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Home My WebLink AboutGrant Related - BOCC (002)COMPLETED gy f� DatM:LL�iJ l/ +c� Hi Barb: You may want to enter this on your agenda as follows: September 2020 reimbursement request from the Grant County Health District on Washington State COVID-19 Outbreak Emergency Housing Grant, Contract No. 316-46108-10, in the amount of $3,567.42. After BOCC approval, this can be paid out to the Health District. I will have everything organized for you to do that. When I return, I will then submit an A-19 to the Department of Commerce for our reimbursement. Barb 10/30/20 Washington State COVID-19 Outbreak Emergency Housing Grant Health District Reimbursement Request Contract No. 316-46108-10 Reviewd By: 10-3o-2,) Bar ara . Vasquez Date Cle the Board Approved By: Cindy arter Date Chair Tom Taylor Date Vice-Chairnn (2" o Il- 3-ao Richard Stevens Date Member Mar -Jun 2020 Jul -20 Aug -30 Sep -20 Sep -20 Total Budget Remaining Admin $ - $ - $ - $ - $ - $ 32,724.30 $ 32,724.30 Operations $ $ - $ - $462.52 $3,567.42 $ 4,029.94 $ 11,965.50 $ 7,935.56 Leasing $ $ - $ - $ - $ - $ 147,927.20 $ 147,927.20 Capital $ $ - $ - $ - $ - $ - $ - $ $ $ $ 462.52 $ 3,567.42 $ 462.52 $ 192,617.00 Reviewd By: 10-3o-2,) Bar ara . Vasquez Date Cle the Board Approved By: Cindy arter Date Chair Tom Taylor Date Vice-Chairnn (2" o Il- 3-ao Richard Stevens Date Member Company Name: Grant County Health District Report Name: General Ledger Report Reporting Book: ACCRUALy Created on: 10/21 /2020,�� S 94'2 Program: 9505- C VID Commerce Grant lj Posted Dt. Doc Memo / Description Vendor Name Program Name 3NL Debit Ref. 5103031 -Office supplies (Galan orward of D9/01/2020) 9/4/2020 Bills: 2020/09/04 Batch Summary Grant County Health District COVID Commerce Gran APIA 82.02 a. ✓ Totals for 5103031 - Office supplies 82.02 $103033 - Medical supplies (Balance Forward As of 09/01/2020) / 9/1/2020 Bills: 2020/09/01 Batch Summary Quincy Valley Medical Centei COVID Commerce Gran APIA 3,158.40 b / Entry VVV Totals for 5103033 - Medical supplies 3,158.40 5104041 - Professional services (Balance Forward As of 09/01/2020) 9/1/2020 Bills: 2020/09/01 Batch Summary CliftonLarsonAllen LLP Entry COVID Commerce Gran APIA 35.00 C V/ Totals for 5104041 - Professional services 35.00 5104140 - Travel (Balance Forward As of 09/01/2020) 9/1/2020 Bilis: 2020/09/01 Batch Summary Washington Trust Bank COVID Commerce Gran APIA 269.00 d Entry Totals for 5104140 -Travel 269.00 5104141 - Meals $ Mileage (Balance Forward As of 09/01/2020) 9/2/2020 Bills: 2020/09/02 Batch Summary Beebe, Ashly COVID Commerce Gran APIA 23.00 e Entry Totals for 5104141 - Meals $ Mileage 23.00 Grand Total 3,567.42 Petty Cash Receipt No.3309 Paid to: Dollar Tree Date Purchased: Amount $28.18 8/5/2020 Description Items for families in quarantine/isolation due to COVID Paid by Stephanie Shopbell Charged to Program # 442 1 Approved by Date 08106/2020 WA (PV 10 �� Cans d DOLLAR TREE 2424 (509) 761-5117 Pioneer Vey ike UA 98837-2381 !ION -�-�--=-�=-�--------�-�QTY PRICE �---� iTOT - -------------.-..---------------------- FRT PLUSH DTH TISS 4RL 1 1.00 1.0 ,FRT PLUSH DTH TISS 4RL 1 1.00 1.0 ' FRT PLUSH DTH TISS 4RL 1 1,00 1.0 ^;RT PLUSH BTH TISS 4RL 1 1.00 1.0.' FRESH BREEZE 7.5Z 1 1.00 MC, FRESH BREEZE 7.51 1 1.00 1.(:' FRESH BREEZE 7.5Z 1 1,00 M; I lie FRESH BREEZE 7.5Z 1 1.00 1 J;` I '"A ORIQ 7 FLOZ 1 1.00 1.l 1 ;i,A ORIQ 7 FLOZ 1 1,00 1.h!' 4 0010 7 FLOZ 1 1.00 1 J NA ORIQ 7 FLOZ 1 1.00 1 k) FAD SOFT VANILLA 15Z 1 1.00 1.(.0 LIQ FAB SFT LAV 15Z 1 1.00 1.01) FAB SOFT VANILLA 15Z 1 1.00 1,0( IQ FAB SFT LAV 15Z 1 1.00 1.c ,. FAD SOF HORHQ SUN 15Z 1 1.00 1.( IQ FAB SFT LAV 15Z 1 1.00 M IELD FLOUER LIQUID 1 1.00 1.r. IELD FLOOER LIQUID 1 1.00 1.1 MELD FLOM LIVID I 1.00 1.1 A SOF HORNQ SUIT 15Z 1 1.00 1.. i SOFT VANILLA 15Z 1 1.00 1.. SOFT VANHILLA 15Z 1 1.00 I.- ;B SOF SUN 15Z 1 1.00 1. JORN0 8 SOF ORNO SUN 15Z 1 1.00 1. Sup Total $26.00 SALES TAX $2.18 Cashl $30.20 CHANCE ====> $-2.02 OU SHOP 011 -LINE AT DOLLARTREE.COH 11 gladly exchange any unopened iten 0nal receipt. Us do not offer refunds. ... r I F l f (:**1C 1f��{•'Y•L'�. •Y.yL•4.�..1..�. i i i f 4. E 1. • r:7i ! ' Petty Cash Receipt No.3310 Paid to: Dollar Tree Date Purchased: Amount $16.26 812112020 Description Items for families in quarantine/isolation due to COVID Paid by Ashly Beebe Charged to Program # 442 31 Approved by Date: 08/21/2020 U q47�, 4 DOLLAR TREE • d 2481 (509) 717-4205 Nat Washington Blvd A fpt,i •ita WA 98823-2631 N 41PTTON OTY PRICE 1 --- ---------------------------------------- WO_----------------------'------------- 161H TSSUE 4PK VALUE 1 1.00 1 1810 ISSUE 4PK VALUE 1 1,00 1 181N ISSUE 4PK VALUE 1 1.00 1 (iilfi ISSUE 4PK VALUE 1 1.00 1 Pill ISSUE 4PK VALUE 1 1.00 1 is DISH LIQUID ORANGE 14Z 1 1.00 1 !,•ii ; 0113H I IQU[D LEMON 14Z 1 1.00 1 DISH LIQU10 LEMON 14Z 1 1.00 1 l.'.., DISH LIQUID ORANGE 14Z 1 1.00 1 ,t DISH LIQUID LIME 14Z 1 1.00 1 i'SOAP FRESH BREEZE 7.5Z 1 1.00 1 S SOAP AQUARIUM 1 1.00 1. S SOAP AQUARIUM 1 1.00 1 [SOAP FRESH BREEZE 7.5Z 1 1.00 1 [SOAP FRESH BREEZE 7.52 1 1.00 1 Sub Total $15.00 SALES TAN $1.26 Total $16.26 Cash CHANGE 20.00 -3.14 NOW SHOP ON-LINE AT OOLLARTREE.COM 4 A*'XXXXXXXXXX'XXXXXXXXXXXXXXXXXXXXXXXXXXX> We will gladly exchange any unopened item with original receipt. We do not offer refunds. ••XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXY 1 0248104 041 26791235 812JAO 11:02 ••,s Assnciate:Harinh Petty Cash Receipt No.3311 Paid to: Safeway Date Purchased: Amount $37.58 8/24/2020 Description Items for families in quarantine/isolation due to COVID Paid by Maria Vargas Charged to 442/3 Program # 1 QTY Approved by Wk\ Date: 08/24/2020 1 AFEWAY (, Store 3262 Dir Ed Wilson Main:(609) 766-3961 Rx:(609) 764 601 S. Pioneer Wau Suite A Mases Lake WA 98837 GROCERY SIG INSTNT OATMEAL 2,,j SIG PEANUT BUTTER . 1;- Regular Price 2.49 Card Savings 0.50 - POP SECRET POPCORN 6.011 MINUTE MAID PLUS Regular Price 3.99 Card Savings 0.99- REFRIG/FROZEN 1 QTY CROISSANT POCKETS 2.( . 1 QTY CROISSANT POCKETS 2.C' ` 1 QTY HOT PKTS LMTD EDTN 2.0' MICH ENTREES 1 .01 ! '.. Regular Price 1.39 Card Savings 0.39- MICHELINAS MAC&CHS, 1,0i Regular Price 1.39 Card Savings 0.39- MICH SALISBURY 1.0( Regular Price 1.39 Card Savings 0.39- MICHLINS CKN POPIN. 1.0G '. Regular Price 1.39 Card Savings 0,39- MICHELINAS CHICKEN, 1,00 : Regular Price 1.39 Card Savings 0.39- 2 QTY RED BARON 7.00 Regular Price 7.98 Card Savings 0.98 - BAKED GOODS FRANZ CANNON ORD 2,60 Regular Price 4.99 Card Savings 2,49 - MEAT 2 QTY BUGGID HAM 1.78 ' 2 QTY BUDDIG TUR 1,78 TAX 0.2,5 ** BALANCE 37-Q Cash 40, IBJ CHANGE 2.44 I �,-1,4rp- nr Tt a rrI! P - 1Q QUINCY VALLEY MEDICAL CENTER Tax ID: 91-6016045 I �% Invoice IU # 626K1504$ Ref: b. Payments processed In the last 30 days: $0.00 Choose a Payment Method Company Name: GRANT COUNTY HEALTH DISTRICT Invoice Date: 09/01/2020 Invoice ID: 6261<15048 Payment Due $3,158.40 Due Date: 10/01/2020 Make a secure payment online: www,quickpayportal,com QuickPay Code: SGLS-WQ7T-8381-KQMA k Mail your payment with the coupon below. Make checks payable to: GRANT COUNTY PUBLIC HOSPITAL DISTRICT #2 PaymentMail DBA QUINCY VALLEY, The Corporate Invoice ID MUST be included with your check. r, Need to contest a charge? The easiest way to contest a charge is through the QuickPay Portal. To contest a charge by mail, fill in the charge and a reason code on the back of the payment coupon. Thank you for choosing QUINCY VALLEY MEDICAL CENTER Have a question about your invoice? Call (509) 787-3531 detailed survinary j 129004=4611 -------------------------------- Detach this coupon and return with youWI G'Y'W41t Due Date 10/01/2020 QUINCY VALLEY MEDICAL CENTER Corporate Invoice ID 626K15048 Amount Due $3158.48 Amount Enclosed II$_ ® Pay By Mail Pay Online: Recommended To ensure timely and accurate processing, detach this coupon and return www.quickpayportal.com It with your payment. Make checks payable to GRANT COUNTY PUBLIC Corporate QuickPay Code: SGLS-WQ7T-8381-KQMA HOSPITAL DISTRICT #2 DBA QUINCY VALLEY. The Corporate Invoice ID MUST be Included on your chock. IIIIIIIIIIIIII111111111111111111111111aIIIIIIIIIIIIIIIIIIIIIIIIII GRANT COUNTY HEALTH DISTRICT 1038 W IVY AVE MOSES LAKE WA 98837-2049 'IIIIIIIIIIIIIIII'IIII'll'I'I'Ir11i11IIl'lllll'lll'IIIIII11loll GRANT COUNTY PUBLIC HOSPITAL DISTRICT #2 DBA QUINCY VALLEY r �' PO BOX 19795 BELFAST ME 04915-4092 Check box If you are contesting a charge on this invoice. Please Indicate on reverse side. CORPORATE INVOICGID:62GK15048 - Page 1 CliftonLarsonAlien CLS a' Direct Billing Inquiries to: (509) 23-29 Allen LLP (509)823-2910 Account Name Grant County Health District Invoice Total $7,129.84 Account Number 087-401628 Invoice Number 2599188 Authorization Number 0001272347 Invoice Date 8/28/2020 To pay your bill electronically please visit claconnecl.com/billoav July Accounting Services June 2020 Financial Statements Annual 2019 Financial Statements - Final Bill Monthly Service Fees Additional COVID Expenses ConCon billing CHI Solid Waste billing ELK COVID Cares Act MAC billings and trainings. Ref: c. Technology and Client Support Fee Invoice Total Payment is due upon receipt. Please detach and remit payment to the address below. $2,786.75 750.00 1,000.00 203.25 700.00 X193.00 We Appreciate Your Business and Referrals Remit to: CliftonLarsonAllen LLP PO Box 31001-2443 091244308740162800007129840000025991881 Pasadena, CA 91110-2443 Grant County Health District 1038 W. Ivy, Suite 1 Moses Lake, WA 98837 1 $329.84 $7,129.84 Amount Remitted $ Account Number 087-401628 Invoice Number 2599188 y Cie � l�� 1038 West Ivy, Suite 1 X F�GCHD �p��1��1 I Moses Lake, WA 98837 GRANT COUNTY HEALTH DISTRICT 2020 Expense Reimbursement Request Ref. Name:�_nl Date Travel Status Start/End 71 Meals Lodging Personal Vehicle # of Miles t er Expenses )Receipts required.) Location, Purpose, Details of Other Expenses Program Code 12/31/20 5:30 AM 9:00 PM B 13.00 # 440 25.00 Wenatchee, WA Washington State Public Health Association Annual Meeting. $25 Packing, 11 L 14.00 253 D 23.00 B # 9 OSS -LIQ Waste - L 08/20/20 $ 5.18 Repair final Moses Lake Re air D B # 25 OSS -LIQ Waste - L 08/20/20 $ 14.38 ESE Moses Lake Exisiting D B It 26 OSS- LIQ WASTE - L 08/20/20 $ 14.95 2 initial site visits Moses Lake New D B # COVID- , Emergent L 08/21/20 $ # 23.00 12 Food Assistance delivery Ephrata Pre t OSS- LIQ WASTE - D B L 08/21/20 1 6.90 128 1 initial site visit Moses Lake New OSS- LIQ WASTE - D B $ # L 08/22/20 08/24/20 $ # 73.60 120 Mattawa Repair Initial Wahluke School Summer food program inspection Repair FOOD - Temp - Temp OSS- LIQ WASTE - D B L $ # 69.00 1 132 D B L $ # 75.90 4 08/25/20 08/26/20 08/26/20 1 1 final in Royal City, 1 final Mattawa Solid waste complaint Moses Lake Well delegation Moses Lake New So i waste - Solid Drinking water quality - OSS- LIQ WASTE - D B L $ # 2.30 13 D B L $ # 7.48 37 D B L $ # 21.28 1 2 08/26/20 Initial site visit Moses Lake New OSS- LIQ WASTE - D B $ 6.90 08/31/20 Complaint in Moses Lake Non -App D $0.00 $0.00 $0.00 Total Mileage @ 0.575 $320.85 GSA Per Diem Schedule Employee Signature: Supervisor Signature: Total Reimbursement Request 1 $320.85 littps://www.gsa.gov/travel/plan-bool(Ler-diem-rates/per-dietii-rates-lool<upZ?action=perd Date: cl! --- -- Date: 9-d- go d, V~44 R"" Jerry: Please voucher for payment the following: (Payment authorization/invoice attached) To: Invoice #: Invoice Date: Description: Account: Amount: Health District Emergency Housing Grant 20-3 10/30/20 Emergency Housing Grant, Health District Request #3 190.001.00.7602.518634981 $3,567.42 T4444 YM4! 3a.rb- 10/30/20