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Grant Related - BOCC (003)
GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST SUBMITTED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: DYES ONO oATE:4/18/2024 PHONE: - - i Reimbursement request from New Hope on the American Rescue Plan Act (ARPA) in the amount of $14,136.64 for March expenses. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO If necessary, was this document reviewed by legal? ❑ YES ❑ NO DATE OF ACTION: q-, -�c •2- APPROVE: DENIED ABSTAIN D1: R D2: D3: 4/8/24 DEFERRED OR CONTINUED TO: 1-� ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related [:]Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related El County Code ❑Emergency Purchase ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑Minutes ❑Ordinances ❑Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑Recommendation ❑Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB - - i Reimbursement request from New Hope on the American Rescue Plan Act (ARPA) in the amount of $14,136.64 for March expenses. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO If necessary, was this document reviewed by legal? ❑ YES ❑ NO DATE OF ACTION: q-, -�c •2- APPROVE: DENIED ABSTAIN D1: R D2: D3: 4/8/24 DEFERRED OR CONTINUED TO: 1-� New Hope ABPA Mar -24 128-170-00-8021-565501100 $8,395.66 Salaries 128-170-00-8021-565502*** $3,,686.831 Benefits /' 128-170-00-8021-565503100 $114.67 Goods & Services' 128-170-00-8021-565504100 $725.31 Professionat.zService �' 128-170-00-8021-565504107 $1,03.82 128-170-00-8021-565504201 $6.54 Office Phone 128-170-00-8021-565504202 $102.32 On Call Phone •� 128-170-00-8021-565504700 $134.18 Office Utilities .� 128-170-00-8021-565501124 $136.83 HR Service Fee 128-170-00-8021-591657000 $38.61 Copier Lease` 128-170-00-8021-591657001 1 $691.871 Office Lease/ ITotal $14,,136.64___ Signature Invoice Documentation Form: Goods & Services Worksheet Agency Name: Grant County New Hope Invoicing Period: Mar -24 Purchases by Vendor and items Vendor Items Expense code Total amount of bill Total amount billed to ARPA GC Human Resources HR Service Fee 565501124 $ 11354.67 $ 136.83 Devries Record Mgmt Document Shredding 565503100 $ 13.80 $ 1.39 Lindsay Water Office Supplies 565503100 $ 106.24 $ 17.57 Office Depot Office Supplies 565503100 $ 439.79 $ 54.34 PB Janitorial Janitorial 565504107 $ 950.00 $n724 US Linen Janitorial 565504107 $ 184.08 AT&T Office Phone 565504201 $ 53.41 $ 6.54 GC Tech Services Oncall Phone 565504202 $ 845.59 $ 102.32 Mario Padilla Office Utilities 565504700 $ 1,095.92 $ 134.18 Kelley Create Copier Lease 591657000 $ 315.34 $ 38.61 Mario Padilla Office Lease 591657001 $ 71726.21 $ 691.87 Staples (Visa) Office Supplies 565503100 $ 97.54 $ 16.13 Amazon (Visa) Office Supplies 565503100 $ 152.65 1 $ 25.24 Amazon (Visa) Janitorial Supplies 565504107 $ 107.17 $ Y Amazon (Visa) Client EFA - Safety Security Cameras 565504100 $ 191.21 $ 191:::21 Grant Co. PUD (Visa) Client EFA - Utilities 565504100 $ 534.10 $ 534'::10=LL Total Charges $ 14,167.72 $ 2,054.15 � GocdskSeJ��O i 000�i ARPA - County (8021) Agency Name: Invoicing Period: Invoice Documentation: Salaries Grant County New Hope Mar -24 Fode, Suzi $9,840.92 19.00% $1, 869.77 Sanchez, Rusila $4,716.57 19.00% $896.15 Glenn, Patricia $57713.15 35.00% $1,999.60 Adolphsen, Elisa $77235.28 2.00% $144.71 Barrientoz, Alyce $5,269.63 18.00% $948.53 Garcia, Celina $4,026.82 63.00% $2, 536.90 Total Salaries: $0.00 $8,395.66 Invoice Documentation: Benefits Fode, Suzi $2,709.87 19.00% $514.88 Sanchez, Rusila $1,827.57 19.00% Glenn, Patricia $2,648.99 35.00% .$347.24 $927.15 Adolphsen, Elisa $2,275.86 2.00% $45.52 Barrientoz, Alyce $3,102.06 18.00% $558.37 Garcia, Celina $27053.45 63.00% $1,293.67 $0.00 $0.00 Total Benefits: $3,686.83'V/