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HomeMy WebLinkAboutGrant Related - BOCC (009)3 GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC DATE:2/13/2424 REQUEST SUBMITTED BY: Karrie Stockton PHONE:eXt. 2937 CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: DYES ONO DAgreement / Contract ❑Bids /RFPs /Quotes Award DAP Vouchers ❑Bid OpeningScheduled ❑A ointment / pp Reappointment ❑ARPA Related D Computer Related D County Code D Boards / Committees D Emergency Pur g y chase ❑Budget ❑Facilities Related ❑ Financial D Funds ❑Employee Rel. D Invoices / Purchase Orders ® Grants — Fed/State/County D Leases D Hearin 9 ❑Minutes ElyPolicies ❑Ordinances ❑Out of State Travel ❑MOA / MOU El Pett Cash D Recommendation El Proclamations []Professional Sery/Consultant El for Purchase O Su ort Letter etter El Resolution ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑Surplus Req. OWSLCB DATE OF ACTION: a -9b } ?�,ql APPROVE: DENIED ABSTAIN D1: D2: D3: DEFERRED OR CONTINUED TO: r Art SAY��a z ,. STATE OF WA$H1N0rQ, N DEPARTMENT OF COMMERCE 1011 PIUM Street SE 0 PO, Bar 42 * OjygTpr � ':'c�511fil l 98,504-2525 (360) 7254,900. Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER 1030 24-4619D-1 06 CMS Invoice ID: DEPARMENT OF 386832 COMMERCE INSTRUCTION TO VENDOR OR CLAIMANT: VENDOR OR CLAIMANT (Warrant payable to:) Grant County Board of Commission Submit this form to claim payment for materials, merchandise or PO BOX 37 services. Show complete detail for each item. EPHRATA, WA98823-0037 Vendor's Certificate: The individual signing this voucher below warrants they have the authority to do so as authorized and on behalf Kerrie Stockton (Vendor Contact Person) of the entity identified in the Vendor/Claimant section. The individual signing below certifies under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or (509) 754-201 e ext xt2937 „ „ „ (Vendor Contact Phone) " services furnished to the State of Washington, and that all goods furnished and/or services rendered have been provided without H <kstockton dngrantcountywa.gov>y discrimination because of age, sex, marital status, race, creed, y y (Vendor Contact Email) color, national origin, handicap, religion or Vietnam era or disabled veterans status. 07/01-/23 - 06/30/24 (Contract Period) Karrie Stockton Kstockton2 2/13/2024 11:36:13 AM 10/01/23 -N 11 /30/23 y„ N (REPORT PERIOD) (SUBMITTED BY) (SUBMIT DATE - DESCRIPTION BUDGET REQUESTED EXPENDED TO . AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Admin - Unassigned $120,383.00 $3,792.49 $24,511.35 $.00 $95,871.65 Operations - Unassigned $9219156.00 $37,924.92 $33,302.54 $.00 $887,853.46 Rent - Unassigned $27,153.00 $17,506.15 $2,784.71 $.00 $24,368.29 Facility Support - Unassigned $85,646.00 $.00 $26,005.30 $.0059 640 $ .70 Non - Match Total: $1,154,338.00 $59,223.56 $86,603.90 $.00 $1,067,734.1 - PROGRAM APPROVAL Date (The individual signing this voucher warrants they have the authority to signthis voucher.) DOC DATE CURRENT ' REFERENCE DOC NO. VENDOR NUMBER and SUFFIX DOC. NO. SWV0002426 03 ACCOUNT NO. ASD NUMBER VENDOR MESSAGE 45761 TRANS REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID . INDEX OBJ 46ECO220 NZ 4620C WARRANT TOTAL 2/13/2024 11:34:04 AM READY to BATCH PREPARER DATE CREATED BY Karrie Stockton (Kstockton2) DATE As the lead grantee for this contract, I certify that the sub grantee expenses listed above have been reviewed and are accurate. Lead grantee staff name: Karrie Stockton Date: 2/13/2024 Lead Grantee Name: Grant County Report Week or Month/Year Nov -23 City of Organization Name: Moses Lake Totals A m n > 3 79 9 1, ,,. :, h �>� ,, , . .:e, \ .,.. . �. ., , .. h , , rw. , .. m ._ ... \ 'tl , ,-,. Yom. ,, ,. epi\ ,. t x ,,. ,�:r a�,.`. ,a t,.. 4.. .. 1, \ t ,. e �'. t h rr N er� , ,c >,::. a.a�.a. , 4 z ,>.. Z .. ... d \, $a. � - .. , , ,.... .. \ a � . \ � �- . �, a >. : r7 .... as \ , .. _. — , �. �;.. . H ,\, .. 'v .�.. . - .. , .,.., r ,. .. ... ?. ,.r .. S .%1 .. .i X Fx <. .... j , i .,�`S .. 4. hu' ,. „�\ „ A, h•. 37 „ , 924. ,_ � a ,. a. ., ... 1 ... .. ... A a ,. +� .. x a. 4. 3 H �, f u'� ,,...1 v ;,,, ... '.s .. F .\.. +,.` v , ., ,a ,:, ..SNP ,. , ... �. .. C ,v ,. >> ... ,. .. , '.1 .. ,+.. S .,. ., .Mr .. n � ,<v\.. .,.. .. 5C u ... k. av r , ..., u � ....�d,ne,. a �.a c.. \d, r .. � . F �, ,\`� , e '� � ,.> , S nt 't n•,�a 1 A. ... \. t, x, ., A.. .,..,..�,�'.,,.,,,2.4. `h <. 49 : ..a,,�.._.�_3a.,`tx•h,,.,,�, ,�.\:,a,a ,a a.;;n.�•F, ,.:�\7. �i,d., ��r: 'Fa1,�,, 4t. v r .. .. .. , ..ti • .. ., .... .. _. e. n,.. ,. {. .i.. 1. :.. 5 r a Y Nu 1-7,50 en Totals $59,223.56 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Invoice Total: $59,223.56 t. yt 1,020 00 1. 19- -,-1 ul t: Contrac by. Submitted to OC by; nb a t No Request for Reimburseme t No. Grant County's subreciplent Checklist: State Auditor's Office Audit Procedures for Testing Activities Allowed And Not Allowed, As Published In 2007 Questions to ask before submitting a Payment request Was the expenditure or cost: Made for an allowable activity under the grant guidelines? Authorized or not prohibited) under state or local laws or regulations? Approved by the federal awarding agenr-"'-,' if re uIred? Y I-ol Allowable per Circular A-87 (June 2004 version), Attachment B, Items 1-43? For payroll transactions: Does the employee's time and effort documentation meet the requirements of Circular A-1 22? Allocable to the program? (Lo,,, was the dollar amount charged to the program relativo to the benefits received by theprogram? Is the federal grantor being charged its fair share of the cost?) Based on actual costs, not budgeted or projectod amounts? Applied uniformly to federal and non-federal activities (Le., is the federal government being charged the same'amount as if non-federal funds were- being used to pay the cost) ? uiven consistent accounting treatment within and between accounting periods? (Consistency in accounting requires that costs incurre d for the same Purpose, in like circumstances, be treated as either direct costs only or indirect costs only with respect to final cost objectives). Calculated in conformity with generallY accepted accounting principles, or another comprehensive basis of accounting, when re cost ? quired under the applicable principles Not Included as a cost (or used to Meet cost shring requirements) of other federally -supported activities of the current ora p icer period? vl' Net of all applicable credits? (e. o., volume orcash discounts, insurance recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and scrap sales). Not included as both a direct billing and as a component of indirect costs? Properly classified (e.g., s0MG costs may be incorrectly claimed as a direct cost Zinstead of being incorporated as part of the indirect costr'ate). Supported by appropriate documentation? (e,g, approved purchase orders, receiving reports, vendor invoices, canceled checks, and time and attendance records.) Documentation may be in an electronlo form, records charged to the proper account code and grant period? N:1StaftAA8C ReWStrickler Pro Feb 2018100 aants\00 Subrecipient Checklist.doex Page 1 Lead Grantee Name: Report Week or Month/Year: Grant County Nov -23 City of Organization Name: Idoses Lake AdminV. 0 i _ -t� •r _ • i rr a t 0 2l 4r .�l •' Facl- .......,.. Rent. - - .. .:.. �• ....::.. • - - - - x .... .. ... - - Totals $59,223.56 $O.00 $0.00 $0.00 $0.00 $0.00$0.00 Invoice Total: Totals $3,792.49 $37,924.92 $17,506.15 $0.00 $59,223.56 HopeSource 606 West 3rd Ave Ellensburg, WA 98926 Phone: 509-925-1448 Fax: 509-925-1204 HopeSource\� Cit y of Moses Lake wQ v ti� �� 40--I .8 Balsam Street Moses Lake, WA 98837 606 West 3rd Ave. Ellensburg, WA 98926 , RO. Box 680 - Phone (509) 925-1448 - FaX (509) 925-1204 110 Pennsylvania Ave, Cie Hum, WA 98922 -, Phone (509) 674-2375 - Fax (509) 674-5187 J or Name: Arlam Mehtsentu - ------ - Signature: Date: 22 -Dec -23 606 West 3rd Ave. Ellensburg, WA 98926 , RO. Box 680 - Phone (509) 925-1448 - FaX (509) 925-1204 110 Pennsylvania Ave, Cie Hum, WA 98922 -, Phone (509) 674-2375 - Fax (509) 674-5187 J or GL Code GL Title Hope Source Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Sub Divisi... division Effective Session ID Code Division Title Code Debit Credit Date 7000 Salaries & Wages 99999 7000 Salaries & Wages JVA1598 7000 Salaries & Wages JVA1601 7100 FICA & Medicare JVA1598 Expense 7100 FICA & Medicare JVA1601 Administration Expense 576.59 7101 Employee Tax JVA1598 7101 Employee Tax JVA1601 7105 Health Benefits JVA1598 7105 Health Benefits JVA1601 7107 L & I tax expense JVA1598 7107 L & I tax expense JVA1601 7108 Other Benefits JVA1598 7108 Other Benefits JVA1601 8010 Professional Fees JVA1598 8010 Professional Fees JVA1601 8100 Office Supplies JVA1598 8100 Office Supplies JVA1601 8110 Office Furniture JVA1598 8200 Communication JVA1601 Expense 100 Date: 12/22/23 01:27:28 PM 99999 Transaction Description 100 Administration 99999 0.00 Opening Balance 100 Administration 99999 819.49 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 576.59 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 76.21 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 78.47 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 179.24 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 188.87 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 151.22 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 177.23 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 9.06 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 8.40 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 1.26 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 6.52 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 241.73 109.08 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 250.99 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 0.55 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 45.32 11/30/2023 Allocated line for Admin Allocation 100 Administration 99999 15.91 10/31/2023 Allocated line for Admin Allocation 100 Administration 99999 20.64 11/30/2023 Allocated line for Admin Allocation Page: 1 Hope Source Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Sub GL Divisi... division Effective Code GL Title Session ID Code Division Title Code Debit Credit Date Transaction Description 8300 Postage & Shipping JVA1601 100 Administration 99999 7.00 11/30/2023 Allocated line for Admin Allocation 8350 Dues & JVA1598 100 Administration 99999 0.82 10/31/2023 Allocated line for Admin Subscriptions Allocation 8350 Dues & JVA1601 100 Administration 99999 292.73 0.06 11/30/2023 Allocated line for Admin Subscriptions Allocation 8400 Rent - Space JVA1598 100 Administration . 99999 94.01 10/31/2023 Allocated line for Admin Lower County Allocation 8400 Rent - Space JVA1601 100 Administration 99999 109.67 11/30/2023 Allocated line for Admin Lower County Allocation 8405 Utilities - Ellensburg JVA1601 100 Administration 99999 55.77 11/30/2023 Allocated line for Admin Allocation 8406 Utilities - Upper JVA1601 100 Administration 99999 0.25 11/30/2023 Allocated line for Admin County/Offsite Allocation offices 8408 Occupancy JVA1598 100 Administration 99999 9.58 10/31/2023 Allocated line for Admin Expenses Allocation 8408 Occupancy JVA1601 100 Administration 99999 11.18 11/30/2023 Allocated line for Admin Expenses Allocation 8420 Repairs & JVA1598 100 Administration 99999 136.99 2.18 10/31/2023 Allocated line for Admin Maintenance - Allocation General 8420 Repairs & JVA1601 100 Administration 99999 156.97 11/30/2023 Allocated line for Admin Maintenance - General Allocation 8450 Insurance Expense JVA1601 100 Administration 99999 40.28 11/30/2023 Allocated line for Admin Allocation 8501 Computer JVA1598 100 Administration 99999 0.02 10/31/2023 Allocated line for Admin hardware and Software Allocation 8510 Program supplies JVA1598 100 Administration 99999 2.13 10/31/2023 Allocated line for Admin and tools Allocation 8510 Program supplies JVA1601 100 Administration 99999 4.84 11/30/2023 Allocated line for Admin and tools Allocation 8610 Educational JVA1601 100 Administration 99999 0.65 11/30/2023 Allocated line for Admin Materials Allocation 8650 Photocopy Expense JVA1598 100 Administration 99999 1.89 10/31/2023 Allocated line for Admin Allocation Date: 12/22/23 01:27:28 PM Page: 2 GL Code GL Title Hope Source Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Sub Divisi... division Effective Session ID Code Division Title Code Debit Credit Date 8650 Photocopy Expense JVA1601 100 Administration 99999 3.41 8660 Printing & JVA1601 100 Administration 99999 1.20 Publications 11/30/2023 Allocated line for Admin Allocation 10/31/2023 8700 Travel Expense JVA1598 100 Administration 99999 2.14 8700 Travel Expense JVA1601 100 Administration 99999 8.48 8710 Meeting Exp JVA1601 100 Administration 99999 3.53 8711 Training & JVA1598 100 Administration 99999 49.69 Allocated line for Admin Technical Allocation 11/30/2023 Allocated line for Admin Allocation 10/31/2023 Assistance Allocation 11/30/2023 Allocated line for Admin 8711 Training & JVA1601 100 Administration 99999 41.41 Technical Assistance 8712 Representation JVA1598 100 Administration 99999 1.12 expense 8800 Vehicle JVA1601 100 Administration 99999 1.84 Maintenance & related 8805 Vehicle Gas & Oil JVA1598 100 Administration 99999 3.56 8805 Vehicle Gas & Oil JVA1601 100 Administration 99999 10.36 8990 Interest Expenses JVA1598 100 Administration 99999 0.58 8990 Interest Expenses JVA1601 100 Administration 99999 0.70 8992 Bank Fee JVA1601 100 Administration 99999 0.04 8997 Depreciation JVA1598 100 Administration 99999 1.51 Expenses 8997 Depreciation JVA1601 100 Administration 99999 1.76 Expenses 3,903.81 Date: 12/22/23 01:27:28 PM Transaction Description 11/30/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 10/31/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 10/31/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 10/31/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 10/31/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 10/31/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 10/31/2023 Allocated line for Admin Allocation 11/30/2023 Allocated line for Admin Allocation 111.32 Transaction Total Page: 3 GL Code GL Title 7000 7000 7000 7000 7000 7000 7000 7100 7100 7100 7100 7101 7101 7101 7101 7105 7105 7105 7105 7107 7107 7107 7107 7108 7108 Salaries & Wages Salaries & Wages Salaries & Wages Salaries & Wages Salaries & Wages Salaries & Wages Salaries & Wages FICA & Medicare Expense FICA & Medicare Expense FICA & Medicare Expense FICA & Medicare Expense Employee Tax Employee Tax Employee Tax Employee Tax Health Benefits Health Benefits Health Benefits Health Benefits L & I tax expense L & I tax expense L & I tax expense L & I tax expense Other Benefits Other Benefits Date: 12/22/23 01:27:28 PM Hope Source Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Divisi... Session ID Code Division Title Balan... 100 CDSPRO1437 612001 CDSPRO1435 612001 CDSPRO1437 612001 CDSPRO1440 612001 CDSPRO1442 612001 CDSPRO1446 612001 CDSPRO1448 612001 CDSPRO1435 612001 CDSPRO1437 61200' CDSPRO1442 61200 CDSPRO1446 612001 CDSPRO1435 612001 CDSPRO1437 612001 CDSPRO1442 612001 CDSPRO1446 612001 CDSPRO1435 612001 CDSPRO1437 612001 CDSPRO1442 612001 CDSPRO1446 612001 CDSPRO1435 612001 CDSPRO1437 612001 CDSPRO1442 612001 CDSPRO1446 612001 CDSPRO1442 612001 CDSPRO1446 612001 Balan... 612001 Personnel Personnel Personnel Personnel Personnel Personnel Personnel Personnel Personnel Sub division Effective Code Debit Credit Date Transaction Description LA 99999 0.00 Opening Balance 99999 5,391.72 750.87 10/15/2023 Payroll- Oct 1-15, 2023 99999 6,313.72 886.34 10/31/2023 Payroll- Oct 16-31, 2023 99999 66.40 10/31/2023 Accrued Vacation Oct 2023 99999 7,895.42 1,133.74 11/15/2023 Payroll- Nov 1-15, 2023 99999 8,026.17 1.,130.50 11/30/2023 Payroll- Nov 16-30, 2023 99999 132.72 11/30/2023 Accrued Vacation Nov 2023 99999 425.21 10/15/2023 Payroll- Oct 1-15, 2023 99999 496.75 10/31/2023 Payroll- Oct 16-31, 2023 1 Personnel 99999 626.56 11/15/2023 Payroll- Nov 1-15, 2023 Personnel 99999 638.29 11/30/2023 Payroll- Nov 16-30, 2023 Personnel 99999 750.87 10/15/2023 Payroll- Oct 1-15, 2023 Personnel 99999 886.34 10/31/2023 Payroll- Oct 16-31, 2023 Personnel 99999 1,133.74 11/15/2023 Payroll- Nov 1-15, 2023 Personnel 99999 1,130.50 11/30/2023 Payroll- Nov 16-30, 2023 Personnel 99999 32.14 10/15/2023 Payroll- Oct 1-15, 2023 Personnel 99999 150.01 10/31/2023 Payroll- Oct 16-31, 2023 Personnel 99999 665.14 11/15/2023 Payroll- Nov 1-15, 2023 Personnel 99999 660.67 11/30/2023 Payroll- Nov 16-30, 2023 Personnel 99999 90.90 10/15/2023 Payroll- Oct 1-15, 2023 Personnel 99999 102.70 10/31/2023 Payroll- Oct 16-31, 2023 Personnel 99999 122.09 11/15/2023 Payroll- Nov 1-15, 2023 Personnel 99999 112.13 11/30/2023 Payroll- Nov 16-30, 2023 Personnel 99999 1.58 11/15/2023 Payroll- Nov 1-15, 2023 Personnel 99999 2.13 11/30/2023 Payroll- Nov 16-30, 2023 35,853.90 3,901.45 Transaction Total Personnel , 31 952.45 Sn (\ cpCL ,/AC/A` Cal ols V +' T Sue% k:50\ C)ilu � CX _w`+71 � Page: 4 GL Code GL Title Session ID 8010 Professional Fees 8010 Professional Fees AP1048707 Hope Source Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Sub Divisi... division Effective Code Division Title Code Debit Credit Date 613 Program Operations 99999 0.00 613 Program Operations 99999 32.78 8010 Professional Fees AP1048707 613 Program Operations 99999 34.08 8200 Communication AP1048216 613 Program Operations 99999 59.95 Sleep Center, Internet Expense Charges, 10/17/23-11/16/23 11/1/2023 Wireless Expense - Sleep Center 8200 Communication AP1048826 613 Program Operations 99999 72.99 2023 Expense Sleep center supplies - Oct 2023 11/1/2023 Moses Lake Sleep center 8510 Program supplies AP1048132 613 Program Operations 99999 150.73 Amazon - SC Printer Ink and tools Amazon - Cover for Outdoor Heater for SC 11/2/2023 Amazon - Ice Melt for SC 8510 Program supplies AP1048132 613 Program Operations 99999 1,145.85 Vehicle Mileage Allocation - and tools October 2023 11/30/2023 Vehicle Mileage Allocation - November 2023 8510 Program supplies AP1048336 613 Program Operations 99999 1,520.30 and tools 8510 Program supplies AP1048396 613 Program Operations 99999 216.25 and tools 8510 Program supplies AP1048397 613 Program Operations 99999 86.50 and tools 8510 Program supplies AP1048444 613 Program Operations 99999 281.82 and tools 8510 Program supplies AP1048444 613 Program Operations 99999 41.71 and tools 8510 Program supplies AP1048444 613 Program Operations 99999 33.53 and tools 8510 Program supplies AP1048444 613 Program Operations 99999 51.68 and tools 8510 Program supplies AP1048469 613 Program Operations 99999 86.50 and tools 8660 Printing & AP1048339 613 Program Operations 99999 33.01 Publications 8805 Vehicle Gas & Oil JV002870 613 Program Operations 99999 17.03 8805 Vehicle Gas & Oil JV002877 613 Program Operations 99999 422.48 Transaction Description Opening Balance 11/30/2023 Background Check - Nov 2023 (INV: 2212754-11-2023; - Rodriguez, Cipriano Roman 11/30/2023 Background Check - Oct 2023 (INV: 2212754-10-2023; - Cipriano Rodriguez 11/2/2023 Sleep Center, Internet Charges, 10/17/23-11/16/23 11/1/2023 Wireless Expense - Sleep Center 10/5/2023 SC Inventory oct 2023 10/10/2023 SC Inventory - oct 2023 11/1/2023 Sleep center Inventory - Nov 2023 11/1/2023 Sleep center supplies - Oct 2023 11/1/2023 Moses Lake Sleep center supplies - Oct 2023 11/1/2023 Amazon - Outdoor Heater for SC 11/1/2023 Amazon - SC Printer Ink 11/2/2023 Amazon - Cover for Outdoor Heater for SC 11/2/2023 Amazon - Ice Melt for SC 11/13/2023 Sleep center supplies- Nov 2023 11/8/2023 Sleep Center Cards 10/31/2023 Vehicle Mileage Allocation - October 2023 11/30/2023 Vehicle Mileage Allocation - November 2023 Date: 12/22/23 01:27:28 PM Page: 5 Hope Source Date: 12/22/23 01:27:28 PM Page: 6 Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Sub GL Divisi... division Effective Code GL Title Session ID Code Division Title Code Debit Credit Date Transaction Description 4,287.19 0.00 Transaction Total Balan... Program Operations 41287.19; 613 8010 Professional Fees 613001 Program Support - 99999 0.00 Opening Balance Pool 8010 Professional Fees AP1048351 613001 Program Support - 99999 22.24 11/9/2023 ML Office, Security Services, Pool 11/25/23-12/24/23 8010 Professional Fees AP1048380 613001 Program Support - 99999 72.48 10/31/2023 ML Office, Office setup for Pool Monica Diamond, 09/26/23 8100 Office Supplies AP1048333 613001 Program Support - 99999 36.07 11/1/2023 Kelley Connect, ML office Pool supplies, In#1446550, 10.11.23 8100 Office Supplies AP1048334 613001 Program Support - 99999 7.66 11/1/2023 Moses LAKE office supplies - Pool Oct 2023 8100 Office Supplies AP1048380 613001 Program Support - 99999 9.13 11/1/2023 ML Crystal Springs Waster Pool Service October 2023 8100 Office Supplies AP1048380 613001 Program Support - 99999 6.04 11/1/2023 Wal-Mart - Keyboard and Pool mouse for ML conference room 8100 Office Supplies AP1048522 613001 Program Support - 99999 26.70 11/1/2023 Moses Lake Office Supplies Pool 10.26.2023- Received 8200 Communication Expense AP1048482 613001 Program Support - 99999 15.44 11/1/2023 Internet Services, ML Office ' Pool 10/01123-10/31 /23 8200 Communication Expense AP1048482 613001 Program Support - 99999 51.88 11/1/2023 Telephone Services ML p ' Pool Office, 10/01/23-10/31/23 8200 Communication Expense AP1048857 613001 Program Support - 99999 15.34 11/30/2023 Internet Services, ML Office, Pool 11/01/23-11/30/23 8200 Communication Expense AP1048857 613001 Program Support - 99999 51.56 11/30/2023 Telephone Services, ML Pool Office, 11/01/23-11/30/23 8350 Dues & Subscriptions AP1048807 613001 Program Support - 99999 34.57 11/16/2023 Employment Posters- ML - Pool Nov 2023 8406 Utilities - Upper County/Offsite AP1048473 613001 Program Support - 99999 17.83 11/14/2023 Grant County PUD, ML Office offices Pool Utilities, 9/14/23-10/13/23 Date: 12/22/23 01:27:28 PM Page: 6 GL Program Support - 99999 Code GL Title Session ID 8406 Utilities - Upper AP1048841 County/Offsite Oct -Dec 2023 613001 offices 99999 8420 Repairs & AP1048380 613001 Maintenance - 99999 107.78 General MI -office cleaning - Oct 2023 8420 Repairs & AP1048380 Maintenance - Services, (Inv #HZST462), 613001 General 99999 8420 Repairs & AP1048398 613001 Maintenance - 99999 22.20 General Liability and Commercial 8420 Repairs & AP1048746 Maintenance - ML 613001 General 99999 8420 Repairs & AP1048917 613001 Maintenance - 99999 General Office - 10/19/23-11/18/23 8450 Insurance Expense AP1048827 8650 Photocopy Expense AP1048380 8650 Photocopy Expense AP1048420 8990 Interest Expenses AP1048380 8990 Interest Expenses AP1048699 8997 Depreciation AP1048380 338.85 Expenses Depreciation Nov 2023 - ML 8997 Depreciation JV002868 1,685.28 Expenses ,s 1,685.28 f Date: 12/22/23 01:27:28 PM Hope Source Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Sub Divisi... division Effective Code Division Title Code Debit Credit Date 613001 Program Support - 99999 Pool Services, 09/14/23-10/16/23 613001 Program Support - 99999 Pool Oct -Dec 2023 613001 Program Support - 99999 Pool Services, (Inv #HYBV113), 613001 Program Support - 99999 107.78 Pool MI -office cleaning - Oct 2023 613001 Program Support - 99999 Pool Services, (Inv #HZST462), 613001 Program Support - 99999 96.57 Pool Moses Lake office cleaning - 613001 Program Support - 99999 22.20 Pool Liability and Commercial 613001 Program Support - 99999 Pool ML 613001 Program Support - 99999 Pool Office - 09/19/23-10/18/23 613001 Program Support - 99999 Pool Office - 10/19/23-11/18/23 613001 Program Support - 99999 Pool Lake Office - Oct 2023 613001 Program Support - 99999 Pool Lake Office - November 2023 613001 Program Support - 99999 Pool office Balan... Program Support - 613001 Pool Transaction Description 30.83 11/30/2023 COML, ML Office, W/S/G Services, 09/14/23-10/16/23 76.58 10/31/2023 ML Office Lawn Care - Oct -Dec 2023 12.73 10/31/2023 ML Office, Shredding Services, (Inv #HYBV113), 09/27/23-10/24/23 107.78 11/13/2023 MI -office cleaning - Oct 2023 12.73 11/30/2023 ML Office, Shredding Services, (Inv #HZST462), 10/25/23-11/20/23 96.57 11/7/2023 Moses Lake office cleaning - Nov 2023 22.20 11/16/2023 Liability and Commercial Insurance - Oct/Nov 2023 - ML 10.13 10/31/2023 Printer Usage & Maint - ML Office - 09/19/23-10/18/23 6.44 11/20/2023 Printer Usage & Maint - ML Office - 10/19/23-11/18/23 130.56 10/31/2023 Loan Payment for Moses Lake Office - Oct 2023 134.09 11/25/2023 Loan Payment for Moses Lake Office - November 2023 338.85 10/31/2023 Depreciation Oct 2023 - ML office 338.85 11/16/2023 Depreciation Nov 2023 - ML office 1,685.28 0.00 Transaction Total ,s 1,685.28 f - 4 Page:7 GL Code GL Title Hope Source Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report 652202310 - Sleep Center Operations -ML From 10/1/2023 Through 11/30/2023 Sub Divisi... division Effective Session ID Code Division Title Code Debit Credit Date Balance 652202310 - 41,717.41 Sleep Center Operations -ML Report 0.00 0.00 Opening/Current Balance Report Transaction 45 730.18 Totals 4, 012.77 Report Current 45,730.18 4,012.77 Balances Report Difference Date: 12/22/23 01:27:28 PM Transaction Description Page: 8 City of Moses Lake PO Box 1579 Moses Lake, WA 98837 TO Grant County Attn.' Karrie Stockton Via EMAIL INVOICE DATE December 18, 2023 DEPT: ADMINISTRATION INVOICE #3 -12-2023 FOR COVID - EMERGENCY"HOUSING FUND GRANT Description - November 2023 "Open Doors" Sleep Center Operaflo­ns' Amount' Subcontract work for Grant County Dept of Commerce Contract 24-4619D-1 06 a, Ground Works (ground lease) - November --look $x,041.67V Willscot (restroorn le e vember a, $894,30�7 WilIScot (office lease) Novembe December 14th ,2023 $Z259.57-�� Grant county PUD f electricity) - November City of ML Utilities - November $193.11 V000' Basic Septic (Sanitizer Stations) November $732.86K Basin Propane - November $220.00 vp` Cots- purchased at Big 5 $39.13 Cots- pvrchased atSportsman's Warehouse $151.7 4 Pacific Security - November $119.23 voo HopeSource- October & November services $7854.54 $41717.41 REFERENCE ACCOUNT NUMBER: 1 10- ... -.. _. 000-33321-019-1000-0896-00 ON" PAYMENT TO ENSURE A PROMPT RESPONSE Payment is due within 30 days of i nvoice date, Balance Due $59e223.56 ................................. .. -1 ...... I .......... I . ........... ......... ....... .. ...... ::.*-.--"P.-t.,....:I.11lll",...,.,...."...-..I::l,.".I ....... 1-11.4-1.1.11 ........ . ........ ............... . ...... • Make all checks payable to City of Moses Lake or call 50'9-764-3715 or 3719 to pay with a credif card. If you have any questions concerning this invoice, contact act Finance Department 3735. at 509-764.3732 or - Ground Works Three LLC 1224 S Pioneer Way Moses Lake, WA 98837 Bill TO City of Moses Dake 321 S Balsam St RG, Box 1579 Moses Lake, WA 98837 Quantity Description MONTHLY RE, NTAL FEE Invoice Date Invoice # 11/1/2023 29 P.O. No. I Terms I Project 1J2!2.vewb0r Monthly Rent for property located at 1049 E Broadway Ave. Net 15 1049 E Broadway Ave. Rate Amount 5,041,67 5}041.67 Total $53041.67 W1LLT 4646 E VAN BUREN ST TM PHOENIX, AZ 85008-6.927 53 Mo 'A Ic CITY OFMOSES _LAKE PO BOX . 157.9 MOSES LAKE WA, 98,837-0244 111,111.111 till 10452459 9019298347 1 11/1/2023 1 003 1 NET 10 c is .ornersucc WWWW115cot.cwl f -'ed Vt 52-066 57 75 BRANCH. t) WA. 3310 NFLORA RD SP 0 KA N F WA Pq-) -1 A -1 7A $894.1310 11/11/207.3 PAYMENT OPTIONS La . Welcome to the WNScot I Mobile Mini Customer portal! Re 'ter today to make Online payments, s* 91S . y Ign up for Auto -Pay, or vl8w invokes and statements. CD https://Portal-mobilemini.com % (800) 782-1500, Option 1 You rvinain responsible for that invoice balonce, it t1leye is an is.,itle with your mathod of pclytile )t. Lato foes and irjtcir0.,t Cltaq u may be assessed it payment is not made within ternp;. Thank you for your business! 14 S 10 5 202311008OZO.') Ofthl 'note n0flitaxable itern PL5E REMIT WITH PAYMENT iNVO ICE TOTAL $894.30 Invoice #: 9019298347 Dbe Date: 11/11/2023 Customer: CITY OF MOSES LAKE Customer It: 10452459 PLEASE RWIt TTQ� WILLIAMS SCOTSMAN, INC. PO BOX 91975 CHICAGO IL 60693-1975 OOOOlO4S24590901929834700000000000894303 WI LLT 4646 EVAN BUREN ST PHOENIXO AZ 85008.6927 (800) 782.1500, Option I tustomersuccess@wlljscot.COM w"VIIISCOLCOM Fed IDN 52.0665776 CITY OF MOSES LAKE 401 S OALSAM ST MOSES LAKE WA 98837-1764 W1313505 23456588 96570 M I 46X10 MOBILE OFFICE (42XI0 BOX DICK -06667 I PERSONAL PROPERTY EXPENSES 2 ADA/IBC RA' MP' -W/ SWITCHBACK I DATA HUB RENTAL T2 I ADA/IBC Ramp -wl switchback INVOICE 0 BRANCH* T* MD SPOKANE WA T* 3320 N FLORA RD r SPOKANE WA 99216-1705 T" (509) 892-6778 Tl A111SOn W111180U 11/13/2023- CITY OF fAOSIS LAKE 5097645742 12/1412023 1045 E BROADWAY AVE I I MOSES LAKE WA 98037 $622.53 Rental $622-53 T* Va78 $7.78 T* $425*00 $850.00 r $65,63 $65.63 T" $472.5D $506-25 Tl Sub -total $20052.19 10452459 Late Payment Fee #0.00 $35.00 NO Tax $172,38 E,ANVOICE TOTAL $20259.37 lnvwce In ..................... ...... 11 .................... WSW Q https://portal,rnobileminl.com %o (800) 78 al 500, Option I yo U Mftwn re upwWW% br 'he Invoko bar it ft re is art inn wiM ywr rWhcd atpaymorij, LaW 14ps and Infamst chargas may be amonsad 0 puynwrd Is jwt mado waft terms. Thank you for your businessl 524#i0$?( fi4u""-007" PLEASE R9MIT WITH PAYMENT ............ ..................... INVOICE TOTAL $2,259,57 Invoice #.@ 9019429394 Due Datet 11/15/2023 Customer: CITY OF MOSES LAKE Customer #, 10452459 PLEASE REMIT T046 WILLIAMS SCOTSMAN, INC. PO BOX 91975 CHICA 60 IL 60693-1975 Page 17 of 3-1 Int: TMPLCA2 6203200000 11/30/2023 12126/2023 $13,1901.91 Customer City of Moses Lake (ContinUed) $20.00 Pa'yments $0.00 Service Address.-, 1045 Broadw�j AvE Slep NOVAS e _ping..�enter, Moses Lake WA 98837-0000 - , (Eontlnued) 4"Wo"am". OWN- Col - basic Charge 32, Days @ $0.57 $18,24"'. Billing Dernand: 23.628 Power Factor: 100.0000% Rate 2 - General Service CURRENT CHARGES $20.00 Millin 10/12/2023 - 11/10/2023 Usage History (in KVVH) 0651 ----------- Prior Balance $98079 Payments $0M 8521 Balance DUE IMMEDIATEL Y S�.9. L, 79 Basic Charge 30 Days @ $0,72 $21 M Energy Charge 3,907.827 kVVII @$0,04389 $171.51 *44SUS TO TA L ENERGY+,** 4260 CURRENT CHARGES g CURRENT AMOUNT DUE "291-90 0 N6v* Doc Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov 2W2 2023 Service Address: Ne ell Landing Park ChrIstmas LI s, Moses La WA 98837-0000 Usage Kstoq (in' KVVH) Rate I - Do rhestic Service E!TnEEertr�d:._ 10113/2023 - 11113/2023 Prior alance $20.00 Pa'yments $0.00 Balance DUE IMMEDIA TEL Y LO basic Charge 32, Days @ $0.57 $18,24"'. Minimurn Charge, Addition $1,76 CURRENT CHARGES $20.00 CURRr=NT AMOUNT DUE $40.60 0 --- Nov Doc Jan Peb Mar Apr M ay j6h Jul Aug So . p Oct Nov 2022 2023 Service Address:: 10000 Interstate 90 E Radio Moses Lake WA 98837-0000 00000002 0000019 0017-0031 TGC STMNITI 2012302253101 L 00000096 �6J Water Consumption 58500 52650 46800 409,50 35100 29250. 23400 17550 -11700. 6850 .0 M NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV 22 22 23 23 23 23 23 23 23 1 23 23 23 23 CITY OF MOSES LAKE P.O. BOX 1579 Moses Lake, WA 98837-0224 (5019) 764-3719 or (509) 764-3715 WwW.CityOfmi.com / ub@cltyofml.com This stub ensures that your payment is processed accurately. CITY OF ML C/O PROJECT OPEN DOORS PO BOX 1579 MOSES LAKE WA 98837 - - - - - - - - - - - - TOTAL DUE .$732.86 12/30/2023 $732.86 . . ............. 1049 E BROADWAY AVE air 27098400 ....... . .. Plea*se M� �ktfi6-6k-pa��6re-T-6 ffii CITY OF MOSES LAKE P.O. BOX 1579 Moses Lake, WA 98837-0224 �.-......._...... -------- - Y OF MOSES LAK ----------- F DUE DATA .....------- ACCOUNT NO. P.O. BOX 1579 ---- - ------- 12/30/2023 27098400 Moses Lake, WA 98837-0224 BILL DATE AMOUNTDUE (509) 764-3719 or (509) 764-3715 11/3012023 $732.86 www.cityofml.com ub@cityofmi.com SERVICE LOCATION .......... ............ .......... ...... . ... 1049 E BROADWAY AVE . ...... READING DATES PILL146' METER READINGS USAGEA PREVI OUS PRESENT I DAYS PREVIOUS PRESENT H RGE DESCRIPTION AMOUNT 10/20/2023 11120/2023 31 111534 113330 1800 I WATER METERED Usage, Register 1 WATER METERED Fixed Charge 116.12 1 1800 WATER METERED, Tierl 19.26 SEWER Fixed Charge 42,801, 1800 SEWER, Tier I 34.38 STORM WATER AMBULANCE 66.24 SERVICE 14,46 COMMERCIAL DUMPSTERS 374.30 UTILITY TAX 65.31 Water Consumption 58500 52650 46800 409,50 35100 29250. 23400 17550 -11700. 6850 .0 M NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV 22 22 23 23 23 23 23 23 23 1 23 23 23 23 CITY OF MOSES LAKE P.O. BOX 1579 Moses Lake, WA 98837-0224 (5019) 764-3719 or (509) 764-3715 WwW.CityOfmi.com / ub@cltyofml.com This stub ensures that your payment is processed accurately. CITY OF ML C/O PROJECT OPEN DOORS PO BOX 1579 MOSES LAKE WA 98837 - - - - - - - - - - - - TOTAL DUE .$732.86 12/30/2023 $732.86 . . ............. 1049 E BROADWAY AVE air 27098400 ....... . .. Plea*se M� �ktfi6-6k-pa��6re-T-6 ffii CITY OF MOSES LAKE P.O. BOX 1579 Moses Lake, WA 98837-0224 Basin Septic Services Inc. "20 S Hamilton Rd Mos-�,.i Lake. WA 98837 Plione # 509-765-4002 Fax # 509-765-7384 Bill To: City of Moses Lake P.O, Drawer 15719 Moses Lake, WA 98837 Invoice Note Invoice # INVOICE I I / 18/202.3' T69088 slob At. City Of Moses Lake 0\1 Broadway extended & I-lighway 17 Moses Lake WA 98837 fp 9 a 0000*4 go** 'TLEASE PAY !THIS AMOUNT 40400 4h 40 A A 0 6 6 Make checks payable to: Basin Septic Services Inc, Incusc cheack box if address is 'Incorrect or has chmiged, and I lave E -Mail? Please %%Allc it here: indicate change(s) on reversc side. �006%40 40MMM am W iw� mobabob V& Basin Septic Services Inc. PLEASE DETACH AND RETURN TOP PORTION WITH PAYMENT *220 S Ham'11ton 0 Moses Lake. WA 98837 P.O. No. Terms Due Date Rep Project Net 60 1/17/2D24 city or ML -Broad, Description Qty Rate Amount saftitizer Stations - - 1012212023 - 11118/20*23 21 110.00 220.q00 Subtotal Sales Tax (8.4%) THE RE WILL BE A $35 C14ARG1'!*# FOR ALL RETURNI'11) CHECKS. Total FINANCE l-IARG ES ON 30 DAY PASTDU E. ACCO(JN,rS,. ARE 1.5% PER MONTI-I WITH A $5.00 MINIMUM. Payments/Credits Billing Inquiries? Call 509-765-4002 Balance Due $220.00 WOO $220.00 KOO ... ....... $220,00 PROPARIE CITY OF MOSES LAKM P*O BOX 1-5-7 9 D40SES. LAKE WA 9 -BB -31 -SIA cusn'. ou.-DER. -No. Vinut"UAT k 3.1/27/239-99 SLEEP CEN71ER fu TA ACV4,tv ACC1,11"NOt 1.444 C IT M.O..S., 3,5 3 3 5 11/27/23 LOC I C-ITY OF MOSES LAKE PO BOX 15 7 9 DOCK MO S LAKE WA 98837 $39,13 SHIP VIA 9450 PROPANE LIquid Bulk Dock State Sales A rA- DAT 353.3.5 UNITS UNIT PRICV-2 GAL 3- 000 36 3.03 IMARLE W7 I. tjj�­zl $36.1.0 4m 13 VWAIL� 815 North Stratford Road, Suite A Moses Lake, WA 98837 509-764-0337 r 11/20/23 1 :04 Pm Store ; '002.55 Trai is 7845 001 Reg " Ti I I: 4. 0 Cashier: Michael Sales: Michael ............ oo2s5oonea5zoz3t 120 Yo Easyl-ock Cot 75 75 69499 T 6675$13 Orioinal- P r i CL.3-0: @ 619.#-.99 Y0 4 1 i EasyLoc k Cot 75 *75 69s99 T 6675813 ar'igirlal Pri.ce# 1 69o99 Subtotal 13938 Sal es, Tax 8.,4000% 11,76 Total 1 a74 Credit 151474. -Card V a ACCOUrft,, 1732 Aute 644343 (A) J.,er 'mi 'L na I - ID 8719458 Application Name. V118A CREDIT Veri f 1(oat i o"m .Card Entry Mbdeso Chip Read Chip" ItIdicator; CONTACT Auth toode: ISSUER ICC Details Appl jCat 1 on ID: A00.00000031010 Tbrmiria l Verif !cation Result, 8080008000 IS uer* Appl'cation Data:- 0601120360ACJOO Transactiref) StatLIS Inn orm'atiars ! 6800 AUthorization Response Code, 00 Total Tender 151.74 Change Due 0.00 Number of Items Sold: 2 CLIStomer Copy it SPORTSMAN'S 0 --Mn N ISTRATFIRD ROAD CTE. A MOSES LAKE, WA 98837-1573 509-761-7200 !�Vctp ceAA-or Customer N r i A STEVEN MIUGNOS Cristomor Id .. 1320296 ADVENTURER CAMP IG'OT 109M T SUBTOTAL Sales Tax 0 8o400% 9,24 TOTS 119.23. VISA 11. VISA S%ALE $119423 X 1 XXXXXXXXXXXI732 CHIP APPR: 6.70013 JOUR NAL3*1 0179910051508606 AID: AOC OO000031010 Ap)licatitonl Lab $ VISA CREDIT :Cryptogram Type: TC .1, FB Cryptogram: 3203.DB163 FG7 Lova ltv ld;­ 100110458393 Loyalty Status: Reviard Avadlableo' $0*815 Tran.Cod6: 078 1GBK 007 0058 I ion IIIIIIIII lll�llll 0 7: B G B K :0 0.' 7 -0 0 5 8 0070551 7 #5 Register-, REG7 Nov 20 2023 2-918 PM il - 1hank yott for s*hqp'P'1ng_ at- 3PORTMANS WAREHOUSE*' PLEASE -NOTE4 We have opdated OLIH, return policy, which is available at mm , spo rtsimns . com/ retu ms, Thi' s updated polloY replaces, the, policy pri I nt.ed mthe bal(--lik of Nis recel ipti 41 d YOU get 5 points per $1 spent -today? If not, apply for an Explorewards credit card and stal't earning points for free gear! PACIFIC SECURITY a-djv of Parker Corporate Svcs 2009 Iron SIreet SECURITY Belfingha,in, WA 98225-4211 UNITED STATES (800)-743-2737 MOSES L03 0 - City of Moses Lake L Stephanie Novak . 401 S Balsam St D Moses 1.arce- WA 98837 PAGE 1 INVOICE DATE 111.30/2023 INVOICE NO 49225 S i Moses Lake Sleep Center H 1045 E Broadway Ave P tvioses Lake, VVA 98837 T T 0 0 TOTAL DUE 7,854,54 SL81 SLS2 DUE DATE DISC DUE DATE ORDER NO ORDER DATE SHIP NO 11130/2023 11/30/2023 .649 11130/2023 TERMS DESCRIPTION CUSTOMER PO NO SHIP VIA SHIP DATE LIC On Receipt, NILA - 1 . 1130/2023 ITEM 10 TX CL UNITS ORDERED SHIPPED UNIT PR'ICE ------- - -- EXTENSION Guard Service PAO 0 263.17500 '261-7500 28.3300 7,472.04 Holiday (W) 019.00010 4245000 .382.50 Morith of Service - W 0 1--0000 1"000 0 0=00 0.00 November We appreciate your business. Foderal Tax ID 91-2071184 TAXABLE NONTAXABLE FREIGHT SALES TAX misc TOTAL 0.00 7,854.54 0.00 0.00 0.00 7A854,54 TOTAL DUE 7,854.64 b1290010 Og4 00 Parker Corporate Services Page: 43 Billing nary (Detailed) 121005#2023 12:59 ���=aaa=C�rss�xsaa���saQs��aa�e}st�¢Q=wxxaQisa�aaa�a�as�gaseR � ���aaaca=a�sra���-ss�nsa���rnss�c�.=.=aassaasa*�aasza�a��se�sas�aaaar.�-lamsz���sss�rs����xaaza=aa������==;:rte w---/--yam----+�+-aaa f:rfia�wara.i r-�-tear----.f ir.� aaa W terra �� � �a.pi. �.wa.. +►saaa���w�:a for r: 3306 City 4f Moses Lake r�}a.{�wa,�aaaa aaaiaa7l.aaaai ar.raiwa as aaa-------tea aaara�a. aaaarir�.. site; 2 �S1eep Center ��: aaaaaar����.rr��s.�:s--------r a.���r .�+rr��►--:r Status: aaa r r:waaa ar��r���aaaa A SillCycle-.PSW a ar r.waa--a--f--arae as Date State a aa--r-ias-- sfa�ara-----ara�}+r�a*aa sa�aawa Dept in out +�r,'�,r�a. Break to ra as a-----r--------�-r�,p��a:saaaii/.r�e.a�arr. Total Hours Rate Amount 31/4DI/2023 Lock 80£34 Monscm,, Cody --a-------sok--«a-a- K110 00t00 06:00 0.040 VlwwwwW- asa 6.000 Standard ara•+ 6.000 28.330 a a a a Wr era IIS9.98 21/01/2023 Lek 80634 Monson, Cody MIIO 21:00 00:00 0,000 3.000 Standard 3.000 28.330 84.99 11/02/2023 Luck 80834 Monsons Cody M11+0 00:001 06:00 0.000 6.000 standard 6.000 28.330 169- 96 111ID2/2023 Lock 80567 Gutierrez, Car M110 21:00 0000 0.000 3.000 StA30dard 3.000 28.330 84..99 11/0312023 Lack 80567 Gutlexr8z: Cmar 1 III 00:00 06:00 0.0001 6.000 Standard 6.000 25.330 169.99 11/03/2023 Lock 80567 GLItieryez, NIIO 21: OiD 00:00 0.000 3.00{0 Standard 3.000 28.330 84.99' 1.1/0413023 k 80567 Gutierrez, OmaL_ Omar {� N110 00:.DO 06:00 0,000 6.000 Standard r+d �1� 6.000 28.330 16.9.98 11104/2023 ilk 80567 Gutierrez, Omar. M110 21:00 00:00 0.000 3.000 Standard 3.000 28.330 84.99 22/05120123 L=k 90567 Gutierrez, Omar M110 00:00 06:00 0.000p 7.0030 Standard 7.000 28.330 398_31 11/0512023 Lack 80567' Gutierrez, Omarr M11.0 21:00 00:+001 0.1000 3..000 Standard 3.000 38.33€3 84.919 11/016./2€323 L=kk 80567 Gutierrez, �I► H110 00:00 06:00 0-000 6.000 Standard 6.000 28.330 1.89,.98 21/06/2023 Lock 80634 man,, Cody M1.10 2100 001:00 0.000 3.400 Standard 3.000 29.130 $4.99 11107/2033 LOCk 80634 Mons=, CcKly M110 00:00 06:00 0.01+00 6.000 Standard 6.000 28.330 3.69.98 11/0712023 Lack 80634 Monson, Cody M1.10 21:00 00:0113 0.000 3.000 Standard 3.03€ 0 28.330 84.99 1.1/08/2023 Lock 80634 PI=ZCOv Cody M1101 00:00 06-900 0.000 6.000 Standard 6.000 28.330 169.98 11/08/2023 Lock 80634 X=souo Cody KIIO 21:00 0 3 :00 0.000 3.ODO Standard 3.000 28.330 84.99 11/09/2023 'Lack 80634 Mansur, Cody K110 00:00 06:00 ft -000 6.000 Standard 6.000 28.330 169.98 21/0912023 Lek 80567 ttierraz, cmar K11O 21:00 00:00 O ,.000 3.000 Sta=lard 3.000 28.330 84.99 11/10/2023 Lock 80567 Gutierrez, Omr H110 00:00 06:00 0.000 6.0€10 Standard 6.000 28.3302 169.98 21/1012023 Lock 80567 Gutierrez, Omar M114 21.:00 00:00 0.000 3.000 Standard 3.000 29.330 84.99 11/11/20123 Lock 80567 Gutierrez, Omar 14110 0000 09:00 0.000 6.000 Standard 6.000 28.330 163.98 21/11/2023 Lcck 00567 Outierr.ez, Omar 14114 21:Oil 009-06 0.0100 3.000 St;.a=da4rd 3.000 84.99 21/12/2023 Luck 80567 Gutle+.+ryear, X110 00:00 06:00 0.000 6.0:00 Standard 6.000 y26.330 28.330 169.98 1111,2/.2023 Lock 80967 Gut% ez, C=dr M110 21:80 00:00 0.1000 3.0100 9 M. - __5 3.000 28.330 84.99 21/1312023 Lock 80567 Gutie=ez, Omar KIIO 00:00 06:00 0.000 6.0010 stadard 6.000 28.330 169.98 11/13/2023 Lock 80634 Nmscm, Ccdy KIIO 21:00 00:00 10.000 3.000 Standard 3.000 28.330 84.99 1111.4/2023 Lock 80934 Xonsem,, Coda KIIO 00;00 06:00 0.000 6.000 Standard 6.000 28.330 1.69.98 1.1/1412023 Lack 80634 Monson, Cody K110 21125 80:00 0.000 2..750 Surd 2.750 28.330 77.91 11/151.20323 l k 00634 l=oom Cody M11O 00:00 06:00 0.000 6 400 Standard 6.000 28.330 169.98 11/18/2023 L=k 80634 Mws=, Cody XIIO 22100 40 :O0 0.0003 3.000 Standard. 3.000 28.330 84..99 11/1.6/2023 Lock 806.34 $# =mr Codi' X110 00:09 06:00 0.000 6.000 Sta=Jard S-000 28.3.30 169.98 11/16/2023 Lock 8080 (;utxerrea, Omar KIIO 21; 00 00:09 0.000 3.000 Standatd 3.000 28.330 84.99 11/1712003 Lock 80567 Gutierrez. 0 r Mi10 00:00 06:00 0.000 6.000 Standard 6.0010 28.330 169.98 11/17/202a Lock 80567 Gutierrez, Cmar 1411.0 22:00 00400 0.4002 3.000 surd 3.000 28.330 84.99 12/18,x2023' LoCk 501567 t utse orez, Omar 14110 00 -WOO 06-0-00 0.000 6.000 Sta da>rd 9-000 28.330 16-9-98 21/18/20323 Lock 8OS67 Gutierrez, Omar M31O 21.0001 00:00 0.00202 3.000 sta=brd 3.400 28.330 84.99 11/13/2023 Dock 80557 Gutierrez, Omar H110 00-00 06;00 0.000 6.000 Standard 6.+000 28.330 169.98 11/19/2023 Lock 80567 Gutierrez, C=r M110 22;00 100:00 17.000 3.800 Standard 3.000 28.330 84.99 11/2012023 Lock 80967 Gutierrez, cAmar 1+1110 00:00 06:00 0.000 6.0001 Standard 6,000 28.330 169..98 11/20/2023 Lock 80634 Mo=cnr Cody NIIO 220-100 00:00 0.000 3.000 Standard 3-000 25.330 54.99 11x'22/2023 Lek 80634 Vfo=cn, 'Cady 1311{3 00:00 06* -00 0.000 6.000 Standard 6.000 28.330 169..98 21/21/2023 Lock 80634 Konsoaj. Cody N7.10i 21;00 00100 0.000 3.000 Standard 3.000 28.330 84.99 21122/2023 L=k 84634 Monson, Cody N110 00:00 06:00 0.000 6.0001 Standard 6.000 28.330 269.98 23/2212023 Lock 90634 K=son,, Cody NIIO 21:00 00:00 0.000 3.0€30 Standard, 3.000 28.330 $4.99 11123/2023 Lock 80634 Hinson, Cody 1111.0 04 t o0 '06 *-00 0.0010 6.000 Stmt 6.0100 42.495 2S4.97 11/23/2023 Lock 20367 Gutierrez,, Omar X10 22100 00:00 0.000 3.000 stat 3.000 42.495 127.49 11/24,x2023 Lock 5.0567 GUti erre2, OMar N116 00:00 06 ; 00 0.0003 6.700 Standard 6.000 28.330 169.98 U190010 09400 Parker Cbrporata Services age: 44 sac r= =ra�ar Billing summary (Detailed) 12/OS/202312 ,59 AA Af1fgM.F __tl---1TTwa-a__slililr!-w!!!!a-Ylrrww-_a _aaa.^1liiJ4af ia�+r-----.�,l-l7A. .l�•ww4bi-a!-ff4&f}!a+!----- -- ii 44t 4-alw-!!w♦��-f!'!-iYi-wa-.ta.t i•+rF_a+O.l�l�l�isi r-ri-iy tomer: 3306 City Of ses Lace Site: i Sleep Center Status; A hill cycle: t+ar.r� • •! � i � YY- ----_a-la+li iii #i#iMY--- --- -y-� �'+. �=a w 1r1 : a---- -�.-i1 it a. r y f -_--- . . � s-! � • f iii i -war-a a#-: _f -_--! W-t�.-i iY..w Iiia ii r-!# -!#'! w i 1.!=_ awa!!!!if La lW!! i8 Date Stet Ergployee Dept In Out Break Total. Type Rcurs Rate Aunt. asliM-0*i--..----------wiaf--aa�qwwsarrar-amt:-_Waa�tarr,rariiMa-Awa;Mw.�-ft tr--a----a-wwiwi�.arra-_tea--.+►�sas---ww:a-a��i Lyra-wararrw.r 11/24/2023 Lock 80567 Gutierrez. OMtr MIO 21:00 Go. -Do 0 . 000 3.000 Standard 3.000 28.330 84.59 11/2S/2023 Lock 80567 Gutiexrez, Omar 14110 00:00 05:80 0.:000 6.000 Standard 6.000 28.330 168.98 11/2S/2023 Lock 805-S7 Qutierrez, Omar M11021: f�#I 0#�: 00 0.000 3.000 Staadaxd 3.000 28.33 04.99 11/26/2023 Lock 80�5� tt�.err+a�, Omar14110t��}: oo 05: 00 0.000 G, 000 Standard 6. 00fl 2@.330' 169. 98 12/26/2023 Lock e��s� t�.er��� vmar X110 21.3 Qi�:00 0.000 2.500 Standard 2.500 28.33 70.8331�2��2D23 Lock 8ft5�� tierre�t Omar X110 00:00 06:00 0.000 6.000 Standard 6.000 28.330 169.98 ��.����.�� ����� Monson,Cody, 3.a/28/2823 lock 80634 0S34 Mon� Cody H210 � 2L&00 L:00 00:00 0.000 .000 3a0t0 Standard 3.000 28.330 84.99 11/4812023 Lock U614 on, Cody .IO 80r00 09;080.0046.000 Standard 6.000 28.330 169.99 11/29/2023 Lock BVS34 VjFQon, Cody 14110 21:00 08:01 0s:00 3.000 Standard 3.000 28.330 84+99 11/29/2023 Look 80934Kons=r Cody Y 00:00 06t 00 0f000 6.000 MtMMi36•000 29r330 269i94 33/3€{2023 Lock 80539 KGwR Cody XiiO 21i00 10a00 c♦000 3•000 standard3.000 28.330 84.99 I0 �'�]too 06:00 0.08 6.000 Standard 6.000 28.33 169.98 11130/2023k 80634 �ia�,�zs� �kx3y �+[3.iQ 21-00 23:3 0.000 2.500 Standard 2.500 28.33{ 70.8311/3012023 Lek 80651 Trinidad rtine�, Ana 3V 2L-.00 08:00 0.000 3.000 Standard 3.000 28.33 0 Al 8!19 272. fSO 7, SSS .71 All H0=8 Amount on4 w -a -w aww i_a1i- rSYil--_aw aww!lwwws iil- wwrw!•iiril7'-!.F St ed 263.'750 71472. OS }OT 0.000 0.00 i►fr i 0.000 0.00 Stat 9.000 392.46 03bill 0.000 0.00 other 0.000 0.08 272.7SO 7sBS4.51 Allcwa=es 0.00 Total With A LOWAncas 7, 954.51 Hca=aaQaaaa�eGzgst�