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�