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HomeMy WebLinkAboutGrant Related - BOCC (010)GRANT COUNTY BOARD OF COUNTY COMMISSIONER$ - To: Board of County Commissioners Janice Flynn, Administrative Services Coordinator Data July 14, 2023 Re: Authorization for Release of BOCC Approved Funds, Dept of Commerce, CHG Grant #22-46108-10, Hotel Leasing Amendment, Reimbursement #28,, New Hope, Request #15 New Hope has requested reimbursement for the above -referenced grant, per the contracted guidelines in the amount of $19,506.27 for June 2023 expenses. The invoice and supporting documentation are attached for review. I am requesting the release of funds for payment to New Hope in the amount of $19,506.27. Thank you. Dated this day of )I;�_, 20c),3 Board of County Commissioners Grant County, Washington I AD-Disgp"r ve Abstain Dist #1 A\ Dist #1 Dist #1 Dist ist #2 Dist #2 Dist #2 Dist #3 Dist #3 Dist #3 J U L 14 2023 GRANT COUNTY C 01`0 MISSION ER S Grantee Name: Grant County Lead Grantee List Sub Grantee Names Below Report Month/Year: June 2023 Grant County New Hope Total I j F r m Ad : .., �,...,•. Y ._.. •..-..-I.... 5,...h .� _.. .:'.... J. V, r ._N .. .. , .. •. rF "rrv.r >. t _f xx ..moi " $0.000 V ,. � ,.�, , .t ,.,. .. w r .. . i , ., .CMG _ then. Ren .: .,•.._ .... _ �,;.. -♦ -.... ,, t tff .. vt_ .i „� •.. tis .�,� �. r .. .... .. ,..c, .. , x ._ . .. . _ s .)... X.. .,.. -.. S (., J-.., t a. , ,.N . C ..r .ncr. .. Y.. rr. t, m`, . �•: . 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Box 37 Ephrata WA 98823 Vendor: ATT PO BOX 5075 Carol Stream IL 60197-5075 I Document Number [6-6�4-2023---A—T-f- Iesc ptj'- "0-' '-'""—''-"*"---'**' - ,D ' n on-, ** ' Office Phone qI Purchase Order Number Page I / 1 Invoice 0391032 Date 6/14/2023 Shipping Method Payment Terms ID .......... 4N.ET 30 Amount,, S -56.44i, Subtotal $56.44 MISC $0,00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $56.44 P de, um 030 261 6606 001 JUN 4) 2023 JUN 29, 2023 000002256 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 TELEPHONE NUMBER: 509 764 840,' nes ;Foi.,P= ............ er e.. _7� -us .0 it - 0:67:=': � -,: , - _�, `,­ '"", �,: - i " -, :-, ��, : - * _.*_r6r,t,_,,_­_­_ AT&T All In One Service AT&T LONG DISTANCE X39.01 TOTAL SERVICE CHARGES *39.01 SURCHARGES AND TAXES *17-43 ACCOUNT STATUS PREVIOUS BALANCE PAYMENT RECEIVED ADJUSTMENTS TOTAL CURRENT CHARGES *99.69 -10.00 t56.44 TOTAL CURRENT CHARGES 456.44 TOTAL AMOUNT DUE See Summary of Charges page for details Pay online at WWw_-att-CoM/'PaYmYbil1 News From AT&T Just For Your Business See next page forsorenews! Login now at http*#//www.att-com/`loginnow to view your billing,,call details online. Then, when you're readyt select your preferre-d method of P'aymentt PAY ONLINE - Once logged in, click "Pay Your Bills" to setup one-time or monthly payments with a credit card or bank account. PAY BY PHONE - Call the toll-free number at the top of this page to setup a one- time payment with a credit card or bank account. PAY BY MAIL - Submit the lower portion of this page with a check payable to AT&T. Whatever's most convenient for you! You can manage all of your ordering and billing inquiries with Just a'click.. Visit us at www.att.com/customercare for details on AT&T on-line customer service. W_. e. -A, UAW$ -vour- -0 t H11h .. . ..................»_._.._ .. P . ....... a a C xemumned.- e U 6-VIOU !F-77 he e, 1s, ziljox.a [MS. _Vteviabl MM--sure-t-fia e aCC0UM-,nUMb6r:.(0r1_,. _p: .'-. . ......... & ..... rou nve wfwin dw_� e Analuirles-Wrinthbit-1 ti- -TV th' 0 a !�-A, a ............ ..... .. ... wr ri .iai wi, wa ww wr iar ww aor two raw wr Mt orw sa wa os roa ar aaat. scar uK tics uw we naa oar carr far lrlk W� nr sew oar rr: a oar w rr� u{s r+a..a aaw rrYea: faar ar Wa w nt qas rr. Ma rb aY r Wr fM rna oar rw aarfn rY tai. ter n!f an � car aW fYt aa4 tar ire ■ar Mr MI oar rn aas Yr .W P+.� +Iri }ala"r rr:arrr aaraaar w ■rf+M oar art root oar rr w wr Mt aaat oar .et w w w r aa► w aw TO ENSURE PROPER CREDIT, PLEASE DETACH THIS PORTION AND RETURN WITH REMITTANCE,, 000000 2 .00 Sil NEW HOPE DVSA $11 W 3RD AVE MOSES LAKE WA 98837-1905 Check here for name/ address/telephone AT&T number corrections P 0 Box 5075 only, See reverse side. Carol Stream, 1 L 60197-5075 god" Li I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 0 10 1 1 1 1 11 1 1 11 1 1 1 1 1 1 i I I I I I SC#00-01 4 A ic T Account Number: 030 261 6606 001 Bill Date: JUN 4, 2023 Payment Due Date: JUN 29,r 2023 Total Amount Due: -- -- ---- - ------ Amount Enclosed:$ - 't q I 0000N-057 Page 2 AT&T -ALL in One Service-_`_ Reference Guide AT&T ACCOUNT HIERARCHY Account Number,,, The Main Billed AT&T account number for your All in One account, Subaccount Number: Customers with toll free service, or those who have more than one location, will have their toll freellocation level charges summarized under subaccounts. Multiple subaccounts can be associated with one. Example: 030-555-1111 (Account Number) - Total Charges 011-555-1234 (Subaccount) -Charges for Location #1 161-555-1235 (Subaccount) - Charges for toll free service SUMMARY OF MONTHLY CHARGES — ------ - NIPPON- LONG DISTANCE SERVICE Monthly Charges Toll -Free Service: A monthly charge, billed one month in advance, applies for Customers with AT&T Toll -Free Service. Minimum Usage Charge,: Assessed when the total AT&T Long Disia'nce Usage charge's are below the monthly minimum. LOCAL SERVICE Monthly Charges Line Charge.- A monthly charge applies for each line subscribed to AT&T Local service. Local Feature(s): A monthly charge may apply for specific" Local Features and/or Featurepackages, S.URCHARGES Subscriber Line Charge, The Subscriber Line Charge is an FCC -approved, flat -rated monthly charge paid by consumers to their Local Telephone Company so that the Local Telephone Company can recover the costs associated with connecting customers to the network which are not recovered In local rate. In State Connection Fee.- AT&T is charged by your local telephone company to carry your AT&T in state long distance and local toll calls over its lines, In order to help recover these costs AT&T includes in your monthly hill an In State Connection Fee. The fee applies to Customers subscribed to AT&T for Business long distance or, local toll service. The fee does not apply -to customers that subscribe only to AT&T Local Service. I W" I . 1421 1 U MA &V I Z FIX 0 MONISM 0 N 01 E mp� NME ---------- - ----------------- ----- --- - I now, No 0 MERE OMEN INN; NNE EMMONS HAS YOUR BUSINESS MOVED ? Y N HAS OWNERSHIP CHANGED ? Y N 77 a --- -------- 77�.. Adcount i ayme Num r. Date Dati 0 03 30 261 6606 001 JUN 4,, 2023 JUN M 2023 Account Status 0000022,158 Page 3 I. NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 TELEPHONE NUMBERt 509 764 8402 Your account is past due. If you have sent your payments please disregard this notice. Regulatory News Attention Customers in Maine, North Carolina Nevada, Utah and California: If you do not pay yourbill by the due date: and the outstanding balance is *25 or more, AT&T may assess a ceharge of 05.00 ter assess an interest charge of up to 1.5% of the outstanding balance,, as permitted by law. In Maine and North Carolina the maximum interest is 1%. in Utah and Nevada the maximum interest is 1.5%. Attention Customers with Service in All States, Except AK, IN NY., PA,. TXP and VA: AT&T intrastate, interstate, and international services are provided by AT&T Corp* To view service publications, go to www. att. cam/servicepublicat ions and click on Service Guides and/or Tariffs. (B468) DO NOT CALL If your business makes outbound telephone solicitations, you must comply with federal do -not -call laws and regulations (47 C.F.R. 64.1200 and 16 CoF.R. 310) and any.applicable state laws,, AT&T Calling Card is a US -based telecommunications service provided by 4T&T Corp. Worldwide access is, provided on a bilateral basis in cooperation with AT&T's correspondent carriers in non -US jur.isdictions, and in accordance with the Regulations of the International Telecommunications Union, as applicable. FEE DESCRIPTIONS The Administ rat I've Expense Fee recovers a portion of AT&T!s internal costs associated with the Federal Communications Commission's Universal Service Fund and related programs. The Federal Regulatory Fee recovers amounts paid to the federal government for regulatory costs and telecommunications services for the hearing impaired.. and Costs associated with local number portability adm-inist ration. These fees are not taxes or charges that the government requires AT&T to collect from its customers. (B419) Bill Period is the monthly period that the customer's bill processing began and ended. Your monthly bill will include some charges that are billed in advance and others that are billed in arrears. Local Line charges, Local Monthly Recurring Charges (MRCs)y and usage charges are billed in arrears, Toll Free MRCs are billed one month in advance. .CB415) Attention Customers: If you do not pay your bill by the date it is due, AT&T may assess a late payment charge. The rate shall be 1.5% per month (18% annually) unless an applicable law or regulation specifies a lower rate to be chargedt and then that lower rate shall apply. Altetnativelyt a minimum late payment charge of 45,00 may be assessed if permitted by applicable law or regulation. In Maine, the monthly rate for 2,023 is 0,267%. (B333) .... . ........... S64, text P64.6 for sorelnews- wommmpo ----------- R M01 ............ ...... 050 261 6606 001 JUN 4, 2023 JUN 29: 2023 .............. - ic........... .... . ..... ........ RegulatoPV News ****Important News About. Your Account**** 000002259 Page 4 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 TELEPHO14E NUMBER: 509 764 8402 You are requested to provide in writing to AT&TP within six months of the date of this bill, any dispute with respect to the charges on this bill$ unless a different notification period applies under Your contract, State Tariff and/or Service Guide. You can reach AT&T either by using the toll free number on your bills or in writing at the remittance address listed on your bill.. http:llserviceguide-att-comlserv3*.celibrarylbus:"Lnesslextlstate—tariff—bust.cfm Attention Valued AT&T Customers Federal regulation requires AT&T to inform our valued customers that basic local services will not be disconnected for the non-payment of your non-regulated service charges. To avoid collection activity) please remember to pay all charges by tho due date. In addition., You May experience disconnection of Your basic local service if Payment is not received for the Long Distance portion of your bill except in the following states of; Alabama, Arizona, California Colorado) Hawal-311 Idaho Indiana Iowa Maryland, Michisant Minnesotap Missouriy New Mexico, Now York, Nei ,Jerseyy North Carolina,. North Dakota, Ohio, Oklahomat Pennsylvania, Texas, Utah, Vermont, Virginiat Washington, and the District of Columbia. Attention Customers in Oregon and Washington: Any intrastate -services You subscribe to are provided by AT&T Communications of the Pacific Northwestp Inc. and any interstate international services you subscribe to are provided by AT&T Corp. To view service Publications go tot att.com/servicePublications and click on Service Guides and/or Tariffs. Basic local service and other regulated services will not be disconnected for the non- payment of charges for non-regulated services. Non-regulated charges include Wireless, DSL, Internet Acoessy inside wire maintenance Plan and other fees, surcharges, and taxes. Your account will be considered delinquent if we do not receive Your Payment within 11 days after the payment due date. Attention Valued AT&T Customers: If your invoice includes any back -billed charges, you have the right to pay these charges in full with your regular biI12 Or to call AT&T to make reasonable Payment arrangements. You may choose to pay the back -billed amount in monthly 'Installments equal to the number of back -billed months. Please take note that you must Pay the full amount of Your phone bill each month, including installments to repay back -billed charges, in order to avoid possible disconnection and other charges and penalties. If You are interested in using this Payment method for any back -billed amount Please call AT&T on the toll-free number located on your bill. ... ........ "X, %Ir . ...... ... . .......... ......... ------ z3wa. qt� - ..... ............ K. -F . ... .... ... ..................... "60M ........ .... ... . ....... .1 MOItt:_-_M .-Acc ont Payment Dud A be u"'M i 030 261 6606 001 JUN 4r 2023 JUN 29Y 2023 000002260 Page 5 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 TELEPHONE NUMBER: 509 764 8402 --- -------- ................ 030 261 6606 001 JUN 4t 2023 JUN 29, 2023 .... ....... .............. .. .. . ------ 00000-726i Page 6 NEW HOPE DVSA 511 W 3RD AVE MOSES LAKE WA 98837-1905 Tl:l f:PWrIW;: tittMuco. mnn YzA iftzA" W Bill P#ymient Due a Niftber 030 261 6606 001 JUN 4, 2023 JUN 29, 2023 000002262 Page 7 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 TELEPHONE NUMBER.- 509 764 8402 tf e e...Mi ------ - ---- --- -71 _7 Z.7 Z 7 s :7= :Z. F d r! C mar um _6f.Cha :7. ;.44 - ---- ------ --- 1111 11.11. - 1111 1111 . _-- M 1111 1111 ............ m ......... Z, -17 7_.. E1111 MONTHLY CHARGES Domestic Toll -Free Monthly Fee 015.00 ........... ...... 1111 O2Tc1111. S1111 USAGE CHARGES In -State (includes Local Toll calls) *21.95 State -to -State 2.01111_.8 ......7.,..,711 = i,..Z" - _1111. 1. :" 1111 . 0A- : ' I : -41 �TA .......... - ­--- ,---. ............... .. - ... ............ .... ............ .... T : `- ." LL f0: . .Tw.L...RR......-OC . .... E S ES SURCHARGES Federal Unive,rsal Connectivity Charge 45,74 Administrative Expense Fee 0.29 Property Tax Allotment 1 . 08 Federal Regulatory Fee 1.35 In State Connection Fee 2.99 TAXES State Tax 45.39 Local Tax 1.00 BUS. & OCCUP. TAX 1150 WA PUBLIC UTILITY COMM FEE 0.09 .... nn .......... . ..... .... ... . ... ........ . ........... . .... .. .. 3. Y. C. ... .... ...... ... . ..,1111,..,<,......,,,...._._.«11_11.. .. . ...... . ... .TTA t JE Z- . . .......... 1111....>....._.. 1111 - . ... . ..... 1111 1111 L . M; . !-­ . . . . . . ...-.. MAL. .. ............ ........... ,1111 .............. 1111 -7; 7.7- ....... -1111 TOM .......... S *U�: - ffi­ - i _fy by Su' b � A- � c�'.', t o" u n t t L 6 C, 9' 't, i 6n _Z_ ---- ---- _M U A -'MLAJ4MION _..$VBACC0UNr1L0'dA' N EXP 017 413 4664 001 LONG DISTANCE SERVICE 0 Total Calls 1� Telephone Number. 509 764 8402 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 . .... ..... _ 1111 . . . . ................ .. 1111 _1111...... . ..... ............ .... . .. ;:� ....... . ........... . .... ....... . .... ....... T ... . ............ L ........... ............ ................. Bill: U. fRff e; .... ..... . ............. 030 261 66o6 coi JUN 4., 2023 JUN 299 2023 0000022,63 page El NEW HOPE OVSA 511 W 3RD AVE MOSES LAKE WA 98837 -19 —.7 --- . ............ VF&TA 0 ............. 4 .- &. 9",-- yi ............... M" 'Su Q 24, .......... ................. . ... . ........ ON Hil ..... . .... . .... %t!� :-V =1*. - _ice ............ U w 5iiSE1.4113�1,;iT 161 429 8090 Ill LONG DISTANCE SERVICE NEW HOPE DVSA 71 Total Calls 311 W 3RD AVE 5:20:00 Total Hr/Min/Sec MOSES LAKE WA 988371905 Monthly Charges Domestic Toll -Free Monthly Fee tlS, n Usage Charges - In -State (includes Local Toll calls) 21.93 State -to -State Usage e s 2.Oa .qjh,@jjq L . ...... ? . RG i:*17 ......... SURCHARGES Federal Universal Connectivity Charge *5.74 Administrative Expense Fee 0.29 ProPertv Tax Allotment 1 Aa Federal Regulatory Fee ............... -- -----------------­-- - .5 1 5 fn.......... ..... . ii•T. .............. TAXES State Tax �3.18 Local Tax 0.94 BUS. & OCCUP, TAX 1,32 WA PUBLIC UTILITY COMM FEE 0.08 ............. . . ........ ................. . .............. ........ __. 7F. ............ . .... -2 ........... ... . ...... .... . .. ........ . V! t .... . .. . ...... .......... . .......... .. ................ ................. ............ .......... ZT==r.......... 0000022164 Page 9 Pa��ttt Dui -- NEW MOPE VVSA tiber a@^ 311 W 3RD AVE MOSES LAKE WA 98837-1905 030 261 6606 001 JUN 4: 2023 ,JUN 29Y 2023 "SdVi-ccount: 161429 8090 Ill AT& ..�ft"em - ._,. - _ _ ._. wv 17 L+.. .~ 'COQ . ; •, i _ :: ,. LONG DISTANCE SERVICE BILLED NUMBER: 509 765-4346 TOLL-FREE NUMBER: 888 560-6027 STATE -TO -STATE CAL« L 1 5/09/23 ! 8 O 1�1• l TUE I R I f i M✓ T 469 ,! 5 1F M 1 .fi 3 13-000 0• 0 I { it` 2 5:11:31P TH U �''j � f 'jam j""� ''1 OA�r 503 '!yN'rY 235-5333 5 - 3 3 J� 6 '� 00 0.41 ++y�� r5i ` 8/23 `P THU MONTEREY . 4 5/19/23 8:59,0-11-A, FRI MOD TO CA 209 343-9507 2a00 0.14 5/22/23 1-002;53P MON SANANTONIO TX 210 997-9392 4:00 0.28 5/22/23 P 3 0; '}:'�� t N T O N 1T� SAAR N 210997-9392 2:00 0.14 ""F� 7' ''j _�j} Yj�j 5/28/23 5 / 2 / 2 /2:30:51P �%1 R 3� • JF �''"� NEW ■ YORK. 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Box 37 Ephrata WA 98823 Vendor,: OFFICE DEPOT PO BOX 29248 PHOENIX AZ 85038-9248 UOCUMent NUMber Order Number PurchaSe 2 31526677001 Description, Office Supplies Page I /I Invoice 0390541 Date 6/7/2023 ShliPpling Method Subtotal Misc Tax Freight Trade Discount Payment Total Due PaYment Terms ID Amount $18.96 $18,96 $0,00 $0.00 $0.00 $0.00 $0.00 $18,96 REPRINT OF 10000 AW4& ORIGINAL INVOICE THANKS FOR YOUR ORDER IF YOU HAVE ANY QUESTIONS OR PROBLEMS, JUST CALL US P � BUSINESS SOLUTIONSLLC FOR CUSTOMER SERVICE ORDER: (888) 263-3423 FOR ACCOUNT INQUIRIES :(800) 721-6592 INVOICE NUMBER AMOUNT ITE PAGE NUMBER 312526677001 18.96 1 OF 1 INVOICE DATE TERMS PAYMENT DUE Federal 10 # 86-2161688 01 -JUN -23 Net 30 02-JUL-23 Bill To: ATTN: ACCTS PAYABLE GRANT COUNTY NEW HOPE DV & SAS 604 W 3RD AVE STE B MOSES LAKE WA 98837-2076 1114111111111191111 1*11 till 11 11111111 If 11111111 Ship To: GRANT COUNTY NEW HOPE DV & SAS 311 W 3RD AVE MOSES LAKE WA 98837-1905 ACCOUNT NUMBER ACCOUNT MANAGER SHIP TO ID ORDER NUMBER ORDER DATE SHIPPED DATE 73863215 Depot, Office I .. 1-11 311W3RDAVE L .1 312526677001 -- 11-1.1 31 -MAY -23 I — I - 01 -JUN -23 ILLI ID PURCHASEORDER RELEASE ."" - DEMD i3y OtSKTOP . COST CENTER 31818219 ALYCE BARRIENTO CATALOG ITEM # DESCRIPTION I .... ....... UJM OTS QTY OTS UNIT EXTENDED MANUFCODE CUSTOMER ITEM# ..... .......... TM ORD SHIP B10 PRICE PRICE 405271 COPYHOLDER,BOOKLIFT . EA 1 1 0 17.490 17.49 FEL21 100 405271 SUB -TOTAL 1 7A9 TIERED DISCOUNT 0.00 DELIVERY 0.00 MISCELLANEOUS 0.00 SALES TAX 1,47 ALL AMOUNTS ARE BASED ON USD TOTAL 18.96 ,CURRENCY To return supplies, please repack in miginal box and insert our packing test, or copy of this imioice. Please note problem so we, may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first ror instr-u&ions. Shortage or darnage must be reported within 5 days after delivery, — --------- ---- — ----- —.— --------------------------------------------------- — ---- A, nr---j-,0k.C1a nEnt-: A. CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT ENCLOSED GRANT COUNTY NEW HOPE DV & SAS 31818219 312526677001 01 -JUN -23 18,96 FLO 318182193 3125266770017 00000001896 1 6 PLEASE ODP Business Solutions, LL.0 PLEASE RETURN THIS STUB WITH YOUR PAYMENT TO SEND YOUR PO BOX 29248 ENSURE PROMPT CREDIT TO YOUR ACCOUNT. CHECK TO: PHOENIX AZ 85038-9246 PLEASE DO NOT STAPLE OR FOLD. THANK YOU County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor.- OFFICE DEPOT PO BOX 29248 PHOENIX AZ 85038-9248 Document Number Purchase Order Number VendorlD 312805686001 k__..w .,. ry OFDPO Description: 'Office Supplies . . . . . ........ . ..... . . ........ Page 111 Invoice 0390547 Date 6/7/2023 Shipping Method Subtotal Misc Tax Freight Trade Discount Payment Total Due I Payment Terms ID ount, $25,13 ! $25-13 $0.00 $0, OQ $0,00 $0;00 $0.00 $25-13 Date Office Depot office suppilin 91212023 8024 8026 8026 8027 $029 8036 8049 9031, 4032 9325 9498 8061 8038 80,21 807A 7611 8034 > V Vo CL 0 at;u $ 21 1�- > -4 41 T -L&I 0.721 f 0.2 4 14 090 1 0. > AP] -7— - - 1A s 18-96 ---- -- .,.,• w, 441"�j Ili IUD mg4til YULA 1 011 U;* 11101 IUI z:rnorEage or aamage Must be reported viithM5 days after delivery. ------------------------ ------------- — - ----------- — ------- -------- -------------- ------ ------- A. CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT ENCLOSED GRANT COUNTY NEW HOPE DV & SAS 31818219 312805686001 01 -JUN -23 25,13 13 FLO 318182193 31260S6860014 00000002513 1 7 PLEASE ODP Business solutions, LLC PLEASE RETURN THIS STUB WITH YOUR PAYMENT TO SEND YOUR PO BOX 29248 ENSURE PROMPT CREDIT TO YOUR ACCOUNT, CHECK TO; PHOENIX AZ 85038-9248 PLEASE DO NOT STAPLE OR FOLD. THANK YOU REPRINT OF 10000 ORIGINAL INVOICE THANKS FOR YOUR ORDER IF YOU HAVE ANY QUESTIONS 11?T OR PROBLEMS, JUST CALL US RUSIN ESS I 0114SLLC FOR CUSTOMER SERVICE ORDER,- (888) 263-3423 FOR ACCOUNT INQUIRIES :(800)721-6592 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 312805686001 25.13. 1 OF E1 Federal 10 # 86-2161688 INVOICE DATE TERMS rm MT nj jr: PAYMENT DUE 01 -JUN -23 Nit 33 02-JUL 23 B111 To: ATTN: ACCTS PAYABLE GRANT COUNTY NEW HOPE DV & SAS Ship To: GRANT COUNTY NEW HOPE DV & SAS 604 W 3RD AVE STE B 311 W 3RD AVE MOSES LAKE WA 98837-2076 III II Itill it I Lid I 1111111 11 MOSES LAKE WA 98837-1905 ---- -- .,.,• w, 441"�j Ili IUD mg4til YULA 1 011 U;* 11101 IUI z:rnorEage or aamage Must be reported viithM5 days after delivery. ------------------------ ------------- — - ----------- — ------- -------- -------------- ------ ------- A. CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT ENCLOSED GRANT COUNTY NEW HOPE DV & SAS 31818219 312805686001 01 -JUN -23 25,13 13 FLO 318182193 31260S6860014 00000002513 1 7 PLEASE ODP Business solutions, LLC PLEASE RETURN THIS STUB WITH YOUR PAYMENT TO SEND YOUR PO BOX 29248 ENSURE PROMPT CREDIT TO YOUR ACCOUNT, CHECK TO; PHOENIX AZ 85038-9248 PLEASE DO NOT STAPLE OR FOLD. THANK YOU Date 612[202,1 Office Depot s 2513 Office suppfies t 0024 6026 $026 8027 8029 SM $049 8031 $032 8031 9325 9328 Soo -808- --9021 8074 7811 $034 I? 0- 0LJ 0- CL IN- > 1 0.20 2.581 S, 2.1 JA-1-0-05--.�----Qtml 0 I. >?a 4. -14 0 Orders Order By Item Shopping Lists Proprietary Items Subscriptions Shipment Summary 3 Shipments Shipment I Order Number: 312526677-001 Estimated Arrival BY: 0610112023 View Order Details Shipment 7. Order Number-, 31280%75-GO1 Estimated AxrIval By: 06101/2023 View Order Details Shipment I Ordor Number: 31205686-001 Estimated Arrival By: 06/0512023 View Order Details Order Information Account #: 73863215 Contact: ALYCE Your Order Number is: 312526677 BARRIENTOZ Company Name: GRANT COUNTY NEW Contact: HOPE Contact. Phone: (509)764 - DV & SAS 8402Ext.3797 Shipping Information 311W3RDAVE GRANT COUNTY NEW HOPE QV & SAS 311 W 3RD AVE MOSES LAKE, WA 98837-1905 USA (Taxable) Payment Information Account Billing Order Summary Shipment I Order bate: 05131/2023 Delivery Date. 0610112023 08:30 AM - 05:00 PM Order Number: 312526677001 Description Your Pricolunit AvailableAvailable810 Total Comments Fellowes@ Sooklift CQlayholider, Platinum $17.49 1 1 0 $17.49 Entered item 4 405271 I each Subtotal, $17.49 Delivery Foe: FREE Taxes; $1.47 Shipment 2 OrderDate. 0513112023 Total: Delivery Date: 0610112023 08:30 AM - 05:00 PM Order Number: 3128056I5-001 Description YourCit Available B/O Total Comments Price/unit Brother (9 TZe-241 Label Maker Tape, 314" x 26 3116', White $ 14.20 2 2 0 $28A0 Entered Item ftri 239384 each 46est'Alue Angel Soft' by GP PRO Professional SeriesO Premium 2-P1y Embussed Toilet Pap4r, $40.64 2 2 0 $812a As Per Roll, 40 Rolls Per Pack 450 Sheets carton Entered Item # 251368 Best Value Recycb, -,I content Pacific Blue SelectT14 by GP PRO Premium Multi -Fold 2� Ply Paper Towels, 125 Sheets $38.63 4 4 .0 $154. 1 52 . Per Roll, Pack Of 16 Rolls I carton Entered Item # 592768 P4 Be."t Value Highmark'"' Heavy Duty Extra -Large Drum Liners, 55 Gallon, Box Of 20 Bags $5.11/ 2 2 0 $10.22 Entered Item 9 140664 box 4 1-3 l u k", Office Depots Brand Business Mufti -Use Print & Copy Paper, Letter Size (a 112, x 11,,), $39.89 2 2 0 $79,78 92 (U,S.) Brightness, 20 Lb, White-, 600 Sheets Per Ream, Case Of 10 Reams I carton Entered Item 4 6028288 Subtotal: $354,20 Delivery Fee: FREE Taxes: $29.76 Total: $383.96 Shipment 3 Order Date., 05131/2023, Delivery Date: 06/0512023 08:30 AM 06:00 PM Order Number: 312805686-001 Description Your at Price/unit- Available B/O Total Comment . ,.. HighmarkTm Tall 0.9 mil Drawstring Kitchen Trash Bags, 13 Gallon, 27.375" x 24", White, $11.59 2 2 0 $23.18 Box Of 120 I box Entered Item # 978359 �r> 3 Day Deiivery } P Best Value Subtotal., $23.18 Deliverer Fee: FREE Taxes: $1.95 Total: $25.13 •k , -v «. ,,,�•�.t.y.`, T ��yy�..+^s�'�.d y� k5.: �'t,�,"s:.> •;4;`qc: �• "� �y n. ',�` a� v �. ; �:k+a, ,�,, �} "<X"' k'�. `.S cw •,"°, .•y? ";,' , t: 'k' •,r SA . :t+'S d''i4 }�» ,.: ,I�x'!s3,l.^:.,�.\� . r+.. �t.}.+ .`5r..�z•`14x.. '� `t .,"+t^C ` 'y'Xi .,�.t.. i.. 1. .,"y ,i Yn �. :. .'. a.•+. v w.', r +..;, a' •,i j••,. 4.. { }.. "'S��;t � , < .,a �'1:: e� .•S .;,. � ti �1 Y�.wC.., w•Y"�� S .��i� J.a � , •"' la r. �i,».:.]iwm �?.S�';d�.. V �,} a � S.S «t�;i .. . : t.,. .. "Y_..�. .. .. k Invoice Page I / 1 Invoice 0390535 s Date.' 61712023 County of Grant 35 C ST NW Ephrata WA 98823 Vendor,, OFFICE DEPOT PO BOX 29248 PHOENIX A2 85038-9248 Document Number Purchase Order Number �dor ID Shipp----- - -- -- ng Method Payment Terms ID..___ 312805675001. F P Office Supplies a e �i i.fa $3 961 1 Subtotal $383.96 Mise $0.00 Tax $0,00 Freight '$0"00 Trade Discount $0.00 Payment $0.00 Total Due $38196 REPRINT OF 10000 THANKS FOR YOUR ORDER • ORIGINAL INVOICE IF YOU HAVE ANY QUESTIONS OR PROBLEMS, JUST CALL US VC) BUS)'NES S PSO I U T 10 N S, LLC FOR CUSTOMER SERVICE ORDER: (888) 263-3423 FOR ACCOUNT INQUIRIES (800) 721-6592 Federal ID # 86-2161688 ACCOUNT MANAGER SHIP TO ID NUMBER AMOUNT DUE PAGE NUMBER EINVOICE 312805675001 383.96' 1 OF INVOICE DATE TERMS PAYMENT DUE 01 -JUN -23 Net 30 02-JUL-23 Bill To: ATTN: ACCTS PAYABLE GRANT COUNTY NEW HOPE DV & SAS 604 W 3RD AVE STE B MOSES LAKE WA 98837-2076 Ship To. GRANT COUNTY NEW HOPE DV & SAS 311 W 3RD AVE MOSES LAKE WA 98837-1905 ACCOUNT NUI ACCOUNT MANAGER SHIP TO ID ORDER NUMSt'R--'- ORDER DATE SHIPPED DATE 73863215 Depot, Office 31 1W3RDAVE 1 312805675001 31 -MAY -23 01 -JUN -23 BILLING ID -- - -- -- ---- L -11 -------- 1- .... -- 1-11's -- ------------ -- PURCHASE ORDER RELEASE ORDERED BY DESKTOP ...... ---- - ---- COST CENTER 31818219 ALYCE BARRIENTO CATALOG ITEM # f E$CPJPTION I Ulm QN QTYQTY UNIT EnMtD MANUF CODE CUSTOMER ITEM # TAX I ORD SHIP _[ 810 PRICE PRICE 239384 TAPE, LETTERI N G,PT340/PT5 EA 2 2 0 14.200 28.40 TZE-241 239384 y 251368 TISSUEBATHANGLSFT,.450 CT 2 2 0 40.640 81,28 16840 251368 y 592768 TOWELS,MULTIFOLD,2-PLY.P CT 4 4 0 38.630 154.52 21000 592768 Y 140664 BAGS,TRASH,OD,55GAL,20CT BX 2 2 0 5,110 10.22 DP00664 140664 y 6028288 PAPER,01) COPY,20LB, 11, 10 CT 2 2 0 39.890 79.78 ODBCP92-CTN 6028288 Y SUB -TOTAL 354.20 TIERED DISCOUNT 0.00 DELIVERY 0,00 MISCELLANEOUS 0.00 SALES TAX 29.16 ALL AMOUNTS ARE BASED ON USD TOTAL 383.96 CURRENCY ' 4 t" 1, , ",' v MAI &�Avffu f41-Z?W4;. V LAI Fawto IV II' -%L' VI t'upy vi usmt If I yumt:' rltld5V I lUtUpf-UUMMISQ We nay15SUe Crean or repacemani, wnioneveryou prerer. Htease d4 not ship collect. Please do not return Zmiture o ' r machinves until you call its first for instructionq. 8hortage or damage must be reported within 5 days after delivery, ------ --------- ---------------------------------------------------------------------- -- ---------- — ------------------------ — --- — ------- — -- — ---------- — ------------------- -------------------- A6. CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT ENCLOSED GRANT COUNTY NEW HOPE DV & SAS 31818219 312805675001 01 -JUN -23 383.96 FLO 318182193 3128056750017 00000038396 1 9 PLEASE ODP Business Solutions, LLC PLEASE RETURN THIS STUB WITH YOUR PAYMENT TO SEND YOUR PO BOX 29248 ENSURE PROMPT CREDIT TO YOUR ACCOUNT. CHECK TO: PHOENIX AZ 85038-9248 PLEASE DO NOT STAPLE OR FOLD. THANK YOU Page 111 Invoice 0389W Date 5/30/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, LINDSAY WATER POOL Ft SPA P 0 BOX 189 EPHRATA WA 98823- - - - - -------- ------ - - ------------- ------------ - -- if Document Number rchase Order Numtx r VendorlD Ship i ping Method Payment Terms ID PU 131367 LNDSY i Descdpdon: Amount Office Suppty $86.72 Subtotal $86,72. Misc $0.00 Tax $0,00 Freight. $0.00 Trade Discount $0.00 Payment $0,00 Total Due $86,72 M-1 —f4tot— -el sot S ao o!jl Mon w > CL < > 0 -lddn WERE iod > > 0 > ;10 rw, tr la 0 'OF EZOMIS alga ML not Mo 9cos 1"V SM K09 Mg Me 6voo 9c" Me ozol 9zoo Irzov CULLIGAN/LINDSAY 1229 Basin ST SW, PO BOX 189 EPHRATA, WA 98823 (509) 754-4200 A DD-RS$,SEE-- NEW HOPE 311 WR D AVE MOSES LAKE, WA 98837-1905 IF PAYING BY CREDIT CARD, PLEASE CHECK CORRECT CARD AND FILL OUT BELOW ............. W, salmon=IN AUTOMATIC SILL PAYMENT L ' PLEASE CHECK BOX TO ENROLL u CARD NUMBER - -------- C FDKE-----� SIGNATURE EXP.DATE DATE PAY TMI AMOUNT T NUMBER 05118/2023 1 $86.72 1 246488 ­­.................................... .� 4T FEI� & INVOICE NUMBER: 131367 -- - ------ - �REMIT PAYMENT --- --- CULLIGAN/LINDSAY PO BOX 189 1229 BASIN ST SW EPHRATA, WA 98823-0189 I I III 111111, 1 Id' 1111111111111111111 [Jill INVOICE RETURN THIS TOP PORTION WITH YOUR PAYMENT A LATE PAYMENT FINANCE CHARGE OF 1. MAY BE APPLIED 011\1 BALANCES AFTER 30 C U LL I GAN / L 1 N DSAY 1229 Ea sir 3-11" Swr pC) BOX j89 EPHR-ATA,r i'11A 9-8823 VE u PER MONTH DELIVER TO: DAYS I t'IFIW HOPE 311 W 3RD AVE 0 LAIKE WA 9,3833-1 ORIGINAL INVOICE RETAIN BOTTOM PORTION FOR YOUR RECORDS $86.7 315390 9328 1021 511 8026 8027 0029 8036 8049 8031 0032 8031 8067 8074 7-611 Lo rz :c jal In * voice Page 1 /1 Invoice 0390569 Date 6/7/2023 County of Grant 35 C ST NW P.O. box 37 Ephrata WA 98823 Vendor: DeVries Business Records Management, Inc, 601 E Pacific Spokane WA 99202 Document Number Purchase Order Number VendorlD --- Shippl�ng Method Payment Terms ID 66129 DVBRM Description: ............. Rff3 ...... . ..... .......... . ........ ............ ............... . Document Shredding A m o—u —nt',,, $6,90' .. . . ......... Subtotal $6.90 Misc Tax $0.00 $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $6.90 DT DEVIINIES BUS JS INESS SERVICE 601 E. PACIFIC SPOKANE, WA 99202 (509) 838-1044 866-413-4691 Nrwiv.devriesincxom Invoice DeVries Business Services 601 E. PACIFIC SPOKANE, WA 99202 (509) 838-1044 (866)433-4691 khoppeKOdevriesinc,com GRANT COUNTY NEW HOPE Date: 05/31/2023 Attn: ALYCE BARPJENTOZ Invoice #: 0166129 311 W. 3RD Customer #: GCNEWH4PE1 MOSES LAKE, WA 98837 Terms: Net 10 Total Amount Due: Total Enclosed NOTE: DeVries also offers professional and trustworthy service in Document Destruction, Business Records Storage, Courier Services, and Commercial Office Moves! SERVICE DESORIPTION RATE QUANTITY TAX FEE No Invoice Category On -Site Record Destruction -Console $ 6,9000 1,00 N $6.9000 Remit To: SUB -TOTAL $6.90 601 E. Pacific Spokane, WA 99202 TAX $0.00 DICE TOTAL $6.90 Invoce Rev,20230323 page. D626G805,11 03-A4 7--7itU County of Grant 35 C ST MW P.O. Box 37 Ephrata WA 98823 Vendor: GRANT CO HUMAN RES I Document Number Purchase Order Number VendorlD -b570ff.3 (j� -NEWH-OPE ------- GCHRS Description-, HR Service Fee May 2023 Invoice Page 1 /1 Invoice 0390565 Date 6/7/2023 Shipping Method Payment Terms ID .. ... ....................... NET 30 Amount $13354.67 Subtotal Misc, Tax Freight Trade Discount Payment Total Due $1)354.67 $0.00 $0.00 $0.00 $0.00 $0.00 $1)354.67 j� g�" �; � � � .�+ ..�y i N, � ;,F i`1 A A A,) L! 1 Invoice for Human Resources Services, In advance of summer grant deadlines, Human Resources is I asked to use headcount reports to set a cost-sharing amount fo�l each non -general fund budgets utilizing HR services. Department New Hope Invoice Date 05/01/23 Contact Alyce Bat"iletltt3z Invoice Amount: $ L3 54.6'% This invoice will be used for departments to generate vouchers for revenue payment to Human Resources. Processing: questions should be directed to the Auditor's Office - Accounting Department. Kirk Eslinger HR Director GC Human Resourcas S iA,54A7 tiR Servica Fee 5 1,354 67 1 354 67 w *.Fw wirwe DO IW72 ;I vc ;all all aC of 58 70 2*736 306 31 S 15.05 9 02 S 10 64, 5-1 s 61 if 31 s-- 6-6d -s I —'E3 97 . $ —$ A 71 83 SX i3i 70 1 354 67 Page 111 Invoice 0381085 Date 6118/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, Document Number Purchase Order Number Vendorfl) Shipping Mothod Payment Terms ID /1/23-12/31/23 -- ---- -------- KORNE 30 D�.� escription: ...... Lease Agreement Amount $1,800,00 ... . . ... . .. . ..... ....... . ... Subtotal $1,800.00 Mist $0.00 Tax $0,00 Freight $0.00 Trade Discount $0.00 Payment Total Due $1)800M LEASE AGREETvfENT (RESIDENTIAL PREMISES) The undersigned, GRANT COLTNTY, duly organized and operating under and by virtue of the Constitution and the laws of the State of Washington, by and throu9 'h New Hope, (""Tenant"), has on this day of February 2022, executed this Lease Agreement and leased from Eric ("Landlord''}, the premises situated at — -------- -- ("Premises"), beginning March Ist, 2022 and ending February 28th, 2024* The monthly lease payment ("rent") for the Premises. � Thi ch vh"ch Tenant agrees to pay, is ONE THOUSAND EIGHT HUNDRED DOLLARS ($1,800.00), payable on or before the fifth (511) of each month. If any rent is not paid on or before the due date thereof, a late charge of 10% of 'the gross rent schedule,, or $50.00, whichever is greater, will be assessed on the tenth (I O'h) day of the month for which the rent is. due. Rent shall be payable to the Landlord at the following address: Eric 2o. UTILITIES In addition to the rent, Tenant shall pay all utilities applicable to and/or related to the Premises as they become due, such utilities defined as electricity, gas, water/sewer,garbage, cable and telephone. 3. SECURITY DEPOSIT Tenant has previously tendered under a prior agreement the sum of SEVEN HUNDRED AND FIFTY DOLLARS AND N01 CENTS ($750.00), as a Security Deposit for theperformance of Tenant's obligations hereunder, and Landlord here -by acknowledges receipt of the same. Tenant agrees that such sums shalt be (or have been) deposited by the Landlord, or Landlord's Agent, in a depository as the Landlord or its successor(s) may identify to the Tenant. Tenant hereby agrees, acknowledges and understands that all or a portion of the Security Deposit maybe retained by the Landlord upon termination of the tenancy and/or that a refund or any portion of the Security Deposit. to the Tenant is conditioned as follows: (1) Tenant shall have complied with all of the conditions of this Lease Agreement. (2) Tenant shall clean and restore Premises to its condition at the commencement of this tenancy as evidenced by the Residential Move-in/Move Out Condition Residential (ease Agreement - Page t of 7 Page I /I ffivoice 0389649 Date 5/30/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, THE UPS STORE #2469 601 5 PIONEER WAY STE F MOSES LAKE WA 98837- . . . Document Number ........................ ...... ..... . .. . -- ...... . ...... ....... . . ........ NEWHOPE Purchase Order Number Vendor ID Shipping Method Payment Terms ID i 65 .......... --------- . ..... ...... . ........ J_U PSML Description: . . ......... . . . .............. Rack Cards Amount $537.66 Subtotal $537.66 Misc $0,00 Tax $0-00 Freight S0,00 Trade Discount $0.00 Payment $0,00 Total Due $537.66 The UPS Store 601 S Pioneer Way, Ste F Moses Lake, WA 98837 509-766-1419 Invoice: New Hope - 65 — ------------- ------- - -------- ---------- - -------- ------ Company: - — - - - - ------- -------------- Business Street Address. City: Moses Lake State:. WA 41D Code.,, 98837 4& A V Authorized Kepresentative: Elsa Borreqo Contact Phone Email Addreis, Job/Project Information: Qt 41 ti JoblProectjDescrip ion Amount Each Amount 1000 S anish Rack Cards $248.00 $248.00 1000, English Rack Cards $248.00 $248.00 Subtotal $496.00 WA sales tax $41.66 Amount Due $537.66 Thank you for your business hl System., 6/8/2023 1.,49.14 PM User Date: 6/8/2023 Batch ID: NHEMER0608-AKB Batch Comment.- Trx Total Actual: I Batch Total Actual: $1,425.00 Batch Error Messages, - User posting access denied County of Grant Page, 1 PAYABLES TRANSACTION EDIT LIST User ID: abarrientoz Payables Management Batch Frequency: Single Use Trx Total Control: 1 Batch Total Control: $1 t425.00 Audit Trail Code: VendorlD Document - Number DocumentDate voucher mbar endor Name SMMTP 06082023 -TD SMITH MARTIN PARKVIEW Description Client EFA Payment Information Checkbook/Card Check Distribution Messages: Work Messages-, General Ledger Distributions 6/8/2023 0390639 Payment Number Document Posting Date: 6/8/2023 Purchases Document Total Terms Disc Avail $1 t425.00 $1 1425,00 Date Amount 0/010000 $0.00 Account Account Description Account Type Debit Amount Credit Amount 18.1 70.00.�'81 1.500480 NEW HOPE.,HOTEL LEASING PURCH 1,425.00 0.00 692.001-00-0000.211000000 WARRANTS PAYABLE PAY 0.00 1,425.00 1,425.00 1,425L00 Purchases Amount Terms Disc Avail Document Total $1 t425.00 $0.00 $1,425�00 ----­---- -- State of Washington -County of Grant 1, the undersigned, do hereby certify under penalty of pe Q'ury 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 I I 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 qday of ... ...... . 20 A - (Signed) ----For Department Approved and Authorized By ........ 0 woo Commissioner 01" Commissioner Commissioner 0,000 m OA00A Date Allowed -------- Date 5.24.23 UP -stack Cards _s 637.66 .^ f of suppfts 4: __53t.66_ :t 53,7186 ouzv 80494031 $032 ti3 9325.. 832 X087 a09D 621 8074 7611 8tE34 0 u ua � say 3 t.. � .66 A--4* ZJ -=S.' -(-- 21-L3. .9.1 _ 45,7. . __'�5..�_ ..'.t`.' :t 53,7186 Invoke Page 111 Invoke -0390568 Date 6/7/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor,-, BLACKHAWK NETWORK INC DBA: SVM, LP 6220 STONERIDGE MALL RD PLEASANTON CA 94588 Document Number Purchase Order Number Vendor[D Shipping Method Payment Terms ID 337652714 5vM Description: . ....... Ctient Fuet Amount $6,521.25 o . ..... ---- Subtotal $6)521.25 Afisc $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment Total Due $6,521.25 Order Details ORDER/INVOICE NUMBER 337652714 PRODUCT)D 95012991 Card Order Details - Number of Shipping Addresses: 5 Number of Cards., Igo Total Card Value: $6,500.00 Invoice Detail PRODUCT NAME Grant COUMY - Closed Loop Physical USD ORDERED BY ALYCE BARRIENTOZ Shipping Information 0 AMOUNT $6,521.25 ORDER/INVOICE DATE 06101/2023 *,#.h VALUE MERCHANT QUANTITY Exxon Mob i1SVM Physical Q --� Grant county MOSES LAKE, WA 98837 '�1'-f5uo ConocoPhysical b�w MOSES LAKE., WA 98837 MOSES LAKE, WA!D8837 �1'750�00 $25.00 311 W THIRD AVE11',JUE ConocoPhysicai (t) 30 $750.00 $25.00 311 W THIRD AVENUE: CircleKSVMPhys)ca1 45 $25.00 $25,00 ----------- ChevronTexacoPhysical 45 $1,125.00 ALYCE SARRIENTOZ Shipping Information 0 AMOUNT $6,521.25 ORDER/INVOICE DATE 06101/2023 *,#.h VALUE ADDRESS TOTAL S CC 311 W THIRD AVENUE Grant county MOSES LAKE, WA 98837 '�1'-f5uo 85uo 311 W THIRD AVENUE MOSES LAKE., WA 98837 MOSES LAKE, WA!D8837 �1'750�00 $25.00 311 W THIRD AVE11',JUE U PS GROUND., $21,2.5 Payment MOSES LAKE, WA 9881-57 $750.00 $25.00 311 W THIRD AVENUE: Payment Method MOSES LAKE, WA 98837 $25.00 $25,00 311 W THIRD AVENUE Billing Details MOSES LAKE, WA 98837 $1,125.00 SHIPPING ADDRESS ALYCE BARRIFNTOZ Grant county 3T I W THIRD AVENUE MOSES LAKE., WA 98837 DOMESTIC SHIPPING U PS GROUND., $21,2.5 Payment Information Payment Method Business Check Billing Details A - ALYCE SARRIENTOZ Grant County 311 W THIRD AVENUE: MOSES I-AKE, WA 98837 Total Value- X6,500.00 Total Fees, 0,00 Total Shipping- $21,25 ORDER/INVOICE TOTAL, $6,521.25 When remitting payment, please include the followirng: LAID #'. 36875 Order Numb-er 337652714 PAYMENT MAY NOT BE APPLIED IF PAID AND ORDER/INVOICE NUMBER ARE MISSING FROM REMITTANCE Please Remit to: If Overnighted: Electronic Funds Transfer, Blackhawk Network, Inc, Blackhawk Network, Inc, Slackhawk Network, Inc dba Blackhawk Engagement Solutions dba Blackhawk Engagement solutions dba Blackhawk Engagement Solution--, 1/2 Page 1 /1 Invoice 0390310 Date 6/6/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, Document Number----- Purchase Order Number VendorlD I Shipping Method, ymt Trms ID 1.66" SER Paene.,,., ,...... I.I.- ....... .......... 1 Client EFA Amount $2�700.001' Subtotal $2t700,00 Misc $0,00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $1700 Total Due (!!.00 EMERGENCY FINANCIAL ASSISTANCE REQUEST FORM Staff: " t Date Submitted., w i Amount requested y. i't: V DSA. D CVSC YHDP I Children, Client I: C6H Client's Home City:( yjl r i the n Financial s- (EFA) r acre for'?,, What A S'istangy EMERGENCY FINANCIAL ASSISTANCE REQUEST FORM Type of client,, NDV EISA DCVSC 0 YHDP Client IDN Guq--�> a Background check for housing * Children's needs Debt assistance Driver's license Education training Bus fare to return home Cell phone to seek work housing Family well being • Mortgage • Service DVPO Utilities bills Security Assist Rental Assist Car payments Food/Necessities Istaff--�—�.r�,.., Date Submitted: Amount requested $ # of Children: Client's Home City: - N Updated: 2/11/2020 ' GRANT COUNTY or Twd j New Hope/Kids HopeDi as tape An rX,i *r^�i-r res ��tf. e•P,-.t•2*! PROMISE PAY Datet)1221 w.�5.... Claimant: Post Office Address:--_., _ Day j Purpose 1A Dollar mb wo ► Total Amount $ • C' All bills must be itemized in detail on this blank or itemized list attached herewith. When submitting claims for rent be sure to specify dates claim is intended to cover, For Submission for Payment - IS D: Return Voucher To: Grant County New Hope/Kids Hope ew Hope/ i ope AdVoc e 311 W Third Avenue Moses Lake, WA 98837 l hereby Certify on Honor, that the goods, merchandise, material or service charged for in the above bill have been fiirnished as herein charged. F3.lt.TE: arn,L lin/ Prkted Claimant Name Signature CANNOT BE USED FOR ALCOHOL,TOBACCO,Check one: ❑ Mail a mentto above address PRE -PAID OR GIFT CARDS. Claimant will pick u-2 Paymentat New Hobe Voucliet's received by 1.2:00 pm Wednesday will have payment available the fallowing Thursday, WON, -Mm"Of0ft EMERGENCY FINANCIAL ASSISTANCE FORM SIGNED? YES NO[] FUNDING: $1192 Deposit - HB1277 $736, Prorated rent - Arp-Fvpsa pugo I/1 Invoice 0391058 Date 6/15/2023 County of Grant '35 C ST NW P.O. Box 37 Ephrata WA 98823 ' ber Vendor ID Shipping Method 10531'2023 -RS Payment Terms ID Ctien t EFA Amount ` -----------'-- Subtotal, Misc Tax Freight Trade Discount . P=y"="^ Totat Due $3P040,QV Type of client: xDV SA OCVSC YHOP Client ID: GEP31118/677570 Staff: Rusila Sanchez Date Submitted: 05131/2023 Amount requested $ 3, 0�I0_ #of Children.- 3 Client's Home City,, - ss s an (EFA)'�reaues ....'What isAh e mE ''..erg encFinandial "A''"'' I, t . y ce for Explaln.­Client needs assistance with paying * Background check for housing # Mortgage - and is not able to work. He is struggling financially to * Children's needs * Service DVPO keep family stable. The client is working with other community * Debt assistance * Utilities bills agencies to meet his basic needs. Helping this client th rent would # Divotriver's license * Security Assist lift some of the stress �r has and give time to find other avenues to Bus fare to return home * ion training # Rental Assist help pay for future expenses. # ' # Cell phone to seek work/housing # Car payments # Family well being 0 Food/Necessities rk A Housing Authority 0 Salvation Army Explain,, a Serve MUQuincy 4 DSHS CPS Family contribution Friend contribution 111 Supervisor Signature: (I Date ; � � 1PROGRAW ODSHS ODVPA OSA OCVSC OYHDP METHOD OF PAYMENT: OCheck OPetty Cash ODebitCard Include back up documentation: Receipt Copy of check W9, if applicable Approved 0 6,e'nied --n OCredit Card Updated.* 2/11/2020 GRANT COUNTY i ope/ le%Hope NewH Kds HoFQ PROMISE TO PAY Date 671net3 20 Claimant, Post OfficeAddres; . . ... . ..... All bills must beftemized in detail on this blank or itemized list attached herewith, pedry When submitting Claims for rere ret be sure to s " A utas claim is intended to cover. IS j E.D. For Submission for It Payment Return Voucher To. Grant County ew ids Hope Advocate New Hope/kids Hope 311 Wird Avenue Moses Lake, WA 98837 I here4y Certif y on, tionor, that the goods, merchandise, material or service charged for in the above bill have been furnished ai herein charged. 6-13 6-13 Printed Claimant Signature CANNOT BE USED FOR ALCOHOL Check one: Q �Lafl,.PAYM�et�ntto above address TOBACCO., PRE I PAID OR GIFT CARDS. galmant will plck: ent at New Y2pe Voucheirs received by 12.-00 om Thursday lon'll hav-e payment avalfl,;'ible the. following Thursday.411 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 9-8823 Vendor-, I MOSES LAKE WA 98837 Page 1/1 Invoice 0390559 Date 6/7/2023 Invoice Document Number Purchase--Or-der Number — -------------------- Vendor ID IhIpping Miethwd r -1 Payment Terms ID Shippi ,87255004o : NET 30' Emergency shetter A - mount, $131.881 Subtotal $131.88 Misc $0.00 Tax $0.00 Freight $0,00 Trade Miscount;: Payment 0 'j Total Due (131.88 � 131,8$ i 31.Yg 44x.58 4b1.58 . "Ci m� Quality I N N BY CH04CE HOTELS NEW HOPE HOPE, NEW 604 W 3RD AVE STE B MOSES LAKE, WA 98837 Post Date Description 6/1/23 Room Charge 6/1/23 State Tax 612/23 Room Gbar 6/2/23 State Tax 613/23 Direct Bill Room Charge State Tax Direct Bill Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8886 GM.�NA255@cho'tcehotels.com Comment -10PE, NEW —OPE, NEW Folio Summary W1123,- 613/23 With this rate you are able to earn valuable Choice Privileges points! Account: 872550040 Date: 6/5/23 Room: 311 LMGR Arrival Date, 6/1/23 Departure Date: 613/23 Check In Time, 611/23 8:19 PM Check Out Tune.t 613/23 12:15 PM Rewards Program ID* You were checked out by: carred You were checked in by: imacke Total Balance Due: 0.00 Amount 60.00 5.94 60.00 5.94 (131.88) 120.00 11.88 (131.88) Balance Due- 0.00 (131,88) will be billed to, Account 2277219 NEW HOPE, 604 West Third, Suite B , Moses Lake, WA 98837 X O'CHOICE privileges. AMWA*01 You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk,'or logging on to www.chol*cehotels.com/choice-priv*lleges. County of Grant 35 C STNW P.O. Box 37 Ephrata WA 98823 Vendor: MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 Document Number Purchase Order Ntimber' �7-1-4-47507------- Emergency Shelter page 111 Invoice 0389646 Date 5/30/2023 .... ............ . ... . ..... VendorlD Shipping Method Payment Terms ID QUALI NET 30 Amount $131-88 . .. .... .... . ...... Subtotal -- ----- - $131-88 Misc $0.00 Tax $0.00 Freift $0.00 Trade Discount $0,00 Payment Total Due $131. 88 Shelter/Hotel: Date In: Program: DV Hotel 6/1/2023 Client (First Initial & Last Name): Client Shelter Form Hotel Name Room in Shelter: Quality Inn Date Out: 6/3/2023 Review Shelter Guidelines: Yes Invoice Turned In: Year of Birth: 1989 Client ID, ML23076 Case ID: 698772 NCA Trak: Secondary #1' Gender: Secondary #2 YOB: Gender, Secondary #3 YOB: Gender: Secondary #4 YOB.- Gender: Secondary #5 YOB: Gender: Secondary #6 YOB: Gender: Previous Living Situation?: Staying or living w/family Where did client exit to?: Staying or living w/family Payment Grant: Comments: NEW HOPE Quality Inn (WA25,5) HOPE, NEW 449 Melva Lane u a I Ir Y Moses Lake, WA 98837 INN (509) 765-8886 fly CHOICE HOTELS GM-WA255@cho(cehotels.com NEW HOPE HOPE, NEW 3RD ST Moses Lake, WA 98837 Post Date Description Comment 5/25/23 Room Charge HOPE, NEW 5125123 State Tax 5126/23 Room Charge HOPE, NEW 5/26/23 State Tax 5127/23 Direct Bill Room Charge State Tax Direct Bill Account: 871447507 Date: 5/27/23 Room., 215 WCONS Arrival Date: 5125/23 Departure Date,* 5/27/23 Check In Time: 5/25/23 2:59 PM Check Out Time: Rewards Program ID: You were checked out by: You were checked in by: imacke Total Balance Due: 0.00 olio Summar, 5/25123 - 5/27123 With this rate yo are able to earn valuable Choice Privileg7s points! X 41CHOICE privileges, AUWA*01 Amount 60.00 5.94 60.00 5.94 0 31 �88) 120.00 11.88 (131 .88) Balance Due.- 0100 (131.88) will be billed to: Account 2277219 NEW HOPE, 604 West Third, Suite 13, Moses Lake, WA 98837 You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels-com/choice-prl*vl*leges. Shelter/Hotel: -Hotel Date In: 5/25/2023 Program, DV Client (First Initial & Last Name): Year of Birth: 1989 Case ID: 698187 Secondary #1 Y08: 2022 Secondary #2 YOB: Secondary #3 Y08: Secondary #4 YOB; Secondary #5 YOBA Secondary #6 YOB: Previous Living Situation?: Where did client exit to?: Payment Grant: Client Shelter Form Hotel Name/Room in Shelter: Quality Date Out: 5/27/2023 Review Shelter Guidelines: Yes Invoice Turned In: Client ID: ZZ16616 NCA Trak: 2023-321 Gender: Male Gender: Gender: Gender: Gender: Gender: Data not collected Comments. Client was kicked out by family members in Skagit Co. due to DV Incident w/ IP and fled to Grant County Page I/1 Invoice 0389656 Date 5/30/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 or venciw ShiK�xppig Met . n 8 3 8 µ.._..._.. _. ! _ _ _ .� _� � .. ..... hod Payment Toms 'ID Description: ET 30 Emergency Shelter Amountl $461.58 .................. ....... ........... . .... ......... ...... .............. . . ........... ......... ----- - . . . . .............. . Subtotal $461,58, Mise $0.00 Tax $0.00 Freight $0.00 Trade Discount $0,0.0 Payment Total. Due f$4 6 LT5 8 Room Charge State Tax Direct Bill Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8886 GM.WA255@choicehotels.com Account, 870307891 Date: 5130/23 Room: 306 LMCONS Arrival Date, 5/18/23 Departure Date: 5/25/23 Check In Time* 5/18/23 3:37 PM Check Out Time: 5/25/23 10.*36 AM Rewards Program ID: You were checked out by: carred You were checked in by: gprebi Total Balance Due: 0,00 Comment HOPE, NEW HOPE, NEW -10PE, NEW HOPE, NEW HOPE, NEW HOPE, NEW HOPE, NEW Folio Summary 5118/23 - 5/25123 Amount 60.00 5.94 60-00 5,94, 60.00 5.94. 6U0 5.94 60.00 5.94 60.00 5.94 60,00 5.94 (461.58) 420.00 41.58 (461,58), Balance Due: 0.00 Quality - INN 5Y CHOICE 140TELS NEW HOPE HOPE, NEW 604 W 3RD AVE STE B MOSES LAKE, WA 98837 Post Date Description 5/18/23 Room Charge 5/18123 State Tax 5/19123 Room Charge 5/19123 State Tax 5/20/23 Room Charge 5/20123 State Tax 5/21/23 Room Charge 5/21/23 State Tax 5/22/23 Room Charge 5/22/23 State Tax 5/23/23 Room Charge 5/23/23 State Tax 5/24/23 Room Charge 5124/23 State Tax 5/25/23 Direct Bill Room Charge State Tax Direct Bill Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8886 GM.WA255@choicehotels.com Account, 870307891 Date: 5130/23 Room: 306 LMCONS Arrival Date, 5/18/23 Departure Date: 5/25/23 Check In Time* 5/18/23 3:37 PM Check Out Time: 5/25/23 10.*36 AM Rewards Program ID: You were checked out by: carred You were checked in by: gprebi Total Balance Due: 0,00 Comment HOPE, NEW HOPE, NEW -10PE, NEW HOPE, NEW HOPE, NEW HOPE, NEW HOPE, NEW Folio Summary 5118/23 - 5/25123 Amount 60.00 5.94 60-00 5,94, 60.00 5.94. 6U0 5.94 60.00 5.94 60.00 5.94 60,00 5.94 (461.58) 420.00 41.58 (461,58), Balance Due: 0.00 Client Shelter Form Shelter/Hotel: Hotel Hotel Name/Room in Shelter: Quality In Date In: 5/18/2023 Date Out: Program: DV Review Shelter Guidelines: Yes Invoice Turned in: Client (First Initial & Last Name): Year of Birth: 1969 Client JD.: GML12897 Case ID: 697463 NCA Trak: 2023-297 Secondary #1 YOB: 2006 Gender-, Male Secondary #2 YOB: Gender: Secondary #3 YOB: Gender: Secondary #4 Y08: Gender: Secondary #5 YOB* Gender: Secondary #6 Y08- Gender. - Previous Living Situation?: Staying or living w/family Where did client exit to?: Payment Grant: Comments: With this rate you are able to earn valuable Choice Privileges points! CHOICE " privileges, *EWANal You could be earning free night's at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels-com/choice-privileges. County of Grant 35 CT NW P-0, Box 37 Ephrata WA 98823 Vendor: MELVA LANE LLC DBA.* QUAILITY IN 449 MELVA LANE MOSES LAKE WA 98837 Document Number Purchase order Numbe-r- dIU307892 Description: Emergency Shelter Invoice page I /I Invoice 0389655 Date 5/30/2023 VendorlD - - L: Shipping Method� �J— _Payment Terms 1D Ll I NET 30 Amount $461.58 Subtotal Mist Tax Freight Trade Discount Payment Total Due $461.58 $0.00 $0.00 $0.00 $0.00 $14 !61 !�5 8! Quality Inn (WA255) Account: 870307892 Date: 5/30/23 449 Melva Lane Room: 307 WCONS Quality- Moses Lake, WA 98837 Arrival Date: 5/18/23 INN (509) 765-8886 Departure Date: 6/25/23 BY CHOICE H0T5LS GM.WA255@choicehotels.com Check In Time., 5118/23 4:07 PM NEW HOPE Check Out Time: 5/25/23 12:06 PM HOPE, NEW Rewards Program ID: 604 W 3RD AVE STE B You were checked out by: jmacke You were checked in by: gprebi MOSES LAKE, WA 98837 Total Balance Due: 0.00 Post Date Description Comment Amount 5/18/23 Room Charge 'HOPE, NEW 60.00 5/18/23 State Tax 5.94 5/19/23 Room Charge HOPE, NEW 6U0 5/19/23 State Tax 5.94 5/20/23 Room Charge HOPE, NEW 60.00 5/20/23 State Tax 5.94 5/21/23 Room Charge HOPE, NEW 60,,00 5/21123 State Tax 5.94 5/22/23 Room Charge 'HOPE, NEW 60.00 5/22123 State Tax 5.94 5/23/23 Room Charge HOPE, NEW 60.00 5/23/23 State Tax 5.94 5/24/23 Room Charge HOPE, NEW 60.00 5/24/23 State Tax 5.94 5/25/23 Direct Bill (461.58) Folio Summary 5118123 - 5/25/23 Room Charge 420.00 State Tax AU8 Direct Bill -&11.11,001 (461.58) - - --:- , Balance Due: 0.00 With this rate you are able to earn valuable Choice Privileges points! x CHOICE p i fleges. r1V You could be earning free nights at Choice hotelsand other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels.comlehoice-privileges. IL l . INN BY CHOICe HOTELS Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509)x`05-8888 GM,WA255@ohoicehotels.com NEW HOPE HOPE, NEW 604 W 3RD AVE STE B MOSES LAKE, VIA 98837 Post Date Des-cription 5/18/23 Safe w/ltd Warranty 5/18/23 State Tax 5/19/23 Safe w/ltd Warranty 5/19/23 State Tax 5/20/23 Safe whtd Warranty 5/20/23 State Tax State Tax Safe w/ltd Warranty Comment Adjustment Adjustment Account.- 870307892 Date, 5/30123 Room: 307 UACONS Arrivai Date: 5/18/23 Departure Date, 5/25/23 Check In Time: 5/18/23 4:07 PIVI Check Out Time., 5125/23 12,06 PM Rewards Program ID, You were checked out by: jrnacke You were checked in by: gprebi Total Balance Due,* O,00 Folio Summary 6/18/23 - MS/23 With this rate you are able to earn valuable Choice Privileges points'. Amount 1.50 0.15 1.50 0.15 (100) (0.30) Balance Due: 0.00 X CHOICE privileges. OFWAFM - You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www,cho*lcehotels.com/ehoice-privileges. Client Shelter Form Sh w elter/Hotel, ---..-.Hotel Hotel Name/Room in Shelter: Quality inn Date In: 5/18/2023 Date Out, Program: DV Review Shelter Guidelines: Yes Invoice Turned Inn Client (First Initial & Last Name): Year of Birth: 1.988 Case ID: 907AIA Secondary #1 Y08: Secondary #2 YOB: --------- - Secondary #3 YOB: 0 Secondary #4 YOB* Secondary #5 YOB: Secondary #6 YOB: Client ID.- - GML12896 NCA Trak: 2023-296 Gender. Gender: Gender, Gender: Gender. - Gender, Previous Living Situation?: Staying or living w/family Where did client exit to?: Payment, Grant, Comments: Page 1/1 Invoice 0391797 Date 6/28/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 ---------- Document Number -��r,,:�h,ase Order Numb-Coxf.- Vendor --------- Shipping Method Pa--yment Terms ID 76016210 .......... ...... ......... .. . QUAL I NE7 30 b -e s- c r fp­tion'.... .... . . .. ... .. ..... Emergency Shelter Amount $131.86: Subtotal $131.86 Mise $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment Total Due $131.86 NEW HOPE Quality Inn (WA255) HOPE, NEW 449 Melva Lane uality Moses Lake, VESA 98837 INN (509) 765-8886 Sy CHOICE NOTELS GM-WA255@stayatchoice,com NEW HOPE HOPE, NEW UNKNOWN Moses Lake, WA 98837 Post Date DOsOrliption Comniont 6/21/23 Room Charge HOPE, NEW 6/21/23 State Tax 6/22/23 Room Charge HOPE, NEW 6/22/23 State Tax 6/23/23 Direct Bill Room Charge State Tax Direct Bill Account: 876016240 Date: 6/23123 Room, 301 WCONS Arrival Date: 6/21/23 Departure Date, 6/23/23 Check In Time: 6/21/23 7:21 PM Check Out Time: 6/23/23 7:45 AM Rewards Program ID: You were checked out by: mhaywa You were checked in by: rnhaywa Total Balance Due: 0,00 F O 10 R Summary W21123 - 612312:3 With this rate you are able to earn valuable Choice Privileges points! X 4',j' C H 0 1 C E p i flees. Amount 59-99 5.94 59,99 5.94 (131,86) 119.98 11.88 31.86) Balance Due: 0.00 (131.86) will be billed to: Account 2277219 NEW HOPE, 604 West Third, Suite B, Moses Lake, WA 98837 You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels-com/choice-privileges. County of Grant 35 C ST NW P.O. Box 37 Ephrata VIA 98823 Vendor: WASHINGTON TRUST BANK.. PO BOX 2127 SPOKANE WA 99210-2127 upr-ument Numbor ....... 052023 .... Description: Visa Statement May 2023 Page I I I Invoice 0390332 Date 616/2023 ul;-licniv uraer riumoer Vendor ID I ShIpping Method —A Subtotal MIX Tax Freight Trade Discount Payment Total Due Payment Terms ID Amount $3,113.46 S3, 113,4-6 MOO $o.00 $0.00 $0.00 $0.00 $3) 113,46 1146 UV G 3 7 1 230602 0 PAGE 1 OF 2 1 0 4833 0030 CX48 01AC1146 Cardholder Name and Account Number Page 1 of 2 SUZI FORE 111SA GRANT COUNTY "I-XXXX-2976 film WashingtOnTrust Bank . I member ;rDil�; Account 'Information Statement Closing Date 06/02/2023 Credit Limit $10,000.00 Available Credit $10,000.00 'Cash Credit Limit $0,00 Available Cash $0..00 Payment Due Date: 06/27/2023 #60 05102 24492153VPSW6JA7J DUE 06-13-23 Amount 05/05 05/03 :Account Summary LUDWIGS LEAVENVIORTH WA Cash Advances Previous Balance $0.00 2449215450TXQXWQ2 Payments and Credits $0.00 05/17 +[-Finance' Char'ge'(net) $0.00 AF*WINDERMERE PROPERT. 509-765-5691 WA + Purchases $0.00 05/16 + Cash Advances $0.00 + Othe $0.00 OOOOOOOOOOOOCOMPC New Balance ------ $0.00 Payment Informatlo' 18 1 1 -22 23 25 2 8 29 3() Minimum Payment Due: $0.00 -------- New Balance: $0.00 A le7v Transactions Post Date Trans Date - ----- - Reference n 05/04 05102 24492153VPSW6JA7J WQ%01 PLIU" BLD*NATIONAL REAL ESTATE 833-466-7364 WA Amount 05/05 05/03 24013393WOOSSLH27 LUDWIGS LEAVENVIORTH WA Cash Advances 05/14 05/14 05/12 2449215450TXQXWQ2 AF*WINDERMERE PROPERT. 509-765-5691 W A $30 5.43 $530.80 -- 05/17 05112 05115 2449215450TXQXWRG 242316848RBGJFM5D AF*WINDERMERE PROPERT. 509-765-5691 WA .-, $822.74 05/17 05/16 240552349PLLR2K3X SAFEWAY FUEL3252 MOSES LAKE WA ATT* BILL PAYMENT 06102 06102 OOOOOOOOOOOOCOMPC 800-331-.0500 TXS45.75 TOTAL PURCHASES $3,113.46 $278.00 NONE 18 1 1 -22 23 25 2 8 29 3() TOTAL $3,113,46 TOTAL FEES FOR THIS PERIOD TOTAL INTEREST FOR THIS PERIOD Finance Chair. a Calculatidn Annual Percentage Rate (APR) is the annual interest rate on your account. Type of Balance A MM WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Please include your account -number on your check, New address, phone number or e-mail? Check the box to the left and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 �Verage ,9614n Daily Finance Charge. Remainina Purchases ce 17.99% (V) $0.00 Balance '' June Cash Advances 20.99% (V) $0.00$0.00 $o.00".., $0.00 $0.00 Remit Payment to: WASHINGTON TRUST BANKQuestions'? Mail Inquiries To: New Balance $0.00 PO BOX 2127 SPOKANE, WA 99210-2127 P.O. BOX 2127 SPOKANE, WA 99214-2127 Call Customer Service: 800-788-4578 We appreciate your business! Lost or Stolen Card: 800-788-4578 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Please include your account -number on your check, New address, phone number or e-mail? Check the box to the left and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 SUZI FORE GRANT COUNTY ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310929768 Payment DueDate June Account Number XXXX-XXXX-XXXX-2976 S M T W T F _S -!- _L -3 New Balance $0.00 _4 5 67 L 9 10 11 12 13 j _1 57 1- 1 "' Minimum Payment Due NONE 18 1 1 -22 23 25 2 8 29 3() Amounts Enclosed SUZI FORE GRANT COUNTY ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310929768 1146 LWG 3 7 1 230602 0 PAGE 2 OF 2 1 0 4833 0030 CX48 01AC1146 Cardholder Name and Account Number page 2 of 2 SUZI F DE VISA GRANT COUNT'S X-XXXX-XX-2976 Flwnanre Charge calculation continued Annual Percentage Rate (APR) is the annual interest rate on your account. Typo of Balance APR Average Daily Finance Charge Remaining Days in Billing Cycle: Q (% Balance Balance' V) = Variable Rate See reverse side of page rine for explanation of Finance Charge calculation. Credit Purchases calculated using Method G. Cash Advance Charges calculated using Method A. FOR REBATE PROGRAM QUESTIONS, CALL 800-78 EMERGENCY FINANCIAL ASSISTANCE REQUEST FORM % Staff: Suzi Date Submitted.- 05102/2023 now beginnings. boftr 10mrrows. Amount requested $ 1030.74 TYPe of client: I# of Children: 3 0 DV 0S CVS C El YHDP Client ID: GWA2698 I Client's Home City: Oslo' .0 MNOWTO 'a"FIV-z" ousrng .Xplain: 0 Serve ML/Quincy Noother resources available, 6 DSHS CPS • Family contribution • Friend contribution Include back up documentation: Receipt Copy of check W9, if applicable k Updated-, 2/11/2020 Explain: I • Background check for housing • Children's needs * Mortgage Assistance with rent for Mayf Debt assistance * Service DVPO Driver's license # Utilities bills Education training a Security Assist Bus fare to return home * trental Assist * Cell phone to seek work/housing e Car payments * Family well being 6 Food/Necessities Oslo' .0 MNOWTO 'a"FIV-z" ousrng .Xplain: 0 Serve ML/Quincy Noother resources available, 6 DSHS CPS • Family contribution • Friend contribution Include back up documentation: Receipt Copy of check W9, if applicable k Updated-, 2/11/2020 Generated 05/04/2023 02,:55:08 Paae 1 of 1 Nabonal Real Estate Piifavment Receipt Prepared By* National Real Management Group Estate Mana,#cgrement Group 15001 Kercheval Avenue Suite. 103 Grosse Pointe Park,. MI 48230 5/2/2023 $1,130.74 Account No. 827512 GRQ Received from: M t#O-Rd Credit card Generated 05/04/2023 02,:55:08 Paae 1 of 1 EMERGENCY FINANCIAL ASSISTANCE REQUEST FORM What is the. mer Fi' Al�: f,61,47 ncy nancial-Assistance"..'At:F req t ues r Staff, Ana Explai'm Teenage client who has been living in a Date Submitted: 5112/2023 _J new beginni ngs. better tomorrows,, Amount requested $1,353 Type of client. ----------- ODV OSA DCSC 0 YHDP # of Children: Client ID: Client's Home City: What is the. mer Fi' Al�: f,61,47 ncy nancial-Assistance"..'At:F req t ues r Explai'm Teenage client who has been living in a Background check for housing Children's needs Mortgage garage with no water or electricity for 6 months Debt assistance Driver's license Service DVPO Utilities bills after h is mom was placed into a nursing home & Education training Security Assist Rental Assist and their house sold has been approved for an * Bus fare to return home Ca r payments 0 Cell phone to seek work/housing Food/Necessities apartment of his own and needs assistance with • Family well being depo'sit and first month of rent. Indicate what other support or. resources. were used? Housing Authority Explaid . Salvation Army Serve MUQuincy DSHS CPS Family contribution Friend contribution Supervisor Signature: Date: PROGRAM: ODSHS OD PA OSA DCVSC OYHDP METHOD OF PAYMENT: 0Check OPetty Cash OlDebitCard Include back up documentation: Receipt Copy of check V19, if applicable ]Credit Card 0 d -0 Denied Pprove Updated: 2/11/2020 WINDERMERE PROPER-fY MANAGEMENT GRANT COUNTY, INC Des'cdpffort -�757 % P, en 2� Payment Details Reference: 26EC-14DO Card #: -6*1064*46---2976 Card Type: Visa Date: 05/1212023 A Mount Move In Charge, Rent Income Transaction Fee 512.90 17.90 Total paid 530.80 WINDERMERE PROPER -FY MANAGEMENT GRANT COUNTY, INC AO, L Payment is Details Reference: 2721-89EO Unit: Card #, -40*46 64640-2 976 Card Type: Visa Date: 05/12/2023 Dscripfion Amount _ •"' Move In Ch'arge: Mgmt Held Security Deposits 795.00 Transaction Feq.,.j,,V"" it.sti.uAMTYsnws�:.i'.nt.+kwu(w;sat.m'�\t,«[W'a,aM•iM\'.YwM1Mi.ort.v(atit+:W'WtiitYNK,7eaaiN Total paid $22.74 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA, 98823 Vendor: WASHINGTON TRUST BANK.. PO BOX 2127 SPOKANE WA 99210-2127 Document Number 7139- 05,023 Visa Statement May 2023 Purchasw Order Number Page I Invoice 0390339 Date 6/6/2023 Vendor ID Method -J Payment Terms ID WTBCC .......... Rff-f 30 $5,044.30! Subtotal $5tO4-4.30 mist $0.00 Tax $0,00 Freight $0,00 Trade Discount $0.00 Payment $0X0 Total Due $51044.30 1140- LWG 3 7 1 230602 0 PAGE I OF 2 1 0 4833 0030 CX48 01AC1146 Transactions Cardholder Name and Account Number Page 1 of 2 Trans Date ALYCE BARRIENTOZ IfISA Amount 05/04 GRANT COUNTY 24692163W35T7ZFKN CITY OF LEAVENWORTH LEAVENWORTH WA WashinTrust i �gton Bank mamber POIC: XXXX-XXXX-XXXX-7139 05/03 24692163W35T7ZFKY CITY OF LEAVENWORTH LEAVENWORTH WA #38 05/04 05/03 24692163W35T7ZF6H DUE 06-13-23 $10.00010"' 05/04 05/03 - - CITY OF LEAVENWORTH LEAVENWORTH WA $10..Oo Account Information Acdou'lat Summ Statement Cfosing Date 0610212023 Previous Balance $0,00 Credit Limit $7,500.00 Payments and Credits $0.00 Available Credit $7,380.00 +1- Finance Charge(net) $0.00 Cash Credit Limit $0.00 + Purchases $0.00 Available Cash $0.00 + Cash Advances $0.00 2444500440ONBP6PD DOLLAR TREE EPHRATA WA + Other Charges $0.00 05111 24164074431T9A2EH 'Now Balance $0.00 05/14 Payment Ifformation 246921645338ANOLS STRAIGHTTALK*AIRTIME 877-430-2355 FL Payment Due Date: 06/27/2023 Minimum Payment Due, $0.00 New Balance: $0.00 IM Remit Payment to: Mail inquiries To: WASHINGTON TRUST BANK P.O. BOX 2127 SPOKANE, WA 99210-2127 PO BOX 2127 SPOKANE, WA,99210-2127 We appreciate your business! WASHINGTON TRUST BANK PO BOX 2127 Account Number SPOKANE, WA 99210-2127 New Balance Please include your account Minimum Payment Due number on your check, E] New address, phone number or e-mail? Check the box to the left and print changes on back. Questions? Call Customer Service: 800-788-4578 Lost or Stolen Card: 800-78$-4578 XXXX-XXXX-XXXX-7139 MOO NONE Amount Enclosed $ ALYCE BARRIENTOZ WASHINGTON TRUST BANK GRANT COUNTY PO BOX 2127 ATTN MICHELE JADERLUIND SPOKANE, WA 99210-2127 PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310271393 Payment Due Date June S M T W T F S 1. 12 3 6 7 8 19 10 11 12 13 14,15 16 17 -18 :1 1 22 23124 5 8 2 2 29 30 Transactions Post,Date Trans Date Reference Description Amount 05/04 05103 24692163W35T7ZFKN CITY OF LEAVENWORTH LEAVENWORTH WA $2.50 05/04 05/03 24692163W35T7ZFKY CITY OF LEAVENWORTH LEAVENWORTH WA $2.50 05/04 05/03 24692163W35T7ZF6H CITY OF LEAVENWORTH LEAVENWORTH WA $10.00010"' 05/04 05/03 24692163W35T7ZF6T CITY OF LEAVENWORTH LEAVENWORTH WA $10..Oo 05105 05/03 24231683WRBGK1 EQ8 SAFEWAY #1589 LEAVENWORTH WA $101.92 05/07 05105 24692163X2XEVBZ1J AMZN Mktp US*AM5M02B73 Amzn.com/bIIIWA $119.01 05/10 05/09 2444500418PR9QF1X LOY*CITYOFMOSESLAKE 509-765-2204 WA $200.01 05/10 05109 2444500418PR9QF4G LOY*CITYOFMOSESLAKEFEE 509-765-2204 AL $5.90,e- 05112 05111 2444500440ONBP6PD DOLLAR TREE EPHRATA WA $4.070"0- 05/14 05111 24164074431T9A2EH 'STAPLES 00113019 MOSES LAKE WA $46.59 ' 05/14 05/13 246921645338ANOLS STRAIGHTTALK*AIRTIME 877-430-2355 FL $144.20 05/17 05/16 2424052488AMTFXX5 WA DRIVER LICENSE RENEW 360-902-7470 WA $15.45 05/17 05/16 2443106482EO38FQ9 GRANT PUD 509-768-2508 WA $286-20 05/17 05116 2444500485SBNX9P2 WALMART.COM 8009666546 800-966-6546 AR $80.64 05/17 05116 244921648001544V8 SP BLENDJET BLENDJET.COM CA $55.62 05/18 05117 24137464AO I 22XA9Y MARSHALLS #1312 MOSES LAKE WA $59.57**" 05/18 05117 24204294905AQGVVE1 Birkenstock 18008672475 CA Remit Payment to: Mail inquiries To: WASHINGTON TRUST BANK P.O. BOX 2127 SPOKANE, WA 99210-2127 PO BOX 2127 SPOKANE, WA,99210-2127 We appreciate your business! WASHINGTON TRUST BANK PO BOX 2127 Account Number SPOKANE, WA 99210-2127 New Balance Please include your account Minimum Payment Due number on your check, E] New address, phone number or e-mail? Check the box to the left and print changes on back. Questions? Call Customer Service: 800-788-4578 Lost or Stolen Card: 800-78$-4578 XXXX-XXXX-XXXX-7139 MOO NONE Amount Enclosed $ ALYCE BARRIENTOZ WASHINGTON TRUST BANK GRANT COUNTY PO BOX 2127 ATTN MICHELE JADERLUIND SPOKANE, WA 99210-2127 PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310271393 Payment Due Date June S M T W T F S 1. 12 3 6 7 8 19 10 11 12 13 14,15 16 17 -18 :1 1 22 23124 5 8 2 2 29 30 1146 BI/G 3 7 1 230602 0 PAGE 2 OF 2 1 0 4833 0030 CX48 01AC1 146 Cardholder Name and Account Numbor P2ge 2 of 2 ALYCE BARRIENTOZ G IT COUNTY W 111SA XXXX-XXX-XXXX-7139 1-11 ------- Transactions (continued) Post Date Trans Date Reference Description 05/18 05/17 2469216492X636OHN LOWES #02956* MOSES LAKE WA Amount 05/19 05/18 240552:34A2DL45XNX WALMART.COM 800-966-6546 AR $53.85$49.52 05/19 05/18 24445004BOOMGY791 DOLLAR TREE MOSES LAKE VIA 1 05/21 05/19 24492164Q00ojV8QK SP CHAMELEON CO. 801-5281250 UT $2.71 05/22 05/21. 24906414D52EXX4A5 Trupanion trupanionxornWIA $1,826.96 05!24 05/23 24164074F2LR7B2BY TARGET 4o407609 YAKIMA WA 05/24 05/23 24801974G618.NW684 NATIONAL CREDIT REPORTIN 8004441-1661 CA 05/26 05/24 24610434H03RI616A ROSS STORES #1636 MOSES LAKE WA "`�' 05/26 05/25 24055234H2DK5KFLM PRICELN*ALASKA AIRLINE 203-299-8000 CT $176-67 $19.00 �"" 05/28 05/25 24431064J9M3D6EXD ALASKA AIR 0277971758296SEATTLE WA 05/25/23 SIMMONSWORIAH $309,28�,, 1 AS S SPOKANE SEATTLE 2ASS SEATTLE SAN JOSE 05/28 05/25 24431064J9M3D6EX5 ALASKA AIR 0277971758295SEATTLE WA 06/25/23 ESTRADA/KARLIN 1ASS SPOKANE SEATTLE 2ASS SEATTLE SAN JOSE 05/28 05/26 24226384K2LR6QNJE WALWART #3260 EPHRATA VIA $27-30 05131 05/29 241164J4NLDT7Q6Y8 CK *SAGECLIFFE RESORT QUINCY WA $200,00 06/02 05/31 24323004RKGVvXIY38 VWM-MCDONALDS-THEGIFTCAR 800-453-0660 GA$513.95 06/02 06/02 00000000000000MPC TOTAL PURCHASES $5,044-30 TOTAL $5,044,30 TOTAL FEES FOR THIS PERIOD TOTAL INTEREST FOR THIS PERIOD Finance Charge C-atcula inn Annual Percentage Rate (APR) is the annual interest rate on your account. Type of Balanco APR Average Daily Finance 0. harge Remaining Purchases % 17.99% Balance (V) $-0-00 Balance Cash Advances 20.99% .__ (V) $0,00 $0.00 WOO Days in Billing Cycle: 0 (V) = Variable Rate $0,00 See reverse side of page one for explanation of Finance Charge Calculation, Credit Purchases calculated using Method G. Cash Advance Char m calculated using Method A. FOR REBATE PROGRAM QUESTIONS, CALL 800-788-4578. IMPORTANT INFORMATION Terms and Conditions Please refer to the disclosure previously provided for the Perms and Conditions governing the use of this account. These Terms and Conditions may be amended or supplemented by separate notices to you including any notices you have previously received from us. CrediitTercns The interest Charge Calculation Method applicable to your account for Cash Advances and Credit Purchasers of goods and services that you obtain through the use of your card is specified within the Interest Charge Calculation section of this statement and explained below Method A --The !Merest Charge on Cash Advances begins to accrue on the date you obtain the Cash Advance or the first day of the billing cycle in which it i; pasted to your account, whichever is later. The interest Charges for a billing cycle are computed by applying the daily periodic rate to the average daily balance multiplied by the number of days in the billing cycle, Each daily balance is determined by adding to the Previous Balance (the outstanding balance of your,iccount at the beginning of the billing cycle) any neer Credit purchases posted to your account and any new Cash Advances received, and subtracting any payments a.s received or credits as posted to your account, but excluding any unpaid interest Charges or overlimit fees. Method G -The Interns t Charge an Credit Purchases begins to accrue on the date each is posted to your account.To avoid incurring an additional Interest Charge on the balance on Credit Purchases reflected on this statement and on any new Credit Purchases appearing on, your next statement, you must pay the New Balance shown on the reverse side on or before the Payment Due mate, The Interest Charges for a billing cycle are computed by applying the daily periodic rate to the average daily balance multiplied by the number of days in the billing cycle, leach daily balance is determined by adding to the Previous Balance of Credit purchases any neer Credit Purchases posted to your accountand subtt cting any payments as receivers and credits as posted to your account, bu t excluding any unpaid loWrest Charges oroverllmif fees. _ THE EFFECTIVE ANNUAL PER eNTAGE BATT: WILL DiFFER FROM THE CORRE51DONDING ANN IAL PERCENTAU' E RX, ES IF CASH ADVANCE l~1 E3 OR, OVERLIMIT FEES HAVE BEEN INCLUDED. Note. It's variable rate plant is applicable to this account, the periodic rate may vary. Payment Crediting Payments received by 5 p m. at the location specified on the front of the vatement after the phrase "Remit Payment To;` will be credited as of the date of receipt to the account specified on the payment coupon Payments made in person by 5 p.m. during normal business hours, Monday through Friday, at branch. locations where such payments are accepted, will be treated as received an the same day, Payments that do not conform to tate requirements set forth on or with the periodic stateme-rit (e.9 missing payment stub; payment envelope. tither than as provided with your statement, multiple checks or multiple coupons in the same envelope; maybe subjectto delay in crediting, but shall be credited within 5 days of receipt. Credit Balance If there Is a credit balance due to you, you may request in Writing a full refund of this c:redrt balance at.the address indicated on the front of the statement after the phrase "Mail Inquiries To.' Additional Charges Additional charges. plus applicable taxes., mayalso be assessed if you pay us nihil a chwck not. honored by your Financial Institution, request a copy of a document, make delinquent payments, make charges which exceed your credit limit, request a Cash Advance, or use your card for a transaction at an automated teller machine, it such charges are not prohibited by lair or regulation. Notice Cheers returned NSF(Non-Sufficient Funds) at USF ( uncollected Funds)are. subject to elrrctronicACH representment.The annual fee shall be treated as a credit purchase for purposes of calculating Interest Charges, unless prohibited by law Available Credit The available credit specified on the front of the staternent dlsplays the amount of your credit limit available for purchases.. Available credit accounts for pending transactions that.processed, but may not have posted as of the statement date and therefore are not reflected on the statement. Available Casa The available cash specified on the front of the statement displays the amount ofyour cash credit limit available for cash advances. Available cash accounts for pending transactions that processed, but may not have posted as of tha staterment date and therefore are not reflected on the statement. Closing Date All transactions received after the closing date will appear on your next statement. In Case of Errors or inquiries About Your Bill tf you think your bill is wrong, or if you need more information about transaction on your trill, write us on a:separate sheet ofpaper at the address indicated ort the front of this statarrrent after the phrase "Mail Inquiries To:" as soon as possible, We must hear from you no later than 50 days afters e sent you thw first bill on which the error or problem appeared. You can telephone us, but doing so Will not pre5erv}e your rights, Calls received in our cardholder service center are periodically monitored t; ensure quality service to out customers In your letter, give us the following information: • 'four name and account number • The dollar amount of the suspected error Describe the error and explain, if you can, why you believe there is an error. If you need more information, describe the ityrn you are urrsur>r about. You do not have to pay anyamount in question while we are investigating, butyou are still obligated to pay the parts of your bill that are not inquestion. While. we inv#strg to your gvastion, the cannot report you as delinquent or take any action to collect the amount you questivrr If you have a problem with the quality of goods or services that you purchased with a credit card, and you have tried in good faith to correct the problem with the merchant, you may not have to pay the remaining amount due on the good orservices You have this protection only when the purchase p ice was more than 550..00 anted the purchase Sanas anode in your Dome state or veil hin 100 miles of your mailing address. III we own oroperate the merchant, or if we mailed you the aduertiserrientforthe property or services, all purchases ire covered regardless of amount or location of purchase,) Electronic Check Conversion/ECK Whea}you provide check as payment, you authorize us to use information from your Check to rake a one tirne electronic fund transfer from your account. In certain circumstances, such as for technical or processing reasons, we may process your payment as a check tia€tsaction. When wii use i<nfoo-nation. rare your,heck to retake an alectronicfund transfer, funds maybe withdrawn from your account as soon as the same day we receive your payment, and you will not recelve your check back from your financial institution. 01ACI 4fi -3 - 0,V21121 Change oi�s Please supply the new information in theboxes rvie- d-# Norm Phone Business Phone We appreciate you patrons >e and continually strNe to provide quaftseltview. --�- OA 114,600 Cardholder's .Sfgrtatture 'tt` Address Street Add mz (count.) city State ZIP Code E-mail Address I _FI Norm Phone Business Phone We appreciate you patrons >e and continually strNe to provide quaftseltview. --�- OA 114,600 EMERGENCY FINANCIAL ASSISTANCE REQUEST FORVI Type of client: 11 DV OSA EICSC El YHDP Staff: Ana Date Submitted," 5/15/2023 Amount requested $ 286.20 #of Children: 2 Client's Homme City: 9 0 'S -F"Ina Iurgil i.. ... �r :°-�`, ,. .;.': .i '."? ti- � ���.} `? � ez;V' t� �t r. .�;:t :..h�" �f ".T4. ':`,�-. �..�{r.d 1t ,_4;: A Explain: sinale Mm wrk-+Bckarn" ri (+iar+ fnr he,'V mley 11as Peon * Children's needs 9 Debt assistance * Driver's license * Education training * Bus fare to return home * Cell phone to seek Wort housing * Family well being * Mortgage * Service DVPO 0 Utilities bills 9 Security Assist * Rental Assist * Car payments * Food/Necessities severely sick with allergies and has missed several days of work. Was working another part ime tjobI but was let go due to looking for a full. trine *me job. A qrj_ !,r4ja AWN sub RON Updated: 2/11/2020 Receipt CustomerService <CustomerServ1ce@gcpud.org> Mon 5/15/2023 4:22 PM To: Ana L. Rivera <a1rivera@grantcountywa.g0V> **EXTERNAL EMAIL** This email originated from outside Grant County's network. Do not click links or open 0 attachments unless you recognize the sender and know the content is safe. Payment Request Submifted Thank you for your payment. The following payment request has been submitted. Please P-rint this pgge for the customer if they request a receipt Reference ID: Date and Time: Authodzafion number: Customer Name, Account Number: Payment Method: PaymentAmount Share the/a it 370715214054 05/15223 18*- 20*11 (CDT) 015415 3520702103 Ws a """7139 528620 $0100 Total PaymentAmoun't $286.20 Total Payment Amount 528610 Customer Service OFFICE 509-766-2505 EMAIL customersery�tc�eggpgd.org . rlrfi(e Grant PUD grantpud.org EMERGENCY FINANCIAL ASSISTANCE REQUEST FORIV Type of client ODV EISA UCVSC 0 YHDP Staff: Carmen Date Suism ifted: 05/26123 Amount requested $X7,30 # of Childrew, 4 I I Client's Home City, - ........... 77 W I S '0 e ;e .. .. , ....., •. est, • \ "7Uft M I Explain: * Background check for housing # Children's needs * Debt assistance * Driver's license # Education training * Bus fare to return home # Cell phone to seek, work/housing * Family well being Mortgage Service DVPO Utilities bills Security Assist Rental Assist # Car payments o Food/Necessities Purchase backpack and school su*,%, jes destroyed during incident #CPS ► Family contribution Friend contribution Giveu s7 feedback u i v e r a# a i 1.. c a n jam(( }i}�(j �Sryjj Kj#� . ({[ )jj ank Wa I m art N 509-754-6837 Nar«60LEN 1399 S.F. BLVD EPHRATA UP 98823 03260 6 it M l 000051 E# AK, T 71 9 }[ ¢�y�)j ��T BACKP0 000'107401573 y� x C` NT 002622957476 0.97 fB DIV 088735690048 0.97 PF PAPER PRO 483701410297 0.38 X 'STUT L 25.18 TAX 1 N 400 TOTAL 9*0 VISA TEND VISA CREW * *; * ** * 1139 1 1 APPROVAL # +` LF # 314600632131 TRANS 10 ,� 303146684812557 LIWI " QU6F .M 0 6 4 'krF 1R O F Ike 1 A0 AAC 1 , 9 C 4 SNL N 28521760 05/26/23 CHOU DUE 010 N' ITEMS SOLD TC# 3217 7569 9055 85 28 3807 (I III iC l,,111111111111 - 111 Jill !1111 , . tiil'iII1,31,1111 111 1 walmart Become member Scian for fees 3 -day trial ZOO Lou Prices You Can Trus -t. Every oay E -Cycler° er for Cooputer } Hanitars, and TV's 481 copy*** County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 I Vendor-, WASHfNGTON TRUST BANK.. PO BOX 2127 SPOKANE WA 99210-2127 d52023 Description, - Visa Statement May- 2023 Furcnase Order Num --- Vendor ID' Fags 111 Invoice 0390348 Date 6/612023 Shipping Method Terms ID I —Paym'ent 30 Amount: $2,036.58 .......... . .. Subtotal $2,036.58 Misc Tax $0,00 Frelight $0.00 $0.00 Trade, Discount $0.00 Payment Total Due 140;" =2016. 8 1146 LWG 3 7 1 230602 0 PAGE 1 OF 2 1 0 4833 0030 CX48 01AC1 146 Cardholder Name and Account Number Page 1 of 2 NEW HOPE AMAZON IfISA GRANT COUNTY AUDITOR Asuffimmok XXXX-XXXX-XXXX-9663 WaShiMjkA1TMt Bank P 100mborFmc Remit Payment to: WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Please include your account number on your check. I New address, phone number or e-mail? - __j Check the box to the Wft and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Mail Inquiries To: P.O. BOX 2127 SPOKANE, WA 99210-2127 We appreciate your busi.nesst Questions? Call Customer Service: 800-788-4578 Lost or Stolen Card: $00-788-4578 #52 Transactions Post Date Trans Date Reference DUE 06-13-23 Amount 05/07 05106 Account Information AMZN 'Mktp US*JP7Y44UQ3 Amzn.con-VbiII1;NA $121,36 Account Suri mag 05/10 24692164231 ESXDET Statement Closing Date 06102J2023 05/14 Previous Balance $0.00 Amazon, com*1 K3LU 981-13 Amzn,com/bi[IWA Credit Limit $10,10,00 05/14 Payments and Credits $0.00 $144,53 -o Available Credit $8,404.00 74692164734ZHNZBM Finance Charge(net) $0,00 05/16 Cash Credit Limit $0.00 AMZN Mktp US*2W6WC5573 Amzn.com1biIIWA + Purchases $0.00 05116 Available Cash $0.00 $26-65 *e'7' + Cash Advances $0.00 2443106492DZVYTX3 AMAZON COM*CHONY55X3 AMZNAMZN.COM/Bl LLWA $81 20 05/18 + other Charges $0.00 AMZN Mktp US*VZ3DD3HQ3 Amzn.com/billWA 05/21 05/20 Now Balance $0.00 $64.92,-,,,- 05/23 05/22 Payment Information AMZN MKTP US*E1 7FZ0523 AMAMZN.COtN8ILLk/VA $116.97 05/23 Payment Due Date. 06127/2023 24431064F2DYREOPV Minimum Payment Due: $0.00 New Salance: $0.00 V Remit Payment to: WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Please include your account number on your check. I New address, phone number or e-mail? - __j Check the box to the Wft and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Mail Inquiries To: P.O. BOX 2127 SPOKANE, WA 99210-2127 We appreciate your busi.nesst Questions? Call Customer Service: 800-788-4578 Lost or Stolen Card: $00-788-4578 Payment Due bate Transactions Post Date Trans Date Reference Description Amount 05/07 05106 24692163Y2YAE7DHN AMZN 'Mktp US*JP7Y44UQ3 Amzn.con-VbiII1;NA $121,36 05111 05/10 24692164231 ESXDET Amazon.com*OH45G4AU3 Amzn.corrVbillWA $92,06 05/14 05112 24692164432W8LV\122 Amazon, com*1 K3LU 981-13 Amzn,com/bi[IWA $80.42 05/15 05/14 2443106472DZN9MBR AMZN MKTP US*791 RJ7383 AMAMZN.00M/l31LLWA $144,53 -o 05/16 05/15 74692164734ZHNZBM AMZN Mktp US Amzn.com/billWA -$121.36 W1.10 05/16 05/16 24692164835QVBN7Y AMZN Mktp US*2W6WC5573 Amzn.com1biIIWA $128,97-r-� 05/17 05116 24431064920KYYI 7R AMAZ0N,COM'2C45J2YJ3 AMZNAMZN.COM/BILLWA $26-65 *e'7' 05118 05/17 2443106492DZVYTX3 AMAZON COM*CHONY55X3 AMZNAMZN.COM/Bl LLWA $81 20 05/18 05/17 24692164936E5F5SV AMZN Mktp US*VZ3DD3HQ3 Amzn.com/billWA 05/21 05/20 24692164Q2ZFDQL9A AMZN Mktp US*VV6,60U7EI3 Amzn.conVbi]IWA $64.92,-,,,- 05/23 05/22 24431064F2DK,51DLQ AMZN MKTP US*E1 7FZ0523 AMAMZN.COtN8ILLk/VA $116.97 05/23 05/22 24431064F2DYREOPV AMAZ0N,COM*TM5RC0LU3 AMZNAMZN.00MJBILLWA $98-00 05123 05/23 74692164F2YQK6J5X AMZN Mktp US Amzn.com/b!IIWA -$21.63 05/24 05123 24692164F2YJVI PQ4 AMZN Mktp US*KU19B81G3 Amzn,conVbillWA $108-76 05/24 05/23 24692164F2YVLMQKB AMZN Mktp US*4T9FPI NL3 Amzn,corn/b1I1WA $53.05 05/24 05/23 24692164F2'YV4SSB9 Amazon. rom*OV6294TT3 Amzn.com/billWA $92-94 05124 05/24 24692164G2Z4BPK4E AMZN Mktp US*VWVIHR28B3 Amzn,corr1/biIIWA $10835 Remit Payment to: WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Please include your account number on your check. I New address, phone number or e-mail? - __j Check the box to the Wft and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Mail Inquiries To: P.O. BOX 2127 SPOKANE, WA 99210-2127 We appreciate your busi.nesst Questions? Call Customer Service: 800-788-4578 Lost or Stolen Card: $00-788-4578 NEW HOPE AMAZON GRANT COUNTY AUDITOR ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 Payment Due bate June Account Number XXXX-XXU-XXXX-9663 S M.r TW T F S 2.13 New Balance MOO 4 5 67 18 19 10 11 12 13 14 15 A 17 Minimum Payment Due NONE 24 29 30 Amount Enclosed$ 3 NEW HOPE AMAZON GRANT COUNTY AUDITOR ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 114-0 LWG 3 7 1 230602 0 PAGE 2 OF 2 1 0 4833 0030 CX48 01ACIU6 Cardholder Name and Account Number NEW HOPE AMAZON 1f1SA GRANT COUNTY AUDITOR X.XX-XXXX-X)(XX-963 Page 2 of 2 Amount $29.40 $145,40 $33.93 $43.32 $108.26 $299.16 $32.16 Wool Flnanr-6 Cha[ge Calculat* ton Annual Percentage Rate (APR) is the annual interest rate on your account. Type of Balance APR Average Daily Finance Charge Remainit1g % 84tanco Purchases 17.9�0—/o' (V) $0,00 $0. 00 Ballance - Cash Advances 20,99% (V) $0.00 $0.00 $0.00 $0.00 Days In Billing Cycle: o (V) = Variable Rate See reverse side of page one for explanation of Finance Charge calculation, Credit Purchases calculated using Method G. Cash AdvanceChanescalculated using Method A. Transactfto ns (continued) Post Data Trans Date Reference .- I Description 05/25 05/24 24692164G27-AQWG3T - AMZN Mktp US*Ul7Jl2XW3 Amzn.com1biIIWA 05/25 05/24 24692164G2Z6LWSNP AWN Mktp US*IJ43Y9lZ3 Arnzn.conVbiIANA 05/25 05/25 24692164H2ZX95AN3 AWN Mktp US*Z47EX86A3 A.mzn.corn/biIIWA 05/26 05/26 24692164,13WKV.313 AWN Mktp US*5S9088863 Amzn.corrW`bilrVVA 05/31 05/30 24431064P2DKR8W5S AMAZON COM*5U6D29HL3 AN1ZNAMZN.,COM/8JLLWA 06/02 06101 24692164R35GPVHQN AMZN Mktp US*3ROE21 SA3 AAvn,corrVb1IlWA 06/02 06/02 24692164T35NBPRLL AMZN Mktp US*GN32T9A03 Amzn.corrVbiI1WA 06/02 06102 00000000000000MPC TOTAL PURCHASES $2,036.58 TOTAL RETURNS $142.99 TOTAL $1,893,59 TOTAL FEES FOR THIS PERIOD TOTAL INTEREST FOR THIS PERIOD Page 2 of 2 Amount $29.40 $145,40 $33.93 $43.32 $108.26 $299.16 $32.16 Wool Flnanr-6 Cha[ge Calculat* ton Annual Percentage Rate (APR) is the annual interest rate on your account. Type of Balance APR Average Daily Finance Charge Remainit1g % 84tanco Purchases 17.9�0—/o' (V) $0,00 $0. 00 Ballance - Cash Advances 20,99% (V) $0.00 $0.00 $0.00 $0.00 Days In Billing Cycle: o (V) = Variable Rate See reverse side of page one for explanation of Finance Charge calculation, Credit Purchases calculated using Method G. Cash AdvanceChanescalculated using Method A. IMPORTANT INFORMATION 'terms and Conditions Please refer to the disclosu re previously provided for the `terms and Conditions governing the use of this account . These Terms and Conditions may be amended orsupplemented by separate notices to you including any notices you have previously received from us. CreditTerrns The Interest Charge Calculation Method applicable toyouraccount for Cash Advancas and Credit Purchases of goods and services that you obtain through the use of gout card is specified within the Interest Charge Calculation section of this staterne nt a nd explained below. Method A- The Interest Charge on Cash Advances begins to accrue on the date you obtain the Cash Advance or the first day of the billing cycle in which it is posted to your account, whichever is later, The Interest Charges for a billing cycle are computed by applylag the daily periodic rate to the average. daily balance multiplied by the number of days in the billing cycle. Each daily balance is determbied by adding to the Previous Balance (the outstanding balance of yourac(ountat the beginning of the billing cycle) any nese Credit Purchases posted toyour accountand any new Cash Advances received, and subtracting any payments as received or credits as posted to your account, but excluding any unpaid Interest Charges oroverlimitfees. Method G -The Interest Charge on " Credit Purchases begins to accrue on the pate each is posted to your account. To avoid incurring an additional interest Charge on the balance on Credit Purchases reflected an this statement and on any new Credit Purchases appearing on your next statement, you must pay "he New Balance shown on the reverse side on or before the Payment Due Date. The Interest Charges for a billing cycle aro computed by applying the daily periodic rate to the average daily balance multiplied by the number of days in the billing cycle. Each daily balance is determined by adding to the previous Balance of Credit Purchases any new Credit Purchases posted to your actount and subtracting any payments as received and credits as pasted to your account, but excluding any unpaid Interest Charges or overlimit fees. THE EFFECTIVE ANNUAL PERCENTAGE RATE WILL Dir"FER FROM THE CORRESPONDING ANNUAL PERCENTAGE RATES IF CASH ADVANCE FEES OR OVERLIMiT FEES HAVE BEEN INCLUDED, Note If a variable rate plan is applicable to this, account, the periodic tate may vary Payment Crediting Payments received by 5 p.m. at the location specified on the front of the statement after the phrase "Permit Payment To:*willbe credited as of the date of receipt to the account specified on the payment coupon. Payments made in person by 5 p.m during nor mat business hours, Monday through Friday, at branch locations where such payments are accepted, will be treated as received on the same dray. Payments that do not conform to the requirements set foith on or with the petiodiicstaternent (e.g. missing. payment st ib, paYmerrt envelope other tha n asp rovided with Your statement, multiple checks or multiple coupons in the same envelope) may be subject to delay in crediting, but shall be credited within 5 days of receipt. CreditBalance if there is a credit balance due to you, you may request in =writing a full refund of this credit balance at the address indicated on the front of the:statement after the phrase "hail Inquiries Tia," Additional Charges Additional charges, plus applicable taxes, ,may also be assessed if you pay us with a chock not honored by your Financial Institution, request a copy of a document, make delinquent payments, make charges which exceed your credit limit, request a Cash Advance, or use you cart! fora. transaction at an automated teller machine, if such charges are not prohibited by lava or regulation Street Address Notice: Checks returned NSI`,Noa-Sufficient Funds) or l}S; (Uncollected Funds) are subject to electron icACH repre-sentment The annual fee shall be treated as a credit purchase for purposes of calculeting Interest Charges, unless prohibited by law Available Credit The available credit specified on the front of tate statement displays thearnount of your credit limit available forpurchases. Available credit actrauntis for pending transactions that processed, but may not have posted as of the statement date and therefore are riot reflecud on the statement. Available Cash TIva available cash specified ort the trout of the statement displays the amount of your cash credit limit available for cash advances. Available cash accounts for ponding transactions that processed, but may not have pasted as of the statement date and therefore are not reflected ars the statement. Closing Date All transactions received after tate closing date will appear onyour nextstatement. In Case of Errors or Inquiries Aborta Your Bill If you think your bill is wrong, or if fou need rno€e information about a transaction or<your bill, write us on a separate sheet of paper at the address indicated on the front ofthis statement alter the phrase "Mail Inquiries To:" as spun as possible. We. roust hear from you no later than 60 days afterwe sent you the first bill =on which the error or problem appeared. You can telephone us, butdoing so gill not preserve your rights. Calls rec#ived in out, cardholderaervice center are periodically monitored to ensure quality service to ourcustomers. In your letter, give us the following information: • Your name arid account number The dollar amount of the,uspected error Describe the error and explain, if you can, why you believe there is an error. Ifyou need Mare information, describe the item you are .(insure about You do not ha=re to pay any amount in question while we are investigating, but yao are still obligated to pay the parts of your bill that are not in question. While we investigate your question, we cannot report you as delinquenter take any action to collect the amourityou question. If you have prioblern'with the quality of goods orserdices that you purchased with a credit card, and you have tried in goad faith to correct the problem with the merchant, you may not have to pay the remaining amount due on the good or services. You have this protection only when the purchase price was more than $50.00 and the purchase was made in your home sw e or within 100 utiles of your mailing address. f #fwe ower or operate the merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of amount or location of purchase.) Electronic Check Conversion/ECK When you provide a check as payment, you authorize us to use Information from your check to snake a one -tune electronkfund transfer from your account. In certain circumstances, such as for technical or processing reasons, we may process your payment as a check transaction. When we US,. information from yourchieck to make an electronic fund transfer, funds maybe withdrawn from your account as scion as the same day we receive your payment, and you will not receive your check backfrom yourfiriancial institution. WACI too - 3 - 0*210 Change of address? cheese supply the now information in the boxes provided. Street Address (cont) ) Cardholder's Signature city ZIP Cam E-mail Address l---- ---- - F, LL I ----- I - ----- 1-- 11 Home Phone Busing Phone We appreclatir your patronage and conitinuaW strive to prov1de quality sorvice. amazon'Com" �J � N4(, " Details for Order #113-5253494-8925038 Paid 13�.- Grant County Placed By: Celina Garcia Order Placed,: May 11 1 2023 Arnazon.com order number: 113-5253494-8925038 Order Total; $80.42 Not Yet Shipped Items Ordered I Of CtOrOx TolUt Wantf D1s1nftt0g Reffils, rofief a h*d gathroom Clea nin Price Toilet Srush Heads, Dfsposable Wand Hoadso -Blue OH&att .10 Count $18.89 Sold by: Amazon (sa1Let.pLgfjje) Business Price Condition-, New I of: PaOffic'Mue Select WOW Prem[um, 2 -Ply Paper TbwOls by GP PRO I (Georgia-Pacific), Mite., 20 Paok� 16,Packs * 1000, 125 Paper TowelaPer Per Case $35.30 Sold by. Amazon Lselferp Mf Li g) Business Price Condition: New 1' Of-, PlasticPlacO Gusto Fit Trash 13ag$1 simplehuman (k) Code 0 compatible (,50 Count) WhItO 13-1 7 Callan/40- 5 Liter, 25.25" x 32,75 Drawstdng . Garbage Uners $19,99 Sold by; Amazon �sgjLeLprofijja) Business Price Condition.- New Shipping Address., Celina Garcia 311 W RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Prime Delivery Payment Method: Visa I Last digits.- 9663 Payment information Itern(s) Subtotal: $74.18 Shipping & Handling- $o,00 To view the status of your order, return to Qrder $q%unary r i va.ey No t ' j_ce Q 1996-2020, Amazon.com, inc. Taal before tax: $74.18 Estimated Tax: - $6.24 Grand Total: $80.42 Date 5.24.23 Amazon S 80,42 office Supplies U—.—tiot4 . OW4 oulb 8Q29 8036 8"S 31 8012. 9031 25 932 $067 8038 2 4074 7611 8034 w «- c - 2 U FA g�v KL co 4 rz ct > th > a-- -- > ¢ < 4 .V �-.I....� =E .... ,.-. ...,_ ,. .. .-...�......_.>....�.. .,.tea......... .,. .........a.....�.,.,. +' __.�....T a azonRc m Paid By: Grant County Placed BY: Alyce Barrientoz Order Placed,:. May 22, 2023, PO number: Office Supplies - DL (Lead) Am'azon- com order number.* 113-6815548-9502634 Order Total: $98.00 .... Not Yet Shipped - - t ------------ IIt ems Ordered Price 4 of: Compendium ThoughtFults Pop -open Cards 4 -Pack - You're Awesome YA 4efful, Yay You -120 $22 .� , ..�� .60 Pop -open Cards, Each with a Different Uessage Inside �t V_v ISold by: Amazon,com Condition, New Shipping Address: ......... ALYCE BARRIENTOZ 311 W 3RD AVE MOSES- LAKE, INA 98837-1905 U United States Shipping Speed: FRE. Prime Delivery I W11,11W I Payment Information Payment Method: Visa I Last digits: 9663 Itern(s) Subtotal: $90,40 Shipping & Handling.- $0.00 Total before tax: $90,40 Estimated Tax: $7.60 amazon.com 0 SG6s8gxbys Grand Total: $98.0 Kase Order office Sopplies - DL (Lead) order of day 22, 2023 (Order ID 113-6815548-9502634), Item Item Price rtol compendluin ThoughtFults Pop -Open Cards 4 -Pack - You're $22,60 20 inazon.cC}rn; Inc. Awesome, You Matter, You're Wonderfut, Yay You —120 Pop - Open Card.., Unknown Binding 309MRDK11S A09MRN't 15 ni!nt EqmPt"o your order. Tax C.011ected Order Toet Paid via credit/debit r replace your Item if I it 11111111111111 Wal 11111111 xbys!-4 of 4 /!RNT9 tit–unext ldc/3`110522 PM7 0- f'I *, --- --- "AL satiddnS so!"ol oozrwv I:E,Irz,s Istle(I -LS ff79 -tyj -+`47 Wf- 00-1 00-E 10 0 0 co 0 > :6 CL 0 at 8. LOL lq09 mi -11tov 1900 9Z96 gzcfi E-Eop U09 MR Grog stoo szos lZoo 9rov 9no Tzovr satiddnS so!"ol oozrwv I:E,Irz,s Istle(I r:1i, t , , .1frowliffii ..- 1 -1 . Paid BY: Grant County Placed BY: Alyce Sardentoz Order Placed: May 22, 2023 PO number: DV Health.LO/Off/shel/supply Amazon.com order number: 113-0887817-9053066 Order Total: $161.81 Not Yet Shipped Items Ordered 2 of: USB C Laptop Charger 65w 45w for dell hp Lenovo Asus Acer Rater Blade Stealth Mac Book Samsung Chrombook Charger Fast Charging Type C A C Adapter Power Cord Supply Sold by: Bull -tech inc 4$gftQLpLQf� Business Pace Condition: New Price $1418 I Of: Melon8oat Christmas Tree Storage Bag for 5=9extra Large Artificial Trees, WaWrpmrp-o rd C1,0th Sold by: MelonBoat L$!,�J�ULrQ MI) $22.95 Business Price 7 dition: New Artificial "'c a, Trees, Wa 0.s Daynark M-irle e I Of: VIATERFLY Crossbody Sling Backpack Sling Beg Travel Hiking Ches Begs Daypack (Dark gray) Sold by: Waterfly Direct .(,5gjLer _=f $25.99 Business PHce g1g.) I Product question? �A8_aqW ID. Condition: New I Of Merrell Women Moab 3 laid Hiking Boot, Falcon, 8.5 Sold by: Amazon.comEOV $71.97 E Condition: New Shipping Address, ALYCE BAS RRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Prime Delivery Payment Information Payment Method: Visa I Last digits-, 9663 SAS Item(s) Subtotal- $149.27 Shipping & Handling: $0.00 Total before tax, $149,27 CkD Estimated Tax: $12.54 ....... Grand Total: $161.81 To view the status of your order, return to Date 5.24.23 Arnazon S SS.62 lofff supplies GUZ4 OU26 J5026 5027 8029 $036 $049 $031 $032 8031 9328 8067 803-8- 0021 8674 7611 - -- ------- 0 , ou fS 0 E M 0 M 0 CL CO 9 of (n k-. P-1 > cc < 8 j� 1 0 ca IT S 4. 4 SQ ZiO 2.63 t 01 u ---T-- I—",- 75-5 ow Paid By,: Grant County Placed By: Alyce Barrientoz Order Placed: May 22, 2023 PO number: Office Supplies - DL (Lead) Amazon.com order number,,, 113-1294167-3933825 Order Total,, $43.32 Not Yet Shipped Items Ordered Price 4 Cif: CanOPY Street Mothlational Quote Cards 2" x 3.51# Inspirational gusiness Cards 50 Kindness Cards 125 U fi DesignslEncou $9.99 Reward Cards Sold by: Canopy Streetrm ka-ell r ror ,w i Product question? LA$kap er Condition, New ShIppling Address: ALYCE BARRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: Standard Shipping Payment Method; Visa I Last digits: 9663 Payment information Itern(s) Subtotal: $39-96 Shipping & Handling: $0.00 Total before tax: $39-96 Estimated Tax,,, $3.36 To view the status of your order, return to Q.der &Mmary C�0—ncL)—t'OnE�.-OLU—se I R[��WNQI_ice @ 1996-2020, Arnazon.com, Inc. Grand Total: $43.32 ,L -f 1 r "Alk spqrddnS-9awol wozirwy ,a4vG � � c 1 �► � tis � i� � ku ,� Ih 0 1 3 a -- VLOVI aol I$i t3B 9 ?$ # Z£ _— M - Me LZOO 9ZOR spqrddnS-9awol wozirwy ,a4vG a . azn:com Details for Order #113-3905753-7689814 Paid By,,, Grant County Placed -By: 'Celina Garcia Order Placed: May 19, 2023 Arnazon.com order number: 113-3905753-7689814 Order Total: $64.92 Not Yet Shipped Items Ordered 1. 1 of; HIME1 12 Pack 8,5X11 Acrylic Sigt7C id Ider, Tablo Menu Dl$pjay Stand a D ub, Price NO Cleat p stio 0 6, �s d Ads Picture Praraes $59.89 'Sold by, HIMEILIS (,5gljj�Lp f afjte) Business Price Condition: New shipping Address: Celina Garcia 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shippling Speed: FREE Prime Delivery Pa Mont informati .... .. ------ ------- ----- - y Ion Payment Method,-, Visa j Last digits: 9663 Item(s) Subtotal': $59.89 Shipping & Handling.- $o.00 Total before tax: $59,89 Estimated Tax,: $5,03 Grand Total, $64.9 IF 2, To view the status of your order, return to OLder. Sum� :.�.------- ff CQnd Lt'0-j1-S--0-LUa-Q I R-6v—aKv�JC1Q_eC, 1996-2020, Arnazon,corn, inc. �eCe' � ICY : � � �i Asp : s-�a ��2 J f A