HomeMy WebLinkAboutGrant Related - BOCC (005)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT:BOCC
REQUEST SUBMITTED BY:Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE.. Karl'18 Stockton
CONFIDENTIAL INFORMATION: 0YES Fm NO
DATE. 3/6/2024
PHONE:ext. 2937
---------- -------- -
.............
..............
IT" 0
a
P
Reimbursement Request from New Hope on the Emergency Housing Fund (EHF) grant
#24-4619D-106, in the amount of $16,828.43 for January expenses.
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
ElAgreement / Contract
DAP Vouchers
DAppointment / Reappointment
DARPA Related
F1 Bids / RFPs / Quotes Award
E]Bid Opening Scheduled
El Boards / Committees
0 Budget
ElComputer Related
OCounty Code
D Emergency Purchase
El Employee Rel.
El Facilities Related
E]Financial
F1 Funds
ElHearing
❑ Invoices / Purchase Orders
®Grants — Fed/State/County
Ell -eases
0MOA / MOU
El Minutes
ElOrdinances
E]Out of Statb"T'ravel
El Petty Cash
El Policies
F Proclamations
0 Req"u.e;. st for Purchase
El Resolution
7 Recommendation
ElProfessional Serv/Consultant
El Support Letter
E]Surplus Req.
=ax Levies
E]Thank You's
OTax Title Property
E1WSLCB,
---------- -------- -
.............
..............
IT" 0
a
P
Reimbursement Request from New Hope on the Emergency Housing Fund (EHF) grant
#24-4619D-106, in the amount of $16,828.43 for January expenses.
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
DEEP .RT
ENT OF OMNIER E
z~+ ;k q -FO ��Ra '���.� ;� �F t.�N�l�p k��.�'i.t!u;�.�t 'ki`'4��JY ��ik Kt'E
qs�}p ,wfy'``t f✓A'& yy t 'y.
form'19 1A VOUCHER DISTRIBUTION,AGENCY Short C Odeorit tact Number
NUMBER
CMS Invoice ID: DEPARMENT OF
387898
1030 24-4619 D-106
COMMERCE
VENDOR OR CLAIMANT (Warrant payable to:) INSTRUCTION TO VENDOR OR CLAIMANT:
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
Kerrie Stockton
°`'�""`"`•"'rovr�"""°n.,.w,�'N'}`A6eMMn`��'��°�"w�w��°�-•r•Mw--
warrants they have the authority to do so as authorized and on behalf
of the entity identified in the Vendor/Claimant section. The individual
(Vendor Contact Person)
(509) 754-2011 ext 2937
'm••.u+.:•,rvr.tlewrn..,wsr>.a*re,.......tiwwwan,.anro...,r+};+:s,r
signing below certifies underenalt Y of perjury that the items and
totals listed herein are proper
p oper charges for materials,
}rmxnv✓uxt-:+as.,o:Trx....■,.,w,mram..:w..,. �"}"Y"�4' """°``u`�m
(Vendor Contact P=millihone)
merchandise or
services furnished to the State of Washington, and that all goods
g ,
<kstockton a�a.gov>
furnished and/or services rendered have been provided without,�grantcount,
discrimination because of age, sex, marital status
(Vendor Contact Email)
r ace, creed, color,
national origin, handicap, religion or Vietnam era or disabled veterans
07/01/23 - 06/30/24
...wr.amv..rzW'r+s".v,»ean.ewsA. ae.n..w:Nr+r..'immr,.,«axewnnerr}xmnr}vmcwxok++awrroww.lorir.Mrcre,sMus3x}ear,arcrorm.w...,.:ss.w:,.,y,.;
status.
.
M: u..y„r,.yyn �R✓aM.tlaa'•1Ya0"w+w
(Contract Period)
wMFM
01/31/24 - 01/31/24 Karrie Stockton Kstockto
dMrb*Y,ba:•Nb:•:V'•.T.'rvn'}"ySY.'S+nWY,w`riPvi'..:nL^+,MMlh llVNnwvn'n'+tlRat.sNWalmMu.+eW�eN.m.eA�l.M+�+ywwa:u.w...vr...ntn ,..b,.. 'M .nd n2 3/6/2024 9.36:42 AM
(REPORT PERIOD)
(SUBMITTED BY) SUBMIT
DESCRIPTQI BUD ET.
REQUESTED EXPENDED
:. Ta AMOUNT THIS AWARD
:AMOUN T _ D INV OICE REMAINING ,
Admin - Unassigned $120,383.00
$2,239.3136 213
$ .16 $-00 $.84,169.84
operations.- Unassigned $681,156.00
$12,544.12$119,529.72'
.. $.00 $561,626.28
Rent - Unassigned $27,153.00
'
$2,045,00 20 290.8 6 $-00 $6,862.14
Facility Support - Unassigned $325,646.00
$.00 $96,729.96 $.00 $228,916.04
Non - Match Total: $1,154,338.00 t--$16,828.43
$272,763.7.0 2J. .1,574.30
P O
R. GRAM APPROVAL
_.
'
w 5
The m a t
( dividual signing this voucher wart.ants the have thea
Y uthorif to si n this voucher
Y . 9 ,.. _
_DOC DATE : : CURRENT FERENCE .DOC NO VEN DOR;� M and SUFFIX.;
DOC: NO.
.
SWV0002426 03
ACCOUNT NO. ASD NUMBER ENDOR :MESSAGE
V
45761
TRANS REV MASTER SUB, SUB
CODE CODE INDEX OBJ SUB
MG :..
GL ACCT SUB �AMC;UNT PROGRAM.
OBJ
SID IND EX
46ECO220 NZ
4620 C
READY to BATCH PREPARER
DATE WARRANT TOTAL
CREATED BYKarrie Stockton (Kstockton2)
---
DATE 2/28/2024 3:38■
.49 PM
Form 19 -IA VOUCHER DISTRIBUTION AGENCY Short Code
Commerce Contract Number
NUMBER
CHIS Invoice ID: DEPARMENT OF
387898 1030 24-4619DM10
COMMERCE 6
® All Expenses under $1,000
Paid to
Paid b Paid to
Paid by UBI . Y
Contractor Paid to. UBI 76pe]
Expense
Organization Name
Ty. Organization Name Type . Amount
Ype
Subcontractor Total
Sub Subcontractor Tota
Lead Grantee Name: List Sub Grantee Names Below
Invoice Period (Month/Year): January 1-31, 2024
Organization Name: New Hope NH Shelter RRH Hotel Vouchers
Date Totals
A
, _ 2- .31
�
239.31
mi 2
..
p �` 12- 44 12'
5
..
_
..
�. .: ....... :..:..:. .......
,
L J
i
f ili ort
ac
00
t Su ..
Rent _.
,
045.0 ,.
52� 045-.'O&
„
Totals $141783.43 $21045.00 $0.00 $0.00 $0.00 $0.00 $0.00
Invoice Total: $16,828.43
T20
C55 L4 �a
EHF Voucher Detail
Invoice Documentation: Salaries
Staff Name
Suzi Fode
Elsa Borrego
Tara Dieng
Maria Hallatt
Alyce Barrientoz
Hildai Cruz -Aviles
Marisa Bautista
Alyce Barrientoz Overtime
Total
Invoice Documentation: Benefits
Suzi Fode
Elsa Borrego
Tara Dieng
Maria Hallatt
Alyce Barrientoz
Hildai Cruz -Aviles
Marisa Bautista
Total
Vendor:
GC Human Resources
GC Auditor
Devries
Lindsay Water
Office Depot
Eric Kornbilt
Mario Padilla
Mario Padilla
PB Janitorial
US Linen
ATT
Century Link
Best Western
Quality Inn
Staples (Visa)
Walmart (Visa)
Vivint (Visa)
Loc Citizens (Visa)
Amazon (Visa)
Amazon (Visa)
Total
Amount
charged to
Code Salaries Calculation the grant
565501100 9840.92
13%
$
1,279.32 Shelter Operations'
565501100 4468.52
50%
$
2,234.26 Shelter Operations'
565501100 5265.83
9%
$
473.92 Shelter Operations �
565501100 5157.64
6%
$
309.46 Shelter Operations/ •
565501100 5053.64
19%
$
960.19 Admin/NH Shelter
565501100 3863.17
12%
$
463.58 Admin/NH Shelter
565501100 1631.37
58%
$
946.19 Shelter Operationsr'� .
565501202 189.56
19%
$
36.02 Admin/NH Shelter``!"'
$
6,742.95
565502*** 2675.87
13%
347.86 Shelter Operations
565502*** 1900.82
50%
950.41 Shelter Operations'"
565502*** 2047.73
9%
184.30 Shelter Operations'
565502*** 3315.32
6%
198.92 Shelter Operations
565502*** 3060.89
19%
581.57 Admin/NH Shelter
565502*** 1649.6
12%
197.95 Admin/NH Shelte
565502*** 291.22
58%
168.91 Shelter Operations
$
2,629.92
Description
565501124 HR Service Fee
90.55 Shelter Operations v*****
565504696 2024 Liability Insurance
2773.41 Shelter Operations✓
565503100 Document Shredding
0.92 Shelter Operationsvo'**
565503100 Office Supplies
5.8 Shelter Operations✓
565503100 Office Supplies
26.33 Shelter Operations✓
591657001 Shelter Lease
$
11800.00 Shelter Operations ✓
591657001 Office Lease
$
465.02 Shelter Operations v''
565504700 Office Utilities
$
98.45 Shelter Operations%/
565504107 Janitorial
$
57.18 Shelter Operations''
565504107 Janitorial
$
11.08 Shelter Operationsv00'0
565504201 Office Phone
$
3.32 Shelter Operations v0001*
565504201 Office Phone
$
5.55 Shelter Operations ✓''�
565504502 Emer.Shelter
$
198.70 Rent/Hotel Vourchers
565504502 Emer.Shelter
$
11846.30 Rent/Hotel Vourchers
565503100 Office Supplies
$
3.04 Shelter Operations a''
565503100 Office Supplies
$
8.32 Shelter Operations ✓' U)a\v%a.v -
565504100 Shelter Security
$
56.47 Shelter Operations v'"'
565504100 Shelter Security
$
26.61 Shelter Operations V
565504107 Janitorial Supplies
$
14.34 Shelter Operations''
565503100 Office Supplies
$
4.18 Shelter Operations pe
$ 7,495.57
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: BEST WESTERN RMA INN
1818 BASIN ST SW
EPHRATA WA 98823 -
Document Number
-- - --------------------- - -- -
Purchase girder Number
VendorlD
Page 1 /1
Invoice 0405579
Date 1/9/2024
Shipping Method
Payment Terms ID
---------- --- --- - - ------------
'BWRIN
--'- ... ............... ...... ............. ..... . ......
..... . .....
Description:
Amount:
Emergency Shetter
$198.70
.. .... ...... --- --- ........
Subtotal
$198.70
Misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$198.70 - 00*0
UINS,
1818 Basin St SW
Ephrata, Washington 98823
509-754-7111
ECEDVE
�NN�NNANN
Alyce Barrientoz
NEW HOPE
311 W THIRD AVE
Moses Lake, WA 98837
Invoice # Bill Date Arrival Departure Conf # Folio # Description
4551 01104124
12/23/23 12/26/23 R110069618246 8352363 West, Laura
PO #
Fadi Best Western ®R branded hotel is independently owned and operated.
0004612
00045
INVOICE
User.- Cynde Pulliam
Date: January 04, 2024
Time. 11 4-20 AM
Original
AmOUnt
$198.70
BALANCE DUE:
Invoice Total
$198,70
$198.70
Shelter/Hotel:
Date In:
Program:
DV
Hotel
12/24/2023
Client (First Initial & Last Name):
Year of Birth: 1977
Case II 722364
Secondary #1 Y013%
Secondary
Secondary #3 YOB:
Secondary #4 YOB*
Secondary #5 YOB*
Secondary #6 YOB:
Previous Living Situation?:
Where did client exit to?.:
Payment Grant:
Client Shelter Form
L, West
Hotel Name/Room in Shelter,, Best Western Ephrata
Date Out: 12/26/2023
Review Shelter Guidelines: Yes
Invoice Turned In:
Client IM ZZZ331
NCA Trak: 2024-5
Gender:
Gender,
Gender:
Gender:
Gender,
Gender,
Rental by client, no ongoing subsidy
Staying or living w/family
Comments: Fled DV from Snohomish County
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: MELS LANE LLC
DBA: QUAILITY INN
449 MELVA LANE
MOSES LAKE WA 98837
Purchase Order Number
Document Number
07929754
QUALI
Description:
Emergency Shelter
Page 111
Invoice 0406791
Date 1/24/2024
--- - ---- - . ....... . ......... .....
VendorlD Shipping Method Payment Terms ID
................ .............
........... . ..... .. ......... . ................
NET 30
Amount
$791.28:
Subtotal
------ -----
$791.28
mise
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment$0.00
Total Due
$791.28V
Quality
INN
BY CHOICE HOTEL
NEW HOPE
HOPE, NEW
604 W THIRD SMITE B
Idoses Lake, WA 98837
Post Date
1/12/24
1/12/24
1/13/24
1/13/24
1/14/24
1/14/24
1/15/24
1/15/24
1/16/24
1/16/24
1/17/24
1/17/24
1/18/24
1118/24
1/18/24
1113/24
1/19/24
1119/24
1/19/24
1/20/24
1/20/24
112112.4
1/21/24
1/22/24
1122/24
1122/24
1/22/24
1122%24
1123/24
1,/28124
1/24/24
Quality inn (WA255)
449 Me -Iva Dane
Moses Lake,' A 98887
(509) 765-8886
WA255@stayatchoice.com
Description
Room Charge
State Tax
Room Charge
Mate Tax
Room Charge
State Tax
Room Charge
Mate Tax
Room Charge
State Tax
Room Charge
State Tax
Room Charge
State Tax
Room Charge
State Tax
Direct Bill
Room Change
State Tax.:
Room Charge
State Tax
Room Charge
State Tax
Direct Bill
Direct Bill
Direct Bill
Room Charge
State Tax
Room Charge
State Tax
Direct Bill
Comment
#303 HOPE,
NEW
#303 HOPE,
NEW
#303 HOPE,
NEW
#303 HOPE,
NEW
#302 HOPE,
NEW
#302 HOPE,
NEW
UNDER
CHARGED
#302 HOPE,
NEW
#302 HPE,
NEW
#302 HOPEF
NEW
#302 TRE,
NEW
Adjustment
Correction
#302 MORE,
NEW
#802 FORE,
E
Account,
907929754
Cate:
1/24/24
Room:
302 WCONs
Arrival Cate:
1/12/24
Departure Cate:
1/24/24
Check In Tice:
1/12/24 5:17 RM
Check Out Time-
1/24/24 1115 AM
Rewards Program ID:
You were checked in b;
sirb
You were checked out b;
Irosco
Total Balance Due;
0.00
Amount
60 00
5.94
50,00
5.94
60.00
5.94
%o0
5.94
59.99
"5.94
59,99
5.94
0.02
0.00
60,00
5.94
(461.53)
50,00
5.94
60,00
5.94
60.00
5.94
(197.82)
461.58
197.82
0.00
5.94
60.00
5.94
(791-28)
Fol'10 Summary 1112/24 - 1/24/24
Room Charge 720.00
State Tax 71-28
Direct Bill (791.28)
Balance Due: 0.00
With this rate you are able to earn valuable Choic
Privileges points'. I
- - - - - - - - - - -
a CHOICE
privileges.
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by stopping by the front desk, or logging on to
www.choicehotels.com/cho*lce-;Privileges.
NEW HOPE
HOPE, NEW
604 W THIRD SUITE B
Moses Lake, WA 98837
Post Date Description Comment
Account:
Quality Inn (WA255)
low 1 6",
449 Melva Lane
Qdoft.
uatity
Moses Lake, WA 98837
1. N N
(509) 765 -8886
BY C4CE HOT ELS
WA255@s-tayatchoice.com
NEW HOPE
HOPE, NEW
604 W THIRD SUITE B
Moses Lake, WA 98837
Post Date Description Comment
Account:
907929754
Date:
1/24/24
Room:
302 WCONS
Arrival Date:
1/12/24
Departure Date:
1/24/24
Check In Time:
1/12/24 5:17 PM
Check Out Time.
1 /24/2411.15 AM
Rewards Program ID. -
You were checked in by.,
skirby
You were checked out by:
Irosco
Total Balance Due;
0.00
Folio Summary 1/12/24 - 1/24/24
With this rate you are able to earn valuable Cholc'49*
Privileges points!, I
Amount
0.00
Balance Due: 0=
OCHOICE
P 'leges.
f1ji'WA6*Dg
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by stopping by the front desk, or logging on to
www.choicehotels.comlchoi:ce-priv'l'leges-
Shelter/Hotel, Hotel
Date In: 1/12/2024
Program:
Client (First Initial & Last Name):
Year of Birth: 2004
V
CaselD. 649554
Secondary #1 YOB:
Secondary
Secondary #3 YOB#
Secondary #4 YOB:
Secondary #5 YOB:
Secondary #6 YOB:
Client Shelter Form
B.-Chagoya
Hotel Nerve/Room in Shelter: -Quality Inn/303
Date Out:
Review Shelter Guidelines: Yes
Invoice Turned In:
t
Client ID, G M L29119
NCA Trak: 2022-412
Gender:
Gender:
tendert
Gender:
Gender,
Gender:
............
Previous Living Situation?: Staying or living Jnr/friend
Where did client exit to'?-,
Payment Grant:
Comments,A!
2ndry victim to moms DV
Page 1 /1
Invoice 0405110
Date 1/2./2024
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: MELVA LANE LLC
I)Bk QUAILITY INN
449 MELVR LANE
MOSES LAKE WA 98837
-- - ------- — -------- - - . ...........
Document Number Purchase Order Number I VendorID
Shipping Met -hod
..... . .......... . ..... ..........
9046 139i
..... . . ....... . ....... .... .. ......... . ....... . .......... ............. ...... ......
Description:
Emergency Shelter
Subtotal
Mise
Tax
Freight
Trade Discount
Payment
Total Due
Payment Terms ID
NET 30
Amount
$131.86.
$131.86
$0.00
$0.00
�0.00
$0.00
$0.00
$131.86
K Is
vuatilty
INN
BY CHOICE HOTELS
NEW HOPE
HOPE, NEW
311 W 3RD AVE
Moses Lake, WA 98837
Quality Inn (w2)
449 Melva Lane
Moses Lake,, WA 98837
(509) 765-8886
WA255@stayatchoice,com
Post Data
Description
12/19/23
Room Charge
12/19/23
State Tax
12/20/23
Room Charge
12/20/23
State Tax
12/21/23
Direct Bill
Room Charge
State Tax
Direct Bill
Comment
#110 HOPE,.
NEW
#110 HOPE,
NEW
Account:
904641397
Date:
1/1/24
Room.-
110 LMCONS
Arrival Date-
12/19/23
Departure Date:
12/21/23
Check In Time:
12/19/23 4:47 PM
Check Out Time:
12/21/23 11:09 AM
Rewards Program ID -
You were checked in by:
blopes
You were checked out by:
jmille
Total Balance Due:
0.00
Folio Summary 12/19/23 - 12121/23
With this rate you are able to earn,valuable Choice
Privileges points'.
Amount
59.99
5�94
59.99
5.94
(131-86)
119.98
11.88
(13 1.8 6)✓
Balance Due.- 0.00
sll�
OF CHOICE
privileges.
ftr~bg
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by Stopping by the front desk, or logging on to
www.cho*lcehotels-com/choice-pri'vileges.
-dinabbb.
404L
voath
y -
INN
BY CHOICE HOTELS
NEW HOPE
HOPE, NEW
311 W 3RD AVE
Moses Lake., WA 98837
Quality Inn (WA255)
449 Melva Lane .
Moses Lake, WA 98837
(509) 765-8886
WA255@stayatchoice.com
Post Date
Desenipton
12/19/23
Safe w/Itd Warranty
12/19/23
State Tax
12/20/23
Safe /ltd Warranty
12/20/23
State Tax
Check In Time:
State Tax
Check Out Time:
Safe w/Itd Warranty
Comment
Adjustment
Adjustment
Folito Summary
Account:
904641397
Date:
1/1/24
Room: -
110 LIVICONS
Arrival Date.-
12/19/23
Departure Date*
12/21/23
Check In Time:
1 2/1 9/23 4:47 PM
Check Out Time:
12/21/23 11: 9 AM
Rewards Program ID:
You were checked in by:.
blopes
You were checked out by:
jmille
Total Balance Due:
0.00
12/19/23 - 12/21/23
With thi's rate you are able to earn valuable Choice
Privileges points'
X
Amount
1.50
0.15
(1.50)
(0,15)
U0
0.00
Balance Due: 0.00
60 CHOICE
keges-
privi
*tWARDS
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by stopping by the front desk, or logging on to
www.cho*lcehotels.co.m/cho*lce-pr*lvileges.
Client Shelter Form
Shelter/Hotel:
Hotel
Hotel Name/Roomin Shelter: Quality
Date In:
12/19/2023
Date Out:
Program: DV
Review Shelter Guidelines: Yes
Invoice Turned In:
Client (First Initial & Last Name).-: V. Arroyo
Year of Birth:
1986
Client ID: GEP24201
Case ID:
611873
NCA Trak: 2021-132
Secondary #1 YOB:
2007
Gender: Female
Secondary #2 YOB*
2011
Gender: Male
Secondary #3 YOB:
2014
Gender: Male
Secondary #4 Y08,1-1
2021
Gender: Male
Secondary #5 YOB -0
Gender:
Secondary #6 YOB*
Gender;
Previous Living Situation?: Owned by client W/out subsidy
Where did client exit to?:
Payment Grant:
Comments:
- - - — ------------ — - ----------- - – — ------------ — - ----------
Page 1 / 1
Invoice 0405102
Date 1/2/2024
County of Grant
35 C ST NW
P,O. Box 37
Ephrata WA 98823
Vendor: MELVA LANE LLC
DBA: QUAILITY INN
449 MELVR LANE
MOSES LAKE WA 98837
--------- - --
- --
P
ocumenNumber urchase Order Number 1 Vendor Irk Shipping Method 1 Payment Terms ID
Dt
. .. ....... .....
QUALI NET 30
. . .................. ............. ................. .... .... .... ..
Description.
Amount'
Emergency Shetter $65,94�
- - _--_------
Subtotal $65.94
Misc $0,00
Tax $0.00
Freight $0.00
Trade Discount $0X0
Payment $0.00
Total Due $65.94
AMWA.
AV 1h
u _ tit
INN
BY CHOICE HOTELS
NEW HOPE
HOPE, NEW
311 W. THIRD AVENUE
Moses Lake, WA 98837
Quality Inn (WA255)
449 Melva Lane
Moses Lake, WA 98837
(509) 765-8886
WA255@stayatchoice,com
Account:
905631896
Date:
12/28/23
Room,
113 LMGR
Arrival Date:
12/27/23
Departure Date:
12/28/23
Check In Time:
12/28/231:82 AM
Check Out Time:
State Tax
Rewards Program ID:
7.50
You were checked in by:
CARRED
You were checked out by:
1.50
Total Balance Due:
0.00
Post Date
Descrilption
Comment
Amount
12/27/23
Room Charge
#113 HOPE,
75.76
NEW
12/27/23
State Tax
7.50
12[27/23
Safe w/lid Warranty
1.50
12/27/23
state -Tax
0.15
12/28/23
Direct Bill
(81
12128/23
Direct Bill
Correction
84-91
12/28/23
Safe w/ltd Warranty
Adjustment
(1.50)
12/28/23
State Tax
Adjustment
(0.15)
12/28/23
Room Charge
Adjustment
(1536)
12/28/23
State Tax
Adjustment
(1.56)
12/28/23
Direct Bill
(65.94)
Folio Summary 12/27/2'3 - 12/28123
Room Charge
60.00
State Tax
5,94
Direct Bill
(6 5..94)
Safe w/ltd Warranty
0.00
Balance Due,
0100
With this rate you are able to earn valuable Choice
Privileges points!
X
CHOICE
privileples-
*W*Rvs —
You could be earning free nights at Choice hotels and other great rewards. Join Choice
%W
Privileges today by stopping by the front desk, or logging on to
www.cho*lcehotels.comlchoice-priv*lleges.
Page 111
Invoice 0406786
Date 1124/2024
County. of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: MELVA LANE LLC
DBA: QUAILITY INN
449 MELVA LANE
MOSES LAKE WA 98837
-- ---------------
Document Number Purchase Order Number Vendor ID Shipping Method Payment Terms ID
......... . ...... . .................... ............
ff .................
909112306 QUALI -N
............. . ....... ........... . .........
�b'es' .... c -r6 ... p' -t-1 o' --n'-,* --- - ------
Amount
'Emergency Shtitter
$131.88;
---
Subtotal $131.88
Misc $0.00
Tax $0.00
Freight $0.00
Trade Discount $0.00
Payment $0.00
Total Due $131.88/
Quatity
INN
OY CHOIC5 NOTELS
NEW HOPE
HOPE, NEW
311 W 3RD
Moses Lake, WA 98837
Quality Inn (WA255)
449 Melva Lane
Moses Lake, WA 98837
(509) 765-8886
WA255@stayatchoice.com
Account:
909112306
Date,
1/24/24
Room:
203 WCONS
Arrival Date.-
1/20/24
Departure Date:
1/22/24
Check In Time:
1/21/24 12:25 AM
Check Out Time'.
1/22/24 10:22 AM
Rewards Program ID;
UNDER
You were checked in by:
mhaywa
You were checked out. by:
imacke
Total Balance Due:
0.00
............. .. ..... . ... . .. ............ . . .. ........ ..
1/20/24Room
Charge
#203 HOPE,
59.99
NEW
1/20/24
State Tax
5.94
1/21/24
Room Charge
UNDER
0.01
CHARGED
1/21/24
State Tax
0.00
1/21/24
Room Charge
#203 HOPE,
60.00
NEW
1/21/24 State Tax 5.94
1/22/24 Direct Bill (131.88)
E -H
N
Room Charge 120.00
State Tax 11.88
Direct Bill 31.88)t.---'
---------------
Balance Due: 0.00
W.W ith this rate you are able to earn valuable Choice
Privileges points'.
X
4 V
jaCHOICE
privileges,-
kWARaz
You could be earning free nights at, Choice hotels and other great rewards. Join- Choice
1
Privileges today by stopping by the front desk, or logging on to
www.cho'lcehotels.co[-D-I'choice-privileges.
Shelter/Hotel:
Date In:
Program:
Client Shelter Form
Hotel
----- -- Hotel Name/Room in Shelter, Quality Inn #203
A
1/20/2024 Date Out, /9 1*)n
Client (First Initial & Last Name):
Year of Birth: 1998
Case I; 725908
Secondary #1 YOB: 2021
V
Secondary #2 Y0B.1
Secondary #3 Y08-0
W.1
Secondary #4' 013:
Secondary
4Y013w-
Secondary #5 YOB:
-------- --
Secondary #6 YOB:
Previous Living Situation?:
Review Shelter Guidelines, Yes
Invoice Turned In:
R. Simbres Morales
Client ID, GML28412
NCA Trak: 2024-49
Gender-, Male
Gender:
Gender:
Gender:
Gender. -
Gender,
Staying or livina w/family
Where did client exit to?: Staying or living w/family
Payment Grant; CV
Comments: On Call -AT
Page 1 /1
Invoice 0406789
Date 1124/2024
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: MELVR LANE LLC
DBA: QUAILITY IN
449 MEL VA LANE
MOSES LAKE WA 98837
-----------
Ing Method s
Document Number I Purchase Order Number 1 VendorPant's ID
ID
Shippi
.. . ..... — - ------- . ........QU.........ALI
NT 30
Description: -----
Amount
'Emergency Sheffer
.. . ...... .. ........ _........N,..................... ...... . ....... .... . .... ....... . .............. . .... ........ ... . .... ....... .... ......
. ..... .... . ... ........ . ........... . . ..... ............ .. ....... ......... ..
Subtotal $65.94
Mise $0.00
Tax $0,00
Freight $0.00
Trade Discount $0.00
Payment $0.00
Total Due $65,94
uatty-
INN
BY CHOICE HOTELS
NEW HOPE
HOPE, NEW
311 W 3RD
Moses Lake, WA 98837
Quality Inn O
449 Melva Lane
Moses Lake, WA 98837
(5 09) 765-8886
WA255@stayatchoice.com
Post Date De-scription
1/18/24 Room Charge
1/18/24 State Tax
1/19/24 Direct Bill
Room Charge
State Tax
Direct Bill
Comment
#213 HOPE,
NEW
Account:
908804736
Date:
1/19/24
Room:
213 LMCONS
Arrival Date:
1/18/24
Departure Date:
1/19/24
Check In Time:
1/18/24 5,34 PM
Check Out Time:
1 /19/2411:10 AM
Rewards Program ID:
You were checked in by:
jmille
You were checked out by:
carred
Total Balance Due:
0.00
Folio Summary 1118/24 - 1/19/24
Balance Due:
With this rate you are able to earn valuable Choice
Privileges points'.
Amount
60.00
5.94
(65.94)
60.00
5.94
(65,94) 9-0 '
0.00
A
VAPT CHOICE
privileges. -
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by stopping by the front desk, or logg�ing on to
www.choicehotels.com/cho*ice-privileges.
NEW HOPE
HOPE, NEW
311 W 3RD
Moses Lake, WA 98837
Post Date DescOption Comment
Account:
Quality Inn (WA255)
Date'.
449 Melva Lane
lot&
vuality-
Moses Lake, WA 98837
INN
(509) 765-8886 .
BY CHOICE HOTELS
WA255@stayatchoice.com
NEW HOPE
HOPE, NEW
311 W 3RD
Moses Lake, WA 98837
Post Date DescOption Comment
Account:
908804736
Date'.
1/19/24
Room:
213 WCONS
Arrival Date:
1/18/24
Departure Date:
1/19/24
Check In Time:
1/18/24 5:34 PM
Check Out Time:
1x'1912411:10 AM
Rewards Program ID:
You were checked in by,
imille
You were checked out by*
carred
Total Balance Due:
0,00
Folio Summary 1/18/24 - 1/19/24
With this rate you are able to earn valuable Choice
Privileges points'
X
Amount
0.00
Balance Due: 0.00
4: CHOICE
p ileges.
jTAW*ab#
You could be earning free nights at Choice hotels and other great rewards. Join Choice
%W
Privileges today by stopping by the front desk, or logging on to
www.choicehotels.co:m/cho*l.ce-privileges.
Shelter/Hotel:
Date In:
Program:
DV
Hotel
1/18/2024
Client (First Initial & Last Name):
Year of Birth: 1990
Case I: 722066
Secondary #1 YOB:
Secondary #2 YOB*
Secondary #3 YOB:
Secondary #4 YOB:
Secondary #5 YOB:
Secondary #6 YOB:
Previous Living Situation?-,
Where did client exit to?. -
Payment Grant:
Client Shelter Form
Hotel Name/Room in Shelter: Quality -212
Date Out:. 1/22/2024
Review Shelter Guidelines: Yes
Invoice Turned In: Yes
A. Rodriguez
Client ID: GQU33091
NCA Trakl: 2023-820
Gender:
Gender:
Gender*
Gender:
Gender:
Gender:
Staying or living w/friend
Staying or living w/fam-11y
Comments:
-- — ----------- - -
IIIVQ�i,E'
Page 1 /1
Invoice 0406787
Date 1/24/2024
County of Grant
35 C ST NW
P,O. Box 37
Ephrata WA 98823
Vendor,: MELVA LANE LLC
DBA: QUAILITY INN
449 MELVA LANE
MOSES LAKE WA 98837
915510 QUALI Payment Terms ID
Document Number Purchase Order Number Vendor Shipping Method
907
'NET 30
. ................
Description:
Amount
Emergency shetter $461.51
Subtotal
$461.58
disc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$461.58 V/
AMW
Quality Inn (WA255)
Account:
Date*
907915510
1/19/24
449 Melva Lane
RooM.206
WCONS
vuafity
Moses Lake, WA 98837
Arrival Date:
1/12/24
INN
(509) 765-8886
Departure Date:
1/19/24
BY CHOICE HOTE
1A255@stayatchoice-com
Check In Time:
1/12/24 3:33
PM
Check Out Time:
1/19/24 11:10 AM
NEW HOPE
Rewards Program ID:
HOPE, NEW
You were checked in by:
CARRED
604 West Third, Suite B
You were checked out by:
carred
Moses Lake, WA
98837
Total Balance Due:
0.00
Post Date
Desciniption.
Comment
Amount
1/12/24
Room Charge
#204 HOPE,
60.00
NEW
1/12/24
State Tax
5.94
1/13/24
Room Charge
#204 HOPE,
60.00
NEW
1/13/24
State Tax
5.94
1/14/24
Room Charge
#204 HOPE)
60,00
NEW
1/14/24
State Tax
5.94
1/15/24
Room Charge
#204 HOPE,
60.00
NEW
1/15/24
State Tax
5.94
1/16/24
Room Charge
#206 HOPE]
60.00
NEW
1/16/24
State Tax
5.94
1/17/24
Room Charge4206
HOPE,
60.00
NEW
1/17/24
State Tax
5,94
1/18/24
Room Charge
4206 HOPE,
60.00
NEW
1/18/24
State Tax
5.94
1/19/24
Direct Bill
(461.58)
Folio
Summary
1/12/24 - 1/19124
Room Charge
State Tax
Direct Bill
With this rate you are able to earn valuable Choice
Privileges points!
x
420.00
41.58
(Aa -1 r, 0 N
Balance Due: 0.00
40 CHOICE
privileges.
Ptd WARDS
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by stopping by the front desk, or logging on to
www.cho*lcehotels.com/cho'lce-priv*lleges.
NEW HOPE
HOPE, NEW
604 West Third, Suite 8
Moses Lake, WA 98837
at at Description
Comment
Account,
Quality Inn (w5j
Date.
449 Melva Lane
vuafity-
Moses Lake, WA 98837
INN
(509) 765-8886
BY CHOICE HOTELS
WA255@stayatchoice.com
NEW HOPE
HOPE, NEW
604 West Third, Suite 8
Moses Lake, WA 98837
at at Description
Comment
Account,
907915510
Date.
1/19/24
Room:
206 I-MCONS
Arrival Date,
1/12/24
Departure Date:
1/19/24
Check In Time,
1/12/24 3.33 PM
Check Out Time:
1/19/241 '1:10 AM
Rewards Program ID:
You were checked in by:
CARRED
You were checked out by:
carred
Total Balance Due:
0.00
Follo Summary 1112/24 - 1119/24
With this rate you are able to earn valuable Choic
Privileges points!
x
Amount
0.00
Balance Due: 0.00
4S CHOICE
P i il
riv eges.
You could be earning free nights at Choice hotels and other great rewards. Join Choice
Privileges today by stopping by the front desk, or logging on to
www.cho*lcehotels.com/choice-pr*lvileges.
Shelter/Hotel:
Date In:
Program-,
0
Shelter
1/12/2024
Client (First Initial & Last Name):
Year of Birth: 1977
Case is 719419
Secondary #1 YOB: 2015
Secondary #2 YOB:
Secondary #3 YOB:
Secondary #4 YOB:
Secondary #5 YOB:
Secondary #6 YOBI
Previous Living Situation?. -
Where did client exit to?. -
Payment Grant:
Comments:
Client Shelter Form
B. Taylor
Hotel Name/Room in Shelter: Quality -204
Date Out,,
Review Shelter Guidelines: Yes
Invoice Turned In:
4
ClientlD.. GEP16667
NCA Trak: 2023-781
Gender: Male
Gender:
Gender:
Gender.
Gender:
Gender..
Invoice
Page 1 /1
Invoice 0406790
Date 1/24/2024
County of Grant
35 C ST NW
P.0. Box 37
Ephrata WA 98823
Vendor.- MELVA LANE LLC
CUBA: QUAILITY INN
449 MEL VA LANE
MOSES LAKE WA 98837
. .. . ...... ......
Document Number i Purchase Order Number Vendor lD Shipping Method Payment Terms ID
----------- - — ------ - -- --- ----- - ----- -
NET 0
i908898622 QUALI
3
........................ . ...... ------ ............ .. .....
Description: Amount
Emergency Shelter $197.82.
Subtota I
MISC
Tax
Freight
Trade Discount
Payment
Total Due
$197,82
$0.00
$0.00
$0.00
$0.00
$0.00
$197.82 V,1111�
L ff
u fity,
INN
By CHOICE HOTELS
NEW HOPE
HOPE, NEW
311 W 3RD
Moses Lake, WA 98837
Quality Inn (WA255)
449 Melva Lane
Moses Lake, WA 98837
(509) 765-8886
WA255@stayatchoice.com
Account:
908898622
Date,
1/22/24
Room-
213 WCONS
Arrival Date:
1/19/24
Departure Date,
1/22/24
Check In Time:
1/19/2411:19 AM
Check Out Time:
1/22/24 4,37 PM
Rewards Program ID:
5.94
You were checked in by:
carred
You were checked out by;
jmille
Total Balance Due:
0.00
Post Date
Dose-ription
Comment
Amount
1/19/24
Room Charge
#213 HOPEf
60.00
NEW
1/19/24
State Tax
5.94
1/20/24
Room Charge
#213 HOPE,
60.00
NEW
1/20/24
State Tax
5.94
1/21/24
Room Charge
#213 HOPEt
6U0
NEW
1/21/24
State Tax
5.94
1/22/24
Direct. Bill
(197.82)
Folio Summary 1/19/24 - 1/22124
Room Charge
State Tax
Direct Bill
With this rate you are able to earn valuable Choic
Privileges points'.., I
180.00
17.82
Balance Due: 0.00
4PCHOICE
privileges -
You could be earning free nights at Choice hotels and other great rewards. Join Choice
4F
Privileges today by stopping by the front desk, or logging on to
www.choicehotels.com/cho'lce-pr*lvileges.
Client Shelter Form
belt r, otek Hotel
Hotel lam /Room i Shelter; Qual t' -212
Date in: 1/18/2024
Date Out, 1/22/2024
Program; DV
Review Shelter Guidelines: Yes
I nvoice Tu rned I n s.
Client (First Initial & Last Name):
fir. Rodriguez
Year of Birth: 1990
Client I. GQU33091
Cash' 722066
NCS Trak: 2023-820
,corer -
Genders
Secondary #2 YOB:
Gender,
Secondary #3 YOB*-
Gender:
Secondary #4 YOB#
a
Gender,
Secondary #5 YOB:
Gender.
Secondary #6 'SOB.
Gender
Previous Living Situation?.
Staying or living /friend
'where did client exit t*
Staying or laving w/family
Payment Great. � �
"
County of Grant
35 C ST NW
P.0, Box 37
Ephrata WA 98823
Vendor., GRANT CO HUMAN RES
Document Number Purchase Order Number Vendor
126i,2-02,3-- N -H----,--, GCHRS
Description:
HR Service Fee
Page 1 /1
Invoice 0406337
Date 1/17/2024
Shipping Method 1 Payment Terms ID
NET 30
Amount
$1,354.67
Subtotal
$1 # 3 54.67
Misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$1,354-67
Invoice for Human Resources Services
In advance of summer grant deadlines, Human Resources is
asked io use headcount reports to set a cost-sharing amount fear
each non -general fund budgets utilizing HR services.
Department New Hope tnvcaice Date 2/01X23
Contact Alyce Barrientoz Invoice Amount: $ L354.f'i
Thisinvoice will be used, for departments to generate vouchers
for revenue payment to Human Resources. Processing questions
M
should be directed to the Auditor's Office - Accounting
:Department.
Kirk Eslinger
HR Director
tit
tr
GRANT COUNTY
CASH TRANSFER REQUEST
DEPARTMENT:
AUDITOR
EFFECTIVE DATE:
1,16.2024
DESCRIPTION:
2024LIAB.INS
REQUESTED BY:
EMILI WASH
ACCOUNTING JE NO. 945,725
-111-1---.1111 1 1 1.1 1, -
TRANSFER DETAILS:
2024 LIABILITY INSURANCE PREMIUM
- --- - - --------------------- -, -- -- -- ------ -
TREASURER GL NO.
FUND NAME
FUND
PROJ
"MiNg"Noo oil 1, 0
ACCT
Oi
TRANSFER TO
(DR)
TRANSFER FROM
(CR)
CURRENT EXPENSE
COUNTY ROADS
IMENTAL
001 -OWOO
w--101 .000.00
0000
0000
101000000
101000000
$
$
1,788,272,94
299,519.00
HEALTH
IFAIRGROUNDS
108.000,00
116. 000. 00
0000
0000
101000000
101000000
$
$
389,375.00
299,519.00
DEVE LOP. DISABILITIES
0000
101000000
$
46,080,00
NEW HOPE
12&000.00
0000
101000000$
46,080.00
BUILDING
00
------- 138.0.00
0000
101000000
$
461080.00
SOLID WASTE
I
401,000.00
0000
101000000
$
891866�00
TECHNOLOGY SERVICES
501-000-00
000 1 0
101000000
$
89,856.00
EQUIPMENT RENTAL
INSURANCE
5%000.00
503.000.00
0000
00,00
101000000
101000000
...
$ 3,140,717,94
$
46,080.00
-- – -------
---------- -----
Completed By:
- --------
Approved By:
— ---------- -
3111,40#7117.94
TOTALTO
tie
31140,717.94
TOTAL FROM
Systeirt: 1116/2024 3:57-52 PM
User Date: 1/16/2024
4 1.ntercomp any Jvarnal Entry
Batch TD, 2024LTABj
INS
Satch Cotr.m.ent
Approved. 110 B a t, ch Tota- A c u a
pproved By: T r, c T' o t a 1. A c. t -L1, a I
Approval Date:
County of Grant Pace: I
GENERAL TRANSAC.T-ON ED- L ST User "*D: eswash
Gena.ral L.-dqer
REVIEWED
By eswash at 4*,,03 pm, Jan 16, 2024
87 1 . 7 -6 h `11� o. a' Control
Sat, It,
Trx Total Control.
APPROVED
By Katie Smith at 2:3i pm, Jan 26., 2024
-nsa..' Rens in-ce Transac4 on
Journa" ' Transaction Tra -t.'on R souu
Entry T�'pe Date Date Dxap�ient Reference
------------------------------------------------------------------------------------------------------------ ----------- ---------------
--')of
i d I
Usser-**Dlef ined
------------------------------------------------------------------------------- ------------ ---------------------------- --------- -----------
9451-125 Standard 1i 16/22102 2 4 Go' '2024L A B. - 'LEN 8
skcco'Unt
Description
Debit
Credit
-----------------------
001-000,.Ofl�-a-0000,1010000CIO
----------------- I -------------- ------------- ----
CURRENT14 Efj.Y. P ENSE C ASSH
---------------- ------
----------------
S1 788 272. 94.
001.10130.0000,511604696
TINTR7�rj TNSUR SERV
�446j080.00
Z
N T RF N -a' ]ENSUR SERI
001J03100.0000.5122.14.690
"INTRIFND INSUR SERV
001,104,00.0000.514204690"
'L?NTRF01, INSUR SERV
$46,080-00
00503"s0r9
T FSIV
INSURER
$01.1.�u'�00..2-2j4b6NRE
001.1064 , 0 0 . 0 0 0 G. 5 ,42224196
TINTRF 7-NSUR SERV
X46, 080, G0
00I, .107 ,,00.0 00.51424469
761TRIFNE) INSUR SERV
$46,080-00
0 0 1 . 10.01 o 0 0 . 0 0 0 0 . 5 1. 053 5 A. 6 963
PIRIDS NTTY -iNTICIERFFN-113) N S TUTIR A N, "C' E
11
INTRFND INSUR. SERV
001.112.00.:0000.518304696
INTRFIND INSUR SERI!
0 JL 110 . o 0 0, Sy 2 1. 2 1) 4 6 9 05
) 7
'1NTRFND_ '.wNS).UR ISERV
ri
001.114.00.9144.5256046906
EM 1-NTERFUND 1-NSURXICUE
001,117.00-0000-527104696
INTRINISUR SERV
S299051191.00
NTREM FND. SUR SERVICE
001,120-00,0000.563204b'96
!NTRFND IN UR SERV
$46,080.00
00-1.122MO,0000.571214696
1 N T R EFN D ILNSUR SERV
$40to400
001,124.00-0000.5181046916
INTERMIT TUSUP CE
001.125.00.0000.511604696
INTERF"UND INSURANCE
$145,522.94
001.1_33,.00,0000.515914696
SELF TNSURRAKr' PREM 1,14
101.000'00.00001i01000000
COUNTY oAl"S GENE'RAAL C A. SH
S259t519.00
101.000.00.0000,543504696
COUNTY ROADS GEN EIRAL TNTR17ND.INS 5EIF61
108,0 00{00.0000,101000000
MENTAL HEII,.LTH. CAS'A
10 8 +:r 5 0 . 0 0 , 0 0 0 0 , 55 6 4. 0 0 469 6
MENTAL HEALTIi. INTELIRFUJI1,14D T)
N.3
108.150.00.0000.5r4004696
MENTAL H E A LTH . i
INTER -FUND INSURANCE
$299IS19.00
116.000.00,0000,1V11000000
FA R & PARK, .CAB
$2199, e€9 0 0'
11-6.159.0,01,9702.5, 37046596
'_1rNTRFNv_) '?NSUR SERV,
$209ZSVOW00
1215-000.00,0000,101000000
DD- HSIDENUPiL., CASH
$46rO8O.00
125,1617,00,0000.568,004696
DD RESTDEr4TILAL 2T�E.RFb-ND -.NSURANC-E
I
128.000.00.0000,10-1000000
P v
NEW .140 E CASE
$461080A00
128.170.00.0000.SG5504696
!NTERFUND INSURANCE
Wt080.00
138,000.00 0000.101000000
BUL1.DN G.. CASH
$461AV80.Fire
138.116,00,0000,5242204696
T
INTERMPU _14SUP,47CCE
401,000.00.0000.101000000
SOLID WASTE, CASH
$89,856.00
SOL. -D WASTE LA2jF";rLL. Se'f -ns-ranIce Pretd
'89,856.00
501.000,0MV000,101000000
TECiNICAL SERIF CEQ.. . C -JA, SH
501.179.00,0000,518804696
INTRFND INSUR SERV
$891856,00
000000
V VVV V
EQ RFIR
Ij G72"I'Al -
'46,080."
V
.8784.600
EQ RE�ffur 61 R GENEIR
546,080.00
503.000.00.0000.10i000000
CASH
$3114017177.94
50V 41 . -182 , 0 0 0,0 0. 3548000 00
V
_14-T1111 REVE-11- E
N S 1 P1, Z kki f 21 . . t . PRP . I w ia
"*3, 140, 117 �914
S_ f I
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Total Distributions: 41 7"o I: a! S $0,281,435.88 $6,281,435,88
Liability Insurance
3,140,717.94
Al locat i*on
Insurance Budgeted
,-Co;rm on ers
1001 .101,00-0000-511 .60.46.96
ct A -;001,102.00.0000.51.2.40.46.96
1
38,400.00
001A03.0 0,0000.612.21.46-96
Of
001,104,00.0000.514,20.46.96
✓ I . .... 01
001.105.00.ODOO.612.30-46.96
74t88O.00
001 .106.00.0000.614.22-46-96
W
001107.00,0000,614.24.46.96
46A0.00
001.108-000.000.511.70.46.96
38140.00
001 .109-00-0000-515,35.46.96
.4, -� 7N1
- - - - - - - - - - K
11.00.000
00. 1 .558.60-46,96
46080.00
001.112.00.0000.618M,46.96
"RYO:
001.1113.000-000-516,20.46.96
0
1 A 14,00.ODOO.521.20,46.96
J,
001.115.+ 00.000.521 K 0.4 .
dff I
001.114-00.9144-525.60.46.96
Pea
001 .117.00,0000-527.10.46-96
M
OA
001 .11 9,00.ODOO. 575-30-46.96
ne
001, 120 .00-0000.563.20.46.96
C (f
DOIA 22-00-0000.671.21,46.96
"o'O-OPIK . . . .....
001.124.00.0000,518.10.46,96
249,599.00
001.133.00.0000.515.91,46.96
County Roads
101 .000.00.0000.543,50,46-96
tee
108.150-00-0000.564,00,46.96
S
1081500D.56400469b .0, .0O0. . 16
�`� 9
116.159-00.9702,573,70.46.96
--ZE
125,167.00.,0000.668,00-46-96
38t4OO.OO
128.170-00-0000-565.50-46-96
1
138.116-00-0000-524-20,46.96
Solid Waste
401,000-00-0000-637,,19.46.96
38j400.00
#X01.17 ,00,0 0 . 1 . K46.
Equil pment Rental
510-000-00-0000-648-78,46,00
Misc. General Governmont
1,125.# 0. 00.116 4696
Paid 503.182.00,0000.
Insurance Fund 503.182,00.0000,348.00M.00
001.125,00.0000,511604696
31140,717.94
$ Paid in 2023 10713.,812.61
Total Invoice $ 41854,,530.55
Previous Year
New Allocation
1
38,400.00
46,080.00
2
74,880.00
89185-6.00
2
74t88O.00
89t856-00
1
38,400.00
46A0.00
1
38140.00
46,080.00
1
38400.00
46080.00
1
38,400,00
46,080LO
0
0,00
2
74,880.00
89t856.00
2
74,880.00
89r856.00
2
74,880.00
89,856.00
0
0.00
3
249,599.00
299,51 9.00
0
0.00
-
2
74,880.00
8%856.00
3
249,599.00
299t,51 9.00
I
38t4OO.OO
46,080�
DO
1
38,400-00
46,080.00
1
38j400.00
46,080.00
1
381400M
46,080.00
2
74-18KOO
89,856.00
3
249,599-00
299,519.00
2
741880.00
891856M
3
249,599.00
29915'1 9.00
3
249,599.00
299..519.00
1
3814K,00
46,080.00
1
38*400.00
46,080.00
1
38,400.00
46,080.00
2
741880.00
89,856.00
2
74,880.00
89,856-00
1
38400-00
.46,080.00
129,831.93
145t522.94
$0.00
48
2,6251826,.93
3J40J17.94
31140,717.94
$ Paid in 2023 10713.,812.61
Total Invoice $ 41854,,530.55
INVOICE
•M4. W.CRG
Wasl*�gtw CcunW§ Mk 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* 1112712023
Premium I *s due and payable 30 days from recent. Please note that I
Mf
payment Is not received, WCRG shall have the night to cancel coverage,
Notice of cancellation shall be no less than 60 days, Overdue Invoices
are subject to a 2% late charge. WC RG is direct bill,
— i a
W QngLe "rwrt
ter
Rob Hill . .......
509-754-2027 Ext 4071
rhill0chooseclear.com
-3yV
Ma
451 Diamond Drive I Ephrata, WA 988251 office (509) 754.2027 1 toll-free 800,407.2027 1 fax
(509) 764.3406 1 MM.wc[g.us
Program Administrator: Clear Risk Solutions
GRANT COUNT"
COMMISSIONERS AGENDA MEETING REQUEST FORM
(gust be submitted to the Clerk of the Board by 12;00pm on Thursday)
��u�sr�� DEPa�.TanE��-: B tJGC DATE: 11121/23
REQUESTING
REQUEST SUBMITTED BY; B Vasquez PH0NE:2928
CONTACT PERsaN ATTENDING ROUNDTABLE: B Vasquez
CONF{DENiIAI. INFORMATION. OYES JRN0
DATE OF ACTION'� DEFERRED
PPRP t DENIED ABSIAIN
Dl:
D:
I
r met Contract
OAP o tter
iAppointm t Reappointment
DARPA Relater
Ids 1 RFPs I Quotes sward
OBIld Opening Scheduled
0 BoardsI Committees
OBudget
ClComputer Related
OCounty Code
DEmergency Purchase
[]Employee Rel.
ElFacififies Related
C1 Financial
11 Funds
D Hearing
Wn of as / Purchase Orders
DGr nts — Fed/State/County
DLeases
DMOA/ MOU.
0MInutes
00rdinances
C1 Out of State Travel
D Petty Cash
Opolides
UProclamations
DRequest for Purchase
DResolution
DRecommendabon
DProfosslonal S r Conault nt
[[Suppoa Letter
0 Surplus Req.
ElTax Levies
ElTha You's
C]Tax Title Property
DWSLCB
Kill
pill
A
M
Washington Counties Rilisk
Group WCG Invoice #2023-33996-0149-
'ln the amount of
",64-05--.fifor the renewal of the counties General Liability Insur n Covera
I's 1�1 Vsq.? 46-8 0� 4546
DATE OF ACTION'� DEFERRED
PPRP t DENIED ABSIAIN
Dl:
D:
I
Katie R. Smith
From.-
Sent. -
To:
CC4
Subject;
Attachments:
Hello Carrie,
Katie R. Smith
Wednesday, January 31, 2024 50*01 PM
Carrie Heston
JaJaira Perez, Loc T. Ohl, Reyna Gonzales, James C. Mckiernan; Suzi Fode, Christopher
Young, Vanessa L. Brown; Tom Gaines, Jerry T. Gingrich; Desiree J. Ochocinski; Crystal
Burns; Michele Jaderlund; Kimberly Allen; Shannon Falstad; Connie Wilson; Melissa R.
McKnight; Janet Millard; Kathleen L. Holden; John M. McMillan; Kevin Schmidt; Andrew
McGuire; Kirk Eslinger; Pepper L. Teterud; Suhail Palacios; Craig Hintz; Jerry Jasman; Emili
Wash
Emailing: 01..16, 0 4 - 94S,725_2024LIAB.INS
01.1 6.2024_945,725-2024L[AB.INS.pdf
Please process the attached cash transfer.
To all other recipients,
REVIEWED
By eswash at 9:
24 am, Feb2024
The attached cash transfer may affect your department/district. You are welcome to contact me with any
questions or concerns,
Thank you,
Katie R. Smith
Chief Financial Officer
Grant County Auditor's Office
P.O. Box 37
Ephrata, WA 98823
509-754-2011 Ext. 2740
Your message is ready to be sent with the following file or link attachments:
01.16.2024-945, 2 � 024LIAB.IN
Note'. To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of
file attachments. Check your e-mail security settings to determine how attachments are handled.
36,
GC AudRor ,. 2024 Liabi*Insurance Promiurrs 3 4F,08A.t1#i
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor-, DEVRIES BUSINESS RECORDS MANAGEMENT INC.
601 E Pacific
Spokane WA 99202
Document Number
Purchase Order Number
DVBRM
1/4Y1 1.
..................... .. . ...... .. ..... ...... ........... ........
'Description:
Document Shredding
Page 1 /1
Invoice 0405127
Date 1/2/2024
Vendor lD Shipping Method
Payment Terms ID
NET 30
Amount
�j MO�
Subtotal
$13,80
mi sc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
% 00
Payment
$0.00
Total Due
$13.80
0
DE RIES
V.
ESS SERVIC"ES
BUSINE
601 E. P.&CIFIC
SPOKANE, WA 99202
(509) 838-1044
866-433-4691
uiv-vv. d evrl'iesillc. C OM
GRANT COUNTY NEW HOPE
Attn: ALYCE BARRIENTOZ
311 W. 3RD
MOSES LAKE, WA 98837
Invoice
DeVrIes Business Services
601 E. PACIFIC
SPOKANE, WA 99202
(509) 838-1044
(866) 433-4691
khoppet,@devriesinc.corn
Date: 12/311/2023
Invoice 0174911
Customer #: GONEWHOPEI
Terms: Net 1 0
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 OUANTITY 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:
601 E. Pacific Spokane, WA 99202
SUB—TOTAL $13.80
TAX $0.00
INVOICE TOTAL $13.80
------------ — - — — - - - - ----------------- - - - -- - - --------------
Page: I Invoce Rev2G230323
D626080 6.2.1.03.A4
09 c b
...... Q , Y
_QS.�6;_ ;_6Qt4:4
US's t sz+Gtna�
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s
Page 111
Invoice 0405124
Date 1/2/2024
County of Grant
35 C 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 1 Ven4orD Shipping Method
b... S....
...... . ......... .... . ..... ..... . . . .......
.. . . ......... . . .......... . ......... . ........
escnption:
Office Supplies
--- - -- ------
x.80
Subtotal
Mise
Tax
Freight
Trade Discount
Payment
Total Due
Payment Terms ID
!NET 30
... ....... ...................... .. ....
Amount
$86,72
$86.72
$0.00
$0.00
$0.00
$uo
$0.00
$86.72
CULLIGAN/LINDSAY
1229 Basin ST SW, PO BOX 189
EPHRATA, WA 98823
(509) 754-4200
m
IF PAYING BY CREDIT CARD, PLEASE CHECK CORRECT CARD AND FILL OUT BELOW
I (IS4
Amomm"
...... ] PLEASE CHECK BOX TO ENROLL
01 IN AUTOMATIC BILL PAYMENT
I I
CARD NUMBER
odw___�
V, CODE
SIGNATURE
EXP. DATE
DATE
12/18/2023
---- — ----- -------------
—
PAY THIS AMOUNT
$86.72
ACCOUNT NUMB -E- R-
246488
1 NUMBER: 138470
AMOUNT
PAID
ADDRESSEE: REMIT PAYMENT TO.*
NEW HOPE CULLIGAN/LINDSAY
311 W 3RD AVE
PO BOX 189
MOSES LAKE, WA 98837-1905 1229 BASIN ST SW
EPHRAT A, WA 98823-0189
INVOICE
'RETURN THtS TOS PORTION WITH YOURPAYMERT-
ORI GINAL INVOICE RETAIN BOTTOM PORTION FOR YOUR RECORDS 315390
7,4'gR
,.,_.__._..,......,.. _.w..,,.....,......,,
solid�nS ooigo.............. ....�......._ 09
KSS
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cs
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A6
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
.a...........-... ------- . ............ . ------ - ----- ------ - --- - ---- . ..... ---- - --- . ..... . ..... - - ---- -- ........... .... ... . ........... . ... ..... ... . ......
Document Number Purchase Order Number i Vendor lD Shipping Method Payment Terms ID
............ ---------- ... ..... ........ ..
OFDPO
Description:
Amount
Office Supplies
$5M4:
subtotat $53.84
Alis c $0.00
Tax $0400
Freight $0.00
Trade Discount $0.00
Payment $0.00
Total Due $53.84
044k
WC)
9U$INFSS PSOLUTIONS,LLC
Federal IIS # 88-2181888
Bill T ATTR: ACCTS PAYABLE
GRANT COUNTY NEW HOPE IAV & SAS
604 W 3RD AVE STE 6
MOSES LADE WA 98837«2076
111111111111111111111111111111111111lit IMIT
REPRINT OF
10000
ORIGINAL INVOICE THANKS FOR YOUR ORDER
IF YOU HAVE ANY QUESTIONS
OR PROBLEMS, JUST CALL U
FOR CUSTOMER ,SERVICE ORDER; (888) 268-3428
FOR ACCOUNT INQUIRIES :(800) 721-859
INVOICE NUMBER
AMC}UNT DUE
PAGE NUMBER
349486388081
53.84
7 QF 1
INVOICE DATE
TERMS
PAYMENT DUE
03 -JAN -24
Net 30
04 -FEB -24
ShipTo*,, QI ANT COUNTY NEW HOPE DV & SAS
311 W 3RD AVE
MOSES LADE WA 98887„1905
------------ A --- C -COUNT NUMBER
ACCOUNT MANAGER
SHIP TO ID_'_
ORDER NUMBER
R DATE
SIS I IPPED DATE
73883215
Depot, Office
31 I W3RDAVE
349088388001
02 -JAN -24
98--JAN-24
BILLING ID
PURCHASE ORDER.
RELEASE
--
31818219
_
ALYC
BARRIENT+
CATALOG ITEM f
DESCRIPTION I
Ulf
QTY
OT'sQTS
UNIT
EXTENDED
MAF CODE
CUSTOMER ITEM #
T
ORD
SHIPT
WO
PRICE
PRICE
201330
0PENER,LETTER,31 K HT
PK 1 1
0
2.390
2.39
UN 31803
201338
Y
774744
HANDWASHANTIBA , FOAM, 12
EA 2 2
0
23,840
47.28
OJ515 94EA
7747”
Y
SUB -TOTAL
49.67
TIERED DISCOUNT
0.99
DELIVERY
0 00
MISCELLANEOUS
9.00
SALES TAX
4.17
ALL AMOUNTS ARE BASED ON USD
TOTAL
53.84
CURRENCY
To retain supplies, please repack in original box ,and insert our packing list, or copy of this invoice. Please rote problem so we may issue credit or replacement, whichever 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.
------- -----'----K.r------------ I-------------------------- -w-------w.-------i+rr..---ww.wy■ar�■w�yrgr��.�.��sw�.--ysy�rr--- II-----W-----yys�-y��r�yan+----r4-rr-----ru-------vie.-------------w✓--n-.r'r-------------r-w--------------Y�ru..wwr-
CUSTOMER NAME BILLING ICS INVOICE NUMBER INVOICE CRATE INVOICE AMOUNTAMOUNT ENCLOSED
GRANT COUNTY NEVA
HOPE DV & SAS 31818.219 349088388091 03 -JAN -24 58.84 (� "
FLO 318182193 3490863880019 00000005384 1 0
PLEASE QCT Business Solutions, LLC PLEASE RETURN THIS STUB WITH YOUR PAYMENT TO
SEND YOUR PQ BOX 2.9248 ENSURE PROMPT CREDIT TO YOUR ACCOUNT,
CHECK TO: PHOENIX AZ 85038-9248
PLEASE DQ NOT STAPLE OR FOLD. THANE YOU
6384
Gif9ce Depot 53484
i?'� Ce Sa3DDfi�35 __ _ !
_........ :� _
_.. 60...:�
�.... .$�
_: ._.. ,.t�
... ...f"7 ........
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...„
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6384
Page 1 /1
Invoice 0405586
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
- - - ------ - ------- -- ---- _ ......... .. ........ - ------- _._ ...... ......
Payment Terms ID
Document Number Purchase Order Number Vendor[D Shlipping Method
:...w..,... - ------ .... .....
1349087782001 OFDPO
..........
Description: Amoun
Office Supplies. t
$34005'
i..._........_ . . ............ . . ........... - - ___ . ..... --- - ------ ............. ... ... - - — ---- ... . ...... . ........ ... . ...
Subtotal $340.05
Misc $0.00
Tax $0.00
Freight $0.00
Trade Discount $0.00
Payment $0.00
Total Due $340.05
ACCOUI' TNUMBER
REPRINT OF
10000
ORDER NUMBER
ORIGINAL INVOICE
THANKS FOR YOUR ORDER
0c)
0.00
IF YOU HAVE ANY QUESTIONS
PSOLUTIONSLLC
Y
OR PROBLEMS, JUST CALL US
ABUSINE.c$
02 -JAN -24
03 -JAN -24
BILLING ID
PURdHASE ORDER
FOR CUSTOMER SERVICE ORDER: (888) 263-3423
DESKTOP COST CENTER
31818219
FOR ACCOUNT INQUIRIES (800) 721-6592
0
INVOICE NUMBER
AMOUNT DUE PAGE NUMBER
16840
349087782001
340.05 1 OF I
INVOICE DATE
TERMS PAYMENT DUE
Federal ID # 86-2161688
03 -JAN -24
Net 30 04 -FEB -24
OA
Bill T ATTN: ACCTS PAYABLE
Ship TO:
GRANT COUNTY NEW HOPE DV & SAS
GRANT COUNTY NEW HOPE DV & SAS
QTY
311 W 3RD AVE
004'1 3RD AVE STE B
EXTENDED
MOSES LAKE WA 98837-1905
MOSES LAKE WA 98837-2076
I1IIII,I1111II,IIIII=I11:I Its
TAX
ACCOUI' TNUMBER
ACCOUNT MANAGER
SHIP TO ID
ORDER NUMBER
ORDER DATE
SHIPPED DATE
73863215
-------------
0.00
Depot, Office
311W3RDAVE
Y
349087782001
02 -JAN -24
03 -JAN -24
BILLING ID
PURdHASE ORDER
RELEASE ORDERED BY
DESKTOP COST CENTER
31818219
2
0
ALYCE
81.28
16840
251368
Y
BARRIENTO
CATALOG ITEM #I
DESCRIPTION
TOWELS,.MULTIFOLD,2-PLY,P
UIM-
QTY
1
QTY
38,630
UNIT
EXTENDED
MANUFCODE
CUSTOMER ITEM #
TAX
OR
SHIP.,
B10
PRICE
PRICE
SUB -TOTAL
T, '4vt—D' 1 1, IV
1
1.1
DELIVERY
V
11Z1.01lu
0.00
ODBCP92-OTN
6028288
Y
251368
TISSUE,BATH,ANGLSFT,450
CT
2
2
0
40.640
81.28
16840
251368
Y
592768
TOWELS,.MULTIFOLD,2-PLY,P
CT
1
1
0
38,630
38.63
21000
592768
Y
525032
MARKER,PERMSHARPIE,FN,D
DZ
1
1
0
22.040
22.04
32702
525032
Y
978869
BAGS,T RASH, OD,0.9,13GWH
BX
3
3
0
11,590
34.77
DP848808
978869
Y
322674
NOTES,RECYCLED,LINED,4x6
PK
2
2
0
8.660
17.32
660 -RP -A
322674
Y
SUB -TOTAL
313.71
TIERED DISCOUNT
0.00
DELIVERY
0.00
MISCELLANEOUS
0.00
SALES TAX
26,34
ALL AMUN
OTS ARE BASED ON USD TOTAL 3 0.05
ICURRENCY
-- ----------
To return supplies, please repack in original box and insert. our packing list, or co-py of this invoice, Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect.
Please do not return furniture or machines until you call u,5 first fur instructions. Shortage or damage must be reported within 5 days after delivery,
----------------------- ------------ --- ------- -------
.A, DIEXCn IA-ErZIE �
CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE DATE INVOICE AMOUNT ---- AMOUNT ENCLOSED
GRANT COUNTY NEW
HOPE DV & SAS 31818219 349087782001 03 -JAN -24 340.05 o
FLO 318182193 34908?7820019 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
Alt
ASt it +qG �
Office Do of 340,05
office S`uppli s w°u-S
340,M
Shipment 1 of 2
ORDER NUMBER ORDER STATUS TOTAL
349086388-001 Shipped $53,84
Sit
OC� JJ
-A
ti
yr
Shipped by UPS
Tracked by"' ' VEYER
Universals Letter Slitter Steel Hand Letter Openers With Concealed Blade, 2
U*%fta 1/2", White, Pack Of 3
Item #201330
Qty: 1 @ $2.390 / pack
$2.39
D" GOJOS Antibacterial Luxury Foam Hand Soap, Orange Blossom Scent, 42 Oz
Bottle
.......... Item #774744
QTy: 2 @ $23.64 each
$47.28
Ej Safety Data Sheet F, 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
349087782-001 Out For Delivery $340,05
Out For Delivery (Package 1 of) Tracked by�-VEYER
SharpleO Retractable Permanent Markers, Fine Point, Red, Box Of 12
eery #525032
Qty: 1 @ $22-04 / dozen
$22.04
ED Eco Conscious D Safety Data Sheet
Highmark T1 Tall 0,9 mil 'Drawstring Kitchen Trash Bags, 13 Gallon, 27,375" x 24",
White, Box Of 120
Item #978869
QtY., 3 @ $11.59 / box
$34.77
P Best Value
Post-itO 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
E) Eco Conscious Z' Recycled Content JP4 Best Value
Out For Delivery (Package 2 of 7) Tracked by '-�- VEYER
Office Depots Brand Business Multi -Use Printer & Copier Paper, Letter Size (8
...........
1/2 x 11 5000 Total Sheets, 92 (U.S.) Brightness, 20 Lb, White, 500 Sheets Per
Ream, Case Of 10 Reams
Item #602.8288
Qty, 1 @ $39.89 / carton
$39.89
P, Best Value
Out For Delivery (Package 3 of 7)
Tracked by �t VEYER'
Angel SoftV by GP PRO Professional SeriesO Premium 2 -Ply Embossed Toilet
Paper, 450 Sheets Per Roll, 40 Rolls Per Pack
Item #251368
Qty: 1 @ $40.64 /carton
$40.64
99 Eco Conscious Z4 Recycled Content P, Best Value
Out For Delivery (Package 4 of 7)
Tracked by 4�� 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
N Best Value
Out For Delivery (Package 5 of 7)
Tracked by4VEYER
Office Depots Brand Business Multi -Use Printer & Copier Paper, Letter Size (8
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 @ $39.891 carton
$39-89
P, Best Value
Out For Delivery (Package 6 of 7)
Tracked by "VEYER'
Office Depots Brand Business Multi -Use Printer & Copier Paper, Letter Size (8
1/2 11 5000 Total Sheets, 92 (U.S.) Brightness, 20 Lb, White, 500 Sheets Per
X
Ream, Case Of 10 Reams
Item #6028288
Qty: 1 @ $39.89 / carton
$39.89
P. Best Value
Out For Delivery (Package 7 of 7)
Tracked by 0 z VEYEFT
Angel Softs by GP PRO Professional Series Premium 2 -Ply Embossed Toilet
Paper, 450 Sheets Per Roll, 40 Rolls Per Pack
Item #251368
City. 1 @ $40.64 / carton
$40.64
EEco Conscious 11'4 Recycled Content P, Best Value
Shipment 2
1111111111 111111111 111
349087782 001
Item Subtotal: $313.71
Taxes: $26.34
Order Total $340905
Page 1 /1
Invoice 0406331
Date 1/17/2024
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: ERIC KORNBLIT
2448 SW Nebraska St
PortLand OR 97239
. ............. - ------ -"-'T . ........ T - . .......... -T . .. ...... - --- -----
Document Number Purchase Order Number VendorlD Shipping Method Payment Terms ID
---- — - --------- -
03/01 22- /28/24 KORNE
NET 30
--------- . ......... .... ......
on: Amount!
LEASE AGREEMENT
Subtotal
$1,800.00
Misc
50.00
Tax.
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$1,800.00 ✓
ckv�
LEASE AGREEMENT
(RESIDENTIAL PREMISES)
The undersigned, GIANT COUNTY, duly organized and operating under and by virtue
of the Constitution and the laws of the State of Washington, by and through New Hope.,
("Tenant"), has on this day of February 2022, executed this Lease Agreement I and
leased from Eric Mandlord" the premises situated at
i��� �_ ("Premises"), beginning March Ist, 2022 and
ending Februanr 28th, 2024.
The monthly lease payment ("rent"') for the Premises, which Tenant agrees to pay,, is ONE
THOUSAND EIGHT HUNDRED DOLLARS ($1,800.00), payable on or before the fifth (5th
of each month.
If any rent is not paid on or before the due date thereof, a late charge of 10% of the gross rent
schedule, or $50.00, whichever is greater, will be, assessed on the tenth ( 1, 01h ) day of the month
for which the rent is due.
Rent shall be payable to the Landlord at the following address:
Eric Kornblit
2448 SW Nebraska St
Portland. OR 97239
2. UTILITIES
In addition to the rent Tenant shall pay all utilities applicable to and/or related to the Prem"
I I I I I ises as
they become due. such utilities defined as electricity. gas. water/sewer.
garbage, cable and
telephone.
3. SECURITY DEPOSIT
Tenant has previously tendered under a prior agreement the sum of SEVEN HUNDRED A_N-D
FIFTY DOLLARS AND NO/ CENTS ($750.00), as a Security Deposit for the performance of
Tenant's obligations hereunder, and Landlord hereby acknowledges receipt of the same. Tenant
agrees that such sums shall be (or have been) deposited by the Landlord, or Landlord's Agent, in
a depository as the Landlord or its successor(s) may identify to the Tenant.
W
Tenant hereby agrees, acknowledges and understands that all or a port -Ion of the Security
Deposit may be retained by the Landlord upon termination of the tenancy and/or that a
refund or any portion of the Security Deposit to the Tenant is conditioned as follows:
(1) Tenant shall have complied with all of the conditions of this Lease Agreement,
(2) Tenant shall clean and restore Premises to its condition at the commencement of
this tenancy as evidenced by the Residential Move-in/Move Out Condition
Residential Lease Agreement - Page 1 of 7
Page I /I
Invoice 0406329
Date 1/17/2024
County of Grant
35 C ST NW
RA Box 37
Ephrata WA 98823
Vendor: MARIO PADILLA
10281 BASELINE E RD
MOSES LAKE WA 98937
Document Number i
Purchase Order Number j 'endorhipping Method Payment Terms ID
.... . . .... . ...... . . ......... . ......
:08/01/23-07/31/24
PADILM
- - ----- ---- -
Description: Amount'
Lease Agreement $31874.531
Subtotal. $3,874.53
Mise $0,00
'Tax $0.00
Freight $0.00
Trade Discount $0.00
Payment $0.00
Total Due $30874.53
_. 5� X33 ,�O
Rent is due, in. advance, without receipt of a biffing or statement, the first day of each
month andis to be Paid di'xectly 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
%-e M
which they are due. If any check- received by THE LES SORi s returned for any reason, THE
LESSOR WM make an additional charge of Twenty -Five Dollars ($25.00).
In the event the term of this Lease shall begin or end other than on the first day of a
calendar month, the rental for any such partial month shall be pro -rated. Rental for months- other
than partial months shall be paid on the first day of each calendar month, 'in advance for the
ensuing month..
3. OTHER TAXES4-- THE LESSEE shall pay all taxes, licenses and fees,'which by
law axe i osed on THE LESSEE, by reason of THE LESSEE'S o rations or upon any of THE
IMP P
LESSEE'S personal property situate in. or about the leased prenfises. If other taxes, licenses or
fees, which by law are, m"posed on THE LESSEE or assessed upon the premises leased herein
during the term of this Lease by any govenunentat agency, THE LESSEE shall reasonably pay
W A
same.
.E THE LESSEE shall notuse said pr CMmises for any other purpose other than
1
the use of general executive office space and the uses resulting thereby Without the prior written
consent of the Lessor, in which said consent shall not be unreasonably witbheld. THE LESSEE
01
agrees that no stock of goods will be cam*ed or anything done in or about the prenuses which
W '11 msurance. k
i increase the present rate of The rental contam'ed .rem is predicated on, among
other things, THE LESSORS existing insurance prenuums, and in the event that THE LESSEES
Commercial Lease
Page 2
0
Year
Year
Year
Year
Year
Year
-One
Two
Three
Four
Five
Year Six
Seven
81112022
811123-
811124-
811125-
811126-
811127-
811128-
-7131123
7131124
7131125
8131126
7131127
7131128
7131129
New Hope
Rent
$4,01.3.97
4J74.51
$4,1341.51
$4_1515.17
$4,695.78
$4,883.61
$57078.95
Landlord
Donated
Portion
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300,00
Net
Amount
Due from
New Hqpe,
$3,713.97
$3,874.53__1
$4,041.51_1_
$4,215,17
1 $4,1395.78
$4,583.
��4177�8.�5__
Rent is due, in. advance, without receipt of a biffing or statement, the first day of each
month andis to be Paid di'xectly 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
%-e M
which they are due. If any check- received by THE LES SORi s returned for any reason, THE
LESSOR WM make an additional charge of Twenty -Five Dollars ($25.00).
In the event the term of this Lease shall begin or end other than on the first day of a
calendar month, the rental for any such partial month shall be pro -rated. Rental for months- other
than partial months shall be paid on the first day of each calendar month, 'in advance for the
ensuing month..
3. OTHER TAXES4-- THE LESSEE shall pay all taxes, licenses and fees,'which by
law axe i osed on THE LESSEE, by reason of THE LESSEE'S o rations or upon any of THE
IMP P
LESSEE'S personal property situate in. or about the leased prenfises. If other taxes, licenses or
fees, which by law are, m"posed on THE LESSEE or assessed upon the premises leased herein
during the term of this Lease by any govenunentat agency, THE LESSEE shall reasonably pay
W A
same.
.E THE LESSEE shall notuse said pr CMmises for any other purpose other than
1
the use of general executive office space and the uses resulting thereby Without the prior written
consent of the Lessor, in which said consent shall not be unreasonably witbheld. THE LESSEE
01
agrees that no stock of goods will be cam*ed or anything done in or about the prenuses which
W '11 msurance. k
i increase the present rate of The rental contam'ed .rem is predicated on, among
other things, THE LESSORS existing insurance prenuums, and in the event that THE LESSEES
Commercial Lease
Page 2
0
Page 111
Invoice 0406330
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 Purchase0rder Number 1 VendorlD Shipping Method Payment Terms ID
.... . ..... .
. ...... - - — - ------- ---- ......
b8�T/ -ff 31JI4
PADILM
Description:
Arun
Lease Agreement
t
$3,851.68
Subtotal $3,851.68
MISC $0.00
Tax $0.00
Freight MOO
Trade Discount $0.00
Payment $0.00
Total Due $3,851.69
UM49C
Rent is due, M advance, without receipt of a billinR or statement, the first day of each
month and i's to be paid directly to THE LESSOR. A one and one-half percent (1.5%) s
ervice
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 LESSON*is retumed for any reason, THE
LESSOR will make an additional charge of Twenty -Five Dollars ($25.00).
In the event the term of this as shallbe-6n 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 pall: on the first day of each calendar month, in advance for the
ensuing month.
3. 01HES. TAXES:, THE LESSEE shall pay all taxes, licenses and fees, which by
law are imposed on THE LESSEE, by reason of THE LESSEE'S operations or upon any of THE
0
LESSEVS personal property situate in or about the leased pre=-ses, If other taxes, licenses or
fees, which by law are "unposed on THE LESSEE or assessed upon the premises leased herem
during the term of this Lease by any govertunental 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 there t by without he Prior written
consent of the Lessor, in which said consent .all not be unreasonably withheld. THE LESSEE
agrees that no stock of goods will be carried or anything .one 'in or about the premises which
wig increase the present rate of insurance. The rental contw*ned here'I *s predicated on, arnong
M
other kgs, THE LESSOR'S existing insurance prerniums, and M' the event that THE LESSEE'S
Commercial Lease
Page 2
02
Year
ne
Year
Two ----Three
Year
Year —
jour
Year
Five
Year Six
Year
Seven
811.12022
1. 123.
811124-
811125-
1 811126-
811127-
811128-
-7131123
713112g(
7131125
8131126
713-1127
7131128
7131129
Kids Hope
Re - nt
$3,992.00
$4� 151.68
$4,317-75
$4f490,46
$4ii7,,0..,08--
$42856.88
5 051.1�5...
Landlord
Donated
Portion
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
$300.00
Net
Amount
Due from
New#
.2pe
$3,692,00
13185-1.68
$4�01735
$4,190.46
$4,370.08
$41515`6.88
$4 751.15
Rent is due, M advance, without receipt of a billinR or statement, the first day of each
month and i's to be paid directly to THE LESSOR. A one and one-half percent (1.5%) s
ervice
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 LESSON*is retumed for any reason, THE
LESSOR will make an additional charge of Twenty -Five Dollars ($25.00).
In the event the term of this as shallbe-6n 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 pall: on the first day of each calendar month, in advance for the
ensuing month.
3. 01HES. TAXES:, THE LESSEE shall pay all taxes, licenses and fees, which by
law are imposed on THE LESSEE, by reason of THE LESSEE'S operations or upon any of THE
0
LESSEVS personal property situate in or about the leased pre=-ses, If other taxes, licenses or
fees, which by law are "unposed on THE LESSEE or assessed upon the premises leased herem
during the term of this Lease by any govertunental 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 there t by without he Prior written
consent of the Lessor, in which said consent .all not be unreasonably withheld. THE LESSEE
agrees that no stock of goods will be carried or anything .one 'in or about the premises which
wig increase the present rate of insurance. The rental contw*ned here'I *s predicated on, arnong
M
other kgs, THE LESSOR'S existing insurance prerniums, and M' the event that THE LESSEE'S
Commercial Lease
Page 2
02
KH Rent � 3 �51,�#i
5 71..*i8
23t.82
� 7.t3d3
$556,33
$212.8
$10.09:
X3.44
X61 .6+�
� S36 64
x23.96
#412. �
���.�.35
$216.36
861.66
Page I /1
Invoice 0405576
Date 1/9/2024
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 I Purchase Order Number VendorlD Shipping Method. 1! Payment Terms ID
. ..... ..........._ _ _.:...., .,..L,.,........,�s .,�.. �, w .......... ...
.......� .� .., f ....... _ .,. ..... u ... .... ....... ,u , ,..,,,w .. . �.,,� .. _.. ,,. _...................,, �a ......, .._ . , ..
PADILM
- - - — - f+scr
ption:
Amount]
.Office Ud [ities
$667.42,
Subtotal
$667.42
misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.100
Total Due
$667.42
Mario PadillaDA
TEV-
January 8,2 024
INVOICE #
190
BILL TO*-
10281 Baseline FAD E
New Hope
Moses Lake WA 98837
311 W Third AVE
Moses Lake WA 98837
509-764-8402
DESCRIPTION
AMOUNT
311 W Third Ave Office Utilities 2023
,..,_....,_ ........._ ....__:..... _ ..................:..r.,: ,:.. _ ,_ ., ..............
$263,62
�306 Beach
Electrical
$235.73 a
311 W Third
Electrical
SUBTOTAL
-----
667,42
TAX RA TE
Make all checks payable to Mario Padilla,
SALES TAX
OTHER
THANK YOU FOR YOURBUSINESS!TOTAL
667.42
13111ing Demand- 35,360
Power FajyT 100,0000%
ate
Ry[� 2 MGTrF Service
Ue t5 jay yY
Prior Balance
$112.33
/-
Payments Applied THANK YOU
-
'2k
s y -j
.. Balance0
a
U. is C4arge 32 Days $1.08,56
.00
..............
Energy Charge- e- 2,825- 5 � $0.04389
.
r " J sx
1
SUBTOTALENERGY*
$124.00
City Tax
Sf
tlNi
CURRENT CHARGES
1146 VR
URR NT AMOU DU.
5-
168.07
00001025 0048 000005 TGTMT1 13023022605 01 L 00001 006
Water Consumpbon
Y..:..,�. w «w ..w......wH ---- _..w.: --- ._._
2000
sw f
to }
i
t
OV 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
Now I
E 263.6
F.v,. w,......,�.-.,n..«,:... ,... ... , ....... _.,.w,..« ... -:. ....,., _... r.-....,,... .._,.. ..w:. w........, ..w.wr w.... w.wrw...................»..»x,..:,.:w.»»:.w,w.. _. .v.,.. .�.. _ .. .: ,.,.. _,_ «...:......:...,....... �� ..�5 f
Medicaid Exemption for Ambulance Utility: "
To be eligible for a Medicaid Exemption for the ambulance utility fee, you mus be Medicaid
eligible ar Deceive either in -hone services at your personal residence, or reside in a skilled
j
nursing facility, boarding ho (assisted living), or an adult family home. (MLMC Chapter
.30,140
Each person claiming a Medicaid exemption must file an exemption fora with the Moses
Lake Fire Department annually. Please contact Moses Lake Fire Department at 509-764-3848.
MOSESES L KE UTILITIES
.:
P.O. B 579 Moses Lake, WA 98837-0244
ti`s' OF25098000
w..
�8� � ii "A. �
12/30/2023
50 � 4 -0492 Pa. � 3 Phi o r a
y,;K fr' i.l.t �E.l'C fY s' I� 4i �.F.rt,S 0:Li.i
-
j/
A v
_ y,
a
b .,.
� F7 y
ub anr�i '1. ityo�3 s c o:F.,E.fi e i s w 5e s. -
{n.� �+�M
S
BILL DATE t
M +.�(.� ��y(� i}
U T +1'NG aK Ewe
/ 4 w t"
For
3k r Utfl .t� vices k�+,7 T.d i'f �✓`. .+(�
]' # '� £ (' yam`+ �"y±i �s� � '4i �` !.3� � # 1
"*r•
,�[ 1 �0 [j
; I i. �.,erf w.
$ 263.62
After��'}} jj))�^ ���� fttp� t�y�+t. {/tt�� �a �ry �^ ,�j jy44 s��y �
".fiL+t.€g }"{off{f`r$ir �£�r i.gs#:d;.`""I
.... .. . _....«.... ..�,.s„-., .s .r.+.ww.:.�.+.rvw n........w ..... � ,w-.w.w� _. ,.. �.w-,.. _....o -__..w .., r. +« .�.w ..�. ...w w.r.............,...,,..^...
�`? �` .._
��.'1e+w[
. . ..._
F..
READING DATES
PREVIOUS PRESENT
we+'+,vrt . ,iwrsw.,xaw.v.v.:.x........w...>i..iw.sriax.swwirvM++..�aw�u........»rww:ro-.asw�ro»�na✓is wwrx.
BILLING
D � � � � I� METER READINGS PRESENT U A E
CHARGE DESCRIPTIONAMOUNT
.xw.v -.✓. .., .vr. _. -.. w.._i....uw..wm-.
10/1912023 1112012023
32 137870 'l0�
WATER METERED U Sage, Register
i WATER METERED Fixed Charge
1
600
WATER M TERED , Tier -'
6,42
SEWER Fried Charge
42.80
00
SEWER,, Tier I
11 46
TORR WATER
3.25
AMBUL E SERVICE
14,405
COMMERCIAL DUMPSTERS
UTILITY TAX
22,6
Water Consumpbon
Y..:..,�. w «w ..w......wH ---- _..w.: --- ._._
2000
sw f
to }
i
t
OV 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
Now I
E 263.6
F.v,. w,......,�.-.,n..«,:... ,... ... , ....... _.,.w,..« ... -:. ....,., _... r.-....,,... .._,.. ..w:. w........, ..w.wr w.... w.wrw...................»..»x,..:,.:w.»»:.w,w.. _. .v.,.. .�.. _ .. .: ,.,.. _,_ «...:......:...,....... �� ..�5 f
Medicaid Exemption for Ambulance Utility: "
To be eligible for a Medicaid Exemption for the ambulance utility fee, you mus be Medicaid
eligible ar Deceive either in -hone services at your personal residence, or reside in a skilled
j
nursing facility, boarding ho (assisted living), or an adult family home. (MLMC Chapter
.30,140
Each person claiming a Medicaid exemption must file an exemption fora with the Moses
Lake Fire Department annually. Please contact Moses Lake Fire Department at 509-764-3848.
Rate 2 - General Service
gB i DO WP
dot t I �/1 3 023 - �11 /1 �31 20 �2-3
Prior Balance
$105.77
Payments A plied THANK YOU
p 1
-$1.05.77
Balance
so.gp
Basic Charge 32 Days @ $1,08
$34.66
Energy Charp!D,346.336 kV. $0.04389
$41021
SUBENERGY* ENERGY"*
AL
$410-21
C-Ity Tax
$26-69
CURRENT CHARGES
$471.46
CURRENT AMOUNT DUE�471.
4S
� -I*,- - - - --� �- -*,i �� � - - i� %0� ft- -� - �� A.�- -� -."- -t-A"
�ND M�A I L�VV I T�H Y �OU �R YM NTIRE BILL
Inn,.-4
- ,
riopflOn * BII!Plld vq
Page 1 /1
Invoice 0405599
Date 1/9/2024
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 Vendor[D Shipping Method Payment Terms ID
.. . ....... ------- - -
.191IA I
Description:
Amount'
Office Utitities
$968.26
Subtotal $968.26
Mise $0.00
Tax $0.00
Freight $0.00
Trade Discount $0.00
Payment $0.00
Tota t Due $968.26
zk -
M&*&rio
ID A TE.,-
January 9, 2024
1VV0 CE #
191
BILL T
10281 Baseline RCS E
New Hope
Moses Lake WA 98837
1 W Third AVE
Moses Lake WA 98837
509-764-8402
DESCRIPTION
AMOUNT
311 W Third Ave Office Utilities 2023
_........................ _..__.........., ........ .
-------- --
Water
.306 Beach
Electrical
$487.32
1 W Third
Electrical
$220.59
...........
SUBTOTAL$
. ........ . ...... ......... -------
3
3
968.26
7.AXRATE-
Make all checks payable to Mario Padilla,
SALES TAX
.,
OTHER
THANK YOU FOR YOURBUSINESS!
Service r 311 Ave Moses Lake �LA
. 31 Wnu
Wing non* 35.61
% #
yr Fa
��t. 8 1rR 7V'
2 - General
r l Serves
Usage Hry M�
(C {�QRate
y�en
wfli:6Y 4 ittod* fF} 1g{�
Billing
112023
.. ..
..
57r I
Pdor Belem{{yyam�))
"
-�
*<
Payments
{00
." ... ...wwoww
..11,51..
[y�1q#fyy�. {Zp,.w ,�ry�y yiY p!
_.. 9d�d'ry1E noe r/."A�i''JK IMMEDIATELY
[Y3ws
Basic Charge 30 Days $1.0
]{Jpjt3 44 M. '[[/yj}' §E$�f(}'
EnergyCharge 4,003.144
$176.7jj�'�jj�
="
SUNOTAL ENERGY***
.
$175.70
2292
C4Tax
CURRENT CHARGES
9
A di
114.
i
" Late Payment Charge 2/2
l
CURRENT AMOUNT DUE
Water Consumption
DEC JAN FEB MAR APR MAY JUN JUL AUO 8V OCT NOV DEC
22 23 23 23 23 23 23 23 23 23 23 23 23
ta
0.35
New rates effective 1/112OZ4. Visit City0m.1-com to view the adopted 2024 Fee Sched e,
Christmas Tree Disposal event will be held at Lakeside Disposal, 000, Broadway, for City of
Moses Lake residents,
gem
January 2,,2024— January 12, 2024. Drop off our are Monday — Friday,, Sam- 2pm,
REGULAR
MOSES LAKE UTILITIES
N.
DUE DATE
ACCOUNT
P.O. Box 1679 Moses Lake, WA 98837-0244
01130/2024YH
25098000
MOSFES L.A
(509) 347-0492 Pqy by Pt'lai'le or Ojzlilze at N-V1VWc1"tyr0frn1.c0M
ub@ci
-tyofmlcom eIj�;
BILL DATE
AMOUNT DUE
For Utjhtv Semites Questions Call 509-76-4-3701
12/30/2023
$260.35
After-hours, water related ewrgency,* (509) 76,4-3951
SERVIGE LOCATION
READING DATE$
PREVIOUS meseNT
G
BILLIN METER READINGS
1 DAYS USAGE
PREVIOUS PRESENT
CHARGE DESCRIPTION
AMOUNT
11/20/2023 42J21/2023 31 138440 138940 Soo
WATER METERED Usage, Registecil
WATER METERED Fixed Charge
54.01
500
WATER METERED, Tier 1
5-375
SEWER Fixed Charge
42.80
Soo
SEWER, Tier 1
9.55
STORM WATER
3325
AMBULANCE SERVICE
14.45
COMMERCIAL 1MPSTERS
78 -
UTILITY TAX
22.37
Water Consumption
DEC JAN FEB MAR APR MAY JUN JUL AUO 8V OCT NOV DEC
22 23 23 23 23 23 23 23 23 23 23 23 23
ta
0.35
New rates effective 1/112OZ4. Visit City0m.1-com to view the adopted 2024 Fee Sched e,
Christmas Tree Disposal event will be held at Lakeside Disposal, 000, Broadway, for City of
Moses Lake residents,
gem
January 2,,2024— January 12, 2024. Drop off our are Monday — Friday,, Sam- 2pm,
Service Address,
Beech St S. Theater.. Moses Lake WA 98837-000-0
Billing Demand, 56.768 Rate 2 - General Service
Power Factor-. 100,0000% Billi
Usage History (in KWH)
270W
21669
16252
10834
5417
0
Doe Jan Fsb Wr Apr May Jun Jul Aug Sep Oct Nov Dee
2022 2023
f-fluf D I "U IV41 -1.
Payments $0.00
Balance DUE WMEDIATELY
Basic Charge 30 Days @ $1.08 $32.40
Energy Charge I Ot000.00-0 Mh
SO�04389 $438.90
Energy Charge 10,211 ;008 kWh
$0.04389 $44-8-16
***SUBTOTAL ENERGY"* $887.06
Cly Tax $66.17
CURRENT CHARGES $974.63
Adjustments
ate Payment Charge 12/28/23
CURRENT AMOUNT DUE
�`�.s NPi s�1�O '�
X87, 3 z.
- - -------- - ------
..........
Page 111
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 1 Purchase Order Number VendorlD Shlipping Method
Payment Terms ID
........ . ........... . .... . ..... . ........... . ...... ... ...... ...... --- - ----- . .......... - - ----- - - -- ............. . .......... ........ . ...... .... . . ............. . ...... ... . . . ...........
---- — --- - ---- -7-1-7 .. . ....
202401 BARNP
..... - ---- - ----- .. . ...... ........ . .... ....... . --- - ----- --- — ---
Description:
Amount i
Janiton*al
$9W'00.
---- — -- ---- ... ... - — --------
Subtotal $950.00
Misc $0,00
Tax $0.00
Freight $0.00
Trade Discount $0.00
Payment $0.00
Total Due $950,00
5`1.1'L--
PB JANITORIAL
1622 S WALLACE ST,
MOSES ILAKE:, Vf'A 98837
5094k139-4252
BARRIEDi-OZ-P,AIGE-22@GMAI
L.COM
Description
JANUARY JANITORIAL
JANUARY WINDOW WASHING
INVOIfo"
Date: 0 1 /02/2024
INVOICE # 202401
To NEW HOPE
311 W THIRD AVE
MOSES LAKE, WA 98837
509-764-8402
SPODE @GRANT COUNTYWA,GOV
AB Q
,�.RRIENTOZY@ G
.EA.NTC0UNTYWA.G0
v
Line Total
200,00
Total 950.00
Make all checks payable fo PAIGIE: BARRIENTOZ
Thank you for your busifness.1
County of Grant
35 C ST NW
PA Box 37
Ephrata WA 98823
Vendor-, U.S, Linen Uniform
1106 Harding St.
Richland WA 99352
hase Order Number VendorlD
..... ..... ........ ..................
Document liner - - --- ..... . .... . .....
1325,470i USLUF
. . ........ ------
Description:
JanitoriaL Supplies
Page 1 / 1
Invoice 0405578
Date 1/9/2024
-- ---- - ---- --------------- .. ..... - - - ------------------- -
Shipping Method Payment Terms ID
--------------
NET 30
t
Amours
$94
Subtotal
$92.04
Mise
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0,00
Payment
SOM
Total Due
$92604
US4 L inen
and
Unitorm
Delivery Invoice
U.S. LINEN & UNIFORM
I
1108 HARDING ST
RIC ' HLAND, WA 99352 (888)875-4]636
NEW HOPE
311 W THIRD AVE
MOSES LAKE, WA 98837
G' Un
nv
01/04/2024 3254703 Thu 110350 5 4180 CHG 110350-00000 3 - 1" 1
Received By:
i re -
Lh
040
Tbtal.A0j,.-
Tax Adj.:
OFFICE
ROUTE
am ri
sp pt10n*.,,,,�,
•
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1 6265
3X5 SLATE MAT
3
6
$0.00
$17.35
2 6269
3X10 SLATE MAT
4
8
$0.00
$44,92
FUEL SURCHARGE
$0,00
SPRV/DEL CHG
$6.00
$7.61
TEXTILE MAINTENANCE
$0.00
$7.57
Total Due
Cur. Bus. Cur. Bal. 30 60 90
120
Office Adj..
$0.00 Subtotal:
W, I
$84.91 Route Adj.:
$92.04
$0.00 $92.04 $0.00 $0.00 $0,00
$0,00
Tax Adj.
K00 Sales Tax-
$7.13 TaxAdj
Comment:
Net Adj..-
$0.00 Prebill:
$92.04 Net Adj,:
Received By:
i re -
Lh
040
Tbtal.A0j,.-
Tax Adj.:
Page I / 1
Invoice 0405229
Date 1/3/2024
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: U.S. Linen Uniform
1106 Harding St,
Richland WA 99352
. ....... . ..... . Pu ...... . ...... .
....... . .....chase Order Number VendorlD Shipping Method Payment Terms ID
Document Number r
'U. ...... . ...... SLUF NET 30
Description: Amount 1,
Janitorial $9
2.04:
Subtotal
$92.04
Mise
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$92.04
US, Linen
an d 41,01
P
Wh
n norm
0
'4V
11" Ito
0
U.S. LINEN & UNIFORM
1106 HARDING ST
RICHLAND, VVA 99352 (888)875-4636
NEW HOPE
311 W THIRD AVE
MOSES LAKE, WA 98837
Date Invoice Day Garment Mark Freq. -Seq Term Account Route
12/2112023 3247545 Thu 110350 5 4180 CHG 110350-00000 31
Totat Adj'.: $0.00
Tax Adj.: $0.00
Net Charge: 1 $92.041
Received By: NOA 1212112023 11:56:03AM
I d I OFFICE
ROUTE
L Line Item
Empi Name I Description
Sizes QtY..Inv. I min.
Aoj. Amt
Ext. Price I
-Adj- Qly-.. i. Amt.
Total
I ' I
1 6265
3X5 SLATE MAT
3 6 0
$0.00
$17,35
0 -
$0.00
$17.35
2 6269
3XIO SLATE MAT
4 8 0
$0.00
$44.92
0
$0.00
$44.92
FUEL SURCHARGE
$0.00
$7.50
$0,00
$7.50
SERVIDEL CH G
$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.:
$0.00
$92,04
$0.00 $92,04 $0.00 $0.00
$0.00 $0.00 Tax Adj.:
$0,00
Sales Tax: $7.13
Tax Adj.:
$0,00
Comment:
t t
Net Adj.:
$0T00
Prebill, $92.04
Net Adj.:
$0.00
Totat Adj'.: $0.00
Tax Adj.: $0.00
Net Charge: 1 $92.041
Received By: NOA 1212112023 11:56:03AM
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County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: AT
PO BOX 5075
Carol Stream IL 60197-5075
Page 1 / 1
Invoice 0405582
Date 1/9/2024
....
. ..... .. ...
Document Number Purchase Order Number Ven dorlD Shipping Method a
Pment Terms ID
v.
........ . . ........
-0302616606001-010424 ATTO I NET 30
...........
... . ......
I Description*
Amount
Office Phone
$55.08
Subtotal
$55.08
Mise
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$55.08
030 261 6606 001 JAN 4, 2024 JAN 30, 2024
000002088
NEW HARE DVSA
311 W 3RD AVE
MOSES LASE WA 9$837-1905
_ TELEPHOP E NU"ER : 509 764 840
to__ .. _. _...._...-
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AT&TAll in One Service
ATT LONG DISTANCE *56.06
TOTAL SERVICE CHARGES *36.06
SURCHARGES AND TAXES *19.0
ACCOUNT STATUS
PREVIOUS BALANCE
PAYMENT RECEIVED
ADJUSTMENTS
TOTAL CURRENT CHARGES
$48.93
4.93
$55-08
+
$0.00 . 0
$55 r 0
- ----- --- --- - ---- -- ---- -- - ----------------
TOTAL. CURRENT CHARGES $55.08 TOTAL AMOUNT DUE
See Summary of Charges page= for details Pay online at www.att.com/paymybl*ll
News From AT&T
Just For Your Business See next page for more rye
Login now at http : / ` w k att e com/lo lnno to view your billing call details
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11 W 3RD AVE
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Account Number 030 261 6606 00 1
Bill Date: ,CAIN 4,9 2024
Payment Due late: JAN 30,. 2024
Total Amount Due:
Amount Enclosed: is
00000205W
Moues y
Page
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TELEPHONE NUMBER: 509 764 8402
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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 hill.
Reaulatory News
Attention Customers in Mane y North Carol.i.na # Nevada, Utah and a ifornia:
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Your monthly bill will include some charges that are billed in advance and ethers that
are billed in arrears. Local Line charges, Local Monthly ecurrin Charges CM s) , and
usage charges arebilled,inarrears. Toll Free MRCs are billed one month in advance.
4 1 5
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030 261 6606 001 JAN 4t 2024 JAN 30t 2024
w 141111,11oloom D
000002091
Page 4
NEW HOPE DVSA
311 W 5RD AVE
HOSES LAKE WA 98837-1905
TELEPHONE NUMBER: 509 764 $402
...........
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. . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . ..... . ... .... . . ... . . . .... . . . . . . . I . . . . . . . . . . . . . . .
. . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .
. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . .
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Regulatory News
****Important News About Your Account****
You are requested to Provide in writing to AT&T, within six months of the date of this
bills any dispute with respect to the charges on this bill, unless a different
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issourit New Mexicop New York# New Jersey: North Carolinap North
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Your account will be considered delinquent if we do not receive your payment within 11
days after the payment due date.
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0000020922
I Page .5
NEW HOPE DVSA
311 W 5RD AVE
MOSES LAKE WA 98837-1905
TELEPHONE NUM$ER: 509 764 8402
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Attention Valued AT&T Customers:
If you.r invoice includes any back -billed charges, you have the right to pay these charges
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Thank you for using AT&T where every customer counts
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030 261 6606 001 JAN 4, 2024 JAN 30o 2024
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Page 6
NEW HOPE DVSA
311 W 3RD AVE
MOSES LAKE WA 98837-1905
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Pag� 7
NEW HOPE DVSA
$11 W ARD AVE
MOSES LAKE WA. 98637-1905
TELEPHONE NUMRFR! Rnq 746 Rdn2
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page 8
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030 261 6606 001 JAN 4, 2024 ,SAN 30t 2024 MOSES LAKE WA 98837-1905
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LONG DISTANCE SERVICE
THU
MATTAWA
WA
509
932-1909
8.00
BILLED NUMBER: 509 765-4346
11
12/08/23
9.01:35A
E
MATTAWA
TOLL-FREE
4.
NUMBER.,
932-1909
888 560-6027
2.40
12
12/09/23
12:06#-46P
STATE -TO -STATE CALLS
MOSES LAKE
WA
509
771-1429
5;00
0.38
1 12/12/23
5: 38 x,58
TUE
SACRAMENTO
CA
916
397-7754
13-00
0.90
2 12/14/23
7:27-53P
THU
RALEIGH
NC
919
591-3053
6:00
0.41
3 12/18/23
2:42:13P
MON
LANSING
MI
517
505-7128
12:00
0.83
4 12/18/23
3-005**02P
MON
INDIANAPLS
IN
317
418-6460
1:00
O.a7
5 12/18/23
4-03:29P
MON
PORTLAND
OR
971
212-7037
2:00
0.14
6 12/29/23
70#53:57A
FRI
PE HAM
OR
503
405-2213
6-00
0.41
7 12/31/23
10 -22 -SSA
SUN
CHICAGO
IL
773
495-1551
2:00
0.14
8 12/31/23
11428:22A
SUN
SAN JOSE
CA
408
642-9825
20
0.76
...... ..... ..
T -T L
...... .....
MOSES LAKE
.... . ............. . .. ..... .. ......
.................... ....... .... .... ..... ..
509
431-0768
1:00
....... ............
_5 -l'- ..... ........
. ..... w o
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
E
MATTAWA
WA
509
932-1909
32:00
2.40
12
12/09/23
12:06#-46P
SAT
MOSES LAKE
WA
509
771-1429
5;00
0.38
13
12/10/23
1l*.03:40A
SUN
MOSES LAKE
WA
509
431-1175
1:00
0.08
14
12/10/23
11:09-636A
SUN
MOSES LAKE
WA
509
989"1480
2:00
0.15
15
12/10/25
1:25:17P
SUN
MOSES LAKE
WA
509
431-1175
1:00
0.08
16
12/11/23
4-05-1:32P
MON
MT VERNON
WA
360
630-4326
2:00
0.15
17
12/13/23
9:54405A
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
3419-46P
E
MOSES LAKE
WA
509
431-0768
1:00
0.08
21
12/20/23
8:02:53A
WED
MOSES LAKE
WA
509
431-1175
1:00
0.08
22
12/20/23
8-5936P
WED
MOSES LAKE
WA
509
431-1175
1:00
0.08
23
12/21/
A
921W--32HU
#
T
WEN ATCHEE
WA
5 09
423- 2082
00
3:23
0.
24
12/21/2323
12: 54-13P
THU
MOSES LAKE
WA
509
770-4831
2 :00
0.15
25
12/21/23
5-051-12P
THU
MOSES LAKE
WA
509
764-3887
4:00
0.30
26
12/23/23
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
8:48:01A
WED
PASCO
WA
509
851-7612
100 0
0.75
29
12/27/23
10:58-45P
WED
QUINCY
WA
509
797-3760
24-00
1.80
30
12/28/23
2-024-43A
THU
QUINCY
WA
509
787-3531
4:00
0.30
31
12/28/23
3.,08:53P
THU
EPHRATA
i!.
509
398-0396
2-00
0.15
52
12/28/23
4:20-036P
THU
EPHRATA
WA
509
398-0396
2:00
0.15
33
12/29/23
9-655:54A
F
OLYMPIA
WA
564
999-3479
4:00
0.30
34
12/30/210
SAT
MOSES LAKE
WAS
509
989-4423
10 : 0 0
0. 75
35
12/31/23
5*40:20P
SUN
WENATCHEE
WA
509
881-5182
13:00
0.98
36
1/01/24
5:31-34A
MON
MOSES LAKE
WA
509
793-6406
25:00
1.88
37
1/02/24
2024.,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
$0104:27A
WED
MOSES LAKE
WA
509
431-1175
1:00
0.08
............ ............... ....... . ........... ...... .............. ......
OTA
......................................
... ....... .. . .. ..... ..... ... ....... . ..................... ..........
........... ..
............... . ........... ..
1.' . . . .. ...A.. ........
.. ......................
....................
..........
..........
"ll ... ......................
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-4 . ......... .............. .........
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. ...... .. ................. ......
.............. .................. .......... ...... ........ ............
6
................. ....... ... . ... .............. . ...... ........... .............. ... .....
- - ---------- - - ........
. ... ..... .. ...... ...
Riii
---- tal: 1 -0 olp
x�
.... AT$ ..... ....... .. . ...
MXLeM.: . r-rapF.
. . .................. .. ....
Za 'dif `-:BAK 'ie
di�; -Mill, H 11A�rt
I I -::.:
000002097
.. . . . . . . . .
Page 10
ot
..... .....
hum, NEW HOPE DVSA
---------- — $11 W 3RD AVE
030 261 6606 001 JAN 4, 2024 JAN 30,, 2024 MOSES LAKE WA 98857-1905
i
------------ ------ I .......
account: 8'09'0 111 ...
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
Seattte WA 98111-9255
. .........
Document Number 1 Purchase Order Number VendorlD Shipping Method Payment Terms
............ i
Ll ID
5097654346-121323 --- — ---------
0
- 'CNLKS
. .......
— --- - - ----- . ..
Description .-
'Office Phone Amount'
$92-16
3
. . . . ........ . ..... . ......
_.
... ........ - ------- .......... .
Subtotal $92.16
Mise $0.00
Tax $0.00
Freight $0.00
Trade Discount
Payment $0.00
Total Due $0.00
$92.16
. . ........ .
Page I of 6
IT -
47 -Ir fll TV, 'fir 112
r-411 It
M:UV JA
u
nu ryLi n 1-50,1
I I NEW HOPE DOMESTIC VIOLENCE
OF
U UL
Account No 509-765-4346 765B
Previous Balance
Chiarges,
Payment, Dee 08
Balanoe Forward
Now Charges
CenturyUnk
Distanee Servic*
I New-
Thonkyou foryourpayment
1 800 777-19594
1 800: 77
7-9694
93-72
93,,72c�
$.00
Page
3 81.78
4 10.38
$92.16
T
T- A' L
y
A late payment o-,haxrqe of 5.0% or$13..O,O. whieheveris greater, may appi if amountdue does not reaoh us by
n, 3,2024, Separate late payment charges apply to Internet ise-rVI'Oes.
CenturyLink, P 0 Box WA 98111-9256
Please fold, teat here andreturn tis on with your payipwt,
Bill Date-, Dec 1.3 2023.
A000unt No: 509-765-4346 65B
yv� Bill Due Date, Jan 3 2024
Y Uentury nk
00
62202500 CS RP 09 20231209 NNNNNNNY 000051580 OV02
NEW HOPEDOMESTIC VIOLENCE
311 W 3RD AVE
MOSES LAKE WA 98837-1905
New Charges: $92.16
TOTAL AMOUNT DUEM $92-16
Amourd Enclosed
CENTURYLINK
P 0 BOX 91165
SEATTLE, WA 98111-9255
I�r��,��llil'lid'�i��lrell��l��1�11 ���11���'�tll�l`�����Il�ll��i
II I
IV TM.
FA..*A 01% entur L k TAA
Isf hoop Y .- i n
For questions, oall 1800 777-95,94
Page 2
NEW HOPE DOMESTIC VIOLENCE
Bill Date: Deo 1 31 2023
can No-, 609-765-4346 765B
Local -and
LonDistance-
Other Servk)es
rvim
Monthly Charges
77.20
Cartier Computed Charges
7.32
T;axes, F -des and Surcharges
City Ocoupation at 6%
3.63
State 911 at $..2 5 per
access line
.25
Local 9; .1 1 at $.70 per
a0mas fif no
i,70
Carder ConVuterd Taxes
3 . 06
Subtotal
$81.78
$10.38
Total New Charges
I�
62202500 G3 RP 09 20251209 NNNNNNNY 0000580 0002
-----------
F'Affi Page 3
TM
t r Link
NEW HOPE DOMESTIC VIOLENCE
Bill to Deo 13, 2023
For questions, eall 1800 777-9594 Account No: 509-765-4346 765B
Local and Other Services
Monthly Charges
Charges from Dee 13 to Jan 13
Quantity Dewription Code
Item Rate
Amount
Remote Aooess Forwarding AFD
9.00
9.00
Non -Published SeNjoe NPU
Business Line I FS
8.00
43,60
8.00
43.50
1 Subsoodber Line Charge 9ZR
7.11
7.11
Aooess Reeovery Charge 9ZR42
4.88
4.88
Federal Univemal Sery Fund at 42.6789%
3.03
Thi's charge recovers the amount Gid contributes to tho
Federal Univorsal Serv*ce Fund. This fund helps keep local
phone rates affordable for all Americans,
Federal Universal Sery Fund at 34.5%
1,68
This charge recovers the amount CenturyLink contributes to tho
Federal Universal Service Fund. Thi's fund helps keep local
phone rates affordablo for all Americans.
Total Monthly Charges
$77.20
Taxes, Fees & Surcharges Summary
The detail list! d below has been included in the New Charges on this bift,
Thl's surnmary is provided as informaUdn only.,
Amount
Federal Exo1se - Exempt
State Sales - Exempt
Loeal Sales - Exempt
City Occupation at 6%3.63
State 911 at $.25 per access line
Tht's 'Surcharge, funds the cost of providing emergency
.2.6
ai5trvices communications systems in your Comm --unity.
Looal 911 at $10 per access line
70
Tht's surcharge, funds the cost of providing emergency.
Services communications systems inour commu
Y nity.
Total Taxes, Fees and Surcharges Summary
$4.58
Total Centuryl.-ink Local and Other Services
$81.78
-------- - - -
CenturyLink New Charges
$81.78
continued on back q
����
Centur
yLimnk-x'
E
JIM
NEW HOPE DOME%'_� CV0 E CE
Bill Date: Deo 13t 2023
Account No 1: 509-765-4346 765B
C
I I I ustomers using Teletype (TTY) devices can divot their inquides to CenturyUnk at 1800 223-3 3 , a TTY equipped number.,
Go Greenl Use Control Center at oontroloenter.centurylink.00m
to view your billing and service information. on-fineand
enroll in Paperless' Billing or One Page Divot.
Save firne and learn more about the taxes and fees listed on your bill by visiting our webefte at
www,oenturyiink.00nVt.axesandfees today.
�° � �. '. .y'�- .a � � �. .- 'F -�% qtr. -":�#' * � '1.r .. � ,c #. : .�
IU
Catalog/Rate Schedule information for your setviloes is available witho t
cha rge at you r se rvice p. roAde re web site o r by oall i nq theil r toll -f roe
number, Catalog/Rate Schedule informabonfor CentutyUnk -It is
available Vvithout charge at wwwcenturyltnkcorn or by oalling the
toll-free nu mbef listed on the Summary page of your bill,
Effeative January 1 2024 the monthly rate for 1 -PTY Flat Rate Business lines Sotand-by lones
I -PTY Basio Measured Bus] I ness lines I 1 .1 �. i -1. 1, 1 , , Home Business linesl
Publijo Response Calling Servioe lines, Market Expansion lines, Remote Call
Forwarding lines Utility lines, FX lines Centra Flex Measured lines and Centra Flex Flat Rate lines will
nerease by $5 01 n dies %ifl also inerease, by $5,00; per line* all Choice bundles allChoice
00 The falloWi g 6u�j
Business Plus bundles all Choice Business Pdrne bu.
bundles. ndles, all Business Une Plus bundlesand all Custom Choiee
Thirdl-Plarty 131111ing Bbok
Cramming 0oours when unauth:o:n"zed charges appear on your telephone bill. To hel.p prevent unwanted th . Ird party
charges your bill, 0ontact CentutyLink at:800-603-6000 and re-qu ' est at no oharge a bill block that will
prevent �some third piarty oharges suoh as oharitable oontn'butions a up Internet by I non-ConturyUnk oompanies
i ;I d! I..'
or other non -telecommunications charges from appearing on your bill.
no Distance Service
Vow Customer Service 1800 777x*959j
Long DI"stance S Account Summary
Charges For December
page Amount
4 0 -
Total Long DI'stame Sery lf.ce Account Sur mry
$10,38
62202600 C3 RP 09 20231209 NNNNNNNY 0000580 0002
J-
,. ro
xyjv L Gef
1k* n ur NEW HOPE DOMESTIC VIOLENCE
Vol
B111 Date-. Deo 1312023
A000untNo: 509-766-4346 765-B
CenturyLink Long Dist -mice Summry Of Charge$ for DecAerber
Your LD Account Balance - CenturyLink Communicationss LLC
Curren+ Service Charges
Calls
M 'In -. Se4z
Che"es
Government Fees aM Taxes
8
State and Local Taxes
WA Local Ut+Y Tax
.79
Subtotal
c,2 0
Subtotal2.02
$199
Other Fees & ftnthly Charges
3133
Federal Universal Service Fund
16
Cost Recovery Fee
$5.33
Property Surcharge
*24
Administrative Expense Fee
Subtotal
*06
$2 07
Current Total Charges
Total 16 47136 $3.33 $0.00 $3.99 $7.32
kriwory of Usage Reports
#### CLink Business Basks III
Descript ion Period
Calls
M 'In -. Se4z
Che"es
1+ INALATA DAY
8
16:42
1+ INTRALATA NITS
8
28,,54
Subtotal2.02
16
47**36
3133
Jotal
16
47:36
$5.33
continued on back
TIM
���:
Century
;rAlY sLink-i'4
Service Detail - Plan/Fe.-ature Charges
� I M el I rfimn
ftge 6
NEW HOPE DOMESTIC VIOLENCE
Bill Date: Dee 13, 2023
Amount No. 509-w765-4346 765B
NO
to
T
Called Ntarber,
Location
M in 2cSao
Chames
14
Nov 06
905
A
509
885-6548
WENATCHEE
WA
2*00
14
Nov 06
2.33
P
509
885-6548
WEN ATCHEE
WA
3 12
Nov 06
21-47
P
509
885-6548:
WEN
WA
1:06
.22
4
Nov 08
8:05
A
SD9
885-6546
WENATCHEE
WA
.08
S.
Nov 08
8:40
A
509
885-.6548
WENATCHEE
WA
10*24
*
.02
6,
Nov 08
1:24
P
509
885-16548
WENATCHEE
WA
0* -42
.73
7
Nov 08
li*656
p
509
885-:6548
WENATCHEE
WA
0:18
8*
Nov 10
1 �-,,37
A
509
885-6548
WENATCHEE
WA
0t24
"
.02
9.
Nov 10
5444
A
509
WE NATCHEE
WA
342
.03
101,
Nov 10
6:26
A
509
88:5-6548
WENATCHEE
WA
2:18
o2-6
16
11.
Nov 10
6:48
A
509
6548
WENATCHEE
WA
1**18
12..
Nov 20
2:07
P
509
5- 54
WENATCHEE
WA
0:: 4 2
609
13,
Nov 20
5101
P
509
88,5-6548
WENATCHEE
WA
105
42
14#
Nov 20
81117
p
509
WENATCHEE
WA
1511
Dec 03
9:15
A
509
670-2437
WENATCHEE
WA
9:36
.27
16,
Dec 03
1:58
p
509
670-2437
WENATCHEE
WA
-67
.12
Total calls for 509-765-4346
16
47 3.6
*3.33
Long Milstame
Line Chr-S.
Report
Phorte
Numbe r
L3*.ne
Type
509-765-4346
Long
Dlisfance
Line Charge
Amount
3.99
Total
L" Distarwe
Line
Chrq.
$3.99
'This
Portion
of Your Bill Reflects Calls Served By Cantu ryLink Communications, LLC.
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: WASHINGTON TRUST BANK.,
PO BOX 2127 -
SPOKANE WA 99210-2127
I
Document Number
!-8493 - 12/2023
Description:
:Visa Statement 12/2023
Purchase Order Numberl VendorID
Page I / 1
Invoice 0405416
Date 1/8/2024
Shipping Method Payment Te_ ��rms ID
w..�W._µ_�_ NET 30
w�
Amount
$737,72
Subtotal
$737.72
Misc
$0.00
Tax
$0.00
Froight
$0.00
Trade Discount.
$0.00
Payment
$0.00
Total Due
1146 LWG 3 7 1 240102 0 PAGE I OF 2 1 0 4833 0030 CX48 OIAC1146
Cardholder Name and Account Number Page I of 2
NEW HOPE SHELTER ADVOCATE 111SA
GRANT COUNTY
fill MIShin"TrMt Bank XXXX-XXXX-XXX-8493
mombw. F01C. 16
Due back to Acctg 01.12.2024 by 12pm
Account InforInation
- ---- --
.:Acco'unt Sum mary-.'
Trans6cU0ns"r'.:,1
Statement Closing Date
01/02/2024
Previous Balance
$0.00
Credit Limit
$20,000.00
W Payments and Credits
$0.00
Available Credit
$20,000,00
+/. Finance Charge(net)
$0.00
Cash Credit Limit
$0,00
+ Purchases
$0.00
Available Cash
$0.00
+ Cash Advances
$0,00
$117,00*or
12/03
+ Other Char es
$0.00
MINUTEKEY BOULDER CO
$8.67
Now Balance
$0.00
2405523AG2DGKBW<N
WALMART.COM 800-966-6546 AR
Fame Informaflon
12/05
Payment Due Date., 01/27/2024 Minimum Payment Due-: $0.00 New Balance; $0.00
Call Customer Service: 800-788-4578
Trans6cU0ns"r'.:,1
post bate
Trans Date
Reference T
Description
Amount
12/03
12/01
2422638AGBLH27Z96
WAL-MART #2007 MOSES LAKE WA
69.7
12/03
12/01
2445501AF447Y6RYH
WAL-MART #2007 MOSES LAKE WA
12/hIl
W%.#
12/01
2475542AG87WWHNFL
JUNES LEGAL SERVICE INC LAS VEGAS NV
$117,00*or
12/03
12/02
2405522AGBM8MO3ET
MINUTEKEY BOULDER CO
$8.67
12/03
12/02
2405523AG2DGKBW<N
WALMART.COM 800-966-6546 AR
$43.44-
12/05
12/04
244,3106AJ2DZMVVM83
GRANT PUD 509-758-2508 WA
$65.08.0e
12/10
12/07
2416407AN31T8ZGQP
STAPLES 00113019 MOSES LAKE WA `
$45.51 vo0o
12/10
12/07
2423168ANRBGJV4QG
SAFEWAY #3252 MOSES LAKE WA
$25.00--**'
12/10
12/08
2444500APBLLY77NS
WIVI SUPERCENTER #2007 MOSES LAKE WA
12112
12/11
2449216ATMMYFN5VK
NOTARYLIVECONOTRYLIVE 8555866827 NY)(
1
$2&000
1,2/12
12111
2469216AT3512AYXK
WALMART.COM 800-966- 6546 AR
$106.23,60e
12/17
12115
2469216AX2ZOHRF74
WALMART.COM 800-966-6546 AR
$62A6
12/28
12/27
244450O.BABLLELL32
WM SUPERCENTER #2007 MOSES LAKE WA$16.2v
12/29
12/27
2423168BARBGJREKF
SAFEWAY #3252 MOSES LAKE WA
$50.00
12/31
12/29
2444500BQBLLMVVBMP
WM SUPERCENTER #2007 MOSES LAKE WA
$60.21
12/31
12/29
2444500BOBLLMWBRO
WM SUPERCENTER #2007 MOSES LAKE WA
$2A0
01102
01/02
OOOOOOOOOOOOCOMPC
TOTAL PURCHASES $737.72
Remit Payment to:
WASHINGTON TPUST 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 check.
New address, phone number or e-mail?
Check the box to the left and print charges on back.
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
Mail Inquiries To;
P.O- BOX 2127 SPOKANE, WA 99210-2127
We aPPrOciate your business!
Account Number
New Balance
Minimum Payment Due
1p Questions?
Call Customer Service: 800-788-4578
Lost or Stolen Card- 800-788-4578
Payment Due Date
January
XXXX-XXXX-XXXX-8493LSM
TW T F 'S
1 "2 3 4 5
F
$0,00
7
7, _g_ _L _io 11 12113.
J4 -
.L5_.L6 _17 IS
121
L2_221=24 25
NONE
2.s 29 �30 31
Amount
Enclosed $
NEW HOPE SHELTER ADVOCATE
GRANT COUNTY
ATTN MICHELE JADERLUND
PO BOX 37
EPHRATA WA 98823-0037
000000000000000041295700310084937
1146 Lid G 3 7 1 240102 0
i
Cardholder Name and Account Number
NEW HOPE SHELTER ADVOCATE
GRANT COUNTY
XXXX-XXXX-XXXX-8493
PAGE 2 OF 2 1 0 4833 0030 CX48 OIACI 146
VISA Page 2 of 2
Transactions (continued)
Post Date Trans Date Reference J 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 800-788-4578.
1/9/24, 1;08 PSI abauttlank
STAPLES
815 N Stratford Rd Ste 8
MOSES LAKEIt
, WA 38837 �.
s
( 509 ) 765-4600
SALE 2052804 14 001 23832
1301 12/07/23 10:19
QT`S SKU PRICE
DUPLICATE COP"
Not Valid For Refund
. REWA DS NUMBER x.39 904`17
COMPACT DESK CALND
718,103429450 11.33
1 RY24 DD LONDON ROS
693931438848 2.3.33
SUBTOTAL 41.98
Standard Tax 8.40% 3.53
TOTAL $45.51
VISA CREDIT U D, 45 ¢ 51
Card o.* XXXXXXXXXXU8493 C H]
Auth No. 007584
Chip Read
Mode.. issuer
AID.: A00000003.010
TVR.** 8000008000
IAD.: E221E30080000
TSI.; 6800
ARC.: 3030
The Cardholder agrees to pair the Issuer
of the charge card lin accordance with
the agreement between the Issuer and
the Cardholder,
TOTAL. ITEMS 2
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County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor-, WASHINGTON TRUST BANK..
PO BOX 2127
SPOKANE WA 99210-2127
Document Number 1 Purchase Order Number
7139- 12/2023
.... . ........ .... . ...... ... ...
escri tion:
Visa Statement 1212023
Vendor
�C
. ......... . .. . _ -------
Page 1 /1
Invoice 0405423
Date 1/8/2024
Shipping Method 1
Payment Terms,ID
NET 30
Amount
$4,326.45
Subtotal
$4,326.45
Disc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0,00
Total Due
$4,326.45
1146 LWT 3 7 1 240102 0 PAGE 1 OF 2
1 0 4833 0030 CX48 OIAC1 146
Reference
Transactions, .. ....
Description
Cardholder Name and Account Number
VISA
Page 1 of 2
12/01
ALYCE BARRIENTOZ
MARSHALLS #1242 EASTWENATCHEWA
12103
GRANT COUNTY
2494300AGS4AHFMWO
COSTCO WHSE #0112 EAST WENATCHEWA
jfilem% Vfth!"OVITMISt Bank
M*ffmc
XXXX-X-XXX-XXXX-7139
34
2444500AJBLLSDX28
WM SUPERCENTER #3260 EPHRATA WA
Due back to Acct g 01.12.2024 by 12pm
12/05
12/04
249430OAKS4AFJ3TT
COSTCO WHSE #0112 EAST WENATCHEWA
$137,72
.Account Info nation
.Account $um!na
Statement Closing Date 01/02/2024
Credit Limit
Previous Balance
$0.00
Available Credit
$7,500.00
$7,500.00
Payments and Credits
$0.00
Clash Credit Limit
$0.00
Finance Charge(net)
$0.00
Available Cash
$0.00
+ Purchases
+ Cash Advances
$0.00
$0.00
2469216AS35PTR5EA
STARBUCKS STORE 09852 MOSES LAKE WA
+ Other Char es
$0.00
12/12
2444500AVBLLWND14
New Balance
0
12/14
inent In on--
P Ly na
2476789AVPVI 11 LZY
EL RODEO MEXICAN RESTAURAMOSES LAKE WA
Payment Due Date: 01/27/2024
Minimum Payment Due: $0.00
New Balance: $0.00
Post Date
Trans Date
Reference
Transactions, .. ....
Description
........
Amount
12/03
12/01
2413746AG015Z6S54
MARSHALLS #1242 EASTWENATCHEWA
12103
12/01
2494300AGS4AHFMWO
COSTCO WHSE #0112 EAST WENATCHEWA
$616,94-0'
12104
1.2/03
2444500AJBLLSDX28
WM SUPERCENTER #3260 EPHRATA WA
. $217.04
12/05
12/04
249430OAKS4AFJ3TT
COSTCO WHSE #0112 EAST WENATCHEWA
$137,72
12/07
12/06
2413746AM014QVFJQ
MARSHALLS #1312 MOSES LAKE WA
$26.02---"
12/08
12/07
2405.523AM2DG80LMV
WALMART.COM 800-966-6546 AR
0
;j _2$ 1 29 381
12/12
12/11
2444500ASBLLXXHVH
WM SUPERCENTER #2007 MOSES LAKE WA
$17,41
12113
12/11
2469216AS35PTR5EA
STARBUCKS STORE 09852 MOSES LAKE WA
$11.92
12/13
12/12
2444500AVBLLWND14
WM SUPERCENTER #2007 MOSES LAKE WA
12/14
12/12
2476789AVPVI 11 LZY
EL RODEO MEXICAN RESTAURAMOSES LAKE WA
$230,86
12115
12/14
2444500AXBLLYOTAO
WM SUPERCENTER #2007 MOSES LAKE WA
$106.68
12/19
12/19
24430991312DYI-88912
VIVINT INC/US 800-216-5232 UT )6
$56.47 WO"'
12/20
12/19
2422638B22LR76ZE3
ANAL—MARTT #3260EPH RATA WA
12/21
12120
2444500B3HEWPHDQJ
LES SCHWAB TIRES #0342 EP I HRATA WA
$527.66--i-
12/21
12/20
2463857B20EXME58Y
LOC CITIZENS*347508906 401-2825259 CT
$26-6t---***
12/22
12/21,
244311068.32010PYA
GRANT PUD 509-7.58-2508 WA
$169.35 APO`
12/22
12/21
2469216B3313FV55Q
MOSES LAKE 509-764-3717 WA
$120.48
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 check.
ENew address, phone number or e-mail? Check the box to the lett and print changes on back.
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
Mail Inquiries To-,
Questions?
P.O. BOX 2127 SPOKANE, WA 99210-2127
Call Customer Service: 800-788-4578
Lost or Stolen Card:
800-788-4578
We appreciate your business!
Payment Due Date
January
Account Number
XXXX-XXXX-X.)=-7139
S M T. W T F S
--------
3
4,213
New Balance
$0.00
47 -9--k-jo
1 6 117
15
10
H11
21 22 23 124 25 2
Minimum Payment Due
NONE
0
;j _2$ 1 29 381
Amount
Enclosed $
ALYCE BARRIENTOZ
GRANT COUNTY
ATTN MICHELE JADERLUND
PO BOX 37
EPHRATA WA 98823-0037
000000000000000041 29570031 0271. 393
1146 LWG 3 7 1 24002 0 PAGE 2 OF 2
1 0 4833 0030 6X48 01 ACI 146
Cardholder Name and Account Number Page 2 of 2
ALYCE BARRIENTOZ 111SA
GRANT COUNTY
XXXX-XXXX-XXXX-7139
TOTAL $4,326,45
TOTAL FEES FOR THIS PERIOD
TOTAL INTEREST FOR THIS PERIOD
TOTAL *FINANCE CHARGE* BILLED IN 2023 - $0.00
FOR REBATE PROGRAM QUESTIONS, CALL 800-788-4578,
Due back to Acctg 01.12.2024 by 12pm
Transactions contlnu!!�)
Post Date
Trans DatoRoference
a ....
Description
----- - Amount
12122
12/21
2490641635GSNXL4Q
Trupanion
trupanlon.comWA
$133.11 10
12/24
12/22
2405523B42DES4X7Y
WALMART,COM
800-966-6546 AR )K
$155.36 --e
12124
12122
2423168B5RBGJN49V
SAFEWAY #3252
MOSES LAKE WA
$317.85-,00*
01/02
01/02
000000000WOCOMPC
TOTAL P"Pr.WA.(Zl=q
0A 'IqCZ 45
TOTAL $4,326,45
TOTAL FEES FOR THIS PERIOD
TOTAL INTEREST FOR THIS PERIOD
TOTAL *FINANCE CHARGE* BILLED IN 2023 - $0.00
FOR REBATE PROGRAM QUESTIONS, CALL 800-788-4578,
Due back to Acctg 01.12.2024 by 12pm
view Your current account balance at account.vivint,com
t.. .. .....
Billing Period 12/1812023 to 1/1712024
Previous Balance $0.00
Payments & Adjustments $0.00
New Charges
$56.47
fI
I aq 5 0 H1111 51111 wlk.=
To Avoid Late Fee, Pay B y
12/18/2023
Monthly Charges
$56.47
Smart Home Service
$54.99
Cell Network Maint Svc Fee
$1,48
Total Monthly Charges
V
"IVI 06�
nt
ElPlease check box if your address has changed and provide your new address
on the back.
SUZI FORE
311 W 3RD AVE
MOSES LAKE, WASHINGTON 98837-
1905
$56.47
Account Number:
Invoice Creation Date:
Invoice Number:
Billing Period,
Due Date.
Page:
102027640
December 1-8, 2023
INV179290503
12/18/2023 to 1/17/2024
December 18, 2023
1 of 1
"0" Please note any payments or credits
made after the Invoice Creation Date
will not be reflected on this invoice.
To see your current account balance
visit account.vivintcom
E.q Online Bill!
Learin PPone eaboiut'
V;
iew Trequan"Oe �Pd question -i
i
TDke the ordWk-,' at,C'<_kU1NdL ruenlht,,r "'our
Visit support,vivint.com/bIll
;v rpt Acc-Lowul-t C�e_i
vi") -VII, YOU1, bil'i 0-ro-71 , Uw
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Y
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- t 4:1 Z R
Login at account.vivint.com
vivint.com/contact-support
customersupport@vivilntcorn
8004216-5232
Statement Creation Date:
December 18,2023.
Account Number-
102027640
Due Gate;
December '18,2023
Amount Due:
$56.47
Auto Pay
VIVINT, INC.
62992 COLLECTION DRIVE
CHICAGO, IL 60693-0629
102027640 00179290503 0005647 2
Alvce K, Barrientoz
From-, Suzi Fode
Sent, Monday, November 27, 2023 10:13 AM
To: Alyce K. Barrientoz
Sub, ect:. FW.', VIVINT SMART HOME financed by Citizens PayT'm,, Your Statement is ready!
Frorn: emall@emall.citizensbank0com <email @email.citizensba n k.com>
Sent: Sunday, November 26, 2023 10,42 PM
To: Suzi Fode <sfode@grantcountyw
agov>
Subject: VI' INT SMART HOME financed by Citizens PayTM: . Your Statement is readyl
gar SUZi FOGE,
)ur Statement is now ready fir your account ending in 1112.
nimum Payment-, $26,,61
atement Balance: $1,197.40
ie date,* 12/20/23
u're enrolled in automatic payments. Welt pay the amount scheduled from your account
1146 LWG 3 7 1 240102 a PAGE 1 OF 2 1 0 4833 0030 CX48 OIAC1146
Cardholder Name and Account Number Page 1 of 2
NEW HOPE AMAZON 111SA
GRANT COUNTY AUDITOR
11phigtOn XXXX-XXXX-XXXX-9663
Trust Bank
mlomtw potc Due back to Acctg 01.12.2024 by 12pm 45
Adcount Information
we " 6* ----
Payment Due bate
�Transaotions
Post Date
Account Summary.,.
Reference
Statement Closing Date
Credit Limit
01/02/2024
Previous Balance
$0.00
Available Credit
$10,000.00Payments
$9,74100
and Credits
$0.00
Cash Credit Limit
$0.00
+/-Finance Charge(net)
$0.00
Available Cash
$0.00
+ Purchases
$0.00
$62.56
12110
+ Cash Advances
$0.00
Amazon,com*LZ9FD2FU3 Amzn,com/bilIWA
$50.57: '
+Other Charges
$0.00
2469216B12ZY68XMA
AMZN Mktp US*IR18G9663 Amzn.corrdbil[WA
Now Balance
.
$000
12121
7469216833OZ16VHL
pay, ment Infor'MAflon
450,57%oo0o
Payment Due Date: 01/27/+2024
12/21
Minimum Payment Due: $0,00 New Balance $0,00
Remit Payment to: -;Ljo Mail Inquiries To: IQ Questions?
WASHINGTON TRUST BANK P.0, BOX 2127 SPOKANE, WA 99210-2127 Call Customer Service: 800-788-4578
PO BOX 2127 SPOKANE, WA 99210-2127 Lost or Stolen Card: 800-788-4578
We appreciate your business!
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
Please include your account
number on your check.
E] New address, phone number or e-mail?
Check the box to the Jett and print changer, on back.
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
we " 6* ----
Payment Due bate
�Transaotions
Post Date
Trans Date
Reference
Description
Amount
12/05
12/04
2469216AJ2YRPOIJW
Amazon.com*6489=53 Amzn.com1bfl1WA
$216.604ole'-
12/07
12J06
2469216AL30SD6280
Amazon-com*W31817G53 Arnzn.corfVbillWA
$21.66,WO'
12/10
12/09
2469216AP338VQEIQ
AMZN Mktp US*PN7A76A63 Amzn.com/bil[WA
$62.56
12110
12/09
2469216AR33GRQRW7
Amazon,com*LZ9FD2FU3 Amzn,com/bilIWA
$50.57: '
12/20
12/19
2469216B12ZY68XMA
AMZN Mktp US*IR18G9663 Amzn.corrdbil[WA
$27.09,.-.,
12/21
12121
7469216833OZ16VHL
Amazon.com Amzn.corrVbi1IWA
450,57%oo0o
12/22
12/21
24692168331 KVZOKT
AMZN Mktp US*6M5E07DC3 Amzn.corrVbillWA
$45.52 2--"'
12124
12/23
2469.216B533BVNVOT
AMZN Mktp US*567RW7HE3 Amzn.corn/b1IIWA
$87.30---
12/29
12/28
2469216BA36BI89XT
AMZN Mktp US*CZ87E7ML3 Arnznxom/b!IIWA
$40,05 -o'*
12/29
12/29
2469216BB2XL516LG
AMZN Mktp US*T48KDIBPO Amzn.com/billWA
$31,43
01/02
01/02
00000000000000MPC
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: -;Ljo Mail Inquiries To: IQ Questions?
WASHINGTON TRUST BANK P.0, BOX 2127 SPOKANE, WA 99210-2127 Call Customer Service: 800-788-4578
PO BOX 2127 SPOKANE, WA 99210-2127 Lost or Stolen Card: 800-788-4578
We appreciate your business!
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
Please include your account
number on your check.
E] New address, phone number or e-mail?
Check the box to the Jett and print changer, on back.
WASHINGTON TRUST BANK
PO BOX 2127
SPOKANE, WA 99210-2127
NEW HOPE AMAZON
GRANT COUNTY AUDITOR
ATTN MICHELE JADERLUND
PO BOX 37
EPHRATA WA 98823-0037
000000000000000041295700310296630
we " 6* ----
Payment Due bate
January
Account Number XXXX-XXX X-XXXX-9663
S M T W T F S
— 1 2 3 141 5 6
New Balance $0.00
7 8 19
- 9 10 11 1 13
k",
144 155 166 17 1 1-2
J22
Minimum Payment Due NONE
21 23 L24 5. 2
28 29 30 1
30
Amount
Enclosed $
NEW HOPE AMAZON
GRANT COUNTY AUDITOR
ATTN MICHELE JADERLUND
PO BOX 37
EPHRATA WA 98823-0037
000000000000000041295700310296630
amazo n.com
F&D I , '.O . 4
Order Placed: November 28, 2023
PO number: NH/KH Janitor Sppjs - Exit Bsk
Amazon.corn order number: 113-4451990-8446612
Order Total: $216.60
Shipped on December 4, 2023
Payment information
Payment Method.,
Items Ordered
Visa I Last digits-, 9663
Itern(s) Subtotal: $199.80
4 of: Clorox Disinfecting Wipes, Fresh Scent, 75 count (Prick of 3) (package May Vary) CLOROX
Sold by: Amazon.com
Shipping & Handling: $0,00
Price
$16-65
Condition: New
NEW HOPE AMAZON
Total before tax: $199.80
Shipping Address:
EPHRATA, WA 98823-0037
ALYCE BARRIENTOZ
Item(s) Subtotal.,
$66.60
311 W 3RD AVE
Shipping & Handling:
$0,00
MOSES LAKE, WA 98837-1905
United States
Total before tax:
$66.60
Shipping Speed:
Sales Tax:
$5.60
Two -Day Shipping
Total for This Shipment:
$72.20
- ------ Shipped on December 4, 2023
Items Ordered
8 of: Clorox Disinfecting Mpes, Fresh Scent, 75 Count (Pack of 3) (Package. May Vary) CLOROX
Price
$16.65
Sold by: Amazon.com
Condition: New
Shipping Address:
ALYCE BARRIENTOZ
Item(s) Subtotal:
$133.20
311 W 3RD AVE
Shipping & Handling-
$0,00
MOSES LAKE, WA 98837-1905
United States
Total before tax:
$133.20
Sales Tax:
$11.20
Shipping Speed:
Two -Day Shipping
Total for This Shipment: $144.40
II
Payment information
Payment Method.,
Visa I Last digits-, 9663
Itern(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
II
Credit Mem �
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 BANK..
PO. BOX 2127
'SPOKANE WA 99210-2127
Document Number
_�6' 6-3 Tf/23_
Purchase Orde,_ ---- r _N_ u- e—r, Vend orlD
Shipping Method
Payment Terms ID
CREDIT__
Description:
_.,jrBCC
Visa. Statement 12/2073
Amount,
$50.57
. . .........
Subtotal
qi
$50,57
MISS
$0.00
Tax
$0.00
Freight
$6.00
Trade Discount
$0,00
Payment
$0.00
Total
$50.57
PM-. 0 A Mk"W111
amazon.com
N%00A
Final Details for Order fl I 1-2575309-124263S.,
Order Placed: December 6, 2023
PO number -Q 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. IB600 NEPA Replacement Intuition Upright Vacuum Cleaner Bags for BU4022, BU4020, BU4018, BU4050,
BU3040, While
Sold �y.* Amazon.com
Condition: New
Shipping Address:
Celina Garcia
311 W 3RD AVE
MOSES LAKE, WA 98837-1905
United States
Shipping Speed:
I
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
$19.98
$ 0.00
$19.98
$1.68
$21.66
Itern(s) Subtotal.,
$19.98
Shipping & Handling'.
$0.00
Total before tax:
$19.98
Estimated Tax:
$1.68
Grand Total:
$21.66
Credit Card trasacons — ----------
- ----- nti- --------- Visa ending in 9663.- December 6, 2023: $21.D6 VA -
OWN 11 -188
To view the status of your order, return to Y
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Order Placed: December 8, 2023
PO number: office Supplies - HCA
Amazon-com order number: 113-4274720-0571445
Order Total: $62.56
Shipped on December .9, 2023
Items Ordered
3 of: Fezbreze Fabric Spray, Odor Fighter for Strong Odor. Pefreshe
r Spray PLUS with Clean Scent, 16.9 F1 Oz (Pack of 2)
Sold by: Amazon .($VjLQLpraLg)
Business Price
Condition: New
I
of ToLuLu Desk Mat, XXL Large Mouse Pad Wrist Support Set4 in I�G * aming Mousepad Desk Pad+ Ergonomic Mouse Pad with
Wdst Rest + Keyboard Wrist Rest+ Coaster for Women Home Office Computer, Purple Marble
Sold by: ToLuLu
Condition: New
Shipping Address:
AL `C BARRIENTOZ
311 W 3RD AVE
MOSES LAKE, WA 98837-1905
United States
Shipping Speed:
Delivery in fewer trips to your address
Payment information
Payment Method.,:
Visa I Last digits: 9663
Billing address
NEW HOPE AMAZON
PO BOX 37
EPHRATA, WA 98823-0037
United States
Itern(s) Subtotal:
Shipping & Handling:
Total before tax:
Sales Tax:
Total for This Shipment:
Price
$10-84
$25.19
$57-71
$0.00
$57.71
$4.85
$62.56
Item(s) Subtotal:
$57.71
Shipping & Handling:
$0.00
Total before tax:
$57.71
Estimated Tax-:
$4.85
Grand Total:
$62.56
Credit Card transactions--- -
-------- ------ - - ------------- Visa ending in 9663: December 9, 2023: $62.56
-------------
To view the status of your order, return to Order. 5umimary
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