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Home My WebLink AboutGrant Related - BOCC (004)GRANT 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:Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE.. Kal'i'I@ Stockton CONFIDENTIAL INFORMATION: E]YES ®NO DATE. 1/2/2024 PHONE:ext. 2937 ------------- ElAgreement / Contract EIAP Vouchers ElAppointment / Reappointment ®ARPA Related ❑ Bids / RFPs / Quotes Award E]Bid Opening Scheduled El Boards / Committees El Budget ElComputer Related E]County Code El Emergency Purchase El Employee Rel. E]Facilities Related ElFinancial 7Funds ElHearing El Invoices / Purchase Orders 0 Grants — Fed/State/County 71 -eases OMOA / MOU ElMinutes ElOrdinances El Out of State Travel El Petty Cash F] Policies El Proclamations El Request for Purchase El Resolution El Recommendation El Professional Serv/Consultant [:]Support Letter E]Surplus Req. E]Tax Levies FlThank You's ElTax Title Property 7WSLCB W WOOMNINA, AW aw 77c en -RIN /, i,t AV Reimbursement request from Renew in the amount of $45,202.16 for Suicide Prevention provided as part of their American Rescue Plan Act (ARPA) funds previously approved. DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: J& D2: D3: o V/ DEFERRED OR CONTINUED TO: GRANT COUNTY BOARD OF COUNTY COMMISSIONERS To: Grant County BOCC From: Karrie Stockton, Grant Administrative Specialist Date: January 2, 2024 Re: ABPA Renew Suicide Prevention Services Renew is requesting reimbursement for Suicide Prevention Service expenses for the months of July — September 2023 in the amount of $45,202.16. ARPA funding for Renew Suicide Prevention Services was approved by the BOCC on 11/16/2021 in the amount of $750,000.00 over a five-year period. Their backup documentation is attached for your review. Thank you. July 2023: $26,519.63 August 2023: $9,849-03 September 2023: $8,833.50 Total $45,202.16 M777,71 rwriew r7rcob Behavioral Health 6 wellness FUNDS FOR SUICIDE PREVENTION 2un Staff J u 1-23 108. 1 150.00.9000-566-51. 1100 51055.34--V 108450.00.9000.566.51.1202 1 10, . 150.00-9000.566.51.2100 487.33(/ 108-150-00.9000.566.51.2200 366.46/ 108.150400.9000.566.51-2300 1,315.32�/ 108.150.00.900.0.566,51.21301 11.02 108.150.00.9000.566.51-2400 19.55 tr hu .x7frN r,„kfi:,�t, y�.3ryn.'`F.fi � �` r��v�.?,+Iv � a [:z ,�rp•t a ;.P � ss°;e� s� rr% z�x z4..+.C.'�'� „'�4.f9?.a "64�d B'+YXi '�; a�:.�zy*�'_-, #�4; � '.�r"�.•Y. +fir' o x s � ..� Yss” � tt BIC mt 108,150.00-9000,564.51.4304 108.150.00.'9000.566.51-4300 108.150.00.9 0'00.566.51.4301 108-150.00-9000.566.51.4301 108.150..00.9000.566.51..430'1 108.150-00-9000.566.51.4302 1084150.0009000.566.51.4303 108.150.,00.9000,566.51.4302 108-150.00-9000,566.51.4303 0 108-150-00.9000,566.51.1124 108.150.00-9000,566,5104152 108-150-00,9000.566.51.4200 108.150.00-9000,566-51-4202 890.20/ 60.00/ 128.1001/ 11J16.8 1,890.00/ 241.50 0 10'0" 2511.52 31,4151-50 voo* 379,50/ *a 67.18/ 151.64/ 40.01 TO a, 9 I perit-thExp ,'' 1868 o a,�, Total Payroll & Benefits '71255,02 Admin 8% on Payroll & Benefli 580.40 V 10/20/202312:14 26,519.63 10/20/2023 12:14 0400 reneLu SUICIDE PREVENTIOW. ABPA cul -23 TOTAL EXPENSES GR LEDGER 108.150.00,9000.566.51.1100 SALARY- Bethany Escamilla $ 5,055.34 23 -Jul 108.150-00-9000.566.51.1202 OVERTIME 108.150.00.9000.566.51.2100 Retirement 487.33 108.150.00-9000.566.51.2200 SS( $ 366.46 108.150.00.9000.566.51..2300 Medical $ 1.315.32 108.150-00-9000.566.51.2301 FMLA $ 11.02 108.150.00.9000.566.51_2400 L&I 19.55 108.150-00.9000.564.51.4304 108.150-00.9000-566.51.4300 108.150.00.9000.566.51.4301 108.150.00.9000.566.51.4301 108.150.00.9000.566.51.4301 108.,150.00.9000.566.51.4302 108.150.00.9000.566.51.4303 108.150.00.9000.566.51.43.02 108-150.00.9000.566.51.4303 1.08.15 0.00,1000.566.51.1124 108.150.00.9000.566.51.4152 108.150-00.9000.566.51.4200 108.150.00.9000.566.51.4202 .Total ,"S' f r a c y/ 7,255.0: 2. a Bdhbfits. 2V CADCA Training -Transportation- from airport to hotel and 1 $ 89 3,20 Aug -23 CADCA -Bagaage Fees $ 60.00 Aug -23 CADCA -Bagaage Fees Airport $ 128.00 Aug -23 CADCA Mid Year Training Hotel for 10 $ 11,116.89 Aug -23 CADCA Mid Year Training Registration Bethany & Fernandc $ 1,890.00 Aug -23 Intro to the Prevention cor competencies training in Taco rr";._$_w1 Jul-23JE from.,9055- 9000 Intro to the Prevention cor competencies training in Tacory Jun -23. CADCA Mid Year meals 3..415-50 Jul -23 CADCA Mid Year meals Fernando 379.50 Jul -23 'Ci .Sb "P Laptop z ., �. � • � �- � $ �- g � 4�0.01r_. -7 TOTAL SALARY/BENEFITS 8% Admin on Salary & Benefits only 10/20/2023 12:14 :10/20/2023 12:14 71255.02 $ 25,939.23 580.40 $ 580.40 $ 26,519.63 •-Salary - E E UP # '%ME BEHAVIORAL i �. JOURNAL ENTRIES x`/3112023 Salaries- refit -ARP}-SUICIDE -Pr v nt *on=:-.. 0U T DEBT CRIEDIT 163.150..00.0000.56 .44.1160 $52055.34 108.150-00-0000.564.44.1202 $0.00: 1_ D -Y a..O;�r._ra�ii�w, '-�' ..•. ..� .. ",.. ..-.;�i.. $487.33 ::' ...4". �Ldr.:�i. \/�5��✓��i�@�;�y��r��'1��i.T � ft "� hl A �� l �`yF �Y� b� � �a� �. $1:1315.32 108-150-00-0000.564.44-2301 $11.02 108.150-00-0000.564.44.2400 $190-55 108-150-00-0000.564.44.2599 000 - 1 r 0*0 �r��r� ��r��ii%r��i�b��G�'�a�h4./�7 x �� 4;'�\ � s� � �l � •� a. $5,055-34: 108.150.00-0000-564.44.1202 $0.60 $0.00 51 . ., .... .., '. 4- :_.> ....-.. .': .....H. a..Y r .�+' r: 1. \ A. nh'.. }t. e..+-::. LVQ+rL�l .JVCi., y.`^w tt. kit... .9..Y`+i4Mn,.ii.r•GVyi .yh Y�.;` 1 .+'{.).�',�Y,.` - $487-33 a � � wr �; r��*' � �^�+' �r -f � .43 9 � J �o �'�, � � ' s nx; a ' v'ia•. � i �:; i �, .•r { c. a ay �r. sG :�. � ��kry �t' �- 5, N s:.s G��' \w \, >'tv�vw.a r �`{ tt�.i}??el'trF V'itV� $366.46 'i Sf '.0 � )Yg• .7 4(/�� - � �/+�� St`'4eV i�� 'A .�1 @ V f Yi � 1 1 � 1 l V " R ��"f1, 4/.Its'AV�f•�/�,Y v°r y4 Fig Y��sy; ;•,..y...E ar. Vr : e?., a;.CS+.L..,..:auL..:}n2...ii..,.rY;r..7.3tkat�S:r„F•^'itt ki.s„V(13e..vo. ..ed�lH::,.i svV7n� �!)v< mn Y!e`s+�t .1�v4Ci ti!�}�.rS.- r."3„Yr". . $1�{jj f�+}r/�= R V: i.0 I e�'s3 i{��ri]t, v ;r s! «' ,� •A' � +� us `�.,�jy��!) .a � '��.t r` � :i;«� � 0.'F'•"'; :'h, Se\i...e��`� .ter, `a?`.4��,.^�.�"��,sc„��„ .c� � � t..s�. 1r► �-Y �' �cr: � �6� � s V �'r � �� e} �t -c.� �-� C'Y•i1. z�,.. F '� � 1, �*.,� �v .z .. >� .,...x : ..:r ,M...,ew,,.._ .: ...hr...Nttx ,..,_.........1,: ..^s- ..,•v. re..,w..urr,,.c>-,c.:.ti..,..a't�wr,ttt'="i'y�w";; .. ... $11.02 •'' • t a \, f. ".`: y, wHf` �Y` J TXT'ti. V x �Yf 4�gY/'M r,�m,..� ✓-� . , .,. .N..�::y ,a. .. ., 1•t-.•¢� r .I.-._.: <.r, ..':. tyi $19.55 \ v 4. x �� t 's.'t% �y h s^.L�jr � �tw�rt 'iiM `; .x,,.."�- ..'" �� sr e r w \ C a.. dt v a •fi" n. '` *��.k +su �' t ? t e � (j/��■, Yi//yy�swtirs i 'k' x � s 4�i,i. `' �v h � 1" 10 $0.00 7255*02 r $0.0& 7/31/2023 Posted By Posting Month Entered jPosted renew NON-EXEMPT Gronb B�{�rpora! Hetil�h � ciJellrtes� '*'`Leave Printed flame: Bethany Escamilla Slips (Afl-, Pay Period: July 9. 2023 ' Employee ID #: it �� Su ervisor lnitials far Non -Standard Workweek Staff Signature: pin y --- (mmlddfyyyy) 7/912023Pay Period: Supervisor Signatur - Pay Date: = .- COMMUNITY COALIi'1+C31 l ;fii[ 40 Jul 11 ...Jut• 1� ,3�t � � '. Ju1��4 = Jul -1 ' ';��i �� i �� ,��-�� i�i ��... Jul �� Jul �� ,�u� TOTAL SPECIALIST Sun Mori Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat '. .i •-.-c... - i: - - - •i _ 7.Q AR .��y��y�.- 'iia �•- - _ Ky • f.� 4e: •• - OTHER HOURS WORKED JURY DU'N Total Worked! -i0.b0• 9.00 9MG �a �� - - BUM ANNUAL SICK . ••.. . ' .. - '° • ""- . • _ - - • 14OLIDAY OTHER (13EREAVMENT LEAVE.... FLEXICOMP TAKEN LWOP TOTAL HCI,I S --$,�1�....' :t�D � J t 8.� - 10.501%Ga �3.0[I 9.00 &.00 1 't�1.#�4 Total Worked Hrs. 27.00 4e.co 56.50 55.50 LV taken 13.00 ******FOR PAYROLL PURPOSE ONLY***** 0.00 mil` o ne : at rr ii ckhe sr�eot ttoiue - civil' illy i ::: MOP GP ENTERED AVE $0.00 1.50 0.00 0.00 0.00 0,00 0.00 78.60 ORYRO SPREADSHEET - V_ __. :1 1 t I I I ___j :� renewGrcw�t iaahmvicrw Haclul C, u3cila"c' Printed Name: Bethany Escamilla Pay Period: July 23, 2023 Employee ID #: 5630 �� .7 QA A V k re - Staff Signature: Supervisor Signature*:\ ***Leave Slips (AIL, ,ter a 0 ---------- ----- Supervisor Initials for Non -Standard Workweek Pay Period: 7/23/2023 (Mmlddlyyyy) Pay Date: $111.12023 COMMUNITY COALITION SPECIALIST Sun Mon .,jul 28,. _Jul.- --I,Ju['26 ,Jul 29- Jul.,30, Aug 01 Aug, 02 Tue Wed Thu Fri Sat Sun Mon Tue Wed Aug 03 Thu Aug 04 Aug 06 Fri Sat TOTAL ARPXRENEW 77 0 65.00 OTHER HOURS WORKED JURY DUTY 0.00% Total Worked Hrs .7.00 8.50 9.001 7.50 4.00 4.00 9.00 6 00 1.00 S. ANNUAL SICK HOLIDAY OTHER (BEREAMENT LEAVE.....) ---------- FLEX/COMP TAKEN 4.00 8M 3M 15.00 LWOP TOTAL HOURS 7.001 8150 1 91,00 7.501 8.001 1 4,001, 8,00 8.001 9.001 8.00 3.00 80.001 Total Worked Hrs 55.50 LV taken - GP ENTERED LEAVE PAYROLL SPREADSHEET 40.00 LWOP 40.00 29.00 11.00 40.00 'I W 50hcVi*ri:a Kwalth 0 WoUpoav 7Lea- e Printed Name: Bethany Escamilla S,,r ips (AIL, Pay Period: June 25, 2023 sz Employee ID 5630 Staff Signature: 61 U AU,/ Supervisor Initials for Non -Standard Workweek Supervisor Signature: Pfs tilliffluOlywy) Pay Date; 25., 2T.: Sun Mon Tue .,..Jun Wed m29, -Jun,30" Jul'of:: :J6['--02-,, i FM u juf 07 u Thu Fri Sat Sun Mon Wed Thu Fri Sat TOTAL "Wiuv% .1 z aayypp 63.00 I— '0 0 63.00, 1.00 2,50 8.,00 FK 0 ,.5D F .9.0 9.60 9.00: 40,06.. 40.00 27.00 ******FOR PAYRO,LL PURPOSE ONLY 1100 lohgnq .01 8 aniline 5.00 mil sl6kne snect, -hoe civ I safyn6�. berivnepayl LWOP 2.50 1.1,0 8-10 0.00 0.00. %3.00 40.00 Arnerican Rescue Plan (Cares Act — ARPA) TodaylsData: Al J L2, jl Vendor: Receipt to Finance File into binder 0 Budget Spending Tracker eiltry 9 41:7 11 Item/s received ReceiptDai '7e: Tharge to meq, Month - EJ January 2023 11 February 2023 0 AugUSt 20-23 EJ March 2023. 11 September 2023 11 Aril 2023 p 0 October 2023 0 May 2023 El November 2023 11 June 2023 11 December 2023 Defiverables: C3 Tasldorce Coalition (supplies) 0 Outreach / Marketing / Adveitising 13 Environmental Strategies 0 Capacity Building (Workshpps & education) 1taff Travel / Professional Development Form of Payment %VISA 3578 EJ Invoice (paid.) El Invoice (needs paid) 0 Other: Charge Account: -1499amm ARPA Other: $ _R�1iI,� Requested by: lim L I a 4 Date: Siipervisor Signature: Date, --4 Prevention Requisition Form Revised 01-2,023 renew Card Receipt Paymsn( No 14862 Transaction Datia/T1(m. e Jul -12-202313.08 L Megan Watson Moses Lake Community Coalition TX 'Payment 1) Gta I IS Charter I D 23217 Card Type VISA Card No ************4030 Valid Until 03/26 Amount $890,20 Authorization Code 012425 Coach Manager Printed: 7/1212023 1:09:04 PM Avalon Motor Coaches, LLC 1000 Corporate Point ST E 160 Culver City, CA 90230 Acceptance Avalon Motor Coaches, LLC F" 01"fent ID MOSS 01 client Megan Watson Charter ID 23217 COMpany Moses Lake Commurlity Coalition Movarnant ID 42113 C(Jent Rot I Status Firm Client Ref 2 Pasaer!98M 22 L Distance 19.4 First Pick-rup Pick-up Nte DF W Airport Sun 7/16/2023 Time 19:00 Destination 1501 Gaylord Trail, Grapevine, TX _16-051 single-journay Yes Arrival Date dun 7/1612023 Time 19:30 Vehicle. To Stay, 1_8aVe Date Sun 711612023 Time 20:00 Back Date N/A Time IFIrst Pick-up instructions r7 DestInatlon InstrLrotions DFW Alrport- TSA FLIGHT INFO TO COME Gaylord Texan Resort & Convention Center POC- Megan -(609) 361-8515 Drop & Clear -S'Oata Vehicle De8orlptjon VehigleNo Nee Tax % Tex 27 Mini Bus Totall --- $374.00 0 $0.00 $374.00 Qaantfty Doscription Unit Price Price, Tax % Tax 374 Duel Chargo To -tall 0.15 $ $56.10 0 I Airport Fees $0.00 $56.10 $16.00 $15.00 $0.00 Movement Totals $15.00 $445.16- Driver Description WhIoloNO Driver t)eao�iptlon CDL -op - or - Non SPAS .� Vehicle No I have chocked all the dOtalls above and agree thattheY are correct. I oonfirm that I Would like to make a firm bookinand I accept the above pried and the payment terms dotailed !n thG attachad letter. g r1rif Name Date L�2LICoach Manager Prinfed: 7114023 1,,2 17 PM Acceptance. Avalon Motor Coaches, LLC Client ID MOSES01 Charter ID 23217 Cliont Megan Watson Movemot.lD 42114 COMPany Moses Lake Cornr"Unjty Coalition Status Firm Mot lief PaSsengers 22 Client Ref 2 Distance 19.4 First Pick. -up 1601 Gaylord Trail, Gmpevine, TX 76061 Destinaffoll DPW Airport Pickrup Date. .Singla Journey Fri 7/21/2023 Time 07:00 Yes rr'j,". In Arrival Date Fri 712112023 Time 07:30 Vbhfc,la To try No Leave D'ate Fri 7/21/2023 Tirne 08...00 f Back Date NIA Time First Plr*-up Instrueftons Destination Instruot[ons Gaylord Texan Resod & Convention Center DrWAlrport- FLIGHT INFO TO COME Seats 'Vehiclo Description Vehicle No Price Tax % Tax 27 Mini Bv8 1 Total --1% 9 $374.00 0 $0.00 $374.00 Quantity. Dasarjpbon Unit Pelce Prfoe Tax Tax Total 374 Fuel Charge 1 Airport Fees $0.15 $66,10 0 $0.00 $56.10 Movement Totals $16.00 $15.OD 0 �46,. $0.00 $15.00 4 WO �$0-00 $445,10 DdVer Desoription Vehicle No 'Driver DescrIpt1con Vehide No GCSL Operator .ikon SPAB I I have chocked all the datalls above and agree that they are correot, I confirm that I would jfk ae to make a firm booking and I ccept the above Price and the payment terms detailed in the attached letter, rt Name )ale GoachMansger Pr1nted:7/1l1W2314'20:17PAA 7/11/2023 Avalon Motor Coaches, LLC Wynne Transportation 7650 Esters Blvd Irving, TX 75053 Dear Ms Watson On behalf of the team at Wynne/Avalon Transportation, I would like to welcome you to our service and thank you for booking your charter with us, We appreciate you choosing Wynne/Avalon and we look forward to providing you with exceptional motor coach services wherever your travels may take you, For your upcoming trip, Charter ID 23217, and for our completion, you will find the following documents,t • Charter Acceptance Form Charter Terms and Conditions Our mIsslon Is to provide you with safe, reliable, and quality service. If you have any updates or changes to this reservation, please contact me and I will be happy to assist you in executing those changes. Changes are subject to avallablillty. We ask that y6u submit your final itinerary 10 days prior to departure date, We will check in with you two weeks prior to your reservation dep�rture date to confirm final payments and then again, a few days prior to the departure date reconfirm your trip details for accuracy, Motor Coach Operator contact info is available upon request the day prior to your trip's departure date or Friday if your trip falls an a weelcond or Monday, You can also contact our dispatch at the n6mber located on the top right of this form, We are grateful for the apportun[tV to provide our services to you: your comfort and safety is our torp priority, Thank you for selecting Wynne/AvaionTransportatlon for your motor coach needs and we look forward to being of service soon, Thank you, Leslie Ortiz Customer Service Rep - Dallas TX TERMS AND CONDITIONS Payment: We require a deposit of 50% of the charter cost,which is due upon booking, We accept cash, check, credit card, ACH, or credit card, Final payment Is due 10 days prior to departure date. If your charter Is not paid in fuIJ we reserve the right to cancel I ery ces, Cancellation: Cancel within 2 weeks of the charter and •you forfeit �he 50% deposit. If cancelled within 48hrs or on site the full cast of the charter will be billed, Arrienitles.- DVD Player, with monitors, Restroom, Seatbelts, and outlets. WIFI: Tease notge that in 2023 we stopped offering WIN, Our WiR runs odd the same cell towers as our cell phones, We found that when 10 Plus people were using the WIN , it had substantial lag time, With 5g and LTE on most phone,your cell Is faster than the WIF1 we could provide. Damages &Overages: Group leader is responsible for any cleaning or damage done to the Motor Coach upon completion of the charter, the motor coach operater will have POC sign hip or Iyer paperwork acknowledging the damage or and additlonW hours, costing will be settled by management staff on the following business day, Alcohol Deposit: $500,00, will be returned at the end of the ,service, NO glass or kegs allowed on the motor coachesk After Hours: Our after hours dispatch line, call 972,915,7300 Opt 20 American Rescue Plan (Cares Act — ARBA) Today -s Date: Vendor: Detailed De. ,gerg tion: 0 Received Super-ViSor Approval 0 Scanned Supporting doctimems 0 File into bilidler EJ ltem(s) received Receipt Date: 1 'Charge to Aig' Month: Y January 2024 El AtiguSt 2023 0 February 200 24 11 Se'tember 2023 P 0 Marcli 2024 0 October 20 9.3 0 April 20 -24 0 November 2023 0 May 2024 0 December 2023 . 0 (June 2024 Delliverables: 0 Taskforce Coalition (supplies) 0 Outreach Marketing / Advertising 0 Environmentred Strategies 0 Capacity Building (workshops & educatio'n) Btaff Travel / Professional Developmeat Requested b, W Supei-visor S- I Form of Payment El VISA Involice (paid) 1:1 Invoice (needs paid,) 0 Other. - El F. Charge Account* b4 ARPA (goo 1 0) El Offier: Prevention Requisition Fonii Revised 08,20-23 renew no" -'k O'WAh A 11W�A Grant County EXPENSE REIMBURSEMENT CLAIM COUNTYAUbaTpR GRANT COUNTY, WASHINGTON Claimants. Fernando V Gala!j� Claimant's Dept: I health- MOT P111"Posedclalmom LpajLdtirmowa. wpmma MALS NNW DATB. L OTAL DATE FROM N iTy, mr) ITYFM3 MILES RATE !�GTAL $0,00 $016% $0,00 00100 $0,655 $0,00 0,655 $0,01) TOTAL TOTAL $0,00 T"CUECK-OUT DATE HOTEL NAM 3 LOCA710ftauman TOTAL OTIKER (raceipts roquiodd) DATE PIASON FOR HKPBNSB I/Zi/2023 iAtnerlcan - ;x1r1h10 bagp roe LOCATIO TOTAL =M$ to CoMpnV ord Grant cloulav 160,00 -low %ho-urit may bt,, different clue to rounding TC'aA_t' $60,00 OWN- TOTAL REIMBURSEMOT CLAIME s(W0100 C13RTIFICATION 1, the 110dar-slipwd, do hemby cenify under powilty Vf perjury that the Authork0lon requ[rad rar rgaployQ841,1 CUM Is ajuA fte and unpaid obligation amoduattbe County, ano that i RUCTRD OlrVICTAL DEPARTMENT IRA% OR DE91QNEE am authurIzed to certify to o C131mb i - NaMe(printed),- Date; I' AKhoiftatton roquired for CouuV UP Elected Officials: COUNTY ATJD)'foIft ,NaMe I Auffiori zation r6q,)j11jad f0jr til e County Miffbar, DaparVqgni H0ftd$0 tneals expens0s 01081dO d(VaV,01 status, find 0111 of awe travel's COUNTY C0NMJSSJ01q13R$ D ate: PASSENGER TICKET AND OAQUAGE-00 k auskor To. Wflu PASSENGER RaCEIPT -1 • j�QWRICAN A:Y..RLT.NEoc% 2 Jj) Wj- 2 3 I Fl — T IJ T w 1 11 Z> -?t - -wol > w"Im cp m > ono JFWGtC-'6-AA r )> WB 2 3KO ANOMI tloo MOM 011ex -cqaj Titf. Ila 4, WVALOAMOil W" $ Mwa > ;,,.d.. . 30 '00L .�.. . F7J `11p. �`I�i��^. p,►Uf1 s.N•• FP -s NA i •a NA vr NALaP7846:KNf hll�rft1�i;f1Fl�.!$t:H�.! T 4 0 001 IR Q 001 3 1 0f54 6 0 43 A,�V- mli'm PA8$ENGo-TlGKST4ND MOA E -C E-.' C AW -AX -P, MtRlt PASUM 62ER REn6-&l,W6 lio NDAR L E. - n. N --'LY TH -U, i5o REFU ft. ACEI iv�- - :1 AM r- U -0-AW, L N E -Row. . . . . . . . . . . . . . F-�."-Rt NSA 47, �d , "" " " ` UY, > MZ> 0 G) Al, 5-tZ j; 44w x=% 0 IT PW 01--tJ 4-1 C) 051- 7lam® MlMttaeRc," .0 cm Ilk 7 M1 m 40a -p J.'tiv� r f ,V' �ry� ��jj\ '� '''`'S • : i l^��,i XIWi,\:•^•;.�^, 7ty;:.1:�,�ti;�•y.��:'�.ySr.;ti.�•Y:�'iri.\N�.!l�•'�.': '� 3: 'T t ' �� ►t ��rt�0� r�v�'�� i'�t G IM�� .��Ltll�Ida -NA- 0 001 02632512SE S Grant County EXPENSE REIMBURSEMENT CLAIM COUNTY AUDITOR. GRANT C(IUNTY, WASHINGTON ............. Bethany Esta ills Claimant's Dept: PlIrposedClahn: I.ReiiiibLirseiiieiitfi,-omC.ADCA-Ti,�i�iiii� ------- .i Destination: MEALS MILFAGE . ...... D.A nATP VfRnM FMTV Q71 Vtr "m TOTAL .110TE LS (2nlp" ma). (MICK-IN J)All CHECK-OUTDATH OTHBR DESCRIPTION 7/2.1/203 8130hile hitex-11iltinhal Airport -$0100 $0.00 $0.00 $6.0 $0.00 $0.00 $0.U0 I-10T8L NAMR -0-1W ON— I .. J, LiDr_A'FIII NjC0U0TY,sT) __ _T TUIX REASON FOR.EXPRNSH .. .... .. LOCAnoN (COUN.'.Q, ST) TOTAL ..... MUM& Parked boubty vellict, 0111 91rPO)l N11(ing gavilge SpiolmieVA fluring.tra Irth 'Ill Texas, Rigg* check Fem SPOkalle, WA 7/21/2021, AmerlcanA�rltneg Mggq,kheck Pee Dallas FOVffi Wuith, TX *Amo..unt iqay.�e different due to roandiop, TO' . rA_L —Ls E ax o TOTAL REIMBURSEMENT -CLAIM $x.28*off MRTIFICATION Authorizatlon requl r.ed fdr C, t)ipjoyt!a.$.,. 1, the wid0s6gued, do hereby cert[ry undior peivalty or perj ttr. y t1la1` ate cla'llip is n just, dtw and wipaid obligation aphiathe (,'Ounty, Atid t1w.1 ELECTED OFFICIAL, DEPARTMENT HEAD, OR W DESIGNIRE, gill6 a 14ortzed to ceftify t: j Id clal m. Name (printed): OW clalmalit mi A SlgIMUIM Da ........... Wd , C Atitho.Ozadon requtred. for Comity Commissloners or Blect d () fficklIs. C-GUNTYAUVITOR Namb (Printed): ... ........ 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IF— psi�Tr Atli I ,%-, zil v zr -W t4 t4 rl's f Ob% sit American Rescue Plan (Cares Act — ARPA) Today's Date: Vendor: Cl Receipt to Finance E l File into binder Cl BudCg�et Spendhig , Tr ac.ker elltl.y El Item/s received SIN. 1001 \ U ReceiptDate: 1 Detailed Desel1" tio P n. A/I, A IVA le. `Charge to Mq�,mono h: EI.Jailualy 2023 0 Febmal-Y 2023 0August 2023 El Marcb 2023 El September 2023 El April 2023 11 October 2023 0 MAY 2023 1:1 November 2023 11 June 2,023 0 December 2023 10 Deliverables, 11 TasVorce Coalition (supplies) 13 Outreach CMarketing / Advertising Ei nVirouluental Strategies Capacity Building (workshops & education) Staff Travel / Professional Development Form of PaLyInent El VISA 3578 Invoice (paid) 0 Invoice (needs paicz:) 11 Offier: Charge Account, ARP'. 11 Other: $il�Ilto.A� Requested by: D at e. Date: '02 Supervisor Signature.• Prevention Re . quisitiorl Form C MINNOW PY Revised 02.2023 0*0 renew a GAYLORD HOTIRLS' GAYLORD TEXAN GUEST FOLIO 4103 GAL ARZAIFERNANDO 190.00 07/21/23 11;00 612 20402 ROOM NAME GQNQ RENEW-OVINCY PARTNER RATE DEPAMf TIMR 07116123 20:17 ACCT# GROUP TYR 840 E KU ST AnwvE TIME 572 MOSES LAKE WA 98837 ftwul AWmm V3XXXXX)<XXXXXX4030 CLERK PAYMENT DAT R ERENCES CHARGES, J_ CREDITS BA 07/16 07116 G OOM BYPANTAX 190,00 07/16 STATETAX 2,64 9.64 07/J6 07/ CITYTAX 410311 6 STATETAX 4103ol 11.48 071 6 CITYTAX 410311 1.66 j.82 07117 QP YOOM 410311 100.00 07117 $TA ETAX 41 4 2.64 07117 STATETAX 4'1O3, l 9.84 07117 CITYTAX 410371 li-48 07117 STATETAX 410311 66 07117 CITYTAX +410x,l 1.02 07/19 GP am 40311 00.00 07/18 81"Alr:gTAX 03 1 2.64 07118STATETAX 003, 1 9.84 07h 8 CITYTAX 4 03$11.4ff 0711 a STATETAX 10811 071 El CIT 31 oat 1 ONO GP ROOM 4103, 1-82- 190.00 07119 TATETAX 4103, 71 g 711 STATETAX 10311 2.64 9t84 7 g 0711 CITYTAX 0 11.48 07119 4101t 1 019 C 1.66 TAX 4103ol 1.62 07120 G 410211 190.00 kyOOM 07120 ETAX 410311 2,64 07120 FTATETAV 311 9.84 07/20 1 410311 11.49 07/20 ETAX 4103 1 .60 97120 CITYTAX 4103:1 1.82 1086,20 Boo OW "Privacy & Clookle Statemenf" on Marellott.com Asa Marriott BonvGy member, you Gould have oared points towards yourfree dream vacation today. Startoarning pointB and elite statuis, plus enjoy exclusive member offers. Enroll today at the front desk. See ht(ps,.,Ifmombors,.marriottat)m for'more Informatlon GAYLORL) TrEXAN 1501 GAYLORD TRAIL GRAPEANEv TX 76051 GAYLORD P H# 817 775-1000 FAXt 817-722-2184 HOTM V. Treat yoursolf to the comfort of Gaylord Hotels at home. Visit 13aytordHotelsftroxom 'Allarkateinentle Your anlyrtgalpt YOU fi14V0 VairClIft Pay 00h Or by UVPFDVKfd piaftoKid V1144 a to aolhoklz6 Ut to aliorga for an agmuhts CJJ&rgeJ ILI ya"01113 amounts allown In ilia crefit o0hrou Piplonsite any Waft Ctall DhOF904 t(I the 1pilft 0414 INUMber 04t f0A above, (The aredill cad oduppy Wil bill to tha wool mqmnikr� it foray roatai, 1ha Pratift Patd company qllsnmikh; You 1i nwo pAs sq all ;Iwuiit Myou ata dfred bitkid, 11h tha aythlniatilmdu Wthin 25 41attar% ar shook -soul, you Wil Wo Me InWad from ilia edwak-onUtila Qtr V*'" "wont R"hQ 14% of 11-51A Permakidl, (ANNUAL RATF-1 0%1 or the nldnintn B I kond by I ft p1gadye ran o a iiiablo in as, 1 11 Rom By roar. el"duro X I YOur hotel reservation for CADCA 2023 Av-6-KADCA I W r .I[y 4 r. .-,,o CADCA 2023 MY 14, 2023 - MY 23f 2023 - --r, et - - - . . . . j, . wo 41. -111-4 11.11b. A0-14 — W• .06 Your reservation is complete Thank you foe bookingi Gaylord Texan Resort and Convention Center 1501. Gaylord Trail Gmpevine , TX 76051 t UNITED STATES https,/jupdates.gayfordhQtef.5,cOPl/WelcomeToGaylordTexan HOTEL REWARDS PRaGRAM lIXOR.1of-t ckk here to Joln'Marrlott Sonvoy BONYV* > �adltlonaf Guest ROOM kneel Add to calendar Ackmowledgenjent number., ZN2AEZ7S CHECK -N CHECKOUT Sun, Jul 16t 20.23 Fr[, jul 21, 2023 ---------- GVests MobIle Key Show deta(15 4W All daft ProWA by Passkey Intemattanal, enc, No unauthlo dzed we or disclosure is permitted. CopyrIght C L997-2023 PassW fnternaaara4 Inc. All Rights Reserved. icy .. _eL1% hftps-liboolc.PaSskay.Comlentry?tok(3n=eyjoeXAJOIJKVIQiLCJhbGcIOIJIUziI NIJ9.CIYJWYXI-sb2FPIJP71MVUdHJSIjOiUkVTRVJWQVRJT041LCJINYXJhbX.,. 0 T .. - GAYLORD HOMO* "LORD TEXAN GMST FOLIO 8133 EWINOZA/KATHERYW 240.00 071210 11:103 - 204G2ROaM AQNQ tat�rn� XXX FL1rE WART Tim� 071'10123 20,'19 A+��i� GROUP �7 XXX NE 11111 ARRIVE IMF. "Oom VSXXXXXXXXXXXX4030 W DnR>rr s PAMEW MBVO: RE, EREN!q CHAR( CREDI A�.AN 07/10W 07115 STATETAX ROOM 5133,1 5133,1 240.00 3.32 071 0710 STATETAX �:IT' SoTATETAX 813311 Tl 533)1 13311 3311 12M 14.00 1,60 07/10 0`1f17 CITY GPR TAX ]M 5 331 1002 2,40.00 07/17 071117 TATETA 6133, ATETAX 4 3 34, 4 3.32 14.9a 07/17 07117 STATETAX CIT�'TA 6113, 51 1 56 1-.82 3,'1 37110 07118 Gla' STATETAX ROOM 51:3311 613301 1 240.00 3.32 07118 STATETAX 5133, 1 1 071 071' 8 CITY= 0 STATETAX 5 33, 1 5133 J.84 1,100 07115 CITYTAX fi W�i3,1 1.56 1.8� 071` 9 GP 07119 STAMM ROOM 51 x:73, 1 613311 240.00 3.32 07110 STATETAX 613311 12.84 07119 CIT X17! � '�TA 6031 TIATf*"i 5133;1 "14.08 1.50 071 0 CITYTAX 613311 1,82. 07 0 GP" 07/20 8 ROOM 0311 'ETAX M331 240,00 3,32 07120 STAT11TAX 07120 CITYT 0301 5133,1 12,84 '14,98 07120 STATETAX543311 1,58 07/20 01TYIrAX 5133P 1 °1372.60 See our "Vrivacy & Calakle StatemeniVl an MaMott.com As a Marriott Bonvoy member, you could have earned polnta towards your free dream vacation today, Start earninu points and elite status, plus enjoy exclusive member offors. Enroll today at tho front desk. See https;llmemboirs.marrlotl,.i:om for more Information GAYLORD TEXAN 1501 GAYWRD TRAL GRAPEVINE, IX 7001 GAYLORD PH# W-7781008 FAXAA W-72242104 OTELSM _ Treat yourself to the comfort of Gaylord Hods at homo. Malt GaylardHotels tero.co o Ulu atatemeeht(a your ons taanlpt. Ybo IlaYe agmad to pay ip eash at by PppraV4 d pcmohnl ohnak nr to nuHloom va to ahorlfh yullt audit natd for all 4rnoun� �l�ara$d th yah, 71to emalmtu ati� 111018 Ofadli r�ahimn appoft any oradit m4 entry h 1ho raralonao ODIUM" ebmre wm bu ebargad to the CraM adtd raanhar iat forlh allM% (Tho =01 card nompanlr wlil bin it, tha usual mahhet) if for pity r"JoA ft credit card �ntnpahy does trot Matapay Ment o0 tWf e►oCatQ' ypu VIII �awu us stl�h a unl, ltYuu are reok bglacff In qta event s V+t�entla uakhthdO wilfti� �S deyB hoc chaok nut. ynu vAll nwa us lnlnrnat faun shu olmd-nul rlato on �u ttnl�al�l einautit utth rota ofi.6'�b far htuhlh AN AL I I$ ), Qr iha ImaAUARt alio�w9d by law, plum the, reasanAle vast of oalladlan, Invluding attaytray fogs, Ogn ataro X 4127128, S:08 PM Your hotel renervalon for CAOCA 2023 ADCA. .4' . i v-t&A es #+,-FK4 W .*Aor I I U lye 14r 2023 - July 23, 2023 Ywrl reservatfon is complete! lbank,yov for bokIng] Gaylord Texan Resoft and Convention Center U01 0aviord TWI Gmpeaft I TX 16061, WITOD =TS HOTEL UWARDS PROGRAM ryrr.•wAtN/rnr..n/I..awuw.wnr..w.NwtlMli•N♦vr..j Vr�h+u.rT'r'r"N�Nrwe+I.NMY CUR hereto joirk WE SioRvoy V Farhat Atriuni Guest Room Upgrade s Camp Ad to colep dar Acknowledgemelt maber: 5WG7AqVJ 01ECURN CHOMUT Sun, luf 160 2023 F44 Jul 21,,2623 Guests ROOM RAM Poftl Ablum Guest Row - Upgrade (1) USD 1,200.00 I odal� ' ffighN ftes A Peas U Sri 174,60 Tbt� I USD 11374.60. o4. +1 0 t, r ,X 4 1, Mobile Key QUM &W is All d* prnte*d by Pa5skey TotarrWan), Inc, Na uriauthotTzad we or di wurn Is perallfted. copVrtght @ 1917-2023 PmW latemi0riall Inc. All RIBbIs Romad. P&AZX httpu-,//book.pa.sskey.com/0ntry?tokanzeyJOeXAIOIJ�(Vi Q1LGAbGv-101J I UZ11 NIJ@.eyJwYXIeb2 FKIVIImVudHJ6fJOlUkVTRVJWQVRJT041LCJWYXJhbX.,,A 1372.60 See our" PrIva cy & C00k10 tstem+ nf" on Marriefk.com Asa Marriott Berruoy Member, you could have earned Pointstowards yourfree divam vacation today. Startearnin polnts and elite status, plLls enjoy OXcluslve inemher affe , Enroll today a4 tho front desk. Seo hUps:1Imombrers.malrrio(t, om for ,rare Information GAYLORD TEXAN 1601 GAYL0110 VAL GRAPE -VINE, TX 76051 AYLORD PH# 417-776-1000 PAX# 817-722.2184 T)ALS Treat yaurself to the COMIOrt of Gaylord Hags at flare, Visit GaylordHotalsstorexom This skWamant is your ant rawpb yo /taus aQrsad lit pay In nm b or by vprovid pemQnai ehbok ar to 04iatke us Ea ahary+o your Ccodil cart rat ail aiitalmlo charged to ynu, The $mnqnlat shown Ih th-& %eq[t tmk"mn aPP0*a MY credit card entry in IN) WOMBS aahltM abWfi W11 bo 011cw©ed to tete urmd1t yard nwnber edt ratdli w1bays, EYt"a 004t Ghrd c e"Any VAI bnl !q ih+t r,raunj rnahhoIf fnr Uny roasaR 910 CM .+Aro ao 4ny da 64 nat mnlw payMist on 14 sgaounj, ycu W awaits such amalbt. if you aro ji tact laltjw# In ilia nw !"t payment (a natmada wlU1ln,2d d 'nRet chOA-Cul, 'Ott VAI mWe us hSterest 1t,am tFtio cliacto-nut dato 9n. any IMPS d amoutli Qt t IO rets of 1.6% per month �liNNtlAI. �� i��i}, of �e mWlmarn allawad bylaw, plua� Uta taasanmbla floctaF Gapgalin"�, lndudlr�akumay f ees, MpAyo x GAYLORD HOWLS" GAYLORD TE NHrzST FOLIO 6130 BOA'1'ENG/JONA NAW 240,00 07121123 1 t,.00 ��!Room 2p4a2 AQNQ xxx �YU ��Pr GMUM T� . A�CT�P oI��uP TYPE 672 XXX NE 11111 frfiWa TAME MUM VSXXX�XX�{ XXX4030 OLMIK Ata�RE;88 PAYYMENY MBWA: CAATF RNFERINCE IAT OREDITS ALiW H rn OW 16 STATE -TAX 61301 07110 07/18 STATETAX Ci "AX 6� 69, 6490 � 3.32 12.84 07116 STATETAX 6139,1 ,98 QW16 07117 C TYT1 GPROOM 00i, 39s 1 63�, 'I .68 1.82 240,00 07117TAT 07.117 STOA `i 30, 1 613% S 1 3.32 07/17 07117 07/17 01TYTAX STATETAX CITYTAX 30,1 6130, � 6130, 12,84 14,98 56 11.82 07110 07118 GP Room STATETAX 0130.1 6435! 1 240,00 10) 7710 EIT 6139' 1 3,32 12.88 1 07118 07118 TATT CIT1�''11 61 a F � ,66 1.86 07/48 'CSF' R 0M 6i'13% 0139 '� 82 0.00 ��3.32 07110 07/ 0 �sTA�'�r'AK aTA►TT X3'138, 1 6'133, 1 3.32 14.88 07��0 07110 ITYTA�t TATTAX 6"139 1 61130; 1 4,08 1,66 071 0 120 lTYTAX P' ROOM 6 0r�0, 1 6 30, 1 240.00 ' 7 0"4T 07/20 TAX STATETAX 613911 6 39, 3,32 "12,8+4 07120 07120 CITY`�AX CIAX 6 30, 613g 1 14.08 1.66 1372.60 See our" PrIva cy & C00k10 tstem+ nf" on Marriefk.com Asa Marriott Berruoy Member, you could have earned Pointstowards yourfree divam vacation today. 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Seo hUps:1Imombrers.malrrio(t, om for ,rare Information GAYLORD TEXAN 1601 GAYL0110 VAL GRAPE -VINE, TX 76051 AYLORD PH# 417-776-1000 PAX# 817-722.2184 T)ALS Treat yaurself to the COMIOrt of Gaylord Hags at flare, Visit GaylordHotalsstorexom This skWamant is your ant rawpb yo /taus aQrsad lit pay In nm b or by vprovid pemQnai ehbok ar to 04iatke us Ea ahary+o your Ccodil cart rat ail aiitalmlo charged to ynu, The $mnqnlat shown Ih th-& %eq[t tmk"mn aPP0*a MY credit card entry in IN) WOMBS aahltM abWfi W11 bo 011cw©ed to tete urmd1t yard nwnber edt ratdli w1bays, EYt"a 004t Ghrd c e"Any VAI bnl !q ih+t r,raunj rnahhoIf fnr Uny roasaR 910 CM .+Aro ao 4ny da 64 nat mnlw payMist on 14 sgaounj, ycu W awaits such amalbt. if you aro ji tact laltjw# In ilia nw !"t payment (a natmada wlU1ln,2d d 'nRet chOA-Cul, 'Ott VAI mWe us hSterest 1t,am tFtio cliacto-nut dato 9n. any IMPS d amoutli Qt t IO rets of 1.6% per month �liNNtlAI. �� i��i}, of �e mWlmarn allawad bylaw, plua� Uta taasanmbla floctaF Gapgalin"�, lndudlr�akumay f ees, MpAyo x X1121123, 8:67 PM YQUr 110te) 1`6861Vallon forCA, DOA 2023 rADCA WV%M 41 It Vy 14,2.02-3 - July 23r 2023 vInur reservation is complal-6 W ThankyaU for boftgl Gaylord Twat) Resort and CbnVenft Center ISR Gaylord Val ftpffidnes TX 76091 t UNIT9D STATS HOTEL REURDS PRQGPM 1 ' click ITQM to JOIA r"'16 -ft 13-0-0-0y, May qW 1Pw V PaMal Mwin Guest Room - Upgrade Cancel Add to calendar CHMIts CHECOUT wilt Jill 16,r 2023 No IUI 210 Z023 ROOM R Pa alai Mom Guest Raw ".Upg rada U��r �,�0�� (D Ii odulk S. nights Was & N�S USD t7j-.60 Total Fl- 1+." TA -1 -11 -Vol I- ki 14 1 - USD i,374rW mobile Key Show detAlIg All claim pmts by Pas -dw Intemal0nd, InC, NO Una U010flud Usa or disc mrn Is PtIrmIttv4p PW COPYODhtO 1997-2023 t4fafghtS ReSatWdF VaI wpo cv httpg:llbbok.peaskey.comlantry?tokon$w-ayJOeXAIOIJKVIQILCJ[IbGcIOIJIUzi1 NIJO.eyJwYXlsb2Fkijp7[m\ludHJ511olUkVTRVJWQVRJT041LC;jwyXjl,bX See our "Privacy & Cookie statemenV on Marrlott.corn Ass Marflott Bonvoy member, you could havo somed points towards yourfma drearu vacation today, Start earning points and elite atatusr plus enjoy o cluslve member offors. Enroll today at the front desk. See https,.Hrneinhera,marriati.com for more Information a� GAYLORD TEXAS! ... 1501 GAYLORD TRAIL GRAPEVINE, TQC 761061 tf.ORD PH# 817-778-'1449 FAX0 81'x-722-2184 A MOL" GAYLORD HOVELS' GAYLORD TEXAN 008ST POLIO 6201 WILSIC WAZ1,YNN 240,00 07121123 06:44 4417 20402 Road! 14AME MTR APART TIME ACCU GROUP AQNQ xxx 07110123 20;19 TYPE xxx NE flill ARRIVF TJMR TYPE ROOM ADDREW VSXXX XXXXXXXX40130 PAYME14T M BV#: OW13K ' RF- ERE1 $ CHARM CREDITS RALANES DE 07/10 GPROOM OOM 6209$1 240.00 07/10 9TAT�TAX 8201:1 3.:32 07116 STATETAX 6201 + 1 112.84 07116 CITYTA X 8201 t14'98 1 0' 1'10 07116 STATETAX CITYTAX 6201t 20111 1:160 1.82 07117 CSP ROOM 0 240,0D 07/17 STATET 4 5201,1 3,32 07M7 STATETAX `I"Ib+`f 620 ► '12.84 07,17 07117 ITYTA�X STATETAX 0 ! 52011 1 14:03 1,60 07117 CITYTAX 820'1, 1 1.82 07113 GP ROOM 20 � '1 240M 07/13 STAMAK 20�' 1 3.32 07118 07118 STATETAX ITYTAX 1520 �� 12,84 07110 0,11`18 rAT�T c IT�rT € 828 , 824 , � o 14..03 ,.53 1.82 07119 P 0M , 820191 240.00 07119 STATETAX 5201 a 1 3.32 07119 STATETAX 8201' 1 '12.84 D71 0 CITYTAX 6201] E 1 14.98 07f19 STATETAX 6201 L 1 11.86 07110 01TYTAX 620111 1.8'Z 07120 07120 DIS ROO620 STATET 240,00 07120 STATETAX 5201 5291 s '1 3.32 12.84 07120 CITY'= 6201,1 X14,08 07/20 STATETAX T'AX 8201 , 1 1.;50 07/20 CI AX 82 }1, 1' 1.62 7121 1372.60 PAYMENTRFO�IV5013x. `ISA XXXXXXX 4030 ,0 See our "Privacy & Cookie statemenV on Marrlott.corn Ass Marflott Bonvoy member, you could havo somed points towards yourfma drearu vacation today, Start earning points and elite atatusr plus enjoy o cluslve member offors. Enroll today at the front desk. See https,.Hrneinhera,marriati.com for more Information a� GAYLORD TEXAS! ... 1501 GAYLORD TRAIL GRAPEVINE, TQC 761061 tf.ORD PH# 817-778-'1449 FAX0 81'x-722-2184 A MOL" - _ Trott, yourself to the comfort of Gaylord hotels at home, Vislit GaylordHataisStoremom ThIs datamalt 18 yaW 1>Ny ruct�Il�t, You 111wa agroed to ay h cash a by approved p etdonal taiioak or lar aulhtaifza t1$ to chorou pur etuen card for 0 wnounfg chary ad to you. Tfha 3rn aunts ohm h� llle ttedil mjgMll oppdelta 4ny aodit oord entry In lhn refar"llot? column obal z ba thatlod to y cr4s�l c'z rd t�trnbrsr nut !0!111 atovo- Ra ctedif cord itotlgaatry wilt 6![I In 1hn Usual moftherj It %t Any racoon tf»r cre+lIt card encp amty does not maka hgyrn"t aft JI a r<naogM, you wli OWD uR 8t1ah pmpupt, Ilyou a g direst Gillacl, In the event poymthth not !nada VrttW 25 dAy3 n flar cheek -alit, you win we ens Woreit tram lie atte-uc-out dal% en -atly Impald Q111OU111 at Sia rate of 1.1;% par tnonlh (MNUA RATO t$% lot f 101 moxlmtrm pI161vad bylaw, Niue (ho teamhao a cod of oalleaUwt, InQding altcmay tea$. 61011 iiura X 4127123.k 3:57 PM Your hotel resaivation for CADQA 2023 11 L 4,- pep jn& �b.,,Wfj w %.JMDC-A-2023--- NY 14, 2023 - MY 23, 2023 jo.. "d_,Fd Your reservation 'I's completef Thank you for bookingi Gaylord Texan Resort and Conventfon Center i5ol GaVoll 1 I &AP wine � YX 76051 Wrft ST4KrS HOTEL REWARDS PROGMM Palti"al Atrium Guest Room Upgrade Mcel Add to wo-odar Acknowledplyient number: Yjo470MM CRECK-IN CHECKCXJT SO(JUI 16, 2023 R11 Jul 21,f 2C23 Guests IN ROOM RATFS Parthlftum Qlest ROOM - 11porado JUSC) 1, 2001DO z EdaltS4 5 nlclft Taxes & ?eas M 174.60 Tota USD lt374.60 40 &k-V. .11 411 14 k 4 Kabile Ksy Y. 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Enroll today at the front desk. Sao httpa.miimombora.marriott.com for moro Information GAYLORD TEXAN 1501 GAYLORD TRAIL. GRAPEV1W:, TX 716051 GAYLORD PHO 817-7784000 fAW 817-722-2184 HO'T'ELS" Treat yourself to the CoMfort of Gaylord Hotels at home. Visit GayiardHolols torewicom Th% statain4tit III W Wy raor}1Pt, YOU flan$ 00teed to pay in cash or by ar to moth odZe us to aharge yaut erfadtt card far sill �tnaut�ls �kiar�r�d i� yaa.146 amounts *hvwm En tho oroelt najumm oppooaa trtry aradit Lard enity In Elm rnferoti oalumn ab ►re 4uIlI ba chActlod to Uto cxndlt M t�tihtbor sat idrtit nfraye, �o Mdt c�td cohlitshy vri71 fill In the uetwl Manlier.} If for thy oenson ft aredit Card aanipmty doo not mab paynwnt on Ihls ROWN11t, yott will aura us enah xmaunt. hym ate d1reot blUrid, to tha event pays neat fa flat made VAN11 26 days a11st cheak-wit, yvU wpi nwa n% intWGSt Frnrn Iho shook o;rt data arr W u*r1M Owllht tit tha<tata of 1,t A par month (ANN1JAt. 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Start earning y +da�l�. see ht#yrs:11mem lbers.marrio(f.com for more Infoffne on GAYLORD TEXAN 1501 GAYLORD TRAIL RAPL-VINE, TX 7&)51 • rl0 R D PH# 817-778.1000 FAXIA 817=722m2184 OT)ITI N `trOat yOursolf tO the Wmfart Of Gaylord "08ls 9t h01108- Visit GaylordHotels%ore.com �tr1c uWaInant is your Manly roaelpt You imus Wred to PAY In 00411 Ur by npproPad poxnelal check Cr t4 aulhodze us to AbWa VaW aredit nard for ail ensatmlc ar ad �.1<l�a giriaunln In Q�Q aadii cnl�tnq a s awry M 9413 tolerance ealumn au+t►►o y ba dtnr�acE Ja tha cradit card hvmber a+�t fwllr airavu. po crudlt car+! aotrtpany Sv11F Iftil Ire Iho urAlal Inenner,7 It tar 4e that,08 thrf 011- mrd coin % $1 Mdoo� aat maa a e AIS l(o any aradit card M ue such, 20fti, It you ors djract I)Wod, In tlVe eyant Jaymont Is inat m4da +htllt�i 26 dais nit,ot chmakrout, Vnu vA malls Inlehesl ko the a1�ck If dnta uh �tty uDiu c �m mrd rit Ihg rant �1 i, h e A ym of a, V116 #Acauh4,1011 viol maidm[rm alfaWesl by Ja�Na pigs Iho raged tg6la oast of calleolinu, ?ncigciliW aUtanay (hss, pee mdnlh (ANNUAL RA,5 -18%), or tha ��Inatr�q � 4/27/2313:59 PM Your hotel reservation Ibi, OADOA 2023 ADC A 41 -2023 JU IY .1 -dr, 2023 - July 23, 2023 Your reservation is completel nafik y0ij M! booWng) �dirkanFFA ,, Gay lord'Taxon Resort and C0.1wenVon Center ISDI yjar4 -aall GripeAne , TX 705i,j UNITO -STAMS HOTEL RMARDS PROMM .Y, Clfck here to Ph MArdott Bonvoy h'.1 -L-7 •f 4 j4- r.5,i,. 4:f Partial Atrium Guest Room Upgrade Wit cancel Md to olendar MEMIN C11EMOUr SON All JA 2OR3 FrI, Jul .21,r 7.093 ^..w�•�-•..r.••.�µ..••w,+.l.r•yM.rba Guests r•INr.r..n+Rr'Yghhw+t+-• r�.••.pA Room PAM. MIM Atrium Guest Room - Uppdda OSO 1,200.LDD i Aduxr 9 nifty 4 Tayms & Few USD 174.60 Total ..+If- d. q.. 14 .4. USD li374,60 Moblie (Cey Show detalig All dots pteaed bY Pass V btenidortal, Inc. No uhaolhoftd use or dadoorm h permitted. CbPAt 0 U07-7=3 Paskall llftnaikuiak Inc, AH Rfghb; Resnived. pflya OA*, httpsi-libook.pasgkey.comiantry?tokenmeyJOeXAIOIJI�V1 Q'(LWhbGo1O1J1UZ11 NIJO,eyJwYXNb2rkljp7lmVUdHJr)110'1't)kVTRVJWQVRJT041LCJWyXjhb)( 4 k Ili Y t - A ORD AI $" GAYLORD TEXAN allEST FOLIO 2207 E CAMt BETHANY 190.00 07121/23 11:00 ROOM AQNQ N�141E RE�1 1I 80AP LAKE PART MM I?�pAiiT 07/18128 TIME 20:1 U4ROOM 20402. �R��IP' Trps 672 040 E PLUM MOSES LAKE WA $8887 AkrdVs T(MM R00h) VSXXXXXXXX XXX4MO rr A(�bFt t PyAYMF.iVT M BV#: AT FERkNGEHARGES ITS BALA � 07116 6 aP ROOM 220711 a'IATE' TAX 2207, l 1 got 0 07116 07'E 9 AT =TAX 2207',1 01TY`�' 2207p 1 2464 9.84 '� 07116 07/16 STAB' . 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Enroll todayat the front desk, g Sae https:f/membere-marrlott.com for more Information GAYLORD TEXAN 1601 GAYLORD TRAIL GRAPPRVWl JX 76061 .A )MORD P H # 817-778.1000 PAX# 817-722-2184 HOTELS " Troat yourself to the CoMfort of Gaylord Hotels at homell Vilslt aylordl-ietala tere.cam Thle 0dolaunk Is ywr one Paaodpt, You h Wil Vilreed to ppcgr In sable ar by approod patsOld tAtiolt ar is auhlarIza of, la blWr�a ynttt nretllt Gard ter All 01001MIg ctmed to nu. es,try In thn rvfarono oollmn above Mh he OhArgild to 1116 crOdit 0000 Wabar satiollh abnua. (fain omdit anrd comp inywll biN in the u+mInl "IIf for ar�y �aa�n IhQ iftd t Mrd "mpgny dem III m ko It aomul t on t1h a Dnp oradteard awe ue such allount. If y 4u ars dlreol titled, In 11te 49081 ptymbnt It fwt made within 28 44y6 anter Qheak•+out �r LI WN owe ,a Intomt front Ilia c�alt,ouk data nh Qr unpaid nmaunt Ott Che ratte a( 1-5% l�nr mangy (ANNUAL RATE 1�B# )a r lli�l maximum allowed by Iftwt plat the timnallablo on rd ofr4looNon, Inslttdinp atoh7Qy float. �Ig�tatula � ' 5123/28,12:46 PM ' Your hm�maomm�ouvoxoo�2o� � ' ` ` . ^,'Ja_- __ _- - (7/kNA 2023 - - ]uIY 14t 2023-]ok/23, 2023 ' Your p��@[�� is completel Thank you thr bookIng! Gaylord Texan Resort and Convenpfon Center 1501 HOTEL REWARDS PROGRAM So VTraditional Guest Room »umow�u�me�nmn�ro��o� Cancel �m��o�r ^---~� `HITw" CH�CKOUT Sm,xN��2023 Prl,, X-1 2420z Guests xuum Tradfdonal Gues'mmm "°/E= I 94Aa^ighm (UUSD 950u0 Taxes mFees UP 08.23 Tbta! USD 1088.23 Mobile Key 13 Shonuetalls Aldata nc,una'-~ _ -_ _~~ -__~~*. 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AOCTO GROUP 20:24 TYPE 8140 E FEUD ST ARRIVE Time 2$1 MOSES LAKE WA 98837 ROOD 11' 8}�?�X�C}t?C�C� XXXX 034 13LRRK ADDRESS WOW MBV#: Tr= REFEREWE -CHARGESCREDITS �AL�AhI�� U� 07/16 OPROOM ROM 6307, 1 190,00 07140 STATETAX 63071 1 2.84 07/10 8`ATrTAX 8307, 9.84 07113 GITYTAX 6307r 07116 07116 STATETAX 03071 CITYTAX 630711 '1 1.66 1.62 07/7 07/17 GP ROO G30Tr SIATETAK 0307, 1 194.00 2,54 471 7 STATETAXGITYTAX 6307, �1 0.84 11,48 7 AX 6307V1 1.86 07l 7 ITYTJ07) 0307, '0.82 071'18 GP ROOM 0307, 1 0718 5TAX 711 ETEMX 2.64 0718 0307, 'i 0.84 071 0 CITYTAX 630711 11,48 07118 STATETAX 6307 �[ 07118 CiTYTAX 630711 1:82 07119 CSP DOOM 607 1 190.00 07119 07119 STATETAX 6307, STATETAX 8307, 2.6 07119 ITYTAX 6307 0. 07110 STATET'AX 71 11,48 1.66 D7/19 C ITYTAX 83070 1 1,82 07120 W 1 OOM 63�j07, '1 190.00 0712,0 STATE -TAX X6307, '1 2.64 07/20 STATETAX 630711 9.84 07!20 ITYTAX 8307,1 1145 07120 TATETAX 6307;1 1.66 07120 01TYTAX 8307,1 1.82 07121 PAYMENT RECEIVED BY: VIS At X€XX )(XXXX X4030 'C 00.20 .00 Seo Baur "Pidvacy & Cookie Statement" on Marriott.ccin As ar MarrlottBanvoy member, you could have earned Points towards your from dr+eern vacation today. Start oarnina Points and elite .stattus, plus on]oy exclusive member offers. Snroll today of the front doss. See httPo:.I<lmembors.niarrio%com far more Information ,GAYLORD TEXAS! . 1501 GAYLORD TRAI L. G RAPEVi N E, TX 76051 .YLOW PH# 817.718-1000 FAX# 81-1-722-2184 HOTELS a Treat youreelf to the cOmf'Ort Of (3eylord Hotels at home. Melt GarylordHotelsftrexorn This btotnmAnf le to pay to Cash or hyr approtod hbreonul chock of in av4ljod20 ua to charge your credit pard ft all amnunla dinged is y!au. Tisa At omit& ahmm In Cis Crag valurm opt►ashe any 4r*dlt Doti eiNry h C14 roram" cafunrn Own Will h a alwrged to lhh cradl# curd naraher not fair abov&. (Ma credit Card cntnpoyt will bill Gt flha ueuvi Malinor.) It for anY raason ihn ore dlt acrd compmy On not rimAka papunt on WD noaaunl, you VAII U" rk sucti am ow, IIyogi am direct W11184r III Ilia avaril payhwhl is not nada tidr3fhln 2S 4qu nlbot- chaglt•at�t, you velli awe 4e Unrant irota than c h nk•adl Wn an nnY uuaM vmnont at Ilio ra18 of i A% per mann SANNuAL HAIL± � ��}, � it�v maxlmuin allownd bylaw, plus Iiia ramnabla dost of oallecdon, IaclUdI�g aEtnmay hay. 814riuluto X 6/23/23, 121,45 PM VCADC A' YOur Mel feSarvatlon for CADCA 2028 CADA 2023 JU1Y 14r 2023 - July 2�f 2023 Your reservation iopltet Thank you fbr booking! ,I nAtk us it r I kjt► Gaylord Texaii Resort and Convehdon Center 1501- ylord TMII 4tapeVltie, I TX 76DS I I UNI TM STATa 'HOTEL REWARDS'PROiURAM* NARAJOIT Click here to join Marriott 80poy BQNVP-Y' Traditional Guest Room Acknowledgernont hUMber'. HMZONS.32 CK&C*IN CHECK= SON .0 M 2W Frio Jul 2112023 Ojests 6 6 ROQM Traditional Guest Room -Wes& Fees Total Mobile Key Show details 1:E1 canCel Add in calendDr PATES 01 USD 050.00 USD 138,23 USD 1.1088M All dpta pratectud by pamey Intetnpliac4t, Inc. Na ullautharized mor disclasufa Js permitt-Rd. COPyrlght (D 1997-2023 Fasskey Intemstional, Inc, All Wghts Reerved. privarVL,01L,,y. lit ps;libooli.PasakeY.Corn/entry?tokon=eyJOeXAIOIJIVIQILCdhbGcIOJJIUZII NIJO.eyjwYX[sb2r-kljp-IIM'VudHJ51JOlUkVTRVJWQVRJI'041LCJWYXjilbX... X1071231 4:00 PM MV2 ADIC.""I'm YOUr h0161 Teservation for CAMA 2.0 $ A JUIY 14-1 2023 - Ny 23, 2023 J.'.. 6"vmq -.W% P LS' 0 *"0144, &f. qipl)j h $061 Your reservation is o plet j Thank you thr bookfn' I Max GL UpgmO 0,4=00,0. Gaylord Texan Resort and COMOntlon Center 1501 eavlow Tmij 210.001 pet Gr800*0 r 7X 76051, UWrac sTATps & &NM Vlaw �♦rfh7ww.��`Y'h.a-ala./�•.+••YW".Ifr►n.w10iWM.�....A 1MLM+r.wl/W1i.�llMa.+..r�a•r.•..nF.n�.rt.�/.ww•..u�rw.. i+.IN�+•uvl.•Yrr1 wr..4rwwwwi.4•.+Aill HOTEL REWARDS PROGgg4 Clfck heit to joln Mania BoAvoy VAW upgT6 till Imi Upgrad v 0 + USD 8 * 0.00 Per +Vtes � Faes *Raditional Guest Room C�Ml Add to calendar A4C7NJ Ad(nowjedqemen� num ber.t 2V Pa rtle lbv� hl 20i zoj3 Upgr- Max Q oil a, Uests + U SOPOO per view ROOMrY h.1 +RAdItIonal Guest Room I mdVitt 4 n1ght8 USD 76o,o1.i Tates & Fees USD 110.58 Total LIS' D'87010 4 10 1' Moblie Key Show daNffs All JAW PrOWA by Passkey Thtemujjona� jr1c• lqo ftuthurM usaardIsdogtire Is pormittgd. 111bRnatImm4 Inc. Aa Wthk�� RamVo. pLAg tEdW& htCpa.,Ilbook.passkey,com/ontry? t0ken-=eyJ(J0XA101JKV1 "LO"bGoiOIJIUZIiNIJ9.OYJWYX[sbP-Fkljp7fmVud iid6llolUI(VTRVJVvQVPJT041LCJWYXJhbX.. r + I • I i i • I �s i GAYLORD GAYLORD TEXAN GUNST VOUill 6077 MO K MW NAME DIM AMR 4077 20402 ACM�� ; CQNQ 0711 0123 901,28 ARRIVrm Mrs 900W Ti~I CH 18 BAS 058 _pUE G 0M 7 0 G1T , +0 1 . 07� 0 . 1 07 7 77,i 7 7 '1 771 9 11 G , 07 X,y 71166�U77F 071 7 U 6077} 1 it X X71 T 07 07P 8 073 8 rv, •� 87/ T� .� r0 71 0 � �T 0077, 9 07119 1 07"1a77� 7�� I � 77t 1.82 TO BE SETTLED TO: MA +QUARK-�I'1*IMANON .00 RESS OIVCK UT��L R � �r c Vi D TME BACK TO KPFXPE%1TEY [HOURRM' LL BE CHArtt 0 L I RE MAMYQUA 1 See our "Privacy Cookie fatemonfl on Marriottloom 0AYLORD TEXAN 1601 GAYLORD TRAIL GRAPEVINE, TK 76061 . ►. ' FFIA d1Ty77&-4100D FAX# 81 7%7 -- 484 HOS. S Tmat yourself to 010 GOMfod Of ftlord Notels of homom Visit Gayloc1�- of I tore com glakpWispAl w, Yo•I haY+a +kowd !a�rhy 1n "�� Of �JJPNVNIPCOOWA ahguk artaOa�l�1x� u�• to ��rt1� oarvra�A1 arardtar all a�bt►i�nbdr�a�to yoti,.7h� nn�o�lr��#ta1Mtln ate grad$ GoE�mnorb,tadlt�rdir ad fo k a4o% I� Ik �dompfit�y t flu uArrei rna,mAr� IPIaE e�y roMan ubo orecilZ herd 4cm1►�nlr t1eb� r�ntr aae #�Itnlont gppilo o�hti � d11 or�oursk, lf3rwt Ara dlrea! bAie jib 1n B Utent p At�nf !s not mala dll�ld �6 nyb d r chaokoU4 yw a 1►ydq t{anduMM �' O 11th 190"d 610 ah HOY MOW �,��uMt �k Ilw rata al �, dor tr a�,� {A#INUSN, 1 ��Y �9 m�xl� m Nlfeytitad by t��, PW 1lt� r monablo gapt a �tiuon, ic��httilaq �tlnmay Now, ), IW _ 4/2'47/423A,00 Pm UPCOMN ReaOrvations Chock In: Thu, Jul 0t 2023 ("o"hOck 00: Frig Jul 21* 2023 I GLIGSt -hj FXible Rate You may cancel your reservation for no Charge Wore 11,159 PM 10081 h0t9l fte On July 17, 2023 (3 daY[sj before wtva 1) CANCOLLATION POLICY EDIT Room CANCEL ROOM 10 "1- Choose ROOM Features ■ -*pq USE) / n1glij USD tmg and fgwt 408211 USD Subtat'a[' *4 F k� Flexible ftte RATE DETAILS roojin(s) for I nights Prices in UsD 409,00 Total cash rate 4-'V. 409.0o Resort Fee 26000. State Cost Recovery r-00 6,34 Estimated goverlimelit taxes and fear BZ37 Total for stay in hoteps curreric-y 7 4 0 Lj V, It op 4Li1� r.rn' 17 0 �14 i 9, -3 44 j� r.- 1 .1 M 4 &Q, v httpalltlmwwlmardott.c()MtroservatlonlfjndRoservatton Detail MVP10PURMaWD RJGdX%25880b8-01W20171P/,2 BPmd4hux8jr9jw4,gjLV19 Lg 00Gpa.* 216 $00. Our "Privacy & Cookie Statoment" on Marrlo%com' Aga Marftt(Bonvoy member, you awild havoearnedpoIntatowa s yourfree dream VaCaflon today., Start eari Points and e"W StatUSF PIUS G"Joy OxclUsIve Member offers, Enroll today at the front desk. nng See Mps:11members.marriottcom for moire Information GAYLORD TEXAN 1501 GAYLORD TRAIL GRAM MW, TX 78061 (;�kYLORD PH# 817-778-lailo PA0 817-722-2184 HOT&8" 71'0"t YGum& tO thQ cOMfOrt of Gaylord Hotels at ljorne, V10it Gaylord Hotelsftro.com T litawinalillwyour only rlwaipL You hnoagwed to RAY In cOthtlrhy;ipprwndpugt,)Mntclinok & (a [MOOZO 1.10 In for (0101nVIMIE(Aftod to you. Tha flMountsshow try tits 4r4,AjwI,jjyjj, npm43g any 016ditcaF4 GhUY In thbrafataNa Wont abovaWN ha 4upodw thkcredit-cad number set ruqh zbwo. (me edit Ord company wljbjfllri ula natal manner. If own Us Wch 34%D hl, If YOM nits d1ract hiled, 1h UTo avant Mtdad to hot rods Wiln 25 davis ajor cliect-alit , yotj W11 awa Q& Intafast ([am maimm zKowed by kw, p1ta tho ronwpblu wet of oifecUuna Inclild kV a*lflfly the olk"k-tu"dat(t rtn anyunpard E'4[lunl Ot gin F'ItE' Or 1,6x, POY 'wh1h ANNUAL RATE 10%, of tilt vanuftim X GAYLORD HOTELS GAYLORD TVAN GUEST POLIO 6077 MCKEE/SAMUEL KOW 409,00 07121123 06:11 6716 alfa CQNQ xxx RAYS WART TIMM ACCT# TYPIA.- EPHRATA WA 98823 020/23 10:60 201 MIMI TItdE RQUM ADDIRRES VSXXXXXXXXXXXX4030 OLEM PRIVENT M Bvik. DATE REFERENCES ----------- CIS RGES T CREDITS BA C ft.4 gpff= 07/20 TYROOM 80771 (Y7 120 8 ATETAX 6077st 409.00 07/20 CITY TAX 8077t 1 07120 SON FEE 24.64 28.63 07P0 REORT �0876RT6.34 07120 STATc-TAX RESORT 26.00 1.66 07120 CITYTAX RE86R,r 07121 CCARI),.VS 11,82 PAYM EN T REC E I VED BY: VIM XXX XXXXXXXXX4030 497.00 .00 $00. Our "Privacy & Cookie Statoment" on Marrlo%com' Aga Marftt(Bonvoy member, you awild havoearnedpoIntatowa s yourfree dream VaCaflon today., Start eari Points and e"W StatUSF PIUS G"Joy OxclUsIve Member offers, Enroll today at the front desk. nng See Mps:11members.marriottcom for moire Information GAYLORD TEXAN 1501 GAYLORD TRAIL GRAM MW, TX 78061 (;�kYLORD PH# 817-778-lailo PA0 817-722-2184 HOT&8" 71'0"t YGum& tO thQ cOMfOrt of Gaylord Hotels at ljorne, V10it Gaylord Hotelsftro.com T litawinalillwyour only rlwaipL You hnoagwed to RAY In cOthtlrhy;ipprwndpugt,)Mntclinok & (a [MOOZO 1.10 In for (0101nVIMIE(Aftod to you. Tha flMountsshow try tits 4r4,AjwI,jjyjj, npm43g any 016ditcaF4 GhUY In thbrafataNa Wont abovaWN ha 4upodw thkcredit-cad number set ruqh zbwo. (me edit Ord company wljbjfllri ula natal manner. If own Us Wch 34%D hl, If YOM nits d1ract hiled, 1h UTo avant Mtdad to hot rods Wiln 25 davis ajor cliect-alit , yotj W11 awa Q& Intafast ([am maimm zKowed by kw, p1ta tho ronwpblu wet of oifecUuna Inclild kV a*lflfly the olk"k-tu"dat(t rtn anyunpard E'4[lunl Ot gin F'ItE' Or 1,6x, POY 'wh1h ANNUAL RATE 10%, of tilt vanuftim X Atnerican Rescue Plaii (Cares Act — ARPA) 13 Receipt to Finance 13 File into binder 0 Budget Spending Tracker entry 0 Iter-n1s received Today'sDate: Receipt Date,* zkD(� .Di tai ed Description Mt 1A &al. u -4V7vfld in �A e,� CL 'Charge' to A.19'Month: Foirra of Payment 0 January 2023 VIVI '_VISA 3578 F1 February 2023 Cl August 2023 0 Invoice (pald) n March 202,3 11 September 2.023 0 111voice (needs paid) 0 April 20223 n October 2023 14 0 Othern 0 May 20P-3 11 November 2023 0 June 2023 0 December2023 Deliverables: Charge Account: 11 Taskforce Coalition (supplies) Cl Outreach / Marketing / Advertising 0 Other: 11 Environmental Strategiv es 11 Ca ad. Build*n (workshops &education) taff Travel ProfessionDevelopment L Requestedby: Date: Supervisor Signature. a. Date: 10 ILQ Prevention Requisition Foran is Revised 02, 023 renewW#v* 14k."V-4 4-%" ft UUA.A" Betlianx MV E'Scamilla From: no-reP1y@cadca,,0rg Sent: Friday, July 7, 2023 11:08 AM To: Bethany M, Escamilla Cc: events@cadca.org Subject. CADCA's 22nd Mid -Year Training Institute Registration Confirmation Every Day '"�CADCA Trq* Ins 7/7/2023 il Dear Bethany Escamilla. 2 N10 A ..T r Ii _=ffiffi .......... TRAM N IN ra $0.4 1W 4 JU' " lraw620., 2021 We are pleased to confirm your registration for CADCA's 22nd Mid-Ye!ar Training Institute, to be held at the Gaylord Texan Hotel & Convent -Ion Center in Grapevine, Texas from July 16- 20� 2023, This receipt i's sent to the email address on file for each tegistrant. Your name and organization will appear as shown below so Please carefully review the information below and notify us immediately at events@cadca.org with any changes. REGISTRATION RECEIPT 9 17 lnvo*ce [ Number; 276564 0(/0 Bethany Estamilla Moses Lake Community Coalition 840 E Plum ST Moses Lake, WA 98837-1874 UNITED STATES bmescamlfla@grantcountywa.gov - - - - - - - - - - - - - - - - - - - - - - - - - ..... - ------Y•........ --------- - - I Description Name Sale Price Adjustment Total Adult Member Coalition,, onsite Bethany Escamilla $945,00 $0,00 $945.00 Adult Mem ber Coa I Rio n: Onsite Fernando Felipe Galarza $945.00 $O.00 $945.00 I Payment Details Payment Method: Master Card I Visa Name on Credit Card; Grant Integrated ServIcos Grant County Credit, Card Number., 41**********4030 Expiration Date: 2026/03 Payment Datem, 07107/2023 Total Amount Pald;v $1 p890.00 Balance Due., 0.00 Bill To.-, Registrant(s): Fernando Felipe Galarza Bethany Escamilla Bethany Escamilla Moses Lake Community Coalition 840 E Plurn ST Moses Lake, WA 98837-1874 UNITED STATES WELL-BEING PROTOCOLS CADCA is committed to providing a safe., healthy, and memorable Mid -Year experience, We continue to CIOSelY Monitor local, state, and federal guidelines related to large gatherings. CADCA encourages adherence to layered prevention strategies — vaccinations, boosters, wearing Masks, self' -screening and limiting yourse[f from exposure to CovID-19 and other Infectious or transmissible diseases — as together these can help prevent severe Illness and reduce the potential for strain on the healthcare system, I PLEASE NOTE: If local, state and/or federal guidelines change, CADCA will update protocols to reflect these changes, Registering for our event Indicates agreement with the teras and conditions outlined In CAD&s Waiver of Liability fou n d o n o u r M ld-Yea r website. BADGE PICK-UP INFORMATION: 41 Attendees may pick up their badges at the CADCA badge pick-up express stations at the Gaylord ConventlonPre- function area during registration hours. Badges will contain your name arid organization as listed above. Designations/titles will riot appear on badge per CADCA policy. YOUTH LEAD51RSHIP SESSION SELECTIONS can be made here, HOTEL & TRAVEL INFORMATION IMPORrAw NOTE: All rooms are subject to an 13% tax, All rooms Wfil be booked an afirst-Wrner first-served basis and are subject to availobtfity, 2 Gaylord Texan Hotel & Convention Center 1501 Gaylord Trail Grapevine, TX 76051 CADCA is pleased to offer a special rooms block at Gaylord Texan (the site of the Mid -Year) - everything you need under one roofl The CADCA group rate Of $190+ tax includes: Wired and wireless high-speed Internet access # Fitness center and resort Pools access 0 (2) bottles of water per day 0 Discounted individual transportation service, ity- of Grapevine shuttle I Local (817) phone calls a Complementary access to Paradise Springs waterpark for (4) guests The Gaylord rexan is managed by Marriott Hoteis so you con earn Marriott Reward pointsfor yourstayl F How to reservie vour room: Book On-line: :Click h-urefor the on-line reservation service, Book via Phone.-, For reservations call 877-491-0442 and referenceCADCA's old dear Training Institute when booking to receive the special rate, RBERVATION POLICIES All reservations must be guaranteed by ama'or credit card, , but the card will NOT be charged in advance of arrival. if complete cancellation of 6n accidental reservation takes place within 24hours of the scheduled arrival, a cancellation fee equal to one (1) night's roorn'revenue will be charged with the exception of apersonal or medIcal emergency where verification can be provided, Reservations can be canceled up to 24 hours prior to arrival without penalty, I OVERFLOW HOTEL While the Gaylord Texan Is currently sold out, please feel free to check back with them in case inventory opens up. CADCA has secured a limited number of rooms at the Courtyard Dallas J Airport North/Grapevinet Corlyand Dallas DFW 61[12prt North /G[qpgvLjn'e 2200 Bass Pro Court Grapevine,TX76051, USA CAXA will provide a dally shuttle for registered attendees fro this property to the Gaylord 7-exan. REFUND & SUBSTITUTION POLICY Substitutions are free of charge and must be submitted in writing v1a e-majj to event soca CA d or along with a and completed PDF registration form, CADCA has a NO REFUND policy. Cancellations, conference no shows or failures to attend the tral"ning event will not receive a refund or cred'it towards a future CADCA Training Event. BY REMSTERING FOR THIS TRAINING EVENT, YOU AGREE TO THE CADCA REGISTRATION POLIVIL 3 A.merzeat Rescue Plan C'af'es Act — ARPA) n Today lsDate,* A VI-) Detailed Desci ' tion. 'Charge to A:19' Month* 0 January 2023 0 February 20 El El August 2023 0 Mardl 2023 El Septern ber,2023 0 April 2023 El Outober2O2,3 El May 2023 13 November 2023 0 June 2023 D December 2023 Defiverablesik Taskforce COalitiola (supplies) Outreach / Marketing / Advertisilig En*onmental Strategies Capacity Building.( rks4QP� 0 UQ ation) Pr slonal bavelqp�njent Requested by: Supervisor Sig EEeceipt to Finallce �J_1File Into binder 0 Budget Spending Tracker entry 0 Itemts received Re ceipt Date: Form of Payment *. *1 �j 3-5- 0 VISA * ", 78 0 Invoice (paid) .. a id) 0 Other-. Charge Accolintij ARPA 11 Other: -- t4 I 5-D Date: Date: Prevention Requisition Form Revised 02.2023 renew TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT* COUNTY) WASHINGTON Claimant: Bethan Bethany r,4sc B _ ainifla Claimant's Dept.; Reirle1w - ARPA PI-evention Purpose of Travel.- I Intro to the Preelltion C ore=C.,oit = aten Destination; Tacoin ig, WA MEALS DATE BF F$ L Dl lex 7/30/2023 1122, fol on4 $12.75 $23.25 $3.75 7/31/2023 $16-00 $17.00 7 woo* $31.o.0 $"*()'o $5,00 8/1/2023 $16,0.0 1 =7.0 0 $3'1 $5,,00 8/2/2023 $12.00 $12.75 $23,25 $375 TOTAL MILEAGE TOTAL bATR FROM (CITY, 5!r) To TO (CITY, ST) 7/30 /202�LMOSea Lake, -4 WA TacomaW.A $09-00 $69.00 $51,75 $0.00 WM---"-- $0.00 $0.00 $241150 9/2/2023 '1 Taco,.na, WA. MILES RATE TOTAL 192-00 I$OASS 71 $125.76 Moses Lake, WA 1 () 1 -$0-5 92,0 6 ---- F' .- P...qi $125.76 $0,655 0,00 $0,6955 $0.655 $0.0o TOTAL $251.52 *TOTAL REIMBURSEMENT CLAIM $493-02 *Aniount 11jEly be different fte to rounding onwoll riERTIFICATION the undersigned, do hereby certify un(jel- penalty of Perillry that the A AuthorWation required for Ernployeas, slain is Vl )Usti due and Unpaid oblilgatlan agaillst t* ani audiorized to certify 1 he County, and that I 9. E FILL, CTED 0 FIFICIAL, DEPARTMENT KRAID, OR DESIGNEE Clatniant Signature; Name (prii1ted).: Date., Signature, Date: 01" AW.1 TRAVEL VERIFICATION ALI th orizad an requ !red for county Co n11ni*9s10110rs or Fleeted Officials.. 0 COUNTYAUDITOR &T WT ME Wne (printed): 11, tile U11dersign ed, d D hereby certify fy tj 11 (jej. pellalty 0 f pe.rj "I.Y i . that the Signature. - Planned travel referenced on this form did, In fact, occlir on and for the IdLtration of the dates provided, 0h tills fdrin, Datel? AddItionally, i attest t1l t othe allow a Mice provIded prior to travel was rightN11Y Owed to we as a 0 Iliesttlt of th is travel. ALitharizat'lon required fai- the. Colinty Auditor, OClalmdZ'11:Nahie: Departinen l -leads, Meals expenses outsideor travel status, and 01, L, of -state travel: a i Ma [it Signature- COUNTY COMMISSIONERS Drate: ........... ........ commissionew: DePal-ttlients shall inaIntafti a copy of this fur'll, The travel verification4 Chairman ROM. sec 0 lic 11 roust be C611111leted, on the Depaitnient's copy, upon the Date,; efnPIDY0's rettIvIl from travel, Th Tire departnientshall retain the fully CoMpleted cOPY for Six years or In 0 I ON accordance witli the Wasljtngtoll St Records Re tb1lti0p. Schedute LS2 0 i 1-184 Re AmrdrAQWW14 I Bethany M. Escamilia i i 0153�'01 610 1�� From, Northwest PITC <no-rep1y@wUfOO.COM> Sent; Thursday, June 8, 2023 11:57 AM R Toll Bethany K Esciamilla Subject: In -Person Prevention Core Competencles Tacoma, WA I nanl< you foe registeding for our in -Person Prevention Core Competencies Training! This is a confirmation email for the Prevention Core COmpetencles registration. Where: Hotel Murano - Tacoma, WA Dates/times: July 31, 2023.; 09:00 am -- 04:30 pm Pacific Time August 01, 2023; 09*:00 am - 04:30 pm Pacific Time August 02, 2023; 09:00 am - 02:00 pm Pacific Time If you need to cancel your registration forany reason, Ploase email nwpttc-iffO0casat.orso w offer this seat to someone on the wai'dist. g e ran The Northwest Prevention Tech I nology Transfer Center I Training Overview In -Person, [ntroduction to The Prevention Core Competencies For Prevention Professionals 8 30orn - jafy 3-1, 2023 thru 2 Wpm - Augost 2, 2.023 I'Timezmna U-13-1pacific Collaborating TTC* PTT G Network Coordinating Office Hotel Murano MO Broadway TacQma, WA. 98402 i VVA 98402 United Stalfas L.N P 11.�•.i,1i`�,..'�`.r• .b �•AM��h. �i!t ��. � �� i��,•,'\i 'R� The. Introduction to Tile Prevention Cora CompOtancl&s for Prevention Prolosiftnols tiyas des,91)e(I to 1111roduce pracilttorlers j() that el.3serittal knOWI-edgG. all'i skill 10 work is ,,�ufbslanrno Lille 21,11d 011SUS0 I)MCInfior) It is baood on IN PreVention Core Gompellencles PkIlAsIM.) by 1110 SubsIance Abuse and k1eiggli HOW14 Sal,vIces Administratiorl MAMMA) The worse pfovides tj f0ulldafinrl for Service delivery belsoc) On PrOvOlItiOn $Cleflco. and the u,19 of avidence-btjt3ed pracLices It StrejIgthens Me understonding Cif effeclive Planning and imple rile 11-10hOtl 41PPrOarhes atiti e1jr-OLirager) IhO puri Qf MOM, Sj)aC,'i0jjZ0d ti'nilling c1nd Proferssional The curricultim ujjjjzes avi(fenco-bfisod, Wfftula and resoLirc.es (fs c f0y' adult Jearning- and Wit& upoij and r.0"nPl0M6F'tS existing %votWorce training .j., Substance Abuse Prevention (' "r pf"t1ce GkIrrictflVin Ond VAIVeTSMI NOVention Curriculurn SAPST). Foundations or f:,revellijun S JOnCe and 0 1- jti"s Oescribe the koy elennents of provenlion p1t)nrlijig eind ava lulabon Umlerstand the =0 provention projessiolial kilowl�f1p. skills and compelellcja� Ackowled( andnp the JmPortanCe of researrh.[)a*j-ed theones and PrQcOssGs, Ult"t 110) explain and build offectivo ptevof,11011 111jelveritioll$ Describo how evIdence4ased (ES) pfaven-lion stW9.9jes can be deltvered -ar, Community, or workpla-ce 'Oss s010119s ITIcit'difig 14D family. scilooi. I-rjedja. Dates and Time July 31, 2023: 001W 8M 135 00 Pro Pacific- Time Auffttsl 01, 2023, 00, 00 am o5 00 pi -F, pjcific Time AUgust 02. 2023 09-00 am 02-00 ptri .1 Location Hotel Murano 1320 Broadway FaWnla. VVA 08402 Who ShQUIld Participato Tilis Ckitriculunj is (lo-sigiled ror arilry.lovel (i e loss ttItIrl 5 ear, Y MIS11'se prevonlioi€ practitionep.s, workjj�g at tj-%V community, WOW, jurisiair-tion. and state -level ' SLIbstance n-jist-Ise Pfaverilion praclitioniDyr, and Who() tienitil pkjrj[jt if.q. parlicip [j t Imlikod to F111S ROOM 10 States (Alaska Idaha orefjon. arlcj W,�je a 0 1 IV tribef, Trainars Marl'saa Carison, MS, CP.8 is,itio Exectttivo DiFOCtOr of the NH Toon Instittite, R 10ad0fShip devalopirtorit jjoj,jpr0fj( Nvorking wrth nuddlo & tugh S'Umol studanl,.� from as-otind NH 4�t New Engle' in at VOtiely al' areas inchAdin role am "f I g subsofemee jijjruW. provollt.10M poor menteir-Ing. arlcj cr-eatilig I )Osittv'B C,01DIMUNY 0411,0to Am,, part of he r Wig OV -0T.009 and facilitates [facning rot Vouth parj1cipqtjj*S, y0kdil OdUR VoWnloar program sta(f, an(I behmiorol hongli alld pdjjeohon proler.Tijoijair, S110 is a trelti. SAM HSAsysteiTI-.9. all(I 1,9 a 1110"k6p 10t f0t MUl1'P1eVV0rKSl)0ps developed tjjr<jjjgtj the adivistuy rotincil of file W -MV V-1191000 NOV01111on Technology Trartsfer (P'I'Tcl In addition, stle is (lie presid0ill a- odelgale to the =Rl, e Prevoiltiovi c,ortircaliart VOWd or NH. the NH Pr velli(ollr(.eSecail-palsoll of [lie F" roverificM9POC'Elli-ril cradonlialing cominitteg OVISIde Of 11eT Prevention work. mariss.-a is a founding MOMI)OF Of MIR COY ProdUr,1101M, a J1108trff CoMpjcny in h Lill WIS Sth-.� 9"ad1tat(-"j(1 from Poillarla f'" ,01JA-90 will, a 0A in N"Yetiology raceiviad on NV,; is., Nonprofa Nlansgemprit fYom.L-1,-_iY F30(h Univer,,Dtty. and liras bijecl ja (;artifiad Proventiork SPOCI<qlist 511"ce, 2011 00bblu Juxle$t CPS Is a Corbitocl 1.11,evention and 11i ll' Pye'VG00011 Coorduvalor to W 9C C L r w G o 141ty. Oregon, and lh(� (,"o-Cre-citol, of gio. r2,T Connectiol) (72T) Emo(ional Learning I Secure Altacbment _ Rasilion(-y Pi`010et 006Y W01VVI-d fW 8achofar 01 Science DI-AWOM frorn BrIgti;-:ws I&LIng univer.sity if) Recreetron N-101'lageMent Find Youtfi Leaderstlip Shf) is tho Co.- Plannin.fi arid Adw.noiy Cqtjrjc)j a Chat' f0f- 010 St -WO of OrO-gon's Add),clion nnci mental p108101 us a CiefhflOd M.SIFLI(Jor in QVIR Youjil N1011(al H001111 Fitst Aid, Acc ording 0 Debby the orea. ftist COMPrifflent She has ever roceivoci MIS when a Ahv5t. Pfeven1jar, smits 'rrain'rig and SAMI-ISA's SLIblStOnce 0r -01d W05 explaining to liar ft'Orld wba she wa-,, 'She's a kid like tts L1111 r r Oalle!;. Orogoll a,) orwo' Debby liw.)5 in 'rile T Certificate of Attendance Patticipants must attend Ille ftai 18 -hour m -person trairmig 10 fOceivO 0 COffificale O*f Completion bf 18 h(girs b&N-11.11$11 L Mik L I L !m gM. These) COMM"OtOS CM bO SUb"111100 10 Your respective, credoolinfing 01.010fily I'asponsible for ptovi(jilig cc)rtificat, confititting eduration credit Please coi* ion or approving 118d YOW board to detemlinQ if (his is applic.-able toward your certifica(iorj requirements. RegistratIon Deadline to Register JkIfy '14.2023 Register for No Infroduchon Io Preventioi) Core Competencies Cost Is Free[ Participants are responsible for` their own lodging and teals Hotel tilurano No 1`00111 block is available for this event Questions? For Ony other cluestions, please contact KEMY 00roner, kqSrdmDr@ca5at-org I I .... Reina Gonzales From: Bethany M. Escamilla Sent: Wednesday, )Uly 5, 2023 8:58 AM To: Accounts Payable GRIS Cc: Reyna Gonzales; Dayana Ruiz Subject: ARPA Purchases Attachments: ARPA-GrantCountyAudltorl - 7.5,23.pdf; ARPA-GrantCountyAuditory -7.5,23.pdf, A RPA -G ra n tCo u n tyAu d i to r3-7.5,23. p d f Good Morning., I've attached three purchase requisitions, @ Note: They all say Grant County Auditor because they're travel allowances for two different trainings. Two of the three requisitions are for Fernando and I for the same training, Bethany Escamilla, BS Suicide Prevention Coordinator oft. 10"& W Phone 509,771.4324 840 E Plum St I 'loses Lake, WA I American RescUe Plan (+macs .A:ct ARPA) Today os Date, 0 Receipt to Finance 11 File into binder El Budged Spending T —ticker en'tty I :� I 0 Item/s received Recez pt Date.*--Ih. Detailed Description: Cl/ 1A, -.161A L*,�{{ 'Charge toA19, Mont1j: 0 January 2023 02 EI February 2023 August 2023 0 MarCh 2023 0 Septernber 2023 0 April 2023 11 October 2023 El May 20023 0 November .0023 0 June 2023 11 December,2-023 to IV Is ,mm as 13 TasIdorce Coalition (supplies) 11 Outreach / Marketing / Advertis' 'Ing 13 En Strategies 0 Capacity Building (workshops & education) Staff Travel / Professional Development - Requested by: SupeiTikor s', Form of Payment 0 VISA 3578 0 Invoice (paid) �p invoice (needs paid) 0 Otilero, Charge Account: ARPA Other:— Owl I* $a Y -D 2 Date: Date: Prevention Requisition Form Q Rex) ised 02.20233 rene w 01- tj TOTAL to . ........................... . . . . TTAL O TAL *TOTAL ROINBURSEMENT CIAM 0019 so ■ %vount maybe different due to1: roundine ".9RTIFICATION 4 die lindarsigmedrdo h0F0b.YC6vNfytwder penalty aporlilry thgttbe Attth(>rf%ftU0:a raquIred f*r Employous, &W13) is a jus� due and UnPald Oflibil agaftist the Colinjyj and CTED OFYIC(]DU that I VIEAJ6 RA ftRTwNT t1JEAD, ())RDIRSIGNBIR am 011torked to cortIfy to 681d clalml NaMO (Pv1nWd),- Signature: Date: a TRAVELV9RIFICATION Authorigatiorequhtd for C A N D OuntY COMMissloners or Elected OfficialN.- 0 COUNTYAUDITOR TO mm-mv Zwffl—)Q&"T1fJ?N ONLY -Name (Pr(Atfld): 11, thio Understaned, do hek'Oby cdrtUtldffl! WAY OfPealuxy that the 1plan,RW traval refereoued an this form djd, in fact 000k ov) and for thD Iduration ofthe p IOvlda d on thio ro rMb Additio 0 111*0 1 attf. I %t that 610 49walacO provided prior to travel wag vjghtfulty 0wod to IrEj #$a IMSvIt of 11) Is travel. clalm"t Name: ejalwant S[pature.1 Date,,-, D epwtinanM Ghali mpiataj)a;a S FDrM, offiCi tragal V*rj fiCatio n SeCt1nnMwtbe.00wjPjqL*40]R dig bapartmexit's COPY 11ponthe r tailit-he fiilxy completed copy fOr SIXYOWSOr In accowwce wit'll the Wash Ington smtl q le Date: kk"UVIOMOU01a req cod for the County Auditor, Department Jj0aa3 I . outepide oftiravel Status, and 011tofsilt tvaveh COUNTY C0MMjSsj0XjgjftS ChafrMan BOM Dato: TRAVEL ALLOWANCE CLAIM COUNTYAUDITOR GRANT COUNTY, WASHINGTON Claimant. [WWAt Maddison Clabnones nepta Pre � " Mang Lake Purpose afmWel., CADCA Mid -Year 1pa-Rasl TX MIRAIS MILEA09 DATR 7/161 L $12-00 $12,79 D � MTAL DRIV PROM (Crff, S-1) TO �n P. -E-iq $23,25 $175 $gj,75 TOTAL 7/171202a $16400 $17,00 1 $311bloo $55.00 7/16/2020 $16,00 $17-00 1$31100 $5,00 $69-00 7119/26B $16,00 $17,.09 $1311too 1$5100 $69.00 $OLOO 7/20/2023 $1600 $17.00 $3f.00 $9,00 $0.00 7/4/2023012,00 $12,75 , $2825 $175 $0,00 TOTAL to . ........................... . . . . TTAL O TAL *TOTAL ROINBURSEMENT CIAM 0019 so ■ %vount maybe different due to1: roundine ".9RTIFICATION 4 die lindarsigmedrdo h0F0b.YC6vNfytwder penalty aporlilry thgttbe Attth(>rf%ftU0:a raquIred f*r Employous, &W13) is a jus� due and UnPald Oflibil agaftist the Colinjyj and CTED OFYIC(]DU that I VIEAJ6 RA ftRTwNT t1JEAD, ())RDIRSIGNBIR am 011torked to cortIfy to 681d clalml NaMO (Pv1nWd),- Signature: Date: a TRAVELV9RIFICATION Authorigatiorequhtd for C A N D OuntY COMMissloners or Elected OfficialN.- 0 COUNTYAUDITOR TO mm-mv Zwffl—)Q&"T1fJ?N ONLY -Name (Pr(Atfld): 11, thio Understaned, do hek'Oby cdrtUtldffl! WAY OfPealuxy that the 1plan,RW traval refereoued an this form djd, in fact 000k ov) and for thD Iduration ofthe p IOvlda d on thio ro rMb Additio 0 111*0 1 attf. I %t that 610 49walacO provided prior to travel wag vjghtfulty 0wod to IrEj #$a IMSvIt of 11) Is travel. clalm"t Name: ejalwant S[pature.1 Date,,-, D epwtinanM Ghali mpiataj)a;a S FDrM, offiCi tragal V*rj fiCatio n SeCt1nnMwtbe.00wjPjqL*40]R dig bapartmexit's COPY 11ponthe r tailit-he fiilxy completed copy fOr SIXYOWSOr In accowwce wit'll the Wash Ington smtl q le Date: kk"UVIOMOU01a req cod for the County Auditor, Department Jj0aa3 I . outepide oftiravel Status, and 011tofsilt tvaveh COUNTY C0MMjSsj0XjgjftS ChafrMan BOM Dato: TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT* COUNTY, WASHI G t7�i " ';""'... Claimant's ]Dept'., U( Prevention moseas Lake Purpose of T11MIA CAIDCA Mid -Year Destinatfollir FDa ILI 7a4p§ 'L'X. MRA T.Q MIL13AGH *TOTAL REIMBURSEMENT CLAIM $379x50 MMQUI)t maybe. 406, rentjue to ro '."A,B1..T1FJCATt0K Mw NEWAN fe t'110 M(IM09110tt. do hererhy certiry under ponAILY DfP0dtar Y- Hint th Alifftis a just, due and unpaid pb]1gatjajj-agEtjnstthq 1p ail) Auth-orizedto c�,,Ljfyt� ()UrjL-y, and q� ia L I 130CMD OFFICIAL, DEPAUMVNT MAD., OU DESW1481�q f."I &W To a SWIlature TRAVEL VHRIRCAT,10N 0 ON UIT AL �y ■ thalmdomigned, do hereby col!qr under PmiityjDrperjtjr-thot )j) 0 y tf sP1nnwd-trav61 rafar-enegd oil Ell ti f6rm At In fare, avwr 01, jand for t1la JC11104c "f U154009 Prov-Jdod" thl-s'fO Val- AdditlOnUlly ,r, I fUeft that 'tho 411OWanceprovid-ed P111011 to travel wag, 1.1ghtn1fly owed to me m a resultlofttits trawil, VaIMO-11t. Name: Date; 1110 travel SWUM Int1st NJ VDMPIO-tedron the DajjArtmf,.jjt.'s- copy., u1jan .-he (I. MP14ye O's raturil fr*m travel, Tb(F d OPOIrt"hi* shall regal tho filly C0111plew -copy for sj.X.V(jkLr$. Orin arwordoop with alewashingtoll statel L U412 jo. wa -Co 47 OL0510 he Name (pjjbt-04)'4 'Aittlio rivs4tiall ].eqijJ red fo rCotjrjjyC;0MMj MUNTYAUDITOR 'Name (pribted)f Slgaritttre: Date; 'Atithorizatiall p4quired for fhe County Atiditur, Depa 01it"Ide OftMV01 status, and oa ofstate trnVLj,. C004TY COMMMSIONERS Chairman 130cC., D;Q to DAY a L TOT4L 7/16/2023 $12.00 $12,75, z 31.2 s ss 7A7/2023 $16600 $174 0. .0 $311,00 7/18/2028 $1-6,00 Ito I $17.00 $31..GQ $6.9.00 - $17w00 $31,60 $5,00 7-/4/20-23 516-00 U7,00 $31too Urn 7211,03 $12,00 vow-- "I $ $,1.75 TOM �q $379.90 MIL13AGH *TOTAL REIMBURSEMENT CLAIM $379x50 MMQUI)t maybe. 406, rentjue to ro '."A,B1..T1FJCATt0K Mw NEWAN fe t'110 M(IM09110tt. do hererhy certiry under ponAILY DfP0dtar Y- Hint th Alifftis a just, due and unpaid pb]1gatjajj-agEtjnstthq 1p ail) Auth-orizedto c�,,Ljfyt� ()UrjL-y, and q� ia L I 130CMD OFFICIAL, DEPAUMVNT MAD., OU DESW1481�q f."I &W To a SWIlature TRAVEL VHRIRCAT,10N 0 ON UIT AL �y ■ thalmdomigned, do hereby col!qr under PmiityjDrperjtjr-thot )j) 0 y tf sP1nnwd-trav61 rafar-enegd oil Ell ti f6rm At In fare, avwr 01, jand for t1la JC11104c "f U154009 Prov-Jdod" thl-s'fO Val- AdditlOnUlly ,r, I fUeft that 'tho 411OWanceprovid-ed P111011 to travel wag, 1.1ghtn1fly owed to me m a resultlofttits trawil, VaIMO-11t. Name: Date; 1110 travel SWUM Int1st NJ VDMPIO-tedron the DajjArtmf,.jjt.'s- copy., u1jan .-he (I. MP14ye O's raturil fr*m travel, Tb(F d OPOIrt"hi* shall regal tho filly C0111plew -copy for sj.X.V(jkLr$. Orin arwordoop with alewashingtoll statel L U412 jo. wa -Co 47 OL0510 he Name (pjjbt-04)'4 'Aittlio rivs4tiall ].eqijJ red fo rCotjrjjyC;0MMj MUNTYAUDITOR 'Name (pribted)f Slgaritttre: Date; 'Atithorizatiall p4quired for fhe County Atiditur, Depa 01it"Ide OftMV01 status, and oa ofstate trnVLj,. C004TY COMMMSIONERS Chairman 130cC., D;Q to TRAVEL ALLOVI/ANCE CLAIM COUNTY AUl7ITOR GRANT COUNTY, WASHINGTON ryne BTI:n0m. VIP 031MMS DepLA [P=rMpidon - M-O$es, Lake PlIr-POS-e of 'Fravol: RA Md-) EDo] PX u MILEAGE FROM TC} (mnsn RATE TOPYAJ-1 $0.00 $0,00 $0.65 *TOTAL RZIMBURSMENT CLAIM $379S.9 %hount tbay be different due -to vaiii)drn t"OORTIFICATION 1, th0'U11dL!1eE14P10di do ITUIrft cefrtlry -wider penalty a pR-y th rl 1gt t claim I&U-WA,dtle alidonpald abligalon a0inst the C 0 ho ala at' th.Ortzed to rertify to an1d clalin p.unty, end thIlt I 13LECT13D OPFICIAL, I)IRPARTMENT -RAID, ORDES10r411V 086allt Sianaturoon Fr Signattire; ....... ~..w~ r TR AVEL VERjFjCAT(0,N 200'HOWAP—W M, WERNARZ—UR I UAW �1, the wideir-eigned, do hareby certjt� Undp_r tilat L he IPlaniled travel nf�renwd on't1ifill6rm did, lb Pict; Oattir Oil And* kip the durotionTiftho datv$ provided on this form. Additiq1jally., I at twt t11Q d0w4nce, P"OvIdOd P.r!QV to travel was rightfully (t to ,Wud IMUI t Df 6110.trilVeld 0 P1 I Nate', IDepartmolits sh-all .1bal-hMill'a OPY Of this llbrru. The travq.1 varl ficatloft snctfon is b temnlyleted, ars 0)0 Department's opy, upin ti 010. MPluYeWs reliirn NDW tnvol. Tbe, departwent shall retain tbo Mly Owrnplatot VOPY foil six wars ox Iii Rrc0ildalleu With the 'riling taxi Statpj Authorlution "equired for COMY or Bledix-1 COUNTY AUDITOR HU10 (PeNted); Sign abile" Date -11 1'equtred far $e (;atill-ty, Aufty, Depart . Mant Floods MANI& of traval'stattis, oad Qut)uf state travel: k. MO* inpensea I -COUNTY Cv0MMjSSj;01'qRRS I Q0111roISSIO-AC) -1 ConinilssiGn,er,,, ChEllrililln Bocce. Date.; TRAVEL ALLOWANCE CLAIM COUNTYAUDITOR GRANT CiDUNT"Y, WASHINGTON Claimants L Clalmajifs Dept,; r Provention -Mosey L�Cce� Pur On -of Travelpt DCAUJA-Year EDrallmo TX MRAIS DATE lTi TOTAL DATR YW2 23 �ti .9 n "ki 1&7k, b.. n r. ,6,, . --I I FROM (PITY, S.Tj TO cciTy, MI L V.11114 Joao 0,00 ----.-TOTAL *TOTAL R-IRIMBUIRS19WNT CLAIM *Amottnt may be difibroot duvto roand[ag* 4ERTIFICATION 14 the u n derolgaed, -do h0reb ' Ycortify m4ar penalty apej�jjjry 61 .t tile a Na, dbe and ttapald 0 bh9ation spinst vhe Co anty, and that, I ]R12L'CTEJ)'DFF1G(A4 ,EP` RMENT HRADp On DES to to said t1alind A N81116, (printed): Date: [,DD 'Date; e; TRAVEL VERIFICAT'o,N '46w X0 Yb,,r ca,mmrn 11 I'Pf) 1P6JVR EfflAfnAc" atider Ducill" Pena 11;YQ rpt-jurY Q. % Plantwd Vavol rererunced.-om this fovindta, fl, &Ctjr atth'a ojv;Rrkd for tha it" vgtiOn Of dIff datOrx PIWIded OR this tb),mq AdditionR11y, r gttmj: that thel 81100ant-v providd prior mirlivel was rjgjjtftjjjy,0w0d tc, me resulturthis tx-mj, as clainialit Rallne., clahnant 81pocuro., ;t,w,mmw,w ~mV.1mw owmw. #? 0�wkLAMW, 4,,W Dep artmelft Shall maintain acopy df this farm. The travel V01ficalloll 0 mf"ctlon "lust he C0171*2ted, ()D tile- I)Vartlllaftt's: COM U 0ti Chi I ex"Pl( W -V a's 'VeturIl r1`0111 b'RV01, 1110 dep artmawit shall retal n t1ja fully h-onvinted, cqpy-for six years Dr ill aCcorduce with tild-Washington Stat) LIU, Aulm rizatit)n required for Cbu*, c*R1A1jSSjQ jjgys 01' P11tW AUi] TOR Maine. (printed); Date: xaqtjj red. told the Comy Atiditori Depajltm,�Zlt H10,11TNI ljje6t� Nils Wsj COUNTY COMMISSIONNS CommISSIOner 6--m C11-airmaij BOCC4 Date.: r .ra I fw 0041. ty $51.75 7117/20'29 $16*00 -V A $17,00 L F ,6 ao wao $1 16-00 . ............. $17,00 $5,0 0 18r L41 1, 2 $16-00' WwOO qA MOD TOTAL $a 7%.50 L V.11114 Joao 0,00 ----.-TOTAL *TOTAL R-IRIMBUIRS19WNT CLAIM *Amottnt may be difibroot duvto roand[ag* 4ERTIFICATION 14 the u n derolgaed, -do h0reb ' Ycortify m4ar penalty apej�jjjry 61 .t tile a Na, dbe and ttapald 0 bh9ation spinst vhe Co anty, and that, I ]R12L'CTEJ)'DFF1G(A4 ,EP` RMENT HRADp On DES to to said t1alind A N81116, (printed): Date: [,DD 'Date; e; TRAVEL VERIFICAT'o,N '46w X0 Yb,,r ca,mmrn 11 I'Pf) 1P6JVR EfflAfnAc" atider Ducill" Pena 11;YQ rpt-jurY Q. % Plantwd Vavol rererunced.-om this fovindta, fl, &Ctjr atth'a ojv;Rrkd for tha it" vgtiOn Of dIff datOrx PIWIded OR this tb),mq AdditionR11y, r gttmj: that thel 81100ant-v providd prior mirlivel was rjgjjtftjjjy,0w0d tc, me resulturthis tx-mj, as clainialit Rallne., clahnant 81pocuro., ;t,w,mmw,w ~mV.1mw owmw. #? 0�wkLAMW, 4,,W Dep artmelft Shall maintain acopy df this farm. The travel V01ficalloll 0 mf"ctlon "lust he C0171*2ted, ()D tile- I)Vartlllaftt's: COM U 0ti Chi I ex"Pl( W -V a's 'VeturIl r1`0111 b'RV01, 1110 dep artmawit shall retal n t1ja fully h-onvinted, cqpy-for six years Dr ill aCcorduce with tild-Washington Stat) LIU, Aulm rizatit)n required for Cbu*, c*R1A1jSSjQ jjgys 01' P11tW AUi] TOR Maine. (printed); Date: xaqtjj red. told the Comy Atiditori Depajltm,�Zlt H10,11TNI ljje6t� Nils Wsj COUNTY COMMISSIONNS CommISSIOner 6--m C11-airmaij BOCC4 Date.: TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant, lossica Cox ClaiMalit's Dept, prevelfflon Roses Lake hiriloscotTraveh DCA Kid -Year DallasTX [D7z ------ , MILVAGE D A.A. T H VROM (CITY. M-) TO (LITY"' SIR MILKS RATE TOTAL TOTAL ai L ............. .... r Lt *TOTAL REIMBURSEMENT CtAIM *Amount iinay 6e, djrrerpnt.d:U0 tQL rounding* .&RTIRCATION Ij tile 1111deNguedi-do hereby cerdy under pona'ityorprix p elatti, f6r Employees* C141111 10 a just, due qnd ry a UL . 4 art agg"t5tt"e"CwTv., wid 41at.1 ORICIAL, DEPARTMENT HAADs 6R MIGN)Rn am authurfK01 -to certlyy to'snia clafftl. atom lDate: or mwdr~ w Awror *mw a T. ELVERIFICATION 1..,the.utkdqrAAn6dj- do hereby cartify that ffie PI-Antod travel "ferflil0d. GJI thlofarin d1djn faicti OCCUP timid forthwe da-rafti of -the IdONO proteid -ed. bn -11118 form. AddItlonally, I _attast that tlj� allowinwe provided pr-lor ti"YiWel wall righ Wly oWed, to ine as a ro'sultor. tills travel, 1�Iafrllaiit Mille: iclail1ic-ult 0 DAM 01 DeparmonU shall Matntuln a copy. offills form.'J"ate. travel verfircaTallyn"'I I On the Diepartmeties copy, MP01010 00)P1Q.YV'3'& rdWm fi-Oftl tVavel, The d eprtnjaiit shall retaill the fitly J'j k QmPWU.'d COY forslxytara or'ln ziccordance with thaw."Ilw&' In State) Authorizattoft requir,04. for County' COUNTYAUDITOR. ofiric,181,4', Wine (pritted)4 signattim" oater IN Aut1wrizalioll mqtjjj,ed fOr 60 County A01 tor, N I OtItside Of t"OvOlstatuat and out of state travel,, - COUNTY comm'ISSIONER'5 Coll] mi"991011er" Mate TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON P I ------ cla1mgmes riepta., EPrr e 7veTt�[ 0 ni s osos Lake 1PUI70se of Travel: 1SAMA Mld'_-Year Dallas, TX MILEAGE DAT17 -PROM (CITY,ST) TO (cryi an RA T TJR OTA "FOTAL "Nat~ ,L H. • , $0 00 $0000 4ss TOTA IL I *TOTA-L RIKIMBURSIRMENT CLAIM[79, 11 50 =$*3 *A tuouilt may be diffe-l-wit due to roifildille MEN" the "10.qrsigned, do hffft certiry undim, penalty- orper vired A)r lorqPlows, jurythatthe MR= I claimis a Just, due arid unpWd u4ltgation agaInsr,tile County, Eind that I J) 0,FPICJAL, DR- PARTMFjWr HEAD, 'arn autholized W �91`dryja _R I) Name (pillite.4 Datel Ar�WAP4~AVd~Ar,m=,0r,#=W W~WmEW "jw" Ap*.� TRAVIELVERIPICATION TO Vii!i! g ON A.U11XIM WW'I '(w It, the do herobY. Certi ry under.peiialty of PQrJ UrY 'that the Pjanned kravel 111s"f dF(l, .111 fac4 accur, an and for the davatkan of tht dOtl�& PrOvWd 011 this form, AddlHoWly, resillt 00118 -mve). Chaimmin tNAWO: 0 section must be cohipleted, wr thQ Oop ell.tnianCs, copy, upon tjjv tcoinpleted copy furnr�Ct�r�with t1le. WashinjRWILStat, ,2!�d,s Rate Rev, 0, OONTV AUDITOR Name (Pantod).. K S Ignoturel Date: AADTIMIn roquirtd ff)v Cile, CowiV Atidiwit, 1)0-plaftln"k Ho ds t al QQ3169 otitraval stztu.%,, -alTd-a-ut COUNTY COMMISSIONR$ ryfe,iRq4..-q TRAVEL ALLOWANCE CLAIM CO UNTY AvDrTaR . ... .. GRANT COUNTY, WASHINGTON clalwant: Nya wats Oil PurPOSO OfTravol: LdAA7DICA. Mid -Year MEALS .'-T, RTIFICATION .w -Is the underslPed, do hoechy cogtify undor peunity [jFp orjIlry that tile claim I-IR)US4 411'a and unipEad . obligat(on.against the COUAtyj and that, j an'014110rizod to, cortifyto oid clolmh = P1 r',evOraWOn MOSies TX FROM TO RAT, 8 TOTAL -0--- .$O.00 *TIDTAL -RMMHURSEM ENT CLAIM *A -maul* nay bhtIjr[ej!cj1t d1tv riotTlldlnE: W e Autilop1pil'tion requIrail Jar gniployoust KLICTED 6PPICIAL, DEPARTMENT HJIAD, OR D13SIGNIM (1,14i'mant signature's Da IS wA=w'q. TRAWL VERIFICATION comroWi6nors or Rtect(ld --offidials., COUNTYAUD11foiR U—P-0- N A un 14) 4 R III e (p el n tie d' 11, tilt' "AdMigned, do horj.,by cl3rtjj� tinder pail,,111y orperADY that the ,oplannedftavol re,rerenc6d,on th1s.fnrh,,iw_ r r, I It Ij daft pr.OVLdgd oh t1j,'g 04 %AJUAWul the. '4110wa'nco.j1 rovided. Prior to- � form, AddftjoaajjyR I attwt'th9t Milk a rthis Im ve), ravf6j. Was pighL.R111y owd to Iftio as a C I a1l'un 11 t N Et ni e,, clai'mant 4naftlre: Dntv: of is f6rm' 7111 t'ruvol 3actfoll mlist be oxtipleted, on the NpIrLITIenvs copy, uppil tile emplby'w'a raturliftni travel. the fully '-q111p16ted opy fhr.6;jxye ,gjs or III ficcQrdollco Wit,, tho Wagllngtorl 10,por t .10 13 Actelt12 pt ov a reqT1111"ed for the Coujkty. All ditur.. Depalrtmellt Hnaa,, of travel statIls, and 011t Uf gatt' kra�i~l: 'COUNTY C0MXjSsjojqjSRS chokmall Hocc's Datei TRAVEL ALLOWANCE' CLAIM COUNTYAUpITpR GRANT COUNTY, WASHINGTON' Claimants, xalissn Wagon C101maufs neptj 1preventiOA.:- Mnsos. Lake CkbCA MId-Year PtUpose Qf Tj�avej'- L, Dallas, TX ..................... MEALS MILEAG9 DATH LERR R (Cin, S -q TO (CITY, ST) KATE $0$06 ......... TDTAL *TOTAL REWBURSWERT-CLACI N $37-. A'o *A1110untantsy, bO Wfkront due to-roundilla* ."ERTIFICATION AuthOrlZation reqtdrod for Employees; Qlahn 10,0.j ust duo ana tinpidd obligation vpIng-t -the CcL11111y) and thint I 8LECTND OFFICIALP DEPARTMUTHRADO OR DuSIGNgg RIA atith0fted to CePtify to sald claim. Mah-nalit garde (Prih- ted): Date: Sigifature,) P"'AL"PA THAVEL VERIFICATJO N KAR ffolwy 004PSIP04, do 119roby onrlify ulld3jr pollalty of pp W;afl ned travel th'"'OLTR did, III kOt. Or -C1110 on aria] for the I.duratl0h oF ffiedatos ytvvided on thIsfeern. AddIdonally, I a,tt?,st Ut Othe. allowaace, provIded prior tq trIlvol Was A.IR11trulty Owed to no HS a 11vault 0. f A Is teuvd 1.0J,11ni nt Nam: ClahniantSignEittlyin., J� r nt s�t�1i n� drr �n a MY Of th Is forin. Tho travel via�rffttjo a!nw seado n must be calliplejea, all the jjeVpjj,tjjj0jjt,$'c0Py, upon employWo return TikDrattmver, 'The d0padnient shopthe retain the filily WMPIRad COPY -for 3JX Years Or in ner-ordance Wltl� Nie Washillgon bliltal 'Recardd, Lqsnu.'04 Rev. 3 A-0hortzation requirodhr Coun WUNTY.AuDITOK MOW. (PrInted)IL AuThortz.atilyll jVqn1mid fomite Coun(y A-Wito outside of tpaval Stiltost alld out of state }� rise C()UNIYV com"missiouRs travel-. MISS1,011M & COMM183N1'ier: Chairlimia 0()rC: Da te, # TRAVEL ALLOWANCE CLAIM COOAITY AUDITpR GRANT COUNTY, WASHINGTON sm I Y Clafmanvs Dept,, PrMntlon -'Moses L e Purpose of Trani]: ECADCAMId-Yewl TX SALS 1) DATE F $Z312s $347,15 $31.00 7/18/2023 $1,6,00 $0,655 $1610 , 0 4/20Q3 .$J6.00 �F7/ 7/21/2wl $12,00 L 1) $0.655, -i ................ , $12,75 $Z312s $347,15 $31.00 $540t $17,00 $0,655 $5&00 $17.04 $31,00 $17000 $3111D Y LJ $12,75.j _h $23.2s_l TOTAL TOTAL it69.00 $69,00 $379450 MILBAGE ho -n 1 AT9 FROM (CITY, 87) TO CctTy, m5 MILS S? PAI TOTAL $0.655, -i ................ , $0,655 $0.00 $0,655 _ZW$0*00 ft"Int _7_A - $U0 *TOTAL 4191MURSEMIONT CLAIM 0, - lot- $37-940 *Amount mV be diffOrmt dw tv roUndine ".4ERT117WATION --------- L the un4ersigned, do Lomb y cerjl� under pisnalty aperAuthorlyatlon required ffilf Employeom., jurytheLt the 9 PH4 due arid unpaid obilgatlon agAinst the Caunt.y,,atld tj,,1t I ftwnl) 011FICIAL, DEPARTMENT OrAD - , OR Dj8jrr4139 a% ELuthD"Izffd tP Cdetifytomid clafuk, I Name colliteo, Date: TRAVEL VERIFICATION 1099com rwmp MN, MULRN 1, the undo rskned, do he 1,eby C.,01tify U11der p 1 0 rp Q1jR]r Y that t1ka referllnclv-d Out%fs fOXTA W, In f4atj occur 61% and lbr the o f tb o dates Pro Ided on this foyl ". A ddit fonalLy, I •gtti, ..st *0 -0110waUce Pmvjded prior to t,,Avejwz3 rjghtU�r qw0c, to Ine timt I-Avs Ult Of thIs 13'AVVL Claimant ,garnet Oaf mant81goature: One: DbipaAmonU shall ni 'ntainpcopy0fWSf at brm liho travel vctvjpc�itlon ReCtlon 'n'jDt be gOMPletedi f)j) ceps $ Upon t14o tlfaveL Tile department shall retain tile ftgy COMP]OLVd COPY W~]�).06w liwArr six ye"It Or ill Rcc"Uve WIth the WaNhington Stato " inn Schj"Mwj ff,�UIQ LQ2011-184 Rev. Mw,*fi&wA*,A "UMMIMU00 required for Va tinly G0wftd$.$,,0n0r3 Or Elected 0mcials.0t MUNTY AUDITOR 4 blame (Printadj, signature: Date; 14111110rIZAtion rhquiria(i for the 0County ApAditor ,V11(sido liftrinvel slatis oo auk ,,m GOUNTV compasslo"RS American Rescue Plan (Cares Act - ARPA) Today's Date. - Vendor: El Receipt to Financ'e. El File into b inder El Bridget SpendinkTracker eiitry 11 Item/s received ti ReceiptDate.,, 'Charge to AjL91 Month: 0 Jallual-y 2023 11 February 290.2-3 El AU9USt -2.023 0 March 2023 0 September2023 0 April 22023 El October 2023 0 MaY 2023 11 November 2023 ID ill-ne. 2023 El Deceinber,20-03 Deliverables: IJ Task -force Coalition, (supplies) 0 Outreacli / Marl-eting / Advertising 13 Environmental Strategies 11 Capacity Building '(workshops & education) ULL S�44 '4 n�ojj Form of Payment 0 VISA 3578 0 Invoice (paid) LZlnvoice (heeds paid) I 0 Other* - Charge Account# 11 Offier; �-31�i 'S1� J�hk Requested by: Ile - MA J. Date: Supervisor Sig at re: L Date: Prevention Requiiitlon rom, Revised 02,202.3 orenew r- *-Jhw"%�A 0*0&* 4 CNAVVICATION 1, the nders�nqd, do fieridby Cqrdr ,V Uytelgr pollalty Dhler)U17 th4t tIkO 001m J� -uit Nst, due -and ubpald nUoiation OW1,11st the cdpi�W) and .�Igt I FOLLICTUD OPICIAL, DEPARTMONT am authorlz� tn. certify td �jt j0jjn4 Ramo rtn ftaftna"t RgRaLurfl: t Date: TRAVAL VERIFICATION W.8 C 1,-theiihilersigned,do rip.mbyrprury und6rpDnY)Wofpgqnrt y that the the0 planned travel rerbrane4d oil 0110 forra did, tn fa%omur orkand for the 0 durattoo of the -dated providerl on tb.1.4 form. AfldldonalV. Isuest that :the 011awaare PI)Vldedp. rior to travel was rl&ailly a we4 to X110 as a resultof this travel, Clatmant Signature: Da to; WW W.W.MW", DePart uientishall inaintap. o cap .Y of t1j Is Wm,rhe sed['011 musthe completed, on the bopartlnene$ copy$ upon the 0111ployea's rehirn frons trave.I.The deparbitea slijall ratain the hilly Diiapidbod copy for slXyeara dr Ill accar(jirinca witik the WasIlIngtDIL.Skat, ad2,ate n L �.JW hefta�C! a, A-uthorhAtion PPquAev1 for County 0 riv ur81 ected Wficials COUNTYAODITOR Name (Printed); 81pature: Datei A11410PIzatla11fiquired tot thq CoujAyAwitor, 'Outs'16 -ortrAvol iotatils, Zild but Of fitAlto t1`0el... CONTN G'0MMfSsj()NgR8 CbMM1$.8tqnU1.*. Chairman 00M. MiBirk 'i -RAVEL ALLOWANCE CLAIM -COUNTY.A UDITOR GRAN'r COUNTY, WASHINGTON Clalman-es uepu ARPA PUX'Pose Of Travel: CAUCA Na -Year MEALS DAT8 7/1,6/2:023 $i2oOO L L '$12,75 $23,29 18 TOTAL R..ATE FROM PTYs TO $175 $SUS TOTAL Mass FYI 7jV'j2q23 $16,00 $17jOD $ 3. $31,00 UQU $65go E$C,, 7AV2323 P 19 4 $16,00 4.17,00 $ S 1, 0 0 45;00 $ 100 ........... . _ 15,00 S,69"00 6 5 8 WASS MAD U40 $12.7.5 $2325 $3,75 0100 . ..... TOTAL,[- $0 TOTA4 L!��79xoj 410TU RamnuRSUNENT CLAIM .$3.79,50 .A111011"t ma� ba dftmnduetpropn CNAVVICATION 1, the nders�nqd, do fieridby Cqrdr ,V Uytelgr pollalty Dhler)U17 th4t tIkO 001m J� -uit Nst, due -and ubpald nUoiation OW1,11st the cdpi�W) and .�Igt I FOLLICTUD OPICIAL, DEPARTMONT am authorlz� tn. certify td �jt j0jjn4 Ramo rtn ftaftna"t RgRaLurfl: t Date: TRAVAL VERIFICATION W.8 C 1,-theiihilersigned,do rip.mbyrprury und6rpDnY)Wofpgqnrt y that the the0 planned travel rerbrane4d oil 0110 forra did, tn fa%omur orkand for the 0 durattoo of the -dated providerl on tb.1.4 form. AfldldonalV. Isuest that :the 011awaare PI)Vldedp. rior to travel was rl&ailly a we4 to X110 as a resultof this travel, Clatmant Signature: Da to; WW W.W.MW", DePart uientishall inaintap. o cap .Y of t1j Is Wm,rhe sed['011 musthe completed, on the bopartlnene$ copy$ upon the 0111ployea's rehirn frons trave.I.The deparbitea slijall ratain the hilly Diiapidbod copy for slXyeara dr Ill accar(jirinca witik the WasIlIngtDIL.Skat, ad2,ate n L �.JW hefta�C! a, A-uthorhAtion PPquAev1 for County 0 riv ur81 ected Wficials COUNTYAODITOR Name (Printed); 81pature: Datei A11410PIzatla11fiquired tot thq CoujAyAwitor, 'Outs'16 -ortrAvol iotatils, Zild but Of fitAlto t1`0el... CONTN G'0MMfSsj()NgR8 CbMM1$.8tqnU1.*. Chairman 00M. MiBirk Arittem 9,6 Lutz from: n0r8P1Y0C1V1CPlUSx0M Aftty - To"A Bocc COMM Subject Online rearm Subtfflitat; OUT OF STATE TRAVEL REQUEST APPLICATION OUT OF STATE TRANCE REQUEST APPLICATION Traveler's Name Fernando Qalarza Dep R.enewl,12reven.t1w, Ir Mite Of Request 611719023 7■l�Ni�INb1NMI�YY�YHhL4n1KI1MiJe4µwaw{ILL,�,Ly Trovef Type out of ftte Trave I Departure 6ate - 7/102' 012 3 7-:00 AM Return Mte 712112023 Moo Pm Want Yet; . ..... fund/Dept ARPA Y DeStInatlot) (c Ity, COM City', State) 0811%, Tx Purpuse of Travel CADCA MId-Year Hotel - GSA Rate $1600 Hotot - Nightly Rate Cost ApPlIcation; Confemnoo Rate 110tat Car RequTred No Hotel Tote I 17 Ti 11 LOW~ Confereme Fes 045.00 KAY' 71-07r &W -A Dally M&E at Destinotion $60.00 IMM41,90OW&MMIP81OWR 19,- I Rental Car Cost per day $0,00 1 d._ . , of y ' z ' i t ` Explanation for Acte No gove miDnt rate rooms available h onlyoonfere�nce rate (reptred�If hotel cost !s � {1 1' � ` 1 �M1I � ,, �t 1 ■' ` greater than per dfeM, ar �.�.. O�_M� T. 17. I. IMI/,.• M} N4. �+....�J4. �. � -�. ti �1_ -.._J �. .!! .! M..M. y rhr�* -k ..h . • • a.4Mh n +N+�,vw+N1MNYw 1-14 PFIA1�MIR►tMM1ttnlMtl JII-,1-L , TW1177i�N111P1 r AIr Corder A edoan Llll�waaulw.�.ua�usYMJn�,�sbtM�•dwuti.w.. µa1 � � I�+MN�Mm,raattl� Mll�,uM1+�t�Y.r.ewNwr.1�AI+Lv�►fir.,w Yxw�wnswrwrlwtn�+n Cost Of Plight Yl +w,•.�w,rr-w-',�t,p.,m,wmin+r,r+,nr,r+�tsrL.1 ,otlt+lo-L 7b trlpc'o,(Jnolu11 !. � hAii7lwxFin/,L.'MIWwIWlypl/�IY1�W►�I/LMrIWL�1A�i.lYlrl L . r : • ' ! stir—�-+wwW.+lwrYwl+wi°�u«aa•l.�.�»n�..,—Q+«+n.wlrnw�.l+MnNmir�iMwewL�wMnsl,.,t�NwYru4+wM cofttot*) • PropcirWs Nome Fina Stelnmeiz L w'I�tMMIMlR11NN11YITNMIMWIYM1i11yiY11N1�11YRMMIL�.yYra1 ryMplLryMtYYlYN1EMIYMM{�ili1YN1YJLilY{LNI.r{Ml1.WwN1YMwlyww�nl.i,li� 4`YIAi17.riMNN1f►i��'YY�� Preparar's Title Accounting Toohnlolan t11r4n�.aMa4�Nd1MW �1g11{�hMpY�IMM51MIaYAnN.r$xacMWUYIW IINi4N W IN\Mkh'Y�ILe.a�ilMwMM��M�W MITpNY7N,lyLN1ti7.AM WAMW uW1. Wltd IfWN'VAnM11NH,41fINN�W Nµ4�4.1.h'A1WWY.twJlyrar Preopproved IS-y EO/DH? Yeg _ MWO" PEIMM VYN1rNMFANMIUNNILt.WNi�,�IFW�RSAlIl411N14WLii�Wiul�=wlwr�wry�y�lyrMH7�IMM:%Ff�1'YWN1ti7Y1 uwFwrMlww Y t Use of usual card to fill a trental vehlole gas Wk prior to Its return is rood mar ded, %W-MWAu,.ill,F=wt+.�LIr1.71,iM..N,FYn..ii mnN J'LV"1N�4y �.-=F`.d-Y4++��IP,-.w.1+Wln+I inv�a uw. uwui.µa,FMl,Paa+1} ` EM43 not d[Oploying aorrectly? AAA t ywar_y r. 2 TRAINING REQUEST TRAVEL REQIJF-.qr STAFF NAME: OV44 5MAILADDRESS : f6o�fv �6q r . NAME 0 F TRAIN I -1 4 .w NG: DATE, LOCATION: TRAVEL PURPOSE: LOCATED IN WA STATE? ElYes RINo DATES OF TRAINING: 4711�IZI through DEPARTING DATE &TIME:1 RET(JRNING DATE TI I"1. SI TE NEEDED? Yes ONO 1 AIRFARE NEEDED? Yes No 1)0 a 12 /0 G e1A b;ss-7 'd FLIGHT PREFEA�NCES: REGISTRATION NEEDED? J�nYes No 4$qe5 WHO WILL BE IMPACTED BY THIS TRAINING? t%]�mployae O'rewn membors El Other Agency Staff MAW 44m Staff' WHAT WILL YBLE TIN+ SACK M THE AGENCY? (What can VQu then train your team., other 7 te-ams, agency leadership.. and other groups on?) NOT TO L3E C�!�EfUiPLAYE�PLE19D MANA%�R APPROVAL TO TAKE PSR NAL CAR: Manager initials MANAGER APPROVAL (CIRCLE ON .S. nd f6rm to La;adershlp for fUrther approval' ��5LI%ea,�? NO, TmInIng Is denlad Manager InItI .. �- ESTIMATED COST,, WADERSHIP APPROVAL (CIRLCE ONE); NO I N ITALS Date I w V 1/22/22 ti 15/26123 9:40 AM A ri V.- rne kanAirfines AA RECO R -D LOCATOR,, GHXZSV Spokane to Dallas/ Fort Worth 1 Adult Sunday 6.UlY 16) 2023 m- Friday July 21$ 2025 AA Record Lac*or ResErviation Name GIDFW GHXZSV GE Your co r�ro) loeftr It: YQUf rOii ONA(lan V40firtiallol I n ttrnoor arid StEdUf Ticketed May 24, 2023 %9111 b000044d 10 roldaVa or rororarxeyour iaturvaiion. print drip and rec*!Pt, Yours trip det<jlla -American Airlines i ii ' your boord1ho Pqas fastarl thlu Tiny A416r1r.fln Milani; SolfSarvIce Tota I paid; $883-80 USD Fare Amount Adult I w $794,,42 USD 6794,42 USID TaX08 & Carrier.-Irnposed Fees $60.38 USD Flight Depart Arrive I Carrier -imposed Fear, $o.00 U80 Amerlaan Afril"oo Dallas/ Fort Worth (I)FW) SPOkane (GEG) 206 July 21, 2023 10:15 AM JUly 21, 2023 11:61 AM Travat 'llime : 31136 m Booking Cipda 4, G Class 4P Economy Aircraft : Ntbus A320 haat r Receipt Flight Subtotal $88.3,80 USD TJ 0 KET N U MR EIR FREQUENT FLYER NUMBER EQUIV PARC Tax)Fae[Chargo TICKET TOTAL GALAR ZA-CARTER.FeRNANDO 0012398'130107 -_4- S`1�4.42. U80 0100 -USD 89,36 PaYlyletitTYPO.' VISA ""0""3676 L_ Terms and condItions., If YoEiva.already begun traval, Ulls racelpt moy only phow PD010115 Qf YOUr trip not flown. It your 110ket IriVolVos travel outside the U.S., Canada, U.S. Virgin [slondt; or Ouefto kto and has been re'(,,%uecj, your ticket tOtal may riot Include all t;jXes, pjaa8o tal)tgol Resarvafions for the coirrout total. A summary of at) (he terms and condltlo[)s (hat Apply to Your travel are available on Haxamtoonditionsurcarflage, 1-ittpe:lh".aa.comlreserva('I'on/print[tineraty-do?forward=itirieraryRecofpt&laRecelpt=true&anchorLocation=%2FTeservatlon%2Fv[OW%2r-rind-your-trip...Ili Nr d Flight De Depart 'r^^r.r-^�Tr^^Y.�i^MMYYMWrM Arriv e Amodann Ah -linea Spokane (GEG) Dallas/ Fort Worth (DFW) 206 July 16, 2023 12136 PM July 16, 2023 06:07 PM Travel 11me : � h 31 m Booking Code : 0 Clasp. 4, Eoonomy Alroraft --, Alf bus 020 .. ........ .... ....... Soat : — •...... Tota I paid; $883-80 USD Fare Amount Adult I w $794,,42 USD 6794,42 USID TaX08 & Carrier.-Irnposed Fees $60.38 USD Flight Depart Arrive I Carrier -imposed Fear, $o.00 U80 Amerlaan Afril"oo Dallas/ Fort Worth (I)FW) SPOkane (GEG) 206 July 21, 2023 10:15 AM JUly 21, 2023 11:61 AM Travat 'llime : 31136 m Booking Cipda 4, G Class 4P Economy Aircraft : Ntbus A320 haat r Receipt Flight Subtotal $88.3,80 USD TJ 0 KET N U MR EIR FREQUENT FLYER NUMBER EQUIV PARC Tax)Fae[Chargo TICKET TOTAL GALAR ZA-CARTER.FeRNANDO 0012398'130107 -_4- S`1�4.42. U80 0100 -USD 89,36 PaYlyletitTYPO.' VISA ""0""3676 L_ Terms and condItions., If YoEiva.already begun traval, Ulls racelpt moy only phow PD010115 Qf YOUr trip not flown. It your 110ket IriVolVos travel outside the U.S., Canada, U.S. Virgin [slondt; or Ouefto kto and has been re'(,,%uecj, your ticket tOtal may riot Include all t;jXes, pjaa8o tal)tgol Resarvafions for the coirrout total. A summary of at) (he terms and condltlo[)s (hat Apply to Your travel are available on Haxamtoonditionsurcarflage, 1-ittpe:lh".aa.comlreserva('I'on/print[tineraty-do?forward=itirieraryRecofpt&laRecelpt=true&anchorLocation=%2FTeservatlon%2Fv[OW%2r-rind-your-trip...Ili 1631126123b 9:50 AM VTCA D -CA DA 2023 July 14, 2023 - July 23, 2023 Your reservation is complete! Thank you for booking[ YOUF 110tel reservation for CADCA 2023 AIG'A) Oka Gaylord Texan Resort and Convenion Center ISO I Gaylord Trall Grapevine , TX 76051. , UNrrED STATES https,'I/ijpdates..gay(ordhate.W.cOrn/WelcOmaOGoytordToxan .-HOTEl- REWARDS PROGRAM, V AN W&T Click here to join Mardoa Sonvoy SONVPY' > Traditional Guest Room Acknowledgement number: ZMAEVS Wmo CHECKOUT SO, JUI 166 2023 Frig, JUI 21,t 2023 Guests FERNANDO 4ALARZA Mobile Key SNOW ddtalfg dot cancel Add to calendar Alf data PrOt(XtOd by Ragskay International, Inc. No unauthotized use or 41sclosure Is pernIlUctd, Copytipht t)1997 -2D23 PagfikeV Internallanal, Inc. All RIghts Reserved. E&acy, "g YL httpa-4//book-PaSSkOY.CC)Mfentry?token=oyJooXAiaijl<VIQ!LrJhbGCIOIJIUzl I NiJ9.eyJwYX)sb2Fkljp7li-nVudHJ51JOIL)kVTRVJWQVRJT04iLQJOjYXJhbXk Re na Gonzales r-rom: Bethany M. Escamilla Sent: Wednesday, July 5, 2023 8:58 AM To: Accounts Payable GMS Q. Reyna Gonzales- Dayana Ruiz Subject: AICPA Purchases Attachments: ARPA-GrantCountyAuditorl-7.5.23.pdf,- ARPA-GrantCountyAuditor2-7.5,23.pdf,- ABPA-GrantCountyAuditor3-7.5,23,pdf Good Morning, I've attached three purchase requisitions, @ Note: They all say Grant County Auditor because they're travel allowances for two different trainings. Two of the three requisitions are for Fernando and I for the same training,, Bethany Escamiffla, BS Suicide Prevention Coordinator aNigh, -,ankh. Phone 509.771,4324 840 E Plum St I Moses Lake, WA GTOnt SCOhdVifirOt Hckokh Wadinerin 1 MH 8055 7, X88.7.2 S U D .9055 694.86 CV -D DCR 7609 67.1.8 SABG CE 9057 67.18 SABG CE 9050 67018 SAB.G CE 9042 07.18 BVIHBG 8053 67.18 CBRA 8978 67.18 TOTAL 8126..67 MAI A Kesources WA U ty an IlMk/JAN QE-.SOVRCFS Invoice for Human Resources Services In advance of summer grant deadlines, Human Resources is asked to use headcount reports to set a cost-sharing amount for each non -general fund budgets utilizing HR services, Department Renew Contact Reyna Gonzales Invoice Date Invoice Amount: Renew Renew (DCL) 07/01/23 $8,263.67 $11761.08 This invoice will be used for departments to generate vouchers for revenue payment fia Human Resources. Processing questions should be directed to the Auditor's Office - Accounting Department. IK" �,41 Ito 1( MWM I Kirk Iinr . C,Ir �:.-� irector Reyna Gonzales From: Tina "GG" Brissey, Sent: Tuesday, August 15, 2023 3:52 PM To. Reyna Gonzales Subject July HR Services Attachments: 2023 -07 -Renew - R. Gonzales.pdf Happy Tuesday!. Here you go 0 Thank You, Human Resources Administrative Assistant PO Box 37 Ephrata., WA 98823 (509)7.54-201.1 ext 4993 tgbrissey@grantcountywa.gov eugom-w.gecu bent ------------ 1164:8.37 500.76 10,655.34 55OA8 603.27 41423.09 TOTAL INVOICE 18s 381,31 152.00 4152 4200 MHBG. 8053 241-86 to 61.42 Preventio'n- SUPTRS ML 9097 120.93 30,71 SUPTRS QUINCY -9096 120-93 30-71 SOAP LAKE-SUPTRS 9099 Suicide Prevention -Grant County-ARPA 120,93 120.9330-71 30.71 Ear"- CV -2 DCR CBRA-8078 TOTAL GRANTS 120-93 120.93 30.71 30-71 967.44 4,668,54 152 30.71 TOTAL AMOUNT $ 23,049.85 usage Surcharges Taxes, and and Other Governmental Third -Party Page Monthly . Purchase Equipment Charges and Surcharges Charges Total, Charges by Cost Center Number Charges Charges Charges Credits and Fees (includes Tax) Charges Voice I Plan Wkwaoina Data vain ft_�_ninn natq 509-771-5530 Bobbie Jo Anderson 2 . 01 $49,99 $.63 $1.67$52.29 509-771-5586 Madison Gonzalez 202 $39.99 $.02 $.00 $40.01 Subtotal $731Z4 $.00 $.00 $6.79 $16-w $AO $755.59 MH-MATTAWA 509-431-8565 Janair Santos 203 $49.99 $i,63 $1.67 $52.29 8 Subtotal $49-99 $-00 $-00 $.63 $1.67 $-00 $52.29 MHGC 509-770-5969 Brandy Yearout 205 $49.99 S,63 $1.67 -- $52.29 47 Subtotal $49.99 $M $.00 $.63 $1.67 $.00 $52.29 509-707-9264 Jimmy Garcia -Cervantes 207 $49,99. $.63 $1.67 $52.29 2 509-707-9266 Fernando Galanza 209 $49.99 $.63 $1,67 $5 . 2.29 25 509-770-9056 Fernando Galarza 211 $39.99 $-07 $.00 $40.01 _- 509-770-9057 Jimmy Garcia-Cervardes 212 $39.99 $.00 $40.01 Subtotal $179.96 $.00 $M $1.30 $3.34 $-00, $184.60 PREVENTION 509-771-7634 Megan Watson 213 $49.99 - $,63 $1.67 .$52.29 Subtotal $49.99 $-00 $.00 $.63 $1.67 $.00 $5229 'PIREV8 or, 5 509-431-8913 Prevention Arpa 214 $39.99 $.02 $.00 $40.01%/ - 509--771-4324 Bethany Camilla 215 $49.99 $.63 $1.67 - ZZ29 3 Subtotal $89.98 '$.00 $1.67 $.00 PREVENTION - SOAP LAKE 509-770-0841 Ryan Boldman 217 $49.09 - $,63 $1.67 - $5Z29 74 Subtotal $49.99 $.00 $.00 $.63 $1.67 $.00 $52.29 PREVENTION QUINCY 509-431-7844 Quincy Prevention 219 $39.99 - $.02 $.00 $4U1 Subtotal $39.99 $.00 $.00 $Z2 $.00 U0 $40.01 1 90.224MB 1 119-477MB 4 315.591MB 18 861.051MB .269GB .099GB 22 255.400MB 294.579MB 19 185.469MB N venzon%/ PO BOX 489 NEWARK, N.107101-0489 KEYLINE COUNTY OF GRANT 840 E PLUM ST MOSES LAKE, WA 98837-1874 Pay from phone Pay on the Web Manage Your Account Account Number Date Due ved zonwirel O�S",.c M 1576 . ".5 0 0 000j 070/23 Mai- - — ----------- Change your address at http://sso.verizonenterpri*se.com [Clivoice Numb AA er 9938993344 Quick Bill Summary Jun 07 –Jul 06 Previous Balance (see back for details) $63493.82 Payment — Thank You --- —$6,493.82 Balance Forward $.00 Monthly Charges AAA--- $6,623,94 - Usage and Purchase Charges Voice $.00 Messaging $.00 Data $.00 Surcharges and Other Charges & Credits, $64.62 Taxes, Govemmental Surcharges & Fees $168.89 Total Current Charges $61857.45 Total Charges Due by July 29, 2023 $61857A Questions-. ----------------------------------------------- - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - --------- ------------------ ■ xW1 ca, r'n � Bill Date July 06, 2023 Account Number 871576835-00001 � � 2 ,2� � COUNTY OF GRANT Invoice Number 9938993344 840 E PST MOSESLUM LAKE, . WA 98837-1874 Total Amount Due by July 29, 2023 Make. check payable to Verizon Wireless. Please return this remit slip with payment..$6,857n45 $ PO BOX 660108 DALLAS, TX 75266-0108 I I Ill 1111111111 11111111111111 993899334401087157683500001DO000685745000006857452 verizonv Invoice Number Account Number Date Due Page 9938093344 8715768354000-1 07/29/23 2 of 302 Get Minutes Used Get Data U -- mill�wlm sed TGet 'Baiarnice Payments Payments, continued Preldous Balance $6349182 Payment — Thank You Payment Received 06/27/23 —6;493.82 Total Payments —$60493.82 Balance Forward $Moo Written notations included with or on your payment will not be reviewed or honored, Please send Gotres lzoNOlessAttlpond to: Ym M�Rjnd , Go -.9pice Te @R)[ 16069 Afto 0 Y Automatic Payment Enrollment for Account: $7167683R0001 COUNTY OF GRANT - - - - - - - - - - - - By signing below, You auftEo -Verizon Wireless to electronically debit your bank account each month for setup Automatic the total balance due on your account. The check you send Will be used to Payment. Y1Qu WO be notified each month of the date and amount of the debit 10 days in advance of the meront communications eledfronlcal�. I understand and accept these terrns. This.agreement YroeleallAuPay related 9reerne"t does not alter the terms of your Px1stl CustAgreement. I ague that Verizon Wireless ' not flablo for erroneous bill statements or 1noorreot debits to my account. To v4hdraw yourautholzarion you must call venzan Vireless. Check vWth your bank forany charges. Is 1. Check this box. 2. Sign name In box below, ass on the bIll and date. 3. Return this slip with your payment. Do not send a Voided check. r new Granb BehavlorQl Health 6 Wellness RPA FUNDS FOR SUICIDE PREVENTION Date: Account Staff Aug -2 108.150-00-9000.566. 51.1100 51055.35 108.150.00.9000.566.51.1202 -- 1,08.150.00.9000.566.51.2100 108.150.00.9000,566.51.2100 474.70 108.150.00-9000-566.51,2200 732.92 108.150.00,9000.566.5 ..2300 1,315.32 108-1.50.00.9000.566.51.2301 1102 108.150.00.9000.566.51.2400 20.10 ,��aryu�°��k/Adr�1�. E 3 � ;Y ,��1 i H�r,Tr � �p7.$�� ' 108-150.00-9000-564.51.4301 513-33/ 108.150.00,9000.566.51.3111 24.72 Vo' 108.150-00,9000.566.51-4900 189.00/ 108,150.00.9000-566.51,4901 600.00 108-150-00-9000-566-51.1124 67.18 108.150-0.0-9000,566.511.4152 144.39V 108-150-00.9000.566.51-4200 4 / Lq 108.150.00-9000.566.51.4202 C� Teta Operating:;,Exp- ,,1.63090 Total Payroll & Benefits 7,,609-38 Admin 8% On Payroll & Benefli 608.75 ..... ........ ................. p `Ot 1 ¢ �A' r RY�/�IE r9 0 10/20/20231136 91849.03 10/20/2023 11:36 renew . .. SUICIDE PREVENTION- ARP ►. Aug-23 14,r t ... _.__ ... TOTAL EXPENSES GP LEDGER 108.150.00.9000.566.51.1100 SALARY Bethany Escarniila $ 5,055.32. i-Aug 108,150.00.9000.566.51.1202 OVERTIME 108.150.00.9000.556.51.2100 Retirement $ 474.70 108.150.00.9000.566.51.2200 SSI $ 732.92 108.150.00.9000.566.51.2300 Medical $ 1,31532 108.150.00.9000..566.51.2301 FNILA $ 1.1..02 108.150.00.9000.566.51.2400 L&I $ 20.10 Tota1Sla/Berits o 38 . ef 108.1.50.00.9000.564.51.4301 Prevention Core Competencies- Staff Travel $ 513:33/ Aug-23 000& 108.150.00.9000.566.51.3111 Light Refreshments for PAX GBG.Trainingin Soap Lake $ 24.72Sep-23 108.1S0.00.9000.565.51.4900 Taskforce Coalition - Supplies Smore- used to create GCSPT $ 189.00 Sep--23 105.1.50.00.9000.566.51.4901 Capacity Building (Taqueria El.Tapatio- PAX Training) $ 600.00/ tykes portion $ 6?18 Sep-23 108.1.50.00,9000.556.51.....1.124 NR 5e, . 108.150.00.9000.566.51.4152 I "services portion $ 1444:391 Sep-23 120.93 AG 108.150.00.9000.566.51.4200 op=5ep_3 108.1.50.00.9000.566.51.4202 Cell -Phone $ X52`27 ;:. Sep-23 7`0�'1�iDP4R:5i1eFLlE.S TOTAL SALARY/BEN EFITS $ 7,609.38 $ 9,240.28 8% Admin on Salary & Benefits only $ 608.75 $ 608.75 ,.;.�+i•'+ `S'l t � ,vy x-��: �- r7o#at�ARPAySuictde Prevention�,a3 3' ��,M ti 9' 849 tIF3'� $ 9"849.03 10/20/202311:36 '101201202311:36 9000 ' Pay source_ + • BEHAVIORAL ■ ALTH A \ e D E B IT CREDIT 108.150.00.0000.566.5 1.1100 $5,055.32 108 150.00.0000.558.51.1202 $0.00 •+� M 51 M .: r � A K M' �R'Tw R' ,111�1��']Irr T.. ' 2' 92 '�/'#�;■^y';r `5 4 t �- �., � may.. �c ��y+•.r -:i �a '�'pr=.<��y�.: S�t� �. '�tO �f�."K" 'Y■```'�■ ern. � : n,< to .?? S ^ > S ^M ;:�,� .. t�'.�`'?c � .t�� ? '. R�`i` }�S�' -`K F .I.i x t1/ �.,tt`d. :•yv' �._ , ,q. Va•. fix' YU ^�.v4'4 i`� `e� °'S';`t�.�- Fi,.:7+,�-,„�;. ?..:,*�,`r �-3r.' ":i�°-'::yr�is,,s`;�?�: ',��_�.,r:��-��''t �"s°i.;ki ; .`a:�•. �+•^_s."+�:r'",,.-n"�+ �.`Y �, °..ems ,4 -� �. -31532. i 108.150.00.0000.555.51. 301 11402 108.' 50.00.0000.555.51. 4.03 I 0 0 108.150.00.0000.555.51.2500 $0.00 .$,0.00 1='�-_ ,?��': �� . �. R �. �`'�: A�` A•, A�".§� i� t� S y � Yom` $5,055.32 108.150.00.0000.555.51.1202 $0.00 $0.00 �c r c � f Y..♦ _ « � l Z- $474.70 ;. �.,. ice¢ffj�U}�.,` i.3'��`y'.k�°a�� ANs •..,k,.:YM.,, ... - f.r a� .� ::."'� ^2;`1�.�'� i� tE6..:. 2t; A.�t•�,, .'Yxp�'... xr._. mk•` `fly .8•�yws� M+�t. ti:` .e 'Ya�t�s�+ �..t� '�.+ � .Y. � .�.,.:: {. ..,. �,.• �.s�;.�4-{k?.cgt��.'.F'Fa. :txkm.:?:'J.;.. <.. ....�_'.�+*'� �3e�:6:::6__ s.,+��?'a ;•:c� .t... �''� a,.xi..�.r��=�` .. - $1,315.32 "�'�� '��z�� _ < sem. �� 3 �a�� ^i �,�'t+,��'�.+r��.._7�'�•`�Xs%`� K r��8..i�.. .+�"�M ,�.. ,.v-:.. °... :J'm..«... M'.•..�.e:., .. ;M� .._ ,, «.�...r.,.Y.. r•...o, ,i ...t ..••' C.�? .. � ^•�'lY� ¢d?�.u.�' - _ $11.02 '.. 'S9 � +M•. �1 fyw3,•�t NS'F'.14.. K k iM4. '.:� 'Tt..2.. +.0! F i r� °r:;� at”-w�' ` al!aF stn T r$20.10 fix -RONS e X7- uy GZ R:•W'w. F� Lr ��Sr'F ..St�MYe'. -.Il}Y 'may#' F �. `h:..b`^'LiN 'S ti: -i} i4uAi.. i''GI�e`,r6 �A U' '3 '::'C N �• ��'w'F� �^u Lt4�� $0.00 $0.00 G 8/31/2023 Posted Pasting Month n Pasted y:r :Lea Printed Name: Bethany Escarnil[a Slips '�, Pay, Period: August 20, 2023 Employee 1D #. 5630 Staff Signature: s Supervisor Initials for Non -Standard Workweek Pa Period 8/2012023 mmlddt Supervis:pr Signature. �� ---� Y � y'yy') ' Play Date: i'otai Worked Hrs 34.00 LV taken .GP ENTERED LEAVE . PAYROLL SPREADSHEET longne annlne sickne snect holne milpayl bery '1e civil Salyne 80.€ 0 18.00 -0:00- 0.08 8.08 0.00 0.00 -M Printed Name: Bethany Escamilla Pa3 Period: August6,2023 Emp1q, Staff Si Supervisior Si NON-EXEMPT ***Leave 1.0s SIl JAIL, Lpemisor initials for Non -Standard Workweek Pay Period: 8/612023 (moddlyyyy) Ray Date: V25023: Total Worked Hrs LV taken MOO GP ENTERED LSAVE PAYROLL SPREADSHEET 40.00 Lwop 4000 A 34.00 6.00 40.00 COMMUNITY COALITION �-Aug 06 7AUg 07- Aug 08 Aug 09 4116, ';Auq,.1T i,.44 U09 Auq.10 Aug,111..��pg -1,2, �A A SPECIALIST Sun Tu Wed.". -7 ]4- 7hu ry .,_.un.... Mpn: Sat TOTAL ."Kon. -.0" ARPARENEW, j &00. 777 59.00 OTHER HOURS WORKED --- ---- JURY DUTY Total Worked Hrs 8.00 8.00 9.00 ;9.00 59.00 1.00 ANNUAL SICK 7,00 6M 13.00 HOLIDAY OTHER (BEREAMENT LEAVE,.... 9-o FLEX/COMP TAKEN _f LWOW TOTAL HOURS 8400 8,001 9.00 7 r 1. 0() .6,00 '9.00 .9 0: 8.00.: '001 1 .0 80.00 Total Worked Hrs LV taken MOO GP ENTERED LSAVE PAYROLL SPREADSHEET 40.00 Lwop 4000 A 34.00 6.00 40.00 11e, t! Grant fthaviaroi Howe 3 ji W;d'ltlRw O E PT Leave Printed Name. Bethany EScamilla Slips (AILS RPid �� Pay,Perrmd.. July 23, 2023 Employee tri #. 5630 M� v P Staff Signature.- # a EMN� NwY4wN. .wYReglt „ae+.nteMx .a-net•.waw.w+•ewNrr,�,e..w,n..w...n.i...r.,..n.. <.. h..—..+�.. Supervisor Initials for Non -Standard Workweek Supervisor Signature Pay Period: 7123/2023 (mmIddlyyyy) Pay Dale: 81.1112023 COMMUNITY Vti./AL.[#�ri� COALITION :�:::i ;* f .ViA• '.. .iii."!'-"., a+�C -' _f•g•#�! �+}y� pg �t tss .-�rf�yyy� i!1�yy+�, .,,,Ju '•id'S.il"'. ,,' -, �r.�..ifw.'�' .':'."9.F �` .. ':'ii •..Fwii .; '9�-+s�k/..di6i .':.,M■ _ ,. ,-, a_ Yom_.,.._ _ ,t. ,:�,� . �K p y�r■l�:� ./ i■n' ^: .�. .:;fir A/� :'$'._.•.,r.s_ T: Utz .k: .. -, �Mle'S 4 -MTS .. .. .�. SPECIALIST Sun Mon Tue wed Thu Fri Sat Sun Mon.. _ 'pue "'Itifed Thu Fri Sat TOTAL A;F (a� �'�(��(r .. .. - .,.'i4� - �. -... .. ..., ... , .. . .. � .. ... .,c...-. .. ,. . ,. ,.: ..... ... .. .: ..;' -0,:, ;a:.J�•�y ;hj!}r�e'.a; ..,.F.:..,r. ,^ �i/,.y� �/�j :, ...;- ^ _.. ..:......•..c .., A. .. 'e -:. .. .. .,... .t Y/.. .. �SVY. .. ,V'}'�9 .0Yi R+ OTHER HOURS WORKED JURY DUTY MOD% pa g red . H r 8 7.nV 1.50. R• 65.00 1.00yai: .. a SICK-'>, .. '.. . : h 1 HO P r ^ OTHER (BEREAVMENT LEAVE.....) _ FLEXICOMP TAKEN 4.€ 0 8.0 3.00 LWOP TOTAL: HOURS �q 7.50 8100 061 # '&00 9J) ' 8 00 3��ti _ rrtrrti� L OP 40.00 29.00 11.00 40.00 Ainericaii Rescue Ph:ui (Urex Act — ARPA) I Today's Date, Vendor: 0 Receipt to Finance Cl File into binder El Budget Spending Tracker entry % . 411") Ifelli/S I-eceived ReceiptDae: ... .......... .. .. 4 B� Detailed Descr, Von,* P, 1, virldf 14 f IN f M11 J f I fl/I A in I J4 IA I I 1 41 d1A Ij a r m 0 1. Tharge to A:tgl Monfli: Jannary 205 0 MY 2023 El Febmary 20.23 [A. Augq 93, 0 MatCh 2023 0 September 2.023 11 April 2o23 0 October .2023 0 May 0.023 El November 2b23 0 June 20.23 El December 2023 0 Deliverables, 0 Tasldor,oe Coalition (sqpplies) 11 Outreach Marketing [Adveit' ising 0 Envi.ronmental Strategies Cl CapacityBull 0 ding (w 'tkshops & education) Staff Travel. Prof6s-sio* 4al Pevelp pment $ Form of Payment IXVISA 35 78 '0 0 Invoice (paid) 0 Rivoice(nee& pay � Pdi 0 Other: Char . Account: -e count: A �:Ci tIJ �bIJ SI47 RPA 13 Requested by: IA g(- Date: `�` ---- Supervisor S'nature: 19 Date. Prevention Requisition Fo ' mi Revised 02.2023 renew01"'t U�oi" ISO'ell lmsf— PO Box 37 Ephrata, WA 98823 TAX 0 DATE 07130/2023 0713012023 0713012023 07/3012-023 07130/2023 0713012023 0718012023 0113012023 0713112023 07/8112023 0713112023 0'113112023 07/3V2023 07/0112023 07W/2023- 0713112023 0810112023 08/01/202-3 0810112023 08101/2023 06/01/2023 0810112023 0810112.023 00/09I2023 08/01/2023 A Hotel Murano 1320 Broadway TACOMA WA 913402 Confirmation NuMI)Q11 71741069-1 Room Numbev., 1403 Room'rype: AK No. of Guostrg, I ARRIYAL OF-PARTURR RATE PLAN b A 07130/9,023 08/0212023 Gov CCOUNT CODE 'DWRIPTtON RM ROOM CHARGE TXT Stale Tax TXCI OITY/STATE TAX "rXco COnvanflOn 00htel' 01ty Tax TXFIM liotevmolelrax TXTP TPA LODGING CHARGE PRIG PARKING OVERNIGHT CHARGE TXSALE SALE$ TAX RM ROOM CHARGE TXST Stale Tax ,rX0.1 GITYISTATE TAX TX00 Convengon Center City Tax TXHM Hotel/Wtel Tax *rXTP TPA LODGINQ CHARGE PRK PARKING OVERNIGHT GFIAR�i; WALE SALES TAX SMSA serM( Visa RM ROOMCHARGR Txs"r stma"rqx TXCI CITY18TATE TAX 'TXCO GOIWanflon Center City Tax TXHM HotollMotel Tax TX*I'P TPA L000. IN G CHAR0 E PRP PARKING OVERNIGHT CHARGE TX8ALE- SACC -8 TAX TERMS & 0 SIGNATORE: DA TIF: 943%7 COMMENT AMOUNT (USD) 126.00 8110 2.65 3,78 .2.62 1.50 24.60 2.47 126.00 8.10 2m 3.78 2,62 1160 24,00 2A7 Grant Intograted Slarviaes - 811123 "A 3;j Prowmance 1--lotahs !'age, I I ) 128,00 8.19 2.66 3478 2,62 1,50 24.00 2A7 Ojsi)� Sub -Total: 450,00 Total Tax-, sa,33 Tot -al Payments: (691, 3) Total I)= 0.00 Prowmance 1--lotahs !'age, I I Training. Overview ln,Person, Introduction to The prio.vOnton Core Com petencips For Pr0Ve'n't**oh Pr'Ofes " ..t sionols 813OW-U - JIlly al, 2023' thm 2 Wpm -Augusi. 2 2023 111wizenp U113,101,01C 'Co' Ila-bbrating TTC: Nt-).-(wc)rk L-.00ajr)0J1ng of-rlct.j Hotel Muranu 1320 BrOadWay WX 93402 , VVA 98402 Ufflldd SWOs t'.E;".•1. 0 fill Ig -k 3 J LKr 7 # sw n A , RW. k N!, 0, ;.4D Tfie. Introd0tion tb The Preventfon Core cpk�etaftclep far Pr4ve'Mfon Profo&s1*MMU WaS d0s'Q00d W intrOdUce pral.'Jitionerz to M6 OtOblla; tpltipt?Aoncibs, kn6%*v1t,-t1p,., awl - ikill ta �-Veffik 1** * Cie n .11 is Nosier] On tho ot6veiivorfoo*rl� -5 P.Libitshed by (tie -8pbsWceAbuso and MenTO Hwau) Som0es- Adin'infs1tation 71tecourse pt,oiviejes ja f0wit[dWil rot servir"o �Idlivery ba'sed 01 pte-venflon St"ierlcp' lu)d 016 U111"Wof ra c cla'.5 ihons the u tide of effecrive lifanning and rind enmU1'-Rg1W; 010 V.)UPJUR Of ffidt'p�'(Aallzed lifaitlingand professi6nal at 'The curriculum utilizes evidence-bwied stralegibs for radull. leafriir)q. and buil(Is, I)pdrl existing worloor-ce Iramilig Substamc.) Al P(W�01101-1. SPetRq_1j9tTkainhb CRAPST), Fb1indalioris oil Prevention Sicience �.Ind Practice CurrIculurn and Uni'vel'sal Prpnmntlon CA'Afficullim jectives De"w4ba .1he Rey elairents or P15--mrwig mild evaNawn Utid,wMand M.0 core proyention prol'*.Svonal knowl0d.go... Z.Rjljs� wid c0mpeft encies Ad1%,riWf-10.Qo the lcrip omfi8nt a ofowrir,% ikid procesysall)Lilreel' o oxpit541 and bbild erfeOve prewarition Intefventiort.s. and Desr:dba how IEB) plow"ollon straflp'gies Carl bRR d0li"10Md a"21M5S ss,(44gs- includii1q, thio 4-Anifly, school, ryll4dfa. community., ox warkp4jce bates .,and tme 'JOY 3*1 :2023, 09,00 41.11 US 00 pm pacifit: Tirilo Augms . *t 01. Of) DO am 0,15 00 pm P**acific timo Auou--tet 0?-,. 202-3. 09 M) am 02-00 ptn Pcicifir. "rmle Location Hdiel ivli.�rr tit 1-62-0 broodway 'ro�ttomi�,'W-A dima2- Thist cutriculum 'is cles iorvd for on try- level (i e WIN khan SM -Its misuse .)o C106141P.11JIV, tt-ibal.. j and '31 -ate -level S(JtK%:t;'JnC1Q-. J11i5AJ.Sp otqvdhio' ki pi�t�fifidn if e.ct- d V5 'I W1.9 in MHS ROfIl'6n V.) BUM -0s td ll.rofte m 1, Milo. ordb; Oil, and 6r%d fri'bxw�" Tea I 11-i.e r..s mar ' Is ' sa Carlson, m.s, cp.s ts• trio t=xiaculi-vo Qfter.tC)r (Yf Jht): NH Tap 11 Insfitute, a Coader��Mip devolopme tq 'ddte'& 111,01i school sfu'e,-J nj nonpro lt rl 1 t i'i 1VfXJ1s-i,4 With all 841-� fr-OM Wdund N11 4� New viml`ioly .6r' E]Tqa.�p if�dud . trig q*reaiing poiaitve SCtIQ01 & C0111MU111-1 r1irt- te As part 01 he*r Y *viersee.s and Umlniryq firY01,11h 6or"tir Vol vout I adull uklteer PrOOM9111 staff, aml a laktheW 16r* wai'Wi6ps. dVC. o 'hrou41h SAM41SA fsysterns, and is Ft mumber cf 1.tm3 adviTiary council W Me N6?w t-ngfarid- Pr-evoiWon Technolo Tr'Z 11 e r Genlar (P'TTC,) to addition, stjf.� IS JJr1,rA dekyuat� 4�1 ilics WI&R.C. and sdrwm Em; k1,10 chkiitpor=n -"e)l [tie, P-1,0V41tpoll SpRai'dlisl bf her pravolitton wor 4 men7bet Of Milt ��Aty Produclion.s. *,-,I. lhom' trO company in Westerr'r Minv'--ta-Olusaas sim tJrW1MjFApd from Pofnana ir,,c,)1Je0e wilh a CIA. m received all '�IS it, Monpirr-AA Manage . meM Say 'f"A'th UrIMe"Isity, fitid hiRF;'bQAJ'J tj �,'Oftlfierj �-_i#Q:AJ;DaljorjSp CJ liSt j' C4 a s ilciL, 2011 Debbie JGJ-140S, CPS IS a Cr,.fti-JJt -in tj 1, C •;:_;!WJ 1ho Provenilon -Cmaidinator for y And ihe e-.6-Croo-ato'r 4 th* & 'rxf c6o .11 tborning I 'Set:�jro AtUm'hinont 01, iik,! 1;'1,obby reme-ved he'rOL-)cYie.jor -o'er f a From': Beetham ybur�c IV ) Un a. f-'iAY in 1��r�e�tr�?t� Management urid "ejouth Le'ride'rshtp SMO Is the -CO-Chair 16f thk� st-We of 0ega rn"s AtUliction.and Morylal 1qetlill, plenrlitir) rindAdVi%-afy Oou6cfl C wid Via O-01 - iWtr of iho Heafth Pr4qiiw1ii*rk SI -le m El Certified iclsir'uctor in QPR 'Yokiih Marital Moosth First' Atd. and SAMHSA's Abus�e PrOvon'tion Skilit, Train trig A--c.cqroing to Debby the QF'6<1105t, pompliment she has ever rowive4i v.,O*,% %4�110f1 6 ;-V -mr�afd vm% explaimm L 4 1:. L. to l'ier 'Mond v4ho itid vms -id 'Uka Us but con drive 00113Y flve�; in The ' beflIes. Oregon f AttenOance ParljCiPWAS Ml. St 0119fid the W11 18-how in-porson troinIng to reCe IV* COrllkfft Of COMPIOR1011 OF 1.8 hQUrrj LVQ 9 CgriffiCkIteS bOSIA)MR100 to your re5pective crederilloling a,utharily respoA-Sible for providing cerliftation or 80proving cOntil't-11-fifIg edu(CaWll C"Odil PlMe Cohkict yo4jr Mrt-iftaffon board WWOMAM If this is applicable, tC)Wafd YOU]'COfiffication DCAMADe 10 July 14, P.D.2.3 Re.gjsjer W Ilia latr6ductio to Pro.v�njjon CiCgO.00,11petenctos Cost ig Froel Parlicipanis ere rosponsibie for t1leil. owl, todging and njuals Hdial Uti-ralho NO MOM h. lock is Milable for IW8 eyew. F Of MY DOW (MOStions., please contact Kathy American Rescue Plan (Cares Act — ARPA) :; -N. ymaw� ........... 'RA N A . . . . . . . . . . . 1-3 ReceiptDate: .. -1 ^ JAwoo 0 Received SLIpel-Visor Approval 0 Scamied supportUig documents 0 File into binder 0 Itern(s). received RECEIVED SEP 12 2023 Today's Date. I/ Ll Vendor:, Ni �,�1, L.,& i+ DetailedDeseri ption: 'Charge to Aiq'Month: 0 July 2023 ❑0 January 2024 August 11 February2024 202-3 0 September 2023 0 March 2024 0. October 2c23 0 April 2024 0 November 2023 0 May 2.02-4 0 December 2023 0 June 2024 Defiverables: 0 Taskforce Coalition (supplies) 0 Outreach / Marketing /Advertising 0 Environmental Strategies 0 Capacity Building (workshops & education) El Staff Travel / Professional Development Form of Payment 0 Invoice (paid) 0 Invoice (needs paid) 0 Other: *x Food Charge Account: g AAA (9000) 0 Other: Requested by:t) Ij A 1) U1 �Kl Date. Supervisor Sigi Date, Prevention Requisition Form Revised 08.2023 aw rt.+h.M%ne }IGYd3aA.a Give us feedbaok @ �-urvey.wal mart corn Thank Y(3u[ ID #:7SK7H8PQS40 w " FL j%. ' 0 4 00 WM superoenter 509-765-8979 Mgr. TESSA 1005 N STRATFORD RD MOSES LAKE WA 9853.7 ST# 02007 OPH 009008 TF# 08 TR# 02531 9 ITEM$'--S0LD- 5 TC# 9677 7884 7750 8750 1765 APPLE 3# B 3 480 90 F 4' .4 BANANAS 074904040110 F 2.890 lb. @ I lb. /0-58 1.39 N BANANAS 074904040110 F P., 1,930 lb, @ i lb. /0a58 1.12 N NG VRTY 32CT 038000277440 F 11.92 N GV ,5L WATER 07874227090 F 5.�6 X SUBTOTAL 24.27 TAXI 8 e 4000 % 0.45 TOTAL 24.72 VISA TEND 24.72 CHANGE DUE 0.00 VISA CREDIT- 4899 1 1 APPR0022628 24.72 TOTAL PURCHASE REF 0 323400831429 - - TRANS ID - 463234810806906 VALIDATION - VROR PAYMENT SERVICE - E AID AOOOO000031010 To 4CA182IFE3092A28 TERMINAL # 23083031 wN0 signaturo RoquirOd 08/22/23 15:31t19 rte** IN lil-"W-L YNCEA A Become a 1 SlA member today sclo for 30-dDy fe6ej Vial, Low prices You Can Trust- Eyery Day. 08/22/23 15:31:26 L`ake, I D'I st r I et 4 P 0 ..-PA:k 4 • W, In Te • "'he F 4.1 TrW'n' Ifig .123 ••hing S Inif a 9 'A6 _,Mlsi , H" Ing. �t Tea h Init I'a''I S" Chave SUP9 rintendent Ariders'on, Lauren Allen Erin Hansen, Ka n d lee - Elem. prin. 131ankenship, Tony B�arnes ly Sanc Eaughlin, Kel,th - Athletic Mr. C Canterbu% Qassandra Berryman, Doug rer, Levi - m sjH s prin. D .—Diamond, Holl! 56�einre 6)L),[/'LC —A-1 t Blanken!±,ip, Tony -------- 11Y 1t;L.i,16 , 4,. Un rs 'Qeargen, F fr!Sherry 4C t, Em -- ----Forres lly niftis- F j 151 ortinne isher,' Ana Jeremiah Griffin., Kath -leen qn _Hertiqndez, aria 4 aW �mAMMMM"O." L Keith Pat 61 AssUal NJ* : Wueness. Erin,, W Ittais ER10 I Rioretn, Allson • )4� -Larsen, Clarissa S' ae"n ('eL J411 Cl Amb or Smith JI •Wathis Daniella Nicole No ble 'McLain, Marcee ...... ...... FTN4YiV;5 --- C r yrs; f5heas Allison !?'.)6rq_K Mq-t& tlz L.R. e 05 ZRIM115- MWIIto' •41 N�, el, KrysW ME Merd 16, _W0 r Gustafsoll, Jody Nfelaon, Njkkt Simon Daniel Pftedsant, A111son Kath e rip e RIC hmond nlfi jrlppins Kafle Ike YW1ee1,Y...RVfz E � I ,ether, Deana Wids, Afldra WnBusklrk Montgomery Sahaler, Bobble -Tasha 'Rom"nsky, Jessica + Wilks mar6l Other W -11son H 6ath er fe UhRAX 11C211R111;1 pig 0 7 D r- sio d !A- I Top 6 Wras K H. ary • 'Florez, Eugenio 46 4 Ir f! Meeker, Mandy- tirjovom Valentine Basti da, Marlsol ypel,Peg gy, R obakah Evenstad, Mo rg an- Waceda, Raul -.Supervisor 'Zubdtskiyj Cody, Cheri M, yra oloborodk Ra�alRa - Sub Ali� Mnm nthaller,.Lorl v0d U zco. Bra �uzmanj..;d -a Blifle sqm6man, A.yann. e 01� -Servipi 43 ti'-Civs!ta�] Lffi4 q) • .8hyanne Hardeman Librarian Uri• 'Wendrimon He'd, Hdfifn, Hannah-Nikole .811S IM M 1 hqf: n :1 ,Mckeman$ NIchole-Supervis&" dusfice; Shawn Mown, Randy t 01 P. evehouse, Delilah W ueness, Rm- sell Petersen, Karen Newman, 'Made Nelson, Wnne Q na ey, Lisa, ISPWY(3 r. Tdra Walley, L�lah 2tjbNtskiy,,..Nafa11a - Sub jHsaer.. NY" WIN F_ F, -Stevie n 0 §S c istrativ A •Zh• yelena Gear, niftal" !jravleva, .... ... S011man, Noelle ZUbritskly, Julia tBialnerd. Christine b - d h a ;T • R& t 10 n te lea hn'lln 'Initials pintenance .. . .................. .. Ve qu P 0 Lindgren, Ka"16 b morto n, Steve Cox, Ryan SLPD fl(en; -8j k UpdAW 81JT American Rescue Plan (Cares Act — ARPA) RECEIVED sEF v z _:t� Toda "s Date* Vendor: Detailed Dese-reiptional N OAM-, D 'I, .eek'.iptDate: Received Supervisor Approval Scanned supporting documents 0 File into binder I tem(s) received `. Charge to Wig' Month: 0 Ally 2023 0 January 2024 V IA UgUSt 2023., IR n February 2024 0 September 2or)3 13 MarCh 2024 0 October 2o2-3 0-Apr11 i P-02- 4 0 November2023 0 May 2024 0 December 2o23 D.June2024 Deliverables: Tasldorce Coalition (supplies.) 11 Outreach / Marketing /Adverdsing El Environmental Strategies 0 Capacity Building (workshops & education) 13 Staff Travel / Professional Development Forin of Payment c VI A. 0 Invoice (paid) F1 Invoice (needs paid) 0 Other: 0 Food Charge Account, N."'. tX4 AR -PA (g000) t 0 Other: Requested bry -S l A Date: VV Supervisor Signature,: - ----- Date: LS Prevention Requisition Form Revised 08,20233 renew Ot InVOIce nuMbar OOFCC1D4-0002 Receipt number 2906-16sa Date paid August 227 2023 Payment method Visa - 4899 Snore 6425 Living PI 2nd Floor 2nd Floor Pittsburgh, %finsylvania 15206 UN'ted States +1831-777-6673 sLipport@smore.com $180-00 paid on August 22, 2023 Bill to GRIS Prevention Grant County 840 E Plum St Moses Laker Washington 98837 Wilted States bMescamil.la@gralitcountywa.gov Desor(ption Oty Unit price Amour t Nonproflt (malt} $189.0o $189.00 Aug 16, 2023 — Aug 16j 2024 Subtotal $189.00 Toff $189.00 At oufit paid $189.00 2906-16'88 - $189,00 paid Oh AUgLl5t 22, 2023 Page I of I American Rescue Plan (Cares Act — ARI A) 0 8 1025 RECEIVED AUG 41 Today's Date: t / Vendor: 6 Detailed Description: rk 'Charge to A:tg',Month: r .sat 12 "MM Vixn �[4 --YO Alk Ipt. Ip I Cl Received SLIpervisoi- Aj)proval El Scanned suppoiling doctiments 0 FI*Ie itito binder El Iteni(s) received 0 JUIY 2023 n Janual-Y 202/-[ r 1� AU.gI18t 2023Feb 0 i -uary 2024 0 September 2023 0 March 2024 0 October 2023 0 April 9-024 El Noveniber'2023 0 May 2024 0 December.2093 0 June 2 024 Defiverables: 0 'Tall once Coalition (supplies) 0 Outreach / Marketing / Advertising 0 Environmental Strategies 14 Capacity * Buildiug (workshops & education) 11 Staff Travel / Professional Development Requested Supervisor Form of all t t 0 VISA F -I Invoice (paid) q Invoice (needs paid) 0 Other: Charge Account: ARPA (g000) 0 Otlier: U Prevention ReqUisition Fonn Revised 08.2023 Date: Date: renew Taclueria El TAPATiO hivoice Remlnflor Sent jft. M& 0 dibL 0 &Z uu IU' Dua oil Au..r*ijst 17, 2023 Involoe #00.0008 Au.VuA 17, 2023 tustomr Soap Lake. Ptavention Coalition Soap L)ke Prevention Coaltion Washinglon M37 Damnl=d lnvo�m POF Invoice summary 000-00 SUbt0tal U100.00 Total Due $6001-00 ` Soap *Lake, -.,S, c.Do' D. • � �I•Y•,y /IJ,-/lll.,.e/HNee.r1 •] • +•J-.r•rs41+".. !! o•r•r•1-.I•��114..rt.aM1•,.Irr�.lrt r•..:Y"ArM..11.. ul.IV.rr►.I.YIy ..-V•ylr+M. •IM I-.a1144..'au Mu.la •/•• N.w•4.a Y M a1. a• 1 .e•a JA... .. . y • W Wa••..rr..]A. O•wr-.r•1. r . (". 1a .. 1•.•.,.n1-r/•s..y ; I..� 1AY •.+ . y.... .a..+. ..•MY•.tiI..J. r. +a u.rff r.l . Irr •1►rw.e•lrr r•w 1 , 1 • • • , •• ` • .• • • r • a ^I Y�-YKyw.rrl'OV ^hM nom.. Y.rrl .r M... Y4 ( 3P i. '"'ST -AFF IST + . ' .. PA Trafn!m Date:- 6/WW2 (.,1�, {`r r�L �J•F��aI'i 1 �y�•,'�t■1. - �.I. A J 11 � TM' J II II r 1 c 4{ }+.{� •I I�yy��,•oL^•, 1 . .r M 11 r�'.`'w�•.Nn h `� � u, L �1! s.{ V i �` #wI R9M # +-. mow,, to �n� � � pp�� r+�� _ i.}}.�� }}•++�� 1 �`` y ,�y Tenic1/iJlg tO �. s y . a r P a �I�tla� have, Aaron uperintendent Andi >rsan, Lauren Alyn? rin Hansen, Kandlce - Eiern. Prin, Blan enship# Ton Barnes Sandy y I Laughlin, Keith M Athletic Dir. Canterbury, Cassandra _Berryman, .JD pen e�"� l,.evi -MARS Prin. Diamond, Doll! 56enre UV• Blankenshl Tony any Fa1r7- berry Forrest, Emily 00b, rise' 16r . A iltla-ls 1 1she ;' omnneNeing, Ana Beargen, Jeremiah + riffinKethNeer) Knutson, N i h lla . ...... , .Hernandez, Irina �aughlln, Keith e eco � pan U'aa PathOfOUx.bSS,1Sb1nt Wtlal LaJuaness, grinFOX L avell, Lee .or!em, AlisonAll Y7T Larsen, Clarissa Saf/n"-)-in Amber m"th Mathis, Daniella l ieeNe Noble . ........ .�_ ' McLain, ain, i lar ee Phemant, Allison • ";a � 1 �'t ttC•`r' `• �`y 'k• 4.1.• +I. �� .. n •ttn, y f �J. yk�•i.: jy 1 ,c •�,�.,+•;+, •�• �=U:JY' J�r7• [ i �=7'�^y G;k•�: " a^+: t"' �3 • �+.+� �-;`'1�'1.7�fi �'�' S1- J'+' •j'r'• � Vd•'" .L,T.�/'7 CY,1' i� '`r� T^,i `�' 1 �.', �` �'1 r• FAt.� �. jJv�;iA � r-�En. .fa �ir.r�J.l�•vl .. Jr�•a•. ap�.�1 ;J t 1 r. r{: -r. . ..;:;r.'+r,l.i�%•slrr,Iv•,t.�.,wi�: .:';%%,�•;�!•�+t.;f,:.[.r Jr~.}lq..r�'1!.•±�`�:li-y,L:��fh'J�•�'i:�W.+4:i4`i�C..s7 .:.:!c j."+17�:01� ►,!J�S'a�+ .�+ .R+�7R :rl i. e / e, jysal �!S!Mon, +aniel• Gustafson, Jody N1el on, MIN- n -fl\ en er, Melissa hsant, A111son Katherine Richmond P��#Idt office.. pins, . Yah -eel , Ruiz Detwil6r; Deana • Reynoids7kid.ra ribs VanBuskrr :N I ntgemery, Sheryl ehafe'r, Bobble l ominsky, Jessica 1 , J '.. Wlfksf�mamf ON 16 'Md1iI Tea +l'' �� , "■FG M �'�J•` +{ x r s��■u•• it 5 eZ rJ►• •� I.a -. •w F .. ti 1 .a 1! N o r.M , Eugenio 1 le 1 '� • � 111 ♦�. � "�^��'�! M ;�,',g�.1��.'•�''� .1 .o + . I ' ti :.+13'1 �+. �flr�l.•�Ip��{r1.4Y.� - L• �• • �y-:• . LStaff ,.. . nitia, Is, Meeker, Mandy •Beregevo , ValentinaBadda - - Ixf _ D a iso r N Joyce, Peggy y `' f' , a ' • '' �'� Brewar'� ' • b' •' L venstad, Morg r�. Macoria, Raul - Supervisor Y . ody, C. bed Myra Goloborodk 40 ubrltsk.iy, Natalia -Sub Gillespie, Ail Mor, anthaN.ler M��r` i Grace, Tessa +' V rdu ce, Brayan 1 G uzlr �.#7..•l , i, •II..R J r' • �T V r11Billie F ,��••!y�yr�ryy{.�� a{•�� ,spry-��a1.�'rr�.�'y�•-•{�, �1 �Tr;7aP a f � Aad R, + hy4 II+ JIe 1 -F [�°y1 e (�''�r }�} �'`'� y�1� S an 1�.ardei f !aG i �� 1 G{��,ff, I, (j 1/.y a. N �� R � ito� L $ � 1f ]C rf1•'i�■y►r i •S '•f 4 +N t, J/ � 1.-e j'1•'4� / • �+.111.4 .1 /♦I�►� u � ■ ver In Hendrimon, .Held 1 H. 01n, H. annah- i el �� Brown, Rind Wokerna.ril, Nlohole- upe riser a Justice, Shawn Flores, Dabidja Raveheuse, Delilah t Wuenes a Russell L P7 Nelsen: �ynne Petersen, Karen N wm n, .Made - - -----$orger, ►. �is.a: a1 awyerjarp a tulle. , l..eN h • u britskly, Natalia - Sub :. •forge.� r, Sa - . ,• ,. �,,, , •,�; �t rhpe'r,' to re ;, 1. 66r 1 t t* 'Adri-ilnistrative.Ar�st-, .":-I )qlflal§_�- huraVleva, Yelena Stillmanx Noelle . behest Moban ubrltst'y, Julia t -Bainard, ChrlstEne ♦ r .{ • 1 a . a . • Y . . r a . r e . • • a . • i 1 b � ut '�"[ /�■y� /�'�! �1+y'L ': y■! •wi}/ y1�y ,�MVy. ■ Tr 1•� 6 � ?T •^�-I • ■ n' �i � �F•q SM' - .lol• kovold, •Shelly �r . , ai.ntenance ::Initials 1Lindgren, 'M• Kaleb SubstItute Paras Tor. In �• Cin L ;. r': T.l.fCI7,'� Uprated 8117/2023 Part I .1POrt If I IF Z RON . . . . . . . . . . . . . . . . . . . . . 4. ln� N. !INN tV� --o N vii � j_.M Nil, % L R Fi� WN e. W 52 it 3L. x M, A , g"gv, om wm� -v 'U7 ij KI ryvqlt --az Ki -o r " 31 1 M.k3Z.. i yz % 'VI X� ix vv, .-A 62'.-j 'J-' i � I fl�- 1 ie, x OVA- 1.31 CFjF z It ... .. ... ... zz 1. dw r R ']tall 5 Ll sf. f Z1Z. zp ....... .. . Reyna Gonzales From: Bethany M. Escarnilla Sent: Monday, August 28, 2023 4:13 PM To: Accounts Payable GRIS Cc: Reyna Gonzales; Dayana Ruiz Subject: ABPA Purchase Attachments: ARPA-TaqueriaElTapatio-8.22.23.odf Good Evening., I've attached one purchase requisition for your review. Thank you @ Bethany Escamilla, BS Suicide Prevention Coordinator Phone 509.771.4324 840 E Plum St I Moses Lake, WA GOehovioe-49 NecIth 8- Wartess Reyna Gonzales From: Sent T©: Cc: Subject: Follow Up Flag,-, Flag Status: Good Afternoon, Bethany M. Escamilla Thursday, October 5, 2023 11:36 AM Accounts Payable GRIS Reyna Gonzales; Dayana Ruiz ABPA Purchases Follow up Flagged I've attached three requisitions. Regarding the requisition for the QPR Institute —a check needs to be mailed along with the applications, Can someone let me know when the check is ready so I can come grab it and mail it, out right away? Thanks in advance! Bethany Escarnifla,, BS I *** Suicide Prevention Coordinator * Phone 509.771.4324 840 E Plum St I Moses Lake, WA I Cwvdit Behovkx-W Health 6 UMfness I 31Aug 4152 4200 [a Monthly VOIP $ 1,648.37 $ 500.76 $ . 101 655.34 $ 550.48 $ 603.27 $ 4;423.09 TOTAL INVOICE $ 18,381-31 152.00 TOTAL PEREMPLt Y ............. ------ ---- 4152 4200 MHBG 8053 241.86 46.92 Prevention- SUPTRS ML 9097 120.93 23.46 SABG QUINCY -9096 120.93 23.46 SOAP LAKE-SUPTRS 9099 120.93 23.46 Ail Sulticlie Prevention '(3rant.:CountY-ARPA 120.93 23.46ow CV -2 (SCR 120.93 23.46 CBRA-8078 120.93 23.46 TOTAL GRANTS 967.44 187-68 4,638.69 199 23.46 TOTAL AMOUNT $ 213,020.00 Renew 0813112023 Renew "Users -.W152 Tao '2i F71" 428fi'4 Renew SERVERS. .. Ren�!wNETWbkk;pEVICES: .63 � .5.3.7 113-318436% ,ken e--w"'GP-'Users:.:,.- 5 79 3 -6. 291139% Renew 29,,691.94 7,422.99 $,.,2474.33 Jeremy Hall frfetwarl -year 1Hcur!y:Ra Tdto . Yearly; - - --------- 1-- uaft- 1on thlyJohn Martin 2080.00$ 81,06 $ 168.,604.80 $ 19,780,45. $ 41945,11 $ 1,,648,37 --- ----•- se tL 6 r. TTOta on y y. Vanessa Br* &W n 2,080.00 '46.67, $ 07,073.60 21,078.84 51269.71 1#756.57 Ricky'Gutierrez Te6m'VleWer,-, .65.74 $.,136,,139*20, 29,,691.94 7,422.99 $,.,2474.33 Jeremy Hall 2080.00 $ 57.40 $., 119,392.00 25,925*12. $ 6481,28 Evan Little 20800Q .34 $127,587.20 _27,704.65 $ 6,526.16 ISeth Sampson 2080.00. 51,95., $* 108,056,00. 230463.59 $ 9551-30 247.57 277.471 $ :.82,52 92 N6tapip Stoira-gei Har'dw-are'Service .:13,301.80 , Avast c� om (Digita I River) AVG Antivirus Enterprise $ -2r521038 -1,00 21921.38. 115.53 28.88 9.63 Te6m'VleWer,-, _ 76130.1. 16;753.111, 1.00 -160753.114:$ SOX 662-55 dobe Acror. 165-64' 8 2 19 55.21 Progess�WhatsUp-Netftrk &:Inve'ntorV Monitoring Ednetics/SMARTn6t Maintenance b --25,040,40 28,063,96,A0 1.00 $ 1.00 251-040.40': �218,,063.96' 990-30 lJ09.87, -24'� 247.57 277.471 $ :.82,52 92 N6tapip Stoira-gei Har'dw-are'Service .:13,301.80 , .,,J.00 13,30L80 526.06 43.84 Edne'tics' One": Mj593,83, lob 31,0598:83: 1249.47'. 104.12 VMWa ro A61761, 57 A6-761457 6 62.89 .65.72 '1 vee�m.Backbp Software $ :,32,595-16 1.0011 $ 32 598.16 4,289.07. 322.2.7 :107.42 --------------- - -------- ua r M 6 ht A 6ta A666'uhtlnL, or) i6tio C- at dears -T, hl Dynamics GP 114379-- 1 -190 1.00 114),375..90 7P239.23 $ 1,809.81,4 603-217 kth - 19 DO $ ------------ 39.59. .752.1 -68 Mice 3, 1 3 3 .00 249 _ 76130.1. i 6�, �M p u e."A i�� ro- p "llu Pian I 49,D0 SOX 8.17:� dobe Acror. 8 2 19 .8 23' 1, i2 _3 102 74 b 4.00 .4386-.,84; -4. p -24'� ,812*W 45 1 '00 SL arrk6da ',ErO,0I.Archalver'and Ant'FtSpam. 1 2 7 bo' ;-45-- 0 0 -7 Ver. 8/10/23 Grant Cotmty Technolo yerv *ices �tE1 C H N d,obY 'Dtlr"�.t ��j PO Box 37 35 C.ST NW, Suite 308 EPHRATA, WA 98823 BIII To Renew 840 E Plum Moses Lake, WA 9'883 Invoice Date Invoice # 7/31/2023 219-23 Invaice 122806 1ednatice • InV0100 Date 711012!}23 4(5 Due Date 81912023 1 Terms Net 30 VOICE Amount Number 10174B OuRtraCt 4V-60-WA00CH-010818AB Amd Na 1 0718 Clearwater Loop, Past Falls, ID -83864 Customer PO # EV-60-WAGCGH,010818.18 Arid No. I Grant County Grant County TS ��fi�Epa WA 98823.,0037 �� [ � � 1� � �� o � � �;�a is �� United States TOTAL MOUNT DUE $17,756,47 Current Charges Monthly Charges, Standard Wer Total Taxes and Foes or Federal USF Fedaml Regulatory Charge Lj Solos Tax WA State E-91 i WA County E-911 WA State 980 Local W111ty Tax FCC Regulatory roe Total Invoice Summary Currant Chays Total Amount Due QTY PRICE EXTENDED 757 $18,50 $14,04,60 04100440 $3.97 $1717U.47 $1171,766-47 Ednetics Customer Portal Epgage the Fidnetiv,,* tenni, track usage data, request support., genarate printer friendly reports, search recoMs and morn — all from tho customer Portal, Contoot yow a=W manager to w9vats your account CU*M0r06rv1ca and bIlling inquirleo 1-888-809,.4609 or re.calvabloo@edgetics.corn Ednatlas Ino, 971 S Clearwolor Loop, Post Pala, Idaho 63864 1 or Invoice Number Account Number Date Due Page ` 9941381286� 871576835=0001'0Past de' -7of 361 Overview of Lines, continued Usage Surcharges Taxes., and and Other Governmental Third -Party Page e Monthly Purchase Equipment Charges.and Surcharges Charges Total Charges by Cost Center Number. Charges Charges Charges Credits and Pecs (IncludesTax) Charges 50u-itu-5um macitson Gonzalez 509-770-9154 Tanner Long 509-771-5530 Bobbie J© Anderson 509-771-5586 Madison Gonzalez MH-MATTAWA 509-431-8565 Jenair Santos MHGC 509-770-5969 Brandy Yearout MOT 509-707-9264 Madsol Gonzalez 509-707-9266 Fernando Galarza 509-770-9056 Fernando Galarza 509-770-9057 Marlsol Gonzalez PREVENTION 509-771-7634 Megan Watson N <PREVENTION -,ARPk-,,,.., 509-431-8913 Prevention Arpa 509-771-4324 Bethany EsGamilla PREVENTION - SOAP LAKE 509-770-0841 Ryan Boldman 194 $49.99 $.63 $1.67 $52.29 196 $49.99 $.63 $1.67 $52.29 198 $49.99 $.63 $1.67 $52.29 199 $39.99 $.02 $.00 $40.01 Subtotal $659.86 $.()0 $.00 $6.38 $16.70 $.00 $682.94 200 $49.99 $.63 $1.67 $52.29 Subtotal $49M $.00 $-00 $.63 $1.67 $.00 $52.29 201 $49.99 03 $1.67 $52.29 Subtotal $49.99 $400 $m $M $1.67 $.00 $52.29 203 $49.99 - $.63 $1.67 $52.29 204 $49.99----1.67 $.63 $, $52.29 206 $39.99 $.02 $.00 $40,01 ,207 $39.99 $.02 $.00 $40.01 Subtotal $179.96 $W $.00 $120 $324 $.00 $184.60 208 $49.99 -- $.63 $1.67 $52.29 Subtotal $49.99 $.00 $-00 $-63 $1.67 $.00 $52.29 210 $39.99 - - S.02 $.00 - $40.01 211 $49.99 -- $.63 $1.67 $52.29 Subtotal $89M $.00 $.00 $.65 $1.67 06 $92.30 ,A F 212 $49.99 - - $.63 $1.67 $52.29 Subtotal $49M too $.00 $.63 $1.67 $.00 $52.29 Voice Plan Messaging Data Voice Messaging Data Usage usage Usage Roaming Roaming Roaming 6 8.039MB 49.486MB 115-857MB 28.829MB 1 3 48.181 MB - 58.477MB 17 19 677.243MB .068GB 14.743MB 296.371 MB 16 163.576M8 a .te a-e�� AckIa*L4-a3 III venzon� PO BOX 489 NEWARK, NJ 07101-0489 KEYLINE 1111111.11111111111111111111111111111111111111111111 COUNTY OF GRANT 840 E PLUM ST MOSES LAKE, WA 98837-1874 Manage Your Account Account Number Date Due b2b v- ir6le8 . erizon S -co 6885 Q0001 DU e 87157"': Change your address at Invoice Number 99 41381 286I http://sso.verizonenterprise.com __1 Quick Bill Summary JuI0,7. — Aug 06 Previous Balance (see back f6t, detalls) $6)857.45 No Payment Received $'00' Balance Forward Due Immediately $6,857.45 Monthly Charges $6;546.70 Usage and Purchase Charges. Voice $.,00 Messaging $.02 Data $'00 International $3.00 Surcharges - --------- and Other Charges & Credits Taxes, Governmental Surcharges & Fees - ----- �$65.46 $170.43 Total Current. Charges Due by August 29, 2023 $6,785.61 Total Amount Due [_-Pay from phone Pay on the Web Questions: -- -- -------------- *611 ft M -#PMT 106• At 02bxeHzdnVVifeIes8.c.'o*fl1 1.800.922-0204 or jm*�' NONNI Is' 0- ------------- --- --------- ------------------------------------ ------------- _--" ----------------- -------- ------------- Tim viwnzo nv Bill Date August 06, 2023 Account Number 871576835-00001 Invoice Number 9941381286 COUNTY OF GRANT 840 E PLUM ST Total Amount Due MOSES LAKE, WA 98837-1874 Make check payable to Verizon Wireless. Please return this remit slip with payment. $113164106. PO BOX 660108 DALLAS, TX 75266-0108 III it 11 1 111 if [fill 1111111111111111111111111 /11111111 99413812860108715768350000100000678561000013643062 verizon✓ Get Minutes Used Invoice Number Account Numbei' Date Due Page 9941381286 871576835-00001 Past Due 2 of 301 Get Data Used Get Balance irDATA +SEND. #BAL- Payments Payments, continued Previous Balance $6s857,45 No Payment Received Total Payments $.00 Balance Forward Due Immediately $607,45 Written notations 'indluded with or 10 qn Yq4r 04YMPOt W1,11 -hot be. rqVlew d or" honored. Mase send correspq 04. nce -to: - I MOW ----------- r1Z my. nu Automatic Payment Enrollment for Account: 871676836-0000j COUNTY OF GRANT - By signing you authoazo Verizon Wireless to electronlcally debit your bank account each month for the Mal balance due on your account. The check you send Will be used to setup matia Paymont. You will be notirled each month of the dale and amount of the debit 10 days in advance of the payment. You agree to receive all Auto Pay related communications electronically. I understand and apt these ternis. This agreement does not alter tho terms of your existing Customer Agreement. I agreo that Verizon Wlrelez�s is not liable for erroneous bill statements or incorrect 40bits to my account. To withdrew yourautharization you must call Verizon Wireless, Check with your bank for any charges. 1. Check this box. 2. Sign name In box below, as shown on the bill and date. 3. Return this slip VAth your payment. Do not send a voided check. .... Vii. F �-- 20234 r ugust 2023 #Em plo r Per em lo, SUD HR SERVICIF ` , . &2 125 65.11 9 MH 8055 71205 92 9055 524-92 ABPA 9000 66.12 WOW SABG CE 9057 661.11 SABG CE 66.11 SABG CE 9042 56.11 M H BG 8053 56.11 CBRA 8078 66.11 TOTAL 3,253.67 'Ilk CU Ydec�r� k� t :s.Grant C^ -inty Hui-inat.i Resources Invoice for Human Resources Services In advance of summer grant deadlines, Human Resources is asked to use headcount reports tv set a cost-sharing amount for each non -general fund budgets utilizing HR services, Department Renew Contact Reyna Gonzales Invoice Date Invoi"ce Amount: Renew Renew (DCL) 08/01/23 $8,263.67 $1,761.08 This invoice will be used for departments to generate vouchers for revenue payment to Human Resources. Processing questions should be directed to the Auditor's Office - Accounting Department, Kirk Eslinger FIR Director Reyna Gonzales From: Tina "GG" Brissey Sent,-, Thursday, September 14, 2023 9:36 AM To: Reyna Gonzales. Subject: August HR Servicing Attachments: 20213 -08 -Renew -R. Gonzales.pdf Hi Reyna, Please see the attached invoice for August. Have a great day @ Thank You, Tina BrIsse!,A Human Resources Admin'fstrative Assistant PO Box 37 Ephrata, WA 98823 (509)754-2011 ext 4993 tgbrissey@grantcountywa.gov I 0 Gr Sohovloml i' AICPA FUNDS FOR SUICIDE PREV NTION Pat- Account Staff -- ---------- Se -+IGrr 1 V 8 w 15 01 0 0. r! 0 0 0 r✓ 6 6.. �.1,00 ---- 5 t O +.rt• r 3 3 tl a�r • .566r51e120 » 00y9000s566Y.wI ,+LYi.:L4JY 47tl2i 108-150,00-9000.566,51,2200 3 6 6.47 � 108.150.00,9000.566.51..2300 1131.5.32v 108.150.,00.9000-156.6.51.2301 11.021/ 1 8.150.00*9000.566.51.2400 15.52/ �y$ � ��t��A Xr ,a ?A�Irl�+`F. • A��4'�,M�ro�ijf� Iii�'�'4? � 4 ��.. aF S. %/�'%TS �'d..7.�{[F:4"�C+'nJ'�.k�C•vi�i':,k`..-.�.M.-� 108,150400.9000.555.51.4400 500.00/ 108-150-00-0000Y555,51.Y3100 47F�7 108.150,00.9000.566.51..3200 53.00 V 108-150-00-9000-566.51.450070.103 70M03 10 41,50.00.9000.5 6.51..4800 63.17/ 108.150-00-9000.566.51.1124 04.55 / 108.1.50-00-90,00,566.51,4152 144.39/ 108.150.00,9000.566.51.4200. 40.01 V. 108.150,00-9000-566.51.4202 52.37`' °E t Y Total P y'roll Benefits 7,p241,,90 Admin % Payroll & Benefii 579*35 -ME M-14 x2/27/202316 -'l 81 33.50 12/27/2023 1�1 �. *100 - 10, reneuu SUICIDE PREVENTION- ARPA Sep-23 ng 0 P LED TOTAL EXPENSES vo 108.4.50.00.9000.566,51.1100 SALARY- Bethany Escamilla-Sep 51055.33u 23 108 ' 150. 00. 9000.566.51.1202 OVERTIME 108, .150.00.90.00.566.51.2100 Retirement $ .478.24v/ 108.150.00,9000,566,51.2200 SSI $ 366.47/ 108-150-00-9000.566.51.2300 Medical $ -1,315.32 e 108.150.00-9000.566.51.2301 FMLA, 11.02 1OS. 150.00.9000.5,66.51.2400 L&I $ 15.52&�/ 00 Total5ala ,6enef 'W 12/271202316.16 12/27/202316:16 9000 EMP# !"ME s Salary IBEIU"ORAL IIIEALTH JOURNAL ENTRIES 9/30/2023 A. NTY DEBIT CRIEDIT 1 O at 50.0009,0 0.5 .51.1100 $5%055.33 108-150.00-9000.566.51.1202 $0.001 100.150.00.9000.560.51.2100 $473.24 108.150.00.9000.506.51.2200.�47 1 Obs 1 Of00.9000t F ,5 .2300 s .._- s= 1 ;w L,, 108.150-00.9000.566.51,2301 "109.'150,0:0.9000,560.5'1.2400 Cts' $5yO55.33 108.150.00.0000.554.44..120 'f i 4'd4A..a'O oi 3■(��H1GtY1� 1 '4I��yy ��F'��`�M/ '� = aS >�� s.V o 'ARP.x.�..n F s�M- $0.00 $0,00 $47jj�'�,y�j s 24 c r-' { P . R so - - $366.47 I Aft N., 6,16 W�- 1"M • 2 2'. 7" - WO an R. jM .ta .-r..,. r.. .._.vif .,.7 .. ... ?iR- .ani+: • .+Ql$,+.1. +y ._ $11315.321 $11.02 i I Lat b $15.52 $712,- .24:■ "241fit, 7 $0.00 FRG 9/3012023 Posted By Posting Month Entered All Lis. L i REQUEST DATE: REQUESTOR NAME: JE DATE: BATCH NAME: DESCRIPTION: TOTALS DEBIT CREDIT 70241.90 71.241.90 ACCT DESCRIPTION (will auto -fill) -1-9 " .11 AS of ACCOUNT (###.###.##.####.#ffffffffffffffIt DEBIT CREDIT REGULAR SALARIES & WAGES 640011 RETIREMENT d--,,0.000--.`564'0 0*2100 47& SOCIAL SECURITY -;'0000:`5 64002z 0.0, 366. 47 0- MEDICAL & LIFE INSURANCE 2Q$. p*�y((jj}} //��// ;;jj''y�!! '564002*3 0 FMLA STATEWIDE INSURANCE INDUSTRIAL INSURANCE 0 -108.,.-1 =00.5 '64002-4 08 060"5: 055,33 ", M H ... ARPA.RETIREMENT �.-1080;150-.-'O.O,'-9000.56 -2 78 4"65: MH. ..ARPA.SOCIAL SECURITY -;,,�`� 108. 0*4fdo.11§000'.566 12200 MEDICAL& LIFE INSURANCE 09 5665-1-2300 M H . A .RPA.STATEWIDE FMLA INSURANCE 0- 004566512fkI ��i� i .. .., MH....ARPA.I.ND USTRIAL INSURANCE :10& 0..- " R \ye te 'renew c"Gc5t Leave . Printery Name: Bethany Eaea cilia Slips FAIL, Pay Period: September 3, 2023' Employee ID � 5630 �''� , I . . - 4 - j4. P Sta Signature:11 � Super�risor initials for torn-5tar��rri �tJc�rkweek Supervisor Signatures: Pa Perird; D13/2023(Tr. n, 1.d. d. y yyy) Pay Date COMMUNITY COALITION Sep 03 ise 05 SOP Sep 07' Sep 0 Sep 0� Sep 1 Sep 11 Sep.1 Sep "� Sep 4` Sep 15 Sep 6 SPECIALIST Sun ,`,O'hep J,, INI�n',:'` Tue Wed Tutu Fri -... Sat Sun Mon Tue Wed Thu Fri Sat TOTAL. E EW ++.+r.rw....i.e.wn...r+e4wr..rrr' .- a�y iYl, .: : Mir y) ... .. apniypi }y sryr/y{ . ,: . .._ .. .: .. r67� + M rM V :.... -...:. •.. .,. :.. .. 7r V V: OTHER HOURS WORKED ,JURY DUTY MGM Total Worked Hm 8= 0400 &00 100 -8350 9.00 0100 1.00 ANNUAL SICK Z,00: 5_ HOLIDAY 8.00 8.00 OTHER (BEREAVMENT LEAVE.....) - FLEX/COMP TAKEN - LWOP TOTAL HOURS - $.pit 1 8500 1 8.00 8.00 8.00 a 8,-001 5.50 8.501 9.00 9.00 _ - f�01,00 Total Workodm- 15.00 40.0 40M 26.50 .LV taken N11 25,00 GP ENTERED LIzAiw PAYROLL SPRFADSHEET ,rr� L OP 13.50 40,00 rInte Name: Bethany Escamilla Slips WL. Pay Porti: September 4 7, 20.E Employee ID .- _ 3 , v , Staff Signature� '`'_ ��, � ,� � ur�� : � � lrkit x� r r�r�- l �r;ci�r� Workweek i I 1" :. Pay e�r ncf: 9'11 x.20: �. It13tt1 pay Date."M!2. 23 r 2 : So - , y., ' I� t to r w .... Fri .ep at TOTAL m i'&.3.v¢'d��ti.'�t� � , � € �'• i �1• t � �...� � �. _ s,y - .. too u 76.00 T�1t.VN 'C DUTY Am. 4.D0 4.00 ;% r e • , _. t 9X0 3.00 80.€ 0 Total It„lforkek- 1•frs 26.50 40..00 >,' 40.00 36.00 LV taken 13: "FOR PAYROLL PURPOSE-ONLY***** A.0 I pay/ 40;00 GP ENTERED bervne MOP ' a PAYROLL PREAD'SHEET '"Leave .Printed Name: Bethany Escamilla Shris, ( 1L., .Pay, Period: August 20, 2023` , Employee ID-#- � - 5630 StaffSignature lSuperosor Initials for Non -Standard Workweek Supervisor Signa urs. ice- -- Past Period: 8/20/2023 (mm. f,dd1yyyy) Pay Datm won COMMUNITY COALITION Aug 20 Aug1 Aug22 Aug3 Lug 25 Aug6 Aug 27 AugAug29 Aug 30 Aug 31 Sep 01 Sep 0 SPECIALIST Sun Mon Tui Wed Thu Fri Sat Sun Mon Tue- Wed Thu 1=r Sat TOTAL lap M. Y OTHER HOURS WORKED JURY DUTY Total Worked Hrs _ � � SAW 8.00 � IZOD 1 4,50, 6,50 8.60 8,50: 4.00 ANNUAL 16.00 SICK HOLIDAY _ OTHER (BEREAVMENT LEAVE_-) I=LEXICOMP TAKEN LWOP TOTAL HOURS 9.00 8.00 ,3 4b t . a i 3. C$C.�0 i Total Worked Hrs 34.00 40M 40.00 a LV taken 6,00 FOR PAYROLL PURPOSE ONLY***** .��' �443-eO lvn ne annln lckne s t h +� n m 1payt civil a 40.€ 0 GF ENTERED ervne �` MOP i LEAVE80.00 ., 0.00 0.00 0.00 0.00 PAYROLL SPREADSHEET vA' -7- A SERVICE ORDER (Digital) CLIENT INFORMATION New: X Advertiser: Mmmow grant .Count Integrated Services) Address.- 840 E Plum St Revision Aqencv,, ------ Phone: 509.765,92.'4ci Fax Ci:.Moses Lake Extension: State: WA Zio: 98837 Affidavit: Email: bmescamiIla @1_qrantcountywa.aov Contact,' Bethany Escamilla Sales Rep, Shawn G. - - — --------- - - tie. Ue b 10. bject -to r es 0 Ue7t;P0 a ance su tdreA�t C a — nnuall 9 f r�onth (a t tet YOU-MOURCEONEXOM - ADS Cost per month TOTAL... PREMIER LEADER – Desktop 1140 x 220 & $1000 Mobile 728x14Q HORIZONTAL AD - 728 p x 90 p $350 DOUBLE – 300 p x 250 p $350 DOUBLE on *F I IBER ONE en Espanhol - 300x250 $300 FACEBOOK ONLY $350 FACEBOOK + INSTAGRAM 77- 7777777777,: $500 1, (4 500 postslj CONTRACT TOTAL, 11 oll",, owl DIRECT AD TO.- Bethany Escamilla QNLINE COMPLETED ADS submitted will be published within one business day, Acceptable file types are- jpgj png,.tiff,.gif, or.pdf FOR.CREATION OF ADS: Materials needed: image(s)., graphics/logos, names* addresses, phone numbers, tag line, etc. The minimum time to create an ad is 3 business days. A $1 So fee will be added to the total cost o "the order for iFIBERONE to . create the ad, the NOTES: START END 9/6/23 9/30/23 CONTRACT TOTAL: $500 CREATIVE FEE: L % MAILY- PAY.,,/*-C7- ToT.a i'AvmEN MNT IMENT�0:�_" N/A','' -,INIV,.00'-'EDEUVERY w CIRCLE -.0NEV M/UL EMA0Lx • $0URCE.0NO'NIft Stator' ent Any copyrightable works, ead, dfocMdes, Itiventlo a, patents, produats, or.othbr ImMmatlan (00110*0(y the-Vork Produor, 1h Pgft byiSOUR09 ON8.16 CORA901on with the ' j dev6ped In wholelor 8-efVIM md1l bO the 0X0Iu91ve:PrQP0rfY 01SOURCE ONE All Ad Materlala g1ro suble 10086 AGE at, U ,0NE1q,appraVtk1V'$0L)R0E ONS reserves tha-right, Ot qfl,'� time and for dnWh.tcheddon In fteldlecretion, to mjeot,'canuel or ossee pUW(6aflon of any Ad Materiali, .0000006GNP00n, Or PDSHM COMnift0nt, Without any hablRyf01 480 10he lenminabon ofAbla convactI. 0110 * nt will he InvoWd fbr rend ered,.Until j�o dga of tatmInation . The pErtl e 6 . 3 to Wis adverOng agrourpedt,affitm ;that Rdhlho I m1his agreement, ov b0nefits and oblig' any of the actions, aflons4rolatIng-to it, discrIm!hate In MY WAY 0AItha,basis of racb-or 11thnIcIty. A AlLv! dv e a de'v'elopment, 1HURO'NE, LK B01irtgo, Shawn-Gogglng Sbal.mn. 6 Ins IF YOU FfA. VE ANY QUOSTIONS REGA. RbIN(i VOUR BILL,, PL SE CALL YOUR ACCOUNT REPUSENTATIVE FIRST d YOURACC OUNT AEPR99RNA TIVE IS: SHAWN GGGG ENS,, 509-2311,2134 MAILING AnDPISSo 80urce ONE, LLC 908, Redmond Avenue NE; QU[hcy, Washington 988.48 9 Revna Gonzales From: Bethany M. Escamilla Sent: Wednesday, -September 6, 2023 8:47 AM To: Accounts Payable GRIS' cc: Reyna Gonzales; Dayana Ruiz Subject: ARPA Purchase Attachments: ARPA SourceOne 9.,5.23.pdf Good Morning,. I've included one purchase requisition for your review. Thanks! (a Bethany Escamilla, BS 0 wig Suicide Prevention Coordinator I * Phone 509.771.4324 Oft%k is t a 840 E Plum St I Moses Lake, WA UJ Gr*r& Sehav;wof 14"Ith.6 Wellnem 1 Tel: 50-9.237.2134 Email: agoggjas@.y0vr80ur(te0jjc.G0,. Fax-, Web: 'CeOneLCOM SOURCE ONE LLC 908 Redmond Ave, Qtlfilcy', WA 98848 Dare TO Uptember 5x 2023 R=Nv 840 Plugi St -Moses Lnlie, VIA 98837 Ins trud' q0co�c ff ffi �¢f j -4 17-lacebook Ads . $3.50 4 ift9t9grim ads $150 SubtoWAuulu$500 Total Due By [Date] $500 Th.chk V.ou for your busine-$51 Tel: 50-9.237.2134 Email: agoggjas@.y0vr80ur(te0jjc.G0,. Fax-, Web: 'CeOneLCOM Ain.crican Rescue Plan (Cares Act — ARPA) —01 Todayos Date, Vendor: Deta,ile escription.- 11 `Charge to A.1,9' Mouth: 11 J-LIIY 2025 11 JaaUaly 2024 n August 2023 0 February 20 0 4 �Septeimber -2o28 0 March 2024 0 October 20:23 11 April 2024 0 No ember P -o23 0 May 2024 0 December 2023 0 June 2024 Deliverables: Cl Task -force Coalition (supplies) �i Outreach /Maiketing- /Advertising E3 Emi ronniental . Strategies E31 Capacity Building (workshops & educatioifj 0 Staff Travel / Professional Development Received SLIPerVisor Approval Scanned supporting doCLIIII.entS Fileinto Hider El Iterti(s) received Receipt Date: t s A e7 I Form of Payment VISA 0 Invoice (paid) `%` hivolice (needs paid) .4 kil&j 11 Other: ow 0 Food ChargeAccount; ARP A(g000) 11 Other: Requested by: DateV �'. Supervisor Signatur<e:., .11 ........ .... .. Date, Prevention Requisition Form Revised 08.2023 moo, renew American Rescue Plan (Cares Act — AR -PA) 44, ReeeiptDate : 0 Received Supervisor Approval 0 Scanned SLIJI.portflig docume ts n 0 File into binder 0 f tem(s) received Toda 's Date: Y Vendoz' DetailedDe$pri 'Charge to meq' Hunt.: 0 July 2023 0 Jmuaiy2O24 0 AU St 202R 11 Februaly 2024 II'8JV,.,.ijib J!. , 23 EJ MarCh 2024 0 October 20.93 11 April 2024 C1 November 2023 11 May 2094 0 December 9,023 Cl June 202.4 DeliverablesO 0 Tas'kforce Coalition (supplies) 11 Outreach / Mark-efing / Advertising Environmental Strategies 13 Capacity Building (workshops & education) 0 Staff Travel / Professional Development 0 Food Cha* rge Account-. o El Other: Requested by: 1U 41 A.11 Date, ';A Supervisor Signator c.-_71�\C),,,-,�� Date. - Prevention Requisition Form Revised 08.20231 renew*"** N.*U * o:Az,..%, LOWS HONE CENTERS, LLC 1400 E, YONEZ30A BLUR. MOSES LPKE� WA 9807 (509) 764-2600 SALEM PSTLAN03 01960 TRA44; 276548881 09-06-2 335778 HH H �RACKFT $0H HOLDER 22-80 10 @ 212a SuMfAL: 22-80 TOTAL TAX: 1.92 INVKCE 76092 TflTh; 24,72 EISA: 24,72 VISA: XXXXXXXXXXXX4099 A00T-T& 24,72 AUT -01; 006092 CRIP 09/06123 124014#138 C8ST00 COK49 HA r0 ; 0000008800 TT 11 6600 910 : A0000000031010 0RE: 2956 THNINAL: 20 09/06/23 121114:55 # 34 1 o OF I:Tr-.t4$ PURGHASE-,�D IN EXC0DE$ FEES, SERVICES AND SPECIAL ORDFR ITEMS �NIII��IlOilllli(�ll111119l1INllNllll. II al�ll��l��ll�l�ll�� THANK YOU FOR SHOPPINO LOWE1. FOR DETAILS ON OUR RETURN POLTCY, VISIT A WITTE1 COPY OF THE RETURN PKICY IS AVALAKE AT OUR CUSTOMER $EBUICE WX LOWE'S PRICE PRMTSIE FOR MORE OUAILS, VISIf SHRE YOUR FfED9JArtK1 EWER FOR 0 1,041ANCE, TO OF ONE OF FM $500 VINNERS DRAH KONTHLY1 iENTRE EN VL HRKO KOK P40 9ER UND or � cs CINCO QRNA400 PE $500 ! EMU BY CORPIBINQ � KRT SURVEY �ITHIH ONE 00 AT: wwwp, lolls$ - 001/survv No pmiim Hasmy ro um nR m. U010 WHERE PRBIBITED. MUST OF. 18 OR OLDER TO ENTER OFFICIA1. RULES & WINNERS nT: vow, I owes. um/surny aa), " - : �:!GRANT COUNTY PUBLIC WORKS 1 V-4 124 ENTERPRISE STREET 89 At WA 90823 '' j ,: r ..' �V�t -509� 754-6082 Behavior Health RENEW ATTN: S00tt Dertling 840 E* PLUM sT MOS4S LAKE, VA 98837 UUNE VEH ASSIGN Customer 140. 510-130223 Total Due: $2,001012 page 4 1of 1 Total-, $2,001,72 On Receipt IMPM11- 13.9havior Health - RENEW GRANT COUNTY PUBLIC MAKS 124 ENTERPRISE STRr--ET SE EPHRATA, WAS 98823 (509) 754-6082 1 'o. Amount of Remittahae Behavior Health - REM W ATT N: Scott Derting 840 4, PLUM ST MOSES LAKE WA 98837 JULY VEH ASSIGN GRANT COUNTY PUBLIC WORKS 124 ENTERPRISE STREET SE EPHRATA, WA 98823 (509) 754-6082 RECEIVED AUG 28 16^ 13 Customer x:510-130223 M2.7 Total Due., 1 901 .31 C-, p � age # 1 of 1 q.0 0y' On Receipt Behavior Health - RENEW GRMT COUNTY P UBLIC WORKS 124 ENTERPR(SE STREET SE EPHRATA, WA 98823 (509) 754-0082 Amount of Rez:Lttance, RENEW $40 X. PLux sT MOSES LAKE, VA 98823 GRU T COUNTY PUBLIC worms 124 EWTERPRISE STREET SE EPHRATA, VVIA 98823 (509) 754-6082 115H. R E Pe�f �vj� AUil 6 JULY FUEL RENEW/DEV DSM -ElffAL HEALTH Customer NO: 510-130323 R Total Due: $2r725,46 Page # 1 of I JULY FUEL RENETI rev. 1(14:6.39 1,r146.39 JULY FUEL DEVBLOP DISABILITIES 447,41 447.41 ,JULY FUEL MENTAL HEALTHCARE 111,31.66 s. M 4 f 2m 419-1 J Pt "Af q. q 13 S�e_w;� :3 7 aV �)o � }j/�f # N'1ii�' to J/j -.1 6 5fy' q}".�j, ,if))�f�fi, Yi•.�,�y�F, �,y'�) ..b b5l, C(j 4, 711 6 7 ti x2a�' YQ' 1 ZJ .16 7. 00, OW'?" �,t" 0 8 or 78 To 1725.46 ftl.��Yr '5 ti q 11.0-9al 0 tal- On Receipt RENEW GRANT COUNTY PUBLIC WORKS 124 ENTERPRISE STREET SE EPHRATA, WA 98823 (509) 754-6082 Amount of Remittance F , o e t. 2023 ## mplo Per empluSUD R SERVICES 1 1` 64.56 MH SUS 8055 9055 581.04 ARP I -S C V w V D C [ i d G O9 .5 6 5UPTPS- ML 9097 64.5 SUPTRS- Q - 9096 64.56 . SUPTRS- SL 9099 64.56MHBG . 53 64-56 CBR 8078 64:5€ ;V7q Z, z/ -.!I� 9, ZN TOTAL U63.67 ia Gonzales weft�� From: Sent: To: SuWject: Attachments: HI Reyna, Here you go I Have a great day! -rh I I an You, Tina 13 rl0 ssel Human Re.5ources AdministrativeAss* ant 1.5t L PO Box 37 Ephrata., ANA 98823 (SO9)754--2,011 ext 4993 tgbdsseyC&grantcou.rntywa.gov Tina '_GG-" BrIssey Wednesday, October 11 r 2023 11.46 AM Reyna Gonzaies HR ServicIng September 2023-09-Renew-F;L Goruales.pdf 1 System: 12127/2023 3:56:07 PM DETAILED TRIAL ALA CE FOR 2023 Page: I User Date: 12127/2023 User ID: rgonzales County of Grant General Ledger Ranges: From: Date: 8/1/2023 Account: 108.150.00.9000.566511124 TO: 12/2612023 Subtotal BY: No Subtotals 108.150-00.9000.566511124 Sorted BY.* Fund Include: Posting, Unit Account: '108.'150.00.9000.5855'11124 Description: MH. .,.ARPA.HR WAGE ALLOC, Beginning Balance.- $68.30 Trx Date Jml No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name, Debit Credit 9/26/2023 929,524 PMTR3t00027770 ARPA HR Services ,'�E� .72023*RENEW-1., GRANT CO HUMAN. RES $66.11 10/3112023 934,568 PMTRX00027947 ARPA HR Services t` t kj�N -E GJk_ W C j',WN'R -'S, 1215/2023 939,550 PMTRX00028105 ARPA HR OCT 2023 GRANT CO HUMAN RES $64.56 12/1912023 941,672 PMTRX00028161 ARPA HR Services RENEW NOV 2023` GRANT CO HUMAN RES $64.56 Net Change Ending Balance Account: 108.150.00.9000.566511124 Totals: $259.79 $328.09 $259.79 $0.00 Accounts Beginning Balance NetchanSe Endins Balance Debit Gredit Grand Totals.- 1 $68.30 $259.79 $328.09 $259.79 $0.00 Admom . Ll ......=t,::.;idna em ''.General H'e', I dd'Vz4z�d, F%dna eme'j a . . . . . . . $10,955.34 R16fi ji strl $ 550.48 603.27 4,423.09 $ 4#638.69 TOM INVOICE $ 4,638,69 23,020,00 TOTAL PER EMPLOYEE 120.93 23.46 4152 4200 Wee 8053 24LS6 4;.';2/ Prevention- SUPTRs ML 9097 120.93 28-46/ SABQ QUINCY .9m J 24.93 23,46/ 0"IAKE-SUP rRs gogg 20"_ v 'AN ra PA J.. ft-- 2 3 Z -PBRA-8023,46 78 120,93/ 3,,46 TOTALGRANTS 96T44187.68 187.68 199 GRANTS 967.44 187,63 TOTAI, RENEW 18,635.20 TOWNLAMOUNT $23,020.00 1 60 9 �4VJ (90 9C59.- oe, 1, Ll * Z1. vv it Y ,ti /Jt `,, a � �i;7(�. �...F r� i�••.`�11i 3•�- ('i'�Al� f,} � �, � . •� _ I _ "j l~ ,Iron raz .!_ i�..YB:'�� •a�t,� s rt, 'Y,!�1'#,';1�� 6 ... t +tIt4". L! �% �~ '4:`tJ 4�:. '+/•. N a;i 1•' : s� ,,yn3. 4-- 1 • . M (.ar s� f.f'rry��s`trd'i�ih.ir�'S+;Ys�sti'��`Te+�S+x ��etii�trs�;i1 .'� �•.tt`:` ��:;.��sT:►, � �.. �i � +_i'.•.r„c..�r•3t{•�•'.4C?'7lrl�ii'4::�1s��l��ie'+•r{r .l a'4�i.•-_�'rr?,�•,� �.,Y,...r-..':!r';��! yµµy' S\.e:Is r sY LL�� j •� .5. arr,r'.n,sr..^,�rLa .I I '� ;lyrNlt' a 51 '#i.y I, .•. 1, .7 /I Ih t •Z/1�-n.�jl•T,r'11••fh�>`z�YkY'r. iwvx,c-F +P��x�� ► II - � ., ,_ , `fir. .. � ..�. � �• ` fl f �ff•.1l (%��. I r '� �!_t•�_.C•i . i �1_ .I � � •��1"f~i3��• � ' �ra� a.?. •tip}.;{�• j '�?I'k� j Ir��rt:.lti��r1��AI �I 1 1 Sep 4152 4200 DDMonthlyMonthlyVOID r}a:l !'� /•�� [••'''-:r •'z.5 ! t! i• J I�YFf M• e'wo :Se�e�uri eri`s Jo�i�lar.ti •e a "M --i'MARNEW sm—, S5gr48 Total 17,778.04. 152 AM010ht por Users 115,95 23 2,690+10 k/-arJ:��r�3r i.�Z- ��+llty�•� Qr��' �i'. Y �•�}1� +�r,� + � �1��1ry,Y •i�Sr;7,4tQ1gQ2��t��415�,$.q VS• -M+' TOTAI, OOR C CL INWDES Volp •1 , . I ,{ • .� m ow • h1,.i 4` ' .5•,.i; � tir. �••• .1 • h� •I•V+�YN /yam( - �!y1 rj�r �II�IIIL„•.iii Total BIS .11648,37. P. f69 m. .- - -, -- e .!sus 500,76 1 q ve, rizonil Invoice Number Account Number Date Due Page 9943780625 8357 00001'.. ftst'Due 7-of'299 87�1 576 Overview of Lines, continued Usage Surcharges Taxess and and Other Governmental Third -Party Voice Page LlIonthly Purchase Equipment Charges and Surcharges Charges Total Plan Mess -aging Data voice Messaging Data Charges by Cost Center Number Charges Charges Charges Credfts and Fees- Cincludes Tax) Charges Usage Jjsaftn 509 771 5530 D kk;I U.� Usage Roam]ing Roaming Roaming - - U ,% Anderson 2U4 $'+U.uu 9.70 $1.68 $52.37 509-771-5586 Madison Gonzalez 205 -$6.45 $.00 $.00 - -$6.45 Subtotal $566.98 $.00 $.00 $7.04 $16.80 $.00 $590.82 MH-MATTAWA _45_br y qu; C1 509-431-8565 Jenair Santos 206 $49.99 -- $.70 $1.68 $52.37 Subtotal $49.99 U0 $.00 $.70 $1.68 $52.371 MHGG U, 1:509-770-5969 Brandy Yearout 207 $49.99 - &70 $1.68 $52.37 Subtotal $49.99 $.00 U0 $.70 $1.68 $.00 $52.37J MOT 509-707-9264 Marisol Gonzalez 209 $49.99 $30 $1.68 $52.37 2- 509-707-9266 Fernando Galarza 211 $49.99 $30 $1.68 $52.37 4 509-770-9056 Fernando Galarza 213 $39.99 $.02 $.00 $40.01 -- 509-770-9057 Marlsol Gonzalez 214 $39.99 $,02 $.00 $40irO3 of Subtotal $179M $.00 $.00 $1A4 $3.36 00 $184.76 PREVENTION Z.,' 509-7711-71yK.Meg'an Watson 215 $49.99 ,;-:1 - $.70 $1.68 -$ 52.37 --_ -e- Subtotal $49.99 $.00 $.00 $.70 $1.68 $.00 $52.37,/ PREVENTION T.ARPA 509-431-8913 Prevention Arpa 216 $ . 39.99 $.00 $40.01*01 .509-771 �432-Ar Be-thany-,�aMilla 2 $49.99 $.70 `�• 71.68 00j $52.37 Subtotal $89M $.09 $.72 $1.68 $.00 $9228 PREVENTION -SOAP LAKE 9 6 Cj- 509-770-0841 Ryan Boldman.--,,-.,,,.,"--,. 218 $49.99 $10 $1.68 $52.37 4 Subtotal $49.99 $.00 $.00 $.70 $1.68 $.00 $5227-/ PREVENTION QUINCY 9er,561. :55 509-431-7844 Quincy Prevention 220 $39.99 -- $.02. .$.00 - $40.01 Subtotal $39.99 $.0© $.00 $.02 $.00 $.00 $40.01 J 137.339MB 2 98.061 MB 119.110MB 416.580MB 30 405.685MB .028GB - 409.138MB 15 87.392MB venzonA/ BOX 4s9Manage NEWARK, NJ 07101--0489 FPoOur ccount Account Number Date Due @ �e fill r� Change your address at http://sso.verizollenterprlse.com Invoice Number 9943780025 Quick Bill Summary Aug 07 — Sed DO KEYLINE Ill. fill 11111E1111111Ill I[Ill til 111111,11Ill 111111111 COUNTY OF GRANT Previous Balance see back for details)13,843.U8 840 E PLUM ST MOSES LAKE, WA 98887--18 4 No Payment Received ,00 Balance Forward Due Immediately $1384.00 Monthly Charges $6x150,66 Usage and Purchase charges Voice '0q Messaging x.00 Data x,00 Surcharges and Other Charges & Credits Taxes Governmental Surc barges & Fees $71144 Total Current Charges Due by September 28, 2923 $63393.11 Total Amount Due $20103617 .1111.1 L.0 4A 16%j OV PL 111LIU1. V01 /-U/-%j Account Number 871576835--00091 Invoice Numb-or9943780625COUNTY OF GP�ANT 840 E PLUM ST Due MOSES LAKE WA 98837-1874 Total Amount 7 MakO check payable. to Verizon wireless, Please return this remit slip with payment,$20,036m 17 PO BOX 080108 DALLAS, TX 7206-0108 1111111111 Ill Ill 11111111111111 lrrl llYtl �rt111t t! 99437806250108715768350000100000639311000020036172 \f�i"IZOiI`� Oet Minutes Use'd I InVOICO NuMber Account Numbel' Date Due Page -904*0626 811576835-40001 p4' St Duo 2 N 299 Got Data Used Go--tBalanca MR1 Payments Payments, continued Previous Balance$13364106 NO NYWHI Rooelved Total Payments $.00 Balance Forward Due Immediately $13�64106 nOtte ravj.Wed Or-hopored,T)o6to Ofi'd cdrWPOOME) to, Written WOW • A UP Ii. A 14 Yi Ap.k�- - P Lf I - 0 � q -L Automatic Payment 8n rollment for Account: 8711676836-000ol COUNTY OP GRANT By signing below, you authorizeVerizen Wireless to electronically debit your bank account each month to r- the total balance setup Automatto Payment, You Wil be notified each month of the date and a We due on your aoGaunt, Th check you send W111 be used t6 mount of the debit 10 days In advanae of the payment. Y011 agree5to receive all Auto Pa y related communications eleotronlcal�. I understand and accept these terms. This agreemeot does not aftertha terms of your existing Customer Agreement, I agree that Ver Hable forerroneaus billstatements or jiloorreot dobito to my 0000unt. To withd-paw your �Aunj 0117aVon you M10 0 Uan w1reless Is not 1. Check this box. all VOZOn W]WO99, Ch6ok with your bank for any charges, 2. Sign tame in box below, as shown on the bill and date. S. Return this slip with your payment. Do not send a Voided check. �� s