Loading...
HomeMy WebLinkAboutGrant Related - BOCC (004)GRANT COUNTY BOARD OF COUNTY COMMISSIONERS To: Board of County Commissioners From: Janice Flynn, Administrative Services Coordinator Date: September 27, 2023 Re: Authorization for Release of BOCC Approved Funds, Dept of Commerce, EHF, Emergency Housing Fund Grant #24-4619D-106, New Hope, Request #1 New Hope has requested reimbursement for the above -referenced grant, per the contracted guidelines in the amount of $a'-4- The invoice and supporting �,Zl4m'R I documentation is attached for review. $ I am requesting the release of funds for payment to $ QjZLN4.34�-. Thank you. APPROVED �20230CT. NSENT New Hope in the amount of Lead Grantee Name: Report Week or Month/Year: Organization Name: New Hope NH shelter RRH 0.' G`F•1 rx - •r' ..rn+r .y". 'Tr •iu �. : a' � - ���).a+� ,?t` - i ..,,,fir i'. F'TS': . ;��1y �1•*'.� •� . ..40 'r' ' �..t is -.r �., ���._• `iqt. 3 l ., r:., a. i:. tr,. ,,h .. )- ... < i'•T •''•.e. �>C2 .,. r.11•u ' s' :`se_.. .ti . 'r�" -.R. � .,. �'$:: h f 1 .1 s ,,lit •,+ { TLS''• „+,'.. nT i.r' 1 'sr, � � 't... j'' c�;•-.�y;���1 �: �$1�. • -rYy� `.r's•, ; ;�w Yv .3.� -_ ` '_ rn rXqOR :a v `e t d � • ,1 �` " `• �r"4. n x, r .�. of ;�Vfes.. . ..... �-. ,,. :...'...,. .'-. ....., .y... r_ }_... :'. ... � .;. , :,. is '- .�. ti.'.-,-_.,•:.: ,^.t'x-, ... s...r.. .e'1 � - 1 rY 4 S / C <Su '°ort its - �ac T a z' c ! e7.. 5< a� y_ t21... f' N' "�6—nt...: i - �. ti ,� 3Yy .:.:: 1 �r ' ' o? rt'', 't :d�!,i-} ti� . 7, �' c.Kh_-", .ri �' a?'r �: t:*' �rc Fir-Si.;ryr :-4:-•:ci:.:-�ir''Jrdta� sa -f c.s�. >.., Totals $1,208.83 List Sub Grantee Names Below July 1-31, 2023 Hotel Vouchers $0.00 $0.00 $0.00 Totals f!;I-�" r T .J-'• r :tri � C0. ac �..� '{ 4 r t >.�1 t. fit 130;09 -•5 _ - s r' 'Y� S F� ;y • fes, n a r 78:7 k t W C t i �N ' I a - �O - .0 0 r •1. v.. I, t t 4 � r M re( 4 r ? 1. J $0.00 $0.00 $0.00 invoice Total: $11208.83 Amount ' charged to EHF Voucher Detail Code Salaries Calculation the grant Invoice Documentation: Salaries Staff Name 3udFode 565501100 9238.71 Tara Dieng 565501100 4948I3 TanaDieng 565501202 46.4 Total 854.05 Invoice Documentation: Benefits SuziFode 565502*** 2607.44 TanaDieng 565502*** 1893.39 l5645 156.45 119.60' Total Vendor: 27G.O5� Description GC Human Resources 565501124 HR Services Fee 6% $ B% $ 554.32 296.94 6% $ ZJO $ 854.05 6% G% l5645 156.45 119.60' $ 27G.O5� Page 1 /1 Invoice 0392774 Date 7/12/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor GRANT CO HUMAN RES PAYM6ritl Terms ID "h �b 'Otd&Nur�bi�r Vefido'00-� Ship M�thdd Document NuthJ)6%r, urc a ping 06012023 -NH. GCHRS N 3 Descriptidn.w- Arnount HR Service Fee -,dune 2023 $1,1354,67 Subtot*al $1) 354.67 $0.100 $0.00 Freight $0,00 Trade Discount $0.00 Paymeqt "0 Totat Due $ LI)3 54.67 )3 Invoice for Human Resources Services ln advance of summer grant deadlines, Human Resources is asked to use headcaunt reports to set a cost-sharing amount for each non -general fund budgets utifizing FIR services. Department New Hope invca.ie Date .0f/0 1/23 Contact Alyce Brrientaz linvo'lee Amount,: $1,354.b'7 Thj"s nvoice will be used for departments to generate vouchers for I revenue payment to Human Resources. Processing questions should be directed to the Audiltor"s Office - Accounting Department. Lead Grantee Name: Report Week or Month/Year: Org anization Name: New Hope NH Shelter 9 Y' r s , 3'� 4 J .ryF� y. 4 y� y' it 1 ;sS f" Ad 'm i ^ 1•n' ti a n� a <:Wf 0,11 1ns r ti . F .n :r - p_ a• • t : �y 4:s i t , r h '.•••,, n :c � fir' • s r 4 l J Y L i (! 7 J E,Ct- 3s; 7 S 1 C r 3 } z •t- �._ z. S U ort, ••� -�. �,. C r Fa .z ty: x r• t,1, r .•. t { t. _} J j rn...4 v, %� T• frgJ� a J >" yn /ill � �'S' �y�i+i'tY 1 Y , � � - 7:. * !, s +f '�':. , .yytt yL •rjc �I'�'14 f �, r�.0 +`�l "��'>• Sr •,tt 1��r 5 J.r�r,- r��,,� ;� t � v �t Vii. ++rrnn ,rN J t�4.t •3 ; .]4F.;J�,.f� .era'1. +, :,:.,L., ryry .ic.• er~a�Y�'`�'�T;yyµ X.:..'�t'.:5� l.1Gn� --:c.,,�J +�i rf - vr�Y. 1,'e.r. .� i tc '�k _ �JK cft:, �A7f�S�':ti., lir t�S,W?e':� '-`�A��±'=.4-t'•: Totals $1,412.29 List Sub Grantee Names Below August 1-31, 2023 RRH Hotel Vouchers Totals x t: i r r J - ",s -«.a-, - ^ ln,t J'a t'^- iE'rra�-•,'.,i'.!� S: •%oS."� :cw , .•�i t c !.. 7 ✓ . 211-1, {u ..e. ✓_:... .. . � ..,. .. Wei ,a ..a 4ww -0-1 s - •o01 � v .r. s. .iG .yWSd'. d' =.. i. tJ: r I y', a ( :y r..- f .u. {• 'r5 7 l 1001 ^1• , . ...� } ...t"fw.Sr ri.'' .F.�r-. w tf a {ry .k..."6:fi: 9,.E'.3, 4. �. .'r.;, } " •t I �. v: •:tI.:-E' t i: t:a `-- i y .. Yr..om'.I•. v ~ t ••DS 3r,. MIN 6 -- $0.00 µ $693.36. _ ... $.0.00 $0.00 $0.00 $0.00 Invoice Total: $2,105.65 a�a3 Amount charged to the CHG Voucher Detail Code Salaries- Calculatior grant Invoice Documentation: Salaries Staff Name Suzi Fode 565501100 9244.12 Tara Dieng 565501100 4949.2 Total Invoice Documentation: Benefits Suzi Fode 565502*** 2585.28 Tara Dieng 565502*** 1946.38 Total Vendor: Description Amazon (Visa) 565503100 Office Supplies US Linen 565504107 Janitorial PB Janitorial 565504107 Janitorial Mario Padilla 591657001 Office Lease Quality Inn (Visa) 565504502 Em Shelter Quality Inn 565504502 Em Shelter Marcos Baldovinos 565504580 Rent Coldwell Banker 565504580 Rent Hernandez Properties 565504580 Rent Windermere (Visa) 565504580 Rent Total 5% $ 462.21 5 1,I P 6% $ 296.95 a�4.pS' $ 759.16 .r� � a 10 5% 129.26 ,y, W 6% 116.78 � � $ 246.05 lel l�, 31 $ 11.97 �'i O'1 • � b � � � 1 b $ 43.08 ''-- $ 350.3 3(� $ 363.66�� ���C�J1 $ 32.7 $ 1,600.00 � Ing $ 11750.00 $ 31094.35 $ 11 1 County of Grant 35 C ST NW P.0, Box 37 Ephrata WA 98823 Vendor: WASHINGTON TRUST BANK.. PO BOX 217-7 SPOKANE WA 99210-2127 Document Number 9663- 07/2023 Visa Statement 07/2023 Page 1 /1 Invoice 0394894 Date 8/10112023 Purchase Order Number VendorlD Shipping Method Payment Terms ID v._._._.._,,...___�,.i_��.� M ,...�,._......._...,,µ._ WTBCC NET 30 Amount $1,778.52 Subtotal $1,77M 2 Misc $0.0 0 Tax $0. Freight 0000 Trade D ' iscount $0,00 Payment MOO Total Due $11778.52 1146 LWG 3 7 1 230802 0 PAGE 1 OF 2 1 0 4833 0030 CX48 01AC1146 Cardholder Name and Account Number VISA Page 1 of 2 NEW HOPE AMAZON GRANT COUNTY AUDITOR AXXXX_)(XXX-XXXX-9663 illy i n TrustBank WIHM? FrIc DUE 08A5,23 Remit Payment to: Mail Inquinles To., Questions? WASHINGTON TRUST BANK P.O. BOX 2127 SPOKANE, WA 99210-2127 Call Customer. Service: 800-788-4578 Pb BOX 2127 SPOKANE, WA 99210-2127 Lost or Stolen Card: 800-78'8-4078 We appreciate your businessl ayment Due Date WASHINGTON TRUST BANK August PO BOX 2127M T W �T F S Account Number XXXX-XXXX-XXXX-9663 SPOKANE, WA 99210-2127 4 5. 6 71T8W 9 110 it 12 New Balance $000 3 14� 15I LIs 192s 2s' 2 _�Z4_' Please include your account Minimum Payment Due NONE 2 F81 2 13pl 3V number on your check. Amount j"'-1 New address, phone number or e-mail? Enclosed 4� 1. 1 Check the box to the left and print changes on back NEW HOPE AMAZON WASHINGTON TRUST BANK GRANT COUNTY AUDITOR PO BOX 2127 ATTN MICHELE JADERLUND SPOKANE, WA 99210-2127 PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 #45 Transactions Post Date Account Summary Reference Account Information Statement Closing Date 08/02J2023 Previous Balance $0,00 $0,00 Credit Limit $10,000.00 Payments and Credits 07/08 Available Credit $9,966.00 +1- Finance Charge(net) $0.00 Cash Credit Limit $0,00 + Purchases $0.00 Available Cash $0.00 + Cash AdVances $0.00 $5.80 07/19 + Other'p par WOO AMAZON COM*RY3C,B8EI3 AMZNAMZN , COM1131 LLWA $17.85,- = New Balance $0.00 24692166831 BQHXJV AMZN Mktp US*U72Y75593 Arnzn,corrVbiJlW!A Information 07/20 Payment Due Date.- 0812712023 24692166831 KBY8BB -Payment Minimum Payment Due: $0.00 New Balance: $0.00 Remit Payment to: Mail Inquinles To., Questions? WASHINGTON TRUST BANK P.O. BOX 2127 SPOKANE, WA 99210-2127 Call Customer. Service: 800-788-4578 Pb BOX 2127 SPOKANE, WA 99210-2127 Lost or Stolen Card: 800-78'8-4078 We appreciate your businessl ayment Due Date WASHINGTON TRUST BANK August PO BOX 2127M T W �T F S Account Number XXXX-XXXX-XXXX-9663 SPOKANE, WA 99210-2127 4 5. 6 71T8W 9 110 it 12 New Balance $000 3 14� 15I LIs 192s 2s' 2 _�Z4_' Please include your account Minimum Payment Due NONE 2 F81 2 13pl 3V number on your check. Amount j"'-1 New address, phone number or e-mail? Enclosed 4� 1. 1 Check the box to the left and print changes on back NEW HOPE AMAZON WASHINGTON TRUST BANK GRANT COUNTY AUDITOR PO BOX 2127 ATTN MICHELE JADERLUND SPOKANE, WA 99210-2127 PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 Transactions Post Date Tram :D:=ate Reference Descriotion Amount 07/03 07/02 24092165P3OT98PTH AMZN Mktp US*E23NVISR3 Amzn.con-VbflMW1 $4 .6 07/09 07/08 24431065X2DKQW6KQ AMAZON.COM*4C5OD6B43 AMZNAMZN.CO X,,IILLWA* $46.52 07/18 07/17 2469216663025QE9M AMZN Mktp US*7L9JL2Y03 Arn;0.com/biIIWA $177.39 97/19 07/18 2443106672DJZ71KM AMZN MKTP US*4JONA5053 AMAMZN.COM1BILLWA $5.80 07/19 07118 2443106672DZA3E47 AMAZON COM*RY3C,B8EI3 AMZNAMZN , COM1131 LLWA $17.85,- 07/19 07/19 24692166831 BQHXJV AMZN Mktp US*U72Y75593 Arnzn,corrVbiJlW!A $119i22,---*' 07/20 07/19 24692166831 KBY8BB AMZN Mktp US*2QSY05043 Arnzn.com/bilfWA'�z, $961.22~ 07f24 07/19 24692166831N4LR9B AMZN Mktp US!'1636917E3 Amzn.com/biIfWA""f,. 07/21 07/20 246921669327QY255 AWN Mktp US*JV5PI8CX3 Amzn.corn/biINVA"4 $8632/" 07123 07/21 24692166A3334OFTG AMZN Mktp US*IF5US76U3 Amzn..com/b1l1\NA $33.80 07/23 07/22 24692166.833VZQEVX AMZN Mktp US'*7M1 K1 OL53 Amz.nxom/bi1,1V1/A $21-67--"'* 07124 07/23 24692166Q34RXVH0V AMZN Mktp US*Y29SP64H3 Amzn..com/biUWA 07/24 07/23 24692166Q34T3ZENT AMZN Mktp US*H02TJ6893 Amzn-corn1bi1lWA- $23`58 Ae. 07/27 07/27 24431066G2DKEZZ7Y AMZN MKTP US*T60P:P1.67BQ AMAMZN.COMIBILLWA $28.94 07/30 07128 24692166H2ZFYNRXA AMZN Mktp lJS*TH5F024K0 Ammoorn/bIlIWA $5149 08/02 08/01 24431066N2DKQXDTI AMAZON.COM*TH0QG86Q0 AMZNAMZN.COM/BILLWA $212.20 08102 08/01 24692166M32JFAP31 Amazon,com*TH2R386AO Amzn.com/billVVA Remit Payment to: Mail Inquinles To., Questions? WASHINGTON TRUST BANK P.O. BOX 2127 SPOKANE, WA 99210-2127 Call Customer. Service: 800-788-4578 Pb BOX 2127 SPOKANE, WA 99210-2127 Lost or Stolen Card: 800-78'8-4078 We appreciate your businessl ayment Due Date WASHINGTON TRUST BANK August PO BOX 2127M T W �T F S Account Number XXXX-XXXX-XXXX-9663 SPOKANE, WA 99210-2127 4 5. 6 71T8W 9 110 it 12 New Balance $000 3 14� 15I LIs 192s 2s' 2 _�Z4_' Please include your account Minimum Payment Due NONE 2 F81 2 13pl 3V number on your check. Amount j"'-1 New address, phone number or e-mail? Enclosed 4� 1. 1 Check the box to the left and print changes on back NEW HOPE AMAZON WASHINGTON TRUST BANK GRANT COUNTY AUDITOR PO BOX 2127 ATTN MICHELE JADERLUND SPOKANE, WA 99210-2127 PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 t 1, Paid By: Grant County Placed By-, Alyce Barrientoz Order Placed: July 17,, 2023 PO number -,- Office Supply - TD Arnazon.com order number: 113-4104531-4320204 Order Total: $5,80 Not Yet Shipped Items Or ered Price 1 Of: Invoibler 3 Pack Screen Protector Compatible with if hone 13113 Pro/14, Phone 13113 Pro114 Screen Protector Tempered $5.35 Glass, 6.1 Inch [HD Clear] jAnti-Scratch) [Case Friendly] [Bubble Free] Sold by: InvoiblerO seller profile-) Condition: New . . . . . . . . . . . . . . . -. . - - - - - - - - - A - - - - - - - - - Shipping Address: AL BARRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Pritme Delivery Payment information Payment Method: Item(s) Subtotal: $535 Visa Last digits,.,, 9663 Shipping & Handling.- $0.00 Total before tax: $5.35 Estimated Tax- $0.45 Grand Total: MOO To view the status of your order, return to Order SuLnma[y . CondWons 1 X PrL U$ Notice Q 1996-2020, Arnazon.com, Inc. I - 7/17/23,12:08 PM Amazon.com -Carder 113-0567989-8174601 amazon.com, Print this p_ggj2jgjr_ygi, j r _reLpLd Paid By: Grant County Placed By,, Alyce Barrientoz Order Placed,,, July 17, 2023 PO number: Office Supply - TD Arnazonxom order number: 113-0567989-8174601 Order Total: $17.8S Items Ordered Price 1 of 4 Speck iPhone 13 Case - Drop Protection & Scratch Resistant Dual Layer Case - Buift for $16.47 Ma e" Slim Design with Soft Touch Coating for 6.1 Inch Phones - Prussian Blue, Cloudy Cray CandyShell Pro Sold by: Amazon.com Services LLC Supplied by: other Condition: New Shipping Address: ALLY BARRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States -Shipping Speed,* Amazon Day Delivery Payment "Information Payment Method: Itern(s) Subtotal- $16.47 Visa Last digits. 9663 Shipping & Handling: $0.00 Total before tax: $16.47 Estimated tax to be collected: $1.38 Grand Totalk$17.85 To view the status of your order, return to Q_rd,gr,.Su.mmary. Conditions of Use Priva Notice 1996-2023, Arnazon,corn, its affiliates E�y inc. or i https://www.amazon.comfgp/css/summarylprint.h.tmi/ref=ppx_ya—dt b—invoice_oO1 ?ie=UTF8&orderlD=1 13-0567989-8174601# 111 5 page I /I Inyoice 0393690 Date 7/26/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: U.S. Linen Uniform 1106 Harding St. Richtand WA 99352 Document Number Purchase Order Number VendorlD Shipping Method Payment Terms ID 3167914 USLUFNET 30 WI Description: Amou Janitorial. Supplies $88.02.! w..,..._...._..,......,.. ..a.... ... Subtotal $88.02 Misc 0,00 Tax $0.00 Freight $0.00 Trade Discount 0.00 Payment $0.00 Total Due $88.02 ,�I" ��� � .. �� +� ,. Page I / 1 Invoice 0394680 Date 8/9/2023 County of Grant 15 C ST NW P.O. Box 37 Ephrata WA 98823 �t Vendor, U.S. Linen Uniform 1106 Harding $t. Richland WA 99352 .. . ......... . ..... I . . ............ .. . ................... . Document Number Purchase Order Number VendorlD Shipping Method Payment Terms ID ..... ... ... . - --------- 3175178 USLUF . . ........ Description -4 Amount Janitorial . .. ..... ............ . ..... . ............... Subtotal $88.02 Misc $0,00 Tax $0.00 Freight $0.00 Trade Discount $0,00 Payment $0.00 Total Due $88.02 Page I /I Invoice 0395570 Date 8/23/2023 County of Grant 35 CST NW P.O. Box 37 Ephrata WA 98823 Vendor-, U.S., Linen Uniform 1106 Harding St. Richl,and WA 99352 Document Number Pur hasOrderNumber VendorlD Shipping Method Payment Terms ID 3182391 Description: Amounti Janitoriat $88.021 ..... ......... . . . ...... ............. . .... . . __J Subtotal $88.02 Mi'sc $0.00 Tax $0,00 FnMght $0.00 Trade Discount $0.00 Payment $0.00 Total Due $88.02 zwo" uvAi sn County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: PAIGE BARRIENTOZ 1622 S WALLACE ST MOSES LAKE WA 98837 Document Number Purchase Order Number VendorlD 202308 Janitorial Page 1/1 Invoice 0394193 Dato 8/2/2023 ----- - Shipping Method Payment Terms ID .... . ........ Amount $950.00 Subtotal $950.00 .Misc $0.00 Tax $0,00 Freight $0.00 Trade Discount $0,00 Payment $0.00 Total Due $950.00 PB JANITC)R[AL 1622 S WALLACE ST, MOSES LAKE, WA 98837 Y)9-989-4252 BARRIEN TOZP.AIGE22@G MAIL, (.',0M Description AUGUST JANITORIAL AUGUST WINDOW WASHING ILLI Date: 08/01/2023 INVOICE # 202308 To NEW HOPE .311 W THIRD AVE MOSES LAKE, WA 98837 509-764-8402 SFODE@GRANTCOUNTYWA.GOV ABA RR1ENT0Z@GRANT C0UNTYWA.G0 v Line Total 750.00 Total 950-00 Malke, all checks payable to PAIGE BARRIENTOZ Thank you for your business! 4 00 , 0 Page I /I Invoice 0392931 Date 8/19/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: PADILLA, MARIO 10281 BASELINE E RD MOSES LAKE WA 98837 Document Number Purchase Order Number VendorlD Shipping Method Payment Terms ID ... .. w.s.... •� ,6;�S—c P-t-i,o,n: Amount LEASE AGREEMENT $3y851.68 Subtotal $3,851.68 Misc $0.00 Tax $0,00 Freig. ht $0.00 Trade Discount $O.00 Payment $0.00 Total Due $3)851.68 IhL County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor.-- PADILLA, MARIO 10281 BASELINE E RD MOSES LAKE WA 98837 Document Number 7 -11-7I31124 Description: LEASE AGREEMENT Page 1 /1 Invoice 0393287 Date 8/19/2023 Purchase Order Number VendorlD Shipping Method ..�w _.._� Payment Terms ID PADILM Amount $3,874-53 Subtotal $3,874.53 MEsc $0.00 Tax $0.00 Freight $0.00 Trade Discount som Payment $0,00 Total Due $31874.53 T aY � ir- -- ais 4�l .......... rF ��rf}fr 8k 3 P7s•Yi.T: t._.. :....,l ie + �....... .. :6 84 3# �. itV fs '�• s4 ,# 4 ! 1E .,..Py.i....v_.,......_.�..y.. MWEr �r.r�is3� .p.�.,.@,�.....�,.„-:....#. �i� - _ it - Irm offl(t 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 NumberI Purchase Order Number 7139 - 0712023 I escriptlow VISA Statement Page 1 /1 Invoice 0394844 Date 8/9/2023 - ------- Vendor l Shipping M6thod Payment Terms ID 30 Amount $4�682.60 Subtotal $4j682..60 Misc $0.00 Tax $0.00 Freight $0.00 Trade Discount $0,0 -0 - Payment $0.00 Total Due $4:682.60 1146 LVVG 3 7 1 230802 0 PAGIE I OF 2 1 0 4833 0030 CX48 01 ACI 146 Cardholder Name and Account Number 111SA Page 1 of 2 ALYCE BARRIENTOZ GRANT COUNTY XXXX-XXXX-XXXX-7139 V4 in" Trust Bank DUE 0.1 5.23 - - ----- Account Information #34 F- Account Summary Transactions — - --- ----- - Staten -tent Closing Date 08/02/2023 Previous Balance $0.00 Credit Urnh $7,500.00 Payments and Credits $0.00 Available Credit $7,500.00 +1- Finance Charge not) $0.00 Cash Credit Limit $0.00 + Purchases MOO Available Cash $0.00 + Cash Advances $0.00 $1 19.23 07/12 + Other Charcies $0-00 LOWE$ #00907* 866-483-7521 NC $410,84 New Balance $0.00 244921563RTPXBDSB JAMIES AUTO 402-935-7733 WA Payment Information 07/14 Payment Due Date. 08/2712023 2471705627X8NB5EF Minimum Payment Due: $0.00 New Balance: $0.00 Remit Payment to: WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 212.7 SPOKANE, WA 99210-2127 Please include your account number on your check. Now address, phone number or e-mail? Check ft box to the left and print changes an back, WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Mail Inquiries To: P.O. BOX 2127 SPO KAWE, WA 99210-2127 We appreciate your bur siness'l Account Number New Balance Minimum Payment Due Qu tions? Call Customer Service'. 800-788-4578 Lost or Stolen Card: 8bO-788-4578 Pa ;e,nt Due Date August, M T F XXXX-XXXX-XXXX-7139 T W S J- 21 -3- 6 7 8 9 $0.00 13. 14 jUj§, 17 118 1 ia-12, zz 23 2 NONEZ� 8 7 J. 2 � --_j 'iZ Amount a"" Enclosed ALYCE BARRIENTOZ GRANT COUNTY ATTN MICHELE JADERLUND PO BOX 37 EPHRATA VVA 98823-0037 000000000000000041295700310271393 Transactions — - --- ----- - Post Date Trans Date Reference Description Amount 07107 07/06 24055235V2DKS6DIV WALMART.COM 800-966-6546 AR $6939 07/07 07106 T 24492155WO I YJBK21 AF*WNDERMERE PROPERT. 609-765-5691 WA 35 00 $ 1 07/12 07/10 2416407603IT8TYPK STAPLES 00113019 MOSES LAKE WA $1 19.23 07/12 07111 2469216602XYXV209 LOWE$ #00907* 866-483-7521 NC $410,84 07/14 07113 244921563RTPXBDSB JAMIES AUTO 402-935-7733 WA $704.58 07/14 07113 2471705627X8NB5EF WALKERS FURNITURE AND MATIVIOSES LAKE 'WA $32.48 07116 07114 2444500642XB58NOS,\% -WALMART.GOM800966,6,546 800-966-6546 AR $87.74,o'eo' 07/17 07/13 2413746652XVOMH4N U-HAULT&M SURPLUS MOSES LAKE WA $189-001- 07/19 07/117 2413746675SDZTQHT AUTOZONE #3732 MOSES LAKE WA $23-40 07/19 07118 24692166730X6X005 WALMART.COM 800-966-6546 AR $140.74 07123 07/21 24692166A33HPLVLG 41MPRINT, INC 41MPRINT.COM W $2,298.24-0 07123 07/21 24906416A56HZPQAB Trupanion trupanionxornWA $123.65 < 07126 07120 7469216.6F2XDRYZSM SQ *SHENANIGENZ WARDEN WA -$395.00 11' 07128 07/27 24692166G2YJSLOY9 WALMART.COM 800-966-6-546 AR $26-31 07/30 07127 24137466H5SDP6A8D AUTOZONE #3732 MOSES LAKE WA $43.34/0 07/30 07/28 246921.66H2ZHR1=G8P PARCHMENT-UNIV DOCS 480-719-1646 AZ $15.00 08/02 07/31 24755426M4DN3KR75 QUALITY INNS OTHELLO WA $363.66-, "` Remit Payment to: WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 212.7 SPOKANE, WA 99210-2127 Please include your account number on your check. Now address, phone number or e-mail? Check ft box to the left and print changes an back, WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Mail Inquiries To: P.O. BOX 2127 SPO KAWE, WA 99210-2127 We appreciate your bur siness'l Account Number New Balance Minimum Payment Due Qu tions? Call Customer Service'. 800-788-4578 Lost or Stolen Card: 8bO-788-4578 Pa ;e,nt Due Date August, M T F XXXX-XXXX-XXXX-7139 T W S J- 21 -3- 6 7 8 9 $0.00 13. 14 jUj§, 17 118 1 ia-12, zz 23 2 NONEZ� 8 7 J. 2 � --_j 'iZ Amount a"" Enclosed ALYCE BARRIENTOZ GRANT COUNTY ATTN MICHELE JADERLUND PO BOX 37 EPHRATA VVA 98823-0037 000000000000000041295700310271393 Quality - INN BY CROia HOTELS NEW HOPE, NEW HOPE 311 W 3RD AVE Moses Lake, WA 98837 Quality Inn {WA2$3) 1020 E Cedar Street Othelloto 99344 (509)488-5671 WA283@stayatchoice,com Account: 882398931 Date* 7131123 Room: 216 BAR Arrival Date, 7/28123 Departure Date: 7131/23 Check In Time; 7/28/23 3:12 PM Check Out Time: 7/3112.3 1:00 PM Rewards Program ID: You were checked out by: JMONRO You were checked in by: snelso Total Balance Due: 0.00 Post at DescriptilonCom ment 7/28/23 Room Charge #216 NEW HOPE, NEW HOPE 7/28/23 State Tax 7/28/23 City / County Tax 7/28123 Occupancy Tax 7129123 Room Charge #216 NEW HOPE, NEW HOPE 7/29/23 State Tax 7/29123 City / County Tax 7/29/23 Occupancy Tax 7/30/23 Room Charge #216 NEW HOPE, NEW HOPE 7/30/23 State Tax 7130123 City / County Tax 7/30/23 OGoupancy Tax 7/31/23 Visa Payment XXXXXXXXXXXX7139 FoUl'o Summary 7128/23-7131123 Room. Charge State Tax City / County Tax Occupancy- Tax Visa Payment With this rate you are able to earn valuable Choice Privileges points! Y CHOICE privileges. Vf!WA001 Amount 110.00 7 18 1.87 2.20 110 .00 7.15 1.87 220 110,00 741 5 1.87 2.20 (363.66) 330.00 21.45 5.61 6.60 (363-66) Balance Due: 0.6 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-pri'vileges. Quality, 1 N N 13Y C14010E HOTELS NEW HOPE Account: 880377117 HOPE, NEW Date, 7/28/23 449 MELVA LN Room: 106 1-1000NS Moses Lake, WA 98837 Post Date Description 7/17/23 Room Charge 7/17/23 State Tax 7/18/23 Room Charge 7/18/23 State Tax 7/19123 Direct Bill 7/19123 Direct Bill 7/19/23 Room Charge 7/19/23 State Tax 7/20123 Room Charge 7120/23 State Tax 7/21/23 Room Charge 7/21/23 State Tax 7/22123 Direct Bill Room Charge State Tax Direct Bill Comment #106 HOPE, NEW #106 HOPE, NEW Correction #106 HOPE, NEW #106 HOPE, NEW #106 HOPE, NEW I Folio Summary 7/17/23 *, 7122123 With this rate you are able to earn valuable Choice Privileges points'. ti Amount 6U0 5.94 60,00 5.94 (131 .88) 131.88 69.010 5.94 60.00 5,94, 60.00 5.94 (329.70) 300,00 ((32Z9.770) Balance Due, (329.70) will be billed to-, Account 2277219 NEW HOPE, 604 West Third, Suite 8 , Moses Lake, WA 98837 X CHOICE A privileges. RUWANDS 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/cho*lce-priv*lleges. Account: 880377117 Qualfty Inn (WA255) Date, 7/28/23 449 Melva Lane Room: 106 1-1000NS Moses Lake, WA 98837 Arrival Date: 7/17/23 (509) 765-8886 Departure Date: 7/22/23 1/ A255@sta.yatchoice.com Check in Time: 7117123 916 AM Check Out Time: 7/22123 10:14 AM Rewards Program ID. You were checked out by: carred You were checked in by: carred Total Balance Due: 0.00 Comment #106 HOPE, NEW #106 HOPE, NEW Correction #106 HOPE, NEW #106 HOPE, NEW #106 HOPE, NEW I Folio Summary 7/17/23 *, 7122123 With this rate you are able to earn valuable Choice Privileges points'. ti Amount 6U0 5.94 60,00 5.94 (131 .88) 131.88 69.010 5.94 60.00 5,94, 60.00 5.94 (329.70) 300,00 ((32Z9.770) Balance Due, (329.70) will be billed to-, Account 2277219 NEW HOPE, 604 West Third, Suite 8 , Moses Lake, WA 98837 X CHOICE A privileges. RUWANDS 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/cho*lce-priv*lleges. Page I /I Invoice 0395571 Date 8123/2023 County of Grant 35 C Si NW P.O. Box 37 Ephrata WA 98823 Vendor: MARCOS BALDOVINOS 403 W 14TH AVE ELLENSBURG WA 98926 Document Number Purchase Order Number Vendor D.. Shipping Method BALDM Description,-, . ....... . .. ....... . ...... Client EFA Payment Terms ID Amount $4yOOO.00 Subtotal, $4r000.00 MISC $0.00 Tax, $0.00 Freight $0.00 Trade Discount $0.00 Payment Total Due GRANT COUNTY New Hope/Kids Hope Kip t; Hope "lav, OW. -O Xlle'IfAl -4 1 PROMISE TO PAY Date ....... ... Sfk \ \ \'L'a Deposit with Pets Total Amount $4000.00 All bills mu the itemized in detail on flu's 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 - ISSUED: Retum Voucher To: Grant County New Hope/Kids Hope New Hope/Kids Hope Advocate 311 W Third Avenue Moses Lake, WA 98837 I hereby Certify on Honor, that the goods, merchandise, material or service charged for in the above bill have been fimAshed as herein charged. DATE: q V \Nxq.'� [:] ail, Mment,,.to,gbqve.,ad Check one: MArM s. CANNOT BE USED FOR ALCOHOL, TOBACCO, PRE -PAID OR GIFT CARDS. QalMartt Will pick -un vEmgnt at Ngw'.Hone Vouchers received by 12-00 pm Wednesday will have payment available the following Thursday. A, I County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, Cotdwell Banker 1000 S Pioneer Way Moses Lake WA 98837 Document Number Purchase Order Number VendorlD 080 i4—i3—. P G CLDBK Description! Uent EFA Page 1 /1 Invoice 0394217 Date 8/212023 Shipping Method 1, Payment Terms ID Amount 51s600.00 Subtotal $I *,600I,00 Misc $0400 Tax $0,00 Freight $0-.00 Trade Discount $0.00 Payment Total Due 0,600 �.MERGENCY FINANCIAL ASSIST'% NCE REQUEST FORM, _I ffl�% Staff� • Date Submitted. +p3 y,: gs.f�Ye} ,p *A.a,. - �rz tomorrows. # ,y�.l�. now gmni gs,, bei 'fYt morr ws. mount .requested Type client: XDV ' CV El CAG Children: Client ID: a ClientIsHome City L .: ,. � . , 3 Aft ftq Is hAt"i y *. -'�Jhr e'' ..'. .- '...., _. .- : ... .. ,...,. ... .. .. ... ,'. .: :. ,. .,. .. .:. h 'fir. • Background check for housing Mortgage Exp i • Children's needs • Debt assistance DriveCsr license � Bernice DVPO • Utilities bills • • Education training • Bus fare to return home Security Assist � Dental Assist : • . . ° Cell phone to seek work/housing� Car payments Food/Necessities, • Far ily well 'being 5 , J S f- \:? rt 44 na -sur- r � 1 Dousing Authority Salvation Army Serve MUQuinc • DSHS CPS +� Familycontribution Friend contribution : .. -. r .Sit .. .: ,.. _, .. .. - .: .. ..'. uperviso .r.lA O. k -107 r, •'w eme 4t '..�. ., ... .. i. M. M aaggee�__ :. frr ng f M AWS!' R; .....': Y.. jy t 1 : pr�, �.w [ICV . PRO RAM'. "ODSHS : 'M_/` - . .. .'.111r. ,-, : METHOD OF V ounV VoucherPWft Include back up documentation: (Receipt, Copy of Check, W-9 if Applicable) Updated: 07/27/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Ven,dor: HERNANDEZ PROPERTIES LLC PO BOX 3123 OTHELLO WA 99344 Document Number 08012023 -PG Description* Client EFA Purchase Order Number I Vendor ID Page 1 11 Invoice 0394218 Date 8/2/2023 Shipping Meth Payment Terms ID y �.V Subtotal Misc Tax Freight Trade Discount Payment Total Due Amount $1,750.00 $1,.750.00 $0.00 $0.00 $0.00 $0.00 (:E$1177506 41,9. Pale e I/ I Invoice 0394835 Date 8/9/2023 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 Numb Purchase Order, Number VendorlD Shipping Method Payment Terms ID 84963- - -67 2023WT13 CC NET 30 Description* —rnaunt, VISA Statement 07/2023 419 9.5 Subtotal $4,t939.51 MISC $0.00 Tax $0.00 Freight $0X0 Trade Discount $0-m Payment $0,00 Total Due $4,1939.51 1146 LWG; 3 7 1 230802 0 PAGE 1 OF 2 1 0 4833 0030 CX48 01AC1146 Cardholder Name and Account Number Page I of 2 NEW HOPE SHELTER ADVOCATE IfISA GRANT COUNTY m"nk Xxxx- xXxx-x XXX -8493 lily DUE 8.1 5.23 I-- Account. Information 1 1 #14 Account Summary Transactions Statement Closing Date 08/02/2023 Previous Balance $0.00 Credit Limit $20,000.00 Payments and Credits $0.00 Available Credit $19,980.00 Finance Charge(not) $0.00 Cash Credit Limft $0.00 + Purchases $0.00 Available Cash S0.00 + Cash Advances $0.00 194.04 07114 + Other Gta�es $0.00 LEP-RE-KON HARVEST MOSES LAKE WA $11.82 Now Balanco $0,00 Payment Information Payment Due Date., 08127/2023 Minimum Payment Due: $0.00 New Balance, $0,00 Remit Payment to: WASHINGTON TRUST BANK Mail Inquiries To: P.O. BOX 2127 SPOKANE, WA 99210-2127 Questions? Service: 800-788-4578 Call CustQrner, Transactions Post Date Trans late Reference Description Amount 07/07 07105 24793385VO284H92M GREYHOUND Los Angeles CA August VV2 S M 7 S 07109 07107 2444500.5X2XALAJH9 WALMART.COM 8009666546 BOM66-6546 AR)C 7. 01 11 12.. 07/13 07/12 2444500628LLF7JK3 \NM SUPERCENTER #2007 MOSES LAKE WA 194.04 07114 07113 244273362MHE4VPE9 LEP-RE-KON HARVEST MOSES LAKE WA $11.82 07/14 07113 24692166297D85,YGG MOSES LAKE 509-764-3717 WA $119.40 07118 07117 2444500665SB8SVRP WALMART.COM 8009666546 800-966-6546 AR $172.36 07119 07118 244450WBLP54VJQ WNI SUPERCENTER #2007 MOSES LAKE WA $45-02 07/20 07119 244460069BLP46SR5 M SUPERCENTER #2007 MOSES LAKE WA $21-55 07/27 07125 24071056FVAMFG8PK PACK IT STOR IT PARK I FERNLEY NV $100.00 07127 07/25 24231686F,RBGJYLF9 SAFEWAY#3252 MOSES LAKE WA 07/27 07126 24492156GO7X641 LA AF*WNDERMERE PROPERT. 509765-5691 WA 07/27 07126 24492156GOTX647Q5 AF*WINDERMERE PR PERT. 509-765-5691 WA $10 7.18 07/30 07/28 241.57466J5SEG08F4 AUTOZONE #3732 MOSES LAKE WA $19.50 08/01 08/01 24492156MLY7JKMR1 EB THE POWER OF STORY 801-413-7200 CA'` - $875.00 08/01 08101 24492156MLY7RHTVT EB THE POWER OF STORY 801-413-7200 CA $175.00 08/02 08102 00000000000000NIPC TOTAL PURCHASES $4,939.51 TOTAL $4,039-51 Remit Payment to: WASHINGTON TRUST BANK Mail Inquiries To: P.O. BOX 2127 SPOKANE, WA 99210-2127 Questions? Service: 800-788-4578 Call CustQrner, PO BOX 2127 SPOKANE, VJA 99210-21-27 Lost or Stolen Card* f800-788-4578 We appreciate your businns st :F Payment Due Date WASHINGTON TRUST BANK August VV2 S M 7 S PO BOX 2127 Account Number XXXX-XXXX-XXXX-8493 ...... 4F "'-3T 5 1 1 SPOKANE, WA 99210-2127 7. 01 11 12.. New Balance $0.00 13t14115 16 '17 18,191 Please include your account Minimum Payment Due �A j, 12 2-L4 25 1 26 NONE 27 s 29!30 31 number on your check: Amount$ New address, phone number or e-mail? Enolosed Check the box tothe left and pdnt charges on bark, NEW HOPE SHELTER ADVOCATE .,% 0 WASHINGTON TRUST BANK GRANT COUNTY � ��`� ' ' PO BOX 2127 ATTN MICHELE JADERLUND Ln + � y SPOKANE, WA 99210-2127 PO BOX 37 t `s EPHRATA WA. 98823-0037 03 5 000000000000000041295700310084937