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Home My WebLink AboutGrant Related - BOCC (003)GRANT COUNTY BOARD OF COUNTY COMMISSIONERS 1�lC�i7se I To: Board of County Commissioners From: Janice Flynn, Administrative Services Coordinator Data July 1, 2021 Re: Authorization for Release of Funds, Dept of Commerce, Emergency Housing Grant #316-46108-10, Reimbursement #16, Subrecipient GC Health District - Request #10 The Grant County Health District has requested reimbursement regarding the above - referenced grant in the amount of $2,642.40 for expenses for June 2021. The invoices are attached for your review. I am requesting the release of funds for payment to Grant County Health District in the amount of $2,642.40. Thank you. Dated this ay of .2 Board of County Coijlssi on s Grant County. Washington Apprbye DisaI212rove Abs_tain Dist #I Dist #I Dist # I Dist #2 Dist Dist #2 Dist #3 Dist #3 Dist #3 5101010 - Salaries (Balance Forward As of 06/01/2021) 6/15/2021 PPE 6/15/21 Salaries COVID Commerce Grant PYRJ 317.72 Totals for 5101010 - Salaries 317.72 5101020 - Benefits (Balance Forward As of 06/01/2021) 6/15/2021 PPE 6/15/21 Benefits COVID Commerce Grant PYRJ 37.38 Totals for 5101020 - Benefits 37.38 5101021 - Payroll tax expense (Balance Forward As of 06/01/2021) 6/15/2021 PPE 6/15/21 Taxes COVID Commerce Grant PYRJ 23.71 6/15/2021 6/15/21 L & I Accrual COVID Commerce Grant GJ 5.63 Totals for 5101021 - Payroll tax expense 29.34 5101022 - Health Insurance Expense (Balance Forward As of 06/01/2021) 6/15/2021 June PR Ins Allocation 1 COVID Commerce Grant GJ 64.03 Totals for 5101022 - Health Insurance Expense 64.03 5104041 - Professional services (Balance Forward As of 06/01/2021) 6/1/2021 Bills: 2021/06/01 Batch Summary Busy Bee Building Maintenance COVID Commerce Grant APIA 400.00 a. Fntry Totals for 5104041 - Professional services 400.00 5104140 - Travel (Balance Forward As of 06/01/2021) 6/18/2021 Bills: 2021/06/18 Batch Summary Country Cabins COVID Commerce Grant APJA 1,500.00 b. Fntry Totals for 5104140 - Travel 1,500.00 5104141 - Meals Bic Mileage (Balance Forward As of 06/01/2021) 6/1/2021 Bills: 2021/06/01 Batch Summary Katie Kleeberger COVID Commerce Grant APIA 113.12 C. Fntry Totals for 5104141 - Meals & Mileage 113.12 Grand Total 2,642.40 Ref. a. YB6 INVOICE62021 -- --- - mom 29 June 2021 400 PAYMENT DUE BY: :L5 July 2021 Net Total $400.00 Tax USD TOTAL $400-00 PAWENT DETAILS OTHER INFORMATION Name of Beneficiary,. Ryan Stokes Name of Bank: Address of Bank: Account Number: Routing Number (SWIFT Code) Payment Reference: Phone: 509-264-1274 stokesfast@gmall,com PAYMENT SHOULD BE MADE BY BANK TRANSFER OR CHECK MADE PAYABLE TO BUSY BEE BUILDING MAINTENANCE. + 4 . . . . 4 . . . - - 0 - Y . 0 . 0 . 4 4 , . COUNTRY CN01 S 711 M five SW Oulfirly,' WO X8848 509-797-2064 0611812021 to -12:43 7N63301 T ri a c, t i t.) n 11', -Pe- al Cl Tv to S00 0 C -11, 1 911th, Code* 0 1 ffititiber. 110 ZIP (Ififf-111 Z zil.. NaLch On Resi;,61,1se, M - Ma tch r, I I ST 0 M I!, R COPY ,Name Addres S.T — ------ city&, Stat6 ZIP CODE No. of Vehicle Pets0 MakeA Year Vehicle Llcemqe State Pay M-ent Will Be Made By:..,Cash Credit Card Card CO. Card No C PLEASE.,, -PAY I ADVANCE C NOTICE 70 AU STS: This property Is p6ately own and the man Tient reserves the right torefuseservic06anyone; and will not responsible for accidents'or injury to guests ,or for the-lbss of moneyJ84dry, or valuable of any kind. 1 8.70 J_ - ------- )OM NE IN ti Y's ;CUPiEb THUR. )N. FRI. its. SAT X E $ ITAL DAYS." ITAL ROOM $ IARG!EM 4 V - Counter Cabin -Motel & RV, TAX' Phone: (509) 787-3515 Fax* (509) 787 RECD. BY 71 -.2nd Ave., S.W. Quincy, WA 98848 TOLALMICD Name, 1864 3. : Re fis ROOM DATE IN a «� A ldf�rsOCCUPIED- DAYS city suNw �Rk Y G ; Statet ZIP Ct7DE MSN. ? Sp FRIT No. of Vehicle Tubs; SAT` Persoo Make & Year RATE Vehicle Licerhi Stat TOTAL DAYS Paymekwi I IP Made By: as Credit CardCredif TOTAL ROOM +. CHARGES $ Card o* -------- P. �Vr/ k r, PLEASE. AY INADVANCE b ,... C ec ��'�M � ��4:0�� arm w "" ;� t •.. tF-'�`,�'� ,. %� _� x# ". +i �aR �.�4 �f{ yfiat 'e'a'�' 'w. AY v4.Lt'r �4unF>..r js � � ,,��tt. 'kF z NOTICE TO GUE$TS: This property is privately owned and the management reserve's the " j right to ref usb service to anyone, and will not responsible for accidents nor injury to guests" or for the loss of money, jewelry or valuable of any kind. �a 'CabinMp tel & RV TAX Phone: (519) 787p3515 Faa : (509)-787-9111 ,_: M.. 7-777 ��, BY° . µw $ - , t -711 - 2nd Ave., !W Quincy,. WA 98848 l� TOTAL PAID -a.-wr �..Gra.afN".ta'YYti39.'Y3'l. ...�n.r ,Y kx+M Y � I-.;.. X,a.-•lGn_f '9a;?n?S.'9;� Afb.Y�'kRq`- '):... a9YN,9N.p�•eum roccr' .S!f- = ... ,r:-: i ,). t.s ., :.-: .. 's., r s'. .....rx.. Y! .: ? �'vrMe4'YfeKptV{+xei+f.:s>sa2rswlX.sia•-iui`w.•is+.+&'sy:+rv6�: '.., 100 'TA WY�L'1f-«"{•Wy4k'RV!...��cy%'- ...«9s;t.i%:sdf r4'srG'3-. N':!�' �i+r.r�yµLyr�y�+t^.A%»-'+N'pe'va' y t I Name:. Katie Kleeberger Date Travel Status Start/End Meals I Lodging Personal Other I Vehicle # I Expenses (Receipts i Of Miles required.) Location, Purpose, Details of Other Expenses ----------- ------ ____ Program Code It 3*00 X, 143 bl S. top-ee , WA'W 9. -Stdt ,'PU- it -He Assodorion nn (1h- 5 A g�o.,,p M 9. --2 _00' -3, 6:30 AM B # 26 L 03/13/21 6:00 PM $ 14,56 Moises Lake Fairgrounds Vaccine Clinic 9507 D 10:00 AM B # 88 L 03/20/21 Ms 4:30 PM $ 49.28 Quincy Vaccine Clinic 9507 D ---- - ------ 7:30 AM B # 56 L 031/27/21 4:00 SPM D $ 31.36 Ephrata Vaccine Clinic 9507 6:30 AM B# ........... ---------------- 26 L 04/03/21 6:00 PM $ 14.56 Moses Lake Fairgrounds Vaccine Clinic 9507 D 5:30 AM B # ISO L 04/09/21 64430 PM $ 84.00 Coulee Medical Center Vaccine Clinic 9507 D 7:30 AM B # 56 L 04/17/21 4,00 PM $ 31.36 Ephrata Vaccine Clinic 9507 D, 7:30 AM B # 88 L 05/25/21 5:30 RM $ 49.28 Quincy Vaccine Clinic 9507 D 1:00 PM B # 78 -W L 06/02/21 5*30 PM $ 43.68 Lamb Weston Vaccine Clinic 9507 D 1400 PM B # 13 L 06/03/21 7:15 PM $ 7.28 Moses Lake Industries Vaccine Clinic 9507 D --------------- 4-:50 PM B # 88 L 04/27/21 7:35 PM $ 49.28 Quincy Police Department Food Box Delivery 9505 D 4:30 PM B # 44 L 06/09/21 6:00 PM $ 24.64 Soap Lake Food Box Delivery 9505 D 4:30 PM B # 44 L 04/02/21 5:15 PM $ 24.64 Warden Food Box Delivery 9505 D $0.00 $0.00 $0,00 Total Mileage @ 0*560 $423.9x2 GSA Per Diem Schedule: Employee Signature: Supervisor Signature: I I Total Reimbursement Request $423.92 httt)s:lLwww.gsa.gov/traveI/r)lan-booklper-diem-rateslper-d'l'em-rates-lookup " !r Name: Katie Kleeberger GSA Per Diem Schedule: Employee Signature: Supervisor Signature: Total Reimbursement Request 1 $14.56 Other Personal Expenses Travel Status Vehicle # (Receipts Program Date Start/End Meals Lodging of Miles requirdd.) Location, Purpose., Details of Other Expenses Code f pV K- ---- -- - 00, WOO w n, N' `HJ #,.,$tdt6,,PU Ic -alth -0- ,-. &�beidtl&:nnuaM etjng. lnj� P ----------- ----------------- 4:30 PM B # 1 26 1 L 04/30/21 6:00 PM D $ 14.56 Ill NIPPON Warden Food Box Delivery 9505 B # L D $ 0.00 B # L D $ 0.00 B # ............. L D $ 0.00 B # L D $ 0.00 B # D $ 0.00 B # L D $ 0.00 WIN B # - ---- -------- --------- L D $ 0.00 B # L D $ 0.00 B # L D $ 0.00 13 # L ID $ 0.00 B # L D 0-00 $0.00 $0.00 $0.00 Total Mileage @ 0.560 $14.56 GSA Per Diem Schedule: Employee Signature: Supervisor Signature: Total Reimbursement Request 1 $14.56