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HomeMy WebLinkAboutGrant Related - BOCCGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST SUBMITTED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: DYES 0 NO DATE:2/26/2024 PHONE:eXt. 2937 Rescue Plan (ARPA) fund award previously approved. DATE OF ACTION: d APPROVE: DENIED ABSTAIN D1: D2: �.. D3: DEFERRED OR CONTINUED TO: ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ®ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑Minutes ❑Ordinances El Out of State Travel ❑Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑Recommendation El Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Reimbursement Request from New Hope in the amount of $24,142.18 from American Rescue Plan (ARPA) fund award previously approved. DATE OF ACTION: d APPROVE: DENIED ABSTAIN D1: D2: �.. D3: DEFERRED OR CONTINUED TO: I New Hope ARPA I ITotal Signature $24,142.18 Jan -24 128-170-00-8021-565501100 $12 1 .061.09 Salaries 128-170-00-8021-565502*** $4,788.20 Benefits 128-170-00-8021-565503100 $111.35 Goods & Services✓ 128-170-00-8021-565504100 �- I_ 128-170-00-8021-565504107 $168.02 Janitorial r 128-170-00-8021-565504201 $18.02 Office Phone 128-170-00-8021-565504202 128-170-00-8021-565504700 $200.27 Office Utilities 128-170-00-8021-565504580 ' 128-170-00-8021-565501124 $207.48 HR Service Fee ve" 128-170-00-8021-591657000 128-170-00-8021-591657001 $945.96 Office Lease Loo' 128-170-00-8021-565504696 T$5,641.801 Liability Insurance ITotal Signature $24,142.18 Invoice Documentation Form: Goods & Services Worksheet Agency Name: Invoicing Period: Grant County New Hope Jan -24 Purchases by Vendor and items Vendor Items Expense code Total amount of bill Total amount billed to ARPA AT&T Office Phone 565504201 $ 55.08 $ 6.74 Century Link Office Phone 565504201 $ 92.16 $ 11.28 � Lindsay Water Office Supplies 565503100 $ 86.72 $ 13.28 Devries Record Mngmt Office Depot Document Shredding Office Supplies 565503100 565503100 $ $ 13.80 393.89 $ $ 2.11 60.33 Mario Padilla Office Utilities 565504700 $ 11635.68 $ 200.27 Mario Padilla Office Lease 591657001 $ 7,726.21 $ 945.96 � PB Janitorial Janitorial 565504107 $ 950.00 $ 116.31 US Linen Janitorial 565504107 $ 184.08 $ 22.54 GC Human Resources HR Service Fee 565501124 $ 1,354.67 $ 207.48 Staples (Visa) Office Supplies $ -565503100 45.51 $ 6.97 r Walmart (Visa) Office Supplies 565503100 $ 124.56 $ 19.08 t Amazon (Visa). Janitorial Supplies 565504107 $ 238.26 $ 29.17 Amazon (Visa) Office Supplies 565503100 $ 62.56 $ 9.58 GC Auditor 2024 Liability Insurance 565504696 $ 46,080.00 $ 5,641.80 Total Charges 1 1 $ 59,043.11.8 S 7,292.90 �OL ri.L ICL� l ARPA = County (8021) Agency Name: Invoicing Period: Invoice Documentation: Salaries Grant County New Hope mw� Jan -24 Total Salaries: $1,21061.09 Invoice Documentation: Benefits Total Benefits: $4,788.20 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: ATT PO BOX 5075 Carol Stream IL 60197-5075 Document Number 0302616606001-010424 Description: Office Phone ---------- Purchase Order Number VendorlD ATTO I Page 1 / 1 Invoice 0405582 Date 1/9/2024 Shipping Method Subtotal Mist Tax Freight Trade Discount Payment Total Due Payment Terms'I'D NET 30 Amount $55.08 $55.08 $0.00 $0.00 $0.00 $0.00 $0.00 $55.08 . .. ..... �F A w . . ...........0. . TTTT_ ............ . . .. ........ V iiMM .................. 44 ........... ... . . ...... .......... ........ 6 ..... .......... ........... .......... ... ...... - .......... ..... . . 030 261 6604 001 JAN 4o 2024 JAN 30t 2024 &WMM 000002088 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 0U,MBER: 509 764 840 -------------- 0-7! ..... ... .... ... ... ... . ........ ............ . ... ...... ..... . . .... .......... .. . .............. ......... .. ........... ............... .. ... ....... ....... ..... ..... .... ....... ..... . . . .... ...... .... . ... iW a-0 . ......... AT&T All in One Service ACCOUNT STATUS AT&T LONG DISTANCE TOTAL SERVICE CHARGES SURCHARGES AND TAXES *36.06 *36.0+ *19.02 PREVIOUS BALANCE PAYMENT RECEIVED ADJUSTMENTS TOTAL CURRENT CHARGES X48.93 X48.9 cR $0.00 $55.08 TOTAL cRENT CHA E w TOTAL AMOUNT DUE See Summary of Charges Pape for details Pay online at ww ............ w-attcom/PaYmYbill News From AT&T Just For Your Business See next Page for more news! Login now at http://Www.att.com/loginnow to view your billing call details online. Then, when You're ready, select your preferred method of payment: PAY ONLINE - Once logged In) click "Pay Your Bills" to setup one-time or monthly Payments With a credit card or bank account. PAY BY PHONE - Call the toll-free number at the top of this page to setup a one- time Payment with a credit card or bank account. PAY BY MAIL - Submit the lower portion of this Page with 'a check payable to AT&T. Whatever's most convenient for you'. You can manage all of Your ordering and billing inquiries with just a click. Visit us at www.att-com/customercare for details on AT&T on-line customer service. :77T .. ..... _T . .... .:7777 .. . ........ ............ ... ............ 4 . ..... ust b ... . . .......... ............ . . .. .. ...... ........... . ....... __y ..... ... ...... ... -W wo, hunw. '0 .... . ........ ...... ................ . our: .......... At... ir ............ ....... ...... h6dk*"M`8"`J P ,pay t ;,_-by, SJ M_- nee, 10�-, tow eim,.- ............. U ... ... .......... ...... ..... 1 'A' bun :.-h-UM. dr. T-I'TT 1W ...... .... 151 1 :%is.: -not -4. w. _.e y- ........... ply,_x. .�-y..q j- Ine rdn ...... .... ..... . . ...... .. ...... .. ...... ... ... S&V S Www- xd g ...... ..... "T M lmbw� .. 1010cu .... .. .... . ....... .... ..... . .... ..... ......... . .. ........... ...... ........ ... .. ............. ... ...... ... ....... .... ...... ........... bW *W Ift IM W "o 4W siw 000 w ol. b" mb *A iY Aw w* w Im ow — —alts — K,* ow 7lS ;o" "ft "% MM wh N* N* aw —A* me m of ow vW TO ENSURE PROPER CREDIT, PLEASE DETACH THIS PORTION AND RETURN WITH �,Ei��TT � E* OD0000 2 .00 S11 I hil 1111, 11111111,11 Ill 111111111111111111111181111 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 Check here for name/ address/telephone AT&T number corrections P 0 Box 5075 only. See reverse side. Carol Stream, IL 60197-5075 11 111111 111111111111 Ill hi 11 11111H111 11111 111111 1111 1111d 11111 SC#00_0.is Admb& ATw Account Number: 030 261 6606 001 Bill Date: JAN 4.. 2024 Payment Due Date-, JAN 30, 2024 Total Amount Due, Amount Enclosed: Is NEW HOPE DVSA311 W 5RD AVE 030 261 6606 001 JAN 4, 2024 JAN 30t 2024 MOSES LAKE WA 98837-1905 TELEPHONE NUMBER: 509 764 8402 .............. _....._.:................. ._................. 7. a... . ... . ...... ...........,_..............._...._ ..... . t..... ......:................... .... . a. 'Aff ... a. - .au.. .f,.. ;tt - t' &��'! . .... ...... -.l�tr4 '�!'7 7lde'. ...... .............. Account Status Various billing options are available to meet Your business needs. Please contact Your Account Representative at the number on the top of your bill, Regulatory News Attention Customers in Maines North Carol nao Nevada, Utah and alifornxa: If you do not PaY your bill by the due date) and the outstanding balance is 25 or More, ATT may assess a charge of *5.00 or assess n interest charge of up to 1.5% of the outstanding balance t as permitted by law. . ►.In Maine and NorthCarolina themaximum interest i 1i. In Utah and Nevada w1a maxim interest i 1s5f01 - Attention Customers with Service its All States, Except AK.P,IN NY, F x TX,. and AT&T intrastate, interstate, and international, services are provided by AT&T Corp. To view service publications, go to www.att.com/servicepub 1ications and click on Service Guides and/or Tariffs. DO NOT CALL If your business makes outbound telephone solicitations, You must comply with federal do-not-call.Laws and regulations (47 C.F.Ro. • 120 n 16 C.F.R. 1 and any applicable stalaws. AT&T Calling Card is a US -based telecommunications service provided by AT&T Corp, Worldwide access is provided on a bilateral basis in cooperation with AT&T's correspondent carriers in non -US jurisdictionst and In accordance with the Regulations o the International. Telecommunications Union, as applicable. FEE DESCRIPTIONS The Administrative Expense Fee recovers a portion of AT&T's internal costs associated with the Federal Communications Commission's Universal service Fund and related programs, The Federal regulatory Fee recovers amounts paid to the federal government for regulatory costs and telecommunications services for the hearing impaired, and costs associated with local number portability administration. These fees are not taxes or chanes that the government rewires AT&T to collect from its customers:, (B419) Bill. Period is the monthly period that the customer's bill processing began and ended. Your monthly bill will include some charges that are billed in advance and others that are billed in arrears* Local Lane charges, Local Monthly Recurring Charges C RCsl, and usage charges are billed in arrears. Toll Free MRCS are billed one month in advance. (8415) - . .... _........... _ ....._......... �... . r. iii •:a" .a: - -- ------ --- . . . . .. . . . . . . . . . . . . . . . . . . . .......... .......................... ........... 030 261 6606 0ol JAN 4t 2024 JAN 30t 2024 ............ ...... ..... .... ..... ...... .............. ... ......... ... I. t. Regulator Y News 000002091 Page 4 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 TELEPHONE NUMBER: 509 764 $402 ........... .. ............ ................ .. .......... .......... ... .......... ..... .. . Or . ....... ... ..... .. . ..... . .... ...... ........... - ---------- .............. . ...... .... A! j 07 .0 'S Attention Customers: Tf you do not Pay Your bill by the date it is due, AT&T may assess a late Payment charge. The rate shall be 1.5% Per month (18% annually) unless an applicable law or regulation specifies a lower rate to be chargedy and then that lower rate shall apply. Alternativelyl t a minimum ate Payment charge Of . 05.00 may be assessed if Permitted by applicable law or regulation. In Maine, the monthly rate for 2023 is 0.267%. (B333) ****Important News About Your Account**** You are requested to Provide in writing to AT&T, within six I months of the date of this bill, any dispute with respect to the charges on this bill unless a different notification period applies under Your contract State Tariff and/or Service Guide. You can reach AT&T either by using the toll free number on Your bill, or in writing at the remittance address listed on your bill. http:llserviceguide-att-cool servicelibrarylburine. sslextlstate—tariff—buss.cfm Attention Valued AT&T Customers, Federal regulation requires AT&T to inform our valued customers that basic local services will not be disconnected for the non-payment of Your non - regulated service charges. To avoid collection activity, please remember to PaY all charges by the due date. In addition., you may experience disconnection of your basic local service if payment i's not received for the Long Distance portion of your bill except in the following states of; Alabamay Arizona Californias Coloradot Hawaii Idaho, Indianap lowap Maryland Michigan) Minnesota Missouris New Mexico, New York New Jersey, North Carolina, North Dakotas Ohio, Oklahoma, Pennsylvania, Texas, Utah, Vermont, Virginiat Washington, and the District of Columbia* Attention Customers in Oregon and Washington: Any intrastate services you subscribe to are provided by AT&T Communications of the Pacific Northwest, Inc.. and any interstate/international services you subscribe to are provided by AT&T Corp, To view service publications go to: att,com/.servicepublications and click on Service Guides and/or Tariffs. Basic local service and other regulated services will not be disconnected for the non- payment of charges for non-regulated services. Non-regulated charges include Wireless, DSLY Internet Acress inside wire maintenance plan and other fees surcharges and taxes. Your account will be considered delinquent if we do not receive your payment within 11 days after the payment due date. ........... . .............. ...... ................... .......... ........... .......... ............ ............. . ......... .... .......... ........... ......... . .......... ........ .......... ................... . . .. ........... ........ .-.111 :1 ............ ........... ...... ... ........... ...... . ......... ...... ........ ......... . ......... .......... .................... -U .......... umb-e ................ ....... 030 261 6606 001 JAN 4, 2024 JAN 30, 2024 ...... ...... ... .... .......... ..... .... ... ......... ........... ....... .... . . ..... .. .. ....... . - .......... -7-VIC. ...... .... .... er 1 _e:,. 7'," 7:- ........................ Regulatory News 000002092 Page 5 NEW HOPE DSA 311 W 3RD AVE MOSES LAKE WA 98837-1goS TELEPHONE NUMBER.* 509 764 8402 .... .. .... . .. ... . ........... ..... . .............. ........... ... ... . ..... .... ....... .......... ... ....... .... .. ... .... . ... ...... ­ . ........... .. . ..... . .......... ... ....... F _a .. ......... Attention Valued AT&T Customers: If your Invoice includes any back -billed charges, you have the right to Pay these charges in full with Your regular bill, or to call AT&T to make reasonable payment arrangements. You may choose to pay the back - billed amount in monthly installments equal to the number of back -billed months. Please take note that you must pay the full amount of Your phone bill each months including installments to repay back -billed charges, in order to avoid Possible disconnection and other charges and penalties. If you are interested in using this PaYment method for any back -billed amount, Please call AT&T on the toll-free number located on your bill. The terms, conditions and charges that aPP1Y to all Your detariffed AT&T services can be I viewed at the AT&T web site: http://www.att-com/agreement. Important limits of liabil3ity aPPIYP including: AT&T is not liable for indirect or consequential damages (such as your lost Profits or other economic loss) and direct damages during any 12 months cannot exceed one month of Your Payments for affected service. Additional terms, conditions, charges,* Penalties and Price change information for all detariffed business services can be viewed at httpi-I.//ww*w,att.com/serviceguide/busi'ness. Price changes will.be posted at this AT&T web site before they apply to your bill. if you do not have access to the Internet, Please contact Your AT&T Sales Representatives or Customer Care Center for information. Thank you for using AT&T where every customer counts - ----------- - ..... ..... ...... . .......... . . . . . . . . . . . . . . . . ........... ... ............. - - ------------ . ...... ................ . 030 261 6606 001 JAN 4, 2024 JAN 30t 2024 000002093 Page 6 NEW HOPE DVSA 311 W 3RD AVE MOSES LAKE WA 98837-1905 000002094 .. .�!� j ll D :1:•::Paso 7 . ........... i ,�![ ......... ..... ;. ?t: MF jss .:SII NEW HOPE DVSA 11 030 261 6606 001 JAN 4, 2024 JAN 30, 2024 MOSES LAKE VSA. 98,537-1905 000002095 age ::._ �c p . . . .. .NEW HOPE DVSA ' 311 W 3RD AVE U ( 261 +6606 Ool JAI 4p 2024 JAN 30t 2024 MOSES LAKE WA 98837-1.go5 000002096 7ttI !777771 �;l TT- . . . ... ..... . ..... Page 9 ............ . ......... Q 40 ..... ....... NEW HOPE DVSA . ..... .. ... . .... .... .... ...... ... ...... 511 W 3RD AVE 030 261 6606 001 JAN 41 2024 JAN 30, 2024 MOSES LAKE WA 98837-1905 account: 161429 8101*0 . ...... ... .... ........ ..... . ....... ........ ...... ..... .. ii��Fi . .... . . .. ...... . jr ...... ..... ........ .. ......3 .. ............. ..... ............. ..... ..... ....... ...... .... ........... . .. . .......... .......... ..... ... ........ ...... ..... ..... .... ........... . ..... .... VJ lle.- ........... ..... .... .... .. ........ . . . ... ..... .... .... ................ .. .... ................................ .............. .... . ................ T G_* Zf f .. . ....... ..................... . ... ... ..... ATIE-It-- . ......... .... ....... ...... A ...... .... ..... y . ..... .... : ... . ... V I E E -Kr ... ...... .... -A' - ---- - --- - ---------------------------------------- REI A A C ....... ...... .. ........... ...... .... .. ....... ..... .................. .......... .... ... ......... ............ .. A U NT. .................. . ... . ... 01: ........... LONG DISTANCE SERVICE OTHELLO WA 509 510-9057 7:00 0.53 BILLED NUMBER: 509 765-4346 12/07/23 1:46:09P THU MATTAWA WA TOLL-FREE NUMBER.- 8:00 888 560-6027 11 12/08/23 9:-01:35A ERI MATTAWA STATE -TO -STATE CALLS 509 932-1909 32:00 2.40 12 12/09/23 1 12/12/23 50038:58A TUE SACRAMENTO CA 916 397-7754 13 -00 0.90 2 12/14/23 7:27:53P THU RALEIGH NC 919 591-3053 64: -0 0.41 3 12/18/23 21-042-AlSP MON LANSING MI 517 505-7128 12-00 0.83 4 12/18/23 3:05:02P MON INDIANAPLS IN 317 418-6460 l**00 0.07 5 12/18/23 4:05:29P MON PORTLAND OR 971 212-7037 2:00 0.14 6 12/29/23 7-053:57A P GRESHAM OR 503 405-2213 6;00 0.41 7 12/31/23 10:22:35A SUN CHICAGO IL 773 495-1551' 2-00 0.14 8 12/31/23 110-28:22A. SUN SAN JOSE CA 408 642-9825 ll' 0.7 0.76 MOSES LAKE WA . .... ...... ..... ..... .......... .... ... ...... .... ....... . ..... . ................. ----------- ............... ...... ..... .... ... .............. ..... ...... ... . IN-STATE CALLS 9 12/05/23 8:22:55P TUE OTHELLO WA 509 510-9057 7:00 0.53 10 12/07/23 1:46:09P THU MATTAWA WA 509 932-1909 8:00 0.60 11 12/08/23 9:-01:35A ERI MATTAWA WA 509 932-1909 32:00 2.40 12 12/09/23 12-0064,46P SAT MOSES LAKE WA 509 771-1429 5:00 0.38 13 12/10/23 11 *0 03: 40A SUN MOSES LAKE WA 509 431-1175 1:OD a.08 14 12/10/23 11:09:36A SUN MOSES LAKE WA 509 989-1480 2:00 0.15 15 12/10/23 1*25:17P SUN MOSES LAKE WA 509 431-1175 1-00 0.08 16 12/11/23 4-051:32P MON MT VERNON WA 360 630-4326 2:00 0.15 17 12/15/23 9;544405A WED MOSES LAKE WA 509 750-6410 1:00 0.08 18 12/13/23 1.19:29P WED MOSES LAKE WA 509 431-8793 1:00 0.08 19 12/14/23 6:30:58P THU MOSES LAKE WA 509 770-5787 24:00 1.80 20 12/15/23 3019-.46P P MOSES LAKE WA 509 431-0768 1:00 0.08 21 12/20/23 8:02:53A WED MOSES LAKE WA 509 431-1175 100 0.08 22 12/20/23 8e WED MOSES LAKE WA 509 431-1175 1.00 0.08 23 12/21/23 9:21:32A THU WENATCHEE WA 509 423-2082 3:00 0.23 24 12/21/23 12:54-13P THU MOSES LAKE WA 509 770-4831 2:00 0.15 25 12/21/23 50--51-12P THU MOSES LAKE WA 509 764-3887 4:00 0.30 26 12/23/25 8:37:23A SAT PASCO WA 509 416-9306 5:00 0,38 27 12/24/23 9:44-33A SUN EPHRATA WA 509 754-8623 32:00 2.40 28 12/27/23 8* -48i -01A WED PA- SCO WA 509 851-7612 10:00 0*75 29 12/27/23 10-58-43P WED QUINCY WA 509 797-3760 24:00 1.80 30 12/28/23 2024:43A THU QUINC Y WA 509 787-3531 4:00 0.30 31 12/28/23 3-08-53P THU EPHRATA WA 509 398-0396 2:00 0.15 52 12/28/23 4:20-36P THU EPHRATA WA 509 398-0396 2:00 0.15 33 12/29/23 9:5554A ERI OLYMPIA WA 564 999-3479 4:00 0.50 34 12/30/23 10-00- ' 33A SAT MOSES LAKE WA 509 989-4423 10:00 0.75 35 12/31/23 5*40-20P SUN WENATCHEE WA 509 881-5182 13-00 0.98 36 1/01/24 54.31-34A MON MOSES LAKE WA 509 793-6406 25:00 1.88 37 1/02/24 2:240-57P TUE MOSES LAKE WA 509 761-1578 2:00 0.15 38 1/02/24 3.00-08P TUE EPHRATA WA 509 237-0766 1.00 0.08 39 1/03/24 8:04:27A WED MOSES LAKE WA 509 431-1175 1-000 0.08 .......................... 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A, 'D n.n: ......... .. . ....... ....... ........... .777 W- . .. ... ... .... ... ... t_-1 am, .v :6 _iww . ... . ....... ........ ... ..... .... . .... ..... ...... 1, d, �04 .............. ......... ....... .. rn t�A:, ktififf`�� i5l", i�bl uAll: 000002097 ... ...... . ............................. ......... . ....... Page 10 ......... . ..... . Ddle NEW HOPE DVSA 311 W 3RD AVE 030 261 6606 001 JAN 4o 2024)4 JAN 30., 2024 MOSES LAKE WA 98837-1905 mw-- -1 1 N- .. ___ -------- I I Subaccount:16142- I Page 1 /1 Invoice 0405119 Date 1/2/2024 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor,-, Century Link.... P.O. Box 91155 Seattle WA 98111-9255 Document Number i Purchase Order Number Veador ID "iroi........�.�. . ... viii.. ..ro vi..«.......... Shipping Method Payment Terms ID 30 — - - ---------- - ------ ....... z CNLKS i - - ------ ----- Descrption: ------- . ..... ... .... .... ...... Amount Office Phone $92.16 ..... . ....... . ......... Subtotal $92-16 mise $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $92.16 o PIage 1 of ft t M W . ................ Itu r Lirik NEW HOPE DOMESTIC VIOLENCE 04 U U ,%� Bill Date: Pee 13$ 2023 AceountNo: 509-765-4346 766B I ........... I Charges Payment Dee 08 Thank -you foryourpayment, 93; 72 93 72ci Balarm Fomard # $.00 Now 0mr9es For questiolrm, call.. Page CenturyUnk 1800 777-9594 3 `11 .n Distanoe Sa�rvioe 1 $00 777-9694 4 Ko 10.38 i6GI Now 0mr9ess $92. 16 o1i q qipiriv q pli''i Rease fold, tear here andreturn this on Wth your payment, Bill Date: Dec 13 2023 Aco-ount Now 509-765-4346 B 65 Bill Due Date-, Jan 3 2024 ueqty Link-,-- 62202600 03 R P 0 9 20231 '210 9 N NN N N N NY 0000580 0002 1111111111 !I'll nill dIII fill,�� �� �� ill Ill 11111 Ill 1111111111 NEW HOPE DOMESTIC VIOLENCE 311 W3 AVE MOSES LAKE'WA 98-837-1905 New Charges*, $92.16 TOTAL AMOUNT DUE., $92.16 lu,Amourd Enctosed CENTURYLINK P 0 BOX 91155 SEATTLE, WA:98111-9255 Ill 11111111 fill 11111111111111- 1111.11 111 t;t::niuryL*nk ej V7 Forquestions, call 1800 777-9594 Page 2 NEW HOPE DOMESTIC VIOLENCE Bill Date:. Dee 1312023 Account No-, 609-765-4346 765B Local and Lon WSW 00vt serv'RXIS Monthly Charges 77-20 Carfler Computed Charges 7,32 Taxes, Fees and Surcharges CRY up bon At 6% 3.63 State 911 - at $.2 6 pe r access line .25 Local 911 at $70 per a oce-a's I i no .70 Carder Cowputeri 'Ta xes 3.06 Subto—tal $81,78 $10.38 Total New Charges $92. 16 622G2500 03 RP 09 20231200 NNNNNNNY 0000680 0002 % W-0 Page 3 TM UenTuLnk ri y NEW HOPE DOMESTIC VIOLENCE Rill Date_ Deo 133 2023 For questions, *all 1 800 777-9594 Account No: 509-765-4346 765B Local and Other --Services Monthly Charges Charges from Deo 13 to Jan 13 Quantity Dewription Code Rem Rate Amou I rit Remote Aocess Forwarding AFD- Non. -Published Servide NPU 9.00 8.00 9.00 Business Une IFS Subscriber Line Charge 9ZR 43.,60 7.11 8.00 43.60 7.11 Aooees Recovery Charge 9ZR42 4fi88 4:.88 Federal Universal Sery Fund at 42.6789% 'Thi's 3,,03 charge, recovers the amount GanturyLfbk contributes to the: Federal Univorsal Service Fund. Thi's fund helps keep local phone rates affordablefor all Americana, Federal Univereal Sery Fund at 34.5% 1.68 T hicharge recovers tho amount CenturyLirok contributes to tha Fedbral Universal Service Fund. This fund helps keep local phone rates affordableN for all Americans. Total Monthly Charges $77.20 Taxes, Fees & SurCharges Summary The detail Wted bolow has been Included in the New Charges on thi's bill. This summary i's provided as informadon only. Amount Federal Exeise - ExenVt State Sales - Exempt Local Sales - Exempt City Owupation at 60/a 3. 63 State 911 at $.25 per acoeas flan Thi's surcharge, funds the cost of provIding ernerg.ancy 1215 services communications systems in your community.- Loeal 911 at $70 per acoess line Thi's surcharge, funds the cost of providing emer ancy 4 9 .70 .. services comMunicationsaystem a in your communitfit . , Total Taxes, Fees and Surcharges Summary $4.58 Total Centuryl.lbk Local and Other Services $81.78 CenturyLink New Charges $81.78 M continued on back I& TWI CenturyLink m y,�� NEW HOPE OOMESTIC VIOLENCE Bill DateDeo 13t 2023 Account No: 609-765-4346 765B Customers using Teletype (TTY) devices can direet their inquiries to CenturyUnk at 1800 223-3131, a TTY equipped num-be-r, Go Greenl Use Control Center at controloenter.centurylinkoom to view your billing and serviceinformation on-lineand, enroll in Papedess Billing or One Page Direot, Save time and learn moreabout the taxes and fees listed on your bill by visifing our website www.oentu�rylink.00niAaxe-sandfees today. Catalog/Rate., Sohedule "Information for yourSetAces is available Withoul- 0harge at your servioe providees web site or by call! ng their toll -f roe number. Catalog/Rate Schedule information for CentutyUnk services is available writho ut cha r9e at www.ee ntu ryll nk.00 m o r by oall'i ng the toll-free number listed on the summary page of your bill. Efteotive January 1 -2:024th; monthly rate for I -PTY Flat Rate Business linesStand-byllnes, Home: Business lines I -PTY Basic Measured Business lines,' PublioResponse Calling Service, lines, Market Expansion lines, Remote Call] Forwarding 11111001 Utillity lines FX lines Centra Flex Measured lines and Centra Flex Flat Rate lines Wit Increase increase by $5.00. The folloWng bundles will'also f , : by $5.00 per line., all Choice bundles:, all Choice Business Plus bundles, all Chome: Business Prime bundles, all Business Line Plus bundles and all Custom, Choice bundles. Third -Party _B111.111rig Bbok Cramming owurs when unauthonlzed charges appear on your telephone bill. To he;l.p prevent unwanted third party charges on your bill, contact CenturyUnk at 800M.603-6000 and request, at no oharge a bill blook that Will A , I prevent some th"Ja part fl y charges suoh as charitable oontnibutions, dial-up Intemot by non-CenturyUnk oompanies or other non -telecommunications charges from appeani ng on your bill. a Distnce Service , Customer Service 1800 777m9594 Long Di:stance Set -vice Account Summar -y 57TTIPT47 y - Charges For December Total Long Dist ance Service ry 10 .98 2202600 Ca RP 09 20231209NNNNNNNY 0000580 0002 &A page 6 iii vUrYLtnkm NEW HOPE DOMESTIC VIOLENCE Bill Date � Deo 1352023 A00-ount Nox, 509.766-4346 7658 CenturyL 'Ink, Lom Distance Summry of ChairVes for Deia�r Your LD Account BalanceCI I enturyLink Communicationso LLC Current Service Ct%,S�rges Usage Monrecur. Monthly Calls M in *, See 00o Government Fees aM Taxes Ctu-)rges State and Local Taxes Long Distance 16r WA Local Ut1*13*AY Tax -v79 Subtotal X20 $3..33 $199 Other Fees & Mon-thly Charges SUMMarY of Usase Reports Federal Universal Service Fund 16 Cost Recovery Fee $3.33 Property Surcharge Admimisfra+J.ve Expense Fee Subtotal -- - - ------- $2 07 'Current Total Charges *10 Domvt, is Stwwary Repor' *#" CenturyLink, Business Basics nit Mu - Description PerJod Usage Monrecur. Monthly Calls M in *, See 00o CharVes 000 Ctu-)rges 3¥99twrsChs Long Distance 16r 3.33 0.00 0.00 16 4736 $3..33 $0,00 $3.99 SUMMarY of Usase Reports 16 47:36 Domvt, is Stwwary Repor' *#" CenturyLink, Business Basics nit Mu - Description PerJod Calls Min Sec Charges 1+ INTRALATA DAY 8 18:42 1+ INTRALATA NITS .8 2;5 -54 Subtotal 16 47:36 16 47:36 $3.33 continued on back ti 4.. - - - - - - - - - - - .a Id w - Thl vr,- -,"q CenturyLinkT° I(Aj NL 411 W Service Detail - Plan/Feature CharVes Page 6 NEW HOPE DOMESTIC VIOLENCE Bill,.Date, Det 13 20-23 Amount No: 609*765-4346 765B No Nonrecurring Monthly Total Description QtY Period Char -Ws Charges Charges LonsD:isiance Une Chrg 1 I NOV 04 -DEC - ------------ - ------ ------ - ----- 03 0.00 31,99 3199 Jotal Plan/Feature Charges $0.00 --------- - - -------------- - — ---- *3.99 $3.99 Service Deta III Long D-Istame Usage WA 2:00 24 'Nov 06 2:33 to Time Called Nimber Location H in *.Soc Charges it Nov :06 905 A 509 885-6548 WENATCHEE WA 2:00 24 'Nov 06 2:33 P 509 885-6548 WENATCHEE WA 3:12 t14 3, Nov 06 2:47 P 509 X85-6548 WENAT'HEE C WA. ;06 .22 41 Nov 08 8:05 A 509 885-6548 WENATCHEE W. 0:18 '08 St. Nov 08 8-440 A 509 885-6548 WENATCHEE WA 10-024 -.02 Nov 08 1:124 P 509 -885-65: 8 4 WENATCHEE WA 0.42 .73 70 Nov 08 1:56 P 509 885-6548 WENATCHEE WA 04 81 Nov 10 1 i*37 A 509 885-6548 WENATCHEE WA 0:24 9. Nov -10 S 4 44 A $09 a85-6548 WENATCHEE WA 3-42 '03 10. Nov 10 61-26 A 509 885-6,548 WENATCHEE W -A 2*kle v26 11. Nov 10 :48 A 509 865-6548: WENATCHEE WA 1;.* 18 .16 12. Nov 20 2*07 P 509 885-16548 WENATCHEE WA 04 42 1.09 13. Nov 206 501 P 509 885-.- 548: WENATCHEE WA :0 A V 6#0, 105 14# Nov 20 8:17 P 509 885-6-548 WENATCHEE WA 342 is, Dec03 9:15 A $09 670-2437 WENATCHEE WA 9:36 1027 146 Dec 03 1.58 P 509 670-24317 WENATCHEE WA :42 467 .12 'Total calls for 509-765-4346 16 47:36 $3,33 County of Grant 5C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: LINDSAY WATER POOL Et SPA P 0 BOX 189 EPHRATA INA 98823 - Document Number Purchase Order Number Vendor ID Page 1 /1 Invoice 0405124 Date 1/2/2024 Shipping Method - --- --- ------- - --1-11 ....... ............... . ........... . ........... ...... ........... . ........... . ..... --- . . . ..... . . ........ ... . ...... .. ........ Descniption.- Office Supplies ....._........-,.,......,,...x....,_.._ ....... --- ---- ----- - — --------- ------- . ..... — - ---- Subtotal list Tax Freight Trade Discount Payment Total Due ----------- - - ------ Payment Terms ID I NET 30 ................ . . Amount $86.72i i $86.72 $0.00 $0.00 $0v00 $0.00 $0.00 $86.72 CULLIGAN/LINDSAY . 1229 Basin ST SW, PO BOX 189 EPHRATA, WA 98823 (509) 754-4200 um �ADDRESSEE, NEW HOPE 311 W 3RD AVE MOSES LAKE, WA 98837-1905 IF PAYING BY CREDIT CARD, PLEASE CHECK CORRECT CARD AND FILL OUT BELOW El -j PLEASE CHECK BOX TO ENROLL 0 rIN AUTOMATIC NUMBER. PURCHASE ORDER NUMBER tD ORDER NUMB SHIP VIA TERMS - NET:: DUE PON RE CE BILL PAYMENT CARD NUMBER V. CODE SIGNATURE ITEM, NUMBE-R SHIPPED 6-PEREDES O*R] PTION UNIT PRICE'SCOUNT EXP. DATE DATE 12/01 4» 0 1 4.00 Tick -800749674. Date .12/01/2023 PAY ''ll 1­111,:I�'.11i ... lil; 0... UNT ACCOUNT NUMBER --- 12/18/2023 $86.72 • 4.00 246488 fNUMBER: 138470 AMOUN T0lCE PA10 $ REMIT PAYMENT TO: CULLIGAN/LINDSAY PO BOX 189 1229 BASIN ST SW EPHRATA, WA 98823-0189 11111111111 it "III III 111111 oil I I I INVOICE RETURN THtS-T-OP PORTtUN WIT�i YOUR- PAYMENT ACCOUNT SALES NUMBER. PURCHASE ORDER NUMBER tD ORDER NUMB SHIP VIA TERMS - NET:: DUE PON RE CE I PT 246488 L INVOICE INV6 QOMPANY TRMIrl. 138470 NUMBER 12/18L/20213 DAT -DATE -E QUANTITY ITEM, NUMBE-R SHIPPED 6-PEREDES O*R] PTION UNIT PRICE'SCOUNT 'NET AI` 13 12/01 4» 0 1 4.00 Tick -800749674. Date .12/01/2023 12/01 1 BOTTLE- WATER L0'cA`_L -9. OG 001 1'.0011 C!HARGE Q. 36.00 Enid of Ticket 800749674 4.00 • 4.00 2/15 49.00 4'. 00 Ti ..D ck-$00751063' ate� 12/15/2021-S BOTTLE W ATER LOCAL 12/15 1.00 1. 00 bELIVERY CHARGE 9.001 36.00 4,� , :�00 nd of Ticket -800751063, .4.00 E CE 9. E A EAf' E PAYMENT FINANCE CHARGE OF PER_�1_0'i�fH__l_QEE_LI LJE= R To. :Z' 71 . MAY BE APPLIED ON BALANCES AFTER 3 0 DAYS i TOTAL 6 CIL IJ GAN / Ll NS"A DY NEW HOPE SALES TAX 2" Bas s i n T S V4 S o 1 W 3R A%717' FP. EIGHTIDEL [VERY CHAR(t, PHRATAf WA 9 8 8'23 "A 9t 8 8.% 7 --------- - --------- ....... L LIM* 8 6 .. J72 ORIGINAL INVOICE RETAIN BOTTOM PORTION FOR YOUR RECORDS 315390 ---- ----��tia ---- Lindsay Water r fofflc,o-supplies s a -LS -1-1-1, LTLJ.- -49 f s 1.87 2.97 S �7 W.72 to 121 E 0 CL Lindsay Water r fofflc,o-supplies s a -LS -1-1-1, LTLJ.- -49 f s 1.87 2.97 S �7 W.72 County of Grant 35 CST NW P.O. Box 37 Ephrata WA 98823 Vendor.- DEVRIES BUSINESS RECORDS MANAGEMENT INC. 601 E Pacific Spokane WA 99202 Document Number '0174911 - ----------- -- -- - - ----- ......... .... . ..... IDescription., Document Shredding --- — ------- - -- Purchase Order Number 1 Vender ID DVBRM .... . ...... .... . .... . ........ Page 1 /1 Invoice 0405127 Date 1/2/2024 ----- ------ Ship *nS Method P1 Payment Terms ID NET 30 Amount 1 $13.80, Subtotal $13,80 Misc $0.00 Tax $0,00 Freight $0.00 Trade Discount $0,00 Payment $0.00 Total Due $13.80 Invoice D T I ES DEV BUSINESS SERVI';'ES DeVries Business Services 601 E. P.&CIFIC 601 E. PACIFIC SPOK,NNE. WA 99202. SPOKANE, WA 99202 (509) 838-1044 (509)838-1 044 866-43-3-4691 (866) 433-4691 u-w-%v.devr1es1nC1C0M khopper@devriesinc.corn GRANT COUNTY NEW HOPE Date: 12/31/2023 Attn.' ALYCE BARRIENTOZ Invoice #: 0174911 3l1 W 3RD Customer GONEWHOPEI MOSES LAKE, WA 98837 Terms: Net 10 Total Amount Due: $ 13,80 Total Enclosed NOTE: DeVries also offers professional and trustworthy service in Document Destruction, Business Records Storage, Courier Services, and Commercial Office Moves! SERVICE DESCRIPTION RATE QUANTITY TAX FEE No Invoice Category On -Site Record Destruction - Sm $6,9000 1.00 N $ 6.9000 On -Site Record Destruction - Console $ 6.9000 1.00 N $ 6.9000 Remit To: SUB -TOTAL $13.80 601 E. Pacific Spokane, WA 99202 TAX $0,00 INVOICE TOTAL $13.80 Page-, I Trivoce Rev.20230323 06260806.2.1.03-A4 09 c k. .._.,.r,.... ....... ..... . �►� i ,.m,,.,,... � .. i3 O. w_..,..� #� � ►i�' L 1 i ' t 3 ' }. ? i � t Sit?.,, . , ,, +� i .,.. ,k ...,. � 0 ti E� ., i 3 MYC5. v ... s;�j cfn a ti t �w rrncr iC70 ®elan ;n..a 10. ' W . e .. _�.. _` -- ik _ _ . 29, s to 0 lop Page 1 /1 Invoice 0405581 Date 1/9/2024 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: OFFICE DEPOT PO BOX 29248 PHOENIX AZ 85038-9248 -- - ----- --------- - - - -------- -- . .......... . ........ ----- . ..... --- - ----------- . ............ --- .. .... ....... . . .... ..... --- . ... . .... ... . ....... .. . Document Number I Purchase Order Number VendorID Shipping Method Payment Terms ID -- - — ------- OFDPO - - -------- ----- - - ----- Descri�tf,3�... Amount 1 Office Supplies $53.84. Subtotal $53.84 mise $0.00 Tax $0,00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $53. a4 5a -off` ............................................................. 7 &C) oci SUSIN E 5 pso t tj Tl ON S, LLC Federal ID # 86-2161688 B"111 To: ATTN: ACCTS PAYABLE GRANT COUNTY NEW HOPE OV & SAS 604 W 3RD AVE STE B MOSES LAKE WA 98837-2076 REPRINT OF 10000 ORIGINAL INVOICE THANKS FOR YOUR ORDER 73863215 IF YOU HAVE ANY QUESTIONS OR PROBLEMS, JUST CALL US 03 -JAN -24 FOR CUSTOMER SERVICE ORDER: (888) 263-3423 - - ------ PURCHASE ORDER RELEASE FOR ACCOUNT INQUIRIES :(800) 721-6592 INVOICE NUMBER AMOUNTDUE PAGE - ---- UMBER 349086388001 53.84 1OF1 INVOICE DATE TERMS PAYMENT DUE 03 -JAN -24 Net 30 04 -FEB ---2-4 ShipTo: GRANT COUNTY NEW HOPE DV& SAS 311 W 3RD AVE MOSES LAKE WA 98837-1905 ---------- ----- Ad7COUNT NUMBER ACCOUNT MANAGER SHIP TO ID ORDER NUMBER ORDER DATE ro­__ SHIPPED DATE 73863215 Depot, Office 31 1W3RDAVE 349086388001 02 -JAN -24 03 -JAN -24 BILLING ID -------------- - - ------ PURCHASE ORDER RELEASE o n �Ow _Ro'- DE R E D IS Y DESKTOP - - - ------- ----- ------------ __ I ---------- COST CENTER 31818219 ALYCE BARRIENTO CATALOG ITEM # 6tttkIPTION/ UT QTY ----- OTY OTY UNIT EXTEN'bt. MANLIFCODE CUSTOMER ITEM # *--& --- TA ORD SHIP B/O PRICE 201330 OPEN ER,LETTE_R_,31PK,WHT — PK 1 0 4PRICE 2.390 2.39 UNV31803 201330 Y 774744 HAN DWAS HANTI BAC, FOAM, 12 EA 2 2 0 23.640 47.28 GOJ516204EA 774744 y SUB -TOTAL 49167 TIERED DISCOUNT 0.00 DELIVERY 0t00 MISCELLANEOUS 0.00 SALES TAX 4.17 ALL AMOUNTS ARE BASED ON USD TOTAL 53.84 CURRENCY I V I r-twl f 1 ouppllw�' Flua;m I u1jelf'r, it I ul lyll Tell iju Im'I L UU1 pdumf IV ur vvpy or inns invoice, Piease nose probtem so we may Issue creatt or replacement, wtuchever you preter. Please do not ship collect, Please do not return furniture or machines until you call us first for Instructions, Shortage or damage must be reported within 5 days after delivery. ----- — ------ ------------------------------ -------- ---------------------------- --------------------- -- — -------------------------------------- I ------------------- — ---------------- I& IDIEXA�cn 1AE:RIE CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT ENCLOSED GRANT COUNTY NEW 4 HOPE DV & SAS 31818219 349086388001 03 -JAN -24 53.84 f k� V 2�4 FL O 318182193 3490863880019 OD000005384 1 0 PLEASE ODP Business Solutions, LLC PLEASE RETURN THIS STUB WITH YOUR PAYMENT TO SEND YOUR PO BOX 29248 ENSURE PROMPT CREDIT TO YOUR ACCOUNT. CHECK TO: PHOENIX AZ 85038-9248 PLEASE DO NOT STAPLE OR FOLD. THANK YOU 09 r 3• - ? i _f) � t ; �� �t; it fl#'i3 `17.... _ ....... ..»»_.. _.._.. _ .... ,_ ,.. _ . ... ... ,. , ._........... ' ,..... �....,. .._ e , ��; f., 5 ;ldr st , & #¢f0 My }AUIM V V f�Y Page 1 /1 Invoice 0405586 Date 1/9/2024 County of Grant 35 C ST NW P.O. Box 3 7 Ephrata WA 98823 Vendor,: OFFICE DEPOT PO BOX 29248 PHOENIX AZ 85038-9248 .......... .. - . . ........... . . ........ ............ . . .......... . .. ..... Document Number Purchase Order Number VendorID, ShlippIng Method Payment Terms ID ............ 1;349087782001 OFDPO . ..... .... .... . ... es ton: Amountw' !Office Supplies. .. ...... .... . ..... . ..... . ... . ..... _----_--- . ...... ------- . . ...... .. ..... Subtotal $340.05 Mise $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $340.05 0c) PSOLUTIONS Federal ID # 86-2161688 Bill To.- ATTN: ACCTS PAYABLE GRANT COUNTY NEW HOPE DV & SAS 604 W 3RD AVE STE B MOSES LAKE WA 98837-2076 11 fill I I I ill I 1111111follit 111111 REPRINT OF 10000 ORIGINAL INVOICE THANKS FOR YOUR ORDER IF YOU HAVE ANY QUESTIONS SHIPPED DATE OR PROBLEMS, JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263-3423 311W3RDAVE FOR ACCOUNT INQUIRIES '(800) 721-6592 INVOICE NUMBER AMOUNT DUE. PAGE NUMBER 349087782001 340.05 1 OF I II OI E DATE TERMS j5A—YMENT DUE 03 -JAN -24 Net 30 04 -FEB -24 Ship To: GRANT COUNTY NEW HOPE DV & SAS 311 W 3RD AVE MOSES LAKE WA 98837-1905 ACCOUNT NUMBER ACCOUNT MANAGER SHIP TO ID ORDER NUMBER ORDER DATE SHIPPED DATE 73863215 Depot, Office 311W3RDAVE 349087782001 02 -JAN -24 03 -JAN -24 BILLING ID PURCHASE ORDER RELEASE ORDERED BY DESKTOP --- ------- ----- - COST CENTER 31818219 ALYCE BARRIENT.0 CATALOG ITEM# I DESCRIPTION U 'Q' QTY - --------- - - ------- --------- OTS UNIT -- EXTENDED EXTENDED MANUFCGDE CUSTOMER ITEM # TAX ORD SHIP E 810 PRICE PRICE 6028288 PAPER, 0 D COPY, 20LB, 11, 10 OT 3 3 0 39.890 119.67 ODBCP92-CTN 6028288 Y .251368 TISSUE,BATH,ANGLSFT,450 CT 2 2 0 40 640 81.28 16840 251368 y 592768 TOWELS, MULTI FOLD,2-PLY, P CT 1 1 0 38,630 38.63 21000 592768 Y 525032 MARKER,PERMSHARPIEFN,D DZ 1 1 0 22.040 22,04 32702 525032 Y 978869 BAGS,TRASH,OD,0.9,13G,WH BX 3 3 0 11,590 34,77 DP848808 978869 Y 322674 NOTES, RECYCLEDLl NE D,46 PK .2 2 0 8.660 1732 660 -RP -A 322674 Y SUB -TOTAL 313.71 TIERED DISCOUNT 0.00 DELIVERY 0,00 MISCELLANEOUS 0.00 SALES TAX 26.34 ALL AMOUNTS ARE BASED ON USD TOTAL 340.05 CURRENCY i o return suppiies, please repaCK in original oox ana insert our pacKing list, or copy of tnis invoice. Tease note proolem so we may issue credit or replacement, whicnever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery, --------------- ------ — — --------------- A. n IE:*r As. C 14 14rVZ E: A. CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT ENCLOSED GRANT COUNTY NEW 3q HOPE DV & SAS 31818219 349087782001 03 -JAN -24 340.05 FL O 318182193 3490877820019 00000034005 1 2 PLEASE ODP Business Solutions, LLC PLEASE RETURN THIS STUB WITH YOUR PAYMENT TO SEND YOUR PO BOX 29248 ENSURE PROMPT CREDIT TO YOUR ACCOUNT. CHECK TO: PHOENIX AZ 85038-9248 PLEASE DO NOT STAPLE OR FOLD. THANK YOU Shipment 1 of 2 ORDER NUMBER ORDER STATUS TOTAL 349086388-001 Shipped $53-84 41"O -W Shipped by UPS A SO Tracked by VEYER' Universal 9 Letter Slitter Steel Hand Letter Openers With Concealed Blade, 2 1/2 White, Pack Of 3 Item #201330 Qty: 1 @ $2.39 / pack $2.39 GOJOO Antibacterial Luxury Foam Hand Soap, Orange Blossom Scent 42 Oz Bottle 14Z Item #774744 Qty: 2 @ $23-64 each $47.28 Safety Data Sheet JP, Best Value Shipment 1 Item Subtotal: $49.67 Taxes: $4.17 Order Total $53,84 349086388 001 Shipment 2 of 2 ORDER NUMBER ORDER STATUS TOTAL 34-QO87782-001 Out For Delivery $340.05 Out For Delivery (Package 1 of 7) Tracked by 0WEYER Sharpie O Retractable Permanent Markers, Fine Point, Red, Box Of 12 Item #525032 Qty: 1 @ $22.04 dozen $22-04 go Eco Conscious E) Safety Data Sheet HighmarkTl-' Tall 0.9 mil Drawstring Kitchen Trash Bags, 13 Gallon, 27.375" x 24", t 444 White, Box Of 12-0 [tern #978869 Qty @ $11.59 / box $34.77 P, Best Value Post -it -0 Greener Notes, 4 in x 6 in, 5 Pads, 100 Sheets/Pad, Clean Removal, Sweet Sprinkles Collection, Lined Item #322674 Qty: 2 @ $8.66 / pack $17.32 ED Eco Conscious Recycled Content F. Best Value Out For Delivery (Package 2 of 7) Tracked by"-'nVEYER Office epotI Brand Business Multi -Use Printer & pier Paper, Letter Size (8 Drg Co 1/2 x 11 5000 Total Sheets, 92 (U.S.) Brightness, 20 Lb, White, 500 Sheets Per ........... Ream, Case Of 10 Reams Item #6028288 Qty: 1 @ $39.89 /carton $39.89 P, Best Value Out For Delivery (Package 3 of 7) Tracked by`VEYER Angel Sraft@ by GP PRO Professional Series 0 Premium, 2 -Ply Embossed Toilet Paper, 450 Sheets Per Roll, 40 Rolls Per Pack Item #251368 Q:ty*, 1 @ $40.64,/ ca rto n $40.64 ED Eco Conscious Z4 Recycled Content IF, Best Value Out For Delivery (Package 4 of 7) Tracked by VEYER' Pacific Blue Select" by GP PRO Premium Multi -Fold 2 -Ply Paper Towels, 125 Sheets Per Pack, Case Of 16 Packs Item #592768 Qty: 1 @ $38-63 / carton $38.63 X Best Value Out For Delivery (Package 5 of 7) Tracked by � VEYER Office Depot (& Brand Business Multi -Use Printer & Copier Paper, Letter Size (8 1/2=,x 11 ")e 5000 Total Sheets, 92 (U,S.) Brightness, 20 Lb, White, 500 Sheets Per Ream, Case Of 10 Reams Item #6028288 Qty: 1 @ $39.89 / carton $39.89 11, Best Value Out For Delivery (Package 6 of 7) Tracked by Or."rVEYER Office DepotO Brand Business Multi -Use Printer & Copier Paper, Letter Size (8 1/211 X 11" j, 5000 Total Sheets, 92 (U.S.) Brightness, 20 Lb, White, 500 Sheets Per Ream, Case Of 10 Reams Item #6028288 Qty: 1 @ $39.89 / carton $39,89 P, Best Value Out For Delivery (Package 7 of 77 Tracked by �NEYER Angel SoftO by GP PRO Professional Series e Premium. 2 -Ply Embossed Toilet _44 Paper, 450 Sheets Per Roll, 40 Rolls Per Pack Item #251368 Qty: 1 @ $40.64 /carton $40.64 EEco Conscious 4\ Recycled Content 100 Best Value Shipment 2 11111111 11 1111111111 111 349087782 001 Item Subtotal: $313.71 Taxes'. $26.34 rd r Total $340*05 -_____ dd�tS a;�St YE Z ,...,.,..�-17 9f� kL s �'�,�,c,,,,,.{33r'l:...��.,..,,,��:�� .,� �.�;.� .. ��'� :�._�-i"��#� 4 � �fl� C�a� ��..,-� �i� �£4 t•,. �...,,,...£L„��� _ �.....x.�.• �� � • �©' .b�''„ �.� �� . ...., t7 , e . ,s 50' DIT Se lom 1 )w 9 t1 0 t i` ply t3 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor,,,, MARIO PADILLA 10281 BASELINE E RD MOSES LAKE WA 98837 Document Number Purchase Order Number VendorID ------------ .191 - -- — ------ Description, Utitities i. ---- — ---------- - - - — - ------------ -- ...... Page 1 /1 Invoice 0405599 Date 1/9/2024 Shipping Method Payment Terms ID Amount $968.26 Subtotal$96816 Misc $0. 0 0 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $968,26 y 2g �y a A IR Mario illa 3 i Al F $ 968.26 TAX RATE DAT Make all checks parable to Mario Padilla. SALE'S TAX 1PJV01-('o0*E # 191 HER BIL L T: 0281 Baseline RD E New Hope Moses Lake WA 98837 311 W Third AVE Moses Lake WA 98837 509-764-8402 SUBTOTAL 3 i Al F $ 968.26 TAX RATE Make all checks parable to Mario Padilla. SALE'S TAX HER t` THANK YOU FOR YOURBUSINESS! TOTAL 968.26 customer.: Padaim rr ry e dd iom Lake WA-98837-0229ACm2m -1,1: .... ....tinued ........ ...s Pmmr Factor-, 100.0000% BE' �M,Pedod: 3 Usage HWbry Yin VVH _-1,1114/2023-1211W ..0 OWN=.. Prior Salanee d $168,07 j s. .agmen Ai } 00 ' .. "Bal air ce DUE MMMT �"�' Banc Charge 30 Days $I .DS 3439 k ,t 4 Energy Charge 4,003.14SUBT07X $176.70 . / .. .. ENERGY4 $17 5.70 ! 'ddb 01 Tax ENT 2.49 t / CUR. SAdjusibmts 4 AP y 1146 s 3flr Late •- r� / �j Charge 2128 R CURRENT AMOUNT DUE ....:e D00 .fin Feb U11ar Apr Maly Aug sip OctNov No ME N Im Water Consumption - -- - - - -- -- - -- - - - - ---- i HIP -4260.35 New rates effective I/l/2024. Visit Cit-yofmLcom to view the adopted 2024 Fee Schedule,, Christmas Tree Dlsai event will be held at Lakeside Disposal, 200-0 W Broadway,, for City of Moses Uke r *dents. esf January 2..2024— January 12, 2024. Drop off hours are Mori -day — Friday, Sam- 2pm, y; REGULAR M U45 LAKE UTILITIES DUE DATE ACCOUNT NO. P.O. Box 1579 Moses Lake, WA 98837-0244 01/30/2024 (509) 3-47-0492 Pay bjy Phoize or Oj2.l-,i at N"mcftyofmlcom'. MOSE:S L.AKM'_1' 'hic 2 5098000 ub@cityofml.com i..�.�. S TTi fs 5 B ILL DATE AMOUNTME 'F A, IN 1 -BIR, na For Utility Se ces Questions Call 509-764-3701 12/30/2023 $260.35 3 SERVIGE LOCATION After-hours. water -related emrgency: (509) 764-3951 READING DATE$ PREVIOUS PRF ESENT IN TER FISZ1 YS Me USAGE DA PREVIOU PRESENT CHARGE DESCRIPTION AMOUNT 11120/2023 31 138440 138940 Soo WATER METERED Usage, Register 1 WATER METERED Fixed Charge 54,01 Soo WATER METERED, Tier 1 5.35 SEWER Fixed Charge 42.80 Soo SEWER, Tier 1 9.55 STORM WATER AMBULANCE SER\fICE 14.46 COMMERCIAL DUMPSTERS 78-67 UTILITY TAX 22,37 ME N Im Water Consumption - -- - - - -- -- - -- - - - - ---- i HIP -4260.35 New rates effective I/l/2024. Visit Cit-yofmLcom to view the adopted 2024 Fee Schedule,, Christmas Tree Dlsai event will be held at Lakeside Disposal, 200-0 W Broadway,, for City of Moses Uke r *dents. esf January 2..2024— January 12, 2024. Drop off hours are Mori -day — Friday, Sam- 2pm, y; coc-frim-41ce 30 Address-, 6 Beech St S Theater, Moses Lake WA 98837-0000 I Address* BI 1no Demand: 56.768 Power Fador: 100.0000% Usage History (in K\AM-) 27066 21 M- 10su 5417 0 Doe Jan Fab Mar Apr May Jun Jul Aug Sep Oct Nov Doe 2022202-3 Rate 2 - General Service Billing- Period.;. I I 1114/2023 -12113/2023 P4or Balance $471.46 Payments $-0.00 Balance DUE IMMEDIA TEL Y Basic Charge 30 Days Q $1.08 $32.40 Energy Charge 10 ,000.000 kWh @ $0.043-89 $438.90 Energy Charge 10,211.008 kVVh $0.0,4389 $448.16 ***SUBTOTAL ENERGY"* $a87.06 Cfty Tax $66a 17 CURRENT CHARGES $974.63 Adjustments Late Payment Charge 12/28123 CURRENT AMOUNT DUE ,lbs hti(�- Sc7�o 05 X87, 3 Z q!1APIA01�i, AIR 11 1 1 1 1 11 IR i .... ---- -- ----- d� IL M Padilla -1 bkfies S �36�.26 m y ¢ ►-- _w.___..,..$222.8# _ 5.#2.6d $41.71 Page I /1 Invoice 0405576 Date 1/9/2024 County of Grant 35 C STNW P.O. Box 37 Ephrata WA 98823 Vendor,: MARIO PADILLA 10281 BASELINE E RD MOSES LAKE WA 98837 .. Document Number I Purchase Order Number Vendor[D Shipping Method Payment Terms ID 1 90 Description: ...... . ...... ........ Amount Office Uti tides $667.421, .......... . .. . ..... ...... . . ....... . ........ ...... Subtotal $667.42 Misc $0.00 Tax. $0.00 Freight $0,00 Trade Discount $0.00 Payment $0.00 Total Due $667,42 M d U ,w&rijft Padilla DA TEO- January 8, 2024 WVCE # 190 BILL TO* - 10281 Baseline RD E New Hope Moses Lake WA 98837 311 W Third AVE Moses Lake WA 98837 509-764-8402 ............ .. ..... ....... -- --------- - ....... SUBTOTAL . . ............«....... .... .... ... ........ ......... .. .. .......... .... .......... .. 667,42 TAX PA TE Make all checks payable to Mario Padilla. SALES TAX OTHER THANK YOU FOR YOUR BUSINESS! TOTAL 667.42 xt A& MEN ------------------ 1-,- MIR 2 R lwv -N Nov Deo Jan Fob Mar Apr May Jun Jul Aug Sep Oct Nov 2M 2023 Rate 2 - General Service fir,....... PeIqd..... - 10/13/20-23-11/1312023 Prior Balance $112.33 Payments App.41"ed THANK YOU -$I 12.33 Balance Basic Charge 32 Days a $1 oroe $u, 66 Energy Charge 2,825-152 kVVh $0.04389 $124,00 ***SUBTOTAL ENERGY*** $12400 City Tax $9.51 CURRENT CHARGES Ct]RRFNT AMn"NT n"I: 9101419 log 0000102500022480003-0005TGCSTM NT11302302260501 L 00001006 MOSES LAKE UTILITIES DUE DATE ACCOUNT NO, P.O. Box 1579 Moses Lake, WA 98837-0244 12/30/2023 25098000 (509) 347-0492 Pay by Phoite or Oze at WWW .pit 'V0fMLC0M M OSES L A K E BILL DATE AMOUNTI)LIE Ub@City0TMLC0M For Utihty Services Questiqui CaH 509-764-3701 11130/2023 $263.62 F. ------ SERVICE LOCATION After-hours Water -related eMergeniZV: (509) 764-3951 READING DATES BILLING METER READINGS I PREVIOUS PRESENT DAYS PREVIOUS PRESENT U$AGE CHARGE DESCRIPTION AMOUNT 1011912023 11120/202.3 32 137870 138440 600 WATER METERED Usage, Register I WATER METERED Fixed Charge 600 WATER METERED, Tier 1 6A2 SEWER Fixed Charge 42-80 600 SEWER, Tier I 11 A6 STORM WATER 33.25 AMBULANCE, SERVICE 14,45 COMMERCIAL DUMPSTERS 78.57 UTILITY TAX 22.66 Water Consumption 2won.,....----- - - ---------- 2000 1.5w 1000 0 NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV 22 22 23 23 23 23 23 23 23 23 23 23 23 ---- — --- — ------- R ------- 0 -Ah - T 0 'NA -A. L D U E 0� Medicaid Exemption for Ambulance Utility; Ta be eligible fo- r a Medicaid Exemption for the ambulance utility fee, you must be Medicaid eligible and receive eit in-home services at your personal residence., or reside In a skilled nursing facility, boarding home (assisted living), or an adult frniiy homy(MLMC Chapter. 2.30A40) Each person claiming a Medicaid exemption must file an exemption form with the Moses Lake Fire Department annually., Please contact Moses Lake Fire Department at S09-764-384& ; N4L) t Wdtloo I f Rate 2 - General Servloe 81 Potiod* 10/1 3=23 -11/13/20-23 Pdor Balance $105-77 Payments Appflod THANK YOU -$105.77 Salanm Basic Charge 32 Days C $1.08 $- 3 4 - 5 6- Er-gy Cherp. 9,346.336 kVtfn $0.04389 $410.21 *"SUBTOTAL ENERGY*" $410.21 City Tax $26,69 CUR REWOHARGES $471 *46 CURRENT AMOUNT DUE $471.46 "WAVA0000 �- Nov Ow Jon Fab kftr Apr May Jun jui Aug up c4, -t Nov w 440,�5 � 0. les IL WITH YOUR PAYMENT. IF PAYING IN PERSON PLEAS* WIRE BLL "T. -1- ACH E BRING E SOMIM - SlOpud IN Page I /I Invoice 0406329 Date 1/17/2024 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: MARIO PADILLA 10281 BASELINE E RD MOSES LAKE WA 98837 Document Number Purchase Order Number VendorlD Shipping Method Payment Terms ID PADL . ....... . .....qkQ7/31/24 - - — ------ . ...... ILM . ... ... . ... .... . ..... ..... ..... .... .... . .. ......... Description-, Amount', Lease Agreement $3,874.53 Subtotal $3,874.53 Misc $0.00 Tax $O Freight $0.00 Trade Discount $0,00 Payment $0.00 Total Due $3,874.53 Rent is due, 'in advance, without receipt of a billing or statement, the first day of each month and i's to be paid directly to THE LESSOR. A one and one-halfpercent (1.5%) service charge will be collected for payments received after the tenth of the mouth for the month "in which they are due. If any check received by THE LESSOR'is returned for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars ($25.00). in -the event the term of this Lease shall, bein i or end other than on the first day of a g calendar month 7 the rental for any such partial month shall be pro -rated, Rental for months other than partial months shall be paid on the first day of each calendar montk * advance for the M ensuing month. 3. OTHER TAXES,: THE LESSEE shall pay all taxes, licenses and fees, which by law are u*nposed on THE LESSEE, by reason of THE LESSEE'S oP ratio .s or upon anyof THE LESSEE'S personal property situate' or about the leased prenfises. If other taxes, licenses or fees, which by law are, nmposed on THE LESSEE or assessed upon the prennses, leased herem* dim" ng the term of this Lease by any governmental agency, THE LESSEE shall reasonablv Day same. 4. USE., THE LESSEEshall nouse sai d pruses for any other pm -pose other than the use of general executive office space and the uses resulting thereby Without the pn*or written consent of the Lessor, in which said consent shall not be unreasonably withheld. THE LESSEE agrees that no stock of goods will be caffied or anything done M* or about the prenuses which t will Mcrease the present rate of m'surance. The rental contained herein is predicated on, among other things, THE LESSOWS existing insurance prenuums, and in the event that THE LESSEE'S Commercial Lease Page 2 3 Year Year Year Year Year Year One Two Three Four Five Year Six Seven 81LI2022 811123- 811124. 811125- 8IM- 811127.. 811128. -7131123 713112.4 7131125 7131127 7131128 7131129 New1lope Rent $43013.97 $4J74.51 _$4,341.51 $4,)515.17 $4,695.78 _$41,883,61 51,078.95 Landlord Donated Portion $300.00 $300,00 $300.00 $300.00 $300.00 $300,00 $300,00 Net Amount Due from New $3,713.97 $4,041.51 $4215,17 $4,395.78 $4,583.61 $4�778.95 Rent is due, 'in advance, without receipt of a billing or statement, the first day of each month and i's to be paid directly to THE LESSOR. A one and one-halfpercent (1.5%) service charge will be collected for payments received after the tenth of the mouth for the month "in which they are due. If any check received by THE LESSOR'is returned for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars ($25.00). in -the event the term of this Lease shall, bein i or end other than on the first day of a g calendar month 7 the rental for any such partial month shall be pro -rated, Rental for months other than partial months shall be paid on the first day of each calendar montk * advance for the M ensuing month. 3. OTHER TAXES,: THE LESSEE shall pay all taxes, licenses and fees, which by law are u*nposed on THE LESSEE, by reason of THE LESSEE'S oP ratio .s or upon anyof THE LESSEE'S personal property situate' or about the leased prenfises. If other taxes, licenses or fees, which by law are, nmposed on THE LESSEE or assessed upon the prennses, leased herem* dim" ng the term of this Lease by any governmental agency, THE LESSEE shall reasonablv Day same. 4. USE., THE LESSEEshall nouse sai d pruses for any other pm -pose other than the use of general executive office space and the uses resulting thereby Without the pn*or written consent of the Lessor, in which said consent shall not be unreasonably withheld. THE LESSEE agrees that no stock of goods will be caffied or anything done M* or about the prenuses which t will Mcrease the present rate of m'surance. The rental contained herein is predicated on, among other things, THE LESSOWS existing insurance prenuums, and in the event that THE LESSEE'S Commercial Lease Page 2 3 County of Grant 35 C TN P.O. Box 37 Ephrata WA 98823 Vendor: MA IO PADILLA 10281 BASELINE E RD MOSES LAKE WA 98837 . ..... . ........... .. . .... ........ Document Number Purchase Order Number I VendorlD 08/01/23-07/31/24 PADILM Description: Lease Agreement Invoice Page 1 /1 Invoice 0406330 Date 1117/2024 Shipping Method Payment Terms ID -- — -------- I - Amount $3,851.68 Subtotal $3,851-68 Mise $0,00 1'ax $0.00 Fr oight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $3,851.68 Rent is due, M* advmce, without recei * pt of a billing or statement, the first day of each month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) service charge will be collected for payments received after the tenth of the month for the month 'in which they are due. If any check- received by THE LESSOR'is returned for any reason, THE LESSORwill make an additional charge of Twenty -Five Dollars ($25.00). In the event the term of this Lease shall begm or end other than on the first day of a calendar month, the rental for any such partial month shall be pro -rated. Rental for months other than partial months shall be paid on the first day of each calendar month I in advance for the 3. OTHER TAXES: THE LESSEE shall pay all taxes, licenses and fees, which by law are unposed on THE LESSEE, by reason of THE LESSEE'S operations or upon any of THE 0 14 LESS FS personal property situate in or about the leased premises. If other taxes, icenses or fees, which by law are imposed on THE LESSEE or assessed upon the premises leased berem" during the term of this Lease by any governmental agency, THE LESSEE shall reasonably,pay same. 4. USE: THE LESSEE shall not use said premises for any other purpose other than the use of general executive office space and the uses resulting thereby without the pr written consent of the Lessor, in which said consent shall not be unreasonably witbheld. THE LESSEE ajzrees that no stock of goods will be earnedor anything done 'in. or about the premises which %,Ile will increase the present rate of m"surance., The rental contained herem" i's predicated on, among other things, THE LESSOR'S existing m*sura-nce premiums; and M* the event that THE LESSEEIS Commercial Lease Page 2 10 Year Year Two .-Three Year - Year Four Year Five Year Si Year Seven 81112022 811123- 811124- 811125- 8IM6- 811127-, 811128.. - 7131-12- 3_ 71314_ _7131125 8131126 7131127 7131128 7131129 Kdds Hope Rent $ .,992.00 owe l $4J51.68 $4,317.75 $4 490.46 $4.1670.08 Landlord .2856.88 _14 Donated Portion $300.00 $300.00 $300.00 $300.00 $300.00 $300.00 $300.00 Net Amount Due from New gMe $31692.00 $3,.85,1.68 1 $4,017.75 $4,190.46 1 $4 370408 , .1 41,556-88 _I_ L$41751 - 1 Rent is due, M* advmce, without recei * pt of a billing or statement, the first day of each month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) service charge will be collected for payments received after the tenth of the month for the month 'in which they are due. If any check- received by THE LESSOR'is returned for any reason, THE LESSORwill make an additional charge of Twenty -Five Dollars ($25.00). In the event the term of this Lease shall begm or end other than on the first day of a calendar month, the rental for any such partial month shall be pro -rated. Rental for months other than partial months shall be paid on the first day of each calendar month I in advance for the 3. OTHER TAXES: THE LESSEE shall pay all taxes, licenses and fees, which by law are unposed on THE LESSEE, by reason of THE LESSEE'S operations or upon any of THE 0 14 LESS FS personal property situate in or about the leased premises. If other taxes, icenses or fees, which by law are imposed on THE LESSEE or assessed upon the premises leased berem" during the term of this Lease by any governmental agency, THE LESSEE shall reasonably,pay same. 4. USE: THE LESSEE shall not use said premises for any other purpose other than the use of general executive office space and the uses resulting thereby without the pr written consent of the Lessor, in which said consent shall not be unreasonably witbheld. THE LESSEE ajzrees that no stock of goods will be earnedor anything done 'in. or about the premises which %,Ile will increase the present rate of m"surance., The rental contained herem" i's predicated on, among other things, THE LESSOR'S existing m*sura-nce premiums; and M* the event that THE LESSEEIS Commercial Lease Page 2 10 Page 1 /1 Invoice 0405129 Date 1/2/2024 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, PAIGE BARRIENTOZ ---- - ----------- Document Number Purchase Order Number VendorlD d Payment Terms ID i Shipping Metho . ..... ...... I --- - --- -------- . ........ ..... . ............ . ........ . . ...... . ........ ........ 202401 - - - ----- BARNP 'Description: 4wount 1 Jani tori 'al $950M. Subtotal — --------- ------- -- .. ..... S950.00 t $0X0 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $950X0 PB JANITORIAL 1622 S WALLACE ST, MO,SESLAKE, VIA 98837 ,)09-989-4252 BARRIENTOZPAIGE-22@GMAIL, COM Descripfion JANUARY JANITORIAL JANUARY WINDOW WASHING Date: 0 1 /02/2024 INVOICE 4 202401 To NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 509-764-8402 3F0DE@GRANTC0UNTYWA,G0V ABAR,RIENT0Z@GRANTQ NTYWA.,GO v ..in Tofal 750.00 Total 950.00 Make. all checks payable fo PAIGE BARRIENTOZ Thank you for your business! County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: U.S. Linen Uniform 1106 Harding St, Rich an WA 99352 DoCurnent Number Purchase Order Number "I 7'�45 — ----- . ..... ..... 'USLUF Description: Jan for .. . ... .... Page I / 1 Invoice 0405229 Date 1/3/2024 VentlorlD Shipping Method Payment Terms ID I Amount 1, $92.041 Subtotal $92.04 mise $0.00 Tax, $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $92,04 U.S. Linen and %V V.11 Un k iform I U.S. LINEN & UNIFORM 1106 HARDING ST I RICHLAND, "IA 99352 (888)876-4636 NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 ....... . .. . . ................ . . .. - Date Invoice Day Gwent Mark Freq. Seq Term Account Route 5 12/21/2023 3247545 Thu 110350 5 4180 110350-00000 311 Total Adj.: $0.00 Tax Adj,: $0.00 Net Charge: 1 $92.04 1 Received By: NOA 12121/2023 11:56:03AM OFFICE ROUTE Line Item Empf Name / Des oniption Sizes Qty, Inv. Min. Adj- Qty, Ed:j- Amt., Ext:. price I 'Adj. Qty. Aqj Amt- Total 1 6265 3X5 SLATE MAT 3 6 0 $0,00 $17,35 0 ... $0.00 $17.35 2 6269 3XI9 SLATE MAT 4 8 0 $0.00 $44, 92 0 $0.00 $44.92 FUEL SURCHARGE $0.00 $T50 $0.00 $7,50 SERVIDEL CHH $0,00 $7.57 $0.00 $7.57 TEXTILE MAINTENANCE $0.00 $7,57 $0.00 $7.57 Total Due Cur. Bus. Cur. Bal- 30 60 -- 90 120 Office Adj.." $0.00 .. . .......... . ....... Subtotal,, $84.91 Rte. Adj.: moo $92.04 $0.00 $92.04 $0.00 $0.00 $0.00 $0.00 Tax Adj..- MOO Sales Tax: $7.13 'Tax Adj.: $0.00 Comment: r.t Net Adj.: $0.00 Prebili: $92.04 Net Adj.: $0.00 Total Adj.: $0.00 Tax Adj,: $0.00 Net Charge: 1 $92.04 1 Received By: NOA 12121/2023 11:56:03AM ry rr .cl © ,� *076 Uau€- Sfl ..•..... ., az asaa aiat mos a a zsa eaao sae asap toa was lZoe wag t zaa woo stop County of Grant 35 C ST NW PA Box 37 Ephrata WAS 98823 Ven.dor,,, US, Linen Uniform 1106 Harding St. Richland WA 99352 . ............... . ...... — —PU ------ - -------------- ---- — — - - - -------------- VendorID Document Nut°ber rchase Order Number......._ umber J 3254703 Nei 'c"' r -'i' -p ii o-^ * -n — — - ------------- - --- - --- Janitorial Supplies USLUF Page I /I Invoice 0405578 Date 1/9/2024 Shipping Method Subtotal mise Tax Freight Trade Discount Payment Total Due - - - ............... Payment Terms ID ........ . --- ... . ... Amount'. $92.04 $92.04 $0.00 $0.00 $0,100 $0.00 $0.00 $92.04 ;wp� Xw Sw U Linen and Uniform .1 . - --- . ... . ........... .. - U.S. LINEN & UNIFORM 1106 HARDING ST RICHLAND, WA 99352 (888)875-4636 NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 .... .. . ...... . . ......... ,M q 'un �re 01/04/2024 1 3254703 Thu 110350 1 1 1 51 4180 1 CHG 1 110350-00000 311 ft vu e�p 4". Received By: 05117 Total Tax Adj.: Net Charge: OFFICE ROUTE Item • do, t"'01 V ni 1 6265 3X5 SLATE MAT 3 6 $0.00 $17-35 2 6269 3X 10 SLATE MAT . .. . . 4 8 $0�00 $44.92 FUELSURCHARGE ..... . ..... $0.00 $7.50 SERV/DEL CHS $0 .00 $7.57 TEXTILE MAINTENANCE MOO $1.67 Total Due Cur. Bus. Cur. Bat, 30 60 90 120 Office Adj.: $0.00 Subtotal- $84.91 Route Adj.: E $92.04 $0,00 $92.04 $0.00 $0.00 $0,00 $0,00 Tax Adj-, $0.00 Sales Ta 7.13 TaxA.qj I Comment: Net Adj. $0.00 Pre ill, $92.04 Net Adj i ft vu e�p 4". Received By: 05117 Total Tax Adj.: Net Charge: US Linen Janitorial 92,04 of 5.09 11 ....... IL . . ........ . .21 4 Ao County of Grant 35 C ST NW P.0, Box 37 Ephrata WA 98823 Vendor,-, GRANT CO HUMAN RES `..,. � 7.. Purchase Order Number Document Number VendorlD - ---------- Page 111 Invoice 0406337 Date 1/17/2024 Method I Payme t Terms ID --------------------- ......... Shipping HRS 'GC 12012023 -NH NET 30 ........... . ..... Amount HR Service Fee $1,354.67 Subtotal Misc Tax Freight Trade Discount Payment Total Due $11354 67 $0.00 $0.00 $0.00 $0.00 $0.00 $1.,354-67 Invoice for Human Resources Services In advance of summer grant deadlines, Human Resources is asked to use headcount reports to set a cost-sharing amount for each non -general fund budgets utilizing HR services. Department New Hope Invoice Date 1 2/0 1 /23 Contact Alyce Barrientoz Invoice Amount: $ 1. tt3 5 4.67 This 'invoice will be used for departments to generate vouchers for revenue payment to Human Resources. Processing questions should be directed to the Auditor's Office - Accounting Department. / KIJL Kirk Eslinger HR Director GC Human resources 1,354,67 Ink IAR survice Fee 1212on 0.65 340.09 19 S 22.10. s 13-55 S 1 ...... ... P. .23 -SV)- w.A7S069 9k.117 604 S 4.-..-.- 1,35467 CL V GC Human resources 1,354,67 Ink IAR survice Fee 1212on 0.65 340.09 19 S 22.10. s 13-55 S 1 ...... ... P. .23 -SV)- w.A7S069 9k.117 604 S 4.-..-.- 1,35467 County of Grant 35 C ST NW P.O. Bax 37 Ephrata WA 98923 Vendor: WASHINGTON TRUST BANK.. PO BOX 2127 SPOKANE WA 99210-2127 DocumeniNumr Purchase Order Number be 8493 - 1212023 Description.* Visa. Statement 12/2023 Page 1 / 1 Invoice 0405416 Date 1/8/2024 Vendor[D Shipping Meth4d Payment Terms ID 1NET30- ------ - Amount $737,12 Subtotal Misc Tax Freight Trade Discount Payment Total Due $737.72 $0.00 $0.00 $0.00 $0.00 .$0.00 $737-72 1146 LWG 3 7 1 240102 0 PAGE I OF 2 1 0 4833 0030 C 4 01AC1 146 Call Customer Service: 80,0�788-4578 Lost or Stolen Card: 800788-4578 Cardholder Name and Account NumberPage "VISA I of 2 NEW HOPE SHELTER ADVOCATE X)(XX-XXXX-XXXX-8493 Post Date Trans Date GRANT COUNTY Descripflon Amount WWW"OnTrMtBank XXXX-XXXX-ACX-8493 16 WAL-MART #2007 MOSES LAKE WA $69.73 ' Due back to Acctg 01.12.2024 by 12pm 12/01 2445501AF447Y6RYH WAL-MART #2007 MOSES LAKE WA. $31.15A,,O* 12/03 12/01 LL Account 11nfbrmat1*on..:._. Statement Closing Date 01102/2024 Previous Balance $0.00 Credit Limit Available Credit $20,000.00 $20,000.00 w Payments and Credits $0.00 Cash Credit Limit $0.00 +/-Finance Charge(net) + Purchases $0.00,00 Available Cash $0.00 + Cash Advances $0 $65.08 12/10 12/ 10 + Other Charges $0.00 STAPLES 00113019 MOSES LAKE WA � ���.�� Now Balance $0.00 2423168ANRBGJV4QG Payment Inforloadon $25.00-,,,** 12/10 Payment Due Date.- 01/27/2024 Minimum Payment Due-, $0.00 New Balance: $0.00 Remit Payment to; WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 992102127 Please include your account number on your check. E—]New address, phone number or e-mail? Check the box to the left and prInt chaNes on back, WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 992102127 Mail Inquiries To: P -O. BOX 2127 SPOKANE, WA 99210-2127 We. appreciate your business! Account Number New Balance Minimum Payment Due Questions? Call Customer Service: 80,0�788-4578 Lost or Stolen Card: 800788-4578 Payment Due Date 41 Trans4teflo ns X)(XX-XXXX-XXXX-8493 Post Date Trans Date Reference Descripflon Amount 12103 12/01 2422638AGBLH27Z96 WAL-MART #2007 MOSES LAKE WA $69.73 ' 12/03 12/01 2445501AF447Y6RYH WAL-MART #2007 MOSES LAKE WA. $31.15A,,O* 12/03 12/01 2475542A 8` JUNES LEGAL SERVICE INC LAS VEGAS NV $117.00*0" 12/03 12/02 2405522AGBM8M03ET MINUTEKEY BOULDER CO $8.6x7 12/03 12/02 2405523AG2DGKBWKN WALMART.COM 800-966-6546 AR A $4344 12/05 12/04 2443106AJ2DZMVVM83 GRANT 509-768-2508 WA $65.08 12/10 12/ 10 12/07 2.416407AN3lT8ZGQD STAPLES 00113019 MOSES LAKE WA � ���.�� 12/07 2423168ANRBGJV4QG ZAFEWAY #3252 MOSES LAKE WA $25.00-,,,** 12/10 12/08 2444500APBLLY77NS WM SUPERCENTER #2007 MOSES LAKE WA $9.91.'O� 12/12 12/11 2449216ATMMYF ' N5VK NOTARYLIVECONOTRYLIVE 8655866827 NY $25.00OK 12/12 121,17 12/11 2469216AT3512AYXK WALMART.COM 800-966-6546 AR $106-23--#' 12/15 2469216AX2ZOHRF74 WALMART.COM 800-966-6546 AR $62-46 -'Oe 12/28 12129 1027 2444500BABLLELL32 WM -SUPERCENTER #2007 MOSES LAKE WA $16.23 - 12/31 12/27 2423168BARBGJREKF SAFEWAY #3252 MOSES LAKE W A ,,,,- $50,00 12/31 12/29 2444500BQBLLM1/!BMP WM SUPERCENTER #2007 MOSES LAKE WA $60-21 12/29 2444500BQBLLMWBRO WM SUPERCENTER #2007 MOSES LAKEWA $2.10 01/02 01/02 00000,0-000000compc TOTAL PURCHASES $737,72 Remit Payment to; WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 992102127 Please include your account number on your check. E—]New address, phone number or e-mail? Check the box to the left and prInt chaNes on back, WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 992102127 Mail Inquiries To: P -O. BOX 2127 SPOKANE, WA 99210-2127 We. appreciate your business! Account Number New Balance Minimum Payment Due Questions? Call Customer Service: 80,0�788-4578 Lost or Stolen Card: 800788-4578 Payment Due Date January X)(XX-XXXX-XXXX-8493 S M T W T F S $0,00 -12J�.T�3 jA 15 18 17.18 NONE '11 _22 23 ' '8 .L4.225, [2jj _4 28 23 34 3 Amount.. Enclosed * NEW HOPE SHELTER ADVOCATE GRANT COUNTY ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310084937 7. 7 1146 LING 3 7 1 240102 0 PAGE 2 OF 2 Cardholder Name and Account Number NEW HOPE SHELTER ADVOCATE GRANT COUNTY XXXX-XXXX-XXXX-8493 1 0 4833 0030 CX48 01AC1 146 VISA Page 2 of 2 �7raflsactlons, (conflnued) Post DateTrans Date Description Amount TOTAL $737.72 TOTAL FEES FOR THIS PERIOD TOTAL INTEREST FOR THIS PERIOD TOTAL *FINANCE CHARGE* BILLED IN 2023 $0.00 FOR REBATE PROGRAM QUESTIONS, CALL 800-78 4578. 119/24, 1:08 PCV STAPLES 815 N Stratford Rd Ste B MOSES LAKE, WA198837 (509) 765-4600 SALE 2052804 14 001 23892 1301 12/07/23 10,019 QTY SKU PRICE DUPLICATE COPY Not Valid For Refund REWARDS NUMBER 1997904717 COMPACT DESK CALND 718103429450 11.99 RY24 DW LONDON ROS 6999314388.48 29.99 SUBTOTAL 41.98 Standard Tax 8,40% 3.53 TOTAL $45.51 VISA CREDIT USD$45.51 Card No.** XXXXXXXXXXXX8493 [C] [H] Auth No. 007584 Chip Read Mode.: Issuer AID,: A0000000031010 TVR .:-8000008eeo IAD.I: E2212F6300820000 TSI sty I., 6800 ARC.: 3030 The Cardholder agrees to pay the Issuer of the charge card in accordance with the agreement be*tween the Issuer and the Cardholder. 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Misc Tax Freight Trade Discount Payment Total Due $582.78 $0.00 $0.00 $0.00 ,$0.00 $0.00 $582.78 Page 1 / 1 Credit Memo 0405421 Date 1/8/2024 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, WASHINGTON TRUST BA' NK.. PO BOX 2127 SPOKANE WA 99210-2127 Vendor Shipping Method Payment Terms ID I Document Number Purchase Order Number — - ----------- - 9663 - 12/23 CREDIT WTBCC — --- -- ------ - ----- Description: Visa Statement 12/2023 Amount' $50.57 ----_----- .......... Subtotal $50.57 Misc $0.00 Tax $0,00 Freight $0.00 Trade Discount $0,00 Payment $0.00 Total $50.57 1146 LWG 3 7 1 240102 0 PAGE I OF 2 1 0 4833 0030 CX48 I O1Ac1146 Cardholder Name and Account Number Page 1 of 2 NEW HOPE AMAZON IfISA �GRANT COUNTY AUDITOR hin q.tonXXXX_XXXX_XX"-9663 TrUSt Bank *MIF WrroacirPOIC Due back to Acctg 01.12.2024 by 12pm 45 L ---- ---- AtCount Information".: Payment Due Date Transa. Ions statement Closing Date 01/02/2024 L AccountSuhi Ma TY, - ----- -- Descreptlon Credit Limit $10,000-00 Previous Balance $0.00 Available Credit, $9,743.00 Payments and Credits $0.00 Cash Credit Limit $0.00 +/-Finance Charge(net) $0.00 Available Cash $0.00 + Purchases $0.00 $62.564 1211Or + Cash Advances $0.00 Amazon.com*LZ9FD2FU3 Amzn,com1billWA $50.57-o,, + Other C $0.00 2469216B12ZY68XMA -AMZN Mktp US*IR18G9663 Amzn.com/bilWA Now Balance $0.00 12/21 7469216B33OZ16VHL P meift lnfo6riatl on, -$50,57--,0- Payment Due Date: 01/27/2024 12/21 Minimum Payment Due: $0,00 AMZN Mktp US*6MSE07DC3 Amzn.coryVbil[WA $45.52--".' New Balance: $0,00 Remit Payment to: WASHINGTON TRUST BANK PO BOX 2127 SPOKANE. WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Please include your, account number on your 6e'ck. ElNew address, phone number or e-mail'? Check 1he box to the left and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 992102127 Mail Inquiries To: Questions? P.O. BOX 2127 SPOKANE, WA 9r9210-2127 Call Customer Service: 800-788-4578 Lost or Stolen Card: 800-788-4578 Wo appreciate your business! Payment Due Date Transa. Ions Account Number XXXX-XXXX-XXXX-9663 Post Date Trans DateReference - ----- -- Descreptlon 7 _�L 9 10 11 h 2 13, - ---- I" - Amount 14 1 18 1 C1 11) M1 --5 16 17 12/042469216AAmazon-com*64894IC53 2� 1_2 23 14 25 2 [2 Amzn.com1bi1IWA $21&60JV-' 12/07 12/06 2469216AL30SD62SO Amazon.com*W31817G53 An zn.com/bi1IWA $21.66--0 12/10 12/09 2469216AP338VQElQ AMZN Mktp US*PN7A76A63 Amzn.corrVbil[WA $62.564 1211Or 12/09 2469216AR33GRQRW7 Amazon.com*LZ9FD2FU3 Amzn,com1billWA $50.57-o,, 12120 12/19 2469216B12ZY68XMA -AMZN Mktp US*IR18G9663 Amzn.com/bilWA $27.09.-, 12/21 12/21 7469216B33OZ16VHL Amaz6ncorn Amzn.com/billWA -$50,57--,0- 12122 12/21 2469216B331 KVZOKT AMZN Mktp US*6MSE07DC3 Amzn.coryVbil[WA $45.52--".' 12/24 12/23 2469216B533BVNVOT AMZN Mktp US*567RW7HE3 Amzn.corrVb!IIWA $87.30--- 12/29 12/28 2469216BA36BI89XT AMZN Mktp US*CZ87E7ML3 Arnzn-com/b11IWA $40.05 12/29 12/29 2469216BB2XL516LG AMZN Mktp US*T48KD1BPO Amzncom/billWA $31.43 01/02 01/02 0000000OOOOOCOMPC TOTAL PURCHASES $582.78 TOTAL RETURNS $50.57 'TOTAL $532.21 TOTAL FEES FOR THIS PERIOD TOTAL INTEREST FOR THIS PERIOD TOTAL *FINANCE CHARGE* BILLED IN 2023 $0.00 Remit Payment to: WASHINGTON TRUST BANK PO BOX 2127 SPOKANE. WA 99210-2127 WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 99210-2127 Please include your, account number on your 6e'ck. ElNew address, phone number or e-mail'? Check 1he box to the left and print changes on back. WASHINGTON TRUST BANK PO BOX 2127 SPOKANE, WA 992102127 Mail Inquiries To: Questions? P.O. BOX 2127 SPOKANE, WA 9r9210-2127 Call Customer Service: 800-788-4578 Lost or Stolen Card: 800-788-4578 Wo appreciate your business! NEW HOPE AMAZON GRANT COUNTY AUDITOR ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 Payment Due Date January Account Number XXXX-XXXX-XXXX-9663 8.1- M 7 W T F _S New Balance $0.00 7 _�L 9 10 11 h 2 13, - ---- I" - 14 1 18 1 C1 11) M1 --5 16 17 Minimum Payment Due NONE 2� 1_2 23 14 25 2 [2 8 2-9 29iii-i— Amount Enclosed $ i� NEW HOPE AMAZON GRANT COUNTY AUDITOR ATTN MICHELE JADERLUND PO BOX 37 EPHRATA WA 98823-0037 000000000000000041295700310296630 Amazon.com Final 'd;*r 19- -1844 Order Placed: November 28, 2023 PO number: NH/KH Janitor Sppls . - Exit Bsk Amazon.com order number: 113-4451990-8446612 Order Total: $216.60 Shipped on December 4, 2023 Items Ordered Payment information 8 Of: Clorox Disinfecting Wipes, Fresh Scent, 7.5 Count (Pack of 3) (package May Vary) CLOROX 4 of: cloroxi)isinfectin9 ftes, Fresh Scent, �'75 Count (Pack of 3) (package May Vary) CLOROX Sold by: Amazon,cotyj Sold by: Amazon,com Price $16-65 Condition: New Shipping & Handling: $0,00 Shipping Address.- Shipping Address-- -- - ------ ALYCE BARRIENTOZ Items Subtotal: $133.20 ALYCE BARRIENTOZ item(s) Subtotal: $66-60 311 W 3RD AVE Shipping & Handling: $0,00 MOSES LAKE, WA 98837-1905 Sales Tax: $11.20 Shipping Speed: United States Two -Day Shipping Total before tax: $66,60 Shipping Speed: S ales Tax: $5.60 Two -Day Shipping Total for This Shipment: $72.20 Shipped on December 4, 2023 Items Ordered Payment information 8 Of: Clorox Disinfecting Wipes, Fresh Scent, 7.5 Count (Pack of 3) (package May Vary) CLOROX Price $16.65 Sold by: Amazon,com Item(s) Subtotal: $199.80 Condition: New Shipping & Handling: $0,00 Shipping Address.- ------ ALYCE BARRIENTOZ Items Subtotal: $133.20 311 W 3RD AVE Shipping & Handling: $0.00 MOSES LAKE, WA 98837-1905 Estimated Tax: $16.80 United States Total before tax: $133,20 Sales Tax: $11.20 Shipping Speed: Two -Day Shipping Total for This Shipment: $144.40 Payment information Payment Method: Visa I Last digits: 9663 Item(s) Subtotal: $199.80 Shipping & Handling: $0,00 Billing address --- NEW HOPE AMAZON Total before tax: $199.80 PO BOX 37 EPHRATA, WA 98823-0037 Estimated Tax: $16.80 United States Grand Total: $216.60 Final Details for Order #111-2575309-1242636 Order Placed: December 6, 2023 PO number * Kids Hope Cleaning Supplies Amazon.com order number: 111-2575309-1242636 Order Total,,, $21.66 Shipped on December 6, 2023 Items Ordered 1 Of'. Kenmore IB600HEPA Replacement Intuition Upright Vacuum Cleaner Bags for BQ4022, BU4020, BU4oJ8, BU4050, BU3040,White Sold by: Amazon.com Condition: New Shipping Address: Celina Garcia 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: FREE Prime Delivery Payment information Payment Method Visa I Last digits: 9663 Billing address SuziFode PO BOX 37 EPHRATA, WA 98823-0037 United States Item(s) Subtotal: Shipping & Handling: Total before tax: Sales Tax: Total for This Shipment. - Price $19.98 Item(s) Subtotal: $19,98 Shipping & Handling: $0.00 Total before tax: $19.98 Estimated Tax: $1.68 Grand Total: $21.66 Credit Card transactions Visa ending in 9663* December 6, 2023; $21.66 - --------- To view the status of your order, return to Order Suma)ary Con- - Jfi-OnLof—Use I Pr Ya-Q�� @ 1996-2020, Amazon.com, Inc. �cCuved �� � - I2- 8 -�3 E (. Amazon -.3anitortat Supplies f 2.8 zi ' ML ...... �!�S�r��.. __-. .....,...d:T+•� ,r..,...,_.�5.�,"7h! .,.,�.�.M �i.:.,,.m.........,..,.+.,.,...�,,..�...... ,,.......�...��..-'i?"6! ..-.�...,:..,...d�.HSI �NFiL.V ,,.».,.w,..�i. iV L.VI�, Al A2 __ _ �p��2 ��}.d2 $21.88 vlii al (Nateii; is Or&sa 1, APIA,', f I Order Placed: December 8, 2023 PO number: Office Supplies - HCA Amazon.com order number: 113-4274720-0571445 Order Total: $62.56 Shipped on December .9, 2023 Item's Ordered Price 30f.' F4breze Fabric Spray, Odor Fighter for Strong Odor, Refresher Spray PLUS with Clea Sold by, Amazon I_s9Uff_pnjLe.) n Scent, 16.9 F1 Oz (Pack of 2) $10.84 Bush m Price Condition: New 1 Of: ToLuLu Desk Mat, XXL Large Mouse Pad Wrist SuPPOrt Seto in I Gaming Mousepad Desk Pad+ Ergonomic Mouse Pad with ftst Rest + Keyboard Wrist Rest+Coa $25,19 sterfor Women Home office Complger Sold by: ToLuLu LjgUff p)LQMePurple Marble Condition: New Shipping Address: AL CE BARRIENTOZ 311 W 3RD AVE MOSES LAKE, WA 98837-1905 United States Shipping Speed: Deliver in fewer trips to your address Payment Method,: Visa I Last digits: 9663 Billing address NEW HOPE AMAZON PO BOX 37 EPHRATA, WA 98823-0037 United States Credit Card transactions Payment information Itern(s) Subtotal: $57.71 Shipping & Handling: $0.00 Total before tax: $57.71 Sales Tax: $4.85 Total for This Shipment: $62.56 Item(s) Subtotal: $57.71 Shipping & Handling: $0.00 Total before tax: $57.71 Estimated Tax.- $4.85 Grand Total: — - --------- $62.56 Visa ending in 9663: December 9, 2023: $62.5-6--- I/ To view the status of your order, return to Order _5pan mary 12onditions of t fiRim.I Priv y otic i -2020, Amazon.com, Inc. aa _N 1996 9999 s "tin O&Aft sa:lddaS e: Wo zewy sa:lddaS e: Wo zewy GRANT COUNTY CASH TRANSFER REQUEST DEPARTMENT: AUDITOR TRANSFER DETAILS: EFFECTIVE DATE*- 1,16.2024 2024 LIABILITY INSURANCE PREMIUM DESCRIPTION: 2024LIAB.INS REQUESTED BY: EMILI WASH ACCOUNTING JE NO. --- - ---- 945,725 TREASURER GL NO. FUND NAME ------ ------ ----- TRANSFER TO ------- TRANSFER FROM CURRENT EXPENSE ==: FUND F - 001.000.00 J PREDR) P, 0000 ACCT ( 101000000 I MR ) COUNTY ROADS �101.000,00 �0,�— 0000 W ------ 101000000 $ 1,x 88,272.94 299,519.00 MENTAL HEALTH FAIRGROUNDS ---- - ---- -------- —..���10&000.00 0000 101000000 -$ $ - 389t375.00 'DEVELOP. DISABILITIES 116.000-00 125. 000. 00 00001 0000 101000000 101000000 $ ...... 2,99,519.00 NEW HOPE 128.000.00 0000 101000000 1 $ 46,080,00 BUILDING 38. 000. 00 0000-1. 101000000 --M $ 46)080 46,080 SOLID WASTE ------ TECHNOLOGY SERVICES 40t000 00 0000 101000000 ------ $ ,00 89,856.00 EQUIPMENT RENTAL -------501,000.00 ...... 510�000,00 0000 0000 101000000 101000000 $ 89,856.00 INSURANCE -------- 1 503-000.00 0000 1101000000 3,140,717,94'i $ 46,080.00 3o11401111' .9 ---- 4 ------ — ---------- 73 TOTALTO TOTAL FIR O -----M-":; Completed By. Approved By: )�a�ie SWIM �51p�11.�a System: 1116/2024 11:57:52 PM Us. e 4r Da It" e : 1/ 12 0 " 4 / Of 4 #- -Intercompany Journal Entry Batch !D: 2024LlAMINS Batch Comment: County of Grant GENEP,AL TPJAXISACT ON EDIT L ST General Ledger Lip p r o ve d No Ba -,.-,ch Total Actual., $ 121564,871.76 Approved By: 1, I- , Trx Total Actual, Approval Date: Pace: I User -"*D: swash REVIEWED eswash at 4:03 pm Jan 16., 2024 / BaschToltal Contlro�a 12, 5021 8 r1: "1 b' Trx Total Control: APPROVED By Katie Smith at 2:31 pm, Jan 26 2024 journa.. T r Ca n s ac t 1� 0 �11 T L a n sac on Reversing -S o' r c e T ran s. a c t -hop. Entry TJT e Date D:a t e Document Reference ---------------------------------------- -------------- ------------------------------------------------- ------------- ----- ---------- User-Deflined I User-Deflned 2 --------------------------------------------------------------- -- --------------------- ------------- I ---------------------------------------------- 945,75 Standar- 2d 1 11 16 /2-1 0 ""' -- 4 Gi2024LIAB.ALM Acco, nt. -------------- I ----------- Description -------------------------------- Debit, Credit 001 000.00-0000.101000000 0MRREENT1 4EXPEN'St, Cp,4S!q -------- - ------------------- -- r------------------- 7'88t27*).Q4 001-101,00,0000-511604b'96 INTRIFTMI MUM. SERV $46,080,00 01.1 M .00-00, Ei14140406.96 TIMMD, INSUR SEEIRIV 001.101.00.000M1221.4606 -ND TNTR*P INSUR SERV 56,00 001.104,00-0000.514204690 INTRIFNID, !NSU SERV $46,080.00 001,105 '00' .0000. 512330420396 b TNTR-FlID 'INSUR SEP 001-106�OO�0000-5142'4�41�9%�', I N T RFFN D 1 N "'361R S E- RV 001-10 .00-0000.514244696 I.NTRFIC) !NSUR SERV $46,080.00 001,109.00.000G.K5354696 PROS rfT:Y 147ERFFID I N S Ul 0 li C E INTRITIP MUR SEP,11 $89,856.00 001.1.12-00-0000-518304696. INTREF-11D, INSUR SERI! 14 . 00. 0000. :5121 1-20469-11", INTRi7l r�j TNSUR, SER' 140 -0.944,525560469 MTSUMC001, EM ERFUNNPE 4k s 42 JV yhi 0 01,117.00,0000.1547104696 »NTREMD, INSUR SERV $299 001.11M0,0000-5705304,596 1"11,11TRFM I N S LJR, SERV C'E 001M0,00,0000-563204696 INTRFND !NSU'. SERV $406,080.00 OOIJ22AO.0000.574121469fa TNTRFrqD iNSU1 34 E IRV $46/080.00 001124.OM000.518104006 INTERTGND� T1,1SUP, `.j_ A. ANCE 001.125,00,0000.511604696 INTERMID INSUP-ANCE $1451522.94 00"..�33,00,0000-515�ql4,o90 SELF iNST144CE 1PREMITMI, 4 $89x85-6.00 101MO.00.00OM01000000- C 0 TY[Irl Y ROADIS GENE-L"AlL - -CASIA '�g 101.000-00,0000-543504696 COUNTY ROADS GENERAL INT.RFND INS SERV $2991519.00 1084000.00.0000-101000000 MEN Tz"A. lu HEAL"fl-l". . CjAS;� 108-5.0000,59,00466 .0 004 Al MAELT ENTLL.. UI1 NSl, AHIN T ER MN D 12Al CE $89,856.001 108.150.00.0000.5r4004696 MENTAl HEALTH, I hTTERFUJIND INSURANCE $2,91,11 51 Q 0 0 116-000,00,0000,M000000 F-A:'R PARK, CASH. 11w6,i-59-OO.-O-102.513704'o'96 . T - NTRMN"D "'MUR SER'q $ 2.0 91 5 191 0 V. 125-000-00.0000.1010000oo DD RESIDENT. -U, CASH $46,080400 125-167.00.0000.OrBC046JQ'or S DD RESIDENT-LAL -1 N'T E R FIT.03 03 INST N C'El $461080.00 128-000100.0000-101000000 NEW HOPE. t CATH 128.170,00-0000.565504696 !NTERFUND iNSURANCE $46,080.00 138,000,00,0000.10i000000 BUILIDNG. CA S HL S46t 080. 00 138-116-00-0000.5IG4Z04u�96 iNTER-PlMD 'MURWICE $46,080.00 4011.000.00,0000.101000000 SOLID WASTE, CASH $89t856.00 401.000.00.0000,531-19401596 S 01.- D Flt A ST, E L S 7 1: kA %A U-rance Pretd- $89185-6.00 501,000400,0000,1"01000000 �JTCAL SV MS.. CA SH T ERV -'" 8 8 911 556 0 0 501.179100.00001518804696 INTRFND INSUR SERV $89,85G.00 5 V V uvw I IV V 11 -00C.01.0 -0-00-101000000V EQ REN71- & R GENEP -CA.S'� 510,0000,00.0000.5481'84600 EQ RENT 8 - GENERAL, .'-lZSuj.gCE 546,080.00 503.00.00.0000.1o1000000 CAS** Aq $3141401717r94 � 4 j V V 503.1-81-00,0000.348000000 i .-NSUIRWMICE. PREIK.M. RZE-11EINTME I lAn Ill OA 'J I - . w I I x.iZ ---------------------- ---------------------- Total Distributions: 41 To L a I IS Liability Insurance ....... ... 31U01717.9):4] Al locat 1* on ers Mi"I" 1001 .101 .00,0000-611,,6 0.46.96 'OOIA02,00.0000*5 .12.40.46.96 0 0 1 .103 D 0.00 00 5 12,21 46-96 -'001.104,00.0000.514 .2046.96 001 .10 5.00.0 000. 612,30,46.96 0 6.00.0000,514,,22.46.96 001.10 g Y "q_. t 001107-00-0000-614,24.46.96 001 .108-000-000-511.70.46.96 MM 001.109-OO.ODOD.515,35,46.96 M 4 VIM . . . . . . . 11,00,0000-558-60-46.96 001 001 .112.00.0000.518,30.46.96 001,113-000.000-516,20.46,96 .......... ............ iZ . . . . . . . 001.114,00-0000.521,20.46.96 . . . . . . . Z7 90 001-.115 - 0 0 0 -000-521.20,46 ,96 tam. Wj 'C 001 .114-00.9144-525-60.46,96 uOvent 001. 17.00,000-527A 0.46-96 rr _ _7 001 .119-00-0000-575-30-46.96 1-7 001.120.00.ODOO .563.20.46.96 S1 001-122-00.000.571.21.46M _r�f M__" 001 .1 24.00.0000.51S.10 .46 96 001.133.00,0000.515.91-46-96 County Roads 101.00 .0 (In n -jqAq 9A AR 09 D&I, I 50.00.0000. 504,00.46.90 1 DS. 150-00-0000-564.00,46.96 116.159-00.9702,573,70,46.96 125.167.00,,0000.568,00-46-96 128.170.00.0000-56511150.46-96 138.116.00.0000-524-20,46.96 Soild Waste 401,000-00.0000,,537,19,46,96 9000000.51 .80.46.96- Equ 1 pment. Rental ,J 510-000-00,0000-648.78,46,,00 Misc. General Government 001.125.00.0000.511604696 Paid 503.1 32.00,0010. Insurance Fund 503.182,00.0000348,00,00.00 001.125M.0000.511604696 Insurance Budgeted 31140,717.94 $ Paid in 2-023 11713.,812.61 Total Invoice $ 41854,530.55 Previous Year New Allocation 1 38,400.00 46,080.00 2 74,880.00 89j806.00 2 741,880.00 89,856.00 1 38,400.00 46,080.00 1 38,400.00 46,080.00 1 38t400,,00 46,080.00 1 38,400,00 46,080.00 0 0.00 - 2 74,880.00 89t856M 2 74,880,00 89,856.00 2 74,880,00 89,856.00 0 0.00 3 249,599.00 29,51 9300 0 0.00 - 2 74,880.00 89,856�00 3 249-1.599.00 299519.00 1 38,400.00 46,080. ,00 1 38,400.00 46,080.00 1 38,400.00 46,O 0,00 1 38,400.00 464080.00 2 74,880.00 89,856M 3 249,599.00 299t519.00 2 74,880.00 89T85U9 3 24%599-00 299r,519.00 3 249$599.00 299,519.00 1 38o400,,00 46,080.00 1 384400.00 46,080.00 1 38,400.00 46,080.00 2 74t880.00 899856.00 2 74,880.00 89 ,856M 1 38A00.00 46,080.00 129831-93 145,522-94 $0.00 48 2,625t826.93 31140J17.94 31140,717.94 $ Paid in 2-023 11713.,812.61 Total Invoice $ 41854,530.55 MIN WCRG wait oli Ccuntiq§ Risk Group Washington Counties Risk Group 451 Diamond Drive Ephrata, WA 98823 800.407,2027 Grant County PO Box 37 Ephrata, WA 98823 Invoice Number: 2023-33996-0149-6 Invoice Date: 11/2712023 Premium Is due and payable 30 days from recelpt. MOM nOte that If 4 payment is not received, WCRG shall have the right to cancel coverage, NOtIce Of cancellation shall be no less than 60 days. Overdue intdicesare subject to a 2% late charge. W is direct bill. pt'M Rob Hill 509-754-2027 Ext 4071 rhi 451 Diamond Drive I Ephrata, WA 888231 office (509) 754-2027 1 toll -fee 800,407.2027 1 fax (509) 754.3406 1 p , V�w .wc�r U�s Program Admin' tratOr: C108r Risk Solutions