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
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is -.r �., ���._• `iqt. 3 l
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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
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1
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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
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p_
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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 ..........
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-
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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