2012-06-28
Regular June Term
Held June 28, 2012
THE STATE OF TEXAS
COUNTY OF CALHOUN
~
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~
BE IT REMEMBERED, that on this 28th day of June, A.D., 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term 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
Vern Lyssy
Neil Fritsch
Ken neth W. Fi nster
Anita Fricke
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Judge
Pfeifer led the Pledge to the Texas Flag.
Susan Riley
From:
Sent:
To:
Subject:
Tanya Dimak [tanya.dimak@calhouncotx.org]
Wednesday, June 06,20129:13 AM
Susan Riley
Commissioners Court 6-28-12
Can you please put Judge Duckett on the Agenda for the Commissioners Court meeting on June 28th.
He needs to talk about the Juvenile Case Manager $5.00 fee that we collect.
Thanks,
Tanya D. Dimak
Certified Justice Court Clerk
Calhoun County, Pct 2
201 W Austin
Port Lavaca, TX 77979
361-553-4622
361-553-4625 fax
1
4
HEAR FROM JUSTICE OF PEACE PRECINCT #2 REGARDING JUVENILE CASE MANAGER FEE:
Per Commissioner's Court action the Juvenile Case Manager Fund was opened September 9, 2010 for court costs
collected under CCP 102.0174. Expenditures restricted to paying salary/benefits of juvenile case manager
employed pursuant to CCP 45.056.
Judge Duckett:
By state law, truancy cases are required to have full time Case Managers. The City of Port Lavaca instituted a
Juvenile Case Manager position a few months ago. All of the truancy and discipline cases from CCISD will be
filed with the city beginning this next school term.
In light of this new information on behalf of my office and the other JP offices I am asking the court two things:
1. We do away with the position of Juvenile Case Manager from the County and stop collecting the
additional $5.00 fee added to the fine per ticket for that line item and
2. We have a cash balance of $16,790.00 in the account as of May 31, 2012. This amount is designated
by the state for salary and benefits only for this position. The remainder of the money will be turned
back over to the auditor's office (6-weeks of salary needed for closing out the case files). Yvonne used
to work for Judge Duckett and is willing to come in for the approximate six-week period needed to audit
and close out the accounts.
The county does not have anyone that can be designated as a full time truancy case manager. The employees
now with the JP courts do not have the additional time needed to cover the cases along with their current
duties; therefore, as of August 1", the courts want to be allowed to hire someone temporarily to audit all the
juvenile files in order to close them out. This will meet the state's requirements and fulfill the county's
obligation on how the money was collected and spent.
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch.
Discussion:
Public: Why is the city taking on this that the county already had in place?
Judge Duckett: The JP's do not have a full time person to be a case manager and the city does.
Public: But we had already established a fund of which there is $17,000 in there and we had already
establiShed that so that we could get to that point. I thought that the county was working on this and then we
had a good rapport with the children and the parents and I just wonder why a good thing is being taken from
us?
Judge Duckett: The reason for it is because the we doesn't have a full time person to do that. State law
requires that a case manager be a full time employee and they can do that and do other duties also. The main
duty would be case manager. The city decided they would do that.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
The city of Port Lavaca has instituted a Juvenile Case Manager position a few
months ago. All of the truancy and discipline cases from CClSD will be filed with
the city beginning this next school term.
In light of this new information on behalf of my office and the other JP offices I
am asking the court two things....
1. We do away with the position of Juvenile Case Manager from the County
and stop collecting the additional $5.00 fee per ticket for that line item and
2. We have approx $16,000 in the account currently. This amount is
designated by the state for salary and benefits only for this position.
Please allow us to hire someone temporarily to audit all our juvenile files to close
them out. This will meet the state's requirements and fulfill our obligation in how
the money was collected.
June 28, 2012
James W. Duckett
Justice of the Peace, Pet. 2
44033
44061
44062
44063
44064
44065
46010
Fund 2699 - JUVENILE CASE MANAGER FUND
5/31/12
FEES.COUNTY COURT .JUSTICE SYSTEM
FEES.JUSTICE OF PEACE. PRECINCT #1
FEES.JUSTICE OF PEACE PRECINCT #2
FEES.JUSTICE OF PEACE PRECINCT #3
FEES.JUSTICE OF PEACE PRECINCT #4
FEES.JUSTICE OF PEACE PRECINCT #5
INT INC.GENERAL GOVERNMENT
271.13
1.775.77
1,528.00
610.00
740.00
90.00
11.48
ITotal revenue for S months
5,026.381
ICash balance 5/31/12
16.790.691
Fund opened 9/9/10 per commissioners court action to account for court costs collected under
CCP 102.0174. Expenditures restricted to paying salary/benefits of juvenile case manager
employed pursuant to CCP 45.056.
Susan Riley
From:
Sent:
To:
Subject:
Attachments:
./
(]
Cindy Mueller [cindy.mueller@calhouncotx.org]
Wednesday, June 20,201211:14 AM
'Susan Riley'
Agenda Item Request
Final Project Reconciliation_County Auditor.pdf
Please place the following item on the agenda for May 28, 2012:
. CATNA to reclassify $480.79 from General Fund loan to a Transfer In for Magnolia Beach Jetty Construction
Project resulting from TPW grant exclusion of pre-agreement costs.
Cindy Mueller
Calhoun County Auditor
2025. Ann, Suite B
Port Lavaca, TX 77979
Phone 361.553.4610
Fax 361.553.4614
1
RECLASSIFY $480.79 FROM GENERAL FUND LOAN TO A TRANSFER IN FOR MAGNOLIA BEACH
JETTY CONSTRUCTION PROJECT RESULTING FROM TPW GRANT EXCLUSION OF PRE-AGREEMENT
COSTS:
Expenses incurred on the Magnolia Beach Jetty Construction Project were $172,393.71. The costs prior to
September 1, 2009 not allowed by the TPW Grant contract were $2,241.25 leaving an allowable expense of
$167,358.95. Of that amount 75% is of the reimbursable Allowable Expense is $125,519.21 which leaves a
balance of $480.79 to be paid on G & W Invoices.
Requesting $480.79 from the General Fund Loan to cover these expenses.
A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
CALHOUN COUNTY, TEXAS
Nannal Trial Balance - OTH FUNDS TB-LAST MONTH - Unposted Transactions Included In Report
From 111/2011 Through 6/20/2012
5289. CAP.PROJ..MAGNOLlA BEACH JETTY CONSTRUCT
Account Code
Account Title
Debit Balance
Credit Balance
10010
20610
4318S
624S4
62740
64640
73296
91010
CASH.A V AILABLE
DUE TO GENERAL FUND
FEDERAL GRANT
ENGINEERING SERVICES
GRANT SERVICES
PERMITS
JEITY CONSTRUCTION
TRANSFERS FROM GENERAL FUND
,-------------------1
~ 135,846.21 ~
I 144,652001
I I
-------- -----~~;~~
10,531.90
7,000.00
13,361.81
141,500.00
Plus $8,325.00*
Plus $8,325.00*
46,393.71
Total 5289 - CAP.PROJ.-MAGNOLIA
BEACH JEITY CONSTRUCT
308,239.92
308,239.92
Report Total
308,239.92
308,239.92
Report Difference
0.00
PROJECT RECONCILIATION
Total County Expense
Pre-agreement costs incurred June 2009
G&W invoices; costs prior to 9/1/09 not
allowable per TPW grant contract
172,393.71
Total TPW Allowable Expense
75% of Allowable Expense Reimbursable
Budgeted grant share
Actual grant share reimbursed*
Additional county share (reclassify from GF
loan to GR transfer in)
(2,241.25)
(2,793.51)
167,358.95
125,519.211
(126,000.00)
125,SI9.21
(480.79)1
Date: 6120J2012,12:03PM
Page:l
DAVID ROBERTS
WANDA ROBERTS
ANNE MARIE ODEFEY
SANDRA WITTE
ROBERTS, ROBERTS, ODEFEY & WITTE, LLP
ATTORNEYS AT LAW
2206 HIGHWAY 35 NORTH
POST OFFICE BOX 9
PORT LAVACA, TEXAS 77979
(0
TEL: 361.552.2971
FAX: 361.552.5368
eARLY W WALL
June 15, 2012
VIA HAND DELIVERY
Ms. Susan Riley
Calhoun County Commissioner's Court
Calhoun County Courthouse
211 S. Ann Street
Port Lavaca, Texas 77979
Re: lnterlocal Cooperation Contract Between
the City of Point Comfort and Calhoun County
Dear Susan,
Enclosed is an lnterlocal Cooperation Contract between the City of Point Comfort
and Calhoun County which was approved by the City of Point Comfort City Council in
connection with the captioned matter. The City is seeking its annual renewal of the
enclosed contract. I would appreciate your placing this item on the agenda for the next
regular meeting of the Commissioners Court and advising me as to when that date will
be.
Should you have any questions, please do not hesitate to contact me.
Yours truly,
ROBERTS, ROBERTS, ODEFEY & WITTE, LLP
C:W. Wa)~~
CWW /tk
Enclosure:
cc: Pam Lambden, Mayor
City of Point Comfort
P. O. Box 497
Point Comfort, Texas 77978
~~1...Q~ -
~&-'-- ~
INTERLOCAL COOPERATION CONTRACT BETWEEN THE CITY OF POINT COMFORT AND CALHOUN
COUNTY FOR THE REGULATION OF SUBDIVISIONS IN THE CITY'S EXTRATERRITORIAL
JURISDICTION:
An Interlocal Cooperation Contract between the City of Point Comfort and Calhoun County was approved by the
City of Point Comfort City Council. The City is seeking its annual renewal of the contract. It is the same
agreement that we have had every year.
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy.
Discussion:
Public: Would be nice if they required bonds for construction.
Judge Pfeifer: Have not had any [bonds in past] but they still can regulate them.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
INTERLOCAL COOPERATION CONTRACT
STATE OF TEXAS S
S
COUNTY OF CALHOUN S
KNOW ALL MEN BY THESE PRESENTS:
This Interlocal Cooperation Contract is made and entered into by and between
the City of Point Comfort (hereinafter "City"), a political subdivision of the State of Texas,
acting by and through its duly elected City Council, and pursuant to resolution thereof, and
Calhoun County (hereinafter "County"), acting by and through its duly elected Board of
Commissioners, and pursuant to resolution thereof.
WITNESSETH:
1. This agreement is entered into between the City and the County pursuant to TEX.
GOV'T CODE S791.001 et seq and TEX. LOCAL GOV'T CODE S242.001, et seq. The
purpose of this Interloca1 Contract is to provide for the regulation of subdivisions in the
City's extraterritorial jurisdiction, which area is currently regulated by County. The parties
agree to the terms below.
2. The City by law has an extraterritorial jurisdiction of one-half of one mile.
3. Texas Local Government Code S242.00 1 provides that City and County may enter
into a written agreement that identifies the governmental entity authorized to regulate
subdivision plants and approve related permits in the extraterritorial jurisdiction ofthe City.
4. This contract must be amended by City and County if necessary to take into
account an expansion or reduction in the extraterritorial jurisdiction of City. City shall notiry
County of any expansion or reduction in City's extraterritorial jurisdiction.
5. County hereby designates City the exclusive jurisdiction to regulate subdivision
plats and related permits in the extraterritorial jurisdiction of City and to regulate
subdivisions under Texas Local Government Code Chapter 212, Subchapter A and other
statutes applicable to municipalities.
6. This agreement shall be effective from the date that the last party to the agreement
approves it, and shall continue in full force and effect for a period of one year from such
date. This agreement may be extended by mutual agreement and resolution of the City and
the County for unlimited additional terms of one year each. There shall be no limit on the
number of extensions, provided that both parties agree.
7. Each party to this agreement has adopted a resolution authorizing the presiding
officer of each of the respective parties to this agreement to execute said agreement, which
agreement shall be binding upon both the City and the County, their respective successors
and assigns.
EXECUTED IN MULTIPLE ORIGINALS by the Mayor ofthe City of Point Comfort
and the County Judge of Calhoun County on the dates hereafter stated.
CITY OF POINT COMFORT
By: 7!~ cL?X~
Pam Lambden, Mayor
Date of Execution: Vi /11/12-
2
ATTEST:
COUNTY OF CALHOUN
By: f\^A<A~ ~~
Mike Pfeifer, C nty udge
Date of Execution: t -.J.. 'is - I ?-
ATTEST:
L~~L t~fU~~
~ita . eke, Calhoun County Clerk.l!;: ~u..\\
3
Kenneth W. Finster
1
County Commissioner
County of Calhoun
Precinct 4
June 18,2012
Honorable Michael Pfeifer
Calhoun County Judge
211 S.Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Pfeifer:
Please place the following item on the Commissioner's Court Agenda for June 28, 2012.
o Consider and take necessary action to close Water Street between 13th & t 5th streets
in Port O'Connor, Texas on July 20 & 21,2012 tram 12:00 pm - 2:00 am for the Poco
Bueno Fishing Tournament.
Sincerely,
~~.J~
Kenneth W. Finster
KWF/at
P.O. Box 177' Seadril1, TX 77983 . email: kenny.f1nstel'@.calhollllcotx.org' (361) 785-3141 . F,lX (361) 785-5602
REQUEST TO CLOSE WATER STREET BETWEEN 13TH AND 15TH STREETS IN PORT O'CONNOR,
TEXAS ON JULY 20TH AND 21ST, 2012 FROM 12:00 P.M. - 2:00 A.M. FOR THE POCO BUENO
TOURNAMENT:
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy.
Discussion:
Judge Duckett: We may have to change the street due to the changes in weigh-in for the headquarters.
Commissioner Finster: Any changes they want to make, bring them to me and we wiil get it worked out.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
CINDY MUELLER 8'"
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: June 22, 2012
RE: AGENDA ITEM- JUNE 28, 2012
AGENDA ITEM
THURSDAY, JUNE 28, 2012
~ Consider and take necessary action to approve Change Order in the amount of
$3,729.00 for the Calhoun County Health Department Renovation. (MP)
CHANGE ORDER IN THE AMOUNT OF $3,729.00 FOR THE CALHOUN COUNTY HEALTH DEPARTMENT
RENOVATION:
It is still within the $25,000 budget.
Barefoot Construction & Remodeling submitted a proposal for a change order to contract for
A Desk and Installation in the amount of $985.00
A Exterior Door Replacement in the amount of $1,269.00
A Office Repairs / Remodel in the amount of $1,475.00
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
f'recESllnmlt's
Proposal
H361.552-3717
C361-655-1136
Proposal Submitted To:
I Calhoun County Health Department
Address:
17 W. Ash
Port Lavaca, TX. 77979
Date:
I April 20, 2012
Phone # Fax #
I "fa I nla
Respectfully
Job Name:
I Remodel/Repair Building
Job Location:
Office Com lex
Job#
I n/a
Date of Plans:
I April 20, 2012
Designer/Architect
I Mark Barefoot
Submitted
CHANGE ORDER TO CONTRACT
RECEPTION DESK
This Desk to Have a File Drawer Stack on the Right End and a Pencil Drawer in the Middle
the top to be 24" wide and approximately 5' Long. All Commercial Laminate Construction.
To be Installed in the Newly Remodeled Reception room. Drawing of this desk, attached to Proposal.
EXTERIOR DOOR
Remove a 36" Wide Exterior Door. Repair Jambs and Threshold. Install and Paint a New
Solid 36" Door. Using existing Lockset and Deadbolt.
INCOMPLETE OFFICE REMODEL
Finish The Remodeling of Two wall in The Back Office of the Health Dept. Building.
Repair Insulation, Sheetrock, Molding(s) and Texture. This Repair Includes all Painting and Trim
to Restore the Unfinished Portion of the Remodel.
Desk and Installation $ 985.00
Exterior Door Replacement $1,269.00
Office Repairs / Remodel $1,475.00
We propose hereby to furnish material and labor - complete in accordance with the above
specifications for the sum of $3,n9.00
IJ/1&I
1/z3) ?--
Acceptance of Proposal
I The above prices, speCifications and conditions are
satisfactory and are herby accepted. You are authorized
to do the work as specified.
Signature
Witness
Note: This proposal may be
EXECUTNE COMMITTEE
President
Devid Bird
Judge, Gonzales County
1st Vice-President
Kenneth Finster
Commissioner, Caihoun Co.
2"d Vice-President
Wayne Dienam
Citizen, Victoria
3'" Vice-President
Cindy Mcintosh
Citizen, Moulton
Secretary-Treasurer
Annie Rodriguez
Mayor, City of Yoakum
Director-at-Large
Roben A. Kubena
Municipal Judge, Halietlsville
Director-at-Large
Don Polzin
Citizen, Victoria
Director-at-Large
Julio Espinosa
Municipal Judge, Edna
Immediate Past President
Clinton Tegeler
Mayor, City of Ganado
Executive Director
Joe E. Brannan
q
GOLDEN CRESCENT REGIONAL PLANNING COMMISSION
c
120 S. Main Street, Suite 210, Victoria, TX 77901
(361) 578-1587 / Fax (361) 578-8865
www.gcrpc.org
Golden Crescent Economic Development District
TO:
RECEIVf:D
MemberCountiesJUr; 21 .
Golden Crescent Region 22,';
(",..<~ Miket>< "-
Appointments to the General Assembly aJfurm)l1ff18f'V~flrs
OUnty J
June 19 2012 . lidg,}
,
RE:
DAlE:
Under the Golden Crescent Regional Planning Commission (GCRPC) By-laws it is time
to designate your representatives to the Planning Commission. The appointments
become effective September 1, 2012. Each of you, as a member, is entitled to have two
representatives to the General Assemblv. These representatives "shall be appointed by,
and be a member of the Commissioners' Court".
Further, each county is entitled to designate ~ of its General Assembly representatives
to sit on the Board of Directors. Such designation may be in addition to officers elected
at the annual meeting in August.
Enclosed is a list of representatives from each respective county that are currently serving
as members of the General Assembly and on the Board of Directors. The representatives
will continue to serve until replaced. If you have any questions or need any additional
information please contact myself or Rhonda Stastny at (361) 578-1587, ext. 208 and 216
respectively.
Sincerely,
~--_._.__..
~
Joe E. Brannan
Executive Director
Enclosure
Servina Calhoun. DeWitt. Goliad. Gonzales. Jackson. Lavaca and Victoria counties
Equal Opportunity / Affirmative Action Employer
APPOINTMENT TO GOLDEN CRESCENT REGIONAL PLANNING COMMISSION GENERAL ASSEMBLY
AND BOARD OF DIRECTORS:
Per Golden Crescent regional Planning Commission (GCRPC) By-laws it is time to designate representatives to
the Planning Commission. The appointments become effective September 1, 2012. The County is entitled to
have two (2) representatives to the General Assembly. These representatives "shall be appointed by, and be a
member of the Commissioners' Court".
Each county is entitled to designate one (1) of its General Assembly representatives to sit on the Board of
Directors. Such designation may be in addition to officers elected at the annual meeting in August.
The current representatives serving as members of the General Assembly for Calhoun County are Commissioner
Roger Galvan and Commissioner Neil Fritsch. The current representative serving as member of the General
Assembly Board of Directors is Roger Galvan. These representatives will continue to serve until replaced.
This item was skipped at this time.
JOIN COASTAL WINDSTORM COALITION, AS PART OF 14 COASTAL COUNTIES, TO STOP TWIA
BOARD FROM PARTITIONING COASTAL COUNTIES AND IMPLEMENTING A SURCHARGE ON NON-
TWIA POLICIES TO THESE COASTAL COUNTIES AND TAKE ACTION TO FUND CALHOUN COUNTY
COALITION DUES IN THE AMOUNT OF $10,000.00:
The Texas Windstorm Insurance Agency (TWIA) is governed by the Texas Department of Insurance (TDI). The
TDI Commissioner has proposed a set of rules (not yet published in the Texas Register) that will create a
surcharge to all non TWIA policies such as auto, homeowners and commercial property in the event of
catastrophic windstorm event in the fourteen (14) coastal counties.
On May 15th, the TWIA Board approved a 5% rate increase effective January 1, 2013 but delayed until August
the consideration of a rate plan that will partition each coastal county so that the areas near the gulf will have
huge rate increases.
The present goals of the Coastal Windstorm Coalition are to:
1) to delay the rules proposed by the TDI Commissioner
2) to stop the TWIA Board from partitioning the coastal counties
3) to pass a bill in the next legislature that will abolish TWIA and make the property insurance policies
sold in the fourteen (14) counties the same as policies in the rest of the state
Calhoun County is invited to join the coalition by investing $10,000.00 to defray expenses. All money in the
coalition will be in a separate bank account and not co-mingled with Chamber funds. Also, anytime any investor
wishes to see the accounting of the money, it will be available.
Judge Pfeifer:
I have been going to meetings up and down the coast and explained that TWIA wants to have fourteen
(14) counties removed or partitioned off and excluded Harris County and make them separate. TWIA
would to have the ability to sell bonds to fund TWIA. Basically those partitioned coastal counties would
have to be pay those bonds back. They have already approved a 5% rate increase effective January
2013 which has been delayed until August. If they partition us off, they will have a surcharge on
automobiles, homeowners' insurance and commercial property insurance to help fund TWIA or to help
actually pay the bonds off. In the event of a major incident, hurricane or something like that, they use
that money and then they can turn around and sell more bonds which we'll be responsible to pay back
and we have no control over it. They are partitioning off the fourteen (14) coastal counties to do that.
In the event of a major hurricane, there might be damage four, five or six counties inland that are
possibly going to be able to draw out of TWIA but they are not going to have the more expensive rates
and their auto, home or boat insurance will not have the surcharge added to it.
So what I'm asking for today is the $10,000 to join this coalition with the fourteen (14) coastal counties
working with the Corpus Christi Chamber for attorney's fees in hopes to delay the rules proposed by the
TDI Commissioner and stop TWIA board from partitioning the fourteen (14) coastal counties.
Roger Galvan:
Need to put some kind of reference to coastal on that board (or any of the boards) saying this is for the
coastal counties and other counties further inland won't be able to use the money for sandstorms or
tornadoes or whatever they have up there.
Judge Pfeifer:
We hope to pass a bill in the next legislative session to abolish TWIA and make the insurance policies
sold to the fourteen (14) coastal counties the same as the policies sold to the rest of the state. I think
we need to get involved in it for our constituents.
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
g)
CORPUS CHRISTI
CHAMBER OF COMMERCE
Prosperity. Together.
10
June 5, 2012
RECEIVED
Honorable Michael J. Pfeifer
Calhoun County Judge
211 S. Ann St., Suite. 30 I
Port Lavaca, Texas 77979
JUj'l 0 G L'fP?
'-.1.....
Mike Pfeifer
Calhoun County Judge"
Dear Honorable Pfeifer,
The Corpus Christi Chamber of Commerce has been involved in the struggle to keep
windstorm insurance affordable and accessible to the residents ofthe 14 coastal counties since
2009. The last two legislative sessions have been difficult, but we were able to keep our losses at
a minimum and protect the citizens ofthe coast. Recent developments have raised the alann and
promise to make our quest for affordable accessible windstorm insurance even more difficult.
The Texas Windstorm Insurance Agency (TWIA) is now governed by the Texas
Department ofInsurance (TDI). The TDI Commissioner has proposed a set of rules (not yet
published in the Texas Register) that will create a surcharge to all non TWIA policies such as
auto, homeowners and commercial property in the event of a catastrophic windstorm event in the
14 coastal counties.
On May 15"', the TWIA Board approved a 5% rate increase effeCtive January 1,2013 but
delayed until August the consideration of a rate plan that will partition each coastal county so that
the areas near the gulf will have huge rate increases.
In order to deal with these issues and to prepare for the upcoming legislative session we
have already done several things:
I. In conjunction with the Galveston Chamber, we have formed the Coastal
Windstorm Coalition in the hope of uniting all 14 coastal counties.
2. We have met twice with the TDI Commissioner
3. We have hired a political consultant in Austin. The consultant is Eddie
Cavazos who is a former State Representative, was Chair of the Texas House
of Representatives Insurance Committee, and is a former TDI Commissioner
4. The Chamber along with the Galveston Chamber sponsored a Coalition
meeting in Galveston on June 1,2012.
5. On June 4, 2012, a delegation from the Corpus Christi Chamber of
Commerce met in Austin with senior officials from the Governor's, Lt.
Governor's and the Speaker's office.
6. We have begun efforts to raise funds to pay for the consultant, research, and
lawyers necessary to deal with legal issues.
At present our goals are three fold:
I. To delay the rules proposed by the TDI Commissioner
2. To stop the TWIA Board from partitioning the coastal counties
1501 North Chaparral Street Corpus Christi, Texas 78401 361.881.1800 ph 361.882.4256 fax www.corpuschristichamber.org
3. To pass a bill in the next legislature that will abolish TWIA and make the
property insurance policies sold in the 14 coastal counties the same as policies in
the rest of the state.
We invite the County of Calhoun to join our coalition by investing $10,000 to defray
expenses. All money in the coalition will be in a separate bank account and not co-mingled with
Chamber funds. Also, anytime any inyestor wishes to see the accounting of the money, it will be
available.
Thank you for your consideration of our request. If you have any questions or if you need
someone to make a presentation at a meeting, please let me know.
S;"=IY~ [j)---,~
Foster Edwards
President & CEO
Susan Riley
From:
Sent:
To:
Subject:
Attachments:
(I
Mike Pfeifer [mike.pfeifer@calhouncotx.orgl
Friday, June 22, 20128:08 AM
'Susan Riley'
FW: Resolution for Calhoun County
Resolution CC-DRAFT.docx
agenda
From: LaMarriol Smith [mailto:LSmith(alobra.orol
Sent: Wednesday, May 30, 2012 9:37 AM
To: mike,j;1feifeJ:@calhouncotx.org
Cc: Bill West
Subject: Resolution for Calhoun County
Dear Judge Pfeifer,
Per your request, attached to this message is a "draft" of a resolution that the Calhoun County
Commissioners Court might consider with respect to supporting the TCEQ's proposed rules on flows for the
Guadalupe River. Please let us know if we can be of further assistance.
(Sent on behalf of Bill West)
LaMarriol Smith
Chief Strategic Communications and Public Affairs Officer
Guadalupe-Blanco River Authority
(830) 379-5822
1
RESOLUTION IN SUPPORT OF BALANCED GUADALUPE RIVER FLOWS:
The Guadalupe-Blanco River Authority seeks support of their efforts to secure balanced flow regiments in the
Guadalupe River Basin for the benefit of all interests along the river in accordance with Senate Bill 3 (SB-3).
The environmental flow C'e-flow") rules determine the stream flow to Texas' bays and estuaries and has
stakeholders for each regional planning area. E-flow recommendations were submitted to the Texas
Commission for Environmental Quality (TCEQ) by 22 of 2S stakeholders. GBRA, the City of Victoria and the City
of New Braunsfels abstained on the grounds that the recommendations lacked a balance to address water
supply pianning for present and future needs.
As a result of media and editorial campaigns to get TCEQ to change its rules to favor the recommendations, the
Aranasas County Commissioners' Court drafted and passed a resolution signed May 14, 2012 supporting the
unbalanced flow recommendations submitted by the stakeholder group. The twenty-two (22) stakeholders have
no accountability to the residents of the Guadalupe Basin. GBRA requests that Calhoun County support the
TCEQ's proposed revisions to 30 TAC Chapter 298, Environmental Flow Standards for Surface Water, published in
the Texas Register on April 13, 2012
Judge Pfeifer:
I have been approached by different people that have nothing to do with the Guadalupe River or its
watershed to support a resolution to change the flow of the river to allow more water to go to the bay
or whatever. There are some rules in place now through TCEQ Senate Bill 3 and at this time we are
operating under those rules and regulations as far as inflows into the bay.
Unlike Aransas County which doesn't use the water, our county uses the water for industry, City of Port
Lavaca, all the rural water supply, Port O'Connor, three (3) industrial plants and the rice farmers and the
row crop farmers.
Judge Pfeifer presented the Calhoun County Resolution in Support of Balanced Guadalupe River Flows and read
the document into the Commissioner's Court and urged final adoption ofthe resolution.
A Motion was made by Judge Pfeifer and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
May 18, 2012
The Honorable Michael Pfeifer
Calhoun County Judge
211 S. Ann St., Rm. 217
Port Lavaca, TX 77979
Dear Judge Pfeifer,
This correspondence comes to you as a matter of information regarding the Senate Bill 3
process as related to environmental flows (or "e-flows") rules being established for the
Guadalupe River Basin. This process, which was set up to determine stream flow to Texas'
bays and estuaries, has a set of stakeholders for each regional planning area. The planning
group in which the Guadalupe-Blanco River Authority (GBRA) falls is comprised of 25
stakeholders. These stakeholders, with the exception of GBRA, the City of Victoria and the
City of New Braunfels, submitted e-flow recommendations to the Texas Commission for
Environmental Quality (TCEQ). The primary reason for the three abstentions on the
recommendations was lack of balance to address water supply planning for present and
future needs. I have attached a copy of my op-ed column that ran in the Victoria Advocate.
Recently, the other stakeholders launched a media and editorial campaign designed to get
TCEQ to change Its rules to favor their e-flow recommendations. A recent result of those
efforts was getting the Aransas County Commissioners Court to draft and pass a resolution,
signed May 14, 2012, supporting the unbalanced flow recommendations submitted by the
stakeholder group.
It is nothing new for San Antonio interests to attempt to dictate to other municipalities and
interests downstream what amount of water should or should not be available to them for
future planning because San Antonio's needs at least have been partially addressed through
the recently completed Edwards Aquifer Recovery Implementation Program. The e-flow
recommendations by the other 22 stakeholders - who have no accountability to the
residents of the Guadalupe Basin .- will put the economic future of this region in jeopardy.
The GBRA has the responsibility of considering the needs of all the users within its basin and
statutory district. I hope you will join me In rebuffing their efforts by considering the
submission of your own resolution in support of the TCEQ's more balanced approach with its
proposed rules for environmental flows on the Guadalupe River.
Thank you in advance for your consideration of this request and your support of GBRA's
efforts to secure balanced flow regiments In the Guadalupe River Basin for the benefit of all
interests along the river.
Sincerely,
~:t'~}
/
William "Bill" E. West, Jr.
General Manager
Main Olli,e: 933 East (oarl St".1 " S.guln, Tex., 78155
830.379.5822 " 800.413.4130 - 830.379-9718 fox - www.gbro.org
April 27, 2012
Op-Ed:
Balance Needed in Water Flow Protections
The environmental flows (or "e-flows") process set up as part of Senate Bill 3 to determine
stream flow to Texas' bays and estuaries has a set of stakeholders for each regional
planning area. The planning group in which the Guadalupe-Blanco River Authority (GBRA)
falls is comprised of 25 stakehoiders. These stakeholders, with the exception of GBRA, the
City of Victoria and the City of New Braunfels, submitted e-flow recommendations to the
Texas Commission for Environmental Quality (TCEQ) that failed to meet the SB-3
requirement of balance "in conjunction with other factors, including the present and future
needs for water for other uses related to water supply planning."
Nevertheless, TCEQ published Proposed Revisions to the 30 TAC Chapter 298,
Environmental Flow Standards for Surface Water that more closely meet the balanced
approach required by SB-3.
Since then, those stakeholders have launched a media/editorial campaign aimed at getting
TCEQ to change its rules to favor their e-flow recommendations, even though the legislation
clearly indicates the TCEQ "shall consider" the stakeholder recommendations and other
factors - not that those recommendations take precedent over TCEQ.
The stakeholders who want less water for the growing population of humans in the
Guadalupe River Basin have expressed satisfaction that "protections for the San Antonio
River and Mission River basins remain" but lament that "few protections for the Guadalupe
River were incorporated into the rules." Yet, it Is GBRA that has statutory jurisdiction over
the Guadalupe River and is responsible for either providing or developing surface water
supplies to meet the growing water needs within the Guadalupe River Basin.
It is tempting, on this issue, to cast one side as pro-environment and the other as pro-
development. But it is not that simple.
GBRA's stewardship of the Guadalupe River encompasses 10 counties, stretching from the
Hill Country to the coast. U.s. Census Bureau data indicated a 35 percent increase in the
Guadalupe River Basin population from 2000 to 2010. Hays County alone grew dose to 70
percent and Comal County saw a nearly 40 percent Increase, while Victoria also is seeing
new economic activity for its citizens. The people of these 10 counties depend on the
Guadalupe River, in all or part, for water - water for homes, businesses, agriculture,
municipal and recreational uses.
The other stakeholders have no accountability for providing water to the residents and
businesses of the Guadalupe River Basin. No surprise, then, that they are not as sensitive to
the needs of this growing area and support an unbalanced approach to environmentai flow
regimes favoring maximum in-stream flows and set-asides for bays and estuaries on the
coast.
But do not think that GBRA is not sensitive to the health of the state's coastal bays and
estuaries, as well as the run of the river itself. It is GBRA that since 2001 has worked to
enhance habitat for the endangered whooping crane with its partner the Guadalupe-Bianco
River Trust. It is GBRA that in 2002 initiated and provided significant funding for a $2
million study by Texas A&M on the needs and feeding habits of the whooping crane, and it
was GBRA that joined the Sierra Club in 1990 in a suit to halt over-pumping of the Edwards
Aquifer to protect the endangered species that call the Comal and San Marcos springs
home.
All the stakeholders saw the same scientific data. That data clears shows that the
Guadalupe River Basin is healthy, even in spite of the drought. Further, there is no question
that a simplified environmental flow regime, as prescribed in TCEQ's proposed rules, would
both promote a sound ecology and be consistent with the urgent need to provide for the
deveiopment of additional water supplies in the Guadalupe River Basin.
New water projects frequently take a decade or more to put in place. Restricting existing
surface water permits is not the way to get a project done. The rules proposed by TCEQ,
which also understands the need for balance, would allow the development of badly needed
new water supplies without penalizing a growing population. Specifically relevant for those
who live in the Guadalupe River Basin, the proposed TCEQ rules, if sensibly refined, will
allow GBRA to serve this high-growth region.
The e-flow recommendations by the other 22 stakeholders - who have no accountability to
the residents of the Guadalupe Basin - will put the economic future of this region in
jeopardy.
It is time for a common-sense approach to managing water. Sound science demonstrates
the stewardship of the Guadalupe River has kept the river healthy. Let's celebrate that and
work to develop new sources of water to serve our people, businesses, and municipalities
while continuing to protect the environment. The historic drought that has just scorched
Texas already has begun slipping from our thoughts. Short memories have never produced
new water supplies.
2012 UGRA Board of Directors
RESOLUTION NO. 2012-05
RESOLUTION OF THE BOARD OF DIRECTORS OF THE UPPER GUADALUPE RIVER
AUTHORITY (UGRA) SUPPORTING THE TEXAS COMMISSION ON
ENVIRONMENTAL QUALITY'S (TCEQ) PROPOSED ENVIRONMENTAL FLOW
STANDARD RULES
WHEREAS, the Upper Guadalupe River Authority ("UGRA") is a duly created and existing
conservation and reclamation district and political subdivision of the State of Texas created and
operating under applicable general and special laws of the State of Texas, including without
limitation, Chapters 30, 49,50,51 and 54 of the Texas Water Code, as amended;
WHEREAS, UGRA's vision statement reflects the Board of Director's goal to balance the
development and conservation of the water resources, and the protection of the environment:
"The Upper Guadalupe River Authority is a highly respected steward in managing the
watershed and water resources of the Upper Guadalupe River benefiting both people and the
environment. ";
WHEREAS, UGRA, though not granted a voting position on the SB3 Stakeholder Group for
the Guadalupe, San Antonio, Mission and Aransas Rivers and Mission, Copano, Aransas, and
San Antonio Basin and Bay Systems, is directly impacted by the SB3 stakeholder process and
generally supports the SB3 process;
WHEREAS, the Plateau Water Planning Group (Region J), in which UGRA participates, has
identified the need for development of additional water supplies to meet future demands within
the region over the 50-year planning horizon;
WHEREAS, UGRA believes that the Texas Commission on Environmental Quality's (TCEQ)
proposed revisions to 30 TAC Chapter 298, Environmental Flow Standards for Surface Water
published in the Texas Register on April 13, 2012, properly balances the Guadalupe River
Basin's water supply development needs with environmental needs;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS OF THE
UPPER GUADALUPE RIVER AUTHORITY THAT:
SECTION 1. The facts and recitations in the preamble of this resolution are hereby
found and declared to be true and cOI'l'ect, and are incorporated by reference herein and
expressly made a part hereof, as if copied verbatim.
SECTION 2. The Board of Directors of UGRA generally suppmts TCEQ's proposed
revisions to 30 T AC Chapter 298, Environmental Flow Standards for Surface Water, published
in the Texas Register on April 13, 2012 and urges final adoption thereof;
SECTION 3. The Board of Directors of UGRA believes that there is merit to the
Guadalupe-Blanco River Authority's (GBRA) position that a simplified instream flow regime
of one tiel' of subsistence flows, one tier of base flows, and one tiel' of pulse flows is sufficient
to provide and protect a sound ecological environment in the Guadalupe River Basin, and urges
TCEQ to consider thc GBRA recommendations with respect thereto; and
SECTION 4. The Board of Directors of DGRA further believes there is merit to
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GBRA's proposal that the stakeholder committee recommendations for additional rules for
bays and estuaries are not needed since compliance with instream environmental flow
standards will maintain a sound estuarine ecological environment, and urges TCEQ to consider
the GBRA's recommendations with respect thereto.
ADOPTED this 25th day of April, 2012.
President, Board of Directors
ATTEST:
'Jppd/!~~
Secretary-Treasurer, Board of Directors
"" ,_,."~_<"m___,_,~,"______,_______^__~'~~M"'._"="'~'_~"."'~"~".-F,,,~,,,--,=,='''-==''cJ.n>''''''_
CALHOUN COUNTY RESOLUTION
IN SUPPORT OF BALANCED GUADALUPE RIvER FLOWS
WHEREAS, Calhoun County, organized in 1846, is a coastal county on the mid-Texas
coast with 560 miles of coastline and u.s. Highway 87 begins and the Guadalupe River ends,
and Port Lavaca is its county seat; and
WHEREAS, Calhoun County is one of the counties included as part of the lO-county
statutory district of the Guadalupe-Blanco River Authority (GBRA) and therefore direcrly
affected by the Senate Bill 3 (SB-3) process for determining and implementing an
environmental flow regime; and
WHEREAS, the SB-3 process comprised a set of stakeholders for each regional planning
area and the planning group in which GERA falls is comprised of 25 stakeholders, and these
stakeholders, with the exception of GBRA, the City of Victoria and the City ofNcw Braunfels,
submitted flow recommendations to the Texas Commission on Environmental Quality
(TCEQ) that failed to meet the SB-3 requirement of balance '<in conjunction with other factots,
including the present and futute needs for water for other uses as related to water supply
planning"; and
WHEREAS, the environmental flow recommendations submitted by the other 22
stakeholders - a number of whom ate comprised of several entities representing the upstream
interests of San Antonio and who have no accountability to the residents of the Guadalupe
River Basin or the downstream interests of Calhoun County and - would put the economic
futute of this region in jeopardy; and
WHEREAS, Calhoun County Commissioners Court believes that the TCEQ's revisions
to 30 TAC Chapter 298, Environmental Flow Standards for Surface Water published in the
Texas Register on April 13, 2012, properly balances the Guadalupe River Basin's water supply
development needs with environmental needs.
Now, THEREFORE, BE IT RESOLVED, that the Calhoun County Judge and
Commissioners' Court by official action of this Court on June 28, 2012, does hereby support
the TCEQ's proposed revisions to 30 TAC Chapter 298, Environmental Flow Standards for
Surface Water, published in the Texas Register on April 13, 2012, and urges final adoption
thereof
SIGNED AND EXECUTED this 28th day of June, 2012.
fJUtA,4 ~ ~?-'
Michael J. PEeiEe , C& Ju ge
(J-
Vern Lyssy
Calhoun County Cotnmissioner, Pet. 2
)/AAN>.f7-1' tt./, ~A.O::7iJ4/
Kenneth W. Finster
Calhoun County Commissioner, Pet. 4
~,,/>>~
Nei E. Fritsch
Ca oun County Commissioner, Pet. 3
Attest: Anita Fricke, County Clerk
,1 '\: R
{"..l~ (_(J-,~.___
, -
By: D ty Clerk
EXECUTIVE SESSION:
The Commissioners Court shall go into Executive Session as authorized by V.T.C.A. Government Code Chapter
551. Following is the subject matter of the Executive Session and the Specific Section of the Open Meetings Act
permitting discussion/deliberation in Executive Session.
(a) Section 551.087
(1) To discuss or deliberate regarding commercial or financial information the the governmental
body has received from a business prospect that the governmental seeks to have locate, stay, or
expand in or near the territory of the governmental body and with which the governmental body
is conducting economic development negotiations; or
(2) To deliberate the offer of a financial or other incentive to a business prospect described by
Subdivision (1)
(b) Section 551.072 to deliberate the purchase, exchange, iease, or value of real property if deliberation in an
open meeting would have a detrimental effect on the position of the governmental body in negotiations with a
third person.
(c) Section 551.071 (2), for the purpose of conducting a private consultation with its attorney on a matter in
which the duty of the attorney to the governmental body under the Texas Disciplinary Rules of Professional
Conduct of the State Bar of Texas clearly conflicts with this Chapter.
Executive Session began at 10:18 A.M.
Executive Session recessed at 10:20 A.M.
Regular Session began at 10:20 A.M.
Regular Session recessed at 10:27 A.M.
Regular Session began at 11:00 A.M.
Regular Session recessed until 3:00 P.M.
Executive Session began at 3:02 P.M. and ended at 4:14 P.M.
MATTERS DISCUSSED IN CLOSED SESSION:
Anne Marie Odefey:
Judge Pfiefer and I worked on a Statement of Intent concerning future tax abatement with Formosa Plastics
Corporation on their expansion that was announced on February 27, 2012. The new expansion amounts will be
1.7 billion dollar expansion that will be located at their Point Comfort facility. The Court already has guidelines
for the granting of tax abatement. The County would like to enter into economic development negotiations
including a tax abatement regarding this project. Hopefully those negotiations would culminate in a tax
abatement agreement by the end of the year. As part of that negotiation, we're asking that Formosa commits.
That if the County grants tax abatement for the project it will negotiate in good faith to make certain
unrestricted cash donations of several million dollars as part of the agreement and that Formosa commits that if
Calhoun County grants tax abatement from the project, part of the cash donation would include $2,000,000
donation designated for the construction of a hospital based clinic facility. All of this is contained in the
Statement of Intent that I have prepared and recommend for the Court to adopt so that you will continue
through your County Judge and proved Commissioners to negotiate in good faith to enter into a tax abatement
agreement. Now in that same vein, this is mereiy a Statement of Intent. It does not bind the Court to grant
future tax abatement nor does it grant Formosa the duty to make these donations in the event an agreement is
not reached. All of this is reduced into the Statement of Intent which I believe is what we discussed in closed
session. I would recommend that you take action if that is the direction we're allowed to go.
A Motion to enter into the Letter of Intent with Formosa regarding their expansion and tax abatement was made
by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster
and Judge Pfeifer all voted in favor.
STATEMENT OF INTENT CONCERNING FUTURE TAX ABATEMENT
FOR FORMOSA PLASTICS CORPORATION. TEXAS EXPANSION
WHEREAS, on February 27, 2012, Formosa Plastics Corporation, Texas (hereinafter
"Formosa") announced plans to invest more than $1.7 billion to expand its Point Comfort site
(hereinafter the "Project"); and,
WHEREAS, Formosa announced the Project will include a new, grass-roots 800,000-
tons-per-year olefins cracker, an associated 600,000-tons-per-year propane dehydrogenation unit
and a new 300,000-tons--per-year low density polyethylene resin plant; and,
WHEREAS, Calhoun County (hereinafter "County") adopted guidelines for the granting
of tax abatement on June 23, 2011; and,
WHEREAS, Formosa is in the process of seeking permits and associated prerequisites for
the construction of the expansion at this time; and,
WHEREAS, Formosa intends to request that the County designate a reinvestment zone
for the project and grant tax abatement (hereinafter "Agreement") for the project before the end
of the year; and,
WHEREAS, the County is presently reviewing options for the remodeling of a facility
and/or construction of a new facility for Memorial Medical Center (hereinafter "the Hospital");
and,
WHEREAS, in the event that Formosa seeks tax abatement, it is anticipated the County
would require certain cash donations be made to the County as part of Agreement; and,
WHEREAS, because of the needs of the Hospital at this time, and the expectation of the
cash donations to be agreed upon between the County and Formosa in the Agreement prior to the
end of the year, the County and Formosa desire to express their future intent in this document
and announce the same to the Public;
1
NOW THEREFORE, let it be KNOWN to all:
1. Formosa intends to expand its facility in the future as announced on February 27,
2012 and seek designation of a reinvestment zone and tax abatement regarding the same with the
County prior to December 31, 2012.
2. The County has adopted Guidelines for the granting of tax abatement dated June
23, 2011 and will consider granting Formosa tax abatement pursuant to those guidelines, which
guidelines provide that the County may provide tax abatement for up to 100% of the project
investment for up to 10 years.
3. In considering the granting of tax abatement, the County will expect Formosa to
make certain cash donations as part of the Agreement.
4. Formosa commits that if the County grants tax abatement for the Project, it will
negotiate in good faith to make certain unrestricted cash donations of several million dollars as
part of the Agreement.
. 5. Formosa commits that if the County grants tax abatement for the Project, part of
the cash donations it shall make shall include $2,000,000.00 (2 million dollars) donation
designated for the construction of a hospital based clinic facility.
6. The County and Formosa intend to continue to negotiate in good faith regarding
all other telms of the anticipated Agreement to be requested by Formosa and considered by the
County on or before December 31, 2012.
7. The County and Formosa agree that this document is merely a Statement of Intent
of how the parties intend to proceed in the negotiation of this Agreement and they agree to
continue to negotiate the Agreement in good faith pursuant to the terms herein.
2
PASSED, ADOPTED AND APPROVED, by a vote of ---2~ for and 0
against on this the 28th day ofJune, 2012.
COUNTY:
COMMISSIONERS COURT
CALHOUN COUNTY, TEXAS
b!/tA#1 ~~
ichae1 J. Pfj Ifer, ounty Judge
ATTEST:
Anita Fricke, County Clerk
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y: :;x.t..-l..t:,t,-..t:k. L.Lk;(:_{~,",i~ of' r"
, Deputy
Agreed to by:
FORMOSA PLASTICS CORPORATION,
TEXAS
c---
~~~
By: Jac u, Agent and Attorney In Fact
3
REVISIONS TO TAX ABATEMENT AGREEMENT WITH FORMOSA PLASTICS CORPORATION, TEXAS
REGARDING FRACTIONATION UNIT THAT WAS PREVOUSLY APPROVED BY COMMISSIONERS'
COURT ON JANUARY 6, 2012
The following revisions were made to the original document:
. Title Page:
o January 26, 2012 changed to June 28, 2012
. Page iii, Number 4
o January 26, 2012 changed to June 28, 2012
. Page 4, Number 7
o 1/1/12 - 12/31/12: 90% changed to 100%
o 1/1/13 - 12/31/13: 90% changed to 100%
o 1/1/14 - 12/31/14: 90% changed to 100%
o 1/1/15 - 12/31/15: 90% changed to 100%
o 1/1/16 - 12/31/16: 85% changed to 100%
o 1/1/17 - 12/31/17: 75% changed to 100%
o 1/1/18 - 12/31/18: 70% changed to 100%
o Added: January 1, 2019 through December 31, 2019 100%
. Page 5, Number 8
o Added: Donation to County. Within two (2) years of the County's approval of this tax
abatement and for other good and valuable consideration, the receipt of which is hereby ac-
knowledge, Formosa Shall cause to be constructed at its own cost and expense a covered rodeo
arena to be located on Calhoun County property as agreed upon between the County and For-
mosa, which improvements shall be donated to the County free and clear after construction is
completed and approved by County. Said construction shall be completed on or before June 30,
2014 unless agreed to in writing between the parties prior to that date.
. Page 5, Number 9
o tax year 2018 changed to tax year 2019
. Page 6, Number 11
o December 31, 2018 changed to December 31,2019
. Page 14
o Removed Item 20 from January 26, 2012 document: Value of Protect After Abate-
ment. Formosa contracts and agrees the estimated value 0 the eligible property that is being
abated will be at least $150,000,000.00 at the end of the term of abatement on January 1,
2019.
. Page 15, Number 21
o Beyond the 2018 tax year changed to beyond the 2019 tax year
. Page 17 EXECUTED
o January 26, 2012 changed to June 28, 2012
A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
TAX ABATEMENT AGREEMENT
between
CALHOUN COUNTY, TEXAS
and
FORMOSA PLASTICS CORPORATION,
TEXAS
($150,000,000.00)
JUNE 28, 2012
EFFECTIVE JANUARY 1, 2012
RESOLUTION APPROVING TAX ABATEMENT AGREEMENT
WHEREAS, on January 26, 2012, Formosa Plastics Corporation, Texas (hereafter
"Formosa") obtained designation of Formosa Plastics Corporation, Texas Reinvestment
Zone 12-01, consisting of certain properties situated in an unincorporated area of Calhoun
County, Texas; and
WHEREAS, by Application dated January 19, 2012 Formosa applied for a Tax
Abatement Agreement for its Hydrocarbon Fractionation project valued at an estimated
$150,000,000.00 that will be located in the unincorporated area of Calhoun County in the
Formosa Plastics Corporation, Texas Reinvestment Zone 12-01; and
WHEREAS, prior to adopting this Resolution, the Commissioners Court of Calhoun
County, Texas held a public hearing on January 26, 2012, at which interested persons were
permitted to speak and present written material for or against the approval of the Tax
Abatement Agreement sought by Formosa; and
WHEREAS, the Commissioners Court of Calhoun County, Texas, after notice as
required by law, has in open meeting discussed the issue of whether to enter into a Tax
Abatement Agreement with Formosa, and being of the opinion that the Application for Tax
Abatement Agreement by Formosa for its expansion should be approved, the Commissioners
Court, upon motion and second, adopts the following resolutions:
BE IT RESOLVED:
ii
1. That the Commissioners Court of Calhoun County, Texas hereby finds that the
terms of the proposed Tax Abatement Agreement for Formosa Plastics Corporation, Texas'
expansion and the property subject to the Agreement satisfy eligibility criteria and other
requirements of the Guidelines and Criteria for Tax Abatement heretofore adopted by the
Commissioners Court on June 23, 2011.
2. The Commissioners Court of Calhoun County, Texas finds that there will be no
substantial adverse effect on the provision ofthe County's services or tax base.
3. The Commissioners Court of Calhoun County, Texas finds that due to the
substantial amount ofthe expenditures and jobs to be created by this project, Formosa should
be granted a variance from the guidelines as to the percentage and number of years of
abatement.
4. The Commissioners Court of Calhoun County, Texas reaffirms Formosa's
Application for Tax Abatement Agreement dated January 19,2012, and approves the Tax
Abatement dated June 28, 2012, subject to the following terms, covenants and conditions
contained in the attached Tax Abatement Agreement.
. 5. Based upon the foregoing findings, the Commissioners Court of Calhoun County,
Texas hereby approves and authorizes the execution of the Tax Abatement Agreement
between the Commissioners Court of Calhoun County, Texas and Formosa a copy of which
is attached to this Resolution, incorporated by reference, and made a part hereof for any and
all purposes.
jji
PASSED, ADOPTED AND APPROVED, by a vote of ~ for and ("') against
on this the 28th day of June, 2012.
ATTEST:
Anita Fricke, County Clerk
By: ~"'iJ-,fr,J!H),V~~"'-r- ~ , Deputy
COMMISSIONERS COURT OF
CALHOUN COUNTY, TEXAS
By:J\.! (1..~
Michael J. ife, ounty Judge
iv
TAX ABATEMENT AGREEMENT
THE STATE OF TEXAS S
S
COUNTY OF CALHOUN S
KNOW ALL MEN BY THESE PRESENTS:
THIS AGREEMENT (hereinafter Agreement) is between Calhoun County, Texas,
(hereinafter County), a political subdivision of the State of Texas, acting by and through its
duly elected Commissioners Court (hereinafter Commissioners), and Formosa Plastics
Corporation, Texas, a Delaware Corporation, with a certificate of authority to do business in
Texas, with a place of business in Calhoun County, Texas (hereinafter "Formosa").
1. Application/Specific Improvements Required. Formosa has filed with the
County an Application for Tax Abatement. The Application was dated January 19,2012. A
copy of the Application is attached hereto, marked Exhibit" 1," and made a part hereof for
any and all purposes.
1.1 Specific Improvements Required. The County hereby approves the Application
for Tax Abatement Agreement expressly upon the condition that Formosa will make the
specific improvements described in its Application. All of the proposed eligible
improvements are to be located in the Formosa Plastics Corporation, Texas Reinvestment
Zone No. 12-01.
1.2 Agreement Governed bv Guidelines. Unless otherwise stated, this Agreement
for Tax Abatement is made and entered into pursuant to and is governed by the Guidelines
and Criteria of the Commissioners Court of Calhoun County, Texas for Granting Tax
1
Abatement in Reinvestment Zones created in Calhoun County, Texas adopted June 23, 20 II
(hereinafter "Guidelines") except as varied by the specific provisions ofthis Agreement and
by the Commissioners' enabling resolution. The Guidelines are hereby incorporated by
reference and made a part hereof for any and all purposes. Subject to any variances
contained in this Agreement, the 2011 Guidelines govern this Agreement. This Agreement is
further subject to the following terms, covenants and conditions.
1.3 Property Eligible for Tax Abatement. The County agrees to exempt from
taxation the percentages of value of the real property in each year covered by this Agreement
only to the extent its value for that year exceeds its value for the year in which this
Agreement is executed. The County also agrees to exempt the value of eligible tangible
personal property described in the Application located on real property in the Reinvestment
Zone in each year covered by this Agreement other than tangible personal property that was
located in the Reinvestment Zone at any time before the execution ofthis Agreement with the
County. This provision shall not affect the eligibility for tax abatement of other
improvements in the Reinvestment Zone as authorized by any prior Agreements with the
County. Tangible personal property that is not eligible for abatement is described in Section
2(f) of the Guidelines and Criteria.
2. Kind, Number and Location oflmprovements. The kind, number and location
of all proposed improvements of the property subject to this Agreement are as contained in
the Application. (See Exhibit "1")
2
3. Inspection of Premises. Formosa hereby expressly agrees to provide access to and
authorize inspection of its property by County officials, employees, and/or their designees to
insure that the improvements described in the Application are made according to the
specifications and conditions stated in the Application and this Agreement, and that Formosa
is complying with the Agreement.
4. Limitation of Use. Formosa shall not make any use of the property that is
inconsistent with the general purpose of encouraging development or redevelopment of the
Reinvestment Zone during the period that the property tax exemptions are in effect.
5. Right of Recapture. The County shall be entitled to recapture all property tax
revenue lost as a result ofthis Agreement, if Formosa fails to make the improvements as
provided by this Agreement, and the Application attached hereto, or in the event of other
specified defaults, after notice and failure to cure, all as more particularly provided in
paragraph 12 of this Agreement.
6. Cost ofProiectlNumber of Jobs. The estimated cost ofthe project as described
in the Application is $150,000,000.00. It is estimated that 20 permanent jobs will be created
as a result ofthe new or expanded facilities. Substantial compliance with these estimates will
be acceptable. Substantial compliance means within 90% of any authorized estimate.
7. Percent of Exemption. Pursuant to the resolution approving this agreement,
Formosa is granted a variance from the County's guidelines as to the percent and number of
3
years ofthe abatement. As such, the percent of exemption to be abated for each year ofthe
abatement period is as follows:
Date
% of Exemption
January 1,2012 through
December 31, 2012
100%
January 1,2013 through
December 31, 2013
100%
January 1,2014 through
December 31,2014
100%
January 1,2015 through
December 31, 2015
100%
January 1,2016 through
December 31, 2016
100%
January 1, 2017 through
December 31, 2017
100%
January 1,2018 through
December 31, 2018
100%
January 1,2019 through
December 31, 2019
100%
7.1. Base year Value. On January 1, 2012, the base year value of land and
improvement will be determined by the Calhoun County Appraisal District at a future date.
7.2. Limitatiou on Amount of Abatement. If the value of an existing facility will be
deleted or diminished as a result of the project, the eligible value of the project to be abated
4
will be limited to the difference between the cost ofthe project and the appraised value ofthe
existing facility that is to be deleted or reduced as a result of the project.
8. Donation to County. Within two (2) years of the County's approval of this tax
abatement and for other good and valuable consideration, the receipt of which is hereby
acknowledged, Formosa shall cause to be constructed at its own cost and expense a covered
rodeo arena to be located on Calhoun County property as agreed upon between the County
and Formosa, which improvements shall be donated to the County free and clear after
construction is completed and approved by County. Said construction shall be completed on
or before June 30,2014, unless agreed to in writing between the parties prior to that date.
9. Duration. The duration of the abatement term shall be eight years commencing
within the taxyear 2012, through the tax year 2019, inclusive.
9.1. Abatement Subiect to Rights of Holders of Outstanding Bonds. Pursuant to
TEx.TAX CODE ~312.204(a), the abatement and exemption of taxes provided in this
Agr~<,ment is subject to the rights of holders of outstanding bonds of the County.
10. Reduction for Closure. Curtailment etc. of Existing Facilities. If, after the
effective date of this Tax Abatement Agreement and during the term ofthe abatement period,
Formosa should close, cease production, or demolish any or all of a facility in Calhoun
County that was in existence on the effective date of this Tax Abatement Agreement, or take
any other similar action that would have the effect of reducing or deleting the value of the
facility, or portion thereof from the tax rolls that was in existence on the effective date ofthis
5
Tax Abat~ment Agreement, regardless ofthe reason, then for the remaining term ofthe Tax
Abat(!ment Agreement, the eligible value for abatement allowed in this Tax Abatement
Agreement shall be reduced by the amount of existing property value owned by the Taxpayer
that is reduced or deleted from the tax roll. Depreciation, agreed to by the Chief Appraiser,
or Appraisal Review Board, shall not be construed as a reduction or deletion of value for
purposes ofthis limitation.
11. Commencement and Termination Dates. The effective date of this Tax
Abatement Agreement shall be January 1, 2012. The abatement granted in this Agreement
shall apply to all eligible improvements described in the Application (Exhibit "1") and placed
in the Reinvestment Zone after the effective date. Taxes will be abated on eligible property
for eight consecutive tax years commencing January 1,2012. Property otherwise eligible for
tax abatement under this Agreement shall be eligible for abatement only if the property is
placed or constructed in the Reinvestment Zone after the effective date of this Agreement,
but on or before December 3 1, 2019.
12. Description of ProiectlEconomic Life. The facilities designated in the
Applieation are part of Formosa's chemical manufacturing process at its Calhoun County
Plant :md specifically are identified as shown in Exhibit" 1" with an economic life of at least
20 years after completion. The nature ofthe construction is more completely described in the
Application. Any part of the improvements described in the Application constructed prior to
the effective date ofthis Agreement shall not be eligible for abatement, but may be counted
6
in determining the value ofthe project. Completion of construction is estimated to occur in
2014.' A complete property description is contained in the Application.
. 13. Default. Notice; Cure. Termination. etc. Should the County determine that
Formosa is in default in the performance of any ofthe terms or conditions ofthis Agreement,
the County shall notifY Formosa in writing at the address stated in this Agreement, and if
such default is not cured within 60 days from the date of written notice, or within an
approved extended curative time as authorized by paragraph 7(a) ofthe County's Guidelines,
this Agreement may be terminated by the Commissioners for cause.
13. I. Events of Default. The folIowing shalI be considered events of default, should
Formosa:
13.1.1. Allow any of its ad valorem taxes owed to the County to
become delinquent without timely and proper protest and/or contest; or
13.1.2. Violate any of the terms and conditions of this or any other
. Abatement Agreement with the County or with any other taxing
jurisdiction that has granted Formosa tax abatement for any projectthat
the County has also granted tax abatement; or
13. 1.3. Discontinue producing the product or service described in the
Application for any reason excepting fire, explosion or other casualty or
. accident or natural disaster for a period of one year during the
7
abatement period after the facility is completed and begins producing
the product or service; or
13.1.4. Violate any written term, covenant, condition, agreement, or
promise of gift or donation made by Formosa to the County, although
such may be extraneous to this Agreement, and even though same may
be otherwise unenforceable; or
13.1.5. Make any material misrepresentation, or omit any material fact
either in the Application or in this Tax Abatement Agreement.
(Material Misrepresentation or omission of a material fact means a false
statement or omission about a material matter which induced the
Commissioners Court to take any specific action on the Application for
Tax Abatement, and without such misrepresentation, the
Commissioners would not have granted this Tax Abatement
Agreement, or would have taken some action different than they
actually did.)
13 .2. Termination Retroactive. Termination ofthe Tax Abatement Agreement for
cause shall be retroactive to the effective date of this Agreement. Termination shall be
effected by resolution of the Commissioners and written notice of termination shall be mailed
to Formosa.
8
13.3. Nonwaiver. In the event the County fails to act on or enforce any element or
breach that is identified as a default, such failure to act shall not be a waiver ofthe County's
right to subsequently enforce the same default or any other prior or subsequent default.
13 .4. Recapture of Taxes. On termination for cause, Formosa shall then become
liable for the payment of all taxes that would have otherwise become due but for this
Abatement Agreement for all calendar years during which the Abatement Agreement was in
effect. Such taxes shall be paid to the Calhoun County Appraisal District to the credit of the
County within 60 days from the date of receipt of notice oftermination. All such taxes shall
include statutory penalty and interest from the date they would otherwise have become
delinquent, as if they had not been abated, until the date they are actually paid.
13.5. Administration and Enforcement. The administration and enforcement of
this Agreement shall be in accordance with the terms contained herein and the Guidelines as
adopted by the Commissioners on June 23, 2011. In the event of any conflict in the terms of
this Agreement and the Guidelines adopted by the Commissioners, the provisions of this
Agreement shall prevail, unless prohibited by law, then the Guidelines adopted by the
Commissioners and their provisions shall prevail.
13.6. Assignment. This Agreement may not be assigned, either in whole or part,
without the express written consent of County. Any assignment is subject to the conditions
contained in the Guidelines and this Agreement. Any attempt to assign this Agreement,
except as provided herein, shall be null and void.
9
14. Tvpe of Lee:al Entity. Formosa represents to the County that it is a corporation,
duly organized, validly existing, incorporated under the laws ofthe State of Delaware, and in
good standing. Formosa further represents it is duly qualified and in good standing under the
laws of the State of Texas and has all requisite power and authority to own and operate
properties and to carry on its business as now being or intended to be conducted. The name
and address of the registered agent for service in Texas is:
C. T. Corporation System
811 Dallas Avenue, Suite 1500
Houston, Texas 77002
Formosa shall notifY the County within 60 days of any change in the registered agent or
status of the corporation.
15'. Notices. Any notices required to be given hereunder, shall be given in writing as
follows:
(a) County:
County Judge
Calhoun County Courthouse
211 S.Ann
Port Lavaca, Texas 77979
(b) Formosa Plastics Corporation, Texas:
Jack Wu, Agent and Attorney in Fact
Formosa Plastics Corporation, Texas
P. O. Box 700
Point Comfort, Texas 77978
. 16. Reimbursement for Fees and Expenses. Within 30 days from receipt of written
notice, Formosa will reimburse the County for any expenses, directly or indirectly incurred
10
by the County for processing and approving the Application for Tax Abatement, preparation
and presentation of this Tax Abatement Agreement, and any other expenses reasonably
incurred by the County in any way related thereto, including all expenses that may be
incurred in enforcing or defending any term, covenant or condition contained in this
Agreement. In the event the County orders a feasibility study of the impact of the
Hydrocarbon Fractionation project on the County during the term of this Agreement,
Formosa shall reimburse the County in accordance with the reimbursement procedure for the
other expenses listed above.
17. Indemnitv. Formosa hereby agrees to hold harmless and indemnifY the County,
each of its elected officials, all of its servants, agents and employees, and any designee (a
person or legal entity designated to perform any function required under the County's
Guidelines, or under the Tax Abatement Application, or by the terms ofthis Tax Abatement
Agreement) and the Calhoun County Appraisal District, its officers, directors, servants,
agents and employees for the amounts of any and all liabilities, claims, costs, judgments,
penalties, interest, court costs and attorney fees incurred by the County, each of its elected
officials, all of its servants, agents and employees, or any designee, and the Calhoun County
Appraisal District, its officers, directors, servants, agents and employees in defense of any
claims occurring out of or in any way incident to processing the Application, or any other
claim arising out of or incident to the terms, covenants and conditions contained in this Tax
11
Abatement Agreement, or arising out of or in connection with the Reinvestment Zone, or the
project subject to abatement.
18. Incontestability. At the option ofthe County, this Agreement may be terminated,
and all taxes that would have otherwise been due but for this Abatement Agreement will
become due and payable within 60 days from date of written notice of the amounts due and
owing, including penalty and interest as provided in paragraph 13.4 ofthis Agreement if any
of the following events occur:
(a) If Formosa should contest any term, covenant or condition contained in this
Agreement, or attempt to prevent or negate the enforceability of any of such terms, covenants
or conditions; or
. (b) If any third party, firm, corporation or other legal entity should contest any term,
covenant or condition contained in this Agreement, and prevent or negate the enforceability
of any of such terms, covenants or conditions by final judgment in a court of competent
jurisdiction; or
(c) If any governmental agency should contest any term, covenant or condition
contained in this Agreement, and either by enforceable regulatory order, or by final judgment
of a court of competent jurisdiction prevent or negate the enforceability of any of such terms,
covenants or conditions.
19. Assurances and Special Conditions. The County and Formosa agree that the
following assurances, promises and conditions are made by Formosa expressly to induce the
12
County to grant this Tax Abatement Agreement and that without such assurances, promises
and conditions the County would not have granted this Tax Abatement Agreement. Formosa
hereby expressly makes and agrees to be bound by the following representations, assurances,
promises and conditions:
19.1. Accuracy of Informatiou. That all information contained jn Formosa's
Application and furnished to the County for incorporation in this Tax Abatement Agreement
is true, complete and correct.
19.2. Authority to Sie:n. That the person who signed the Application for Tax
Abatement Agreement on behalf of Formosa has unrestricted authority to execute the
Application, to execute this contract document on behalf of Formosa, and to obligate
Formosa to all the tenns, covenants and conditions contained in this Tax Abatement
Agreement. By acceptance of any of the benefits provided hereunder, Formosa has
authorized and ratified the execution and delivery ofthis Agreement and represents that it is
enfor('eable against Formosa in accordance with the terms of this Agreement.
19.3. Commencement of Construction. Other than preliminary matters, that
consti'uction will not commence on any of the eligible improvements until after this Tax
Abatement Agreement is executed by the County.
19.4. Permits. That the project described in the Application, and this Tax Abatement
Agreement will not be constructed without first obtaining all necessary local, state and
federal environmental and construction permits, and that Formosa will abide by all conditions
13
of the pelmits, laws and ordinances, rules and regulations governing the construction and
operation of the project throughout its economic life.
19.5. All Conditions to be Performed. That Formosa will abide by all conditions of
this Tax Abatement Agreement and the Guidelines adopted by the Commissioners applicable
to this Agreement.
19.6. Public Health and Safety. That the planned use of the property will not
constitute a hazard to public health or safety throughout the economic life of the project.
19.7. Required to Make Specific Improvements. That Formosa will make the
specific improvements to the property as described in its Application. (See Exhibit "1")
19.8. Estimates/Strict Compliance. Estimates of the cost and value of the project
and the number of jobs retained or created as a result of the project that are within 90% of
actual cost, value and number of jobs may be construed to be substantial compliance. Unless
estimates are expressly authorized, strict compliance is required.
20. Information to Determine Compliance. Formosa covenants and agrees to
provide within a reasonable time, not to exceed 30 days after written request, such
information as may be required by the County or its designee, in order to determine
compliance on Formosa's part of the terms of this Tax Abatement Agreement.
21. Contract Terms' and Conditions Survive Abatement Period. Unless sooner
tenninated under other provisions hereunder, all other rights, duties and obligations contained
in this Agreement shall continue in full force and effect until all taxes levied in each of the
14
15
. 22.2.3. The additional value of new eligible property in the Reinvestment Zone shall
be taxable subject to the exemptions provided in paragraph 7 above.
22.3. Conflicts of Law. This Agreement shall be governed by and construed in
accordance with the laws ofthe State of Texas, without regard to its conflicts oflaws rule.
. 22.4. Severability. At the option of the County, the invalidity of anyone or more
covenants, phrases, clauses, sentences, paragraphs or sections of this Agreement shall not
affect the remaining portions of this Agreement or any part hereof, and in case of any such
invalidity, this Agreement may be construed as if such invalid covenants, phrases, clauses,
sentences, paragraphs or sections were not included.
22.5. Subtitles. The use of subtitles in this Agreement is strictly for convenience, and
shall have no legal significance whatsoever. The use of the singular shall include the plural
when appropriate. The use of any reference to gender shall include any and all other genders
when' appropriate.
22.6. Place of Performance. This Agreement, in its entirety, shall be performable in
Calhoun County, Texas. As part of the consideration for entering into this Agreement, both
County and Formosa agree that any litigation to construe or enforce the terms and conditions
of this Agreement shall be brought in the State Courts of Calhoun County, Texas.
22.7. Acceptance bv Formosa. By acceptance ofthis Agreement and/or any benefits
conferred hereunder, Formosa represents that its undersigned agent has complete and
unrestricted authority to enter into this Tax Abatement Agreement and to obligate and bind
16
Formosa to all ofthe terms, covenants and conditions contained in this Agreement. Formosa
agrees to be bound by all assurances and commitments contained in the Application dated
January 19,2012, the Guidelines and Criteria as applicable, and the specific terms, covenants
and conditions contained in this Tax Abatement Agreement.
22.8. Approval bv Commissioners. This Agreement, in its entirety, including
authority to execute it in this form, has been approved by the Commissioners, in a regular
meeting of the Commissioners, after due notice as required by law, and pursuant to
Resolution duly adopted by the Commissioners by at least a three-fourths vote of the entire
Commissioners Court.
22.9. Bindinl!: Effect. This Agreement, in its entirety, shall be binding upon all the
parties hereto, their respective successors and/or assigns.
. EXECUTED IN MULTIPLE ORIGINALS on the 28th day of June, 2012, to be
effective January 1,2012.
COUNTY:
COMMISSIONERS COURT
CALHOUN COUNTY, TEXAS
fYUdLll{A ~.
Michael J. Ptllfer, ounty Judge
ATTEST:
Anita Fricke, County Clerk
BY:~~n.Jl.."I-~' Deputy
17
FORMOSA PLASTICS CORPORATION,
TEXAS
<:::\, cl./") J
/"~r/.,l- lA--- ~
By: Jack Wu, Agent and Attorney in Fact
18
COUNTY REPORTS:
The following monthly reports were presented:
1) County Clerk: May 2012
A Motion was made by Judge Pfeifer and seconded by Commissioner Finster. Commissioners Galvan, Lyssy,
Fritsch, Finster and Judge Pfeifer all voted in favor.
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION
OFFICE FUND - MAY 2012
CIVIL FUNDS
County Fees
County Clerk's Fees
Recording
Probate
Civil
Total County Clerk's Fees
Judge's Fees
Probate
Civil
Total Judge's Fees
Probate Fees (Education Fees)
Sheriffs Fees
Jury Fees
Law Library Fees
Beer Licenses
Appellate Fund (TGC)
Court Reporter Fees
Civil Indigent Fees
Record Management Fees (County Clerk)
Record Management Fees (County)
Securily Fees (Counly)
Bond Forfeitures
Subtotal Counly Fees
$17,22S.90
240.00
440.00
30.00
State Fees
Judicial Funds (CV$902 + PR$492)
Marriage license Fees
Birth Certificate Fees
Total State Fees
SUBTOTAL
Overpmt of Filing Fees to be Refunded by Co. Clk.
TOTAL CIVIL FUNDS COLLECTED
$17,905.90
30.00
30.00
175.00
0.00
595.00
0.00
85.00
255.00
235.00
2.710.00
125.00
675.00
0.00
$22,820.90
1.394.00
702.S0
93.60
2,190.10
$2S,D11.00
$25,011.00
0.00
$25,011.00
CRIMINAL FUNDS
Total Criminal Court Costs & Fines & Pre-Trial Diversion
TOTAL FUNDS RECEIVED (As per ACS Report)
Bank Interest Earned
$8,849.00
Less Refunds for Overpayment of Filing Fees
TOTAL FUNDS RECEIVED
ADJUSTED FUNDS RECEIVED
Plus Re-Deposlt of NSF Checks (Not recorded in ACS)
Less NSF Checks (Not recorded in ACS)
Co. Clerk Check
$33,860.00
(104.90)
$33,755.1D
AMOUNT DUE COUNTY TREASURER I $33,755.10 I
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION (can't)
OFFICE FUND - MAY 2012
DISBURSEMENTS
CK#
PaYable To
Descrlotion
Amount
TOTAL DISBURSEMENTS
$0.00
CASH ON HAND. OFFICE FUND
Beginning Book Balance
Funds Received
Disbursements
Plus Redeposit of NSF Checks
Less NSF Checks
Ending Book Balance
BANK RECONCILIATiON OFFICE FUND
Ending Bank Balance
Outstanding Deposits"
Outstanding Checks**
Plus Other items"
Less Other Items**
Reconciled Bank Balance
CASH ON HAND TRUST FUND
Beginning Book Balance
Funds Received
Disbursements
Ending Book Balance
$22,494.63
BANK RECONCILIATION. TRUST FUND
Ending Bank Balance
Outstanding DepositsU
Outstanding Checks*.
Reconciled Bank Balance
$22,494.63
0.00
0.00
$22,494.63
$22,494.63
USee Attached
d~d.~
SUBMITTED BY: Anita Fricke, County Clerk
BILLS:
Claims for Memorial Medical Center Operating Fund totaling $2,291,454.28 and for Indigent Healthcare totaling
$61,228.77 for a total amount of $2,3S2,683.05 were presented by Memorial Medical Center and after reading
and verifying same a Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to
approve the bills and that all said claims are approved for payment.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Claims for Calhoun County totaling $927,976.13 were presented by the County Treasurer's Office and after read-
ing and verifying same a motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to
approve the bills and that all said claims are approved for payment.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR __m June 28,2012
MEMORIAL MEDICAL CENTER OPERATING FUND
MEMORIAL MEDICAL CENTER WEEKLY CHECKS
Date Approved bv County Auditor (See attached lists)
5/16/2012 Weekly Payables
5/16/2012 Patient Refunds
5/23/2012 Weekly Payables
5/23/2012 Patient Refunds
5/29/2012 Weekly Payables
5/30/2012 Weekly Payables
5/30/2012 Patient Refunds
6/812012 Weekly Payables
6/8/2012 Patient Refunds
6/14/2012 Weekly Payables
6/14/2012 Patient Refunds
6/15/2012 Weekly Payables
Total Payables and Patient Refunds
MEMORIAL MEDICAL CENTER PAYROLL
Date of Pavroll Run & Date Liabilitv Called In (See attached lists)
5/22/2012 Net Payroll
5/24/2012 Net Payroll
5/29/2012 Payroll Liabilities
6/512012 Net Payroll
6/12/2012 Payroll Liabilities
Total Net Payroll and Payroll Liabilities
GRAND TOTAL OPERATING FUND
APPROVED INDIGENT HEAL THCARE FUND EXPENSES
$ 186,239.47
1,385.48
268,952.89
8,118.09
752,263.00
156,575.42
1,662.88
206,340.74
1,744.78
115,697.19
686.91
20,056.92
212,463.57
278.16
71,127.74
216,266.58
71,594.46
$ 1,719,723.77
$ 571,730.51
$ 2,291,454.28
$ 61,228.77
IGRAND TOTAL BILLS APPROVED 6/28/2012
$ 2,352,683.051
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---- June 28. 2012
INDIGENT HEAL THCARE FUND:
INDIGENT EXPENSES
Coastal Medical Clinic
Community Pathology Associates
HEB Pharmacy
R"fwnd frof)1. HEBPharmacy - Check rec"ived
Refund from HEB Pharmacy - Credit on Bill
Medical Clinic of Nhi Le MD
Mau-Shong Un MD
Memorial Medical Center (Out-patient $14,384.64 ER $5,445.00 In-patient $28,969.50)
Memorial Womens' Center
Port Lavaca Anestesia Group
Port Lavaca Clinic
Ahmad I. Qadri MDPA
Radiology Unlimited PA
SUBTOTAL
Memorial Medical Center (Indigent Healthcare Payroll and Expenses)
ITOTAL INDIGENT HEAL THCARE FUND EXPENSES <net of Refunds)
Refunds from Above
I TOTAL APPROVED INDIGENTHEALTHCARE FUND EXPENSES
**$260 in Co-Pays were collected by Memorial Medical Center in May
816.89
57.74
712.00
(34,132)
(279.39)
46.73
697.52
48,799.14
117.74
265.96
1,014.95
132.25
95.96
52,442.87
8,471.89
60,914.761
314.01
61,228.771
@IHS
Source Totals Report
Issued 06/21/2012
Source Description
Calhoun Indigent Health Care
5-1-12 through 5-31-12
For Vendor: All Vendors
Amount Billed
Amount Paid
01
.01-2
02
05
08
13
14
15
Physician Services
- Physiclan-Services"-Anesthesla-
Prescription Drugs
Lab/x-ray
Rural Health Clinics
Mmc - Inpatient Hospital
Mmc - Hospital Outpatient
Mmc - Er Bl1Is
4,931.00
2;400;00
712.00
606.00
1,920.05
41,385.00
32,619.00
12,375.00
Expenditures
Reimb/AdJustments
97,011.55
-63.50
Grand Total
96,948.05
Fiscal Year
APPROVED
BY
JUN 2 5 2012
1,649.93
... .- nn -- --------265;96
. 432.61
57.74
1,272.11
28,969.50
14,384.64
5,445.00
52,820.38
-342.89
52,477.49
207,763.37
Payroll/Expenses
CALHOUN COUNTY
AUDiTOR
8471.89
~~~()?;:f/1(j~
Calhoun County Indigent Coordinator
800 06252012 01 CALHOUN COUNTY,
ml~!I!I'!!!I!'li!!II!'I,I!!'!!II!!!,!!!!'I!!;,'I,il,!1",!III,'I,'!!,I'I!!I,,!ll'!II.'!!!'I'I,!'I!!!!!III!II!111111,!!I,!I!!!!I!III!!",!,!!I,!!ll!:!!I!ll!'I!I!I!!,.,111,',
CC Indigent Health Care
6/25/2012
DATE:
VENDOR # 852
ACCOUNT
NUMBER DESCRIPTION OF GOODS OR SERVICES
1000-800-98722-999 Transfer to a bills for
Indi ent Health Care a roved b
Commissioners Court on 6/28/2012
a total of $.g,9i9.38 0
QUANTITY
TOTAL
PRICE
&,0
1000-001-46010
Ma Interest
($0.49)
($0.49)
COUNTY AUDITOR
APPROVAL ONLY
THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE
OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY
THIS OBLIG T ON
APPROVED
BY
DATE
I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME
IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY
THE ABOVE OBLIGATION_
JUN 2 5 2012
CALHOUN COUNT'! BY:
AUDITOR
DEPARTMENT HEAD
6/25 12
DATE
2011 Calhoun Indigent Care Patient Caseload
Approved Denied Removed Active Pending
Jan 7 22 10 152
Feb 9 13 17 156
Mar 32 33 26 153
Apr 8 19 28 164
May 6 19 16 149
Jun 25 21 23 146
Jul 1 19 5 140
Aug 1 13 39 108 2
Sept 2 43 32 79 11
Oct 8 15 27 62 16
Nov 7 8 21 47 15
Dec 1 24 27 30 14
YTD 107 249 271 1386 S8
12 Mo Avg 9 21 23 116 5
2012 Calhoun Indigent Care Patient Caseload
Approved Denied Removed Active Pending
Jan 4 10 2 37 9
Feb 1 17 2 36 11
Mar 4 16 3 38 20
Apr 1 15 3 39 21
May 3 11 3 40 17
Jun
Jul
Aug
Sept
Oct
Nov
Dec
YTD 13 69 13 190 78
Monthly Avg 3 14 3 38 16
ROll DATE, 05/31/12
TIME, H,33
IlEMORIAL MEDICAL CElITER
RECElP'I'S FROM 05/01/12 1'0 OS/31/11
G/1
t1UM8ER
CASH
AW)liNT
_~__ _ _ ____ __ _ _ _ _ _ _ _ _ _ __ __. __ __. _ _ _ _ _ _ _ _, ___ __ __ __ _ _ _ __ __ _ __ __ _~_~ __ _ _ _ _ _ __ _ _ __~ __ _ _ _ _ _ __ __ _ _ _ _. _ __ __ _ _ _ _ _ u _ _ _ _ _ _ _ _ ______ __ _ __ _ _ _ __
RECEIPT PAY
DATE NUM8ER TYPE PAYER
50240.00005/01/12
50240.00005/02/12
50240.00005/02/12
50240.00005/02/12
50240.00005/08/12
50240.000 05/0~/12
50240.000 05/ll/I2
50240.000 05/Il/12
50240.00005/n/12
50240.000 05/Il/12
50140.000 05/14/12
50240.000 05/14/12
50240.00005/17/12
50240.000 05/17/12
50240.00005/18/12
50240.000 05/21/12
50240.000 OS/22/12
PAGE 120
RCMREP
RECEIPT
AMOIJl!l NUM8ER NAME
DISC COL1 G1 CARH
DATE WIT CODE ACCOIJl!l
JLG 2
l\RM 2
l\RM 2
l\RM 2
l\RM 2
l\RM 2
l\RM 2
l\RM 2
l\RM 2
ARM 2
l\RM 2
ARM 2
ARM 2
ARM 2
ARM 2
l\RM 2
ARM 2
ARM 2
ARM 2
l\RM 2
J1G 2
ARM 2
ARM 2
AHD 2
l\RM 2
l\RM 2
ARM 2
ARM 2
ARM 2
l\RM 2
l\RM 2
ARM 2
ARM 2
ARM 2
RUII DAlE: 05/31/12
liME: H:33
OiL
NUMBER
HEMORIAL MEDICAL COOER
RECEIPrS FROM 05/01/12 TO 05/31/12
RECEIPr PAY
DAlE NUM8ER 7YPE PAYER
itrorALU 50240,000 COUN'I'Y I1IDIGEllT OJPAYS
CASH
AMOUNT
PAGE 121
RCMRRP
RECEIPT
AlIOUN'! NUMBER NAME
DISC COLL GL CASH
DAlE Hill CODE ACCOUN'!
AKR 2
AKR 2
AKR 2
AKR 2
CAR 2
CAlI 2
CAlI 2
CAlI 2
CAlI 2
CAlI 2
CAM 2
AKR 2
ill 2
AKR 2
ill 2
AKR 2
AKR 2
AKR 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
AYK 2
MadImpact Data Services
Repore Date: 05/01/12
Client Diatribut10n Summary
BPLI0 BEB - CALHOUN COONTY
MedImpact CollDllarcial
Rebate
05/01/2012
Qtr: 4Q201l
Manufaoturer
Distributed
This Mo.
G:CO$t1 :Hec'd
This Mo.
Invoi..ced
A-iount
c~ $
GrOBS Rela'd
% Colle.cte.d
to Invo:ic.ed.
Ii'FIZZR
TEVA
5.99
8.4.2
5.99
8.42
5.99
9.42
5.99
8.42
100.00
100.00
Plan ~location This Qua:cter:
CUmu1~tiv~ ~ Collected:
Collected Rebate I Claim:
14.41
'B3.0l
0.07
14.41
Qtx: 3Q2011
Manufacturer
Distributed
~hi.l;l Mo.
GrQl;IS Nee'd
'l'hb Mo.
Invoiced Cum $ t Collected
Amount GxO.l;lS Reard to Invoiced
GLAXOSMITHKLlNE
20.21
20.21
20.21
20.21
100.00
Plan Allocation ThiB ~~ter:
Cumulative , Oolleated~
Collwct:ed Rebate I Claiu:
20.21
100.54
2.13
20.21
Plan AlloCil-tion ~ie Month:
34.62
I'(EOEII/EO
MAY 19"
contains propriet~, pxivilagad, or individually identifiable health information proteqtad by thE! B~alth
Insurance Portability and Accountability Act (H~P~~l and othar statutes( or confidential commercial or
financial d~ta :not:. 5ub~ect to di.sclosure under the Freedom of Into:t1l:la.tion Aot.
MedDividend(tm} Rebate Sylltam
Page 1 of 1
f!JL
~@~}Imp ct
Delivering' Flexible' Choice
10680 Treena Street, 5th Floor
San Diego, CA 92131
(858) 566-2727
To: HPLI0
Monica Escalante
REB - CALHOUN COUNTY
815N. VIRGINIA ST
PORT LA V ACA, TX 77977
Credit Memo
Invoice Date:
4/18/2012
Invoice #:
0412R2050
Batch #:
Phone: (361) 552-0340
Fax:
iedImpact.com, stating the following:
Due Dale: 4/18/2012
Item Code
Amount
Description
Monthly Rebates Distribution April 2012
ess:
Price Each
-279.3900
-279.39
-279.39
Quantity
REBATE
1
1118
Invoice Total ~----- >
27939
MedImpact Data Services
Report Pats: 04/02/12
Client Distribution Summary
EPLlO flEB - CALHOUN COUNTY
MedLmpact Commercial
Rebate
04/01/2012
Qtr: 3Q2011
Manufacturer
Distributed
This Mo.
Gross Rec'd
This Mo.
Invoiced
Amount
Cum $ % Colleoted
Gross Ree'd to Invoiced
------------------------------------- -------------- -------------- ---------------------------- ------------
AZ CRESTOR 137.27 137.27 137.27 137.27 100.00
AZ SEROQUEL 7.72 7.72 7.35 7.72 105.03
PFIZER 121.09 121.09 116. B6 121.09 103.62
SCBERING 13.31 D.31 13.31 D.31 100.00
------------------------------------- -------------- -------------- ---------------------------- ------------
plan Allocation This Quarter:
Cumulative % Collected:
Collected Rebate / Claim:
279.39
9B.16
2.08
279.39
Plan Allocation This Month:
279.39
Contains proprietary, privileged, or individually identifiable health information protected by the Health
Insurance Portability and Accountability Aot (HIPAA) and other statutes, or oonfidential commercial or
financial data not subject to disclosure under the Freedom of Information Act.
MedDivi.dend(tm.} Rebate System
Page 1 of 1
~.
"~ "
MEMORIAL MEDICAL CENTER
Port Lavaca, Texas
MANUAL JOURNAL ENTRiES
MONTH OF
MA Y, 2012
Page_of_
Debit Cradit
Acct# JE# Descriotion Check # Amount Amount
10255000 IndiQent Healthcare 8,471.89
40450074 Reimbursement - Calhoun Cty 6,588.42
40015074 Benefits - FICA 326.44
40025074 . Benefits - FUT A 6.94
40040074 Benefits - Retirement 364.17
60320000 Benefits - Insurance 1,185.92
40220074 Supolles - General -
40225074 Suoplies - Office -
40230074 Forms -
40610074 continuina Education -
40510074 Ouiside Services -
40215074 Freight -
40600074 Miscellaneous -
. . .
. ..... ... .
.. ..
TOTALS 8,471.89 8,471.89
EXPLANATION FOR ENTRY
ili 1 kthv~ c{ }2..tr/7J '/1
REVERSING:
NOV
JE# 00/2...15
YES
1"
J
.;
j
J
V
Indigent Healthcare Program
Incurred by MMc
MAY, 2012
Indigent H'care Coordinator Salary # 40450074 3-May 1,791.41
# 40450074 17-May 2,300.00
# 40450074 31-May 2,110.37
(# 40000074)
( # 40000074 )
(#40010074 ) 386.64
I 6,588.421
Benefits: #40040074 1 364.171
FICA # 40015074 3-May 110.39
#40015074 17-May 111.07
# 40015074 31-May 104.981 326.441
FUTA 3-May 4.02
17-May 2.24
31-May 0.681 6.941
Other Benefits ( 18 % ) # 63200000 I 1,185.921
General Supplies # 40220074 I I
Office Supplies # 40225074 I I
Forms #40230074 I I
Continuing Education #40610074 I I
Outside Services #40510074 I I
Freight #40215074 I I
Travel #40600074 I I
RUN DATE: 06/1S/12 NIl1l.DRIAL MEllI CA1 CRNTBR PAGE 1
TINR: 14:31 GL DETAIL REPORT - COST CElIJ'llR SEQlJ811CE GLGLDC
FOR, 05/01/12 - 05/31112
ACcr }MIDHR & DESC DATE ~IEHO REFERENCE JOumlAL cSi/BAT/sEQ ACTMTY 8A1llNC'
40000074 SALARIES REG PROD . -CALliOUN C
40000074 SALARIES RRG PROO -CALHa BRGINNlllG BALIINCE AS OF, OS/01/12 18,]14.54
OS/01/12 REVERSE ACCRUAL PR 192512 360 -1,687.51
05/03/12 PAY-PoOI/10/12 05/03112 PR 192525 162 117B7.97 ./
OS/17/12 PAH.os/ol/12 05/17/12 PR 192530 43 21296.56'
OS/31/12 PAH.os/l8/12 OS/3I/12 PR 192511 43 2,106.93 r
OS/ll ACTIVITY/ENO BA1~~CE 4,503.95 22,818.49
1000S071 SALARIES OVERTIM' -CALHO B'GINNING BALANCE AS OF, OS/Ol/12 43,88
os/01/12 REVERSE ACCROAL PR 192512 108 -6.E2
OS/03/12 PAH.04/20/12 OS/01/12 PR 19 2525 188 3.44/
'OS/17/12 PAH.OS/OI/12 os/17/12 PR 19 2S30 69 3.-44/
OS/31/12 PAH.OS/18/12 os/31/12 PR 192541 67 3.44/
05/31 ACTlvmlENO BALANC8 3.S0 17.3E
40010071 SALARIES Pro/EIB -CilLRO BEGINNING BALANCE AS OF, os/01/12 1,498.79
os/01/12 REVERSE ACCRUAL PR 192512 4S1 ~184.47
05/03/12 Auto PR Bene Accrual Re PR 192511 E7 -1,070.10
05/03/12 Auto PR Bene Accrual PR 19252S 8S 1,150.15
os/03/12 PAH.01/20/12 OS/03/12 PR 192525 2ll 92,16 ,/
05/17/12 Auto PR Bene Accrual Re PR 1925aS 87 ~1,150.15
05/17/12 Auto PR Bene Accrual PR 192529 8S 862.82/
05/17/12 PAY-P.05/01/12 05/17/12 PR 192530 n 92.16
05/31/12 Auto PR Bene Accrual Re PR 192529 87 -862.82
OS/31/12 Auto PR Bene Accrual PR 192540 8S 832.S2
05/31/12 PAH.Os/18/12 OS/31/12 PR 1925Il n 202,]2/
os/ll ACTIVITY/END 8ALANCE -lS.61 1,463.18
1001S071 FICA -CALliO BBGINNING BlILANC8 lIS OF: OS/01/12 71.20
os/ol/12 REVERSE ACCRUAL PR 192512 642 -70.62
OS/01/12 REVERSE ACCRUAL PR 192512 701 -16.50
os/03/12 PAY-P.01/20/12 os/03/12 PR 19 2S2S 157 20,.92/"
05/03/12 PAH.01/20/12 os/03/12 PR 19252S 488 89.47/
OS/17/12PAH.Os/04/1205/17/12 PR 19 2S30 141 21.05/
05/17/12 PAY-P.os/o'/12 os/17/12 PR 192530 374 90.02/
oS/31/'2 PAH.Os/18/1205/31/12 PR 192541 338 I9.S0/
OS/11/12PAH.Os/18/120s/31/12 PR 19251l 369 85.08 ,/
OS/31 ACTIVITt/END BALANCE 239.32 310.52
40025071FII! -CALHO BEGINNING BI\LAlICB lIS OF: OS/01/12 6.71
05/01/12 RSVERSB ACCRUAL PR 192512 766 -1.98
OS/03/12 PAH.01/20/12 os/03/12 PR 192525 519 .4.02'---
OS/17/12 PAY-P.os/oI/12 05/17112 PR 192530 40S 2.24 -'
05/31/12 PAY-P.os/18/12 OS/31/12 PR 19251l 400 .68/
OS/31 ACTIVITt/BND BALANCE 4.96 11.67
RUN DATE, 06/15/12
mm,14,31
ACCT llillffiER & DESC
100lnG71 RETIRm.1B1IT
10040074 RETIREMIDl!
40225074 OFFICE SUPPLIES
40150074 REnrnURS~[ID!T
IffiHORlAL IlEDICA1 C!lN'l1lR
G1 DETAIL REPORT - COST CEIITE, SEQUNNCE
FOR, 05101/12 - 05/31/12
DAT8 MFlIO
-CAIJjQUN C
REFERENCE
-CALHO 800INNIlIG BALANCE AS 01, 05101/12
05101/12 RIlVERSE ACCRUAL PR
05103/12 PAY-P.01/20/12 05/03/12 PE
05117/12 PAY-P.05/01/12 05/11/12 PE
05131112 PAY-P,05/18/11 05/31/12 PR
05/31 ACTIVITY/RND BALlINC8
BOOINNmG AND ENDIlIG BlI1l1NeR,
BEGINNING fu'ID ENDlllG BlI1l\llCE,
CDS'!' CENTER TilTlI1,
ENDING BlI1ANCE GRAND TOTAL,
GlWID TOTAL ACTIVITY:
JOURNAL CSI/BAT/sl'IJ
192512 826
192525550
192530136
192541 431
AClIVITY
-91.02
122.94/
123,58/
111.65/
261.15
41983.27
PAGE 2
GUlLDC
BlI1ANCE
19.12
346.51
-5.09
-18,296.15
6,696.51
4,983.27
RUN DA~E, 05/16/12
~IME, 08.32
MEMORIAL IIEDICAL CENTER
AP OPEN INVOICE LIS~ ~HRU DUE DA~E OF 05/29/12
PAGE, 1
APOPEN
VENDn.NAME...........................CLS.INVOICEn.........~RN D~.INV DT.DUE D~.CK DT..PC.......GROSS.....DISC......NO-PAY........NE~
A0401 ABBO~~ NU~RI~ION /
SUPPLIES DIE~ARY 938038300 043012 042612 052512 76.64 .00 76.64
TOTALS....................................... : 76.64 .00 76.64
A1790 AFLAC 3277.31/
ONLINE BILLING CHECK REIU W 23902 051512 051512 051512 3277 .31 .00
TOTALS................... ..................... 3277 .31 .00 3277.31
A1680 AIRGAS-SOUTHWEST ,/
MEDICAL GAS N 107864119 051412 042312 OS2312 25S.65 .00 255.65 ,/
MEDICAL GAS 107880285 051512 042612 052612 78.00 .00 78.00
~OTALS....................................... . 333.65 .00 333.6S
Al715 ALCO SALES 4 SERVICE CO 40.46 /
~"I""lrs II 2453389-IN 051412 050112 052012 40.46 .00
TOl'ALS........................................ 40.46 .00 40.46
A13io AMERISOURCE8ERGEN DRUG COR
PlIAR!!ACEUTICALS W 037-545814 050712 050112 052512 2.52 .00 2.52/
PIlARllACEUTICALS 037-545815 050712 050112 052512 10.53 .00 10.53/
PIlARllACEllrICALS 037-S4S816 050712 050112 OS2S12 13.79 .00 13.79"/
PIIARlIACEUTICALS 037-S45817 050712 050112 OS2512 lS.54 .00 lS.S4/
PIlARllACEUTICALS 037-S49865 050712 050312 052512 36.85 .00 36.85~
PIlARllACEUTICALS 037-551446 050812 050412 052S12 105.30 .00 105.30
PIlARllACEUTICALS 037-553827 051412 050712 052S12 19.64 .00 19.64-:/
PlIAR!!ACEUTICALS 037-553828 051412 050712 052512 665.18 .00 665.18
PlIAR!!ACEUTICALS 037-553829 051412 050712 052512 768.52 .00 768.52 ,/
PlIAR!!ACEUTICALS 037-S57812 051412 OS0912 052512 7.77 .00 7.77 -:;
PIlARllACEUTICALS 037-559746 051412 051012 052512 252.33 .00 252.33
TOTALS....................................... . 1897.97 .00 1897.97
10738 Al~S SALES CORPORATION ,/
SUPPLIES SURGERY 12027789 043012 042612 052612 1617.00 .00 1617.00
TOTALS....................................... , 1617.00 .00 1617.00
A2218 AQUA BEVERAGE COMPANY 24.51 /
OUTSIDE SRV WOMENS CLINIC M 395604 051412 041712 051712 24.51 .00
TOTALS..................................,.... : 24.S1 .00 24.51
A2260 ARROII II/l'ERNATIONAL INC
SUPPLIES CS INV M 4127738 050712 042612 052S12 350.82 .00 350.82 ,./
TOl'ALS......... ...... ...... ............... .... 350.82 .00 3S0.82
Bl07S BAXTER HEAIlrHCARE CORP
SUPPLIES CS INV II 37216650 050712 012712 052612 340.80 .00 310.80 ,/
PIlARllACEUTICALS 37210909 051412 042612 052512 178.40 .00 178.40~
PIlARllACEUTICALS 37215663 051412 012712 OS2612 2S6.20 .00 256.20
TOTALS...................................... .. 775.40 .00 775.10
B1220 BECK!UUI COUIlrER INC 19.3S /
OUTSIDE SRV M 102855071 043012 042412 OS2412 19.35 .00
RUN DATE. 05/16/12
TIME. 08.32
ImlORIAL I~DlCAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 05/29/12
PAGE. 2
APOPEN
VENDn.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 19.35 .00 19.35
B1650 BOSART LOCK & KEY INC
SUPPLIES PFS II 94520 042712 042512 052412 308.95 .00 308.95 ,/
TOTALS....................................... : 308.9S .00 308.95
B165S BOSTON SCIENTIFIC CORPORAT 215.00/
SUPPLIES SURGERY M 932301244 043012 042312 052312 215.00 .00
SUPPLIES SURGERY 932383087 OS0712 043012 052912 306.00 .00 306.00'--
TOTALS... ..................,................., 521.00 .00 521.00
10497 DR HEALTHCARE SERVICES
RECRUITMENT - 732 051412 050912 050912 2950.00 ,00 2950.00 .......-
/!)r~hope(hc. TOTALS.......................................: 2950.00 .00 2950.00
A1825 CARDINAL HEALTH
SUPPLIES NUC IreD II 08107839 051412 042012 042012 506.38 .00 506.38 ,/
SUPPLIES NDC MED 08107857 051412 043012 043012 644.86 .00 644.86'/
SUPPLIES NUC NED 08107873 051412 050412 050412 195.26 .00 195.26/
TOTALS...,.................................. .1 1346.50 .00 1346.50
10381 CAREFUSION 211, INC 184.17 /
SUPPLIES PACU 30703349 OS0712 042712 052712 18&.17 .00
TOTALS...................................... .1 184.17 .00 184.17
C1390 CENTRAL DRUGS
PHARMACEUTICALS II APRIL-12 OS1412 043012 051512 247,50 .00 247.50'/
TOTALS....................................... , 217.50 .00 247.50
10350 CENTURION NEDICAL PRODUCTS 688.75"'/
SUPPLIES CS INV 91006501 043012 042512 052412 688.75 .00
TOTALS..................................... ..: 688.75 .00 688.75
M2900 CHERYL MITCHELL
TRAVEL EXPENSES II 23891 051412 050812 050812 461.63 .00 461. 63/
TOTALS... ................................. ...: 461.63 .00 461.63
10720 CHRIS RAMIREZ, JR. 600.00/
RECERTIFICATION 12023 OS1612 042312 052312 600.00 .00
TOTALS....................................... : 600.00 .00 600.00
10723 CLIA LABORATORY PROGRAlI 2841.00,,/'
CERTIFICATE 4/12/13 - 4/1 23866-1 043012 041412 OS2912 2841.00 .00
TOTALS...................................... .1 2841.00 .00 2841.00
C2510 CPSI 11981.00';
IT SUPPORT II A1205021378 051412 050212 050212 14981.00 .00
EDOS 721066 051512 042312 042312 346.48 .00 316.48/
STATEMENT PROCESSING 721872 051512 042612 042612 35.99 .00 35.99
EBOS 72292S 051512 043012 043012 155.66 .00 155.66~
STATEIIENT PROCESSING 723518 051512 050312 050312 40.71 .00 40.71
RUN DATE, OS/16/12
THlE, 08,)2
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 05/29/12
PAGE, 3
APOPEN
VEND#.NAI!E.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC.... ..NO-PAy....... .NET
TOTALS............................ ..........., 15559.84 .00 15559.84
82896 DANETTE BETHANY m.69 /
TRAVEL EXPENSES 11 23899 OS1412 051412 051412 494.69 .00
TOTALS..................... I............ I....: 494.69 .00 494.69
10368 DEWITT POTH & SON 338.01 ,,/
OFFICE SUPPLIES VARIOUS 330751-0 051412 050712 051512 338.01 .00
OFFICE SUPPLIES VARIOUS 331043-0 051412 050912 051512 113.68 .00 113.68 .......--
TOTALS....................................... , 451. 69 .00 4Sl. 69
01608 DIVERSIFIED BUSINESS SYSTE 1054.65 /
SUPPLIES VARIOUS M 21968 043012 042712 052712 1054.65 .00
TOTALS....................................... , 1054.65 .00 1054.65
01751 DIXIE FLAG 1l1lNUFACTURING C 665.S0/
ADVERTISING W 0070384-IN 043012 042612 052612 665.50 .00
TOTALS....................................... : 665.50 .00 66S.50
E1268 ENTERPRISE RENT-A-CAR
TRAVEL EXPENSES W D885563 051412 042312 052312 1S5.54 .00 155.54/
TOTALS....................................... , 155.54 .00 1S5.54
E127S ENV SERVICES INC 1000.00/
PIIARI.IACEUTlCALS W 27S651 051612 042412 052312 1000.00 .00
TOTALS....................................... , 1000.00 .00 1000.00
R1185 FARAH JANAK 61.65/
CONTINUING ED WORKBOOK 23900 051412 051412 051412 61.65 .00
TOTALS....................................... , 61.65 .00 61.65
10689 FASTHEALTH CORPORATION
SETUP INV 02SB12MlIC 051412 102811 032712 583.34 .00 583.34 ,,/
TOTALS............ ..........................., 583.34 .00 583.34
F1400 FISHER HEALTHCARE 134.26/
SUPPLIES LAB I! 18S3894 043012 042312 052312 134.26 .00
SUPPLIES LAB 5419932 043012 042412 052412 123.31 .00 123.31';
SUPPLIES LAB 5419956 043012 042412 052412 2088.63 .00 2088.63
SUPPLIES LAB 5419966 043012 042412 052412 785.00 .00 ./
785.00/
SUPPLIES LAB CREDIT 5874749 043012 042512 052512 -134.26 .00 -134.26
SUPPLIES LAB 5874761 043012 042512 OS2512 1697,81 .00 1697.81 ~
SUPPLIES LAB 5874763 043012 042512 052412 68,89 .00 68.89
TOTALS...,.......................,........... , 4763.64 .00 4763.64
G0100 GE HEALTHCARE
SRV CONTRACT 0418-0430 W 5359488 051612 042512 OS2412 H8.04 .00 148.04 ../
1'0'l'ALS.......................................: 148.04 .00 148.01
W1300 GRAINGER 141.02./
SUPPLIES PLANT OPS M 9812970847 043012 042612 052612 141.02 .00
RUN DATE: OS/16/12
TIllE: 09.32
IIEMORIAL llEDICAL CENTER
AP OPEM INVOICE LIST THRU DUE DATE OF OS129/12
PAGE: 4
APOPEN
VENDff.NAllE................... ....... .CLS.INVOICEff........ . TEN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS... ..DISC..... .NO-PAY....... .NET
TOTALS....................................... . 141. 02 .00 141. 02
G0930 GRAPHIC CONTROLS LLC ,..-/
SUPPLIES ULTRASOUND M K01374 050712 042512 052412 122.64 .00 122.64
TOTALS...................... ...... ...........: 122.64 .00 122.64
A1292 GULF COAST HARDWARE I ACE /
SUPPLIES PLANT OPS W 68609 043012 042312 052312 3S.98 .00 35.99 ,/
SUPPLIES PLANT OPS 68662 043012 042612 052612 25.97 .00 25.97
TOTALS....................................... . 61.9S .00 61.95
G1210 GULF COAST PAPER CO~JPANY
SUPPLIES SURGERY II 383336 042712 042412 052312 11.40 .00 11.40/
SUPPLIES HOUSEKEEPING 393410 042712 042412 052312 206.28 .00 206.28/
TOTALS....................................... : 217.68 .00 217.68
10S74 GULF COAST PHARMACEUTICALS 586.09"/
PHARlIACEUTICALS 71181 043012 042612 052512 586.09 .00
TOTALS..............,... .....................: 586.09 .00 S86.09
H0030 H E BUTT GROCERY
SUPPLIES DIETARY II 143099 043012 042612 052512 26.90 .00 26.90/
SUPPLIES DIETARY 146174 043012 042412 052312 17.82 .00 17.82~
SUPPLIES DIETARY 147534 043012 042512 052312 117.87 .00 117.87
TOTALS....................................... : 162.59 .00 162.59
10298 HITACHI MEDICAL SYSTENS 9166.67 .,/
SVR CONTRACT 5/2S-6/24 PJIN0037688 042312 041612 052512 9166.67 .00
TOTALS...........................,........... : 9166.67 .00 9166.67
H0416 HOLOGIC 3525.43/
SUPPLIES SURGERY 6516711 043012 042412 OS2412 3525.43 .00
TOTALS....................................... : 3525.43 .00 3525.43
10415 INDEPENDENCE MEDICAL 233.94'/
SUPPLIES CS INV 26444531 043012 042312 052312 233.94 .00
SUPPLIES CS INV 26458582 043012 042512 052512 37.78 .00 37.79 ./
TOTALS..................... ... .... ...........: 271.72 .00 271. 72
10285 JAMES A DANIEL
JUNE RENT 23893 OS1412 051512 OSlS12 7S0.00 .00 750.00/
TOTALS....................................... : 750.00 .00 750.00
A0511 JOHN CARAWAY
FLEX SPEND REIMBURSEllENT 23898 051412 OS1012 051012 249.00 .00 249.00/
TOTALS.............................. to..... I,: 249.00 .00 249.00
K1231 KONlCA IIlNOLTA IIEDlCAL IlIA 510.00'/
SRV CONTRACT APRIL 7878 051412 042712 042712 510.00 .00
TOTALS....................................... . 510.00 ,00 510.00
J1350 II.C. JOHNSON CmlPANY INC 102.78/
SUPPLIES CS INV II 00235801 050712 042612 052512 102.78 .00
RUN DATE: 05/16/12
TIHE: 08:32
HEHORIAL HEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 05/29/12
PAGE: 5
APOPEN
VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC,......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 102.78 .00 102.78
H1500 HARKS PLUlmNG PARTS 84.35 /
SUPPLIES PLANT OPS II 1114838 043012 042512 052512 84.35 .00
SUPPLIES PLANT OPS 1112929 051412 041712 051612 73.78 .00 73.78'/
TOTALS... .......... II... II... II II ..... II II' I,: 158.13 .00 158.13
H2659 HERRY X-RAY- SAN ANTONIO
SUPPLIES RADIOLOGY H 473706 043012 042712 OS2612 2204.76 .00 2204.76....-'
TOTALS..................................... ..: 2204.76 .00 2204.76
10441 MMC EHPLOYEE BENEFITS
WEEKLY CLAIHS 18175 051512 051512 OS1512 15586.89 .00 lS586.89,/'
TOTALS..................................... ..: 15S86.89 .00 15586.89
10536 HORRIS & DICKSON CO, Ltc
PHARHACEUTICALS 3357078 050712 050212 052512 232.46 .00 232.4V
PHARlIACEUTICALS 3357079 050712 050212 OS2512 434.37 .00 434.37'/
PHARI~CEUTICALS 3357082 OS0712 050212 OS2512 108.45 .00 108.45/
PHARI~CEUTICALS 3357083 OS0712 050212 052512 162.67 .00 162.67~
PHARl~CEUTICALS 3357084 OS0712 050212 052512 584.02 .00 584.02./
PHARNACEUTICALS 3359273 050712 050212 052512 65.01 .00 65.01
PHARNACEUTICALS 3359274 050712 050212 052512 654.90 .00 654.90/
PHARl~CEUTICALS 3361623 OS0812 OS0312 OS2512 64.92 .00 64.92/
PHARl~CEUTICALS 3361624 050812 OS0312 052512 110.45 .00 11O.4S'/
PHARNACEUTICALS 3361625 050812 050312 052512 242.84 .00 242.84.1
PHARl~CEUTICAL 3363406 050812 050312 OS2512 3089.78 .00 3089.78/
PHARNACEUTICAL 3363407 050812 050312 052512 5713.60 .00 S713.60V
PHARNACEUTICAL CREDIT 1869 051412 050312 052512 -.84 .00 -.84""--
SPLITBILL LIC FEE 1912 051412 050312 052512 1000.00 .00 1000.00/
PHARNACEUTICALS 3371883 051412 050712 052512 368.16 .00 368.16/
PHARlIACEUTICALS 3373619 051412 050712 OS2S12 214.04 .00 214.04/
PHARl~CEUTICALS 3373937 051412 050712 052512 13.46 .00 13.46/
PHARNACEUTICALS 3373938 051412 050712 052512 4210.40 .00 4210.4;/
PHARI,IACEUTICALS 3378507 051412 050812 052512 9.02 .00 9.02.......
PHARNACEUTICALS 3378508 051412 050812 052512 1378.69 .00 1378.69:/
PHARlIACEUTICALS 3382092 051412 050912 052512 2703.90 .00 2703.90/
PHARl~CEUTICALS 3382104 051412 050912 052512 102.46 .00 102.46
PHARl~CEUTICAL 3382106 051412 050912 052S12 1305.69 .00 1305.69/
PHARI~CEUTICALS 3382S69 051412 050912 052S12 1239.73 .00 1239.73/
PHARIUlCEUTICALS 3382570 051412 OS0912 OS2512 29.95 .00 29.95"'-
PHARI~CEUTICALS 3385476 051412 051012 052S12 495.82 .00 495.82/
PHARI~CEUTICALS 3385520 051412 051012 052S12 706.57 .00 706.57""
PHARNACEUTICALS 3387622 051412 051012 052512 1085.6S .00 1085.6V
PHARI~CEUTICALS 3387623 051412 051012 052S12 29.0S .00 29.0V
PHARNACEUTICALS 3396758 051612 051412 052512 10524.93 .00 10524.93 ,/
PHARlUlCEUTICAL CREDIT CM84457 051612 051412 052512 -11.03 .00 -11.03')
PHARNACEUTICAL CREDIT om83919 OS1612 051112 052512 -17.82 .00 -17.82
TOTALS....................................... : 36851. 30 .00 36851.30
10601 NOBLE AllERICAS ENERGY 29573.58 ./
ELECTRICITY 121210002301915 051412 043012 051012 29S73.58 .00
RUN DATE: OS/16/12
TIllE: 08:32
MEMORIAL llEDlCAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF OS/29/12
PAGE: 6
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS....................................... : 29573.58 .00 29S73.58
10008 OIINI-PORT LAVACA 07, L.P. 10320.70/
JUNE RENT 23895 OS1412 051S12 051512 10320.70 .00
TOTALS....................................... ; 10320.70 .00 10320.70
10709 ONESUFF lIEDICAL, LLC 2088.00/
CONTRACT NURSE OB 5516 042712 042612 052612 2088.00 .00
TOTALS....................................... : 2088.00 .00 2088.00
OM425 OIIENS & MINOR
SUPPLIES C8 INV 1923335 042712 042412 052312 33.86 .00 33.86/
INSTRUI!ENT WOllEN'S CLINIC 1923338 042712 042412 052312 25.92 .00 2S.92%
SUPPLIES SURGERY 1923381 042712 042412 052312 23S.44 .00 235.44
SUPPLIES CS INV 1923382 042712 042412 052312 67.72 .00 67.72~
SUPPLIES CS INV 1923414 042712 042412 052312 76.96 .00 76.96/
SUPPLIES ANESTHESIA 1923468 042712 042412 052312 57.36 .00 57.36/
SUPPLIES SURGERY 1923570 042712 042412 OS2312 773.91 .00 773.91/
SUPPLIES VARIOUS 1923609 042712 042412 OS2312 2373.25 .00 2373.25/
SUPPLIES SURGERY 18245S2 043012 042612 052S12 155.83 .00 15S.83
SUPPLIES VARIOUS 1924077 043012 042512 052512 23.12 .00 23.12~
SUPPLIES VARIOUS 1924911 043012 042612 052512 2872.43 .00 2872.43
TOTALS....................................... : 6695.80 .00 6695.80
10727 PALACIOS COMMUNITY MEDICAL 13S.00./
JUNE RENT 23896-1 051512 051512 OS1512 135.00 .00
TOTALS....................................... : 13S.00 .00 135.00
Pl100 PC CONNECTION SALES CORP 528.77/
OFFICE SUPPLIES PLANT OPS II 49009686 050712 042612 052512 528.77 .00
TOTALS....................................... : 528.77 .00 528.77
10737 PEM FILINGS I
CONSULTING FEES 2010-2011 868-54412 051412 041512 051512 713.45 .00 713.45 J
CONSULTING FEES 2010-2011 869-55289 051412 041512 051512 74.98 .00 74.98
TOTALS............... to....... ..... II.... to..: 788.43 .00 788.43
10204 PHARbIEDIUM SERVICES LLC /
PHARbIACEUTICALS A618742 043012 042412 052312 37.13 .00 37.13
TOTALS....................................... : 37.13 .00 37.13
P2100 PORT LAVACA WAVE 40.00/
SUBSCRIPTION w 23901 051412 043012 052612 40.00 .00
TOTALS......,................................ : 40.00 .00 40.00
10477 PURE FORCE 121.1/
SUPPLIES DIETARY 8485369 043012 042412 052412 121.19 .00
TOTALS....................................... , 121.19 .00 121.19
Rl045 R & D BATTERIES INC 44.22)
INSTRUNENTS M 972151 043012 042412 052512 44.22 .00
RUN DATE. 05/16/12
TIME. OB,32
MEIIORIAL IIEDlCAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 05/29/12
PAGE' 7
APOPEN
VENDi.NJ\llE......................... ..CLS.INVOICEi....... ..TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY...... ..NET
SUPPLIES MED SURG 972154 043012 042412 052412 143.20 .00 143.20 )
TOTALS....................................... . lB7.42 .00 187.42
RI050 R G 6 ASSOCIATES INC /
SALT DELIVERY M 198303 051412 042612 042612 131.20 .00 131.20
SALT DELIVERY 199003 051412 042612 042612 229.60 .00 229.60:/,
MIX BED SVC FEE 199604 051412 042612 042612 31.50 .00 31.50
TOTALS....................................... : 392.30 .00 392.30
Dl080 RITA DAVIS ,/
FLEX SPEND REIMBURSEMENT W 23892 051412 051012 OS1012 860.00 .00 860.00
'I'OTALS.........,............................. : 860.00 .00 860.00
D03S0 SIEMENS HEALTHCARE DIAGMOS 199.68 ./
SUPPLIES LAB II 971100403 043012 042412 052412 199.68 .00
TOTALS....................................... : 199.68 .00 199.68
10672 SIEMENS INDUSTRY, INC.
INSTRUMENT REPAIR LAB 900703288 043012 042512 052512 1882.50 .00 e;{;! 8'7.S'~
TOrAtS....... II.. ,., ....... II ,., '" II .... 1,..1 1882.50 .00 82.50
S2001 SIEMENS MEDICAL SOLUTIONS
SRV CONTRACT 4/29-5/29 N 95680520 OS1412 042912 042912 697.58 .00 697.58 ........
TOTALS....................................... . 697.58 .00 697.58
W1131 SUE WILLIAMS 33.88/
HEALTH FAIR SUPPLIES 23897 OS1412 051012 051012 33.88 .00
TO'L'ALS. II ,.. II ..... .......... ...... ... II .,'. II 33.88 .00 33.88
S2951 SYSCO FOOD SERVICES OF 921.19 ,/
SUPPLIES DIETARY M 20S031298 050712 050312 052312 921.19 .00
TOTALS....................................... : 921.19 .00 921.19
10618 TEAM HEALTH MEDICAL CALL C 872.16 J
OUTSIDE SRV ER BA1l757 051412 043012 043012 872.16 .00
TOTALS.................................i.....: 872 .16 .00 872.16
10SS5 THE CIT GROUP/EF ./
PROPERTY TAX - CT SCAN 21192443 051412 040412 032912 218.95 .00 218.95
TOTALS....................................... : 21B.95 .00 218.9S
S2679 THE ST JOHN COMFANIES, INC 43.39~
SUPPLIES ANESTHESIA M 07855047 050712 042512 052512 43.39 .00
SUPPLIES CS INV 07 8S7 561 050712 042712 052712 205.00 .00 205.00
TOTALS.......................................: 248.39 .00 248.39
TOBOl TLC STAFFIMG 2559.271
CONTRACT NURSE W 10106 043012 042412 052412 2559.27 .00
TOTALS....................................... . 2559.27 .00 2559.27
T3050 T~ COMPANY 44.6B /
SUPPLIES PLAN TOPS M 6400B29Rl 051412 042012 052012 44.68 .00
RUN DArE. 05/16/12
rIME. 08.32
MEI10RIAL MEDICAL CEN'rER
AP OPEN INVOICE LISr rHRU DUE DArE OF OS/29/12
PAOE. 8
APOPEN
rlWALS.................................... .... 11.68
VEND#.IIAI1E.......................... .CLS.INVOICE#....... ..rRN D'r.INV D'r.DUE Dr.CK D'r. .PC..... ..GROSS.... .DISC..... . NO-PAY.. ..... .Nn
r3130 rRI-ANII1 HEALrH SERVICES I
SUPPLIES CARDIO M 60689069 051112 013012 052012 268.70
ro'rALS.................................... .... 268.70
Ul051 UNIFIRSr HOLDINGS
LAU/IDRY MAIN'rENANCE
W 8150568300 013012 012112 052312
rlWALS....................................... .
32.51
32.51
Ul061 UNIFIRSr HOLDINGS INC
LAUNDRY HOSPUAL LINEN
LAUNDRY HOUSEKEEPING
LAUNDRY PLAZA
LAUNDRY DIErARY
LAUNDRY OB
LAUNDRY HOUSEKEEPING
810012507S
8100125076
8100125077
8100125078
8100125079
8400125080
013012 042412 052312
043012 012112 052312
043012 042412 052312
013012 042412 052312
013012 042412 052312
013012 012712 052312
916.66
182.19
176.37
130.02
86.70
18.68
1540.62
TOTALS....................................... :
10172 us FOOD SERVICE
SUPPLIES DIErARY
3287662 050712 050312 052312
rlWALS....................................... .
5267.95
5267.95
V0555 VERIZON SOUrHWESr
rELEPHONE
rELEPHONE
M 5S20220012812 OS0812 042812 052312
5523521050112 051412 050112 052612
103.26
10.72
113.98
TOTALS............................... 0.'......:
K1751 VICKY KALISEK
FLEX SPEND REIMBURSEMENr W
23891 051112 051012 051012
rOrALS....................................... .
370.69
370.69
Vl080 VICrORIA COMMUNICAUON SVC
REPLACEMEN'r PHONE JOSE M
222840 051112 050912 050912
TOTALS....................................... :
39.99
39.99
10172 VISA
MISCELLANEOUS CHG
3/27-4/21 051412 012112 052012
rorALs....................................... .
4SS3.S6
4553.56
GRAND TO'rALS....... ..... ..... ...... of. .......:
185834.47
~..~J41
Micha~\ ~.-Pl~;;er
Calhoun County ,Judge
Date:~..~.~ ().._3"-J.:k-._.~--_.-
CIUill~g(fZ.D
-10
Jf.fqg-S'OI
VOIDS
-,..I)'1'ill/S2.
MI'{'lI433
1$!q.',1tf8Z,
MAY i 6 2012
AU[)!TOPl
.00 11.68
.00 268.70 /
.00 268.70
.00 32.54 ../
.00 32.54
.00 916.66~
.00 182.19 /
.00 176.37/:
.00 130.02/;
.00 86.70:/
.00 18.68
.00 1510.62
.00 5267.95/
.00 5267.95
.00 103.26/
.00 40.72/
.00 143.98
.00 370.691
.00 370.69
.00 39.99/'
.00 39.99
./
.00 4553.56
.00 4553.56
.00 185831.47
<:: I~'l.:l.!:>o>
-+':/:1.,&"7.50
~
/ I'l?b) ~3'l. 41
RUN DATE: OS/16/12
TIME, 08,29
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID=OOOl
PAGE .
APCDEDIT
PATIENT
NUNBER
PAYEE NJ\IIE
DATE
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
GL NUN
---------------------------------------------------"-----------;;;'--------------
050312 1027.00.1 . -*
58.48(
051612 300.00 ;I
_____M________________________________________________--------------------------
ARID=OOOl TOTAL
1385.48
------------------------------------------------------------------------------------------------------------------------------------
TOTAL
1385.48 J
r! ts -p. ; <f f )O?-
.fO
.:I;Lf$ :/,Ot(
MAY 16 .....
COUNlf'il
w. R"I'IS1~Z. k J 0 /'. r~e..cA- Pcu..jee..
T e:.s> ",-e. C T LA<
d L,y+L.. a.booe.",k
..,. e \lolcle.cl '* re;SS<U! '
"''Ill' 32"1 '^"'"""
~4-91f~--
Michael J. Pfeifer
Calhoun County Judge
Date:_5~-1'1--
nUN DATE' 05/23/12
TIbIE, 09,23
MEMORIAL MEDICAL C~ER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/05/12
PAGE: 1
APOPEN
VEND#.NAl~E.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. . ...DISC..... .NO-PAY....... .NET
A1790 AFLAC
SERVICE FEE 11 31S387ER 052112 OS0112 OS3012 135.00 .00 135.00'/
ONLINE BILLING CHECK REMI 509S66 052112 050112 060112 3262.88 .00 3262.88/
TOTALS....................................... , 3397.88 .00 3397.88
10742 AIO ACQUISITION, INC. 12S.6S/
SUPPLIES HR 9318150141 051412 050412 060312 125.65 .00
TOTALS....... ,...............................1 125.65 .00 12S.65
A1680 AIRGAS-SOUTHlIEST ,/
IIEDICAL GAS H 107918026 051512 043012 053012 2100.38 .00 2100.38
IIEDICAL GAS 107918080 OS1512 043012 053012 221. 50 .00 221.S0 ,/
TOTALS.............. ......... .......... ......: 2321.88 .00 2321.88
10533 ALERE NORTH AHERICA INC 6507.06 /
LAB INVENTORY 9001288192 OS1812 OS0812 OS0712 6S07. 06 .00
TOTALS....................................... , 6S07.06 .00 6S07.06
10554 ALLIED WASTE SERVICES #847 10S9.60/
OUTSIDE SRV PLANT OPS 0847-000436237 051812 042612 OS1612 1059.60 .00
TOTALS....................................... , 1059.60 .00 10S9.60
10738 AIlS SALES CORPORATION 1617.00/
SUPPLIES SURGERY 12029848 051412 050412 060312 1617.00 .00
TO'l'ALS........ ............................... I 1617.00 .00 1617.00
D1l25 AMY DAY
HOSPITAL IIEEK SUPPLIES W 23911 OS2212 051S12 051512 36.80 .00 36.80 ./
TOTALS....................................... : 36.80 .00 36.80
A2218 AQUA BEVERAGE COl'IPANY 17.26/
SUPPLIES LAB M 395629 051812 043012 052512 17.26 .00
TOTALS............ to.........................: 17.26 .00 17.26
f
A2276 ARTHROCAJU: MEDICAL CORPORA
SUPPLIES SURGEHY l~ 909151S3-1 OS0912 050112 053112 220.30 .00 220.30'/
SUPPLIES cs IVN 90908882 051412 OS0412 060312 328.30 .00 328.30/
TOTALS........... ....... ....................., 548.60 .00 548.60
10297 ARUP LABORATORIES
OUTSIDE GEV LAB 50413086 051812 050112 053112 4601.12 .00 4601.12/'
TOTALS....................................... , 4601.12 .00 4601.12
10719 AUSTIN MEDICAL PRACTICE
OUTSIDE SRV WOI'iENS CLINIC 4506 051512 050112 OS3112 1700.00 .00 1700.00'"
OUTSIDE SRV WOI~S CLINIC 4521 051512 050812 052512 2010.S0 .00 2010.50",
lJ:lOTALS....................................,. .: 3710.50 .00 3710.S0
Bl07S BAXTER HEALTHCARE CORP
PHARMACEUTICALS II 37260797 051812 050312 060212 52.66 .00 S2.66,/'
SUPPLIES CS INV 37311831 051812 051012 051012 274.94 .00 274.94 ./
'RUN DATE: OS/23/12
TIllE, 09,23
MEIIORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/0S/12
PAGE, 2
APOPEN
SUPPLIES CS INV
VEND#.NAMll.......................... .CLS.INVOICE#....... ..TRN DT.INV DT.DUE DT,CK DT. .PC..... ..GROSS.... .DISC..... .NO-PAY....... .NET
B1220 BECI\IIAIl COULTER INC
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
LEASE LAB
10590 BETHANN DIGGS
TRAVEL EXPENSES
10599 BKU, LLP
AUDITING FEES
CI010 CABLE ONE
TELEPHONE
Cl033 CAD SOLUTIONS, INC
CAD CASES
Cl030 CAL COM FEDERAL CREDIT UNI
EMPLOYEE DEDUCTION W
C1203 CALHOUN COUNTY ilASTE IIGIIT
WASTE PICKUP APRIL
A1825 CARDINAL HEALTH
CREDIT RADIOLOGY
CREDIT RADIOLOGY
10350 CENTURION [!SDlCAL PRODUCTS
SUPPLIES CS INV
10661 CENTURYLINK
TELEPHONES
37207052 OS2112 042612 052612
TOTALS....................................... ,
M 102869146 051812 050212 060112
102871452 051812 OS0212 060112
102871454 051812 050212 060112
1028714S8 051812 050212 060112
102880861 051812 050812 060412
5266704 051812 043012 053012
TOTALS....................................... :
23903 051812 050912 050912
TOTALS....................................... :
175928 051412 043012 053012
TOTALS....................................... ,
W 051612-061S12 051812 051612 052S12
TOTALS...................................... .J
201653 051412 043012 053012
TOTALS....................................... ,
18177 052212 052212 052212
TOTALS...................................... .1
326883 050812 050412 053012
TOTALS....................................... ,
M 08107892 051812 051112 051112
CM08107839 051812 051412 051412
TOTALS...................................... .1
91012049 050812 050212 060112
TOTALS...................................... .1
1212337097 OS1412 050312 060212
TOTALS...................................... .J
C1478 CHANNING L BETE CO INe
CONTINUING EDUCATION II S248853S
051412 050412 060312
314.55
642.15
7014.24
1153.64
8691.68
296.75
407.72
5382.13
22946.16
13.32
13.32
2801.61
2801.61
324.96
324.96
488.00
488.00
25.00
2S.00
20.00
20.00
190.46
-37.S0
152.96
910.18
910.18
487.23
487.23
251.75
.00 314.55/'
.00 642.15
.00 7014.24/
.00 1153.64-
.00 8691. 68'/
.00 296.75/
.00 407.72 .....
.00 5382.13'/
.00 22946.16
.00 13.32/
.00 13.32
.00 2801.61 ........
.00 2801. 61
.00 324.96 .../
.00 324.96
/
.00 488.00
.00 488.00
.00 25.00/
.00 2S.00
,,/
.00 20.00
.00 20.00
.00 190.46/
.00 -37.S0""'--
.00 152.96
.00 910.18 V
.00 910.18
.00 487.23/
.00 487.23
.00 2S1.75/
RUlI DATE, OS/23/12
TIllE, 09,23
MEMORIAL MEDICAL CEMTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/05/12
PAGE, 3
APOPEN
VEND#.NAME......................... ..CLS.INVOICE#....... ..TRN DT.INV In.DUE In.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .!lET
TOTALS....................................... , 251.75 .00 2Sl. 75
C1730 CITY OF PORT LAVACA
llATER 1'1 040912-050912 052312 OS1712 060512 566.95 .00 566.95/
WATER AND SEIWR 040912T0051912 052312 OS1712 060512 6723.3S .00 6723.35/
TOTALS....................................... , 7290.30 .00 7290.30
L1430 COm<<ED LINVATEC 64.00/
SUPPLIES SURGERY M 1066921 OS0712 043012 053012 64.00 .00
TOTALS...........................,........... : 64.00 .00 64.00
105S6 CPP WOUND CARE #28,LLC 18850.00/
WOUND CARE 138S2 OS1512 051012 060112 18850.00 .00
TOTALS....................................... , 18850.00 .00 18850.00
C2510 CPSI 12203.70/
PRIVATE PAY SRV M 724246 052112 050812 050812 12203.70 .00
TOTALS....................................... , 12203.70 .00 12203.70
C2666 CROSS COUNTRY EDUCATION 318.00 /
REGISTRATION FEE 1'1 23906 052212 051512 OS1512 318.00 .00
TOTALS....................................... , 318.00 .00 318.00
C1443 CYGNUS MEDICAL LLC 229.00/
SUPPLIES SURGERY M 77815 OS0212 050212 060112 229.00 .00
TOTALS....................................... , 229.00 .00 229.00
D1150 DATEX OIm1EDA, INC. 223.00/
SUPPLIES CARDIO ~I 61S86771 052112 050312 060212 223.00 .00
TOTALS....................................... , 223.00 .00 223.00
S0419 DIAGNOSTICA STAGO, INC. 178.37/
SUPPLIES LAB 113181858 OS1812 042512 052512 178.37 .00
TOTALS....................................... , 178.37 .00 178.37
10741 DIRECT SUCCESS, INC.
PllARIlACEUTlCALS 12257 051812 050112 050112 240.44 .00 240.44 ,/
TOTALS.......................,............... , 240.44 .00 240.44
D17S2 DLE PAPER & PACKAGING
SUPPLIES PFS 1'1 6623 050812 050412 060312 78.50 .00 78.50/
TOTALS....................................... , 78.50 .00 78.S0
10701 FAGAN ANSWERING SERVICE AN 75.00/
OUTSIDE SRV 72863 052112 OS1812 051812 7S.00 .00
TOTALS....................................... , 75.00 .00 75.00
10689 FASTHEALTH CORPORATION 49S.00/
OUTSIDE SRV WEBSITE 05A12HHC 051412 050112 053112 495.00 .00
TOTALS....................................... , 495.00 .00 495.00
F1400 FISHER HEALTHCARE 687.48 /
SUPPLIES LAB I! 7971467 051812 050112 053112 687.48 .00
'RUN DATE' 05/23/12
THIE' 09:23
MEMORIAL IIEDlCAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/05/12
PAGE: 4
APOPEN
VEND~.NAME.......................... .CLS.INVOlCE#........ .TRN DT.INV DT.DUE DT.CK DT. ,PC...... .GROSS... ..DISC..... .NO-PAI....... .NET
SUPPLIES LAB 7971468 051812 OS0112 053112 77 .73 .00 77.73 ,/
SUPPLIES LAB 7971469 051812 OSOl12 053112 124.42 .00 124.42 .----
SUPPLIES LAB 7971470 OS1812 050112 053112 1069.18 .00 1069.18 ./
SUPPLIES LAB 8907647 051812 050812 060412 729.64 .00 729.64/
SUPPLIES LAB 9003069 051812 050912 060412 609.71 .00 609.71-
SUPPLIES LAB 9003071 051812 OS0912 060412 S65.22 .00 565.22/
SUPPLIES LAB 9091523 051812 051012 060412 294.69 .00 294.69'/
TOTALS....................................... , 4158.07 .00 4158.07
F1653 FORT BEND SERVICES, INC
SRV CONTRACT PLANT OPS Io!A 0174164-IN OS1812 050112 053112 495.00 .00 495.00/
TOTALS....................................... , 495.00 .00 495.00
10747 GLADEWATER TAX OFFICE 23.46/
PROPERTI TAX 23907 051812 050712 050712 23.46 .00
TOTALS....................................... , 23.46 .00 23.46
10S98 GLENN CRISP
TRAVEL EXPENSES 23912 OS2212 OS2012 052012 44.40 .00 44.40 /'
TOTALS....................................... , 44.40 .00 44.40
G1870 GOLDEN CRESCENT COMllUNlCAT /
DEPT REPAIR SECURITI M 32268 052112 042412 052412 269.00 .00 269.00
TOTALS..........:............................ , 269.00 .00 269.00
A1292 GULF COAST HAllDWAllE I ACE 4.29/
DEPT REPAIR CARDIO W 68724 051612 043012 053012 4.29 .00
TOTALS....................................... : 4.29 .00 4.29
G1210 GULF COAST PAPER COMPANY ./
SUPPLIES HOUSEKEEPING II 387349 051412 OSOl12 053112 237 .S7 .00 237.57
TOTALS.........................,............. , 237.57 .00 237.57
H0030 H E BUTT GROCERI
SUPPLIES DIETARI II 150976 043012 043012 OS3012 63.90 .00 63.90/
SUPPLIES DIETAllI 157345 051812 050112 053112 33.41 .00 33.41-
SUPPLIES DIETARI 158088 051812 050212 060112 38.48 .00 38.48........
SUPPLIES DIETARI 162893 051812 OS0512 060412 33.33 .00 33.33/
SUPPLIES DIETARI 162933 051812 050512 060412 2.88 .00 2.88..-'
TOTALS....................................... : 172.00 .00 172.00
I0415 INDEPENDENCE MEDICAL
SUPPLIES CS INV 26479891 050812 043012 053012 43.90 .00 43.90/
SUPPLIES CS INV 26487328 050812 050112 053112 17.50 .00 17.50/
SUPPLIES CS INV 264962S1 051412 050212 060112 3.50 .00 3.50"/
SUPPLIES CS INV 26496260 051412 050212 060112 47.90 .00 47.90/
SUPPLIES CS INV 2650301S 051412 050312 060212 35.5S .00 35.55 ......
TOTALS....................................... : 148.3S .00 148.35
I0950 INFOLAB INC
SUPPLIES BLOOD BANK 11 3111281 051812 042412 052312 320.24 .00 320.24 /
RUN DATE: 05/23/12
TIME: 09:23
MEl!ORIAL lmDICAL CEN'rER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/0S/12
PAGE: 5
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT,CK DT. .PC..... ..GROSS.... .DISC..... .NO-PAY....... .NET
SUPPLIES LAB 3112061 051812 042612 042612 298.16 .00 298.16/
SUPPLIES LAB 3113200 OS1812 043012 052912 970.69 .00 910.69/
SUPPLIES LAB 3113810 OS1812 050112 053112 174.60 .00 114.60/
SUPPLIES BLOOD BANK 31164S0 051812 050812 060412 813.06 .00 813.06 ./
TOTALS....................................... , 2636.15 .00 2636.75
10736 IN'rEGRATED COfR{ERCIALIZATI
PHARlIACEUTICALS 15011621547 042412 040212 060112 241.16 .00 241.16/
TOTALS....................................... : 241.16 .00 241.16
11260 IN'rOXIlIETERS INC
SRV CON'rRACT LAB l! 360846 051812 043012 052912 474.50 .00 474.SV'
TOTALS....................................... : 474.50 .00 474.50
10541 IPC, INC
SUPPLIES LAB 138478 051812 040912 050912 134. 02 .00 134.02--
SUPPLIES LAB 139693 051812 043012 052912 133.40 .00 133.40....-
TOTALS....................................... : 267.42 .00 267.42
Il263 IVlINS
COLLECTIONS W 12D0056391 052112 051012 060112 33.96 .00 33.96 ....-
TOTALS....................................... : 33.96 .00 33.96
J0150 J & J HEALTH CAllE SYSTEMS, ...-
SUPPLIES SURGERY 907694857 050812 043012 053012 392 .12 .00 392 .12
SUPPLIES SURGERY 907704974 OS0812 050112 OS3112 124.46 .00 124.46""-
TOTALS....................................... : S16.58 .00 S16.58
J1201 JACK L. MARCUS, INC 331. 87 /
El~PLOYEE PURCHASE 70762 051812 041912 051912 331.87 .00
RETURN El~P PURCHASE Cll70762 051812 051012 051012 -36.42 .00 -36.42/
TOTALS........ I.............................. I 295.45 .00 295.4S
10632 JACKSON NURSE PROFESSIONAL
CON'rRACT NURSE 46654447 052112 OSOS12 OS0512 768.00 .00 768.00....-
CONTRACT NURSE 46554447 OS2212 042812 042812 2304.00 .00 2304.00/
TOTALS....................................... : 3072.00 .00 3072.00
G032S KIM BLINKA
TRAVEL EXPENSES W 2390S 051812 051612 051612 94.35 .00 94.3S""--
TOTALS....................................... : 94.35 .00 94.3S
100.69 LABCORP OF AllERlCA HOLDING 149.50,/'
OUTSIDE SRV LAB ICP 37505964 051812 042812 052812 149.50 .00
OUTSIDE SRV LAB 37589701 OS1812 042812 052812 55.20 .00 55.20/
TOTALS....................................... : 204.70 .00 204.70
L1288 LANGUAGE LINE SERVICES
LANGUAGE IN'rERPRETATION Ii 2934061 051412 043012 OS3112 64.48 .00 64.48 ...-
TOTALS..............o.....,...............,. .1 64.48 .00 64.48
10141 LAWSON PRODUCTS
SUPPLIES DIETARY 9300820282 OS1812 OS0812 060412 91.20 .00 91.20/
'RUN DATE: 05/23/12
THlE: 09:23
1lE110RIAL llEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/0S/12
PAGE. 6
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET
SUPPLIES CREDIT DIETARY 9500025348 051812 033012 043012 -37.98 .00 -37.98/
TOTALS....................................... : S3.22 .00 53.22
M1511 IlARKETLAB, INC 318.81/
SUPPLIES LAB W M624854 051812 042612 052612 318.81 .00
SUPPLIES LAB M627034 051812 OS0212 060112 132.62 .00 132.62/
OFFICE SUPPLIES ER ~1627536 051812 050312 060212 138.71 .00 138.71/
TOTALS....................................... : S90.14 .00 590.14
M1500 IUffiKS PL~mING PARTS
SUPPLIES PWlT OPS II 1116640 050712 050112 060112 82.72 .00 82.72-
SUPPLIES PWlT OPS 1117072 OS0712 050212 060112 179.43 .00 179.43-
SUPPLIES PWlT OPS 1118088 051412 050412 060312 83.90 .00 83.90/
TOTALS....................................... . 346.05 .00 346.05
1~26S9 14ERRY X-RAY- SAN ANTONIO
SRV CONTRACT M 472716 051412 043012 053012 164.00 .00 164.00 -"
TOTALS....................................... . 164.00 .00 164.00
M2650 METLIFE
INSURANCE W 23908 052112 050112 050112 258.52 .00 2S8.52/
TOTALS................. ......................: 258.52 .00 258.52
M2621 II!IC AUXILIARY GIFT SHOP
EMPLOYEE PUECIlASE W 23909 052112 052112 052112 206.18 .00 206.18 ../
TOTALS....................................... : 206.18 .00 206.18
10441 MMC EMPLOYEE BENEFITS 57436.16/
WEEKLY CLAIM 18180 052312 052212 052212 57436.16 .00
TOTALS....................................... : S7436.16 .00 S7436.16
10536 MORRIS & DICKSON CO, LLC 308.56/
PHARllACEUTICALS 3401381 051812 051512 OS2512 308.56 .00
PHMIlACEUTICALS 3401629 051812 051512 OS2512 9.02 .00 9.02/
PHMIlACEUTICALS 3401630 051812 051512 OS2512 977.73 .00 977.73/
TOTALS...................................... .1 1295.31 .00 1295.31
01410 ON-SITE TESTING SPECIALIST 184.6S/
SUPPLIES LAB 1'1 13818 051812 043012 OS3012 184.65 .00
TOTALS....................................... . 184.65 .00 184.65
10709 ONESTAFF NEDICAL, LLC
CONTRACT NURSE 5S50 043012 OS0212 060112 696.00 .00 696.00/
TOTALS..................... ..... .1...........: 696.00 .00 696.00
OM425 OWENS & MINOR 3.76"
SUPPLIES CS INV 1926S95 050712 050112 053112 3.76 .00
SUPPLIES CS INV 1926621 050712 050112 053112 47.66 .00 47.66/
SUPPLIES CS INV 1926686 050712 050112 053112 88.48 .00 88.48/
SUPPLIES SURGERY 1926868 050712 050112 053112 391.55 .00 391.5S/
SUPPLIES VARIOUS 1927251 050712 050212 060112 2770.13 .00 2770.13/
'RUN DATE: 05/23/12
TIllE: 09:23
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/0S/12
PAGE: 7
APOPEN
VEND#.NM1E...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES CS INV 1927721 051412 050312 060212 11.19 .00 41.19./
SUPPLIES CS INV 1927748 051412 050312 060212 11.29 .00 11.29 ,/
SUPPLIES C8 INV 1927874 051412 050312 060212 14.84 .00 14.84/
SUPPLIES ANESTHESIA 1927924 051412 050312 060212 121. 70 .00 121.70.--'
SUPPLIES SURGERY 1927947 051412 050312 060212 126.39 .00 126.39.......
SUPPLIES VARIOUS 1928128 OS1412 OS0312 060212 1211.52 .00 1241.S2 ......-
TOTALS....................................... : 4858.51 .00 4858.51
P0706 PALACIOS BEACON
ADVERTISING W 23884 050712 043012 053012 132.00 .00 132.0~
TOTALS.......................................: 132.00 .00 132.00
Pll00 PC CONNECTION SALES CORP 709.9S ,/
OFFICE SUPPLIES DIETARY N 49023544 050812 050112 053112 709.95 .00
OFFICE SUPPLIES WOMENS CL 49023550 050812 050112 053112 219.14 .00 219.14/'
OFFICE SUPPLIES CARDIO 49024170 050812 050112 053112 709.95 .00 709.95'"'
TOTALS....................... ................: 1639.04 .00 1639.04
Pl102 PC MALL /
OFFICE SUPPLIES LAB J81623030101 051412 050212 060112 123.91 .00 123.91/
OFFICE SUPPLIES PFS J81636S30101 051412 050312 060212 201.37 .00 201.37
TOTALS....................................... : 325.28 .00 325.28
10204 PHARI1EDIUll SERVICES LLC
PllAlOO.CEUTlCALS A622613 051412 050312 060212 148.52 .00 148.52''/
TOTALS....................................... : 148.52 .00 148.52
10032 PHILIPS HEALTHCARE 1065.00/
INSTRUMENT REPAIR ANESTH 924211776 051412 OS0412 060312 1065.00 .00
TOTALS......................... ..............: 106S.00 .00 1065.00
P1800 PITNEY BOWES INC
RENTAL CONTRACT 10/19-7/1 W 923689 052112 050512 060412 454.63 .00 f t/z, 5 v.JV ~~
TOTALS....................................... : 454.63 .00 4 63
P1876 POLYMEDCO INC. 125.26 ./
SUPPLIES LAB M 1003653 051812 043012 053012 125.26 .00
TOTALS.....,................................. , 125.26 .00 125.26
P2100 PORT LAVACA WAVE 1256.S0 /
ADVERTISING W 201 051812 043012 053012 1256.50 .00
TOTALS....................................... : 1256.50 .00 1256.50
P2200 POWER ELECTRIC
SUPPLIES BIO~IED W 158811 051412 050212 060112 29.96 .00 29.96 ./
SUPPLIES BIOMED 158821 051412 050312 060212 23.98 .00 23.98 ,/
SUPPLIES PLANT OPS 158825 051412 050312 060212 7.37 .00 7.37/
TOTALS....................................... : 61.31 .00 61.31
10326 PRINCIPAL LIFE
INSURANCE 18176 052112 051712 060112 1681.10 .00 1681.10 ./
'RUN DATE: 05/23/12
THIE: 09:23
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/05/12
PAGE: 8
APOPEN
VEND#.NAME.......................... .CLS.INVOICE#....... ..TRN DT.INV DT.OUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY...... ..NET
TOTALS....................................... : 1681.10 .00 1681.10
P2370 PROGRESSIVE DYNM4ICS MEDIC
SUPPLIES SURGERY 14 129180 051412 OS0412 060312 206.67 .00 206.67/
TOTALS....................................... , 206.67 .00 206.67
10629 QUEST DIAGNOSTICS 23.60 ./
OUTSIDE SRV LAB 9143112733 051812 042512 052512 23.60 .00
TOTALS....................................... , 23.60 .00 23.60
Rl045 R & D BATTERIES INC
ISNTRlThlENT REPAIR ICU M 973582 050812 050112 060112 284.63 .00 284.63...--'
INSTRlThlENT REPAIR ER 974247 051412 050312 060212 378.47 .00 378.47./
TOTALS....................................... : 663.10 .00 663.10
Rl050 R G & ASSOCIATES INC
SALT DELIVERY 14 1999S3 051412 050312 060212 221.40 .00 221.40./
TOTALS....................................... , 221. 40 .00 221.40
R1321 RECEIVABLE MANAGEMENT, INC
COLLECTIONS APRIL \1 APRIL2012 050712 043012 053012 834.49 .00 834.49/
TOTALS....................................... , 834.49 .00 834.49
R1471 RESPIRONICS, INC.
LEASE CARDIO 1/28 - 4/27 14 915097389 051812 042712 OS2712 179.88 .00 179.88 .....
TOTALS...........,........................... , 179.88 .00 179.88
10645 REVISTA a. VICTORIA
ADVERTISING 05201237 051812 051112 052512 375.00 .00 375.00/
TOTALS....................................... , 37S.00 .00 375.00
I0520 RICOH USA, INC. 7628.04./
COPIER LEASE M 86993408 052112 051112 060S12 7628.04 .00
T01'ALS............. ................. to.......l 7628.04 .00 7628.04
S1700 SHARN INC
SUPPLIES ANESTHESIA 14 00293292 051412 050312 060212 60.86 .00 60.86v'
TOTALS..........................,............ : 60.86 .00 60.86
S1800 SHERWIN llILLIM4S 293.68'/
SUPPLIES PLANT OPS W 5905-5 051412 043012 053012 293.68 .00
TOTALS....................................... , 293.68 .00 293.68
D0350 SIEMENS HEALTHCARE DIAGMOS 455.41/
SUPPLIES LAB II 971103159 051812 042612 OS2612 4S5.41 .00
TOTALS....................................... , 455.41 .00 455.41
S2400 SO TEX BLOOD & TISSUE CENT
SUPPLIES BLOOD BANK CREDI M 20122000 051812 050112 053112 -2916.00 .00 -2916.00j
SUPPLIES BLOOD BANK 20122061 051812 050112 053112 8088.00 .00 8088.00
TOTALS....................................... , 5172.00 .00 5172.00
S2694 STANFORD VACUUlI SERVICE 320.00/
OUTSIDE SRV DIETARY M 528860 OS0712 050112 053112 320.00 .00
'RUN DATE. OS/23/12
TIllE. 09.23
MEMORIAL MEDICAL CENTER
AP OPEN IMVOICE LIST THRU DUE DATE OF 06/05/12
PAGE. 9
APOPEN
VEND#.NAME.......................... .CLS.IMVOICE#........ .TRM DT.IMV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC.... ..NO-PAy....... .NET
TOTALS....................................... . 320.00 .00 320.00
S3960 STERICYCLE, INC 575.92/
~lASTE PICKUP 4003362918 051812 043012 053012 . S75.92 .00
TOTALS....,.................................. . 575.92 .00 575.92
C2299 SUDDEMLIMK MEDIA 2880.00/
ADVERTISING 3/26 - 4/29 IMV434212 OS0812 OS0112 053012 2880.00 .00
TOTALS...................................... .1 2880.00 .00 2880.00
10333 SUNTRUST EQUIPMENT FINANCE
LONG TERM DEBT - RADIOLOG 1453174 051812 050712 060112 22688.57 .00 22688.57'/
TOTALS...................................... .1 22688.57 .00 22688.57
S2951 SYSCO FOOD SERVICES OF 40.14/
SUPPLIES DIETARY I! 204132797 OS1812 041312 050312 40.14 .00
SUPPLIES DIETARY 205101275 OS1812 051012 053012 9S2.60 .00 952.60 ---
SUPPLIES DIETARY 205110698 051812 051112 053112 54.78 .00 S4.78/
SUPPLIES DIETARY 205170851 OS1812 051712 060512 1296.25 .00 1296.25......
TOTALS....................................... I 2343.77 .00 2343.77
T2S39 T-SYSTEM, INC.
MAINTENANCE MAY II ISS67 050712 043012 OS3012 4291. 00 .00 4291. 00"""'-
TOTALS....................................... . 4291.00 .00 4291. 00
T0500 TElII.1 REHAB 15000.00/
INTERM BILLING II 23910 052112 OS2112 052112 15000.00 .00
TOTALS....................................... : 15000.00 .00 15000.00
10128 TERRYBERRY
EMPLOYEE AWARDS 941629 050812 050312 060212 97S.28 .00 975.28/
TOTALS......... ............................... 975.28 .00 97S.28
10633 TEXAS HOSPITAL ASSOCIATION /'
CONTINUING EDUCATION ADIU 23904 051812 051612 051612 495.00 .00 49S.00
TOTALS...... '" ,.'...........0 '.0'.... " '" ": 49S.00 .00 495.00
T2230 TEXAS lURED lroSIC INC
MUSIC ~1 A672341 051812 050112 053112 59.95 .00 59.95....
llARKETING ON HOLD A672342 051812 050112 053112 73.95 .00 73.95/
TOTALS....................................... . 133.90 .00 133.90
D1641 THE DOCTORS' CENTER
OUTSIDE SRV LAB APRIL ~r TDC043012 OS1812 043012 053012 7S.00 .00 75.00""""
TOTALS....................................... . 7S.00 .00 75.00
S2679 THE ST JOHN COMPANIES, INC .......-
SUPPLIES CS IMV N 07860893 OS0812.050212 060112 205.00 .00 205.00
OFFICE SUPPLIES HIM 07860895 050812 050212 060112 47.00 .00 47.00 .....-
TOTALS....................................... : 252.00 .00 252.00
T2250 THYSSENKRUPP ELEVATOR CORP
OUTSIDE SRV PLANT OPS 5/1 II 224719 OS1812 050112 053112 1012.98 .00 1012.98/
'RUN DATE, 05/23/12
TIHE, 09:23
HEMORIAL IIEDICAL CEN'rER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/05/12
PAGE: 10
APOPEN
VEND#.IWIE.......................... .C[,S.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC..... .NO-PAY....... .HET
TOTALS...................................... .1 1012.98 .00 1012.98
TOOOl T[,C STAFFING 516.63 ./
PROFESSIONAL FEES IUillSURG W 10136 050712 050112 053112 516.63 .00
TOTALS...................................... .1 516.63 .00 516.63
Ul054 UNIFIRST HOLDINGS /'
LAUNDRY NAIN'rENANCE 11 8150569029 050712 050112 053112 32.S4 .00 32.54
TOTALS...................................... .1 32.54 .00 32.54
Ul064 UNIFIRST HOLDINGS INC
LAUNDRY HOUSEKEEPING 8100125449 OS0712 050112 053112 108.81 .00 108.81 ./
LAUNDRY HOSPITA[, LINEN 8400125444 OS0712 050112 053112 693.53 .00 ,/
693.53/
LAUNDRY HOSPITA[, ['INEN 8400125445 050712 050112 053112 182.19 .00 182.19
LAUNDRY PLAZA 840012S446 050712 050112 053112 167.28 .00 167.28/
LAUNDRY DIETARY 840012S447 050712 OS0112 053112 131. 76 .00 131. 76 ::::
LAUNDRY OR 8400125448 050712 OSOl12 053112 86.70 .00 86.70
LAUNDRY HOSPITA[, ['INEN 8400125654 050712 050112 053112 792.32 .00 792.32.......
LAUNDRY OR 8400125655 050712 050412 060312 348.S9 .00 348.59.......
TOTA[,S....................................... , 2511.18 .00 2511.18
U1056 UNIFORM ADVANTAGE
ENP['OYEE PURCHASE W 4431507 052212 050412 060312 488.71 .00 488.71 ./
TOTA[,S....................................... , 488.71 .00 488.71
U0414 UNUM ['IFE INS CO OF AMERIC
INSURANCE 6/1-6/30 18174 052112 051412 060112 3884.00 .00 3884.00/'
TOTALS............,......................... .1 3884.00 .00 3884.00
10172 US FOOD SERVICE 269.93;:-
SUPP['IES DIETARY 3318320 OS1812 050412 OS2412 269.93 .00
SUPP['IES DIETARY 3369900 051812 OS0812 052812 220.50 ,00 220.50
SUPP['IES DIETARY 3413156 OS1812 OS1012 053012 3498.30 .00 3498.30/
SUPP['IES DIETARY 4665114 051812 020912 022912 23.06 .00 23.06/
SUPP['IES DIETARY 5024148 051812 022812 031612 303.31 .00 /
303.31 /
SUPP['IES DIETARY 5527763 051812 032812 041712 312.68 .00 312.68
SUPP['IES DIETARY 5527767 051812 032812 041712 56.19 .00 56.19/
TOTAr.S....................................... , 4683.97 .00 4683.97
V0555 VERIZON SOUTHWEST /
TE[,EPHONB H 5S12S13050712 051812 050712 060112 19S.5S .00 195.55,./
TEr.EPHONBS 5526713050712 051812 050712 060112 1260.12 .00 1260.12
TE[,EPHONBS 55281030S0712 051812 050712 060112 47.91 .00 47.91/
TE!.EPHONBS 5537803050712 051812 050712 060112 294.91 .00 294.91/
TOTA[,S....................................... , 1798.49 .00 1798.49
V1471 VICTORIA RADIOll0RKS, ['TD 216.00/
ADVERTISING w 12040380 050712 043012 053012 216.00 .00
TOTALS....................................... , 216.00 .00 216.00
10750 VIP IoIEDICAr. CONSU[,TING LLC
OUTSIDE SRV 23913 OS2312 051412 051512 7500.00 .00 7500.00
,/
RUN DATE. OS/23/12
TIME. 09.23
MEl40RIAL MEDICAL CEllTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/05/12
PAGE. 11
APOPEN
TOTALS...................................... .:
VEND~.NAIIE.......................... .CLS.INVOICE~........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
10394 WILLIAM E HEIKAMP, TRUSTEE
EMPLOYEE DEDUCTION 18179 052212 052212 052212
TOTALS....................................... .
10429 WILLIAM E HEITKAMP, TRUSTE
ENPLOYEE DEDUCTION 18178 052212 052212 052212
TOTALS....................................... .
Y1000 YOUNG PLUMBING CO
SUPPLIES BIOMED
W 138213
051412 050312 060312
TOTALS....,................................. .1
GRAND TOTALS.................................:
...-
e(~Si:l:- ,L(t~/):;.
-+0
.# (t..{S{Pt7
VOID ,r
~85
JAIf
NIt f'IV
~/~
7500.00 .00 7S00.00
400.00 .00 400.00 ,/
400.00 .00 400.00
495.00 .00 495.00/
495.00 .00 495.00
40.60 .00 40.60/
40.60 .00 40.60
269407,52
269407.52
.(tt6'/.("31
.00
f"a' '7 f /l.t,. Su.o-
----
.:ll,,'lI) ~S2.8'l
,/
APPBOVIED
MAY 2 3 2012
COUNTY AUDITOR
RUN DATE, 05/21/12
TIME I 15: 44
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID.OOOl
PAGE .
APCDEDIT
PATIENT
NUMBER
PAYEE NAME
DATE
-~-----~-------------------------------------------------------------------------
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
052112 25.001
052112 12.05/
052112 1524.35 /
052112 109.60 ,/
OS2112 41.69 /
052112 4872.631
052112 53.73/
052112 739.20/
052112 100.00/
052112 89.55/
052112 67.46/
052112 219.20 /
052112 76.60/
34.00 )
41.03 /
112.00/
GL NUN
__......____.__________._.______________ ______ _ _ _ _________________________________________________.____--1I..~."..~~t)--
fi"'A-rrTu:;;rw l\m>i'W
TOTAL A.~ 8118.09 -'<'0 '
"Sf V 1< l~gCo33
RUN DATE,05/29/12
TIME:09:25
MEMORIAL MEDICAL CEMTER
EDIT LIST FOR BATCH 556 0827
CRT#556
TRAMSACTIOM SEQUENCE
PAGE 1
GLEDIT
ACCOUNT A.H.A.
SEQ. NUNBER ~mER
TRAMS
DATE JOURNAL
AlIOUNT SUB-LED REFERENCE MEllO
G.L. ACCOUNT DESCRIPTION
-------------------------------------------------------------------------------------.----------------------------------------------
1 20000000
2 50140000
05/29/12 PJ
05/29/12 PJ
8,951.00CR T2062
8,951. 00 T2062
23919
23919
TEXAS MEDICAID & HEALTH INV DT=05/29/12 DUE=052912
TEXAS MEDICAID & HEALTH MICAID COMTR ADJ O/P-COMTR
------------------------------------------------------------------------------------------------------------------------------------
3 20000000
4 20350000
05/29/12 PJ
05/29/12 PJ
743,312.00CR T3068
743,312.00 T3068
23918
23918
TRAILBLAZER HEALTH EMTE INV DT=05/29/12 DUE=052912
TRAILBLAZER HEALTH EMTE THIRD PARTY PAYABLE -CRN
110490000
10260
95674
- - - - - - - - - -R E C A P- - .. .. .. - - - - -
JOURNAL YRlIO COUNT DEBIT
PJ 1205 4 752,263.00
TOTAL 4 752,263.00
CREDIT
752,263.00
752,263.00
AlP TOTAL
752,263.00
ACCOUNT TOTAL RECAP ON NEXT PAGE
APPROVED
MAY I 9 2012
COUNTY AUD!TOA
J\'\A,~~q..f~
Michael J. Pfeifer
Calhoun County Judge.
Date:__ ,$- 3 1- J?-
tt<.ti N9?3-Y
Ii- 1t!1fC,3S
<it 'i?) qs \. 0 0 "
Nd t''''''\,'Y\t.A'--\- 0('\ f'\e,J: ca,<:l Cost R ~or+
^^- ,.. . \ CD S t- R",-t>b ..1-
2-0\\ f""'1""e.,...k DO,- .,\.....ll..ca..C' f
<If '7L\ 3,:312 .DD ;=
RUN DATE: 05/30/12
TnlE: 12:41
llEMORIAL MEDICAL CENTER
AP OPEM INVOICE LIST THRU DUE DATE OF 06/12112
PAGE: 1
APOPEN
VEMD#.NAllE.......................... .CLS.INVOICE#....... ..TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC.... ..NO-PAy....... .NET
A1680 AIRGAS-SOUTHWEST ,/
IlEDICAL GAS - OXYGEM II 107955205 051812 050712 060612 2244.66 .00 2244.66
TOTALS.............................;......... : 2244.66 .00 2244.66
A1645 ALCON LABORATORIES INC
LENSES M 13393250 052512 050812 060712 159.00 .00 159.00'/
TOTALS.................................,..... ; 159.00 .00 159.00
10668 ALLIED FIRE PROTECTION SA, 195.00/
SEMI ANNUAL INSPECTION SI363401 052512 050301 060212 195.00 .00
TOTALS...................................... .: 195.00 .00 195.00
A1360 AllERISOURCEBERGEM DRUG COR 112.78 ,/
PHARJolACEUTICALS \q 037-571448 052212 051812 061012 112.78 .00
PllAIUlACEUTICALS 037-571449 052212 051812 061012 21.06 .00 21.06./
PllAIUlACEUTICALS 037-571450 052212 051812 061012 81.21 .00 81. 21 ./
PHARMACEUTICALS 037-571451 052212 051812 061012 260.16 .00 260.16 ,/
PllAIUlACEUTICALS 037-575791 052512 052212 061012 156.01 .00 156.01/
PllARIlACEUTICALS 037-577800 052512 052312 061012 3.97 .00 3.97'/
PllAIUlACEUTICALS 037-577801 052512 052312 061012 7.77 .00 7.77/
PllARIlACEUTICALS 037-577802 052512 052312 061012 47.72 .00 47.72./
PHARMACEUTICALS 037-581576 052912 052912 061012 73.91 .00 73.91./
PllAIUlACEUTICALS 037-583879 052912 052912 061012 8.81 .00 8.81/
PllAIU'lACEUTICALS 037-583880 052912 052912 061012 108.65 .00 108.65/
TOTALS....................................... , 882.05 .00 882.05
A2349 AT&T
TELEPHONE - DISCONNECTED W 23916 052512 031912 041812 547.77 .00 547.77 ./
TOTALS..,..,................................. : 547.77 .00 547.77
A2345 AT&T MOBILITY
TELEPHONE X05192012 052212 051112 060612 3.69 .00 3.69/'
TOTALS....................................... , 3.69 .00 3.69
B1075 BAXTER HEALTHCARE CORP
SUPPLIES CS INV fl 37287347 051812 050712 060612 28.30 .00 28.30 ......
SUPPLIE8 CS INV 37312383 051812 051012 060912 113.71 .00 113.71 .,..
TOTALS...................................... .: 142.01 .00 142.01
10599 BKD, LLP 6020.35/
AUDITING FEES 180140 051612 051112 051112 6020.35 .00
AUDITING FEES 182599 052912 051512 051512 23144.89 .00 23144.89 ./
'l'O'rALS,....,............................... ..1 29165.24 .00 29165.24
A1825 CARDINAL HEALTH
SUPPLIES MUC 14ED II 08107908 052512 051812 051812 566.48 .00 566.48/
TOTALS...................................... .: 566.48 .00 566.48
10650 CAREFUSION 2200, INC ./
INSTRUNEMTS WOllENS CLINIC 9103539630 051512 050812 060712 302.47 .00 302.47
TOTALS...................................... ., 302.47 .00 302.47
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES CS INV 91015602 051412 050712 060612 634.60 .00 634.60 ./
RUN DATE: 05/30/12
TmE: 12:41
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/12/12
PAGE: 2
APOPEM
VEMD#.MAlIE.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC.... ..NO-PAy...... ..NET
SUPPLIES VARIOUS 91017529 051412 050912 060812 377.50 .00 377.50 ,/
TOTALH....................................... : 1012.10 .00 1012.10
10105 CHRIS KOVAREK
FLEX SPEND REIMBURSE~lEMT 23915 052512 052412 052412 369.00 .00 369.00./
TOTALS....................................... : 369.00 .00 369.00
C1945 COMPUTER com~ CORPORATI
SUPPLIES IT 19759 052512 043012 053012 46.00 .00 46.00 y'
TOTALS....................................... : 46.00 .00 46.00
C2510 CPSI
STATEllENT PROCESSING II 724819 052512 051112 051112 62.54 .00 62.54/
EBOS 725357 052512 051112 051112 438.70 .00 438.70 .-'
STATEMENT PROCESSING 726329 052512 051712 051712 82.01 .00 82.01 ,/
ELECTRONIC PAYSTUB - APRI 726614 052512 051812 051812 143.50 .00 143.50-
SUPPLIES PHARMACY 726709 052512 051812 051812 150.00 .00 150.00 .-
TO'rALS..,. 0...... ... to... .........., to.......f 876.75 .00 876.75
10417 ENTRUST IMSURAMCE & BENEFI
INSURANCE EN022506 052912 060112 060112 14652.13 .00 14652.13 ./
TOTALS............. to............,......... to: 14652.13 .00 14652.13
10003 FILTER TECHNOLOGY CO, INC
SUPPLIES PLANT OPS 70569 051512 050812 060712 369.30 .00 369.30 .......
TOTALS....................................... , 369.30 .00 369.30
F1400 FISHER HEALTHCARE
SUPPLIES LAB II 9091524 051812 051012 060912 2178.16 .00 2178.16 ...
TOTALS....................................... , 2178.16 .00 2178.16
G0370 GMDENLAMD NURSERY
SUPPLIES GROUNDS Ir rml 052512 041312 051312 45.96 .00 45.96 ....
TOTALS....................................... : 45.96 .00 45.96
GOI00 GE HEALTHCARE
SRV COMTRACT RADIOLOGY Ir 5369244 051812 050712 060612 3059.50 .00 3059.50 ./
SVE CONTRACT RADIOLOGY 5369245 051812 050712 060612 435.75 .00 435.75 ./
SRV CONTRACT VARIOUS 5369246 051812 050712 060612 612.42 .00 612.42 V
TOTALS............ to..... to............. .....: 4107.67 .00 4107.67
G0120 GE MEDICAL SYSTEIIS, INFO T 171.00 /
SRV CONTRACT OB 611-6/30 7372109 051512 050912 060812 171. 00 .00
TOTALS................................ .......: 171. 00 .00 171.00
G1210 GULF COAST PAPER COMPANY 124.18 ./
SUPPLIES HOUSEKEEPIMG II 391500 051412 050812 060712 124.18 .00
SUPPLIES HOUSEKEEPING 375898 052512 041012 051012 386.49 .00 386.49/
TOTALS...... 0........., to.......... ......... ,: 510.67 .00 510.67
H0030 H E BUTT GROCERY 363.57/
SUPPLIES DIETARY II 166588 051812 050712 060612 363.57 .00
RUN DATE: 05/30/12
TIME: 12:41
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/12/12
PAGE, 3
APOPEM
VEND#.NAIl!......................... ..CLS.INVOICEH........ .TRN DT.INV DT.DUE DT.CK DT..PC..... ..GROSS.... .DISC..... .NO-PAY....... .NET
SUPPLIES DIETARY 177175 051812 051312 061212 14.14 .00 14.14 ./
TOTALS...................................... .1 377 .71 .00 377.71
I0501 IDEA REPS
~
EMPLOYEE MORAL W 33982 051412 050812 060712 1689.80 .00 1689.80
1-\0'1'01"1 wee I<. eftlP1ot;; TOTALS........................................ 1689.80 .00 1689.80
(1.<..."r...II,,') . ·
I0415 INDEPENDENCE MEDICAL
SUPPLIES CS INV 26517188 051512 050712 060612 19.02 .00 19.02 /
TOTALS.... ..'...0....... .......... ...........: 19.02 .00 19.02
I0950 INFOLAB INC
SUPPLIES LAB II 3116451 051812 050812 060712 946.20 .00 946.20 ./
TOTALS....................................... : 946.20 .00 946.20
J0150 J & J HEALTH CARE SYSTEMS,
SUPPLIES SURGERY 907740352 051512 050712 060612 390.37 .00 390.370/
SRV COMTRACT LAB 907745168 051812 050812 060812 330.00 .00 330.00 .......
SRV COMTRACT LAB 907745169 051812 050812 060712 687.50 .00 687.50/
SUPPLIES SURGERY 907760213 052112 050912 060812 672.87 .00 672.87 ...-'
TOTALS....................................... : 2080.74 .00 2080.74
H1502 JESUSITA S. HERNANDEZ
TRAVEL EXPENSE PHARIlACY W 23914 052512 050912 050912 31.41 .00 31.41 ./
TOTALS....................................... : 31.41 .00 31.41
10744 K C RENTALS
HEALTH FAIR EXPENSE 23917 052512 051012 051012 120.00 .00 120.00 ,./
TOTALS.........:............................. : 120.00 .00 120.00
10729 LAURIE HARVEY
TRAVEL EXPEMSES 23932 053012 052912 052912 176.86 .00 176.86/
TOTALS....................................... : 176.86 .00 176.86
L1640 LOWE'S HOME CENTERS INC
SUPPLIES PLANT OPS W 19499620 051812 050812 060712 49.98 .00 49.98 ./
SUPPLIES PLANT OPS 19499982 051812 050812 060712 699.72 .00 699.72 ./
SUPPLIES PLANT OPS 42511737 052512 050812 060712 79.63 .00 79.63 ./
TOTALS..., ..... '0...0;' to.. to ,... ,.... .0."..: 829.33 .00 829.33
N2485 MEDRAD INC
SUPPLIES CT SCAN M 139191939 051812 050912 060812 1057. 02 .00 1057.02 ,/
TOTALS....................................... : 1057.02 .00 1057.02
112590 MERCURY MEDICAL 96.44 ,/
SUPPLIES CS INV M 538433 051412 050912 060812 96.44 .00
SUPPLIES CS INV 538631 052512 051012 060912 95.46 .00 95.46/
TOTALS..... ............,...,.. ........ to"O": 191.90 .00 191. 90
112659 MEREY X-RAY- SAN ANTONIO 978.55 /
SUPPLIES RADIOLOGY M 473974 051512 051012 060912 978.55 .00
RUN DATE, 05/30/12
TIME, 12:41
MEIIORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/12112
PAGE, 4
APOPEN
VEND#.NAME. to.... 10" to to. to It.... to .CLS.INVOICE#.... .., ..'I'RN D'l'.INV DT.DUE M.CK DT..PC.. 10.. ,GROSS..., .DISC... to .NO.PAY. '0' to ..NET
SUPPLIES VARIOUS 474003 051812 051112 061012 1310.88 .00 1310.88 "I
TOTALS. to........... ......... ...... to... to ...1 2289.43 .00 2289.43
M2827 MINMTECH CORPORATION 282.50 ,/
SUPPLIES SURGERY 14 1373242 052112 050812 060712 282.50 .00
TOTALS....................................... : 282.50 .00 282.50
113331 MOORE MEDICAL LLC 63.93 ,/
SUPPLIES OUTPATIENT 11 97254202RI 052112 051112 061012 63.93 .00
'1'O'1'AL8....................................... : 63.93 .00 63.93
10536 MORRIS & DICKSON CO, LLC 2703.90 /
PIlARlIACEUTICALS 3405114 051812 051612 061012 2703.90 .00
PHARMACEUTICALS 3406748 051812 051612 061012 15.33 .00 15.33/
PHARMACEUTICALS 3406749 051812 051612 061012 14560.58 .00 14560.58/
PIlARlIACEUTICALS 3411383 052212 051712 061012 30.48 .00 30.48 ./
PHARMACEUTICALS 3411384 052212 051712 061012 424.36 .00 424.36 ,/
PHARMACEUTICALS 3413944 052512 051812 061012 138.25 .00 138.25/
PHARMACEUTICALS 3419459 052512 052112 061012 447.94 .00 447.94/
PHARMACEUTICALS 3420517 052512 052112 061012 825.38 .00 825.38......
PHARMACEUTICALS 3420518 052512 052112 061012 2925.58 .00 2925.58--
PHARMACEUTICALS 3425272 052512 052212 061012 971.90 .00 971.90""-
PHARMACEUTICALS 3430812 052512 052312 061012 1638.90 .00 1638.90./
PHARMACEUTICALS 3430813 052512 052312 061012 1470.48 .00 1470.48/
PHARMACEUTICAL CREDIT 3676 052512 051812 061012 -10.42 .00 -10.42 ,/
PHARMACEUTICALS 3433377 052912 052412 061012 5.97 .00 5.97........
PHARMACEUTICALS 3433378 052912 052412 061012 105.14 .00 105.14/
PIlARlIACEUTICALS 3433379 052912 052412 061012 82.65 .00 82.65 ........
PHARMACEUTICALS 3434398 052912 052412 061012 41.28 .00 41.28 ,/
PIlARlIACEUTICALS 3434399 052912 052412 061012 6678.97 .00 6678.97'/
PIlARlIACEUTICALS 3434538 052912 052412 061012 550.99 .00 550.99./
TOTALS....................................... : 33607.66 .00 33607.66
10601 NOBLE AMERICAS ENERGY
ELECTRICITY 121430002342158 053012 052212 060112 27954.13 .00 2~3
TOTALS... t.................................. ,I 27954.13 .00 ,2 954.13
ON425 OWENS & MINOR .,:11,~59.1'"
SUPPLIES CS INV 1929666 051412 050812 060712 116.31 .00 116.31/
SUPPLIES SURGERY 1929899 051412 050812 060712 1005.80 .00 1005.80 ,/
SUPPLIES 1930262 051412 050912 060812 62.59 .00 /
62.59/
SUPPLIES CS INV 1930264 051412 050912 060812 120.00 .00 120.00
SUPPLIES VARIOUS 1930375 051412 050912 060812 2513.19 .00 2513.19 ::/
SUPPLIES CS INV 1930376 051412 050912 060812 88.48 .00 88.48
SUPPLIES VARIOUS 1930799 051412 050912 060812 1311.16 .00 1311.16/
SUPPLIES CS INV 1930800 051412 050912 060812 176.96 .00 176.960/
SUPPLIES CS INV - CLEAR U 1658078-1 052512 110210 120210 35.10 .00 35.10 ,/
TO'1'AL8....................................... : 5429.59 .00 5429.59
10032 PHILIPS HEALTHCARE 3185.00 )
SRV - MUC IlED 5/28 - 6/27 924245096 052512 051312 061212 3185.00 .00
RUN DATE: 05/30/12
TIllE: 12,41
MEMORIAL MEDICAL CENTER
AP OPEM INVOICE LIST THRU DUE DATE OF 06/12/12
PAGE: 5
APOPEM
VEND#.NAllE.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. .. ..DISC..... .MO-PAY....... .NET
TOTALS. II..... II.... .0..... I'" ... ot.......,.1 3185.00 .00 3185.00
P2200 POWER ELECTRIC 10.03~
DEPT REPAIR DIETARY W 158885 051512 050812 060712 10.03 .00
SUPPLIES PLANT OPS 158580 052512 041312 051212 ' 11.50 .00 11.50
TOTALS....................................... , 21.53 .00 21.53
10743 REPSS, INC. 235.65 ./
SUPPLIES IMP CON'rROL 28402 052112 051112 061012 235.65 .00
TOTALS....................................... : 235.65 .00 235.65
10746 RR DONMELLEY & SONS CO
SUPPLIES VARIOUS 134669310 052112 050912 060812 1083.81 .00 1083.81 ./
TOTALS........................,.............. : 1083.81 .00 1083.81
10735 STRYKER SUSTAIMABILITY 179.52./'
SUPPLIES SURGERY 1632904 052112 051112 061012 179.52 .00
TOTALS....................................... : 179.52 .00 179.52
111301 TERRY W. IWlDUX
TRAVEL EXPENSE 23914 052512 052412 052412 91. 74 .00 91.74./
TRAVEL EXPENSES PLANT OPS 23932 053012 052512 052512 36.63 .00 36.63/
TOTALS....................................... , 128.37 .00 128.37
T2204 TEXAS IlUTUAL INSURANCE CO
INSURAMCE W 18181 053012 053012 061212 6091. 00 .00 6091. 00 ,/
TOTALS....................................... , 6091.00 .00 6091. 00
T0801 TLC STAFFIMG
CON'rRACT NURSE \q 10160 052212 050812 060712 1720.25 .00 1720.25 <.-/
TOTALS...................................... .1 1720.25 .00 1720.25
Ul054 UNIFIRST HOLDINGS
LAUNDRY lIAIN'rENANCE W 8150569798 051412 050812 060712 32.54 .00 32.54v
'l'O'l'ALS. ......................................: 32.54 .00 32.54
UI064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN 8400125800 051412 050812 060712 821.38 .00 821.38/
LAUNDRY HOUSEKEEPING 8400125801 051412 050812 060712 182.19 .00 182.19:::"-
LAUNDRY PLAZA 8400125802 051412 050812 060712 186.65 .00 186.65
LAUNDRY DIETARY 8400125803 051412 050812 060712 257.11 .00 257.11v
LAUNDRY OB 8400125804 051412 050812 060712 86.70 .00 86.70/
LAUNDRY HOUSEKEEPING 8400125805 051412 050812 060712 41.31 .00 41.31/
LAUNDRY HOSPITAL LINEM 8400126009 051512 051112 061012 714.76 .00 714.76/
LAUNDRY SURGERY 8400126010 051512 051112 061012 348.59 .00 348.59/
TOTALS....................................... : 2638.69 .00 2638.69
U1350 UNITED PARCEL SERVICE
OUTSIDE SRV POSTAGE W 0000778941202 052912 051912 051912 222.84 .00 222.84/
TOTALS............. ..........................1 222.84 .00 222.84
10172 US FOOD SERVICE 3516.93 /
SUPPLIES DIETARY 3540888 051812 051712 060612 3516.93 .00
RUN DATE: 05/30/12
TIME: 12:41
MEMORIAL MEDICAL CEMTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/12/12
PAGE: 6
APOPEN
VEND#.NAllE...........................CLS.INVOICE#.........TRN DT.IMV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES DIETARY
SUPPLIES DIETARY
U2000 US POSTAL SERVICE
POSTAGE
V0555 VERIZON SOUTHWEST
TELEPHONE
TELEPHONE
\11005 WALMART CO~lMUNITY
MISC PURCHASES
10325 WHOLE8ALE ELECTRIC SUPPLY
SUPPLIES PLANT OPS
3623653
3464356
052212 052212 061012
052512 051112 053112
TOTALS......,................................ :
23932
052912 051412 051412
TOTALS....................................... :
M 5522646051612 052912 051612 061012
5525926051612 052912 051612 061012
TOTALS....................................... :
W 4/25-05/16 052112 051612 061112
TOTALS....................................... :
79-2850573
051812 051512 061112
TOTALS...................................... .:
GRAND TOTALS.................................,
~i)#
Michael J. Pfeifer
Calhoun County Judge
Date: tt - I-I '1.--
,APPROVED
MAY 3 0 2012
COUNTY jl,UI!J!TOFI
85.86 .00 85.86 ./
32.05 .00 32.05 -----
3634.84 .00 3634.84
1200.00 .00 1200.00 ,/
1200.00 .00 1200.00
111.32 .00 /off.Sfo. 111.32
107.00 .00 107.00/
218.32 .00 2li 12
~t5.5'"
42.55 .00 42.55 ./
42.55 .00 42.55
248.90 .00 248.90/
248.90 .00 248.90
156578.15 .00 156578.15
C.O (' r ec-l-10l'. f. <~" 'l5Q. 13)
p~. 1.\ l +.:li/15'l.lb
co~('ec+\"n{ <.71~.32.,>
p~ {" -+ ,:11 So 5 Go
\ 5(.,,5,5.4 2./
c\<..:'>~ II..\8'lo3{p
+0
::l:I \l.\~~9\
v 0 I "DS
4:t 14~ lo 43
.1:\:. Il.{S ~ <61
RUN DATE: 05/30/12 NEMORIAL MEDICAL CEMTER FAGE J
TIME, 09,01 EDIT LIST FOR PATIENT REFUNDS ARID=OOOl APCDEDIT
PATIENT PAY PAT
NUMBER PA1EE NAllE DATE AMOUNT CODE TYPE DESCRIPTION GL NUN
053012 205.001
052912 836.40/
052912 30.00 ./
052912 25.801
052912 106.40.1
052912 80.001
053012 40.00/
052912 79.441
052912 229.92 I
052912 29.92 /
ARID=OOOl TOTAL
TOTAL
1662.88
1662.88 /
Q \<$.... {<1$?Coc)?.
+-0
..tt I Ljf? 70 (
3 0 2012
iMJml0R
e--vJJ9-fiL
!> ~ "'. ) ,.^,," ,. .
leildil,I.I'.',\.f0r
Calhol.w. ' . ',jUdg~
Date:_~ I:-c.L~__. ~ _'.'
RUN DATE: 06/07/12
TnlE: 09,17
MEMORIAL MEDICAL CENTER
AP OPEM IMVOICE LIST THRU DUE DATE OF 06/19/12
PAGE: 1
APOPEN
VENDff.NAlIE.......................;...CLS.IMVOICE#.........TRN DT.IMV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
A1645 ALCON LABORATORIES IMC
LENSES II 13450753 052512 051712 061612 1564.50 .00 1564.50......
TOTALS.................. .....................: 1564.50 .00 1564.50
10554 ALLIED WASTE SERVICES ff847
OUTSIDE SRV HOUBEKEEPIIlG 0814-000442440 053112 052612 061512 1059.60 .00 1059.60 v
TOTALS....................................... : 1059.60 .00 1059.60
A2260 ARROW INTERNATIOMAL INC 350.82/
SUPPLIES CS IMV II 4140919 052512 051712 061612 350.82 .00
TOTALS...................................... ., 350.82 .00 350.82
A2276 ARTHROCARE IIEDICAL CORPORA
SUPPLIES SURGERY II 90926412 052112 051612 061512 955.85 .00 955.85.1
TOTALS....................................... : 955.85 .00 955.85
10297 ARUP LABORATORIES
OUTSIDE SRV LAB AR-11425 053112 051012 060912 500.00 .00 500.00/
TOTALS........,...o... to... to. to to..... to....: 500.00 .00 500.00
A2345 AT&T MOBILITY
TELEPHONE X05262012 053112 052612 061312 2362.58 .00 2362.58 /
TOTAL.:;................. \.....................: 2362.58 .00 2362.58
BI075 BAXTER HEALTHCARE CORP
SUPPLIES CS IMV M 37261164 051412 050312 060212 318.67 .00 318.67 V
SUPPLIES CS IMV 37369781 052912 051712 061612 762.68 .00 762.68 ./
TOTALS..... to to........., to.. .... ,..,........: 1081.35 .00 1081.35
B1220 BECKMAN COULTER INC
SUPPLIES LAB II 102707696 053112 020212 030112 134.00 .00 134.00 V
SUPPLIES LAB 102708148 053112 020312 030212 7588.79 .00 7588.79.....
SUPPLIES LAB 102708149 053112 020312 030212 4766.87 .00 4766.87"/
SUPPLIE8 LAB 102709138 053112 020312 030212 2266.83 .00 2266.83,../'
SUPPLIES LAB 102806208 053112 032712 042612 348.86 .00 348.86/
SUPPLIES LAB 102886437 053112 051012 060912 1169.39 .00 1169.39/
LEASE I RENTAL LAB 5267863 053112 051212 061112 3440.19 .00 3440.19 ../
LEASE I RENTAL LAB 5267864 053112 051212 061112 3933.48 .00 3933.48 ./
TOTALS....................................... : 23648.41 .00 23648.41
B1650 BOSART LOCK & KEY INC
SUPPLIES PLANT OPS II 95459 052512 051812 061712 38.25 .00 38.25/
TOTALS....... to.. to...... to.. ...... to. to.....1 38.25 .00 38.25
B0437 C R BARD INC
SUPPLIES CS IMV II 43495379 052112 051412 061312 132.00 .00 132.00/
TOTALS...................................... ., 132.00 .00 132.00
CI030 CAL COM FEDERAL CREDIT UNI ./
EIIPLOYEE DEDUCTION W 18182 053112 053112 053112 25.00 .00 25.00
TOTALS....................................... : 25.00 .00 25.00
Z0850 CARlIEN C. ZAPATA,ARROYO I
SPEECH THERAPY I~Y W 23941 053112 053112 061512 75.00 .00 75.00
RUN DATE: 06/07/12
TnlE: 09:17
IlEMORIAL MEDICAL CEMTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/19/12
PAGE: 2
APOPEM
VEND#.NAME.......................... .CLS.INVOICE#........ .TRM DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET
TOTALS....................................... : 75.00 .00 75.00
10350 CEMTURION MEDICAL PRODUCTS 615.58/
SUPPLIES CS INV 91020518 051812 051412 061312 615.58 .00
SUPPLIES CS INV 91018509 053112 050912 060812 31. 62 .00 31.62 ---
TOTALS....................................... : 647.20 .00 647.20
C1510 CHUBB
OUTSIDE SRV PLANT OPS HAY 11 7020379822 052512 051612 061512 27.56 .00 27.56v
TOTALS....................................... : 27.56 .00 27.56
C1600 CITIZENS MEDICAL CENTER ,/
OUTSIDE SRV LAB W 23935 053112 103111 113011 198.00 .00 198.00
TOTALS....................................... : 198.00 .00 198.00
C1970 CONlIED CORPORATION 143.49 ,/
SUPPLIES SURGERY 11 341298 052512 051512 061412 143.49 .00
TOTALS.....,... It... .,....'... to........... It: 143.49 .00 143.49
C2157 COOPER SURGICAL INC 707.23 )
SUPPLIES SURGERY H 2874610 052912 051712 061612 707.23 .00
TOTALS....................................... : 707.23 .00 707.23
C2510 CPSI /
STATEMENT PROCESSING 11 728012 053112 052412 052412 39.53 .00 39.53
'I'OTALS................. to.... .1,.........,...: 39.53 .00 39.53
10368 DEWITT POTH & SOM
OFFICE SUPPLIE8 LAB 331112-0 051812 051012 061512 57.31 .00 57.31/
OFFICE SUPPLIES LAB 331256-0 051812 051112 061512 14.43 .00 14.43 ,/
OFFICE SUPPLIES VARIOUS 331381-0 052112 051412 061512 197.74 .00 197.74 ./
OFFICE SUPPLIES ADMIN 331430-0 052112 051412 061512 35.69 .00 35.69"""-
OFFICE SUPPLIES RADIOLOGY 331510-0 052112 051512 061512 7.11 .00 7.11.:/
OFFICE SUPPLIES CS IMV 331567-1 052112 051612 061512 27.30 .00 27.30
OFFICE SUPPLIES ICU 331657-0 052112 051612 061512 50.70 .00 50.70;
OFFICE SUPPLIES PFS 331746-0 052112 051712 061512 6.27 .00 6.27
OFFICE SUPPLIES ER 331827-0 052112 051712 061512 140.00 .00 140.00/
OFFICE SUPPLIES CS INV 331576-1 052512 051612 061512 27.30 .00 27.30 ---
OFFICE SUPPLIES ER 331827-1 052512 052212 061512 140.00 .00 140.00 /
OFFICE SUPPLIES PFS 331934-0 052512 051812 061512 22.01 .00 22.01"/
OFFICE SUPPLIES IMP COMTR 331935-0 052512 051812 061512 79.15 .00 79.15---
OFFICE SUPPLIES CS IMV 331990-0 052512 052112 061512 288.31 .00 288.31/
OFFICE SUPPLIES ACCT 332098-0 052512 052212 061512 52.84 .00 52.84/
OFFICE SUPPLIES ADMIH 332101-0 052512 052212 061512 44.01 .00 44.01"""-
OFFICE SUPPLIES ER 332128-0 052512 052212 061512 29.71 .00 29.71"""-
OFFICE SUPPLIES ER 332552-0 053112 052312 061512 140.00 .00 140.00......
OFFICE SUPPLIES MEDSURG 332600-0 053112 052412 061512 4.01 .00 4.01../
OFFICE SUPPLIES LAB 333195-0 053112 053012 061512 5.15 .00 5.15 .....-
OFFICE SUPPLIES CS IMV 333233-0 053112 053012 061512 216.82 .00 216.82/
OFFICE SUPPLIES ER 333248-0 053112 053012 061512 3.35 .00 3.35 ......-
TOTALS....................................... : 1589.21 .00 1589.21
D1608 DIVERSIFIED ~USIMESS SYSTE
FORHS II 22117 052212 052012 061912 237.90 .00 237.90 ./
RUM DATE. 06/07/12
TIME: 09:17
MEMORIAL MEDICAL CENTER
AP O~EN IMVOICE LIST THRU DUE DATE OF 06/19/12
PAGE: 3
APOPEN
VEMD#.NAME...........................CLS.IMVOICE#.........TRN DT.IMV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
FORNS 22118 052212 052012 061912 33.62 .00 33.62 ",.
TOTALS....................................... : 271.52 .00 271.52
D1752 DLE PAPER & PACKAGING
FORlIS PFS Ii 6635 051812 051412 061312 79.95 .00 79.95'/
TOTALS...................................... .1 79.95 .00 79.95
E3400 EllERGENCY IolEDICAL PRODUCTS
SUPPLIES CS IMV M 1464260 052512 051612 061512 25.45 .00 25.45/
TOTALS....................................... : 25.45 .00 25.45
E1275 EMV SERVICES IMC 405.00"/
SRV COMTRACT LAB 1'1 276792 053112 051712 061612 405.00 .00
TOTALS....................................... : 405.00 .00 405.00
FI050 FASTENAL COllPAM'i
SU~PLIES BIOMED II TXPOT107293 053112 041812 051812 111.56 .00 111.56 ,/
TOTALS...................................... ., 111.56 .00 111.56
F1400 FISHER HEALTHCARE
SUPPLIES LAB II 9265517 053112 051112 061012 322.15 .00 322.15/
SUPPLIES LAB 9551977 053112 051512 061412 672.48 .00 672.48/
SUPPLIES LAB 9551978 053112 051512 061412 846.70 .00 846.70 ....--
SUPPLIES LAB 9730071 053112 051612 061512 291.50 .00 291.50 ...
SUPPLIE8 LAB 9730074 053112 051612 061512 426.08 .00 426.08"/
SUPPLIES LAB 9730077 053112 051612 061512 1706.47 .00 1706.47V
SUPPLIES LAB 9895805 053112 051712 061612 191. 77 .00 191. 77 /
TOTALS....................................... : 4457.15 .00 4457.15
G0120 GE MEDICAL SYSTEMS, INFO T
INSTRUlIENT REPAIR OB 71963721 052512 051812 061712 201. 60 .00 201.60"""-
TOTALS....................................... : 201.60 .00 201.60
G0930 GRA~HIC CONTROLS Ltc 122.69/
SUPPLIES ULTRASOUND M K08859 052512 051812 061712 122.69 .00
TOTALS....................................... : 122.69 .00 122.69
G0302 GREAT AlmRICA LEASING CORP
LEASE I PROPERTY TAX 12290384 053112 052512 061912 4268.92 .00 4268.92'"
TOTALS.......................... .... .........: 4268.92 .00 4268.92
G0401 GULF COAST DELIVERY 50.00/
OUTSIDE SRV CARDIO 23936 053112 053112 061512 50.00 .00
TOTALS.............. to.. ........,0. ..........1 50.00 .00 50.00
A1292 GULF COAST IlARDI/ARE I ACE 33.28~
DEPT REPAIR OR Ii 068978 051812 051612 061512 33.28 .00
SUPPLIES GROUNDS 068995 053112 051612 061512 34.46 .00 34.46
TOTALS....... ,',..,...........................: 67.74 .00 67.74
G1210 GULF COAST PAPER COM~AM'i /
SUPPLIES HOUSEKEEPING II 394963 052112 051512 061412 153.61 .00 153.61
RUN DATE' 06/07/12
TIllE: 09,17
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/19/12
PAGE: 4
APOPEN
VEND#.MAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......MO-PAY........NET
SUPPLIES HOUSEKEEPING 394974 052112 051512 061412 62.21 .00 62.21/
SUPPLIES HOUSEKEEPING 394816 053112 051512 061412 115.60 .00 115.60 --
TOTALS....................................... : 331.42 .00 331.42
H0030 H E BUTT GROCERY 125.41---
SUPPLIES DIETARY M 178295 051812 051412 061312 125.41 .00
SUPPLIES DIETARY 186645 052212 051912 061812 2.36 .00 2.36 ....
SUPPLIES DIETARY 188666 052212 052012 061912 184.46 .00 184.46 --
UNPAID FINANCE CHARGE 23940 053112 060512 060512 2.11 , .00 2.11-
TOTALS....................................... : 314.34 .00 314.34
Hl100 HAYES ELECTHIC SERVICE
DEPT REPAIR DIETARY 1'l A2120511-04 053112 051112 061012 95.00 .00 95.00/
TOTALS.................... 0..... to 0"'.. 0....1 95.00 .00 95.00
H0416 HOLOGIC INC
SUPPLIES 11Al~lO 6532628 052112 051512 061412 650.49 .00 650.49 ...---
TOTALS.,.................................... .1 650.49 .00 650.49
I0415 INDEPENDENCE MEDICAL 48.721
SUPPLIES CS INV 26569444 052212 051612 061512 48.72 .00
SUPPLIES CS INV 26553750 052512 051412 061312 31.26 .00 31.26/
TOTALS....................,................. .1 79.98 .00 79.98
I0950 IMPOLAB IMC
SUPPLIES LAB II 3117968 053112 051112 061012 303.00 .00 /
303.00/
SUPPLIES LAB/BLOOD BANX 3119206 053112 051512 061412 698.42 .00 698.42
SUPPLIES LAB 3119682 053112 051612 061512 238.48 .00 238.48/
TOTALS.................. >t. 0.................: 1239.90 .00 1239.90
J0150 J << J HEALTH CARE SYSTEMS,
SUPPLIES SURGERY 907785651 052212 051412 061312 2925.60 .00 2925.60 /
SUPPLIES SURGERY 907804924 052212 051612 061512 1681.29 .00 1681.29/
SUPPLIES SURGERY 907804925 052212 051612 061512 61.98 .00 61.98 ,./
TOTALS.. ......................................: 4668.87 .00 4668.87
K0530 KCI USA 323.23/
SUPPLIES MED SURG H 13206816 053112 041812 051812 323.23 .00
SUPPLIES MED SURG 13235629 053112 043012 053012 631.95 .00 631.9V"
SUPPLIES PT 13308633 053112 051812 061712 3092.58 .00 3092.58"'/
TOTALS....................................... : 4047.76 .00 4047.76
10578 LUMINAMT ENERGY COIIPANY LL
ELECTRICITY INV0512493 043012 050112 061612 1812.82 .00 1812.82/
TOTALS....................................... , 1812.82 .00 1812.82
M2499 MEDTRONIC USA, INC. 130.001
SUPPLIES SURGERY 1'l 2508180320 052512 051612 061512 130.00 .00
TOTALS....................................... : 130.00 .00 130.00
H2685 IlICROTEK MEDICAL INC /
SUPPLIES CS INV II 2857486 052112 051412 061312 211.00 .00 211.00
RUN DATE, 06/07/12 MEMORIAL MEDICAL CENTER PAGE: 5
TIME, 09,17 AP OPEN INVOICE LIST THRU DUE DATE OF 06/19/12 APOPEM
VEND#.NAIIE...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 211. 00 .00 211.00
fol2827 MINNTECH CORPORATION
SUPPLIES SURGERY fol 1376265 052212 051412 061312 1372.00 .00 1372.00.....
TOTALS....................................... : 1372.00 .00 1372.00
112621 IlNC AUXILIARY GIFT SHOP 207.57 ,./
EfolPLQYEE PURCHASES 1; 23937 053112 053112 053112 207.57 .00
TOTALS...................................... ., 207.57 .00 207.57
10441 1~IC EMPLOYEE BENEFITS
\'1EEKLY CLAIMS 18182 053112 053012 053012 28489.24 .00 28489.24/
folONTHLY ADIUN FEES 18183 053112 053012 053012 16445.75 .00 16445.75/
l'IEEKLY CLAmS 18185 060512 060512 060512 8563.75 .00 8563.75/
TOTALS.................. ....... .......0......: 53498.74 .00 53498.74
10536 folORRIS & DICKSON CO. LLC
PHARMACEUTICALS 3444926 053112 052912 061012 36.45 .00 36.45./'
PHARNACEUTICALS 3444927 053112 052912 061012 1846.11 .00 1846.11/
PHARMACEUTICALS 3445200 053112 052912 061012 9008.35 .00 9008.35/
PHARl1ACEUTICALS 3445201 053112 052912 061012 21130.44 .00 21130.44--
PHARMACEUTICALS 3446468 053112 052912 061012 257.86 .00 257.86.....
PHARMACEUTICALS 3449978 053112 053012 061012 215.71 .00 215.71'"
PHARl1ACEUTICALS 3449979 053112 053012 061012 327.75 .00 327.75'/
PHARl1ACEUTICAL CREDIT 4945 053112 052412 052412 -5.81 .00 -5.81'/
PHARMACEUTICAL CREDIT CM89965 053112 053012 061012 -88.25 .00 -88.25'/
PHARlIACEUTICAL CREDIT Cl189966 053112 053012 061012 -97.37 .00 -97.37 ,/
PHARMACEUTICALS SC8202 053112 053112 061012 10.98 .00 10.98:/
PHARl1ACEUTICALS 3454978 060412 053112 061012 706.57 .00 706.57
PHARl1ACEUTICALS 3455505 060412 053112 061012 2.72 .00 2.72 /
PHARMACEUTICAL 3455506 060412 053112 061012 590.85 .00 590.85/
PHARl1ACEUTICAL CREDIT CI190715 060412 053112 061012 -52.47 .00 -52.47/
TOTALS....................................... : 33889.89 .00 33889.89
N1225 NUTRITION OPTIONS
DIETICIAN \'1 MAY2012 060512 053112 053112 3750.00 .00 3750.0~/
TOTALS....., ....... ............,.......... ...: 3750.00 .00 3750.00
01500 OLYlIPUS MIERICA INC 69.72/
SUPPLIES LAB M 13460549RI 053112 051812 061712 69.72 .00
TOTALS...................................... ., 69.72 .00 69.72
OM425 OI1ENS & MINOR
SUPPLIES OR 1932781 051812 051512 061412 113.58 .00 113.58/
SUPPLIES CS INV 1932782 051812 051512 061412 11.88 .00 11.88/
SUPPLIES OR 1933100 051812 051512 061412 85.41 .00 85.41/
SUPPLIES VARIOUS 1933531 052112 051612 061512 4066.87 .00 4066.87/
SUPPLIES CS INV 1934029 052112 051712 061612 136.54 .00 136.54./
SUPPLIES CS INV 1934112 052112 051712 061612 14.39 .00 14.39 /
SUPPLIES CS IMV 1934211 052112 051712 061612 65.96 .00 65.96 ,/
SUPPLIES SURGERY 1934405 052112 051712 061612 743.46 .00 743.46 /
RUN DATE: 06/07/12
TIME, 09:17
NEllORIAL I1EDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/19/12
PAGE: 6
APOPEN
VEMD#.IlAllE...........................CLS.IMVOICE#.........TRM DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
SUPPLIES MEDISURG 1935305 052512 051512 061412 92.47 .00 92.47/
SUPPLIES VARIOUS 1934445 052912 051712 061612 1065.82 .00 1065.82/
SUPPLIES 1934000 053112 051712 061612 193.99 .00 183.99/
TOTALS....................................... : 6580.37 .00 6580.37
Pll02 PC IW,L
OFFICE SUPPLIES ICU J81702490101 052512 051512 061412 212.02 .00 242.02 .-
TOTALS. '0. to.... It......... II................: 242.02 .00 242.02
10204 PHARlIEDIUM SERVICES LLC ./
PIlARIIACEUTICALS A628126 052512 051712 061612 148.52 .00 148.52
TOTALS..,........,........................... : 148.52 .00 14 8.5 2
10032 PHILIPS HEALTHCARE 200.76/
INSTRUMENT SUBGERY 924259201 052212 051612 061512 200.76 .00
TOTALS....................................... : 200.76 .00 200.76
P1800 PITNEY BONES INC
QTLY PAYloIEMT 11 310009 053112 051712 061612 207.00 .00 207.00'./
TOTALS...................................... ., 207.00 .00 207.00
P2370 PROGRESSIVE DYNAIlICS MEDIC
SUPPLIES SURGERY II 129181 053112 050412 060312 106.80 .00 106.80 ,/
TOTALS....................................... : 106.80 .00 106.80
RI050 R G & ASSOCIATES INC
SALT DELIVERY II 200320 051812 051712 061612 254.20 .00 254.20:/
SALT DELIVERY 199465 053112 052912 052912 180.40 .00 180.40
SALT DELIVERY 200181 053112 052912 052912 237.80 .00 237,80 :::::-
SALT DELIVERY 200525 053112 052912 052912 237.80 .00 237.80
MIXED BED SVC FEE 200792 053112 052912 052912 31.50 .00 31.50./
TOTALS....................................... : 941.70 .00 941.70
R1268 RADIOLOGY UNLIMITED, PA 35.00/
CALCIUM SCORE II 23933 053112 053112 053112 35.00 .00
READIMG FEES FOR IlARCH 23934 053112 041012 050912 1105.00 .00 1105.00/
TOTALS....................................... : 1140.00 .00 1140.00
10626 RAUSHANAH IIOMDAY
FLEX SPEMD REIIlBURSEMEMT 23938 053112 053112 053112 192.00 .00 192.00 ,r'
TOTALS. " It..........,.....",..... ."... to..: 192.00 .00 192.00
10543 ROGERS HOI'lE MEDICAL
SUPPLIES PT 36537 053112 050812 060812 50.00 .00 50.00/
SUPPLIES PT 36758 053112 053112 061912 375.00 .00 375.00/
TOTALS....................................... : 425.00 .00 425.00
D0350 SIEMENS HEALTHCARE DIAGNOS
SUPPLIES LAB M 971139746 05311~ 051612 061512 3271. 72 .00 3271.72 /
, 28.84 ./
SUPPLIES LAB 971142530 053112 051712 061612 28.84 .00
TOTALS....................................... : 3300.56 .00 3300.56
S2001 SIEMENS MEDICAL SOLUTIOMS 941.58 .I
SHV CONTRACT ULTRASOUND M 95689483 053112 051812 061512 941.58 .00
RUN DATE: 06/07/12
TIME: 09117
MEI10RIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/19/12
PAGEl 7
APOPEM
VEMD#.NAllE.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT..PC...... .GROSS... ..DISC..... .NO-PAY....... .NET
TO'l'ALS.......... .............................: 941. 58 .00 941. 58
10699 SIGN AD, LTD.
ADVERTISTING JUNE 155527 053112 060112 061012 350.00 .00 350.00/
l!'<Yl'ALS.......................................: 350.00 .00 350.00
S2903 SUN COAST RESOURCES, IMC
FUEL APRIL2012 053112 050512 060512 400.25 .00 rffi
TOTALS...................................... .1 400.25 .00 oft.. 40 .25
S2951 SYSCO FOOD SERVICES OF ./
SUPPLIES DIETARY M 205241206 053112 052412 061312 1230.13 .00 1230.13/
SUPPLIES DIETARY 205311051 053112 053112 061912 738.75 .00 738.75
TOTALS...................................... .1 1968.88 .00 1968.88
T0500 TEAM REHAB
INTERUI BILLING 11 23939 053112 053112 053112 15000.00 .00 15000.00'/
TOTALS....................................... ~ 15000.00 .00 15000.00
T1900 TEXAS ELECTRICAL SUPPLY 281. 76.1
SUPPLIES PLANT OPS II 25599 053112 051512 051512 281. 76 .00
TOTALS.......... to.. .... to. ..... to. ...... 00..: 281.76 .00 281.76
VI050 THE VICTORIA ADVOCATE
WEEKLY NEl1SPAPER 11 881068 053112 042812 052712 12.40 .00 12.40"-
WEEKLY NEl1SPAPER 885718 053112 050512 060412 12.40 .00 12.40/
l1EEKLY NEWSPAPER 886174 053112 051212 061112 12.40 .00 12.40/
WEEKLY MEl1SPAPER 889427 053112 051912 061812 12.40 .00 12.40/
TOTALS....................................... : 49.60 .00 49.60
T0801 TLC STAFFING 7814.39/
COMTRACT MDRSE 11 10182 052112 051512 061412 7814.39 .00
TOTALS...................................,... : 7814.39 .00 7814.39
T4400 TORCH
2ND QTR l1AIVER PYMT 11 Q2.12-130 052512 051412 061312 995.71 .00 995.71/
TOTALS....................................... : 995.71 .00 995.71
T3050 TRAME U. S. INC. 1409.82 /
DEPT REPAIR PLANT OPS N 6479049Rl 053112 051412 061312 1409.82 .00
TOTALS............................ ...........: 1409.82 .00 1409.82
UI054 UMIFIRST HOLDINGS
LAUNDRY MAIMTENANCE 11 8150570553 051812 051512 061412 32.54 .00 32.54/
TOTALS....................................... : 32.54 .00 32.54
UI064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN 8400126159 051812 051512 061412 832.56 .00 832.56 ./
LAUNDRY HOUSEKEEPIMG 8400126160 051812 051512 061412 182.19 .00 182.19 /
LAUNDRY PLAZA 8400126161 051812 051512 061412 173.40 .00 173.40"'-
LAUNDRY DIETARY 8400126162 051812 051512 051412 195.32 .00 195.32/
RUN DATE: 06/07/12
TIllE, 09:17
MEMORIAL MEDICAL CENTER
AP OPEIl IMVOICE LIST THRU DUE DATE OF 06/19/12
PAGE: 8
APOPEN
VEND#.NAllE...........................CLS.IMVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......MO-PAY........NET
LAUNDRY OS 8400126163 051812 051512 061412 86.70 .00 86.70 ,./
LAUNDRY HOUSEKEEPING 8400126164 051812 051512 061412 108.81 .00 108.81 ,/
LAUNDRY HOSPITAL LIMEN 8400126378 051812 051812 061712 935.63 .00 935.63 ..-"
LAUNDRY OR 8400126379 051812 051812 061712 348.59 .00 348.59 /
'rO'l'ALS...... ...... II .... ........ II ... I..... ...: 2863.20 .00 2863.20
UI056 UNIFORM ADVANTAGE
EllPLOYEE PURCHASE W 4427862 053112 050212 060112 245.81 .00 245.81-
EMPLOYEE PURCHASE 4431508 053112 050412 060312 194.87 .00 194.87 ,,/
EllPLOYEE PURCHASE 4443871 053112 051412 061312 69.95 .00 69.95 ---
TOTALS....................................... : 510.63 .00 510.63
10172 US FOOD SERVICE 44.50/
SUPPLIES DIETARY 3591138 053112 051812 060712 44.50 .00
SUPPLIES DIETARY 3673051 053112 052412 061312 3298.05 .00 3298.05'"
SUPPLIES DIETARY 3673054 053112 052412 061312 85.80 .00 85.80/
SUPPLIES DIETARY 3716174 053112 052512 061412 36.32 .00 36.32 /
SUPPLIES DIETARY 5781661 053112 053112 061912 3601.33 .00 3601. 33/'
TOTALS...................................... .1 7066.00 .00 7066.00
V0555 VERIZON SOUTHWE8T
TELEPHONES M 1977697051912 052912 051912 061312 53.38 .00 53.38/
TELEPHONES 5521567051912 052912 051912 061312 43.43 .00 43.43 ,/
TOTALS..... ......... ... 10........ ......... ...1 96.81 .00 96.81
V0559 VERIZON WIRELESS
BROADBAND CARDS 6735349556 053112 051612 061112 113.23 .00 113.23/
TOTALS....... It to... to. .t........ to.... i.. ...1 113.23 .00 113.23
W1167 WESCOR INC
SUPPLIES LAB W 424739 053112 040412 050312 195.20 .00 195.20 ___
TOTALS....................................... : 195.20 .00 195.20
10325 WHOLESALE ELECTRIC SUPPLY
DEPT REPAIR HOUSEKEEPIMG 79-2858401 052212 051712 061612 56.80 .00 56.80/'
DEPT REPAIR PLANT OPS 79-2860596 053112 051912 061712 437.95 .00 437.95/
TOTALS....................................... : 494.75 .00 494.75
10394 WILLIAlI E HEIlWIP, TRUSTEE
EMPLOYEE DEDUCTION 18183 060512 060512 060512 200.00 .00 200.00/
TOTALS....................................... : 200.00 .00 200.00
10429 WILLIAM E HEITlWIP, TRUSTE
EMPLOYEE DEDUCTION 18184 060512 060512 060512 495.00 .00 495.00 /
TOTALS....................................... : 495.00 .00 495.00
GRAND TOTALS................................., 206340.74 .00 206340.74 V
{VU JJ ~ /2f/
. >..../
. / ~ ~I
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t'i\ ~:'jn:;'3W:il,flt'V~n)
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+0
1t..j'i178~
II 0 I I).S
/y87<JR; 'r'lS 7f)~ /stS'7~ l)
JUN 0 8 2012
COUNTY j4U[frrO~>i
RUN DATE: 06/05/12
TIME: 16:48
PATIENT
NUNBER
PAYEE MAllE
--~-~------~---------------------------------------------------------------------------------------------~--------------------------
DATE
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
GL NUN
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIEMT REFUNDS ARID=OOOl
PAGE ~
APCDEDIT
------------------------------------------------------------------------------------------------------------------------------------
ARID=OOOl TOTAL
------------------------------------------------------------------------------------------------------------------------------------
1744.78
TOTAL
~~
\~L/JLYv
pvy'
\0- I
1744.78 ../
c..KS:ll: I 'ig 78'3
+D
.,j,l:/Lf-1?19/
RUN DATE: 06/13/12
TIME: 09,38
IIEl10RIAL llEDICAL CENTER
AP OPEM IMVOICE LIST THRU DUE DATE OF 06/26/12
PAGE: 1
APOPEN
VEMD#.NAl<IE.......................... .CLS.INVOICE#........ .TRN DT.IMV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC.... ..NO-PAy....... .NET
A1645 ALCON LABORATORIES INC
LENSES II 13479219 052912 052212 062112 636.00 .00 .636.00./
SUPPLIES SURGERY 13491206 053112 052312 062212 69.00 .00 69.00./
TOTALS....................................... : 705.00 .00 705.00
10533 ALERE NORTH AI'IERICA INC
SUPPLIES LAB 9001298377 053112 052212 062112 235.13 .00 235.13/
TOTALS....................................... : 235.13 .00 235.13
AI746 ALPHA TEC SYSTEMS INC 707.24/
SUPPLIES LAB 1,1 212481 053112 052212 062112 707.24 .00
TOTALS....................................... : 707.24 .00 707.24
10419 AI1BU INC
SUPPLIES CS IMV 212041369 052912 052312 062212 112.06 .00 112.06 V
TOTALS....................................... : 112.06 .00 112.06
A1360 AlIERISOURCEBERGEM DRUG COR 13.79/
PllARllACEUTICALS w 037-518831-12 043012 041212 051212 13.79 .00
PIlARl1ACEUTICALS 037-595139 061112 060512 062512 67.17 .00 67.17/
.PllARllACEUTICALS 037-595140 061112 060512 062512 42.12 .00 42.12/
PllARllACEUTICALS 037-599049 061112 060712 062512 44.34 .00 44.341
PIIARIICEUTICALS 037-604960 061212 061212 062512 109.30 .00 109.30'/
PllARllACEUTICALS 037-604961 061212 061212 062512 1.95 .00 1.95
TOTALS....................................... : 278.67 .00 278.67
D1503 ANNETTE DELGADO 370.00/
FLEX SPEND REIM8URSEMENT W 23945 061212 061212 061212 370.00 .00
TOTALS....................................... : 370.00 .00 370.00
A2218 AQUA BEVERAGE COMPANY
SUPPLIES LAB II 401854 061112 053112 062512 17.38 .00 17.38V'
TOTALS.,..................................... : 17.38 .00 17.38
BI075 BAXTER HEALTHCARE CORP
SUPPLIES CS IMV II 37441494 053112 052412 062312 152.78 .00 152.78 -:/
SUPPLIES CS IMV 37442489 053112 052412 062312 109.25 .00 109.25
TOTALS...................................... ., 262.03 .00 262.03
10599 BKD, LLP
AUDITIMG FEES 194855 061112 053112 053112 7269.23 .00 7269.23 ./
TOTALS................,......... 0............: 7269.23 .00 7269.23
B1650 BOSART LOCK & KEY INC 17.20/
DEPT REPAIR LAB, II 95561 052512 052412 062312 17.20 .00
'1'O'1'AL8.................... .... ...........,...: 17.20 .00 17.20
B0437 C R BARD IMC 619.65 /
SUPPLIES SURGERY II 43504107 053112 052112 062012 619.65 .00
TOTALS....................................... : 619.65 .00 619.65
10350 CENTURION MEDICAL PRODUCTS 924.77/
SUPPLIES VARIOUS 91026828 052912 052212 062112 924.77 .00
RUN DATE: 06/13/12
TIJoJE: 09,38
MEMORIAL IlEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/26/12
PAGE' 2
APOPEM
VEMD#.MANE......................... ..CLS.INVOICE~........ .TRN DT.INV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC..... .NO-PAY....... .MET
SUPPLIES CS INV 91027965 053112 052312 062212 154.86 .00 151.86 ,/
SUPPLIES CS INV 91029570 053112 052512 062412 379.50 .00 379.50v
TOTALS.,............................,........ I 1459.13 .00 1459.13
C2510 CPSI
EBOS II 727600 061112 052312 052312 405.06 .00 405.06/
STATEMEMT PROCESSING 728918 061112 053012 053012 36.58 .00 36.58...-'
SUPPLIES CS 729115 061112 053112 053112 127.60 .00 127.600/
EBOS 729474 061112 053112 053112 211.70 .00 21l.70f
SUPPLIES MED SURG 730600 061112 060712 060712 198.00 .00 198.00
TOTALS....................................... : 978.94 .00 978.94
10368 DEWITT POTH & SON 15.82/
OFFICE SUPPLIES CARDIO 333392-0 061112 053112 061512 15.82 .00
OFFICE SUPPLIES CS INV 333577,0 061112 060412 061512 233.82 .00 233.82 v'
OFFICE SUPPLIES AlP 333654-0 061112 060512 061512 14.76 .00 14.76 ./
OFFICE SUPPLIES AlP 333654-1 061112 060512 061512 14.76 .00 14.761
OFFICE SUPPLIES PFS 333656-0 061112 060512 061512 143.49 .00 143.49v
OFFICE SUPPLIES PFS 333742-0 061112 060512 061512 10.16 .00 10,16/
OFFICE SUPPLIES SURGERY 333780-0 061112 060612 061512 6.92 .00 6.92/
OFFICE SUPPLIES VARIOUS 333819-0 061112 060612 061512 25.19 .00 25.19/
OFFICE SUPPLIES BIOlmD 333905-0 061112 060712 061512 18.75 .00 18.75/
OFFICE SUPPLIES ER CLERK 333912-0 061112 060712 061512 8.37 .00 8.37/
OFFICE SUPPLIES CS 333989-0 061112 060712 061512 13.42 .00 13.42---
TOTALS....................................... : 505.46 .00 505.46
D1710 DOWNTOim CLEANERS
OUTSIDE SRV l'rOllEMS CLINIC W 1779 053112 052512 062412 358.00 .00 358.00~
TOTALS.................. .....................: 358.00 .00 358.00
10042 ERBE USA INC SURGICAL SYST 178.76,/'
FUPPLIES SURGERY 215971 052512 052112 062012 178.76 .00
TOTALS....................................... : 178.76 .00 178.76
10003 FILTER TECHNOLOGY CO, IMC
SUPPLIES PLANT OPS 70851 061112 052512 062412 352.13 .00 352.13/
TOTALS....................................... : 352.13 .00 352.13
F1400 FISHER HEALTHCARE
SUPPLIES LAB II 0476745 053112 052212 062112 205.42 .00 205.42/
SUPPLIES LAB 0476747 053112 052212 062112 382.90 .00 382.90{
SUPPLIES LAB 0604378 053112 052312 062212 979.51 .00 979.51
TOTALS....................................... : 1567.83 .00 1567.83
A1292 GULF COAST HARDWARE I ACE 74.991
DEPT REPAIR W 069154 053012 052412 062312 74.99 .00
SUUPLIES I DEPT REPAIR 069114 053112 052212 062112 169.91 .00 169.91~
DEPT REPAIR DIETARY 069162 053112 052412 062312 8.98 .00 8.98.
TOTALS....................................... : 253.88 .00 253.88
G1210 GULF COAST PAPER COMPANY
SUPPLIES HOUSEKEEPING I-I 398879 052512 052212 062112 89.76 .00 89.76...-'
RUN DATE: 06/13/12
TIllE: 09:38
MEHORIAL ~IEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/26/12
PAGE, 3
APOPEN
VEMD#.MAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY...... ..NET
SUPPLIES HOUSEKEEPING 398880 052512 052212 062112 87.80 .00 87.80 ./
EQUIPllENT - PLANT OPS 381498 061112 041912 051812 6770.00 .00 6770.00/
TOTALS....................................... , 6947.56 .00 6947.56
H0030 H E BUTT GROCERY
SUPPLIES DIETARY M 190703 052212 052212 062112 25.69 .00 25.69Y
SUPPLIES DIETARY 191248 052512 052212 062112 39.68 .00 39.68 ,/
SUPPLIES DIETARY 194177 052512 052412 062312 155.18 .00 155.18./
TOTALS....................................... : 220.55 .00 220.55
H0947 HALL WIRELESS 1.99'/
DEPT REPAIR PLANT OPS 10065394 053112 052512 062412 1.99 .00
DEPT REPAIR PLANT OPS 10065395 053112 052512 062412 13.50 .00 13.50'/
TOTALS....................................... : 15.49 .00 15.49
10334 HEALTH CARE LOGISTICS IMC
SUPPLIES PHAm1ACY 4459041 053112 052412 062312 261.09 .00 261.09/
TOTALS....................... ................: 261. 09 .00 261.09
10298 HITACHI MEDICAL SYSTEMS
SRV - MRI 6/25 - 7/24 PJIN0038843 052512 051512 062512 9166.67 .00 9166.67/
TOTALS...................................... ., 9166.67 .00 9166.67
I0415 IMDEPEMDEMCE MEDICAL ./
SUPPLIES CS INV 26605313 053012 052312 062212 58.25 .00 58.25
SUPPLIES CS INV 26618190 053112 052512 062412 25.60 .00 25.60 ...-
TOTALS....................................... : 83.85 .00 83.85
I0950 IMFOLAB INC
SUPPLIES BLOOD BANK M 3121695 053112 052212 062112 324.62 .00 324.62'/
TOTALS.............. .........................: 324.62 .00 324.62
J0150 J & J HEALTH CARE SYSTEMS, 223.79 ,/
SUPPLIES SURGERY 907832464 052912 052112 062012 223.79 .00
TOTALS....................................... : 223.79 .00 223.79
10341 JENISE SVETLIK 330.001
FLEX SPEMD REIMBURSEIIENT 23946 061212 061212 061212 330.00 .00
'I'O'l'ALS.......................................: 330.00 .00 330.00
111500 HARKS PLln!BING PARTS ,./
SUPPLIES PLANT OPS II 1122224 052512 052112 062012 245.13 .00 245.13/
SUPPLIES PLANT OPS 1122225 052512 052112 062012 230.99 .00 230.99
TOTALS....................................... : 476.12 .00 476.12
112659 HERRY X-RAY- SAN ANTONIO 201.27/
SUPPLIES CAT SCAN II 474034 052512 052112 062012 201.27 .00
SUPPLIES VARIOUS 474404 053112 052412 062312 1205.66 .00 1205.661
SUPPLIES RADIOLOGY 474023 061112 051812 061712 151.88 .00 151.88
TOTALS.............. I..... ..,........., 1"...1 1558.81 .00 1558.81
10441 IU!C EMPLOYEE BENEFITS 16075.65/
WEEKLY CLAIMS 18186 061312 061212 061212 16075.65 .00
RUN DATE: 06/13/12
TIME: 09:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/26/12
PAGE: 4
APOPEN
VEMD#.NAME...........;............. ..CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... ,NET
TOTALS....................................... : 16075.65 .00 16075.65
10536 HORRIS & DICKSON CO, LLC 16.96 /
PHARl4ACEUTICALS 3465466 061112 060412 062512 16.96 .00
PHARlIACEUTICALS 3465467 061112 060412 062512 3507.35 .00 3507.35:/
PHARI,IACEUTICALS 3466228 061112 060412 062512 294.24 .00 294.24 /
PHARlIACEUTICALS 3469707 061112 060512 062512 290.75 .00 290.75/
PHARMACEUTICALS 3474307 061112 060612 062512 27.80 .00 27.80.;
PHARMACEUTICALS 3474310 061112 060612 062512 284.76 .00 284.76
PHARlIACEUTICALS 3475566 061112 060612 062512 1104.31 .00 1104.31';'
PAHRMACEUTICALS 3475567 061112 060612 062512 57.16 .00 57.16/
PHARl4ACEUTICALS 3477435 061112 060712 062512 441.37 .00 441.37 /,
PHARl4ACEUTICALS 3480722 061112 060712 062512 87.80 .00 87.80 -:;
PHARl4ACEUTICALS 3480723 061112 060712 062512 6210.77 .00 6210.77/
SPLITBILL MAY 6377 061112 060412 062512 1000.00 .00 1000.00
PHARlIACEUTICAL CREDIT 0191701 061112 060412 062512 -17.83 .00 -17.83/
PHARMACEUTICAL CREDIT 0192219 061112 060612 062512 -435.50 .00 -435.50 ::I
PHARlIACEUTICALS 3482193 061212 060812 062512 1413.13 .00 1413.13 :/
PHARMACEUTICALS 3488178 061212 061112 062512 106.19 .00 106.19 /,
PHARlIACEUTICALS 3489322 061212 061112 062512 34.14 .00 34.14 J
PHARI,IACEUTICALS 3489323 061212 061112 062512 2219.26 .00 2219.26
TOTALS....................................... : 16642.66 .00 16642.66
M3866 llUSTAIN & ASSOCIATES 771.86 /
COLLECTIONS APRIL W APRIL2012 061112 043012 053012 771.86 .00
TOTALS....................................... : 771.86 .00 771. 86
A2252 NADINE GARNER
TRAVEL EXPENSES W 23944 061112 061112 061112 312.50 .00 312.50"""-
TOTALS....................................... : 312.50 .00 312.50
10709 ONESTAFF MEDICAL, LLC 2088.00 ./
CONTRACT MDRSE 5675 053112 053012 062612 2088.00 .00
CONTRACT MDRSE 5299 061112 022912 033012 2088.00 .00 2088.00 ,/
TOTALS....................................... : 4176.00 .00 4176.00
01660 ORIEMTAL TRADING CO INC ./
SUPPLIES PACU M 651204153-01 053112 052312 062212 47.99 .00 47.99
TOTALS....................................... : 47.99 .00 47.99
OM425 OlmNS & MINOR 110.40~
SUPPLIES CS INV 1935996 052512 052212 062112 110.40 .00
SUPPLIES CARDIO 1936105 052512 052212 062112 103.72 .00 103.72
SUPPLIES CS INV 1936289 052512 052212 062112 55.06 .00 55.06/
SUPPLIES SURGERY 1936302 052512 052212 062112 314.78 .00 314.78/
SUPPLIES CS INV 1936593 052912 052312 062212 3.10 .00 3.10 .-;
SUPPLIES CS INV 1936689 052912 052312 062212 84.00 .00 84.00
SUPPLIES VARIOUS 1936767 052912 052312 062212 1693.45 .00 1693.45'/
SUPPLIES VARIOUS 1937628 052912 052412 062312 2161.45 .00 2161.45 '/
SUPPLIES NED SURG 1941987 061112 060512 060412 187.98 .00 187.98
TOTALS....................................... : 4713.94 .00 4713.94
00450 PATRICIA OlmN 272.36 ./
FLEX SPEMD REI[~BURSEMEMT II 23947 061212 061212 061212 272.36 .00
RUN DATE: 06/13/12
TIME: 09:38
I~EI~ORIAL IIEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 06/26/12
PAGE: 5
APOPEN
VEND~.NAME.................. .........CLS.INVOICE~.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET
TOTALS....................................... : 272.36 .00 272.36
PI100 PC CONNECTION SALES CORP 395.05/
SUPPLIES DIETARY M 49000572 043012 042412 052412 395.05 .00
SUPPLIES IT 49006176 061112 042512 052412 181.17 .00 181.17../
TOTALS....................................... : 576.22 .00 576.22
10752 PHI, INC.
ENROLLl,IENT FEES 23949 061212 060612 060612 1640.00 .00 1640.00 ,/
TOTALS................ ,......................1 1640.00 .00 1640.00
10032 PHILIPS HEALTHCARE 492.00/
INSTRUlIENT REPAIR SURGERY 924299607 060512 052612 062512 492.00 .00
TOTALS..........,............................ : 492.00 .00 492.00
P2200 POWER ELECTRIC
DEPT REPAIR DIETARY Ii 159096 053112 052412 062312 84.50 .00 84.50 ....--
DEPT REPAIR DIETARY 159140 053112 052512 062412 51.98 .00 51. 98 /'
TOTALS....................................... : 136.4S .00 136.48
10629 QUEST DIAGMOSTICS 5.90'/
OUTSIDE SRV LAB 9143916731 061112 052512 062412 5.90 .00
TOTALS....................................... : 5.90 .00 5.90
R1268 RADIOLOGY UNLIMITED, PA 275.00/
READING FEES W 23942 061112 051812 061812 275.00 .00
TOTALS....................................... : 275.00 .00 275.00
S2270 SMILE IrnKERS
SUPPLIES LAB II 6527058 061112 050212 060112 71.89 .00 71.89/
TOTALS....................................... : 71.89 .00 71.89
S2400 SO TEX BLOOD & TISSUE CEMT
SUPPLIES BLOOD BANK CREDI M 20122165 061112 051712 061612 -1701.00 .00 -1701.00 ,/
SUPPLIES BLOOD BANK 20122230 061112 051712 061612 10807.00 .00 10807.00/
TOTALS....................................... : 9106.00 .00 9106.00
S2830 STRYKER SALES CORP
SUPPLIES PT M 998109A 053112 052512 062412 378.22 .00 378.22/
TOTALS. to.......... ................... to.....: 378.22 .00 378.22
S2903 SUN COAST RESOURCES, INC
GASOLINE - ADJUSTIIEMT APRIL2012-1 061112 050512 060512 44.27 .00 44.27V
TOTALS. to.... ......,. to..,.......,. ,.. to.....: 44.27 .00 44.27
10611 TELE-PHYSICIANS, P.A. /
NEUROLOGY CONSULT APRIL 07-1970 051412 043012 053012 1200.00 .00 1200.00./
TELE NEUROLOGY 07-2000 061112 053112 062612 1200.00 .00 1200.00
TOTALS....................................... : 2400.00 .00 2400.00
T2230 TEXAS WIRED HUSIC INC 59.95 ./
OUTSIDE SRV ADMIN W A676347 061112 060112 060112 59.95 .00
RUN DATE: 06/13/12
TIME. 09:38
!lEMORIAL MEDICAL CENTER
AP O~EM INVOICE LIST THRU DUE DATE OF 06/26/12
PAGE: 6
APOPEN
VEMD#.MAllE.......................... .CLS.INVOICE#....... ..TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY...... ..NET
OUTSIDE SRV ADMIN
VI050 THE VICTORIA ADVOCATE
WEEKLY NEWSPAPER
T0801 TLC STAFFING
COMTRACT NURSE
T1724 TOSHIBA AllERICA IlEDICAL SY
SRV CONTRACT CT 6/20-7/19
Ul054 UNIFIRST HOLDINGS
LAUNDRY MAINTENANCE
Ul064 UNIFIRST HOLDINGS INC
LAUNDRY HOUSEREEPING
LAUNDRY HOUSEKEEPING
LAUNDRY PLAZA
LAUNDRY DIETARY
LAUNDRY OB
LAUNDRY HOUSEREEPING
LAUNDRY HOSPITAL LIMEN
LAUNDRY SURGERY
Ul056 UNIFORM ADVANTAGE
EMPLOYEE PURCRASES
V0555 VERIZON SOUTHWEST
TELEPHONES
TELEPHONES
K1751 VICKY KALISEK
FLEX SPEND REIMBURSEllENT W
10472 VISA
MISC PURCRASES
\.1o,Sf'.\-<cl ~ee"" A.\J:A('i;~
('-\ Pla.y..e5);; '-l45.'i?9
10753 I~STWORLD LLC
SOF~ARE i?f
\'1,,, Q '1/
.. ~ \V
~.I
A676348
061112 060112 060112
TOTALS............. ....... j. .to to............:
W 889883
053112 052612 062512
TOTALS............... ,.,......................:
W 10199 052912 052212 062112
TOTALS....................................... :
10009605 053112 052112 062012
TOTALS....................................... :
W 8150571300
053112 052212 062112
TOTALS.,..................................... :
8400126519
8400126520
8400126521
8400126522
8400126523
8400126524
8400126727
8400126728
053112 052212 062112
053112 052212 062112
053112 052212 062112
053112 052212 062112
053112 052212 062112
053112 052212 062112
053112 052512 062412
053112 052512 062412
TOTALS....................................... :
W 4453955
061112 052312 062212
TOTALS...................................... .1
N 5520220052812 061112 052812 062212
5523521060112 061112 060112 062612
TOTALS...................................... .1
23948
061212 061212 061212
TOTALS...................................... .1
04/24-05/24 061112 052412 061912
TOTALS....................................... :
INV-20120613-9 061312 061312 061312
'l'OTALs.......................................:
73.95
133.90
12.40
12.40
1566.38
1566.38
9874.50
9874.50
32.54
32.54
809.62
182.19
160.83
197.11
86.70
41.31
830.59
348.59
2656.94
146.92
146.92
103.26
40.72
143.98
491.40
491.40
4775.42
4775.42
1867.60
1867.60
GRAND TOTALS................... ........... ..., 115697.19
Ci(S:ft 1'i'it79;L- ~
+0 #1487'1'1
JJ Itff5/f64 JJ.ILf~1{C>r'
ol:\'-!'6?J"31:S
.00 73.95/
.00 133.90
.00 12.40 ./
.00 12.40
.00 1566.38 .J
.00 1566.38
.00 9874.50 /
.00 9874.50
.00 32.54)
.00 32.54
.00 809.62 :;/
.00 182.19
.00 160.83':/
.00 197.11
.00 86.70 /'
.00 41.31/
.00 830.59;-
.00 348.59
.00 2656.94
.00 146.92/
.00 146.92
.00 103.26 ../
.00 40.12......
.00 143.98
.00 491.40 /
.00 491.40
.00 4775.42/
.00 4775.42
.00 1867.60
.00 1867.60
.00 19
)i
RUN DATE: 06/13/12
TIME: 10,09
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID=OOOl
PAGE t
APCDEDIT
PATIENT
NUNBER
PAYEE NAlIE
DATE
PAY PAT
AlIOUNT CODE TYPE DESCRIPTION
GL NUN
R"f"GC" CI<. c<.fP(O'U ....n. I
I AdJaS$ u,<f{.cA'vn)
~~_M_____________________~____________________________- ------------------------
~;~;~;--------;;:;~:;;:
060512 630.00
ARID=OOOl TOTAL
686.91
------------------------------------------------------------------------------------------------------------------------------------
TOTAL
686.91
C K4:l H<zgS5
+0
Jj d:l: 11 ~gSl)
J~f
'\\\l~ ;\V
I~ IS
. ,.
, '
D
RUN DATE,06/15/12 MEMORIAL MEDICAL CENTER
TIME:ll:52 CHllCK REIliSfER t'y"J, Ie. L; S+
06/15/12 THRU 06/15/12
BANK--CHECK------------'---------------------------------------
CODE MUNSER DATE AlIOUMT PAYEE
PAGE 1
GLCKREG
------------------------------------------------------------------------------------------------------------------------------------
AlP 148857 06/15/12
TOTALS:
20,056.92 TEAM REHAB
20,056.92
~
tor M..bl\J, h. o~ rV\.~.2-() I'Z.
,;, [i;)fVJ;;:'!ON~D
.!i0>>lc~ ~, K-ll.__
JUN 1 5 ZbI7L
COUNrfV l:;\UDffOR
ff/
J} t
~ </)'1/
~) .
Run Date: OS/22/12
Time: 13:37
MllMORIAL MBDICAL CBNlER
Payroll Register ( EHfeekly )
Pay Period 05/04/12 - 05/17/12 Run! 1
Page 82
P2REG
Pinal Summary
t.. Pay Cod e S U In mar y U_~_.n_________________________________L_ D e d u C' t ion s Sum In a r y _____________~
I PayCd Description Erg larlsElrlBloolc81 Gross I Code Amount . I
t_______n_____________________________________________-----___________n__t_n____n____________________________n_____________!
1 RSGULAR PAY,SI 7290.75 N U N 128681.24 A/R 685.52 AWARDS BOOTS
1 RSGULAR PAY'SI 1459.00 N N N N 45794.3J CAFH 660.26 CAFE-D 777.88 CAFE-F
1 REGULAR PAY-Sl 132.75 Y N II 3652.38 CAFE-H 7627.50 CAFE-I .288.06 CAPE,L 410.14
1 R8GULAR PAY-Sl 0.00 Y N II N 90.00 CAFE-P 47J . 75 CI\NCER 12.68 CLINIC 50.00
2 REGULAR PAY-S2 2540.75 N N N 50345.91 CREOUN 25.00 DElITAL 572.980BP-LF 200.68
2 REGIJ1I\R PAY-S2 . 94.00 Y N N 3395.18 F80TAK 32J36.35 FICA-M 4224.61 FlCA'O 122J6.85
J REGULAR PAY-SJ 15J9.00 N N N J4'/01.79 FLBX S 15l? 74 FORT D FarA
J REGULAR PAY-SJ 116.00 Y N N 4455.23 Gms 244.60 GRAlIT GRP,IN 129.26
C CALL PAY 2191.25 N 1 N N 4J82.50 G'fL NOSH 41J7.J4 lD TFl'
D DODSLIl TUIE 24.25 N N N 1511.30 1BAF NISC OTHER 2336.86
D DODSLIl TINE 12.25 U. N N N 743.42 PR FllI 478.00 REPAY ST-TX
E EXTRA WAGES N II N N 271.30 swoml TSA-l TSA-2
B EXTRA \lAGBS N 1 II N N 1145.00 TSA-C TSA,P TSA-R 21219.80
P PONIlRAt 1BAVB 40.00 N 1 N N 905.68 TOTION IM/BOS
I mSERVICB 20.50 N 1 N N 575.80
J JURY LEAVIl 6.50 N 1 II N 95.62
K BXTENDEO-ILLNESS - BANK 4.00 N N N N 59.72
K 8KTIlNDBD-ILLNESS'8I\NX 282.00 N N N 5216.62
M MJ!AL RllIlIDURSEMENT N N N N 7.00
P PAlD-TIMJ!-OFF 208.02 N N N N 3710.21
P PAIO,TIMJ!,OFF 674.17 N N II 12735.20
X CALL PAY 2 48.00 N N N II 96.00
X CALL PAY 2 110.00 II 1 N N 220.00
Y YMCA/CURVES N N 1111 60.00
2 CALL PAY J 96.00 N 1 N N 288.00
*____R~______~____~__ Grand Totals; 16895.19 ____Hu (Gross: 303139.4J Deductions : 90675.86 Net: 21246J.51 )
I Checks COunt, - F'! 160 P1' 22 Other 33 Female 183 Mal, J2 Credit OVerAmt 14 ZeroNet Term Total: 2151
i______________________..___...__________________________________________._._______________________________.---_________________t
COMBINED TOTALS
./
FED TAX 32,336.35
FICA 0
/'
30,332.93
8,458.46 /
jU'
",,'
.1'.')
,. L:_
uu:.;
FICAM
"1' 'I .. ; ~,~ . t ..; ['.
TOTALS
71,127.74
Run Date: OS/24/12
Time: 14:11
Oepartment 001
MEMORIAL MEDICAL CEII1ER
Payroll Register I Bi-Reekly I
Pay Period 05/04/12 - 05/17/12 Runl 2
Dept. Sequence
Page 1
P2R1lG
t~M R D1 ploy e e _._.~*.. T i III e .______________._._____.._"_n__.u__..u_~-.*-- D e due t ion s --------.---..-._..___._..t
INum/Type/Name/pay/ExemptlpayCd Oept Hrs larlsHlwEIHolCBI Rate Gross I Code AllxlUnt I
to___...__.______..______.____............___.....__.....____.......__.......__..*..._____.........___......_____.___..___._._._._.
7.15 11 11 N N 32.2500
2.00 11 N 11 11 34.2500
249.91 FlCA-M 4.62 FICA-O 13.37 TSA-R 22.29
6B.50
9.75 _mnn_nmn (Gro",
318.44
Deductions,
40.2B
Net:
27B.16)
Department SUlllJIlary
tu Pay Cod e Sum mar y ____uunu__...u.....______u..__.._..t.. De due t ion s Sum mar y ._.u_n_____'
I Payed Description Hrs IOTISHIRRIHOlcEI Gro," I Code Amount I
i.._...........____......___......_______..____....__....______.___o..n___.____.___.__.__.._.._____..__.........__._._.~__~~___.
1 RRGULAR PAY-Sl 7.15 N N H N 249.91 A/R AWARDS BOOTS
2 RBGULAR PAY-S2 2.00 11 N H N 68.50 CAFE-C CAFR-D CAFE-F
CAFB-H CAFR-! CAFB-L
CAFE-P CAI/CRR CLIHIC
CRBDUN DElITAL DEP-LF
F8DTAX FICA -M 4.62 FlCA-O
FLBX S FORT D FUTA
Gm S GRANT GRP-IN
GTL HOSP,! ID TFT
LEAF MISC OTHER
PR FIN REPAY ST-TX
STUDEN TSA-l TSA-2
TSA-C TSA-P TSA-R
TUTION UW/ROS
13.37
22.29
Immnn__m Department Totals: 9.15 nm__ (Gro,,, 318.44 Deductions: 40.28 Net: 278.16 I
I Checks Count,- FT PT Other 1 Female 1 Nale Credit OverAmt ZeroNet Term Total: 1 I
t ~_~ _ __ ~___~_ _ __ _ _ __~_ _ __ _ _~_~ ~ ~~ ~_ _ __~ _ _ ~ __ _ _ ~~ _ _ _ _ ___.._ ._~_______ ___~~~__ _ ~_ _ _ __ __ ____ _~ _ ~ _. ___ __ _ ____ _ _ _ ~ _ _... __ __ _ _ _ __ _ ____ *
Tax Payment Report Worksheet
EFTPS Voice Response S\ (Photocopy this worksheet forfutureuse.)
~ You dial:
EFTPS responds:
You enter:
~ EFTPs.prompts:
You enter:
1,800-555-3453
"WelCome to the Electronic Federal Tax Payment System"
"If you are calling from a Touch Tone phone. press 1."
1 (For Touch Tone phone)
"Enter your 9-digit Taxpayer Identification Number"
1LJ[}[][k][Q][QJmrnmm
(9-digit Employer Identification Number)
r"';;JI
~
"Enter your 4-digit PIN"
EFTPS promts:
You enter:
digit Personal Identification Numb
lLWIli.[,~~ EFTPSprompts:
~~...-'"
v ou enter:
lists the Main Menu Selections
Press 1 (to initiate a tax pryment)
ll;QtJl EFTPS prompts:
You enter:
EFTPS responds:
~ EFTPS prompts:
You enter:
"Enter the Tax Type number followed by the pound (#) sign."
mI3ZJ mOD D (3-to6digittal{typenumberfrom
the IRS Tax Form-Table In Appendix A)
"You entered Tax Type/Tax Description (Based on the selection in step #5)
~ EFTPS prompts:
You enter:
"Enter Tax Payment Type"
1 digit number Tax Payment Type
(Tal{ Payment Type specific to Tal{ Form Code in Appendil{ D)
~ EFTPS prompts:
You enter:
. EFTPS prompts:
"Enter the 4-digit Tax Filing Period starting with the yearfollowed by month'"
[[] (];:] [][] [J!] (Valid 4-digit Tax Period based on IRS Tal{ Form
Table in Appendil{ A)
"Enter the payment Amount followed by the pound (#) sign."
(You must enter cents even if you are reporting a whole dollar amount.)
$DD,DCO[[J,[I][l;]ITJITII3J
(Your payment amount cannot el{ce.ed $99,999,999.99)
mJ EFTPS responds: "Enter the 6-digit tal{ payment settlement date by month, day, year."
(Note, the next business date you enter must be at least one business day
in the future).
You enter: rnm I2lJIliJITJ E2:;I
(6,digit tax payment settlement day in MMDDYY format)
Wif~lW#j"Jk-
50S3&( b U
rr\R--
j-l'V'5\}.I-\'\tY
Enter the 2-digit Verification Code."
DO Verification Code*
*(See Appendix E for Verification Code Calculation)
[Continue)
.:J& J.J.v
c6 '5/91\10-
Run Date: 06/05/12 lillI<ORIAL NEDICAL CENTER page 85
Time: 11:22 Payroll Register ( Bi-We.ekly I P2REG
Pay Period 05/18/12 - 05/31/12 Runt 1
Final Summary
L_ .p aye 0 d e Sum mar y _~~_______u___u___n___________________i__ De due t ion s Sum mar y _~___________t
I PayCd Description Hm IOTlsRI~mIROlcBI Gross I Code Amount I
* ___~____________~_______________ .__~_____ _~_ ______ ________________~_ ______ * ______~~. *fi~~_.______________~_____"___ __ v____. _~__ _ *
1 REGDLl\R PAH1 6809.00 II N 11 121417.85 A/R 598.31 AWARDS BOOTS
1 REGM PAH1 1144.25 II N 1I N 37046.65 CAFE-C 660.26 CAFB-D 830.00 CAFE-F
1 REGULAR PAHl 211.00 N 11 Y 5801.44 CAFB-N 7635.00 CAFB-I 288.06 CAFB-L 410.14
1 REGULAR PAY -SI 99.50 Y 1I N JlJ9.78 CAFE-P 47J.75 CANCER 12.68 CLINIC 50.00
2 REGULAR PAH2 2277.50 1I N II 45988.55 CREDUN 25.00 DIlNTAL 485.00 DBP-LF 200.68
2 REGULAR PAY-S2 146.25 N 'I Y 4882.03 FEOTAX .32369.19 FICH 4276.40 FICA-O 12386.97
2 REGULAR PAY-S2 61.25 Y N N 2310.16 FLEX S 1547.14 FORT 0 rotA
3 REGULAR PAY-S3 1322.25 II II N 29901.45 GrITS 230.43 GRAlIT GRP- IN 129.26
J REGULAR PAY-S3 104.25 N N Y 342o.J8 G'lL HOSH 4015.00 10m
3 REGULAR PAH3 98.25 Y N II 3920.20 L1lI\F IIISC OTHER 1939.67
E SICK BOl/US 36.00 II N II N 936.00 PH FIN 47B.OO REPAY ST-TX
C CALL PAY 136.60 II II II N 272.00 STUD'll TS8-1 TSA-2
C CALL PAY 2047.00 II 1 II II 4094.00 TSH TSA-P TSA-R 21474.13
B EXTRlI WAGES II II 11 II 1027.58 TUTlOII UW/HOS
R BXTRlI IIAGBS N 1 N N II 1090.00
F FUNERA1LEAVE 24.00 N 1 II N ]29.76
.1 INSERVICB 23.50 .11 1 N N 54D3
1 INSERVICE 3.75 Y 1 II N 300.73
K EX'IENORE- ILLNESS-BANK 110.00 H 1 N II 1917.90
M ilEAL REIllBURS~I8IIT II H II N 2.98
P PAID-TIME-OFF 184.00 II II N N 3622.]2
P PAID-TIME-OFF 3792.00 N 1 11 II 34319.72
X CALL PAY 2 48.00 N N II N 96.00
X CALL PAY 2 81.00 H 1 II N 162.00
Z CALL PAY 3 )2.00 N II II N 216.00
Z CALL PAY 3 48.00 N 1 II II 144.00
P PAID TIME OFF - PROBATIOll 16.00 N 1 II II 129.44
t__n___n__v___~__h Grand Totals: 16905.75 nn___ ( Gross: 306772.25 Deiluctions: 90505.67 Met, 216266.58 )
I ChEcks Count, - FT 156 FT 22 Other 29 Female 176 Male 31 credit OverAmt 18 Zerotlet Term Total: 2071
*_______________________________________n______________________________________________________________________________________*
FEDTAX
32,369.19
FICA 0
30,672.47
FICAM
8,552.80
TOTALS
71,594.46
Tax Payment Report Worksheet.
EFTPS Voice Response S, (Photocopy this worksheet forfuture use.)
V U You dial:
EFfPS responds:
You enter:
1-800-555-3453
"Welcome to the Electronic Federal Tax Payment System"
"If you are calling from a Touch Tone phone, press 1."
1 (For Touch Tone phone)
"Enter your 9-digit Taxpayer Identification Number"
if\tjJJ EFfPS prompts:
You enter:
wDl][]?][QJ[QJmrn[Z][Z]
(9-digit Employer Identification Number)
vll......'''1
.,}:J
"Enter your 4-digit PIN"
EFTPS promts:
You enter:
"l:s.:1] EFTPS prompts:
You enter:
digit Personal Identification Numb
/~ EFTPS prompts:
You enter:
Lists the Main Menu Selections
Press 1 (to initiate a tax pryment)
EFfPS responds:
/ .
,/~ EFfPS prompts:
You enter:
/1I!]lj EFTPS prompts:
1____
You enter:
./~ EFfPS prompts:
You enter:
"Enter the Tax Type number followed by the pound (#) sign."
rn [?ZJ [Z] 11 D D (3- to 6 digit tax type number from
the IRS Tax Form-Tati'le'inAppendix A)
"You entered Tax TypejTax Description (Based on the selection in step #5)
"Enter Tax Payment Type"
1 digit number Tax Payment Type
(Tax Payment Type specific to Tax Form Code in Appendix D)
"Enter the 4-digit Tax FiIi~g Period starting with the year followed by month".
[1] m [Q] ~ (Valid 4-digit Tax Period based on IRS Tax Form
Table in Appendix A)
"Enter the paymentAmount followed by the pound (#) sign."
(You must enter cents even if you are reporting a whole dollar amount.)
$D D,D ct/[J]QJ [1]PlJ.Q] IIJ
(Your payment amount cannot exceed $99,999,999.99)
~ EFfPS prompts:
Enter the Z-digit Verification Code."
DO Verification Code*
*(See Appendix E for Verification Code Calculation)
/
. VlrnY31 EFTPS responds: "Enter the 6-digit tax payment settlement date by month, day, year."
(Note, the next business date you enter must be at least one business day
~ in the future).
rJt You enter: rn[]g Q]G][]] [EI
.~ Ut~ i L ~ If 5 (6-digit tax ;a:::;t~lement day in MMDDYY format) (Continue)
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June 28, 2012 2012 APPROVAL LIST 37
COMMISSIONERS COURT MEETING OF 06/28/12
BALANCE BROUGHT FORWARD FROM PAGE 36 $ 764,571.29
FICA P/R $ 29,716.07
MEDICARE PIR $ 8,286.16
FWH P/R $ 27,390.50
NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,919.98
OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT PIR $ 1,019.54
TMPA PIR $ 308.00
UNITED WAY OF CALHOUN COUNTY P/R $ 12.00
ALLIED WASTE SERVICES AlP $ 65.00
AT&T MOBILITY AlP $ 227.25
BEN E. KEITH FOODS AlP $ 2,114.88
CABLE ONE AlP $ 392.92
CC INDIGENT HEALTH CARE AlP $ 60,914.76
CENTERPOINT ENERGY AlP $ 791.79
CPL RETAIL ENERGY AlP $ 87.07
CREDIT CARD CENTER AlP $ 6,314.36
EXXON MOBIL AlP $ 68.49
LUIS LEIJA AlP $ 161.51
MATERA PAPER CO., LTD. AlP $ 615.31
PITNEY BOWES AlP $ 399.00
RELIANT ENERGY SOLUTIONS AlP $ 2,413.71
RESERVE ACCOUNT AlP $ 1,000.00
SHELL AlP $ 75.13
SHERIFF'S ASSOC. OF TEXAS AlP $ 250.00
SUN COAST RESOURCES INC. AlP $ 17,305.52
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY AlP $ 190.00
VERIZON SOUTHWEST AlP $ 365.89
TOTAL AMOUNT FOR APPROVAL $ 927,976.13
ACCEPT THE FOLLOWING DONATIONS TO THE CALHOUN COUNTY EMS:
(1) $50 from Mr. & Mrs. Floyd R. Boen In memory of John C. LaQuay
(2) $100 from Roberts, Roberts, Odefey & Witte in Memory of John C. LaQuay
(3) $50 from Bruce and Patricia Mickle in Memory of John C. LaQuay
(4) $25 from the Calhoun County Historical Commission
A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
06/22/2012 14:27
"
(FAX)
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604i CoOllQy CIu/iO~ ...-
. 'Victoria, TX 77904-1631 . ....
P .0011003
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06/22/2012 14:27
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P .003/003
DAVID lUJBBR'IS
WANOA ROBERTS
ANNa MA:I\11\ oomv
SA.NOIV. WITl'B
CAl\LV W. WAlL
ROBBRTS, ROBBRTS, ODEPEY &. Wl'TTE, LLP
A'ITOI\NBYS AT l,AW
2:z0.5 JoUOH'WAV ", NORTH
POST O);iqCB BOX go
PORT LAVAC;A, TEXAS 77979
TEL, 361.551.2971
PAXl361.!!i.'JlSe
June 15,2012
Calhoun County EMS
216 E. Mahan Street
Port Lavaca, Texas 77979
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Dear Sir or Madam:
Enclosed please find a donation in Memory of JOHN C. LAQUAY from Roberts,
Roberts, Odefey & Witte, LLP, P. O. Box 9, Port Lavaca, Texas 77979.
Please send the acknowledgment card to Tim & Linda LaQuay and family at P. O.
Box 24, Port LevRcR, Texas 77979.
Yours truly,
ROBERTS, ROBERTS, ODEFEY & WITTE, LLP
(fl, ,.'d ~
David Roberts
DR/ma
Enclosure
06/22/2012 14:27
~~
P .002/003
305 Glenbrook
l'ort Lavaca, Texas 77979
June 10, 2012
Dear Mr. Barber,
Calhoun County Historical Commission deeply appreciates the not one, but two times the
EMS has circled the Indianola Area when the Conunisslon has conducOOd a historical
event during the daylight hours. We appreciate your cooperation in making the historical
dedications a safe place to attend.
With thanks,
Mary B. Meltz;en
Calhoun County Historical Commission
Vice-Chair
j)~5'~
BUDGET ADJUSTMENTS:
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioners Galvan,
Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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PUBLIC DISCUSSION:
Roger Galvan:
Federal Government Army Corp of Engineers says that Ocean Drive needs to be raised. Need a permit
for both sides of the road which will cost $70,000 one time payment.
Commissioner Fritsch:
Wants to congratulate Commissioner Lyssy's son, Phillip Lyssy, on winning a $1,000 scholarship from the
South Texas County Judges and Commissioners Association. That is two (2) years in a row that we've
had people from our court win. Last year Commissioner Finster's son, Trevor, won the scholarship.
Court was adjourned at 4:20 P.M.