HomeMy WebLinkAboutGrant Related - BOCCGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: BOCC
REQUEST SUBMITTED BY: Karrl@ Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton
CONFIDENTIAL INFORMATION: ❑YES ❑NO
❑Agreement / Contract
❑ Bids / RFPs / Quotes Award
❑Computer Related
❑ Facilities Related
❑ Invoices / Purchase Orders
❑ Minutes
❑ Policies
❑ Recommendation
❑Tax Levies
❑AP Vouchers
❑Bid Opening Scheduled
❑County Code
❑Financial
® Grants — Fed/State/County
❑Ordinances
❑ Proclamations
❑ Professional Sery/Consultant
❑Thank You's
DATE. 12/21 /2023
PHONE:ext. 2937
❑Appointment / Reappointment
❑ Boards / Committees
❑ Emergency Purchase
❑ Funds
El Leases
❑ Out of State Travel
❑ Request for Purchase
❑Support Letter
❑Tax Title Property
❑ABPA Related
❑ Budget
❑Employee Rel.
❑Hearing
❑ MOA / MOU
❑Petty Cash
❑ Resolution
❑Surplus Req.
❑WSLCB
U 1: IN
E"
Reimbursement request from New Hope on the Department of Commerce Federal
Federal Interagency Agreement, Emergency Housing Fund (EHF) Grant No. 24-4619D-106
in the amount of $2,486.20 for October expenses.
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
1
DEFERRED OR CONTINUED TO:
Lead Grantee Name:
Report Week or Month/Year:
Organization Name: New Hope. NH Shelter RRH
Ad rn i n
_
4Q2 11 "
� �.2+�a \� � � a al. a a \ %!�"� � ; wt,t a .+ a �.}m "•�G �U,_a, ti
•t <.:,.e ! y�'v {
\ \ �p„i3 t'hw�
Operations yQ f w A til \���\n`�i tabZa �axC�G� \rZK\za aktS \Sa $ 6 2 aM
.q):�\y�F�..AI.
19'
Facility,Support
Totals $2,021.33
List Sub Grantee Names Below
October 1-31, 2023
Hotel Vouchers
$0.00 $464.87 $0.00
Amount
charged to
EHF Voucher Detail Code Salaries Calculation the grant
Invoice Documentation: Salaries
$ 369.76
12%
Staff Name
6%
$ 304.43
Suzi Fode
565501100
9244.12
Elsa Borrego
565501100
4190.61
Tara Dieng
565501100
5073.82
Tara Dieng Overtime
565501202
71.36
Total
Invoice Documentation: Benefits
Suzi Fode 565502*** 2558.57
Elsa Borrego 565502*** 1786.58
Tara Dieng 565502*** 2018.92
Total
Vendor:
Mario Padilla
PB Janitorial
US Linen
Amazon (Visa)
Quality Inn (Visa)
Description
591657001 Office Lease
565504107 Janitorial
565504107 Janitorial
565504107 Janitorial Supplies
565504502 Emer.Shelter
Total
4%
$ 369.76
12%
$ 502.87
6%
$ 304.43
6%
$ 4.28
$ 1,181.35
4%
102.34
12%
214.39
6%
121.14
$ 437.87
$ 350.39
$ 43.08
$ 7.98
$ 0.66
$ 464.87
$ 866.98
Page 1 / 1
Invoice 0398674
Date 10/4/2023
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 Purchase Order Number Vendor ID Shipping Method Payment Terms ID
89280024 QUALI NET 30 ��
Description. Amount
Emergency Shelter $201.11
Subtotal
$201.11
Misc
$0.00
Tax
$0.00
Freight
$0,00
Trade Discount
$0.00
Payment
$0.00
Total Due
$201.11
Account: 892800024
Date: 10/4/23
Room: 110 WCONS
Arrival Date: 9/30123
Departure Date: 10/3/23
Check In Time: 9/30/23 11:26 PM
Check Out Time: 10/3/23 11:14 AM
Rewards Program ID.'
You were checked out by: imacke
You were checked in by: BLOPES
Total Balance Due: 0.00
Post Date
Quality Inn (WA255)
,,,
449 Melva Lane
AW%6
Quality-
Moses Lake, WA 98837
I N N
(509) 765-8886
ay CHOICE- HOTELS
WA255@stayatchoice.com
NEW HOPE
5.94
HOPE, NEW
Room Charge
Account: 892800024
Date: 10/4/23
Room: 110 WCONS
Arrival Date: 9/30123
Departure Date: 10/3/23
Check In Time: 9/30/23 11:26 PM
Check Out Time: 10/3/23 11:14 AM
Rewards Program ID.'
You were checked out by: imacke
You were checked in by: BLOPES
Total Balance Due: 0.00
Post Date
Description
Comment
Amount
9/30/23
Room Charge
#110 HOPE, NEW
60.00
9/30/23
State Tax
5.94
10/1/23
Room Charge
#110 HOPE, NEW
60.00
10/1123
State Tax
5,94
10/2/23
Room Charge
#110 HOPE, NEW
59.99
10/2/23
State Tax
5.94
10/3/23
Direct Bill
(197,81)
Folio Summary 9/30123 -1014123
Room Charge
179.99
State Tax
'17.82
Direct Bill
(197,81)
Balance Due*. 0.00
With this rate you are able to earn valuable
Choice Privileges points!
(201.11) will be billed to: Account 2277219
NEW HOPE, 604 West Third, Suite B , Moses Lake, WA 98837
X
CHOICE
privileges.
REWARDS
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.
With this rate you are able to earn valuable
Choice Privileges points!
(201.11) will be billed to: Account 22772.19
NEW HOPE, 604 West Third, Suite 13, Moses Lake, WA 98837
X
40 CHOICE
privileges.
NtWA*00
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.
Quality Inn (�1/A2a5)
Account: 892800024
Date: 10/4/23
449 Melva Lane
Room: I10 WCONS
Quality- Moses Lake, WA 98837
Arrival Date: 9/30/23
INN
(509) 765-8886
Departure Date: 10/3/23
BY CM01CS NOTCLS
WA255@stayatchoice,com
Check In Time: 9/30123 11-26 PM
NEW HOPE
Check Out Time: 10/3/23 11;14 AM
HOPE, NEW
Rewards Program ID:
You were checked out by: jmacke
You were checked in by: BLOPES
Total Balance Due: 0.00
Post Date
Desen"ptiion Comment
Amount
9/30123
Safe w/ltd Warranty
1.50
9/30/23
State Tax
0.15
10/1/23
Safe w/ltd Warranty
1.50
1011/23
State Tax
0.15
10/2/23
Direct Bill
(131.88)
10/2/23
Direct Bill
(3.30)
101/2/23
Direct Bill Correction
131,88
10/4/23
Safe w/ltd Warranty Adjustment
(3.00)
10/4/23
State Tax Adjustment
(0.30)
10/4/23
Safe w/ltd Warranty
3.00
10/4123
State Tax
0.30
Folio Summary 9/30123 - 10/4/23
State Tax
0.30
Direct Bill
(3,30)
Safe w/ltd Warranty
3.00
Balance Due:
0.00
With this rate you are able to earn valuable
Choice Privileges points!
(201.11) will be billed to: Account 22772.19
NEW HOPE, 604 West Third, Suite 13, Moses Lake, WA 98837
X
40 CHOICE
privileges.
NtWA*00
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.
Shelter/Hotel.:
Date In:
Program:
DV
Hotel
9/30/2023
Client (First Initial & Last Name):
Year of Birth. 1981
Case ID: 712064
Secondary #1 YOB: 2008
Secondary #2 YOB:
Secondary #3 YOB:
Secondary #4 YOB:
Secondary #5 YOB.,
Secondary #6 YOB:
Previous Living Situation?:
Where did client exit to?:
Payment Grant: DSHS Shelter
Client Shelter Form
M. Shelton
Hotel Name/Room in Shelter: Quality Inn #110
Date Out: 10/3/2023
Review Shelter Guidelines: Yes
Invoice Turned In-, Yes
Client ID: GML28370
NCA Trak: 2023-630
Gender:
Gender:
Gender:
Gender:
Gender-,
Gender:
Rental by client, no ongoing subsidy
Staying or living w/family
Comments: . Abe On-call passed case to TD.
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 Purchase Order Number
891867511
Description:
Emergency Shelter
UALI
'vendor IIS
Page 1 / 1
Invoice 0398678
Date 10/4/2023
5hippin Method Payment Terms ID
NET 30
Amount
$263.76
Subtotal
$263,76
Misc
$0.00
Tax.
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0,00
Total Due
$263.76
u Y.
afit
I N N
BY CHOICE HOTELS
NEW HOPE
HOPE, NEW
17776 NE 90TH ST APT S393
Redmond, WA 98052
Quality Inn (WA255)
449 Melva Lane
Moses Lake, WA 98837
(509) 765-8886
WA255@stayatchoice.com
Account: 891867511
Date: 10/4123
Room: 108 I-MCONS
Arrival Date: 9/25/23
Departure Date.- 9/29/23
Check In Time: 9/25/23 3,41 PM
Check Out Time: 9/29/23 11,27 AM
Rewards Program ID:
You were checked out by: jmille
You were checked in by: skirby
Total Balance Due: 0.00
Post Date
Description
Comment
Amount
9/25/23
Room Charge
#108 HOPE, NEW
60.00
9/25/23
State Tax
5.94
9126/23
Room Charge
#108 HOPE, NEW
60.9O
9/26/23
State Tax
5.94
9/27/23
Room Charge
#108 HOPE, NEW
6000
9/27/23
State Tax
5.94
9128/23
Room Charge
#108 HOPE, NEW
60.00
9/28/23
State Tax
5,94
9/29/23
Direct Bill
(263.76)
Folio Summary 9125123 - 9/29/23
Room Charge
240.00
State Tax
23.76
Direct Bill
(263.76)
Balance Due., 0.00
With this rate you are able to earn valuable
Choice Privileges points!
(263.76) Will be billed to: Account 2277219
NEW HOPE, 604 West Third, Suite B, Moses Lake, WA 98837
X
4p, -d CHOICE
privileges.
IVEWA*01'
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by stopping by the front desk, or logging on to
www.choicehotels.com/choice-privileges.
Quality -
INN
BY CHOICE HOTELS
NEW HOPE
HOPE, NEW
17776 NE 90TH ST APT 8393
Redmond, WA 98052
Post Date Description
9/27123 Direct Bill
9/27123 Direct Bill
Direct Bill
Quality Inn (WA255)
449 Melva Lane
Moses Lake, WA 98837
(509) 765-8886
WA255@stayatchoice.com
Comment
Correction
Account: 891867511
Date: 10/4/23
Room: 108 WCONS
Arrival Date: 9/25/23
Departure Date: 9/29/23
Check In Time: 9/25/23 3:41 PM
Check Out Time: 9/29/23 11.27 AM
Rewards Program ID:
You were checked out by: jmille
You were checked in by: skirby
Total Balance Due: 0,00
Amount
(131.88)
131.88
Folio Summary 9/25/23 - 9/29/23
With this rate you are able to earn valuable
Choice Privileges points!
X
CHOICE
privileges.
"eWA"0$
M E
Balance Due: 0.00
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.choicehoteIs.com/choice-privileges.
Shelter/Hotel:
Date In:
Program:
DV_
Hotel
9/25/2023
Client (First initial & Last Name):
Year of Birth: 1992
Case ID: 711606
Secondary #1 YOB: 1982
Secondary #2 YOB: 2019
Secondary #3 YOB: 2022
Secondary #4 YOB:
Secondary #5 YOB:
Secondary #6 YOB:
Previous Living Situation?,
Where did client exit to?:
Payment Grant:
Client Shelter Form
A. Brown
Hotel Name/Room in Shelter: Quality:lnn-Rm 108
Date Out:
Review Shelter Guidelines: Yes
Invoice Turned In.
Client ID: GML33107
NCA Trak: 2023-617
Gender: Male
Gender: Male
Gender: Female
Gender:
Gender:
Gender:
Rental by client w/RRH car equivalent Subsidy
Comments: Client and family fled home due to violent sexual assault and ongoing stalkinj
Amount Due Due Date
530.81 Upon Receipt
Company Profile Number: 2277219
Page 1 of I
Current Past 30 Days Past 60 Days Past 90 Days Past 120 Days Amount Due
53G.81 0.00 0.00 0.00 0.00 530,31
NEW HOPE
604 West Third, Suite B
Moses Lake, WA 98837
Invoice-
Quality Inn
Quality-
449 Melva Lane
INN
Moses Lake, WA 98837
BY CH01" HOTELS
Telephone: (509) 765-8886
912912023
Fax: (509) 766-0779
1012/2023
WA255@stayatchoice.com
Amount Due Due Date
530.81 Upon Receipt
Company Profile Number: 2277219
Page 1 of I
Current Past 30 Days Past 60 Days Past 90 Days Past 120 Days Amount Due
53G.81 0.00 0.00 0.00 0.00 530,31
NEW HOPE
604 West Third, Suite B
Moses Lake, WA 98837
Invoice-
Name
D&
nioun#
9/20/2023
HOPE, NEW
9/2712023
HOPE, NEW
912912023
HOPE, NEW
1012/2023
HOPE, NEW
10/212023
HOPE, NEW
1013/2023
HOPE, NEW
Statement of Account
This is a reminder of your obligation.
Please call (509) 765-8886 if you should have any questions regarding this statement
Accounj
Accountjype
InyQip&
nioun#
Credits
,Number
890998576
Guest
69350735
65,94
0.00
891867511
Guest
69447870
0.00
0,00
891867511
Guest
69479414
263,76
0.00
892800024
Guest
69523213
0.00
0.00
892800024
Guest
69523215
3.30
0.00
892800024
Guest
69539178
197.81
0.00
Total Due:
NEW HOPE
604 West Third, Suite B
Moses Lake, WA 98837
Quality Inn
449 Melva Lane
Quality -
Moses Lake, WA 98837
INN
By CHOICE HOULS WA255@stayatchoice.com
Amount Due Due Date
530.81 Upon Receipt
Balgange
65,94
This is a reminder for your records. If payment
has already been submitted, please accept
our thanks. We appreciate your business'.
0.00
263,76-
0.00
3.30
197.81
530.81
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 w Purchase Order Number
202310
Description:
Janitorial
BARNP
VendorlD
Page 1 /1
Invoice 0398655
Date 10/4/2023
Shipping Method
Subtotal
M isc
Tax
Freight
Trade Discount
�Payment
Total Due
_Mum
Payment Terms ID
Amount
$950.00
$950,00
$0.00
$0.00
$9.00
$0.00
$0.00
$950.00
.PB JAN/TORIAL
1622 S WALLACE ST.
MOSES LAKE, WA 98837
509-989-4252
BARRIENTOZPAIGE22@GMAIL.COM
Description
SEPTEMBER JANITORIAL
SEPTEMBER WINDOW WASHING
Date,* 10/02/2023
INVOICE # 202310
To NEW HOPE
311 W THIRD AVE
MOSES LAKE, WA 98837
509-764-8402
SFODE@GRANTCOUNTYWA.GOV
ABA RRIENTO-Z@GRA NTCOUNTYWA.GO
V
Line Total
750.00
200.00
Total 950.00
Make all check's payable to PAIGE BARRIENTOZ
Thank you for your business!
Page 1/I
Invoice 0398663
Date 10/4/2023
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: U.S. Linen Uniform
1106 Harding St.
Richland WA 99352
Document_Number Purchase Order Number VendorID Shipping Method Payment Terms 10
3201----------
4N� 30
Description,: Amount
Janitoriat $88.02
Subtotal
$88.02
Misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$88.02
ub . Linen
and k,;, ,:m6
n . or
U.S. LINEN & UNIFORM
1106 HARDING ST .(888)875-4636
RICHLAND, WA 99352
NEW HOPE
311 W THIRD AVE
MOSES LAKE, WA 98837
Date Invoice Day Garment Mark Freq, Seth Term Account Route
09/28/2023 3204101 Thu 110350 5 4180 CHG 110350-00000 311
Total Adj.: $0-:00
Tax Adj $0.00
Net Charge: $88.02
Received By: NOA 9/28/2023 11-25-58AM 1
a ft OFFICE
ROUTE
Line r ItemT-Empl
Name I Description
Sizes Oty, Inv. I Min. Adj, Qty,
Adj. AmE.. I
=Ext. Pricae
Adj. Qty. Adj. Amt.
Total
1 6265
3X5 SLATE MAT
3 6 0
$01,00
$16,52
0
$0.00
$16.52
2 6269
3X10 SLATE MAT
4 8 0
$0.00
$42.78
0
$0.00
$42.78
FUEL SURCHARGE
$0.00.
$7;50
$0.00
$7.50
SERV/DEL CHG
$0.00
$7.20
$0.00
$7.20
TEXTILE MAINTENANCE
$0.00
$7.20
$0.00
$7.20
Total Due Cur. Bus. Cur. Bal, 30 60
90 120 Office Adj.:
$0.00 Subtotal:
S81-20
Rte, Adj.:
$0.00
$88.02
$0.00 $88.02 $0,00 $0.00
$0.00 $0.00 Tax Adj.:
$0,00 Sales Tax:
$6.82
Tax Adj.:
$0.00
Comment:
Net Adj.
$0.00 Prebill:
$88.02
Net Adj.:
$0.00
Total Adj.: $0-:00
Tax Adj $0.00
Net Charge: $88.02
Received By: NOA 9/28/2023 11-25-58AM 1
IJ.S.
Linen
and .SSW
_01'
Uniform
Comment:
Bill To:
NEW HOPE
311 W THIRD AVE
MOSES LAKE, WA 98837
U.S. LINEN & UNIFORM
1106 HARDING ST
RICHLAND, WA 99352
(888)875-4636
Statemenfi
Statement Date Account RT
10/2/2023 110350 311
Date
Transaction—
Amount Balance
9/28/2023
Invoice 3204101-00
$88.02
$88.02
Current 30 Days 60 Daws
90 Days
Total Balance
$88.02 $0.00 $0,00
$0.00
$88.02
We reserve the right to assess a service charge against all past due balances.
Total
$88.02
Delivery:
NEW HOPE
311 W THIRD AVE
MOSES LAKE, WA 98837
Remit To:
U.S. LINEN & UNIFORM
1106 HARDING ST
RICHLAND, WA 99352
Please detach and return with remittance
Closing Date: 9/28/2023
Due Date: 10/1712023
Amount Enclosed
Statement Date
Account
10/2/2023
110350
Invoice
Balance
x
3204101-00
$88.02
Please indicate which invoices you are paying by placing a
check mark beside the invoicelbalance on the remittance.
Page 1 of 1
Page I /I
Invoice 0399263
Date 10/16/2023
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: U.S. Linen Uniform
1106 Harding St..
Richland WA 99352
Document Number Purchase Order Number Vendor R Shipping Method Payment Terms ID
32-5358-U,
Description, Amount
Janitorial $88.021
Subtotal
$88.02
Misc
$0,00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$88.02
U S., Linen
Al
and
Unifarrn~"���
U.S. LINEN & UNIFORM
1106 HARDING ST
RICHLAND, VSA 99352 (888)875-4636
NEW HOPE
311 WTHIRD AVE
MOSES LAKE, WA 98837
1 10/12/2023 1 3211358 1 Thu 1 110350 1 5 1 4180 1 CH G 1 110350-00000 1 311 1
Comment:
Received By:
NetAdj.,* $0.00 Prebill: $88.02 Net Adj.: I I
Total Adj.:
Tax Adj.: 1 71
Net Charge:
OFFICE
ROUTE
t � "2
A
S�
}b
i^
1 6265
3X5 SLATE MAT
3 6
$0.00
$16.52
2 6269
3XI0 SLATE MAT
4 8
$0.00
$42.78
FUEL SURCHARGE
$0.00
$7.50
.0
M.......... 1 -1 -1 -`TE MAINT1E1 . . R....A.. RU ... ...........
Total Due
Cur. Bus. Cur. Bal. 30 60 90
1,20
Office Adj.:
$0.00 Subtotal:
. .. ... .. .. ......... ..
$81.20 Route Adj.: I
$88.02
$0.00 $88.02 $0.00 $0.00 $0.00$0.00
Tax Adj.:
$0.00 Sales Tax.-
$6.82 Tax Adj.: [����
Comment:
Received By:
NetAdj.,* $0.00 Prebill: $88.02 Net Adj.: I I
Total Adj.:
Tax Adj.: 1 71
Net Charge:
zoss z
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1Nt
County of Grant
35CSTNW
P.O. Box 37
Ephrata WA 98823
Vendor: WASHINGTON TRUST BANK.
PO BOX 2127
SPOKANE WA 99210-2127
Document ftmber ------ - -- - f -Purchase order Number
9663- 09/2023
Description:
Visa Statement 09/2023
Invoice
Page 1 /1
Invoice 0398929
Date 10/512023
Vendor ID Shipping Method
C
Subtotal
Misc
Tax
Freight
Trade Discount
Paynient
Total Due
$482.94
$0.00
$0.00
$0.00
$0.00
$0.00
$487.94
1146 LWG 3 7 1 231002 0 PAGE 1 OF 2 1 0 4833 0130 CX48 01AC1146
Cardholder Name and Account Number Page 1 of 2
NEW HOPE AMAZON VISA
GRANT COUNTY AUDITOR
XXXX-�XXXX-XXXX-9663
Vfthirm3ton Trust Bank
Mombor role
Due 10. 0.23
Account Information
Finance Char a Calculation
Account Summary
Transactions
Statement Closin Date
.. 9
10102/20 23
Previous Balance
$0.00
Credit Limit
$10,000.00
- Payments and Credits
$9.00
Available Credit
'Cash
$9,408.0+0
+l- Finance Charge(net)
$0.00
Credit Limit
$0.00
+ Purchases
$0.00
Available Cash.
$0.00
+ Cash Advances
$0.00
$21.67 "
69130
+ O#her Char es
0
AMZN Mktp US*T12. I6M61 Amzn.com/b1IIWA
`
$302.52,,#"`
New Balance
$0.40
24692168H2Y3F6TX7
AMZN M,ktp US*T93DO6NA0 Aman.cem/billWA
Payment Information
14/02
Payment Due Date: 10/2712023
24.692168J2YK44K 2H
Minimum Payment Due: $0.00 New Balance; $0.00
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 919210-2127
Please Include your account
number on your check.
j New address, phoria number or e-mail?
1 ChecX the box to the left and print changes on hack .
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
We appreciate your buaine .si
Account Number
New Balance
Minimum Payment :Due
XXXX-XXXX-XXXX-9663
$0.00
NONE
Amount
Enclosed %IJO
NEW COPE AMAZON
GRANT COUNT' AUDITOR
ATTN MICHELE JADERLUND
PCS BOX 37
EPHRATA INA 98823-4037
000000000000000041295700310296630
Payment Due Date `I
October
S M T W T F S1
71-2--
2=3. 4�6 87_..
.
8 9-10 11_;12'131
1s 16 =1Z 18 1_ -� - 1
122 2312425 2 27
29 30.3.11
r•
C)
N
Finance Char a Calculation
Transactions
Past Date
Trans Date
Reference
Description
Amount
09107
09106
24431067T2DK8F8811
AIVIZN MKTP US*TL30U77DO AMAMZN.COMIBILLWA
$14.62
09113
09/12
24692167Z339BTNXH
AMZN Mktp US*TR6BI0732 Arnzn.cam1b1I1WA
$65,02 , ..
09/28
09128
246921.68F35QQH 1 K,
AMZN Mktp U *T93UXDAD2 Amzn.com/b'IIWA
$21.67 "
69130
09129
24692168G30ADOGF'P
AMZN Mktp US*T12. I6M61 Amzn.com/b1IIWA
`
$302.52,,#"`
10102
09/30
24692168H2Y3F6TX7
AMZN M,ktp US*T93DO6NA0 Aman.cem/billWA
$35.75
14/02
10/01
24.692168J2YK44K 2H
AMZN Mktg US*T95HP7652 Arnzn.ccnnlblllWA
$43.35 �'.'`�
10/02
10102
OOOOQ0a00t OOCOMPC
TOTAL PURCHASES $482.94
TOTAL $482.94
TOTAL FEES FOR THIS PERIOD
TOTAL. INTEREST FOR THIS PERIOD
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 919210-2127
Please Include your account
number on your check.
j New address, phoria number or e-mail?
1 ChecX the box to the left and print changes on hack .
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
We appreciate your buaine .si
Account Number
New Balance
Minimum Payment :Due
XXXX-XXXX-XXXX-9663
$0.00
NONE
Amount
Enclosed %IJO
NEW COPE AMAZON
GRANT COUNT' AUDITOR
ATTN MICHELE JADERLUND
PCS BOX 37
EPHRATA INA 98823-4037
000000000000000041295700310296630
Payment Due Date `I
October
S M T W T F S1
71-2--
2=3. 4�6 87_..
.
8 9-10 11_;12'131
1s 16 =1Z 18 1_ -� - 1
122 2312425 2 27
29 30.3.11
r•
C)
N
Finance Char a Calculation
Annual Percentage Rate (APR) is the annual interest rate on your account.
Type of Balance
APR Average tally
Finance Charge
Remaining
°l Balance
Balance
Purchases
18.49% (V) $0.00
$0.00
$0.00
Cash Advances
21,49% (V) $0.00
$0.00
$0,00
Remit Payment to
'TRUST
Mail Inquiries TQ
Questions?
WASHINGTON BANK
P.O. BOX 2127 SPOKANE, WA 99210-2127
Cali Customer Service: 800-788-4578
PCS BOX 2127 SPOKANE, WA 99210-.2127
Lost or Stolen Card:
890-788-4578
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 919210-2127
Please Include your account
number on your check.
j New address, phoria number or e-mail?
1 ChecX the box to the left and print changes on hack .
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
We appreciate your buaine .si
Account Number
New Balance
Minimum Payment :Due
XXXX-XXXX-XXXX-9663
$0.00
NONE
Amount
Enclosed %IJO
NEW COPE AMAZON
GRANT COUNT' AUDITOR
ATTN MICHELE JADERLUND
PCS BOX 37
EPHRATA INA 98823-4037
000000000000000041295700310296630
Payment Due Date `I
October
S M T W T F S1
71-2--
2=3. 4�6 87_..
.
8 9-10 11_;12'131
1s 16 =1Z 18 1_ -� - 1
122 2312425 2 27
29 30.3.11
r•
C)
N
114$ LWG 3 7 1 231002 0 PAGE 2 OF 2 1 0 4833 0030 CX48 01,AC1146
Cardholder Marne and Account Number Page 2 of 2
NEW HOPE AMAZON 111SA
GRANT COUNTY AUDITOR
XX -ACX -XXXX-9663
Finance Charge alculatic►n continued
Annual Percentage Rate (APR) is the annual interest rate on your account.
Type of Balance APR Average Daily Finance Charge Remaining
% Balance Balance
Days in Billing Cycle: 0 (V) -V6 able Hate
See reverse side of page one for explanation of Finance Charge calculation. Credit Purchases calculated using Method G. Cash
Advance Char ens calculated using Method A.
FOR REBATE PROGRAM QUESTIONS, CALL 800-788-4578.
m z Room
Order Placed: September 5, 2023
PO number: Janitorial Supplies
Amazon.com order number: 113-4749187-0051441
Order Total: $14.62
,Not Yet Shipped
Items Ordered
I Of: YVYV Microfiber Feather Duster 4POS - Extendable & Bendable Dusters with Long Extension Pole, Washable Lightweight
Dusters for Cleaning Ceiling Fan, High Ceiling, Blinds, Furniture, Cars
Sold by: YVYV (seller pmftle)
Condition: New
Shipping Address:
ALYCE BARRIENTOZ
311 W 3RD AVE
MOSES LAKE, WA 98837-1905
United States
Shipping Speed:
FREE Prime Del very
Payment Method:
Visa I Last digits: 9663
Billing address
NEW HOPE AMAZON
PO BOX 37
EPHRATA, WA 98823-0037
United States
Payment information
To view the status of your order, return to Order Summary .
Price
$13.491
Itern(s) Subtotal: $13.49
Shipping hipping & Handling: $0.00
Conditj ns of Use I Privacy Notice @ 1996-2020, Amazon -corn, Inc.
Total before tax-. $13.49
Esiimated Tax: $1.13
Grand Total.-, $14-62
Invoice
Page 111
Invoice 03929.31
Date 10/1 9/2023
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 vendor ILS Shipping Method Payment Terms ID
�08/01/23-7/31/24
Description-,
LEASE AGREEMENT
I PADIL
Amount
$3,851.68
Subtotal
$3,851.68
misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$b. oo
Payment
$0.00
Total Due
$3,851.68
Zo,
-11
Year
Year
-_ -I
Year
Year I
Year I
- I
--- -_
Year
One
Two
Three
Four --.-Five
Year Six
Seven
81112022
811123-
811124-
811125-
811126-
811127-
811128-
-7131123
713112V
7131125
813.126
7131127
7131128
7131129
IGds Hope
#
Rent
$41151.68 _$4,317.75
$4,490.46
$4,670.08
$4;856.88
$53051.15
Landlord
Donated
Portion
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
Net
Amount
Due from
_yew )q�qpe_
$3,692.00
$3,851.68j
$41017.75.
$4,11c.,)0.46
$43370.08
$4,556.88
$43751-15
Rent is due, in advance, without receipt of a billing or statement, the first day of each
month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5'%) Service
charge will be collected for payments received after the tenth of the month for the month *in
-
which they are due. If any check received by THE LESSOR is returned for any reason, THE
LESSOR will make an additional charge of Twenty -Five Dollars ($25.00).
In the event the term of this Lease shall begin or end other than on the first day of a
calendar month, the rental for any such partial month shall be pro -rated. Rental for months other
than partial months shall be paid on the first day of each calendar month, in advance for the
ensuing month.
3. OTHER TAXES: THE LESSEE shall pay all taxes, licenses and fees, which by
law are imposed on THE LESSEE, by reason of THE LESSEE'S operations or upon any of THE
LESSEE'S personal property situate in or about the leased premises. If other taxes, licenses or
fees, whicb, by law are unposed on THE LESSEE or assessed upon the premises leased herein
during the term of this Lease by any governmental agency, THE LESSEE shall reasonably pay
same.
4. USE: THE LESSEE shall not use said premises for any other purpose other than
the use of general executive office space and the uses resulting thereby without the prior written
consent of the Lessor, M' which said consent shall not be unreasonably withheld. THE LESSEE
a
agrees that no stock of goods will be carried or anything done in or about the premises which
will increase the present rate of insurance. The rental contained herein is predicated on, among
other things, THE LESSORS existing insurance premiums, and in the event that THE LESSEE'S
Commercial Lease
Page 2
0
�
I
$
k
k
�
�
7.
7<
U
■
$�
f
/�
�
$
$
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�
.
.... ..
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.:.
.... .
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.
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. .. .
.
. .
.
$ L_41069
$1 37\
_ 56.3■
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161 7
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47.91\
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Page 1./1
Invoice 0393287
Date 10/19/2023
County of Grant
35 C ST NW
P.D. Box 37
Ephrata WA 98:823
Vendor; PADILLA, MARIO
10281 BASELINE E RD
MOSES LAKE WA 98837
M
--T
Document:Number Purchase Order Number Vendor Shipping ethod Payment Terms ID
8/1/23-7131/24 -104DILM
Description: Amount!
LEASE AGREEMENT
$31874.53
Subtotal
Misc
Tax
Freight
Trade Discount
Payment
Total Due
$3,1874-53
$0.00
$0.00
$0.00
$0.00
$0.00
$3,874.53
Rent 'I's due, in advance, without receipt of a billing or statement the first day of each
month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) service
charge will be collected for payments received after the tenth of the month for the month in
which they are due. If any check received by THE LESSOR. is returned for any reason, THE
LESSOR will make an additional charge of Twenty -Five Dollars ($25.00).
In the event the term of this Lease shall begin or end other than on the first day of a
calendar month, the rental for any such partial month shall be pro -rated. Rental for months other
than partial months shall be paid on the first day of each calendar month, in advance for the
ensuing month.
3. OTHER TAXES: THE LESSEE shall pay all taxes, licenses and fees;, which by
law are imposed on THE LESSEE, by reason of THE LESSEE'S operations or upon any of THE
LESSEE'S personal property situate in or about the leased premises. If other taxes, licenses or
fees, which by law are ,imposed on THE LESSEE or assessed upon the premises leased herein
during the term of this Lease by any governmental agency, THE LESSEE shall reasonably pay
same.
4. USE: THE LESSEE shall not use said premises for any other purpose other than
the use of general executive office space and the uses resulting thereby without the prior written
consent of the Lessor, in which said consent shall not be unreasonably withheld. THE LESSEE
agrees that no stock of goods will be carried or anything done in or about the premises which
will increase the present rate of insurance. The rental contained herein is predicated on, among
other things, THE LESSORS existing insurance premiums, and in the event that THE LESSEE'S
Commercial Lease
Page 2
19
Year
Year
Year
Year
Year
Year
One
Two
Three
Four
Five
Year Six
Seven
81112022
r 81M, 3-,
811124-
811125-
811126-
8I112 7-
811128-
- 7131123
713112
7131125
8131126
7131127
7131128
7131129
New Hope
Rent
$4,01197
$4,174,51
$4,341.51
$4,515.17
$4,695.78
$4,883.61
$5,078-95
Landlord
Donated
Portion
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
Net
naso
Due from
New Hope
$3,713.97
1 $31874-53
1 $47041.51
._$47215.17
1 $41-395.78_
1 $4,583.61
$4,778.95
Rent 'I's due, in advance, without receipt of a billing or statement the first day of each
month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) service
charge will be collected for payments received after the tenth of the month for the month in
which they are due. If any check received by THE LESSOR. is returned for any reason, THE
LESSOR will make an additional charge of Twenty -Five Dollars ($25.00).
In the event the term of this Lease shall begin or end other than on the first day of a
calendar month, the rental for any such partial month shall be pro -rated. Rental for months other
than partial months shall be paid on the first day of each calendar month, in advance for the
ensuing month.
3. OTHER TAXES: THE LESSEE shall pay all taxes, licenses and fees;, which by
law are imposed on THE LESSEE, by reason of THE LESSEE'S operations or upon any of THE
LESSEE'S personal property situate in or about the leased premises. If other taxes, licenses or
fees, which by law are ,imposed on THE LESSEE or assessed upon the premises leased herein
during the term of this Lease by any governmental agency, THE LESSEE shall reasonably pay
same.
4. USE: THE LESSEE shall not use said premises for any other purpose other than
the use of general executive office space and the uses resulting thereby without the prior written
consent of the Lessor, in which said consent shall not be unreasonably withheld. THE LESSEE
agrees that no stock of goods will be carried or anything done in or about the premises which
will increase the present rate of insurance. The rental contained herein is predicated on, among
other things, THE LESSORS existing insurance premiums, and in the event that THE LESSEE'S
Commercial Lease
Page 2
19
NN RENT
13,87C631
3
a
�
3,874.53
0
3 874.53
547,48
175.71
17a.04
_ _ _ 985.1•1$109.341.,10.43
55.72
33.41
187.03
39.81
29.31
, 24.37
229.26
120TRA
(t}2.73
21b.95
13,87C631