRGHA PORT LAVAU TX 7WO . DBU7 F0B D S p=FRp? - JANUARY 1, 2005 K=T& DECEMBER 31, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY COURTHOUSE, 211 S. ANN, PORT LA VACA, TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- IDRUGS FOR IND/r.Enns JUDGE W DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE lu �,�N COUNTY AND TO BE COUNTY. THE COUNTY IHWN TEXAS IS AN EQUALS O A EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS W EMPLOYMENT OR THE PROVISION OF SERVICES. ^_ SPECIFlCATWNS• DRUGS FOR INDIGENTS THE AMOUNT SHOWN SHOULD BE THE PERCENTAGE OF -AVERAGE WHOLESALE PRICE RED BOOK• THAT WILL BE ADDED OR DEDUCTED FROM EACH PRESCRIPTION TO ARRIVE AT THE PRICE (INCLUDING CONTAINERS AND ALL .. OTHER COSTS) CHARGED THE COUNTY PER PRESCRIPTION. 'AVERAGE WHOLESALE PRICE RED BOOK' WILL BE MADE AVAILABLE TO THE COUNTY WHEN. REQUESTED. EACH MONTHLY BILLING WILL INCLUDE THE FOLLOWING: PHARMACY NAME, DATE, PATIENT NAME, DRUG, AMOUNT, NEW OR REFILL AND PRICE. RPARTM CALHOUN COUNTY JAIL MEMORIAL MEDICAL CENTER SHERIFF'S DEPT HEALTH DEPARTMENT i rr n ; I rl :h • I� Wednesday, November 17, 2004_.. Q8=Y 07 FOB PHARMACY EACH PRESCRIPTION FOB PHARMACY EACH PRESCRIPTION FOB PHARMACY EACH PRESCRIPTION FOB PHARMACY EACH PRESCRIPTION BOBS PRESpi&RBNSw �R J 21 • • L w • N fD N z 0 z o 0 0 LU p> Z w W m I- F % q w w00w° fA g2 z F sCq O B K � It ¢L Q ig U Z �W ir m a U) LLJ N mu 2 U m Q 0 N m v em 9 p 0 f o am 0 o° 0 z w� ~m �N wp O wa00 m LLLL �H0 z ir t Q LU 8 y 'F z 6 W o a a w J rW- w 0. a w } G U U m Q N 3 v 'm 1 ° o � y 0 0 0 0 m z wfW F-W= W CO 4 wp wp QQOFO-a W Z Q g m o u U z [� 4 w m a w co a LU a aa. F Q q O z N ®® ua v 'm y T o 91 0 e 0 0 0 zz mw a - m > y O wo O wQ mp O g 0 F O z zQ 0 UJ `o °a U F- f Z C wa e a� LLI J a z N m z fp mo ;m C Z° C 01'7 w t 0 H 17 O N 018 • • • CAlilOUN°I lY, TEXAS W SM IT- • INNiATION TO um SHMM EMM 7=SMMU sm NOW TX MM 1@ dilly I& W WMYLL- --- 3 PMOFM JANUARY 1, 2005 K=j& JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO; MICHAEL J PFEIFER COUNTYJUDGE 3RD FLOOR CALHOUN BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED; COUNTY COURTHOUSE, 211 S. ANN, PORT LAVACA, TX 77979 SEAIEDBID. D9VVfP0A0ll—A Al RIGHT TO G WAIVEBE TECHNICALITIES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY TEXAS A AND IS AN EQUALTHE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, NATIONAL ORIGIN.N.SEX. EMPLOYMENT OPFORNNRY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR, REUGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. - THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUNCOUNTY AS AN ADDITIONAL I ACCORDANCE WITH STATE LAW) AHD AUTO INSURANCE D) FOR GENERAL ($10 000/S100r000/$2,0 0, p�Tr RICERS COMPENSATION (IN SPECIFTCAT70NS, DRY RIP RAP MATERIAL — _ _ — TOP SIZE; 15' ROCK WEIGHING BETWEEN 175 TO 200 POUNDS OESMA110N PRECINCT #1 FAIRGROUNDS AREA PRECINCT#3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA Mw ORMY FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSRE RM UU ANY EXOIIINS TA TR ABP7A: SP WAM& Wednesday. November 17, 2004 BEIBAYTBAFwwLMBYBwbu AW TON O (J TON TON 4yj, O O TON /� , 3g, 0 0 TON Xi g, 00 mommmmk-7/O-&y9-31ao WN SAMMATEIM 219 � 2c � co � ca � 2 IN — Go .6E ,dc �� .� � � C42 0 � � � � � � � � � � � � § § � ui fn Co w it wk - § }) \ ,� § $ w ) w - a 2 - �2 q ( n 2 6 c k e Q * » 7w c Z «( F $� � #E B z ))}�7 !a§ 7)}§§ § e §\} 0 \ 12 § mw }! mw < , ■ !$ !$ !» § L ( ( ƒ _ ° 2 ) LU _ § § ƒ § E ! ) \ + k ® / e 1 3 U o §§ §§� / } n/ j§ 2 ) ) .. 2 .. 2 .. e qa 00 6 0 % r » @� ;u@( +u@@ PLu co )§§§§ ))§§) owo 6 a ), 3 \ \ \ Ix ix w § § \ § o ( ) # [ 7 3 � 920 � E 0 0 � 0 \ w c $ ƒ o - § / < 2 G , �.k ® k 6 3 $ . 2 # W § § 0 © ® § 8 S e d d ) §§ 2 cl <� ) ) J § .. 2 .. ._ 6 a q a 2 6 k c I B@§}\\ co co )�}LU0 § $ ) 2 . / § } / @ } ■ a 4 # 2 \ \ \ wft it ix iL w 0 [ co w _ E } ( u m e § f + 2(w |« / § j j I k ■ LU § LU B a! ■ «a �..0 0..a 0\ 6 6 'g e 0 §m§55 2 % $U /@ )§§B\ )0}�\ )§/U§ § § ) / k § y �\$ §\$ §\$ BG . ) ■ § § a. _ \! /1 . ) LU _ [ m 7 Ix U G f § § « k / .® R - k0 B§ k ■; �ao § � | 221 §§ ) § § § § 11, k B /\ § § @a § ) ) § w a 60 .- a q .. e 2 o `u q a 2 wm wt 2 ©!a @� & B )§/kk Ow MO !a/§k o 0 R w \ E . R § \Ix \§ \\ } $ } k \ \ ■ W� `! 0 [ ■ 0. §7 §2 / ) ) Ix q LU ( ( N ) ( ; 2 § § `■` < / � §) / i E ■ � - - a 4nrl 44 0 16 0 M)IOIAII uIBrTY:'UM BID SIIEET- um • Bm R 11 11 NYIiRiION TO MAR PO BOX 2058 VICTORIA IX 77802 240, TYPE A UMTONE, GRADE S YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: DUE AND WILL PBU FRM JANUARY i, 2005 pE=T& JUNE 30, 2005 MICHAEL J PFEIFER COUNTYJUDGE, 3RD FLOOR CALHOUN COUNTY --- - - , - • � ��rv„m awVrvOW wVKI MhETING ON: THURSDAY, DECEMBER 23, 2004AT TO:OOAM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMLSSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS 0 AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR NATIONAL ORIGI RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES N, SEX THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/52,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,0001$100,000/$300,000). SPECIFICATIONS• REM 249, TYPE A LIMESTONE, GPADE 3 11 112INCHI MUST MEET ALL TXDOT SPECIFICATIONS D�ABTDB7li DEBTBBITBIB PRECINCT #1 FAIRGROUNDS AREA PRECINCT#3 OLIVIAAREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT#4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA UnOfBe I at-3—OL MIBDB®SDlI UK AND IM DFA y FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE PIfAS WTANYfXtFPI=TOTDEABDV[L0W ATW- Wednesday, November 17, 2W4 :Jl l; el J/l ;lll J' 07 MEAW TON 41 %. 4 o TON 4I 19.0q TON # /9 6q TON / 7 93 TON ri / -), G/) TBfPBDNENIpy 3G/-57--.3a3(1 BW MAW 023 CAtROIiN COUii1V; TEXAS RID SR11T- ROAD MAiERIAIS INVITATION TO QUALITY NOT MIX PO BOX 12U EL CAMPO TX 77437 2K TYPE A MUMTOW GRADE 3 I PffM FUft JANUARY 1, 2005 PHU T4 JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGES OFFICE AT: To-M, 1HURSDAY, DECEMBER 16. 2004 BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES, REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE OASIS OF RACE COLOR, NATIONAL ORIGIN, SEX RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/5100,000/$300,000). ----------- SPECIFICATIONS: ITEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCHI — — MUST MEET ALL TXDOT SPECIFICATIONS �ARTNNIENf OESiINA➢M PRECINCT#I FAIRGROUNDS AREA PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT#4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA DBTVEAY FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSTTE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE Ci Mff TON l y. L{b TON «00 TON /kco TON_ S,S7 TON 16,N) PlMLET ANY EX6871gISToT9ABO VBMTM TETEPIKNI9VBfR R7`? S78 -fd `?7' t 3 CgC9 Wednesday, November 17, 2004 BMM _ aIA10 MINX E 424 U 0 • SAN MT0180 TX 78250 RM fIEM 19M 241L TYPE A LDYIESTW GRADES YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: K=Fkft JANUARY 1, 2005 pMT& JUNE 30, 2005 MICHAEL J PFEIFER, COUNTYJUDGE, 3RD FLOOR CALHOUN COUNTY - - _ -__ _ �.a�rv,p.•ISapP�i@il•8I_A!rJp. v r r , BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE pjGHyTO WAIVE TECHNICAUTIES, REJECTANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHWN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON iFiE BA$LS OF RACE, COLOR NATIONAL SEX, ORIGIN, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL IM-9URED) FOR GENERAL. LIABILITY ($1,000,000/$2,000,000), WORKERS' ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,0001$100,000/$300,000). COMPENSATION (IN SPECIFlCATIONS: ITEM 2-TYPE 1.MESTONE, GRADE 3 [11/21NCH]-------`— "----- MUST MEET ALL TXDOT SPECIFICATIONS D91AR1B�t1iNi DESTINATVIN PRECINCT#1 FAIRGROUNDSAREA PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA DATEBFM AUmmm SB UTBRF Am Tml DHIVFBY FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE PI= UST ANY FXSEPTBVTS TO TIE ABOVE SPECEICAMNS: Wednesday, November 17, 2004 QTf7J GGfYIPLYI�f TON SrQO TON ,yS yV /Jrr.ZS TON /AJ�ZS TON/.SOO tiG TON TmPBMENImTB BmDBt 'FABrJIEZA1pTBYAlB 225 � coo � C*3 � an � CLI m B now b� m 6w C6 an cva W ac ■ �iL 'a q �ƒ c U) �m �$ Im b 0 Li- a. \ L w / 04 2 LU 2 � § § � § ) � � § ) ` B e 02§ 0 0 0 • J LL m W V N 2 W H w r a z w (7 w Q m D w N N w U O m IL W m In w of N w 9 O N NO M M f0 �p 0 z z O p z z p D p o w w a z w� z LU ? ~waN Pui Owp wO OW wmp of LL DFD> HRO QW K w w O i w a a w Q ¢ m O O w it u w F U Z z K () w a K W J a i _m LL_ J W m Q W cc IL pa < N a U 3 w U a_ m O J Y N � H W 60 z z O p Z z 0 O D p m F w d w z �m>y pwZv~-i OwO wo Owow mp ni LL OHD� LLOI- 10 aw C 0 mIr z O ti z it ~O �0 m a00¢ OOw w aoa co N F W U z z ir a U Wa wa w IX;; a _m m LU LL J m a K z �} Q Qz 13 a! O ¢ N 3 mo w U iO C m 3 J N N W Oui � � 6 OO O N a E Cl 027 T a z v M w 0 l� V w Q m W N W U a w J 07 X w .J LL m w a } O) C\' N W o z O O O LU 0 Z wlW- z wH W]_ W N [O to m J CO CO co mowowo ow WO J m �w �Q U 2 U W h a r U Z U W N cca a 5 228 1� u • 0 CALiiDUlli ISf. ff. TEXAS BID SIKH- • • C IYYIiAiION TO ow MAD9C PO BOX 205E WFORIA TX 7/802 BM REPA Ii8V1246, TYPE B WALE PRE BASEI, MW 3iM8Y P161 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: PE=n t JANUARY 1, 2005 PEW% JUNE 30, 2005 MICHAEL J PFEIFEIL COUNTY JUDGE, 3RD FLOOR CAIHOUN COUNTY BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 23, 2004 AT 10:00 AM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHMCALMES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CAU40UN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH S'MLL BE MOSi16D GEOUS TO THE COUNTY. THE COUNTY OF CALHOUM TEXAS EMPLOYMENT OPPORTUNITY EMPLOYER. AS IS AN EQUALYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERACLIABILITY ($1,000,0001$2,000,000), WORKERS' COMPENSATION. ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE (2100,0001$100,0001$300,000). (IN SPECIFICATIONS: rTEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) — — _ — — MUST MEET ALL TXOOT SPECIFICATIONS DEPARTMENT DEETpATD)N PRECINCT#1 FAIRGROUNDS AREA PRECINCT#3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT#4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA DAlEOR4I �1-- 3- I �:Irlrt,l�r��G DHNERY FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE FOB DESTINATION; TO BE DELIVERED TO JOBSITE PIMIWTANYEI(1M=T0TDEAW&PHMMK- Wednesday, November 17, 2004 _. y OwAff TON �/ Y� i- 6-5--' L TON '� // 55 TON IL 95 x TON 76 TON 1HFP wNwa._ 3G / 5 7 3 -3;23 ' BMA MARS 229 CUM COUNTY, TEXAS W SNEEi- IROM`MARRIALS INVITATION TO BID pm Diu tr[1. �NI� 11 �J11 I I I.nl aCmI ix nw . M& TVrO ULryYpM Fl{OR JANUARY 1, 2005 FM T& JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, COUNTY JUDGE, 30 FLOOR CALHOUN COUNTY oc,c rv, cow BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 1; 2004 AT I0:00 AM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICAUITES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CAL14OUR TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SIX. RELIGION. AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/52,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE (5100,000/5100,OOq/$300,000): -- - - - - -- SPECIFICATIONS: 1TEN1249, TYPE B (FLEXIBLE PROCESSED BASE). GRADE 3:(MIN PI 6) MUST MEET ALL TXDOT SPECIFICATIONS OEPARTA�IIi OESIDIIITM OFIIVERY Au O171PLW _ PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION; TO BE DELIVERED TO JOBSITE TON A2,e, O • PRECINCT #3 OLIVIA AREA FOB DESTINATION; TO BE DELIVERED TO JOBSITE TON PRECINCT #4P PORT O'CONNOR AREA FOB DESTINATION; TO BE DELIVERED TO JOBSITE TON PRECINCT #4S SEADRIFT AREA FOB DESTINATION; TO BE DELIVERED TO JOBSITE TON , a S PRECINCT #2 SIX MILE AREA FOB DESTINATION; TO BE DELIVERED TO JOBSITE TON SHOW 1OOf 60d IPI W RYAWMI MGM b A018011®86NR W _ PBNTNAw (� p PIM uST ANY IXCEPTB W TO TE ABOVE 8rEC&C Tw&- TEIom NIAIm- WedneSdaY.November-17,2004_ .. - :BmDB{ PRAUBA8iRV9.(iYBPAII)' -.. • i. 430 � 0 � Cw4a CS, IN ° 6W 2 go w S ■ a \� j� 2k )2 �z zi § §%/ ! @ a § )°§ � LW 2o k§ Wa ! w }°§le 2�= K �Z 0� / ■ � a o ° ° ° o $ a ( § § � )§�� (M / w- . E B LU coa U. B D )§/W\ 0w o W0 ƒ z z » ! o h ® © § § k §a § . ƒ! , § » ' i r � / \ ) § §� k Ix {� \ ) § mu, ` \ e 2 ■ § - ■ k ® 2 ` ( ` ` LU tL 0 § ) _ m ( 3LU )z - �§ 2 E `° © Eq kq Z 0 �k k z \! a § S/ § 9 §k §£ �. E ;S ;a _ ■ » § 2 \ ■ iB ± > � ; . ■ 0 0 § ■ w } § ma E ■ ■ E ■ K } |/ § 231 w c / � 0 0 � 0 z I 0 a / / In w 3 q § § /6 \§ 2 §2 §2 \ f% j8 /G 0 ƒ E (k . of z @(k /G] j `gym cr } [ [ ( § § 0 / §a } §w co )) )0§0, 7§e , § m m § rƒa �\& (u ■ 20< )R$ o § § - 0.a. ! IL ■ � C /q \6 / w= CO ci §2 ;2 f® §\ k 2 j\ j8 k } \ § ■ 0 a § B \ j \ f cs § e 404 0 0 0 • • CM w U Y U w 0 ^Z^ iL a 0 w a w a } f'- N O CM 2 w F- G w z 0 0g w� mz wC6z ix>F0 > W N w U W U �QJQa �K0 Ix Z FO w O w z wF z wF m U%mJm mLLJ y m 2: O w Q W 0 O W Q W Q LL m�-p� LLmF-C� F U Z U W N It a N Fz O S2 zo J N > Q > U a m O O M W 033 O CMI M COMIf. ff. TEXAS BM StiEFi- wuIranox to BMN YOLCAN MATERIALS CO SW OMSION PO BOX 781550 SAN ANTON01 TX 782 I550 • 0 ffERN IffEM NZ TYPE PE [TOPPM fiOW Pon MW JANUARY 1, 2005 PM pE JUNE 30, 2005 MME3 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGES OFRCE AT: I PDOAM. THURSDAY, DECEMBER /6, 2D04 ...---- -------------- _.._ --_ _ ---.-_ - — : AM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH. BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,000/$300,000). ----------------------------------------------- SPECtFICA ITEM 302, TYPE PE (TOPPING ROCK). GRADE 3 MUST MEET ALL TXDOT SPECIFICATIONS DEPAA1AlENT DESTDTATTDM DETTVERY OM/ AKFAW PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON *$37.37 **$3 PRECINCT #3 OLIVIA AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON *$36.25 **$34. , PRECINCT 4P PORT O'CONNOR AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON *$39.33 **$33. ; PRECINCT #4S SEADRIFT AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON *37 • BO **$31.I PRECINCT #2 SIX MILE AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON *$37. $O **$32. Bf eff)F fSYMAW DATEOFM Dpramhar IA- gnn4 / ADTDTB®STTAUTTTTPEAnuu a Sr tales Representative PRWKLPAE Pat Wootton PI WWTAMYEX ff=TDTDEAB0VESPECFN',AlW- TEIIYDOMENIpY�ER * TRIICK DFI TVFRY ** TRUCK DELIVERY BASED ON RAIL WEIGHTS MINIMUM ORDER 500 TONS Wednesday, November 17,2004 _ _ .. MIM WUM MATO= COSWWBSMR 0 il 234 0 0 0 ■ § 0 \� . Z §� M CO . §; }3@ &)w . @M2 w5) Lu$: �2;LLJ » M § §$) § k LU �)0 / § /}k / w § � c � � �Z �� Z � \ re R o 2 a o 2 _ 55 _ Pui 2 0 W� 2 k zU§@ c B 0)/§§ LL B *(}§/ . 2 . /W®) 00 0 \ n ) Co - § j § k ) L ) m § cc § 2 « I ° � �` »+ k 2 ¥ 5 / \ k \ & \ 0 - m / \ a ` m t k co! ( � u\ `! LU R! M E \[ a. §? 6 Innka /$ . w § \\ \k \ § §\ 77 C.2 88 /8 @ - ;8 /8 § o \ § 0 / § G \ § ® � ■ 3 \ , 22§ 16 �£ \ k } 12 § § ■ e � S B § ( s § A 02 m z )) §w & W§z woo @ w/[ u§° LLJ B§° w \ �( le k\\cl § /&s (XLU w G e c ) § ( $ ■ `-e �0 'a 2 g o q n S o Ze @ a �w § $ \w /uLLJ §@ §.LL\}\( § c )§§§d [�§0 c )§§0 z . \ - § § § E wz« / \ \ §\2 )\( a 0 a 0 \ § \ \ (� )� 3 ■ \ & IL ) / w w2 66 r0 j! ( §2 2§ \2 2§ <` §k §/ \j ( § §8 ( 2 §S d8 § £ } \ { § § § 3 a §.§ 3 3 LU I § r Cl! § § m ■ 3 ■ E \ ■ ■ \ 436 A 0 � 11 0 0 D� 0 z E / / Cl) 2 q m w 0 6 . )Z §$ LU §G§ § 6�E . §}§ ) ƒ / ) § 9 �-m 2e§q )§)§§ LL 0 _ ■ Lu \§ \7 0 . \ /� \ ` `a ■ m2 ( § §6 §§ §2 2! \ § Q3 §\ ` \8 §8 ■ �` _. § § 0 § § f ■ ■ 2 k �Z 401 CALBDUN =TY, TEXAS BID SIM- INnnrenox TO ego 0m YlA.CAM MATBOALS o SW OMSION PO BOX 7MO SAN AMN O TX 78Y78-1550 • 09EM lffffl 3K TYPE PE ITOPPIN ROCIQ P=fRn JANUARY 1, 2005 pE=I& JUNE 30, 2005 4 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHEAL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY — — BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGES OFFICE AT: 10'00 AM, THURSDAY, DECEMBER 16. 2004 BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,0001$300,000). ---. SPECIFICATIONS: ITEM 304, TYPE PE (TOPPING ROCK), GRADE 4 MUST MEET ALL TXDOT SPECIFICATIONS DFPARIAD3ff DESTBI MN PRECINCT Al FAIRGROUNDS AREA PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA DEITVEAY FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE � 4 BHBW70Bf60MPLf7EBBYB®BEBI BATEIM pecpmh= AUI10MSA;f1 TWAMDTlMm Sr. Sales RI PBNfNAME Pat Wootton mff �IPd7 TON *137.37** TON *$36.25 **t34, TON *$39.33 **$33. TON *$37.80 **k31. TON *J37.80 **$32. FlfASEIISTANYEX( TDTBEABDVESPEIiCAl THEMNIMM (210) 524-3500 * TRACK DFLIVFRY ** TRUCK DELIVERY BASED ON RAIL WEIGHTS. MINIM M RD R 500 T Wednesday. November17,2004 .. -fMMI IATMMATBIWSIBSWI1111M • 438 0 0 0 2c � C*2 � � � � � � � CLO � � coa m = z 0 \ / & Lb � \ / n 2 ui 2 LU § \ Ix § § � ■ ° Ni� \ \ N\ $ [ 0 /!�� LLI P: LU }§2§) }§e§( ) ) j� }< CL IL /6 /6 §2 2/ fk §/ §8 d8 32 Fo { S d( j£) » 2/2 § a§° LU § 2$§ § k§§ ) k [ § ( § § 0 ku§r BPLU§� CO 7)0Lu0 ow0wo § ! § 3 w \ z \ LLJ \ § I. ft CL CL jq /q 22 §2 j § kk J} d8 /8 2 ■ . \ § ■ ® o a ■ A k § k § 239 2 z 0 m § � d � � � \ S n 2 w I LLJ w k cc § § � as © } ■ e \ \ \ \ W j, M\. jk w wr) §j) w �� / s��( ew [} /}k § w [ ) 3 ) . §� _2 qo 9 q 99 § 6 0 0 ) §� 2 w § w© § mu 7w00§ 7\})k B owo 0 )W}Mk § 2 z ) ) ) § k}2 ) w }\2 . . { § k _ - \ \ § W1 jk $ �§ /( /q /6 2» 2> 22 <k Jk §k !/ /\ >� LU >0 \� \� ( 2 a ! A 3 G § § ƒ { ) 9 040 0 0 0 N N m � N Y N N iy O O O L`l m z 0 0M W� ¢z in >iZ wNO Z F H w > W 0 o w a W N 0 O W O Z O O w O o Z f- L r w H W O w < W of W C 'a Z W 1- Z W F- C mmm no mfq coJm J m OWOWo LLOV-�-� OWOWO LL�FO> cX C 1 = F it aW ¢¢ y taQ1� W Z 8 Q w a:Q O W q W H ~ O Z X 6 W N W A CTe a a co (h a y c ¢ W F- W } Z WL) Z W0 F QL F N O a <3 O W e a3 JN 7O _ G >O >U m a m c m e; t � o c O w e c o m H H ;4 043 CALHOUN COUNTY, TEXAS BID SHEET- IROAD MATERIALS INVITATION TO no YOLCAN MATE8IAI.S CO SW OMSION PO WX 78w SAN ANTOMO TX 78278-1550 BM REM IMM 3K TYPE D [PRE -MD( LOVIESTW Pffn w* JANUARY 1, 2005 PM TO: JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: MICHAEL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY COURTHOUSE, 211 S. ANN, PORT LAVACA, TX 77979 SEALED B/D- nEM 330. TVPP D lPPP-MlY raucernun TECHNICALITIES, REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SIX. RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,000/$300,000). • SPECIFICATIONS: ITEM 330, TYPE D (PRE -MIX LIMESTONE) — — — — — — — MUST MEET ALL TXDOT SPECIFICATIONS DEMMON PRECINCT#1 FAIRGROUNDS AREA PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA UTEM 0 04 amber 16� ?0 UM SWM ARM IM PBN u* Pat NUOLLun DHIVERY FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSI: E FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE PIfAEElW MYFXBEPTTONSTOTffABOYESPflMTIpYB Wednesday, November 17, 2004 Au GA7/PJ7 TON *$39.37 **$3 TON *$38.25 **$ TON *$41.33 **$35. TON *S3 .80 **t34, TON *139.80 **A44, mom IBICANMATEIMCBCWM M xM2 0 0 0 661 v c:INC 661 G C6 `I 0 ma 661 d Co v t�rm WMA CM S O. F- a _U H J Q a U) Q 0 0 .J 0 x 0Z 2 w 0 w wQ (}. 0- I— w �w M 2z w0 !' 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DECEMBER 23, 2004 AT IO:DOAM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALOIES. REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CA1HOUµ lEX/iS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN. SEX RELIGION. AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/52,000,000), ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100 000/$100,000/5300,000). WORKERS' COMPENSATION (IN SPECIFICATIONS: FTEM 350, TYPE D (HOT -MIX COLD LAID ASPHALTIC CONCRETE PAVEMENT) MUST MEET ALL TXDOT SPECIFICATIONS BEPARIMFAf BESTITARO PRECINCT#1 FAIRGROUNDS AREA PRECINCT#3 OLIVIAAREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA 0U AUTIORIBSETTATORE PRITNAW T BE(TVERY FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE REASEUST ANYEXCE MTITREABOVE SPEWATRNS: Wednesday, November 17, 2004 !BE(OTYTBBftBMFLomorBBi" Lw TON 'M �1EF a oo TON q'r o0 TON L100 TON 3.S0 TON Lia,00 MEPBISENIIS 1P d 7A R7ol Y74 SLl3 646y mm W1W(YIoi66X M5 f— coo O ai _Z M W O W y O O gym/ O &a Z MCC Q 2 U Z MLb F m Z p p O 0 CO U W a� J w z O wW J N N 6 t0 10 t0 63L m N N N O O O N p z W Z wto X K w J J r wLL p� ¢o 0 0 0 g ❑ Q o 0 0 Z w Z W H �m�N F �m�N Z w F �m�N mfA Jm mm Jm mfn Jm O W O W O LL prO� O WOW O LLprp� O w O w Q LLpHp-� N N N z z Z z Z z w K w ¢ LL ¢ ¢ LL a Q K LL ¢ # # # z z z U W U W U W a w a of a J X_ LU O F N U = z _ ¢ U a °a 3 C! m U m 3 J c N o N ui r H H H N N � O O � N N m � � W a p z W z W K Fr w 1 J F oa �e m ¢o 0 0 0 ° Z Z o Z ° O ❑ Q ❑ O ❑ ¢LU ccw < ¢w- ¢ ¢w- > z wr Fm>y Z wr pm>y z wr FW>to In mco �co OW WO OWOWO OwOWO o LLprO� LLQQpro� ¢ W QQorp� W ¢ W ¢ W W W o X X X 0 U) A U �e z U z U z N U U QU �. w w w O o a a a r 2 U U Q w X e w i n r w o z O ¢ a! i G m z Q J 0_ U) U U 3 m 5 ; J _' C h t0 mw w en 246 • 0 2 d § ) ) ■ §92 . ■ a S S ■ e S R ■ Fr LU w IX ■ G . @_ G ■ n N § @ ƒ LU . 0CL � B �! B < § < § § � ¥ 0 \ 2 0 2 . § \ [ [ 9 . .2 .¥ .2 S a q o q e q q q o ! ! LUm 2 » 2 * 2 2 @ �� BCD -m&G ;w@& _ LU @r -wa6 B ƒ)/§§ )§R§7 [§§§( B§§§§( 0 0 M In 0an ow0wo ( = o 0 c < < . § < » § m § § § & / § wz< wa< k rid m . ■ )R» )R§ \b< B \ w § \ 8 ` _ B / } j (! iL co \ §! § \ § w Ix ) _ 2 6 ) < § w e-( ) ) j / < / k 2 \ \ � \ ) � K § s ® f ® ■ 0 \ ) � � ■ � §§ ! w § § § § § k E ■ ■ ; _ ® ® £ _ _ § $ 0 k/ B §i § «R z § [ `Fm -a- m q & 6 q c Q ! % w � . z ¥� z 9� .y >- B s�/§k ))/�\ ))/§\ R . 0 § \$ \% \% \ . § z - § ?2 - ƒJ - ƒ 2 0 } e = , . w \\ ! .. zi \ § . z e U A f § § \ # ( a ° . ■ . @ 0 . § § § j \ q _ ■ ; : w 948 � is -CAU= FLINTY, TEXAS BID SBEET- r-1 L INNTAiIIIN TO Big BM M A INC PO BOX 2058 YICT061A TX 77882 BM MM OM -3/4 DTI TO DUST P= RW JANUARY 1. 2005 pEMT& JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: MICNAEL J PFEIFM COUNTYJUDGE, JRD FLOOR CAUIOUN COUNTY COLOMOUSE, 211 S. ANN, PORT LA VACA, TX 77979 SEALED SID- UMESTOMF-3/a lm u m n,rcr TECHNICALITIES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUµ TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER, THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR NATIONAL ORIGIN. SEX RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS- COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/5100,000/$300,000). SPELYF'ICATIONc. UMESTONE�6 INCH TO DUST — — — — — — — — — — — — — — — — MUST MEET ALL TXDOT SPECIFICATIONS O�AM(ITMENf DEUT MATWN PRECINCT#1 FAIRGROUNDSAREA PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA DAIE DMERY FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE M MiMMM M MA UTMMMIEAM IDMEu�,j WNAW R 1CM1 5Nr,cK PIEASEMISTMNMYEXCTp1= TD WANVE 3PWATW- Wednesday, November 17, 2004 iff �f7lPN�f TON TON /_ q_ b4_ TON if 1Q. 04 TON # 17.93 TON ' 17 &A THEWMDN ffiww- (a I - 5 7---3a a4 MM MAINC CAUMON MY, TEXAS 0 SBETTT- INVIfAl10N TO QUALITY NOT NOX PO BOX a" EL CANIPO TX 77437 . BM MR LMTONE-3/4 NCR TO DUST PENS FU* JANUARY 1, 2005 PHU 1D: JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER COUNTYJUDGE, 3RD FLOOR CALHOUN COUNTY COURTHOUSE, 211 S. ANN, PORT LAVACA, TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- UMESTONE3/41NC14 TO DUST TECHNICALITIES, REJECT ANY ALL BIDS. TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHW N JUDGECOUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICHH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX RELIGION. AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($700,00015100,00015300,000). ----------------------------------------------- SPECIFlCATIONS: LIMESTONE-3/4INCH TO DUST MUST MEET ALL TXDOT SPECIFICATIONS WANTNQffi MIMATIDN PRECINCT#1 FAIRGROUNDSAREA PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT#4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA T'Im usT ANY EXGEPTM TD THE Wednesday, November 17, 2004 DEUVENY FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE mu OA7 p" TON 1 Sr oO Y TON rS,0 Do TON f6-oo TON IS. To TON tE.00 TFIfPNOIEN=0L 474 S TR d7Cj 9'n s`a3 64C4 milm QUIMIYIMIARK 250 • CALHOOM MM MAS M 310- INYRAIDIN TO •SM ANi= TX 78= BM ff[M LIMESTONE-3/4 Ulpl TO MIST pm RM JANUARY 1, 2005 FM I& JUNE 30, 200S 11 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: MICHAEL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY COURTHOUSE 211 S. ANN, FORT LA VACA, TX 77979 SEALED BID- ILlMESlnfJFl1AtMMfT^nsje TECHMCAUTIES REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYcR. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY (51,000,00015210001000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/5100,000/5300,000). SPEClF1CA770NS' L7MESTONE-3/4 INCH TO DUST — — � � � � � � — — — MUST MEET ALL TXDOT SPECIFICATIONS DTPAATMM KsTa IDN PRECINCT #1 FAIRGROUNDS AREA PRECINCT#3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT#4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA DWMY w FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON FOB DESTINATION, TO BE DELIVERED TO JOBSTTE TON FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON DATE DFDR %Z AMURUMM rDNr xAxo:T/j�2r�0- PI=IBTANYEXCFP=TDAEABOVE&q IMa. 1ETEPd01EIYUrI[DF$ Z<1%—L��I -3�d?� Wednesday, November 17. 2004 109a SAIMANIXI A F777775 251 effla 661 � � INC � CLO a � rma � 661 � � � ui \\ §, ■ § (m '� i� § «0 � 0�e § � ) '\ q - 0 F0 -0 < 0 o »! 0 k !u 6 6 ,S B ` w 7§\Dk `®'` B p m *- p» Zw2` 'w a o [u}®( mW)§\ c c )0§®( R § 5 ! 2 § } (D (! LU \ § 0 0 ■ }* !$ k ■ A - w - 03 ` � \ § } . \ I . - § ■ m E it± \ f . Z- ■ ) coEE § L< } ) uj \ 0LLI \ < \ w G! e U E § IL■ ° ® . o , § 3 ■ § ■ § \ / LQ § 0 § ( ) } � ■ e 2§2 0 0 .A I* § $ � 0 0 m CL 0 z I _%e 0 0 � § � w a � 2 w 10 §ƒ § �§ \ D [ / § $ [ [ 0 3 §- \ m_ B *)} }k/U\ \ \ ° ° ) E ^ \ / z § 2 ; { § \ e ( m a. } } � § § ■ ■ _ 8 § § ■ : ,d ) s � co CO Ft w w/ § j§ ■ 0 §�9 �9 q c ( § z z w >_ B *)}§\ /§§]) � § ) 0 ` ■ EE \ ■ 2k2 §\2 ) § k I ■ o� - (L } z ■ ! } k $ . { 7 , m e K § z # § . 0,G § \ § § � 2 B \ } k , 45 M w cl 0 Q 0 w w d 0 Z Y U w w w w i I as w W K LLI w f oa J D ¢0 0 0 Z OF Z OF 0 0 w w Z wtw Z wF F-w�N rw owO0O O0OaO F LL Ix 0 U3a r U Z U wy U N J ¢ w W Q E w x U Q fq a m 3 0 J N i� m 0 a a I r„ E E a a r • • • CALM 900NTY, TEXAS BID SAEET- U 0 • 7 imVrteinx TO BID QUALITY BOT MIX PO BOX w El CAMPO TX 77437 TYPE E [VYIDiE ROCIQ NO PREI�AT, GRADE 3 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: PERK fM JANUARY 1, 2005 PBMT& JUNE 30, 2005 MICWAEL J PFE/FER COUNIYJUDGE, 3W FLOOR CALHOUN COUMY BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGES OFFICE AT: BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES, REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY, THE COUNTY OF CALHOUN. TEXAS is AN EQUAL EMPLOYMENT OPPORTUNIP/ EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR. NATIONAL ORIGIN, SEX, RELIGION. AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($11000100042,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/i100,000/5300,000). SPEC/FlCATIONe. TYPE E TWH17E ROCK), NO PREOOAT, GRADE 3 — MUST MEET ALL TXDOT SPECIFICATIONS WARINRNT BESTBIUMN PRECINCT #1 FAIRGROUNDS AREA PRECINCT#3 OLIVIAAREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT#4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA BATEBE Buoy FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE KEASE IWT ANY EBSEPTNNiS TO TBE ABOVE SPWATpNS Wednesday, November 17, 2004 Uhl Oi1Plf TON TON, TON .0(j 70N 23,06 TON aa.ao TElEP11mENunOiER Qy9� s i_ �t Ryo1 ct s-r36yCy Mu WaTTTY w1 w 255 CAlIm Cmff, TEXAS M SmT- NYIiAiION TO Rm SANCIR MATEBIALS 73M SOEE RM SM ANiOMO TX 78250 • BID MR TYPE E [WIOiE ROCIR NO PRECOAT, nMOO ffift JANUARY 1, 2005 MM T& JUNE 30, 2005 MUE 3 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER. COUNTYJUDGE, 3RD FLOOR CALHOUN COUNTY BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMLSSONERS COURT MEETING ON: IHURSDAY, DECEMBER 23, 2004 AT I0.W AM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,004;, WORKERS• COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/5700,000/S300,000). SPECIFICATIONS: TYPE E (WHRE ROCK). NO PRECOAT, GRADE 3 MUST MEET ALL TXDOT SPECIFICATIONS DEPARiAD NNi DESTUANOR DHNERY OMl MAW PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION, TO BE DELIVERED TO J08SITE TON PRECINCT #3 OLIVIA AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON . Z2.OD PRECINCT #4P PORT O'CONNOR AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON PRECINCT #4S SEADRIFT AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON y/�, PRECINCT #2 SIX MILE AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE TON /- Z/ /5�0� �anwmaEcan�[rimeram�v DATEDEBR Z' AUTHORMUNATIBEAIDTIME MMNANE KEASE ISi ANY E)CEPTDNS TO TIE ABOVE S111MUTMNL mE MMER Wednesday, November.l7, 2004 BIDDER SAlB UKATT3M is � � 10 10 � a ■ - @ 4 § ■ ■ § S @ § ■ s s 8 S § @ ° ` § A ■ S § a S k to to 0 W � / - &.\§ § �! � < s is �26 ° m . w ( ) ( |w c B am r¥@ )§)�) B LL c 0 7 ° ƒ k § & 2 § §a ■ 2 ¥k $ # _ \ ( § \ § ( j ® m � a. k \ , I 0,§ . ! §. ( § ( ) § ° » 0._ § § § § < ■ §. \ % t ■ § f ■ § 0 § 0 § B B § / � j _ - ■ ■ K � \j § ka �z�R o qLu K B;m§co )§2/J § § B \ \ k \ � ■ ` / £ § ( ) / \ \ ■ , co § ■ § k } k & K 2 k /_ 2�/ X, 0 0 c r a P. wto _z R JLU J J F wa o� J 7 Q 0 Z O F O Or LU z wH rw>y m w m J Co 0p000 LL K 0 NIr Q O 0 O 0 a 0 z IL 0 t m a w 4 i 0 N N a C 258 • • CALI M MR TEXAS BID SET - INVITATION TO Big on QUALITY NOT MD( Po BOX a" R CAMPO TX 77437 m „un TYPE PB RBPP= BOCKl &BADE a mIBDTBOAT: JANUARY 1, ZOOS p=T& JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: MICHAEL J PFEIFER, COUNIYJUDGE, 3RD FLOOR CALHOUN COUNTY COURTHOUSE, 211 S. ANN, PORT LAVACA, TX 77979 SEALEDB/D- TYPE PA?OPPAJG Df'V^Y r_nenr• TECHNICALITIES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TIJ(AS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY (S1,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($700,000I5700,0001$300,000). SPECIFICATIONS- TYPE PB (TOPPING ROCK), GRADE 4 -� — — MUST MEET ALL TXDOT SPECIFICATIONS WARTT M BESTTRAm PRECINCT #1 FAIRGROUNDS AREA PRECINCT #3 OUVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA ANIRMMMUTTBEAW SEIAIERY FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE RFII UffANYUM MMISISTTEABOIR:SPf OTYiN3; Wednesday, November 17, 2004 0 99!ff AF MTIDLfIfBBYB®Bf81 BAff BA7/PBd;f TON 30. SO TON TON TON c�i•oo TON 3040 THEPImERW `i7g -7 R701 471 -�;-q3 6Y6y ma WImafffax AiVsY e o a � p � N O � N � m Mac cam W p CL z 2 Lli w > wF p af 0 C w ¢o ~ O O ~ f v Q O Z O Z p O o W F w w zWLU zWw~ W W > mmmwm ow2wo OLLOOWQO OOODO e C/o o p o Z Z Zp z Co�. ♦4' W Y p F OQQ ix OQQ �W KW = LL ¢ LL Q r m F W O Q I -on, w Ir I O Z Z 2 O �, m K m � z e a a �C W Y W O N J a K w X w O x N N O a F G m Q U ❑ z v o a N O 9 m W V w ❑ Q U W K LL O z Y O O K w W w a 9 N N 0 0 N ry o z w z w w �w J wa J Q O O O z O Z O o ❑ o 0 z wl- z pw>y m wH Fw>y m N J m m co m J m WOOO OWpO WO QO W W w w X x a1 m z Z w w a a y Q wX w g fN O W mc z Q (13 O 4260 L • 0 � § 0 § 0 0 w a 0 z �e 0 0 LU .� � w CL � � \ 0 ( ) S 2 dd § ) ) S s s § s s §LU / 2 \k <o ) §) } [ ( [ �u§§ §q B *§§§k /§/§( LL W v 2� \ \B0 # 2 ) §/ . \�� / co w < § ` \ ) k /�\LU \ ■ § ) §§� §§# ■■& } wo L/ LU § a < 0 §0 ( [ 0 § LU »§§a Lu B /k/Go OLUWo § § § _ § W2 ! § CD )R$ §k2 0 § \ a§ - } } \§ ! } % / @ N { LU u we¥ ) f 2 a § kco §§0 § §§@ K■■2 - ■ k � 0§1 It w 0 Q 0 w w IL 0 z Y U W w H >2 v w w IL wW w w ~ p4 J m �O 0 0 O O O OF LU LU w z w f z w 0p0p0 ow0wo w F LL �< a U r w w z z O z o KN KN a a U O w w C X w m _ o w N }}_ 2 F w J Q ( d m 3 v m g 5 � 3 J e 0 n N H H Q E. 40 462 is 0 CAMM RUNTY, TEXAS RM SREEf- m INYIfAiION TO BID Qom HOT MIX PO BOX 12U a cwo TX IM E MITE ROCXI NO PRECOAT, YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: PHORM JANUARY 1, 2005 PMT& JUNE 30, 2005 MICHAEL J PFEIFER COUNTY JUDGE, 32D FLOOR CALHOUN COUNTY INDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGES OFFICE AT: BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES, REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF HO CALHOUN, TEXAS IS T BE THE EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR NATIONAL ORIGIN, AL �(, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY (51,000,000/32,p00,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000I3100,000/$300,000). 6PIMPICA7/ONS: TYPE E (WHITE ROCK), NO PRECOAT, GRADE 4 — — — — —• MUST MEET ALL TXDOT SPECIFICATIONS DESTIBATION PRECINCT #1 FAIRGROUNDS AREA PRECINCT#3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA OEImy FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE Muff OBf60MPlfImBYBm m, Aw �f7TP TON aI•a0 X TON� �• TON 93.It TON 2a-Sa TON PIfA USTANYFXCfPMTOTIKAB99E8PE1MM TElFPAKIOBVOjFR 274 S-r$ 8701 r79 S1i3 6u(,y Wednesday, November 17.2004 no QWWIYmTmx CAINM CDIAR TEXAS E SBEET- MIIIRAiWN TO um sANCINZ MATmm m$uffum SAN ANIOMO TX 78250 BID ITEM TYPE E LWIDTE ROISO, NO MOAT, PEAUfM JANUARY 1, 2005 PUMT& JUNE 30, 2005 MIADE 4 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, COUNTY JUDGE 3RD FLOOR CALHOUN COUNTY rUE AND WILL BE PUBLICLY OPENEDIN THE COUNTY JUDGES OFFICEAT; IO:OggM,,)}{jl)ISDAY pJi(/y)i�qT�2ppq E C, DECEMBER 23, 2004 AT 10:00 AM VED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS'COURT RESERVES THE RIGHT TO WANE LITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE ETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTV OF CALHOUN, TEXAS IS AN E9UAL NT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN, SEX AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY (j7,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE (5100,000lS'100,000l5300,000). SPECIFTCATIONy4. TYPE E (WHITE ROCK), NO PRECOAT, GRADE 4 — — — — — — MUST MEET ALL TXDOT SPECIFICATIONS UEPARRNENf UEEiINATNN PRECINCT#1 FAIRGROUNDSAREA PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT #2 SIX MILE AREA BATEUEBR AZ -�✓�'� AUIIM SNNAnB m TRIP UEIIYEAY FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSTTE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE BEIBM1BBt GiMPlfIfBBYB/DOEAJ OATT MAW TON ��Sv TON Z•Oo TON TON TON PEEHffMyExrfflxsT9TffA6WSFE=T=- MET��'--3/vv Wednesday, November 17, 2004 MOB SANDEZMARIM • • • 0 0 a 0 0 O N O fD S2 f0 �p � N N O O O N �y N LL ow w < iLU x Z V 0 Q D O OJ > of-aMWZ o000 oW 'oa>waMw ' MzfE u�im O "z -w ri zONt- z0 ¢UmnQ Og-aC Oi wOzwoX LU fn Wz yE0 yi Q mQQLLop ¢tqx$ Qrn mziO��vi mzro� mz 2mjw wow WOa,"'y w0 �Q�OOaO K:�70 LJ aU' wOxwx aC70-¢ IL z O Z Q J O p 0 Q 0 O p p z FYW 0LLI O O Q U Z 7 w H Ha.>N Z j CC w WI- ~KiN CX W ZO F. in co �'J W} W m mOJ~Jm 0 HIr co mU) m w O m'n0 OmO0 o0m0o � Q Q J p w Q m w ¢ ¢ ¢ ¢ , M J O p F U Z U w C a <o # # ~ U U z_ z U U W w a a a U F z J w0 Q FU Cv1 QU J x J n a00 D N OQ wa O O O � N jA O M 265 CAL110UNMR TEXAS 0 SHEET- IASPHALTS. OILS m INVITATION TO 010 CLEY = A3MLT PRODUCTS U PO BOX" suffmD IX 77371 300, ASPHALTS, OILS AND YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: ILL BE PUBLICLY OPENED IN ffinFl[oft JANUARY 1, 2005 PEMM JUNE 30, 2005 MICHAEL J PFEIFER COUNTYJUDGE, 3RD FLOOR CALHOUN COUNTY ( JUDGES OFFICE AT: BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,000/$300,000). u ----------------------------------------------- SPECIFlCATIONS: ITEM 300, ASPHALTS, OILS AND EMULSIONS: [AC-5] MUST MEET ALL T)/DOT SPECIFICATIONS B�ARIA031i USMATDN BHTm mu !/Ml PRECINCT #3 OLIVIA AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 . 15 7 ## *** BASED ON 5000 GALLON MINIMUM DELIVERY BATEOTBQ / %6 / 04 BHBWIBBfBYB®BEA7 A9IBDI®8ENATDE IUD T ft PnoW& ROBERT L.NOLAN SALES -MANAGER PT=Uff ANY EA68TrlIYB TO Tff ABOVE 5`E=TW- Wednesday, November 17, 2004 WDER DDIBA[DATFKTFM=IRC 466 • 0 0 Deal 09 04 12:39p ERGLE HOUSTON 7136707679 p.5 CA II IS1UNiY, OAS 10 SI M- ASPHALTS. DD.S AND ENIU INS i INVITATION TO BID EAMIMMIPlAMS Po mx m 6AAl�BryYA�■P,ARrnK 11 ARM My r ,0. 0H AEU PEMRMJANUARY 1, 2005 p=l& JUNE 30.2005 YOU WVffEp TO SUBMR AUBID W,ON71THE ABOVE REM TO: AOCMAEIJ PPFMP COUNTYJUDGE 3RD ROOK CAUTOUM CovMy BE PUBLICLY RAWLY- SIDS BE CONS M W 1HE COld,1fY JUDGES OFRCE AT: TP.00AM, F Cob 7MURSDAY DECFMBER_16. 2QD0 BIDS R�CETVED AFTER THE OPENWG TIME WILL BE RETURNED UNOPENED TO BIDDER 1HE C .... Ai T000AA{ TECHNICAUBES REJECT ANY ORALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANf OMMLSSONERS'COURT RESERVES THE RIGHT TO WAIVE JUD�GQE W DFIERMW WG WHICH BIDS W1(1 BF MOST ADVMTfgGEOUg 707HE ppUNN. 7H TNOjy COUNTY AND TO BE THE SOLE RE F Q A OPPORRMffV EMPLOYER. THE COUNTY DOES NOT DISCRIMWAIE ON THE BASIS OF RA CAIHWR TEXAS IS AN EQUAL L1G HANDICAPPED STATUS W EMPLOYMENT OR THE PROVISION OF SERVICES CE COLOR NATIONAL ORIGIN, SEX, THE SUCCESSFUL BIDDER MUST PLIOVIDE CALFIOUN COUNTY WITH A CERTIFCATE OF INSURANCE (NAMING CALHOUN COUt{TY AS AN ADDITIONAL IN8URED) FOB GENERAL LUIBILITY 1 ACCORDANCE WI'I}I STATE LAIIII) AND AUTO U45URANCE (S'100,000/5100 0,000). AO0 WORI(ERW COMPENSATION (IN O�S30} I(2864: REM 300, ASPHALTS, OILS AND EMULSIONS: [APS] — ^ �.� �. MUST MEET ALL TXDOT SPECIFICATIONS -��— � r=� iECIN{OT #3 OLIVIA AREA FOB DESTINATION BY TAUCK DEUVEAED TO JO BWTE GALLON $1.1_ 0 UEMFOR 12/13/04 i®VIIiaBEIINDI� ltf NlttilE J0� �TymN 1l PrIl1�i4NY FXL& IIINS i0 i� ABUIffLpinlL 7�� CE IS BASED ON 5,200 GALLON MINIMUM TAADS:— N 361/ 289-1707 I PUMP HOSE IS NE®Ep ADD 50 00 pgt TRUCK Tnan i Wacl*sdak, NO a bw 17.2[)04 i f =a D.MASPBALiATMMU 2;67 CALI1M =f. TEXAS N SHRT- FULt E wuiianox TO GULF STATES ASPHALT CO UIC Powxm SOUTH HOOBTON Tx nw W ASPHALTS, OILS AI110 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: FRW JANUARY 1, 2005 PH=i4 JUNE 30, 2005 MICHAEL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY ___..._.__...u��.......__.._�..-..�-�....,_..��,,.�— AW AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 23, 2004 AT iO AM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS'COURT RESERVES THE RIGHT TO WANE TECHNIG4UTIES REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TE)CAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR. NATIONAL ORIGIN, SEX REUG40K AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,0001$100,00045300,000). SPECIFICA77ONS: ITEM 300, ASPHALTS, OILS AND EMULSIONS: [AC-51 — — — — MUST MEET ALL TXDOT SPECIFICATIONS UEPAAiNtEMi DERNTM PRECINCT #3 OLIVIA AREA UTEIFA¢12/16/04 AOIXIMBI N I TUM AID FOB DESTINATION BY TRUCK DELIVERED TO JOSSITE /'7/ I: 7 L1 /,LIf' 1 7 GALLON $1.06 PIGLANTINYUMMMIZABOWSMAHM . �. 111 •, en• _ 4' ,e 1 . u 1 ., 1 Wednesday; Nwember 17, 2004 WDER GIFSTATTSASPAALTIbi1C ti19s 0 0 0 O N U z O J LU 0 z Q o N � N U ON Cl) z O J J Q D W d Q a J O O o- n r LL W Q 0 w Iw-- 2 W w N N $2 m N LV O Q O ii O p so m O Q m O m m N N h Q _ 7 a O hw O g ON O Z Z 2y J a aka, �iK a.y Oa O J O o 00 �Y O g ��ON Ovi OMOaj (D' ONWy�OW82 viY viWj=8D$a Jp C o gWv�Dwggn ND Za{� zow' ax ZLLpa Nw 0 0 OO via p W Sir OapY O> Oz Uaa. ppa J W <p W apwa QZ waU=L, Wfj Wwp WSapws WOpU mj w maN �Z IDMwa: W a >w � I Q�wa<~ y�0D m. Z �z �a�wiw�Zw v vo��W�i a� a0?LLoa aia» $ rrz a� aOwi zwo aJZLL n �o rc�aa�aw 0 0 0 z 0 z z O 0 �_ ¢ 0 O O 0 ~ z Z 00 Oz HO a ¢ OZ O (� 0 _ p p i FXW 1-YW w F-Yw z�wrw �Dwtw O FkW f z F f0W OYW ZJwF Zy Fcc>y F�>y > aU�w aUffw z4Uzw zDwr- ZOw� O OW}Wm mml-Jm mmf-Jm O Ow}W ~��y- ~��N P: ~ ra to m wco F-J Jm LLpmO>LLOmp� �pp}pp0 OW}WpOW}w� OW}W0 LLpmp>LLpmp> W LLpmp> Z p 0 z z O N Q W 0 7 U Z W K K a z w w ui �< Qx QQ N pp� g y ?S X ik J J N # N co N N U z ~ F Z Z U # U U U U z Z 0 Z w a w w x a:N ¢ W U w W a a J o G Ir K w a a (4 F O U J 0 a mz a /w-OU av/ Q 0x z 0— a w0 S ¢2K o Z g QU CLw >S a. LLS JO W¢ mQ QU w (a Uaz n C090 �Q W� ��u t >S �yU LLS �a �a (0 c a U<z C7Q W1 m 3 o m J J $ F h O 0 n O ^ O p a N E a w a 269 � t ■ ` ° ° ■a 2 S S § § ) } ( ) \ \} kick§ _,a2@XZW < ak)mnt\§\d) \� /§anmw( ■§ ■\¥@�k)B|2 § § § 2 0 / q o e 2 q o q %3 k)§m ZD�- m2§§ ; 96 )§co§2)cl[§d ƒ§[k( ! a a Ir \ Ix \ \ \ a d d n \ : § ) \ \ . ( \ < \ \§ §\ G) $2 # /) \ §»o <- $$ w0 e \ ) \ ) 00 \1 ctw=)OXM ) §\ 3$§m,3"Od\ t[%§2(§�� 7$ M;Mwlr §\`» M _ §) J�ZkQ< /# § § § e 0 0 6 o 2 2 q § e }ow - $e }§§w % !0: ;i2e )L'aM0 [k) ƒ)[§( ) \ 5 }�2 \ }b$ ƒ0< . § a 5 6 / fL /\ a. § ( ) ) a\ � § \§ �° # �� §± §( § dy2 d$ " e \ k _ _ m 7io 0 A 0 0 04 k k 0 —i � 10 ƒ _ q_ § / } q k � i § \ k CD 0 w E } % k \ 0 ) ) k ) \ 2§ .} \kmWMO(6 >jr#§§2a`»mw /�/ 0Z2CL 6a2� _ §(!§§(Z. �/( d�)k22§�)z 2 �0kE! E«K(& ) § § 4 / ¥ ¥ g 6 �a§u 6 6 %§)LU k§§Lu )\§cl\Ea(ak )Q(\k k /2 I ?71 21110 FLINTY. TEXAS BO] SHEFT- HDI INVIfAibN TO CLE MM ASPHALT PRODUCTS NA: PO DOX im SIO M ix Tm . 300, ASPHALTS, OILS AND YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: CTo1q, PEInFRW JANUARY 1, 2005 FMT& JUNE 30, 2005 MICHAEL J PFEIFER COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/5100,000/$300,000). SPECIFICATIONS: ITEM 300, ASPHALTS, OILS AND EMULSIONS: (RC250) — MUST MEET ALL TXDOT SPECIFICATIONS OEPAIiiMEIlIF DESiR1ATm REIWY ANT mffmw PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 , 57 7 ## PRECINCT #3 OLIVIA AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 .5 7 7 #*# PRECINCT #4P PORT O'CONNOR AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 . 5 7 7 ### PRECINCT #4SSEADRIFT AREA FOB DESTINATION BY TRUCK DELIVERED TOJOBSITE GALLON $1.577 ### PRECINCT #2 SIX MILE AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 , 5 7 7 ### ### BASED ON 5000 GALLON MINIMUM DELIVERY ®fIBN'1BBf60MPlt7fBBYB®DfIPI DAMM 12 b 04 AIIf�' n E6NR111REMD1IFIE V� WW W& ROBERT L.NOLAN, SALES MANAGER p1 MLOTANYEIWMTOTEABRVE ATE& 1HflMNL%M- 800-334-0177 Wednesday, November 17, 2004 Mm IST118AIAIASPNIILTPAOD sic 2 72 i E 0 • /Dee�cm09 04 12:38p EDRCGLLEE HOUUSSTON MR. TIM fe 7136707879 INVITATION To EW AmKj PRo -m jm IIwny PO wx 51 CAM PAU TX nw 3M ASPdALT$ BLS AN YOU,jA INVITED TO SUBMIT BID ON THE ABOVE ITEM' F.2 PFBWFM 111,2005 pMUk JUNE30.2005 A41G1AECJPFFI COUaOTcvtsc 9�4 eJITD� 3T0 N.00P CAU100N COUNTY ___._-�••••.....•.wm me GWNN JUDGE5OFFICE AT: 1 _.BIDS WILLBE.CON9DERED FOR PAOAAq, TTW:'SDAY, BIDS RECENED AFTER THE OPEWNG TIME WILL BE RETURNED UN - _...... __.. OPENED TO BIDDER THE COMMLS9 AM JUDGE PI DL'TE TANY OR ALL BIDQ, TO ACC�TME Blp DEEMED OI�I COURT WSERJESTHE RIGHT TO WAIVE RMINING WHICH BIDS WLL BE 1WJSf gpVANTAGE0U5 70MT10iE COUNTY THE COU7NtY pF OUN COUNN AND TO BE THE SOLE BdPL(YMEM OPPOR1UNIlY ITAPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE B,4SI$ OF RACE. COLOR,µ IS AN ESL RELIGION, AGE OR HANDICAPPED STATUS W EMPLOYMENT OR THE PROVLSION OF SEIMCES� ORIGIN, SEX THE SUCCESSFUL KIDDER RR�ST PROVIDE CALHOUN COUNTY WITH A CERT{flCATE OF HiSURANCE (NAMING COUNTY AS AN ADDfTONAL INSURED) FOR GENERAL LIABILiII((g��r000lS2.000.000 WO ACCORDANCE WITH STAT¢ LAW) AND AUTO INSU ( C"OUN ,000). 'COMPENSATION (IN RANGE S70p.000/S1DO,OppT )' RKERSSATION 5300 $PEG-4770AM• ITEM 300, ASPHALTS, OILS AND EMULSIONS: — (RC - —' — -- _ MUST MEET ALL TxDOT SPECIFICATIONg �ARIIIBTT ammu b PRECINCT#1 FAIRGROUNDSAREA PRECINCT #3 OUVIA AREA PREC1NCi #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PFECIN6T#2 SIXRMEAREA Bony FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE A A MW GALLON _$$1.7_ 8 GALLON _ $1, 78 GALLON u_za__ GALLON £1 7 - GALLON $1.7--- 8— PIfMUSTAWYO((RAMygTOTSEABMsPECfulm- PRICE IS BASED. ON 5 2 200 GALLON MINIMUM 361/ 289-1707 IF PUMP &HOSE IS NEIDID ADD WA Y. November 17, 2004 MM DISIEASBBALTpAMM 273 cnurouN t�tn�rY. Tans Bm s�ET- INVITATION TO �_, on Of STATES ASPHALT CO INC ROM 508 pp�� /�S�■IpfpHpN�O�I MNN�p ■ TAX MU . CNN � MMM ARMTS, H Alm PeMFW JANUARY 1, 2005 P=T& JUNE 30, 2005 YOU ARE INVITED TO SUBMITA BID ON THE ABOVE ITEM TO: - MICHHAEL J PFEIFER COUNTYJUDG$ JW AWOR CAWOUN COUN/Y BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGES OFFICE AT: BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES, REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS S AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR NATIONAL ORIGIN, SEX RELIGION AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF. INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,0001$100,0001$300,000). �. --_ SPECIFICATIONS: ITEM 300, ASPHALTS, OILS AND EMULSIONS: (RC250) MUST MEET ALL TXDOT SPECIFICATIONS D�ARIN®If DtiEIDT MN DEiTVENY Mff MAW PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 . 61 PRECINCT #3 OLIVIA AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 . 61 PRECINCT #4P PORT O'CONNOR-AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 - 61 PRECINCT #4S SEADRIFT AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 . 61 PRECINCT #2 SIX MILE AREA FOB DESTINATION BY TRUCK DELIVERED TO JOBSITE GALLON $1 - 61 BfLOf fflAF WNfIf 9JvlAVbu �� 12/16/04 n AUTRIM MURK AN IM l �� PA rT *r crr e PIMMtf CRISTINA PENA P[fASE118FMyMff=TOI8EAB0VE RT@B THNEWBIR-800-662-0987 *PRTCF BASED ON 5400 GALLONS TQATI ANYMPHINf T,VSA AAV Th DUE TO FREIGHT* PTTMP it HOSE t40 DF.MTTRRnGF _ $40/HR AFTFR INITIAL 2HRS. Wednesday, November 17, 2004 RM DAFSIAIHAMIMTCBRC <_ 2114 • 0 0 0 N y� FA N za Q y m on r z z oW i N w N o OLL o z Z z C40a <? �a 0b o o $Q o o coo o Q U o owjOO 0aQ o a�WNO jQ �. Z� Z(D'= . ZLLw< �� wi Qaxo gLpp p Z O� Ozcmaw Om0Q Zw ZOw•aa w C* �� 0 p7 m i �w2 Q> O_zUa cc op wo m a0 y�WaGOLU Z? ww wSa 7w7 p4WY w Np acQ90 wOzO Co Q WO mQN�WNg w5 W 1x m N KN Q�W-W 69=1 CA U dZ HUM �zN ixz ua6W s � W W C J $ a� a�-Wo aC'iw a� a�ZIx a 0� Ci. d Q z z o 0 o Z Z Z CL JO OJ O 0' (n Z (,9 Q z < JQ J �� Q O Q O U' 6 U' O W Z F Z f Z O p CV* co Cl N O w p p O N OZ �'. z I- Z FO Lll a w� Z �� z �"' o r w w w _ ww Qi u' ~mph FWy FW= > i~ w� Ir w>ww U OW 0QOWQ WO OWOWm mNm3m mNm �m m~qw Ci _J LLO�-p�LLp RO LLp/-O0 _U OW OWOOwQ WO OWOWmm `/ Z LLpi-O� LLOHp> 0 owo CID O N N N Z Z W U z Z z o W Q K KQ OqQ Q Q It LLa 0. fL N N N h f� Z m? Z Z LL U U U i— F- ] C w O U Z Z O LL/tI W 6 W W w Q W CI 1 0. d W O a a a' M w w �+ n 2 U N N F� W a ul 0 U z 0.F V U O� w0 = a z d F- O >> V) Q Z M Z 3mm G O.Coaw O 5J zQOowgF =w wNO �Q LLi CUra? V 0Go* QC7Z)?9Q ¢Qa m F 3m O 5 a 60 07 � H H 0 a 4)75 d a ¢ M w i § k § ■ d _ _ § § 2 B § ( § ) ) 2 7 #I 7 \> \ §(( 7-}o WW wo A[i3Oow8zo WD �d2&(�§ M ( §\#§0-(LXE § § § ' 6 ! e [ §.km b�Er k Ww !§20, M o) E§/)kI 9 B r § � 4 ■ \ � § § Z S\ / Co �) §§ $ \\ j§ ) \ / ) ( ) \ #2 o \§e!§ 0\o \� k®`§� k®<- Ef§`k®k}§§ ww §(\k§�d��k w Cl IM 15 m..§\�]`2<) (L §\¥�§\)I(# § ) § / coQ a ye Z /,§m kLU \ §m 702-O, m§( Mo, § ) WO }0<< § m! ƒi w Lu\ \\o \/ \ § \ pƒ moo« 41; § § a ,Qt 76 0 1-1 0 2d § ] �d \ 16 ) \ #! ). \�10 \)O o > . W;Mo °w®!, 2 6w a\§® ° �(!)m§alkk �#..�, | . § (3 9 M w 2 w ■ °rum }z}k �� § �\ � . < 7 ( ( . < ./§/ / K cl § 2 . E_ . )BP pr:R\ ) LU / c�,� OO2w§ O§Mziw W,WO I c . \ z§E § \§ \$ \% o�? . 0-k§§) ��]§§� . c) q . . �! )£ )2 \ W e J ILof LU e§ OM 2 e w< �§ )( ! § §I2 �: § e 02_ G$ j( ■ §( \ §§� . /a■# ci } $ k 9 2 1? CAUM COONi1f, TEXAS Bm ER- INVIiAiION TO mm ISfYB.AIm ASPHALT PRODUCTS Ile PO fox" J7WOp0m (�a�p �T�Xp�T0[,Lo111Wn IEyrmilk JANUARY1,2005 P fpnT& JUNE30,2005 MT [CA]IONIC RAPm fflN6l YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER. COUNTY JUDGE, 30 FLOOR CALHOUN COUNTY _ � (CATIONIC RAPID SERING) BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS'COURT MEETING ON: THURSDAY, DECEMBER 23, 2W4 AT I&OOAM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVESTHE RIGHT TO WAIVE TECHNICALITIES REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO B: THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUSTO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/52,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,0001$300,000). SPEC/FTCATTON . REM 300, TYPE CRS-2, EMULSIFIED ASPHALT (CATIONIC RAPID SETTING) MUST MEET ALL TXDOT SPECIFICATIONS OUT OF 300 O�ART6IENTDEmmm gamy AN7 0lpw PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0 .88 7 ##*- PRECINCT #3 OLIVIA AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0 .88 7 ### PRECINCT #4P PORT O'CONNOR AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0 .887 ### PRECINCT #48 SEADRIFT AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0 , 88 7 ### PRECINCT #2 SIX MILE AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $0 .887 ## #*# BASED ON 5000 GALLON MINIMUM DELIVERY ®QBK'1BBELOMPlEkDBYB®DfBI DAD:OFBR 12/)(p/04 AMMMSWAIN =HU pBWNW., ROBERT L.NOLAN, SALES MANAGER PI=U3TANY0Wt1O T0TlEABWNWUT S: ><f(!S'IpOlgMMUL 800-334-0177 Wednesday, November 17. 2004 MM O11 MASPBALTPBIDICom � ' 78 • 0 Deq .09 09 12%38p EAGLE HOUSTON 7136707879 CAiI�V I�UNIY. TEXAS 0®SDEEi- ASPDALTS. ODS AND 811OD.SIONS G I INVITATION TO BID EW ASPHALT PBODUCTg JM MI M PO BOX 51 CM PARK TX nw MD ([8YI MR 30Q TYPE MS-2, EMIRS U ARMA1 T IPATMLIP o.NDf mt.,..., BID ON THE ABOVE ITEM TO: L•.1A P.3 Faft JANUARY 1, 20T15 paMT k JUNE 30, 2W5 ----�........,c,necr 14 Z" - BIDSRECEIVED AFTFRTHE OPENING TIME WLL BE Rl1lURNED MEETING ON: THURSDAY, DECEMBER 24200l Ai 10b0AM IECHNICAU11Eg RFJCCT ANY OR ALL BIDS iO ACCEPT 7HE UNOPOJ(D TO BDDER. THE COMMiSSIONFJ7S'COURT RESERVES THE RIGHT TO WANE JL 'W DETEfdWNING WHICH &DS WICL BE MOST ADVAMAGEOIS TDp j WTNN OF CAII{OUN. COUNTY AND S TO BE THE SOLE EMI'LQYMENT OPPORTUNM EMPLOYER THE COUNTY DOES NOT glSCfbMyVgTE ON 1NE BASIS OF RACE COLOR NATIONAL AN EQUAL GIN, SEX, RELIGI�IV, AGE OR HANDICAPPED STATUS IN g'APLOYAgEM OR THE PROVISION OFSERVTCES THE SUCCESSFUL DIDDIER MUST PROVIDE CALHOUN COUNTY YIITN A CERTIFICATE OF INSURANCE (NApI1N0 CALNOUN COUNTY AS AN ADDITIONAL INSURED) FOR OENERpL LIADIUTy ACCONDANCE W1711 STATE LAIy) ANO AUTO II'1SURANCE �� (51�000�000/j2�000.0 0,000). WORKE113' COMPENSATION (IN I IS �000/S'100,0p0/j3p SPECI ITEM 300, TYPE CRS-2. EMULSIRED ASPHALT (CATIONIC RAPID SETTING) -- _ MUST MEET ALL TXDOT SPECIFICATIONS OUT OF 300 i GUM IMERY PRECINCT#i FAIRGROUNDSAREA FOB DESTINATION, TO BE DELIVERED TO JOSSITE PRECINPT #3 OUVIA AREA FOB DESTINATION, TO BE DELIVERED TO JOGALLON 1.13 BSITE PREC"r-T*4P PORTO'CONNORAREA FOBDESi GALLON $1.1_ 3 BJATION, TO BE DELIVERED TO JOBSfTE PRECIN#4S SEADRIFT AREA FOB DESTINATION, To BE DEGALLON $1.13 LIVERED TO JOBSTPE GAL-LON $1 ,1 3 PRECIN4;T #2 SIX MILE AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $1 .13 0FBi_12/13/04 aaw&A— YAMW PEEASE113E iy, November p, 2004 I MINImU#W o MM EMUASPHAUPBDDIRTE 279 CALHM CO NTY. TEXAS W SHFEF- 0�111111 irmrenox to BID RU STATES ASPHALT CO ZINC PO BOX 508 SUM HOOSTON TX 775V Itw of TYPE CRS-z EMUL m I ASPHALT (CAMMC RAPM SETTINCT JANUARY 1, 2005 F=T& JUNE 30, 2005 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: - MICHAELJ PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY !CATIONIC RAND SETTING) BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY. DECEMBER 23. 2004 AT 10-.W AM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS'COURT RESERVES THE RIGHT TO WANE TECHNICALITIES REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,000/$300,000). ----------------------------------------------- ITPECIFICA ITEM 300. TYPE CRS-2, EMULSIFIED ASPHALT (CATIONIC RAPID SETTING) MUST MEET ALL TXDOT SPECIFICATIONS OUT OF 3W DEPARTM ENr DEETMAM Domy BMf mffp 2'E • PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0.94 PRECINCT #3 OLIVIA AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0. 94 PRECINCT #4P PORT O'CONNOR AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0.94 PRECINCT #4S SEADRIFT AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0.9 4 PRECINCT #2 SIX MILE AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $ 0. 94 ®QBN'1BBf 60N/PlE7fBBYB®BEBI DATEDFB& 12/16/04 AQIDDR®URTMEAM PAVING WWIRAMDRISTTNA PFNA i hi' ?I iF • 1 i Iq : 1 1 1 7 1 •� //1 �� 31 0� •u u3 • 1 UE uP 9 HOSE t40 1 y 1 W ednes&y, November 17, 2004 SM MI'STATTSATIPBALTCB06 480 • 0 0 In— Mm+ coo MC 65a .� N cA W Cc Ga d d CM p v Z F� O CA IQ 2 a QZ o w W U' g IL Jv D z . O W a Z N CO WIx a N Up_ c W d LL a. Q y of _U w CD O Z H Mp 6 !zU a v 0 0 cJ w 2 1 W ry N N O 6 N N p O N o O m 0 p N O t 0 O O O a Z z o ao m z N o o gN WN�p�go _ jo U' wDNU p O z_Uazowo�xry O> pNDa Z(7 w'oggx zw z WQ y a00 a.�4� Ww WozY DIRM pa o�w� m 0ri�?amp wZaMw: a ��rc5 yaolaD -mom a2'a m�Q� u��EwZ �? wZw� m..60 v� �iw� RoOmw aJ3apaCL HOW of=a W L) F. MW �oZW 2w rc?ow _ g aJ_u.Da a� meow z z z z Q O Q O Z_ O Q JO OJ J Q Z o p Z FO O_ p Z OF O W co o Z f o Z o O Q w W Zw>~t~ H W I�uu w ~ W 0 a Q a a U o W �w O p rcW m mNm JmmymJm 1m OWOWwo O W Of D> OWOw0OWowo liOf O>Y.Of D>.ZO U momJm pwOwO m Jm OwOW to :1WM m WDF-D> LLQF-OooO ppw -a N O a z D z Z > a U x W W It O O F- a a a W p_' w (DQ c W 0 aa QQJ Y -J J LLa. a LL a cc LL Q Q p 8 N f X JS N m # U _ # H _ # F W FL N # N # F W (? W U w J Z Z U z U a a a W w w cc W n IL a a N N U ixto U z D O f J U W U j N o a a z LuoU D J a� Za aN ox _ 8 Ja wa c70 f e�i Ja. >_ �p N U' a Q<Z Q ufa �= `� �N M QK 3m n 8 5 O m x � o N M c 281 � < \ z < (c Ln � z w z e CL ee« \00. w�■ /ƒ§ 0 § C) now /�} ) § _ § ■ § § � \ \ \ kia/§ < ) 2 \20 @§G¥§( m2\ aI222�* 16�o 2nmI�§§ 6©®\ \ \j\/ W2�II\2 !2Kwa<■2 E§2| § § § / / o \ §\ m § \ IL _ § [ §MO ,§qa2§w e ;RM « ! / it/ ! $ ) \ a. \ \ § } ƒ \ ° \ § §SS \§ }[ ° ` § k§ k� d\ 0z !E e ) ) \ �§0xx \ \2`w°°° \)k w!§?§)6 ,221�§§ _ K§/ w an \\\\ e: \\ »IM n:; §¢2) ) ( 6 A / \ ; z �` �( [ p§rm>§© © [ E02,Ek §q0aaQJ g 2 ) }ok }\k }0< CL /k )# \ g t a 2 k( \[ ( d( \\y j) , 0S2 0 0 0 0 ) § § ■S : $, � @ s 2 s / m �§o\§ < \2Q®yme �§$@) - k°®%§:0> k$§k §(w{2<( 72§\ 6o,�W; ,mow $ ®<�- @ ae \ § ■§§!§�!! kk I ( ( ( \ (§K < - w 2 6 R 6§ §LL k M© lw)r ),n.w§ asa 000e,\ on-o! Q / ,m C'4 » ! \ / / ■ } § §$ wee //}§w® R 2 & ■ E; [2 §£ noa / / S) � R e §§ \\ j/ ! § 5! zz ' ■ G2 d?/.§) § § § �w §§§ &■� , . 2 k is k 2N2 | SALAIgAII BOUNTY, TEXAS BID SET- JASRKTS. OB.S AND EN DONS BDI INVITATION TO QEVRW ASPHALT PRODUCTS HC PO BOX" SHEPHERD TX Mn M TYPE MS-V. FIVNLSIFIED YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: JANUARY 1, 2005 PERAIDTO: JUNE 30, 2005 MICHAEL J PFEIFER, COUNTY JUDGE, 3RD FLOOR CALHOUN COUNTY BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 23, 2004 AT I0:00 AM BIDS RECENED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RGHT TO WANE TECHNICALITIES REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TD(AS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE COLOR NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISON OF SERVICES. THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000)S2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000IS100,0001$300,000). • _ _ _ _ _ SPEC/FlCA7TONS: ITEM 300, TYPE C(SS•2P, EMULSIFIED ASPHALT (CATIONIC RAPID SETTING) MUST MEET ALL TXDOT SPECIFICATIONS OUT OF 300 OfPANTABNNi DEETDIATIDN D[iIVEBY OATI OA7IP/P2f PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION, TO BE DELIVERED TO "SITE GALLON $1 . 12 7 # PRECINCT #3. OLIVIA AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $1 , 127 ## PRECINCT #4P PORT O'CONNOR AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $1 . 12 7 ### PRECINCT #4S SEADRIFT AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $1 . 12 7 *** PRECINCT #2 SIX MILE AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $1 . 12 7 ### *** BASED ON 5000 GALLON MINIMUM DELIVERY 12/Ile /04 MMff QHI =NATDAE ADD =E _U PRNTNAA- ROBERT L.NOLAN PITHS WTANYE1DWTpNSTBTBEABOVE8PEY>0TONS: Wednesday, November 17, 2004 l;il I; MI OI1 ;;IIJ/I A MOM OfURMADWIPRIMIMM 204 0 • • ➢e 09 04 112::399Py�ppNE�AGLE HOUSTON �p ��p■� 7136707879 """"' �. �LAIIW 1111! � IID, utllD fUW a INVITATION TO 810 EAGLE ASPHALT PHHDUGTS d�IH NAIBPIIY PHNX51 CALN PAN[ TX 11647 BID IiHYIL��P.=SffM PHALT (CAT�U RAP YOU WV"'u TO SUBMIT A BID ON THEABOVEITEM TO: WILL BE PUBLICLY p.4 Ff =FFk JANUARY 1. 2005 MMI& JUNE 30. 2005 "CHAEL J PFEIFER COUMYJUD(sF JRD COtI we 9l/ a ellJ p nrrw..w.�-�ALfI01JN COUNTY --'--'.....u.c✓r K AWARD AT THE COMMS9p,�ERS, fMEETWGON: 73#IRSDAY, -__ BfDSf�CEIVED AFTER THE OPENING TIME WILL fiE RETURNED UNOPENED TO BIDDER. THE COMMtSgONB7S'C 22004A►TQ00AM ENT TECHNICAURES REJECT ANY OR ALL BIDS, TO ACRE U 7HE BID DEEMED MOST ADVAMAGEOUS TO CAIHOUN COUNTY AD p 7SOpLEA M W DETERMINING WHICH BIpS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CAUipUN, TEXAS S AN E6U41 LIGI OPPORIUNf1Y ' STA TME COUNTY DOES NO7 OF RACE. Cq,Olt NATIONAL AN EQU SE)(. ON. AGE OR HANgCAPPEp STATUS W EMPLOYMEM OR THE THE SUCCESSFUL SIDDER AAUST PROVIDE CAI.HOUN COUNTY WITH A CERTIFICATE OF INSURANCE COUNTY AS AN MOITIONILL INSURED) FOR GENERAL LOUR ACCORDANCE WITH STATE LRY (51,OpO.000/52,000,000 (NAMING CALHOUN LAW) AND AUTO WSURANCE (y100,0001$100,000/$300,000). WORKERS• COMPENSATION (IN SPECL>:'K' 7IOIr,S- ITEM 300, TYPE ORS-2P. EMULSIFIED _ ASPFULLT (CATIONIC RAP1D SETTING) •— t MUST MEET ALL TXDOT SPECIFICATIONS OUT OFsHmy 300 UFSFIAAFION PRECINbT #1 FAIRGROUNDS AREA FOB DESTNATON TOMAW mr-Amw PAECINCT#3 OLIVIAAREA PRECINCT#4p PORT O'CONNOR AREA PRECIN #AREA4S SEADRIFT A PRECINT #2 SO( MILE AREA EI9Y IMAIID Wed'-4 y, November 17, 2004 BE DELIVERED TO JOBSRE FOB DESTINATION, TO BE DELIVERED TO JO8SITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSTTE FOB DESTINATION, TO BE DELIVERED TO JOBSITE "MMOMMIROYMM GALLON GALLON $1.38 GALLON $1.3 GALLON $1.3 GALLON $1.3 361/ 289-1707 WO EAlU PBALTPB=M 285 CALHOUB-CM, TEXAS W SIM- ennianoN To WDER GULF STATES ASPHALT CO INC PO BOX 508 SOUTH H�ODUSTON MnTnX�p7755V • M � EW � TYPE PE YI IR LIf1UWIfM K= fRW JANUARY 1, 2005 PBU T& JUNE 30, 2005 ASPHALT [CATIm 6APm u m i I YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MIC14AEL J PFEIFER COUNTY JUDGE, 3RD FLOOR.CAUIOUN COUNTY BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS'COURT MEETING ON: iHURSDAY, DECEMBER 23, 2000 AT 10:00 AM BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER, THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WANE TECHNICALITIES, REJECT ANY OR ALL BIDS TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR NATIONAL ORIGIN, SEX RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES, THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH ACERTIFICATE OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,0001$2,000,000), WORKERS' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,0001$300,000). _______ SPECWCATIONS: ITEM 300, TYPE CRS-2P, EMULSIFIED ASPHALT (CATIONIC RAPID SETTING) MUST MEET ALL TXDOT SPECIFICATIONS OUT OF 300 BT�ARITAIXT DESTINATION OHIYERY W171 OT�fYBI . PRECINCT #1 FAIRGROUNDS AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE GALLON $1 , 0 8 PRECINCT #3 OLIVIA AREA PRECINCT #4P PORT O'CONNOR AREA PRECINCT #4S SEADRIFT AREA PRECINCT#2 SIX MILE AREA FOB DESTINATION, TO BE DELIVERED TO JOBSITE .FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE FOB DESTINATION, TO BE DELIVERED TO JOBSITE fKwff)0Bf60MPlf7IDBYB®09U BATEOFBRI 1 0 AUIlII®86NAIUREANDi11lE PAVING SALT PRMNAWtRTCTTNL tzuA PI= WT ANY EACB'= TO TBE ABOVE SPHiiGAMK- Wednesday, November 17, 2004 GALLON $1.08 GALLON $1,08 GALLON $1.08 GALLON $1.08 800-662-0987 MOM CUT STATES ASPORLTCO1C 086 • 71111 yUnclashu, K4 newl•X _ .r 7 e_ T. • A Motion was made by Judge Pfeifer and seconded by Commissioner Balajka to Approve Change Order No. 3 for the Calhoun County Jail. Commissioner. Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. CeMY OPY -AIA Document G701T" - 2001 Change Order PROJECT(Name and address): CHANGE ORDER NUMBER: 003 OWNER:® New County Jail DATE: December 07, 2004 Calhoun County ARCHITECT: 24627 State Highway 172 Port Lavaca, Texas 77979 CONTRACTOR: TO CONTRACTOR(Name and address): ARCHITECT'S PROJECT NUMBER: 03-24P/0305W FIELD:❑ Don Krueger Construction Co. P.O. Box 3613 CONTRACT DATE: March 25, 2004 SPAWMAXWELL: 205 Profit Drive CONTRACT FOR: General Construction Victoria, Texas 77901 THE CONTRACT IS CHANGED AS FOLLOWS: (Include, where applicable, any undisputed amounr attributable to previously executed Construction Change Directives) See attached Proposal Request Number 001,Proposal Request Number 002, Proposal Request Number 003, and Proposal Request Number 004. The original Contract Sum was .00 ,000 $ 6,934 The net change by previously authorized Change Orders $ 34 The Contract Sum prior to this Change Order was - 99,.00 S 7,0000,679.00 The Contract Sum will be increased by this Change Order in the amount of $ 29,565.00 The new Contract Sum including this Change Order will be $ 7,063,244.00 The Contract Time will be increased by Forty Four (44 ) days. The date of Substantial Completion as of the date of this Change Order therefore is September 16, 2005 NOTE: This Change Order does not include changes in the Contract Sum, Contract Time of Guaranteed Maximum Price which have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the (Tuner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. . NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. P'l Won Hooker PL.LC Don Kni er Construction Co Calhoun Counry ARCHITECT (Firm name) CONTRACTOR (Firm name) OWNER (Firm name) 213 S. Lamar Blvd., Suite 300, Austin, Texas 78704 P.O. Box 3613 _ e, Victoria, 24627 State Highway 172, PortLavaca, S Tex 779 Texas 77979 ADDR ADDRESS (� �' a �!.•w- B (Si re) (Sigma re) - e BY (Sigwture) R. Koch, AIA Lester Colley Michael Balaika (TYPed name) �- Pr 72004 (7)ped name) /2.2z•o4 (Typed name) 12-�3-0q DATE _etRTr� A DATE DATE AIA Document Q701 nr — 2001. Copyright 0 1978 and 2001 by TM Amerir4 Document la Protected by U.S. Copyright Lew and International Trawlaa. POdlon of it, may ties, and will Wu produced by ALA ssolhwent at 1523:10 on 14/07/2004 unIn levels civil an cminal dder Order No.1 0 User Not": „..a ww. u. ngnts reawrc WARNING: This AIA' rod nproducti.n or distribution of this AUk Document, or any t to the maximum extent Possible under the law. This document which exPlree on 10112/2005, and Is not for resale. (41965B7360) 1 __ 287 TT Document G709` - 2001 Work Changes Proposal Request PROJECT (Name and address): New County Jail Calhoun County 24627 Slate Highway 172 Port Lavaca, Texas 77979 OWNER (Name and address): Calhoun County 24627 State Highway 172 Pon Lavaca, Texas 77979 FROM ARCHITECT (Name and address): Pf)uger Wigimon Hooker, PLLC 213 S. Lamar Blvd., Suite 300 Austin. Texas 78704 TO CONTRACTOR (Name and address): Don Krueger Construction Co. P.O. Box 3613 205 Profit Drive Victoria, Texas 77901 OWNER X ARCHITECT X CONSULTANT CONTRACTOR X FIELD MARK CRIPPEN, SPAWMAXWELL X PROPOSAL REQUEST NUMBER: 001 DATE OF ISSUANCE: August 25, 2004 CONTRACT FOR: General Construction CONTRACT DATE: March 25, 2004 ARCHITECT'S PROJECT NUMBER: 03-24P / 0305W Please submit an itemized proposal for changes in the Contract Sum and Contract Time for proposed modifications to the Contract Documents described herein. Within Ten ( 10 J days, the Contractor must submit this proposal or notify the Architect, in writing, of the date on which proposal submission is anticipated. THIS IS NOT A CHANGE ORDER, A CONSTRUCTION CHANGE DIRECTIVE OR A DIRECTION TO PROCEED WITH THE WORK DESCRIBED IN THE PROPOSED MODIFICATIONS. DESCRIPTION (Insert a written description of the Work): Provide and install 4" water meter and concrete vault. Location determined by Architect. AIA Document G709^' —20p1. copyright ® 1993 and 2001 by The American Institute of Architects. All rights reserved. WARNINGThis AIA' Document is protected by U.S. Copyright Law and Intemillionel T..0 . Uneuihodaed reproduction or distribution of this AIA' Document, or any Portion OI It, may result In severe civil am criminal penelll. , and will Its prosecuted to the maximum extent possible under the law. ThiS document was produced by AIA software at 15:47A8 on 08/25/2004 under Order No. 1000102399 I which expires on 3/12005, and is not for resale. User Notes: - (659294950) 288 is • ATTACHMENTS (List attached documents that support description): DWG. NO. DMC-I Product Information Sheet on Commercial/Industrial Water Meters REQUESTED BY THE ARCHITECT: / • fS1�re) • James R. Koch, AIA, Construction Administrator (Printed name and tide) AIA Document G7091- 2001. Copyright m 1993 and 2001 by The American institute of Architects. All rights reserved. WARNING: This AIA' Document is protected by U.S. Copyright Law and In ternalional Treaties. Unawhorited reprodugion or dislobullon of this A10 Document, or any po, ion of d, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document v as produced by AIA sothvare at 15.47:48 on 08/25/2004 under Order No. 1000102399_ I which expires on 3/112005. and is not for resale. User Notes: (6592949W) KRUCUM CONSTRUCTION CO. August 30, 2004 Jim Koch Pfluger Wiginton Hooker, PLLC 213 S. Lamar Blvd Austin, Texas 78704 Re: New Calhoun County Jail Port Lavaca, Texas Dear Jim: P. 0, BOX 3013 VICTORIA, TEXAS 77903 36F5)3 5291 FAX 373-0192 Pfluger Job No.: 03-24PI0305W In response to Proposal Request No. 001 on this project, we request a change order in the amount of Fifteen Thousand Two Hundred Seventy Five Dollars to provide the requested water meter and vault. A breakdown of this proposal is as follows: Edwards Plumbing +$14,450 DKCC additional bond and B/R insurance +$100 DKCC 5% OH&P +$725 Total +$15,275 As we discussed at previous jobsite meetings, we are proceeding with these changes. If you should need any additional information, please contact me at this office. Sincerely, DON KRUEGE ONSTRUCTION CO. Lester Colley Cc: job File Enclosure ( ) pages sent via fax to (512) 476-4289 Hardcopy to follow 290 is • T6IOUY • Al)-4 2n/2n Id Al2-1 )AA42A91AA A833417N3M7-4108d Wdb£:20 40-AI-1n0 , �rn�nsttl EDWARDS PLUMBING, INC. P. O. Box 7244 3708-A E. Rio Grande VICTORIA, TEXAS 77905 (361)575•4717 M0,P03AL SUBMITTED TO FrIOtlE DATE IQtUEGER CONSTRUCTION 7-7-04 NEW COUNTY JAIL PORT LAVACA. IXJOB 91' 11MI208P hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: Veyment to be made as follows: dollars (b 14,450.00 Aa nM.nM Is saaranteee to be as speVOIN4 AN .0n, to be cwnplMod In a won,nanBM Authorized ... eeeonu.11 to aft"'m p..esees, Any ahwle., .r dMatien Iron aeow spaeiate tio.e mrpwins wtn eests will s. es.cwM only open w61K*n aoeo, end "I IMmn...n Signature .A..14M. over and spew tha.mnaM. AN ellmstoAR mnunaens upon Mrllw , .ec)ee,ds or delays bgwM No, eomn owner to mny an, ter."..rN other nemv Avy Inwrenc.. Not.: This proposal may be Our -Wean an Wily uae by wonnsn'. C.np.nudon Insurenea, withdrawn by us it not ecrepl d within days. P Arreplantr of 11raposal —Th. ebom prices. specifications and conditions are satisfactory and are hereby accepted. You am authorized Signature to do the work as spe l ied. payment will be made ..outlined above. Date al Acceptanq: Signature 07/07/2004 WED 13:54 [T%/RX NO 96 092 • LAW ENFORCEMENT FACILITY CALHOUN COUNTY PORT LAVACA, TEXAS VOLUME ONE CIVIL ARCHITECTURAL KITCHEN EQUIPMENT STRUCTURAL JANUARY 9; 2004 loo ul4vl- ' klAq L?/ L l evl l3 L A l i +f3 PFLUGER WIGINTON HOOKER I)I ARCHITECTS / PLANNING CONS U LTANTS 0 293 ';rFFLrp; CpnpixPt c25 3515'85^ p;`52499' :2 CA48r;idi COMPOUND TiRs Cinvenvs MettdAl systems lmattaam commwaka," &'Dwoc4 ftilm a ".FAPPUZOICH: haY alYl ma'aaw! ibfr • e.V � d l waK q •r rd• w ti eab �Yw nnow..a tiw vby aae ft ��yy 1Ia�0yLa b tla VMy �LL gaVSYboa are so~ OYaL 4aifr �b0611'�a, aTtri M! MWOr IIYM1fRbrlrp � ? a1A1mA71Dal aoYa rAmP0.oa Won APGWAM ama Farr a ar r psft�w woad w lmn� mwiowo.rrw acwfmol . Tb orm o"o"d 6%w lor "ay aao taA'ae bTipi a "is biv a hwk" ;qa ta0 " pouuKs dw.p4 ha Yab+7M oaaaw d-L* w, as pprapb. WpA 4awa mhmcR •t lrlao dbbri Ir.w >.•.ry fhY.Brs or s1mI0A1a W a a:O'p Whg ap wrv� T1r �aawn..u,y r ar tm m an msdvre and laevaad "maw. w. CDOtaMTM A mokf*. aoand Y pM1+:ant DwUnl h � twm aN arw" a1Moa b aah d "&, h WE moodtt 7ha W "MMIarnaa.ntl br knaWana main► aq�y� vuu�ra d•anpary q bml/d M ae d0."Y� mwo to aa7 .aa., '294 E • 0 • • 1•.b;��iaw�:c6yFF0'1t«LCCN.�Y.,... �:.`:.;'�;:" .,.� ,.�1�'�L... ::..., E tu:l♦ iK 3515765281 'G; 5124M P.3 Sul Y W CM•971 ,P3 SINOLE R <loo r m) PE NION• Sizv 4' (DN IOOmm)RMNMANCE COMPOUND MlfER Buz AMPley CVM ... _.._..�,. „,nucnpnu PkIIs� ssa CNF6�3 tales! AMON Rpd)n IiVlolon. B PN�tsnu-for w$ wrtn iU mMW,r ,/n �wam.tM,la.inMrp+b� w u f ir' uNu '�a'�+zt4rM04iAW1W 495 ?tnmereial / Industrial Water Meters Page I of I CA�qlv eoulrr G seS MESYSTEMS TERING Commercial/Industrial Water Meters SRH Compound Meters 2" (DN 50) through 8" (DN 200) sizes These single billing register dual measuring chamber meters provide excellent measuring accuracy registration over a wide range of flows - from very low to high. The single register reduces the chance of reading and billing errors. Available with your choice of standard visual read and encoder ECR registers. North America Water 1:111— Ne, �Sj — Re" Data Sheets 2" SRH ffil 3" SRH 4" 5RH M 6" SRH RH Technical Papers 6" ComDounJ Turbine Chamber Installatio Meter Specifications Installation Recommendations Practical SolLitions for M a ur m at Problem Compound Meter Ouick Reference Guide Qyoiication Guide trainer Parts Lists Sizes 2" - 3" Sizes 4" - 6- Strainer Meter Maintenance Program � PiT ® Copyright 2004 Sensus North American Water. All rights reserved. Legal inform Con an'//vn�nv con cnc nnm /nrn.innf M.. 1 nr.f.„1 496 • • • • CMPD-STD 1.11 SPECIFICATIONSCompound Meters Piston Type with Direct Read Registers aarorva MMCN I MtcASURING CHAMBER The measuring chamber shall be a sen-contained unit inducing a strainer, which can be firmly seated and removed as a unit. No part of this chamber shall be cast as part of ,'he maincase. The measuring chamber shall be of me oscillating piston type and shall be composed Of Water Works bronze or a suitable synthetic polymer. The piston, Pis- ton roller, and division plate shall be of rubber oomposiaon or an aPProverl synthetic polymer as well. An other components of the measuring chamber shall be of comosion-resistant materials such as stainless steel. TURBINE MEASURING CHAMBER The turbine measuring chamber shall be Water Works bronze or suit- able synthetic Polymer construction and shall be secured by two stain- less steel bolls. The turbine chamber shall be positioned so that water must essentially travel In a straight line path from the meter Inlet to the meter outlet during high flow operation. An adjustable tungsten carbide bearing shall be utilized to take up the turbine shaft end -play tolerance, The turbine shall be made of Polypropylene, mounted on a replaceable #316 stainless steel shaft and rotate on roller bearings. The entire pro- peller assembly weight, while in operation, shall effectively be offset by magnetic suspension so that the rotating turbine components are essentially weightless in water. AUTOMATIC VALVE The automatic valve shall be of the weighted, link -mounted, swi type. All moving shafts and linkage shall contain hard rubber bng swings and sleeves. The valve and linkage shall be Water Works bronze; all shafts shall be #316 stainless steel. The valve shall be so positioned in the meter that water passing through it Win follow a straight true path in Passing from inlet to outlet. The valve will open at a pressure differen- tial of two and one -ham (2-1/2) pounds per square inch (psi) of lass. To gain access to the valve, only the upper portion of the meters main - case need to be removed. Neither the oscillating piston or the turbine chamber need to be disturbed. VALVE SEAT The valve seat assembly shall consist of a trapezoidal shaped rubber gasket, retained by a bronze or synthetic Polymer seat. The valve seat assembly shall be secured by #316 stainless steel screws that are accessible from the maincase opening 30 as to facilitate easy access for inspection and ease of maintenance. REGISTRATION The registration shall accurately be recorded through the normal test ROW limits at not less than 98.5 Percent nor more than 101.5 percent of actual throughput. At crossover, 95 percent. that point when measurement trans- fers from one measuring chamber to the other, accuracy must exceed Invemys Melning syellm! P.O. B, 07 45oX.Gallatin ue rtw,A1540mensys Ton -METEq-n 1-IOOb343741 Metering Systems FAA JOeeal to Fodoryl Los*: (724) 431n29 Tull F1ee:7-100.888.2/0] W4B gls:w North .fi.n W,,,, ebq NarN Ameds*o Water Email: Molnlo0lm;Imenryl.com Accuracy at minimum test flow shall be at least 95 percent at the rate Of flow specified in the following fade: she Normal Tell Flow Limit; -GPM Minimum Test Flow -GPM T 2-160 V4 4320 U2 4' 6500 yd 6' 1D-1000 1-1,2 PRESSURE TEST Meters shall be guaranteed to operate successfully at a working pres- sure of 150 pounds per square inch, without leakage or damage to any component GUARANTEE AND MAINTENANCE PROGRAM Meters shall be guaranteed against defects in material and workman- ship for 9 period of one year from the date of shipment. The meter manufacturer Shan also submit, a" With the price quotation, a price schedule of its factory maintenance program offering. This mainte- nance price schedule shall be printed on a brochure which $ball be naflonany advertised and shall include offerings for both the complete meter on an exchange basis and pre -packaged component repair kits. Individual meter Parts shall also be made available for purchase as is necessary, INTENT Subject specifications are designed to create guidelines for selecting an extremely critical metering device. Ease of Installation, operational features, readability and maintenance are of prime concern. A design Which best reflects longevity, of operation of all elements and a high agree of sustained accuracy through the entire range of the meter is to be considered mandatory. RECOMMENDATION Invensys Metering Systems SR8 Compound Water Meter AUTHORIZED INVENSYS DISTRIBUTOR 297 SPECIFICATIONS CMPD-STD 1012 Compound Meters For SRH Compound Meter — Piston Type with Direct Read Registers 2" Through 6" Sizes SCOPE The meters must conform to American Water Works Standard C-702 as most recently revised, except as modified herein. TYPE Meters shall be of the single register compound type which totalize the output from Mro (2) interacting measuring chambers. One chamber shall be of the turbine type for measuring high flows; the other a dis- placement chamber of the oscillating piston type for measuring low flows. An automatic valve mechanism shall direct the flows through the Chambers so as to have them function within their normal designed limits. All flows shall first pass through the turbine chamber prior to passing through the oscillating piston measuring chamber so as to ensure ComInUOUS registration during low, flow to high flow measurement. SIZE The size of the meter shall be determined by the nominal size of the opening of the inlet and outlet flanges of the meter. LENGTH The maximum overall length of the unN shall be the face-to-face dimen. sions as listed below: She of Meter lerylh 2 15 q' 3' 4' 29 E 24' CASES Maincases shall be constructed of Water Works bronze, and in no instance shall repaired casings be acceptable. The maincase shall be so constructed as to contain both the turbine and oscillating piston measuring chambers as separate units. Both measuring chambers must be accessible by removal of a single upper shell assembly. The oscillating piston measuring chamber operation shall not be inhibited by the operation of an external valve. Access to both measuring cham- bers shall be obtainable without disturbing the maincase as set in the pipeline. All sizes of meters shall include Ranged ends. The maincases shall be fitted with drain plugs for ease of removing water or other debris from the bottom of the maincase. A test port of adequate size must be accessible from the top so as to allow testing in Pit settings and confined areas. The port outlet shall be threaded and Shall be plugged with a bronze plug. The size, type and direction of flow through the meter shall be cast in raised characters on The maincase, STRAINERS External body strainers may be specified as part of the meter assem- bly package. When specified, the strainer body shall be constructed of Water Works bronze similar to that of the compound meter body. The strainer body shall contain a cover plate which is removable for inspec- tion and debris removal, The strainer screen shall be externally acces- sible and easily removable without disturbing the pipeline setting of the meter assembly package. EXTERNAL FASTENERS All external fasteners on the meter shall be of stainless steel or non- ferrous material. CONNECTIONS Flanges on 2' size meters shall be oval faced and drilled on the hori- zontal axis with a bolt circle diameter of 4-1/2'. Thickness shall be as required for Class 150 bronze round flanges. Flanges for Y, 4" and 6' size meters shall be of the Class 150 bronze round type, flat faced and shall conform to ANSI B16.24 for specified diameter. Companion flanges, if required with the meters, shall consist of one (1) standard cast iron flange, tapped with American Standard internal taper pipe threads, of the same nominal size as the meter, and one Ranged coupling adaptor. The type and outside diameter of connecting pipe shall be provided for appropriate gasket sizing. Ali butts, nuts and gaskets shall be provided for connection to the meter assembly. DIRECT READ REGISTER The meters shall contain one billing register which tolalizes the regis- tration from both the turbine and oscillating piston measuring cham- bers. A coordinator assembly shall be utilized to transfer motion from both measuring chambers to the billing register. The register is to be of the straight reading type, permanently and hermetically sealed against moisture, dirt or other foreign material. It shall utilize a six -wheel odor, eler and full sweep center located lest hand. The outer edge of the dial face shall be divided into (100) equally spaced markings. A second non-Dilling register, located on the coordinator assembly, shall totalize the registration of the oscillating piston measuring cham- ber only. It shalt be of the straight reading type with a six -wheel odom- eler and test dial indicator. This register assembly may be utilized for accuracy testing and determining proper meter sizing after being Placed in service. REGISTER BOX The register box shall be made of the same material as the maincase. The name of the manufacturer and meter serial number shall be clearly idanlifiable and located on the register box lid. The register box which encloses the register shall be mounted so as to be oriented for reading in any position. REGISTER BOX SEALING The register box shalt be sealed to the meter m such a manner that unauthorized removal is apparent. Construction shall be such that the seal screws are recessed and their removal is prohibited by property affixing seal wire through appropriate holes provided in the register box casting body. INTERMEDIATE GEAR TRAINS The intermediate gear trains, including all coordinator parts, shall be located in an oil filled, "O"-ring gasketed cavity which is completely separated from pipeline or surface water, The input into the coordinator and intermediate gear trains from the measuring chamber shall be through two sets of permanent ceramic magnets. The output from the coordinator and intermediate gear trains to the billing register shall be magnetically coupled with a set of face type ceramic magnets. The intermediate gear trains and coordinator, along with the odometer for the displacement chamber shall be assembled into a single unit which is housed in the intermediate cavity area. Change gears for both measuring chambers shall be located on top of the coordinator assembly. There shall be no need to disassemble or remove the coordinator assembly when replacing the change gears in order to adjust accuracy, 0S8 i is • • • V ..i_J VI'1—tlG—tl •�wL�1( YII `�V 11 VI' YVKI LMV NI.N" Jlt .7J(�M01( 1 ��.-'w .�tllt..9 1.',,:.f? ��7?S�ilCGiJt rykRY�l 7613+65�21 '0� 552�18x .y Y l i Y 1 1. ��c l•� �1:�rro� v I [ I �33 "r 3 Ir. p1-j rl y i -re ' Qim • 'wan Nxt ._ `._n "' K rWfJ �• CK'• P >. v-Y I-�� r'-e' r,We 7 Pe' P-V •'.c E0t0 1 � Lmlq r Wq r •• n•-o' r-p• r•-d• 'LCen ' Sp■Unc■tton■ - m¢ CChCRi R . S,e.e n00 Yc11 e•cM1 wilA he' n eve glni k ••,LwCRe a, due anonn..�i r n %II• Wlullenet r10H le yV'-ne OgRNvri RtViGCldftl'- ISN a0 n'el e0d rotrn. N ogIIG .gW�tserr/wle� to stt., tjY• II,d tYle-nlr�Ll W t. swows {jog iY , la txSii::°y: de.a tnOpMprinp Data ' '"' '"•:�, 'R.na ed■ a wets t6nN 11) tIr i'J �Mr% fide iL j'M; f rerlt t n)Cryw(� +rry`. /YR wleK ae flit, •Ivnl n w n1 vIR•rn1 ex rw e. -ten a te. rerernyng. If thtan. 14' iA tl P. 1 1/I' "CX C11Et(ER RAIL 17"1 .1, COM WTI" }e'e3T 41N6m YFNWP W=1fLE WON SNp-Wt' (MIWI) L &W An/ soe7sae.eo�x IN�OM �wwne.4l�.ean .t CAIC- J '499 C - t- , t�_•1 L..�:_....,�-.vI4".".-1 ramy F=I ODEL SITE Li M1 H1 xEltifT MCS 3' 2' W-C' S-6' 4•-0' 2,700 MC4 [Dan, 4' 2' d'-e' 4'-e' 4'-0' 9,000 MC6 a" 3' d'-4!-4-4'- -e" 0' 00 9.0uce e' 4' W-0' 11'-0' 4'-6' 1B4O00 pO IC 6- 1P^0' IY-0" 4'-6' 16,000 • I I 1„ Br -PASS -� ITi TiIC 7� t ��r EY,� �C�LADO7ry/�� iY. 17 spacificaUons CONCRETE : Clas¢ 1 concrwtw with d.119n wtrwngth of IWO PSI at 28 dada. Unit Is of monolithic construction at floor and first stage of wall with &xUond riser to required depth, REINFORCEMENT. Grade 60 reinforoed. St" rebor oonfominq to AS A615 on required centers or equof, STEEL COVER: 1/4' steel skid -resistant floor plate welded 0 3' angle frame with (2.) 3x3 angle supports (300 PSF} En>ginoerbtg Data Fleld ¢xoovation and preporotion shall be completed prior to deI'Aery of o¢swmbfy. Use dirnclal0nal doto os shown. Pipe. wives and Wines of the assernbly We opprovod by one or moo of the lbifowinp a¢¢eciationa Al ® N ` mfflw_Y M 1/4' T10CK CHECKER PLATE FRAME AND COVER MAIN 24'x32' HINGED t1ANWAY PRIME= AND PAINTED WTN (1) COAT OF INDUSTRIAL BLACK ENA40EL PAINT. F1rgNEl7t ; CRpER f : DATE SPARK, NONE 5/96 7a 713 $31-70M FAX 3 837- 5< MAT$ (WO) 75e••0041 tho Boat" IESTIC COMPOW R ASSEMBLY REV. DMC-t 300 • • J Re-t AIA Document G709TO — 2001 Work Changes Proposal Request PROJECT (Name and address): New County Jail Calhoun County 24627 State Highway 172 Port Lavaca, Texas 77979 OWNER (Name and address): Calhoun County 24627 State Highway 172 Port Lavaca, Texas 77979 FROM ARCHITECT (Name and address): Pfluger Wiginion Hooker, PLLC 213 S. Lamar Blvd., Suite 300 Austin,Texas 78704 TO CONTRACTOR (Name and address): Don Krueger Construction Co. P.O. Box 3613 205 Profit Drive Victoria, Texas 77901 OWNER X ARCHITECT X CONSULTANT CONTRACTOR X FIELD MARK CRIPPEN, SPAWMAXWELL X PROPOSAL REQUEST NUMBER: 002 DATE OF ISSUANCE: August 25, 2004 CONTRACT FOR: General Construction CONTRACT DATE: March 25, 2004 ARCHITECT'S PROJECT NUMBER: 03-24P / 0305 W Please submit an itemized proposal for changes in the Contract Sum and Contract Time for Proposed modifications to the Contract Documents described herein. Within Ten ( 10) days, the Contractor must submit this proposal or notify the Architect, in writing, of (he dale on which proposal submission is anticipated. - THIS IS NOT A CHANGE ORDER, A CONSTRUCTION CHANGE DIRECTIVE OR A DIRECTION TO PROCEED WITH THE WORK DESCRIBED IN THE PROPOSED MODIFICATIONS. DESCRIPTION (Insert a written description ofthe WorA); Provide and install fiberglass manhole for g" sanitary connection. Location as directed by the City of pen Lavaca. AIA Document G709ni — 2001. Copyright O 1993 and 2001 by The American Instilwe of Architects. All rights reserved. WA FINING: This AIAe Document is protected by U.S. Copyright Law and Internalional Trestles. Unauthorised mprotludion or distribution or this AIA' Documenl, or any portion of it, may result In saver. civil and criminal penalties, and will be proseculed to the madmum extent possible under the law. This document was produced by AM software at I T17:39 on 08/25/2004 under Order No. 1000102399_ 1 which expres on 3/l/2005, and is not for resale. User Notes: (1081422584) 301 ATTACHMENTS (List anached documents that suppurt description): Fiberglass Manhole Detail Fiberglass Manhole Specifications RE¢H£STED BY THE ARCHITEC/T: /J/ ( goon re) James R. Koch, AIA. Construction Administrator (Printed name and 1i11e) is • AIA Document 41709n -2001. Copyright ® 1993 and 2001 by The American Inclttute of Architects. All rights reserved. WARNING This AIA" Document is protected by U.S. Copyright Law and Internal lone) Treaties. Unauthorized reproduction or disiribubon of Ihis AI A Document, or any portion of it, may 1a1111 In severe dVll and eriminal pena,u. , and will be prosecuted Id the maximum extent possible under the law. This dotumenl was produced by AM software at 17:17:39 on 0825/2004 under Order No. 1000102399 1 which expires on 3/t/2005. and is not for resale. User Notes: - )1081422584) 40 302 CRUCOCR CONSTRUCTION CO. November 3, 2004 • Jim Koch Pfluger Wiginton Hooker, PLLC 213 S. Lamar Blvd Austin, Texas 78704 • Re: New Calhoun County Jail Port Lavaca, Texas Dear Jim: P. 0, BOX 1613 VICTORIA, TEXAS 77903 36F613 6291 FAX $73-0162 Pfluger Job No.: 03-24P/0305W In response to Proposal Request No. 2 on this project, the cost to add the fiberglass manhole will be Five Thousand Six Hundred Fifteen Dollars (+$5,615). A breakdown of this proposal is as follows: Edwards Plumbing: +$5,309 DKCC Bond & Builders Risk Insurance: +$40 DKCC 5% Overhead and Profit: +$266 Total: +$5,615 Please advise our office in writing if we are to proceed with this additional work. If you should need any additional information, please contact me at this office. Sincerely, DON CO STRUCTION CO. ester Colley Cc: job File Enclosure (2) pages sent via fax to (5) 2) 4764289 Hardcopy to follow 303 28 3615754783 EDWARDS PLUMBING INC PAGE H2 PPVOPOSAL EDWARDS PLUMBING INC. PO Box 7244 Victoria, Tx 77903 • 3708-A E. Rio Grande (361) 575-4717 led 1¢ Phan: Date DON KRUEGER CONSTRUCTION OCTOBER 26,2004 Address: Att:LESTER City, state, 23p We hereby submit Specifications arrd estimates nor-_ Job Name CALHOUN COUNTY JAIL PORTLAVACA,TEXAS ALL MATERIAL AND LOBOR TO INSTALL SANITARY SEWER MANHOLE ON CITY SEWER LINE. MATERIAL____�_�_----------------------------------$2,574.OD LABOR---------- ------------ �----.--------------$2.252.00 SUB PLUS 10%--- — -- - - ----- --- — --- — ---------- ----- 483.00 TOTAL-------- ------- --------_-- — -- $5,309.00 An matedai is gueranieed to be ea epacMed. AV work to be eenrpteled in a workmanlike manner according to SNndard practices. Any ail"bon or deviation from above spealkiliwo Nvdving =tm coda will be executed of y upon w ittan ceders, atM wll become an exba charge over and above the mli ade. AN agreements cmtingent upon atrikes, accidents or delays beyond our control. O+nwr to cSny fire, lontado and other necessary Inaraence. Our waken are Puny Covered by Workmen s Cwnpenaatlon insurence. ACC£FTAWS OF FROP08i4L—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the Work as specified_ Payment will be made as outlived above. Date of Acceptance: Signature 10/26/2004 TUE 15:38 ITX/RX NO 75791 Q 002 304 • 90C \ / \ \ \ \ \ k}9K■ / �� ! / 0 0 0 FIBERGLASS MANHOLES: a. c, 11 C. General Manholes shall be manufactured from commercial grade polyester resin or other suitable polyester or vinyl ester resins, with fiberglass reinforcements as manufactured by Owens-Corning or L.M. Manufacturing, Inc. or approved equal; shall be one piece wall and cone unit; shall be manufactured to meet or exceed all specifications of ASTM D-3753, latest edition; and shall have a 48-inch (48") inside diameter with a 24-inch (24") top diameter. Manhole manufacturer shall be capable, upon request, of providing independent certification of manhole. Said certification shall consist of a copy of the manufacturer's test report accompanied by a copy of the test results that each manhole has been sampled, tested, and inspected in accordance with the provisions of the ASTM D-3753 specification and meets all requirements. Ring and Lid Support Manhole shall have a "Collar Dam" that provides an area to make elevation adjustments to finished top of ground elevation by installation of concrete grade rings. Said area shall have the strength to support a traffic load without damage to manhole. Concrete grade rings shall be installed according to manufacturer's written recommendations. Manhole Rings and Lids Ring and lids shall be Western Iron Works No. WM-42, or approved equal. Manhole lids shall have the words "Sanitary Sewer" cast into top surface. Stubout and/or Connection Installation of stubout and/or connection shall meet the requirements below. PVC (SDR26) pipe stubouts shall be installed by manhole manufacturer. Inserta-Tee fittings shall be installed as per manufacturers instructions. Kor-N-Seat hoots shall be installed by manhole manufacturer using fiberglass reinforced pipe stubout for Kor-N-Seal boot sealing surface. Manhole Bottom I. If resin fiber -reinforced manhole bottoms are utilized, the following shall be required. 1 of U7 • A. A minimum of three (3) 1 %z-inch (1'/z") deep by 3 %z-inch (3%") wide stiffening ribs, completely enclosed with resin fiber - reinforcement. B. A minimum of 3-inch (3") anti -flotation ring. C. A minimum thickness of 5/16 inch shall be maintained. • 2. If concrete bottoms are utilized, the following shall be required. A. Manhole shall be set in wet concrete to a minimum depth of inches below flow line. B. Concrete shall extend a minimum of one foot (l') from outside wall of manhole and minimum of 6 inches (6") above incoming lines. C. Concrete shall be placed on inside of manhole to form bench and invert area, and shall rise a minimum of 4 inches (4") above incoming lines. $ackfill Material I . Sand, crushed stone, or pea gravel shall be used for backfill around manhole for minimum distance of one foot (11) from the outside surface and extending from bottom of excavation to top of reducer section. 2. Suitable material chosen from excavation may be used for remainder of backfrll. Chosen material shall be free of large lumps or clods, and shall be subject to ENGINEER approval. 0 2 of 2 0 • 0 0 6 z' u� w a vW~J Z M U _zLO p J O O z & = W `-(n wj� C- MZ zz 3SS Q 00 a W K �3 I z io W€zZ 3 z n w ow c�iw3 o ML Z3 � Ck� (If i I i i �n N 13381S OINOINV NVS °D a0 WW --- ww — ww — w'w ww ww�w — ww --- 2 SW — sw — sw — sw Sw SW — SW SW d3H „4z _ =AIA Document G709r" - 2001 Work Changes Proposal Request OWNER X ARCHITECT X • CONSULTANT CONTRACTOR X FIELD MARKCRIPPEN,SPAWMAXWELL X PROJECT (Name and address): PROPOSAL REQUEST NUMBER: 004 New County Jail Calhoun County DATE OF ISSUANCE: August 25, 2004 24627 State Highway 172 Port Lavaca, Texas 77979 OWNER (Name and address): Calhoun County CONTRACT FOR: General Construction 24627 State Highway 172 CONTRACT DATE: March 25, 2004 Port Lavaca, Texas 77979 FROM ARCHITECT (Name and address): ARCHITECT'S PROJECT NUMBER: 03-24P / 0305 W POuger Wiginton Hooker, PLLC 213 S. Lamar Blvd., Suite 300 Austin, Texas 79704 TO CONTRACTOR (Name and address): Don Krueger Construction Co. P.O. Box 3613 205 Profit Drive Victoria, Texas 77901 Please submit an itemized proposal for changes in the Contract Sum and Contract Time for proposed modifications to the Contract Documents described herein. Within Ten ( 10) days, the Contractor must submit this proposal or notify the Architect, in writing, of the date on which proposal submission is anticipated. THIS IS NOT A CHANGE ORDER, A CONSTRUCTION CHANGE DIRECTIVE OR A DIRECTION TO PROCEED WITH THE WORK DESCRIBED IN THE PROPOSED MODIFICATIONS. DESCRIPTION (insert a written description of the Work): Provide and install white Portland cement finish on precast concrete tilt -up panels. ATTACHMENTS (List attached documents that support description): REQU TED BY THE ARCHITECT: fSigr nure) James R. Koch, AIA, Construction Administrator (Printed name and wfe) AIA Document G1091' -y U S Copycigbl 01993 and 2001 by The Am rnkar IoslituI& of Architects. AN rights reserved. WARNING: This AIA'` Document is protected by U.S. Copyright Law and Interna0onal Tree ties. Unauthorized reproduction er dialribution o1 this AIA' portion of iL m...... lt in severe civil and criminal penalilea, and will be Pr Document, or any was produced by AIA software al 13:22:53 on o"I' lo200< under Order will ac Prosecuted 10 the matlmum exlent Possible under the law. This document User Notes: 02399_1 which expain, on 3/1/2005. and is not for resale. (1925960337) 09 KRUEGER CONSTRUCTION CO. July 20, 2004 Jim Koch Pfluger Wiginton Hooker, PLLC 213 S. Lamar Blvd Austin, Texas 78704 Re: New Calhoun County Jail Port Lavaca, Texas Dear Jim: P, 0. BOX 3913 VICTORIA, TEXAS 77903 391.573-3291 M 573-0192 JUL 2%714 AUSTIN, TESCAS Pfluger Job No.: 03-24P/030sW As per your e-mail request, please find below a breakdown of the costs to revise the exterior panels on the above project: Provide white cement in the outer face of the concrete sandblast finish (Reveals to remain) Ingram ready mix: 266cyd of concrete at$65/cy= Credit to delete sand blast finish Subtotal Additional bond and insurance 10% Overhead and Profit Total in lieu of gray cement and delete +$17,290 <$10,400> +$6,890 +$140 Provide textured paint finish (Sherwin Williams Ultracrete) in lieu of sandblast finish Kelly Painting +$22,900 Credit to delete sandblast finish <$10.400> Subtotal +$12,500 Additional bond and insurance +$250 10% Overhead and Profit + 1 250 Total +$14,000 Provide smooth paint finish (Sherwin Williams Sherlastic) in lieu of sand blast finish Kelly Painting +$18,200 Credit to delete sandblast finish <$10,400> Subtotal +$7,800 Additional bond and insurance +$160 10% Overhead and Profit +$780 Total +$8,740 4. Option 4 is as bid with River Rock 310 • 0 • T TM AIA Document G709 - 2001 Work Changes Proposal Request OWNER X ARCHITECT X • CONSULTANT CONTRACTOR X FIELD MARK CRIPPEN, SPAWMAXWELL X New County Jail PROJECT (Name and address): PROPOSAL REQUEST NUMBER: 003 Calhoun County 24627 State Highway 172 DATE OF ISSUANCE: August 25, 2004 Port Lavaca, Texas 77979 OWNER (Natal and address): CONTRACT FOR: General Construction Calhoun County 24627 State Highway 172 CONTRACT DATE: March 25, 2004 Port Lavaca, Texas 77979 FROM ARCHITECT (Name and address): ARCHITECT'S PROJECT NUMBER: 03,24P / 0305 W POuger Wiginton Hooker, PLLC 213 S. Lamar Blvd., Suite 300 Austin, Texas 78704 TO CONTRACTOR (Name and address): - Don Krueger Construction Co. P.O. Box 3613 205 Profit Drive Victoria, Texas 77901 Please submit an itemized proposal for changes in the Contract Sum and Contract Time for proposed modifications to the Contract Documents described herein. Within Ten ( 10) days, the Contractor must submit this proposal or notify the • Archilect, in writing of the date on which proposal submission is anticipated. THIS IS NOT A CHANGE ORDER, A CONSTRUCTION CHANGE DIRECTIVE OR A DIRECTION TO PROCEED WITH THE WORK DESCRIBED IN THE PROPOSED MODIFICATIONS. • DESCRIPTION (Insert a writlen description of the WorA): Additional breakers for laundry room equipment. ATTACHMENTS (List attached documents that support description) REQUESTED BY THE ARCHITE�CT: ($ilrtt ure) lames R. Koch, AIA, Construction Administrator (Panted name and tide) AIA Document G709" -2001. Copyright ®1993 and 2001 by The Amerkan Institute of Architects. All rights reserved. WARNING: This AIA" Document Is protected by U.S. Copyrlghl Law and International Troalles. Unauthorixad r roduction or tlislributlon of This AIA portion '(it: may resuh in severe bivn and criminal penallles, and w111 be prosecuted to the maximum extent s DocUmenl, or any was produced by AIA Software at 13.20:Of on OaRS@004 under Order No. 1000102399_ t which expires on 3/1/2005, and 'islnol forresale. elaw. This document User Notes: (1270583155) 311 KRUCGCR CONSTRUCTION CO, August 30, 2004 Jim Koch Pfluger Wiginton Hooker, PLLC 213 S. Lamar Blvd Austin, Texas 78704 Re: New Calhoun County Jail Port Lavaca, Texas Dear Jim: P.O. BOX 3613 VICTORIA, TMAS 77303 391,573-3231 FAY 513-016z Pfluger Job No.: 03-24P/0305W In response to Proposal Request No. 003 on this project, we request a change order in the amount of Nine Hundred Fifty Five Dollars to make the laundry equipment electrical changes as outlined. A breakdown of this proposal is as follows: KGS Electric $910 DKCC 5% OH&P 45 Total $955 Please review the above proposal and advise our office in writing how to proceed. If you should need any additional information, please contact me at this office. Sincerely, DON KRUE NSTRUCTION CO. Lester Colley Cc: job File Enclosure ( 2 ) pages sent via fax to (512) 476-4289 Hardcopy to follow 312 • • • v .. u'. u - ...uu •.u� uui v.0 ..iva. uV�� ....Vu.a4:R VVI.J1 19j U021002 L_J C� • To: LESTER COLLEY KGS ELECTRIC. CO. 205 PROFIT DRIVE VICTORIA, TX. 77901 PH. 361.575.1408 FX. 361.573.1997 From: ALBERTQUILANTAN Company. D,KC.C. Pages: 01 (including cover sheet) Fax: Date: 08.30.04 Re: CALHOUN COUNTY JAIL ❑ Urgent 0 For Review ❑ Please Comment ❑ Please Reply 0 Please Recycle KGS ELECTRIC CO. IS PLEASED TO SUBMIT THE FOLLOWING PRICE TO MAKE CIRCUIT CHANGES PER HMG & ASSOCIATES COMMENTS FOR SUBMITTAL #11452-1A ADDING CIRCUIT BREAKERS AND CHANGING DISCONNECT SWITCHES: MATERIAL ....... ........... ...$ 580.00 LABOR ........................... $ 247.00 MARK-UP ......... 10%........ 910.00 ow PLEASE CALL ME @ 361.575.1408 WITH ANY QUESTIONS OR CONCERNS. 313 RESOLUTION ON BAY AND ESTUARY INFLOWS: A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to approve the Resolution on Bay and Estuary Inflows. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. BAY AND ESTUARY INFLOWS WHEREAS, freshwater inflows to the Lavaca/AUtagorda and San Antonio Bay systems are important to commercial and recreational'fisherman, b--d watchers and other citizens living and working in Calhoun and surrounding areas; and WHEREAS, the sportfishing industry makes a tremendous contribution to the economy of the Calhoun County area through the tourism it attracts; and WHEREAS, the commercial fishing industry provides many jobs in the Calhoun County area and supplies fresh fish to local restaurants and markets around the area; and WHEREAS, the Calhoun County area is an international birding destination because of the tremendous diversity, of birds occurring here; and WHEREAS, the sport and commercial fishing industries, bird watching, and other nature - related tourism activities help support a variety of businesses in the Calhoun County area, including hotels and restaurants, tour guide operators, marinas and boat dealers, fishing equipment and supply outlets, and bait dealers and fish houses; and WHEREAS, sport and commercial fishing and other tourism industries can be harmed by the failure to ensure that'sufficient freshwater flows reach the Lavaca/Matagorda and San Antonio Bay systems; and WHEREAS, in light of the foregoing, it is important for our governing body to speak out strongly in favor of the Texas Legislature taking steps to protect freshwater inflows. NOW, THEREFORE, BE IT RESOLVED by the Calhoun County Commissioners' Court that: We respectfully urge Governor Rick Perry, Lieutenant Governor David Dewhurst, Senator Kenneth Armbristeq and Representative Gene Seaman to develop and enact legislation to protect freshwater inflows. Passed an(�Kppraved on this the 23rd day of December, 2004. Pct. ATTEST: buU 11aQ 1'Yla�yi Anita Fricke, County Citric il— oup'County Judge C W. H. Floyd, Commissioners Pct. #3 .1.s . enneth W. Finster, Commissioner Pct. #4 01q • • A Motion was made by Commissioner Finster and seconded by Commissioner Balajka to Retain Counsel from Houston, Marek and Griffin to Represent Calhoun County and Commissioner Roger C. Galvan in Cause No. 2004-11-14710; Richard "Skip" Hughes vs. Calhoun County and Roger C. Galvan, County Commissioner. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. A Motion was made by Commissioner Balajka and seconded by Commissioner Galvan to Approve Payment to Abram's Body Shop in the amount of $475.00 for minor paint and dent repairs to Precinct #1 Chevy 1500 Pickup. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. A Motion was made by Commissioner Galvan and seconded by Judge Pfeifer to Approve submission of Grant by Magnolia Beach Volunteer Fire Department to Texas Forest Service for Tuition of $175.00 times four (4) qualified volunteers for fire fighting one training. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. A Motion was made by Commissioner Floyd and seconded by Commissioner Balajka to Ratify Agreement for the Assessment and Collection Functions of the County of Calhoun to be Performed by the Calhoun County Appraisal District for the Year 2004. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted In favor. is A Motion was made by Commissioner Balajka and seconded by Commissioner Galvan to Ratify Agreement for the Assessment and Collection Functions of the County of Calhoun to be performed by the Calhoun County Appraisal District for the Year 2005. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. • 315 _ Y �• 1•.' lip • _ _ • _ y�_ •Wall L I a Pau on this Agenda Item COUNTY CLERK - DISTRICT CLERK - TAX ASSESSORMOLLECTOR - COUNTY TREASURER- MONTHLY REPORTS: The County Clerk, District Clerk, Tax Assessor/Collector and County Treasurer presented their Monthly Reports for November 2004 and after reading and verifying same, a Motion was made by Commissioner Finster and seconded by Commissioner Balajka to accept said reports as presented. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. W ehdy CALHOUN COUNTY TREASURER'S REPORT MONTH OF: NOVEMBER 2004 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE GENERAL ROAD & BRIDGE GENERAL 320,829.37 /7 19.293.12 0.00 340,122,49 OAD&BRIDGE PRECINCT#3 11,046.7.6 27.79 0.00 11.074.05 HWY 87/PM1090 1,094320.59 2,728.40 0.00 1,097,048.99 ROAD MAINTENANCE V RECINCT #4 14,280.33 35M 0.00 14316.28 LATERAL ROAD PRECINCT#1 3,607.36 9.08 0.00 3,616.44 LATERAL ROAD PRECINCT#2 3,607.36 9.08 0.00 3,616-44 LATERAL ROAD PRECINCT#3 3,607.36 9.08 0.00 3,616.44 LATERAL ROAD PRECINCT #4 3,607.36 9.08 0.00 3,616.44 JUVENILE PROBATION 155,823.43 15,238.09 12,9322'7 158,129.25 BOOT CAMPIDAEP 128954.30 324.48 8,757.68 120,521.10 AIRPORT MAINTENANCE 37,718.02 94.91 579.77 37,233.16 LIBRARY GIFT AND MEMORIAL 45,71240 600.02 0.00 46312.42 W LIBRARY 61504.58 1,029.76 0.00 62,534.34 CAPITAL PROJ-RB INIT-& RUCIVRE 32,732-48 0.00 0.00 32,73248 CAPITAL PROJ-AIRPORT IMPROVEMENT B 9,294.49 60,00R00 0.00 69.294.49 CAPITAL PROJ-PARKING LOT 80543.81 0.00 0.00 80,543.81 CAPITAL PROD -NEW EMS BLDG - 19,196.25 0.00 0.00 19,196.25 CAPITAL PROD -NEW JAIL BLDG 0.00 0.00 0.00 0.00 CAPITAL PROJ-MAGNOLIA BEACH EROSION 78,234.75 0.00 0.00 782M.75 CAPITAL PROJSWANPO]NT PARK 74,720.40 0.00 0.00 74,720A0 CAPITAL PROJ-LIGHTHOUSE 0.00 0.00 0.00 0.00 CAPITAL PROJ-MOLD REMF-DIATION 1.233.24 0.00 631.23 602-01 CAPITAL PROD -COURTHOUSE RENOVATION 5OW3234 36.572-87 55308.38 503,796.93 CAPITAL PROD -COASTAL IMPROVEMENTS 81929.16 0.00 4,791.50 77,137.66 CAP PROI-LITTLE LEAGUE PARKSTORMREPAIR 63.98 0.00 0.00 63.98 CAP PRO]-PCTI PIERS-SI'ORMRBPAIR 22.00 0.00 0.00 22.00 CAP PROJ-PCT I BULKHEAD -STORM REPAIR 10.25 0.00 0.00 10.25 CAPPROJ-PCT I ROAD SIGNSSPORM REPAIR 0.00 0.00 0.00 0.00 CAP PROJ-PCT 2 - STORM REPAIRS 25,280,95 0.00 7,484.92 17,796.13 CAPYRROISWANPOINT RD-STORM REPAIR 5.515.54 0.00 0,00 5,515.54 CAP PROJ-HATERIUS PRK BOAT RAMPSTRM REI 33,148.15 0.00 0.00 33,148.15 CAP PRO] -PORT ALTO PUBL BEACH STORM REF 30384.78 0.00 0.00 30384.78 CAP PROJ-PCT 1 RD RECONST-STORM 426,757.59 0.00 18,101.41 408,656.19 CAP PROJ-PCT I RD RECON. TCDP DR#723037 39,403.65 0.00 6,033.78 33369.87 CAPPROJSEADRIFI FIRE TRUCK M000.00 0.00 0.00 12,000.00 CCISD/SEADRIFT/CO. ROAD PROJECT 14,85132 0.00 0.00 14.85232 POC COMMUNITY CENTER 7,752-64 19.51 1,178.31 6593.84 CHAMBER TOURISM CENTER 223.16 0.00 0.W 223.16 FINES AND COURT COSTS HOLDING FUND 9,018.56 0.00 0.00 9,018.56 NATIONS 126.493.32 523.31 30.95 126983.68 ANIMAL CONTROL CAWS 138.87 0.00 0.00 138.87 SHERIFF FORFEITED PROPERTY 1,036.16 261 0.00 1,038.77 CORDS MANAGEMENT -COUNTY CLERK 99.140.56 2,771.94 12265.41 88,647.09 CORDS MGMT&PRESERVATION 69935.04 680.52 384.23 70,231.33 COURTHOUSE SECURITY 170,64232 1,649.97 0.00 172292-29 GRANTS 52020.40 130.90 0.00 52,151.30 W ENF OFFICERS STD. EDUC. (I-EOSE; 9,268.78 20.81 0.00 8,299.59 JUVENTIE PROBATION RESTITUTION 80.02 0.00 0.00 90.02 ELECTIONS CONTRACT SERVICE 4294.27 0.00 0.00 4,2N.27 ORATE VICTIMS COMPENSATION 0.00 369.79 0.00 369.79 ARREST PEES 290.93 359.04 0.00 649.87 COMPREMENSTVE REHAB. 0.00 0.00 0.00 0.00 JLDICAL PERSONNEL TRAINING 0.00 16.44 0.00 16.44 CONSOLIDATED COURT COST 0.00 7,638.30 0.00 7,638.30 FUGITIVE APPREHENSION 0.00 41.06 0.00 41.06 JUVENILE CRIME & DELINQUENCY (170.00) 3.77 0.00 (166.23) TRAFRC LAW FAILURE TO APPEAR 0.00 857.97 0.00 857.97 CORRECTIONAL MANAGEMENT INSTITUTE 0.00 3.44 0.00 SUBTITLE C FUND 0.00 3220.02 0.00 3.44 32M 02 APPELLATE A• E JUDICIAL, SYSTEM 66239 126.67 0.00 789.06 INDIGENT CIVIL LEGAL, SERVICE (6.50) 165.00 0.00 158.50 PAYMENTS (0.01) 1917.64 0.00 1,517.63 DELINQUENCY PREVENTION FUND 6941.86 17.47 0.00 6,959.33 JUSTICECOURTTECIIIOLOGY 20.085.68 661.85 1290,66 19,456.87 REFUNDABLE DEPOSITS 2225.00 0.00 0.00 2225,00 MISCELLANEOUS CLEARING 2"65.74 157,539.76 168,67105 14,933.45 fusnCEOF TEE PEACE CLEARING 31264.09 3,33271 572-90 34,023.90 SUB'1Y71'AL Page 1 of 3 . 016 r - --� "-� b1Ox1'HOF: NOVEMBER 2W4 BEGINNING FUND AUNb BALANCE RECEIPTS DISBURSEMENTS ENDING AUNDBALANCE OPERATING FUI4D-BALANCEFORWARD CRIMINAL JUSTICE PLANNING $ 9,484,736.67 S 8,032,329.57 S 8,709,834.67 $ 8,807,23157 GENERAL REVENUE 0.00 0.00 - 0.00 0.00 0.00 LAW ENFORCEMENT OFFICER STANDARDS - 0.00 Q00 0.00 0.00 LAW OFFICERS CONTINUING EDUCATION Q00 0.00 0.00 AIL BOND FEES (HB 1940) 0.00 0.00 0.00 0.00 ARMED PROPERTY 0.00 2,517.86 1.045.00 0.00 1,045.00 • BREATH ALCOHOL TESTING Q00 0.00 7.86 2,537.86 STATE CIVIL FEE FUND 6 00 Q00 0.00 CRIME STOPPERS FUND 2.00 1,570.80 0.00 1577.30 JUDICIAL00 FUND (ST. COURT COSTS) 0.00 0.00 200 SUBTOTALS 0.00 105.15 0.00 302-00 5.15 AXES INESCROW (ALL PUIDS ISI,656.11 TOTAL OPERATING FUNDS 8,317563.58 0.00 8,299,219.69 COMB. HOSP. REV .& TAX CERTIP, OP OBLIG CONSTRUCTION (JAIL) AIL) 11110259 ,. 6.368,713.93 181,594.50 0.00 292,697.09 CONSTRUCTION (JAIL) SERIES 2003 - I & S 231,45266 - 11,522.53 - 0.00 6380,236.46 COURTHOUSE RENOVATIONPUND SERIES 2004 5.664905.52 603,767.98 1 Q00 835=54 'I OF OB-L-KIBSEREALI&SFUND SERIES 2004 31,005.90 10,536.17 55,309.38 5,620,133.31 TAX ANIICIPATIONNOTES L&S 375,00 167,108.95 0.00 198.114.85 TAX ANTICIPATIONNCTES-FORMOSA 0.00 0.00 0.00 375.00 CO. DISASTERTRICT CRANTOURT FUND 0.00 0.00 0.00 JURYCALHOUN Y IMPREST-COUNTY COURT 1.00 2,023.54 - 8..00 0.00 1.00 JURY IMPRESf-COUNTY COURT 219.90 1,948.05 300.00 3,67159 TOTAL OPER. & OTHER CO, FONDS 22078. -- 945.56 ,.. ,..._�_. 180.00 885.46 vu ORI&LMEDICAL CENTER OPERATING $ MEMORIAL. 1,238997.10 17,425.28 $ 1,T46,27936 S 1,407 7A-34 'S S 1577,752,12 RES1'RIC'IEDDONATION INDIQENTHEALTHCARE 13,820.37 it 21.42 16.99 0.00 17,446.70 TOTALS 1,949.06 $ 1179 mi al 151938.71 ..,...._,.._ 0.00 _ 149,709.28 13,837.36 4,078.49 Vn AGE DISTRICTS N. NO. 8 . $ 13,093.00 $ 1,037.97 $56.00 $ NO. VTERVI CE 39,907.35 4,393.61 75.60 14,974.97 10-DEB NO. 10-DEBT SERVICE 1972.29 40.00 36 • NO. 11-MAINTENAN(E/OPERATING 45.793.32 40.520.93 IA2A.90 0.00 30996.22 30,996.22 NO. Ii-DEBT SERVICE 169,591.57 50,012.23 20.150.00 47218.22 NO. I1-RESERVE 8,300.12 35 177,881.69 TOTALS 50,757.36 50,757.36 62-41 0.00 $ 34R.7R ac < ----- __ _ 0.00 50,819.77 50,819.77 :ALHOUN COUNTY NAVIGATION DIST. MAINTENANCE AND OPERATING TOTAL MMC, DRAINAGE DIST. & NAV. DIST. TOTAL ALL FUNDS • Page 2 of 3 317 COUNTY TREASURER'S REPORT MONTH OF: NOVEMBER M4 BANKFEGUNCMMIUN LESS: CERT. OF DEPI FUND OUTSTADDEN PLUS: CHECKS BANE FUND BALANCE OTIM ITEMS OUTSTANDING BALANCE OPERATING * $ 17,111,698.57 $ I5,295,015.77 $ 490396.21 $ 2,307,479.01 Y 1MPREST-D]SIRICI COURT 3,671.39 1945.03 610.00 W36.5 JURY IMIWST-COUNTY COURT 885.46 943.55 868.00 909,g CALHOUN CO. DISASTER GRANT FUND 1.00 0.00 _ 0.00 1.00 COMB. HOSP. REV. & TAX CERTIP. OF OBI.IG. *A9 292,687.09 16,001.00 0.00 276,686.09 CONSTRUCTION (JAIL) CONSTRUCTION (JAIL) SERIES 2003 & S 6,380,236.46 6,000,000.00 0.00 380,236.46 -1 835,71A.54 53,151.77 0.00 782,068.77 COURTHOUSE RENOVATION FUND SERIES 2004* * * 5,620,133.31 1,510,481.56 55.308.38 164960.13 CERT.OF OB-CRTHSE HEN. I&S FUND SERIES 2004 198,114,85 14,617.24 000 183,497.61 TAX ANITCIPATTON Nam - FORMOSA - 0.00 0.00 TAX ANTICIPATIONNOTF_S INT & S%O 375.00 0.00 0.00 0.00 0.00 375.00 MEMORIAL MEDICAL CENTEX OPERATING MEMORIAL 1,577,75112 0.00 271,797.48 1,849,549.60 RESTRICTED DONATION 17.446.70 13,937.36 0.00 0.00 0.00 17,446.70 INDIGENT HEALTHCARE 4,078.49 0.00 000 13,937.36 2.381.47 6.459.96 DRAINAGE DISTRICT: NO.6 NO.B 14,074.97 27.66 56.00 14,103.31 NO. 10 MAINTENANCE 44,225-36 30,996.22 246.12 75.60 44,054.84 NO. I0DEBT SERVICE 47218.22 - 120.02 47.90 30924.10 NO. 11 MADMWANCE/OFERAITNO 130,374.35 94.84 4000.76 0.00 47,133.38 NO. II DEBT SERVICE 77,881.69 333.00 0.00 128.3 3.59 NO. 11 RESERVE 50.819.77 0.00 0.00 77548.69 0.00 50,819.77 CALHOUN CO. NAVIGATION DIST: . MA1N111NANCIVOPPRATING 94976.08 0.00 - 0.00 94,976.08 TOTALS 32,646,70520 26,89g668.32 821,MX4 6,473,777.9 * CDs -OPERATING FUND $14,416,633.36 ** CDs - CONSTRUCTION (JAIL) $6,000,000 *** CDs - COURTHOUSE RENOVATION $5,500,000 ***" THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRiCP IS FIRST VICTORIA NATIONAL BANK -PORT LAVACA. THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA_ Page 3 of 3 318 L 0 • • CAI UN COUNTY, TEXAS DISTRICT CLERK SM414ARY OF CASE TRANSACTIONS IN FEE ACCOUNT Remittance to County Treasurer; REMITTANCES (November, 2004) Road and Bridge General Fund: Fines Bond Forfeiture General Fund: District Clerk's Fees Sheriff's Fees Jury Fees Law Library Fund: C.J.P.F.: L.E.O.S.: C.V.C.A.- J.P.T.: C.S.: B.A.T.: C.R.F. : Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Civil Indigent Filing Fee: Abused Children's Fund: C.M.I.: A.J.S.F.: Qsiy6cr Interest: TOTAL REMITTANCE TO COUNTY TREASURER: Remittance to Others: Out -of -County Sheriff's Fees: State: C.A.R. Fund: TOTAL REMITTANCE TO OTHERS: TOTAL EXPENDITURES: ENDING BALANCE: TOTAL: Reconciliation With Cash in Bank: Balance in Checking Account: Outstanding Receipts: Outstanding Checks: Outstanding Criminal Receipts: TOTAL: Outstanding Checks: se - Gwl w cKf 20{1-T i 100 on TOTAL 13 3 eR .4q 344 7q I4 µ µ 41,04 3 77 LOS. 34 ao 00 3 4 4- 2 s 00 S47 89 00 I S L. SO 4 6 9a 7c .Q-!:( 10 (37. 14. - "PROVE PAMELA Z TIN HAR ROVE DISTRICT CLERK RECEIVED: -Irm'i 4 2w / MIKEPFEIFER COUNTY JUDGE 319 CAI UN COUNTY, TEAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT District Clerk's Fees: Certified Copies Criminal Court Civil Court Stenographer Records Management Fund Courthouse Security Fund Civil Indigent Filing Fee Sheriff's Fees: Civil Court Civil Jury Jury Fees: Law Library Fees: C.J.P.F. L.E.O.S.: C.V.C.A.: S.P.T.: C.S.: B.A.T.: C.R.F. : Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Abused Children's Fund: C.M.I. A.J.S.F.: F. f. A. TOTAL FEES: Bond Forfeiture: Fines: Criminal Court C.A.R. Fund: State: Other Collections: Reimbursable Costs GK-�`-223� _ yams r k�-2-%7? }G rt CIF u36 H r � TOTAL CASH RECEIPTS: INTEREST EARNED: BEGINNING BALANCE: TOTAL RESOURCES: RECEIPTS (November, 2004) M-®R666"Me ��t 8 140 30 _ 17 s on • 1 Z 4S 11,_ z4s o� 3 Zz_9O L1.13 30. µ 8s.00 141 s8 z si 1s on SO Z. LLI 3 58 50 R s s On In�399 9I G. z 14 780. 83 04V T SUMMARY TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT FOR: NOVE?iBER 2004 Title Certificate Fees $ 6,474.00 Title Fees paid TxDOT . Title Fees Paid County Treasurer Salary fund $ 3,984.00 $ 2,490.00 Motor Vehicle Registration Collections $ Disabled Person Fees 90,176.09 Postage $ .00 25050.00 Paid TXDOT $ Paid County Treasurer $ 86,440.14 Paid County Treasurer Salary Fund $ $ 4,082.95 Motor Vehicle Sales & Use Tax Collections Paid State Treasurer $ 281,378.13 $ 281,378.13 Special Road/Bridge Fees Collected Paid TxDOT - R1B Fees $ 13.872.00 Paid County Treasurer - R/B Fees $ 416.16 $ 1-3,455.84 Texas Parks & Wildlife Collections Paid Texas Parks & Wildlife $ 1,885.00 Paid County Treasurer salary fund $ 1, 188.50 $ 88.50 State Beer & Wine Collections Paid Texas Alcoholic Beverage Commission $ 1,564.00 Paid County Treasurer salary fund $ 1,526.75 $ .75 • County Beer & Wine Collections $ Paid County Treasurer, county beer & wine 527.50 Paid County Treasurer, salary fund $ 512 $ 26.38. Renewal Fees for County Beer & Wine Paid County Treasurer -renewal fees $ 12 00 $ 12.00 Additional Postage - Vehicle Registration g Paid County Treasurer - Additional postage 2.67 $ 2.67 Interest earned on P&W 29.42 and Refund —0— Accounts $ 15.41 Paid County Treasurer - Int. on P&W & Ref. $ 15.41 Interest earned on Office Account Paid County Treasurer - Navig. East $ 5,562.85 Paid County Treasurer- all other districts $ 40.21 Overpayments f $ 5,522.64 Current Tax Collections 53.03 Penalty and Interest - Current Roll $ 1,098, 798.16 Discount for early payment of taxes $ Delinquent Tax Collections $ $ 29,410.55 Penalty & Interest- Delinquent Roll 2 $ Collections for delinquent tax attorney 7,76666..21. $ Advance - F M ?c L taxes 5,843.23 Advance - County AdValorem taxes $ 18.01 Paid County Treasurer - Navig. East $ 1,068,652. Paid County Treasurer - all other districts ,. $ 00 Paid CCAD 1% Collection Fees $ 33,47171.94 Paid County Treasurer, delinq. Tax atty. Fees $ $ 5,843.23 321 U Summary Payment in lieu of taxes Paid County Treasurer - Navig. East Paid County Treasurer - All other districts Boat/Motor Sales & Use Tax Collections Paid State Treasurer Paid County Treasurer, Salary fund Special Farmers Fees Collected Paid State Treasurer, farmers fees Hot Check Collection Charges Paid County Treasurer, hot check charge Overage on Collection/Assessing Fees Paid County Treasurer, overage refunded $ 6,908.90 75.00 45.00 Page 2 $ 6,563.45 $ 345.45 $ 75.00 $ 45.00 $ 1,551,179.16 $ 1,551,179.16 TOTAL OF ABOVE RECEIPTS PAID TO COUNTY $ 1,551,179.16 GLORIA A. OCHOA Tax Assessor -Collector MICHAEL J. MIF R County Judge 322 • • • ANITA FRICKE MONHTLY REPORT RECAPITULATION MONTH ENDING NOVEMBER CHARGE County Clerk's Fees Recording • Probate Civil Judge's Fees Probate Civil Probate Fee (Education Fee) Sherifrs Fee Jury Fee Law Library Fees Beer Licenses Appellate Fund (TGC) Court Reporter Fees Civil Indigent Fees Record Management Fees (Co. Clerk) Record Management Fees (County) Security Fees (County) Bond Forfeitures Court Cost & Fines TOTAL FOR COUNTY TREASURER State Treasurer - Judicial Fund State Treasurer - Marriage License Fees Slate Treasurer - Birth Certificate Fees REFUNDS: CASH ON HAND, BEGINNING Nov. 1 County Clerk's Account Trust Fund Account TOTALCHARGES CREDITS: DISBURSEMENTS (See Attached List) County Clerk's Account Trust Fund Account CASH ON HAND, ENDING Nov. 30 • County Clerk's Account Trust Fund Account TOTAL CREDITS: SUBMITTED BY: Anita Fricke, County Clerk $7,242.90 $320.00 $680.00 $38.00 $85.00 $40.00 $160.00 $22.00 $875.00 $0.00 $125.00 $375.00 $135.00 $2,215.00 $140.00 $584.00 $0.00 $6,547.75 $19,584.65 $1,000.00 $201.50 $75.60 TOTAL INCOME $20,861.75 $21,826.03 $49,680.21 Sub -Total $92,367.99 Interest for Nov. APPROVED BY: $21.16 $92,389.15 $21,844.69 $0.00 $20,864.25 $49,680.21 $92,389.15 _C_Y_IQ.Gb9� D Michael J.riletqr, 0 unty Judge 323 ANITA FRICKE County Cleric's Monthly Report For the Month of November County Clerk's Office Fund: Previous Month's Balance Oct.'04 Deposits for this Month Dec. '04 TOTAL Disbursements, IBC CK# 922 to Rhonda McMahan, Co. Trees CK# to CK# to CK# to CK# to CK# to CK# to CK# to CK# to CK# to CK# to CK# to CK# to CK# to CK# to TOTAL DISBURSEMENTS TOTAL AMOUNT (above) $42,687.78 LESS DISBURSEMENTS $21,844.69 SUB -TOTAL $20,843.09 PLUS INTEREST $21.16 BALANCE $20,864.25 $21,826.03 $20,861.75 • $42,687.78 $21,844.69 $21,844.69 324 r L_J 9 0 0 cm § k § } 2 0 " / #@Gees 4 § ■2##§z §e k } o ----� oq E ;�..�� + a E a I / aLL $ b co r z§ n � ° k k o m § §o 00000�o�oo� e )( § § 2 ? w B 2OD K � w } E ) j --______-®- § N \ / / m } \ F ( 0 & $ 2m l l!#!■§ 6) o0000000uuo z 325 ANITA FRICKE Trust Fund Account Monthly Report For the month of November County Clerk's Trust Fund: Previous Month's Balance (October 2004) $49,680.21 Deposits for this Month (November 2004) $0.00 Deposits from: TOTAL $0.00 Total of Balance & Deposits LESS Disbursements: CK# to $ CK# to $ CK# to $ CK# to $ CK# to $ CK# to $ TOTAL $0.00 BALANCE: (Total of Bal. & Deps. LESS Disbursements) $49,680.21 $49,680.21 026 CJ • 0 A Motion was made by Commissioner Flnster and seconded by Commissioner Galvan to Declare one 1995 Yamaha Outboard, 130 HP Motor, Inventory #548-0031 as Surplus/Salvage and remove from the Magnolia Beach Fire Department Inventory List. Commissioners' Galvan, Balajka, Floyd, Fnster and Judge Pfeifer all voted in favor. ROGER Ce GALVAN Calhoun County Commissioner Precinct #1 2ll S. Ann Pon Lavaca, TX 77979 (361) 552-9242 - - December 6, 2004 TO: Honorable Judge M. Pfeifer FROM: Comm. Roger C. Galvan RE: Agenda Item Please add the following line item to Commissioner's Court meeting scheduled for Thursday, December 2004. Discuss and take necessary action to declare the following line item surplus and to remove from current Magnolia Beach Fire Department inventory list: Inventory #548-0031 1995 Yamaha Outboard, 130 HP Motor. M. Balajka, Pet. #2 H. Floyd, Pct #3 K. Finster, Pct #4 Ben Comiskey, Auditor h .S'allr Monurnrm /ndiarofa, Trrar C,) r Fax (361) 553-8734 Pager (361) 579-7915 Mobile (361) 935-3552 327 DECLARE THE FOLLOWING ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE: A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to Declare one H&W Fuel Pump, Inventory #23-0022 and one Reim Radio, Model #SMV4099W, Inventory #23-0174 as Surplus/Salvage. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. Mailing Address: 24627 State Hwy. 172 Port Lavaca, TX 77979 Email Address: ccprct36laward.com Office Location: 24627 State Hwy. 172 Olivia, Texas December 14, 2004 Calhoun County Commissioner, Precinct #3 Judge M. Pfeifer 211 S. Ann Port Lavaca, TX 77979 Office (361) 893-5346 • Fax (361) 893-5309 Home (361) 552-4574 Mobile (361) 920-5346 RE: AGENDA ITEM FOR COMMISSIONER'S COURT ON DECEMBER 23, 2004 Dear Judge Pfeifer: Please add the following item to the captioned agenda. "Consider and take necessary action on the matter of declaring the following items • of County.Property as surplus/salvage: 1. H & W Fuel Pump, Inventory # 23-0022 2. Relin Radio, Model # SMV4099W, Inventory # 23-0174" Respectfully, H. Floyd cc: Commissioner R. Galvan Commissioner M. Balajka Commissioner K. Finster County Auditor's Office File-Prct. 3 Inv. Records File -Agenda Items AI—D2304 900 040 0 0 Fill!i 3 irAoffP1 • A Motion was made by Commissioner Finster and seconded by Commissioner Galvan that the following Budget Adjustments be approved as presented. Commissloners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. N U g � O w O w 01° 8 8 E S cilia 8 8 E ~ 7' _ 2 O 0 N 8 8 8 » 8 8 » 8 w LL z} w � w 0 W �( ? 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N N N 3F2 IN t • C • 7 cm i ac i 0 Q co m 0 e.� Go �I 0 00 cm 16 O 8 8 ui » i 2 z 7 0 U N O W LL O a z= r i S 8 8 kw $ FI p8 M p8 N a8 N a g g g � 88g W p 118 z== 353 0 z D LL QJ W z W 0 W z z 0 z LL LL 8 8 8 8 8 Z Z z Z z QU Z O J y 6 Z l F O y W R U p�p Z f W m f W U (w7 6 6 pR N pp3 OI N (qyy OI Epp ID S 0 N N N N �g g bN p8 $ 8 8 g � g Q j O yS( IT N a O O O O O g 8 g pg C8 ry N s p O p O C G O O 8 $ S 8 8 8 g 8 8 8 Z Z Z Z z Z W p w J N � 0 z a a u � W W (7 j 1- ¢ W m Z NQ 0 N N N qR N N 354 8 mUE 0 9 0 • • • O L • 8 8 8 8 e e $ P ppO M pO N pO N pO G$ N N n n yy$ 8 8 8 8 2 z � g 8 g g g Li Z m tD y J w pp ¢ C z W C Pw O W ��yy O 5 z u < V w 3_ 2_�e�� z Ul S m SLI i O O O O O O O O O O o � n 8 8 8 8 8 8 8 8 8 8 2 2 6 18 8 8 8 8 8 8 8 8 8 8 8 8 9 8 8 S g 8 O o p o v v v v v z z z pz pz zz z z z pz 355 1| \ kz W'o 2§ k§ Qk , �) E a ! @ § @ ! ■ ®�� 2 k & " _( E §§§� §2|§! a a f t a a � & s & a a @ @ # # § § 2 2 2 2 } | $ § B§ § $ § § 2 [ §2 , § k § ; k ■■ � � k � § � § � A Imo= � § gip § § U- n .20 �§ 2 W� w, Z( w0 \ § kk� r q» 7§ & ! 3k 2§ ƒ ■2 - tk U� ) � 2§E 0 0 1�1 �—m � � � ca Go � � .� � � � � � �Co� � § � §0 � §GOO � & oGOO § � � o §Ga a , i | ` § § | ! � | ■ e ■ a , � § §� � , # ■ LLI � 4 ■ a ■ @ § §a a a a a ( £§ �7 §77)\§ §•�FE| ■ § IN / 357 The Court, being In open session, in compliance with the pertinent provisions of the Vernon's Teas Code Annotated, Government Code, Section 551, Subchapter D, the County Judge as presiding officer, publidy announced at 11:13 a.m. that a closed session would now be held under the provisions of Section 551.071 for the purpose of private consultation between the governing body and its' attomey when the governing body seeks the attorney's advice with respect to pending or contemplated litigation, settlement offers, and matters where the duty of the governing body's counsel to his client pursuant to the Code of Professlonal responsibility to the State Bar of Texas conflicts with the Act (County Personnel and Purchasing Policies). The County Judge further publicly announced that before any final action, decision or vote is made regarding the subject matter of said dosed session; this meeting would be reopened to the public. The Court then went into dosed session. At the end of the closed session, the meeting was reopened to the public at 12:10 p.m. and no action was taken. ACCOUNTS ALLOWED — COUNTY: Claims totaling $929,251.76 were presented by the County Treasurer, and after reading and verifying same, a Motion was made by Commissioner Balajka and seconded by Commissioner Galvan that said claims be approved for payment. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voteddn favor. Claims totaling $20,993.06 for Precinct #3 were presented by the County Treasurer, and after reading and verifying same, a Motion was made by Commissioner Galvan and seconded by Judge Pfeifer that said daims be approved for payment. Commissioners' Galvan, Floyd, Finster and Judge Pfeifer all voted in favor and Commissioner Balajka voted against. ACCOUNTS ALLOWED - HOSPITAL: Claims totaling $1,388,255.66 were presented by the County Treasurer, and after reading and verifying same, a Motion was made by Commissioner Galvan and seconded by Commissioner Floyd that said daims be approved for payment. Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. ACCOUNTS ALLOWED — HOSPITAL INDIGENT HEALTHCARE* Claims totaling $108.121.77 were presented by the County Treasurer, and after reading and verifying same, a Motion was made by Commissioner Galvan and seconded by Judge Pfeifer that said daims be approved for payment Commissioners' Galvan, Balajka, Floyd, Finster and Judge Pfeifer all voted in favor. The Court let Commissioner Floyd know that it had been a pleasure working with him. Court was adjourned at 12:15 p.m. 358 • •