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Grant Related - BOCC (003)
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: Karl'12 Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE: 1/10/2024 PHONE:ext. 2937 E-1 �%moi%/�������0�/���y����/ Reimbursement request from New Hope on the Department of Commerce Federal Interagency Agreement, Emergency Housing Fund (EHF) Grant No. 24-4619D-106 in the amount of $3,831.90 for November expenses. DATE OF ACTION: APPROVE: DENIED ABSTAIN D2: �-- D3: DEFERRED OR CONTINUED TO: ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ABPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders © Grants — Fed/State/County []Leases ❑ MOA / MOU ❑Minutes ❑Ordinances ❑Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB E-1 �%moi%/�������0�/���y����/ Reimbursement request from New Hope on the Department of Commerce Federal Interagency Agreement, Emergency Housing Fund (EHF) Grant No. 24-4619D-106 in the amount of $3,831.90 for November expenses. DATE OF ACTION: APPROVE: DENIED ABSTAIN D2: �-- D3: DEFERRED OR CONTINUED TO: a - 0 a ITURIMMA, ISM'W"i Lead Grantee Name: Report Week or Month. -Year:. Organization Nam(: New Hope List Sub Grantee Names Below November 1-30, 2023 NH Shelter RRH Hotel Vouchers Totals Admin $1,844.95 $815.11 $2,660.06 Operations $402.58 $402.58 Facility Support 00 $0.!� Rent $769.26 $769.26 Totals $2,247.53, $815.11,-' $769.26 '' $0.00 $0.00 $0.00 $0.00 Invoice Total: $3,831.90 Note: Please enter the numbers that correspond to the budget category being charged for each organization. For example: "X Org" has billed Lead Grantee "Y County" for X org's admin costs. However, Y county is invoicing Commerce for those costs under "operations" Then the amount listed under X Org would be entirely in the "Operations" row. If Y county also had a youth provider as a sub grantee who was charging Rent Assistance costs to Y county, and those costs were being invoiced to Commerce under the "Rent Assistance" category, then that would be in that row under that organization. Signature EHF Voucher Detail Invoice Documentation: Salaries Staff Name Suzi Fode Elsa Borrego Tara Dieng Alyce Barrientoz Tara Dieng Overtime Code 565501100 565501100 565501100 565501100 565501202 Amount charged to Salaries Calculation the grant 10273.73 4299.67 5073.82 4940.51 380.56 2% Total Invoice Documentation: Benefits Suzi Fode 565502*** 2737.69 Elsa Borrego 565502*** 1821.39 Tara Dieng 565502*** 2063.63 Alyce Barrientoz 565502*** 2986.3 Shelter/adminw Total Vendor: Description Mario Padilla 591657001 Office Lease PB Janitorial 565504107 Janitorial US Linen 565504107 Janitorial Amazon (Visa) 565504107 Janitorial Supplies Quality Inn 565504502 Emer.Shelter 2% $ 205.47 Admin/RRH ' 24% $ 11031.92 Shelter/adminwr 5% $ 253.69 Shelter/adminw 7% $ 345.84 Admin/RRH ✓ 5% $ 19.03 Shelter/adminvo $ 1,855.95 2% 54.75 Admin/RRH """ 24% 437.13 Shelter/admin v'' 5% 103.18 Shelter/admin oe 7% 209.04 Admin/RRH " $ 804.11 $ 350.39 Shelter Opera" $ 43.08 Shelter Opera` $ 8.16 Shelter Opera' $ 0.95 Shelter Opera $ 769.26 Rent/Hotel Vourchers ve' Total $ 1,171.84 1146 LWG 3 7 1 231 102 flip W h irusta Bank FOAC in PAGE I OF 2 1 0 4833 0030 CX48 Cardbolder Name and Account Number NEWHOPE AMAZON GRANT COUNTY AUDITOR XXXX-XXXX-XXXX-9663 4 UAft Due back to "cam 1.13, by 12pm 01AC1 146 IfISA Page 1 of 2 Account Information ...... -Account Summary-, Transaction-S Statement Closing Date 11/02/2023 Previous Balan.ce $0.00 Credit Limit $10,000.00 Payments and Credits $0.00 Available Credit $10,000.00 Finance Charge(net) $0.00' Cash Credit Limit $0.00 + Purchases $0.00 Available Cash $0.00 + Cash Advances $0.00 1 13 -14 j5 16 jj 10/05 + Other Char es M n AMAZON.COM*T96U110CI SEATTLE WA $878.01 New talance so -06 24692168P32R8645N AMZN Mktp US*TE98L81C2 Amzn.conVbillWA Pqnent Information 10/09 Payment Due Date: 11127/2023 24692168834KITRP9 Minimum Payment Due, $0.00 New Balance: $0.00 ----------- Transaction-S Post Date Trans Date Reference Descrietion Amount 10103 10/02 24431068K2DK6VC12B AMA7-ON-COM*T931 E6GI0 SEATTLE WA $20.92 10103 10/92 24692168K2ZEYZEGP AMZN Mktp US*T160D8101 Amzn.corfVbill WA $492.24 10/05 10/04 24692168M319SBZKH AMZN Mktp US*TE36T2N22 Amzn.com1biIIWA 1 13 -14 j5 16 jj 10/05 10/05 24431068N2DK2HTTE AMAZON.COM*T96U110CI SEATTLE WA $878.01 10/08 10/06 24692168P32R8645N AMZN Mktp US*TE98L81C2 Amzn.conVbillWA $57.60. 10/09 10/09 24692168834KITRP9 AMZN Mktp US*TE6YE8M80 Amzn.corrVbillWA $4324,, 10/10 10/09 24692168534WH9QDF AMZN Mktp US**TE7V956Z2 Amzn.com/billWA $214.92 10/10 10/09 24692168S34WKE7JW AMZN Mktp US*T91 5K3YW1 Amzn.cortVbillWA $89.07 10/11 10/11 24692168W35YGPINH AMZN Mktp US*TE69Q9T91 Amzn.com/bil[WA $22.74,--," 10/12 10/11 24692168W2XBGPEPI AMZN Mktp US*TP7L60FK0 Arnzn..com/biIWA 10/12 10/11 24692168W368Q403G Amazon.com*TE3AM9R40 Amzn.conVbi[IWA $32.81 10/16 10/15 24692.16903OA8NN47 AMZN Mktp US*TPOT76SDO Amzn.com/bilIWA 10/16 10/15 246921690303M7848 AMZN Mktp US*TP6XN5620 Amzn.com/bilIWA=� $806-40-g.- 10/16 10/16 24692,169030949140 Amazon.com*TP1987401 Amzn.corrVbilMIA $58.38---- 10/18 10/17 24692169231 PVBXZN AMZN Mktp US*TD6WA94U0 Amzn.conVbil[WA $138.74 10/19 10118 2469.2169332DK5HF-7 AMZN Mktp US*TP8S505CI Amzn.conVbIIIWA $21.45 10/23 10/22 24692169735DDD8TW AMZN Mktp U$*1 K95W35G3 Amzn.conVbill NAS $142,51 Remit Payment. to-. WASHINGTON T-Rus'r BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2.127 SPOKANE, WA 99210-2127 Please include your account number on your check. New address, phone number or e-mail? Check the box to the lett and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 �1" Inquiries To: .j P.O. BOX 2127 SPOKANE, WA 99210-2127 We appreciate your business! jQ Questions? Call Customer Service. 800-788-4578 Lost or Stolen Card: 800-788-4578 NEW HOPE AMAZON GRANT COUNTY AUDITOR ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 -------------- Payment Due Date November Account Number X)()(X-XXXX-XXXX-9663 SMI. T W T F 8 3 4 New Balance $0.00 1 13 -14 j5 16 jj 8 1 1 22 23.2.4125 Minimum Payment Due NONE 2 8; 29 Amount $ �z Enclosed NEW HOPE AMAZON GRANT COUNTY AUDITOR ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 1146 LWG 3 7 1 231102 0 PAGE 2 OF 2 1 0 4833 0030 CX48 01AC1146 Cardholder Nance and Account Number 111SA Page 2 of 2 NEW NOPE AMAZON GRANT COUNTY AUDITOR XX - XX -XXX -9663 Transactions (Continued) Post Date Trans Date Reference Description Amount 11/02 11/02 QQOODQOQQQQOCOMPC TOTAL PURCHASES $3,126.25 TOTAL $3,126.25 TOTAL FEES FOR THIS PERIOD TOTAL INTEREST FOR THIS PERIOD l ante C r al,, ulation Annual Percentage Rate (AP:) is the annual interest rate on your account. Type, i APR Aveti-ue Da 11 Finance Char e ��n� � Danccj Baarace Purchases 18.49% (V) $0.00 $0.00 $0.00 Cash. Advances 21.49%� (V) $0.00 $0.00w ��,0 0 -1 ------ - Days in milling Cycle; D _ (V) = variable. Rate See reverse side of page one for explanation of Finance Charge Calculat,im Credit Purchases calculated using Method G. Cash Ad anee char es calculated usin Method A. FOR REBATE PROGRAM OU TI NS, CALL 800-783-4573 amazon.com Order Placed: September 29, 2023 PO number,, equip and supplies Arnazon.com order number: 112-8681418-2312262 Order Total: $20.92 Shipped on Octob.e r- 2, 2023 Items Ordered Price I of: BISSELL @) Wool te@ Advantago Carpet & Upholstery Cleaner, 3325. 12 Ounce (Pack of 4) $19,49 Sold by: Amazon.com Condition'. New I Sh'l'pping Address: Itern(s) Subtotal: $19,49 SuziFode Shipping & Handling: $0,,00 311 W 3RD AVE, Amazon Day discount- -$0-19 MOSES LAKE, WA 98837-1905 United States Total before tax: $19.30 Shipping Spee& Sales Tax.: $1062 Amazon Day Delivery Total for This Shipment: $20.92 Payment information Payment Method: Itern(s) Subtotal,., $19-49 Visa Last digits: 9663 Shipping & Handling* $0.00 Promotion applied..- -$0.19 Total before tax-, $19.30 Estimated Tax -0, $1.62 Grand Total $20.92 ------------- --- - ------ - Credit Card transactions ---------------- Visa ending in 9663.- October 2, 2023: $20-92 To view the status of your order, return tor -e-L50IM-A51- - �QondjtiQ�nso�fu 1996-2020, Amazon.com, Inc. Packing Slip -453 -oint Marion Rd Ste 4 NV 20"OB Order # ** 109062 Suzl'FodeP0equlp and supplies 3111 V-1 3,RD AVE NOSES LAKE-, WA08837-19CS JS Wl2jp 1-7-J%; I:FIC4,1T IV rk�ft I a re. a M44Z,,) (I . Gorl $10pping UPSt, Gr:),ind Date 9 12, 9 i 2 02 Dimoosions 16 -DO, x 10,00, x 7 0 (it,) Ship, Data. IWW023 Weight 6 lhos, 858 ��z ------------- - btem oty Z'War&ouse Logillech HICI, Pro 'Webcam C920 7 U R,9 2 od Date rqi) - amazon.com Flinial Deetall s- f ?C)"Frdilleir #1 11.2 -8825394 --al, 0"J"91431 Order Placed: Septern* her 29, 2023 PO number: equip and supplies Amazon.com order number: 112-8825394-1.059431 Order Total., $492.24 Shipped on October.2, 2023 Items Ordered 7 of: Logitech HD Pro Webcam 0920 Sold by: TMares (jejq_rp Business Price Condition: New Shipping.Address., SuziFode 311 W 3RD AVE MOSES LAKE, WA 98837,1905 United States Shipping Speed: Standard Shipping Price $64-87 Item(s) Subtotal: $454.09 Shipping & Handling: $0,00 Total before tax: $454,09 Sales Tax: $38.15 Total for This Shipment,: $492.24 Payment information Payment Method:. Item(s) Subtotal: $454.09 Visa Last digits: 9663 Shipping &'Handling: $0.00 Total before tax, $454.09 Estimated Tax: $38.15 Grand Total: $492.24 Credit Card rare actin Visa ending in 9663: October 2, 2023: $492.24 t ---------- - - -------- To view the status of your order, return to Order-5—um—m—marry Conditfon -s-o—f Use I Priya W.Noti,Qe @.1996-2020, Arnazon,corn, Inc. 492.24 a CL A > � � Amazon 492.24 . 2 EU t�ffi;e supplies4J .24 s7.98_j_ :3.71 ,.��.. r��.t}.09.6 6. w `t;39 4.21 x.28 22_.53 28.7 R i 45 492.24 4 Order Placed: October 4, 2023 PO number: Office Supply - AB Amazo.n.com order number: 113-9046768-1589846 Seller's order number: 16048020 Order Total.- $85.84 Shipped on October 4, 2023 Items Ordered I of: VIVO Triple 23 to 32 inch LED LCD Computer Monitor Desk Mount VESA Stand, Heavy Duty Fully Adjustable Tilt, Swivel,. and Rotation, Fits 3 Screens, Black, STAND -V103 Sold by: V I V 0 *1w-gr-Q-fk) I Product. question? ti IL Business Pdce Condition: New Shipping Address: ALYCE BARRIENTOZ 311 W 3RD AV MOSES LAKE, WA 98837-1905 United States Shipping Speed: Expedited Shipping Payment Method: Visa I Last digits: 9663 Billing address NEW HOPE AMAZON PO BOX 37 EPHRATA, WA 98823-0037 United States Credit Card transactions Payment information To view the status of your order, return to Item(s) Subtotal: Shipping & Handling*. Total before tax: Sales Tax: Total for This Shipment: Price $7919 $79-19 $0.00 $79.19 $6.,65 $85,84 I Item(s) Subtotal.- $79.19 Shipping & Handling: $0.00 Total before tax. $79.19 Estimated. Tax: $6.65 Grand Total: $85.84 Visa ending in 9663: October 4, 2023: $85,84 @ 1996-2020, Amazon.com, Inc. Jit—ions of Rdya� QQn_qjtjons Q S*g I !� $5,84 �r ,3 Amazon 65.84 ofice Supplies 85 3.50 � 1.60 �,ti�i_ � �_ 9.8� �3.21 0.74 3.95.. $5,84 ': y Y: i s `+•^. t• 4.d y -c�K �.(e+.• d k?� .,,4 �N% �+i t C s H. R�nf °;^ �`-,C kd`1 �a Order Placed: October 4, 2023 PO number: Office Supply - AB Amazon.com order number: 113-7033812-2663462 Order Total: $878.01 Shipped on October 4, 2023 Items Ordered Price I of PHILIPS 27BEIA 27- Frameless Monitor, 4K UND IPS, 109% sRGB, Speakers, VESA., 4Yr Advance Replacement Warranty $269.99 Sold by: Amazon.com Condition: New Shipping Address: ALYCE BARRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Prime Delivery, Shipped on. October 4, 2023 Itern(s) Subtotal: $269.99 Shipping & Handling: $0,.00 Total before tax: $269.99 Sales Tax: $22.68 Total for This Shipment:, $292.67 Items Ordered Price I Of: PHILIPS 278EIA 27"Frameless Monitor, 4K UHD IPS,. 109% sRGB, Speakers, VESA, 4YrAdvance Replacement Warranty $269.99 Sold by: Amazoncom Condition: New Shipping Address: AL_ YCE BARRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Prime Delivery Shipped on October 4, 2023 Item(s) Subtotal: $269.99 Shipping & Handling.* $0"00 Tota! before tax. $269-99 Sales Tax: $22-68 Total for This Shipment: $292.67 Items Ordered Price 1 Of: PHILIPS 27BE 1A 27" Frameless Monitor, 4-1K UHD IPS, 109% sRGB, Speakers, VESA, 4 Yr Advance Replacement Warranty $269.99 Sold by: Amazon.com Condition: New, ------------- - ---------- -- -- - - — - ---------_-_- phi Itern(s) Subtotal: $269.99 pping Address: ALL BARRIENTOZ 878.01 L^ }�iT1aZC?T9 878.01 Dfic$ suvoltes t a. 3.06 14�:�� 4�X5.83 �2.2� 878.01 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Prime Delivery Payment information Shipping & Handling: $0.00 Total before tax, $269.99 Sales Tax: $22.68 Total for This Shipment: $292.67 Payment Method: item(s) Subtotal: $809.97 Visa I Last digits: 9663 Shipping & Handling: $0.00 Billing address NEHOPE AMAZON W Total before tax: $809.97 PO BOX 37 Estimated Tax: $68.04 EPHRATA, WA 98823-0037 United States Grand Total: $878,01 Credit Card transactions Visa ending in 9663: October 4, 2023: $878.01 To view the status of your order, return to Order.. ummary • �y En a Qy_NDLiqg @ 1996-2020, Arnazon.com, Inc. 23.45 st st d d a A. Q ami kK Amazon # 21.45 Office Supplies6.26 0.882.5� � � 0.99'i .25 f3. 23.45 amazon.com Finfal Do4a,33 I a for Order #14 Order Placed-, October 17, 2023 PO number: Office Supply - PG Othello Amazon.com order number: 113-5059347-7341810 Order Total: $21.45 Shipped on October 18, 2023 Items Ordered 1 of: Door Chime, Daytech Wireless Door Sensor Chim'e 1000ft Range Door Entry Chime with 55 Chimes 5 Adjustable Volume Mute Mode LED Indicator Door .Open Chim Sold by: Daytech co.,Ltd. ller"r Me) Business Price Condition: New Shipping Address: ALYCE BARRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Prime Delivery Payment information Itern(s) Subtotal: Shipping & Handling: Total before tax: Sales. Tax: Total for This Shipment: Price $19.791 $19.79 $1 0 .00 $19.79 $1.66 $21,45 Payment Method: Itern(s) Subtotal: $19.79 Visa I Last digits: 9663 Shipping & Handling:- $0.00 Billing address NEW HOPE AMAZON Total before tax: $19.79 PO BOX 37 Estimated Tax: $1.66 EPINATA, WA 98823-0037 United States Grand Total: $21.45 ------------ C d.i - Card transactions ---------- — Visa ending in 9663.- October 18, 2023: $21.45 To view the status of your order, return to 4 CitionpWso :1rivec @ 1996-2020, Amazon.com, Inc. -ndgi- PB JA NITORIA LL 1622 S YVALLA CE T. MOSES LAKE, V -VA <08837 509-989-425,9c BARRIEP,,'T(D,67-P,,4AIGE2'.,,-@GMAIL., C -"0M Description November JANITORIAL November WINDOW WASHING INVOICE Date., I 1 /0 1 /2023 INVOICE # 202311 To NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 509-764-8402 SEDGE @GRANT COUNTYWA.GO V ABARRI,E,NTOZ@GRANT C,OUNTYWA.GO V Line Total 200.00 Tofal 950.00 Make all checks payable to PAIGE- BARRIENTOZ Thank you for your bust"ness! Page 1 / 1 Invoice 0400673 Date 11/1/2023 County of Grant 35 C ST HW P.O. Box 37 Ephrata WA 99823 Vendor:, PAIGE BARRIENTOZ 1622 S WALLACE ST MOSES LAKE WA 98837 --------- -- - --- ----- m Payment Terms ID en ber Purchase Order Number Vendor Shipping hod .......... .. .... NumMet..... ..... . . ................. T ................. . . ...... ............... . ...... ......... ........ . ..... 1202311 i��' .... . ........ Amount escription: ................. .. ......... — — - - ----- - ---- .. .... . ...... ............ . ........ .. $950 1 JanitoriaL .00 Subtotal $950X0 MISS $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Paymen 0, 00 Total Due $950.00 Page 1 / 1 Invoice 0400578 Date 11/1/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, U.S. Linen Uniform 1106 Harding St. Richland WA 99352 ........... ........ . .. VendorlD Shipping Method Payment Terms ID Document Number Purchase Order Nu ......... . .... ... . . .... -- ----- --------- ---- ...... T NET 30 USLUF .................... . . . . ................................ . ... ..... . ............ ....... - - — - ----------- ........... Description: Amount Janitoriat 8.0211 Subtotal $88.02 Mise $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Totat Due $88.02 -inen U. S, an xZ W U.S. LINEN & UNIFORM 1106 HARDING ST RICHLAND, WA 99352 (888)875-4636.1 NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 Date Invoice Day GarmentMark Freq. Seq Term Account Route 1012612023 3218607 Thu 110350 5 4180 CHG 110350-00000 311 Total Due Cur. Bus. Cuv Bal. 30 90 $88.02 MOO $88.02 $0,00 MOO $0.0-0 $0.00 Comment: Received By: NOA 10126/2023 1:59WPM OffiGe Adj,: OFFICE Subtotal, ROUTE Rte. Adj.: Empf Name / Description Line Item I I W Sizes... Qty. Inv- I Mim I Adj. Oty. I Adj. Amt. I Ext, Price I Adj, Qty- Adj. Amt. I I Total I 1 6265 3X5 SLATE MAT 3 6 0 $0.00 $16,52 0 $0.00 $16-52 2 6269 3XIO SLATE MAT 4 8 0 $0,00 $42,78 0 $0.00 $4238 FUEL SURCHARGE $0.00 $7.50 $0,00 $7.50 SERV/DEL CH G $0.00 $7,20 $0M $7,20 . ...... . ......... TEXTILE MAINTENANCE $0,00 $7.20 $0.00 $7-20 Total Due Cur. Bus. Cuv Bal. 30 90 $88.02 MOO $88.02 $0,00 MOO $0.0-0 $0.00 Comment: Received By: NOA 10126/2023 1:59WPM OffiGe Adj,: $0.00 Subtotal, $81,20 Rte. Adj.: $0.00 Tax Adj.: $0.00 Sales Tax- $6.82 Tax Adj-: WOO Net Adj : $0.00 Prebill: $88.02 Net Adj.: $0,00 Total Adj_ $0.00 Tax Adj.: $0.00 Net Charge: $88,021 Uri i nen bullf Yi tFvi ats�aQ vva-r +St �G ...�,. •. ,...«. ,.>.,. _ ..., m.._ ...._ .. 4 M uc� CL 49 ys[ .. A fiJ3 SiF .4. XL virL y� 4 T y�_Zj+i$ 2 24i 3$.27;95 t3 9jji7:6� $+f.aTd. ,........ $,:: US. Linen .M� Un, iffor U.S. LINEN & UNIFORM 1106 HARDING ST LTR1LCH1L±A.ND , WA 99352 (888)875-4636 NEW HOPE 311 WTHIRD AVE MOSES LAKE, WA 98837 r I I O*n I n 91ce k: F" will I, I I IN - 11/09/2023 3226833 Thu 110350 5 4180 CHG 110350-00000 311 Total Adj,: I Tax Adj..- I IMOUTUTM sn, w I Received By: OFFICE ROUTE 4t M Jon - 'd 'tV 1 6265 3X5 SLATE MAT 3 6 $0.00 $17.35 2 6269 3X10 SLATE MAT 4 8 $0.00 $44-92 FUEL SURCHARGE $0.00 $7.50 SERV/DEL CHG$0.00 $T51 TEXTILE MAINTENA NC E * I'll Ift-.1-1 �0 0 1 $7.57 Total Due Cur. Bus. Cur. Bal. 30 60 — 90 120 Office AqJ.: $0.00 Subtotal.- Mw $84,91 Route Adj.: 1- $88.02 $0.00 $88.02 $0.00 $0.00 $0.00 $ 0.00 Tax dj,: $0.00 Sales $7. 13 Tax Comment.- Net, Adj.: $0.00 Prebill: $92.04 Net Adj.: Total Adj,: I Tax Adj..- I IMOUTUTM sn, w I Received By: Page 1 /1 Invoice 0401518 Date 11/15/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: U.S, Linen Uniform 1106 Harding St. Richtand WA 99352 ---------- . . .. ........... .......... Shipping Me od Payment Terms ID Document Number Purchase Order Number VendorlD . ... . . . ....... ..... . ........ NET 30 USLUF - — _------__ ........... Amount . ....... - --- — -- - - - --------------------- - Description'. $92,04 Jan"todat. - --- - -- - - ---- -------- ...................................... .. . . .. ........................ ....... . . ............. . - Subtotal $92.04 Mise $0�00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $92.04 ... .. ..... .... .... ...... .. T4 twPolfulor uzoq si) mda nos 4$" Ms 004 SM IM Me Me Lzoo to -Lot Wo 'Stag Ma 1424 KOO I County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: WASHINGTON TRUST BANK.. PO BOX 2127 SPOKANE WA 99210-2127 Document Number Purchaw0rder Number 9663- 10/2023 D.escn'ption:, Visa Statement 10/2023 Page 1 / 1 Invoice 0401084 Date 11/7/2023 VeI Payment Terms ID ndorlD Shipping-Akothod... NET 30 Amount $3,126.25 .. . . . ...... Subtotal. $31.126.25 Misc $0.00 Tax $o.00 Freight $0.00 Trade Discount $0.00 Payment $0.100 Total Due $3,126.2,5 Rents due, M* advance, Without receipt of a billing or statement, the ft day of each month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) service charge will be collected for payments received after the tenth of the month for the month M* which they are due. If any check received by THE LESSOR is retumed for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars ($25,00). In n the event the term of this Lease shall be ' gqor end other than on the first day of a calendar month, the rental for any such partial month shall be pro -rated. Rental for months other than partial months .all be paid on the first day of each calendar month, M* advance for the ensuing month. 3. OTHER TAXES; THE LESSEE shall pay all taxes, licenses and fees, which by law are IMP ' osed on THE LESSEE, by reason of THE LESSEE'S o erations or upon any of THE P LESSEEIS personal property situate M" or out the leased premises. If other taxes, licenses or fees, wbich by law are, imposed on THE LESSEE or assessed upon the premises leased herein dun"ng the term of this Lease by any govern -mental, agency, THE LESSEE shall reasonably pay same, 4. USE: THE LESSEE shall not use said premises for any other puree other than the use of general executive office space and the uses resulting thereby vn'thout the prior written consent of the Lessor, "in wbich said consent shall not be unreasonably withheld. THE LESSEE agrees that no stock of goods Will be carried or anything .one in or about the premises wbich will increase the present rate of insurance, The rental contained .rens predicated on, among other things, THE LESS OZ'S existing insurance Premiums, and'in the event that THE LESSEEIS Commercial Lease Page 2 -3 a r Year Year Year Year Year One Two Three Four Five Year Six I Seven 81112022 811123- 811124- 811125- 81M6- - 81 L12 7-- 811128. -------------- -7131123 7131122 713.125 8131-126 7131127 7131128 7131129 NewHope Rent $4,O 13.97. .... $4J74.51 $41,341.51 $45515.17 $4,695.78 $4,883.61 $5X078-95 Landlord Donated Portion $300.00 $300.00 $300.00 :$300.00 $300.00 $300.00 $300.00 Net Amount Due firom. New# .�ope$3,713.97 $3,874.53 --$4,041-51 $4,215.17 $47395-78 $4,583.61 14,778.95 Rents due, M* advance, Without receipt of a billing or statement, the ft day of each month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) service charge will be collected for payments received after the tenth of the month for the month M* which they are due. If any check received by THE LESSOR is retumed for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars ($25,00). In n the event the term of this Lease shall be ' gqor end other than on the first day of a calendar month, the rental for any such partial month shall be pro -rated. Rental for months other than partial months .all be paid on the first day of each calendar month, M* advance for the ensuing month. 3. OTHER TAXES; THE LESSEE shall pay all taxes, licenses and fees, which by law are IMP ' osed on THE LESSEE, by reason of THE LESSEE'S o erations or upon any of THE P LESSEEIS personal property situate M" or out the leased premises. If other taxes, licenses or fees, wbich by law are, imposed on THE LESSEE or assessed upon the premises leased herein dun"ng the term of this Lease by any govern -mental, agency, THE LESSEE shall reasonably pay same, 4. USE: THE LESSEE shall not use said premises for any other puree other than the use of general executive office space and the uses resulting thereby vn'thout the prior written consent of the Lessor, "in wbich said consent shall not be unreasonably withheld. THE LESSEE agrees that no stock of goods Will be carried or anything .one in or about the premises wbich will increase the present rate of insurance, The rental contained .rens predicated on, among other things, THE LESS OZ'S existing insurance Premiums, and'in the event that THE LESSEEIS Commercial Lease Page 2 -3 Page 1 / 1 Invoice 0393287 Date 11/19/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: PADILLA, MARIO 10281 BASELINE E RD MOSES LAKE WA 98837 Document Number I Purchase Order Number Vendor lD Shipping Method Payment Terms I D ------------ -- ........ ................ - - ---------- - --- ...................... -- 1/23-7/31/24 PADILM --l-111-1110i., -------------- ....... ....... - . . ........ ----- - -- - - ------------ ...... Amount Description; $31874�531 LEASE AGREEMENT Subtotal $3,874,53 Misc $0,00 Tax $U0 Freight $0.00 Trade Discount $om Payment $0X0 Total Due $3,874.53 zoo Rent 'is due, in advance, without rece* It of a billing or statement, P the first day of each month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) ser"t' ice charge will be collected for payments received after the tenth of the month for the month 'in which they are due. If any check received by THE LESSOR 'is returned for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars, ($25.00). In the event the term of this Lease .all begin or end other than on the first day of a calendar month, the rental for any such partial month shall be pro -rated, Rental for months other than partial months shall be paid on the first day of each calendar month, 'in advance for the W ensuing month. -3. OTHER TAXES.- THE LESSEE shall pay all taxes-, heenses and fees, which by law are i osed on THE by reason of THE LESSEFS operations or upon any of THE MP HE LESSEE, LESSEE'S personal property situate in or about the leased premises. If other taxes, licensies or fees, whieh by law are. oseff. on THE LESSEE or assessed upon the prerrises leased herein during the term of this Lease by any governmental agency, THE LESSEE shall reasonably pay same. 4. USE: THE LESSEE shall not use said prendses for any other purpose other than the use of general executive office space and the uses resulting thereby without the prior written consent of the Lessor, in which said consent shall not be unreasonably Withheld. THE LESSEE agrees that no stock of goods will be caffied or anything done in or about the premises which will increase the present rate of m'surance. The rental coma :ed herein is predicated on, among other tbings, THE LESSOR'S existing ffisurance prenuums, and *in the event that THE LESSEES Commercial Lease Page 2 0 Year Year Year Year Year Year One Two Three Four Five Year SL"x Seven 8111202.2 811123- 811124- 811125- 811126- 811127- 811128- 7131123 7131122 1 7131125 8131126 7131128 713LI29 Kids Hope Rent $3,992.00 $41,151-68 1 $4,317.75 $4,490.46 $41,670.08 $4,856.88 $5,051.15 Landlord Donated Portion $300.00 $300.00 $300.00 $300.00 1 $300,00 $300.00 $300.00 Net Amount Due from :fie' e $3,692.00 $32851.68 $4,017.75 $4,190.46 $4,370.08 $4)556.88 Rent 'is due, in advance, without rece* It of a billing or statement, P the first day of each month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) ser"t' ice charge will be collected for payments received after the tenth of the month for the month 'in which they are due. If any check received by THE LESSOR 'is returned for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars, ($25.00). In the event the term of this Lease .all begin or end other than on the first day of a calendar month, the rental for any such partial month shall be pro -rated, Rental for months other than partial months shall be paid on the first day of each calendar month, 'in advance for the W ensuing month. -3. OTHER TAXES.- THE LESSEE shall pay all taxes-, heenses and fees, which by law are i osed on THE by reason of THE LESSEFS operations or upon any of THE MP HE LESSEE, LESSEE'S personal property situate in or about the leased premises. If other taxes, licensies or fees, whieh by law are. oseff. on THE LESSEE or assessed upon the prerrises leased herein during the term of this Lease by any governmental agency, THE LESSEE shall reasonably pay same. 4. USE: THE LESSEE shall not use said prendses for any other purpose other than the use of general executive office space and the uses resulting thereby without the prior written consent of the Lessor, in which said consent shall not be unreasonably Withheld. THE LESSEE agrees that no stock of goods will be caffied or anything done in or about the premises which will increase the present rate of m'surance. The rental coma :ed herein is predicated on, among other tbings, THE LESSOR'S existing ffisurance prenuums, and *in the event that THE LESSEES Commercial Lease Page 2 0 4* nr KH ReAt-106 Page 1 /1 Invoice 0392931 Date 11/19/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor, PADILLA, MARIO 10281 BASELINE E RD MOSES LAKE WA 98837 Document Number ;1 Purchase Order Number VendorlD Shipping Method .08/01/23-7/31/24 PADILM -- - -- -_------------- Description. LEASE AGREEMENT All Payment Terms ID Amount $ 3,B l R68 Subtotal $3,851.68 Misc $0.00 Tax $0.00 Freight $0,00 Trade Discount $0,00 Payment $0.00 Tota( Due $30851.68 r� " aT 3i. S 10 NN REM _ 3�B74 63 x ___-- - .i�._..._ y,}� �............. y�qyL ........,.. .,.,..... _..,..a.,.,_..,... }} ,yy� s� ��,gy{ . 4 37 2 _, . ...,.,.,..,... Page I If11 Invoice 04011 09 Date 11/7/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98923 Vendor-, MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 Document Number Purctum Order Number VendorlD Ship Ang Method Payment Terms ID Pi 894884256 QUALI ---- - ---- --- - ----- NET 30 Description: Amount. Emergency Shelter, Subtotal $109.90 Mc $om Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due S109,90 � l aLL �c�c�^-� JL Quality" INN By CHOICE koyr->i NEW HOPE HOPE, NEW 604 W 3RD AVE ,ATE 6 MOSES LAKE, WA 96837 Quafity Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8866 WA255@stayatcho'ice.com Acoouni: 894884256 Date: 11/3/23 ROOM: 110 NTHB07- Arrrval Date: 10113/23 Oeoarture Dale, 10/15/23 Check In Time', 10/13/23 6t,40 PM Check Out Time: 10115/23 9:21 AM Rewards Program I D. You were chee-ked in by'. rnhaywa You were checked out by: mhaywa Total Balance Due-* 0.00 50.00 NEW 10/13/23 State Tax 10114/23 Room Charge #1101 P t NEW 10/14/23 State Tax 4.96 10/15/23 Direct Bill (1:09.90) 54V 4i 1 OUT Pwom Charge State Tax 9190 Direct Bill (109.90) Balance Due. 0.00 With this rate you are able to earnvaluable Choice Privileges points! X-----�- 41CH0 I ICE privi eges-, You could be earning free nights at Choice hotels and other great rewards,. Join Choice Privileges today by stopping by the front desk or logging on to www..choicehotels.com/choice-privileges,t County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: MELVA LANE LLC DBA: QUAILITY INN 449 MELVR LANE MOSES LAKE WA 98837 Document Number Emergency Shetter Page 1 /1 Invoice 0401112 Date 11/7/2023 Purchase Order Number VenclorlD r Shipping Method Payment Terms ID 30 --- — ------ Subtotal is Tax Freight Trade Discount Payment Total Due Amount $26332 .... . ..... ... . ... $263.72 $0.00 $0.00 $0.00 $0.00 $0.00 $263.72 With this rate you are able to earn valuable Choice Privileges points! Ouality Inn (WA255) 4-c-couni, 89551202B Date: 11 /3/23 449 Melva Lane Room: .215 LMCU N S low& ua: Moses Lake, WA 98837 Arrival Date: 10/17/23 INN' (509) 765-88a6 Departure Date 10121/23 BY CHOICE "trML11's WA255@stayetchoice.com Check In Time. 10/17/23 217 PM Check Out Time; 10121/23 11:89 AM NEW HOPFt Rewards Program ID: HOPF-, NEW You were checked in by: jmille 604 W 3RD AVE STE B You were checked out by: rnhaywa MOSES LAKE WA 98837 Total Balance Due: 0.00 10/17123 Room Charge *215 HOPE, 159,99 NEW 1011,7/23 State Tx 5.94 10/18/23 Room Charge #215 HOPE-* 59-99 NEW 10/18/23 Siale Tax 5,94 10/19/23 ROOM Charge # OrPE 12, 15 H 5 9 . 9 9 NE�W =j 0/19/23 State Tex 5.94 10120/23 Direct Bill (197.79) 10/20/23 Direct eill Correction 197-79 10/20/23 Rcorn Charge #215 HOPE,, NEW 10/20/23 State Tax 5.94 10121/23 Direct Bill (263,72) Room Charge 239.96 State Tax 23,76 Direct Bill (263,72) Balance Due: 0"00 With this rate you are able to earn valuable Choice Privileges points! County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor,-,-, MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 Document Nu r Purchase Order Number Vendor[D mbe QUALI Description: Emergency Shetter Page 1 /1 Invoice 0401111 Date 11/7/2023 Shipping Method Payment Terms ID NET 30 ------ . ... ..... Amount $39564 Subtotal $395.64 Mise $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $395.64 Client Shelter Form Shelter/Hotek, Hotel Hotel Name/Room in Shelter,a Qual.1ty Inn Date In.: 10/17/2023 Date Out: �,,j f Program: DV Review Shelter Guidelines: Yes Invoice Turned In: Client (First Initial & Last Name): A. Ruiz 0 .... ... ........ I'll . ....... Year of Birth.- 1986 Client ID: GML26103 Case ID: 596870 NCS Trak-, 2023-661 -- ---- Secondary #1 Y`OB* Gender: Secondary #2 YOBk, Gender,, Secondary #3 YOB#* Gender: Secondary #4 YOB: 0 Gender, Secondary #5 YOB: Gender, A. Secondary #6 YM Gender: Previous Living Situation?: Rental by client, no ongoing subsidy Where did client exit to Payment Grant. Comments: 41CHOWE privilege's, You could. be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels.com/cho*lce-pr*lvileges. Quality Inn (WA255) Account Date: 895175057 11 /3/23 449 Melva Lane Moses Lake, WA 98837 Roo(n: JOB LMOONS vua it y Arrival Date: 10/15/23 I N.N" (509) 765-8886 Departure Date: 10/21/23 Qy CHOICE HOTU-1 WA255@stayatchoice.com Check In Time, 10/1 V23 12:04 PM Check Out Time I " 10/21/23 11:35 AM NEW HOPE Rewards Program ID: HOPE, NEW You were checked in by: rnha 604 W 3 RD AVE STE B You were checked out by-. rnhaywa MOSES LAKE WA 98837 Total Balance Due., 0.00 10/15/23 Room Charge #108 HOPF., 60.00 A NEW 10/15/21-03 State Tax 5-94 10/16/23 Room Charge #108 HOPEj 60.00 NEW 10/16/23 Stale Tax 5.94 10/17/23 Room Charge #108 HOPEj 60,00 NEW 10/17/23 State T -ax 5,94 10/18/23 Room Charge #1 D8 HOPE, '60,00 NEW 10/18/23 State TaX 5.94 1 Oil 9/2-3 Room Charge #108 HOPED '60-00 NEW 10/19/23 State Tax 5,94 10/20/23 Room Charge #108 HOPE, 60400 NeW I 10/2-0/23 State Tax 5,94 -10121/23 Direct 111 (395.64) SOMME Room Charge 360,00 State Tax 35-64 Direot Bill (395.64) Balance DUe,.',, 0.00 With this.rate you are able to earn valuable Choice Privileges pointsf 41CHOWE privilege's, You could. be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels.com/cho*lce-pr*lvileges. Shelter/Hotel.0 Date In: Program.. Hotel 10/13/2023 DV I Client (First Initial & Last Name).* Year of Birth: 1991 Casel!3: 708271 Secondary #1 YOB: 2019 Secondary #2 Y013* 2009 Secondary #3 Y013: 2012 Secondary #4 Y013* Secondary #5 YOB: Secondary #6 Y013: Previous Living Situation Where did client exit to?*. Payment Grant: Comments: Client Shelter Form Hotel Name/Room in Shelter: Quality Inn Date Out. Review Shelter Guidelines,, Yes Invoice Turned In: R Brooks Client ID: GML12924 NCA Trak: 2023-565 Gender: Male Gender: Female Gender: Female Gender: Gender: Gender: