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1038 West Ivy, Suite 1
Moses Lake, WA 98837
GRANT COUNTY HEALTH DISTRICT
We, the undersigned Members of the Grant County Board of Health Audit Committee hereby
certifies that merchandise and services specified on the attached vouchers have been received
and services provided by the individual(s) listed. The Vouchers totaling $9,288.36 through March
26, 2019 are hereby approved.
Richard Stevens, Commissioner
Mark Wanke, Board Member
Date
&31A4,11
Date
System: 3/26/2019 11:20:48 AM Special Taxing Districts
Page:
1
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST
User ID:
dmoss
Payables Management
Batch ID: PH03262019DM
Batch Comment:
Batch Frequency:
Single Use
Tnc Total Actual: 22 Trx Total Control: 0
Audit Trail Code:
Batch Total Actual: $9,288.36 Batch Total Control: $0.00
Batch Error Messages:
Posting Date:
3/25/2019
User posting access denied
Doc_ument Total . -
UendOlt Document;Number , .Document Date" VaucherNumber
Purchases `
Gendd� Name
Terms Disc Avail
AFARI 063275 3/25/2019 000000111714
$896.66
$896.66
J&A FISHER INC
Description Dodge Grand Caravan
Payment Information Checkbook/Card Payment Number Document
Date
Amount
Check
0/0/0000
$0.00
Distribution Messages:
Work Messages:
General Ledger Distributions
Account Account Description Account Type
Debit Amount
Credit Amount
67900000.1000.562114300 PUBLIC HEALTH-ADMIN-TRAVE PURCH
896.66
0.00
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
0.00
896.66
896.66
-------------
896.66
Purchases:- Document Tbfa[ .
Vendor._lD = Document Number :;: Document Date: Voucher Number'
Vendor Name _zl-
Terms Disc Avail .
CBHML SUBSCRIPTION RENEW 3/26/2019 000000111717
$156.00
$156.00
COLUMBIA BASIN PUBLISHING CO
Description Annual
Payment information Checkbook/Card Payment Number Document
Date
Amount
Check
0/0/0000
$0.00
Distribution Messages:
Work Messages:
i
General Ledger Distributions
Account Account Description Account Type
Debit Amount
Credit Amount
67900000.1000.562114900 PUBLIC HEALTH-ADMIN-MISCE PURCH
156.00
0.00
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN- PAY
0.00
156.00 i
156.00
156.00 !
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page: 2
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID: dmoss
Batch ID PH03262019DM Payables Management
CBHSP JANUARY 2019 3/25/2019
COLUMBIA BASIN HOSPITAL
Description Brzezny Cell Phone
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111699
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562114200 PUBLIC HEALTH -ADMIN -COMM PURCH
69400100.0000.211 000000 CLAIMS CLEARING- -WARRAN' PAY
CHTDFY FEBRUARY 2019 TOB 3/25/2019
Chelan -Douglas Together for Drug Free Youth
Description
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111697
Document
General Ledger Distributions
Account Account Description Account Type
67900000.2440.562444900 PUBLIC HEALTH -YOUTH TOGA, PURCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
$39.00 $39.00
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
39.00 0.00
0.00 39.00
N 39.00 39.00
$1,811.11 $1,811.11
Date Amount
0/0/0000 $0.00
Debit Amount
Credit Amount
1,811.11
0.00
0.00
1,811.11
1,811.11
1,811.11
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page:
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID:
Batch ID PHO3262019DM Payables Management
CHTDFY FEBRUARY 2019 MAR 3/25/2019
Chelan -Douglas Together for Drug Free Youth
Description
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111698
Document
General Ledger Distributions
Account Account Description Account Type
67900000.2447.562444900 PUBLIC HEALTH.MARIJUANA.ty PURCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
FEDEX 6-49846386 3/25/2019
FEDERAL EXPRESS CORP.
Description 1875-2759-7
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111713
Document
General Ledger Distributions
Account Account Description Account Type
67900000.6455.562594200 PUBLIC HEALTH -VECTOR -CON PURCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
3
dmoss
$3,417.16 $3,417.16
Date Amount
0/0/0000 $0.00
Debit Amount
Credit Amount
3,417.16
0.00
0,00
3,417.16
3,417.16
3,417.16
$128.31 $128.31
Date Amount
0/0/0000 $0.00
Debit Amount
Credit Amount
128.31
0.00
0.00
128.31
--~ —
128.31
128.31
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page: 4
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID: dmoss
Batch ID PH03262019DM Payables Management
GCHPC FEBRUARY 2019 3/25/2019
GRANT CO HEALTH DISTRICT
Description Petty Cash
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111700
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562113100 PUBLIC HEALTH-ADMIN-SUPPI. PURCH
69400100.0000.211000000 CLAIMS CLEARING--WARRAN' PAY
GCPWN 175553 3/25/2019
Grant County PowerNet
Description
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111701
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562114200 PUBLIC HEALTH -ADMIN -COMM PURCH
69400100.0000.211000000 CLAIMS CLEARING--WARRAN' PAY
$42.27 $42.27
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
42.27 0.00
0,40 42,27
42.27 42.27
$62.95 $62.95
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
62.95 0.00
0.00 62.95
-- - 62.95 62.95
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page:
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID:
Batch ID PHO3262019DM Payables Management
HERDC 315 TO 3/20, 2019 3/26/2019
HERDRICK, CASSANDRA
Description Travel Reimbursement
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111715
Document
General Ledger Distributions
Account Account Description Account Type
67900000.2440.562444300 PUBLIC HEALTH -YOUTH TOBA, PURCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
67900000.8442.562884300 PUBLIC HEALTH -PLAN & PREP PURCH
HITZK 3/6 - 3/20, 2019 3/26/2019
HITZROTH, KARL
Description Travel Relmubursement
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111718
Document
General Ledger Distributions
Account Account Description Account Type
67900000.2000.562344300 PUBLIC HEALTH -PERSONAL HI PURCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
67900000.8442.562884300 PUBLIC HEALTH -PLAN & PREP PURCH
5
dmoss
$102.00 $102.00
Date Amount
0/0/0000 $0.00
Debit Amount
Credit Amount
28.00
0.00
0.00
102.00
74.00
0.00
------ 102.00
----------------
102.00
$95.80 $95.80
Date Amount
0/0/0000 $0.00
Debit Amount
Credit Amount
21.80
0.00
0.00
95.80
74.00
0.00
Y 95.80
95.80
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page: 6
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID: dmoss
Batch ID PH03262019DM Payables Management
HRRST JAN & MARCH 2019 3/25/2019
Harris, Tom
Description BOH Mileage Reimbursement
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
[111101I1i11a111i Y�
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562114300 PUBLIC HEALTH-ADMIN-TRAVE PURCH
69400100.0000.211000000 CLAIMS CLEARING--WARRAN" PAY
JFSLS 21196 3/25/2019
Jim's Full Service Locksmith, LLC
Description March 18, 2019
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111703
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562114100 PUBLIC HEALTH-ADMIN-PROF1 PURCH
69400100.0000.211000000 CLAIMS CLEARING--WARRAN- PAY
$44.08 $44.08
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
44.08 0.00
0.00 44.08
44.08 44.08
$94.59 $94.59
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
94.59 0.00
0.00 94.59
- - 94.59 94.59
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page: 7
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID: dmoss
Batch ID PH03262019DM Payables Management
LSTCM 32100621817 3/25/2019 000000111704 $166.47 $166.47
LES SCHWAB TIRE CENTER
Description 342-01436
Payment Information Checkbook/Card Payment Number Document Date Amount
Check 0/0/0000 $0.00
Distribution Messages:
Work Messages:
General Ledger Distributions
Account Description Account Type
Debit Amount
Credit Amount
Account
Account Description Account Type
Debit Amount
Credit Amount
67900000.1000.562114300
PUBLIC HEALTH-ADMIN-TRAVE PURCH
166.47
0.00
69400100.0000.211000000
CLAIMS CLEARING--WARRAN' PAY
0.00
-----------------
166.47
-----------------
166.47
166.47
MASST JANUARY 2019 3/25/2019 000000111705 $48.72 $48.72
MASSA, TONY
Description BOH Mileage Reimbursement
Payment Information Checkbook/Card Payment Number Document Date Amount
Check 0/0/0000 $0.00
Distribution Messages:
Work Messages:
General Ledger Distributions
Account
Account Description Account Type
Debit Amount
Credit Amount
67900000.1000.562114300
PUBLIC HEALTH-ADMIN-TRAVE PURCH
48.72
0.00
69400100.0000.211000000
CLAIMS CLEARING--WARRAN' PAY
0.00
- -- --
48.72
------------
48.72
48.72
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page: 8
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID: dmoss
Batch ID PH03262019DM Payables Management
MORFR JAN -MARCH 2019 3/25/2019
MORFIN, RITA
Description Milleage Reimbursement Differ
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111706
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562114300 PUBLIC HEALTH-ADMEN-TRAVE PURCH
69400100.0000.211000000 CLAIMS CLEARING--WARRAN' PAY
RUVAI REFUND 3/25/2019
RUVALCABA-GUTIERREZ, IGNACIO
Description
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111707
Document
General Ledger Distributions
Account Account Description Account Type
67900000.2034.346200000 PUBLIC HEALTH -TB LATENT-Pl PURCH
69400100.0000.211000000 CLAIMS CLEARING--WARRAN' PAY
$26.11 $26.11
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
26.11 0.00
0.00 26.11
26.11 26.11
$74.00 $74.00
Date Amount
O/0/0000 $0.00
Debit Amount Credit Amount
74.00 0.00
0.00 74.00
-----------------
------ 74.00 74.00
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page: 9
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID: dmoss
Batch ID PHO3262019DM Payables Management
SHELF 58323411 3/26/2019
SHELL FLEET
Description 0496-00-490637-6
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111712
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562114300 PUBLIC HEALTH-ADMIN-TRAVE PORCH
69400100,0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
ST679C 2249416871 3/25/2019
Staples Credit Plan. .
Description 6035517820170388
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111708
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562113100 PUBLIC HEALTH-ADMIN-SUPPI PURCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN- PAY
$85.51 $85.51
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
85.51 0,00
0.00 85.51
85.51 85.51
$99.22 $99.22
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
99.22 0.00
0.00 99.22
— --------------- ---- ------------
99.22 99.22
System: 3/26/2019 11:20:48 AM Special Taxing Districts Page:
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST User ID:
Batch ID PH03262019DM Payables Management
VERIZW 9825683925 3/25/2019
VERIZON WIRELESS
Description February 2019
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111709
Document
General Ledger Distributions
Account Account Description Account Type
67900000.1000.562114200 PUBLIC HEALTH -ADMIN -COMM PURCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
WSDOH CHW CONFERENCE 3/26/2019
WA STATE DEPT OF HEALTH
Description Vargas & Cantu
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111716
Document
General Ledger Distributions
Account Account Description Account Type
67900000.2424.562254900 PUBLIC HEALTH-CSHCN-MISCI PORCH
69400100.0000.211000000 CLAIMS CLEARING- -WARRAN' PAY
10
dmoss
$1,469.89 $1,469.89
Date Amount
0/0/0000 $0.00
Debit Amount
Credit Amount
1,469.89
0.00
0.00
1,469.89
1,469.89
— ---------------
1,469.89
$50.00 $50.00
Date Amount
0/0/0000 $0.00
Debit Amount Credit Amount
50.00 0.00
0.00 50.00
--- 50.00 50.00
System; 3/26/2019 11:20:48 AM Special Taxing Districts
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST
Batch ID PH03262019DM Payables Management
WSEHA 0518 3/25/2019
Washington State Enviornmental Health Assoc
Description 2019 AEC Reg Jon Ness
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111710
Document
General Ledger Distributions
Account Account Description Account Type
67900000.5000.562544900 PUBLIC HEALTH -ENV. HEALTH PURCH
69400100.0000.211000000 CLAIMS CLEARING--WARRAN' PAY
WSEHA 0513 3/25/2019
Washington State Enviornmental Health Assoc
Description 2019 AEC Reg Tom Wytko
Payment Information Checkbook/Card Payment Number
Check
Distribution Messages:
Work Messages:
000000111711
Document
General Ledger Distributions
Account
Account Description
Account Type
67900000.5000.562544900
PUBLIC HEALTH -ENV, HEALTH
PURCH
69400100.0000.211000000
CLAIMS CLEARING--WARRAN-
PAY
67900000.5000.562564900
PUBLIC HEALTH -ENV. HEALTH
PURCH
Page:
User ID:
$112.53
Date
0/0/0000
Debit Amount
112.53
0.00
---------------
112.53
$265.98
Date
0/0/0000
Debit Amount
132.99
0.00
132.99
-------------
265.98
11
dmoss
$112.53
Amount
$0.00
Credit Amount
0.00
112.53
--------------
112.53
$265.98
Amount
$0.00
Credit Amount
0.00
265.98
0.00
265.98
System: 3/26/2019 11:20:48 AM Special Taxing Districts
User Date: 3/26/2019 PAYABLES TRANSACTION EDIT LIST
Batch ID Payables Management
State of Washington -County of Grant
Page: 12
User ID: dmoss
Purchases Amount Terms Disc Avail Document Total
~-----------
---_ — $9,288.36 $0.00 $9,288.36
I, the undersigned, do hereby certify under penalty of perjury that the
materials have been furnished, the services rendered or the labor performed
as described herein, that any advance payment is due and payable pursuant
to a contract or is available as an option for full or partial fulfillment of a
contractural obligation, and that the claim is a just, due and unpaid
obligation against the county, and that I am authorized to authenticate and
certify to said claim,
Subscribed this day of ✓' f
(Signed) For(' -
Department
Approved and
Authorized By
Date Allowed
Commissioner
Commissioner
Commissioner