The URL can be used to link to this page

Home My WebLink AboutGrant Related - BOCC (003)GRANT COUNTY BOARD OF COUNTY COMMISSIONERS To: Board of County Commissioners I" r : Janice Flynn, Administrative Services Coordinator Data June 24, 2021 Re: Authorization for Release of Funds, Emergency Housing Grant #316-46108- 10, Reimbursement #21-12, Dept of Commerce, Subrecipient City of Moses Lake Request #5 The City of Moses has submitted Request #5, regarding the above referenced grant in the amount of $39,981.40. Invoice and supporting documents are attached for review. I am requesting the release of funds for payment to City of Moses Lake in the amount of $39,981.40. Thank you. Date.0 this day of 209 Board of County Commissioners Grant CoUnty,, Washington An*rdvc Abstain P Dist # I Dist # I Dist #1 D i ss- t Dist #21 Dist #2 Dist #3 Dist #3 Dist #3 2ti A 1\1 T J�J N TY C City of Moses Lake PO Box 1579 Moses Lake, WA 98837 TO Grant County Attn: Janice Flynn Via EMAIL DATE April 13, 2021 DEPT: ADMINISTRATION NVOICE #1 - 4-15-2021 FOR COVID - 19 EMERGENCY HOUSING GRANT -- - ----------- 1_-_--1-'_'_ ----- ......... ---------- -------------------- ------------ - ------------- ------ ---- ---- ...... - --_------ Description Amount Subcontract work for Grant County Dept of Commerce Contract 316-46108-10 ..... ...... ------- --- - --------- ___ - ---- --- ----- ------ -__ --- ___ ---------- ---- ----------- ---------- ___ -------- - Homeless outreach and chronic homeless shelter program ----- ---------- ------ - ------- --------- - -------- _- ---------- ------- - -_ ---- "I -1_-_1'_---- -------------- ---- - ---- ---- HopeSource- Shelter Management $16.,133.35 --- ----- ----- - --------- ------------------ ----- ---- -1111-11-1 Pacific Security- Shelter Security $6.,759.87- ------ City of Moses Lake- W/S/G $975.78_ ----- ---------- ------------------- - -------- ------- --------------------------- __ --------- .. .......... __ - - ------ 11 -11 -1 -1 -111 -11 - City of Moses Lake- Admin $14..284.20 __-1-1_--'_--'-'__- -------------------- .- --------- - --------- - . .... .. -- -------- ----- - ---- ------- --1-1-1-- ------ -- -------- ......... ___ - - ----- ",', ------ --- --------- --------- Grant Co. PUD- Electrical $501.44 ----------- -- ---- ........ ............. .... ............ ........ _ ------ ----- ---------- - ........ Basin Septic Services- Sanitation Rentals $659.97 ------- ------ ----------_ ------- -- --- ------------- --------- _- ----- ----- ------ --- ____ .... _._ - ----- General Laundry- Sleep Center Ops $666.79 ...... ....... - ----------- .. ..... '.'__ ........ ------ - ------ ------ .''___ ----_---_ .......... ------ -- ------ - -- ----- ---- -- --- ------------- ----- --- -------- ------ -- --- ------- ----- ------- ------------ - - - ----- REFERENCE ACCOUNT NUMBER: 110-000-33321-019-1000-0896-00 ON PAYMENT TO ENSURE A PROMPT RESPONSE --------------- ......... - ------- -- ------ Payment is due within 30 days of invoice date. ------------ - I ------ -1111-1 ---------- . ...... -------------------------- . ...... -, Balance Due $39,981.40 ---------_-------- ------ - - ----------- ........... ---- - - . ..... ----------- ------- _ -- --------------------- ------------------ Make all checks payable to City of Moses Lake or call 509-764-3715 or 3719 to pay with a credit card. If you have any questions concerning this invoice, contact Finance Department at 509.764.3732 or - 3735. Program Staffing Changes: Please complete monthly to report new or departing PROGRAM staff Staff Change Type No Yes If yes, enter employee name, job title, St email ATTN: Allison Williams M:. ;_AKS City of Moses Lake Grant Bars Coder $16,133.3.5 GL Accounting Code EDEN P►'OJeCf ACCOU►')t%1'lg.COC% HOMELESS GRANTS GRANT REIMBURSEMENT REQUEST INSTRUCTION TO VENDOR OR CLAIMANT: Submit this form to request payment for services or materials. CITY OF MOSES LAKE COMMUNITY DEVELOPMENT PO BOX 1579 Attach accompanying proof of expenses (i.e. receipts, timesheets) Vendor's Certificate: The individual signing this voucher below warrants they have the authority to do so as authorized and on behalf of the entity identified in the Vendor/Claimant section. The individual signing below certifies under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or services furnished for the Grant, and that all goods furnished and/or services rendered have been provided without discrimination because of age, MOSES LAKE, WA 98837-1579 VENDOR OR CLAIMANT (Warrant is to be payable to:) H o pes o u rce/C OVI D-19 Emergency Housing Funds 700 E Mountain View Ave Suite 501 sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. Ellensburg WA 98926 .f: /i-`.- / i /f/ -/ice-G ///_-s / /�/i - By: Contact Person: Susan Grindle Phone: 509-899-0978 (SIGNATURE) CFO 06/08/2021 Email: skgrindle@hoioesource.us Grant Period:,711/20 10/31 /21 Title (DATE) REPORT PERIOD/Month & Year: May -21 - is�..'". Grant Budget Homeless Budget Line Items: (7/1/20- Reimbursements - Report Period p Line Item To -Date Request Balance 10/31/20) C0VID-19 Emergency Housing Grant funds $17000000 $83,655.66 $16,133.35 $70,210.99 $o.00 $0000 o oo $o.00 SubTOTAL County Homeless Funds $1; 70;000.00: $83,655.66 $16,133.35 $70,210.99 . � .� ../..., .. / /. ,.. ,.... .r., .y . H , „i- / y 1,11 New Grant Balance for Current $70,210.99 Reimbursement Request this $162133.35 Fiscal Year Reporting Period FOR CITY USE ONLY: Voucher Approval Signature: DATE: Program Staffing Changes: Please complete monthly to report new or departing PROGRAM staff Staff Change Type No Yes If yes, enter employee name, job title, St email GL Code GL Title 7000 7000 7100 7101 7105 7106 7107 7108 8010 8100 8200 8300 8350 8400 8405 8420 8450 8500 8510 8650 8660 8700 8711 8712 Hope Source Expanded General Ledger - BL- Grant County CV -19 EHG - Unposted Transactions Included In Report 609202007 - Grant County COVID-19 Emergency Housing Grant From 5/1/2021 Through 5/31/2021 Session ID Transaction Description Salaries & Wages 100 Salaries & Wages JVA1428 FICA & Medicare JVA1428 Expense 3.15 Employee Tax JVA1428 Health Benefits JVA1428 Unemployment JVA1428 Insurance Exp 2.05 L & I tax expense JVA1428 Other Benefits JVA1428 Professional Fees JVA1428 Office Supplies JVA1428 Communication JVA1428 Expense 6.36 Postage & Shipping JVA1428 Dues & JVA1428 Subscriptions Rent - Space JVA1428 Lower County Utilities - Ellensburg JVA1428 Repairs & JVA1428 Maintenance - General Insurance Expense JVA1428 Asset/Equipment JVA1428 Purchase Program supplies JVA1428 and tools Photocopy Expense JVA1428 Printing & JVA1428 Publications Travel Expense JVA1428 Training & JVA1428 Technical Assistance Representation JVA1428 expense Opening Balance Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Allocated line for Admin Allocation Divi... Code Division Title 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 100 Administration 0.00 503.79 46.23 115.65 110.89 3.95 4.77 6.66 69.01 17.17 3.96 0.37 6.80 24.96 2.49 9.80 Allocated line for Admin Allocation 100 Administration 18.18 Allocated line for Admin Allocation 100 Administration 3.15 Allocated line for Admin Allocation 100 Administration 2.48 Allocated line for Admin Allocation 100 Administration 2.05 Allocated line for Admin Allocation 100 Administration 0.44 Allocated line for Admin Allocation 100 Administration 1.89 Allocated line for Admin Allocation 100 Administration 6.36 Allocated line for Admin Allocation 100 Administration 3.29 Date: 6/8/21 02:43:44 PM Page: 1 Date: 6/8/21 02:43:44 PM Page: 2 Hope Source Expanded General Ledger - BL- Grant County CV -19 EHG - Unposted Transactions Included In Report 609202007 - Grant County COVID-19 Emergency Housing Grant From 5/1/2021 Through 5/31/2021 Divi... GL Code GL Title Session ID Transaction Description Code Division Title Debit Credit 8800 Vehicle JVA1428 Allocated line for Admin Allocation 100 Administration 0.11 Maintenance & related 8805 Vehicle Gas & Oil JVA1428 Allocated line for Admin Allocation 100 Administration 3.54 Transaction Total 967.99 0.00 Bal... Administration 967.99 100 7000 Salaries & Wages Opening Balance 612... Personnel 0.00 7000 Salaries & Wages CDSPR01151 Payroll - May 1-15 2021 612... Personnel 5,630.25 668.90 7000 Salaries & Wages CDSPR01153 Payroll- May 16-31, 2021 612... Personnel 6,726.44 805.41 7000 Salaries & Wages CDSPR01155 Accrued Vacation May 2021 612... Personnel 117.99 7100 FICA & Medicare CDSPR01151 Payroll - May 1-15 2021 612... Personnel 439.02 Expense 7100 FICA & Medicare CDSPR01153 Payroll- May 16-31, 2021 612... Personnel 524.56 Expense 7101 Employee Tax CDSPR01151 Payroll - May 1-15 2021 612... Personnel 668.90 7101 Employee Tax CDSPR01153 Payroll- May 16-31, 2021 612... Personnel 805.41 7105 Health Benefits CDSPR01151 Payroll - May 1-15 2021 612... Personnel 197.27 7105 Health Benefits CDSPR01153 Payroll- May 16-31, 2021 612... Personnel 256.08 7106 Unemployment CDSPR01151 Payroll - May 1-15 2021 612... Personnel 74.90 Insurance Exp 7106 Unemployment CDSPR01153 Payroll- May 16-31, 2021 612... Personnel 70.82 Insurance Exp 7107 L & I tax expense CDSPR01151 Payroll - May 1-15 2021 612... Personnel 95.74 7107 L & I tax expense CDSPR01153 Payroll- May 16-31, 2021 612... Personnel 105.36 7108 Other Benefits CDSPR01151 Payroll - May 1-15 2021 612... Personnel 0.48 7108 Other Benefits CDSPR01153 Payroll- May 16-31, 2021 612... Personnel 1.53 Transaction Total 15,714.75 1,474.31 Bal... Personnel 14,240.44 612... 8010 Professional Fees Opening Balance 613 Program Operations 0.00 8010 Professional Fees AP1034781 Volgistics volunteer tracking database, subscription 613 Program Operations 9.00 5-17-2021 to 6-16-2021, EHG Date: 6/8/21 02:43:44 PM Page: 2 Hope Source Expanded General Ledger - BL- Grant County CV -19 EHG - Unposted Transactions Included In Report 609202007 - Grant County COVID-19 Emergency Housing Grant From 5/1/2021 Through 5/31/2021 Divi... GL Code GL Title Session ID Transaction Description Code Division Title Debit 8010 Professional Fees AP1034854 MLL office- Firewall & Switch replacement & install 613 Program Operations (Inv #732383870) - May 2021 8200 Communication AP1034965 Internet & Telephone Services for ML Office - Svcs 613 Program Operations Expense from 5/l/21-5/31/21 8300 Postage & Shipping AP1034687 USPS- Postage for Garnishments- April 2021 613 Program Operations 8406 Utilities - Upper AP1034970 Grant PUD- ML Office Utilities- Svcs 3/13-4/14/21 613 Program Operations County/Offsite offices 8420 8420 8990 8997 Repairs & AP1034714 Iron Mountain (Invoice #DNVM214) - 3/24/21-4/27/21 - 613 Program Operations Maintenance - ML - Shredding General Repairs & AP1034717 Iron Mountain (Invoice #DKTK562) - 1/27/21 - 613 Program Operations Maintenance - 2/23/2021 - ML office General Interest Expenses AP1035040 Loan Payment for Moses Lake Office - May 2021 613 Program Operations Depreciation JV002613 Moses Lake Depreciation - May 2021 613 Program Operations Expenses Transaction Total Bal... Program Operations 613 118.46 100.38 12.45 33.75 12.89 25.30 190.23 4994A 924.92 924.92 Credit 0.00 Report 0.00 0.00 Opening/Current Balance Report Transaction 17,607.66 1,474.31 Totals Report Current 17,607.66 1,474.31 Balances Report Difference 16,133.35 Date: 6/8/21 02:43:44 PM Page: 3 PACIFIC SECURITY a div of Parker Corporate Svcs �,�� r � 2009 Iron Street ,�,,,P 01Nr Bellingham, WA 98225-4211 SECURITY UNITED STATES (800)-743-2737 MOSESL03 S City of Moses Lake O Allison Williams DL 401 S Balsam St PO Box 1579 T Moses Lake, WA 98837 O PAGE 1 INVOICE DATE 5/31/2021 INVOICE NO 36391 1 S Moses Lake Sleep Center H 1045 E Broadway Ave I P Moses Lake, WA 98837 T O TOTAL DUE 6,759.87 SLS1 SLS2 DUE DATE DISC DUE DATE ORDER NO ORDER DATE SHIP NO 5/31/2021 5/31/2021 465 5/31/2021 TERMS DESCRIPTION CUSTOMER PO NO SHIP VIA SHIP DATE Due On Receipt 20.12 -BT 5/31/2021 ITEM ID TX CL UNITS ORDERED SHIPPED UNIT PRICE EXTENSION Guard Service (W) 0 276.0000 276.0000 23.3500 6,444.60 Holiday (W) 0 9.0000 9.0000 35.0300 315.27 Month of Service = W 0 1.0000 1.0000 0.0000 0.00 May We appreciate your business. Federal Tax ID 91-2071184 TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL 0.00 61759.87 0.00 0.00 0.00 6,759.87 TOTAL DUE 6,759.87 bi190010 og400 Parker Corporate Services Page: 73 slong Billing Summary (Detailed) 06/03/2021 15:03 --------------------------------------------------------------------------------------------------------------------------------------------------------- Customer: 3306 City Of Moses Lake Site: 1 Sleep Center Status: A Bill Cycle:PSW --------------------------------------------------------------------------------------------------------------------------------------------------------- Date Stat Employee Dept In out Break Total Type Hours Rate Amount --------------------------------------------------------------------------------------------------------------------------------------------------------- 05/01/2021 Lock 80238 Rule, Garrison M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/01/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/02/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.14 05/02/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/03/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6,000 Standard 6.000 23.350 140.10 05/03/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/04/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/04/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/05/2021 Lock 80360 Koblos, Michael Milo 00:00 06:00 0,000 6,000 Standard 6.000 23.350 140.10 05/05/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/06/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/06/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/07/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/07/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/08/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/08/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/09/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/09/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/10/2.021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 5.000 Standard 6.000 23.350 140.10 05/10/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/11/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/11/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/12/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/12/2021 Lock 80366 Lopez, Valentin M110 21:00 23:30 0.000 2.500 Standard 2.500 23.350 58.38 05/12/2021 Lock 80360 Koblos, Michael M110 23:30 00:00 0.000 0.500 Standard 0.500 23.350 11.68 05/13/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/13/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/14/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/14/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/15/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/15/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/16/2021 Lock 80360 Koblos, Michael Mllo 00:00 06:00 0.000 6.000 Standard 6.000 23-350 140.10 05/16/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/17/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/17/2021 Lock 80360 Koblos, Michael M110 21.00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/18/2021 Lock 80360 Koblos, Michael Milo 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/18/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/19/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/19/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/20/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/20/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/21/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/21/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/22/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/22/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/23/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/23/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 bi190010 og400 Parker Corporate Services Page: 74 slong Billing Summary (Detailed) 06/03/2021 15:03 05/24/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/24/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/25/2021. Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/25/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/26/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/26/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/27/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/27/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/28/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.1.0 05/28/2021 Lock 80366 Lopez, Valentin M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/29/2021 Lock 80366 Lopez, Valentin M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/29/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/30/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 05/30/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Standard 3.000 23.350 70.05 05/31/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Stat 6.000 35.025 210.1.5 05/31/2021 Lock 80360 Koblos, Michael M110 21:00 00:00 0.000 3.000 Stat 3.000 35.025 105.08 06/01/2021 Lock 80360 Koblos, Michael M110 00:00 06:00 0.000 6.000 Standard 6.000 23.350 140.10 --------- 285.000 61759.84 AllHours Amount ----------- ---------- Standard --------- 276.000 ----------------- 6,444.61 OT 0.000 0.00 DOT 0.000 0.00 Stat 9.000 315.23 Unbill 0.000 0.00 Other 0.000 0.00 285.000 6,759.84 -------------------------- Allowances 0.00 ----------------- Total with Allowances 61759.84 ----------------- Basin Septic Services Inc. 220 S Hamilton Rd Moses Lake, WA 98837 Phone # 509-7654002 Fax # 509-765-7384 Bill To: City of Moses Lake P.O. Drawer 1579 Moses Lake, WA 98837 Invoice Date Invoice # INVOICE 4/10/2021 T50470 Job At: City Of Moses Lake Broadway extended & Highway 17 Moses Lake WA 98837 :• PLEASE PAY :THIS AMOUNT • $206.26 *•0 0 6 1 4 0 0 f 0 0 0*090*4000 %Soo*** Make checks payable to: Basin Septic Services Inc. Please check box if address is incorrect or has changed, and Have E -Mail? Please write it here: indicate changc(s) on reverse side. Basin Septic Services Inc. PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT 220 S Hamilton Moses Lake,, WA 98837 P.O, No. Description M San itizer Stations 3/14/2021 - 4/10/202 Private Service - - 3/17/2021 - 4/10/2021 Terms Due Date Due on receipt 4/10/2021 Qty THERE WILL BE A $35 CHARGE FOR ALL RETURNED CHECKS. FINANCE CHARGES ON 30 DAY PAST DUE ACCOUNTS ARE 1.5% PER MONTH WITH A $5.00 MINIMUM. Billing Inquiries? Call 509-765-4002 2 1 Rep Project City of ML -Broad... Rate I Amount 95.00 190.00 15.00 15.110T Subtotal $205,00 0 -Sales Tax (8.4%) .0 $1.26 2 6 Total $206.26 - 26 Payments/Credits $0.00 Balance Due $206d.26 Basin Septic Services Inc. 220 S Hamilton Rd Moses Lake, WA 98837 Phone# 509-765-4002 Fax # 509-765-7.384 Bill To: City of Moses Lake P.O. Drawer 1579 Moses Lake, WA 988137 Invoice Date Invoice # za - a ffgwft 5/8/2021 T50988 INVUICE Job At. City Of Moses Lake Broadway extended & Highway 17 Moses Lake WA 98837 d 0 * it- P 9 k * 4? t "PLEASE PAY *THIS AMOUNT $190.00 'k s 4 W k 6 y d- A o V# t h vx V I T = 0 Make checks payable to: Basin Septic Services Inc, Please check box if address is incorrect or has changed. and indicate change(s) on reverse side. Flave 1`. -Mail? Please write it here: dftamaw4m.. an �aftawawaw "W"04" ww.***&$a oft *waft oft"w4ft"o waw "Woft ow a* *& . w so Basin Septic Services Inc. PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT 220 S Hainilton Moses Lake., WA 98837 P.O. No. Terms Due Date Rep Project Due on receipt 51812021 City of ML -Broad... ....... Description -Rate Amount ----------------- Sanitizer Stations - 4/1112021 - 5/8/2021 2 95.00 190.00 Subtotal Sales Tax (8.4%) THERE WILL BE A $35 CHARGE FOR ALL RETURNED CHECKS. Total FINANCE CHARGES ON 30 DAY PAST DUE ACCOUNTS ARE 1.5% PER MONTH WITH A $5.00 MINIMUM. PaymOnts/Credits Billing Inquiries? Call 509-765-4002 r1lialance Due $1.90.00 $0.00 $190.00 $0.00 $190,00 ..._e Basin SeptIno Invoice nutp 1nwn2*Pd%:9 220 S Hamilton Rd 12/19/2020 T48724 INVOICE Moses Lake, WA 98837 Job At: City Of Moses Lake Broadway extended & Highway 17 Phone # 509-7654002 Fax # 509-765-7384 Moses Lake WA 98837 Bill To: City of Moses Lake 0*40646 *so 0000400 0*6 P.O. Drawerl 579 TLEASE PAY Moses Lake, WA 98837 :THIS AMOUNT $263.71 00040* **** 6*060909 000000 0000*#04: Make checks payable to-, Basin Septic Services Inc. Please check box if address is incomet or has changed, and Have F. -Mail? Please write it here-, indicate change(s) on revcrse side. sea* �vw! am am am am a* W% !�i am so � M .Basin Septic Services Inc. PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT 220 S Hamilton Moses Lake, WA 98837 P.O. No. Description San itizer Stations - - 11/22/2020 - 12/19/2020 Private Service - - 11/25/2020 - 12/19/2020 Salt Surcharge - - 11/25/2020 - 12/19/2020 NO SERVICE blocked - - 12/2/2020 -12/ 19/2020 NO SERVICE blocked - - 12/9/2020 - 12/19/2020 Private Service - - 12/16f2020 - 12/19/2020 Salt Surcharge - - 12/16/2020 - 12/19/2020 Terms Due Date Due on receipt 12/19/2020 Qty THERE WILL BE A $35 CHARGE FOR ALL RETURNED CHECKS, FINANCE CHARGES ON 30 DAY PAST DUE ACCOUNTS ARE 1.50,4 PER MONTH WITH A $5.00 MINIMUM. Billing Inquiries? Call 509-7654002 2 2 2 0 0 2 2 Rep Project I City of ML -Broad... Rate Amount 95.00 190.00 15.00 30.00T 2.00 4.00T 0.00 O.00T 0.00 O.00T 15.00 30 -OOT 2.00 4.00T Subtotal 5258.00 Sales Tax (8.4%) $5.71 Total $263.71 Payments/Credits $0.00 Balance Due $263.71 M Hansen, Inc CUBA/ Genera! Laundry 10619 HandicapDr SE Warder Washington 509-989-2246/ Roland ADDRESS,-- CITY, RESS: C" , STATE, ZIP 8211 1 t -NT �' r1ai«....rc..�... f